You are on page 1of 1

PUSKESMAS GADINGREJO VAKSINASI LANSIA

Tanggal Pelayanan : 22-09-2021


Jenis Kelompo
No No. Registrasi NIK Nama Penerima Vaksin Tanggal Lahir Umur Alamat
Kelamin k Umur
1 S-06A293DB 3575016504540002 BUANG SARI P 1954-04-25 67 LANSIA JL SLAMET RIYADI GENTONG
2 S-BEC59793 3575014204520001 SITI KHODIJAH P 1952-04-02 69 LANSIA JL SLAMET RIYADI GG 14 GENTONG
3 S-A7EDC63C 3575014501490001 MURTIANI P 1947-01-05 74 LANSIA JL KYAI SEPUH GG 18 GENTONG
4 S-69314A40 3575010107510030 SUGITO L 1952-07-01 69 LANSIA BEGORO BUKIR RT 1 RW 7
5 S-5AB33334 3575011207510001 SUBANI L 1957-07-12 64 LANSIA JL GATOT SUBROTO BUKIR
6 S-D26389EA 3575010409500001 SUMANGKU L 1950-09-04 71 LANSIA JL URIP SUMOHARJO RT 2 RW 3 BUKIR
7 P-LGLV8HQ7 3575010712610005 A FAQIH L 1961-07-01 60 LANSIA BUKIR RT 3 RW 1
8 S-6D55CE05 3575010910510001 MOCH. AMALI ZAIN L 1951-10-09 70 LANSIA JL URIP SUMOHARJO RT 3 RW 1 BUKIR
9 P-KKWCAZKL 3575014107610101 MUNAWAROH P 1961-07-01 60 LANSIA : BUKIR RT 3 RW 1
10 S-582C22FC 3575016506620002 JUMIATI P 1960-07-01 61 LANSIA GENTONG RT 2 RW 5
11 S-0A6014DD 3575010307540001 JUMAIN L 1954-07-03 67 LANSIA JL SLAMET RIYADI GG 14
12 S-6837FADE 3575011808540001 GIMAN L 1958-07-01 63 LANSIA GENTONG RT 2 RW 5
13 S-2D1D512A 3575012201500001 SOCHEH L 1950-01-22 71 LANSIA GENTONG RT 2 RW 6
14 Z-0005E48U 3575010107550100 PAITO L 1955-07-01 66 LANSIA JL IRIAN JAYA ANGGREK PASURUAN
15 Z-0005E7EK 3575011502590001 HADI PRAYITNO L 1959-07-01 62 LANSIA JL IRIAN JAYA
16 S-BB00E84D 3575014107340022 SAROKHA P 1934-07-01 87 LANSIA JL HALMAHERA /
17 S-7502541C 3575014107550126 MARFU'AH P 1955-07-01 66 LANSIA JL HALMAHERA 2/5

You might also like