FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19

TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI

Nama Puskesmas/Fasyankes/Pos
Kabupaten/Kota : WAY KANAN
Provinsi : LAMPUNG
Hari, Tanggal : KAMIS, 18 NOVEMBER 2021

Kepesertaan BPJS (tulis

'Ya' pada kolom yang Dosis I Dosis 2
sesuai)
Umur Keterangan
Jenis Pekerj Tanggal Kelompo Tanggal Nama/Jenis/Merek
No No. Tiket NIK Nama Penerima Vaksin (18 sd ≥ 60 Alamat No. Hp (Ditunda/Tidak
Kelamin aan* Lahir k Umur Screening Vaksin***
tahun) BPJS Tanggal Tanggal Diberikan/Lanjut)
BPJS Non
Non Pemberian No. Batch No. Serial Pemberian No. Batch No. Serial
PBI Anggota
PBI Vaksinasi Vaksinasi

L E 1/29/1994 ≥60 LEMBASUNG V LANJUT

1 J-0006U00Y 180801******0004 CANDRA KIRANA 27 085159112994 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 5/1/1976 ≥60 BL. UMPU V LANJUT

2 J-0006UHI1 180801******0004 ROSDIANA 45 082167584805 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 N001A

P D 3/10/1979 ≥60 BL. UMPU V LANJUT

3 J-0006UIXE 180801******0005 MARYANA 42 082175751310 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 10/20/1978 ≥60 UMPU BHAKTI V LANJUT

4 J-0006UROZ 180801******0003 ROSMIATI 43 081285834690 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 1/11/1995 ≥60 BL. UMPU V LANJUT

5 P-1QNEJFPA 180801******0002 SRI YANTO 26 085366863592 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 3/5/1994 ≥60 BL. UMPU V LANJUT

6 P-1SDQPWYR 180801******0010 SAPARRUDIN 27 081273409586 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 9/12/1999 ≥60 BL. UMPU V LANJUT

7 P-1UJJOHAP 180801******0006 NADELA SARI 22 082376940439 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 9/10/1970 ≥60 BL. UMPU V LANJUT

8 P-1W3DE6EK 180806******0004 JAHILIN 51 082377675002 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 11/13/1997 ≥60 LEMBASUNG V LANJUT

9 P-1XJB5KSK 180801******0001 SINDU TRY UTAMI 24 085788784164 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-1ZYEGDR8 180801******0002 APIK

L D 8/23/1979 42
≥60 BL. UMPU 085381181688
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
10

P D 8/5/1989 ≥60 BL. UMPU V LANJUT

11 P-25RMMISE 180801******0006 SUSI MARLINA 32 085609962207 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 5/7/1995 ≥60 BL. UMPU V LANJUT

12 P-27GQFMAA 180801******0003 RIZKI TRIYANA 26 082373588331 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-2A1TDDRJ 180810******0001 ENDANI MEGA PUTRI

P D 3/21/1982 39
≥60 BL. UMPU 082281613782 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
13

L D 1/3/1965 ≥60 BL. UMPU V LANJUT

14 P-2C1XMBGV 180801******0002 SOBIRIN 56 0822816113782 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 11/29/1986 ≥60 BL. UMPU V LANJUT

15 P-2ECG1BR2 180801******0005 EDI PURWANTO 34 085788881953 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-2G5A0AGR 332607******0003 ANA MULYANA

L D 9/12/1982 39
≥60 BL. UMPU 085269115191
V 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
LANJUT
16

P D 2/11/1975 ≥60 BL. UMPU V LANJUT

17 P-2GA7MTBT 180801******0004 HARTINI 46 083190800964 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 7/13/1971 ≥60 BL. UMPU V LANJUT

18 P-2IGP5XBB 180801******0005 ROSMALA DEWI 50 085269659088 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 3/1/1969 ≥60 BL. UMPU V LANJUT

19 P-2JVIHGNQ 180801******0005 BASTARI 52 082374912557 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 8/8/1993 ≥60 BL. UMPU V LANJUT

20 P-2OPDFFE2 180801******0007 REKA SISIYANTI 28 085267739705 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 9/20/2005 ≥60 BL. UMPU V LANJUT

21 P-2R0ZE4BL 180801******0001 INDAH SARI 16 085731083652 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L S 9/8/1992 ≥60 BL. UMPU V LANJUT

22 P-2RAAURSF 180801******0003 DIKA SEPTA BELLA 29 082288652250 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 8/3/1990 ≥60 BL. UMPU V LANJUT

23 P-2TD47N00 180801******0006 ARIS RIYANCE 31 082279099788 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 7/2/1976 ≥60 BL. UMPU V LANJUT

24 P-2TOOFWOC 180801******0002 HERMANSYAH 45 083168191659 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 11/7/1961 0 BL. UMPU V LANJUT

25 P-31BRNFBV 180801******0005 SRI TURYANTI 085279205444 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 7/2/1986 ≥60 BL. UMPU V LANJUT

26 P-338EAQOR 180801******0005 HELMI 35 081617220589 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 8/16/1968 ≥60 BL. UMPU V LANJUT

27 P-34HX4GT1 180801******0005 SITI KHOTIJAH 53 085378941968 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 5/29/1986 ≥60 BL. UMPU V LANJUT

28 P-38CBTHAU 150804******0002 RIRIS SUDIATI 35 085788784614 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 3/21/1989 ≥60 BL. UMPU V LANJUT

29 P-3AJ7WNNU 180801******0005 ROSDIANA 32 081367635190 18/11/2021 Astra Zeneca 18/11/2021 N001A
 P D 12/12/1976 ≥60 BL. UMPU V LANJUT
30 P-3C74GYZW 180801******0004 NURLIANA 44 085758330690 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 12/10/1988 ≥60 BL. UMPU V LANJUT

31 P-3LR4P2HT 180801******0007 MANSUR 32 081319947131 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 10/24/1976 ≥60 BL. UMPU V LANJUT

32 P-3N5VKXMX 180801******0002 WAGIMAN 45 085789361708 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 11/3/1987 ≥60 BL. UMPU V LANJUT

33 P-3OJXNHG0 180801******0008 HERMAN BASURI 34 085286744796 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 8/8/1982 ≥60 BL. UMPU V LANJUT

34 P-3R9UPAE7 150502******0001 SOFYAN SUSANTO 39 087755798224 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 6/29/2002 ≥60 BL. UMPU V LANJUT

35 P-3TQZJWKN 180801******0004 MUHAMMAD ALDO 19 082279652659 18/11/2021 Astra Zeneca 18/11/2021 N001A

L E 7/23/2003 ≥60 BL. UMPU V LANJUT

36 P-3URSI0UX 180408******0002 REZA KURNIAWAN 18 085783005693 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 4/24/1982 ≥60 BL. UMPU V LANJUT

37 P-3WQ2YRQE 150502******0003 SITI PATIMAH 39 087755798224 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 8/15/1987 ≥60 BL. UMPU V LANJUT

38 P-4BRTUU14 180803******0004 FIRDA HARIANI 34 085267580495 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 9/8/1988 ≥60 TUGU AGUNG V LANJUT

39 P-4DCNTZRX 160213******0002 MAT SUDIN 33 088286187623 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 11/28/1989 ≥60 TUGU AGUNG V LANJUT

40 P-5SY21ELU 160213******0002 LISNAWATI 31 088286137623 18/11/2021 Astra Zeneca 18/11/2021 N001A

L E 8/1/1999 ≥60 LEMBASUNG V LANJUT

41 P-5VDIVC8M 180801******0002 NGATENO 22 085609812480 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 6/9/1998 ≥60 BL. UMPU V LANJUT

42 P-5YD3APRY 180810******0003 YULIANTI 23 082374809916 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 12/20/1962 ≥60 BL. UMPU V LANJUT

43 P-675ANI15 180801******0001 ROSWATI 58 082352052329 18/11/2021 Astra Zeneca 18/11/2021 N001A

L E 4/7/1993 ≥60 BHAKTI NEGARA V LANJUT

44 P-6A7L943T 180804******0001 DIAN SETIAWAN 28 085380423706 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-6DBEIO6U 180802******0003 RUSMALA

P D 2/23/1987 34
≥60 KARANG UMPU 081273015181
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
45

P D 7/7/1981 ≥60 BL. UMPU V LANJUT

46 P-6ESJ9LPO 180801******0005 JUWITA 40 085381181688 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 5/16/1995 ≥60 BL. UMPU V LANJUT

47 P-6GTYYZPG 180801******0006 FIRMANSYAH 26 085811454048 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-6IKSYTPP 180801******0003 PITOYO

L D 6/26/1970 51
≥60 BL. UMPU 085609153323
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
48

L D 9/25/1964 ≥60 BL. UMPU V LANJUT

49 P-6KHIOWMB 180801******0001 LUKMAN HAKIM 57 085269859088 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 7/1/1982 ≥60 BL. UMPU V LANJUT

50 P-6MEUOTWP 180801******0071 MAIMIN 39 082235792442 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-6OIQNB3I 180801******0002 ABDUL RAKHMAN

L D 5/9/1976 45
≥60 BL. UMPU 085809087194
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
51

P E 1/8/1992 ≥60 LEMBASUNG V LANJUT

52 P-6RUHZPPY 180801******0003 RAMA YANA 29 082319970698 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 4/8/1988 ≥60 KURUNGAN NYAWA V LANJUT

53 P-6TI6JU9L 160802******0002 WIDIYA SARI 33 082371509994 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 21/10//93 ≥60 UMPU KENCANA V LANJUT

54 P-6W1TUU1Q 180801******0001 BONAS KUNCORO 28 088267152061 18/11/2021 Astra Zeneca 18/11/2021 N001A

P E 10/10/2003 ≥60 BL. UMPU V LANJUT

55 P-6Y50VEM6 180801******0010 OTI PARAMIDA 18 081272941737 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 8/10/1972 ≥60 BL. UMPU V LANJUT

56 P-704E4NCD 180801******0009 PATIMAH 49 088747376514 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 7/1/1991 ≥60 BL. UMPU V LANJUT

57 P-73UE04PM 180801******0001 RUDI SUMARLAN 30 081319947131 18/11/2021 Astra Zeneca 18/11/2021 N001A

L E 10/6/1991 ≥60 BL. UMPU V LANJUT

58 P-766MSM18 180801******0008 BAHERA 30 085758329591 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 9/6/1982 ≥60 BL. UMPU V LANJUT

59 P-78XQH3A2 180801******0008 YULIANA 39 085378923443 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 1/11/1974 ≥60 BL. UMPU V LANJUT

60 P-7ECNTQ2R 180801******0003 BAHRUDIN 47 081273866623 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 9/30/1965 ≥60 GUNUNG SANGKARAN V LANJUT

61 P-7GPCMJBU 180801******0005 SUMIYATI 56 085841242629 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 5/15/1970 ≥60 BL. UMPU V LANJUT

62 P-7ISCJW9C 180801******0003 ABU TOLIP 51 081292999454 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 5/15/1991 ≥60 BL. UMPU V LANJUT

63 P-7KG9WAS4 180801******0005 EDI SAPUTRA 30 081366444006 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 7/7/1967 ≥60 BL. UMPU V LANJUT

64 P-7MT9G5FQ 180801******0005 RISMINI 54 082111082541 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 12/20/1998 ≥60 KASUI V LANJUT

65 P-7OZXXXSE 180809******0001 SAMRI ALIS 22 081617220589 18/11/2021 Astra Zeneca 18/11/2021 N001A

P E 1/10/2003 ≥60 BL. UMPU V LANJUT

66 P-7R787O3X 180801******0003 RINA MARYANA 18 085664314978 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 5/11/1985 ≥60 BL. UMPU V LANJUT

67 P-7TAV9VVH 180801******0004 HAIDIR 36 085279863710 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 177/8/65 ≥60 BL. UMPU V LANJUT

68 P-7V6BR30C 180801******0003 TAMRIN EDI 56 082387080107 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 8/3/1988 ≥60 BL. UMPU V LANJUT

69 P-8VIVQW5U 180801******0004 ANTRIYA 33 081271454138 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 7/10/1989 ≥60 BL. UMPU V LANJUT

70 P-98D2HH9T 150804******0002 TAMRIN 32 085788784614 18/11/2021 Astra Zeneca 18/11/2021 N001A
 L D 7/1/1988 ≥60 BL. UMPU V LANJUT
71 P-9G9OCDZF 180801******0056 BAMBANG. S 32 082379641988 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 12/1/1996 ≥60 TR SAKTI V LANJUT

72 P-9KEOWNK9 180801******0004 MEGA MUSTIKA 24 085254596919 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 6/24/1963 ≥60 BL. UMPU V LANJUT

73 P-9MGE3USG 180801******0002 ROSIDAH 58 085841626540 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 10/11/1995 ≥60 BL. UMPU V LANJUT

74 P-9Q4I3DOC 180802******0002 YAN SARI 26 081366444006 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 12/6/1989 ≥60 BL. UMPU V LANJUT

75 P-9SOVXJQE 180801******0001 DEWI SARTIKA 31 085379809552 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 11/15/2000 ≥60 UMPU KENCANA V LANJUT

76 P-9XBEJTKA 180803******0005 AYU MUSTIKA DEWI 21 082214119002 18/11/2021 Astra Zeneca 18/11/2021 N001A

L E 6/22/1982 ≥60 BUAY MADANG 1 V LANJUT

77 P-A0DYVMMA 160803******0001 MARKONI 39 082371509994 18/11/2021 Astra Zeneca 18/11/2021 N001A

L E 7/6/1999 ≥60 BL. UMPU V LANJUT

78 P-A9EY78OR 180801******0011 ASEP GUNAWAN 22 085254596919 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 7/4/1961 ≥60 LEMBASUNG V LANJUT

79 P-ACSGP947 180801******0003 YATMI 60 085319161628 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 4/18/1991 ≥60 BL. UMPU V LANJUT

80 P-AE8HC3AG 180801******0006 DIAN ARISMA 30 081373301772 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 8/9/1993 ≥60 LEMBASUNG V LANJUT

81 P-AF9YFTY2 180804******0003 MUHLISIN 28 085731083974 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 5/26/1993 ≥60 LEMBASUNG V LANJUT

82 P-AH3ASPWZ 180801******0001 YUNI ANGGRAINI 28 081279850573 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 6/1/1994 ≥60 UMPU KENCANA V LANJUT

83 P-B32SRILS 180906******0001 SUGINI 27 085269854431 18/11/2021 Astra Zeneca 18/11/2021 N001A

L d 10/1/1993 ≥60 UMPU KENCANA v LANJUT

84 P-B5IEQGRO 180801******0005 NURMAN PRATAMA 28 082222921905 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 7/13/1972 ≥60 BL. UMPU V LANJUT

85 P-B7BBO9RB 180801******0002 SELAMAT 49 081281503199 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-BE0B5S15 180801******0034 JOHANSYAH

L D 7/1/1964 57
≥60 BL. UMPU 082372283969
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
86

L D 7/5/1982 ≥60 BL. UMPU V LANJUT

87 P-BGSWI3T5 180801******0007 MUHSIN 39 085266889251 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 8/2/1975 ≥60 BL. UMPU V LANJUT

88 P-BIOIGN6B 180801******0004 SAKYAH 46 085266889251 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-BKFTCVG7 180801******0001 SATRIYO

L D 5/9/2003 18
≥60 BL. UMPU 082181702485
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
89

P D 12/7/1988 ≥60 LEMBASUNG V LANJUT

90 P-BLY7IJVH 180801******0006 EMAWATI 32 081313388770 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 3/8/1994 ≥60 SUKOSARI V LANJUT

91 P-BMGX6JOO 180801******0006 SUSILOWATI 27 085380923706 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-BO3UV2OK 180801******0004 RIKIT CITI YANTI

P D 3/2/2000 21
≥60 BL. UMPU 085335518049
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
92

P D 2/13/1986 ≥60 BL. UMPU V LANJUT

93 P-BPO1QON2 180801******0002 SURYANI 35 085357872489 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 3/3/1988 ≥60 KARANG UMPU V LANJUT

94 P-BR1PV0JF 180801******0006 AKANG SURYADI 33 081273015181 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 1/12/1987 ≥60 BL. UMPU V LANJUT

95 P-BVHG2MN7 180801******0003 ANITA 34 085279570504 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 5/20/1966 ≥60 BL. UMPU V LANJUT

96 P-C0MTJFMB 180801******0001 JATIAH 55 081274009821 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 5/17/1998 ≥60 BL. UMPU V LANJUT

97 P-C7NVE4RL 180801******0004 ERSAN 23 085273432128 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 6/10/1962 ≥60 BL. UMPU V LANJUT

98 P-CAARC73Q 180801******0003 ROSNAWATI 59 081272541250 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 7/14/1994 ≥60 BL. UMPU V LANJUT

99 P-CBK41Q74 180801******0002 ROSI YANTO 27 081272100647 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 5/15/1982 ≥60 BL. UMPU V LANJUT

100 P-CCD56PPR 180801******0006 EKO SAPUTRA 39 082182565282 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 8/8/1998 ≥60 BL. UMPU V LANJUT

101 P-CELYTICD 180801******0004 ARI WINATA 23 085384867402 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 4/17/1995 ≥60 BL. UMPU V LANJUT

102 P-CH1TEWCX 180801******0003 SAMSUL HADI 26 0813748005 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 6/6/1993 ≥60 BL. UMPU V LANJUT

103 P-CIMP26OK 180801******0011 TOHIR 28 088286077224 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 2/6/1971 ≥60 BL. UMPU V LANJUT

104 P-CKF82ZDL 180801******0002 IDRIS 50 088286077224 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 6/25/1988 ≥60 BL. UMPU V LANJUT

105 P-CLVV0596 180801******0005 SITI ROHANI 33 082373535248 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 11/4/1975 ≥60 BL. UMPU V LANJUT

106 P-CNRA54N7 180801******0005 SAMSIYAH 46 085769213554 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 1/7/1996 ≥60 BL. UMPU V LANJUT

107 P-CP9PC8QO 180801******0003 DORA YOSE FRISKILIA 25 085923641472 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 8/15/1989 ≥60 BL. UMPU V LANJUT

108 P-CQKDN7ZN 180801******0004 SAHRIL 32 085381862322 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 3/20/1970 ≥60 BL. UMPU V LANJUT

109 P-CS257K4G 180801******0003 HAWALIAH 51 085269112333 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 9/12/1982 ≥60 BL. UMPU V LANJUT

110 P-CT8L204J 180801******0003 ALBARI 39 085380423719 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 2/2/1962 ≥60 BL. UMPU V LANJUT

111 P-CUJMHJ4I 180801******0006 SUNARSIH 59 085273402534 18/11/2021 Astra Zeneca 18/11/2021 N001A
 L D 7/12/1997 ≥60 BL. UMPU V LANJUT
112 P-CWIBKGMQ 180801******0004 TEGOR 24 085381862322 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 6/5/1965 ≥60 BL. UMPU V LANJUT

113 P-CXLM1AHK 180801******0006 JURIAH 56 083121775803 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 4/17/1967 ≥60 BL. UMPU V LANJUT

114 P-CXNHDDEN 180801******0003 SUMIYATI 54 085289325850 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 N001A

L D 1/5/1985 ≥60 BL. UMPU V LANJUT

115 P-CZ1LUF47 180801******0002 SUHUS 36 082185960348 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 5/16/1992 ≥60 BL. UMPU LANJUT

116 P-D7Q3P96D 180801******0002 PINA PASARITA 29 085279256196 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 9/30/1990 ≥60 BL. UMPU V LANJUT

117 P-DA1EIKXL 180801******0009 HARWAN SYAHRI 31 082281165359 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 12/12/1975 ≥60 BL. UMPU V LANJUT

118 P-DB7ZOVOK 180801******0006 LUKI ASLAH 45 085609557897 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 8/29/1979 ≥60 BL. UMPU V LANJUT

119 P-DCOBB4GE 180408******0002 SAGIYEM 42 082235792442 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 5/17/1977 ≥60 UMPU KENCANA V LANJUT

120 P-DFQFWHJF 180803******0001 SUMARDI 44 082183658105 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 11/13/1986 ≥60 UMPU KENCANA V LANJUT

121 P-DH9B9Z68 180803******0001 SURDIANA 35 082183658105 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 6/22/1980 ≥60 UMPU KENCANA V LANJUT

122 P-DIYCTOO3 180801******0003 RUDI SUSANTO 41 085716055783 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 5/4/1975 ≥60 UMPU KENCANA V LANJUT

123 P-DMHFNJGP 180801******0009 M. DOPIR 46 082217749743 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 5/31/1980 ≥60 UMPU KENCANA V LANJUT

124 P-DNBFO0R4 180801******0003 MARLENI 41 081373137492 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 10/30/1969 ≥60 BL. UMPU V LANJUT

125 P-DOSWY8GJ 180801******0003 ATEMO 52 082282481769 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 6/2/1982 ≥60 BL. UMPU V LANJUT

126 P-DQM55E6I 180801******0004 SULKIPLI 39 085369571308 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-DTE7GVU3 180801******0004 MASTIA

P D 3/25/2000 21
≥60 BL. UMPU 085788918865
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
127

L D 6/17/1962 ≥60 BL. UMPU V LANJUT

128 P-DUWV16OD 180801******0003 BASIR 59 085257284245 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 4/7/1992 ≥60 BL. UMPU V LANJUT

129 P-DW6DCQSA 180801******0006 PONIRAH 29 082377675591 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 N001A

P-DXKEXI7J 180801******0001 ENDAR KESUMA

L D 10/11/1989 32
≥60 BL. UMPU 081274174602
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
130

L D 6/14/1972 ≥60 KT.BUMI V LANJUT

131 P-E0XP4Y0L 180804******0004 NUROHIM 49 085363301885 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 7/1/1987 ≥60 BL. UMPU V LANJUT

132 P-E2XADEOU 180801******0062 MARYANTO 34 082377675591 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-E4I5HG8P 180801******0003 HUSRIN

L D 10/2/1972 48
≥60 BL. UMPU 082177218490
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
133

L D 3/17/2004 ≥60 BL. UMPU V LANJUT

134 P-E5NPF5KJ 160917******0002 RENALDI ARMANSYA 17 085366193058 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/16/1970 ≥60 BL. UMPU V LANJUT

135 P-E68S4BJJ 180801******0003 SUNAIRI 51 082307080107 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 3/17/2004 ≥60 BL. UMPU V LANJUT

136 P-E6JHBG9V 180801******0003 VISCA NABILLA DARA NOKA 17 082335957240 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 12/27/1978 ≥60 KT.BUMI V LANJUT

137 P-E7RKIMMH 180804******0003 KHOTIMAH 42 085363301885 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 8/15/1973 ≥60 BL. UMPU V LANJUT

138 P-E80P8LXT 180801******0009 RUSMADI 48 082278476794 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 N001A

P D 8/29/1998 ≥60 BL. UMPU V LANJUT

139 P-E8CLV6YY 180802******0001 ELSA PUTRI PRADITA 23 082297415028 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 6/15/1965 ≥60 BL. UMPU V LANJUT

140 P-E8I6VC33 180801******0002 NUR HASANAH 56 082278966001 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 10/10/1985 ≥60 UMPU BHAKTI V LANJUT

141 P-EAVJHEYS 180801******0008 BUDI SUYONO 36 082186413649 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 6/23/1982 ≥60 LEMBASUNG V LANJUT

142 P-FRHA8I8L 180801******0006 DIRWANTO 39 085382072328 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 2/14/1989 ≥60 BL. UMPU V LANJUT

143 P-HAI03QBN 180801******0001 IBOY SAPUTRA 32 085268969680 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109176M

P D 10/16/2000 ≥60 GN. SANGKARAN V LANJUT

144 P-HRBZ1RMA 180801******0004 AMINAH 21 082375666085 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109176M

L D 8/15/1987 ≥60 BL. UMPU V LANJUT

145 P-I1E61VJJ 180801******0008 AGUS SAHRI 34 081215917987 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109176M

P D 9/2/1979 ≥60 BL. UMPU V LANJUT

146 P-IKPV0ZUS 180801******0004 SRI HARTATI 42 082289420393 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 8/5/1970 ≥60 BL. UMPU V LANJUT

147 P-IKXRRWJU 180801******0004 M. SAIRI 51 081379864303 18/11/2021 Astra Zeneca 18/11/2021 N001A

L E 6/9/1999 ≥60 BL. UMPU V LANJUT

148 P-IL2C3LQZ 180801******0006 YOGI RIANTO 22 081278062104 18/11/2021 Astra Zeneca 18/11/2021 N001A

P 11/14/1993 ≥60 GN. SANGKARAN V LANJUT

149 P-ILA3PNMR 180801******0005 EVA NOPITASARI 28 082372952574 18/11/2021 Astra Zeneca 18/11/2021 N001A

L 8/28/1987 ≥60 GN. SANGKARAN V LANJUT

150 P-ILEE6YMO 180801******0004 ALI UDIN 34 081317717928 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 5/16/1974 ≥60 BL. UMPU V LANJUT

151 P-ILK146FR 180801******0005 SITI AMINAH 47 083140560695 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 8/7/1988 ≥60 BL. UMPU V LANJUT

152 P-ILX0YFL5 180801******0002 FAHROSI 33 082316374961 18/11/2021 Astra Zeneca 18/11/2021 N001A
 L D 6/22/1997 ≥60 BL. UMPU V LANJUT
153 P-INLSA69S 180801******0004 BANGKIT PERMATA UTAMA 24 082186170482 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 2/10/1994 ≥60 BL. UMPU V LANJUT

154 P-INQDP8TZ 180801******0008 LINDA MARIA 27 082373726137 18/11/2021 Astra Zeneca 18/11/2021 N001A

L E 12/12/1997 ≥60 BL. UMPU V LANJUT

155 P-IO0O2P0B 180801******0004 ANGGI PAHLEPI SAPUTRA 23 08578368252 18/11/2021 Astra Zeneca 18/11/2021 N001A

L E 2/10/2001 ≥60 BL. UMPU V LANJUT

156 P-IO5DXK1A 180801******0004 ROHIM ARDIYANDI 20 081379429566 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 2/28/1999 ≥60 BL. UMPU V LANJUT

157 P-IO9PTLBB 180801******0002 SURYANI 22 082175868301 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 5/10/1971 ≥60 LEMBASUNG V LANJUT

158 P-IOOS3AP2 180801******0005 AMAT KARYA JAYA 50 081273802971 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 3/5/1984 ≥60 BL. UMPU V LANJUT

159 P-IOTOGXQ7 180801******0005 SARPIN 37 085279233762 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 1/16/1967 ≥60 NATAR V LANJUT

160 P-ITW50HDM 180104******0001 MISWATI 54 082282181250 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/10/2000 ≥60 BANDAR SARI V LANJUT

161 P-JNFQEDQ1 180808******0002 ADY MASRUR WAHID 21 082227506663 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 10/22/1986 ≥60 UMPU BHAKTI V LANJUT

162 P-JNH1ULSI 180801******0001 AHMADI 35 085284826062 18/11/2021 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 9/8/1985 ≥60 BL. UMPU V LANJUT

163 P-JNLPPEFS 180801******0003 INDALI 36 082375856709 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 12/10/1996 ≥60 BL. UMPU V LANJUT

164 P-JNMPVHF1 180801******0003 NURHOLIS 24 082375871718 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 8/3/2001 ≥60 BL. UMPU V LANJUT

165 P-JNNMJUPC 180801******0004 SRI KASTINA 20 082375871718 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 11/7/1996 ≥60 UMPU BHAKTI V LANJUT

166 P-JNPEF9DS 180801******0005 GALIH BUDIYANTO 22 082181532221 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 2/20/1972 ≥60 UMPU BHAKTI V LANJUT

167 P-JNQ76F08 180801******0001 LAMIRIN 49 082376582618 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-JNQV9KEM 180801******0009 AGUS SETIAWAN

L D 6/5/1985 36
≥60 UMPU BHAKTI 085380444010
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
168

P D 6/4/1979 ≥60 UMPU BHAKTI V LANJUT

169 P-JNRJNACL 180801******0008 TRI LESTARI 42 082398096267 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 2/15/1995 ≥60 UMPU BHAKTI V LANJUT

170 P-JNSCBSER 180801******0006 ADI WALUYO 26 085382682619 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-JNTG50FY 180801******0002 DIMAS SAPRIANTO

L D 3/30/2004 17
≥60 UMPU BHAKTI 082178791796
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
171

L D 8/27/1979 ≥60 UMPU BHAKTI V LANJUT

172 P-JNU20JH8 180801******0003 HERMAN 42 085369983314 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 12/12/1980 ≥60 UMPU BHAKTI V LANJUT

173 P-JNUOCJFA 180801******0014 PAJAR SETIAWAN 40 087877675563 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-JNVH5Q8X 180807******0002 MAYNASARI

P D 6/7/1995 26
≥60 NEGERI AGUNG 82123686215
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
174

L D 11/1/1995 ≥60 RN. TANGKAS V LANJUT

175 P-JNXCABRH 180803******0005 NANANG ARI WIBOWO 26 082376640532 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 10/10/1964 ≥60 UMPU BHAKTI V LANJUT

176 P-JNYX71U8 180801******0007 MUSYATI 52 081274331433 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 7/3/1989 ≥60 UMPU BHAKTI V LANJUT

177 P-JNZOHW7B 180802******0002 RUSNAWATI 32 081278056915 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 10/12/1989 ≥60 UMPU BHAKTI V LANJUT

178 P-JO0ICHO6 180813******0001 ALI USMAN 32 085377721330 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 08/13/1965 ≥60 UMPU BHAKTI V LANJUT

179 P-JO1HUP1M 180801******0004 JAHIDIN 55 082235867855 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 6/24/1991 ≥60 UMPU BHAKTI V LANJUT

180 P-JO24GJHD 180801******0001 SUKARI 30 082178711492 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 8/14/1998 ≥60 UMPU BHAKTI V LANJUT

181 P-JO2YFBJA 180307******0005 SUSILO 23 082181511186 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 3/5/1998 ≥60 GN. SANGKARAN V LANJUT

182 P-JO3VJ6FC 180801******0006 FEBRIANSA 23 085832035984 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 6/2/2003 ≥60 UMPU BHAKTI V LANJUT

183 P-JO4Q3P6O 180801******0001 M. ARIF PRASTYO 18 081278197042 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 2/7/1995 ≥60 UMPU BHAKTI V LANJUT

184 P-JO5PKOIY 180801******0005 ARIFKI NATA RAHMADHANI 26 082251062557 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 11/9/1989 ≥60 UMPU BHAKTI V LANJUT

185 P-JO6HS262 180801******0003 SUPANDI 32 082186761974 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 11/9/1982 ≥60 UMPU BHAKTI V LANJUT

186 P-JO7CGJJG 180801******0004 AGUS TIAWAN 39 085268737350 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 7/10/1985 ≥60 UMPU BHAKTI V LANJUT

187 P-JO86MAWN 180305******0008 ACHMAD ZULI 36 081210600208 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 2/16/1997 ≥60 UMPU BHAKTI V LANJUT

188 P-JO9DTT6T 180801******0002 YUNITA FITRIANTI 24 081277218864 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 1/7/1977 ≥60 UMPU BHAKTI V LANJUT

189 P-JOAAGTJ0 160220******0012 EDI PURNOMO 44 082376951163 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 8/8/1988 ≥60 UMPU BHAKTI V LANJUT

190 P-JOAU1REQ 180802******0015 AGUS EFAN PERSAWAN 33 082180162901 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 4/9/1998 ≥60 UMPU BHAKTI V LANJUT

191 P-JOCEYEA0 180801******0002 SRI YADI 23 085658682924 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 5/2/1989 ≥60 SUMBER BARU V LANJUT

192 P-JOD0SCID 160801******0005 JEFRIYADI 32 082376110352 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 5/24/2005 ≥60 BL. UMPU V LANJUT

193 P-JODPISEK 180801******0002 DEANA 18 082282748822 18/11/2021 Astra Zeneca 18/11/2021 N001A
 P D 3/9/2000 ≥60 UMPU BHAKTI V LANJUT
194 P-JOEP3HDD 180802******0004 INDARI SETIYATI 21 082210137654 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 5/5/1991 ≥60 SUMBER BARU V LANJUT

195 P-JOFG2EKS 160801******0003 ISTIANINGSIH 30 082376110352 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 6/6/1966 ≥60 UMPU BHAKTI V LANJUT

196 P-JOGJDOMC 180801******0006 YANTO 55 085381019602 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 10/10/1998 ≥60 UMPU BHAKTI V LANJUT

197 P-JOH5HABP 180801******0008 NOPELI SAPUTRA 23 0882183649903 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 10/2/1985 ≥60 UMPU KENCANA V LANJUT

198 P-JOIYADPP 180801******0005 EDI SUSANTO 36 082279208672 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 5/7/1962 ≥60 UMPU KENCANA V LANJUT

199 P-JOJS5Z2K 180801******0002 MISIYAH 39 082376344494 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 10/13/1994 ≥60 UMPU KENCANA V LANJUT

200 P-JOKJ3AB9 180801******0004 ARI SUSANTO 27 082255835174 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 11/15/1991 ≥60 UMPU KENCANA V LANJUT

201 P-JOL9PYSO 180801******0005 NOVI SUPENI 30 085384458215 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 8/17/1987 ≥60 UMPU BHAKTI V LANJUT

202 P-JOLX6AF8 180801******0008 DODI HERWANSAH 34 081373538184 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 5/5/1999 ≥60 GN. SANGKARAN V LANJUT

203 P-JOMNCS8B 180801******0003 WAHYU PRAMONO 22 085658631473 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 6/12/1993 ≥60 UMPU BHAKTI V LANJUT

204 P-JONSHSZM 180801******0008 MULYADI 28 085274444457 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 5/11/1992 ≥60 UMPU BHAKTI V LANJUT

205 P-JOOMBF9T 180801******0002 HAIDIR 29 085841806614 18/11/2021 Astra Zeneca 18/11/2021 N001A

P D 12/14/1990 ≥60 UMPU BHAKTI V LANJUT

206 P-JOP7R5IB 180801******0007 IDA ASTUTI 30 085839333562 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 9/29/1993 ≥60 BL. UMPU V LANJUT

207 P-JOQLMFL2 180801******0002 M. SARIPUDIN 28 085779236890 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 7/26/1989 ≥60 UMPU BHAKTI V LANJUT

208 P-JORC9GEB 180801******0002 TRI HARYONO 32 081273435984 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-JORZEWHM 180801******0005 SAYUK SUNARNI

P D 8/16/1986 35
≥60 UMPU KENCANA 085266070088
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
209

L D 2/25/1999 ≥60 UMPU BHAKTI V LANJUT

210 P-JOU15BSP 180801******0001 ASEP SUMANTRI 22 081274331487 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 7/20/1988 ≥60 UMPU BHAKTI V LANJUT

211 P-JOUPK6KQ 180801******0006 PAIJAN 35 085384277147 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-JOVBRXTM 180801******0005 ADI WIBOWO

L D 5/15/1997 24
≥60 BL. UMPU 085839356167
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
212

P D 3/7/1967 ≥60 UMPU BHAKTI V LANJUT

213 P-JOW1KFE7 180801******0004 SAMIATI 54 081279600826 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 11/11/2001 ≥60 UMPU BHAKTI V LANJUT

214 P-JOWR95BV 180801******0002 MARYADI DEDI HARYANTO 20 081279600826 18/11/2021 Astra Zeneca 18/11/2021 N001A

P-JOXCWG9F 180801******0004 DWI NOVITA INDRIYANI

P D 8/11/1999 22
≥60 UMPU BHAKTI 085266888838
V 18/11/2021 Astra Zeneca 18/11/2021 N001A
LANJUT
215

L D 6/15/2001 ≥60 UMPU BHAKTI V LANJUT

216 P-N6N5NWXO 180801******0004 ROBI RENALDI 20 085279202727 18/11/2021 Astra Zeneca 18/11/2021 N001A

L D 12/24/1985 ≥60 BL. UMPU V LANJUT

217 P-RF93BN9G 180801******0002 RIDHO FIRMANDA 35 085379444344 18/11/2021 Astra Zeneca 18/11/2021 N001A

≥60 LANJUT
218 P-SYG6CMVB 180801******0001 KHOIRUN NIKMAH 19 083815293146 18/11/2021 CoronaVac 18/11/2021 202109179M

P D 6/23/1978 ≥60 UMPU BHAKTI V SELESAI

219 Q-00087PJ2 180904******0002 SUTINAH 43 082280182369 18/11/2022 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 2/2/2001 ≥60 BL. UMPU V SELESAI

220 Q-000A23HK 180801******0005 ARYA INDIGHO 20 085609557897 18/11/2023 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 11/23/2002 ≥60 UMPU BHAKTI V SELESAI

221 Q-000EQ7YP 180810******0001 SITI JULIYANA 19 085709614423 18/11/2024 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 6/3/2003 ≥60 UMPU BHAKTI V SELESAI

222 Q-000UW6Z5 180807******0001 ETI SULISTA 18 082269788548 18/11/2025 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
 P D 4/30/1992 ≥60 TANJUNG SARI V SELESAI
223 Q-001A4XI5 180104******0006 IIS PRIYATUN 29 085669696101 18/11/2026 Vaksin Covid-19 Biofarma 18/11/2021 202109176M

P D 8/22/1990 ≥60 UMPU BHAKTI V SELESAI

224 Q-001BD3T2 180104******0005 WINDA SUPRIYANI 31 088268349744 18/11/2027 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 12/10/1986 ≥60 UMPU BHAKTI V SELESAI

225 Q-001BD3TT 180104******0006 ANTON 34 085279644404 18/11/2028 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 12/7/1989 ≥60 UMPU BHAKTI V SELESAI

226 Q-001BIPHC 180801******0002 HADI PURWO NEGORO 31 085380443707 18/11/2029 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/3/1966 ≥60 UMPU BHAKTI V SELESAI

227 Q-001GQ7BO 180802******0002 SUKINEM 55 082186146564 18/11/2030 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 5/4/1967 ≥60 UMPU BHAKTI V SELESAI

228 Q-001GQ7GL 180801******0003 HENDI SYURYADI 26 085210273028 18/11/2031 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 1/12/1965 ≥60 UMPU BHAKTI V SELESAI

229 Q-001GQ8II 180801******0004 TUMINI 56 082372285573 18/11/2032 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 7/4/2002 ≥60 UMPU BHAKTI V SELESAI

230 Q-001GQ9E6 180801******0005 RENDI SAPUTRA 19 085768659871 18/11/2033 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/12/1956 ≥60 BL. UMPU V SELESAI

231 Q-001GQGQS 337503******0007 NUR HAYATI 44 081218630497 18/11/2034 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 6/10/2005 ≥60 UMPU BHAKTI V SELESAI

232 Q-001GQH57 160906******0001 PITRI YANI 16 085609089463 18/11/2035 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 7/15/1968 ≥60 UMPU BHAKTI V SELESAI

233 Q-001GQPAT 180906******0001 ZAINURI 50 08526998549 18/11/2036 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/1/1977 ≥60 UMPU BHAKTI V SELESAI

234 Q-001GQPF0 180906******0002 TITIN CANDRADEWI 44 085269985249 18/11/2037 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 8/20/1973 ≥60 UMPU BHAKTI V SELESAI

235 Q-001GQZET 180801******0001 WAGIYO 48 085357243742 18/11/2038 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 6/22/1974 ≥60 UMPU BHAKTI V SELESAI

236 Q-001GQZH3 180801******0002 RATIH FATMAWATI 15 085357243742 18/11/2039 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 10/20/1972 ≥60 UMPU BHAKTI V SELESAI

237 Q-001GQZHQ 180801******0002 ROHMAN 49 085357243742 18/11/2040 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

Q-001GQZIE 180801******0004 NINGSIH

P D 9/19/1961 60
≥60 UMPU BHAKTI 082278899878
V 18/11/2041 CoronaVac 18/11/2021 202109179M
SELESAI
238

P D 10/9/1971 ≥60 UMPU BHAKTI V SELESAI

239 Q-001GR8B7 180801******0001 LELA 17 085783099518 18/11/2042 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 8/17/1972 ≥60 BL. UMPU V SELESAI

240 Q-001GRGID 180801******0007 SYAHPIRIN 49 085268720124 18/11/2043 Vaksin Covid-19 Biofarma 18/11/2021 202109176M

Q-001GRGK0 180801******0001 EGI PRANATA

L D 10/2/2003 18
≥60 BL. UMPU 083841389708
V 18/11/2044 Vaksin Covid-19 Biofarma 18/11/2021 202109176M
SELESAI
241

P D 7/8/1973 ≥60 UMPU BHAKTI V SELESAI

242 Q-001GRGMT 180801******0006 M. FUAD KAMALUDIN 48 085279918468 18/11/2045 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 8/14/1974 ≥60 UMPU BHAKTI V SELESAI

243 Q-001GRPF5 180801******0009 WASITO 56 082376792029 18/11/2046 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

Q-001GRPG5 180801******0003 JATUN

P D 3/6/1966 55
≥60 UMPU BHAKTI 082376792029
V 18/11/2047 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
SELESAI
244

P D 4/4/1968 ≥60 UMPU BHAKTI V SELESAI

245 Q-001GRPHY 180801******0004 TUMINAH 53 085279851265 18/11/2048 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 9/28/1980 ≥60 UMPU BHAKTI V SELESAI

246 Q-001GRPJ6 180801******0001 HANAFI 41 085269129534 18/11/2049 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 2/26/1975 ≥60 UMPU BHAKTI V SELESAI

247 Q-001GRPKB 180801******0003 PRAWOTO 46 082279098822 18/11/2050 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/12/1988 ≥60 UMPU BHAKTI V SELESAI

248 Q-001GRPL3 180801******0006 YENI OKTARIA 18 082380963139 18/11/2051 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 8/25/2002 ≥60 UMPU BHAKTI V SELESAI

249 Q-001GRPLU 180906******0001 ARNIS SANTRIYA 19 085769782742 18/11/2052 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 10/21/2005 ≥60 KARANG UMPU V SELESAI

250 Q-001GRPU6 180801******0001 DIAN ELVIA 16 085609135477 18/11/2053 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 2/14/1989 ≥60 UMPU BHAKTI V SELESAI

251 Q-001GRZDM 180801******0002 TINDUNG NURYO UTOMO 32 085269513245 18/11/2054 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 7/10/1972 ≥60 UMPU BHAKTI V SELESAI

252 Q-001GRZEK 180801******0005 JULIANSYAH 49 082380756130 18/11/2055 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 3/5/1977 ≥60 UMPU BHAKTI V SELESAI

253 Q-001GRZFK 180801******0002 SITI SUMARNI 44 082380756130 18/11/2056 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 5/15/1981 ≥60 UMPU BHAKTI SELESAI

254 Q-001GRZGQ 180801******0009 SUPARMAN 40 082176610903 18/11/2057 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 6/18/1985 ≥60 UMPU BHAKTI V SELESAI

255 Q-001GRZHR 180801******0005 WAHYUDI 36 082380756130 18/11/2058 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 7/5/1988 ≥60 UMPU BHAKTI V SELESAI

256 Q-001GRZIR 180801******0006 HANA PERTIWI 18 085758335290 18/11/2059 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 2/6/1986 ≥60 UMPU BHAKTI V SELESAI

257 Q-001GRZJI 180801******0010 SUTRIANI 35 082380604729 18/11/2060 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 12/12/2002 ≥60 UMPU BHAKTI V SELESAI

258 Q-001GSBFW 180801******0007 SRI WAHYUNI 18 085789889915 18/11/2061 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 7/27/1975 ≥60 UMPU BHAKTI V SELESAI

259 Q-001GSBGT 180801******0003 SUNARSIH 46 085609045600 18/11/2062 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 11/27/1968 ≥60 UMPU BHAKTI V SELESAI

260 Q-001GSBHJ 180801******0001 WAHYUNI 52 085366889519 18/11/2063 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
261 Q-001GSBIT 180801******0004 SUSI SUSANTI 32 085366889519 18/11/2064 Vaksin Covid-19 Biofarma 18/11/2021 20210917M

P D 4/12/2000 ≥60 UMPU BHAKTI V SELESAI

262 Q-001GSBJX 180801******0004 MEYLINA SAPUTRI 21 085783650047 18/11/2065 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
 P D 9/7/1995 ≥60 UMPU BHAKTI V SELESAI
263 Q-001GSBKX 180801******0005 HUSNUL FATIMAH 26 085211118665 18/11/2066 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 6/4/1996 ≥60 UMPU BHAKTI V SELESAI

264 Q-001GSBM1 180801******0011 NURUL ARIFIN 25 082181532230 18/11/2067 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
265 Q-001GSBN8 180801******0001 SUMIARSIH 39 085379136494 18/11/2068 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 4/5/1982 ≥60 UMPU BHAKTI V SELESAI

266 Q-001GSBOR 180801******0011 SUNARKO 39 082373958494 18/11/2069 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 7/4/1973 ≥60 UMPU BHAKTI V SELESAI

267 Q-001GSBQ1 180801******0005 SUSMIYANI 48 085357237936 18/11/2070 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 7/3/1997 ≥60 UMPU BHAKTI V SELESAI

268 Q-001GSBRW 180801******0003 MEI APRIANI 24 085783690700 18/11/2071 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 2/20/1990 ≥60 UMPU BHAKTI V SELESAI

269 Q-001GSBT3 180801******0005 LISTYANI 31 082373958494 18/11/2072 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
270 Q-001GSBUT 180801******0003 TITIN PURWANTI 37 085275465500 18/11/2073 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 12/30/1979 ≥60 UMPU BHAKTI V SELESAI

271 Q-001GSBW5 180801******0003 DARYANTO 41 085273465500 18/11/2074 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 11/28/1982 ≥60 UMPU BHAKTI V SELESAI

272 Q-001GSKYC 180801******0003 SITI LESTARI 38 085366889519 18/11/2075 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 1/17/1995 ≥60 UMPU BHAKTI V SELESAI

273 Q-001GSKYS 180801******0005 CHISA YANUVIA NIAZWA 26 081373137458 18/11/2076 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/25/1982 ≥60 UMPU BHAKTI V SELESAI

274 Q-001GSKZ9 180801******0004 SRIASIH 39 085379035359 18/11/2077 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 9/12/1979 ≥60 UMPU BHAKTI V SELESAI

275 Q-001GSL0N 180801******0003 SUPARJO 42 085380520151 18/11/2078 CoronaVac 18/11/2021 202109179M

≥60 SELESAI
276 Q-001GSL1R 180801******0003 KASDIANTO 49 082261059340 18/11/2079 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 11/8/1990 ≥60 UMPU BHAKTI V SELESAI

277 Q-001GSL2O 180801******0006 NARNI 31 085368362983 18/11/2080 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

Q-001GSQ8Q 180801******0003 RENI ASMIYATI

P D 10/27/1990 31
≥60 UMPU BHAKTI 085380520151
V 18/11/2081 CoronaVac 18/11/2021 202109179M
SELESAI
278

≥60 SELESAI
279 Q-001GSQ9P 180801******0001 HUSEN AL ANSORI 19 082213571487 18/11/2082 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
280 Q-001GSQBC 180801******0001 FITRI PONCOWATI 22 082269222427 18/11/2083 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
281 Q-001GSQBT 180801******0002 ANA LISTIANA SARI 32 082377675440 18/11/2084 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 7/13/1976 ≥60 UMPU BHAKTI V SELESAI

282 Q-001GSQCD 180801******0002 TITI. S 45 082183013649 18/11/2085 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 12/30/1976 ≥60 UMPU BHAKTI V SELESAI

283 Q-001GSWSF 180801******0003 WAHYUNI 44 082887756772 18/11/2086 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

Q-001GSWTM 180801******0003 SUWONO

P D 8/7/1965 56
≥60 UMPU BHAKTI 082183013649
V 18/11/2087 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
SELESAI
284

≥60 SELESAI
285 Q-001GSX2G 180801******0005 NUR AISYAH 39 085268497578 18/11/2088 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
286 Q-001GSX48 180801******0010 RUBINGAH 56 083157208567 18/11/2089 Vaksin Covid-19 Biofarma 18/11/2021 202109179m

≥60 SELESAI
287 Q-001GSX52 180801******0006 LINA 40 082123686215 18/11/2090 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 10/15/2002 ≥60 UMPU BHAKTI V SELESAI

288 Q-001GT0GO 180802******0007 NENG PRIATINI 19 082376160513 18/11/2091 CoronaVac 18/11/2021 202101979M

L D 2/7/2005 ≥60 UMPU BHAKTI V SELESAI

289 Q-001GT0H9 180801******0004 MUHAMMAD DEKA ROY DEANTARA 16 085377143830 18/11/2092 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
290 Q-001GT0I4 180801******0001 EKO SUMAWIBOWO 36 081373127722 18/11/2093 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
291 Q-001GT0J4 180801******0007 SADIAH 48 085268039081 18/11/2094 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
292 Q-001GT0JY 180801******0003 SRI SEPTIANI 18 083169543843 18/11/2095 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
293 Q-001GT0KL 180801******0002 TRIYANI 38 085378201048 18/11/2096 Vaksin Covid-19 Biofarma 18/11/2021 202109179m

≥60 SELESAI
294 Q-001GT0L6 180801******0004 SUWASTI 56 082372284021 18/11/2097 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/12/1999 ≥60 UMPU BHAKTI V SELESAI

295 Q-001GT0LM 180801******0002 KRIS WAHYU NINGSIH 22 082372284021 18/11/2098 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 5/25/1990 ≥60 UMPU BHAKTI V SELESAI

296 Q-001GT0MM 180801******0004 RIA ERNAWATI 31 082376951163 18/11/2099 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 3/29/1997 ≥60 UMPU BHAKTI V SELESAI

297 Q-001GT1CA 180801******0004 VINANDAWATI 24 082377698118 18/11/2100 Vaksin Covid-19 Biofarma 18/11/2021 20210917M

P D 4/1/1976 ≥60 UMPU BHAKTI V SELESAI

298 Q-001GT1CN 180809******0002 SUGIATI 45 082315441884 18/11/2101 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
299 Q-001GT1D4 180104******0031 MARDIYATIK 48 082377698118 18/11/2102 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
300 Q-001GT1DO 180801******0001 WAROH HIDAYATI 37 082179684013 18/11/2103 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 1/12/1993 ≥60 UMPU BHAKTI V SELESAI

301 Q-001GT2HA 180801******0006 ENI PURNIAWATI 28 085357425293 18/11/2104 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/6/1973 ≥60 UMPU BHAKTI V SELESAI

302 Q-001GT2HL 180801******0009 SARMIYATI 48 081373131269 18/11/2105 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 7/5/1971 ≥60 LEMBASUNG V SELESAI

303 Q-001GT4XY 180801******0011 SARTIKA 50 082876582618 18/11/2106 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
 P D 2/3/1976 ≥60 UMPU BHAKTI V SELESAI
304 Q-001GT4YJ 180801******0003 PRAMUDI ASTUTI 45 082180948855 18/11/2107 CoronaVac 18/11/2021 202101979M

L D 3/19/1979 ≥60 UMPU BHAKTI V SELESAI

305 Q-001GT4ZP 187204******0002 MAMAT 42 085267243085 18/11/2108 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 12/10/1976 ≥60 BL. UMPU V SELESAI

306 Q-001GT50I 180801******0005 ROSMAWATI 44 085266049104 18/11/2109 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 5/4/2006 ≥60 UMPU BHAKTI V SELESAI

307 Q-001GT6RH 180801******0005 NASIB PRAYOGA 15 085766965725 18/11/2110 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 2/19/1997 ≥60 UMPU BHAKTI V SELESAI

308 Q-001GT6RR 180801******0007 JOKO SARWONO 24 085374002268 18/11/2111 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
309 Q-001GT6SR 180801******0003 SOLEHA 37 082376792093 18/11/2112 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
310 Q-001GT6T3 187204******0006 YULITA SARI 37 085267243085 18/11/2113 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 10/24/1973 ≥60 UMPU BHAKTI V SELESAI

311 Q-001GT6TP 180801******0002 MUJIATI 48 085377721330 18/11/2114 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 1/3/1998 ≥60 UMPU BHAKTI V SELESAI

312 Q-001GTBKG 160805******0001 MUHAMAD TASLIM 23 083170010883 18/11/2115 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
313 Q-001GTBKT 180801******0004 DESI YANA 38 085268334979 18/11/2116 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 6/21/1984 ≥60 UMPU BHAKTI V SELESAI

314 Q-001GTBNB 180801******0005 NUR HIDAYAT 37 082376782762 18/11/2117 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
315 Q-001GTBO5 180801******0005 SOFYA 21 083170010883 18/11/2118 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 5/1/1973 ≥60 UMPU BHAKTI V SELESAI

316 Q-001GTBOZ 180801******0001 SUPARMI 48 085279240840 18/11/2119 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 1708/1977 ≥60 UMPU BHAKTI V SELESAI

317 Q-001GTBPZ 180801******0008 TASIRIN 44 085279746610 18/11/2120 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
318 Q-001GTBR0 180801******0084 SITI AMINAH 22 083157208567 18/11/2121 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

Q-001GTBS5 180801******0001 SUYANTI

P D 8/25/1964 57
≥60 UMPU BHAKTI 081215686215
V 18/11/2122 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
SELESAI
319

P D 3/7/1989 ≥60 UMPU BHAKTI V SELESAI

320 Q-001GTBTU 180801******0006 LISMANA 32 085709985027 18/11/2123 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 2/22/1992 ≥60 UMPU BHAKTI V SELESAI

321 Q-001GTBU8 121608******0001 MELANI MARBUN 29 085269532584 18/11/2124 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

Q-001GTBWC 181105******0001 SUKATI

P D 5/27/1985 36
≥60 UMPU BHAKTI 085366230953
V 18/11/2125 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
SELESAI
322

P D 7/25/1982 ≥60 UMPU BHAKTI V SELESAI

323 Q-001GTBYC 180801******0007 PONISIH 39 088272127231 18/11/2126 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 6/16/1977 ≥60 UMPU BHAKTI V SELESAI

324 Q-001GTBZG 180801******0003 SUWARNI 44 081927256579 18/11/2127 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
325 Q-001GTC52 180801******0004 AGUS WAHYUDI 25 081273256196 18/11/2128 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
326 Q-001GTC5X 180801******0010 MASNATI 36 082310790484 18/11/2129 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 7/8/1984 ≥60 V SELESAI

327 Q-001GTC6K 180801******0005 ISMAIL 37 UMPU BHAKTI 82378276350 18/11/2130 CoronaVac 18/11/2021 202101979M

P D 7/25/1981 ≥60 UMPU BHAKTI V SELESAI

328 Q-001GTC6Z 180801******0002 SRI LESTARI 40 085357259617 18/11/2131 CoronaVac 18/11/2021 202109179M

P D 1/6/1988 ≥60 UMPU BHAKTI V SELESAI

329 Q-001GTC79 180801******0001 YULIA WATI 33 085377534739 18/11/2132 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 4/15/1998 ≥60 UMPU BHAKTI V SELESAI

330 Q-001GTC87 180801******0001 PANDRI GUNAWAN 23 083157208567 18/11/2133 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 1/21/1985 ≥60 UMPU BHAKTI V SELESAI

331 Q-001GTDX3 180801******0002 DWI YANTO 36 082377447986 18/11/2134 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 1/12/1993 ≥60 UMPU BHAKTI V SELESAI

332 Q-001GTDXP 180801******0005 DWI WIDYA ASTUTI 28 082175822678 18/11/2135 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 9/29/1969 ≥60 UMPU BHAKTI V SELESAI

333 Q-001GTDY4 180801******0001 SUTINI 52 082377056669 18/11/2136 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
334 Q-001GTDYL 180801******0007 LEGIMIN 56 082377056669 18/11/2137 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
335 Q-001GTDZJ 180803******0004 YUNI SURYANI 26 085210273028 18/11/2138 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 7/10/1981 ≥60 UMPU BHAKTI V SELESAI

336 Q-001GTGB1 180801******0008 SRI SURATI 40 085381031632 18/11/2139 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 12/10/1984 ≥60 UMPU BHAKTI V SELESAI

337 Q-001GTGBB 180801******0006 SANIA SYAHRANI 36 085369895565 18/11/2140 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 7/15/2000 ≥60 UMPU BHAKTI V SELESAI

338 Q-001GTGD5 180801******0007 BANDI DWI WAHYUDI 21 085274600511 18/11/2141 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
339 Q-001GTGDW 180807******0002 REKA SUSANTI 26 082372284596 18/11/2142 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
340 Q-001GTGEK 180801******0002 RATNA MAITASARI 31 082175318582 18/11/2143 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
341 Q-001GTGG3 180801******0003 JUNAIDI 42 081379632867 18/11/2144 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
342 Q-001GTGGT 180801******0001 MUGIARTO 33 082175318582 18/11/2145 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
343 Q-001GTGHN 180801******0005 ENDANG HERMAINI 25 082175930441 18/11/2146 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
344 Q-001GTGIN 180801******0006 ANWAR SOLEH 25 082175930441 18/11/2147 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
 P D 3/3/2002 ≥60 UMPU BHAKTI V SELESAI
345 Q-001GTGJH 180801******0001 TIA ROPAYNI 19 085783650047 18/11/2148 Vaksin Covid-19 Biofarma 18/11/2021 202108179M

L D 2/16/1959 ≥60 BL. UMPU V SELESAI

346 Q-001GTGKL 180801******0004 SAPRI 23 085269834991 18/11/2149 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
347 Q-001GTGLC 180801******0007 AHMAD MARZUKI 50 082377445371 18/11/2150 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/9/2000 ≥60 MESUJI V SELESAI

348 Q-001GTGM4 160220******0001 LIA APRILIANA 21 082279782254 18/11/2151 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 6/7/1976 ≥60 UMPU BHAKTI V SELESAI

349 Q-001GTGMJ 180801******0007 INDRA WAHYUDI 45 081273144580 18/11/2152 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 3/5/1995 ≥60 UMPU BHAKTI V SELESAI

350 Q-001GTGN2 180801******0008 FITRI SUMARLINA 26 082377447986 18/11/2153 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/23/1986 ≥60 UMPU BHAKTI V SELESAI

351 Q-001GTGNQ 180801******0002 SUMINI 35 085268334979 18/11/2154 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 9/9/1984 ≥60 UMPU BHAKTI V SELESAI

352 Q-001GTHDV 320720******0002 SITI ROHMAH 37 082181532170 18/11/2155 CoronaVac 18/11/2021 202101979M

P D 8/8/1987 ≥60 UMPU BHAKTI V SELESAI

353 Q-001GTHE3 180803******0001 DESTIANI 34 082178116843 18/11/2156 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 12/13/1990 ≥60 UMPU BHAKTI V SELESAI

354 Q-001GTHE8 180801******0003 VETI NINGSIH 30 082124817370 18/11/2157 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 11/15/1983 ≥60 UMPU BHAKTI V SELESAI

355 Q-001GTJD9 180801******0001 PURWANINGSIH 38 085368133200 18/11/2158 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 10/4/1980 ≥60 UMPU BHAKTI V SELESAI

356 Q-001GTJDN 180801******0003 SRI DWI SETYANINGSIH 41 082269037328 18/11/2159 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 10/10/1961 ≥60 UMPU BHAKTI V SELESAI

357 Q-001GTJDT 180801******0006 SAWIN 60 083168047410 18/11/2160 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
358 Q-001GTJE5 180801******0001 MUNAWAROH 49 085839344075 18/11/2161 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/27/1988 ≥60 UMPU BHAKTI V SELESAI

359 Q-001GTJEI 180801******0004 FITRI NURBAITI 33 085874050889 18/11/2162 CoronaVac 18/11/2021 202109179M

Q-001GTJEN 180801******0001 SUWONDO

L D 6/6/1964 57
≥60 UMPU BHAKTI 085381537119
V 18/11/2163 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
SELESAI
360

P D 4/8/1966 ≥60 UMPU BHAKTI V SELESAI

361 Q-001GTJEY 180801******0004 SIYAR 55 085279753599 18/11/2164 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 12/9/1972 ≥60 UMPU BHAKTI V SELESAI

362 Q-001GTJF3 180801******0003 SUYATNI 48 085279753599 18/11/2165 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

Q-001GTJF9 180801******0007 SULIS SETIANINGSIH

P D 5/7/1994 27
≥60 UMPU BHAKTI 085279031408
V 18/11/2166 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
SELESAI
363

L D 10/1/1981 ≥60 UMPU BHAKTI V SELESAI

364 Q-001GTJFF 180801******0005 TATOK SAPUTRA 40 081273427349 18/11/2167 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/7/1966 ≥60 UMPU BHAKTI V SELESAI

365 Q-001GTJFL 180801******0002 SITI HOTIJAH 55 085874050889 18/11/2168 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

Q-001GTJFN 180801******0006 MILIAN SUSANTI

P D 4/13/1987 34
≥60 UMPU BHAKTI 08237767563
V 18/11/2169 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
SELESAI
366

P D 4/15/1972 ≥60 UMPU BHAKTI V SELESAI

367 Q-001GTJFT 180801******0006 MARYATI 49 082271383311 18/11/2170 CoronaVac 18/11/2021 202101979M

P D 1/15/1995 ≥60 UMPU BHAKTI V SELESAI

368 Q-001GTJY3 180801******0007 SUSI RAHMAWATI 26 083190840008 18/11/2171 CoronaVac 18/11/2021 202101979M

≥60 SELESAI
369 Q-001GTJY8 180801******0008 CARMINI 39 081369914272 18/11/2172 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 1/16/1992 ≥60 UMPU BHAKTI V SELESAI

370 Q-001GTJYB 180801******0001 SUKMA ERLIANTO 29 082230298866 18/11/2173 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
371 Q-001GTJYJ 180802******0003 YESA SEPTI NUR ROHMA 18 085267167275 18/11/2174 CoronaVac 18/11/2021 202109179M

≥60 SELESAI
372 Q-001GTJYN 180801******0004 KARSI 43 082375126530 18/11/2175 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 7/3/1997 ≥60 UMPU BHAKTI V SELESAI

373 Q-001GTJZN 180801******0002 GUNAWAN 24 081273725322 18/11/2176 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
374 Q-001GTL2U 180801******0003 SITI AMINAH 38 082376582628 18/11/2177 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 7/28/1968 ≥60 UMPU BHAKTI V SELESAI

375 Q-001GTL2V 180801******0003 SURAJI 53 081371137958 18/11/2178 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 12/10/1982 ≥60 UMPU BHAKTI V SELESAI

376 Q-001GTL2W 180801******0006 UTAMI KRISTIANTI 38 082280551367 18/11/2179 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 6/4/1977 ≥60 UMPU BHAKTI V SELESAI

377 Q-001GTL2X 180518******0002 SUHARTI 44 082279376640 18/11/2180 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 9/29/1977 ≥60 UMPU BHAKTI V SELESAI

378 Q-001GTL2Y 180801******0002 SUPRIYATI 44 081278427357 18/11/2181 CoronaVac 18/11/2021 202109179M

L D 1/28/1986 ≥60 UMPU BHAKTI V SELESAI

379 Q-001GTL30 180801******0005 M. SOLEHUDIN 35 082371066799 18/11/2182 Vaksin Covid-19 Biofarma 18/11/2021 201109179M

P D 7/5/1966 ≥60 UMPU BHAKTI V SELESAI

380 Q-001GTL31 180801******0001 SUPARSINI 55 083170538929 18/11/2183 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
381 Q-001GTL33 180801******0008 SULASTRI 42 085383019303 18/11/2184 Vaksin Covid-19 Biofarma 18/11/2021 202109179m

≥60 SELESAI
382 Q-001GTL34 180801******0010 MUHAMMAD AYIB 43 085383019303 18/11/2185 Vaksin Covid-19 Biofarma 18/11/2021 202109179m

L D 8/1/1992 ≥60 UMPU BHAKTI V SELESAI

383 Q-001GTL35 180801******0004 ANDRI MUNAWAR 29 085383019303 18/11/2186 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 5/3/1961 ≥60 UMPU BHAKTI V SELESAI

384 Q-001GTL36 180801******0001 SITI MAIMUNAH 60 083170538929 18/11/2187 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 6/18/1972 ≥60 UMPU BHAKTI V SELESAI

385 Q-001GTL37 180801******0001 MANITO 49 085279368051 18/11/2188 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
 P D 1/14/1985 ≥60 UMPU BHAKTI V SELESAI
386 Q-001GTL38 187205******0001 PUJI LESTARI 36 085658348100 18/11/2189 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
387 Q-001GTL39 180801******0002 ISTIKHOMAH 27 085279789649 18/11/2190 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 7/2/1993 ≥60 UMPU BHAKTI V SELESAI

388 Q-001GTL3A 180801******0006 RIAN YULIYANTI 28 082398080153 18/11/2191 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 6/8/1998 ≥60 UMPU BHAKTI V SELESAI

389 Q-001GTL3B 180801******0009 YULINDA 23 085268837450 18/11/2192 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 7/1/1975 ≥60 UMPU BHAKTI V SELESAI

390 Q-001GTL3C 180801******0075 RUSMIATI 46 082186146564 18/11/2193 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 10/2/1988 ≥60 UMPU BHAKTI V SELESAI

391 Q-001GTL3E 181103******0001 YULIANTO 33 085379165959 18/11/2194 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 5/30/1986 ≥60 UMPU BHAKTI V SELESAI

392 Q-001GTL3F 180801******0006 HENDRI YANTO 35 082324092941 18/11/2195 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 2/10/1975 ≥60 UMPU BHAKTI V SELESAI

393 Q-001GTL3G 180801******0003 HARTATI 46 082307073692 18/11/2196 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 6/26/1998 ≥60 UMPU BHAKTI V SELESAI

394 Q-001GTLHA 180801******0002 BELA SETIAWATI 23 085609157451 18/11/2197 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
395 Q-001GTLHB 180801******0010 ANITA RAHAYU NINGSIH 32 081292507797 18/11/2198 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
396 Q-001GTLHC 180801******0004 SITI JUARIYAH 23 082269252836 18/11/2199 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 3/4/1980 ≥60 UMPU BHAKTI V SELESAI

397 Q-001GTLHD 180801******0004 ONI KATUN 41 085267731747 18/11/2200 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 8/5/1982 ≥60 UMPU BHAKTI V SELESAI

398 Q-001GTLHE 180801******0005 BENYAMIN SAPUTRA 39 085368362983 18/11/2201 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
399 Q-001GTLJ3 180801******0008 SONIYATI 31 085379269607 18/11/2202 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 8/6/1976 ≥60 UMPU BHAKTI V SELESAI

400 Q-001GTLJ4 180801******0009 YAHMIN 45 085384458217 18/11/2203 CoronaVac 18/11/2021 202109179M

Q-001GTLJ5 180801******0003 NIA HIKMAWATI

P D 1/24/2006 15
≥60 KARANG UMPU 085758090041
V 18/11/2204 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
SELESAI
401

P D 7/27/1982 ≥60 UMPU BHAKTI V SELESAI

402 Q-001GTLJ6 180801******0007 SUSI FADILATUL HASANAH 39 085279918468 18/11/2205 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 11/23/1990 ≥60 UMPU BHAKTI V SELESAI

403 Q-001GTLJ7 180801******0003 NOVI YULIANTI 30 082279957510 18/11/2206 CoronaVac 18/11/2021 202109179M

≥60 SELESAI
404 Q-001GTLJ8 180801******0004 SUHARMINI 28 085384803504 18/11/2207 CoronaVac 18/11/2021 202109179M

P D 3/17/1974 ≥60 LEMBASUNG V SELESAI

405 Q-001GTLJ9 180801******0002 MARSIATI 47 082376582618 18/11/2208 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 2/18/1970 ≥60 UMPU BHAKTI V SELESAI

406 Q-001GTLJA 180518******0003 ABDUL JAMIL 51 082279376640 18/11/2209 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

Q-001GTLUT 180801******0001 RIMA LISNAWATI

P D 1/19/1993 28
≥60 UMPU BHAKTI 085658672003
V 18/11/2210 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
SELESAI
407

P D 4/9/1979 ≥60 UMPU BHAKTI V SELESAI

408 Q-001GTLUU 180801******0004 DARTUTI 42 085268050908 18/11/2211 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 5/28/1991 ≥60 UMPU BHAKTI V SELESAI

409 Q-001GTLUV 180801******0002 NUR ROHANI 30 081373538184 18/11/2212 CoronaVac 18/11/2021 202101979M

L D 1/1/1970 ≥60 UMPU BHAKTI V SELESAI

410 Q-001GTLUW 180801******0020 SUHERI 51 082179453433 18/11/2213 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
411 Q-001GTLUX 180801******0002 JULI MULYANTO 34 085377631315 18/11/2214 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 2/10/1975 ≥60 UMPU BHAKTI V SELESAI

412 Q-001GTLUY 180801******0004 IMRO ATUS SHOLEHA 19 082375126180 18/11/2215 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 11/11/2005 ≥60 UMPU BHAKTI V SELESAI

413 Q-001GTLUZ 180801******0002 MUHAMMAD TAUFIK 16 088268189037 18/11/2216 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 7/19/1988 ≥60 UMPU BHAKTI V SELESAI

414 Q-001GTLV0 180801******0008 WIJAYANTI 33 085273756765 18/11/2217 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 6/4/1986 ≥60 UMPU BHAKTI V SELESAI

415 Q-001GTLV1 180801******0004 SUJARIAH 35 082279428466 18/11/2218 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
416 Q-001GTLV2 180801******0002 TURIYEM 60 082375126180 18/11/2219 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 9/15/2002 ≥60 UMPU BHAKTI V SELESAI

417 Q-001GTLV3 180801******0003 SITI RETNOSARI 19 088102376280 18/11/2220 Vaksin Covid-19 Biofarma 18/11/2021 201109179M

P D 8/24/1974 ≥60 UMPU BHAKTI V SELESAI

418 Q-001GTM5S 180801******0001 RAHMAT 47 081373169141 18/11/2221 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 7/15/1970 ≥60 UMPU BHAKTI V SELESAI

419 Q-001GTM5T 180801******0005 TATA SUGANDA 51 087790231808 18/11/2222 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 12/24/1963 ≥60 UMPU BHAKTI V SELESAI

420 Q-001GTM5U 180801******0001 SUNARTI 57 082378387533 18/11/2223 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
421 Q-001GTM5V 180801******0013 SAMIRAH 41 088706452267 18/11/2224 Vaksin Covid-19 Biofarma 18/11/2021 202109179m

≥60 SELESAI
422 Q-001GTM5W 180801******0001 ALAN AFRIANDO 19 081368002077 18/11/2225 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
423 Q-001GTM5X 180801******0001 SRI NINGSIH 26 088706452267 18/11/2226 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 12/19/1968 ≥60 UMPU BHAKTI V SELESAI

424 Q-001GTM5Y 180801******0001 JUMIYEM 52 082398080453 18/11/2227 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
425 Q-001GTM5Z 170312******0001 SUTRISNO 48 083170539129 18/11/2228 CoronaVac 18/11/2021 202109179M

L D 2/11/1986 ≥60 UMPU BHAKTI V SELESAI

426 Q-001GTM60 180801******0003 BEJO WAHYUDI 28 085273756765 18/11/2229 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
 L D 9/8/1963 ≥60 UMPU BHAKTI V SELESAI
427 Q-001GTM61 180801******0004 SURYADI 58 088266452262 18/11/2230 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 8/12/1982 ≥60 UMPU BHAKTI V SELESAI

428 Q-001GTM62 180801******0006 MARINA 39 088206452262 18/11/2231 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
429 Q-001GTM63 180806******0001 LIS WANTORO 39 085236111163 18/11/2232 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 12/17/1966 ≥60 UMPU BHAKTI V SELESAI

430 Q-001GTM64 180801******0004 SUMIATI 54 082280232381 18/11/2233 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 7/19/1982 ≥60 UMPU BHAKTI V SELESAI

431 Q-001GTM65 180801******0002 DIDIK IRAWAN 39 081278033368 18/11/2234 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 1/12/1988 ≥60 UMPU BHAKTI V SELESAI

432 Q-001GTM66 180801******0006 SUGIONO 33 085369876907 18/11/2235 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
433 Q-001GTM67 180801******0006 NANA JUANA 58 082183367797 18/11/2236 CoronaVac 18/11/2021 202109179M

≥60 SELESAI
434 Q-001GTM68 180801******0003 IMEL NURAINI 13 082180288860 18/11/2237 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 10/16/1963 ≥60 UMPU BHAKTI V SELESAI

435 Q-001GTM69 180801******0001 SARKAM 58 082176825353 18/11/2238 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
436 Q-001GTM6A 180801******0015 AGUS RONI 43 082122302471 18/11/2239 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 4/2/1969 ≥60 LEMBASUNG V SELESAI

437 Q-001GTM6B 180801******0001 SAIMAN 52 082376582618 18/11/2240 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
438 Q-001GTM6C 180801******0004 REZA KURNIAWAN 13 085810962984 18/11/2241 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 5/17/1966 ≥60 UMPU BHAKTI V SELESAI

439 Q-001GTMJH 180801******0004 KATMIAH 55 081271455748 18/11/2242 CoronaVac 18/11/2021 202101979M

P D 9/11/1983 ≥60 UMPU BHAKTI V SELESAI

440 Q-001GTMJI 180801******0006 YUSMIATI 38 082271455748 18/11/2243 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 2/19/1980 ≥60 UMPU BHAKTI V SELESAI

441 Q-001GTMJJ 180801******0004 A. SIPIN 41 085366172105 18/11/2244 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

Q-001GTMJK 180801******0002 NURHAYATI

P D 6/3/1965 56
≥60 UMPU BHAKTI 082269037601
V 18/11/2245 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
SELESAI
442

L D 5/4/1995 ≥60 UMPU BHAKTI V SELESAI

443 Q-001GTMJL 180801******0006 RUDI HERIYANTO 26 082180948855 18/11/2246 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
444 Q-001GTMJM 180801******0003 NOVI FITRIANI 20 081347674006 18/11/2247 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

Q-001GTMQU 180801******0002 SITI AMINAH

P D 10/8/1979 42
≥60 UMPU BHAKTI 081347674006
V 18/11/2248 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
SELESAI
445

P D 12/10/1985 ≥60 UMPU BHAKTI V SELESAI

446 Q-001GTMQX 180801******0003 NENENG YULIATI 35 082181047933 18/11/2249 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 5/12/1971 ≥60 UMPU BHAKTI V SELESAI

447 Q-001GTMQZ 180801******0005 SUDARTO 50 085298512334 18/11/2250 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

Q-001GTMR0 180801******0003 SRI ANDIS TIRA

P D 12/5/1979 41
≥60 UMPU BHAKTI 082235867855
V 18/11/2251 CoronaVac 18/11/2021 202109179M
SELESAI
448

P D 4/10/1972 ≥60 UMPU BHAKTI V SELESAI

449 Q-001GTMR1 180801******0007 SARGINI 49 082239867855 18/11/2252 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
450 Q-001GTMR2 180801******0003 SUBUR 39 082387803136 18/11/2253 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 3/28/1983 ≥60 UMPU BHAKTI V SELESAI

451 Q-001H8QW3 180801******0003 SUMANTRI 38 082181532170 18/11/2254 CoronaVac 18/11/2021 202101979M

≥60 SELESAI
452 Q-001H8TMN 180801******0017 ITA WIDYASARI 27 085213669073 18/11/2255 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 8/8/1982 ≥60 UMPU BHAKTI V SELESAI

453 Q-001H8TMO 180801******0007 RAHMAT 39 085267913078 18/11/2256 CoronaVac 18/11/2021 202109179M

L D 3/9/1964 ≥60 UMPU BHAKTI V SELESAI

454 Q-001H8TMQ 180801******0005 RUSMAN 57 085267487105 18/11/2257 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 5/8/1987 ≥60 UMPU BHAKTI V SELESAI

455 Q-001H8TMR 180801******0009 LISDAWATI 34 085267913078 18/11/2258 CoronaVac 18/11/2021 202109179M

P D 6/9/1973 ≥60 UMPU BHAKTI V SELESAI

456 Q-001H8TMT 180801******0001 SAMIATI 48 083170670692 18/11/2259 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 4/5/1992 ≥60 UMPU BHAKTI SELESAI

457 Q-001H8TMU 180801******0007 DADANG DARMANTO 29 082278670920 18/11/2260 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
458 Q-001H8TN0 180801******0003 RUMINAH 55 085213669073 18/11/2261 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/20/1994 ≥60 UMPU BHAKTI V SELESAI

459 Q-001H8TN4 180802******0001 PENI APRIANI 27 082377698004 18/11/2262 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
460 Q-001H8TN5 180801******0006 EVA MAYA SUSANTI 33 085319161632 18/11/2263 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 8/10/1968 ≥60 UMPU BHAKTI V SELESAI

461 Q-001H8TN7 180801******0012 PAERAH 53 085769009072 18/11/2264 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 11/22/1991 ≥60 UMPU BHAKTI V SELESAI

462 Q-001H8TNA 180801******0001 EKA AFRIDAYANTI 30 085267166506 18/11/2265 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 1/24/1989 ≥60 UMPU BHAKTI V SELESAI

463 Q-001H8TNB 180801******0004 PRAPTINI 32 082372509007 18/11/2266 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
464 Q-001H8TNE 180213******0005 SITI SOLEHA 45 082376950713 18/11/2267 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 10/26/1982 ≥60 UMPU BHAKTI V SELESAI

465 Q-001H8TNY 180801******0001 EKA YULIANTI 39 081273725322 18/11/2268 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 2/16/1979 ≥60 UMPU BHAKTI V SELESAI

466 Q-001H8V2J 180801******0003 SULASIH 42 082377823354 18/11/2269 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
467 Q-001H8V2L 180801******0001 LAMINI 54 085379035346 18/11/2270 CoronaVac 18/11/2021 202109179M
 P D 11/13/2000 ≥60 UMPU BHAKTI V SELESAI
468 Q-001H8V2N 180801******0004 HINDUN RUSMIATI 21 082374806280 18/11/2271 CoronaVac 18/11/2021 202101979M

P D 6/5/1962 ≥60 UMPU BHAKTI V SELESAI

469 Q-001H8V2P 180801******0001 MITUN 59 082374806280 18/11/2272 CoronaVac 18/11/2021 202101979M

L D 4/2/2003 ≥60 UMPU BHAKTI V SELESAI

470 Q-001H8V2V 180801******0003 KHOIRUL SOLIHIN 18 085279746610 18/11/2273 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 7/1/1964 ≥60 UMPU BHAKTI V SELESAI

471 Q-001H8V2X 180801******0032 SALIYO 57 082376950601 18/11/2274 CoronaVac 18/11/2021 202109179M

≥60 SELESAI
472 Q-001H8V2Z 180809******0007 SUSIYANTO 33 081274331710 18/11/2275 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
473 Q-001H8V31 180801******0005 SRI ASTUTI 30 081274331710 18/11/2276 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 8/14/1971 ≥60 UMPU BHAKTI V SELESAI

474 Q-001H8V33 180801******0004 GUSTINA 50 081274331710 18/11/2277 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 5/5/1983 ≥60 UMPU BHAKTI V SELESAI

475 Q-001H8WWP 180801******0006 INTAN PURNAMAWATI 38 085266312454 18/11/2278 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 6/20/1963 ≥60 UMPU BHAKTI V SELESAI

476 Q-001H8WWR 180801******0004 TURIYEM 58 088268312794 18/11/2279 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 10/22/2001 ≥60 UMPU BHAKTI V SELESAI

477 Q-001H8WWS 180801******0001 SITI FATIMAH 20 085658631473 18/11/2280 CoronaVac 18/11/2021 202109179M

L D 1/27/1981 ≥60 UMPU BHAKTI V SELESAI

478 Q-001H8WWU 180801******0001 DENI MAULANI 40 082380963367 18/11/2281 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 10/10/1998 ≥60 UMPU BHAKTI V SELESAI

479 Q-001H8WWV 180801******0010 TRIA ASTARI 23 082181227021 18/11/2282 CoronaVac 18/11/2021 202101979M

P D 5/15/1980 ≥60 UMPU BHAKTI V SELESAI

480 Q-001H8WWX 180801******0010 SUJARNI 41 082372386558 18/11/2283 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
481 Q-001H8WWY 180801******0002 MUHAMMAD HUMAIDI 46 082235867855 18/11/2284 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 1/13/1999 UM V SELESAI
482 Q-001H8WWZ 180901******0006 YULIYANA 22 082269724166 18/11/2285 CoronaVac 18/11/2021 202101979M

≥60 SELESAI
483 Q-001H8WX4 180801******0004 SUYATMI 53 082376950601 18/11/2286 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 3/9/1980 ≥60 UMPU BHAKTI V SELESAI

484 Q-001H8WX5 180801******0007 BUDI SUGANDA 41 085266312459 18/11/2287 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
485 Q-001H8WX6 180801******0006 SUNINGSIH 38 082387803136 18/11/2288 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

S-04A6B907 180801******0001 NUN DEWI

P D 4/1/1954 67
≥60 BL. UMPU 085758329591
V 18/11/2289 Astra Zeneca
LANJUT
486

L D 4/22/1966 ≥60 NATAR V LANJUT

487 S-0F24EEBE 180104******0001 TEGUH 55 082282181250 18/11/2290 Vaksin Covid-19 Biofarma

L B 10/16/1994 ≥60 UMPU BHAKTI V LANJUT

488 S-169C59A5 180801******0001 SUGENG WALUYO 27 085366070368 18/11/2291 Astra Zeneca

S-1AB15CCF 180801******0015 JOHAN

L D 10/10/1960 61
≥60 BL. UMPU 085384268408
V 18/11/2292 Astra Zeneca
LANJUT
489

L D 7/1/1947 ≥60 LEMBASUNG V LANJUT

490 S-2B3F0774 180801******0034 SUKARDI 74 085273655436 18/11/2293 Astra Zeneca

L D 3/26/1987 ≥60 BL. UMPU V LANJUT

491 S-321AECD3 180801******0003 MARDIYANTO 34 085267743372 18/11/2294 Astra Zeneca

L B 1/23/1979 ≥60 UMPU BHAKTI V LANJUT

492 S-3249FCB5 180801******0002 MOCHAMMAD HENDRO BUDI BAKTI 42 081271079637 18/11/2295 Astra Zeneca

P D 2/2/1960 ≥60 BL. UMPU V LANJUT

493 S-35EF294C 180801******0005 SALAMAH 61 087769274696 18/11/2296 Vaksin Covid-19 Biofarma

P D 2/25/1978 ≥60 BL. UMPU V LANJUT

494 S-372216C7 180801******0001 RITA YUNITA 43 081366291723 18/11/2297 Astra Zeneca

L D 11/21/1996 ≥60 BL. UMPU V LANJUT

495 S-3A12CA8A 180801******0004 WAYA PEMUKA 25 081274164011 18/11/2298 Astra Zeneca

L D 1/9/1960 ≥60 BL. UMPU V LANJUT

496 S-3CC1541F 180801******0001 ABDUL GANI 61 081373208238 18/11/2299 Astra Zeneca

P D 7/18/1997 ≥60 BL. UMPU V LANJUT

497 S-3DB1B53F 180801******0007 MAHERA 24 085273282220 18/11/2300 Astra Zeneca

L D 8/18/1957 ≥60 BL. UMPU V LANJUT

498 S-40F0164F 180801******0003 MUSTAYA 64 081274509821 18/11/2301 Astra Zeneca

L D 12/15/1960 ≥60 BL. UMPU V LANJUT

499 S-4B2FF02F 180801******0003 SALEH IB. 60 085220784592 18/11/2302 Astra Zeneca

L D 2/8/1955 ≥60 BL. UMPU V LANJUT

500 S-4F36C029 180801******0001 ERMANSYAH 66 082376582560 18/11/2303 Vaksin Covid-19 Biofarma

P D 7/16/1968 ≥60 BL. UMPU V LANJUT

501 S-53A3812F 180801******0002 ZAIDATUL QOLBI 53 085381172558 18/11/2304 Astra Zeneca

L D 6/5/1953 ≥60 BL. UMPU V LANJUT

502 S-5C6FA0E1 180801******0003 MUCHLISIN 68 081274009821 18/11/2305 Astra Zeneca

L D 10/1/1954 ≥60 BL. UMPU V LANJUT

503 S-604C5B4B 180801******0003 BURHAN 67 082373793958 18/11/2306 Astra Zeneca

L D 12/10/1951 ≥60 BL. UMPU V LANJUT

504 S-65C7DE85 180801******0003 CEK ABU 69 085269330097 18/11/2307 Vaksin Covid-19 Biofarma

P D 2/5/1951 ≥60 BL. UMPU V LANJUT

505 S-6EC442A8 180801******0001 SITI AISAH 70 085269077001 18/11/2308 Astra Zeneca

P D 9/2/1944 ≥60 BL. UMPU V LANJUT

506 S-73BEBB7C 180801******0001 ROSMI 77 082216301179 18/11/2309 Astra Zeneca

≥60 LANJUT
507 S-7ABF53E0 180801******0001 SAPRI 62 081379147635 18/11/2310 Vaksin Covid-19 Biofarma

P D 8/1/1958 ≥60 BL. UMPU V LANJUT

508 S-7AF473D4 180801******0019 SUKAMTI 63 082378366862 18/11/2311 Astra Zeneca
 L D 3/16/1960 ≥60 BL. UMPU V LANJUT
509 S-7D992F42 160120******0001 KHAIRUDIN 61 082235792442 18/11/2312 Astra Zeneca

L D 4/29/1999 ≥60 BL. UMPU V LANJUT

510 S-7FABECE3 180801******0004 HAIRIL ADI SAPUTRA 22 0819111143826 18/11/2313 Astra Zeneca

L D 9/3/1992 ≥60 BL. UMPU V LANJUT

511 S-91D6BD92 180801******0003 WAWAN MANDALA PUTRA 29 082114364254 18/11/2314 Astra Zeneca

L D 3/13/1985 ≥60 UMPU SEMENGUK V LANJUT

512 S-934081AC 160801******0001 TRI BUDI NENGSIH 36 085273202421 18/11/2315 Astra Zeneca

L D 9/1/1956 ≥60 BL. UMPU V LANJUT

513 S-A48B5198 180801******0002 TIUR HASIOLAN POHAN 65 085279205444 18/11/2316 Vaksin Covid-19 Biofarma

P D 7/1/1945 ≥60 BL. UMPU V LANJUT

514 S-AC2C1B29 180801******0037 YAETUN 76 082289064967 18/11/2317 Astra Zeneca

L D 11/10/1956 ≥60 LEMBASUNG V LANJUT

515 S-BD53BF80 180801******0001 ZAENAL ARIFIN 65 082373098778 18/11/2318 Astra Zeneca

P B 9/9/1983 ≥60 BL. UMPU V LANJUT

516 S-C974E762 180801******0003 EMA JUS HEN 38 08538785559 18/11/2319 Astra Zeneca

L D 6/11/1955 ≥60 BL. UMPU V LANJUT

517 S-E9FBF2B4 180801******0002 HOP PENYIMBANG 66 081272229416 18/11/2320 Astra Zeneca

P D 9/24/1957 ≥60 BL. UMPU V LANJUT

518 S-EECF8C82 180801******0001 SUEMI 64 081274009821 18/11/2321 Astra Zeneca

P D 7/17/1948 ≥60 UMPU BHAKTI V LANJUT

519 S-EF3D6AB2 180801******0001 SITI HAPSAH 75 - 18/11/2322 Astra Zeneca

L D 12/3/1959 ≥60 BL. UMPU V LANJUT

520 S-F4A81CE8 180801******0001 KEMIS 61 082182417800 18/11/2323 Astra Zeneca

P D 4/12/1956 ≥60 BL. UMPU V LANJUT

521 S-FBCFCB5F 180801******0002 NUR HAYATI 65 081317709784 18/11/2324 Astra Zeneca

L D 2/1/1942 ≥60 BL. UMPU V LANJUT

522 S-FCE34D41 180801******0002 SUKIMAN 79 085658673119 18/11/2325 Astra Zeneca

L D 5/22/1994 ≥60 BL. UMPU V LANJUT

523 S-FE7DDC90 180801******0004 WAHYUDI UTOMO 27 082269983127 18/11/2326 Astra Zeneca

Z-0008ZGI4 350411******0002 NININ HILMAWATI

P D 3/23/1994 27
≥60 UMPU BHAKTI 085233021036
V 18/11/2327 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
SELESAI
524

L D 12/20/1994 ≥60 BBU V SELESAI

525 Z-000AW35Q 180801******0002 Bpk SUBIYANTO 26 082178904642 18/11/2328 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 5/15/1998 ≥60 BBU V SELESAI

526 Z-000CH8SG 180801******0002 TOBI SYAHPUTRA 23 085273175970 18/11/2329 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
527 Z-000COQSP 180907******0001 TUMINI 65 081379215781 18/11/2330 Vaksin Covid-19 Biofarma 18/11/2021 202109179m

≥60 SELESAI
528 Z-000D3XDU 180801******0003 JAMAIYAH 76 085357243742 18/11/2331 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
529 Z-000D3Y5G 180801******0004 Devi Anindia 25 085379809708 18/11/2332 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

Z-000D3YBY 180801******0006 SUWITO

P D 8/1/1958 63
≥60 UMPU BHAKTI 082203571487
V 18/11/2333 CoronaVac 18/11/2021 202101979M
SELESAI
530

P D 2/18/1951 ≥60 UMPU BHAKTI V SELESAI

531 Z-000D3YEZ 180801******0001 SUMIYATI A C 70 082377675393 18/11/2334 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
532 Z-000D3YR1 180208******0002 M SARIDO 61 085212136063 18/11/2335 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
533 Z-000D3ZUF 180801******0001 ROZALI 79 081273409304 18/11/2336 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 4/15/1940 ≥60 UMPU BHAKTI V SELESAI

534 Z-000D41VI 180801******0001 JUMASIH 81 082123686215 18/11/2337 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 5/2/1960 ≥60 UMPU BHAKTI V SELESAI

535 Z-000D41VX 180801******0003 ONAH 61 082123686215 18/11/2338 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 2/18/1958 ≥60 UMPU BHAKTI V SELESAI

536 Z-000D41Y1 180801******0001 TUKIJO 63 08213686215 18/11/2339 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
537 Z-000D446X 180801******0004 PARTIJAN 67 085279709306 18/11/2340 Vaksin Covid-19 Biofarma 18/11/2021 202109179m

P D 7/1/1950 ≥60 UMPU BHAKTI V SELESAI

538 Z-000D47S6 180801******0002 MUNAWAROH 71 082186146564 18/11/2341 CoronaVac 18/11/2021 202101979M

L D 12/18/1960 ≥60 UMPU BHAKTI V SELESAI

539 Z-000D47S8 180801******0002 SAMSUDIN 60 085279365160 18/11/2342 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 9/12/1955 ≥60 UMPU BHAKTI V SELESAI

540 Z-000D47SB 180801******0002 BURHANUDIN 66 085839344015 18/11/2343 CoronaVac 18/11/2021 202101979M

P D 10/7/1950 ≥60 UMPU BHAKTI V SELESAI

541 Z-000D47YA 180801******0002 SANWINAH 71 083170538929 18/11/2344 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
542 Z-000D47Z0 180801******0003 SUCIPTO 42 082376582628 18/11/2345 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 8/12/1962 ≥60 UMPU BHAKTI V SELESAI

543 Z-000D482J 180801******0005 SUGIMAN 69 082375126180 18/11/2346 CoronaVac 18/11/2021 202109179M

≥60 SELESAI
544 Z-000D498U 180801******0002 KIMI 65 088706452267 18/11/2347 Vaksin Covid-19 Biofarma 18/11/2021 202109179m

P D 7/12/1957 ≥60 UMPU BHAKTI V SELESAI

545 Z-000D498V 180801******0002 SUYATI 64 082186146564 18/11/2348 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P B 5/3/1969 ≥60 UMPU BHAKTI V SELESAI

546 Z-000D498X 187112******0005 MELI KARTIKAWATI 52 081278606967 18/11/2349 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 12/29/1950 ≥60 UMPU BHAKTI V SELESAI

547 Z-000D49AM 180801******0001 NURLAILA 70 082235867855 18/11/2350 CoronaVac 18/11/2021 202109179M

≥60 SELESAI
548 Z-000D49AN 180801******0001 SURIP 62 082377694540 18/11/2351 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

P D 6/6/1954 ≥60 UMPU BHAKTI V SELESAI

549 Z-000D6EHF 180801******0001 KASMI 67 081273414580 18/11/2352 Vaksin Covid-19 Biofarma 18/11/2021 202109179M
 L D 9/16/1945 ≥60 UMPU BHAKTI V SELESAI
550 Z-000D6FGO 180801******0001 ZAENUBI 76 082235867855 18/11/2353 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

≥60 SELESAI
551 Z-000D6FOA 180801******0003 SATIYEM 67 081278249826 18/11/2354 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 12/6/1956 ≥60 UMPU BHAKTI V SELESAI

552 Z-000D6FOB 180801******0002 SLAMET MUNAWAR 68 088268312794 18/11/2355 Vaksin Covid-19 Biofarma 18/11/2021 202109179M

L D 9/4/2007 0 KARANG UMPU V

553 Q-001HPKNX 180801******0001 HAFIDO 14 088747640074 18/11/2356 Vaksin Covid-19 Biofarma 18/11/2356 202109179M

L D 11/15/2004 ≥60 KARANG UMPU

554 Q-001HPKOF 180801******0001 RIDHO LAKSONO 70 085368146305 18/11/2357 Vaksin Covid-19 Biofarma 18/11/2357 202109179M

P D 5/18/1986 ≥60 KARANG UMPU V

555 Q-001HPN9S 180801******0003 SULIS SULASTRI 35 088269178419 18/11/2358 Vaksin Covid-19 Biofarma 18/11/2358 202109179M

L D 5/13/2004 ≥60 BBU V

556 Q-001HPP9K 180801******0001 ARIF SETIAWAN 17 082379040515 18/11/2359 Vaksin Covid-19 Biofarma 18/11/2359 202109179M

P D 6/9/1996 ≥60 KARANG UMPU V

557 Q-001HPP9V 180801******0006 RISKI NUR AISYAH 25 088276722481 18/11/2360 Vaksin Covid-19 Biofarma 18/11/2360 202109179M

Keterangan ***Merek Vaksin

* Pekerjaan dikelompokkan menjadi: A = Sinovac
A = Petugas Medis dan Non Medis di Fasilitas Pelayanan B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes)
B = Petugas pelayanan publik yang berhadapan langsung
C = Administrator Pemerintahan
D = Lainnya
E = Tidak Bekerja

Kelompok Umur: Kepesertaan BPJS Pekerjaan

12_17
18-30 BPJS PBI A
31-45 BPJS Non PBI B
46-59 Non Anggota C
≥ 60 tahun
Total 0 Total D
Pekerjaan: Pemberian Dosis E
A Dosis 1 Total
B Dosis 2
C Total
D
E
Total
 FORMAT REKAPITULASI PEL
TINGKAT PUSKESMAS/
Nama Puskesmas/Fasyankes/Pos : UPT PUSKESMAS BLAMBAN
Kabupaten/Kota : WAY KANAN
Provinsi : LAMPUNG

Sasaran
Tahap 1 Tahap 2
Tanggal/ Bulan
Pelaksanaan
SDM Kesehatan Lansia Pelayan Publik

8/5/2021 96

TOTAL 0 0 96
REKAPITULASI PELAKSANAAN VAKSINASI COVID-19
GKAT PUSKESMAS/FASYANKES/POS VAKSINASI

Penerima Vaksin Dosis 1

Total Dosis I Tahap 1 Tahap 2
(Semua Tahapan)
SDM Kesehatan Lansia
Total Sasaran

# % # % # %

96 1 1.041667 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
96 1 1.041667 0 #DIV/0! 0 #DIV/0!
OVID-19
SI

sin Dosis 1 Tunda Vaksin Dosis 1

Tahap 2 Total Tunda Dosis I Tahap 1 Tahap 2
(Semua Tahapan)
Pelayan Publik SDM Kesehatan Lansia

# % # % # % #

1 1.04166667 0 0.0 #DIV/0!

#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
1 1.04166667 0 0.0 0 #DIV/0! 0
Tunda Vaksin Dosis 1 Batal Vaksin Dos
Tahap 2 Total Batal Dosis I Tahap 1
(Semua Tahapan)
Lansia Pelayan Publik SDM Kesehatan

% # % # % # %

#DIV/0! 0 0 0.0 #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! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 0 0 #DIV/0! 0 #DIV/0!
Batal Vaksin Dosis 1 Penerima Vaks
Tahap 2 Total Dosis 2 Tahap 1
(Semua Tahapan)
Lansia Pelayan Publik SDM Kesehatan

# % # % # % # %

#DIV/0! 0 95 98.958333 #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! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
0 #DIV/0! 0 0 95 98.958333 0 #DIV/0!
Penerima Vaksin Dosis 2 Tunda Vaksin Dosis 2
Total Tunda Dosis
Tahap 2 2 Tahap 1 Tahap 2
(Semua Tahapan)
Lansia Pelayan Publik SDM Kesehatan Lansia

# % # % # % # % #

#DIV/0! 95 98.958333 0 0.0 #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! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
0 #DIV/0! 95 98.958333 0 0.0 0 #DIV/0! 0
Tunda Vaksin Dosis 2 Batal Vaksin Dosis 2
Total Batal Dosis
Tahap 2 2 Tahap 1 Tahap 2
(Semua Tahapan)
Lansia Pelayan Publik SDM Kesehatan Lansia

% # % # % # % # %

#DIV/0! 0 0 0.0 #DIV/0! #DIV/0!

#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!
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sin Dosis 2 Indeks Pemakaian Vaksin Berdasarkan Merek
Tahap 2
Coronavac Vaksin Covid-19 BF
Pelayan Publik (Single Dose Vial) (Multi Dose Vial)

Jmlh Vial Jmlh Jmlh Vial Jmlh

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