Laporan Vaksinasi Sinovak Dan Moderna PKM Bakung 27 Oktober Batuputuk

Nama Puskesmas/Fasyankes/Pos
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
23 S-5EE6D765
47 S-FFA0E070
58 S-A804F0F9
66 S-A21B586A
67 S-2C78A883
71 S-147CB3A2
80 S-AB291602
85 S-9C87B4BD
86 S-A25A6B37
118 S-FACDFF0D
Keterangan
* Pekerjaan dikelompokkan menjadi:
A = Petugas Medis dan Non Medis di Fasilitas Pelayanan Kesehatan
B = Petugas pelayanan publik yang berhadapan langsung dengan masyarakat
C = Administrator Pemerintahan
D = Lainnya
E = Tidak Bekerja
NIK
1871086008810009
1871087105630001
1871086206720001
187108060363000-9
1871084607910004
1871080406660001
1871081810940001
1871016110860001
187106421179011
1871136201790002
litas Pelayanan Kesehatan
dapan langsung dengan masyarakat
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
B
C
Total
: PUSKESMAS BAKUNG ( SMP N 3 BANDAR LAMPUNG )
: BANDAR LAMPUNG
LAMPUNG
: KAMIS, 4 MARET 2021
Jenis
Nama Penerima Vaksin Pekerjaan*
Kelamin
DEWI HANDAYANI P B
MEINI IDA P B
RENI YUNIARTI P B
SUYADI L B
DINITRI SUCI P B
Sukirno L B
AHMAD SURYA P L B
RORI OKTARIA P B
Merta Yusanda P B
YUHANNA P B
***Merek Vaksin
A = Sinovac
B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes)
elompok Umur: Kepesertaan BPJS
22 BPJS PBI
53 BPJS Non PBI
51 Non Anggota
126 Total
Pekerjaan: Pemberian Dosis
0 Dosis 1
0 Dosis 2
0 Total
0
FORMAT PENCATA
TINGKAT PUS
Umur
Tanggal Lahir Kelompok Umur
(18 sd ≥ 60 tahun)
20/08/1981 41 31-45
31/05/1963 59 46-59
22/06/1972 50 46-59
06/03/1963 60 ≥60
06/07/1991 31 31-45
04/06/1966 55 46-59
18/10/1994 28 18-30
21/10/1986 36 31-45
02/11/1979 43 31-45
22/01/1974 49 46-59
5
117
13
135
137
0
FORMAT PENCATATAN PELAKSANAAN VAKSINASI COV
TINGKAT PUSKESMAS/FASYANKES/POS VAKSINAS
Alamat
NOG
TBB
NOG
JL.WA RAHMAN NO 32 BATU PUTU
TBB
jl. Amd Kota jawa NOG
TBB
TBB
NOG
TBB
Pekerjaan
Total
LAKSANAAN VAKSINASI COVID-19
/FASYANKES/POS VAKSINASI
No. Hp Kepesertaan BPJS (tulis 'Ya' pada kolom yang sesuai)
082213046740 Ya
081271462863 Ya
08539919180 Ya
081379266614 √
0895389602925 Ya
085384320939
0895328254445 Ya
082184791415 Ya
085357633657 Ya
082175876535 Ya
aan
0
a' pada kolom yang sesuai) Tanggal Screening Nama/Jenis/Merek Vaksin***
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
Ya 3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
Dosis I
3/4/2021 24000721 16124995412124
3/4/2021 24000721 16124995412124
3/4/2021 24000721 16124995412124
3/4/2021 24000721 16124995412124
3/4/2021 24000721 16124995412124
3/4/2021 24000721 16124995412124
3/4/2021 24000721 16124995412124
3/4/2021 24000721 16124995412124
3/4/2021 24000721 16124995412124
3/4/2021 24000721 16124995412124

Dosis 2
Keterangan
(Ditunda/Tidak Diberikan/Lanjut)
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-EJRCYQXU
6 S-16C8204F
10 S-B2CE7887
12 S-543ED7CD
14 S-D3F9ADB9
19 S-F5DC4D1E
20 P-V9475TGR
23 P-01HXJZCO
24 S-A3812059
25 P-KYAG00JU
26 S-2522E507
29 P-NVK4GEF2
31 S-23711167
42 S-A2E67693
46 P-5AXFRA5T
50 S-08AD5ADF
55 S-076641DF
56 S-8F37565E
57 P-0P1TW056
59 S-F88AGDB5
67 S-A40A4601
70 P-RR6TKHPN
72 S-F987659F
76 S-744D1C3B
78 S-CDD1D839
82 S-B4F803D1
86 S-AC87D51C
91 S-755FF4C4
96 S-AFEAD064
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871060301620003
1871084808650002
1871085904630001
1871085107710004
1802022312890001
1871081507780005
1871086906840003
1871086612660005
1871085609770003
1801142202860003
1871025009830007
1871081805810002
1871085504920008
1871082209860001
1871086606840001
1871084409910005
1871080503960004
1871080407640001
1871080507570005
1871082207910001
1871084603620002
;1871081706630003
1804156811890002
1871080405820005
1871086001840008
1871087105880002
1871084308630001
1871080405880010
1871081904840005
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG (SMP 15 BANDAR LAMPUNG)
: BANDAR LAMPUNG
: LAMPUNG
: JUMA'T, 05 MARET 2021
Jenis
Kelamin
TONI EDUART L B
SRI MURNI P B
RADEN SUHARTANTI P B
DASTATI MERSA P B
WAHYU ARDIANSYAH L B
RAHMAD RIFAN L B
SOLI ATIKA P B
JUMILAH P B
FITRIANA P B
YOYOK SUPRIYADI L B
SANIMAH P B
ANDI L B
VERA APRIMILYANI P B
IWAN HERMAWAN L B
WINDARTI P B
SEFTY RAHAYU P B
SATRIA DIKA L B
DAHLIA ALI L B
KOSIM L B
MADROZI L B
RETNO WIJIASTUTI P B
M RONI L B
NOPI AFRIYANI P B
AMAD L B
DWI FATMA P B
DWI WAHYUNI P B
YUSNANI P B
DENI HARJA L B
YOYO SAMPURNA L B
***Merek Vaksin
A = Sinovac

17 BPJS PBI
40 BPJS Non PBI
31 Non Anggota
7
88 Total
0 Dosis 1
96 Dosis 2
0 Total
0
0
96
FORMAT PENCATA
TINGKAT PUS
Umur
(18 sd ≥ 60 tahun)
03/01/1962 61 ≥60
08/08/1965 57 46-59
19/04/1963 60 ≥60
11/07/1971 51 46-59
23/12/1989 33 31-45
15/07/1978 44 31-45
29/06/1984 38 31-45
26/12/1966 56 46-59
16/09/1977 45 31-45
22/02/1986 37 31-45
10/09/1983 39 31-45
18/05/1981 42 31-45
15/04/1992 31 31-45
22/09/1986 36 31-45
28/06/1984 38 31-45
04/09/1991 31 31-45
05/03/1996 27 18-30
04/07/1984 38 31-45
12/03/1962 61 ≥60
22/07/1991 31 31-45
06/03/1963 60 ≥60
17/06/1963 59 46-59
28/11/1989 33 31-45
04/05/1982 41 31-45
20/01/1984 39 31-45
31/05/1988 34 31-45
03/08/1963 59 46-59
04/05/1988 35 31-45
19/04/1984 39 31-45
6
72
18
96
96
0
96
Alamat
TANJUNG KARANG PUSAT
SUKARAME 2 TBB
NEGERI OLOK GADING
BAKUNG
SUKARAME 2 TBB
BAKUNG
BAKUNG
BAKUNG
KURIPAN
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
KURIPAN
SUKARAME 2 TBB
KURIPAN
NEGERI OLOK GADING
BAKUNG
BAKUNG
BAKUNG
TBB
TBB
TBB
BAKUNG
SUKARAME 2 TBB
BAKUNG TBB
BAKUNG TBB
BAKUNG TBB
Pekerjaan
A
B
C
D
E
Total
Kepesertaan BPJS (tulis 'Ya' pada kolom yang sesuai)
No. Hp
BPJS PBI BPJS Non PBI
081540821548 √
082179882031 √
082183077474 √
081369301916 √
085351238635 √
081369934072 √
085279034330 √
089624490923 √
088286004932 √
085269962655 √
082278426100 √
081279221220 √
089626163659
08994266354 √
089508207814
083170577077
085788690859
081386278137 √
082167576620
081283971615
085357246630 √
082177360790 √
05838744799 √
082186543624
085770440515 √
082357675611 √
085279870094 √
085378024613 √
08976067439 √
aan
0
96
0
0
0
96
a' pada kolom yang sesuai)
Tanggal Screening Nama/Jenis/Merek Vaksin***
Non Anggota
3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
√ 3/5/2021 SINOVAC
3/5/2021 SINOVAC
√ 3/5/2021 SINOVAC
√ 3/5/2021 SINOVAC
√ 3/5/2021 SINOVAC
3/5/2021 SINOVAC
√ 3/5/2021 SINOVAC
√ 3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
√ 3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
Dosis I
Tanggal Pemberian
No. Batch No. Serial
Vaksinasi
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 S-CA88C8C8
2 S-E735E596
5 S-O316C294
7 S-9BAD49BF
8 S-D48D3DAC
10 S-D97EEFDO
12 S-633337B07
13 S-78C28640
14 S-C9267C93
15 S-4F5C7947
16 S-64F310FC
17 S-1DAE2216
18 S-D78A5A71
22 S-98FE8A95
26 S-E33315BE
28 S-AEBB5211
29 S-7D09C8F6
32 S-8F9D2EFC
33 S-CC670C16
34 S-ECB149FF
35 S-850F777F
36 S-F9E538B4
37 S-17D3701E
38 S-94D75118
41 S-140BDCE9
42 S-7629D95E
43 S-A6A6FF46
44 S-025E0744
45 S-E4D9DF14
47 S-72F8DF2A
48 S-82EB1D2F
49 S-A1F13297
50 P-40XK9XSK
51 S-EE637B4F
52 S-42942EEE
53 P-4P7AYXUE
54 P-4PB4306M
55 P-4PH4RUW6
56 S-21FA3312
57 S-9588E2C9
59 S-0C8386F4
61 S-A3D96DB0
62 S-32929A1B
63 S-8BCD6959
64 S-6FF72777
65 S-9FF704D82
68 S-8D71F1C
69 S-F4020243
72 S-1EB275E5
82 S--F0BBC5FA
84 S-FB486126E
95 S-F5DAD16D
98 S-A0D1695B
99 S-287311CC
100 S-CDA41DAAC
103 S-0995F7E4
104 S-Q2C348E1
105 S-8E8E2012
106 P-451VHSH5
108 S-B7B9FD6A
109 S-3A0B9D5
110 S-A8890924
111 S-0368CBEF
112 S-CD87686A
113 S-B024BE24
114 S-CD8768GA
117 S-2301787B
118 S-450BC32D
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871085710800002
187109502720001
1871086603850003
1871084208920004
1871084801970001
1871094502930004
1871092511690001
1871084910750001
1871084109960003
1871080605720002
18710802370001
187108033970002
187109057660008
1871086612880002
1871086302620003
1871085603900001
1871087003840004
1871086107940007
18710886505610001
1871086504920001
1871085505830004
1871085707920003
1871086508820006
1871081006710003
1871085107770003
1871094204880003
1871085402890009
1871086703600002
1871085404740007
1871084108720001
1871084406980002
1871086505700007
1871086312550001
1871086904720004
1871084108830004
1871085708730004
1871084307760003
1871095607830007
1871094612890002
1871085008710001
1871084307980004
1871084802720003
1871085508840001
1871086904870002
1871085503670002
1871084601860003
1871081508400005
1871105908930001
1871086803700005
1871084904880006
1871092801760001
187108441200005
1871084911890005
1871085502630007
1871081712610003
187108671099002
1871085710950003
1871085106750011
1871086610820002
1809055405810005
1871084507720001
1871084501640001
1871086104680009
1871087006630001
1871085010740006
1871081005480003
1871094111850002
1871085708860008
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
:
:
:
:
Jenis
Kelamin
SRI SUGIARTI P B
ALIDUKI L B
REDAWATI P B
RAHAYU ISNAWATI P B
ROSIDA P B
ANNISA SASMITA P B
BUKHORI L B
PANCARIA SUHESTI P B
TIARA PUTRI SARAS WATI L B
SUTRISNO L B
M. UMAR ALWI L B
NURHASAN L B
SUMARDI L B
DESI MUTIA PUTRI P B

RINAWATI P B
RAHAYU PUTRI RUSLI P B
FENNY APTILIYANTI P B
KHOIRUNNISA P B
HEDDY SITUMORANG P B
MERTA MIRZALIA P B
ANIAH P B
IDA ISTIQOMAH P B
NUR EKA DEWI P B
AHMAD ZAKARIA L B
SITI HALIMAH P B
FITRIA APRIANI P B
EKA SUPITA P B
KUN WINARSIH P B
LISDAWATI P B
ETIN SOFIATIN P B
YUNI SARTIKA P B
SOLMAH P B
SUZANA P B
PERILIYA P B
ROSTINA P B
AGUS TATI P B
YULIFAH HERINI P B
HAYATI P B
DEWI DIANA P B
KAPILAH P B
INDIRA PUTRI GUMILANG P B
RISNA DEWI P B
ANI P B
KOMALA SARI P B
YOHANA P B
ANNISA P B
SLAMET OKTARIANTO L B
ROBI AGUSTINA P B
NELI YANI P B
APRI SUSANTI P B
JUTAWAN L B
FERISKA SALSABILA P B
NOVI YANTI P B
SUAIBAH P B
SELAMET L B
RANTI OKTARI P B
SITI MASPUPAH P B
ATIN P B
ERNA OCVITA P B
REGAWATI P B
YULIANTI P B
NURSIDAH P B
SUPRIYATIN P B
SRI KOMALAYATI P B
MURNAINI P B
MRUSLI L B
VIVI N P B
MISLIAH P B
***Merek Vaksin
A = Sinovac

8 BPJS PBI
6 BPJS Non PBI
5 Non Anggota
1
19 Total
0 Dosis 1
118 Dosis 2
0 Total
0
0
118
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
17/10/1980 42 31-45
05/02/1997 26 18-30
26/06/1985 37 31-45
02/08/1992 30 18-30
08/01/1997 26 18-30
05/02/1993 30 18-30
25/11/1969 53 46-59
09/10/1975 47 46-59
01/09/1996 26 18-30
06/05/1972 51 46-59
02/03/1970 53 46-59
03/03/1999 24 18-30
05/07/1966 56 46-59
12/26/1988 34 31-45
2/23/1962 61 ≥60
3/16/1999 24 18-30
3/30/1984 39 31-45
7/25/1994 28 18-30
5/25/1961 62 ≥60
1/25/1992 31 31-45
5/15/1983 40 31-45
7/17/1992 30 18-30
8/25/1982 40 31-45
8/10/1978 44 31-45
7/11/1977 45 31-45
4/2/1988 35 31-45
2/14/1989 34 31-45
3/27/1960 63 ≥60
4/14/1974 49 46-59
8/1/1972 50 46-59
6/4/1998 24 18-30
5/25/1970 53 46-59
8/23/1965 57 46-59
4/29/1972 51 46-59
8/1/1983 39 31-45
8/17/1973 49 46-59
7/3/1976 46 46-59
7/16/1983 39 31-45
12/6/1989 33 31-45
8/10/1971 51 46-59
7/3/1998 24 18-30
2/8/1972 51 46-59
8/15/1984 38 31-45
4/29/1987 36 31-45
3/15/1967 56 46-59
1/6/1996 27 18-30
10/15/1984 38 31-45
12/03/1988 35 31-45
28/03/1970 53 46-59
09/04/1988 35 31-45
28/01/1976 47 46-59
12/4/2000 22 18-30
11/9/1989 33 31-45
2/15/1963 60 ≥60
12/17/1961 61 ≥60
10/27/1999 23 18-30
1/5/1998 25 18-30
6/11/1975 47 46-59
10/26/1982 40 31-45
5/14/1981 42 31-45
7/5/1972 50 46-59
1/5/1964 59 46-59
4/21/1968 55 46-59
6/30/1963 59 46-59
10/10/1974 48 46-59
5/10/1948 75 ≥60
11/1/1985 37 31-45
8/17/1986 36 31-45
0
0
0
118
0
FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID
TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI
Alamat
SUKARAME 2,TBB
BATU PUTUK ,TBU
SUKARAME 2,TBB
SUKARAME 2,TBB
SUKARAME 2,TBB
SUKARAME 2,TBB
BATU PUTUK ,TBU

SUKARAME 2,TBB
SUKARAME 2,TBB
BATU PUTUK ,TBB
NOG,TBB
BAKUNG, TBB
BATUPUTUK
BAKUNG, TBB
NOG,TBB
NOG,TBB
NOG,TBB
SUKARAME 2,TBB
KURIPAN
BAKUNG, TBB
SUKARAME 2,TBB
SUKARAME 2,TBB
SUKARAME 2,TBB
SUKARAME 2,TBB
SUKARAME 2,TBB
BATU PUTUK
SUKARAME 2,TBB
SUKARAME 2,TBB
NOG,TBB
NOG,TBB
SUKARAME 2,TBB
NOG,TBB
NOG,TBB
NOG,TBB
NOG,TBB
NOG,TBB
NOG,TBB
BATU PUTUK
BATU PUTUK
NOG,TBB
NOG,TBB
BAKUNG, TBB
BAKUNG, TBB
NOG,TBB
BAKUNG, TBB
NOG,TBB
NOG,TBB
BATUPUTUK
BAKUNG
KURIPAN
BATUPUTUK
SUKARAME 2
NOG TBB
SUKARAME 2
SK 2
SK 2
TBB
KURIPAN
NOG TBB
TBB
TBB
TBB
TBB
TBB
TBB
TBB
TBB
TBB
Pekerjaan
A
B
C
D
E
Total
No. Hp
08528793303
082373830785 √
0895336446300 √
08975441554
082367905900 √
082180107993 √
082378200748 √
081541451619
08589659638
08953214465655 √
0895704251649 √
085381113021
08578807750
085357684775
081379864574
08990801192 √
081224462525 √
089652983871 √
082279247680 √
082177274592 √
081379401893 √
081532796989 √
085320809227 √
081373595820 √
08979530840 √
0895704451999 √
081320099954 √
085769672010 √
085788768749 √
082181999122 √
085858829907
085269177585 √
082175737391
081212019316 √
085777245535 √
082279725564
089518509762 √
085768934501 √
085266604679 √
089692553566 √
089514034972
081369286925
085273728918 √
08993092919 √
081273700235 √
√
085377408420 √
089603207027 √
0895335008000 √
082181702859 √
082177587751 √
083168151031 √
083171441232
081279465358 √
082184963493 √
089696371512 √
089634109027 √
085367059922 √
083191935796 √
0813947037 √
0895640414538
0813947037
085379762618
081369162301
085379762618
08984374374 √
081278928689
08197900453 √
aan
0
118
0
0
0
118
Non Anggota
√ 6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
√ 3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
√ 3/6/2021 SINOVAC
√ 3/6/2021 SINOVAC
√ 3/6/2021 SINOVAC
√ 3/6/2021 SINOVAC
√ 3/6/2021 SINOVAC
3/6/2021 SINOVAC
√ 3/6/2021 SINOVAC
3/6/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6-Mar-21 24000721 16125069228673
6-Mar-21 24000721 16125069228673
6-Mar-21 24000721 16125069228673
6-Mar-21 24000721 16125069228673
6-Mar-21 24000721 16125069228673
6-Mar-21 24000721 16125069228673
6-Mar-21 24000721 16125069227113

6-Mar-21 24000721 16125069227113
6-Mar-21 24000721 16125069227113
6-Mar-21 24000721 16125069227113
6-Mar-21 24000721 16125069227113
6-Mar-21 24000721 16125069227113
6-Mar-21 24000721 16125069227113
6-Mar-21 24000721 16125069438961

6-Mar-21 24000721 16125069438961
6-Mar-21 24000721 16125069438961
6-Mar-21 24000721 16125069438961
6-Mar-21 24000721 16125069436933
6-Mar-21 24000721 16125069436933
6-Mar-21 24000721 16125069436933
6-Mar-21 24000721 16125069436933
6-Mar-21 24000721 16125069436933
6-Mar-21 24000721 16125069436933
6-Mar-21 24000721 16125069436933
6-Mar-21 24000721 16125065303401
6-Mar-21 24000721 16125065303401
6-Mar-21 24000721 16125065303401
6-Mar-21 24000721 16125065303401
6-Mar-21 24000721 16125065303401
6-Mar-21 24000721 16125065303401
6-Mar-21 24000721 16125065303401
6-Mar-21 24000721 16125065303401
6-Mar-21 24000721 16125065303401
6-Mar-21 24000721 16125069438337
6-Mar-21 24000721 16125069438337
6-Mar-21 24000721 16125069438337
6-Mar-21 24000721 16125069438337
6-Mar-21 24000721 16125069438337
6-Mar-21 24000721 16125069438337
6-Mar-21 24000721 16125069438337
6-Mar-21 24000721 16125069438337
6-Mar-21 24000721 16125167951542
6-Mar-21 24000721 16125167951542
6-Mar-21 24000721 16125167951542
6-Mar-21 24000721 16125167951542
6-Mar-21 24000721 16125167951542
6-Mar-21 24000721 16125167951542
3/6/2021 24000721 16124977366824
3/6/2021 24000721 16124977366824
3/6/2021 24000721 16125065510397
3/6/2021 24000721 16125065510397
3/6/2021 24000721 16125069433969
3/6/2021 24000721 16125167951542
3/6/2021 24000721 16125167951542
3/6/2021 24000721 16125167951542
3/6/2021 24000721 16125167951542
3/6/2021 24000721 16125167951542
3/6/2021 24000721 16125167951542
3/6/2021 24000721 16125167951542
3/6/2021 24000721 16125167951542
3/6/2021 24000721 16125059434281
3/6/2021 24000721 16125059434281
3/6/2021 24000721 16125059434281
3/6/2021 24000721 16125059434281
3/6/2021 24000721 16125059434281
3/6/2021 24000721 16125059434281
3/6/2021 24000721 16125059434281
3/6/2021 24000721 16125059434281
Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
95 P-6A2QPM01
176 P-66F8XYU1
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871082608950003
1871085110950006

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN/ 8-3-2021
Jenis
Kelamin
TOMMY PRATAMA L B
MULIA ISMAMIRANI P B
***Merek Vaksin
A = Sinovac
25 BPJS PBI
116 BPJS Non PBI
47 Non Anggota
0
188 Total
0 Dosis 1
188 Dosis 2
0 Total
0
0
188
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
26/08/1995 27 18-30
11/10/1995 27 18-30
2
154
32
188
188
0
Alamat
KURIPAN
KURIPAN
Pekerjaan
A
B
C
D
E
Total
No. Hp
082282250886
089612147199
aan
0
188
0
0
0
188
Non Anggota
√ SINOVAC
√ SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
3/8/2021 24000721 16124974534956
3/8/2021 24000721 16124974531524

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 S-A5465241
2 S-C16467E3
3 S-4E502AAA
4 S-A147808F
5 S-E477FB88
7 S-FB1BBD8E2
8 S-15764E65
9 S0528B7759
10 S-785E479A
11 S-98B51878
12 S-ACF1092A
13 S-AB66AE49
14 S-573CB934
15 S-5B8A1850
16 S-2BA55A94
20 S-7019349A
23 S-E5CF60AA
24 P-857RR51K
27 P-8604QE2H
28 S-77D82078
29 S-A30AB6A4
32 P-8CDM0V9K
33 S-EF1DE2D6
34 S-CF28081B
36 S-B6327431
37 S-2533P5R
38 S-427E6758
39 S-544978DE
42 S-E53432FC
43 P-7VB8DNZL
44 S-3A5E662B
45 S-9043E243
46 S-C499EA6E
47 S-784C8O65
51 S-550228FI
55 S-00DE822E
57 S-7CE46F48
60 P-8AEMTVHR
62 S-A5360BBA
63 P-8BJRH6UV
64 S-090A9A55
66 P-870TYDI6
68 S-876C38B3
70 S-DA4B7B8
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871084411520002
187108172480002
1871080207520002
1871086003570002
1871085610540002
1871080902530002
1871085512480002
1871083040380002
1871084204540006
1871085501400002
1871084309450002
1871085003530004
1871081205420001
1871085704560001
1871086002530001
1871080310820003
1871081010520007
1871084203610002
1871082005870003
1871086010530001
1871081701490002
1871081702680003
1871081011580003
1871090612590001
1871085402550001
1871081007560001
1871084304610002
1871082506530003
1871082909570001
187108510250002
1871084302570002
1871081102410001
1871085212580002
1871080704540004
1871080211750004
1871073011450003
1871081405550003
1871084510620002
1871084302750003
1871082312680002
1671014409750005
1871132208920002
1871054208500006
1871084404600004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU, 10/03/2021
Jenis
Kelamin
LIANA WATI P D
DJUMADI ASSIK L D
WARIS L D
YUNI P D
OH GIOK HUA P D
SOGIRAN L D
SUBAIDAH P D
MAT AIS L D
RASIKAH P D
SARMI P D
SUTINI P D
SOERAH P D
PAINO L D
SARIYAH P D
KARTI P D
ZULKARNAIN L C
AMAT SUTIKNO L D
KORY P D
MARGONO SLAMET L C
IRAWATI P D
ALI JUNAIDI L D
SULDANI AKHMAD L C
BUDI AGUSTINUS L D
SYOBIRIN L D
YAP SIU CHUN P D
YAP BUDI HARUN L D
ROSMAINI P D
ELSON M. L D
HANNANI L D
MUTI'AH P D
RASMINAH P D
BASUKI L D
ROS ELIYANA P D
MASHUR SALEH L D
ARIFIA FIQRI L C
PENDY HALIM L C
ISMAIL IBRAHIM L D
SITI KHODIJAH P D
ELLNA SITI ARIFAH P C
DAMHURI L C
DWI PERMATA SARI P C

MUHAMMAD YUSUF K L C
SUSIYATI P D
NUR ASRI P D
***Merek Vaksin
A = Sinovac

2 BPJS PBI
9 BPJS Non PBI
23 Non Anggota
36
70 Total
0 Dosis 1
0 Dosis 2
35 Total
35
0
70
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
04/11/1952 70 ≥60
17/12/1948 74 ≥60
07/02/1952 71 ≥60
20/03/1957 66 ≥60
16/10/1954 68 ≥60
09/02/1953 70 ≥60
15/12/1948 74 ≥60
30/04/1938 85 ≥60
02/08/1945 77 ≥60
15/01/1940 83 ≥60
03/09/1945 77 ≥60
10/03/1953 70 ≥60
12/05/1942 81 ≥60
17/04/1956 67 ≥60
20/02/1953 70 ≥60
03/10/1982 40 31-45
10/10/1952 70 ≥60
02/03/1961 62 ≥60
20/05/1987 36 31-45
20/10/1953 69 ≥60
17/01/1949 74 ≥60
17/02/1968 55 46-59
10/11/1958 64 ≥60
06/12/1959 63 ≥60
14/02/1955 68 ≥60
10/07/1956 66 ≥60
03/04/1961 62 ≥60
25/06/1953 69 ≥60
29/09/1957 65 ≥60
11/02/1950 73 ≥60
03/02/1957 66 ≥60
11/02/1941 82 ≥60
12/12/1956 66 ≥60
07/04/1954 69 ≥60
02/11/1973 49 46-59
30/11/1945 77 ≥60
14/05/1955 68 ≥60
05/10/1962 60 ≥60
03/02/1975 48 46-59
23/12/1968 54 46-59
04/09/1975 47 46-59
22/08/1992 30 18-30
02/08/1950 72 ≥60
04/04/1960 63 ≥60
26
40
4
70
70
0
Alamat
KURIPAN
KURIPAN
BAKUNG
KURIPAN
KURIPAN
KURIPAN
SUKARAME 2
SUKARAME 2
BAKUNG
BAKUNG
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
NOG
KURIPAN
KURIPAN
SUKARAME 2
KURIPAN
KURIPAN
BAKUNG
BAKUNG
NOG
KURIPAN
KURIPAN
NOG
NOG
NOG
BAKUNG
BAKUNG
KURIPAN
NOG
NOG
KURIPAN
NOG
KURIPAN
NOG
KURIPAN
NOG
TBB
BAKUNG
NOG
KURIPAN
Pekerjaan
A
B
C
D
E
Total
No. Hp
0811792620 YA
0811721901 YA
085769721465 YA
089524590066 YA
0812722224 YA
082378207760 YA
089510384576 YA
089510384576 YA
YA
089628784472 YA
YA
089519102324 YA
081273443937 YA
081273443937 YA
YA
081274125205 YA
082186693222 YA
082186401254
087899854255 YA
085101177336 YA
08127910743 YA
082376849912 YA
081342434370 YA
081370504818 YA
085384608559 ya
082175405019 ya
081274160086 ya
081279549350 ya
081369079484 ya
081279876543 ya
ya
082186901811 YA
0895350053744 YA
0895382273078 YA
081373612218 YA
0811726828 YA
082372605944 YA
081957276102 YA
081279464210 YA
085267946990 YA
082280300123 YA
081377792220 YA
0895640010370 YA
085367529206 YA
aan
0
0
0
0
0
0
Non Anggota
3/10/2021 SINOVAC
3/10/2021 SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
YA SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
3/10/2021 24000721 161249797452980
3/10/2021 24000721 161249797452980
3/10/2021 24000721 161249797452980
3/10/2021 24000721 161249797452980
3/10/2021 24000721 161249797452980
3/10/2021 24000721 161249797452980
3/10/2021 24000721 161249797452980

3/10/2021 24000721 161249797452980
3/10/2021 24000721 161249797452980
3/10/2021 24000721 16124975619936
3/10/2021 24000721 16124975619936
3/10/2021 24000721 16124975619936
3/10/2021 24000721 16124975619936
3/10/2021 24000721 16124975619936
3/10/2021 24000721 16124975619936
3/10/2021 24000721 16124975619936
3/10/2021 24000721 16124979746760
3/10/2021 24000721 16124979746760
3/10/2021 24000721 16124979746760
3/10/2021 24000721 16124979746760
3/10/2021 24000721 16124979746760
3/10/2021 24000721 16124978007516
3/10/2021 24000721 16124978007516
3/10/2021 24000721 16124978007516

3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124979746136
3/10/2021 24000721 16124979746136
3/10/2021 24000721 16124979746136
3/10/2021 24000721 16124979746136
3/10/2021 24000721 16124979745200
3/10/2021 24000721 16124979745200
3/10/2021 24000721 16124979745200
3/10/2021 24000721 16124979745200
3/10/2021 24000721 16124979745200
3/10/2021 24000721 16124979745200

3/10/2021 24000721 16124978007516
3/10/2021 24000721 16124978007516
3/10/2021 24000721 16124978007516

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 S-5CCA41E7
2 S-AD2B0310
3 S-5B7AD44C
4 S-S-B58F9116
6 S-39692BB9
7 S-834CE62F
10 S-AE5B38ED
11 S-9F1C2AD
12 S-1BF13972
13 S-07794EEA
14 S-69DE894D
16 S-0D480990
17 S-8D969F2D
18 S-2E2F8FE9
19 S-1979545A
20 S-C5DB9AF1
22 S-6799401E
23 S-C74B09B2
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871086605540001
1871081103590003
1871082306580001
1871084612550001
1871082912480002
1871086508530002
1871080512700004
1871085302590003
1871080707570003
1871080411570002
1871084907590001
1871082906590001
1871083004520002
1871085610570002
1871084208560001
1871080304590001
1871085605590001
1871083112540013

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN, 15 MARET 2021
Jenis
Kelamin
TAN CUN LAN P E
MUK KIONG L E
DAVID KORESY KHOHAR L E
WINNY CHARIASARI P E
OEI BUN SHAI L E
GOUW SUK LIE P E
MISBAH L C
KESTIA SINURAT P E
JORMIA SITOHANG L E
FAUZI DARSYAH L E
YULIATI P E
SUTIMIN L E
CHANDRA DINAMSYAH L E
SUKLAN P E
SUKHUA P E
MISRAN L E
TUMINI P E
DJOKO PRAYITNO L E
***Merek Vaksin
A = Sinovac

1 BPJS PBI
1 BPJS Non PBI
1 Non Anggota
21
24 Total
2 Dosis 1
0 Dosis 2
1 Total
1
20
24
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
26/05/1954 69 ≥60
11/03/1959 64 ≥60
23/06/1958 64 ≥60
06/12/1955 67 ≥60
29/12/1948 74 ≥60
25/08/1953 69 ≥60
05/12/1970 52 46-59
13/02/1959 64 ≥60
07/07/1957 65 ≥60
04/11/1957 65 ≥60
29/07/1959 63 ≥60
29/06/1959 63 ≥60
30/04/1952 71 ≥60
16/10/1957 65 ≥60
02/08/1956 66 ≥60
03/04/1959 64 ≥60
16/05/1959 64 ≥60
31/12/1954 68 ≥60
0
23
1
24
24
0
Alamat
BAKUNG
BAKUNG
KURIPAN
KURIPAN
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
087787519678 YA
08127980199 YA
081328306343 YA
082177144700 YA
081366441076 YA
081271781306 YA
081272107495 YA
'082242125556 YA
082242125556 YA
082186018090 YA
081369414444 YA
087899177446 YA
08127961246 YA
082183091611 YA
082183091611 YA
085383024072 YA
085383024072
085377914741 YA
aan
0
0
0
0
0
0
Non Anggota
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
YA
Dosis I
Tanggal Pemberian
Vaksinasi
3/15/2021 24000721 16124979746916
3/15/2021 24000721 16124979746916
3/15/2021 24000721 16124979746916
3/15/2021 24000721 16124979746916
3/15/2021 24000721 16124979746916
3/15/2021 24000721 16124979746916
3/15/2021 24000721 16124979746916

3/15/2021 202009005
3/15/2021 202009005
3/15/2021 202009005
3/15/2021 202009005
3/15/2021 24000721 16124979745668
3/15/2021 24000721 16124979745668
3/15/2021 24000721 16124979745668
3/15/2021 24000721 16124979745668
3/15/2021 24000721 16124979745668
3/15/2021 24000721 16124979745668
3/15/2021 24000721 16124979745668

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
39 S-F54BE2CF
45 S-D716EC8A
NIK
1871074803580001
1871081803600001
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA, 16 MARET 2021
Jenis
Kelamin
NURLAILI P E
IR. NURZEN.SPD L E

0 BPJS PBI
0 BPJS Non PBI
3 Non Anggota
51
54 Total
1 Dosis 1
2 Dosis 2
0 Total
0
51
54
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
08/03/1958 65 ≥60
18/03/1960 63 ≥60
16
22
16
54
54
0
Alamat
KURIPAN
KURIPAN
Pekerjaan
A
B
C
D
E
Total
No. Hp
089623123084 YA
085208546891
aan
0
0
0
0
0
0
Non Anggota
3/16/2021 SINOVAC
YA 3/16/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
3/16/2021 24000721 16125195563698
3/16/2021 24000721 16125195358886

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
1I
Nama Puskesmas/Fasyankes/Pos : PUSKESMAS BAKUNG

Kabupaten/Kota : BANDAR LAMPUNG
Provinsi : LAMPUNG
Hari, Tanggal : RABU, 17 MARET 2021
Nama Penerima Jenis

No No. Tiket NIK
Vaksin Kelamin
1 S-0B0CD6AD 1871081404480004 BADJURI L
2 S-89523A6D 1871085006530003 SRI HARTINI P
3 P-C8JSJMX1 1871084103590001 HJ. MISDAR WIPARTI P
4 S-9F9AE754 1871081505200001 LIE TJIE JIN L
6 S-A5793327 1871071005400013 JAP GUNAWAN L
7 S-E749D32F 1871081001500001 KAHAR L
8 S-C67193E9 1871081312350001 JUMANGIN L

9 S-9E38093B 1871085501550001 ROIYAH P
11 S-A7E96C86 1871085908570004 SUTINI P
12 S-BC41A326 1871084904570001 KHOLIPAH P
13 S-09D80D27 1871084403510001 NURLENA P
14 S-957B8EBE 1871084206590002 MARHANNA P
16 P-C11BQ2HI 1871080603610003 HANIZAR L
18 P-CJU84IM1 1871080205520005 SULAIMAN L
19 P-CJR009YH 1871084509590002 ARIYAH P
Keterangan ***Merek Vaksin

* Pekerjaan dikelompokkan menjadi: A = Sinovac
A = Petugas Medis dan Non Medis di Fasilitas Pela B = Lainnya (Mohon disebutkan jenis vaksin yang d
D = Lainnya
E = Tidak Bekerja
Kelompok Umur:
18-30 1
31-45 0
46-59 0
≥ 60 tahun 20
Total 1
Pekerjaan:
A 2
B 0
C 0
D 0
E 19
Total 21
FORMAT PENCATATAN PELAKSANAAN VAKSIN
TINGKAT PUSKESMAS/FASYANKES/POS V
Umur
Kelomp
(18 sd ≥
Pekerjaan* Tanggal Lahir ok Alamat No. Hp
60
Umur
tahun)
E 14/04/1948 75 ≥60 BAKUNG 081930006162
E 10/06/1953 69 ≥60 BAKUNG 081930006162
E 01/03/1959 64 ≥60 BAKUNG 085366736699
E 15/10/1952 70 ≥60 NOG 08127947190
E 10/10/1954 68 ≥60 PESAWAHAN/BAKUNG 08127933559
E 10/01/1950 73 ≥60 BAKUNG 085357622111
E 13/12/1935 87 ≥60 BAKUNG 085377914741

E 15/01/1955 68 ≥60 KURIPAN 085377914741
E 19/08/1957 65 ≥60 BAKUNG 085377914741
E 09/04/1957 66 ≥60 BAKUNG 085377914741
E 04/03/1951 72 ≥60 KURIPAN 081244361954
E 02/06/1959 63 ≥60 NOG 085208022668
E 06/03/1961 62 ≥60 BAKUNG 082175415706
A 01/05/1952 71 ≥60 BAKUNG 089527575422
E 01/09/1959 63 ≥60 BAKUNG 089527575422
utkan jenis vaksin yang diterima Puskesmas/Faskes)
Kepesertaan BPJS Pekerjaan

BPJS PBI 6 A 0
BPJS Non PBI 12 B 0
Non Anggota 3 C 0
Total 21 D 0
Pemberian Dosis E 0
Dosis 1 21 Total 0
Dosis 2 0
Total 21
AAN VAKSINASI COVID-19
NKES/POS VAKSINASI
Kepesertaan BPJS (tulis

'Ya' pada kolom yang Dosis I
sesuai) Nama/
Tanggal Jenis/
Screening Merek
BPJS Non Tanggal
BPJS Vaksin***
Non Anggot Pemberian No. Batch
PBI
PBI a Vaksinasi
YA 3/17/2020 SINOVAC 3/17/2020 202009005
YA 3/17/2020 SINOVAC 3/17/2020 24000721
YA 3/17/2020 SINOVAC 3/17/2020 24000721
YA 3/17/2020 SINOVAC 3/17/2020 24000721
YA 3/17/2020 SINOVAC 3/17/2020 24000721
YA 3/17/2020 SINOVAC 3/17/2020 24000721
YA 3/17/2020 SINOVAC 3/17/2020 24000721

YA 3/17/2020 SINOVAC 3/17/2020 24000721
YA 3/17/2020 SINOVAC 3/17/2020 24000721
YA 3/17/2020 SINOVAC 3/17/2020 24000721
YA 3/17/2020 SINOVAC 3/17/2020 24000721
YA 3/17/2020 SINOVAC 3/17/2020 24000721
YA 3/17/2020 SINOVAC 3/17/2020 202009005
YA 3/17/2020 SINOVAC 3/17/2020 24000721
YA 3/17/2020 SINOVAC 3/17/2020 24000721

osis I Dosis 2 Keteran
gan
(Ditund
Tangga
a/Tidak
l
Diberik
Pember No. No.
No. Serial an/Lanj
ian Batch Serial
ut)
Vaksina
si
SINGLE DOSE
16125195358574
16125195358574
16125195358574
16125195358574
16125195358574
16125195358574
16125195358574
16125195358574
16125195366998
16125195366998
16125195366998
16125195366998
16125195366998
16125195366998
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
14 W-6336676B
47 W-53A69387
66 Q-FBFC6283
67 Z-48455EC2
71 W-69079F3D
80 Q-421CD7EC
85 W-E0FA5CED
118 Q-897C1238
NIK
1871083312630005
1871087105630001
187108060363000-9
1871084607910004
1871080406660001
1871081810940001
1871016110860001
1871136201790002
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS, 18 MARET 2021
Jenis
Kelamin
CATUR SIGIT L B
MEINI IDA P B
SUYADI L B
DINITRI SUCI P B
Sukirno L B
AHMAD SURYA P L B
RORI OKTARIA P B
YUHANNA P B

21 BPJS PBI
50 BPJS Non PBI
47 Non Anggota
8
126 Total
0 Dosis 1
127 Dosis 2
0 Total
0
1
128
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
23/12/1963 59 46-59
31/05/1963 59 46-59
06/03/1963 60 ≥60
06/07/1991 31 31-45
04/06/1966 55 46-59
18/10/1994 28 18-30
21/10/1986 36 31-45
22/01/1974 49 46-59
4
112
10
126
127
127
Alamat
KURIPAN
TBB
JL.WA RAHMAN NO 32 BATU PUTU
TBB
jl. Amd Kota jawa NOG
TBB
TBB
TBB
Pekerjaan
A
B
C
D
E
Total
0895609701828 Ya
081271462863 Ya
081379266614 √
0895389602925 Ya
085384320939
0895328254445 Ya
082184791415 Ya
082175876535 Ya
aan
0
0
0
0
0
0
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
Ya 3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
Dosis I
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
Dosis 2
3/18/2021 24000721 16124907105672
3/18/2021 24000721 16124906900064
3/18/2021 24000721 16124906897880
3/18/2021 24000721 16124906897880
3/18/2021 24000721 16124906887896
3/18/2021 24000721 16124906887896
3/18/2021 24000721 16124906886960
3/18/2021 24000721
Keterangan
TIDAK DIBERIKAN
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Z-A73FF1C7
2 W-C69348AB
5 Z-E3161860
7 Z-39440250
8 Z-8636C8EB
10 Z-F03AA79C
12 W-2188CF03
13 Z-497D3B14
14 W-CEFE4B3C
15 Z-EBA32FD2
16 Z-419CF1F5
17 Q-AB6BDB71
21 Z-1BDA0018
25 W-AD488B671
27 Q-F128F4A8
28 Q-18194C03
30 W-A57EFAC2
31 Z-6A44B44D
32 Q-7F558FC4
33 Z-8471FC7F
34 Q-C6639AB8
37 Z-EECF2C47
38 Z-11696B6D
39 S-E4D9DF14
40 Z-998934ED
41 S-A58588EB
42 W-D5A350EB
43 Q-25AG8DBB
44 Q-5EA5BBB9
45 Q-8757D664
46 Q-113DE297
47 Q-92C2DB51
49 Q-DC0BFF73
51 W-4F61A222
52 W-2E0D4221
53 Q-660397F4
54 Q-9A447444
57 Z-3278FA1B
58 Z-17C902B1
61 Z-7E4E7E52
69 W-B5E5E9EA
70 Z-03CF5F47
81 Z-5CC60FED
84
Z-D199D2BB
85
Q-0543187B
87
Q-B388565D
88
Z-DB280918
89
Z-DB280918
90
Z-C26F6530
91
Z-4BBAADAA
92
Q-694A0E94
93
Q-A6B071C4
96
Z-8FBA7316
97
Z-ED5676E0
99
Q-AA61077F
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871085710800002
187109502720001
1871086603850003
1871084208920004
1871084801970001
1871094502930004
1871084910750001
1871084109960003
1871080605720002
18710802370001
187108033970002
187109057660008
1871086612880002
1871086302620003
1871085603900001
1871087003840004
1871086504920001
1871085505830004
1871085707920003
1871086508820006
1871081006710003
1871085107770003
1871094204880003
1871085404740007
1871086505700007
1871086312550001
1871086904720004
1871084108830004
1871085708730004
1871084307760003
1871095607830007
1871094612890002
1871084307980004
1871084802720003
1871085508840001
1871086904870002
1871084601860003
1871081508400005
1871105908930001
1871086803700005
1871084904880006
1871092801760001
187108441200005
1871084911890005
1871085502630007
187108671099002
1871085106750011
1809055405810005
1871084501640001
1871086104680009
1871087006630001
1871085010740006
1871094111850002
1871085708860008
1871085008710001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SABTU, 20 MARET 2021
Jenis
Kelamin
SRI SUGIARTI P B
ALIDUKI L B
REDAWATI P B
RAHAYU ISNAWATI P B
ROSIDAH P B
ANNISA EKA SASMITA P B
PANCARIA SUHESTI P B
TIARA PUTRI SARAS WATI L B
SUTRISNO L B
M. UMAR ALWI L B
NURHASAN L B
SUMARDI L B
DESI MUTIA PUTRI P B
RINAWATI P B
RAHAYU PUTRI RUSLI P B
FENNY APRILIYANTI P B
MERTA MIRZALIA P B
ANIAH P B
IDA ISTIQOMAH P B
NUR EKA DEWI P B
AHMAD ZAKARIA L B
SITI HALIMAH P B
FITRIA APRIANI P B
LISDAWATI P B
SOLMAH P B
SUZANA P B
PERILIYA P B
ROSTINA P B
AGUS TATI P B
YULIFAH HERINI P B
HAYATI P B
DEWI DIANA P B
INDIRA PUTRI GUMILANG P B
RISNA DEWI P B
ANI P B
KOMALA SARI P B
ANNISA P B
SLAMET OKTARIANTO L B
ROSI AGUSTINA P B
NELI YANI P B
APRI SUSANTI P B
JUTAWAN L B
FERISKA SALSABILA P B
NOVI YANTI P B
SUAIBAH P B
RANTI OKTARI P B
ATIN P B
REGAWATI P B
NURSIDAH P B
SUPRIYATIN P B
SRI KOMALAYATI P B
MURNAINI P B
VIVI N P B
MISLIAH P B
KAPILAH P B
***Merek Vaksin
A = Sinovac

26 BPJS PBI
43 BPJS Non PBI
26 Non Anggota
4
99 Total
0 Dosis 1
99 Dosis 2
0 Total
0
0
99
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
17/10/1980 42 31-45
05/02/1997 26 18-30
26/06/1985 37 31-45
02/08/1992 30 18-30
08/01/1997 26 18-30
05/02/1993 30 18-30
09/10/1975 47 46-59
01/09/1996 26 18-30
06/05/1972 51 46-59
02/03/1970 53 46-59
03/03/1999 24 18-30
05/07/1966 56 46-59
12/26/1988 34 31-45
2/23/1962 61 ≥60
3/16/1999 24 18-30
3/30/1984 39 31-45
1/25/1992 31 31-45
5/15/1983 40 31-45
7/17/1992 30 18-30
8/25/1982 40 31-45
8/10/1978 44 31-45
7/11/1977 45 31-45
4/2/1988 35 31-45
4/14/1974 49 46-59
5/25/1970 53 46-59
8/23/1965 57 46-59
4/29/1972 51 46-59
8/1/1983 39 31-45
8/17/1973 49 46-59
7/3/1976 46 46-59
7/16/1983 39 31-45
12/6/1989 33 31-45
7/3/1998 24 18-30
2/8/1972 51 46-59
8/15/1984 38 31-45
4/29/1987 36 31-45
1/6/1996 27 18-30
10/15/1984 38 31-45
12/03/1988 35 31-45
28/03/1970 53 46-59
09/04/1988 35 31-45
28/01/1976 47 46-59
22 18-30
12/4/2000
33 31-45
11/9/1989
60 ≥60
2/15/1963
23 18-30
10/27/1999
47 46-59
6/11/1975
42 31-45
5/14/1981
59 46-59
1/5/1964
55 46-59
4/21/1968
59 46-59
6/30/1963
48 46-59
10/10/1974
37 31-45
11/1/1985
36 31-45
8/17/1986
51 46-59
8/10/1971
33
36
30
99
99
Alamat
SUKARAME 2,TBB
BATU PUTUK ,TBU
SUKARAME 2,TBB
SUKARAME 2,TBB
SUKARAME 2,TBB
SUKARAME 2,TBB
SUKARAME 2,TBB
SUKARAME 2,TBB
BATU PUTUK ,TBB
NOG,TBB
BAKUNG, TBB
BATUPUTUK
BAKUNG, TBB
NOG,TBB
NOG,TBB
NOG,TBB
BAKUNG, TBB
SUKARAME 2,TBB
SUKARAME 2,TBB
SUKARAME 2,TBB
SUKARAME 2,TBB
SUKARAME 2,TBB
BATU PUTUK
NOG,TBB
NOG,TBB
NOG,TBB
NOG,TBB
NOG,TBB
NOG,TBB
NOG,TBB
BATU PUTUK
BATU PUTUK
NOG,TBB
BAKUNG, TBB
BAKUNG, TBB
NOG,TBB
NOG,TBB
NOG,TBB
BATUPUTUK
BAKUNG
KURIPAN
BATUPUTUK
SUKARAME 2
NOG TBB
SUKARAME 2
SK 2
KURIPAN
TBB
TBB
TBB
TBB
TBB
TBB
TBB
NOG
Pekerjaan
A
B
C
D
E
Total
08528793303
082373830785 YA
0895336446300 YA
08975441554
082367905900 YA
082180107993 YA
081541451619
08589659638
08953214465655 YA
0895704251649 YA
085381113021
08578807750
085357684775
081379864574
08990801192 YA
081224462525 YA
082177274592 YA
081379401893 YA
081532796989 YA
085320809227 YA
081373595820 YA
08979530840 YA
0895704451999 YA
085788768749 YA
085269177585 YA
082175737391
081212019316 YA
085777245535 YA
082279725564
089518509762 YA
085768934501 YA
085266604679 YA
089514034972
081369286925
085273728918 YA
08993092919 YA
YA
085377408420 YA
089603207027 YA
0895335008000 YA
082181702859 YA
082177587751 YA
YA
083168151031
083171441232
YA
081279465358
YA
089696371512
YA
085367059922
YA
0813947037
0813947037
085379762618
081369162301
085379762618
081278928689
YA
08197900453
YA
089692553566
aan
0
98
0
0
0
98
YA 6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
YA 6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
YA 6-Mar-21 SINOVAC
YA 6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
YA 6-Mar-21 SINOVAC
YA 6-Mar-21 SINOVAC
YA 6-Mar-21 SINOVAC
YA 6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
YA 6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
YA 6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
YA 6-Mar-21 SINOVAC
YA 6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
6-Mar-21 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
YA 3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
YA 3/6/2021 SINOVAC
YA 3/6/2021 SINOVAC
YA 3/6/2021 SINOVAC
YA 3/6/2021 SINOVAC
YA 3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
Dosis I
6-Mar-21 24000721 16125069228673
6-Mar-21 24000721 16125069228673
6-Mar-21 24000721 16125069228673
6-Mar-21 24000721 16125069228673
6-Mar-21 24000721 16125069228673
6-Mar-21 24000721 16125069228673
6-Mar-21 24000721 16125069227113
6-Mar-21 24000721 16125069227113
6-Mar-21 24000721 16125069227113
6-Mar-21 24000721 16125069227113

6-Mar-21 24000721 16125069227113
6-Mar-21 24000721 16125069227113
6-Mar-21 24000721 16125069438961
6-Mar-21 24000721 16125069438961
6-Mar-21 24000721 16125069438961
6-Mar-21 24000721 16125069438961
6-Mar-21 24000721 16125069436933
6-Mar-21 24000721 16125069436933
6-Mar-21 24000721 16125069436933
6-Mar-21 24000721 16125069436933
6-Mar-21 24000721 16125069436933
6-Mar-21 24000721 16125065303401
6-Mar-21 24000721 16125065303401
6-Mar-21 24000721 16125065303401
6-Mar-21 24000721 16125065303401
6-Mar-21 24000721 16125065303401
6-Mar-21 24000721 16125069438337
6-Mar-21 24000721 16125069438337

6-Mar-21 24000721 16125069438337
6-Mar-21 24000721 16125069438337
6-Mar-21 24000721 16125069438337
6-Mar-21 24000721 16125069438337
6-Mar-21 24000721 16125069438337
6-Mar-21 24000721 16125167951542
6-Mar-21 24000721 16125167951542
6-Mar-21 24000721 16125167951542
6-Mar-21 24000721 16125167951542
6-Mar-21 24000721 16125167951542
3/6/2021 24000721 16124977366824
3/6/2021 24000721 16124977366824
3/6/2021 24000721 16125065510397
3/6/2021 24000721 16125065510397
3/6/2021 24000721 16125069433969
3/6/2021 24000721 16125167951542
3/6/2021 24000721 16125167951542
3/6/2021 24000721 16125167951542
3/6/2021 24000721 16125167951542

3/6/2021 24000721 16125167951542
3/6/2021 24000721 16125059434281
3/6/2021 24000721 16125059434281
3/6/2021 24000721 16125059434281
3/6/2021 24000721 16125059434281
3/6/2021 24000721 16125059434281
3/6/2021 24000721 16125059434281
3/6/2021 24000721
Dosis 2
20-Mar-21 24000721 16124878704156
20-Mar-21 24000721 16124878922400
20-Mar-21 24000721 16124866224468
20-Mar-21 24000721 16124878704156
20-Mar-21 24000721 16124878704156
20-Mar-21 24000721 16124907106452
20-Mar-21 24000721 16124907106452
20-Mar-21 24000721 16124878922400
20-Mar-21 24000721 16124878907892
20-Mar-21 24000721 16124878907892

20-Mar-21 24000721 16124878922400
20-Mar-21 24000721 16124878922400
20-Mar-21 24000721 16124907106452
20-Mar-21 24000721 16124878907892
20-Mar-21 24000721 16124866224468
20-Mar-21 24000721 16124878907892
20-Mar-21 24000721 16124866224468
20-Mar-21 24000721 16124866228540
20-Mar-21 24000721 16124866228540
20-Mar-21 24000721 16124866228540
20-Mar-21 24000721 16124866225092
20-Mar-21 24000721 16124866226340
20-Mar-21 24000721 16124866226340
20-Mar-21 24000721 16124866224468
20-Mar-21 24000721 16124866225404
20-Mar-21 24000721 16124866225404
20-Mar-21 24000721 16124866225404
20-Mar-21 24000721 16124866225404

20-Mar-21 24000721 16124866225404
20-Mar-21 24000721 16124866224468
20-Mar-21 24000721 16124866225404
20-Mar-21 24000721 16124866225404
20-Mar-21 24000721 16124867093544
20-Mar-21 24000721 16124867093544
20-Mar-21 24000721 16124867093544
20-Mar-21 24000721 16124866224468
24000721 16124867093544
20-Mar-21 24000721 16124866225404
20-Mar-21 24000721 16124907106452
20-Mar-21 24000721 16124878922400
20-Mar-21 24000721 16124866224468
20-Mar-21 24000721 16124866225092
20-Mar-21 24000721 16124866226340
20-Mar-21 24000721 16124866226340
20-Mar-21 24000721 16124866225404
20-Mar-21 24000721 16124867093544
20-Mar-21 24000721 16124866226340

20-Mar-21 24000721 16124866226340
20-Mar-21 24000721 16124878907892
20-Mar-21 24000721 16124878907892
20-Mar-21 24000721 16124866225092
20-Mar-21 24000721 16124878907892
20-Mar-21 24000721 16124866225404
20-Mar-21 24000721 16124867093544
20-Mar-21 24000721 16124867093544

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
6 W-B6F04076
10 W-756751B4
12 W-D2F118BF
14 Z-8AD54786
19 W-6DC8813E
20 Q-2F61F106
23 Q-089E892F
24 W-77FF0F3D
25 Q-56321E4E
26 W-60466C47
29 Q-56FC5AB5
31 Z-3A17E10A
42 Z-74348E54
46 Q-B79A2710
50 Z-A216C786
55 Q-207063C1
56 Z-3D518F22
57 Q-B02CCE0C
59 Z-92E90F6F
67 W-2C6FB5A4
69 Q-D5A439A5
71 W-E6693E00
75 Z-75B05772
76 Q-2AE9B40C
79 QCD9E2171
82 W-0E726603
85 W-AC3CC992
89 S-D2F47E83
90 S-F73CO383
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871084808650002
1871085904630001
1871085107710004
1802022312890001
1871081507780005
1871086906840003
1871086612660005
1871085609770003
1801142202860003
1871025009830007
1871081805810002
1871085504920008
1871082209860001
1871086606840001
1871084409910005
1871080503960004
1871080407640001
1871080507570005
1871082207910001
1871084603620002
1871081706630003
1804156811890002
1871080405820005
1871086001840008
1871087105880002
1871084308630001
1871080405880010
1871084303580002
1871084506460001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG (SMP 15 BANDAR LAMPUNG)
: BANDAR LAMPUNG
: LAMPUNG
: JUMA'T, 19 MARET 2021
Jenis
Kelamin
SRI MURNI P B
RADEN SUHARTANTI P B
DASTATI MERSA P B
WAHYU ARDIANSYAH L B
RAHMAD RIFAN L B
SOLI ATIKA P B
JUMILAH P B
FITRIANA P B
YOYOK SUPRIYADI L B
SANIMAH P B
ANDI L B
VERA APRIMILYANI P B
IWAN HERMAWAN L B
WINDARTI P B
SEFTY RAHAYU P B
SATRIA DIKA L B
DAHLIA ALI L B
KOSIM L B
MADROZI L B
RETNO WIJIASTUTI P B
EMRONI L B
NOPI AFRIYANI P B
AMAD L B
DWI FATMA P B
DWI WAHYUNI P B
YUSNANI P B
DENI HARJA L B
ROSUNA S P D
ROHANI P D
***Merek Vaksin
A = Sinovac

15 BPJS PBI
37 BPJS Non PBI
30 Non Anggota
8
82 Total
0 Dosis 1
88 Dosis 2
0 Total
2
0
90
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
08/08/1965 57 46-59
19/04/1963 60 ≥60
11/07/1971 51 46-59
23/12/1989 33 31-45
15/07/1978 44 31-45
29/06/1984 38 31-45
26/12/1966 56 46-59
16/09/1977 45 31-45
22/02/1986 37 31-45
10/09/1983 39 31-45
18/05/1981 42 31-45
15/04/1992 31 31-45
22/09/1986 36 31-45
28/06/1984 38 31-45
04/09/1991 31 31-45
05/03/1996 27 18-30
04/07/1964 58 46-59
12/03/1962 61 ≥60
22/07/1991 31 31-45
06/03/1963 60 ≥60
17/06/1963 59 46-59
28/11/1989 33 31-45
04/05/1982 41 31-45
20/01/1984 39 31-45
31/05/1988 34 31-45
03/08/1963 59 46-59
04/05/1988 35 31-45
03/03/1958 65 ≥60
05/06/1946 76 ≥60
5
69
16
90
2
88
90
Alamat
SUKARAME 2 TBB
NEGERI OLOK GADING
BAKUNG
SUKARAME 2 TBB
BAKUNG
BAKUNG
BAKUNG
KURIPAN
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
KURIPAN
SUKARAME 2 TBB
KURIPAN
NEGERI OLOK GADING
BAKUNG
BAKUNG
BAKUNG
TBB
TBB
TBB
BAKUNG
SUKARAME 2 TBB
BAKUNG TBB
BAKUNG TBB
BAKUNG
KURIPAN
Pekerjaan
A
B
C
D
E
Total
082179882031 YA
082183077474 YA
081369301916 YA
085351238635 YA
081369934072 YA
085279034330 YA
089624490923 YA
088286004932 YA
085269962655 YA
082278426100 YA
081279221220 YA
089626163659
08994266354 YA
089508207814
083170577077
085788690859
081386278137 YA
082167576620
081283971615
085357246630 YA
082177360790 YA
05838744799 YA
082186543624
085770440515 YA
082357675611 YA
085279870094 YA
085378024613 YA
089601120213 YA
081366175361 YA
aan
0
88
0
2
0
90
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
YA 3/4/2021 SINOVAC
3/4/2021 SINOVAC
YA 3/4/2021 SINOVAC
YA 3/4/2021 SINOVAC
YA 3/4/2021 SINOVAC
3/4/2021 SINOVAC
YA 3/4/2021 SINOVAC
YA 3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
YA 3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/4/2021 SINOVAC
3/19/2021 SINOVAC
3/19/2021 SINOVAC
Dosis I
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/4/2021 24000721
3/19/2021 24000721 16124878914444
3/19/2021 24000721 16124878914444

Dosis 2
3/19/2021 24000721 16124878911168
3/19/2021 24000722 16125195369026
3/19/2021 24000721 16124878912728
3/19/2021 24000722 1624907108480
3/19/2021 24000722 16124907105828
3/19/2021 24000722 16125195369026
3/19/2021 24000722 16125195369026
3/19/2021 24000721 16124906897256
3/19/2021 24000721 16124878709164
3/19/2021 24000721 16124878709164

3/19/2021 24000721 16124878912728
3/19/2021 24000721 16124878912728
3/19/2021 24000721 16124906897256
3/19/2021 24000722 16124907105828
3/19/2021 24000721 16124906897256
3/19/2021 24000721 16124906897256
3/19/2021 24000722 16124907105828
3/19/2021 24000722 16124907103332
3/19/2021 24000721 16124906897256
3/19/2021 24000722 1624907108480
3/19/2021 24000722 16124907103332
3/19/2021 24000722 16124907105828
3/19/2021 24000721 16124906897256
3/19/2021 24000721 16124878914444
3/19/2021 24000721 16124878914444
3/19/2021 24000721 16124878914444
3/19/2021 24000722 16124907103332

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
136 Q-11634182
173 Q-EE809836
181 S-CD74F1B9
182 S-FCC45945
183 S-53ACE914
184 S-34ED8AEB
185 S-4C5A9790
186 S-66E11F45
187 S-1F597B48
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871085110950006
1871082608950003
1871080706550002
1871086308590003
1871080104470001
1871084907600001
1871084711540001
1871086801290001
1871082607590001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN/ 8-3-2021
Jenis
Kelamin
MULIA ISMAMIRANI P B
TOMMY PRATAMA L B
SYARIFUDDIN L E
SRI HARTININGSIH P E
ADENAN L E
MULYANI P E
SURTINAH P E
NETTY HERTATTY P E
SUROTO, SE L E
***Merek Vaksin
A = Sinovac
24 BPJS PBI
109 BPJS Non PBI
47 Non Anggota
8
180 Total
0 Dosis 1
188 Dosis 2
0 Total
0
0
188
FORMAT PENCATA
TINGKAT PUS
Umur
(18 sd ≥ 60 tahun)
11/10/1995 27 18-30
26/08/1995 27 18-30
07/06/1955 66 ≥60
23/08/1959 62 ≥60
01/04/1947 74 ≥60
09/07/1960 61 ≥60
07/111954 67 ≥60
28/01/1929 92 ≥60
26/07/1959 62 ≥60
2
154
32
188
180
8
Alamat
KURIPAN
KURIPAN
KURIPAN
KURIPAN
SUKARAME 2
SUKARAME 2
KURIPAN
BAKUNG
SUKARAME 2
Pekerjaan
A
B
C
D
E
Total
No. Hp
089612147199
082282250886
081273013117 √
081272861543 √
089510384578 √
089510384576 √
089505538733 √
081808566020 √
081329648583 √
aan
0
188
0
0
0
188
Non Anggota
√ SINOVAC
√ SINOVAC
22-Mar-21 CORONAVAC
22-Mar-21 CORONAVAC
22-Mar-21 CORONAVAC
22-Mar-21 CORONAVAC
22-Mar-21 CORONAVAC
22-Mar-21 CORONAVAC
22-Mar-21 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
3/8/2021 24000721 16124974531524
3/8/2021 24000721 16124974534956

22-Mar-21 24000721 16124907107273
22-Mar-21 24000721 16124907107273

22-Mar-21 24000721 16124907107273
22-Mar-21 24000721 16124907107273
22-Mar-21 24000721 16124907107273
22-Mar-21 24000721 16124907107273
22-Mar-21 24000721 16124907107273
Dosis 2
Tanggal Pemberian
Vaksinasi
3/22/2021 24000721 16125159478729
3/22/2021 24000721 16125079088497

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 S-CFFDGF23
6 S-8A1C5607
7 S-BC46989B
8 S-5BA8C99E
9 S-6DAE5E68
10 S-D051B18E
11 S-0FDF4396
12 S-D5A466D3
16 S-1413096BC
U 17 S-0CC500A6
18 S-0E65D0AB
22 S-6F6B637E
23 S-9359C842
26 Z-7D5QQ4F4
27 S-367DBB719
28 W-BAA779C7
29 S-42EBF761
30 S-BAD1CD4F
31 S-285664D4
32 S-9BD8BC43
34 S-9BA3419D
37 S-BE31A806
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871084101490002
1871080607480002
3172064610580002
1871086710580003
1871085504590002
1871085808560002
1871081809680006
1871085010600007
1871085707560003
1871081803530004
1871082008530005
1871085404780001
1871086905630002
1871084406980002
1871091303480001
1871092511690001
1871085808620005
1871071405520003
1871094206850003
1871084104530004
1871080404580003
1871082504520001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA, 23 MARET 2021
Jenis
Kelamin
SUNTIAH P D
ABDUL RONI L D
LENY LIMINTO P D
LESMA SINAGA P D
ASMAH P D
HERLINA P D
TAAL L B
WATI P D
ROSLINA BN P D
M. SIDIK MUBAQIR L D
GUNTUR L D
LENI MAHANANI P B
YUS VARIANA P B
YUNI SARTIKA P B
BUNYAMIN L D
BUKHORI L B
SUHARYATI P B
M.ALI HARUN L D
SITI MAISAROH P B
HADIJAH P D
RISO L D
UJANG RAHMAT L D
***Merek Vaksin
A = Sinovac
3 BPJS PBI
5 BPJS Non PBI
6 Non Anggota
24
38 Total
0 Dosis 1
16 Dosis 2
0 Total
22
0
38
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
01/01/1949 74 ≥60
06/07/1948 74 ≥60
06/10/1958 64 ≥60
27/10/1958 64 ≥60
15/04/1959 64 ≥60
18/08/1956 66 ≥60
18/09/1968 54 46-59
10/10/1960 62 ≥60
17/07/1956 66 ≥60
18/03/1953 70 ≥60
20/08/1953 69 ≥60
4/15/1978 45 31-45
5/29/1963 60 ≥60
6/4/1998 24 18-30
3/13/1948 75 ≥60
11/25/1969 53 46-59
8/18/1962 60 ≥60
5/14/1952 71 ≥60
6/2/1985 37 31-45
4/1/1953 70 ≥60
4/4/1958 65 ≥60
4/25/1952 71 ≥60
7
29
2
38
31
7
38
Alamat
KURIPAN
KURIPAN
KURIPAN
BAKUNG
BAKUNG
KURIPAN
BAKUNG
BAKUNG
BAKUNG
SUKARAME 2
KURIPAN
NOG
NOG
BAKUNG
BATU PUTUK
BATU PUTUK
BAKUNG
BATU PUTUK
BATU PUTUK
BAKUNG
BAKUNG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
YA
082379991840 YA
081214067131 YA
081379304244 YA
085269867315 YA
081274312424 YA
082186192666 YA
085383028825 YA
085279000350 YA
08128416420 YA
081278416420 YA
081279379514 YA
081369076624 YA
085858829907 YA
082176655766 YA
08238710748 YA
085738823224 YA
085108421900 YA
089692554728 YA
081274132424 YA
081540046091 YA
082176100400 YA
aan
0
16
0
22
0
38
Non Anggota
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
6-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
23-Mar-21 24000721 16124906900220
23-Mar-21 24000721 16124906900220
23-Mar-21 24000721 16124906900220
23-Mar-21 24000721 16124906900220
23-Mar-21 24000721 16124906900220
23-Mar-21 24000721 16124906900220

23-Mar-21 24000721 16124906901156
23-Mar-21 24000721 16124906901156
23-Mar-21 24000721 16124906901156
23-Mar-21 24000721 16124906901156
23-Mar-21 24000721 16124906901156
23-Mar-21 24000721 16125159478885
23-Mar-21 24000721 16125159478885
23-Mar-21 24000721
23-Mar-21 24000721 16125159478885
23-Mar-21 24000721
23-Mar-21 24000721 16125159478885
23-Mar-21 24000721 16125159478885
23-Mar-21 24000721 16124907104424
23-Mar-21 24000721 16124907104424
23-Mar-21 24000721 16124907104424
23-Mar-21 24000721 16124907104424

Dosis 2
Tanggal Pemberian
Vaksinasi
23-Mar-21 24000721 16125159478885
23-Mar-21 24000721 16125159478885

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
5 W-2609702E
6 W-6EAE4D5F
13 Q-6292E025
20 P-603TEB78
24 Q-2F46F972
25 Q-0AEAF98
34 W-63C7E30
35 Q-B038F796
36 P-GUC1MMBF
37 W-062AD698
39 S-16DC6F40
40 S-78FE52AD
41 S-0661B41E
42 P-GOSMZX3U
43 S-7AE277D1
44 S-C1F5C050
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871080310820003
1871080211750004
1871081702680003
317446505750012
1871082005870003
1871082312680002
1871084302750003
1871132208920002
1871082302000002
1671014409750005
1871085708600002
1871085303540003
3173026912470009
1608055611990002
1871081508570002
1871085811520002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU, 10/03/2021
Jenis
Kelamin
ZULKARNAIN L B
ARIFIA FIQRI L B
SULDANI AKHMAD L B
RENO SANDRA SARI P B
MARGONO SLAMET L B
DAMHURI L B
ELLNA SITI ARIFAH P B

MUHAMMAD YUSUF K L B
TEJAB ARDIANSYAH L B
DWI PERMATA SARI P B
LINA P D
YAINAH P D
INDERAWATI P D
JAMILAH MILIANI P B
NAMSON SITOHANG L D
AMINAH NAHDI P D
***Merek Vaksin
A = Sinovac

3 BPJS PBI
12 BPJS Non PBI
25 Non Anggota
5
45 Total
0 Dosis 1
40 Dosis 2
0 Total
5
0
45
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
03/10/1982 40 31-45
02/11/1973 49 46-59
17/02/1968 55 46-59
25/05/1975 48 46-59
20/05/1987 36 31-45
23/12/1968 54 46-59
03/02/1975 48 46-59
22/08/1992 30 18-30
22/02/2000 23 18-30
04/09/1975 47 46-59
17/08/1960 62 ≥60
13/03/1954 69 ≥60
29/12/1947 75 ≥60
16/11/1989 33 31-45
15/08/1957 65 ≥60
18/11/1952 70 ≥60
8
34
3
45
12
33
45
Alamat
NOG
KURIPAN
BAKUNG
BAKUNG
SUKARAME 2
NOG
KURIPAN
BAKUNG
KURIPAN
TBB
TELUK BETUNG BARAT
TELUK BETUNG BARAT
NEGERI OLOK GADING
BAKUNG
BAKUNG
NEGERI OLOK GADING
Pekerjaan
A
B
C
D
E
Total
No. Hp
081274125205 YA
081373612218 YA
082376849912 YA
081288925575 ya
087899854255 YA
085267946990 YA
081279464210 YA
081377792220 YA
081558909694 YA
082280300123 YA
085267429269 YA
081273609809 YA
081219761085 YA
081271757577 YA
081379304244 YA
085720469963 YA
aan
0
0
0
0
0
0
Non Anggota
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/24/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/24/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
3/10/2021 24000721 16124975619936
3/10/2021 24000721 16124979746136
3/10/2021 24000721 16124978007516
3/24/2021 24000721 16125159482613
3/10/2021 24000721 16124979746760
3/10/2021 24000721 16124979745200
3/10/2021 24000721 16124979745200

3/10/2021 24000721 16124978007516
3/24/2021 24000721 16124906899612
3/10/2021 24000721 16124979745200
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596

Dosis 2
Tanggal Pemberian
Vaksinasi
3/24/2021 24000721 16125159472941
3/24/2021 24000721 16125159472941
3/24/2021 24000721 16125159482613
3/24/2021 24000721 16125159478105
3/24/2021 24000721 16125159478105
3/24/2021 24000721 16124906899612

3/24/2021 24000721 16124906899612
3/24/2021 24000721 16124906899612

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
2 S-4263D202
3 S-6C3038C5
4 S-6CBC041B
5 S-907E5426
6 S-CB73EC34
7 S-EF977B85B
8 S-E2F2B723
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871051612810002
1871074510500004
1871084203460001
1871086010470003
187108500360003
1871084203490001
1871086811590001
1871081807840005

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU, 10/03/2021
Jenis
Kelamin
Desfan yusfadli L C
SITI ASIAH P D
ASTI P D
ROHANA ANWAR P D
SUNIAH P D
KARTINI P D
SANTI P D
JULIAN ESA YUDHISTIRA L B
***Merek Vaksin
A = Sinovac

0 BPJS PBI
2 BPJS Non PBI
0 Non Anggota
6
8 Total
0 Dosis 1
1 Dosis 2
1 Total
6
0
8
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
16/12/1981 41 31-45
05/10/1950 72 ≥60
02/03/1946 77 ≥60
20/10/1947 75 ≥60
10/03/1960 63 ≥60
02/03/1949 74 ≥60
28/11/1959 63 ≥60
18/07/1984 38 31-45
7
0
12
1
45
Alamat
TANJUNG GADING
KANGKUNG
PERWATA
PERWATA
PERWATA
PERWATA
KURIPAN
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
082183252538 YA
082233449343 ya
08567445524 YA
085269999658 YA
081268744411 YA
081368467800 YA
081368828161 YA
YA
aan
0
0
0
0
0
0
Non Anggota
3/26/2021 SINOVAC
3/26/2021 SINOVAC
3/26/2021 SINOVAC
3/26/2021 SINOVAC
3/26/2021 SINOVAC
3/26/2021 SINOVAC
3/26/2021 SINOVAC
3/26/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
3/10/2021 24000721 16124978007516
3/26/2021 24000721 16125079957573
3/26/2021 24000721 16125079957573
3/26/2021 24000721 16125079957573
3/26/2021 24000721 16125079957573
3/26/2021 24000721 16125079957573
3/26/2021 24000721 16125079957573

3/26/2021 24000721 16125079957573
Dosis 2
Tanggal Pemberian
Vaksinasi
3/26/2021 24000721 16125079957573

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
12 Q-F4E2A63D
31 P-JMTDWSI9
38 P-JNIN65CA
39 P-J6OQJMNB
42 P-JOOXV1H7
43 P-JPB56LZS
44 P-JPEDF489
112 S-5B81941B
115 P-J0DU4ANW
118 P-J0XVZXCI
126 P-JQ6E3JJWQ
142 P-JT2MLKN2
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871074611650001
1871086910850002
1871085109810002
1871082004830006
1871085503760002
1871082906690003
1871082506630002
1871080307750004
1871082005700005
1871040806800042
1871084201770001
1871046001840007

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SABTU/ 27-3-2021
Jenis
Kelamin
TJAN TJUN LIAN P D
INDRIYASMITA GUNTORO P B
TRI NURHAYANI P B
RIANTO L B
LIANA P B
TRI YANTO L B
MAKDUM L B
ATHIEN L B
THEIN PEN LIE L B
HARTONO ALI L B
PRITA P B
FENNY LIUSIANA P B
***Merek Vaksin
A = Sinovac

22 BPJS PBI
21 BPJS Non PBI
45 Non Anggota
55
150 Total
0 Dosis 1
112 Dosis 2
0 Total
36
0
148
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
06/11/1965 57 46-59
29/10/1985 37 31-45
11/09/1981 41 31-45
20/04/1983 40 31-45
15/03/1976 47 46-59
29/06/1969 53 46-59
25/06/1963 59 46-59
03/07/1975 47 ≥60
20/05/1970 53 46-59
08/06/1984 38 46-59
02/01/1977 46 #REF!
20/01/1984 39 18-30
3
81
64
148
150
150
Alamat
BAKUNG
BAKUNG
TBB
TBB
TBB
TBB
TBB
BAKUNG
TBB
NOG
TBB
TBB
Pekerjaan
A
B
C
D
E
Total
No. Hp
081210398267
082184005555 YA
082179125666
081379986888 YA
081377840813
082195874955 YA
081246603285 YA
082286882772
085383589101
081379141555
0895331125293
08127218293
aan
0
0
0
0
Non Anggota
3/27/2021 SINOVAC
3/27/2021 SINOVAC
3/27/2021 SINOVAC
3/27/2021 SINOVAC
YA SINOVAC
YA SINOVAC
YA SINOVAC
YA SINOVAC
YA SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
3/8/2021 24000721 16125080165833
3/8/2021 24000721 16125095857717
3/8/2021 24000721 16125095857717
3/8/2021 24000721 16125095857717
3/8/2021 24000721 16125095653669
3/8/2021 24000721 16125095653669
3/8/2021 24000721 16125095653669
3/27/2021 24000721 16125095851149

3/27/2021 24000721 16125095851149
3/27/2021 24000721 16125095851149
3/27/2021 24000721 16125095858653
3/27/2021 24000721 16125095864893

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-2B795D52
5 S-EE0B574F
7 S-2E2804E0
9 P-KLW7GJME
12 P-KT6NOELT
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871085703860006
1871084805570001
1871084202650005
1871085110700001
1871081802910003

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN, 29/03/2021
Jenis
Kelamin
LISA MARINA P B
HERTA KOHAR P E
FITRI SOLEHA P B
MARYATI P B
EDWIN SAPUTRA L B
***Merek Vaksin
A = Sinovac
2 BPJS PBI
7 BPJS Non PBI
9 Non Anggota
3
21 Total
0 Dosis 1
18 Dosis 2
0 Total
0
3
21
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
17/03/1986 37 31-45
08/05/1957 66 ≥60
02/02/1965 58 46-59
11/10/1970 52 46-59
18/02/1991 32 31-45
7
13
1
21
18
3
21
Alamat
TBT
KURIPAN
KURIPAN
KURIPAN
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
085215006008 YA
085289058618
081215403598 YA
082177414933 YA
082373113334 YA
aan
0
0
0
0
0
0
Non Anggota
22-Mar-21 CORONAVAC
YA 29-Mar-21 CORONAVAC
29-Mar-21 CORONAVAC
29-Mar-21 CORONAVAC
29-Mar-21 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
17-Mar-21 24000721
29-Mar-21 24000721 16125167950762
29-Mar-21 24000721 16125167950762
29-Mar-21 24000721 16125167950762
29-Mar-21 24000721 16124978006892

Dosis 2
Tanggal Pemberian
Vaksinasi
29-Mar-21 24000721 16125095863957

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-LEKDYHMN
2 S-4284E4D2
3 S-43D9E259
4 S-EDDA2500
7 P-LIFTY56D
21 P-LKIVIUCD
22 S-F8789631
23 S-BC51F148
24 S-68A6096E
25 S-EF6EC92E
26 S-C8575B23
27 S-ADC35E35
28 P-LLXRMKVV
29 P-LIQJEI4F
30 P-LIFQ2T1M
31 P-LI6ICE8G
32 P-LHXOKUVL
33 P-LHGUTAWW
34 S-60EA60AD
35 P-LOTBJADT
37 S-CAA52AE7
38 S-8683F761
39 S-074399F9
40 S-8E128FE0
41 S-A65EC078
42 S-5BC47C01
43 S-4288C8B5
44 S-188BFFC9
45 S-7C8803A7
46 P-LRKERMZJ
47 S-82E454DE
49 P-LUP91049
50 P-LUYVH211
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871062309830017
1871086705520002
1871081608560004
1871081607590003
1871082601020004
1871086512410001
1871081510360001
1871084101510009
1871084308580002
1871080607470002
1871081501470002
1871085105470001
1871090501610001
1871081107650002
1871095010660010
1871080804660001
1871080508670003
1871081910670001
1871080904560001
1871082810740006
1871086206600002
1871081705510001
1871085807460001
1871082609570001
1871081010480003
1871084208510001
1871081604610001
1871086802490001
1871082510450003
1871075002890004
1871080508560001
1871086706640003
1871084909730003

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA/ 30-3-2021
Jenis
Kelamin
PURWANTO L B
SIOE FA P D
AGUSTIO L D
ALIUS L D
CLAUDIO CHRISTOPER VALENTINO L B
INTON WATI P D
M. YASIN SALEH L D
HERMAWATI P D
ASI'AH P D
WAGIMAN L D
A. SARKANDI SALEH L D
MARDIAH P D
SUPARNO L D
SUKRI L B
SRI ASTUTININGSIH P B
SUDRAJAT L B
AGUS SUBANDI L B
HERWANTONI L B
ASTIAMAN KUNDO YASIN L D
SUGIONO L B
HALIMAH P D
A. RIFAY L D
TUIJAH P D
BUDI HARYANTO L D
TABRANI L D
SARIAH P D
AHMAD AQSO L D
SAONAH AL P D
ALIYUN AR. L D
LIA FEBRIANTI P B
M. NUR L D
RUMINI P B
SARI EKO SUSANTI P B
***Merek Vaksin
A = Sinovac

5 BPJS PBI
7 BPJS Non PBI
15 Non Anggota
23
50 Total
1 Dosis 1
27 Dosis 2
0 Total
22
0
50
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
23/09/1983 39 31-45
27/05/1952 71 ≥60
16/08/1956 66 ≥60
16/07/1959 63 ≥60
26/01/2002 21 18-30
25/12/1941 81 ≥60
15/10/1938 84 ≥60
01/01/1951 72 ≥60
03/08/1958 64 ≥60
06/07/1947 75 ≥60
15/01/1947 76 ≥60
11/05/1947 76 ≥60
05/01/1961 62 ≥60
11/07/1965 57 46-59
10/10/1966 56 46-59
08/04/1966 57 46-59
05/08/1967 55 46-59
19/10/1967 55 46-59
09/04/1956 67 ≥60
28/10/1974 48 46-59
22/06/1960 62 ≥60
17/05/1951 72 ≥60
18/07/1946 76 ≥60
26/09/1957 65 ≥60
10/10/1948 74 ≥60
02/08/1951 71 ≥60
16/04/1951 72 ≥60
28/02/1949 74 ≥60
25/10/1945 77 ≥60
10/02/1989 34 31-45
05/08/1956 66 ≥60
27/06/1964 58 46-59
09/09/1973 49 46-59
27
7
16
50
50
50
Alamat
BAKUNG
KURIPAN
BAKUNG
BAKUNG
BAKUNG
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
BATU PUTUK
NOG TBB
BATU PUTUK
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
Pekerjaan
A
B
C
D
E
Total
081272272220 YA
081279634920
082314018888 YA
082185524551 YA
082120535557
082377688613 YA
082185780020 YA
085377914741 YA
087868870618 YA
089660376073 YA
081313000033 YA
081279623088 YA
089622215240 YA
082376380548 YA
08962215240 YA
082177377254 YA
081369214821 YA
081279623088 YA
081279020707 YA
082177379320 YA
085267415672 YA
085267415672 YA
085377914741 YA
081278382101 YA
085377914741 YA
085377914741
085377914741
081271174728 YA
081271174728 YA
085269139393 YA
085369023808 YA
085369023808 YA
082180222344 YA
aan
0
0
0
0
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
Dosis I
3/30/2021 24000721 16124978006736
3/30/2021 24000721 16124978006736
3/30/2021 24000721 16124978006736
3/30/2021 24000721 16124978006736
3/30/2021 24000721 16124978006736
3/30/2021 24000721 16124978005956
3/30/2021 24000721 16124978005956
3/30/2021 24000721 16124978005956
3/30/2021 24000721 16124978005956
3/30/2021 24000721 16124978005956

3/30/2021 24000721 16124978005956
3/30/2021 24000721 16124978005956
3/30/2021 24000721 16124978005956
3/30/2021 24000721 16124978005956
3/30/2021 24000721 16124978005956
3/30/2021 24000721 16125080164273
3/30/2021 24000721 16125080164273
3/30/2021 24000721 16125080164273
3/30/2021 24000721 16125080164273
3/30/2021 24000721 16125080164273
3/30/2021 24000721 16125080164273
3/30/2021 24000721 16125080164273
3/30/2021 24000721 16125080164273
3/30/2021 24000721 16125080164273
3/30/2021 24000721 16125080172541
3/30/2021 24000721 16125080172541
3/30/2021 24000721 16125080172541

3/30/2021 24000721 16125080172541
3/30/2021 24000721 16125080172541
3/30/2021 24000721 16125080172541
3/30/2021 24000721 16125080172541
3/30/2021 24000721 16125080172541
3/30/2021 24000721 16125080172541

Dosis 2
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 S-19F92FCA
24 S-6361777D
28 P-MTCR163
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871071208630002
1871080712570001
1871081001830006

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU/ 31-3-2021
Jenis
Kelamin
SUWANDA L D
MURNI MUCHTAR L D
MAKMUR L B
***Merek Vaksin
A = Sinovac
0 BPJS PBI
6 BPJS Non PBI
8 Non Anggota
16
30 Total
0 Dosis 1
14 Dosis 2
0 Total
16
0
30
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
12/08/1953 69 ≥60
07/12/1957 65 ≥60
10/01/1983 40 31-45
7
11
12
30
30
30
Alamat
KURIPAN
KURIPAN
KURIPAN
Pekerjaan
A
B
C
D
E
Total
No. Hp
089698592522
082176649141
08975729135
aan
0
0
0
0
Non Anggota
Dosis I
Tanggal Pemberian
Vaksinasi
3/31/2021 24000721 16124978005644
3/30/2021 24000721 16125080173165
3/30/2021 24000721 16125080173165

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19

Provinsi : LAMPUNG
Hari, Tanggal : KAMIS / 01-04-2021
Kepesertaan BPJS (tulis 'Ya'

Dosis I
pada kolom yang sesuai)
Umur Nama/
Nama Penerima Jenis Tanggal Kelompok Tanggal
No No. Tiket NIK Pekerjaan* (18 sd ≥ Alamat No. Hp Jenis/Merek
Vaksin Kelamin Lahir Umur Screening
60 tahun) BPJS Vaksin*** Tgl
Non No.
BPJS PBI Non Pemberian
Anggota Batch
PBI Vaksinasi
1 S-9A098811 1871084708590003 NELI WATI P D 07/08/1959 63 ≥60 SUKARAME II TBB 085377914741 YA 4/1/2021 SINOVAC 4/1/2021 24000721
2 P-NIGIJUA0 1871080710670002 EDI NOVIAN L B 07/10/1967 55 46-59 SUKARAME II TBB 085896871324 YA 4/1/2021 SINOVAC 4/1/2021 24000721
3 P-NJ3DNTGH 1871080110800006 AGUS SUMARTO L B 01/10/1980 42 31-45 SUKARAME II TBB 085269597172 YA 4/1/2021 SINOVAC 4/1/2021 24000721
4 P-NKNIYBMS 1871082204610002 SLAMET HASANIAH L B 22/04/1961 62 ≥60 SUKARAME II TBB 082178114415 YA 4/1/2021 SINOVAC 4/1/2021 24000721
5 S-54865A9D 1871080201520004 SUPARMAN L D 02/01/1952 71 ≥60 SUKARAME II TBB 089632135985 YA 4/1/2021 SINOVAC 4/1/2021 24000721
6 S-8766D8E4 1871085111450004 BUANAH P D 11/11/1945 77 ≥60 SUKARAME II TBB YA 4/1/2021 SINOVAC 4/1/2021 24000721
7 S-D2B0591B 1871065410420001 TATI P D 14/10/1942 80 ≥60 SUKARAME II TBB 08117255983 YA 4/1/2021 SINOVAC 4/1/2021 24000721
8 S-CA08C83C 1871082105580002 ABDUL MUIN L D 21/05/1958 65 ≥60 SUKARAME II TBB 085384221448 YA 4/1/2021 SINOVAC 4/1/2021 24000721
9 P-NPDURH54 1871084407650008 JANIMAH P B 04/07/1965 57 46-59 SUKARAME II TBB 081379744768 YA 4/1/2021 SINOVAC 4/1/2021 24000721
10 S-7210B23B 1871084701530003 NYAMI P D 07/01/1953 70 ≥60 SUKARAME II TBB 081249610351 YA 4/1/2021 SINOVAC 4/1/2021 24000721
12 S-517B986D 1871081109360001 JUMANGIN L D 11/09/1936 86 ≥60 NOG TBB YA 4/1/2021 SINOVAC 4/1/2021 24000721
13 S-13D6C2DB 1871080703300001 ALI L D 03/07/1930 92 ≥60 BAKUNG YA 4/1/2021 SINOVAC 4/1/2021 24000721
14 S-6050BD71 1871080504850006 M. DEDY ZULYAN L B 05/04/1985 38 31-45 NOG TBB 081369066768 YA 4/1/2021 SINOVAC 4/1/2021 24000721
15 S-E9395749 1871081710590003 ULYA NURDIN L D 17/10/1959 63 ≥60 NOG TBB 085366267624 YA 4/1/2021 SINOVAC 4/1/2021 24000721

A = Petugas Medis dan Non Medis di Fasilita B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes)
D = Lainnya
E = Tidak Bekerja
Kelompok Umur: Kepesertaan BPJS Pekerjaan

18-30 0 BPJS PBI 11 A 0
31-45 3 BPJS Non PBI 7 B
46-59 3 Non Anggota 0 C 0
≥ 60 tahun 12
Total 18 Total 18 D 0
Pekerjaan: Pemberian Dosis E 0
A 1 Dosis 1 17 Total 0
B 7 Dosis 2 1
C 0 Total 18
D 10
E 0
Total 18
I Dosis 2
Keterangan
(Ditunda/Tidak
Tanggal Diberikan/Lanjut)
No. Serial Pemberian No. Batch No. Serial
Vaksinasi
16125195365126
16125195365126
16125195365126
16125195365126
16125195365126
16125195365126
16125195365126
16125195365126
16125195365126
16125195365126
16124978006268
16124978006268
16124978006268
16124978006268
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 W-FC874BE7
2 Z-5FC809EB
3 Z-8271D66F
4 W-7E884B75
5 W-5BB8A01A
6 Q-C3E10043
7 P-0JRW0WUH
8 Z-E992DF9B
9 Z-1DC83D10
10 P-OK40XDUA
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871081712630003
1871086703600002
1871085503670002
1871086505610001
1871135303620002
1871081005480003
1871064101620009
1871085808610001
1871067112610005
1871024807610002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SABTU / 03-04-2021
Jenis
Kelamin
SELAMET L B
KUN WINARSIH P B
YOHANA P B
HEDDY SITUMORANG P B
ERIES ELITA LIDIA P B
M. RUSLI L B
FARIDA ARIYANI EDDY P B

YURIDA P B
MISROH P B
DRA. NUR HADI P B
***Merek Vaksin
A = Sinovac

0 BPJS PBI
0 BPJS Non PBI
2 Non Anggota
8
10 Total
0 Dosis 1
10 Dosis 2
0 Total
0
0
10
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
17/12/1963 59 46-59
27/03/1960 63 ≥60
15/03/1967 56 46-59
25/05/1961 62 ≥60
15/03/1961 62 ≥60
10/05/1948 75 ≥60
01/01/1962 61 ≥60
18/08/1961 61 ≥60
31/12/1961 61 ≥60
08/07/1961 61 ≥60
0
10
0
10
2
8
10
Alamat
SUKARAME II TBB
SUKARAME II TBB
BAKUNG
TBB
LANGKAPURA
NOG TBB
TANJUNG KARANG PUSAT

PERWATA
KEDATON
PERUM KORPRI
Pekerjaan
A
B
C
D
E
Total
No. Hp
082184963493 YA
085769672010 YA
081273700235 YA
082279247680 YA
082185544311 YA
08984374374 YA
081369339659 YA
085266864540 YA
085279725724 YA
081369111920 YA
aan
0
0
0
0
Non Anggota
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
3/6/2021 SINOVAC
4/3/2021 SINOVAC
3/5/2021 SINOVAC
3/5/2021 SINOVAC
4/3/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
3/6/2021 24000721
3/6/2021 24000721
3/6/2021 24000721
3/6/2021 24000721
3/6/2021 24000721
3/6/2021 24000721
4/3/2021 24000721 16124978012196

3/5/2021 24000721
3/5/2021 24000721
4/3/2021 24000721 16124978012196

Dosis 2
Tanggal Pemberian
Vaksinasi
4/3/2021 24000721 16124978012196
4/3/2021 24000721 16124978012196
4/3/2021 24000721 16124978012196
4/3/2021 24000721 16124978012196
4/3/2021 24000721 16124978012196
4/3/2021 24000721 16124978012196

4/3/2021 24000721 16124978012196
4/3/2021 24000721 16124978012196

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 S-DAE283EF
2 S-5BC9C5C3
3 S-F1BC66E9
4 S-2F7F849B
5 S-5045A537
6 S-57BI2156
7 S-6B7F1412
8 S-28B5AFCA
9 S-9BE9CE53
10 S-C11B7509
11 S-BABC6427
12 S--8DBF847E
13 S-F749012F
14 S-B2F26F89
15 S-B8330834
16 S-89FCC8DD
17 S-18F93766
18 S-3B8D05E0
19 S-50D1056A
20 S-DFDD3A46
21 S-8981E51F
22 Q-ADE03E23
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871080811420001
1871082011500001
1871081507550001
1871081802580001
1871080406570005
1871081206430001
1871080311550003
1871081003570002
1871084501560001
1871084101530013
1871080104560002
1871080304560001
1871084107520009
187108092590002
187108231160001
1871080907510001
1871081508580002
1871074307560002
1871080608470001
1871081209430002
1871130302480002
1872021204650003

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN/ 5-4-2021
Jenis
Kelamin
EDI SARMAT L D
SUPARJO L D
CAKRA L D
SARBENI L D
ABDUL MAAD GOZALI L D
HADI PARYONO L D
MARWAN. J L D
JUMADI L D
MUNKOHIRA P D
SITI KHOLIMAH P D
SYURWANI L D
SARDANA L D
JUMANAH P D
M. DOHIR L D
A. FIKRI L D
SAFRUDIN L D
IWAN RIZKI L D
MIATUN P D
JUMIRAN L D
SURATMAN L D
NURHADI PERDIMAN L D
AKHMAD BUDIONO L B
***Merek Vaksin
A = Sinovac
0 BPJS PBI
0 BPJS Non PBI
1 Non Anggota
21
22 Total
0 Dosis 1
1 Dosis 2
0 Total
21
0
22
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
08/11/1942 80 ≥60
20/11/1950 72 ≥60
15/07/1955 67 ≥60
18/02/1958 65 ≥60
04/06/1957 65 ≥60
12/06/1943 79 ≥60
03/11/1955 67 ≥60
10/03/1957 66 ≥60
05/01/1956 67 ≥60
01/01/1953 70 ≥60
13/03/1956 67 ≥60
03/04/1956 67 ≥60
01/07/1952 70 ≥60
09/02/1959 64 ≥60
23/11/1960 62 ≥60
09/07/1951 71 ≥60
15/08/1959 63 ≥60
03/07/1956 66 ≥60
08/06/1947 75 ≥60
12/09/1943 79 ≥60
03/02/1948 75 ≥60
12/04/1965 58 46-59
14
5
3
22
21
1
22
Alamat
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
JL. ULANGAN NO. 39

Pekerjaan
A
B
C
D
E
Total
No. Hp
082181079550 YA
085384609770 YA
089603618355 YA
085789835312 YA
081367674920 YA
085269426969 YA
085268439372
081379863159 YA
085269426969 YA
089603242673
081379445895 YA
081274312424 YA
082175819390 YA
082175819390 YA
081539295878 YA
085764628184 YA
081274312424
0895640414069 YA
081274312424 YA
081274312424 YA
081274312424 YA
081272607722 YA
aan
0
0
0
0
Non Anggota
4/5/2021 SINOVAC
4/5/2021 SINOVAC
4/5/2021 SINOVAC
4/5/2021 SINOVAC
4/5/2021 SINOVAC
4/5/2021 SINOVAC
YA 4/5/2021 SINOVAC
4/5/2021 SINOVAC
4/5/2021 SINOVAC
YA 4/5/2021 SINOVAC
4/5/2021 SINOVAC
4/5/2021 SINOVAC
4/5/2021 SINOVAC
4/5/2021 SINOVAC
4/5/2021 SINOVAC
4/5/2021 SINOVAC
YA 4/5/2021 SINOVAC
4/5/2021 SINOVAC
4/5/2021 SINOVAC
4/5/2021 SINOVAC
4/5/2021 SINOVAC
4/5/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
4/5/2021 24000721 16124986712628
4/5/2021 24000721 16124986712628
4/5/2021 24000721 16124986712628
4/5/2021 24000721 16124986712628
4/5/2021 24000721 16124986712628
4/5/2021 24000721 16124986712628
4/5/2021 24000721 16124986712628

4/5/2021 24000721 16124986712628
4/5/2021 24000721 16124986712628
4/5/2021 24000721 16124986712628
4/5/2021 24000721 16124986712628
4/5/2021 24000721 16124978009388
4/5/2021 24000721 16124978009388
4/5/2021 24000721 16124978009388
4/5/2021 24000721 16124978009388
4/5/2021 24000721 16124978009388
4/5/2021 24000721 16124978009388
4/5/2021 24000721 16124978009388
4/5/2021 24000721 16124978009388
4/5/2021 24000721 16124978009388
4/5/2021 24000721 16124978009388
3/9/2021 202011044
Dosis 2
Tanggal Pemberian
Vaksinasi
4/5/2021 24000721 16124978009388
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 S-1B7105BF
2 S-75E849D5
3 S-3F9917AA
4 S-527311FD
5 P-PATPYAHB
6 S-BBB79150
7 Q-85A2503C
8 S-23148645
9 P-QBE7P6Y1
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871080705430002
1871091701570002
1871092512570001
1871080112490001
1871075502690004
1871081207550003
1871092507910009
1871084104540002
1871086602660001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA/ 6-4-2021
Jenis
Kelamin
SIDAL L D
SARTONO L D
NAZARUDIN L D
AHMAD MUBASIR L D
MARYANI P B
RIYADI L D
MAIDUTI MAHIDIN L B
HJ. DARWATI P D
JAMILAH P B
***Merek Vaksin
A = Sinovac

0 BPJS PBI
1 BPJS Non PBI
2 Non Anggota
6
9 Total
0 Dosis 1
3 Dosis 2
0 Total
6
0
9
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
07/05/1943 80 ≥60
17/01/1957 66 ≥60
25/12/1957 65 ≥60
01/12/1949 73 ≥60
15/02/1969 54 46-59
12/07/1955 67 ≥60
25/07/1991 31 31-45
01/04/1954 69 ≥60
26/02/1966 57 46-59
7
2
0
8
1
9
Alamat
BAKUNG
TBU
TBU
BAKUNG
KURIPAN
BAKUNG
TBU
BAKUNG
KOTA KARANG
Pekerjaan
A
B
C
D
E
Total
No. Hp
082167576620 YA
082167576620 YA
085269981995 YA
085357577269 YA
0821774149933 YA
085378098014 YA
085381371313 YA
081367671961 YA
085378045700 YA
aan
0
0
0
0
Non Anggota
4/6/2021 SINOVAC
4/6/2021 SINOVAC
4/6/2021 SINOVAC
4/6/2021 SINOVAC
4/6/2021 SINOVAC
4/6/2021 SINOVAC
3/8/2021 SINOVAC
4/6/2021 SINOVAC
4/5/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
4/6/2021 24000721 16124986708572
4/6/2021 24000721 16124986708572
4/6/2021 24000721 16124986708572
4/6/2021 24000721 16124986708572
4/6/2021 24000721 16124986708572
4/6/2021 24000721 16124986708572
3/8/2021 24000721
4/6/2021 24000721 16124986708572
4/6/2021 24000721 16124986708572

Dosis 2
Tanggal Pemberian
Vaksinasi
4/6/2021 24000721 16124986708572

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 S-2D16E9CA
26 P-QVDNJ35K
27 S-91D6E02C
28 P-QVLEYTTL
39 S-1CD3ACCA
40 S-B75BAA5B
41 S-1EC5016B
56 Z-49DB0610
57 Z-ADA4B893
58 Z-BFCFB810
59 Z-DF100FF2
60 W-BB4CB244
61 Z-34ADD876
62 Z-251B66AA
63 Z-EA1CC4F0
64 Z-63A69A95
65 Z-E9413432
66 Z-BF3B1BEE
67 Z-A337A7BA
68 Z-97E1A60D
69 Z-872BE44A
70 Z-3F5A2A61
71 Z-9C596FCA
72 Z-FDC3418C
73 Z-68C21D66
74 Q-D07D2DB7
75 Z-00C6AC56
76 Z-79274AAD
77 Z-7A6C6BE3
78 Z-A5E3EE40
79 Z-7AE79794
80 S-BE2287F3
81 Z-2D2EFBF6
82 Q-58427ABE
84 Q-BA3F4538
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871070101670019
1871081102750007
1871085904960002
1701056012820003
1871085409890001
1871086708690001
1871084409970002
187108172480002
1871084411520002
1871081102410001
1871082506530003
1871084304610002
1871085402550001
1871085610540002
1871086003570002
1871081007560001
1871081405550003
1871081205420001
1871085003530004
1871080207520002
1871084309450002
1871086010530001
1871080704540004
1871085212580002
1871081010520007
1871084203610002
1871086002530001
1871081701490002
1871081011580003
1871090612590001
1871080902530002
1871080912540002
1871084404600004
1871084510620002
1608055611990002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG DAN KEMENAG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA/ 7-4-2021
Jenis
Kelamin
NOOR SYAFRUDIN L B
A. SAMSUL KAWAKIB L B
RIRIN ARYANI P B
TUTI DWI RAHAYU P B
SOLEHA P B
NANI AGUSTINA P B
AWANAH P B
DJUMADI ASSIK L D
LIANA WATI P D
BASUKI L D
ELSON M. L D
ROSMAINI P D
YAP SIU CHUN P D
OH GIOK HUA P D
YUNI P D
YAP BUDI HARUN L D
ISMAIL IBRAHIM L D
PAINO L D
SOERAH P D
WARIS L D
SUTINI P D
IRAWATI P D
MASHUR SALEH L D
ROS ELIYANA P D
AMAT SUTIKNO L D
KORY P D
KARTI P D
ALI JUNAIDI L D
BUDI AGUSTINUS L D
SYOBIRIN L D
SOGIRAN L D
SUBIYANTO L D
HJ. NUR ASRI P D
SITI KHODIJAH P D
JAMILAH MILIANI P B
***Merek Vaksin
A = Sinovac

14 BPJS PBI
25 BPJS Non PBI
17 Non Anggota
28
84 Total
0 Dosis 1
57 Dosis 2
0 Total
27
0
84
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
01/01/1967 56 46-59
11/02/1975 48 46-59
09/04/1996 27 18-30
20/12/1982 40 31-45
14/09/1989 33 31-45
27/08/1969 53 46-59
04/09/1997 25 18-30
17/12/1948 74 ≥60
04/11/1952 70 ≥60
11/02/1941 82 ≥60
25/06/1953 69 ≥60
03/04/1961 62 ≥60
14/02/1955 68 ≥60
16/10/1954 68 ≥60
20/03/1957 66 ≥60
10/07/1956 66 ≥60
14/05/1955 68 ≥60
12/05/1942 81 ≥60
10/03/1953 70 ≥60
07/02/1952 71 ≥60
03/09/1945 77 ≥60
20/10/1953 69 ≥60
07/04/1954 69 ≥60
12/12/1956 66 ≥60
10/10/1952 70 ≥60
02/03/1961 62 ≥60
20/02/1953 70 ≥60
17/01/1949 74 ≥60
10/11/1958 64 ≥60
06/12/1959 63 ≥60
09/02/1953 70 ≥60
09/12/1954 68 ≥60
04/04/1960 63 ≥60
05/10/1962 60 ≥60
16/11/1989 33 31-45
22
46
16
84
57
27
84
Alamat
BAKUNG
NOG
BAKUNG
NOG
BAKUNG
NOG
BAKUNG
KURIPAN
KURIPAN
KURIPAN
NOG
NOG
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
BAKUNG
KURIPAN
KURIPAN
NOG
NOG
KURIPAN
KURIPAN
KURIPAN
KURIPAN
BAKUNG
NOG
KURIPAN
KURIPAN
KURIPAN
NOG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
0895332691427 YA
081273681192 YA
082178797590
085269164530 YA
085697417232
085769831590 YA
089560438418 YA
0811721901 YA
0811792620 YA
082186901811 YA
081279549350 ya
081274160086 ya
085384608559 ya
0812722224 YA
089524590066 YA
082175405019 ya
082372605944 YA
081273443937 YA
089519102324 YA
085769721465 YA
089523093292 YA
085101177336 YA
0895382273078 YA
0895350053744 YA
082186693222 YA
082186401254
085788237350 YA
08127910743 YA
081342434370 YA
081370504818 YA
082378207760 YA
081272396583 YA
085367529206 YA
081957276102 YA
081271757577 YA
aan
0
0
0
0
Non Anggota
4/7/2021 SINOVAC
4/7/2021 SINOVAC
YA 4/7/2021 SINOVAC
4/7/2021 SINOVAC
YA 4/7/2021 SINOVAC
4/7/2021 SINOVAC
4/7/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
4/7/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
4/7/2021 24001421 16134618685345

4/7/2021 24001421 16134618690805
4/7/2021 24001421 16134618690805
4/7/2021 24001421 16134618690805
4/7/2021 24001421 16134618691585
4/7/2021 24001421 16134618691585
4/7/2021 24001421 16134618691585
3/10/2021 24000721 161249797452980
3/10/2021 24000721 161249797452980

3/10/2021 24000721 16124979746136
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596
3/10/2021 24000721 161249797452980
3/10/2021 24000721 161249797452980
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124979745200
3/10/2021 24000721 16124975619936
3/10/2021 24000721 16124975619936
3/10/2021 24000721 161249797452980
3/10/2021 24000721 16124975619936
3/10/2021 24000721 16124979746136
3/10/2021 24000721 16124979746136
3/10/2021 24000721 16124979746760
3/10/2021 24000721 16124979746760

3/10/2021 24000721 16124975619936
3/10/2021 24000721 16124978007516
3/10/2021 24000721 16124978007516
3/10/2021 24000721 161249797452980
4/7/2021 24001421 16134552487801
3/10/2021 24000721 16124979745200
3/10/2021 24000721 16124975617596

Dosis 2
Tanggal Pemberian
Vaksinasi
4/7/2021 24001421 16134618692677
4/7/2021 24001421 16134618692677

4/7/2021 24001421 16134618692677
4/7/2021 24001421 16134618692677
4/7/2021 24001421 16134618692677
4/7/2021 24001421 16134618692677
4/7/2021 24001421 16134618692677
4/7/2021 24001421 16134618692677
4/7/2021 24001421 16134618692677
4/7/2021 24001421 16134618692677
4/7/2021 24001421 16134618680509
4/7/2021 24001421 16134618680509
4/7/2021 24001421 16134618680509
4/7/2021 24001421 16134618680509
4/7/2021 24001421 16134618680509
4/7/2021 24001421 16134618680509
4/7/2021 24001421 16134618680509
4/7/2021 24001421 16134618680509
4/7/2021 24001421 16134618680509

4/7/2021 24001421 16134618680509
24001421 16134552487801
4/7/2021 24001421 16134552487801
4/7/2021 24001421 16134552487801
4/7/2021 24001421 16134552487801
4/7/2021 24001421 16134552487801
4/7/2021 24000721 16134552487801
4/7/2021 24000721 16134552487801

Keterangan
BELUM SKRINING KARENA DI PCARE HILANG
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 S-D09CB1B5
2 S-B39EBFEA
5 S-e06e7a18
7 S-58BFCF72
8 S-DF6BE25E
14 S-1A5B859F
15 S-6C6E6D1D
17 S-09AE4D35
18 S-BF88A823
19 P-RWWJ64JG
20 S-6479B9C4
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871086811500000
1871082007590000
1871086705850003
187108470860000
1871054208500006
1871082002780004
1871086308960004
1871085604760000
1871084206690002
1871086912620002
1871084704740004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG DAN KEMENAG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS/ 8-4-2021
Jenis
Kelamin
ASINAH P D
SYARIFUDIN L D
SUHERNA P B
MASRINAH P D
SUSIYATI P D
MOHD. ANSHORI L B
ASTRI AYU P B
APRIDAYANTI P B
JUNAINA P B
ITA DARSITA P B
MARYANI P B
***Merek Vaksin
A = Sinovac

5 BPJS PBI
6 BPJS Non PBI
5 Non Anggota
6
22 Total
0 Dosis 1
16 Dosis 2
0 Total
6
0
22
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
28/11/1950 71 ≥60
20/07/1959 61 ≥60
27/05/1985 36 31-45
07/08/1960 61 ≥60
02/08/1950 71 ≥60
20/02/1978 43 31-45
23/08/1996 25 18-30
16/04/1976 45 31-45
02/06/1969 52 46-59
29/12/1962 59 46-59
07/04/1970 51 46-59
4
13
5
22
21
1
22
Alamat
BAKUNG
NOG
NOG
KURIPAN
NOG
NOG
NOG
NOG
KURIPAN
KURIPAN
NOG
Pekerjaan
A
B
C
D
E
Total
No. Hp
081271480946 YA
081369076624 YA
081367652244
087890520415 YA
0895640010370 YA
085865641960 YA
085788694047 YA
0853677061712 YA
085608336710 YA
085761852202 YA
085367061712
aan
0
0
0
Non Anggota
4/8/2021 SINOVAC
4/8/2021 SINOVAC
YA 4/8/2021 SINOVAC
4/8/2021 SINOVAC
4/8/2021 SINOVAC
4/8/2021 SINOVAC
4/8/2021 SINOVAC
4/8/2021 SINOVAC
4/8/2021 SINOVAC
4/8/2021 SINOVAC
YA 4/8/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
4/8/2021 24001421 16134618683785
4/8/2021 24001421 16134618683785
4/8/2021 24001421 16134618683785
4/8/2021 24001421 16134618683785
3/10/2021 2400721
4/8/2021 24001421 16134552488893
4/8/2021 24001421 16134552488893

4/8/2021 24001421 16134552488893
4/8/2021 24001421 16134552488893
4/8/2021 24001421 16134552488893
4/8/2021 24001421 16134552488893

Dosis 2
Tanggal Pemberian
Vaksinasi
4/8/2021 24001421 16134618683785

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 S-F875FC88
48 S-27FEEF61
58 P-TR501W86
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871074906340003
1871085107600002
1871126001670004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SABTU / 10-4-2021
Jenis
Kelamin
SOFIA P D
HERNI P D
SIOK LE P B
***Merek Vaksin
A = Sinovac
0 BPJS PBI
2 BPJS Non PBI
26 Non Anggota
33
61 Total
0 Dosis 1
45 Dosis 2
0 Total
18
0
63
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
09/06/1934 88 ≥60
11/07/1960 62 ≥60
20/01/1967 56 46-59
2
37
24
63
63
63
Alamat
TBS
SUKARAME 2
KURIPAN
Pekerjaan
A
B
C
D
E
Total
No. Hp
082371023888 YA
081271789981 YA
087898853999 YA
aan
0
0
0
0
Non Anggota
4/10/2021 SINOVAC
YA 4/7/2021 SINOVAC
4/7/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
4/10/2021 2400721 16124986715592
4/7/2021 24001421 16134618686437
4/7/2021 24001421 1613618690181

Dosis 2
Tanggal Pemberian
Vaksinasi
4/7/2021
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Z-45E0C84F
2 Z-F4D67892
3 Z-EF063D92
5 Q-16583CA1
6 Z-F2F007AB
7 Z-08B157B7
8 Z-7804C6A5
11 Z-17961D1
12 Z-0A21CA2D
13 Z-696FEC71
14 Q-0FF2645E
15 Z-50DB4B44
16 Z-715E7A12
17 Z-984F5353
18 Z-EA7BFE83
20 W-5A9EA07A
21 Z-2713AD0A
22 Z-16E99870
23 Z-F615E980
24 Z-010DFD49
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871082306580001
1871086605540001
1871084612550001
1871091206840009
1871084208560001
1871083004520002
1871085610570002
1871086508530002
1871082912480002
1871080304590001
1871082011680002
1871085605590001
1871083112540013
1871080707570003
1871085302590003
1871080512700004
1871081103590003
1871084907590001
1871080411570002
1871082906590001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN, 12 APRIL 2021
Jenis
Kelamin
DAVID KORESY KHOHAR L E
TAN CUN LAN P E
WINNY CHARIASARI P E
EDI YEN, ST L B
SUKHUA P E
CHANDRA DINAMSYAH L E
SUKLAN P E
GOUW SUK LIE P E
OEI BUN SHAI L E
MISRAN L E
LEMAN L B
TUMINI P E
DJOKO PRAYITNO L E
JORMIA SITOHANG L E
KESTIA SINURAT P E
MISBAH L B
MUK KIONG L E
YULIATI P E
FAUZI DARSYAH L E
SUTIMIN L E
***Merek Vaksin
A = Sinovac
1 BPJS PBI
2 BPJS Non PBI
2 Non Anggota
20
25 Total
2 Dosis 1
3 Dosis 2
0 Total
0
20
25
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
23/06/1958 62 ≥60
26/05/1954 69 ≥60
06/12/1955 67 ≥60
06/12/1984 38 31-45
02/08/1956 66 ≥60
30/04/1952 71 ≥60
16/10/1957 65 ≥60
25/08/1953 69 ≥60
29/12/1948 74 ≥60
03/04/1959 64 ≥60
20/11/1968 54 46-59
16/05/1959 64 ≥60
31/12/1954 68 ≥60
07/07/1957 65 ≥60
13/02/1959 64 ≥60
05/12/1970 52 46-59
11/03/1959 64 ≥60
29/07/1959 63 ≥60
04/11/1957 65 ≥60
29/06/1959 63 ≥60
0
23
2
25
25
25
Alamat
KURIPAN
BAKUNG
KURIPAN
NOG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
NOG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
081328306343 YA
087787519678 YA
082177144700 YA
08217598692 YA
082183091611 YA
08127961246 YA
082183091611 YA
081271781306 YA
081366441076 YA
085383024072 YA
0811791228
085383024072
085377914741 YA
082242125556 YA
'082242125556 YA
081272107495 YA
08127980199 YA
081369414444 YA
082186018090 YA
087899177446 YA
aan
0
0
0
0
0
0
Non Anggota
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
YA 3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
3/15/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
3/15/2021 24000721 16124979746916
3/15/2021 24000721 16124979746916
3/15/2021 24000721 16124979746916
3/15/2021 24000721 16124979746916
3/15/2021 24000721 16124979745668
3/15/2021 24000721 16124979745668
3/15/2021 24000721 16124979745668

3/15/2021 24000721 16124979746916
3/15/2021 24000721 16124979746916
3/15/2021 24000721 16124979745668
3/15/2021 202009007
3/15/2021 24000721 16124979745668
3/15/2021 24000721 16124979745668
3/15/2021 202009005
3/15/2021 202009005
3/15/2021 24000721 16124979746916
3/15/2021 24000721 16124979746916
3/15/2021 202009005
3/15/2021 202009005
3/15/2021 24000721 16124979745668

Dosis 2
Tanggal Pemberian
Vaksinasi
12/4/2021 24001421 16134561181821
12/4/2021 24001421 16134561181821
12/4/2021 24001421 16134561181821
12/4/2021 24001421 16134561181821
12/4/2021 24001421 16134561181821
12/4/2021 24001421 16134561181821
12/4/2021 24001421 16134561181821

12/4/2021 24001421 16134561181821
12/4/2021 24001421 16134561175581
12/4/2021 24001421 16134561175581
12/4/2021 24001421 16134561175581
12/4/2021 24001421 16134561175581
12/4/2021 24001421 16134561175581
12/4/2021 24001421 16134561175581
12/4/2021 24001421 16134561175581
12/4/2021 24001421 16134561175581
12/4/2021 24001421 16134561175581
12/4/2021 12/4/2021 16134561181665
12/4/2021 12/4/2021 16134561181665
12/4/2021 12/4/2021 16134561181665

Keterangan
VAKSIN KE-1 DI RSUAM

VAKSIN KE-1 DG SINGLE DOSE

Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
2 Z-E4DE655E
3 Z-CBB9C9B6
6 Z-AF188D51
7 Z-E2F5A163
8 Z-9C2CFCE3
9 Z-761227EE
10 Z-EDEB4700
11 Z-327F218E
12 Z-74020E28
13 Z-F90F1244
14 Z-1BDB84D2
15 Z-85939BE9
16
17 Z-DE3BA3CF
18 Z-66025B3B
19 Z-4078C6D6
20 Z-4A97EC09
21 Z-2AF9D62E
22 Z-59791E2F
23 Q-16780C49
24 Z-079F1BB0
25 Z-19149A72
26 Z-81570199
27 Z-3F010CCE
28 Z-36FE3D14
29 Z-0F5A72FD
30 Z-BC3AFFCC
31 Z-EE21C8AC
32 Z-C26B19D9
33
34 Z-1C6B7A2B
35 Z-9BAA2E09
36 Z-A62D06CO
37 Z-B178C38C
38 Z-9BC8F055
39 Z-B8CA9AD8
40 Q-D6FC7CB1
41 Z-23F52F26
42 Z-OBD5BA2D
43 Z-02249CB9
44 Z-C6E12B3C
45 Z-87504284
46 Z-0CED9C4F
47 Z-F06FF4A7
NIK
1871085210550002
1871086808510001
1871084111590001
1871080101490005
1871082108580004
1871085811460002
1871085410540001
1871081205590009
1871086902480003
1871082208470001
1871081409530003
1871080303480001
1871082404680002
1871082310500001
1871085701450002
1871080107600009
1871084505450001
1871082306530003
1871080101570017
1871086411520001
1871081207480002
1871084404480001
1871081302600002
1871086105560003
1871081108460001
1871080112420002
1871084501490001
1871071202500005
1871086111570002
1871084905510001
1871081803600001
1871080505600004
1871081202580017
1871080811540004
1871084907570001
1871080905550003
1871080701610004
1871081708570007
1871080504560004
1871084306370005
1871085509540001
1871080903580001
1871081011510004
1871086105540002
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA, 13 APRIL 2021
Jenis
Kelamin
BERTA BR SITUMORANG P E
ROHAIDA P E
TJE LIAN P E
HIU MEN SAK L E
AYATULLAH L E
SUDIAH ISTIANI P E
MARSINI P E
ALIP. MR L E
KIM HIAN P E
SURATMIN L E
AIDIT GUNADI L E
BIANI L E
HERU SAPTO ADI L A
HENDRY TONNY L E
GOUW YU SIANG P E
SOFYAN L E
KARMINI P E
SUKIMAN SAWI L E
MAROKE L E
WIRDATI P E
SAPRI SAID L E
JUARIYAH P E
SUYADI L E
HAMIDAH P E
SALWIN SALIM L E
EDY M. DIONO L E
PAIRAH P E
AWIN L E
ERLIE P E
LINA TRSINA MURTI P E
IR. NURZEN.SPD L E
M. NASIR L E
FADILAH BAHARI L E
HASAN L E
SUTINAH P E
MANSUR L E
SALFIAN L E
SARWANTO L E
IING L E
HJ. SITI MARYAM P E
PHAN NJUK JIN P E
SEN WING JAUW L E
TRIHANY ANGSA PUTRA L E
DJOLI WATTY P E
0 BPJS PBI
0 BPJS Non PBI
1 Non Anggota
46
47 Total
1 Dosis 1
0 Dosis 2
0 Total
0
46
47
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
12/10/1955 67 ≥60
28/08/1951 71 ≥60
01/11/1959 63 ≥60
01/01/1949 74 ≥60
21/08/1958 64 ≥60
18/11/1946 76 ≥60
14/10/1954 68 ≥60
12/05/1959 64 ≥60
29/02/1948 75 ≥60
22/08/1947 75 ≥60
14/09/1953 69 ≥60
03/03/1948 75 ≥60
24/01/1968 55 46-59
23/10/1950 72 ≥60
17/01/1945 78 ≥60
01/07/1960 62 ≥60
05/05/1945 78 ≥60
23/06/1953 69 ≥60
01/01/1957 66 ≥60
24/11/1952 70 ≥60
12/07/1948 74 ≥60
04/04/1948 75 ≥60
13/02/1960 63 ≥60
21/05/1956 67 ≥60
11/08/1946 76 ≥60
01/12/1942 80 ≥60
05/01/1949 74 ≥60
12/02/1950 73 ≥60
21/11/1957 65 ≥60
09/05/1951 72 ≥60
18/03/1960 63 ≥60
05/05/1960 63 ≥60
12/02/1958 65 ≥60
08/11/1954 68 ≥60
09/07/1957 65 ≥60
09/05/1955 68 ≥60
07/01/1961 62 ≥60
17/08/1957 65 ≥60
05/04/1956 67 ≥60
03/06/1937 85 ≥60
15/09/1954 68 ≥60
09/03/1958 65 ≥60
10/11/1951 71 ≥60
21/05/1954 69 ≥60
11
22
14
47
47
47
Alamat
KURIPAN
KURIPAN
BAKUNG
BAKUNG
KURIPAN
KURIPAN
KURIPAN
BAKUNG
KURIPAN
KURIPAN
KURIPAN
KURIPAN
SUKARAME 2
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
PESAWHAN / KURIPAN
KURIPAN
BAKUNG
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
Pekerjaan
A
B
C
D
E
Total
081279100774
082281420830 YA
081369952111 YA
085273908181 YA
081379379992 YA
081540894320 YA
081274305136
081379693873 YA
085281994763 YA
081271086078 YA
081373951899 YA
082185217332 YA
082175403149 YA
085280994763 YA
085268328561 YA
081373948139
082172326667 YA
081917786218
082282215667 YA
08534271134 YA
085374271135 YA
085789955666 YA
085377914741
081369199945 YA
085266366025 YA
082177459595
085379762618
0895106098183
081277214477
082377110670 YA
085208546891
082823065621 YA
082279276559
082377342222
085216848322
081278562858 YA
081379751212 YA
081220243093 YA
083168155758 YA
085366417771 YA
081272632388 YA
081272632388 YA
081279431661 YA
081271725109 YA
aan
0
0
0
0
0
0
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
3/16/2021 SINOVAC
Dosis I
3/16/2021 24000721 16125195369650
3/16/2021 24000721 16125195358886
3/16/2021 24000721 16125195562606
3/16/2021 24000721 16125195562606
3/16/2021 24000721 16125195369338
3/16/2021 24000721 16125195562606
3/16/2021 24000721 16125195369338
3/16/2021 24000721 16125195358886
3/16/2021 24000721 16125195562606
3/16/2021 24000721 16125195563698

3/16/2021 24000721 16125195369650
3/16/2021 24000721 16125195562606
3/16/2021 24000721 16125195369650
3/16/2021 24000721 16125195358886
3/16/2021 24000721 16125195562606
3/16/2021 24000721 16125195563698
3/16/2021 24000721 16125195562606
3/16/2021 24000721 16125195358886
3/16/2021 24000721 16125195369650
3/16/2021 24000721 16125195369338
3/16/2021 24000721 16125195369338
3/16/2021 24000721 16125195562606
3/16/2021 24000721 16125195563698
3/16/2021 24000721 16125195369650
3/16/2021 24000721 16125195358886
3/16/2021 24000721 16125195369650
3/16/2021 24000721 16125195563698

3/16/2021 24000721 16125195369338
3/16/2021 24000721 16125195563698
3/16/2021 24000721 16125195369338
3/16/2021 24000721 16125195358886
3/16/2021 24000721 16125195562606
3/16/2021 24000721 16125195369338
3/16/2021 24000721 16125195369650
3/16/2021 24000721 16125195563698
3/16/2021 24000721 16125195563698
3/16/2021 24000721 16125195369338
3/16/2021 24000721 16125195358886
3/16/2021 24000721 16125195369650
3/16/2021 24000721 16125195369650
3/16/2021 202009005
3/16/2021 202009005
3/16/2021 24000721 16125195358886
3/16/2021 24000721 16125195358886

Dosis 2
4/13/2021 24001421 16134561180885
4/13/2021 24001421 16134561180885
4/13/2021 24001421 16134561180885
4/13/2021 24001421 16134561180885
4/13/2021 24001421 16134561180885
4/13/2021 24001421 16134561180885
4/13/2021 24001421 16134561180885
4/13/2021 24001421 16134561181977
4/13/2021 24001421 16134561181977
4/13/2021 24001421 16134561181977

4/13/2021 24001421 16134561181977
4/13/2021 24001421 16134561181977
4/13/2021 24001421 16134561181977
4/13/2021 24001421 16134561181977
4/13/2021 24001421 16134561181977
4/13/2021 24001421 16134561181977
4/13/2021 24001421 16134561181977
4/13/2021 24001421 16134560969365
4/13/2021 24001421 16134560969365
4/13/2021 24001421 16134560969365
4/13/2021 24001421 16134560969365
4/13/2021 24001421 16134560969365
4/13/2021 24001421 16134560969365
4/13/2021 24001421 16134560969365
4/13/2021 24001421 16134560969365
4/13/2021 24001421 16134560969365
4/13/2021 24001421 16134560969365

4/13/2021 24001421 16134561180417
4/13/2021 24001421 16134561180417
4/13/2021 24001421 16134561180417
4/13/2021 24001421 16134561180417
4/13/2021 24001421 16134561180417
4/13/2021 24001421 16134561180417
4/13/2021 24001421 16134561180417
4/13/2021 24001421 16134561180417
4/13/2021 24001421 16134561180417
4/13/2021 24001421 16134561180417
4/13/2021 24001421 16134561180573
4/13/2021 24001421 16134561180573
4/13/2021 24001421 16134561180573
4/13/2021 24001421 16134561180573
4/13/2021 24001421 16134561180573
4/13/2021 24001421 16134561180573
4/13/2021 24001421 16134561180573

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Z-5BBB1E3A
2 Z-97B14E5F
3 Z-2A1AE401
4 Z-C47EBC55
9 Z-13346F7B
10 Z-98E1CF51
11 Z-9C55BD4B
12 Z-4639CEF9
14 Z-3D2F01D7
17 Q-3D932430
18 Z-BF69A784
19 Z-2D602FE0
20 Z-650B5BCE
21 Z-6519E17B
23 Z-938016D4
26 Z-AC02E50A
27 Z-FF49C777
28 Z-1CAE63A9
31 Z-1F8A9317
32 Z-5ABB5B54
33 Z-9425673F
35 Z-B4975B2D
38 Z-0659F829
39 Z-89F457F7
40 Q-54E42D33
41 W-A0BFB48B
42 Z-97A746C4
43 Z-B88C4FFA
44 Z-269DB03B
45 Z-3E174233
46 Z-4AD4652B
47 Z-5D54BFBB
48 Z-566CD935
50 Z-FDD2CB41
51 Z-902996F0
52 Q-E8883B6C
53 Z-CDCE72E8
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871084101490002
1871084711540001
1871080607480002
3172064610580002
1871086710580003
1871082607590001
1871082008530005
1871081505200001
1871085501550001
1871084103590001
1871085006530003
1871081404480004
1871084303580002
1871084506460001
1871081001500001
1871085504590002
1871084104530004
1871085707560003
1871086801290001
1871085808560002
1871082504520001
1871080706550002
1871081312350001
1871091303480001
1871080603610003
1871081809680006
1871086308590003
1871080404580003
1871085908570004
1871071405520003
1871084904570001
1871084403510001
1871081803530004
1871085808620005
1871094206850003
1871086804720003
1871084206590002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA, 13 APRIL 2021
Jenis
Kelamin
SUNTIAH P D
SURTINAH P E
ABDUL RONI L D
LENY LIMINTO P D
LESMA SINAGA P D
SUROTO, SE L E
GUNTUR L D
LIE TJIE JIN L E

ROIYAH P E
HJ. MISDAR WIPARTI P E
SRI HARTINI P E
BADJURI L E
ROSUNA S P D
ROHANI P D
KAHAR L E
ASMAH P D
HADIJAH P D
ROSLINA BN P D
NETTY HERTATTY P E
HERLINA P D
UJANG RAHMAT L D
SYARIFUDDIN L E
JUMANGIN L E
BUNYAMIN L D
HANIZAR L E
TAAL L B
SRI HARTININGSIH P E
RISO L D
SUTINI P E
M.ALI HARUN L D
KHOLIPAH P E
NURLENA P E
M. SIDIK MUBAQIR L D
SUHARYATI P B
SITI MAISAROH P B
MEGAWATI P B
MARHANNA P E
***Merek Vaksin
A = Sinovac
1 BPJS PBI
2 BPJS Non PBI
4 Non Anggota
46
53 Total
1 Dosis 1
7 Dosis 2
0 Total
21
24
53
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
01/01/1949 74 ≥60
07/111954 67 ≥60
06/07/1948 74 ≥60
06/10/1958 64 ≥60
27/10/1958 64 ≥60
26/07/1959 62 ≥60
20/08/1953 69 ≥60
15/10/1952 70 ≥60
15/01/1955 68 ≥60
01/03/1959 64 ≥60
10/06/1953 69 ≥60
14/04/1948 75 ≥60
03/03/1958 65 ≥60
05/06/1946 76 ≥60
10/01/1950 73 ≥60
15/04/1959 64 ≥60
4/1/1953 70 ≥60
17/07/1956 66 ≥60
28/01/1929 92 ≥60
18/08/1956 66 ≥60
4/25/1952 71 ≥60
07/06/1955 66 ≥60
13/12/1935 87 ≥60
3/13/1948 75 ≥60
06/03/1961 62 ≥60
18/09/1968 54 46-59
23/08/1959 62 ≥60
4/4/1958 65 ≥60
19/08/1957 65 ≥60
5/14/1952 71 ≥60
09/04/1957 66 ≥60
04/03/1951 72 ≥60
18/03/1953 70 ≥60
8/18/1962 60 ≥60
6/2/1985 37 31-45
26/04/1972 51 46-59
02/06/1959 63 ≥60
13
36
4
53
53
53
Alamat
KURIPAN
KURIPAN
KURIPAN
KURIPAN
BAKUNG
SUKARAME 2
KURIPAN
NOG
KURIPAN
BAKUNG
BAKUNG
BAKUNG
BAKUNG
KURIPAN
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
KURIPAN
BAKUNG
KURIPAN
BAKUNG
BATU PUTUK
BAKUNG
BAKUNG
KURIPAN
BAKUNG
BAKUNG
BATU PUTUK
BAKUNG
KURIPAN
SUKARAME 2
BAKUNG
BATU PUTUK
NOG
NOG
Pekerjaan
A
B
C
D
E
Total
No. Hp
0895055538733 YA
089505538733 YA
082379991840 YA
081214067131 YA
081379304244 YA
081329648583 YA
081278416420 YA
08127947190 YA
085377914741 YA
085366736699 YA
081930006162 YA
081930006162 YA
089601120213 YA
081366175361 YA
085357622111 YA
085269867315 YA
081274132424 YA
085279000350 YA
081808566020 YA
081274312424 YA
082176100400 YA
081273013117 YA
085377914741 YA
082176655766 YA
082175415706 YA
082186192666 YA
081272861543 YA
081540046091 YA
085377914741
085108421900 YA
085377914741 YA
081244361954 YA
08128416420 YA
085738823224 YA
089692554728 YA
0811791228
085208022668 YA
aan
0
0
0
0
0
0
Non Anggota
23-Mar-21 SINOVAC
22-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
22-Mar-21 CORONAVAC
23-Mar-21 SINOVAC
3/17/2020 SINOVAC
3/17/2020 SINOVAC
3/17/2020 SINOVAC
3/17/2020 SINOVAC
3/17/2020 SINOVAC
3/19/2021 SINOVAC
3/19/2021 SINOVAC
3/17/2020 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
22-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
22-Mar-21 CORONAVAC
3/17/2020 SINOVAC
23-Mar-21 SINOVAC
3/17/2020 SINOVAC
23-Mar-21 SINOVAC
22-Mar-21 CORONAVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
3/17/2020 SINOVAC
3/17/2020 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
3/17/2020 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
23-Mar-21 24000721 16124906900220
22-Mar-21 24000721 16124907107273
23-Mar-21 24000721 16124906900220
23-Mar-21 24000721 16124906900220
23-Mar-21 24000721 16124906900220
22-Mar-21 24000721 16124907107273
23-Mar-21 24000721 16124906901156
3/17/2020 24000721 16125195358574

3/17/2020 24000721 16125195358574
3/17/2020 24000721 16125195358574
3/17/2020 24000721 16125195358574
3/17/2020 202009005 SINGLE DOSE
3/19/2021 24000721 16124878914444
3/19/2021 24000721 16124878914444
3/17/2020 24000721 16125195358574
23-Mar-21 24000721 16124906900220
23-Mar-21 24000721 16124907104424
23-Mar-21 24000721 16124906901156
22-Mar-21 24000721 16124907107273
23-Mar-21 24000721 16124906900220
23-Mar-21 24000721 16124907104424
22-Mar-21 24000721 16124907107273
3/17/2020 24000721 16125195358574
23-Mar-21 24000721 16125159478885
3/17/2020 202009005 16125195366998

23-Mar-21 24000721 16124906901156
22-Mar-21 24000721 16124907107273
23-Mar-21 24000721 16124907104424
3/17/2020 24000721 16125195358574
23-Mar-21 24000721 16125159478885
3/17/2020 24000721 16125195366998
3/17/2020 24000721 16125195366998
23-Mar-21 24000721 16124906901156
23-Mar-21 24000721 16125159478885
23-Mar-21 24000721 16124907104424
3/16/2021 202009006
3/17/2020 24000721 16125195366998

Dosis 2
Tanggal Pemberian
Vaksinasi
20-Apr-21 24001421 16134554870373
20-Apr-21 24001421 16134554870373
20-Apr-21 24001421 16134554870373
20-Apr-21 24001421 16134554870373
20-Apr-21 24001421 16134554870373
20-Apr-21 24001421 16134554870373
20-Apr-21 24001421 16134554870373
20-Apr-21 24001421 16134561181197

20-Apr-21 24001421 16134561181197
20-Apr-21 24001421 16134561181197
20-Apr-21 24001421 16134561181197
20-Apr-21 24001421 16134561181197
20-Apr-21 24001421 16134561181197
20-Apr-21 24001421 16134561181197
20-Apr-21 24001421 16134554863821
20-Apr-21 24001421 16134554863821
20-Apr-21 24001421 16134554863821
20-Apr-21 24001421 16134554863821
20-Apr-21 24001421 16134561176049
20-Apr-21 24001421 16134561176049
20-Apr-21 24001421 16134561176049
20-Apr-21 24001421 16134561176049
20-Apr-21 24001421 16134561176049
20-Apr-21 24001421 16134561176049
20-Apr-21 24001421 16134561176049

20-Apr-21 24001421 16134561176049
20-Apr-21 24001421 16134555956289
20-Apr-21 24001421 16134555956289
20-Apr-21 24001421 16134555956289
20-Apr-21 24001421 16134555956289
20-Apr-21 24001421 16134555956289
20-Apr-21 24001421 16134555956289
20-Apr-21 24001421 16134555956289
20-Apr-21 24001421 16134555956289
20-Apr-21 24001421 16134555956289
20-Apr-21
20-Apr-21
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
7 Q-460EF716
8 Q-24C295DA
10 Q-29E69F86
11 Q-3C2DA3A3
35 Q-VDC9B009
64 Q-69089ABD
75 Q-F4E2A63D
77 Q-7F366236
82 Q-57FF7B6C
83 Q-4B163D2A
113 Z-C551FBF5
132 Q-550774B8
160 P-0LUQZN71
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871086910850002
1871082906690003
1871046001840007
1871040806800042
1871085503760002
1871082005700005
1871074611650001
1871082004830006
1871085109810002
1871082506630002
1871080307750004
1871084201770001
1871081407890001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SABTU/ 27-3-2021
Jenis
Kelamin
INDRIYASMITA GUNTORO P B
TRI YANTO L B
FENNY LIUSIANA P B
HARTONO ALI L B
LIANA P B
THEN PEN LIE L B
TJAN TJUN LIAN P D

RIANTO L B
TRI NURHAYANI P B
MAKDUM L B
ATHIEN L B
RITA P B
HENDRA PUTRA L B
***Merek Vaksin
A = Sinovac

39 BPJS PBI
27 BPJS Non PBI
58 Non Anggota
40
164 Total
0 Dosis 1
140 Dosis 2
0 Total
32
0
172
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
29/10/1985 37 31-45
29/06/1969 53 46-59
20/01/1984 39 ≥60
08/06/1984 38 31-45
15/03/1976 47 46-59
20/05/1970 53 ≥60
06/11/1965 57 46-59
20/04/1983 40 31-45
11/09/1981 41 31-45
25/06/1963 59 46-59
03/07/1975 47 ≥60
02/01/1977 46 31-45
14/07/1989 33 31-45
2
109
61
172
37
0
37
Alamat
BAKUNG
TBB
TBB
NOG
TBB
TBB
BAKUNG
TBB
TBB
TBB
BAKUNG
TBB
TBB
Pekerjaan
A
B
C
D
E
Total
No. Hp
082184005555 YA
082195874955 YA
08127218293
081379141555
081377840813
085383589101
081210398267
081379986888 YA
082179125666
081246603285 YA
082286882772
0895331125293
085269455252 YA
aan
0
0
0
0
Non Anggota
3/27/2021 SINOVAC
3/27/2021 SINOVAC
YA SINOVAC
YA SINOVAC
YA SINOVAC
3/27/2021 SINOVAC
3/27/2021 SINOVAC
YA SINOVAC
YA SINOVAC
4/24/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
3/27/2021 24000721 16125095857717
3/27/2021 24000721 16125095653669
3/27/2021 24000721 16125095864893
3/27/2021 24000721 16125095851149
3/27/2021 24000721 16125095653669
3/27/2021 24000721 16125095851149
3/27/2021 24000721 16125080165833

3/27/2021 24000721 16125095857717
3/27/2021 24000721 16125095857717
3/27/2021 24000721 16125095653669
3/27/2021 24000721 16125095851149
3/27/2021 24000721 16125095858653
4/24/2021 24001421 16134638198605

Dosis 2
Tanggal Pemberian
Vaksinasi
4/24/2021 24001421 16134558790185
4/24/2021 24001421 16134558790185
4/24/2021 24001421 16134558790185
4/24/2021 24001421 16134558790185
4/24/2021 24001421 16134638196577
4/24/2021 24001421 16134637982389
4/24/2021 24001421 16134555957865

4/24/2021 24001421 16134555957865
4/24/2021 24001421 16134555957865
4/24/2021 24001421 16134555957865
4/24/2021 24001421 16134637980205
4/24/2021 24001421 16134558783945

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Z-715303CB
3 Z-235C3DA7
6 Q-B6128328
8 Q-B3B0BB0F
9 Z-52E03A9E
10 Z-70722113
11 Z-6E0C0305
12 Z-F4BDA517
13 Z-A0F36D3B
18 Z-359554CS
20 S-9359C842
21 Z-02BB3175
23 Q-8FAD3AE6
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871085110570002
1871084805570001
317446505750012
1871082302000002
1871085708600002
1871085303540003
3173026912470009
1871081508570002
1871085811520002
1871086811590001
1871086905630002
1871085404780001
1871082505830008

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN, 26/04/2021
Jenis
Kelamin
SUYATI P E
HERTA KOHAR P E
RENO SANDRA SARI P B
TEJAB ARDIANSYAH L B
LINA P D
YAINAH P D
INDERAWATI P D
NAMSON SITOHANG L D
AMINAH NAHDI P D
SANTI P D
YUS VARIANA P B
LENI MAHANANI P B
HENDRA SASANGKA L B
***Merek Vaksin
A = Sinovac

9 BPJS PBI
7 BPJS Non PBI
3 Non Anggota
15
34 Total
0 Dosis 1
20 Dosis 2
0 Total
11
3
34
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
11/10/1957 65 ≥60
08/05/1957 66 ≥60
25/05/1975 45 31-45
22/02/2000 21 18-30
17/08/1960 60 ≥60
13/03/1954 67 ≥60
29/12/1947 73 ≥60
15/08/1957 63 ≥60
18/11/1952 68 ≥60
28/11/1959 63 ≥60
5/29/1963 60 ≥60
4/15/1978 45 31-45
25/05/1983 40 31-45
6
17
11
34
9
25
34
Alamat
PERWATA
KURIPAN
BAKUNG
KURIPAN
TELUK BETUNG BARAT
TELUK BETUNG BARAT
NEGERI OLOK GADING

BAKUNG
NEGERI OLOK GADING
KURIPAN
NOG
NOG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
085367000376 YA
085289058618
081288925575 ya
081558909694 YA
085267429269 YA
081273609809 YA
081219761085 YA
081379304244 YA
085720469963 YA
081368828161 YA
081369076624 YA
081279379514 YA
081379544683 YA
aan
0
0
0
0
0
0
Non Anggota
29-Mar-21 CORONAVAC
YA 29-Mar-21 CORONAVAC
3/24/2021 SINOVAC
3/24/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/10/2021 SINOVAC
3/26/2021 SINOVAC
23-Mar-21 SINOVAC
23-Mar-21 SINOVAC
4/26/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
29-Mar-21 24000721 16125167950762
29-Mar-21 24000721 16125167950762
3/24/2021 24000721 16125159482613
3/24/2021 24000721 16124906899612
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596

3/10/2021 24000721 16124975617596
3/10/2021 24000721 16124975617596
3/26/2021 24000721 16125079957573
23-Mar-21 24000721 16125159478885
23-Mar-21 24000721 16125159478885

Dosis 2
Tanggal Pemberian
Vaksinasi
4/26/2021 24001421 16134558780981
4/26/2021 24001421 16134637990813
4/26/2021 24001421 16134637990813
4/26/2021 24001421 16134558777237
4/26/2021 24001421 16134558780981
4/26/2021 24001421 16134558780981
4/26/2021 24001421 16134637990813

4/26/2021 24001421 16134558780981
4/26/2021 24001421 16134558780981
4/26/2021 24001421 16134637990813
4/26/2021 24001421 16134637990813
4/26/2021 24001421 16134637990813
4/26/2021 24001421 16134637990813

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-63CB79AE
2 S-4284E4D2
3 S-43D9E259
6 Q-693A129D
20 Z-22A5C330
21 Z-542853ED
23 Q-6893BE16
25 Q-67B9B854
26 Q-6763E30C
27 Q-692A5C67
28 S-60EA60AD
30 Z-50D69BAE
31 Z-50C8C00C
32 P-LRKERMZJ
33 Z-ABAFB1D4
34 Q-6A59AE79
45 Z-50CF86F4
46 Z-51EC65E1
47 P-50H23FF1
48 S-F6130E6D
50 P-51HB94J7
51 Q-69C165F8
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871062309830017
1871086705520002
1871081608560004
1871082601020004
1871081510360001
1871085105470001
1871081107650002
1871080804660001
1871080508670003
1871081910670001
1871080904560001
1871084208510001
1871081604610001
1871075002890004
1871080508560001
1871086706640003
1871082510450003
1871086802490001
1871074203760008
1871085204600002
1871080307730006
1871084909730003

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA/ 27-4-2021
Jenis
Kelamin
PURWANTO L B
SIOE FA P D
AGUSTIO L D
CLAUDIO CHRISTOPER VALENTINO L B
M. YASIN SALEH L D
MARDIAH P D
SUKRI L B
SUDRAJAT L B
AGUS SUBANDI L B
HERWANTONI L B
ASTIAMAN KUNDO YASIN L D
SARIAH P D
AHMAD AQSO L D
LIA FEBRIANTI P B
M. NUR L D
RUMINI P B
ALIYUN AR. L D
SAONAH AL P D
CILYA MARITA HUTARA P B
AIDAH P D
HANSEN BUNAWAN L B
SARI EKO SUSANTI P B
***Merek Vaksin
A = Sinovac
12 BPJS PBI
12 BPJS Non PBI
17 Non Anggota
14
55 Total
1 Dosis 1
42 Dosis 2
0 Total
12
0
55
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
23/09/1983 39 31-45
27/05/1952 71 ≥60
16/08/1956 66 ≥60
26/01/2002 21 18-30
15/10/1938 84 ≥60
11/05/1947 76 ≥60
11/07/1965 57 46-59
08/04/1966 57 46-59
05/08/1967 55 46-59
19/10/1967 55 46-59
09/04/1956 67 ≥60
02/08/1951 71 ≥60
16/04/1951 72 ≥60
10/02/1989 34 31-45
05/08/1956 66 ≥60
27/06/1964 58 46-59
25/10/1945 77 ≥60
28/02/1949 74 ≥60
02/03/1976 47 46-59
12/04/1960 63 ≥60
03/07/1973 49 46-59
09/09/1973 49 46-59
17
6
32
55
16
39
55
Alamat
BAKUNG
KURIPAN
BAKUNG
BAKUNG
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG TBB
NOG
BAKUNG
NOG
NOG TBB
Pekerjaan
A
B
C
D
E
Total
No. Hp
081272272220 YA
081279634920
082314018888 YA
082120535557
082185780020 YA
081279623088 YA
082376380548 YA
082177377254 YA
081369214821 YA
081279623088 YA
081279020707 YA
085377914741
085377914741
085269139393 YA
085369023808 YA
085369023808 YA
081271174728 YA
081271174728 YA
082178119922
081379243188
082180222344 YA
aan
0
0
0
0
Non Anggota
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
3/30/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
3/30/2021 24000721 16124978006736
3/30/2021 24000721 16124978006736
3/30/2021 24000721 16124978006736
3/30/2021 24000721 16124978006736
3/30/2021 24000721 16124978005956
3/30/2021 24000721 16124978005956
3/30/2021 24000721 16124978005956

3/30/2021 24000721 16125080164273
3/30/2021 24000721 16125080164273
3/30/2021 24000721 16125080164273
3/30/2021 24000721 16125080164273
3/30/2021 24000721 16125080172541
3/30/2021 24000721 16125080172541
3/30/2021 24000721 16125080172541
3/30/2021 24000721 16125080172541
3/30/2021 24000721 16125080172541
3/30/2021 24000721 16125080172541
3/30/2021 24000721 16125080172541
4/27/2021 24001421 16134472442624
4/27/2021 24001421 16134472442624
4/27/2021 24001421 16134472442624
3/30/2021 24000721 16125080172541

Dosis 2
Tanggal Pemberian
Vaksinasi
4/27/2021 24001421 16134484407060
4/27/2021 24001421 16134484407060
4/27/2021 24001421 16134484407060
4/27/2021 24001421 16134484407060
4/27/2021 24001421 16134472457928
4/27/2021 24001421 16134472457928
4/27/2021 24001421 16134472651040

4/27/2021 24001421 16134472651040
4/27/2021 24001421 16134472651040
4/27/2021 24001421 16134472651040
4/27/2021 24001421 16134472651040
4/27/2021 24001421 16134472651040
4/27/2021 24001421 16134472651040
4/27/2021 24001421 16134472651040
4/27/2021 24001421 16134472651040
4/27/2021 24001421 16134638195329
4/27/2021 24001421 16134472442624
4/27/2021 24001421 16134472442624
4/27/2021 24001421 16134472442624

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Z-BCB81128
2 Z-FBF795F3
3 Q-3FBCDDA9
4 Q-3D6370CB
5 Z-02471F08
6 Z-AA83FBE6
7 Z-BE305168
8 Z-E89DB305
9 Q-3ECCBBC8
10 Z-57D6E2F4
11 Z-AB1CDDA9
12 Q-40635A35
13 Q-405AF20A
14 Z-54213B74
16 W-E1C576BF
18 W-F2DD67C3
19 Z-49B9C143
20 Q-3F36CA81
21 Z-768BD525
23 Q-3FC5A1A9
24 W-A56C5E3C
25 Z-F994D226
26 Q-495FF01F
28 Q-B3707708
29 P-8IZ68HB4
33 Z-A272FBAD
49 Q-B402D33E
58 W-EFD05C42
61 S-22E84DE6
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871081508590001
1871081511490001
1871081707640002
1871080507640003
1871084705520003
1871082806560001
1809070603570003
1871080311530004
1871080806670003
1871082105580002
1871081812490001
1871083004790002
1871082402780005
1871084308580002
1871062401830003
1871080504850006
1871081710590003
1871081706670001
1871080201520004
1871081809680010
1871080901730003
1871085006600007
1871081802910003
1871080110800006
1871081311940001
1871084701530003
1871082204610002
1871081807840005
1871082511790007

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS/ 29-04-2021
Jenis
Kelamin
SOLEMAN L D
ADNAN NM L D
MUHAMMAD EDY P B
SONY ELFA SUHENDRA L B
TUKIRAH P D
OSCAR ATMADJA L D
DRS.HI.TABRANI TIAR L D
LIE TJIAW ENG L D
YUSAR L B
ABDUL MUIN L D
AHMAD RIFAI UMAR L D
SUNARNO L B
SEHEL GARMUS L B
ASIAH P D
MUHAMMAD MARWAN L B
M. DEDY ZULYAN L B
ULYA NURDIN L D
ZULKIFLI L B
SUPARMAN L D
DALY L B
AL HAJRI L B
AL LINA P D
EDWIN SAPUTRA L B
AGUS SUMARTO L B
NOVIAN RAHMAD EGISTI L B
NYAMI P D
SLAMET HASANIAH L B
JULIAN ESA YUDHISTIRA L B
INDAR RISMAN L B
***Merek Vaksin
A = Sinovac

14 BPJS PBI
13 BPJS Non PBI
20 Non Anggota
15
62 Total
0 Dosis 1
48 Dosis 2
0 Total
14
0
62
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
16/08/1959 63 ≥60
15/11/1949 73 ≥60
17/07/1964 58 46-59
05/07/1964 58 46-59
07/05/1952 71 ≥60
28/06/1956 66 ≥60
06/03/1958 65 ≥60
03/11/1953 69 ≥60
08/06/1967 55 46-59
21/05/1958 65 ≥60
18/12/1949 73 ≥60
30/04/1979 44 31-45
24/02/1978 45 31-45
03/08/1958 64 ≥60
24/01/1983 40 31-45
05/04/1985 38 31-45
17/10/1959 63 ≥60
17/06/1967 55 46-59
02/01/1952 71 ≥60
18/09/1968 54 46-59
17/07/1964 58 46-59
10/06/1960 62 ≥60
18/02/1991 32 31-45
01/10/1980 42 31-45
13/11/1994 28 18-30
07/01/1953 70 ≥60
22/04/1961 62 ≥60
18/07/1984 38 31-45
25/11/1979 43 31-45
12
39
11
62
22
40
62
Alamat
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
KURIPAN
TBB
KURIPAN
KURIPAN
SUKARAME II TBB
KURIPAN
KURIPAN
KURIPAN
NOG TBB
KURIPAN
NOG TBB
NOG TBB
KURIPAN
SUKARAME II TBB
KURIPAN
KURIPAN
KURIPAN
BAKUNG
SUKARAME II TBB
NOG TBB
SUKARAME II TBB
SUKARAME II TBB
BAKUNG
NOG TBB
Pekerjaan
A
B
C
D
E
Total
No. Hp
085380784366 YA
081274312424 YA
085357879996 YA
081274312424 YA
081274312424
0812793296
081379381928 YA
081277214477
082175770209 YA
085384221448 YA
081273551023 YA
08526826894
089631386333 YA
087868870618 YA
081369077787 YA
081369066768 YA
085366267624 YA
081271413743 YA
089632135985 YA
085789410089 YA
085383047075 YA
081369013334 YA
082373113334 YA
085269597172 YA
081216211041 YA
081249610351 YA
082178114415 YA
YA
08992159305 YA
aan
0
0
0
0
Non Anggota
3/31/2021 SINOVAC
3/31/2021 SINOVAC
3/31/2021 SINOVAC
3/31/2021 SINOVAC
3/31/2021 SINOVAC
3/31/2021 SINOVAC
4/1/2021 SINOVAC
3/31/2021 SINOVAC
3/31/2021 SINOVAC
3/30/2021 SINOVAC
3/31/2021 SINOVAC
4/1/2021 SINOVAC
4/1/2021 SINOVAC
3/31/2021 SINOVAC
4/1/2021 SINOVAC
3/31/2021 SINOVAC
3/31/2021 SINOVAC
3/31/2021 SINOVAC
29-Mar-21 CORONAVAC
4/1/2021 SINOVAC
4/29/2021 SINOVAC
4/1/2021 SINOVAC
4/1/2021 SINOVAC
3/26/2021 SINOVAC
4/29/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
3/8/2021 24000721 16124977803156
3/30/2021 24000721 16124978005644
3/8/2021 24000721 16124977803156
3/8/2021 24000721 16124977803156
3/31/2021 24000721 16124978005644
3/30/2021 24000721 16124978005644
3/8/2021 24000721 16124977803156

3/30/2021 24000721 16124978005644
3/30/2021 24000721 16124978005644
4/1/2021 24000721 16125195365126
3/30/2021 24000721 16125080173165
3/30/2021 24000721 16125080173165
3/30/2021 24000721 16125080173165
3/30/2021 24000721 16124978005956
3/30/2021 24000721 16125080173165
4/1/2021 24000721 16124978006268
4/1/2021 24000721 16124978006268
3/8/2021 24000721 16124977803156
4/1/2021 24000721 16125195365126
3/8/2021 24000721 16124977803156
3/8/2021 24000721 16124977803156
3/30/2021 24000721 16125080173165
29-Mar-21 24000721 16124978006892
4/1/2021 24000721 16125195365126

4/29/2021 24001421 16134472448412
4/1/2021 24000721 16125195365126
4/1/2021 24000721 16125195365126
3/26/2021 24000721 16125079957573
4/29/2021 24001421 16134472446384

Dosis 2
Tanggal Pemberian
Vaksinasi
4/29/2021 24001421 16134472441220
4/29/2021 24001421 16134472441220
4/29/2021 24001421 16134472441220
4/29/2021 24001421 16134472441220
4/29/2021 24001421 16134472441220
4/29/2021 24001421 16134472441220
4/29/2021 24001421 16134472441220

4/29/2021 24001421 16134472441220
4/29/2021 24001421 16134472441220
4/29/2021 24001421 16134472441220
4/29/2021 24001421 16134472441220
4/29/2021 24001421 16134555957397
4/29/2021 24001421 16134555957397
4/29/2021 24001421 16134555957397
4/29/2021 24001421 16134555957397
4/29/2021 24001421 16134555957397
4/29/2021 24001421 16134555957397
4/29/2021 24001421 16134555957397
4/29/2021 24001421 16134555957397
4/29/2021 24001421 16134472448412
4/29/2021 24001421 16134472448412
4/29/2021 24001421 16134472448412
4/29/2021 24001421 16134472448412
4/29/2021 24001421 16134472448412

4/29/2021 24001421 16134472448412
4/29/2021 24001421 16134472444184
4/29/2021 24001421 16134472446384

Keterangan
Nama Puskesmas/Fasyankes/Pos : PUSKESMAS BAKUNG / KEMENAG

Provinsi : LAMPUNG
Hari, Tanggal : Rabu/ 5-5-2021
Keterangan
Umur Nama/Jenis/
Jenis Tanggal Kelompok Kepesertaan BPJS (tulis 'Ya' Tanggal (Ditunda/Tidak
No No. Tiket NIK Nama Penerima Vaksin Pekerjaan* (18 sd ≥ 60 Alamat No. Hp Merek Dosis I Dosis 2
Kelamin Lahir Umur pada kolom yang sesuai) Screening Diberikan/Lanju
tahun) Vaksin***
t)
1 P-4QEQPKKL 1871062606930008 ANDRIYAN L B 26/06/1993 29 18-30 BAKUNG 089516330345 YA 5/5/2021 SINOVAC 5/5/2021 24001421 16134608601973
2 Z-1312A400 1871070101670019 NOOR SYAFRUDIN L B 01/01/1967 56 46-59 BAKUNG 0895332691427 YA 4/7/2021 SINOVAC 4/7/2021 24001421 16134618685345 5/5/2021 24001421 16134608601973
11 S-65A2E195 1871092101760004 KARTA L B 21/01/1976 47 46-59 BATUPUTUK 081273698206 YA 5/5/2021 SINOVAC 5/5/2021 24001421 16134608810545
27 Q-7C8980B5 1871081102750007 A. SAMSUL KAWAKIB L B 11/02/1975 48 46-59 NOG 081273681192 YA 4/7/2021 SINOVAC 4/7/2021 24001421 16134618690805 5/5/2021 24001422 16134608596981
29 Z-67C1543D 1871085904960002 RIRIN ARYANI P B 09/04/1996 27 18-30 BAKUNG 082178797590 YA 4/7/2021 SINOVAC 4/7/2021 24001421 16134618690805 5/5/2021 24001424 16134608596981
32 P-QVLEYTTL 1701056012820003 TUTI DWI RAHAYU P B 20/12/1982 40 31-45 NOG 085269164530 YA 4/7/2021 SINOVAC 4/7/2021 24001421 16134618690805 5/5/2021 24001427 16134608814757
45 Q-3D5B6BFE 1871080302540001 EDY NASIR L D 01/02/1954 69 ≥60 KURIPAN 081274312424 YA 3/30/2021 SINOVAC 3/30/2021 24000721 16125080173165 5/5/2021 24001421 16134608600881
46 Z-2D2A7EC8 1871130302480002 NURHADI PERDIMAN L D 03/02/1948 75 ≥60 BAKUNG 081274312424 YA 4/5/2021 SINOVAC 4/5/2021 24000721 16124978009388 5/5/2021 24001421 16134608600881
48 P-AXXN1FQ3 1871081409900006 EKO WIBOWO L B 14/09/1992 30 18-30 NOG 082231469888 YA 5/5/2021 SINOVAC 5/5/2021 24001421
49 P-AYDZGTAG 1871081203880006 NAHRAWI L B 12/03/1988 35 31-45 BAKUNG 089531612480 YA 5/5/2021 SINOVAC 5/5/2021 24001421
52 P-AZG9W3MN 1871082106950004 BUDI WIBOWO L B 21/06/1995 27 18-30 BAKUNG 081271188421 YA 5/5/2021 SINOVAC 5/5/2021 24001421

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

18-30 17 BPJS PBI 5 A 0
≥ 60 tahun 4
B 54 Dosis 2 43
C 0 Total 57
D 3
E 0
Total 57

Provinsi : LAMPUNG
Hari, Tanggal : KAMIS/ 06-05-2021
Kepesertaan BPJS (tulis 'Ya' pada

Dosis I Dosis 2
kolom yang sesuai)
Umur Keterangan
Jenis Tanggal Kelompok Tanggal Nama/Jenis/
No No. Tiket NIK Nama Penerima Vaksin Pekerjaan* (18 sd ≥ 60 Alamat No. Hp (Ditunda/Tidak
Kelamin Lahir Umur Screening Merek Vaksin***
tahun) Tanggal Tanggal Diberikan/Lanjut)
BPJS Non Non
BPJS PBI Pemberian No. Batch No. Serial Pemberian No. Batch No. Serial
PBI Anggota
Vaksinasi Vaksinasi
1 W-FC874BE7 1871081712630003 SELAMET L B 17/12/1963 59 46-59 SUKARAME II TBB 082184963493 YA 3/6/2021 SINOVAC 3/6/2021 24000721 4/3/2021 24000721 16124978012196
54 S-D4FC6461 1872056206930001 PUTRI PERMATASARI P D 22/06/1993 29 18-30 METRO 085764747282 YA 5/6/2021 SINOVAC 5/6/2021 24001421 16134608602129

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

18-30 7 BPJS PBI 19 A 0
≥ 60 tahun 29
B 33 Dosis 2 49
C 0 Total 57
D 24
E 0
Total 57

Provinsi : LAMPUNG
Hari, Tanggal : SABTU / 8- 5 -2021

Dosis I Dosis 2
Umur Nama/Jenis/ Keterangan
No No. Tiket NIK Pekerjaan* (18 sd ≥ 60 Alamat No. Hp Merek (Ditunda/Tidak
tahun) Vaksin*** Tanggal Tanggal Diberikan/Lanjut)
BPJS BPJS Non Non
Pemberian No. Batch No. Serial Pemberian No. Batch No. Serial
PBI PBI Anggota
Vaksinasi Vaksinasi
1 q-3bf93934 1871085010640007 LISDA P B 10/10/1964 58 46-59 KOTA KARANG 081368605754 YA 4/10/2021 SINOVAC 4/10/2021 24001421 16134618686437 5/8/2021 24001421 16134638637745
31 Z-80BE1F24 1871085107600002 HERNI P D 11/07/1960 62 ≥60 SUKARAME 2 081271789981 YA YA 4/7/2021 SINOVAC 4/7/2021 24001421 16134618686437 5/8/2021 24001421 16134638638213

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

18-30 1 BPJS PBI 2 A 0
≥ 60 tahun 32
B 54 Dosis 2 58
C 0 Total 71
D 17
E 0
Total 71

Provinsi : LAMPUNG
Hari, Tanggal : SABTU / 22- 5 -2021

Dosis I Dosis 2
Umur Nama/Jenis/ Keterangan
Jenis Kelompok Tanggal
No No. Tiket NIK Nama Penerima Vaksin Pekerjaan* Tanggal Lahir (18 sd ≥ 60 Alamat No. Hp Merek (Ditunda/Tidak
Kelamin Umur Screening
BPJS Non
Non PBI Anggota
Vaksinasi Vaksinasi
1 1871074701590001 YANTI P D 07/01/1959 64 ≥60 BUMI WARAS 081382094546 YA 4/24/2021 SINOVAC 4/24/2021 24001421 16134638193613 5/22/2021 24001421 16134560093097 SALAHINPUT ASTRAZENECA
22 Q-98B75E0B 1871081407890001 HENDRA PUTRA L B 14/07/1989 33 31-45 TBB 085269455252 YA 4/24/2021 SINOVAC 4/24/2021 24001421 16134638198605 5/22/2021 24001421 16134564976989
24 S-9FBDBBC9 1871082810640003 YAMAGATHA L B 28/10/1964 58 46-59 TBB 081541402388 YA 5/22/2021 SINOVAC 5/22/2021 24001421 16134564971373
25 P-CAXEY1AO 1871086203690002 DHAMMAYATRI P B 22/03/1969 54 46-59 BAKUNG 089654735618 YA 5/22/2021 SINOVAC 5/22/2021 24001421 16134564971373

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

18-30 18 BPJS PBI 0 A 0
≥ 60 tahun 3
B 58 Dosis 2 34
C 0 Total 59
D 1
E 0
Total 59

Provinsi : LAMPUNG
Hari, Tanggal : SENIN / 24- 5 -2021

Dosis I Dosis 2
Umur Nama/ Keterangan
Jenis Tanggal Kelompok Tanggal
No No. Tiket NIK Nama Penerima Vaksin Pekerjaan* (18 sd ≥ 60 Alamat No. Hp Jenis/Merek (Ditunda/Tidak
Kelamin Lahir Umur Screening
BPJS BPJS Non
Pemberian No. Batch No. Serial Pemberian No. Batch No. Serial
PBI Non PBI Anggota
Vaksinasi Vaksinasi
1 P-A24R7VP0 1871202408750001 BUDIANTA INDRA L B 24/08/1975 47 46-59 BUMI WARAS 085368233999 YA 5/24/2021 SINOVAC 5/24/2021 24001421 16134564982449
2 S-C247E344 1871085105520001 HJ.MAIRIS P D 11/05/1952 71 ≥60 KOTAKARANG 081272265407 YA 5/24/2021 SINOVAC 5/24/2021 24001421 16134564982449
5 P-D3BBU4A3 1871085910660001 SUMIYATI P B 19/10/1966 56 46-59 BAKUNG 085669990547 YA 5/24/2021 SINOVAC 5/24/2021 24001421 16134564982449

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

18-30 14 BPJS PBI 0 A 0
≥ 60 tahun 2
B 27 Dosis 2 9
C 0 Total 29
D 2
E 0
Total 29

Provinsi : LAMPUNG
Hari, Tanggal : SELASA / 25- 5 -2021

Dosis I Dosis 2
Nama/
Umur Keterangan
Jenis Kelompok Tanggal Jenis/
No No. Tiket NIK Nama Penerima Vaksin Pekerjaan* Tanggal Lahir (18 sd ≥ 60 Alamat No. Hp (Ditunda/Tidak
Kelamin Umur Screening Merek
BPJS Non Non Vaksin***
PBI Anggota
Vaksinasi Vaksinasi
1 P-DCEG102J 1871066202620003 THENG LIAN GIOK P B 22/02/1962 61 ≥60 TANJUNG KARANG PUSAT 082374879955 YA 5/25/2021 SINOVAC 5/25/2021 24001421 16134560084985
2 P-DRGLD6FX 1871085110800007 WARYATI P B 11/10/1980 42 31-45 KETEGUHAN 089633424880 YA 5/25/2021 SINOVAC 5/25/2021 24001421 16134560084985
3 P-ETWT0F00 1871084105650005 ENDANG EKA P B 01/05/1965 58 18-30 BAKUNG 081369066565 YA 5/25/2021 SINOVAC 5/25/2021 24001421 16134560084985
4 P-F55DRMHB 1871032209630003 RAHMAT CH. L B 22/09/1963 59 46-59 BAKUNG 081369066565 YA 5/25/2021 SINOVAC 5/25/2021 24001421 16134560084985
5 P-FHCSDUCI 1871056605910005 MAYA ELIZA PUTRI P B 26/05/1991 32 31-45 BAKUNG 08117221112 YA 5/25/2021 SINOVAC 5/25/2021 24001421 16134560084985
6 Q-F159EEBC 1871080307730006 HANSEN GUNAWAN L B 03/07/1973 49 46-59 NOG 081379243188 YA 4/27/2021 SINOVAC 4/27/2021 24001421 16134472442624 5/25/2021 24001421 16134560084985
7 Q-41214F58 1871074203760008 CILYA MARITA HUTARA P B 02/03/1976 47 46-59 NOG 082178119922 YA 4/27/2021 SINOVAC 4/27/2021 24001421 16134472442624 5/25/2021 24001421 16134560084985
28 Z-2152BD69 1871085204600002 AIDAH P D 12/04/1960 63 ≥60 BAKUNG - YA 4/27/2021 SINOVAC 4/27/2021 24001421 16134472442624 5/25/2021 24001421 16134560091381
29 P-IOW8MGHZ 1871081210670002 ISKAK L B 10/12/1967 55 46-59 BAKUNG 082397562837 YA 5/25/2021 SINOVAC 5/25/2021 24001421 16134560091381
37 P-IXFQXFUE 1871077008740001 WONG DJUI PHING P B 8/30/1974 48 46-59 NOG 082281895888 YA 25/05/2021 SINOVAC 5/25/2021 24001421 '16134559669261

18-30 10 BPJS PBI 0 A 0
≥ 60 tahun 3
B 36 Dosis 2 14
C 0 Total 38
D 2
E 0
Total 38

Provinsi : LAMPUNG
Hari, Tanggal : SELASA / 27- 5 -2021
Kepesertaan BPJS (tulis 'Ya' pada

Dosis I Dosis 2
kolom yang sesuai)
Umur Keterangan
Nama Penerima Jenis Tanggal Kelompok Tanggal Nama/Jenis/
No No. Tiket NIK Pekerjaan* (18 sd ≥ 60 Alamat No. Hp (Ditunda/Tidak
Vaksin Kelamin Lahir Umur Screening Merek Vaksin***
BPJS Non Non
PBI Anggota
Vaksinasi Vaksinasi
1 P-7BWE6ROO 1871051009910002 DERI SEPRIYAN L B 10/09/1991 31 31-45 PRAMUKA 083170898845 YA 5/27/2021 SINOVAC 5/27/2021 24001421 16134561174957
2 P-7UQYAZUN 1871085303800006 ANIDA MINARIA P B 13/03/1980 43 31-45 PRAMUKA 082181043498 YA 5/27/2021 SINOVAC 5/27/2021 24001421 16134561174957
3 P-7LCXDEAJ 1871085711790003 NOVI YULIANTI P B 17/11/1979 43 18-30 SUKARAME 2 089518510083 YA 5/27/2021 SINOVAC 5/27/2021 24001421 16134561174957
4 P-84SIQYNM 1871124502710002 TJHIA GIOK TJOE P B 05/02/1971 52 46-59 PERUM.CITRA GARDEN 08127913214 YA 5/27/2021 SINOVAC 5/27/2021 24001421 16134561174957
5 P-8KKOHKGR 1871124709990003 JESSICA THEDA P B 07/09/1999 23 18-30 PERUM.CITRA GARDEN 082186390972 YA 5/27/2021 SINOVAC 5/27/2021 24001421 16134561174957
7 S-9240B213 1871081708450015 SONI YOHANES L D 17/08/1945 77 ≥60 BAKUNG 081296667811 YA 5/27/2021 SINOVAC 5/27/2021 24001421 16134561174957
9 Q-99999FCB 1871081311940001 NOVIAN RAHMAD EGISTI L B 11/13/1994 28 18-30 NOG 081216211041 YA 4/29/2021 SINOVAC 4/29/2021 24001421 16134472448412 5/27/2021 24001421 16134561174957
10 P-BBTGEWKH 1871086911620001 HASNAWATI P B 29/11/1962 60 ≥60 BAKUNG 085368600575 YA 5/27/2021 SINOVAC 5/27/2021 24001421 16134561174957
11 P-BN8WN5YN 1871084304830007 ARI SANDI P B 03/04/1983 40 31-45 BAKUNG 0895621238863 YA 5/27/2021 SINOVAC 5/27/2021 24001421 16134561174957
14 P-CV61952V 1871074901630002 ROSLIANA P B 1/9/1963 60 ≥60 BAKUNG 081279425917 YA 5/27/2021 SINOVAC 5/27/2021 24001421 16134560094501
15 P-D65AXFH6 1871085410650003 SITI AISYAH P B 14/10/1965 57 46-59 KURIPAN 085609012647 YA 5/27/2021 SINOVAC 5/27/2021 24001421 16134560094501
18 Q-3F24FB43 1871081001830006 MAKMUR L B 10/01/1983 40 31-45 KURIPAN 08975729135 YA 3/30/2021 SINOVAC 3/30/2021 24000721 16125080173165 5/27/2021 24001421 16134560094501
19 P-ISOFRPUL 1871086605030003 EVELYN ANGELITA P B 26/05/2003 20 18-30 PERUM CITRA GARDEN 081383440345 YA 5/27/2021 SINOVAC 5/27/2021 24001421 16134560094501
23 P-GJU901XU 1871085041640002 SUKASMIATI P B 14/01/1964 59 46-59 KURIPAN 082377186720 YA 5/27/2021 SINOVAC 5/27/2021 24001421 16134560093409
28 W-ECBE1D8A 1871082511790007 INDAR RISMAN L B 25/11/1979 43 31-45 NOG 08992159305 YA 5/27/2021 SINOVAC 5/27/2021 24001421 16134560093409
32 P-JLKDRI62 1871086806830005 SUTARTI P B 6/28/1983 39 31-45 KURIPAN 089628949038 YA 5/27/2021 SINOVAC 5/27/2021 24001421 16134560093409

18-30 10 BPJS PBI 0 A 0
≥ 60 tahun 5
B 37 Dosis 2 11
C 0 Total 40
D 3
E 0
Total 40

Provinsi : LAMPUNG
Hari, Tanggal : JUMAT / 28- 5 -2021
Umur Kepesertaan BPJS (tulis Nama/Jenis/ Keterangan

Jenis Tanggal Kelompok Tanggal
No No. Tiket NIK Nama Penerima Vaksin Pekerjaan* (18 sd ≥ Alamat No. Hp 'Ya' pada kolom yang Merek Dosis I Dosis 2 (Ditunda/Tidak
Kelamin Lahir Umur Screening
60 tahun) sesuai) Vaksin*** Diberikan/Lanjut)
1 S-SA545ABAD 1809053006490002 BUANG CINTA SENANG L D 30/06/1949 73 ≥60 NOG 085788768749 YA 5/28/2021 SINOVAC 5/28/2021 24002521 16170981174929
2 S-40E17190 1871084807490002 HUSNI P D 08/07/1949 73 ≥60 KURIPAN 0821185393718 YA 5/28/2021 SINOVAC 5/28/2021 24002521 16170981174929
3 P-6H35WKJT 1871086112610001 EMAY ENAH P B 21/12/1961 61 18-30 BAKUNG 082115181802 YA 5/28/2021 SINOVAC 5/28/2021 24002521 16170981174929
4 Z-B8EF829D 1871080401530004 YANTO L D 04/01/1953 70 ≥60 KURIPAN 081369392743 YA 4/27/2021 SINOVAC 4/27/2021 24001421 16134472442624 5/28/2021 24001421 16170981174929
5 S-73E462C4 1871082003650006 MISJA L B 20/03/1965 58 46-59 BAKUNG 081278279868 YA 5/28/2021 SINOVAC 5/28/2021 24002521 16170981174929
6 P-7EYLIWS7 1871081902620002 IRYANTO L B 19/02/1962 61 ≥60 KURIPAN 08161616908 YA 5/28/2021 SINOVAC 5/28/2021 24002521 16170981174929
7 P-7SKAINVA 1871081407650003 IR. NOFDI HENDRI L B 14/07/1965 57 46-59 BAKUNG 082175990631 YA 5/28/2021 SINOVAC 5/28/2021 24002521 16170981174929
8 S-3F73B2A8 18710865015400003 SURYANI P D 25/01/1954 69 ≥60 KURIPAN 081274796512 YA 5/28/2021 SINOVAC 5/28/2021 24002521 16170981174929
9 S-FD837AFC 1871081504520001 AHMAD AZHARI L D 4/15/1952 71 ≥60 BAKUNG 081274312424 YA 5/28/2021 SINOVAC 5/28/2021 24002521 16170981174929
10 P-8WNQDFYU 187108027640002 INDRALIA L B 02/07/1964 58 46-59 BAKUNG 082181707456 YA 5/28/2021 SINOVAC 5/28/2021 24002521 16170981174929
11 P-99INMWYU 1871084303850012 YANTI P B 03/03/1985 38 31-45 BAKUNG 0895609601559 YA 5/28/2021 SINOVAC 5/28/2021 24002521 16170981174929
12 P-9TYS6EWR 3672040205890003 BENI PURNOMO L B 02/05/1989 34 31-45 NOG 082186583436 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134560092785
13 P-A3XBPORO 1801081010890010 EDI SUYANTO L B 10/06/1987 35 31-45 BAKUNG 085384344318 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134560092785
14 S-67CE38B12 18710820026000002 ARHAM MUHERI L D 2/20/1960 63 ≥60 BAKUNG 082269033361 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134560092785
15 P-AW83ELLQ 1871080101800020 JAMALUDIN L B 01/01/1980 43 31-45 NOG 085377947909 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134560092785
16 P-APOY6XQX 1871094106800009 YENI PUJIATI P B 01/06/1980 42 31-45 BAKUNG 08127963537 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134560092785
17 P-BACLS1NM 1871054101770012 ASIH SUKAESIH P B 10/01/1977 46 46-59 BAKUNG 0895335016900 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134560092785
18 P-BE1Q0600 1871084701830009 NOPI YANTI P B 07/01/1968 55 46-59 BAKUNG 089698158738 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134560092785
19 S-F814CB86 1871084205710003 SOLEHA P B 02/05/1971 52 46-59 BAKUNG 081278279868 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134560092785
20 P-BTMCOKSH 187182702700001 MATRUDIN L B 27/02/1970 53 46-59 BAKUNG 081379357735 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134560092785
21 P-C9XLH86D 1871085010720007 YULIANA P B 10/10/1972 50 46-59 BAKUNG 082380579193 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134560092785
22 P-CIBRXFV8 1871082820690002 SYAMSIR L B 28/10/1969 53 46-59 BAKUNG 0895640042416 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134560092785
23 P-D24PO596 1871081010650008 SAHANI L B 10/10/1965 57 46-59 BAKUNG 081373291874 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171681
24 P-DBX3EOEI 1871081712750001 ABAS L B 17/12/1975 47 46-59 BAKUNG 0822697129 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171681
25 P-DI4UBUMD 1871080508700003 MADRAWI L B 05/08/1970 52 46-59 BAKUNG 0822697129 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171681
26 P-DORPFSEO 1871081509950003 JUHENI L B 15/09/1995 27 18-30 BAKUNG 085788809148 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171681
27 P-DUMCKS4E 1871085208740006 CIK IMAH P B 12/08/1974 48 46-59 NOG 081279623088 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171681
28 P-E6M8AKWM 1871081912630006 KASIM L B 19/12/1963 59 46-59 BAKUNG 085840634331 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171681
29 S-538FFE27 1871080511600001 SAHARI L D 11/5/1960 62 ≥60 BAKUNG 085273157548 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171681
30 P-E0VIYM98 1871082303720003 SUPRONI L B 3/23/1972 51 46-59 BAKUNG 082185498454 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171681
31 P-FMD87YOT 1871085505770003 KHOIRIAH P B 5/15/1977 46 46-59 BAKUNG 081390665794 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171681
33 P-6DZEN5HQ 1871080507780004 GUNAWAN L B 7/5/1978 44 31-45 NOG 081272702798 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171681
34 Z-FFCFF9CE 1871086011530001 YUSMA P D 11/20/1953 69 ≥60 KURIPAN 081274312424 YA 3/31/2021 SINOVAC 3/8/2021 24000721 16124977803156 5/28/2021 24001421 16134561173397
44 Z-0B34121D 1871084409970002 AWANAH P B 04/09/1997 25 18-30 BAKUNG 089560438418 YA 4/7/2021 SINOVAC 4/7/2021 24001421 16134618691585 5/28/2021 24001421 16134561171213
45 P-6Q051HFS 1871084902650001 RINTAWATI P B 2/9/1965 58 46-59 KURIPAN 08976057414 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561173397
46 S-9AEACA8D 1871081208570001 IDRUS L D 8/12/1957 65 ≥60 BAKUNG 081271470730 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561173397
47 P-HAN4SIYZ 1871080509660002 HOLIK L B 9/5/1966 56 46-59 BAKUNG 082373438359 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561173397
48 P-HYWQIT67 1871085010780002 SUNARTI P B 10/10/1978 44 31-45 KURIPAN 089616002132 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561173397
49 P-18GQRTFN 1871085010880026 MUTOHAROH P B 10/10/1988 34 31-45 KURIPAN 081271706537 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561173397
50 P-1FOSFNBN 1871086605680002 SUMIATI P B 5/26/1968 55 46-59 KURIPAN 089646550979 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561173397
51 S-9641C71F 187108120560008 BOIMIN L D 5/12/1960 63 ≥60 KURIPAN 081271735717 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561173397
52 P-CJJA1K26 1871081012620006 SANWANI L B 12/10/1962 60 ≥60 KURIPAN 085768904062 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561173397
53 S-368C7BA4 187108270760006 ANWAR SANUSI L B 7/27/1960 62 ≥60 KURIPAN 081279259313 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561173397
54 P-JMBWPZNZ 1871085305720002 SITI ASMAH P B 5/13/1972 51 46-59 BAKUNG 082181956640 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171213
55 P-JWAIFTM5 1871086009750001 SULISTRI P B 9/20/1975 47 46-59 BAKUNG 0895338641689 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171213
56 P-K6W14671 1871086406730002 IIS NURHAYATI P B 6/24/1973 49 46-59 BAKUNG 081540918348 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171213
URYA P-K73NRZ2X 1871081706840005 LATIF L B 6/17/1984 38 31-45 BAKUNG 081377579179 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171213
58 P-K7RKROX8 1871084505750013 ISMALIANA ISMAIL P B 5/5/1975 48 46-59 KURIPAN 083891564200 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171213
59 P-K80YC6KO 1871080101620019 JAPARUDDIN L B 1/1/1962 61 ≥60 NOG 089517072187 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171213
60 P-K87TRMN 1871084710630001 BUNGA SIDABALOK P B 10/7/1963 59 46-59 BAKUNG 081271535818 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171213
61 P-K7JNWHSA 1871030206820004 AZHARI L B 6/2/1982 40 31-45 BAKUNG 08999339144 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171213
62 P-K9JV66SY 1871085409810001 RESDAYANI P B 9/14/1981 41 31-45 KURIPAN 085279058987 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171213
63 P-KB9TB5VY 1871085003780012 RITA PURNAMA P B 3/10/1978 45 31-45 KURIPAN 082185217332 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171213
64 P-KBJNK0R1 1871084607740001 LAIDA DIANA P B 7/6/1984 38 31-45 KURIPAN 082282215638 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171213
65 P-KBRKNC8J 1871085204790007 SITI KHOLIJAH P B 4/12/1979 44 31-45 KURIPAN 082278500352 YA 5/28/2021 SINOVAC 5/28/2021 24001421 16134561171213

18-30 11 BPJS PBI 1 A 0
≥ 60 tahun 10
B 55 Dosis 2 12
C 0 Total 65
D 10
E 0
Total 65
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
31 S-658E42AA
84 P-L34PL606
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871075805490003
1871075611630002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SABTU/ 29-5-2021
Jenis
Kelamin
KHO SIM NIO P D
HO SIU NYUK L B
***Merek Vaksin
A = Sinovac

1 BPJS PBI
1 BPJS Non PBI
35 Non Anggota
49
86 Total
0 Dosis 1
37 Dosis 2
0 Total
50
0
87
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
5/18/1949 74 ≥60
11/16/1963 59 46-59
3
53
31
87
86
1
87
Alamat
SUKARAJA
KOTAKARANG
Pekerjaan
A
B
C
D
E
Total
085100517890 YA
085377112618 YA
aan
0
0
0
0
5/29/2021 SINOVAC
5/29/2021 SINOVAC
Dosis I
5/29/2021 24001421 16134560969989
5/29/2021 24002521 16170981173993

Dosis 2
Keterangan

Provinsi : LAMPUNG
Hari, Tanggal : SENIN/ 31-5-2021
Umur Kepesertaan BPJS (tulis Nama/ Keterangan

No No. Tiket NIK Pekerjaan* (18 sd ≥ 60 Alamat No. Hp 'Ya' pada kolom yang Jenis/Merek Dosis I Dosis 2 (Ditunda/Tidak
tahun) sesuai) Vaksin*** Diberikan/Lanjut)
11 S-527311FD 1871080112490001 AHMAD MUBASIR L D 01/12/1949 73 ≥60 BAKUNG 085357577269 YA 4/6/2021 SINOVAC 4/6/2021 24000721 16124986708572 5/31/2021 24002521 '16170873579717
32 P-LIVNCU7P 1871080806820007 DAFIT FIRDAUS L B 6/8/1982 40 31-45 KURIPAN 082186166333 YA 5/31/2021 SINOVAC 5/31/2021 24001421

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

18-30 6 BPJS PBI 2 A 0
≥ 60 tahun 1
B 32 Dosis 2 6
C 0 Total 33
D 1
E 0
Total 33
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-8YBN6LLJ
2 P-90NE44DE
3 P-A48L5SZ8A
4 P-AC6HFXXW
5 P-AMDT0815
6 P-B3KBRR04
7 P-BBRZAYKC
8 P-BK0BVGAS
9 P-BWQV0Q56
10 P-C2J1LLQD
11 P-CARASGBT
12 S-53DA2CC7
13 S-6AF44DB2
14 P-CZ9J0LXR
17 P-DDT022EP
18 P-DGVX00ZC
19 P-DMK86JGQ
20 P-DP-NMF1HN
21 S-F9C61732
22 P-DVJR76A0
23 P-E5SSCPOQ
24 P-EAXARFFM
25 P-EFNFTSPM
26 S-BC98F763
27 P-EPMH4YW7
28 P-ESMHLTC4
29 P-EVDXPMMV
31 Z-573A758B
34 P-FG3R2BCR
36 Q-E305F615
37 S-176BFE18
39 Q-7AFC1EC3
40 P-FNJ7JHUQ
41 Q-9900D922
42 P-FUTU8JII
44 P-FZB06F3R
45 P-G3LSJUAR
46 P-G7BGUL3Z
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871054702760009
1871086811690001
1871086910720001
1871095009640003
1871084211780004
1871084804750005
1871084908730002
1871084303680005
1871084912720007
1871076408810004
1871090405780002
1871082606410002
1871082004600001
1871086104650011
1871084204650010
1871092005730005
1871082301750001
1871085801700001
1871086810800006
1871082105810003
1871081508730003
1871084707650005
1871086701000004
1871086211600001
1871080203650003
1871085407790003
1871084509710003
1871092101760004
1871086310680005
1871081203880006
1871080507600009
1871082106950004
1871090110680002
1871081409900006
1871084105760006
1871085303850001
1871086410760004
1871084612690002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU/ 2-6-2021
Jenis
Kelamin
AINI MUSRIFATIN P B
SITI MUNIROH P B
IMTICHANAH P B
TITI TRIFOSA P B
HASMAWATI P B
SUHARYATI P B
SUNANTI P B
GUSNIDAR YATMI P B
CIK INA WATI P B
ROSMIYATI P B
JUMAIDI L B
MISTARA L D
ROJALI L D
ERNAWATI P B
SAMI P B
JUMAN L B
M. NAZARUDIN L B
RITAWANA P B
SURYA DEWI P B
ANDRI S L B
M.SALEH L B
JAHRO P B
YAYIK LESTARI P B
NAENA P D
SOFA SANI L B
NURLAILA P B
DAHLIA P B
KARTA L B
MARINA P B
NAHRAWI L B
HEDER L D
BUDI WIBOWO L B
HERMAN L B
EKO WIBOWO L B
SUTIYANTI P B
RAHAYU HANDAYANI P B
JUMANIS P B
ANI P B
***Merek Vaksin
A = Sinovac

10 BPJS PBI
13 BPJS Non PBI
26 Non Anggota
4
53 Total
0 Dosis 1
50 Dosis 2
0 Total
4
0
54
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
07/02/1976 47 46-59
28/11/1969 53 46-59
29/10/1972 50 18-30
10/09/1964 58 46-59
02/11/1978 44 31-45
08/04/1975 48 46-59
09/08/1973 49 46-59
03/03/1968 55 46-59
12/9/1972 50 46-59
24/08/1981 41 31-45
04/05/1978 45 31-45
26/06/1941 81 ≥60
20/04/1960 63 ≥60
4/21/1965 58 46-59
02/04/1965 58 46-59
20/05/1973 50 46-59
23/01/1975 48 46-59
18/01/1970 53 46-59
28/10/1980 42 31-45
21/05/1981 42 31-45
15/06/1973 49 46-59
07/07/1965 57 46-59
27/01/2000 23 18-30
22/11/1960 62 ≥60
02/03/1965 58 46-59
14/07/1979 43 31-45
9/5/1971 51 46-59
21/01/1976 47 46-59
10/23/1968 54 46-59
12/03/1988 35 31-45
05/07/1960 62 ≥60
21/06/1995 27 18-30
01/10/1968 54 46-59
14/09/1992 30 18-30
01/05/1976 47 46-59
13/03/1985 38 31-45
10/24/1976 46 46-59
12/6/1969 53 46-59
14
17
23
54
86
1
87
Alamat
BAKUNG
BAKUNG
BAKUNG
BAKUNG
KURIPAN
KURIPAN
KURIPAN
NOG
NOG
NOG
BATUPUTUK
BAKUNG
BAKUNG
BAKUNG
SUKARAME 2
BATUPUTUK
NOG
NOG
NOG
NOG
NOG
BAKUNG
BAKUNG
BAKUNG
NOG
NOG
NOG
BATUPUTUK
BAKUNG
BAKUNG
NOG
BAKUNG
BATUPUTUK
NOG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
082178218818 YA
089670841524 YA
082184948680
08127910363
081279101138 YA
082178064829 YA
08996403425 YA YA
081273321219 YA
081273023557 YA
08976129205 YA
085609205070 YA
085273157548
0895378276458 YA
0895378276458
085832734481 YA
082185589843 YA
085360011419 YA
085269657683 YA
081279290674 YA
082182347358 YA
088274869897 YA
082175892127 YA
0897972381 YA
081274312424 YA
081274312424 YA
089515849100 YA
081268022236 YA
081273698206 YA
081278090727 YA
089531612480
089507975821
081271188421
081318945250 YA
082231469888
082377235494 YA
081272630022
081274312424
08960815699
aan
0
0
0
0
0
6/2/2021 SINOVAC
6/2/2021 SINOVAC
YA 6/2/2021 SINOVAC
YA 6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
YA 6/2/2021 SINOVAC
6/2/2021 SINOVAC
YA 6/2/2021 SINOVAC
6/2/2021 SINOVAC
YA 6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
5/5/2021 SINOVAC
6/2/2021 SINOVAC
YA 5/5/2021 SINOVAC
YA 6/2/2021 SINOVAC
YA 5/5/2021 SINOVAC
6/2/2021 SINOVAC
YA 5/5/2021 SINOVAC
6/2/2021 SINOVAC
YA 6/2/2021 SINOVAC
YA 6/2/2021 SINOVAC
YA 6/2/2021 SINOVAC
Dosis I
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170981172589

6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170873680009
6/2/2021 24002521 16170873680009
6/2/2021 24002521 16170873680009
6/2/2021 24002521 16170873680009
6/2/2021 24002521 16170873680009
6/2/2021 24002521 16170873680009
6/2/2021 24002521 16170873680009
6/2/2021 24002521 16170873680009
6/2/2021 24002521 16170873680009
6/2/2021 24002521 16170873575021
6/2/2021 24002521 16170873575021
6/2/2021 24002521 16170873575021
6/2/2021 24002521 16170873575021
6/2/2021 24002521 16170873575021
6/2/2021 24002521 16170873575021
6/2/2021 24002521 16170873575021

5/5/2021 24001421 16134608810545
6/2/2021 24002521 16170873564413
5/5/2021 24001421
6/2/2021 24002521 16170873564413
5/5/2021 24001421
6/2/2021 24002521 16170873564413
5/5/2021 24001421 16170873564413
6/2/2021 24002521 16170873564413
6/2/2021 24002521 16170873564413
6/2/2021 24002521 16170981064481
6/2/2021 24002521 16170981064481

Dosis 2
6/2/2021 24002521 16170873575021
6/2/2021 24002521 16170873564413
6/2/2021 24002521 16170873564413

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-66716EUD
28 P-DPDCZ7BH
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871084810420001
1871081109680001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SABTU/ 5-6-2021
Jenis
Kelamin
SURIP P D
PENDI L B
***Merek Vaksin
A = Sinovac

5 BPJS PBI
24 BPJS Non PBI
31 Non Anggota
12
72 Total
0 Dosis 1
61 Dosis 2
0 Total
11
0
72
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
08/10/1942 65 ≥60
11/09/1968 54 46-59
36
18
18
72
72
5
77
Alamat
SUKARAME 2
SUKARAME 2
Pekerjaan
A
B
C
D
E
Total
No. Hp
081274312424 YA
081274312424 YA
aan
0
0
0
0
Non Anggota
6/6/2021 SINOVAC
6/6/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/6/2021 24002521 16170981758681
6/6/2021 24002521 16170981761801

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Z-466CB9DE
32 Z-BD73D9BB
37 P-MC755HLG
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871085004560002
1871071110550002
1871085404640002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS/ 3-6-2021
Jenis
Kelamin
SUTAMI P D
SEM KIM FA L D
DEWI ZUBAIDAH P B
***Merek Vaksin
A = Sinovac

19 BPJS PBI
23 BPJS Non PBI
31 Non Anggota
4
77 Total
0 Dosis 1
74 Dosis 2
0 Total
3
0
77
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
10/04/1956 65 ≥60
11/10/1955 67 ≥60
4/14/1964 59 46-59
15
46
16
77
72
5
77
Alamat
BAKUNG
BAKUNG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
085764628184 YA
085357310622 YA
085377442363 YA
aan
0
0
0
0
0
5/6/2021 SINOVAC
5/6/2021 SINOVAC
6/3/2021 SINOVAC
Dosis I
5/6/2021 24001421 16134608602129
5/6/2021 24001421 16125195368870
6/3/2021 24002521 16170873681569

Dosis 2
6/3/2021 24002521 16170981758369
6/3/2021 24002521 16170981760397

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-AF734922
6 P-40B1XT3D
7 P-4HCUKWKW
8 P-407FWDXI
9 P-52N73J5N
10 P-5PECKPYL
16 P-64QAMWR7
17 P-6J5ZQVN9
18 P-6TH23CAT
19 P-7633MQZE
50 P-D5477CEO
58 P-GYQIR83S
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871067011870006
1871054508890009
1871075911730005
1871086112710004
1871082201960007
1871082410660002
1871085804010002
1871082906690001
1871085501760004
1871094507860012
1871082709810007
1871085503850008

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN / 7-6-2021
Jenis
Kelamin
SANNY OLIVIA P B
IIS WATI P B
RAHMAYUNI P B
SITI FLORENTINA P B
CALVIN WIJAYA L B
RUDI WIJAYA L B
CARISA WIJAYA P B
TJOE FUK LUI L B
YANTI TOHARI P B
YUNITA P B
BUDI SETIAWAN L B
WINA MARSELINA P D
***Merek Vaksin
A = Sinovac

22 BPJS PBI
13 BPJS Non PBI
23 Non Anggota
4
62 Total
0 Dosis 1
60 Dosis 2
0 Total
2
0
62
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
30/11/1987 35 31-45
05/08/1989 33 31-45
19/11/1973 49 46-59
21/12/1971 51 46-59
22/01/1996 27 18-30
24/10/1996 26 18-30
4/18/2001 22 18-30
29/06/1969 53 46-59
15/01/1976 47 46-59
05/07/1986 36 31-45
01/02/2002 21 18-30
15/03/2021 85 ≥60
10
34
18
62
47
15
62
Alamat
JL.P. TIRTAYASA
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
NOG
NOG
BT.PUTUK
KURIPAN
NOG
Pekerjaan
A
B
C
D
E
Total
No. Hp
082117600021 YA
0896187450007
089633467063 YA
085369045050 YA
0895336126688 YA
082161405678 YA
082180365365 YA
08127911909 YA
085277116006 YA
081520378492 YA
085378206664 YA
08117966662
aan
0
0
0
0
Non Anggota
5/8/2021 SINOVAC
YA 6/7/2021 SINOVAC
6/7/2021 SINOVAC
6/7/2021 SINOVAC
6/7/2021 SINOVAC
6/7/2021 SINOVAC
6/7/2021 SINOVAC
6/7/2021 SINOVAC
6/7/2021 SINOVAC
6/7/2021 SINOVAC
6/7/2021 SINOVAC
YA 6/7/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
5/8/2021 24001421 16134638423245
6/7/2021 24002921 16178567410285
6/7/2021 24002921 16178567410285
6/7/2021 24002921 16178567410285
6/7/2021 24002921 16178567410285
6/7/2021 24002921 16178567410285
6/7/2021 24002921 16178567621041

6/7/2021 24002921 16178567621041
6/7/2021 24002921 16178567621041
6/7/2021 24002921 16178567621041
6/7/2021 24002521 16170981754625
6/7/2021 24001421 16134638635405

Dosis 2
Tanggal Pemberian
Vaksinasi
6/7/2021 24002921 16178567410285

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-6QMU1HXG
2 Y-010F0QKE
3 P-AJZJQUD
4 P-BCJOYVUM
5 P-COER8457
6 P-CZSY2CMG
7 P-EOWOHS02
8 P-EMU40AD8
9 P-EVRK91NU
10 P-FGCRZ78K
11 P-HCXSYWX
12 P-J2TEOWFC
13 P-K15160TY
14 P-KZDXFQEP
15 P-LL4TE0RK
16 P-MFAZ7QBA
17 P-P746T1T7
18 P-P8BZIFUL
19 P-P7UDKGNF
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871056005710002
1871060910920002
1871126101940003
1871051903860007
1871064501010001
1806022812660003
1806021002700005
1806026705700002
1872017007980001
1872010501960001
1872046207990003
3175072410930014
1872041211910002
187109650380005
1802082907900003
18722010211990002
1871131712940007
1871041108910003
1809010507900008

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA / 8-6-2021
Jenis
Kelamin
HERLINAWATI P B
MARIO ORLANDO TENG L B
SUSAN JESSICA P B
WILSEN ROBIN L B
LORENSIA JASISCA TENG P B
IHSAN L B
DERMAWAN L B
WILIYANI P B
BENEDICTA GRACE GUYANTO P B
ALBERTUS STEFAN GUYANTO L B
MM NINDY CHRISTIYANTI P B
AMOS PANDAPOTAN L B
NIKO SETIAWAN L B
MARLIN P B
DIDI HARIYONO L B
HARIS ABDULLAH L B
AMAN SYAIDI G L B
SUWANDI L B
DEDI IRWAN P L B
***Merek Vaksin
A = Sinovac
8 BPJS PBI
7 BPJS Non PBI
4 Non Anggota
0
19 Total
0 Dosis 1
19 Dosis 2
0 Total
0
0
19
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
20/05/1971 52 46-59
09/10/1992 30 18-30
21/01/1996 27 18-30
19/03/1986 37 31-45
05/01/2001 22 18-30
28/12/1966 56 46-59
10/02/1970 53 46-59
27/05/1970 53 46-59
30/07/1998 24 18-30
05/01/1996 27 18-30
22/07/1999 23 18-30
24/10/1990 32 31-45
20/09/1991 31 31-45
25/03/1980 43 31-45
29/07/1990 32 31-45
11/2/1999 23 18-30
17/12/1994 28 18-30
11/08/1991 31 31-45
05/07/1990 32 31-45
4
9
6
19
19
19
Alamat
KEDAMAIAN
ENGGAL
WAY HALIM
KELAPA GADING
ENGGAL
SUKARAME
SUKARAME
SUKARAME
METRO
METRO
METRO
PONDOK KELAPA
IRING MULYO
SUMUR BATU
SEPUTIHRAMAN/ NOG
METRO PUSAT
KEMILING
PANJANG
GEDONG TATAAN
Pekerjaan
A
B
C
D
E
Total
No. Hp
08127256390
081388949924 YA
081213266952 YA
08123257968 YA
087899887748 YA
081930180308
081271678862
081373055157 YA
081210743785 YA
081997322273 YA
088276781605
081286039985
082176066400 YA
081373121536
082279000075 YA
0895604379347 YA
085764271267 YA
081287795921 YA
081278566003 YA
aan
0
0
0
0
Non Anggota
YA 6/8/2021 SINOVAC
6/8/2021 SINOVAC
6/8/2021 SINOVAC
6/8/2021 SINOVAC
6/8/2021 SINOVAC
YA 6/8/2021 SINOVAC
YA 6/8/2021 SINOVAC
6/8/2021 SINOVAC
6/8/2021 SINOVAC
6/8/2021 SINOVAC
YA 6/8/2021 SINOVAC
YA 6/8/2021 SINOVAC
6/8/2021 SINOVAC
YA 6/8/2021 SINOVAC
6/8/2021 SINOVAC
6/8/2021 SINOVAC
6/8/2021 SINOVAC
6/8/2021 SINOVAC
6/8/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/8/2021 24002921 16178567624317
6/8/2021 24002921 16178567624317
6/8/2021 24002921 16178567624317
6/8/2021 24002921 16178567624317
6/8/2021 24002921 16178567624317
6/8/2021 24002921 16178567624317
6/8/2021 24002921 16178567624317

6/8/2021 24002921 16178567624317
6/8/2021 24002921 16178567624317
6/8/2021 24002921 16178567624317
6/8/2021 24002921 16178567624317
6/8/2021 24002921 16128567417321
6/8/2021 24002921 16128567417321
6/8/2021 24002921 16128567417321
6/8/2021 24002921 16128567417321
6/8/2021 24002921 16128567417321
6/8/2021 24002921 16128567417321
6/8/2021 24002921 16128567417321
6/8/2021 24002921 16128567417321

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-CV1IY0HK
15 P-C402IVD2
17 P-CM7BW7K3
18 P-DUF20IM4
20 P-DPAH28KU
21 P-DURYXVSP
24 P-EOBX02NZ
29 P-GYTEVHNX
37 P-KOJUMVR3
43 S-2689C536
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871132708780007
1871085411920002
3216136811720001
3216132001940004
3172054707700002
1871085108840004
3173062601740013
1871085712650001
1871085809690002
1871082108650007

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU / 9-6-2021
Jenis
Kelamin
WASIYO L B
ELISA BUDIARTI P B
KARTINI P B
HENDRI WIJAYA L B
DJULIANI P B
HILDA EKA KURNIATIE P B
WIM SUHERMAN L B
NATALIA SILVIA P B
TJOE YEN LING P B
HERI JUNIANRO L B
***Merek Vaksin
A = Sinovac

14 BPJS PBI
12 BPJS Non PBI
22 Non Anggota
3
51 Total
0 Dosis 1
40 Dosis 2
0 Total
2
9
51
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
27/08/1978 44 31-45
14/11/1992 30 18-30
28/11/1972 50 46-59
29/01/1994 29 18-30
07/07/1970 52 46-59
11/06/1984 38 31-45
26/01/1974 49 46-59
17/12/1965 57 46-59
9/18/1969 53 46-59
21/08/1965 57 46-59
4
34
13
51
49
2
51
Alamat
RAJABASA
KURIPAN
BAKUNG
BAKUNG
BAKUNG
KURIPAN
CITRA GARDEN
BAKUNG
BAKUNG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
085279614132 YA
089528031842 YA
089507491961 YA
089624433166
0816400875
081379371389 YA
082379953756
081279021768
082278824992 YA
081274312424
aan
0
0
0
0
Non Anggota
6/9/2021 CORONAVAC
6/9/2021 CORONAVAC
6/9/2021 CORONAVAC
6/9/2021 CORONAVAC
6/9/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/9/2021 24002921 161785667414341
6/9/2021 24002921 16178567620729
6/9/2021 24002921 16178567620729
6/9/2021 24002921 16178567620729
6/9/2021 24002921 16178567620729
6/9/2021 24002921 16178567413717
6/9/2021 24002921 16178567413717

6/9/2021 24002921 16178567413717
6/9/2021 24002921 16178567415121
6/9/2021 24002921 16178567416213

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-6HCJHWJF
5 P-GAZZK5OT
8 P-RDAK9RBT
16 P-RKFPT958
17 P-RLZ9FPFR
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871050602070002
1871082105640001
1871085209630002
1871081209720005
1871080507740006

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS / 10-6-2021
Jenis
Kelamin
HIUREZKI ARYA PUTRA L B
IWAN FRANSISCUS KONENG L E
YULIATI P E
YAYAT SUPRIYATNA L B
DEVI P E
***Merek Vaksin
A = Sinovac
7 BPJS PBI
8 BPJS Non PBI
6 Non Anggota
0
21 Total
0 Dosis 1
17 Dosis 2
0 Total
0
4
21
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
06/02/2002 21 18-30
21/05/1964 59 46-59
12/09/1963 59 46-59
9/12/1972 50 46-59
05/07/1974 48 46-59
0
17
4
21
21
21
Alamat
KOTABARU
BAKUNG
BAKUNG
BAKUNG
KURIPAN
Pekerjaan
A
B
C
D
E
Total
No. Hp
08975736119 YA
081369945699 YA
081279061112 YA
082184666641 YA
081274312424 YA
aan
0
0
0
0
Non Anggota
6/10/2021 CORONAVAC
6/10/2021 CORONAVAC
6/10/2021 CORONAVAC
6/10/2021 CORONAVAC
6/10/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/10/2021 24002921 16178442806548
6/10/2021 24002921 16178442806548
6/10/2021 24002921 16178442806548
6/10/2021 24002921 16178443002156
6/10/2021 24002921 16178443002156

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
MASY. RENTAN
MASY. RENTAN
TUNARUNGU ( DISABILITAS )
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-BLYIOZQP
4 P-DPT4MKB0
12 P-ICMKP6ZL
16 S-FB2F5833
17 P-MUXNW9VU
19 P-UNZ16DTY
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871065005950008
1871086412690001
18710815106100001
1871082709570005
1871081004690001
1871084508700003
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN / 14-6-2021
Jenis
Kelamin
YOVI VANIA CHAN P B
YANTI P E
DUKUT KRISMANTO L E
SUDHARTO L D
NASIYO L E
SUMARNI P E
***Merek Vaksin
A = Sinovac

8 BPJS PBI
4 BPJS Non PBI
8 Non Anggota
2
22 Total
0 Dosis 1
15 Dosis 2
0 Total
1
6
22
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
10/05/1995 28 18-30
24/12/1969 53 46-59
15/10/1961 61 ≥60
9/27/1957 65 ≥60
10/04/1969 54 46-59
05/08/1970 52 46-59
1
15
6
22
22
0
22
Alamat
ENGGAL
KURIPAN
BAKUNG
BAKUNG
BAKUNG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
082280545777 YA
'089540287442 YA
082186039652
085234758478 YA
082175935788 YA
'088274372284 YA
aan
0
0
0
0
Non Anggota
6/14/2021 CORONAVAC
6/14/2021 CORONAVAC
6/14/2021 CORONAVAC
6/14/2021 CORONAVAC
6/14/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/14/2021 24002921 16178441263224
6/14/2021 24002921 16178441263224
6/14/2021 24002921 16178441269636
6/14/2021 24002921 16178441269636
6/14/2021 24002921 16178441269636
6/14/2021 24002921 16178441269636

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
MASY.RENTAN
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-ATCFMOU5
2 W-37619E1A
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871120410810002
1871080706750007

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA / 15-6-2021
Jenis
Kelamin
JUMADI L B
YAYAT RUHIYAT L B
***Merek Vaksin
A = Sinovac

5 BPJS PBI
11 BPJS Non PBI
5 Non Anggota
1
22 Total
0 Dosis 1
21 Dosis 2
0 Total
1
0
22
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
04/10/1981 41 31-45
07/06/1975 47 46-59
0
18
4
22
0
Alamat
ANTASARI
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
081278379746 YA
082176666123 YA
aan
0
0
0
0
Non Anggota
6/15/2021 CORONAVAC
3/17/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/15/2021 24002921 16178423109520
3/17/2021 24000721 SUNTIK ABDUL MULUK

Dosis 2
Tanggal Pemberian
Vaksinasi
6/15/2021 24002921 16178423109520

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-X1YRIOPK
36 P-XSIS25FO
69 P-XT4412DB
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871036601910001
1871081708630006
1871080707830004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU/ 16-6-2021
Jenis
Kelamin
NADIA SAUFILLA RODHA P B
ARIFUDIN L E
FIRMANSYAH L B
***Merek Vaksin
A = Sinovac
3 BPJS PBI
7 BPJS Non PBI
42 Non Anggota
14
66 Total
0 Dosis 1
18 Dosis 2
0 Total
10
44
72
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
26/01/1991 32 31-45
17/08/1963 59 46-59
07/07/1983 39 31-45
20
27
25
72
72
72
Alamat
KETEGUHAN
NOG
SUKARAME II
Pekerjaan
A
B
C
D
E
Total
No. Hp
082386109344
081279492957
081279372007
aan
0
0
0
0
Non Anggota
Dosis I
Tanggal Pemberian
Vaksinasi
6/16/2021 24002921 16178443004184
6/16/2021 24002921 1617844808108
6/16/2021 24002921 16178696416201

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-IAB9Y5KJ
2 P-IB6UNX71
3 P-ICRFICTF
21 Q-1EFA0D5C
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871080111810002
1871086707840001
1871085305850003
1871086203690002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SABTU/ 19-6-2021
Jenis
Kelamin
WILLY SANJAYA L B
RISMA SUHENDRA P B
MAIKA SARI P B
DHAMMAYATRI P B
***Merek Vaksin
A = Sinovac
14 BPJS PBI
23 BPJS Non PBI
12 Non Anggota
0
49 Total
0 Dosis 1
47 Dosis 2
0 Total
0
2
49
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
01/11/1981 41 31-45
27/07/1984 38 31-45
13/05/1985 38 31-45
22/03/1969 54 46-59
0
32
17
49
26
13
39
Alamat
NOG
NOG
BAKUNG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
085279743999 YA
082181076699 YA
085383833125 YA
089654735618
aan
0
0
0
0
Non Anggota
6/19/2021 SINOVAC
6/19/2021 SINOVAC
6/19/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/19/2021 24002921 16178442805300
6/19/2021 24002921 16178442805300
6/19/2021 24002921 16178442805300
5/22/2021 24001421 16134564971373

Dosis 2
Tanggal Pemberian
Vaksinasi
6/19/2021 24002921 16178442807172

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 S-1D1E307
160 P-4240HZMA
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
3173071802770003
1871081011720011

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN/ 21-6-2021
Jenis
Kelamin
BAMBANG MULIANA L B
RICHARD NIXON L D
***Merek Vaksin
A = Sinovac

67 BPJS PBI
106 BPJS Non PBI
31 Non Anggota
7
211 Total
0 Dosis 1
122 Dosis 2
0 Total
35
54
211
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
18/02/1977 46 46-59
10/11/1972 50 46-59
5
183
23
211
204
7
211
Alamat
UNTUNG SUROPATI
KURIPAN
Pekerjaan
A
B
C
D
E
Total
No. Hp
08568663259 YA
082186036889
aan
0
0
0
0
Non Anggota
6/21/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/21/2021 24002921 16178420908672
6/21/2021 24002921 16178696415109

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-00013RLM
2 Q-0002NZN
4 Q-00002OE9
5 Q-000020PY
15 Q-00003GHF
22 P-7UPRVNE4
33 P-86QRUAP0
34 P-89PBKRRO
38 P-8DSWPX3M
43 P-8H4UNR01
47 P-8KJVV3EE
59 P-8SAW0N9V
61 P-8NFB00NN
63 P-9AKY00ZZ4
64 P-8Z0F1PH7
65 P-8W1A352R
70 P-90RFVN4Q
71 P-91C25XH1
75 P-93212K54
78 N-2FF2AAO3
79 Y-0132ANOE
80 P-PFTOSWHG
82 P-9PMHDBUX
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871086906000005
1871084105650005
1871032209630003
1871056605910005
1871077008740001
1872036612010004
1871091712790003
1871080501720002
1871086607630001
1871085303990005
1871054711690001
1871095411980001
1871080101700009
1871084406980004
1871081603840003
3674045803620001
1871084307630001
1871082711970004
3313011001800004
3172065509860001
3171082810830006
1871085506760002
1871084109760001
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA/ 22-6-2021
Jenis
Kelamin
MARIA GRACE EVANDA P B
ENDANG EKA P B
RAHMAT CH. L B
MAYA ELIZA PUTRI P B
WONG DJUI PHING P B
RAISA INDIRA P D
RAHMAT FARID L D
ERWIN L D
ANI SUKAWATI P D
MELINDA PUTRI P D
MEILINA P D
POPPY AMALIA P D
SUYATNO L D
ZULHA PUTRI P D
DEDI IRWANSYAH L D
ATIK ASNATI P B
MUTIANNA S P D
JEFRI G L D
PURWADI L D
INEZ P D
YUDI BASRI L B
SARYANAH P B
NUR HASANAH P B
***Merek Vaksin
A = Sinovac

22 BPJS PBI
28 BPJS Non PBI
27 Non Anggota
4
81 Total
0 Dosis 1
35 Dosis 2
0 Total
47
1
83
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
6/29/2000 22 18-30
01/05/1965 58 46-59
22/09/1963 59 46-59
26/05/1991 32 31-45
8/30/1974 48 46-59
26/12/2001 21 18-30
17/12/1979 43 31-45
05/01/1972 51 46-59
26/07/1963 59 46-59
13/03/1999 24 18-30
07/11/1969 53 46-59
14/11/1998 24 18-30
01/01/1970 53 46-59
04/06/1998 24 18-30
16/03/1984 39 31-45
18/03/1962 61 ≥60
03/07/1963 59 46-59
27/11/1997 25 18-30
10/01/1980 43 31-45
15/09/1986 36 31-45
28/10/1983 39 31-45
15/06/1976 46 46-59
01/09/1976 46 46-59
2
55
26
83
56
27
83
Alamat
TBT
BAKUNG
BAKUNG
BAKUNG
NOG
NOG
BATUPUTUK
BAKUNG
KURIPAN
NOG
NOG
BATUPUTUK
BAKUNG
NOG
KURIPAN
BAKUNG
KURIPAN
KURIPAN
BAKUNG
NOG
NOG
BAKUNG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
0895411156838 YA
081369066565
081369066565 YA
08117221112 YA
082281895888 YA
081315329134 YA
089644871039 YA
0853472208723
085269520066 YA
085724687602
085103503020
082278517853 YA
082282515899
08976097697 YA
082306553166
082182483986
082175275312
089602239924 YA
082167576620
08170146611
081314012520 YA
089654355268
082182929885
aan
0
0
0
0
Non Anggota
25/05/2021 SINOVAC
5/25/2021 SINOVAC
5/25/2021 SINOVAC
25/05/2021 SINOVAC
6/22/2021 SINOVAC
6/22/2021 SINOVAC
6/22/2021 SINOVAC
6/22/2021 SINOVAC
6/22/2021 SINOVAC
6/22/2021 SINOVAC
6/22/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
5/25/2021 24001421 '16134559669261
5/25/2021 24001421 16134560084985
5/25/2021 24001421 16134560084985
5/25/2021 24001421 16134560084985
5/25/2021 24001421 '16134559669261
6/22/2021 24002921 16178705878381
6/22/2021 24002921 16178705876509

6/22/2021 24002921 16178705876509
6/22/2021 24002921 16178705876509
6/22/2021 24002921 16178705876509
6/22/2021 24002921 16178567185957
6/22/2021 24002921 16178705877133
6/22/2021 24002921 16178705877133
6/22/2021 24002921 16178705877133
6/22/2021 24002921 16178705877133
6/22/2021 24002921 16178705877133
6/22/2021 24002921 16178567193133
6/22/2021 24002921 16178567193133
6/22/2021 24002921 16178567193133
6/22/2021 24002921 16178705660293
6/22/2021 24002921 16178705660293
6/22/2021 24002921 16178705660293
6/22/2021 24002921 16178705660293

Dosis 2
Tanggal Pemberian
Vaksinasi
22/06/2021 24002921 161787058705876821
22/06/2021 24002921 161787058705876821
22/06/2021 24002921 161787058705876821
22/06/2021 24002921 161787058705876821
22/06/2021 24002921 16178705878381

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-140SHQSY
6 P-1F2MLDPQ
10 P-1HHMAJAI
12 P-IYFBK3TQ
13 P-21NLVC72
14 S-EDAC53BE
15 P-3IODOOKI
18 P-5POQ7TQ9
19 P-64MJN4AN
20 P-67QN4ZVS
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871084210810003
1871083003000004
1871082503780007
1871085506010003
1871086206990002
1871080511880004
1871092606820003
1871071903770004
1871082711680004
1871080401000004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU / 23-6-2021
Jenis
Kelamin
YOSI HETHARIA P E
SURYADI L D
JOHAN L D
MUTIARA WIDDI AYUNINTYAS P D
DIANNISA WIDDI EKA P D
AGUS WALUYO L D
MARSODIK L D
FATRONI L D
EKO SULISTIYO L D
MUHAMMAD ARTHO L D
***Merek Vaksin
A = Sinovac

8 BPJS PBI
10 BPJS Non PBI
3 Non Anggota
0
21 Total
0 Dosis 1
0 Dosis 2
0 Total
17
4
21
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
10/2/1981 41 31-45
30/03/2000 23 18-30
25/03/1978 45 31-45
15/06/2001 21 18-30
22/06/1999 23 18-30
05/11/1988 34 31-45
6/26/1982 40 31-45
19/03/1977 46 46-59
27/11/1968 54 46-59
04/01/2000 23 18-30
9
10
2
21
20
0
20
Alamat
BAKUNG
NOG
BAKUNG
SUKARAME II
SUKARAME II
SUKARAME II
BATU PUTUK
BAKUNG
BAKUNG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
082376746865
085769715299 YA
081379112837 YA
081366446054 YA
082281190987 YA
081271501058 YA
085809437020 YA
0895411535800 YA
089680154199 YA
088268307939 YA
aan
0
0
0
0
Non Anggota
6/23/2021 SINOVAC
6/23/2021 SINOVAC
6/23/2021 SINOVAC
6/23/2021 SINOVAC
6/23/2021 SINOVAC
6/23/2021 SINOVAC
6/23/2021 SINOVAC
6/23/2021 SINOVAC
6/23/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/23/2021 24002921 16178567192665
6/23/2021 24002921 16178567192665
6/23/2021 24002921 16178567192665
6/23/2021 24002921 16178705877913
6/23/2021 24002921 16178705877913
6/23/2021 24002921 16178705877913
6/23/2021 24002921 16178705877913

6/23/2021 24002921 16178705877913
6/23/2021 24002921 16178705877913
6/23/2021 24002921 16178705877913

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-00004VRR
3 Q-00011R4J
4 Q-0000444S
5 Q-000055IT
8 Q-00011RF4
10 Q-00011WLD
11 Q-00046VI
27 Q-00004YJK
28 Q-000115P7
29 Q-00004XTH
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
3173011510640013
1871085410650003
1871085711790003
1871085041640002
1871074901630002
1871124502710002
1871124709990003
1871084304830007
1871086806830005
1871086911620001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS/ 24-6-2021
Jenis
Kelamin
RENDY ANGGORO L B
SITI AISYAH P B
NOVI YULIANTI P B
SUKASMIATI P B
ROSLIANA P B
TJHIA GIOK TJOE P B
JESSICA THEDA P B
ARI SANDI P B
SUTARTI P B
HASNAWATI P B
***Merek Vaksin
A = Sinovac

7 BPJS PBI
12 BPJS Non PBI
9 Non Anggota
4
32 Total
0 Dosis 1
30 Dosis 2
0 Total
2
0
32
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
15/10/1964 58 46-59
14/10/1965 57 46-59
17/11/1979 43 18-30
14/01/1964 59 46-59
1/9/1963 60 ≥60
05/02/1971 52 46-59
07/09/1999 23 18-30
03/04/1983 40 31-45
6/28/1983 39 31-45
29/11/1962 60 ≥60
0
24
8
32
3
29
32
Alamat
CENGKARENG
KURIPAN
SUKARAME 2
KURIPAN
BAKUNG
PERUM.CITRA GARDEN
PERUM.CITRA GARDEN
BAKUNG
KURIPAN
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
08129022861
085609012647
089518510083
082377186720 YA
081279425917 YA
08127913214 YA
082186390972 YA
0895621238863
089628949038 YA
085368600575 YA
aan
0
0
0
0
Non Anggota
5/27/2021 SINOVAC
5/27/2021 SINOVAC
5/27/2021 SINOVAC
5/27/2021 SINOVAC
5/27/2021 SINOVAC
5/27/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
5/27/2021 24001421 16134561174957
5/27/2021 24001421 16134560094501
5/27/2021 24001421 16134561174957
5/27/2021 24001421 16134560093409
5/27/2021 24001421 16134560094501
5/27/2021 24001421 16134561174957
5/27/2021 24001421 16134561174957

5/27/2021 24001421 16134561174957
5/27/2021 24001421 16134560093409
5/27/2021 24001421 16134561174957

Dosis 2
Tanggal Pemberian
Vaksinasi
6/24/2021 24002921 16178465306428
6/24/2021 24002921 16178465306428
6/24/2021 24002921 16178465306428
6/24/2021 24002921 16178465306428
6/24/2021 24002921 16178465306428
6/24/2021 24002921 16178465306428
6/24/2021 24002921 16178465306428

6/24/2021 24002921 16178705876197
6/24/2021 24002921 16178705876197
6/24/2021 24002921 16178705876197

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Z-00002SZZ
11 Q-000075MW
20 Q-0000783P
24 Q-000079E2
42 P-A0L491PX
45 P-B1TPORJK
C = Administrator Pemerintahan P-BSJUMV86
51 P-DX1X1GFY
NIK
1809053006490002
1871080101800020
1871085208740006
1871080507780004
1871086804960004
1871082707780006
1871084709750002
1871081507680004
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 25- 6 -2021
Jenis
Kelamin
BUANG CINTA SENANG L D
JAMALUDIN L B
CIK IMAH P B
GUNAWAN L B
UUN WINARSIH P B
RIKI ZULKARNAIN L B
YULITRA P B
SAEPUDIN L B

2 BPJS PBI
23 BPJS Non PBI
22 Non Anggota
10
57 Total
0 Dosis 1
55 Dosis 2
0 Total
7
0
62
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
30/06/1949 73 ≥60
01/01/1980 43 31-45
12/08/1974 48 46-59
7/5/1978 44 31-45
4/28/1996 27 18-30
7/27/1978 44 31-45
9/7/1975 47 46-59
7/15/1968 54 46-59
1
36
14
51
53
12
65
Alamat
NOG
NOG
NOG
NOG
SUKARAME 2
NOG
NOG
TBB
Pekerjaan
A
B
C
D
E
Total
085788768749
085377947909
081279623088 YA
081272702798 YA
0895609812669 YA
089523114911 YA
085306356543 YA
081274312424 YA
aan
0
0
0
0
0
5/28/2021 SINOVAC
5/28/2021 SINOVAC
6/25/2021 SINOVAC
6/25/2021 SINOVAC
6/25/2021 SINOVAC
6/25/2021 SINOVAC
Dosis I
5/28/2021 24002521 16170981174929
5/28/2021 24001421 16134560092785
5/28/2021 24001421 16134561171681
5/28/2021 24001421 16134561171681
6/25/2021 24200321 16214741234708
6/25/2021 24200321 16214741220808
6/25/2021 24200321 16214741230324
6/25/2021 24200321 16214741231728

Dosis 2
6/25/2021 24200321 16214741234708
6/25/2021 24200321 16214741222212
6/25/2021 24200321 16214741222212
6/25/2021 24200321 16214741222212

Keterangan
.
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-0000XMYZ
18 Q-0000XYY0
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871075411630003
1871122106610001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SABTU / 26-6-2021
Jenis
Kelamin
LIE MEI LIE P D
ANTONIUS PEDADA L D
***Merek Vaksin
A = Sinovac

1 BPJS PBI
3 BPJS Non PBI
36 Non Anggota
47
87 Total
0 Dosis 1
33 Dosis 2
0 Total
55
0
88
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
11/14/1963 59 46-59
21/06/1961 61 ≥60
2
54
32
88
56
27
83
Alamat
BUMI WARAS
BATUPUTUK
Pekerjaan
A
B
C
D
E
Total
No. Hp
082186149977 YA
081369982061
aan
0
0
0
0
Non Anggota
5/29/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
5/29/2021 24002521 16170981168065
5/29/2021 24001421 16134560977633

Dosis 2
Tanggal Pemberian
Vaksinasi
26-Jun-21 24002921 16178465309860
26-Jun-21 24002921 16178465294400

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Z-00001Z72
49 P-N2LVI78B
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871081708450015
1871082515790007

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN / 28-6-2021
Jenis
Kelamin
SONI YOHANES L D
DENI FIRDIAN L D
***Merek Vaksin
A = Sinovac

13 BPJS PBI
23 BPJS Non PBI
12 Non Anggota
5
53 Total
0 Dosis 1
30 Dosis 2
0 Total
23
0
53
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
17/08/1945 77 ≥60
25/12/1979 43 31-45
5
27
21
53
20
33
53
Alamat
BAKUNG
NOG
Pekerjaan
A
B
C
D
E
Total
No. Hp
081296667811
087899063377 YA
aan
0
0
0
0
Non Anggota
6/28/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
5/27/2021 24001421 16134561174957
6/28/2021 24200321 16214741232352

Dosis 2
Tanggal Pemberian
Vaksinasi
6/28/2021 24200321 16124924627841

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-0000TWJM
2 Q-0000COK2
3 Q-0000CP9D
4 Q-0000U4B2
5 Q-0000CPJA
6 Q-0000TQQR
7 P-2XZ2OYE8
8 P-2Z0HYH8D
9 P-2ZRPGHMN
21 Q-000COSX
22 Q-0000CUI9
23 Q-0000D1OU
25 Q-0000TPVA
29 P-3AIE8PGV
30 P-3PO6D5LB
33 P-40323RYV
34 Q-000CUS7
35 Q-0000D121
36 Q-0000TQ51
37 Q-0000TZSO
38 Q-0000CV7P
39 P-41LXFQ05
40 Z-00004X3Q
45 Q-0000TUUO
46 Q-0000CXXW
47 Q-0000TW47
48 Q-0000TU8L
49 Q-0000CV0U
50 Q-0000TY95
51 Z-00012120Q7
52 P-70ML4BZH
53 Q-0000CZRH
54 Z-B0F70F4C
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871082105810003
1871086811690001
1871095009640003
1871054702760009
1871084211780004
1871084105760006
1871085003840002
1871086212790002
1871084406030003
1871086910720001
1871084204650010
1871085303850001
1871084612690002
1871080589800001
1871080204870007
1871084309660001
1871092005730005
1871090110680002
1871086410760004
1871090405780002
1871085801700001
1871096512830003
1871080507600009
1871080203650003
1871085407790003
1871081508730003
1871084509710003
1871082301750001
1871086104650011
1871082004600001
1871085503850004
1871086310680005
1871082505930004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SElASA/ 29-6-2021
Jenis
Kelamin
ANDRI S L B
SITI MUNIROH P B
TITI TRIFOSA P B
AINI MUSRIFATIN P B
HASMAWATI P B
SUTIYANTI P B
MARIA SARI P E
LISA ANGGRAITA P E
PINKAN REGINA PUTRI P E
IMTICHANAH P B
SAMI P B
RAHAYU HANDAYANI P B
ANI P B
ROZI KURNIAWAN L E
WAHYUDI L D
ROSDIANA MANURUNG P E
JUMAN L B
HERMAN L B
JUMANIS P B
JUMAIDI L B
RITAWANA P B
DEWI DORAYANI NAINGGOLAN P E
HEDER L D
SOFA SANI L B
NURLAILA P B
M.SALEH L B
DAHLIA P B
M. NAZARUDIN L B
ERNAWATI P B
ROJALI L D
TRISYE PRAWINDA P E
MARINA P B
JUMANI L B
***Merek Vaksin
A = Sinovac

10 BPJS PBI
21 BPJS Non PBI
22 Non Anggota
2 Total
55 Pemberian Dosis
Pekerjaan: Dosis 1
0 Dosis 2
30 Total
0
12
13
55
FORMAT PENCATA
TINGKAT PUS
Umur
(18 sd ≥ 60 tahun)
21/05/1981 42 31-45
28/11/1969 53 46-59
10/09/1964 58 46-59
07/02/1976 47 46-59
02/11/1978 44 31-45
01/05/1976 47 46-59
3/10/1984 39 31-45
12/22/1979 43 31-45
6/4/2003 19 18-30
29/10/1972 50 18-30
02/04/1965 58 46-59
13/03/1985 38 31-45
12/6/1969 53 46-59
05/08/1998 24 18-30
02/04/1987 36 31-45
03/09/1966 56 46-59
20/05/1973 50 46-59
01/10/1968 54 46-59
10/24/1976 46 46-59
04/05/1978 45 31-45
18/01/1970 53 46-59
25/12/1983 39 31-45
05/07/1960 62 ≥60
02/03/1965 58 46-59
14/07/1979 43 31-45
15/06/1973 49 46-59
9/5/1971 51 46-59
23/01/1975 48 46-59
4/21/1965 58 46-59
20/04/1960 63 ≥60
15/03/1985 38 31-45
10/23/1968 54 46-59
25/05/1993 30 18-30
12
32
11
55
24
31
55
Alamat
NOG
BAKUNG
BAKUNG
BAKUNG
KURIPAN
BAKUNG
KURIPAN
KURIPAN
KURIPAN
BAKUNG
SUKARAME 2
BAKUNG
BAKUNG
NOG
KURIPAN
BAKUNG
BATUPUTUK
BATUPUTUK
BAKUNG
BATUPUTUK
NOG
BAKUNG
NOG
NOG
NOG
NOG
NOG
NOG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
SUKARAME 2
Pekerjaan
A
B
C
D
E
Total
No. Hp
082182347358 YA
089670841524 YA
08127910363
082178218818 YA
081279101138 YA
082377235494 YA
0895350053744 YA
08999380809 YA
08974144310 YA
082184948680
085832734481 YA
081272630022
08960815699
0895344740158 YA
082280392519 YA
081271466478 YA
082185589843 YA
081318945250 YA
081274312424
085609205070 YA
085269657683 YA
089517072405 YA
089507975821
085266864774 YA
089515849100 YA
088274869897 YA
081268022236 YA
085360011419 YA
0895378276458
0895378276458 YA
085279462417 YA
081278090727 YA
081274312424 YA
aan
0
0
0
0
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
6/2/2021 SINOVAC
6/2/2021 SINOVAC
YA 6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/30/2021 CORONAVAC
6/30/2021 CORONAVAC
6/30/2021 CORONAVAC
YA 6/2/2021 SINOVAC
6/2/2021 SINOVAC
YA 6/2/2021 SINOVAC
YA 6/2/2021 SINOVAC
6/30/2021 CORONAVAC
6/30/2021 SINOVAC
6/30/2021 CORONAVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
YA 6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/30/2021 CORONAVAC
YA 6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/2/2021 SINOVAC
YA 6/2/2021 SINOVAC
6/2/2021 SINOVAC
6/30/2021 SINOVAC
6/2/2021 SINOVAC
6/6/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/2/2021 24002521 16170873680009
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170873564413
6/30/2021 24200321 16214734848380
6/30/2021 24200321 16214734848380

6/30/2021 24200321 16214734848380
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170873680009
6/2/2021 24002521 16170873564413
6/2/2021 24002521 16170981064481
6/30/2021 24200321 16214735075984
6/30/2021 24200321 16214735075984
6/30/2021 24200321 16214735075984
6/2/2021 24002521 16170873680009
6/2/2021 24002521 16170873564413
6/2/2021 24002521 16170981064481
6/2/2021 24002521 16170981172589
6/2/2021 24002521 16170873680009
6/30/2021 24200321 16214734858364
6/2/2021 24002521 16170873564413
6/2/2021 24002521 16170873575021
6/2/2021 24002521 16170873575021
6/2/2021 24002521 16170873575021

6/2/2021 24002521 16170873575021
6/2/2021 24002521 16170873680009
6/2/2021 24002521 16170873680009
6/2/2021 24002521 16170873680009
6/30/2021 24200321 16214734853060
6/2/2021 24002521 16170873564413
6/6/2021 24002521 16178421130332

Dosis 2
Tanggal Pemberian
Vaksinasi
6/30/2021 24200321 16214734848380
6/30/2021 24200321 16214734848380
6/30/2021 24200321 16214734848380
6/30/2021 24200321 16214734848380
6/30/2021 24200321 16214734848380
6/30/2021 24200321 16214734848380

6/30/2021 24200321 16214735075828
6/30/2021 24200321 16214735075828
6/30/2021 24200321 16214735075984
6/30/2021 24200321 16214735075984
6/30/2021 24200321 16214734858364
6/30/2021 24200321 16214734858364
6/30/2021 24200321 16214734858364
6/30/2021 24200321 16214734858364
6/30/2021 24200321 16214734858364
6/30/2021 24200321 16214734858364
6/30/2021 24200321 16214734853060
6/30/2021 24200321 16214734853060
6/30/2021 24200321 16214734853060

6/30/2021 24200321 16214734853060
6/30/2021 24200321 16214734853060
6/30/2021 24200321 16214734853060
6/30/2021 24200321 16214734853060
6/30/2021 24200321 16214734853060
6/30/2021 24200321 16214734853060

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-6CX12BR8B
2 P-61Y6CVPO
3 P-60DM3HKW
4 P-70LGESFI
5 P-77RCBD7C
6 P-7AEAFHVJ
10 P-7VWOBJEB
11 P-85AOBWA3
12 P-88TAVSTI
16 P-900BT9PB
17 P-ACJL5CDI
18 P-B4K6M9XA
19 P-BPWK6OHG
20 P-C44AUXL
21 P-D6TOAPFG
22 P-CIW918UL
23 P-BJN2Z6MW
26 P-H715VJE2
27 P0E24KYBUL
28 P-F1QWSR1W
29 P-BFEARED3
30 Q-00011QHD
31 P-6S1X4F5D
32 P-GVOP28S0
33 P-H806X408
37 P-1YX5UMJH
38 P-1JN6STEJ
39 P-150SAXEU
41 P-ITXJB68L
47 P-PKGE4LSK
48 P-PLB29TQD
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871085309720002
1871087107020003
1871084507700010
1871080908780004
1871085312960001
1871085610970004
1871071904880010
3172065005890001
1871070107900126
1871085005780008
1871080703760003
1871080605860002
1871082505020002
1871095508750007
1871085107690005
1871091203970002
6172015610810003
1871084309750001
611200707710015
1871066209800003
1871084407970001
1871086605030003
1871084510790008
1871084707670006
1871086303810003
1871080505650008
1871085911800005
1871076208000002
1871085809030002
1871083007890002
1871081805770001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SElASA/ 29-6-2021
Jenis
Kelamin
SRI MULYANI P D
RATIH PURWASIH P D
SITI AISAH P D
RIZAL FAHLEVI L D
TASSA INTANIA H P D
SINDI OKTAVIANI P D
HANAFI KUSEIN L D
DESSY ARMEY P D
HANDINATA KUSEIN L D
MASNAH P D
WAWAN ANDRIANTO L D
RUDY HIDAYAT L D
MUHAMMAD IQBAL ROFIF L D
ADELLIA P D
SITI AISYAH P D
RIO ANDREAN L D
SIAW LING P D
ROSMIATI P D
SONI SAPUTRA L D
NILA LESTARI P D
PUTRI SETYAWATI P D
EVELYN ANGELITA P D
WINSIAH P D
DRA. SITI JAMISUN P D
ROSTINA NAIBAHO P D
ANSYORI L D
ENI RELAWATI P D
AULIA NURHALIZA P D
ISNA NURAZKY P D
ANDI IRAWANSYAH L D
AHMAD SOPEI L D
***Merek Vaksin
A = Sinovac

18 BPJS PBI
19 BPJS Non PBI
16 Non Anggota
1
54 Total
0 Dosis 1
2 Dosis 2
0 Total
51
1
54
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
13/09/1972 50 46-59
7/31/2002 20 18-30
05/07/1970 52 46-59
8/9/1978 44 31-45
13/12/1996 26 18-30
16/10/1997 25 18-30
19/04/1988 35 31-45
10/05/1989 34 18-30
01/07/1990 32 31-45
10/05/1978 45 31-45
07/03/1976 47 18-30
06/05/1986 37 31-45
5/25/2002 21 18-30
15/08/1975 47 46-59
11/07/1972 50 46-59
12/03/1997 26 18-30
10/16/1981 41 31-45
03/09/1975 47 46-59
07/07/1971 51 46-59
22/09/1980 42 31-45
04/07/1997 25 18-30
26/05/2003 20 18-30
05/10/1979 43 31-45
07/07/1967 55 46-59
23/03/1981 42 31-45
05/05/1965 58 46-59
19/11/1980 42 31-45
22/08/2000 22 18-30
18/03/2003 20 18-30
30/07/1989 33 31-45
18/05/1977 46 46-59
9
28
17
54
52
2
54
Alamat
BAKUNG
KURIPAN
KURIPAN
NOG
BAKUNG
BAKUNG
NOG
NOG
NOG
BAKUNG
KURIPAN
KURIPAN
BAKUNG
NOG
BAKUNG
NOG
BAKUNG
BAKUNG
BAKUNG
KURIPAN
NOG
NOG
KURIPAN
KURIPAN
BAKUNG
NOG
BAKUNG
NOG
NOG
NOG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
085840283324 YA
089634264471 YA
089634264471
08950187302
082184955597 YA
089562142819 YA
081317801737
08128536436
081291379649 YA
088211437659
089679899904 YA
0895335551702
0811792660 YA
08127984169 YA
089501801197
08172673288 YA
081316166550 YA
082281178993
082294788154
0895382273078 YA
0895353895012 YA
081383440345
082172436323 YA
089620454107
089090880729 YA
082183653806 YA
0852675737416 YA
089502503011 YA
089502503011 YA
085767044327
08138638181 YA
aan
0
0
0
0
Nama/Jenis/Merek
a' pada kolom yang sesuai) Tanggal Screening
Vaksin***
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
Dosis I
6/29/2021 24200321 16214924837193
6/29/2021 24200321 16214924837193
6/29/2021 24200321 16214924837193
6/29/2021 24200321 16214924837193
6/29/2021 24200321 16214924837193
6/29/2021 24200321 16214924837193
6/29/2021 24200321 16214924837193
6/29/2021 24200321 16214924837193
6/29/2021 24200321 16214925044501
6/29/2021 24200321 16214925044501

6/29/2021 24200321 16214925044501
6/29/2021 24200321 16214925044501
6/29/2021 24200321 16214925044501
6/29/2021 24200321 16214925044501
6/29/2021 24200321 16214925044501
6/29/2021 24200321 16214925044501
6/29/2021 24200321 16214925045749
6/29/2021 24200321 16214925045749
6/29/2021 24200321 16214925045749
6/29/2021 24200321 16214925045749
6/29/2021 24200321 16214925045749
5/27/2021 24001421 16134560094501
6/29/2021 24200321 16214925045749
6/29/2021 24200321 16214925045749
6/29/2021 24200321 16214925045749
6/29/2021 24200321 16214925050429
6/29/2021 24200321 16214925050429

6/29/2021 24200321 16214925050429
6/29/2021 24200321 16214925050429
6/29/2021 24200321 16214924848581
6/29/2021 24200321 16214924848581

Dosis 2
6/29/2021 24200321 16214925045749
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-0000RX2F
7 Q-0000TVVL
25 Q-0000S2M1
26 Q00001236
32 Q-0000RZSD
33 Q-0000S0JU
39 Q-0000ER9Z
41 Z-0001176P
50 P-3MBSBOCK
53 Q-0000RU4O
56 S-B3956271
57 P-21BH14QZ
58 P-1SJQOVQZ
59 P-305RNPZW
68 QP-34TFXYL8
73 P-06RITN9R
76 P-30DLNMX4
81 P-1RSTR0WY
82 P-3EV3AWGE
84 P-1HTR0DDP
85 P-33TVG7RD
86 P-1E3Z88MR7
87 P-3AMMT8TE
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1872046303700003
1871084707650005
1871096505720009
1871095503870008
1871086207960001
1871094306830004
1871095302020002
1805291212600003
1871084505700006
1871085404640002
1871080205660003
1871086005770003
1871082901690002
1871082709690003
1871084405690004
1871081704850003
1871081211750002
1871082808010002
1871082807020003
187108311780001
1871081605880009
1871086804820006
1871080506020003
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS / 1-7-2021
Jenis
Kelamin
JO EN NIE P D
JAHRO P B
ALIYAH P B
JORA P B
NURHAYATI P B
SULAYHA P B
KARMILA P B
SUBARI L D
SRI MARYATI P D
DEWI ZUBAIDAH P B
NURUL AMRI P B
MELITA P D
HAMBALI L D
ERIKSON L D
RISDAWATI P D
ERWIN J P D
RUSDI L D
GABRIEL TURNIP L D
AHMAD FERY L D
RIRIN WAHYUNI P D
IPAN L D
POPPY PRASATIKA P D
SION P L D
***Merek Vaksin
A = Sinovac

19 BPJS PBI
32 BPJS Non PBI
34 Non Anggota
3
88 Total
0 Dosis 1
61 Dosis 2
0 Total
27
0
88
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
3/23/1970 53 46-59
07/07/1965 57 46-59
19/02/1977 46 46-59
15/03/1987 36 31-45
7/22/1996 26 18-30
03/06/1983 39 31-45
2/13/2002 21 18-30
12/12/1960 62 ≥60
5/5/1970 53 46-59
4/14/1964 59 46-59
5/2/1966 57 46-59
5/20/1977 46 46-59
1/29/1969 54 46-59
9/27/1969 53 46-59
04/05/1969 54 46-59
17/04/1985 38 31-45
11/12/1975 47 46-59
8/28/2001 21 18-30
6/28/2002 20 18-30
11/23/1978 44 31-45
5/16/1988 35 31-45
4/28/1982 41 31-45
6/5/2002 20 18-30
2
48
23
73
56
27
83
Alamat
YOSODADI
BAKUNG
BATUPUTUK
BATUPUTUK
BATUPUTUK
BATUPUTUK
BATUPUTUK
BATUPUTUK
KURIPAN
BAKUNG
NOG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
NOG
KURIPAN
KURIPAN
BAKUNG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
081369259669 YA
082175892127 YA
082375711781 YA
082375711781 YA
085788695492 YA
085788695492
085766902993 YA
085366660888 YA
082307318416 YA
085377442363 YA
081369333336 YA
0895620403516
0895620403516
'081279413939 YA
081279413939 YA
08956327771 YA
085267427048 YA
083809861859 YA
088293207037
089628952835 YA
083194903599 YA
081271113689 YA
08994284954
aan
0
0
0
0
Non Anggota
6/3/2021 SINOVAC
6/2/2021 SINOVAC
6/3/2021 SINOVAC
6/3/2021 SINOVAC
6/3/2021 SINOVAC
YA 6/3/2021 SINOVAC
6/3/2021 SINOVAC
6/3/2021 SINOVAC
7/1/2021 SINOVAC
6/3/2021 SINOVAC
7/1/2021 SINOVAC
YA 7/1/2021 SINOVAC
YA 7/1/2021 SINOVAC
7/1/2021 SINOVAC
7/1/2021 SINOVAC
7/1/2021 SINOVAC
7/1/2021 SINOVAC
7/1/2021 SINOVAC
YA 7/1/2021 SINOVAC
7/1/2021 SINOVAC
7/1/2021 SINOVAC
7/1/2021 SINOVAC
YA 7/1/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/3/2021 24002521 16170981760397
6/2/2021 24002521 16170873575021
6/3/2021 24002521 16170981758369
6/3/2021 24002521 16170981758369
6/3/2021 24002521 16170981765077
6/3/2021 24002521 16170981765077
6/3/2021 24002521 16170981758369

6/3/2021 24002521 16170981764297
7/1/2021 24200321 16214924846709
6/3/2021 24002521 16170873681569
7/1/2021 24200321 16214735074892
7/1/2021 24200321 16214735074892
7/1/2021 24200321 16214735074892
7/1/2021 24200321 16214735074892
7/1/2021 24200321 16214735069588
7/1/2021 24200321 16214735069588
7/1/2021 24200321 16214735069588
7/1/2021 24200321 16214924839845
7/1/2021 24200321 16214924839845
7/1/2021 24200321 16214924839845
7/1/2021 24200321 16214924839845
7/1/2021 24200321 16214924839845
7/1/2021 24200321 16214924839845

Dosis 2
Tanggal Pemberian
Vaksinasi
1-Jul-21 24200321 161214735075204
1-Jul-21 24200321 161214735075204
1-Jul-21 24200321 17214734852904
1-Jul-21 24200321 17214734852904
1-Jul-21 24200321 17214734852904
1-Jul-21 24200321 17214734852904
1-Jul-21 24200321 16214924838285

1-Jul-21 24200321 16214924838285
1-Jul-21 24200321 16214924846709

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-AS1RLPOA
4 P-BAODAWSX
5 P-B8Q1J7OV
8 P-BYIVNVM1
9 P-CBNHCGLD
10 P-CBS8QITL
11 P-CC71PM9Y
12 P-CCK1JZFS
13 P-CE5SH8FK
14 P-CF9YHG9M
15 P-C4CBS9KT
16 P-CVKALKXJ
22 P-E50TWEN1
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871072108960006
1871086804940004
1871084406730005
1871095604030001
1871095104770005
1871096304820001
1871074605010006
1871080802010004
1871081511000005
1871080512670002
1871095606800004
1871081207000005
1871083108010005

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT/ 2-7-2021
Jenis
Kelamin
ADI PRANATA L D
APRILIA EKAWATI P D
ULLYANAH P D
ANILA SARI P D
ANAH P D
MASITA P D
SALMA BELLA KUSUMA P D

ALDI SAPUTRA L D
WIRA PRANDANA L D
EDI KURNIAWAN L D
FITRI ASMARIA P D
JORDAN RICARDO L D
RIAN AGUS L D
***Merek Vaksin
A = Sinovac

10 BPJS PBI
5 BPJS Non PBI
7 Non Anggota
0 Total
22 Pemberian Dosis
Pekerjaan: Dosis 1
0 Dosis 2
0 Total
0
22
0
22
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
21/08/1996 26 18-30
28/04/1994 29 18-30
04/06/1973 49 46-59
4/16/2003 20 18-30
4/11/1977 46 46-59
23/04/1982 41 31-45
06/05/2001 22 18-30
08/02/2001 22 18-30
12/24/1999 23 18-30
12/5/1967 55 46-59
16/06/1980 42 31-45
7/12/2000 22 18-30
31/08/2002 20 18-30
7
9
6
22
22
22
Alamat
TBS
KURIPAN
BAKUNG
BATUPUTU
BATUPUTU
BATUPUTU
BAKUNG
NOG
BAKUNG
BAKUNG
NOG
KURIPAN
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
081377785777 YA
081532406780 YA
089636367311 YA
085769371494
085692236895
085709700506 YA
085269919678
085158088209 YA
0895371916737 YA
0895600782070 YA
081529565517 YA
085161165859 YA
0895323490101
aan
0
0
0
0
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
7/2/2021 CORONAVAC
7/2/2021 CORONAVAC
7/2/2021 CORONAVAC
7/2/2021 CORONAVAC
7/2/2021 CORONAVAC
7/2/2021 CORONAVAC
7/2/2021 CORONAVAC
7/2/2021 CORONAVAC
7/2/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
7/2/2021 24200321 16213951034276
7/2/2021 24200321 16213951034276
7/2/2021 24200321 16213951034276
7/2/2021 24200321 16213951034276
7/2/2021 24200321 16213951034276
7/2/2021 24200321 16213951034276
7/2/2021 24200321 16213951034276

7/2/2021 24200321 16213951033964
7/2/2021 24200321 16213951033964
7/2/2021 24200321 16213951033964
7/2/2021 24200321 16213951033964
7/2/2021 24200321 16213951033964
7/2/2021 24200321 16213951033964

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-0HJYFQ7H
2 Z-00006HEB
3 Q-0000JMFO
4 Q-0000JYEA
8 Q-0000JWWA
9 Q-0000JXM8
10 Q-0000JZLF
11 Q-0000JM82
12 Z-00006JJB
13 Q-0000K9T4
15 Q-000KAAX
17 Q-0000KAR3
19 Q-0000KOZ3
22 Q-0000K284
23 Q-0000JSFP
24 Q-0000K2YL
25 P-1CQ67RUC
26 Z-00006HLR
28 Q-0000KN27
29 Q-0000JSRV
30 Q-0000K8V6
31 Q-0000JOZA
32 Z-00006HGO
33 Q-0000JREV
34 Q-0000KMNA
35 P-1BWKVRGV
36 Q-0000J041
38 Q-0000JN8F
39 Q-0000JZ6Q
40 Q-0000K0DU
41 Z-00006HLQ
42 Q-0000KB33
44 Q-0000K4ED
45 Q-0000KOPE
46 Z-00006HY1
48 Q-0000K3UO
49 Z-000060SE
54 Q-0000KO3N
70 Q-B3FADO36
71 Q-0000K8GN
75 Q-0000K1EK
76 Q-0000KOM0
77 Q-0000K539
78 Q-0000K7LJ
79 Q-0000JY2U
80 P-75ULWZRG
81 P-78LO70LR
82 P-7FB0DDBY
83 P-7DXZBFYN
84 P7P2XJY9C
85 P-7RXAA96K
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871111111990005
1871084101600013
1871082512680002
1871085302700001
1871082401830003
3301154105880002
1871086001820004
1871085505690003
1871085810520001
1871084808860013
1871074811900009
1871082001730005
1871086105650005
1871081909650001
1805025408860005
1871081203700003
187184505780009
1871084803570001
1871086108730003
1871085405650002
1871084307770008
1871085401690006
1871086710550001
1871081001680008
1871085005990005
1871010906920004
1871085709660006
1871084909680006
1871085505960004
1871086505840008
1871084509380001
1871086208810002
1871082505930004
1871080303870011
1871084211550001
1871082208730003
1871085204730008
1871086503770007
1871080710670002
1871080808690005
1871081112720001
1871084610860002
1871084509830005
1871082002830011
1871082707810006
1871084912720006
1871082801980003
1871086004010002
1812085409670001
1871080805010004
1871081208010005

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SABTU / 3-7-2021
Jenis
Kelamin
RAHMAT PRASETYO L D
JILAH P D
SUKIDI L B
MUNTIASIH P B
SUBKI L B
TUTI SUWARSIH P B
SRI WAHYUNI P B
MANISEM P B
SUTINI P D
WALIJAH P B
NURUL RESTU UTAMI P B
M YUSUF L B
SITI MARWIYAH P B
SYAFE'I L B
RINI MARWATI P B
MASRIYAK L B
SITI MAISAROH P D
RASMI P D
MARYANA P B
JAMIYAH P B
SETIANI P B
SUWARNI P B
PONIRAH P D
KARMIN L B
MEYLANI P B
MUHAMMAD SURYA GUMILAR L D
SARTIAH P B
NANI PRIYANI P B
TRISNAWATI P B
ASTUTI P B
SUMIRAH P D
LIDYAWATI P B
JUMANI L B
MARDIANSYAH L B
SA'DIYAH P B
M SALEH L B
BASTUTI P B
ELIS MAWATI P B
EDI NOVIAN L B
HALABI L B
MUJAMIL L B
ROHMAWATI P B
GINA P B
TOYANTO L B
ARIYANTO L B
WIDYA ASTUTI P D
GILANG RAMADHAN L D
MAWAR SARI MAI RENI P D
SULASMI P D
ARI YUDHA L D
VIDIAWAN L D
***Merek Vaksin
A = Sinovac

23 BPJS PBI
28 BPJS Non PBI
28 Non Anggota
6
85 Total
0 Dosis 1
45 Dosis 2
0 Total
40
0
85
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
11/11/1999 23 18-30
01/01/1960 63 ≥60
25/12/1968 54 46-59
2/13/1970 53 46-59
24/01/1983 40 31-45
5/1/1988 35 31-45
20/01/1982 41 31-45
15/05/1969 54 46-59
10/18/1952 70 ≥60
8/8/1986 36 31-45
09/11/1990 32 31-45
20/01/1973 50 46-59
5/21/1965 58 46-59
19/09/1965 57 46-59
14/08/1986 36 31-45
12/03/1970 53 46-59
05/05/1978 45 31-45
08/03/1957 66 ≥60
8/21/1973 49 46-59
14/05/1965 58 46-59
7/3/1977 45 31-45
14/01/1969 54 46-59
27/10/1955 67 ≥60
10/01/1968 55 46-59
10/05/1999 29 18-30
09/07/1992 30 18-30
17/09/1966 56 46-59
09/09/1968 54 46-59
15/05/1996 27 18-30
25/05/1984 39 31-45
05/09/1938 84 ≥60
22/08/1981 41 31-45
25/05/1993 30 18-30
03/03/1987 36 31-45
11/2/1955 67 ≥60
22/08/1973 49 46-59
4/12/1973 50 46-59
25/03/1977 46 46-59
07/10/1967 55 46-59
8/8/1969 53 46-59
11/12/1972 50 46-59
10/6/1986 36 31-45
9/5/1973 49 46-59
20/02/1983 40 31-45
7/27/1981 41 31-45
12/9/1972 50 46-59
1/28/1998 25 18-30
4/24/2001 22 18-30
14/09/1967 55 46-59
5/6/2001 22 18-30
8/12/2001 21 18-30
2
45
15
62
56
27
83
Alamat
TJ. SENANG
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
BAKUNG
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
BAKUNG
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME II TBB
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
SUKARAME 2
BAKUNG
BAKUNG
BAKUNG
BAKUNG
KURIPAN
KURIPAN
Pekerjaan
A
B
C
D
E
Total
No. Hp
08984297097 YA
081274312424 YA
081274312424 YA
081274312424 YA
085319457020 YA
085319457020 YA
081274312424 YA
081274312424 YA
081274312424
085266640150 YA
0895600622202 YA
089530325110 YA
081274312424
081274312424 YA
081274312424 YA
081274312424 YA
089512944922 YA
081274312424 YA
089632739800 YA
081274312424
085213387585
081274312424
082193948377 YA
081274312424 YA
089507976686 YA
085381849278 YA
081274312424
081274312424 YA
081274312424 YA
081274312424 YA
081274312424 YA
081274312424 YA
081274312424 YA
081274312424
081274312424 YA
081274312424 YA
085355706454 YA
089632328292 YA
085896871324 YA
08228191003
081274312424
083168578586 YA
081274312424 YA
081274312424
081274312424 YA
081379826036 YA
081959102295
083135931228
085381449472 YA
08976750351 YA
0895640083739 YA
aan
0
0
0
0
0
Non Anggota
7/3/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
YA 6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
YA 6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
7/3/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
YA 6/6/2021 SINOVAC
YA 6/6/2021 SINOVAC
YA 6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
7/3/2021 SINOVAC
YA 6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
YA 6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
4/1/2021 SINOVAC
YA 6/6/2021 SINOVAC
YA 6/6/2021 SINOVAC
6/6/2021 SINOVAC
6/6/2021 SINOVAC
YA 6/6/2021 SINOVAC
6/6/2021 SINOVAC
7/3/2021 SINOVAC
YA 7/3/2021 SINOVAC
YA 7/3/2021 SINOVAC
7/3/2021 SINOVAC
7/3/2021 SINOVAC
7/3/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
7/3/2021 24200321 16214735060992
6/6/2021 24002521 16170981758681
6/6/2021 24002521 16170981758681
6/6/2021 24002521 16178421126136
6/6/2021 24002521 16178421126136
6/6/2021 24002521 16178421126136
6/6/2021 24002521 16178421126136

6/6/2021 24002521 16170981758681
6/6/2021 24002521 16170981761801
6/6/2021 24002521 161784211264448
6/6/2021 24002521 161784211264448
6/6/2021 24002521 161784211264448
6/6/2021 24002521 16170981757277
6/6/2021 24002521 16178421130332
6/6/2021 24002521 16170981761801
6/6/2021 24002521 16178421130332
7/3/2021 24200321 16213950819480
6/6/2021 24002521 16170981758681
6/6/2021 24002521 16170981757277
6/6/2021 24002521 16170981761801
6/6/2021 24002521 161784211264448
6/6/2021 24002521 16170981757121
6/6/2021 24002521 16170981758681
6/6/2021 24002521 16170981761801

6/6/2021 24002521 16170981757277
7/3/2021 24200321 16213951033028
6/6/2021 24002521 16170981757121
6/6/2021 24002521 16170981757121
6/6/2021 24002521 16178421126136
6/6/2021 24002521 16178421126136
6/6/2021 24002521 16170981758681
6/6/2021 24002521 161784211264448
6/6/2021 24002521 16178421130332
6/6/2021 24002521 16178421126136
6/6/2021 24002521 16170981757121
6/6/2021 24002521 16178421130332
6/6/2021 24002521 16170981757277
6/6/2021 24002521 16170981757277
4/1/2021 24000721 16125195365126
6/6/2021 24002521 161784211264448
6/6/2021 24002521 16178421130332

6/6/2021 24002521 16170981757277
6/6/2021 24002521 16178421130332
6/6/2021 24002521 16178421130332
6/6/2021 24002521 16178421126136
7/3/2021 24200321 16213950817140
7/3/2021 24200321 16213950817140
7/3/2021 24200321 16213950817140
7/3/2021 24200321 16213950817140
7/3/2021 24200321 16213950817140
7/3/2021 24200321 16213950817140

Dosis 2
Tanggal Pemberian
Vaksinasi
7/3/2021 24200321 16214735060992
7/3/2021 24200321 16214735060992
7/3/2021 24200321 16214735060992
7/3/2021 24200321 16214735060992
7/3/2021 24200321 16214735060992
7/3/2021 24200321 16214735060992

7/3/2021 24200321 16214735060992
7/3/2021 24200321 16214735061460
7/3/2021 24200321 16214735061460
7/3/2021 24200321 16214735061460
7/3/2021 24200321 16214735061460
7/3/2021 24200321 16214735061460
7/3/2021 24200321 16214735061460
7/3/2021 24200321 16213950819480
7/3/2021 24200321 16213950819480
7/3/2021 24200321 16213950819480
7/3/2021 24200321 16213950819480
7/3/2021 24200321 16213950819480
7/3/2021 24200321 16213950819480
7/3/2021 24200321 16213950819480
7/3/2021 24200321 16213950819480
7/3/2021 24200321 16213950819480

7/3/2021 24200321 16213951033028
7/3/2021 24200321 16213951033028
7/3/2021 24200321 16213951033028
7/3/2021 24200321 16213951033028
7/3/2021 24200321 16213951033028
7/3/2021 24200321 16213951033028
7/3/2021 24200321 16213951033028
7/3/2021 24200321 16213951033028
7/3/2021 24200321 16213950819012
7/3/2021 24200321 16213950819012
7/3/2021 24200321 16213950819012
7/3/2021 24200321 16213950819012
7/3/2021 24200321 16213950819012
7/3/2021 24200321 16213950819012
7/3/2021 24200321 16213950819012
7/3/2021 24200321 16213950817140

7/3/2021 24200321 16213950817140
7/3/2021 24200321 16213950817140
7/3/2021 24200321 16213950817140
7/3/2021 24200321 16213950817140

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-7LBLX4KJ
2 P-8LOUDWJ7
3 P-81GUE1V3
4 Q-000000NE
5 P-8REB5TLO
6 S-0F9102C
8 P-BAZ3XKV1
9 P-BJ9EPA49
10 S-3AA837C3
11 Q-0000O2U8
12 P-C7HYXE1E
13 P-CMAR5LXG
15 Q-EBEOEAB4
16 P-DA7N9DFP
17 P-DAX006P6
18 Q-0000O44B
24 P-DGNCBCP
29 Q-0000O0Y7
30 P-DMGQFH76
31 Q-0000NZHD
32 Q-0000O035
33 P-DOMU928D
34 Q-0000ZK83
35 P-DPUEKFFA
38 P-DSB261G2
52 Q-0000O5HP
53 Q-0000O51K
54 P-DZMDQ0YE
55 P-E0XAZEG1
61 P-E3UONRD
62 P-E5UQKMHH
66 P-E96QQR2G
67 P-EA8IO4BZ
72 P-EJJH4986
73 P-ELOVFJ1S
74 P-EMF8QQHO
75 P-ENQ8ZN24
77 P-EQBLD8XJ
78 P-ES69MTSI
79 P-ETION1XS
80 P-EUUBQUSX
81 P-F5VR1AQS
82 P-EZVIN8PK
85 P-EXRY05B4
87 P-F4LCGG87
90 S-B95CEA82
93 P-FCCCKLDG
94 J-0000OROO
95 P-FEQDWUVW
96 P-EFHIZRND
98 P-KGNBQAAH
99 P-F1GWKJKY
102 P-FN33HOAP
104 P-FKCLQ1W0
105 P-FL05B1CQ
108 P-FONL867O
109 P-FQFFYPTB
110 P-FRA4L1SV
116 Q-000173YA
124 P-FS0AQMTX
125 P-F46YJZU1
127 P-FY4IKSYQ
130 P-G17JUYBWD
131 Q-0000JR7L
133 P-G4147JRP
134 P-6514HL5L
136 P-FX1XW0KG
142 P-GIB19JNP
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871080710860005
18711091510940003
1871084709750001
1871086112710004
1871085709850001
1871084107850033
1871082009830001
1871086506770001
1871084209600005
1871082410660002
120813008830001
120814911820003
187108560990003
1871086709820003
187109590988006
1871085804010002
1871081804840004
1871082201960007
1871080306650005
1871054508890009
1871075911730005
1871085012630002
1871081712750001
1871074301990005
187108207740016
1871085501760004
1871082906690001
1871084608770003
1871084808990002
1871085505820002
1810034709850002
1871085804870006
1871036602780002
1871081308700009
1871081810990002
1871085009880002
1871084105740004
1871081704710002
1871085310700005
1871081710000005
1871085506620004
1871087112770007
1871090410910003
1871080808680005
1871085808800003
1871085907910001
1871085004700012
1871071212990010
1871086912970002
1871080612690003
1871080107690017
1871080510720003
1871092007810003
1871084509860006
1871082702790004
1871062511810007
1871072212940002
1871085001980008
1871085503850008
1871081110020006
1871085803710001
1871081107010001
1871084504730001
1871081704720002
1871086611690001
1871135006910005
1871081909990004
1871085111610002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN/ 5-7-2021
Jenis
Kelamin
LUSTER SITUMORANG L D
DAVID CHANG L D
SITI HAPSAH P D
SITI FLORENTINA P B
MIKA MALAU P D
YULI SAFITRI P D
SUPRIYADI L D
SUKAISIH P D
ERNI P D
RUDI WIJAYA L B
AMRAN HASIHOLAN L D
HOTMAULINA HUTAPEA L D
MUTIARA SYLVY P D
FIKA ROSITA P D
IRA SEPRINA P D
CARISA WIJAYA P B
AHMAD UNDAYANI P D
CALVIN WIJAYA L B
ANWAR L D
IIS WATI P B
RAHMAYUNI P B
ROIYAH P D
ABAS L B
FITRIA EKA FARMA P D

SALFAH P D
YANTI TOHARI P B
TJOE FUK LUI L B
HUSNA YANTI P D
RISKA SYAHFINA P D
RISAH UMAMI P D
TRI LESTARI P D
APRIYANI P D
SUPIAH P D
AGUS SETIAWAN L D
M. ILHAM PRATAMA L D
MITA SARI P D
SUMIATI P D
JON DEWAN L D
RANI SITUMORANG P D
FERNANDO ARITONANG L D
TUMINNEM P D
EKA WATININGSIH P D
MUHAMMAD ZIKRIL HAKIM L D
AGUS SALIM L D
SITI MAS ADAH P D
ARDILLAH L D
WATINI P D
JOSE JEREMIA L D
RIRI MUHANI P D
SYAEFUDIN L D
SUBKI L D
MARZUKI L D
FERLANSYAH L D
FITRIA P D
HERIYANTO L D
DOLI YOGI L D
HENDRO PRAYITNO L D
SAFITRI P D
WINA MARSELINA P D
ALVITO L D
MARLINA P D
RIZKI AKHMAD L D
ISMAINI P D
HARUN L B
MARPUNGAH P D
MEI ALIYA P D
REZA ADI L D
ZURAIDA,SE.MM P E
***Merek Vaksin
A = Sinovac

42 BPJS PBI
50 BPJS Non PBI
43 Non Anggota
8
143 Total
0 Dosis 1
48 Dosis 2
0 Total
94
1
143
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
07/10/1986 36 31-45
15/10/1994 28 18-30
07/09/1975 47 46-59
21/12/1971 51 46-59
17/09/1985 37 31-45
01/07/1985 37 31-45
20/09/1983 39 31-45
25/06/1977 45 31-45
02/09/1960 62 ≥60
24/10/1996 26 18-30
30/08/1983 39 31-45
09/11/1982 40 31-45
16/09/1999 23 18-30
27/09/1982 40 31-45
19/09/1988 34 31-45
4/18/2001 22 18-30
18/04/1984 39 31-45
22/01/1996 27 18-30
03/06/1965 57 46-59
05/08/1989 33 31-45
19/11/1973 49 46-59
10/12/1963 59 46-59
17/12/1975 47 46-59
03/01/1999 24 18-30
12/07/1974 48 46-59
15/01/1976 47 46-59
29/06/1969 53 46-59
06/08/1977 45 31-45
08/08/1999 23 18-30
15/05/1982 41 31-45
07/09/1985 37 31-45
18/04/1987 36 31-45
26/02/1978 45 31-45
13/08/1970 52 46-59
18/10/1999 23 18-30
10/09/1988 34 31-45
01/05/1974 49 46-59
17/04/1971 52 46-59
13/10/1970 52 46-59
17/10/2000 22 18-30
15/06/1962 60 ≥60
31/12/1977 45 31-45
04/10/1991 31 31-45
06/08/1968 54 46-59
18/08/1980 42 31-45
19/07/1991 31 31-45
10/04/1970 53 46-59
12/12/1999 23 18-30
29/12/1997 25 18-30
06/12/1969 53 46-59
01/07/1969 53 46-59
01/10/1972 50 46-59
20/07/1981 41 31-45
05/09/1986 36 31-45
27/02/1979 44 31-45
25/12/1981 41 31-45
22/12/1994 28 18-30
10/01/1998 25 18-30
15/03/2021 85 ≥60
11/10/2002 20 18-30
18/03/1971 52 46-59
11/07/2001 21 18-30
05/04/1973 50 46-59
17/04/1972 51 46-59
26/11/1969 53 46-59
10/06/1991 31 31-45
19/09/1999 23 18-30
11/11/1961 61 ≥60
25
94
24
143
94
49
143
Alamat
BAKUNG
BAKUNG
NOG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
SUKARAME 2
NOG
NOG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
NOG
NOG
BAKUNG
BAKUNG
SUKARAME 2
SUKARAME 2
NOG
BAKUNG
BAKUNG
BAKUNG
SUKARAME 2
SUKARAME 2
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
SUKARAME 2
BAKUNG
SUKARAME 2
NOG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
NOG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
NOG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
SUKARAME 2
BAKUNG
BAKUNG
SUKARAME 2
NOG
Pekerjaan
A
B
C
D
E
Total
No. Hp
081271797546 YA
082266599478 YA
089637118982 YA
085369045050 YA
082184676351 YA
0895320444242 YA
081279775481 YA
0895606418246 YA
082282516443 YA
082161405678 YA
081310218454 YA
081361087504 YA
085841810940 YA
085267766106 YA
085269084448 YA
082180365365 YA
08154043865 YA
0895336126688 YA
085380344080 YA
0896187450007
089633467063 YA
085380344080 YA
0822697129 YA
089632484255 YA
082183328788 YA
085277116006 YA
08127911909 YA
081368447495 YA
08380994351 YA
088276479951 YA
082282354664 YA
081272222212 YA
081268744411 YA
085764105732 YA
089633830723 YA
089514101386 YA
082281182299 YA
082183271881 YA
082183151612
0895324477797
YA
089524873449
089631917539
081321043408 YA
085789440683 YA
0895602792468 YA
089606884026 YA
081271660062
089680154454
085378597090
0821830810000 YA
082377235494 YA
085377703234 YA
089603444443 YA
085267655519
08989326648 YA
0895610102426 YA
0895610102426
08117966662
089635545686 YA
088276501489 YA
085738823896 YA
082184997671 YA
081274312424 YA
082279999741 YA
08227999741 YA
089519530201 YA
08127985186
aan
0
0
0
0
0
Non Anggota
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
6/7/2021 SINOVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
6/7/2021 SINOVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
4/7/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
6/7/2021 SINOVAC
7/5/2021 CORONAVAC
6/7/2021 SINOVAC
7/5/2021 CORONAVAC
YA 6/7/2021 SINOVAC
6/7/2021 SINOVAC
7/5/2021 CORONAVAC
5/28/2021 SINOVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
6/7/2021 SINOVAC
6/7/2021 SINOVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
YA 6/7/2021 SINOVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
6/6/2021 SINOVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
7/5/2021 24200321 16214735061148
7/5/2021 24200321 16214735061148
7/5/2021 24200321 16214735061148
6/7/2021 24002921 16178567410285
7/5/2021 24200321 16214735061148
7/5/2021 24200321 16214735061148
7/5/2021 24200321 16214735061148

7/5/2021 24200321 16214735061148
7/5/2021 24200321 16214735061148
6/7/2021 24002921 16178567410285
7/5/2021 24200321 16214734859768
7/5/2021 24200321 16214734859768
4/7/2021 24000721
7/5/2021 24200321 16214734859768
7/5/2021 24200321 16214734859768
6/7/2021 24002921 16178567621041
7/5/2021 24200321 16213951033652
6/7/2021 24002921 16178567410285
7/5/2021 24200321 16213951033652
6/7/2021 24002921 16178567410285
6/7/2021 24002921 16178567410285
7/5/2021 24200321 16213951033652
5/28/2021 24001421 16134561171681
7/5/2021 24200321 16214735061772

7/5/2021 24200321 16214735061772
6/7/2021 24002921 16178567621041
6/7/2021 24002921 16178567621041
7/5/2021 24200321 16214735065220
7/5/2021 24200321 16214735065220
7/5/2021 24200321 1621473060368
7/5/2021 24200321 1621473060368
7/5/2021 24200321 1621473060368
7/5/2021 24200321 16214734859144
7/5/2021 24200321 16214734859144
7/5/2021 24200321 16214734859144
7/5/2021 24200321 16214734859144
7/5/2021 24200321 16214734859144
7/5/2021 24200321 16214734859144
7/5/2021 24200321 162147421111100
7/5/2021 24200321 162147421111100
7/5/2021 24200321 162147421111100

7/5/2021 24200321 162147421111100
7/5/2021 24200321 162147421111100
7/5/2021 24200321 162147421111100
7/5/2021 24200321 162147421111100
7/5/2021 24200321 16214741899892
7/5/2021 24200321 16214741899892
7/5/2021 24200321 16214741899892
7/5/2021 24200321 16214741899892
7/5/2021 24200321 16214741899892
7/5/2021 24200321 16214741899892
7/5/2021 24200321 16214741899892
7/5/2021 24200321 16214735064596
7/5/2021 24200321 16214735064596
7/5/2021 24200321 16214735064596
7/5/2021 24200321 16214735064596
7/5/2021 24200321 16214735064596
7/5/2021 24200321 16214735064596

6/7/2021 24001421 16134638635405
7/5/2021 24200321 16214742110320
7/5/2021 24200321 16214742110320
7/5/2021 24200321 16214742110320
7/5/2021 24200321 16214742110320
6/6/2021 24002521 16170981761801
7/5/2021 24200321 16214734857896
7/5/2021 24200321 16214734857896
7/5/2021 24200321 16214734857896
7/5/2021 24200321 16214734857896

Dosis 2
Tanggal Pemberian
Vaksinasi
7/5/2021 24200321 16214735061148

7/5/2021 24200321 16214735061148
7/5/2021 24200321 16214734859768
7/5/2021 24200321 16214734859768
7/5/2021 24200321 16213951033652
7/5/2021 24200321 16213951033652
7/5/2021 24200321 16213951033652
7/5/2021 24200321 16214735061772

7/5/2021 24200321 16214735065220
7/5/2021 24200321 16214735065220

7/5/2021 24200321 16213951021952
7/5/2021 24200321 16214742110320

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-CAFL05JW
140 P-J78587C2
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871085409730005
1871084808840005

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA/ 6-7-2021
Jenis
Kelamin
RINA YULITA P D
ROSIDAWATI P D
***Merek Vaksin
A = Sinovac

49 BPJS PBI
46 BPJS Non PBI
35 Non Anggota
13
143 Total
0 Dosis 1
24 Dosis 2
0 Total
118
1
143
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
14/09/1973 49 46-59
8/8/1984 38 31-45
42
57
44
143
94
49
143
Alamat
BAKUNG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
08975869393 YA
08996407194 YA
aan
0
0
0
0
Non Anggota
7/6/2021 CORONAVAC
7/6/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
7/6/2021 24200321 16213986508224
7/6/2021 24200321 162148115795688

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1. P-HYZYSPLG
3 P-MEUW96SY
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871082112860004
1871071804810008

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU/ 7-7-2021
Jenis
Kelamin
DENI KURNIAWAN L D
IPNI L D
***Merek Vaksin
A = Sinovac

26 BPJS PBI
27 BPJS Non PBI
40 Non Anggota
5
98 Total
0 Dosis 1
32 Dosis 2
0 Total
57
9
98
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
21/12/1986 36 31-45
17/04/1977 46 46-59
16
48
34
98
94
49
143
Alamat
BAKUNG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
089606006424
aan
0
0
0
0
Non Anggota
Dosis I
Tanggal Pemberian
Vaksinasi
7/7/2017 24200321 16213986712724
7/7/2017 24200321 16213986712724

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-0002AUCF
5 Q-0002AY3P
10 Z-0000IQBH
13 Q-0002BCGA
18 Q-0002VKCL
24 Q-0002D274
25 Q-0002W8CC
P-MUXNW9VU
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871065005950008
1871086412690001
1871082709570005
18710815106100001
1871081708630006
1871084508700003
1871080707830004
1871081004690001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU / 14-7-2021
Jenis
Kelamin
YOVI VANIA CHAN P B
YANTI P E
SUDHARTO L D
DUKUT KRISMANTO L E
ARIFUDIN L E
SUMARNI P E
FIRMANSYAH L B
NASIYO L E
***Merek Vaksin
A = Sinovac

10 BPJS PBI
9 BPJS Non PBI
11 Non Anggota
3
33 Total
0 Dosis 1
23 Dosis 2
0 Total
2
8
33
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
10/05/1995 28 18-30
24/12/1969 53 46-59
9/27/1957 65 ≥60
15/10/1961 61 ≥60
17/08/1963 59 46-59
05/08/1970 52 46-59
07/07/1983 39 31-45
10/04/1969 54 46-59
2
22
9
33
0
33
33
Alamat
ENGGAL
KURIPAN
BAKUNG
BAKUNG
NOG
BAKUNG
SUKARAME II
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
082280545777 YA
089528407442 YA
085234758478 YA
082186039652
081279492957
'088274372284 YA
081279372007
082175935788 YA
aan
0
0
0
0
Non Anggota
6/14/2017 CORONAVAC
6/14/2017 CORONAVAC
6/14/2017 CORONAVAC
6/14/2017 CORONAVAC
6/14/2017 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/14/2017 24002921 16178441263224
6/14/2017 24002921 16178441263224
6/14/2017 24002921 16178441269636
6/14/2017 24002921 16178441269636
6/14/2017 24002921 1617844808108
6/14/2017 24002921 16178441269636
6/16/2017 24002921 16178696416201

6/14/2017 24002921 16178441269636
Dosis 2
Tanggal Pemberian
Vaksinasi
7/13/2017 24200721 16221698414556
7/13/2017 24200721 16221698414556
7/13/2017 24200721 16221698414556
7/13/2017 24200721 16221700184220
7/13/2017 24200721 16221700184220
7/13/2017 24200721 16221698414556
7/13/2017 24200721 16221698414556

7/13/2017 24200721 16221698414556
Keterangan
MASY.RENTAN
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-0002VNAZ
21 Q-0003JIS7
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871064706730001
1871080304770004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: sabtu/ 17-7-2021
Jenis
Kelamin
SUSANTI AMELIA P E
ROJALI D L D
***Merek Vaksin
A = Sinovac

8 BPJS PBI
13 BPJS Non PBI
21 Non Anggota
1
43 Total
0 Dosis 1
24 Dosis 2
0 Total
2
18
44
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
07/06/1973 49 46-59
03/04/1977 46 46-59
7
26
11
44
44
44
Alamat
TKP
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
'083194685390 YA
082186401697
aan
0
0
0
0
Non Anggota
6/16/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/16/2021 24002921 16178442798748
6/21/2021 24002921 16178705666689

Dosis 2
Tanggal Pemberian
Vaksinasi
7/16/2017 24200721 16221688098136
7/16/2017 24200721 16221687877396

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 W-00007B0F
4 W-00007BBE
44 W-00007ALO
50 W-00007AGI
96 S-D85B8A30
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
3171051511840001
18710541055870008
1771010304870005
1871130911750002
18061225044600002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS/ 21-7-2021
Jenis
Kelamin
RACHMAT MARANO L B
YORA TRIROMODONIA JOHAN P B
APRIAN PIMO L B
PUJI UTOMO L B
MODOSIO L E
***Merek Vaksin
A = Sinovac
28 BPJS PBI
59 BPJS Non PBI
8 Non Anggota
2
97 Total
0 Dosis 1
98 Dosis 2
0 Total
0
1
99
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
15/11/1984 38 31-45
01/05/1987 36 31-45
03/04/1987 36 31-45
09/11/1975 47 18-30
24/04/1956 67 ≥60
0
97
2
99
94
49
143
Alamat
PRAMUKA/CEMPAKA PUTIH
TKT
SUKARAME/BENGKULU
KEMILING
KEDATON
Pekerjaan
A
B
C
D
E
Total
No. Hp
081212313582 YA
085269579474 YA
085268537422 YA
085758135153 YA
085218428911
aan
0
0
0
0
Non Anggota
6/20/2017 SINOVAC
6/20/2017 SINOVAC
6/20/2017 SINOVAC
6/20/2017 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/20/2017 24002921 16178567196737
6/20/2017 24002921 16178420908672
6/20/2017 24002921 16178567190793
6/20/2017 24002921 16178567190793
6/20/2017 24002921
Dosis 2
Tanggal Pemberian
Vaksinasi
7/20/2017 24201321 16232132489286
7/20/2017 24201321 16232132489286
7/20/2017 24200721 16221688097200
7/20/2017 24200721 16221711837124
7/20/2017 24201321 16232132485386

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 S-75ABC45E
27 P-D9GEL626E
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871082103600006
1871072606980011

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS/ 22-7-2021
Jenis
Kelamin
MURYANTO L E
ANDIKA PRASETYO L D
***Merek Vaksin
A = Sinovac

82 BPJS PBI
65 BPJS Non PBI
65 Non Anggota
10
222 Total
0 Dosis 1
10 Dosis 2
0 Total
193
19
222
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
21/03/1960 63 ≥60
25/06/1994 28 18-30
70
90
62
222
177
45
222
Alamat
NOG
NOG
Pekerjaan
A
B
C
D
E
Total
No. Hp
081368215173 YA
082176161709 YA
aan
0
0
0
0
Non Anggota
7/21/2017 SINOVAC
7/21/2017 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
7/21/2017 24201321 16232132483670
7/21/2017 24201321 16232983437704

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
3 Q-0007XC8L
22 Q-0003J42Y
23 Q-0003J5KS
24 Q-0003JGMQ
27 Q-0003MMMF
29 Q-0003MUFQ
43
48
57 Q-0003J8V8
63 Q-0003IWQT
68 Z-0005G87C
74
104 Z-47F48786
105 Z-0005NEOM
108 Q-0003IY2Q
111 Q-0007XM55
112 Q-0003N47B
115 Q-0008X55Y
125 G-0133PDFH
127 Q-0003MQAY
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871086107700002
1871085208620003
1871085501740002
1871084905710002
1871080501720002
1871054711690001
1871085610720002
1871082711680004
1871074101720022
1871085608610001
1871081111560002
1871071707730004
1871086312650001
1871081503590005
1871086212690004
1871081507680004
1871080101700009
1871085808000002
3674045803620001
1871086607630001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN/ 26-7-2021
Jenis
Kelamin
NURJANAH P B
ANNA SURYANA P E
AAN RUSILAWATI P E
NUR MALA SARI P E
ERWIN L D
MEILINA P D
IDALAILA P E
EKO SULISTIYO L D
WENI P E
LUCY TOHAR P E
THAMRIN HARUN L D
ANSORI L D
D. SRI HAJAR P D
HASAN KARIM L D
SRI MULYATI P E
SAEPUDIN L B
SUYATNO L D
UTAMI AZMARANI P D
ATIK ASNATI P B
ANI SUKAWATI P D
***Merek Vaksin
A = Sinovac

44 BPJS PBI
45 BPJS Non PBI
33 Non Anggota
9
131 Total
0 Dosis 1
25 Dosis 2
0 Total
75
31
131
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
7/20/1966 56 46-59
12/08/1962 60 ≥60
15/01/1974 49 46-59
09/05/1971 52 46-59
05/01/1972 51 46-59
07/11/1969 53 46-59
16/10/1972 50 46-59
27/11/1968 54 46-59
01/01/1972 51 46-59
16/08/1961 61 ≥60
11/11/1956 66 ≥60
17/07/1973 49 46-59
12/23/1965 57 46-59
15/03/1959 64 ≥60
22/12/1969 53 46-59
7/15/1968 54 46-59
01/01/1970 53 46-59
05/06/1953 69 ≥60
18/03/1962 61 ≥60
26/07/1963 59 46-59
13
88
30
131
1
131
132
Alamat
BAKUNG
BAKUNG
BAKUNG
BAKUNG
BAKUNG
NOG
BAKUNG
BAKUNG
BAKUNG
NOG
BAKUNG
BAKUNG
KURIPAN
KURIPAN
BAKUNG
TBB
BAKUNG
KURIPAN
BAKUNG
KURIPAN
Pekerjaan
A
B
C
D
E
Total
081272668696 YA
0811792660 YA
0811792660 YA
085381564604 YA
0853472208723
085103503020
082182822320 YA
089680154199 YA
0896709112700 YA
081957230938 YA
085380798193
082279276601
082182143905 YA
082182143905 YA
0895640042416
081274312424 YA
082282515899
08993098280
082182483986
085269520066 YA
aan
0
0
0
0
0
6/25/2021 SINOVAC
6/21/2021 SINOVAC
6/21/2021 SINOVAC
6/21/2021 SINOVAC
6/21/2021 SINOVAC
6/23/2021 SINOVAC
6/21/2021 SINOVAC
6/21/2021 SINOVAC
6/28/2021 SINOVAC
6/28/2021 SINOVAC
6/25/2021 SINOVAC
6/22/2021 SINOVAC
Dosis I
6/25/2021 24200321 16214741230324
6/21/2021 24002921 16178696414485
6/21/2021 24002921 16178696414485
6/21/2021 24002921 16178705666689
6/22/2021 24002921 16178705876509
6/22/2021 24002921 16178567185957
6/21/2021 24002921 16178696410741
6/23/2021 24002921 16178705877913
6/21/2021 24002921 16178705666533
6/21/2021 24002921 16178696411833

6/25/2021 24200321 16214741222212
6/21/2021 24002921 16178696415109
6/28/2021 24200321 16214741232352
6/28/2021 24200321 16214741232352
6/21/2021 24002921 16178696415109
6/25/2021 24200321 16214741231728
6/22/2021 24002921 16178705877133
6/28/2021 24200321 16214741232352
6/22/2021 24002921 16178705877133
6/22/2021 24002921 16178705876509

Dosis 2
7/26/2021 24004121 16240850701549
7/26/2021 24004121 16240850494381
7/26/2021 24001321 16232979923960
7/26/2021 24001321 16232979923960
7/26/2021 24001321 16232979923960
7/26/2021 24001321 16232979923960
7/26/2021 24001321 16232979916004
7/26/2021 24004121 16240850494069
7/26/2021 24201321 16232256125683
7/26/2021 24201321 16232256125683

7/26/2021 24201321 16232983433492
7/26/2021 24201321 16232983433492
7/26/2021 24201321 16232979919436
7/26/2021 24201321 16232979919436
7/26/2021 24201321 16232979919436
7/26/2021 24004121 16240850709349
7/26/2021 24004121 16240850709349
7/26/2021 24004121 16240850709349
7/26/2021 24004121 16240659118744
7/26/2021 24004121 16240659118744

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-8FF97794
3 Q-00098IRI
4 Q-0009805A
5 Q-00098E7H
6 Q-00098CUO
7 Q-00098BRI
8 Q-000990XY
9 Q-000984RU
14 Q-000986WC
15 Q-00098QGP
16 Q-000998H3
17 Q-000998H6
18 Q-000998GI
24 Q-00098KVU
26 Q-00098QGB
27 Q-00098QGF
28 Q-00098IRP
30 Q-00099IDW
31 Q-0009818V
33 Q-00098IOC
34 Q-000998HO
39 Q-00098UDX
45 Q-00098UE3
50 Q-0003IO78
52 Q-0003IJOY
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871024807610002
1871080703760003
1871085107690005
1871070107900126
3172065005890001
1871071904880010
1871086303810003
1871080908780004
1871085312960001
611200707710015
1871085809030002
1871085911800005
1871076208000002
1871082505020002
1871066209800003
1871084407970001
1871085005780008
1871081805770001
1871085309720002
1871080605860002
1871080505650008
1871084309750001
1871084510790008
1871085205970008
1871071803800007

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA/ 27-7-2021
Jenis
Kelamin
NUR HADI P B
WAWAN ANDRIANTO L D
SITI AISYAH P D
HANDINATA KUSEIN L D
DESSY ARMEY P D
HANAFI KUSEIN L D
ROSTINA NAIBAHO P D
RIZAL FAHLEVI L D
TASSA INTANIA H P D
SONI SAPUTRA L D
ISNA NURAZKY P D
ENI RELAWATI P D
AULIA NURHALIZA P D
MUHAMMAD IQBAL ROFIF L D
NILA LESTARI P D
PUTRI SETYAWATI P D
MASNAH P D
AHMAD SOPEI L D
SRI MULYANI P D
RUDY HIDAYAT L D
ANSYORI L D
ROSMIATI P D
WINSIAH P D
MERY ELISABET TURNIP P E

MAHFUD RIFAI L D
***Merek Vaksin
A = Sinovac

13 BPJS PBI
21 BPJS Non PBI
19 Non Anggota
1
54 Total
0 Dosis 1
8 Dosis 2
0 Total
43
4
55
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
08/07/1961 61 ≥60
07/03/1976 47 18-30
11/07/1972 50 46-59
01/07/1990 32 31-45
10/05/1989 34 18-30
19/04/1988 35 31-45
23/03/1981 42 31-45
8/9/1978 44 31-45
13/12/1996 26 18-30
07/07/1971 51 46-59
18/03/2003 20 18-30
19/11/1980 42 31-45
22/08/2000 22 18-30
5/25/2002 21 18-30
22/09/1980 42 31-45
04/07/1997 25 18-30
10/05/1978 45 31-45
18/05/1977 46 46-59
13/09/1972 50 46-59
06/05/1986 37 31-45
05/05/1965 58 46-59
03/09/1975 47 46-59
05/10/1979 43 31-45
12/05/1997 26 18-30
18/03/1980 43 31-45
11
31
13
55
3
52
55
Alamat
KORPRI
KURIPAN
BAKUNG
NOG
NOG
NOG
BAKUNG
NOG
BAKUNG
BAKUNG
NOG
BAKUNG
NOG
BAKUNG
KURIPAN
NOG
BAKUNG
BAKUNG
BAKUNG
KURIPAN
NOG
BAKUNG
KURIPAN
BAKUNG
KURIPAN
Pekerjaan
A
B
C
D
E
Total
No. Hp
081369111920 YA
089679899904 YA
089501801197
081291379649 YA
08128536436
081317801737
089090880729 YA
08950187302
082184955597 YA
082294788154
089502503011 YA
0852675737416 YA
089502503011 YA
0811792660 YA
0895382273078 YA
0895353895012 YA
088211437659
08138638181 YA
085840283324 YA
0895335551702
082183653806 YA
082281178993
082172436323 YA
085289058658 YA
085383748089 YA
aan
0
0
0
0
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
4/3/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/29/2021 CORONAVAC
6/21/2021 SINOVAC
6/21/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
4/3/2021 24000721
6/29/2021 24200321 16214925044501
6/29/2021 24200321 16214925044501
6/29/2021 24200321 16214925044501
6/29/2021 24200321 16214924837193
6/29/2021 24200321 16214924837193
6/29/2021 24200321 16214925045749

6/29/2021 24200321 16214924837193
6/29/2021 24200321 16214924837193
6/29/2021 24200321 16214925045749
6/29/2021 24200321 16214925050429
6/29/2021 24200321 16214925050429
6/29/2021 24200321 16214925050429
6/29/2021 24200321 16214925044501
6/29/2021 24200321 16214925045749
6/29/2021 24200321 16214925045749
6/29/2021 24200321 16214925044501
6/29/2021 24200321 16214924848581
6/29/2021 24200321 16214924837193
6/29/2021 24200321 16214925044501
6/29/2021 24200321 16214925050429
6/29/2021 24200321 16214925045749
6/29/2021 24200321 16214925045749
6/21/2021 24002921 16178696209361

6/21/2021 24002921 16178696209361
Dosis 2
Tanggal Pemberian
Vaksinasi
7/27/2021 24004121 16240850496409
7/27/2021 24004121 16240850496409
7/27/2021 24004121 16240850496409
7/27/2021 24004121 16240850496409
7/27/2021 24004121 16240850496409
7/27/2021 24004121 16240850496409
7/27/2021 24004121 16240850496409

7/27/2021 24004121 16240850496409
7/27/2021 24004121 16240850494849
7/27/2021 24004121 16240850494849
7/27/2021 24004121 16240850494849
7/27/2021 24004121 16240850494849
7/27/2021 24004121 16240850494849
7/27/2021 24004121 16240658883948
7/27/2021 24004121 16240658883948
7/27/2021 24004121 16240658883948
7/27/2021 24004121 16240658883948
7/27/2021 24004121 16240658883948
7/27/2021 24004121 16240658883948
7/27/2021 24004121 16240658883948
7/27/2021 24004121 16240850703733
7/27/2021 24004121 16240850703733
7/27/2021 24004121 16240850710753
7/27/2021 24004121 16240850710753

7/27/2021 24004121 16240850710753
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-0009PIW7
2 Q-0009QAXQ
3 Q-0009PIW4
4 Q-00090NSJ
5 Q-0009PFWS
6 Q-00090V99
7 Q-00090MRV
9 Q-0009PNQK
10 Q-0009PNS9
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871080402030010
1871085503850004
1871080204870007
1871086212790002
1871080589800001
1871084406030003
1871085003840002
1871096512830003
1871084309660001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: rabu 28 juli 2021
Jenis
Kelamin
GERALL EMANUELL L E
TRISYE PRAWINDA P E
WAHYUDI L D
LISA ANGGRAITA P E
ROZI KURNIAWAN L E
PINKAN REGINA PUTRI P E
MARIA SARI P E
DEWI DORAYANI NAINGGOLAN P E
ROSDIANA MANURUNG P E
***Merek Vaksin
A = Sinovac

3 BPJS PBI
5 BPJS Non PBI
3 Non Anggota
0
11 Total
0 Dosis 1
0 Dosis 2
0 Total
1
10
11
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
04/02/2003 20 18-30
15/03/1985 38 31-45
02/04/1987 36 31-45
12/22/1979 43 31-45
05/08/1998 24 18-30
6/4/2003 19 18-30
3/10/1984 39 31-45
25/12/1983 39 31-45
03/09/1966 56 46-59
2
9
0
11
2
9
11
Alamat
SUKABUMI
BAKUNG
KURIPAN
KURIPAN
NOG
KURIPAN
KURIPAN
BAKUNG
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
082373125559 YA
085279462417 YA
082280392519 YA
08999380809 YA
0895344740158 YA
08974144310 YA
0895350053744 YA
089517072405 YA
081271466478 YA
aan
0
0
0
0
Non Anggota
6/30/2021 CORONAVAC
6/30/2021 SINOVAC
6/30/2021 SINOVAC
6/30/2021 CORONAVAC
6/30/2021 CORONAVAC
6/30/2021 CORONAVAC
6/30/2021 CORONAVAC
6/30/2021 CORONAVAC
6/30/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/30/2021 24200321 16214735075984
6/30/2021 24200321 16214734853060
6/30/2021 24200321 16214735075984
6/30/2021 24200321 16214734848380
6/30/2021 24200321 16214735075984
6/30/2021 24200321 16214734848380
6/30/2021 24200321 16214734848380

6/30/2021 24200321 16214734858364
6/30/2021 24200321 16214735075984

Dosis 2
Tanggal Pemberian
Vaksinasi
7/28/2021 24004121 16240850700613
7/28/2021 24004121 16240850700613
7/28/2021 24004121 16240850700613
7/28/2021 24004121 16240850700613
7/28/2021 24004121 16240850700613
7/28/2021 24004121 16240850700613
7/28/2021 24004121 16240850700613

7/28/2021 24004121 16240850700613
7/28/2021 24004121 16240850700613

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-000BMCMW
2 Q-000BLZ93
3 Q-000BMDS3
4 Q-000BME2B
5 Q-000B88J8
6 Q-000B79EV
7 Q-000BK8NW
8 Q-000BK6BT
9 Q-000BLQHX
10 Q-000BKCGI
11 Q-000BZ2M3
14 Q-000B7VLL
15 Q-000AIWQ3
16 Q-0003IRV2
17 Q-000BLKF3
18 Q-000BLWII
19 Q-000BLX1B
20 Q-0003IUEA
21 Q-000BYTCL
22 Q-000B7VV1
23 Q-000BL6C1
24 Q-0000CR0A
25 Q-000BM0IM
26 Q-0000JLZK
29 Q-000BKX8M
30 Q-000B6F6J
31 Q-000B7VLY
32 Q-000B9A7P
33 Q-000B8OQX
34 Q-000B8OR6
37 Q-000BMF6X
38 Q-000BLR2P
39 Q-000BLRJA
41 Q-000BYK4N
42 Q-000BKHZP
43 Q-000BZKF2
44 W-0000BFPM
45 Q-000BKIBH
46 Q-000BZES3
47 Q-000BK68B
48 Q-000A5BTF
49 Q-000BYSF1
51 Q-000BLJH2
52 Q-000BKHOJ
53 Q-000BYWAV
54 Q-000BYWBQ
55 Q-000BYWAG
56 Q-000BJXAM
58 Q-000BM4DF
63 Z-00004VEQ
64 Q-000BKHW3
65 Q-000BYTNJ
67 Q-000C375Y
68 Z-0006CJOP
70 Q-000BYPKD
77 Q-000BLX8T
78 Q-000BL729
81 Q-000BM5RO
83 Q-000BKWUR
84 Q-000CE78G
86 Q-000CF6J1
89 Q-000BLY7K
90 Q-00007DAK
91 Q-3FCD96C2
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871084610960008
1871086310720001
1871076701880003
187107070180006
1871084504730001
1871036602780002
1871085509790003
1871082709990002
1871080108700001
1871085512710001
1871086203030001
1871092007810003
1871095606800004
1871081807940002
1871082909830005
1871082003000011
1871084101700005
1871085304900006
1871082112860004
1871080107690017
1871084908940001
1871084303680005
1871081710630004
1871086906740002
1871066207020002
18711091510940003
1871095907900002
1871081909990004
1871086611690001
1871135006910005
1871080601820003
1871081201750004
1871086603810004
187108095670001
1871082004870005
6171042710930006
1871080410740006
1871081503870007
1801070701840002
1871084607970004
1871086804820006
1871084707640001
1871080902030004
1871080808930005
1871076409700005
1871082105720003
1871086112760004
1871030308650001
1871080103980005
1871086211600001
1871075010820016
180712570830007
1871085003800012
1871085104540001
1871082001000011
1871084101930020
1871080709960004
1871082608910002
18710842049790003
18710802046900007
1871086904880004
1871081407780004
1871084505750013
1871082001700003

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS / 05-08-2021
Nama Penerima Vaksin Jenis Kelamin Pekerjaan*
OKTAVIA TELINANDA P D
LISMAWATI P D
DEWI SUSANTI P D
ROHIMY L D
ISMAINI P D
SUPIAH P D
MUNAWAROH P D
ADE HANATA SEPTRIA P D
AGUS TRIYADI L D
HAMSIYAH P D
NINDY FELIA P D
FERLANSYAH L D
FITRI ASMARIA P D
PARDONIANSYAH L E
LAMRO MEGA L D
IBNU JAMAL L D
ROHAYA P D
RENA SAFITRI P D
DENI KURNIAWAN L D
SUBKI L D
DIAH NILA WATI P D
GUSNIDAR YATMI P B
DAHNIAL L D
PARTINI P B
KENI PEREN P D
DAVID CHANG L D
MULYANAH P D
REZA ADI L D
MARPUNGAH P D
MEI ALIYA P D
M. LOEKITA L L D
ANDRIAN ROSANDI L D
LILIS EKA WATI P D
HANDOYO L D
AFRIYANSYAH L D
OKTOVIANTO L D
ADI KESUMA L D
FAKHRUR ROZI L D
MUIN L D
MUSTIKA SARI P D
POPPY PRASATIKA P D
RUMINAH P D
MUHAMMAD HARIS F L D
AGUS SETIAWAN L D
EVI WIJAYA P D
ANDY L D
ELSY NATALIA P D
SUNARTO L D
WAHYUNO L D
NAENA P D
SANTINA P D
KOMANG MEGA P D
MISNAH P D
MARIAM P D
M. RANA L D
ANTIAH L D
M. HENDRI L D
AGUSTINUS SITOHANG L D
RA.EIZA EVA P D
SUHARTA W L D
DEWI YULIANTI L B
HOLIDIN L D
ISMALIANA ISMAIL P B
M. ALI L B
***Merek Vaksin
A = Sinovac

29 BPJS PBI
34 BPJS Non PBI
23 Non Anggota
6
92 Total
0 Dosis 1
8 Dosis 2
0 Total
81
3
92
Umur
Kelomp
(18 sd ≥
Tanggal Lahir ok Alamat
60
Umur
tahun)
06/10/1996 26 18-30 BAKUNG
23/10/1972 50 46-59 BAKUNG
27/01/1988 35 31-45 KURIPAN
07/01/1980 43 31-45 KURIPAN
05/04/1973 50 46-59 BAKUNG
26/02/1978 45 31-45 BAKUNG
15/09/1979 43 31-45 SUKARAME 2
27/09/1999 23 18-30 SUKARAME 2
01/08/1970 52 46-59 BAKUNG
15/12/1975 47 46-59 NOG

22/03/2003 20 18-30 BAKUNG
20/07/1981 41 31-45 NOG
16/06/1980 42 31-45 NOG
18/07/1994 28 18-30 SUKARAME II
29/09/1983 39 31-45 BAKUNG
20/03/2000 23 18-30 NOG
01/01/1970 53 46-59 NOG
13/04/1990 33 31-45 SUKARAME II
21/12/1986 36 31-45 BAKUNG
01/07/1969 53 46-59 BAKUNG
09/08/1994 28 18-30 SUKARAME 2
03/03/1968 55 46-59 NOG
17/10/1963 59 46-59 NOG
29/06/1974 48 46-59 SUKARAME 2
23/07/2002 20 18-30 KURIPAN
15/10/1994 28 18-30 BAKUNG
09/07/1990 32 31-45 KURIPAN

19/09/1999 23 18-30 SUKARAME 2
26/11/1969 53 46-59 BAKUNG
10/06/1991 31 31-45 BAKUNG
1/6/1982 41 31-45 NOG
12/01/1975 48 46-59 NOG
26/03/1981 42 31-45 NOG
09/05/1967 56 46-59 KURIPAN
20/04/1987 36 31-45 KURIPAN
27/10/1993 29 18-30 BAKUNG / SIANTAN
04/10/1974 48 46-59 KURIPAN
15/03/1987 36 31-45 KURIPAN
07/01/1984 39 31-45 BAKUNG /CAMPANG TI
06/07/1997 25 18-30 BAKUNG
4/28/1982 41 31-45 BAKUNG
07/07/1964 58 46-59 KURIPAN
09/02/2003 20 18-30 BAKUNG
28/08/1993 29 18-30 KURIPAN

9/24/1970 52 46-59 BAKUNG
21/05/1972 51 46-59 BAKUNG
21/12/1976 46 46-59 BAKUNG
03/08/1965 57 46-59 BAKUNG
01/03/1998 25 18-30 BAKUNG
22/11/1960 62 ≥60 BAKUNG
10/10/1982 40 31-45 KURIPAN
17/08/2002 20 18-30 BAKUNG/ SIDOREJO
3/10/1980 43 31-45 BAKUNG
4/11/1954 69 ≥60 BAKUNG
20/01/2000 23 18-30 NOG
01/01/1993 30 18-30 BAKUNG
07/09/1995 27 18-30 BAKUNG
26/08/1991 31 31-45 BAKUNG
02/04/1979 44 31-45 KURIPAN
02/04/1969 60 ≥60 SUKARAME II
29/04/1988 35 31-45 KURIPAN

14/07/1978 44 31-45 KURIPAN
5/5/1975 48 46-59 KURIPAN
20/01/1970 53 46-59 KURIPAN
Kepesertaan BPJS Pekerjaan

BPJS PBI 21 A
BPJS Non PBI 47 B
Non Anggota 24 C
92 D
Pemberian Dosis E
Dosis 1 0 Total
Dosis 2 92
92
No. Hp Tanggal Screening
089697840875 7/6/2021
089697840875 7/6/2021
08994284463 7/6/2021
083108642268 7/6/2021
082184997671 7/5/2021
081268744411 7/5/2021
08153960470 7/6/2021
08999290120 7/6/2021
081369222020 7/6/2021
0895416677373 7/6/2021
089515806327 7/7/2021
085377703234 7/5/2021
081529565517 7/2/2021
08996006442 6/21/2021
081369371276 7/6/2021
089684491942 7/6/2021
081379294466 7/6/2021
089519530201 6/21/2021
089606006424 7/6/2017
0821830810000 7/5/2021
088286251352 7/6/2021
081273321219 6/2/2021
08127216621 7/6/2021
081274312424 6/6/2021
089632241410 7/6/2021
082266599478 7/5/2021
0895606444379 7/5/2021
089519530201 7/5/2021
082279999741 7/5/2021
08227999741 7/5/2021
0895604074992 7/6/2021
082286933548 7/6/2021
085380182130 7/6/2021
083197499342 7/7/2021
081368175013 7/7/2021
082253932007 7/7/2021
082377255372 7/5/2021
085266824256 7/6/2021
082361979338 7/7/2021
085266589917 7/6/2021
081271113689 7/1/2021
7/7/2021
0895601750088 7/6/2021
082281185383 7/6/2021
081367521222 7/7/2021
081379788992 7/7/2021
082175301590 7/7/2021
082182540805 7/6/2021
7/6/2021
081274312424 6/2/2021
0895610082227 7/6/2021
085841921630 7/7/2021
082280495541 7/7/2021
089518509957 7/7/2021
085658387536 7/7/2021
089633830617 7/6/2021
089633830832 7/6/2021
081367262539 7/6/2021
08127983409 7/6/2021
082398063529 7/8/2021
088274208736 7/8/2021
085279709665 7/6/2021
083891564200 5/28/2021
082379612053 3/31/2021
Pekerjaan
0
0
0
0
Nama/Jenis/Merek Vaksin*** Dosis I
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/5/2021 24200321
CORONAVAC 7/5/2021 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321

CORONAVAC 7/6/2017 24200321
CORONAVAC 7/5/2021 24200321
CORONAVAC 7/2/2021 24200321
SINOVAC 6/21/2021 24002921
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321
SINOVAC 6/21/2021 24002921
CORONAVAC 7/6/2017 24200321
CORONAVAC 7/5/2021 24200321
CORONAVAC 7/6/2021 24200321
SINOVAC 6/2/2021 24002521
CORONAVAC 7/6/2021 24200321
SINOVAC 6/6/2021 24002521
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/5/2021 24200321
CORONAVAC 7/5/2021 24200321

CORONAVAC 7/5/2021 24200321
CORONAVAC 7/5/2021 24200321
CORONAVAC 7/5/2021 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2017 24200321
CORONAVAC 7/6/2021 24200321
SINOVAC 7/6/2017 24200321
CORONAVAC 7/5/2021 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2017 24200321
CORONAVAC 7/6/2021 24200321
SINOVAC 7/1/2021 24200321
CORONAVAC 7/6/2017 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321

CORONAVAC 7/6/2017 24200321
CORONAVAC 7/6/2017 24200321
CORONAVAC 7/6/2017 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321
SINOVAC 6/2/2021 24002521
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2017 24200321
SINOVAC 7/7/2021
SINOVAC 7/7/2021
CORONAVAC 7/6/2017 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321
CORONAVAC 7/6/2021 24200321
SINOVAC 7/8/2021 24200721
SINOVAC 7/8/2021 24200721

CORONAVAC 7/6/2021 24200321
SINOVAC 5/28/2021 24001421
SINOVAC 3/8/2021 24000721

Dosis 2
162148115795688 8/5/2021 24004921
8/5/2021 24004921
162148115795688 8/5/2021 24004921
162148115795688 8/5/2021 24004921
16214742110320 8/5/2021 24004921
16214734859144 8/5/2021 24004921
16214742114704 8/5/2021 24004921
16214742116108 8/5/2021 24004921
16214815781944 8/5/2021 24004921
16214742114704 8/5/2021 24004921

16213986710852 8/5/2021 24004921
16214735064596 8/5/2021 24004921
16213951033964 8/5/2021 24004921
16178696411833 8/5/2021 24004921
16214815782568 8/5/2021 24004921
16214815796156 8/5/2021 24004921
16214815796156 8/5/2021 24004921
16178696411833 8/5/2021 24004921
16213986712724 8/5/2021 24004921
16214741899892 8/5/2021 24004921
16214815793800 8/5/2021 24004921
16170981172589 8/5/2021 24004921
16214815792396 8/5/2021 24004921
16170981758681 8/5/2021 24004921
16214815796312 8/5/2021 24004921
16214735061148 8/5/2021 24004921
16214742110320 8/5/2021 24004921

16214734857896 8/5/2021 24004921
16214734857896 8/5/2021 24004921
16214734857896 8/5/2021 24004921
162148115795688 8/5/2021 24004921
16214815781944 8/5/2021 24004921
16214815781476 8/5/2021 24004921
16213986280136 8/5/2021 24004921
16214815584464 8/5/2021 24004921
16213986710852 8/5/2021 24004921
16213951033652 8/5/2021 24004921
16214815584464 8/5/2021 24004921
16213986710852 8/5/2021 24004921
16214742116108 8/5/2021 24004921
16214924839845 8/5/2021 24004921
16213986712724 8/5/2021 24004921
16214815781476 8/5/2021 24004921
16214815584464 8/5/2021 24004921

16213986509472 8/5/2021 24004921
16213986509472 8/5/2021 24004921
16213986509472 8/5/2021 24004921
16213986508224 8/5/2021 24004921
16214815782568 8/5/2021 24004921
16170873575021 8/5/2021 24004921
16214815584464 8/5/2021 24004921
16213986509472 8/5/2021 24004921
8/5/2021 24004921
8/5/2021 24004921
16213986712724 8/5/2021 24004921
16214815792396 8/5/2021 24004921
16214815793800 8/5/2021 24004621
16214815796156 8/5/2021 24004621
16214815796312 8/5/2021 24004621
16178420903664 8/5/2021 24004621
16178420908672 8/5/2021 24004621

16214815792396 8/5/2021 24004621
16134561171213 8/5/2021 24004621
16124977803156 8/5/2021 24004621

Keterangan
2
16255511556825
16255511556825
16255511556825
16255511556825
16255511556825
16255511556825
16255511556825
16255511556825
16255511556825
16255511556825
16255511556825
16255511558853
16255511558853
16255511558853
16255511558853
16255511558853
16255511558853
16255511558853
16255511558853
16255511558853
16255511556669
16255511556669
16255511556669
16255511556669
16255511556669
16255511556669
16255511556669
16255511556669
16255511556669
16255511553065
16255511553065
16255511553065
16255511553065
16255511553065
16255511553065
16255511553065
16255511553065
16255511558229
16255511558229
16255511558229
16255511558229
16255511558229
16255511558229
16255511558229
16255511558229
16255511558229
16255511558229
16255511554625
16255511554625
16255511554625
16255511554625
16255511554625
16255511556357
16255511556357
16255511556357
16255511556357
16249498082277
16249498082277
16249498082277
16249498082277
16249498082277
16249316134188
16249316134188
16249316134188
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-000BYK6T
2 Q-000BYJ8P
3 Z-0006C8X5
4 Q-000BYK5C
5 Q-000BYM8J
6 Q-000BK023
7 Q-000BJZFO
8 Q-000BM5JM
10 Z-00069G9R
11 Q-000BKSDY
12 Q-000B6OKZ
13 Q-000B8CTD
14 Z-000666UF
15 Q-000B96MW
16 Q-000B7ZLA
17 Q-000B86Q4
18 Q-0003ISTU
19 Q-000B7B2W
20 Q-000CE79I
21 Q-000C4KA5
22 Q-000BMDEH
23 Q-000BLK5N
24 Q-000B7IW6
26 Z-000665XY
27 Q-000B99C2
28 Q-000B8OR3
29 Q-000B7ENJ
30 Q-000B9CH3
31 Q-000B7CCS
34 Q-000BM127
35 Q-000A5A0E
37 Q-000B6M33
38 Q-000BM2YP
39 Q-000B8CTB
41 Q-000BYHGK
42 Q-000BYGRW
43 Q-000BLX5N
44 Q-000BLO3L
47 Q-000BK2H8
50 Q-000B6GFB
51 Q-000BLWBE
52 Q-000BLYQW
56 Q-000C16SA
57 Q-000CF9XU
65 Q-000BM3SZ
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871084505770004
1871085506970004
1871082109490001
1871080711700003
1871081210730007
1871080505660005
1871082505750004
1871092903770006
1871093012570001
1871092108840004
1871084111770002
1871080612690003
1871080808570001
1871085505820002
1810034709850002
1871085009880002
1871080102880003
1871085804870006
1871082004990007
1871085205030003
1871085503880002
1871075304970002
1871085004700012
1871084209600005
1871084105740004
1871092805020004
1871081710000005
1871081704710002
1871085310700005
1871085008800005
1871081605880009
1871086709820003
1871080902670002
1871080510720003
1871086907920005
1871081909890002
1871080710710001
1871086404830002
1871024702900005
1871084709750001
1871085703770004
1871084502000010
1801055005900001
1871081710630006
1871080112610001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN / 09-08-2021
Jenis
Kelamin
SUMARNI P D
KIKI RIVIA P D
SUGIMAN L D
SUMARWAN L D
ABAS L D
HAIRUDIN L D
RUDI PRATAMA L D
EKO SUPRAYOGI L D
BAHARUDDIN P L D
NAWISLER L D
NOVI LIANA P D
SYAEFUDIN L D
SANUKRI L D
RISAH UMAMI P D
TRI LESTARI P D
MITA SARI P D
JUWARI L D
APRIYANI P D
JOSUA S L B
DWI SULISTIANI P D
EVA MARIZA P D
BELLA CITRA PERTIWI P D
WATINI P D
ERNI P D
SUMIATI P D
MIJDAFFY ZIDANE L D
FERNANDO ARITONANG L D
JON DEWAN L D
RANI SITUMORANG P D
MARSINI P D
IPAN L D
FIKA ROSITA P D
RAHMAT WIJAYA L D
MARZUKI L D
YULAIKA ANDRIANI P D
SOPIANSYAH L D
HERTA ANDIPAL L D
SITI MAISAROH P D
ADISTY ANGGUN FEBRIANA P D
SITI HAPSAH P D
MARNI P D
ELSA P D
EKA MARYANA P D
ASPRIYADI L B
SYAFRUDDIN L D
***Merek Vaksin
A = Sinovac

19 BPJS PBI
21 BPJS Non PBI
20 Non Anggota
6
66 Total
0 Dosis 1
11 Dosis 2
0 Total
53
2
66
FORMAT PENCATATAN PEL
TINGKAT PUSKESMAS/
Umur Kelompok
Tanggal Lahir
(18 sd ≥ 60 tahun) Umur
05/05/1977 46 46-59
6/15/1997 25 18-30
21/09/1949 73 ≥60
07/11/1970 52 46-59
12/10/1973 49 46-59
05/05/1966 57 46-59
25/05/1975 48 46-59
29/03/1977 46 46-59
30/12/1957 65 ≥60
21/08/1984 38 31-45
01/11/1977 45 31-45
06/12/1969 53 46-59
08/08/1957 65 ≥60
15/05/1982 41 31-45
07/09/1985 37 31-45
10/09/1988 34 31-45
01/02/1988 35 31-45
18/04/1987 36 31-45
20/04/1999 24 46-59
12/05/2003 20 18-30
15/03/1988 35 31-45
13/04/1997 26 18-30
10/04/1970 53 46-59
02/09/1960 62 ≥60
01/05/1974 49 46-59
28/05/2002 21 18-30
17/10/2000 22 18-30
17/04/1971 52 46-59
13/10/1970 52 46-59
10/08/1980 42 31-45
5/16/1988 35 31-45
27/09/1982 40 31-45
09/02/1967 56 46-59
01/10/1972 50 46-59
29/07/1992 30 18-30
19/09/1989 33 31-45
07/10/1971 51 46-59
4/24/1983 40 31-45
07/02/1990 33 31-45
07/09/1975 47 46-59
3/17/1977 46 46-59
05/12/2000 22 18-30
27/12/1990 32 31-45
17/10/1963 59 18-30
12/1/1961 61 ≥60
aan BPJS
13
42
11
66
0
66
66
AT PENCATATAN PELAKSANAAN VAKSINASI COVID-19
NGKAT PUSKESMAS/FASYANKES/POS VAKSINASI
Kepesertaan BPJS (tulis 'Ya' pada k

yang sesuai)
Alamat No. Hp
BPJS PBI
KURIPAN 083804423446
KURIPAN 085156938077 YA
KURIPAN 083169317166 YA
KURIPAN 081379037135 YA
BAKUNG 085268499155
BAKUNG 081367055470
BAKUNG 085269444996
BAKUNG 081396061533
BATUPUTUK 081274566742
BATUPUTUK 081274566742
KURIPAN 081272001190
BAKUNG 085378597090
KURIPAN 08127118823 YA
SUKARAME 2 088276479951
SUKARAME 2 082282354664
SUKARAME 2 089514101386
SUKARAME II 089690568635
NOG 081272222212
BAKUNG 08984260594
BAKUNG 081906809654
NOG 0887661845
NOG 082289992929 YA
SUKARAME 2 089606884026 YA
BAKUNG 082282516443
SUKARAME 2 082281182299
KURIPAN 085383836598
BAKUNG 0895324477797
BAKUNG 082183271881
BAKUNG 082183151612
SUKARAME 2 089516020918
KURIPAN 083194903599
NOG 085267766106
BAKUNG 082282488558
BAKUNG 082377235494 YA
BAKUNG 081278448255
BAKUNG 082175840337
NOG 085377094374 YA
KURIPAN 089636585075
BAKUNG 085783888136 YA
NOG 089637118982
BAKUNG 089694126855 YA
NOG 08972334136
NOG/ SINAR 085766834692 YA
JL. MAMKUN ISYA 082375889327
BAKUNG 082180468292
Pekerjaan
A 0
B 0
C 0
0
D 0
E 0
Total 0
OVID-19
ASI
taan BPJS (tulis 'Ya' pada kolom

yang sesuai)
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
BPJS Non Non
PBI Anggota
7/6/2017 CORONAVAC
7/6/2017 CORONAVAC
7/6/2017 CORONAVAC
7/5/2021 CORONAVAC
YA 7/8/2021 SINOVAC
7/6/2021 CORONAVAC
7/5/2021 CORONAVAC
YA 7/1/2021 SINOVAC
7/5/2021 CORONAVAC
7/6/2021 CORONAVAC
7/6/2021 CORONAVAC
7/6/2021 CORONAVAC
7/7/2021 CORONAVAC
YA 7/8/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
7/7/2021 24200321 16213986280136
7/7/2021 24200321 16213986280136
7/7/2021 24200321 16213986712724
7/7/2021 24200321 16213986280136
7/7/2021 24200321 16213986280136
7/6/2021 24200321 16213986508224
7/6/2021 24200321 16213986508224

7/6/2021 24200321 16214815782568
7/6/2021 24200321 16214815790524
7/6/2021 24200321 16214815790524
7/5/2021 24200321 16214734859768
7/5/2021 24200321 16214741899892
7/5/2021 24200321 16214735064596
7/5/2021 24200321 1621473060368
7/5/2021 24200321 1621473060368
7/5/2021 24200321 16214734859144
6/21/2021 24002921 16178696411833
7/5/2021 24200321 1621473060368
7/8/2021 24200721 16178469379744
7/6/2017 24200321
7/6/2021 24200321 162148115795688
7/6/2021 24200321 16214815781476
7/5/2021 24200321 16214741899892
7/5/2021 24200321 16214735061148

7/5/2021 24200321 16214734859144
7/5/2021 24200321 16214734857896
7/5/2021 24200321 162147421111100
7/5/2021 24200321 16214734859144
7/5/2021 24200321 162147421111100
7/6/2021 24200321 16214815781944
7/1/2021 24200321 16214924839845
7/5/2021 24200321 16214734859768
7/6/2021 24200321 16214815781944
7/5/2021 24200321 16214741899892
7/7/2021 24200321 16213986280136
7/7/2021 24200321 16213986280136
7/6/2021 24200321 16214815796156
7/6/2021 24200321 16214815782568
7/6/2021 24200321 16214742116108
7/5/2021 24200321 16214735061148
7/6/2021 24200321 16214815796156

7/6/2021 24200321 16214815796156
7/7/2021 24200321 16213986500096
7/8/2021 24200721 16178469379744
7/6/2021 24200321 16214815782568

Dosis 2
Tanggal Pemberian
Vaksinasi
8/9/2021 24004921 16255511347629
8/9/2021 24004921 16255511347629
8/9/2021 24004921 16255511347629
8/9/2021 24004921 16255511347629
8/9/2021 24004921 16255511347629
8/9/2021 24004921 16255511347629
8/9/2021 24004921 16255511347629

8/9/2021 24004921 16255511347629
8/9/2021 24004921 16255511347629
8/9/2021 24004921 16255511347629
8/9/2021 24004921 16255398478976
8/9/2021 24004921 16255398478976
8/9/2021 24004921 16255398478976
8/9/2021 24004921 16255398478976
8/9/2021 24004921 16255398478976
8/9/2021 24004921 16255398478976
8/9/2021 24004921 16255398478976
8/9/2021 24004921 16255398478976
8/9/2021 24004921 16255398478976
8/9/2021 24004921 16255398478976
8/9/2021 24004921 16255398478976
8/9/2021 24004921 16255462328373
8/9/2021 24004921 16255462328373
8/9/2021 24004921 16255462328373

8/9/2021 24004921 16255462328373
8/9/2021 24004921 16255462328373
8/9/2021 24004921 16255462328373
8/9/2021 24004921 16255462328373
8/9/2021 24004921 16255462328373
8/9/2021 24004921 16255398690652
8/9/2021 24004921 16255398690652
8/9/2021 24004921 16255398690652
8/9/2021 24004921 16255398690652
8/9/2021 24004921 16255398690652
8/9/2021 24004921 16255398690652
8/9/2021 24004921 16255398690652
8/9/2021 24004921 16255398690652
8/9/2021 24004921 16255398690652
8/9/2021 24004921 16255398478508
8/9/2021 24004921 16255398478508
8/9/2021 24004921 16255398478508

8/9/2021 24004921 16255398478508
16255475282753
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-556BX1PC
54 2 P-5QNGKFDX
3 P-6CLAJEWO
4 P-6PEK3WRW
5 P-5I8LQSBS
6
Q-000C0UVK
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
3404104802890003
1803101408940006
1871074810690005
1871131806940004
1871024909880005
1871085408630004
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 13-08-2021
Jenis
Nama Penerima Vaksin Pekerjaan* Tanggal Lahir
Kelamin
RISA PAHLEVI P D 08/02/1989
HERU HANDOYO K. L D 6/15/1997
HASTUTI P E 08/10/1969
M RIFKI F L D 18/06/1994
BELLA KHARISMA P D 09/09/1998
TUTI RAHAYU P D 14/08/1986
***Merek Vaksin
A = Sinovac
ompok Umur: Kepesertaan BPJS

3 BPJS PBI
2 BPJS Non PBI
1 Non Anggota
0
6 Total
0 Dosis 1
0 Dosis 2
0 Total
5
1
6
Umur
Kelompok Umur Alamat
(18 sd ≥ 60 tahun)
34 31-45 KURIPAN
25 18-30 BAKUNG
53 46-59 PANJANG
28 18-30 KEMILING
24 18-30 SUKARAME
36 31-45 KURIPAN
Pekerjaan
3 A
0 B
2 C
5 D
E
0 Total
66
66
AAN VAKSINASI COVID-19
NKES/POS VAKSINASI
Dosis I
No. Hp
Tanggal Pemberian
No. Batch
Vaksinasi
082180220573 8/13/2021 24004921
081366605712 8/13/2021 24004921
082279386060 8/13/2021 24004921
082281282287 8/13/2021 24004921
082391038902 8/13/2021 24004921
085279166669 8/13/2021 24004921

Pekerjaan
0
0
0
0
0
0
0
Dosis 2
Tanggal Pemberian
No. Serial No. Batch
Vaksinasi
16255464305205
16255464305205
16255464305205
16255464305205
16255464305205
16255464305205
2
Keterangan
No. Serial
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-000BYM8X
2 Q-000BK8V8
3 Q-000BK8R0
4 Q-000BYG2K
5 Q-000BKIEY
6 Q-000BM226
7 A-00006NN
8 Q-000AJ3I3
9 Q-000AIQKW
10 Q-000A56KE
11 Z-000698LB
12 Q-000B6JE6
13 Q-000BLXA7
14 Q-000BLXOB
15 Q-000BKTEH
16 Z-00065YBL
17 Q-000BTPGL
18 Q-000B7IWL
19 Q-000BK3N7
21 Q-000BKCM3
22 Q-000BKCSP
23 Q-000BLYZU
24 Q-000BM4MI
25 Q-000AIQMN
26 Q-000AIPQ
27 Q-000AIQRC
28 Q-000BLOLD
29 Q-000BLOGK
30 Q-000BKRPZ
33 Q-000B7LLI
36 Q-00004AZ7
38 Q-000B80R0
39 Q-000B9A7Z
41 Q-0000TVMJ
42 Q-000A57DY
43 Q-000BM3SH
50 Q-000BL889
55 U-0000CV1S
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871086202020002
1871080209780004
1871085005830011
1871051207720004
1871085510980005
1871080106650003
1871071212990010
1871095604030001
1871095104770005
187108311780001
1871086703540002
1871082009830001
1871081903620003
1871084401650001
1871085105020001
1871084107850033
1871081206700004
1871085001770004
1871082004000003
1871085002910008
1871082612890005
187108010700031
1871080408000002
1871096304820001
1871074605010006
1871080802010004
3671055209950009
1871082007860009
1871085003960007
1871090410910003
1871082007960002
1871086811810004
1871082307780001
1871086701000004
1871082807020003
1871071009810007
1871095904680002
1871086807870004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN / 16-08-2021
Jenis
Kelamin
ADE WAHYUNI P D
ARMEN FEIBERT L D
MEITY P D
RUDIONO ADI L D
LIVIA P D
DRS. HADI SUMANDOYO L D
JOSE JEREMIA L D
ANILA SARI P D
ANAH P D
RIRIN WAHYUNI P D
ROHANA LATIP P D
SUPRIYADI L D
HAERUL PURNAMA L D
ROSITA P D
MAYLIYANA P D
YULI SAFITRI P D
MUHAMMAD YUSUF L D
RIAN TUTI P D
MUHAMMAD FADLY L D
IRMAYASARI P D
ADITYA NUR IMAN L D
MUHAMMAD BEBY L D
RISON L D
MASITA P D
SALMA BELLA KUSUMA P D
ALDI SAPUTRA L D
SITA FAUZIAH P D
DEDI IRAWAN L D
NADIA ABDILLA P D
MUHAMMAD ZIKRIL HAKIM L D
PIRMANSAH L D
RESTU WAHYUNI P D
FERDIAN DARWIS L D
YAYIK LESTARI P B
AHMAD FERY L D
BAMBANG P D
NURUL HIDAYATI P D
TRI TINDAR H P A
***Merek Vaksin
A = Sinovac
26 BPJS PBI
28 BPJS Non PBI
10 Non Anggota
3
67 Total
15 Dosis 1
5 Dosis 2
0 Dosis 3
47 Total
0
67
FORMAT PENCATATAN PEL
TINGKAT PUSKESMAS/
Umur Kelompok
Tanggal Lahir
(18 sd ≥ 60 tahun) Umur
22/02/2002 21 18-30
02/09/1978 44 31-45
10/05/1983 40 31-45
12/07/1972 50 46-59
15/10/1998 24 18-30
01/06/1965 57 46-59
12/12/1999 23 18-30
4/16/2003 20 18-30
4/11/1977 46 46-59
11/23/1978 44 31-45
27/03/1954 69 ≥60
20/09/1983 39 31-45
09/03/1962 61 ≥60
04/01/1965 58 46-59
11/05/2002 21 18-30
01/07/1985 37 31-45
12/06/1970 52 46-59
10/01/1977 46 46-59
20/04/2000 23 18-30
10/02/1991 32 31-45
26/12/1989 33 31-45
28/01/2000 23 18-30
04/08/2000 22 18-30
23/04/1982 41 31-45
06/05/2001 22 18-30
08/02/2001 22 18-30
12/09/1995 27 18-30
20/07/1986 36 31-45
10/03/1996 27 18-30
04/10/1991 31 31-45
01/07/1996 26 18-30
28/11/1981 41 31-45
23/07/1978 44 31-45
27/01/2000 23 18-30
6/28/2002 20 18-30
9/10/1981 41 31-45
19/05/1968 55 46-59
7/28/1987 35 31-45
aan BPJS
11
38
18
67
0
52
15
67
AT PENCATATAN PELAKSANAAN VAKSINASI COVID-19
NGKAT PUSKESMAS/FASYANKES/POS VAKSINASI
Kepesertaan BPJS (tulis 'Ya' pada k

yang sesuai)
Alamat No. Hp
BPJS PBI
BAKUNG 0895610071892
NOG 081272583311
NOG 081279972283
BAKUNG 082269344784
BAKUNG 089523080827
BAKUNG 085269344726
NOG 081271660062
BATUPUTU 085769371494
BATUPUTU 085692236895
KURIPAN 089628952835 YA
NOG 082286933548 YA
BAKUNG 081279775481
NOG 082183072381
NOG 082183072381
NOG 0895328244848 YA
BAKUNG 0895320444242
BAKUNG 085269870715
KURIPAN 085384999943
NOG 08127906603
BAKUNG 085669295063
BAKUNG 081555757543
NOG 083194630924
SUKARAME 2 083170094974
BATUPUTU 085709700506 YA
BAKUNG 085269919678
NOG 085158088209 YA
KURIPAN 089699413105
KURIPAN 082306074253
BAKUNG 089523441434
BAKUNG 089631917539
NOG 089602916032
KURIPAN 085268962857 YA
KURIPAN 082177778117 YA
BAKUNG 0897972381 YA
NOG 088293207037
KURIPAN 082149432187 YA
KURIPAN 081272505542
BAKUNG 08117804356
Pekerjaan
A 0
B 0
C 0
0
D 0
E 0
Total 0
OVID-19
ASI
taan BPJS (tulis 'Ya' pada kolom

yang sesuai)
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
BPJS Non Non
PBI Anggota
7/1/2021 SINOVAC
7/6/2021 CORONAVAC
7/6/2021 CORONAVAC
7/2/2021 CORONAVAC
7/2/2021 CORONAVAC
7/5/2021 CORONAVAC
7/5/2021 CORONAVAC
6/2/2021 SINOVAC
YA 7/1/2021 SINOVAC
7/6/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
7/7/2017 24200321 16213986712724
7/6/2021 24200321 16214742114704
7/6/2021 24200321 16214742114704
7/7/2017 24200321 16213986500096
7/6/2021 24200321 16214815790524
7/6/2021 24200321 16214815781944
7/5/2021 24200321 16214741899892

7/2/2021 24200321 16213951034276
7/2/2021 24200321 16213951034276
7/1/2021 24200321 16214924839845
7/6/2021 24200321 16214742114704
7/5/2021 24200321 16214735061148
7/6/2021 24200321 16214815796156
7/6/2021 24200321 16214815796156
7/6/2021 24200321 16214815796312
7/5/2021 24200321 16214735061148
7/6/2021 24200621
7/5/2021 24200321 162147421111100
7/6/2021 24200321 16214742116108
7/6/2021 24200321 16214742114704
7/6/2021 24200321 16214742114704
7/6/2021 24200321 16214815792396
7/6/2021 24200321 16214815782568
7/2/2021 24200321 16213951034276

7/2/2021 24200321 16213951034276
7/2/2021 24200321 16213951033964
7/6/2021 24200321 16214815782568
7/6/2021 24200321 16214815782568
7/6/2021 24200321 16214815790524
7/5/2021 24200321 162147421111100
5/25/2021 24001421
7/5/2021 24200321 16214734857896
7/5/2021 24200321 16214734857896
6/2/2021 24002521 16170873575021
7/1/2021 24200321 16214924839845
7/6/2021 24200321 16214815782568
7/6/2021 24200321 16214815792396
1/28/2021 202009005
Dosis 2
Tanggal Pemberian
Vaksinasi
8/16/2021 24004921 16255511551349
8/16/2021 24004921 16255511551349
8/16/2021 24004921 16255511551349
8/16/2021 24004921 16255511551349
8/16/2021 24004921 16255511551349
8/16/2021 24004921 16255511551349
8/16/2021 24004921 16255511551349

8/16/2021 24004921 16255511551349
8/16/2021 24004921 16255511551349
8/16/2021 24004921 16255511551349
8/16/2021 24004921 16255511551349
8/16/2021 24004921 16255475287605
8/16/2021 24004921 16255475287605
8/16/2021 24004921 16255475287605
8/16/2021 24004921 16255475287605
8/16/2021 24004921 16255475287605
8/16/2021 24004921 16255475287605
8/16/2021 24004921 16255475287605
8/16/2021 24004921 16255475287605
8/16/2021 24004921 16255475287605
8/16/2021 24004921 16255475287605
8/16/2021 24004921 16255475283377
8/16/2021 24004921 16255475283377
8/16/2021 24004921 16255475283377

8/16/2021 24004921 16255475283377
8/16/2021 24004921 16255475283377
8/16/2021 24004921 16255475283377
8/16/2021 24004921 16255475283377
8/16/2021 24004921 16255475283377
8/16/2021 24004921 16255475283377
8/16/2021 24004921 16255475283689
8/16/2021 24004921 16255475283689
8/16/2021 24004921 16255475283689
8/16/2021 24004921 16255475283689
8/16/2021 24004921 16255475283689
8/16/2021 24004921 16255475283689
8/16/2021 24004921 16255475288073
2/11/2021 202009005
Dosis 3 (Moderna)
Tanggal Pemberian
Vaksinasi
8/16/2021 021D21A
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-0003MJA0
2 Q-000BM3HI
3 Q-0000Z10B
4 Q-0007XC8J
5 Q-0007E00
6 Q-0009PIWE
7 Q-0000LJ5U
8 Q-0003N4SY
9 Q-0000LO5T
10 Q-0003MW4N
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871091712790003
1871086812020002
1871081403980003
1871082707780006
1871030206820004
1871092504840004
1871085210660002
1871084406980004
1871084406650001
1809013112930004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU/ 18-08-2021
Jenis
Kelamin
RAHMAT FARID L D 17/12/1979
ADE DHITA P D 28/12/2002
MUHAMAD SATRIA L D 14/03/1998
RIKI ZULKARNAIN L B 7/27/1978
AZHARI L B 6/2/1982
HERMAN L D 25/04/1984
SRI ASTUTI P D 12/10/1966

ZULHA PUTRI P D 04/06/1998
SARMAH P D 04/06/1965
ARIA DEKI L B 31/12/1990
***Merek Vaksin
A = Sinovac

3 BPJS PBI
4 BPJS Non PBI
2 Non Anggota
0
9 Total
0 Dosis 1
3 Dosis 2
0 Total
7
0
10
FORMAT PENCATATAN PELAKSANAAN V
TINGKAT PUSKESMAS/FASYANKES
Umur
(18 sd ≥ 60 tahun)
43 31-45 BATUPUTUK
20 18-30 BAKUNG
25 18-30 KURIPAN
44 31-45 NOG
40 31-45 BAKUNG
39 31-45 TBS
56 46-59 KURIPAN
24 18-30 NOG
57 46-59 KURIPAN
32 31-45 TATAAN
Pekerjaan
1 A
6 B
3 C
10 D
E
0 Total
10
10
TATAN PELAKSANAAN VAKSINASI COVID-19
SKESMAS/FASYANKES/POS VAKSINASI
No. Hp
BPJS Non
BPJS PBI
PBI
089644871039 YA
089517072202 YA
089518802034
089523114911 YA
08999339144 YA
081271196561 YA
085380291393 YA
08976097697 YA
0895604449267
089632635264
Pekerjaan
0
0
0
0
0
0
0
D-19
ulis 'Ya' pada kolom yang sesuai)
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
6/22/2021 CORONAVAC
7/6/2021 CORONAVAC
6/25/2021 CORONAVAC
5/28/2021 CORONAVAC
6/30/2021 CORONAVAC
6/5/2021 CORONAVAC
6/22/2021 SINOVAC
YA 6/5/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
6/22/2021 24002921 16178705876509
7/6/2021 24200321 16214815781476
5/28/2021 24001421
6/25/2021 24200321 16214741220808
5/28/2021 24001421 16134561171213
6/30/2021 24200321 16214735075984
6/5/2021 24003121
6/22/2021 24002921 16178705877133
6/5/2021 2400321
6/22/2021 24002921 16178567185957

Dosis 2
Tanggal Pemberian
Vaksinasi
8/18/2021 24004921 16255511559165
8/18/2021 24004921 16255511559165
8/18/2021 24004921 16255511559165
8/18/2021 24004921 16255511559165
8/18/2021 24004921 16255511559165
8/18/2021 24004921 16255511559165
8/18/2021 24004921 16255511559165

8/18/2021 24004921 16255511559165
8/18/2021 24004921 16255511559165
8/18/2021 24004921 16255511559165

Keterangan
.
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-3DCXSG7P
2 P-2VWERJIM
3 P-3DKKQYF
4 P-2VDMU6JP
5 Q-000IOZIQ
6 Q-000IOO34
7 Q-000IOO3K
8 P-CTFCCTWF
9 Q-000IM8XQ
10 Q-000IN5UF
11 Q-000IQKVI
12 Q-000IQAVG
13 Q-000IOPLX
14 Q-000INH62
15 Q-000IMVIP
16 Q-000INH5J
17 Q-000IR1BX
18 Z-0007R619
19 Q-000IOZKJ
20 Q-000IQL5Q
21 Q-000IOCLT
22 Q-000INMVS
23 Q-000IPO49
24 Q-000MMMM
25 Q-000IMMN1
26 Z-0007Q9WR
27 Q-000IMP7L
28 Q-000OOA3
29 Q-000IOJHO
30 Q-000IMIBU
31 Q-000PUG3
32 Q-000IMBF1
33 Q-000INMWH
34 Q-000IMHDU
35 Z-0007Q8DT
36 Q-000IMD6I
37 Q-000IMC4G
38 Q-000IMKIJ
39 Q-000INBHU
40 Z-0007QQB1
41 Q-000INYVB
42 Q-000INR8I
43 Q-000IOWH9
44 Q-000IQPUG
45 Q-000IQWOR
46 Q-000IPZIJ
DIFABLE 47 Q-000IOPQA
48 Q-000987RO
49 Q-000IMLIG
C 50 Q-000IMNW5
51 Q-000IMX2I
52 Q-000IOR7K
53 Q-000IQYVP
54 BLM PCARE
55 Z-0007R18K
56 Q-000IOI2N
57 Q-000IOP9H
58 Q-000INE2V
59 Q-000IOGRK
60 Q-000IMR1W
61 Q-000IO45Z
62 Q-000IQYNF
63 Q-000INSV4
64 Q-000IO44J
65 Q-000IN206
66 Q-000IOEO1
67 Q-000IMQBJ
68 Q-000IMICI
69 Q-000IE67A
70 Z-0007QWXY
71 Z-0007QKGL
72 Q-000IO1H2
73 Q-000IP1UZ
74 Q-000IQ1Y4
75 Q-000IPIPPE
76 Q-000IP6AH
77 Q-0003JF24
78 Q-000IN3AQ
79 Q-000IOFAT
80 Q-000IPKJ1
81 Q-000IOO9O
82 Q-000IOMPD
83 Q-000IR20W
84 Z-0007QECG
85 K-00094BG
86 Q-0001N5V8
87 Q-000INAOM
88 Q-000INXOU
89 Q-000INOA9
90 Q-64713218
91 Q-000IQD8P
92 Q-000IQATV
93 Q-000IQC5L
94 Q-000IP69Y
95 Q-0001OB9T
96 Q-000IR1D9
97 Z-0007QWQW
98 Q-000IOZPL
99 Q-000IO1HP
100 Q-000IMCOW
101 Q-000IN4CV
102 Q-000IQTTP
103 Q-000IQQN9
104 Q-000IOL3A
105 Q-000IO7GE
106 Q-000IPXP5
107 Z-0007Q840
108 Q-000IQ8CM
109 Q-000IREA
110 Q-0008RFX7
111 Z-0006M8WV
112 Q-000IQECP
113 Q-000IQ89V
114 Z-0007QZHB
115 Q-000IPT4C
116 Q-000IMP77
117 Q-000IQ89V
118 Q-000INPYY
119 Q-0007XE20
120 Q-000IPKF9
121 Q-000IN8KD
122 Q-000INAOA
123 Q-000IQC3B
124 Q-000INOB8
125 Q-000INBIN
126 Q-000IQNP6
127 Q-000INZML
128 Z-0007Q767
129 Q-000IQJKM
130 Q-000I0A3
131 Q-000IQ9NB
132 Q-000IQD80
133 Q-000IQMSU
134 Q-000IP1OE
135 Q-000IPWKM
136 Q-000H6I8C
137 Q-000IP3PT
138 Q-000IP3PP
139 Q-000IQC3B
140 Q-000IPRGT
141 Q-000IQSUV
142 Q-000IQJOV
143 Q-000INFF7
144 Q-000IQW1V
145 Q-000IQHCO
146 Q-000IPPRL
147 Q-000IOZS6
148 Q-000IPRGP
149 Q-000IPYHD
150 Q-000INR7W
151 Q-000TWTD
152 Q-000INOPB
153 Q-000IQ9EO
154 Q-000IOJGV
155 Q-000IQS5N
156 Q-000IPWG1
157 Q-000IQ76P
158 Q-0003N2X1
159 Q-000IPIFZ
160 Q-000IOWIH
161 Q-000IP1n2
162 Q-000IQECZ
163 Q-000IQFIK
164 Q-000INSVI
165 E-000Q0JHO
166 Q-000IPMK6
167 Q-6941CF06
168 P-BL1QDRW6
169 Q-000IQHH2
170 P-BQLCDFHZ
171 P-BWG0BH2M
172 S-7AD43345
173 Q-000IKZ6S
174 P-C5NTIWIM
175 Q-000IPIVV
176 Q-000NQ86G
177
Q-3BFBE0AE
178 Q-000IU3E3
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871075801050002
1871075410060002
1871095203050002
1871095411060003
1871100406830004
1375024704690001
1375024504970001
1871085101850001
1871080304660008
1871080101710018
1871060502690001
1871065808020001
1871085606710002
1871071802700005
1871072710750006
1871070210020003
1871086102910003
1803104106910002
1871086811680002
1871064505730014
1871087007740002
1871080610990005
1871084601880004
1871082807990003
1871084311670001
1871081012600004
1871081207620006
1871081808610002
1871085004880007
1871081001660005
1871085008660002
1871080705670002
1871080502710002
1871082612990005
1871086503930005
1871082805810002
1871085811750001
1871087012910002
1871082204960006
1871070303770002
1871082506830003
1871080708800010
1871076106760004
1871091709870006
1871046512860001
1871085506830009
1871080603000001
1871085610970004
1871085202010003
1871084701030003
1871080606020002
1871085907030001
1871084502020004
1808016810920006
1871082011720004
1871086306970002
1871085209790004
1871080708020001
1871080511720001
1871075201770006
1871081412000004
1871082304720003
1871082609010005
1871082311730001
1871081311000001
1871085210990003
1871080311720002
1871081111990002
18710854119700005
1871072004600003
1871081811740002
1871086712780001
1871086104020001
1871081007730012
1871086108940001
1871086903950004
1871091803700005
1871084101650010
1871086101810004
1871081011710009
1871082610020001
1871080604730001
1871086309670001
1871080311920006
1871086501010001
1871081106930001
1871081202640003
1871086209800003
1871084703000008
1871084606680009
1871082203000003
1871082011000002
1871084604960005
1871085211020004
1871084508740004
1871080301010005
1871081905840011
1871085106030004
1871082006020001
1810081303850003
1871080801790005
1871090305860008
1871122007740006
1871085607010004
1871080702940005
1871082103690002
1871082508700004
1871080909710004
1871084710840062
1871084311950011
1871062601810006
1871085002850019
1871085003880009
1871085502730008
1671064909760002
1871081204790005
1871086407890004
1871070310800006
1871084709750002
1871040109800005
1871062811880010
1871082510830006
1871084805010002
1871081608730006
1871065510740003
1871082107030001
1871085006850010
1871082103600006
1871084810690006
1871080309020002
1871081203710001
1871080101030013
1871082507030001
1871086106970001
1871084906750002
1871082907670001
1871084507010005
1871086104980008
1871081208010006
1871081909990002
1871080803820002
1871081308720001
1871084504840002
1871086412930001
1871085707970002
1871081404980007
1871085207840006
1871082611000002
1871081301700005
1871095107020003
1871086810800006
1871085808870003
1871085811820005
3275016303900034
1871086305930003
1871085212720003
1871086011750001
1871095411980001
1871085101800003
1871080204730009
1871082405020001
1871075203690010
1871072106950008
1871086004780005
1871085004880007
1871082006780002
1871082810740006
1871117110620002
1801152509880001
1801080809810004
1871124811630005
1871120808590006
1871061205700003
1871081504770011
1806010106940004
1871082904880001
12072604049600104
3271051511660007

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS/ 19- 8-2021
Jenis
Kelamin
LORIENSIA LIEVIANA P E
LOURELIA LIEVIANA P E
THERESA PARAMITA P E
THERESITA KARUNA P E
JONI D L D
MULYANI P D
SITI ULFA P D
JUAIRIAH UTAMI P D
CIK UTI LATIF L E
SAMSUDIN L D
IRWANTO L D
AMELIA PUTRI L D
MERTHYANTIKA P D
SUHARTO L D
IDRUS KARIM L D
RIDHO ANANDA L D
IMMAS SETYORINI P D
DIAN RIASTI P D
PARIDA P D
MAIDIANA P D
JAMIAH P D
MUHAMMAD FAUZAN L D
SUKESIH P D
MUHAMMAD MALIK L D
MAHMUR P D
SUJAI L E
SUHARNO L D
CHANDRA DARMA L D
ENAH P D
HERY PURNOMO L D
ROSIYAH P D
PUNGUT L E
SUHAIDI L D
FARHAN RAMADHAN L D
AYU FITRIANINGSIH P D
M. NURWAHID L D
NENI PURWANINGSIH P D
DESTRI KURNIASARI P E
BERRY APRIANSYAH L D
AGUS L D
SUPRIYADI L D
ROHMAN L D
HORIYAH P D
ANDI SEPTIAN L D
SITI JUBAEDAH P D
YENI PA'ALTI P D
RIZKY KURNIAWAN L D
SINDI OKTAVIANI P D
RIKA SINTIA SARI P D
ALFITRI DEVINA P D
DICKY WAHYUDI L D
VIDYA ADELIA P D
TAMHIDA P D
SUMINI APRIYANTI P D
SOFYAN L D
TIA NOVITA P D
SAMIYATI P D
PERI SETIAWAN L D
ASEP SAIFUL L D
FITRIA P D
WIDIYANTO L D
SUBUR P D
MUHAMMAD ALDY L D
SUPARNO L D
NOFRI ANHARI L D
SHOFIYAH P D
ARMANI L D
ADEKC NOVANTHO L D
SINDI ARDIANTI P D
SUTOYO L D
SUNARWAN L D
EUIS MEGAWATI P D
KARTIKA PUTRI P D
ISKANDAR L D
TARI SASMITA P D
MANDA SARI P D
EDDI SUROSO L E
SUNARMI P D
SUPIATI P D
SAHILI L D
YOGA DWITAMA L D
A.HUDORI L D
ARLINA P D
MUHAMAD RIFKI L D
FAMELLA P D
M. RESTU L D
HASAN BASRI L D
FADILAH P D
AMI DWI LESTARI P D
ROSILA WATI P D
MUHAMMAD ZULYADI L D
RADI ASA L D
DWI SANTIA P D
PUTRI IVA ANDINA P D
KHAMSIAH P D
IMAM AHMAD L D
INSANI L D
FRISCA ANGEL P D
ARDI FAHREZA L D
NURUL PUJI R L D
JUMRONI L D
SAMSUL ARIFIN L D
SUTOSIM L D
GITA WARDATUL P D
MIFTAHUL FAJAR L D
SUTARDI L D
AGUSTINUS HERU L L E
AMRI L D
SONAWATI P D
GITA CAHYANING P D
M. HARI S L D
MARLINAH P D
HERNA P D
LAISAH P D
NUR AINI P D
ALI HASAN L D
HERNA P D
ASEP SAMSURI L D
YULITRA P B
AAN SUPARMAN L D
NOVAN AZWARSAH L D
ACHMAD IDRUS L D
NADIA SAPELLA P D
TOMI L D
RUSMIYATI P D
JULIUS L D
TINAWATI P D
MURYANTO L E
NURHAYATI P D
CHANDRA TRI L D
TARNO L D
IRSAN PRATAMA L D
YULIANSYAH L D
YOSY YANA P D
WATI P D
NAHRUDIN L D
ANDINI P D
RESTU ANISA P D
HADI SETIAWAN L D
DIHARTOMO L D
SAMA L D
ROSFI JAYA L D
HAYATUN L D
DIAN WAHYUNI P D
NURHASANAH P D
ADE APRILIANTO L D
LITA YULIA P D
RIKO NOVIANSYAH L D
RUSLI L D
ADELIA RETNO L D
SURYA DEWI P B
SOVERA ANGGRAINI P D
EUIS LISNAWATI P D
ANNISA KUSUMAWATI P D
MAYLITA P D
LILIS P D
DWI ANGGRAINY P D
POPPY AMALIA P D
MARINI P D
SETYABUDI L D
NASIR ADITYA L D
BONEKA WATI P D
RIDHO MAULANA L D
BEDAH HARYATI P D
ENAH P D
TOTO HERYANTO L D
SUGIONO L B
DRA. HJ. YARNITA P D
ADE YAKO L D
IBRAHIM L D
MINI P D
JUMIRAN L D
SARI ROGO P D
ROBBI ANSORI L D
RAHMAT HIDAYAT L D
ahmad jayani L D
L D
MHD. IRWANSYAH POHAN
ABDULLAH SIDDIQ L D
***Merek Vaksin
A = Sinovac

65 BPJS PBI
46 BPJS Non PBI
56 Non Anggota
7
174 Total
0 Dosis 1
3 Dosis 2
0 Total
164
11
178
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
18/01/2005 18 18-30
14/10/2006 16 0
12/03/2005 18 18-30
14/11/2006 16 0
04/06/1983 39 31-45
07/04/1969 54 46-59
05/04/1997 26 18-30
11/01/1985 38 31-45
03/04/1966 57 46-59
01/01/1971 52 46-59
05/02/1969 54 46-59
18/08/2002 20 18-30
16/06/1971 51 46-59
18/02/1970 53 18-30
07/10/1969 53 46-59
02/10/2001 21 18-30
21/02/1991 32 31-45
01/06/1991 31 31-45
28/11/1968 54 46-59
05/05/1973 50 46-59
30/07/1974 48 46-59
06/10/1999 23 18-30
06/01/1988 35 31-45
28/07/1999 23 18-30
03/11/1967 55 46-59
10/12/1960 62 ≥60
12/07/1962 60 ≥60
18/08/1961 61 ≥60
10/04/1988 35 31-45
10/01/1966 57 46-59
10/08/1966 56 46-59
07/05/1967 56 46-59
05/02/1971 52 46-59
26/12/1999 23 18-30
25/03/1993 30 18-30
28/05/1981 42 31-45
18/11/1975 47 46-59
30/12/1991 31 31-45
22/04/1996 27 18-30
03/02/1977 46 46-59
25/06/1983 39 31-45
07/08/1980 42 31-45
21/06/1976 46 46-59
17/09/1987 35 31-45
25/12/1986 36 31-45
15/06/1983 39 31-45
06/03/2000 23 18-30
16/10/1997 25 18-30
12/02/2001 22 18-30
07/01/2003 20 18-30
06/06/2002 20 18-30
19/07/2003 19 18-30
05/02/2002 21 18-30
28/10/1992 30 18-30
20/11/1972 50 46-59
23/06/1997 25 18-30
12/09/1979 43 31-45
07/08/2002 20 18-30
05/11/1972 50 46-59
12/01/1977 46 46-59
14/12/2000 22 18-30
23/04/1972 51 46-59
26/09/2001 21 18-30
23/11/1973 49 46-59
13/11/2000 22 18-30
12/10/1999 23 18-30
03/11/1972 50 18-30
11/11/1999 23 31-45
14/11/1997 25 18-30
20/04/1960 63 ≥60
18/11/1974 48 46-59
27/12/1978 44 31-45
21/04/2002 21 18-30
10/07/1973 49 46-59
21/08/1994 28 18-30
29/03/1995 28 18-30
18/03/1970 53 46-59
01/01/1965 58 46-59
21/01/1981 42 31-45
10/11/1971 51 46-59
26/10/2002 20 18-30
06/04/1968 55 46-59
23/09/1967 55 46-59
03/11/1992 30 18-30
25/01/2001 22 18-30
11/07/1993 29 18-30
12/02/1964 59 46-59
22/09/1980 42 31-45
07/03/2000 23 18-30
06/06/1966 56 46-59
22/03/2000 23 18-30
20/11/2000 22 18-30
06/04/1996 27 18-30
12/11/2002 20 46-59
05/08/1974 48 18-30
03/01/2001 22 18-30
19/05/1984 39 31-45
11/06/2003 19 18-30
20/06/2002 20 18-30
13/03/1985 38 31-45
08/01/1979 44 31-45
03/05/1986 37 31-45
20/07/1974 48 46-59
16/07/2001 21 18-30
07/02/1994 29 18-30
21/03/1969 54 46-59
25/08/1970 52 46-59
09/03/1971 52 46-59
07/10/1984 38 31-45
03/11/1995 27 18-30
26/01/1981 42 31-45
10/02/1985 38 31-45
10/03/1988 35 31-45
15/02/1973 50 46-59
09/09/1976 46 46-59
12/04/1979 44 31-45
24/07/1989 33 31-45
03/10/1980 42 31-45
9/7/1975 47 46-59
01/09/1980 42 31-45
02/11/1988 34 31-45
25/10/1983 39 31-45
08/05/2001 22 18-30
16/08/1973 49 46-59
15/10/1974 48 46-59
21/07/2003 19 18-30
10/06/1985 37 31-45
21/03/1960 63 ≥60
08/10/1969 53 46-59
03/09/2002 20 18-30
12/03/1971 52 46-59
03/07/2003 19 18-30
25/07/2003 19 18-30
21/06/1997 25 18-30
09/06/1975 47 46-59
29/07/1967 55 46-59
05/07/2001 21 18-30
21/04/1998 25 18-30
12/08/2001 21 18-30
04/09/1997 25 18-30
08/03/1982 41 31-45
13/08/1972 50 46-59
05/04/1984 39 31-45
24/12/1993 29 18-30
14/05/1997 26 18-30
14/04/1998 25 18-30
12/07/1984 38 31-45
26/11/2000 22 18-30
13/01/1970 53 46-59
11/07/2002 20 18-30
28/10/1980 42 31-45
18/08/1987 35 31-45
18/11/1982 40 31-45
23/03/1990 33 31-45
23/05/1993 30 18-30
12/12/1972 50 46-59
20/11/1975 47 46-59
14/11/1998 24 18-30
11/01/1980 43 31-45
02/04/1973 50 46-59
24/05/2002 21 18-30
12/03/1969 54 46-59
21/06/1995 27 18-30
20/04/1978 45 31-45
11/04/1988 35 31-45
20/06/1978 44 31-45
28/10/1974 48 46-59
31/10/1962 60 ≥60
25/09/1988 34 31-45
08/09/1981 41 31-45
08/11/1963 59 46-59
08/08/1959 63 ≥60
12/05/1971 52 46-59
15/04/1977 46 46-59
01/06/1997 25 18-30
35 31-45
4/29/1988
27 18-30
4/4/1996
15/11/1966 56 46-59
58
66
52
176
10
166
176
Alamat
BUMI WARAS
BUMI WARAS
KUPANG TEBA
KUPANG TEBA
SEGALA MIDER
KEDATON
KEDATON
PERWATA
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
BAKUNG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
TBS
NOG
NOG
NOG
NOG
NOG
NOG
BATU PUTUK
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
BATUPUTUK
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
KURIPAN
TKP
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
PURI JUANDA
NOG
NOG
NOG
BATUPUTUK
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG
NOG TBB
WAY KANDIS
NOG
NOG
ANTASARI
ANTASARI
JL DURIAN
NOG
BAKUNG / KOTA BATU
BAKUNG
TIRTAYASA
BAKUNG / KOTA BATU
Pekerjaan
A
B
C
D
E
Total
No. Hp
081363027605 YA
082182861958 YA
082280307782 YA
088268209566 YA
085375084141 YA
081377947969 YA
0895413595751 YA
085758333085 YA
081279294466 YA
081279662483 YA
082181999528
08979159038
089633849897 YA
0895332155946 YA
081373283471 YA
0895620224729 YA
08993544995 YA
085267002399 YA
085369434663 YA
089514363387
0895600622221 YA
089506215540 YA
085768910390
089524574059 YA
085788491561 YA
085267755210
089500110760 YA
081377684123 YA
085758240136 YA
081367648110
089507975821 YA
081278251357 YA
081369056537
0895619629759 YA
089621512523 YA
085269139393 YA
089521691968 YA
085212327378 YA
089507976449 YA
089523085528 YA
0895361140271 YA
08985282113 YA
089636306192 YA
081977928409 YA
083805476945 YA
089636308054 YA
089633849897 YA
089562142819 YA
081383727576 YA
089521505183 YA
089518608316
081548357601 YA
08972580750 YA
089691279017 YA
081928070640 YA
0895919815272 YA
0895413091873 YA
088287093282 YA
082181999122
082180496852 YA
089665197912 YA
081373297981 YA
082180222626 YA
082186559375
085383841172
081278855943
08994286421 YA
085772454668
089603747272
082374683464
082178678474 YA
081379828691
0895386179299
081279817073 YA
089630230780
081271849562 YA
081389003673
08984217676 YA
089632136845 YA
081369392838 YA
083168633764 YA
081379171946 YA
089692553471
083809141789 YA
089503313895
08984217676
081369757842 YA
082178678474 YA
085788886159 YA
082269736170 YA
081367776195 YA
0895609632466
089631970017
089514134087
089692554305 YA
083169775379 YA
081379570716
089632141407
085156865322 YA
08127224757 YA
0895609933390 YA
082182138772
081378392197 YA
081379171946
08977814649 YA
082210401928
081369770357 YA
082183735584 YA
081378392197 YA
089694491103 YA
085357350683
082183566005 YA
089530325236 YA
085279734537 YA
089632141663
089668937041 YA
0895601774500 YA
082183546455 YA
085306356543 YA
0895602324362
082280103885
089620648242 YA
0895416670406 YA
082175275311
082175275311 YA
089517336946
0859321444913 YA
081368215173 YA
08975553744
0895376235351
085268030594 YA
085709635814
081240855099 YA
089624133007 YA
089649527151 YA
081379042086 YA
0895320576508 YA
082372834488 YA
081284403537
087871320542
085279937231
08975553744
89692554509
081377772412 YA
08975748528 YA
089690261503 YA
082376850858 YA
083197120092
085382002320 YA
089622215240
081279290674 YA
0895341727646
081368244133 YA
081317572992 YA
089527672756
0895621459039 YA
089523757662
082278517853 YA
081272702798 YA
089507976698 YA
089507976698 YA
089505329251 YA
089505329251
082180222626
085758240136 YA
081379552930
082177379320 YA
081379968777 YA
081368679110 YA
0895336800203 YA
083168908222 YA
083168908222 YA
081272523228 YA
08127911509 YA
081243964002 YA
089633302294
085268966599
085282781976 YA
aan
0
0
0
0
Non Anggota
8/19/2021 CORONAVAC
8/19/2021 CORONAVAC
8/19/2021 CORONAVAC
8/19/2021 CORONAVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
8/19/2021 CORONAVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
6/29/2021 CORONAVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/22/2021 SINOVAC
YA 7/21/2021
7/22/2021 SINOVAC
7/22/2021 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
4/7/2021 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
6/27/2021 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
6/25/2021 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/16/2021 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
6/2/2021 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
6/22/2021 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
7/21/2017 SINOVAC
3/30/2021 SINOVAC
8/19/2021 SINOVAC
7/21/2017 SINOVAC
8/19/2021 SINOVAC
8/19/2021 SINOVAC
8/19/2021 SINOVAC
7/21/2021 SINOVAC
8/19/2021 SINOVAC
7/21/2017 SINOVAC
4/1/2021 SINOVAC
4/1/2021 SINOVAC
7/22/2017 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
8/19/2021 24004921 16255398690028
8/19/2021 24004921 16255398690028
8/19/2021 24004921 16255398690028
8/19/2021 24004921 16255398690028
7/22/2021 24201321 16232983427564
7/22/2021 24201321 16232983642048
7/22/2021 24201321 16232983642048

8/19/2021 24004921 16255398690028
7/22/2021 24201321 16232132483670
7/22/2021 24201321 16232983437704
7/22/2021 24201321 16232979910060
7/22/2021 24201321 16232979910528
7/22/2021 24201321 16232983427564
7/22/2021 24201321 16232983420216
7/22/2021 24201321 16232983420528
7/22/2021 24201321 16232983420216
7/22/2021 24201321 16232979911152
7/22/2021 24201321 16232979911152
7/22/2021 24201321 16232983427564
7/22/2021 24201321 16232979910060
7/22/2021 24201321 16232983632064
7/22/2021 24201321 16232983420216
7/22/2021 24201321 16232979923648
7/22/2021 24201321 16232983420528

7/22/2021 24201321 16232983420528
7/22/2021 24201321 16232132483670
7/22/2021 24201321 16232983420528
7/22/2021 24201321 16232983421152
7/22/2021 24201321 16232983642048
7/22/2021 24201321 16232132483670
7/22/2021 24201321 16232979914132
7/22/2021 24201321 16232132483670
7/22/2021 24201321 16232983420216
7/22/2021 24201321 16232132483670
7/22/2021 24201321 16232132483670
7/22/2021 24201321 16232132483670
7/22/2021 24201321 16232132483670
7/22/2021 24201321 16232983420528
7/22/2021 24201321 16232983428188
7/22/2021 24201321 16232983427564
7/22/2021 24201321 16232983421152

7/22/2021 24201321 16232983421152
7/22/2021 24201321 16232983427564
7/22/2021 24201321 16232979910060
7/22/2021 24201321 16232979911152
7/22/2021 24201321 16232979923180
7/22/2021 24201321 16232983642048
6/29/2021 24200321 16214924837193
7/22/2021 24201321 16232983420528
7/22/2021 24201321 16232983420528
7/22/2021 24201321 16232983437704
7/22/2021 24201321 16232983427564
7/22/2021 24201321 16232979911152
7/22/2021 24201321 16232983428188
7/22/2021 24201321 16232979923180
7/22/2021 24201321 16232983642048
7/22/2021 24201321 16232983632064
7/22/2021 24201321 16232983428188

7/22/2021 24201321 16232983642048
7/22/2021 24201321 16232983420528
7/22/2021 24201321 16232983632064
7/22/2021 24201321 16232979911152
7/22/2021 24201321 16232983421152
7/22/2021 24201321 16232983632064
7/22/2021 24201321 16232983437704
7/22/2021 24201321 16232983632064
7/22/2021 24201321 16232983420528
7/22/2021 24201321 16232132483670
7/21/2021 24201321
7/22/2021 24201321 16232979923648
7/22/2021 24201321 16232983421152
7/22/2021 24201321 16232983421152
7/22/2021 24201321 16232983427564
7/22/2021 24201321 16232979923180
7/21/2017 24201321 16232979923648

7/21/2017 24201321 16232983428500
6/21/2021 24002921 16178696208893
7/21/2017 24201321 16232983437704
7/21/2017 24201321 16232983642048
7/21/2017 24201321 16232979923648
7/21/2017 24201321 16232983421152
7/21/2017 24201321 16232983642048
7/21/2017 24201321 16232979908672
7/21/2017 24201321 16232983437704
7/21/2017 24201321 16232983428188
7/21/2017 24201321 16232983428188
7/21/2017 24201321 16232983428188
7/21/2017 24201321 16232983421152
7/21/2017 24201321 16232983420216
4/7/2021 24000721
7/21/2017 24201321 16232979910528
7/21/2017 24201321 16232979923180

7/21/2017 24201321 16232979910528
7/21/2017 24201321 16232983428500
7/21/2017 24201321 16232983632064
7/21/2017 24201321 16232979911152
7/21/2017 24201321 16232979923648
7/21/2017 24201321 16232983427564
7/21/2017 24201321 16232983632064
7/21/2017 24201321 16232983428188
7/21/2017 24201321 16232983437704
7/21/2017 24201321 16232979911152
7/21/2017 24201321 16232979910060
7/21/2017 24201321 16232983642048
7/21/2017 24201321 16232983632064
7/21/2017 24201321 16232979923180
7/21/2017 24201321 16232132483670
7/21/2017 24201321 16232979923180
7/21/2017 24201321 16232979910060

6/27/2021
7/12/2021 24200721
7/21/2017 24201321 16232979910528
7/21/2017 24201321 16232979923180
7/21/2017 24201321 16232979914132
7/21/2017 24201321 16232979914132
7/21/2017 24201321 16232983420528
7/21/2017 24201321 16232979923180
7/21/2017 24201321 16232983420216
6/25/2021 24200321 16214741230324
7/21/2017 24201321 16232979923648
7/21/2017 24201321 16232983428188
7/21/2017 24201321 16232983428188
7/21/2017 24201321 16232983427564
7/21/2017 24201321 16232983420216
7/21/2017 24201321 16232983428188
7/21/2017 24201321 16232979910060

7/21/2017 24201321 16232983437704
7/21/2017 24201321 16232132483670
7/21/2017 24201321 16232979910528
7/21/2017 24201321 16232983428500
7/21/2017 24201321 16232979923180
7/21/2017 24201321 16232979910528
7/21/2017 24201321 16232979910060
7/21/2017 24201321 16232983428500
7/21/2017 24201321 16232979914132
7/16/2021 24201321
7/21/2017 24201321 16232983428500
7/21/2017 24201321 16232983428500
7/21/2017 24201321 16232979910528
7/21/2017 24201321 16232979914132
7/21/2017 24201321 16232979910060
7/21/2017 24201321 16232979910528
7/21/2017 24201321 16232983428188

7/21/2017 24201321 16232979911152
7/21/2017 24201321 16232979910528
7/21/2017 24201321 16232979914132
7/21/2017 24201321 16232983427564
7/21/2017 24201321 16232979914132
7/21/2017 24201321 16232979914132
7/21/2017 24201321 16232983421152
6/2/2021 24002521 16170873680009
7/21/2017 24201321 16232983437704
7/21/2017 24201321 16232979923180
7/21/2017 24201321 16232983642048
7/21/2017 24201321 16232979910060
7/21/2017 24201321 16232979914132
7/21/2017 24201321 16232979923180
6/22/2021 24002921 16178705877133
7/21/2017 24201321 16232979923648
7/21/2017 24201321 16232983427564

7/21/2017 24201321 16232983428500
7/21/2017 24201321 16232979910528
7/21/2017 24201321 16232979910528
7/21/2017 24201321 16232983421152
7/21/2017 24201321 16232983642048
7/21/2017 24201321 16232979923648
3/30/2021 24000721 16125080164273
8/19/2021 24004921 16255398485528
7/21/2017 24201321 16232979923648
8/19/2021 24004921 16255398485528
8/19/2021 24004921 16255398485528
8/19/2021 24004921 16255398485528
7/21/2021 24201321
8/19/2021 24004921
7/21/2017 24201321 16232983428500
4/1/2021 24001421
4/1/2021 24001421
7/22/2017 24001421
Dosis 2
Tanggal Pemberian
Vaksinasi
8/19/2021 24004921 16255398690028
8/19/2021 24004921 16255398690028
8/19/2021 24004921 16255398690028

8/19/2021 24004921 16255398690028
8/19/2021 24004921 16255398690028
8/19/2021 24004921 16255398690028
8/19/2021 24004921 16255505188593
8/19/2021 24004921 16255505188593
8/19/2021 24004921 16255505188593
8/19/2021 24004921 16255505188593
8/19/2021 24004921 16255505188593
8/19/2021 24004921 16255505188593
8/19/2021 24004921 16255505188593
8/19/2021 24004921 16255505188593
8/19/2021 24004921 16255505188593
8/19/2021 24004921 16255505188593
8/19/2021 24004921 16255505188593
8/19/2021 24004921 16255505187189
8/19/2021 24004921 16255505187189

8/19/2021 24004921 16255505187189
8/19/2021 24004921 16255505187189
8/19/2021 24004921 16255505187189
8/19/2021 24004921 16255505187189
8/19/2021 24004921 16255505187189
8/19/2021 24004921 16255505187189
8/19/2021 24004921 16255505187189
8/19/2021 24004921 16255505187189
8/19/2021 24004921 16255505187189
8/19/2021 24004921 16255475296029
8/19/2021 24004921 16255475296029
8/19/2021 24004921 16255475296029
8/19/2021 24004921 16255475296029
8/19/2021 24004921 16255475296029
8/19/2021 24004921 16255475296029
8/19/2021 24004921 16255475296029
8/19/2021 24004921 16255475296029

8/19/2021 24004921 16255475296029
8/19/2021 24004921 16255475296029
8/19/2021 24004921 16255475296029
8/19/2021 24004921 16255505185301
8/19/2021 24004921 16255505185301
8/19/2021 24004921 16255505185301
8/19/2021 24004921 16255505185301
8/19/2021 24004921 16255505185301
8/19/2021 24004921 16255505185301
8/19/2021 24004921 16255505185301
8/19/2021 24004921 16255505185301
8/19/2021 24004921 16255505185301
8/19/2021 24004921 16255505185301
8/19/2021 24004921 16255505185301
8/19/2021 24004921 16255505196081
8/19/2021 24004921 16255505196081
8/19/2021 24004921 16255505196081

8/19/2021 24004921 16255505196081
8/19/2021 24004921 16255505196081
8/19/2021 24004921 16255505196081
8/19/2021 24004921 16255505196081
8/19/2021 24004921 16255505196081
8/19/2021 24004921 16255505196081
8/19/2021 24004921 16255505196081
8/19/2021 24004921 16255505196081
8/19/2021 24004921 16255505189217
8/19/2021 24004921 16255505189217
8/19/2021 24004921 16255505189217
8/19/2021 24004921 16255505189217
8/19/2021 24004921 16255505189217
8/19/2021 24004921 16255505189217
8/19/2021 24004921 16255505189217
8/19/2021 24004921 16255505189217
8/19/2021 24004921 16255505189217

8/19/2021 24004921 16255505189217
8/19/2021 24004921 16255505189217
8/19/2021 24004921 16255505174537
8/19/2021 24004921 16255505174537
8/19/2021 24004921 16255505174537
8/19/2021 24004921 16255505174537
8/19/2021 24004921 16255505174537
8/19/2021 24004921 16255505174537
8/19/2021 24004921 16255505174537
8/19/2021 24004921 16255505174537
8/19/2021 24004921 16255505174537
8/19/2021 24004921 16255505174537
8/19/2021 24004921 16255505174537
8/19/2021 24004921 16255398488336
8/19/2021 24004921 16255398488336
8/19/2021 24004921 16255398488336
8/19/2021 24004921 16255398488336

8/19/2021 24004921 16255398488336
8/19/2021 24004921 16255398488336
8/19/2021 24004921 16255398488336
8/19/2021 24004921 16255398488336
8/19/2021 24004921 16255398488336
8/19/2021 24004921 16255398488336
8/19/2021 24004921 16255398488336
8/19/2021 24004921 16255398696440
8/19/2021 24004921 16255398696440
8/19/2021 24004921 16255398696440
8/19/2021 24004921 16255398696440
8/19/2021 24004921 16255398696440
8/19/2021 24004921 16255398696440
8/19/2021 24004921 16255398696440
8/19/2021 24004921 16255398696440
8/19/2021 24004921 16255398696440
8/19/2021 24004921 16255398696440

8/19/2021 24004921 16255398696440
8/19/2021 24004921 16255505185613
8/19/2021 24004921 16255505185613
8/19/2021 24004921 16255505185613
8/19/2021 24004921 16255505185613
8/19/2021 24004921 16255505185613
8/19/2021 24004921 16255505185613
8/19/2021 24004921 16255505185613
8/19/2021 24004921 16255505185613
8/19/2021 24004921 16255505185613
8/19/2021 24004921 16255505185613
8/19/2021 24004921 16255505185613
8/19/2021 24004921 16255398695036
8/19/2021 24004921 16255398695036
8/19/2021 24004921 16255398695036
8/19/2021 24004921 16255398695036
8/19/2021 24004921 16255398695036

8/19/2021 24004921 16255398695036
8/19/2021 24004921 16255398695036
8/19/2021 24004921 16255398695036
8/19/2021 24004921 16255398695036
8/19/2021 24004921 16255398695036
8/19/2021 24004921 16255398695036
8/19/2021 24004921 16255505186721
8/19/2021 24004921 16255505186721
8/19/2021 24004921 16255505186721
8/19/2021 24004921 16255505186721
8/19/2021 24004921 16255505186721
8/19/2021 24004921 16255505186721
8/19/2021 24004921 16255505186721
8/19/2021 24004921 16255505186721
8/19/2021 24004921 16255505186721
8/19/2021 24004921 16255505186721
8/19/2021 24004921 16255505186721

8/19/2021 24004921 16255505174693
8/19/2021 24004921 16255505174693
8/19/2021 24004921 16255505174693
8/19/2021 24004921 16255505174693
8/19/2021 24004921 16255505174693
8/19/2021 24004921 16255505174693
8/19/2021 24004921 16255505174693
8/19/2021 24004921 16255505174693
8/19/2021 24004921 16255505174693
8/19/2021 24004921 16255505174693
8/19/2021 24004921 16255505174693
8/19/2021 24004921 16255398691432
8/19/2021 24004921 16255398691432
8/19/2021 24004921 16255398691432
8/19/2021 24004921 16255398691432
8/19/2021 24004921 16255398691432
8/19/2021 24004921 16255398691432

8/19/2021 24004921 16255398691432
8/19/2021 24004921 16255398691432
8/19/2021 24004921 16255398691432
8/19/2021 24004921 16255398691432
8/19/2021 24004921 16255398691432
8/19/2021 24004921 16255398485528
8/19/2021 24004921 16255398485528
8/19/2021 24004921 16255398485528
8/19/2021 24004921 16255398485528
8/19/2021 24004921
8/19/2021 24004921
8/19/2021 24004921
8/19/2021 24004921
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
3 P-DTHIAPZS
4 P-BCJKU75A
5 S-36AF542B
6 P-APOGT9BC
9 P-5VWVRPMH
16 P-2MW94ALW
17 P-1AMRT1E6
18 P-BUYM9A4
19 P-FF9TOOPQ
20 S-C64A77E1
22 P-FGGUZTN7
29 U-0000CU67
31 U-0000CTD0
33 U-0000CUXJ
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871084704860002
1871046105860005
1871086101690003
1871082511620001
1871085303990007
1871081708800019
1871084212860003
1871080108940008
3671055211770003
1871082106720006
3671054101070011
1871082404680002
1871075704890009
1871086505710002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 20-08-2021
Jenis
Kelamin
SICILIA P D 07/04/1986
MAYA SARI P D 5/21/1986
SELVIANA REVI RITA P D 1/21/1969
FAHRUL FASYA L D 25/11/1962
NURAINI P D 13/03/1999
MANAP L D 17/08/1980
DEWI RIYANTI P D 19/06/1986
MUHAMMAD ARIFIN L D 01/08/1994
MELINDA P D 12/11/1977
ADI DARMA L D 21/06/1972

SYIFA NASHEETA ALINDRI P D 01/01/2007
HERU SAPTO ADI L A 24/04/1968
VIVI YOLANDA P A 17/04/1989
HUSNAWATI P A 25/05/1971
***Merek Vaksin
A = Sinovac

9 BPJS PBI
19 BPJS Non PBI
6 Non Anggota
1
35 Total
14 Dosis 1
0 Dosis 2
0 Dosis 3
22 Total
0
36
FORMAT PENCATATAN PELAKSANAA
TINGKAT PUSKESMAS/FASYANK
Umur
(18 sd ≥ 60 tahun)
37 31-45 SUKARAME II
37 31-45 BAKUNG
54 46-59 BAKUNG
60 ≥60 BAKUNG
24 18-30 KURIPAN
42 31-45 BAKUNG
36 31-45 BAKUNG
45 31-45 NOG
50 46-59 BAKUNG
16 0 NOG
55 46-59 NOG
34 31-45 NOG
52 46-59 NOG
Pekerjaan
2 A
31 B
3 C
36 D
E
22 Total
0
14
36
CATATAN PELAKSANAAN VAKSINASI COVID-19
PUSKESMAS/FASYANKES/POS VAKSINASI
083153917627 YA
082360012220 YA
082184218680 YA
082179038889 YA
085766619616 YA
081249610351 YA
081249336292 YA
085766619622 YA
083168851177 YA
081279601944
08994286385 YA
085758138113 YA
081360606022 YA
082177435151 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
ulis 'Ya' pada kolom yang sesuai) Tanggal Screening
Vaksin***
8/20/2021 CORONAVAC
8/20/2021 CORONAVAC
8/20/2021 CORONAVAC
8/20/2021 CORONAVAC
8/20/2021 SINOVAC
8/20/2021 CORONAVAC
8/20/2021 CORONAVAC
8/20/2021 SINOVAC
8/20/2021 SINOVAC
8/20/2021 SINOVAC
SINOVAC
SINOVAC
SINOVAC
Dosis I
8/20/2021 24004921 16255398697376
8/20/2021 24004921 16255398697376
8/20/2021 24004921 16255398697376
8/20/2021 24004921 16255398697376
8/20/2021 24004921 16255398697376
8/20/2021 24005221 16263934038352
8/20/2021 24005221 16263934038352
8/20/2021 24005221 16263934038352
8/20/2021 24005221 16263934038352
8/20/2021 24005221 16263934038352

8/20/2021 24005221 16263934038352
3/16/2021 24000721
1/28/2021 202009005
2/5/2021 202009005
Dosis 2
4/13/2021 24001421
2/11/2021 202009005
2/19/2021 202009005
Dosis 3 MODERNA
8/20/2021 021D21A
8/20/2021 021D21A
8/20/2021 021D21A
Keterangan
.
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-6361A6B9
93 P-I96MD3FQ
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871081002700007
1871080812630003

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN/ 23- 8-2021
Jenis
Kelamin
HASAN BASRI L D
SAMSUDIN L D
***Merek Vaksin
A = Sinovac

50 BPJS PBI
50 BPJS Non PBI
28 Non Anggota
8
136 Total
0 Dosis 1
2 Dosis 2
0 Total
140
1
143
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
10/02/1970 53 46-59
08/12/1963 59 46-59
40
72
31
143
135
8
143
Alamat
BAKUNG
SUKARAME 2
Pekerjaan
A
B
C
D
E
Total
No. Hp
085384341755 YA
081365556466 YA
aan
0
0
0
0
Non Anggota
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
8/23/2021 24004921 16255504975809
8/23/2021 24004921 16255465614497

Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Z-000G7J9
109 P-JPTF520C
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871070312860008
1871080611770006

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA/ 24- 8-2021
Jenis
Kelamin
DEDDY DESYURI L B
NOPRIYANTO L D
***Merek Vaksin
A = Sinovac

50 BPJS PBI
41 BPJS Non PBI
31 Non Anggota
4
126 Total
1 Dosis 1
2 Dosis 2
0 Total
128
0
131
FORMAT PENCATAT
TINGKAT PUSK
Umur
(18 sd ≥ 60 tahun)
03/12/1986 36 31-45
06/11/1977 45 31-45
42
47
43
132
123
8
131
Alamat
JL. IKAN KAPASAN NO 55 BUMI WARAS
BAKUNG
Pekerjaan
A
B
C
D
E
Total
No. Hp
085269181881 YA
08974581997 YA
aan
0
0
0
0
Non Anggota
7/8/2021 SINOVAC
8/24/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
7/8/2021 24200721 16178567196737
8/24/2021 24005221 16263939964152

Dosis 2
Tanggal Pemberian
Vaksinasi
8/24/2021 24004921 16255504977525

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-8ME 6VOBV
8 P-9GCF65D1
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871081902010004
1871081108980008

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU / 25-08-2021
Jenis
Kelamin
AHMAD RUSLAN L D 19/02/2000
ARI WAHYUDI L D 11/08/1998
***Merek Vaksin
A = Sinovac

54 BPJS PBI
56 BPJS Non PBI
27 Non Anggota
7
144 Total
1 Dosis 1
1 Dosis 2
0 Dosis 3
142 Total
1
145
Umur
(18 sd ≥ 60 tahun)
23 18-30 NOG
24 18-30 NOG
Pekerjaan
39 A
82 B
24 C
145 D
E
143 Total
1
1
145
No. Hp
089650988166
089528748225 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
YA 8/25/2021 MODERNA
8/25/2021 MODERNA
Dosis I
Tanggal Pemberian
Vaksinasi
8/25/2021 021D21A
8/25/2021 021D21A
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-5DEMND0F
37 P-LHIF1QMH
120 S-0125C521
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871131705750004
1871076304030003
1871190505840001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS / 26-08-2021
Jenis
Kelamin
YOPIE SETIAWAN L D 17/05/1975
SETIAWATI P D 4/23/2003
DWI SETIAWAN L D 05/05/1985
***Merek Vaksin
A = Sinovac
49 BPJS PBI
44 BPJS Non PBI
49 Non Anggota
8
150 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
150 Total
0
150
Umur
(18 sd ≥ 60 tahun)
48 46-59 KEMILING
20 18-30 KURIPAN
38 31-45 KURIPAN
Pekerjaan
56 A
44 B
50 C
150 D
E
150 Total
0
0
150
No. Hp
081249610351 YA
0895332035654 YA
0895807688090
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
8/26/2021 MODERNA
8/26/2021 MODERNA
Dosis I
Tanggal Pemberian
Vaksinasi
8/26/2021 001F21A
8/26/2021 001F21A
8/26/2021 001F21A
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-M7BCP4M4
2 S-9FFF9F80
3 S-5E2CEFA4
4 P-M7M5FWHH
5 P-LYZBS8XP
6 P-M6S627FG
7 J-0000VJMB
8 P-M8YWXV37
9 P-M1JEFJ08
10 P-MCBUP1H8
11 P-M6DV8TM9
12 P-LZH0KFTZ
13 P-M13UIKSH
14 P-M02I45JZ
15 P-LZYKFGQN
16 P-MB9O5G3
17 P-MJE07YUF
18 P-MAXVKB8M
19 P-M2QJ0DXE
20 P-M5ILKO5A
21 P-M1UNWFDM
22 P-M7QU72UR
23 P-M2C9OZUS
24 P-M62M6YFT
25 P-M9BWXJNU
26 P-M2KZMFTK
27 P-M95BJCBC
28 P-M0QFYUXJ
29 P-MBT62557
31 P-MC1HA2IM
32 P-MBWWJ3RP
33 P-MB3D4GWV
34 P-MBGD6WG0
35 P-M6INOZR7
36 P-MAA06B3L
37 P-MBJHABUH
38 S-7D77B793
39 P-LY9YYZYN
40 P-M595V8VX
41 P-M56YJ2GY
42 P-M9WBF8JS
43 P-IJVO6CXS
44 P-M2XZZBYX
45 P-M4XFF8SK
46 P-MAN5HCCY
49 P-M0WD5CYU
50 P-LYHUONKW
51 P-LXTQR6FW
52 P-M5WUASLI
53 P-M8OMQP6X
54 J-0000UUBT
55 S-90E4D701
56 P-LXBTC1YX
57 P-M748QT2D
58 P-M9PQYB2O
59 P-4OIN5X3A
60 P-MBCXKEJJ
61 P-LXLWISXC
62 P-M8DUV6CL
63 P-FERFV4MU
65 P-MC6VRFX8
66 P-M5SE4GQH
67 P-GL67YNEG
69 S-4DA7BF9D
70 P-I74XG1KH
71 P-IAAYW5MI
72 P-IMCTB9GV
74 P-JOKCHZBZ
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871086209740003
1871085410560001
1871086101020001
1871075211800002
1871081702030001
1871096410810003
1801075104740003
1871091004870005
1871084404710005
1871087008980002
1871086003720005
1871096504000007
1871081803710001
1871086412020001
1871086305630002
1871082807030001
1871081206880002
1871081609720001
1871084403970004
1871086403680002
1871085007010001
1871081006950006
1871084603010004
1871084506870004
1871086801760001
1871085409650002
1871086311960004
1871080808930004
1871080701680001
1871081909850002
1871085310730006
1871082011980003
1871082404010006
1871081003790009
1871080810760003
1871086312790001
1871082404780007
1871080101830024
1871082011960005
1871085410910002
1871082612020004
1871080706810007
1871036805690004
1871030602670003
1803102005890002
1871081010020010
1871080607020001
1871086712770001
1871080410880009
1871084410650002
1871051109890005
1871082409600003
1871081004680008
1871085111770002
1871086003020010
1871086907770004
1871086509860003
1871081509990001
1871085708810010
1871042201930007
1871083010960006
1871084102970006
1871086412800001
1871080505700006
1871082008020007
1871082006730002
1871031304960004
1871081008900007

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 27-08-2021
Jenis
Kelamin
TRI HASTUTI P D 22/09/1974
NURHAYATI P D 14/10/1956
WINDA MARDIANA P D 21/01/2002
MASNAH P D 11/12/1980
M. FEBRIANSYAH L D 2/17/2003
BABAY HERAWATI P D 24/10/1981
WAHYUNI BUDIYANTI P D 11/04/1974

INDRA APRIYANDI L D 10/04/1987
SUHARTI DEWI P D 04/04/1971
AYU KRISTIA P D 20/08/1998
PASIKHATUN P D 20/03/1972
LILIS SASI SAPUTRI P D 25/04/2000
SUGIYO L D 18/03/1971
SITI NUR AMALIYAH P D 12/24/2002
MAYITI P D 5/23/1963
SYAHRUDIN L D 28/07/2003
RUSLI L D 12/06/1988
C. PRIYONO WIDYATMOKO L D 16/09/1972
JUNA FANI P D 04/03/1997
SUPARTINI P D 24/03/1968
FITRIA DIANA P D 10/07/2001
M. YOGI SYAHPUTRA L D 10/06/1996
IDA LESTARI P D 3/6/2001
FITRI YANI P D 6/3/1987

SRI SUPRAPTI P D 28/01/1976
HASMAH P D 14/09/1965
SELLY VIANTRI P D 23/11/1996
JUNARDI L D 08/08/1993
HARTONO L D 07/01/1968
ALEK HENDRAWAN L D 19/09/1985
EVI SUSANTI P D 13/10/1973
DION RICKY L D 20/11/1998
RIZKI ANDRIAN L D 4/24/2001
MUHIDIN L D 3/10/1979
IWAN SUTIAWAN L D 10/8/1976
DESI ANDRIANI P D 12/23/1979
M. NURDIN YUSUF L D 4/24/1978
ERIKSON L D 1/7/1983
AHMAD SYUHADA L D 11/20/1996
OKTA SARI P D 10/14/1991
ZESIDA PANATA P D 12/26/1962
YAKUB SURYADI L D 6/7/1981

FATIMAH ARRISA P D 5/28/1969
HERMAN GINANJAR L D 2/6/1967
TANU AGUNG L D 5/20/1989
OCTA VIANUS L D 10/10/2002
DIKA HA'AZBY L D 7/6/2002
DESNI P D 12/27/1977
BANGKIT SANJAYA L D 10/4/1988
LIE THING JONG P D 10/4/1965
RIO SEPRIANDIKA L D 9/11/1989
ARI ZULFIAN L D 9/24/1960
ROBET TURNIP L D 4/10/1968
SITI MARYAM P D 11/11/1977
TASYA PUTRI P D 3/20/2002
SARNAMAH P D 7/29/1977
RAFIKA L D 11/10/1979
KORNELIUS TURNIP L D 9/15/1999
SANDRA MARLINA P D 8/17/1981
SUPRIANTO L D 1/22/1993
FAJRI HUSAINI L D 10/30/1996

RETNO ROMADHONA P D 2/1/1997
NATALIA P D 12/24/1980
PRAWOTO L D 5/5/1970
ASYAH PUTRA L D 8/20/2002
M. IQBAL L D 6/20/1973
ARI PRAYOGA L D 4/13/1996
AMRIL SAPUTRA L D 8/10/1990
***Merek Vaksin
A = Sinovac

25 BPJS PBI
26 BPJS Non PBI
18 Non Anggota
5
74 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
74 Total
0
74
Umur
(18 sd ≥ 60 tahun)
48 46-59 BAKUNG
66 ≥60 BAKUNG
21 18-30 BAKUNG
42 31-45 BAKUNG
20 18-30 BAKUNG
41 31-45 BAKUNG
49 46-59 BAKUNG
36 31-45 BAKUNG
52 46-59 BAKUNG
24 18-30 BAKUNG
51 46-59 BAKUNG
23 18-30 BATU PUTUK
52 46-59 BAKUNG
20 18-30 BAKUNG
60 ≥60 BAKUNG
19 18-30 BAKUNG
34 31-45 BAKUNG
50 46-59 BAKUNG
26 18-30 BAKUNG
55 46-59 BAKUNG
21 18-30 BAKUNG
26 18-30 BAKUNG
22 18-30 BAKUNG
35 31-45 BAKUNG
47 46-59 BAKUNG
57 46-59 BAKUNG
26 18-30 BAKUNG
29 18-30 BAKUNG
55 46-59 BAKUNG
37 31-45 BAKUNG
49 46-59 BAKUNG
24 18-30 BAKUNG
22 18-30 BAKUNG
44 31-45 BAKUNG
46 46-59 BAKUNG
43 31-45 BAKUNG
45 31-45 BAKUNG
40 31-45 BAKUNG
26 18-30 BAKUNG
31 31-45 BAKUNG
60 ≥60 BAKUNG
41 31-45 BAKUNG
54 46-59 BAKUNG
56 46-59 BAKUNG
34 31-45 BAKUNG
20 18-30 BAKUNG
20 18-30 BAKUNG
45 31-45 BAKUNG
34 31-45 BAKUNG
57 46-59 BAKUNG
33 31-45 BAKUNG
62 ≥60 BAKUNG
55 46-59 BAKUNG
45 31-45 BAKUNG
21 18-30 BAKUNG
45 31-45 BAKUNG
43 31-45 BAKUNG
23 18-30 BAKUNG
41 31-45 BAKUNG
30 18-30 BAKUNG
26 18-30 BAKUNG
26 18-30 BAKUNG
42 31-45 BAKUNG
53 46-59 BAKUNG
20 18-30 BAKUNG
49 46-59 BAKUNG
27 18-30 BAKUNG
32 31-45 BAKUNG
Pekerjaan
20 A
26 B
28 C
74 D
E
150 Total
0
0
150
No. Hp
08278702550 YA
0822787896438 YA
0895640004509 YA
0895375101210 YA
0895640005051 YA
085268658795 YA
089537198478
081249610351
083196871751
087700556996 YA
085709692590 YA
089624490841
082374121800
089506359125 YA
088272177054
08954474891 YA
082186656085 YA
089616606339
089698338063 YA
085213094124 YA
083169636740
0852213094124
089524873449
0895611119414
085357047755
08536628913 YA
081632262861 YA
081369712651 YA
081279070818 YA
081279070818
081279070818 YA
083800595366
089516332180
085379126162 YA
081380883305 YA
089624613486 YA
081379719595 YA
082175745565
0895704009586 YA
089521345400 YA
085832215868
089504000106 YA
0895372803873
081279068676
082374892020 YA
0896304191685 YA
0895640010361 YA
089636367329 YA
089631534561
081366948616 YA
083178277937 YA
082310013306
082377025036 YA
085695988831
088276786230
082177509050 YA
081271940055 YA
081367177753 YA
087899170317 YA
083803539916 YA
085384445041
082278995253 YA
081271443212
0895609601389 YA
089669656655
081369154273
085839493751 YA
082122051214 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
Dosis I
Tanggal Pemberian
Vaksinasi
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-F8NVHP4C
25 P-FLEJEN1J2
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871091701820005
1871070301060003

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN / 30-08-2021
Jenis
Kelamin
ANDI IRAWAN L D 17/01/1982
NEVIN THANG L D 03/01/2006
***Merek Vaksin
A = Sinovac

21 BPJS PBI
17 BPJS Non PBI
16 Non Anggota
4
58 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
69 Total
4
73
Umur
(18 sd ≥ 60 tahun)
41 31-45 BATUPUTUK
17 0 PESAWAHAN
Pekerjaan
15 A
23 B
35 C
73 D
E
150 Total
0
0
150
No. Hp
082134393480 YA
081369765204
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
8/30/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
8/30/2021 24005221 16263939954948
8/30/2021 24005221 16263939954636

Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
F
Nama Puskesmas/Fasyankes/Pos : BAKUNG

Kabupaten/Kota : Bandar Lampung
Provinsi : Lampung
Sasaran
Tahap 1 Tahap 2
Tanggal/ Bulan
Pelaksanaan
SDM Kesehatan Lansia Pelayan Publik
Rekap sd 2 Maret 2021 72

3-Mar-21
4-Mar-21 165
5-Mar-21 127
6-Mar-21 162
8-Mar-21 216
10-Mar-21 35 35
15-Mar-21 21 1
16-Mar-21 51 2
17-Mar-21 21
18-Mar-21
19-Mar-21 2
20-Mar-21
22-Mar-21 8
23-Mar-21 22 9
24-Mar-21 5 7
26-Mar-21 6 1
27-Mar-21 38 112
29-Mar-21 3 15
30-Mar-21 22 27
31-Mar-21 16 14
1-Apr-21 10 6
3-Apr-21 2
5-Apr-21 21
6-Apr-21 6 2
7-Apr-21 1 166
8-Apr-21 5 16
10-Apr-21 18 45
12-Apr-21
13-Apr-21
20-Apr-21 0 0
24-Apr-21 2 35
26-Apr-21 0 9
27-Apr-21 1 15
29-Apr-21 0 22
5-Mei-21 1 13
6-MEI-21 2 6
8-MEI-21 14
22-MEI-21 25
24-MEI-21 2 18
25 MEI-21 1 23
27-May-21 3 26
28-May-21 10 43
29-May-21 50 36
31-May-21 27
2-Jun-21 4 38
3-Jun-21 1 71
5-JUNI-21 11 60
7-JUNI-21 2 45
8-JUNI-21 19
9-JUNI-21 45
10-JUNI-21 17
14-JUNI-21 1 15
15-juni-21 1 20
16-juni-21 10 18
19-Jun-21 24
21-JUNI-21 1 114
22-JUNI-21 1
23-JUNI-21
24-JUNI-21
25-JUNI-21
26-JUNI-21
28-JUNI-21 2
29-JUNI-21 1
30-JUNI-21
1-JULII-21 1
2-JULII-21
3-JULII-21 1
5-JULII-21 2
6-JULII-21 9 1
7-JULI-21 2
14-JULI-21
17-Jul-21
21-JULI-21 1
22-JULI-21 3
26-JULI-21
27-JULI-21
28-JULI-21
5-AGUS-21
9-AGUS-21
13-AGUS-21 4
16-AGUS-21
18-AGUS-21
19-AGUS-21 1
20-AGUS-21 1
23-Aug-21 4
24-Aug-21 1 4
25-Aug-21 3
26-Aug-21 6
27-Aug-21 3
30-Aug-21 3
TOTAL 73 458 1937

FORMAT REKAPITULASI PELAKSANAAN VAK
TINGKAT PUSKESMAS/FASYANKES/POS
:
:
:
Sasaran
Tahap 3 Tahap 4 Total Dosis I Tahap 1
(Semua Tahapan)
SDM Kesehatan
Masyarakat Total Sasaran
Rentan
# % # %
72 54 75 54 75
0 0 #DIV/0! #DIV/0!
165 136 82.42424 #DIV/0!
127 96 75.59055 #DIV/0!
162 118 72.83951 #DIV/0!
216 188 87.03704 #DIV/0!
70 70 100 #DIV/0!
22 24 109.0909 2 #DIV/0!
53 54 101.8868 1 #DIV/0!
21 21 100 #DIV/0!
0 0 #DIV/0! #DIV/0!
2 2 100 #DIV/0!
0 0 #DIV/0! #DIV/0!
8 8 100 #DIV/0!
31 31 100 #DIV/0!
12 12 100 #DIV/0!
7 7 100 #DIV/0!
150 150 100 #DIV/0!
18 18 100 #DIV/0!
49 50 102.0408 1 #DIV/0!
30 30 100 #DIV/0!
16 17 106.25 1 #DIV/0!
2 2 100 #DIV/0!
21 21 100 #DIV/0!
8 8 100 #DIV/0!
167 57 34.13174 #DIV/0!
21 21 100 #DIV/0!
63 63 100 #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! 0 #DIV/0!
0 0 #DIV/0! 0 #DIV/0!
37 37 100 0 #DIV/0!
9 9 100 0 #DIV/0!
16 16 100 0 #DIV/0!
22 22 100 0 #DIV/0!
14 14 100 0 #DIV/0!
8 8 100 0 #DIV/0!
14 14 100 #DIV/0!
25 25 100 #DIV/0!
20 20 100 #DIV/0!
24 24 100 #DIV/0!
29 29 100 #DIV/0!
53 53 100 #DIV/0!
86 86 100 #DIV/0!
27 27 100 #DIV/0!
42 42 100 #DIV/0!
72 72 100 #DIV/0!
1 72 72 100 #DIV/0!
47 47 100 #DIV/0!
19 19 100 #DIV/0!
4 49 49 100 #DIV/0!
4 21 21 100 #DIV/0!
6 22 22 100 #DIV/0!
21 21 100 #DIV/0!
44 72 72 100 #DIV/0!
2 26 26 100 #DIV/0!
13 76 204 204 100 #DIV/0!
4 51 56 56 100 #DIV/0!
1 20 21 21 100 #DIV/0!
3 3 3 100 #DIV/0!
16 16 16 100 #DIV/0!
2 3 5 5 100 #DIV/0!
1 17 20 20 100 #DIV/0!
6 45 52 52 100 #DIV/0!
2 22 24 24 100 #DIV/0!
5 19 25 25 100 #DIV/0!
3 19 22 22 100 #DIV/0!
1 33 35 35 100 #DIV/0!
15 77 94 94 100 #DIV/0!
23 87 120 120 100 #DIV/0!
9 45 56 56 100 #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
1 1 100 #DIV/0!
31 143 177 177 100 #DIV/0!
1 1 1 100 #DIV/0!
1 2 3 3 100 #DIV/0!
2 2 2 100 #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
1 5 5 100 #DIV/0!
0 0 #DIV/0! #DIV/0!
2 8 10 10 100 #DIV/0!
2 7 10 10 100 #DIV/0!
3 18 22 22 100 #DIV/0!
21 110 135 135 100 #DIV/0!
14 103 122 122 100 1 100
19 121 143 143 100 #DIV/0!
23 121 150 150 100 #DIV/0!
12 59 74 74 100 #DIV/0!
7 55 65 65 100 #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
284 1281 4033 3778 #DIV/0! 60 #DIV/0!
SANAAN VAKSINASI COVID-19
YANKES/POS VAKSINASI
Penerima Vaksin Dosis 1

Tahap 2 Tahap 3
Lansia Pelayan Publik MASYARAKAT RENTAN
# % # % # %
#DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0!
#DIV/0! 136 82.4242424 #DIV/0!
#DIV/0! 96 75.5905512 #DIV/0!
#DIV/0! 118 72.8395062 #DIV/0!
#DIV/0! 188 87.037037 #DIV/0!
35 100 35 100 #DIV/0!
21 100 1 100 #DIV/0!
51 100 2 100 #DIV/0!
21 100 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
2 100 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
8 100 #DIV/0! #DIV/0!
22 100 9 100 #DIV/0!
5 100 7 100 #DIV/0!
6 100 1 100 #DIV/0!
38 100 112 100 #DIV/0!
3 100 15 100 #DIV/0!
22 100 27 100 #DIV/0!
16 100 14 100 #DIV/0!
10 100 6 100 #DIV/0!
#DIV/0! 2 100 #DIV/0!
21 100 #DIV/0! #DIV/0!
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Tunda Vaksin Dosis 1
Tahap 4 Total Tunda Dosis I Tahap 1 Tahap
(Semua Tahapan)
SDM Kesehatan Lansia
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Tunda Vaksin Dosis 1 B
Tahap 2 Total Batal Dosis I Tahap 1 T
(Semua Tahapan)
Lansia Pelayan Publik SDM Kesehatan Lansia
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Batal Vaksin Dosis 1
Tahap 2 Tahap 3 Tahap 4 Total Dosis 2
(Semua Tahapan)
Lansia Pelayan Publik
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Tahap 1 Tahap 2 Tahap 3
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Total Tunda Dosis
Tahap 4 2 Tahap 1 Tahap 2
(Semua Tahapan)
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0.0 #DIV/0! 0
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#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! 0.0 #DIV/0! 0
41 28.67132867133 0.0 #DIV/0! 0
106 10600 0.0 #DIV/0! #DIV/0!
46 2300 0.0 #DIV/0! #DIV/0!
8 #DIV/0! 0.0 #DIV/0! #DIV/0!
74 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
50 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
1 #DIV/0! 0.0 #DIV/0! #DIV/0!
44 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0.0 #DIV/0! #DIV/0!
135 1928.571428571 0.0 #DIV/0! 0
0 0.0 #DIV/0! #DIV/0!
8 7.272727272727 0.0 #DIV/0! 0
6 5.825242718447 0.0 0 0
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6 10.90909090909 0.0 #DIV/0! 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
525 #DIV/0! 0 #DIV/0! 0 #DIV/0! 20 #DIV/0! 63
2 Batal Vaksin Dosis 2
Total Batal Dosis
ap 2 2 Tahap 1 Tahap 2 Tahap 3
(Semua Tahapan)
Pelayan Publik SDM Kesehatan Lansia Pelayan Publik
% # % # % # % # % #
#DIV/0! 0 0.0 0 #DIV/0! #DIV/0!

#DIV/0! 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
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0 0 0.0 #DIV/0! #DIV/0! 0
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0 0 0.0 #DIV/0! 0 0
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0 0 0.0 #DIV/0! 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
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0 0 0.0 0 #DIV/0! 0 0 0 0
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0 0.0 #DIV/0! 0 0 0
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#DIV/0! 0.0 #DIV/0! 0 0 0
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#DIV/0! 0.0 #DIV/0! #DIV/0! 0 0
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0 0.0 #DIV/0! #DIV/0! 0 0
#DIV/0! 0.0 #DIV/0! #DIV/0! 0 0
0 0.0 #DIV/0! #DIV/0! 0 0
#DIV/0! 0.0 #DIV/0! #DIV/0! 0 0
0 0.0 #DIV/0! #DIV/0! 0 0
#DIV/0! 0.0 #DIV/0! 0 0 0
0 0.0 #DIV/0! 0 0 0
#DIV/0! 0.0 #DIV/0! 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0 0
#DIV/0! 0.0 #DIV/0! 0 0 0
#DIV/0! 0.0 #DIV/0! 0 0 0
#DIV/0! 0.0 #DIV/0! #DIV/0! 0 0
#DIV/0! 0.0 #DIV/0! #DIV/0! 0 0
#DIV/0! 0.0 #DIV/0! #DIV/0! 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0 0
0 0.0 #DIV/0! #DIV/0! 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0 0
#DIV/0! 0.0 #DIV/0! #DIV/0! 0 0
#DIV/0! 0.0 #DIV/0! 0 0 0
0 0.0 #DIV/0! #DIV/0! 0 0
#DIV/0! 0.0 #DIV/0! 0 0 0
#DIV/0! 0.0 0 0 0 0
#DIV/0! 0.0 #DIV/0! 0 0 0
#DIV/0! 0.0 #DIV/0! 0 0 0
#DIV/0! 0.0 #DIV/0! 0 0 0
#DIV/0! 0.0 #DIV/0! 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0 0
#DIV/0! 1 #DIV/0! 0 #DIV/0! 0 #DIV/0! 1 #DIV/0! 0
s2 Penerima
Tahap 3 Tahap 4 Total Dosis 3 Tahap 1 Tahap 2
(Semua Tahapan)
% # % # % # % # %
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!

0 #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
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0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
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0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
15 #DIV/0! 15 #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
14 #DIV/0! 14 #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
1 #DIV/0! 1 #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
0 #DIV/0! #DIV/0! 100
#DIV/0! 0 #DIV/0! 130 #DIV/0! 30 #DIV/0! 0 #DIV/0!
Total Tunda Dosis
Tahap 2 Tahap 3 Tahap 4 3
(Semua Tahapan)
Pelayan Publik
# % # % # % #
#DIV/0! #DIV/0! #DIV/0! 0

#DIV/0! #DIV/0! #DIV/0! 0
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#DIV/0! #DIV/0!
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#DIV/0! #DIV/0! 0
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#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
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#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
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#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
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#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0
Total Tunda Dosis Total Batal Dosis
3 Tahap 1 Tahap 2 3 Tahap 1
(Semua Tahapan) (Semua Tahapan)
SDM Kesehatan Lansia Pelayan Publik SDM Kesehatan
% # % # % # % # % #

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Batal Vaksin Dosis 3
Tahap 1 Tahap 2 Tahap 3 Tahap 4
Coronavac
SDM Kesehatan Lansia Pelayan Publik (Single Dose V
Jmlh Vial
% # % # % # % # %
Terpakai
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! 108
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! 0 0 0
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#DIV/0! 0 #DIV/0! 0 0 0
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#DIV/0! #DIV/0! 0 0 0
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#DIV/0! #DIV/0! 0 0 0
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#DIV/0! #DIV/0! 0 0 0
#DIV/0! #DIV/0! 0 0 0
#DIV/0! #DIV/0! 0 0 0
#DIV/0! #DIV/0! 0 0 0
#DIV/0! #DIV/0! 0 0 0
#DIV/0! #DIV/0! 0 0 0
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#DIV/0! #DIV/0! 0 0 0
#DIV/0! #DIV/0! 0 0 0
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#DIV/0! #DIV/0! 0 0 0
#DIV/0! #DIV/0! 0 0 0
Indeks Pemakaian Vaksin Berdasa
Coronavac Vaksin Covid-19 BF

Moderna
(Single Dose Vial) (Multi Dose Vial)
Jmlh Jmlh Vial Jmlh Jmlh Vial Jmlh

IP IP
Diimunisasi Terpakai Diimunisasi Terpakai Diimunisasi
108 1.0 #DIV/0!
#DIV/0! 0 #DIV/0! 0
#DIV/0! 14 136 9.7 0
#DIV/0! 10 96 9.6 0
#DIV/0! 12 118 9.8 0
#DIV/0! 19 188 9.9 0
#DIV/0! 7 70 10.0 0
6 1.0 2 18 9.0 0
4 1.0 5 50 10.0 0
2 1.0 2 19 9.5 0
#DIV/0! 13 127 9.8 0
#DIV/0! 9 90 10.0 0
#DIV/0! 10 99 9.9 0
#DIV/0! 19 188 9.9 0
#DIV/0! 4 38 9.5 0
#DIV/0! 5 45 9.0 0
#DIV/0! 1 8 8.0 0
#DIV/0! 15 150 10.0 0
#DIV/0! 2 21 10.5 0
#DIV/0! 5 50 10.0 0
#DIV/0! 3 30 10.0 0
#DIV/0! 2 18 9.0 0
#DIV/0! 1 10 10.0 0
#DIV/0! 2 22 11.0 0
#DIV/0! 1 9 9.0 0
#DIV/0! 8 84 10.5 0
#DIV/0! 2 22 11.0 0
#DIV/0! 6 63 10.5 0
#DIV/0! 3 25 8.3 0
#DIV/0! 5 47 9.4 0
#DIV/0! 5 53 10.6 0
0 #DIV/0! 17 172 10.1176471 0
0 #DIV/0! 3 34 11.3333333 0
0 #DIV/0! 5 55 11 0
0 #DIV/0! 6 62 10.3333333 0
0 #DIV/0! 6 57 9.5
0 #DIV/0! 6 57 9.5
0 #DIV/0! 7 71 10.1428571
0 #DIV/0! 6 59 9.83333333
0 #DIV/0! 3 29 9.66666667
0 #DIV/0! 4 38 9.5
0 #DIV/0! 4 40 10
0 #DIV/0! 6 65 10.8333333
0 #DIV/0! 8 87 10.875
0 #DIV/0! 3 33 11
0 #DIV/0! 5 54 10.8
0 #DIV/0! 7 77 11
0 #DIV/0! 7 72 10.2857143
0 #DIV/0! 6 62 10.3333333
0 #DIV/0! 2 19 9.5
0 #DIV/0! 5 51 10.2
0 #DIV/0! 2 21 10.5
0 #DIV/0! 2 22 11
0 #DIV/0! 2 22 11
0 #DIV/0! 7 72 10.2857143
0 #DIV/0! 5 49 9.8
0 #DIV/0! 20 211 10.55
0 #DIV/0! 8 83 10.375
0 #DIV/0! 2 21 10.5
0 #DIV/0! 3 32 10.6666667
0 #DIV/0! 5 54 10.8
0 #DIV/0! 8 88 11
0 #DIV/0! 5 53 10.6
0 #DIV/0! 5 54 10.8
0 #DIV/0! 5 55 11
0 #DIV/0! 8 88 11
0 #DIV/0! 2 22 11
0 #DIV/0! 8 85 10.625
0 #DIV/0! 13 143 11
0 #DIV/0! 13 143 11
0 #DIV/0! 9 99 11
0 #DIV/0! 3 33 11
0 #DIV/0! 4 44 11
0 #DIV/0! 9 99 11
0 #DIV/0! 21 222 10.5714286
0 #DIV/0! 12 131 10.9166667
0 #DIV/0! 5 55 11
0 #DIV/0! 1 11 11
0 #DIV/0! 9 92 10.2222222
0 #DIV/0! 6 66 11
0 #DIV/0! 1 6 6
0 #DIV/0! 5 52 10.4 1 15
0 #DIV/0! 1 10 10
0 #DIV/0! 17 178 10.4705882
0 #DIV/0! 2 22 11 1 14
0 #DIV/0! 13 143 11
0 #DIV/0! 12 131 10.9166667
0 #DIV/0! 1 11 11 9 134
0 #DIV/0! #DIV/0! 10 150
0 #DIV/0! #DIV/0! 5 74
0 #DIV/0! 7 73 10.4285714
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
120 #DIV/0! 569 5884 #DIV/0! 26 387
makaian Vaksin Berdasarkan Merek
Moderna Lainnya
Jmlh Vial
IP Jmlh Diimunisasi
Terpakai
#DIV/0! 108
#DIV/0! 0
#DIV/0! 136
#DIV/0! 96
#DIV/0! 118
#DIV/0! 188
#DIV/0! 70
#DIV/0! 24
#DIV/0! 54
#DIV/0! 21
#DIV/0! 127
#DIV/0! 90
#DIV/0! 198
#DIV/0! 188
#DIV/0! 38
#DIV/0! 45
#DIV/0! 9
#DIV/0! 150
#DIV/0! 21
#DIV/0! 50
#DIV/0! 30
#DIV/0! 18
#DIV/0! 10
#DIV/0! 22
#DIV/0! 9
#DIV/0! 84
#DIV/0! 22
#DIV/0! 63
#DIV/0! 25
#DIV/0! 47
#DIV/0! 53
#DIV/0! 172
#DIV/0! 34
#DIV/0! 55
#DIV/0! 62
#DIV/0! 57
#DIV/0! 57
#DIV/0! 71
#DIV/0! 59
#DIV/0! 29
#DIV/0! 38
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#DIV/0! 65
#DIV/0! 87
#DIV/0! 33
#DIV/0! 54
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#DIV/0! 72
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#DIV/0! 51
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#DIV/0! 72
#DIV/0! 49
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#DIV/0! 88
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#DIV/0! 85
#DIV/0! 143
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#DIV/0! 99
#DIV/0! 33
#DIV/0! 44
#DIV/0! 99
#DIV/0! 222
#DIV/0! 131
#DIV/0! 55
#DIV/0! 11
#DIV/0! 92
#DIV/0! 66
#DIV/0! 6
15 67
#DIV/0! 10
#DIV/0! 178
14 36
#DIV/0! 143
#DIV/0! 131
14.8888888888889 145
15 150
14.8 74
#DIV/0! 73
#DIV/0! 0
#DIV/0! 0
#DIV/0! 0
#DIV/0! 0
#DIV/0! 0
#DIV/0! 0 6408
Lainnya
IP
#DIV/0!
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agustus
9 92
6 66 1
1 6
5 52
1 10 1
17 178
2 22
13 143 9
12 131 10
1 11 5
7 73 total moderna 26
total sinovac 74 784
1171
220
167
1558
dosis 1
5-AGUS-21 0 0
9-AGUS-21 0 0
13-AGUS-21 4 1 5 5
16-AGUS-21 0 0
18-AGUS-21 2 8 10 10
19-AGUS-21 1 2 7 10 10
20-AGUS-21 1 3 18 22 22
### 4 21 110 135 135
### 1 4 14 103 122 122
### 3 19 121 143 143
### 6 23 121 150 150
### 3 12 59 74 74
### 3 7 55 65 65
736
###
###
###
###
###
###
dosis 2 multi moderna

### 92 ### 9 92 10.22222 92 #DIV/0!
### 66 ### 6 66 11 66 #DIV/0!
### 1 ### 1 6 6 6 #DIV/0!
### 52 ### 5 52 10.4 1 15 67 #DIV/0!
### 0 ### 1 10 10 10 #DIV/0!
### 168 ### 17 178 10.47059 178 #DIV/0!
### 0 ### 2 22 11 1 14 36 #DIV/0!
### 8 ### 13 143 11 143 #DIV/0!
### 9 ### 12 131 10.91667 131 #DIV/0!
### 1 ### 1 11 11 9 134 145 #DIV/0!
### 0 ### #DIV/0! 10 150 150 #DIV/0!
### 0 ### #DIV/0! 5 74 74 #DIV/0!
### 8 ### 7 73 10.42857 73 #DIV/0!
405 784 dosis 3 1171 #DIV/0!
dosis 1
92
66
6
52
10
178
22
143
131
145
150
74
73
1142
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
142 P-PFURI7I2
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1803071411850004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU / 1-9-2021
Jenis
Kelamin
IMAM NOVIANTO L D 14/11/1985
***Merek Vaksin
A = Sinovac

62 BPJS PBI
36 BPJS Non PBI
44 Non Anggota
4
146 Total
0 Dosis 1
1 Dosis 2
0 Dosis 3
162 Total
0
163
Umur
(18 sd ≥ 60 tahun)
37 31-45 WAY HALIM
Pekerjaan
61 A
57 B
45 C
163 D
E
154 Total
9
0
163
081369103545 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Vaksin***
9/1/2021 COVID19 BIOFARMA

Dosis I
9/1/2021 24005221 16264306410166

Dosis 2
Dosis 3 MODERNA
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-EKLA8D60
3 P-G3A3QXHA
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871136003090003
1871071002040003

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS / 2-9-2021
Jenis
Kelamin
NABILA SYAKIILA P D 20/03/2009
HAIKAL DAVA L D 10/02/2004
***Merek Vaksin
A = Sinovac

47 BPJS PBI
35 BPJS Non PBI
23 Non Anggota
2
107 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
120 Total
0
120
Umur
(18 sd ≥ 60 tahun)
14 0 KEMILING
19 18-30 PANJANG
Pekerjaan
31 A
30 B
59 C
120 D
E
116 Total
4
0
120
No. Hp
081319542324 YA
081314141989 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota

Dosis I
Tanggal Pemberian
Vaksinasi
9/2/2021 24005221 16264312815386
9/2/2021 24005221 16264312815386

Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
82 P-JDVLFNDV
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1606020103070002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 3-9-2021
Jenis
Kelamin
DANIEL CAPELLA L D 3/1/2007
***Merek Vaksin
A = Sinovac

2 BPJS PBI
0 BPJS Non PBI
0 Non Anggota
0
2 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
161 Total
0
161
Umur
(18 sd ≥ 60 tahun)
16 0 BAKUNG
Pekerjaan
60 A
57 B
44 C
161 D
E
161 Total
0
0
161
083134743506 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Vaksin***
9/3/2021 BIOFARMA COVID-19

Dosis I
9/3/2021 2021071371
Dosis 2
Dosis 3 MODERNA
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-IXAIML26
M 72 P-K4N6P5HG
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871026101070001
1871097007010001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA / 7-9-2021
Jenis
Kelamin
JIHAN ADILAH P D 21/01/2007
PUTRI ANNISA P D 7/20/2001
***Merek Vaksin
A = Sinovac

38 BPJS PBI
52 BPJS Non PBI
22 Non Anggota
7
119 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
128 Total
0
128
Umur
(18 sd ≥ 60 tahun)
16 0 WAY HALIM
21 18-30 BATUPUTUK
Pekerjaan
47 A
42 B
39 C
128 D
E
161 Total
0
0
161
No. Hp
081377753239 YA
082182480781
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
YA 9/7/2021 MODERNA
Dosis I
Tanggal Pemberian
Vaksinasi
9/7/2021 24202321 16264920130960
9/7/2021 001F21A
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
128 P-OEDEGDMA
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1803082203830002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU / 8-9-2021
Jenis
Kelamin
DWI HARI L D 22/03/1983
***Merek Vaksin
A = Sinovac

44 BPJS PBI
46 BPJS Non PBI
34 Non Anggota
10
134 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
135 Total
0
135
Umur
(18 sd ≥ 60 tahun)
40 31-45 SUNGKAI
Pekerjaan
54 A
39 B
37 C
130 D
E
135 Total
0
0
135
No. Hp
081369306510 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
9/8/2021 MODERNA
Dosis I
Tanggal Pemberian
Vaksinasi
9/8/2021
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
135 P-RHHEGVBF
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871085705070001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS / 9-9-2021
Jenis
Kelamin
MIFTAHULJANNAH KHAIRI P D 17/05/2007
***Merek Vaksin
A = Sinovac

11 BPJS PBI
2 BPJS Non PBI
1 Non Anggota
0
14 Total
0 Dosis 1
5 Dosis 2
0 Dosis 3
272 Total
0
277
Umur
(18 sd ≥ 60 tahun)
16 0 BAKUNG
Pekerjaan
121 A
77 B
79 C
277 D
E
276 Total
1
0
277
No. Hp
088293270199
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
YA 9/9/2021 BIOFARMA COVID-19

Dosis I
Tanggal Pemberian
Vaksinasi
9/9/2021 202108156I
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-000MP0LB
41 P-4ZL1KHG5
52 P-IBTBP8CY
84 P-OVGK1J9R
150 P-2VGYGP7M
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
3404104802890003
18710852108200004
1801130506830009
1871070705840006
1809015408740009

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 10-9-2021
Jenis
Kelamin
RISA PAHLEVI P D 08/02/1989
SADIAH P D 12/10/1982
HERIANTO L D 6/6/1983
HERI PERMANA L D 5/7/1984
HERDIANA P D 14/08/1974
***Merek Vaksin
A = Sinovac
56 BPJS PBI
76 BPJS Non PBI
47 Non Anggota
9
188 Total
0 Dosis 1
2 Dosis 2
0 Dosis 3
194 Total
1
197
Umur
(18 sd ≥ 60 tahun)
34 31-45 KURIPAN
40 31-45 NOG
39 31-45 JATI AGUNG
39 31-45 BUMI WARAS
48 46-59 NOG
Pekerjaan
85 A
53 B
59 C
197 D
E
276 Total
1
0
277
No. Hp
082180220573
089515918560
085267982759
085279326962 YA
082372595307
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota

Dosis I
Tanggal Pemberian
Vaksinasi
8/13/2021 24004921 16255464305205
9/10/2021 24005421 16270261479273
9/10/2021 24005421 16270261369513
9/10/2021 24005421 16264891737416
9/10/2021 24202321 16264891737104

Dosis 2
Tanggal Pemberian
Vaksinasi
24005421 16270261373725
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-6BYQ0G2U
43 P-9AMYFJTX
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871074506690011
1802046607970005

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN / 13-9-2021
Jenis
Kelamin
SARI P D 06/05/1969
ROZALI L D 7/26/1997
***Merek Vaksin
A = Sinovac

21 BPJS PBI
27 BPJS Non PBI
17 Non Anggota
6
71 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
78 Total
0
78
Umur
(18 sd ≥ 60 tahun)
54 46-59 TBS
25 18-30 GUNUNG SUGIH
Pekerjaan
14 A
42 B
22 C
78 D
E
71 Total
7
0
78
No. Hp
081314141989 YA
082186847845 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota

Dosis I
Tanggal Pemberian
Vaksinasi
9/13/2021 202107137I
9/13/2021 202107137I
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-CBVNQ7R4
156 J-0001BTXO
170 P-LO0G6B9X
171 P-LORVQEUS
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871081409890002
1871050807950004
1871030311970008
1871094306810007

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA/ 14-9-2021
Jenis
Kelamin
GUNAWAN RAHARJO L D 14/09/1989
FARIZKY ARIF L D 08/07/1995
ABIZAR ALQIFARI L D 11/3/1997
NENENG FARDIYAH P D 03/06/1981
***Merek Vaksin
A = Sinovac
72 BPJS PBI
93 BPJS Non PBI
28 Non Anggota
4
197 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
199 Total
0
199
Umur
(18 sd ≥ 60 tahun)
33 31-45 BATUPUTUK
27 18-30 TKT
25 18-30 LANGKAPURA
41 31-45 BATUPUTUK
Pekerjaan
49 A
85 B
65 C
199 D
E
200 Total
0
200
No. Hp
08976622131 YA
081273822604 YA
081310802613 YA
085380906444
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota

Dosis I
Tanggal Pemberian
Vaksinasi
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-J4S9K904
56 P-RDK1C7XT
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871076012000006
1871084101920009

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU 15-9-2021
Jenis
Kelamin
AYU LESTARI P D 20/11/2000
KARTIKA P D 1/1/1992
***Merek Vaksin
A = Sinovac

51 BPJS PBI
46 BPJS Non PBI
27 Non Anggota
7
131 Total
0 Dosis 1
1 Dosis 2
0 Dosis 3
137 Total
0
138
Umur
(18 sd ≥ 60 tahun)
22 18-30 BATUPUTUK
31 31-45 BAKUNG
Pekerjaan
50 A
38 B
50 C
138 D
E
130 Total
8
0
138
No. Hp
089679899909 YA
0895640084139
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota

Dosis I
Tanggal Pemberian
Vaksinasi
9/15/2021 202108156I
9/15/2021 202108156I
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-000AIX81
2 Q-0003N6IO
3 P-SAO6TRFD
4 Q-0003N76V
5 Q-000NJFIY
6 P-SCOV8AHA
8 Z-0009AMCM
9 P-SAZ9HU9N
11 P-SB6XHUPH
15 P-SCQ2BTFJ
17 P-SB0MGTSN
18 K-0000LOL7
19 S-9DA5E167
21 P-5CAMU3RI
22 S-F9731DB3
23 P-SC9AGMOR
24 P-SBOQ5QGZ
25 P-SB1VR85V
26 P-9BAQ01LP
27 Q-000NXNHN
28 S-D0E484AE
29 Z-0009DJP8
31 P-M87XSRDW
32 P-1DG5QPTN
33 P-SBPJTUZR
34 P-SCKHYFBK
35 P-SAQ9T7JH
37 P-SCBJ4HQ1
38 P-SDDVZTGP
39 P-RGYKU4JQ
40 P-SD2J8ON
42 P-SBDRDGEX
43 P-SAJGV684
44 P-SCV9LE4J
45 P-SBERCQP6
47 P-SCGX2ETZ
48 Q-000O0A1O
50 P-SBFQVSI1
51 P-SC5MPOP8
53 P-SAXSDCE6
54 P-RCNTLC5H
55 P-SBQA4JGW
56 P-SAUWFN1C
57 P-SC4AZWYK
58 P-MBP0BODQ
59 P-SDBJ1IG1
60 P-SAP7UAKH
61 P-SCZ3ZVO4
62 P-SCWCZ6LY
64 P-SCLFOG9B
65 P-RG4BLPCY
66 P-SD1FKGPO
68 P-SBKV3AE9
69 P-SATVY84
70 P-SCXXXVXH
71 P-RMSJC7FS
73 P-SBZ6F47O
74 P-REEZ8TSP
75 S-D3C9B7B5
76 P-RPAEHMQ
77 P-RHMQHKX
78 P-RH0NIL01
79 P-S26PIYKG
80 P-RIQLLWW2
81 P-RFF0Q6G4
84 P-SC0GOUIX
85 P-SBLR8RI
88 P-SH86P9XM
90 P-SIZJUNW5
91 P-SISIAZIR
92 P-SIMCJXIR
93 P-SIDP3I9K
94 NIK SDH TERDAFTAR
95 P-SI5DJVLR
96 P-SHWZH7NL
99 S-5091D98A
100 P-SK1RYAE3
101 P-SJV9O8EN
102 P-SJOYY1MJ
103 P-SJIRW72F
104 P-SKP4FUEP
105 P-8KL4TQHE
106 S-8A2B1E22
107 P-SL05DVSY
108 P-SLKN0HXE
109 P-SLE6E6AL
110 P-SLNV729T
111 P-SMPJSXAH
112 P-SNAI6RJ2
113 P-SN2UDNMT
114 P-SNF3Y4VL
116 P-SNP14R1G
119 P-SNZMRACX
120 P-M35KJXE3
125 P-SP0Z92CB
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871081207000005
1871084307630001
1871087011990005
1871082711970004
1871084705640002
1871084107670005
1871081407720005
1871084807010009
1871086006960003
1871073112790002
1871083003790002
1871081711000007
1871081202490001
1871086104620004
1871080201570001
1871081006790005
1871085404620001
1871086808870001
1871086011620001
1871080803020002
1871080304730004
1871080606980003
1871086804730001
1871080303800007
1871080904790002
1871082912950001
1871082809020001
1871082802920002
1871072802800002
1871081105760008
1871082102860001
1871087108700001
1871081202980013
1871071607620002
1871085802880004
1871081408970003
1801080809810004
1871120806780011
1871080307710002
1871085304860009
1871083004610003
1871084907830006
1871086708980004
3671045212690003
1871082007740004
1871085411010002
1871081606010001
1871081004040004
1871081006780011
1871085007820004
1871084410740002
1871084702750002
1871084902010004
1871082003730006
1871076101760005
1871085806880006
1871084607790002
1871081810730003
1871086008730008
1871084507950001
1871081802800003
1871082506040004
1871082506040003
1807126407890002
1871080402980002
1871094305040002
1871084201840001
1871084105720003
1871075302990007
1871085810900001
1871075607700005
1871081307780004
1871083107070002
1871080603790007
1871085805900002
1871092005880002
1871084110620003
1871085503880003
1871055306830006
1871080403830006
1871071403690006
1871075810730002
1871081012590003
1871086010990005
1871085211030003
1871080209020002
1817881703040001
1871080405070003
1871085403860008
1871080902010005
1871084304740003
1871086009970003
1871087010990003
1871080202070004
1871084608030001
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS / 16-9-2021
Jenis
Kelamin
JORDAN RICARDO L D 7/12/2000
MUTIANNA S P D 03/07/1963
NOVITA SUSANTO P D 30/11/1990
JEFRI GOMOS L D 27/11/1997
FIRDAUSYTA P D 5/7/1964
JUNAINI P D 01/07/1967
RONI / RAVI L D 14/07/1972

ANASTA JULIA P D 08/07/2001
ANITA WULANDARI P D 20/06/1996
PURWANTOSO L D 12/21/1979
SASONO L D 30/03/1979
MUHAMMAD FAHRI L D 17/11/2000
YOHANES L D 12/02/1949
ROZIAH P D 21/04/1962
M ZAINI L D 02/01/1957
RASMAD L D 6/10/1979
SUSILAWATI P D 10/15/1962
TRI UTAMI P D 28/08/1987
SUKIMAH P D 20/11/1962
BAGAS L D 08/03/2002
ZAINURI L D 03/04/1973
ANJASTARI L D 20/06/1997
MARHAWANG L D 28/04/1973
HENDRI L D 03/03/1980
AHMAD TOHIR L D 09/04/1979
ROBI L D 12/29/1995
RIDWAN OGIS L D 9/28/2002
TRIYANTO L D 8/28/1992
FAHID ABDULLAH L D 2/28/1980
DWI HARYONO L D 5/11/1976
FERRYANSYAH L D 21/02/1986
SITI ROSANAH P D 8/31/1970
IMAM THARIQ L D 3/12/1998
NGADIONO L D 7/16/1962
ERNAWATI P D 2/18/1988
AGUS SETIAWAN L D 8/14/1997
IBRAHIM L D 08/09/1981
TRIS YANTO L D 6/4/1978
LUMRI L D 7/3/1971
YUYUN SRI WAHYU P D 4/13/1986
BUDIMAN L D 4/30/1961
JUWITA P D 7/9/1983
INTAN WAHYUNI P D 8/27/1998
KHUSTINAH P D 12/12/1966
ZENI L D 7/20/1974
RENA NOFIA P D 11/14/2001
MUHAMMAD ARYA L D 6/16/2001
KAMILA ALI L D 4/10/2004
JUNI ESBIYANTO L D 6/10/1978
NING SETIANINGSIH P D 7/10/1982
ROLLY SINURAT P D 10/4/1974
ROHAYATI P D 2/7/1975
NUR ANGGRAINI P D 2/9/2001
SUHERI L D 3/20/1973
YULI YANTI P D 7/7/1977
JUNITA ELFRIDA P D 6/18/1988
SYAYAROH P D 7/6/1979
HOTMAN SITUMORANG L D 10/18/1973
TINA GUSMALINDA P D 8/20/1973
ANITA SARI P D 7/5/1995
DEDI CHARLES L D 3/18/1980

DAFFA DZIKRA L D 6/25/2004
DZAKY DZIKRA L D 6/25/2004
RISKA YULIANA P D 7/24/1989
ANDRI SITUMORANG L D 2/4/1998
SELLYHA MAULINA P D 5/3/2004
HENI NURHAENI P D 1/2/1984
TUTI YULIANTI P D 5/1/1972
SELLA DWI ARIN P D 2/13/1999
JUH'ROTUNISA P D 10/18/1990
SITI SOLEHAH P D 7/16/1970
JUNAEDY L D 13/07/1978
MOCHAMMAD AKMAL L D 31/07/2007
BAHRI L D 06/03/1979
JUMANAH P D 18/05/1990
JOHAN SUTRISNA L D 20/05/1988
SUKARNI P D 01/10/1962
MIRNA P D 15/03/1988
NURLELA P D 13/02/1983
SAIPUL RIZAL L D 04/03/1983
SOFYAN L D 14/03/1969
RAHAYU P D 18/10/1973
SUKARTA L D 10/12/1959
LOVANNIE ZULKARNAIN P D 20/10/1999
AISYAH RAMADHANI P D 11/12/2003
MUHAMMAD ZULIAN L D 9/2/2002
SATRIA KURNIAWAN L D 17/03/2004
AKMAL ZUHDI L D 5/4/2007
IMAS RATNA P D 14/03/1986
M AIDIL AKBAR L D 09/02/2001
HAMSANI L D 03/04/1974
IIS RATIH P D 20/09/1997
AINI RAHMA P D 30/10/1999
M ZIDANE ALPANI L D 02/02/2007
PUTRI ADELIA P D 06/08/2003
***Merek Vaksin
A = Sinovac

38 BPJS PBI
40 BPJS Non PBI
29 Non Anggota
14
121 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
121 Total
5
126
Umur
(18 sd ≥ 60 tahun)
22 18-30 KURIPAN
59 46-59 KURIPAN
32 31-45 BAKUNG
25 18-30 KURIPAN
59 46-59 KURIPAN
55 46-59 BAKUNG
50 46-59 NOG
21 18-30 BAKUNG
26 18-30 BAKUNG
43 31-45 BAKUNG
44 31-45 BAKUNG
22 18-30 BAKUNG
74 ≥60 BAKUNG
61 ≥60 BAKUNG
66 ≥60 BAKUNG
43 31-45 BAKUNG
60 ≥60 BAKUNG
35 31-45 BAKUNG
60 ≥60 BAKUNG
21 18-30 NOG
50 46-59 BAKUNG
25 18-30 NOG
50 46-59 BAKUNG
43 31-45 BAKUNG
44 31-45 BAKUNG
27 18-30 BAKUNG
20 18-30 BAKUNG
30 18-30 BAKUNG
43 31-45 BAKUNG
47 46-59 BAKUNG
37 31-45 BAKUNG
52 46-59 BAKUNG
25 18-30 BAKUNG
60 ≥60 BAKUNG
35 31-45 BAKUNG
25 18-30 BAKUNG
41 31-45 NOG
44 31-45 BAKUNG
51 46-59 BAKUNG
37 31-45 BAKUNG
62 ≥60 BAKUNG
39 31-45 BAKUNG
24 18-30 BAKUNG
56 46-59 BAKUNG
48 46-59 BAKUNG
21 18-30 BAKUNG
21 18-30 BAKUNG
19 18-30 BAKUNG
44 31-45 BAKUNG
40 31-45 BAKUNG
48 46-59 BAKUNG
48 46-59 BAKUNG
22 18-30 BAKUNG
50 46-59 BAKUNG
45 31-45 BAKUNG
34 31-45 BAKUNG
43 31-45 BAKUNG
49 46-59 BAKUNG
49 46-59 KURIPAN
27 18-30 BAKUNG
43 31-45 BAKUNG
18 18-30 KURIPAN
18 18-30 KURIPAN
33 31-45 BAKUNG
25 18-30 BAKUNG
19 18-30 BAKUNG
39 31-45 BAKUNG
51 46-59 BAKUNG
24 18-30 BAKUNG
32 31-45 BAKUNG
52 46-59 BAKUNG
44 31-45 BAKUNG
15 0 BAKUNG
44 31-45 BAKUNG
33 31-45 BAKUNG
35 31-45 BAKUNG
60 ≥60 BAKUNG
35 31-45 BAKUNG
40 31-45 BAKUNG
40 31-45 BAKUNG
54 46-59 BAKUNG
49 46-59 BAKUNG
63 ≥60 BAKUNG
23 18-30 BAKUNG
19 18-30 BAKUNG
20 18-30 BAKUNG
19 18-30 BAKUNG
16 0 BAKUNG
37 31-45 BAKUNG
22 18-30 BAKUNG
49 46-59 BAKUNG
25 18-30 BAKUNG
23 18-30 BAKUNG
16 0 KURIPAN
19 18-30 BAKUNG
Pekerjaan
45 A
37 B
44 C
126 D
E
104 Total
22
0
126
No. Hp
085161165859 YA
082175275312
082177041432 YA
089602239924 YA
085380789764 YA
0895607172227 YA
085384411191 YA
083172246064 YA
085768949715 YA
081271851437
089623535083 YA
08955606418245
08127431424 YA
081379445895
082282366864 YA
0895600546688 YA
082278744911
083152739666 YA
0821758199390 YA
089508754578
085269066927 YA
089651586263
0896255323700 YA
081379257111 YA
085267662277
089517638767 YA
089691217923 YA
089670900507
088269191061 YA
089517072186 YA
082184055237
082278744911
085709011903
082175259170 YA
082181075550 YA
08972823440 YA
0895336800203 YA
088286621094
089696884204
082186558000
085379945503
085267662277 YA
085695988831
085778493141
081279037488 YA
081234846444 YA
085695988831 YA
0895616082793
08988642116
082278744911 YA
081234846444
088267017699
089508063343
085695988831
08972573765
082168387690
089514145831 YA
081366422378 YA
085273342979 YA
085768916991
082174844775 YA
0899428412 YA
08994284831 YA
0812719662950 YA
089634111884 YA
085788846616 YA
089508063343 YA
082185190917 YA
08983593074 YA
089633429859 YA
082175259170 YA
082181079550 YA
085809334336
088706579054 YA
088706579054 YA
081369993006 YA
081369699567 YA
089652820481 YA
088269178581 YA
087881458105 YA
085279734885 YA
085378197276
0895353292145
089676077769 YA
08988497364
0895614856754 YA
083193649604
089506210917 YA
085788128673 YA
081369176174 YA
089506210917 YA
089560970003 YA
08977491650 YA
083168223128
089523553640 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
7/2/2021 CORONAVAC
6/22/2021 SINOVAC
8/17/2021 CORONAVAC
8/16/2021 CORONAVAC
9/16/2021 CORONAVAC
9/16/2021 CORONAVAC

8/19/2021 SINOVAC

9/16/2021 CORONAVAC

9/16/2021 CORONAVAC


Dosis I
Tanggal Pemberian
Vaksinasi
7/2/2021 24200321 16213951033964
6/22/2021 24002921 16178567193133
9/16/2021 202108156I
6/22/2021 24002921 16178567193133
8/17/2021 24004221
9/16/2021 202108156I
8/16/2021 24004621
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
8/19/2021 24004221
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 24201321
9/16/2021 24004921
9/16/2021 24004921
8/19/2021 24004221
9/16/2021 202108156I
8/18/2021 24004221
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
8/19/2021 24004921 16255398485528
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 24000721
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 24006221
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
Dosis 2
Tanggal Pemberian
Vaksinasi
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-000O8DHC
2 Q-000O7S1A
3 S-4C1D334A
4 P-7L8FPWDD
5 P-EAPFR7N1
6 P-7HNWLE6N
7 P-EQ8E9J3T
8 P-85Q1GMDB
9 P-9CUZZJXQ
10 P-A74QSGCK
11 P-ATUD2BY9
12 P-GH7LM0UV
13 P-HWYNPK8R
14 P-IXADCNVY
15 P-JC9JR4XX
16 NIK TIDAK DITEMUKAN
17 P-K5X6AUPT
18 P-KHB755DP
19 P-KMU36GMW
28 P-KVFKELP6
21 P-LAH9V2UC
22 P-LK5TMBEX
23 P-MLSAAYL9
24 P-MXDRS7OR
25 P-N4ISPT6P
26 P-64LIHTBV
27 P-NCCVCNTS
28 P-6CQPPMU9
29 P-FTEMBM22
30 S-3F27EADE
31 P-6IL3M4OX
32 P-NOUBU0CC
20 Z-0009G0VO
34 P-EDDGSU42
35 Q-000O7QEI
36 Z-0009FU26
37 Q-000O7LRI
38 P-NV3R5B91
39 P-OB1CIIJY
40 P-9QESPC9B
41 P-ONDCQUA1
42 P-P9OFQ5I9
43 P-CFK1FBUE
44 P-PPX5NG30
45 P-Q7YY3HJL
46 Z-0009CC8Q
22 Q-000OAK18
19 Q-000OAGYO
49 P-LQYUWECG
50 J-0000RK8S
51 P-ME7MKQBH
52 P-0MJEH7EK
53 P-OXGL9MBB
54 J-0003YT79
55 Q-000O7R41
56 Q-000O7W2F
57 P-3S2LMMRZ
58 Q-000MP2H5
59 P-4PYBG9RT
60 P-DUEAGY8H
61 S-384DAAFF
10 Q-000O82YR
63 P-CIAKRUPV
64 P-P4CT0INR
65 P-CAOPYCGJ
66 P-OISH227M
67 P-O6IORYH5
68 P-NOHTR68H
69 P-N3KBBP0Q
70 S-ECFD4229
71 P-N58TGKMK
72 P-O79TZHKC
73 P-GMVLJRHP
74 P-6V1HFBB1
75 P-A3EKQOQ9
76 S-3598198C
77 P-Q03HJJQP
78 P-QG2QVLYC
12 K-0000MGJK
80 S-53489FA0
81 P-RR20PVHK
82 P-GGQ0IGE7
83 P-91CW50JY
84 P-T8BJVR75
85 P-T80INJ7M
86 P-T7OOP49V
F20 87 P-T7H01HYN
88 Q-000O8IKP
89 P-T9FH7GUJ
90 P-T97BZP0R
91 P-T8VEXY65
92 P-T9PN0IGF
93 P-T8UFQJ7O
94 P-TA6NGOJU
95 P-T6UME3UB
96 P-SZWOHI6C
97 P-TAFC618K
98 P-SNJ0XE2
99 P-S5D7TLOB
100 P-LEZFS4FN
101 F-TAOHWCIT
102 P-T6PI8OKF
103 P-TAT5B185
104 P-T96TJEA3
105 P-EGR9IZXU
106 P-SFJKOO3I
107 P-CBSNSU4R
108 P-5SYX0QY6
109 P-CQKTVA0G
110 P-T6N2BZBW
111 P-TBAUMKGW
112 P-5NPHSVC4
113 P-TAUNM7G4
114 P-TAQ6ESZG
115 P-TAM7YRZH
116 P-9K3RLGMI
117 P-TA8Z07GU
118 P-TA3245TD
119 P-T8IOJPUC
120 Q-000O78W8
121 P-S71J6DXW
122 P-RY2S03V3
123 P-T6VL02S5
124 P-T7AX6REG
125 P-T7WC8UBN
126 P-T86VW9FT
127 P-T8QDI7U9
128 P-T8XQJDQ0
129 P-T7AGI852
130 P-DWR6OV17
131 P-QA2DK5XI
132 P-QXDDPEHR
133 P-5AM8Z9YA
134 P-RNANCATU
135 S-48787B69
136 P-R8ADV1ZG
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871084704860002
1871095905870006
1871082106590004
1871085012960004
1871080505640002
1871095111940004
1871084403020002
1871091907930001
1871094908850001
1871092211830002
1871095306870004
1871086707960004
1871095409750002
1871092712870005
1871091005760007
1871010602990003
1871095306840003
1871090606890005
1871095004030003
1871094104030007
1871095208800011
1871090606870003
1871094301830008
1871090804660002
1871094507630006
1871090102850001
1809065205890002
1871094606860006
1871090904800002
1871095212520005
1871091602970007
1871094902010001
1871082106720006
1871095908970007
1871046105860005
1871086101690003
1871082511620001
1871083112880001
1871095109000001
1871094804900004
1871094206840006
1871091006840005
1871091503890002
1871094407810001
1871094912020002
1802052209930003
3671054101070011
3671055211770003
1801081204670001
1871120212920007
1871132612750002
1871091108930001
1871096305040003
1871094805880005
1871134204920006
1871136407020003
1871090605860001
1871131806940004
1871074708880003
1871011910800005
1871091708450009
1871074301990007
1871091505760010
1871095809030002
1871091108950007
1871090506980001
1871085002000014
1802070406950006
1802071007640002
1871091108500001
1871096205780004
1871095001780003
1871095707800005
1871096708890005
1871094201960002
1871096308590001
1871076209950004
1871094808930004
1871072808980006
1871092111530002
1871092810850008
1871085005940005
1871095210700004
1871080604000004
1871097010020001
1871095101010001
1871096106970005
1871085303990007
1802151503900003
1802071206760013
1802150107950023
1802110202930002
1802042303800005
1802141406700001
1871052308940004
1871064709980002
1802112206800001
1871051811840001
1871054202670004
1871052604000006
1802151501820002
1871096307000001
1802041808620001
1801073008830001
1871090709830006
1871095407840012
1871095108030002
1871094201820004
1871090301900002
1871095004010002
1871090709030001
1871096612820005
1871090806790007
1807180901980001
1871091104020004
1871091104020005
1871034808920009
1871093007010002
1871095810970006
1871096404900002
1871094903850008
1871094807720004
1871096508020002
1871095405640003
1871092106860003
1871092305790005
1871090808780006
1871047004000001
1871096306760003
1871085005790001
1871095408900005
1871096707010001
1871090711650004
1871091210670001
1871090808750006
1871091507030002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 17-9-2021
Jenis
Kelamin
SICILIA P D 07/04/1986
RATU NAHRUL HAYAH P D 19/05/1987
SAAL LASTARI L D 21/06/1959
RIYANTI P D 10/12/1996
PARIJAN L D 5/5/1964
MAHIPAL L D 11/11/1994
WANDA NOVITA P D 04/03/2002

SAJURI L D 19/07/1993
SAWATI P D 09/08/1985
JUHRI P D 22/11/1983
HALIMAH TUSA DIAH P D 13/06/1987
RIA YULITA P D 27/07/1996
SUMIATI P D 14/09/1975
AMRI L D 27/12/2007
TAMRIN L D 5/10/1976
PERI WAHYUDI L D 06/02/1999
SANIMAH P D 13/06/1984
SOLIHIN L D 06/06/1989
NURMALA DEWI P D 10/04/2002
KOMALASARI P D 01/04/2003
HENI P D 12/08/1980
JIMI L D 06/06/1987
YULIYANA P D 1/3/1983
MADSURI L D 4/8/1966
M SADLI L D 01/02/1985
WENTI P D 06/06/1986
MEMED L D 09/04/1980
KATINI P D 12/12/1952
JOKO PRIYANTO L D 07/02/1997
SINTA FEBRIYANI P D 09/02/2001
ADI DARMA L D 21/06/1972
SRI EKA WULANDARI P D 8/19/1997
SELVIANA REVI RITA P D 1/21/1969
FAHRUL FASYA L D 25/11/1962
ANDI RIVAI L D 12/31/1988
ADELIA PUSPITA SARI P D 9/11/1997
RETNO AYU SARI P D 06/04/1990
JARIYAH P D 02/06/1984
RUSTAM L D 6/10/1984
MOH ROJALI L D 3/15/1989
MIYA ANGGRAENI P D 12/9/2002
JAYANI L D 9/22/1993
SYIFA NASHEETA ALINDRI P D 01/01/2007
MELINDA P D 12/11/1977
A ROHIM L D 2/2/1965
PRASETYO L D 12/2/1992
M EFENDY L D 12/26/1975
AMIRUDIN L D 8/11/1993
SINTIAWATI P D 5/23/2004
TIA ASTIYANI P D 5/8/1988
HANA FITRIA AZZAHRA P D 02/04/1992
SOFIA AISYAH YASMIN P D 24/07/2002
SARJA P D 5/6/1986
M RIFKI F L D 18/06/1994
NURUL ASIH P D 8/7/1988

TRI MUHAYAT L D 10/19/1980
SUMANTA L D 8/17/1945
FITRIYANI P D 03/01/1999
AGUS MASTARI L D 5/15/1976
HELDA PUSPITA P D 9/18/2003
SAEPUDIN L D 8/11/1995
JUMAN L D 6/5/1996
RANI FEBRIYANTI P D 2/10/2000
PUJIANTO L D 6/4/1995
SUBAKRI L D 7/10/1964
HERMAN MALANO L D 8/11/1950
NURHASANAH P D 5/22/1978
SITI PATONAH P D 1/10/1978
MURNI P D 7/17/1980
JAYANTI P D 8/27/1989
SITI AISYAH AYU P D 1/2/1996
SITI AMINAH P D 8/23/1959
IRMA DAMAYANTI P D 12/22/1995

SUNAYAH P D 8/8/1993
DENNI SETIAWAN L D 28/08/1998
SURAJI L D 11/21/1953
SYARIPUDIN L D 10/28/1985
SUPRIYATI P D 5/10/1994
SEPIYATUN P D 10/12/1970
JUWANDA L D 2/17/2000
USWATUN HASANAH P D 10/30/2002
DEWI SAPITRI L D 1/11/2001
NOVITA PURNAMASARI P D 6/21/1997
TRIANTONO L D 3/15/1990
SAPARUDIN L D 6/12/1976
FIRGIAWAN ISTANTO L D 10/20/1995
KUSNOTO L D 2/2/1993
MARTONO L D 23/03/1980
DUDUNG HERAWAN L D 14/06/1970
KIMASNAKAYA L D 23/08/1994
ALMIRA RAHMA P D 07/09/1998
YUSRIN HARIANJA L D 22/06/1980
PINKAN VARERO P D 18/11/1984
HERIDAYATI P D 02/02/1967
M ARIEF ALFREDO L D 26/04/2000
SANTUSO L D 15/01/1982
ULVA DWIYANTI P D 11/9/2001
TASLIM L D 18/08/1962
KAHERAN SYAH L D 30/03/1983
HERNA P D 07/09/1983
MAISAH P D 14/07/1984
AMELIA PUTRI P D 11/08/2003
SUWARTI P D 1/2/1982
RUDIYANSAH L D 1/3/1990
FITRI HANDAYANI P D 20/04/2003
RAHMAT FIKRI L D 9/7/2003
SAROFAH P D 26/12/1982
SELAMET GIARTO L D 08/06/1979
CALVARIDHO RAMADITYA L D 09/01/1998
BAGUS ANDRIYANSAH L D 11/04/2004
BAGAS FEBRIYANSYAH L D 11/04/2004
AHMAD RIZIEQ L D 30/07/2001
OKTI WULANDARI P D 18/10/1997
RIAN FITRI ANDINI P D 24/04/1990
SOPIAH P D 3/9/1985
NUR HIDAYATI P D 08/07/1972
ALDA AGISTA P D 25/08/2002
NURSILAH P D 14/05/1964
MAHENDRA L D 21/06/1986
USWADI ABDILLAH L D 23/05/1979
SOHRI L D 08/08/1978
META KENCANA P D 30/04/2000
EMAH P D 23/06/1976
TURSIMAH P D 10/05/1978
NENG SUSI P D 14/08/1990
SONIA MAUDIANA P D 17/06/2001
SURATMAN L D 07/11/2005
JAENUDIN L D 08/08/1975
USTUM AL-ARIF L D 15/07/2003
***Merek Vaksin
A = Sinovac

54 BPJS PBI
51 BPJS Non PBI
20 Non Anggota
8
133 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
136 Total
0
136
Umur
(18 sd ≥ 60 tahun)
36 31-45 KUPANG KOTA
63 ≥60 BAKUNG
26 18-30 BATU PUTUK
59 46-59 BAKUNG
28 18-30 BATU PUTUK
21 18-30 PERWATA
29 18-30 BATU PUTUK
37 31-45 BATU PUTUK
39 31-45 BATU PUTUK
35 31-45 BATU PUTUK
26 18-30 BAKUNG
47 46-59 BATU PUTUK
15 0 BATU PUTUK
47 46-59 BATU PUTUK
24 18-30 BATU PUTUK
38 31-45 BATU PUTUK
33 31-45 BATU PUTUK
21 18-30 BATU PUTUK
20 18-30 BATU PUTUK
42 31-45 BATU PUTUK
35 31-45 BATU PUTUK
40 31-45 BATU PUTUK
57 46-59 BATU PUTUK

59 46-59 BATU PUTUK
38 31-45 BATU PUTUK
38 31-45 BATU PUTUK
36 31-45 BATU PUTUK
43 31-45 BATU PUTUK
70 ≥60 BATU PUTUK
26 18-30 BATU PUTUK
22 18-30 BATU PUTUK
50 46-59 BAKUNG
25 18-30 BATU PUTUK
37 31-45 BAKUNG
54 46-59 BAKUNG
60 ≥60 BAKUNG
34 31-45 BATU PUTUK
25 18-30 BATU PUTUK
33 31-45 BATU PUTUK
38 31-45 BATU PUTUK

38 31-45 BATU PUTUK
34 31-45 BATU PUTUK
41 31-45 BATU PUTUK
20 18-30 BATU PUTUK
29 18-30 TRIMURJO
16 0 NOG
45 31-45 NOG
58 46-59 KUMPUL REJO
30 18-30 DUSUN KRAJAN
47 46-59 DSN WONO SARI
29 18-30 BATU PUTUK
19 18-30 BATU PUTUK
35 31-45 BATU PUTUK
31 31-45 KEMILING
20 18-30 KEMILING
37 31-45 BATU PUTUK
28 18-30 KEMILING
34 31-45 BATU PUTUK

42 31-45 BATU PUTUK
77 ≥60 BATU PUTUK
24 18-30 TALANG
47 46-59 BATU PUTUK
19 18-30 BATU PUTUK
27 18-30 BATU PUTUK
26 18-30 BATU PUTUK
23 18-30 BATU PUTUK
27 18-30 TERBANGGI BESAR
72 ≥60 KUPANG TEBA
45 31-45 BATU PUTUK
45 31-45 BATU PUTUK
42 31-45 BATU PUTUK
33 31-45 BATU PUTUK
27 18-30 BATU PUTUK
63 ≥60 BATU PUTUK
27 18-30 BATU PUTUK

29 18-30 BATU PUTUK
24 18-30 TALANG
69 ≥60 BATU PUTUK
37 31-45 BATU PUTUK
29 18-30 KETEGUHAN
52 46-59 BATU PUTUK
23 18-30 BATU PUTUK
20 18-30 BATU PUTUK
22 18-30 BATU PUTUK
25 18-30 BATU PUTUK
24 18-30 KURIPAN
33 31-45 BEKRI
27 18-30 BEKRI
30 18-30 LAMTENG
43 31-45 LAMTENG
52 46-59 BUMI RATU
28 18-30 KEDAMAIAN
24 18-30 TKP
42 31-45 LAMTENG
38 31-45 TJ RAYA
56 46-59 KEDAMAIAN
23 18-30 KEDAMAIAN
41 31-45 LAMTENG
21 18-30 BATU PUTUK
60 ≥60 GN SUGIH
40 31-45 LAMTENG
39 31-45 BATU PUTUK
38 31-45 BATU PUTUK
19 18-30 BATU PUTUK
41 31-45 BATU PUTUK
33 31-45 BATU PUTUK
20 18-30 BATU PUTUK
19 18-30 BATU PUTUK
40 31-45 BATU PUTUK

43 31-45 BATU PUTUK
25 18-30 BATU PUTUK
19 18-30 BATU PUTUK
19 18-30 BATU PUTUK
30 18-30 BATU PUTUK
21 18-30 BATU PUTUK
25 18-30 BAKUNG
33 31-45 SUMUR BATU
38 31-45 BATU PUTUK
50 46-59 BATU PUTUK
20 18-30 BATU PUTUK
59 46-59 BATU PUTUK
36 31-45 BATU PUTUK
44 31-45 BATU PUTUK
44 31-45 BATU PUTUK
23 18-30 BATU PUTUK
46 46-59 BATU PUTUK

45 31-45 BATU PUTUK
32 31-45 BATU PUTUK
21 18-30 BATU PUTUK
17 0 BATU PUTUK
55 46-59 BATU PUTUK
47 46-59 BATU PUTUK
19 18-30 BATU PUTUK
Pekerjaan
51 A
34 B
51 C
136 D
E
120 Total
16
0
136
No. Hp
083153917627 YA
0895371712987 YA
083100432040 YA
082123860631
082123860631 YA
089666594409 YA
089631945809 YA
089682511851 YA
083809446316 YA
0895606013728 YA
081282453569 YA
0895345197822 YA
089697477779 YA
081282453569 YA
089697477779
081540805121 YA
085788810847 YA
082280206424 YA
089522038094
081274840625 YA
081369784372 YA
081272358939 YA
085658372769 YA
081222234236
085658372769 YA
089629027414 YA
085372714268
089629027414 YA
0815322035588
082375808950 YA
088287673079 YA
0895324284528
081279601944
082375808950 YA
082360012220 YA
082184218680 YA
082179038889 YA
085267446413 YA
095267446413 YA
085279734322
085789486041 YA
085789486041 YA
089625206756
085600321699 YA
085602318526 YA
082269264170
08994286385 YA
083168851177 YA
081369369667 YA
085318073368 YA
085381141279 YA
0895416455525 YA
085789681597
089629192462 YA
082176164296 YA
081373817785 YA
082167023535
082281282287 YA
08
082375713011
08975003535
085363263321
081279804344 YA
083847707347 YA
081373792793 YA
081373937812
081540063526
085279907122
085269514490 YA
082184696616
081541076146 YA
081279804344 YA
081315530405 YA
089521133126
081271398311 YA
081271398311
0895417640304 YA
089678602566
088287346922 YA
089521131126
082320946242 YA
089652772081
085267431638 YA
089515779913
085769199746
085783736264 YA
085769001997
085766619616 YA
085379859750
085267475365
082818045981 YA
085211826736 YA
082375712649
081293154617 YA
081379006683 YA
081379006683 YA
082179493730 YA
081379006683 YA
081379006683 YA
081379006683 YA
082374667110
085788724764
085290475287 YA
085268155840 YA
082278744911 YA
08
0895609812203
0895367301366 YA
082278744911 YA
0895372242610
089633189385 YA
08992730421 YA
082372334783 YA
08127365500
083140751870 YA
0895412106343 YA
081367604220
083832119360 YA
0895371952897 YA
082181060460 YA
085709697721 YA
082111152786
085841832735
085664733621 YA
082176914449
082372692590
08975003535
0895379513883
085840315582 YA
08994284809 YA
085768733442
089636308039
085267431638
082111152786
08578886488
085769717863
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
8/20/2021 CORONAVAC
8/20/2021 CORONAVAC


8/20/2021 CORONAVAC
8/20/2021 CORONAVAC
8/20/2021 CORONAVAC

8/20/2021 SINOVAC
8/20/2021 SINOVAC
8/20/2021 CORONAVAC
8/20/2021 CORONAVAC
7/6/2017 CORONAVAC


8/20/2021 CORONAVAC
8/20/2021 SINOVAC


8/20/2021 SINOVAC


Dosis I
Tanggal Pemberian
Vaksinasi
8/20/2021 24004921 16255398697376
8/20/2021 24004921 16255398697376
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
8/20/2021 24005221 16263934038352
9/17/2021 202108156I
8/20/2021 24004921 16255398697376
8/20/2021 24004921 16255398697376
8/20/2021 24004921 16255398697376
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
8/18/2021 24005221
8/20/2021 24005221 16263934038352
8/20/2021 24005221 16263934038352
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
8/20/2021 24004921 16255398697376
8/20/2021 24004921 16255398697376
9/17/2021 202108156I
8/13/2021 24004921 16255464305205
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
8/20/2021 24004921 16255398697376
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
8/20/2021 24005221 16263934038352
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
8/20/2021 24004921 16255398697376
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
8/20/2021 24004921 16255398697376
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
.
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
305 P-SYQER35Z

D = Lainnya
E = Tidak Bekerja
NIK
1871083006080003

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA / 21-9-2021
Jenis
Kelamin
RIVALDI L D 30/06/2008
A = Sinovac

60 BPJS PBI
37 BPJS Non PBI
31 Non Anggota
4
132 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
484 Total
0
484
FORMAT PENCATATAN PELAKSANA
TINGKAT PUSKESMAS/FASYAN
Umur
(18 sd ≥ 60 tahun)
14 0 SISWA/ I SMP NURUL FALAH
Pekerjaan
147 A
199 B
138 C
484 D
E
358 Total
126
0
484
Kepesertaan BPJS (tulis 'Ya' pada kolom yang sesua
No. Hp
083190099403 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota

Dosis I
Tanggal Pemberian
Vaksinasi
9/21/2021 202108170I
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
94 P-UT0AS1WE

D = Lainnya
E = Tidak Bekerja
NIK
1871095201090001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU / 22-9-2021
Jenis
Kelamin
VIVIA PUTRI A P D 12/01/2009
A = Sinovac

2 BPJS PBI
3 BPJS Non PBI
1 Non Anggota
0
6 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
259 Total
0
259
Umur
(18 sd ≥ 60 tahun)
14 0 BATU PUTUK
Pekerjaan
91 A
105 B
63 C
259 D
E
255 Total
4
0
259
No. Hp
089631924677 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota

Dosis I
Tanggal Pemberian
Vaksinasi
9/22/2021 202108170I
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-A9DTOCAH
2 P-AHID0PCJ
3 P-AMST2JLZ
4 P-AU5FRQ8B
5 P-B1GZNZIV
6 P-B93OZPA3
7 P-BGC4F0PL
8 P-BM54QGU3
9 P-BTB6K6VT
10 P-BZQU7VAM
11 P-C9DB3Z9P
12 P-CO9OYMSN
13 P-CSLB5PH8
14 P-CYWDGNWN
15 P-D4UXZJ8F
16 P-DBFADWOM
17 P-DGLZPD6V
18 P-DN6LGYBC
19 P-DTI4SDJR
20 P-E2AUHP7A
21 P-E9Z2N28L
22 P-EHDVEB7D
23 P-ESJ3VF6Z
24 P-F0M8EEEO
25 P-FAN7XK4Q
26 P-FIDVMEFQ
27 W-2A6368C9
28 P-FXHCBD17
29 P-GGZE5L0J
30 P-GNQ2V4RY
31 P-GUSTRW6Z
32 P-H3TWRH6W
33 P-HCUM23KI
34 P-1GTYEZLD
35 P-0CNENG6P
36 P-22I6QS9A
37 P-2MRYPWDZ
38 P-34DFQ5IT
39 Y-0134M9DP
40 Y-0134KW72
41 Y-0134M9E2
42 P-HJNSGGXO
43 P-HQJY2NBO
44 P-20WGAFN8
45 P-I963XGSE
46 P-IH4A8VSE
47 P-JGEW0T1X
48 P-JN28EZT4
49 P-EJBSBX8H
50 S-62AF1004
51 S-ED3D7303
52 P-F3SUBFSC
53 P-FCHI6BO8
54 P-FRFDMT0F
55 P-FGUAR3LP
56 P-FYI6UWFE
57 P-G7JH5UFU
58 P-GI8US6A3
59 P-GO3P9PRR
60 P-GUKUQNZA
61 P-H05UFPMK
62 P-H8R7OR3C
63 P-HIM4J69I
64 P-TP8ESXM2
65 P-HXEORZLL
66 P-I4KDL3TS
67 P-ICW2Z63L
68 P-IK63ZJ3C
69 Z-00091S3L
70 S-52AC756C
71 P-J5PJZCTG
72 P-JCP3FAQ4
73 P-GJYILOXP
74 S-31CA8D0E
75 P-GUVSBNF2
76 P-T81B3ETV
77 P-JAXE0WB7
78 P-68LULKPR
79 Y-0131UZI4
80 P-LUESIIG4
81 S-050D2BA9
82 P-H47L2UYT
83 P-HU4S2T0C
84 P-I8F5CXZW
85 P-IOUNJIZT
86 P-JKTQX6DX
87 P-0RM6OHZH
88 P-P4ZDVHY8
89 P-14ZO2E5Q
90 P-392P7AQ8
91 P-3OXCN5OR
92 P-4BKWKZFV
93 P-4X53W4W7
94 P-5MP9P50D
95 S-CCD5DEA0
96 P-7B5LSQ0Z
97 P-93P85B9A
98 P-9YZEMTTS
99 S-187857D4
100 P-AXGP4FRS
101 P-S1DRGGIY
102 P-T7F7TMPR
103 P-SDXZJ33F
104 P-S9ZGQO23
105 P-T06IPQ9N
106 P-TPXRS2KC
107 NIK SUDAH TERDAFTAR
109 P-TP2Q3573
110 Z-0009I5TU
111 Q-000ORL66
112 Z-0009JVCD
113 Q-000OW8ER
114 Z-0009JVI8
DOSIS 2 115 NIK BLM BS TERDAFTAR
116 K-0000ON8R
117 Q-000OWA4S
118 Q-000OW9CK
119 Q-000OT6YS
120 Q-000OROCO
121 Q-0000RDHO
122 Q-0000Q4C1
123 Q-0000QBW5
124 Q-0000Q474
125 Q-0000QSDS
126 Q-0000QUKS
127 Q-0000QHL4
128 Q-0000QWCM
129 Z-0009IX75
130 Q-000OQLCT
131 Q-000OPXIB
132 Q-000OQ933
133 Q-000OQSL
134 Q-000OQSJZ
135 Q-0000R6ZH
136 Q-0000SFJH
137 Q-0000R8YF
138 Q-000ORE5Y
139 Q-000R5F6
140 Q-000OSR7O
141 Q-0000OQ6TY
142 Q-000ORXO6
143 Q-000ORCZT
144 Q-0000QWCP
145 Q-000OQ5DQ
146 Q-000ORB6P
147 Z-000945IH
148 Q-0000QYER
149 Q-0000SZ8F
150 Q-000LEOBC
151 Q-000OQLCJ
152 Q-000ORPAD
153 Q-0000Q6TZ
154 Q-0000PWJT
155 Q-000OQHJE
156 Q-0000Q7UY
157 Q-0000RL5O
158 Q-000Q474
159 Q-000OQ2ZL
160 Q-0000OU224
161 Q-000OS6TN
162 Q-0000T4UI
163 Q-0000RRXS
164 Q-000OQULC
165 Q-0000SI66
166 Q-0000SMMQ
167 Q-000OQD7I
168 Q-000OR8VI
169 Q-000OU4PE
170 Q-000OTQPN
171 Q-000O54RM
172 Z-0009JHNR
173 Q-0000RVU8
174 Q-000OSFJ4
175 Q-0000U447
176 Q-0000TGZN
177 Q-0000TP0A
178 Q-000OQDAC
179 Q-000OU4P7
180 Q-000OUQJB
181 Q-000OS32W
182 Q-0000RGZ5
183 Q-000ORT65
184 Q-000OSP4F
185 Q-000OR1BD
186 Q-0000KIBD
187 Q-000OP45
188 Q-0000RL66
189 Q-000OQ5DU
190 Q-00OSI69
191 Z-00095EH0
192 Q-000OQWCP
193 Q-000ORHD9
194 Z-0009JBMM
195 Q-000O7H2A
196 Q-000OU73Q
197 Q-000O714C
198 Q-000OQLC8
199 Q-000OU73R
200 Y-0135ABZQ
201 Q-000JT7PV
202 NIK BLM BS TERDAFTAR
203 P-A9DTOCAH
204 P-A9DTOCAH

D = Lainnya
E = Tidak Bekerja
NIK
1871085305840002
1871085203640004
1871084502840001
1871086506900001
1871072002920004
1871081212770003
1871084808870014
1871084412870005
1601135702960001
1871081708980013
1871086805740004
1871080302940001
1871084109880003
1871085203680010
1871094412970002
1871085207670003
1871080101690011
1871085006770007
1871082011690001
1871085508670003
1871080802610001
1406032301040001
1871084501910002
1871087003710003
1871106806910002
1871127110770002
1871085311960003
1871086604780005
1871067105880008
1871084907610001
1871086408780002
1871086812620001
1871085611960002
1871086408790002
1871083107720001
1871085402810002
1871084902990004
3311125301010002
1608131006030003
1871080704650008
1608134507750002
1871085111780007
1871085502930001
1871084306670001
1871081504920002
1871083001970009
1871084201730005
1871082106020006
1871085305850004
1871083112500002
1871086401660001
1871081010680006
1871080301830008
1871084506870005
1871091407700006
1871080102740007
1871086403650001
1871080911980003
1871086003790006
1871086601020001
1871084605850010
1871085008850005
1871084510700007
1871084502700007
1871080606880002
1871074907880007
1871084809610001
1871085802930004
1871080908540001
1871084806600001
1871084206720003
1871071402960005
1871081704790002
1871082808980005
1871089802040003
1871191704070001
3510132409940001
1871084505730014
3173024108760006
1801130306830009
3209031606870001
1871076305850007
1871084907710004
1871064701840017
1871080601760001
1871084703940003
1871082712960002
1871081901830001
1871085603760001
1871080501990005
1871044706670003
1871086910750002
'1871081010770006
1871081912940007
1871062301880003
1802131003670001
1871086004840008
1871082310730003
1871081205570010
1871095410800003
1871052007930007
1871051812810005
1871081509650002
1871086308730001
1871086811010002
1871014312750007
3174070210820002
3174075902620001
1871082803000003
3174075603830007
1871025706940006
1871070704690003
3271025208700003
1871075603580003
1871071711800012
1871072412960005
1871081505990002
1871072002000005
1871136307630002
1871091706010003
3175072401000007
1871081711920003
1871086408990002
1871076404940009
1871080506860006
1871012106010007
1871074801810004
1871024607020006
1871086103660002
1871086811940001
1871074106930001
1871085201890007
1871010303750005
1871016711760003
1871070803880010
1871084708790004
1871082710860003
1871041111940004
1871095209910004
1871070201000003
1871086001900008
1871085212900004
1871076606900007
1871080309820003
1871086103930006
1871090609870006
3172015903990002
1871076201870006
1871081903920007
187108421200008
1871084709070004
1871111408950002
1871081010680004
1871081002700007
1871082510620001
1871081011780003
1871114611940004
1871084109880004
1871082511000001
1871081808690005
1871081611620002
1871080810680006
1871046902000003
1871085401700002
1871082909660001
1871081506990003
1871086410770001
1871070310970004
1871094808000008
1871080706790009
1871080510030001
1871094111870004
1871081206780001
1871081908980004
1871085406750002
1871081908620007
1871095010830010
1871084510820004
1871090601480001
187101910030001
1871080101610009
"920107166020001
1871080101800017
1871080903820006
1871156007070001
1871080406610001
1871081804740002
1871025706940006
1871084508790004
1871086904000003
1871075609480001
1871080309820003
1809027001980004
1871131102630003
1871085708660002
1871131205980004
1871086603990004
1871131911030001
1871030708970001
1803106301670002
1871131506660006
1871076404940009
1871085305840002
1871120509660002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN / 20-9-2021
Jenis
Kelamin
RINI P D 13/05/1984
HATIYAH P D 12/03/1964
SUHENI P D 05/02/1984
EMILYA SARI P D 26/06/1991
ARI DWI PRASETYO L D 2/20/1992
SUSENO L D 12/12/1977
MASTUNAH P D 08/08/1987
DESIYANA P D 04/12/1987
ALIZA MUTIAH P D 17/02/1996
SAPUTRA L D 17/08/1998
RISMAYANTI P D 28/05/1974
SUTRISNA WIJAYA L D 03/02/1994
SELVI ARYANI P D 01/09/1988
MARYATI P D 12/03/1968
ADELIA DESTARIYANTI P D 12/4/1997
HARTI P D 12/07/1967
UMAR L D 01/01/1968
YUNITA P D 10/06/1977
JUNAIDI L D 20/11/1969
SARMINAH P D 15/08/1967
MARSIN JULIANTO L D 08/02/1961
RIZKI SYAHIDIL P L D 23/01/2004
JUWITA P D 1/5/1991
ROSMIYATI P D 3/30/1971
RIA ZUNAINI P D 28/06/1991
RIA FALENTINA P D 31/10/1977
SELLY LESTARI P D 13/11/1996
FATMAWATI P D 26/04/1978
WENI HINDRAYANI P D 31/05/1988
HAYANUN P D 09/07/1961
NURASRI P D 24/08/1978
NILA P D 28/12/1962
NOVITA SARI P D 16/11/1996
GUS FITRIANY P D 8/24/1979
SETIADI BAGUS L D 7/31/1972
SRI MULYANI P D 2/14/1981
ANNISA ZULFIANA P D 09/02/1999
JANU TRI B L D 1/13/2001
JUNIARDHO PRADANA L D 6/10/2003
SUHERMAN L D 07/04/1965
DAHLIA P D 11/11/1978
ROSNAINI P D 2/15/1993
FAJARINI MEGAWATI P D 6/3/1967
RIZKI L D 4/15/1992
AWALUDDIN NUR L D 1/30/1997
ETI MARLINA P D 02/01/1973
RIZKI SAPUTRA L D 21/06/2002
DAMA YANTI P D 5/13/1985
MARWAN L D 12/31/1950
ANNA SAFITRI P D 1/24/1966
SYAMSUL BAHRI L D 10/10/1968
RYAN BAYJURI L D 1/3/1983
INTAN P D 6/5/1987
SYAMSUDIN L D 14/07/1970
MUHAMMAD YUSUF L D 01/02/1974
ZUBAIDAH P D 3/24/1965
AZIZUL BAHRI L D 09/11/1998
SANTI PUSPITA P D 3/20/1979

RISMA PARAS WATI P D 1/26/2002
SITI HALIMAH P D 5/6/1986
RINA WATI P D 10/08/1985
ASIH KURNIASIH P D 10/5/1970
SITI KHOERON P D 2/5/1970
GUSTOMI L D 6/6/1988
SANTI LESTARI P D 7/9/1988
ICUT SUTRIAH P D 8/8/1961
LENI PEROSA P D 2/18/1993
SURYADI L D 8/9/1954
ASMAINI P D 6/8/1960
WARTINAH P D 6/2/1972
MAULANA HAIDIR L D 2/14/1996
EKO TRIADI L D 4/17/1979
ANANG AGUS S L D 8/28/1998
AYU SEKAR WANGI P D 2/28/2004
GREGORY STEVANUS L D 4/17/2007
ACHMAD YUSUF L D 9/24/1994

TATU SAMAWAR P D 5/5/1973
ANIETA TAN P D 8/1/1976
JUNAWAR L D 03/06/1983
ABDUL BASYIR L D 6/16/1987
LISNAWATI P D 5/23/1985
SRI JUHAIFI P D 7/9/1971
SISCA SILFIYA P D 1/7/1984
HERUDIN L D 06/01/1976
REAMONA DEWANTI P D 3/7/1994
YURNI P D 9/27/1996
HENDRAWAN L D 1/19/1983
RISTIYANTI P D 3/16/1976
RAMA RAMADHAN L D 1/5/1999
HERNAWATI P D 6/7/1967
SANUSI L D 10/10/1977
RENDI CASSANOVA L D 12/19/1994
RICO L D 1/23/1988
AGUS SUTRISNO L D 3/10/1967
PRIHATIN P D 20/04/1984
SUDARTO L D 23/10/1973
AMIRUDIN IBRAHIM L D 12/05/1957
LIA OKTAVIA P D 14/10/1980
JASON S L D 7/20/1993
M. SULTHON L D 12/18/1981
H ISHAR L D 9/15/1965
HJ MARLINA P D 8/23/1973
SHAFIRA RAMADHANI P D 11/28/2001
SRIWIYANA P D 12/3/1975
ROMMY DHARMA L D 10/2/1982
ARTALYTA SURYANI P D 2/19/1962
IPAN SAPUTRA L D 3/28/2000
LANNY MARISKA P D 3/16/1983
RIKI SON L D 07/04/1970
SANTI SUSANTI P D 12/08/1970

NG JIE JUNG L D 16/03/1958
ARIE L D 17/11/1980
DANIL SAPUTRA L D 24/12/1996
THEO DHARMAWANGSA L D 15/05/1999
ROY SANTOSO SHU L D 20/02/1998
YULIA FARIDA P D 23/07/1963
EKI DARMAWAN L D 17/06/2001
FAISAL GUCI L D 24/01/2000
EKKI NOTO L D 17/11/1992
ESTIYANA P D 24/08/1997
DELIYANA P D 24/04/1994
JOSHPIN SIHOTANG L D 05/06/1986
MUHAMMMAD ALGHIFARI L D 21/06/2001
SURATMI P D 08/01/1981
MACHIKO MARITZA P D 06/07/2002
IDA MARYATI P D 21/03/1966
FANNY ANGGRAINI P D 28/11/1994

REFLI RESTIKA P D 01/06/1993
ROHANAH P D 12/01/1989
SRI WIDODO L D 03/03/1975
MISLAENI P D 27/11/1976
KISWANTO L D 08/03/1988
HERMAWATI P D 07/08/1979
HARIS SETIADI L D 27/10/1986
MUHAMMAD RACHMANSYAH L D 11/11/1994
SITI FATIMAH P D 12/09/1991
ADITIA RAMADHAN L D 02/01/2000
IRZA DEWI SARTIKA P D 20/01/1990
NINA AMALIA P D 12/12/1990
ASTIKA P D 26/06/1990
AMRI ALIAN L D 03/09/1982
RISKY AMELIA P D 21/03/1993
SEPTIADI L D 06/09/1987
SANNY WITOYO P D 19/03/1999

EKA SUSANTI P D 22/01/1987
S. ANGGORO PUTRA L D 19/03/1992
SUCI RAMADANI P D 02/12/2000
DAVENEY MADLINE P D 07/09/2007
DANI AGUSTA L D 14/08/1995
ISPAN SIONER L D 10/10/1968
HASAN BASRI L D 10/02/1970
MUHAMMAD SAID L D 25/10/1962
AWAL JAHYUDI L D 10/11/1978
NOVIA ANGGRAENI P D 06/11/1994
MARHENI ESTIA P D 01/09/1988
NOVALDI WIBOWO L D 15/11/2000
SULAIMAN L D 18/08/1969
ZULKARNAIN L D 08/10/1968
ROSI PEBRIANY P D 29/02/2000
ROPI HERMAWAN L D 29/09/1966
M. ANDREANSYAH L D 15/07/1999
ASIAH P D 24/10/1977
TAMIM UMAR L D 03/10/1997
JUNENI P D 08/08/2000
SAMUDI L D 07/06/1979
ABEDNEGO STEFANUS L D 05/10/2003
PUJI ASTUTI P D 01/11/1987
ALFATAH KURNIAWAN L D 12/06/1978
ADE EPAFRAS L D 19/08/1998
NILA WATI P D 14/06/1975
MULKIADINATA L D 19/08/1962
MUJI RAHAYU P D 10/10/1983
RUNTAH P D 05/10/1982
M. MASIR L D 06/01/1998
FAUZI Z L D 09/10/2003
SUHAIMI L D 01/01/1961
ILHAM ARIF L D 16/06/2002
SURYONO L D 01/01/1980
UJANG KODIR L D 09/03/1982
HILDA HAI P D 16/07/2007
HERMAN SOHIB L D 04/06/1961
MUHIT L D 18/04/1974
SARINI P D 05/08/1979
ANISA APRIYANI P D 29/04/2000
BUN OI TJHAI P D 16/09/1948
AMRI ALIAN L D 03/09/1982
LAILATUL FITRI P D 30/01/1998
ACHMAD FAUZI L B 11/02/1963
SRI MURTI P D 8/17/1966
FADHIL AMMAR L D 12/05/1998
DINDA PRATIWI P D 3/26/1999
FAKHRI KAESAR L D 19/11/2003

MOCHAMMAD ADITYA L D 07/08/1997
MULIASURI P D 23/01/1967
WAYAN SUDIKSA L E 15/06/1966
DELIYANA P D 24/04/1994
RINI P D 24/04/1994
ACENG L D 05/09/1966
A = Sinovac

64 BPJS PBI
66 BPJS Non PBI
50 Non Anggota
17
197 Total
0 Dosis 1
1 Dosis 2
0 Dosis 3
199 Total
1
201
Umur
(18 sd ≥ 60 tahun)
39 31-45 KURIPAN
59 46-59 KURIPAN
39 31-45 KURIPAN
31 31-45 KURIPAN
31 31-45 KURIPAN
45 31-45 KURIPAN
35 31-45 KURIPAN
35 31-45 KURIPAN
27 18-30 KURIPAN
24 18-30 KURIPAN
49 46-59 KURIPAN
29 18-30 KURIPAN
34 31-45 KURIPAN
55 46-59 KURIPAN
25 18-30 KURIPAN
55 46-59 KURIPAN
55 46-59 KURIPAN
45 31-45 KURIPAN
53 46-59 KURIPAN
55 46-59 KURIPAN
62 ≥60 KURIPAN
19 18-30 KURIPAN
32 31-45 KURIPAN
52 46-59 KURIPAN
31 31-45 KURIPAN
45 31-45 KURIPAN
26 18-30 KURIPAN
45 31-45 KURIPAN
34 31-45 KURIPAN
61 ≥60 KURIPAN
44 31-45 KURIPAN
60 ≥60 KURIPAN
26 18-30 KURIPAN
43 31-45 KURIPAN
50 46-59 KURIPAN
42 31-45 KURIPAN
24 18-30 KURIPAN
22 18-30 KURIPAN
19 18-30 KURIPAN
58 46-59 KURIPAN
47 46-59 KURIPAN
44 31-45 KURIPAN
30 18-30 KURIPAN
55 46-59 KURIPAN
31 31-45 KURIPAN
26 18-30 KURIPAN
50 46-59 KURIPAN
20 18-30 KURIPAN
38 31-45 KURIPAN
72 ≥60 KURIPAN
57 46-59 KURIPAN
54 46-59 KURIPAN
40 31-45 KURIPAN
35 31-45 KURIPAN
52 46-59 KURIPAN
49 46-59 KURIPAN
58 46-59 KURIPAN
24 18-30 KURIPAN
44 31-45 KURIPAN
21 18-30 KURIPAN
37 31-45 KURIPAN
37 31-45 KURIPAN
52 46-59 KURIPAN
53 46-59 KURIPAN
34 31-45 KURIPAN
34 31-45 KURIPAN
61 ≥60 KURIPAN
30 18-30 KURIPAN
68 ≥60 KURIPAN
62 ≥60 KURIPAN
50 46-59 KURIPAN
27 18-30 KURIPAN
44 31-45 KURIPAN
24 18-30 KURIPAN
19 18-30 KURIPAN
16 0 KUPANG TEBA
28 18-30 KURIPAN
50 46-59 KURIPAN
46 46-59 GROGOL
39 31-45 KARANG SARI
35 31-45 BAKUNG
38 31-45 KURIPAN
51 46-59 KURIPAN
39 31-45 KURIPAN
47 46-59 KURIPAN
29 18-30 KURIPAN
26 18-30 KURIPAN
40 31-45 KURIPAN
47 46-59 KURIPAN
24 18-30 KURIPAN
55 46-59 KURIPAN
47 46-59 KURIPAN
45 31-45 KURIPAN
28 18-30 KURIPAN
35 31-45 KURIPAN
56 46-59 LAMTENG
39 31-45 KURIPAN
49 46-59 KURIPAN
66 ≥60 KURIPAN
42 31-45 KURIPAN
29 18-30 TIRTAYASA
41 31-45 BATU PUTUK
57 46-59 KURIPAN
49 46-59 KURIPAN
21 18-30 KURIPAN
47 46-59 LABUHAN RATU
40 31-45 KEBAYORAN BARU
61 ≥60 KEBAYORAN BARU
23 18-30 BAKUNG
40 31-45 KEBAYORAN BARU
28 18-30 SUKARAME
53 46-59 TBT
52 46-59 TBS
65 ≥60 TBS
42 31-45 TBS
26 18-30 TBS
24 18-30 TBS
25 18-30 TBS
59 46-59 KEMILING
21 18-30 KURIPAN
23 18-30 SUKARAME
30 18-30 BAKUNG
25 18-30 BAKUNG
29 18-30 TALANG
36 31-45 BAKUNG
21 18-30 KEDATON
42 31-45 BUMI WARAS
57 46-59 BAKUNG
28 18-30 BAKUNG
29 18-30 PANJANG
34 31-45 KOTA KARANG
48 46-59 KEDATON
46 46-59 KEDATON
35 31-45 KURIPAN
43 31-45 BAKUNG
36 31-45 KURIPAN
28 18-30 PANJANG
23 18-30 NOG
33 31-45 BAKUNG
32 31-45 KURIPAN
32 31-45 TBS
40 31-45 KURIPAN
30 18-30 BAKUNG
35 31-45 TBS
24 18-30 DUTA HARAPAN INDAH

36 31-45 KURIPAN
31 18-30 KURIPAN
22 18-30 BAKUNG
15 0 NOG
27 18-30 TBU
54 46-59 BAKUNG
53 46-59 BAKUNG
60 ≥60 BAKUNG
28 18-30 TJ SENANG
34 31-45 BAKUNG
22 18-30 BAKUNG
53 46-59 BAKUNG
60 ≥60 KURIPAN
54 46-59 KURIPAN
23 18-30 PANJANG
53 46-59 KURIPAN
56 46-59 SUKARAME 2
23 18-30 SUKARAME 2
45 31-45 BAKUNG
25 18-30 TBS
22 18-30 BATU PUTUK
43 31-45 NOG
19 #REF! SUKARAME II
35 31-45 BATU PUTUK
44 31-45 KURIPAN
24 18-30 SUKARAME 2
47 46-59 BAKUNG
60 ≥60 BAKUNG
39 31-45 BATU PUTUK
25 18-30 BATU PUTUK
19 18-30 TANJUNG SENANG
62 ≥60 KURIPAN
20 18-30 KUMIS KUCING
43 31-45 NOG
41 31-45 SUKARAME 2
15 0 NOG
61 ≥60 BAKUNG
49 46-59 SUKARAME 2
28 18-30 SUKARAME
43 31-45 BAKUNG
23 18-30 SUKARAME 2
74 ≥60 BUMI WARAS
40 31-45 KURIPAN
25 18-30 KUPANG
60 ≥60 KEMILING
56 46-59 PERWATA
25 18-30 KEMILING
24 18-30 PERWATA
19 18-30 KEMILING
25 18-30 LANGKAPURA
56 46-59 KETEGUHAN
56 46-59 KEMILING
29 18-30 TALANG
29 18-30 KURIPAN
56 46-59 SUKABUMI
Bakung#100
Pekerjaan
65 A
87 B
49 C
201 D
E
111 Total
93
0
204
No. Hp
088268139011 YA
085377066360 YA
081278101763 YA
08994268689
081368666649 YA
0895610071686 YA
082175406527 YA
089523117534 YA
085377066360 YA
0895611114374 YA
08176466029 YA
08176466029 YA
089669533003 YA
089630066377 YA
089619712056
085893216187 YA
082178290318 YA
085380804949 YA
081379797575
083818778113 YA
0838188778113 YA
085219107288 YA
0895421158877 YA
089508631383
08972576919 YA
083157246182 YA
088274331951
088274331951 YA
082182594136
08127111408 YA
081281078217 YA
088276628401
088276628401
085267334333 YA
0895422412605 YA
089510161196 YA
0895411750906 YA
087895593539 YA
081368330611 YA
081368330611
081368330611 YA
08995830060 YA
083171883584
0895324223227 YA
085831646857 YA
085366098006
083177143979 YA
083177143979 YA
081339023465 YA
081339023465 YA
089630600125 YA
089630600125 YA
082177644924
083160464688 YA
089604092071 YA
085269998501 YA
08990720301
085366098009 YA
083135229532
085788092023
085788092023
089634100224
0895609926861 YA
085367100314 YA
082279292345 YA
085832285784
082186839609
082186839609
085279248760 YA
085279248760
081271114287 YA
0895605995892 YA
085358769567 YA
089692556804
0895630460003 YA
0895600775252 YA
0895422412605
082176604384
081274808251 YA
082361944078
089602495025 YA
085758830040
0895329008300 YA
085266495364
08 YA
0895605995892 YA
08985639443
083169836351 YA
082377201690
08979551126
085279439333 YA
082269206267
082869206267 YA
089526242822
082179743915 YA
085273789408 YA
081539290978 YA
081273484573 YA
082176704163 YA
085769371504 YA
082182178882 YA
081369774111 YA
081369450112 YA
081369450112 YA
082175337271
089517634638 YA
YA
081717171727 YA
088268250991 YA
YA
089633185474 YA
0822199995700 YA
087886557666 YA
081373439379 YA
081249610351 YA
082269678697 YA
082120535551 YA
0895600025521 YA
082176164296 YA
0895640083774 YA
085609190899 YA
082177076623 YA
082181079553 YA
081272729842 YA
082182801619 YA
081279230309 YA
081324076119 YA
082183906836
089563202116 YA
082249508285 YA
082178528049 YA
081272732644 YA
081368733719 YA
081368733719 YA
089674110998 YA
0823807229600
085279480329 YA
089612366672 YA
082289699187 YA
089530343827 YA
082179512774
082281016464 YA
0895609812444
089617009337 YA
089606104652
082379235444
0895602760409 YA
08991019719 YA
085769724572 YA
0895413091877 YA
082183001717 YA
082363857605 YA
082180361838 YA
085384341755 YA
085213094124 YA
083157246297 YA
08977011590 YA
082183248373 YA
089523113989 YA
082181085448
081279055581 YA
085766619616 YA
085267334820 YA
085357879996 YA
088286572003 YA
089632741177
082269507129 YA
081379767126
058840313768
089523084475 YA
085709781239 YA
085383730101 YA
082176470621 YA
081368358260 YA
082183907425 YA
082371147997
08984260896 YA
0895808365700 YA
089605202598 YA
ya
083804423446
081200741686 ya
082175985239
0857788885189
08127954350 ya
085384448711
083196305269 YA
089633185474 YA
081279168340 YA
083140955422 YA
082185001728 YA
089617009337 YA
0895622063264 YA
082176164296 YA
081249610351 YA
0895610949527 YA
081249336292 YA
089629187518 YA
08976069348
085266170987 YA
081369479600 YA
081272729842 YA
YA
088268139011
YA
085273019367
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota





9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
MODERNA
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/20/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/13/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/6/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 SINOVAC
8/24/2021 SINOVAC
8/24/2021 SINOVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/20/2021 CORONAVAC
8/23/2021 CORONAVAC
8/20/2021 CORONAVAC
8/23/2021 CORONAVAC
9/20/2021 CORONAVAC
7/28/2021 CORONAVAC
8/20/2021 CORONAVAC
8/20/2021 CORONAVAC
8/23/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
8/23/2021 24004921 16255465613561
8/23/2021 24004921
8/23/2021 24004921
8/23/2021 24004921
8/23/2021 24004921
8/23/2021 24004921
8/23/2021 24004921
8/23/2021 24004921
8/23/2021 24004921 16255465610129
8/23/2021 24004921 16255505186253
8/23/2021 24004921 16255465613561
8/23/2021 24004921 16255504975809
8/23/2021 24004921 16255504976433
8/20/2021 24005221 16263934038352
8/23/2021 24004921 16255504975809
8/23/2021 24004921 16255396074860
8/23/2021 24004921 16255396074860
8/23/2021 24004921 16255505186253
8/23/2021 24004921 16255504975809
8/23/2021 24004921 16255396074860

8/23/2021 24004921 16255504975809
8/23/2021 24004921 16255504976433
8/23/2021 24004921 16255396074860
8/23/2021 24004921 16255396074860
8/23/2021 24004921 16255505186253
8/23/2021 24004921 16255475297433
8/23/2021 24004921 16255505186253
8/23/2021 24004921 16255465613561
8/23/2021 24004921 16255505186253
8/23/2021 24004921 16255396068620
8/23/2021 24004921 16255504976433
8/23/2021 24004921 16255475284001
8/23/2021 24004921 16255465613561
8/23/2021 24004921 16255505186253
8/23/2021 24004921 16255504975809
8/23/2021 24004921 16255465613561
8/13/2021 24004421
8/23/2021 24004921 16255505186253
8/23/2021 24004921 16255465614497
8/6/2021 24004421
8/23/2021 24004921 16255396074860
8/23/2021 24004921 16255465613561
8/23/2021 24004921 16255504976433
8/23/2021 24004921 16255504975809
8/23/2021 24004921 16255504976433
8/23/2021 24004921 16255504976433
8/23/2021 24004921 16255465613561
8/23/2021 24004921 16255504975809
8/23/2021 24004921 16255504975809
8/23/2021 24004921 16255465618101
8/23/2021 24004921 16255475297433
8/23/2021 24004921 16255465614497
8/23/2021 24004921 16255465613561
8/23/2021 24004921 16255505186253

8/23/2021 24004921 16255396068620
8/23/2021 24004921 16255396068620
8/23/2021 24004921 16255504976433
8/23/2021 24004921 16255465613561
8/23/2021 24004921 16255465618101
8/23/2021 24004921 16255465626525
8/23/2021 24004921 16255475297433
8/23/2021 24004921 16255465610129
8/23/2021 24004921 16255475284001
8/23/2021 24004921 16255475297433
8/23/2021 24004921 16255465618101
8/23/2021 24004921 16255465610129
8/23/2021 24004921 16255465626525
8/23/2021 24004921 16255504976433
8/23/2021 24004921 16255465618101
8/23/2021 24004921 16255504976433
8/23/2021 24004921 16255475297433

8/24/2021 24004921 16255465617789
8/23/2021 24004921 16255475284001
8/23/2021 24004921 16255396068620
8/24/2021 24004921 16255465617789
8/23/2021 24004921 16255505186253
8/23/2021 24004921 16255396068620
8/23/2021 24004921 16255465613561
8/23/2021 24004921 16255504975809
8/23/2021 24004921 16255396068620
8/23/2021 24004921 16255465614497
8/23/2021 24004921 16255505186253
8/23/2021 24004921 16255465613561
8/23/2021 24004921 16255475297433
8/20/2021 24005221 16263934038352
8/23/2021 24004921 16255465618101
8/20/2021 24005221 16263934038352
8/23/2021 24004921 16255396074860

8/23/2021 24004921 16255465618101
9/20/2021 202108154G
7/28/2021 24004121 16240850700613
8/20/2021 24005221 16263934038352
8/20/2021 24005221 16263934038352
8/23/2021
Dosis 2
Tanggal Pemberian
Vaksinasi
9/20/2021 001F21A
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
.
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-000R8GR4
2 Q-000QI46I
3 K-0000VPIZ
4 Z-0009MV29
5 Q-000PFMO5
6 P-RR7E9DEC
7 Q-000RCH6T
8 Q-000Q1EM
9 Q-000Q31U4
10 Q-000Q14CY
11 P-Q8TIFP5J
12 Q-000RBU58
13 Q-000Q2S68
14 Q-000R64KF
15 Q-000RC5Q2
16 Q-000RBV54
17 Q-000Q31TS
18 Q-000Q14D5
19 Q-000Q145H
20 Z-0009R1NJ
21 Q-00010IVW
22 Q-000RYWW6
23 Q-000PHORX
24 Q-000Q5INX
25 Q-000Q5INW
26 Q-000R9TNL
27 Z-0009R1OH
28 Q-000QI43N
29 Z-0009Y1PQ
30 Q-000Q149J
31 Q-000Q145T
32 Q-000Q24CO
33 Q-000Q145O
34 Q-000QI4AL
35 Z-0009YKHG
36 Q-000Q2JP7
37 K-0000SEVT
38 Q-000Q14AG
39 Q-000Q33QH
40 Q-000Q14CO
41 Q-000Q149D
42 Z-0009R107
43 Q-000Q14BP
44 Q-000Q1QEJ
45 Q-00014A3
46 Q-000QI443
47 Q-000Q147T
48 Q-000Q148C
49 Q-000QI4BH
50 Q-000Q3312D
51 Q-000QI473
52 P-WWTY9JIZ
53 P-WWRCQ22Y
54 Q-000QI49Q
55 Q-000QI465
56 Q-000QI47I
57 Q-000Q1QEH
58 Q-00014B8
59 Q-000Q31UR
60 Q-000Q143T
61 Q-000Q1498
62 Q-000Q1GUJ
63 P-WYEMT4SS
64 Q-000Q14AZ
65 Q-000Q33LX
66 Q-000Q33NQ
67 K-0000SEVH
68 Q-000Q1QEP
69 Z-0009R1M1
70 Q-000Q142P
71 Q-000Q31TB
72 Z-0009R105
73 Q-000Q2QF0
74 Q-000Q14CS
75 Q-000Q1455
76 Q-000Q14CK
77 P-WZ2X46OK
78 Q-000Q1474
79 Q-000Q14CC
80 Z-0009R21R
81 P-WZBI1ALN
82 Q-000Q31VG
83 Q-000Q31UY
84 Q-000P3DQF
85 Q-000PMXN7
86 Q-000PMXVB
87 Q-000PNENS
88 Q-000P60WX
89 Z-0009R10F
90 Q-000Q2OOT
91 Q-000QI49W
92 Q-000Q1OIW
93 Q-000Q14A9
94 Q-000Q144K
95 Q-000PMY50

D = Lainnya
E = Tidak Bekerja
NIK
1809054904960003
1871084403970004
1809056211970001
1871062304900006
1871026110000009
1805085704040001
1871091005860008
1871084410650002
1871030602670003
1871083010960006
1805080910070001
1871094407840008
1871086712770001
1871090701820003
1871091206760009
1871092107820003
1871080607020001
1871087008980002
1871084404710005
1871086101020001
1871090505750005
1871092909820009
1871072304010007
1810034504980008
1806045007000004
1871094308880001
1871085410560001
1871081702030001
1871097112550003
1871075211800002
1871084603010004
1871086412800001
1871085007010001
1871080810760003
1871092505720004
1871085410910002
1871051109890005
1871086801760001
1871080706810007
1871086312790001
1871081206880002
1871080505700006
1871086509860003
1871085111770002
1871091004870005
1871086305630002
1871086003720005
1871081003790009
1871082807030001
1871031304960004
1871086403680002
1802211907760004
1801071412900003
1871081006950006
1871085409650002
1871084506870004
1871081004680008
1871082011980003
1803102005890002
1871096504000007
1871086209740003
1871042201930007
1810052109860004
1871081609720001
1871082008020007
1871082006730002
1801075104740003
1871086003020010
1871082404780007
1871081509990001
1871081010020010
1871090701600002
1871080410880009
1871081909850002
1871081803710001
1871085310730006
1871121301000001
1871084102970006
1871080701680001
1810023005870003
1802072505830004
1871082612020004
1871025101890001
1871080603650005
1871074504900009
1871072108790010
1871071005690012
1871085708990005
1871082409600003
1871065505780001
1871085708810010
1871086907770004
1871086311960004
1871086412020001
1871082303820006

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN / 27-9-2021
Jenis
Kelamin
SUSI APRIYANI P D 09/04/1996
JUNA FANI P D 04/03/1997
SINDY NOVITA SARI P D 22/11/1997
INDRA RAMADONA L D 23/04/1990
DEWI MARISSA P D 3/14/2000
PATRICIA ANGELINA P D 17/04/2004
SAHIRI L D 5/10/1986
LIE THING JONG P D 10/4/1965
HERMAN GINANJAR L D 2/6/1967
FAJRI HUSAINI L D 10/30/1996
IVAN SEBASTIAN L D 09/10/2007
MALA DIANA P D 7/4/1984
DESNI P D 12/27/1977
SOPYANSAH L D 1/7/1982
LAMRI L D 6/12/1976
DIKA HA'AZBY L D 7/6/2002
AYU KRISTIA P D 20/08/1998
SUHARTI DEWI P D 04/04/1971
WINDA MARDIANA P D 21/01/2002
MAN L D 05/05/1975
SAPARI L D 29/09/1982
ANDIKA PRATAMA L D 23/04/2001
RONI APRINA P D 4/5/1998
DEVI PURNAMA SARI P D 10/07/2000

ASMINUR P D 03/08/1988
M. FEBRIANSYAH L D 2/17/2003
PURWANTI P D 31/12/1955
MASNAH P D 11/12/1980
IDA LESTARI P D 3/6/2001
NATALIA P D 12/24/1980
FITRIA DIANA P D 10/07/2001
IWAN SUTIAWAN L D 10/8/1976
SUMARYONO(HERUDIN) L D 5/25/1972
OKTA SARI P D 10/14/1991
RIO SEPRIANDIKA L D 9/11/1989
SRI SUPRAPTI P D 28/01/1976
YAKUB SURYADI L D 6/7/1981
DESI ANDRIANI P D 12/23/1979
RUSLI L D 12/06/1988
PRAWOTO L D 5/5/1970
RAFIKA L D 11/10/1979
INDRA APRIYANDI L D 10/04/1987
MAYITI P D 5/23/1963
PASIKHATUN P D 20/03/1972
MUHIDIN L D 3/10/1979
SYAHRUDIN L D 28/07/2003
ARI PRAYOGA L D 4/13/1996
SUPARTINI P D 24/03/1968
SUPRIYADI L D 7/19/1976
TUKIMAN L D 12/14/1990
M. YOGI SYAHPUTRA L D 10/06/1996
HASMAH P D 14/09/1965
ROBET TURNIP L D 4/10/1968
DION RICKY L D 20/11/1998
TANU AGUNG L D 5/20/1989
LILIS SASI SAPUTRI P D 25/04/2000
TRI HASTUTI P D 22/09/1974

SUPRIANTO L D 1/22/1993
RINTO WAHYUDI L D 8/21/1996
C. PRIYONO WIDYATMOKO L D 16/09/1972
ASYAH PUTRA L D 8/20/2002
M. IQBAL L D 6/20/1973
WAHYUNI BUDIYANTI P D 11/04/1974
TASYA PUTRI P D 3/20/2002
M. NURDIN YUSUF L D 4/24/1978
KORNELIUS TURNIP L D 9/15/1999
OCTA VIANUS L D 10/10/2002
YUSUF RANGGA L D 07/01/1960
BANGKIT SANJAYA L D 10/4/1988
ALEK HENDRAWAN L D 19/09/1985
SUGIYO L D 18/03/1971
EVI SUSANTI P D 13/10/1973
R DEDE IRFAN L D 1/13/2000
RETNO ROMADHONA P D 2/1/1997
TRI JOKO S L D 5/30/1987
SUWARNO L D 25/05/1983
ZESIDA PANATA P D 12/26/1962
ELLY SETIAWATI P D 1/11/1990
ABDUL KADIR L D 06/03/1965
NUR SAMSIAH P D 4/5/1990
SARIAL L D 21/08/1979
SABAR L D 10/05/1969
GUSTIA NINGSIH P D 8/17/1999
ARI ZULFIAN L D 9/24/1960
MERI ANDRIYANI P D 5/15/1978
SANDRA MARLINA P D 8/17/1981
SARNAMAH P D 7/29/1977
SELLY VIANTRI P D 23/11/1996
SITI NUR AMALIYAH P D 12/24/2002
RIKI HANDOYO L D 3/23/1982
A = Sinovac
31 BPJS PBI
34 BPJS Non PBI
23 Non Anggota
6
94 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
95 Total
0
95
Umur
(18 sd ≥ 60 tahun)
27 18-30 TELUK PANDAN
26 18-30 BAKUNG
25 18-30 TELUK PANDAN
33 31-45 KEDATON
23 18-30 WAY HALIM
19 18-30 BANJAR AGUNG
37 31-45 BATU PUTUK

57 46-59 BAKUNG
56 46-59 BAKUNG
26 18-30 BAKUNG
15 0 NOG
38 31-45 BATU PUTUK
45 31-45 BAKUNG
41 31-45 BATU PUTUK
46 46-59 BATU PUTUK
40 31-45 BATU PUTUK
20 18-30 BAKUNG
24 18-30 BAKUNG
52 46-59 BAKUNG
21 18-30 BAKUNG
48 46-59 BATU PUTUK
40 31-45 BATUPUTUK
22 18-30 WAY KANDIS
25 18-30 AMBARAWA
22 18-30 PULAU PANGGUNG

34 31-45 BATUPUTUK
66 ≥60 BAKUNG
20 18-30 BAKUNG
67 ≥60 TBU
42 31-45 BAKUNG
22 18-30 BAKUNG
42 31-45 BAKUNG
21 18-30 BAKUNG
46 46-59 BAKUNG
51 46-59 BATU PUTUK
31 31-45 BAKUNG
33 31-45 BAKUNG
47 46-59 BAKUNG
41 31-45 BAKUNG
43 31-45 BAKUNG
34 31-45 BAKUNG
53 46-59 BAKUNG
43 31-45 BAKUNG
45 31-45 BAKUNG
36 31-45 BAKUNG
60 ≥60 BAKUNG
51 46-59 BAKUNG
44 31-45 BAKUNG
19 18-30 BAKUNG
27 18-30 BAKUNG
55 46-59 BAKUNG
46 46-59 ANAK TUHA
32 31-45 SIDOMULYO
26 18-30 BAKUNG
57 46-59 BAKUNG
35 31-45 BAKUNG
55 46-59 BAKUNG
24 18-30 BAKUNG
34 31-45 BAKUNG
23 18-30 BATU PUTUK
48 46-59 BAKUNG
30 18-30 BAKUNG
26 18-30 PAGELARAN
50 46-59 BAKUNG
20 18-30 BAKUNG
49 46-59 BAKUNG
49 46-59 BAKUNG
21 18-30 BAKUNG
45 31-45 BAKUNG
23 18-30 BAKUNG
20 18-30 BAKUNG
34 31-45 BAKUNG
37 31-45 BAKUNG
52 46-59 BAKUNG
49 46-59 BAKUNG
23 18-30 SUKABUMI
26 18-30 BAKUNG
55 46-59 BAKUNG
36 31-45 SUKARAME
40 31-45 LAMTENG
60 ≥60 BAKUNG
33 31-45 SUKARAME
33 31-45 KURIPAN
43 31-45 KURIPAN
54 46-59 SUKARAJA
62 ≥60 BAKUNG
45 31-45 KETEGUHAN
41 31-45 BAKUNG
45 31-45 BAKUNG
26 18-30 BAKUNG
20 18-30 BAKUNG
41 31-45 KURIPAN
Pekerjaan
29 A
35 B
31 C
95 D
E
7 Total
88
0
95
No. Hp
082284633836 YA
089698338063 YA
08982311977 YA
081271485837 YA
085788493719 YA
081541417475
082269750482 YA
081366948616 YA
081279068676
085384445041
087770197247 YA
085766397162 YA
089636367329 YA
089632328269
082373842047 YA
085766397162 YA
0895640010361 YA
087700556996 YA
083196871751
0895640004509 YA
0895606098639 YA
085268658795 YA
085766908672 YA
081278642314
082269687074 YA
085767044120
0822787896438 YA
0895640005051 YA
089632388723 YA
0895375101210 YA
089524873449
081271443212
083169636740
081380883305 YA
081541076146 YA
089521345400 YA
083178277937 YA
085357047755
089504000106 YA
089624613486 YA
082186656085 YA
0895609601389 YA
081271940055 YA
085695988831
081249610351
088272177054
085709692590 YA
085379126162 YA
08954474891 YA
085839493751 YA
085213094124 YA
08 YA
085267591829
0852213094124
08536628913 YA
0895611119414
082377025036 YA
083800595366
082374892020 YA
089624490841
08278702550 YA
083803539916 YA
082175637280 YA
089616606339
089669656655
081369154273
089537198478
088276786230
081379719595 YA
081367177753 YA
0896304191685 YA
089633572575 YA
089631534561
081279070818
082374121800
081279070818 YA
081267937648
082278995253 YA
081279070818 YA
08127198962 YA
085381361135 YA
085832215868
081278412527 YA
085216006917 YA
0895412567722 YA
083157299105 YA
085382709395 YA
0895609911744 YA
082310013306
085382399601 YA
087899170317 YA
082177509050 YA
081632262861 YA
089506359125 YA
0895329019911
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
8/28/2021 CORONAVAC
8/27/2021 MODERNA
8/28/2021 CORONAVAC
8/25/2021 MODERNA
8/25/2021 MODERNA
8/30/2021 CORONAVAC
8/27/2021 MODERNA
8/30/2021 CORONAVAC
8/27/2021 MODERNA
8/30/2021 CORONAVAC
8/30/2021 CORONAVAC
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
5/27/2021 CORONAVAC
8/30/2021 CORONAVAC
8/25/2021 CORONAVAC
8/27/2021 CORONAVAC
8/27/2021 MODERNA
8/27/2021 MODERNA
8/28/2021 CORONAVAC
8/27/2021 MODERNA
8/27/2021 MODERNA
8/30/2021 CORONAVAC
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/24/2021 CORONAVAC
8/26/2021 MODERNA
8/26/2021 MODERNA
8/26/2021 MODERNA
8/24/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
8/27/2021 MODERNA
Dosis I
Tanggal Pemberian
Vaksinasi
8/28/2021 24004121
8/27/2021 001F21A
8/28/2021 24004121
8/25/2021 021D21A
8/25/2021 001F21A
9/27/2021 202108154G
8/30/2021 24004921 16255505185941

8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
9/25/2021 202108170I
8/30/2021 24004921 16263939952608
8/27/2021 001F21A
8/30/2021 24004921 16255505185941
8/30/2021 24004921 16263939952608
8/30/2021 24004921 16263939952608
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
5/27/2021 24001421
8/30/2021 24005221 16263939954948
8/25/2021 24004921 16255465407657
7/20/2021
8/27/2021 24005221
8/30/2021 24005221 16263939954948
8/27/2021 001F21A
8/27/2021 001F21A
7/28/2021 24004121
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/30/2021 24004921 16263939952608
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
9/27/2021 202108154G
9/27/2021 202108154G
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
9/27/2021 202108154G
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
9/27/2021 202108154G
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
9/27/2021 202108154G
8/27/2021 001F21A
8/27/2021 001F21A
8/24/2021 24004921 16255504976745
8/26/2021 001F21A
8/26/2021 001F21A
8/26/2021 001F21A
8/24/2021 021D21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/27/2021 001F21A
8/26/2021 001F21A
Dosis 2
Tanggal Pemberian
Vaksinasi
9/27/2021 202108154G
9/27/2021 001F21A
9/27/2021 202108154G
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 202108154G
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 202108154G
9/27/2021 001F21A
9/27/2021 202108154G
9/27/2021 202108154G
9/27/2021 202108154G
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 202108154G
9/27/2021 202108154G
9/27/2021 202108154G
9/27/2021 202108154G
9/27/2021 202108154G
9/27/2021 202108154G
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 202108154G
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 202108154G
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 202108154G
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
9/27/2021 001F21A
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 W-00004QCL
2 P-CVQO2ZJP
3 P-CLZ2ANJB
4 P-5OJTZ4CV
5 S-87B99340
6 Q-000RAXOR
7 K-0000VVOE
8 Q-000RBVSA
9 Q-000RA2FA
10 Q-000RD4AO
11 Q-000RBGMK
12 Q-000ROB69
13 Q-000RBC1A
14 Q-000RAGYM
15 S-1A758D3C
16 Q-000RCWYL
17 Q-000RB6KC
18 Q-000R9JK3
19 Q-000RAU7D
20 Q-000R90DP
21 S-81CBD69D
22 P-DTC8A4UF
23 P-E3RRNNKE
24 Q-000P4ST3
25 P-EGL6S4MG
26 P-EQ1CETBO
27 P-FLFJAKD1
28 S-71FAD2BD
29 P-GGS7YFZX
30 Q-000IQT30
31 K-0000VRJI
32 P-ABHVER8G
33 P-J0XRSUN7
34 Q-000RBONS
35 S-BE3801DB
36 Q-000RBONV
37 Q-000RAM4N
38 P-HQDENUPO
39 K-OOOOVTTQ
40 P-LHXS6S88
41 P-GDJIMPXI
42 P-GKGW0TED
43 P-9WHMFUKJ
44 P-GXWD76YL
45 P-WEPF8UIX
46 P-HIABOMB
47 P-M8F0T3HB
48 P-5DJLYAKN
49 P-HEJNHH4DH
50 P-55BUJDHK
51 P-G8PGWSA
52 P-LWE8OIE7
53 P-LPAEZ22
54 P-NDNDNHN8
55 P-NIDE2TBU
56 P-HNOSU7SX
57 Q-000RAU3V
58 P-LYYIYBSE
59 Q-000RABQC
60 Q-000R9MQG
61 P-LJO3UWZM
62 P-LGRTSHOB
63 P-5G9PX1QQ
64 Q-000R24Y6
65 P-IIV4ZF2T
66 P-IBER7CWU
67 P-MGJ8A2KI
68 P-MHXDN59
69 P-MP3NWWHF
70 P-CDFHSYGK
71 P-NW3DVVS
72 P-8GWMQASN
73 P-8RSA39VT
74 P-8GCAHQAM
75 P-LFJ8HXAO
76 P-BOTVHDQL
77 P-9XLPD8MU
78 P-IW257363
79 P-LU3Z3ZQL
80 P-MWLKIVA0
81 P-DBEPT059
82 P-EDTFOH1E
83 P-FB6WIPNS
84 P-G7TKOC1L
85 P-OI4KL0QR
86 P-6D4SY1MV
87 P-PODS9M6
88 P-PGF5ME4Y
89 P-OSOC7CLY
90 P-P6W86W1D
91 P-ZRFCVYA
92 P-IOBG9KPM
93 P-H1YUPQZI
94 P-KAMHU1MF
95 P-L365DCD5
96 P-KZHQ01ZU
97 Q-000RA9XV
98 Q-000REC5J
99 Q-000RBBZN
100 Q-000RC1Y
101 Q-000RFBI3
102 Q-0008BPWA
103 Q-000RC5Q4
104 Z-000GYD7J
105 Q-000RAQPA
106 Q-000RCJ9E
107 Q-000RCY99
108 Q-000RC26H
109 Q-000RABZP
110 Q-000RALZ4
111 Z-78125778
112 P-JHJSVEY6
113 Q-000RAZ05
114 P-JZV2HBE6
115 Q-000R9WV3
116 P-KM7ARXLU
117 Q-0000TJKC
118 P-JI9J372J
119 P-JV7EJWHF
120 Q-000RAFZZ
121 Q-000RAUCF
122 Q-000RDCW0
123 P-K6ZH0V3S
124 P-XHGHIHYF
125 P-XK7AA01K
126 P-XKJTRC40
127 P-XHKSGL9F
128 P-XK0PVZMB
129 P-XGH32FJT
130 P-XGEQCLZL
131 P-XGC8BKBT
132 P-BA1TZZ87
133 P-J9NP0N1
134 P-QXXGVID
135 P-KIXWZHGG
136 P-K8LM5MLR
137 P-ZXIGGIHKS
138 P-XIMDPNM8
139 P-XIWXD95Y
140 P-XJQJBHSI
141 P-XKTMFHLM
142 P-XOETYFJ8
143 P-XL4BR3RL
144 Q-000RNBE9
145 P-XHZMZWEV
146 P-XI6D0Z56
147 P-XHTAWUQV
148 P-VRCKLMDQ
149 P-XKZTQB51
150 P-XG981HNJ
151 P-XKWGV5HS
152 P-XL7IXIR8
153 P-XMFLOETF
154 P-XLE9PDMU
155 P-XOJXDBEZ
156 P-XOEQ6LW2

D = Lainnya
E = Tidak Bekerja
NIK
1871014106950015
1871064811730004
1871084504010008
1871086808030001
1871082408600001
1871080107630001
1871091403680001
1871091005930001
1809051907900007
1871124403080001
1871056502050001
1871120709060001
1871091605080001
1871052808080001
1871080211600002
1871091103710005
1871091302060002
1871091701820005
1871084205040003
1871080505990004
1871084204590002
1871085502720001
1871065112840006
1871085811010001
1871096005730005
1871086811880001
1871086006900005
1871117105880002
1871082809970001
1871084112920005
1871095807000002
1871080804890002
1871085111840010
1871084402950011
1871085001590002
1871090204890005
1871090508930002
1871080907800006
1871091009940002
1871082906790003
1871082406800003
1871085601770001
1871084206830006
1871084510930006
3505114509960001
187108807650002
1871084204770004
1871081011870005
1871082003920002
1871086704810009
1871091212840012
1871091207990001
1871094205720004
1871075812800006
1871082506750007
1871086801020006
1871090406770006
3217096812800017
1871094908970002
1871095504990005
1871086507830014
1871094101910010
1871085006870012
1871075810980004
1871084304720003
1871086302840003
1871082312770002
1871084501040002
1871085309830001
1871080207720005
1871085604810007
1871081510890008
18710845111910002
1871086306830001
1871054307940004
1871085007710004
1871084510790010
1871072006890007
1871096503770003
3214124902890003
1871050306740003
1871072103740007
1871085209850007
1871086808730001
1601095007950004
1871081307790001
1871087112750007
1871076405820003
18710940410940001
1871094109650002
1871095210970001
1871095009830005
1871080101920011
;'1871094607900003
1871084608940002
1871086912960001
1871096204820005
1871060601970001
1871076306050001
1871092608060002
1801041109840003
1871094205000003
1871094507730007
1871092104540001
1871071706080001
1871122107080002
1871125005040005
1871084503630004
1871123004080001
1871094605750004
1872056206930001
1871094707990003
1871126202080002
1871050601840006
1871076605020002
1871096306030001
1871095508720009
1871095210840008
1871095207070008
1871095207020001
1871125010080001
1871091808010003
1871096905000007
1871081602900006
1810084605020003
181016910020005
1871092602810001
1810086110030002
1871086806770003
1871094306830002
1871135201980001
1871090212900002
18090505940007
1871090811870008
1871095212900005
1805085103910003
1871072309090001
1871085812020006
1871086905040004
1802116210000001
1871091012760006
1871060910650003
1871085403040003
1801084604620003
1871072205820008
18710822028000012
187108200198001
1871087012850001
1871086411040002
1871080510950005
1871084903890009
1871085512030006
1871081610980002
1871080610720001
1871094507920002
1871022710870006

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SABTU / 25-9-2021
Jenis
Kelamin
RATU MUSTIKA P P D 01/06/1995
ELIANA P D 08/11/1973
ANISA P D 05/04/2001
WAHYUNI P D 06/04/2001
SALEH L D 24/08/1980
SUHAILI L D 01/07/1963
MULYADI L D 14/03/1968
BAMBANG HERMANTO L D 5/10/1993
ADI PRAMANA L D 19/07/1990
KEIKO ELISHA P D 3/4/2008
CHRISTABELLA V P D 25/02/2005
AUSTIN L D 9/7/2006
CAYNON V L D 16/05/2008
MARCELLO FEDORA L D 28/08/2008
KAPEK PEI L D 02/11/1960
MUNTA L D 3/11/1971
OTHNIEL V L D 13/02/2006
ANDI IRAWAN L D 17/01/1982
ALIKA SALMA P D 5/2/2004
ABBY AFERISA ARIYANDI L D 5/5/1999
SAIYAH P D 02/04/1959
ALPIYAH P D 15/02/1972
ROHIMAH P D 12/11/1984
THERESA P D 18/11/2001
EIS WAHYUNINGSIH P D 20/05/1973
NOVI SUSANTI P D 28/11/1988
HESTI ELVIANI P D 20/06/1990
MAYA PRATIWI P D 31/05/1988
DANIAL ANSHOR L D 28/09/1997
MELDA SELVIA P D 30/11/1988
INDRIYANI P D 18/07/2000
MUHI L D 08/04/1989
NOVI AZIZAH P D 11/11/1984
ARMILAH P D 2/4/1995
UMI KALSUM P D 10/01/1959
SAHRUL L D 02/04/1989
NOVI PEBRIYANSAH L D 05/08/1993
SUGIANTO L D 09/07/1980
SYAIFUL BAHRI L D 18/06/1994
YUODI PURNAWAN L D 29/06/1979
HGUNTUR WIJAYA L D 24/06/1980

NURLAILA P D 1/16/1977
SARAH P D 6/2/1983
DWI OKTAVIANI P D 10/5/1993
ZUSFA NUR P D 9/5/1996
UNTUNG L D 7/8/1965
ROBIAH P D 02/04/1977
IDRUS AFANDI L D 10/11/1987
HARDANI L D 3/20/1992
SRI PURWANINGSIH P D 4/27/1981
AMIR RULLAH L D 12/12/1983
ABDUL ROHMAN L D 7/12/1999
SARI P D 5/2/1972
KARTINI P D 12/18/1980
IRWAN EFENDI L D 25/06/1975
ANISA ESTIANIA P D 28/01/2002
SAMIN L D 04/06/1977
YATIE FADHILAH P D 28/12/1980

MUNAWAROH P D 7/25/1983
RASMINI P D 6/10/1987
SINTA ARISTA P D 10/18/1998
KETUT SARI ASIH P D 4/3/1972
MASNIAH P D 2/23/1984
EKA PERMANA L D 12/23/1977
DITA LESTARI P D 1/5/2004
MARNI P D 9/13/1987
SANAN JAILANI L D 7/2/1972
SITI MUTIAH P D 4/16/1981
SUWARDI L D 10/15/1987
MIRNAWATI P D 11/5/1991
NENGSI P D 6/23/1983
YULI LESTARI P D 7/3/1994
WARTINI P D 7/10/1971
YENI YUSNITA P D 10/5/1979

ANGGI HERIS TIAN P D 6/20/1989
SRI LESTARI P D 3/25/1977
NG EWI JAYA L D 6/3/1974
EFENDI L D 21/03/1974
IRMA SURYANI P D 12/09/1986
ROSMIATI P D 8/28/1973
WARSITO L D 7/13/1979
MARDIAH P D 31/12/1975
ANAH FITRIANA P D 5/24/1982
RINI TIANA P D 10/4/1994
SAYEM L D 9/1/1965
SANTI RAHAYU P D 12/10/1997
MISWATI P D 10/09/1983
DEDE SULAIMAN L D 01/01/1992
HAMIDAH P D 06/07/1990
ARSIAH P D 8/6/1994
ANI SAFITRI P D 12/29/1996
MAHMUDAH P D 22/04/1982
SELAMET SUPRI YANTO L D 1/6/1997
AUDREY EVANIA P D 23/06/2005
AGUS FERI L D 8/26/2006
SAGIRAN L D 9/11/1984
RENI PERMATASARI P D 6/2/2000
MUJIYATI P D 7/5/1973
BURHANUDIN L D 21/04/1954
STANLEY CHEN L D 17/06/2008
ROBERTO PUTRA L D 7/21/2008
MEILINDA P D 5/20/2004
SULARTI P D 3/5/1963
VERNON LIM L D 4/30/2008
BAYUNI P D 06/05/1975
PUTRI PERMATASARI P D 22/06/1993
TATI P D 7/5/2000
MICHELLE AUDRIE P D 2/22/2008

SAMAN NASIRUDIN L D 1/6/1984
MEISYA P D 26/05/2002
SRI WAHYUNI P D 15/08/1972
SUNAENI P D 12/10/1984
RUMANAH P D 12/07/1997
EVA DAHLIA P D 12/07/2001
CHRISTABEL P D 10/10/2008
FARHAN HERLY L D 8/18/2001
SUHAYA L D 21/09/2000
MARYANI L D 2/16/1990
CINDY CLAUDIA P D 5/6/2002
EMIL WIDYA P D 10/29/2002
A. GHOZALI L D 2/26/1981
MARGARETA P D 10/21/2003
SUTINAH P D 6/28/1977
SAIDAH P D 03/06/1983
CITRA RAHMAWATI P D 1/12/1998
AHMAD SUNARDI L D 12/2/1990
MEDI PERDIANSYAH L D 5/5/1994
AMINAH P D 12/12/1990
SITI ASIYAH P D 11/03/1991
ADNAND GHANY L D 25/09/2009
NAFIFAH P D 29/05/2004
SAWITRI P D 22/10/2000
GUNAWAN L D 10/12/1976
UDIN L D 09/10/1965
RINDU P D 14/03/2004
ANA P D 06/04/1962
SOPIYAN L D 22/05/1982
AHMAD YAKUB L D 22/02/1980
DIAN RIZKI L D 20/01/1998

DHESI P D 12/30/1985
SELVY RAHAYU P D 24/11/2004
HARIYANTO L D 05/10/1995
DINA MARYANA P D 3/9/1989
SUKMA RAHAYU P D 12/15/2003
INDRA IRAWAN L D 5/16/1996
SUKIJO BAMBANG L D 10/6/1972
SUHARTINI P D 05/07/1992
MUHAMMAD ARIEF L D 10/27/1987
A = Sinovac

53 BPJS PBI
58 BPJS Non PBI
26 Non Anggota
6
143 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
156 Total
0
156
Umur
(18 sd ≥ 60 tahun)
27 18-30 KEMILING
49 46-59 BAKUNG
22 18-30 KURIPAN
22 18-30 SUKARAME 2
42 31-45 BAKUNG
59 46-59 BATUPUTU
55 46-59 BATU PUTUK

30 18-30 BATU PUTUK
32 31-45 BATUPUTUK
15 0 WAY HALIM
18 18-30 TKT
16 0 WAY HALIM
15 0 TBU
14 0 KEDAMAIAN
62 ≥60 BAKUNG
52 46-59 BATU PUTUK
17 0 TBU
41 31-45 BATU PUTUK
19 18-30 BATU PUTUK
24 18-30 BAKUNG
64 ≥60 KURIPAN
51 46-59 SUKARAME 2
38 31-45 SUKARAME 2
21 18-30 BAKUNG
50 46-59 BAKUNG
34 31-45 KURIPAN
32 31-45 BAKUNG
34 31-45 BAKUNG
25 18-30 BAKUNG
34 31-45 NOG
22 18-30 BATUPUTUK
34 31-45 SUKARAME 2
38 31-45 KURIPAN
28 18-30 BATU PUTUK
64 ≥60 KURIPAN
34 31-45 BATU PUTUK
29 18-30 BATU PUTUK
42 31-45 KURIPAN
28 18-30 BATU PUTUK
43 31-45 KURIPAN
42 31-45 KURIPAN
46 46-59 BAKUNG
39 31-45 SUKARAME 2
29 18-30 BAKUNG
26 18-30 BUMIWARAS
57 46-59 KURIPAN
46 46-59 BAKUNG
35 31-45 SUKARAME 2
31 31-45 BAKUNG
42 31-45 SUKARAME 2
39 31-45 BAKUNG
23 18-30 BATU PUTUK
51 46-59 BATU PUTUK
42 31-45 KURIPAN
47 46-59 BUMIWARAS
21 18-30 KURIPAN
45 31-45 BATU PUTUK
42 31-45 BAKUNG
25 18-30 BATU PUTUK

23 18-30 BATUPUTUK
39 31-45 BAKUNG
32 31-45 BATU PUTUK
35 31-45 SUKARAME 2
24 18-30 TBS
51 46-59 KURIPAN
39 31-45 KURIPAN
45 31-45 KURIPAN
19 18-30 BAKUNG
35 31-45 BAKUNG
50 46-59 KOTAKARANG
42 31-45 BAKUNG
35 31-45 SUKARAME 2
31 31-45 SUKARAME 2
39 31-45 KURIPAN
28 18-30 BATU PUTUK
51 46-59 BAKUNG
43 31-45 KURIPAN
33 31-45 BATU PUTUK
46 46-59 BATU PUTUK
33 31-45 BATU PUTUK
48 46-59 KURIPAN
49 46-59 KURIPAN
36 31-45 KURIPAN
49 46-59 KURIPAN
27 18-30 BATU PUTUK
43 31-45 SUKARAME 2
47 46-59 BAKUNG
41 31-45 BAKUNG
28 18-30 BATU PUTUK
57 46-59 BATU PUTUK
25 18-30 BATU PUTUK
39 31-45 BATU PUTUK
31 31-45 BAKUNG
32 31-45 BATU PUTUK
28 18-30 BATU PUTUK

26 18-30 SUKARAME 2
41 31-45 BATU PUTUK
26 18-30 TKP
17 0 TBS
16 0 BATU PUTUK
38 31-45 ANTASARI
22 18-30 BATU PUTUK
49 46-59 BATU PUTUK
69 ≥60 BATU PUTUK
14 0 SUKARAJA
14 0 TBS
19 18-30 BAKUNG
60 ≥60 KURIPAN
15 0 WAY HALIM
48 46-59 BATU PUTUK
29 18-30 METRO
22 18-30 BATU PUTUK
15 0 WAY HALIM
39 31-45 BATU PUTUK
21 18-30 KURIPAN
19 18-30 BATU PUTUK
50 46-59 BATU PUTUK
38 31-45 BATU PUTUK
25 18-30 BATU PUTUK
21 18-30 BATU PUTUK
14 0 WAY HALIM
21 18-30 BATU PUTUK
22 18-30 BATU PUTUK
33 31-45 BAKUNG
21 18-30 SUKOHARJO
20 18-30 PODOMORO
42 31-45 BAKUNG
19 18-30 SUKOHARJO
45 31-45 BAKUNG
39 31-45 TBU
25 18-30 KEMILING
32 31-45 TBU
29 18-30 BATU PUTUK
35 31-45 BATU PUTUK
32 31-45 BATU PUTUK
32 31-45 BATU PUTUK
13 0 TBT
20 18-30 BAKUNG
19 18-30 BAKUNG
22 18-30 SEPUTIH MATARAM
46 46-59 BATU PUTUK
57 46-59 KEDATON
19 18-30 NOG
61 ≥60 TARAHAN
41 31-45 PESAWAHAN
43 31-45 KURIPAN
25 18-30 BAKUNG
37 31-45 TBT
18 18-30 TBT
27 18-30 TBT
34 31-45 KURIPAN
19 18-30 NOG
27 18-30 BUMIWARAS
50 46-59 BAKUNG
30 18-30 BATU PUTUK
35 31-45 WAY HALIM
Pekerjaan
49 A
48 B
56 C
153 D
E
107 Total
49
0
156
No. Hp
082278659638 YA
0895323152763 YA
088287643988 YA
083168492450
081379875690
085609205076
082184052573
08954170304 YA
082220340003
081377777590
082183569900
081377777590
085105199976
081369044128
082181707363 YA
081278449617 YA
0816683999
082134393480 YA
089678291055
085374888092 YA
089509962602 YA
089504875600 YA
089504875600 YA
089530206501
0895601777997 YA
08980997235 YA
089521336890 YA
08994290774
089531479777 YA
081373031142 YA
0895363629530
081317106596
087867196714
085838214561
082176704260 YA
085838214561 YA
081273521793
089685201387 YA
089698131210 YA
081369222120
089669554848 YA
081373948150 YA
089631414281
0895327153939 YA
081259700597 YA
0895336443060
0895389603074 YA
085366098127 YA
085789940180 YA
082184071085 YA
081928212131 YA
085783592394 YA
082186952506
088747988556 YA
081369794780 YA
0895059329244 YA
089507974258
088269340818 YA
08975773721
085832652099
089515324319
08974143561
085366098127 YA
08978635107 YA
085267282270 YA
089685201387
085281149168
083137384367
08313484367 YA
081273544187
082269584930 YA
085269534100 YA
085269434100 YA
088267124503
089692600537 YA
082183120832 YA
081283516777
0895323206476
089650210290 YA
089650210290
082123639732 YA
085267696154 YA
085658882448 YA
'08169281192 YA
083168215845 YA
082176957992
089517638785 YA
081369930866
089506734844 YA
081369033946 YA
0895327363000 YA
085279918644 YA
082280086290 YA
089508810640 YA
089527360233 YA
08975766895 YA
08984291812
089520478651 YA
081532811283
08975007400 YA
089613432141 YA
08 YA
088287255218 YA
09892824438 YA
081330817752
08127500777
082177105579
081274312424 YA
085788470578 YA
08982824438
085764747282 YA
085839484153 YA
081369273111
081377771840 YA
082183654595 YA
085841062363 YA
08977496251 YA
082148047398 YA
085839851408
081278958789 YA
08111037526
089522016276
085788662403 YA
087798961721 YA
085726290963 YA
083152560676 YA
085273179993 YA
083163301640 YA
082289935778
081273716612 YA
089653656908 YA
081272954753 YA
089631939721 YA
081211528513 YA
088287338740
082186153369 YA
089614384983
0895323485599 YA
0895335015588 YA
085664783679 YA
082179975620 YA
083168153993
085950830837
081379185556 YA
088267124503
0895323152757 YA
0895640010396
083169315343
0895347326891 YA
089613785785
08999347174 YA
082182347181
082380725397 YA
085307699512
085783242655 YA
085783010217 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
CORONAVAC
YA CORONAVAC
8/30/2021 CORONAVAC
8/30/2021 CORONAVAC
8/30/2021 CORONAVAC
8/30/2021 CORONAVAC
YA
YA
8/30/2021 CORONAVAC
8/30/2021 CORONAVAC

8/28/2021 CORONAVAC


8/30/2021 CORONAVAC
8/30/2021 CORONAVAC
8/30/2021 CORONAVAC
8/30/2021 CORONAVAC
8/30/2021 CORONAVAC
8/30/2021 CORONAVAC
8/30/2021 CORONAVAC
5/6/2021 SINOVAC
8/30/2021 CORONAVAC
8/23/2021 CORONAVAC
8/30/2021 CORONAVAC



Dosis I
Tanggal Pemberian
Vaksinasi
9/25/2021 202108170I
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
8/30/2021
8/30/2021
8/30/2021
8/30/2021 24005221 16263939954948
8/30/2021 24004921 16255505185941
8/30/2021 24005221 16263939954636
8/30/2021 24004921 16255505185941
8/30/2021 24005221 16263939954636
8/30/2021 24005221 16263939954948
9/28/2021 202108154G
8/30/2021 24004921 16255505185941
8/30/2021 24005221 16263939954636
8/30/2021 24005221
8/30/2021 24005221 16263939954636
8/30/2021 24005221 16263939954948
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
8/24/2021 24005221 16263939964152

9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
8/30/2021 24004921 16263939952608
9/28/2021 202108154G
8/30/2021 24005221 16263939954636
8/30/2021 24005221 16255504969257
9/28/2021 202108154G
8/30/2021 24005221 16255504969257
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
9/28/2021 202108154G
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Dosis 2
Tanggal Pemberian
Vaksinasi
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Keterangan
.
.
Provinsi : LAMPUNG
Hari, Tanggal : RABU / 29-9-2021
No No. Tiket NIK Nama Penerima Vaksin
2 1 Z-000A2GPA 1871080106520002 PONISAM
2 2 Q-000S38B5 1871080505860007 RAHMAT
3 P-60THFPRC 1871094901640001 SRI WAHYUNI
4 P-67HROWRZ 1871084809850007 DAHLIA
2 5 Q-000S4J9R 1871086002770005 MAULIDA
6 P-6TOF1JZG 1871080610820003 ADI SUKAMTO
2 7 Q-000SJ90 1871081705720008 AL BASARUDIN

8 P-6KUFN6LD 1871082508030001 ARIANSYAH
9 P-6NJ67W6I 1871074706770005 BADARIYAH
10 P-6KL6NCDB 1871084303850016 NILA RENI
11 P-5U4LJHPT 1871074211880008 MUSPITA SARI
12 P-5MR5BVQC 1871086904850001 SITI HALIMAH
13 S-79DCGF26 1871081505530003 USMAN DARMAWIJAYA
2 14 Q-000S3H1I 1871084804920002 SUSILOWATI
2 15 Q-000S3FDT 1871085506800009 RETNO SARI
16 P-6WIT6LT2 1871081107660006 SUPANDI
2 17 Q-000S3AS8 1871081408870005 HARYONO
18 P-6TYNJ8I4H9 1871082611030003 FATHUR RAMANTHA
19 P-6YJIZXNB 1871086906800005 JOHARIAH
2 20 Q-000S438F 1871081906930001 DODO ESTU WISATA
21 P-9VU91T1T 1871085101850003 YENI PUSPITA SARI
22 P-7FFED80I 1871084206790004 JENENAH
2 23 Q-000BLRGU 1871086108750001 IMELDA
24 P-7JKNGUB7 1871085112830008 RUSMINI

2 25 K-0000XNC6 1871085112960005 YOHANA KORINA
26 P-7O5AOLFG 1871087101680003 MARIYAM
27 P-7LGEXY1I 1871075105890007 EVA LIA SARI
28 P-7GOWYCQV 1871082811760003 WIYONO
2 29 Q-000S3MSI 1871054704030002 VALENCIA JOSEPHINE
30 P-85JZH2WE 1871081206750002 SUHAIMI
31 P-7YWYARU4 1871084405810001 SUSI
2 32 Q-000S3HHM 1871056501050001 GRACIA JOCELYNE
33 P-8CFAAFHA 1871084106640002 SANEAH
34 P-8FWYADEX 1871075407750007 KOMARIAH
HAMIL 35 P-OGGQNWEN 1801055303970002 RISA ROMASARI
36 P-GR47FGFO 1871081807960007 ARIF JULIAN
37 P-70TPECG9 1871085105750003 MIMIN SUMANTI
38 P-6UXM5Z7J 1871084705010003 ISMALIA
2 39 Q-000S3MK6 1871084101680014 MARTILAH
40 P-76DSDUU5 1871082008880001 NAPIYANTO
41 S-58626788 1871084612570001 NURHAYATI

42 P-JGJJI64U 1871080107670011 SUDIRMAN
43 P-JKLJIAPG 1871085806820002 ROHIDA
44 P-7OVGF443 1871085010790017 SAENI
45 P-8J0XNPFO 1871086804880006 NUR FITRI YANA
46 P-933YAGBG 1871084505970010 IRMA YANTI A
47 S-2C55F6CO 1871080506590001 USMAN GG
48 P-9MQPCBRT 1871085005800011 DIAN PUJI L
49 P-8UE8QLHK 1871085209910003 SITI YULI YANTI
50 P-90CUGYGR 1871082906820003 SUYANTO
51 P-86VIPNRK 1871085006830004 SURYATI ARMALIA
52 P-ABBARD3F 1871095505930005 MARDIANA
53 P-ABPOE3D8 1871092308910008 ARMAN WIJAYA
54 P-A2GOTQ3P 1871090807940002 OJI SAPUTRA
55 P-1IEEF6IU 1871086412740002 WACHDA TUNNISA
56 P-2KTWZORT 1871036901660004 PONIRAH
2 57 Q-000SYUUT 1871085209980001 HANNY SEPTI
58 P-2MDH1SCW 1871086909800004 SEPTI YANI
59 P-3IDI6954 1871076307900002 YULI YANTI

60 P-P2UIDBJG 1871085411020003 NOVRIKA RAMADANTI
61 P-4CBDP4GF 1871086505750002 NI KETUT DARMIYATI
62 P-3JVDNDV4 1871030107620067 UJANG JAUHARI
2 63 Q-000S7C3S 1871086706000001 FIRDHA AULIA
2 64 Q-000S4AGW 1871080401830002 AZHAR YUNARDI
2 65 Q-000S4ROZ 1871081009010003 RIKI
2 66 Q-000S7JKH 1871085307740005 NENENG SURYATI
67 P-4QHRZ70D 1871085604640004 SAODAH
68 J-0000FVC3 1871085204970003 ALICIA SANI
69 P-4B4ZHMH3 1871076608880007 AUDIA SARASWATI
70 P-0Z5DOWBJ 1871090206020008 RENDI ANGGARA
71 P-OU99EZDE 1871071709860007 JODY SEFTIAWAN
72 P-2TLI6JVI 1871080204610004 AYUB
2 73 Q-000S3WTH 1871024107050003 FANYA MUYO
74 P-AK5Q2UKG 1871086409850003 HAYUNAH
75 P-2RSDW79B 1871080208850001 NURYADI
76 P-535RGALJ 1871082807000003 M KAA'LFIN
2 77 Z-000A2BLC 1871086408690002 LIZA FATRIANY

78 S-9F495EFB 1871082705580004 ZAINAL ABIDIN
2 79 Q-00056M09 1871080906030003 AHMAD RIYADI
80 P-92VPVMJV 1871085405820003 IIS SURYANI
81 P-1ITEKNDA 1871084609840001 SEVI ANDRIANI
2 82 Q-00058N9Y 1871072008680005 A SUHARDI
83 P-AVUD7PWE 1871081710820005 MARZUKI
84 P-B1HOBJ2A 1871081107860016 NUR YASIN
85 P-6970G62U 1871085008670011 AAN ANGGRAENI
86 P-1AYUHVXH 1871081703820014 HERMAN
87 P-A24QLDZX 1871085708820020 HARYATI
2 88 Q-000BLGE8 1871086905960001 NURMALIA HASAN
89 P-BEN2CVAZ 1871080612920001 M RIZKI HAFIFI
90 P-ACZEJODM 1871085605680002 ROSIMAH
91 P-CG18HKKR 1807122701010001 ARI KURNIAWAN
2 92 Q-000S3FBQ 1871121709060001 EDBERT FREDERICK
2 93 Q-000S3WL0 1871086508740006 HENDRA SARI
2 94 Q-000S3POD 1871080606770005 ALDINAR

95 P-4AFWJMCK 1871084803810003 NOVI LIANA
96 P-CUZ1L5KV 1871085703880011 AISAH
97 P-CUKGAC5F 1871085002830012 VERA WATI
2 98 Q-000S4388 1871085909890005 YENI WULANDARI
2 99 Q-000S4AGN 1871086112670002 ROSIDAH
2 100 Z-000A2DBY 1871080504970003 ISTIAWAN SAPUTRA
101 P-6MOT1D8Y 1871070103690006 SURATNO
102 P-5JUJUK7C 1871084808620003 SUKMANAH
2 103 Q-000P28N9 1871095205890005 NOLA RAINA S
104 P-CPQDVVIJ 1801052107960002 RIFALDI
105 P-CCKD7R2 1803041803820002 SAPUTRA
106 P-CKYQ3RHK 1802151506800006 ADI SUSANTO
107 P-CIGQ6M8D 1805201211800001 ANDI HERWANTO
2 108 Z-4BEFC88E 1871082612670001 HERI PURNOMO
2 109 K-0000XVVC 1871084312990003 DEWI AZIZAH
2 110 Q-000S3MK1 1871096312840006 SITI MARIAM
2 111 Q-000S53BB 1871082804030002 ALVYN DWI
112 P-8QW0V95F 1871031212950006 DUMYATI

2 113 Q-00054JS8 1871087108950001 RAHMI NURJANAH
2 114 Q-000ORHD6 1871112506800003 BUDIYANTO
115 P-DFQQG0GA 1871085104020005 ALFINA APRILLIA
116 P-DHPPGKLO 1871085706810002 SAHLINA
2 117 P-PBT588KH 1871124804050001 JOCELIN GODELVA
118 P-E00CIZYA 1871086309020006 ADELYA PRATIWI
2 119 Q-000S3PNL 1871084205980003 SULISTIA REZA
2 120 K-0000XZ36 1871080708990005 SAFERDI
2 121 Q-000S3POB 1871084608680003 ROSMINA
2 122 Q-000R9IA4 1804084109980001 VINA SEFTIYANA
123 P-F49V3VD2 1871082909850003 HENDRA WIJAYA
124 P-E66MYN6W 1871082508870003 RUSTAM NAWAWI
2 125 Z-000A2B6N 1871081505840014 SYAIFULLAH
2 126 Q-000S438A 1871085910970003 OKY MEILANI
2 127 Q-000S8MUQ 1871081004750002 IRWAN VIRAHIDAYAT
128 P-QPDI1CKZ 1871075404760008 SITI KOMARIYAH
2 129 Q-000S3WLK 1871082506700005 ISNAENI SP
2 130 Q-000S4VUK 187108500620003 SRI RAHAYU

2 131 Q-000S6321 1871091504030004 NICHOLAS ANDREW
2 132 Q-000S4QPF 1871081103000007 DONI SAPUTRA
2 133 Q-000S93FV 1871072106660003 MUHAMMAD AZI
2 134 Q-000S4GG 1871082511690002 SAHLAN
2 135 Q-000S718S 1871086702020007 DIAN FEBI YANTI
2 136 Q-000S3D1X 1871084208970002 AGUSTIA NINGSIH
2 137 Q-0000S817T 1871091506970001 DENI IRAWAN
138 P-G66LJP53 1871082304720004 MAHMUDIN
139 P-G1FEE41V 1871090706020002 AJAY
2 140 Q-000S5TGE 1871085111010003 MEGA ANJANI
2 141 Q-000S5JB 1871084607850007 RATNA SINTA
2 142 Q-000S4RIR 1871055803040003 MARCHIELLA EMILIA
2 143 Q-000S5JIZ 1871084201000005 AYU LESTARI
2 144 Q-000SAG6H 1871075207820009 SRI ASTUTI
2 145 Q-000S7RN8 1871084702840007 SARI HERLITA
2 146 Q-000RER0P 1871082607040002 M KESUMA WARDANU
2 147 Q-000S3307 1871084309810003 SULASIH

2 148 Q-000S7PXS 1871086803800003 HERAWATI
2 149 Q-000S5BXI 1871086412680001 MARYANI
2 150 Q-000S4AHO 1871084408860003 YULIANA
2 151 Q-000S438H 1871085006750012 LATIFAH
2 152 Q-000S438J 1871084308710001 MUTIAH
2 153 Q-000S811M 1871080706940003 JAYASENA
2 154 Q-000RAXFA 1871070301060003 NEVIN THANG
2 155 Q-000S303N 1871081707760004 SYAHRIAL MAHYUDIN
2 156 Q-000S5J20 1871086207810001 YULI PUSPITA
2 157 Q-000S6WZ1 3302034611890001 NOVIANI ROSMALIAH
2 158 Q-000S5TGK 1871082306790001 DAVID SIREGAR
2 159 K-0000XR4D 1871087012630005 SAROKHMAH
2 160 Q-000S5J2C 1871086102640001 ERLENA
2 161 Q-000S4VUN 1871085406930008 SELVIA ANGGRAINI
2 162 Q-000S4QPH 1871094606030002 EKA MAURA
2 163 K-0000XVJ9 1871085008820009 AGUSTIATIN
2 164 Q-000S5LVG 1871122903050001 JAMES JEFFERSON

2 165 Q-000S4AGJ 1871086608000001 SEKAR SETIA
2 166 Q-000S4J90 1871084503670004 MARIANA
2 167 Q-000S5J1U 1871081703950002 MARTIN ALEXANDER
2 168 Q-000S6MOC 1871080204740008 M SAHRI
2 169 Q-000S93J4 1871084209020001 SEPTIANI
2 170 Q-000S71AN 1810045204940003 PRISKA PRILIANA
2 171 Q-000S1VMV 1871055910940003 METANI ADY
2 172 Q-00051WD3 1871085007040002 INGGRIED L YUDHA
2 173 Q-000S1WD6 1871050702030006 PEDRO HOCIANTE
2 174 Q-000S1VI0 1871056802060004 NETHAYA CAITLIN
2 175 Q-000S1YDC 1871050807090004 NATHAN DERWENT
2 176 Q-000S8V2S 1871071612080004 VIKENZO LEWIS
2 177 Q-000S1XBC 1871070306060001 KIRANA CHANDRA
2 178 Q-000S1UY0 3241031010080006 BODHI KIRANA
2 179 Q-000S1YDE 1871197011070001 NOURISKA VIOLETA
2 180 Q-000S1YDD 1871194108010001 PUTRI ANGELICA
2 181 Q-000S1UY1 1871074808820018 YULIANA

2 182 Q-000S1VMV 1871072010710004 EFENDI
2 183 Q-000S1UHZ 1871094410710002 HERIYATI
184 P-ISUPEYEO 1871081605990005 IRFAN AMANDA S
2 185 Q-00000EYS 1803100107860091 EDY SUSENO
2 186 Q-0000SX60 1871080812630003 SAMSUDIN
2 187 Q-000S8V2S 1871082710810003 AHMAD KHOTIB
188 s-2d6726a2 1871052312580002 AMRIL
189 S-5C6D19CA 1871056707580005 ENSMASWATI
190 Q-000S4VUQ 1871080211760001 SAIFULLAH
191 P-KNQVYNNB 1871084511830003 ITA HERNITA
192 p-kp4fq2cv 1871081607030001 ARIAN
193 P-KUUDAVBG 1871081007870010 JULIANSYAH
194 P-KWCOYKAV 1871085002780007 SUHAYAH
195 P-KYKB1YUA 1871086407750004 SUTARTI
196 P-LBJIYETL 1871086305940008 SETIA WATI
197 P-LDPLCH53 1809025509880003 MERAWATI
198 S-FIF6FC78 1871084108600001 MINAH

199 P-LP92I1AG 1871074408840009 SITI AMINAH
200 P-LLFNX5MK 1871080301940001 SAMIN
2 201 q-000s3po7 1871081206660006 JAYADI
202 S-F6D8E30C 1871071303740004 BASUNI
203 P-6PQM6788 1871076206040002 INDI FADIA
204 P-6HTV8KOY 1871084407020004 TIARA
2 205 Q-000S4AH3 1871084608990010 RIKA AISYA
2 206 Q-00058GYJ 1871081406040001 MUHAMMAD FAKHRI
2 207 Q-000S303P 1871085307750003 ANITA MINARNI
2 208 Q-000S39SV 1871085302750003 WINARNI
209 S-EBDB7BE2 1871082108400001 NGADIPAN
210 P-6ETUTBVI 1871056311890005 DWI SURYANI
211 P-651004N5 1871085508430002 M. ALYAN
212 P-75215O55 1871084305890003 MELIYANA
2 213 Q-000S4AGQ 1871082110630001 INTAN SINAR
214 P-74KQVQM7 1871081203830011 TRI HERMANTO
215 P-7BE13QXR 1871084210020004 RIA NITA

216 P-7BW2C4MD 18710863502740003 BETI
217 P-790ZGWXN 18710095207910006 MASRIKAH
2 218 Q-000S438D 1871081502620001 S BUDHY ATMAJA
219 P-810RJID8 1871084609710002 SITI HASANAH
220 P-7WQF9QYO 1871081307990002 AHMAD KURNIA
221 P-7YMRAG24 1871085905010001 WIWIN SUHERLINA
222 P-8WZ8ZCDI 1871084502790002 SUSILAWATI
2 223 Q-000S68EL 1871085012780005 ERNAWATI
224 P-82GFOT1J 1871082709830004 DEDI SETIAWAN
2 225 Q-000S68EJ 1871081006710002 MUHAMMAD AMIN
226 P-61Z0L7FV 1871085502860001 AMINAH
227 P-7O70H9HT 1871080704650004 DINO ISKANDAR
228 P-6DNK7VIN 1871081708820018 ASLAK
229 P-7QLKN3Q5 11031751118600001 FADHILLAH
230 P-6AF9E5O3 1871086310810003 MALINI M
231 P-8Q22XA7J 1871085305700002 ARWANI
232 P-8XDOQK2D 1871080602700001 GIMAN

233 P-92TZM6JV 1871080204610002 ROHMAN ROHIM
2 234 Q-000S3MK3 1871085401870003 ERNA SERMONTA
2 235 Q-000S4QRJ 1871085005670004 SITI AMISAH
2 236 Q-000S3MK2 1871086805990004 ADE RADITA
2 237 Q-000S6XU6 1871085802980001 YOLA RISMA
2 238 Q-000S3BM 1871082602830001 JESTON FRENGKI
2 239 Q-000S3D1Z 1871085107930002 EVINA ATHA
240 P-7S25RBT0 1871084104750007 SARINAH
2 241 Q-000S3OAW 1871134411660003 NURNIS
2 242 Q-000S30AD 187106474940002 PUTRI INDAH
243 P-AL15YSC1 1817094101830011 ARSIH
244 P-7VS6VE7R 1871086404620002 RUMINAH
245 P-9XJPHCLA 1871084311960004 ELLYSIA REZA
246 P-9W4THCFG 1871085708860011 RISKA
2 247 Q-000S4J96 1871086411670001 SRI ROHAYATI
248 P-3A3APFXBU 1871094506980002 WINDY DIYAH
249 P-800EGNP5 1871085203840009 LILIS SURYANI
250 P-AG883YHR 1871090109900005 ACHMAD

2 251 Q-00S3Z8P 1871024702080002 CALLUELLA MUYO
252 P-9SZRTZ6Z 1871080109880001 SUHERMAN
253 P-64AFYBXA 187108440290003 HERNAWATI
254 P-5NOTZKDL 1871085708750007 RUPIAH
255 P-6KRYR2HV 1871085506880006 ARTINI
2 256 Q-000S4MGY 1871086901030001 ANNISA PUTRI
2 257 Q-000S4C9L 1871080902840003 EKO HERMANTO
258 P-6AXPMI0X 1871086103820004 OYAH
259 P-APR185NG 1871085209870003 AMANAH
2 260 Q-000S438P 1871084210010003 DWI ASTUTI
2 261 Q-000S5TH2 1871084101650011 ANA
2 262 Q-000RCDWW 1871056811020004 NOVA RAHMADAYANTI
2 263 Q-00053WLQ 1871080908760004 MUHAMAD ALI
2 264 Q-0005438R 1871084410000001 PUSPITA CAHYANI
265 P-3QOEJN5B 1871091906630001 SYAMSUDIN
266 P-AYER01UZ 1871082512880005 DEDI RIZKY
267 P-BNZZDWKC 1871081709970004 WAHYUDI
2 268 Q-000S438N 1871085608770005 AGUSTINA

2 269 Q-000S3PO8 1871084812730001 SALBIAH
2 270 Q-000S3FA2 1871121102040002 BINTANG RIZKY
2 271 K-0000XWK 1871080503030008 DANDI SATRIA
2 272 Q-000RC68N 1871172810050001 TRISTAN THEO
273 P-GDUHALTD 1871060402930002 TAUFIK KURROHMAN
274 P-BJM6VV3Y 1871084407880003 ROHMA WATI
2 275 Q-000RBPGN 1871174108070001 FREYA THEO
2 276 Q-000S4J9G 1871081005660008 MAYENDRI
277 P-M0LI52FY 1871085703630009 ROISAH
278 P-DA14JQ5H 1871080203870004 NURZEN
279 P-CFA8WUHC 1871081209900002 IMAM KUSWANTORO
2 280 Q-000S4J9B 1871090606940005 MUHAMMAD MUCHLISIN
281 P-6JAP28R6 1871086906940005 INDAH AMALIAH
282 P-CWCGUPHT 1871081308990003 AGUS KURNIA AZIS
283 P-E3JH7IR6 1871086104990006 ROSSY
284 P-E1O1TWM1M 1871087107910001 YULIANTI
285 P-DTQNB0DJ 1871082803890001 EKO MAHENDRA
286 P-EADFTH6B 1304012007920003 RIKI ADE

287 J-0000TTQ5 1871085511030001 KHAIRUNNISA KHAIRI
2 288 Q-000S3MK5 1871084610970001 ANIS OKTAVIANI
2 289 Q-000S8NCV 1804052703730001 DARWANTO
2 290 Q-000S53BG 1871081111970004 NOVI RIYANTO
2 291 Q-000S4X5S 1871082307890002 HARLI DAVITSON
2 292 Q-000REWKN 1871082607040001 M KESUMA WARDANA
2 293 Q-000SBH34 1871134608070004 FANIA SABILA
2 294 Z-0009Z56Z 1871087008010002 ERILINDA FATIMAH
2 295 1871092909890003 RYAN SANUGROHO

Q-000L4WWS
2 296 Q-000L4WWS 1871136103780001 LENI MARINI
2 297 1871136209030003 VANESYA ADELA

Q-000S8G9C
2 298 1871082710810003 AHMAD KHOTIB

Q-000S8V2S
2 299 Q-000s811M 1871080706940003 JAYASENA
2 300 Q-000s4385 1871084308710001 MUTIAH
2 301 Q-000S438H 1871085006750012 LATIFAH
2 302 Q-000S4AH0 1871084408860003 YULIANA
2 303 Q-000S303N 1871081707760004 SYAHRIAL MAHYUDIN

2 304 Q-000RAXFA 1871070301060003 NEVIN THANG
2 305 Q-000S5J20 1871086207810001 YULI PUSPITA
2 306 Q-000S6WZ1 3302034611890001 NOVIANI ROSMALIAH
2 307 Q-000S5TGK 1871082306790001 DAVID SIREGAR
308 P-HYO52JUG 1871111907840004 AGUS RAHMA
309 P-HTYEB5X2 1871021709800006 ARIF RACHMAN
310 P-J4AULNM2 1871010706980004 ADE DANI
311 P-JE3NZA0A 1871101606840003 AGUNG PRASTOWO
2 312 Q-0015FY1Y 1801185103930008 RAMA NURETA
313 P-JM3O2E3I 1871071708650017 IIN HERMANTO
314 P-JZ07UBJK 1871070903040002 ADITIA
2 315 Q-000OMH8 1871095911970006 ADE SAFITRI
316 P-KGH758VH 1871052701690004 ABDULAH FATAHILAH
317 P-KJ466ZJI 1871090612030002 FINDO DAFIANDO
318 P-SDJ44U43 1871080108040005 AGUS TRIYADI
319 P-KN0578PI 1871075205970004 ADE OKTAVIYANI
320 P-1OG4RRDR 1871081505020002 AHMAD IBNU

321 P-KMNTKEHL 1871076706820010 SUMANI
322 P-KLWWT9YD 1809051112030002 DODI ANGGARA
323 P-P07W0FRZ 1871045909960004 RIZKI SELVIANA
324 P-KR5EIQJI 1871084502870006 KUSWATI
325 P-KQZBPMW4 1871084101830007 SITI ROSIDAH
326 P-KRWRX5VZ 1871081607910009 M BUDIMAN MANDALA
327 P-KQ5JRKBH 1801135910930003 MELINDA
328 P-KT9EDN32 1871085911800003 SITI MALICHAH
329 P-KUGPM2KI 1871082208700002 HADI PURWANTO
330 P-KVMYY214 1871016909910005 LISNAWATI
331 P-KX4DIQ7F 1871085605740003 SAIDAH
332 P-KXVOGWIH 1871082406050001 AHMAD MASRULLAH
333 P-L1116AQGX 1871081612820002 SOPYAN
334 1871086203810003 RINA

P-KZK56W8K
335 S-BF7E0FEA 1871080404580002 ABDUL ROZAK
336 P-LCW1TE0J 1871085312640001 AMINAH

A = Petugas Medis dan Non Medis di Fasilitas Pelay B = Lainnya (Mohon disebutkan jenis vaksin yang d
D = Lainnya
E = Tidak Bekerja
Kelompok Umur:
18-30 106
31-45 121
46-59 77
≥ 60 tahun 15
Total 319
Pekerjaan:
A 0
B 0
C 0
D 336
E 0
Total 336
FORMAT PENCATATAN
TINGKAT PUSKESM
Jenis Umur
Pekerjaan* Tanggal Lahir Kelompok Umur
Kelamin (18 sd ≥ 60 tahun)
L D 01/06/1952 70 ≥60
L D 05/05/1986 37 31-45
P D 1/9/1964 31 31-45
P D 08/09/1985 33 31-45
P D 2/20/1977 46 46-59
L D 06/10/1982 33 31-45
L D 5/17/1972 51 46-59
L D 25/08/2003 34 31-45
P D 07/06/1977 47 46-59
P D 03/03/1985 36 31-45
P D 02/11/1988 41 31-45
P D 29/04/1985 42 31-46
L D 15/05/1953 48 46-59
P D 4/18/1992 31 31-45
P D 6/15/1980 42 31-45
L D 11/07/1966 56 46-59
L D 14/08/1987 35 31-45
L D 26/11/2003 19 18-30
P D 29/06/1980 42 31-45
L D 6/19/1993 29 18-30
P D 1/11/1985 38 31-45
P D 6/2/1979 43 31-45
P D 21/08/1975 47 46-59
P D 11/12/1983 39 31-45
P D 12/11/1996 26 18-30
P D 31/01/1968 55 46-59
P D 11/05/1989 34 31-45
L D 28/11/1976 46 46-59
P D 4/7/2003 20 18-30
L D 12/06/1975 47 46-59
P D 04/05/1981 42 31-45
P D 1/25/2005 18 18-30
P D 01/06/1984 38 31-45
P D 14/07/1975 47 46-59
P D 9/22/1997 25 18-30
L D 18/07/1976 46 46-59
P D 5/11/1975 48 46-59
P D 5/7/2001 22 18-30
P D 1/1/1968 55 46-59
L D 8/20/1988 34 31-45
P D 06/12/1957 65 ≥60
L D 01/07/1967 55 46-59
P D 6/18/1982 40 31-45
P D 10/10/1979 43 31-45
P D 4/28/1988 35 31-45
P D 7/5/1997 25 18-30
L D 6/5/1959 63 ≥60
P D 5/10/1980 43 31-45
P D 12/09/1991 31 31-45
L D 29/06/1982 40 31-45
P D 6/10/1983 39 31-45
P D 15/05/1993 30 18-30
L D 8/23/1991 31 31-45
L D 7/6/1994 28 18-30
P D 12/24/1974 48 46-59
P D 29/01/1966 57 46-59
P D 12/09/1998 24 18-30
P D 9/29/1980 42 31-45
P D 7/23/1990 32 31-45
P D 11/14/2002 20 18-30
P D 5/25/1975 48 46-59
L D 7/1/1962 60 ≥60
P D 27/06/2000 22 18-30
L D 1/4/1983 40 31-45
L D 25/08/2001 21 18-30
P D 13/07/1974 48 46-59
P D 4/16/1964 59 46-59
P D 4/12/1997 26 18-30
P D 8/26/1988 34 31-45
L D 6/2/2002 20 18-30
L D 17/09/1986 36 31-45
L D 4/2/1961 62 ≥60
P D 7/1/2005 17 0
P D 9/24/1985 37 31-45
L D 8/2/1985 37 31-45
L D 7/28/2000 22 18-30
P D 8/24/1969 53 46-59
L D 5/27/1958 65 ≥60
L D 09/06/2003 19 18-30
P D 14/05/1982 41 31-45
P D 06/09/1984 38 31-45
L D 20/08/1968 54 46-59
L D 17/10/1982 40 31-45
L D 7/11/1985 37 31-45
P D 10/08/1967 55 46-59
L D 3/17/1982 41 31-45
P D 17/08/1982 40 31-45
P D 29/05/1996 27 18-30
L D 06/12/1992 30 18-30
P D 16/05/1968 55 46-59
L D 27/01/2001 22 18-30
L D 9/17/2006 16 0
P D 8/25/1974 48 46-59
L D 6/6/1977 45 31-45
P D 08/03/1981 42 31-45
P D 3/17/1988 35 31-45
P D 2/10/1983 40 31-45
P D 9/19/1989 33 31-45
P D 12/21/1967 55 46-59
L D 4/5/1997 26 18-30
L D 3/1/1969 54 46-59
P D 08/08/1962 60 ≥60
P D 12/05/1989 34 31-45
L D 7/21/1996 26 18-30
L D 3/18/1982 41 31-45
L D 15/06/1980 42 31-45
L D 05/09/1980 42 31-45
L D 26/12/1967 55 46-59
P D 03/12/1997 25 18-30
P D 12/23/1984 38 31-45
L D 28/04/2003 20 18-30
L D 12/12/1995 27 18-30
P D 8/31/1995 27 18-30
L D 25/06/1980 42 31-45
P D 11/04/2002 21 18-30
P D 17/06/1981 41 31-45
P D 08/04/2005 18 18-30
P D 23/09/2002 20 18-30
P D 5/2/1998 25 18-30
L D 06/07/1999 23 18-30
P D 8/6/1968 54 46-59
P D 01/09/1998 24 18-30
L D 9/29/1985 37 31-45
L D 8/25/1987 35 31-45
L D 5/14/1984 39 31-45
P D 10/19/1997 25 18-30
L D 10/04/1975 48 46-59
P D 4/14/1976 47 46-59
P D 6/25/1970 52 46-59
P D 10/08/1962 60 ≥60
L D 15/04/2003 20 18-30
L D 3/11/2000 23 18-30
L D 21/06/1966 56 46-59
L D 11/25/1969 53 46-59
P D 27/02/2002 21 18-30
P D 02/08/1997 25 18-30
L D 15/06/1997 25 18-30
L D 4/23/1972 51 46-59
L D 6/7/2002 20 18-30
P D 11/11/2001 21 18-30
P D 06/07/1985 37 31-45
P D 18/03/2004 19 18-30
P D 02/01/2000 23 18-30
P D 12/07/1982 40 31-45
P D 07/02/1984 39 31-45
L D 7/26/2004 18 18-30
P D 03/09/1981 41 31-45
P D 28/03/1980 43 31-45
P D 24/12/1968 54 46-59
P D 8/4/1986 36 31-45
P D 6/10/1975 47 46-59
P D 8/3/1971 51 46-59
L D 07/06/1994 28 18-30
L D 03/01/2006 17 0
L D 17/07/1976 46 46-59
P D 22/07/1981 41 31-45
P D 06/11/1989 33 31-45
L D 23/06/1979 43 31-45
P D 12/30/1963 59 46-59
P D 21/02/1964 59 46-59
P D 14/06/1993 29 18-30
P D 6/6/2003 19 18-30
P D 10/08/1982 40 31-45
L D 29/03/2005 18 18-30
P D 8/26/2000 22 18-30
P D 3/5/1967 56 46-59
L D 17/03/1995 28 18-30
L D 02/04/1974 49 46-59
P D 02/09/2002 20 18-30
P D 12/04/1994 29 18-30
P D 19/10/1994 28 18-30
L D 10/07/2004 18 18-30
L D 2/7/2003 20 18-30
P D 2/28/2006 17 0
L D 7/8/2009 13 0
L D 16/12/2008 14 0
L D 6/3/2006 16 0
L D 10/10/2008 14 0
P D 30/11/2007 15 0
P D 01/08/2001 21 18-30
P D 08/08/1982 40 31-45
L D 20/10/1971 51 46-59
P D 04/10/1971 51 46-59
L D 16/05/1999 24 18-30
L D 01/07/1986 36 31-45
L D 08/12/1963 59 46-59
L D 27/10/1981 41 31-45
L D 23/12/1958 64 ≥60
L D 19/12/1997 25 18-30
L D 02/11/1976 46 46-59
P D 05/11/1983 39 31-45
L D 16/07/2003 19 18-30
L D 7/10/1987 35 31-45
P D 2/10/1976 47 46-59
P D 7/24/1975 47 46-59
P D 5/23/1994 29 18-30
P D 9/15/1988 34 31-45
P D 01/08/1960 62 ≥60
P D 8/4/1984 38 31-45
L D 03/01/1994 29 18-30
L D 6/12/1966 56 46-59
L D 13/03/1974 49 46-59
P D 22/06/2004 18 18-30
P D 04/07/2002 20 18-30
P D 8/6/1999 23 18-30
L D 14/06/2004 18 18-30
P D 7/13/1974 48 46-59
P D 13/02/1975 48 46-59
L D 21/08/1940 82 ≥60
P D 23/11/1989 33 31-45
L D 15/08/2005 17 0
P D 03/05/1989 34 31-45
P D 10/21/1963 59 46-59
L D 12/03/1983 40 18-30
P D 02/10/2002 20 18-30
P D 23/02/1974 49 46-59
P D 12/07/1991 31 31-45
L D 2/15/1962 61 ≥60
P D 06/09/1971 51 46-59
L D 13/07/1999 23 18-30
P D 19/05/2001 22 18-30
P D 05/02/1979 44 31-45
P D 10/12/1978 44 31-45
L D 9/27/1983 39 31-45
L D 10/06/1971 51 46-59
P D 15/02/1986 37 31-45
P D 07/04/1985 38 31-45
L D 17/08/1982 40 31-45
P D 11/11/1989 33 31-45
P D 23/10/1981 41 31-45
P D 13/05/1970 53 46-59
L D 06/02/1970 53 46-59
L D 06/06/1969 53 46-59
P D 1/14/1987 36 31-45
P D 5/10/1967 56 46-59
P D 5/28/1999 24 18-30
P D 18/02/1998 25 18-30
L D 26/02/1983 40 31-45
P D 7/11/1993 29 18-30
P D 01/04/1975 48 46-59
P D 04/11/1966 56 46-59
P D 07/04/1994 29 18-30
P D 1/1/1983 40 31-45
P D 4/24/1962 61 ≥60
P D 11/3/1996 26 18-30
P D 8/17/1986 36 31-45
P D 24/11/1967 55 46-59
P D 05/06/1998 24 18-30
P D 3/12/1984 39 31-45
L D 9/1/1990 32 31-45
P D 2/7/2008 15 0
L D 9/1/1988 34 31-45
P D 2/4/1990 33 31-45
P D 8/17/1975 47 46-59
P D 15/06/1988 34 31-45
P D 1/29/2003 20 18-30
L D 2/9/1984 39 31-45
P D 21/03/1982 41 31-45
P D 9/12/1987 35 31-45
P D 10/22/2001 21 18-30
P D 01/01/1965 58 46-59
P D 11/28/2002 20 18-30
L D 8/9/1976 46 46-59
P D 10/4/2000 22 18-30
L D 9/12/1987 35 31-45
L D 12/25/1988 34 31-45
L D 9/17/1997 25 18-30
P D 8/16/1977 45 31-45
P D 12/8/1973 49 46-59
L D 2/11/2004 19 18-30
L D 05/03/2003 20 18-30
L D 10/28/2005 17 0
L D 2/4/1993 30 18-30
P D 7/4/1988 34 31-45
P D 8/1/2007 15 0
L D 10/05/1966 57 46-59
P D 3/17/1963 60 ≥60
L D 3/2/1987 36 31-45
L D 9/12/1990 32 31-45
L D 06/06/1994 28 18-30
P D 6/29/1994 28 18-30
L D 13/08/1999 23 18-30
P D 21/04/1999 24 18-30
P D 7/31/1991 31 31-45
L D 28/03/1989 34 31-45
L D 7/20/1992 30 18-30
P D 15/11/2003 19 18-30
P D 10/16/1997 25 18-30
L D 27/03/1973 50 46-59
L D 13/11/1997 25 18-30
L D 23/07/1989 33 31-45
L D 26/07/2004 18 18-30
P D 06/08/2007 15 0
P D 30/08/2001 21 18-30
L D 9/29/1989 33 31-45
P D 21/03/1978 45 31-45
P D 22/09/2003 19 18-30
L D 27/10/1981 41 31-45
L D 07/06/1994 28 18-30
P D 8/3/1971 51 46-59
P D 6/10/1975 47 46-59
P D 8/4/1986 36 31-45
L D 17/07/1976 46 46-59
L D 03/01/2006 17 0
P D 22/07/1981 41 31-45
P D 06/11/1989 33 31-45
L D 23/06/1979 43 31-45
L D 19/07/1984 38 31-45
P D 17/09/1980 42 31-45
L D 07/02/1999 24 18-30
L D 6/16/1984 38 31-45
P D 11/03/1993 30 18-30
P D 8/17/1965 57 46-59
L D 09/03/2004 19 18-30
P D 19/11/1997 25 18-30
L D 27/01/1969 54 46-59
L D 06/12/2003 19 18-30
L D 01/08/2004 18 18-30
P D 25/01/1997 26 18-30
L D 15/05/2002 21 18-30
L D 6/27/1982 40 31-45
L D 08/11/2003 19 18-30
L D 9/17/1996 26 18-30
L D 2/5/1987 36 31-45
P D 1/1/1983 40 31-45
L D 7/16/1991 31 31-45
P D 10/19/1993 29 18-30
P D 11/19/1980 42 31-45
L D 22/08/1970 52 46-59
P D 9/29/1991 31 31-45
P D 5/16/1974 49 46-59
L D 6/24/2005 17 0
L D 18/12/1982 40 31-45
P D 22/03/1981 42 31-45
L D 04/04/1958 65 ≥60
P D 13/12/1964 58 46-59
disebutkan jenis vaksin yang diterima Puskesmas/Faskes)

Kepesertaan BPJS
BPJS PBI 129
BPJS Non PBI 105
Non Anggota 107
Total 341
Pemberian Dosis
Dosis 1 180
Dosis 2 156
Dosis 3 0
Total 336
PENCATATAN PELAKSANAAN VAKSINASI COVID-19
GKAT PUSKESMAS/FASYANKES/POS VAKSINASI
Alamat No. Hp
BAKUNG 085768513203 YA
KURIPAN 085208862501 YA
KURIPAN 085279644661
BAKUNG 083171763346
KURIPAN 0895416681155 YA
BAKUNG 0895416732300 YA
KURIPAN 085273422427 YA
BAKUNG 089631023271
BAKUNG 089624490669 YA
BAKUNG 089631962416
BAKUNG 088268141892
BAKUNG 089528722763 YA
BAKUNG 081278411096 YA
KURIPAN 083177105698 YA
KURIPAN 083176852298
KURIPAN 085269720202 YA
KURIPAN 081369475678 YA
KURIPAN 081270934893 YA
KURIPAN 088267158202 YA
BAKUNG 0895601646070 YA
KURIPAN 0895324310461 YA
KURIPAN 083160993311
KURIPAN 081272815972 YA
BAKUNG 082179591042 YA
KURIPAN 081288062269
BAKUNG 083160166489
BAKUNG 0895372791079 YA
BAKUNG 089639270652 YA
KEDAMAIAN 08117229922
NOG 089522011137
BAKUNG 085357936176 YA
KEDAMAIAN 08117211179
BAKUNG 08 YA
BAKUNG 0895323443020 YA
SUKARAME 2 085709374746 YA
KURIPAN 085669697426
KURIPAN 089561287549 YA
BAKUNG 0895414166005
KURIPAN 082282527722 YA
KURIPAN 082383907157
KURIPAN 082278042709 YA
KURIPAN 0895345152443 YA
KURIPAN 0895335020009 YA
KURIPAN 089504990111 YA
BAKUNG 08994268978 YA
BAKUNG 087894790763
BAKUNG 085279739671 YA
KOTA KARANG 085788690095
BAKUNG 083813990757 YA
BAKUNG 089634127243 YA
BATU PUTUK 085758237513
BATU PUTUK 085788162342 YA
BAKUNG 0895605447781
BAKUNG 081369086729 YA
KURIPAN 088274392267 YA
BAKUNG 085746268184
BAKUNG 089648805821 YA
BAKUNG 085840634331 YA
BAKUNG 081369086729
BAKUNG 089521388326
BAKUNG 082186558000
BAKUNG 0895600645070 YA
BAKUNG 085379667534
BAKUNG 083801739063 YA
KURIPAN 081248107770 YA
WAY LUNIK 081369754009
BAKUNG 089651634616 YA
PANJANG 081369754009
BAKUNG 088747477509 YA
SUKARAME 082289973321 YA
BAKUNG 089631585111 YA
KURIPAN 0895323490606 YA
BAKUNG 089636306738
NOG 081242213899 YA
BAKUNG 081273340889 YA
KURIPAN 089626357578 YA
BAKUNG 0895353292145
NOG 089625209092 YA
BAKUNG 081379352702 YA
BAKUNG 087871811222
BAKUNG 082185514003 YA
BAKUNG 082176333389 YA
BAKUNG 089524376276 YA
BAKUNG 08154055209 YA
BAKUNG 08983310678 YA
BAKUNG 083179844664 YA
SINDANG ANOM 085366124456 YA
WAY HALIM 085102439999
KURIPAN 0895273352772 YA
KURIPAN 085367650323 YA
NOG 082375171511 YA
BAKUNG 089631964522 YA
BAKUNG 083183394224
BAKUNG 08992259166 YA
BAKUNG 082289956559 YA
BAKUNG 0816222304
BAKUNG 085378576881
BAKUNG 0895342415891 YA
TJ BINTANG 083890313611
TJ RAJA 082177382216 YA
BEKRI 082175914061 YA
BANJAR MARGO 085367164482 YA
KURIPAN 081271199321 YA
KURIPAN 0895353910230 YA
SUMUR BATU 089614460355 YA
BAKUNG 085709011882
BAKUNG 082281437949 YA
BAKUNG 083168427308 YA
SUKARAME 081379800380
BAKUNG 0895335016050
BAKUNG 0895600027568 YA
WAY HALIM 089630429738
BAKUNG 08994299984 YA
KURIPAN 08153950983
KURIPAN 08969111309
KURIPAN 082150633090 YA
SEKINCAU 08
KURIPAN 089663421120 YA
BAKUNG 087899170317
KURIPAN 0812743367171
BAKUNG 0895341774652
BAKUNG 081379348000
BAKUNG 081540887910 YA
BAKUNG 085100793466 YA
BAKUNG 089507975405 YA
TBU 082186945075 YA
KURIPAN 0895605836952 YA
TBS 081272829155 YA
BAKUNG 082306074360 YA
KURIPAN 0895366087413
KURIPAN 089633496545 YA
BAKUNG 08972553172 YA
BAKUNG 082176755899 YA
TBU 089633830837 YA
KURIPAN 089627000024
KURIPAN 083180433112
TKT 085279226681
KURIPAN 081367409670 YA
KURIPAN 088287046519 YA
BAKUNG 081369137883 YA
NOG 0895630459393 YA
KURIPAN 083169836351 YA
KURIPAN 085377935511 YA
KURIPAN 089524470902
BAKUNG 083129080527
BAKUNG 085279266694 YA
BAKUNG 089531486833 YA
BAKUNG 089692802518 YA
PESAWAHAN 081369765204
KURIPAN 0817741363770 YA
KURIPAN 082377255598 YA
KURIPAN 085781640063
KURIPAN 082377255598 YA
KURIPAN 085384282211
KURIPAN 083896999940 YA
BAKUNG 089507975465 YA
KURIPAN 0895640083780
BAKUNG 088276745344 YA
WAY HALIM 081272248546

BAKUNG 089523658136 YA
BAKUNG 082279708759 YA
KURIPAN 08985333584
KURIPAN 082179879074 YA
KOTA KARANG 089634013778 YA
KEMILING 085266867591
TKT 081368442488 YA
TBT 081991401009
BUMI WARAS 082133613830 YA
KEDAMAIAN 08117280206 YA
TBS 082289182828 YA
BAKUNG 082123150101 YA
PERWATA 089632129445 YA
PERWATA 089517847022 YA
TBU 085664905674 YA
TBU 085279472005 YA
TBU 082175967576 YA
BAKUNG 0895346289972 YA
JL SRI KRESNA 0813666057212
SUKARAME 2 081365556466 YA
KURIPAN 081369729787
NUNYAI 081271696030
BAKUNG 088286639495 YA
BAKUNG 081532164617 YA
BAKUNG 085267924499 YA
BAKUNG 081369559317 YA
BAKUNG 085273397646 YA
BAKUNG 085268227673 YA
BAKUNG 08876534473
BAKUNG 085384225645 YA
BAKUNG 083191421537
KURIPAN 081373047976 YA
BAKUNG 082245055108 YA
BAKUNG 082372866015
BAKUNG 088268053937 YA
BAKUNG 088269191061 YA
BAKUNG 089630514489 YA
KURIPAN 0895621632002
BAKUNG 081373048416 YA
KURIPAN 0895343207448
KURIPAN 085789955666 YA
KURIPAN 081272474215 YA
BAKUNG 085269332000 YA
KURIPAN 082182857285
KURIPAN 0895344180436
BAKUNG 0895601646070 YA
KURIPAN 089696435730 YA
KURIPAN 0895395906513
KURIPAN 0895395906513 YA
BATU PUTUK 082269051031
BAKUNG 0895601646070 YA
KURIPAN 088276326874
BAKUNG 083801739063
BAKUNG 0895609724557 YA
NOG 089522011137 YA
KURIPAN 085879979189
KURIPAN 0887437043100
KURIPAN 081379759357 YA
BAKUNG 083803794094
BAKUNG 083160166489
BAKUNG 083803794094
BAKUNG 082367024654 YA
BAKUNG 085269390888 YA
BAKUNG 081369176174 YA
PERWATA 082375950719 YA
BAKUNG 085366884363 YA
KURIPAN 082280201550 YA
BAKUNG 089630687646 YA
KURIPAN 082184367796 YA
KURIPAN 081369258885 YA
KURIPAN 089687024474 YA
BAKUNG 0895609724557 YA
KURIPAN 089626367967 YA
BAKUNG 081271628060 YA
KURIPAN 089630377952 YA
BAKUNG 085840634331 YA
BAKUNG 085279974644 YA
BAKUNG 089631918035 YA
BATU PUTUK 085758237513

SUKARAME 082278082466 YA
BAKUNG 085840634331 YA
BAKUNG 088287500875 YA
KURIPAN 089514987964 YA
BAKUNG 085809963674 YA
BAKUNG 083809969465
BAKUNG 085279007743 YA
BAKUNG 089630514025 YA
KURIPAN 089670901110 YA
BAKUNG 0895330784359 YA
KURIPAN 089634263162 YA
KURIPAN 085380180221 YA
BAKUNG 0895616082527 YA
BATU PUTUK 085368056899
BAKUNG 089648805821
BAKUNG 0895372794292
BAKUNG 085783119399 YA
BAKUNG 089668709767 YA
BAKUNG 085788845483
NOG 08117282085
TANJUNG KARANG 082387811827 YA
BAKUNG 083152020580
NOG 08117902179
BAKUNG 082183070756 YA
BAKUNG 082167576620 YA
NOG 082179911082
BAKUNG 082186666458 YA
BAKUNG 083821008343 YA
BAKUNG YA
BAKUNG 089515508426 YA
BAKUNG 0895320455155 YA
BAKUNG 088272177100 YA
BAKUNG 082269329096 YA
BAKUNG 081212606196
BAKUNG 088706426221 YA
BAKUNG 089631961322 YA
KURIPAN 00895384344467 YA
BAKUNG 089634264725 YA
NOG 085326323795 YA
WAY HALIM 089628868372 YA
JAKARTA UTARA 0895324411142 YA
TBS 085367848326 YA
WAY HALIM 089505945038 YA
WAY HALIM 0895806056240 YA
KURIPAN 081369729787
BAKUNG 089692802518 YA
BAKUNG 089531486833 YA
BAKUNG 085279266694 YA
BAKUNG 083129080527
KURIPAN 0817741363770 YA
PESAWAHAN 081369765204
KURIPAN 082377255598 YA
KURIPAN 085781640063
KURIPAN 082377255598 YA
TANJUNG SENANG 0811720196 YA
WAY HALIM 08117202196
SEPANG JAYA 085838095974 YA
RAJABASA 081379409119 YA
MERBAU 085369816706
IKAN PAUS YA
BUMI WARAS 0 YA
KUPANG KOTA 085273667273 YA
BAKUNG 081379699927 YA
SUKARAME2 089632328253 YA
BAKUNG 085841240772
Bbakung 085883019283 YA
BAKUNG 089691859084 YA
BAKUNG 082372556029
SUKA BUMI 089517142127 YA
PANJANG 082377825520 YA
BAKUNG 082375888900 YA
BAKUNG 085267238445 YA
BAKUNG 089560640431 YA
BAKUNG 089612623447 YA
BAKUNG 087886489027
BAKUNG 081379999396 YA
BAKUNG 0813695519317 YA
BAKUNG 0895323485599 YA
BAKUNG 085369770019 YA
BAKUNG 081211047415 YA
BAKUNG 083168389785
BAKUNG 089637983044 YA
BAKUNG 08876534473
Pekerjaan
A 0
B 0
C 0
0
D 0
E 0
Total 0
COVID-19
NASI
a' pada kolom yang sesuai) Dosis I
Tanggal Nama/Jenis/
Screening Merek Vaksin***
Tanggal
Non Anggota Pemberian
Vaksinasi
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
YA 9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021

9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
7/6/2021 CORONAVAC 7/6/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021

9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021

9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021

9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 CORONAVAC 9/1/2021

9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
7/6/2021 CORONAVAC 7/6/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021

9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
8/24/2021 CORONAVAC 8/24/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
4/14/2021 CORONAVAC 4/14/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021

9/1/2021 COVID19 BIOFARMA 9/1/2021
YA 8/23/2021 CORONAVAC 8/23/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
YA 8/30/2021 CORONAVAC 8/30/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021

9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
8/30/2021 CORONAVAC 8/30/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021

9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
YA 8/30/2021 CORONAVAC 8/30/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021

9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021

9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
YA 8/19/2021 CORONAVAC 8/19/2021
8/23/2021 CORONAVAC 8/23/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021

9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 BIOFARMA COVID-1 9/29/2021
9/29/2021 BIOFARMA COVID-1 9/29/2021
9/29/2021 BIOFARMA COVID-1 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
YA 9/29/2021 BIOFARMA COVID-1 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 BIOFARMA COVID-1 9/29/2021

9/29/2021 BIOFARMA COVID-1 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 BIOFARMA COVID-1 9/29/2021
9/29/2021 BIOFARMA COVID-1 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021

9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021

9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
8/30/2021 CORONAVAC 8/30/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021

9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
YA 8/30/2021 CORONAVAC 8/30/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
YA 8/30/2021 CORONAVAC 8/30/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021

9/29/2021 COVID19 BIOFARMA 9/29/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
8/30/2021 CORONAVAC 8/30/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
8/30/2021 CORONAVAC 8/30/2021
8/5/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021

YA 8/30/2021 CORONAVAC 8/30/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/1/2021 COVID19 BIOFARMA 9/1/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
YA
9/29/2021 COVID19 BIOFARMA 9/29/2021
8/23/2021 CORONAVAC 8/23/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021

9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021
9/29/2021 COVID19 BIOFARMA 9/29/2021

Dosis I Dosis 2
Tanggal
No. Batch No. Serial Pemberian No. Batch
Vaksinasi
24005221 16264306208318 9/29/2021 20218142H
24005221 16264312593070 9/29/2021 20218142H
20218142H
20218142H
24005221 16264306403146 9/29/2021 20218142H
20218142H
24005221 16264306403146 9/29/2021 20218142H

20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
24005221 16264312802110 9/29/2021 20218142H
24005221 16264312802110 9/29/2021 20218142H
20218142H
24005221 16264312802110 9/29/2021 20218142H
20218142H
20218142H
24005221 16264306206290 9/29/2021 20218142H
20218142H
20218142H
24200321 16214815781944 9/29/2021 20218142H
20218142H
24005221 16264312593070 9/29/2021 20218142H
20218142H
20218142H
20218142H
24005221 16264312802110 9/29/2021 20218142H
20218142H
20218142H
24005221 16264312802110 9/29/2021 20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
24005221 16264312802110 9/29/2021 20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
24005221 16264306413130 9/29/2021 20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
24005221 16264306413442 9/29/2021 20218142H
24005221 16264306403146 9/29/2021 20218142H
24005221 16264306413130 9/29/2021 20218142H
24005221 16264306413442 9/29/2021 20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
24005221 16264306206290 9/29/2021 20218142H
20218142H
20218142H
20218142H
24005421 9/29/2021 20218142H

20218142H
24005221 16264306413442 9/29/2021 20218142H
20218142H
20218142H
24005221 16264306415174 9/29/2021 20218142H
20218142H
20218142H
20218142H
20218142H
20218142H
24200321 16214815781476 9/29/2021 20218142H
20218142H
20218142H
20218142H
24005221 16264312802110 9/29/2021 20218142H
24005221 16264312596362 9/29/2021 20218142H
24005221 16264312802734 9/29/2021 20218142H

20218142H
20218142H
20218142H
24005221 16264312596362 9/29/2021 20218142H
24005221 16264306403146 9/29/2021 20218142H
24005221 16264306206290 9/29/2021 20218142H
20218142H
20218142H
24004921 16255505174225 9/29/2021 20218142H
20218142H
20218142H
20218142H
20218142H
24001421 9/29/2021 20218142H
24005221 16264306413910 9/29/2021 20218142H
24005221 16264312802734 9/29/2021 20218142H
24005221 16264306208318 9/29/2021 20218142H
20218142H
24005221 16264306413130 9/29/2021 20218142H
24004921 9/29/2021 20218142H
20218142H
20218142H
24005221 16264306413442 9/29/2021 20218142H
20218142H
24005221 16264312802734 9/29/2021 20218142H
24005221 16264306413910 9/29/2021 20218142H
24005221 16264312596362 9/29/2021 20218142H
24202021 9/29/2021 20218142H
20218142H
20218142H
24005221 16264312802734 9/29/2021 20218142H
24005221 16264306206290 9/29/2021 20218142H
24005221 16264306410166 9/29/2021 20218142H
20218142H
24005221 16264306206290 9/29/2021 20218142H
24005221 16264306208318 9/29/2021 20218142H

24005221 16264306413910 9/29/2021 20218142H
24005221 16264306413130 9/29/2021 20218142H
24005221 16264306415174 9/29/2021 20218142H
24005221 16264306403146 9/29/2021 20218142H
24005221 16264306413442 9/29/2021 20218142H
24005221 16264312802110 9/29/2021 20218142H
24005221 16264306410166 9/29/2021 20218142H
20218142H
20218142H
24005221 16264306413910 9/29/2021 20218142H
24005221 16264306413910 9/29/2021 20218142H
24005221 16264306208318 9/29/2021 20218142H
24005221 16264306413910 9/29/2021 20218142H
24005221 16264306415174 9/29/2021 20218142H
24005221 16264306410166 9/29/2021 20218142H
24001421 9/29/2021 20218142H
24005221 16264312593070 9/29/2021 20218142H

24005221 16264306410166 9/29/2021 20218142H
24005221 16264306208318 9/29/2021 20218142H
24005221 16264306403146 9/29/2021 20218142H
24005221 16264306206290 9/29/2021 20218142H
24005221 16264312596362 9/29/2021 20218142H
24005221 16264306410166 9/29/2021 20218142H
24005221 16263939954636 9/29/2021 20218142H
24005221 16264312593070 9/29/2021 20218142H
24005221 16264306411414 9/29/2021 20218142H
24005221 16264306413442 9/29/2021 20218142H
24005221 16264306413910 9/29/2021 20218142H
24005221 16264312596362 9/29/2021 20218142H
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24005221 16264306403146 9/29/2021 20218142H
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24005221 16264306413910 9/29/2021 20218142H
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24005221 16264312802734 9/29/2021 202118142H
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202108170I
24005221 16264306403146 9/29/2021 202118142H
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24005221 16264312802734
24005221 16264306413130
24005221 16264312802734
24005221 16264306413442
24005221 16264306208318
24005221 16264312802110
20218142H
24005221 16264312593070
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24005221 16264306208318
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24005221 16264312596362
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24005221 16264306403146
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24005221 16264306206290
24005221 16264306413910
24004921 16255505185941
24005221 16264312596362
24005221 16264306206290
20218142H
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24005221 16264306206290
24005221 16264312596362
24005221 16264312802110
24005221 16264306411414
24004921 16263939952608
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24005221 16264312802734 9/29/2021 COVID19 BIOFARMA
24005221 16264306415174 9/29/2021 COVID19 BIOFARMA
24005221 16264306208318 9/29/2021 COVID19 BIOFARMA
24005221 16264306208318 9/29/2021 COVID19 BIOFARMA
24004421 9/29/2021 COVID19 BIOFARMA
24005221 16264306410166 9/29/2021 COVID19 BIOFARMA
24202021 9/29/2021 COVID19 BIOFARMA
24004521 9/29/2021 COVID19 BIOFARMA
24005221 16264306410166 9/29/2021 COVID19 BIOFARMA
24005221 16264306415174 9/29/2021 COVID19 BIOFARMA
24005221 16264306415174 9/29/2021 COVID19 BIOFARMA
24005221 16264306410166 9/29/2021 COVID19 BIOFARMA
24005221 16264312596362 9/29/2021 COVID19 BIOFARMA
24005221 16264306206290 9/29/2021 COVID19 BIOFARMA
24005221 16264306403146 9/29/2021 COVID19 BIOFARMA
24005221 16264312593070 9/29/2021 COVID19 BIOFARMA

24005221 16263939954636 9/29/2021 COVID19 BIOFARMA
24005221 16264306411414 9/29/2021 COVID19 BIOFARMA
24005221 16264306413442 9/29/2021 COVID19 BIOFARMA
24005221 16264306413910 9/29/2021 COVID19 BIOFARMA
20218142H
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24004921 9/29/2021 COVID19 BIOFARMA
20218142H
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is 2
Keterangan
(Ditunda/Tidak
Diberikan/Lanjut)
No. Serial
.
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
9/29/2021 20218142H
.
Faskes :
Provinsi : Lampung
Sasara
Tahap 1 Tahap 2
NO Tanggal Kegiatan
Rekap cakupan Januari sd

1 73 458 1937
31 Agustus 2021
2 1-Sep-21 2
3 2-Sep-21
4 3-Sep-21
5 7-Sep-21 5
6 8-Sep-21 10
9-Sep-21 4
8 10-Sep-21 7
9 13-Sep-21 4
10 14-Sep-21 4
11 15-Sep-21 5
12 16-Sep-21 6
13 17-Sep-21 6
14 20-Sep-21 7
15 21-Sep-21
16 22-Sep-21
17 24-Sep-21 9
18 25-Sep-21 9
19 27-Sep-21
20 28-Sep-21 3
21 29-Sep-21 8
22 30-Sep-21 2
23 1-Oct-21
24
25
26
27
28
29
30
31
32
TOTAL 73 545 1941
FORMAT REKAPITULASI PELAKSA
TINGKAT PUSKESMAS/FASYA
:
:
:
Sasaran
Tahap 3 Tahap 4 Total Dosis I
(Semua Tahapan)
Masyarakat Masyarakat Total Sasaran

Remaja Ibu Hamil
Rentan Umum
#
284 1281 4033 3778
23 102 27 154 154

14 80 22 116 116
161 161 161
9 89 15 118 118
20 96 9 135 135
2 270 276 276
25 143 14 189 189
10 49 8 71 71
12 179 5 200 200
16 85 11 13 130 130
15 73 9 1 104 104
11 94 6 3 120 120
21 80 3 111 111
357 357 357
1 1 253 255 255
22 173 12 2 218 218
30 196 37 272 272
5 2 7 7
4 93 7 107 107
20 142 9 1 180 180
3 18 2 25 25
9 9 9
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
540 2981 1248 20 7348 7093
Total 10751
I PELAKSANAAN VAKSINASI COVID-19
MAS/FASYANKES/POS VAKSINASI
Penerima Vaksin Do
Total Dosis I Tahap 1 Tahap 2 Tahap 3
(Semua Tahapan)
SDM Kesehatan Lansia Pelayan Publik Masyarakat Rentan
% # % # % # % #
93.67716 60 82.1917808 458 100 1695 87.5064533 284
100 #DIV/0! 2 100 #DIV/0! 23

100 #DIV/0! #DIV/0! #DIV/0! 14
100 #DIV/0! #DIV/0! #DIV/0!
100 #DIV/0! 5 100 #DIV/0! 9
100 #DIV/0! 10 100 #DIV/0! 20
100 #DIV/0! #DIV/0! 4 100
100 #DIV/0! 7 100 #DIV/0! 25
100 #DIV/0! 4 100 #DIV/0! 10
100 #DIV/0! 4 100 #DIV/0! 12
100 #DIV/0! 5 100 #DIV/0! 16
100 #DIV/0! 6 100 #DIV/0! 15
100 #DIV/0! 6 100 #DIV/0! 11
100 #DIV/0! 7 100 #DIV/0! 21
100 #DIV/0! #DIV/0! #DIV/0!
100 #DIV/0! #DIV/0! #DIV/0! 1
100 #DIV/0! 9 100 #DIV/0! 22
100 #DIV/0! 9 100 #DIV/0! 30
100 #DIV/0! #DIV/0! #DIV/0!
100 #DIV/0! 3 100 #DIV/0! 4
100 #DIV/0! 8 100 #DIV/0! 20
100 #DIV/0! 2 100 #DIV/0! 3
100 #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
96.52967 60 82.1917808 545 100 1699 87.5321999 540
Tahap 3 Tahap 4
Remaja Ibu Hamil
Masyarakat Rentan Masyarakat Umum
% # % # % # %
100 1281 100 #DIV/0! #DIV/0!
100 102 100 27 100 #DIV/0!

100 80 100 22 100 #DIV/0!
#DIV/0! #DIV/0! 161 100 #DIV/0!
100 89 100 15 100 #DIV/0!
100 96 100 9 100 #DIV/0!
#DIV/0! 2 100 270 100 #DIV/0!
100 143 100 14 100 #DIV/0!
100 49 100 8 100 #DIV/0!
100 179 100 5 100 #DIV/0!
100 85 100 11 100 13 100
100 73 100 9 100 1 100
100 94 100 6 100 3 100
100 80 100 3 100 #DIV/0!
#DIV/0! #DIV/0! 357 100 #DIV/0!
100 1 100 253 100 #DIV/0!
100 173 100 12 100 2 100
100 196 100 37 100 #DIV/0!
#DIV/0! 5 100 2 100 #DIV/0!
100 93 100 7 100 #DIV/0!
100 142 100 9 100 1 100
100 18 100 2 100 #DIV/0!
#DIV/0! #DIV/0! 9 100 #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
100 2981 100 1248 100 20 0.272182907
Total Dosis 2 Tahap 1 Tahap 2 Tahap 3
(Semua Tahapan)
Masyarakat
Rentan
# % # % # % # % #
2500 61.988594 57 78.082192 286 62.445415 1520 78.471864 112
9 5.8441558 #DIV/0! 0 #DIV/0!

4 3.4482759 #DIV/0! #DIV/0! #DIV/0! 1
0 0 #DIV/0! #DIV/0! #DIV/0!
10 8.4745763 #DIV/0! 1 20 #DIV/0!
0 0 #DIV/0! 0 #DIV/0!
1 0.3623188 #DIV/0! #DIV/0! 1 25
8 4.2328042 #DIV/0! 0 #DIV/0! 1
7 9.8591549 #DIV/0! 1 25 #DIV/0!
0 0 #DIV/0! 0 #DIV/0!
8 6.1538462 #DIV/0! 0 1 #DIV/0!
22 21.153846 #DIV/0! 1 16.666667 #DIV/0! 5
16 13.333333 #DIV/0! 0 #DIV/0! 2
93 83.783784 #DIV/0! 4 57.142857 1 #DIV/0! 17
127 35.57423 #DIV/0! 4 #DIV/0! #DIV/0! 15
4 1.5686275 #DIV/0! #DIV/0! #DIV/0!
155 71.100917 #DIV/0! 3 33.333333 #DIV/0! 16
143 52.573529 #DIV/0! 9 100 #DIV/0! 21
88 1257.1429 #DIV/0! 5 #DIV/0! #DIV/0! 13
49 45.794393 #DIV/0! 1 33.333333 #DIV/0! 5
156 86.666667 #DIV/0! 1 12.5 #DIV/0! 26
107 428 #DIV/0! 0 #DIV/0! 15
151 1677.7778 #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
3658 49.782254 57 78.082192 316 57.981651 1523 78.464709 249
rima Vaksin Dosis 2
Tahap 3 Tahap 4
Remaja Ibu Hamil Penerima
Masyarakat Vaksin Total
Masyarakat Umum
Rentan Dosis 1 +
Booster Dosis 2 +
Nakes dosis Dosis 3
3
% # % # % # %
39.43662 525 40.98361 #DIV/0! #DIV/0! 30 6308
0 9 8.823529 0 #DIV/0! 163

7.142857 1 1.25 2 9.090909 #DIV/0! 120
#DIV/0! #DIV/0! 0 #DIV/0! 161
0 9 10.11236 0 #DIV/0! 128
0 0 0 #DIV/0! 135
#DIV/0! 0 0 #DIV/0! 277
4 7 4.895105 0 #DIV/0! 197
0 4 8.163265 2 25 #DIV/0! 78
0 0 0 #DIV/0! 200
0 7 8.235294 0 0 138
33.33333 12 16.43836 4 44.44444 0 126
18.18182 13 13.82979 1 16.66667 0 136
80.95238 66 82.5 5 166.6667 #DIV/0! 204
#DIV/0! 99 #DIV/0! 8 2.240896 1 #DIV/0! 484
0 4 400 0 #DIV/0! 259
72.72727 128 73.98844 7 58.33333 1 50 373
70 112 57.14286 1 2.702703 #DIV/0! 415
#DIV/0! 70 1400 0 #DIV/0! 95
125 28 30.10753 15 214.2857 #DIV/0! 156
130 106 74.64789 23 255.5556 0 336
500 74 411.1111 18 900 #DIV/0! 132
#DIV/0! #DIV/0! 151 1677.778 #DIV/0! 160
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! 0
46.11111 1274 42.73734 237 18.99038 2 10 30 10781
Indeks Pemakaian Vaksin Berdasarkan Merek
Coronavac Vaksin Covid-19 BF

CORONAVAC (DOUBLE DOSE VIAL
(Single Dose Vial) (Multi Dose Vial)
Jmlh Vial Jmlh Jmlh Vial Jmlh Jmlh Vial

IP IP
Terpakai Diimunisasi Terpakai Diimunisasi Terpakai
120 120 1.0 569
#DIV/0! 15
#DIV/0! 11
#DIV/0! 81 161 2.0
#DIV/0! 9
#DIV/0! 11
#DIV/0! 139 277 2.0
#DIV/0! 13 26 2.0 16
#DIV/0! 39.0 78 2.0
#DIV/0! 100 200 2.0
#DIV/0! 69 138 2.0
#DIV/0! 63 126 2.0
#DIV/0! 68 136 2.0
#DIV/0! 89 177 2.0
#DIV/0! 242 484 2.0
#DIV/0! 130 259 2.0
#DIV/0! 130 259 2
#DIV/0! 143 286 2.0
#DIV/0! 12 23 1.9
#DIV/0! 78 156 2.0
#DIV/0! 168 336 2.0
#DIV/0! 66.0 132.0 2.0
#DIV/0! 80.0 160.0 2.0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
120 120 1.0 1710 3414 2.0 631
Total 7450
Berdasarkan Merek
Vaksin Covid-19 BF
Moderna
(Multi Dose Vial)
Total
Diimunisasi
Jmlh
Jmlh Jmlh Vial Diimunisasi
IP IP
Diimunisasi Terpakai (Nakes &
Masyarakat)
5884 10.3 26 387 14.88462 6391
163 10.9 #DIV/0! 163

120 10.9 #DIV/0! 120
#DIV/0! 161
98 10.9 2 30 15 128
121 11.0 1 14 14 135
#DIV/0! #DIV/0! 277
171 10.7 #DIV/0! 197
#DIV/0! #DIV/0! 78
#DIV/0! #DIV/0! 200
#DIV/0! #DIV/0! 138
#DIV/0! #DIV/0! 126
#DIV/0! #DIV/0! 136
#DIV/0! 2 27 13.5 204
#DIV/0! #DIV/0! 484
#DIV/0! #DIV/0! 259
#DIV/0! 8 114 14.25 373
#DIV/0! 9 129 14.33333 415
#DIV/0! 5 72 14.4 95
#DIV/0! #DIV/0! 156
#DIV/0! #DIV/0! 336
#DIV/0! #DIV/0! 132
#DIV/0! #DIV/0! 160
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
6557 10.4 53 773 14.58491 10864
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-000SJ3CE
a 2 Q-000SIBWO
a 3 K-0000Z5O1
a 4 Q-000SIKI4
a 5 K-0000Z4VI
a 6 Q-000SIBWU
a 7 Q-000SIKI1
a 8 Q-000S5J2K
9 Q-000SJUKD
a 10 Q-000SHESG
11 Q-000SJKQH
12 K-0000YXGD
a 13 Q-000SHESO
14 Q-000SJ7S0
a 15 Q-000SI12I
a 16 Q-000SI8N
a 17 Q-000SIBWQ
18 Q-000SLB2P
19 Q-000SL1SI
20 Q-000SK2PT
21 Q-000SJQJK
a 22 Q-000SIS8Q
23 Q-000SLS2O
24 Q-000SLC8M
a 25 Q-000SIS8P
a 26 Q-000SJ3C4
a 27 Q-000SIS8O
a 28 Q-000SI12K
a 29 Q-000SHRLT
a 30 Q-000SIBWV
a 31 Q-000SIKHW
a 32 Q-000SIS8R
33 Q-000SK98Q
34 Q-000SJUKE
35 Q-000SJQJS
a 36 Q-000SJ3C6
a 37 Q-000SIKIJ
a 38 Q-000SJ3C5
a 39 Q-000SIBWN
40 Q-000SKZE8
41 Q-000SIKIF
a 42 Q-000SHL3A
a 43 Q-000SIS8S
44 Q-000SMQH8
45 Q-000SJQJI
46 K-0000YY6G
47 Q-000SIBWI
a 48 Q-000SIKIA
a 49 Q-000SIBWL
a 50 K-0000YYKE
51 Q-000SJQJO
52 Q000SKOGZ
a 53 Q-000SHESI
a 54 Q-000SI2H7
a 55 Q-000SHV98
a 56 Q-000SHRMM
57 Q-000SJFQP
58 Q-000SKOH2
59 Q-000SN1C1
60 Q-000SK98U
61 K-0000YW8I
62 Q-000SK2Q3
63 Q-000SJG1W
a 64 Q-000SJ3C3
65 Q-0L7QF00
a 66 Q-000SHT9J
67 Q-000SJFR7
68 Q-000SKERK
a 69 Q-000SHS9X
a 70 Q-000SICPO
71 Q-000SJFR1
72 Q-000SJQJC
a 73 Q-000SIBWH
74 Q-000SOGZI
75 Q-000SJQJT
a 76 Q-000SHN7R
a 77 Q-000SILN0
78 Q-000SK6B1
a 79 Q-000SI12E
80 Q-000SJA1L
81 Q-000SKOHC
a 82 Q-000SHRLR
83 Q-000SKTYL
a 84 Q-000SJA1Q
a 85 Q-000SIBWW
a 86 K-0000Z4II
a 87 Q-000SJ3C7
88 Q-000SJ3CB
89 Q-000SLWD9
90 Q-000SKOHE
91 Q-000SJFR5
92 Q-000SKNN1
93 Q-000SKNWX
94 Q-000SKTYM
95 Q-000SKOH6
96 Q-000SLF2J
97 Q-000SL1RQ
98 Q-000SL163
99 Z-000A4JLC
100 Q-000SKOH9
101 Q-000SL7R5
102 K-000XQG3
a 103 P-S77HTPQ3
a 104 P-S0CJ4CRB
1 105 S-I5EJB3AD
a 106 P-T6JU1Z05
107 Q-000SL7QK
a 108 P-T4QBAD8H
a 109 P-TTBWYJMK
a 110 P-TT4VFZ3J
a 111 Q-000PGBOE
112 Q-000SNOGV
a 113 P-URG6HY
a 114 P-U1KLASV1
a 115 P-UN5RXBYO
a 116 P-UQUMWC4C
a 117 P-UUL5FXBP
a 118 P-202HDPVH
a 119 P-UM1ZKDFQ
a 120 P-VMVTLADO
a 121 Q-000L6FV9
a 122 P-V3J94M38
a 123 P-VPZW73XB
a 124 P-YO4MCYR
a 125 P-V3WKIL2R
a 126 P-UU8ION2I
a 127 P-V9BI2VU96
a 128 P-VGPK1ZPW
a 129 P-VIU9IL40
1 130 S-EFDAEAA3
a 131 P-VL6UQPJG
132 Q-000SK9J0
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871081202940007
1871071608950003
1871076504040001
1871085604910008
1871076310050004
1871074709740002
1871071010720018
1871096606870004
1871082606670002
1871085107730006
1871086810730002
1871083101060001
1871084810840007
1871092202840001
1810055001870005
1871061508850006
1871083007720001
1871055511040001
1871192302670001
1871090703800011
1871085902950004
1871091605710001
1872043003090001
1872040404060002
1871095610030001
1871095610030002
1871096810800007
1871087010990004
1871084711990001
1871084309990006
1871094207000008
1871204903000001
1871085008970005
1871085205690001
1871085407820002
1871067112000009
1871084202000003
1871080408710002
1871081707620004
1871086204070001
1871081106990004
1871086111670004
1871080704870005
1871011008840017
1871085606850002
1871086008020001
1871082001880003
1871085710830003
1871084101660008
1871087110960004
1871080705950002
1871081109030001
1871080201960004
1872046509870004
1871094908090001
1871090404080002
1871080203870005
1871085210630004
1871096808710003
1871080405040006
1871035604970004
1871084802020005
1871084103940006
1871076605870004
1871080205920005
1871070811060001
1871086710970004
1871066008010006
1871070804050003
1871126512050001
1871080908890012
1871081406000003
1871082101630006
1871074705790002
1871084511930002
1871071810870003
1871097007850007
1871085903030003
1871095505890001
1871085803030006
1809055503910008
1871081209030001
1871096505960004
1871082609010012
1871085507880005
1871081409630003
1871080904720001
1871084208710002
1471102609840043
1871082702890001
1871084801000004
1871081311170005
1871084711790002
1871086812850004
1871081707760006
3173061010080002
1871085705780002
1871082206000001
1871082311920004
1871080111880005
1871081210690005
1871074107040001
1871085702920002
1802170705780003
1871094312500001
1871086405870003
1871086307990004
1871085308820004
1871075205730007
1871085707850009
1871074502030003
1871010511800001
1871085411850002
1871086210710002
1871085402740004
1871085105970012
1871085601750001
1871080602820007
1801222703010002
3674026212000005
1871086706950004
1871075111690014
1805290506850001
1871094205050002
1871120504950006
1871085708660001
180105105960005
1811050909930001
1802011807910007
1871082301570001
1871086706050002
1871071002040003

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS / 30-9-2021
Jenis
Kelamin
MARNO L D 2/12/1994
YOLANDA ALVIRA P D 25/04/2004
FITRI SEANESSA P D 4/16/1991
YOHANNY OKTAVIA P D 23/10/2005
RISETIATI P D 9/7/1974
MA'RUF L D 10/10/1972
TEJOWATI PRATIWI P D 26/06/1987
SARDI L D 6/26/1967
KUSRINI P D 7/11/1973
SITI MARIAM P D 10/28/1973
ALVIN GERRARD L D 31/01/2006
YUSTIKA P D 08/10/1984
AHMAD SYAFEI L D 2/22/1984
WIWIK INDRIANTI P D 10/01/1987
RAHMAT HARIS L D 8/15/1984
NGADINO L D 30/07/1972
VALENTINA VINCA P D 15/11/2004
LIM SUROTO L D 27/02/1967
JOKO SUSILO L D 07/03/1980
LIDIANA P D 2/19/1995
RONI GUNAWAN L D 5/16/1971
RAFAEL JONATHAN L D 3/30/2009
MICHAEL KEVIN L D 04/04/2006
RENA EMILIA P D 10/16/2003

RENI EMILIA P D 10/16/2003
JUNENI P D 10/28/1980
RENI KARTIKA P D 30/10/1999
NOVI INDRI YANI P D 11/7/1999
ANIFAH P D 10/04/1999
PRANSISKA HARTINI P D 7/2/2000
ATIKAH P D 3/9/2000
MELANY INDRASWARI P D 8/10/1997
LASMINI P D 5/12/1969
TRI ASTUTI P D 7/14/1982
ADINDA FEMY P D 12/31/2000
ERIKA TRI P D 02/02/2000
AMRIL L D 8/4/1971
NGADIO L D 17/07/1962
GRACE APRILIA P D 22/04/2007
M IQBAL SAPUTRA L D 6/11/1999
SUPRIANINGSIH L D 21/11/1967
SUPRIYANTO L D 4/7/1987
LEONARDUS TANAKO L D 10/08/1984
YULIANTI P D 6/16/1985
HILAL AULIA P D 20/08/2002
M SOHIB L D 1/20/1988
TUNI P D 10/17/1983
SAMIRAH P D 1/1/1966
DIAJENG INGGIT P D 10/31/1996
RIDHO ALFARIF L D 5/7/1995
FAJAR SAEFUDIN L D 9/11/2003
FIRDAUS TRIHARTANTO L D 1/2/1996
JUWITA PERMATA P D 25/09/1987
CHRISTALIALIEM EVANS P D 09/08/2009
CHRISLIEM EVANS L D 04/04/2008
M MAHDI L D 3/2/1987
LUSIANA P D 28/08/1971
DION NATA L D 5/4/2004
IQLIMA P D 16/04/1997
ELZA DWI LESTARI P D 2/8/2002
NUR AINI P D 3/1/1994
ENDAH FITRIYANI P D 5/26/1987
FANDI WIJAYA L D 02/05/1992
NICHOLAS SALIM L D 08/11/2006
SITI NURBAYA P D 10/27/1997
HESTI SUKMAWATI P D 9/11/1999
KELVIN YOHANES L D 08/04/2005
ALIYYA LARISA P D 25/12/2005
SAIPUL L D 8/9/1989
WAHYUDI L D 6/14/2000
BUNYAMIN L D 21/01/1963
TIYAS WAHYUTI P D 07/05/1979
LINDA AYU P D 11/5/1993
BUDHI ARYA DIWANGSA L D 18/10/1987
HARTINI NAPUNI P D 7/30/1985
NUR RISMA P D 3/19/2003
NENENG P D 15/01/1989
NUR IRTA SARI P D 3/18/2003
MERLITA EVAYANTI P D 3/15/1991
ALDI FIRMANSYAH L D 9/12/2003
ELIYAWATI P D 5/25/1996
M ARIP L D 9/26/2001
WAHYUNI P D 15/07/1988
SUPARMIN L D 9/14/1963
DAKIR L D 4/9/1972
ROSIDAH P D 8/2/1971
MUHAZRI ANWAR L D 26/09/1984
HERY HARYANTO L D 2/27/1989
VITRI VAUZA P D 1/8/2000
HARRY RIZKY L D 7/26/2009
RISMA WATI P D 11/7/1979
PURWANINGSIH P D 28/12/1985
NURHASANI P D 7/17/1976
DAVID YEHEZKIEL L D 10/10/2008
BUDI HASTUTI P D 17/05/1978

ARI PRIYADI L D 22/06/2000
SUHENDRI L D 23/11/1992
NOVI YANSYAH L D 11/1/1988
SELAMET RIYADI L D 12/10/1969
GABRIELLA CHEALSEA P D 7/1/2004
ASIYATI P D 17/02/1992
SOLIKIN L D 07/05/1978
FAUZAH P D 03/12/1950
TRISNA FADILAH P D 24/05/1987
SUGIARTI P D 23/07/1999
HERNI P D 8/13/1982
MARIYAM P D 5/12/1973
MAYSAROH P D 17/07/1985
SHIFA SYARANI P D 05/02/2003
NOVIANTO L D 05/11/1980
SITI JULEHA P D 14/11/1985
LILI SURIANI P D 22/01/1971

BAIYAH P D 14/02/1974
SUNAINI P D 11/05/1997
JURIYAH P D 16/01/1975
PARYANTO L D 06/02/1982
M. ZEN SUKRI L D 07/01/2001
SYAFA ATHALA P D 22/12/2000
RATNA JUWITA P D 27/06/1995
KHOLISAH P D 11/11/1969
ALI IKSANI L D 05/06/1985
MUTHIA P D 02/05/2005
FEBY WAHYU P D 05/04/1995
DARWATI P D 17/08/1966
ADITIYA L D 17/05/1996
AHMAD TOBRONI L D 09/09/1993
AGUSTINUS RUDIANTO L D 18/07/1991
AMELIA TANTRI P D 27/06/2005

HAIKAL DAVA L D 10/02/2004
***Merek Vaksin
A = Sinovac

50 BPJS PBI
41 BPJS Non PBI
25 Non Anggota
4
120 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
132 Total
0
132
Umur
(18 sd ≥ 60 tahun)
29 18-30 SUKARAME 2
27 18-30 SUKARAME 2
19 18-30 BUMI WARAS
32 31-45 SUKARAME 2
17 0 BUMI WARAS
48 46-59 SUKARAME 2
50 46-59 SUKARAME 2
35 31-45 KURIPAN
55 46-59 SUKARAME 2
49 46-59 SUKARAME 2
49 46-59 SUKARAME 2
17 0 TBT
38 31-45 SUKARAME 2
39 31-45 SUKARAME 2
36 31-45 SUKARAME 2
38 31-45 SUKARAME 2
50 46-59 SUKARAME 2
18 18-30 NOG
56 46-59 TBU
43 31-45 SUKARAME 2
28 18-30 SUKARAME 2
52 46-59 TBU
14 0 KEMILING
17 0 KEMILING
19 18-30 TBU
19 18-30 TBU
42 31-45 TBU
23 18-30 SUKARAME 2
23 18-30 SUKARAME 2
24 18-30 SUKARAME 2
22 18-30 TBU
23 18-30 BUMI WARAS
25 18-30 SUKARAME 2
54 46-59 SUKARAME 2
40 31-45 SUKARAME 2
22 18-30 SUKARAME 2
23 18-30 SUKARAME 2
51 46-59 SUKARAME 2
60 ≥60 SUKARAME 2
16 0 TBT
23 18-30 SUKARAME 2
55 46-59 SUKARAME 2
36 31-45 SUKARAME 2
38 31-45 KEDATON
37 31-45 SUKARAME 2
20 18-30 SUKARAME 2
35 31-45 SUKARAME 2
39 31-45 SUKARAME 2
57 46-59 SUKARAME 2
26 18-30 SUKARAME 2
28 18-30 SUKARAME 2
19 18-30 SUKARAME 2
27 18-30 SUKARAME 2
35 31-45 TBS
13 0 TBU
15 0 TBU
36 31-45 SUKARAME 2
59 46-59 SUKARAME 2
51 46-59 KURIPAN
19 18-30 SUKARAME 2
26 18-30 SUKARAME 2
21 18-30 SUKARAME 2
29 18-30 SUKARAME 2
36 31-45 SUKARAME 2
31 31-45 SUKARAME 2
16 0 BUMI WARAS
25 18-30 SUKARAME 2
23 18-30 TKP
18 18-30 BUMI WARAS
17 0 SUKABUMI
33 31-45 SUKARAME 2
22 18-30 SUKARAME 2
60 ≥60 SUKARAME 2
44 31-45 BUMI WARAS
29 18-30 SUKARAME 2
35 31-45 TBS
37 31-45 SUKARAME 2
20 18-30 SUKARAME 2
34 31-45 SUKARAME 2
20 18-30 SUKARAME 2
32 31-45 SUKARAME 2
19 18-30 SUKARAME 2
27 18-30 SUKARAME 2
21 18-30 SUKARAME 2
34 31-45 SUKARAME 2
59 46-59 SUKARAME 2
51 46-59 SUKARAME 2
51 46-59 SUKARAME 2
38 31-45 KEDATON
34 31-45 SUKARAME 2
23 18-30 SUKARAME 2
13 0 NOG
43 31-45 NOG
37 31-45 SUKARAME 2
46 46-59 SUKARAME 2
14 0 BUMI WARAS
45 31-45 SUKARAME 2
22 18-30 SUKARAME 2
30 18-30 SUKARAME 2
34 31-45 SUKARAME 2
53 46-59 SUKARAME 2
18 18-30 TBS
31 31-45 BAKUNG
45 31-45 LEMPUYANG
72 ≥60 BAKUNG
36 31-45 BAKUNG
23 18-30 SUKARAME 2
40 31-45 BAKUNG
50 46-59 BAKUNG
37 31-45 BAKUNG
20 18-30 TBS
42 31-45 KEDATON
37 31-45 BAKUNG
52 46-59 BAKUNG
49 46-59 KURIPAN
26 18-30 KURIPAN
48 46-59 BAKUNG
41 31-45 BAKUNG
22 18-30 LAMSEL
22 18-30 GD AIR
27 18-30 BAKUNG
53 46-59 BAKUNG
37 31-45 BANJAR BARU
18 18-30 TBT
28 18-30 SUKABUMI
56 46-59 BAKUNG
27 18-30 SUKANEGARA
29 18-30 WIRA BANGUN
31 31-45 SERDANG
66 ≥60 BAKUNG
17 0 BAKUNG
19 18-30 PANJANG
Pekerjaan
27 A
28 B
67 C
122 D
E
116 Total
4
0
120
No. Hp
08977337082 YA
085846220854 YA
082176077515 YA
085381849301 YA
085839731806
0828288555 YA
082180119919 YA
088286809706
081369336568
081272700048
081367655238
089692885732
083169938262 YA
0895396853277
082289919383
0895601788111
082371768428 YA
08117206592
085369111111 YA
085279606065
089608687740 YA
081398668172 YA
089632582030
08974119512
08975078600
0895378205972
082269428380
089510363280
081278949159 YA
089696100993 YA
081271705481
082278520281
089628627367
089628627367
089637532447 YA
08993030331 YA
081271692036 YA
081315666672 YA
0812790022178
081279488877 YA
085809756609
081272413915
088294952105 YA
081273522509
089519525090 YA
088286751360 YA
0895338777948 YA
089632136802 YA
0895338777948
088286751360
081541383796
085789961044
08999932386
08995676776
085102518811
081996852090 YA
085269848329
082373054584
082269640451 YA
085841905975
085273204593 YA
089629026924 YA
089735291994 YA
089521339177 YA
085381149299
085769425955
0895600021595 YA
089666476973 YA
085885335025
082175404931 YA
08983974788 YA
08990419393 YA
0895338777948
085268637646 YA
082181062631
081369654321
082269263456
0895620416038 YA
081348439737 YA
089632103452 YA
08973711158
085896871324
08998016866 YA
089673117608 YA
0895705121125
081271446346 YA
0896327444090 YA
08578674660 YA
085216988826 YA
081278876997
089632143460 YA
081366662224
08136662224
085769718050 YA
08127261638
085273153170
081279470031
0895326323656 YA
089631261584
089689941998
085658344962
082269031320
08975442227 YA
081276238844 YA
0895601777997
0895640083833
089670923988
081373947370
085273366330
089630514516 YA
081959122777 YA
083170507217
089669330706 YA
089635677581
08975442227
089633830661
085357577244
081373004743 YA
081373426047 YA
0811720196
081271387017
085269289972
085268923487
089522245953
081271073864
081278130630
085379006469
081279503713
082282466568
085269290046
0895601753090
081314141989 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
YA 9/2/2021 COVID19 BIOFARMA






7/28/2021 CORONAVAC
8/25/2021 CORONAVAC

YA
YA
Dosis I
Tanggal Pemberian
Vaksinasi
9/2/2021 24005221 16264312815542
9/2/2021 24005221 16264312815230
9/2/2021 24202321 16264920140320
9/2/2021 24005221 16264312801330
9/2/2021 24202321 16264920140320
9/2/2021 24005221 16264312801330
9/2/2021 24005221 16264312815230

9/1/2021 24005221 16264306411414
9/2/2021 24005221 16264312598546
9/2/2021 24005221 16264312815386
9/2/2021 24005221 16264312802578
9/2/2021 24005221 16264306415954
9/2/2021 24005221 16264312815386
9/2/2021 24005221 16264312815542
9/2/2021 24005221 16264306415954
9/2/2021 24005221 16264312801330
9/2/2021 24005221 16264312815230
9/2/2021 24202321 16264920140320
9/2/2021 24202321 16264920143456
9/2/2021 24005221
9/2/2021 24005221 16264312598546
9/2/2021 24005221 16264312815542
9/2/2021 24202321 16264920140320
9/2/2021 24202321 16264920140320
9/2/2021 24005221 16264312801330

9/2/2021 24005221 16264312815542
9/2/2021 24005221 16264312815542
9/2/2021 24005221 16264306415954
9/2/2021 24005221 16264306415954
9/2/2021 24005221 16264306415954
9/2/2021 24005221 16264312801330
9/2/2021 24005221 16264312801330
9/2/2021 24202321 16264920143924
9/2/2021 24005221 16264312598546
9/2/2021 24005221 16264312598546
9/2/2021 24005221 16264312815542
9/2/2021 24005221 16264312815230
9/2/2021 24005221 16264312815542
9/2/2021 24005221 16264306415954
9/2/2021 24202321 16264920140320
9/2/2021 24005221 16264312801330
9/2/2021 24005221 16264312815386
9/2/2021 24005221 16264312801330

9/2/2021 24202321 16264920145328
9/2/2021 24005221 16264312598546
9/2/2021 24005221 16264312815230
9/2/2021 24005221 16264312815230
9/2/2021 24005221 16264312801330
9/2/2021 24005221 16264312815230
9/2/2021 24005221 16264312801330
9/2/2021 24005221 16264312598546
9/2/2021 24202321 16264920143456
9/2/2021 24005221 16264312815386
9/2/2021 24005221 16264306415954
9/2/2021 24005221 16264312815386
9/2/2021 24005221 16264312815386
9/2/2021 24005221 16264312802578
9/2/2021 24202321 16264920143924
9/2/2021 24202321 16264920145328
9/2/2021 24202321 16264920143924
9/2/2021 24005221 16264306415954

9/2/2021 24202321 16264920143924
9/2/2021 24005221 16264312802578
9/2/2021 24005221 16264312802578
9/2/2021 24202321 16264920140320
9/2/2021 24005221 16264312815386
9/2/2021 24005221 16264312802578
9/2/2021 24202321 16264920143924
9/2/2021 24005221 16264306415954
9/2/2021 24005221 16264312815230
9/2/2021 24005221 16264312802578
9/2/2021 24005221 16264312598546
9/2/2021 24005221 16264312815230
9/2/2021 24202321 16264920145328
9/2/2021 24005221 16264312598546
9/2/2021 24005221 16264312815386
9/2/2021 24005221 16264312801330
9/2/2021 24005221 16264312598546
9/2/2021 24005221 16264306415954

9/2/2021 24005221 16264312815542
9/2/2021 24202321 16264920143924
9/2/2021 24005221 16264306415954
9/2/2021 24202321 16264920143456
9/2/2021 24005221 16264312802578
9/2/2021 24005221 16264312815230
9/2/2021 24202321 16264920143456
9/2/2021 24005221 16264312815542
9/2/2021 24005221 16264312815542
9/2/2021 24202321 16264920145328
9/2/2021 24202321 16264920143456
9/2/2021 24005221 16264312802578
9/2/2021 24202321 16264920143924
9/2/2021 24202321 16264920143924
9/2/2021 24202321 16264920143456
9/2/2021 24202321 16264920143456
9/2/2021 24202321 16264920140320
9/2/2021 24202321 16264920143456

9/2/2021 24202321 16264920143456
9/2/2021 24202321 16264920143456
9/2/2021 24202321 16264920143924
9/2/2021 24202321 16264920140320
9/1/2021 24005221 16264312596362
7/28/2021 24004121
9/2/2021 24202321 16264920140320
9/2/2021 24202321 16264920140320
9/2/2021 24202321 16264920140320
9/2/2021 24202321 16264920140320
9/2/2021 24202321 16264920140320
9/2/2021 24202321 16264920140320
9/2/2021 24202321 16264920145328
8/25/2021 24004921 16255465407657
9/2/2021 24202321 16264920145328
9/2/2021 24202321 16264920145328
9/2/2021 24202321 16264920145328

9/2/2021 24202321 16264920145328
9/2/2021 24202321 16264920145328
9/2/2021 24202321 16264920145328
9/2/2021 24202321 16264920145328
9/2/2021 24202321 16264920145328

9/2/2021 24005221 16264312815386
Dosis 2
Tanggal Pemberian
Vaksinasi
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
9/30/2021 20218142H
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9/30/2021 20218142H
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9/30/2021 20218142H
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-000SXZ48
2 Q-000T4HCZ
3 Q-000T4HHE
4 Q-000T3XGK
5 Q-000T3LO4
6 Q-000T4KZ1
7 Q-000T481Z
8 Q-000SY7KS
9 Q-000T4E29
10 Q-000T3VHL
11 Q-000T5BPR
12 Q-000T3QWU
13 Q-000T3K4J
14 Q-000T3I4C
15 Q-000T4DGP
16 Q-000SYV32
17 Q-000SY7HN
18 Q-000T3X4T
19 Q-000T3HRH
20 Q-000T4DNK
21 Q-000T3IPT
22 Q-000SY7GL
23 Q-000T4C8W
24 Q-000T49CL
25 Q-000SYP7H
26 Q-000T3IIT
27 Q-000SZ0YV
28 Q-000T484W
29 Q-000T3MR4
30 Q-000T3KN7
31 Q-000T4DK5
32 Q-000SXZM2
33 Q-000SXZ1H
34 Q-000SY75Z
35 Q-000SXZP2
36 Q-000SY7OL
37 Q-000SZ19K
38 Q-000T3RSQ
39 Q-000T3WO4
40 Q-000T59F7
41 Q-000SXWDF
42 Q-000T5AWL
43 Q-000T3ZVH
44 Q-000T581Z
45 Q-000SYFWF
46 Q-000T5KMT
47 Q-000T4JTL
48 Q-000SZ14F
49 Q-000T3O5Z
50 Q-000SZ10Z
51 Q-000T3VMB
52 Q-000T3VGL
53 Q-000T4HPG
54 Q-000SY79H
55 Q-000T4YAS
56 Q-000SXZHC
57 Q-000SY78T
58 Q-000T4YTO
59 Q-000T3VZR
60 Q-000T5056
61 Q-000SYUN6
62 Q-000T4GEU
63 Q-000T4AG5
64 Q-000T48Z5
65 Q-000T572Z
66 Q-000T4ER9
67 Q-000T4KGR
68 Q-000T4E9C
69 Q-000T3NIT
70 Q-000SY6T7
71 Q-000T3K84
72 Q-000T47TL
73 Q-000T4D1L
74 Q-000T3MJ1
75 Q-000T3OQI
76 Q-000T4E1V
77 Q-000T3ONV
78 Q-000SYO4W
79 Q-000T4M43
80 Q-000T3KES
81 Q-000T47QS
82 Q-000T8JLP
83 Q-000SYFY2
84 Q-000T4E9T
85 Q-000T4EMK
86 Q-000T4C67
87 Q-000T4HEP
88 Q-000T4MGI
89 Q-000T4MQI
90 Q-000T56JT
91 Q-000T4F1C
92 Q-000T56K5
93 Q-000T56VN
94 Q-000T5CC9
95 Q-000T4EF0
96 Q-000T4MEE
97 Q-000T4KC3
98 Q-000T4ZZX
99 Q-000T4ZR9
100 Q-000T3ITP
101 Q-000T4BLI
102 Q-000T4G9M
103 Q-000T47XS
104 Q-000T3MRQ
105 Q-000T4J31
106 K-00010P44
107 Q-000T4MRV
108 Q-000T3VSI
109 Q-000SYFYJ
110 Q-000SYFPX
111 Q-000T3O1C
112 Q-000T4BYA
113 Q-000T4ZLZ
114 Q-000T3HAU
115 Q-000T3FOR
116 Q-000T3LB4
117 Q-000T58AH
118 Q-000T5ALR
119 Q-000T7Y60
120 Q-000T4IHX
121 Q-000SYOI6
122 Q-000T4JYF
123 Q-000T57E4
124 Q-000T4ZQC
125 Q-000T4H19
126 Q-000T4I8X
127 Q-000SY6U1
128 Q-000T49MN
129 Q-000T508T
130 Q-000T47ME
131 Q-000T49FP
132 Q-000T3HZW
133 Q-000T5952
134 Q-000SYNWL
135 Q-000T3KEN
136 Q-000T491I
137 Q-000SYUOK
138 Q-000T5ABX
139 Q-000T3O98
140 Q-000T4LTS
141 Q-000T498K
142 Q-000T4YS2
143 Q-000T4ZOS
144 Q-000T3HGK
145 Q-000T4LB6
146 Q-000T4ET2
147 Q-000T4HTC
148 Q-000T541J
149 Q-000T5969
150 Q-000T53ZO
151 Q-000SZ0VK
152 P-K12GPGSF
153 P-UBSE1YOI
154 P-XK6CUI77
155 P-X0Q5WGUA
156 P-XTFJI4Z0
157 P-XZ1ISX5P
158 P-X8JGGCZG
159 P-TPMZPSVA
160 P-YBUGDNL
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871065508070001
1871016007070002
1871085206070001
1871094606070002
1871054501080002
1871055406070005
1871064505070009
1871064801080002
1871067107070007
1871050506070001
1871062908070005
1803174605060001
1871055505070003
1871064703070004
1871066611070001
1871052012070003
1871025505070005
1871060504070002
1871174303070001
1871052806050002
1871012407070002
1871064906070001
1871050109050003
1871061511070002
1871066602070002
1871056012060002
1871061505080003
1871057010070003
1871025508060001
1871055704070007
1871067005060003
1871056809070001
1871055010070001
1871015409070002
1871054307070002
1871186501070001
1871051002070004
1871050101060001
1871055404070006
3201022808060014
1807245409070001
1871052112060003
1871026503070001
1871052105070001
1871055701080002
1871151209070001
1871026608070003
1871052807060002
1871065301070004
1601146404070005
1871055706070002
1871054702070003
1871055312060005
1871064708070004
1871050906060007
1871054409070006
1871134109060002
1871125703070004
1871055105080003
1871056001060003
1871054301080001
1871057010060002
1871050605070003
1871030906070003
1871067008070003
1871066411060001
1871024311070003
1810052906070003
1871062110070002
1871061905070002
1871052411060006
1871122804070006
1871052807070004
1871050511060004
1871066111050003
1871121610070001
1871052708070006
1871120605070003
1871126201080004
1871051901070004
1871054109060002
1871056511070003
1871124409060002
3201071611050002
1871056307060002
1871127003070002
1871121505070004
1871051010060005
1871122509060003
1871054412060002
1871032406070002
1871020802060001
1871052303050001
1871050703080002
1871054502070003
1871054308070007
1871121905040001
1871053008070003
1871053008070004
1871063012070003
1871050102080001
1871106707070005
1871072007050002
1871030708050002
1871062505060001
1871051204070001
1871054504080005
317505104060006
1871064202070002
1871056310060003
1871036103080003
1871065510060004
1871055702070001
1871055402070007
1871055303070003
1871051307070002
1871051008050004
1871052511060002
1871051712060002
1871051411060005
1871061609060003
1871051206060007
1871010212060004
1802264608060002
1871126302070001
1871124809080002
1871056606070005
1871050707070005
1871055511060002
1871052509060002
1871052707060005
1871071701070004
1871054509070005
1871051612060006
1871051304070004
1871055511070003
1871056706070002
1871121805070003
1871052810070004
1871121512070003
1871062304070004
1871051401070005
1871062212060001
1871051202070007
1871056312060005
1871157007070001
1871051411060004
1871055708070002
1871105012070003
1871154103060001
1871056803070004
1871055204060002
1871056608040003
1871184709070001
1871121504070001
1871035010040002
1871055710060005
1871050806070002
1871126105070001
1871120911050004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 01-10-2021
Jenis
Kelamin
SAIDATUN NISA P D 15/08/2007
RAISYA ALIFAH P D 20/07/2007
RAISYA TAHLYA P D 6/12/2007
RANI VANIA P D 6/6/2007
DILA ZULVIANI P D 05/01/2008
MELATI JINAN P D 14/06/2007
MAIYA DANIA P D 5/5/2007

ARTY ANASTASIA P D 08/01/2008
JULIA NOVITA SARI P D 7/31/2007
A. ILHAM L D 6/5/2007
SATRIA HAFID L D 29/08/2007
ERNA WATI P D 6/15/2006
TANNIA P D 5/15/2007
ZAHRA RAHMA P D 3/7/2007
BUNGA NOVITA P D 11/26/2007
MUHAMMAD TASDIQ L D 26/12/2007
MELVA DWI P D 15/05/2007
FIRLI SUBAGJA L D 4/5/2007
YUDELA REGE P D 2/3/2007
TUBAGUS ROHMAN L D 28/06/2005
DANU PRATAMA L D 7/24/2007
ANNISA NUR SITA P D 09/06/2007
VITO SEPTIANO L D 9/1/2005
PRADJA PUTRA L D 11/15/2007
FEBIOLA PUTRI P D 26/02/2007

AINUN SASKIA P D 12/20/2006
WILLY FAIZAL L D 15/05/2008
MITA OKTAVIYANI P D 10/30/2007
ANGELICA ZUMA P D 8/15/2006
PUTRI ANGGRAINI P D 4/17/2007
HANIFAH AZZAHRAH P D 30/05/2006
PUTRI SUCI P D 9/28/2007
NA'ILAH SAFITRI P D 10/10/2007
ADZHANI SEPTIA P D 14/09/2007
ZASKIA PUTRI P D 03/07/2007
SULIS AMELIA P D 25/01/2007
HASHEMI SUKRI L D 10/02/2007
MUHAMAD REZA L D 1/1/2006
ANNISA AZAHRA P D 4/14/2007
ABDUL RASYID L D 8/28/2006
YANA HERLITA P D 14/09/2007
MUHAMAD REVAL L D 21/12/2006

MEGA SAFITRI P D 25/03/2007
ANDREAN MARCEL L D 21/05/2007
HENY NUR'AINI P D 17/01/2008
RAMADHAN SATRIA L D 12/09/2007
RESTI AYU P D 26/08/2007
RIFKI HERNANDO L D 28/07/2006
CESYA RACHELL P D 1/13/2007
NADIA PUTRI P D 24/04/2007
AULIA SASKIA P D 6/17/2006
AURA ANKY P D 2/7/2007
AQILA SALSABILA P D 12/13/2006
AURA CITA P D 07/08/2007
AHMAD ZAKI L D 09/06/2006
REVINA PUTRI P D 9/4/2007
ADELIA SEPTI ANI P D 01/09/2006
OCHA FANI P D 17/03/2007
NABILA SADIAH P D 5/11/2008

ALLYA MUKHBITA P D 20/01/2006
RAISYA FADILLAH P D 03/01/2008
CLARISSA SOFIANA P D 30/11/2006
MUHAMMAD SADDAM L D 06/05/2007
KEMAL PASHA L D 09/06/2007
MIFTA HULJANAH P D 30/08/2007
REZKA DWI P D 11/24/2006
NABILA SASCIA P D 03/11/2007
ANGGA DESTA L D 6/29/2007
DANDA HIDAYAT L D 10/21/2007
M. FARHAN L D 5/19/2007
M. FAHRURROHMAN L D 11/24/2006
DIMAS ARIFIN L D 4/28/2007
ANDITO DWI L D 7/28/2007
RINGGO JAYA L D 11/5/2006
SA'ODAH P D 11/21/2005
RIFKY ARYA L D 16/10/2007
AQIL IRSYADI L D 8/27/2007

MUHAMMAD RAGA L D 5/6/2007
WIKA KINARA L D 22/01/2008
MUHAMMAD AL FAJRI L D 1/19/2007
KAYLA BUNGA P D 9/1/2006
KAYSYA HAIRUNNISA P D 25/11/2007
ALYANI SYAFITRI P D 04/09/2006
INDRIANI P D 11/16/2005
BUNGA ANGGRAINI P D 7/23/2006
AYU LINA P D 3/30/2007
FAREL IKBAL L D 5/15/2007
NUZUL QURAISAFTULLAH P D 10/10/2006
ADI PRABOWO L D 25/09/2006
SAFA NATHANIA P D 04/12/2006
RAMDANI WIJAYA L D 24/06/2007
M RIZKI FEBRIAN L D 08/02/2006
MUHAMMAD FAKI L D 23/03/2005
MUHAMMAD HADID L D 07/03/2008

TAYSA SALSABILA P D 05/02/2007
NADILA PUTRI P D 03/08/2007
ATHALLAH ARPEN L D 19/05/2004
ALDI L D 30/08/2007
ALDO L D 30/08/2007
M. DESTAR F L D 12/30/2007
FEBRIAN L D 2/1/2008
ALYSA KAY P D 31/07/2007
PARLIANSYAH L D 20/07/2005
RAMA SANJAYA L D 8/7/2005
M. RIVALDO L D 5/25/2006
MUHAMMAD AKMAL L D 4/12/2007
ZAHRA ZARIA P D 05/04/2008
RISNA P D 4/11/2006
FEBRI TRI P D 02/02/2007
SHABHIKHA RESTU P D 23/10/2006
TASYA DWI P D 3/21/2008

NILA AMALIA P D 10/15/2006
ARSY NURAINI P D 17/02/2007
ANNISA CAHYA P D 2/14/2007
NABILA PUTRI P D 13/03/2007
SATRIA ADRIAN L D 7/13/2007
M. FARHAN IRZALDI L D 10/08/2005
RAFI FAREZA L D 25/11/2006
ANZAR QODRI L D 12/09/2007
MUHAMMAD RAZAN IRFAN L D 11/14/2006
TADLO DWI YUNARNO L D 9/16/2006
M. ADI SETIAWAN L D 12/06/2006
RALEYDI WARDANA L D 02/12/2006
INDI ARISTA P D 06/08/2006
CATHARINE JOVANCA ARRALIE SUGIONO p D 2/23/2007
CLAUNADINE FIONICA P D 08/09/2008
SHELLA AYU ASTRIA P D 26/06/2007
RIZKY RESTU L D 7/7/2007

NOVALI PUTRA L D 15/11/2006
FARREL ARGANTA L D 25/09/2006
M. SYAHRUL L D 7/27/2006
FAHRAN ALI L D 1/17/2007
RIFDA SALWA P D 05/09/2007
MUHAMMAD DESTAMA L D 16/12/2006
MUHAMMAD INSAN BIMO L D 4/13/2007
AULIA NURBAITI P D 11/15/2007
EVI NURAINI P D 27/06/2007
ANDREAS FAHLEVI L D 18/05/2007
MUHAMAD FATTAN L D 10/28/2007
HELMI DWI L D 15/12/2007
MUHAMMAD RISKY L D 4/23/2007
REYGA SATRYA L D 14/01/2007
FAQIH TRY L D 22/12/2006
BOJES SULENDRO L D 2/12/2007
PINK DESTIANA P D 23/12/2006

MARSHA RATU P D 30/07/2007
MUHAMMAD RAZAN IHSAN L D 14/11/2006
VINA AL VAZA P D 17/08/2007
SYAFIKA AULIA P D 12/10/2007
ALFIA P D 01/03/2006
ACHA P D 28/03/2007
NUR HOTIMAH P D 12/04/2006
SITI NURANISA P D 8/26/2004
RIA DESTIYANTI P D 9/7/2007
STEVE VAI RIZSI L D 4/15/2007
RANI APRIYANI P D 10/10/2004
MUSTIKA RATU D P D 10/17/2006
KELVIN SANTOSO L D 6/6/2007
AURELIA MUTIARA P D 5/21/2007
FIKRI ARIYANSYAH S L D 11/9/2005
***Merek Vaksin
A = Sinovac
4 BPJS PBI
0 BPJS Non PBI
0 Non Anggota
0
4 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
160 Total
0
160
Umur
(18 sd ≥ 60 tahun)
15 0 ENGGAL
15 0 TKT
15 0 TKP
15 0 KEDATON
15 0 TKT
15 0 WAY HALIM
16 0 WAY HALIM
15 0 TKP
15 0 TKP
15 0 TKT
15 0 TKP
16 0 WAY HALIM
16 0 TKT
16 0 TKT
15 0 TKP
15 0 TKT
16 0 WAY HALIM
16 0 TKP
16 0 KEDATON
17 0 TKT
15 0 TKT
15 0 ENGGAL
17 0 TKT
15 0 ENGGAL
16 0 ENGGAL
16 0 KEDAMAIAN
15 0 TKP
15 0 TKT
16 0 WAY HALIM
16 0 TKT
17 0 TKP
15 0 WAY HALIM
15 0 TKT
15 0 KEDATON
15 0 WAY HALIM
16 0 KEDAMAIAN
16 0 TKT
17 0 TKT
16 0 TKT
16 0 TKT
15 0 LAMTIM
16 0 TKT
16 0 SUKARAME
16 0 TKT
15 0 WAY HALIM
15 0 WAY HALIM
15 0 WAY HALIM
16 0 TKT
16 0 ENGGAL
16 0 ENGGAL
16 0 TKT
16 0 TKT
16 0 TKT
15 0 ENGGAL
16 0 TKT
15 0 TKT
16 0 TKT
16 0 WAY HALIM
15 0 TKT
17 0 TKT
15 0 TKT
16 0 WAY HALIM
16 0 TKT
15 0 TKB
15 0 TKP
16 0 TKP
15 0 WAY HALIM
15 0 TKT
15 0 ENGGAL
16 0 ENGGAL
16 0 TKT
16 0 WAY HALIM
15 0 TKT
16 0 ENGGAL
17 0 TKP
15 0 WAY HALIM
15 0 TKT
16 0 TKT
15 0 WAY HALIM
16 0 KEDATON
16 0 TKT
15 0 WAY HALIM
16 0 WAY HALIM
17 0 TKT
16 0 TKT
16 0 WAY HALIM
16 0 WAY HALIM
16 0 TKT
16 0 WAY HALIM
16 0 TKT
15 0 KEDATON
17 0 WAY HALIM
18 18-30 TKT
15 0 TKT
16 0 TKT
15 0 HAYAM WURUK
19 18-30 WAY HALIM
15 0 KEDAMAIAN
15 0 KEDAMAIAN
15 0 TKP
15 0 WAY HALIM
15 0 TKP
17 0 ENGGAL
17 0 TKP
17 0 TKP
16 0 WAY HALIM
15 0 TKT
17 0 TKT
16 0 TKP
16 0 TKT
15 0 RATULANGI
16 0 TKP
16 0 TKT
16 0 TKT
16 0 KEDAMAIAN
15 0 WAY HALIM
17 0 TKT
16 0 KEDATON
15 0 TKT
16 0 TKT
16 0 TKT
16 0 PAHOMAN
16 0 KEDATON
16 0 ANTASARI
16 0 ANTASARI
14 0 KEDAMAIAN
15 0 WAY HALIM
15 0 TKT
16 0 TKT
16 0 TKT
16 0 ENGGAL
16 0 WAY HALIM
15 0 TKT
16 0 TKT
16 0 TKT
15 0 TKT
15 0 TKT
16 0 WAY HALIM
15 0 TKT
15 0 P. BUTON
16 0 ENGGAL
16 0 TKT
16 0 ENGGAL
16 0 TKT
16 0 KEDAMAIAN
15 0 WAY HALIM
16 0 TKT
15 0 TKT
15 0 TKT
17 0 WAY HALIM
16 0 TKT
17 0 KEBON JERUK
18 18-30 TKT
15 0 KEDAMAIAN
16 0 WAY HALIM
18 18-30 TKB
16 0 TKT
15 0 TKT
16 0 WAY HALIM
17 0 WAY HALIM
Pekerjaan
66 A
55 B
39 C
160 D
E
9 Total
151
0
160
No. Hp
083181324701 YA
089673279716 YA
089648363935 YA
088268327096 YA
088276708001 YA
083134111209 YA
0895605346571 YA
082374712109
085788654369 YA
089541429070
083890057229
089508886142 YA
0895321240806 YA
089629144423 YA
083168040475
089523123105 YA
088287126131 YA
089521444222 YA
085321512312
08999792010 YA
0895610058433 YA
085279149045 YA
081377962765
0895378332662 YA
083188865789 YA
0895330295424 YA
088286110233 YA
089516649489 YA
089515850961
08318441210
083164350917 YA
085266819701 YA
089633458171 YA
089670614565 YA
089537936300 YA
089539448392
089510783306 YA
0895609939531
089629132770 YA
083806825428 YA
081271707760 YA
082289648266 YA
083177767557 YA
085776462053 YA
085269281068
081906867487 YA
089690880391 YA
089508593551 YA
089670929955
085289323318 YA
089658938696 YA
083182400643 YA
083168296084 YA
083168638188 YA
089627120727 YA
087792099746 YA
089631088812 YA
089842944293 YA
085832222824 YA
081322209420 YA
083122719089 YA
08919601236
0895620419310 YA
089630653526
08972589653 YA
089501624060 YA
089504328020
081617759758 YA
089526961457 YA
082289704287 YA
08963218925 YA
081211553783 YA
082176521181 YA
08973641242 YA
083192596416 YA
089515919611 YA
082278077067 YA
089630469188
081272244487
0895610023832 YA
083168869560 YA
089660532070 YA
082374966686 YA
0895620931259 YA
083143489003
085279725823 YA
088286049185
082178049632 YA
0887437490519
087869998647 YA
081272423339 YA
0897240248
083140865274
082278625916 YA
0895621912953 YA
085788436980
083167863912 YA
089676902262 YA
089691447724 YA
089630479573
089634159123
083178766876 YA
089661902279 YA
088274023616
08993032550
08983318183
083802536407
089632319190 YA
089624493374 YA
088286929549 YA
085267409680 YA
083164400616 YA
082133482171 YA
083171132653 YA
082377414400 YA
0899616080498 YA
089209123321 YA
082269123321 YA
0895610078763 YA
083160241979 YA
089624445790
085377914741 YA
089692673773 YA
086896887188
YA
089629679573
08127903216 YA
085841904461 YA
081273508262
082372868662 YA
083160118815
083192596307 YA
0859335199421 YA
089519202768 YA
085159995240 YA
085380965673
08950781876 YA
083802922021 YA
082165632707
083168994176
089502144361
085381999132 YA
082306608090 YA
083168204932 YA
083192459272 YA
089630633696 YA
083177038529 YA
08317634595 YA
089517832753
083169610444 YA
089560044242
0895610115285 YA
083193746148 YA
083192596307 YA
08827678445 YA
085382412091 YA
085709700820 YA
089514082576 YA
083169662327 YA
083175511082 YA
089631987261 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota










Dosis I
Tanggal Pemberian
Vaksinasi
9/3/2021 2021071371
9/3/2021 2021071371
9/3/2021 2021071371
9/3/2021 2021071371
9/3/2021 2021071371
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9/3/2021 2021071371
9/3/2021 2021071371
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9/3/2021 2021071371
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9/3/2021 2021071371
9/3/2021 2021071371
9/3/2021 2021071371
9/3/2021 2021071371
9/3/2021 2021071371
9/3/2021 2021071371
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9/3/2021 2021071371
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9/3/2021 2021071371
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
Dosis 2
Tanggal Pemberian
Vaksinasi
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
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10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
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10/1/2021 202108142H
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10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
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10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
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10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
10/1/2021 202108142H
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Provinsi : LAMPUNG
Hari, Tanggal : SENIN / 4-10-2021
No No. Tiket NIK Nama Penerima Vaksin
C 1 P-BW6WKVCN 1801182607040003 RIZHA KURNIAWAN
C 3 P-C2MMX19H 1809052007060001 DWI RISANTO
C 4 P-C93WMDW5 1871041006040002 M YUDA ARNI LEO
C 5 P-C9OSVE0Y 1801182708050003 AZRILMUSHOLIH
C 8 P-1V28M4ZR 1871091609050002 MUHAMMAD RAHMAD
C 9 P-0QXIDPOW 1871070705050007 ANGGAWA
C 10 P-1VGRAMPI 1871091401020004 HAIKAL NAWAB HN

C 13 P-74UU4SUJ 18090520391050002 MUHAMMAD ADHARI
14 P-BTEVIRNT 1801184912050002 MUTIARA AMANDA
C 15 P-DFYFUQXY 1871095503070001 SITI NURIAH
C 16 P-DNKGJN1 1871085903050001 SITI JOHARIAH
C 17 P-E6N5NOVH 1871056105060001 NAZEA YUMAIDA
C 18 P-EVTGODIY 1871080503060002 IQBAL TRI FALAH
C 19 P-EYKMPKWF 1806210610050002 M. ZIKRI YUSUP
C 20 P-FCY117HS 1871042404060003 M. MAULANA AZMI
21 P-FMQZY5J9 6171012106060004 BRATA ASWANGGA
22 NIK TDK BISA 1871096912050001 TETI AULIA
C 23 P-GZEUMDE2 1809054304060005 KARTIKA DEWI
C 24 P-HN0VFSVO 1871110303730004 DAVINKA PUTRI
C 25 P-J4DZMCTO 1871036908040004 ADINDA KARININA
C 27 P-M58QL9NE 1609074603060001 VERDA AWI
C 28 P-K3SAO2P 1871134905040005 MEILANI ZAHRA
C 31 P-K6B6MMHL 1871056010050002 SASKIA EKA PUTRI
C 32 P-KJ3C910Z 1871095707060001 FANESYA ARYETHRI

C 33 P-KAEENZ8H 1809056003050009 ENI ROHAYANI
C 34 P-KVKICXDL 1871106704060002 KHAIRUNISA NUR FITRI
C 35 P-KTLRBZML 1871124301050003 RIZAUVI QUEEN
C 36 P-LHD46OHL 1809056506060001 DE INTAN PUSPITA
C 37 P-KELW8PTI 1871076411040003 NOLA DWI AISYAH
C 38 P-LDFO1QWA 1871077008050002 SALSA PUTRI AULIA
C 39 P-L939SBUE 1871095008060002 RIA AGUSTIN
C 40 P-L2TK2X3E 1871074310060001 SRI REJEKI
C 41 P-MREOFBCP 1871020210060002 M. LUTHFI RAMADHAN
C 42 P-MCPU6J9V 1871081004050002 M. ICHSAN ARDIANSYAH
C 43 P-M1N7SKAR 1871040602070001 CHIKAL ADITIYA
C 44 P-MJDJ0B0J 1871100701030001 M. PALIYAN
C 46 P-MBTKCKKY 1809072506040002 M. SALFI ROHMAN
C 48 P-N9FFS1T9 1871082701070003 RAFLY ANAQHABA
C 49 P-NH6Z0HQD 1871132606060003 MUHAMMAD ZAKI
C 50 P-NJK7074K 1808035703070001 SUL HIDAYATI
C 51 P-NGTH1SDF 1871080901070002 NUR KHOLIK
C 54 P-OMW46J3Z 1801051801070001 BINTANG INSANI

C 57 P-PMSXIVI 1871096302050002 DEVI MUTMAINAH
C 58 P-JN2L114 1871056712040002 RIZKI MAHARANI
C 59 P-PGYIS0XB 1871126310040003 SITI RAHMA AYU
C 61 P-QAP7PD6X 1809055711040006 NOSA IDEA
C 67 P-BT6IWYRS 1801180111040003 M JEJEN NURAINI
C 69 P-2PXN0WM 1871132801040001 HENGKY ANUGRAH SAPUTRA
C 71 P-3DCSGIZ2 1809050906050002 WAHYU HIDAYAT
C 72 P-5X9Z68PA 1871024507040003 VALENTINA RAFAEL
C 73 P-AMB1ZLVN 1602151607060005 ANJA BIMA DIGITA
C 74 P-BEPJTEPI 1804147317050001 ZUL KOINI
C 75 P-CVNTES0T 1806095703060001 SITI MASITOH
C 76 P-E26RBWM0 1801084411990006 ZAHWA NIRWANA
C 77 P-ECQG44OM 1871026712060001 CHANTIKA LEVINA J
79 P-F1R7HRQS 1871096406040001 RENITA KARTIKA
C 80 P-FJBUO6KG 1871085310030002 ROMALIAH
C 82 P-FMQZY5J9 1803021212060002 M FAUZAN AL-MURTADNO
C 83 P-GA47K4GS 1871044907050001 ADINDA MUTIARA

C 84 P-FNB3ZD0Z 1871134307060001 ROBIANIAH
C 85 P-GHXZMCZP 1871045303050003 ASKA ANGGI
C 86 P-GPA83BRY 1871096810050001 TARA ALIFIA
C 87 P-H9AUZ0RB 1871072204600004 M FAUZAN RIZKA
C 89 P-H4BB2JTQ 1801067103050001 ASSYFA MERTA
C 90 P-HR6B5KLK 1871055311030008 SELI KURNIA
C 93 P-HZY5WNKL 1801185204040001 HOIRUNISAH
C 94 P-J01RE76Y 1809065903040005 INTAN WIRANDA
C 96 P-J6PJ4L1V 1806284307040004 EMI MARYATI
C 97 P-K1CO52C2 1809056211030001 RINTAN ADE PUSPITA
C 98 P-JZTSTMV5 1806284110050001 ELSA YUNIAR
C 99 P-KWFDAIDJ 1871095309060002 FASYA WULAN TILA
C 100 P-LKD9R4RX 1807025109050002 WIWEKA SATYA SAHAJA
C 101 P-L6D21RAN 1871054905060002 RIZKA ANZALINA
C 102 P-L5J5BCOA 1871082606040004 M RIDHO
C 103 P-LXR46TK 1871080711060003 M RIDWAN SAPUTRA
C 104 P-M7XUBCTA 1871072305050002 ROHMAN FIRMANSYAH

C 107 P-MODIACD9 1871032901060001 HAIDAR IHSAN
C 108 P-MOEPV7UB 1871082405040002 M FAHREZI PRATAMA
C 109 P-NXS9UF2D 1871126806070005 ELSY MELANIE
C 110 P-NUXVHE2X 1871094205070001 NURUL SYIFA
C 111 P-HNJJ61DKR 1871136107070003 NAURA PUTRI
C 112 P-NZEI3WYH 1674024206070001 CITRA AYU K
C 115 P-OIYVBSUF 1801180507060003 TIO SASMITA

A = Petugas Medis dan Non Medis di Fasilitas Pelay B = Lainnya (Mohon disebutkan jenis vaksin yang d
D = Lainnya
E = Tidak Bekerja
Kelompok Umur:
18-30 63
31-45 3
46-59 2
≥ 60 tahun 1
Total 69
Pekerjaan:
A 0
B 0
C 0
D 116
E 1
Total 117
FORMAT PENCATATAN
TINGKAT PUSKESM
Jenis Umur
Pekerjaan* Tanggal Lahir Kelompok Umur
Kelamin (18 sd ≥ 60 tahun)
L D 26/07/2004 18 18-30
L D 7/20/2006 16 0
L D 10/06/2004 18 18-30
L D 8/27/2005 17 0
L D 16/09/2005 17 0
L D 08/05/2005 18 18-30
L D 14/01/2004 19 18-30
L D 23/01/2005 18 18-30
P D 12/9/2005 17 0
P D 3/15/2007 16 0
P D 19/02/2005 18 18-30
P D 21/05/2006 17 0
L D 05/03/2006 17 0
L D 06/10/2005 17 0
L D 4/24/2006 17 0
L D 6/21/2006 16 0
P D 12/19/2006 16 0
P D 03/04/2006 17 0
P D 06/06/2004 18 18-30
P D 8/29/2004 18 18-30
P D 06/03/2006 17 0
P D 08/05/2004 19 18-30
P D 20/10/2005 17 0
P D 7/17/2006 16 0
P D 20/03/2005 18 18-30
P D 27/04/2006 17 0
P D 1/3/2005 18 18-30
P D 25/06/2006 16 0
P D 11/24/2004 18 18-30
P D 8/30/2005 17 0
P D 8/10/2006 16 0
P D 10/3/2006 16 0
L D 02/10/2006 16 0
L D 10/04/2005 18 18-30
L D 2/6/2007 16 0
L D 1/7/2004 19 18-30
L D 6/25/2004 18 18-30
L D 1/27/2007 16 0
L D 26/06/2006 16 0
P D 17/03/2007 16 0
L D 1/9/2007 16 0
L D 1/18/2007 16 0
P D 23/02/2005 18 18-30
P D 12/27/2004 18 18-30
P D 10/23/2004 18 18-30
P D 11/17/2004 18 18-30
L D 11/01/2004 19 18-30
L D 26/01/2004 19 18-30
L D 6/9/2005 17 0
P D 05/06/2004 18 18-30
L D 16/07/2006 16 0
L D 23/12/2005 17 0
P D 17/03/2005 18 18-30
P D 16/02/2006 17 0
P D 27/12/2006 16 0
P D 24/06/2004 18 18-30
L D 13/10/2003 19 18-30
L D 12/12/2006 16 0
L D 09/07/2005 17 0
P D 03/07/2006 16 0
P D 13/03/2005 18 18-30
P D 28/10/2005 17 0
L D 22/04/2006 17 0
P D 3/31/2005 18 18-30
P D 11/13/2003 19 18-30
P D 13/04/2004 19 18-30
P D 19/03/2004 19 18-30
P D 03/07/2004 18 18-30
P D 22/11/2003 19 18-30
P D 01/10/2005 17 0
P D 13/09/2006 16 0
L D 9/11/2005 17 0
P D 5/9/2006 17 0
L D 6/26/2004 18 18-30
L D 07/11/2006 16 0
L D 5/23/2005 18 18-30
L D 29/01/2006 17 0
L D 5/24/2004 19 18-30
P D 28/06/2007 15 0
P D 5/2/2007 16 0
P D 7/21/2007 15 0
P D 6/2/2007 15 0
L D 7/5/2006 16 0
disebutkan jenis vaksin yang diterima Puskesmas/Faskes)
Kepesertaan BPJS
BPJS PBI 44
BPJS Non PBI 26
Non Anggota 47
Total 117
Pemberian Dosis
Dosis 1 114
Dosis 2 3
Dosis 3 0
Total 117
PENCATATAN PELAKSANAAN VAKSINASI COVID-19
GKAT PUSKESMAS/FASYANKES/POS VAKSINASI
Alamat No. Hp
DARUL FALAH 085838483219 YA
DARUL FALAH 085838483219

TBU 085809923178
PESAWARAN 085809923178 YA
WAY KANDIS 085809923178 YA
GD AIR 082377327684
JABAL ANNUR 082371235239 YA
KEMILING 0895705007872 YA
JABAL ANNUR 085609196612 YA
BATU PUTUK 082372067515

SUKARAME 2 082181932310 YA
ANTASARI 0812797474 YA
PD CERMIN 082372052941
SUKARAJA 085268241072 YA
GARUNTANG 081296137278
KALIAWI 081369597127
KORPRI 081540800109 YA
SUKARME 2 081366706300 YA
RAJABASA 085269693978 YA
PESAWARAN 082177426734
KEMILING 085788980866 YA
WAY KANAN 085788980866
SUKARAM 2 085788980866 YA

BATU PUTUK 088706773542
SUKAJAYA 085809914877 YA
PD CERMIN 085269933866 YA

JABAL AN-NUR 081279747974 YA
JABAL AN-NUR 083179986650
JABAL AN-NUR

KURIPAN 0895621238836
BATU SULUH 085788980866 YA
BANDAR LAMPUNG 085788980866 YA
GUNUNG IBUL 085788980866
TJ RAME 082123498805 YA
Pekerjaan
A #REF!
B #REF!
C #REF!
#REF!
D #REF!
E #REF!
Total #REF!
COVID-19
NASI
a' pada kolom yang sesuai) Dosis I
Tanggal Nama/Jenis/Merek
Screening Vaksin***
Tanggal
Non Anggota Pemberian
Vaksinasi
10/4/2021 COVID 19 BIOFARMA 10/4/2021
YA 10/4/2021 COVID 19 BIOFARMA 10/4/2021
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021

10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021

10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021
10/4/2021 BIOFARMA COVID-19 10/4/2021

Dosis I Dosis 2
Tanggal
No. Batch No. Serial Pemberian No. Batch
Vaksinasi
202108142H
202108142H
202108142H
202108142H
202108142H 9/25/2021
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
202108142H
is 2
Keterangan
(Ditunda/Tidak
Diberikan/Lanjut)
No. Serial
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-0004FJTH
2 Q-000418QT
3 Q-000UHU1Z
M 4 Q-00046W16
5 Q-000UHUIT
6 Q-0004IHYF
7 Q-000UH4SI
8 Q-0004H5KQ
9 Q-000418NG
10 Q-0004FIHA
11 Q-00046HBM
M 12 Q-0004GSB2
M 13 Q-0004I0J4
14 Q-000UH4FN
M 15 Q-000UHUPO
16 Q-0004GCEB
17 Q-0004GI7X
18 Q-000UGS3L
19 Q-000UFS38
20 Q-0004G7SL
21 Q-0004PUYY
22 Q-000U6700
23 Q-0004INS3
M 24 Q-0004G69C
25 Z-000ADDRO
26 Q-000UGVZF
27 Q-0004FJUK
28 Q-0004FRY8
29 Q-0004H30L
M 30 Q-0004P9C7
31 Q-0004HM2E
32 Q-0004HKJ9
33 Q-0004Q01G
M 34 Q-0004GHIF
35 Q-0004PKJY
36 Q-0004FJU5
37 Q-0004IRH6
38 Q-0004G674
39 Q-0004G7J3
40 Q-0004FRZI
41 Q-0004H83I
42 Q-0004H74I
M 43 Q-000UGF6X
M 44 Q-000UGUST
45 Q-000UPCKV
46 Q-000UPH9K
47 Z-0009YKHQ
48 Q-000UP8IJ
49 Q-000UPKAJ
M 50 Q-000VIN0G
51 Q-000UP9GN
52 Q-000UP890
53 Q-000C2P4J
M 54 Q-000UG7IC
M 55 Q-000UIJAH
56 Q-0004I4NL
57 Q-0004148J
58 Q-00041A8E
M 59 Q-0004H3RI9
60 Q-0004FRYA
61 Q-0004P841
M 62 Q-0004Q2SR
63 Q-000UK53S
64 Q-000UPSWL
65 Q-000UPJ9Z
M 66 Q-000UIA8F
M 67 Q-000UIA8H
68 Q-000UPKCU
69 Q-000UPKF3
70 Q-000UHU7
71 Q-000UH842
72 W-40E66831
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871052501870000
1871092106820001
1871097108950003
1871105212850009
3512235710880001
1802224407930002
1871080802820003
1871095411870006
1871085001040001
1871085710730000
1871091212890007
1871130502920004
1871094609930002
1871094507700006
1871091106630002
1871084505750010
1871080404720003
1871091701930002
1801054208830011
1871095207030001
1871064308040002
1871060603080001
1871130108900001
1871084303790007
1871092501600002
1871131203800007
1871070507060003
1871084712010008
1871081612930002
1871076204930005
1871080605780002
1871050903840006
1871090410750004
187108480980004
1871090709950001
1871080100960003
1871084902030001
1871011208880003
3171021711840006
1871015202880006
1809052608080001
1809056611070005
1871090803930003
1871096006890002
1871094406930005
1871015205820008
1871091004590004
1871014701070002
1871092503090002
1871092308730004
187096004780005
1871027012820007
1871090711840002
1871090811900003
1871095411030002
1871094709780005
1871086912010003
1871086110800001
1871092210730003
1871084108790009
1871090511890005
1871095108010003
1871086506660001
1871074608750006
1871071105670003
1871092508860001
1871095202860004
1871045801030002
1871076801790006
1871125602090001
1871174803010002
1871121304810006

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA /5-10-2021
Jenis
Kelamin
EDWARDO DAVID L D 01/01/1987
MARHANI L D 6/21/1982
ANGGUN RATNASARI P D 8/31/1995
ATIYAH P D 12/12/1985
RIYAN AYU P D 10/17/1988
YULIS KHOIRUNNISA P D 7/4/1993
DEDE SUHENDAR L D 2/8/1982

SITI FATONAH P D 14/11/1987
ADINDA AURA P D 1/10/2004
SRI RAHMIDA WATI P D 10/17/1973
MARZUKI L D 12/12/1989
DEDE FIRMANSYAH L D 05/02/1993
ATIYAH P D 9/6/1993
ALINAH P D 7/5/1970
JUMAN. A L D 6/11/1963
SATIJAH P D 05/05/1975
SUPARNO L D 04/04/1972
ROSIM L D 17/01/1993
MURNIAWATI P D 02/08/1983
YULIANA P D 12/07/2003
CATHERINE ANDANI P D 8/3/2004
WILLIAM ANDANI L D 06/03/2008
ANDRI NOVIAN L D 8/1/1990
SUNARYO L D 25/01/1960
WAHYUDIN L D 12/03/1980
HAWILA SENTANU L D 05/07/2006
DEWI SARTIKA P D 07/12/2001
ADI RAHMAN L D 12/16/1993
HERNI RAHAYU P D 22/04/1993
ROSYID L D 6/6/1978
SYAIFUL MA'RUF L D 3/9/1984
SLAMET RIYADI L D 10/4/1975
IIN SAGITA P D 9/8/1989
EPAFRAS ELBES L D 6/1/1996
SINDI SATYANINGSIH P D 2/9/2003
AGUS SETIONO L D 12/08/1988
NICKY TEJANAGARA L D 17/11/1984
ADE FEBRIYANTHI P D 12/02/1988
PEKIK LAMBANG L D 8/26/2008

NOVELLYAWIKENZA P D 11/26/2007
CECEP SUPRIYADI L D 17/08/1993
JUNIAR P D 02/06/1989
ARSIAH P D 04/06/1993
ANI MARYANI P D 12/05/1982
KHAIRUDDIN L D 4/10/1959
SYIFA JIHAN P D 07/11/2007
MUHAMMAD RIZIQ L D 25/03/2009
KUSAIRI L D 8/23/1973
SARNITI P D 20/04/1978
JUMAIDI L D 11/7/1984
JULKIFLI L D 11/8/1990
BELLA PUSPITA P D 14/11/2003
SUMIARSIH P D 9/7/1978
ALDINI FITDESNATA P D 12/29/2001
ENI OKTAVIANI P D 10/21/1980
IWAN SETIAWAN L D 10/22/1973

TARINI P D 01/08/1979
SAMSUDIN L D 13/09/1986
ARMAN MAULANA L D 3/3/2000
SIOK HUNANI P D 6/25/1966
WASYATI P D 06/08/1975
YOS KODRI P D 11/05/1967
ZAINUDIN L D 8/25/1986
WAHYU SETIAWATI P D 2/12/1986
BAPTISTA P D 18/01/2003
SINTA ARISONDE P D 28/01/1979
CANTIKA AZKA P D 2/15/2009
MARETA SALSABILA P D 3/8/2004
DIYONO L D 4/13/1981
***Merek Vaksin
A = Sinovac
21 BPJS PBI
31 BPJS Non PBI
11 Non Anggota
2
65 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
72 Total
0
72
Umur
(18 sd ≥ 60 tahun)
36 31-45 PERWATA
40 31-45 BATUPUTUK
27 18-30 BATUPUTUK
37 31-45 BATUPUTUK
34 31-45 BATUPUTUK
29 18-30 BATUPUTUK
41 31-45 BATUPUTUK
35 31-45 BATUPUTUK
19 18-30 KURIPAN
49 46-59 SUKARAME 2
33 31-45 BATUPUTUK
30 18-30 BATUPUTUK
29 18-30 BATUPUTUK
52 46-59 BATUPUTUK
59 46-59 BATUPUTUK
48 46-59 SUKARAME 2
51 46-59 SUKARAME 2
30 18-30 BATUPUTUK
39 31-45 BATUPUTUK
19 18-30 BATUPUTUK
18 18-30 TKP
15 0 TKP
32 31-45 KEMILING
44 31-45 BATUPUTUK
63 ≥60 BATUPUTUK
43 31-45 BATUPUTUK
16 0 TBS
21 18-30 SUKAMAJU
29 18-30 SUKARAME 2
30 18-30 BATUPUTUK
44 31-45 KETEGUHAN
39 31-45 SUKABUMI
47 46-59 BATUPUTUK
33 31-45 BATUPUTUK
27 18-30 BATUPUTUK
26 18-30 BAKUNG
20 18-30 NOG
34 31-45 BATUPUTUK
38 31-45 ENGGAL
35 31-45 BATUPUTUK
14 0 NOG
15 0 NOG
29 18-30 BATUPUTUK
33 31-45 BATUPUTUK
29 18-30 BATUPUTUK
41 31-45 WAY HALIM
64 ≥60 BATU PUTUK
15 0 WAY HALIM
14 0 BATUPUTUK
49 46-59 BATUPUTUK
45 31-45 BATUPUTUK
40 31-45 WAY HALIM
38 31-45 BATU PUTUK
32 31-45 BATUPUTUK
19 18-30 BATUPUTUK
44 31-45 BATUPUTUK
21 18-30 SUKARAME 2
42 31-45 SUKARAME 2
49 46-59 BATUPUTUK
43 31-45 SUKAMAJU
36 31-45 BATUPUTUK
23 18-30 BATUPUTUK
56 46-59 NOG
47 46-59 BUMIWARAS
56 46-59 PANJANG
36 31-45 TBU
37 31-45 TBU
20 18-30 KEDAMAIAN
44 31-45 TBS
14 0 KEDAMAIAN
19 18-30 WAY HALIM
42 31-45 NOG
Pekerjaan
28 A
20 B
21 C
69 D
E
161 Total
0
0
161
No. Hp
081210202501 YA
089612817081 YA
089631335783 YA
089521247000 YA
082335393708 YA
085783548612
082264490260 YA
081272704187 YA
085269753694 YA
085788085303 YA
081375978321 YA
08976019003 YA
089629160911 YA
089692714709 YA
089692714209 YA
089632740300 YA
085378098936 YA
082184005428 YA
0895619917356 YA
08979566296 YA
089501231935 YA
085103489333
085789836258
0895606137786
0895225583395 YA
089692714209 YA
081977822818 YA
089602911278
085819071018 YA
085609788304 YA
081273920674 YA
082310390934
089632745599 YA
0895621632939
08982259080 YA
082282085687 YA
083809721565 YA
082182482225 YA
082176617166 YA
085273183560 YA
0895605146805
083168822423
085840706919
089521247000
085783139148 YA
0895609602618 YA
081383445417 YA
082180485707
082183785763
081379511108
089501438484 YA
081366725387 YA
085645104112
085832667157
08994101155
081245968733
088286088584 YA
085788085060 YA
081272059819 YA
081379310285 YA
0895606233275 YA
082133868119 YA
08218518885
082269568612
081314141989
082178065593 YA
081927313309 YA
0895639940800 YA
081367564779 YA
083181325440
083153559082
082281918889
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota



8/30/2021 CORONAVAC
YA 9/7/2021 MODERNA
7/7/2021 CORONAVAC

9/7/2021 MODERNA
5/20/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
9/7/2021 24202321 16264920130960
9/7/2021 24202321 16264891531496
9/7/2021 24202321 16264891730692
9/7/2021 24202321
9/7/2021 24202321 16264920130180
9/7/2021 24202321 16264920130180
9/7/2021 24202321 16264891730224

9/7/2021 24202321 16264920140788
9/7/2021 24202321 16264920142520
9/7/2021 24202321 16264920140788
9/7/2021 24202321 16264891531496
9/7/2021 24202321
9/7/2021 24202321
9/7/2021 24202321 16264891730692
9/7/2021 24202321
9/7/2021 24202321 16264920130180
9/7/2021 24202321 16264920140788
9/7/2021 24202321 16264920130180
9/7/2021 24202321 16264920130336
9/7/2021 24202321 16264920130960
9/7/2021 24202321 16264891531496
9/7/2021 24202321 16264920140788
9/7/2021 24202321 16264891531496
9/7/2021 24202321
9/7/2021 24202321 16264920140788
9/7/2021 24202321 16264920130960
9/7/2021 24202321 16264920130960
9/7/2021 24202321 16264920130960
9/7/2021 24202321 16264920142520
9/7/2021 24202321
9/7/2021 24202321 16264920145172
9/7/2021 24202321 16264920145172
9/7/2021 24202321 16264920140788
9/7/2021 24202321
9/7/2021 24202321 16264891730224
9/7/2021 24202321 16264891730224
9/7/2021 24202321 16264920140788
9/7/2021 24202321 16264920142520
9/7/2021 24202321 16264920130960
9/7/2021 24202321 16264920142520
9/7/2021 24202321 16264920145172

9/7/2021 24202321 16264920145172
9/7/2021 24202321
9/7/2021 24202321
9/7/2021 24202321 16264891730224
9/7/2021 24202321 16264891730692
8/30/2021 24004921 16255505185941
9/7/2021 24202321 16264920142520
9/7/2021 24202321 16264920130336
9/7/2021 001F21A
9/7/2021 24202321 16264920130180
9/7/2021 24202321 16264920142520
7/7/2021 24200721
9/7/2021 24202321
9/7/2021 24202321
9/7/2021 24202321 16264920140788
9/7/2021 24202321 16264891730692
9/7/2021 24202321 16264891730224
9/7/2021 24202321
9/7/2021 24202321 16264920130960
9/7/2021 24202321 16264920130180
9/7/2021 24202321
9/7/2021 24202321
9/7/2021 24202321 16264891730692
9/7/2021 24202321 16264891730224
9/7/2021 24202321
9/7/2021 24202321
9/7/2021 001F21A
9/7/2021 24202321 16264891730692
9/7/2021 24202321 16264920145172
9/7/2021 24202321 16264920145172
20-50-21 24001421
Dosis 2
Tanggal Pemberian
Vaksinasi
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
10/5/2021 202108142H
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
2 1 Q-000UYYY9
2 2 Q-000UYNOY
2 3 Q-000UYNOE
2 4 Q-000UYYYF
2 5 Q-000UXI92
2 6 Q-000UXS93
2 7 Q-000UXI8X
2 8 Q-000UX595
2 9 Q-000UXI97
2 10 Q-000UYNOA
11 P-0FG8YNJ1
2 12 Z-000AFM73
13 S-84ED1E3D
2 14 Q-000UY729
2 15 Q-000UY72A
16 P-DTIPY3NC
2 17 Q-000UYNOQ
18 P-0KHRBDON
19 P-00SGLVBC
2 20 Q-000V1T8Q
2 21 Q-000UYN0S
2 22 Q-000V3OOP
23 P-087QU33Z
2 24 Q-000UZA6X
25 P-10IHFES
2 26 Q-000UYYYD
2 27 Q-000V1EOF
28 P-0SY4F02Q
2 29 Q-000UYZDW
2 30 Q-000UYNOY
2 31 Q-000UXI8S
32 P-58OHIVEQ
2 33 Q-000UXS98
2 34 Q-000UXS91
2 35 Q-000UY72D
36 P-00M49YEI
37 P-0RYD0R86
38 P-0SICOI21
2 39 Q-000USX97
2 40 Q-000V0SOM
2 41 Q-000V0SOJ
2 42 Q-000V1TKQ
2 43 Q-000UXS94
2 44 Q-000UZMUM
2 45 Q-000UZMUN
2 46 Q-000UZMUR
47 P-0HOMFGOS
2 48 Q-000V0FE5
2 49 Q-000V0EY6
2 50 Q-000UYN0K
2 51 Z-000AGO23
2 52 Q-000UY728
2 53 Q-000V16MP
54 P-01DPFZ73
2 55 Q-000UXS96
2 56 Q-000UY727
57 P-04JTTZOV
58 P-KKHVE59Z
M 59 P-0Q4KIKTZ
60 P-68UZRCF1
61 P-0TQ0GMC7
2 62 Q-000VOTNS
2 63 Q-000V2XB3
2 64 Q-000UPJ3C
2 65 Q-000UXVC6
2 66 Q-000UYDIY
2 67 Q-000UY72F
2 68 Q-0000UJTAD
2 69 Q-000V26C8
2 70 Q-000UY72C
2 71 Q-000F0D0R
2 72 Q-000TAQP5
2 73 Q-000UZA6R
2 74 Q-000V30Z8
2 75 Q-000BLQSM
2 76 Q-000UZA6V
2 77 Q-000V1U21
2 78 Q-000UXURD
2 79 Q-000UZA71
2 80 Q-000UZXL5
2 81 Q-000V31MB
2 82 Q-000V34OA
2 83 Q-000V2SYX
2 84 Q-000UYNOU
2 85 Q-000BMEY2
2 86 Q-000UZMOQ
2 87 Q-000V1TGH
2 88 Q-000UZA7F
2 89 Q-000UZYUF
2 90 Q-000V21NC
2 91 Q-000UOES2
2 92 Q-000UZA6Z
2 93 K-00015LYK
2 94 Q-000V32TA
2 95 Q-000UZMUS
2 96 Q-000UZXLP
2 97 Q-000UJFQM
2 98 K-00015D7F
2 99 Q-0000UZXLA
2 100 Q-000UYNOI
2 101 Q-000UZAGF
2 102 Q-000UQHMG
2 103 Q-000UZAGE
2 104 Q-000UZXLF
2 105 Q-000UZMUM
106 P-0UDHKBID
107 P-AMRXEDD7
108 P-0BW5LMG3
109 P-AULSH9S9
110 P-0ONDUS6E
111 NIK TIDAK TERDAFTAR
112 P-BAITLOKO
2 113 Q-000UZXLC
2 114 Q-000VZMIG
2 115 Q-000V308A
M 116
117
118
119
120
121
M 122
123
124
125
M 126
M 127
128
129
130
M 131
132
133
M 134
135
136
137
M 138
M 139
140
141
142
143
144
145
146
147
M 148
149
150
151
152
153
154
155
M 156
M 157
158
M 159
160
161
162
163
164
165
166
167
M 168
169
170
171
172
173
M 174
175
176
177
M 178
179
180
181
182
183
184
185
186
M 187
M 188
189
190
191
192
193
M 194
195
196
197
M 198
M 199
200
201
202
M 203
204
205
M 206
207
208
209
M 210
M 211
212
213
214
215
216
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871084312730001
1871086407660002
1871085409790002
1871085205980007
1871086307010005
1871024103850004
1871081710980006
1871084109020003
1871084409010007
1871081002020010
1871084801990002
1871081708570008
1871085507540001
1871084506760006
1871081006650001
1871085004950003
1871081811910001
1871083101830003
1871032504980004
3604316604910002
1871086305920001
1871085503790006
1871092405900001
1871082807680002
1801080709880004
1871081111700005
1871085011650010
1871085007820011
1871085212770010
1871084907730009
1871081608010003
1871090408660003
1871086104670007
1871080802010003
1871080604040001
1871086103650007
1871094204950004
1871083112760007
1871084306800007
1871086404920004
1871086005680006
1871080110760002
1871084106690005
1871085009680007
1871045211970006
1871081404030003
1871085207620005
187109470360005
1871096608810004
1871081002620002
1871092310730005
1871086601970002
1871074607770011
1871081107930010
1871082203000001
1871086905020006
1871086503710001
1871063103870002
1871086708900003
1871076404860005
1604216304980003
1871086011990002
1871081910980001
1871060603680006
1871091807060001
1871061709750007
1871081001980009
1871081403810005
1871083005800002
1871084808740003
1871080706800004
1801041205940007
1871084703820005
18710920107800
1871084909850002
1871084404870006
1871084206040005
1871071407890004
1871085007620006
1871084401840003
1871081102930001
1871085112020005
1871085512960007
1871086504950005
1871084808840005
1871080808970003
1871081505620001
1871084104790005
1871096112030001
1871080205650004
1871096006800005
1871094901750003
1871086107880004
1871082007610005
1871084207920005
1871080907920002
1871064101090003
1871085504980007
1871084703840005
1871083007880003
1871081208740005
1871086506990001
1871084610750003
1871082711030002
1871136705920001
1871070710880008
1871085004620006
1871085209920008
1871082104610003
1871081506650003
1871084808730010
1871086411720004
1871092806850001
1871063105900003
1871081501730002
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU / 6-10-2021
Jenis
Kelamin
DESI ISWATI P D 12/3/1973
NURYANTI P D 24/07/1966
PITRIAH P D 14/09/1979
IRMAYANTI P D 5/12/1998
RAHAYU MEGA P D 23/07/2001
RETTAMA HUTAGALUNG P D 01/03/1985
RAHMAT MUKTI L D 17/09/1998

DINA WAHYUNI P D 9/1/2002
DEVITA SAPUTRI P D 9/4/2001
DYMAS PRASTYO L D 10/02/2002
DEWI SUSANTI P D 1/8/1999
RUSNI P D 7/15/1954
SUPARTI P D 05/06/1976
BUDIYONO L D 10/06/1965
NUR BAITI P D 10/05/1995
M. SUHENDRI L D 18/11/1991
ANDHIKA ADHYTIA L D 31/01/1983
GILANG SAPUTRA L D 25/04/1998
IKA RIZKIANTI P D 4/26/1991
MAYA SRI RAHAYU P D 5/23/1992
IMAN FAUZI L D 5/24/1990
SOHARI L D 7/28/1968
MUKMIN L D 07/09/1988
SAMSI NAJEMI L D 11/11/1970
HALIMAH P D 11/10/1965
SUMYATI P D 10/07/1962
ROSLINA P D 12/12/1977
YULIATI P D 09/07/1973
ALIYANTO L D 16/08/2001
IWAN SETIAWAN L D 8/4/1966
SUSIATI P D 21/04/1967
FERDI PUTRA L D 08/02/2001
NICHOLAS CHRISTIAN L D 06/04/2004
ROHILA P D 3/21/1965
ARINI P D 6/23/1995
HERMAN L D 31/12/1976
MAY SAROH P D 03/06/1980
YULI APRIANA P D 4/24/1992
ELIS ELIAWATI P D 5/20/1968

SANAN L D 10/1/1976
SURYATI P D 01/06/1969
SUMARYATI P D 9/10/1968
AZIZAH DAMAYANTI P D 11/12/1997
RENDI PRATAMA L D 4/14/2003
SRI SUBARYATI P D 7/12/1962
NURMAINI P D 3/7/1965
ASMAIDA P D 8/26/1981
SALEH L D 10/02/1962
ACHMAD FITRI L D 10/23/1973
GITA FITRIYANI P D 26/01/1997
SRI SUPRIYANTI P D 7/6/1977
RISKI KURNIAWAN L D 7/11/1993
YUSUF ULYA L D 22/02/2000
HERSA SAFITRI P D 29/05/2002
RATNA DEWI P D 3/25/1971
RENDI SAPUTRA L D 3/31/1987
YULIANI P D 8/27/1990
DIANA AFRIANI P D 24/04/1986
APRIA FEBIANTI P D 23/04/1998
DIAN NOVITA SARI P D 11/20/1999
ODI SAPUTRA L D 19/10/1998
IWAN DARMAWAN L D 3/6/1968
WINSTON HARDIYANTO L D 18/07/2006
SUGIANTO HASAN L D 9/17/1975
RESTU RAHMADANI P D 10/01/1998
MUJIONO L D 01/03/1981
KHOIRULLOH L D 5/30/1980
LINDA WAHYUNI P D 8/8/1974
ABDUL AZIZ L D 6/7/1980
FENO GUNARA L D 5/12/1994
RODIYAH P D 3/7/1982
ANDO SAMSON L D 20/10/1978
NURJANAH P D 09/09/1985
SUGIARTI P D 4/4/1987
HARYANI DWI P D 6/2/2004

JANI HIDAYAT L D 14/07/1989
SRI BINTARI P D 7/10/1962
DINA THRESIANA P D 1/4/1984
SUHENDRIK L D 2/11/1993
UTAMI NINGSIH P D 12/11/2002
DESI RAHAYU P D 12/03/1996
SUNDARI MUNINGSIH P D 25/04/1995
ROSIDAWATI P D 8/8/1984
HENDRIK L D 8/8/1997
DRS.WISNU S L D 5/15/1962
SULASTRI P D 4/1/1979
MONA ADELIA P D 12/21/2003
MAJROI L D 5/2/1965
SRI HARTINI P D 09/01/1975
WENNI P D 7/21/1980
SALMAN THOWI L D 20/07/1961
NURYATI NINGSIH P D 7/2/1992

MUHAMMAD LUTFI L D 7/9/1992
KC BRENDA SUAN P D 01/01/2009
RAMA YANTI P D 4/15/1998
SITIMARYAM P D 3/7/1984
JULI HADIYANTO L D 30/07/1988
SANTARI L D 8/12/1974
RESTIANA P D 06/10/1998
KASMINI P D 10/6/1975
AHMAD IBNU FARIS L D 11/27/2003
MEILIA ROSMALA SARI P D 27/05/1993
ACHMAD L D 10/7/1988
RINI K DEWI P D 10/04/1962
AYU SEPTIANI P D 9/12/1992
ANTON CROES L D 4/21/1961
HERMANTO L D 15/06/1965
GUSNIAR P D 08/08/1973
NANI TRININGSIH P D 24/11/1972
RIKI CANDRA L D 6/28/1985

FERDIAN MESSA L D 5/31/1990
ANTA MAULANA L D 15/01/1973
P D 02/06/1989
P D 04/06/1993
P D 12/05/1982
L D 4/10/1959
P D 07/11/2007
L D 25/03/2009
L D 8/23/1973
P D 20/04/1978
P D 30/12/1982
L D 11/7/1984
L D 11/8/1990
P D 14/11/2003
P D 9/7/1978
P D 12/29/2001
P D 10/21/1980
L D 10/22/1973
P D 01/08/1979
L D 13/09/1986
L D 3/3/2000
P D 6/25/1966
P D 06/08/1975
P D 11/05/1967
L D 8/25/1986
P D 2/12/1986
P D 18/01/2003
P D 28/01/1979
P D 2/15/2009
P D 3/8/2004
L D 4/13/1981
L D 01/01/1987
L D 6/21/1982
P D 8/31/1995
P D 12/12/1985
P D 10/17/1988
P D 7/4/1993
L D 2/8/1982
P D 14/11/1987
P D 1/10/2004
P D 10/17/1973
L D 12/12/1989
L D 05/02/1993
P D 9/6/1993
P D 7/5/1970
L D 6/11/1963
P D 05/05/1975
L D 04/04/1972
L D 17/01/1993
P D 02/08/1983
P D 12/07/2003
P D 8/3/2004
L D 06/03/2008
L D 8/1/1990
P D 3/3/1979
L D 25/01/1960
L D 12/03/1980
L D 05/07/2006
P D 07/12/2001
L D 12/16/1993
P D 22/04/1993
L D 6/6/1978
L D 3/9/1984
L D 10/4/1975
P D 9/8/1989
L D 16/09/1995
L D 6/1/1996
P D 2/9/2003
L D 12/08/1988
L D 17/11/1984
P D 12/02/1988
L D 8/26/2008
P D 11/26/2007
L D 17/08/1993
P D 02/06/1989
P D 04/06/1993
P D 12/05/1982
L D 4/10/1959
P D 07/11/2007
L D 25/03/2009
L D 8/23/1973
P D 20/04/1978
P D 30/12/1982
L D 11/7/1984
L D 11/8/1990
P D 14/11/2003
P D 9/7/1978
P D 12/29/2001
P D 10/21/1980
L D 10/22/1973
P D 01/08/1979
L D 13/09/1986
L D 3/3/2000
P D 6/25/1966
P D 06/08/1975
P D 11/05/1967
L D 8/25/1986
P D 2/12/1986
P D 18/01/2003
P D 28/01/1979
P D 2/15/2009
P D 3/8/2004
L D 4/13/1981
***Merek Vaksin
A = Sinovac

21 BPJS PBI
31 BPJS Non PBI
11 Non Anggota
2
65 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
72 Total
0
72
Umur
(18 sd ≥ 60 tahun)
49 46-59 BAKUNG
56 46-59 BAKUNG
43 31-45 BAKUNG
25 18-30 BAKUNG
21 18-30 BAKUNG
38 31-45 BAKUNG
24 18-30 BAKUNG
20 18-30 BAKUNG
21 18-30 BAKUNG
21 18-30 BAKUNG
24 18-30 BAKUNG
65 ≥60 BAKUNG
68 ≥60 BAKUNG
46 46-59 BAKUNG
57 46-59 BAKUNG
28 18-30 BAKUNG
31 31-45 BAKUNG
40 31-45 BAKUNG
25 18-30 BAKUNG
32 31-45 BAKUNG
31 31-45 BAKUNG
44 31-45 BAKUNG
33 31-45 BAKUNG
54 46-59 BAKUNG
34 31-45 BAKUNG
52 46-59 BAKUNG
57 46-59 BAKUNG
60 ≥60 BAKUNG
45 31-45 BAKUNG
49 46-59 BAKUNG
21 18-30 BAKUNG
56 46-59 BAKUNG
56 46-59 BAKUNG
22 18-30 BAKUNG
19 18-30 BAKUNG
58 46-59 BAKUNG
27 18-30 BAKUNG
46 46-59 BAKUNG
42 31-45 BAKUNG
31 31-45 BAKUNG
55 46-59 BAKUNG
46 46-59 BAKUNG
53 46-59 BAKUNG
54 46-59 BAKUNG
25 18-30 SUKABUMI
20 18-30 BAKUNG
60 ≥60 BAKUNG
58 46-59 BATUPUTUK
41 31-45 BATUPUTUK
61 ≥60 BAKUNG
49 46-59 BAKUNG
26 18-30 BAKUNG
45 31-45 BAKUNG
29 18-30 BAKUNG
23 18-30 BAKUNG
21 18-30 BAKUNG
52 46-59 BAKUNG
36 31-45 TBU
32 31-45 BAKUNG
37 31-45 TBS
25 18-30 BAKUNG
24 18-30 BAKUNG
55 46-59 BATUPUTUK
16 0 TBU
47 46-59 TKP
25 18-30 BAKUNG
42 31-45 BUMI WARAS
43 31-45 BAKUNG
48 46-59 BAKUNG
42 31-45 BAKUNG
29 18-30 NATAR
41 31-45 BAKUNG
44 31-45 BAKUNG
37 31-45 BAKUNG
36 31-45 BAKUNG
18 18-30 BAKUNG
33 31-45 TBS
60 ≥60 BAKUNG
39 31-45 BAKUNG
30 18-30 BAKUNG
20 18-30 BAKUNG
27 18-30 BAKUNG
28 18-30 BAKUNG
38 31-45 BAKUNG
25 18-30 BAKUNG
61 ≥60 BAKUNG
44 31-45 BAKUNG
19 18-30 BATUPUTUK
58 46-59 BAKUNG
42 31-45 TBU
48 46-59 BAKUNG
42 31-45 BAKUNG
61 ≥60 BAKUNG
30 18-30 BAKUNG
30 18-30 BAKUNG
14 0 ENGGAL
25 18-30 BAKUNG
39 31-45 BAKUNG
34 31-45 BAKUNG
48 46-59 BAKUNG
24 18-30 BAKUNG
47 46-59 BAKUNG
19 18-30 BAKUNG
30 18-30 BAKUNG
34 31-45 BAKUNG
61 ≥60 BAKUNG
30 18-30 BAKUNG
62 ≥60 BAKUNG
57 46-59 BAKUNG
49 46-59 BAKUNG
50 46-59 BAKUNG
37 31-45 BAKUNG
32 31-45 BAKUNG
50 46-59 BAKUNG
33 31-45
29 18-30
41 31-45
64 ≥60
15 0
14 0
49 46-59
45 31-45
40 31-45
38 31-45
32 31-45
19 18-30
44 31-45
21 18-30
42 31-45
49 46-59
43 31-45
36 31-45
23 18-30
56 46-59
47 46-59
56 46-59
36 31-45
37 31-45
20 18-30
44 31-45
14 0
19 18-30
42 31-45
36 31-45
40 31-45
27 18-30
37 31-45
34 31-45
29 18-30
41 31-45
35 31-45
19 18-30
49 46-59
33 31-45
30 18-30
29 18-30
52 46-59
59 46-59
48 46-59
51 46-59
30 18-30
39 31-45
19 18-30
18 18-30
15 0
32 31-45
44 31-45
63 ≥60
43 31-45
16 0
21 18-30
29 18-30
30 18-30
44 31-45
39 31-45
47 46-59
33 31-45
27 18-30
26 18-30
20 18-30
34 31-45
38 31-45
35 31-45
14 0
15 0
29 18-30
33 31-45
29 18-30
41 31-45
64 ≥60
15 0
14 0
49 46-59
45 31-45
40 31-45
38 31-45
32 31-45
19 18-30
44 31-45
21 18-30
42 31-45
49 46-59
43 31-45
36 31-45
23 18-30
56 46-59
47 46-59
56 46-59
36 31-45
37 31-45
20 18-30
44 31-45
14 0
19 18-30
42 31-45
Pekerjaan
0 A
0 B
0 C
0 D
E
161 Total
0
0
161
No. Hp
082356730882
08976371987 YA
089794677760 YA
0895600756665 YA
08990578241 YA
08989252551 YA
08989977241
089534111264 YA
089632135977 YA
088274223917 YA
08975776511 YA
081379205747 YA
081272816057 YA
082180035718 YA
089508597797 YA
0895354851615 YA
082181492627 YA
089510057216
089523079057
083160139547 YA
081373614621
081377579179 YA
0895620635171 YA
08994299984
089519102137
081272403366
089532317076 YA
085268303345
089517336821 YA
0895640010396 YA
0895620403516 YA
089651270573 YA
081373285692 YA
089634111833 YA
085871557923
085269281314
085268303345 YA
085268303345 YA
081271686185 YA
083168754545 YA
083168754545 YA
081278223082
082268356920 YA
085266709083
085266709083 YA
0895416683434 YA
085366887363 YA
085368056899 YA
0895609941054 YA
089533998414 YA
081373237552 YA
081369997553 YA
085267427258
085366887363 YA
0895640016981 YA
082184395739
08 YA
085695859931 YA
089524673473
085695860078 YA
0895620635171 YA
089628861452
08872096372
082380718469 YA
082283514203 YA
081279950222 YA
082178242599 YA
089632387798
085268822271 YA
0895640413793 YA
0896600675200 YA
081329583157
089522100673
081377693529
089689817779
089523116448
089508602199 YA
087877806321 YA
088707036812
082184001230
0895352661115
083177644527 YA
081278418704
08975609070
08996407194 YA
089651364996 YA
082282130763 YA
085366288914 YA
085645212486 YA
082376101016
082281513059 YA
089653502570
085366794995 YA
081379017575 YA
089631584628 YA
085384777816 YA
082282990999 YA
085727077639
085788077553 YA
081278850710
082318914701 YA
081272738802
083179844633 YA
089669291060 YA
0895600782525 YA
08980520496
081369151940 YA
089508631108
081368191924 YA
085246232497 YA
0895411813400 YA
089512954469 YA
089612841392 YA
089631191155 YA
085366121580 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota

YA
YA

YA
YA
YA

YA
9/4/2021 CORONAVAC

7/6/2021 CORONAVAC

YA
YA


Dosis I
Tanggal Pemberian
Vaksinasi
9/8/2021 24202321 16264891296872
9/8/2021 24202321 16264891527128
9/8/2021 24202321 16264891527128
9/8/2021 24202321 16264891296872
9/8/2021 24202321 16264891296404
9/8/2021 24202321 16264891296404
9/8/2021 24202321 16264891296404

9/8/2021 24202321 16264891296404
9/8/2021 24202321 16264891296404
9/8/2021 24202321 16264891527128
9/8/2021 24202321 16264891527128
9/8/2021 24202321 16264891299368
9/8/2021 24202321 16264891299368
9/8/2021 24202321 16264891299368
9/8/2021 24202321 16264891518860
9/8/2021 24202321 16264891527128
9/8/2021 24202321 16264891299680
9/8/2021 24202321 16264891296872

9/8/2021 24202321 16264891296872
9/8/2021 24202321 16264891518860
9/8/2021 24202321 16264891296872
9/8/2021 24202321 16264891527128
9/8/2021 24202321 16264891296404
9/8/2021 24202321 16264891299368
9/8/2021 24202321 16264891296404
9/8/2021 24202321 16264891299368
9/8/2021 24202321 16264891296404
9/8/2021 24202321 16264891302956
9/8/2021 24202321 16264891302956

9/8/2021 24202321 16264891518860
9/8/2021 24202321 16264891299368
9/8/2021 24202321 16264891736636
9/8/2021 24202321 16264891736636
9/8/2021 24202321 16264891736636
9/8/2021 24202321 16264891737884
9/8/2021 24202321 16264891737884
9/8/2021 24202321 16264891527128
9/8/2021 24202321 16264891299680
9/8/2021 24202321 16264891299368
9/8/2021 24202321 16264891302956
9/8/2021 24202321 16264891296404
9/8/2021 24202321 16264891299368

9/8/2021 202108154I
9/8/2021 24202321 16264891297808
9/7/2021 24202321 16264891531496
9/8/2021 24202321 16264891296404
9/8/2021 24202321 16264891299368
9/8/2021 24202321 16264891299368
9/7/2021 24202321 16264891531496
9/8/2021 24202321 16264891299680
9/8/2021 24202321 16264891299368
9/8/2021 24202321 16264891737884
9/4/2021 24005221
9/8/2021 24202321 16264891296872
9/8/2021 24202321 16264891297808
7/6/2021 24200321 16214815781944
9/8/2021 24202321 16264891296872
9/8/2021 24202321 16264891518860

9/8/2021 24202321 16264891296404
9/8/2021 24202321 16264891736636
9/8/2021 24202321 16264891737884
9/8/2021 24202321 16264891737884
9/8/2021 24202321 16264891297808
9/8/2021 24202321 16264891297808
9/8/2021 24202321 16264891527128
7/6/2021 24200321 162148115795688
9/8/2021 24202321 16264891736636
9/8/2021 24202321 16264891518860
9/8/2021 24202321 16264891736636
9/8/2021 24202321 16264891737884
9/8/2021 24202321 16264891299680
9/8/2021 24202321 16264891737884
9/8/2021 24202321 16264891296872
9/8/2021 24202321 16264891518860
9/8/2021 24202321 16264891297808
9/8/2021 24202321 16264891736636

9/8/2021 24202321 16264891736636
9/7/2021 24202321 16264891531496
9/8/2021 24202321 16264891527128
9/8/2021 24202321 16264891737884
9/8/2021 24202321 16264891527128
9/8/2021 24202321 16264891736636
9/7/2021 24202321 16264920142520
9/8/2021 24202321 16264891736636
9/8/2021 24202321 16264891737884
9/8/2021 24202321 16264891299680
9/8/2021 24202321 16264891737884

9/8/2021 24202321 16264891299680
9/8/2021 24202321 16264891299680

Dosis 2
Tanggal Pemberian
Vaksinasi
10/6/2021 202108142H
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
XAVE 9 K-00010O7K
74 BACK DATE
75 BACK DATE
94 K-00016U33
173
216
245
M 249 K-00014EB9
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871126106070001
1871085111070003
1871082009060001
1871082407070001
1871194907070001
1871085504070005
1871081610070003
1805025008950001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS / 7-10-2021
Jenis
Kelamin
THALIA ALEXA P D 6/21/2007
CINDY NABILA P D 11/11/2007
TUBAGUS MUHAMMAD L D 20/09/2006
ELFRADA P L D 24/07/2007
ZIAH AULIA P D 09/07/2007
ROSDIANA APRILIA P D 15/04/2007
SAEPULLOH L D 16/10/2007
HEPPY MUTIARA INDAH P D 10/08/1995
***Merek Vaksin
A = Sinovac

#REF! BPJS PBI
#REF! BPJS Non PBI
#REF! Non Anggota
#REF!
#REF! Total
#REF! Dosis 1
#REF! Dosis 2
#REF! Dosis 3
#REF! Total
#REF!
#REF!
Umur
(18 sd ≥ 60 tahun)
15 0 SUKARAME
15 0 KOTA KARANG
16 0 TBT
15 0 TBT
15 0 KOTA KARANG
16 0 BAKUNG
15 0 SUKARAME 2
27 18-30 TKP
Pekerjaan
#REF! A
0 B
0 C
#REF! D
E
161 Total
0
0
161
No. Hp
082269508234 YA
089689631717
08
08979748027
083122894897 YA
085789834248
0895344155468 YA
085266572504 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota

9/7/2021 MODERNA
Dosis I
Tanggal Pemberian
Vaksinasi
9/9/2021 202108156I
9/9/2021 202108156I
9/9/2021 202108156I
9/9/2021 202108156I
9/9/2021 202108156I
9/9/2021 202108156I
9/9/2021 202108156I
9/7/2021 001F21A
Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 J-00042DEJ
2 P-4JUQQGPC
3 P-5HZ3V80R
4 P-40DU4WYD
5 P-S00LYC4U
6 P-5A4CZKPH
7 P-4FUZ3AHG
8 P-4H7ARU95
9 P-84NFJ83Y
10 P-A0D3MJGE
11 P-NRNLWQMI
12 P-0HTUGT0K
13 P-6JZUBU29
14 P-8M7GZUTU
15 P-APOHTIG1
16 P-BDTKJKH8
17 P-710Z0AD
18 P-JPMGDYXY
19 P-AY31QEDU
20 P-7WS1BUFK
21 P-5Y63R5YI
22 P-6FJWZTOB
23 P-J9PSPN3P
24 P-LGJJEDTS
25 P-8UUC35JV
26 P-J5EFO5S1
27 P-8D67VNPY
28 P-L3SXELYW
1 29 P-NRWZEUVS
1 30 P-LBCU0OPO
1 31 P-L6ONTNH1
1 32 P-EMK3MGMQ
33 P-1G13HBCSV
34 P-1Y3ICYFB
35 P-IKIUBYZM
36 P-L73C4CTJ
37 P-JOFWHN96
38 P-PM5WTL5E
39 P-LOSRZ4QS
40 P-LMYXSLFF
41 P-KENVXZCC
42 P-LRWWGJRY
43 S-E3E6CD8C
44 P-LSJ6LWIO
45 P-LSIJTJWU
46 P-FQIH8HMM
47 P-LWKN9VB1
48 P-LZ4IWT1K
49 P-LY8QTZZT
50 P-MO4VOREC
1 51 P-LZIIAGP
1 52 P-M509ZLNP
53 P-MGUELOGH
54 P-MHVR0F0I
55 P-MGG3NDRK
56 P-MNETUXHS
57 S-21CF369D
58 P-PSNIKPUM
59 P-4BZHL20S
60 P-4AFCQMSI
61 P-4EGKSUGJ
62 P-4CZ70EBF
63 P-5HTRFNKR
64 P-4IFQ0HHK
65 P-52FN33J
66 P-5LRALC5H
67 P-50RYNXIV
68 P-6FZP0GCV
69 P-5UGP4SOG
70 P-4ODVYWYD
71 P-KW2R5XCJ
72 P-7OC9AZEX
73 P-5QLV6KAY
74 P-7Q57DY1K
75 P-5QLV6KAY
76 P-5UY5RRWV
77 P-A893TSIC
78 P-8OBEE2KE
79 P-AAGF83V1
80 P-6YMIWOEX
81 P-7TLNCUMR
82 P-0XK4W28I
83 P-ERDPHG1V
84 P-5RJ22H1B
85 P-5WJOWOZC
86 P-B3U3MYWI
87 P-DZ8VH35B
88 P-KZB1KKGA
89 P-KZSR992C
90 P-BF5KH1XO
91 P-L2HOT43D
92 P-L0FBC7VL
93 P-LOYG51R
94 P-TVCTKV3X
95 P-HCVYIGZG
96 P-GZS1MG1R
97 P-L1RDTAKZ
98 P-71I7JN4U
99 P-GQGDT77Y
100 P-F3LMUOMA
101 P-8BSL1OJ2
102 P-GVM1BXTQ
103 P-8EYR4TPS
104 P-I2KZLWZD
105 P-9A3YD1HC
106 P-1OPE0DOR
107 P-L8SHPND1
108 P-4K2IC2WI
109 P-82UXWR1R
110 P-7JOL8T1X
111 P-LBNTIZZT
112 P-DZVLP8XG
113 P-LBQLSAJP
114 P-L4HQZON8
115 P-08FLTS8V
116 P-FLK501M6
117 P-0PTE17DU
118 P-371QIZEP
119 P-HCNITP1W
120 P-HR1UFF39
121 S-DBA95E66
122 P-LHQAJ237
123 P-LI702WSO
124 P-4M18CLYA
125 P-3WAHOW8C
126 P-L52I2KYE
127 P-I5QMEWD4
128 P-IKIUBYZM
129 P-LJNQNRRI
130 P-L5JE4ISQ
131 P-LK73BFTD
132 P-L9ZKF4DU
133 P-LM6EOKPJ
134 P-LAL5E3VO
135 P-LIP5OH20
136 P-KSBSNX7Q
137 P-LMLDJWVX
138 P-LPKBPSZJ
139 P-LPXQVEAD
140 P-LQLN327D
141 P-LVUMHFS9
142 P-LUXRH5SO
143 P-LUH5CFG1
144 P-LSVI08DL
145 P-M0RUFEOL
146 P-MZOJ4BUP
147 P-M3TJYA8I
148 P-M5B5VVKH
149 P-M4ETLSWA
150 P-M4VMIZDZ
151 J-00012D6Y
152 P-MLCE0IDY
153 P-NOICGZPY
154 P-NOYFYA5R
155 P-NQBIZA7H
156 P-NQTRXUSA
157 P-NR4TSF65
158 P-NRFYMLSQ
Batas 159 P-NR0MDOHO
160 Q-000W025X
161 Q-000W02BJ
162 Q-000VZ8VQ
163 Q-000VZ7EI
164 P-BCEDAVTA
165 Q-0000Z451
166 Q-000WOLYC
167 Q-000VZ40M
168 Q-000VZ40Q
169 Q-000WO1WY
170 K-00017H70
171 Q-000VYVHR
172 Q-000W3ANR
173 Q-000410HP
174 Q-000W2PLN
175 Q-000VZKZX
176 Q-000VZKZX
177 Q-000V4NHX
178 Q-000V4VH0
179 Q-000VZETK
180 Q-000W0LYD
181 Q-000W3495
182 Q-000VZKRL
183 K-00017DZG
184 Q-000W0LYA
185 K-00017EOZ
186 Q-000WIAEL
187 Q-000VZ4T4
188 K-00017EP3
189 Q-000WOEPI
190 Q-000W2073
191 Q-000WODOM
192 Q-000V4VH4
193 Q-000VZ4P9
194 Q-000V4HLC
195 Q-000W18SN
196 Q-000V4U19
197 Q-000VZET9
198 Q-000VZYQI
199 Q-000VZ4QM
200 Q-000S02K9
201 Q-0000680S
202 Z-000AK8TW
203 Q-000V4V1C
204 Q-000VZETS
205 Q-000VYN10
206 Q-000VZETY
207 Q-000W18QR
208 Z-000AKANE
209 Q-000S3POA
210 Z-000AKCDL
211 Q-000VZETI
212 Q-000WOZ11
213 K-00017HO3
214 Q-000WIMWG
215 Q-000WOZIL
216 Q-000W0ZIB
217 K-00017NKR
218 Q-000VZ4PI
219 Q-000W3NZQ
220 Q-000W3NZZ
221 Q-000VYOL
222 Q-000W3NZ4
223 Q-000VZYSO
224 Q-000VZ4YSF
225 Q-000WIW6J
226 Q-000VZKZW
227 Q-000WODOI
228 Q-000W0ZJF
229 Q-000VYHOD
230 Q-000WOZHU
231 Q-000VZ4T6
232 Q-000W2BO7
233 Z-000AKANQ
234 Q-000W18SV
235 P-3WE9HVYV
236 P-RXKZTVDQ
237 Q-000VZ4TA
238 Q-0000M9G4
239 Q-000QFBPD
240 Q-000VG216
241 Q-000W1AHT
242 Q-000W2LBF
243 Q-000W1MW
244 Z-000AKCS2
245 Q-000VX2EK
246 P-H0JRFJ5G
247 Q-000VYZ65
248 Q-000201MUP
249 Q-000UIABI
250 Q-000W3U52
251 Q-000WODOC
252 Q-000W32E1
253 Q-000W224Q
254 Q-000VZYT8
255 Q-000VY7G8
256 Z-000AKCRR
257 Q-000VY71N
258 Q-000VZ5UQ
259 Q-000WZDOW
260 Q-000M964
261 Q-000W2BP8
262 Q-000W32D1
263 Q-000W1MUN
264 Q-000W3TC4
265 Q-000W2BP4
266 Q-000W1MW2
267 Q-000W10WH
268 Q-000W18QT
269 Q-000W1QV
270 Q-000J4O6C
271 Q-000W2LAZ
272 Q-000WOZJA
273 Q-000W2BP2
274 Q-000W3TCG
275 Q-000WIP75
276 Q-000W32DM
277 Q-000UBWPI
278 Q-000W2LBA
279 Q-000W3TCA
280 Q-000PZY5Q
281 Q-000VZY35
282 Q-000W0DOG
283 Q-000W2BPG
284 Q-000VICXO
285 Q-000W0PMO
286 Q-000V3OEO
287 P-RTMBPCRS
288 Q-000W2OUZ
289 K-00017MQP
290 Q-000W18TO
291 Q-000W2LBP
292 Q-000W2LBU
293 Q-000W2DTT
294 Q-000WIMVG
295 Q-000VZZ4A
296 Q-000WIWGL
297 Q-000W3001
298 Q-000VZ4PC
299 Q-000WU765
300 Q-000W1W6P
301 Q-000WP7BM
302 Q-000W478M
303 Z-000ANTZN
304 Q-0003W32CR
305 Q-000W2PM2
306 Q-000W2IQI
307 Q-00043FRD
MODER 308 P-OORZAIWS
MODER 309 P-OOEGUL7Y
MODER 310 P-ONVXA0AN
MODER 311 S-DCOA5450
MODER 312 S-80A18E23
MODER 313 P-OFB39KDJ
MODER 314 P-OET6WEYT
MODER 315 P-OEDEGDMA
MODER 316 P-0BK1AOU7

MODER 317 P-OCPQ3BDF
MODER 318 P-OC4R5NLP
MODER 319 P-OBJFFA9T
MODER 320 P-OAKHAPVK
MODER 321 S-3E48608E
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871081707090006
1871084509710005
1871082703880001
1871075810870001
1871081501070001
1871080101710016
1871086209850004
1871080102700015
1871084303860012
1871085006840011
1871074210820005
1871085108870002
187108600580005
1871075511840009
1871085212000003
1871084808890004
1871085908890005
1871082904930003
1871075405810007
1871086609730002
1871085204780011
1871080101820012
1871084707020009
1871086011000002
1871081211760005
1872045403830002
1871085108820003
1871085407020002
1871086304070002
1871084606040005
1871085108000006
1871094405830006
1871090802010004
1871095005820007
1871082107960003
1871080506650004
1871091501820001
1871085704970001
1871071406720008
1871075711020003
1871086101010004
1871200404950001
1871060909820004
1871072005770012
1871070806750005
1871096411980002
1871070409900005
1871086510950003
1871084412910004
1871086912870007
1871080101630027
1802026403990001
1871075811060004
1871080910810005
1871080501680003
1871075705860008
1871080511790005
1871024610080001
1871080405760001
1871081402610001
1871081005880012
1871085204820002
1871082311830001
1871082704910001
1871084803960002
1871094606900007
1871076011870004
1871080509780002
1871085807830003
1871085709040001
1871084306710005
1871081109840006
1871081007810004
1871080506850003
1871085909990009
1871085704000003
1871080202610003
1871081409830005
1871086006980005
1871080501860006
1871085103950006
1871084111880001
1871081707680010
1871073009800011
1871085811030001
1871046111910011
1871096810060001
1871085409020001
1271055505000002
1871082706870004
1871085702030001
1871086912950001
1871071211920005
1871082304080003
1803105504800006
1871084207730003
1871084101710020
1871083110730003
1871075610800011
1871094610910001
1871085909840006
1871085801860001
1871086511850003
1871095507680004
1871072604770004
1871085701060001
1871071404650007
1871080606790009
1871086012720002
1871074112020007
1871095907030003
1871081208730001
1871085102930006
1871082802980003
1871095404800005
1871095507830003
1871090908780007
1871095004970003
1806166811990002
1871090507840005
1871094101600008
1871081102820005
1871082607010001
1871095907610001
1871090808910007
1871081302010003
1871094506700002
1871082107960003
1871084905400001
1871086501030001
1871071001840013
1871095501850005
1871080808760006
1871084708820007
1871085306650001
1871084405880003
1871084301960002
1871070612780008
1871076510000008
1871074906030007
1871074806090003
1871074608920003
1807050308720002
1871096909020007
1871082804900002
1871085804820003
1871082503780008
1871085910870007
1871050703700004
1871085011650012
1871080410660003
1871081705760001
1871070904050002
1871090103980005
1871082906980001
1871081410040001
1871135505980007
1805066106850001
1871084609960002
1871071412010004
1871076412790005
1871056711080002
1871052101710006
1871085407920008
1871085010780005
1871084506740003
1871085606780000
1871082004030007
1871075012740006
1871124804740001
1871082107820002
1871040709030003
1871085005990007
1871086105060003
1871084906830004
1871080608710002
1871086701880006
1871085304920001
1871081308950002
1871080506710001
1871081809010002
1871081203690010
1871055007690008
1871084812960001
1871062412930006
1871082408990001
1871074812030001
1810054504990003
1871084808830005
1871085102910001
1871086507000001
1871087006030001
1871085207950011
1871056409980003
1871092804790005
1871084505760003
1871081006760008
1871082207010001
1871084309800001
1871082801970001
1871090104800007
1871080808560001
1871080306000005
1871081808860006
1871081211880002
1871081004610002
1871080712700003
1871084511740003
1871086308020003
1871080903600002
1871081404780010
1871087108940004
1871081104890004
1871086312020002
1871086202770001
1871080404000005
1871131309900001
1871081202010004
1871086109020004
1871084504760006
1871084807820005
1871086304740002
1871075508790002
1871085206630013
1871080506000011
1871081407730005
1871085812740001
1871082710990001
1871071807830004
1871082411940002
1871085805890004
1871086502920002
1871080603910011
1871085702000005
18710842101920001
1871082406030002
1871084703790001
1871086508000003
1871081908000003
1871082808030000
1871085812790002
1871053112640006
1871084905870004
1871086707580001
1871060511050004
18710618100800001
18710903011060002
1871084201810002
1871085509030003
1807091204740005
1871071405810013
1871010211000002
1871082004650001
1871081508710001
1871092803800006
1871086807700001
1871076303080002
1871072802050002
1871086111030003
1809015408740009
1871084902750006
1871094706780006
187108520620003
1871082909730002
1871080108700005
1871086008690004
1871071011790008
1871082104780002
1871086506810004
1871080302990003
1871086708950003
1871085001840004
1871084712000006
18710208920001
1871084501960006
187108035880003
1871062612000004
1871083007840003
1871084907750008
1871096009910005
1871090810610004
1871094502660001
1871086108780002
180152308880008
1802072108870005
1871075504810008
1871080107060001
1871084611080003
1871126506670003
1871122602910003
1871063004840003
1871066602880006
1871085207680003
1871085011720003
1871054907800008
187108490880003
1871086603900004
1871084903040001
1871081509760001
1871084102790001
1871082101010001
1871081511020001
1871080107840034
1871085410830004
1871080403030005
1871087001910001
1871080703010008
1807091403990001
1810051905010004
1810052810940003
1803086712530001
1803080911520002
1803082401040002
1803085006020005
1803082203830002
1803081003980003
1803132311930001
1803081512950001
1803131701990001
1803082411930003
1801040511560002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 8-10-2021
Jenis
Kelamin
MUHAMMAD ARIEL L D 17/07/2009
MARIO AGUS SAPUTRA L D 3/27/1988
NININF MELINDA P D 18/10/1987
M. YUDHI AGUS L D 15/01/2007
SUJANA L D 01/01/1971
HAYATI P D 9/22/1985
MISWAN L D 01/02/1970
ANA P D 02/10/1982
TRISNA P D 11/08/1987
HANDAYANI PUTRI P D 15/11/1984
ASTUTI P P 08/08/1989
SISKA ADELINA ASTUTI P D 8/19/1988
PRASETYO WIBOWO L D 4/29/1993
SULISTRI P D 5/14/1981
SUHARTI P D 26/09/1973
HADRORI L D 01/01/1982
INTAN ADE LITA P D 7/7/2002
SHANTY MARDYANY P D 3/14/1983
MARYAMAH P D 11/08/1982
ELA SUSANTI P D 14/07/2002
REYFANI A P D 23/04/2007
BULAN P D 6/6/2004
MANISAH P D 11/08/2000
ATIKAH P D 04/05/1983
ARSAD L D 08/02/2001
SUTIYANINGSIH P D 10/05/1982
SHERLY PUSPITASARI P D 25/08/2003
RATMAN L D 6/5/1965
EFENDI L D 1/15/1982
SUKARTI P D 17/04/1997
WULAN DARI P D 17/11/2002
EKA WULANDARI P D 21/01/2001

HAFIZ AFRIAN L D 4/4/1996
YUSEP SAAD L D 9/9/1982
EDI SOFIAN L D 5/20/1977
ABU HURAIROH L D 6/8/1975
WULAN BELLA P D 24/11/1998
SYAFARUDDIN L D 9/4/1990
SINAR PUTRI P D 10/25/1995
JARSITI P D 12/4/1990
PRI KURNIAWATI P D 29/12/1987
SALEH P D 1/1/1963
SITI NURMASITOH P D 7/12/2000
NOVIYONA P D 11/18/2006
BASRI L D 09/10/1981
ALI BOSAR L D 1/5/1968
BONG KIM FUNG P D 17/05/1986
ASRA P D 06/11/1979
FITRI INDAH LESTARI P D 06/10/2008
EBI KARTUBI L D 05/05/1976

HASANUDDIN L D 14/02/1961
RONI MUSA L D 5/10/1988
APRYANTI P D 12/04/1982
ARIP DARMAWAN L D 23/11/1983
ANDRI L D 27/04/1991
TRI PIARTI P D 3/8/1996
EVIT RIANA P D 06/06/1990
MELANI P D 11/20/1987
RITA P D 18/07/1983
DEFITRIANI P D 17/09/2004
RUMIYATI P D 03/06/1971
SAMSUL BAHRI L D 11/09/1984
SUPARMAN L D 7/10/1981
JUNAN RAMADHAN L D 05/06/1985
LENI MARLINA P D 9/19/1999
SILVIA WULANDARI P D 4/17/2000

SELAMET L D 2/2/1961
SARDI YONO L D 14/09/1983
YUNITA P D 20/06/1998
ROBIYANSAH L D 05/01/1986
INTAN SARI P D 3/11/1993
LILIS NURMAYA P D 11/1/1988
SAID S L D 17/07/1968
AL AMIN L D 9/30/1980
NIA SAPITRI P D 18/11/2003
NOVI YANTI P D 21/11/1991
GIRHEL SRI M P D 28/10/2006
AINI SEPTIANI P D 9/14/2002
GABRIELA P D 15/05/2000
REZA KURNIAWAN L D 27/06/1987
EUIS SELVIANI P D 17/02/2003
DEVA CELESTINA P D 29/12/1995
ADE RAMJAYA L D 12/11/1992

M. KOMARUDIN ILHAM L D 23/04/2008
APRIANA P D 4/15/1980
KARSIAH P D 7/2/1973
ERNI WATI P D 01/01/1971
NADIRSYAH L D 10/31/1973
ADE FATIMAH P D 16/10/1980
ARNAYATI P D 06/10/1991
HARNI ASTUTI P D 9/19/1984
SITI ZUBAIDAH P D 1/18/1986
MULYANTI P D 11/25/1985
SUKRIYAH P D 7/15/1968
SARMANI L D 26/04/1977
AULIA MAHARANI P D 1/17/2006
NURDENI L D 4/14/1965
HARIRI L D 6/6/1979
PURWATI P D 20/12/1972
SIVA NURMAWADAH P D 12/1/2002
ANGGUN FATIKA P D 7/19/2003

SUKIPNO L D 8/12/1973
RESA WATI P D 14/02/1992
TRI HANDOYO L D 2/28/1998
SUPRIYANTI P D 14/04/1980
ROSIDAWATI P D 15/07/1982
KOMARUDIN L D 8/9/1978
SARIYAH P D 10/04/1997
MASNAWATI P D 12/11/1997
EDI LESMANA L D 7/5/1984
SUKRIYAH P D 01/01/1960
MUJIONO L D 11/02/1982
MUHAMMAD FIRMANSYAH L D 7/26/2001
SITI P D 19/07/1961
APID JAENUDIN L D 8/8/1991
RODI SANJAYA L D 13/02/2001
ANI P D 6/5/1970
EKO SAPUTRA L D 7/21/1996

UMI NURIYAWATI P D 09/05/1990
AISYAH P D 25/01/2003
MUHAMMAD ALEX L D 10/01/1984
MASITAH P D 15/01/1985
SALAWI L D 08/08/1976
NENI P D 07/08/1982
AMINAH P D 13/06/1965
NURBAITI P D 5/4/1988
CICI TRIYANI P D 03/01/1996
CHAIRUNAS L D 06/12/1978
LINDI NUR K P D 10/25/2000
SEKAR AROEM P D 08/06/2009
DEA YUNITA P D 16/01/2000
UNEN P B 03/08/1972
BERLIAN SEPTIA P D 29/09/2002
MASPUD L D 28/04/1990
WAHYUNINGSIH P D 18/04/1982
WASITO SURYADI L D 25/03/1978
MINCE P D 19/10/1987
DARMENDRA YUSMA L D 07/03/1970
MARSONAH P D 11/10/1965
I DEWA NYOMAN L D 04/10/1966
M SYAHRIAL L D 17/05/1976
RIKI ARDI YANSAH L D 4/9/2005
BAGAS L D 01/03/1998
TONI ROSADI L D 29/06/1998
GALANG DITIAN L D 10/14/2004
MELDA YANTI P D 15/05/1998
DHEVI PUSPITASARI P D 21/06/1991
RESTI INDAH SARI P D 9/6/1996
GARY WAHYUDI L D 12/14/2001
RITA P D 24/12/1979
NOVITA SINTA BELLA P D 11/27/2008

ANDRY L D 21/01/1971
RATNA P D 7/14/1992
NENENG P D 10/10/1978
IJAH P D 06/06/1974
NILAWATI P D 16/06/1978
NURHAPIT L D 4/20/2003
SUNDARI P D 12/10/1979
YANI P D 08/04/1974
FITRIYAN L D 21/07/1982
RICCO SAPUTRA L D 07/09/2003
ROSANAH P D 5/5/1999
MELINA DWI P D 5/21/2006
SUALIYAH P D 6/9/1983
EDI SUWARNO L D 8/6/1971
ROHANAH P D 27/01/1988
AMINAH P D 12/04/1992
GUESTHI NURWANTHO L D 8/13/1995

JALIMAN L D 05/06/1971
FIRMANSYAH L D 18/10/2001
AZHARI L D 3/12/1969
FARA P D 7/10/1969
DIAN SINTHIYA P D 1/8/1996
SUNARDI L D 12/24/1993
AGUNG SETIAWAN L D 24/08/1999
WULANDARI P D 12/8/2003
AULIA NA'IMAH P D 05/04/1999
EVAYANTI P D 8/8/1983
RATIH JUNANI P D 11/02/1991
SUPIRA P D 7/25/2000
AYU RAHMA DHANI P D 30/06/2003
DWI YULIANA P D 7/12/1995
GITA SEPTIRA P D 24/09/1998
PUDJO SEMEDI L D 28/04/1979
ARNI P D 5/5/1976
BURHAN ZAINUL L D 6/10/1976
ZULFIKAR L D 7/22/2001
NELI SURYANI P D 9/3/1980
HENDRIYANSYAH L D 28/01/1997
ASJAR L D 01/04/1980
SUUD L D 08/08/1956
JULYAN HANAFI L D 03/06/2000
JAMAL L D 8/18/1986
IRAWAN NOVIALI P D 12/11/1988
ASNAWI L D 4/10/1961
SOFYAN L D 07/12/1970
KHOLIJAH P D 1/5/1974
AGUSTINA ALKHAMIDAH P D 8/23/2002
MAD HAFI L D 3/9/1960
MUHAMMAD DEDY SAPUTRA L D 4/14/1978
YURIKA AGUSTINA P D 1/3/1994
YANTO L D 11/04/1989
TRIHANI P B 23/12/2002
RISKY RIYANTO L D 04/04/2000
MEDIAN NUGRAHA L D 13/09/1990
SANDY FEBRIAN L D 2/12/2001
SOLEHA P D 05/04/1976
NURSARI P D 08/07/1982
PALMAWATI P D 23/04/1974
IIM ROHIMAH P D 8/15/1979
FERI KURNIAWAN L D 05/06/2000
UJANG AKHYANI L D 7/14/1973
DESSY P D 12/18/1974
ECKY SURYA L D 27/10/1999
FIAN ALFIAN L D 7/18/1983
AHMAD SYARIF L D 11/24/1994
MELIYANA P D 5/18/1989
JUNITA P D 25/02/1992
ADINDA LESTARI P D 17/02/2000
IKA FADJARANI P D 1/2/1993
AKBAR DANI L D 24/06/2003
JOHATI P D 3/7/1979
CICI NURHAYATI P D 25/08/2000
HAGI SETIAWAN L D 19/08/2000
AHMAD IZZUDIN L D 8/28/2003
DESI MARINI P D 18/12/1979
ANDI SUHOYO L D 31/12/1964
RIA EMIRNA P D 09/04/1997
BASTIANA P D 27/07/1958
JONATHAN L D 05/11/2005
STEVEN FARREL L D 18/10/2008
KEVIN ANDRIANTO L D 30/11/2006
WINDARI P D 02/01/1981
KARINA N P D 15/09/2003
ARI SUSI FIRAWAN L D 12/04/1974
ANTONI L D 5/14/1981
ANDRE R L D 02/11/2000
RIFA'I L D 20/04/1965
SAHIRUL L D 8/15/1971
DENI L D 28/03/1980
ZAKIYAH P B 7/28/1970
MICHELLE LAURA P D 3/23/2008
STEVEN RICARDO L D 28/02/2005
ANISA AMBARWATI P D 21/11/2003
HERDIANA P D 14/08/1974
SITI NURBAITI P D 09/02/1975
JUNIARTI P D 07/08/1978
SUPRIYANI P D 12/08/1980
MASHUR L D 9/29/1973
SYUKUR L D 01/08/1970
ARYANI P D 23/08/1969
AGUS SUYONO L D 10/11/1979
RIVA'I L D 21/04/1978
ROHANA P D 25/06/1981
FEBRI SAPUTRA L D 2/3/1999
LINDA ARIANA P D 27/08/1995
EVA WATI P D 1/10/1984
DENISA P D 07/12/2000
NOPRIANI L D 27/08/1992
JEZZTA PUTRI P D 05/01/1996
JAYA MAHENDRA L D 03/05/1988
BAGUS CAHYA L D 26/12/2000
FAUZUN FARID L D 30/07/1984
ERNA LAILA P D 09/07/1975
HANY SEPTIA P D 9/20/1991
HAZAWARDI L D 10/8/1961
MURNIATY P D 2/5/1966
MARLINA P D 21/08/1978
ANDRIYANTO L D 23/08/1988
AGUS SUSILO L D 21/08/1987
TATI ISMAYANI P D 4/15/1981
M.AGUNG L D 01/07/2006
AJENG NOVITA SARI P D 06/11/2008
JOSALY ONNY P D 25/06/1967
STEFANUS ARDI L D 26/02/1991
RUDY SANTOSO L D 30/04/1984
SELVY ZARYANA P D 26/02/1988
JARIYATI P D 12/07/1968
SATINI P D 10/11/1972
YULI IDA M P D 7/9/1980
MARYANTI P D 26/04/1990
ICHA ASHARI P D 3/9/2004
SELAMAT L D 9/15/1976
RESMILIA P D 01/02/1979
NAGARTHA D L D 24/01/2001
M. IRZHA W.S P D 15/11/2002
CHAIRIL L D 01/07/1984
NENENG ANIAH P D 14/10/1983
ANDRI SATRIA L D 3/4/2003
NURHIDAYATI P D 1/30/1991
KHAFID F L D 3/7/2001
DIKI ANDRIAN L D 14/03/1999
BAYU ANDRI L D 19/05/2001
WAHYU DIANTO L D 28/10/1994
ROHANI P D 27/12/1953
TRIONO S L D 09/11/1952
RAYHAN L D 24/01/2004
DARMA UTAMI P D 10/06/2002
DWI HARI L D 22/03/1983
DAPRI APRIANTO L D 10/03/1998

MUHAMAD ICHSAN L D 23/11/1993
LUCKY MARDIYANTO L D 15/12/1995
MASRUR AFFANDI L D 17/01/1999
MUHAMAD IHSAN L D 24/11/1993
ACHMAD BUSTAMI L D 05/11/1956
***Merek Vaksin
A = Sinovac

110 BPJS PBI
120 BPJS Non PBI
57 Non Anggota
13
300 Total
0 Dosis 1
3 Dosis 2
0 Dosis 3
317 Total
0
320
Umur
(18 sd ≥ 60 tahun)
13 0 BAKUNG
51 46-59 KURIPAN
35 31-45 KURIPAN
35 31-45 TBS
16 0 NOG
52 46-59 BAKUNG
37 31-45 NOG
53 46-59 SUKARAME 2
37 31-45 BAKUNG
38 31-45 KURIPAN
40 31-45 KURIPAN
35 31-45 BAKUNG
38 31-45 BAKUNG
38 31-45 KP. BUNGUR
22 18-30 NOG
33 31-45 BAKUNG
34 31-45 BAKUNG
30 18-30 BAKUNG
42 31-45 BAKUNG
49 46-59 BAKUNG
45 31-45 NOG
41 31-45 BAKUNG
20 18-30 NOG
22 18-30 BAKUNG
46 46-59 TBB
40 31-45 BAKUNG
40 31-45 BAKUNG
20 18-30 KURIPAN
16 0 NOG
18 18-30 NOG
5 0 NOG
40 31-45 BATU PUTUK
22 18-30 BATU PUTUK
41 31-45 BATU PUTUK
19 18-30 NOG
57 46-59 SUKARAME 2
41 31-45 BATU PUTUK
26 18-30 SUKARAME 2
50 46-59 TALANG
20 18-30 TALANG
22 18-30 BAKUNG
27 18-30 BAKUNG
40 31-45 BAKUNG
46 46-59 TALANG
47 46-59 TALANG
24 18-30 TBS
32 31-45 TBS
27 18-30 SUKARAME 2
32 31-45 TBS
35 31-45 BAKUNG
60 ≥60 BAKUNG
22 18-30 BANGUN REJO
16 0 KURIPAN
41 31-45 BAKUNG
55 46-59 KURIPAN
37 31-45 TBS
43 31-45 BAKUNG
14 0 SUKARAME
47 46-59 KURIPAN
62 ≥60 KURIPAN
35 31-45 NOG
41 31-45 KURIPAN
39 31-45 KURIPAN
32 31-45 BAKUNG
27 18-30 BAKUNG
32 31-45 KURIPAN
35 31-45 BAKUNG
44 31-45 BAKUNG
39 31-45 BAKUNG
18 18-30 KURIPAN
51 46-59 NOG
38 31-45 BAKUNG
41 31-45 KURIPAN
37 31-45 KURIPAN
23 18-30 BAKUNG
23 18-30 KURIPAN
62 ≥60 NOG
39 31-45 KURIPAN
24 18-30 NOG
37 31-45 BAKUNG
30 18-30 BAKUNG
34 31-45 BAKUNG
54 46-59 BAKUNG
42 31-45 BAKUNG
19 18-30 KURIPAN
31 31-45 NOG
16 0 TBS
20 18-30 KURIPAN
23 18-30 WAY HALIM
35 31-45 NOG
20 18-30 KURIPAN
27 18-30 KURIPAN
30 18-30 KURIPAN
15 0 BAKUNG
43 31-45 BAKUNG
49 46-59 BAKUNG
52 46-59 KURIPAN
49 46-59 TKP
42 31-45 TBS
31 31-45 BATU PUTUK
38 31-45 KURIPAN
37 31-45 NOG
37 31-45 KURIPAN
54 46-59 BATU PUTUK
46 46-59 BAKUNG
17 0 BAKUNG
58 46-59 TBS
43 31-45 NOG
50 46-59 KURIPAN
20 18-30 BAKUNG
25 18-30 NOG
43 31-45 BATU PUTUK
40 31-45 BATU PUTUK
44 31-45 BATU PUTUK
26 18-30 BATU PUTUK
25 18-30 BATU PUTUK
38 31-45 BATU PUTUK
63 ≥60 BATU PUTUK
21 18-30 BAKUNG
61 ≥60 BATU PUTUK
31 31-45 BATU PUTUK
22 18-30 NOG
52 46-59 BATU PUTUK
26 18-30 BATU PUTUK

20 18-30 NOG
39 31-45 TBS
38 31-45 TBU
46 46-59 BAKUNG
40 31-45 BAKUNG
57 46-59 BAKUNG
35 31-45 BAKUNG
27 18-30 BAKUNG
44 31-45 TBS
22 18-30 TBS
19 18-30 TBS
13 0 TBS
23 18-30 TBS
50 46-59 TBS
20 18-30 TBS
35 31-45 BAKUNG
53 46-59 TKT
57 46-59 BAKUNG
56 46-59 KURIPAN
47 46-59 TBT
18 18-30 TBS
25 18-30 TBU
24 18-30 NOG
18 18-30 BAKUNG
25 18-30 TBS
31 31-45 KEMILING
26 18-30 SUKARAME 2
21 18-30 NOG
43 31-45 PESWAHAN
14 0 KETEGUHAN
52 46-59 KEDAMAIAN
29 18-30 NOG
42 31-45 NOG
47 46-59 NOG
44 31-45 NOG
18 18-30 NOG
43 31-45 WAY LUNIK
49 46-59 WAY HALIM
39 31-45 NOG
19 18-30 PANJANG
22 18-30 NOG
15 0 KURIPAN
38 31-45 NOG
50 46-59 KURIPAN
33 31-45 NOG
29 18-30 NOG
26 18-30 NOG
50 46-59 NOG
19 18-30 NOG
52 46-59 NOG
53 46-59 TKT
25 18-30 NOG
29 18-30 SUKABUMI
22 18-30 NOG
17 0 NOG
24 18-30 SUKABUMI
39 31-45 NOG
30 18-30 NOG
21 18-30 NOG
18 18-30 NOG
26 18-30 NOG
24 18-30 WAY HALIM
42 31-45 NOG
45 31-45 NOG
45 31-45 NOG
20 18-30 NOG
41 31-45 NOG
26 18-30 TBB
43 31-45 BATUPUTUK
65 ≥60 NOG
21 18-30 NOG
35 31-45 NOG
32 31-45 NOG
60 ≥60 NOG
50 46-59 NOG
47 46-59 NOG
20 18-30 BAKUNG
61 ≥60 NOG
43 31-45 NOG
27 18-30 NOG
32 31-45 NOG
18 18-30 NOG
44 31-45 NOG
21 18-30 NOG
31 31-45 NOG
20 18-30 NOG
19 18-30 NOG
45 31-45 NOG
39 31-45 NOG
47 46-59 NOG
42 31-45 NOG
58 46-59 NOG
21 18-30 NOG
48 46-59 NOG
46 46-59 NOG
21 18-30 NOG
39 31-45 TBT
26 18-30 NOG
32 31-45 NOG
29 18-30 NOG
30 18-30 NOG
21 18-30 NOG
28 18-30 NOG
18 18-30 NOG
42 31-45 NOG
22 18-30 NOG
22 18-30 NOG
19 18-30 NOG
41 31-45 NOG
58 46-59 KEDATON
24 18-30 NOG
63 ≥60 NOG
17 0 ENGGAL
14 0 ENGGAL
16 0 KUPANG TEBA
40 31-45 NOG
19 18-30 SR 2
49 46-59 RAMAN UTARA
40 31-45 NOG
22 18-30 NOG
58 46-59 NOG
50 46-59 NOG
43 31-45 TBT
51 46-59 NOG
15 0 TBS
18 18-30 TBS
17 0 NOG
47 46-59 NOG
48 46-59 NOG
43 31-45 NOG
41 31-45 NOG
48 46-59 NOG
51 46-59 NOG
52 46-59 NOG
43 31-45 TBU
43 31-45 NOG
40 31-45 NOG
24 18-30 TBB
26 18-30 NOG
37 31-45 NOG
20 18-30 NOG
29 18-30 NOG
25 18-30 NOG
33 31-45 NOG
22 18-30 TBU
37 31-45 NOG
46 46-59 NOG
30 18-30 NOG
60 ≥60 NOG
55 46-59 NOG
43 31-45 NOG
34 31-45 TJ.BINTANG
42 31-45 WAY LUNIK
15 0 KURIPAN
12 0 KURIPAN
54 46-59 NOG
30 18-30 NOG
39 31-45 TKP
35 31-45 TKP
53 46-59 NOG
48 46-59 NOG
42 31-45 ENGGAL
42 31-45 NOG
31 31-45 NOG
17 0 NOG
45 31-45 NOG
42 31-45 NOG
20 18-30 NOG
20 18-30 NOG
37 31-45 NOG
37 31-45 NOG
18 18-30 NOG
32 31-45 NOG
22 18-30 UMBUL KUNCI
24 18-30 RAMAN UTARA
22 18-30 PAGELARAN
28 18-30 PAGELARAN
69 ≥60 SUNGKAI
70 ≥60 SUNGKAI
19 18-30 SUNGKAI
20 18-30 SUNGKAI
40 31-45 SUNGKAI
25 18-30 SUNGKAI
29 18-30 SUNGKAI
27 18-30 SUNGKAI
24 18-30 ABUNG SEMULI
29 18-30 SUNGKAI
66 ≥60 NATAR
Pekerjaan
163 A
71 B
86 C
320 D
E
159 Total
162
0
321
No. Hp
08984260741 YA
089667726300 YA
081271488828 YA
081375315321 YA
089512954469 YA
085268499192
088287648878 YA
082377384483 YA
089518509686 YA
083193233232 YA
0895606098183
089510384601
0895640727195 YA
081274840158 YA
0895612197167 YA
081211023986 YA
089536600007
081369298181 YA
082376123526
083172337545 YA
085744445330
089632389326
0895609926857 YA
083800349846
089518497514
0895640016977 YA
088286691496 YA
083818526071 YA
089692554156 YA
089632170889 YA
085788657633 YA
085738832120
085709413197 YA
089625550804 YA
085709023133 YA
085609197082 YA
089630389542
089652853225 YA
089673124517 YA
085789988513
083102773194 YA
082186162440 YA
0895389654711
085379066642
085832279771 YA
08981869784 YA
0895344182024 YA
089505194734 YA
083147366017
083102773194
085838842738 YA
088286208102 YA
082280529433 YA
081289593925 YA
082176593020
0895616082399
082372922542
0895244752 YA
082184666652 YA
089667573369 YA
089619181784 YA
085658378837 YA
081279695242 YA
0895360625445 YA
085781718661
088272469920
085266634488 YA
089520812060 YA
089502219400 YA
081321455732 YA
085783501301 YA
08 YA
081310713413
088287214099 YA
083192434176 YA
081321455732 YA
085767033024 YA
081379737378 YA
085783501301
085255543406 YA
088709091601 YA
0895323247683
089632387082 YA
08994281830
085269259755 YA
089660807150
0895605594110 YA
0895323170196 YA
082281346907
082182328637 YA
089632186443 YA
089632186443 YA
088287347986 YA
087868851640
082186947455 YA
088286691496 YA
081272629809 YA
081271780773 YA
085885040328 YA
085767033024 YA
083818526071 YA
085832053165 YA
085839261767 YA
081369298181 YA
089669265600 YA
089670239942 YA
081278123200
083121410859
083160616028
083147920071 YA
089612317096 YA
083164400408 YA
082269402941
085273413409 YA
085609197082
085273413409 YA
082179673614 YA
082375989659 YA
085885040328 YA
085773159480 YA
082371201399
089628238813 YA
08 YA
082179673614 YA
089644457218 YA
082375989659 YA
082375989659 YA
082371201399
089632170889
08973662831
082269942689 YA
081369147554 YA
089692554156 YA
081369027499 YA
082375011111 YA
08990743125 YA
082182480902 YA
089526120409
089501537080 YA
089517505837
0895609931952 YA
082281177391 YA
083871529467 YA
089631786798 YA
085609790547 YA
082175674083 YA
08 YA
081394417772
089626367392
081540951222 YA
085378063560
089630575108 YA
083809531164
089661011112 YA
089524474891 YA
089652914329
085645117280 YA
089632110580 YA
082289528530 YA
081373484888 YA
087885803433 YA
081369989888 YA
08984096997 YA
089523084315 YA
089505984528 YA
083173618640 YA
083173618640 YA
081272419482 YA
0895807790402
082184044774 YA
0895353382055 YA
08986854580
089634263064 YA
08965832809 YA
085369488378 YA
08999449549 YA
0895619913185 YA
089656652253 YA
0895640203408 YA
082285018559
YA
82306376663 YA
085709829534 YA
08127280988
089531099879 YA
082279051401 YA
0895385272566 YA
089629061983 YA
089631962880 YA
0895640359010
089629064804
089634263825
082127090327 YA
081273004103 YA
081272829446
0895610123064 YA
085273001518
0895610123054 YA
0895600645050 YA
085809272502
081274312424 YA
083143079910 YA
089524895770
083191565317
089503265284 YA
081272454450 YA
085269057187 YA
08986591521 YA
085266786793
082183566005 YA
083177545789 YA
0857581128497 YA
089624393082 YA
089624393082 YA
089521418578 YA
081369963244
089633849897 YA
0895326098212 YA
0895364136724 YA
082278744911 YA
089669658833 YA
081278251289 YA
085266786793 YA
089673106985
08984260561 YA
085268030594 YA
089503023553 YA
081272225551 YA
0895708239181 YA
085809217876 YA
083818528596 YA
082184367787 YA
0895605823163 YA
089601408406 YA
089631963730
081368316301
088728226541 YA
081272816049 YA
081247939194 YA
082289699194
081326554450
089629114357 YA
081273046464 YA
085366698073 YA
081366733440 YA
082379290932 YA
089519102698
085658345001 YA
081373586574
085378763391 YA
0896244588825 YA
0895640824154
082376340081 YA
085269460030 YA
0895640024154 YA
081274840159 YA
081368365748
089513934785 YA
082372595307
081279817073 YA
081367949488 YA
08527357911
089636307092 YA
085856910639 YA
085267365050 YA
085268812564 YA
082313281330
085382224715 YA
YA
0895380278309 YA
0895358499335 YA
083153326618
082278501359 YA
085273366582
085809296763 YA
08536788821
089637413335
081367428711
085269232244 YA
085279766282 YA
085267880066
082378756474 YA
085357622992 YA
085208297271 YA
082180973931 YA
088268339303
088293871865 YA
089692601361 YA
08976137456
082279504067 YA
0896704006739 YA
08973392093
YA
081379600962 YA
083197312585 YA
083804423444 YA
088267063105 YA
089632286016
089632280016 YA
081949017629 YA
085841812921 YA
081279087187
085784782744 YA
085783015246 YA
085783207890 YA
085316638103
081369306510 YA
081369306510 YA
081369306510 YA
081369306510 YA
081369306510 YA
081369306510
081369306510 YA
081369306510 YA
081369306510
081369306510 YA
081369306510 YA
081369306510
081369306510
081369306510 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
YA 10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
YA 10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
YA 10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
YA 10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
YA 10/8/2021 PFIZER
10/8/2021 PFIZER
YA
YA




9/10/2021





9/8/2021 MODERNA
9/8/2021 MODERNA
9/8/2021 MODERNA
9/8/2021 MODERNA
9/8/2021 MODERNA
YA 9/8/2021 MODERNA
9/8/2021 MODERNA
9/8/2021 MODERNA
YA 9/8/2021 MODERNA
9/8/2021 MODERNA
9/8/2021 MODERNA
YA 9/8/2021 MODERNA
YA 9/8/2021 MODERNA
9/8/2021 MODERNA
Dosis I
Tanggal Pemberian
Vaksinasi
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
10/8/2021 PAA173696
9/10/2021 24005421 16264891737416
9/10/2021 24005421 16264891737416
9/10/2021 24005421 16264891737416

9/10/2021 24005421 16264891737416
9/10/2021 24005421 16270261472613
9/10/2021 24005421 16270261472613
9/10/2021 24005421 16270261494313
9/10/2021 24005421 16270261494313
9/10/2021 24005421 16270261591641
9/10/2021 24005421 16270261591641
9/10/2021 24005421 16270261591641
9/10/2021 24005421 16270261360449
9/10/2021 24005421 16270261591641
9/10/2021 24005421 16270261360449
9/10/2021 202108156I
9/10/2021 24005421 16270261472613
9/10/2021 202108156I
9/10/2021 24005421 16270261360449
9/10/2021 24005421 16270261360449
9/10/2021 24005421 16270261479273

9/10/2021 24005421 16270261363569
9/10/2021 24202321 16264891516364
9/10/2021 24005421 16270261369513
9/10/2021 24005421 16270261369513
9/10/2021 24005421 16270261363569
9/10/2021 24005421 16270261363569
9/10/2021 24202321 16264891730380
9/10/2021 24005421 16270261358437
9/10/2021 24005421 16270261358437
9/10/2021 24005421 16270261358437
9/10/2021 202108156I
9/10/2021 24005421 16264891737416
9/10/2021 24005421 16270261591641
9/10/2021 24005421 16270261479273
9/10/2021 24005421 16270261479273
9/10/2021 24202321 16264891730380
9/10/2021 24005421 16270261360449

9/10/2021 24005421 16270261479273
9/10/2021 24005421 16270261358437
9/10/2021 24005421 16270261358437
8/31/2021 24005221
5/27/2021 24001421
9/10/2021 24005421 16270261360449
9/10/2021 24005421 16270261360449
9/10/2021 24005421 16270261369513
9/10/2021 24005421 16270261368109
9/10/2021 24005421 16270261369513
9/10/2021 24202321 16264891730380
9/10/2021 24005421 16270261591641
9/1/2021 24005221 16264312802734
9/10/2021 24005421 16270261358437
9/10/2021 24005421 16270261479273
9/10/2021 24202321 16264891302644
9/10/2021 24005421 16270261591641
9/10/2021 24202321 16264891302644

9/10/2021 24202321 16264891302644
9/10/2021 24005421 16270261494313
9/10/2021 24202321 16264891302644
9/10/2021 24005421 16270261591641
9/10/2021 24202321 16264891516364
9/10/2021 24202321 16264891516364
9/10/2021 24005421 16270261368109
9/10/2021 24202321 16264891516364
9/10/2021 24005421 16270261358437
9/10/2021 24005421 16270261358437
9/10/2021 24202321 16264891737572
9/10/2021 24005421 16270261472613
9/10/2021 24005421 16264891737416
9/10/2021 24005421 16270261494313
9/10/2021 24005421 16270261494313
9/10/2021 24005421 16270261358437

9/10/2021 202108156I
9/10/2021 24005421 16270261479273
9/10/2021 24202321 16264891730380
9/10/2021 24005421 16270261368109
9/10/2021 202108156I
9/10/2021 24005421 16270261358437
5/6/2021 24001421
8/28/2021 24005121
8/28/2021 24005721
9/10/2021 24202321 16264891302644
9/10/2021 24005421 16270261358437
9/10/2021 24202321 16264891302644
9/10/2021 24005421 16270261363569
9/10/2021 24005421 16270261363569
9/10/2021 24005421 16270261363569
9/10/2021 24005421 16270261363569
9/10/2021 24202321 16264891737104

9/7/2021 24202321 16270261363779
9/10/2021 24202321 16264891737104
9/10/2021 24005421 16264891737416
9/10/2021 24005421 16264891737416
9/10/2021 24005421 16264891737416
9/10/2021 24005421 16270261472613
9/10/2021 24005421 16264891737416
9/10/2021 24005421 16264891737416
9/10/2021 24005421 16264891737416
9/10/2021 24005421 16264891737416
9/10/2021 202108156I
9/10/2021 24202321 16264891737104
9/9/2021 202108156I
9/10/2021 24202321 16264891737104
9/10/2021 24202321 16264891516364
9/10/2021 24202321 16264891737572

9/10/2021 24202321 16264891302644
9/10/2021 202107137I
9/10/2021 24202321 16264891730380
9/10/2021 24202321 16264891730380
7/24/2021 24200921
9/10/2021 202108156I
9/10/2021 24202321 16264891730380
9/10/2021 24202321 16264891737572
9/10/2021 24202321 16264891516364
9/10/2021 24202321 16264891302644
9/10/2021 24202321 16264891737572
9/6/2021 202108156I
9/10/2021 202108156I
9/10/2021 24202321 16264891516364
9/10/2021 24005421 16270261358437
9/10/2021 24005421 16264891737416
9/10/2021 24005421 16264891737416

9/10/2021 24202321 16264891737572
9/10/2021 24202321 16264891737572
9/10/2021 24202321 16264891737572
9/10/2021 24202321 16264891737572
9/10/2021 24202321 16264891302644
9/10/2021 24202321 16264891302644
9/10/2021 24202321 16264891730380
9/10/2021 24202321 16264891730380
9/10/2021 24202321 16264891730380
9/10/2021 202108156I
9/10/2021 24202321 16264891737572
9/10/2021 24202321 16264891302644
9/10/2021 202108156I
9/10/2021 202108156I
9/10/2021 24202321 16264891516364
9/10/2021 24005421 16270261591641
9/10/2021 202108156I
9/10/2021 24202321 16264891737104
9/10/2021 202108156I
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9/8/2021
9/8/2021
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9/8/2021
9/8/2021
9/8/2021
9/8/2021
9/8/2021
9/8/2021
9/8/2021
Dosis 2
Tanggal Pemberian
Vaksinasi
10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 202108142H
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10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 202108142H
10/8/2021 001F21A
10/8/2021 001F21A
10/8/2021 001F21A
10/8/2021 001F21A
10/8/2021 001F21A
10/8/2021 001F21A
10/8/2021 001F21A
10/8/2021 001F21A
10/8/2021 001F21A
10/8/2021 001F21A
10/8/2021 001F21A
10/8/2021 001F21A
10/8/2021 001F21A
10/8/2021 001F21A
Keterangan
DOSIS 1 DI PKM RBI
DOSIS 1 DI PKM PALAPA

DOSIS 1 DI PKM GD.AER
DOSIS 1 DI DINKES
DOSIS 1 DI POLRESTA BL
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-570TEYXK
2 P-5E6S1DXN
3 P-4MUFWJT8
4 P-4QDTCZEA
5 S-D272266C
6 S-26F6B25D
7 P-RG03KQGX
8 P-7RLT3I2Y
9 P-8HPGMAI8
10 P-7Y2AAAL
11 P-88H8BHLR
12 P-7LRGANPZ
13 P-79BIKD14
14 P-LHQ25CCN
15 P-7J64UJPC
16 P-7PWZBZUP
17 P-7XASRKAL
18 P-87ZS6XOJ
19 P-8I7111FO
20 S-F106RRB9
21 P-8YV1PDHA
22 P-935LYRAQ
23 P-9BT7OTG5
24 P-8TZYKH1W
25 P-9110747E
26 P-97PIVLTR
27 P-9DERJV2D
28 P-90T11PAU
29 P-P1GVV75
30 P-9GPKH2JC
31 P-90PL8ODS
32 S-E5C438O5
33 P-AEUKAA5V
34 P-AJ2JBXGY
CAPIL 35 CAPIL
36 P-AOTRFTMB
37 P-AOUHU80J
38 P-AKPTXXSB
39 P-48WJ5PZL
40 P-ODI0FKYQ
41 P-1DISY9YN
42 S-4BA8DB6D
43 P-4CZT2ANB
44 P-4HQQ4ULP
45 P-4Y1KAEXG
46 P-8HNCAIEO
47 S-9380B2D5
48 P-A27WYAMT
49 P-AITBRWV2
50 P-B8YAW5K7
51 P-BMQMQPI
52 P-BMWYWN4
53 P-BJAXGOAY
54 P-BRY6H5GA
55 J-000169F7
56 P-C3K1FQ41
57 P-DHTTW2NM
58 P-DAYSEDHP
59 P-DEEMO99Q
60 P-P4DA9PKZ
61 P-DJKUSTPI
62 P-DGLLB55I
63 P-DBLC57E1
64 P-EFWWPUHU
65 P-EAN13SNE
S 66 P-EQ9PKJWF
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871080906750005
1871084907360001
1803086602750003
1804155104930005
1803104710500004
1803103112460005
1871085812840002
1871074112860008
1871085803650002
1871081003720009
1871085009720006
1871086312700003
1871091706860005
1871084102820002
1871086707740002
1871087003000004
1871084706760009
1871085905680001
3328115211840013
1871080212520002
1801046206960007
1871080612900007
1871074305850010
1871085207860008
1871086205750002
1871072807810001
3601226603020001
1871084602700002
1871076505820010
1871085012620006
'1871081104910004
1871010805940004
1871090807860009
1871042804030001
1871185007900001
1871080702830017
1871041211000005
1871075503950002
1871085204860006
1871120508650004
1871085306690003
1871080303580003
1871090701840009
1871091003760006
1871076307730002
1871082901690001
1871081008530003
1871080203810004
1871106106670001
1871084710930001
1871122201940002
1871061512750002
1801046404940010
1871081912650001
1871065509660004
1871036202030001
1407054806060016
1871092606010001
1871092504000002
1871091009010001
1871030705010008
1871034710750003
1871095201870005
1871082608950004
1812036804950006
1871086802830007

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: MINGGU / 10-10-2021 PFIZER DOSIS 2 KEMBAIL TGL 1 NOVEMBER
Jenis
Kelamin
MARDIDI L D 09/06/1975
AMI MAWARNI P D 09/07/1986
HINDUN NURYANI P D 2/26/1975
SRI SUMARYANI P D 11/04/1993
HJ. AMINAH P D 07/10/1950
H. AHMAD LAKSAMANA L D 31/12/1946
ROSITA P D 12/18/1964
DEVILIA P D 01/12/1986
HOLILAH P D 3/18/1965
AHMAD ZAENUDIN L D 3/10/1972
ROIYAH P D 10/09/1972
ROSTINAH P D 23/12/1970
ZAINI L D 17/06/1986
LIYANA P D 7/27/1974
BELLA PERMATA SARI P P 30/03/2000
SA'AMAH P D 6/7/1976
DEDE ATIKAH P D 5/19/1988
MUJENAH P D 11/12/1984
SUNARTO L D 02/12/1952
NELI AZIZAH P D 22/06/1996
DESTA ARYA L D 06/12/1990
SAMRATU DINIAH P D 7/12/1986

YULI ASTUTI P D 22/05/1975
ISMAIL L D 7/28/1981
AAS ASUMAH P D 17/08/2000
RUMYANAH P D 06/02/1970
LILIS P D 25/05/1982
KARSINAH P D 12/10/1962
M. KHADAFI L D 11/04/1999
ANDREAS TRIBUANA L D 08/05/1994
ANDRI SAPUTRA L D 08/07/1986
BOBBY APRIANSAH L D 28/04/2003
RATNA SARI P D 10/07/1990
KUSNADI L D 2/7/1983
ALDI SATRIA L D 11/12/2000
GINNA AULIA P D 15/03/1995
NENGSIH P D 4/12/1986
RUSLAN L D 05/08/1965
INDAH SARI P D 13/06/1969

LATIF A L D 1/7/1984
TAJUDIN L D 3/10/1976
M RIDWAN L D 29/01/1969
SALIKAN L D 8/10/1953
MASTIP L D 3/2/1981
NUROPA NASUTION P D 6/21/1967
SURYANTI P D 07/10/1993
MAS'UD L D 1/22/1994
SYARIEFUDIN L D 12/15/1975
DEVI SEPTIANA P D 4/24/1994
SUPARDI L D 19/12/1965
SOLEHA P D 9/15/1966
DEA VEGA L P D 22/02/2003
SITI AZHURA SYARIF P D 06/12/1997
MISNAN L D 26/06/2001
SAMSUL L D 25/04/2000
MUHAMMAD SARIPUDIN L D 10/09/2001
SATRIA ROMANDA L D 5/7/2001
DARMARITA P D 07/10/1975
ZURAIDA P D 12/01/1987
DEDI MUKTAR L D 26/08/1995
ARISTA DEVY P D 4/28/1995
HENNI P D 28/02/1983
***Merek Vaksin
A = Sinovac

20 BPJS PBI
19 BPJS Non PBI
21 Non Anggota
6
66 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
65 Total
0
65
L 1 NOVEMBER
Umur
(18 sd ≥ 60 tahun)
47 46-59 SUKARAME 2
36 31-45 BAKUNG
48 46-59 KOTABUMI
30 18-30 KOTABUMI
72 ≥60 KOTABUMI
76 ≥60 KOTABUMI
58 46-59 BAKUNG
36 31-45 BAKUNG
58 46-59 BAKUNG
51 46-59 BAKUNG
50 46-59 BAKUNG
52 46-59 BAKUNG
36 31-45 TBU
41 31-45 KURIPAN
48 46-59 KURIPAN
23 18-30 KURIPAN
46 46-59 BAKUNG
35 31-45 BAKUNG
38 31-45 BAKUNG
70 ≥60 BAKUNG
26 18-30 KURIPAN
32 31-45 KURIPAN
34 31-45 SUKARAME 2
36 31-45 BAKUNG
48 46-59 BAKUNG
41 31-45 SUKARAME 2
22 18-30 BAKUNG
53 46-59 NOG
41 31-45 TBS
60 ≥60 BAKUNG
24 18-30 KURIPAN
29 18-30 KOTA SEPANG
36 31-45 TBU
20 18-30 PANJANG
32 31-45 KEDAMAIAN
40 31-45 SUKARAME 2
22 18-30 PANJANG
28 18-30 SUKARAME 2
37 31-45 NOG
57 46-59 KEDAMAIAN
53 46-59 NOG
65 ≥60 NOG
39 31-45 BATU PUTUK
47 46-59 BATU PUTUK
49 46-59 BUMI WARAS
54 46-59 KURIPAN
69 ≥60 KETEGUHAN
42 31-45 KETEGUHAN
55 46-59 RAJABASA
29 18-30 NOG
29 18-30 KEDAMAIAN
47 46-59 TKP
29 18-30 KEDAMAIAN
57 46-59 BAKUNG
56 46-59 KEDATON
20 18-30 BAKUNG
25 18-30 KURIPAN
21 18-30 BATU PUTUK
23 18-30 BATU PUTUK

21 18-30 BATU PUTUK
22 18-30 GD. AIR
47 46-59 GD. AIR
36 31-45 BAKUNG
27 18-30 BATU PUTUK
28 18-30 WAYHALIM
40 31-45 NOG
Pekerjaan
33 A
10 B
23 C
66 D
E
66 Total
0
66
No. Hp
089534480348 YA
089699471331 YA
081369306510 YA
081369306510 YA
081369306510 YA
081369306510
085646340861 YA
089508552930 YA
0895607152020 YA
085269290046
083191502368 YA
082183685117
085609796581
085708904062
089639849052 YA
089528156260 YA
085764208676 YA
085269290046 YA
089529106711
08979724268 YA
089510597470
082183824013
0895620404044
089691271470
081367611210
0895601770402 YA
085943809835
089621744622 YA
089699727385 YA
082384461109 YA
081379287558 YA
081930510308
083168845956 YA
081369110096 YA
089562022499 YA
08976006307 YA
0895620224993 YA
089560078221
081379340406
081379450582
081379450582
085788112360 YA
082284815221 YA
082110912879 YA
0895321410603 YA
08 YA
085841249306 YA
YA
085783620213 YA
083849833047
081969088003 YA
08979761065 YA
081279749630 YA
081949329962 YA
081279244356
081373181265
085838368339
085809756594 YA
085768361362 YA
082378133107 YA
085269451990 YA
085269691287 YA
081366725817 YA
081273363366 YA
085720469963
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
YA 10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
10/10/2021 PFIZER
Dosis I
Tanggal Pemberian
Vaksinasi
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
10/10/2021 PAA173696
Dosis 2
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
2 1 Z-000AOYMP
2 2 Q-000WCUQT
2 3 Z-000A2EJW
2 4 Q-000WYN0O
2 5 Q-000WY2T2
2 6 Q-000WY1YD
2 7 Q-000WYO2A
2 8 Q-0009VFNS
2 9 Z-0B3A3E52
2 10 Q-000X19JJ
2 11 Q-000PYXGP
2 12 Q-000WY1CP
2 13 Q-000WYXF3
2 14 Q-000WY1ZR
15 P-PXWE6KK4
2 16 Q-000WZTZ8
17 P-GA79BNXO
18 P-15XFN7AC
19 P-JGL1KIWQ
20 P-K3I5V2SQ
21 P-KCXKP9UT
22 P-L1VSNVTH
23 P-LHHEOODV
2 24 Q-000X0P6Q
2 25 Q-000PFIWR
2 26 Q-000WZWSM
2 27 Q-000XILSO
2 28 Q-000XI9EA
29 P-LQPZIUSP8
30 P-KXQ9CIA
31 P-LTTDGZKO
32 P-LYGRMBO6
33 P-MA5DNZ8R
34 P-MJJY5CLI
35 P-MPSIJEVR
36 P-MWNGZW56
37 P-NJDIJQ9E
2 38 Q-000BYL59
2 39 Q-000DWGBI
2 40 Q-000BVL4X
2 41 Q-000X25V5
2 42 Q-000WZDH7
2 43 Q-000WYY5V
2 44 Q-000WZATJ
2 45 Q-000WYXI3
2 46 Q-000WZ4MI
2 47 Q-000WZTLQ
2 48 Q-000V3IN2
2 49 Q-000WYWZB
50 P-NRDJ6NW5
51 P-0KZWYECG
52 P-O5O2ZNRA
53 P-POG5TIA5Z
54 P-OOGIQYW6
55 S-BCFB270C
56 P-OUOP4DD3
57 P-OZCOLILF
58 P-P5ZEQ4O
59 P-PDP80VDG
60 J-0003HKLE
61 P-QCHC5RZW
62 P-QF9VMZNH
63 S-C2BB65OA
64 P-QLCFSZGO
65 P-QP40IP6E
66 P-QSUC9XJW
67 P-QVNI9SDF
68 P-R090XCEJ
69 P-PJ6ALY60
70 P-ROJ2XYOE
2 71 Q-000X3BDJ
2 72 Q-000XO98R
2 73 Q-000VO440
2 74 Q-000V3KHO
2 75 Q-000W0PF7
2 76 Q-000VO4Z2
77 P-R6D5SB87
78 P-R6PGYGVV
79 P-R7L9JDHO
80 P-R88PQW5U
81 P-R8RSJMTT
82 P-R9B3JCWX
83 P-R9SG6IO2
84 P-RAK430W0
85 P-RAXT0JEQ
86 P-RBA5O81X
87 P-RBVTYBWO
88 P-RCEMQM9P
89 P-RC5FBHWQ
90 P-RD5D432T
91 S-5F797DD3
92 S-11E63FE1
93 P-RE9V05BA
94 P-REFJ7PI5H
95 P-0L5NHNLJ
96 P-RGQHAJSW
97 P-RHEATYAC
98 P-RHPV4EPP
99 P-RI5263B8
100 P-RIOS4EID
101 P-RJV7369B
102 P-RK9Q1IPL
103 P-RKSSFOCJ
104 P-RL4FTBNQ
105 S-F84532A2
106 P-RLRUZPCH
107 P-RM57D3KL
108 P-RMII47YDR
109 P-RMU4Y0GG
110 P-ROGTCHHA
111 P-ROPZ3FGQ
112 P-RP2OUVAK
113 P-RPH2375F
114 P-RPRDWPNP
115 S-E89AEEF3
116 P-RQKBZ2QJ
117 P-RRN40MBB
118 P-RRY1LJLY
119 P-R59S0MEW
120 P-R5LW6E1Y
121 P-RTKC6KNS
122 P-RZY08VFP
123 P-RUO6BXKZ
124 P-RUDLWHXG
125 P-RUNJKOOA
126 P-RV2LYUK4
127 P-RVD08FLW
128 P-RVOQPE1R
129 P-RVX53AQF
130 P-RW93X4DE
131 P-RQT8HVYV
132 P-RR4PTABR
133 P-S21HEV8K
134 P-S2RBSXPO
135 P-S38VT14D
136 P-S3LOYEI2
137 P-S3W5Q2VS
138 P-SH5JL2LGL
139 P-SHHGXETI
140 P-SI9PYNOV
141 P-SHZ5PW4F
142 P-SIHV1NZD
143 P-SIQX1A9M
144 P-SIYAWPX6
145 P-SJ5GZ38M
146 P-SJE4USHW
147 P-SK7HQKSK
148 P-SKH4ADRB
149 P-SKOBLEKQ
150 P-SLMQELFV
151 P-SMPD02IG
152 P-SMUBHNCO
153 P-SNOUWDG7
154 P-SNAFBBOP
155 P-SNMY48RV
156 P-SOIVG2GO
157 P-SNW2J3ID
158 P-SOCDOH2P
159 P-SNW2J31D
160 P-SONHGRTD
161 S-AD954B87
162 P-SP10D1S7
163 P-34HT1RSF
164 P-SQBT4VNP
165 P-SQFRD4FK
166 P-SQLGBIKV
167 S-7C990557
168 P-SR77QOJV
169 P-SRDPRZPB
170 P-SRUQMI4Y
171 P-SRZURB1O
172 P-SS6MKUK1
173 P-SSD7B1JT
174 P-SSOUMQEI4
175 P-SSW6QTEM
176 P-ST1QVNS7
177 P-STAPEU8L
178 S-9FE577EC
179 S-5A638D44
180 S-00FT46EC
181 P-SU6P0QQE
182 S-25A7EEC
183 P-SULDGTP
184 P-SUQF813P
185 P-SUYMPYPH
186 P-SV8VQ7HT
187 P-SVESLY27
188 P-SVLOOIEI
189 P-SVS5BA9R
190 P-SVZOGHLB
191 P-SW8VXK2K
192 P-SX6DFCEC
193 S-1AFB4C37
194 P-SXQ1UAM4
195 P-4CAWUDV
196 P-SXXU9GNS
197 P-5YV2V239
198 P-6IXOMKQK
2 199 Q-OOOWYNNN
2 200 Z-000AP032
201 P-F42ETVIE
2 202 Q-000WYML6
2 203 Z-00060LAR
2 204 Q-000WHOEO
2 205 Q-000N4H4T
2 206 Q-000W2DSH
2 207 Q-000WYM7X
2 208 Q-000WYXAO
2 209 Q-000XILMD
2 210 Q-000WZEXP
2 211 Z-000APOJ8
2 212 Q-000WZTEO
2 213 Q-000WYMX8
214 P-D9CIP5DK
215 P-702V8NQ6
216 P-6TYZIAKJ
217 P-6PPI4TRO
218 P-7AZHTLRC
219 P-06MOZLQS
220 P-14YD2OJG
221 P-OMZ4JZHF
222 S-6A2C6606
223 P-1PDI8SQ3
224 P-3KY4R7I8
225 P-34CUOYI5
226 S-D389CA28
227 P-ODYUXRL1
228 S-CC7BC9OD
229 S-9A3DBD82
230 S-4A549116
231 P-7H50NJSR
232 P-7CUZSB42
233 P-TPQGGLGN
234 P-7JHGPBFR
235 P-7L3WMQHW
236 P-7MGXUEOI
237 P-7NO28W8I
238 P-7OPDL0IA
239 S-3E2D00D3
240 P-7R2RLHO
241 P-7POP7UO9
242 P-7SPPC71A
243 P-7TTMG8T3
244 P-7UWGQ1Y1
245 P-7W7GNMYE
246 P-7X5RJ2XB
247 P-7YAD6KNX
248 P-7ZHNEZ4S
249 P-81ON9GQP
250 P-82GU9VOR
251 P-83S22BES
252 P-859RDMQ2
253 P-86KLA6SO
254 P-884EA50Y
255 P-8D8B29B
256 P-89WOJB90
257 P-8AY746S8
258 P-8C3M3TTU
259 P-8DYS0N4T
260 P-8G2TNLAV
261 P-8GWJ6DJG
262 P-8YBT2XWX
263 P-7ZA8JGA3
264 P-87XG4VUG
265 S-FO33C553
266 P-8QMCKLWI
267 P-9HVPGHMN
268 P-9GOWSSV2
269 P-9F00ANGT
270 P-9ELXRQFO
271 S-1E4F4966
272 P-9N4Z9JGO
273 P-9MEC8CZL
274 S-688BE76D
275 P-9KJZ8GOS
276 P-9JQS73M6
277 P-9IWCG47X
278 P-9TD81DDX
279 P-9SLHZIW9
280 P-9RNSZXC4
281 P-9QHHYCK7
282 P-9PBZNDSD
283 P-FF9LETUV
284 P-9YMMTKDY
285 P-9X12HB77
286 P-9V09RJLT
287 P-9UR1KJHS
288 P-9TZUD3TA
289 P-RM2QXWLR
290 P-RQJMSKYK
291 S-668A68B8
292 P-RSRRNNHE
293 P-RUO8Z1WE
294 P-RVA5UBOD
295 P-RWAKMJRN
296 P-RXDUAF3Y
297 P-RYEPAHBI
298 P-S1EVHMSY
299 P-52JGIY7C
300 P-S3XCTL5M
301 P-S5TVYB86
302 P-S6W6Z6M2
303 P-S8A8APH4
304 P-SA9AERL1
305 P-SBD6QSPC
306 P-SC3CF4JE
307 P-SDMC1AST
308 P-SEMHYNC1
309 P-SFALOON5
310 P-SFU80M1L
311 P-SGGV5DGM
312 S-6D49FFA9
313 P-SHQTJXSS
314 P-SIORNYOY
315 P-SLIO53V3
316 P-SM72HFDD
317 P-SJIYG09L
318 P-SKGDWAC0
319 P-SLO1YOX5
320 P-SMUSEWQI
321 P-SNGLU5C5
322 P-SNVIBGLW
323 P-SODVOLSX
324 P-SOV84LGZ
325 P-SPBIY56A
326 P-SPOVOGRO
327 P-SQ4DCMTC
328 P-A59VNT9I
329 P-SQVIVOH4
330 P-A75JYHAN
331 P-SRTNT102
332 P-SSFK34MM
333 P-SSRBPTVE
334 P-ST85IGES
335 P-STM70103
336 P-SUOLD9SF
337 P-SUED1E5S
338 P-SVYBKMNO
339 P-SV1150Z051
340 P-SVX9FQP
341 P-SWI5YKIZ
343 P-SXYUC5SS
344 P-SYNLONOG
345 P-SZ8UY5GK
346 P-SZVJB1VY
347 P-5XVCUQGS
348 P-6JQ6GQTQ
349 P-7300EAYB
350 P-102HFZXZ
351 P-3JVCCAVC
352 P-2AA1CL40
353 P-OGGUIMTM
354 P-421FNMUQ
355 P-OOH1B6HF
356 P-2GZHNHXX
357 P-4BPHVQRF
358 P-4RG3ELIH
359 P-594YZRG3
362 P-1GXY1RGB
363 P-373310ZT
364 P-7BE7385F
365 P-4Z6096C4
366 P-TTQ6544G
367 P-6EJ65LHO
368 P-6ZQJGKQP
369 P-D2Z68CSU
370 P-7GDDOXCV
371 S-C9D2DD27
372 P-7MTV72ME
373 P-7PJOI10N
374 P-7SCSEMEW
375 P-7VETPOEY
376 P-7Y3SHLR3
377 P-81COATOF
378 P-854CDMPK
379 P-88N5XJPG
380 P-8COLS9VW
381 P-8F6580QP
382 P-81091PTI
383 P-8KDHBCFC
384 P-FQ44WVBF0
385 P-8QHJ90LZ
386 P-6CFB31A5
387 P-8X4R03LW
388 P-914RZLXY
389 P-94CP5BE5
390 P-SN3UIIIP2
391 P-SMBAFYIO
392 P-SLYR8PJT
393 P-SLLWDPFM
394 P-SLALUDNV
395 P-SKVFJ2Y8
396 P-SKLOGGUL
397 P-SKGWWOSM5
398 P-SJRDMJY1
399 P-SJEOVCB9
400 P-SFASFI5L
401 S-ABC1B44A
402 P-SEC1E1FN
403 P-SDSDQJQA
404 P-SDB31U6P
405 P-SCRK4F5K
406 P-SC9NNFO
407 P-SBMMIOXG
408 P-2F1EO4EA
409 S-CCCBEFES
410 P-S1LN78S3
411 P-SOGNKX1T
412 P-RZKICC8E
413 P-RXJO6AQO
414 P-RWKHT4MU
415 P-RVUUOJYH
416 P-U48BP126S
417 P-RUB5C3IN
418 P-RTI3TBGM
419 P-SPQB4QSA
420 P-SQ5ZDILY
421 P-SQFYO9UL
422 P-1FNZUOLC
423 P-SRIQ65F
424 P-SRSLQJF1
425 P-SSEBNOAK
426 P-SSNZRALE
427 P-ST88CFS0
428 P-STFRCUIO
429 P-STNG4728
430 P-SWNQKJC7
431 P-SXS4FSR
432 P-SWZIJEAL
433 P-SXQNZH9Z
434 P-SY3U27TDE
435 P-558QTPR3
436 P-51G17S1L
437 P-5T104898
438 P-SDGIUKCR
439 P-6CNKXICL
440 P-6KEJ8V6I
441 P-6TC1SECI
442 P-77MLRUBA
443 P-5QD9QG7L
444 P-69M5ADPS
445 P-6NZLP9YB
446 P-6Y4K7MS1
447 P-85GJ1C1Q
448 P-8AID549D
449 P-8D75M1SG
450 P-P5QLCSDE
451 P-8FMZOIW7
452 P-8HSAH86Q
453 P-8JEVBOP3
454 P-8LMI102S
455 S-2CEEOFDE
456 P-8QVXRFT2
457 S-0B2153AF
458 S-A4206059
459 P-ALNO0NMU
460 P-APNZ72LC
461 P-AP2OVIYV
462 P-ARQ1CBR
463 P-ATB4QFM
464 P-ATAPQYVTJ
465 P-AXOT9RRZ
466 P-AYBDORDK
467 P-A5AJUC65
468 P-AHWOSZG
469 P-AIH96XLJ
470 P-AIVCJQBM
471 P-A49IYCB7
472 P-AZLI6ITR
473 P-AVJNP9FR
474 P-5BVE50RL
475 P-6ZLYUXBS
476 NIK TDK TERDAFTAR
477 P-3Z4J6GU4
478 S-CF953D75
479 S-9E64488F
480 P-7KAHKF0W
481 P-7DHJGKS9
482 P-7VPZ8NBY
483 P-88DRK21I
484 P-8IMPOU6N
485 P-AIZEDNF4
486 P-AIHJLUXO
P-AHWUPARL
487
488 Y-011PVGNJ
489 P-AGDRZ63S
490 P-AFKLXPU2
491 P-AEMSNVRI
492 P-ADM0XDDH
493 P-ACPZY4QI
494 S-D140643E
495 P-AA6NECB5
496 P-A5PZG5TB
497 P-A3CDQS46
498 P-4HML1852
499 P-9VLVMV1J
500 P-9RNFU6JX
501 P-9MHYR6J9
BAK 502 P-ROPM8P1A
BAK 503 P-R1GKPWQQ
BAK 504 P-R1S2QPRN

BAK 505 S-C67231FD
BAK 506 P-R2QR1UH5
BAK 507 P-R3D2HYM7
BAK 508 P-R5B1SNR9
BAK 509 P-R5WBIZIB
2 510 Q-000BIS98
2 511 Q-000X457W
2 512 Q-000X45GD
2 513 Q-000WZOBR
2 514 Q-000XINOM
2 515 Q-000UO6H3
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519 P-RLYMMGLO
520 P-RPIUYPHB
521 P-RQHZMUA
2 522 Q-000O0XUV
2 523 Q-000XI4B4
2 524 Z-67C8DO2F
HAMIL 525 P-RYROPQPQ
2 526 Q-000X2UCJ
2 527 Q-000VZYSC
NOG 528 P-55QG1AJI
PKM 529 P-SLBDUSJ
NOG 530 P-S413628L
NOG 531 P-S4UNAWBU
NOG 532 P-S5ELIH90
NOG 533 P-97BOEWRW
NOG 534 P-S654TBU8
NOG 535 P-RSLKIC4N
PKM 536 P-SKI9ZR71
537 P-SJCQKGA2
538 P-S7ULPNOZ
539 P-SU76VMQS
540 P-SUL2JUCL
541 P-SRSSHOWI
542 P-SUVMBHMA
543 P-SVGJV6JB
544 P-SVTJT3KT
545 P-SW6W7IXN
546 P-SWJYU200
547 P-SWVRBNIX
548 P-SX8EPQX9
549 P-SXHMOXZO
BP 550 P-4LD4YOTL
BP 551 P-57XIAFPV
BP 552 P-50HA9WAF
BP 553 P-67DQMLS6
BP 554 P-6OXIAEE7
BP 555 P-75KTZTMU
BP 556 P-0JRIDOQP
BP 557 P-2RWYN551
BP 558 P-4U0DCIJ
BP 559 S-5B38A6F8
BP 560 P-2PU4KNWS
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BP 563 P-5TFOPINE
BP 564 P-6IHIJIQA
BP 565 P-72MFLR4E
BP 566 P-JFUY9YCL
BP 567 P-7JFP6U6T
BP 568 NIK TDK TERDAFTAR
BP 569 P-7NIGIDD6
BP 570 P-7R0FEVT
BP 571 P-7V40MWPC
BP 572 P-8400JDHU
573 P-8QMCKLWI
574 P-8PQDJC6D
575 P-8OTB7XSY
576 P-8NOXNNWQ
577 P-8JL1FLMM
578 P-81FF76TA
579 P-8ILZMZUM
580 K-SCCIE4CFD
581 P-9CQOEDQ2
582 P-9BTH69LS
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589 P-91JUS3PG
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604 P-AAC0BGSJ
605 P-AE9C5SXX
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610 P-AHER60F
611 P-AJFZA2XW
612 P-AK26K97I
613 P-AKLVH3P
614 P-9EDUJXSZ
615 P-AZF71C58
616 P-0GIR1DHK
617 P-3CYBD7CG
618 P-5TQURORR
619 P-42RF6SU6
620 P-73SVROUM
621 P-76SFZ10H
622 P-7L6D45XO
623 P-7SX02J23
624 P-7X679U4Z
625 P-9CCZPV4K
626 P-9KH1ISXB
627 P-9GT7MHV6
628 P-91CD5JGB
629 P-9JTOKPUM
630 P-9LCKA5DC
631 P-9NDUD5W1
632 P-9P46XCPC
633 P-9QTHCM04
634 P-9SFCMPCW
635 P-9U0225AY
636 P-9WOSDR7H
637 P-9XANXL7A
638 P-9YMAM7QP
639 P-9ZWMAS7Q
640 P-AEB02KTW
641 P-AF3UK36B
642 P-AGSAAKDQ
643 P-AHDGZMIK
644 P-AHZKMS14
645 P-A1MT10IN
646 P-AJ76SRV2
647 P-AG56NB60
648 P-AKHLAQ0U
649 P-AL2MR7RE
650 P-ALKTYMRB
651 P-992XIVTR
652 P-9B7V7A6C
653 P-9CN0PQZB
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660 P-905A20FJ
661 P-9P1AHNA3
662 P-9QRY9WFE
663 P-9RZXV81B
664 P-9TAMM7FH
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666 P-A3ERBBMW
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668 P-9WL17RG5
669 P-9XNJ52HF
670 P-AZ84YHM6
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674 P-AGQGSLJI
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685 P-ATQ53YXX
686 P-AUXKOLQ1
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Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
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1871084506840009
1871085603740004
1871085710900002
1871075511840005
1871086205870004
1871086107990001
1871086205820002
1871080102810011
1871035006050002
1871085212990006
1871084110030004
1871086106890003
1871081408890004
1871087009660001
1871072702980007
1871074506830014
1871070103760006
1871086811740004
1871081103720002
1871082305780002
1871080602610001
1871084304930003
1871076811010002
1871081207820006
1871074210840005
1871085608950004
1871096512840011
1871072205740002
1871085007690006
1871074511850002
1871087112750011
1871084106740006
1801216103770001
1871081507020006
1871086308820001
1871084507020003
5272056408760001
1871080707490001
1871080708740003
1871084612600002
1871080108600002
1871090709780008
1871095705730003
1871085810830008
1809055902920005
1871095412900005
1871095206910006
1871090406070001
1871095506820007
1871062301840003
1871092612850004
1871094206850004
1871095206890006
1871094602630001
1871091101960004
1871092012920001
1871083006750002
1871084308850002
1871084202900005
1871084609880002
187108150444001
1871085112600004
1871082104710003
1871076801900003
1871085005860006
1871084202820012
1871080511810003
1871082508760004
1871074903790010
1871076606970002
18710718049200009
1871081711570002
18710826029700001
1871084107770018
1871081706860005
1871080306860003
1871080912410001
1871082802850005
1871082806910002
1871054506900003
1871084908670001
1871085603800005
187108520950002
1871085708940010
1871080505720013
1871082008910001
1871084510870005
'1871086702600001
1871087007650001
1871082110920001
1871085205670003
1871075505890007
1871091305030002
1871074112020009
1871074708040000
1871060905070009
1871040401880007
1871072706000004
1871091504630005
1802150601850003
1871052901550002
1871085306820005
1871086010840005
1871085402660001
1871081504770011
1871052708690003
1871085911920001
1871086101950004
1871125409980003
1871085005810003
1871084302880001
1871080311880004
1871085508860001
1871082204740002
1871085103960004
1871085909980006
1871097004840005
1871086703700006
1871085906870003
1871084901830002
1871096311840003
1871084605850007
1871126502950006
1871084505050002
1871085011870008
1871094606880007
1871095105830005
1871084404710004
1871084506780004
1871084405920003
1871082310960001
1871092805630001
1871090806790008
1871096005010006
1871094405730001
1871096701910009
1871095110730003
1871094610910002
1806014307950002
1871092508030002
1871090608590001
1871096404670001
1871095012690008
1871095211920006
1871090205820006
1871096205780006
1871095008890003
1871096406750002
1871094705750006
1871082808140005
1871095604810004
1871086605880004
1871094805760005
1871092501980002
1871096411880004
1871096308940006
1871092707660002
1871094606850009
1871092008750004
1871094504800007
1871094511890004
1871095203540005
1871092701870004
1871096503020004
1871094704820008
1871094602800002
1871091110770001
1871091201080002
1871091102770002
1871090509960006
1871084501930008
1871094501960001
1809075007930002
1871092101880002
1871094507900002
1871084607650004
1871094403750004
1871095803850003
1871091604850004
1871091205720003
1871084606020002
1871090307640007
1871091005840007
1871090909990005
1871066807000004
1871091007620006
1871095502790008
1871094603700002
1801180202850007
1871090303020008
1871091202880005
1871095005010001
1871061907820002
1871091005890011
1871094812750001
1871094109040001
1809011603840005
1871090510900004
1871066111070003
187101607070001
1871095605850002
1871094704820007
1871090505720005
1871090107730190
1871090606880013
1871096404900006
1871095003770007
1871090412820009
1871095101920006
1871094407940006
1871094702950001
1871096004760003
1871090602790001
1871091111960003
1871094508080002
1871090812760005
1871091704730003
1871095011750010
1871095406650006
1871094511060004
1871090305760005
1871084501060004
187109521108002
1871092112830003
1871094205730002
1871135106900004
1871091506690004
1871060105910003
1871095204730006
1871090910790007
1871094203980006
1871094804920005
1871090803840002
1871092708830003
1871094709800004
1871095605870003
1871090303910009
1871095207940005
1871095401940001
1871095210750006
1871091009750009
1871094807730001
1809051011830007
1871090807950002
1871094911920002
1871095907880002
1871096208950001
1871094710790005
1871090606820003
1871090808770026
1871094805780002
1871092112800003
1871094310900006
1871086203970007
1871090401790003
1871090506540002
1871094101830007
1871091608760008
1871092503030001
1871091504730003
1871084108910007
1871091410030001
1871090311070003
1871091507000003
1871091711040001
1871094709040004
1871091007990011
1871091205060017
1871095507630017
1871091206710008
1871095110760011
1871086411920004
1871095507930003
187109064600001
1871086202960001
1871094310880008
1871096103780005
18710913010005
1871090509960006
1871091102770002
1871091201080002
1871090104950007
1871095011980005
1871090603910004
1871092105840005

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN / 11-10-2021
Jenis
Kelamin
SARDIANTO L D 07/07/1957
SELVI AMRI Y P D 24/09/1972
IRAWAN L D 6/6/1958
GUNTUR ARYA L D 10/16/1995
MARTINA P D 20/04/1974
TIONA LINDRA P D 16/02/1977
DEWI YANA P D 02/11/1975

ZAKARIA L D 30/11/1973
SOLEHA P B 14/09/1989
DONI SUTRAWANSYAH L D 1/9/1987
M TONI L D 27/03/1980
HJ RENI UTARI P D 15/08/1963
JOHAN SUBANDI L D 3/6/1963
HABIBBURAHMAN L D 26/03/2000
FITRIANINGSIH P D 4/9/1990
TRIO SAPUTRA L D 22/04/1996
MASNENA P D 12/19/1989
BASIR L D 02/06/1988
DEVI YUNIATI P D 20/02/1993
BAINAH P D 04/06/1965
KARNI P D 07/04/1972
BANI BANG NOHO L D 07/07/1995
SAEFUL ANWAR L D 12/25/1993
RIZKY KURNIAWAN L D 19/11/1998
RIZKI ADRIAN L D 1/8/1990
DWI SEPTIAWAN L D 9/15/1989
RINI ASTUTI P D 20/11/1980
SEPTYANI AGATA P D 01/01/2009
IRSAN PRATAMA L D 05/08/2009
AINUDIN L D 28/01/1978
MUHAMAT RAFTA L D 12/07/2005
SANDI SURYADI L D 04/10/1989
THEN MIN FONG P D 19/10/1987
NINGSIH DIANA P D 11/12/1981
MURNI P D 14/08/1977
M. ERFANSYAH L D 15/07/1979
HASAN L D 7/16/1970
TIKA WAHYUNI P D 27/10/1984
M NURUDDIN L D 1/18/1984
HERFIANA P D 06/03/2004
WAHID L D 6/3/1995
SUKMA WIDIYANTI P D 17/07/1999
VENI RAHMAWATI P D 22/01/2002
RAHMAD FAUZAN L D 20/06/1994
ROMIDAH P D 6/15/1972
ALWAN SETIA L D 12/08/1996
WONG CISUNG L D 27/12/1969
TEDY IRAWAN L D 10/3/1966
YAYU PISWARA P D 2/28/2004
BARIAH P D 2/7/1983
VINA FEBI Y P D 2/27/1998
SUPRIADI L D 4/19/1990
USMAN T L D 5/13/1960
LILI SUHERLI L D 6/21/1970
TINGGAL L D 12/10/1973
JUNIOR EKA S L D 6/23/2002
ASNAWATI P D 10/2/1985
DIDI SANTOSO L D 4/2/1985
SUSIANI P D 8/8/1988
MARLENA P D 7/17/1979
KAMSAH P D 1/17/1960
SUMARNI P D 2/27/1981
ASISKA BILA S P D 3/11/2005
MASWIRI L D 2/1/1969
MARNI P D 8/18/1991
SIDIYATI P D 6/5/1971
SARTINI P D 9/7/1966
SAWITRI P D 9/22/2003
AGUS TINUS SUBEKTI L D 6/14/1963
ROZALI L D 7/26/1997
SUTRISNO L D 7/1/1978
RIZKY PUTRA L D 9/29/1989
SYAM SUDIN L D 06/07/1966
NGATINO L D 6/30/1977
AYU SAFITRI P D 5/11/1999

IMAWANAH P D 9/1/1987
NANIK HARYATI P D 10/31/1986
LISTA DORA P D 02/02/1980
NURHAIDAH P D 9/7/1961
JULEHA P D 19/06/1977
ASIYAH P D 12/03/1965
SANGGRIB L D 30/04/1973
WAHYU SAPUTRA L D 11/11/1997
SUHANDI L D 27/07/1973
SOPIANA P D 17/03/1982
MUHAMMAD RENDI L D 9/26/2001
ANDRI YANI P D 06/06/1977
NOVIRIA HASATITI P D 04/11/1983
SYAEFUDIN L D 19/05/1960
SABIHIS L D 11/02/1959
ETI R P D 31/12/1966
ALIAH PATMASARI D P D 10/01/1998
FITRI HARIYANTO L D 18/06/1981
ISMIYATI P D 10/2/1968
YENI ARYANI P D 2/4/1992
SRI TEMON P D 9/15/1978
INAYAH P D 2/25/1985
SAHRUL L D 30/09/2001
SAPAWI L D 8/21/1959
M DEWA FIRMANSYAH L D 8/1/1997
SYAHRUL L D 3/25/1973
SUPANDI L D 10/17/1990
KASIM L D 8/14/1979
NANANG SANJURI L D 3/3/1977
SUMINTA L D 1/1/1963
SAMI P D 5/13/1985
SADIAH P D 4/28/1983
SITI AYSAH P D 3/10/2003
SALIM L D 4/30/1958
MARNI P D 2/19/1964
RISMAWATI P D 11/15/2004
NENENG P D 6/4/1985
MARMI P D 8/25/1972
RASID L D 7/3/1983
SUPRIHATI P D 6/5/1976
SITI MASITOH P D 9/26/1994
NINDI FURIANTI P D 8/10/2002
RUDI FANANY L D 5/5/1975
RASTI YULIANI P D 8/10/1981
ELIZA MARIA P D 3/12/1972
ASHARI L D 12/31/1966
MASRIPAH P D 5/5/1970
SUGITO L D 11/28/1981
MISNAWATI P D 9/20/1997
M SOBIRIN L D 2/4/1975
SINTIA P D 8/5/1999
SITI SUHAYATI P D 6/5/1981
WARSIH P D 8/10/1989
SUBANDI L D 4/4/1979
MERLI ARIYANI P D 3/6/1981
NURUL URFAH A P D 3/17/2001
SLAMET RIYADI L D 8/22/1974
MASKIAH P D 8/5/1971
YATMI P D 8/4/1982
SITI ROHNAH P D 6/19/1979
SAPITRIYAH P D 9/23/1992
TITIK SUGIARTI P D 14/06/1993
ROMLAH P D 6/16/1979
M ANTONI L D 8/7/2001
SITI FADILA P D 12/3/1990
SUMIYATI P D 5/15/1981
YUDIA MUNANDAR L D 6/30/1989

M ROYHAN LINTANG L D 12/11/1998
WIWI AGUSTINA P D 8/8/1989
SANALI L D 3/15/1966
AHMAD PRASETYO L D 3/13/1981
MELVI AYUNING P D 5/6/2000
MINAH P D 7/26/1986
JULI L D 11/11/1991
BERLINDANA YANTI P D 3/30/1999
ROSMAWATI P D 10/4/1965
WAHYU SAPUTRA L D 3/30/1999
AMELIA P D 5/16/1999
SUISNO L D 6/28/1957
DWI ANGGRAENI P D 6/7/1992
ADI FERDIANSYAH L D 1/31/2003
ROHANI P D 11/1/1970
TRI SUTRISNO L D 6/27/1998
ATIAH P D 5/5/1978
PARIAN L D 10/16/1953
SARIOT P D 5/12/1965
ROBIYAH P D 6/10/1980
IFAN KURNIAWAN L D 7/7/1984
JUPLITA WATI P D 10/23/1970
ADAM JETLY E L D 9/28/1996
NOPITA SARI P D 12/2/1996
AHMAD TAUFIK L D 8/29/1985
RIYAN ARYA K L D 4/24/2001
ERNA TRISTIANTI P D 11/8/1973
M.PAHYUMI P D 9/21/2004
INDRA.GUNAWAN L D 4/19/1974
HERMAN L D 9/2/1955
SEPTINA P D 9/21/1975
MARDIYAH L D 03/06/1960
NURHALIMAH P D 5/10/1966
RETHA MELLY N P D 6/8/2001
SARMANA P D 9/6/1987
MISRANAYA L D 8/17/1972
HALIYAH P D 2/20/1976
SUPIAH P D 8/1/1979
SULIYAH P D 6/7/1983
NOVI YANA P D 11/30/1998
FEBI YANTI P D 2/5/2005
SOPIANAH P D 5/23/1967
MADSANI L D 1/5/1958
AGUS SUWANDI L D 8/7/1996
HOLISIN L D 5/5/1974
RAFIUDIN L D 11/8/1967
INDAH LESTARI P D 11/24/1999
M ROBBI PANZZER L D 11/27/2006
HALIHAN L D 15/05/1966
TJUNG SULAIMAN L D 20/08/1955
KARYANTI P D 15/08/1963
ANJANI AULIA P D 17/08/1963
MALYANI P D 07/02/1953
MUHAMMAD FADHLY AZIZ L D 29/10/2000

KOSIM ARYANTO L D 10/03/1977
JUMRI L D 02/06/1965
SUYANTO L D 03/03/1979
TRI KEMALA DEWI P D 14/12/1983
ROHADI L D 2/7/1985
FILIPPO NISI L D 16/04/2008
HIOE LIE NJUN TJIN P D 08/08/1959
EKO SABANG L D 10/2/1983
GUNTUR PRATAMA L D 2/17/2006
PRASITYO L D 29/04/2009
WANDI SAPUTRA L D 5/4/1992
YUNINGSI P D 2/5/1984
MASRI NAWAWI L D 2/16/1974
M NUR L D 10/2/1980
APRIYANI P D 4/28/1985
LILIK SUPRIYATMOKO L D 23/08/1980
SUEBAH P D 4/8/1972
TUBAGUS SOFYAN L D 10/23/1975

JAMAAN L D 7/16/1969
SITI PATIMAH P D 6/2/1994
LISA P D 9/8/1984
ERDALIA MUCHTAR P D 7/19/1954
SAKDIACH P D 7/4/1972
EDDY SUTOPO L D 2/23/1961
ANAH P D 10/8/1960
UJANG RAMLI L D 1/1/1958
EVISOH P D 6/25/1982
MAMAN SUHERMAN L D 5/27/1973
RASTI AMELIA P D 1/4/2008
HAMZAH L D 11/5/1978
ROSITA WATI P D 5/24/1985
TITIN P D 10/5/1979
RANI KARTINI P D 12/26/1983
MULIYAH P D 7/15/1964
AHMAD NURUL J L D 6/8/1979
SRI HANDAYANI P D 12/24/1988
YOGI PRATAMA L D 5/22/1999

YULEHA P D 5/1/1986
MUHAMMAD GIOVANI A L D 6/17/2007
SUNARTI P D 3/16/1980
ZURIYANA P D 3/30/2000
TOMI KURNIADI L D 3/3/1983
RUSDANI L D 7/17/1967
YENI SISTA P D 10/10/1990
JAKA L D 1/16/1996
YESIKA KRISMALIA P D 12/12/2000
M ROKIB L D 4/4/2000
SYAIFUL ANWAR L D 11/12/1986
SITI RUKOYAH P D 10/6/1984
SUHETI P D 1/1/1985
SANTIYAH P D 3/25/1994
SAHRONI L D 4/21/1969
RYAN L D 3/3/1990
DALMAYANTI P D 1/1/1969
IRMAYANA P D 2/26/1982
ROHANA AMIN P D 9/25/1989
NURTI P D 11/10/1998
EPAH DAPISTA P D 4/14/1998
SULAEMAN P D 2/11/1976
MUKHSIN L D 5/21/1984
NILADA YUSNITA P D 11/24/1988
IKA SEPTIASARI P D 9/24/2001
ARIP L D 12/5/2002
MATSARI L D 10/8/1989
SASINAH P D 5/7/1965
SUKARTO L D 4/6/1960
MAD JASIN L D 2/5/1963
TAUFIK HIDAYAT L D 5/17/1992
HASAN JAYA L D 10/5/1969
RAGA OKTAFIAN W L D 10/17/2006
RUSDI H L D 5/12/1974
ARYATI SEPTIANI P D 1/26/2001
ROHMAN L D 4/8/1968
PULUNG L D 8/4/1977
HAYANI P D 7/5/1979
JARMAN L D 3/6/1991
JONI L D 4/1/1995
JUNI YAATI P D 6/4/1991
JALALUDIN L D 8/15/1968
RIZKY ADITIA L D 1/13/2001
ARIYAH P D 3/21/1978
MALI HATUM P D 10/3/1988
IIS NARYANTI P D 2/22/1996
SAMSUL L D 01/01/1989
SUNARWAN L D 21/08/1989
MUGIRAH P D 12/16/1957
ILMA RISKA P D 24/10/1994
PUTRIARA SARI P D 08/08/1997
RINA P D 04/10/1983
SUTARNI P D 7/7/1997
TIYARA P D 13/11/2000
ZALNA SALSA FADHILA P D 11/2/2001

RISKI BIMANTARA L D 12/26/2007
ERMASARI P D 28/01/1996
YURIDA P D 19/12/1988
IRUL L D 19/04/1980
DELLA SAFIRA P D 06/06/1999
M.FAISAL PRATAMA L D 12/23/2004
KARTOBI L P 07/08/1968
ALINAH P D 7/22/1986
ERFINA P D 7/27/1995
KIKI AMELIA P D 10/29/1999
IIN AFTRIYANTI P D 17/06/1989
AHMAT RIYADI L D 18/01/1991
YOSINTA P D 25/01/1980
UNING WIGATI ASIH P D 8/18/1965
WAN JAHRA P D 6/13/1947
ONI SETIAWAN L D 05/10/1981
PUJA APRILLIA P D 4/9/2008

BIHA P D 02/05/1982
ZAINAB P D 29/02/1976
JUNI YANTI P D 09/06/1986
SARMIN L D 10/10/1991
SETIA WATI P D 01/07/1986
SUYATMI P D 06/05/1976
SITI MAISAROH P D 03/07/1984
MARIA P D 04/03/1984
MAYA DIAH LESTARI L D 2/2/2004
HERI MASHUKI L D 5/4/1975
NENI SOFIANI P D 03/03/1996
MELANTIKA L D 6/4/1999
KALIS P D 07/06/1980
SAPTO WINARSO L D 06/06/1983
FITRIYA HERMANDA P D 9/24/2009
ENI SUSANTO P D 5/14/1994

CARINI P D 10/12/1983
MULYONO L D 1/2/1980
MISINEM P D 09/10/1980
SISKA APRIYANI P D 12/24/1994
RIANTI P D 4/6/1972
MUHAMMAD ANIS L D 12/25/1981
SARYATI P D 02/12/1983
PAWIDI L D 1/3/1973
HAMSATUAN P D 11/28/1990
MUTA'AH P D 6/11/1978
IMAM HIDAYAT L D 14/05/1998
ISHAK L D 3/5/1979
SURYANI P D 16/11/1980
ROSIDI ALEK L D 16/08/1965
RISNAWATI P D 20/04/1980
RIDON L D 10/10/1987
HERLINDA P D 5/6/1973
TEDI MARTA IRAWAN L D 01/05/1996
YUYUN INDRAWATI P D 14/06/2001
MASNONI P D 10/05/1980
AMIR HAMZAH L D 9/10/1972
SANAH P D 31/12/1977
DEDI PURWANDI L D 12/3/1991
ADIA NINGSIH P D 17/02/2008
MAULANA L D 12/15/1960
DARNA P D 21/05/1965
JOKO SUSILO P D 6/30/1998
WAKIDI L D 4/1/1948
SOLEHA P D 27/10/1974
KANAYA NAZWA PUTRI P D 19/02/2004

SLAMET SUGIONO L D 10/11/1972
DINA AYU INDRIYANI P D 5/28/2003
LISTINI P D 8/21/1963
JAELANI L D 19/06/1977
MURTIASIH P D 6/4/1958
RINI PUSPITA SARI P D 15/03/1984
MISRAN P D 27/07/1979
HASANAH P D 21/04/1970
YUNA WATI P D 2/16/1971
NUR AYNI P D 01/01/1990
USMAN L D 02/03/1970
MUJAMIL L D 25/07/1961
OKTA DENI ASHARI L D 21/10/1992
ENDANG SAFITRI P D 03/02/1996
DEWI P D 19/02/1999
ELIA SARI P D 8/24/2002
HALIMI P D 6/5/1979
IRAWAN P D 08/07/1980
DAHLIAN B DAUD L D 27/12/1960
HASANNUDIN P D 01/10/1999
SALMAN AL FAREZI L D 3/4/2007
AL IMRON L D 12/11/1982
BASUNI L D 4/27/1979
HOLIJAH P D 3/3/1999
RESTI MARIA P D 4/29/1993
JULITA FIITRIANA P D 7/9/1995
APRI SUWARDI P D 4/4/1978
YUNITA FITALOKA P D 4/27/1981
ADE APRIYADI L D 4/6/1979
YUYUN FITRIANI P D 9/23/1979
SRI MRANTASI P D 4/28/1984
ROHIMA P D 12/24/1988
MARIAM P D 12/25/1988
AHMAD SAFARI L D 7/27/1984
ASMARIYAH P D 7/5/1985
HERIYADI L D 10/5/1971
USMAN L D 7/5/1965
DEDE ANGGRAINI P D 7/16/1988
SARTIMAH P D 8/10/1958
SUSANTI P D 12/29/1987
DESI RISKI P D 12/20/1985
EIS MARETA P D 3/11/1994
NADILAH FITRI P D 4/19/2004
NURASIAH P D 7/20/1983
YUSNAWATI P D 6/2/1980
M. KAISAR AL MUHAJIR L D 12/19/2007
MASITOH P D 9/30/1970
SULAIKA P D 1/11/1989
SITI ROCHMAH P D 3/16/1974
IJUN OKTARIA P D 10/17/1990
ERA MAYASARI P D 5/22/1987
RESDIKA P D 7/21/1994
EVA NOVITA P D 5/22/1982
FERNANDES L D 2/1/1981
DARA SHOFANIANDA P D 5/10/2006
DEWI PUSPITA P D 12/12/1999
AMANDA OCTARIZNA P D 10/1/2003
TINA MEGA RINA P D 6/21/1989
ISMAIL L D 9/14/1989
ANA WIDAYANTI P D 9/30/1966
FEGA FIKRI L D 2/27/1998
SUTARI P D 6/5/1983
ABDUL KOHAR L D 3/1/1976
SUNARIAH P D 11/28/1974
M.SUPANDI L D 3/11/1972
NAWAWI L D 2/5/1961
OMI SAFITRI P D 2/1/1989
ELIYANA P D 11/28/2001
ROBI USMAN JAYA L D 2/3/1989
DEWI DIANA P D 10/2/1984
SRI UTARI P D 8/13/1995
ERNI P B 12/25/1984
ROHMAN L D 5/22/1974
NURIDA P D 7/10/1969
SANTI NOVIANA P D 11/5/1985
MAYA RIATIKA P D 12/31/1975
HEKA SARI P D 6/1/1974
LILIS MUTIA P D 3/21/1977
ANDIKA KURNIAWAN L D 7/15/2002
DEWI LESTARI P D 8/23/1982

NINIS MARDEANIS P D 7/5/2002
SISKA OKTAVIA P D 8/24/1976
RASID L D 7/7/1949
CUSTAM ISWAHYUDIN L D 8/7/1974
AMNAH P D 12/6/1960
AMINUDDIN L D 8/1/1960
RASMAN L D 9/7/1978
SUPIYATI P D 5/17/1973
SITI HASANAH P D 10/18/1983
UMROH P D 1/21/1985
SURNI P D 12/14/1990
ABSAH P D 6/12/1991
M.KHOIRUL APDAL L D 6/4/2007
SUWANTI P D 6/15/1982
SANAN L D 12/26/1985
SARMINI P D 6/2/1985
SAPRAH P D 6/12/1989
AMANAH P D 2/6/1963
IWAN SUGIARDI L D 1/11/1996
DEDI AL IMRON L D 12/20/1992
HANAFI L D 30/06/1975
NANA WAHYUNI P D 2/2/1999
NENENG P D 06/09/1988
ACE SAIPUL L D 15/04/1944
SANAH P D 11/12/1960
PANUT L D 4/21/1971
EVA APRIANY P D 28/01/1990
PADILAH WATI P D 5/10/1986
FEBI KORDINA L D 2/2/1982
EDI MURFI L D 11/5/1981
M ALI L D 25/08/1976
IIN K L D 09/03/1979
SILVIA P D 26/06/1997
ADE P L D 4/18/1992
NUZULUDDIN L P 17/11/1967
A. DESTAVANU L D 2/26/1997
HAYUNAH P D 7/1/1977
M SARONI L D 6/17/1986
SARWITA L D 09/12/1941
FERRY I L D 28/02/1985
ZUBAIDI L D 6/28/1991
JUMINAH P D 7/12/1986
UMAMAH P D 12/09/1975
DINA Y P D 17/08/1994
RASTU'I P D 20/08/1991
SITI KOMARIAH P D 05/10/1987

MISNA P D 2/27/1960
SUPIAH P D 7/30/1965
MANUN BIN SAID L D 21/10/1992
MARSINAH P D 12/05/1967
AMINAH P D 15/05/1989
HANNAN AKBAR L D 5/13/2003
M RAZU MAULANA L D 5/9/2007
SARMADI L D 1/4/1988
MAULANA YUSUF L D 6/27/2000
M. SOLIHIN L D 15/04/1963
ANDI SAPUTRA L D 06/01/1985
DEDI MAWALDI L D 29/01/1955
YENI ERPIKA P D 13/06/1982
ETI SURYANINGSIH P D 20/10/1987
ROBBI ANSORI L D 15/04/1977
RAHMAD L D 8/27/1969
NOVA IFTITAHUL P D 11/19/1992
AULIA ANDINI P D 1/21/1995
SEPTRILIANA AYU P D 9/14/1998
LENA P D 5/10/1981
JAINAH P D 03/02/1988
M. KLIWON L D 06/03/1986
SAPITRI P D 15/08/1986
ANWARI SUHAR L D 22/04/1974
ANIS P D 11/03/1996
ENDANG TRIANA P D 19/09/1997
MEGAWATI P D 4/30/1984
SRI RAHAYU P D 3/27/1970
DERI NATALIA P D 12/2/1982
RITA ROSITA P D 6/19/1987
ELYSAH P D 1/9/1983
NOVI ARYANI P D 23/11/1984
LISAN P D 5/6/1985
RAHMA PUTRI P D 2/25/1995
MEISITA PUTRI P D 5/5/2005
NASWAH P D 11/10/1987
KHOFIFAH P D 6/6/1988
LENI SETIA WATI P D 5/11/1983
YATIMAH P D 5/28/2007
IMAN L D 10/23/1996
RUSDI L D 5/28/1963
ASMIN L D 6/18/1979
LENA P D 5/4/1973
SARTI P D 1/27/1991
ROKAYAH P D 10/11/1973
EVA YULIYANA P D 10/6/1991
DIAH RARA JULIANTI P D 7/3/1995
SAMSUL L D 8/6/1959
KOMARIYAH P D 12/10/1969
NELI P D 11/12/1992
RASIMAN P D 5/2/1982
UMI KULSUM P D 5/22/1978
SATI P D 8/10/1989
NOPIYANDRA P D 11/7/2006
SITI AISAH P D 5/7/1975
INDRA L D 11/2/2007
RITA P D 4/16/1981
NAINI P D 5/26/1988
NENI P D 5/8/1976
RIZKI SUBIYANTO L D 1/25/1998

NILADA YUSNITA P D 11/24/1988
RIZA AGUSTIA P D 8/23/1994
SARWADI L D 7/27/1986
SARIKANAH P D 6/6/1985
SALIM L D 8/20/1975
ANAH P D 4/5/1980
SARWATI P D 3/12/1954
HERMANSAH L D 1/27/1987
ASMI P D 4/7/1982
ARSAH P D 2/6/1980
KASMAN L D 10/11/1977
M. FAISAL AKBAR L D 1/12/2006
M. ROSIKIN L D 2/11/1977
HENDRI L D 29/09/1997
PATIMAH P D 05/01/1996
JULI YANA P D 10/07/1993
KARIM L D 21/01/1988
SARNAH P D 05/07/1990
SARTI P D 04/03/1975
JOHARI L D 16/04/1985
SAHIMI L D 12/05/1972
NURUL FITRI RAHAYU P D 06/06/2002
MISJAK L D 03/07/1964
RAHMATTULLAH L D 10/05/1984
NOH RESTU MUNAJAT L D 09/09/1999
RIKA YULIANI P D 7/28/2000
ARTA L D 7/10/1962
JAR'AH P D 15/02/1979
SARIPAH P D 06/03/1970
ABAS L D 02/02/1985
RIDO L D 03/03/2002
MUSLIMIN L D 12/02/1988
EVI APRIDA P D 16/09/2000
S RIYADI AL'FATIH L D 19/07/1982
AMNAH P D 08/12/1975
DENADA SAPUTRI P D 01/09/2004
ERHAN SYAH L D 16/03/1984
DEDI L D 10/5/1990
NAFILA AMALA P D 21/11/2007
Surohman L D 16/07/2007
Maisiyah P D 16-05-1985
Satiah P D 7/4/1982
Pajari L D 05/05/1972
ABDUL HALIM L D 07/01/1973
SARIM L D 06/06/1988
KOKOM KOMALA SARI P D 4/24/1990
ROHAYAH P D 03/10/1977
SUKARMAN L D 4/12/1982
YULIANTINAH P D 07/04/1994
FITRI APRIANI DEVI PURWANTI P D 30/04/1996
DEWI SULASTRI P D 20/04/1976
MERLIN P P 08/05/2008
KEMED L D 17/4/1973
BAI NUNUNG P D 10/11/1975
NURNAS P D 14/6/65
AMELIA AULIYANAH P D 11/05/2006
SARIPUDIN L D 06/12/1990
RIA ANANTA P D 5/1/2006
SILVIANA P D 12/11/2008
HARYANTO P D 21/12/1983
YATI P D 2/5/1973
DEPI YUSNANI P D 06/11/1990
SALAM L D 15/6/69
WAHID L D 05/01/1991
HANIM P D 12/4/1973
ROSNAWATI P D 03/02/1998
MAIMUNAH P D 04/08/1992
PURNOMO L D 03/08/1984
JAJA L D 27/8/83
NUR'AH P D 7/9/1980
SITI SUWARSIH P D 16/5/1987
JUBAIDI L D 3/3/1991
WATI P D 12/7/1994
UMIYATI P D 1/14/1994
PAINI P D 10/12/1975
TIN SUTIONO L D 10/9/1975
MAR'AH P D 07/08/1973
ROHMAN L D 11/10/1983
ARIP SUNANDAR L D 01/08/1994
SEPTIYANI P D 11/09/1992
BAMBANG ISHARNOTO L D 4/12/1961
SUNIA P D 22/8/1995
RASIH P D 10/07/1979
KUSRIYANTO L D 06/06/1982
SAHRIZAL L D 8/8/1977
HERNI P D 8/5/1978
AMIN ROSID L D 8/12/1977
ROHIDA P D 3/31/1990
RENITA P D 3/31/1991
BADRI L D 1/4/1979
MARJUK L D 6/5/1954
SURYANAH P D 1/1/1983
NURDIN L D 8/16/1976
OKI SETIIAWAN L D 10/6/2003
M.ANWAR L D 4/16/1973
LALA KURNIAWATI P D 8/1/1991
AHMAD SOLEHANI L D 10/14/2003
ANGGA L D 12/3/2007
SUWANDI L D 7/15/2000
NOVAL SAPUTRA L D 11/17/2004
RATIH SRI MULYANI P D 9/7/2004
M.DAFA KURNIAWAN L D 7/10/1999
NURFADILAH L D 4/4/2005
SANATI P D 7/15/1963
SUMISTAM L D 6/12/1971
SRI ROHAYATI P D 10/11/1976
IDA ANGGRAINI P D 11/24/1992

SUSI CANDRA YANI P D 7/15/1993
SUKARTO L D 4/6/1988
IIS NARYANTI P D 2/22/1996
MALI HATUM P D 10/3/1988
ARIYAH P D 3/21/1978
RIZKY ADITYA L D 1/13/2001
HENDRI L D 9/29/1997
M ROSIKIN R L D 2/11/1977
M FAISAL AKBAR L D 1/12/2006
JONI L D 4/1/1995
NURTI P D 11/10/1998
JARMAN L D 3/6/1991
MUKHSIN L D 5/21/1984
***Merek Vaksin
A = Sinovac
171 BPJS PBI
286 BPJS Non PBI
145 Non Anggota
47
649 Total
0 Dosis 1
1 Dosis 2
0 Dosis 3
686 Total
0
687
Umur
(18 sd ≥ 60 tahun)
65 ≥60 NOG
50 46-59 PANJANG
64 ≥60 BAKUNG
27 18-30 METRO
49 46-59 BUMI WARAS
46 46-59 TBS
47 46-59 SUKABUMI
49 46-59 BAKUNG
33 31-45 BAKUNG
36 31-45 NEGERI AGUNG
43 31-45 SUKARAME 2
59 46-59 SUKARAME
60 ≥60 TBS
41 31-45 BUMI WARAS
23 18-30 BATU PUTUK
33 31-45 TBU
27 18-30 BAKUNG
33 31-45 BAKUNG
34 31-45 BAKUNG
30 18-30 BAKUNG
57 46-59 BAKUNG
51 46-59 BAKUNG
27 18-30 BAKUNG
34 31-45 TKP
29 18-30 BAKUNG
24 18-30 BUMI WARAS
33 31-45 WAY LIMA
42 31-45 BAKUNG
14 0 SUKARAME 2
13 0 SUKARAME 2
45 31-45 BAKUNG
17 0 BAKUNG
33 31-45 BAKUNG
35 31-45 DEPOK
41 31-45 BAKUNG
45 31-45 BAKUNG
43 31-45 BAKUNG
52 46-59 TKP
38 31-45 BAKUNG
39 31-45 KEDATON
19 18-30 WAY SERDANG
27 18-30 TANGGAMUS
23 18-30 SIDOMAKMUR
21 18-30 PESAWARAN
28 18-30 TBU
50 46-59 KURIPAN
26 18-30 BAKUNG
53 46-59 TBT
56 46-59 BAKUNG
19 18-30 BAKUNG
40 31-45 BAKUNG
25 18-30 KURIPAN
33 31-45 TKB
63 ≥60 BAKUNG
52 46-59 BAKUNG
49 46-59 BAKUNG
20 18-30 BAKUNG
37 31-45 BAKUNG
38 31-45 BAKUNG
34 31-45 BAKUNG
43 31-45 BAKUNG
63 ≥60 BAKUNG
42 31-45 BAKUNG
18 18-30 BAKUNG
54 46-59 BAKUNG
31 31-45 BAKUNG
51 46-59 BAKUNG
56 46-59 BAKUNG
19 18-30 BAKUNG
59 46-59 PAJARESUK
25 18-30 GUNUNG SUGIH
44 31-45 CANDIPURO
33 31-45 PURBOLINGGO
56 46-59 WATES
45 31-45 TJ SARI
24 18-30 BAKUNG
35 31-45 BAKUNG
36 31-45 BAKUNG
43 31-45 BAKUNG
61 ≥60 BAKUNG
45 31-45 BAKUNG
58 46-59 BAKUNG
50 46-59 BAKUNG
25 18-30 BAKUNG
49 46-59 BAKUNG
41 31-45 BAKUNG
21 18-30 BAKUNG
45 31-45 BAKUNG
39 31-45 BAKUNG
63 ≥60 BAKUNG
64 ≥60 BAKUNG
33 31-45 BAKUNG
56 46-59 BAKUNG
25 18-30 BAKUNG
41 31-45 BAKUNG
48 46-59 BAKUNG
54 46-59 BAKUNG
31 31-45 BAKUNG
34 31-45 BAKUNG
44 31-45 BAKUNG
38 31-45 BAKUNG
45 31-45 BAKUNG
21 18-30 BAKUNG
63 ≥60 BAKUNG
25 18-30 BAKUNG
50 46-59 BAKUNG
32 31-45 BAKUNG
43 31-45 BAKUNG
46 46-59 BAKUNG
60 ≥60 BAKUNG
38 31-45 BAKUNG
40 31-45 BAKUNG
20 18-30 BAKUNG
65 ≥60 BAKUNG
59 46-59 BAKUNG
18 18-30 BAKUNG
37 31-45 BAKUNG
50 46-59 BAKUNG
39 31-45 BAKUNG
46 46-59 BAKUNG
28 18-30 BAKUNG
20 18-30 BAKUNG
48 46-59 BAKUNG
41 31-45 BAKUNG
51 46-59 BAKUNG
56 46-59 BAKUNG
53 46-59 BAKUNG
41 31-45 BAKUNG
25 18-30 BAKUNG
48 46-59 TBT
23 18-30 TBT
41 31-45 NOG
33 31-45 NOG
44 31-45 NOG
42 31-45 NOG
22 18-30 NOG
48 46-59 NOG
51 46-59 NOG
40 31-45 BAKUNG
43 31-45 NOG
30 18-30 NOG
29 18-30 NOG
35 31-45 NOG
43 31-45 NOG
21 18-30 NOG
32 31-45 NOG
42 31-45 NOG
33 31-45 NOG
24 18-30 NOG
33 31-45 NOG
57 46-59 NOG
42 31-45 NOG
23 18-30 NOG
36 31-45 NOG
31 31-45 NOG
24 18-30 NOG
57 46-59 SUKAMAJU
24 18-30 NOG
24 18-30 NOG
65 ≥60 NOG
30 18-30 NOG
20 18-30 NOG
52 46-59 NOG
24 18-30 NOG
45 31-45 NOG
69 ≥60 NOG
58 46-59 NOG
42 31-45 NOG
38 31-45 TBS
52 46-59 SERPONG
26 18-30 SERPONG
26 18-30 NOG
37 31-45 NOG
22 18-30 NOG
49 46-59 NOG
18 18-30 NOG
49 46-59 NOG
67 ≥60 NOG
21 18-30 NOG
47 46-59 NOG
62 ≥60 NOG
57 46-59 NOG
21 18-30 NOG
35 31-45 NOG
50 46-59 NOG
47 46-59 NOG
43 31-45 NOG
39 31-45 NOG
24 18-30 NOG
18 18-30 NOG
56 46-59 TBS
65 ≥60 NOG
26 18-30 NOG
49 46-59 NOG
55 46-59 NOG
23 18-30 NOG
16 0 NOG
57 46-59 TBS
67 ≥60 TKT
59 46-59 SUKARAME
59 46-59 SUKARAME
70 ≥60 JL P DAMAR
22 18-30 KURIPAN
46 46-59 KURIPAN
57 46-59 NOG
44 31-45 TKP
39 31-45 TKP
38 31-45 NATAR
15 0 TKT
63 ≥60 TKT
39 31-45 KURIPAN
17 0 BAKUNG
14 0 SUKARAME II
31 31-45 NOG
39 31-45 NOG
49 46-59 NOG
42 31-45 NOG
38 31-45 NOG
42 31-45 NOG
51 46-59 NOG
47 46-59 NOG
53 46-59 NOG
28 18-30 NOG
38 31-45 NOG
68 ≥60 NOG
50 46-59 TBS
62 ≥60 NOG
62 ≥60 NOG
65 ≥60 NOG
40 31-45 NOG
50 46-59 NOG
15 0 NOG
44 31-45 NOG
38 31-45 NOG
43 31-45 NOG
39 31-45 NOG
58 46-59 NOG
43 31-45 NOG
34 31-45 NOG
24 18-30 NOG
37 31-45 TBS
15 0 NOG
43 31-45 NOG
23 18-30 NOG
40 31-45 NOG
55 46-59 KURIPAN
32 31-45 NOG
27 18-30 NOG
22 18-30 NOG
23 18-30 NOG
45 31-45 NOG
36 31-45 NOG
38 31-45 NOG
38 31-45 NOG
29 18-30 NOG
54 46-59 NOG
33 31-45 NOG
54 46-59 NOG
41 31-45 NOG
33 31-45 NOG
24 18-30 BATU PUTUK
25 18-30 BATU PUTUK
47 46-59 BATU PUTUK
39 31-45 BATU PUTUK
34 31-45 BATU PUTUK
21 18-30 BATU PUTUK
20 18-30 BATU PUTUK
33 31-45 BATU PUTUK
58 46-59 TBU
63 ≥60 TBU
60 ≥60 BATU PUTUK
31 31-45 BATU PUTUK
53 46-59 BATU PUTUK
16 0 BATU PUTUK
49 46-59 BATU PUTUK
22 18-30 BATU PUTUK
55 46-59 BATU PUTUK
45 31-45 BATU PUTUK

43 31-45 BATU PUTUK
32 31-45 BATU PUTUK
28 18-30 BATU PUTUK
31 31-45 BATU PUTUK
54 46-59 BATU PUTUK
22 18-30 BATU PUTUK
45 31-45 BATU PUTUK
34 31-45 BATU PUTUK
27 18-30 BATU PUTUK
34 31-45 SUKA RAME II
65 ≥60 SUKA RAME II

15 0 SUKA RAME II
15 0 SUKA RAME II
13 0 SUKA RAME II


15 0 SUKA RAME II


16 0 SUKA RAME II
44 31-45 KURIPAN
39 31-45 KURIPAN
24 18-30 KURIPAN
30 18-30 KURIPAN
27 18-30 KURIPAN
45 31-45 KURIPAN
42 31-45 KURIPAN
44 31-45 KURIPAN
43 31-45 KURIPAN
39 31-45 KURIPAN
34 31-45 KURIPAN
34 31-45 KURIPAN
55 46-59 KURIPAN
38 31-45 KURIPAN
37 31-45 KURIPAN
51 46-59 KURIPAN
57 46-59 KURIPAN
34 31-45 KURIPAN
65 ≥60 KURIPAN
64 ≥60 KURIPAN
35 31-45 KURIPAN
37 31-45 KURIPAN
29 18-30 KURIPAN
19 18-30 KURIPAN
39 31-45 KURIPAN
42 31-45 KURIPAN
15 0 KURIPAN
52 46-59 KURIPAN
34 31-45 KURIPAN
49 46-59 KURIPAN
32 31-45 KURIPAN
38 31-45 KURIPAN
36 31-45 KURIPAN
28 18-30 KURIPAN
41 31-45 KURIPAN
42 31-45 KURIPAN
17 0 KURIPAN
23 18-30 KURIPAN
19 18-30 KURIPAN
33 31-45 KURIPAN
33 31-45 KURIPAN
56 46-59 KURIPAN
25 18-30 KURIPAN
39 31-45 KURIPAN
47 46-59 KURIPAN
48 46-59 KURIPAN
51 46-59 KURIPAN
45 31-45 KURIPAN
62 ≥60 KURIPAN
34 31-45 KURIPAN
21 18-30 KURIPAN
34 31-45 KURIPAN
38 31-45 KURIPAN
27 18-30 KURIPAN
38 31-45 KURIPAN
49 46-59 KURIPAN
53 46-59 KURIPAN
37 31-45 KURIPAN
47 46-59 KURIPAN
48 46-59 KURIPAN
46 46-59 KURIPAN
20 18-30 KURIPAN
40 31-45 KURIPAN
20 18-30 KURIPAN
46 46-59 KURIPAN
73 ≥60 KURIPAN
48 46-59 KURIPAN
62 ≥60 KURIPAN
21 18-30 KURIPAN
44 31-45 BATU PUTUK
50 46-59 BATU PUTUK
39 31-45 BATU PUTUK
38 31-45 BATU PUTUK
32 31-45 BATU PUTUK
31 31-45 BATU PUTUK
15 0 BATU PUTUK
40 31-45 BATU PUTUK
39 31-45 BATU PUTUK
37 31-45 BATU PUTUK
37 31-45 BATU PUTUK
33 31-45 BATU PUTUK

60 ≥60 BATU PUTUK
27 18-30 BATU PUTUK
30 18-30 BATU PUTUK
47 46-59 NOG
37 31-45 NOG
24 18-30 NOG
34 31-45 NOG
79 ≥60 NOG
62 ≥60 NOG
52 46-59 NOG
33 31-45 NOG
37 31-45 NOG
41 31-45 NOG
41 31-45 NOG
46 46-59 NOG
44 31-45 NOG
25 18-30 NOG
31 31-45 NOG
55 46-59 NOG
26 18-30 NOG
45 31-45 NOG
36 31-45 NOG
36 31-45 NOG
81 ≥60 NOG
38 31-45 NOG
31 31-45 NOG
36 31-45 NOG
55 46-59 NOG
43 31-45 NOG
47 46-59 NOG
28 18-30 NOG
51 46-59 BAKUNG
31 31-45 BAKUNG
35 31-45 BAKUNG
63 ≥60 BAKUNG
57 46-59 BAKUNG
30 18-30 BAKUNG
56 46-59 BAKUNG
34 31-45 BAKUNG
20 18-30 CUT MUTIA
20 18-30 TBS
18 18-30 TBS
16 0 ENGGAL
35 31-45 SUKABUMI
22 18-30 GUDEL
60 ≥60 NOG
38 31-45 KESUMADADI
68 ≥60 KALIASIN
40 31-45 BAKUNG
35 31-45 BAKUNG
57 46-59 BAKUNG
46 46-59 NOG
53 46-59 SUKABUMI
30 18-30 BAKUNG
28 18-30 NOG
24 18-30 SUKABUMI
42 31-45 NOG
35 31-45 NOG
37 31-45 BAKUNG
36 31-45 NOG
49 46-59 NOG
27 18-30 NOG
25 18-30 NOG
39 31-45 NOG
53 46-59 NOG
40 31-45 BAKUNG
35 31-45 NOG
40 31-45 NOG
38 31-45 NOG
38 31-45 NOG
28 18-30 NOG
18 18-30 NOG
35 31-45 NOG
34 31-45 NOG
40 31-45 NOG
52 46-59 NOG
16 0 NOG
31 31-45 NOG
26 18-30 NOG
60 ≥60 BATUPUTUK
43 31-45 BATUPUTUK
22 18-30 BATUPUTUK
50 46-59 BATUPUTUK
32 31-45 BATUPUTUK
49 46-59 BATUPUTUK
31 31-45 BATUPUTUK
27 18-30 BATUPUTUK
20 18-30 BATUPUTUK
63 ≥60 BATUPUTUK
26 18-30 BATUPUTUK
53 46-59 BATUPUTUK
30 18-30 BATUPUTUK
41 31-45 BATUPUTUK
45 31-45 BATUPUTUK
33 31-45 BATUPUTUK
16 0 BATUPUTUK
48 46-59 BATUPUTUK
15 0 BATUPUTUK
42 31-45 BATUPUTUK
35 31-45 BATUPUTUK
47 46-59 BATUPUTUK
25 18-30 BATUPUTUK
34 31-45 BATUPUTUK
28 18-30 BATUPUTUK
36 31-45 BATUPUTUK
37 31-45 BATUPUTUK
47 46-59 BATUPUTUK
43 31-45 BATUPUTUK
37 31-45 BATUPUTUK
69 ≥60 BATUPUTUK
36 31-45 BATUPUTUK
21 18-30 BATUPUTUK
41 31-45 BATUPUTUK
43 31-45 BATUPUTUK
45 31-45 BATUPUTUK
17 0 BATUPUTUK
46 46-59 BATUPUTUK
25 18-30 BATUPUTUK
30 18-30 BATUPUTUK
27 18-30 BATUPUTUK
29 18-30 BATUPUTUK
35 31-45 BATUPUTUK
32 31-45 BATUPUTUK
57 46-59 BATUPUTUK
48 46-59 BATUPUTUK
38 31-45 BATUPUTUK
38 31-45 BATUPUTUK
51 46-59 BATUPUTUK
20 18-30 BATUPUTUK
58 46-59 BATUPUTUK
39 31-45 BATUPUTUK
23 18-30 BATUPUTUK
22 18-30 BATUPUTUK
60 ≥60 BATUPUTUK
44 31-45 BATUPUTUK
53 46-59 BATUPUTUK
38 31-45 BATUPUTUK
21 18-30 BATUPUTUK
35 31-45 BATUPUTUK
22 18-30 BATUPUTUK
40 31-45 BATUPUTUK
34 31-45 BATUPUTUK
47 46-59 BATUPUTUK
18 18-30 BATUPUTUK
39 31-45 PESAWARAN
32 31-45 BATUPUTUK
15 0 KETEGUHAN
#VALUE! #VALUE! SUKARAME 2
#VALUE! #VALUE! batuputuk
40 31-45 batuputuk
51 46-59 BATUPUTUK
50 46-59 BATUPUTUK
34 31-45 BATUPUTUK
33 31-45 BATUPUTUK
45 31-45 BATUPUTUK
41 31-45 BATUPUTUK
30 18-30 BATUPUTUK
29 18-30 BATUPUTUK
27 18-30 BATUPUTUK
47 46-59 BATUPUTUK
43 31-45 BATUPUTUK
#VALUE! #VALUE! BATUPUTUK
15 0 BATUPUTUK
46 46-59 BATUPUTUK
47 46-59 BATUPUTUK
17 0 BATUPUTUK
32 31-45 BATUPUTUK
17 0 BATUPUTUK
14 0 BAKUNG
50 46-59 BATUPUTUK
32 31-45 BATUPUTUK
32 31-45 BATUPUTUK
49 46-59 BATUPUTUK
43 31-45 BATUPUTUK
25 18-30 BATUPUTUK
30 18-30 BATUPUTUK
38 31-45 BATUPUTUK
42 31-45 BATUPUTUK
32 31-45 BATUPUTUK
28 18-30 BATUPUTUK
29 18-30 BATUPUTUK
47 46-59 BATUPUTUK
47 46-59 BATUPUTUK
49 46-59 BATUPUTUK
39 31-45 BATUPUTUK
28 18-30 BATU PUTUK
30 18-30 BATU PUTUK
#VALUE! #VALUE! BATU PUTUK
62 ≥60 BATUPUTUK
43 31-45 BATUPUTUK
40 31-45 BATU PUTUK
45 31-45 BATUPUTUK
44 31-45 BATUPUTUK
45 31-45 BATUPUTUK
33 31-45 BATUPUTUK
32 31-45 BATUPUTUK
44 31-45 BATUPUTUK
68 ≥60 BATUPUTUK
40 31-45 BATUPUTUK
46 46-59 BATUPUTUK
19 18-30 BATUPUTUK
50 46-59 BATUPUTUK
31 31-45 BATUPUTUK
19 18-30 BATUPUTUK
15 0 BATUPUTUK
22 18-30 BATUPUTUK
18 18-30 BATUPUTUK
18 18-30 BATUPUTUK
23 18-30 BATUPUTUK
18 18-30 BATUPUTUK
59 46-59 BATUPUTUK
51 46-59 BATUPUTUK
46-59 BATUPUTUK
46
18-30 BATUPUTUK
30
18-30 BATUPUTUK
29
31-45 BATUPUTUK
35
18-30 BATUPUTUK
27
31-45 BATUPUTUK
34
31-45 BATUPUTUK
45
18-30 BATUPUTUK
22
18-30 BATUPUTUK
25
46-59 BATUPUTUK
46
0 BATUPUTUK
17
18-30 BATUPUTUK
28
18-30 BATUPUTUK
24
31-45 BATUPUTUK
32
31-45 BATUPUTUK
39
Pekerjaan
256 A
236 B
198 C
690 D
E
638 Total
66
0
704
No. Hp
085383124518
085367060089 YA
081279685649 YA
082177279242 YA
081271207591
081273651755 YA
081366588361
089517638771 YA
085697417232
082180168209 YA
085368600104
082180834249 YA
081367451199
082184002252 YA
089526473443 YA
08988102431 YA
082376168813 YA
0895610072044 YA
081272815063
081272815063
089523093145
0895606491113 YA
089523093145
085263953339 YA
08 YA
089673113944 YA
082178947109
085273220928 YA
0895606491113
083802924956
089690568714 YA
0895606491113 YA
082213673617 YA
089505144663 YA
085788134944 YA
085384341755
089674268223 YA
082186498709
081367601075
083171763360
081369610002 YA
082374506140
083818047523 YA
085768584598 YA
083152863081
08117918878 YA
082167576634 YA
089503341647
085839177486
085788134944 YA
0895323246046 YA
088286907315 YA
0895609731726
0895609731726
08 YA
089503253038 YA
0895609731729 YA
085267429264
08 YA
081272993586 YA
081366774356
082377183127 YA
08999755051 YA
089633485831 YA
0895640522570 YA
088268370193 YA
0895341774284
088268370193
081908353440
088268370193
081287634123 YA
082186847845 YA
085377681116 YA
083169610444 YA
082312861989 YA
085368121941 YA
085839960244 YA
089519843395 YA
0895621439354 YA
089603242673 YA
0895335024222 YA
085269260607
089631917980
089634060430
08 YA
085267227879
081617640701
089691126844 YA
088286101688
081212677844
082182124843 YA
0895702041773 YA
089517071821 YA
082177359801 YA
0895367029895 YA
08
081272442422 YA
085380503935 YA
085366797574
0895360580889 YA
0895335024300
083180446089 YA
085267313872 YA
089669290407 YA
0895379311000 YA
089632327493 YA
087706574893 YA
089524480102 YA
089633425312 YA
085759190623 YA
082371646563 YA
089633425312 YA
089633425312
082178242752
08 YA
YA
083165401327 YA
082380937168
088276617962 YA
089633425312 YA
081272778877
0895325569256 YA
082279051399 YA
081957347172 YA
081957347172 YA
085273738964 YA
081381743553
081285282878
083168264657
083179458354
081266873035 YA
089505717560 YA
082178768293 YA
089530325190 YA
081373682390 YA
082279473004 YA
088268046773 YA
082289575915 YA
085767114355 YA
081558905561
089652982904 YA
089623387963 YA
083184643867 YA
081271659965 YA
089632134827 YA
089632141642 YA
085658623439 YA
082371129780 YA
081369234527 YA
0895619361149 YA
089686255628 YA
089504825831
085279251983
089632302231 YA
089507976430 YA
0895609927393 YA
082281193851
08976115191 YA
089692601036 YA
089632376310
081367127672 YA
089626047447 YA
08995682345 YA
08976115191 YA
089514134121 YA
082375931381
081271659965
082182347358
089635170341
082186545587 YA
08211797887 YA
081511696985 YA
08994284982 YA
089674144425 YA
089507222800 YA
081279675700 YA
089541273230 YA
081369557052 YA
085809538867
087889186119 YA
081369557052 YA
085809538867 YA
0895101165344 YA
083183202481 YA
089524965828 YA
085709087576 YA
089632266623 YA
089508579442 YA
0895609933390 YA
085266619352 YA
083180450961
088268152949
082114426837 YA
08965601760800 YA
08551168651 YA
08
089698134113 YA
0895640053257 YA
081278032951
085269770261 YA
082180834249 YA
089626048390 YA
081273651755 YA
089632333405
083176883310 YA
08973392093
082280497055
082280497055
0895321423882 YA
089630059918 YA
08990380000 YA
089691290356
082371663085 YA
088707040180
083178783647 YA
085764669790 YA
082185566646
081367609442 YA
081367609442 YA
082178790323 YA
089633426602 YA
085764669790 YA
089633426602 YA
089674564997 YA
08 YA
081310594142 YA
081272761997 YA
081369990980 YA
089613141417
089613141417
0895353389036 YA
081296103001 YA
0895353389036 YA
081366596986
089631403959 YA
0895387588567 YA
085366709102
083172661059 YA
089531566667 YA
081355038994 YA
085730341936 YA
08952977418 YA
0895768454911
085749948258
083169502828
082144553903
081272662668 YA
081541513903 YA
089507976430 YA
082376215508 YA
089523084579 YA
085261040793 YA
085788694676 YA
085709136374 YA
08 YA
085788694676 YA
089673124712 YA
089653398125 YA
082376215508
089655504258
085788802455
085862166763
085769066930 YA
082376874453 YA
085766838098 YA
081272815088 YA
085832728097 YA
085832728097 YA
08984260984 YA
089514098636 YA
089514098636 YA
081330336436 YA
085709620608 YA
081298513870 YA
081298513870
081271893295
08
085840659562
081380738443 YA
0857093747744 YA
081330336436 YA
085896876465 YA
082374805890 YA
082139581555 YA
082139581555 YA
081278449678 YA
085840315712 YA
085269381874 YA
08984260741 YA
088287897189
085278793303
08996020175
085832209577
083182658295
089617637290
089523024148
085758674454 YA
085218373650 YA
082175742304
087867199121
082375666530
083134130379 YA
089630652264 YA
YA
0896323241619 YA
089673597247
082378589587 YA
089632177535
089523024148
082175416053
089627111659
082279746927
082279746927
083163418390
089612200627
085788476684
08169418390
081278877137 YA
082377384462 YA
089828753575 YA
089650813609
081278430591 YA
089630652364 YA
089521431009 YA
082176804779 YA
08994391630
08984261808 YA
0895366741045 YA
085379495380
0895366268855 YA
088286530620 YA
085269465971
081369309041
089616652069 YA
089678485848 YA
089629026370 YA
081379744666 YA
089629025488
089629025488
081275827944 YA
085384539078 YA
0895351334121 YA
085267908476 YA
089629027976
081367332150
082177380427
YA
YA
085273832171 YA
089612330665 YA
085273832171 YA
082376224411 YA
081278062321 YA
083146583375
088287385324
089692554650 YA
089667573351 YA
058758938388 YA
089516652092 YA
08217652920 YA
081541153942
085382786914 YA
089660376073 YA
085788831707 YA
089562091699 YA
085896975871 YA
0895620691699
0895620691699
081275416093
085789981595
085788831707
085377094304
085377094304
081272760743
YA
089525446341 YA
0838018276
085269409878 YA
08994298057 YA
0895609834008 YA
0895609834008 YA
089691869173
089612200627 YA
085709399830 YA
089632150331 YA
081274579433 YA
081279700743 YA
08984261834 YA
08984261834 YA
082289528530 YA
085269683069 YA
087885803433 YA
081529991708 YA
085219107288 YA
085709118586 YA
089634013739 YA
0895611171706 YA
089671785949 YA
081272419482 YA
081279575442
082178744911 YA
089670910808 YA
08962889818
089634263064 YA
082175073330 YA
085788085709 YA
0895335015353 YA
081310525197 YA
089656652253 YA
082380725323 YA
088287235310
0895620013033 YA
083176680917 YA
083807848229 YA
089505322960
0895601649494 YA
082177051036 YA
089636320547 YA
088280405509 YA
089525435566 YA
089525435566
0895366081112
0895600558787
089531585544 YA
089531585544 YA
081272829446
088267195142 YA
0895609635999
08985277525 YA
0895368299958 YA
081271851411
085832685603 YA
085783222390 YA
085769718863
083168045380
085273919739 YA
081271195081 YA
081271413534 YA
08986591521 YA
085266786793
0895323245630 YA
0813792120 YA
085709644840 YA
089526960595 YA
082278744911 YA
081368284061 YA
083157299454
081369407080 YA
082374506624 YA
085379123115 YA
083890943281 YA
0895601750105 YA
0895601750105 YA
085238008667 YA
082380937085
082181927847 YA
081369490008 YA
081369490008 YA
08962162674
082375808950
08 YA
081272741268 YA
081273403138 YA
085658309256 YA
085788155890 YA
085832734495 YA
089502146843 YA
085840647049 YA
085758661885 YA
085896553595 YA
085841062363 YA
YA
08994287836 YA
08537774114 YA
082182347358 YA
082182347358 YA
089535338909036 YA
081379947432 YA
082278744911
081271976011 YA
089505520383 YA
082278744911 YA
088212918893
082373934919 YA
082373299706
089523111198
089525681909
085268214879 YA
081272664219 YA
082298669350 YA
081272664219 YA
089673565877
08994334548
08994334548 YA
085366248084
089626047447
0895620404044
082379949955
081993648914
0895344182591 YA
08953156667
085384321117 YA
089523083495 YA
082380124022 YA
089517072449 YA
083197490760 YA
08999755051 YA
089502143269 YA
08999755051 YA
082181076725 YA
089634198506 YA
089634198506 YA
082289528887 YA
083805475613
085316638103 YA
081278369650 YA
082185964222 YA
081278737104 YA
081272786281 YA
085269426969
089517071821 YA
08127911509 YA
085368341547 YA
0895608003050
085269259560
085764552335
081379171946 YA
082178768293 YA
081271446391 YA
YA
082175830570
082178768293 YA
085384208476
082175998692 YA
YA
081272415371 YA
YA
089656707796
089514220586
0895610105189
08127489345
0895621410156 YA
0895640075415 YA
082285971234 YA
082176847977 YA
082269141034 YA
082185566646 YA
089632141418 YA
089691291683
085809754227
081273512768 YA
YA
08578808812 YA
08
0895640454342 YA
0895610004596 YA
089653677210
089673215600 YA
082175451959 YA
089631401834 YA
085273301729 YA
081438085660 YA
08127247415 YA
085377646023
YA
085766903036 YA
085841501083 YA
085758394762 YA
085758394762 YA
082175214490
089676450190 YA
0895401060727 YA
081272815088 YA
082139581555 YA
0895326277187 YA
085769814288 YA
082185589843 YA
082185589843 YA
085709165965
089633976636
085770734385 YA
085664729978 YA
085664729978 YA
082282519038
YA
085764692452
085764692452 YA
085764502491 YA
085709550698 YA
089669610709 YA
085266725485 YA
085266725485 YA
085809272502 YA
08957004028903
085664942137 YA
082278744911 YA
081273403138 YA
085788383357 YA
081273219918 YA
083163413159
085872733650 YA
08 YA
089692553045 YA
082376898674 YA
081379715964
089653276646 YA
085382002135 YA
083163413159 YA
085609616661
089523120322
08979109117 YA
085658892325
081368830105 YA
085783543577
0895411733366 YA
YA
081279584681 YA
089534480348 YA
081271682063 YA
085664282011 YA
085865138737 YA
085268415088 YA
082278744911
082278744911 YA
085466574707 YA
082371646113 YA
08979109117
085769370121 YA
085382002135
082288396268
099532312759
085701141855 YA
085789688698 YA
085766813158 YA
082371164479 YA
08218195005
081273219918
085768262800 YA
089510597470
085601557554
085783010453
085766817306
081286603257
085767035447 YA
081246603286
0895600773232 YA
082278744911 YA
085809641486 YA
085669457941 YA
088984287516
085758229398 YA
08989257136 YA
089633628855 YA
085664807104 YA
085783235429
085809299066 YA
089633628855 YA
085709469014 YA
089633628855 YA
085709469014
081541526482
08994285204
081369461194 YA
085764269534 YA
082182856491 YA
085769046090 YA
085783543577 YA
081539310048 YA
081369461194 YA
082278744911 YA
081272981817 YA
085709287610 YA
085809532228 YA
085767035447 YA
082278744911 YA
085764673137 YA
089528555306 YA
0895326277187 YA
081373201360 YA
089679924828 YA
081217234830 YA
085609699550 YA
082288396268 YA
081540805121 YA
0895344182471 YA
08217764315 YA
08583286369 YA
082278744911 YA
082288396268 YA
089653276578 YA
085268954135 YA
085357225794 YA
089514098636 YA
085269381874 YA
085840315712 YA
081278449678 YA
082139581555 YA
085764502491 YA
085764692452 YA
085764692452 YA
085896876465 YA
085862166763 YA
081330336036 YA
085766838098 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota

YA 4/7/2021 SINOVAC
10/11/2021 PFIZER
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YA 7/7/2021 SINOVAC
YA 7/8/2021 SINOVAC
YA 7/7/2017 SINOVAC

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10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
7/1/2021 CORONAVAC
8/19/2021 CORONAVAC
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
7/6/2021 CORONAVAC
YA
8/19/2021 SINOVAC
YA 4/7/2021 SINOVAC
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
11/10/2021 PFIZER
Dosis I
Tanggal Pemberian
Vaksinasi
9/13/2021 202107137I
9/11/2021 202108154G
9/1/2021 24005221 16264306403146
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
6/30/2021 24200721
4/7/2021 24001421 16134618691585
9/13/2021 202107137I
8/24/2021 24005221 16263939964932
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
10/11/2021 PAA173696
9/13/2021 202107137I
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
9/13/2021 202107137I
8/25/2021
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
7/7/2021 24200321 16213986280136
7/8/2021
7/7/2017 24200321 16213986280136
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
9/8/2021 24202321 16264891297808
9/13/2021 202107137I
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
9/13/2021 202107137I
9/13/2021 202107137I
9/8/2021 24202321 16264891302956
9/8/2021 24202321 16264891297808
9/10/2021 24005421 16270261494313
9/8/2021 24202321 16264891302956
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
9/13/2021 202107137I
9/13/2021 202107137I
10/11/2021 PAA173696
9/13/2021 202107137I
7/1/2021 24200721
9/11/2021 24202321
8/19/2021 24004621
9/10/2021 24202321 16264891737572
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021 PAA173696
10/11/2021
7/6/2021 24200321 16214815782568
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
9/13/2021 202107137I
9/10/2021 24202321 16264891302644
9/8/2021 24202321 16264891519640
9/8/2021 24202321 16264891519640

8/19/2021 24004921
9/13/2021 202107137I
4/7/2021
9/13/2021 202107137I
9/10/2021 24005421 16270261358437

11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
11/10/2021 PAA173696
Dosis 2
Tanggal Pemberian
Vaksinasi
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
10/11/2021 202108142H
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
DOSIS 1 DI PKM RBI
DOSIS 1 DI PKM PALAPA

Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-7W356BGK
2 P-88KIRDYH
3 P-8ENYROV2
4 P-8MWHCQK3
5 P-23RBTZOK
6 P-0X63Y09F
7 P-192M72CC
8 P-3BQ35CB1
9 P-5JE3P99N
10 P-7LPADMRA
11 P-SCDCV5B3
12 P-ASN3PGB
13 P-B2BXG1YE
14 P-BBPW3135
15 P-BJNF7405
16 P-BOZJOWST
17 P-C5HCG9MX
18 P-CD11DBJP
19 S-D141FA06
20 P-0G06RJFZ
21 P-DM12V8A1
22 S-CC44AD9
23 P-F6KQFOHV
24 P-FD9SBBXG
25 P-DVZBVHUY
26 P-F1JP2UG8
27 P-FS5968GE
28 P-6AOKFORM
29 P-GKMOCWO1
30 P-GQ4Z12LN
31 P-GUXRJ2UM
32 P-HZME8D813
33 P-H61HBZ5
34 P-HASO81UM
35 P-HCLB14FN
36 P-HERYGC25
37 P-HIX207LK
38 P-HKQED8GI
39 P-HL9QERHK
40 P-HMK3CFV5
41 P-1NOPVGA
42 P-1AXY3W02
43 P-HS16FB4W
44 P-1GUX9JBD
45 S-C918B109
46 P-HP19PNOQ
47 P-HYEV8EJ1
48 P-10YBJD7E
49 P-15JZ40F2
50 P-17BEDQMO
51 P-18YVLJJY
52 P-IDFS60N2
53 P-IF4257CP
54 P-113GCDVR
55 P-0KVPITOW
56 P-1LTUITKB
57 P-1NBMXPPX
58 P-J1LOKRFA
59 P-J45WPVCN
60 P-J616GCY2
61 P-J8BXT1AW
62 P-JA10ZXBY
63 P-JCSOJB1A
64 P-JE25851R
65 P-JFOQMCD1
66 P-J6UJGOWR
67 P-JI77D9MT
68 P-JL1CX7JU
69 P-JMWPTV3C
70 P-J0FJPEKR
71 P-JQGEC09H
72 P-JRXHL1CS
73 P-ECDX1PTD
74 P-JUNLJX6N
75 P-R0067VL1
76 P-JY3J63Y9
77 P-K6YFOPIA
78 P-K8QUZDN
79 J-0005DTEA
80 P-KAMHDDLB
81 P-KSEEXQW7A
82 P-KVKW3FBQ
83 P-KBQHNZ21
84 P-KWSSPEJ6
85 P-KDHSXGMK
86 P-KXZ9ZQPV
87 P-KZDA9WIK
88 P-KETGRKKH
89 P-KJ214RG
90 P-KKCQV14V
91 P-L11FDL3M
92 P-L487GKD6
93 S-8194F8F4
94 P-L7BGYJ1F
95 P-L91ROEQ1
96 P-KNEKFPPA
97 S-47D10FGE
101 VAKSIN GOTONG ROYONG
103 S-C7551C13D
104 P-1VFD45CX
105 P-1ZQ6Z1DA
106 P-J345PGLF
107 P-JAF03DKI
108 P-JCJ4P0J4
109 P-JEEWE54J
110 P-JGWZCS79
111 P-J1DQ6JEN
112 P-JL4WUUS
113 P-JPWSKRXB
114 P-JUBVFEZP
115 P-JZMAVUGI
116 P-K3DCN696
117 P-KGMSWAUU
118 P-A98EKANS6
119 P-KBF50DIS
120 S-4C3450AF
121 P-KFLNROPO
123 P-KKANECWK
124 P-KM7RUISN
125 P-KVBOBI7H
126 P-L1M5TTRY
127 P-L3TP00SF
128 P-LGI23S28
129 P-L8QRSG83
130 P-LASRGL00
131 P-LCFG1YBA
132 P-LEOKFAWE
133 P-LFL5CCZU
134 P-LHOCL4TP
135 P-LIIPOA91
136 P-LK2YC5LH
137 P-LLRUF4ZP
139 P-LPDOMRWX
140 P-LQOZ3GFW
141 P-LRYPSU20
142 P-LTKQGGEE
143 P-LVSII2B9
145 P-LZNZJOTE
146 P-M1SH69MT
147 P-M25AAYOP
148 P-M3PUK9U
149 J-0006E75Y
150 P-M4NZD124
151 P-M5E2GVWG
152 P-MGAGSFLN
153 P-PM7HYJZTW
154 P-M7SGDGSB
155 S-9D4FC547
156 P-M9S0O8TZ
157 P-MAQNQ3IB
158 P-MAVLIBXD
159 P-MD7BKX2W
160 P-MCFGUDU3
161 P-MGXIP3GS
162 P-OQ7OPMSL
163 S-B7EA5F55
164 S-83889D36
165 P-MUZQMUCV
166 P-MVOQMJM3
167 P-MU70DNHK
168 P-MTCMC2F6
169 P-MTBVIIKL
170 P-MS7WOPO
171 P-NXXXXB2E
172 P-MREKDXDV
173 P-MQX20677
174 P-NQH4KTAV
175 P-MPOHIKR1
176 S-54E5CDOD
177 P-M902SFAXF
178 P-NXXXXLW
179 P-FMYHJP2Y
180 P-MLNTQFD9
181 P-MLF1X04Q
182 P-MKLKIJUD
183 P-MKCOXYNR
184 P-MJL1IDML
185 P-M1WTELYL
186 P-MIEVLFYT
187 P-LDCKP8MS
189 P-HHQLUDNX
190 S-B1C3E80B
191 P-HQN03LAE
192 P-HU0M0H87
193 P-102NFK1R
194 P-1302CC94
195 P-17NY2ADB
196 P-1BC512EB
197 P-KD8PS6ZQ
198 P-JYT3CJ5F
199 P-GEVN3EXN
200 P-J4MLWS4E
201 P-LPY3CCVD
202 P-LLEDCROL
203 P-MLV7EDF1
204 P-MOAH13WV
205 P-MQJP2MQS
206 P-N73Z67CD
207 P-NAKVFZSD
208 P-N96G7153
209 P-M3TJYA8I
210 P-N659ASUD
211 S-AE1138E5
212 P-DEGoYv7D
213 P-DJE1BGCQ
214 P-DMNCFK9Y
215 P-39PJSWG9
216 P-DYZIEVE1
217 P-E3Q3NWYS
218 P-EA1KOPUK
219 P-ECXIJG8Y
220 P-EHCRYOUO
221 P-EK1DD6VQ
222 P-ENHDQ7CP
223 P-EQQ259T3
225 P-ETWNMFAD
226 P-EX1TSDTT
227 P-KAYZZXLS
228 S-0901A142
229 P-FFAUSTBN
230 S-9235BC27
231 P-FKF3RUDT
232 P-F0PYE0TI
233 P-FQQ1DMUJ
234 P-FKEUS1V2
235 P-FYKYLX17
236 S-97EK2DYK
237 P-G5TG12YH
238 P-G9TN4QV0
239 P-GDCV5EPV
240 P-GGMLWLKZ
241 P-GK56XC0H
242 P-GMS8AUHV
243 P-GPKGGEYR
244 P-GSR81CL1
245 P-GWGEXPNL
246 P-H1ECKBZ
247 P-H7K9MB0N
248 P-L04JF0TY

250 P-LX1KLLVK
251 P-JHPEMHKC
252 S-82870CFD
253 P-LHCZBRHU
254 P-LU3H670C
255 P-MEAG1LAD
256 P-MK12UHKT
257 P-NHWWZGER
259 P-MC3QWJJB
260 P-M8112043
261 P-M1CP6CW6
262 P-MSDH31KP
263 P-MU61C2FH
264 P-MWL0NNV8
265 P-NYPFNKZI
267 P-N2DZ8MPR
268 P-N50LNM3P
269 P-NBXZWIBT
270 P-NHGNK7EY
271 J-0000UJF6
272 P-NKWA1WVQ
273 P-NMBPIEMO
274 P-NM4ZZ6TL
275 P-N0ZW8D02
276 P-NQYWDDNR
277 P-N0FVCI5A
278 P-NQ3RJ8H
279 P-NU5XY0Q1
280 S-5358D5B2
281 P-NRF16EDC
282 P-NSUBL0E4
283 P-NUN4FAIN
284 P-NVWPI312
285 S-C9CA82A5
286 P-NZKIHJ1J
287 P-01ZVTH0L
288 P-044KE6DU
289 P-HPDFB7CX
290 P-JO6TJ3FE
291 P-1YZBMVAK
292 P-1CSZPUTOBP59
293 P-KHZDZ16T
294 P-KMV8XTZY
295 P-LNXYJ1VP
296 P-LAW1C86T
297 P-LXBJQW13
298
299 P-M5NOXWNB
300 P-M88BY9PN
302 P-MCXOS2UR
303 P-MECWDGPF
304 P-MFROT1RH
305 P-M1D41K64
306 P-MPQZDOV9
307 P-MRK6OMOW
308 P-MYRJC04H
309 P-MY99MMF2
310 P-MZXVCZ94
311 P-N1P100DV
312 P-N2VIUH5K
313 P-N4JM10U8
314 P-N5VHJZ15
315 P-N7DH0BS6
316 P-KMOQQEUL
317 P-N8YZ04AS
318 P-NCFPBMX15
319 P-NDP5QVGG
320 P-N6E1C3FS
321 P-PVHQIH9LA
323 P-NH8CSW4U
324 P-NIW81GQH
325 P-NJ5015GR
326 P-NJRV31CA
327 P-SGFOA3ODF
328 P-NK6YC3Z
329 P-NKWF2D3U
330 P-NNAAWSM2
331 P-NOD94BV9
332 P-NRFZWJC4
333 P-NPBWTW8H
334 P-N5Q7E415
335 P-NUBVSUG
336 P-NTLTTOKF
337 P-O4LC74TQ
338 P-NTU96SOL
339 P-NWZJFLCV
340 P-NXUZEGAM
341 P-NZH62KIJ
342 S-67D9798B
343 P-O89XUEDQ
344 P-016N3CKL
345 P-OC281K1W
346 P-OD7EUQHH
347 P-OES7R1KV
348 P-O2TOKVOY
350 P-O1U7Y6GE
351 P-OLV2M8J6
352 P-OMUPL2FS
353 P-OJYNP2MZ
354 P-00BR0U78
355 P-0QL13RWH
356 S-CA77FD75
357 S-BA8A0DBF
358 P-OT3PT5E0
359 P-OEFQD12
360 P-OWKZNSCE
362 P-OVISXQHQ
363 P-OY7C4117
364 P-OZDMPL4V
365 P-P4BFWTHO
366 P-97HF2NX
367 P-P2U21YXQ
368 P-P1P51OIN
369 P-P7G1YWOL
370 P-AL6BGWZ
371 P-PCQNLNVJ
372 P-PBCOIQLH
373 P-PDKILTHU
374 P-P9C353ZO
375 P-PEBF1A3T
376 P-P7KBOORM
377 P-P4INEVWR
378 P-PCFP8IRN
379 P-PJNA6142
380 P-PFVRHVD5
381 P-PKHJA7FY
382 P-PGPP8Z7O
383 P-PLJPOQBE
384 P-PHVVGTTO
385 P-PLUKR5GY
386 P-PJMCRJGS
387 S-A3A40DE6
388 P-PMKEVQVA
389 P-PKDPNIHG
390 S-AE8FF55C
391 S-00CFB802
392 NIK TIDAK TERBACA
393 P-HQ4WAGOQ
394 P-I1QDKOQ
395 P-ICKB5X20
396 P-IHEIC30F
398 P-IPWWRRX
399 P-IVKCQ8H40
400 P-1YYW5NUX
401 P-J4QAJ060
403 P-JESBUE70
404 P-JIRN5AE6
405 P-JNTJHZCQ
406 P-J54VTMCR

409 P-KOAJRU3X
410 S-FE57F67F
411 P-KOJK8073
412 P-KKTUVQVP
413 P-KHJIOREE
414 P-KSGGQ8BCR
415 P-KYT5NO26
417 P-L581WJWG
418 P-LAWXROXB
419 P-LEXSHIIT
420 P-LIZKTODJ
421 P-LMKLZXEN
422 P-LPP1AI8K
423 P-LTPFOZKO
424 P-LWY18JE5
425 P-LZOPK62R
426 P-MZNY19F5
427 P-M6DDYCTQ
428 P-MAPHBC8V
429 P-MDIZ7OIC
430 P-MFAV2HO8
431 P-MHJQ8Z2G
432 P-MJZU7NPC
433 P-MMNFENJJ
434 P-MPNT36OK
435 P-MRJKY9C9
436 P-MTR557P1
438 P-MYCAV6I7
439 CAH PEKOK
440 P-N1ZGAPJ2
441 P-N736UQ3H
442 P-XSCG3S1Z
443 P-NBE56VCO
444 P-NCZS5V1Y
445 P-NEIECMXZ
447 P-N10YC7VZ
448 P-NKC7C7EC
449 P-NM55YLH0
450 P-NOAIANPN
451 P-NRAQYYZH
452 P-BFC8825E
453 P-O1DQH7PL
454 P-08TJRMZ4
455 P-OBOJPDEI
456 P-OCVFYXE6
457 P-OEU9RU68
458 P-OGO1EE9D
460 P-OJ99QTFT
461 P-OL1BD7JZ
462 P-OMPDW1F5
463 P-OOYMG1Y4
464 P-OQODTQNB
465 P-O5GTGHZ9
466 P-OUEH37BT
467 P-WLHGS8P
468 P-OYGQJOK1
469 P-P2AUPQOU
470 P-P4ATVQCF
471 P-P5ZXNWI1
472 P-P8EAWCGI
473 P-PAHWA55K
474 P-POBVWAB
475 P-P5KHPYOU
476 P-PY5C7UCF
477 P-PCE6GVBO
478 P-PESKZFOP
479 P-PHC8W0DX
480 P-PJ3Y05NR
481 P-PKHD5CTU
482 P-PLN29PXO
483 P-PMSJGC50
484 P-PNXL6U6E
485 P-POZNV11E
486 P-PQMIJHV
487 P-PR06GEK
488 P-PSUTUGYN
489 P-PTYYVHT7
490 P-PV71VB7J
491 P-PY51AYBZ
492 P-PZK4KPX
493 P-Q141OR3T
494 P-Q2LHGBN27
495 P-Q3YTDSXO
496 S-2464733F8
2 497 Q-000XKKB2
2 498 Q-000XGHQX
2 499 Q-000XGI2Q
2 500 Q-000XLREK
2 501 Q-000XFVE4
2 502 Q-000XIONS
2 503 Q-000C05CO
2 504 Q-000BZUR2
2 505 Q-000XKK3P
2 506 Q-000XKKBO
2 507 Q-000VZ40S
2 508 Q-000X4ROW
2 509 Q-000WUIP7
2 510 Q-000XMUGN
2 511 Q-000XL5G4
2 512 Q-000XLSI7
2 513 Q-000XJ7EF
2 514 Q-000XKRK4
2 515 Q-000XKJK3
2 516 Q-000U3E3R
2 517 Q-000UGWHA
2 518 Q-000XGI4V
2 519 Q-000XJ9IB
2 520 Q-000XMUF4
2 521 Q-000XH02S
2 522 Q-000XGZJ6
2 523 Q-000XH00E
2 524 Q-000XGIOK
2 525 Q-000XH0E4
2 526 Q-000XFVFF
2 527 Q-000XGISR
2 528 Q-000XGHRX
2 529 Q-000XICWF
2 530 Q-000XHNB0
2 531 Q-000XH06Q
2 532 Q-000XGH06
2 533 Q-000XGHLD
2 534 Q-000XGI35
2 535 Q-000XGHXJ
2 536 P-CBVNQ7R4
2 537 Q-000XNHCW
2 538 Q-000XFVEQ
2 539 Q-000XGHIS
2 540 Q-000XHN02
2 541 Q-000XKKUC
2 542 Q-000XM3MB
2 543 Q-000XGHE4
2 544 Z-000ARTIT
2 545 Q-000XMI5Q
2 546 Q-000XKPDU
2 547 Q-000XFVFQ
2 548 Q-000L6GVC
2 549 Q-000XL7VH
2 550 Q-000XLQLM
2 551 Q-000XLA45
2 552 Q-000XKJMD
2 553 Q-000XGZDU
2 554 Q-000XLSDI
2 555 Q-000XL8LU
2 556 Q-000XL3NU
2 557 Q-000XGHEU
2 558 Q-000XKLUZ
2 559 Q-000XGHVF
2 560 K-000IAK02
2 561 Q-000XIH23
2 562 Q-000XMF5B
2 563 Q-000XH0CE
2 564 Q-000XJ8ZK
2 565 Q-000XGX82
2 566 Q-000XK08H
2 567 Q-000XJ8UT
2 568 Q-000XGHNH
2 569 Q-000XM4R5
2 570 Q-000XHNAS
2 571 Q-000XK4W6
2 572 Q-000XGI7A
2 573 Q-000XJ6ID
2 574 Q-000XI559
2 575 Q-000XHOKC
2 576 Q-000XH0BA
2 577 Q-000P5K23
2 578 Q-000XK5N3
2 579 Q-000XHN08
2 580 Q-000XHN78
2 581 Q-000XKP29
2 582 Q-000XGHOQ
2 583 Q-000XH09S
2 584 Q-000XMUIS
2 585 Q-000XJ62G
2 586 Q-000XIIJ1
2 587 Z-000ARPNX
2 588 Q-000XM3UA
2 589 Q-000XJWUA
2 590 Q-000XL3VC
2 591 Q-000XGX90
2 592 K-000IAK5I
2 593 Z-000ARP0B
2 594 Q-000BXL343
2 595 Q-000WH7L4
2 596 Q-000XHN9X
2 597 K-0001APBO
2 598 Q-000XJXNG
2 599 Q-000XL41S
2 600 Q-000XJ82L
2 601 Q-000XIIVK
2 602 Q-000XH0CJ
2 603 Q-000XJ8F7
2 604 Q-000XH06L
2 605 Q-000XI2LT
2 606 Q-000XIIV9
2 607 K-000IAK8P
2 608 Q-000XGHLJ
2 609 Q-000X6I4X
2 610 Q-000XK50G
2 611 Q-000WZOCQ
2 612 Q-000XGYRV
2 613 Q-000WH7LD
2 614 Q-000XFNDI
2 615 Q-000XGHIO
2 616 Q-000XN2D4
2 617 K-000IALD7
2 618 Q-000XN2CF
2 619 Z-0006HI4
2 620 Z-000B3O82
2 621 K-000IANJN
2 622 Q-000XMUJP
2 623 Q-000XL486
2 624 Q-000XN2AV
2 625 Q-000XM3UE
2 626 Q-000CX0RYM
2 627 Q-000XGHNS
2 628 Q-000XL8CT
2 629 Q-000XM2WA
2 630 Q-000XL8AJ
2 631 Q-000XIHDC
2 632 Q-000X0MYF
2 633 Q-000XNI4JW
2 634 Z-000AKL90
2 635 Q-000W2PNC
2 636 Q-000XHNDM
2 637 Q-000XGZI8
2 638 Q-000XG4QO
2 639 Q-000XMGJI
2 640 Q-000XNI9J
2 641 Q-000W1PLI
2 642 Q-000X08PX
2 643 Q-000XGHSH
2 644 Q-000XIH3T
2 645 Q-0000JLQI
2 646 Q-000XJ8TI
2 647 Q-000XOMUH
2 648 K-000IAN4W
2 649 Q-000XKIJ2
2 650 Q-000XGHZK
2 651 Q-000X0RE3
2 652 Q-000XK62Q
2 653 Q-000XK1RV
2 654 Q-000XKIWT
2 655 Q-000XI5ZZ
2 656 Q-000XKMU
2 657 Q-000XON3Z
2 658 Q-000XFUFO
2 659 Q-000XI3WO
2 660 Z-0008DOFJ
2 661 Q-000XKP9M
2 662 Q-000XKP7C
2 663 Q-000XMFZR
2 664 Q-000XMGIL
2 665 Q-000XL7TP
2 666 Q-000UOQII
2 667 Q-000WK4T5
2 668 Q-000XN431
2 669 Q-000WY11H
2 670 Q-000XJG5E
2 671 Z-000ARGSJ
2 672 Z-000ARGZC
2 673 Q-000XHN6C
2 674 Q-000XJ8C2
2 675 Q-000XKP2O
2 676 Q-000XL4CA
2 677 Q-000XMHDH
2 678 Q-000XGI20
2 679 Q-000CI2W3
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871085004020005
1871081205890008
1871066305950005
1871081907870003
1871086008660002
1871086001690007
1871084407770000
1871080209030002
1871082509950006
1871085904750000
1871097009760003
1871081204020001
1871085703070003
1871084806720005
1871082208610001
1871085807000004
1871086809030001
1871082302760006
1871081004870004
1871085006880008
1871080905800004
1806254705940002
1871095404690004
1871084301630001
1871085109850009
1871085607850005
1871086108790002
1871085005880013
1871086604700002
1871094710850010
1871085212770011
1871092407830002
1871085101820002
1871084702030012
1871085207890005
1871088808060002
1871084611830002
1871086505740007
1871081601010007
1871081004000004
1871082106810006
1871080707800004
1871080502660004
1871084302880004
1871080210570004
1871085503630010
1871084308810004
1871046907880001
1871086303840006
1871081401020002
1871080303820005
1871084808790001
1871080505030002
1871085005830005
1871085702700001
1871086312000002
1871064609000005
;1871076005770001
;1871084210880001
1871074706740002
187185402840004
1871094303670002
1871084308740002
1871081010740003
1871080404980002
;1871086810650002
1871080610700003
1871084501970001
1871084507650009
1871082803000006
1871076505800010
;1801234607920002
1871086204780002
1871086404840008
1905055704750001
1871080710750010
1871080709860004
1871087110970002
187108148940003
1871086607770001
1871084806710005
1871085201800006
1871090702050003
1871084510750001
1809052503810004
1871084203690004
1871084807980003
1871086505780002
1871087010810001
1871034104710006
1871085712700001
1871081102620002
1871082107560001
1905050202800003
1871081708650011
1871082105970006
1871080309500001
1871084902770002
;1871082678700007
1871080704800001
1871081207980005
1871082205830005
1871082010580002
187108700609001
1871084807740001
1871085508840004
1871084501960009
1871081209000001
1301072707970001
1871086410900002
1871084704800008
1871081706030001
1871085302770002
1871082994660002
1871080511650002
1871085010660005
1871082608820004
1871084801830003
1871084507840007
1871081005420001
1871072003850005
08500011203540003
1301075601690001
1871086707870005
1871025809980006
1871085504690006
1871084808980007
1871084808760006
1871081506850003
1871080101730019
1871076209770002
1871083005710006
1871085509790004
1871086402900001
1871084501690001
1871080110650010
1871080301990006
1871081312060001
1871070703740002
1871084408780001
1871080605770002
1871085808850008
1871085907940001
1871081501610001
1871077107830003
1871085205970011
1871134808780011
1871084505860005
1871070909890008
1871086909910004
1871084810030001
1871084810030002
1871084508830007
1871080205880005
1871082503580006
1871085110840008
1871082007830001
1871075606870006
1871086803090001
1871080610060010
1871086705820001
1871074709840007
1871095212920003
1871080810550002
1871086608940006
1871086111820003
1871084201870006
1871081211030005
1809054906710003
1871084407840007
1871084503730007
1871081109750005
1871084101610019
1871080308870007
1871081903020002
1871085312540001
1971055303790001
1871080504710007
1871086504030001
1871084404960005
1871082812920002
1871081204020003
1809054309040001
1871084501920014
1808027003050004
1871081908070002
1871085210820005
1871082903830005
1871084809910004
187108030660001
1871076105690001
1871081309940002
1871072301010003
1871080310710008
1871081202030002
1871084511720002
1871086411990003
1871084211020005
1871032701670002
1871081110810007
1871080809030001
1871086903780001
1871083006690002
1871081809840001
1871076610890005
1871071008900005
1871085510720002
1871081712740002
1871092911940002
1871090109690002
1871081010410000
1871030708780010
187104205930006
1871085303640002
187107627810006
1871085708960001
1871080908000006
187108712980008
1871095402900003
1871086007880006
1871082202040004
1871085004790011
1871086103030004
1871080110840006
1809065404980002
1871081007660001
1871086910700001
1871086302600001
1871080703840007
1871085107580004
1871086711990002
1871084807040003
1871086009010002
1871064104840005
1871082305990006
1871080311470001
1871074812690002
1871084203970005
1871085010920017
1871084501870004
1871080907690001
1871060211930001
1871085512850006
1871084108010004
1871085104910008
1871082706760002
187108464820001
1871082001000010
1871080810830003
1871084705820008
1871080905830001
3674014502370001
1871085206800002
1871084301900011
1871086002740001
1817081311890003
1871082506860007
187108191779005
1871086108810003
1871082107700020
1871084510050008
1871084503790002
1871084712750002
1871089507820005
1871086911840001
1871082402630004
1871081811100012
1871081208010007
1871084309960004
1871084504750003
1871086112900002
1871081111960004
1871084210790004
3601164502720002
1871086707030003
1871082103610001
1871085803640001
1871085101900004
1871080104960009
1871081506580003
1871082606770004
1871084508860007
1871084606820004
1871082304840001
1871084903450002
1871081808060008
1871085008770002
1871080507690003
1871092006720003
1871096401720001
1871094504840004
1871084501960008
1871095703820005
1871090905080002
1871095501910004
1871094407010003
1871095004890004
1871096011090005
1871090507850006
1871085702880006
1871094202060007
1871094710060003
1871080403900005
1871094205990002
1871092309020003
1871095208740004
1871090709690004
1871081503080006
1871096004860015
1871082903090003
1871081106980002
1871092404860004
1871096103010004
1871094708930005
1871094205700009
1871090107700074
1871096711750003
1871091207840011
1871091511930003
1871075004840012
1871094506750004
1871095502880001
18710728044830001
18710947077800006
1871091003020003
1871095208870008
1871092404590004
1871081804740006
1809054503090003
1871092519260005
1871090707630003
1871092911860001
1871096201850003
1871095607970003
1871090707970007
1871092108830002
1871041205910002
1871091811940003
1871094206680002
1871094105910004
1871094504880008
1871090809600002
1871095002750003
1871090501670006
187109550360003
1871090206810003
1871090708860002
1871095011730002
1871095011080003
1871095803870006
1871094107900080
1871092007850005
1809050603960009
1871091905710001
1871090302810004
1871092007600004
1871091203520002
187109080790006
1871094508090001
1871094209030001
180905512930002
1871094507850004
1871094502070001
1871085907930001
1809054710000005
1871090303980003
1871095604960007
1871095012880004
1871094707790009
187109051004800005
1871095709060003
1871090704860004
1871096710010003
1871085109970004
18710942044750003
1871085506910005
1871090101020009
1871070506920015
1871095404750009
1871091004740012
1809057012980007
1871091506720010
1871095010070002
1801050807740002
1871096201750002
1871094805660002
1871091409580006
1871084809860006
1871090108940002
1871081012570000
1871085011550007
1871084202770001
1871120201970003
1871060510070001
1871086504860004
1871081402760004
1871084501710007
1871081205660010
1871085806830005
1871081512730004
1871081502080005
1871086810800002
1871085110080003
1871086809760001
1871081811720006
1871085108030005
1871084502770001
1871084510890004
1871080204570002
1871085204880009
1871086708650001
1871082111910003
1871086410790005
1871085207770005
1871086911800001
1871094509810006
1871121506640003
1871081111750002
1871092212690003
1871082301050001
1871080307020009
1871095102830001
1871092008830007
1871085108960006
1871086405840004
1871086805900001
1871082812650001
1871086512910007
1871085412900005
1871080309840001
1871080611930004
1871085510840004
1871084703810002
1871081406820006
1871086105750001
1671137010040005
1871081111020002
GA ADA NIK
1871082009990000
1871080202950003
18710805126500005
1871081707780008
1871080603790003
1871084309820006
1871082885800003
1871084708810004
1871055406910005
1871084701910004
1871080101600009
1871085408670001
1871085907600001
1871084612740001
1871086306730003
1871084608720005
1871084503680001
1871080502740005
1871084204680002
1871080102050006
1871082607030002
1871080908010004
1871085003760006
1871084505750020
1871084402990004
1871086306730001
1871085204790010
1871080808830002
1871085710840001
1871081204090001
1871081010010008
1871084707990009
1871086704810004
1871086402740001
1871086610830002
1871086610930002
1871086306830002
1871082610060004
1871084706810007
1871080111900002
1871086501890001
3201026004810007
1871061209770006
1871084403820002
1871084508730005
1871080704680007
1871081705670006
1871086112750002
1871080101870010
1871085605900001
1871085612870001
1811034609990003
1871086406880003
1871085212030002
1871086412860003
1871081506920002
1871086305590002
1871076509650005
1871092406870001
1871031206830003
1871092103940004
1871091005800005
1871082301990006
1871081411800002
1871084812800003
1871071412850007
1871075203880004
1871084409700006
1871081405990002
1806092004030003
1871090704800008
1871081602820011
1871084504830008
1871092105890002
1871095107920007
1871095012950005
1871086008950002
1871081108030001
1871071010010010
1871131804970003
1871094906840002
1802212006990002
1871080110920011
1871070706850008
1871081204890003
1871080909780006
1871051801920002
1871071412870003
1871095001990001
1871085306020001
1871091508920005
1871132304950005
1871081509710006
1871090204870005
1871131101930003
1871092004830004
1871081409890002
1871094603880008
1871090810600002
1871136005930004
1871082412920001
1871091403930002
1871072405850005
1871061110730002
1871070911600005
1871070607960009
1871072307040001
1871092104730004
1871081201780007
1871205006650001
1871074804700008
1871074410020001
1871092302860001
1871130712910001
1871071708700009
1871076903030004
1871075804000004
1871072104830014
1871013010780008
1871090702900002
1801145008910004
1871124803860004
1871092110840010
1871095406920003
1871090602890002
1871090506830007
1809035607940004
1871090104850004
1871065002010001
1871090105870002
1871022511960001
1871132412890002
1871091409870003
1871131103970003
1802171908850002
1871050902840005
1871012008920010
1808070104870004
1871091602940001
1871090107900084
1871092001880003
1871092505950005
1871081011940007
1871130602810003
1871096708860005
1871080608890002
1871091201840003
1871075509950008
1871094306810007
1871090706840005
1871074209640001
1871095012780006
1871120101890007
1871072005590005
1871095309810003
1871085505930003
1871091302820001
1871125012850005
1871066801960007
1871091209850010
1871095111830005
1871124506770005
1871091803950002
1871085109030003
1871081707950006
1871155103900001
1871125007670006
1871052010990001
1871090105810010
1871131412850006
1871091405900004
3173061710700005
1871131507900008
1871085302890006
1809016906020003
1871042010810012
1871094511030005
1871011604990001
1871072510890004
1871085208560003
1871091605900003
1871020701980007
18710945090920002
1871075109750003
1871095501030002
1871075508900009
1871051211910003
1871134104900005
1871071511770002
1871075108810006
1871075804810001
1871045508850008
1871121604790010
1871075206800005
1871082001680002
1871082209040001
1871111909980003
1871091207870005
1804120202920001
1871084502880003
1871091702720002
187011807800029
1809023006770021
1871093008850005
1871095503000005
1871085010860005
1871091604840004
1871070811860003
1802044708810001
1804216111870001
1809012203760003
1871040205830003
1871072108970008
1871130708960003
1871094609930001
1871040503800009
1871084606750004
1802111906890001
1871090101650007
1871080510020010
3172015705781001
1871075604010004
1871075908990004
1871112711950003
1871126709970001
1871075604910002
1871085011800005
1871086110850003
1871091106990005
1871074506690011
1871075404710003
1871070105990006
1871071911780005
1871080707970013
1871073001030001
3310110305670003
18710804078500003
1871090606960011
1809010105820005
1809041807930003

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN / 12-10-2021
Jenis
Kelamin
OPI RAMADANI P D 04/10/2003
ROMLI L D 12/05/1989
ACHMAD SACHRULLAH L D 7/19/1987
DARMAPIAH L D 20/08/1966
IDA KARMILA P D 20/01/1969
YENI P D 04/07/1977
IRFAN DANUARTA L D 02/09/2003
KURNIAWAN SAPUTRA L B 05/09/1995
INDRAWATI P D 30/09/1976
JAMALUDIN L D 12/04/2002
PUTRI IKA AULIA P D 3/17/2007
RUNITA P D 08/06/1972
MURSALIN L D 22/08/1961
SERLI MULYANI P D 7/18/2000
AULIA SEPTIANA P D 28/09/2003
BUDI L D 2/23/1976
SOPIAN L D 10/04/1987
EKA JUITA P D 10/06/1988
SULAIMAN P D 09/05/1980
LIA SARTIKA S.Pd P D 07/05/1994
INA P D 14/04/1969
TATIK MARYANI P D 1/3/1963

AGUSTINA P D 9/11/1985
JUNA YULIANA P D 16/07/1985
ASNAH ASMARAWATI P D 8/21/1979
ULFIANI P D 5/10/1988
RAMIDAH P D 12/12/1977
AHMAD JAJULI L D 24/07/1983
MASWIYAH P D 11/01/1982
NUR ASSYIFA P D 07/02/2003
MARIAH P D 12/07/1989
PUTRI AZZAHRA P D 26/08/2006
ANITA P D 06/11/1983
MARDIYAH P D 25/05/1974
MUHAMAD IRFANDI L D 1/16/2001
SENDI L D 10/04/2000
SUPRIYATNA L D 6/21/1981
FRANCISCO S L D 07/07/1980
ANITA WATI P D 03/02/1988
MADNUR L D 02/10/1957
SUKMAH WIYAH P D 15/03/1963
SUHENAH P D 8/3/1931
LENI S P D 29/07/1988
ERMA WATI P D 23/03/1984
FAKTUR R L D 1/14/2002
UDIN L D 3/3/1982
AI H P D 8/8/1979
RISKI S L D 5/5/2003
MAS LENI P D 5/10/1983
SAIYAH P D 2/17/1970
FITRIA P P D 12/23/2000
WULAN DARI P D 9/6/2000
RINA S P D 5/20/1977
ENDANG S P D 6/7/1974
TRI ARINI P D 2/14/1984
IDA KARTIKA P D 3/3/1967
NURYATINI P D 8/3/1974
JAARUDIN L D 6/6/1975
MUHAMAD RENALDI L D 4/4/1995
SUNARTI P D 10/28/1965
HARTUN P D 10/6/1970
ERIKA S P D 1/5/1997
SAMSIAH P D 7/5/1965
ANGGA P L D 3/28/2000
SARI P D 5/25/1980
NURAENI P D 7/6/1992
YENIRA WATI P D 4/25/1978
SUKMAWATI P D 4/24/1984
HASUNAH P D 17/04/1975
DARMAWAN L D 10/7/1975
DAVID RAHMANDA L D 9/7/1986

ROSDIANA P D 10/31/1997
ARIS L D 8/14/1996
SITI ZUBAIDAH P D 26/07/1977
MUTIRAH P D 6/6/1971
M. RISKI RIVALDI L D 07/02/2005
UMAYAH P D 05/10/1975
HAYANI P D 02/03/1969
HENI HAERANI P D 08/07/1998
SARIAH P D 5/25/1978
MARWYAH P D 30/10/1981
RUSMIATI P D 01/04/1971
TURIAH P D 17/12/1970
SUHAILI S L D 11/02/1962
BASTARI L D 21/07/1956
AGUS L D 02/02/1980
BASTARI L D 17/08/1965
ANTONI L D 21/05/1997
ROSLI L D 9/3/1950
NURWANTORI L D 2/9/1977
HASRONI L D 7/26/1987
AHMAD FATONI L D 4/7/1980
M ARIF BUDIMAN L D 7/12/1998
UUD TAUFIK L D 5/22/1983
muchlisin L D 10/20/1958
FITRI AZZAHRA P D 6/30/2009
IKA KARTIKA P D 7/8/1974
SRI HARTATI P D 8/15/1984
SOLEHA P D 1/5/1996
MUHAMMAD RIVQI ZIDANE L D 9/12/2000
ROMI ALDINO L D 7/27/1997
SAPUTRI P D 10/29/1990
RASTUTI P D 4/7/1980
AHMAD ARGO DIRAKSA L D 6/17/2003

KURNIATI P D 2/13/1977
RAHMAT AMPERA JAYA L D 4/20/1966
NAPOLION L D 11/5/1965
RIKA ABSARI P D 10/10/1966
RUDI PURNAMA L D 8/26/1982
YETNU WARNI L D 1/8/1983
RISMAYANI P D 7/5/1984
RASIP L D 5/10/1942
YADI L D 3/20/1985
ASHARI L D 3/12/1954
SAMINAR P D 1/16/1969
NIKE MILIYANA P D 7/27/1987
CINDY PERMATA SARI P D 9/18/1998
META INDRIYANA P D 4/15/1969
INDAH P D 8/8/1998
KUSNIAWATI P D 8/8/1976
FAHMI NUR RIZAL L D 6/15/1985

MISRA L D 1/1/1973
RIZKI L D 5/30/1971
SUSILOWATI P D 9/15/1979
FISKA ANGGRAINI P D 2/24/1990
JUMRIAH P D 1/5/1969
GANEFO SUKANTO L D 10/1/1965
M GALANG RAMADHAN L D 1/3/1999
RANGGA L D 12/13/2006
AMIR L D 3/7/1974
JUNAENI L D 8/4/1978
BARLIANSAH L D 5/6/1977
TITIN SUPRIANTI P D 8/18/1985
YUSIANA P D 7/19/1994
PRAYITNO L D 1/15/1961
DEBBY KARLINA P D 7/31/1983
ASTUTI P D 5/12/1997
IIS ELYANA P D 8/8/1978
SITI NURJANAH P D 5/5/1986
SYAFRUDDIN L D 9/9/1989
RITA ZAHARA P D 9/29/1991
SALMA OKTA RINA P D 10/8/2003
SALWA OKTA RANI P D 10/8/2003
FITRIA HASANAH P D 8/5/1983
M SAHRONI L D 5/2/1988
HASAN L D 3/25/1958
OKTAVIANI P D 10/11/1984
CAHYADI L B 7/20/1983
RASTINA REFRIYANA P D 3/28/2009
FAIRUS SALIM P D 5/6/1986
FITRYA AMALINA P D 12/12/1992
WIRSAH L D 10/8/1955
FILLA GUSELA P D 8/26/1994
YOSY ISTIYAWATI P D 11/21/1982
AHMAD ADITYA L D 11/12/2003
ELISA P D 7/4/1984
HALILAH P D 3/5/1973
HARDI IRAWAN L D 9/11/1975
JARI L D 8/3/1987
LATIEF KURNIAWAN L D 3/19/2002
MU'MANAH P D 12/13/1954
TUTI SUPRIANTI P D 3/13/1979
MAHYUDI L D 4/5/1971
JIHAN AMANDA P D 4/25/2003
RIDA APRIYANI P D 4/4/1996
WISNU WARDANA L D 12/28/1992

M ASYIFA YAHYA L D 4/12/2002
SUHETI P D 9/9/2004
ROHILAH P D 1/5/1992
TAMARA P D 3/30/2005
MUHAMMAD DZAKY FIRDAUS L D 8/19/2007
DESI P D 12/10/1982
MARSAN L D 29/03/1983
SELI M P D 9/8/1991
NASIR L D 03/06/1960
SA'AH P D 21/05/1969
ADI SAPUTRA L D 13/09/1994
YUDHA L D 1/23/2001
EFENDI L D 03/10/1970
KHOBUL GUNAWAN L D 2/12/2003
P D 11/6/1972
SITI BAROKAH
IIS SAFITRI P D 11/24/1999
DILA AYUNI P D 02/11/2002

UJANG L D 27/01/1967
ALI AMIN L D 11/10/1981
ADE WIJAYA L D 9/8/2003
MARIAMAH P D 29/03/1976
TALEN L D 6/30/1969
ROMLI L D 9/18/1984
RIZKIA B P D 10/25/1989
DEDE S L D 10/08/1990
AINA P D 15/10/1972
AHMAD RISQI L D 27/11/1994
HAMDANI L D 01/09/1969
YANTO L D 10/10/1941
AHMAD SURYANI L D 07/08/1978
ASTIKA P D 5/2/1993
DODA SA'ADAH P D 13/03/1964
MALA SARI P D 22/07/1981

AGUSTINA WATI P D 17/08/1996
WAHYU HIDAYAT L D 8/9/2000
M. DANDI L D 07/12/1998
SRI YANTINI P D 2/14/1990
HENI PURWATI P D 7/20/1988
M. DANDY L D 22/02/2004
NAWIYAH P D 10/04/1979
RIKA DIANTI P D 21/03/2003
SYAHRIL L D 01/10/1984
HARDIYAH P D 4/14/1998
ISWANDANI L D 10/07/1966
MISYATI P D 10/29/1970
SOPIAH P D 2/23/1960
MURSALI L D 3/7/1984
ROMLAH P D 11/07/1958
BAHRIA P D 27/11/1999
UTARI P D 08/07/2004
WENNY ANDRIYANI P D 4/1/1984
RUDI PRATAMA L D 23/05/1999
M. BADRI L D 11/3/1947
NUR HAYATI P D 10/10/1992
ANA RAHATI P D 1/5/1987
SURA L D 08/07/1966
RIAN ANDRIANSYAH L D 02/11/1993
KAMELIA SARI P D 01/08/2001
ARLIN RAISTA P D 11/04/1991
SARMAT L D 6/27/1976
SITI JAITUL JANNAH P D 11/6/1982
IYAN ROMAWI L D 1/1/2000
BAMBANG WIJAYA KUSUMA L D 29/07/1983

MARLIAH P D 07/05/1982
SUKMIYATI P D 2/5/1937
MENAH P D 6/12/1980
HATIPAH. S P D 20/02/1974
MUKMIN L D 11/13/1989
RIDWAN SYAHRUDIN L D 6/25/1986
NENENG HASANAH P D 11/2/1984
SUMIYATI WIDYANINGSIH P D 21/08/1981
MUKHTAR L D 6/21/1968
TUTI P D 3/5/1979
LINDA WATI P D 07/12/1975
MULYATI P D 7/5/1982
DINDA LESTARI P D 29/11/1984
ABDUL SUKUR L D 24/02/1963
MINGGU L D 21/10/1973
LEO NARDO L D 12/08/2001
MIRNAWATI P D 03/09/1996
RAMI P D 4/5/1975
DESI MARYANA P D 21/12/1990
AHMAD NAWAWI L D 11/11/1996
MASTINAH P D 02/10/1979
NINING YUNANINGSIH P D 2/5/1977
JUWITA P D 27/07/2003
TAUFIK HIDAYAT L D 21/03/1961
ERNA LINDA P D 18/03/1984
MARINA RUSTAM P D 11/01/1990
NUR EPEMDI L D 01/04/1956
SUNARYA L D 15/06/1958
MUKHI L D 26/06/1977
SITI DARWATI P D 05/08/1986
YULIA SARI P D 06/06/1982
SAMIN L D 23/04/1984
ASIYAH P D 3/9/1945
UHI L D 10/08/1986
JAMILAH P D 10/08/1977
HERMAIDI L D 15/07/1969
AHMADI L D 20/06/1972
HABIBAH P D 24/01/1972
SUEBAH P D 05/04/1984
SULATRI P D 1/5/1996
MUNJIAH P D 3/17/1982
RIZKI RAMADHAN L D 09/05/2008
HUSNI P D 15/01/1991
LILIS APRILIA P D 04/07/2001
SURNI P D 10/04/1989
ANISA SAFITRI P D 20/11/2008
SARTU L D 05/07/1985
SAFITRI P D 17/02/1988
RIKA INDRIYANI P D 02/02/2006
SAYPUDIN L D 3/4/1990
EMBAI P D 02/05/1999
M. RIDHO L D 23/09/2002
RUSMALA DEWI L D 12/08/1974
EDI YANTO L D 07/09/1969
M ADHYAKSA SIREGAR L D 15/3/2008
SAEBAH P D 20/04/1986
DANISH L D 29/03/2009
JUMRANI L D 6/11/1998
SUKRISNA L D 4/24/1986
SARAH AZHARI P D 21/03/2001
PARTINI P D 07/08/1993
LIAMI P D 02/05/1970
ARSIMIN L D 01/07/1970
JAHARI L D 12/07/1984
AGUS SETYAWAN L D 15/11/1993

AFNI IKA NURSANTI P D 10/04/1984
ARIYANTI P D 05/06/1975
SARMI P D 2/15/1986
FERIANTO L D 4/28/1983
MARLINAH P D 7/7/1980
ARYA NUR L D 3/10/2002
ASNI P D 8/12/1987
SARDI P D 4/24/1959
AHMAD ROHANI L D 4/18/1974
SITI KOMALASARI P D 05/03/2009
SARKIMAN L D 12/25/1996
HAYUN L D 7/7/1963
OJI SAPUTRA L D 11/29/1986
RATNA P D 1/22/1985
SARAH P D 10/21/1996
JULI L D 7/7/1997
M SAFEI L D 8/21/1983
AHMAD YANI L D 5/12/1991

ISRONI L D 11/16/1994
MAISAROH P D 6/2/1986
RIAH P D 5/1/1991
NURMALA HAYATI P D 4/5/1988
SUKUR L D 9/8/1960
ASIAH P D 2/10/1975
IBROHIM L D 1/5/1967
AYANG ADELIA L D 3/25/2006
ERWINANTO L D 6/2/1981
SUHENDI L D 8/7/1986
ADLY RENATA L D 11/5/2008
SOPIAH P D 3/8/1987
EMAH P D 7/1/1990
AHMAD NURDIN L D 7/20/1985
BUDI TRIONO L D 3/6/1996
RANTAK L D 5/19/1971
SANURI L D 2/3/1981
SAKIMAN L D 7/20/1960
REMAN L D 3/12/1952
RAFA L D 7/8/2009
VANESSA P D 8/5/2009
TARIAH P D 12/11/1993
RUKMAH P D 7/5/1985
NURUL HASANAH P D 2/5/2007
NIKE ANGGRAINI P D 7/19/1993
SALBIYAH P D 10/7/2000
MUHAMMAD HALIMI L D 5/3/1998
SARI ANGGRAYENI P D 16/04/1996
TYOSI ANITA P D 10/12/1988
RUSTINI P D 7/7/1979
SELOMITA P D 17/09/2006
HARTONI L D 07/04/1986
MUTIARA P D 27/10/2001
PUGIANTI P D 27/03/1997
KAMISAH P D 02/04/1975
RITA P D 15/06/1991
ROMIANSAH L D 01/01/2002
ERWIN L D 05/06/1992
MAHEDA P D 4/14/1975
WARDOYO L D 4/10/1974
MASNI P D 30/12/1998
JAMRAH L D 15/06/1972
NARA SAFITRI P D 10/10/2007
SARIJO L D 08/07/1974
SRI SUMARTINI P D 22/01/1975
SANTA L D 14/09/1958
SITI ROHMAH P D 9/8/1986
HALWANSAH L D 8/1/1994
AHMAD IKBAL P D 2/10/1994
PELITA SARI P D 02/02/1977
FITRIA NANA HARTATI P D 01/02/1996
SAIPUL ANWAR L D 05/10/2007
SARTI P D 4/25/1986
A.HAJANI L D 01/02/1974
PARYATI P D 1/5/1971
RIDWAN ARI L D 5/12/1966
YANTI SUPRIYANTI P D 18/06/1983
FEBRI YANSAH L D 15/02/2008
RASMIATI P D 28/10/1980
ASIFAH SASKIRANA P D 10/11/2008
ZAENAH P P 28/09/1976
DARMAWAN SAPUTRA L D 11/18/1972
LARASATI P D 8/11/2003
SARIKA P D 2/5/1977
OKTAVIANI P D 05/10/1989
SAFITRI WULANDARI P D 12/04/1988
NANIK SUARNI P D 8/27/1965
AGUNG RIO PRAYOGI L D 11/21/1991
LELA ANDRIANI L D 24/10/1979
MELI YANI P D 29/11/1980
SINTA DEWI ASTUTI P D 05/09/1981
TARMIZI P D 15/06/1964
JUKI L D 11/11/1975
SRIYANTO L D 22/12/1969
M. IRFANDI L D 23/01/2005
GILANG SAPUTRA L D 03/07/2002
JAMILAH P D 11/02/1983
BAHRUDIN P D 20/08/1983

EUIS ISLAMMIYAH P D 5/24/1984
MEILIA P D 28/05/1990
MASKUN L D 12/28/1965
DESKANUR MAYA P D 25/12/1991
VIVIN NURYANI P D 14/12/1990
RACMAT WIDYANTORO L D 9/3/1984
INDRIAN SETIAWAN L D 11/6/1993
NUR SITI P D 10/15/1984
YATI JUNAIDI P D 3/7/1981
HERMEDI L D 14/06/1982
SURYANI P D 5/21/1975
ROAINI P D 10/30/2004
M ADI IRAWAN L D 11/11/2002
RENDI P D 24/02/2002
DIKI L D 9/20/1999
JUMHANIH L D 2/2/1995
MURNI L D 12/5/1985
PONIJO L D 17/07/1978
MARYANSYAH L D 3/6/1979
NAIMAH P D 03/09/1982
RIAN L D 28/05/1980
NITA SAFITRI P D 14/06/1991
WELLIA P D 07/01/1991
M.SANI.SM P D 1/1/1966
RITA WATI P D 14/08/1967
ROSMINI P D 19/07/1960
ROSMIANA P D 06/12/1974
ROBAINI P D 6/23/1973
KOMARIAH P D 06/08/1972
RASID L D 2/5/1974
PONIYEM P D 02/04/1968
SAPUTRA PRATAMA L D 01/02/2005
FICKY FERNANDA L D 28/07/2003

MUHAMMAD GUSTI KURNIA L D 09/08/2001
JUMAINI P D 3/10/1976
EGA SELFIA P D 2/4/1999
ROSIDA P D 6/23/1973
WINDA YANI P D 4/12/1979
LEKONI L D 08/08/1983
M.H ALIF SAPUTRA L D 12/04/2009
MUHAMMAD IFANDI L D 10/10/2001
LILIS RAHMAWATI P D 7/5/1999
EVANA P D 27/04/1981
UMI HATIJAH P D 2/24/1974
MAINI P D 26/10/1983
HERNA DEWI P D 26/10/1993
IIN NILA SARI P D 23/06/1983
VERI IRAWAN P D 10/26/2006

DESI P D 07/06/1981
WIWIN P D 01/11/1990
INTAN MAYA P D 25/01/1989
LIAWATI P D 4/20/1981
MAULANA L D 12/09/1977
BAKYAH P D 04/03/1982
SURTIATI P D 05/08/1973
FARIZAL L D 4/7/1968
A ROHIM L D 17/05/1967
SUDI RAHAYU P D 12/21/1975
L D 1/1/1987
ARI ANTO
SITI NURBAITI P D 5/16/1990
SUHAIDAH P D 16/12/1987
ANIS MASRUKOH P D 06/09/1999
NURUL AYANI P D 12/12/2003
ZULAIHA P D 24/12/1986
YOGI A L D 6/6/1997
BASTARIAH P D 5/23/1959
JUMENAH P D 25/09/1965
SURIADI L D 24/06/1987
FATURAHMAN L D 12/06/1983
JARWOTO L D 21/03/1994
ACHANG HAETAMI L D 10/05/1980
HARI HANDIKA L D 23/01/1999
HADI SUSILO L D 14/11/1980
ROSFA P D 08/12/1980
PEPEN PERMANA L D 14/12/1985
AYU TIA NINGSIH P D 12/03/1988
MASNAH P D 9/4/1970
SUNA L D 14/05/1999
AHMAD SURIPTO L D 20/04/2003
JONY L D 07/04/1980
SUPRATIKNO L D 16/02/1982
SANTI RAHAYU P D 05/04/1983
UJANG L D 5/21/1989
SUMINI P D 11/07/1992
SITI HAYANI P D 12/10/1995
JUROH P D 20/08/1995
BIMA PARIN W L D 11/08/2003
DIKY WAHYUDI L D 10/10/2001
APRI RIYADI L D 18/04/1997
ARSIH P D 09/06/1984
IKHSAN ALPARIZI L D 6/20/1999
M. YUSUF L D 10/1/1992
JULIAN L D 07/06/1985
M. IRWAN SAPUTRA L D 12/04/1989
TOTO SUPRAPTO L D 9/9/1978
ASEP JAMALUDIN L D 1/18/1992
TEGUH SANTOSO L D 14/12/1987
SINDY SEPTIANA P D 10/01/1999

TRI SAVIRA P D 6/13/2002
BASRI L D 8/15/1992
IDHARSADI L D 23/04/1995
MASKUR L D 9/15/1971
ZAINI L D 4/2/1987
EDI SAPUTRA L D 11/01/1993
RUDI L D 20/04/1983
GUNAWAN RAHARJO L D 14/09/1989
SATIAH P D 06/03/1988
SUNAILI YUSUF L D 08/10/1969
DESI TRIANA P D 20/05/1993
SUHARJA L D 12/24/1992
ADANG L D 14/03/1993
M. ALI AKHSANI L D 11/10/1973
KARMIN L D 09/11/1960
PURWADI L D 7/6/1996
JALU SAPUTRA L D 23/07/2004
SANI YUSUF L D 4/21/1973
NURYANI L D 12/01/1978
SUGIATI P D 10/06/1965
PARTI P D 08/04/1970
AMANDA OKTAVIANA P D 04/10/2002
MUSANIP L D 23/02/1986
ANDRI SUSILO L D 12/7/1991
AGUS SUSILO L D 17/08/1970
ZULLYA WIJAYA L D 09/03/2003
AMYLIANA SUSILOWATI P D 18/04/2004
GIAR MAULANA L D 21/04/1983
IBNU HAJAR L D 30/10/1978
YADIEMOT L D 2/7/1990
BETY SULASIH P D 3/8/1986
BUDI HERMANSYAH L D 21/10/1984

NURSIYAH P D 6/4/1992
OMAN L D 06/02/1989
SADIRA L D 6/5/1983
JULIEN NUR H P D 16/07/1994
EKO SUSANTO L D 01/04/1985
ADINDA FEBI AULIA P D 2/10/2001
MISTAR L D 01/05/1987
ENGGA DHIKY L D 11/25/1996
EDI JUNAIDI L D 12/24/1989
SISWADI L D 9/14/1987
ASEP SUPRIYATNA L D 11/03/1991
HUTRIONO L D 8/19/1985
HIRFAN L D 2/9/1984
NUGRAHA AGUNG L D 8/20/1992
KETUT WITRE L D 01/04/1987
ROZALI L D 16/02/1994
JUHRAWI L D 7/1/1990
SARKIMAN L D 1/20/1988
HIDAYATULLAH L D 08/02/1995
AHMAD SUHERI L D 11/10/1994
HARYANTO L D 2/6/1981
IIN SUNARTI P D 27/08/1986
RUSANDI L D 06/08/1989
SUHENDRY L D 12/01/1984
NOVI P D 15/09/1995
NENENG FARDIYAH P D 03/06/1981
SAFEI L D 05/06/1984
SURIP P D 02/09/1964
ROSPITA RINI P D 12/10/1978
TINO HANDOKO L D 1/1/1989
SAKIMIN L D 20/05/1959
BUDI HANDAYANI P D 13/09/1981
NIA FARHANIA P D 15/05/1993
JONI INDO L D 2/13/1982
DESSY EMILIA P D 11/10/1985

DEBYLA RISTI P D 28/01/1996
WARISMAN HADI L D 12/09/1985
NOVA SAFITRI P D 11/11/1983
ETI RAHMA P D 6/5/1977
MUHAMMAD TAUFIK L D 5/28/1996
TALITHA NAZWA I P D 11/09/2003
RULI FIRMANSYAH L D 17/07/1995
EVALIANTI P D 3/11/1990
YUDHA PRATAMA L D 10/20/1999
MURHANI L D 5/1/1981
RUSYANTO L D 14/12/1985
RUDIYONO L D 5/14/1990
SETIA PUTRA L D 10/17/1970
YUDI PRATAMA L D 15/07/1990
ROBI'ATUL AFIFAH P D 13/02/1989
AYUMI PRAMUDITA P D 29/06/2002

ADINATA L D 20/10/1981
SILVI YANI P D 15/04/2003
ABIMANYU ADIPUTRA L D 4/16/1999
HALIM L D 25/10/1989
SRUHYANTI P D 12/08/1956
RIDHO ARPANI L D 16/05/1990
RYAN RAMADHAN L D 1/7/1998
DEWI SEPTIYANI P D 9/5/2002
SRI RAHAYU P D 11/09/1975
MELISAH P D 1/15/2003
RUBIYAH P D 15/08/1990
RIO LIAN SAPUTRA L D 11/12/1991
LILIS SETIAWATI P D 4/1/1990
NIKI LAUDA L D 15/11/1977
SRI FITRIA P D 11/08/1981
YULYANI P D 8/15/1985
ALI USMAN L D 4/16/1979
ARIFIN HIDAYAT L D 20/01/1968
ARKANANTA F A L D 9/22/2004
RIKI SEPTIANSYAH L D 9/19/1998
ANDRIYANSAH L D 7/12/1987
PEBRI KURNIA L D 02/02/1992
LISADIANA ANJASARI P D 05/02/1988
PERIYANA P D 17/02/1972
HARIYANTO L D 01/07/1980
YAYA L D 6/30/1977
AGUS SISWANTO L D 30/08/1985
FATHIN NURUL P D 3/15/2000
SITINURMAWATI P B 10/10/1986
ADHARI L D 16/04/1984
NOPAN AFANDI L D 11/8/1986
RAKYAN IKA H P D 07/08/1981

MASNUNUN UFUKA P D 21/11/1987
MUHAI L D 22/03/1976
KUSMINADI L D 5/2/1983
DINO PRANATA L D 21/08/1997
MAMAN SURYAMAN L D 06/07/1997
EVA HANDAYANI P D 06/09/1993
SARIP L D 3/5/1980
JAIMAH P D 06/06/1975
RUDI BASTARI L D 6/19/1989
NUR DWI R L D 05/10/2002
ISTIRIANI P D 17/05/1978
SINDI ARTIKA P D 16/04/2001
SASMITA ARUM P D 19/08/1999
ARI ANDRIANSYAH L D 11/27/1995
RAHMADILA P D 9/27/1997
ROSIYANAH P D 16/04/1991
NURMA SARI N L D 11/10/1980
NENG DINA S P D 21/10/1985
NAUFAL MUTI W L D 11/06/1999
SARI P D 06/05/1969
DWI REPLITA P D 4/14/1971
DWIKI ERLANGGA L D 5/1/1999
ARIF WIDODO L D 11/19/1978
ALDY SUPRIYATNA L D 7/7/1997
JUAN VERDO L D 1/30/2003
TEMON L D 03/05/1967
RUKMAN L D 14/08/1990
RUDI SAPUTRA L D 06/06/1996
MUHAMAD SUEP L D 01/05/1982
SAPARUDIN HANIF L D 18/07/1993
***Merek Vaksin
A = Sinovac
178 BPJS PBI
274 BPJS Non PBI
131 Non Anggota
37
620 Total
0 Dosis 1
2 Dosis 2
0 Dosis 3
662 Total
0
664
Umur
(18 sd ≥ 60 tahun)
19 18-30 BAKUNG
34 31-45 BAKUNG
28 18-30 BAKUNG
35 31-45 BAKUNG
56 46-59 BAKUNG
54 46-59 BAKUNG
45 31-45 BAKUNG
19 18-30 BAKUNG
27 18-30 BAKUNG
48 46-59 BAKUNG
46 46-59 BAKUNG
21 18-30 BAKUNG
16 0 BAKUNG
50 46-59 BAKUNG
61 ≥60 BAKUNG
22 18-30 BAKUNG
19 18-30 BAKUNG
47 46-59 BAKUNG
36 31-45 BAKUNG
34 31-45 BAKUNG
43 31-45 BAKUNG
29 18-30 BAKUNG
54 46-59 BAKUNG
60 ≥60 BAKUNG
37 31-45 BAKUNG
37 31-45 BAKUNG
43 31-45 BAKUNG
35 31-45 BAKUNG
53 46-59 BAKUNG
37 31-45 BAKUNG
45 31-45 BAKUNG
39 31-45 BAKUNG
41 31-45 BAKUNG
20 18-30 BAKUNG
33 31-45 BAKUNG
16 0 BAKUNG
39 31-45 BAKUNG
49 46-59 BAKUNG
22 18-30 BAKUNG
23 18-30 BAKUNG
41 31-45 BAKUNG
42 31-45 BAKUNG
57 46-59 BAKUNG
35 31-45 BAKUNG
65 ≥60 BAKUNG
60 ≥60 BAKUNG
91 ≥60 BAKUNG
34 31-45 BAKUNG
39 31-45 BAKUNG
21 18-30 BAKUNG
41 31-45 BAKUNG
43 31-45 BAKUNG
20 18-30 BAKUNG
40 31-45 BAKUNG
53 46-59 BAKUNG
22 18-30 BAKUNG
22 18-30 BAKUNG
46 46-59 BAKUNG
34 31-45 BAKUNG
48 46-59 BAKUNG
39 31-45 BAKUNG
56 46-59 BAKUNG
48 46-59 BAKUNG
47 46-59 BAKUNG
28 18-30 BAKUNG
57 46-59 BAKUNG
52 46-59 BAKUNG
26 18-30 BAKUNG
57 46-59 BAKUNG
23 18-30 BAKUNG
43 31-45 BAKUNG
30 18-30 BAKUNG
45 31-45 BAKUNG
39 31-45 BAKUNG
48 46-59 BAKUNG
47 46-59 BAKUNG
36 31-45 BAKUNG
25 18-30 BAKUNG
26 18-30 BAKUNG
45 31-45 BAKUNG
51 46-59 BAKUNG
43 31-45 BAKUNG
18 18-30 BAKUNG
47 46-59 BAKUNG
42 31-45 BAKUNG
54 46-59 BAKUNG
24 18-30 BAKUNG
45 31-45 BAKUNG
41 31-45 BAKUNG
52 46-59 BAKUNG
52 46-59 BAKUNG
61 ≥60 BAKUNG
66 ≥60 BAKUNG
43 31-45 BAKUNG
57 46-59 BAKUNG
26 18-30 BAKUNG
72 ≥60 BAKUNG
46 46-59 BAKUNG
35 31-45 BAKUNG
43 31-45 BAKUNG
24 18-30 BAKUNG
40 31-45 BAKUNG
64 ≥60 KURIPAN
13 0 KURIPAN
48 46-59 KURIPAN
38 31-45 KURIPAN
27 18-30 KURIPAN
22 31-45 KURIPAN
25 46-59 KURIPAN
32 31-45 KURIPAN
43 18-30 KURIPAN
19 18-30 KURIPAN
46 46-59 KURIPAN
57 46-59 KURIPAN
57 46-59 KURIPAN
56 46-59 KURIPAN
40 31-45 KURIPAN
40 31-45 KURIPAN
38 46-59 KURIPAN
81 31-45 KURIPAN
38 18-30 KURIPAN
69 18-30 KURIPAN
54 46-59 KURIPAN
35 46-60 KURIPAN
24 46-61 KURIPAN
54 46-62 KURIPAN
24 46-63 KURIPAN
46 46-64 KURIPAN
37 46-65 KURIPAN
50 46-66 KURIPAN
45 31-45 KURIPAN
52 46-59 KURIPAN
43 18-30 KURIPAN
33 18-30 KURIPAN
54 18-30 KURIPAN
57 18-30 KURIPAN
24 18-30 KURIPAN
16 31-45 KURIPAN
49 31-45 KURIPAN
44 31-45 KURIPAN
46 18-30 KURIPAN
37 31-45 KURIPAN
28 18-30 KURIPAN
62 ≥60 KURIPAN
39 ≥60 KURIPAN
26 18-30 KURIPAN
44 31-45 KURIPAN
37 31-45 KURIPAN
33 ≥60 KURIPAN
31 46-59 KURIPAN
19 46-59 KURIPAN
19 18-30 KURIPAN
39 ≥60 KURIPAN
35 31-45 KURIPAN
65 18-30 KURIPAN
38 31-45 KURIPAN
39 18-30 KURIPAN
35 31-45 KURIPAN
14 18-30 KURIPAN
16 31-45 KURIPAN
41 18-30 KURIPAN
37 31-45 KURIPAN
30 31-45 KURIPAN
67 46-59 KURIPAN
28 31-45 KURIPAN
40 46-59 KURIPAN
36 18-30 KURIPAN
19 46-59 KURIPAN
51 46-59 KURIPAN
38 18-30 KURIPAN
50 18-31 KURIPAN
47 18-32 KURIPAN
62 18-33 KURIPAN
35 18-34 KURIPAN
21 18-35 KURIPAN
68 18-36 KURIPAN
44 18-37 KURIPAN
52 18-38 KURIPAN
20 18-39 KURIPAN
27 18-40 KURIPAN
30 18-41 KURIPAN
21 18-42 KURIPAN
18 18-43 KURIPAN
31 18-44 KURIPAN
18 18-45 KURIPAN
15 18-46 KURIPAN
40 31-45 NOG
40 31-45 NOG
31 31-45 NOG
62 ≥60 NOG
54 46-59 NOG
28 18-30 NOG
22 18-30 NOG
52 46-59 NOG
20 18-30 NOG
50 46-59 NOG
23 18-30 NOG
20 18-30 NOG
56 46-59 NOG
41 31-45 NOG
19 18-30 NOG
47 46-59 NOG
53 46-59 NOG
38 31-45 NOG
33 31-45 NOG
32 31-45 NOG
50 46-59 NOG
48 46-59 NOG
28 18-30 NOG
53 46-59 NOG
81 ≥60 NOG
44 31-45 NOG
30 18-30 NOG
59 46-59 NOG
41 31-45 NOG
26 18-30 NOG
22 18-30 NOG
24 18-30 NOG
33 31-45 NOG
34 31-45 NOG
19 18-30 NOG
44 31-45 NOG
20 18-30 NOG
38 31-45 NOG
25 18-30 NOG
56 46-59 NOG
52 46-59 NOG
63 ≥60 NOG
39 31-45 NOG
64 ≥60 NOG
23 18-30 NOG
18 18-30 NOG
21 18-30 NOG
39 31-45 NOG
24 18-30 NOG
75 ≥60 NOG
53 46-59 NOG
26 18-30 NOG
30 18-30 NOG
36 31-45 NOG
56 46-59 NOG
29 18-30 NOG
37 31-45 NOG
21 18-30 NOG
32 31-45 NOG
46 46-59 NOG
40 31-45 NOG
23 18-30 NOG
39 31-45 NOG
41 31-45 NOG
40 31-45 NOG
86 ≥60 NOG
42 31-45 NOG
33 31-45 NOG
49 46-59 NOG
33 31-45 NOG
36 31-45 NOG
38 31-45 NOG
41 31-45 NOG
54 46-59 NOG
37 31-45 NOG
44 31-45 NOG
47 46-59 NOG
40 31-45 NOG
38 31-45 NOG
60 ≥60 NOG
49 46-59 NOG
21 18-30 NOG
26 18-30 NOG
48 46-59 NOG
32 31-45 NOG
26 18-30 NOG
43 31-45 NOG
46 46-59 NOG
19 18-30 NOG
62 ≥60 NOG
39 31-45 NOG
33 31-45 NOG
67 ≥60 NOG
64 ≥60 NOG
45 31-45 NOG
36 31-45 NOG
40 31-45 NOG
39 31-45 NOG
78 ≥60 NOG
36 31-45 NOG
45 31-45 NOG
53 46-59 NOG
50 46-59 BATU PUTUK
51 46-59 BATU PUTUK
39 31-45 BATU PUTUK
27 18-30 BATU PUTUK
41 31-45 BATU PUTUK
15 0 BATU PUTUK
32 31-45 BATU PUTUK
21 18-30 BATU PUTUK
34 31-45 BATU PUTUK
14 0 BATU PUTUK
37 31-45 BATU PUTUK
35 31-45 BATU PUTUK
17 0 BATU PUTUK
16 0 BATU PUTUK
33 31-45 BATU PUTUK
24 18-30 BATU PUTUK
20 18-30 BATU PUTUK
48 46-59 BATU PUTUK
53 46-59 BATU PUTUK
13 0 BATU PUTUK
37 31-45 BATU PUTUK
14 0 BATU PUTUK
24 18-30 BATU PUTUK
37 31-45 BATU PUTUK
22 18-30 BATU PUTUK
29 18-30 BATU PUTUK
53 46-59 BATU PUTUK
52 46-59 BATU PUTUK
47 46-59 BATU PUTUK
38 31-45 BATU PUTUK
29 18-30 BATU PUTUK

39 31-45 BATU PUTUK
47 46-59 BATU PUTUK
37 31-45 BATU PUTUK
40 31-45 BATU PUTUK
42 31-45 BATU PUTUK
21 18-30 BATU PUTUK
35 31-45 BATU PUTUK
64 ≥60 BATU PUTUK
49 46-59 BATU PUTUK
14 0 BATU PUTUK
26 18-30 BATU PUTUK
59 46-59 BATU PUTUK
36 31-45 BATU PUTUK
38 31-45 BATU PUTUK
26 18-30 BATU PUTUK
25 18-30 BATU PUTUK
39 31-45 BATU PUTUK
32 31-45 BATU PUTUK

28 18-30 BATU PUTUK
36 31-45 BATU PUTUK
32 31-45 BATU PUTUK
35 31-45 BATU PUTUK
62 ≥60 BATU PUTUK
48 46-59 BATU PUTUK
56 46-59 BATU PUTUK
17 0 BATU PUTUK
41 31-45 BATU PUTUK
36 31-45 BATU PUTUK
49 46-59 BATU PUTUK
14 0 BATU PUTUK
36 31-45 BATU PUTUK
32 31-45 BATU PUTUK
37 31-45 BATU PUTUK
27 18-30 BATU PUTUK
52 46-59 BATU PUTUK
42 31-45 BATU PUTUK
62 ≥60 BATU PUTUK

71 ≥60 BATU PUTUK
13 0 BATU PUTUK
13 0 BATU PUTUK
20 18-30 BATU PUTUK
29 18-30 BATU PUTUK
37 31-45 BATU PUTUK
16 0 BATU PUTUK
29 18-30 BATU PUTUK
22 18-30 BATU PUTUK
25 18-30 BATU PUTUK
27 18-30 BATU PUTUK
34 31-45 BATU PUTUK
43 31-45 BATU PUTUK
43 31-45 BATU PUTUK
16 0 BATU PUTUK
37 31-45 BATU PUTUK
21 18-30 BATU PUTUK
26 18-30 BATU PUTUK

48 46-59 BATU PUTUK
31 31-45 BATU PUTUK
21 18-30 BATU PUTUK
30 18-30 BATU PUTUK
48 46-59 BATU PUTUK
49 46-59 BATU PUTUK
24 18-30 BATU PUTUK
50 46-59 BATU PUTUK
15 0 BATU PUTUK
48 46-59 BATU PUTUK
48 46-59 BATU PUTUK
57 46-59 BATU PUTUK
64 ≥60 BATU PUTUK
36 31-45 BATU PUTUK
28 18-30 BATU PUTUK

15 0 SUKA RAME II
15 0 SUKA RAME II
14 0 SUKA RAME II

5 0 SUKA RAME II



14 0 SUKA RAME II
16 0 SUKA RAME II
32 31-45 NOG
34 31-45 NOG
42 31-45 NOG
45 31-45 NOG
41 31-45 NOG
49 46-59 NOG
55 46-59 NOG
56 46-59 NOG
47 46-59 NOG
36 31-45 NOG
33 31-45 NOG
35 31-45 NOG
23 18-30 NOG
34 31-45 NOG
19 18-30 NOG
36 31-45 NOG
25 18-30 NOG
64 ≥60 NOG
57 46-59 SUKABUMI
35 31-45 BATUPUTUK
39 31-45 BATUPUTUK
29 18-30 BATUPUTUK
43 31-45 BATUPUTUK
37 31-45 SUKABUMI
35 31-45 SUKABUMI
52 46-59 NOG
20 18-30 CUKUH BALAK
43 31-45 BATUPUTUK
41 31-45 TBT
40 31-45 TBT
34 31-45 BATUPUTUK
30 18-30 BATUPUTUK
27 18-30 BATUPUTUK
27 18-30 BAKUNG
19 18-30 BAKUNG
21 18-30 TBS
26 18-30 KEMILING
38 31-45 BATUPUTUK
23 18-30 KEDATON
30 18-30 KEMILING
37 31-45 TBT
34 31-45 SUKARAME 2
44 31-45 SUKARAME 2
31 31-45 TJ RAYA
35 31-45 TBS
24 18-30 BATUPUTUK
20 18-30 BAKUNG
30 18-30 BATUPUTUK
28 18-30 KEMILING
51 46-59 BAKUNG
36 31-45 BATUPUTUK
30 18-30 KEMILING
40 31-45 BATUPUTUK
33 31-45 BATUPUTUK
35 31-45 BATUPUTUK
53 46-59 RAHMAT SIMAPANG
30 18-30 KEMILING
30 18-30 BAKUNG
30 18-30 BATUPUTUK
38 31-45 BUMIWARAS
49 46-59 ENGGAL
62 ≥60 BUMIWARAS
26 18-30 BUMIWARAS
18 18-30 BUMIWARAS
50 46-59 BATUPUTUK
45 31-45 BAKUNG
57 46-59 BUMIWARAS
53 46-59 BUMIWARAS
20 18-30 BUMIWARAS
37 31-45 BATUPUTUK
31 31-45 KEMILING
52 46-59 BUMIWARAS
20 18-30 BUMIWARAS
19 18-30 BUMIWARAS
40 31-45 TBT
44 31-45 BATUPUTUK
33 31-45 BATUPUTUK
31 31-45 WAY HALIM
37 31-45 BUMIWARAS
38 31-45 SUKABUMI
30 18-30 BATUPUTUK
34 31-45 BATUPUTUK
39 31-45 BATUPUTUK
28 18-30 PESAWARAN
38 31-45 BATUPUTUK
22 18-30 TKP
36 31-45 BATUPUTUK
26 18-30 KEMILING
33 31-45 KEMILING
35 31-45 BATUPUTUK
32 31-45 KEMILING
37 31-45 CANDI REJO
39 31-45 KEDAMAIAN
30 18-30 LANGKAPURA
36 31-45 NEGERI AGUNG
29 18-30 BATUPUTUK
32 31-45 BATUPUTUK
35 31-45 BATUPUTUK
28 18-30 BATUPUTUK
28 18-30 TBT
42 31-45 KEMILING
36 31-45 BATUPUTUK
33 31-45 SUKARAME 2
39 31-45 BATUPUTUK
27 18-30 BUMIWARAS
41 31-45 BATUPUTUK
38 31-45 BATUPUTUK
58 46-59 TBS
44 31-45 RAJABASA
34 31-45 TJ SENENG
60 ≥60 BUMIWARAS
41 31-45 TBU
30 18-30 KURIPAN
41 31-45 BATUPUTUK
37 31-45 SUKABUMI
27 18-30 TBT
37 31-45 TBU
39 31-45 TBU
45 31-45 SUKABUMI
27 18-30 BATUPUTUK
19 18-30 PESAWARAN
27 18-30 PESAWARAN
33 31-45 WAY HALIM
55 46-59 SUKABUMI
23 18-30 LANGKAPURA
42 31-45 BATUPUTUK
37 31-45 KEMILING
33 31-45 BATUPUTUK
52 46-59 NOG
32 31-45 KEMILING
34 31-45 KURIPAN
20 18-30 PESAWARAN
41 31-45 PANJANG
20 18-30 BATUPUTUK
24 18-30 LAB. RATU
33 31-45 KANGKUNG
66 ≥60 SUKARAME 2
33 31-45 BATUPUTUK
25 18-30 SUKARAME KORPRI
20 18-30 BATUPUTUK
47 46-59 BUMIWARAS
20 18-30 BATUPUTUK
32 31-45 BUMIWARAS
31 31-45 SUKABUMI
33 31-45 BATUPUTUK
45 31-45 TBS
41 31-45 BUMIWARAS
42 31-45 TBS
37 31-45 PANJANG
44 31-45 SUKABUMI
42 31-45 BUMIWARAS
55 46-59 NOG
18 18-30 NOG
24 18-30 TJ. SENANG
35 31-45 BATUPUTUK
31 31-45 TKB
35 31-45 SUKARAME 2
51 46-59 GOLAK GALIK
42 31-45 KARANG JAYA
45 31-45 PESAWARAN
37 31-45 BATUPUTUK
23 18-30 TBU
36 31-45 SUKARAME 2
39 31-45 BATUPUTUK
36 31-45 BUMI WARAS
41 31-45 TJ SENENG
35 31-45 SUKARAME 2
47 46-59 PESAWARAN
40 31-45 SUKABUMI
25 18-30 BUMIWARAS
25 18-30 KEMILING
29 18-30 BATUPUTUK
43 31-45 SUKABUMI
47 46-59 BAKUNG
33 31-45 BANJAR MARGO
58 46-59 KEMILING
20 18-30 BAKUNG
45 31-45 PENJARINGAN
22 18-30 BUMIWARAS
23 18-30 BUMIWARAS
27 18-30 TJ. SENANG
25 18-30 KEDAMAIAN
32 31-45 BUMIWARAS
42 31-45 BATUPUTUK
37 31-45 TBS
23 18-30 TBU
54 46-59 TBS
52 46-59 TBS
24 18-30 TBS
44 31-45 TBS
25 18-30 SUKARAME 2
20 18-30 TBS
56 46-59 BUMIWARAS
32 31-45 SUKARAME 2
26 18-30 LANGKAPURA
41 31-45 PESAWARAN
29 18-30 PESAWARAN
Pekerjaan
126 A
212 B
142 C
480 D
E
638 Total
66
0
704
No. Hp
089637983146
081228532211 YA
082278744911 YA
082278744911 YA
082278744911
0895389602674 YA
083157299145
0895389602674 YA
0895704268121
08105704468121 YA
083122379152
085357577244 YA
089523107995
0895323240674 YA
0895351334419 YA
08578880159 YA
0895621571143 YA
089510115892 YA
089633510351
089620624575
089526343629
082175646515 YA
08972553172
08255704278121 YA
089612413217 YA
08990682525 YA
089607117519
0895352114667 YA
089624297436
0895414166405
089628728782 YA
0895335015111 YA
085809978510 YA
089523119646 YA
089621512809 YA
085783592271
082281183614 YA
081367950086
089523786828
089634060430
088269154632 YA
082183844433
081399218363 YA
083140369796 YA
082258773771
081399218363 YA
08581942440 YA
088748014236
088269154623
085269290046 YA
082374004070 YA
082113634225 YA
0895600627772
089632151222
0895367029895 YA
089669291020 YA
089521438459 YA
081266873035
089670259494 YA
08127973224 YA
0895335030006
083891011442 YA
089630599725 YA
0823368630006 YA
085874015011 YA
082376749719 YA
089630599725
083196258876
082371646563
0895323240674
0895005936323 YA
0895640016825 YA
082138252444 YA
08950863198 YA
08951401222 YA
088268219213 YA
082181042774 YA
088286438179 YA
085893165136 YA
0895330516075 YA
088269840950 YA
089699471321
088219661765
0889521063399
082377683704 YA
0895330516075
083171700031
085763592359 YA
083137347255
0895609731726
083171700031 YA
08193051212 YA
082372149125 YA
08951410222 YA
085357652286
088269840950 YA
082371841732 YA
082371841733
085378166700 YA
081379702383
088268126082 YA
08990680905 YA
0895608017272 YA
085357879996 YA
082150259920 YA
083839303316 YA
089633496545 YA
08992253410 YA
089601733200 YA
083144036061 YA
085269441216 YA
089618010603 YA
081379861156
081272358869 YA
089699487013 YA
089699487013
082182541494 YA
081904079364 YA
089504992050 YA
089516021185 YA
081378392120 YA
082380937085 YA
082179845808 YA
089505329224
085709087834 YA
081271836277 YA
085839176346 YA
085839176346
082373396666 YA
085268090433 YA
0896705028286 YA
081377909088 YA
085658335663 YA
089508631786
088276741174
082371251019
083140751550 YA
083890732995 YA
0896705028286
089667433475 YA
085788807839
089667433475 YA
082176660079 YA
08975729135
089634263864 YA
088276741174 YA
082113616923
085839770447
083160233624 YA
0895416679600 YA
0895327205550 YA
085841572805 YA
089679996929
082377454184 YA
089513934959 YA
083198010306 YA
0895343214538 YA
0895343214538 YA
083157247999 YA
089521355515
089634013214 YA
0819692602 YA
082371970616 YA
085381991734 YA
089514149047 YA
082269679797 YA
088291102367
083166684059 YA
082373327154 YA
088287843683 YA
081274838873
0895640022343
088268037655
081368936387
0895602306450
082274784119
081271737969
083169841654
089508631383
089654298081
083191566333
083137385068
081373378159
089633491304
085267725325
0895610002046
083890732999 YA
08953206524 YA
089636205094 YA
0895640075415 YA
085377056810 YA
081373791585
085377056810 YA
098517072370 YA
0896313496716 YA
0895131072370
08972600128 YA
08997742208
08127915271
082371517118
0812123443905 YA
081272664219 YA
085384810857 YA
083157698720 YA
085769373100
08994334548
08994334548 YA
089562041631
082278744911
082278744911
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081277211754 YA
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085788269841 YA
085788750951
0813246550005 YA
085788146392
085788140392 YA
085896876925 YA
085766839422 YA
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085647383044 YA
085647383044
085600822192
082278744911
085783500554
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085832212891
089677889148
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085865664283
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085841832765 YA
08986130433 YA
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085764103332 YA
082116617676
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085839755183 YA
082116617676
085841832765 YA
08975774820
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085758228059 YA
082278744119 YA
082278744119 YA
085832568830 YA
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085840151885 YA
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085896217032
085064706628
082282439936 YA
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088994264409
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085809899929
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082278744119
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082371406287 YA
082278744119 YA
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085783013728
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08978951220
082278744119 YA
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082278744119
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082108127920 YA
085839206540
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08978971096
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082278744911
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081324641573
085609069439
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089512944528 YA
0895621400286
085809536603
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082246229985
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085766828461 YA
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085709334861 YA
089632389610
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08988323953 YA
082279104280 YA
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085809201045 YA
081278874538 YA
085767035604 YA
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085341228793
08985253525 YA
085382778877
08286388167
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089513245244
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082130353569 YA
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083809969579
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081278947254
083160792764 YA
08889853039
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087868807467
085764222386
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081366193237 YA
089633580080
085866515705
089628750068
085838408027 YA
089631128338
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082282845793 YA
089690641482 YA
082382978423
08 YA
085764268195 YA
085788100793
085768311062 YA
08985787249
085847785082
0895600029678 YA
081272516185
085840323765 YA
082176655766 YA
08978532103 YA
085380906444
089660057788 YA
081366290064 YA
081369594704 YA
081278806301 YA
082180848855 YA
081279065901
08 YA
081379853922 YA
082175638473 YA
082186105414 YA
081274837064 YA
081278082189
081367688298 YA
085664805200
081377933992 YA
082278744132 YA
082179895294 YA
08228216 YA
0895609938588
081654985650 YA
08974183300 YA
082289067629
088268228425 YA
085267926850 YA
089632333405 YA
082372875588 YA
087710905701 YA
085768513551 YA
081212539190
085268326522 YA
081274312424 YA
082282622275 YA
08980896176 YA
085766817197 YA
082279245345
085939475932 YA
089509051778 YA
082371604899 YA
085838746520 YA
085279734539 YA
081271965578 YA
0895336443900 YA
082175818985 YA
081379656036
081369796625 YA
082186666041 YA
088274337119 YA
0895335229992 YA
085841294054 YA
081212917715
082175806558 YA
081379639906
082178611905 YA
085268366341 YA
085789781538 YA
089685469268
081274312424 YA
089522270308 YA
085379563925 YA
085896961321 YA
0895354449882 YA
081377933992 YA
081367265824
0895367795175 YA
089523767686 YA
0895389623079 YA
085273347308
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081271306931 YA
089630478447 YA
089633187566 YA
081211205686 YA
081993124052
0895323172278
083184988690 YA
082179489504 YA
081278450371
089677889148
089677164404 YA
082129770697 YA
081314141989 YA
089501438040 YA
085764172134 YA
082371363204 YA
085758789701 YA
0895411815200
088286921682
085769641658
085840129024 YA
083173938055 YA
08 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
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10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER
10/11/2021 PFIZER







6/6/2021 SINOVAC

6/6/2021 SINOVAC



Dosis I
Tanggal Pemberian
Vaksinasi
10/12/2021 PAA173696
10/12/2021 PAA173696
10/12/2021 PAA173696
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9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/13/2021 202107137I
9/14/2021 202108156I
9/11/2021 24202321
9/14/2021 202108154G
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 24005221
6/6/2021 24002521 16170981758681
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/13/2021 202107137I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/13/2021 202107137I
9/14/2021 202108156I
9/10/2021 202108156I
9/10/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/10/2021 24202321 16264891737104
9/13/2021 202107137I
9/14/2021 202108156I
9/14/2021 202108156I
6/6/2021 24002521 16170981758681
9/14/2021 202108156I
9/13/2021 202107137I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/13/2021 202107137I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/13/2021 202107137I
9/14/2021 24005221
9/13/2021 202107137I
9/14/2021 202108156I
9/14/2021 24005221
7/31/2021 24004121
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/7/2021 202108154I
9/11/2021 24202321
9/14/2021 202108156I
9/13/2021 202107137I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
Dosis 2
Tanggal Pemberian
Vaksinasi
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
10/12/2021 202108142H
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
2 1 TIKET DOUBLE
2 2 Q-000Y5MJ4
2 3 Q-000Y27SQ
2 4 Q-000Y4SHK
2 5 Q-000XNC4M
2 6 Q-000XPGNL
2 7 Q-000XPGL6
2 8 Q-000XKLV3
2 9 Q-000Y4RA8
2 10 Q-000IWJFZ
2 11 Q-000Y7A9Z
HAMIL/2 12 Q-000XZIK2
2 13 Q-000Y6CVO
2 14 Q-000Y6OEZ
2 15 Q-000XGHJZ
2 16 Q-000IN21D
2 17 Q-000Y49Y2
2 18 Q-000Y5Y9U
2 19 K-0001C56W
2 20 Q-000XLSID
2 21 Q-000Y56QK
2 22 Q-000VM77V
2 23 Q-000Y4S9M
2 24 Q-000XKJI1
2 25 Q-000V1C1L
2 26 Q-000WOPNS
2 27 Q-000Y6CJ6
2 28 Q-000Y60YM
2 29 Q-000XI63Q
2 30 Q-000Y483T
2 31 Q-000YH35N
2 32 Q-000Y6PD1
2 33 Q-000Y6P3I
2 34 K-0001BOPW
2 35 Q-000V3IMJ
2 36 Q-000DAVUA
2 37 Z-0006CQGC
38 P-TG37POKB
39 P-TCYDB7B6
40 P-TDQJBJ5S
41 P-TUUKA6JJ
42 P-TDYGW6JO
43 P-TCQOH273
44 P-U5FLDDO7
45 P-U6EEANXS
46 Q-000OT6YH
47 47 P-V24UKPOO
48 P-V4GJ6YIL
49 P-V100LPWS
50 P-V3AGZZZZ
51 P-V2XAKKBV
52 P-UMJU0TZ6
53 P-UNGS23XN
54 P-UNXXBAZ
56 Y-012ZNCHZ
57 P-UP5EPUV3
58 P-UPZQ595T
59 P-UQFS5X2D
60 P-USPUYXYR
61 P-URBAS526
62 P-UT6H03LG
63 P-UTHH8906
64 P-UU718EBT
65 P-UUGJAY0T
66 P-UURGSHOX
67 P-UVA5501Q
68 P-UW26IG51
69 P-UCLQ2IY
72 P-UZ135KF6
73 P-UXC9ZING
74 P-UZKSEF10
75 P-UXVJAGF
76 T-UY73JKWV
77 P-UYHGI5M9
78 P-UYRSEFNB
79 P-W27F2DC84
80 P-UZC71V49
81 P-UZL7PDBS
82 P-UZUA3XLI
83 P-VO69YYJ5
84 P-VOHZURF
85 P-V0TDQQ7B
86 P-S9D79DB33
87 P-V1DX1V0N
88 P-UPNK05IH
89 P-V2KX6AVH
90 P-UVM96XZ6
91 P-UZU02B37
92 P-UORGVFIJ
93 P-VJD4FMMB
94 P-VJ6I9PVQ
95 P-VITGGUKS
96 P-VIK3UVR6
97 P-VIB094BR
98 P-VHRI76QG
99 P-VJXVYC5R
100 P-VJOOYGOE
101 P-VKWHCTOY
102 P-VKO8A855
103 P-VKGFB9WB
104 P-VKGRCSQP
105 P-VMH3F5ND
106 P-UXVJVA6F
107 P-FCOX7HUQ
108 P-UKIJZE7E
109 P-ULKQDXDN
110 P-ULZARBGF
111 P-UMKYVE5N
112 S-E7E9A8CC
113 P-UPEWFYP5
114 P-UPU335RE
115 P-UQGBLRCO
116 P-UOQ09C6B
117 P-URZ66BNZ
118 P-URF3LHS6
119 P-URPMDFAG
120 P-USL4V4Q8
121 P-UTSIUUX
122 P-UTQMCG1Q
123 P-UXLFEGL0
124 P-UU0HYO7K
125 P-UUBYYWIK
126 P-UWIKLBF4
127 P-UWT1NMPU
128 P-UX3TAGXR
129 S-581DOFCC
130 S-634FC8F7
131 P-UYKILK5K
132 P-UYTJ5RZG
133 P-UZ6CL263
134 P-V4BOTLS5
135 P-UTHLTZX
137 P-VHNN2L5A
138 SUDAH TERDAFTAR DI POLRES
139 P-VID74DCM
140 P-VIZB5EOT
141 P-VI0HHT6D
142 P-VJ0QOHPU
143 S-EIAFF426
144 P-VKV642PW
145 P-VKKZZP1T
146 P-VKPGLJNM
147 P-VL46JABE
148 P-4C8IA7DB
149 Y-012ZA1XK
150 P-TXXXXBPC
151 P-TPPBADJDK
152 P-TXXXXK60
153 P-TJBEZPP
154 P-TGHKRF04
155 P-TCDOJO0U
156 P-TMODRYRO
157 P-TLL90CBR
158 P-TQGPE284
159 P-TKVC20Y5
160 P-TPJIWV75
161 P-TJORIY7G
162 P-TKUGBH5
163 P-TJE5ZAFU
164 P-T9KFITL2
165 P-TINQXR50
166 P-TI3OMECN
167 P-TDHDYSOR
168 P-THJ921E7
169 P-TEHAE3Q4
170 P-TKBX4BHY
171 P-TO2D7S43
172 P-TH7UX555
173 P-TMYTBML4
174 P-THZNI3KR
175 P-TM8GEVXC
176 P-TJ71QOYE
177 P-TOM9EBES
178 P-TKB5RWVN
179 P-TLDTMJHG
180 P-TM50243T
181 P-TOWVD4AU
-35791 182 P-TQHYY8NL
CAPIL 183 NIK TIDAK TERDAFTAR
184 P-33LEXP0Y
185
186 P-VAN8F277
187 P-VIP6ECQX
188 P-V2A7U3SR
189 P-V2QBPURN
190 P-V36MAPXM
191 P-V3KH57A4
192 SUDAH TERDAFTAR
193 P-V47MNMLD
194 SUDAH TERDAFTAR
195 SUDAH TERDAFTAR
196 P-V5EXYSHD
197 P-V5TYLNN
198 P-V6BCP7U
199 P-V6XBYELI
200 P-VBS5QXOQ
201 SUDAH TERDAFTAR
202 P-VCLFFGDQ
203 P-VD6FL2PB
204 P-V9J4DYZF
205 P-VA5HVANX
207 S-4B1C4ECS
208 P-V7XSLE96
209 P-V9039RAU
210 P-VHNONFIQ
211 P-VDQXWQVW
212 SUDAH TERDAFTAR
213 P-VE548W7M
214 P-VE676H5X
215 P-VFNYB6O
216 P-VXXXXOAK
217 P-VIXDGYCI
218 P-VJK7CSHN
219 S-B238DB7E
223 P-VL27WDBA
224 P-VLSBZ424
225 P-VLXD2DX0
226 P-VLEGCHT1
227 P-VM5SBVG
228 P-VMJGAAQS
229 P-VLGRFJDN
230 S-3DC514EE
231 P-VIDIKC7K
232 P-VAE76UUX
233 J-0XCVRH6A9
234 P-VF7L141Q
235 P-VFJOFE6B
236 P-VKJJ73YC
237 P-VMLEC07X
238 P-VMZPGHBQ
239 P-VN8CXZ7
240 P-VMTSP5IC
241 P-VNC9LYOZ
242 P-VNMRFTAGE
243 P-VL4MYIRD
244 NIK TDK TRDAFTAR
245 P-VL64RS0R
246 S-34FEC776
247 P-374A6874
248 P-XJDV35R
249 P-VJCMI81S
250 P-VKSDRR78
251 P-SWN30DIAH
252 P-T2TRNZKM
253 P-T5VLKK33
254 P-T74BGCUY
255 P-T87DOWXI
256 P-6SWEBJKZ
257 P-79ADHVYL
258 P-17872BN4
259 P-13F9NGLD
260 P-7L00AZOY
261 P-TAYWENIX
262 P-TC1OFN90
263 P-TCZ94FGD
264 P-TDWHMDWC
265 P-TEXQ0QQ3
266 P-7RDGDL5G
267 P-7XAHY44U
268 Y-0118LPP
269 P-8G9LNRUA
270 P-8PME2DJV
271 P-TI35M81P
272 P-TJ4IIYWB
273 P-TJU34Q2R
274 P-TK05MD3
275 P-TK9DODQA
276 S-698EOB2I
277 P-9C3XWGH
278 P-9K5FFX73
279 P-9T3JODWV
280 P-A603AJ8R
281 P-TOWBNUY6
282 P-TPTV3TP9
283 P-TQKDYKST
284 P-TRHEVQZS
285 P-TS6SR731
286 P-ACRTPZAY
287 P-IPQYROM
288 P-BI9FKR5X
289 S-790270EB
290 P-BUNG8UHU
291 P-TWBBXRNI
292 P-TV4Z3IV7
293 P-TXC2NI6D
294 P-TY6BMUY5
295 NIK TDK DITEMUKAN
296 P-HIGPGJQO
297 P-6JBPA425
298 P-U1ZSOVRD
299 P-V38QMMQV
300 P-U451YFOS
301 P-U566BISA
302 P-U7H1Y1CR
303 P-U8IQZR27
307 P-GFZKC6ZS
308 P-GRER3BU1
309 P-IBH99P8Q
311 P-UFFXTGJV
312 P-UGU66IKZ
313 P-U1II3636IX
314 P-UJ7NIWMV
315 P-UK21DRFS
316 P-UKZOJZK3
317 P-VLYJESIO
318 P-UMMGB2W5
319 P-VNEEZS6A
320 J-0000WRIA
321 P-VOBJR0LB
322 P-V05QSR4T
323 P-UPDE2ATT
324 P-VPY1GTG8
325 P-UQNBBO0K
326 P-VR75AHQA
327 P-VRQGZ2N9
328 P-VV6SXKBB
329 P-VVMYNEJY
330 J-0006FHD7
331 S-2AFDC882
332 P-P2L3G2Z4
333 P-PHF34ZQ8
334 P-UT4IZH2P
335 P-G62KQEH6
336 P-HSQULJTG
337 P-UVGT8NGN
338 P-KFLQ561E
339 P-UW8X3D6K
340 P-UWNUYANK
341 P-UXOUS1BZ
342 P-OKYQ1VPD
343 P-UXYNOZXQ
344 P-HW9SIR30
345 P-UYTYLWMZ

347 P-VZMUHHK2
348 P-V04A91JA
349 P-VOS7O5TW
350 P-V1CYCOT0
351 P-V1SWRWI3
352 P-V2E5Q5L7
353 P-ICJ0JENN
354 P-KZWY2DQ
355 P-N5J5T3H6
356 P-OQA85N96
357 P-QCEKHDRS
358 P-SIRQTU9F
359 P-SMLCQNOZ
360 P-SQLQ94CI
361 P-SWSME36
362 P-SZYKYBJ4
363 S-098A337H
364 P-TGSJLPXY
365 P-T8366JGDD
366 P-T9PIMUZY
367 P-TAOUGB06
368 P-TCZN1YKD
369 P-TE1SG25B
370 P-TF73KRBS
371 P-T3AXNLXO
372 P-THBB6GFF
373 P-TICNHLUE
374 P-TJ8YF085
375 P-TKK890Z7
376 P-TLL8ZMS1
377 P-TMQZN196
378 P-TODSZSN
379 P-TP716JCSR
380 P-TQDJRVHA
381 P-TRADZMVZ
382 P-TS7VE1FD
383 P-TT8MH98F
384 P-T473V30Q32
385 P-U3525ED8
386 P-U352SED8
387 P-U5VPFM12
388 P-U83VTF91
389 S-8B7A330737
390 P-UAP5G10FC
391 P-UBRJKWT4
392 P-TW62WA1A
393 P-TY1KR4LR
394 P-UOHSEMV6
395 P-U2DQSQ6R
396 P-U493YHG4
397 P-U5DZ9AEE
398 P-UGRXRQ2W
399 P-U8TTHG1G
400 P-UAI1IT1N
401 P-UBISDAXQ
402 P-UCEEGNAV
403 P-UDCL227V
404 P-UE74TMFV
405 P-L71XQV53
406 P-UFOA7RQA
407 P-UGMBP6ZF
408 P-UHK1D890
409 P-UIGBJXF2
410 P-UJR093LO
411 P-UXXXXZAF
412 P-UKGJ1TAO
413 P-ULJ62801
414 P-UME5QAQ5
415 P-UOWGROLC
416 P-UOANEMEY
417 P-UPV262GK
418 P-UFAIL8LL
419 P-UGK6ZCQK
420 P-UJMXEFO3
421 P-UKGPBVVV
422 P-ULCB4URQ
423 P-UMHRR01G
424 P-UNJF7PHK
425 P-U0DQJNQG
426 P-UPOAUPG8
427 S-CF0008CG
428 P-UQIYS035
429 P-UQLX6HNI
430 P-UR6NJGEC
431 P-URNSXOMD
432 P-USCVIFKI
433 P-USOWOKRH
434 P-USSAN7BO
435 P-UTC2PYRM
436 P-UTQWNNSP
437 P-UYM2OEES
438 P-UZ808F80KF
439 P-VO4KPCPS
440 P-V0OLXA25
441 P-V1MB12ENY
442 P-V2YUUYRXK
443 P-V20P32Z3H
444 P-V3BJNLTR
445 P-V35VGY35T
446 P-V2MQ6XPT
447 P-V1YQFVX1
448 P-VPV3MJASQ1
449 P-V49NS1PB
450 P-V4MEPT79
451 P-V45W9SAX
452 S-8140A55C
453 P-V50JFUDS
454 P-V67SE18U
455 P-URRMAD56
456 P-UTBJ6AUP
457 P-U9RBPNX
458 P-UVN2UAWA
459 P-UWIGLYU9
460 P-UX4LE89L
461 P-KHP3GZCY
462 P-VYI3IP8R
463 S-09EB11ED
464 P-VZPF8TOM
465 P-VHE7DN1R
466 P-V1NPB0IE
467 P-V2DLGFYL
468 P-VGSRU7GD
469 P-V3EN50ZP
470 P-V42RECRZ
471 P-V4VB9QQL
472 P-V5SWINBV
473 P-VGNQLJ3M
474 P-VG32CJJR
475 P-VG70GJ9E
476 P-V89E5HPO
477 S-FOD91407
478 P-V962VAZL
479 P-VAZQNO8V
480 P-TMH7K8FI
481 P-TOZRDKTR
482 P-TQXGQBH8
483 P-TSJXETSD
484 P-TTW969H0
485 P-TV4CYR9O
486 P-TW37PBHX
488 P-TXQAUTMG
489 P-TZ7NMHJI
490 P-U0E0Y9PY
491 P-U1UL1CHT
492 P-VBHCAV9P
493 S-30C61D7A
494 P-VCE1PDNR
495 P-VDCVN6XJ
496 S-76C5451A
497 S-110F2FA5
498 P-V3XZQFIP
499 P-V2Y32UQM
500 P-V04B2D6F
501 P-V1IXIA2N
502 P-UYSVQYMG
503 P-LKGNQMEC
504 P-UWFPDPSE
505 P-UVGM4E4D
506 P-UUL2ROK5
507 P-UTFWC2CM
508 P-USGAJ68L
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871081011720011
1871081909020002
1871080405940003
1871082408000001
1871084410700002
1871085610860002
1871085608860002
1871094411790005
1871082412000007
1871070202990007
1801040608800012
1871094102010004
7571062203060002
1802051505040003
1871012211740007
1871072606980011
1871081512030001
1871085202750006
1871085709050001
1871094604770003
1871081110870004
1802117006030001
1871080101690019
1871081009020002
1802012910790001
1802071212780005
1802151704760002
1802140509710004
1871050309070003
1871071302000005
1807136505760004
1801071907940002
1801070603950001
1871120606960014
1802071712810006
1871186603880001
1871080506880010
1871056903960006
1807125106020002
1802046509020002
1807126302020003
1871086808900001
1807127112020003
1803130303940001
1802154906000001
1871121711810000
1871092701830003
1871095608020004
1871096505050003
1871091405940007
1871091007020002
1871096106020003
1871094807750007
1871094602940002
1871096410740004
1871091705840004
1871090808890009
1871096408970005
1871094107010078
1871090812810001
1871094206830004
1871096110060002
1871090707880008
1871094001070006
1871085810960004
1871090301960002
1871092312800001
1871094505880008
1871091207700007
1871094606920001
1871091508780008
1871031112940003
1871095508750006
1871094510690005
1871085009890004
1871092402740004
1871690201870002
1809051212900001
1871092906850006
1871090902830003
1871080208900005
1871090246500004
1871095207980005
1871094407830004
1871091111690010
1871090806820004
1871094207970003
1871082501830003
1871091405940007
1871094210910005
1871096209960006
1871085011010003
18710962099990004
1809055806980006
1871095910820002
1871086609950007
1871090607730010
1871091410080001
1871096601740001
1871091204690012
1871095002740006
1871086809000002
1871096009060001
1871092009060002
1871064207080006
1871094212710003
1871097001810001
1871096106730004
1871094304680001
1871090505980004
1871095803870004
1871130401860003
1871035012890003
1871096912980006
1871071002820017
1871094410720002
187107441180005
1871096307970006
1809054612970003
1871094112070003
1871092103790003
1871090607910003
1871092511800007
1871084701940002
1871096205850006
1871096307830006
1871087103960002
1871094106010004
187109550250002
1871094607950007
1871090812890006
1871091509820005
18710503110750001
1871094212710003
1871091204850009
1871095803030005
1871132712970003
1871094506870004
1871094407940005
1871095005790004
1871094702620002
1871095008720007
1871090210420001
1871092308920002
1871066802990002
1871090511800004
187109570500001
1871095505750005
"1871084107980001
"1871084505770003
`1871082710740001
187081109040003
1871085206650006
1871084605900002
1871046104840006
1871084707780001
1871085404670005
1871081707980002
1871086903790005
1871086705880001
1871085712670002
1871083107840004
1871084808870010
1871081608030001
1871086207940001
1871081305850009
1871084201060004
1871086004950003
1871041011790005
1871080207940007
1871084407710003
1871085609926914
1871085409920004
1871082711860003
1871080108640004
1871086711800001
1871095511970002
1871085112990001
1871081303850008
3203051011800010
1871081202850001
1871080907050002
187108508080013
3301046001810003
1871085011820007
1871081105920006
1871084609850003
1871080909020007
1871085208620002
1871082310850006
1871085104870004
1871084403730002
1871191411860001
1871086707810004
1871125010850016
1871085808690006
1871084507850020
1871081404610004
1871086712030001
1871085011820007
1871084508640004
1871081710070001
1871084611960002
1871084610850008
1871087101840003
1871084706810006
1871084805450001
1871084703620003
3326101407830004
1871072904830003
1871086504820001
1871085006860006
1871070909760005
1871072912800008
1871080705650006
1871082711740001
1871084605810005
1871084207750005
1871085606550001
1871076002700005
1871082106060004
1871085612670001
1871081305660001
1871084112670003
1871084104780007
1871084311890006
1871084206730004
1809055010940001
1871081001830013
1871081101590003
1871084808780004
187108052700004
1871082108040004
1807114508930004
1871084107700020
1871085602860001
1871080510670008
1871084612880005
187184803640001
180122610490002
1871084306690007
1871084607780004
1871084711680003
1871075402750003
1871083005990002
18710810114400001
1871082505540001
1871081704840009
1871084212900002
1871105007970001
1871080706700003
1871085401730002
1804105204940001
1871080606080006
1871086208710001
1871082108830002
1871084502690001
1871085107830011
1871084102010002
1871084811690002
1871085111820004
1871080710880012
1871204408000001
1871084404910007
1871084503740001
1871081010660004
1871085509760002
1871081712720002
1871081203940008
1871086901950004
1871086409940003
187107451063009
1803077105010002
1871080202030002
1871082612930001
1871085509590002
1871086307730002
1871086212760002
1871084604650001
1871086503700001
1871084641080008
1871080201700003
1871080501940001
1871085102960010
1871085205850004
1871086106670002
1871080406030004
1871081103660001
1871086207550001
1871081407870008
1871086001830005
1871080710800002
1871086711810001
1871084202700003
1871086707920004
1871085803030005
1871086002730001
1871085407810004
1871061503950002
1871086709010002
1871084206690004
1871085208740008
1871081801660005
1871084510940001
1871085511770002
1808105010740007
1871084510800005
1871086503870001
1871080311010002
1871081903590004
1871081708750014
1871084506810005
1871080110910004
1871085607770004
1871081306710001
1871081212810002
1871080602820004
1871086103970002
1871086711850003
1871084907030003
1871085406960001
1871091108850001
1808066806740001
1808066909970001
1871081203770007
1871084203800001
1871080202960003
1871082412960003
1871094402860002
1871080402000001
1871082103430001
1871090503050004
1871086702800002
1871081807000004
1871085907900006
1871032211880002
1871096304740001
1871084510960010
1871090101720020
1871086006960006
1871056804880008
1871092705030005
1871081309760002
1803225010880001
1871092704020003
1871092350400002
1871082003650009
1871084811640001
1871082405930011
1871085503820001
1871085407920006
1871076111920006
1871085502900003
1871081203000015
1871084701790008
1871080706800012
1871085704850001
1871081911620002
1871081106020001
1809052308820006
1871082711000003
1871084903810002
1871085502600002
1871086505830005
1871082508850001
1871080911810002
1871086603860005
1871081007610001
1871085004830001
1871082005730007
1871085804870005
1871086707700001
1871084504780003
1871085012690004
1871084308670001
1871080806820005
1871084907730011
1871080606940003
1871084507670008
'1871096505670006
1871080708630001
1871084408970005
1871084604780004
1871085003980003
1871082901970004
1871084809000002
1871082808780006
1971084706630002
1871084304570001
1871080401760008
1871086211800004
1871084507650010
1871085604750005
1871080107840036
1871084710700004
1871081504060005
1871080405040004
1871085003800016
1871085212850004
1871081906930003
1871081802800005
1871080307650010
1871080406750004
1609054503920001
1871086606860007
1871086110820005
1871085701930001
1871080201770001
1871080712820008
1871086701930001
1871081211890001
1871080405650007
1871085003970010
1871085006780006
1871080310960002
1871085210700003
1871085207660001
18710884906040003
1871084309000008
1871085107980004
1871086004980006
1871084508740006
187108260303004
1871086512020004
1871084705020009
1871081211810004
1871085301520001
1871084202900012
1871085502700007
1871084901870005
1871085603610001
1871086905950003
1871085005920001
1871082407780001
1871085202610002
1871081704760005
1871084309960005
1871094410770004
1871086712910005
18711088404650004
1871080811870001
1871080808750010
1871084104040004
1871084412060003
1871035204960003
1871086405960001
1807014705930008
1871080101810007
1871080809820005
1871080804740007
1871081207790012
1871085703560001
1871085505790002
1871085203650005
1871071208770008
1871084504840006
1871075006910007
1871086708030001
1871084405790004
1871086410740001
1871092510990004
1871086505630003
1871081011740003
1871085606860008
1871083005880005
1871085802720004
1871081708700008
1871085604770004
1871081004740003
1871086801950001
1871084503670005
1871081112740002
1871080808690008
1871085808670003
1871081308700013
1871085612880002
1871080610570001
1871087004770009
1871086804990007
1801212609940002
1871085505720008
1871085402990001
187108192920003
1871085209000003
1871081404030005
1871086106720003
1871082806680001
1871080331203004
1871094607820007
1871085406740001
1871066509840006
1871081206050006
1871085004580006
1871201708640001
1871205907890001
1871080806570001
1871082503560004
1871084207660002
3275082209850027
1871080803850004
1871085710680002
1871052804000006
1871086605780003
1871080102700009
1871083003020002
1871085112700004
1871084502710004
1871084409740004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU / 13-10-2021
Jenis
Kelamin
RICHARD NIXON L D 10/11/1972
M. WAHYU PURIANTO L D 19/09/2002
RAHMAT HIDAYAT L D 5/4/1994
ANGGA SAPUTRA L D 8/24/2000
TUPIKAH P D 04/10/1970
ROHIYAH P D 16/10/1986
FITRI YUNI P D 16/08/1986
WIDYA ASTUTI P D 04/11/1979
CHRISTIAN NURYANTO L D 24/12/2000

MUHAMMAD RANA GIFAR L D 02/02/1999
SENTOSO L D 06/08/1980
PUTRI NURAINI P D 01/02/2001
FANDY A TULULI L D 3/22/2006
DICKY MAULANA L D 15/05/2004
DEDEN SEDIAWAN L D 22/11/1974
ANDIKA PRASETYO L D 25/06/1994
REDHO ADVIANTO L D 15/12/2003
TARSUMI P D 12/02/1975
AYU PUJA SARI P D 11/04/2003
HALENA P D 06/04/1977
TOHA MACHFUD L D 11/10/1987
DWI YULIANA P D 30/06/2003
YOGA MULYANA L D 10/09/2002
ANDES HANDONO L D 12/12/1978
KUSYADI L D 05/09/1971
M PANDU RADITYA L D 9/3/2007
WAHYU KURNIAWAN L D 14/02/1999
SUTINEM P D 25/05/1976
SUBIYANTO L D 7/19/1994
RIYAN HIDAYAT L D 06/03/1995
RENALDI L D 06/01/1996
IFTORI MERLINDA P D 26/03/1988
YUDI YANTO L D 05/06/1988
ZELINIA P D 29/03/1996
ILUH AYUNI P D 6/11/2002
DELLA ANGGRAINI P D 9/25/2002
KOMANG AYUNI P D 2/23/2002
SRI UTAMI P D 20/10/1997
NI WAYAN ABELIA P D 13/10/2003
KAMTORI L D 03/03/1994
AGUS PURNOMO L D 11/17/1981
SOPIAN L D 27/01/1983
SITIMAINAH P D 16/08/2002
SABILA P D 25/05/2005
YADI L D 5/14/1994
NAJIB L D 7/10/2002
SINTARAHAYU P D 21/06/2002
SAPTRIAH P D 08/07/1997
SANTI P D 06/02/1994
WATI P D 24/10/1974
M SAHRONI L D 17/05/1984
WAGIMAN L D 08/08/1989
MALASARI P D 24/08/1997
FITRIAPRIANI P D 28/04/2001
HAYATI P D 12/27/1981
SARINAH P D 6/2/1983
SUTIRAH P D 21/10/2006
IWAN L D 07/07/1988
DILAUTARI P D 05/01/2007
SAMIN L D 03/01/1996
AHMAD FAUZI L D 23/12/1980
SANTI P D 05/05/1988
WAGIMUN L D 7/12/1970
SUPARTINAH P D 6/6/1992
SUKARMAN L D 15/08/1978
RIDWAN SUKMA L D 11/12/1994
KUSNATI P D 15/08/1975
SUTIK P D 05/10/1969
ARSAH P D 10/09/1989
ANSORI P D 24/02/1974
SUPRIYANTOI L D 02/09/1987
EMAN L D 12/12/1990
TURONO L D 29/06/1985
SUTARMAN L D 2/9/1983
SADIONO L D 8/2/1990
PONIMIN L D 4/2/1965
AMSIAH P D 6/12/1995
SUHANA P D 7/4/1983
SANTOSO L D 11/11/1969
EFENDI L D 6/8/1982
HERNIAWATI P D 02/07/1997
RUDI HARTONO L D 1/25/1982
YADI L D 5/14/1994
ENDONG P D 10/9/1991
SRI LESTARI P D 9/22/1996
RISA SEPTIANI P D 9/22/1999
LENI MARLINA P D 6/18/1998
AAN DARWATI L D 10/19/1982
MINI P D 9/26/1995
M.BASIR L D 7/6/1973
MIUHAMAD NURIL L D 10/14/2008
SUPIYANDI L D 4/12/1969
NUR SANAH P D 2/10/1974

UMINAH P D 9/28/2000
OMI P D 6/20/2006
EKO L D 6/20/2006
TEVANY P D 7/2/2008
SARMANAH P D 12/2/1976
SRI PATIMAH P D 30/01/1981
RATNA WATI P D 21/06/1973
ELI SAPUTRA L D 05/05/1998
FATMA WATI P D 18/03/1987
BAYUMI PUTRA L D 04/01/1986
YANTI YANI P D 12/10/1989
ROHAENI SETIA NINGSIH P D 29/12/1998
ANDRIYANSAH L D 2/10/1982
SUPIATUN P D 10/4/1972
DAHLIA P D 04/11/1980
ASRI YULIANTI P D 23/05/1997
SUSIANTI P D 06/12/1997
ANGGI SAPUTRI P D 01/12/2007
SAKIB L D 3/21/1979
BAHRA L D 06/07/1991
HANAPI ISMAIL L D 11/25/1980
ELSA WIDIASARI P D 1/7/1994
SRI WATI P D 5/22/1985
MASNI P D 23/07/1983
EMELIA SAPUTRI P D 31/03/1998
HUSNAWATI P D 01/06/2001
SITI HOLIPAH P D 2/15/1950
HIDAYATI ISTIQOMAH P D 7/6/1995
PURNAMA L D 08/12/1989
DARMANTO L D 9/15/1982
SAPRIA P D 03/10/1976
SARMANAH P D 02/12/1971
MASRIANTO P D 12/04/1985
AGNES APRILIZA P D 3/18/2003
LUTPIDIKARA L D 27/12/1997
ZAITUN P D 05/06/1987
SUHENAH P D 09/09/1994
SITI HARTATI P D 10/05/1979
RUKMI P D 07/08/1962
SURTINI P D 8/10/1972
BOIMIN L D 10/2/1942
SARNEN L D 12/01/1995
HENI PEBRIANI P D 2/8/1999
MAHDI L D 05/11/1980
SENEMI P D 20/05/2000
JOHERLINAH P D 5/15/1975
ISABELA P D 01/07/1998
SAMIWATI P D 05/05/1977
HAIRUDIN LATIEF L D 5/2/1993
HUMAIROH P D 13/03/1964
M.DITYA ZULKARNAEN P D 11/09/2009
MARYULI P D 12/06/1965
ROMADIAH P D 7/9/1971
KARMINAH P D 07/07/1978

DAIYAH P D 27/05/1988
KARSUMI P D 17/12/1967
SOFYAN L D 31/07/1984
CHORUL PRATAMA L D 16/08/2003
JUMIATI P D 7/22/1994
SUARDI KARDIJAYA L D 5/13/1985
SOPIAH P D 1/2/2006
FENI APRIYANI P D 20/04/1995
WILSIM L D 02/07/1994
ROMADIAH P D 7/4/1971
ENDANG SURYA NINGSIH P D 7/17/1989
ABDUL GANI L D 11/27/1986
AGUS SALIM L D 01/08/1964
SUYANI NOMARIDA P D 27/11/1980
LILI DIANA NURLITA P D 15/11/1997

KRISNAWATI P D 12/11/1999
RAMA DONI L D 13/03/1985
SOPIAN L D 10/11/1980
SAHRUL L D 12/02/1985
MUHAMMAD DWIKI SAPUTRA L D 09/07/2005
IRMAWATI P D 13/09/1982
SUKIWEN P D 1/20/1981
AISAH P D 11/10/1982
R. BENTAR PUTRA PRATAMA L D 5/11/1992
MISNAH P D 06/09/1985
MIFTAH P D 05/09/2002
ROSLINA L D 8/12/1964
AHMAD JAINI L D 10/23/1985
HALIYAH P D 4/11/1987
WIDIA WATI P D 7/27/1981
DARSIAH L D 10/10/1985
SUTATI P D 8/18/1969
MAHLIA P D 17/05/1984
R. TEDDY HERMAWAN L D 4/14/1961
TASYA WATI P D 12/27/2003
AISAH P D 11/10/1982
ALIYEM P D 05/08/1964
M. EXCEL ALFARIZI L D 17/10/2007
MASTUFAH P D 06/11/1996
LIA SARI P D 06/10/1985
DESRA P D 6/7/1981
MARYAM P D 08/05/1945
SITI BUNAYAH P D 07/03/1962
DAMURI P D 02/10/1979
ARI HANDOKO L D 4/29/1983
FATMA WANA P D 25/04/1982
OKTA ZUNAINI P D 10/06/1986
SUKMA P D 09/09/1976
M. ISA L D 29/12/1980
KEMI L D 07/05/1965
JUHRI L D 27/11/1974
HERAWATI P D 06/05/1981
SABAH P D 02/07/1975
SUARNI P D 16/06/1995
YUYUN YUNINGSIH L D 16/03/1993
ZIKRI MAULANA L D 6/21/2006
LIA RISA HARTATI P D 16/12/1967
KHAIRUL ANWAR L D 13/05/1966
SUTRI LILIS P D 01/12/1967
NUR LELA P D 01/04/1978
NENI NOPIANTI P D 03/11/1989
AYU OKTAVIA P D 10/10/1994
M. RUKINANTO L D 10/01/1983
L D 11/01/1959
HERNIZAL
TURINI P D 08/08/1978
ZUL ANWAR L D 2/5/1970
RISKY S L D 21/08/2004
AMBAR WATI P D 05/08/1993

ELI UMIYATI P D 01/07/1970
SARNI P D 2/16/1979
SAHIRIN L D 05/10/1967
EVA AMELIA P D 12/6/1988
L D 3/8/1964
MASRONI
SITI K P D 4/21/1990
KOIMAH P D 03/06/1969
AMINAH P D 06/07/1978
SUHARA L D 07/11/1968
SUNDARIAH P D 2/14/1975
HERDIANSYAH L D 30/05/1998
NURYASIN P D 11/10/1944
MUSLIM L D 5/25/1954
SAMSUL L D 4/17/1984
MUNAYAH P D 02/12/1990
MARNI K P D 10/07/1997
L D 07/06/1970
SAMSUL BAHRI
ELIYA ROZA P D 14/01/1973

BETA PUNAMA SARI P D 4/12/1994
AHMAD ANDRI L D 06/06/1986
ROAIDA P D 22/08/1971
MARYANTO P D 21/08/1983
LIA WINARSIH P D 2/1/2001
P D 11/8/1969
JUNAINAH
YURNAWATI P D 11/11/1986
YANTO L D 07/10/1988
LINCA ASIKI P D 04/08/2000
SISKA MILA P D 04/04/1991
SELIYANI P D 3/5/1974
SARWONO L D 10/10/1966
TITI SURYANAH P D 9/15/1976
M. PIRDAUS L D 3/12/1994
ANA SUSANTI P D 29/01/1995
SITI KHOLIJAH P D 24/09/1994

ANISIA RAHAYU P D 31/05/2001
SOBAR L D 02/02/2003
DEDDI SAPUTRA L D 26/12/1993
SARTINI P D 15/09/1959
SULASNI P D 7/23/1973
DESI JUMILDA P D 22/12/1976
SUYASMI P D 06/04/1965
PONINGSIH P D 17/08/1996
KHOIRIYAH L D 10/24/1980
ROZALI L D 02/01/1970
HENDRO L D 2/14/1990
EVILIANI P D 2/11/1996
TRI SUGIATI P D 12/05/1985
LENI MARYUNA P D 21/06/1967
FERI ARI YANTO L D 04/06/2003
SUTIMIN L D 11/03/1966
SALBIYAH P D 7/22/1955
GIGIN GINANJAR L D 14/07/1987
ARNAH P D 1/20/1983
MANSYUR S L D 10/7/1980
SITI MARYATI P D 11/27/1981
SUNYANA P D 02/02/1970
SESI ARDILA P D 27/07/1993
MUSLIAH P D 2/20/1973
HERLINA WATI P D 7/14/1981
RESTU PRANATA P D 15/03/1995
SEPIYANA P D 9/27/2001
SUKINI P D 02/06/1969
RUSMINI P D 12/08/1974
BUNYANA L D 18/01/1966
HERDA YANTI P D 10/5/1994
HELNAWATI P D 15/11/1977
ROMI YATI P D 10/10/1974
UNARSIH P D 15/12/1985
MARIA ULFA P D 25/03/1988

LAMSA ANGGA DINATA P D 03/11/2001
SANWANI L D 3/19/1959
YONO L D 8/17/1975
LINDA P D 6/5/1981
NISAR L D 01/10/1991
MASILA P D 18/07/1977
SAINUL L D 6/13/1971
NUDIN L D 12/12/1981
BUDI SANTOSO L D 2/6/1982
NUR RENI P D 3/21/1997
MUNIRAH P D 27/11/1986
SINTIANI P D 7/9/2003
SURASTI P D 6/14/1996
SATRIA L D 8/11/1985
RESI ASTUTI P D 9/29/1997
EDI GUNAWAN L D 3/12/1977
HAYATI P D 3/2/1980
SOBRI L D 02/03/1994
M. NUR RENDI L D 12/24/1996
LILIS NUR H P D 04/02/1986
RAHMAT RIZKI L D 04/02/2000
SASTROWIYONO L D 21/03/1943
YAYAN ARDIYANSYAH L D 05/03/2005
RYAN FIRZAL L D 7/18/2000
YULIYANTI P D 18/07/1990
ADE SUPRATNO L D 22/11/1988
ATI P D 23/04/1974
SITI MAYSAROH P D 10/5/1996
HERMAN SAWIRAN L D 01/01/1972
RATIH ASIH P D 20/06/1996
ELIA SOFA P D 28/04/1988
DANU ALFIANSYAH L D 27/05/2003
SAIKUN L D 13/09/1976
MAYA TIRTA SARI P D 10/10/1988
AMAS SHOLEH L D 27/04/2007
MUHAMMAD DIKY PRATAMA L D 23/05/2004

SAHERMAN L D 20/03/1985
SIGIT PURWOKO L D 5/24/1993
RESMIDAYANTI P D 15/03/1982
MIRAWATI P D 14/07/1992
AYU KURNIA SARI P D 21/11/1992
ITA ROSITA P D 15/02/1990
PEBRI GUNAWAN L D 12/03/2000
SUPRIYATI P D 07/01/1979
MAD MUZANIR P D 6/7/1980
ABDUL HAMID L D 19/11/1992
MUHAMMAD RIDHO L D 11/06/2002
MANSUR L D 23/08/1982
ERIK SAPUTRA L D 27/11/2000
AMRI KULSUM P D 09/03/1981
SITI NGAFIYAH P D 15/02/1960
MAD SARI L D 24/07/2008
MANAN L D 11/9/1981
SUARTINI P D 3/26/1986
SYARIFUDIN L D 10/07/1961
SARKA L D 02/05/1973
NIA FAUZIAH P D 18/04/1989
TARYATI P D 17/07/1970
SITI MAIMUNAH P D 05/04/1978
RUMIYATI L D 3/6/1963
RONI L D 6/8/1982
ROHAYA P D 09/09/1973
AHMAD ROBI P D 06/06/1993
SURNI P D 05/05/1967
HAERUDIN L D 07/08/1963
SITI NURLELA P D 04/04/1997

ALIYAH P D 06/04/1978
EVA YULIANA P D 10/03/1998
RENDI RAMADANI L D 29/01/1997
YULI ILPAYANI P D 9/8/2000
SUHEMI L D 8/28/1978
MASKAH P D 6/7/1963
ENI P D 4/3/1957
ROHENI L D 4/4/1976
NANIK KUSTIYANI P D 11/22/1980
NURMI P D 7/5/1965
MASTU P D 16/04/1975
RUSDI L D 7/1/1984
YATI P D 10/7/1970
RIZKI MUSLIM L D 4/15/2006
ALIP SULAIMAN L D 5/4/2004
SRI MUSTIKA WATI P D 3/10/1980
EMA SUTRIANI P D 12/12/1985
SANUDIN L D 6/19/1993
AHMAD SAFRUDIN L D 2/18/1980

SURYA L D 6/4/1975
ELMAWATI P D 3/5/1992
YENI PITRIA P D 6/26/1986
LINDA OKTAVIA P D 10/21/1982
LINA SARI P D 1/17/1993
TRI HARYANTO L D 1/2/1977
NURYANA L D 12/7/1982
ASTU LIYAH P D 1/27/1993
KOSIM L D 11/12/1989
OENTARA L D 5/4/1965
NILA SARI P D 11/10/1999
SUKAESIH P D 6/10/1976
URYANI L D 10/3/1996
HAMIDA P D 10/12/1970
OMI P D 7/12/1986
RANI AIYA RAHESTI P D 6/9/2004
PUTRI ERIANTI P D 9/3/2000
SELLI P D 7/11/1998
YAYANG SARAHVIKA P D 4/20/1998

ITA P D 8/5/1974
ROBI HIDAYAT L D 3/26/2003
DHEA NOVITA P D 12/25/2002
SITI ROSLINAH P D 6/7/2000
SARTONI L D 11/12/1981
NANI SUMARNI P D 2/2/1990
HAYATI P D 2/15/1970
ANITA WIHARI P D 1/9/1987
ROHANA P D 3/16/1961
ELIYANA P D 5/29/1995
MUMUN P D 5/10/1982
ROHMANI P D 7/24/1979
SISWANDI SE L D 4/17/1976
SRI MAISAH P D 9/3/1996
SUSI SANDRA P D 10/4/1977
LINA P D 12/21/1991
ROKIMAH P D 4/4/1965
JUNDU L D 11/8/1987
MARJUKI L D 8/8/1975
SALMAH P D 4/1/2004
NILA SARI P D 12/4/2005
WINDA PERMATA SARI P D 2/22/1995
WIKA WIDYANTI P D 5/24/1996
ASMINAH P D 6/7/1993
UNUS L D 1/1/1981
ROFI L D 9/8/1982
SAHANI L D 4/8/1974
MARIYONO MZ L D 7/12/1979
MURNI P D 3/17/1956
WATI P D 5/15/1979
ILAS P D 3/12/1965
NURYADI L D 8/12/1977
ANITA P D 4/5/1984
YAYAH RATNA SARI P D 6/10/1991
SINTIANI P D 8/27/2003
NINGSIH P D 10/24/1974
CHAKRA MAHADI PUTRA L D 10/25/1999

NURHUDA P D 5/25/1963
A. FARIZAL/ M.FARIZAL L D 11/10/1974
SRI YANI P D 6/16/1986
TOMMY MURSALIN PUTRA L D 5/30/1988
ROSILAH P D 2/18/1972
GUSTONI L D 8/17/1970
MUNTAFIAH P D 5/16/1977
DEDI JUNAIDI L D 4/10/1974
FITRI ANITA SARI P D 1/28/1995
JUANIS P D 3/5/1967
HASANUDIN L D 12/11/1974
HERMAN L D 8/8/1969
WILLY HENDRI L D 8/13/1970
HAMDANAH P D 12/16/1988
RUSNI L D 10/6/1957
RITA PILIHAN P D 4/30/1977
RISKA ANANDA P D 8/28/1999
RIFAN RIFAI L D 9/26/1994

YULIYANI P D 5/15/1972
FRISKA VALENTINA P D 2/14/1999
ISMAIL L D 12/19/1992
ELSYANA P D 9/12/2000
M AKBAR L D 4/14/2003
SRI YULI WAHYUNINGSIH P D 6/21/1972
HISBULLLAH L D 6/28/1968
AHMAD DHIYA FITRA L D 12/3/2003
PRI YANTI P D 7/23/1982
SUWARNI P D 6/14/1974
M ADJI L D 6/12/2005
YAYAH P D 4/10/1958
AL AZHAR ACHMAD L D 8/17/1964
FITRIA MARDIANA P D 3/9/1982
SAYUTI P D 6/8/1957
ISKANDAR L D 3/25/1958
RAHAYU P D 7/2/1966
SEPTIA MESTIANA APON P D 9/22/1985

AANG GUNAIFI L D 3/8/1985
ROSITA DAHLAN P D 10/17/1968
AHMAD DARUSMAN L D 4/28/2000
RAHMAWATI P D 5/28/1978
PARLAN L D 2/1/1970
AKHMAD FARRUQ AL HARITS L D 3/30/2002
ISTI NURJANAH P D 12/11/1970
MAHDALENA P D 2/5/1971
***Merek Vaksin
A = Sinovac

149 BPJS PBI
172 BPJS Non PBI
130 Non Anggota
26
477 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
508 Total
0
508
Umur
(18 sd ≥ 60 tahun)
50 46-59 KURIPAN
20 18-30 KURIPAN
29 18-30 PERWATA
22 18-30 KURIPAN
52 46-59 SUKARAME 2
36 31-45 SUKARAME 2
36 31-45 SUKARAME 2
43 31-45 BATU PUTUK
22 18-30 BAKUNG
24 18-30 NOG
42 31-45 NATAR
22 18-30 BATUPUTUK
17 0 KAYU MANIS
19 18-30 TIR MURJO
48 46-59 RAJABASA
28 18-30 NOG
19 18-30 KURIPAN
48 46-59 KURIPAN
20 18-30 KURIPAN
46 46-59 BATUPUTUK
35 31-45 KURIPAN
19 18-30 LAMTENG
54 46-59 KURIPAN
20 18-30 SUKARAME 2
43 31-45 KALIREJO
44 31-45 KARANG ENDAH
47 46-59 BEKRI
51 46-59 WATES
15 0 TKT
24 18-30 KURIPAN
47 46-59 LAMTIM
28 18-30 SIDOMULYO
28 18-30 SIDOMULYO
27 18-30 KEMILING
41 31-45 TERBANGGI
35 31-45 SUKABUMI
34 31-45 BAKUNG
27 18-30 KURIPAN
20 18-30 LAMTIM
20 18-30 LAMTENG
21 18-30 LAMTIM
25 18-30 NOG
19 18-30 LAMTIM
29 18-30 LAMUT
23 18-30 BEKRI
41 31-45 SUKABUMI
40 31-45 BATU PUTUK
20 18-30 BATU PUTUK
18 18-30 BATU PUTUK
29 18-30 BATU PUTUK
20 18-30 BATU PUTUK
20 18-30 BATU PUTUK
25 18-30 BATU PUTUK
29 18-30 BATU PUTUK
48 46-59 BATU PUTUK
39 31-45 BATU PUTUK
33 31-45 BATU PUTUK
25 18-30 BATU PUTUK
22 18-30 BATU PUTUK
41 31-45 BATU PUTUK
39 31-45 BATU PUTUK
16 0 BATU PUTUK
34 31-45 BATU PUTUK

16 0 BATU PUTUK
26 18-30 BATU PUTUK
13 0 085789512310
42 31-45 BATU PUTUK
35 31-45 BATU PUTUK
52 46-59 BATU PUTUK
30 18-30 BATU PUTUK
44 31-45 BATU PUTUK
28 18-30 BATU PUTUK
47 46-59 BATU PUTUK
53 46-59 BATU PUTUK
33 31-45 BATU PUTUK
49 46-59 BATU PUTUK
35 31-45 BATU PUTUK
32 31-45 BATU PUTUK
37 31-45 BATU PUTUK
40 31-45 BATU PUTUK
32 31-45 BATU PUTUK

58 46-59 BATU PUTUK
27 18-30 BATU PUTUK
39 31-45 BATU PUTUK
53 46-59 BATU PUTUK
40 31-45 BATU PUTUK
25 18-30 BATU PUTUK
41 31-45 BATU PUTUK
29 18-30 BATU PUTUK
31 31-45 BATU PUTUK
26 18-30 BATU PUTUK
21 18-30 BATU PUTUK
23 18-30 BATU PUTUK
24 18-30 BATU PUTUK
40 31-45 BATU PUTUK
27 18-30 BATU PUTUK
49 46-59 BATU PUTUK
14 0 BATU PUTUK
49 46-59 BATU PUTUK
54 46-59 BATU PUTUK
49 46-59 BATU PUTUK

22 18-30 BATU PUTUK
16 0 BATU PUTUK
16 0 BATU PUTUK
14 0 BATU PUTUK
46 46-59 BATU PUTUK
40 31-45 BATU PUTUK
48 46-59 BATU PUTUK
53 46-59 BATU PUTUK
23 18-30 BATU PUTUK
34 31-45 BATU PUTUK
35 31-45 BATU PUTUK
31 31-45 BATU PUTUK
22 18-30 BATU PUTUK
39 31-45 BATU PUTUK
49 46-59 BATU PUTUK
40 31-45 BATU PUTUK
24 18-30 BATU PUTUK
23 18-30 BATU PUTUK
15 0 BATU PUTUK
42 31-45 BATU PUTUK

30 18-30 BATU PUTUK
40 31-45 BATU PUTUK
27 18-30 BATU PUTUK
36 31-45 BATU PUTUK
38 31-45 BATU PUTUK
23 18-30 BATU PUTUK
20 18-30 BATU PUTUK
71 ≥60 BATU PUTUK
26 18-30 BATU PUTUK
31 31-45 BATU PUTUK
39 31-45 BATU PUTUK
45 31-45 BATU PUTUK
49 46-59 BATU PUTUK
36 31-45 BATU PUTUK
18 18-30 BATU PUTUK
25 18-30 BATU PUTUK
35 31-45 BATU PUTUK
28 18-30 BATU PUTUK

44 31-45 BATU PUTUK
60 ≥60 BATU PUTUK
50 46-59 BATU PUTUK
80 ≥60 BATU PUTUK
28 18-30 BATU PUTUK
24 18-30 BATU PUTUK
42 31-45 BATU PUTUK
23 18-30 BATU PUTUK
48 46-59 BATU PUTUK
24 18-30 NOG
46 46-59 NOG
30 18-30 NOG
59 46-59 NOG
13 0 NOG
57 46-59 NOG
51 46-59 NOG
44 31-45 NOG
56 46-59 NOG
24 18-30 NOG
44 31-45 NOG
35 31-45 NOG
55 46-59 NOG
38 31-45 NOG
35 31-45 NOG
19 18-30 NOG
28 18-30 NOG
38 31-45 NOG
17 0 NOG
28 18-30 NOG
43 31-45 NOG
28 18-30 NOG
51 46-59 NOG
33 31-45 NOG
30 18-30 NOG
36 31-45 NOG
58 46-59 NOG
42 31-45 NOG
25 18-30 NOG
23 18-30 NOG
38 31-45 NOG
42 31-45 NOG
38 31-45 NOG
17 0 NOG
40 31-45 NOG
42 31-45 NOG
40 31-45 NOG
31 31-45 NOG
37 31-45 NOG
20 18-30 NOG
58 46-59 NOG
37 31-45 NOG
36 31-45 NOG
50 46-59 NOG
36 31-45 NOG
41 31-45 NOG
37 31-45 NOG
53 46-59 NOG
39 31-45 NOG
62 ≥60 NOG
19 18-30 NOG
40 31-45 NOG
58 46-59 NOG
15 0 NOG
26 18-30 NOG
37 31-45 NOG
39 31-45 NOG
41 31-45 NOG
78 ≥60 NOG
61 ≥60 NOG
43 31-45 NOG
40 31-45 NOG
41 31-45 NOG
36 31-45 NOG
46 46-59 NOG
42 31-45 NOG
58 46-59 NOG
48 46-59 NOG
42 31-45 NOG
47 46-59 NOG
27 18-30 NOG
30 18-30 NOG
16 0 NOG
55 46-59 NOG
57 46-59 NOG
55 46-59 NOG
45 31-45 NOG
33 31-45 NOG
49 46-59 NOG
28 18-30 NOG
40 31-45 NOG
64 ≥60 NOG
44 31-45 NOG
53 46-59 NOG
18 18-30 NOG
29 18-30 NOG
52 46-59 NOG
44 31-45 NOG
55 46-59 NOG
34 31-45 NOG
59 46-59 NOG
33 31-45 NOG
53 46-59 NOG
44 31-45 NOG
54 46-59 NOG
48 46-59 NOG
25 18-30 NOG
78 ≥60 NOG
69 ≥60 NOG
39 31-45 NOG
32 31-45 NOG
25 18-30 NOG
52 46-59 SUKARAME 2
50 46-59 SUKARAME 2
29 18-30 SUKARAME 2
36 31-45 SUKARAME 2
51 46-59 SUKARAME 2
39 31-45 SUKARAME 2
54 46-59 SUKARAME 2
39 31-45 SUKARAME 2
22 18-30 SUKARAME 2
53 46-59 SUKARAME 2
36 31-45 SUKARAME 2
34 31-45 SUKARAME 2
22 18-30 SUKARAME 2
32 31-45 SUKARAME 2
49 46-59 SUKARAME 2
56 46-59 SUKARAME 2
46 46-59 SUKARAME 2
50 46-59 SUKARAME 2
29 18-30 SUKARAME 2
28 18-30 SUKARAME 2
28 18-30 SUKARAME 2
59 46-59 SUKARAME 2
21 18-30 SUKARAME 2
20 18-30 SUKARAME 2
29 18-30 SUKARAME 2
63 ≥60 SUKARAME 2
49 46-59 SUKARAME 2
46 46-59 SUKARAME 2
58 46-59 SUKARAME 2
26 18-30 SUKARAME 2
42 31-45 SUKARAME 2
53 46-59 SUKARAME 2
33 31-45 SUKARAME 2
27 18-30 SUKARAME 2
38 31-45 SUKARAME 2
55 46-59 SUKARAME 2
19 18-30 SUKARAME 2
57 46-59 SUKARAME 2
67 ≥60 SUKARAME 2
35 31-45 SUKARAME 2
40 31-45 SUKARAME 2
42 31-45 SUKARAME 2
41 31-45 SUKARAME 2
53 46-59 SUKARAME 2
29 18-30 SUKARAME 2
20 18-30 SUKARAME 2
50 46-59 SUKARAME 2
41 31-45 SUKARAME 2
28 18-30 SUKARAME 2
21 18-30 SUKARAME 2
53 46-59 SUKARAME 2
48 46-59 SUKARAME 2
57 46-59 SUKARAME 2
28 18-30 SUKARAME 2
45 31-45 SUKARAME 2
48 46-59 SUKARAME 2
37 31-45 SUKARAME 2
35 31-45 SUKARAME 2
21 18-30 SUKARAME 2
64 ≥60 SUKARAME 2
47 46-59 SUKARAME 2
41 31-45 SUKARAME 2
31 31-45 SUKARAME 2
45 31-45 SUKARAME 2
51 46-59 SUKARAME 2
41 31-45 SUKARAME 2
41 31-45 SUKARAME 2
26 18-30 SUKARAME 2
36 31-45 SUKARAME 2
19 18-30 SUKARAME 2
26 18-30 SUKARAME 2
37 31-45 SUKARAME 2
48 46-59 SUKARAME 2
25 18-30 SUKARAME 2
46 46-59 SUKARAME 2
43 31-45 SUKARAME 2
29 18-30 SUKARAME 2
26 18-30 SUKARAME 2
37 31-45 SUKARAME 2
23 18-30 SUKARAME 2
80 ≥60 SUKARAME 2
18 18-30 SUKARAME 2
43 31-45 SUKARAME 2
22 18-30 SUKARAME 2
32 31-45 SUKARAME 2
34 31-45 SUKARAME 2
49 46-59 SUKARAME 2
26 18-30 SUKARAME 2
51 46-59 SUKARAME 2
26 18-30 SUKARAME 2
35 31-45 SUKARAME 2
20 18-30 SUKARAME 2
46 46-59 SUKARAME 2
34 31-45 SUKARAME 2
16 0 SUKARAME 2
19 18-30 SUKARAME 2
38 31-45 SUKARAME 2
58 46-59 SUKARAME 2
30 18-30 SUKARAME 2
41 31-45 SUKARAME 2
30 18-30 SUKARAME 2
30 18-30 SUKARAME 2
33 31-45 BAKUNG
23 18-30 BAKUNG
44 31-45 BAKUNG
42 31-45 BAKUNG
38 31-45 BAKUNG
30 18-30 BAKUNG
20 18-30 BAKUNG
40 31-45 BAKUNG
22 18-30 BAKUNG
42 31-45 BAKUNG
63 ≥60 BAKUNG
40 31-45 BAKUNG
14 0 BAKUNG
41 31-45 BAKUNG
37 31-45 BAKUNG
61 ≥60 BAKUNG
40 31-45 BAKUNG
50 46-59 BAKUNG
34 31-45 BAKUNG
52 46-59 BAKUNG
45 31-45 BAKUNG
53 46-59 BAKUNG
60 ≥60 BAKUNG
40 31-45 BAKUNG
49 46-59 BAKUNG
29 18-30 BAKUNG
56 46-59 BAKUNG
56 46-59 BAKUNG
59 46-59 BAKUNG
26 18-30 BAKUNG
45 31-45 BAKUNG
25 18-30 BAKUNG
26 18-30 BAKUNG
22 18-30 BAKUNG
44 31-45 BAKUNG
59 46-59 BAKUNG
66 ≥60 BAKUNG
47 46-59 BAKUNG
42 31-45 BAKUNG
57 46-59 BAKUNG
48 46-59 BAKUNG
38 31-45 BAKUNG
52 46-59 BAKUNG
17 0 BAKUNG
19 18-30 BAKUNG
43 31-45 BAKUNG
37 31-45 BAKUNG
29 18-30 BAKUNG
43 31-45 BAKUNG
57 46-59 BAKUNG
47 46-59 BAKUNG
31 31-45 BAKUNG
36 31-45 BAKUNG
40 31-45 BAKUNG
30 18-30 BAKUNG
46 46-59 BAKUNG
40 31-45 BAKUNG
30 18-30 BAKUNG
33 31-45 BAKUNG
58 46-59 BAKUNG
23 18-30 BAKUNG
46 46-59 BAKUNG
26 18-30 BAKUNG
52 46-59 BAKUNG
36 31-45 BAKUNG
18 18-30 BAKUNG
22 18-30 BAKUNG
24 18-30 BAKUNG
25 18-30 BAKUNG
48 46-59 BAKUNG
20 18-30 BAKUNG
20 18-30 BAKUNG
22 18-30 BAKUNG
41 31-45 BAKUNG
71 ≥60 BAKUNG
33 31-45 BAKUNG
53 46-59 BAKUNG
36 31-45 BAKUNG
62 ≥60 BAKUNG
28 18-30 BAKUNG
41 31-45 BAKUNG
43 31-45 BAKUNG
62 ≥60 BAKUNG
47 46-59 BAKUNG
26 18-30 BAKUNG
45 31-45 BAKUNG
31 31-45 BAKUNG
58 46-59 BAKUNG
35 31-45 BAKUNG
47 46-59 BAKUNG
19 18-30 BAKUNG
17 0 BAKUNG
28 18-30 BAKUNG
27 18-30 BAKUNG
29 18-30 BAKUNG
42 31-45 BAKUNG
40 31-45 BAKUNG
49 46-59 BAKUNG
43 31-45 BAKUNG
67 ≥60 BAKUNG
44 31-45 BAKUNG
58 46-59 BAKUNG
45 31-45 KURIPAN
39 31-45 KURIPAN
31 31-45 KURIPAN
19 18-30 KURIPAN
44 31-45 KURIPAN
48 46-59 KURIPAN
23 18-30 KURIPAN
60 ≥60 KURIPAN
48 46-59 KURIPAN
36 31-45 KURIPAN
35 31-45 KURIPAN
51 46-59 KURIPAN
52 46-59 KURIPAN
46 46-59 KURIPAN
49 46-59 KURIPAN
28 18-30 KURIPAN
56 46-59 KURIPAN
48 46-59 KURIPAN
53 46-59 KURIPAN
55 46-59 KURIPAN
52 46-59 KURIPAN
34 31-45 KURIPAN
65 ≥60 KURIPAN
46 46-59 KURIPAN
23 18-30 KURIPAN
28 18-30 KURIPAN
51 46-59 KURIPAN
24 18-30 KURIPAN
30 18-30 KURIPAN
22 18-30 KURIPAN
20 18-30 KURIPAN
50 46-59 KURIPAN
54 46-59 KURIPAN
19 18-30 KURIPAN
40 31-45 KURIPAN
48 46-59 KURIPAN
38 31-45 KURIPAN
17 0 KURIPAN
65 ≥60 KURIPAN
58 46-59 KURIPAN
41 31-45 KURIPAN
65 ≥60 KURIPAN
65 ≥60 KURIPAN
56 46-59 KURIPAN
37 31-45 KURIPAN
38 31-45 KURIPAN
54 46-59 KURIPAN
23 18-30 KURIPAN
45 31-45 KURIPAN
53 46-59 KURIPAN
21 18-30 KURIPAN
52 46-59 KURIPAN
52 46-59 KURIPAN
48 46-59 KURIPAN
Pekerjaan
201 A
135 B
172 C
508 D
E
470 Total
38
0
508
No. Hp
082186036889
089526242772 YA
082182958618 YA
089503253078 YA
081367924496 YA
081369782994 YA
081928004712 YA
0895796311 YA
085758117660
0895326323666
087899506415
085768524885
082351781159 YA
087763813147
082373054647 YA
082176161709 YA
089524455885 YA
089526976343 YA
0895357371832 YA
081367976369 YA
081373047986 YA
085721552669 YA
082182568635 YA
08984260949
081271821953 YA
085215910101
082111880554
085212383447
089659557445 YA
089617688025 YA
08 YA
083803525510
082371420806 YA
085758001989 YA
085379170673 YA
08117238015 YA
082278243337 YA
089524267272
085658979874
085788910240 YA
085896875840 YA
082279034668 YA
085758254161 YA
082180971119 YA
082375708921 YA
085249731443 YA
085896761803 YA
085832654472 YA
085781757069 YA
081508021608 YA
089523087136 YA
085783379813 YA
085783379813
- YA
089664931623
081219219434 YA
- YA
085839238488 YA
085768262809 YA
085789985880 YA
085609530912 YA
085789968915
-
085788696454
089677889148 YA
0858040512338
081272976001
085647223884 YA
085769695456
085357199280
085703074585 YA
081214008109 YA
081278446917 YA
082281833753 YA
08159586393 YA
085783558469
- YA
082373932997 YA
089629025481 YA
085693116257
085273777186 YA
08979566296 YA
085839854686 YA
085607333556 YA
- YA
085607333556 YA
085840519338 YA
082178789019 YA
083135870752 YA
0895343196609 YA
083818161938 YA
08159586393 YA
085279083045 YA
085869176915
081377601217 YA
091377601217 YA
08984760896 YA
085709106039
085783137095 YA
085783137095 YA
085384641664
081367410150 YA
082278744911 YA
082278744911 YA
082278744911 YA
081632133751 YA
089604040961 YA
082178648781
0895600698900 YA
085664944541 YA
081273544183
08216692082 YA
081273344183
081540867443 YA
085717922879 YA
082180665943 YA
082183121822 YA
085840313806 YA
085664275784 YA
082178290298 YA
081541412869 YA
085764270520 YA
088287673079
089629181468 YA
082178789019 YA
082220340003
082175107202 YA
085273318451
082278744911 YA
082278744911 YA
085896970741 YA
085896923314 YA
0895322470715 YA
082178068986 YA
085789415143 YA
089686446608 YA
089669610709 YA
089508645692
08984260896 YA
08159586393 YA
089691868597
089602516907 YA
08159586393
YA
"08965461513 YA
082278744911 YA
085377787448 YA
085377787448 YA
082182345947 YA
085273397626 YA
089530325298 YA
0895640073141 YA
0895605895773 YA
0895607078777 YA
082280766769 YA
082278744911 YA
0895600782277 YA
085279027788 YA
085809432580 YA
0895387580603 YA
082278744911 YA
085789529891 YA
083172283455 YA
082278744911 YA
082278744911 YA
083143486228 YA
089644457205 YA
08978550201 YA
085829611791 YA
085384865314 YA
089508601783 YA
083168251777 YA
085139049166 YA
083168251777 YA
0895344182591 YA
08975709520 YA
089632141415 YA
0895320450734 YA
08984260637 YA
0895353389036 YA
0895343218531 YA
0895621405222 YA
083191563029 YA
0895389645372 YA
082278744911 YA
089654392515 YA
088286523083 YA
082278744911 YA
082278744911 YA
089521334879 YA
089617460671 YA
085764263704 YA
082278744911 YA
082374881970 YA
083160165716 YA
083891781124 YA
081949017622 YA
083169662871 YA
089632680090 YA
0895414159708 YA
083153724523 YA
089539250002 YA
089506210797 YA
082278744911 YA
0895392501002 YA
089564011142 YA
089505126081 YA
081271684231 YA
089523077203 YA
082886523083 YA
082372786389 YA
082278744911 YA
YA
081279871583 YA
085879640690 YA
082182347358 YA
082278744911 YA
089524695828 YA
081272454459 YA
YA
YA
YA
YA
YA
085788382558
081367212242 YA
083153724830 YA
083788085014 YA
087782958366 YA
082175691945 YA
0895328163865
0858996690801 YA
0895363163865 YA
0858996690801 YA
083157291988
085768910458 YA
088286735122
083856957504
089634173412
085382277470 YA
085380581115 YA
082280136869 YA
082280136869 YA
082282711183
089682744450
0895385517024 YA
081367212242 YA
081376212242 YA
083788085014 YA
087782958366 YA
082175691945 YA
0895328163865
0858996690801 YA
0895363163865 YA
0858996690801 YA
083157291988
085768910458 YA
088286735122
083856957504
089634173412
085382277470 YA
085380581115 YA
082280136869 YA
082280136869 YA
082282711183
089682744450
0895385517024 YA
0813794926600
087871045879 YA
083180450983 YA
089514807746 YA
082278744911
88276682129
082175059091
083164359805
089513436225
082278744911
082278744911
082278744911
082278744911
082278744911
085841810921
088276682129
082278744911
08984261322
089524275060
085769820427
082278744911
082278744911
082278744911
082278744911
082278744911
082278744911
082278744911
082278744911
082278744911
082278744911
082278744911
082278744911
082278744911
082278744911
082278744911
082278744911
082278744911
082278744911
082278744911
081271692061
082278744911
082278744911
082278744911
082278744911
085769820427
085896975839
083180451052
0895323170271
089516652328
082184252406
082184252406
082278744911
082278744911
082278744911
082278744911
08826992663
082278744911
0857880628554
089685398918
082278744911
082278744911
0887437043163
089628298697
089631077345
089631077345
083194188461
082186699034
082278744911
082278744911
0895696481478
082278744911
082278744911
082377101211
082278744911
082278744911
082278744911
082278744911
089631011293
08877269496
085658345389
089631276962
08981864553 YA
083194901581 YA
08953855163937 YA
081279287149 YA
082278215805 YA
089699046935 YA
083168541162
083165401327 YA
089634265120
089676217666 YA
089676217666 YA
089518132538 YA
082306770918 YA
082380937098 YA
089560510795 YA
082185498454
089528039725
089528039725
089505520358
085234758478 YA
082363765332
089669758866
085269971745
YA
0895604384621
0895363492009
0895610071197 YA
YA
089633486864 YA
089633486864 YA
089523116421 YA
083180452522
089630599725 YA
089516320190 YA
0895610071197
089633486864 YA
0895385516436
081379792710 YA
082278818611 YA
082181072415 YA
085839960244 YA
089529968447 YA
YA
P-U493YHG4 YA
085841942402 YA
083137347937 YA
YA
089655603493 YA
089615687872 YA
082182851307 YA
083168541162
085783501301
083144030508 YA
083168541162 YA
081272390223 YA
089517072508 YA
0895604384609 YA
0895604384609
085360155667 YA
085377737799 YA
089507601654 YA
089630423305 YA
082278215461 YA
081373854070 YA
0895360632515
0895601770305
0895331487120
0895621440522
0889512072512 YA
082278215462 YA
081279148726 YA
089523116421 YA
08990775091 YA
089517072508 YA
082280941553 YA
08953213238381
;0895604384609 YA
083805450734 YA
0895335019797 YA
081379502314 YA
089612620574 YA
085369660908 YA
089633425328 YA
082176854349 YA
08979218589 YA
0895621460152 YA
YA
089669757733 YA
0895338987088 YA
089517071705 YA
085268425639 YA
08956480004913 YA
089522100673 YA
0895385516937 YA
089620624575 YA
083123129600 YA
088809967142 YA
081369559317 YA
087886594087 YA
089636308797 YA
08994268765 YA
085861686715 YA
083169841654 YA
082185567770 YA
0895345176095 YA
082183494788 YA
089631956284 YA
081213252950 YA
085369702301
085865651997 YA
082185567770 YA
085268965976
081278849656 YA
085347228788 YA
081379381928 YA
089674976355 YA
085279710460 YA
089508142112 YA
089698608714 YA
0895600650050
0895416679600 YA
0895411156780 YA
089698608714 YA
089503519479
088287117949 YA
085761852179 YA
083809703972 YA
088274325266 YA
083802316759 YA
081369554599
082372455252
088287117949
085788237350 YA
082380940256 YA
08972534848
083153231382 YA
083809703972
081271713458 YA
081366622232 YA
085858881021
083809073972 YA
087899760478 YA
081808066221
082181999655
087869114640 YA
089514149047 YA
085783860212 YA
089526980467 YA
082376123531
085377946672 YA
0895609933372 YA
081369562773 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota

7/21/2017 SINOVAC
9/9/2021 CORONAVAC

7/10/2021 CORONAVAC
7/7/2021 CORONAVAC

8/23/2021 CORONAVAC
10/13/2021 PFIZER
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10/13/2021 PFIZER
Dosis I
Tanggal Pemberian
Vaksinasi
6/21/2021 24002921 16178696415109
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/14/2021 202108156I
7/21/2017 24201321 16232983437704
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/14/2021 202108156I
9/15/2021 202108156I
9/9/2021 202107137I
9/15/2021 202108156I
9/14/2021 202108156I
9/8/2021 24202321 16264891518860
9/10/2021 24005421 16270261363569
9/15/2021 202108156I
9/15/2021 202108156I
9/14/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/14/2021 202108156I
9/8/2021 24202321 16264891519640
7/10/2021
7/7/2021
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
8/23/2021 24004921
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021
10/13/2021
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021
10/13/2021
10/13/2021
10/13/2021
10/13/2021
10/13/2021
10/13/2021
10/13/2021
10/13/2021
10/13/2021
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
10/13/2021 PAA173696
Dosis 2
Tanggal Pemberian
Vaksinasi
10/13/2021 202108142H
10/13/2021 202108142H
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-CNBP7BII
2 P-DYRHQ9XC
3 P-FHQSMDKB
4 S-37008864
5 P-HMIFTRQX
6 P-IKJFXL54
7 P-JMV5XZ0B
8 S-32C185DE
9 P-MIAXA90AT
10 S-CIFECFF
11 P-QTPYTIFZ
12 S-6B7FEE51
13 P-TE3SMX09
14 S-BED60EB9
15 P-UB5K4K2L
16 P-FEVRRBUBS
17 P-GLVOELFL
18 P-HDZGCHWW
19 P-HZHK7BQ6
20 P-IP8AXCXD
21 P-JJEAN22
22 P-K02UFQPV
23 P-L48XEXGA
24 P-MOEDPP76
25 P-MMAOYRNI
26 S-C6E2EAP
27 P-WBOBYMED
28 P-WHSBPVCI
29 S-4OIIB3DE
30 P-WGN2UIGI
31 S-990E935B
32 P-WCLF3988
33 P-WD31DOOT
34 P-WD0DK84Q
35 P-WEF7CDRD
36 P-WQO7UTUX
37 P-WR2XTB5S
38 P-WRMQPFKE
39 P-WS90XISX
40 P-WSTU8KUD
41 P-WF6KOONV
42 P-WIIPMESU
43 P-WJ4LF3DT
44 P-WJQATT2B
45 P-WKHXG6FB
46 P-WLLHJYT7
47 P-WM7T3UKY
48 P-WMT9IXJQ
50 P-WOIDJGRX
51 P-WOQHIBBQF
52 P-WPBAFRK3
53 P-XAVIKQYK
54 P-XC4V6TN4
55 P-XDKCJ6TG
56 P-XEZTO3N0
57 P-XG8MLR3C
58 P-XH0WBNW5
59 P-XIO46KLM
60 P-XIYLLIOQ
61 S-268665E7
62 P-XJPPRZ7X
63 P-XKIOJWT5
64 P-XLNFAA7C
65 P-XMPXYXK3
66 P-XNL6KKUP
67 P-XODRRFVX
68 P-UH375IF0
69 P-XQJEM90B
70 S-0I33LYY7
71 NIK TIDAK ADA
72 P-XRMAOI70
73 P-XSLM7RB4
74 P-XTCIVK7W
75 P-XU4ZCFP6
76 P-OSOHR6AG
77 P-XVM22JVI
78 P-XWHAK0R5
79 P-XXAIEB44
80 P-XYY2Q8DM
81 P-YOOTCEFX
82 P-YIMLNBDE
83 P-Y2LSPHX7
84 P-Y3FZX7KI
85 P-Y4AXURHE
86 P-Y4XKM6I1
87 P-Y5LVAXIC
88 P-Y699IWHL
89 S-05523E56
90 P-Y7AGVWOC
BP 91 P-XXYI1HQK
SUKARAM 92 S-6F830FEA
94 P-WOC70KOE
95 P-V34LUYX1
96 P-P-V3XUXEMP
97 P-1XRP7ELD
98 P-1ZNOEP1I
99 P-21UTIGEG
100 P-23WJ6ZRO
101 P-26AF3DGB
102 P-V864KBG1
103 P-V8NF19H5
104 P-VCXIZM33
105 P-V6E5NCPV
106 P-V7FC9CJ5
107 P-274IVZTT
108 P-27N5SSOX
109 P-2DJQQYN2
110 P-2HHG7GKT
111 P-V7U71THV
112 P-WXB3GLX2
113 P-V91KP86A
114 P-V9JOIRNA
115 P-VAXVIWVD
116 P-VDL8LCH8
117 P-2MTVZZLU
118 P-2QGKTJ1G
119 P-2QZ6LCPK
120 P-2S5CMBUX
121 P-2U24C2OK
122 P-VDV3N4TI
123 P-VEHVFF6G
124 P-VESFC27V
125 P-VF5GLODM
126 P-VFHZAVQC
127 P-2VNBWRD7
128 P-2XW2FQE5
129 P-2YHUMN3J
130 P-ZZ3X3W08
131 S-262C1508
132 P-VFSBI680
133 P-VG3CWUI4
134 P-VGGQ6K4P
135 P-VICYEVK5
136 P-VGRU9XQ9
137 P-X9F2FQL9
138 P-XADMPKET
139 P-XAZURQ9V
140 P-XBUQ4FN5
141 P-XCPKLCD4
142 P-VH059YLY
143 P-VH9Z2SSH
144 P-VHSA9124
145 P-VILGG4L5
146 P-VIWC75RP
147 P-XFOFVHOD
148 P-XGECZVX4
149 P-BMDQ1LUA
150 P-ELIG8C3G
151 P-DVR9DCPN
152 P-FV5NN7BN
153 P-25004QQU
154 P-Y62BBOG7
155 P-Y71NW33H
156 P-V786AG83
157 P-VJPSFWKM
158 P-VJYN5M97
159 P-VMXK1FI1
160 P-VN7FK84P
161 P-VNFG857B
162 P-VNN1WF3J
163 S-C80736CF
164 P-Y9XVCWIG
165 P-YAJJ9ART
166 P-YAWHDBKQ
167 P-YBCL5NAT
168 P-2C9WKZ5A
169 P-2CVVZ9M7
170 P-YBZBOA8M
171 P-VADVMU30
172 P-YCHLRIG7
173 P-YCS1PIVS
174 P-VBPSGRYV
175 P-YD9QZ5K5
176 P-YDKXFIWU
177 P-YDU8KBAK
178 P-YE7DB89D
179 P-YENIQAC1
180 P-YEZRMBGN
181 P-YFF8A9BM
182 P-YFXCLM95
183 P-YGKJC6LJ
184 P-YH4M3HI1
185 P-YHOOE3K7
186 P-YI0970W3
187 P-YIGPQYQF
188 P-YISRVG3H
189 P-YJDU2YSS
190 P-YJLEIQXQ
191 P-1ABDBRYB
NOG 192 P-X02V4MYH
193 P-MAUASASB
194 P-8XDVDLVO
195 P-8J3LZF80
196 P-86M46PRI
197 P-7RIIF1SF
198 P-7HYPVT60
199 P-7310ANGK
200 P-6550MP66
201 P-XXOK9NF97
202 P-W2D5V0WA
203 P-WX91KOHL
204 P-WXAILVL6
205 P-WVZSB9XC
206 P-WAZULHRI
207 P-W7CHL653
208 S-F10A3EB2
209 P-W59D0R0X
210 P-W42A526V
211 P-W371R05E
212 P-V7TPFQC2
213 P-ULPMKEMN
214 P-U36VSQ21
215 P-SJ0WQIVA
216 P-Q0F8SPWM
217 P-601L8KAR
218 P-W96PEBID
219 P-N9D93DM7
220 P-KEUNQNPT
221 P-12JDM6WU
222 S-523F9002
223 P-ET1STQBT
224 J-0000XTGM
-33303 225 P-AHI023MV
CAPIL 226 P-8725K36R
227 P-56FS0K6H
228 P-3E9YWX6Q
229 P-0Q1QW50E
230 P-TDCH2JR2
231 P-SHSEY6MP
232 P-RMTXHJK
233 P-R6MPWGVN
234 P-QKUHV31
235 P-PP7P01EK
236 P-WL7ROJKT
237 P-WIWB00EU
238 P-WH31ZARK
239 P-WCSLMPHA
240 P-KXKSN62Q
241 P-X6L6OTQO
242 P-XDOWP0O
243 P-XCQRVIKP
244 P-X8RWP6QR
245 P-P547SDJ8
246 P-OKQD38LQ
247 P-O0B6PFNG
248 P-NK0506T7
249 P-NSZTF50L
250 P-MNOHZYJO
251 PLNP86TMH
252 TDK TERDAFTAR
253 TDK TERDAFTAR
254 P-JM46UU50
255 P-IFTIDU3W
256 P-ID5QNWTN
257 P-HPLYP0H0V
258 P=GTXM66FT
259 P-XM7HV1LO
260 P-TUGA3N22
261 P-XSNSBVA
262 P-D63RUJN3
263 P-XPYHT8ZN
264 P-B22Z12D6
265 P=-A65HF90K
266 P-9P2164XK
267 P-9FPO940U
268 P-WNOJSOM6
KURIPAN 269 P-NNR35K7X
270 P-8307TNIK
271 S-3D65FCEF
272 P-W2GZGREO
273 P-WIAMGT8
274 P-WJEW358K
275 P-WKHIH0OT
276 P-WKVIR8LV
277 P-WM2I089N
278 P-WNCGV4V0
280 P-WRONSU3A
281 P-WUN4IM3I
282 P-WWFC2790
283 P-WWKXY4IH
284 P-WYDOCISF
285 P-WY915NSE
286 P-X07CHLGH
287 P-W224CSYB
288 P-X2NHBN8E
289 P-SAHH71E
290 P-X4HDNEVF
291 P-X73KT6D3
292 P-X99WBPA1
293 P-XAB6H4AC
294 P-XBONXGBC
295 P-XBVSH1Q8
296 P-XCIBAYEF
297 P-XDQKSMSB
298 P-XDWW01T8
299 P-XF8KBXIZ
300 S-DA09AA9D
301 P-XGTW8TW7Z
302 P-XHGHTSSH
303 P-XI2I20HXX
304 S-9A1CC1C1
305 P-XJFBVSCQ
306 P-XJINZHLJ
307 S-D4543E6F
308 P-XKQX80CJ
309 P-XMNWRZ0W6
310 Y-0130J9CZ
311 P-X0CYHNMN
312 P-XOC41F3Q
313 P-XPUOVQ02
314 P-XPJ90SWY
315 P-XQSIOA13
316 P-XRE4JV05
317 P-XRST4JIG
318 P-XWGDGED3
319 P-XVDQVUW7
320 P-XU0CARSB
321 P-XSXBPCK5
BP 322 P-OHH0NAPI
323 P-BEUY1FWW
324 P-OGZEZ94F
325 P-ODGEWR85
326 J-0006G4IK
327 P-ND5K7CDO
328 P-OIAZEJL7
329 P-X8RS2YX5
330 P-OXQK8NH
331 P-ODYAM46X
332 P-0DS1027I
333 P-OAJ4JNFW
334 P-O7DEGQWF
335 P-007I5QWK
336 P-XEGFYAL8
337 P-OCA5G3AL
338 P-OBO9D9KD
339 P-OBDMAWWT
340 P-OAYWFLMH
341 P-A07D2QG2
342 P-K7IQE4S1
343 P-X2BEW526
344 P-X3RYBKTE
345 P-X5EHZ6WY
346 P-X7IXKUHG
347 P-X8VEKMGA
348 P-XBMEGREKT
349 P-XD8LXOVS
350 P-XVXM2LY2
351 P-QXONDLBB
352 P-XI5E1HIT
353 P-XJ1WMJLG
354 P-XKDJDUZJ
355 P-XLEOAS56
356 P-XQYLI041
357 P-XSL0YP3B
358 P-XERSXSX4
359 P-BGRPGFM3
360 P-E7XBOZS1
361 P-DOS3L2SS
362 P-XHD1S5EE
363 P-EMJHNNH5
364 P-T2CA5IM9
365 P-0Y0FES9K
366 P-4MSLFFEM
367 P-XKGAGP8J
368 P-XKVOINMM
369 P-XLRDN75C
370 P-XMJB6039
371 P-L9FTZ7GJ
372 P-LGTIF0JT
373 P-LPG92CLV
374 P-MKVJ000Q
375 P-MU9WKUQC
376 P-NJE0GFWP
377 P-QCR3YT1Z
378 P-XRM255VA
379 P-X5S5GZU09
380 P-XUNLVY01
381 S-3598AE83
382 P-XWEQG6JL
383 P-P75WW6J4
384 P-OJCM4VYD
385 P-XYXVH126
386 P-O61XLMMD
387 S-3D474EE3
388 P-09MPFT6T
389 P-357L9VF
390 P-Y45PQUUZ
391 P-Y56TSD6X
392 nik tidak terdaftar
393 P-YM535BBZ
394 P-Y6LBQXYO
395 P-YN16WTPA
396 P-YUQ8DOG1
397 P-DU7AT5U
398 P-YI6J8C45
399 P-YI6ICZDM
400 P-YINTAB50
401 P-YI47N560
402 S-BBFBF0A9
403 P-YJ0FCXQ3
404 P-47CGTRAX
405 P-Y81X3JDF
406 P-Y8UZ0U14
407 P-YAA9126W
408 P-YEMJ40VW
409 P-YEWNPVSB
410 P-YF61RAHY
411 P-YFEPP025
412 P-YF04Y4P6
413 P-YEFERN37
414 P-YGAZ66FA
415 P-YK40EAAJ
416 P-Y-KFFTX11
417 P-YK0P06SM
418 P-YKYBMC1G
419 P-YL7QFH52
420 P-YLGWFQMG
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871081011940009
1871091705910003
1871086502720006
187108170769006
1871081502650007
1871080302870001
1871081605750003
1871085004540006
1871087005980001
1871082106580004
1871082808970001
1761082705600003
1801065409920003
1871084809560001
1871087010670001
1871065007760008
1871035602020001
1871082705700002
1871081101940007
1871076611960001
3173046206820012
1871080703720001
1871082509620002
1871080203760005
1871086507880007
1871081210520010
1871095204860001
1871080606940005
1871085109550002
1871085206850003
1871084207600004
1871080904760004
1871082109960006
1871084311810002
1871083012700004
1871086412640002
1871084711860002
1871084709850006
1871086509790002
1671046006830011
1871082106940006
1871080312880005
1871082208830002
1871085505730003
1871085111720003
1871097011810001
1871081708990008
1871080709020003
1871081008690005
1871070404660003
1871074508720007
1871086002000011
1871082809730002
1871084402820007
1801040705810014
1871085005740006
1871087008770004
1871080512870005
1871084106880007
1871085008890001
1871080711490001
1871070706880003
1871084203030006
1871081301030008
1871082310990001
1871086411720003
1871085301670001
1871081904810008
1871082606980002
1871076003980001
1871081210870006
1871080405890003
1871085010820014
1871084112640007
1871084902730001
1871084603840007
1871091809820003
1607035001810003
1871087012010003
1871085011830005
1871085502030005
1871081007000008
1871084709030004
1871082009010002
1871072605940005
1871086107970007
1871083108030001
1871085011570006
1871082005840010
1871084204730002
1871081709590001
1871080101730016
1871085206760007
1871085010740005
1871082707770012
1871080109980003
1871082110880007
1871085103860016
1871081403630006
1871084904000005
1871085404860010
1871081511820004
1871082904890001
1871081207760005
1871080204730006
1871086511760002
1871086004870002
1871084804850002
1871086005830008
1871085005750007
1871081912940004
1871094205840018
1871086904010004
1871084304770002
1871085202870004
1871084509940003
1871066711850006
1871082308840004
1871080803630001
1871085009810008
1871085009750007
1871084403790006
1871085509840004
1871084607740002
1871081205860007
1871082507890001
1871080405990007
1871081204000001
1871085111820011
1871084307600003
1871085011850009
1871085208710005
1871084804960001
1708031506880001
1871084809630001
1871085503860010
1871082308890001
1871085111660002
1871085009730001
1871085009830009
1871085205670006
1871084101740015
1871085004720007
1871086501930003
1871080404870013
1871080204770002
1871080404870010
1871085608860004
1871084602700001
1871080110820008
1871084202920006
1871080606770008
1871080402830005
1871050904910008
1871081007850004
1871083009840002
1871084407810003
1871084409720004
1871080708010006
1871086010960002
1871081009690005
1871082509540001
1871080503820005
1871086903850001
1871086109960005
1871086606890003
1871083110870003
1871085606940006
1871082602760001
1871080806710002
1871082506820004
1871087112910002
1871082505090019
1871082405900001
1871087009780001
1871085112920009
1871085208840011
1871085009750005
1871080603910006
1871085210960002
1871084706720003
1871094503940003
1871081803920003
1871082503750004
1871081110970006
1871084111880002
1871085905870001
3201022004800009
1871085110780002
1871081102790006
1871086703850001
1871085010620001
1871084501700009
187108090900007
1809091705830002
1871080507790005
1871086510880001
1871082306720002
1871085510700001
18710723079500001
1871081207900014
1871085110810001
1871080510950004
1871082164860007
1871084601680002
1871080303740004
1871083005880002
1871084806910001
1871071109870002
1871080707840007
1871076606770003
1871081604970010
1871085711960007
1871081508680007
18710821020200004
1871081106880001
18710860058500009
1871085204930007
1871081004960001
1871085704710001
187108644111850003
187108610486011
18710768099600006
18090515049500001
1871081305880005
1871084909700002
1871081505660003
1871085110920003
1871055706760003
187107588730014
1871086512840001
187108050665007
1871086106680002
1871080607630004
187184602880001
1871034704680003
1871085010690012
1871085011910001
1871080606760006
1871081406990004
1871082406000002
1871081007920008
1871082009000002
1871081602670001
1871074608910002
18710841017500014
1871055604810009
1871082509620001
1871084202750006
1871080505710005
1871082307860006
1871085005720006
1871086010640002
1871082301750002
187107112940001
18710884505700008
1871081808820006
1871085507620002
18710862901780002
1871031005820007
1871084812920001
1871085204910001
1871084101800018
187108620490004
1871081010660010
1871080608740001
1871081604650001
1871084712700004
1871076407680001
1871084309530002
1871084104970008
1871082910970003
1809051701950005
1871080505670005
1871084601710005
1871085508840008
1871084302750007
18710816089770002
1871085005650010
1871080607010004
1871085007800011
1871096909810002
1871076503710003
1871086407720002
1871084510650014
1871080809030002
1871082807760007
1871084604670005
1871084703770002
1871070503800009
1871085003830010
1871070105950011
1871086206910001
1871084809650004
1871086501710001
1871084411790004
1871086502820001
1871081603030007
1871080912730007
1871084505820007
1871071001820004
1871082805670002
1871085208790006
1871082604980004
1871086606030004
1871084604530002
1871081308850001
1809054707780007
1871084705840007
1871086211860001
1801186104710005
1801181502700002
1871085607780004
1871085502040001
1871085808800002
1871086008730005
1871084707030002
1871084506860008
1871082709760004
1871081010700015
1871096208770003
1871093005990005
1871094507900005
1871094706890008
1871094106950002
1871096007630001
1871095005720009
1871090405770002
1871061608000008
1871065507850007
1871094904000003
1871081703960001
1871090608030002
1871081406970009
1871094606880010
1871065206630013
1871094507030001
1871090304740002
1871084405840011
1871082007920006
1871090803940002
1871074807970008
1871092103830004
1871095408880003
1871084202720004
1871094203850003
1871090112560004
1871090307630003
1871092112880001
1871091404830008
1871090104780002
1871095503030002
1871031402870003
1871094503810003
187113520590008
1871094704840001
1871176710850001
1871095106970003
1871092911000010
1871091506640006
1871090505840008
1871095109760001
1871090301800002
1871091504800003
1871090510710007
1871095503030005
1871094107750083
1871091904910006
18710907090770006
1871094702860004
1871096005970004
1871095302680001
1871090507830003
1871092607810005
1871095003860011
1871092011620001
1871090302010002
1871091007010007
1871090608040001
1871097007580002
1871096903050002
1871096911990004
187108121830001
1871085810020012
1871091105000005
1871090509550001
1871094103880006
1871085208950014
1871094201870008
1871092511960002
1809054502830001
1871090305880001
1871094505830007
1871090509880005
1871096001720003
1871093012770001
1871131408880005
1871090707000003
1871091208910002
1871096002780003
1871092201520001
1871094705660004
1871092510630000
18710995095900015
187109050512980002
1871095003920006
1871091301970008
1871094910900006
1871095207960002
1871064502760002
1871090804890003
187109430190001
187109111870007
1871081007900011
187094502820006
'1871097011940004
1871095206780010
1806014404970005
1871093000180005
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU / 13-10-2021
Jenis
Kelamin
KIKI L D 10/11/1994
DONA SANTOSO L D 17/05/1991
KETI P D 25/02/1972
AHMAD SANUSI L D 7/17/1969
SAR'I L D 2/15/1965
DARMANTO MZ L D 03/02/1987
WANDI L D 16/05/1975
MUHAYAH P D 10/04/1954
MEGA P D 30/05/1998
RAHARJO WINTO DARMOJO P D 21/06/1958
HERIYANTO L D 28/09/1971
NAWAWI S L D 27/05/1960
KHOIRIYAH P D 14/09/1992
JUJU P D 9/8/1956
SAKYAH P D 10/30/1967
NENY P D 10/07/1976
SEPTIANA P D 29/03/2002
ANING L D 27/05/1970
HERI IRAWAN L D 11/01/1994
SITI MAYMUNAH P D 26/11/1996
NETTY PRATIWI P D 22/06/1982
ASPURI L D 07/03/1977
AFIK RASMANTO L D 9/25/1962
SUHERI L D 3/2/1976
HASAN L D 12/10/1952
KARTIKA FITRI SARI P D 12/04/1986

IRWANSYAH L D 06/06/1994
RUBINAH P D 9/11/1955
KASMAH P D 12/06/1985
UNAYAH P D 02/07/1960
M SOLEH L D 4/9/1976
ASEP SAPUTRA L D 21/09/1996
JUNA NOVIANA P D 03/11/1981
ROHMAN L D 30/12/1970
SRI HAYATUN P D 24/12/1964
MARDIANA P D 07/11/1986
HAMDANAH P D 07/09/1985
HAMDIAH P D 9/25/1979
ANIK P D 6/20/1983
SUYANDANI P D 6/21/1994
DERKI SAPUTRA L D 03/12/1988
BAKRI L D 22/08/1983
HALIMATUS SA'DIAH P D 11/30/1981
AHMAD FIRDAUS L D 17/08/1999
RENDI SAPUTRA L D 07/09/2002
SANUSI L D 4/4/1966
ROSITI P D 8/5/1972
FEBI PUSPITASARI P D 20/02/2000
HERI KURNIAWAN L D 28/09/1973
ALIH ALIYAH P D 04/02/1982
MUHAMAD IKBAL L D 07/05/1981
SARNIAH P D 10/05/1974
ANTON L D 05/12/1987
ARSIH P D 01/06/1988
SAODAH L D 8/10/1989
SANTARI L D 11/7/1949
WIRA JAYA P L D 07/06/1988
ANISAH SAMUTI P D 02/03/2003

MUHAMMAD RISKI L D 13/01/2003
EDO ARDO F L D 23/10/1999
MUJIATI P D 13/01/1967
RONY VASLAH L D 19/04/1981
KUSNADI L D 6/26/1998
LANNY CAHYA I P D 3/20/1998
ASEP KUSNADI L D 10/01/1968
ALFIAN L D 12/10/1987
HAJIJI L D 04/05/1989
SAMI P D 01/12/1964
ROHENAH P D 09/02/1973
DEDEH ROHIMAH P D 06/03/1984
SEPDI IRAWAN L D 18/09/1982
MUJINAH P D 10/01/1981
DINA AMITA P D 12/30/2001
SANTI P D 11/10/1983
MARDHIAH P D 2/15/2003
DIKI ALFIAN L D 7/10/2000
SEPTI YANAH P D 9/7/2003
TYO NURALIF L D 9/20/2001
ARDIANSYAH L D 5/26/1994
DINAH YULIANA P D 21/07/1997
ARMAN L D 8/31/2003
ROHAYAH P D 11/10/1957
A DAMAN HURI L D 5/20/1984
LITIPAH P D 4/2/1973
SENEN L D 17/09/1959
ZAINAL ABIDIN L D 01/01/1973
HENDA WATI P D 6/12/1976
ANJAR SARI P D 10/10/1974
FIRDAUS L D 27/07/1977
RIYAN ADI SAPUTRA L D 01/09/1998
AHMAD SAEPUDIN L D 10/21/1988
SITI P D 11/03/1986
MARINAH P D 3/1/1963
P D 4/9/2000
APRIYANI
TRI ASIH P D 4/14/1986
TARMUJI L D 15/11/1982
FAJAR YANTO L D 29/04/1989
HERKONI L D 12/07/1978
MAMAT HIDAYAT L D 4/2/1973
JENA'AH P D 4/20/1987
NURAPRIANA P D 4/8/1985
ROSMALIA P D 10/05/1975
RIDHO ARVANDI L D 19/12/1994
MERI MESTIANA P D 02/05/1984
WINDA SAPUTRI P D 29/04/2001
SUGIANTI P D 03/04/1977
SRI GUSMIATI P D 12/02/1987
MARYANTI P D 05/09/1994
MAULINAH P D 11/27/1985
SUHARTO L D 08/03/1963
ETI P D 10/09/1981
RATNA P D 9/10/1975
SITI P D 04/03/1979
MIARNI P D 9/15/1984
RITA HANDAYANI P D 7/6/1974
GUNAWANSAH L D 12/05/1986
JUBAIDI L D 25/07/1989
SOHIB L D 04/05/1999
APRIYADI L D 12/04/2000
MANDA SARI P D 11/11/1982
BUNIYEM P D 03/07/1960
BENI YANTI P D 11/10/1985
MELIYAN P D 4/8/1996
ARIEL KUSMEDI L D 15/06/1988
ANIAH P D 08/09/1963
WATI WINARTI P D 15/03/1986

BUDIONO L D 8/23/1989
ROHIYAH P D 10/09/1973
ROAIDA P D 12/05/1967
SITI ROHAWA P D 01/01/1974
SIPAH P D 10/04/1972
LISMA WATI P D 1/25/1993
ISMANTO L D 04/04/1987
JANUJI L D 02/04/1977
HENDRAJAYA L D 04/04/1987
RISKA DEWI P D 2/2/1992
MARSANI L D 6/6/1977
SELAMET RIYADI L D 04/02/1983
AAN APRIYADI L D 09/04/1991
RUDIANTO L D 7/10/1985
ROHMAT SUJADI L D 9/30/1984
MISRIANI L D 7/4/1981
DESMIYANA P D 9/4/1972
M. KURNIAWAN L D 07/08/2001
SILA NURJANAH P D 10/20/1996
SUGIYATNO L D 9/10/1969
ELI L D 9/25/1954
IRWANTO L D 05/03/1982
ELISA YANI P D 3/29/1985
AGUNG JAYA KEMUNING L D 31/08/1987
RANI OKTARI P D 6/16/1994
SUTAJI L D 26/02/1976
SAHIBI L D 15/05/1977
MADSARI L D 25/06/1982
IDA JUBAIDA P D 31/12/1991
RIDWAN L D 17/07/1972
WARDI L D 5/24/1990
KHOIRIYAH P D 30/09/1978
ASINAH P D 22/11/1988
MARSITI P D 12/08/1984
ELI FRIANTI P D 9/10/1975
YONAS SUYANTO L D 06/03/1991
DWI MUNTAVIA P D 12/10/1996
SRI WAHYUNINGSIH P D 07/06/1972
MISRIANA P D 05/03/1994
DENI SAPUTRA L D 18/03/1992
SUYADI L D 25/03/1975
HENDI SAPUTRA L D 11/10/1997
EVA P D 01/11/1988
HAYANAH P D 19/05/1987
YUDI L D 20/04/1980
SUJIATI P D 10/11/1978
MUHAMMAD. SYAHRONI L D 11/02/1979
SARINEM P D 10/10/1962
SUHAINI P D 1/5/1970
M DIMAS INDRAWAN L D 06/10/2000
MAS TONI L D 17/05/1983
SARBINI L D 05/07/1979
SITI FATEHA P D 10/25/1986
IHDUAR D DEVIYONO L D 23/06/1972
RODIAH P D 10/15/1970
TONO L D 7/23/1995
DAYATTULLAH L D 12/07/1990
RINDA WATI P D 11/10/1981
ROPIANSYAH L D 05/10/1995
SEPRIYADI L D 21/04/1986
AMINAH P D 1/6/1968
WARNO L D 03/03/1974
SUMARDI L D 5/30/1988
ASMUNAH P D 6/8/1991
SYAEFULLOH L D 9/11/1987
SUPIYAN L D 07/07/1984
SOFIYAH L D 22/06/1977
ADIKA K L D 16/04/1997
NURSATIFAH P D 11/17/1996
KHOLIK L D 8/15/1968
NABIL ANDREAN L D 21/02/2002
TARMIZI L D 6/11/1998
ERMA S P D 12/04/1993
AHMAD S L D 07/05/1998
SUARIAH P D 5/17/1971
NOVIANAH P D 24/11/1985
APRILIA P D 21/04/1986
EVI S P D 28/09/1996
ROHMAWATI P D 15/04/1996
SARIP L D 13/05/1988
EMI S P D 9/9/1970
SUHA L D 5/15/1966
RUKIAH P D 10/11/1992
JUNARIAH P D 17/06/1976
AMANAH P D 18/08/1973
AISYAH P D 12/25/1984
BASWAN L D 6/5/1965
KASMI P D 6/21/1968
HADRA'I L D 7/5/1963
SUSIANTI P D 06/02/1988
TITIN M P D 4/7/1968
ROSMALA D P D 10/10/1969
NOVI S P D 11/10/1991
JONI L D 06/06/1976
PUTRA S L D 6/14/1999
SUJEMI L D 7/10/1992
WAHYU L D 20/09/2000
SAHLANI L D 16/02/1967
ASRINAWATI P D 06/08/1991
RAHMASARI P D 16/04/1981
RIDWAN L D 9/25/1962
MEGA P D 02/02/1975
SANAM L D 05/05/1971
AHMAD SARIF L D 23/07/1986
SAIRAH P D 5/10/1972
AMRINA P D 20/10/1964
DEDE SAPUTRA L D 23/01/1975
TATA LESTARI P D 31/12/1994
MEMAH P D 05/05/1979
ZULKARNAIN L D 18/08/1982
ZUBAIDAH H.S P D 15/07/1962
AHMAD ZENI L D 10/05/1982
HERLINA P D 08/12/1992
MASRIAH P D 1/1/1980
RUBIYAH P D 22/04/1990
MAMAK P D 10/10/1966
SUPARMAN L 06/08/1974
A. YANI L 16/04/1965
MARYANI P D 12/7/1970

ROHAINA P D 9/3/1953
MIA PRATAMA P D 4/1/1997
M ADIT SEFTIAWAN L D 10/29/1997
M ALI SAID L D 1/17/1995
MARGONO L D 5/5/1967
INCI HARTATI P D 1/6/1971
SITI ASIYAH P D 8/15/1984
SUWANDI L D 6/16/1997
SUPRIYANTI P D 5/10/1965
WAHYU L D 7/6/2001
JUANAH P D 7/10/1980
PIPHIN SEPTIANA YOGA P D 9/29/1981
YENISAH P D 3/25/1971
FARIDA P D 7/24/1972
HARYATI P D 10/5/1965
M ARIZKI ALAN SAHLAN L D 9/8/2003
MUHAMMAD ABDULLOH L D 7/28/1976
NAPSIAH P D 4/6/1967
CHARLY HELEN LEE P D 3/7/1977
RUDI L D 3/5/1980
NENIK P D 3/10/1983
INDRA L D 5/1/1995
SUPIAH P D 9/8/1965
SUPI KARTINI P D 1/25/1971
SADIYAH P D 2/25/1982
MOCH ROBBY AZWAN L D 3/16/2003
MAYA RIYANTI P D 5/5/1982
NUR UBAY L D 1/10/1982
RODIANA P D 8/12/1979
ARDI WIRADANA L D 4/26/1998
REFFA WIDIAN TIKA P D 6/26/2003
HALIMAH TUSADIYAH P D 4/6/1953

FAHRI HUSAINI L D 8/13/1985
YANTI P D 7/7/1980
MIRIYA SARI P D 5/7/1984
NOPI HANDAYANI P D 11/22/1986
ALIYAH P D 4/21/1971
MAY SUPANDI L D 2/15/1970
RAHMA FITRISIA P D 7/16/1978
KARINA NURUL QOTIMAH P D 5/15/2004
ASNI P D 8/18/1980
NURAENI P D 8/20/1973
MAISA MIFTAHUL JANNAH P D 7/7/2003
MARIYANA P D 6/5/1986
DODY SAPUTRA L D 9/27/1976
HASRIL L D 10/10/1970
MARSIYEM P D 22/08/1977
OKI SAPUTRA L D 30/05/1999
ARTI P D 05/07/1990
SRI WIDAYANTI P D 5/14/1994
SITI MASPUAH P D 6/1/1995

SUHETI P D 20/07/1983
ANSHORI L D 04/05/1977
YOGA EKO PRASETIA L D 16/08/2000
ROBIAH ADAWIYAH P D 15/07/1985
PATMAWATI P D 09/04/2000
ISMAIL L D 17/03/1996
ARMANDO L D 6/14/1997
KURNIASATI P D 6/6/1988
HAMJIAH P D 12/06/1963
ROSITA P D 05/07/2003
PONIDI L D 03/04/1974
RUDI L D 08/03/1994
MARDIANTI P D 08/07/1997
SUHARDI L D 3/21/1983
AAN ANDRIYANI P D 8/14/1988
SANIA P D 02/02/1972
AMI P D 02/03/1985
TRI SISWANTO P D 01/12/1986
PARLUJI L D 03/07/1963
SARKO L D 12/12/1988
EKO L D 14/04/1983
MUSLIH L D 01/04/1978
NURHASNAH P D 15/03/2003
ARI DARMAWAN L D 14/02/1987
NGATINI P D 3/5/1981
MARWATI P D 4/7/1984
LIA DIRGAHAYU P D 10/27/1985
JUNITA MAYASARI P D 6/11/1997
SURYA CAHYA L D 11/29/2000
CIPTO L D 6/15/1964
SAHRIA P D 05/05/1984
SOLEHATUN P D 9/11/1976
WAWAN L D 1/3/1980
HENDRA L D 4/15/1980
SUBUR L D 10/5/1971
IRMA AINI P D 3/15/2003
JUNAYAH P D 7/1/1975
SULIS WAHONO L D 9/7/1977
MARYANAH P D 5/20/1997
MARHAMAH P D 2/13/1968
SAM'UN L D 7/5/1983
BAHARI L D 7/20/1981
RASIAH P D 3/10/1986
SUPARDI L D 11/20/1962
OMAN SAPUTRA L D 2/3/2001
MUHAMAD LUTFI L D 7/10/2021
ADE SAPUTRA L D 8/6/2003
YATI P D 7/30/1958
SITI NUR P D 29/03/2002
NOVIYANA P D 29/11/1999
JOHANSYAH L D 1/12/1983
RISKI AMANDA P D 18/10/1962
ANDRE SETIAWAN L D 11/05/2000
MUHTARUDIN L D 05/09/1955
SUNARIYAH P D 3/1/1988
EDI SOLIHIN L D 11/25/1996
NRHASANAH P D 05/02/1983
BAKRI L D 03/05/1988
URNI P D 05/05/1983
SUPRIYANSYAH L D 05/09/1988
SUTIRAH P D 1/20/1972
MURNI P D 30/12/1977
ZAKI L D 8/14/1988
RADIANSYAH L D 4/9/2000
SUHENDRA L D 8/12/1991
KAREL P D 22/01/1952
MASRIPAH P D 07/05/1968
SATIMAN P D 25/10/1963
ANDI L D 05/05/1990
PARDIK L D 12/5/1998
SARASWATI P D 10/03/1992
IRFAN TRIYANTO L D 13/01/1997
SARTI P D 09/10/1990
SITI WAHYUNI P D 7/12/1996
NANIK NURLIANIK P D 05/02/1976
SAMSUL PALAH L D 4/8/1989
BISRIADI L D 11/10/1987
TAHYUDIN L D 10/07/1990
SAPRAH P D 05/05/1982
EFILIANA P D 30/11/1994
SITI ALIYAH P D 5/12/1978
MIRA SANTIKA P P 04/04/1997
***Merek Vaksin
A = Sinovac

102 BPJS PBI
175 BPJS Non PBI
110 Non Anggota
20
407 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
417 Total
0
417
Umur
(18 sd ≥ 60 tahun)
28 18-30 BAKUNG
32 31-45 BAKUNG
51 46-59 BAKUNG
53 46-59 BAKUNG
58 46-59 BAKUNG
36 31-45 BAKUNG
48 46-59 BAKUNG
69 ≥60 BAKUNG
25 18-30 BAKUNG
64 ≥60 BAKUNG
51 46-59 BAKUNG
63 ≥60 BAKUNG
30 18-30 BAKUNG
66 ≥60 BAKUNG
55 46-59 BAKUNG
46 46-59 BAKUNG
21 18-30 BAKUNG
53 46-59 BAKUNG
29 18-30 BAKUNG
26 18-30 BAKUNG
40 31-45 BAKUNG
46 46-59 BAKUNG
60 ≥60 BAKUNG
47 46-59 BAKUNG
34 31-45 BAKUNG
70 ≥60 BAKUNG
37 31-45 BAKUNG
28 18-30 BAKUNG
67 ≥60 BAKUNG
37 31-45 BAKUNG
62 ≥60 BAKUNG
47 46-59 BAKUNG
26 18-30 BAKUNG
41 31-45 BAKUNG
52 46-59 BAKUNG
58 46-59 BAKUNG
36 31-45 BAKUNG
37 31-45 BAKUNG
43 31-45 BAKUNG
39 31-45 BAKUNG
28 18-30 BAKUNG
34 31-45 BAKUNG
39 31-45 BAKUNG
50 46-59 BAKUNG
50 46-59 BAKUNG
41 31-45 BAKUNG
23 18-30 BAKUNG
20 18-30 BAKUNG
53 46-59 BAKUNG
57 46-59 BAKUNG
50 46-59 BAKUNG
23 18-30 BAKUNG
49 46-59 BAKUNG
41 31-45 BAKUNG
42 31-45 BAKUNG
49 46-59 BAKUNG
45 31-45 BAKUNG
35 31-45 BAKUNG
34 31-45 BAKUNG
33 31-45 BAKUNG
73 ≥60 BAKUNG
34 31-45 BAKUNG
20 18-30 BAKUNG
20 18-30 BAKUNG
23 18-30 BAKUNG
50 46-59 BAKUNG
56 46-59 BAKUNG
42 31-45 BAKUNG
24 18-30 BAKUNG
25 18-30 BAKUNG
55 46-59 BAKUNG
35 31-45 BAKUNG
34 31-45 BAKUNG
40 31-45 BAKUNG
58 46-59 BAKUNG
50 46-59 BAKUNG
39 31-45 BAKUNG
40 31-45 BAKUNG
42 31-45 BAKUNG
21 18-30 BAKUNG
39 31-45 BAKUNG
20 18-30 BAKUNG
22 18-30 BAKUNG
19 18-30 BAKUNG
21 18-30 BAKUNG
29 18-30 BAKUNG
25 18-30 BAKUNG
19 18-30 BAKUNG
65 ≥60 BAKUNG
39 31-45 BAKUNG
50 46-59 BAKUNG
63 ≥60 SUKARAME 2
50 46-59 SUKARAME 2
46 46-59 SUKARAME 2
48 46-59 SUKARAME 2
45 31-45 SUKARAME 2
24 18-30 SUKARAME 2
34 31-45 SUKARAME 2
37 31-45 SUKARAME 2
60 ≥60 SUKARAME 2
23 18-30 SUKARAME 2
37 31-45 SUKARAME 2
40 31-45 SUKARAME 2
34 31-45 SUKARAME 2
44 31-45 SUKARAME 2
50 46-59 SUKARAME 2
46 46-59 SUKARAME 2
36 31-45 SUKARAME 2
38 31-45 SUKARAME 2
40 31-45 SUKARAME 2
48 46-59 SUKARAME 2
28 18-30 SUKARAME 2
39 31-45 SUKARAME 2
22 18-30 SUKARAME 2
46 46-59 SUKARAME 2
36 31-45 SUKARAME 2
28 18-30 SUKARAME 2
37 31-45 SUKARAME 2
38 31-45 SUKARAME 2
60 ≥60 SUKARAME 2
41 31-45 SUKARAME 2
47 46-59 SUKARAME 2
44 31-45 SUKARAME 2
38 31-45 SUKARAME 2
48 46-59 SUKARAME 2
37 31-45 SUKARAME 2
33 31-45 SUKARAME 2
24 18-30 SUKARAME 2
23 18-30 SUKARAME 2
40 31-45 SUKARAME 2
62 ≥60 SUKARAME 2
37 31-45 SUKARAME 2
51 46-59 SUKARAME 2
27 18-30 SUKARAME 2
34 31-45 SUKARAME 2
59 46-59 SUKARAME 2
37 31-45 SUKARAME 2
33 31-45 SUKARAME 2
56 46-59 SUKARAME 2
49 46-59 SUKARAME 2
39 31-45 SUKARAME 2
56 46-59 SUKARAME 2
49 46-59 SUKARAME 2
51 46-59 SUKARAME 2
30 18-30 SUKARAME 2
36 31-45 SUKARAME 2
46 46-59 SUKARAME 2
36 31-45 SUKARAME 2
36 31-45 SUKARAME 2
53 46-59 SUKARAME 2
40 31-45 SUKARAME 2
31 31-45 SUKARAME 2
45 31-45 SUKARAME 2
40 31-45 SUKARAME 2
32 31-45 SUKARAME 2
37 31-45 SUKARAME 2
38 31-45 SUKARAME 2
41 31-45 SUKARAME 2
50 46-59 SUKARAME 2
21 18-30 SUKARAME 2
26 18-30 SUKARAME 2
53 46-59 SUKARAME 2
68 ≥60 SUKARAME 2
41 31-45 SUKARAME 2
38 31-45 SUKARAME 2
26 18-30 SUKARAME 2
33 31-45 SUKARAME 2
35 31-45 SUKARAME 2
28 18-30 SUKARAME 2
47 46-59 SUKARAME 2
46 46-59 SUKARAME 2
40 31-45 SUKARAME 2
31 31-45 SUKARAME 2
50 46-59 SUKARAME 2
33 31-45 SUKARAME 2
44 31-45 SUKARAME 2
34 31-45 SUKARAME 2
38 31-45 SUKARAME 2
47 46-59 SUKARAME 2
32 31-45 SUKARAME 2
26 18-30 SUKARAME 2
50 46-59 SUKARAME 2
29 18-30 SUKARAME 2
31 31-45 SUKARAME 2
48 46-59 SUKARAME 2
25 18-30 SUKARAME 2
34 31-45 SUKARAME 2
36 31-45 SUKARAME 2
43 31-45 SUKARAME 2
44 31-45 SUKARAME 2
44 31-45 SUKARAME 2
35 31-45 NOG
60 ≥60 NOG
53 46-59 NOG
22 18-30 NOG
40 31-45 NOG
43 31-45 NOG
36 31-45 NOG
50 46-59 NOG
52 46-59 NOG
27 18-30 NOG
32 31-45 NOG
41 31-45 NOG
27 18-30 NOG
37 31-45 NOG
55 46-59 NOG
49 46-59 NOG
35 31-45 NOG
31 31-45 NOG
35 31-45 NOG
38 31-45 NOG
45 31-45 NOG
26 18-30 NOG
26 18-30 NOG
54 46-59 NOG
21 18-30 NOG
24 18-30 NOG
38 31-45 NOG
30 18-30 NOG
25 18-30 NOG
52 46-59 NOG
37 31-45 NOG
37 31-45 NOG
26 18-30 NOG
27 18-30 NOG
35 31-45 NOG
52 46-59 NOG
57 46-59 NOG
30 18-30 NOG
46 46-59 NOG
49 46-59 NOG
38 31-45 NOG
57 46-59 NOG
54 46-59 NOG
59 46-59 NOG
35 31-45 NOG
55 46-59 NOG
53 46-59 NOG
31 31-45 NOG
46 46-59 NOG
23 18-30 NOG
22 18-30 NOG
30 18-30 NOG
22 18-30 NOG
56 46-59 NOG
31 31-45 NOG
48 46-59 NOG
42 31-45 NOG
60 ≥60 NOG
48 46-59 NOG
52 46-59 NOG
36 31-45 NOG
51 46-59 NOG
58 46-59 NOG
48 46-59 NOG
28 18-30 NOG
44 31-45 NOG
40 31-45 NOG
60 ≥60 NOG
45 31-45 NOG
41 31-45 NOG
30 18-30 NOG
32 31-45 NOG
43 31-45 NOG
33 31-45 NOG
56 46-59 NOG
48 46-59 NOG
58 46-59 NOG
52 46-59 KURIPAN
54 46-59 KURIPAN
69 ≥60 KURIPAN
26 18-30 KURIPAN
25 18-30 KURIPAN
28 18-30 KURIPAN
56 46-59 KURIPAN
52 46-59 KURIPAN
38 31-45 KURIPAN
48 46-59 KURIPAN
25 18-30 KURIPAN
58 46-59 KURIPAN
21 18-30 KURIPAN
42 31-45 KURIPAN
41 31-45 KURIPAN
52 46-59 KURIPAN
50 46-59 KURIPAN
57 46-59 KURIPAN
19 18-30 KURIPAN
46 46-59 KURIPAN
56 46-59 KURIPAN
46 46-59 KURIPAN
43 31-45 KURIPAN
40 31-45 KURIPAN
28 18-30 KURIPAN
31 31-45 KURIPAN
57 46-59 KURIPAN
52 46-59 KURIPAN
43 31-45 KURIPAN
41 31-45 KURIPAN
20 18-30 KURIPAN
49 46-59 KURIPAN
41 31-45 KURIPAN
41 31-45 KURIPAN
55 46-59 KURIPAN
43 31-45 KURIPAN
25 18-30 KURIPAN
19 18-30 KURIPAN
70 ≥60 KURIPAN
37 31-45 KURIPAN
42 31-45 KURIPAN
39 31-45 KURIPAN
36 31-45 KURIPAN
52 46-59 KURIPAN
53 46-59 KURIPAN
44 31-45 KURIPAN
19 18-30 KURIPAN
42 31-45 KURIPAN
49 46-59 KURIPAN
19 18-30 KURIPAN
36 31-45 KURIPAN
46 46-59 KURIPAN
52 46-59 KURIPAN
45 31-45 BATU PUTUK
24 18-30 BATU PUTUK
32 31-45 BATU PUTUK
29 18-30 BATU PUTUK
27 18-30 BATU PUTUK

39 31-45 BATU PUTUK
51 46-59 BATU PUTUK
46 46-59 BATU PUTUK
22 18-30 BATU PUTUK
37 31-45 BATU PUTUK
23 18-30 BATU PUTUK
27 18-30 BATU PUTUK
19 18-30 BATU PUTUK
25 18-30 BATU PUTUK
34 31-45 BATU PUTUK
59 46-59 BATU PUTUK
19 18-30 BATU PUTUK
49 46-59 BATU PUTUK
39 31-45 BATU PUTUK
30 18-30 BATUPUTUK
29 18-30 BATU PUTUK
25 18-30 BATU PUTUK
40 31-45 BATU PUTUK

34 31-45 BATU PUTUK
51 46-59 BATU PUTUK
38 31-45 BATU PUTUK
36 31-45 BATU PUTUK
59 46-59 BATU PUTUK
34 31-45 BATU PUTUK
40 31-45 BATU PUTUK
45 31-45 BATU PUTUK
20 18-30 BATU PUTUK
36 31-45 BATU PUTUK
42 31-45 BATU PUTUK
33 31-45 BATU PUTUK
39 31-45 BATU PUTUK
37 31-45 BATU PUTUK
25 18-30 BATU PUTUK
22 18-30 BATU PUTUK
58 46-59 BATU PUTUK
39 31-45 BATU PUTUK
46 46-59 BATU PUTUK

43 31-45 BATU PUTUK
43 31-45 BATU PUTUK
51 46-59 BATU PUTUK
20 18-30 BATU PUTUK
47 46-59 BATU PUTUK
32 31-45 BATU PUTUK
45 31-45 BATU PUTUK
37 31-45 BATU PUTUK
26 18-30 BATU PUTUK
55 46-59 BATU PUTUK
39 31-45 BATU PUTUK
41 31-45 BATU PUTUK
37 31-45 BATU PUTUK
60 ≥60 BATU PUTUK
22 18-30 BATU PUTUK
1 0 BATU PUTUK
19 18-30 BATU PUTUK
64 ≥60 BATU PUTUK
40 31-45 BATU PUTUK
48 46-59 BATU PUTUK

53 46-59 BATU PUTUK
23 18-30 BATU PUTUK
34 31-45 BATU PUTUK
35 31-45 BATU PUTUK
31 31-45 BATU PUTUK
22 18-30 BATU PUTUK
39 31-45 BATU PUTUK
49 46-59 BATU PUTUK
40 31-45 BATU PUTUK
24 18-30 BATU PUTUK
23 18-30 BATU PUTUK
34 0 BATU PUTUK
42 31-45 BATU PUTUK
30 18-30 BATU PUTUK
40 31-45 BATU PUTUK
27 18-30 BATU PUTUK
36 31-45 BATU PUTUK
38 31-45 BATU PUTUK
23 18-30 BATU PUTUK
20 18-30 BATU PUTUK

57 46-59 BATU PUTUK
31 31-45 BATU PUTUK
22 18-30 BATU PUTUK
29 18-30 BATU PUTUK
24 18-30 BATU PUTUK
31 31-45 BATU PUTUK
25 18-30 BATU PUTUK
45 31-45 BATU PUTUK
32 31-45 BATU PUTUK
31 31-45 BATU PUTUK
34 31-45 BATU PUTUK
31 31-45 BATU PUTUK
39 31-45 BATU PUTUK
26 18-30 BATU PUTUK
43 31-45 BATU PUTUK
24 18-30 BATU PUTUK
41 31-45 BATU PUTUK

Pekerjaan
107 A
145 B
168 C
420 D
E
470 Total
38
0
508
No. Hp
089648924061 YA
081997418187 YA
0895232338378 YA
085266568716 YA
085366243664 YA
082171070780 YA
089507601654
- YA
0895416733355
082311003062 YA
082185498454 YA
081273104445 YA
085764105713 YA
081358813957 YA
- YA
083801739036
0895633023941
089690848751
;089517336968
089523093135 YA
085758322097
085377566819
08529682151
083137347937 YA
082278416994
082185498454
0895707305654 YA
089686263363
089638929580 YA
08996777100 YA
08 YA
085218729283
089646996510 YA
088224265403 YA
085764208676 YA
088267199591 YA
089692553891 YA
0895605837048
08992444342
081369250389 YA
083178768171 YA
089637983146 YA
08976129291 YA
085379665594 YA
089632151258 YA
085378922229 YA
083171405687 YA
08984277217 YA
0883168494706 YA
082183203169 YA
081278090219 YA
08992444342 YA
081278515889
08 YA
085269132469
08 YA
08 YA
0895336877997 YA
088747477600 YA
088747477600 YA
082181077375 YA
082177645005
085788808815
089633417914
089522806079
085788808815 YA
085788808815
082175452019
089670309030
08987505141 YA
087798961721
085377824672
08975442139 YA
0895416730803 YA
085669633486 YA
085384449003 YA
0895610067463 YA
081379900029
089523553640 YA
082278510941 YA
082179332645
088267011418 YA
085268499192
082183679005 YA
085788513429 YA
08974677786 YA
08974677786 YA
082281671056 YA
0895371920235 YA
0895371920235 YA
089517072281 YA
YA
082183823497 YA
08136794089 YA
085841214722 YA
08127342350 YA
088276626515
080841812718 YA
083802924956 YA
0895344155468 YA
085709306840
089526473056 YA
08218669034
085269445204
08984261213
082186378060 YA
085783558868 YA
082175453024 YA
0887747553956 YA
085788980636
YA
082186699034
089634173427 YA
0828573352241 YA
085832721156 YA
08989185937
082306044656
085378088771
083180163706
082377101174
082180054450
089634109061
085767107284
083168342831
085767107284
082182490424
088287784770
085809965195
081377779642
085809965145
085767107284
085767107284
085789683492
085767107284
085767107284
0895614817740
085380296785
083168342831
085709119373
085809745860
089627104958
089627104958
085709210595
0895357461571
082176625347
082376701540
089634019932
085767107284
082180249742
085384663489
08584130273
085841310233
085841310233
085841310233
081366712681
085268958197
083181878544
088286735122
082282391563
08993033316
081218347733
081373400726
083170013209
082177072649
08971494926
081297935195
08975054010
089611148354
082274784911
082274784911
088287560501
089665593238 YA
081274922347 YA
089631138703 YA
089692553964 YA
082182345947 YA
085273397626 YA
089530325298 YA
0895640073141 YA
0895605895773 YA
0895607078777 YA
082280766769 YA
082278744911 YA
085366409064 YA
083164493207 YA
085809432580 YA
0895387580603 YA
082278744911 YA
085789529891 YA
083172283455
082278744911 YA
082278744911 YA
083143486228 YA
089644457205 YA
08978550201 YA
085829611791 YA
085384865314 YA
089508601783 YA
083168251777 YA
085139049166 YA
083168251777 YA
0895344182591 YA
08975709520 YA
089632141415 YA
0895320450734 YA
08984260637 YA
0895353389036 YA
0895343218531 YA
0895621405222
083191563029 YA
0895389645372 YA
082278744911 YA
089654392515 YA
089528084579 YA
089523084579 YA
081278416979 YA
082385511565 YA
082385511565 YA
085764263704 YA
083137830939 YA
082182542264 YA
081274922348 YA
08973591501 YA
0895701053928 YA
0895368889571 YA
0895620403942 YA
08985445807 YA
0896677148436
081278227927 YA
08693554444 YA
0869355444 YA
085709290642 YA
0852661903 YA
08237418388 YA
081278069066 YA
08951435027773 YA
0895600791300 YA
083191563039 YA
082180450883 YA
083190845817 YA
083190845817 YA
0896339614 YA
089523101890 YA
08950482851 YA
081273802580 YA
089631138603 YA
089503197505
085768968555 YA
085379545443 YA
0895323237797 YA
08117231515 YA
081379341132 YA
085758356835 YA
083153997385 YA
085381016553 YA
089563046003 YA
085366341834 YA
083157733996 YA
083147365309
081368984262 YA
085766835402 YA
081336675921
087819935505 YA
081272250904 YA
089691866701 YA
089691866701 YA
085788086058 YA
085783860212 YA
085377406986 YA
082182983961
083160040717 YA
089530325412 YA
08994145800
08994145800 YA
089523119495 YA
085839972384 YA
083160872035 YA
083168291102 YA
089636938530
088287843683
08968361300
089698361300 YA
088286691496 YA
085838316540
089508419654 YA
089508419654
082377301813 YA
089524267272 YA
085709057882
082127748218 YA
083164837221 YA
0895384685619
0895384685619
081274386817 YA
088286596638 YA
083169572646 YA
081949563584 YA
0895416682440
089507976643 YA
085838316540 YA
081274386817 YA
085378755549 YA
085832654472 YA
085781757069 YA
082375887994 YA
085788741156 YA
085841832765 YA
082285893149
085832290992 YA
08998872130
085874134253 YA
082269794965 YA
085839231721 YA
085838223006 YA
085783022968 YA
085768517876 YA
089560983245
0895640454342
0895640454342
0895600850703
085783588846 YA
081222239236
081271893296
085208394736
0895604126406 YA
082182954436
085384641664 YA
085838736699 YA
085896881288 YA
085838730692 YA
085664719030 YA
085758734288
089510849499 YA
089723120047 YA
081273960982
081373187668 YA
082288396268 YA
083150312893 YA
082289614774 YA
085381787092 YA
082279028487 YA
08578117211 YA
085764270520 YA
083178817616 YA
083178817616 YA
0819201087 YA
- YA
082321900718 YA
- YA
085768734841
085279310151
085381522360 YA
0858380699 YA
085838230699 YA
085838730699
085709508376 YA
089514096003 YA
085758945352
081214510281 YA
085896794767 YA
085838730699 YA
081379764771 YA
085788832099 YA
085709294686 YA
081272454523 YA
085788696603 YA
085896873049
085788511497 YA
085669658956
- YA
085769814288 YA
085869873049 YA
085366569580 YA
08127349590 YA
081373788140 YA
085788825848 YA
089661338177 YA
085768511185 YA
085832733647
- YA
085788511497
085839788774
085658378687
085839788774
089512033556
085783279134
089655554082
085809816100
085896658081
089510115938
085714931821
082377301785
08228018754
085769515224
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
10/14/2021 ASTRA ZENECA
YA 10/14/2021 ASTRA ZENECA





10/14/2021 ASTRA ZANECA
YA 10/14/2021 ASTRA ZANECA









10/14/2021 CORONAVAC BIOFARMA

YA 10/14/2021 CORONAVAC BIOFARMA


10/14/2021 ASTRAZENECA
YA 10/14/2021 ASTRAZENECA
Dosis I
Tanggal Pemberian
Vaksinasi
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 24005721 16276151048908
10/14/2021 24005721 16276151048908

10/14/2021 24005721 16276151048908
10/14/2021 24005721 16276151048908
10/14/2021 24005721 16276151048908
10/14/2021 24005721 16276151048908
10/14/2021 24005721 16276151048908
10/14/2021 24005721 16276151048908
10/14/2021 24005721 16276151048908
10/14/2021 24005721 16276151048908
10/14/2021 24005721 16276151048908
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788

10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151034852
10/14/2021 24005721 16276151034852
10/14/2021 24005721 16276151034852
10/14/2021 24005721 16276151034852
10/14/2021 24005721 16276151034852
10/14/2021 24005721 16276151034852

10/14/2021 24005721 16276151034852
10/14/2021 24005721 16276151034852
10/14/2021 24005721 16276151034852
10/14/2021 24005721 16276151034852
10/14/2021 24005721 16276151031888
10/14/2021 24005721 16276151031888
10/14/2021 24005721 16276151031888
10/14/2021 24005721 16276151031888
10/14/2021 24005721 16276151031888
10/14/2021 24005721 16276151031888
10/14/2021 24005721 16276151031888
10/14/2021 24005721 16276151031888
10/14/2021 24005721 16276151031888
10/14/2021 24005721 16276151031888
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
10/14/2021 AA1077
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
2 1 Q-000XZIV5
2 2 Z-000ATBFH
2 3 Z-000ATA52
2 4 Q-000XZJP2
2 5 Q-000Y3847
2 6 Q-000XZLLJ
2 7 Q-000YOKFF
2 8 Q-000XZV6P
2 9 Q-000Y16KQ
HAMIL/2 10 Q-000Y3Q33
2 11 Q-000XZWUD
2 12 Q-000Y5YVJ
2 13 Q-000Y38RB
2 14 Q-000Y5YST
2 15 Q-000Y1P74
2 16 Q-000Y12CY
2 17 Q-000Y45LD
2 18 Q-000Y2SQV
2 19 Q-000Y38H7
DIS/2 20 Q-000Y38XN
2 21 Q-000Y5MN1
2 22 Z-000ATNEH
2 23 Z-000Y2A73
HAMIL/2 24 Q-000XZIZI
2 25 Z-000ATKFW
2 26 Q-000Y384Z
2 27 Q-000Y2NDN
2 28 Q-000Y0M43
2 29 Q-000Y3QPK
2 30 Q-000Y4SZJ
2 31 Q-000Y48BV
2 32 Q-000Y4L3T
2 33 Q-000Y47ZJ
2 34 Q-000Y3QG3
2 35 Q-00042TAQ
HAMIL/2 36 Q-000Y6CHL
2 37 Q-000Y5NNB
2 38 Q-000XZKST
2 39 Q-000Y2LLC
HAMIL/2 40 Q-000XZCLO
2 41 Q-000Y30CD
2 42 Q-000Y29RJ
2 43 Q-00042NMO
2 44 Q-0004563V
2 45 Q-000XZF5N
2 46 Q-000455SO
2 47 Z-000ATATE
2 48 Q-000Y170J
2 49 Q-000Y5ZS6
2 50 Q-000Y3L09
2 51 Q-000Y11QI
2 52 Q-000Y465D
2 53 Q-000Y559S
2 54 Q-000XH0FJ
2 55 Q-000UH3DZ
2 56 Q-000K3G2
2 57 Q-000W112D
2 58 Q-0004INQI
HAMIL/2 59 Q-000438QG
2 60 Q-000Y4QSO
2 61 Q-000Y2LZ7
F20/2 62 Q-000Y558K
2 63 Q-000Y48JV
2 64 Q-000Y5508
2 65 Q-0000JQID
2 66 Q-000XLRW7
2 67 Q-000XH0EH
2 68 Q-000XH0BW
2 69 Q-000Y3LRD
2 70 Q-000Y3N99
2 71 Q-000Y3M3X
2 72 Q-000Y202D
HAMIL/2 73 Q-000XZIGH
2 74 Q-000XZX3Y
2 75 Q-000Y160I
HAMIL/2 76 Q-000Y2S3O
HAMIL/2 77 Q-000Y490S
2 78 Q-000XH0XB
2 79 Z-D522C8F9
2 80 Q-000Y3PQS
2 81 Q-000Y4RXD
2 82 Q-000Y0LF1
2 83 Q-000XHOEB
2 84 Q-000XHNJQ
2 85 Q-000KTORE
2 86 Q-000P6QWN
2 87 Q-000Y5MTR
2 88 Q-000Y5Z7D
2 89 Q-000Y5ZIN
2 90 Q-000Y5NFJ
2 91 Q-000XPGNH
2 92 Q-000Y78TX
2 93 Q-000Y6CKD
2 94 Q-000Y5KMK
2 95 Q-000Y6CM6
2 96 Q-000Y46AF
2 97 Q-000U33QM
2 98 Q-000Y41Y8
2 99 Q-000Y4R2F
HAMIL/2 100 Q-000XZIPY
101 P-U4SAPVYG
2 102 Q-000Z9P9D
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871091203060001
1871086703600003
1871080907570003
1871094804050001
1871071708870014
1871085507710006
1871081707900010
1871087103700001
1871080408070003
1871086010000004
1871075208630009
1871082703720001
1871074307930002
1871082305810003
1871085007820009
1871082506030002
1871082210930002
1871082904990005
1871084204930002
1871085207790002
1871081001760002
1871084208590001
1871080512770001
1871085004010003
1871082006530001
1871084502620002
1871096309670006
1809051005890010
1871080303020006
1871085211680002
1871085008060004
1871081710800006
1871085812680002
1871084606980005
3276106306010007
1871085010840008
1871085507730005
1801080505790006
1871082408780005
1871084609870006
1871080407870007
1871076909050001
1871084309750002
1871086203680002
1871086811770003
1871086708960004
1871084107600002
1871082907930002
1871085309860002
1871085112870003
1871081007620005
1871080601030004
1871084810020008
1871130407920002
1871095502750002
1871084704840005
1871082909810002
1871105802890003
1871086905800001
1871082505890003
1871081601890001
1871081108010002
1871081707090003
1871085802750004
1871083001620001
1871095007760004
1871080403900002
1871030606930002
1871081907020002
1871080404010003
1871080911010002
1871091305660001
1871086709910003
1871080709660007
1871086204020003
1871085405890005
1871094206870007
1871130907830002
1871080712570001
1871082010930003
1871084609990004
1871081411020005
1871130604870004
1871080512970003
1871052506810009
1871081809920001
1871085010870012
1871086101730001
1871081408010005
1871081506780004
1871086511970001
1871070702740008
1871071903820001
1871082403900004
1871051007810005
1871084107990002
1871084306930006
1871087103820001
1871080912890003
1871076012000006
1811010807940001
1804027108630001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU / 13-10-2021
Jenis
Kelamin
RHEAL IFTIQAR L D 12/03/2006
KARDINAH P D 27/03/1960
DARJAN L D 7/9/1957
CHIARA VIOLA P D 4/8/2005
HARI YANTO L D 8/17/1967
MEGA LINDA SUSANTI P D 15/07/1971
SAHRI L D 17/07/1990
NURAISYAH P D 31/03/1970
KIKI FADILLAH L D 04/08/2007
ASTUTI P D 10/20/2000
CITRAWATI P D 12/08/1963
TJING SAN/ SUSANTO L D 27/03/1972
SITI MARHAMAH P D 7/3/1993
CHING HOK L D 23/05/1981
HENY IKARAYA P D 7/10/1982
FADHIL MUHAMMAD L D 25/06/2003
NURUL ALIF L D 22/10/1993
APRIANSYAH L D 4/29/1999
AYU PUTRI DEWI P D 4/2/1993
NOVITA DIAN P D 7/12/1979
PRINGGO NUGROHO L D 10/01/1976
SULIKAH P D 8/2/1959
NANDA FERI IRAWAN L D 12/5/1977
ANISA P D 4/10/2001
M. SALEH L D 6/20/1953
SITI HAYATI P D 2/5/1962
SUGIATI P D 9/23/1967
DEDI RAHARJO L D 10/05/1989
REZA NURZAINI L D 3/3/2002
MEI LIEN/ LENNY ANDRIANTI P D 11/12/1968
ANNISA CHIKA P D 10/08/2006
SUGENG L D 12/17/1979
MERRY P D 12/18/1968
WINDA WULANDARI P D 6/6/1998
LUBNAH P D 6/26/2001
MAI LAN/ LINDA WATI P D 15/07/1973
TRI WALUYO L D 05/05/1979
AFRIZAL L D 4/5/1973
CATUR SEPTIANTI P D 06/09/1987
SAIFUL ANWAR L D 7/4/1987
NURIN AQMARINA P D 9/29/2005
AMNAH P D 9/3/1975
YULISMA P D 28/11/1977
ANGGUN TRI G P D 8/27/1996
KARMINA P D 01/07/1960
DWISYAH PUTRA L D 7/29/1993
HELGA FILMASARI P D 12/11/1987
TURSINO L D 7/10/1962
DIMAS TRI UTOMO L D 06/01/2003
ANANDA GALUH P D 10/8/2002
SETYA JULLI L D 04/07/1993
TRI FEBRIANI P D 2/15/1975
SARNI P B 07/04/1984
DENNIE L D 29/09/1981
PUTRI HERLINA P D 2/18/1989
MUTIAH P D 5/29/1980
DJEFRY SKENDRO L D 25/05/1989
EDI WIJAYA L D 1/16/1989

M.T. EGI PRAYOGA L D 8/11/2001
MUHAMMAD IBNI AKMAL L D 17/07/2009
ROSITA P D 2/18/1975
BAHRI L D 30/01/1962
SARNAYU P D 10/07/1976
M. ASRONI L D 04/03/1990
DYAN YUNANTO L D 06/06/1993
REFAN JULIANSYAH L D 7/19/2002
RAHMAT ALDI L D 4/4/2001
MUHAMMAD RENDY L D 11/9/2001
SALIM L D 5/13/1966
RENA P D 9/27/1991
RIZAYUSAWALIS L D 9/7/1966
RECI MITHA P D 22/04/2002
LAILANI P D 14/05/1989
SELPI P D 02/06/1987
HARDIANTO L D 7/9/1983
MURNI MUCHTAR L D 07/12/1957

ROBI PRADANA L D 10/20/1993
FIDA LULUK P D 06/09/1999
RAHMAD AKBAR L D 14/11/2002
SUHENDRO L D 4/6/1987
SAHRUDIN L D 12/5/1997
SUBHI L D 6/25/1981
LILI NURSYAM P D 21/01/1973
AZMI MURTADO L D 14/08/2001
CHANDRA KIRANA L D 15/06/1978
AYU ANZANY P D 25/11/1997
JUNNEN L D 07/02/1974
HAMIM L D 3/19/1982
SUSANTO L D 24/03/1990
SARI WULAN P D 09/10/1999

NURSIAH P D 03/06/1993
MEILINDA P D 31/03/1982
HARI SUPRIYANTO L D 09/12/1989
ANDRI YANSYAH L D 08/07/1994
SITI LILIK H P D 31/08/1963
***Merek Vaksin
A = Sinovac

33 BPJS PBI
34 BPJS Non PBI
21 Non Anggota
9
97 Total
0 Dosis 1
1 Dosis 2
0 Dosis 3
101 Total
0
102
31
Umur
(18 sd ≥ 60 tahun)
17 0 GUNUNG TERANG
63 ≥60 KURIPAN
65 ≥60 KURIPAN
18 18-30 GUNUNG TERANG
55 46-59 KURIPAN
51 46-59 KURIPAN
32 31-45 KURIPAN
53 46-59 KURIPAN
15 0 KURIPAN
22 18-30 BAKUNG
59 46-59 TBS
51 46-59 KURIPAN
29 18-30 KURIPAN
42 31-45 KURIPAN
40 31-45 KURIPAN
19 18-30 KURIPAN
29 18-30 KURIPAN
24 18-30 KURIPAN
30 18-30 KURIPAN
43 31-45 KURIPAN
47 46-59 NOG
63 ≥60 KURIPAN
45 31-45 KURIPAN
22 18-30 BAKUNG
69 ≥60 KURIPAN
61 ≥60 KURIPAN
55 46-59 KURIPAN
34 31-45 KURIPAN
21 18-30 KURIPAN
54 46-59 KURIPAN
16 0 KURIPAN
43 31-45 KURIPAN
54 46-59 KURIPAN
24 18-30 KURIPAN
21 18-30 TBS
38 31-45 KURIPAN
49 46-59 KURIPAN
44 31-45 KURIPAN
50 46-59 KURIPAN
35 31-45 KURIPAN
35 31-45 KURIPAN
17 0 NOG
47 46-59 KURIPAN
55 46-59 KURIPAN
45 31-45 KURIPAN
26 18-30 KURIPAN
62 ≥60 KURIPAN
29 18-30 BAKUNG
36 31-45 KURIPAN
35 31-45 KURIPAN
60 ≥60 BAKUNG
20 18-30 KURIPAN
20 18-30 KURIPAN
29 18-30 KEMILING
48 46-59 BATUPUTUK
39 31-45 SUKARAME 2
41 31-45 KURIPAN
34 31-45 KURIPAN
43 31-45 BAKUNG
34 31-45 KURIPAN
34 31-45 KURIPAN
21 18-30 KURIPAN
13 0 KURIPAN
48 46-59 KURIPAN
61 ≥60 SUKARAME 2
46 46-59 BATUPUTUK
33 31-45 TBT
29 18-30 TKB
20 18-30 KURIPAN
22 18-30 KURIPAN
21 18-30 KURIPAN
57 46-59 KURIPAN
31 31-45 BAKUNG
56 46-59 KURIPAN
21 18-30 KURIPAN
34 31-45 SUKARAME 2
35 31-45 BATUPUTUK
39 31-45 KEMILING
65 ≥60 KURIPAN
29 18-30 KURIPAN
23 18-30 KURIPAN
20 18-30 KURIPAN
36 31-45 BATUPUTUK
25 18-30 BAKUNG
41 31-45 SUKARAME 2
30 18-30 BAKUNG
35 31-45 KURIPAN
50 46-59 KURIPAN
21 18-30 KURIPAN
44 31-45 KURIPAN
25 18-30 SUKARAME 2
49 46-59 BUMI WARAS
41 31-45 TBS
33 31-45 KURIPAN
41 31-45 TKT
23 18-30 KURIPAN
29 18-30 BAKUNG
41 31-45 NOG
33 31-45 KURIPAN
22 18-30 BATUPUTUK
28 18-30 TJ BINTANG
59 46-59 PESISIR BARAT
Pekerjaan
43 A
23 B
36 C
102 D
E
1 Total
101
0
102
No. Hp
082184001700 YA
085896883004
085896883004
085874125020 YA
085267898174 YA
085269469922 YA
082175212670 YA
081274312424 YA
089505001919 YA
0895605048557 YA
081366527000
085269971785
085267898174
085269971785 YA
083168822424 YA
082375671456
082375666948 YA
088286932597 YA
089631606955 YA
085381998979 YA
0895412812400 YA
082185638993
082280299520
082184694965 YA
082185319808
0895355304228 YA
081540067812
082170815664
0895328133331 YA
087896411732 YA
081277216151
083170258654 YA
082278042709
08999066663 YA
087799345707
081310525147 YA
085269971785 YA
085764683494
08124887940
085645222939 YA
087837564999 YA
088267137209 YA
0895806794711 YA
089515622784 YA
085279633455 YA
089515622784 YA
08984283716 YA
082177000026 YA
081373047986 YA
082175596071
082177000026 YA
085768511244
081247128693 YA
082180931339 YA
081271996101
081274312424 YA
081272633777 YA
085758145437 YA
082372710011 YA
082183121825
0895323170732
088218041424 YA
087783173284 YA
089634123591
081274312424 YA
085381119272
082177813330 YA
082289039572 YA
089634109520
085788716419
081273079318 YA
085658772888 YA
08985237574 YA
0895329008300 YA
089624490249 YA
085789967850
085658325452
082182827055 YA
082176649141
089523117680
082289199957
085783708521
082114361623 YA
08979724571 YA
0895600622345 YA
081272738907 YA
0895640044148 YA
082282710150
089633443836
0895332662172 YA
08877116717 YA
081222300901 YA
081586911633 YA
089668317676
0895701000916
089678103030 YA
0895617077822 YA
082278744911
089678103030 YA
089679899909 YA
085363196935 YA
081273081188 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota



6/6/2021 SINOVAC
9/10/2021 CORONAVAC

6/6/2021 SINOVAC
8/3/2021 CORONAVAC
8/28/2021 CORONAVAC


Dosis I
Tanggal Pemberian
Vaksinasi
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/14/2021 202108156I
9/7/2021 24202321 16264920145172
6/6/2021 24002521 16178421130332
9/10/2021 202107143K
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
6/6/2021 24002521 16170981761801
9/14/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/14/2021 202108156I
3/30/2021 24000721 16125080173165

9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/14/2021 202108156I
9/14/2021 202108156I
8/3/2021 24004921
8/28/2021 24005221
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/14/2021 202108156I
9/15/2021 202108154G
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/8/2021 24202321 16264891297808
9/15/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
10/13/2021 202108142H
9/16/2021
Dosis 2
Tanggal Pemberian
Vaksinasi
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
10/13/2021 202108142H
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
2 1 Q-000T6HOT
2 2 Q-000W4LWL
2 3 Q-000YIIKK
2 4 Q-000YIIK6
2 5 Q-000YIIK8
2 6 Q-000XZCJO
2 7 Q-000YIIK2
2 8 Q-000YISHB
2 9 Q-000YMNB1
2 10 Q-000YI5C6
2 11 Q-000YJHR6
2 12 Q-000YJ2U3
13 S-A3F44EI3
2 14 Q-000YJ2TZ
2 15 Q-000YISHY
2 16 Q-000YJ4AE
2 17 Q-000YJ2TU
2 18 Q-000UQCPQ
2 19 Q-000YKWIR
2 20 Q-000YIMX3
2 21 Q-000YKY9Q
2 22 Q-000YN8MB
2 23 Q-000YIMXI
2 24 Z-000AVRYH
2 25 Q-000YISH7
2 26 Q-000YJHPN
2 27 Q-000YISH4
2 28 Q-000YIMXB
2 29 Q-000YKUBW
2 30 Q-000G2H3
2 31 Q-000YL20N
HAMIL/2 32 Q-000YKDH4
2 33 Q-000YJ2UG
2 34 Z-000AVLNM
2 35 Q-000YN9QO
2 36 Q-000YJ2UN
2 37 Q-000YK6B2
2 38 Q-000YKE4O
2 39 Q-000W0ZJ7
2 40 Q-000WOZJ4
2 41 Q-000YJNLJ
2 42 Q-000YK6YT
2 43 Q-000YJHQ3
2 44 Q-0008X5SX
2 45 Q-0003JL61
2 46 Z-000AVOQ4
2 47 Q-000YISH3
2 48 Q-000YJHPI
2 49 Q-000YL754
2 50 Q-000XM4CS
2 51 Z-000AVMTW
2 52 Q-000YKYOX
2 53 Q-000YKXHM
2 54 Q-000YL116
2 55 Q-000YKOWY
2 56 Q-000YKOWM
2 57 Q-000YMT68Y
2 58 Q-000YKVMX
2 59 Q-000YJ2T1
2 60 Q-000YJ2SY
2 61 Z-000AVMIT
2 62 Q-000YL7KQ
2 63 Q-000YN9RW
2 64 Q-000YLOJA
2 65 Q-000YLIKE
2 66 Q-000YKOKG
2 67 Q-000YK0WD
2 68 Q-000UYK9Y9
2 69 Z-000AVK40
2 70 Z-0009LCOW
2 71 Q-000W0EDD
2 72 K-000ICTW2
2 73 Q-000YK0WT
2 74 Q-000YK0OL
2 75 Z-000AVP4Z
2 76 Q-000YK0OI
2 77 Q-000YN6J4
2 78 Q-000YK0V6
2 79 Q-000Z5UL5
2 80 Q-000YK0W3
2 81 K-0000VLN2
2 82 Q-000YK0W5
2 83 Q-000YK0WV
2 84 Q-000YNIK4
2 85 Q-000YK0WP
2 86 Q-000Y00G5
2 87 Q-000YJHQI
2 88 Q-000YK0W5
2 89 Q-000C27P9
2 90 Q-000C27IO
HAMIL 91 P-W3MDBRH6
2 92 Q-000YLRY4
2 93 Q-000YLTKH
2 94 Q-000YLV0Y
2 95 Z-F09CBCF1
2 96 K-000IAX58
2 97 P-SQD4JZNY
2 98 Q-000YJHNO
HAMIL/2 99 Q-000Y48N3
2 100 Z-E5ACEB39
2 101 Q-000XKMFJ
2 102 Q-000XME97
2 103 Q-000YJH00
2 104 Q-000YJ2TJ
2 105 Q-000YK00U
2 106 Q-000YULSG
2 107 Q-000QBNGU
2 108 P-FECB1DCE
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871074309090001
1809055011010003
1871084506890004
1871084107670005
1871073112790002
1871084709660001
1871087011990005
1871086011620001
1817881703040001
1871086104620004
1871085411010002
1871081408970003
1871120505580010
1871096309880001
1871081006790005
1871080303800007
1871090509720002
1871086701860001
1871075607700005
1871084807010009
1871075302990007
1871084304740003
1871086006960003
1871081012590003
1871086808870001
1871085304860009
1871085404620001
1871083003790002
1871080603790007
1871012205830002
1871085805900002
1871084507950001
1871082102860001
1871080201570001
1871086009970003
1871072802800002
1871082506040004
1871082506040003
1871094511710002
1871091602030002
1801056907930003
1871064907640006
3671045212690003
1871082515790007
1871080909780005
3674066001540003
1871082809020001
1871086708980004
1871080403830006
1871090502780005
1871080304730004
1871091807770003
1871085810900001
1871051607860006
1871084702750002
1871094305040002
1871080902010005
1871081307780004
1871085802880004
1871087108700001
1871081202490001
1871055306830006
18712013-6950001
1871084110620003
1871075810730002
1871084201840001
1871084902010004
1871106502630005
1871092005880002
1871091808810015
1871070705840006
1871084804990001
1871084607790002
1871081802800003
1871086008730008
1807126407890002
1871080405070003
1871085806880006
1871080202070004
1871081606010001
1871082504990001
1871076101760005
1871081004040004
1871082405990002
1871081006780011
1871084608030001
1871085007820004
1871082003730006
1671054309780003
1871071804810008
1871084903850006
1871086010990005
1871080209020002
1871085211030003
1871071008430001
1871050807950004
1871082402920004
1871084410740002
1871085706860007
1871074803580001
1871080703630007
1871082110950003
1871084907830006
1871080904790002
1871080402980002
1808046604030003
1871086209000001
1871084703880006

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS / 14-10-2021
Jenis
Kelamin
KAYRENCE JUVEN S L D 03/09/2009
UMUL FADHILLAH L D 02/11/2000
SITI HAYUNA P D 05/06/1989
PURWANTOSO L D 12/21/1979
NOVITA SUSANTO P D 30/11/1990

SUKIMAH P D 20/11/1962
SATRIA KURNIAWAN L D 17/03/2004
ROZIAH P D 21/04/1962
RENA NOFIA P D 11/14/2001
BAMBANG SUPRIHANTO L D 5/5/1958
RASMAD L D 6/10/1979
HENDRI L D 03/03/1980
MUHRODI L D 9/5/1972
EKA ROJANAH P D 1/27/1986
SITI SOLEHAH P D 7/16/1970
ANASTA JULIA P D 08/07/2001
SELLA DWI ARIN P D 2/13/1999
HAMSANI L D 03/04/1974
ANITA WULANDARI P D 20/06/1996
SUKARTA L D 10/12/1959
TRI UTAMI P D 28/08/1987

YUYUN SRI WAHYU P D 4/13/1986
SASONO L D 30/03/1979
BAHRI L D 06/03/1979
HANANTYO L D 22/05/1983
JUMANAH P D 18/05/1990
FERRYANSYAH L D 21/02/1986
M ZAINI L D 02/01/1957
IIS RATIH P D 20/09/1997
FAHID ABDULLAH L D 2/28/1980
DAFFA DZIKRA L D 6/25/2004
DZAKY DZIKRA L D 6/25/2004
TURIJAH P D 05/11/1971
UGI PRAYOGA L D 16/02/2003
DHALIH AYU VALENTIKA P D 7/29/1993
DRA. ISTINAR USMAN P D 7/9/1964
KHUSTINAH P D 12/12/1966
DENI FIRDIAN L D 25/12/1979
Y GUNAWAN A L D 09/09/1978
CHIRMAINI P D 30/01/1954
RIDWAN OGIS L D 9/28/2002
INTAN WAHYUNI P D 8/27/1998
SAIPUL RIZAL L D 04/03/1983
ZAINURI L D 03/04/1973
HENDRA RERE SAPUTRA L D 7/18/1977
JUH'ROTUNISA P D 10/18/1990
HAROZI L D 7/16/1986
SELLYHA MAULINA P D 5/3/2004
M AIDIL AKBAR L D 09/02/2001
JUNAEDY L D 13/07/1978
YOHANES L D 12/02/1949
HERIN FARZAN L D 13/06/1995
SUKARNI P D 01/10/1962
RAHAYU P D 18/10/1973
HENI NURHAENI P D 1/2/1984
NUR ANGGRAINI P D 2/9/2001
JOHAN SUTRISNA L D 20/05/1988
AGUS M L D 18/08/1981
HERI PERMANA L D 5/7/1984
NENA WATI P D 4/8/1999
SYAYAROH P D 7/6/1979
DEDI CHARLES L D 3/18/1980
TINA GUSMALINDA P D 8/20/1973
RISKA YULIANA P D 7/24/1989
AKMAL ZUHDI L D 5/4/2007
JUNITA ELFRIDA P D 6/18/1988
M ZIDANE ALPANI L D 02/02/2007

MUHAMMAD ARYA L D 6/16/2001
APRIYANJI L D 4/25/1999
KAMILA ALI L D 4/10/2004
LUTFI HAKIM L D 5/24/1999
JUNI ESBIYANTO L D 6/10/1978
PUTRI ADELIA P D 06/08/2003
NING SETIANINGSIH P D 7/10/1982
SUHERI L D 3/20/1973
FITRIA P D 02/09/1974
IPNI L D 17/04/1977
MARDIAN YULIZA P D 09/03/1985
LOVANNIE ZULKARNAIN P D 20/10/1999
MUHAMMAD ZULIAN L D 9/2/2002
AISYAH RAMADHANI P D 11/12/2003
USMAN BAROS L E 10/08/1943
FARIZKY ARIF L D 08/07/1995
SETIA WARDHANI L D 21/02/1992

ROLLY SINURAT P D 10/4/1974
NURLAILI P E 08/03/1958
SARIJO L D 07/03/1963
NUR EKA P L D 21/10/1995
JUWITA P D 7/9/1983
AHMAD TOHIR L D 09/04/1979
ANDRI SITUMORANG L D 2/4/1998
LAILI WIDIAWATI P D 4/26/2003
FIDYA SEPTIANA P D 9/22/2000
***Merek Vaksin
A = Sinovac

33 BPJS PBI
42 BPJS Non PBI
17 Non Anggota
13
105 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
106 Total
2
108
Umur
(18 sd ≥ 60 tahun)
13 0 BUMI WARAS
22 18-30 PESAWARAN
55 46-59 BAKUNG
43 31-45 BAKUNG
56 46-59 NOG
32 31-45 BAKUNG
60 ≥60 BAKUNG
19 18-30 BAKUNG
61 ≥60 BAKUNG
21 18-30 BAKUNG
25 18-30 BAKUNG
65 ≥60 KEDAMAIAN
43 31-45 BAKUNG
43 31-45 BAKUNG
37 31-45 BAKUNG
52 46-59 BAKUNG
21 18-30 BAKUNG
24 18-30 BAKUNG
49 46-59 BAKUNG
26 18-30 BAKUNG
63 ≥60 BAKUNG
35 31-45 BAKUNG
37 31-45 BAKUNG
60 ≥60 BAKUNG
44 31-45 BAKUNG
44 31-45 BAKUNG
40 31-45 LANGKAPURA
33 31-45 BAKUNG
27 18-30 BAKUNG
37 31-45 BAKUNG
66 ≥60 BAKUNG
25 18-30 BAKUNG
43 31-45 BAKUNG
18 18-30 KURIPAN
18 18-30 KURIPAN
51 46-59 NOG
20 18-30 NOG
29 18-30 TBS
58 46-59 ENGGAL
56 46-59 BAKUNG
43 31-45 NOG
44 31-45 KURIPAN
69 ≥60 HARAPAN MULYA
20 18-30 BAKUNG
24 18-30 BAKUNG
40 31-45 BAKUNG
45 31-45 BATUPUTUK
50 46-59 BAKUNG
45 31-45 TBU
32 31-45 BAKUNG
36 31-45 TKT
48 46-59 BAKUNG
19 18-30 BAKUNG
22 18-30 BAKUNG
44 31-45 BAKUNG
35 31-45 BAKUNG
52 46-59 BAKUNG
74 ≥60 BAKUNG
40 31-45 BAKUNG
27 18-30 BUMI WARAS
60 ≥60 BAKUNG
49 46-59 BAKUNG
39 31-45 BAKUNG
22 18-30 BAKUNG
60 ≥60 RAJABASA
35 31-45 BAKUNG
41 31-45 BATU PUTUK
39 31-45 BUMI WARAS
24 18-30 KARANG ANYAR
43 31-45 BAKUNG
43 31-45 BAKUNG
49 46-59 KURIPAN
33 31-45 BAKUNG
16 0 BAKUNG
34 31-45 BAKUNG
16 0 KURIPAN
21 18-30 BAKUNG
24 18-30 NOG
45 31-45 BAKUNG
19 18-30 BAKUNG
24 18-30 NOG
44 31-45 BAKUNG
19 18-30 BAKUNG
40 31-45 BAKUNG
50 46-59 BAKUNG
48 46-59 BAKUNG / PESAWAHAN
46 46-59 BAKUNG
38 31-45 KURIPAN
23 18-30 BAKUNG
20 18-30 BAKUNG
19 18-30 BAKUNG
79 ≥60 KURIPAN
27 18-30 TKT
31 31-45 BAKUNG
48 46-59 BAKUNG
36 31-45 NOG
65 ≥60 KURIPAN
60 ≥60 BAKUNG
27 18-30 BAKUNG
39 31-45 BAKUNG
44 31-45 BAKUNG
25 18-30 BAKUNG
20 18-30 GN KATUN
22 18-30 BAKUNG
35 31-45 BAKUNG
Pekerjaan
44 A
32 B
32 C
108 D
E
2 Total
105
0
107
No. Hp
081379842187 YA
082282092697 YA
085366814941 YA
0895607172227 YA
081271851437
089523086898
082177041432 YA
0821758199390 YA
083193649604
081379445895
081234846444 YA
08972823440 YA
081272334551 YA
085100642517
0895600546688 YA
081379257111 YA
081368672971
089524375303
082175259170 YA
083172246064 YA
08983593074 YA
089506210917 YA
085768949715 YA
0895353292145
083152739666 YA
082186558000
082278744911
089623535083 YA
088706579054 YA
082184794300 YA
088706579054 YA
085768916991
082184055237
082282366864 YA
089560970003 YA
088269191061 YA
0899428412 YA
08994284831 YA
082370992853 YA
089637189753 YA
082178062241 YA
082167039404 YA
085778493141
087899063377 YA
081273904318 YA
081311335100 YA
089691217923 YA
085695988831
087881458105 YA
081379994546 YA
085269066927 YA
088272165088
089633429859 YA
082371627598 YA
088267017699
085788846616 YA
081369176174 YA
082181079550 YA
082181075550 YA
082278744911
08127431424 YA
088269178581 YA
082250231704
081369699567 YA
085378197276
089508063343 YA
089508063343
089632836080 YA
081369993006 YA
085281005225 YA
085279326962 YA
089604293810 YA
089514145831 YA
082174844775 YA
085273342979 YA
0812719662950 YA
089506210917 YA
082168387690
083168223128
085695988831 YA
0895321467942 YA
08972573765
0895616082793
089628938849
08988642116
089523553640 YA
082278744911 YA
085695988831
081632139800 YA
085658774568
089676077769 YA
0895614856754 YA
08988497364
089623163084 YA
081273822604 YA
0895640004737 YA
081234846444
085367262767 YA
089623123084 YA
08999365890 YA
081367662680 YA
085267662277 YA
085267662277
089634111884 YA
085267152467 YA
08976950621 YA
089527575422 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
9/3/2021 CORONAVAC

9/16/2021 CORONAVAC
9/16/2021 CORONAVAC
6/3/2021 CORONAVAC

6/28/2021 SINOVAC
6/21/2021 CORONAVAC

8/24/2021 CORONAVAC

8/29/2021 CORONAVAC
7/7/2017 CORONAVAC
3/16/2021 SINOVAC

3/16/2021 SINOVAC
9/14/2021 SINOVAC
9/14/2021 SINOVAC
9/16/2021 CORONAVAC
9/16/2021 CORONAVAC
8/28/2021 CORONAVAC
1/27/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
9/3/2021 24005421
9/10/2021 202108154I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/15/2021
9/16/2021 202108156I
9/16/2021 24004921
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
10/14/2021 202108142H
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/9/2021 24005721
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 24004921
9/16/2021 202108156I
9/16/2021 24201321
9/16/2021 202108156I
9/16/2021 202108156I
6/3/2021 24002521
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/10/2021 24202321 16264891730380
9/10/2021 24202321 16264891302644
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
6/28/2021 24200321 16214741232352
6/21/2021 24002921
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/14/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
8/24/2021 24005221 16263939964932
9/10/2021 24005421 16264891737416
9/16/2021 202107142K
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
8/29/2021 24202321
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
7/7/2017 24200321 16213986710852
7/7/2017 24200321 16213986712724
10/14/2021 202108142H
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 202108156I
3/16/2021 24000721 16125195563698
9/14/2021 202108156I
9/16/2021 202108170I
9/16/2021 202108156I
9/15/2021 202108156I
3/16/2021 24000721 16125195563698
9/14/2021 24005221
9/14/2021 24005221
9/16/2021 202108156I
9/16/2021 202108156I
9/16/2021 24006221
9/16/2021 24005721
8/28/2021 202107137I
1/27/2021 202009005
Dosis 2
Tanggal Pemberian
Vaksinasi
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
10/14/2021 202108142H
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-000Z6F7C
2 Q-000Z74B1
3 Q-000Z535R
4 Q-000Z5365
5 Q-000Z6C1G
6 Q-000Z6J9Y
7 K-000IDYLM
8 Q-001CN1ZB
9 Q-000Z49FC
10 Q-000Z82IJ
HAMIL 11 Q-000Z7W89
12 Q-000Z80V7
13 Q-000Z49HM
14 Q-000XH09W
15 Q-000YJ2T4
16
1 17 P-57OB7ICL
1 18 P-8BEH9HJ5
1 19 P-CRPOG1Z7
1 20
P-EEPOXZGZ
1 21
P-FEF0NMQI
1 22
P-H4SOEOR4
1 23
P-IZKKPCGN
1 24
S-88C7BB9A
1 25
P-LTOS7GAI
1 26
P-MG4PVQ95
1 27
P-MXM4KAEM
1 28
P-NJ1AEMQN
1 29
P-NXKPB0ML
1 30
P-OEC0N9OV
1 31
P-P141ZPIU
1 32
P-PJ6WBILT
33 P-JDG17T98
34 P-KKNSFIV
36 S-2572FBO7
37 P-M33HEWGJ
38 P-NO6B3GSM
39 P-NA8PPYTH
40 P-NFW2G2YL
41 P-PK5WMPTR
42 P-MHXSDJEH
43 P-MORBS648
44 P-TP5TMLYX
45 P-PO22JMK8
46 P-OKW4UZMK
47 P-0RQPKKO
48 P-OBR4YP1Z
49 P-NZQGLJ67
50 P-PUOW1NK
51 P-CSCKRFDGC
52 P-SSOVRFDF
53 P-T0TAMPLC
54 P-TAET6IJP
55 P-TFR6PF2V
56 P-T0QD3MUN
57 P-TZ1L2ZWH
58 P-US2QNMV1
59 P-U6OP2LI2
60 S-A82CAF64
61 P-VNGH5WW2
62 P-UFNWM2UP
63 P-W129RQWO
64 P-UL2CQUH8
65 P-UPNINGS6
66 P-WKK5WAJN
67 P-VJSCOYNO
68 P-VO8FVY1X
69 S-BFC2A90A
70 P-VSTAFSTQ
71 P-VVXPGTZS
72 P-YZ2W2820
73 P-XQQ4GX7G
74 P-W145XJJ4
75 P-WBDIJMEL
76 P-WPX6PQ7N
77 P-WUSITDSQ
78 P-VTGTEK6
79 S-94193A74
80 P-VEQOSAQV
81 P-V822Z7IX
82 P-UVMK8BFR
83 P-YRBJLP6S
84 S-A28D83E9
85 P-YZARGEBM
86 P-YZCV4FBR
87 P-WOHJPIJ5
88 P-WENOHSPD
89 P-W2WEK4GD
90 P-ZO5SRNGT
91 P-Z03YOX6N
92 P-ZO82PMYY
93 P-Z0BE192Y
94 P-ZOC6XYYH
95 P-GB65C1O5
96 P-Z0FIKC7Z
97 P-Z0IAICIG
98 P-ZOQQRUML
99 P-ZOL6BWUV
100 P-Z0FAPYIF
101 P-Z0RUH3AI
102 P-Z0PI5HK6
103 P-ZOUMD6KA
104 P-ZOH7UUO3
105 P-Z0XPHT3I
106 S-5O181BOB
107 P-ZOSOQZ19
108 P-ZIIIDWAM
109 P-Z17QR8TR
110 P-Z14A72R8
111 P-ZOX7DNB7
112 P-255AJOIR
KURIPAN 113 P-FBXSQ8IM
114 P-H8CIEQK2
115 P-I032RD3G
116 P-IQGA4BQT
117 P-JG796WIB
119 P-58039Y8C
120 P-80RIJT8I
121 P-BCRJJJPO
122 P-DPD8ZCRD
123 P-FXOYJATB
124 P-J7BFJ81E
125 P-LESWGPIJ
126 P-M2KGOWON
127 P-MVB25WVK
128 P-NGYNG9JV
129 P-O0FI5G1X
130 S-E2C98A97
131 P-PCNLQRQH
132 P-PZ6CEKES
133 P-QQGKAMZJ
134 P-RGHS6U8Q
135 P-S63N7J2O
136 P-SVGWW56P
137 P-TN3407MS
138 P-UJWORAFG
139 P-V21DLTTS
140 P-VZINGOR4
141 P-WNDQ1BAP
142 P-XSQ08VNR
143 P-YKY0ILV5
144 P-YZ7OZRGD
145 P-YZFY01NK
146 P-P5GIXSRW
147 P-YZVGTCQF
148 P-Z0SMQK7V
149 P-Z0HHRD12
150 P-Z0P26SJI
151 P-ZOXMKU1K
152 P-Z17VGKTR
153 S-333FFD49
154 P-Z1JXOEA4
155 P-Z1PLPF0U
156 P-Z1VYJVEL
157 P-Z24PHV41
158 P-Z2CF9ZWV
159 P-Z2H4KVQV
160 P-Z2MBF2PC
161 P-Z2Q5FQYF
162 P-Z2V6W5QM
163 P-Z2ST6SAX
164 P-Z2HWQHDE
BATUPUTUK 165 P-Z2BKW4ZR
166 P-Z2H7Z8EU
167 P-Z2KPVLMI
168 P-Z2ND5HHB
169 P-Z2008CAD
170 P-Z2MAJJQ5
171 P-Z27CGPEJ
172 P-Z2D9HRCZ
173 P-Z28WBHV3
174 P-Z2IKVHDI
175 P-Z2NHEGIA
176 P-Z2QKLWHN
177 P-Z2QXHAKL
178 P-Z23SNTBX
179 P-Z2C08EFV
180 P-Z2AEW2DZ
181 P-22YMRZ7A
182 P-Z2RI10Z0
183 P-Z20G1DVF
184 P-Z3I6PNME
185 P-Z3GJ13JJ
186 P-Z3ENUPEY
187 P-Z3CUQRNR
188 P-Z3BGAMOR
189 P-Z39V2AWO
190 P-Z37GM10N
191 P-Z35ANHHD
192 P-Z31FYZXF
193 P-Z2YMBWTT
194 P-J3TJ3ALU
195 P-Z3P56UNJ
196 P-Z3KYYHN7
197 P-Z3O7PEMW
198 P-Z4LEPIOC
199 P-Z4KK73V5
200 P-Z4MPGG69
201 P-Z4QTBD5H
202 P-Z4562JUC
203 P-Z4T5AQJ3
204 P-ZUURXRO2
205 P-Z38XYRAY
206 Y-0131L7BD
207 P-Z4GN2XRF
208 P-Z4F954MB
210 P-Z4D003TJ
211 P-Z4CJV4NG
212 P-Z4BLUO1T
214 P-Z4ACINQB
215 P-Z48W7LH5
216 P-Z3MK897I
217 P-Z45614RN
218 P-Z47JRSQ9
219 P-Z3DOXEVM
220 P-Z2WDUVOJ
221 P-UZWWUHU1
222 P-Z3J5Z57L
223 P-Z4XCQ6HQ
224 P-Z4JIZ6MW
225 P-Z4IP4444
227 S-23809E27
228 S-944B7D34
229 P-Z4EIQ114
230 P-RQWHQW
231 P-U8CFVK
232 P-Z4ASEH31
233 P-Z3JW12E
234 P-KBTIXPLV
235 P-Z2PSIGRJ
236 P-Z3HKF7513
237 P-Z3HSHS5UD
238 P-Z36876DC
239 P-K4BC86X1
240 P-Z34AE9G6
241 P-N7XX61BZ
SUKARAME 2 242 P-1I8GLAAA
243 P-1ISJWGV2
244 P-1J5CSIJH
245 P-1JWP54AC
246 P-1KAZKTQW
247 P-V6ZXWACE
248 P-5VVEMOP1
249 P-4FDZIEWR
250 P-48U307GP
251 P-4DB28CKB
252 P-I1K0HS21X
253 P-1L3PKLE9
254 P-1N75L0I7
255 P-1HPXTVOG
256 P-4LOBOASQ
257 P-4IRG10YD
258 P-4PM09SZV
259 P-TRI9IPC
260 P-V5EL2K5L
261 P-Z12CJ7HK
262 P-1PHT3QFZ
263 P-1Q067UTO
HAMIL 264 P-Z1CIJV74
265 P-1RDKAPX5
266 P-1RTZTYGW
267 P-Z1JH3V4D
268 P-52ARSTFO
269 P-5GWZQVE3
270 P-5JZOXGEQ
271 P-1SVJQTBY
272 P-1TEG83W2
273 P-1TUPALCC
274 P-1UCVQSV1
275 P-1VJ0031V
276 P-1YESTR30
277 P-Z20V17RH
278 P-Z24LIZ76
279 P-50BPVCRT
280 P-5QEOXMZE
281 P-WEHXW1FH
282 P-1ZFDJ3JT
283 P-1ZVQMA70
284 P-219VD8TD
285 P-21RVRD9R
286 P-22TYJMZE
287 P-Z2KE85W5
288 P-61JNAYTT
289 P-6826PLZQ
290 P-6C0Z7JYF
291 P-6V87K6IQ
292 P-23E8DVUA
293 P-23Y72NGE
294 P-24MLCUA6
295 P-273XNP3H
296 P-270PLDRQ
297 P-7DDAX05L
298 P-7G5MFMF6
299 P-7KIRZANB
300 P-7MK96XO
301 P-PMQVBJKC
302 P-J0L3U0UD
303 P-7R3CKD5I
304 P-7VOESOLH
305 P-80IZ8AY5
306 P-ZPTPWEFK
307 P-Z4XX8DVS
308 P-83X4KEFS
309 P-Z56PYU99
310 P-86UEVSIF
311 P-Z5DGCHTN
312 P-IW84DHAZ
313 P-2ARNU5D
314 P-Z5FOKVCF
315 P-2N5U8TV2
316 P-2D81GU7R
317 P-2CU56BWL
318 P-7XZE1TLD
319 P-22AVONJ9
320 P-Z5UCACXL
321 P-Z5X1VTC2
322 P-Z606PRN8
323 P-Z67CV2QO
324 P-263TY32H
325 P-Z6ARKNIM
326 P-2C7BN1BR
327 P-RDX447XG
328 P-2AYXWNRH
329 P-2AHIQL90
330 P-Z6KRJTIF
331 P-Z6I8OAYW
332 P-Z6NB2HHH
333 P-Z6PRMF2A
334 P-Z6OL3MJ
335 P-Z6RE5I83
336 P-25GYD4GL
337 P-Z67CV2QO
NOG 338 P-QZV7MAUY
340 P-PRVLT3S1
341 P-OUFJ14TC
342 P-06M15D8D
343 P-NIQQYXF3
344 P-MMWJX3U9
345 P-MB5UHNNF
346 P-LSR3LK33
347 S-C3DE87FB
348 P-KATCU2LK
349 P-JB64K9QX
350 P-HUVNJIE3
351 P-6PMFJBIU
352 S-819EF993
353 P-E2SHSSXB
354 P-C6K6IUJH
355 P-B677MHIR
356 P-9ZCE87W3
357 P-8CC7FKAB
358 S-40EFD910
359 P-56NCOHNV
360 P-3F6C27CF
362 P-01MMS7V5
363 W-9B4798E
364 P-K264HE2A
365 P-JOXEXLZ1
366 P-J4DEOTNA
367 S-F76A99E
368 P-18ZVV7B
369 P-HW2MV4T4
370
-32310 371 P-6YPUCHKO
CAPIL 372 P-6LRJCG6R
373 P-69SRFCDC
374 P-FY8JURIQ
375 Y-0000166Q
376 P-FCSFT84
377 P-F07N8Y1R
378 S-B2C9EB87
379 P-DYDW4MOV
380 P-DIBMRWFI
381 P-CU31CXQU
382 P-CF03KPJ9
383 P-BUATQAQO
384 P-B23VKJC2
385 P-ALWHTPHX
386 P-Z0FUCTDQ
387 P-Z0AXK96Z
388 P-Z022FB7Q
389 P-YZUATVUH
390 P-YZPCEUQ4
391 P-YZLJSMZF
392 P-YZDLCL3A
393 P-YZ4R6E60
395 P-YJLS72N8
396 P-Y2NED8XR
397 P-XLLXSKK8
398 P-X9HVISLT
399 P-WUDKLOXT
400 P-WCMKPOH4
401 P-VVA7JBXV
402 P-V67XHRDD
403 P-UWLCXY7J
404 P-VC7WBDJ5
405 P-TYLZSHUA
406 P-TBZXTLE
407 P-SW9U82HP
408 P-SKSR66IS
409
410 P-QAAW9E2K
411
412
413 P-ZOXP3PLZ
414 P-ZOSXO9J5
415 P-Z00PT059
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871094808930004
1871094507630006
1871090102850001
1871094606860006
1871094301830008
1871092810850008
1871094805880005
1871091503890002
1871095111940004
1871091006840005
1871095407840012
1871094206840006
1871085012960004
1871090504860006
1871120806780011
1871084303650
1871084304970003
1871081506690002
1871080709640001
1871081311880002
1871080802830005
1871085707840001
1806251309890002
1871081009580005
1871085006970005
1871085708710009
1871082602850002
1871080308930003
1871080101790019
1871076705900005
1871094108880004
1871083112660003
1871084909830003
1871085612820001
1871080301820005
1871090107740064
1871090802040003
1871086601980006
1871071707870003
1871092106620002
1871080604920005
18710830126250002
1871086603060002
1871087103080003
1871084211740001
187108571070004
187108162880001
1871085211010001
1871035002750006
1871081108920003
1809066005690003
18710811018400002
1871081002750010
1871084504880006
1871084502830010
1871082703940004
1871081312800002
1871081609050002
1871085010960008
1871084106340001
1871084708010005
1810081105030002
1871085001720006
1871086709800002
1871085011900014
1871080607020007
1871086510860002
1871082910750001
1871081208590002
1871085408840006
1871082001680004
1871084503950004
1871086505030001
1871082212900001
187108500290007
1871085706790005
1871082208770005
1871085212630002
1871070808600004
1871085010930019
1871495103860001
1871086910920002
1871082005950003
1871084608380002
1871081805030002
1871084806800007
1871074104030013
1871072501840007
1871084611050001
1871086404930002
1871085310760001
1871081907060002
1871082002950001
1217086211920001
1871080201030004
1871082406790001
1871084409000006
1871086006710001
1871084706680006
1871082506040001
1871012005930004
1871086808020004
1871082008960005
1812010304820011
1871084509840003
1871084705810006
18710821119000004
1871085303790003
1871080302690003
1805024508970001
1871084503770006
1871082103890007
1871075103810013
1871085501770005
1871080509700001
1871080710650001
1871086201710001
1871086007740004
1871080404780007
1871083009670001
1871081101740003
1871086303020006
1871086611860003
1871081007960001
1871086703830005
1802192710940002
1871100406920002
1871086210840002
1871081409730001
1871081405920001
1871080101860022
1871081004820009
1871084208940006
1871085009900002
1871084803850004
1809020707940008
1871084407820006
1871086108930003
1871080509870004
1871086111870001
1871086810900002
1871086812890002
1871081011030004
1871080507950005
1871082505800003
1871072604770005
1871084611710004
1871085611910001
1871081305930004
1801044702970002
1871080701900005
1871095006820003
2172021506560004
1871081401710002
1871085006840015
1871080409670001
1871080209010003
1871080405000001
1871086505850004
1871081308680001
1871087008790001
1871081302990003
1871080208740002
1803080910970001
1871092603790007
1871191412010001
1871095705710004
1806116109740004
1871092803720002
1871092711950006
1871094504000002
1871094805040001
1871090205780003
1871096707890005
1871091109730002
1871070806990003
1871074605790005
1871090210860003
1871095105830004
1871090705790005
1871071805700003
1871095112860004
1871091207950003
1871095810990001
1871094910830007
1871095911820005
1871085208870005
1871094803890005
1871095601900003
1871091103990003
1871091010810008
1871092908860002
1871091905040002
1871094703870010
1871094706910007
187109581040006
1871094706780008
1871095010050002
1871094405030001
1871091405810006
1871096703810002
1871095206970002
1871073003890004
1871036710800000
1802276707900002
3173064505921004
1871090105060002
1871090501060003
1871081812080002
1871095204770003
1871094304830008
1871094508650003
1871095007840008
1871095508720016
1871091111820014
1871094505880007
1871094207840004
1871095009030002
1871090312060004
1871092410780003
1871091803080002
1871095109890003
1871095009800007
1871097007930007
1871096208840010
1871095504750003
1871091105600002
1871091003520001
1871094212810003
1871094805960007
1871062511030003
1871066602040003
1871091012050003
1871086004930001
1871061406940011
1871095008890005
187136308000007
1871090904090003
1871091708070004
1871094808900003
1871056406830004
1871086108010012
1871015103900001
1871094706850008
1871082811720001
1809051307930002
1871086803880003
1871086412890003
1871081605650002
1871082112950004
1871081812900003
1871082508700005
1871080510810005
1871090512780006
1607114510810002
1871086012910004
1871081804890003
1871082904960002
1871086108010011
1871086010790002
1871082110950003
1871081003020007
1871080101920017
1871067009940007
1871086008990001
1871087112020004
1871096210990001
1871080103930007
1871086702740002
1871080102750003
1871081711000008
1871085408730002
1871084102880004
1871085002780006
1871084504700002
1809050902870004
1871081003800002
1871085811880001
1871174301940001
1871085208950000
1871086712730004
1871080104650006
1871084702640001
1871080812890004
1871084702840010
1871084407740003
1871084505730009
1871085410900004
1871086001750003
1871085002990002
1871080409630002
1871080406960004
1871080107800048
1871086008790005
1871095005810008
1871084412700004
1871080807800006
1871076507850004
1871086307750001
1871086303860001
1871080710900003
1871085307660001
1871081006950008
1871085911890001
1871082205870001
1871085707810004
1810021205920002
1809011010940011
1871086309930003
1871085010870015
1871084402680005
1871080603640002
1871011101710002
1871015706800007
1871094112840009
1871084708810002
1871080305790006
1871084507960005
6171031908790006
1871081303910001
1871084401720001
1871080503910009
1871081209950002
1871081304660001
1871086107780002
1871086606880003
1871081810730005
1871084911860006
1871084308800005
1871086204900002
1871085406830006
1871086508920002
1801044106840007
1871074210960009
1871084608680004
1871067112040002
1871085404980004
18710829011630004
1871080209460002
1871081710960003
187108280810780006
1871084502700004
187106907900001
1871082802970009
1871082311630004
1871085505820001
1871080705540001
1871081110930002
1801185507920006
1871082802750004
1871080512010002
1871084409600002
1871085212760003
1871081302850002
1871084204900009
1871082904840008
1871065611680001
3603190101770010
3603195510800004
1871082708880005
1871081203730012
1871080104960004
1809055701900010
1871071405900005
1871082906760001
1871081047314
1871072104810004
1871080307720006
1871082910840002
1871070511040006
1871080807680006
1871090608820008
1871084107830005
1871081010650011
1871081504600005
187108508010004
1871087107980004
1871080703530003
1871084602940006
1871081706650007
1871084605640001
1871084906000002
1871094807980006
187108100860005
1871075103900008
1871087012970002
1871080908100006
3217034907870006
187108221286003
1871084806820005
1871087003870002
1871085503860011
1871085403730009
1871090411860004
1871085006700005
1871084411750006
187108446920006
1871085507740008
1871081202630006
5204065512860001
1871081105800002
1871084601850002
1871084907730008
1871081005630006
1871082406030001
1871086603760002
1871085003850005
1803074904950006
1871081010770005
1871080702730001
1871071907720010
1871086902840002
1871084904800002
1871080511030004
1871022802750006

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 15-10-2021
Jenis
Kelamin
SUNAYAH P D 8/8/1993
M SADLI L D 01/02/1985
WENTI P D 06/06/1986
TIA ASTIYANI P D 5/8/1988
MOH ROJALI L D 3/15/1989

MAHIPAL L D 11/11/1994
MAISAH P D 14/07/1984
RIYANTI P D 10/12/1996
TONY IRAWAN L D 4/5/1986
TRIS YANTO L D 6/4/1978
SARIPAH P D 03/03/1965
DIAN RAHMAWATI P D 03/04/1997
AHMAD MUSTOPA L D 15/06/1969
SAHIRI L D 07/09/1964
DIAN PERMANA P D 13/11/1988
ASMIN P D 08/02/1983
NUR KHOLIS L D 9/13/1989
MADAMIN L D 9/10/1958
SELVI WULANDARI P D 10/06/1997

AMAH L D 17/08/1971
EPIN L D 03/08/1993
ERSIH SUNARSIH P D 27/05/1990
MASNIAH P D 01/08/1988
SAMUTI L D 12/31/1966
NAPSIAH P D 09/09/1983
SOPIYATI P D 16/12/1982
NURSALIM L D 03/01/1982
MADI L D 01/07/1974
FEBRIANSYAH L D 08/02/2004
JUNEDI L D 6/21/1962
KHAIRUL ANWAR L D 3/3/1992
ZULFITRI L D 26/12/1965
BELA WULANDARI P D 26/03/2006
NURUL HIDAYAH P D 31/03/2008
SAMAH P D 02/11/1974
HELMIAH L D 10/17/1970
SITI SELVI P D 12/11/2001
LIAN P D 10/02/1975
AMSORI L D 8/11/1992
SITI AISYAH P D 5/20/1969
M . NURDIN L D 11/01/1984
ALI EDI SYAPUTRA L D 10/02/1975
RUSNIATI P D 05/04/1988
HERLIYANTI P D 05/02/1983
SOPIAN ANWAR L D 12/04/1994
SYAIRUL L D 13/12/1980
GILANG ANUGRAH L D 16/09/2005
ARDILA P D 10/10/1996
MAMAI P D 6/1/1934
MITA GUSMAN P D 8/7/2001
IRFAN BAIHADI L D 11/05/2003
NENENG SAKDIAH P D 27/09/1980
AAN JUYAN L D 06/07/2002
SUHAISIH P D 25/10/1986
SUDIMAN L D 8/12/1959
ANITA P D 8/14/1984
IKIN SODIKIN L D 20/01/1968
PIPIT LESTARI P D 05/03/1995
SUSI SUSANTI P D 25/05/2003
HENDRA L D 22/12/1990
SARTI P D 17/06/1979
AGUS PRASETYO L D 22/08/1977
SITI SIAROH P D 12/12/1963
IZEN L D 08/08/1960
SITI ROBIÁH P D 10/10/1993
SA'ADAH P D 3/11/1986
EEN OLTA P D 10/29/1992
JUMRIYAH P D 8/6/1938
NAUFAL ZAMI L D 5/18/2003
SITI MAISROH P D 6/8/1980
RISKA APRILIA P D 01/04/2003
NOVIYANTO L D 1/25/1984
AYU RUPAIDAH P D 11/6/2005
SUHESTI ANITA P D 4/24/1993
ERNA P D 10/13/1976
RISKI SHANDI L D 19/07/2006
ADI SUJATMIKO L D 20/02/1995
NOVA DELVITRI P D 11/22/1992

DARSANI ALI L D 02/01/2003
RESNANDI L D 24/06/1979
SELA WATI P D 04/09/2000
ASTUTI P D 6/20/1971
BAYNAH P D 07/06/1965
M. HAZIANSYAH L D 6/25/2004
L D 5/20/1993
AGUNG SAPUTRA
ANITA P D 8/28/2002
ARIS MUHANDAR L D 20/08/1996
DHENY L D 03/04/1982
MASDIYAH P D 05/09/1984
ROHILAH P D 5/7/1981
M. LUKMAN L D 21/11/1990
SRI HARTATI P D 4/20/1979
KASMIN L D 2/3/1969
SITI KOMARIAH P D 8/5/1997
NURMA P D 05/03/1977
SUTARKO L D 21/03/1989
SUHETI P D 3/13/1980
SAONAH P D 1/15/1977
SUPANDI L D 9/5/1970
ABUDIN L D 10/7/1965
HALIMAHTUSSA'DIYAH P D 1/22/1971
SITI ULPINA P D 7/20/1974
RANGGA L D 4/4/1978
EFIZON L D 9/30/1967
M SALEH L D 1/11/1974
ANNISA NURUL INAYAH P D 3/23/2002
RIKA ARI KURNIA P P D 11/26/1986
PERLIANSYAH L D 7/10/1996
SYAHRI L D 4/26/1992
LISNA QIYAH P D 10/22/1984

RAHMAN L D 9/14/1973
INDRA KURNIA SANDI L D 5/14/1992
RUDI HARTONO L D 1/1/1986
HERDI L D 4/10/1982
ELI P D 8/2/1994
ARI YANTI P D 9/10/1990
ROSNITA P D 3/8/1985
ARDIANSAH L D 7/7/1994
SUPARMI P D 7/4/1982
ROSMALA P D 8/21/1993
ASEP MAULANA L D 9/5/1987
NONI FAUZIANA P D 11/21/1987
WIWIN P D 10/28/1990
RAMADHAN L D 11/10/2003
M HARYADI L D 7/5/1995
ZUNAIDI L D 5/25/1980
AGUS SOLIHIN L D 4/26/1977
ENDAH HEKSARINI P D 11/6/1971
FERA NOVIANTI P D 11/16/1991
JAKA SUSANTO L D 5/13/1993
HARTINAH FITRI P D 2/7/1997
MUKLAS AJIMATA L D 1/7/1990
YOPA YUNITA P D 6/10/1982
AJUM L D 6/15/1956
PATRIS KOPA L D 1/14/1971
THAMRIN R L D 9/4/1967
MUHAMMAD ADRIAN L D 9/2/2001
M RIDWAN L D 5/4/2000
MAYA P D 5/25/1985
AMILUDIN L D 8/13/1968
YENI SAFNI P D 8/30/1979
FEBRI ERLANGGA L D 2/13/1999
DENI L D 8/2/1974
UJANG ILHAM L D 10/9/1997
HENDRA IRAWAN L D 26/03/1979
RAMADANI P D 14/12/2001
KASWI P D 17/05/1971
MURTAFI'AH P D 21/09/1974
ROHMAT L D 3/28/1972
SISWANTO L D 11/7/1994
TITIN P D 5/8/2004
SUHADI L D 5/2/1978
DEWI P D 7/27/1989
ASIAH P D 5/6/1979
KURNIAWAN L D 10/2/1986
ISAH P D 5/11/1983
MISRA BUHORI L D 5/7/1979
MURSALIM L D 5/18/1970
AMSONI L D 7/12/1995
ELISAH P D 10/18/1999
MARI'AH P D 10/19/1983
JAMSIAH P D 11/19/1982
MARIYANAH P D 3/8/1989
SATINAH P D 1/18/1990
IRWANSYAH L D 3/11/1999
MISDIANTO L D 8/29/1986
SUDRAJAT L D 4/18/2001
LINDA AFRIANI P D 07/03/1987
SUTIANA P D 18/10/1994
ROSIH P D 07/06/1978
MIKA SAFITRI P D 16/12/2004
ANITA P D 04/05/2003
MARGO SETIABUDI P D 14/05/1980

HUSNIA P D 27/03/1981
AFRISAL L D 30/03/1989
HENI ASIH P D 27/10/1980
LIANA P D 20/07/1990
YUNIDA P D 05/05/1992
M. APRIANSYAH L D 01/05/2006
M. RISKI L D 18/12/2008
SANTI P D 03/08/1983
ETI P D 05/08/1965
SARNI P D 15/08/1972
SARIPUDIN P D 11/11/1982
MATIYAH P D 05/05/1988
IIN IDAWATI P D 02/07/1984
MAINAH P D 10/03/2003
SATRIO PRATAMA L D 03/12/2006

MURSAL AS P D 24/10/1978
MUHAMMAD ALFIANDI L D 18/03/2008
EVI SEPTIANA P D 29/09/1988
SANEHA P D 9/10/1980
ERNIYAWATI P D 22/08/1984
JAHUDI L D 5/11/1960
MA'RUF L D 3/10/1952
MARSANAH P D 12/2/1981
ADITYA SAFITRA L D 25/11/2003
DENISA FEBRIANI P D 2/26/2004
AYU AGUSTINA P D 10/12/2005
ROSMINI P D 20/04/1993
OGI WICAKSANA L D 14/06/1994
YULEHA P D 8/23/2000
M SUTIYONO L D 09/04/2000
RAFLI AGUSTIANSYAH L D 17/08/2007
SINTA MURNI NASRI P D 08/08/1990
MASFUAH P D 24/06/1983
SARWINI P D 21/08/2001
EKA SARTIKA SARI P D 11/03/1990
DWI SUSENO L D 28/11/1972
ARMAJA L D 13/07/1993
MELI SARTIKA P D 03/08/1989
TABRANI MINAK P L D 16/05/1965
AHMAD ILHAM L D 12/21/1996
L D 12/18/1990
DERI ISKANDAR
JAINI L D 8/25/1970
ABDUL RAHMAN L D 05/10/1981
SISWANTO L D 05/12/1978
MISNA FITRIA P D 12/20/1991
BOY SANDI L D 18/04/1989
DIAN TENSI P D 4/29/1996
SHEILA LAKSITA P D 8/21/2001
ASIDAH P D 10/20/1979
AHMAD SANUSI L D 20/10/1995
AFRIZAL L D 17/01/2002
SUTRIYONO L D 12/06/1993
INA SEPTIANA P D 30/09/1994
ADE WULANDARI P D 20/08/1999
YANTI P D 31/12/2002
RAHAYU NENGSIH P D 22/10/1999
RIYANSYAH L D 3/1/1993
ROSLINA P D 27/02/1974
NELSON L D 01/02/1975
SANDI WAGUNA L D 17/11/2000
SUPRIATIN P D 01/02/1988
PARMI P D 2/10/1978
SARMANI L D 09/02/1987
AHMAD NUR ZEIN L D 10/03/1980
NOVI DASARI P D 03/01/1994
LINDA SARI P D 8/2/1995
NURZAITUN P D 27/12/1973
MAT SAYUTI L D 4/1/1965
SAINUDIN L D 12/8/1989
YUNI P D 07/02/1984
YULIA P D 04/07/1974
MANDOK JUWITA P D 05/05/1973
AYU NOVITA SARI P D 10/14/1990
RENI P D 1/20/1975
NURUL HIDAYAH P D 10/02/1999
MASRI L D 9/4/1963
NANANG BASTIAN L D 04/06/1996
WAHONO L D 01/07/1980
TRI MARYANI P D 20/08/1979
MARSILA P D 04/12/1970
KARIM L D 08/07/1980
NENENG FARIDA P D 23/07/1975
NICO ADITIA L D 10/7/1990
ATNAINI P D 7/13/1966
ANDRI L D 6/10/1995
NOPI WIJAYA P D 19/11/1989
IRWAN L D 22/05/1987
JOHARIAH P D 7/17/1981
RISKI ARIYANTO L D 5/2/1992
OKTA ARDIYAN L D 10/10/1994
EVALITA SUSANTI P D 07/08/2001
FATMA SARI P D 10/10/1987
ZAKIYAH P D 2/4/1968
SURYA L D 3/6/1964
DODI YAN H L D 1/11/1971
ELMINAH P D 17/08/1980
LINDA P D 12/1/1984
DASIRUN L D 5/3/1979
DESSY LASTARI P D 05/07/1996
WAHIDIN L D 8/19/1979
USMAN L D 13/03/1991
TUPIAH P D 04/01/1972
RIYAN HARIYADI L D 05/03/1991
EKO SUPRIADI L D 12/09/1995

ROMANI L D 13/04/1966
MISNAH P D 7/21/1978
HENI YUSNITA P D 16/06/1988
ARSANI L D 18/10/1973
JARMAH P D 09/11/1986
EEM SUBADRAH P D 8/3/1980
NURMALA SARI P D 22/04/1990
ROSMAYUNI P D 14/06/1983
RIYANTIKA P D 25/08/1992
TRISNA WATI P D 02/10/1996
MA'ANI P D 06/08/1968
RETNO SALSABILA P D 21/12/2004
ANIS P D 14/04/1998
NUR HADI WIJAYA L D 22/11/1995
M. SHOLAHUDIN L D 02/08/1998
FAKSI RISKI ARYAJI L D 10/17/1996
M. ALI IMRON L D 28/10/1978

YOMALA P D 05/02/1970
SUSI HERMAWATI P D 29/07/1990
ARFIANSYAH L D 2/28/1997
USMAN AR L D 23/11/1963
DEWI ASTUTI P D 5/15/1982
JAMPURI L D 5/7/1954
HARSI KURNIADI L D 11/10/1993
ROMLI L D 28/02/1975
FAQIH NUR YUSUF L D 02/01/2001
ENCUN SUNAITI P D 9/4/1960
ROSIAH P D 12/12/1976
ANANG SUHENDI L D 2/13/1985
SUHENI P D 4/2/1990
RAHMAT L D 4/29/1984
REZEKIYAH P D 16/11/1968
DEDE JUNAIDI L D 01/01/1977

ELVILIA P D 15/10/1980
ERIS SETIAWAN L D 8/27/1988
IRNES CHAIRUSKI L D 3/12/1973
IRVAN MAVIANA L D 01/04/1996
YENITA LISTANTI P D 1/17/1990
AKBARUDIN L D 14/05/1990
A. HIJJUL BET L D 29/06/1976
SELAMAT SAPARUDIN L D 10/10/1987
AHMAD YULIANTO L D 03/07/1972
IRWANDI L D 29/10/1984
STEVEN ALDI NUGROHO L D 05/11/2004
SAIRUDDIN L D 08/07/1968
AMIR MAHMUD L D 08/08/1982
SARJA L D 10/10/1965
MUKHTAR L D 15/04/1960
NABELA IRANDA P D 8/25/2001
INTAN LESTARI P D 31/07/1998
SARMUN L D 07/03/1953
ROJALI L D 6/17/1965
HUSNA P D 5/6/1964
SUCI MAHARANI P D 6/9/2000
LINDA SAFITRI P D 08/07/1998
EFENDI IDRUS L D 8/10/1968
MARTA LIANA P D 3/11/1990
DESTY DIANA P D 12/30/1997
OKTA ROMADON P D 30/10/2004
DEDE SURYANI P D 7/9/1987
BERLIANSYAH L D 12/22/1986
ROSITA P D 6/8/1982
ANI DIANA P D 09/11/1988
MUNWAROH P D 3/15/1986
ROGAYAH P D 14/03/1973
YANDI L D 04/11/1986
MAESAROH P D 10/06/1970
ASNA WATI P D 04/11/1975
MAHKOTA SARI P D 04/06/1995
MASTINAH P D 7/15/1974
ALFANI L D 12/02/1963
ANITA KOMALASARI P D 15/12/1986
A. MELIAN RIFAL L D 11/05/1980
SAIRAH P D 1/6/1985
PARIYEM P D 09/07/1973
ASNAWI L D 10/05/1963
JUAN AYUSMAN L D 24/06/2003
MARIA SUZANA P D 26/03/1976
MAYSARI P D 10/03/1985
JONI L D 10/10/1977
SUTRYA P D 07/02/1973
HERLI L D 19/07/1972
EVA FEBTARIA P D 29/02/1984
SAFINAH P D 4/9/1980
FIKRI SAPUTRA RAMADHAN L D 15/11/2003
MUNIR SAPUTRA L D 28/02/1976
***Merek Vaksin
A = Sinovac

32 BPJS PBI
47 BPJS Non PBI
22 Non Anggota
6
107 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
112 Total
0
112
Umur
(18 sd ≥ 60 tahun)
29 18-30 BATU PUTUK
59 46-59 BATU PUTUK
38 31-45 BATU PUTUK
36 31-45 BATU PUTUK
40 31-45 BATU PUTUK
37 31-45 BATU PUTUK
35 31-45 BATU PUTUK
34 31-45 BATU PUTUK

28 18-30 BATU PUTUK
38 31-45 BATU PUTUK
38 31-45 BATU PUTUK
38 31-45 BATU PUTUK
26 18-30 BATU PUTUK
37 31-45 BATUPUTUK
44 31-45 BAKUNG
58 46-59 PERWATA
26 18-30 BAKUNG
53 46-59 BAKUNG
58 46-59 BAKUNG
34 31-45 BAKUNG
40 31-45 BAKUNG
38 31-45 BAKUNG
33 31-45 BAKUNG
64 ≥60 BAKUNG
25 18-30 BAKUNG
51 46-59 BAKUNG
38 31-45 BAKUNG
29 18-30 BAKUNG
44 31-45 BAKUNG
33 31-45 BAKUNG
34 31-45 BAKUNG
56 46-59 BAKUNG
39 31-45 BAKUNG
40 31-45 BAKUNG
41 31-45 BAKUNG
48 46-59 BAKUNG
19 18-30 BAKUNG
25 18-30 BAKUNG
35 31-45 BAKUNG
60 ≥60 BAKUNG
31 31-45 BAKUNG
57 46-59 BAKUNG
17 0 BAKUNG
15 0 BAKUNG
48 46-59 BAKUNG
52 46-59 BAKUNG
34 31-45 BAKUNG
21 18-30 BAKUNG
48 46-59 BAKUNG
30 18-30 BAKUNG
54 46-59 BAKUNG
39 31-45 BAKUNG
48 46-59 BAKUNG
35 31-45 BAKUNG
40 31-45 BAKUNG
29 18-30 BAKUNG
42 31-45 BAKUNG
17 0 BAKUNG
26 18-30 BAKUNG
88 ≥60 BAKUNG
21 18-30 BAKUNG
20 18-30 BAKUNG
51 46-59 BAKUNG
42 31-45 BAKUNG
32 31-45 BAKUNG
20 18-30 BAKUNG
36 31-45 BAKUNG
47 46-59 BAKUNG
63 ≥60 BAKUNG
38 31-45 BAKUNG
55 46-59 BAKUNG
28 18-30 BAKUNG
20 18-30 BAKUNG
32 31-45 BAKUNG
33 31-45 BAKUNG
43 31-45 BAKUNG
45 31-45 BAKUNG
59 46-59 BAKUNG
62 ≥60 BAKUNG
29 18-30 BAKUNG
37 31-45 BAKUNG
30 18-30 BAKUNG
28 18-30 BAKUNG
84 ≥60 BAKUNG
20 18-30 BAKUNG
42 31-45 BAKUNG
20 18-30 BAKUNG
39 31-45 BAKUNG
17 0 BAKUNG
30 18-30 BAKUNG
46 46-59 BAKUNG
16 0 BAKUNG
28 18-30 BAKUNG
30 18-30 KETEGUHAN
20 18-30 BAKUNG
43 31-45 BAKUNG
22 18-30 BAKUNG
51 46-59 BAKUNG
57 46-59 BAKUNG
18 18-30 BAKUNG
30 18-30 BAKUNG
20 18-30 BAKUNG
26 18-30 BAKUNG
41 31-45 KETEGUHAN
38 31-45 SUKAMAJU
42 31-45 BAKUNG
32 31-45 BAKUNG
44 31-45 BAKUNG
54 46-59 BAKUNG
25 18-30 BAKUNG
46 46-59 BAKUNG
34 31-45 BAKUNG
43 31-45 KURIPAN
46 46-59 KURIPAN
52 46-59 KURIPAN
57 46-59 KURIPAN
52 46-59 KURIPAN
48 46-59 KURIPAN
45 31-45 KURIPAN
55 46-59 KURIPAN
49 46-59 KURIPAN
21 18-30 KURIPAN
36 31-45 KURIPAN
26 18-30 KURIPAN
40 31-45 KURIPAN
28 18-30 KURIPAN
31 31-45 KURIPAN
38 31-45 KURIPAN
49 46-59 KURIPAN
31 31-45 KURIPAN
37 31-45 KURIPAN
41 31-45 KURIPAN
28 18-30 KURIPAN
32 31-45 KURIPAN
38 31-45 KURIPAN
28 18-30 KURIPAN
40 31-45 KURIPAN
29 18-30 KURIPAN
35 31-45 KURIPAN
35 31-45 KURIPAN
32 31-45 KURIPAN
33 31-45 KURIPAN
19 18-30 KURIPAN
27 18-30 KURIPAN
43 31-45 KURIPAN
46 46-59 KURIPAN
51 46-59 KURIPAN
31 31-45 KURIPAN
30 18-30 KURIPAN
26 18-30 KURIPAN
33 31-45 KURIPAN
40 31-45 KURIPAN
66 ≥60 KURIPAN
52 46-59 KURIPAN
38 31-45 KURIPAN
55 46-59 KURIPAN
21 18-30 KURIPAN
23 18-30 KURIPAN
38 31-45 KURIPAN
54 46-59 KURIPAN
43 31-45 KURIPAN
24 18-30 KURIPAN
48 46-59 KURIPAN
25 18-30 KURIPAN
44 31-45 BATU PUTUK
21 18-30 BATU PUTUK
52 46-59 BATU PUTUK
48 46-59 BATU PUTUK
51 46-59 BATU PUTUK
28 18-30 BATU PUTUK
23 18-30 BATU PUTUK
19 18-30 BATU PUTUK
45 31-45 BATU PUTUK
33 31-45 BATU PUTUK
49 46-59 BATU PUTUK
23 18-30 BATU PUTUK
44 31-45 BATU PUTUK
36 31-45 BATU PUTUK
40 31-45 BATU PUTUK
44 31-45 BATU PUTUK
53 46-59 BATU PUTUK

36 31-45 BATU PUTUK
27 18-30 BATU PUTUK
23 18-30 BATU PUTUK
39 31-45 BATU PUTUK
40 31-45 BATU PUTUK
35 31-45 BATU PUTUK
34 31-45 BATU PUTUK
33 31-45 BATU PUTUK
24 18-30 BATU PUTUK
41 31-45 BATU PUTUK
36 31-45 BATU PUTUK
22 18-30 BATU PUTUK
36 31-45 BATU PUTUK
31 31-45 BATU PUTUK
28 18-30 BATU PUTUK
44 31-45 BATU PUTUK
18 18-30 BATU PUTUK
20 18-30 BATU PUTUK
43 31-45 BATU PUTUK

42 31-45 BATU PUTUK
24 18-30 BATU PUTUK
34 31-45 BATU PUTUK
42 31-45 BATU PUTUK
32 31-45 BATU PUTUK
31 31-45 BATU PUTUK
17 0 BATU PUTUK
17 0 BATU PUTUK
14 0 BATU PUTUK
46 46-59 BATU PUTUK
39 31-45 BATU PUTUK
57 46-59 BATU PUTUK
38 31-45 BATU PUTUK
50 46-59 BATU PUTUK
40 31-45 BATU PUTUK
35 31-45 BATU PUTUK
38 31-45 BATU PUTUK
20 18-30 BATU PUTUK
16 0 BATU PUTUK
44 31-45 BATU PUTUK
15 0 BATU PUTUK
34 31-45 BATU PUTUK
41 31-45 BATU PUTUK
28 18-30 BATU PUTUK
37 31-45 BATU PUTUK
46 46-59 BATU PUTUK
61 ≥60 BATU PUTUK
69 ≥60 BATU PUTUK
39 31-45 BATU PUTUK
25 18-30 BATU PUTUK
17 0 BATU PUTUK
17 0 BATU PUTUK
15 0 BATU PUTUK
28 18-30 BATU PUTUK
27 18-30 BATU PUTUK
32 31-45 BATUPUTUK
21 18-30 BATUPUTUK
21 18-30 BATUPUTUK
14 0 BATUPUTUK
31 31-45 BATUPUTUK
38 31-45 BATUPUTUK
21 18-30 SUKARAME 2
33 31-45 SUKARAME 2
37 31-45 SUKARAME 2
50 46-59 SUKARAME 2
29 18-30 SUKARAME 2
33 31-45 SUKARAME 2
33 31-45 SUKARAME 2
58 46-59 SUKARAME 2
26 18-30 SUKARAME 2
32 31-45 SUKARAME 2
52 46-59 SUKARAME 2
41 31-45 SUKARAME 2
44 31-45 SUKARAME 2
41 31-45 SUKARAME 2
31 31-45 SUKARAME 2
34 31-45 SUKARAME 2
27 18-30 SUKARAME 2
21 18-30 SUKARAME 2
43 31-45 SUKARAME 2
27 18-30 SUKARAME 2
21 18-30 SUKARAME 2
29 18-30 SUKARAME 2
28 18-30 SUKARAME 2
23 18-30 SUKARAME 2
20 18-30 SUKARAME 2
23 18-30 SUKARAME 2
30 18-30 SUKARAME 2
49 46-59 SUKARAME 2
48 46-59 SUKARAME 2
22 18-30 SUKARAME 2
49 46-59 SUKARAME 2
35 31-45 SUKARAME 2
45 31-45 SUKARAME 2
53 46-59 SUKARAME 2
36 31-45 SUKARAME 2
43 31-45 SUKARAME 2
34 31-45 SUKARAME 2
29 18-30 SUKARAME 2
27 18-30 SUKARAME 2
49 46-59 SUKARAME 2
58 46-59 SUKARAME 2
59 46-59 SUKARAME 2
33 31-45 SUKARAME 2
39 31-45 SUKARAME 2
48 46-59 SUKARAME 2
50 46-59 SUKARAME 2
32 31-45 SUKARAME 2
48 46-59 SUKARAME 2
24 18-30 SUKARAME 2
59 46-59 SUKARAME 2
26 18-30 SUKARAME 2
42 31-45 SUKARAME 2
43 31-45 SUKARAME 2
42 31-45 SUKARAME 2
52 46-59 SUKARAME 2
42 31-45 SUKARAME 2
37 31-45 SUKARAME 2
47 46-59 SUKARAME 2
37 31-45 SUKARAME 2
32 31-45 SUKARAME 2
56 46-59 SUKARAME 2
27 18-30 SUKARAME 2
33 31-45 SUKARAME 2
36 31-45 SUKARAME 2
41 31-45 SUKARAME 2
31 31-45 SUKARAME 2
28 18-30 SUKARAME 2
21 18-30 SUKARAME 2
35 31-45 SUKARAME 2
55 46-59 SUKARAME 2
59 46-59 SUKARAME 2
52 46-59 SUKARAME 2
42 31-45 SUKARAME 2
38 31-45 SUKARAME 2
41 31-45 SUKARAME 2
44 31-45 SUKARAME 2
26 18-30 SUKARAME 2
43 31-45 SUKARAME 2
32 31-45 SUKARAME 2
51 46-59 SUKARAME 2
32 31-45 SUKARAME 2
27 18-30 SUKARAME 2
57 46-59 SUKARAME 2
44 31-45 SUKARAME 2
34 31-45 SUKARAME 2
49 46-59 SUKARAME 2
36 31-45 SUKARAME 2
42 31-45 SUKARAME 2
33 31-45 SUKARAME 2
39 31-45 SUKARAME 2
30 18-30 SUKARAME 2
38 31-45 SUKARAME 2
26 18-30 SUKARAME 2
54 46-59 SUKARAME 2
18 18-30 SUKARAME 2
25 18-30 SUKARAME 2
27 18-30 NOG
24 18-30 NOG
26 18-30 NOG
44 31-45 NOG
53 46-59 NOG
32 31-45 NOG
26 18-30 NOG
59 46-59 NOG
41 31-45 NOG
69 ≥60 NOG
29 18-30 NOG
30 18-30 NOG
48 46-59 NOG
22 18-30 NOG
62 ≥60 NOG
46 46-59 NOG
38 31-45 NOG
33 31-45 NOG
39 31-45 NOG
54 46-59 NOG
46 46-59 NOG
42 31-45 NOG
34 31-45 NOG
50 46-59 NOG
27 18-30 NOG
33 31-45 NOG
33 31-45 NOG
46 46-59 NOG
35 31-45 NOG
42 31-45 NOG
50 46-59 NOG
38 31-45 NOG
18 18-30 NOG
54 46-59 NOG
40 31-45 NOG
39 31-45 NOG
57 46-59 NOG
63 ≥60 NOG
21 18-30 NOG
24 18-30 NOG
70 ≥60 NOG
29 18-30 NOG
57 46-59 NOG
59 46-59 NOG
22 18-30 NOG
24 18-30 NOG
54 46-59 NOG
33 31-45 NOG
25 18-30 NOG
18 18-30 NOG
35 31-45 NOG
36 31-45 NOG
40 31-45 NOG
34 31-45 NOG
37 31-45 NOG
50 46-59 NOG
36 31-45 NOG
52 46-59 NOG
47 46-59 NOG
27 18-30 NOG
48 46-59 NOG
60 ≥60 NOG
36 31-45 NOG
43 31-45 NOG
38 31-45 NOG
49 46-59 NOG
60 ≥60 NOG
19 18-30 NOG
47 46-59 NOG
38 31-45 NOG
28 18-30 NOG
45 31-45 NOG
50 46-59 NOG
50 46-59 NOG
39 31-45 NOG
43 31-45 NOG
19 18-30 NOG
47 46-59 NOG
Pekerjaan
30 A
43 B
39 C
112 D
E
Total
16
0
16
No. Hp
089678602566
085658372769 YA
089629027414 YA
089629027414 YA
085658372769 YA
082320946242 YA
089629192462 YA
089625206756
089666594409 YA
085789486041 YA
08
085789486041 YA
082123860631
089518203753 YA
088286621094
085267305334
089633188233
089650691565
0895360628082
085369860444 YA
089524383322
08975063200
08970470082
089678826992 YA
089636367340
089560754801
082278744911 YA
08984277251
082278744911 YA
089514150047 YA
085841942416 YA
08984295424
088286446619 YA
089523119646 YA
089631585111 YA
081367747012 YA
0895335015111 YA
0895620631494
085212590617
089631062185 YA
082176347860 YA
082372620440 YA
089524376276 YA
YA
0895620631494 YA
YA
089628933910 YA
0895323165448 YA
082185036244 YA
089525442603 YA
085280489554 YA
0895609715083 YA
081369019575
0895616445501 YA
089506467431
089663590312 YA
082183063829 YA
089531565058 YA
089612818488 YA
08995575047 YA
0895640004910 YA
0895366043576
085366920565
0895640200688
YA
082181956640
082181956640
0895352113422
088747804308 YA
0895366043576
089660982455
0895352113422 YA
089618412741 YA
089616017551 YA
082183184343 YA
085783500016 YA
089628757527
081279248597 YA
08817701216 YA
089524871854
089531570002 YA
085269332001 YA
YA
089631975978 YA
083180897420 YA
089623163084 YA
082184044404 YA
082148969175 YA
0896348653 YA
085767033024 YA
089620595052 YA
08527333760000 YA
085797028600 YA
089514238806 YA
0895606047652
082148969124 YA
0895606047652 YA
081367687844 YA
082185184543
085874133515 YA
085879133515
081314741101
08974676981
0869658585 YA
YA
085378156747 YA
089874133515 YA
081369344140
085788101903
082357696627 YA
0895366070010 YA
0895610070763 YA
082278744119 YA
083884427928 YA
081395376780 YA
0895347327892 YA
082377107841 YA
082183784716 YA
085378264867 YA
085758358264 YA
087883362853
085709615998 YA
081388931115 YA
089636863883
085381849279 YA
082177427522 YA
082177427522 YA
089649310732 YA
082376864919 YA
085269281660 YA
085368307974 YA
089524970916
089691188684 YA
082183784124 YA
089637633862
082175743011 YA
082175823367 YA
0895345155933 YA
082175823367 YA
083173183028 YA
0888291563314
0895323241672
082278744119
089523079041 YA
081379985387 YA
085832716973
085809500588 YA
083898090482
083898090482 YA
085839238438 YA
082278744119
081271691818 YA
082377107841 YA
089625553335
081274386817
081378802027 YA
085664663737 YA
087874867339 YA
081369222120 YA
081278894896
081278948920 YA
082184006161 YA
085367027799 YA
089632164385
085832231046
082181915636
085788521762 YA
081532332814 YA
085379168356 YA
085764551290 YA
085273777186
081272454471 YA
082184599985 YA
085788694619
085809535370 YA
082273492127 YA
085764551290 YA
085709530377
085809535370
08159586393
0895378250708 YA
085798895880 YA
085709652213 YA
085769517088 YA
085709652213 YA
085769517088 YA
085783550864 YA
082177065335 YA
081379183772
085695833281
089507975682 YA
085798395880 YA
085783588846 YA
085384278083
085838679278
082182550831 YA
081271568039 YA
085709692785 YA
085788750953 YA
085379168356
085709530377 YA
082118742451 YA
081219219434
085896974205 YA
085783520258 YA
085788166995 YA
085798028746
082177065335
085366797544
085378945149 YA
089650210290 YA
085268353098 YA
085809745794 YA
089667719857
085832685879 YA
085788165287 YA
081279272244
085788579969 YA
081214510281 YA
085832685879 YA
081632133750
0895701153657
085838529155
085709118412 YA
085366797544 YA
082176841861 YA
085861679609 YA
089602765764
0895609835245 YA
085789081391 YA
085609699604
083170534950 YA
085658335685 YA
082186901440 YA
085768311279
089632136025 YA
089516017571 YA
0858380699
089629027639 YA
082126998143 YA
YA
089632740308 YA
0895606565128 YA
0895640120345
089634158764 YA
082181085312 YA
089636308616 YA
0895600622202
085783237097 YA
081295667986
082182397422
082380993807
085838777832 YA
085838777432 YA
081532894699 YA
0895323156860 YA
082176701267
089655554082
0895338871786 YA
082282745907
082282795907 YA
085379215648 YA
085758399041 YA
089508555206
085809965152
08990680900
082378607775
085758399041
085758399041
085380028569
085279441060
085380581113
0895634973560
082178300843
085808799968
085839133867
08583273592
082175416097
089521634553
089510384602
083170556504
085669242414
08267906142
081267906142
089502154133
085709023675
08984261213
082227903043
08980664171
0895605094697
0895665594697
0883191666219
088707048106
089632745200
0895360004756
085709719571
089632170993
085709719572
085380028569
085711701260
085711701260
085711701260
081373595779
082374619181
088707040106
0895351113738
083159559088
085788693917
081271476259
085269124987
085788666099
085838782232
085788107630
085783236882
0895808300345
089629063555
08995400301
089633948587
085717923215
08953511133738
083802923287 YA
083802923287 YA
089663907920 YA
081288522089 YA
089636306409
085273397626
089530325298 YA
0895640073141 YA
0895605895773 YA
0895607078777 YA
082280766769
082278744911
0895600782277 YA
085279027788 YA
085809432580 YA
0895387580603 YA
082278744911
085789529891
083172283455 YA
082278744911 YA
082278744911 YA
083143486228 YA
089644457205
08978550201
085829611791 YA
085384865314 YA
089508601783 YA
083168251777 YA
085139049166
083168251777
0895344182591 YA
08975709520 YA
089632141415 YA
0895320450734 YA
08984260637
0895353389036
0895343218531 YA
083177893505 YA
0895621405222 YA
083191563029 YA
0895389645372
082278744911
089654392515 YA
088286523083 YA
082278744911 YA
082278744911 YA
089521334879
089617460671
085764263704 YA
082278744911 YA
082374881970 YA
083160165716
083891781124
081949017622 YA
082278744911 YA
083169662871 YA
089632680090 YA
083177893505
0895414159708
083153724523 YA
089539250002 YA
089506210797 YA
082278744911 YA
0895392501002 YA
089564011142 YA
089505126081 YA
081271684231
089523077203
082886523083 YA
082372786389 YA
082278744911 YA
YA
081279871583
085879640690
082182347358 YA
082278744911 YA
089524695828 YA
081272454459 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota

10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER





10/15/2021 BIOFARMA
YA 10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 PFIZER
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 PFIZER
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
10/15/2021 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/14/2021 202108156I
9/16/2021 202108156I
10/14/2021 A1077
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077
10/14/2021 A1077 16276151048908
10/14/2021 A1077 16276151048908
10/14/2021 A1077 16276151048908
10/14/2021 A1077 16276151048908
10/14/2021 A1077 16276151048908
10/14/2021 A1077 16276151048908
10/14/2021 A1077 16276151048908
10/14/2021 A1077 16276151048908
10/14/2021 A1077 16276151048908
10/14/2021 24005721 16276151048908
10/14/2021 24005721 16276151048908
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788

10/14/2021 A1077 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 A1077 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151035788
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 A1077 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 A1077 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 24005721 16276151038300
10/14/2021 A1077 16276151038300

10/14/2021 A1077 16276151034852
10/14/2021 24005721 16276151034852
10/14/2021 24005721 16276151034852
10/14/2021 24005721 16276151034852
10/14/2021 24005721 16276151034852
10/14/2021 A1077 16276151034852
10/14/2021 A1077 16276151034852
10/14/2021 A1077 16276151034852
10/14/2021 A1077 16276151034852
10/14/2021 A1077 16276151034852
10/14/2021 A1077 16276151031888
10/14/2021 A1077 16276151031888
10/14/2021 A1077 16276151031888
10/14/2021 A1077 16276151031888
10/14/2021 A1077 16276151031888
10/14/2021 A1077 16276151031888
10/14/2021 A1077 16276151031888
10/14/2021 A1077 16276151031888

10/14/2021 A1077 16276151031888
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021 24005721
10/15/2021
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 PAA173696
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612

10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612

10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612
10/15/2021 24005721 16276151145612

Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
2 1 Q-000Z720T
2 2 Q-000Z5NXD
2 3 Z-000AYCYH
2 4 Q-000Z6H3C
2 5 Q-000Z74J3
2 6 Q-000Z6JGW
2 7 Q-000Z5X5L
2 8 Q-000Z5XS4
2 9 Q-000Z6XE1
2 10 Z-000AYGCN
2 11 Q-000Z7263
2 12 Q-000Z734B
2 13 Q-000Z74CY
2 14 Z-000AYINK
2 15 Q-000Z7RMI
2 16 Q-000Z74H4
2 17 Q-000Z699I
2 18 Q-000Z46BA
2 19 Q-000Z72TF
2 20 Q-000Z6978
2 21 Q-000Z69BI
2 22 Q-000Z5NAP
2 23 Q-000Z8KOV
2 24 Q-00I9AUB7
2 25 Q-000UGX4R
2 26 Q-000Z8285
2 27 Q-000Z7Z36
2 28 Z-000AYD40
2 29 Q-000Z7WOW
2 30 Q-000Z78LH
2 31 Q-000Z75BJ
2 32 Q-000Z7MOW
2 33 Q-000Z5X83
2 34 Q-000Z80WV
2 35 Q-000Z6UR8
2 36 Q-000Z508L
2 37 Q-000Z69JH
2 38 Q-000Z5NJB
2 39 Q-000Z6V3K
2 40 Q-000Z480S
2 41 Q-000Z72CT
2 42 Q-000Z5042
2 43 Q-000Z72VT
2 44 Q-000Z8299
2 45 Z-000AYDYH
2 46 Q-000Z7627
2 47 Q-000Z7WB7
2 48 Q-000Z785Y
2 49 Q-000Z5J8F
2 50 Q-000Z7XVC
2 51 Q-000Z532K
2 52 Q-000Z77UO
2 53 Q-000Z7WSC
2 54 Q-000Z7XP0
2 55 Q-000Z5YKN
2 56 Q-000Z8290
2 57 Q-000Z8228
2 58 Q-000Z75DI
2 59 Q-000Z8217
2 60 Q-000Z6HY9
2 61 Q-000Z5SOE
2 62 P-T7OOP49V
2 63 Q-000Z78TX
2 64 Q-000Z6H7S
HAMIL 65 P-AT6TFKP9
2 66 Q-000Z7VWF
2 67 Q-000Z7SRR
2 68 Q-000Z6EX3
2 69 Q-000Z69P2
2 70 Q-000ZDK24
2 71 Q-000XIQ4H
2 72 Q-000Z690X
2 73 Q-000Z7UTO
2 74 Q-000Z5J87
2 75 Q-000XZ4CI
2 76 Q-000XZ3SS
2 77 Q-000Z73CJ
2 78 Q-000Z7Y4H
2 79 Q-000S7JQY
2 80 Q-000WJNSU
2 81 Q-000Z7VTV
2 82 Q-000PQWJX
2 83 K-000IAO0F
2 84 K-000IA0I0
2 85 Q-000V0BWD
2 86 Q-000Z74T4X
2 87 Q-00009DLO
2 88 Q-00046DIQ
2 89 Q-000Z7RI1
2 90 Q-000Z5RHN
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871090711650004
1871096708890005
1871092111530002
1871096307000001
1871083112880001
1871076209950004
1871085002000014
1871090506980001
1871096508020002
1871095212520005
1871095908970007
1871091507030002
1809065205890002
1871090808750006
1871034808920009
1871094902010001
1871091907930001
1871090904800002
1871092712870005
1871094908850001
1871095306870004
1871091108930001
1871095208800011
1871010602990003
1871136508850005
1871096305040003
1871095810970006
1871091108500001
1871090301900002
1871092305790005
1871096306760003
1871095004010002
1871095001780003
1871095306840003
1871090808780006
1871091505760010
1871074708880003
1871090605860001
1871047004000001
1871084403020002
1871095409750002
1871094201960002
1871091005760007
1871090606890005
1871091708450009
1871096106970005
1871090709830006
1871097010020001
1871095707800005
1871094912020002
1871091602970007
1871092106860003
1871094903850008
1871090806790007
1871095809030002
1871095004030003
1871094407810001
1871095405640003
1871094104030007
1871064709980002
1871096205780004
1871095101010001
1871080604000004
1871052308940004
1871086510910001
1871091104020005
1871091104020004
1871095408900005
1871085005790001
1871092407040001
1871072510920001
1871011910800005
1871096612820005
1871091108950007
1807044410850001
1807040104840002
1871091210670001
1871094807720004
1803071411850004
1871081302920006
1871094201820004
1871023006980009
1871026809710002
1871020911710002
1871071505070002
1807180901980001
1871075611630002
1801071109900006
1802141406700001
1871132612750002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 15-10-2021
Jenis
Kelamin
SURATMAN L D 07/11/1965
JAYANTI P D 8/27/1989
SURAJI L D 11/21/1953
ULVA DWIYANTI P D 11/9/2001
ANDI RIVAI L D 12/31/1988
IRMA DAMAYANTI P D 12/22/1995
RANI FEBRIYANTI P D 2/10/2000
JUMAN L D 6/5/1996
ALDA AGISTA P D 25/08/2002
KATINI P D 12/12/1952
SRI EKA WULANDARI P D 8/19/1997
USTUM AL-ARIF L D 15/07/2003
JAENUDIN L D 08/08/1975
SINTA FEBRIYANI P D 09/02/2001
SAJURI L D 19/07/1993
MEMED L D 09/04/1980
AMRI L D 27/12/1987
SAWATI P D 09/08/1985
HALIMAH TUSA DIAH P D 13/06/1987
HENI P D 12/08/1980
PERI WAHYUDI L D 06/02/1999
JUNAIDAH P D 25/08/1985
SINTIAWATI P D 5/23/2004
OKTI WULANDARI P D 18/10/1997
HERMAN MALANO L D 8/11/1950
RUDIYANSAH L D 1/3/1990
USWADI ABDILLAH L D 23/05/1979
EMAH P D 23/06/1976
SITI PATONAH P D 1/10/1978
SANIMAH P D 13/06/1984
SOHRI L D 08/08/1978
AGUS MASTARI L D 5/15/1976
NURUL ASIH P D 8/7/1988
SARJA P D 5/6/1986
META KENCANA P D 30/04/2000
WANDA NOVITA P D 04/03/2002
SITI AISYAH AYU P D 1/2/1996
SUMANTA L D 8/17/1945
NOVITA PURNAMASARI P D 6/21/1997
HERNA P D 07/09/1983
MURNI P D 7/17/1980
MIYA ANGGRAENI P D 12/9/2002
JOKO PRIYANTO L D 07/02/1997
MAHENDRA L D 21/06/1986
SOPIAH P D 3/9/1985
SELAMET GIARTO L D 08/06/1979
HELDA PUSPITA P D 9/18/2003
NURMALA DEWI P D 10/04/2002
NURSILAH P D 14/05/1964
KOMALASARI P D 01/04/2003
ALMIRA RAHMA P D 07/09/1998

DEWI SAPITRI L D 1/11/2001
JUWANDA L D 2/17/2000
KIMASNAKAYA L D 23/08/1994
BAGAS FEBRIYANSYAH L D 11/04/2004
BAGUS ANDRIYANSAH L D 11/04/2004
NENG SUSI P D 14/08/1990
TURSIMAH P D 10/05/1978
AGIL SAPUTRA L D 24/07/2004
MUHAMMAD IKHWANNUROSYID L D 25/10/1992
TRI MUHAYAT L D 10/19/1980
SAROFAH P D 26/12/1982
LUCIA ANGRAINI P D 04/10/1985
DANY HADI W L D 4/1/1984
NUR HIDAYATI P D 08/07/1972
IMAM NOVIANTO L D 14/11/1985
NUR FERDIYANSYAH L D 13/02/1992
MUHAMMAD RAFIF FALAH L D 30/06/1998
WIRDA SARI I P D 28/09/1970
M ILYAS HAYANI L D 11/9/1971
ANANDA SETYA L D 5/15/2007
CALVARIDHO RAMADITYA L D 09/01/1998
HO SIU NYUK L B 11/16/1963
ANWAR L D 11/09/1990
DUDUNG HERAWAN L D 14/06/1970
M EFENDY L D 12/26/1975
***Merek Vaksin
A = Sinovac
36 BPJS PBI
35 BPJS Non PBI
14 Non Anggota
4
89 Total
0 Dosis 1
1 Dosis 2
0 Dosis 3
89 Total
0
90
Umur
(18 sd ≥ 60 tahun)
57 46-59 BATU PUTUK
33 31-45 BATU PUTUK
69 ≥60 BATU PUTUK
21 18-30 BATU PUTUK
34 31-45 BATU PUTUK
27 18-30 BATU PUTUK
23 18-30 BATU PUTUK
26 18-30 BATU PUTUK

20 18-30 BATU PUTUK
70 ≥60 BATU PUTUK
25 18-30 BATU PUTUK
19 18-30 BATU PUTUK
38 31-45 BATU PUTUK
47 46-59 BATU PUTUK
30 18-30 BATU PUTUK
22 18-30 BATU PUTUK
29 18-30 BATU PUTUK
43 31-45 BATU PUTUK
35 31-45 BATU PUTUK
37 31-45 BATU PUTUK
35 31-45 BATU PUTUK
29 18-30 BATU PUTUK
42 31-45 BATU PUTUK
24 18-30 BATU PUTUK
37 31-45 BATUPUTUK
19 18-30 BATU PUTUK
25 18-30 BAKUNG
33 31-45 BATU PUTUK
44 31-45 BATU PUTUK
46 46-59 BATU PUTUK
20 18-30 BATU PUTUK
45 31-45 BATU PUTUK
38 31-45 BATU PUTUK
44 31-45 BATU PUTUK
47 46-59 BATU PUTUK
34 31-45 BATU PUTUK
37 31-45 BATU PUTUK
23 18-30 BATU PUTUK
21 18-30 PERWATA
47 46-59 BATU PUTUK
27 18-30 BATU PUTUK
47 46-59 BATU PUTUK

33 31-45 BATU PUTUK
77 ≥60 BATU PUTUK
25 18-30 BATU PUTUK
39 31-45 BATU PUTUK
20 18-30 BATU PUTUK
42 31-45 BATU PUTUK
20 18-30 BATU PUTUK
26 18-30 BATU PUTUK
36 31-45 BATU PUTUK
38 31-45 BATU PUTUK
43 31-45 BATU PUTUK
19 18-30 BATU PUTUK
21 18-30 BATU PUTUK
41 31-45 BATU PUTUK
59 46-59 BATU PUTUK
20 18-30 BATU PUTUK
24 18-30 TKP
45 31-45 BATU PUTUK
22 18-30 BATU PUTUK
23 18-30 BATU PUTUK
28 18-30 KEDAMAIAN
31 31-45 BAKUNG
19 18-30 BATU PUTUK
19 18-30 BATU PUTUK
32 31-45 BATU PUTUK
45 31-45 BATU PUTUK
18 18-30 BATU PUTUK
30 18-30 BUMI WARAS
42 31-45 BATU PUTUK
40 31-45 BATU PUTUK
27 18-30 BATU PUTUK
37 31-45 BUMI WARAS
39 31-45 BUMI WARAS
55 46-59 BATU PUTUK

50 46-59 BATU PUTUK
37 31-45 WAY HALIM
31 31-45 BATU PUTUK
41 31-45 BATU PUTUK
24 18-30 SUKARAME
52 46-59 SUKARAME
51 46-59 SUKARAME
16 0 TBT
25 18-30 BATU PUTUK
59 46-59 KOTAKARANG
32 31-45 SIDOMULYO
52 46-59 BUMI RATU
47 46-59 DSN WONO SARI

Pekerjaan
38 A
18 B
34 C
90 D
E
1 Total
89
0
90
No. Hp
085267431638
089521133126
089521131126
085788724764
085267446413 YA
0895417640304 YA
081540063526
081373937812
085841832735
082375808950 YA
082375808950 YA
085769717863
085372714268
08578886488
081367604220
0895324284528
089682511851 YA
0815322035588
081282453569 YA
083809446316 YA
081282453569 YA
0895416455525 YA
081369784372 YA
081540805121 YA
089692714209
085789681597
0895371952897 YA
082184696616
082278744911 YA
082372692590
085840315582 YA
0895372242610
081279804344 YA
085788810847 YA
08975003535
081279804344 YA
08
082167023535
0895379513883
089631945809 YA
089697477779 YA
081271398311 YA
089697477779
082280206424 YA
08975003535
085769001997
082278744911 YA
085769199746
081315530405 YA
085602318526 YA
088287673079 YA
082176914449
085709697721 YA
082372334783 YA
083847707347 YA
089522038094
085600321699 YA
085664733621 YA
081274840625 YA
081379006683 YA
081541076146 YA
085783736264 YA
089515779913
081379006683 YA
089699727385 YA
0895412106343 YA
083140751870 YA
085768733442
08994284809 YA
08 YA
085655735040 YA
082375713011
08992730421 YA
081373792793 YA
081272243888 YA
081272243888 YA
082111152786
082111152786
081369103545 YA
085788086246 YA
0895367301366 YA
081271953792 YA
081297655888 YA
081274661971 YA
083168769726 YA
08127365500
085377112618 YA
082374667354 YA
081293154617 YA
085381141279 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota





9/11/2021 CORONAVAC
8/26/2021 CORONAVAC
5/29/2021 SINOVAC

Dosis I
Tanggal Pemberian
Vaksinasi
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/7/2021 24202321 16264920130180

9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
10/15/2021 202108142H
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/14/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/15/2021 202108156I
9/15/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
9/1/2021 24005221 16264306410166
9/11/2021 24202321
9/17/2021 202108156I
8/26/2021 24004421
9/14/2021 202108156I
9/14/2021 202108156I
9/9/2021 202108156I
9/17/2021 202108156I
5/29/2021 24002521 16170981173993
9/15/2021 202108156I
9/17/2021 202108156I
9/17/2021 202108156I
Dosis 2
Tanggal Pemberian
Vaksinasi
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
10/15/2021 202108142H
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
NOG 1 P-7YWL2P15
2 P-8DWNRDWC
3 P-82RT58Y
4 S-94820747
5 P-9EVEBYP0
6 P-9R3015JN
7 P-A6COCD2T
8 P-AH6FIX75
9 S-AFBB8F38
11 P-BATATRDU
12 P-BM22JRF
13 P-BWV0SVSI
14 P-CJS28FYT
15 P-CW03Q3D6
16 S-D27E48D
17 P-DWDBLBLA
18 P-65TJ0L83
19 P-W6WN3LB3
20 P-I3K3KYJI
21 P-ITUQMUAL
22 P-KDSZG6E2
24 P-LLTIA3CF
25 P-M6ZPC6KV
26 P-L2HB7TFL
27 P-NRSL02Y4
28 P-099RN6VY
29 P-0PXKDOCJ
30 P-PVRHMW60
31 P-QSMXWSPD
32 P-RVZVWLVB
33 P-SILY5XPF
34 P-T6XIWIQB
35 P-TQ00MTD
36 P-UPLT6VTS
37 P-VNXISE70
38 P-2BU5WX62
39 P-12P5XQHM
40 P-32RTWYBQ
41 P-GJG8YUVH
42 P-F14Q860H
43 P-IOEUBVOA
44 P-JOUJCKUJ
45 P-06QOPSY6
46 P-MNCBQQO1
47 P-TB2ZBJTL
48 P-WLOLDOH8
49 P-XEU3P2S8
50 P-YFCESQHO
51 P-ZCCZ4P6G
52 P-ZCEYZEC
53 P-ZCRNIZDU
54 P-ZCYKIWAK
55 P-ZD8BR8Q4
56 P-ZDHHXJOO
57 P-ZF35HSCW
58 Y-0000166N
59 P-ZEV1WAIO
60 P-TW0H5FW4
BAKUNG 61 P-HRS8Y39S
62 P-K8H3DRH5
63 P-LFKBDNA4
64 P-LM8DE6RP
65 P-LSEJHEF9
66 P-MGI4YT0
67 P-MMXPZ6XC
68 P-MS4LAREE
69 P-N4Y6JIVK
70 P-NB6TMRYC
72 P-NRIIYOPP
73 P-NWQP1H4E
74 P-OJR15O5T
75 P-OS60OIMK
76 P-PYJLZKDJ
77 S-9756AC87
79 P-V8OC7X6W
80 S-D0BA1CFF
81 P-VR7BXJU1
82 P-W2AKA677
83 P-5SBGFSYD
84 P-6GGRTDP6
85 P-71BT5L4C
86 P-EFM5XIOU
87 P-FKOVJ5DC
88 P-F8XMS24Q
89 P-00194WQ
90 P-I3DAA50F
91 P-LJFS9GM6
92 P-PKMA112U
93 S-D3EDEB5C
94 P-0586VEZC
95 P-XRKJBMRU
96 P-YJRSPAPK
97 P-ZBT9F16B
98 S-1521C663
99 P-ZC76EV5M
100 P-ZCRIL712
101 P-ZDIK3OA3
102 P-ZED2QYQO
103 P-ZHRINGF
104 P-ZIENNSDC
105 P-ZGUIXKTG
106 P-ZH29NDZ9
107 P-ZH6VWVGS
108 P-ZHCCENTC
109 P-ZHICQOLO
110 P-ZHLZX54K
SR 2 111 P-64KV0ELO
112 P-68GD6H41
113 P-6C3LQ24K
114 P-6JDAG2K
115 P-GOTT1HJL
116 P-6RO2HKJA
117 P-GUGN3P81
118 P-6XXN2LO5
119 P-7O43AHED
120 P-7E2SDBNG
121 P-2B60L5NY
122 P-2BP67GHY
123 P-ANH1TUGI
124 S-592BO285
125 P-AUBKERQG
126 P-ASVIIQJN
127 P-JU99OT8R
128 P-2KD8HUH1
129 P-GBPTOJSV
130 P-C7FPRFLG
131 P-CW9O1ZD7
132 S-D332C3BA
133 S-74DE7A83
134 R-CJP8NJAZ
135 P-CNP8XUTO
136 P-CPRLR649
137 S-O826C938
138 P-2BCIMN7T
139 P-DLKO0HUW
140 P-DIDZ63TB
141 P-LOUHC8H5
142 P-DQKVI4G7
143 P-PUAEY7JV
144 P-PFBL8211
145 P-REQH633G
146 P-T351GGOQ
147 P-VRSESZCU
148 P-CDL2DISX
149 P-D5FE4YOV
150 P-L35DQVTM
151 P-ZC243CAY
153 P-2CC7GFVA
154 P-WQFDRCNK
155 P-XZ35V5SO
156 P-YTOG523X
157 P-ZCGTKLYI
158 P-GGKBGQC5
159 P-ZCMH1VDS
160 P-ZLS900K3
161 P-AXVV4F2G
162 P-2DGGLHIG
163 P-ZFHBL40F
164 P-ZDF8ESHSE
165 P-ZDKQEV48
166 P-2D23ICNN
167 S-OFCR9226
168 P-ZE6AN302
169 R-VD7XRBSS
170 P-ZEBTLDTV
171 P-ZEHGLESY
172 P-ZEMK7DL
173 P-VMP8NUMD
174 P-ZEW7WFL4I
175 P-ZF32F6NX
176 P-DFVYE2KP
177 P-ZFGPF8TS
178 P-ZFMCOFKB
179 P-ZFTJDNIM
180 P-ZG5N6SR4
181 P-ZGA29XUY
182 P-ZGFUTR6H
183 P-ICLGRRCES
185 P-Z6A7ZR2P
186 P-ZGDR81YQ
187 P-2YSA21A0
188 P-ZGFKTRGH72
190 P-2GWHTOPJ
191 P-ZHID6AYR
192 P-Z6648LS
193 P-2H94J8BI
194 P-ZHCXNBD6
195 P-ZHJ7LVYO
196 P-ZHNCO5FB
BT 197 P-CMM8KVYU
198 P-QCK41PF5
199 P-PKPZ6JEQ
200 P-NZMEK6YN
201 P-MR09TAOR
202 P-RRCZ332Z
203 P-TOU7CJKO
204 P-V73CN4128
205 P-18LYRUN3
206 P-7Y5JOKKE
207 P-4TIYRGHZ
208 P-87EJZALG
209 P-F07SU6SJ
210 P-HQ312U95
211 P-JKPKG12812
212 P-LEOP8JAW
213 P-NHBOBLOV
214 P-PWADO1W6
215 P-QUY17XMD
216 P-SHBWENOP
217 P-TURL68CF
218 P-VGST9QSJ
219 P-XDDMAW5E
220 P-WVUKNZPA
221 P-Y7WX5LOH
222 P-Z4FZGPV1
223 P-ZBUT554M
224 P-ZBXJI90H
225 P-ZC4QR959
227 P-D5THWDMF
228 P-EFAVZQK
229 P-EXN32XPM
230 P-ZCBDORC4
231 P-FKUAC7GE
232 P-GGAAAZJO
233 P-ZOMVILCT
234 P-ZDJ7J2RA
235 P-ZD7XZDEF
236 P-ZDCEH961
237 P-ZD4NNH1P
238 P-ZCWVHB5D
239 P-KE4YXK9F
240 P-ZDEPGRAA
241 P-JMJCVL4L
242 P-ZCOMZAOE
243 P-ZDZPL8J4
244 P-ZEO1RO1S
245 P-ZEQL7LY4
246 P-ZENL8XLU
247 P-ZEHELV7P
248 P-ZEAGYJOW
249 P-ZEEZRAS2
250 P-ZEC35E11
251 P-ZE3N4RWT
252 P-ZFOTGC99
253 P-ZFO66LH1
254 P-AZ1MLN32
255 P-ZFE1PT06
256 P-ZF55DE5V
257 P-ZFPD869S
258 P-XZFBG7U39
260 P-ZG1MV25Q
261 P-ZGC1QO1E
262 P-ZG5TQ8KW
263 P-ZFXVMXIN
264 P-ZGEAEOTV
265 P-ZGN5OJN9
266 P-ZGM6SGCA
267 P-LUQJRMDB
268 P-ZGZL69ZN
269 P-K3WVF9JQ
270 P-ZGUKI7HK
271 P-ZGP6RBET
272 P-KITBQ710
273 P-ZH4X312G
274 P-ZHOWB74
275 P-ZH6NV0X6
276 P-ZHOACVTO
277 P-ZHJAIGAC
278 P-ZHMN041V1
279 P-ZHSDWBDO
280 P-ZHSGPCM9
281 P-ZHWTXXOG
282 P-ZHZB3CO1
283 P-Z11LE3L7
284 P-ZHWGLVFW
285 P-Z14WRR23
286 P-ZI7HVGVE
KURIPAN 287 P-IB7GVVGM
288 P-GJBOP5V5
289 P-HMC9L0ED
290 P-JUL8I1L
291 P-KLXVSSPT
292 P-NJS3YM79
293 P-PKZAO21T
294 P-4GEO2YP1
295 P-A3WWCUKP
296 P-BMO7YQJJ
297 P-D5TVWLMY
298 P-EWUHEPMK
299 P-G90VP601
300 P-M5NCBHXL
301 P-PO64YC9OG
302 P-EROWK4YLR
303 P-SAHOKNZY
304 P-TDCLYENW
305 P-UOBUT8ZS
306 P-J5AUQH24
307 P-ZCHLKZGM
308 P-ZCO8DJP5
309 P-ZDA4BH8J
310 P-ZENZYRBS
311 P-ZEXSWTUU
312 P-ZHR2EIAN
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871084609750001
1871082911850002
1871084306730005
1871084101470010
1871084709060002
1871080504750005
1871084511760004
1871084207780002
1871082006590001
1871080109830003
1871080204730008
1871083004880004
1871085507740005
1871080707750008
1871081809010003
1871084712440001
1871080410790005
1871081004650002
1871081411940004
1871085202960009
187108030380006
1871082309900004
1871081008500002
1871076405000007
1871081005670005
1871086104740008
1871082704640001
1871085207740015
1871084707620003
1871084510760004
1871086110810003
1871086104930002
1871086809720001
187108603630002
1871080308970003
1871081011010002
1871084501890003
1871085012690003
1871074501910002
18710851612860004
1809070201900003
1871085809990004
187108241080003
1871084506990002
187108230950003
1871085003040002
1871081303940001
1871086508050005
1871085712960001
1871084505750018
1871080512000001
1871175007910001
1871070701090001
1871081303040003
1871086710730002
187154050730001
1871085910830007
1871081207800008
1871086103610002
1871085911070001
1871084304920005
1871084708830001
1871084707850012
3578070704760003
1871084303790005
1871084605980001
1871132204960002
1871081111640002
1871081711780004
1871080612890001
1871084505910010
1871084607990003
1871086708000002
1871074602700011
1871082102820002
'1871084803810001
1871081402890003
1871083011580004
1871081312760003
1871081112540001
1871081010610001
1871080303630003
1871087001980002
1871086708000001
1871080102820007
1871082102950005
1871086212650003
1871084605890003
3216085408700007
1871081706990003
1871081005860006
1871085110090001
1871081410950002
1871084303860017
1871082512020002
1871082308810008
1871086406930003
1871042404670007
1871080607800012
1871086711920002
1871085805830005
1871084612740001
1871085207790002
1871080711870002
1871084201920004
1871082807070003
1871084602880003
1871085611020004
1871082807820003
1871082205760002
1871080205910003
1871081809880004
1871080707860011
1871084808640002
1871031303880007
18710822508820002
1871086505880001
1871084706730004
1871084107730006
1871086504900002
1871086203020001
18711084201830001
1871080401640003
1871081812600004
1871085705790007
1871082001970003
18710845098700003
1871086712620002
1871085111670003
1871084212690001
1871084201780004
1871085706600001
1871086207550001
187107511820007
1871084810860003
1871084406830001
1871080803570001
1871086604890005
1871084402800007
1871096605810001
1871080504770006
1871080602890007
1871081203920006
1871085007850007
1871081708470010
1871084710880002
1871084304820004
187109110770005
1806275003900004
1871080209720002
1871080705780003
1871081008040003
1871085510680008
1871085605870006
1871085507990005
1871084307810001
1871084204700004
1871085904850006
1871080206800007
1871085912970004
1871080105740005
1871087011910003
1871085211910005
1871085006780011
1871074304960002
1871081710010004
1871085612600003
1871085112640002
187108170806002
1871080704900008
1871080510070002
1817108510195007
1871084808180010
1871085505620006
1871084812620001
187108490976003
1871081609030003
1871086109970002
1809105512970001
1871081807670002
1871081410970004
1871084311790001
1871080801010001
1871085502880003
18711086706630002
18711084609720006
1871081705080003
1871084311790001
1871082801210001
1871080709900004
1871080709870004
18711082709650001
1871080102700014
18710816099910001
1871081303940002
1871084703680012
1871091608020008
1871031212790008
1871090308790011
1871092904910003
1871094902690003
1871094907800003
1871094502850009
18710903060200002
1871090601710005
1871090208790005
1871095509680001
1871095504880004
1871094104780004
1871092508000001
1871094204060003
1871091005980004
1871084209950001
1871095209990005
1871090209000001
1871094602900007
1871090205640007
1871132305890001
1871096406690005
1871090402920001
1871095403760001
1871094106070004
1871091302610002
1871094802020010
1871091504880002
1871084504950002
1871090104780004
1871094708750002
1871090901990004
1871094405710004
1871091108820004
1871096105870002
1871132106860003
1871130907830001
1871094806880003
1871094807690001
18710903040001
1871096512650005
1871094506090001
1871095111910008
1807245811990005
1871094104860005
1871090612740006
1871130904900003
1871091405900005
1871091408700003
1871096609090002
1871092401780004
1871096002740001
1871095609920003
1871090812780002
1871091003790009
1871084210800006
1871096108050001
1871090705060001
1871094103650005
1871096405790002
1871091604790006
1871082908900001
1871095806080001
1871092504010001
1871094806000005
1871094111050005
1871095804020006
1871094206670006
18710943110200008
1871095106890004
1871094904720001
1871062905850004
1871094904720001
1871090609030001
1871094504800010
1871090104780003
1871094502070005
1871080103960006
1871094712910005
1871065301980007
1871091010840016
1871090501850008
18710904040002
1871096802710006
1871090204990004
1871075106870010
1871095407820004
1871072004880008
1803085408820002
1871083110050002
1871082611910004
1871086006000004
1871087300470004
1871085410820004
1871084211670004
1871081005690001
1871081611760003
1871088405080001
18710884611850004
1871084808830008
1807047112040004
1871080101840018
1871085403700001
1871086002070001
1871086710950005
1871082808930003
1871085802810001
1871040808840011
1871086705890003
1871082005770010
1809070103890001
1871984704870011
1871085104920002
1871084606680007
1871104809670001

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 15-10-2021
Jenis
Kelamin
AKIAH P D 06/09/1975
MUHLIS L D 29/11/1985
SANIATI P D 01/01/1947
DARA AMELIA P D 07/09/2006
ANJAS SAPUTRA L D 4/5/1975
YATI P D 02/07/1978
SAPARI L D 6/20/1959
ABDUL ROHIM L D 9/1/1983
SAMSUL GOFUR L D 4/2/1973
LELA P D 15/07/1974
PANDI L D 07/07/1975
PARDATULLAH L D 9/18/2001
SANAH P D 07/12/1944
SENIMAN L D 04/10/1979
MADUDIN L D 10/01/1965
TOPIK L D 14/11/1994
MARDI L D 23/03/1999
AHMAD GUNADI L D 10/08/1960
LILIS NURAINI P D 24/05/2000
RIDHWAN L D 10/05/1967
SUPRANAH L D 21/04/1974
HASRAF L D 27/04/1964
IDAH HARTATI P D 07/07/1962
ONAH P D 05/10/1976
WINAYAH P D 21/10/1981
FADILLAH P D 21/04/1993
NUNUNG P D 28/09/1972
SANTI P D 20/03/1963
RIZKY MAIHAKI L D 23/05/1997
RICAT NOBIRGA L D 10/11/2001
RIA RESTIANA P D 05/01/1989
ROSMAINI P D 12/12/1969
MELDA JUWITA LESTARI P D 05/01/1991
FERDIYANSYAH L D 16/12/1986
AJID L D 02/01/1980
AMELIA MIRANTI P D 18/09/1999
SAIFUL L D 24/10/1980
NABILA DIANA P D 14/08/1998

RIO RENAN ANGGARA L D 23/09/2005
TARISA PUTRI P D 10/03/2004
ANGGI SAPUTRA L D 13/03/1994
SELA MUNIRAN P D 25/08/2005
SANTI YANA P D 17/12/1996
M. HANIF L D 05/12/2000
DAHLIANI P D 10/07/1991
ZERIKO KANENA IDAMI L D 07/01/2009
ADITYA PRATAMA L D 13/03/2004
SRI UMIYATI P D 27/10/1973
MOLINA P D 14/05/1973
ROSMAYANTI P D 19/10/1983
HOZALI L D 07/12/1979
SOPIAH P D 21/03/1961
YESSY YOULANDA MAIDA P D 19/11/2007
RENI OKTAVIA P D 03/04/1992
JANAWATI P D 07/08/1983
SANTI P D 07/07/1985
MOCHAMAD SYAHRONI L D 07/04/1976
NURSILAWATI S.PD P D 3/3/1979
DEDE HETI KOMALA P D 5/6/1998
ADE RIADI L D 4/22/1996
SUYONO L D 11/11/1964
CECEP SUPRIYADI L D 11/17/1978
SAHIRI L D 12/6/1989
NURDIANTI P D 5/5/1991
EPA ROHILA P D 7/6/1999
METHA SHANDI P D 8/27/2000
RIZAL EFENDI L D 2/21/1982
JAMILA SRIKANDI AL ZAZAIR P D 3/8/1981
NANDA ILHAM SAPUTRA L D 2/14/1989
SADAM L D 11/30/1958
PENDI L D 12/13/1976
SARIMAN L D 12/11/1954
MUHROZI L D 10/10/1961
YUSEP L D 3/3/1963
EKA SAFITRI P D 1/30/1996
NABILARAHMA PUTRI Z P D 8/27/2000
ZAMZAMI L D 2/1/1982
MEDY SAPUTRA L D 2/21/1995
NURSEHA P D 12/22/1965
SINTA DAMAYANTI P D 5/6/1989
TUTI P D 8/14/1970
ABI RAWA PRAKOSO L D 6/17/1999
HERMAN L D 10/05/1986
NAURA AZIMA P D 11/10/2009
NOVAL ARYA MANDALIKA L D 14/10/1998
HERNI P D 03/03/1986
REHAN L D 25/12/2002
HARFAN EFENDI L D 23/08/1981
RISNANDI L D 24/04/1967
NURDIN L D 06/07/1980
NOVICA ICA ARADA P D 27/11/1992
MELIANA EKA FITRI P D 18/05/1983
SUHARNI P D 06/12/1973
AHMAD JUNAIDI L D 25/07/1979
SANI L D 07/11/1987
IRAWAN SAPUTRA L D 28/07/2007
JANIAH P D 08/02/1988
ATIKA P D 16/11/2002
HUSEN L D 28/07/1981
PURWANTO P D 22/05/1976
AHMAT RIFA'I L D 5/2/1991
MARIANAH P D 8/8/1964
RUDI IRAWAN L D 3/13/1988
JUHRA L D 8/25/1982
NAIMAH P D 6/7/1973
RONI P D 7/1/1973
HANI UMAYAH P D 4/25/1990
TIA SUNDARI P D 3/22/2002
MUSTIAH P D 1/2/1983
SUGENG L D 1/4/1964
SUPRAYITNO L D 12/18/1960
M.SOVIAN L D 11/1/1995
LISMIATI P D 7/23/1985
SAKDIAH P D 12/27/1962
JUNAIDA P D 11/11/1967
AMINAH P D 12/2/1969
MUGIARTI P D 1/2/1978
SUPRAPTI P D 6/17/1960
YATI P D 7/22/1955
SRI WINARSIH P D 11/25/1982

PARTIMAH P D 10/8/1986
SYAIFULLAH L D 3/8/1957
DETIYANI P D 4/26/1989
ELISAH P D 5/26/1981
SAIPUL L D 4/5/1977
FERY KURNIAWAN L D 2/6/1989
SODIKIN L D 3/2/1990
SAPLINAH P D 7/10/1985
MADISA L D 8/17/1974
RENI P D 10/7/1988
SAPINAH P D 4/3/1982
TRI MUHADA L D 7/11/1977
SARNIATI P D 9/9/1988
HERMAN L D 9/2/1972
ZAKARIYA L D 5/7/1978
M.ALDI L D 8/10/2004
JAIMAH P D 10/15/1968
MULYANAH P D 5/16/1987
WIDIA P D 7/15/1999
SAPLIAH P D 7/3/1981
MURTASIAH P D 4/2/1970
ELIS APRINA P D 4/19/1985
SIDIK.S L D 6/2/1980
RENI SAFITRI P D 12/19/1997
PRAYITNO L D 5/1/1974
NOVIYANTI P D 1/25/1991
UMAYAH P D 6/10/1978
ANISAH P D 4/3/1996
FARHAN L D 5/7/2002
TURSINAH P D 12/16/1960
KASMI P D 12/11/1994
DIRGA AGUS IRWANSYAH L D 8/17/2006

KISMANTO L D 4/7/1990
EVA NURIDA P D 10/10/2007
EKA ASMARANI P D 1/11/1995
MARSIATI P D 8/8/1978
SITI MUNHASANAH P D 5/15/1982
SUKANTI P D 12/8/1962
SUMINI P D 9/9/1976
RIDOH L D 9/16/2003
NURHALIMAH P D 9/21/1997
ROHILA P D 12/15/1997
USMAN L D 7/18/1967
FERY SUTEJO L D 10/14/1997
RAFLI ARIZANDI L D 1/6/2001
PUTRI DINNA P D 2/15/1988
MARYAM P D 9/6/1972
RAFI INDRA P L D 5/17/2008
SUPIYAH P D 11/3/1979
SUPRIAH P D 1/10/1997
TUGIYO L D 9/7/1990
NUR HANI L D 9/7/1987
SUDARDA L D 9/27/1965
DEDI SUTOMO L D 2/1/1970
SARTIMIN L D 9/16/1991
RASIYAH P D 3/7/1968
AGUS SAPUTRA L D 16/08/2002
M ARTA L D 12/12/1979
ATO L D 29/04/1991
SANI P D 7/9/1980
UNAH P D 2/5/1985
RENDI L D 5/3/2002
SARIP L D 1/6/1971
SANTONI L D 8/2/1979
SAHANAH P D 9/15/1968
JUMINAH P D 4/15/1988
SARITAWATI P D 4/1/1978
ARIS SYAPUTRA L D 8/28/2000
IRPAN L D 5/10/1998
INDAH NOVITASARI P D 11/2/1995
ERIKA P D 9/12/1999
TEGUH SANTOSO L D 9/2/2000
YULIYANAH P D 2/6/1990
SAIRAN L D 5/2/1964
SAHRUL L D 5/23/1989
NURJAYA L D 5/19/1993
SIPA ULIYA P D 6/1/2007
SAIDI L D 2/13/1961
ROBIAH P D 2/8/2002
HANSORI L D 4/15/1988
KUTBI L D 01/04/1978
DARNA P D 07/08/1975
WITRA SAPUTRA L D 08/01/2000
ASIAH P D 04/05/1971
SAKRI L D 11/08/1982
YARKONI L D 21/06/1986
DIDI ROSIDI L D 09/07/1983
GINI SUMARNI P D 08/06/1988
SODAH P D 08/07/1969
M KO SAPUTRA L D 03/03/2004
ANANDA SARI P D 26/12/2005
TASYA AULIA P D 05/06/2009
SARI P D 06/06/1986
RANTIKA P D 18/11/1999
PARIDAH P D 01/04/1986
URKI L D 06/12/1974
ROHIM L D 09/04/1990
RUDIYANTO L D 14/05/1990
GITA LESTARI P D 26/09/2009
SUDIRMAN L D 08/12/1978
M HASAN L D 10/03/1979
ANAH P D 02/10/1980
MARIYAH P D 21/08/2005
SAHRUL L D 5/7/2006
RUBIAH P D 01/03/1965
SARNAH P D 24/05/1979
SANTA L D 16/04/1979
SAMSURI L D 8/29/1990
CAHYA LIA KINANTI P D 6/18/2008
AGUNG PRAWIRANEBARA L D 8/25/2001
NOVITASARI P D 11/14/2003
SELMA KHOIRUNISA P D 01/11/2005
NURSIYAH P D 02/06/1967
SITI AULIA PUTRI P D 03/11/2002
SURIYAH P D 11/06/1989
NARIAH P D 4/9/1972
SAHRUL L D 5/29/1985
NARIAH P D 09/04/1972
ABIL SEPTIAN L D 06/09/2003
PUDIN L D 01/04/1978
DIKA SAPUTRA L D 05/02/2007
NARMAN L D 01/03/1995
ANIK P D 07/12/1991
YENI P D 13/01/1998
MADUSUP L D 10/10/1984
TURMUDI L D 05/01/1985
APRIYANI P D 04/04/2007
ASNAH P D 28/02/1971
ROBY AFRIYADI L D 02/04/1999
SITI MUTAHARAH P D 11/06/1987
SUHETI P D 14/07/1982
MUKSIN L D 20/04/1988
ANA SUSANTI P D 14/08/1982
M. RAFLI L D 10/31/2005
ASEP KUSNIAN L D 11/26/1991
YUNITA FIRLIANI P D 20/06/2000
RITA ASMIN YANTI P D 30/04/1974
DESI P D 14/10/1982
HASIM FAHMANSYAH L D 11/16/1975
ZAHIRA ROHMATUL P D 5/24/2005
YUMARNI P D 06/11/1985
YULINAR P D 8/8/1983
ALFINA DESIIYANTI P D 31/12/2004
ALFIANSYAH L D 01/01/1984
OKTARIA P D 27/10/1995
ROHMAN L D 28/08/1993
FERLINA P D 18/02/1981
AHMAD ROSIDI L D 08/08/1984
EKA WATI P D 27/05/1989
M. AGUNG TIRTANA L B 20/05/1977
NURHASIAH P D 07/04/1987
AMELIA P D 4/11/1992
SYIFAK P D 7/6/1968
ANA YANTINA P D 9/8/1967
***Merek Vaksin
A = Sinovac
28 BPJS PBI
39 BPJS Non PBI
27 Non Anggota
11
105 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
112 Total
0
112
Umur
(18 sd ≥ 60 tahun)
47 46-59 NOG
37 31-45 NOG
49 46-59 NOG
76 ≥60 NOG
16 0 NOG
48 46-59 NOG
46 46-59 NOG
44 31-45 NOG
63 ≥60 NOG
39 31-45 NOG
50 46-59 NOG
35 31-45 NOG
48 46-59 NOG
47 46-59 NOG
21 18-30 NOG
78 ≥60 NOG
43 31-45 NOG
58 46-59 NOG
28 18-30 NOG
27 18-30 NOG
43 31-45 NOG
24 18-30 NOG
62 ≥60 NOG
23 18-30 NOG
56 46-59 NOG
49 46-59 NOG
59 46-59 NOG
48 46-59 NOG
60 ≥60 NOG
46 46-59 NOG
41 31-45 NOG
30 18-30 NOG
50 46-59 NOG
60 ≥60 NOG
26 18-30 NOG
21 18-30 NOG
34 31-45 NOG
53 46-59 NOG
32 31-45 NOG
36 31-45 NOG
43 31-45 NOG
23 18-30 NOG
42 31-45 NOG
24 18-30 NOG
17 0 NOG
19 18-30 NOG
29 18-30 NOG
17 0 NOG
26 18-30 NOG
48 46-59 NOG
22 18-30 NOG
31 31-45 NOG
14 0 NOG
19 18-30 NOG
49 46-59 NOG
50 46-59 NOG
39 31-45 NOG
43 31-45 NOG
62 ≥60 NOG
15 0 NOG
31 31-45 BAKUNG
39 31-45 BAKUNG
37 31-45 BAKUNG
47 46-59 BAKUNG
44 31-45 BAKUNG
25 18-30 BAKUNG
27 18-30 BAKUNG
58 46-59 BAKUNG
44 31-45 BAKUNG
33 31-45 BAKUNG
32 31-45 BAKUNG
23 18-30 BAKUNG
22 18-30 BAKUNG
53 46-59 BAKUNG
41 31-45 BAKUNG
42 31-45 BAKUNG
34 31-45 BAKUNG
64 ≥60 BAKUNG
46 46-59 BAKUNG
68 ≥60 BAKUNG
61 ≥60 BAKUNG
60 ≥60 BAKUNG
27 18-30 BAKUNG
22 18-30 BAKUNG
41 31-45 BAKUNG
28 18-30 BAKUNG
57 46-59 BAKUNG
34 31-45 BAKUNG
52 46-59 BAKUNG
23 18-30 BAKUNG
37 31-45 BAKUNG
13 0 BAKUNG
24 18-30 BAKUNG
37 31-45 BAKUNG
20 18-30 BAKUNG
41 31-45 BAKUNG
29 18-30 BAKUNG
56 46-59 BAKUNG
42 31-45 BAKUNG
30 18-30 BAKUNG
40 31-45 BAKUNG
49 46-59 BAKUNG
43 31-45 BAKUNG
35 31-45 BAKUNG
31 31-45 BAKUNG
15 0 BAKUNG
35 31-45 BAKUNG
20 18-30 BAKUNG
41 31-45 BAKUNG
47 46-59 BAKUNG
32 31-45 SR 2
34 31-45 SR 2
36 31-45 SR 2
58 46-59 SR 2
35 31-45 SR 2
40 31-45 SR 2
35 31-45 SR 2
49 46-59 SR 2
49 46-59 SR 2
33 31-45 SR 2
21 18-30 SR 2
40 31-45 SR 2
59 46-59 SR 2
62 ≥60 SR 2
44 31-45 SR 2
27 18-30 SR 2
37 31-45 SR 2
60 ≥60 SR 2
55 46-59 SR 2
53 46-59 SR 2
45 31-45 SR 2
62 ≥60 SR 2
67 ≥60 SR 2
40 31-45 SR 2
36 31-45 SR 2
39 31-45 SR 2
66 ≥60 SR 2
34 31-45 SR 2
43 31-45 SR 2
42 31-45 SR 2
46 46-59 SR 2
34 31-45 SR 2
33 31-45 SR 2
37 31-45 SR 2
48 46-59 SR 2
34 31-45 SR 2
41 31-45 SR 2
45 31-45 SR 2
34 31-45 SR 2
50 46-59 SR 2
45 31-45 SR 2
18 18-30 SR 2
54 46-59 SR 2
36 31-45 SR 2
23 18-30 SR 2
41 31-45 SR 2
53 46-59 SR 2
38 31-45 SR 2
42 31-45 SR 2
25 18-30 SR 2
49 46-59 SR 2
31 31-45 SR 2
32 31-45 SR 2
44 31-45 SR 2
27 18-30 SR 2
21 18-30 SR 2
62 ≥60 SR 2
28 18-30 SR 2
16 0 SR 2
33 31-45 SR 2
15 0 SR 2
28 18-30 SR 2
44 31-45 SR 2
41 31-45 SR 2
60 ≥60 SR 2
46 46-59 SR 2
19 18-30 SR 2
25 18-30 SR 2
25 18-30 SR 2
55 46-59 SR 2
25 18-30 SR 2
43 31-45 SR 2
22 18-30 SR 2
35 31-45 SR 2
59 46-59 SR 2
50 46-59 SR 2
15 0 SR 2
43 31-45 SR 2
26 18-30 SR 2
32 31-45 SR 2
35 31-45 SR 2
57 46-59 SR 2
53 46-59 SR 2
31 31-45 SR 2
29 18-30 SR 2
55 46-59 SR 2
20 18-30 BATU PUTUK
43 31-45 BATU PUTUK
43 31-45 BATU PUTUK
32 31-45 BATU PUTUK
54 46-59 BATU PUTUK
42 31-45 BATU PUTUK
38 31-45 BATU PUTUK
21 18-30 BATU PUTUK
52 46-59 BATU PUTUK
43 31-45 BATU PUTUK

54 46-59 BATU PUTUK
35 31-45 BATU PUTUK
45 31-45 BATU PUTUK
22 18-30 BATU PUTUK
17 0 BATU PUTUK
25 18-30 BATU PUTUK
27 18-30 BATU PUTUK
23 18-30 BATU PUTUK
22 18-30 BATU PUTUK
33 31-45 BATU PUTUK
59 46-59 BATU PUTUK
34 31-45 BATU PUTUK
53 46-59 BATU PUTUK
30 18-30 BATU PUTUK
47 46-59 BATU PUTUK
15 0 BATU PUTUK
62 ≥60 BATU PUTUK
21 18-30 BATU PUTUK

35 31-45 BATU PUTUK
28 18-30 BATU PUTUK
45 31-45 BATU PUTUK
47 46-59 BATU PUTUK
23 18-30 BATU PUTUK
52 46-59 BATU PUTUK
40 31-45 BATU PUTUK
36 31-45 BATU PUTUK
36 31-45 BATU PUTUK
39 31-45 BATU PUTUK
34 31-45 BATU PUTUK
53 46-59 BATU PUTUK
19 18-30 BATU PUTUK
17 0 BATU PUTUK
13 0 BATU PUTUK
36 31-45 BATU PUTUK
23 18-30 BATU PUTUK
37 31-45 BATU PUTUK
48 46-59 BATU PUTUK

33 31-45 BATU PUTUK
33 31-45 BATU PUTUK
52 46-59 BATU PUTUK
13 0 BATU PUTUK
45 31-45 BATU PUTUK
49 46-59 BATU PUTUK
29 18-30 BATU PUTUK
44 31-45 BATU PUTUK
44 31-45 BATU PUTUK
42 31-45 BATU PUTUK
17 0 BATU PUTUK
17 31-45 BATU PUTUK
58 18-30 BATU PUTUK
44 31-45 BATU PUTUK
44 46-59 BATU PUTUK
32 ≥60 BATU PUTUK
14 ≥60 BATU PUTUK
21 31-45 BATU PUTUK
19 18-30 BATU PUTUK

17 0 BATU PUTUK
21 0 BATU PUTUK
55 0 BATU PUTUK
20 18-30 BATU PUTUK
33 18-30 BATU PUTUK
51 31-45 BATUPUTUK
38 18-30 BATUPUTUK
51 18-30 BATUPUTUK
19 0 BATUPUTUK
43 31-45 BATUPUTUK
45 31-45 BATUPUTUK
16 31-45 BATUPUTUK
28 31-45 BATUPUTUK
31 31-45 BATUPUTUK
25 31-45 BATUPUTUK
38 31-45 BATUPUTUK
38 31-45 BATUPUTUK
16 31-45 BATUPUTUK
52 31-45 BATUPUTUK
24 31-45 BATUPUTUK
35 31-45 BATUPUTUK
40 31-45 BATUPUTUK
35 31-45 BATUPUTUK
40 31-45 BATUPUTUK
17 0 KURIPAN
31 31-45 KURIPAN
22 18-30 KURIPAN
49 46-59 KURIPAN
40 31-45 KURIPAN
55 46-59 KURIPAN
54 46-59 KURIPAN
47 46-59 KURIPAN
18 18-30 KURIPAN
37 31-45 KURIPAN
39 31-45 KURIPAN
18 18-30 KURIPAN
39 31-45 KURIPAN
53 46-59 KURIPAN
15 0 KURIPAN
27 18-30 KURIPAN
29 18-30 KURIPAN
42 31-45 KURIPAN
38 31-45 KURIPAN
34 31-45 KURIPAN
46 46-59 KURIPAN
35 31-45 KURIPAN
36 31-45 KURIPAN
31 31-45 KURIPAN
54 46-59 KURIPAN
55 46-59 KURIPAN
Pekerjaan
54 A
33 B
25 C
112 D
E
Total
16
0
16
No. Hp
083802923287 YA
089636306409 YA
0895640073141 YA
0895600782277 YA
082278744911 YA
08978550201 YA
0895344182591 YA
0895320450734 YA
0895343218531 YA
089654392515 YA
088286523083 YA
089521334879 YA
083169662871 YA
083177893505 YA
089539250002 YA
089506210797 YA
089505126081 YA
081369562979
085841812675 YA
08994286502 YA
082371832341
0895621439691 YA
085788338992 YA
0895621439691
085357820944 YA
085357820944 YA
083164493207 YA
085788196034 YA
082182594179 YA
081266063031 YA
08195366294527 YA
08973601561 YA
0895359633452 YA
089630061458 YA
083197491057 YA
081272343749 YA
0895601600805 YA
089632141658 YA
089637568314 YA
0895705006322 YA
081275678177 YA
089512944796 YA
089505125363 YA
089669355444 YA
083163451125 YA
0895411804440 YA
0895343772650 YA
085809536749 YA
0895359633452
089502145911 YA
089603229303 YA
085865641967 YA
085833239468
089530325289 YA
088286749897 YA
082380940399 YA
0895610480110 YA
08994382113
085658977701 YA
089713144610
08972027601 YA
089634166689
083872505374
YA
089615425946 YA
089631246953 YA
YA
082372597793
082183905917 YA
082278163963 YA
085841910926
08984277224 YA
089517071890 YA
081369556521 YA
081278454985
082385747929
081280172415
083872505298 YA
085268249361 YA
082375377751 YA
085266667071 YA
0895320270008
083170101646 YA
0895351121122 YA
085273397609 YA
081369556521 YA
081369556521
085384908117
085788331008 YA
081274264366 YA
088274161483 YA
08975765338
082298508811
081369556521 YA
088286885064 YA
081368374624 YA
089517071890 YA
089529958457
085788114773 YA
089529968457 YA
082178905161
082183813446
085383841236
089631955815 YA
0895330514983 YA
0895330514983 YA
'0895330514983 YA
0895330514983
081379172699 YA
0895346128570 YA
081539306975 YA
0895606026603 YA
089627105197 YA
0895620416379 YA
085769721453 YA
085769721453 YA
089580836770 YA
089523120246 YA
081539306975 YA
0895620416431
0895620416431 YA
081388931115 YA
085841810921
084827423236 YA
0887437117667 YA
08589668068 YA
088278744119 YA
0895336450503 YA
083802787481 YA
085839937923 YA
081532796989
082184042404 YA
0895604384977 YA
088274784119
087789622475 YA
089573085525 YA
08984261281 YA
083803732073 YA
083193238362 YA
0812723443909
089628844924
082175214473
085007850007 YA
085766138997 YA
085832648702
085758373527 YA
08137839231
085768191230 YA
082373758573 YA
082184042404
08993030330 YA
087789622475 YA
085839251229
089647079878
089646362944 YA
089696263111 YA
0895666026603 YA
085758373527 YA
0895328913133
083827422236 YA
088747648095 YA
085838085191 YA
085804979706 YA
085832706775 YA
085839864294 YA
089636879264 YA
085896969894
0896332741144
082375963232
089508621240 YA
YA
082373758573
0895609912046 YA
08994909158
08877270995 YA
085267258388 YA
082374863074
088210821720 YA
082184042404 YA
085768708474
083135937470
085379545302 YA
088286934081 YA
089647079878 YA
082184042404 YA
085768708474
083135937470 YA
095606139166 YA
089630662245 YA
088274784119 YA
085768708474
088272689919
08984261883 YA
085893204235 YA
085269597172 YA
085841248106 YA
081271843245
085213235752
085841869651
085767150430 YA
081271893295 YA
085783376603 YA
082178744911 YA
081271893295
082176658030 YA
085775383997 YA
085709118716
083827518941 YA
085890032688 YA
085707150430 YA
085838409800
085664213242
85840508611
085840508611 YA
085788802960 YA
085709146484 YA
085740267991 YA
082179583185
081366509088 YA
085766813197 YA
082170058030 YA
085896223056 YA
085840635212
085840635212
081541256282 YA
085669530912 YA
085783379839 YA
089664931624
085769969074
085758372895 YA
085787757069 YA
089632312966 YA
081271972060 YA
089632312966
085798895800 YA
082171893295 YA
082278744911
081272454523 YA
081271972060 YA
085809232477 YA
085669531047
081240442690
085809758514
085384641664 YA
085709413197 YA
085669676488 YA
082278744911 YA
082375888492
085809758514 YA
081240442690 YA
08994100608
085609950715 YA
085781757069 YA
085609205076 YA
081271893295
085832413720
085764271252
085788147349 YA
085788581223 YA
085839854612 YA
085709446811 YA
082183785745
085267911409 YA
082186064451 YA
085709134126
085709698098 YA
085767150430 YA
085783362939 YA
081271893295
085809202197 YA
082278744911 YA
082176998954 YA
085709508406 YA
085709294725 YA
085809745705 YA
081330336436 YA
085709508406 YA
089632741818 YA
082176658030 YA
08994104060 YA
085764088147 YA
081211678778 YA
082278744911 YA
081211678778 YA
082278744911 YA
083809773103
081385051835
0816709662
081927265139
083191562389 YA
081272802960
081379312200 YA
08237761698
088775555558 YA
082324710820
082372830020 YA
081378802027 YA
081254999906 YA
0852797110460
088291102367 YA
089630061663 YA
089630061663 YA
082118285460
0895239355294
089631343220 YA
089669295522 YA
085783040350 YA
083168155758
088777157444
085896883180 YA
085383885995 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota



10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
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10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
10/15/2021 BIOFARMA
Err:522 CORONAVAC BIOFARMA

YA Err:522 CORONAVAC BIOFARMA



YA Err:522 CORONAVAC BIOFARMA

10/16/2021 BIOFARMA
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10/16/2021 BIOFARMA
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10/16/2021 BIOFARMA
10/16/2021 BIOFARMA
10/16/2021 BIOFARMA
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10/16/2021 BIOFARMA
10/16/2021 BIOFARMA
10/16/2021 BIOFARMA
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10/16/2021 BIOFARMA
10/16/2021 BIOFARMA
10/16/2021 BIOFARMA
10/16/2021 BIOFARMA
10/16/2021 BIOFARMA
10/16/2021 BIOFARMA
10/16/2021 BIOFARMA
10/16/2021 BIOFARMA
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10/16/2021 BIOFARMA
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10/16/2021 BIOFARMA
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10/16/2021 BIOFARMA
10/16/2021 BIOFARMA
10/16/2021 BIOFARMA

10/16/2021 SINOVAC

Dosis I
Tanggal Pemberian
Vaksinasi
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
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10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
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10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177F
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
10/16/2021 202108177I
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-2K4ISLG2
2 P-0PF5JQP9
3 P-1PERE00V
4 P-1DWDZ4L
5 P-2GBGY8XD
6 P-31AGTEHU
7 P-05YK7SZ

9 P-41ITZSKJ
10 P-4FI7CZXV
11 NIK TIDAK LENGKAP
12 Y-013O25JW
13 P-10KVVVKB
14 P-79YU0GBA
15 P-7QNF1IAB
16 P-84ZC5YCM
1 17 P-8LII50E2N
1 18 S-ABD87A8
1 19 S-F3D330FF
1 20
P-9VBPSZ1G
1 21
P-AGTNJMDA
1 22
P-ABJ4S1BN
1 23
P-AH020VVX
1 24
P-AKXVYWLR
1 25
P-ART6CJWF
1 26
P-AZ64CG5V
1 27
P-0Y0XYJLP
1 28
P-B5YBI124
1 29
P-TVTVOO5R
1 30
P-7BLOD3OT
1 31
P-A3DNMZSA
1 32
S-LRCC3916
33 P-9WRCE5LO
34 P-05IRGZ94
35 P-B8N8XUZT
36 P-4FECNVMQ
37 P-82OG1W0K
38 DATA YG DISUNTIK TDK JELAS
39 P-AQHVVUMQ
40 P-BOSEPIGU
41 P-BSP5YXZO
42 P-BWKGM0NZ
43 P-CFF4SCNC
44 P-CJU2NNLV47
45 P-CNBHD96B
46 P-CVE8FABT
47 P-D1AK5RDN
48 P-CYENC8UJ
49 P-DJP7DCLR
50 P-E66FFQ7U
51 P-EFZSV2WI
52 P-ESVPHR5J
53
P-F2TET5S3
54
P-FCLMFC3O
55
P-2NK0XS50
56 P-02IMXQYJ
57 P-0J4KWLI1
58 S-7FFII263
59 S-2EDIED28
60 P-0GDCTPML
61 P-6TMRIAY
62 P-9F7D9BH7
63 P-4F3PIEN3
64 P-9538FS1J
65 P-BFFVD58G
66 P-BFFVVD58G
67 S-OFD98B2
68 P-AUAUJ548
69 P-BCU7UVM
70 P-BONKTFKR
71 P-DM45MWJB
72 P-E961RU6K
73 P-DCBJU6ZQ
74 P-JEBKP6EK
75 P-ETLMHWST
76 P-CBU808EF
77 P-A1XCP4QH
78 P-FESAL450
79 P-AN20VL6W
80 P-FH7N02DY
81 P-FJCFFUFP
82 P-FKSQFJJ
83 P-FF5175SX
84 P-EBWMYAXN
85 P-E00WBHIB
86 P-D780H5KZ
87 P-6HTOQ7X6
88 P-ELFT8IIH
89 P-EVSAHMQ8
90 P-CF8WX3IE
91 P-2MK4FD5Y
92 P-F7KOE590
93 P-02IMXQYJ
94 P-1YWM3EUW
95 P-0MI6P2M
96 P-IXJARDOS
97 S-4A5ECD52
98 P-3LNK2316
99 P-8L1150E2N
100 P-PTUWCMJR
2 101 Q-0010KBX8
2 102 Q-000Z749H
2 103 Q-000UH87D
2 104 Q-000UP9VK
2 105 Q-0010LPN7
2 106 Q-000CTWZ6
2 107 Q-0010KWV2
2 108 Z-000B3DJ3
2 109 Q-0010JD21
2 110 Q-0010M9MY
2 111 Q-0010IQVQ
2 112 Q-000C12T1
2 113 Q-0010I9Q1
2 114 Q-0010LST3
2 115 Q-0010I8VH
2 116 Q-0010LN17
2 117 Q-0010LL6N
2 118 Q-0010JN9N
2 119 Q-0010JCJY
2 120 Q-0010IWK5
2 121 Z-000B3FJD
2 122 Q-0010IV5R
2 123 Q-0010JL48
2 124 Q-0010LASX
2 125 Q-0010KBL9
2 126 Q-0010JN72
2 127 Q-0010KBBE
2 128 Z-000AY4FM
2 129 Z-000B49Q6
2 130 Q-000IPUGG
2 131 Q-0010KYP8
2 132 Q-0010M8FY
2 133 Q-0010JMWV
2 134 Z-0009153L
2 135 Q-0010KRB1
2 136 Q-0010LUS3
2 137 Q-0010JDGM
2 138 W-0000E3V2
2 139 Q-0010ME9Q
2 140 Q-000Y48WB
2 141 Q-000Y41XN
2 142 Q-0010JN14
2 143 Q-0010LQRN
2 144 Q-0010KUMR
2 145 Q-0010LXYD
2 146 Q-0010LRA0
2 147 Q-0010MERB
2 148 Q-0010LQSH
2 149 Q-0010KG1S
2 150 Q-0010M8V9
2 151 Q-0010LG7M
2 152 Q-0010IVOQ
2 153 Q-000YJHN8
2 154 Q-0010L8DA
2 155 Q-0010KAV4
2 156 Q-0010KYGG
2 157 Q-0010KTYK
2 158 Q-0010HSLS
2 159 Q-0010MEBF
2 160 Q-0010IVGO
2 161 Q-0010KG8U
2 162 Q-0010IBJC
2 163 Z-000B3JZN
2 164 Z-000B3IX1
2 165 Z-000B3JZS
2 166 Z-000B45V6
2 167 Q-000W2LB4
2 168 Z-000B3DLB
2 169 Q-0010ICJJ
2 170 Q-0010LRL4
2 171 Q-0010KXRK
2 172 Q-0010LV3F
2 173 Q-0010LKKA
2 174 Q-000SVUF7
2 175 Q-0010JQRQ
2 176 Q-0010LT23
2 177 Q-0010JD2U
2 178 Q-000Z8NGU
2 179 Q-0010LIJM
2 180 Q-0010LL65
2 181 Q-0010IW8S
2 182 Q-0010J2N2
2 183 Q-0010IAAB
2 184 Q-0010LCXP
2 185 Q-000ZVFP9
2 186 Q-0010LLK2
2 187 Q-0010J6U2
2 188 Q-000V5MXV
2 189 Q-000ZDQSG
2 190 Q-000ZDQMI
2 191 Z-000B496M
2 192 Q-000YLQDA
2 193 Q-0010J4NX
2 194 Q-0010LIYF
2 195 K-0001BZ73
2 196 Q-0010JMLW
2 197 Q-0010K620
2 198 Q-0010IW36
2 199 Q-000YJ2UC
2 200 K-0001FS8G
2 201 Q-000YKYQY
2 202 Q-0010KGE7
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
18710916038100006
1871080706750004
1871085608720004
1871080201940007
18710856117400001
1871081508860001
1871081011070003
1871087005920001
1871051007830012
1871080907690002
187108100920003
3201222002880006
1871081603980005
1806192012960002
1871085610820005
1871082307810001
1871082405650001
187108681812580001
1871084604600002
1871091212940010
1871074507970001
1871094809950006
1871090304700007
1871086805760001
1871080608620005
1871084706730006
1871094411980004
1871084706680005
1871081010870013
1871082206860003
1871080307900006
1871081508600008
1871086509820001
1871086207750003
1871084807890003
1871085208750003
1871082009720004
1871080912110001
1871084404610003
1871084910930006
1871086912770002
1871081912040002
1871084607720001
1871081908630009
1871081405650001
1871081105740004
1871080506690006
1810015006740006
1871086505870005
1871086506680001
1871084504860005
1871092511690002
1871091407760003
1871081708630011
1871082008950002
1871080610840008
1871095005780006
1871086910590002
1871082302600001
1871081901750001
1871076711790010
1871087011880001
1871081707950007
1871081405820002
1871081005730008
1871084808740001
1871080105600004
1806010211870002
1871089802520005
1871086111890007
1871085610000007
1871084905850002
1871085006980009
1871056905750001
1871082912750001
1871191607000001
1871084602650001
1871092607810008
1871085107910011
187109060871002
1871080103020002
1871096808820006
1871080505770014
1871082202900002
1805285209700001
1871081209730005
1805282304720002
1871080209820004
1871101211850001
1871092910000002
1871084608730002
1871086511890005
18080610840008
1871084501870003
1871086880303001
1871080304720006
1871061202720004
1871084607080002
1871082405650001
1871084609830002
1871081212770003
1871090804660002
1871094608810005
1871091805760005
1871084206720003
1871081602000008
1871085502930001
1871086401660001
1871081010680006
1871085207670003
1601135702960001
1871081603910004
1871084412870005
1871085804880003
1871085305840002
1871081708980013
1871085203640004
1871106806910002
1871085305850004
1871086812620001
1871083112500002
3510132409940001
1871085611960002
1871085402810002
1871080301830008
1871083107720001
1871084506870005
1871082106590004
1871084806600001
1871084509970006
1871085006770007
1871084502840001
1871084510700007
1871080908540001
1871084808870014
1871067105880008
1871086604780005
1871085311960003
1871084907610001
1871080607910003
1871084208890001
1871071402960005
1871084907710004
1871080102740007
1871084109880003
1871085203680010
1871084201730005
1871082106020006
1871084605850010
1406032301040001
1871080101690011
1871127110770002
1871083004610003
1871084502700007
1871091407700006
1871086805740004
1871085508670003
1871084306670001
1871081504920002
1871083001970009
1871086103700001
1871084505730014
1608131006030003
3173024108760006
1608134507750002
1871080704650008
1871080204010005
1871082808980005
1871082011690001
1871080302940001
1871085008850005
1871085111780007
1871080802610001
1871082606040002
1871085903780004
1871086408790002
1871081704790002
1871090709030001
1871085802930004
1871084809610001
1871087003710003
1871084501910002
1871084101800012
1871085211920006
1871086405000001
1871086808000001
1871085104020003
1871086205710001
1871073007070001
1871072006060001
1871072806830006
1871071403690006
1871080708050001
1871081911010002
1871086605030001
1871085201760003
1871084709060001
1871086003790006
1871071607620002
1801184703030004
1871085503880003
1871194507000002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SENIN / 18 OKT 2021
Jenis
Kelamin
SAPRUDIN L D 3/16/1981
TRIONO L D 07/06/1975
NENY P D 16/08/1972
SUHAYAT ILHAM L D 02/01/1994
SAMTOMI P D 8/15/1986
AHMAD PRASETIYO P D 5/8/1988
EKA MAISARI P D 5/30/1992

TOMI JULIADI L D 10/07/1983
THAMRIN L D 7/9/1969
SARMAN L D 30/03/1982
AYUB L D 20/02/1988
TRIONO L D 16/03/1998
DESTA SOPRIADI L D 12/20/1996
AMINATUN P D 10/16/1982
BUDI YANTO L D 23/07/1981
SUBANDI L D 24/05/1965
SURTIAH P D 28/12/1958
WIDYA SARI P D 22/11/1996
SARNAH P D 06/09/1995
abdullah L D 4/3/1970
SARJONO L D 06/08/1962
YATI OKTAPIA P D 04/11/1998
YULINA P D 07/06/1968
M. ZANI L D 10/10/1987
RUSTAM L D 22/06/1986
SUJARMAN L D 8/15/1960
MASTINI P D 25/09/1982
RATNA P D 22/07/1975
HORIYAH P D 08/07/1989
PAIKEM P D 12/08/1975
SUNTORO L D 20/09/1972
GILANG ANDRI L D 02/09/2003
SARKILAH P D 4/4/1961
IMA LESTARI P D 10/9/1993
ASMUNAH P D 12/29/1977
IMAM FAUZI L D 19/12/2004

MUDRIAH P D 06/07/1972
HASAN L D 19/08/1963
RASIDI L D 5/11/1974
ROSIDAH P D 10/06/1974
IMAWATI P D 25/05/1987
NURYANTI P D 4/5/1986
SUKANTA L D 25/11/1969
USMAN DANI L D 14/07/1976
JASMAN L D 17/08/1963
L D 20/08/1995
SUWANDI
ASMAN L D 06/10/1984
MINAH P D 10/05/1978
HALIANA P D 29/10/1959
SARWANI P D 23/02/1960
RIDUAN RIZAL L D 1/19/1975
BAMBANG SULISTIO L D 17/07/1995
JULI L D 14/05/1982
IWAN L D 10/05/1973
EVINDA ROSA P D 08/08/1974
A SYAIFUDIN L D 01/05/1960
JAINURI L D 11/2/1987
LIAS P D 2/8/1962
SAMSIAR P D 21/11/1989
RIYADI NINGTIAS L D 16/10/2000
ASMALANI L D 09/05/1988
NURMALA YUNITA P D 22/11/1998
TANTI MELLIANA P D 29/05/1975
MILDONI H L D 29/12/1975
M GENTA ARMANDO L D 16/07/2000

SUNIATI P D 06/02/1965
MISJA L D 26/07/1981
SANTIAH P D 7/11/1991
SATRA L D 8/6/1971
ALDI SAPUTRA L D 3/1/2002
SITI NUR HASANAH P D 8/28/1982
AL- KONI L D 5/5/1977
AHMAD FATONI L D 2/22/1990
JUSILAWATI P D 9/12/1970
MASTURI L D 12/05/1973
RUSMAN L D 4/23/1972
YOGA DUWI L D 11/12/1985
JAKA WARDANA L D 10/29/2000
TINA WATI P D 08/08/1973
DERI ARYANTI P D 25/11/1989
USMAN L D 10/6/1984
ANI RAHAYU P D 05/01/1990

SAMIDIN L D 03/04/1972
SUWANTO L D 12/02/1972
MUNAWAROH P D 06/07/1968
SUGANDI L D 5/24/1965
ELAWATI P D 06/09/1983
SUSENO L D 12/12/1977
MADSURI L D 4/8/1966
NURHEMAH P D 8/6/1981
HAIRUDIN L D 18/05/1976
WARTINAH P D 6/2/1972
FEBRINO ALFARISKI L D 2/16/2000
ROSNAINI P D 2/15/1993
ANNA SAFITRI P D 1/24/1966
SYAMSUL BAHRI L D 10/10/1968
HARTI P D 12/07/1967
ALIZA MUTIAH P D 17/02/1996

RUDI L D 16/03/1991
DESIYANA P D 04/12/1987
APRINE SANDI L D 18/04/1988
RINI P D 13/05/1984
SAPUTRA L D 17/08/1998
HATIYAH P D 12/03/1964
RIA ZUNAINI P D 28/06/1991
DAMA YANTI P D 5/13/1985
NILA P D 28/12/1962
MARWAN L D 12/31/1950
ACHMAD YUSUF L D 9/24/1994
RYAN BAYJURI L D 1/3/1983
SETIADI BAGUS L D 7/31/1972
INTAN P D 6/5/1987
SAAL LASTARI L D 21/06/1959

ASMAINI P D 6/8/1960
INDRI ANGGRAINI P D 04/09/1993
YUNITA P D 10/06/1977
SUHENI P D 05/02/1984
ASIH KURNIASIH P D 10/5/1970
MASTUNAH P D 08/08/1987
WENI HINDRAYANI P D 31/05/1988
FATMAWATI P D 26/04/1978
SELLY LESTARI P D 13/11/1996
HAYANUN P D 09/07/1961
SAIFULLOH L D 09/07/1991
LISA SAFITRI P D 02/08/1989
MAULANA HAIDIR L D 2/14/1996
SRI JUHAIFI P D 7/9/1971
SELVI ARYANI P D 01/09/1988

ETI MARLINA P D 02/01/1973
RIZKI SAPUTRA L D 21/06/2002
SITI HALIMAH P D 5/6/1986
RIZKI SYAHIDIL P L D 23/01/2004
UMAR L D 01/01/1968
RIA FALENTINA P D 31/10/1977
BUDIMAN L D 4/30/1961
SITI KHOERON P D 2/5/1970
RISMAYANTI P D 28/05/1974
FAJARINI MEGAWATI P D 6/3/1967
RIZKI L D 4/15/1992
AWALUDDIN NUR L D 1/30/1997
FITRIANI P D 3/21/1990
TATU SAMAWAR P D 5/5/1973
JUNIARDHO PRADANA L D 6/10/2003

ANIETA TAN P D 8/1/1976
ARIEL ZAKI P L D 02/04/2001
ANANG AGUS S L D 8/28/1998
SUTRISNA WIJAYA L D 03/02/1994
DAHLIA P D 11/11/1978
MARSIN JULIANTO L D 08/02/1961
MUHAMMAD RIDHO AL-FARIZI L D 6/26/2004
NURWATI P D 19/03/1978
GUS FITRIANY P D 8/24/1979
EKO TRIADI L D 4/17/1979
RAHMAT FIKRI L D 9/7/2003
LENI PEROSA P D 2/18/1993
ICUT SUTRIAH P D 8/8/1961
JUWITA P D 1/5/1991
SUNENAH P D 1/1/1980
NOVI YANA P D 11/12/1992
NUR AINUN P D 5/24/2000
INNA FIRLIANA P D 8/28/2000
SAFRIANA P D 4/11/2002
MELIANA P D 5/22/1971
JOVI WIELANDU L D 7/30/2007
JUAN WIELANSA L D 6/20/2006
M NAZALI ROMADHON L D 28/06/1983
SOFYAN L D 14/03/1969
RACHMADITYA ANGGAARA L D 07/08/2005
FAJAR AHMAD W L D 19/11/2001
NADILA NUR ZAHRA P D 5/26/2003
KURSIAH P D 12/06/1976
ALEXIA SEPTINA P D 07/09/2006
SANTI PUSPITA P D 3/20/1979
NGADIONO L D 7/16/1962
MIRNA P D 15/03/1988
***Merek Vaksin
A = Sinovac

45 BPJS PBI
68 BPJS Non PBI
66 Non Anggota
19
198 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
202 Total
0
202
Umur
(18 sd ≥ 60 tahun)
42 31-45 BATU PUTUK
47 46-59 BAKUNG
50 46-59 BAKUNG
29 18-30 BAKUNG
48 46-59 BAKUNG
36 31-45 BAKUNG
35 31-45 SUKARAME 2
31 31-45 SUKARAME 2
39 31-45 BAKUNG
53 46-59 BAKUNG
41 31-45 BAKUNG
35 31-45 BATU PUTUK
25 18-30 SUKARAME 2
26 18-30 BAKUNG
40 31-45 SUKARAME 2
41 31-45 BAKUNG
58 46-59 BAKUNG
64 ≥60 SUKARAME 2
63 ≥60 SUKARAME 2
28 18-30 BATU PUTUK
26 18-30 BUMI WARAS
27 18-30 BATU PUTUK
53 46-59 BATU PUTUK
47 46-59 SUKARAME 2
60 ≥60 SUKARAME 2
49 46-59 SUKARAME 2
24 18-30 SUKARAME 2
54 46-59 SUKARAME 2
35 31-45 SUKARAME 2
36 31-45 SUKARAME 2
32 31-45 SUKARAME 2
62 ≥60 SUKARAME 2
40 31-45 SUKARAME 2
47 46-59 NOG
33 31-45 SUKARAME 2
47 46-59 SUKARAME 2
50 46-59 SUKARAME 2
19 18-30 SUKARAME 2
62 ≥60 SUKARAME 2
29 18-30 SUKARAME 2
45 31-45 SUKARAME 2
18 18-30 PENINJAUAN
50 46-59 SUKARAME 2
59 46-59 SUKARAME 2
58 46-59 SUKARAME 2
49 46-59 SUKARAME 2
53 46-59 BAKUNG
48 46-59 BATU PUTUK
36 31-45 SUKARAME 2
54 46-59 BAKUNG
37 31-45 SUKARAME 2
53 46-59 BATU PUTUK
46 46-59 BATU PUTUK
59 46-59 SUKARAME 2
27 18-30 SUKARAME 2
38 31-45 NOG
45 31-45 BATU PUTUK
63 ≥60 NOG
63 ≥60 NOG
48 46-59 KURIPAN
43 31-45 NOG
35 31-45 BAKUNG
27 18-30 SUKARAME 2
41 31-45 BAKUNG
50 46-59 NOG
48 46-59 NOG
63 ≥60 NOG
35 31-45 BAKUNG
61 ≥60 KOTA KARANG
33 31-45 NOG
22 18-30 SUKARAME 2
35 31-45 NOG
24 18-30 NOG
48 46-59 TANJUNG RAYA
47 46-59 SUKARAME 2

58 46-59 NOG
41 31-45 BATU PUTUK
31 31-45 NOG
51 46-59 BATU PUTUK
21 18-30 BAKUNG
40 31-45 BATU PUTUK
46 46-59 SUKARAME 2
33 31-45 NOG
52 46-59 BATU PUTUK
50 46-59 BAKUNG
51 46-59 BATU PUTUK
40 31-45 SUKARAME 2
37 31-45 SUKARAME 2
22 18-30 BATU PUTUK
49 46-59 SUKARAME 2
33 31-45 NOG
38 31-45 NOG
33 31-45 NOG
51 46-59 TKP
54 46-59 NOG
58 46-59 BAKUNG
45 31-45 KURIPAN
57 46-59 BATU PUTUK
41 31-45 BATUPUTUK
47 46-59 BATUPUTUK
50 46-59 KURIPAN
23 18-30 JL PRAMUKA
30 18-30 KURIPAN
57 46-59 KURIPAN
54 46-59 KURIPAN
55 46-59 KURIPAN
27 18-30 KURIPAN
32 31-45 JL PRAMUKA
35 31-45 KURIPAN
35 31-45 KURIPAN
39 31-45 KURIPAN
24 18-30 KURIPAN
59 46-59 KURIPAN
31 31-45 KURIPAN
38 31-45 KURIPAN
60 ≥60 KURIPAN
72 ≥60 KURIPAN
28 18-30 KURIPAN
26 18-30 KURIPAN
42 31-45 KURIPAN
40 31-45 KURIPAN
50 46-59 KURIPAN
35 31-45 KURIPAN
63 ≥60 BAKUNG
62 ≥60 KURIPAN
29 18-30 NOG
45 31-45 KURIPAN
39 31-45 KURIPAN
52 46-59 KURIPAN
68 ≥60 KURIPAN
35 31-45 KURIPAN
34 31-45 KURIPAN
45 31-45 KURIPAN
26 18-30 KURIPAN
61 ≥60 KURIPAN
31 31-45 KURIPAN
33 31-45 NOG
27 18-30 KURIPAN
51 46-59 KURIPAN
49 46-59 KURIPAN
34 31-45 KURIPAN
55 46-59 KURIPAN
50 46-59 KURIPAN
20 18-30 KURIPAN
37 31-45 KURIPAN
19 18-30 KURIPAN
55 46-59 KURIPAN
45 31-45 KURIPAN
62 ≥60 BAKUNG
53 46-59 KURIPAN
52 46-59 KURIPAN
49 46-59 KURIPAN
55 46-59 KURIPAN
55 46-59 KURIPAN
31 31-45 KURIPAN
26 18-30 KURIPAN
33 31-45 BAKUNG
50 46-59 KURIPAN
19 18-30 KURIPAN
46 46-59 GROGOL
47 46-59 KURIPAN
58 46-59 KURIPAN
22 18-30 NOG
24 18-30 KURIPAN
53 46-59 KURIPAN
29 18-30 KURIPAN
37 31-45 KURIPAN
44 31-45 KURIPAN
62 ≥60 KURIPAN
18 18-30 SUKARAME 2
45 31-45 JL KONCI
43 31-45 KURIPAN
44 31-45 KURIPAN
19 18-30 BATU PUTUK
30 18-30 KURIPAN
61 ≥60 KURIPAN
52 46-59 KURIPAN
32 31-45 KURIPAN
43 31-45 KURIPAN
30 18-30 BAKUNG
23 18-30 NOG
22 18-30 SUKARAME 2
21 18-30 JL CIREBON
52 46-59 KURIPAN
15 0 JL MALAHAYATI
16 0 JL MALAHAYATI
39 31-45 JL IKAN MUJAIR
54 46-59 BAKUNG
17 0 KURIPAN
21 18-30 KURIPAN
20 18-30 KURIPAN
46 46-59 BAKUNG
16 0 BAKUNG
44 31-45 KURIPAN
60 ≥60 BAKUNG
20 18-30 LAMSEL
35 31-45 BAKUNG
22 18-30 JL BANTEN
Pekerjaan
59 A
78 B
65 C
202 D
E
100 Total
102
0
202
No. Hp
085368883304
085279219320 YA
083180279417 YA
089501712050 YA
085709203886 YA
085709203886 YA
YA
0895384685489
082269319199 YA
089669287373 YA
085841931147
081905081748 YA
081278417108
085314930007 YA
0895340080860
089621956573
089501712050
085838744799
089690568728
082387184274 YA
085758661801
085789969600
085783663308
YA
089697010555
0895606006603
089517071847 YA
081283274253
YA
089514101386 YA
089517071847 YA
082179850864
YA
YA
089508634392 YA
0895600622202 YA
085657282920 YA
085368274552
089816220990 YA
081272440232 YA
089630600043 YA
085273069218 YA
081283274253 YA
089273069218 YA
08975007600 YA
082269584930 YA
085809594537 YA
083160991583 YA
085382963552 YA
08988079671 YA
085384180480 YA
085609205076
085210104718 YA
089667573396
083176808732 YA
YA
082177152598 YA
081369451254 YA
0821852173332 YA
081271780530
0895610071648
085210104717
08975732197
083168571756 YA
082282938991
081279147803
082186946188
083197499322 YA
089530324946
083142578278
085831819381 YA
089626047344 YA
081379741818 YA
089629027640 YA
0895412108860 YA
081279147803
085379999810 YA
08983100200 YA
0823777346605
089632380048 YA
089690565993
082180484073 YA
08996454264 YA
085273156539 YA
089628728782 YA
085273156535 YA
081276278803 YA
08988079671 YA
081368437729 YA
YA
089507979395 YA
083176808732 YA
083176808732 YA
083153917627 YA
0895371712987 YA
083100432040 YA
082123860631
082123860631 YA
089666594409 YA
0895610071686 YA
081222234236
082278260608 YA
082175118460
081271114287 YA
089699637705 YA
083171883584
089630600125 YA
089630600125 YA
085893216187 YA
085377066360 YA
082177648989 YA
089523117534 YA
087789009400 YA
088268139011 YA
0895611114374 YA
085377066360 YA
08972576919 YA
081339023465 YA
088276628401
081339023465 YA
0895422412605
088276628401
089510161196 YA
082177644924
0895422412605 YA
083160464688 YA
083100432040 YA
085279248760
0895342046326 YA
085380804949 YA
081278101763 YA
0895609926861 YA
085279248760 YA
082175406527 YA
082182594136
088274331951 YA
088274331951
08127111408 YA
085658325452
081249610351 YA
0895605995892 YA
0895329008300 YA
085269998501 YA
089669533003 YA
089630066377 YA
083177143979 YA
083177143979 YA
085788092023
085219107288 YA
082178290318 YA
083157246182 YA
085379945503
085367100314 YA
089604092071 YA
08176466029 YA
083818778113 YA
0895324223227 YA
085831646857 YA
085366098006
08972576910
082176604384
081368330611 YA
081274808251 YA
081368330611 YA
081368330611
085377333534 YA
089692556804
081379797575
08176466029 YA
089634100224
08995830060 YA
0838188778113 YA
08 YA
082289002388
085267334333 YA
085358769567 YA
089633189385 YA
082186839609
082186839609
089508631383
0895421158877 YA
0895421158877 YA
08 YA
08978979233 YA
0895389654632 YA
083177898753 YA
082176515521 YA
081294486202 YA
081294486202 YA
083140359766
085279734885 YA
083169051580
08975030807
089609984107 YA
081285583812
083135229532
082175259170 YA
081352002203
089652820481 YA
082289056687
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota






7/9/2021 CORONAVAC

7/7/2021 CORONAVAC
9/20/2021 CORONAVAC

7/21/2017 SINOVAC


9/30/2021 CORONAVAC

9/17/2021 CORONAVAC
9/17/2021 CORONAVAC

Dosis I
Tanggal Pemberian
Vaksinasi
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F 16255398697376
10/18/2021 202108177F 16255398697376
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
9/20/2021 202108154G
9/17/2021 202108156I
9/7/2021 24202321 16264920145172
9/7/2021 24202321 16264891730692
9/20/2021 202108154G
7/9/2021 24201321
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
7/7/2021 24200721
9/20/2021 202108154G
9/20/2021 202108137H
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/17/2021 202108156I
9/20/2021 202108154G
7/21/2017 24201321 16232979914132
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/15/2021 202108156I
9/15/2021 202108156I
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/16/2021 202108156I
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108137H
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/10/2021 202108156I
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/30/2021
9/20/2021 202108137I
9/20/2021 202108154G
9/20/2021 202108154G
9/17/2021 202108156I
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/20/2021 202108154G
9/18/2021 202108137H
9/20/2021 202108137H
9/20/2021 202108137H
9/8/2021 202108154I
9/17/2021 202108144G
9/17/2021 202108144G
9/20/2021 202108137H
9/16/2021 202108156I
9/20/2021 202108137I
9/20/2021 202108137I
9/15/2021 202108156I
9/20/2021 202108137H
9/20/2021 202108137H
9/20/2021 202108154G
9/16/2021 202108156I
9/18/2021 202108137H
9/16/2021 202108156I
9/20/2021 202108137H
Dosis 2
Tanggal Pemberian
Vaksinasi
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
10/18/2021 202108177F
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-AAFKUOZX
2 P-8FBQ7ZJI
3 P-FDJHRXD
4 P-FRKI02J2
5 P-G0SPV7L7
6 P-H4MCTF37
7 P-13JRAV1H
8 P-ID7JAQHW
9 P-1EQ7VY3P
10 P-3TV9DHQE
11 P-5SEV2LPR
12 P-A3NKZL54
13 P-BDQSUVCY
14 P-G2LUJA9E
15 P-EIEA8VY7
16 CAPIL
17 P-INJJQ5IE
18 P-IVC9W53L
19 P-JH05Q8VI
20 P-JTYGAJ3P
21 P-K1AD7PA
22 S-DD659638
23 P-0J1FT7D7
24 P-L112MGIZ
25 P-LBRNYDJ9
26 P-LPROYPVK
28 P-M567KO1Y
29 P-MZCR6131
30 S-B32C3AC2
31 P-NMB71JWN
32 P-OEGTXGWG
33 P-RSUFAUR8
34 P-SICCEMBV
35 P-TITQTYP9
36 P-TV1BN2DB
37 P-TZU1ZZGA
38 P-ODQMM3CC
39 P-VVCTJARE
40 P-W4AA080SB
41 P-WA1U51JS
42 P-X5UGCGVH
43 P-XDM5NE4F
44 P-XOQIT84V
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104 TIDAK ADA KK
105
106
107 P-YQJQB75W
108 P-Z5LPVRIF
109 S-OF291BE4
110 S-A451BI40
111 P-ZWUTJCK8
112 P-ZX5VQCD7
113 P-ZXU6R8B
114 P-GQNFZSMA
115 P-ZXHUUM0E
116 P-ZY1BMOQR
117 P-QQ71P197
118 P-ZEC1GJXO
119 P-ZYEFCNN8
120 P-ZHYQJVOK
121 P-ZYJ9D7WB
122 P-ZYN1LXPE
123 P-ZYPNH72Y
124 P-ZY58MAMS
125 P-ZYTVCDD7
126 P-ZYY8YCDT
127 P-ZYZQ7YEG
128 P-ZZ417H3L
129 P-ZZ8L006M
130 P-ZZCSWGCN
131 P-ZZKDDXYZ
132 P-ZZCXSSMV
133 P-ZZLOPB94
134 TIDAK TERDAFTAR
135 P-ZZN808DK
136 P-ZZRWYNQX
137 P-ZZTZXMI1
138 P-IR2H2RWY
139 P-ZZYFCEDJ
140 P-H7T2EI70
141
142
143
144
145
146
147
148
149
150
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871094702630001
1871074706020001
1871095207740007
1871094611700004
1871096911810004
1871096702750003
1871094303780009
1871095002890004
187108112740006
1871095502700004
1871090606880009
1871095111960006
1871091003750006
1809105507770001
1809072307750002
1871085504800004
1871094502730002
1871092003650002
1871094420280004
1871091008890004
1871094703880003
1871091303580004
1871094108880005
1871092610010001
1871095302810001
1871051605880010
1871082807860002
1871090801960005
1871094204900005
1871094211590001
1871092204960003
1871094906890002
1871095106730007
187105405890011
1871095009740005
1871090710960002
1871095111000002
1801184707020003
1871092506820009
1871091011080003
1871086803850006
1801054608000003
1871091310630001
1871096009680001
1801144809970005
1871091011860004
1871090307550011
1871094404580001
1871095005790005
1871031511030001
1871094901070004
1871091110040002
1871090305040000
1871094208080001
1871090707090002
1871891211000005
1871096803950007
1871090706750007
1871094505870007
1871092510020004
1871095210730004
187103060570001
180903411002003
1871095004020004
1871094688000004
187113040378003
18711094812740004
1871062104910004
1871094705800005
1871095206800012
1871090507970004
1871094808750005
1871091511730004
187109121280006
1871090407960006
187109040218006
187104503700002
18711094502820004
1871094109790004
1871090407040006
1871080101860012
1871095009060003
187109500892003
1871091806710002
1871090703920002
180506450020005
187109150900003
1871096107890004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA / 19 OKT 2021
Jenis
Kelamin
HINDUN P D 7/2/1963
RANI LESTARI P D 06/07/2002
SUMANAH P D 11/06/1970
SAINAH P D 11/29/1981
AMINAH P D 3/3/1978
NURIYA SARI P D 2/10/1989

BASRONI L D 01/12/1974
SAIYAH P D 2/15/1970
PULUNG L D 06/06/1988
BETI HARYATI P D 11/11/1997
BADRI L D 10/03/1975
SARWITI P D 7/15/1977
AZHAR L D 7/23/1975
SARI P D 15/04/1980
NENI P D 05/02/1973
UDIN L D 20/03/1965
ROHMIYATI P D 04/02/1982
UDIN L D 10/08/1989
SARMIIN L D 13/03/1958
MUJIAH P D 8/1/1988
MUHADI L D 10/26/2001
JUWARIAH P D 13/02/1981
GONO PRIYATIN L D 16/05/1988
SEMBODO YULIANTO L D 28/07/1986
M.SYAHID INDRAWAN L D 08/01/1996
SITI SALINAH P D 4/2/1990
ARNAWATI P D 02/11/1950
JUHIRA L D 22/04/1996
SAPINAH P D 6/9/1989
ROKAYAH P D 17/10/1968
SANAH P D 10/09/1974
AFANDI SAPUTRA L D 07/10/1996
MIRA AMELIA P D 11/11/2000
SITI RAHAYU P D 07/07/2001
SAHRUL SAPUTRA L D 11/10/2008
SRIYANI P D 3/28/1985
AGUSTINA SARI P D 06/08/2000

P D 27/05/1988
L D 6/6/1998
P D 05/06/1991
L D 25/08/2003
P D 29/09/1983
P D 5/16/1983
L D 3/26/1993
P D 05/05/1985
L D 14/10/1992
P D 12/03/1968
P D 05/07/1975
P D 20/10/2005
P D 27/10/1975
L D 17/08/1991
P D 03/05/2003
P D 7/1/2001
L D 03/06/1983
L D 4/17/2007
P D 24/04/1964
L D 16/05/2001
P D 11/10/1966
L D 12/08/1974
L D 15/08/1968
P D 2/25/1986
L D 1/1/1985
P D 02/08/1973
P D 03/03/1983
L D 09/09/1980
P D 2/28/2004
L D 08/06/1980
P D 17/08/1989
L D 11/12/1970
L D 03/09/2000
P D 18/09/1972
L D 5/4/1967
L D 5/30/1974
P D 5/14/1974
P D 7/1/1990
P D 5/5/1978
P D 3/15/1966
L D 4/12/1973
P D 02/03/2003
L D 4/5/1975
L D 10/19/1982
L D 6/3/1978
L D 4/3/1959
L D 13/04/1991
L D 15/06/1984
P D 12/1/2006
L D 07/01/1986
L D 10/10/1995
L D 03/04/1994
P D 08/09/1975
L D 25/10/1994
L D 9/25/1959
L D 15/03/1976
P D 09/12/1960
P D 4/10/1971
P D 4/16/1983
SULISTIAWATI P D 17/11/2009
L D 28/04/1996
P D 8/5/2000
SELA ANGGRAINI P D 9/8/1997
TAUFIK PAHLAWAN L D 4/17/1987
ARKAM P D 7/3/1955
MARDIYANA P D 04/04/1958
AGUS HATAMI L D 15/11/2003
SALSABILA P D 09/01/2007
FEBRI L D 11/10/2004
MASRUDIN P D 08/08/1989
SANTI P D 08/02/2008
GILANG PUTRA PRATAA L D 07/07/2009
ANDI SYAPUTRA L D 02/11/2000
MARIAH P D 3/28/1995
SUDIN L D 07/06/1975
LISNA DEWI P D 5/5/1987
M. SURURI L D 10/25/2002
SARAH P D 12/10/1973
SUDARMANTO L D 5/1/1970
LIA DESI P D 10/1/2002
SAWIAH L D 4/10/1999
LINDA PITRIYANI P D 2/7/2001
DAYAT L D 04/03/1978
RONI RUBIANTI P D 12/8/1974
ADITYA APRI MUNANDAR L D 21/04/1991
SITI P D 07/05/1980
SOFIATUN P D 12/06/1980
SYUHADA L D 7/5/1997
ASMINAH P D 8/8/1975
MARKASAN L D 15/11/1973
JUMRONI L D 12/12/2008
ROGIANSYAH L D 24/09/1996
ASMAN L D 04/05/1973
SARNI P D 05/03/1970
SAODAH P D 05/02/1982
MASNAH P D 01/09/1979
ARIS MUNANDAR P D 17/03/2006
OMAN L D 7/7/1986
SEPTIANI P D 9/10/2006
RODIAH P D 10/08/1992
EMAN L D 18/06/1971
SRI WULANDARI P D 05/01/2002
YULI S P D 7/21/1989
***Merek Vaksin
A = Sinovac

38 BPJS PBI
52 BPJS Non PBI
42 Non Anggota
7
139 Total
0 Dosis 1
1 Dosis 2
0 Dosis 3
150 Total
0
151
Umur
(18 sd ≥ 60 tahun)
59 46-59 BATUPUTU
20 18-30 BATUPUTU
48 46-59 BATUPUTU
52 46-59 BATUPUTU
41 31-45 BATUPUTU
48 46-59 BATUPUTU
45 31-45 BATUPUTU
34 31-45 BATUPUTU
48 46-59 BATUPUTU
53 46-59 BATUPUTU
34 31-45 BATUPUTU
25 18-30 BATUPUTU
48 46-59 BATUPUTU
45 31-45 BATUPUTU
47 46-59 BATUPUTU
43 31-45 BATUPUTU
50 46-59 BATUPUTU
58 46-59 BATUPUTU
41 31-45 BATUPUTU
33 31-45 BATUPUTU
38 31-45 BATUPUTU
65 ≥60 BATUPUTU
34 31-45 BATUPUTU
21 18-30 BATUPUTU
42 31-45 BATUPUTU
35 31-45 BATUPUTU
36 31-45 BATUPUTU
27 18-30 BATUPUTU
33 31-45 BATUPUTU
72 ≥60 BATUPUTU
27 18-30 BATUPUTU
33 31-45 BATUPUTU
54 46-59 BATUPUTU
34 31-45 BATUPUTU
48 46-59 BATUPUTU
26 18-30 BATUPUTU
22 18-30 BATUPUTU
21 18-30 BATUPUTU
40 31-45 BATUPUTU
14 0 BATUPUTU
38 31-45 BATUPUTU
22 18-30 BATUPUTU
59 46-59 BATUPUTU
54 46-59 BATUPUTU
35 31-45 BATUPUTU
24 18-30 BATUPUTU
31 31-45 BATUPUTU
19 18-30 BATUPUTU
39 31-45 BATUPUTU
40 31-45 BATUPUTU
30 18-30 BATUPUTU
38 31-45 BATUPUTU
30 18-30 BATUPUTU
55 46-59 BATUPUTU
47 46-59 BATUPUTU
17 0 BATUPUTU
47 46-59 BATUPUTU
31 31-45 BATUPUTU
20 18-30 BATUPUTU
21 18-30 BATUPUTU
39 31-45 BATUPUTU
16 0 BATUPUTU
59 46-59 BATUPUTU
22 18-30 BATUPUTU
56 46-59 BATUPUTU
48 46-59 BATUPUTU
54 46-59 BATUPUTU
37 31-45 BATUPUTU
38 31-45 BATUPUTU
49 46-59 BATUPUTU
40 31-45 BATUPUTU
42 31-45 BATUPUTU
19 18-30 BATUPUTU
42 31-45 BATUPUTU
33 31-45 BATUPUTU
52 46-59 BATUPUTU
22 18-30 BATUPUTU
50 46-59 BATUPUTU
56 46-59 BATUPUTU
49 46-59 BATUPUTU
49 46-59 BATUPUTU
32 31-45 BATUPUTU
45 31-45 BATUPUTU
57 46-59 BATUPUTU
50 46-59 BATUPUTU
20 18-30 BATUPUTU
48 46-59 BATUPUTU
40 31-45 BATUPUTU
44 31-45 BATUPUTU
64 ≥60 BATUPUTU
32 31-45 BATUPUTU
38 31-45 BATUPUTU
16 0 BATUPUTU
37 31-45 BATUPUTU
27 18-30 BATUPUTU
29 18-30 BATUPUTU
47 46-59 BATUPUTU
28 18-30 BATUPUTU
63 ≥60 BATUPUTU
47 46-59 BATUPUTU
62 ≥60 BATUPUTU
52 46-59 BATUPUTU
40 31-45 BATUPUTU
13 0 BATUPUTU
27 18-30 BATUPUTU
22 18-30 BATUPUTU
25 18-30 BATUPUTU
36 31-45 BATUPUTU
67 ≥60 BATUPUTU
65 ≥60 BATUPUTU
44 31-45 BATUPUTU
19 18-30 BATUPUTU
16 0 BATUPUTU
18 18-30 BATUPUTU
33 31-45 BATUPUTU
15 0 BATUPUTU
13 0 BATUPUTU
22 18-30 BATUPUTU
28 18-30 BATUPUTU
47 46-59 BATUPUTU
36 31-45 BATUPUTU
20 18-30 BATUPUTU
49 46-59 BATUPUTU
53 46-59 BATUPUTU
20 18-30 BATUPUTU
24 18-30 BATUPUTU
22 18-30 BATUPUTU
45 31-45 BATUPUTU
48 46-59 BATUPUTU
32 31-45 BATUPUTU
43 31-45 BATUPUTU
42 31-45 BATUPUTU
25 18-30 BATUPUTU
47 46-59 BATUPUTU
49 46-59 BATUPUTU
14 0 BATUPUTU
26 18-30 BATUPUTU
50 46-59 BATUPUTU
53 46-59 BATUPUTU
41 31-45 BATUPUTU
43 31-45 BATUPUTU
17 0 BATUPUTU
36 31-45 BATUPUTU
16 0 BATUPUTU
30 18-30 BATUPUTU
51 46-59 BATUPUTU
31 31-45 BATUPUTU
21 18-30 BATUPUTU
22 18-30 BATUPUTU
33 31-45 BATUPUTU
Pekerjaan
42 A
62 B
45 C
149 D
E
167 Total
23
0
190
No. Hp
082182103887
085384445029 YA
081379905707 YA
081222239236 YA
089692162674 YA
0895336805599 YA
089699482428 YA
089691531397
082278744911 YA
089691531397 YA
085788750951
085839405889 YA
081540069945
082278744911 YA
085788166995
085788166995
085783520258
085783520258
085832863264
085769070887 YA
08827757425
082278744911
085758229398
085841911027 YA
082297052592
085645117597
08974143561 YA
089525944872
085788085953 YA
085279083045 YA
085664282078 YA
08538731400
082181079503 YA
085645117597 YA
YA
089665970491 YA
089525944872 YA
083809704894
085841832744
085709308458 YA
082175230102 YA
085768000277 YA
082180665943 YA
082374872500 YA
0895605921917 YA
0895620413113 YA
083182651975 YA
08954117450030 YA
089631247485 YA
081367469325 YA
085783012824 YA
085809745607 YA
08976016671
085788098438 YA
0895329111500
08573592426 YA
085230554854 YA
085230554854 YA
085783592426 YA
089690568677 YA
082361944078
0895600775252 YA
085267661099
089689719977
08217980864 YA
082377316851
082289031551
085789415473
083168041621 YA
085378945314
082184931291
089518607743 YA
0895630460003 YA
081377888762 YA
081377888762 YA
081271893295 YA
0895640011066
081272358876 YA
081272355876 YA
085269616169
0895621634090 YA
089692553623
085709648011 YA
089632763200 YA
085709648011 YA
089632763200 YA
08573592426 YA
089516652327 YA
081279871553 YA
085709550698 YA
081367374349 YA
085709550698 YA
088222020174 YA
085832682364 YA
0895640521401 YA
08 YA
0895640521401 YA
085223198875 YA
089519365335 YA
085273198879 YA
089683238355
08963230355 YA
081373298457
081318410310
08 YA
085838739672
081273470406 YA
085841911027 YA
YA
085839143304 YA
0895323155529 YA
085832227652 YA
085838201554 YA
089637128446 YA
081539341153 YA
089632312966 YA
085894266760 YA
085783899367 YA
085896217052
082175120449 YA
085367539896
081632133750
089631925114 YA
085788825848
085788825848 YA
085764692438 YA
YA
089603906227
085273553794 YA
085380028866 YA
085380028866 YA
085840151981 YA
YA
081373298451 YA
YA
085789985880
085764135856 YA
082284815251
082284815221
085658344800 YA
08159586393 YA
YA
0895640053448 YA
YA
085789968927 YA
081271893295 YA
081271893295 YA
089503253345
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota








8/24/2021 CORONAVAC


Dosis I
Tanggal Pemberian
Vaksinasi
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
8/2/2021
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
9/21/2021
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
9/21/2021
10/19/2021 202108177F
9/20/2021
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
9/20/2021
9/20/2021 202108154G
9/20/2021 202108154G
9/21/2021
9/21/2021
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
9/20/2021 202108154G
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
7/15/2021
10/19/2021 202108177F
6/12/2021
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
8/24/2021 24005221 16263939964152
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
9/21/2021
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
9/21/2021
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
9/20/2021 202108154G
10/19/2021 202108177F
10/19/2021 202108177F
9/20/2021 202108154G
9/20/2021 202108154G
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
8/24/2021 24005221 16263939964152
10/19/2021 202108177F
9/21/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
9/21/2021
10/19/2021 202108177F
9/21/2021
10/19/2021 202108177F
Dosis 2
Tanggal Pemberian
Vaksinasi
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
9/20/2021 202108154G
9/20/2021 202108154G
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
9/17/2021 202108156I
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
10/19/2021 202108177F
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-0010XH65
2 Q-001103NR
3 Q-00110QZO
4 Q-001115DH
5 Q-00110QZE
6 Q-00113QST
7 Q-0010YSHH
8 Q-00111KPR
9 Q-00111SQ6
10 Q-001134LB
11 Q-00114AAB
12 Q-001103O0
13 Q-000VFBEI
14 Q-00111KVY
15 Q-0010YSIR
16 Q-0010YSI1
17 Q-00110RAU
18 Q-0011308T
19 Q-00111KUL
20 Q-00111KQK
21 Q-00110R4H
22 Q-00111KU8
23 Q-00112H6Q
24 Q-001112AU
25 Q-001103OC
26 Q-0010ZHNF
27 Q-001103NN
28 Q-00110QYX
29 Q-00111KWN
30 Q-001117UU
31 Q-00112H0A
32 Q-00111KQ9
33 Q-000VGIUV
34 Q-00112H6K
35 Q-0010ZMNK
36 Q-00111KP5
37 Q-000UGGWU
38 Q-0010ZHJ9
39 Q-00112H1A
40 Q-00110R5Q
41 Q-001103PE
42 Q-00111KPK
43 Q-000VGM1S
44 Q-00112SS4
45 Q-0011TTWP
46 Q-0010ZJ4N
47 Q-00111KXI
48 Q-00112H69
49 Q-00111KWD
50 Q-00112GZY
51 Q-0010RUCS
52 Q-0010SMHQ
53 Q-0010R229
54 K-0001GWDQ
55 Q-0010WCQA
56 Q-0010RH7Z
57 Q-0010TB5L
58 Q-0010TB4B
59 Q-0010QFCS
60 Q-0010YC5V
61 Q-0010XMWN
62 Q-0010XNNO
64 BACKDATE
65 Q-00113ER2
66 Q-00113DLD
67 Q-0010QFAO
68 Q-00113EE6
69 K-0001H3P2
70 K-0001H2NC
71 Q-0010UCVD
72 Q-0010SU3M
73 Q-0010UCPL
74 Q-0010UCRD
75 Q-0010SMIN
76 Q-00111L96
77 Q-0010TLHI
78 Q-0010QR5Y
79 Q-0011172M
80 Q-0010YSLS
81 Q-0010SMJ0
82 Q-0010RUC6
83 Q-000VK8XR
84 Q-00113RCK
85 Q-0010TOI8
86 Q-001100OU
87 Q-0010RUBB
88 Q-0010XM7Q
89 Q-0010R25Q
90 Q-0010WH77
91 Q-0010UCPQ
92 Q-000VJ9ZX
93 Q-000VK7DU
94 K-0001GU3R
95 Q-0010R290
96 Q-00113QFI
97 Q-0010VWNS
98 Q-0011PEZU
99 Q-0010TLJE
100 Q-001156JB
101 Q-0010XN8N
102 Q-0010VB2A
103 Q-0010UENH
104 Q-0010WIIU
105 Q-0010SXLK
106 Q-0010TDS6
107 Q-0010UCRL
108 Q-0010UCQI
109 Q-0010VB1N
110 Q-0010TLI9
111 Q-001134YT
112 Q-0010XE1C
113 Q-0010TLKY
114 Q-0010UCRX
115 Q-00110RDH
116 Q-0010Y5HY
117 Q-0010QFCZ
118 Q-0010UCXJ
119 Q-0010SMMS
120 Q-0010TLIS
121 Q-0010UCVJ
122 Q-0010SMLX
123 Q-0010SML4
124 Q-0010SMMN
125 K-0001GW37
126 Q-0010WCY8
127 Q-00111L7W
128 Q-0010STMC
129 Q-0010Y5J5
130 Q-00112H7H
131 Q-00111L76
132 Q-00111L8T
133 Q-00112H7O
134 Q-0010R29F
135 Q-0010UCQ0
136 Q-0010XDZA
137 Q-00110RF9
138 Q-0010XKK7
139 Q-000VLXFI
140 Q-0010XDZ2
141 Q-00113GW7
142 Q-00112GX1
143 Q-000VKJYI
144 Q-0011R56P
145 Q-0010RUBS
146 Q-00113POO
147 Q-0010UHCV
148 Q-0010R289
149 K-0001GYJ0
150 Q-0010ZHZS
151 Q-0010YSP7
152 Q-0010XLOF
153 Q-0010ZHZD
154 Q-0010ZOUN
155 Q-0010WB0B
156 Q-0010Y5KB
157 Q-0010Y5HQ
158 Q-00102CZD
159 Q-0010YSLX
160 Q-000VH1J8
161 Q-0010VPNS
162 Q-000LAQK
163 Q-0010YSLN
164 Q-0010R25X
166 BACK DATE
173 BACK DATE

182 BACK DATE
183 BACK DATE
184 BACK DATE
185 BACK DATE
186 BACK DATE
187 Q-0011R584
1 188 P-RNIIIZ2R
1 189 P-RRLZELRO
1 190 P-RIP4B3VJ
2 191 Q-000VGIYM
2 192 Q-001134KK
2 193 Q-00110R4V
2 194 Q-00112H12
2 195 Q-00112H63
2 196 Q-0010ZHL9
2 197 Q-00111KVK
2 198 Q-00111KTR
2 199 Q-000VEMVQ
2 200 Q-00111KW7
2 201 Q-0010YSHC
2 202 Q-00112H0H
2 203 Q-00111KXO
2 204 Q-000VEWYT
2 205 Q-00110R4A
2 206 Q-00110CDV
2 207 Q-00110R63
2 208 Q-001134KZ
2 209 Q-00112H5K
2 210 Q-001103P7
2 211 Q-00112H1M
2 212 Q-00112H5A
2 213 Q-00111KV9
2 214 q-00110r5a
2 215 Q-00112H52
2 216 Q-0010YSIM
2 217 Q-00111KX8
2 218 Q-0010TLJ8
2 219 Q-000VJPT8
2 220 Q-0010QFC7
2 221 Q-0010R280
2 222 Q-0010TLIM
2 223 Q-0010YSH6
2 224 Q-000VH2GR
2 225 Q-0010QFB5
2 226 Q-0010PV9C
2 227 Q-0010YJ9B
2 228 Q-00111KXZ
2 229 Q-0010VB2P
2 230 Q-0010TB65
2 231 Q-0011ORMY
2 232 Q-0010XE2K
2 233 Q-0010TLHX
2 234 Q-0010SMJ5
2 235 Q-0010XE12
2 236 K-0001GU2G
2 237 Q-000VHFJM
2 238 Q-0010VB0S
2 239 Q-00112H5X
2 240 Q-001134ME
2 241 Q-0010VSKE
2 242 Q-0010XE1H
2 243 Q-0010WKDZ
2 244 Q-0010R25E
2 245 Q-000VO3SE
2 246 Q-0010RUFT
2 247 Q-0010SA6P
2 248 K-0001H2N5
2 249 Q-0010WCZ9
2 250 Q-0010VQLX
2 251 Q-0010VB16
2 252 Q-0010QFAG
2 253 Q-0010VPVO
2 254 Q-000VK90N
2 255 Q-0010RUCL
2 256 Q-0010R24X
2 257 Q-0010SMLD
2 258 Q-0010RUCZ
2 259 Q-0010VQM4
2 260 Q-0011183W
2 261 Q-0010R28J
2 262 Q-0010VB23
2 263 Q-0010VQLO
2 264 Q-0010YUXA
2 265 Q-0010VB49
2 266 Q-0010Y5DP
2 267 Q-0010Y5IC
2 268 Q-0010UCXB
2 269 Q-00113QT7
2 270 Q-0010TLI6
2 271 Q-0010Y5JI
2 272 Q-0010SMMA
2 273 Q-0010SMIR
2 274 Q-001134R4
2 275 Q-0010YSM0
2 276 Q-00111L87
2 277 Q-0010WCZU
2 278 Q-0010YSP3
2 279 Q-00111TER
2 280 Q-0010RUAO
2 281 Q-0010VB1W
2 282 Q-0010WKXN
2 283 Q-0010VQLC
2 284 Q-0010VB2J
2 285 Q-00111Q5H
2 286 Q-00111KLB
2 287 Q-0010YSPB
2 288 Q-0010RUBM
2 289 Q-0010Y5JM
2 290 Q-0010Y5JA
2 291 Q-0010YSPG
2 292 Q-0010Y5KS
2 293 Q-0010XL0N
2 294 Q-00111L9S
2 295 Q-0010XDZN
2 296 Q-0010XE0N
2 297 Q-00111L9Z
2 298 Q-00110RFX
2 299 K-0001HA14
2 300 Q-0010XKL9
2 301 Q-0010YSM5
2 302 Q-00113F00
2 303 Q-0010XDZT
2 304 Q-0010WCZ1
2 305 Q-0010YSLK
2 306 Q-001134YM
2 307 Q-0010WCZQ
2 308 Q-0010UT0C
2 309 Q-0010Y5HG
2 310 Q-001134Z2
2 311 Q-0010TLIX
2 312 Q-00113QBK
2 313 Q-00111Q69
2 314 Q-000VXCNJ
2 315 Q-00112RIY
2 316 Q-0010UCWX
2 317 K-0001HGEE
2 318 Q-001116PE
2 319 Q-0010Y5HC
2 320 Q-0010Y5K2
2 321 Q-0010YSPN
2 322 Q-0010SMIW
2 323 Q-00112H7Z
2 324 Q-001103Y0
2 325 Q-0010TLKP
2 326 Q-0010VXZ1
2 327 Q-00111L7H
2 328 Q-0010UCR1
2 329 Q-000VOBWO
2 330 Q-0010XE0D
2 331 Q-0011PBYS
2 332 Q-0011NU66
2 333 Q-0010WCYS
2 334 Q-0010R254
2 335 Q-0010SMJD
2 336 Q-0010XE01
2 337 Q-000VMLM1
2 338 Q-00112SNQ
2 339 Q-0010TQR4
2 340 Q-001116WY
2 341 Q-00111R0T
2 342 Q-001111L9E
2 343 Q-001115C1
2 344 Q-001118AV
2 345 Q-001112ZX
2 346 Q-001116D2
2 347 Q-00112S0H
2 348 Q-001117D3
2 349 Q-0010ZMXG
2 350 Q-0010ZS7K
2 351 Q-00110FBX
2 352 Q-0011VT7K
2 353 Q-0010ZSQG
2 354 Q-00110G34
2 355 Q-0010ZPRH
2 356 Q-0011VTPP
2 357 Q-0010WIJU
2 358 K-0001GP3R
1 359 P-SSY8QQY6
1 360 S-F7920EFA
M 361 Z-000B3DQV
M 362 Q-0010LI4DO
M 363 Q-0010L3KE
M 364 Q-000UIFIQ
MODERNA 365 Q-000PMXL6
MODERNA 366 Q-000PMXFN
MODERNA 367 Q-000PMXYH
MODERNA 368 Z-000B4ART
M 369 Q-000PMXG2
M 370 Q-000UYN1D
M 371 Q-0010LKT5
M 372 Q-0010II0P
M 373 Q-000PD0PR
M 374 Q-000PMXZS
M 375 Q-000UHN74
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871132610080002
1871081708080004
1871095406080001
1871091004090003
1871084207080001
1871080209080001
1871084412070003
1803214608070003
1871096908080001
1871084409080001
1871085809080003
1871082411080001
1871080610060006
1871081501080002
1871085306050002
1871085607080003
1871084905070001
1871081501060002
1871085509070008
1871080203060004
1871081508060001
1871080709060003
1871080607070002
1871096108060004
1871085705060003
1871085106070001
1871080410080001
1871085207080004
1871096303080005
1809055705090001
1871082010070002
1871084212070003
1871081703070004
1871081611060005
1871096710060002
1871085002080008
1871095911070008
1871081702070002
1871086305090002
1871090204050001
1871086205080004
1871094504080002
1809054711070003
1871080602080002
1871032803820008
1871086207060001
1871084608080002
1871109111080002
1871095610080003
1871082801080004
1871086605080002
1871084301080001
1871085011070003
1871085608080003
1871080906060001
1871085508080001
1871084411070001
1871087011070002
1871087008080002
1871087107070001
1871086110070002
1871085702070001
1871082801080003
1871081002080001
1871086612070002
1871081306040002
1871080201070005
1871083008050004
1871081305050001
1871081408080002
1871081802090002
1871081512070001
1871082603080001
1871080807080001
1871081504080002
1871081207080001
1871080707070001
1871081512060001
1871081010070001
1871081705070003
1871081503080004
1871083009070003
1871076707070002
1871086005040010
1871080401070002
1871080602070003
1871080903080004
1871081211080002
1871082309080002
1871080105070002
1871072703080004
1871080905070001
1871082306070001
1871080104080002
1871082610070001
1871080606060004
1871085905060002
1871080305060002
1871080801080004
1871076707060008
1871081608080002
1871082911070002
1871086305070001
1871194609060002
1871085705070002
1871086609070001
1871084706080003
1871086301080001
1871086611080002
1871085101090002
1871071407080002
1871081506080001
1871096707090002
1871082204070001
1871082112050001
1871084607080002
1871082009080002
1871092006070002
1871084701080007
1871084207080003
1871082910080001
1871080412070001
1871084509080003
1871084404080002
1871086711080002
1871080502080003
1871086004080005
1871086910070007
1871084212060001
1871081310080002
1871084908080004
1871085007080004
1871085702080001
1871085106080004
1871081110070003
1871090907080001
1871082601080004
1871082609050003
1871086605060001
1871081905080001
1871085004070006
1871081006080001
1871084610070001
1871092706070001
1871084502080003
1871082509060002
1871081601080004
1871084209080001
1871084204090002
1871084508080002
1871094808090001
1871084204080001
1871076002080004
1871085811070002
1807020205110004
1871096006080001
1871085007080007
1871085708080001
1871085604080001
1871082812070002
1871084206080003
1871085705070001
1871086111080001
1871085508080003
1871086403060001
1871082701090004
1871081204010003
1871094304080002
1871035310070003
1871085603080001
1871080806060006
1871092801100007
1871054302080001
1871090811880001
1871072905000001
1871086707060002
1871080311070003
1871086606070003
1871081010080006
1871195110080001
1871088304070003
1871074405070004
1871066601070001
1871085308080002
1871086206080003
1871074205080002
1871075502080001
1871072501090001
1871032707070001
1871081805090004
1871084707070004
1871080208940004
1871086305070005
1871091305070004
1871095102080003
1810025412070001
1871094312070003
1871086807060003
1871080610060007
1871085305070001
1871095305080005
1871126105070003
1871081302070003
1871085806080002
1871080605070002
1871095609070002
1871080307070003
1871094507080001
1871091202060003
1871081401080002
1871085010080002
1871084310080002
1871066010070005
1871090311070002
1871080105080003
1871086708070001
1871080204070002
1871085402070003
1871084302080001
1871084912070002
1871085410010007
1871086006080002
1871086008070002
1871081002050003
1871086310080001
1871085106080002
1871084111070005
1871081511070005
1871082204080003
1871084801080004
1871190907070001
1871082703050002
1871082404060003
1871082108080002
1871082103040003
1871082501080001
1871075402080004
1871082404080001
1871082710060001
1871084408060002
1871084902080003
1871080204080002
1871084103070003
1871066505080003
1871081504050001
18710822090070003
1871085310070001
1871086303080001
1871085610080001
1871084411070002
1871086910080002
1871080405060005
1871080706080002
1871082407070005
1871084207090003
1871084612080002
1871084801090001
1871086706070001
1871082808070005
1871081203080002
1871086407080001
1871082505080002
1871080609070001
1871082505060002
1871084301090001
1871087105080001
1871084908080006
1871086310070005
1871083003060006
1871080211080001
1871084312070001
1871081303080003
1871081309070002
1871072412070003
1871195312080001
1871086108080001
1871085011080001
1871086305080002
1871085604080003
1871084907080002
1871092912070001
1871081208040002
1871080504070001
1871084110070001
1871084401080001
1871084101080004
1871076003080004
1871074304080003
1871085504080002
1871086804080002
1871084501080005
1871086904090001
1871191302130003
1871084203080002
1871081303080001
1871080310080001
1871092004080002
1871081303080005
1871081506070002
1871082510070002
1871081001090004
1871081412050005
1871121808080004
1871084603080004
1871085008080001
1871080111080003
1871086509080003
1871087105070002
1871085504090002
1871082211080005
1871086009070001
1871095905080002
1871070701090004
1871071809080001
1871080911070002
1871096001080004
1871083001090003
1871071907070001
1871086105080002
1871086007080002
1871056711080001
1871083008080002
1871062010080001
1871081401090001
1871082004070001
1871085403080004
1871086905080006
1871074211080003
1871084609070006
1871080107070001
1871081610060002
1871084806080003
1871082005080002
1871086112080004
1871071120700014
1871080304080003
1871086610070002
1871084412040001
1871080705070002
1871076301090001
1871083005090002
1871084104080001
1871071409080001
1871070402090001
1871056703080001
1812045903080001
1871080911070003
1871074204090001
1871080912070001
1802151304080003
1871055404080001
1871075211080001
1871094502070004
1871074602080001
1871051908080004
1871135010080001
1871060411070003
1871080104080002
1871075502960003
1871132810580007
1871062301880003
1871082712960002
1871080501990005
1871097007010001
1871076304030003
1871085208980003
1871086209020006
1871081205570010
1871085507000003
1803082203830002
1871084703940003
1871014312750007
1871081108980008
1871081509810006
187109100790006

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: KAMIS / 21 OKT 2021
Jenis
Kelamin
RAFI OKTAFIAN PRAYOGA L D 10/26/2008
HAFIZ ILHAM L D 17/08/2008
AZZAHRA ZESIKA A P D 6/14/2008
REYZA PRATAMA L D 10/04/2008
ANNISA MAHIRA P D 7/2/2008
ARIS L D 9/2/2008
DESMA FAWAS ATIA P D 04/12/2007

SHAKILA EKA A P D 29/08/2008
RITA AMELIYA P D 04/08/2008
KURNIA ANDANI P D 18/09/2008
M. DIKA RAMADHAN L D 06/10/2006
M. RISYAD FAJAR L D 15/01/2008
SUCI PRATIWI P D 13/06/2005
SHELVA YULYA S P D 16/07/2008
RINI ASTUTI P D 5/9/2007
MUHAMAD IDRIS L D 15/01/2006
ANDINI L D 15/09/2007
ALDI SETIAWAN L D 02/03/2006
M. ALQISH L D 15/08/2006
ANDIKA DWI FASYA L D 07/09/2006
EKA PUTRI P D 21/08/2006
ULAN DARI P D 17/05/2006

ADELIA P D 11/06/2007
DANU SAPUTRA L D 10/4/2008
AMELIA PUTRI P D 7/12/2008
ELAWATI P D 3/23/2008
SAFIRA DAMAYANTI P D 17/05/2009
M. AZHAR MAIRIL L D 20/10/2007
NADIA ENJELIKA P D 28/11/2007
MARSEL MANDALA P L D 3/17/2007
IRGI ANANDA P L D 16/11/2006
YANI OKTAVIA P D 27/10/2006
AJENG DWI PRATIWI P D 10/02/2008
RESFA DWI P D 19/11/2007
M HASBI AL-MA'RIF L D 2/17/2007
MIKAYLA NATASYA S P D 23/05/2008
RESTU L D 4/2/2005
SEPTI RAMADHANI P D 5/22/2008
KEYSA DEBILA P D 11/7/2007

M. AN HARIS L D 06/02/2008
FREND FITER L D 3/28/1982
JIHAN DELA INDRIYANI P D 7/22/2006
INTAN PUTRI P D 06/08/2008
ZAKIA SALSABILA P D 11/11/2008
ANDINI SRI P D 16/10/2008
ZUHARI EVANDI L D 28/01/2008
FELISCA FIRLIYANI P D 26/05/2008
AZIZAH P D 1/3/2008
SAFIRA P D 10/11/2007
AMELIA AGUSTINA P D 16/08/2008
RAHAYU P D 6/9/2006
ZAHRA NAFISYAH P D 15/08/2008
SELVI ANGGRAINI P D 11/4/2007
AULIA ULAN P D 11/30/2007
MARINI TRI HABSARI L D 30/03/2008
GINAH PUSPITA P D 7/31/2007

NAILAH JAHROTUL P D 10/21/2007
YULIA ANANDA P D 2/17/2007
ANDIKA PRATAMA L D 28/01/2008
BAYU ARIFIN L D 10/02/2008
RISKA FAUZIYAH L D 15/11/2000
M TAFRIZI L D 13/06/2004
M ZAKI L D 1/2/2007
PUTRA HERIANSYAH L D 30/08/2005
MUH DAFFA ALEKSANDRO L D 5/13/2005
RIDHO PRASETIO L D 8/14/2008
M ILHAM ARDIANSYAH L D 2/18/2009
RAFAEEL HADY P L D 15/12/2007
MUHAMMAD PRAYOGA L D 3/26/2008
GEHAN JULEY KHAN L D 7/8/2008
RAIHAN KAMIL L D 15/04/2008
REHAN ADI L D 12/07/2008
SONI SANJAYA L D 7/7/2007
M HAVIZD L D 12/15/2006
TARIKH MUHAMMAD L D 10/10/2007
M ALPIN L D 17/05/2007
M. RIDHO KURNIAWAN L D 15/03/2008
RAMADAN L D 30/09/2007
NAILA SAFITRI P D 27/07/2007
YUNI ASHARI P D 5/20/2004
M ANDRE MAULANA L D 01/01/2007
AHMAD ERIYADI L D 06/02/2007
RIFKI ADLIANSYAH L D 09/03/2008
RAFLI ADIAN L D 11/12/2008
M HEDAR LUTFI L D 23/09/2008
RANGGA SAPUTRA L D 5/1/2007
M RIFKI L D 27/03/2008
FAUZAN DANU L D 5/9/2007
MUHAMAD RIDWAN L D 23/06/2007
FAREAL ALPA REZA L D 01/04/2008
VAREL AZIAS PRATAMA L D 26/10/2007

HANA ARDILA P D 5/19/2006
PEBRIYANSA P D 5/3/2006
M TEGUH S L D 1/8/2008
NATASYA AURELYA P D 7/27/2006
DEFINDA ALAMSYAH L D 16/08/2008
MUHAMMAD IKHSAN AR-REIHAN L D 11/29/2007
CICI MEILIAWATI P D 5/23/2007
DESTA PUJA P D 9/6/2006
SITI MIJTAHULJANAH P D 5/17/2007
TASYAH FUTRI P D 26/09/2007
GITA AIMAGHVIRA P D 07/06/2008
NURAIDAH P D 10/23/2007
KINASI MIRANTI P D 11/26/2008
CIKA RENITA P D 1/11/2009
M AFGAN KURNIAWAN L D 14/07/2008
HESA KURNIAWAN L D 6/15/2008
KAYLA SAPUTRI P D 7/27/2008

M RISKI L D 4/22/2007
DENI L D 21/12/2005
REVITA SUHERMAN P D 06/07/2008
RIZKI RAMADHAN L D 20/09/2008
M FAUZAN L D 6/20/2007
DELLA AMELIA P D 07/01/2008
SALWA AZIZAH JULIANTI P D 7/2/2008
RAHMAT RUBEN L D 29/10/2008
M RANDI L D 04/11/2007
SEPTIA RAMADHANI P D 05/09/2008
PUTRI AYU NABILA P D 04/04/2008
ERA FAZIRA P D 27/11/2008
M FAJAR L D 2/5/2008
DWI APRIYANTI P D 20/04/2008
ZAHRA P D 29/10/2007
STELAWATI P D 12/2/2006
ANDIKA L D 13/10/2008
RICZA L D 09/08/2008
KARINA ZHAFIRAH P D 10/07/2008
RAMBAYU L D 17/02/2008
DWI ANGGRAINI P D 6/11/2008
OCTA RAMADHANI P D 10/11/2007
M RAFI L D 7/9/2008
M FAJRI L D 26/01/2008
M SENDI RAMADHAN L D 26/09/2005
SELFI SAFITRI P D 26/05/2006
M PIJAR HANIF L D 19/05/2008
NAZWA AULIA P D 10/04/2007
M ALFATIR DELEON L D 10/06/2008
UTURJJATUL KHOIR P D 10/6/2007
MUHAMMAD AKBAR L D 6/27/2007
AULIA FEBRIANI P D 05/02/2008
DONI LIVANDI L D 25/09/2006
M RIDHO SETIAWAN L D 1/16/2008

ELSYA ERIYANTI P D 02/09/2008
KAYLA KHAIRUL NISA P D 02/04/2009
NADIRA KAMILA P D 05/08/2008
SRI TUNGGAL DEWI P D 8/8/2009
THALITA PUTRI P D 02/04/2008
ADZRA SYAKIRA P D 20/02/2008
SAFIRA AULIA P D 11/18/2007
SYAFAREL AIDIL R L D 10/11/2007
TIA ELISA P D 6/20/2008
ANNISA RAHMAH P D 7/10/2008
ASSYIFA ANNISA S P D 8/17/2008
RAISSA MUTIARA P D 16/04/2008
M DANY IRVAN L D 12/28/2007
RUBIYANTI HERVINA P D 02/06/2008
MIFTAHULJANNAH KHAIRI P D 17/05/2007
IKA EFTIANA P D 21/11/2008
RENI AULIA P D 15/08/2008

NABILA P D 3/14/2006
M. JUAN L D 27/01/2009
ADINDA LESTARI P D 1/27/2009
AMANDA P D 4/3/2007
KHORIH NUR SAVITRI P D 18/10/2007
SYAFIRA RAHMANNIA P D 16/03/2008
ANDIKA HERLANGGA L D 08/05/2005
FIQI SAKINATI L D 12/18/2007
MAHARANI P D 03/02/2008
OTI WULANDARI P D 28/11/2008
M. ABI ANSYAH L D 11/03/2007
INTAN RAHAYU P D 5/16/2007
RISKI M. R L D 10/10/2007
CITIA OKTAVIANI P D 10/11/2008
CITRA LESTARI P D 23/03/2007

SITI NUR LELA P D 5/4/2007
DAVINA NAZWA P D 6/16/2007
REYSHI SAPUTRI P D 8/23/2008
FIRDA LUNA P D 5/12/2008
ANISA P D 02/05/2008
AMEL RIZKI FEBRIANTI P D 2/15/2008
M. HESAR L D 25/01/2009
ALDO PERNAJAYA L D 26/07/2007
MUHAMMAD DIMYATHI L D 18/03/2009
GISKA ANGGUN P D 7/7/2007
KIRANA CINTA MENTARI P D 15/01/2008
MAIRANI P D 5/23/2007
DZIKRI FIRMANSAH L D 13/05/2007
ROSITA P D 11/02/2008
NATASYA MISZA A P D 14/12/2007
DESVITA PUTRI P D 03/12/2007
SITI KARSINAH P D 28/07/2006

M DIKI RAMADHAN L D 06/10/2006
AMELIA P D 13/05/2007
REVA DWI YANTI P D 13/05/2008
MEYSA NURSABILLAH P D 21/05/2007
M FEBRIANSYAH L D 13/02/2007
NUR RIA SARI P D 18/06/2008
M. FAHRI L D 06/05/2007
NOVIYANTI P D 16/09/2007
ABDUL WASSEH L D 03/07/2007
NADIA SAFITRI L D 05/07/2008
M. NABIL L D 12/02/2006
SIGIT ARYA PUTRA L D 10/14/2008
RESA SINTIA P D 19/10/2008
ZAHRA TUSSITA P D 03/10/2008
CERLY ADELIA P D 10/10/2007
NOPRI SAPUTRA L D 11/3/2007
SOBIRIN L D 25/01/2008
SILPIA NELI A P D 27/08/2007
FAHRI WIRAMA L D 02/04/2007
RENI P D 2/14/2007
MALIHA CAHAYA P D 03/02/2008
SERLY TRI MUFLIAH P D 09/12/2007
DEA OKTA FITRIA P D 14/10/2007
DARYANTI P D 20/06/2008
REFA FITRIYANI P D 20/08/2007
MUHAMMAD FARHAN L D 5/4/2006
KINANTI OKTAVIA P D 23/10/2008
SALWA ALYA ZHAFIRA P D 11/06/2006
RISKA ADELIA P D 01/11/2007
REYHAN SAPUTRA L D 15/11/2007
SATRIA DWI P L D 22/04/2008
ROSDIANAH P D 11/8/2008
KHOIRUL ANWAR L D 09/07/2007
KELFIN L D 3/27/2005
MAHESA DWI A L D 4/24/2006
REVANDI L D 8/21/2008
ADITIYA REYHAN L D 3/21/2004
RESTU ANUGRAH L D 25/01/2008
KAYLA REVALINA P D 2/14/2008
RASYA MAULANA L D 4/24/2008
RIFKI LUTHFIA L D 27/10/2006
AULIA P D 04/08/2006
RENI MAIRANTI P D 2/9/2008
SAVINA P D 02/04/2008
DEA MARETA P D 3/1/2007
LEVIANA ANGGRAINI P D 25/05/2008
M. APRILINANDO L D 4/15/2005
RANGGA L D 22/09/2007
DEWI ANDINI FITRIA P D 13/10/2007
EVIS CAHYANI P D 3/23/2008
ANITA MAHARANI P D 10/16/2008
DWI PERTIWI P D 11/4/2007

EVA DWI YANTI P D 10/29/2008
AKBAR DWI PRADANA L D 04/05/2006
M CAHYA ALIF D L D 07/06/2008
M RIDHO L D 24/07/2007
RIA ASTUTI P D 03/07/2009
DESTY LESTARI P D 06/12/2008
TASYA DWI YANTI P D 08/01/2009
SOFI AFWIKA P D 27/06/2007
MUHAMMAD RIZKI AFANDI L D 8/28/2007
MARIO REYFAN L D 12/03/2008
KHAIRATUN HISAN P D 24/07/2008
M FAHRI L D 5/25/2008
MAULANA RIDHO M L D 9/6/2007
MUHAMMAD IVAN ALFARYJI L D 5/25/2006
SITI A'IBADRIAH P D 03/01/2009
MUTIARA SASKIA P D 5/31/2008
SAFINA TUNAJAH P D 09/08/2008

FITRI FADILAH P D 23/10/2007
MAS SIDARTA L D 30/03/2006
NOVAL KURNIAWAN L D 8/2/2011
KHOIRUNISA P D 12/3/2007
M. RIDDO RIZKI L D 13/03/2008
GILANG RAMADHAN L D 9/13/2007
TIO IBRAHIM L D 24/12/2007
FIRLY FIDIA HUSNAINI P D 13/12/2008
KALISTA AGUSTIANA P D 21/08/2008
DINDA HARYANTI P D 11/10/2008
REYFA LAURA H P D 5/23/2008
LUNA MAYA P D 16/04/2008
SYIVA YULIA RAHMA P D 7/9/2008
M BILAL AKBAR L D 12/29/2007
HAIRUL ANAAM P D 12/08/2004
TYO PUTRA P L D 05/04/2007
RIA RAHMADANIA P D 10/1/2007
KEYSA ANDINI P D 04/01/2008

EFI LIANI P D 28/01/2008
ASYIFA ALDAWIAH P D 20/03/2008
SORAYA APRILIA P D 03/04/2008
MUTIARA AULYA D P P D 4/15/2008
JENA EMALIA PUTRI P D 4/28/2008
KHOIRUNNISA P D 05/01/2008
RIRIN SULISTIA P D 29/04/2009
WAHYU BUDIANSYAH L D 2/22/2006
KAYLA SHAQINA P D 02/03/2008
FABIAN HIMAWAN L D 3/13/2008
RASYA SEDAYU P D 10/3/2008
M RIVALDO L D 20/04/2008
RAHIL FAZA T L D 13/03/2008
KAESSAR ATHILA J P D 15/06/2007
M HAVIZTH L D 10/25/2007
M RAYHAN YANUAR L D 1/10/2009
M SULAIMAN NASUTION L D 14/12/2005
M ADIT SAPUTRA L D 8/18/2008

MELDA MARTINA PUTRI P D 3/6/2008
YUKA SAKA ZAKY P D 10/08/2008
RAFLI L D 01/11/2008
SITI ANISSA R P D 9/25/2008
SITI AULIA P D 31/05/2007
HELDA APRILLAH P D 4/15/2009
NOVAL KURNIAWAN L D 22/11/2008
SILVIA SEPANI P D 9/20/2007
IMAS AYU P D 19/05/2008
SOEWIJOYO L D 07/01/2009
CALVIN ERLINTO L D 18/09/2008
RAFFI RAMADANI L D 09/11/2007
RISQA PUTRI ANGGRAINI P D 20/01/2008
M YUDA L D 30/01/2009
YULIUS WIJAYA L D 19/07/2007
ADE FITRI P D 21/05/2008
RIKA BERLIANI P D 7/20/2008

NJ KHAIARA J P D 27/11/2008
M AZRIL L D 30/06/2008
MUCHAMAD RIZKI L D 20/10/2008
IBNU BAGUS L D 14/01/2008
M APRIALDI L D 4/20/2007
ECHA ZAHRATUL M P D 14/03/2008
AULIA NAFASATI P D 29/05/2008
ZAHRANA FIRTU LAILA P D 02/11/2008
DEA ANDINI P D 9/6/2007
M YAZID K L D 7/1/2007
SYAHRI L D 10/16/2006
CAHAYA PUTRI P D 08/06/2008
M FERDIYANSYAH L D 20/05/2008
JAHROTUL UYUN P D 21/12/2008
RENDI DERMAWAN P D 10/12/2007
M NAFIS PRATAMA L D 4/3/2008
INDAH SUCITA P D 26/10/2007

DEVINA ARDELIA P D 04/12/2004
ANDREAS SAPUTRA N L D 5/7/2007
JEANETTA KINANTI P D 23/01/2009
KENZIRO SUSANTO L D 30/05/2009
RIZKA MAULIDIN L D 20/01/1990
ALFONSO EKAPUTRA L D 14/09/2008
KEVIN GUNAWAN L D 04/02/2009
JOVITA PATRICIA P D 27/03/2008
FAREL ALDO L D 19/03/2008
RAFFA RAMADANU L D 09/11/2007
APRILIA RAHAYU P D 02/04/2009
M AL GHIFARI L D 09/12/2007
M ILHAM HABIB L D 13/04/2008
YOLANDA ERLITA P D 4/14/2008
CHELSIKA AMAURA P D 12/11/2008
AYU RAHMAWATI P D 05/02/2007
JELITA CATUR P D 06/02/2008

FAKHRUDIN L D 19/08/2008
FITRI NURALIYAH P D 10/10/2008
MAHESYA LUCKY P L D 11/11/2007
FAREL ALPA REZA L D 4/1/2008
PURWATI P D 2/15/1996
PUNGUT L D 10/28/1958
RICO L D 1/23/1988
YURNI P D 9/27/1996
RAMA RAMADHAN L D 1/5/1999
PUTRI ANNISA P D 7/20/2001
SETIAWATI P D 4/23/2003
HERVINA PUTRI P D 8/12/1998
MELINA EKA P D 22/09/2002
AMIRUDIN IBRAHIM L D 12/05/1957
VIRGI NUR P D 7/15/2000
DWI HARI L D 22/03/1983
REAMONA DEWANTI P D 3/7/1994
SRIWIYANA P D 12/3/1975
ARI WAHYUDI L D 11/08/1998
MUHAMMAD AMIN L D 15/09/1981
HERMAN L D 1/10/1979
***Merek Vaksin
A = Sinovac

21 BPJS PBI
6 BPJS Non PBI
1 Non Anggota
2
30 Total
0 Dosis 1
1 Dosis 2
0 Dosis 3
375 Total
0
376
Umur
(18 sd ≥ 60 tahun)
14 0 RAJABASA
14 0 SUKARAME 2
14 0 BATU PUTUK
15 0 BATUPUTUK
14 0 SUKARAME II
14 0 SUKARAME II
15 0 SUKARAME II
15 0 BAKUNG
14 0 BATU PUTUK
14 0 BATU PUTUK
14 0 SUKARAME II
14 0 BATU PUTUK
16 0 BAKUNG
15 0 SUKARAME 2
17 0 SUKARAME II
14 0 SUKARAME II
16 0 SUKARAME II
17 0 SUKARAME 2
15 0 SUKARAME 2
17 0 SUKARAME 2
16 0
16 0 SUKARAME II
15 0 SUKARAME II
16 0 BATUPUTUK
17 0 SUKARAME II
15 0 SUKARAME II
14 0 SUKARAME II
14 0 SUKARAME II
15 0 BATU PUTUK
14 0 TELUK PANDAN
15 0 SUKARAME 2
15 0 SUKARAME II
16 0 TJ. JATI
16 0 SUKARAME 2
16 0 SUKARAME II
15 0 SUKARAME 2
15 0 BATU PUTUK
16 0 SUKARAME II
15 0 NOG
18 18-30 BATU PUTUK
15 0
15 0 BATU PUTUK
15 0 NOG
15 0 SUKARAME 2
41 31-45 TKB
16 0 SUKARAME II
14 0 BATU PUTUK
14 0 BATUPUTUK
14 0 BATUPUTUK
15 0 SUKARAME 2
15 0 NOG
15 0 NOG
15 0 BAKUNG
14 0 KURIPAN
16 0 BAKUNG
14 0 SISWA/ I SMP 15
15 0 NOG
15 0 BATU PUTUK
22 18-30 SISWA/ I SMP 15
18 18-30 SISWA/ I SMP 15
18 18-30 NOG
14 0 NOG
15 0 BAKUNG
15 0 KURIPAN
14 0 KOTA KARANG
16 0 KURIPAN
15 0 BAKUNG
19 18-30 SISWA/ I SMP 15
16 0 KOTA KARANG
15 0 BAKUNG
16 0 PERWATA
15 0 PESAWAHAN
16 0 DR. SETIA BUDI
15 0 TBT
15 0 NOG
17 0 PERWATA
17 0 SUKARAME 2
15 0 BAKUNG
16 0 NOG
14 0 PERWATA
15 0 BAKUNG
14 0 BAKUNG
14 0 PERWATA
15 0 BAKUNG
16 0 KETEGUHAN
15 0 BAKUNG
17 0 BAKUNG
15 0 BAKUNG
15 0 TBB
15 0 BAKUNG
14 0 NOG
13 0 BATU PUTUK
15 0 SUKARAME II
15 0 PESAWAHAN
15 0 TBB
14 0 BATU PUTUK
14 0 PERWATA
14 0 KOTA KARANG
15 0 KOTA KARANG
15 0 PERWATA
16 0 BAKUNG
17 0 TELUK BONE
14 0 SUKARAME 2
15 0 BAKUNG
18 18-30 NOG
15 0 BAKUNG
16 0 KURIPAN
16 0 BAKUNG
15 0 TALANG
14 0 TBS
15 0 TKP
14 0 TBT
15 0 SUKARAME 2
15 0 SUKARAME 2
16 0 SUKARAME II
16 0 BATUPUTUK
15 0 BATU PUTUK
15 0 KOTA KARANG
15 0 BATU PUTUK
16 0 SUKARAME II
16 0 JL CIREBON
16 0 SUKARAME II
15 0 BATU PUTUK
16 0 TBT
16 0 SUKARAME II
14 0 SUKARAME 2
16 0 BAKUNG
15 0 BATU PUTUK
15 0 BAKUNG
14 0 KURIPAN
17 0 SUKARAME 2
14 0 SUKARAME II
14 0 SUKARAME 2
14 0 SUKARAME 2
15 0 SUKARAME II
15 0 BATU PUTUK
15 0 SUKARAME 2
15 0 SUKARAME II
16 0 SUKARAME 2
15 0 BAKUNG
15 0 KURIPAN
15 0 BAKUNG
14 0 WAY TATAAN
15 0 SUKARAME II
17 0 BAKUNG
15 0 SUKARAME II
15 0 BAKUNG
18 18-30 SISWA/ I SMP 15

19 18-30 SISWA/ I SMP 15
15 0 TBT
15 0 BAKUNG
16 0 SUKARAME 2
16 0 BAKUNG
15 0 BAKUNG
18 18-30 NOG
15 0 KURIPAN
14 0 PERWATA
15 0 PERWATA
14 0 PERWATA
14 0 BAKUNG
15 0 TBB
13 0 KURIPAN
14 0 KURIPAN
15 0 KURIPAN
15 0 PERWATA
14 0 BAKUNG
15 0 PERWATA
17 0 BAKUNG
14 0 NOG
15 0 KETEGUHAN
15 0 KETEGUHAN
14 0 BAKUNG
15 0 KOTA KARANG
14 0 BAKUNG
18 18-30 SISWA/ I SMP 15
16 0 PERWATA
15 0 BAKUNG
15 0 BAKUNG
15 0 BAKUNG
17 0 KOTA KARANG
15 0 PERWATA
14 0 PERWATA
15 0 BAKUNG
14 0 NOG
15 0 BAKUNG
14 0 TBT
14 0 TBS
15 0 BAKUNG
15 0 TBS
14 0 BAKUNG
14 0 PERWATA
16 0 BAKUNG
15 0 PERWATA
14 0 PERWATA
15 0 SINAR MULYA
16 0 NOG
14 0 BAKUNG
15 0 PERWATA
15 0 SUKARAME 2
18 18-30 SISWA/ I SMP 15
16 0 SUKARAME II
14 0 BUMI WARAS
14 0 TBB
33 31-45 SISWA/ I SMP 15
14 0 BUMI WARAS
14 0 BUMI WARAS
15 0 WR MONGONSIDI
15 0 PANJANG
14 0 TBS
14 0 TBS

14 0 KEMILING
15 0 PERWATA
15 0 KURIPAN
27 18-30 KEMILING
64 ≥60 KEMILING
35 31-45 KURIPAN
26 18-30 KURIPAN
24 18-30 KURIPAN
21 18-30 BATUPUTUK
20 18-30 KURIPAN
24 18-30 KURIPAN
20 18-30 KURIPAN
66 ≥60 KURIPAN
22 18-30 KURIPAN
40 31-45 SUNGKAI
29 18-30 KURIPAN

24 18-30 NOG
41 31-45 KURIPAN
44 31-45 BATUPUTUK
Pekerjaan
114 A
155 B
102 C
371 D
E
167 Total
23
0
190
No. Hp
089633413637
083152563304 YA
085896961375 YA
085758229398
0895391341072 YA
083164400003 YA
081278070707
0895600781090 YA
089632744494 YA
089602679475 YA
085709119270 YA
08990683100 YA
085366624962 YA
083802924957 YA
085709161429 YA
089690857836 YA
089519458282
082177880009 YA
085758674571 YA
089521634080
089523120219
089516652381 YA
089632740309 YA
089653276578 YA
085769820427 YA
089629028071 YA
089690597198 YA
089632741200 YA
085764270545 YA
0896709048000 YA
083890313012 YA
085709163866 YA
082371712784
083140511578 YA
083184798049 YA
085747459728
0896606461078 YA
083194722510
083147929753 YA
08227874911 YA
08963347350 YA
08988059646 YA
08578379135
081367964089
082148440501 YA
08984260875 YA
08975098545 YA
0895336447010 YA
085780710998 YA
0895606129213
08985282838 YA
089523108004
085384321282 YA
0895358298385 YA
089612331821
088286196834 YA
089508631156
08989164620
0856100589011 YA
082183383063 YA
08984291775 YA
089667727900 YA
0895639961110 YA
085896960828
089525784446 YA
089523119735 YA
083891565609 YA
083803794094 YA
085788691631 YA
089669266677 YA
083840518539 YA
0895330514252 YA
088747685842 YA
085381055828 YA
08395113478200
082278744911 YA
089517071751
0895335018400 YA
082278744911 YA
089503197505 YA
083169847732 YA
085768267637 YA
08975032727
0895609927384 YA
083890310627
083144036248 YA
0889508632450 YA
081249610351
085788636087 YA
08982431634 YA
089612314205 YA
089505817075
0895619368189 YA
08999380809 YA
089631917654 YA
0895610025261 YA
089636353415
089514107387 YA
08979700858
089692813592
089523117109 YA
089508631280 YA
083156700961 YA
088282606140
083191524027
08817501687
08979100267
088267139322
0823119451 YA
083147116167 YA
08570902801
089670456363 YA
082281407041
082337593181
0822787444911
0895601577557 YA
089517072520 YA
085841910418 YA
089631955822 YA
082278235163 YA
088274168240
082282313971 YA
089536367369 YA
0895335021500 YA
08997331777 YA
0823910484448
085379619353
083134103835 YA
083183403436
08963607822 YA
089500915678 YA
08984276292 YA
089523101433 YA
082292623611
089634108318 YA
085609315150 YA
083172335851 YA
0895621395994 YA
089506407579 YA
081366175554 YA
089669778777 YA
082278744911 YA
089670277557 YA
089505323071
089508631086 YA
0895621456005 YA
0895339473646 YA
085841812658
085768904062 YA
089639448516 YA
081396788193
089521301820
0895335021400 YA
088276774041 YA
082375185126 YA
089637777290 YA
0895392455207 YA
085783119471
083193233149 YA
089618049595
0896677270909 YA
088293270199
089514145386 YA
089515722416 YA
089632550208 YA
085809937950
089670956700
085664745847 YA
089523111164 YA
0895413092352 YA
089530325186
089527378382 YA
089691127857 YA
08574215099 YA
082375955903 YA
083153723148 YA
081617640707
083168235103
089523117653
083171552317 YA
081212407612 YA
089523116883 YA
0895413594506 YA
08576810390
08969585664
082278744911
082281678449 YA
082278744911
082278744911
082278744911
089626046496
0895610095655 YA
089523120246 YA
YA
085768511185
0882296832598 YA
089630572361
089507976165 YA
083827423236 YA
0895704007360 YA
089630445972 YA
08984263496 YA
089634173383 YA
085609968065 YA
088269573472
085773159480 YA
081368903332 YA
085766839759
089515721491 YA
0889523101095
0895600650703
082175059091
083122378266 YA
085764270520 YA
08578804914 YA
083170075616 YA
085664940790 YA
0889510635003 YA
0895610115637
082175833560 YA
0895600782070 YA
083191666309
085840323917 YA
08956220384103 YA
085788807839 YA
083170376588 YA
089633830527 YA
085838533329 YA
0895600540600 YA
089697613855
082278744911 YA
08319403587 YA
08313738377
089539476906 YA
085382827346 YA
08974145798
083155529673 YA
085607044121 YA
082144553750
0812160333633 YA
0895621404999 YA
083170531066 YA
083177895083 YA
0895363352220 YA
083160165700 YA
089523978958 YA
082282425087 YA
088286814289 YA
085777746649 YA
089516332310
089514107387 YA
083140515351 YA
088276260422 YA
088821917828 YA
083193233232 YA
08974676981 YA
085839770447 YA
083181401317
0831938153912 YA
085809535641 YA
0895607172227 YA
082505080002 YA
089523121702 YA
08956006309061 YA
089615687872 YA
08 YA
0821793322645 YA
0895323488818 YA
083127252070 YA
089515918560 YA
08871834696
0895391408474 YA
08979100312
089646342547 YA
089635512940 YA
085273642112 YA
089515323258
089626933386 YA
089507976419
089531477333 YA
089508652702
088268370438 YA
0895605896475 YA
0895600769020
085766139016 YA
085664944046 YA
0882670555189 YA
089507979524 YA
089651634468
089526980521
089523117669 YA
089517041953 YA
083183148896
082278744911 YA
089648000498 YA
085383835808
085658807267
08127111185552 YA
083169821457 YA
082379077769 YA
089523103794
08973698937
089704252916 YA
089523120177 YA
089510636957 YA
083122869224 YA
083193233283
082371849786 YA
0895336449200 YA
085609704317
089170301177 YA
085841330823 YA
085789971507 YA
089525445039 YA
083801929523 YA
089508851927 YA
0895705008715 YA
089673183408
08995826262 YA
089517071895 YA
082371646566 YA
0895322383241
085764208820 YA
082278744911 YA
0895351121122 YA
0895607157800 YA
083197312544 YA
089520970103 YA
0838741476679 YA
085789417061 YA
0895606049085 YA
082278744911 YA
089693166948
088290144809 YA
0895640067881
089531754843
08984261416
082179882031 YA
08975003000 YA
089634751208 YA
088994299952 YA
088274259476
087890739702 YA
081232412213
085809505181 YA
092289187830 YA
083178378826 YA
0895380281000
082380573456 YA
081272910501 YA
081373045189 YA
0895609712354
0857581270001 YA
08999260020
083152866220 YA
081279616663 YA
089502885820
08999380809 YA
081279254356 YA
081279254356
082179743915 YA
08985639443
08979551126
082182480781
0895332035654 YA
082177029601 YA
089526343485 YA
082176704163 YA
083809617649 YA
081369306510 YA
0895605995892 YA
089517634638 YA
089528748225 YA
085838404902 YA
082278438980 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
YA 9/21/2021 VAKSIN COVID 19 BIOFARMA
9/21/2021 BIOFARMA

9/21/2021 BIOFARMA
9/21/2021 BIOFARMA
9/21/2021 BIOFARMA
9/21/2021 BIOFARMA
9/21/2021 BIOFARMA

9/21/2021 BIOFARMA
9/21/2021 BIOFARMA
9/7/2021 CORONAVAC

9/21/2021 BIOFARMA
9/21/2021 BIOFARMA
9/21/2021 BIOFARMA
9/21/2021 MODERNA
9/21/2021 MODERNA
9/21/2021 MODERNA
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC

9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC

9/21/2021 CORONAVAC
9/21/2021 MODERNA
9/21/2021 MODERNA

9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 MODERNA
9/21/2021 CORONAVAC
9/21/2021 MODERNA
9/21/2021 MODERNA
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC

9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC

YA

9/21/2021 BIOFARMA
9/21/2021 BIOFARMA

9/21/2021 BIOFARMA
9/21/2021 BIOFARMA
9/21/2021 BIOFARMA
9/21/2021 BIOFARMA
9/21/2021 BIOFARMA
9/21/2021 CORONAVAC
9/21/2021 MODERNA
9/21/2021 MODERNA
9/21/2021 BIOFARMA
9/21/2021 MODERNA
9/21/2021 MODERNA

9/21/2021 CORONAVAC
9/21/2021 MODERNA
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 MODERNA
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 MODERNA
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 MODERNA
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 MODERNA
9/21/2021 CORONAVAC
9/21/2021 BIOFARMA
9/10/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC

9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 CORONAVAC
9/21/2021 MODERNA

9/21/2021 CORONAVAC
9/21/2021 BIOFARMA
9/21/2021 BIOFARMA
9/21/2021 BIOFARMA
9/21/2021 BIOFARMA
9/21/2021 BIOFARMA
9/21/2021 CORONAVAC

9/20/2021 MODERNA
YA 9/7/2021 MODERNA
8/26/2021 MODERNA
8/26/2021 MODERNA
8/26/2021 MODERNA
9/20/2021 MODERNA
8/26/2021 MODERNA
9/8/2021 MODERNA
9/20/2021 MODERNA
9/20/2021 MODERNA
8/25/2021 MODERNA
8/26/2021 MODERNA
9/7/2021 MODERNA
Dosis I
Tanggal Pemberian
Vaksinasi
9/21/2021
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/9/2021 202108156I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/9/2021 202108156I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/7/2021 202108154I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/9/2021 202108156I
9/21/2021 202108170I
9/22/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/9/2021 202108156I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/9/2021 202108156I
9/9/2021 202108156I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/22/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/9/2021 202108156I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/9/2021 202108156I
9/22/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/9/2021 202108156I
9/21/2021 202108170I
9/9/2021 202108156I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/22/2021 202108170I
10/21/2021 202108177F
9/9/2021 202108156I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/9/2021 202107137I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/9/2021 202107137I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/9/2021 202108156I
9/21/2021 202108170I
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9/21/2021 202108170I
9/9/2021 202108156I
9/21/2021 202108170I
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9/22/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/9/2021 202108156I
9/21/2021 202108170I
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9/9/2021 202108156I
9/21/2021 202108170I
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9/9/2021 202108156I
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9/21/2021 202108170I
9/10/2021 202108154I
9/21/2021 202108170I
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9/21/2021 202108170I
9/9/2021 202108156I
9/21/2021 202108170I
9/22/2021 202108170I
9/22/2021 202108170I
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9/9/2021 202108156I
9/21/2021 202108170I
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9/21/2021 202108170I
9/21/2021 202108170I
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9/21/2021 202108170I
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9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/22/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
9/22/2021 202108170I
9/21/2021 202108170I
9/21/2021 202108170I
10/21/2021 202108177F
10/21/2021 202108177F
9/20/2021 001F21A
9/20/2021 001F21A
9/20/2021 001F21A
9/7/2021 001F21A
8/26/2021 001F21A
8/26/2021 001F21A
8/26/2021 001F21A
9/20/2021 001F21A
8/26/2021 001F21A
9/8/2021
9/20/2021 001F21A
9/20/2021 001F21A
8/25/2021 021D21A
8/26/2021 001F21A
9/7/2021 001F21A
Dosis 2
Tanggal Pemberian
Vaksinasi
10/21/2021 202108177F
10/21/2021 202108177F
10/21/2021 202108177F
10/21/2021 202108177F
10/21/2021 202108177F
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10/21/2021 202108177F
10/21/2021 202108177F
10/21/2021 202108177F
10/21/2021 001F21A
10/21/2021 001F21A
10/21/2021 001F21A
10/21/2021 001F21A
10/21/2021 001F21A
10/21/2021 001F21A
10/21/2021 001F21A
10/21/2021 001F21A
10/21/2021 001F21A
10/21/2021 001F21A
10/21/2021 001F21A
10/21/2021 001F21A
10/21/2021 001F21A
10/21/2021 001F21A
10/21/2021 001F21A
Keterangan
Faskes :
Provinsi : Lampung
Tahap 1 Tahap 2
NO Tanggal Kegiatan
1 Rekap cakupan Januari 2021
2 Rekap cakupan Februari 2021
3 Rekap cakupan Maret 2021
4 Rekap cakupan April 2021
5 Rekap cakupan Mei 2021
6 Rekap cakupan Juni 2021
7 Rekap cakupan Juli 2021
8 Rekap cakupan Agustus 2021
9 Rekap cakupan September 2021

3 1-Oct-21
4 2-Oct-21
5 3-Oct-21
6 4-Oct-21
7 Selasa, 05/10/2021 0 0 0
8 13-Oct-21
9 14-Oct-21 1
10 15-Oct-21
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
TOTAL 0 1 0
FORMAT REKAPITULASI PELAKSAN
:
:
:
Sasaran
Tahap 3 Tahap 4 Total Dosis I
(Semua Tahapan)
Masyarakat Masyarakat Total Sasaran

Remaja Ibu Hamil
Rentan Umum
#
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0
1 1 1
1 2 2
1 1 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1 0 2 4 4
Total 300
PELAKSANAAN VAKSINASI COVID-19
AS/FASYANKES/POS VAKSINASI
Penerima Vaksin Do
Total Dosis I Tahap 1 Tahap 2 Tahap 3
(Semua Tahapan)
% # % # % # % #
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0
100 #DIV/0! #DIV/0! 0 #DIV/0!
100 #DIV/0! 1 100 #DIV/0!
100 #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
100 0 #DIV/0! 1 100 0 #DIV/0! 0
Tahap 3 Tahap 4
Remaja Ibu Hamil
% # % # % # %
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0! 0 #DIV/0!
#DIV/0! 1 100 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! 1 100
#DIV/0! #DIV/0! #DIV/0! 1 100
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! 1 100 0 #DIV/0! 2 50
Penerima Vaksin Dosis
Total Dosis 2 Tahap 1 Tahap 2
(Semua Tahapan)
# % # % # % # %
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!

0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! 0 #DIV/0! #DIV/0! 0 #DIV/0!
101 10100 #DIV/0! 6 #DIV/0! #DIV/0!
106 5300 #DIV/0! 6 600 #DIV/0!
89 8900 #DIV/0! 4 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
296 7400 0 #DIV/0! 16 1600 0 #DIV/0!
Tahap 3 Tahap 4
Remaja Ibu Hamil Penerima
Masyarakat Vaksin
Masyarakat Umum
Rentan
Booster
Nakes dosis
3
# % # % # % # %
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
16 #DIV/0! 64 6400 6 #DIV/0! 9 #DIV/0!
12 #DIV/0! 77 #DIV/0! 9 #DIV/0! 2 200
6 #DIV/0! 74 #DIV/0! 5 #DIV/0! 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
34 #DIV/0! 215 21500 20 #DIV/0! 11 550 0
Indeks Pemakaian Vaksin Berdasarkan Merek
Coronavac Vaksin Covid-19 BF Vaksin Covid-19 B

Total (Single Dose Vial) (Multi Dose Vial) (Double Dose Via
Dosis 1 +
Dosis 2 +
Dosis 3
Jmlh Vial Jmlh Jmlh Vial Jmlh Jmlh Vial
IP IP
Terpakai Diimunisasi Terpakai Diimunisasi Terpakai
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! 0 0 #DIV/0! 98.0
102 #DIV/0! #DIV/0! 51.0
108 #DIV/0! #DIV/0! 54.0
90 #DIV/0! #DIV/0! 45.0
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
300 0 0 #DIV/0! 0 0 #DIV/0! 248
Total 0
in Berdasarkan Merek
Vaksin Covid-19 BF
Moderna
(Double Dose Vial)
Total
Diimunisasi
Jmlh
Jmlh Jmlh Vial Diimunisasi
IP IP
Diimunisasi Terpakai (Nakes &
Masyarakat)
#DIV/0! 0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
196.0 2.0 0 0 #DIV/0! 196.0
102.0 2.0 #DIV/0! 102.0
108.0 2.0 #DIV/0! 108.0
90.0 2.0 #DIV/0! 90.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
#DIV/0! 0.0
496 8 0 0 #DIV/0! 496
Faskes : PUSKESMAS BAKUNG
Provinsi : Lampung
Tahap 1 Tahap 2
NO Tanggal Kegiatan
1 Rekap cakupan Januari 2021 72
2 Rekap cakupan Februari 2021
3 Rekap cakupan Maret 2021 250
4 Rekap cakupan April 2021 64
5 Rekap cakupan Mei 2021 69
6 Rekap cakupan Juni 2021 34
7 Rekap cakupan Juli 2021 17
8 Rekap cakupan Agustus 2021 24

9 Rekap cakupan September 2021 87
10 1-Oct-21
11 4-Oct-21
12 5-Oct-21
13 6-Oct-21 9
14 7-Oct-21
15 8-Oct-21 4
16 10-Oct-21 5
17 11-Oct-21 37
18 12-Oct-21 32
19 13-Oct-21 22
20 14-Oct-21 15
21 15-Oct-21 12
15 16-Oct-21 25
16 18-Oct-21 7
17 19-Oct-21 9
18 21-Oct-21 1
19 22-Oct-21
20 23-Oct-21 11
21
22
23
24
25
26
27
28
29
30
31
32
TOTAL 72 734
FORMAT REKAPIT
TINGKAT PU
KESMAS BAKUNG :
ar Lampung :
:
Sasaran
Masyarakat Masyarakat
Pelayan Publik Remaja
Rentan Umum
893
318
231
487 90 253
3 90 426
5 104 602
4 256 1700 1239
9
31 83
0 17 49 6
16 124 15
11 50
66 491 43
62 359 43
71 350 27
63 341 1
314 50 22
77 181 29
17 75 1
55 96 7
0 1 3
2
26 91 12
1941 1337 5270 1540

ORMAT REKAPITULASI PELAKSANAAN VAKSINASI C
TINGKAT PUSKESMAS/FASYANKES/POS VAKSINA
Total Dosis I Tahap 1

(Semua Tahapan)
SDM Kesehatan
Total Sasaran
Ibu Hamil
# % #
72 44 61.11111 44
0 10 #DIV/0! 10
1143 1015 88.8014 4
382 273 71.46597 1
300 300 100
864 864 100
536 536 100
735 736 100.1361 1

20 3306 3306 100
9 9 100
114 114 100
0 0 #DIV/0!
0 81 81 100
0 0 #DIV/0!
159 159 100
66 66 100
1 638 638 100
496 496 100
470 470 100
420 420 100
1 399 399 100
312 312 100
0 100 100 100
167 167 100
0 5 5 100
2 2 100
0 140 140 100
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
22 10916 10662 97.67314 60
Total 16367
AN VAKSINASI COVID-19
ES/POS VAKSINASI

% # % # % #
61.1111111 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! 250 100 761 85.2183651
#DIV/0! 64 100 208 65.408805
#DIV/0! 69 100 231 100
#DIV/0! 34 100 487 100 90
#DIV/0! 17 100 3 100 90
#DIV/0! 24 100 5 100 104

#DIV/0! 87 100 4 100 256
#DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! 9 100 0 #DIV/0! 17
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! 4 100 #DIV/0! 16
#DIV/0! 5 100 #DIV/0! 11
#DIV/0! 37 100 #DIV/0! 66
#DIV/0! 32 100 #DIV/0! 62
#DIV/0! 22 100 #DIV/0! 71
#DIV/0! 15 100 #DIV/0! 63
#DIV/0! 12 100 #DIV/0! 314
#DIV/0! 25 100 #DIV/0! 77
#DIV/0! 7 100 #DIV/0! 17
#DIV/0! 9 100 #DIV/0! 55
#DIV/0! 1 100 0 #DIV/0! 0
#DIV/0! #DIV/0! #DIV/0! 2
#DIV/0! 11 100 #DIV/0! 26
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
83.3333333 734 100 1699 87.5321999 1337
Tahap 3 Tahap 4
Remaja Ibu Hamil
% # % # % #
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
100 253 100 #DIV/0!
100 426 100 #DIV/0!
100 602 100 #DIV/0!

100 1700 100 1239 100 20
#DIV/0! #DIV/0! 9 100

#DIV/0! 31 100 83 100
#DIV/0! #DIV/0! #DIV/0!
100 49 100 6 100 0
#DIV/0! #DIV/0! #DIV/0!
100 124 100 15 100
100 50 100 #DIV/0!
100 491 100 43 100 1
100 359 100 43 100
100 350 100 27 100
100 341 100 1 100
100 50 100 22 100 1
100 181 100 29 100
100 75 100 1 100 0
100 96 100 7 100
#DIV/0! 1 100 3 100 0
100 #DIV/0! #DIV/0!
100 91 100 12 100
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
100 5270 100 1540 100 22
Total Dosis 2 Tahap 1 Tahap 2
Ibu Hamil (Semua Tahapan)
% # % # % #
#DIV/0! 0 0 0
#DIV/0! 54 #DIV/0! 54 #DIV/0!
#DIV/0! 538 47.069116 #DIV/0!
#DIV/0! 403 105.49738 3 #DIV/0! 190
#DIV/0! 236 78.666667 #DIV/0! 47
#DIV/0! 225 26.041667 #DIV/0! 21
#DIV/0! 639 119.21642 #DIV/0! 14
#DIV/0! 405 55.102041 #DIV/0! 14

100 1007 30.45977 #DIV/0! 30
#DIV/0! 151 1677.7778 #DIV/0!

#DIV/0! 3 2.6315789 #DIV/0! 1
#DIV/0! 72 #DIV/0! #DIV/0! 2
#DIV/0! 121 149.38272 #DIV/0! 3
#DIV/0! 273 #DIV/0! #DIV/0! 2
#DIV/0! 162 101.88679 #DIV/0! 8
#DIV/0! 0 0 #DIV/0!
100 66 10.344828 #DIV/0! 6
#DIV/0! 183 36.895161 #DIV/0! 3
#DIV/0! 38 8.0851064 #DIV/0!
#DIV/0! 0 0 #DIV/0!
100 16 4.0100251 #DIV/0! 0
#DIV/0! 0 0 #DIV/0!
#DIV/0! 102 102 #DIV/0! 8
#DIV/0! 23 13.772455 #DIV/0!
#DIV/0! 370 7400 #DIV/0! 1
#DIV/0! 228 11400 #DIV/0!
#DIV/0! 390 278.57143 #DIV/0! 15
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
0.201539025 5705 52.262734 57 #DIV/0! 365
Masyarakat
Lansia Pelayan Publik Masyarakat Umum
Rentan
% # % # % # %
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 538 60.246361 #DIV/0! #DIV/0!
296.875 210 66.037736 #DIV/0! #DIV/0!
68.115942 189 81.818182 #DIV/0! #DIV/0!
61.764706 204 41.889117 0 0
82.352941 377 12566.667 47 52.22222 201 47.1831
58.333333 2 40 65 62.5 324 53.8206

34.482759 3 75 137 53.51563 749 44.05882
#DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! 2 6.451613
#DIV/0! #DIV/0! 4 #DIV/0! 55 #DIV/0!
33.333333 #DIV/0! 21 123.5294 87 177.551
#DIV/0! #DIV/0! 6 #DIV/0! 28 #DIV/0!
200 #DIV/0! 16 100 125 100.8065
0 #DIV/0! 0 0
16.216216 #DIV/0! 11 16.66667 44 8.961303
9.375 #DIV/0! 15 24.19355 162 45.12535
0 #DIV/0! 6 8.450704 27 7.714286
0 #DIV/0! 0 0
0 #DIV/0! 2 0.636943 13 26
0 #DIV/0! 0 0
114.28571 #DIV/0! 20 117.6471 68 90.66667
0 1 #DIV/0! 3 5.454545 12 12.5
100 0 #DIV/0! 0 #DIV/0! 17 1700
#DIV/0! #DIV/0! 0 #DIV/0!
136.36364 #DIV/0! 41 157.6923 285 313.1868
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
49.72752 1524 78.516229 394 29.46896 2199 41.72676
Remaja Ibu Hamil Penerima Coronavac
Vaksin Total (Single Dose Vi
Dosis 1 +
Booster Dosis 2 +
Nakes dosis Dosis 3
3 Jmlh Vial
# % # %
Terpakai
#DIV/0! #DIV/0! 44 44
#DIV/0! #DIV/0! 64 64
#DIV/0! #DIV/0! 1553 12
#DIV/0! #DIV/0! 676
#DIV/0! #DIV/0! 536
#DIV/0! #DIV/0! 1089
#DIV/0! #DIV/0! 1175
#DIV/0! #DIV/0! 30 1171

86 6.941082 2 10 4313
151 1677.778 #DIV/0! 160

0 #DIV/0! 117
11 #DIV/0! #DIV/0! 72
10 166.6667 #DIV/0! 202
237 #DIV/0! #DIV/0! 273
13 86.66667 #DIV/0! 321
#DIV/0! #DIV/0! 66
5 11.62791 0 704
3 6.976744 #DIV/0! 679
4 14.81481 1 #DIV/0! 508
0 #DIV/0! 420
0 0 1 100 415
0 #DIV/0! 312
6 600 0 #DIV/0! 202
7 100 #DIV/0! 190
352 11733.33 #DIV/0! 375
228 #DIV/0! #DIV/0! 230
49 408.3333 #DIV/0! 530
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
#DIV/0! #DIV/0! 0
1162 75.45455 4 18.18182 30 16397 120
Total
Indeks Pemakaian Vaksin Berd
Coronavac Vaksin Covid-19 BF Vaksin Covid-19 BF

(Single Dose Vial) (Multi Dose Vial) (Double Dose Vial)
Jmlh Jmlh Vial Jmlh Jmlh Vial

IP IP
Diimunisasi Terpakai Diimunisasi Terpakai
44 1.0 #DIV/0!
64 1.0 #DIV/0!
12 1.0 157 1541 9.8
#DIV/0! 66 676 10.2
#DIV/0! 53 536 10.1
#DIV/0! 111 1172 10.6
#DIV/0! 108 1175 10.9
#DIV/0! 74 784 10.6

#DIV/0! 62 673 10.9 1630
#DIV/0! #DIV/0! 80
#DIV/0! #DIV/0! 59
#DIV/0! #DIV/0! 36
#DIV/0! #DIV/0! 101
#DIV/0! #DIV/0! 123.0
#DIV/0! #DIV/0! 74.0
#DIV/0! #DIV/0!
#DIV/0! #DIV/0! 33.0
#DIV/0! #DIV/0! 92.0
#DIV/0! #DIV/0! 23.0
#DIV/0! 5 53 10.6
#DIV/0! 12 129 10.8 8.0
#DIV/0! #DIV/0! 156.0
#DIV/0! #DIV/0! 101.0
#DIV/0! #DIV/0! 95.0
#DIV/0! #DIV/0! 180.0
#DIV/0! #DIV/0! 115.0
#DIV/0! 3 30 10.0 250.0
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
120 1.0 651 6769 10.4 3156
7719
deks Pemakaian Vaksin Berdasarkan Merek
Vaksin Covid-19 BF
Moderna PFIZER
(Double Dose Vial)
Jmlh
Jmlh Jmlh Vial Diimunisasi Jmlh Vial
IP IP
Diimunisasi Terpakai (Nakes & Terpakai
Masyarakat)
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! 26 387 14.88462

3254 2.0 27 386 14.2963
160 2.0 #DIV/0!

117 2.0 #DIV/0!
72 2.0 #DIV/0!
202 2.0 #DIV/0!
245.0 2.0 2 28 14
148.0 2.0 1 14 14 27
#DIV/0! #DIV/0! 11
66.0 2.0 #DIV/0! 107
183.0 2.0 #DIV/0! 83
46.0 2.0 #DIV/0! 77
#DIV/0! #DIV/0!
16.0 2.0 #DIV/0! 40
312.0 2.0 #DIV/0! 0
202.0 2.0 #DIV/0!
190.0 2.0 #DIV/0!
360.0 2.0 1 15 15
230.0 2.0 #DIV/0!
500.0 2.0 #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
6303 #DIV/0! 57 830 14.5614
PFIZER ASTRA ZENECA
Jmlh Jmlh Vial Jmlh

IP IP
Diimunisasi Terpakai Diimunisasi
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
159 5.888888889 #DIV/0!
66 6 #DIV/0!
638 5.962616822 #DIV/0!
497 5.987951807 #DIV/0!
462 6 #DIV/0!
#DIV/0! 37 367 9.918918919
240 6 3 30 10
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! #DIV/0! #DIV/0!
16367 #DIV/0! #DIV/0! #DIV/0!
Total
Diimunisasi
44.0
64.0
1553.0
676.0
536.0
1172.0
1175.0
1171.0
4313.0
160.0
117.0
72.0
202.0
273.0
321.0
66.0
704.0
680.0
508.0
420.0
415.0
312.0
202.0
190.0
375.0
230.0
530.0
0.0
0.0
0.0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
HAMIL 1 Q-000OZZVI
2 Q-000NP9YO
3 K-0000O8KO
4 Q-000OTEVT
5 P-K8GOXN2K
6 Q-000OSRIT
7 Q-000OR1L9
8 P-KL7XV53F
9 Q-000P3M6Y
10 P-LJDUJIG6
11 Q-000OT29I
12 Z-A3EE0EB1
13 Q-000OTAJ7
C 14 Q-000INIDX
15 Q-000OYEVP
16 P-NT7VA745
17 P-46Y8IWOC
18 P-30N1IO7V
19 P-I7CD6JSP
20 K-0000OBCO
21 P-82400XJF
22 P-O6KEK99X
23 P-J1SL2KWO
24 P-5NWEPYBO
25 P-68DL34SL
26 Q-000OQQ0X
27 Q-000NVWV5
28 Q-000P4XGZ
29 Q-000OTZGD
30 Q-000OQOJ1
31 P-A3K6FKQZ
32 P-A900S1Q1
33 Q-000P51EV
34 Q-000OSP4T
35 K-0000QBMD
36 Q-000OTZGJ
37 P-JDBB3AOI
38 Q-000P4JBI
39 P-HPONR3LH
40 P-HXWLMH10
41 S-FD255752
42 P-NE646387
43 P-P5CVVXEJ
44 P-00FXB7JP
45 P-V7CVYO2A
46 P-QKQIIFGN
47 P-NVZR6VIUN
48 P-RA4Y4OKQ
49 P-QZQKAPJO
50 P-VWNE04BX
51 Q-000P7GTH
52 P-NXLNY5IB
53 P-VXQWHO2Y
54 P-VXO58ASZ
55 P-VXW5RFOM
56 P-VYFBERIC
57 P-VY7HFUY8
58 P-VY45YM62
59 P-VX2RU6NU
60 P-VZ365AVA
61 P-VZMV6RLD
62 P-VYXXPXWU
63 P-VYVECPVZ
64 P-VYONHO8H9
65 S-1EEA3920
66 Q-000Q5WV6
67 P-VZKTYCEO
68 P-WOCZKLQV
A 69 P-V2Y1EEZQ
70 P-VZMLSYX
71 P-VZYNVOEJ
72 P-WOAPOE18
73 P-W050MVRT
74 P-WORT2ZYM
75 P-WOV923MN
76 P-W167ZU25
77 P-W1UVDZ18
78 P-W1PUH5WM
79 P-W1MCWRUT
80 P-W24B9Z59
81 P-W1ZCRK02
82 P-W2SC5C6X
83 P-W2S39092
84 P-W2P8KBA7
85 P-W2MAGFKU
86 P-W2HMFNA8
87 Q-000OTMIG
88 Q-000O7CMR
89 Q-000O7FCE
90 S-B89C247E
91 P-W2F0RH5G
92 P-OPNK5V47
93 P-W384GVAM
94 S-67CC4212
95 P-W2WIW703
DIS 96 P-327MUHP
97 P-W2WWNBSJ
98 S-C95A82DA
99 P-W3E5URBI
100 P-WXXXXIZZ
101 P-W3GBW70H
102 P-W3FWCCYC
103 P-W33HOLPN
104 P-W30F6R24
105 P-W3Q32004
106 W-00007APZ
107 Q-0007PJO8
108 Q-000OSXFI
109 P-IVIJXCOX
110 P-JI8HLRUV
111 P-JVE80GOR
112 P-K3UGGKUI
113 Q-000P0X29
114 P-KIFE48M7
115 P-75KDRRL9
116 P-LGAYDOKI
117 P-LII5CN6X
118 P-M7V8VGQR
119 P-MOVIKD0L
120 P-OUNNBPCF
121 P-NQESHSAZ
122 P-NPNCED2H
123 P-NBA55SP5
124 Q-000NYFQF
125 P-4KI4BE5B
126 Q-000PNRFD
127 P-5FS1EJXB
128 P-DNNAVM9E
129 P-DGRBXAL7
130 P-1G2NBE75
131 P-OPZMSKC
132 J-OXXXX4L1
133 P-AXWWJD3H
134 P-CJBR2QYI
135 P-FW10K3K2
136 Q-000PGYF1
137 P-F8PPF35E
138 P-GGJNXSRR
139 P-EEQRL9WI
140 P-3DAHNPI
141 P-LV2LFDSO
142 PGONITWPP
143 P-KVL9KVB4
144 P-KQIORRLY
145 P-JOQHCOA8
146 P-I5UATSUJ
147 Q-000PH8K3
148 P-MDKA2CJ2
149 P-RN5AOSXP
150 Q-000OSZ8B
151 P-PWF3TRSQ
152 P-T0TLGYS
153 P-Q8NM8LC9
154 P-R9E1JMEG
155 P-QRVGWHPX
156 P-RK6KTD00
157 P-RWFN9ATM
158 P-TH3PGJ3P
159 Q-000OTP0H
160 P-TKJEB6MO
161 Y-0155IJP8
162 P-VJLDVLT9
163 P-VDKEKI1P
164 P-VW55JE50
165 P-VWIKCQTN
166 P-VW5KJNJY
167 S-45B2C06F
168 P-LY0XKI4KJ
169 P-VXUC9NQY
170 P-VX6PG7G5
171 P-VX3IGC26
172 J-00004OJR
173 P-VWY5OCQY
174 P-VWYG4DXG
175 P-VWV66MEJ
176 P-RSOROS3
177 Y-0130UTG
178 P-VXE1W2LC
179 P-VWPMOZAM
180 P-VXGPZYGW
181 P-VX6M6RJ
182 P-VXJMGL8G
183 P-VXSENOPI
184 P-VXXL24EB
185 P-VXVTFUOH
186 P-VXTUD1XB
187 P-1L03KPRE
188 P-VYAX3C18
189 P-1QYN3GEI
190 S-F7603EAO
191 P-VYZFO0Q0
192 Q-000Q5XSH
193 J-0003VV3J
194 P-VYLJAOED
195 P-VZ7G2956
196 P-VZBLWQPA
197 P-V2QTG90B
198 P-VZOKYQWN
199 P-V2NLGFBS
200 P-VZR6DM2H
201 P-VZEYJAGJ
202 S-5B4476FF
DIS 203 S-D6517C9F
204 P-WXXX61U
205 P-W00OIMXA
206 P-WOEVY5QZ
207 P-WO4RZVTX
208 P-WOL306H7
209 P-W1JE2AVT
210 P-W1IFLSKJ
211 P-W1CM6JDI
212 P-WICXKGKR
213 P-WIA32BC7
214 P-W27CLULN
215 P-QLOEQNUV
216 P-W147UIX6
217 P-W14DFYRX
218 P-W19OO00PK
219 P-W0Y4GYYG
220 P-W1S7NOCM
221 P-WIRXIU6J
222 P-W1N4DQG6
223 P-W1OVBDH3
224 P-W22ZIZIT
225 P-79LICDIY
226 P-W1VNCH4M
227 P-WZPHARSX
228 Q-000PGT7M
229 Q-000PGNQT
230 S-D64EE341
231 P-4KJSFKLP
232 P-W2L21OLM
233 P-W3JY5IHI
234 P-6BR2BQM7
235 P-W2HDG8BF
236 P-W2CKONJQ
237 P-W39GXNBG
238 P-W44ZNLIP
239 P-W28JRR53
240 P-W2XJRQOU
241 P-W401NPAA
242 P-W2ZDZDEC
243 S-O6I3B800
244 P-WZVVPXDF
245 P-W3NHCNTW
246 P-W3B58TTX
247 P-W3UOB517
248 P-W3RWXPIW
249 P-W3DDL6ZG
250 P-W3WT3495
251 P-W3YO8WDH
252 P-W4I3MWFK
253 P-W43G5XOI
254 P-W42HZH2W
255 GOTONG ROYONG
256 P-W5RKMJXO
257
258 P-IQG9L3MT
259
260 Q-000PEDIJ
261 Q-000PDNW3
262 Q-000PDII5
263 Q-000PCXIH
264 Q-000PF1Z8
265 Q-000PF1Z3
266 Q-000PEDG2
267 Q-000PEILV
268 Q-000Q1491
269 Q-000PF1XH
270 Q-000PF1XM
271 Q-000PF1R
272 Q-000PF778
273 Q-000PF1XK
274 Q-000PD9RR
275 Q-000PF1XU
276 Q-000PHPXO
277 Q-000PE0J4
278 Q-000PF1YR
279 Q-000PFPBE
280 Q-000PD5OP
281 Q-000PE1RW
282 Q-000PFIEG
283 Q-000PEI0S
284 Q-000PD5OOO
285 Q-000PD8J3
286 Q-000PG5M0
287 K-0000PVF8
288 Q-000PCP49
289 Z-0009MIEJ
290 Q-000PEDAQ
291 Q-000PD4GO
292 Q-000PD2IL
293 Q-000PF1ZK
294 Q-000PF1ZI
295 Q-000PCP4B
296 Q-000Q142Z
297 Q-000PCDCQ
298 Q-000PFGE7
299 Q-000PFGEG
300 Q-000PF1Z0
301 Q-000PFII9
302 Q-000PF6DP
303 Q-000PEDH1
304 P-8TTDQRL
305 Q-000PEDID
306 Q-000PDILD
307 Q-000PEDA3
308 Q-000PEDH6
309 Q-000PEDHQ
310 Q-000PCVT4
311 Q-000PCXZR
312 K-0000Q29T
313 Q-000PED92
314 Q-000PCJ3K
315 Q-000PF1YU
316 Q-000PIT6T
317 Q-000PD1I9
318 Q-000PCKFZ
319 Q-000PCZJ1
320 Q-000PED9H
321 Q-000PEDF2
322 Q-000PF1YC
323 Q-000PG0AU
324 Q-000PEDD8
325 Q-000PF1YF
326 Q-000PF1Y6
327 Q-000PEHL7
328 Q-000PF1XZ
329 Q-000PCQ6N
330 Q-000PEDDX
331 Q-000PEDD1
332 Q-000PF6FU
333 Q-000PDASK
334 Q-000PEDGK
335 Q-000F6EU
336 K-0000QAKA
337 Q-000PEDC2
338 Q-000PED8K
339 Q-000PIJ79
340 A-000PE9NW
341 Q-000PCJ3K
342 Q-000PCFEY
343 Q-000PFI76
344 Q-000PEDBH
345 Q-000PHQ0G
346 Q-000PF6HJ
347 Q-000PEDBV
348 Q-000PEDB5
349 Q-000PEDBA
350 Q-000PEDBM
351 Q-000PF1ZL
352 Z-0009MZNR
353 Q-000PDTKC
354 Q-000PF6FR
355 Q-000PF6FL
356 Q-000PDKE8
357 Q-000PED9H
358 Q-000PF6DY
359 Q-000PD9RJ
360 Q-000PF1YX
361 Q-000PF76Q
362 Q-000PH0QK
363 Q-000PGULZ
364 Q-000PED98
365 Q-000PED9C
366 Q-000PEDHW
367 Q-000PEDJS
368 Q-000PEDHD
369 Q-000PC7J0
370 Q-000PF6HK
371 Q-000PF6FF
372 Q-000PED92
373 Q-000PF6EX
374 Q-000KNBT4

D = Lainnya
E = Tidak Bekerja
NIK
18090550069000005
1871052404710000
1871082512000007
1871091003970002
1871096610860007
1871084202770004
1871080807780005
1871095202020001
1871080709960003
1871087010030002
1871081003000003
1871071208630002
1871076505800013
1871081706820001
1871082204710002
1871086410830003
1871111111640003
1871094506820018
1871086406820004
1871086005870010
1871115410700004
1871095807780005
1871036307970007
1871081211960005
1871092402890003
1871054103080002
1871085101850001
1871136606800005
1871094608820002
1871084706080005
1871086110830002
1871087112790002
1871081212000004
1871080407020008
1871104801990004
1871093006020001
1871094906760003
1871084604990001
1871090701750010
1871082704050003
1871096803480002
1871091005970002
1803214106840004
1871080808910006
1871011111710002
1871085702040001
1871080205030002
1871080601930001
1871090705800005
1871082811960003
1803024207040001
1871090901810002
1871084808750008
1871094608700001
1871085805740002
1871091312790006
187108082030004
1871085706820005
1871081409700004
1871095505760004
1871016004820010
1871090911700003
1871086005780007
1871091705720001
1871080312850008
1871044805000002
1871094703870006
1871011810950005
1871082804670001
1802141908710001
1871084405020003
1871085002020001
1871086810010002
1802211703830005
1871091111930003
1871086808050001
1871074909770007
1871095607760001
1802151303050001
1871080102850008
1871094509900006
1802150406760002
1871086801000006
1871075707920007
1806095910010002
1803096411020004
1871081909060004
1871084212860003
1871081708800019
1871082107500003
1871094710840004
1871086610830001
1871092606900003
1871084312580001
1871085505900009
1871085104990005
1871097012810002
1871081901600002
3201300906780005
1871084708760004
1871071112780013
1871082011940002
1871086707010002
1871081602630003
1871081212770005
3572032009820003
3514084509830001
1871180806050002
1871085101910005
1871094110820007
1871094408630004
1871090108890003
1871086102770001
1871085101930011
1871082912080001
1871092907770002
1871086008800003
1871115607970002
1871085303950003
1871085701850004
1871086308620002
1871095708000007
1871075206850008
1702090306880001
1871090305010003
1407050612970004
1871086706920003
1871095104740004
1871084510870008
1871082509660001
1871080405740002
1807060909870002
1871074603870005
1871086311850002
1871095102960001
1871046407950001
1871086702980002
1871092503710004
1871095204940006
1871085806740001
1871070101740021
1871095111930004
1871076702970003
1871066805940004
1871094803820001
1871094205790009
1871064904970005
1871091912880003
1805184809740001
1871090901000004
1871085109000009
1871082103680001
1871080707770015
1871094812850004
1871080203970001
1871096511920004
1871134901030004
1871081007860007
1871086910910004
1871091908030002
1871081204940008
1871094109900007
1871086104800011
1871085708700009
1871082010010001
1871094710840010
1871090203870008
1871086810690003
1871085509870005
1871055311880007
1871086101870001
1871082501960005
1871080706750008
3603014410880006
1871094808810002
1871090908800004
1871084101960024
1871084411710003
3603010101860010
1871095312980002
1871082504030004
1871096804740006
1871084508670002
1871085111910006
1871096009800005
1871070101720013
1871082803640001
1871094806870008
1871082609730002
1871082309550001
1871084507630008
1801132710920004
1871085103820003
1871086504860003
1871070708840007
1871080204630001
1871086002660005
1871086310790002
1871096502910002
1871081502920003
1871091304790004
1871082005570001
1802140403580002
1871082810010002
1871095607850006
1871085308980004
1871090807840010
1871080708710007
1871093101000003
1871096611900006
1871085305820002
1802140606780008
1871074605000009
1871085702010006
1871095104860001
1809015810890003
1871084909990007
1871096403760003
1871085310930007
1871065203880004
1871084205000008
1871084202820009
1871031005890004
1801221211970001
1871090905830003
1871084801050001
1871095406800007
1871077003050001
1871076310080005
1871020301590002
1871081305890004
1871085403820005
1871135806070001
1804046206050002
1802210108930002
1871072001760009
1871084807650006
1871081406030003
1871081104050001
1871040606840019
1871084507900006
1871081304810004
1871095909550001
1871094704910003
1871084503960008
1871085506800006
1871082505770004
1871094601970002
1871082311010002
1871046208870002
1871092711870006
1871080602770002
1871076403960004
1871086310940009
1871080101800014
1871086508030005
1871081803040003
1306060704950005
1871082309910004
1871081808710003
1803162501820003
1871076009810004
1871070703870010
1871074201710005
1871085105950001
1871080101630032
1871096410810003
1801156512910001
1871085104960003
1871087011940001
1871086708970005
1871084503980002
1871071012680001
187108588060004
1871081709790001
1871084706820007
1871081506710002
1871084306770004
1871080103980006
1871086005730010
1871074809990005
1871125712800002
1871095910990004
1871084410940001
1871086711980004
1871081907910005
1871082707630004
1871085708620002
1871086009970004
1603116701810002
3603195111810003
1871080603750004
1871084409830004
1871085206640005
1871080101830024
1871060802700003
1871082608980001
187108100900006
1871085610650001
1871086702790001
1871084904780004
1871086403780003
1871082806800005
1871080506840005
1871070808950004
1871082411980001
1871085207800009
1871085209840006
1871085705000005
1871085408920005
1871086308930001
1871084503780008
1871070703030007
1871081112700001
1871086204000001
1871081709980005
1871081902010004
1871082002970003
1871084908770003
1871086505970003
1871084911760004
1871086507830011
1871081607820002
1871080506760011
1871086512010002
1871070303910007
1871081410730004
1871085711020008
1871080111020008
1871085602010003
1871086006770001
1871074905000009
1871086107960003
1871082708800004
1871080611940002
1871086806790001
1871084408790007
1871086309960003
1871080505670002
1871070703030007
1871074207850008
1871083005640001
1871085606990005
1871076212980005
1871096508870007
1871086306930003
1871086702990005
1871080908980008
1871085502000005
1871082610830003
1871085612580003
1871080807920001
1871084605880009
1871087012910003
1871086309910005
1871084908770003
1871085808770002
1871080106780004
1803144108950002
1871085707700005
1871090810870004
1871032901900005
1871077103030002
1871074204770005
1871081212790005
1871080609790002
1871081011780006
1871080704030003
3201304208780002
1871086205840001
1871084503780008
1871084303000011
1871061308000005

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 24-9-2021
Jenis
Kelamin
LUSI MURITA P D 10/06/1990
MARCUS KRIDO L D 24/04/1971
REZA FERDIANSYAH L D 25/12/2000
IMAM ASYROFI L D 10/03/1998
SARNI P D 10/26/1987
LISDA WATI P D 02/02/1977
WANDA L D 08/07/1978
SELA AZANI P D 12/02/2002
MUHAMMAD HENDRA L D 07/09/1996
SALSABILA APRIANITA P D 30/10/2003
KARDIANDYAH L D 10/03/2000
SUWANDA L D 12/08/1953
MELIYA P D 25/05/1980
BUDI HARYO L D 16/06/1978
AFRIANDI L D 22/04/1971
WAWAN SISWANTO L D 11/11/1964
FITRI IMILDA P D 24/06/1982
YENI P D 10/05/1987
PURNAMA SARI P D 14/10/1970
PAINAH P D 18/07/1978
FENY FAUZI YANI P D 7/23/1997
MASTIJAB L D 11/12/1996
SUYONO L D 24/02/1989
YOANA PHOEBE P D 01/03/2008
JUAIRIAH UTAMI P D 11/01/1985
UNASIH P D 26/06/1980
URIYAH ULFAH P D 06/08/1982
KALYANAMITA P D 07/06/2008
RUBIAH P D 31/12/1979
MUHAMMAD RIDDHONI L D 12/12/2000
FARI HIDAYAT L D 04/07/2002
LAILA QODRIYAH P D 08/01/1999
ALFANDI L D 30/06/2002
JAR'AH P D 09/05/1976
SISKA WATI P D 06/04/1999
RIVALDO APRIWANSYAH L D 27/04/2005
IMAS KARNASIH P D 28/03/1948

AHMAD JUBAEDI L D 5/10/1997
DEVI YANTI P D 6/1/1984
ANGGA WIJAYA L D 8/8/1991
LIM TJIN LIONG L D 11/11/1971
PUTRI YULIARISKA P D 2/17/2004
ADI KURNIAWANSYAH L D 02/05/2003
M. ERDIAN L D 06/01/1993
A KHUSEN ZA L D 5/7/1980
AHMAD FADHILAH L D 11/28/1996
MARSHANDA KURNIA PUTRI P D 7/2/2004
NURDIN L D 1/9/1981
NUR'AINI P D 8/8/1975
UPI SUNDARI P D 8/6/1970
MASAMAH P D 18/05/1974
NURHAYA P D 13/12/1979
RAHMAT KURNIAWAN L D 2/8/2003
ARSIH P D 17/06/1982
ANO SUMARNA L D 9/14/1970

ARIS ARITA SARY P D 4/20/1982
ACA L D 09/11/1970
ASNI P D 5/20/1978
SOLEH L D 5/17/1972
ZAINUDDIN L D 12/3/1985
MAY SAROH P D 5/8/2000
JAENAB P D 3/7/2006
WAHYU LUTFI GUNAWAN L D 10/18/1995
HERMI L D 4/28/1967
SUTARMAN L D 8/19/1971
MELIA SARI P D 5/4/2002
SINTIA WATI P D 2/13/2002
MONIK MUTIAH P D 10/28/2001
AWIS SUSANTO L D 3/17/1983
ELI ROHMAN L D 11/11/1993
HAMIDAH LESTARI P D 8/28/2005
SAMSINAR P D 9/9/1977
MUHAMMAD WILDAN L D 3/13/2005
SUGIARTO L D 01/02/1985
ROSNAWATI L D 9/5/1990
KHOIRUL L D 04/06/1976
CAMELIA P D 28/01/2000
YULIYANI P D 7/17/1992
GITAOKTAVIANA P D 19/10/2001
SUCIATI YUDANINGSIH P D 11/24/2002
AHMAD DELLY L D 19/09/2006
DEWI RIYANTI P D 6/19/1986
MANAP L D 8/17/1980
BODING L D 7/21/1950
ADE SEPTIANA P D 07/09/1994
MUNENI P D 26/10/1983
ARDIANSYAH L D 28/06/1990
PARJINEM P D 03/12/1958
ELI WARDANI P D 5/15/1990

DIYAN PUTRI P D 4/11/1999
SANTI P D 12/30/1981
MARHAWI L D 1/19/1960
IRVANDI SAFRIN L D 3/1/1981
SRI REZEKI P D 8/7/1976
M. RANI SYAHRANI L D 12/11/1978
GANI ARTA L D 11/20/1994
MARISA JULIANTINA P D 7/27/2001
SUDIRMAN L D 2/16/1963
PRIO UTOMO L D 12/12/1977
HENDRA SETYA L D 20/09/1982
ANITA SETYOWATI P D 05/09/1983
NORBERT L D 08/06/2005
HILDA PURNAMASARI P D 11/01/1991
SITI HERAWATI P D 01/10/1982
MASNONA P D 04/08/1963
M SARIFUDIN L D 8/1/1989
WINDA P D 11/01/1993
ARYA MANDALA P L D 29/12/2008
NUR DAHLIA P D 20/08/1980
SARAH YULIANTI P D 16/07/1997
MARINA EFRIAN P D 13/03/1995
SINTA AGUSTINA P D 8/17/2000
ENI APRIYANI P D 12/06/1985
HENDRA NIKO S L D 03/06/1988
RENDI L D 03/05/2001
M RIZKI DEO V L D 06/12/1997
SEPTIYAH P D 27/06/1992
FENTI ANDRIYANI P D 11/04/1974
LELA FITRI H P D 05/10/1987
SAIRUN L D 9/25/1966
SUSENO L D 5/4/1974
MARDIANTO L D 09/09/1987
SITI MUNAWAROH P D 06/03/1987
SEPTIANINGSIH P D 23/11/1985
SANA'AH P D 12/08/1998
RATNA ISDAHLIA P D 24/07/1995
ANANDA AYU HERIENI P D 27/02/1998
EMIL FARUKI L D 25/03/1971
SUHETI P D 18/06/1974
BASARUDIN L D 1/1/1974
PURBO WASESO U P D 11/11/1994
MELIANI P D 28/05/1994
SUNAINAH P D 3/8/1982
SARIMANAH P D 5/2/1979
KHAIRUN NISA P D 09/04/1997

NUR ANDA YANI P D 9/8/1972
NURUL FAJRIN L D 09/01/2000
LILIS ERNAWATI P D 9/11/2000
KHOIRI L D 3/21/1968
MASNUN L D 7/7/1977
TITI SARI P D 08/12/1985
M IRVAN MAULANA L D 02/03/1997
SRIYANI P D 11/25/1992
JULIANA P D 1/9/2003
HAPIPI L D 7/10/1986
SILFANI AYU P D 29/10/1991
MIKO ADITYA L D 8/19/2003
SOFYAN AJZUAR L D 4/12/1994
TURIYAH P D 21/04/1980
BAGUS SAMUDRA L D 20/10/2001

SUKMARIAH P D 10/7/1984
DEDE SUHAIMI L D 3/2/1987
MAS'ANAH P D 10/28/1969
RULLY IRAWATI P D 15/09/1987
FARIDA FASA P D 11/13/1988
M HAFIF WIJAYA L D 1/25/1996
ERWIN L D 6/7/1975
RIANTI P D 10/4/1988
NURUL PUTRI R P D 4/1/1997
ZANIAR P D 11/4/1971
A ROHMAN L D 1/1/1986
SUPANI L D 12/13/1998
AHMAD JUANDA L D 4/25/2003
SOLEKAH P D 4/28/1974
SAPNAH P D 8/5/1967
NOVALIA P D 11/11/1991
ROHMAT L D 1/1/1972
ROCHANI S L D 28/03/1964
YULI YANA P D 6/8/1987
SAMSUDDIN L D 23/09/1955
YUSMIATI P D 7/5/1963
ALI IMRON L D 27/10/1992
UNAYAH P D 3/11/1982
SITI ARYANTI P D 25/04/1986
SLAMET L D 8/7/1984
KASWARI L D 4/2/1963
DEWI P D 2/20/1966
NUR AFNI P D 23/10/1979
HARNI P D 25/02/1991
BEBEN RIAN J L D 15/02/1992
ADI SOFIAN L D 13/04/1979

YANTO WAWAN L D 5/20/1957
SUHERMANSYAH L D 3/4/1958
ADITIA FERNANDO L D 10/20/2001
ASNAWIYAH P D 7/16/1985
WIDYA NINGSIH P D 8/13/1998
AGUS SISWANTO L D 8/7/1971
DIAN SAPUTRA L D 1/31/2000
MAMIK LESTARI P D 5/13/1982
SARIYANI L D 06/06/1978
HILYANA SAVIRA K P D 06/05/2000
WARNI P D 15/03/2001
DEDEH P D 11/04/1986
HENI OKTAVIANI P D 18/10/1989
NANI WARTI P D 24/03/1976
SANTI DEWI A P D 03/10/1993

SITI KORIWATI P D 12/03/1988
ANNISA MARDOTILLAH P D 02/05/2000
YUDHA SATRIA L D 10/05/1989
JEFRI SUGIYANTO L D 12/11/1997
M MUSLIH L D 09/05/1983
RIFDA T SAMROTUL P D 08/01/2005
GEORGEAN TAFFINE P D 30/03/2005
GABRIELLE CLEONE P D 23/10/2008
SAIFUL ANWAR L D 03/01/1959
AWANG SANJAYA L D 13/05/1989
MARLINDA P D 14/03/1982
KOMANG GITA P P D 6/18/2007
NILUH MAHARANI P D 22/06/2005
DINO L D 01/08/1993
NANANG KURNIADI L D 28/01/1976

SRI YULIANI P D 08/07/1965
AGIS SAPUTRA L D 14/06/2003
MUHAMMAD AFDAL L D 11/04/2005
ROMLI SUHENDRA L D 06/06/1984
ZAHARI YANTO L D 13/04/1981
LILIS SURYANI P D 15/06/1980
NURAHMANUDIN L D 25/05/1977
RISKI RAMADAN L D 23/11/2001
SITI MUSTANGINAH P D 22/08/1987
PONIMAN L D 11/27/1987
FARIZAL ZAILIS L D 2/6/1977
DIAH PARAMITHA P D 24/03/1996

NURYANTI OKTAVIA P D 23/10/1994
AAL AROHMAD L D 01/01/1980
ESTER KHARISMA T P D 25/08/2003
UMU IBADIYAH P D 18/03/2004
ALFREDO L D 07/04/1995
JUNAEDI L D 24/11/1983
MULIYADI L D 18/08/1971
HAIRUL L D 25/01/1982
ZULEHA P D 20/09/1981
ZAHWAN MARZUKI L D 3/7/1987
SITI NURYATI P D 1/2/1971
MELANI SARI P D 11/05/1995
SURIP GITO L D 1/1/1963
BABAY HERAWATI P D 24/10/1981
AYU PURWATI P D 12/25/1991
LASTI PUTRI DIANTI P D 4/11/1996

RIRI NOVIA P D 11/30/1994
FINATI THOIBAH P D 8/27/1997
DHEA NADILA P D 05/03/1998
ZUBAIDI L D 10/12/1968
HADIJAH P D 8/18/1986
SIGIT HARYANTO L D 17/09/1979
LENA P D 07/06/1982
RUSDI L D 6/15/1971
IBRAHIM SHIDDIQ L D 01/03/1998
NUR HIKMAH SAVIRA P D 9/8/1999
DESI ASRIANTI P D 12/17/1980
NISKA SHAKILA P D 19/10/1999
RIA OKTAVIANI P D 04/10/1994
DEA NOVARINDA P D 27/11/1998
FERDIANSYAH L D 19/07/1991
MANSURSYAH L D 7/27/1963
ROS AGUSTINA P D 17/08/1962
DIAN ANGGITA P D 9/20/1996
ERIKA PUTRIYANTI P D 27/01/1981
NOPI RUDIANTI P D 11/11/1981
KARMAN L D 3/6/1975
SITI RUKIYAH P D 9/4/1983
SAPTU'AH P D 6/12/1964
ERIKSON L D 1/7/1983
M. YUSUF L D 06/02/1970
HARIADI L D 8/26/1998
HUSEN MAHESA L D 9/9/2001
RUMAINI P D 10/16/1965
ELI SUNARIAH P D 2/27/1979
JUMETI P D 12/12/1925
SOLEHA P D 3/24/1978
FURIYADI L D 6/28/1980
ARIS SUBAKTI P D 05/06/1984
GUSTI INDRA L D 8/8/1995

MALADI L D 24/11/1998
SITI MUNAWAROH P D 12/09/1984
MELANTIKA SAFITRI P D 17/05/2000
TRI DAMAYANTI P D 14/08/1992
SHELLY GUSTINA P D 8/23/1993
MARLENI P D 3/5/1978
RICARDO HERENDRA L D 07/03/2003
MARDALENA P D 22/04/2000
ROHMANDA L D 17/09/1998
PRIBOWO L D 20/02/1997
MARDIYANA P D 25/07/1983
ANDRIYANTO L D 7/16/1982
ANTONI RUSLI L D 05/06/1976
INDAH LESTARI P D 25/12/2001
MARTIN L D 3/4/1991
RUDI ANSORI L D 14/10/1973
VIVI ALYA P D 17/11/2002
M RIZIQ L D 11/1/2002
PIRA YUNITA P D 16/02/2001
MISPAWATI P D 6/20/1977
KEKE AMELIA P D 09/05/2000
YULIA ANDINI P D 7/21/1996
KOMARUDIN L D 8/27/1980
ANDRIYANSYAH L D 06/11/1994
SUMINI P D 6/28/1979
UNAYAH P D 04/08/1979
MIRAWATI P D 23/09/1996
TASLIM L D 5/1/1967
RICARDO HERENDRA L D 07/03/2003
ENDANG MARLIANI P D 02/07/1985
YUSUPRI L D 5/30/1964
SARMILA P D 6/16/1999
DWITA RAMA AYUNINGRUM P D 22/12/1998
SITI MARIA P D 8/25/1987
HUSMIYATI P D 6/23/1993
AGUS WAHYUDI L D 8/9/1997
YULIANA SARI P D 2/15/2000
BUDI YANTO L D 26/10/1983
SATUAH P D 12/16/1958
RONAL SAPUTRA L D 04/12/1993
ENAWATI P D 5/6/1988
RIKASNI P D 12/30/1991
INTAN NILA SARI P D 23/09/1991
SRI WULANDARI P D 8/18/1977

AMSORI L D 6/1/1978
AULERIA P D 01/08/1995
UNAH P D 7/17/1970
HANDOKO L D 08/12/1987
BRIANDI RIZKI L D 29/01/1990
ALLYSA SORAYA P D 31/03/2003
NURMALIA P D 02/04/1977
BAMBANG IRAWAN L D 12/12/1979
ASIM ASHARI L D 06/09/1979
AJAI RIJAKSANA L D 07/08/2003
SILVI AGISTIKA P D 8/2/1978
MAISYAROH P D 22/05/1984
MARLENI P D 3/5/1978
NABILA UTAMI P D 03/03/1999
ANGGA SAPUTRA L D 13/08/2000
A = Sinovac
129 BPJS PBI
152 BPJS Non PBI
66 Non Anggota
17
364 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
374 Total
0
374
Umur
(18 sd ≥ 60 tahun)
32 31-45 SUKARAME 2
52 46-59 KEDAMAIAN
22 18-30 NOG
25 18-30 BATU PUTUK
35 31-45 BATU PUTUK
46 46-59 NOG
44 31-45 KURIPAN
21 18-30 BATU PUTUK
26 18-30 BAKUNG
19 18-30 KURIPAN
23 18-30 KURIPAN
69 ≥60 KURIPAN
43 31-45 PANJANG
44 31-45 NOG
52 46-59 NOG
39 31-45 KURIPAN
58 46-59 TJ SENANG
40 31-45 BATU PUTUK
40 31-45 NOG
36 31-45 NOG
52 46-59 TJ SENANG
44 31-45 BATU PUTUK
25 18-30 TKB
26 18-30 BAKUNG
34 31-45 BATU PUTUK
15 0 KEDAMAIAN
38 31-45 PERWATA
42 31-45 BATU PUTUK
40 31-45 BATU PUTUK
14 0 KEDAMAIAN
39 31-45 BAKUNG
43 31-45 BAKUNG
22 18-30 BAKUNG
20 18-30 SUKARAME 2
24 18-30 RAJABASA
20 18-30 BATU PUTUK
47 46-59 BATU PUTUK
24 18-30 KETEGUHAN
48 46-59 BAKUNG
18 18-30 KURIPAN
75 ≥60 TBU
26 18-30 BATU PUTUK
38 31-45 BAKUNG
31 31-45 NOG
51 46-59 BAKUNG
19 18-30 BAKUNG
20 18-30 NOG
30 18-30 BAKUNG
43 31-45 BATU PUTUK
26 18-30 BAKUNG
18 18-30 KOBUM
42 31-45 BATU PUTUK
47 46-59 BAKUNG
52 46-59 BATU PUTUK
49 46-59 BAKUNG
43 31-45 BATU PUTUK
20 18-30 NOG
40 31-45 KURIPAN
52 46-59 BAKUNG
47 46-59 BATU PUTUK
41 31-45 KEDATON
52 46-59 TBU
45 31-45 BAKUNG
51 46-59 TBU
37 31-45 NOG
23 18-30 GN PUTIH
17 0 BATU PUTUK
27 18-30 KEDATON
56 46-59 BAKUNG
51 46-59 BUMI RATU
21 18-30 BAKUNG
21 18-30 TBT
21 18-30 NOG
40 31-45 METRO
29 18-30 BATU PUTUK
17 0 BAKUNG
45 31-45 BAKUNG
46 46-59 TBU
18 18-30 LAMTENG
38 31-45 BAKUNG
32 31-45 BATU PUTUK
46 46-59 LAMTENG
23 18-30 BAKUNG
30 18-30 TBS
21 18-30 CUKUH BALAK
20 18-30 KOBUM
16 0 BAKUNG
36 31-45 BAKUNG
42 31-45 BAKUNG
72 ≥60 BAKUNG
28 18-30 BATU PUTUK
39 31-45 BAKUNG
32 31-45 BAKUNG
64 ≥60 BAKUNG
33 31-45 BAKUNG
24 18-30 BAKUNG
41 31-45 BATU PUTUK
63 ≥60 BAKUNG
42 31-45 NOG
46 46-59 BAKUNG
44 31-45 NOG
28 18-30 BAKUNG
21 18-30 BAKUNG
60 ≥60 BAKUNG
45 31-45 BAKUNG
40 31-45 SANANWETAN
39 31-45 SANANWETAN
17 0 KEDAMAIAN
32 31-45 BAKUNG
40 31-45 BATU PUTUK
59 46-59 BATU PUTUK
33 31-45 BATU PUTUK
46 46-59 BAKUNG
30 18-30 BATU PUTUK
14 0 NOG
45 31-45 BATU PUTUK
42 31-45 NOG
25 18-30 TJ SENANG
28 18-30 BATU PUTUK
38 31-45 NOG
60 ≥60 NOG
22 18-30 BATU PUTUK
37 31-45 BATU PUTUK
34 31-45 SETU
22 18-30 BATU PUTUK
25 18-30 KURIPAN
30 18-30 BATU PUTUK
35 31-45 NOG
56 46-59 BAKUNG
49 46-59 BAKUNG
35 31-45 BAKUNG
36 31-45 BAKUNG
37 31-45 BAKUNG
24 18-30 BATU PUTUK
27 18-30 PIDADA
25 18-30 ANANDA AYU H
29 18-30 BATU PUTUK
48 46-59 KURIPAN
49 46-59 TBS
28 18-30 BATU PUTUK
26 18-30 NOG
29 18-30 BATU PUTUK
41 31-45 BATU PUTUK
44 31-45 BATU PUTUK
26 18-30 TKP
34 31-45 BATU PUTUK
50 46-59 BAKUNG
23 46-59 BATUPUTUK
22 18-30 BAKUNG
55 46-59 BAKUNG
45 31-45 BAKUNG
37 31-45 BATU PUTUK
26 18-30 BAKUNG
30 18-30 BATU PUTUK
20 18-30 BATU PUTUK
36 31-45 BAKUNG
31 31-45 RAJA BASA
19 18-30 BATU PUTUK
29 18-30 NOG
32 31-45 BATU PUTUK
43 31-45 BATU PUTUK
52 46-59 BAKUNG
21 18-30 BAKUNG
38 31-45 BATU PUTUK
36 31-45 BAKUNG
53 46-59 BAKUNG
35 31-45 BAKUNG
34 31-45 NOG
36 31-45 NOG
27 18-30 BAKUNG
47 46-59 BAKUNG
34 31-45 BATU PUTUK
41 31-45 BATU PUTUK
42 31-45 BATU PUTUK
26 18-30 KEMAYORAN
51 46-59 BAKUNG
37 31-45 BATU PUTUK
24 18-30 BATU PUTUK
20 18-30 NOG
49 46-59 BATU PUTUK
55 46-59 BAKUNG
31 31-45 BAKUNG
42 31-45 BATU PUTUK
51 46-59 BAKUNG
59 46-59 BAKUNG
35 31-45 BAKUNG
49 46-59 BAKUNG
67 ≥60 BAKUNG
59 46-59 BAKUNG
30 18-30 JATI AGUNG
41 31-45 BAKUNG
37 31-45 BAKUNG
38 31-45 BAKUNG
60 ≥60 BAKUNG
57 46-59 NOG
43 31-45 NOG
32 31-45 BATU PUTUK
31 31-45 NOG
44 31-45 BATU PUTUK

66 ≥60 BAKUNG
65 ≥60 SUKAJAWA
21 18-30 BAKUNG
37 31-45 BATU PUTUK
24 18-30 NOG
38 31-45 BATU PUTUK
51 46-59 KETEGUHAN
23 18-30 BATU PUTUK
32 31-45 BATU PUTUK
41 31-45 BAKUNG
44 31-45 BUMI RATU
23 18-30 BAKUNG
22 18-30 NOG
37 31-45 BATU PUTUK
33 31-45 NOG
33 31-45 BAKUNG
47 46-59 BAKUNG
29 18-30 NOG
35 31-45 BAKUNG
23 18-30 KURIPAN
41 31-45 BAKUNG
34 31-45 NOG
25 18-30 TJ SARI
40 31-45 BATU PUTUK
18 18-30 KURIPAN
42 31-45 BATU PUTUK
18 18-30 TBS
14 0 TBS
64 ≥60 SUKARAME
34 31-45 NOG
41 31-45 KURIPAN
15 0 KEMILING
17 0 LAMBAR
29 18-30 BUMI JAYA
47 46-59 BAKUNG
57 46-59 BAKUNG
19 18-30 BAKUNG
18 18-30 NOG
38 31-45 BAKUNG
32 31-45 BAKUNG
42 31-45 BAKUNG
67 ≥60 BAKUNG
42 31-45 BATU PUTUK
26 18-30 BAKUNG
42 31-45 BAKUNG
46 46-59 BAKUNG
26 18-30 BATU PUTUK
21 18-30 BAKUNG
35 31-45 BAKUNG
35 31-45 BATU PUTUK
46 46-59 BAKUNG
27 18-30 PESAWAHAN
28 18-30 BAKUNG
43 31-45 BATU PUTUK
19 18-30 BAKUNG
19 18-30 BAKUNG
28 18-30 TKB
31 31-45 NOG
51 46-59 NOG
41 31-45 NOG
41 31-45 BUMI WARAS
36 31-45 GEDUNG PAKUAN
52 46-59 NOG
28 18-30 NOG
60 ≥60 NOG
41 31-45 BAKUNG
31 31-45 NOG
27 18-30 NOG
28 18-30 NOG
25 18-30 NOG
25 18-30 NOG
54 46-59 NOG
36 31-45 NOG
43 31-45 NOG
40 31-45 NOG
51 46-59 NOG
45 31-45 NOG
25 18-30 NOG
50 46-59 NOG
23 18-30 NOG
42 31-45 JAGABAYA 2
23 18-30 NOG
28 18-30 NOG
24 18-30 NOG
31 31-45 NOG
59 46-59 NOG
60 ≥60 NOG
26 18-30 NOG
42 31-45 NOG
41 31-45 NOG
48 46-59 NOG
39 31-45 NOG
58 46-59 NOG
40 31-45 BAKUNG
53 46-59 NOG
24 18-30 NOG
21 18-30 NOG
57 46-59 NOG
44 31-45 BAKUNG
97 ≥60 NOG
45 31-45 NOG
38 31-45 NOG
27 18-30 TALANG
24 18-30 NOG
42 31-45 NOG
38 31-45 NOG
23 18-30 NOG
30 18-30 NOG
29 18-30 NOG
45 31-45 NOG
20 18-30 BUMI WARAS
52 46-59 NOG
23 18-30 KURIPAN
24 18-30 NOG
23 18-30 NOG
26 18-30 NOG
45 31-45 NOG
26 18-30 NOG
46 46-59 NOG
39 31-45 NOG
40 31-45 NOG
46 46-59 NOG
21 18-30 NOG
32 31-45 NOG
49 46-59 NOG
20 18-30 NOG
20 18-30 NOG
22 18-30 NOG
45 31-45 NOG
23 18-30 NOG
26 18-30 NOG
42 31-45 NOG
28 18-30 NOG
43 31-45 NOG
43 31-45 NOG
26 18-30 TBT
56 46-59 NOG
20 18-30 BUMI WARAS
37 31-45 BUMI WARAS
59 46-59 NOG
23 18-30 NOG
24 18-30 KEDATON
35 31-45 KUPANG RAYA
29 18-30 NOG
24 18-30 NOG
25 18-30 NOG
23 18-30 NOG
39 31-45 NOG
64 ≥60 NOG
29 18-30 NOG
35 31-45 NOG
31 31-45 NOG
31 31-45 NOG
45 31-45 NOG
45 31-45 NOG
44 31-45 NOG
27 18-30 NOG
52 46-59 NOG
35 31-45 TBU
33 31-45 TKT
20 18-30 NOG
46 46-59 NOG
43 31-45 NOG
43 31-45 NOG
44 31-45 NOG
19 18-30 NOG
44 31-45 NOG
39 31-45 NOG
45 31-45 NOG
24 18-30 NOG
22 18-30 NOG
Pekerjaan
125 A
145 B
104 C
374 D
E
255 Total
4
0
259
No. Hp
081373402556 YA
081279791011 YA
085847784519 YA
082179072294 YA
08957975782
089513212917
082377305867 YA
0895347292532 YA
089517072247
08951244831
085839167674 YA
089698592522
083156457066 YA
085669331644 YA
089632161421 YA
085788844852 YA
082278744911 YA
082278744911 YA
089630601032
082182347358 YA
082278744911 YA
0895619627466 YA
085377589841 YA
089670900603
089630567186 YA
089637705555 YA
085758333085 YA
082150633104
085841832737 YA
08127961610 YA
082184694965 YA
08994299984
085669471353
087870246198
088274015134 YA
085832730858 YA
082278744911 YA
081249610351 YA
085788526919 YA
085384999943
085279502949 YA
085669531507 YA
082278744911
082278744911 YA
085379761243 YA
089608943039
082278744911 YA
089526114070 YA
082269046711 YA
087899225773 YA
087867155793 YA
085366923516 YA
089627059104
08989185915 YA
089526244465 YA
085890909368 YA
089530325439
082278744911 YA
0895352113667
082278744911
08972802429
085788085871
0895416729300 YA
082173483230 YA
081391494477 YA
089528540713
085896217052
0895600650050
085384752736 YA
085216228644
YA
08998852436 YA
083176682116 YA
082383874907
082114033202 YA
089522018810 YA
085378779495
085658303660
YA
089633424732
085789781538 YA
085218483734 YA
08578929433 YA
0895351118746 YA
YA
089691857952 YA
089616045765
089517072469 YA
081271255422 YA
085658303660 YA
089532027008 YA
089632463737 YA
089522100673 YA
085700283806 YA
085838204203 YA
085832630053 YA
089603020959 YA
0895348055917
089691219038 YA
085832122204 YA
YA
08979725597 YA
081379304176 YA
089517072386 YA
YA
YA
081279791011
083174874308
08
085768865482 YA
081379740741 YA
085380294260 YA
089637699558 YA
085360011419 YA
082372205724
085360011491 YA
08
085273579729 YA
08 YA
0895611107760
0895336805599 YA
081369996337
081310673333 YA
085788112430 YA
085212113053
0895640452962 YA
081272003179
08 YA
081379299911 YA
085269119330
082179113960 YA
082180482689
085268232276 YA
085896511935 YA
08978940373 YA
08 YA
082311242888
085783139070 YA
085379161733 YA
089624429005 YA
089655581294
089624429005
08979109265 YA
08975731877
08 YA
085769695931
08979109265 YA
083170257958
0895320489381
089651367632 YA
0895416729070
082178767038
082269046711
08986402778 YA
089690974391 YA
088276311502 YA
085283712119
089526066058 YA
085658934951
08 YA
0823222057 YA
085161658502 YA
089603239913 YA
0895416730501
082186750368
081278251337
082376330765
085377743393 YA
08 YA
0895332323637 YA
0811722919 YA
081272154157
085218913665
085218913665 YA
089690974391
081291287422 YA
085384341747 YA
085218913665
0895600650708 YA
089523136039
08 YA
0895600675400 YA
0895600675400
08
085269060580 YA
085709692590
089631993383
082374506990
089603239913 YA
082373140153 YA
YA
089630514012 YA
088287585181 YA
089628868845 YA
082185048763 YA
089514087962 YA
089618576999 YA
089689632952 YA
082175556421
0895621015456
088286106049
081273166878 YA
085273368494
081278631173
081271852355
081278631173
082181042984
0895610058770 YA
08978301026 YA
082177553013
085267906836 YA
0895352660110 YA
089632637329 YA
085839328442 YA
089651435735 YA
089603020959 YA
082177353013 YA
0895336450022 YA
085273179993 YA
0895343221873 YA
0895616082458 YA
085369562112 YA
085267883370 YA
089521133126 YA
085384549900
085766817259 YA
085100475500
085100475500 YA
082310597351 YA
089522330398
085384549900 YA
081369306510 YA
081373814899 YA
082311320742 YA
085758608048 YA
089522100673 YA
089524992965
088286586971 YA
082372055887 YA
0895346290120 YA
089532027008 YA
089633830837
085602318526 YA
088286106049 YA
081369510771 YA
083168264289
085778237237 YA
08984291470 YA
082372055887 YA
089631987785 YA
083169572778
08996466880 YA
089673292043 YA
081272724134 YA
082377025036 YA
082184694965 YA
0823748784884
YA
085797274007 YA
081379194784 YA
085266456732
082177489217 YA
085267766088 YA
089633851183 YA
0895620224691 YA
082177580529 YA
085268658795 YA
082282369041 YA
081367763114 YA
081278419014 YA
085773337227 YA
081278949612 YA
081379912345 YA
082278501388 YA
085279179247 YA
085279179247
081366597434 YA
081272705354 YA
081367777332
08984291760 YA
0895621614927 YA
081369289766 YA
089505555565 YA
08991910582 YA
089513675386
085161009737
081279429564
081278282210 YA
08985395533 YA
085269381778 YA
085856914766 YA
089634265523 YA
089634365523 YA
08973790351 YA
082175745565
081373410012 YA
085788338992 YA
0895609808937 YA
0812496110351 YA
0823069338196 YA
089536800206 YA
082180676957 YA
089652922520
081271951543 YA
085779186811 YA
083169283739 YA
081249610351
089506210710 YA
089633834828 YA
0895376235123 YA
082183552173 YA
089514035140 YA
085269321760 YA
08996998456 YA
083112828430 YA
089632387138 YA
089650988166
0895609933445 YA
089516650056 YA
0895345154205 YA
081249610351
08993636065 YA
081279243223 YA
082180862551 YA
089673691539 YA
082372852661 YA
081272802973
0895336455544 YA
085809979192 YA
083197491057
089636307092
085832051779 YA
082377358334
089518609846 YA
0895364136724 YA
089530325704 YA
083153666871 YA
085630653086 YA
082181182768 YA
085269321760 YA
081278072377 YA
085366250003 YA
089603378395 YA
085840508798 YA
08984294656
08984260569 YA
082375978239 YA
0895610060411 YA
081249610351 YA
08982506114 YA
085695929909 YA
081373309420 YA
085695929909 YA
085695929909 YA
089530325436 YA
089516650056 YA
089508907227 YA
083193812354
082281419896 YA
0895604083189 YA
0895613333200 YA
085788839376 YA
082184006171
082181999110
089620352290 YA
089506210710 YA
082176714447 YA
089518206145 YA
0895348055917 YA
08996403175 YA
089514035140 YA
081249610351 YA
083192602698 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
8/24/2021 CORONAVAC
8/18/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
7/21/2017 SINOVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC

8/23/2021 CORONAVAC
8/19/2021 CORONAVAC
8/23/2021 CORONAVAC
8/23/2021 CORONAVAC
8/25/2021 CORONAVAC
8/23/2021 CORONAVAC
8/24/2021 CORONAVAC

8/24/2021 CORONAVAC


8/23/2021 CORONAVAC
YA
8/20/2021 CORONAVAC

8/24/2021 CORONAVAC

8/25/2021 CORONAVAC
8/23/2021 CORONAVAC


8/27/2021 CORONAVAC


8/25/2021 CORONAVAC


8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/27/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/25/2021 MODERNA
8/2/2021 CORONAVAC
Dosis I
Tanggal Pemberian
Vaksinasi
8/24/2021 24004421
8/18/2021
8/23/2021 24004921 16255475284001
8/23/2021 24004921 16255465610129
9/24/2021 202108170I
8/23/2021 24004921 16255396068620
8/23/2021 24004921 16255505186253

9/24/2021 202108170I
8/24/2021 24004921 16255504976745
9/24/2021 202108170I
8/23/2021 24004921 16255465614497
3/31/2021 24000721 16124978005644
8/23/2021 24004921 16255465610129
7/21/2017 24201321 16232983420216
8/23/2021 24004921 16255465610129
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
8/23/2021 24004921 16255475284001
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
8/23/2021 24004921 16255396074860
8/19/2021 24004921 16255398690028
8/24/2021 24005221 16263939964152
8/23/2021 24004921 16255465618101
8/23/2021 24004921 16255396074860
9/24/2021 202108170I
9/24/2021 202108170I
8/24/2021 24005221 16263939964620
8/23/2021 24004921 16255396068620
8/25/2021 24004921 16255465407657
8/23/2021 24004921 16255465618101
9/24/2021 202108170I
8/24/2021 24004921 16255505172509
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
8/24/2021
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
8/27/2021
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
8/23/2021 24004921 9/24/2021
9/24/2021
8/20/2021 9/24/2021
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
8/23/2021 24004921 16255465614497
9/22/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
8/24/2021 24004921 16255504977525

9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
8/19/2021 24005221
9/24/2021 202108170I
8/26/2021 24202021
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
8/25/2021 24004921 16255465407657
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
8/25/2021 24004921 16255465407657

9/24/2021 202108170I
9/24/2021 202108170I
8/23/2021 24004921 16255465614497
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
8/23/2021 24004921 16255465626525
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
8/27/2021 24005221
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
8/25/2021 24004921 16255465407657
8/25/2021 24004921 16255465407657
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 001F21A
8/27/2021 001F21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/27/2021 001F21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 001F21A
8/25/2021 021D21A
8/25/2021 021D21A
8/25/2021 001F21A
8/25/2021 021D21A
8/2/2021 24004121
Dosis 2
Tanggal Pemberian
Vaksinasi
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
202108170I
202108170I
202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 001F21A
9/24/2021 202108170I
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
.
.
.
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 Q-000PBYXT
94 P-WOFV1564

D = Lainnya
E = Tidak Bekerja
NIK
1871085708970006
1871091806740002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SABTU / 25-9-2021
Jenis
Kelamin
YENI YANTI P D 24/06/1997
ARJONI SIDABUTAR L D 18/06/1974
A = Sinovac

142 BPJS PBI
129 BPJS Non PBI
104 Non Anggota
20
395 Total
0 Dosis 1
1 Dosis 2
0 Dosis 3
413 Total
1
415
Umur
(18 sd ≥ 60 tahun)
25 18-30 SUKARAME 2
48 46-59 TBU
Pekerjaan
161 A
108 B
146 C
415 D
E
272 Total
143
0
415
No. Hp
085773921780 YA
082178789056 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota
8/25/2021 CORONAVAC

Dosis I
Tanggal Pemberian
Vaksinasi
8/25/2021 24005221
9/25/2021 202108170I
Dosis 2
Tanggal Pemberian
Vaksinasi
9/25/2021 202108170I
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-EDTCQ4IQ
2 P-H8G3UMVI
3 P-HZMGWK85
4 P-IG2FTFWG
5 P-IYGPUF58
6 P-JLBVWBAK
7 S-726C23EC
8 P-2KHD9WOY
9 P-48J4WD58
10 P-5X7YHA4K
11 P-7JBGFPG
12 S-OAOC2642
13 P-B4LWK145
14 P-CW61AKI9
15 P-ECGFXZ2G
16 P-FRUTC1NP
17 S-8A880938
18 P-K7FD7VYZ
19 J-00001BDB
20 S-D32F193B
21 S-C3D5AEE3
22 P-N4A87IGQ
23 P-NJZFLVLF
24 S-AE9F1658
25 P-OFWQJZK7
26 P-OUCVKBNH
27 P-PCNBFDDN
28 S-60848457
<12 th 29 P-Q7HS65QX
30 P-R7UTI001
31 P-ROOEFXCC
32 P-JSFPV3JE
33 P-SJSG0LAK
34 P-SYRMQJJ5
35 P-TMZOMOOB
36 P-UCNGEV04
37 P-UUH5L506
38 P-VBSEZN89
39 P-VPWNUBLM
40 P-WA2D867N
41 P-WRJYJFMB
42 P-XDUTPY1V
43 P-XTR43E7L
44 P-Y9TMB133
45 P-YQBVEYUP
46 P-Z4IKY4BX
47 P-ZPE8PTSU
48 P-ZPLMU771
49 CAPIL
50 S-ADEA3679
51 P-ZPVJGGVD
52 P-ZPZU2BFV
53 P-ZQ4LWSZ7
54 P-ZQ8YBMCD
55 P-ZQD6DZUK
56 P-ZQHREEBS
57 P-ZQMTZMHF
58 P-ZQQYM5X9
59 P-ZQUOVU3C
60 P-ZQYGJU4Y
61 P-ZR1WGBBK
62 S-BBAB2385
63 P-ZRBASOVX
64 P-ZRFON86V
65 P-ZRJGNDYJ
66 P-SAMSUDQE
67 P-ZRQJ46BI
68 P-T57ALOJQ
69 P-ZRWPIEHE
70 P-ZSOJEUMA
71 P-ZTOASOJZ
72 P-ZT1RQCY7
73 P-ZT3KEEOK
74 P-ZT5002JG
75 P-ZT66TBML
76 P-ZT7IG3PM
77 P-ZT8UKR4N
78 P-ZTA5N09H
79 P-ZTB23ZJ6
80 P-ZTBT4VR3
81 P-ZTCL7IHC
82 P-ZTDDOYSY
83 P-ZTEWB5Q8
84 P-ZTETQBBO
85 P-ZTFR93YB
86 P-ZTGGKJKT
87 P-ZTH5JZHO
88 P-ZTHSJUJM
89 P-ZTIMPHNJ
90 P-ZTJ2OF4
91 P-ZTKO5V6Y
92 P-ZTLHJPOX
93 P-ZTM4ORVX
94 P-ZTMP4ZHB
95 P-ZTNCULOC
96 P-ZTPFLRQ3
97 P-TWJC8ODU
98 P-ZTRBLE1H
99 P-ZTSOP89X
100 P-ZTTFNMOP
101 P-SCANMPU2
102 P-ZTU1SIBM
103 P-ZTW1JMM3
104 S-E7FODBF2
105 P-ZTXJ2TD3
106 P-ZTYD885B
107 P-ZTYZTVEH
108 P-ZTZO8CED
109 P-ZUOGU972
110 P-ZU1DOGAQ
111 P-ZU281PJB
112 P-ZU2Y5DR8
113 P-Z43SJHYU
114 P-Z44MEKHT
115 P-Z45XDI1R
116 P-ZU70DAJG
117 P-Z47YVAQB
118 P-ZU93CNB8
119 P-TPRDLXI9
120 P-ZUBH5RRH
121 P-Z4C4RC23
122 P-ZUCVOJ3I
123 P-YDG7TZNJ
124 P-ZUELOHHC
125 S-8BS58530
126 P-ZUG02OBS
127 P-ZUGQ3AXK
128 S-E5D37F2A
129 S-A3F4C362
130 P-ZUIQ0MGO
132 S-84B684B1
133 P-ZUNLESL5
134 S-57D61718
135 P-ZUQQJT07
136 P-ZUSWPUGM
137 P-ZUTNXEPO
138 P-ZUUCCBOP
139 P-ZUV8CYPM
140 P-ZUVTKR75
141 Q-00136GWC
142 Q-0013WAOJ
143 Q-00136HYA
144 Q-00139XQJ
145 Q-00139A7Q
146 Q-00134F05
147 Q-0013AV4Y
148 Q-00134MCS
149 Q-00134MSD
150 Q-00136EAR
151 Q-0013556V
152 K-0001DYKZ
153 Q-00136ITP
154 Q-00137JCC
155 Q-0013NS1U
156 Q-0013XBGH
157 Q-0013PSZI
158 Q-0013BEDU
159 Q-0013QJZ9
160 Q-0013S55P
161 Q-0013NTDG
162 Q-00135TAH
163 Q-00138BUB
164 Q-00136DPG
165 Q-001386AG
166 Q-0013NR5V
167 Q-0013T1NT
168 Q-00138U2K
169 Q-0013EGD
170 Q-0013N8KZ
171 Q-00134N31
172 NIK BEDA NAMA
173 Q-00137BKO
174 Q-0013O91D
175 Q-00137JYK
176 Q-0013AUZB
177 Q-0013T1GF
178 Q-0013N90W
179 Q-0013S547
180 Q-000Y3OZI
1 181 P-HFQTJVLE
182 Q-0013QLLA
183 Q-000VZ4PF
184 Q-0013P7IJ
185 Q-0013P8UB
186 Q-0013QKLQ
187 Q-0013NT1E
188 Q-00134F34
189 Q-0013QLU2
190 Q-00134HGX
191 Q-0013PAMF
192 Q-0012ES2T
193 Q-0010MEA9
194 Q-0013AA8E
195 Q-000B7IU
196 Q-0013BDUL
197 Q-00134H0K
198 Q-0013ABNK
199 Q-00137NII
200 Q-00134ZA5
201 Q-0013A8WA
202 Q-0013A90A
203 Q-00120EHC
204 Q-0012DA77
205 Q-0013A1NX
206 P-W1ZCRK02
207 Q-00138D9Q
208 Q-0013AVNS
209 Z-000BE45X
210 Q-00139C2X
211 Q-0013A25J
212 Q-0013SDKG
213 Q-0013NAJT
214 Q-0013SYUB
215 Q-0013NBG5
216 Q-0013TKXL
217 Q-0013V83D
218 Q-0013VLUV
219 S-DC38729F
220 Q-0013SU5D
221 Q-0013AYJI
222 Q-0013NAT2
223 Q-0013R8F1
224 Q-0013T1E4
225 Q-0013QK50
226 Q-0013STYC
227 Q-0013P8AX
228 Q-0013SS4ZI
229 Q-0013P950
230 Q-0013R905
231 Q-0013N8RX
232 Q-0013P8B7
233 Q-0013WW2Y
234 Q-0013O6TW
235 Q-0013QLZI
236 K-0001LC66
237 Q-0013S4IV
238 Z-000BG7HZ
239 Q-00013O7XX
240 P-3HIPX2H7
241 Q-0013N8KV
242 Q-00137FKU
243 Q-0013NAAN
244 Q-0013S2PT
245 Q-0013QKVD
246 Q-00137MR2
247 Q-000D3YW7
248 Z-000BGQBS
249 Q-0013Q24K
250 Q-0013R9F6
251 Q-0013PZLO
252 Q-0013SW5I
253 Q-00138ULM
254 Q-0013ASCN
255 Q-0013AVQQ
256 Q-0013PCP1
257 Q-00138W0Z
258 Q-00137LWU
259 Q-001386QR
260 Q-00139CSV
261 Q-0013SXLL
262 Q-0013MCO4
263 Q-0013P6FO
264 Q-0013STXZ
265 Q-0013R8JY
266 Q-0013S5MA
267 Q-0013S5F0
268 Q-0013V7XI
269 Q-0012M3DS
270 Q-0013A9S5
271 Q-0012M3DS
272 Q-00135MQ3
273 Q-00139Y8B
274 Q-0013PYJ1
275 Q-00136C69
276 Q-0013A9FO
277 Q-00138B6K
278 Q-0013BES4
279 Q-0013V7PK
280 Z-000BFXMQ
281 Q-0013N8N0
282 Q-0013P80Z
283 Q-0013P8MW
284 Q-0013OC3Y
285 Q-0013PABN
286 Q-0013R9EE
287 Q-0013R8IG
288 Q-0013P7QW
289 K-0001LC74
290 Q-0013WWXO
291 Q-0013S622
292 Q-0013STP6
293 Q-0013AAK1
294 Q-0013VM0L
295 Q-0013SUC0
296 Q-0013R94K
297 Q-0013VM1U
298 Q-0013UDOO
299 Q-0010LJMP
300 Q-0013WCU2
301 Q-0000JNKG
302 Q-0013P7FJ
303 Q-00138TM4
304 Q-001CN1UJ
305 Q-0013MU1K
306 Q-0013QLKN
307 Q-0013R8RP
308 Q-0013AVVZ
309 Q-0013R8U8
310 Q-0013S5IK
311 Q-00133UZW
312 Q-0013BEQT
313 Q-000SJ5P3
1 314 P-ZSYKDYDN
315 Q-0013TIZX
316 K-0001L3EV
317 Q-000UIHKB
318 Q-00139T8A
319 Q-0010OXUE
320 Q-00135VTU
321 Q-00136FTS
322 Q-0013PBCM
323 Q-000WFVEN
324 Q-0013AY3S
325 Q-000ZZU91
326 Q-00139CRA
327 Q-00138G1B
328 Q-00137JEL
329 Q-00136JDD
330 Q-00138TXM
331 Q-001386R9
332 Q-00137DFT
333 Q-000B7EV4
334 Q-00137DQY
335 Q-001386KD
336 Q-0013PZXD
337 Q-0010ISVS
338 Q-0013O5Z9
339 Q-0013NB84
340 Q-000VYH0F
341 Q-001369P2
342 Z-000BEAYW
343 Q-00136FH9
344 Z-000BG0KQ
345 Q-00135TLO
346 Q-0013AVKM
347 Q-000WYY5S
348 Q-00ELQGB
349 Q-00134HPO
350 Q-0013QKPM
C 351 Q-0013NRY2
352 K-0001KHZG
353 Q-0013NARN
354 Q-0013SU8W
355 Q-0013TW98
356 Q-00136F3R
357 Q-000Z6V6S
358 Q-0013P6E9
359 Q-00138CNW
360 Q-0013WDOW
361 Q-0013QL8F
362 Q-0013PY8X
363 Q-0013S5IR
364 Q-0013NCUD
365 Q-0013ACQG
366 Q-0013OE1N
367 Q-001354HP
368 Q-0013UT7UP
369 Q-0010ITP6
370 Q-0013QJZM
371 K-0001KGRK
372 Q-0013R8Z4
373 Q-000YWJBN
374 Q-0013Q1TR
375 Q-0013SU7U
376 Q-0013P8VI
377 Q-0013WVD0
378 Q-0013PD2E
379 Q-0013OCZS
64 380 Q-0013P6UK
381 Q-001399WQ
382 Q-0013Q1KM
383 Q-00134ZF0
384 Q-00136JE4
385 Q-0013MUJF
386 Q-0013CJN6
387 Q-0001B89G1
388 Q-00138V0W
389 Q-0013AWAG
390 Q-00138TEG
391 Z-000BECGQ
392 Q-000Y8BSW
DULU GOTO 393 SLH INPUT
394 Q-0013PXTM
395 Q-0013MTJL
396 BLM INPUT
397 Q-0013AX98
398 Z-000BE751
399 Q-0013BEJ8
400 Q-00138JZO
401 Q-00139GJ
402 Q-001391M7
403 Q-0013BE84
404 Z-000BG0JX
405 Q-0013AWH8
406 Q-001S54N2
407 Z-000BGOPW
408 Q-0013OE4K
409 Q-0012NKZS
410 Z-000BE547
411 Q-0013V85P
412 Q-0013NSNI
413 Q-0013Q0MF
414 Q-0013QJVN
415 Q-0013OD8H
416 Z-000BG2C7
417 Q-0013PDKL
418 Q-0013PZ8T
419 Q-0013WBQR
420 Q-0013R99B
421 Q-0013OBG5
422 Q-0002I1HO
423 Q-0013NR3Q
424 Q-0013WVOV
425 Q-0013T1OT
426 Q-0013OB86
427 Q-0013TJC9
428 Q-0013R8E2
429 Q-0013Q1P1
430 Q-00134MUD
431 Q-OO100L5S7
432 Q-00OWZAVY
433 Q-0013S6N5
434 Q-00135FTV
435 Q-0012RT7KK
436 Q-0013WDVI
437 Q-0013S6DM
438 Q-00138JLO
439 Q-0013U0HH
440 Q-0013QK6K
441 Q-0010LRRS
442 Q-000S4J9H
443 Q-0013CKEX
444 Q-OO13S4US
445 Q-00138DLJ
446 Q-00AIRAA
447 Q-0013825N
448 Q-000C2X02
449 Q-0013STRR
450 Q-0013825F
451 Q-0013S2621
452 Q-00139C71
453 Q-00135TGE
454 Q-0013AW14
455 Q-0013YIFO
456 Q-0013USYF
457 Q-0013AW2K
458 P-JI8HLRUV
459 Z-00BGC08
460 Q-00139ZYY
461 Q-0000JPN7
462 Q-0013TKJZ
463 Q-0013WVU1
464 Z-000BEAWK
465 Q-0013WELN
466 Q-0013XBVY
467 Q-0013PY3T
468 Q-00134GRG
469 Q-00139T66
470 Q-0013TZDV
471 Q-0013OAUO
472 Z-000BDY4S
473 Q-0013SWMK
474 Q-0013R97I
475 Q-0013TZ95
476 Q-0013WE13
477 Q-0013OBKH
478 Q-0013NA9B
479 Q-0013PY1X
480 Q-0013500I
481 Q-0012ND26
482 Q-00138U6W
483 Q-0013ACS6
484 Q-00136HFY
485 Q-0013XBHQ
486 Q-0013QKB8
487 Q-0013NR40
488 Q-0013STPG
489 Q-0013R8O2
490 P-ZRU32TG9
491 Q-00138EW6
492 Z-000BDZGB
493 Q-00134N6A
494 Q-0013QLBD
495 Q-0013TZUG
496 Q-0013N8B5
497 Q-0013MTJL
498 Q-0013QKUE
499 Q-0013SX2G
500 Q-0013PDVN
501 Q-0013MCPC
502 Q-0013TYXJ
503 Q-0013TZM9
504 Q-0013Q1CX
505 Q-0013S5AS
506 Q-0013QJU6
507 Q-0013P7PJ
508 Q-0013PYRT
509 Q-0013TZRB
510 Q-0013SY3G
511 Q-00133Q11Q
512 Q-0013UEPJ
513 Q-0010KIQZ
514 Q-0013QK8W
515 Q-00139W6Q
516 Q-001378UB
517 Q-0013MU0R
518 Q-0013OD8H
519 Q-0013Q0MF
520 Z-000BE547
521 Q-0013AWH8
522 Q-001391M7
523 Q-001393GJ
524 P-PGRBXALZ
525 Q-0013AWAG
526 Q-0013ACQG
528 Q-000OYEVP
C 529 Q-000INIDX
530 Q-0010KIQZ
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871086612780002
1871080601050001
1871085510650004
1871080109640001
1871085208760002
1871076103010004
1871074610780009
1871084407640006
1871082910670003
1871080512010003
1871086211930001
1871085211580002
1871084909830001
1871081012800009
1871086010850003
3671010801810002
1871081110440001
1871064810940004
1871025706030008
1871084607530001
1871086805630003
1871085403640003
1871085208020008
1871072312600002
1871081010650012
1871082404810003
1871086406690002
1871084710560001
1803170102100001
1871086510850008
1871084101720003
1871081504690003
1871082606030005
1871085506750005
1871084109770003
1871086708850002
1871080605730005
1871084510900003
1871084504890003
1871085504690007
1871065410880006
1809052502920003
1871080808760004
1871075606780001
1871076012620003
1871085607670001
1871086405010002
1871086604960002
1871081212870013
1871081508660003
1871081807780005
1871084806000004
1871084209640003
1871081211030008
1871060510950004
1871085504620001
1871084607760003
1871036912890004
1871084207780001
1871075812630004
1871082202990001
1871087003550001
3215014206690002
1871081702870001
1871081810630003
1871094404820010
1871081107030004
1871081305080001
1871082807990005
1871085508830008
1871084505900003
1871075802960006
1871082108870004
1871010608830011
1871085006770006
1871091110800007
1871095906850001
1871075008010003
1871086010650004
1871084406780006
1871084507630007
1871081207800006
1871095403700002
1871084809770004
1871084905930004
1871085102900014
1871085004950004
1871084408640002
1871085512980007
1871086103720001
1871080201790005
1871085101990005
1871072906880005
1871086605770005
1871084712820005
1871085604640002
1871066402080006
1871086106760006
1871074811730005
1871086504670002
1871085204610001
1871084810950007
1871084707800007
1871087009950004
2171126912920002
1871082103020007
1871084311930002
1871080904020002
1871082607970003
1871080507910006
1871084911860003
1871084601810001
1871087110820001
1871083011070006
1871070204080003
1871083103960003
1871085206630012
1871084405700002
1871082203090002
1871081604090001
1871085709920001
1871081109910004
1808035402790001
1871084507810006
1871084508580004
1871080408980010
1871090105750002
1871080709590004
1801062401960006
1871089708790005
1871086310050003
1871080308500001
1871080510720001
1871080702600004
1871080609070003
1871086410070002
1871082106860002
1871084702920001
1871080101730023
1871085607790007
1871085109000009
1871135806070001
1871085702040001
1871080102850008
1871090807840010
1871085701850004
1871094710840004
1871095202020001
1871090108890003
1871091005970002
1871090305010003
1871086807890003
1803214106840004
1871080203970001
1871081103820008
1801154506630007
1871085411920004
1871094601970002
1871086010730008
1871086911960001
1871081008670005
1871095204940006
1871090901810002
1871080808910006
3603010101860010
1871084507040001
1871085401070005
1871090911700003
1871080205030002
1871084607940003
1871092907770002
1871091908030002
1871082812690006
1871094710840010
1871081104050001
1871086805860001
1803035908850002
1871085307020005
1871084101920009
1871051212020010
1871085407020003
18710852108200004
1871081010810006
1871085609870007
1871081707020001
1871084604020005
1871082912080001
1871085407750002
1871086410830003
1871080510710001
1871085009050001
187108160100001
1871086808050001
1871081805930004
1871085506800006
1871095708000007
1871084202820009
1871085708700009
1871082509660001
1871031005890004
1809015810890003
1871084910930005
1205146806970003
1871095406800007
1871094509900006
1871096009800005
1871097012810002
1871082309550001
1871082804670001
1871086801000006
3671074505830018
1871085001880002
1871084111850005
1871084802880003
1871014204970004
1871086306040001
1871076210040001
1871081307580004
1802075403680002
1871081406030003
1871081307110001
1871084202840004
1871085003700009
1871082105020002
1871084405790002
1871095207820008
1871086710030002
1871084802040002
1871080302610005
1871081509740004
1871084509020001
1871050103700002
3302220705920002
1871081202800007
1871086905850004
1871096510890007
1871080101590012
1871081909670003
1871085710700003
1871085307750002
1871085509870005
1871085212730006
1871084805088004
1871085312750001
1871082811960003
1871082405730001
1871131005590002
1871080802020003
1871085209660001
1871082707030002
3671070110060006
1871070708840007
1871086610830001
1871081304810004
1809054401920004
1871094703870006
1871082010010001
1871080706750008
1871011810950005
1871081109990004
1871086805940001
1803010808910002
1871085907040002
3275104108870014
1871094505900008
1871086408820004
1871084804810007
1871086607620001
1871085305820002
1871086607620001
1871085806740001
1871085702010006
1871085101060002
1871084409930001
1871096403760003
1871082504030004
1871076403960004
3604206208930003
1871084108590001
1871086301940002
1871086305920002
1871080212740006
1871082907020005
1871092404800002
1871094911030001
1871082506990003
2171033006850003
1871084410020001
18710848780007
1871085006030004
1871056212880003
1871096611900006
1871064808740006
1871095805850001
1871071808780005
1871085909800005
1871091806740002
1871086408780002
1871085402000010
1871087012800005
1871084203020009
1871091705720001
1871082103680001
1806012204890003
1871084707730007
1871082606690002
1871086707010002
1871085007880008
1871084909880005
1871094408630004
1871086310940009
1871082407910005
3212216104650004
1810046410890001
1809012406730004
1871094104040001
1804046206050002
1806251011940002
1871070101740021
1871076702970003
1871085507980003
1871085901040002
1871084507900006
1871096701910008
1871095607850006
1871091312790006
1871090705800005
1871094812850004
1871086005780007
3603014410880006
1871086104800011
1871085506620004
1871094109900007
1871094808810002
1871082505770009
1871085807950001
1871082105030001
1871081706690004
1871074105040001
1805184809740001
1871082107500003
1871094205790009
1871085512580001
1871095102960001
1871094704910003
1871061211060002
3321091606840005
1871084608760004
1871096806760003
1871092707860006
1871085103820003
1871072506800006
1871084506010004
1871061205040001
1871090701750010
1871091004060003
1871080406030003
1871084808750008
1871085001820009
1871082811030001
1871084707030005
1871080607030001
1871085011920001
1871084205000008
1871085612920002
1871081211960005
1871085805060001
1871084902990004
1871084602820002
1871082501960005
1871082010000010
1871094710700001
1871055208800011
1871084408640004
1871080712810003
1871082711750004
1871084106900004
1871086111890003
1871070706950016
1871082810010002
1871080110010014
1871036307970007
1871080601930001
1871076302900008
1306060704950005
1802050105880032
1871080204630001
3201300906780005
1871086504860003
1871095909550001
1871086410030004
1871080101800014
1871085506030004
1809016210650001
1871084510870008
1871081212770005
1871082005570001
1871046208870002
1871095505760004
1871086810010002
1871085308980004
1871084503960008
1871071103960007
1871071112780013
1871084201790001
1871062804730001
1871080612790003
1871085204040003
1871080312850008
1871084307040002
1871086108820002
1871080903010001
1871084908960004
1871087003040002
1871086302910002
1871086503880001
1871082106040002
1801232510920001
1871084609810004
1871096304720008
1809012407010002
1871086810940005
1871051204990001
1871051204990001
1871085006990006
1871081410700005
1871082408780007
1871076906780002
1871096610860007
1871082310730003
1871164209060001
1871084610040001
1871082704050003
1871095005050002
18710801106060002
1871084510050002
1871084507630008
1871094609780003
3304055103960001
18710860048400008
1871085607760004
1808041804020001
1809075704990006
1871085805740002
1871080512670002
1871082609730002
1871084405940007
1871081202040002
1871082803640001
1871080101000022
1871084405020003
1871092503710004
1871092806900003
1871040308820012
1871080207040002
1871084807650006
1871094110820007
1871086511730003
1803096411020004
1871084510690005
1871075007770003
1871072509610001
1871084312580001
1871086411040001
1871095007780010
1871091606740004
1871086008800003
1871081305890004
1871080202720001
1871081506050001
1871096803480002
1871085004700005
1871081412670001
1871081409940004
1871086002900010
1871084608960001
1871085102610001
1871072112900010
1871095104740004
1871085306690001
1871086310790002
1871065203880004
1871011507950002
1610124308982001
18710869120300005
1871080205060001
1871081706060002
1871080101770013
1871014505650019
1871080802030004
1871081204940008
1871087010030002
1871082005840008
1871084406050004
1871081111720003
1809016210650001
1871084506820004
1871081708000012
1871085612830001
1809010203810007
1871094103010006
1807061208910002
1871085310950002
1406032707770002
1871085007950008
1871086908960003
1871045901940001
3603120108650007
1871084708930005
3505114509960001
1871072512730003
1871094209920004
187108500583001
1871095104860001
1871086810690003
1871084712640003
1871087003040002
1871080903010001
1871080312850008
1871071112780013
1871085308980004
1871086810010002
1871084510870008
3201300906780005
18710842050008
1871096506910001
1871082204710002
1871081706820001
1871094209920004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 22 OKT 2021
Jenis
Kelamin
DESI YULIANA P D 12/26/1978
M RAFI ROBBIN L D 06/01/2005
A SUADI L D 01/09/1964
UKHTI MASAUL HUSNA P D 3/21/2001
DEVI WAHYUNI P D 10/6/1978
HANI P D 7/4/1964
MARLAN L D 10/29/1967
TIKA RAHAYU P D 11/22/1993
SOLEHA P D 11/12/1958
DEDI SAPUTRA L D 12/10/1980
YENI OKTAVIA SARI P D 20/10/1985
YANUAR TRIAJI L D 08/01/1981
M ABBAS L D 10/11/1944
DINI OKTARIA FAJARYANTI P D 08/10/1994
FITRI INDRIANI P D 6/17/2003
JAMINAH P D 7/6/1953
PUTRI WULANDARI P D 12/08/2002
SIGIT ST L D 12/23/1960
SUAR L D 10/10/1965
HENDRI APRIAN JONI L D 24/04/1981
NILA P D 24/06/1969
SARI P D 10/7/1956
MARCELLENO L D 01/02/2010
ICIH P D 1/1/1972
SANUSI L D 15/04/1969
BELDEN ANG SAPUTRA L D 6/26/2003
KARWATI P D 01/09/1977
FITRI ADAWIYAH P D 27/08/1985
ASMAN L D 06/05/1973
RIA GUSTAMI P D 10/5/1990
NELLA RAHMAWATI P D 05/04/1986
MURTINI P D 15/04/1969
SANTI P D 10/14/1988
FAAD ALKAR L D 25/02/1992
M ZAINUDIN L D 8/8/1976
EMI ST P D 12/20/1962
AMSIAH P D 16/07/1967
MAHDA FADILA P D 24/05/2001
ASRIYANTI P D 4/26/1997
HADI L D 12/12/1987
AGUS RANI L D 15/08/1966
NIKEN FRANSISKA P D 08/06/2000
SAPARIAH P D 02/09/1964
SATRIO RAMADHAN L D 12/11/2003
MAULANA PAJAR L D 05/10/1995
KUNDAR YATI P D 15/04/1962
HALYATI P D 7/6/1976
DESI HANALIA P D 29/12/1989
NURYATIN P D 02/07/1978
RUMAYNAH P D 12/18/1963
PEBRIANSYAH L D 22/02/1999
ROHIMIN L D 30/03/1955
YAYAH ALIYAH P D 6/2/1969
SAMIN L D 17/02/1987
HAMDAN L D 10/19/1963
YUNENI P D 04/04/1982
NANDA RIZKY JULIAN L D 7/11/2003
MUHAMMAD KHAIRULLAH L D 5/13/2008
TUBAGUS HERU L D 6/24/1998
NENI ANGRAENI P D 05/05/1990
FITRI ROSALIA P D 18/02/1996
ARISYAH PUTRA L D 21/08/1987
GUSFIKAR RUDIANSYAH L D 06/08/1983
SUNAIYAH P D 10/06/1977
HERMAN FELANI L D 11/10/1980
HERNI L D 6/19/1985
PALJA PARUL NISA P D 8/10/2001

ROIYAH P D 20/10/1965
ASNARIAH L D 6/4/1978
ROMLAH P D 05/07/1963
SUTOYO L D 12/07/1980
SUHAETI P D 08/09/1977
MELLY SUSANTI P D 5/9/1993
SITI SUNDARI P D 10/04/1995
RATNA NINGRUM P D 10/10/1964
ACMAD THOLIB L D 02/01/1979
SOENAH P D 11/01/1999
ARIYADI L D 6/29/1988

ROJIAH P D 16/04/1964
NIA SAPUTRI P D 24/02/2008
MASANI P D 21/06/1976
NURSADIAH P D 08/11/1973
AMNAH P D 4/25/1967
SRI LASMINI P D 4/12/1961
ANNISA ATIKAH P D 30/09/1995
DESMI HIDAYAH P D 29/12/1992
ARI YANTO L D 3/21/2002
MUNIROH P D 03/11/1993
ANDREH L D 09/04/2002
ALPIN JULIANDA L D 26/07/1997
NOVITA MAYA SARI P D 09/11/1986
RUMINAH P D 1/6/1981
TRI OKTAFIANI P D 31/10/1982
ALDO HERIYANSYAH L D 30/11/2007
DIMAS ADHY DWI PUTRA L D 4/2/2008
ANGGARA L D 31/03/1996
HAYANI P D 12/06/1963
SUKMANAH P D 04/05/1970
RAYHAN SATRIA ERLANGGA L D 22/03/2009
SHIRYL HERLIANSYAH L D 16/04/2009
SERLI YOLANDA P D 17/09/1992
DEDE ISWADI L D 11/09/1991
SOLEHA P D 14/02/1979
RAMIATI P D 7/5/1981
JUARIAH P D 05/08/1958
M JAJULI L D 8/4/1998
HULANI L D 01/05/1975
A NURMAN L D 9/7/1959
ANGGI RAMADHAN L D 24/01/1996

ALAMIN L D 8/7/1979
PUJIATI L D 03/08/1950
YUSUP L D 10/5/1972
MASALI L D 2/7/1960
REYZA ANANDA L D 9/5/2007
ASTRIANINGSIH P D 24/10/2007
M DEDE L D 6/21/1986
SARIM L D 1/1/1973

RENDI L D 03/05/2001
DWI SOFYAN L D 7/28/1989
ERWIN GUNAWAN L D 04/11/1979
GADIS ANJARNI P D 11/14/1992
TIKA NOFIANTI P D 20/11/1997
RAHMANSYAH L D 10/08/1967
NURDIN L D 1/9/1981
FIRA YULIANA P D 05/07/2004
TINA DIAN M P D 14/01/2007
ACA L D 09/11/1970
BUNAWAN L D 06/07/1994
M. ARYA ADITYA L D 14/04/2008
M JAUHAR TANUJAYA L D 12/28/1969
YULIA NINGSIH P D 7/13/2002
WIWIT SETIA N P D 7/14/2002

SADIAH P D 12/10/1982
SYAHRUL SAPUTRA L D 10/10/1981
MALA P D 9/16/1987
AJAY L D 7/17/2002
SINTA P D 06/04/2002
MARIAM P D 7/14/1975
MAD JUHDI L D 05/10/1971
AULIA CANTIKA P D 10/09/2005
M.RIZKI TANUJAYA L D 16/01/2002
HENDRIANSYAH L D 19/05/1993
DWI OKTA SARI P D 09/10/1993
DEFINA TRESIA P D 6/28/1997
SANTI P D 12/30/1981
HERMI L D 4/28/1967
NURITAH P D 01/11/1985
AVPRILLA SOFIA P D 02/04/1997

ANISA DWI P P D 6/23/2004
AMANDA GRESCIA P D 10/22/2004
MUHAMMAD HADI L D 7/13/1958
SITI ROMLAH P D 3/14/1968
OLAN RIZKI A L D 13/07/2001
SUHESTI FEBRIYANTI P D 02/02/1984
AHMAT ROFA'I L D 21/05/2002
ANGGUN WAHYUNI P D 04/05/1979
JUHARIAH P D 7/12/1982
RANI REGITA P D 10/27/2003
HAMDAH P D 08/02/2004
DARMA L D 2/3/1961
SUPRON L D 15/09/1974
RISA ANTIKA P D 05/09/2002
ZAINAL L D 3/1/1970
SAKA PAMUNGKAS L D 5/7/1992

EDI DARMANSYAH L D 2/12/1980
SUCI ARBAWATI P D 5/29/1985
SITI ANDINI P D 10/25/1989
PULUNG L D 01/01/1959
JAMAL L D 9/19/1967
TRI WAHYUNI P D 17/10/1970
SULAIHA P D 13/07/1975
EEM HERLINA P D 12/12/1973
KESYA AULIA P D 08/05/2008
RAHMA WATI P D 12/13/1975
AHMAD HERYADI L D 5/24/1973
RASIMAN L D 5/10/1959
RIFKI AJI SAPUTRA L D 2/8/2002
WAGIRAH P D 9/12/1966
M TEGAR KIRANA L D 7/27/2003
M HALIT RAMADHAN L D 01/10/2006

SLAMET L D 8/7/1984
MUNENI P D 26/10/1983
JAENAB P D 3/7/2006
ERWIN L D 6/7/1975
ANDRE L D 9/11/1999
MINANTI P D 28/05/1994
HANDRYO GUSTOMY L D 06/08/1991
INTAN SAFIRA P D 19/07/2004
ANITA NUR P D 8/1/1987
SAKILAH P D 05/05/1990
SUHEMAH P D 24/08/1982
YUNITA SARI P D 4/8/1981

SUHETI P D 18/06/1974
WARNI P D 15/03/2001
RIMA DIYANTI P D 11/01/2006
TRI NURANI P D 9/4/1993
HJ MARSUNA P D 01/08/1959
RIANTI P D 23/01/1994
VIRGI PAMELA P D 5/13/1992
AHMAD ARIEFUDDIN L D 29/07/2002
JAPRI L D 4/24/1980
PUTRI PERMATA S P D 1/9/2003
MUHAMMAD MALIK L D 25/06/1999

JEFRI SANI L D 30/06/1985
RIZKA AMALIA P D 04/10/2002
SARIFAH ZAINAH P D 8/8/1978
DINI SEPTIANI P D 10/06/2003
MAULIKA OKTAVIA P D 12/22/1988
TUTI HERA WATI P D 8/8/1974
NURMALINAWATI P D 5/18/1985
ERWIN L D 8/18/1978
SITI HAFSAH P D 14/02/2000
SAKDIAH P B 30/12/1980
MERLIANA ANGGITA P D 3/2/2002
SOLEH L D 5/17/1972
IKRO FAJAR S L D 22/04/1989

NURJANNAH P D 7/7/1973
ACID L D 6/26/1969
ISMAWATI P D 7/10/1988
MARSAH P D 09/09/1988
AWALUDIN JOKO L D 24/07/1991
JUWARTI P D 4/21/1965
RENNY OKTAPRINA P D 10/24/1989
AGUS KOMARUDIN L D 24/06/1973
CINDY MONICA P D 4/1/2004
NOVID SUHENDRA L D 11/10/1994
KRISTRI ENI P D 7/15/1998
NATANA REYRA P D 19/01/2004

EVA JANIARTI P D 27/01/1991
ASNI P D 5/20/1978
TUMINNEM P D 6/15/1962
PUAT DIN L D 5/25/1977
UMAROH P D 17/07/1995
M FIRDO K L D 21/05/2003
SUJIMAN L D 17/06/1969
HJ YUSDARWATI P D 15/12/1958
SANA'AH P D 12/08/1998
LEONARDO TRI ANDIKA L D 12/11/2006
MOKH FATKHUR L D 01/06/1984
ANGGRAINI R P D 8/6/1976
ANDRIANSYAH L D 27/07/1986
SADELI L D 25/06/1980
GUSTI AYU P D 6/5/2001
FARHAN MAULANA L D 5/12/2004
M.N RIZKI PRASETYO L D 4/10/2006
M ROBBIYANTO L D 6/4/2003
ANAH P D 1/10/1982
TITO NOVANSYAH L D 11/28/2003
DINA WULANDARI P D 7/7/2003
PRASETYO PUTRA H L D 06/07/2003
DIAN EKA SARI P D 10/11/1992
ANANDA RIZKI AMALIA P D 12/29/1992
AULIA SAKINAH P D 18/05/2006
NENG PENI P D 06/02/1982
M FATHULLOH L D 10/20/2000
THRESIA AGUSTINA P D 8/12/1978
NGATILAH P D 04/08/1964

FERIZAL L D 11/27/1975
TETI FATIMAH P D 01/06/1990
YOGI AMALDI L D 07/06/1995
M ALIB L D 10/1/2001
M. ERDIAN L D 06/01/1993
SENDY CIA W L D 23/02/1990
MUGIYANTO L D 5/1/1988
ELSHINTA NOVALIA P D 24/10/2003
DEWI WULANDARI P D 6/15/2003

SUTARTI P D 22/10/1965
AJI SETIAWAN L D 11/03/1996
SARAH P D 02/01/1979
TUMIJAN L D 28/04/1973
NURUL AULIA P D 12/04/2004
MAYA MAHARANI P D 7/3/2004

NENENG P D 25/08/1973
FERRY AKBAR L D 3/9/2001
SANTIYANA P D 09/08/1996
SHEILLA ANGGRAINI P D 30/03/2004
WITA HERVIA SARI P D 23/02/1991
RIKA MUTMAINAH P D 3/25/1988
ADIT HERIYADI L D 21/06/2004
RIANA BAROKAH P D 10/25/1992
BADRIYAH P D 9/6/1961
RIZKY ARRIZA L D 24/07/2001
YEYEN ANITA P D 28/10/1995
AKHMAD RIDHO L D 4/12/1999
ELIS NOVRIANTI P D 16/11/1975
SELVI MELDYAWATI P D 10/06/1999
GUNAWAN SETIAWAN L D 10/4/1970
SUFRIZAL L D 8/24/1978
TITIS KARTIKA P D 6/29/1978

SARNI P D 10/26/1987
MANAHSYA L P D 02/09/2006
SHEILA ANDINI P D 10/6/2004
RIVALDO L D 4/27/2005
VERDIANA P D 5/10/2005
SULTHON L D 6/1/2006
KHAIRUN C L D 05/10/2005
ROHANI S P D 06/09/1978
FITRI NUR P D 3/11/1996
RIDHO ARSADI L D 18/04/2002
PUPUT P D 4/17/1999
EDI KURNIAWAN L D 05/12/1967

MENTARI L P D 05/04/1994
ALVIN R L D 2/12/2004
ROCHANI P D 3/28/1964
ASEP H L D 01/01/2000
MELISA S P D 04/05/2002
EMIL F P D 25/03/1971
ARDIANSYAH P D 28/06/1990
SYAHRONI L D 8/3/1982
FAQIH FIRDAUS L D 7/2/2004
HJ. HIKMATUL HASANAH P D 26/09/1993
LELAWATI P D 10/5/1969
SYAIFUL L D 9/25/1961
RAHMANDA L D 11/24/2004
SITI RIANI P D 7/10/1978
WIJI FAISOL L D 6/16/1974
ANDRIANUS L D 02/02/1972
M EGI NOVENDRA L D 15/11/2005
RITA P D 10/04/1970
DIANSYAH P D 12/14/1967
WENDY SEPTIAN NUGRAHA L D 9/14/1994
NUR YANTI P D 2/20/1990
SITI ROHMAWATI P D 8/6/1996
SURTI P D 11/02/1961
DESTIAN SAPUTRA L D 12/21/1990
ASTUTI P D 13/06/1969
NUR AFNI P D 23/10/1979

RISKY PRIMAS L D 15/07/1995
ALPINA P D 03/08/1998
ADINDA PUTRI APRIANI P D 29/12/2003
M. RAFO TANUJAYA L D 5/2/2006
RAFLI NUR RASYID L D 17/06/2006
RENI,SE P D 05/05/1965
RAHMAT KURNIAWAN AKBAR L D 2/8/2003
SALSABILA APRIYANTI P D 10/30/2003
YUSRON AL-MUKARROHMAH L D 04/06/2005
AL IMRON L D 19/11/1972
TITI SURYANI P D 05/06/1982
RISKI BAGASN SUGIRI L D 8/17/2000
HENDRIYANI L P 16/12/1983
SURAHMAT L D 3/2/1981
ELSA TRI MAHARANI P D 3/1/2001
BERY BERKIANTO L D 8/12/1991
TRI MUSTAIDAH P D 13/10/1995
MASKURI PADLI L D 27/07/1977
YULIAN SARI P D 12/07/1995
SITI AMSAH P D 8/29/1996
MEGGA RICSKY PRASTIKAWATI P D 1/19/1994
SURYA JAYA L D 01/08/1965
RIRIN AGUSTINA P D 8/7/1993
ZYSFA NUR ROSYIDAH P D 05/09/1996
SUGUNTUR L D 25/12/1973
SITI KHODIJAH P D 5/10/1983
DEDEH P D 11/04/1986
MAS' ANAH P D 28/10/1969
REDA DERITA P D 07/12/1964

FERRY AKBAR,S L D 09/03/2001
M RANI SYAHRANI P D 12/11/1978
LELA FITRI HANDAYANI P D 05/10/1987
RESTI YUNIA P D 6/25/1991
***Merek Vaksin
A = Sinovac
55 BPJS PBI
38 BPJS Non PBI
32 Non Anggota
7
132 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
139 Total
0
139
Umur
(18 sd ≥ 60 tahun)
44 31-45 BAKUNG
18 18-30 BAKUNG
57 46-59 BAKUNG
58 46-59 BAKUNG
46 46-59 BAKUNG
22 18-30 BAKUNG
44 31-45 BAKUNG
58 46-59 BAKUNG
55 46-59 BAKUNG
21 18-30 BAKUNG
29 18-30 BAKUNG
64 ≥60 BAKUNG
39 31-45 BAKUNG
42 31-45 BAKUNG
37 31-45 BAKUNG
42 31-45 BAKUNG
78 ≥60 BAKUNG
28 18-30 BAKUNG
19 18-30 BAKUNG
69 ≥60 BAKUNG
60 ≥60 BAKUNG
59 46-59 BAKUNG
20 18-30 BAKUNG
62 ≥60 BAKUNG
57 46-59 BAKUNG
42 31-45 BAKUNG
53 46-59 BAKUNG
66 ≥60 BAKUNG
13 0 BAKUNG
37 31-45 BAKUNG
51 46-59 BAKUNG
54 46-59 BAKUNG
19 18-30 BAKUNG
47 46-59 BAKUNG
45 31-45 BAKUNG
37 31-45 BAKUNG
50 46-59 BAKUNG
32 31-45 BAKUNG
37 31-45 BAKUNG
54 46-59 BAKUNG
34 31-45 BAKUNG
31 31-45 BAKUNG
46 46-59 BAKUNG
44 31-45 BAKUNG
60 ≥60 BAKUNG
55 46-59 BAKUNG
22 18-30 BAKUNG
26 18-30 BAKUNG
35 31-45 BAKUNG
56 46-59 BAKUNG
44 31-45 BAKUNG
22 18-30 BAKUNG
58 46-59 BAKUNG
19 18-30 BAKUNG
27 18-30 BAKUNG
61 ≥60 BAKUNG
46 46-59 BAKUNG
33 31-45 BAKUNG
44 31-45 BAKUNG
59 46-59 BAKUNG
24 18-30 BAKUNG
68 ≥60 BAKUNG
53 46-59 BAKUNG
36 31-45 BAKUNG
59 46-59 BAKUNG
41 31-45 BAKUNG
19 18-30 BAKUNG
15 0 BAKUNG
24 18-30 BAKUNG
39 31-45 BAKUNG
33 31-45 BAKUNG
27 18-30 BAKUNG
35 31-45 BAKUNG
39 31-45 BAKUNG
45 31-45 BAKUNG
42 31-45 BAKUNG
37 31-45 BAKUNG
21 18-30 BAKUNG
57 46-59 BAKUNG
44 31-45 BAKUNG
59 46-59 BAKUNG
42 31-45 BAKUNG
53 46-59 BAKUNG
45 31-45 BAKUNG
30 18-30 BAKUNG
33 31-45 BAKUNG
28 18-30 BAKUNG
58 46-59 BAKUNG
24 18-30 BAKUNG
51 46-59 BAKUNG
44 31-45 BAKUNG
24 18-30 BAKUNG
34 31-45 BAKUNG
46 46-59 BAKUNG
40 31-45 BAKUNG
59 46-59 BAKUNG
15 0 BAKUNG
46 46-59 BAKUNG
49 46-59 BAKUNG
56 46-59 BAKUNG
62 ≥60 BAKUNG
27 18-30 BAKUNG
42 31-45 BAKUNG
27 18-30 BAKUNG
30 18-30 BAKUNG
21 18-30 BAKUNG
29 18-30 BAKUNG
21 18-30 BAKUNG
25 18-30 BAKUNG
31 31-45 BAKUNG
36 31-45 BAKUNG
42 31-45 BAKUNG
40 31-45 BAKUNG
15 0 BAKUNG
15 0 BAKUNG
27 18-30 BAKUNG
59 46-59 BAKUNG
53 46-59 BAKUNG
14 0 BAKUNG
14 0 BAKUNG
30 18-30 BAKUNG
31 31-45 BAKUNG
44 31-45 BAKUNG
41 31-45 BAKUNG
64 ≥60 BAKUNG
24 18-30 BAKUNG
48 46-59 BAKUNG
63 ≥60 BAKUNG
27 18-30 BAKUNG
43 31-45 BAKUNG
18 18-30 BAKUNG
72 ≥60 BAKUNG
50 46-59 BAKUNG
63 ≥60 BAKUNG
15 0 BAKUNG
15 0 BAKUNG
36 31-45 BAKUNG
31 31-45 BAKUNG
50 46-59 BAKUNG
43 31-45 BAKUNG
22 18-30 BAKUNG
15 0 KEMILING
19 18-30 BAKUNG
38 31-45 BAKUNG
38 31-45 BATU PUTUK
38 31-45 NOG
28 18-30 BATU PUTUK

21 18-30 BATU PUTUK
33 31-45 BATU PUTUK
26 18-30 BATU PUTUK
22 18-30 BATU PUTUK
33 31-45 JL. AMD. KOTA JAWA
38 31-45 BAKUNG
26 18-30 BAKUNG
43 31-45 KURIPAN
59 46-59 NOG
26 18-30 BATU PUTUK
55 46-59 KURIPAN
29 18-30 BATU PUTUK
42 31-45 BATU PUTUK
31 31-45 NOG
37 31-45 BATU PUTUK

18 18-30 KURIPAN
16 0 BAKUNG
52 46-59 TBU
20 18-30 NOG
45 31-45 BATU PUTUK
15 0 KUPANG KOTA
19 18-30 BATU PUTUK
38 31-45 BATU PUTUK
18 18-30 NOG
37 31-45 BAKUNG
37 31-45 KURIPAN
20 18-30 SUKARAME 2
31 31-45 BAKUNG
40 31-45 NOG
41 31-45 KURIPAN
35 31-45 KURIPAN
20 18-30 SUKARAME 2
21 18-30 SUKARAME 2
14 0 NOG
39 31-45 KURIPAN
51 46-59 NOG
17 0 BAKUNG
17 0 BAKUNG
30 18-30 BAKUNG
42 31-45 BAKUNG
22 18-30 BATU PUTUK
41 31-45 BAKUNG
52 46-59 BAKUNG
56 46-59 BAKUNG
34 31-45 NOG
33 31-45 NOG
29 18-30 BAKUNG
25 18-30 B. LAMPUNG
42 31-45 BATU PUTUK
32 31-45 BATU PUTUK
42 31-45 BATU PUTUK
41 31-45 BATU PUTUK
67 ≥60 BAKUNG
56 46-59 BAKUNG
23 18-30 BAKUNG
40 31-45 PERWATA
35 31-45 KURIPAN
37 31-45 BAKUNG
35 31-45 SUKARAME 2
26 18-30 KEDATON
18 18-30 NOG
18 18-30 BAKUNG
64 ≥60 BAKUNG
55 46-59 BAKUNG
19 18-30 BAKUNG
39 31-45 KETEGUHAN
53 46-59 KURIPAN
44 31-45 KURIPAN
19 18-30 KURIPAN
19 18-30 NOG
62 ≥60 KURIPAN
48 46-59 KURIPAN
20 18-30 NOG
53 46-59 TKT
31 31-45 NOG
43 31-45 KURIPAN
38 31-45 KURIPAN
33 31-45 KURIPAN
64 ≥60 SUKARAME II
52 46-59 KURIPAN
35 31-45 BAKUNG
49 46-59 KURIPAN
15 0 BAKUNG
47 46-59 KURIPAN
26 18-30 BAKUNG
50 46-59 SR 2
64 ≥60 IMAM BONJOL
21 18-30 KURIPAN
56 46-59 KURIPAN
19 18-30 KURIPAN
16 0 PERWATA
38 31-45 BAKUNG
39 31-45 BAKUNG
42 31-45 BAKUNG
31 31-45 KURIPAN
17 0 BATU PUTUK
21 18-30 BAKUNG
47 46-59 BAKUNG
27 18-30 KEDATON
23 18-30 BAKUNG
29 18-30 BAKUNG
18 18-30 BAKUNG
35 31-45 NOG
33 31-45 TBU
40 31-45 KURIPAN
42 31-45 KURIPAN
60 ≥60 BALAM
41 31-45 BAKUNG
60 ≥60 BALAM
48 46-59 KURIPAN
22 18-30 NOG
17 0 SUKARAME II
29 18-30 SR 2
47 46-59 BAKUNG
20 18-30 NOG
27 18-30 PESAWAHAN
29 18-30 KURIPAN
63 ≥60 KURIPAN
31 31-45 LANGKAPURA
48 46-59 NOG
20 18-30 KURIPAN
20 18-30 KURIPAN
23 18-30 NOG
37 31-45 BAKUNG
20 18-30 NOG
44 31-45 BAKUNG
19 18-30 KURIPAN
34 31-45 KEMILING
32 31-45 BATU PUTUK
48 46-59 BAKUNG
38 31-45 KOTAKARANG
44 31-45 TBS
42 31-45 BAKUNG
48 46-59 TBU
44 31-45 KURIPAN
23 18-30 KURIPAN
42 31-45 SUKARAME 2
51 46-59 TBU
55 46-59 BAKUNG
34 31-45 KURIPAN
49 46-59 KURIPAN
21 18-30 BAKUNG
34 31-45 KURIPAN
59 46-59 BATU PUTUK
28 18-30 BAKUNG
31 31-45 TBB
58 46-59 BAKUNG
33 31-45 KEMILING
49 46-59 GD TATAAN
19 18-30 MADARIJUL ULUM
17 0 LAMBAR
28 18-30 BALAM
49 46-59 TBS
26 18-30 NOG
24 18-30 KURIPAN
19 18-30 BALAM
32 31-45 BAKUNG
37 31-45 BATU PUTUK
43 31-45 BATU PUTUK
43 31-45 BATU PUTUK
37 31-45 BATU PUTUK
45 31-45 BAKUNG
34 31-45 BATU PUTUK
43 31-45 BATU PUTUK
60 ≥60 BAKUNG
32 31-45 BATU PUTUK
41 31-45 BATU PUTUK
46 46-59 KURIPAN
27 18-30 BAKUNG
53 46-59 SUKARAME 2
19 18-30 BAKUNG
50 46-59 BAKUNG
72 ≥60 BAKUNG
44 31-45 BATU PUTUK
64 ≥60 KURIPAN
24 18-30 BATU PUTUK
42 31-45 BATU PUTUK
16 0 JEND SUTOYO
38 31-45 TUGU LOR
46 46-59 BALAM
46 46-59 SUKARAME 2
36 #REF! KURIPAN
41 31-45 BAKUNG
42 31-45 KURIPAN
21 18-30 BAKUNG
19 18-30 TKP
48 46-59 BAKUNG
17 0 GUNUNG MAS
19 18-30 KURIPAN
47 46-59 BAKUNG
41 31-45 KETEGUHAN
19 18-30 NOG
19 18-30 NOG
19 18-30 KURIPAN
23 18-30 KURIPAN
30 18-30 KURIPAN
26 18-30 BAKUNG
17 0 KURIPAN
24 18-30 KURIPAN
41 31-45 SUKARAME 2
27 18-30 BAKUNG
52 46-59 TBS
44 31-45 KURIPAN
58 46-59 BAKUNG
41 31-45 KURIPAN
47 46-59 KURIPAN
32 31-45 KURIPAN
33 31-45 KURIPAN
27 18-30 BUMI WARAS
21 18-30 BAKUNG
21 18-30 KURIPAN
25 18-30 TKB
30 18-30 BAKUNG
33 31-45 BUMIWARAS
28 18-30 TKB
35 31-45 KURIPAN
60 ≥60 BAKUNG
42 31-45 NOG
37 31-45 BAKUNG
67 ≥60 BAKUNG
19 18-30 BALAM
43 31-45 BATU PUTUK
19 18-30 KURIPAN
57 46-59 BAGELEN
35 31-45 NOG
45 31-45 BAKUNG
66 ≥60 BAKUNG
35 31-45 BAKUNG
47 46-59 BATU PUTUK
21 18-30 NOG
24 18-30 NOG
26 18-30 BAKUNG
27 18-30 KURIPAN
44 31-45 NOG
44 31-45 PERWATA
50 46-59 TKP
43 31-45 KURIPAN
19 18-30 SUKARAME 2
37 31-45 NOG

49 46-59 KURIPAN
22 18-30 NOG
19 18-30 NOG
32 31-45 KURIPAN
18 18-30 KETEGUHAN
30 18-30 LAMSEL
61 ≥60 KURIPAN
51 46-59 KURIPAN
21 18-30 SUKARAJA
27 18-30 KURIPAN
24 18-30 TJK TIMUR
47 46-59 KURIPAN
23 18-30 KURIPAN
52 46-59 KURIPAN
44 31-45 KURIPAN

35 31-45 BATU PUTUK
49 46-59 KURIPAN
16 0 DEWI SARTIKA N0 17
18 18-30 KURIPAN
18 18-30 KURIPAN
18 18-30 RATU DIPUNCAK
16 0 KURIPAN
17 0 KURIPAN
59 46-59 BAKUNG
27 18-30 KURIPAN
39 31-45 KURIPAN
46 46-59 KURIPAN
21 18-30 BAKUNG
49 46-59 BAKUNG
55 46-59 BAKUNG
49 46-59 BAKUNG
29 18-30 BAKUNG
19 18-30 BAKUNG
59 46-59 BAKUNG
21 18-30 BAKUNG
32 31-45 BAKUNG
40 31-45 PANJANG
18 18-30 KURIPAN
57 46-59 BAKUNG
40 31-45 BATU PUTUK
29 18-30 BAKUNG
20 18-30 BAKUNG
53 46-59 BATU PUTUK
45 31-45 KANGKUNG
61 ≥60 TALANG
64 ≥60 BAKUNG
18 18-30 KURIPAN
44 31-45 TBU
48 46-59 KUPANGKOTA
42 31-45 NOG
34 31-45 NOG
51 46-59 KURIPAN
17 0 BATUPUTUK
75 ≥60 TBU
53 46-59 BAKUNG
55 46-59 KURIPAN
28 18-30 KURIPAN
33 31-45 BAKUNG
32 31-45 KURIPAN
53 46-59 BANDARLAMPUNG
43 31-45 NOG
35 31-45 BAKUNG
27 18-30 WAYHALIM
24 18-30 BAKUNG
19 18-30 KURIPAN
17 0 TELUK BETUNG
16 0 KURIPAN
58 46-59 SUKA MENANTI
20 18-30 NEGRI OLAK GADING
29 18-30 JAKARTA
19 18-30 KURIPAN
17 0 KURIPAN
57 46-59 BEGELAN
40 31-45 KURIPAN

42 31-45 BAGELAN
22 18-30 GUNUNG MAS
31 31-45 BAKUNG
45 31-45 KURIPAN
27 18-30 PALAPA
29 18-30 KURIPAN
57 46-59 BAKUNG
29 18-30 BAKUNG
26 18-30 BUMI WARAS
49 46-59 GEDONG PAKUON
30 18-30 BANDAR LAMPUNG
40 31-45 KURIPAN
5 0 BATU PUTUK
53 46-59 BAKUNG
58 46-59 BAKUNG
31 31-45 BUMI WARAS
52 46-59 NOG
44 18-30 NOG

Pekerjaan
33 A
32 B
31 C
96 D
E
140 Total
0
0
140
No. Hp
085788161132
085788161132 YA
081369622607 YA
081272055104 YA
089699103198 YA
YA
081369344140
081272035811 YA
YA
YA
089690848521 YA
085709721077 YA
085709721077 YA
089531566030 YA
081273356500 YA
081272750943 YA
089669284488 YA
083193232706 YA
081272750943
081279168340 YA
0895610072041
085709642532 YA
081272444472
08972823440 YA
0895330527081 YA
YA
0895389603032 YA
083190807512 YA
089517072476 YA
088272177100 YA
085369819893 YA
082282358370
088272177058 YA
081272035811 YA
089529968977 YA
081369584144 YA
089560459313 YA
089506012003 YA
087893725820 YA
0895412744449 YA
082323090986
081271993695 YA
089517072562 YA
YA
089632389110 YA
0895382156978 YA
08975731762
083840831404 YA
082278873901 YA
089669454488 YA
YA
YA
YA
0895385520433
0852690689838 YA
082181955696 YA
0895389620294 YA
0895610071276 YA
YA
YA
0895605935807 YA
YA
08984295666 YA
082269427295
089632314562 YA
YA
083147872729 YA
081379744170 YA
085267909199
082176177240 YA
085273366330
085378165451
089689629500 YA
085702146214 YA
081366060321 YA
08979223364
0895602329574
082269427295 YA
0895602329574 YA
089611150281 YA
0895335020009 YA
085379108990 YA
089632058339
082374839323 YA
081271993693 YA
089658807347
082179850865
089633830894 YA
083164353537
085383835765 YA
089686668744 YA
089633412181
085783326660 YA
081369177284 YA
089632601313
0895600627600
YA
089658807347 YA
085384609773 YA
0831698344522 YA
0895335007900 YA
081272802960 YA
081319371595 YA
0895610071276 YA
085381119811 YA
088971363342 YA
088274278174
0895609635558
089531474080 YA
0895600781717 YA
089531474080 YA
0895341774337 YA
0895640203476 YA
0895345152443 YA
082289056690 YA
089523928389 YA
089532474080 YA
085789416658 YA
089633510351 YA
089603974517 YA
088747585611
082180805731 YA
088287298055
088287971642 YA
YA
082175865565 YA
083194822957 YA
088286456732 YA
08319712361 YA
083872504398 YA
088287391366 YA
0895705030999 YA
08977491820
083849383216
085246232465
085246232465 YA
085268249391 YA
087871811222 YA
089651367632 YA
081369306510 YA
089608943039
089633424732
081278631173
08 YA
085658303660 YA
0895347292532 YA
081379740741 YA
085669531507 YA
085788112430 YA
089631125457 YA
082278744911
08986402778 YA
081274415088
081366199362 YA
081278358437
085778237237 YA
082372933196 YA
08984714233
085279371144 YA
085783139070 YA
085366923516 YA
082278744911 YA
085218913665
08979222752
089630514515
085788085871
082278744911 YA
085809535590 YA
082372205724
YA
085658934951
087899193299
082186750368
088286586971 YA
08990775092 YA
082376070041
08973691668 YA
0895640084139
081369306510 YA
0895366741045
089515918560
082312918574 YA
082312918574 YA
089632745200 YA
085788691080 YA
085360011419 YA
089636308616
085788844852 YA
089631961158 YA
085273564550 YA
085758399030 YA
089522018810 YA
085379531720 YA
081369510771 YA
0895336805599 YA
0895616082458 YA
089603239913 YA
081379299911 YA
085369562112 YA
089651435735 YA
085788848198 YA
087893398746 YA
085766817259 YA
085789781538 YA
08
085832630053 YA
089603239913 YA
085384752736 YA
08578929433 YA
087777829489
082373514764
089513145814
08 YA
089628976172
082371759767 YA
0887437332564 YA
085266994342
085273620145 YA
089524992965
089629027840 YA
08994267152 YA
089604154751 YA
085783667608
081273503263 YA
081272954281
083169614781
0895331490134 YA
082167038134
08971441766
083875617467 YA
082185047859
085773056450 YA
089632171021 YA
089632171021 YA
083199269969 YA
081214596582 YA
085769045835
0895336443060
085267917540 YA
085377743393 YA
082321939845 YA
089521838493 YA
088287603083 YA
087899225773 YA
081949183419 YA
081369175628 YA
085279633455
085768511244 YA
089632314077
087777829489 YA
089628868845 YA
089532027008 YA
089532027008 YA
089517072166
085896217052
0895416730501
081272154157
0895600650050
089690261560
088269053309
083160107678 YA
089523111197
08
08871723923 YA
0895336454600 YA
0821794749008 YA
089692601036 YA
082177553013
089692601036 YA
085379161733 YA
089632637329 YA
089632743500 YA
085366833005 YA
082177353013 YA
089523136039
08996466880 YA
081274415318 YA
082181935552 YA
085788687497
082186672278 YA
08975731976 YA
085768288660 YA
085269989317 YA
08998886918 YA
089619991077
082169724842
0895332383583
083144036030 YA
085896210445 YA
081278956022 YA
08978301026 YA
083188661708 YA
082258773785
085279163231
089515722416
082178789056 YA
081281078217 YA
089510120074 YA
081274312424
082380725264
082173483230 YA
0895416729070
082181669987 YA
0895361140271
082178310589 YA
08979725597 YA
0895361140271 YA
085832047349 YA
085768865482 YA
089673292043 YA
089637637614
081222180799 YA
081279427254
0895616460096 YA
085316638103
081373814899 YA
082306769469 YA
089624429005 YA
089624429005
08984283916
082182568626
0895346290120 YA
089690261663 YA
081278631173
085890909368 YA
082269046711 YA
082269046711
0895416729300 YA
085218913665
085161658502 YA
082278744911
0823222057 YA
085218913665 YA
0895321980902
08996400565
088908895187 YA
082371640076
088706426244 YA
083170257958
081271255422 YA
08 YA
0895323241610 YA
085896511935 YA
085602318526 YA
083168819435 YA
082185969666 YA
088269586199
085357587545
081271834399 YA
089630514012 YA
08973973338
085832693429 YA
083160920475
085788526919 YA
085609128032 YA
083169834465 YA
089627059104
082371800157 YA
085769065137 YA
089631961158 YA
0895704232361 YA
089626041929 YA
0895343221873 YA
085848867000
089670900603
08994281678
0895411750906 YA
085758883175 YA
0811722919 YA
081278419087
082379836331
082282439946 YA
081532164617 YA
0888706461014
081274415318 YA
085383066611 YA
085832657327
08971441766
085273368494
08 YA
085377589841 YA
089526114070 YA
085925751558 YA
0823748784884
085384999943 YA
082185048763 YA
0895348055917
088287585181 YA
089633830837
083150313892 YA
081272724134 YA
0895630465080
08984112615
08 YA
089517072386 YA
088286106049
082372055887 YA
082278744911
083176682116 YA
081271852355
088286106049 YA
082122910442 YA
085832122204 YA
08 YA
082179749008
0895610071281
0895609927328 YA
081391494477 YA
083171679230 YA
081278251373 YA
089608631074
089520070258 YA
089516332468 YA
082280784310 YA
08984261282
089523084276 YA
082282111511 YA
0895610071281 YA
0831974494580 YA
089526666512
082122910442 YA
089505904415
089625556400 YA
08971441766 YA
087868851350 YA
085269856876
082376666054 YA
08957975782
081273484573 YA
081373814899 YA
082306769469 YA
089624429005 YA
089624429005
08984283916
082182568626
0895346290120 YA
089690261663 YA
081278631173
085890909368 YA
082269046711 YA
082269046711
0895416729300 YA
085218913665
085161658502 YA
082278744911
0823222057 YA
085218913665 YA
0895321980902
08996400565
088908895187 YA
082371640076
088706426244 YA
083170257958
089632388682
089522100673 YA
082278744911 YA
085327115021 YA
082278744911 YA
08993029569 YA
082181129434
085357269541
089522100673 YA
082376194864 YA
089624490841 YA
089761983452 YA
085360011491 YA
089522330398 YA
082184060192 YA
082376192018 YA
085279502949 YA
082278744911 YA
081271402860 YA
081366742314
081271706758 YA
08996442315
088276287021 YA
081249482980
081272003179 YA
083140459726 YA
089618576999 YA
085273179993 YA
081264287800 YA
085366812833
083153326401
08313867259
085788459321
081541516327
082282249387
089530325439
089630500817
089512944831
082286738759
089525545156
082177148201
08984112615
082282425089
083121260266
081379744768
081379530554
085717743799
085758888053
0895616090891
081373620536
0895614817740
085783378290
082182926679
081278455014
0895609940381
081259700597
082175745680
0895640412204
085709644288
085839328442
0895838265384
089699464945
089516332468
089808631074
1871080312850008
085832122204
081271852355
083176682116
082278744911
0895348055917
0895343221873
08992270566
089632161421 YA
085669331644 YA
0895640412204
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota







10/23/2021 CORONAVAC


9/17/2021 CORONAVAC








YA 6/6/2021 SINOVAC

YA
YA

7/14/2021 CORONAVAC




9/20/2021
YA


8/23/2021 CORONAVAC
7/21/2017 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
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6/6/2021 24002521 16170981757121
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9/20/2021
9/25/2021 202108170I
9/25/2021 202108170I
9/10/2021
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
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9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
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10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/24/2021 202108170I
8/23/2021 24004921 16255465610129
7/21/2017 24201321 16232983420216
10/23/2021 202108170I
Dosis 2
Tanggal Pemberian
Vaksinasi
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 20219180F
10/23/2021 20219180F
10/23/2021 20219180F
10/23/2021 20219180F
10/23/2021 20219180F
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10/23/2021 20219180F
10/23/2021 20219180F
10/23/2021 20219180F
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-EDTCQ4IQ
2 P-H8G3UMVI
3 P-HZMGWK85
4 P-IG2FTFWG
5 P-IYGPUF58
6 P-JLBVWBAK
7 S-726C23EC
8 P-2KHD9WOY
9 P-48J4WD58
10 P-5X7YHA4K
11 P-7JBGFPG
12 S-OAOC2642
13 P-B4LWK145
14 P-CW61AKI9
15 P-ECGFXZ2G
16 P-FRUTC1NP
17 S-8A880938
18 P-K7FD7VYZ
19 J-00001BDB
20 S-D32F193B
21 S-C3D5AEE3
22 P-N4A87IGQ
23 P-NJZFLVLF
24 S-AE9F1658
25 P-OFWQJZK7
26 P-OUCVKBNH
27 P-PCNBFDDN
28 S-60848457
<12 th 29 P-Q7HS65QX
30 P-R7UTI001
31 P-ROOEFXCC
32 P-JSFPV3JE
33 P-SJSG0LAK
34 P-SYRMQJJ5
35 P-TMZOMOOB
36 P-UCNGEV04
37 P-UUH5L506
38 P-VBSEZN89
39 P-VPWNUBLM
40 P-WA2D867N
41 P-WRJYJFMB
42 P-XDUTPY1V
43 P-XTR43E7L
44 P-Y9TMB133
45 P-YQBVEYUP
46 P-Z4IKY4BX
47 P-ZPE8PTSU
48 P-ZPLMU771
49 CAPIL
50 S-ADEA3679
51 P-ZPVJGGVD
52 P-ZPZU2BFV
53 P-ZQ4LWSZ7
54 P-ZQ8YBMCD
55 P-ZQD6DZUK
56 P-ZQHREEBS
57 P-ZQMTZMHF
58 P-ZQQYM5X9
59 P-ZQUOVU3C
60 P-ZQYGJU4Y
61 P-ZR1WGBBK
62 S-BBAB2385
63 P-ZRBASOVX
64 P-ZRFON86V
65 P-ZRJGNDYJ
66 P-SAMSUDQE
67 P-ZRQJ46BI
68 P-T57ALOJQ
69 P-ZRWPIEHE
70 P-ZSOJEUMA
71 P-ZTOASOJZ
72 P-ZT1RQCY7
73 P-ZT3KEEOK
74 P-ZT5002JG
75 P-ZT66TBML
76 P-ZT7IG3PM
77 P-ZT8UKR4N
78 P-ZTA5N09H
79 P-ZTB23ZJ6
80 P-ZTBT4VR3
81 P-ZTCL7IHC
82 P-ZTDDOYSY
83 P-ZTEWB5Q8
84 P-ZTETQBBO
85 P-ZTFR93YB
86 P-ZTGGKJKT
87 P-ZTH5JZHO
88 P-ZTHSJUJM
89 P-ZTIMPHNJ
90 P-ZTJ2OF4
91 P-ZTKO5V6Y
92 P-ZTLHJPOX
93 P-ZTM4ORVX
94 P-ZTMP4ZHB
95 P-ZTNCULOC
96 P-ZTPFLRQ3
97 P-TWJC8ODU
98 P-ZTRBLE1H
99 P-ZTSOP89X
100 P-ZTTFNMOP
101 P-SCANMPU2
102 P-ZTU1SIBM
103 P-ZTW1JMM3
104 S-E7FODBF2
105 P-ZTXJ2TD3
106 P-ZTYD885B
107 P-ZTYZTVEH
108 P-ZTZO8CED
109 P-ZUOGU972
110 P-ZU1DOGAQ
111 P-ZU281PJB
112 P-ZU2Y5DR8
113 P-Z43SJHYU
114 P-Z44MEKHT
115 P-Z45XDI1R
116 P-ZU70DAJG
117 P-Z47YVAQB
118 P-ZU93CNB8
119 P-TPRDLXI9
120 P-ZUBH5RRH
121 P-Z4C4RC23
122 P-ZUCVOJ3I
123 P-YDG7TZNJ
124 P-ZUELOHHC
125 S-8BS58530
126 P-ZUG02OBS
127 P-ZUGQ3AXK
128 S-E5D37F2A
129 S-A3F4C362
130 P-ZUIQ0MGO
132 S-84B684B1
133 P-ZUNLESL5
134 S-57D61718
135 P-ZUQQJT07
136 P-ZUSWPUGM
137 P-ZUTNXEPO
138 P-ZUUCCBOP
139 P-ZUV8CYPM
140 P-ZUVTKR75
141 Q-00136GWC
142 Q-0013WAOJ
143 Q-00136HYA
144 Q-00139XQJ
145 Q-00139A7Q
146 Q-00134F05
147 Q-0013AV4Y
148 Q-00134MCS
149 Q-00134MSD
150 Q-00136EAR
151 Q-0013556V
152 K-0001DYKZ
153 Q-00136ITP
154 Q-00137JCC
155 Q-0013NS1U
156 Q-0013XBGH
157 Q-0013PSZI
158 Q-0013BEDU
159 Q-0013QJZ9
160 Q-0013S55P
161 Q-0013NTDG
162 Q-00135TAH
163 Q-00138BUB
164 Q-00136DPG
165 Q-001386AG
166 Q-0013NR5V
167 Q-0013T1NT
168 Q-00138U2K
169 Q-0013EGD
170 Q-0013N8KZ
171 Q-00134N31
172 NIK BEDA NAMA
173 Q-00137BKO
174 Q-0013O91D
175 Q-00137JYK
176 Q-0013AUZB
177 Q-0013T1GF
178 Q-0013N90W
179 Q-0013S547
180 Q-000Y3OZI
1 181 P-HFQTJVLE
182 Q-0013QLLA
183 Q-000VZ4PF
184 Q-0013P7IJ
185 Q-0013P8UB
186 Q-0013QKLQ
187 Q-0013NT1E
188 Q-00134F34
189 Q-0013QLU2
190 Q-00134HGX
191 Q-0013PAMF
192 Q-0012ES2T
193 Q-0010MEA9
194 Q-0013AA8E
195 Q-000B7IU
196 Q-0013BDUL
197 Q-00134H0K
198 Q-0013ABNK
199 Q-00137NII
200 Q-00134ZA5
201 Q-0013A8WA
202 Q-0013A90A
203 Q-00120EHC
204 Q-0012DA77
205 Q-0013A1NX
206 P-W1ZCRK02
207 Q-00138D9Q
208 Q-0013AVNS
209 Z-000BE45X
210 Q-00139C2X
211 Q-0013A25J
212 Q-0013SDKG
213 Q-0013NAJT
214 Q-0013SYUB
215 Q-0013NBG5
216 Q-0013TKXL
217 Q-0013V83D
218 Q-0013VLUV
219 S-DC38729F
220 Q-0013SU5D
221 Q-0013AYJI
222 Q-0013NAT2
223 Q-0013R8F1
224 Q-0013T1E4
225 Q-0013QK50
226 Q-0013STYC
227 Q-0013P8AX
228 Q-0013SS4ZI
229 Q-0013P950
230 Q-0013R905
231 Q-0013N8RX
232 Q-0013P8B7
233 Q-0013WW2Y
234 Q-0013O6TW
235 Q-0013QLZI
236 K-0001LC66
237 Q-0013S4IV
238 Z-000BG7HZ
239 Q-00013O7XX
240 P-3HIPX2H7
241 Q-0013N8KV
242 Q-00137FKU
243 Q-0013NAAN
244 Q-0013S2PT
245 Q-0013QKVD
246 Q-00137MR2
247 Q-000D3YW7
248 Z-000BGQBS
249 Q-0013Q24K
250 Q-0013R9F6
251 Q-0013PZLO
252 Q-0013SW5I
253 Q-00138ULM
254 Q-0013ASCN
255 Q-0013AVQQ
256 Q-0013PCP1
257 Q-00138W0Z
258 Q-00137LWU
259 Q-001386QR
260 Q-00139CSV
261 Q-0013SXLL
262 Q-0013MCO4
263 Q-0013P6FO
264 Q-0013STXZ
265 Q-0013R8JY
266 Q-0013S5MA
267 Q-0013S5F0
268 Q-0013V7XI
269 Q-0012M3DS
270 Q-0013A9S5
271 Q-0012M3DS
272 Q-00135MQ3
273 Q-00139Y8B
274 Q-0013PYJ1
275 Q-00136C69
276 Q-0013A9FO
277 Q-00138B6K
278 Q-0013BES4
279 Q-0013V7PK
280 Z-000BFXMQ
281 Q-0013N8N0
282 Q-0013P80Z
283 Q-0013P8MW
284 Q-0013OC3Y
285 Q-0013PABN
286 Q-0013R9EE
287 Q-0013R8IG
288 Q-0013P7QW
289 K-0001LC74
290 Q-0013WWXO
291 Q-0013S622
292 Q-0013STP6
293 Q-0013AAK1
294 Q-0013VM0L
295 Q-0013SUC0
296 Q-0013R94K
297 Q-0013VM1U
298 Q-0013UDOO
299 Q-0010LJMP
300 Q-0013WCU2
301 Q-0000JNKG
302 Q-0013P7FJ
303 Q-00138TM4
304 Q-001CN1UJ
305 Q-0013MU1K
306 Q-0013QLKN
307 Q-0013R8RP
308 Q-0013AVVZ
309 Q-0013R8U8
310 Q-0013S5IK
311 Q-00133UZW
312 Q-0013BEQT
313 Q-000SJ5P3
1 314 P-ZSYKDYDN
315 Q-0013TIZX
316 K-0001L3EV
317 Q-000UIHKB
318 Q-00139T8A
319 Q-0010OXUE
320 Q-00135VTU
321 Q-00136FTS
322 Q-0013PBCM
323 Q-000WFVEN
324 Q-0013AY3S
325 Q-000ZZU91
326 Q-00139CRA
327 Q-00138G1B
328 Q-00137JEL
329 Q-00136JDD
330 Q-00138TXM
331 Q-001386R9
332 Q-00137DFT
333 Q-000B7EV4
334 Q-00137DQY
335 Q-001386KD
336 Q-0013PZXD
337 Q-0010ISVS
338 Q-0013O5Z9
339 Q-0013NB84
340 Q-000VYH0F
341 Q-001369P2
342 Z-000BEAYW
343 Q-00136FH9
344 Z-000BG0KQ
345 Q-00135TLO
346 Q-0013AVKM
347 Q-000WYY5S
348 Q-00ELQGB
349 Q-00134HPO
350 Q-0013QKPM
C 351 Q-0013NRY2
352 K-0001KHZG
353 Q-0013NARN
354 Q-0013SU8W
355 Q-0013TW98
356 Q-00136F3R
357 Q-000Z6V6S
358 Q-0013P6E9
359 Q-00138CNW
360 Q-0013WDOW
361 Q-0013QL8F
362 Q-0013PY8X
363 Q-0013S5IR
364 Q-0013NCUD
365 Q-0013ACQG
366 Q-0013OE1N
367 Q-001354HP
368 Q-0013UT7UP
369 Q-0010ITP6
370 Q-0013QJZM
371 K-0001KGRK
372 Q-0013R8Z4
373 Q-000YWJBN
374 Q-0013Q1TR
375 Q-0013SU7U
376 Q-0013P8VI
377 Q-0013WVD0
378 Q-0013PD2E
379 Q-0013OCZS
64 380 Q-0013P6UK
381 Q-001399WQ
382 Q-0013Q1KM
383 Q-00134ZF0
384 Q-00136JE4
385 Q-0013MUJF
386 Q-0013CJN6
387 Q-0001B89G1
388 Q-00138V0W
389 Q-0013AWAG
390 Q-00138TEG
391 Z-000BECGQ
392 Q-000Y8BSW
DULU GOTO 393 SLH INPUT
394 Q-0013PXTM
395 Q-0013MTJL
396 BLM INPUT
397 Q-0013AX98
398 Z-000BE751
399 Q-0013BEJ8
400 Q-00138JZO
401 Q-00139GJ
402 Q-001391M7
403 Q-0013BE84
404 Z-000BG0JX
405 Q-0013AWH8
406 Q-001S54N2
407 Z-000BGOPW
408 Q-0013OE4K
409 Q-0012NKZS
410 Z-000BE547
411 Q-0013V85P
412 Q-0013NSNI
413 Q-0013Q0MF
414 Q-0013QJVN
415 Q-0013OD8H
416 Z-000BG2C7
417 Q-0013PDKL
418 Q-0013PZ8T
419 Q-0013WBQR
420 Q-0013R99B
421 Q-0013OBG5
422 Q-0002I1HO
423 Q-0013NR3Q
424 Q-0013WVOV
425 Q-0013T1OT
426 Q-0013OB86
427 Q-0013TJC9
428 Q-0013R8E2
429 Q-0013Q1P1
430 Q-00134MUD
431 Q-OO100L5S7
432 Q-00OWZAVY
433 Q-0013S6N5
434 Q-00135FTV
435 Q-0012RT7KK
436 Q-0013WDVI
437 Q-0013S6DM
438 Q-00138JLO
439 Q-0013U0HH
440 Q-0013QK6K
441 Q-0010LRRS
442 Q-000S4J9H
443 Q-0013CKEX
444 Q-OO13S4US
445 Q-00138DLJ
446 Q-00AIRAA
447 Q-0013825N
448 Q-000C2X02
449 Q-0013STRR
450 Q-0013825F
451 Q-0013S2621
452 Q-00139C71
453 Q-00135TGE
454 Q-0013AW14
455 Q-0013YIFO
456 Q-0013USYF
457 Q-0013AW2K
458 P-JI8HLRUV
459 Z-00BGC08
460 Q-00139ZYY
461 Q-0000JPN7
462 Q-0013TKJZ
463 Q-0013WVU1
464 Z-000BEAWK
465 Q-0013WELN
466 Q-0013XBVY
467 Q-0013PY3T
468 Q-00134GRG
469 Q-00139T66
470 Q-0013TZDV
471 Q-0013OAUO
472 Z-000BDY4S
473 Q-0013SWMK
474 Q-0013R97I
475 Q-0013TZ95
476 Q-0013WE13
477 Q-0013OBKH
478 Q-0013NA9B
479 Q-0013PY1X
480 Q-0013500I
481 Q-0012ND26
482 Q-00138U6W
483 Q-0013ACS6
484 Q-00136HFY
485 Q-0013XBHQ
486 Q-0013QKB8
487 Q-0013NR40
488 Q-0013STPG
489 Q-0013R8O2
490 P-ZRU32TG9
491 Q-00138EW6
492 Z-000BDZGB
493 Q-00134N6A
494 Q-0013QLBD
495 Q-0013TZUG
496 Q-0013N8B5
497 Q-0013MTJL
498 Q-0013QKUE
499 Q-0013SX2G
500 Q-0013PDVN
501 Q-0013MCPC
502 Q-0013TYXJ
503 Q-0013TZM9
504 Q-0013Q1CX
505 Q-0013S5AS
506 Q-0013QJU6
507 Q-0013P7PJ
508 Q-0013PYRT
509 Q-0013TZRB
510 Q-0013SY3G
511 Q-00133Q11Q
512 Q-0013UEPJ
513 Q-0010KIQZ
514 Q-0013QK8W
515 Q-00139W6Q
516 Q-001378UB
517 Q-0013MU0R
518 Q-0013OD8H
519 Q-0013Q0MF
520 Z-000BE547
521 Q-0013AWH8
522 Q-001391M7
523 Q-001393GJ
524 P-PGRBXALZ
525 Q-0013AWAG
526 Q-0013ACQG
528 Q-000OYEVP
C 529 Q-000INIDX
530 Q-0010KIQZ
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871086612780002
1871080601050001
1871085510650004
1871080109640001
1871085208760002
1871076103010004
1871074610780009
1871084407640006
1871082910670003
1871080512010003
1871086211930001
1871085211580002
1871084909830001
1871081012800009
1871086010850003
3671010801810002
1871081110440001
1871064810940004
1871025706030008
1871084607530001
1871086805630003
1871085403640003
1871085208020008
1871072312600002
1871081010650012
1871082404810003
1871086406690002
1871084710560001
1803170102100001
1871086510850008
1871084101720003
1871081504690003
1871082606030005
1871085506750005
1871084109770003
1871086708850002
1871080605730005
1871084510900003
1871084504890003
1871085504690007
1871065410880006
1809052502920003
1871080808760004
1871075606780001
1871076012620003
1871085607670001
1871086405010002
1871086604960002
1871081212870013
1871081508660003
1871081807780005
1871084806000004
1871084209640003
1871081211030008
1871060510950004
1871085504620001
1871084607760003
1871036912890004
1871084207780001
1871075812630004
1871082202990001
1871087003550001
3215014206690002
1871081702870001
1871081810630003
1871094404820010
1871081107030004
1871081305080001
1871082807990005
1871085508830008
1871084505900003
1871075802960006
1871082108870004
1871010608830011
1871085006770006
1871091110800007
1871095906850001
1871075008010003
1871086010650004
1871084406780006
1871084507630007
1871081207800006
1871095403700002
1871084809770004
1871084905930004
1871085102900014
1871085004950004
1871084408640002
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1871086103720001
1871080201790005
1871085101990005
1871072906880005
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1871084712820005
1871085604640002
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1871074811730005
1871086504670002
1871085204610001
1871084810950007
1871084707800007
1871087009950004
2171126912920002
1871082103020007
1871084311930002
1871080904020002
1871082607970003
1871080507910006
1871084911860003
1871084601810001
1871087110820001
1871083011070006
1871070204080003
1871083103960003
1871085206630012
1871084405700002
1871082203090002
1871081604090001
1871085709920001
1871081109910004
1808035402790001
1871084507810006
1871084508580004
1871080408980010
1871090105750002
1871080709590004
1801062401960006
1871089708790005
1871086310050003
1871080308500001
1871080510720001
1871080702600004
1871080609070003
1871086410070002
1871082106860002
1871084702920001
1871080101730023
1871085607790007
1871085109000009
1871135806070001
1871085702040001
1871080102850008
1871090807840010
1871085701850004
1871094710840004
1871095202020001
1871090108890003
1871091005970002
1871090305010003
1871086807890003
1803214106840004
1871080203970001
1871081103820008
1801154506630007
1871085411920004
1871094601970002
1871086010730008
1871086911960001
1871081008670005
1871095204940006
1871090901810002
1871080808910006
3603010101860010
1871084507040001
1871085401070005
1871090911700003
1871080205030002
1871084607940003
1871092907770002
1871091908030002
1871082812690006
1871094710840010
1871081104050001
1871086805860001
1803035908850002
1871085307020005
1871084101920009
1871051212020010
1871085407020003
18710852108200004
1871081010810006
1871085609870007
1871081707020001
1871084604020005
1871082912080001
1871085407750002
1871086410830003
1871080510710001
1871085009050001
187108160100001
1871086808050001
1871081805930004
1871085506800006
1871095708000007
1871084202820009
1871085708700009
1871082509660001
1871031005890004
1809015810890003
1871084910930005
1205146806970003
1871095406800007
1871094509900006
1871096009800005
1871097012810002
1871082309550001
1871082804670001
1871086801000006
3671074505830018
1871085001880002
1871084111850005
1871084802880003
1871014204970004
1871086306040001
1871076210040001
1871081307580004
1802075403680002
1871081406030003
1871081307110001
1871084202840004
1871085003700009
1871082105020002
1871084405790002
1871095207820008
1871086710030002
1871084802040002
1871080302610005
1871081509740004
1871084509020001
1871050103700002
3302220705920002
1871081202800007
1871086905850004
1871096510890007
1871080101590012
1871081909670003
1871085710700003
1871085307750002
1871085509870005
1871085212730006
1871084805088004
1871085312750001
1871082811960003
1871082405730001
1871131005590002
1871080802020003
1871085209660001
1871082707030002
3671070110060006
1871070708840007
1871086610830001
1871081304810004
1809054401920004
1871094703870006
1871082010010001
1871080706750008
1871011810950005
1871081109990004
1871086805940001
1803010808910002
1871085907040002
3275104108870014
1871094505900008
1871086408820004
1871084804810007
1871086607620001
1871085305820002
1871086607620001
1871085806740001
1871085702010006
1871085101060002
1871084409930001
1871096403760003
1871082504030004
1871076403960004
3604206208930003
1871084108590001
1871086301940002
1871086305920002
1871080212740006
1871082907020005
1871092404800002
1871094911030001
1871082506990003
2171033006850003
1871084410020001
18710848780007
1871085006030004
1871056212880003
1871096611900006
1871064808740006
1871095805850001
1871071808780005
1871085909800005
1871091806740002
1871086408780002
1871085402000010
1871087012800005
1871084203020009
1871091705720001
1871082103680001
1806012204890003
1871084707730007
1871082606690002
1871086707010002
1871085007880008
1871084909880005
1871094408630004
1871086310940009
1871082407910005
3212216104650004
1810046410890001
1809012406730004
1871094104040001
1804046206050002
1806251011940002
1871070101740021
1871076702970003
1871085507980003
1871085901040002
1871084507900006
1871096701910008
1871095607850006
1871091312790006
1871090705800005
1871094812850004
1871086005780007
3603014410880006
1871086104800011
1871085506620004
1871094109900007
1871094808810002
1871082505770009
1871085807950001
1871082105030001
1871081706690004
1871074105040001
1805184809740001
1871082107500003
1871094205790009
1871085512580001
1871095102960001
1871094704910003
1871061211060002
3321091606840005
1871084608760004
1871096806760003
1871092707860006
1871085103820003
1871072506800006
1871084506010004
1871061205040001
1871090701750010
1871091004060003
1871080406030003
1871084808750008
1871085001820009
1871082811030001
1871084707030005
1871080607030001
1871085011920001
1871084205000008
1871085612920002
1871081211960005
1871085805060001
1871084902990004
1871084602820002
1871082501960005
1871082010000010
1871094710700001
1871055208800011
1871084408640004
1871080712810003
1871082711750004
1871084106900004
1871086111890003
1871070706950016
1871082810010002
1871080110010014
1871036307970007
1871080601930001
1871076302900008
1306060704950005
1802050105880032
1871080204630001
3201300906780005
1871086504860003
1871095909550001
1871086410030004
1871080101800014
1871085506030004
1809016210650001
1871084510870008
1871081212770005
1871082005570001
1871046208870002
1871095505760004
1871086810010002
1871085308980004
1871084503960008
1871071103960007
1871071112780013
1871084201790001
1871062804730001
1871080612790003
1871085204040003
1871080312850008
1871084307040002
1871086108820002
1871080903010001
1871084908960004
1871087003040002
1871086302910002
1871086503880001
1871082106040002
1801232510920001
1871084609810004
1871096304720008
1809012407010002
1871086810940005
1871051204990001
1871051204990001
1871085006990006
1871081410700005
1871082408780007
1871076906780002
1871096610860007
1871082310730003
1871164209060001
1871084610040001
1871082704050003
1871095005050002
18710801106060002
1871084510050002
1871084507630008
1871094609780003
3304055103960001
18710860048400008
1871085607760004
1808041804020001
1809075704990006
1871085805740002
1871080512670002
1871082609730002
1871084405940007
1871081202040002
1871082803640001
1871080101000022
1871084405020003
1871092503710004
1871092806900003
1871040308820012
1871080207040002
1871084807650006
1871094110820007
1871086511730003
1803096411020004
1871084510690005
1871075007770003
1871072509610001
1871084312580001
1871086411040001
1871095007780010
1871091606740004
1871086008800003
1871081305890004
1871080202720001
1871081506050001
1871096803480002
1871085004700005
1871081412670001
1871081409940004
1871086002900010
1871084608960001
1871085102610001
1871072112900010
1871095104740004
1871085306690001
1871086310790002
1871065203880004
1871011507950002
1610124308982001
18710869120300005
1871080205060001
1871081706060002
1871080101770013
1871014505650019
1871080802030004
1871081204940008
1871087010030002
1871082005840008
1871084406050004
1871081111720003
1809016210650001
1871084506820004
1871081708000012
1871085612830001
1809010203810007
1871094103010006
1807061208910002
1871085310950002
1406032707770002
1871085007950008
1871086908960003
1871045901940001
3603120108650007
1871084708930005
3505114509960001
1871072512730003
1871094209920004
187108500583001
1871095104860001
1871086810690003
1871084712640003
1871087003040002
1871080903010001
1871080312850008
1871071112780013
1871085308980004
1871086810010002
1871084510870008
3201300906780005
18710842050008
1871096506910001
1871082204710002
1871081706820001
1871094209920004

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: JUMAT / 22 OKT 2021
Jenis
Kelamin
DESI YULIANA P D 12/26/1978
M RAFI ROBBIN L D 06/01/2005
A SUADI L D 01/09/1964
UKHTI MASAUL HUSNA P D 3/21/2001
DEVI WAHYUNI P D 10/6/1978
HANI P D 7/4/1964
MARLAN L D 10/29/1967
TIKA RAHAYU P D 11/22/1993
SOLEHA P D 11/12/1958
DEDI SAPUTRA L D 12/10/1980
YENI OKTAVIA SARI P D 20/10/1985
YANUAR TRIAJI L D 08/01/1981
M ABBAS L D 10/11/1944
DINI OKTARIA FAJARYANTI P D 08/10/1994
FITRI INDRIANI P D 6/17/2003
JAMINAH P D 7/6/1953
PUTRI WULANDARI P D 12/08/2002
SIGIT ST L D 12/23/1960
SUAR L D 10/10/1965
HENDRI APRIAN JONI L D 24/04/1981
NILA P D 24/06/1969
SARI P D 10/7/1956
MARCELLENO L D 01/02/2010
ICIH P D 1/1/1972
SANUSI L D 15/04/1969
BELDEN ANG SAPUTRA L D 6/26/2003
KARWATI P D 01/09/1977
FITRI ADAWIYAH P D 27/08/1985
ASMAN L D 06/05/1973
RIA GUSTAMI P D 10/5/1990
NELLA RAHMAWATI P D 05/04/1986
MURTINI P D 15/04/1969
SANTI P D 10/14/1988
FAAD ALKAR L D 25/02/1992
M ZAINUDIN L D 8/8/1976
EMI ST P D 12/20/1962
AMSIAH P D 16/07/1967
MAHDA FADILA P D 24/05/2001
ASRIYANTI P D 4/26/1997
HADI L D 12/12/1987
AGUS RANI L D 15/08/1966
NIKEN FRANSISKA P D 08/06/2000
SAPARIAH P D 02/09/1964
SATRIO RAMADHAN L D 12/11/2003
MAULANA PAJAR L D 05/10/1995
KUNDAR YATI P D 15/04/1962
HALYATI P D 7/6/1976
DESI HANALIA P D 29/12/1989
NURYATIN P D 02/07/1978
RUMAYNAH P D 12/18/1963
PEBRIANSYAH L D 22/02/1999
ROHIMIN L D 30/03/1955
YAYAH ALIYAH P D 6/2/1969
SAMIN L D 17/02/1987
HAMDAN L D 10/19/1963
YUNENI P D 04/04/1982
NANDA RIZKY JULIAN L D 7/11/2003
MUHAMMAD KHAIRULLAH L D 5/13/2008
TUBAGUS HERU L D 6/24/1998
NENI ANGRAENI P D 05/05/1990
FITRI ROSALIA P D 18/02/1996
ARISYAH PUTRA L D 21/08/1987
GUSFIKAR RUDIANSYAH L D 06/08/1983
SUNAIYAH P D 10/06/1977
HERMAN FELANI L D 11/10/1980
HERNI L D 6/19/1985
PALJA PARUL NISA P D 8/10/2001

ROIYAH P D 20/10/1965
ASNARIAH L D 6/4/1978
ROMLAH P D 05/07/1963
SUTOYO L D 12/07/1980
SUHAETI P D 08/09/1977
MELLY SUSANTI P D 5/9/1993
SITI SUNDARI P D 10/04/1995
RATNA NINGRUM P D 10/10/1964
ACMAD THOLIB L D 02/01/1979
SOENAH P D 11/01/1999
ARIYADI L D 6/29/1988

ROJIAH P D 16/04/1964
NIA SAPUTRI P D 24/02/2008
MASANI P D 21/06/1976
NURSADIAH P D 08/11/1973
AMNAH P D 4/25/1967
SRI LASMINI P D 4/12/1961
ANNISA ATIKAH P D 30/09/1995
DESMI HIDAYAH P D 29/12/1992
ARI YANTO L D 3/21/2002
MUNIROH P D 03/11/1993
ANDREH L D 09/04/2002
ALPIN JULIANDA L D 26/07/1997
NOVITA MAYA SARI P D 09/11/1986
RUMINAH P D 1/6/1981
TRI OKTAFIANI P D 31/10/1982
ALDO HERIYANSYAH L D 30/11/2007
DIMAS ADHY DWI PUTRA L D 4/2/2008
ANGGARA L D 31/03/1996
HAYANI P D 12/06/1963
SUKMANAH P D 04/05/1970
RAYHAN SATRIA ERLANGGA L D 22/03/2009
SHIRYL HERLIANSYAH L D 16/04/2009
SERLI YOLANDA P D 17/09/1992
DEDE ISWADI L D 11/09/1991
SOLEHA P D 14/02/1979
RAMIATI P D 7/5/1981
JUARIAH P D 05/08/1958
M JAJULI L D 8/4/1998
HULANI L D 01/05/1975
A NURMAN L D 9/7/1959
ANGGI RAMADHAN L D 24/01/1996

ALAMIN L D 8/7/1979
PUJIATI L D 03/08/1950
YUSUP L D 10/5/1972
MASALI L D 2/7/1960
REYZA ANANDA L D 9/5/2007
ASTRIANINGSIH P D 24/10/2007
M DEDE L D 6/21/1986
SARIM L D 1/1/1973

RENDI L D 03/05/2001
DWI SOFYAN L D 7/28/1989
ERWIN GUNAWAN L D 04/11/1979
GADIS ANJARNI P D 11/14/1992
TIKA NOFIANTI P D 20/11/1997
RAHMANSYAH L D 10/08/1967
NURDIN L D 1/9/1981
FIRA YULIANA P D 05/07/2004
TINA DIAN M P D 14/01/2007
ACA L D 09/11/1970
BUNAWAN L D 06/07/1994
M. ARYA ADITYA L D 14/04/2008
M JAUHAR TANUJAYA L D 12/28/1969
YULIA NINGSIH P D 7/13/2002
WIWIT SETIA N P D 7/14/2002

SADIAH P D 12/10/1982
SYAHRUL SAPUTRA L D 10/10/1981
MALA P D 9/16/1987
AJAY L D 7/17/2002
SINTA P D 06/04/2002
MARIAM P D 7/14/1975
MAD JUHDI L D 05/10/1971
AULIA CANTIKA P D 10/09/2005
M.RIZKI TANUJAYA L D 16/01/2002
HENDRIANSYAH L D 19/05/1993
DWI OKTA SARI P D 09/10/1993
DEFINA TRESIA P D 6/28/1997
SANTI P D 12/30/1981
HERMI L D 4/28/1967
NURITAH P D 01/11/1985
AVPRILLA SOFIA P D 02/04/1997

ANISA DWI P P D 6/23/2004
AMANDA GRESCIA P D 10/22/2004
MUHAMMAD HADI L D 7/13/1958
SITI ROMLAH P D 3/14/1968
OLAN RIZKI A L D 13/07/2001
SUHESTI FEBRIYANTI P D 02/02/1984
AHMAT ROFA'I L D 21/05/2002
ANGGUN WAHYUNI P D 04/05/1979
JUHARIAH P D 7/12/1982
RANI REGITA P D 10/27/2003
HAMDAH P D 08/02/2004
DARMA L D 2/3/1961
SUPRON L D 15/09/1974
RISA ANTIKA P D 05/09/2002
ZAINAL L D 3/1/1970
SAKA PAMUNGKAS L D 5/7/1992

EDI DARMANSYAH L D 2/12/1980
SUCI ARBAWATI P D 5/29/1985
SITI ANDINI P D 10/25/1989
PULUNG L D 01/01/1959
JAMAL L D 9/19/1967
SULAIHA P D 13/07/1975
EEM HERLINA P D 12/12/1973
KESYA AULIA P D 08/05/2008
RAHMA WATI P D 12/13/1975
AHMAD HERYADI L D 5/24/1973
RASIMAN L D 5/10/1959
RIFKI AJI SAPUTRA L D 2/8/2002
WAGIRAH P D 9/12/1966
M TEGAR KIRANA L D 7/27/2003
M HALIT RAMADHAN L D 01/10/2006

SLAMET L D 8/7/1984
MUNENI P D 26/10/1983
JAENAB P D 3/7/2006
ERWIN L D 6/7/1975
ANDRE L D 9/11/1999
MINANTI P D 28/05/1994
HANDRYO GUSTOMY L D 06/08/1991
INTAN SAFIRA P D 19/07/2004
ANITA NUR P D 8/1/1987
SAKILAH P D 05/05/1990
SUHEMAH P D 24/08/1982
YUNITA SARI P D 4/8/1981

SUHETI P D 18/06/1974
WARNI P D 15/03/2001
RIMA DIYANTI P D 11/01/2006
TRI NURANI P D 9/4/1993
HJ MARSUNA P D 01/08/1959
RIANTI P D 23/01/1994
VIRGI PAMELA P D 5/13/1992
AHMAD ARIEFUDDIN L D 29/07/2002
JAPRI L D 4/24/1980
PUTRI PERMATA S P D 1/9/2003
MUHAMMAD MALIK L D 25/06/1999

JEFRI SANI L D 30/06/1985
RIZKA AMALIA P D 04/10/2002
SARIFAH ZAINAH P D 8/8/1978
DINI SEPTIANI P D 10/06/2003
MAULIKA OKTAVIA P D 12/22/1988
TUTI HERA WATI P D 8/8/1974
NURMALINAWATI P D 5/18/1985
ERWIN L D 8/18/1978
SITI HAFSAH P D 14/02/2000
SAKDIAH P B 30/12/1980
MERLIANA ANGGITA P D 3/2/2002
SOLEH L D 5/17/1972
IKRO FAJAR S L D 22/04/1989

NURJANNAH P D 7/7/1973
ACID L D 6/26/1969
ISMAWATI P D 7/10/1988
MARSAH P D 09/09/1988
AWALUDIN JOKO L D 24/07/1991
JUWARTI P D 4/21/1965
RENNY OKTAPRINA P D 10/24/1989
AGUS KOMARUDIN L D 24/06/1973
CINDY MONICA P D 4/1/2004
NOVID SUHENDRA L D 11/10/1994
KRISTRI ENI P D 7/15/1998
NATANA REYRA P D 19/01/2004

EVA JANIARTI P D 27/01/1991
ASNI P D 5/20/1978
TUMINNEM P D 6/15/1962
PUAT DIN L D 5/25/1977
UMAROH P D 17/07/1995
M FIRDO K L D 21/05/2003
SUJIMAN L D 17/06/1969
HJ YUSDARWATI P D 15/12/1958
SANA'AH P D 12/08/1998
LEONARDO TRI ANDIKA L D 12/11/2006
MOKH FATKHUR L D 01/06/1984
ANGGRAINI R P D 8/6/1976
ANDRIANSYAH L D 27/07/1986
SADELI L D 25/06/1980
GUSTI AYU P D 6/5/2001
FARHAN MAULANA L D 5/12/2004
M.N RIZKI PRASETYO L D 4/10/2006
M ROBBIYANTO L D 6/4/2003
ANAH P D 1/10/1982
TITO NOVANSYAH L D 11/28/2003
DINA WULANDARI P D 7/7/2003
PRASETYO PUTRA H L D 06/07/2003
DIAN EKA SARI P D 10/11/1992
ANANDA RIZKI AMALIA P D 12/29/1992
AULIA SAKINAH P D 18/05/2006
NENG PENI P D 06/02/1982
M FATHULLOH L D 10/20/2000
THRESIA AGUSTINA P D 8/12/1978
NGATILAH P D 04/08/1964

FERIZAL L D 11/27/1975
TETI FATIMAH P D 01/06/1990
YOGI AMALDI L D 07/06/1995
M ALIB L D 10/1/2001
M. ERDIAN L D 06/01/1993
SENDY CIA W L D 23/02/1990
MUGIYANTO L D 5/1/1988
ELSHINTA NOVALIA P D 24/10/2003
DEWI WULANDARI P D 6/15/2003

AJI SETIAWAN L D 11/03/1996
SARAH P D 02/01/1979
TUMIJAN L D 28/04/1973
NURUL AULIA P D 12/04/2004
MAYA MAHARANI P D 7/3/2004

NENENG P D 25/08/1973
FERRY AKBAR L D 3/9/2001
SANTIYANA P D 09/08/1996
WITA HERVIA SARI P D 23/02/1991
RIKA MUTMAINAH P D 3/25/1988
ADIT HERIYADI L D 21/06/2004
RIANA BAROKAH P D 10/25/1992
BADRIYAH P D 9/6/1961
RIZKY ARRIZA L D 24/07/2001
YEYEN ANITA P D 28/10/1995
AKHMAD RIDHO L D 4/12/1999
ELIS NOVRIANTI P D 16/11/1975
SELVI MELDYAWATI P D 10/06/1999
GUNAWAN SETIAWAN L D 10/4/1970
SUFRIZAL L D 8/24/1978
TITIS KARTIKA P D 6/29/1978

SARNI P D 10/26/1987
MANAHSYA L P D 02/09/2006
SHEILA ANDINI P D 10/6/2004
RIVALDO L D 4/27/2005
VERDIANA P D 5/10/2005
SULTHON L D 6/1/2006
KHAIRUN C L D 05/10/2005
ROHANI S P D 06/09/1978
FITRI NUR P D 3/11/1996
RIDHO ARSADI L D 18/04/2002
PUPUT P D 4/17/1999
EDI KURNIAWAN L D 05/12/1967

MENTARI L P D 05/04/1994
ALVIN R L D 2/12/2004
ROCHANI P D 3/28/1964
ASEP H L D 01/01/2000
MELISA S P D 04/05/2002
EMIL F P D 25/03/1971
ARDIANSYAH P D 28/06/1990
SYAHRONI L D 8/3/1982
FAQIH FIRDAUS L D 7/2/2004
HJ. HIKMATUL HASANAH P D 26/09/1993
LELAWATI P D 10/5/1969
SYAIFUL L D 9/25/1961
RAHMANDA L D 11/24/2004
SITI RIANI P D 7/10/1978
WIJI FAISOL L D 6/16/1974
ANDRIANUS L D 02/02/1972
M EGI NOVENDRA L D 15/11/2005
RITA P D 10/04/1970
DIANSYAH P D 12/14/1967
WENDY SEPTIAN NUGRAHA L D 9/14/1994
NUR YANTI P D 2/20/1990
SITI ROHMAWATI P D 8/6/1996
SURTI P D 11/02/1961
DESTIAN SAPUTRA L D 12/21/1990
ASTUTI P D 13/06/1969
NUR AFNI P D 23/10/1979

RISKY PRIMAS L D 15/07/1995
ALPINA P D 03/08/1998
ADINDA PUTRI APRIANI P D 29/12/2003
M. RAFO TANUJAYA L D 5/2/2006
RAFLI NUR RASYID L D 17/06/2006
RENI,SE P D 05/05/1965
RAHMAT KURNIAWAN AKBAR L D 2/8/2003
SALSABILA APRIYANTI P D 10/30/2003
YUSRON AL-MUKARROHMAH L D 04/06/2005
AL IMRON L D 19/11/1972
TITI SURYANI P D 05/06/1982
RISKI BAGASN SUGIRI L D 8/17/2000
HENDRIYANI L P 16/12/1983
SURAHMAT L D 3/2/1981
ELSA TRI MAHARANI P D 3/1/2001
BERY BERKIANTO L D 8/12/1991
TRI MUSTAIDAH P D 13/10/1995
MASKURI PADLI L D 27/07/1977
YULIAN SARI P D 12/07/1995
SITI AMSAH P D 8/29/1996
MEGGA RICSKY PRASTIKAWATI P D 1/19/1994
SURYA JAYA L D 01/08/1965
RIRIN AGUSTINA P D 8/7/1993
ZYSFA NUR ROSYIDAH P D 05/09/1996
SUGUNTUR L D 25/12/1973
SITI KHODIJAH P D 5/10/1983
DEDEH P D 11/04/1986
MAS' ANAH P D 28/10/1969
REDA DERITA P D 07/12/1964

FERRY AKBAR,S L D 09/03/2001
M RANI SYAHRANI P D 12/11/1978
LELA FITRI HANDAYANI P D 05/10/1987
RESTI YUNIA P D 6/25/1991
***Merek Vaksin
A = Sinovac
55 BPJS PBI
38 BPJS Non PBI
32 Non Anggota
7
132 Total
0 Dosis 1
0 Dosis 2
0 Dosis 3
139 Total
0
139
Umur
(18 sd ≥ 60 tahun)
44 31-45 BAKUNG
18 18-30 BAKUNG
57 46-59 BAKUNG
58 46-59 BAKUNG
46 46-59 BAKUNG
22 18-30 BAKUNG
44 31-45 BAKUNG
58 46-59 BAKUNG
55 46-59 BAKUNG
21 18-30 BAKUNG
29 18-30 BAKUNG
64 ≥60 BAKUNG
39 31-45 BAKUNG
42 31-45 BAKUNG
37 31-45 BAKUNG
42 31-45 BAKUNG
78 ≥60 BAKUNG
28 18-30 BAKUNG
19 18-30 BAKUNG
69 ≥60 BAKUNG
60 ≥60 BAKUNG
59 46-59 BAKUNG
20 18-30 BAKUNG
62 ≥60 BAKUNG
57 46-59 BAKUNG
42 31-45 BAKUNG
53 46-59 BAKUNG
66 ≥60 BAKUNG
13 0 BAKUNG
37 31-45 BAKUNG
51 46-59 BAKUNG
54 46-59 BAKUNG
19 18-30 BAKUNG
47 46-59 BAKUNG
45 31-45 BAKUNG
37 31-45 BAKUNG
50 46-59 BAKUNG
32 31-45 BAKUNG
37 31-45 BAKUNG
54 46-59 BAKUNG
34 31-45 BAKUNG
31 31-45 BAKUNG
46 46-59 BAKUNG
44 31-45 BAKUNG
60 ≥60 BAKUNG
55 46-59 BAKUNG
22 18-30 BAKUNG
26 18-30 BAKUNG
35 31-45 BAKUNG
56 46-59 BAKUNG
44 31-45 BAKUNG
22 18-30 BAKUNG
58 46-59 BAKUNG
19 18-30 BAKUNG
27 18-30 BAKUNG
61 ≥60 BAKUNG
46 46-59 BAKUNG
33 31-45 BAKUNG
44 31-45 BAKUNG
59 46-59 BAKUNG
24 18-30 BAKUNG
68 ≥60 BAKUNG
53 46-59 BAKUNG
36 31-45 BAKUNG
59 46-59 BAKUNG
41 31-45 BAKUNG
19 18-30 BAKUNG
15 0 BAKUNG
24 18-30 BAKUNG
39 31-45 BAKUNG
33 31-45 BAKUNG
27 18-30 BAKUNG
35 31-45 BAKUNG
39 31-45 BAKUNG
45 31-45 BAKUNG
42 31-45 BAKUNG
37 31-45 BAKUNG
21 18-30 BAKUNG
57 46-59 BAKUNG
44 31-45 BAKUNG
59 46-59 BAKUNG
42 31-45 BAKUNG
53 46-59 BAKUNG
45 31-45 BAKUNG
30 18-30 BAKUNG
33 31-45 BAKUNG
28 18-30 BAKUNG
58 46-59 BAKUNG
24 18-30 BAKUNG
51 46-59 BAKUNG
44 31-45 BAKUNG
24 18-30 BAKUNG
34 31-45 BAKUNG
46 46-59 BAKUNG
40 31-45 BAKUNG
59 46-59 BAKUNG
15 0 BAKUNG
46 46-59 BAKUNG
49 46-59 BAKUNG
56 46-59 BAKUNG
62 ≥60 BAKUNG
27 18-30 BAKUNG
42 31-45 BAKUNG
27 18-30 BAKUNG
30 18-30 BAKUNG
21 18-30 BAKUNG
29 18-30 BAKUNG
21 18-30 BAKUNG
25 18-30 BAKUNG
31 31-45 BAKUNG
36 31-45 BAKUNG
42 31-45 BAKUNG
40 31-45 BAKUNG
15 0 BAKUNG
15 0 BAKUNG
27 18-30 BAKUNG
59 46-59 BAKUNG
53 46-59 BAKUNG
14 0 BAKUNG
14 0 BAKUNG
30 18-30 BAKUNG
31 31-45 BAKUNG
44 31-45 BAKUNG
41 31-45 BAKUNG
64 ≥60 BAKUNG
24 18-30 BAKUNG
48 46-59 BAKUNG
63 ≥60 BAKUNG
27 18-30 BAKUNG
43 31-45 BAKUNG
18 18-30 BAKUNG
72 ≥60 BAKUNG
50 46-59 BAKUNG
63 ≥60 BAKUNG
15 0 BAKUNG
15 0 BAKUNG
36 31-45 BAKUNG
31 31-45 BAKUNG
50 46-59 BAKUNG
43 31-45 BAKUNG
22 18-30 BAKUNG
15 0 KEMILING
19 18-30 BAKUNG
38 31-45 BAKUNG
38 31-45 BATU PUTUK
38 31-45 NOG
28 18-30 BATU PUTUK

21 18-30 BATU PUTUK
33 31-45 BATU PUTUK
26 18-30 BATU PUTUK
22 18-30 BATU PUTUK
33 31-45 JL. AMD. KOTA JAWA
38 31-45 BAKUNG
26 18-30 BAKUNG
43 31-45 KURIPAN
59 46-59 NOG
26 18-30 BATU PUTUK
55 46-59 KURIPAN
29 18-30 BATU PUTUK
42 31-45 BATU PUTUK
31 31-45 NOG
37 31-45 BATU PUTUK

18 18-30 KURIPAN
16 0 BAKUNG
52 46-59 TBU
20 18-30 NOG
45 31-45 BATU PUTUK
15 0 KUPANG KOTA
19 18-30 BATU PUTUK
38 31-45 BATU PUTUK
18 18-30 NOG
37 31-45 BAKUNG
37 31-45 KURIPAN
20 18-30 SUKARAME 2
31 31-45 BAKUNG
40 31-45 NOG
41 31-45 KURIPAN
35 31-45 KURIPAN
20 18-30 SUKARAME 2
21 18-30 SUKARAME 2
14 0 NOG
39 31-45 KURIPAN
51 46-59 NOG
17 0 BAKUNG
17 0 BAKUNG
30 18-30 BAKUNG
42 31-45 BAKUNG
22 18-30 BATU PUTUK
41 31-45 BAKUNG
52 46-59 BAKUNG
56 46-59 BAKUNG
34 31-45 NOG
33 31-45 NOG
29 18-30 BAKUNG
25 18-30 B. LAMPUNG
42 31-45 BATU PUTUK
32 31-45 BATU PUTUK
42 31-45 BATU PUTUK
41 31-45 BATU PUTUK
67 ≥60 BAKUNG
56 46-59 BAKUNG
23 18-30 BAKUNG
40 31-45 PERWATA
35 31-45 KURIPAN
37 31-45 BAKUNG
35 31-45 SUKARAME 2
26 18-30 KEDATON
18 18-30 NOG
18 18-30 BAKUNG
64 ≥60 BAKUNG
55 46-59 BAKUNG
19 18-30 BAKUNG
39 31-45 KETEGUHAN
53 46-59 KURIPAN
44 31-45 KURIPAN
19 18-30 KURIPAN
19 18-30 NOG
62 ≥60 KURIPAN
48 46-59 KURIPAN
20 18-30 NOG
53 46-59 TKT
31 31-45 NOG
43 31-45 KURIPAN
38 31-45 KURIPAN
33 31-45 KURIPAN
52 46-59 KURIPAN
35 31-45 BAKUNG
49 46-59 KURIPAN
15 0 BAKUNG
47 46-59 KURIPAN
26 18-30 BAKUNG
50 46-59 SR 2
64 ≥60 IMAM BONJOL
21 18-30 KURIPAN
56 46-59 KURIPAN
19 18-30 KURIPAN
16 0 PERWATA
38 31-45 BAKUNG
39 31-45 BAKUNG
42 31-45 BAKUNG
31 31-45 KURIPAN
17 0 BATU PUTUK
21 18-30 BAKUNG
47 46-59 BAKUNG
27 18-30 KEDATON
23 18-30 BAKUNG
29 18-30 BAKUNG
18 18-30 BAKUNG
35 31-45 NOG
33 31-45 TBU
40 31-45 KURIPAN
42 31-45 KURIPAN
60 ≥60 BALAM
41 31-45 BAKUNG
60 ≥60 BALAM
48 46-59 KURIPAN
22 18-30 NOG
17 0 SUKARAME II
29 18-30 SR 2
47 46-59 BAKUNG
20 18-30 NOG
27 18-30 PESAWAHAN
29 18-30 KURIPAN
63 ≥60 KURIPAN
31 31-45 LANGKAPURA
48 46-59 NOG
20 18-30 KURIPAN
20 18-30 KURIPAN
23 18-30 NOG
37 31-45 BAKUNG
20 18-30 NOG
44 31-45 BAKUNG
19 18-30 KURIPAN
34 31-45 KEMILING
32 31-45 BATU PUTUK
48 46-59 BAKUNG
38 31-45 KOTAKARANG
44 31-45 TBS
42 31-45 BAKUNG
48 46-59 TBU
44 31-45 KURIPAN
23 18-30 KURIPAN
42 31-45 SUKARAME 2
51 46-59 TBU
55 46-59 BAKUNG
34 31-45 KURIPAN
49 46-59 KURIPAN
21 18-30 BAKUNG
34 31-45 KURIPAN
59 46-59 BATU PUTUK
28 18-30 BAKUNG
31 31-45 TBB
58 46-59 BAKUNG
33 31-45 KEMILING
49 46-59 GD TATAAN
19 18-30 MADARIJUL ULUM
17 0 LAMBAR
28 18-30 BALAM
49 46-59 TBS
26 18-30 NOG
24 18-30 KURIPAN
19 18-30 BALAM
32 31-45 BAKUNG
37 31-45 BATU PUTUK
43 31-45 BATU PUTUK
43 31-45 BATU PUTUK
37 31-45 BATU PUTUK
45 31-45 BAKUNG
34 31-45 BATU PUTUK
43 31-45 BATU PUTUK
60 ≥60 BAKUNG
32 31-45 BATU PUTUK
41 31-45 BATU PUTUK
46 46-59 KURIPAN
27 18-30 BAKUNG
53 46-59 SUKARAME 2
19 18-30 BAKUNG
50 46-59 BAKUNG
72 ≥60 BAKUNG
44 31-45 BATU PUTUK
64 ≥60 KURIPAN
24 18-30 BATU PUTUK
42 31-45 BATU PUTUK
16 0 JEND SUTOYO
38 31-45 TUGU LOR
46 46-59 BALAM
46 46-59 SUKARAME 2
36 #REF! KURIPAN
41 31-45 BAKUNG
42 31-45 KURIPAN
21 18-30 BAKUNG
19 18-30 TKP
48 46-59 BAKUNG
17 0 GUNUNG MAS
19 18-30 KURIPAN
47 46-59 BAKUNG
41 31-45 KETEGUHAN
19 18-30 NOG
19 18-30 NOG
19 18-30 KURIPAN
23 18-30 KURIPAN
30 18-30 KURIPAN
26 18-30 BAKUNG
17 0 KURIPAN
24 18-30 KURIPAN
41 31-45 SUKARAME 2
27 18-30 BAKUNG
52 46-59 TBS
44 31-45 KURIPAN
58 46-59 BAKUNG
41 31-45 KURIPAN
47 46-59 KURIPAN
32 31-45 KURIPAN
33 31-45 KURIPAN
27 18-30 BUMI WARAS
21 18-30 BAKUNG
21 18-30 KURIPAN
25 18-30 TKB
30 18-30 BAKUNG
33 31-45 BUMIWARAS
28 18-30 TKB
35 31-45 KURIPAN
60 ≥60 BAKUNG
42 31-45 NOG
37 31-45 BAKUNG
67 ≥60 BAKUNG
19 18-30 BALAM
43 31-45 BATU PUTUK
19 18-30 KURIPAN
57 46-59 BAGELEN
35 31-45 NOG
45 31-45 BAKUNG
66 ≥60 BAKUNG
35 31-45 BAKUNG
47 46-59 BATU PUTUK
21 18-30 NOG
24 18-30 NOG
26 18-30 BAKUNG
27 18-30 KURIPAN
44 31-45 NOG
44 31-45 PERWATA
50 46-59 TKP
43 31-45 KURIPAN
19 18-30 SUKARAME 2
37 31-45 NOG

49 46-59 KURIPAN
22 18-30 NOG
19 18-30 NOG
32 31-45 KURIPAN
18 18-30 KETEGUHAN
30 18-30 LAMSEL
61 ≥60 KURIPAN
51 46-59 KURIPAN
21 18-30 SUKARAJA
27 18-30 KURIPAN
24 18-30 TJK TIMUR
47 46-59 KURIPAN
23 18-30 KURIPAN
52 46-59 KURIPAN
44 31-45 KURIPAN

35 31-45 BATU PUTUK
49 46-59 KURIPAN
16 0 DEWI SARTIKA N0 17
18 18-30 KURIPAN
18 18-30 KURIPAN
18 18-30 RATU DIPUNCAK
16 0 KURIPAN
17 0 KURIPAN
59 46-59 BAKUNG
27 18-30 KURIPAN
39 31-45 KURIPAN
46 46-59 KURIPAN
21 18-30 BAKUNG
49 46-59 BAKUNG
55 46-59 BAKUNG
49 46-59 BAKUNG
29 18-30 BAKUNG
19 18-30 BAKUNG
59 46-59 BAKUNG
21 18-30 BAKUNG
32 31-45 BAKUNG
40 31-45 PANJANG
18 18-30 KURIPAN
57 46-59 BAKUNG
40 31-45 BATU PUTUK
29 18-30 BAKUNG
20 18-30 BAKUNG
53 46-59 BATU PUTUK
45 31-45 KANGKUNG
61 ≥60 TALANG
64 ≥60 BAKUNG
18 18-30 KURIPAN
44 31-45 TBU
48 46-59 KUPANGKOTA
42 31-45 NOG
34 31-45 NOG
51 46-59 KURIPAN
17 0 BATUPUTUK
75 ≥60 TBU
53 46-59 BAKUNG
55 46-59 KURIPAN
28 18-30 KURIPAN
33 31-45 BAKUNG
32 31-45 KURIPAN
53 46-59 BANDARLAMPUNG
43 31-45 NOG
35 31-45 BAKUNG
27 18-30 WAYHALIM
24 18-30 BAKUNG
19 18-30 KURIPAN
17 0 TELUK BETUNG
16 0 KURIPAN
58 46-59 SUKA MENANTI
29 18-30 JAKARTA
19 18-30 KURIPAN
17 0 KURIPAN
57 46-59 BEGELAN
40 31-45 KURIPAN

42 31-45 BAGELAN
22 18-30 GUNUNG MAS
31 31-45 BAKUNG
45 31-45 KURIPAN
27 18-30 PALAPA
29 18-30 KURIPAN
57 46-59 BAKUNG
29 18-30 BAKUNG
26 18-30 BUMI WARAS
49 46-59 GEDONG PAKUON
40 31-45 KURIPAN
5 0 BATU PUTUK
53 46-59 BAKUNG
58 46-59 BAKUNG
31 31-45 BUMI WARAS
52 46-59 NOG
44 18-30 NOG

Pekerjaan
33 A
32 B
31 C
96 D
E
140 Total
0
0
140
No. Hp
085788161132
085788161132 YA
081369622607 YA
081272055104 YA
089699103198 YA
YA
081369344140
081272035811 YA
YA
YA
089690848521 YA
085709721077 YA
085709721077 YA
089531566030 YA
081273356500 YA
081272750943 YA
089669284488 YA
083193232706 YA
081272750943
081279168340 YA
0895610072041
085709642532 YA
081272444472
08972823440 YA
0895330527081 YA
YA
0895389603032 YA
083190807512 YA
089517072476 YA
088272177100 YA
085369819893 YA
082282358370
088272177058 YA
081272035811 YA
089529968977 YA
081369584144 YA
089560459313 YA
089506012003 YA
087893725820 YA
0895412744449 YA
082323090986
081271993695 YA
089517072562 YA
YA
089632389110 YA
0895382156978 YA
08975731762
083840831404 YA
082278873901 YA
089669454488 YA
YA
YA
YA
0895385520433
0852690689838 YA
082181955696 YA
0895389620294 YA
0895610071276 YA
YA
YA
0895605935807 YA
YA
08984295666 YA
082269427295
089632314562 YA
YA
083147872729 YA
081379744170 YA
085267909199
082176177240 YA
085273366330
085378165451
089689629500 YA
085702146214 YA
081366060321 YA
08979223364
0895602329574
082269427295 YA
0895602329574 YA
089611150281 YA
0895335020009 YA
085379108990 YA
089632058339
082374839323 YA
081271993693 YA
089658807347
082179850865
089633830894 YA
083164353537
085383835765 YA
089686668744 YA
089633412181
085783326660 YA
081369177284 YA
089632601313
0895600627600
YA
089658807347 YA
085384609773 YA
0831698344522 YA
0895335007900 YA
081272802960 YA
081319371595 YA
0895610071276 YA
085381119811 YA
088971363342 YA
088274278174
0895609635558
089531474080 YA
0895600781717 YA
089531474080 YA
0895341774337 YA
0895640203476 YA
0895345152443 YA
082289056690 YA
089523928389 YA
089532474080 YA
085789416658 YA
089633510351 YA
089603974517 YA
088747585611
082180805731 YA
088287298055
088287971642 YA
YA
082175865565 YA
083194822957 YA
088286456732 YA
08319712361 YA
083872504398 YA
088287391366 YA
0895705030999 YA
08977491820
083849383216
085246232465
085246232465 YA
085268249391 YA
087871811222 YA
089651367632 YA
081369306510 YA
089608943039
089633424732
081278631173
08 YA
085658303660 YA
0895347292532 YA
081379740741 YA
085669531507 YA
085788112430 YA
089631125457 YA
082278744911
08986402778 YA
081274415088
081366199362 YA
081278358437
085778237237 YA
082372933196 YA
08984714233
085279371144 YA
085783139070 YA
085366923516 YA
082278744911 YA
085218913665
08979222752
089630514515
085788085871
082278744911 YA
085809535590 YA
082372205724
YA
085658934951
087899193299
082186750368
088286586971 YA
08990775092 YA
082376070041
08973691668 YA
0895640084139
081369306510 YA
0895366741045
089515918560
082312918574 YA
082312918574 YA
089632745200 YA
085788691080 YA
085360011419 YA
089636308616
085788844852 YA
089631961158 YA
085273564550 YA
085758399030 YA
089522018810 YA
085379531720 YA
081369510771 YA
0895336805599 YA
0895616082458 YA
089603239913 YA
081379299911 YA
085369562112 YA
089651435735 YA
085788848198 YA
087893398746 YA
085766817259 YA
085789781538 YA
08
085832630053 YA
089603239913 YA
085384752736 YA
08578929433 YA
087777829489
082373514764
089513145814
08 YA
089628976172
082371759767 YA
0887437332564 YA
085266994342
085273620145 YA
089524992965
089629027840 YA
08994267152 YA
089604154751 YA
085783667608
081273503263 YA
081272954281
083169614781
0895331490134 YA
082167038134
08971441766
083875617467 YA
082185047859
085773056450 YA
089632171021 YA
089632171021 YA
083199269969 YA
081214596582 YA
085769045835
0895336443060
085267917540 YA
085377743393 YA
082321939845 YA
089521838493 YA
088287603083 YA
087899225773 YA
081949183419 YA
081369175628 YA
085279633455
085768511244 YA
089632314077
087777829489 YA
089628868845 YA
089532027008 YA
089532027008 YA
089517072166
085896217052
0895416730501
081272154157
0895600650050
089690261560
088269053309
083160107678 YA
089523111197
08
08871723923 YA
0895336454600 YA
0821794749008 YA
089692601036 YA
082177553013
089692601036 YA
085379161733 YA
089632637329 YA
089632743500 YA
085366833005 YA
082177353013 YA
089523136039
08996466880 YA
081274415318 YA
082181935552 YA
085788687497
082186672278 YA
08975731976 YA
085768288660 YA
085269989317 YA
08998886918 YA
089619991077
082169724842
0895332383583
083144036030 YA
085896210445 YA
081278956022 YA
08978301026 YA
083188661708 YA
082258773785
085279163231
089515722416
082178789056 YA
081281078217 YA
089510120074 YA
081274312424
082380725264
082173483230 YA
0895416729070
082181669987 YA
0895361140271
082178310589 YA
08979725597 YA
0895361140271 YA
085832047349 YA
085768865482 YA
089673292043 YA
089637637614
081222180799 YA
081279427254
0895616460096 YA
085316638103
081373814899 YA
082306769469 YA
089624429005 YA
089624429005
08984283916
082182568626
0895346290120 YA
089690261663 YA
081278631173
085890909368 YA
082269046711 YA
082269046711
0895416729300 YA
085218913665
085161658502 YA
082278744911
0823222057 YA
085218913665 YA
0895321980902
08996400565
088908895187 YA
082371640076
088706426244 YA
083170257958
081271255422 YA
08 YA
0895323241610 YA
085896511935 YA
085602318526 YA
083168819435 YA
082185969666 YA
088269586199
085357587545
081271834399 YA
089630514012 YA
08973973338
085832693429 YA
083160920475
085788526919 YA
085609128032 YA
083169834465 YA
089627059104
082371800157 YA
085769065137 YA
089631961158 YA
0895704232361 YA
089626041929 YA
0895343221873 YA
085848867000
089670900603
08994281678
0895411750906 YA
085758883175 YA
0811722919 YA
081278419087
082379836331
082282439946 YA
081532164617 YA
0888706461014
081274415318 YA
085383066611 YA
085832657327
08971441766
085273368494
08 YA
085377589841 YA
089526114070 YA
085925751558 YA
0823748784884
085384999943 YA
082185048763 YA
0895348055917
088287585181 YA
089633830837
083150313892 YA
081272724134 YA
0895630465080
08984112615
08 YA
089517072386 YA
088286106049
082372055887 YA
082278744911
083176682116 YA
081271852355
088286106049 YA
082122910442 YA
085832122204 YA
08 YA
082179749008
0895610071281
0895609927328 YA
081391494477 YA
083171679230 YA
081278251373 YA
089608631074
089520070258 YA
089516332468 YA
082280784310 YA
08984261282
089523084276 YA
082282111511 YA
0895610071281 YA
0831974494580 YA
089526666512
082122910442 YA
089505904415
089625556400 YA
08971441766 YA
087868851350 YA
085269856876
082376666054 YA
08957975782
081273484573 YA
081373814899 YA
082306769469 YA
089624429005 YA
089624429005
08984283916
082182568626
0895346290120 YA
089690261663 YA
081278631173
085890909368 YA
082269046711 YA
082269046711
0895416729300 YA
085218913665
085161658502 YA
082278744911
0823222057 YA
085218913665 YA
0895321980902
08996400565
088908895187 YA
082371640076
088706426244 YA
083170257958
089632388682
089522100673 YA
082278744911 YA
085327115021 YA
082278744911 YA
08993029569 YA
082181129434
085357269541
089522100673 YA
082376194864 YA
089624490841 YA
089761983452 YA
085360011491 YA
089522330398 YA
082184060192 YA
082376192018 YA
085279502949 YA
082278744911 YA
081271402860 YA
081366742314
081271706758 YA
08996442315
088276287021 YA
081249482980
081272003179 YA
083140459726 YA
089618576999 YA
085273179993 YA
081264287800 YA
085366812833
083153326401
08313867259
085788459321
081541516327
082282249387
089530325439
089630500817
089512944831
082286738759
089525545156
082177148201
08984112615
082282425089
083121260266
081379744768
081379530554
085717743799
085758888053
0895616090891
081373620536
0895614817740
085783378290
082182926679
081278455014
0895609940381
081259700597
082175745680
0895640412204
085709644288
085839328442
0895838265384
089699464945
089516332468
089808631074
1871080312850008
085832122204
081271852355
083176682116
082278744911
0895348055917
0895343221873
08992270566
089632161421 YA
085669331644 YA
0895640412204
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota







10/23/2021 CORONAVAC


9/17/2021 CORONAVAC








YA 6/6/2021 SINOVAC

YA
YA

7/14/2021 CORONAVAC




9/20/2021
YA


8/23/2021 CORONAVAC
7/21/2017 SINOVAC
Dosis I
Tanggal Pemberian
Vaksinasi
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
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10/23/2021 202109180F
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10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
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10/23/2021 202109180F
10/23/2021 202109180F
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10/23/2021 202109180F
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10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
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10/23/2021 202109180F
10/23/2021 202109180F
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10/23/2021 202109180F
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10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 202109180F
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
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9/24/2021 202108170I
9/17/2021 2021081701
9/24/2021 202108170I
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9/25/2021 202108170I
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9/24/2021 202108170I
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9/24/2021 202108170I
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9/25/2021 202108170I
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9/24/2021 202108170I
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9/25/2021 202108170I
9/24/2021 202108170I
10/23/2021 202109180F
9/24/2021 202108170I
9/25/2021 202108170I
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9/25/2021 202108170I
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9/15/2021 202108156I
10/23/2021 202109180F
9/25/2021 202108170I
9/10/2021 24005421 16270261479273
9/25/2021 202108170I
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9/24/2021 202108170I
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9/25/2021 202108170I
9/23/2021 24005221
9/24/2021 202108137H
9/25/2021 202108170I
9/26/2021 24200321
9/24/2021 202108170I
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9/22/2021 202108137H
9/23/2021 202107143H
9/24/2021 202108170I
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9/24/2021 202108170I
9/25/2021 202108170I
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9/24/2021 202108170I
9/25/2021 202108170I
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9/24/2021 202108170I
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9/25/2021 202108170I
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9/25/2021 202108170I
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9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/24/2021 202108170I
9/23/2021 202108137H
9/24/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
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9/24/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/20/2021 202108154G
9/25/2021 202108170I
6/6/2021 24002521 16170981757121
9/25/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
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9/24/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/2/2021 202108170I
10/23/2021 202109180F
9/25/2021 202108170I
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9/24/2021 202108170I
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9/24/2021 202108170I
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9/24/2021 202108170I
9/24/2021 202108170I
7/5/2021
9/24/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/20/2021
9/25/2021 202108170I
9/25/2021 202108170I
9/10/2021
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/13/2021
7/14/2021
9/24/2021
9/25/2021 202108170I
9/25/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/24/2021 202108170I
9/16/2021
9/25/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/20/2021 202108154G
9/25/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/16/2021
9/25/2021 202108170I
9/25/2021 202108170I
8/23/2021 24004921
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/24/2021 202108170I
7/5/2021
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
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9/24/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/23/2021
9/24/2021 202108170I
9/25/2021 202108170I
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9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021
9/25/2021 202108170I
9/25/2021 202108170I
6/15/2021
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/25/2021 202108170I
9/24/2021 202108170I
9/20/2021
9/24/2021 202108170I
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9/25/2021 202108170I
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9/24/2021 202108170I
7/5/2021
9/24/2021 202108170I
9/24/2021 202108170I
9/25/2021 202108170I
9/20/2021
9/25/2021 202108170I
9/25/2021 202108170I
9/10/2021
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
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9/24/2021 202108170I
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9/24/2021 202108170I
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9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
9/24/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
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10/23/2021 202108170I
10/23/2021 202108170I
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10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/23/2021 202108170I
10/24/2021 202108170I
8/23/2021 24004921 16255465610129
7/21/2017 24201321 16232983420216
10/23/2021 202108170I
Dosis 2
Tanggal Pemberian
Vaksinasi
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
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10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 24005721
10/23/2021 202109180F
10/23/2021 202109180F
10/23/2021 20219180F
10/23/2021 20219180F
10/23/2021 20219180F
10/23/2021 20219180F
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10/23/2021 20219180F
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-0ICED76E
2 P-OSKUMEUW
3 P-OV4SACP9
4 P-OX412DTA
5 S-A6CD3D19
6 P-12ZLE824
7 P-16FH8B9

9 P-1BGAFHEN
10 P-1CHYOSZG
11 P-1F5FLOC6
12 P-OTR891M7
13 P-OIA43ALJ
14 P-1IFTCRZC
15 P-1IXN3NW5
16 P-1LC8PR08
17 P-1LV7P1Y5
18 P-1ONPFOZD
19 S-3717E976
20 P-1ZUJEH5L
21 P-214E6H5K
22 P-OYUCGBQU
23 P-22UY8FS1
24 P-2C26GKIY
25 P-2CNYBNDQ
26 P-OXYGUEOR
27 P-O0TV6RBW
28 P-2FGNQLVE
29 P-2KPOMHTT
30 P-2LFZ1XV6
31 P-AO690I4E
32 S-I524I5F4
33 P-OMH8DOJD
34 S-3B77IIA7
35 P-2U8UPXND
36 P-2V3SNEV
37 P-2BJOJD09
38 P-2WAGLJC
39 TIDAK TERDAFTAR
40 P-TUHUSPKR
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871094506600006
1871094605030003
1871094601070002
1871091205650005
1871091012470001
1871091211730001
1871095110630001
1871090606840009
1871095203630006
1871094210810004
1871104208900002
1871091205670006
1871093108000005
1871092011000004
1871092701940004
1871092910880002
1871084510650015
1871090405820007
1871080512540003
1871095008800007
1871100904950004
1871100202900010
1871095101690002
1871090502710004
1871081507010005
1871091108990001
1871091703030005
1871090508090001
1871091806930004
1871095106050003
1871095006870001
1871095902550001
1871091007640004
1871090507570007
1871096801020003
1871095706810004
1871096011020001
1871095811880003
6402135208821005
1871091611060002

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: SELASA / 26 OKT 2021
Jenis
Kelamin
JASIYAH P D 6/5/1960
MAYSAROH P D 06/05/2003
SAMHURI L D 11/12/1973
MASTIAH P D 11/10/1963
AMSARI L D 6/6/1984
ASIAH P D 03/12/1963
PONI SRI RAHAYU P D 2/10/1981
SISKA SARI P D 08/02/1990
SUHARDI L D 05/12/1967
M. AKBAR AULIA YUSUP L D 31/08/2000
RUDI L D 11/20/2000
MUHAMMAD ALI L D 1/27/1994
SANIM L D 29/10/1988
SLAMET RAHAYU P D 05/10/1965
SAHRONI L D 04/05/1982
MANAH P D 10/08/1980
DINARDO CAHYADI L D 09/04/1995
M. FEBRIAN SUDRAJAT L D 02/02/1990
UTIK P D 1/11/1969
RIFA'I L D 2/5/1971
MARWAN L D 15/07/2001
AGUS RIYADI L D 11/08/1999
AHMAD HIDAYAT L D 17/03/2003
M. RAPLI KUSTIYANDI L D 05/08/2009
DEDI SETIAWAN L D 6/18/1993
DHEA SYAVIRA JULIANTI P D 02/11/1950
ARSUNAH P D 2/19/1955
SARTA L D 10/07/1964
MARYADI L D 05/07/1957
SITI NURHASANAH P D 27/02/2002
SUMINAH P D 17/06/1981
JUNARIA P D 10/11/1988
AGUS SETIAWATI P D 8/12/1982
RAFI ILYAS L D 11/16/2006
***Merek Vaksin
A = Sinovac
11 BPJS PBI
11 BPJS Non PBI
9 Non Anggota
6
37 Total
0 Dosis 1
1 Dosis 2
0 Dosis 3
40 Total
0
41
Umur
(18 sd ≥ 60 tahun)
62 ≥60 BATUPUTU
20 18-30 BATUPUTU
15 0 BATUPUTU
58 46-59 BATUPUTU
75 ≥60 BATUPUTU
49 46-59 BATUPUTU
59 46-59 BATUPUTU
38 31-45 BATUPUTU
59 46-59 BATUPUTU
42 31-45 BATUPUTU
33 31-45 BATUPUTU
55 46-59 BATUPUTU
22 18-30 BATUPUTU
22 18-30 BATUPUTU
29 18-30 BATUPUTU
34 31-45 BATUPUTU
57 46-59 BATUPUTU
41 31-45 BATUPUTU
68 ≥60 BATUPUTU
42 31-45 BATUPUTU
28 18-30 BATUPUTU
33 31-45 BATUPUTU
54 46-59 BATUPUTU
52 46-59 BATUPUTU
21 18-30 BATUPUTU
23 18-30 BATUPUTU
20 18-30 BATUPUTU
13 0 BATUPUTU
29 18-30 BATUPUTU
72 ≥60 BATUPUTU
35 31-45 BATUPUTU
68 ≥60 BATUPUTU
58 46-59 BATUPUTU
65 ≥60 BATUPUTU
21 18-30 BATUPUTU
41 31-45 BATUPUTU
20 18-30 BATUPUTU
34 31-45 BATUPUTU
40 31-45 BATUPUTU
16 0 BATUPUTU
Pekerjaan
7 A
15 B
18 C
40 D
E
167 Total
23
0
190
No. Hp
081288658079
085709516014 YA
085709516014 YA
089637969796 YA
088286316686 YA
081540821608 YA
0881022520315 YA
089604040961
089604040961 YA
081369368692 YA
082279102992
08983318678 YA
085368056629
089634158763 YA
089631304627
082175673584
081257897111
089508638167
081257897111
085809121277 YA
081278948556
085389432393
082377035892
089541359662 YA
085267463379
085647616261
089692553301 YA
085840120092
081273826873 YA
089630654044 YA
YA
0895704246866
082181079503 YA
082175466271 YA
0895621238759 YA
089523083253 YA
08994104080 YA
0821799975620
08984260896
YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota



Dosis I
Tanggal Pemberian
Vaksinasi
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
10/26/2021 202108170F
Dosis 2
Tanggal Pemberian
Vaksinasi
10/19/2021 202108177F
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 P-12MPLO0J
2 P-173ONKDV
3 P-18KVMJ9I
4 P-1BCN7XM
5 P-1CLGGFY
6 P-1GR0QYHR
7 P-FR97VYSN
8 P-1QOMJURS
9 P-X9T6GDCS
10 P-1UDUKFO
11 S-1D1E20DE
12 P-2O1J4SH
13 P-21MJO7M7
14 P-27AWQ4RC
15 P-2C8C9SGP
16 P-1MJNKOD3
17 P-1NH4JSJE
18 P-2FOT2SRN
19 P-2GJZL1RG
20 P-21KJN2S4
21 P-2JCKSCPV
22 P-2KJSL1CM
23 P-2LFOGAXW
24 P-2N64QIQT
25 P-2O59G4TP
26 P-2RQBGKSY
27 P-2SS5QODO
28 P-2UICX28V
29 P-ZUZDURS4
30 P-2WT1RVR1
31 P-31JQ92WA
32 P-33DWAORR
33 P-35Y57TOQ
34 P-38FZZMQ
35 P-39FB4GD5
36 P-3C39MTKG
37 P-3CS3NXZ2
38 P-1BILPCHM
39 P-3ERMQMI4
40 P-3FSOH28J
41 P-3G2YBIO0
42 S-BF4264B9
43 P-3HDZAIQF
44 S-0DED14CB
45 P-3HXPYRBK
46 P-3IH5OVQL
47 S-ODED14CB
48 P-3CJGR68W
49 P-3CTE44BW
50 P-3FNOZ13L
51 S-D4B1C8F0
52 P-3GHXM8ZP
53 Z-A286OFFD
54 P-3H3T57IT
Keterangan
D = Lainnya
E = Tidak Bekerja
NIK
1871096505800006
1871092312040002
1871090407860008
1871091105980002
1871052801780003
1871094610910003
1871091502810009
1871094303860006
1871090507720012
1871094503800008
1871091207510001
1871090808860004
1871090310690001
1871090705030003
1871094604070006
1871090602780008
1871094702830009
1871090506620003
1407080705740004
1871091205650012
1871094507780008
1871090808070004
1871092805080005
1871094305750003
1871096911060001
1871094104070003
1871094712070003
1802154811890001
1871080502060001
1871084305930005
1871090808000002
1871091207060003
1871090406020005
1871092709640003
1871096208080001
1871095510090002
1871094104890007
3275036512810031
1871094802850005
1871094112950004
1871091107790006
1871065408570004
1871095610070003
1871085602480001
1871092301020002
1871090802710002
1871063110860006
1871091204680009
1871096606640001
1871096708750004
1871095004580006
1871094504930004
1871092408790001
1871090502940005

Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
: PUSKESMAS BAKUNG
: BANDAR LAMPUNG
: LAMPUNG
: RABU / 27 OKT 2021
Jenis
Kelamin
YUNI P D 5/25/1980
AGUS PRAYITNO L D 04/07/1986
ARTAWIJAYA L D 11/05/1998
EMAN SUHERMAN L D 1/28/1978
AMINAH P D 10/6/1991
TONI TARMIZI L D 2/15/1981
DEWI P D 3/3/1988
KARIM P D 05/07/1972
WAHIDIN L D 12/07/1951
SADAM P D 08/08/1986
YUMI L D 03/10/1969
SUTISNA P D 5/7/2003
SILPI P D 4/6/2007
JAMSIR L D 06/02/1978
SAHRI L D 05/06/1962
MARKAWI L D 07/05/1974
LATIP B L D 12/05/1965
ETI P D 05/07/1978
ARIL L D 08/08/2007
ANGGA DWIKA L D 6/28/2008
ANISAH P D 7/12/2008
NANDINI P D 29/11/2006
SISKA P D 01/04/2007
RISKA HANDAYANI P D 07/12/2007
IRA ADELIA P D 08/11/1989
ADEN MARIO L D 3/5/2005
ATIKA P D 03/05/1993
RIKI L D 08/08/2000
RONAL L D 7/10/2006
SAPRUDIN L D 04/08/2002
SAWARUDIN L D 27/09/1964
ANDINI P D 22/08/2008
DEVITA LIA UTAMI P D 15/10/2009
SANAWIYAH P D 01/04/1989
HAWIYAH P D 25/12/1981
YIMAS AISAH P D 2/8/1985
ANA KURNIA P D 12/1/1995
HANAPI L D 7/11/1979
IIS ISMANAH P D 14/08/1957

RINI PUTRI A P D 27/12/2007
RUBI CAHYADI L D 23/01/2002
SUKARDI L D 2/8/1971
M.LISANA SHIDEQIN P D 31/10/1986
HANAFIAH L D 12/04/1968
ASNI P D 26/06/1964
ROHA P D 8/27/1976
JUNAH P D 4/10/1958
ATI P D 05/04/1993
ALKOMAR L D 24/08/1979
RAHMAN P D 05/02/1994
***Merek Vaksin
A = Sinovac
11 BPJS PBI
18 BPJS Non PBI
9 Non Anggota
5
43 Total
0 Dosis 1
1 Dosis 2
0 Dosis 3
54 Total
0
55
Umur
(18 sd ≥ 60 tahun)
43 31-45 BATUPUTU
18 18-30 BATUPUTU
36 31-45 BATUPUTU
25 18-30 BATUPUTU
45 31-45 BATUPUTU
31 31-45 BATUPUTU
42 31-45 BATUPUTU
35 31-45 BATUPUTU
50 46-59 BATUPUTU
43 31-45 BATUPUTU
71 ≥60 BATUPUTU
36 31-45 BATUPUTU
53 46-59 BATUPUTU
20 18-30 BATUPUTU
16 0 BATUPUTU
45 31-45 BATUPUTU
40 31-45 BATUPUTU
60 ≥60 BATUPUTU
49 46-59 BATUPUTU
58 46-59 BATUPUTU
44 31-45 BATUPUTU
15 0 BATUPUTU
14 0 BATUPUTU
14 0 BATUPUTU
16 0 BATUPUTU
16 0 BATUPUTU
15 0 BATUPUTU
33 31-45 BATUPUTU
18 18-30 BATUPUTU
30 18-30 BATUPUTU
22 18-30 BATUPUTU
16 0 BATUPUTU
20 18-30 BATUPUTU
58 46-59 BATUPUTU
14 0 BATUPUTU
13 0 BATUPUTU
34 31-45 BATUPUTU
41 31-45 BATUPUTU
38 31-45 BATUPUTU
27 18-30 BATUPUTU
43 31-45 BATUPUTU
65 ≥60 BATUPUTU
15 0 BATUPUTU
75 ≥60 BATUPUTU
21 18-30 BATUPUTU
52 46-59 BATUPUTU
36 31-45 BATUPUTU
55 46-59 BATUPUTU
58 46-59 BATUPUTU
46 46-59 BATUPUTU
65 ≥60 BATUPUTU
30 18-30 BATUPUTU
43 31-45 BATUPUTU
29 18-30 BATUPUTU
Pekerjaan
14 A
21 B
19 C
54 D
E
167 Total
23
0
190
No. Hp
085789985880
085789985880 YA
089604040965 YA
085700262038 YA
089632311683 YA
0895336805599 YA
082284815221 YA
085709508406
085700262038 YA
085789985880 YA
081271893295
082373697613 YA
085282551379
085763897215 YA
085896630725
085789985880
081366193237
082282781739
08579406824
085789985880 YA
08789985880
081240442690
085839238486
081271893295 YA
085658344535
085766837381
081240442690 YA
085788132409
085289985880 YA
081240442690 YA
085838250048 YA
085789985880
085709118756 YA
081271893295 YA
085789985880 YA
085789985880 YA
085664733618 YA
081288451843
085839238474
089517424190 YA
081271547405 YA
082182866599 YA
085789985880 YA
085832667240 YA
085789829813 YA
081632133750 YA
082278712224 YA
085266949884 YA
082186066984 YA
082186066984 YA
085668423185 YA
085668423185 YA
082180222041
081272414845 YA
Pekerjaan
0
0
0
0
0
0
0
D-19
Nama/Jenis/Merek
Tanggal Screening
Vaksin***
Non Anggota




Dosis I
Tanggal Pemberian
Vaksinasi
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
10/27/2021 202108142H
Dosis 2
Tanggal Pemberian
Vaksinasi
Dosis 3 MODERNA
Tanggal Pemberian
Vaksinasi
Keterangan

Laporan Vaksinasi Sinovak Dan Moderna PKM Bakung 27 Oktober Batuputuk

Diunggah oleh

Informasi Dokumen

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Laporan Vaksinasi Sinovak Dan Moderna PKM Bakung 27 Oktober Batuputuk

Diunggah oleh

Hak Cipta:

Format Tersedia

Nama Puskesmas/Fasyankes/Pos

* Pekerjaan dikelompokkan menjadi:

A = Petugas Medis dan Non Medis di Fasilitas Pelayanan Kesehatan

B = Petugas pelayanan publik yang berhadapan langsung dengan masyarakat

dapan langsung dengan masyarakat

B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes)

elompok Umur: Kepesertaan BPJS

53 BPJS Non PBI

Pekerjaan: Pemberian Dosis

JL.WA RAHMAN NO 32 BATU PUTU

jl. Amd Kota jawa NOG

No. Hp Kepesertaan BPJS (tulis 'Ya' pada kolom yang sesuai)

3/4/2021 24000721 16124995412124

3/4/2021 24000721 16124995412124

3/4/2021 24000721 16124995412124

3/4/2021 24000721 16124995412124

3/4/2021 24000721 16124995412124

3/4/2021 24000721 16124995412124

3/4/2021 24000721 16124995412124

3/4/2021 24000721 16124995412124

3/4/2021 24000721 16124995412124

3/4/2021 24000721 16124995412124

elompok Umur: Kepesertaan BPJS

TANJUNG KARANG PUSAT

NEGERI OLOK GADING

NEGERI OLOK GADING

Kepesertaan BPJS (tulis 'Ya' pada kolom yang sesuai)

BPJS PBI BPJS Non PBI

Tanggal Screening Nama/Jenis/Merek Vaksin***

TIARA PUTRI SARAS WATI L B

DESI MUTIA PUTRI P B

elompok Umur: Kepesertaan BPJS

BATU PUTUK ,TBU

BATU PUTUK ,TBU

BATU PUTUK ,TBB

Kepesertaan BPJS (tulis 'Ya' pada kolom yang sesuai)

BPJS PBI BPJS Non PBI

Tanggal Screening Nama/Jenis/Merek Vaksin***

6-Mar-21 24000721 16125069228673

6-Mar-21 24000721 16125069228673

6-Mar-21 24000721 16125069228673

6-Mar-21 24000721 16125069228673

6-Mar-21 24000721 16125069228673

6-Mar-21 24000721 16125069228673

6-Mar-21 24000721 16125069227113

6-Mar-21 24000721 16125069227113

6-Mar-21 24000721 16125069227113

6-Mar-21 24000721 16125069227113

6-Mar-21 24000721 16125069227113

6-Mar-21 24000721 16125069227113

6-Mar-21 24000721 16125069438961

litas Pelayanan Kesehatan

Kepesertaan BPJS (tulis 'Ya' pada kolom yang sesuai)

BPJS PBI BPJS Non PBI

Tanggal Screening Nama/Jenis/Merek Vaksin***

3/8/2021 24000721 16124974534956

3/8/2021 24000721 16124974531524

litas Pelayanan Kesehatan

YAP BUDI HARUN L D

ELLNA SITI ARIFAH P C

DWI PERMATA SARI P C

elompok Umur: Kepesertaan BPJS

Kepesertaan BPJS (tulis 'Ya' pada kolom yang sesuai)