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PESERTA VAKSINASI …..

JANUARI 2022 DI PUSKESMAS


NO. NAMA LENGKAP NIK
350605
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NUARI 2022 DI PUSKESMAS BLABAK
ALAMAT VAKSIN KE TANDA TANGAN
PESERTA VAKSINASI 24 APRIL 2021 DI PUSKESMAS BLABAK

NO. NAMA ALAMAT/INSTANSI NIK NO. BPJS/KIS


1 TEGUH TRI WALUYO KARANGREJO 2/3 3506052002850003
2 BAMBANG JATMIKO SENTUL 1/2 3506050801630002
3 SUNU SANTOSO KARANGREJO 3506051507680004
4 YATINEM SENTUL 3/1 3506056004720003
5 SAFITRI TULUNGREJO 3/1 3506055006830006
6 SITI RUPIYAH SENTUL 1/2 3506054107460084
7 ACHMAD SA'RONI KARANGREJO 1/2 3506231406790003
8 NIZA SETYANINGSIH KARANGREJO 4/2 3506056008010002
9 SURYONO KARANGREJO 3/2 1605141608650005
10 ELISA KARANGREJO 1/2 3506237004910002
11 DARMADI TULUNGREJO1/2 3506051105800002
12 WIWIN SULASTRI SENTUL 1/2 3506056510800003
13 DWI SULASTRI SENTUL 1/1 3506055304850002
14 MUHAMAD DIDIK PERMADI SENTUL 2/3 3506051204030004
15 MUH. NAUFAL BAHARUDIN SENTUL 1/2 3506050704010004
16 FATIMATUL FITRIA KARANGREJO 3/2 3506065802860002
17 SHOLEKAH KARANGREJO 1/2 3506055912780003
18 SULFANIAH TULUNGREJO 4/3 3506055203770009
19 TUNIK KARANGREJO 1/2 3506054509660001
20 RUPIAH KARANGREJO 3/2 3506055304730001
21 HIDAYAH SENTUL 1/4 3506056505880002
22 REGA EVILIA SENTUL 3506056603000002
23 ACHMAD SUGENG TULUNGREJO 3506052103690002
24 IMAM SOPINGI KARANGREJO 1/1 3506051808740002
25 RUBINGAN TULUNGREJO 1/2 3506056210630002
26 SUPARTI KARANGREJO 1/1 3506054107610125
27 ALIFAH ELY DIANA BANGSRI 1/1 3506056208980001
28 SULIYAH TULUNGREJO 1/1 3506054105660004
29 SUMILAH SENTUL 3/3 3506054601700003
30 SUDARMI SENTUL 3506055305770007
31 WULANSARI TULUNGREJO 2/2 3506056408920003
32 YULIATI KARANGREJO 1/2 3506055104850001
33 ROCHANI SENTUL 1/1 3506051212660001
34 SUYANI KARANGREJO 1/2 3506055209790004
35 YENI SUPRIANINGTYAS TULUNGREJO 3/4 3506234605830002
36 PURWANINGSIH TULUNGREJO 4/3 3506055608670003
37 SULASTRI SENTUL 1/4 3506054107660121
38 SRI LESTARI SENTUL 3506055607840002
39 MUTMAINAH TULUNGREJO 1/1 3503088406790006
40 SOFRO'UL AULIA REONIKA TULUNGREJO 4/3 3506054612010002
41 CANDRA WINATA KARANGREJO 3/3 3506054201020005
42 SAROPAH SENTUL 2/3 3506054810750003
43 SITI RUBIAH SENTUL 2/3 3506056305790003
44 ENDANG SULASTRI KARANGREJO 2/2 3506055707870003
45 SITI KAROMAH SENTUL 2/3 3506055406700004
46 NURUL AENI TULUNGREJO 3/3 3506056311950004
47 JUANAH SENTUL 3/1 3506056810720004
48 EVA WIGATININGSIH SENTUL 1/1 3506055006970002
49 AMAN KARANGREJO 1/3 3506050107490072
50 ABU NAIM SENTUL 2/5 3506052510930002
51 SUWARTI KARANGREJO 1/3 3506056508450001
52 SUTI KARANGREJO 1/3 3506055108550001
53 JUMINAH TULUNGREJO 3/2 3506054107540176
54 SUDIONO TULUNGREJO 3/4 2171120710729002
55 YANUAR GILANG P TULUNGREJO 3506050601990006
56 MOCHAMAD JAZULI KARANGREJO 3/2 3506052203830003
57 WIDYAWATI KARANGREJO 1/1 3506056309940002
58 SUPARMI SENTUL 2/5 3506055403720004
59 INDAH FEBRIANTI SENTUL 2/5 3506056602020003
60 RIKO MADONA KARANGREJO 1/3 3506051010750004
61 SEPTIAN EKO WIBOWO KARANGREJO 3506122509930003
62 KARYOTO KARANGREJO 1/1 3505020302760001
63 DJOKO SUNARJO KARANGREJO 3/1 3506050406710001
64 KATEMI TULUNGREJO 2/2 3506054107650202
65 HARIYATI SENTUL 2/5 3506055307720002
66 MISRI TULUNGREJO 2/2 3506054502600003
67 BINTI KASANAH TULUNGREJO 2/2 3506056712950002
68 DWI ARIANTI KARANGREJO 3/3 3175025909881001
69 FITRI ENNI TULUNGREJO 2/2 3506055806730003
70 GINI TULUNGREJO 2/2 3506056811640002
71 MURLIN TULUNGREJO 1/2 3506055608650006
72 ALDI KRISANTO TULUNGREJO 3/1 3506050101990002
73 NURYANI TULUNGREJO 3/1 3506050910930002
74 WIWIN WINARSIH TULUNGREJO 3/1 3506055702810003
75 SRI MUTIANI TULUNGREJO 2/1 3506055112810003
76 RATU EXCEL EVICHA TINALAN 1/7 3571036310020002
77 HENDRA ARDANA TULUNGREJO 3/1 3506051701010007
78 ISWATI TULUNGREJO 3/3 3506056808760007
79 SROKAH SENTUL 1/4 3506054107620168
80 MARIYATI SENTUL 1/4 3506054102680003
81 SUNARMI TULUNGREJO 2/2 3506054111640004
82 SITI MAHMUDAH TULUNGREJO 1/1 3506054107760077
83 JUMANI TULUNGREJO 1/1 3506050211700006
84 NOJA ROBI SENTUL 2/2 3506231911960001
85 SITI FATIMAH LENGKI NGANJUK 3518194211760002
86 RINA DWI SAFITRI SENTUL 2/1 3506054405990003
87 KARTIKO ZAINUDIN TULUNGREJO 4/3 3506051210740004
88 RITA WAHYUNI TULUNGREJO 1/1 3506056402840001
89 SUPRAPTO KARANGREJO 3506052505770002
90 ARIANI KARANGREJO 3/1 3506056105790002
91 SUPIATUN TULUNGREJO 4/3 3506054107450135
92 TITIN ERNAWATI KARANGREJO 03/1 3506054204850003
93 MISPAN TULUNGREJO 2/4 3506050407660001
94 ARIKA FEBI AMBARWATI KARANGREJO 3506056702960002
95 SURATMI KARANGREJO 2/2 3506054408810004
96 RIYAWAN KARANGREJO 3/2 3506051807820004
97 MARDIYAH KARANGREJO 3506056504610002
98 SULAMSIH TULUNGREJO 1/3 3506055612770002
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SCREENING

NO. NAMA ALAMAT SUHU TD

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
NO. NAMA ALAMAT SUHU TD

28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
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121
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123
124
125
126
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128
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133
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136
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142
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181
182
183
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185
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187
188
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191
192
193
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195
196
197
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199
200
SCREENING

SCREENING RIWAYAT DIVAKSIN TUNDA ALASAN TUNDA

SCREENING RIWAYAT DIVAKSIN TUNDA ALASAN TUNDA

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