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  • Daftar Hadir Sasaran Yang Sudah Vaksin Dosis 1 Sinopharm (Pkm... )

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    This document is a list of 29 people who received their first dose of the Sinopharm vaccine at Paciran Public Health Center from August 24-26, 2021. It includes their name, gender, ID number, date of birth, age, address, phone number, and notes on any disabilities. The people vaccinated range in age from 15 to 61 years old and include those with physical, mental and intellectual disabilities.

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    Daftar Hadir Sasaran Yang Sudah Vaksin Dosis 1 Sinopharm (Pkm...)

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    This document is a list of 29 people who received their first dose of the Sinopharm vaccine at Paciran Public Health Center from August 24-26, 2021. It includes their name, gender, ID number, date of birth, age, address, phone number, and notes on any disabilities. The people vaccinated range in age from 15 to 61 years old and include those with physical, mental and intellectual disabilities.

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    12 views2 pages

    Daftar Hadir Sasaran Yang Sudah Vaksin Dosis 1 Sinopharm (Pkm... )

    Uploaded by

    ZEN
    This document is a list of 29 people who received their first dose of the Sinopharm vaccine at Paciran Public Health Center from August 24-26, 2021. It includes their name, gender, ID number, date of birth, age, address, phone number, and notes on any disabilities. The people vaccinated range in age from 15 to 61 years old and include those with physical, mental and intellectual disabilities.

    Copyright:

    © All Rights Reserved
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    of 2

    DAFTAR HADIR SASARAN YANG SUDAH VAKSIN DOSIS 1 SINOPHARM

    PUSKESMAS PACIRAN
    TGL 24 - 26 AGUSTUS 2021

    JENIS
    NO TANGGAL NAMA NIK TANGGAL LAHIR UMUR ALAMAT NO. HP KETERANGAN
    KELAMIN

    1 8/24/2021 KONIATIN p 3524144912830001 09/12/1983 38 TUNGGUL RT 005 / RW 002 PACIRAN 082139243794 DISABILITAS FISIK

    2 8/24/2021 KUSNANTO L 3524142006680001 20/06/1968 53 TUNGGUL RT 003 / RW 003 PACIRAN 082139243794 DISABILITAS MENTAL

    3 8/24/2021 ANWAR L 3524140705690001 07/05/1969 52 TUNGGUL RT 006 / RW 003 PACIRAN 082139243794 DISABILITAS MENTAL

    4 8/24/2021 NURUL FAIZIN L 3524141403940002 14/03/1994 27 KRANJI 003 / RW 003 PACIRAN 082142210839 DISABILITAS MENTAL

    5 8/24/2021 QOID ASHAR L 3524142303940001 23/03/1994 27 KRANJI 004 / RW 002 PACIRAN 082142210839 DISABILITAS MENTAL

    6 8/24/2021 MOH. AGUS RIYANTO L 3524141608930006 16/08/1993 28 KRANJI 006 / RW 005 PACIRAN 082142210839 DISABILITAS MENTAL

    7 8/25/2021 MUHLIS GIANTORO L 3524141105880003 11/05/1988 33 JETAK PACIRAN 083857412747 DISABILITAS MENTAL

    8 8/25/2021 MISTAR L 3524140101710072 01/01/1971 50 BLIMBING 085755095932 DISABILITAS MENTAL

    9 8/25/2021 ZAENAL LABIB L 3524140101580068 01/01/1958 63 PACIRAN 082139243794 DISABILITAS MENTAL

    10 8/25/2021 SRI YAYUK P 3524144101700072 01/01/1970 51 BLIMBING RT 004 / RW 001 082139243794 DISABILITAS MENTAL

    11 8/25/2021 ESMAWATIN P 3524144505740003 05/05/1974 47 SUMURGAYAM 082139243794 DISABILITAS MENTAL

    12 8/25/2021 DANANG ZULIAN PRATAMA L 3524140211970002 02/11/1997 24 KANDANGSEMANGKON 082335048724 DISABILITAS MENTAL

    13 8/25/2021 HAMDAN ROFI L 3524140704860003 07/04/1986 35 KANDANGSEMANGKON 081231574835 DISABILITAS MENTAL

    14 8/25/2021 ABDUL BASID L 3524142701830003 27/01/1983 38 PACIRAN 082139243794 DISABILITAS MENTAL

    15 8/25/2021 M. NUR SETIYONO L 3524142911940001 29/11/1994 27 SENDANGAGUNG 085648076694 DISABILITAS MENTAL

    16 8/25/2021 IMAM SUGIYANTO L 3524140902840006 09/02/1984 37 PACIRAN 082139243794 DISABILITAS MENTAL

    17 8/25/2021 ZAENURI ROCHMAN L 3524140203660005 02/03/1966 55 SUMURGAYAM 081387893556 DISABILITAS MENTAL

    18 8/25/2021 ZAHROH P 3524147103620001 31/03/1962 59 SUMURGAYAM RT 002 / RW 001 082139243794 DISABILITAS MENTAL

    19 8/25/2021 SAHLAH NOVA NARDANA P 3524145010060001 10/11/2006 15 JETAK PACIRAN RT 001 / RW 003 089630412070 DISABILITAS MENTAL

    20 8/25/2021 M. RUSDIYANTO L 3524142302900002 23/02/1990 31 SENDANGAGUNG 005 / 004 081358258321 DISABILITAS MENTAL

    21 8/25/2021 SITI KHOTIJAH P 3524146708600007 27/08/1960 61 SENDANGAGUNG 005 / 004 081358258321 PENDAMPING ODGJ

    22 8/25/2021 ABDUL HAKIM L 3524142602030001 26/02/2003 18 SUMURGAYAM RT 004 / RW 001 082139243794 DISABILITAS MENTAL
    23 8/31/2021 MILZAM ALFATHAN FERNANDA L 3524141306020001 13/06/2002 19 PACIRAN RT 007 / RW 001 08123449871 RETERDASI MENTAL

    24 8/26/2021 IMRON ROSYADI L 3524141011730005 10/11/1973 48 SEMANGU RT 003 / RW 011 082139243794 DISABILITAS MENTAL

    25 8/26/2021 NURUL KUMARI L 3524140501800004 05/01/1980 41 KANDANGSEMANGKON RT 006 / RW 001 082139243794 DISABILITAS MENTAL

    26 8/26/2021 MUSTARI L 3524140102810000 01/02/1981 40 GOWAH BLIMBING 082139243794 DISABILITAS MENTAL

    27 8/26/2021 DANANG KHUSNUL ARIFIN L 3524140308900002 03/08/1980 41 SIDOKUMPUL 004 / 010 BLIMBING 082139243794 DISABILITAS MENTAL

    28 8/26/2021 MUALIMIN L 3524140811710004 05/11/1971 50 GOWAH BLIMBING 082139243794 DISABILITAS MENTAL

    29 8/26/2021 ABDUL AZIZ HIMAWAN L 3524142803970003 28/03/1997 24 SIDOKUMPUL 005/ 010 BLIMBING 082139243794 RETERDASI MENTAL

    KELOMPOK UMUR JML PACIRAN, 26 AGUSTUS 2021


    12-17 Remaja PROGRAMER JIWA
    18-24 Masyarakat Umum
    46-59 Masyarakat Rentan
    >60 Lansia ZAENAL EFENDI, S.Kep.Ners
    JUMLAH SASARAN

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