Professional Documents
Culture Documents
Laporan Vaksin Pelajar Salinan
Laporan Vaksin Pelajar Salinan
Kabupaten/Kota
Provinsi
No No. Tiket
1 131
2 132
3 133
4 134
5 135
6 136
7 170
8 171
9 172
10 173
11 174
12 175
13 176
14 177
15 178
16 179
17 180
18 181
19 182
20 183
21 184
22 185
23 186
24 187
25 188
26 189
27 190
28 191
29 192
30 193
31 194
32 195
33 196
34 197
35 198
36 199
37 200
38 201
39 202
40 203
41 204
42 205
43 206
44 207
45 208
46 209
47 210
48 228
49 229
50 230
51 231
52 232
53 233
54 234
55 235
56 236
57 238
58 239
59 240
60 242
61 243
62 244
63 245
64 246
65 247
66 248
67 249
68 250
69 251
70 252
71 253
72 254
73 255
74 256
75 257
76 ,258
77 ,259
78 ,260
79 ,261
80 ,262
81 ,263
82 ,264
83 ,265
84 ,266
85 ,267
86 ,268
87 ,269
88 ,270
89 ,271
90 ,272
91 ,273
92 ,274
93 ,275
94 ,276
95 ,277
96 ,278
97 ,279
98 ,280
99 ,281
100 ,282
101 ,283
102 ,284
103 ,285
104 ,286
288
289
290
291
292
Keterangan
* Pekerjaan dikelompokkan menjadi:
A = Petugas Medis dan Non Medis di Fasilitas Pelayanan Kesehatan
B = Petugas pelayanan publik yang berhadapan langsung dengan masyarakat
C = Administrator Pemerintahan
D = Lainnya
E = Tidak Bekerja
NIK
6309094901010000
6309016708020000
6309024802780000
6309022410720000
3271055303680000
6308046606860000
6309092911010000
6309020511700000
6309095010910000
6309094306710000
6309092607810000
6309096205550000
6309094405740000
6309095012700000
6309095604990000
6309094401010000
6309095810020000
6309090507620000
6309094302030000
6309094209010000
6309094405800000
6309090612860000
6309090607670000
6309091707750000
6309095112840000
6309094707000000
6309090103730000
6309094701820000
6309094409820000
6309095603720000
6309090303770000
6309091012740000
6309096001800000
6309094206990000
6308064911700000
6309095810020000
6309091404780000
6309091212910000
6309091210600000
6309096001000000
6309094107710020
6309095406710000
6309096305950000
6309094502970000
6309091505750000
6309091809830000
6309090205990000
6309060303690000
6309090505900000
6309090407940000
6309090211740000
6309094609890000
6213010107680000
6309092406850000
6309090502630000
6309091705490000
6309095008810000
6309082506940000
6309094709290000
6309094605860000
6309090101010000
6309094403760000
6309090410000000
6309095805940000
6309094309630000
6309095604780000
6309094107770010
6308102010850000
6309096804970000
6309090107760020
6309091610010000
6309095304890000
6309095205950000
6309095104770000
6309041106570000
6309092005570000
6309094805550000
6309095605570000
6309090607580000
6309094107630080
6309044902990000
6309064412990000
6309095508710000
6309091704860000
6309052807900000
6203061403830000
6309091010860000
6308066411980000
6309095302850000
6309092210870000
6309091007940000
6309094805940000
6309094307700000
6309090204690000
6309094907640000
6309094107640010
6309094708600000
6303056909850000
6309095204930000
6309096701980000
6309094310880000
6309091402970000
6309020711860000
6309094205500000
litas Pelayanan Kesehatan
dapan langsung dengan masyarakat
Kelompok Umur:
17-Dec
17-Dec
18-30
31-45
46-59
Total
Pekerjaan:
A
B
C
D
E
Total
: Puskesmas Haruai
: Tabalong
: Kalimantan Selatan
Jenis
Nama Penerima Vaksin Pekerjaan*
Kelamin
Susilawati P Pelajar
Fahrulludin L Pelajar
Laila P Pelajar
Halimah P Pelajar
Laila P Pelajar
Apnah P Pelajar
Harisah P Pelajar
Hapizah P Pelajar
M Arsyad L Pelajar
Aida P Pelajar
Sidiq L Pelajar
Laman L Pelajar
Khairunnisa P Pelajar
M Suriani L Pelajar
Kartasiah P Pelajar
Mas'ud L Pelajar
Samsudin L Pelajar
Noraini P Pelajar
Biliana P Pelajar
Rosita P Pelajar
Suriani L Pelajar
Kasmayudannor L Pelajar
Ideham L Pelajar
Hasnawati P Pelajar
Wahidah P Pelajar
Jaitun P Pelajar
Murhan L Pelajar
Pansyah L Pelajar
Harsi L Pelajar
Subhan L Pelajar
Paridah P Pelajar
Ihum L Pelajar
Syarkawi L Pelajar
Baisun L Pelajar
Rubiati P Pelajar
Syaifullah L Pelajar
Rahmaniah P Pelajar
Halimah P Pelajar
Samsuni L Pelajar
Norsiah P Pelajar
Mursidah P Pelajar
Misbah P Pelajar
Rizal L Pelajar
Syaibani L Pelajar
Patimah P Pelajar
Nikmah P Pelajar
Anwari L Pelajar
Darmi L Pelajar
Ra'iyah P Pelajar
Rudiah P Pelajar
H. Amrullah L Pelajar
Hindun P Pelajar
Novita P Pelajar
Hj Jumatiah P Pelajar
Nordin L Pelajar
Hadri L Pelajar
Herman L Pelajar
Ridayanti P Pelajar
M Arfiyun L Pelajar
Sri Yanti P Pelajar
Masrita P Pelajar
Hamsi L Pelajar
Asiah P Pelajar
Barsiah P Pelajar
Rustaniah P Pelajar
Marliana P Pelajar
Halimah P Pelajar
Hatmah P Pelajar
Hamna P Pelajar
Kartasiah P Pelajar
***Merek Vaksin
A = Sinovac
B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes)
Umur
Kelompok Umur
(18-59 tahun)
8 6-11
8 6-11
7 6-11
7 6-11
7 6-11
9 6-11
8 6-11
9 6-11
8 6-11
7 6-11
7 6-11
7 6-11
9 6-11
9 6-11
10 6-11
10 6-11
10 6-11
11 6-11
10 6-11
11 6-11
9 6-11
9 6-11
8 6-11
7 6-11
8 6-11
9 6-11
8 6-11
11 6-11
10 6-11
11 6-11
11 6-11
10 6-11
10 6-11
8 6-11
11 6-11
9 6-11
8 6-11
7 6-11
9 6-11
11 6-11
9 6-11
11 6-11
10 6-11
11 6-11
11 6-11
10 6-11
9 6-11
9 6-11
8 6-11
9 6-11
8 6-11
7 6-11
10 6-11
11 6-11
11 6-11
11 6-11
10 6-11
11 6-11
10 6-11
10 6-11
11 6-11
11 6-11
10 6-11
10 6-11
9 6-11
9 6-11
8 6-11
7 6-11
7 6-11
8 6-11
7 6-11
9 6-11
7 6-11
9 6-11
10 6-11
11 6-11
11 6-11
10 6-11
10 6-11
9 6-11
8 6-11
9 6-11
9 6-11
7 6-11
8 6-11
9 6-11
9 6-11
8 6-11
9 6-11
8 6-11
10 6-11
11 6-11
10 6-11
11 6-11
10 6-11
9 6-11
7 6-11
8 6-11
8 6-11
9 6-11
10 6-11
10 6-11
11 6-11
11 6-11
0
0
104
104
6
98
104
FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-1
TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI
Alamat No. Hp
Ds halong 85654052286
Ds halong 81253676187
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Ya
Tanggal Screening Nama/Jenis/Merek Vaksin***
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022 Sinovac
3/9/2022
Dosis I
Tanggal Pemberian
No. Batch No. Serial
Vaksinasi
3/9/2022 24001821
3/9/2022 24001821
3/9/2022 24001821
3/9/2022 24001821
3/9/2022 24001821
3/9/2022 24001821
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
Dosis 2
Tanggal Pemberian
No. Batch No. Serial
Vaksinasi
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022
3/9/2022 24003721
3/9/2022 24003721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24003721
3/9/2022 24003721
3/9/2022 24003721
3/9/2022 24003721
3/9/2022 24003721
3/9/2022 24003721
3/9/2022 24003721
3/9/2022 24003721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200721
3/9/2022 24200221
Keterangan
(Ditunda/Tidak Diberikan/Lanjut)
Dosis 1
Dosis 1
Dosis 1
Dosis 1
Dosis 1
Dosis 1
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2
Dosis 2