SURYAWAN MA

30-Sep-1976
INDONESIA

KBIH ALMADINAH K

SURYAWAN MAMAN KUSWANDI

MENINGITIS 24-Oct-2018
WAN MAMAN KUSWANDI

INAH KARAWANG

VALID 24-Oct-2018
UNTIL: 23-Oct-2020

dr. ARDINA CAHYA WIYANTI ``

PORT HEALTH OFFICER
DADANG RUSTANDAR

B4769665
 DADANG RUSTANDAR
11-Oct-1954 MALE
INDONESIA

MENINGITIS 20-Jun-2019 VALID 3-Jul-2019

UNTIL: 2-Jul-2021

dr. AMRIYAH SUCI NURANI

PORT MEDICAL OFFICER
 AENUR
9-Nov-1996
INDONESIA

AENUROHMAN
YELLOW FEVER 19-Jun-2019
AENUROHMAN
MALE

Valid for the life

of the person
vaccinated
dr. AMRIYAH SUCI NURANI
PORT HEALTH OFFICER
 IMRON CAHYO
18-Oct-1968
INDONESIA

IMRON CAHYONO RUSTAMSI

MENINGITIS
N CAHYONO RUSTAMSI
MALE

VALID 12-Jun-2019
UNTIL: 11-Jun-2021

dr. AMRIYAH SUCI NURANI

PORT HEALTH OFFICER
RACHAEL REBBECCA WILSON

LK850567
 POLIO 13 Nov Shan IPV -
2019 IPQ023A18
dr. MEDI NURSASIH
PORT MEDICAL OFFICER

TD 1 4/5/2019

dr. AMRIYAH SUCI NURANI

4/9/2019 Valid for the life

JAPANESE of the person
ENCEPHALITIS vaccinated
dr. AMRIYAH SUCI NURANI

HEPATITIS A B 5/29/2019 10/29/2019

DOSIS KEDUA