:

TEMPAT PELAKSANAAN : Puskesmas Muara Tembesi

TANGGAL 12/7/2021

Keterangan
Nama/ (Ditunda/
No NIK Nama Penerima Vaksin Jenis Tanggal Lahir Umur Pekerjaan Alamat No. Hp Jenis/Merek Dosis I Dosis 2 Tidak
Kelamin (18-59 tahun) Vaksin*** Diberikan/La
njut)
Tanggal Tanggal
Pemberian No. Batch No. Serial Pemberian No. Batch No. Serial
Vaksinasi Vaksinasi
1 1504022006670001 NASRUL L 6/20/1967 55 MASY.RENTAN RT.12/2 KP.BARU 082318025099 SINOVAC 12/7/2021 202109187M
2 1504021303740003 MUH.YONI L 3/13/1974 48 MASY.UMUM RT.06 TJ.MARWO 085369122934 SINOVAC 12/7/2021 202109187M
3 1504024212790001 SAFITRI P 12/2/1979 43 MASY.UMUM RT.06 TJ.MARWO 085273406496 SINOVAC 12/7/2021 202109187M
4 1504021611790003 HERMIN SUHARSOYO L 11/16/1979 43 MASY.UMUM RT.05 TJ. MARWO 082376125280 SINOVAC 12/7/2021 202109187M
5 1504020206860001 APRIYANI L 6/2/1986 36 MASY.UMUM RT.12/2 KP.BARU 081294284136 SINOVAC 12/7/2021 202109187M
6 1504022107850001 HENDRI L 7/21/1985 37 MASY.UMUM RT.06 TJ.MARWO 085840901618 SINOVAC 12/7/2021 202109187M
7 1504022505860001 ARDIWAN L 5/25/1986 36 MASY.UMUM RT10/01 KP.BARU 085366708831 SINOVAC 12/7/2021 202109187M
8 1504025307600001 ERLINA P 7/13/1960 62 LANSIA RT.03 KP.BARU 087857090423 SINOVAC 12/7/2021 202109187M
9 1504021008780003 ALI MUSTOPA L 8/10/1978 44 MASY.UMUM RT.08 YJ.MARWO 082278051314 SINOVAC 12/7/2021 202109187M
10 1504064502890001 EPA HARTATI P 2/5/1989 33 MASY.UMUM RT.12/2 KP.BARU 081294284136 SINOVAC 12/7/2021 202109187M
11 1504024912920002 TUTI DIANA SARI P 12/9/1992 30 MASY.UMUM RT.06 SUKA RAMAI 089507105419 SINOVAC 12/7/2021 202109187M
12 1504024209810005 MERI DARNIS P 9/2/1987 35 MASY.UMUM RT.09 SUKA RAMAI 081352787190 SINOVAC 12/7/2021 202109187M
13 1504022706710001 SULAIMAN L 6/27/1971 51 MASY.RENTAN RT.07 TJ.MARWO 085357043232 SINOVAC 12/7/2021 202109187M
14 1504026909880001 SRIWATI P 9/29/1988 34 MASY.UMUM RT.05 AMPELU MUDO 085384625338 SINOVAC 12/7/2021 202109187M
15 1504021005720005 SUWARNO L 5/10/1972 50 MASY.RENTAN RT.03 KP.BARU 087857090423 SINOVAC 12/7/2021 202109187M
16 1504026708720002 ZUBAIDAH P 8/27/1972 50 MASY.UMUM RT.06 AMPELU 08127478802 SINOVAC 12/7/2021 202109187M
17 1504022508720001 SOBRI L 8/25/1972 50 MASY.UMUM RT.05 AMPELU 08127478802 SINOVAC 12/7/2021 202109187M
18 1509061806880002 ANDI FIRMAN AULIA L 6/18/1988 34 MASY.UMUM RT.02 TANJUNG MARWO 085384640670 SINOVAC 12/7/2021 202109187M
19 1504034705810003 MURNIWATI P 5/7/1981 41 MASY.UMUM RT.07 TALANG LADO 083803071468 SINOVAC 12/7/2021 202109187M
20 1509066407880001 ZUHAINA P 7/24/1988 34 MASY.UMUM RT.02 TANJUNG MARWO 085377229769 SINOVAC 12/7/2021 202109153O
21 1571081203740021 DUKI SETIAWAN L 3/12/1974 48 MASY.UMUM RT.018 JELUTUNG 085357103215 SINOVAC 12/7/2021 202109153O
22 1571084210820081 AI MIMIN P 10/2/1982 40 MASY.UMUM RT.018 JELUTUNG 085357013215 SINOVAC 12/7/2021 202109153O
23 3318116104700003 SUKILAH P 4/21/1970 52 MASY.RENTAN RT.03 GABUS '082178725276 SINOVAC 12/7/2021 202109153O
24 1504024904750003 TRI HARNI P 4/9/1975 47 MASY.UMUM RT.05/02 KP.BARU 082210723656 SINOVAC 12/7/2021 202109153O
25 1504024504810002 SRI WATI P 4/5/1981 41 MASY.UMUM RT.011 KP.BARU 083150394414 SINOVAC 12/7/2021 202109153O
26 1311064104870001 DAINI APNIZAR P 4/1/1987 35 MASY.UMUM RT.05 KP.BARU 081379763364 SINOVAC 12/7/2021 202109153O
27 1504024706960002 RITA PURWANTI P 6/7/1996 26 MASY.UMUM RT.01 TJ.MARWO 082374604381 SINOVAC 12/7/2021 202109153O
28 150402047850001 IMRON L 7/4/1985 37 MASY.UMUM RT.04 AMPELU MUDO 082362210131 SINOVAC 12/7/2021 202109153O
29 1504023108920002 SUNARYO L 8/31/1992 30 MASY.UMUM RT.04 AMPELU MUDO 082210249413 SINOVAC 12/7/2021 202109153O
30 1208165801770002 RIKDAWATI SINAGA P 1/18/1977 45 MASY.UMUM RT.10 SUKA RAMAI 082168072304 SINOVAC 12/7/2021 202109153O
31 1504025010770002 MARDIANA P 10/10/1977 45 MASY.UMUM RT.08 AMPELU 082247556967 SINOVAC 12/7/2021 202109153O
32 1504020505750005 GUNANTO L 5/5/1975 47 MASY.UMUM RT.05 KP.BARU 085266655954 SINOVAC 12/7/2021 202109153O
33 1504026811800001 MASKINA P 11/8/1980 42 MASY.UMUM RT.07 TJ.MARWO 085783514074 SINOVAC 12/7/2021 202109153O
34 1504025801030002 WINDI MASDAR YANTI P 1/18/2003 19 MASY.UMUM RT.07 TJ.MARWO 085783514074 SINOVAC 12/7/2021 202109153O
35 1504032001780002 RAZIMAN L 5/10/1970 52 MASY.RENTAN RT.06 TJ.MARWO 085669559625 SINOVAC 12/7/2021 202109153O
36 1504024605840001 SUDARTI P 5/6/1984 38 MASY.UMUM RT.06 TJ.MARWO 085366758679 SINOVAC 12/7/2021 202109153O
37 1504022210010003 KRISNA GALANG ANANDA L 10/22/2001 21 MASY.UMUM RT.07 TANJUNG MARWO 085609785158 SINOVAC 12/7/2021 202109153O
38 1504025302890001 RIZA KARTINA P 2/13/1989 33 MASY.UMUM RT.05 KAMPUNG BARU 085294117418 SINOVAC 12/7/2021 202109153O
39 1504024606600003 SRI REZEKI P 6/6/1960 62 MASY.UMUM RT.07 SUKA RAMAI 081366481532 SINOVAC 12/7/2021 202109153O
40 1504026303870002 RITA KURNIA NINGSIH P 3/23/1987 35 MASY.UMUM RT.05 KAMPUNG BARU 087722278313 SINOVAC 12/7/2021 202109153O
41 1504020901630001 YUMASRI HUSIN P 1/9/1983 39 MASY.UMUM RT.012 KP.BARU 082284291062 SINOVAC 12/7/2021 202109153O
42 1504024301880002 HARTINA P 1/3/1988 34 MASY.UMUM RT.06 TJ.MARWO 08127478802 SINOVAC 12/7/2021 202109153O
43 1504021501810002 ALIANTAR PANE L 1/15/1981 41 MASY.UMUM RT.01 JEBAK 082377576745 SINOVAC 12/7/2021 202109153O
44 1504025811780001 FITRIANI P 11/18/1978 44 MASY.UMUM RT.01 JEBAK 082377576745 SINOVAC 12/7/2021 202109153O
45 150402570670001 YUSNIMAR P 6/17/1970 52 MASY.UMUM RT.01/2 KP.BARU 081270931881 SINOVAC 12/7/2021 202109153O
46 1504024404740002 DWI LESTARI P 4/4/1974 48 MASY.UMUM RT.02 KP.BARU 085366150622 SINOVAC 12/7/2021 202109153O
47 1504025911800001 RUSNI P 11/19/1980 42 MASY.UMUM RT.12 KP.BARU 081930548303 SINOVAC 12/7/2021 202109187M
48 1504024112780003 SUSILAWATI P 12/1/1978 44 MASY.UMUM RT.01 DS TJ.MARWO 082287256197 SINOVAC 12/7/2021 202109187M
49 161105451087003 DIANA HENDRIANI P 10/5/1987 35 MASY.UMUM KP.BARU 085217160707 SINOVAC 12/7/2021 202109187M
50 1504021004840003 SUPRIADI L 4/10/1988 34 MASY.UMUM RT.02 TJ.MARWO 085215190802 SINOVAC 12/7/2021 202109187M
51 1504020404040005 JEFRI HERNANDA L 4/4/2004 18 MASY.UMUM RT.03 SUKA RAMAI 082281023098 SINOVAC 12/7/2021 202109187M
52 1504025505900001 TUTI RATRI YANTI P 5/15/1990 32 MASY.UMUM RT.10 KAMPUNG BARU 082169579417 SINOVAC 12/7/2021 202109187M
53 1504025808880002 FATMAWATI P 8/18/1988 34 MASY.UMUM RT.02 TJ.MARWO 085273454905 SINOVAC 12/7/2021 202109187M
54 1504021006860001 MULYATMIN L 6/10/1986 36 MASY.UMUM RT.02 TJ.MARWO 082280267747 SINOVAC 12/7/2021 202109187M
55 1504022402900001 KORIP L 2/24/1990 32 MASY.UMUM RT.09 KARANG MELATI 082121909632 SINOVAC 12/7/2021 202109187M
56 1504021112770004 SUDIRMAN L 12/11/1977 45 MASY.UMUM RT.03 KAMPUNG BARU 082380071044 SINOVAC 12/7/2021 202109187M
57 15040662019070001 NISA P 1/22/1997 25 MASY.UMUM RT.07 TJ.MARWO 082250537097 SINOVAC 12/7/2021 202109187M
58 3521131010820001 URIP SETYOWAWAN L 10/10/1982 40 MASY.UMUM RT.02 MANTINGAN 085269712020 SINOVAC 12/7/2021 202109187M
59 1504025508911001 AZIZA P 8/15/1991 31 MASY.UMUM RT.02 TJ.MARWO 082383085192 SINOVAC 12/7/2021 202109187M
60 3318111704690002 SUMARLAN L 4/17/1969 53 MASY.RENTAN RT.06 KARABAN GABUS 085357043067 SINOVAC 12/7/2021 202109187M
61 3318114601800002 TRI ATON P 1/6/1980 42 MASY.UMUM RT.06 GABUS 085357043067 SINOVAC 12/7/2021 202109187M
62 1504026904970001 INDAH AYU ISTIANI P 4/29/1997 25 MASY.UMUM RT.03 P V SUKU 082261675451 SINOVAC 12/7/2021 202109187M
63 1504026406000004 RAHMA JUWITA SARI P 6/24/2000 22 MASY.UMUM RT.09 TJ.MARWO 085609788299 SINOVAC 12/7/2021 202109187M
64 1504026802870004 ELI FEBRIANI P 2/28/1987 35 MASY.UMUM RT.04 TJ.MARWO 087713329904 SINOVAC 12/7/2021 202109187M
65 7371031904780008 DONIYANTO L 4/19/1978 44 MASY.UMUM RT. MA.TEMBESI 081342940544 SINOVAC 12/7/2021 202109187M
66 1504025611900001 NOVIA ANGGRAINI P 11/16/1990 32 MASY.UMUM RT.07 AMPELU 082280863063 SINOVAC 12/7/2021 202109187M
67 1504026710030001 RAHMA WATI P 10/27/2003 19 MASY.UMUM RT.06 PEMATANG V SUKU 082261675451 SINOVAC 12/7/2021 202109187M
68 1504025010850003 MIYARTI P 10/10/1995 27 MASY.UMUM RT.08/02 KP.BARU 085382381253 SINOVAC 12/7/2021 202109187M
69 1504020808850004 MESRAN L 8/8/1985 37 MASY.UMUM RT.08 KP.BARU 085382381253 SINOVAC 12/7/2021 202109187M
70 1504021607730005 SYAHRIL L 7/16/1973 49 MASY.UMUM RT.07 TJ.MARWO 085266570713 SINOVAC 12/7/2021 202109187M
71 1504020201750004 HASAN L 1/2/1975 47 MASY.UMUM RT.07 KP.BARU 085384171875 SINOVAC 12/7/2021 202109187M
72 1504020402710002 R.IRWANASYAH L 2/4/1971 51 MASY.RENTAN RT.05 TJ. MARWO 085384895431 SINOVAC 12/7/2021 202109187M
73 1504026407740001 AFRINA DEPI P 7/24/1974 48 MASY.UMUM RT.12 KAMPUNG BARU 081273123883 SINOVAC 12/7/2021 202109187M
75 1504025211790001 ERLITA P 11/12/1979 43 MASY.UMUM RT.01 KP.BARU 081278953069 SINOVAC 12/7/2021 202109187M
76 1504024302770002 YUSNININGSIH P 2/3/1977 45 MASY.UMUM RT.07 TJ.MARWO 085266570713 SINOVAC 12/7/2021 202109187M
77 1302136303820005 YEN GUSLI P 3/23/1982 40 MASY.UMUM RT.05 KAMPUNG BARU 082113625382 SINOVAC 12/7/2021 202109187M
78 1504021404890002 ANUAR L 4/14/1989 33 MASY.UMUM RT.06 TJ.MARWO 085841950883 SINOVAC 12/7/2021 202109187M
79 1504025902840001 NURAINA P 2/19/1984 38 MASY.UMUM RT.06 TJ.MARWO 08523109230 SINOVAC 12/7/2021 202109187M
80 1504022202780001 LALU ILYAS L 2/22/1978 44 MASY.UMUM RT.06 TJ.MARWO 085283109230 SINOVAC 12/7/2021 202109187M
81 150402404830001 ERNAWATI P 4/8/1983 39 MASY.UMUM RT.05 KAMPUNG BARU 087894804710 SINOVAC 12/7/2021 202109187M
82 1504024312830001 NURAINI P 12/3/1983 39 MASY.UMUM RT.07 AMPELU 085366280575 SINOVAC 12/7/2021 202109187M
83 1504024503090001 JAMILA P 3/5/2009 13 REMAJA RT.10 KAMPUNG BARU 081350566219 SINOVAC 12/7/2021 202109187M
84 1504021202830001 ANASRI L 2/12/1983 39 MASY.UMUM RT.11/2 KP.BARU 085366533943 SINOVAC 12/7/2021 202109187M
85 1504026501910001 DEWI SURYANI P 1/25/1991 31 MASY.UMUM RT.05 AMPELU MUDO 082326285930 SINOVAC 12/7/2021 202109187M
86 1504025507740003 MAIMUNAH P 7/15/1974 48 MASY.UMUM RT.07 KP.BARU 085211535276 SINOVAC 12/7/2021 202109187M
87 3318042406890001 MARGONO L 6/24/1989 33 MASY.UMUM RT.05 AMPELU MUDO 082181595064 SINOVAC 12/7/2021 202109187M
88 1504026608900002 SRI RAHAYU NINGSIH P 8/26/1990 32 MASY.UMUM RT.06 KENALI BESAR 085266100250 SINOVAC 12/7/2021 202109187M
89 1504021905880001 RIYONO L 5/19/1988 34 MASY.UMUM RT.04 KP.BARU 085841827972 SINOVAC 12/7/2021 202109187M
90 1571070407880042 MUHAMAD SAIFUL ULUM L 7/4/1988 34 MASY.UMUM RT. 061 KENALI BESAR 081373534065 SINOVAC 12/7/2021 202109187M
 :
TEMPAT PELAKSANAAN : SD N 85
TANGGAL 1/25/2022

Nama/Jenis/
No NIK Nama Penerima Vaksin Jenis Tanggal Lahir Umur Pekerjaan Alamat No. Hp Merek Dosis I Dosis 2
Kelamin (18-59 tahun) Vaksin***
Tanggal Tanggal
Pemberian No. Batch No. Serial Pemberian No. Batch No. Serial
Vaksinasi Vaksinasi
1 1504022803150002 Gio Kasyata L 3/28/2015 7 Anak RT 04 Kp Baru 082269549147 coronavac 1/25/2022 202109188 I
2 1504024705150001 Arumi Talitha Suhendra P 5/7/2015 7 Anak Kp Baru 085266262716 coronavac 1/25/2022 202109188 I
3 1509021507140001 M. Alzahdan Ramadhani L 7/15/2014 8 Anak Rt 12 Payo Lebar 082313141110 coronavac 1/25/2022 202109188 I
4 15040361112740001 Anggita Ratu Bilqis P 11/20/2011 11 Anak Rt 1 sp terusan 085318219601 coronavac 1/25/2022 202109188 I
5 1504026612140002 Fhatimah Muhajiroh K P 12/26/2014 8 Anak Rt 13/2 Kp Baru 081366324601 coronavac 1/25/2022 202109188 I
6 1504026101150001 Putri Syaira P 1/21/2015 7 Anak Rt 12/01 Kp Baru 082318025099 coronavac 1/25/2022 202109188 I
7 1504034406150004 Kayla Yurika P 6/4/2015 7 Anak Rt 11 Payo Lebar 082351233280 coronavac 1/25/2022 202109188 I
8 1504030107140001 Bagas Riadi L 1/7/2014 9 Anak Rt 12 Payo Lebar 082279834259 coronavac 1/25/2022 202109188 I
9 1571080409310004 Tono Wiguna L 124 Anak Rt 12/2 Kp Baru 081273993360 coronavac 1/25/2022 202109188 I
10 1571080409130005 Tono Sanjaya L 124 Anak Rt 12/02 Kp Baru 081273993360 coronavac 1/25/2022 202109188 I
11 1504030808140001 Ahmad Nazirul Nurfattah L 8/8/2014 8 Anak Rt 11 Payo Lebar 082293965757 coronavac 1/25/2022 202109188 I
12 1504035206140002 Iffa Astika Rahma P 6/12/2014 8 Anak Rt 11 Payo Lebar 085212741167 coronavac 1/25/2022 202109188 I
13 1504025302140003 Kasih Amanda Putri P 2/13/2014 8 Anak Rt 6/2 Kp Baru 085269140036 coronavac 1/25/2022 202109188 I
14 1504034211130001 Aqila Azzahra P 11/2/2013 9 Anak Rt 01 Payo Lebar 081274161904 coronavac 1/25/2022 202109188 I
15 1504025506150002 Ikifa Nayla P 6/15/2015 7 Anak Rt 7/2 Kp Baru 085263545287 coronavac 1/25/2022 202109188 I
16 1504024705140001 Aqila Azzahra Mawarah P 5/7/2014 8 Anak Rt 13/2 Kp Baru 082260410283 coronavac 1/25/2022 202109188 I
17 1504038101140001 Kunira Hila Azkiyah P 1/21/2014 8 Anak Rt 11 Pasar Terusan 085232335646 coronavac 1/25/2022 202109188 I
18 1504025709130001 Isnaini Eksya Sevia Putri P 9/17/2013 9 Anak Rt 6/1 Kp Baru 085369662426 coronavac 1/25/2022 202109188 I
19 150422203140001 Habib Assad Pratama L 2/22/2014 8 Anak Kp Baru 082284707068 coronavac 1/25/2022 202109188 I
20 1504022010130001 M Dafi Attotiq L 10/20/2013 9 Anak Rt 01/02 Kp Baru 08127456560 coronavac 1/25/2022 202109188 I
21 1504024103150001 Ghaziayah Syairin P 3/1/2015 7 Anak Rt 10 PVS 085382153309 coronavac 1/25/2022 202109188 I
22 1504025305140001 Nur Azijah P 5/13/2014 8 Anak Rt 12 Payo Lebar 085319532151 coronavac 1/25/2022 202109188 I
23 1504026106140001 Siti Kholijah P 6/27/2014 8 Anak Rt 12 Kp Baru 085378562937 coronavac 1/25/2022 202109188 I
24 1505020606110003 Raska P 6/6/2011 11 Anak Rt 01 Terusan 082279083159 coronavac 1/25/2022 202109188 I
25 1504028110140004 Keisya Kiyandra P 10/21/2014 8 Anak Rt 8 Sukaramai 085378686450 coronavac 1/25/2022 202109188 I
26 1504024207140001 Nayla Rahmadani TJ P 7/2/2014 8 Anak Rt 01/02 Kp Baru 082284291062 coronavac 1/25/2022 202109188 I
27 1504024308130001 Salma Munawaroh P 8/3/2013 9 Anak Rt 12 Kp Baru 081366182155 coronavac 1/25/2022 202109188 I
28 1504021010130001 M Rifai L 10/14/2013 9 Anak Rt 13/2 Kp Baru 085249542412 coronavac 1/25/2022 202109188 I
29 1504027103130002 Nadine Indah Syaputri P 3/31/2013 9 Anak Rt 12 Kp Baru 082252015761 coronavac 1/25/2022 202109188 I
30 1503096805130001 Gracela Elshandai CP P 5/28/2013 9 Anak Rt 12 Sp Terusan 082230170527 coronavac 1/25/2022 202109188 I
31 1504034105130003 Meisya Oliviani P 5/1/2013 9 Anak Rt 01 Sp Terusan 082276072176 coronavac 1/25/2022 202109188 I
32 1374026310120001 Noer Azizah P 10/23/2012 10 Anak Rt 11/2 Kp Baru 085839362302 coronavac 1/25/2022 202109188 I
33 1504031804130002 Daffi Dzakir H H L 4/18/2013 9 Anak Rt 11/1 Kp Baru 085896853759 coronavac 1/25/2022 202109188 I
34 1504035207140005 Diffa Dzakirah Rahmadani P 7/12/2014 8 Anak Rt 11/1 Kp Baru 085896853759 coronavac 1/25/2022 202109188 I
35 1504023105130001 Habiburahman L 5/31/2013 9 Anak Rt 01/02 Kp Baru 085266847584 coronavac 1/25/2022 202109188 I
36 1504025211130001 Saskiyah Nurul Afifa P 12/11/2013 9 Anak Rt 03/02 Kp Baru coronavac 1/25/2022 202109188 I
37 1504020602100004 Aldita Pramesti P 11/29/2012 10 Anak Komplek Mutiara Indah 082177386089 coronavac 1/25/2022 202109188 I
38 1504024906130001 Jahwa Nur Aini P 6/9/2013 9 Anak Rt 01/02 Kp Baru 082159502840 coronavac 1/25/2022 202109188 I
39 1504031805130001 M Marco Arrasyid L 5/18/2013 9 Anak Rt 11 Pasar Terusan 082252761349 coronavac 1/25/2022 202109188 I
40 1504020303130002 Miqdad Al Fajri L 3/3/2013 9 Anak Rt 12/01 Kp Baru 085320515658 coronavac 1/25/2022 202109188 I
41 1504025607120001 Niya Aulia Husna P 7/16/2012 10 Anak Rt 8 Sukaramai 085378686450 coronavac 1/25/2022 202109188 I
42 1504022512110001 Yudha Aufirmansya L 12/25/2011 11 Anak Rt 01 Sukaramai 085669438990 coronavac 1/25/2022 202109188 I
43 1504022606130002 M Zakki Hasibuan L 6/26/2013 9 Anak Rt 12/01 Kp Baru 085845615674 coronavac 1/25/2022 202109188 I
44 1504020610140003 M. Haikal Syaputra L 10/6/2014 8 Anak Rt 01/02 Kp Baru 081279849168 coronavac 1/25/2022 202109188 I
45 1571074612130001 Aminatun Inayah Alimah P 12/8/2013 9 Anak Rt 12 Kp Baru 081366642937 coronavac 1/25/2022 202109188 I
46 1504025408050002 Cesar Wilona P 9/3/2013 9 Anak Rt 03 Kp Baru 087894290211 coronavac 1/25/2022 202109188 I
47 1504026303120001 Nayla Parahita Putri P 3/23/2012 10 Anak Rt 12 Kp Baru 081366065825 coronavac 1/25/2022 202109188 I
48 1504030909140001 M Toriq Al Hariz L 9/9/2014 8 Anak Rt 11 Payo Lebar 081808295153 coronavac 1/25/2022 202109188 I
49 1571026005140002 Violla Salsabila P 5/20/2014 8 Anak Rt 09 kp Baru 081318961522 coronavac 1/25/2022 202109188 I
50 7315041704130002 Muhammad Raihan L 4/17/2013 9 Anak Rt 01 Kp Baru 081393366142 coronavac 1/25/2022 202109188 I
51 1504022305120006 Rizki Merdiansyah L 5/23/2012 10 Anak Rt 12/02 Kp Baru 082341672645 coronavac 1/25/2022 202109188 I
52 1504026805110002 Kelvin Hendri Ramadhan L 7/24/2012 10 Anak Rt 01/02 Kp Baru 082321881104 coronavac 1/25/2022 202109188 I
53 1673052409120003 M Rivaldy L 9/24/2012 10 Anak Rt 12/01 Kp Baru 082186965509 coronavac 1/25/2022 202109188 I
54 13110627051220002 Farhan Afkar Nur A S L 5/27/2012 10 Anak Rt 05 Kp Baru 081379763364 coronavac 1/25/2022 202109188 I
55 1311062705120001 Fahri Zhafran Nur A S L 5/7/2012 10 Anak Rt 05 Kp Baru 081379763364 coronavac 1/25/2022 202109188 I
56 1504032404140003 M Rehan Habibi L 4/24/2014 8 Anak Rt 12 Payo Lebar 081366827335 coronavac 1/25/2022 202109188 I
57 1504023108120001 Haikal Hamdani L 8/31/2012 10 Anak Rt 01/02 Kp Baru 085381885747 coronavac 1/25/2022 202109188 I
58 150403568120002 Aliya Putri R p 8/16/2012 10 Anak Rt 01/02 Kp Baru 085381885747 coronavac 1/25/2022 202109188 I
59 1504025502120001 Farah Aziah Efendi P 2/15/2012 10 Anak RT 04 Kp Baru 082298850696 coronavac 1/25/2022 202109188 I
60 1504024310100001 Zahra Amelia P 10/3/2010 12 Anak Rt 11 Payo Lebar 081366827335 coronavac 1/25/2022 202109188 I
61 1504035003120001 Khalifah Septiani P 3/10/2012 10 Anak Rt 11 Payo Lebar 082351233280 coronavac 1/25/2022 202109188 I
62 1504021305120001 Muhammad Nabil L 5/5/2012 10 Anak Rt 13 Payo Lebar 082184605654 coronavac 1/25/2022 202109188 I
63 1504034907120001 Adinda Karisiyah P 7/9/2012 10 Anak Rt 12/01 Kp Baru 085378364777 coronavac 1/25/2022 202109188 I
64 1504021505110001 M Fahri L 5/15/2011 11 Anak Rt 12 Kp Baru 085213813950 coronavac 1/25/2022 202109188 I
65 1504021006190009 Nizar Qudsiyah S P 6/10/2014 8 Anak Rt 12/01 Kp Baru 085270578219 coronavac 1/25/2022 202109188 I
66 1213164406110001 Ratu Fadila A P 6/4/2011 11 Anak Rt 12/01 Kp Baru 085270578219 coronavac 1/25/2022 202109188 I
67 1504206506140001 Bilqis Faiha Rifda P 6/25/2014 8 Anak Rt 12 Kp Baru 081366402974 coronavac 1/25/2022 202109188 I
68 1504022209110001 Abib Munzir L 9/2/2011 11 Anak Rt 03 Kp Baru 089515163912 coronavac 1/25/2022 202109188 I
69 1504022001110004 Azam Bisahri L 1/20/2011 12 Anak Rt 12 Kp Baru 081273123883 coronavac 1/25/2022 202109188 I
70 15040211612110004 Putri Anugrah P 12/6/2011 11 Anak Rt 05 Kp Baru 085377670325 coronavac 1/25/2022 202109188 I
71 1504022809110001 Zharifi Maulana L 9/28/2011 11 Anak Rt 13/2 Kp Baru 085266803325 coronavac 1/25/2022 202109188 I
72 1504021303100001 Surya Pranata Saputra L 3/13/2010 12 Anak Rt 12 Kp Baru 081274039564 coronavac 1/25/2022 202109188 I
73 1504024511110001 Elfa Rodatul V P 11/5/2011 11 Anak Rt 04/01 Kp Baru 085266270303 coronavac 1/25/2022 202109188 I
Keterangan
(Ditunda/
Tidak
Diberikan/La
njut)

2B
2B
2B
2B
1A
2A
2B
2b
2b
1
2B
2a
3
3
3
3
3
2
3
3
4B
3
3
3
4a
4B
3
2a
2a
2B
4
2a
2a
3
4a
4B
4b
4B
4B
2a
4B
4B
4B
5a
4b
4a
4B
4a
1B
5a
2B
5B
5a
5a
5b
5a
5b