FORMAT PELAKSANAAN RAPID TEST C

PPK-BLUD UPT PUSKESMAS SIMP

KABUPATEN SUKABUMI PROVINSI JAW

TANGGAL TANGGAL
NO NAMA NIK UMUR
DITEMUKAN LAHIR

1 Yana 27/03/2020 3202022107030000 37 21/07/1983

2 Elin 28/03/2020 3202020106120080 36 07/08/1984

3 Wawan Ridwan 31/03/2020 3202021203850000 35 12/03/1985

4 Rudi 01/04/2020 3202020311840000 43 01/08/1977

5 Randi Agustiandi 02/04/2020 3202020605980000 22 06/05/1998

6 Ari Irawan 02/04/2020 - 40 -

7 Ratih Maulidiawati 04/04/2020 3202021203850000 22 10/07/1998

8 Acip 04/04/2020 3202020101770000 43 01/08/1977

9 Aah 13/04/2020 3202024603630000 57 06/03/1963

10 Danis 14/04/2020 3202020812990000 21 08/12/1999

11 Silva 15/04/2020 3202021203850000 6 06/07/2014

12 Bubun 15/04/2020 3202022507000000 41 20/06/1979

13 Peri Irawan 16/04/2020 3202022507000000 20 25/07/2000

14 Nabilal 16/04/2020 3202020605980000 18 11/05/2002

15 Rekin 16/04/2020 3202020606920000 28 07/12/1992

KSANAAN RAPID TEST COVID-19
UPT PUSKESMAS SIMPENAN
UKABUMI PROVINSI JAWA BARAT

JENIS STATUS TEST

KELAMIN WARGA RAPID
ALAMAT TEMPAT TINGGAL NO TELP.
NEGARA
L P + -

 - Kp. Cimapag RT 21/09 Ds. Loji WNI - - 

-  Kp. Ciawitali RT 04/05 Ds. Cihaur WNI 0857 9491 1024 - 

Kp. Babakan Astana RT 14/06 Ds.
 - WNI 0851 5956 5018 - 
Loji
Kp. Cibubuay RT 04/19 Ds.
 - WNI 0855 7575 765 - 
Cidadap
Kp. Cinyocok RT 02/09 Ds.
 - WNI 0856 8326 258 - 
Cidadap
Kp. Cinyocok RT 12/09 Ds.
 - WNI 0857 1941 2128 - 
Cidadap
Kp. Keramat Jaya RT 14/02 Ds.
-  WNI - - 
Kertajaya
Kp. Sindang Asih RT 01/07 Ds.
 - WNI - - 
Mekarasih
Kp. Bojong Duren RT 26/07 Ds.
-  WNI 0857 2363 4213 - 
Kertajaya
Kp. Cigadog 1 RT 01/01 Ds.
 - WNI 0857 2025 4388 - 
Kertajaya
-  Kp. Cisarakan RT 05/09 Ds. Loji WNI - - 
Kp. Babakan Jati RT 05/15 Ds.
 - WNI 0858 6317 9825 - 
Cidadap
Kp. Babakan Jati RT 05/15 Ds.
 - WNI 0815 7215 1998 - 
Cidadap
Kp. Babakan Peundeuy RT 02/14
-  WNI 0856 9781 1251 - 
Ds. Cidadap
Kp. Babakan Pasir Lengking RT
 - WNI 0855 2396 0756 - 
05/16 Ds. Cidadap

Penanggung Jawab

Kepala PPK-BLUD UPT Puskesmas Simpenan

Ade Kartini Tresnawati,Str.Keb, SKM

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