Vaksin 15 Januari 2022

Nama Puskesmas/Fasyankes/Pos : Puskesmas Empat Ulu
Kabupaten/Kota : Palembang
Provinsi : Sumatera Selatan
Bulan : Januari 2022
Jenis
No No. Tiket NIK Nama Penerima Vaksin Kategori Sasaran
Kelamin
13 JANUARI 2022
1 S-9FD36C2B 1671025810540002 ASMANAH P C
2 P-OO08TK5B 1671020204680013 BAHARUDIN L C
3 S-E1B720EB 1671024112550005 MISWARNI P C
4 P-0MB5LAWJ 1671024704870012 SUSMITA P C
5 P-RW3QFN5K 1671021310980006 M TAHER L C

6 P-RA8RBMP6 1671025008840016 FEBIRYA INGELINA P C
7 P-OMUH69YD 1671022004770007 DEDI L C
8 P-0R1WSZXQ 1671024712930012 DESI SURYANI P C
9 P-MYDSNPZZ 1671012101840007 REDI IRAWAN L C
10 S-5A8AF380 1671026009600004 HOLIJAH P C
11 P-AXCMN3NQ 1671021807830011 ANWAR L C
12 P-8BP1ZIIN 1671025702750006 YANTI P C
13 P-8HU39ICD 1671020405860013 MEDI APRIANSYAH P C
14 P-8QEUIUOD 1671020405710012 LUKMAN L C
15 S-B328CEA3 1671033112580043 M DAUD L C
16 P-AHYP4EMH 1671027006090004 AZARA AMILIA P C
17 P-AQ8BPEVH 1671022104990018 MUHARAM L C
18 S-73C305B9 1671025412570002 SOPIAH P C
19 P-IBMVS7ZI 1671016604980003 WANDA P C
20 S-1F3B1211 1671023112540066 ASNAWI ABDULLAH L C
21 P-KZJPIBPQ 1671025808720010 SITI JUMARIAH P C

22 S-052725A4 1671025206600007 BUNAYA L C
23 Z-000EYPZS 1607102611900021 ALAN BUDI KUSUMA L C
24 Q-002D10YN 1671022111610006 M. SA'ARI L C
25 Q-001N21VG 1671026105840019 DINA MARYANA P C
26 UL-002RD3P 1671025009530007 FOE MOE LAN P C
27 P-8YS9HYG1 1671024711650009 SUMIATI P C
28 P-99QV1LJS 1671024306820007 LISNAWATI P C
29 Q-000W8IZ9 1671031002930004 M FEBRIANSYAH L C
30 Q-0028V5VA 1604104509840009 MERRY P C
31 Z-000DHJGG 1674021111870005 ANCE SAPUTRA PRATAMA L C
32 Q-001V4AZD 1671024310090001 SAHSAHBILA P C
33 Q-000BZ1L0 1671026312650002 MUSYANI P C
34 Q-000V3BMM 1671022704020010 TEGAR SAPUTRA L C
35 Z-000GFO0V 1671090809820010 SUPRIADI L C
36 Q-001RN89S 1671025805620005 KARTINI P C
37 q-001XGTG4 1671026112040005 RIRI HAIRANI P C

38 q-001YDNQ0 1607110206670001 HERIADI L C
39 Q-001B43DL 1671032807910002 SAMSURI L C
40 Q-0028DQ2Q 1671025706750005 SRI ANGKUT LESTARI P C
41 q-001XHDVD 1671021411030007 SANDY RAMADHAN P C
42 Q-001RMP90 1671024604780015 YANA P C
43 q-001YEGW3 1607114507670002 ROIYATI P C
44 Q-000A1MH5 1671136806750001 ERNI CANCERIANA P C
45 Z-000GC00L 1671026411560001 SYAFRIDES S L C
46 UL-002RBO0 1671022004470004 ALIMUDDIN L C
47 UL-002RELH 1671026304560002 NUR ASNA NIAH P C
48 Q-001SF6TX 1671024312000007 SUCI ALANIA P C
49 K-00023K86 1671024103990014 KHAIRANI ALFATIHAH P C
50 Q-001SF0P0 1671021006780026 SUWARDI L C
Q-001RX4RH
51 1671021606790016 MAMAD L C
52 Q-001SHJ7K 1671024905960009 MELISA P C
53 Q-001PVDX0 1671137112640026 JUAIRIAH P C

54 Q-001SGDMG 1671020308810009 SYAMSUL FITRON L C
55 Q-001SF0OS 1671026210990000 VONI OCKTARIA P C
56 Q-001P465E 1671021005720019 JON HERI L C
57 Q-000XHIS4 1671021303980004 M ARDIANSYAH L C
58 Q-001SHBF2 1671022403980004 PUTERA ADI GUNA L C
59 P-XZPXT8EK 1671021612790009 HANDI L C
60 J-00074LID 1671024306700012 JUWAIRIAH P C
61 J-00074LH0 1671021804690002 AMIR SYARIFUDDIN L C
62 P-XXRQKP2G 1671025212670005 NANI P C
63 P-U6VE7PK1 1671020510630008 SANI P C
64 P-TKHSNKKC 1671022011890007 YUDI MUSTOFA L C
65 P-O6VTI5TH 1671025206700014 MARIAM P C
66 P-ABIGVLVF 1671020202850013 BANA P C
67 P-8M2OW7MX 1671020909720011 HERMANSYAH L C
68 P-PJKJAVDE 1671021908980005 M ALI AKBAR SAPUTRA L C
69 P-18PP4AAI 1671021207830014 NAZARUDIN L C

70 P-B6SH2PW5 1671025606850016 TIRA MAYA P C
71 P-BHMKKG6M 1671034506900007 RINAH P C
72 P-F7PWZKIU 1671026803960011 MITA P C
73 Y-011LNZI5 1472015412920021 AISYAH MUH DANIA P C
74 P-NCX15IFI 1671020307790005 ISKANDAR L C

FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19
TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI
Dosis I
Umur
Kelompok Umur Alamat No. Hp
(18 sd ≥ 60 tahun)
Tanggal Pemberian
Vaksinasi
68 ≥60 5 Ulu 082376981600 13-Jan-22
54 46-59 5 Ulu 081271960377 13-Jan-22
67 ≥60 5 Ulu 089676876728 13-Jan-22
35 31-45 5 Ulu 082373158699 13-Jan-22
34 31-45 5 Ulu 081272090776 13-Jan-22

38 31-45 3-4 Ulu 081271784888 13-Jan-22
45 31-45 5 Ulu 13-Jan-22

085384747862
28 18-30 5 Ulu 085609161750 13-Jan-22
38 31-45 5 Ulu 081281018191 13-Jan-22
62 ≥60 5 Ulu 085838587047 13-Jan-22
39 31-45 5 Ulu 085838587047 13-Jan-22
47 46-59 5 Ulu 13-Jan-22

083187998809
37 31-45 5 Ulu 087771819532 13-Jan-22
51 46-59 5 Ulu 085378650749 13-Jan-22
64 ≥60 LUAR WILAYAH 085380705076 13-Jan-22
13 12-17 5 Ulu 088287789476 13-Jan-22
23 18-30 5 Ulu 083898289943 13-Jan-22
65 ≥60 LUAR WILAYAH 082351744272 13-Jan-22
24 18-30 5 Ulu 081273632753 13-Jan-22
68 ≥60 5 Ulu 08877249106 13-Jan-22
50 46-59 5 Ulu 082269446403 13-Jan-22

62 ≥60 3-4 Ulu 083173903891 13-Jan-22
32 31-45 LUAR WILAYAH 082174343521
61 ≥60 3-4 Ulu 082380814133
36 31-45 5 Ulu 081271656891
69 ≥60 LUAR WILAYAH 082280629588
57 46-59 LUAR WILAYAH 081273069353 13-Jan-22
40 31-45 LUAR WILAYAH 082175865020 13-Jan-22
29 18-30 LUAR WILAYAH 082279364797
38 31-45 LUAR WILAYAH 081274097638
35 31-45 LUAR WILAYAH 085274677750
13 12-17 3-4 Ulu 083149055748
57 46-59 3-4 Ulu 081322957730
20 18-30 LUAR WILAYAH 089636855057
40 31-45 LUAR WILAYAH

081368240000
60 ≥60 5 Ulu 082183112513
18 18-30 3-4 Ulu 083109105188

55 46-59 LUAR WILAYAH 085366379524
30 18-30 LUAR WILAYAH 088286740503
47 46-59 5 Ulu 085380559723
18 18-30 LUAR WILAYAH 081373830646
44 31-45 5 Ulu 089508354989
55 46-59 LUAR WILAYAH 085382214104
47 46-59 LUAR WILAYAH 082268901966
64 ≥60 3-4 Ulu 085383394041
75 ≥60 5 Ulu 081368283756
66 ≥60 5 Ulu 081368283756
22 18-30 3-4 Ulu 08982121598
23 18-30 5 Ulu 082279406035
44 31-45 3-4 Ulu 089506713045
43 31-45 5 Ulu 0887437169419
26 18-30 3-4 Ulu 089506713045
57 46-59 3-4 Ulu 085279206307

40 31-45 5 Ulu 081328508900
23 18-30 3-4 Ulu 088276650462
50 46-59 3-4 Ulu 082123608057
33 31-45 3-4 Ulu 089687152828
23 18-30 3-4 Ulu 0895800523366
43 31-45 5 Ulu 082371726460 13-Jan-22
52 46-59 3-4 Ulu 082371628022 13-Jan-22
53 46-59 3-4 Ulu 082178363352 13-Jan-22
55 46-59 5 Ulu 081368090248 13-Jan-22
58 46-59 3-4 Ulu 081281439238 13-Jan-22
33 31-45 5 Ulu 081281939238 13-Jan-22
52 46-59 5 Ulu 081271960377 13-Jan-22
37 31-45 5 Ulu 085758408026 13-Jan-22
50 46-59 3-4 Ulu 081367557645 13-Jan-22
23 18-30 5 Ulu 088267195478 13-Jan-22
38 31-45 3-4 Ulu 085709000350 13-Jan-22

37 31-45 3-4 Ulu 081367182429 13-Jan-22
32 31-45 5 Ulu 081273632753 13-Jan-22
26 18-30 3-4 Ulu 081273632753 13-Jan-22
30 18-30 LUAR WILAYAH 082137524051 13-Jan-22
43 31-45 LUAR WILAYAH 081271960377 13-Jan-22

Dosis I Dosis 2 Dosis 3
Tanggal Pemberian Tanggal Pemberian

Merek Vaksin Merek Vaksin Merek Vaksin
Vaksinasi Vaksinasi
PFIZER
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PFIZER
PFIZER
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PFIZER
PFIZER
PFIZER
PFIZER
PFIZER
PFIZER
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PFIZER
PFIZER
PFIZER
13-Jan-22 PFIZER
13-Jan-22 PFIZER
13-Jan-22 PFIZER
13-Jan-22 PFIZER
CORONAVAC
CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 CORONAVAC
13-Jan-22 ASTRA ZENECA

ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
FORMAT REKAPITULASI HARIAN PELAKS
TINGKAT KABUPATE
Nama Puskesmas/Fasyankes/Pos : Puskesmas Empat Ulu
Kabupaten/Kota :Palembang
Provinsi : Sumatera Selatan
Total Dosis I Tahap 1

(Semua Tahapan)
NO Tanggal Pelaksanaan Total Sasaran SDM Kesehatan
# % #
1 13/01/2022 74 39 52.70 0
2 14/01/2022 112 79 70.54 0
3 15/01/2022 158 125 79.11 0
4 0 0 #DIV/0!
5 0 0 #DIV/0!
6 0 0 #DIV/0!
7 0 0 #DIV/0!
8 0 0 #DIV/0!
9 0 0 #DIV/0!
10 0 0 #DIV/0!
11 0 0 #DIV/0!
TOTAL 344 243 70.64 0
IAN PELAKSANAAN VAKSINASI COVID-19
T KABUPATEN/KOTA
Penerima Vaksin Dosis 1

Tahap 1 Tahap 2 Tahap 3
Masyarakat Umum
SDM Kesehatan Lansia Pelayan Publik Remaja
dan Rentan
% # % # % # % # %
0.00 5 6.76 0 0.00 33 44.594595 1 1.351351

0.00 12 10.71 0 #DIV/0! 67 59.821429 0 #DIV/0!
0.00 0 0.00 1 0.63 13 8.2278481 2 1.265823
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0.00 17 4.94 1 0.29 113 32.848837 3 0.872093
Penerima Vaksin Dos
p3 Total Dosis 2 Tahap 1 Tahap 2
(Semua Tahapan)
Anak SDM Kesehatan Lansia Pelayan Publik
# % # % # % # % # %
0 32 43.24 0 0.00 1 1.35 2 2.70

0 0.00 25 22.32 0 0.00 0 0.00 1 #DIV/0!
109 68.98734 28 17.72 0 0.00 1 0.63 1 0.63
#DIV/0! 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 85 24.71 0 0.00 2 0.58 4 1.16
hap 2 Tahap 3 Total Dosis 3 Tahap 1
(Semua Tahapan)
Masyarakat Umum
Remaja Anak SDM Kesehatan
dan Rentan
# % # % # % # % #
28 37.837838 1 1.351351 0 0 3 0.040541 0

23 #DIV/0! 1 #DIV/0! 0 #DIV/0! 8 0.071429 0
23 14.556962 3 1.898734 0 5 0.031646 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!
74 21.511628 5 1.453488 0 16 0.046512
Tahap 1 Tahap 2 Tahap 3
Masyarakat Umum
SDM Kesehatan Lansia Pelayan Publik Remaja
dan Rentan
% # % # % # % # %
0 3 0.040541 0 0 0 0 0 0
#DIV/0! 2 0.017857 0 #DIV/0! 6 0.0535714 0 #DIV/0!
0 5 0.031646 0 0 0 0 0 0
0 0 0 0 0
Indeks Pemakaian Vaksin Berdasarkan Merek
Vaksin Covid 19 Biofarma Astra Zeneca Moderna
Jmlh Vial Jmlh Jmlh Vial Jmlh Jmlh Vial Jmlh

IP IP
Terpakai Diimunisasi Terpakai Diimunisasi Terpakai Diimunisasi
10 19 #DIV/0! 3 30 10.0 0 0
8 16 #DIV/0! 5 48 9.6 0 0
62 124 #DIV/0! 2 16 8.0 0 0
0 0 #DIV/0! 0 0 #DIV/0! 0 0
0 0 #DIV/0! 0 0 #DIV/0! 0 0
0 0 #DIV/0! 0 0 #DIV/0! 0 0
0 0 #DIV/0! 0 0 #DIV/0! 0 0
0 0 #DIV/0! 0 0 #DIV/0! 0 0
0 0 #DIV/0! 0 0 #DIV/0! 0 0
0 0 #DIV/0! 0 0 #DIV/0! 0 0
0 0 #DIV/0! 0 0 #DIV/0! 0 0
80 328 4.1 10 94 9.4 0 0
n Merek
oderna PFIZER
Jmlh Vial Jmlh

IP IP
Terpakai Diimunisasi
#DIV/0! 4 25 6.25
#DIV/0! 8 48 6.00
#DIV/0! 3 18 6.00
#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! 0 0 #DIV/0!
#DIV/0! 0 0 #DIV/0!
#DIV/0! 0 0 #DIV/0!
#DIV/0! 15 91 6.07

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Nama Puskesmas/Fasyankes/Pos : Puskesmas Empat Ulu

2 P-OO08TK5B 1671020204680013 BAHARUDIN L C

3 S-E1B720EB 1671024112550005 MISWARNI P C

4 P-0MB5LAWJ 1671024704870012 SUSMITA P C

5 P-RW3QFN5K 1671021310980006 M TAHER L C

7 P-OMUH69YD 1671022004770007 DEDI L C

8 P-0R1WSZXQ 1671024712930012 DESI SURYANI P C

9 P-MYDSNPZZ 1671012101840007 REDI IRAWAN L C

10 S-5A8AF380 1671026009600004 HOLIJAH P C

11 P-AXCMN3NQ 1671021807830011 ANWAR L C

12 P-8BP1ZIIN 1671025702750006 YANTI P C

13 P-8HU39ICD 1671020405860013 MEDI APRIANSYAH P C

14 P-8QEUIUOD 1671020405710012 LUKMAN L C

15 S-B328CEA3 1671033112580043 M DAUD L C

16 P-AHYP4EMH 1671027006090004 AZARA AMILIA P C

17 P-AQ8BPEVH 1671022104990018 MUHARAM L C

18 S-73C305B9 1671025412570002 SOPIAH P C

19 P-IBMVS7ZI 1671016604980003 WANDA P C

20 S-1F3B1211 1671023112540066 ASNAWI ABDULLAH L C

21 P-KZJPIBPQ 1671025808720010 SITI JUMARIAH P C

23 Z-000EYPZS 1607102611900021 ALAN BUDI KUSUMA L C

24 Q-002D10YN 1671022111610006 M. SA'ARI L C

25 Q-001N21VG 1671026105840019 DINA MARYANA P C

26 UL-002RD3P 1671025009530007 FOE MOE LAN P C

27 P-8YS9HYG1 1671024711650009 SUMIATI P C

28 P-99QV1LJS 1671024306820007 LISNAWATI P C

29 Q-000W8IZ9 1671031002930004 M FEBRIANSYAH L C

30 Q-0028V5VA 1604104509840009 MERRY P C

31 Z-000DHJGG 1674021111870005 ANCE SAPUTRA PRATAMA L C

32 Q-001V4AZD 1671024310090001 SAHSAHBILA P C

33 Q-000BZ1L0 1671026312650002 MUSYANI P C

34 Q-000V3BMM 1671022704020010 TEGAR SAPUTRA L C

35 Z-000GFO0V 1671090809820010 SUPRIADI L C

36 Q-001RN89S 1671025805620005 KARTINI P C

37 q-001XGTG4 1671026112040005 RIRI HAIRANI P C

39 Q-001B43DL 1671032807910002 SAMSURI L C

40 Q-0028DQ2Q 1671025706750005 SRI ANGKUT LESTARI P C

41 q-001XHDVD 1671021411030007 SANDY RAMADHAN P C

42 Q-001RMP90 1671024604780015 YANA P C

43 q-001YEGW3 1607114507670002 ROIYATI P C

44 Q-000A1MH5 1671136806750001 ERNI CANCERIANA P C

45 Z-000GC00L 1671026411560001 SYAFRIDES S L C

46 UL-002RBO0 1671022004470004 ALIMUDDIN L C

47 UL-002RELH 1671026304560002 NUR ASNA NIAH P C

48 Q-001SF6TX 1671024312000007 SUCI ALANIA P C

49 K-00023K86 1671024103990014 KHAIRANI ALFATIHAH P C

50 Q-001SF0P0 1671021006780026 SUWARDI L C

52 Q-001SHJ7K 1671024905960009 MELISA P C

53 Q-001PVDX0 1671137112640026 JUAIRIAH P C

55 Q-001SF0OS 1671026210990000 VONI OCKTARIA P C

56 Q-001P465E 1671021005720019 JON HERI L C

57 Q-000XHIS4 1671021303980004 M ARDIANSYAH L C

58 Q-001SHBF2 1671022403980004 PUTERA ADI GUNA L C

59 P-XZPXT8EK 1671021612790009 HANDI L C

60 J-00074LID 1671024306700012 JUWAIRIAH P C

61 J-00074LH0 1671021804690002 AMIR SYARIFUDDIN L C

62 P-XXRQKP2G 1671025212670005 NANI P C

63 P-U6VE7PK1 1671020510630008 SANI P C

64 P-TKHSNKKC 1671022011890007 YUDI MUSTOFA L C

65 P-O6VTI5TH 1671025206700014 MARIAM P C

66 P-ABIGVLVF 1671020202850013 BANA P C

67 P-8M2OW7MX 1671020909720011 HERMANSYAH L C

68 P-PJKJAVDE 1671021908980005 M ALI AKBAR SAPUTRA L C