Jumlah Vaksinasi by Name by Adres TGL 21-05-21

LAPORANA NAMA-NAMA PENERIMA VAKSIN DOSIS 1 DAN 2
TANGGAL 13 September 2021

PUSKESMAS PICUNG
Kepesertaan BPJS
(tulis 'Ya' pada Dosis I Dosis 2
Umur kolom yang sesuai) Tanggal
No. Ticket NIK Nama Penerima Vaksin JK pekerjaan Kelompok Umur INSTANSI Alamat No. Hp BPJS Non Merek Vaksin*** Tanggal Tanggal
(18-59 tahun) BPJS Screening
Non Angg Pemberian No. Batch No seri Pemberian No. Batch No Seri KET
PBI
PBI ota Vaksinasi Vaksinasi
1 3601110500710001 AHMAD NUGRAHA L WIRASWASTA 2/5/1971 DEWASA UMUM PICUNG 081210289122
2 3601110406890003 DEDE MUHADI L WIRASWASTA 6/4/1989 DEWASA UMUM KOLELET
3 3601112107910001 MUHRI L WIRASWASTA 2/9/1992 DEWASA UMUM CIHERANG 085885154425
4 3601114107950049 KHAERUDIN ZAENUL L WIRASWASTA 9/29/1985 DEWASA UMUM PASIR SEDANG
5 3601111710050001 RAKI SAHRI RAMDAN L WIRASWASTA 10/17/2005 REMAJA UMUM CIHERANG 085282441214
6 3671092305880002 ANWAR MUTAWARI L WIRASWASTA 5/23/1988 DEWASA UMUM KOLELET 081911093849
7 3602144505700007 EEN RATNAENI P IRT 5/5/1970 DEWASA UMUM CILILITAN 087772245911
8 3602096608030001 LINDA AGUSTINA P PELAJAR 8/26/2003 REMAJA UMUM BANJARSARI 083819457003
9 3601114307850008 YENI ROHMIATI P IRT 3/25/1984 DEWASA UMUM KADUPANDAK 081322476485
10 3602094206990001 ANDINI ADETIA P IRT 10/12/1998 DEWASA UMUM BANJARSARI 083871136242
11 3671020204670004 SUTOPO L WIRASWASTA 4/2/1967 DEWASA UMUM KOLELET 081398853907
12 3601114903820001 ENTIS SUTISNA L WIRASWASTA 3/19/1969 DEWASA UMUM KOLELET 083879298157
13 3201017006760012 MURTINI P IRT 6/30/1976 DEWASA UMUM KOLELET 081291684495
14 3602094808040001 NINGRUM P PELAJAR 6/20/2004 REMAJA UMUM BANJARSARI 081317686237
15 3602095610030002 ANIS KURNIAWATI P PELAJAR 10/16/2003 REMAJA UMUM BANJARSARI 083819001683
16 3601110206040005 PEPEN L PELAJAR 7/6/2003 REMAJA UMUM CILILITAN 083813357416
17 3216190204830006 FATUROHMAN L WIRASWASTA 4/2/1983 DEWASA UMUM BOJONG 085692731282
18 3601112908010001 MUHAMAD NUR L WIRASWASTA 8/29/2001 DEWASA UMUM CIHERANG 083147165618
19 3602092212990001 LIDO AJI L WIRASWASTA 12/22/1999 DEWASA UMUM BANJARSARI 085880899545
20 3601115608020001 RISKA ALFANIA VRISELLA P PELAJAR 8/16/2002 REMAJA UMUM CIHERANG 082111041033
3601110308000004 RANGGA HERDIANA FY L MAHASISWA 8/3/2000 REMAJA UMUM CILILITAN 083893063260
1871070408680004 M YUNUS L WIRASWASTA 8/4/1968 DEWASA UMUM BOJONG 082312413344
3601110601700001 NURHASAN L WIRASWASTA 1/6/1970 DEWASA UMUM CIHERANG 082258241744
3601110801860003 EDI L WIRASWASTA 1/8/1986 DEWASA UMUM KOLELET 082113241058
3601116511090001 SAHLA NURUL AZKIYA P PELAJAR 11/25/2008 REMAJA UMUM CILILITAN 083848126797
3601114809420001 SOPAN SOFIA RAHMAN L WIRASWASTA 4/14/1983 DEWASA UMUM KOLELET 081388467114
3601110107850109 ANDA L WIRASWASTA 3/14/1983 DEWASA UMUM KADUPANDAK 083874421730
3601141306880003 ANDRI ROHAJI L WIRASWASTA 5/13/1988 DEWASA UMUM SAKETI 085219806236
3602090403600001 SABO L WIRASWASTA 3/4/1960 DEWASA UMUM BANJARSARI 085886110108
3601110104930002 SAPURI L WIRASWASTA 2/11/1993 DEWASA UMUM B COPONG 083877396735
3601110704840003 MUHAMAD KUSWARA L WIRASWASTA 6/5/1984 DEWASA UMUM KOLELET 083153189203
3601110107480039 ONA SUHERMAN L PENSIUNAN 7/1/1945 LANSIA UMUM KADUPANDAK 083893064334
3601111708830004 MISRI L WIRASWASTA 8/17/1983 DEWASA UMUM CIHERANG 085717405487
3601110107000075 ZULFAHMI L WIRASWASTA 12/30/2001 DEWASA UMUM CILILITAN 085781783267
3601114506950001 SILVIA MAHARANI P MAHASISWA 6/5/1996 DEWASA UMUM CILILITAN 087789737090
3601090309710001 THABRANI L WIRASWASTA 9/3/1978 DEWASA UMUM PICUNG 083103767367
3602092901880001 HERMANSYAH P L WIRASWASTA 1/29/1978 DEWASA UMUM BANJARSARI 085652216754
97
98
99
100
101
102
103
TANGGAL 11 September 2021
PUSKESMAS PICUNG
Kepesertaan BPJS
Umur kolom yang sesuai) Tanggal
No. Ticket NIK Nama Penerima Vaksin JK pekerjaan Kelompok Umur INSTANSI Alamat No. Hp BPJS Non Merek Vaksin*** Tanggal Tanggal
(18-59 tahun) BPJS Screening
Non Angg Pemberian No. Batch No seri Pemberian No. Batch No Seri
PBI
1 3601310302740002 IKSANUDIN L WIRASWASTA 2/3/1974 DEWASA UMUM CIHERANG 085219514233 CORONAVAC 24-06-2021 24-06-2021 24201221 11-09-2021 24201221
2 3602091708780003 AAN SUJATNA L WIRASWASTA 8/17/1981 DEWASA UMUM BANJARSARI 081218165954 CORONAVAC 11-09-2021 11-09-2021 202108151I
3 P-D4B311WN 3674052212820002 SAEPUDIN L WIRASWASTA 6/1/1982 DEWASA UMUM B COPONG 085772527754 CORONAVAC 11-09-2021 11-09-2021 202108151I
4 P-CYUWN7GT 3601115605980002 ULFIYAH NURAINI P IRT 5/16/1998 DEWASA UMUM KOLELET 085945138159 CORONAVAC 11-09-2021 11-09-2021 202108151I
5 P-C4ODIG39 3601110807050002 JEFRY AIR LANGGA L PELAJAR 7/8/2005 REMAJA UMUM CILILITAN 081511337318 CORONAVAC 11-09-2021 11-09-2021 202108151I
6 3601116112980001 VIVI FIKASARI P IRT 12/21/1998 DEWASA UMUM CILILITAN 083841442423 CORONAVAC 11-09-2021 11-09-2021 202108151I
7 S-261A7A69 3601114107980093 JUJU JUBAEDAH P IRT 2/13/1998 DEWASA UMUM CILILITAN 085774771896 CORONAVAC 11-09-2021 11-09-2021 202108151I
8 3601110204930001 RIZKINA L WIRASWASTA 5/11/1993 DEWASA UMUM CILILITAN 081281034066 CORONAVAC 11-09-2021 11-09-2021 202108151I
9 S-D9C582C4 3601115907920001 YAYAT RUHIYAT SPD L WIRASWASTA 7/19/1992 DEWASA UMUM KOLELET 083841491768 CORONAVAC 11-09-2021 11-09-2021 202108151I
10 3601113011500001 H. MAMAN ROCHMAN L PENSIUNAN 11/30/1951 LANSIA UMUM CILILITAN 08128877566 CORONAVAC 11-09-2021 11-09-2021 202108151I
11 3601112502060001 RESKY RENGGANA L PELAJAR 2/25/2006 REMAJA UMUM CILILITAN 081511337318 CORONAVAC 11-09-2021 11-09-2021 202108151I
12 3601116302820001 MAEMUNAH SPD P PNS 2/23/1982 DEWASA UMUM CILILITAN 081218882161 CORONAVAC 11-09-2021 11-09-2021 202108151I
13 S-B6B85PA9 3601114910900001 SITI ROHMAH P GURU 10/9/1991 DEWASA UMUM CILILITAN 087772281425 CORONAVAC 11-09-2021 11-09-2021 202108151I
14 P-BY60XNGA 3601117108870001 YAYAH HAERIAH SPDI P GURU 8/31/1987 DEWASA UMUM KOLELET 085218309792 CORONAVAC 11-09-2021 11-09-2021 202108151I
15 3601114504010005 SITI NURJANAH P IRT 4/5/2001 DEWASA UMUM PASIR SEDANG 083852074675 CORONAVAC 11-09-2021 11-09-2021 202108151I
16 3601105502060004 FRETI WULANDARI P PELAJAR 2/15/2006 REMAJA UMUM BOJONG 083812717253 CORONAVAC 11-09-2021 11-09-2021 202108151I
17 3601113006720001 ADIN L WIRASWASTA 5/31/1970 DEWASA UMUM GANGGAENG 082114336844 CORONAVAC 11-09-2021 11-09-2021 202108151I
18 3601106810050002 MARICHA OKTAFIANI P PELAJAR 10/28/2005 REMAJA UMUM BOJONG 083841231610 CORONAVAC 11-09-2021 11-09-2021 202108151I
19 3601105804080001 NIA NURUL INAYAH P PELAJAR 4/18/2006 REMAJA UMUM BOJONG 089616170674 CORONAVAC 11-09-2021 11-09-2021 202108151I
20 3601114107950064 ERAH P IRT 5/6/1996 DEWASA UMUM CILILITAN 083894423230 CORONAVAC 11-09-2021 11-09-2021 202108151I
21 3601114107020043 TATI P MAHASISWA 7/9/2002 REMAJA UMUM CILILITAN 085811293892 CORONAVAC 11-09-2021 11-09-2021 202108151I
22 3601114511010003 TANTRI P MAHASISWA 11/5/2001 REMAJA UMUM CILILITAN 085773748883 CORONAVAC 11-09-2021 11-09-2021 202108151I
23 3601115002090001 NURSIFA FEBRIYANTI P PELAJAR 2/10/2009 REMAJA UMUM CILILITAN 083874406756 CORONAVAC 11-09-2021 11-09-2021 202108151I 11-09-2021 24201221
24 3602102203800002 SUTIKNO L WIRASWASTA 3/22/1980 DEWASA UMUM CILILITAN 085219804755 CORONAVAC 11-09-2021 11-09-2021 202108151I 11-09-2021 24201221
25 3601110204820007 SAMSURI L WIRASWASTA 4/2/1982 DEWASA UMUM GANGGAENG 085890048148 CORONAVAC 11-09-2021 11-09-2021 202108151I
26 3602094511040001 ENENG YULI HARTINI P PELAJAR 2/26/2004 REMAJA UMUM BANJARSARI 085771549156 CORONAVAC 11-09-2021 11-09-2021 202108151I
27 3601111609650002 BUDI LAKSANA L WIRASWASTA 9/16/1965 DEWASA UMUM KADUBERA 085885437485 CORONAVAC 11-09-2021 11-09-2021 202108151I
28 3601115504730002 SITI MAENAH P WIRASWASTA 4/15/1973 DEWASA UMUM GANGGAENG 085890048148 CORONAVAC 11-09-2021 11-09-2021 202108151I
29 3601116410040002 VITA FITRIA AJMALIA P PELAJAR 10/24/2004 REMAJA UMUM CIHERANG 083841441796 CORONAVAC 11-09-2021 11-09-2021 202108151I
30 3602096506060002 MILA HAYATI P PELAJAR 6/25/2006 REMAJA UMUM BANJARSARI 085894148264 CORONAVAC 11-09-2021 11-09-2021 202108151I
31 3602096210040001 SITI RAHMAWATI P PELAJAR 10/22/2004 REMAJA UMUM BANJARSARI 083815892433 CORONAVAC 11-09-2021 11-09-2021 202108151I
32 3602095205040001 MILA DAMAIYANTI P PELAJAR 5/12/2004 REMAJA UMUM BANJARSARI 085810911533 CORONAVAC 11-09-2021 11-09-2021 202108151I
33 3601180411940005 DADANG SUHENDAR L WIRASWASTA 11/4/1994 DEWASA UMUM KADUBERA 087811003095 CORONAVAC 11-09-2021 11-09-2021 202108151I
34 3602096503030001 RISKA RAHMA DEWI P PELAJAR 3/10/2004 REMAJA UMUM BANJARSARI 081210687108 CORONAVAC 11-09-2021 11-09-2021 202108151I
35 3602096611030004 ANISAH P PELAJAR 10/29/2004 REMAJA UMUM BANJARSARI 085692752719 CORONAVAC 11-09-2021 11-09-2021 202108151I
36 3601114107750070 JUMRIAH P IRT 7/1/1975 DEWASA UMUM CIHERANG 083870429369 CORONAVAC 11-09-2021 11-09-2021 202108151I
37 3601114707030003 EPA YULIANTI P MAHASISWA 7/7/2003 REMAJA UMUM PASIR SEDANG 083841416487 CORONAVAC 11-09-2021 11-09-2021 202108151I
38 3601115001030003 SITI AMELIA P MAHASISWA 1/10/2003 REMAJA UMUM PASIR SEDANG 083812917166 CORONAVAC 11-09-2021 11-09-2021 202108151I
39 3601116608080003 NOPI NURHAYTI P PELAJAR 8/26/2008 REMAJA UMUM CIHERANG 083841177020 CORONAVAC 11-09-2021 11-09-2021 202108151I
40 3601116506990001 INDAH HAYATI RAHMAH P MAHASISWA 6/25/1999 REMAJA UMUM KOLELET 083871585956 CORONAVAC 11-09-2021 11-09-2021 202108151I
41 3601115309980001 DINNU RISKA SEPTIANA P MAHASISWA 9/13/1998 REMAJA UMUM CILILITAN 085773979492 CORONAVAC 11-09-2021 11-09-2021 202108151I
42 3601312708950002 MAHPUDIN L WIRASWASTA 8/27/1995 DEWASA UMUM B COPONG 083876980044 CORONAVAC 11-09-2021 11-09-2021 202108151I
43 3601113107860001 TRI PRASITIO L WIRASWASTA 7/31/1986 DEWASA UMUM CILILITAN 081288027214 CORONAVAC 11-09-2021 11-09-2021 202108151I
44 3601110107010209 ABDULAH L WIRASWASTA 5/2/1999 DEWASA UMUM PASIR SEDANG 083873082845 CORONAVAC 11-09-2021 11-09-2021 202108151I
45 3601101209850001 PIAT JULIANTO L WIRASWASTA 10/3/1985 DEWASA UMUM BOJONG 085774498289 CORONAVAC 11-09-2021 11-09-2021 202108151I
46 3601115005820002 SUKMAENAH P IRT 5/10/1982 DEWASA UMUM PASIR SEDANG 083879360045 CORONAVAC 11-09-2021 11-09-2021 202108151I
47 P-FY712YGB 3601116508030001 DESI PRASTIOWATI P IRT 8/25/2001 DEWASA UMUM PASIR SEDANG 083815129523 CORONAVAC 11-09-2021 11-09-2021 202108151I
48 3601110107830248 DEDE MUHDIAT L WIRASWASTA 10/5/1982 DEWASA UMUM KADUBERA 085212737358 CORONAVAC 11-09-2021 11-09-2021 202108151I
49 3601106203040001 ANGGUN PUTRI REALITA P MAHASISWA 3/22/2004 DEWASA UMUM BOJONG 083897364290 CORONAVAC 11-09-2021 11-09-2021 202108151I
50 3601116009890001 UNI MARYANI P IRT 8/19/1986 DEWASA UMUM KOLELET 081288027219 CORONAVAC 11-09-2021 11-09-2021 202108151I
51 3601115203740001 AAN ANWARIAH P IRT 3/12/1974 DEWASA UMUM B COPONG 085217104464 CORONAVAC 11-09-2021 11-09-2021 202108151I
52 3601112605060001 AGNA KHOIRUL ANAM L PELAJAR 5/26/2006 REMAJA UMUM CILILITAN 087775800670 CORONAVAC 11-09-2021 11-09-2021 202108151I
53 3601116503810001 SUR AH P IRT 3/25/1981 DEWASA UMUM CIHERANG 083151375763 CORONAVAC 11-09-2021 11-09-2021 202108151I
54 3601112911990001 FAJAR GUNAWAN L WIRASWASTA 11/29/1999 DEWASA UMUM CIHERANG 085762223282 CORONAVAC 11-09-2021 11-09-2021 202108151I
55 3601104107990135 ELIS RUHIYATI P MAHASISWA 7/1/1999 REMAJA UMUM BOJONG 083871175501 CORONAVAC 11-09-2021 11-09-2021 202108151I
56 3601115206850003 FUTUH ARDIANA L WIRASWASTA 9/29/1982 DEWASA UMUM PASIR SEDANG 085693590600 CORONAVAC 11-09-2021 11-09-2021 202108151I
57 3601114309850002 RUKMIANTI P IRT 9/3/1985 DEWASA UMUM CIHERANG 083857598508 CORONAVAC 11-09-2021 11-09-2021 202108151I
58 3602096009770004 HENIK PUJI ASTUTIK P IRT 9/20/1977 DEWASA UMUM BANJARSARI 085817154562 CORONAVAC 11-09-2021 11-09-2021 202108151I
59 3601111801000001 MUHAMAD TEDI L MAHASISWA 1/18/2000 REMAJA UMUM KADUPANDAK 083811136242 CORONAVAC 11-09-2021 11-09-2021 202108151I
60 3601114107730232 SITI AISAH P IRT 01-02-01975 DEWASA UMUM B COPONG 083807413851 CORONAVAC 11-09-2021 11-09-2021 202108151I
61 3601115801020002 CHICA AMELIA P WIRASWASTA 1/18/2001 REMAJA UMUM CILILITAN 082122510377 CORONAVAC 11-09-2021 11-09-2021 202108151I
62 3601112008010003 IRFAN AGUSTIAN L WIRASWASTA 8/20/2001 DEWASA UMUM CILILITAN 083151496289 CORONAVAC 11-09-2021 11-09-2021 202108151I
63 3601114107710111 JUNED L WIRASWASTA 2/12/1972 DEWASA UMUM CILILITAN 083875356697 CORONAVAC 11-09-2021 11-09-2021 202108151I
64 3601110705080009 AKMAL FATHUROHMAN L PELAJAR 5/7/2008 REMAJA UMUM CILILITAN 085289486973 CORONAVAC 11-09-2021 11-09-2021 202108151I
65 3601110204000002 GILANG L MAHASISWA 4/30/2000 DEWASA UMUM CILILITAN 085692720360 CORONAVAC 11-09-2021 11-09-2021 202108151I
66 3601110906920001 RASMAN HERMAWAN L WIRASWASTA 6/9/1992 DEWASA UMUM CIHERANG 083818222313 CORONAVAC 11-09-2021 11-09-2021 202108151I
67 3601116907630001 RUBINI P IRT 7/29/1963 DEWASA UMUM KADUPANDAK 083891420400 CORONAVAC 11-09-2021 11-09-2021 202108151I
68 3601116307080001 RIYANTI P PELAJAR 7/23/2008 REMAJA UMUM CIHERANG 081286359820 CORONAVAC 11-09-2021 11-09-2021 202108151I
69 3601114108750002 SUPRIYANTI P IRT 8/1/1975 DEWASA UMUM B COPONG 083876711214 CORONAVAC 11-09-2021 11-09-2021 202108151I
70 3601110805950002 MELINDA P IRT 5/8/1995 DEWASA UMUM B COPONG 083184415819 CORONAVAC 11-09-2021 11-09-2021 202108151I
71 3201251811030004 SITI NURAHMA P PELAJAR 11/18/2003 REMAJA UMUM CILILITAN 083895701186 CORONAVAC 11-09-2021 11-09-2021 202108151I
72 3601110704040004 NUR ALIF L PELAJAR 4/7/2004 REMAJA UMUM PASIR SEDANG 081389011037 CORONAVAC 11-09-2021 11-09-2021 202108151I
73 3601114102620004 HJ ETI SUHAETI P IRT 2/1/1962 DEWASA UMUM CILILITAN 085966338784 CORONAVAC 11-09-2021 11-09-2021 202108151I
74 3602094609940001 MIRNAWATI P IRT 9/6/1994 DEWASA UMUM CILILITAN 081395578747 CORONAVAC 11-09-2021 11-09-2021 202108151I
75 3602234412980001 SITI AMINAH P BIDAN 12/4/2001 DEWASA NAKES CURUG BITUNG 085776855070 CORONAVAC 11-09-2021 11-09-2021 202108151I
76 3601111805020002 JUMHADI L PELAJAR 5/8/2002 REMAJA UMUM CILILITAN 083871495357 CORONAVAC 11-09-2021 11-09-2021 202108151I
77 3601110404020007 DEDE NURJEN L MAHASISWA 4/4/2002 REMAJA UMUM KADUPANDAK 083871604992 CORONAVAC 11-09-2021 11-09-2021 202108151I
78 3602093006020001 REZA FAHRUL FAUZI L MAHASISWA 6/30/2002 REMAJA UMUM BANJARSARI 085892750813 CORONAVAC 11-09-2021 11-09-2021 202108151I
79 3602086802830003 SANTI HENDRAWATI P IRT 2/28/1983 DEWASA UMUM GUNUNG KENCANA 081288009655 CORONAVAC 11-09-2021 11-09-2021 202108151I
80 3601114308050001 ASIAH P PELAJAR 8/3/2005 REMAJA UMUM KADUBERA 083896449850 CORONAVAC 11-09-2021 11-09-2021 202108151I
81 3602095808010002 KARTIKA RALA DIANA P MAHASISWA 8/19/2001 REMAJA UMUM BANJARSARI 081510421019 CORONAVAC 11-09-2021 11-09-2021 202108151I
82 3601114304880006 ETI SUHAETI P IRT 4/3/1988 DEWASA UMUM P PANJANG 081574846988 CORONAVAC 11-09-2021 11-09-2021 202108151I
83 3601114107910105 DEDE FUJIAWATI P IRT 9/1/1991 DEWASA UMUM CILILITAN 085773499875 CORONAVAC 11-09-2021 11-09-2021 202108151I
84 3601104107030016 MAESYAROH P MAHASISWA 1/1/2003 REMAJA UMUM CILILITAN 081511856182 CORONAVAC 11-09-2021 11-09-2021 202108151I
85 3602091306050008 NAFIS MUHAJIB L PELAJAR 6/13/2005 REMAJA UMUM BANJARSARI 083841183799 CORONAVAC 11-09-2021 11-09-2021 202108151I
86 3601110107830193 BAHRUDIN L WIRASWASTA 9/20/1980 DEWASA UMUM B COPONG 083876711214 CORONAVAC 11-09-2021 11-09-2021 202108151I
87 3602091807060004 NAZA ALGIFARI L PELAJAR 7/18/2006 REMAJA UMUM BANJARSARI 085718239772 CORONAVAC 11-09-2021 11-09-2021 202108151I
88 3602092505090003 EKA MULYAWAN L PELAJAR 5/25/2009 REMAJA UMUM BANJARSARI 081310369231 CORONAVAC 11-09-2021 11-09-2021 202108151I
89 3602091204980007 L WIRASWASTA 4/12/1999 DEWASA UMUM BANJARSARI 082248449846 CORONAVAC 11-09-2021 11-09-2021 202108151I
90 3601110107010081 BANDRI ALGI KOMARA L MAHASISWA 10/18/2002 REMAJA UMUM CILILITAN 081383882472 CORONAVAC 11-09-2021 11-09-2021 202108151I
91 3601114107010089 SANTI SUSANTI P MAHASISWA 6/16/2001 REMAJA UMUM CILILITAN 082113255040 CORONAVAC 11-09-2021 11-09-2021 202108151I
92 3601110107590005 HALIL L WIRASWASTA 7/1/1959 LANSIA UMUM PASIR SEDANG 083811667313 CORONAVAC 11-09-2021 11-09-2021 202108151I
93 3601115809700001 ZAHRA P IRT 9/18/1970 DEWASA UMUM KADUBERA 085695002151 CORONAVAC 11-09-2021 11-09-2021 202108151I
94 3601116504680001 IDA UTAMI RAHAYU P KADER 4/25/1968 DEWASA UMUM CILILITAN 083870385822 CORONAVAC 11-09-2021 11-09-2021 202108151I
95 3601112610780001 JAENAL MUTAQIN L WIRASWASTA 5/6/1975 DEWASA UMUM B COPONG 081295022435 CORONAVAC 11-09-2021 11-09-2021 202108151I
96 3601114107900174 SARNAWATI P IRT 10/5/1989 DEWASA UMUM B COPONG 083812929935 CORONAVAC 11-09-2021 11-09-2021 202108151I
KET
DOSIS KE 2
DOSIS KE 1
DOSIS KE 2
DOSIS KE 2
APORANA NAMA-NAMA PENERIMA VAKSIN DOSIS 1 DAN 2
PUSKESMAS PICUNG
Kepesertaan BPJS
Umur kolom yang sesuai)
Kelompok
NO No. Ticket NIK Nama Penerima Vaksin JK pekerjaan (18-59 INSTANSI Alamat No. Hp Merek Vaksin*** Tanggal Screening KET
Umur
tahun) BPJ BPJS Non Tanggal Tanggal
S Non Angg Pemberian No. Batch No seri Pemberian No. Batch No Seri
PBI PBI ota Vaksinasi Vaksinasi
`1 N-180CB6ED 3601110510840000 YATI SUPRIATI P BIDAN 37 31-45 UPT PUSKESMAS PICUNG KP.KADUMULA 003/001 DS.KOLELET KEC.PICUNG 08128635982 V Corona Vac 9-Feb-21 26/01/2021 202011042 16096451778667 09/02/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`2 N-0ABBF188 3601135209880000 EEN NURAENI P APOTEKER 33 31-45 UPT PUSKESMAS PICUNG KP.KADUTANGGAY 001/007 DS.PURWARAJA KEC.MENES 081299414803 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`3 N-BB0315B2 3601114209891000 NENG IMA MAYASARI P BIDAN 33 31-45 UPT PUSKESMAS PICUNG KP.BAJEG 009/003 DS.KOLELET KEC.PICUNG 0 85710322738 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
KANAL SARI BARAI VII/I 009/009 REJOSARI SEMARANG

`4 N-7E8655F2 3374034806960000 REVIN YUNIVA NUGROHO P GIZI 35 31-45 UPT PUSKESMAS PICUNG 0 82322964472 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
TIMUR
`8 N-721FE306 3602096304720000 TUTI HAYATI P ADMIN 49 46-59 UPT PUSKESMAS PICUNG KP.KUMPAY 001/001 DS.KUMPAY KEC.BANJARSARI 0 81212891765 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`9 N-B13C39D3 3601114207830010 YENI YULIANI P BIDAN 37 31-45 UPT PUSKESMAS PICUNG KP.PASAR LAMA 001/002 DS.CILILITAN KEC.PICUNG 085 966338784 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`10 N-D95219B1 3601226107920000 MILA MARTIANA P BIDAN 29 18-30 UPT PUSKESMAS PICUNG KP.PASAR CADASARI 003/001 CADASARI 089 98697473 V Corona Vac 15-Feb-21 1/26/2021 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`11 N-E856854E 3601115610900000 OKTAVIA ZEBUA P BIDAN 30 18-30 UPT PUSKESMAS PICUNG KP.PASAR PICUNG 002/001 DS.CILILITAN KEC.PICUNG 081 385538654 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`12 N-45C5E3DF 3601280102630000 YAYAT AHADIATNA SYAH L KTU 42 31-45 UPT PUSKESMAS PICUNG KP.CIBENDA 012/004 DS.SUKARAME KEC.CARITA 081 910805080 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`13 N-4862E7B9 3314075807910000 VERA RIZKI IMA P BIDAN 30 18-30 UPT PUSKESMAS PICUNG BUTUH 039/000 DS.BANARAN KEC.SAMBUNGMACAN 083897343537 V Corona Vac 15-Feb-21 1/26/2021 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`16 N-027BAA29 3602096310880000 RIA MARIA ULPAH P KESLING 33 31-45 UPT PUSKESMAS PICUNG KP.KADUHAUK 001/003 DS.KADUHAUK.KEC .BANJARSARI 081 281750420 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`17 N-8BB617C6 3601136012860000 NENI YUSRINI P BIDAN 35 31-45 UPT PUSKESMAS PICUNG KP.CIPUTRI 005/004 DS.ALASWANGI KEC.MENES 081 290229031 V Corona Vac 15-Feb-21 1/26/2021 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`18 N-763B24F4 3601104404930000 LENI FATMAWATI P BIDAN 28 18-30 UPT PUSKESMAS PICUNG KP.PARAKAN 02/04 DS.BANYUMAS KEC.BOJONG 085 311454440 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`19 N-E0DAF256 3602090702950000 ILHAM FEBRIAN RAMADHAN L ANALIS 26 18-30 UPT PUSKESMAS PICUNG KP.CILEGONG 003/001 DS.CIDAHU KEC.BANJARSARI 085715245526 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`20 N-0FC14DAF 3601112310830000 IKA PUPAWATI P PERAWAT 38 31-45 UPT PUSKESMAS PICUNG KP.PASAR PICUNG 002/001 DS.CILILITAN KEC.PICUNG 081 298230880 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`23 N-967BC369 3601106903900000 EUIS P BIDAN 33 31-45 UPT PUSKESMAS PICUNG KP.CIMANGGU 015/005 DS.CITUMENGGUNG KEC.BOJONG 0852151 25563 V Corona Vac 15-Feb-21 1/26/2021 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`24 N-E830AB0A 3601114107910200 ENENG MILA FADLIA P BIDAN 28 18-30 UPT PUSKESMAS PICUNG KP.PAMATANG 012/004 DS.BUNGURCOPONG KRC.PICUNG 083125324825 V Corona Vac 15-Feb-21 1/26/2021 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`25 N-DC960562 3209211509850000 DINI TRI WAHYUNI P APOTEKER 35 31-45 UPT PUSKESMAS PICUNG KP.BARU KESENDEN 006/001 DS.KESENDEN KE.KEJAKSAAN 082 321452881 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`26 N-4F65A9A7 3601110508960000 M DERI RIZKI HAKIKI L PERAWAT 25 18-30 UPT PUSKESMAS PICUNG KP.KADUPANDAK 008/004 DS.KADUPANDAK KEC.PICUNG 081382344050 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
KP.KADU BONGKOK 011/004 DS.CINGINGGANG KEC.GUNUNG

`27 N-1CBD728A 3601111109870000 DENDI GUMILAR L PERAWAT 30 18-30 UPT PUSKESMAS PICUNG 085 711051506 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
KENCANA
`28 N-DB1687F4 3601111912900000 ABDUL AZIZ L PERAWAT 31 31-45 UPT PUSKESMAS PICUNG KP.BAJEG 009/003 DS.KOLELET KEC.PICUNG 081297229414 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`29 N-B8CDE938 3602092008920000 AIP HAKIKI L PERAWAT 30 18-30 UPT PUSKESMAS PICUNG KP.KADUHAUK 001/003 DS.KADUHAUK.KEC .BANJARSARI 083 875358834 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`30 N-24A555E2 3602091604780000 AGUS HARIANA L ADMIN 43 31-45 UPT PUSKESMAS PICUNG KP.KUMPAY 003/002 DS.KUMPAY KEC.BANJARSARI 082 210530502 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`31 N-5ABA37EB 3601100107720020 AHMAD HIDAYAT L ADMIN 49 46-59 UPT PUSKESMAS PICUNG KP.MANGLID 033/009 DS.BOJONG KEC.BOJONG 083 875362012 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`32 N-31EDB6C9 3601110602920000 EKA NURSILA L PERAWAT 28 18-30 UPT PUSKESMAS PICUNG KP.RANCAMULYA 029/008 DS.PASIR SEDANG KEC.PICUNG 081295417049 V Corona Vac 9-Feb-21 1/26/2021 202011042 16096451778667 2/9/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`35 N-3F0ED8EE 3601116210850000 SANTY SOFA MARWATI P BIDAN 35 31-45 UPT PUSKESMAS PICUNG KP. PASAR PICUNG 002/001 DS. CILILITAN KEC. PICUNG 82310283339 V Corona Vac 1-Feb-21 1-Feb-21 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`36 N-5B29AD2B 3601114305930000 SITI NURHALIMAH P BIDAN 26 18-30 UPT PUSKESMAS PICUNG KP. KADUMULA 006/002 DS. KOLELET KEC. PICUNG 85213999008 V Corona Vac 15-Feb-21 1/30/2021 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`37 N-34B941D6 3602095903830000 HERLINA PUSPA SUSANTI P PERAWAT 37 18-31 UPT PUSKESMAS PICUNG KP. KUMPAY 004/004 DS. KUMPAY KEC. BANJARSARI 082110952365 V Corona Vac 1-Feb-21 1-Feb-21 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`38 N-3A8565F1 3601110507630000 SUFYANSORI L KAPUS 57 18-32 UPT PUSKESMAS PICUNG KP. KADUPANDAK 008/004 DS. KADUPANDAK KEC. PICUNG 82258950348 V Corona Vac 15-Feb-21 1/30/2021 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`39 N-45837BE7 3601110112770000 DESI DASIA ROCHMAN P PERAWAT 43 18-34 UPT PUSKESMAS PICUNG KP. MENES MESJID 003/004 DS. MENES KEC. MENES 85212342827 V Corona Vac 1-Feb-21 1-Feb-21 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`40 N-2489FB1F 3601312106890000 RUDI WARDANI L PERAWAT 31 18-35 UPT PUSKESMAS PICUNG KP. KADUMULA 006/002 DS. KOLELET KEC. PICUNG 85710496607 V Corona Vac 1-Feb-21 1-Feb-21 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`41 N-ADE9746A 3601315012800000 IIK IRAWATI P BIDAN 40 18-36 UPT PUSKESMAS PICUNG KP. SALAMPAK KEC. SINDANGRESMI 082298432107 V Corona Vac 15-Feb-21 1/30/2021 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`42 3601116209720000 dr.ANIK SUTARI P DOKTER 49 18-41 UPT PUSKESMAS PICUNG KP.PASAR PICUNG 02/01 DES.CILILITAN KEC.PICUNG 0878 8304 6876 V Corona Vac 1-Feb-21 1-Feb-21 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`43 3601112012890000 ANAS SUBHANA L SECURITY 30 18-41 UPT PUSKESMAS PICUNG KP.CIJALU 04/01 DS.KADUHAUK KEC.BANJAR 0857826 44663 V Corona Vac 15-022021 1-Feb-21 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
`44 3601115105990000 SRI MULYANI P BIDAN 25 18-48 UPT PUSKESMAS PICUNG KP.RANCAMULYA 029/008 DS.PASIR SEDANG KEC.PICUNG 08125873 8633 V Corona Vac 15-022021 1-Feb-21 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
CLEANING
`45 3601115609700000 ANAH P 30 18-51 UPT PUSKESMAS PICUNG KP.CIJALU 04/01 DS.KADUHAUK KEC.BANJAR V Corona Vac 15-022021 1-Feb-21 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
SERVICE
CLEANING
`46 3601104107740000 JUNI P 47 18-52 UPT PUSKESMAS PICUNG CIJALU DESA KADUHAUK KEC.BANJAR V Corona Vac 15-022021 1-Feb-21 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
SERVICE
`47 S-DE3DBDB0 3601145406800000 NENI SUHERNI P GURU 41 SD N CILILITAN 4 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`48 3601114806730000 MURTI P GURU 49 SED N KOLELET 2 85776758588 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`49 3601116211790000 RESI MULIA R P GURU 42 SD N CILILITAN 4 83812349288 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`50 3601100909760000 A SUPYANI P GURU 42 SD N KOLELET 3 85710945330 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
KORMIL
`51 3601112012770000 SUPARDI L 44 KORMIN PENDIDIKAN 85219531632 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
PENDIDIKAN
KORMIL
`52 3601310509610000 AJAT SUDRAJAT L 60 KORMIN PENDIDIKAN 823298711608 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
PENDIDIKAN
`53 3602094311650000 EUIS NURSIRTA P GURU 56 KORMIN PENDIDIKAN V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
KORMIN
`54 3601111609760000 HUSEN L 45 KORMIN PENDIDIKAN V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
PENDIDIKAN
`55 3601116004660000 SARMUNAH P GURU 51 SD N KADUPANDAK 1 85313591227 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`56 3601110107850080 IROS HIDAYAT L GURU 37 SD N PASIR SEDANG 1 8568343350 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`57 3601115208800000 AISYAH p GURU 32 SD N CILILITAN 2 87773125105 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`58 S-4D2BEC68 3601111408630000 ADE AMSORI L GURU 57 SD N CILILITAN 1 812934315364 COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667
V 30-Mar-21 24000821 DIBERIKAN VAKSIN
`59 S-A7989B93 3601110107890080 DIDI AGUS MUHRONI L GURU 32 81314333553 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`60 S-43B7747A 3601114108860000 IMAS SYAMSIAH P GURU 34 SD N KADUPANDAK 2 85718166883 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`61 S-B96CF518 3601116207900000 IKA WARTIKA P GURU 31 SD N PASIR PANJANG 1 87811658731 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`62 S-2958AA1E 3602097108740000 MALUMAH HAYATI P GURU 47 SD N KOLELET 3 87773470049 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`63 S-E32F4A17 3601114204760000 ENOK AISYAH P GURU 48 SD N CILILITAN 3 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`64 S-63DCDC5D 3601102308800000 IKBAL HUDORI L GURU 71 SD N CILILITAN 1 87772200066 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`65 S-3E546D05 3601111804700000 NURMAN SUNANDAR L GURU 51 SD N CILILITAN 3 8567367781 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`66 S-CFF6AB01 3601104107770000 ERNAWATI P GURU 44 SD N CILILITAN 3 81311399887 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`67 S-E825A4EC 3601110304590000 DRS. SUMITRA L PENSIUNAN 62 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`68 S-2E708DIE 3601312004900000 UMARUDIN L GURU 33 SD N CIHERANG 3 85719679100 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`69 S-FOD55A74 3602090806620000 H. BAI SYAMSUDIN L GURU 59 SD N PASIR PANJANG 1 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`70 S-51CA50EF 3601111808800000 AGUS SARIPUDIN L TATA USAHA 41 SD N CILILITAN 1 83841340266 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
KORMIN
`71 S-AE87670B 3601315204860000 ROSMIATI P 35 KORMIN PENDIDIKAN 85882903035 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
PENDIDIKAN
KORMIN
`72 S-1B271266 3602106710690000 AI JUBAEDAH P 32 KORMIN PENDIDIKAN 82122254811 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
PENDIDIKAN
`73 S-265FBC69 3601122704860000 ASEP DAROJI SUHADI L POLISI 35 POLSEK PICUNG 81381376252 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`74 S-C7065754 3601114404850000 ENE ICIH P GURU 44 SD N KOLELET 1 85210400383 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`75 S-47EEB4AA 3601024604920000 WIWIN P GURU 29 SD N KADUPANDAK 1 85778548712 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`76 S-9B0304CD 3601116505710000 SITI RAUDAH P GURU 50 SD KOLELET 3 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`77 S-183C41EF 3601100107820010 USMAN L GURU 59 SD KOLELET 3 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`78 S-80412B76 3601114207890010 EEM MAHRAHMAH P GURU 39 SD N KOLELET 1 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`79 S-42291400 3601115404670000 NANI ROHAENI P GURU 54 SD N CILILITAN 2 8138161609 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`80 S-8B3CD813 3601114107530060 TOHERAH P GURU 58 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`81 S-BF053FID 3601114107870030 IIS TRISNAWATI P GURU 34 SD N CILILITAN 2 87773172620 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`82 S-8C6B2F5A 3601110107620020 TATA SURYANTO L GURU 59 SD N KOLELET 1 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`83 S-6B2E362F 3601114306640000 RUMSITI P GURU 57 SD N KOLELET 2 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`84 S-29EB2884 3601111602620000 SUKANTA L GURU 59 SD N CILILITAN 2 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`85 3601114412730000 SYAMSIAH L GURU 48 SD N CILILITAN 2 85218744112 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`86 3602097011780000 ENENG ROBIAH P GURU 43 SD N CIHERANG 2 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`87 3601115604850000 YANTI PATMAWATI P GURU 36 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`88 3601114207740000 BAYINAH P GURU 47 SD N KADUPANDAK 2 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`89 3601115202890000 SITI FAZRIYAH MARDIANI P GURU 32 SD N KADUPANDAK 2 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`90 3602090406700000 MAHPUD L GURU 51 SD N KADUPANDAK 2 85215150135 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`91 3601115802750000 DINI KARYAWATI P GURU 46 SD N CILILITAN 3 87876407086 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`92 S-B7504687 3602095507550000 SUTARSIH P GURU 66 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`93 S-43FF058D 3602092309400000 H.RACHMAT AL ADJAT L JAMAAH HAJI 80 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`94 S-883E3D19 3601116008480000 SAENI P JAMAAH HAJI 73 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`95 S-90E01D68 3601116103870000 SARNITI P GURU 42 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`96 S-B5F616EO 36011105602830000 NITA SUTANTI P GURU 38 SD M KADUPANDAK 1 82123251158 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`97 S-B228F090 3601104509640000 MARIYAH P GURU 57 SD N CILILITAN 1 82124699477 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`98 S-25D51D19 3601100901870000 YOKI JANUARI L GURU 34 SSD N CILILITAN 1 83876186695 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`99 S-7BA69AFF 3601111704630000 HASAN L GURU 58 SD N CILILITAN 1 81212370202 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`100 S-7E545C08 3601112004550000 JASMITA L JAMAAH HAJI 66 JAMAAH HAJI V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`101 S-B0600D5C 3601115202560000 SARWITI P JAMAAH HAJI 65 JAMAAH HAJI V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`102 S-8AB5BEA3 3601114107700020 SUPRIATI P GURU 51 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`103 S-42A3D326 3601115804770000 ANI HIKMAWATI P GURU 44 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`104 S-3F952951 3601114111800000 LILIS SITI SA'DIAH P GURU 41 SD N KOLELET 1 81388769195 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`105 S-527119D8 3602094904640000 TUTIAH P GURU 57 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`106 S-E01EA1FB 3601114107780150 N.WARSIKAH P GURU 51 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`107 S-5ACFD82B 3601110807550000 SARMAN L JAMAAH HAJI 57 JAMAAH HAJI V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`108 S-4041B99A 3601114102700000 MUSLIMAH L GURU 51 SD N CILILITAN 2 85287051357 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`109 S-C0476452 3601115504630000 ANCEU P GURU 68 SD N KOLELET 1 82124458959 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`110 S-EA93744A 3601100201670000 YAYAT PUDAYAT L GURU 54 SD N CILILITAN 4 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`111 S-5EFP8A1B 3601114107650010 SUHERTI P GURU 55 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`112 S-FB6ED5A1 3601101009630000 AKHMAD FITONI L CAMAT 52 KECAMATAN PICUNG V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
SKH PERSADA
`113 S-BBBB4727 3601115309820000 KUSNADI L 38 PERSADA PICUNG 87871373007 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
PICUNG
`114 S-17SECS26 3601110105840000 ZAENAL MUTAQIN L GURU 37 SD PASIR SEDANG 2 93808640832 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`115 S-40619C916 3602091304650000 AKHMAD SANUSI L GURU 52 SD N KOLELET 1 83843156570 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`116 S-3631F349 3601111307700000 AHYAN SURYADI L GURU 51 SD N PASIR SEDANG 1 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`117 S-02049095 3602094404620000 N.SARPATI P GURU 59 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`118 S-29DE74B7 3601115702780000 MUTHMAINAH L GURU 50 SD KOLELET 3 85715947207 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`119 S-1BB485CB 3601101503620000 IYUS RUSMANA L GURU 59 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`120 S-0FCC1A38 3601115505740000 ENOK HERI P GURU 47 SD N KOLELET 3 85312820544 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`121 S-AB68807F 3601114510740000 NENG IVI YANTI RS P GURU 46 SD N KADUPANDAK 2 81384042040 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`122 S-59A411BA 3601114602620000 ENAH HRMAWATI P GURU 59 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`123 S-DA2D9A83 3602091204700000 TRIYA SUTARNO L GURU 51 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`124 S-59056DA 3601114107240000 AFIFAH P JAMAAH HAJI 97 JAMAAH HAJI V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`125 S-5D566E25 3601112703560000 MARTA P JAMAAH HAJI 65 JAMAAH HAJI V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`126 S-A0ABE0D1 3601110107670010 AHMAD JUWAENI L GURU 54 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`127 S-D1C47F54 3601114509810000 ISAH HERAWATI P GURU 40 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`128 S-9F3B7E1A 3601342806840000 DIDIT KUSYUNIANTO L POLISI POLSEK PICUNG V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`129 3601110207870010 KOMARUDIN L GURU 43 SD N KOLELET 2 85313638334 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`130 S-80D716BA 3601114107600030 MAYANIH P JAMAAH HAJI 61 JAMAAH HAJI V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`131 S-704F0BE1F 3601042403840000 RUSMAN KAMIL L GURU 37 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`132 S-D87D7579 3601115105630000 SITI AISYAH P GURU 58 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`133 3601115804820000 ASEP RONI BAHTIAR L GURU 39 SD 85216631571 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`134 S-B62B77AF 360111208670002 SOPI UDIN L GURU SD N KADUPANDAK 1 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`135 S-8499048C 3601110210820000 MUHAMAD ROMLI L GURU 39 SD N CILILITAN 3 87773913366 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`136 S-1A65DA68 3602096104740000 TATI GUNAWATI L GURU 47 SD N KADIPANDAK 2 85216632162 V COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
`137 S-49D5A1D9 3601114909630000 NAHDIAH P JAMAAH HAJI 58 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`138 S-D0DC534 3601111005820000 MUNJANJI L JAMAAH HAJI 39 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`139 S-4C80C40A 3601110911620000 UJANG RUSTANDI L JAMAAH HAJI 59 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`140 S-135FFEE3 3601115105550000 ENDAH P JAMAAH HAJI 62 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`141 S-EBABCE7C 3601110604470000 MUHAMAD YUSA L JAMAAH HAJI 74 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`142 S-EBABCE7C 3601114107530200 IYAH P JAMAAH HAJI 68 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`143 3601114107600010 DEDEH SUHAYATI P JAMAAH HAJI 58 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`144 3601110107560020 UDIN HKS L JAMAAH HAJI 69 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`145 3601112705670000 IDRUS L JAMAAH HAJI 54 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`146 3601111702310000 MUHAMAD SARDI SARMA L JAMAAH HAJI 90 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`147 3601116408570000 SITI SARWI SARJAYA P JAMAAH HAJI 64 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`148 3601115202720000 ENE P JAMAAH HAJI 49 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`149 3601245106700000 NANI P JAMAAH HAJI 51 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`150 3601110107640030 KARTAN L JAMAAH HAJI 57 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`151 3601241208650000 APENDI L JAMAAH HAJI 60 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`152 3601114402740000 ANIMAH P JAMAAH HAJI 47 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`153 3601115612800000 CINAH L JAMAAH HAJI 41 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`154 3601116401740000 EMBET SURYANI L JAMAAH HAJI 46 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`155 3601111006680000 UDIN L JAMAAH HAJI 51 JAMAAH HAJI COVID-19 VACCINE 16-Mar-21 16-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
V
`156 S-9EF0E631 3601114502530000 SABI'AH P LANSIA LANSIA CIHERANG COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`157 S-22282D74 3601114508580000 SANAH P LANSIA LANSIA CIHERANG COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`158 S-8579C9E6 3601112102430000 ADRAIS L LANSIA LANSIA CIHERANG COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`159 S-491C49C8 3601116610410000 IYAT L LANSIA LANSIA CIHERANG COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`160 S-2CB88AF0 3601111404590000 M.MUFIDZ L LANSIA LANSIA CIHERANG COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`161 S-095003AA 3601110506600000 H.HASAN L LANSIA LANSIA PS.SEDANG COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`162 S-8ABE7A76 3601114206450000 SAR'AH P LANSIA LANSIA KADUPANDAK COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`163 S-9B7933C7 3601110107410000 KARTA L LANSIA LANSIA KADUPANDAK COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`164 S-17AB52F9 3601110701610000 JAJA SUHARJA L LANSIA LANSIA CILILITAN COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`165 3601110704630000 H.IDUH P LANSIA LANSIA KOLELET COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`166 S-7F757ED6 3601115307530000 SUNANTI P LANSIA LANSIA KOLELET COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`167 3601114904500000 KHADIJAH P LANSIA LANSIA KOLELET COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`168 S-28849CF8 3601114107660070 IIM IMAS SUGIARTI P LANSIA LANSIA B.COPONG COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`169 S-479B25BD 3601115709490000 IJAH P LANSIA LANSIA KADUPANDAK COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`170 S-9D918285 3601110702430000 ANTA L LANSIA LANSIA KOLELET COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`171 S-315068A5 3601112501550000 ENDED HUDJAEDI L LANSIA LANSIA B.COPONG COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`172 S-29B26AA6 3601114107460020 SITI HABSAH P LANSIA LANSIA B.COPONG COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`173 S-44425DA5 3601114112570000 EDAH SUBAEDAH P LANSIA LANSIA B.COPONG COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`174 S-A3ABB782 3601114402530000 RATI P LANSIA LANSIA KOLELET COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`175 S-24453335 3601116501570000 SUKMIAH P LANSIA LANSIA KOLELET COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
`176 S-231274D9 ;3601114107480049 SUAH P LANSIA LANSIA KADUPANDAK COVID-19 VACCINE 29-Mar-21 29-Mar-21 24000821 16096451778667 16096451778667 DIBERIKAN VAKSIN
S-97C86B18 3601111707670000 JAENI L GURU 54 GUURU PASIRPANJANG COVID-19 VACCINE 4/9/2021 4/9/2021 24001421 16096451778667 240001421 16096451778667 DIBERIKAN VAKSIN
178 Z-CBD16D7B 3601114503460000 SUNTIAH P LANSIA 75 LANSIA KOLELET 16096451778667 DIBERIKAN VAKSIN
179 W-3A09BC70 3602210601670000 EDI ABAS JUNAEDI L POLISI 54 POLISI WANASALAM 16096451778667 DIBERIKAN VAKSIN
PUSKESMAS PICUNG Kepesertaan BPJS
(tulis 'Ya' pada kolom Dosis I Dosis 2
Kelom yang sesuai)Non
Nama Penerima Umur BPJS Tanggal Tanggal Tanggal
No. Ticket NIK pekerjaan pok INSTANSI Alamat No. Hp BPJS Merek Vaksin*** KET
Vaksin (18-59 tahun) Non Anggot Screening Pemberian No. Batch No seri Pemberian No. Batch No Seri
Umur PBI
PBI a Vaksinasi Vaksinasi
3601116209720000 dr.ANIK SUTARI KP.PASAR PICUNG 02/01

DOKTER 49 18-41 UPT PUSKESMAS PICUNG 0878 8304 6876 V Corona Vac 1-Feb-21 1-Feb-21 202011042 16096451778667 15/02/2021 202011042 16096451778667 DIBERIKAN VAKSIN
DES.CILILITAN KEC.PICUNG
3601112012890000 ANAS SUBHANA KP.CIJALU 04/01 DS.KADUHAUK

L SECURITY 30 18-41 UPT PUSKESMAS PICUNG 0857826 44663 V Corona Vac 15-022021 1-Feb-21 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
KEC.BANJAR
3601115105990000 SRI MULYANI KP.RANCAMULYA 029/008 DS.PASIR

P BIDAN 25 18-48 UPT PUSKESMAS PICUNG 08125873 8633 V Corona Vac 15-022021 1-Feb-21 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
SEDANG KEC.PICUNG
3601115609700000 ANAH KP.CIJALU 04/01 DS.KADUHAUK

P CLEANING SERVICE 30 18-51 UPT PUSKESMAS PICUNG V Corona Vac 15-022021 1-Feb-21 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
KEC.BANJAR
3601104107740000 JUNI CIJALU DESA KADUHAUK

P CLEANING SERVICE 47 18-52 UPT PUSKESMAS PICUNG V Corona Vac 15-022021 1-Feb-21 202011042 16096451778667 2/15/2021 202011042 16096451778667 DIBERIKAN VAKSIN
KEC.BANJAR
3601114806730000 MURTI 49 COVID-19

P GURU SED N KOLELET 2 85776758588 V 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
VACCINE
3601116211790000 RESI MULIA R 42 COVID-19

P GURU SD N CILILITAN 4 83812349288 V 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
VACCINE
'3601100909760000 A SUPYANI P 42 SD N KOLELET 3 85710945330 COVID-19

GURU V 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
VACCINE
3601112012770000 SUPARDI L 44 KORMIN PENDIDIKAN 85219531632 COVID-19

KORMIL PENDIDIKAN V 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
VACCINE
3601310509610000 AJAT SUDRAJAT L 60 KORMIN PENDIDIKAN 823298711608 COVID-19

KORMIL PENDIDIKAN V 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
VACCINE
3602094311650000 EUIS NURSIRTA P 56 KORMIN PENDIDIKAN COVID-19

VACCINE
3601111609760000 HUSEN L 45 KORMIN PENDIDIKAN COVID-19

KORMIN PENDIDIKAN V 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
VACCINE
3601116004660000 SARMUNAH P 51 SD N KADUPANDAK 1 85313591227 COVID-19

VACCINE
3601110107850080 IROS HIDAYAT L 37 SD N PASIR SEDANG 1 8568343350 COVID-19

VACCINE
3601115208800000 AISYAH p 32 SD N CILILITAN 2 87773125105 COVID-19

VACCINE
3601114412730000 SYAMSIAH L 48 SD N CILILITAN 2 85218744112 COVID-19

VACCINE
3602097011780000 ENENG ROBIAH P 43 SD N CIHERANG 2 COVID-19

VACCINE
3601115604850000 YANTI PATMAWATI P 36 COVID-19

VACCINE
3601114207740000 BAYINAH P 47 SD N KADUPANDAK 2 COVID-19

VACCINE
3601115202890000 SITI FAZRIYAH P 32 SD N KADUPANDAK 2 COVID-19

MARDIANI GURU V 16-Mar-21 16-Mar-21 24000821 16096451778667 30-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
VACCINE
3602090406700000 MAHPUD L 51 SD N KADUPANDAK 2 85215150135 COVID-19

VACCINE
3601115802750000 DINI KARYAWATI P 46 SD N CILILITAN 3 87876407086 COVID-19

VACCINE
3601110207870010 KOMARUDIN L 43 SD N KOLELET 2 85313638334 COVID-19

VACCINE
3601115804820000 ASEP RONI BAHTIAR L 39 SD 85216631571 COVID-19

VACCINE
3601114107600010 DEDEH SUHAYATI P JAMAAH HAJI 58 V COVID-19

JAMAAH HAJI 16-Mar-21 16-Mar-21 24000821 16096451778667 31-Mar-21 24000821 16096451778667 DIBERIKAN VAKSIN
VACCINE
3601110107560020 UDIN HKS L JAMAAH HAJI 69 V COVID-19

JAMAAH HAJI 16-Mar-21 16-Mar-21 24000821 16096451778667 1-Apr-21 24000821 16096451778667 DIBERIKAN VAKSIN
VACCINE
3601112705670000 IDRUS L JAMAAH HAJI 54 V COVID-19

VACCINE
MUHAMAD SARDI COVID-19

3601111702310000 SARMA L JAMAAH HAJI 90 JAMAAH HAJI V 16-Mar-21 16-Mar-21 24000821 16096451778667 3-Apr-21 24000821 16096451778667 DIBERIKAN VAKSIN
VACCINE
3601116408570000 SITI SARWI SARJAYA P JAMAAH HAJI 64 V COVID-19

VACCINE
3601115202720000 ENE P JAMAAH HAJI 49 V COVID-19

VACCINE
3601245106700000 NANI P JAMAAH HAJI 51 V COVID-19

VACCINE
3601110107640030 KARTAN L JAMAAH HAJI 57 V COVID-19

VACCINE
3601241208650000 APENDI L JAMAAH HAJI 60 V COVID-19

VACCINE
3601114402740000 ANIMAH P JAMAAH HAJI 47 V COVID-19

VACCINE
3601115612800000 CINAH L JAMAAH HAJI 41 V COVID-19

VACCINE
3601116401740000 EMBET SURYANI L JAMAAH HAJI 46 V COVID-19

VACCINE
3601111006680000 UDIN L JAMAAH HAJI 51 V COVID-19

VACCINE
3601110704630000 H.IDUH P LANSIA LANSIA KOLELET COVID-19 29-Mar-21 29-Mar-21 24000821 16096451778667 13-Apr-21 24000821 16096451778667 DIBERIKAN VAKSIN
VACCINE
TANGGAL 21 MEI 2021
PUSKESMAS PICUNG
BPJS (tulis 'Ya'
Dosis I Dosis 2
pada kolom yang
Kelom
Umur INSTAN BPJS Non Merek Tanggal Tanggal Tanggal
NO No. Ticket NIK Nama Penerima Vaksin JK pekerjaan pok Alamat No. Hp BPJS
(18-59 tahun) SI Non Ang Vaksin*** Screening Pemberian No. Batch No seri Pemberian No. Batch No Seri
Umur PBI
PBI gota Vaksinasi Vaksinasi
1 P-CZ7VA57C 3601114102740000 YAYAH P IRT 5/2/1965 18-60 LANSIA KADUPANDKAK 082313706007 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/19/2021 24002221 16125081472183
2 P-FYQ1GE9X 3601110107630020 SUKANDI L WIRASWASTA 3/7/1962 18-61 LANSIA PASIRSEDANG 083871492224 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/19/2021 24002221 16125081472183
3 S-FCAS4099 3601115605630002 HJ,SARNITI P IRT 5/16/1960 18-62 LANSIA PASIRSEDANG 082149002084 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
4 S-E5527B78 360111470340001 ARNI P IRT 3/7/1949 18-63 LANSIA PASIRSEDANG 083841442914 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
5 P-FZ8VQBNB 3601114105650002 ITI P IRT 5/1/1965 18-64 LANSIA PASIRSEDANG 083841442914 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
6 P-GOH20B1R 3601114107630084 ASMAH P IRT 7/1/1965 18-65 LANSIA PASIRSEDANG 083841442914 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
7 S-F4D4F2BD 3601114405590001 HJ,ENTIH P IRT 5/4/1959 18-66 LANSIA KOLELET 081972972294 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/19/2021 24002221 16125081472183
8 S-740771A6 3601115401470001 ARMINAH P IRT 3/14/1947 18-60 LANSIA KOLELET 083871293566 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
9 S-D767DC25 3601115003580002 MAENAH P IRT 3/10/1958 LANSIA KOLELET 083871293566 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
10 S-73D56029 3601115009550001 SURNI P IRT 9/10/1955 LANSIA KOLELET 083871293566 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
11 S-ED673DC6 3601115403630001 ETI P IRT 3/14/1963 LANSIA KOLELET 083808163579 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
12 P-G3AY9NEY 3601114505680003 MINI P IRT 5/5/1968 LANSIA PASIRSEDANG 083841442914 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
13 S-FF738521 3601114507630002 EBOT P IRT 7/5/1963 LANSIA KOLELET 083871293566 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
14 P-G77UKEW9 3601114797420002 MUNAH BINTI KADIR P IRT 7/7/1942 LANSIA KOLELET '083871293566 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
15 P-67WX6ETU 3601114304630001 RASITI P IRT 4/3/1963 LANSIA KOLELET '083871293566 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
16 P-GB98805D 3601102OO2830001 ASJUDIN L STAF 2/20/1963 STAF SAKETI 083813775920 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
17 S-C005261D 3601111702630001 MOC MUJANI L GURU 3/6/1963 GURU PASIRSEDANG 081385427984 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
18 P-64EQBUM8 3601111602730001 MARNA L GURU 2/16/1972 GURU GANGGAENG 085212564318 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
19 S-C637D373 3601114107820079 MAMAY TRESNAWATI P GURU 5/29/1982 GURU B.COPONG 081264657037 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/23/2021 24002221 16125081472183
20 P-62EWNR2D 3601110107830127 AYI KURNIA L GURU 1/29/1983 GURU KARYASARI 083841420190 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/21/2021 24002221 16125081472183
21 S-95078F7B 3601116601780002 KHUSNUL KHOTIMAH P GURU 1/26/1978 GURU GANGGAENG 083841217034 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
22 P-GIVER7KG 3601110306750002 MASLAHUDIN L GURU 6/3/1975 GURU KOLELET 087773578744 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/24/2021 24002221 16125081472183
23 P-63VSIR72 3601110706020002 FARHAN MULDANI L GURU 6/7/2002 GURU KADUPANDKAK 081212657864 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/19/2021 24002221 16125081472183
24 S-A3A1948E 3601115102700002 UMU KULSUM P GURU 2/11/1970 GURU B.COPONG 083896928743 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/21/2021 24002221 16125081472183
25 S-102BAF57 3601114107890244 EUIS SAMSIAH P GURU 8/7/1986 GURU KOLELET 087741187652 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
26 S-21446D59 3601210207740001 DIDI SETIADI L GURU 7/2/1974 GURU KABAYAN 081310553057 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/21/2021 24002221 16125081472183
27 S-94B38FB4 360124120670002 NURHAMID L GURU 6/3/1971 GURU CIMOYAN 085691035709 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/21/2021 24002221 16125081472183
28 S-72722G02 3601114208910001 TATU AGUSTYANI P GURU 8/2/1991 GURU PASIRSEDANG 083874414006 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/21/2021 24002221 16125081472183
29 P-E6YTRBVC 3673011504870001 DEDE SUPRIYADI L P0LRI 4/15/1987 POLRI KALIGANDU 081387215587 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/19/2021 24002221 16125081472183
30 S-8194B925 3601114506750003 ENONG WASIAH P GURU 12/1/1968 GURU PASIRSEDANG 083147169706 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/23/2021 24002221 16125081472183
31 P-G0YROB6T 3601110107940078 MUHAMAD ZAENUL M L GURU 10/28/1994 GURU CILILITAN 085810112034 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
32 P-G6AWAMMB 3601241006860005 AHMAD KHOERUDIN L POLRI 6/10/1986 POLRI SURIANEUN 085960112226 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/19/2021 24002221 16125081472183
33 S-1312FFD5 3601112105710001 IDIK MURSIDIK L GURU 5/21/1971 GURU CILILITAN 081385373406 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/21/2021 24002221 16125081472183
34 S-2CBD5E6D 3601114505880003 YANI SUCIANI P GURU 5/5/1988 GURU PASIRSEDANG 083899758500 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/24/2021 24002221 16125081472183
35 S-3643C5CD 3601101208660002 CECE MAHPUDIN L GURU 11/28/1966 GURU CIJAKAN 087805651902 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
36 S-E32F3BFF 3601114408670001 EROH P GURU 8/4/1967 GURU KADUBERA 085716082772 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
37 S-3784A5A4 3601110503700001 SAFAAT L GURU 3/5/1970 GURU KOLELET 083841220202 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/21/2021 24002221 16125081472183
38 S-37D5278C 3601110409690001 MAJID L GURU 9/4/1969 GURU CILILITAN 081221874986 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 7/1/2021 24002221 16125081472183
39 P-G5SF56HC 3604301511860002 AJI PUTRO HARI L POLRI 11/15/1986 GURU PURWOREJO 081249102615 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/19/2021 24002221 16125081472183
40 P-G64TN2D9U 3601114307920001 FANI HERYATI P GURU 8/22/1990 GURU KADUPANDKAK 081381244285 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 6/19/2021 24002221 16125081472183
41 3601114107620036 RUKMANAH P GURU 5/3/1962 GURU B.COPONG 081285757411 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
42 S-BBD3790 3601110910680001 JAENUDIN L GURU 10/9/1968 GURU PASIRSEDANG 081381311499 v COVID-19 5/21/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
43 S-O830E77 3601230107760016 YUSRI L GURU 4/6/1974 GURU CISATA 085319471111 COVID-19 5/27/2021 5/21/2021 24002221 16096451778667 24002221 16125081472183
44 P-GBFCT224 3601144806850002 SOFA MUSTIKA P GURU 10/13/1995 GURU SUKALANGU 081211443368 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/22/2021 24002221 16125081472183
45 P-FSRKHUD6 3601114803920001 RESI YULIA HERNAWATI P GURU 7/8/1992 GURU KADUBERA 085782497908 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/21/2021 24002221 16125081472183
46 S-3D0DE36F 3601114107670010 SRI MARYATI P BPKKBPK 2/17/1968 BPKKBPKCILILITAN 085691097687 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/24/2021 24002221 16125081472183
47 P-FDV9MWQ 3601111705870001 MIKO SANDI L BPKKBPK 5/17/1987 BPKKBPKKADUPANDKAK 085215572600 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 24002221 16125081472183
48 P-EYL6ZCF5 3601111402980002 MUHAMAD TAUFIK H L BPKKBPK 2/14/1998 BPKKBPKCILILITAN 083871664445 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/24/2021 24002221 16125081472183
49 S-B0BF9865 3601267103850001 TITIN SUPRIATIN P GURU 3/31/1985 GURU KARYASARI 085694569000 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/22/2021 24002221 16125081472183
50 S-D28AOA7F 3601142006870002 IMRON ROSADI L GURU 6/19/1986 GURU SUKALANGU 087773630311 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 24002221 16125081472183
51 P-EMXV00IP 3601246011650001 MAKIYAH P GURU 7/16/1976 GURU PASIRPANJANG 085882805029 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/21/2021 24002221 16125081472183
52 S-7646D84D 3601114104870001 SITI MASITOH P GURU 4/1/1987 GURU KADUBERA 085939672904 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/21/2021 24002221 16125081472183
53 P-EAUV0E20 3601114105920001 YANI SUKAESIH P BPKKBPK 5/1/1992 BPKKBPKGANGGAENG 085337516183 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/24/2021 24002221 16125081472183
54 P-CNIM508D 3601110505850002 EWANG IRAWAN L BPKKBPK 5/5/1985 BPKKBPKPASIRSEDANG 087773005053 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/24/2021 24002221 16125081472183
55 S-B2F897C0 3601114601850002 MAFI HAFIFAH P GURU 1/6/1985 GURU KADUBERA 083813102077 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/22/2021 24002221 16125081472183
56 S-A36DBF93 3601110107700002 KASMAN WIJAYA L GURU 12/3/1970 GURU KADUBERA 083841422287 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/21/2021 24002221 16125081472183
57 S-57DEA281 360111506820001 ADE SUNARYA L GURU 2/9/1985 GURU PASIRSEDANG 087773360478 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/21/2021 24002221 16125081472183
58 S-8241094F 36011141909680001 UJIB L GURU 9/19/1968 GURU SUKALANGU 082142008460 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/22/2021 24002221 16125081472183
59 S-A18B61DI 3601110107780005 MUKTI WIRA ATMAJA L GURU 8/14/1975 GURU PASIRSEDANG 085711107690 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 24002221 16125081472183
60 S-28C85AF8 3601340707760002 SOPIYANI SAURI L KECAMATAN 7/7/1976 KECAMATSARUNI 089614056718 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/24/2021 24002221 16125081472183
61 S-E6365CC4 3601080406710001 AJA SURAMIHARJA L KECAMATAN 6/4/1971 KECAMATPASANGGRAHAN 087780675396 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/24/2021 24002221 16125081472183
62 S-E960EE7C 3601100108750001 DIDIK SULASDI L KECAMATAN 8/1/1975 KECAMATSARUNI 081381104992 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/24/2021 24002221 16125081472183
63 S-EBCCFDCD 3601130612650001 MAWI ASMAWI L KECAMATAN 12/6/1965 KECAMATALASWANGI 085283862720 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/24/2021 24002221 16125081472183
64 P-JJU170I 3601110107330023 EFENDI L KECAMATAN 6/7/1963 KECAMATCILILITAN 081213273117 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 24002221 16125081472183
65 P-JJIKP2UI 3601115410770002 ENOK NURLAILA P GURU 10/14/1977 GURU KOLELET 087773578744 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/24/2021 24002221 16125081472183
66 S-8720FCCE 3601110603740001 SARJAYA L GURU 12/15/1965 GURU KOLELET 081384979072 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/24/2021 24002221 16125081472183
67 S-7254IEBI 3601315202680003 EMPIN SUMARNI P GURU 2/12/1968 GURU PASIRDURUNG 085813638679 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/23/2021 24002221 16125081472183
68 P-JSW7UM4J 3601110107630248 MEMED L KECAMATAN 4/9/1966 KECAMATPASIRPANJANG 082311541537 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/24/2021 24002221 16125081472183
69 S-E5592175 3601101304640002 SANUSI ANWAR L KECAMATAN 7/2/1968 KECAMATMEKARSARI 085814296364 COVID-19 5/27/2021 5/27/2021 24002221 16096451778667 6/24/2021 24002221 16125081472183
KET
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
DIBERIKAN VAKSIN
LAPORANA NAMA-NAMA PENERIMA VAKSIN DOSIS 1 DAN 2 TERMIN 5
TANGGAL 22 JUNI 2021
PUSKESMAS PICUNG
BPJS (tulis 'Ya'
Dosis I Dosis 2
pada kolom yang
Umur Kelomp
BPJS Non Merek Tanggal Tanggal Tanggal
No. Ticket NIK Nama Penerima Vaksin JK pekerjaan (18-59 ok INSTANSI Alamat No. Hp BPJS KET
tahun) Umur Non Angg Vaksin*** Screening Pemberian No. Batch No seri Pemberian No. Batch No Seri
PBI
3601114107720081 SANI P IRT 5/2/1974 KDR,KADUBERA KADUBERA 085770617880 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114107670060 EDAH P IRT 7/1/1978 KDR,KADUBERA KADUBERA 083825381751 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114107840121 ASWATI P IRT 7/1/1984 KDR,KADUBERA KADUBERA 083815199690 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114107720065 NANI YUNINGSIH P IRT 4/2/1974 KDR,KADUBERA KADUBERA 085814297246 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601115310800001 EEN P IRT 10/13/1980 KDR,KADUBERA KADUBERA 085709435788 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114107780272 MASITIH P IRT 7/1/1978 KDR,KADUBERA KADUBERA 085894638866 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114107960266 SITI WIDI R P IRT 5/1/1996 KDR,KADUBERA KADUBERA 085694301677 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114107800181 JUMHANAH P IRT 7/1/1975 KDR,KADUBERA KADUBERA 085710520966 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114604740004 OJAH P IRT 11/7/1974 KDR,KADUBERA KADUBERA 083875381751 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114306870003 ANI SARI P IRT 6/3/1988 KDR,KADUBERA KADUBERA 089524563955 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114107830309 MUNAWAROH P IRT 12/3/1983 KDR,KADUBERA KADUBERA 085781668722 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601110107770067 ADE MASRAH M L PERANGKAT DESA 7/6/1978 PERANGKAT DESA KADUBERA 085778636043 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601110107940249 SAMSUDIN L PERANGKAT DESA 1/1/1984 PERANGKAT DESA KADUBERA 085215580805 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601110107730308 JOMA L PERANGKAT DESA 9/17/1973 PERANGKAT DESA KADUBERA 085281723040 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601111306860002 ASEP SYAFRUDIN L PERANGKAT DESA 6/10/1986 PERANGKAT DESA KADUBERA 082311978800 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601096410940001 ITA PUSPITA P GURU 10/24/1994 GURU SMP2 KADUBERA 082312806048 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114210900001 NENENG SUKMAWATI P GURU 10/20/1990 GURU SMP2 KADUBERA 085695587119 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601260108690002 SAPRUDIN L GURU 1/8/1969 GURU SMP2 KADUBERA 087773566177 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114910840001 IIS YULISTYA P GURU 10/9/1984 GURU SMP2 KADUBERA 081381329567 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601110201750002 BAYI MUNAWAR L GURU 1/2/1975 GURU KADUBERA 085695696247 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601115506890002 SUMI P GURU PAUD 6/15/1989 GURU PAUD KADUBERA 085771218344 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114207830018 SITI SUHARTINI P IRT 11/10/1979 KDR PS,PANJANG PS.PANJANG 085774771848 v C0VID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114107890169 WIWI SETIAWATI P IRT 1/18/1989 KDR PS,PANJANG PS.PANJANG 085215980409 v C0VID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114509900004 INDAWATI P IRT 9/5/1990 KDR PS,PANJANG PS.PANJANG 085283152005 v C0VID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601116706760002 KOKOM K P IRT 6/27/1976 KDR PS,PANJANG PS.PANJANG 085778231581 v C0VID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601111004800005 SURATMAN P BPD 4/10/1980 BPD PS.PANJANG 085814149980 v C0VID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114107850141 NURAENI P KDR.GANGGAENG 6/5/1983 KDR.GANGGAENG GANGGAENG 085891574899 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114107930188 SUAEBAH P KDR.GANGGAENG 11/28/1991 KDR.GANGGAENG GANGGAENG 085891574899 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114107800128 RUMIYATI P KDR.GANGGAENG 4/7/1980 KDR.GANGGAENG GANGGAENG 085692045051 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601116709970002 AYANAH S P KDR.GANGGAENG 9/27/1997 KDR.GANGGAENG GANGGAENG 085715163738 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601116206870001 UMSIAH P KDR.GANGGAENG 8/14/1985 KDR.GANGGAENG GANGGAENG 085780880185 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114202810014 WIWIN P KDR.GANGGAENG 9/4/1985 KDR.GANGGAENG GANGGAENG 085773889878 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
3601114107780198 PARTINI P KDR.GANGGAENG 4/26/1977 KDR.GANGGAENG GANGGAENG 083871849099 v COVID-19 6/22/2021 6/22/2021 24002221 16096451778667 7/22/2021 24002221 16096451778667 TELAH DIBERIKAN VAKSIN
NA NAMA-NAMA PENERIMA VAKSIN DOSIS 1 DAN 2 TERMIN 5

kolom yang sesuai)
Umur Kelomp Tanggal
Nama Penerima BPJS Non Merek Tanggal Tanggal
No. Ticket NIK JK pekerjaan (18-59 ok INSTANSI Alamat No. Hp BPJS Pemberia KET
Vaksin Non Anggo Vaksin*** Screening Pemberian No. Batch No seri No. Batch No Seri
tahun) Umur PBI n
PBI ta Vaksinasi
Vaksinasi
3601114207830018 SITI SUHARTINI P IRT 11/10/1979 KDR PS,PANJANG PS.PANJANG 085774771848 C0VID-19 6/22/2021 6/22/2021 24002221 16096451778667
3601114107890169 WIWI SETIAWATI P IRT 1/18/1989 KDR PS,PANJANG PS.PANJANG 085215980409 C0VID-19 6/22/2021 6/22/2021 24002221 16096451778667
3601114509900004 INDAWATI P IRT 9/5/1990 KDR PS,PANJANG PS.PANJANG 085283152005 C0VID-19 6/22/2021 6/22/2021 24002221 16096451778667
3601116706760002 KOKOM K P IRT 6/27/1976 KDR PS,PANJANG PS.PANJANG 085778231581 C0VID-19 6/22/2021 6/22/2021 24002221 16096451778667
3601111004800005 SURATMAN P BPD 4/10/1980 BPD PS.PANJANG 085814149980 C0VID-19 6/22/2021 6/22/2021 24002221 16096451778667
5
LAPORANA NAMA-NAM
Nama Umur
No.
NIK Penerima JK pekerjaan (18-59
Ticket
Vaksin tahun)
3601114107850141 NURAENI P KDR.GANGGAENG 6/5/1983

3601114107930188 SUAEBAH P KDR.GANGGAENG 11/28/1991
3601114107800128 RUMIYATI P KDR.GANGGAENG 4/7/1980
3601116709970002 AYANAH S P KDR.GANGGAENG 9/27/1997
3601116206870001 UMSIAH P KDR.GANGGAENG 8/14/1985
3601114202810014 WIWIN P KDR.GANGGAENG 9/4/1985
3601114107780198 PARTINI P KDR.GANGGAENG 4/26/1977
APORANA NAMA-NAMA PENERIMA VAKSIN DOSIS 1 DAN 2 TERMIN 5
Kepesertaan BPJS
(tulis 'Ya' pada kolom
Kelom yang sesuai) Merek
pok INSTANSI Alamat No. Hp BPJS Non Vaksin
BPJS
Umur Non Anggot ***
PBI
PBI a
KDR.GANGGAENG GANGGAENG 085891574899 COVID-19
KDR.GANGGAENG GANGGAENG 085891574899
Dosis I Dosis 2
Tanggal Tanggal Tanggal KET

Screening Pemberian No. No seri Pemberian
No. No
Batch Batch Seri
Vaksinasi Vaksinasi
6/22/2021 6/22/2021 24002221 16096451778667
6/22/2021 6/22/2021 16096451778667
6/22/2021 6/22/2021 16096451778667
6/22/2021 6/22/2021 16096451778667
6/22/2021 6/22/2021 16096451778667
6/22/2021 6/22/2021 16096451778667
6/22/2021 6/22/2021 16096451778667
Kepesertaan BPJS
(tulis 'Ya' pada
Dosis I Dosis 2
kolom yang
Umur Kelom sesuai)
Nama Penerima Merek Tanggal
No. Ticket NIK JK pekerjaan (18-59 pok INSTANSI Alamat No. Hp KET
Vaksin Vaksin*** Screening
tahun) Umur
BPJS Non Tanggal Tanggal
BPJS
Non Angg Pemberian No. Batch No seri Pemberian No. Batch No Seri
PBI
3601114107730232 SITI AISAH P IRT 2/1/1975 KDR,COPONG B.COPONG 083875356697 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 7/23/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601117105880002 ENO SURYATI p IRT 5/16/1986 KDR,COPONG B.COPONG 083895737181 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 7/24/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114107860097 APIAH P IRT 2/23/1982 KDR,COPONG B.COPONG 083892844142 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 7/25/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114705670003 IIS SUHAETI P IRT 5/7/1967 ODGJ B.COPONG 085770977815 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 7/26/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107800097 SYAEFUDIN L KK 4/4/1970 ODGJ B.COPONG 083125324825 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 7/27/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107660106 MAHPUDIN L WIRASWASTA 1/2/1969 P.DESA B.COPONG 083848183826 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 7/28/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114107660088 MASITOH P IRT 11/20/1976 P.DESA B.COPONG 083890084207 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 7/29/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110607810002 MAS'UD L P.DESA 10/3/1979 P.DESA B.COPONG 08975037262 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 7/30/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114101700002 ENOK SITI M P P.DESA 1/1/1970 P.DESA B.COPONG 083896928743 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 7/31/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107850147 ENDANG L P.DESA 8/2/1986 P.DESA B.COPONG 081584957892 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/1/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107610067 SAHAD L P.DESA 12/4/1968 P.DESA B.COPONG 083840174488 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/2/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110108790002 H.IPUN L SWASTA 8/1/1979 BALON B.COPONG 087772598080 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/3/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114107710111 JUNED L SWASTA 2/12/1972 BALON B.COPONG 083875356697 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/4/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107800204 ASEP MUHAMAD L P.DESA 8/21/1984 P.DESA B.COPONG 083879981395 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/5/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107950181 HUMAEDI L P.DESA 2/2/1995 P.DESA B.COPONG 081212575381 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/6/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110402800001 DEDI KURNIADI L P.DESA 2/5/1981 P.DESA B.COPONG 083899130402 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/7/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107850141 SAROJI L P.DESA 1/9/1984 P.DESA B.COPONG 083841425956 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/8/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3276080706940001 SANTANA L P.DESA 6/7/1994 P.DESA B.COPONG 08558399540 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/9/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107890145 ALPIANSAH L P.DESA 10/16/1985 P.DESA B.COPONG 083895764072 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/10/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107830195 UNUNG H L P.DESA 7/1/1984 P.DESA B.COPONG 083895970785 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/11/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107910206 MARPUDIN L P.DESA 12/18/1989 P.DESA B.COPONG 085777386661 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/12/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107850181 AJAT SUDRAJAT L P.DESA 2/5/1987 P.DESA B.COPONG 083183261495 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/13/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107870120 ENDANG L WIRASWASTA 3/15/1983 BALON B.COPONG 083896021493 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/14/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114107530134 IYAT P IRT 12/6/1953 LANSIA B.COPONG 083125324825 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/15/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114107530133 NASMAH P IRT 7/1/1947 LANSIA B.COPONG 083125324825 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/16/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114709480001 SURNI P IRT 9/9/1961 LANSIA B.COPONG 083125324825 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/17/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3173010508680022 AKBAR L SWASTA 8/5/1968 LANSIA B.COPONG 083807507517 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/18/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601310107610036 MUMUH L WIRASWASTA 5/6/1955 LANSIA B.COPONG 083892844142 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/19/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114107820085 SUMIATI P IRT 5/10/1969 LANSIA B.COPONG 083147218676 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/20/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114107600105 SODAH P IRT 7/1/1960 LANSIA B.COPONG 083125324825 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/21/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114107940113 NOFIA N P GURU 11/25/1994 GURU B.COPONG 085216070551 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/22/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601111308630002 ADHY AGUS L GURU 8/13/1963 GURU B.COPONG 083807505342 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/23/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3602096306790002 RINA HERLINA P GURU 6/23/1979 GURU B.COPONG 087772988223 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/24/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114204700001 SUHANAH P GURU 4/2/1970 GURU B.COPONG 085691097321 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/25/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601311010700001 KENEDI L GURU 10/10/1970 GURU B.COPONG 082116208678 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/26/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110603700002 MOHAMAD A L GURU 5/6/1970 GURU B.COPONG 081286349153 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/27/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114305000006 ROUDOTUL P GURU 5/3/2000 GURU B.COPONG 083872068637 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/28/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601310204660002 AMIRUDIN L GURU 4/2/1966 GURU B.COPONG 081310383726 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/29/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114107850138 ENOK YULIANTI P GURU 7/6/1984 GURU B.COPONG 083811127100 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/30/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114107720053 HALIMAH S P GURU 6/28/1958 GURU B.COPONG 083894423263 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 8/31/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601115703870002 MASTUROH P GURU 3/17/1987 GURU B.COPONG 083819455499 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/1/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3604116701960004 LINAWATI P GURU 1/27/1996 GURU B.COPONG 087865955309 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/2/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110202820011 MUHYIDIN L WIRASWASTA 2/2/1982 BALON B.COPONG 083815625830 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/3/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107880153 DURYATI P IRT 7/1/1988 KDR,COPONG B.COPONG 083890604338 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/4/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114107860095 JAMIATI P WIRASWASTA 10/2/1984 BALON B.COPONG 083897408517 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/5/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3602090412680002 ENUNG L WIRASWASTA 12/4/1968 LANSIA B.COPONG 085881329917 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/6/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110902680001 APIN L P.DESA 2/9/1965 P.DESA B.COPONG 082112147803 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/7/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114207400001 ANIMAH P IRT 7/2/1940 LANSIA B.COPONG 083125324825 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/8/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114108750002 SUPRIYANTI P P.DESA 8/1/1975 P.DESA B.COPONG 083876711214 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/9/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107830193 BAHRUDIN L P.DESA 9/20/1980 P.DESA B.COPONG 083876711214 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/10/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601116011830001 UUN P IRT 4/26/1986 P.DESA B.COPONG 083125324825 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/11/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601111706890001 ROYADI L 9/15/1989 0DGJ PS.SEDANG 081382344050 COVID-19 4/23/2021 6/23/2021 24002221 16096451778667 9/12/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114107710018 ADE SUKARSIH P IRT 12/12/1970 KADER PS.SEDANG 085287776118 COVID-19 6/23/2021 6/23/2023 24002221 16096451778667 9/13/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114107730034 SUNAIYAH P IRT 9/20/1970 KADER PS.SEDANG 087709863259 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/14/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114306750001 UPIAH P IRT 2/21/1975 KADER PS.SEDANG 083841442914 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/15/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601112010700001 HAMAMI L GURU 10/5/1970 GURU KD.PANDAK 081290638819 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/16/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110204610003 HENDY L WIRASWASTA 4/2/1961 LANSIA PS.SEDANG 085280189796 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/17/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114511630001 MAEMUNAH P WIRASWASTA 11/5/1963 LANSIA PS.SEDANG 085280189796 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/18/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601111504930004 SUKIA PERMANA L P.DESA 4/15/1993 P.DESA PS.SEDANG 083872249286 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/19/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601113012920004 ARIES YAYAT S L P.DESA 12/30/1992 P.DESA PS.SEDANG 083812622277 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/20/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107780100 SARIP L NAKES 7/1/1978 PKM KADUPANDAK 081210289122 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/21/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601115809870001 SUHAETI P IRT 9/18/2021 KADER KADUPANDAK COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/22/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114107800067 AAN P IRT 2/3/1979 KADER KADUPANDAK 085719022910 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/23/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114207820011 CUCUN.S P IRT 3/26/1985 KADER KADUPANDAK 085694185352 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/24/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601114502960007 SAYU.R P IRT 2/5/1996 KADER KADUPANDAK 082118997572 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/25/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601115409840001 YANI.Y P IRT 9/14/1984 KADER KADUPANDAK 083834322134 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/26/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601116707820001 PATONAH P IRT 7/27/1982 KADER KADUPANDAK 083841137421 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/27/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601116303830001 ANI.M P GURU 3/23/1983 GURU KADUPANDAK 083873644663 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/28/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3602095501910002 IIN.T P GURU 1/15/1991 GURU DS.KADUHAUK 083841229188 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/29/2021 24002221 16096451778667 DIBERIKAN VAKSIN
3601110107650030 M.YASIN L WIRASUASTA 6/15/1963 LANSIA KADUPANDAK 085282658581 COVID-19 6/23/2021 6/23/2021 24002221 16096451778667 9/30/2021 24002221 16096451778667 DIBERIKAN VAKSIN
MA-NAMA PENERIMA VAKSIN DOSIS 1 DAN 2 TERMIN 5
PUSKESMAS PICUNG
Nama Umur
No. Ticket NIK Penerima JK pekerjaan (18-59
Vaksin tahun)
3601111706890001 ROYADI L 9/15/1989

3601114107710018 ADE SUKARSIH P IRT 12/12/1970
3601114107730034 SUNAIYAH P IRT 9/20/1970
3601114306750001 UPIAH P IRT 2/21/1975
3601112010700001 HAMAMI L GURU 10/5/1970
3601110204610003 HENDY L WIRASWASTA 4/2/1961
3601114511630001 MAEMUNAH P WIRASWASTA 11/5/1963
3601111504930004 SUKIA PERMANA L P.DESA 4/15/1993
3601113012920004 ARIES YAYAT S L P.DESA 12/30/1992
Kepesertaan BPJS (tulis
'Ya' pada kolom yang
sesuai)
Kelom
pok INSTANSI Alamat No. Hp BPJS
BPJS Non
Umur Non
PBI Anggota
PBI
0DGJ PS.SEDANG 081382344050

KADER PS.SEDANG 085287776118
GURU KD.PANDAK 081290638819
LANSIA PS.SEDANG 085280189796
LANSIA PS.SEDANG 085280189796
P.DESA PS.SEDANG 083872249286
P.DESA PS.SEDANG 083812622277
Dosis I Dosis 2
Tangg
Merek al
Tanggal Tanggal
Vaksin** Pembe No.
Screening Pemberian No. Batch No seri
* rian Batch
Vaksinasi
Vaksin
asi
COVID-19 4/23/2021 6/23/2021 16096451778667
COVID-19 6/23/2021 6/23/2023 16096451778667
COVID-19 6/23/2021 6/23/2021 16096451778667
COVID-19 6/23/2021 6/23/2021 16096451778667
COVID-19 6/23/2021 6/23/2021 16096451778667
COVID-19 6/23/2021 6/23/2021 16096451778667
COVID-19 6/23/2021 6/23/2021 16096451778667
COVID-19 6/23/2021 6/23/2021 16096451778667
COVID-19 6/23/2021 6/23/2021 16096451778667
No KET
Seri
PUSKESMAS PICUNG
Nama Umur
Vaksin tahun)
3601110107780100 SARIP L NAKES 7/1/1978

3601115809870001 SUHAETI P IRT 9/18/2021
3601114107800067 AAN P IRT 2/3/1979
3601114207820011 CUCUN.S P IRT 3/26/1985
3601114502960007 SAYU.R P IRT 2/5/1996
3601115409840001 YANI.Y P IRT 9/14/1984
3601116707820001 PATONAH P IRT 7/27/1982
3601116303830001 ANI.M P GURU 3/23/1983
3602095501910002 IIN.T P GURU 1/15/1991
3601110107650030 M.YASIN L WIRASUASTA 6/15/1963
Kepesertaan BPJS
yang sesuai)
Kelom Merek
pok INSTANSI Alamat No. Hp BPJS Non Vaksin**
BPJS
Umur Non Anggot *
PBI
PBI a
PKM KADUPANDAK 081210289122 COVID-19

KADER KADUPANDAK COVID-19
KADER KADUPANDAK 085719022910 COVID-19
GURU KADUPANDAK 083873644663 COVID-19
GURU DS.KADUHAUK 083841229188 COVID-19
LANSIA KADUPANDAK 085282658581 COVID-19
Dosis I Dosis 2
Tangg
Tanggal al
Tanggal KET
Screening Pemberian No. Pembe No. No
No seri
Batch rian Batch Seri
Vaksinasi
Vaksin
asi
6/23/2021 6/23/2021 24002221 16096451778667
6/23/2021 6/23/2021 24002221 16096451778667
6/23/2021 6/23/2021 24002221 16096451778667
6/23/2021 6/23/2021 24002221 16096451778667
6/23/2021 6/23/2021 24002221 16096451778667
6/23/2021 6/23/2021 24002221 16096451778667
6/23/2021 6/23/2021 24002221 16096451778667
6/23/2021 6/23/2021 24002221 16096451778667
6/23/2021 6/23/2021 24002221 16096451778667
6/23/2021 6/23/2021 24002221 16096451778667
Kelo (tulis 'Ya' pada Dosis I Dosis 2
Nama Umur mpo kolom yang sesuai)
No. BPJS Non Merek Tanggal Tanggal Tanggal
NIK Penerima JK pekerjaan (18-59 k INSTANSI Alamat No. Hp BPJS KET
Ticket Non Anggot Vaksin*** Screening Pemberian No. Batch No seri Pemberian No. Batch No Seri
Vaksin tahun) Umu PBI
r PBI a Vaksinasi Vaksinasi
36011111098700003 AEP.A L WIRASWASTA 9/11/1987 WIRASWASTA CIHERANG 085694434036 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 7/24/2021 24002221 16096451778667 DAPAT DIBERIKAN
36071021201880006 DEDE.S L WIRASWASTA 1/12/1988 WIRASWASTA CIHERANG 085710519763 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 7/25/2021 24002221 16096451778667 DAPAT DIBERIKAN
36011112712990001 FARHAN.R L WIRASWASTA 12/27/1999 WIRASWASTA CIHERANG 085930443847 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 7/26/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601111001870001 ASEP.P L KECAMATAN 7/24/1987 KECAMATAN CIHERANG 083841386001 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 7/27/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601111108890001 AGUS.D L P.DESA 3/8/1988 P.DESA CIHERANG 081511954626 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 7/28/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114107530103 SULASIAH P P.DESA 7/16/1990 P.DESA CIHERANG 083871604786 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 7/29/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110906920001 RASMAN L P.DESA 6/9/1992 P.DESA CIHERANG 083818222313 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 7/30/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601310302740002 IKSANUDIN L P.DESA 3/3/1974 P.DESA 085219514233 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 7/31/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601113012700001 M.MUKRI L P.DESA 12/12/1970 P.DESA 083871578253 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/1/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110107820064 HERI L P.DESA 9/19/1982 P.DESA 082110775069 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/2/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110107800089 RONI L P.DESA 7/4/1974 P.DESA 083813283108 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/3/2021 24002221 16096451778667 DAPAT DIBERIKAN
3602100704830005 LUTFI L P.DESA 4/7/1983 P.DESA 082112474036 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/4/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601118086430001 AGUS.J L P.DESA 8/18/1983 P.DESA 083890404734 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/5/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601111001090001 YANTO AJI L P.DESA 8/10/1969 P.DESA 085779534090 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/6/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601112107910001 MUHRI L P.DESA 2/9/1992 P.DESA 085219859844 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/7/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601111011770002 SYAMSUDIN L P.DESA 5/6/1969 P.DESA 083871549145 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/8/2021 24002221 16096451778667 DAPAT DIBERIKAN
3173050101790033 SUKARTA L P.DESA 1/1/1979 P.DESA 085813733656 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/9/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601111610580001 JUMAN L P.DESA 7/5/1956 P.DESA 082110775069 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/10/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601116008930001 YENI.A P P.DESA 8/20/1993 P.DESA 083899531010 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/11/2021 24002221 16096451778667 DAPAT DIBERIKAN
1671075010700033 KANAH P IRT 10/10/1970 KADER 082371182251 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/12/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110705830001 INAH P IRT 5/7/1983 KADER 083819456542 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/13/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114205730001 NURSANAH P IRT 5/2/1973 KADER 083871578253 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/14/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114307480004 ASMI P IRT 11/20/1979 KADER 083819335515 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/15/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601115607800002 SOLIHAH P IRT 7/16/1980 KADER 087854349100 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/16/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114105730001 SUANAH P IRT 5/1/1973 KADER 083890404748 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/17/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601112112910001 YEYE.J L P.DESA 12/21/1991 P.DESA 085215971897 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/18/2021 24002221 16096451778667 DAPAT DIBERIKAN
3602094607950002 UTINAH P IRT 7/6/1995 P.DESA 083815892274 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/19/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110106900002 ERWIN.J L GURU 7/6/1990 GURU 081315100106 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/20/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601111809630001 NANA.S L WIRASWASTA 9/18/1964 LANSIA 085694713498 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/21/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601112102890001 YAYAN.Y L P.DESA 3/5/1989 P.DESA KOLELET 085887396520 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/22/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110304850009 HIDAYAT L P.DESA 4/23/1985 P.DESA KOLELET COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/23/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601112307840002 TAUFIK L P.DESA 7/23/1984 P.DESA KOLELET 083897483067 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/24/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601112709820001 BADRUDIN L P.DESA 7/27/1978 P.DESA KOLELET 085691097894 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/25/2021 24002221 16096451778667 DAPAT DIBERIKAN
3603272107710002 DAHLAN L P.DESA 7/21/1971 P.DESA KOLELET 083872035082 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/26/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601111006840001 YETI YULIANTI P P.DESA 6/13/1982 P.DESA KOLELET 081218537374 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/27/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601112001580001 JASIMIN L P.DESA 8/10/1962 P.DESA KOLELET 083838596001 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/28/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110602800001 OMAN. S L P.DESA 2/6/1980 P.DESA KOLELET 085281176220 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/29/2021 24002221 16096451778667 DAPAT DIBERIKAN
360111010860001 ADE RISYANTO L P.DESA 4/10/1986 P.DESA KOLELET 083838596001 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/30/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110203680001 ADE MUMAN L P.DESA 3/2/1968 P.DESA KOLELET 081994117542 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 8/31/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114402910001 JUJU JULAEHA P P.DESA 2/4/1991 P.DESA KOLELET 082123546700 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/1/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601111510840001 YUDI A L P.DESA 10/15/1984 P.DESA KOLELET 081399247204 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/2/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110809750001 SARMAN L P.DESA 2/11/1974 P.DESA KOLELET 083899270592 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/3/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601190607790001 JOKO TRIYANTO L P.DESA 7/6/1979 P.DESA KOLELET 083124945665 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/4/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110706910001 PERI IRAWAN L P.DESA 2/19/1992 P.DESA KOLELET 083806226533 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/5/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110204840001 HERDI L P.DESA 4/2/1984 P.DESA KOLELET 083891224285 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/6/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110306830002 SUHERNA L P.DESA 5/24/1981 P.DESA KOLELET 083815815339 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/7/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601112808780001 RIDWANSYAH L P.DESA 8/28/1978 P.DESA KOLELET 083896450703 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/8/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601111908960000 IRFAN RUHIYAT L WIRASWASTA 8/19/1996 NAKES KOLELET 082358947880 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/9/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601116002860001 TATI MUSPIROH P GURU 1/6/1985 GURU KOLELET 082117358230 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/10/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601116407890001 MIRA P GURU 7/24/1989 GURU KOLELET 083871297733 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/11/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601111110450001 M.SOLEH L LANSIA 2/1/1956 LANSIA KOLELET 083871293566 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/12/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601115203580001 MARNAH P IRT 2/1/1958 LANSIA KOLELET 083871293566 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/13/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601116207460001 KAMAH P IRT 3/17/1948 LANSIA KOLELET 083871293566 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/14/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601115004670001 KARSITI P IRT 12/2/1967 LANSIA KOLELET 083871293566 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/15/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114508800002 ENOK ROHANAH P IRT 6/4/1973 UMUM KOLELET 085321211973 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/16/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110311480001 SARTI P IRT 6/12/1948 LANSIA KOLELET COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/17/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601111509560001 AS'AD L PENSIUN GURU 9/15/1956 PENSIUN KOLELET 081213344128 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/18/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110908570001 N.MAS'AH P IRT 6/13/1944 LANSIA KOLELET 083872035082 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/19/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601117112650000 MANIR P IRT 12/31/1938 LANSIA KOLELET 0818665685 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/20/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110503620001 EMAN SUHENDY L UMUM 3/5/1962 LANSIA KOLELET 085711051506 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/21/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114107500005 SUMIATI P IRT 8/26/1945 LANSIA KOLELET 085711051506 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/22/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114206650002 ADE PURMANAH L UMUM 6/2/1965 LANSIA KOLELET 085711051506 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/23/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601112704630001 DADANG. J L UMUM 5/27/1963 LANSIA KOLELET 085711051506 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/24/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601115906660001 HELA. A P IRT 6/19/1966 LANSIA KOLELET 085711051506 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/25/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114107500051 MUMUN P IRT 7/1/1950 LANSIA KOLELET 085711051506 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/26/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601112004660002 ENDANG. S L UMUM 4/20/1966 LANSIA KOLELET 0838148450130 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/27/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601115104850002 ARMI P IRT 8/8/1965 LANSIA KOLELET 083848183841 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/28/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110604730001 MUGNI L UMUM 5/11/1964 LANSIA KOLELET 081585463259 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/29/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114407420001 SAIYAH P IRT 7/4/1942 LANSIA KOLELET 085281176220 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 9/30/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114801750001 SUHAEBAH P IRT 5/15/1973 LANSIA KOLELET 085281176220 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/1/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114602700002 ANI P IRT 5/7/1971 LANSIA KOLELET 083873392899 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/2/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601116403600001 HAERIYAH P IRT 5/6/1972 LANSIA KOLELET 083843156574 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/3/2021 24002221 16096451778667 DAPAT DIBERIKAN
3204051508570008 HABIB E ALIF L UMUM 8/15/1957 LANSIA KOLELET 081290968979 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/4/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601111301780002 ADE SUPENDI L UMUM 1/13/1978 LANSIA KOLELET 083848183848 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/5/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601116209810001 HAJARIAH P IRT 9/22/1973 LANSIA KOLELET 085692023363 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/6/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114107440007 INDAH. S P IRT 1/19/1988 UMUM KOLELET 085692023363 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/7/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114707870002 YANI. M P IRT 7/7/1987 UMUM KOLELET 083893638228 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/8/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114510930002 SALIS P IRT 10/5/1995 UMUM KOLELET 083841426880 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/9/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601116304740001 SITI JUBAEDAH P IRT 4/10/1973 UMUM KOLELET 083838596001 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/10/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601115703010003 PUPUT.N P UMUM 3/17/2001 UMUM KOLELET 083805695456 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/11/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110107850123 JAHRUDIN L UMUM 1/1/1983 UMUM KOLELET 083818222055 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/12/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110307830001 KOMARUDIN L UMUM 3/24/1982 UMUM KOLELET 083891122644 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/13/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601116710830001 ANITA P UMUM 10/27/1983 UMUM KOLELET 083896450702 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/14/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601115502880002 MASNIAH P IRT 2/15/1988 KADER KOLELET 081287309186 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/15/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601246803950001 ROHAYAH P IRT 8/17/1995 KADER KOLELET 083848183841 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/16/2021 24002221 16096451778667 DAPAT DIBERIKAN
3603276810000004 ISNI KHOFIA P UMUM 10/28/2000 UMUM KOLELET 089627936763 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/17/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601111503940004 ENDIN HAERUDIN L UMUM 3/15/1994 UMUM CILILTAN 083841430255 COVID-19 6/24/2021 6/24/2021 6/24/2021 16096451778667 10/18/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114107750027 DEDE. S P UMUM 7/1/1976 UMUM CILILTAN 082282701477 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/19/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601115005020001 RESTI. F P UMUM 5/10/2002 UMUM CILILTAN 085693592024 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/20/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601115001730002 E.NANI. M P IRT 1/10/1973 UMUM CILILTAN 081808161688 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/21/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601142001890002 INDRA. K L UMUM 1/20/1989 UMUM CILILTAN 081287309433 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/22/2021 24002221 16096451778667 DAPAT DIBERIKAN
3173040908890006 GILANG. F L UMUM 8/9/1989 UMUM CILILTAN 081214307946 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/23/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601105210921995 SANTI P UMUM 2/21/1995 UMUM CILILTAN 083819272342 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/24/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114107900067 ENENG. E P UMUM 1/5/1991 UMUM CILILTAN 085773755905 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/25/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110107910114 MOCH. ROSADI L UMUM 6/8/1988 UMUM CILILTAN 083813024911 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/26/2021 24002221 16096451778667 DAPAT DIBERIKAN
'3601146306950002 WINAWATI P UMUM 6/22/1995 UMUM CILILTAN 083879229853 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/27/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110107000137 M.TAHIR L UMUM 8/18/1999 UMUM CILILTAN 083845225531 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/28/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601112309970001 RIKZA. P L UMUM 9/23/1997 UMUM CILILTAN 082111039429 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/29/2021 24002221 16096451778667 DAPAT DIBERIKAN
3516132108690001 GATHUT. B L UMUM 6/21/1969 UMUM SDOKO 081703026929 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/30/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601115910020001 DIANA P UMUM 10/19/2002 UMUM CILILTAN 083844145965 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 10/31/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601160107920106 AKSAN L UMUM 4/5/1989 UMUM ANGSANA 082124058899 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/1/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110107850054 SUHERMAN L UMUM 7/1/1985 UMUM KADUHAUK 083896066662 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/2/2021 24002221 16096451778667 DAPAT DIBERIKAN
3602090401940002 AHMAD. H L UMUM 1/4/1994 UMUM BANJARSARI 083841538730 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/3/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601341901890001 TONI.I L UMUM 1/19/1989 UMUM MAJASARI 085219998883 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/4/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601113004030004 FERDIANSYAH L UMUM 4/30/2003 UMUM CILILTAN 085693552807 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/5/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114405010002 NENG FIKA P UMUM 5/4/2001 UMUM CILILTAN 081240597206 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/6/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110406910002 SYARIF. H L UMUM 6/4/1991 UMUM INDRAMAYU 085281044039 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/7/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114109020007 ILA. SEFTIALA P UMUM 01-09-20002 UMUM CILILTAN 083878929120 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/8/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114212860002 ADE AISAH P UMUM 12/2/1986 UMUM CILILTAN 083841201580 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/9/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110107560025 ALEK SAHRIN L UMUM 3/3/1972 UMUM CILILTAN 081511856306 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/10/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114208860001 MUMUN. M P GURU TK 6/9/1985 GURU TK CILILTAN 085215715133 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/11/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110107700027 SAHRONI L P.DESA 5/15/1970 P.DESA CILILTAN 087774172115 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/12/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601111903860001 EDI. S L P.DESA 3/19/1986 P.DESA CILILTAN 085714099640 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/13/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110711940002 SURYATNA. A L P.DESA 8/26/1991 P.DESA CILILTAN 085212574095 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/14/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110305730001 ENJANG L P.DESA 5/3/1973 P.DESA CILILTAN 087773923537 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/15/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601115412930001 ALFI. N P P.DESA 12/14/1996 P.DESA CILILTAN 082111928786 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/16/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114107740021 UCU.H P IRT 5/26/1974 LANSIA CILILTAN 081282771912 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/17/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114107720027 NANI.S P IRT 3/15/1972 LANSIA CILILTAN 082112157655 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/18/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110107630108 AHMAD L UMUM 11/6/1963 LANSIA CILILTAN 083841386003 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/19/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601110107580083 ADI. S L UMUM 6/6/1959 LANSIA CILILTAN 081290396242 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/20/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114107650018 YAYAH ROKAYAH P UMUM 6/8/1963 LANSIA CILILTAN 081286252402 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/21/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114212630001 JUMINTEN P IRT 12/2/1963 LANSIA CILILTAN 081290396242 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/22/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601115312470001 OTIH P IRT 12/13/1948 LANSIA CILILTAN 081286252402 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/23/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114107480020 HINDUN P IRT 7/1/1948 LANSIA CILILTAN 081286252402 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/24/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114909700001 EUIS ROHAETI P KADER 9/9/1970 KADER CILILTAN 085346817903 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/25/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114412700001 E.YANTI P KADER 12/4/1971 KADER CILILTAN 085696809730 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/26/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114503700001 UCU.SURYATI P KADER 3/5/1970 KADER CILILTAN 087773374455 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/27/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601114107850240 YATI P KADER 7/1/1985 KADER CILILTAN 085216027442 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/28/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601115407840002 SITI ROHMAH P KADER 7/23/1983 KADER CILILTAN 085216027442 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/29/2021 24002221 16096451778667 DAPAT DIBERIKAN
3601115506790001 ENENG RATNA P KADER 6/15/1979 KADER CILILTAN 085883875056 COVID-19 6/24/2021 6/24/2021 24002221 16096451778667 11/30/2021 24002221 16096451778667 DAPAT DIBERIKAN
A-NAMA PENERIMA VAKSIN DOSIS 1 DAN 2 TERMIN 5
PUSKESMAS PICUNG
Nama Umur Kelom

No.
NIK Penerima JK pekerjaan (18-59 pok
Ticket
Vaksin tahun) Umur
3601112102890001 YAYAN.Y L P.DESA 3/5/1989

3601110304850009 HIDAYAT L P.DESA 4/23/1985
3601112307840002 TAUFIK L P.DESA 7/23/1984
3601112709820001 BADRUDIN L P.DESA 7/27/1978
3603272107710002 DAHLAN L P.DESA 7/21/1971
3601111006840001 YETI YULIANTI P P.DESA 6/13/1982
3601112001580001 JASIMIN L P.DESA 8/10/1962
3601110602800001 OMAN. S L P.DESA 2/6/1980
360111010860001 ADE RISYANTO L P.DESA 4/10/1986
3601110203680001 ADE MUMAN L P.DESA 3/2/1968
3601114402910001 JUJU JULAEHA P P.DESA 2/4/1991
3601111510840001 YUDI A L P.DESA 10/15/1984
3601110809750001 SARMAN L P.DESA 2/11/1974
3601190607790001 JOKO TRIYANTO L P.DESA 7/6/1979
3601110706910001 PERI IRAWAN L P.DESA 2/19/1992
3601110204840001 HERDI L P.DESA 4/2/1984
3601110306830002 SUHERNA L P.DESA 5/24/1981
3601112808780001 RIDWANSYAH L P.DESA 8/28/1978
3601111908960000 IRFAN RUHIYAT L WIRASWASTA 8/19/1996
3601116002860001 TATI MUSPIROH P GURU 1/6/1985
3601116407890001 MIRA P GURU 7/24/1989
3601111110450001 M.SOLEH L LANSIA 2/1/1956
3601115203580001 MARNAH P IRT 2/1/1958
3601116207460001 KAMAH P IRT 3/17/1948
3601115004670001 KARSITI P IRT 12/2/1967
3601114508800002 ENOK ROHANAH P IRT 6/4/1973
3601110311480001 SARTI P IRT 6/12/1948
3601111509560001 AS'AD L PENSIUN GURU 9/15/1956
3601110908570001 N.MAS'AH P IRT 6/13/1944
3601117112650000 MANIR P IRT 12/31/1938
3601110503620001 EMAN SUHENDY L UMUM 3/5/1962
3601114107500005 SUMIATI P IRT 8/26/1945
3601114206650002 ADE PURMANAH L UMUM 6/2/1965
3601112704630001 DADANG. J L UMUM 5/27/1963
3601115906660001 HELA. A P IRT 6/19/1966
3601114107500051 MUMUN P IRT 7/1/1950
3601112004660002 ENDANG. S L UMUM 4/20/1966
3601115104850002 ARMI P IRT 8/8/1965
3601110604730001 MUGNI L UMUM 5/11/1964
3601114407420001 SAIYAH P IRT 7/4/1942
3601114801750001 SUHAEBAH P IRT 5/15/1973
3601114602700002 ANI P IRT 5/7/1971
3601116403600001 HAERIYAH P IRT 5/6/1972
3204051508570008 HABIB E ALIF L UMUM 8/15/1957
3601111301780002 ADE SUPENDI L UMUM 1/13/1978
3601116209810001 HAJARIAH P IRT 9/22/1973
3601114107440007 INDAH. S P IRT 1/19/1988
3601114707870002 YANI. M P IRT 7/7/1987
3601114510930002 SALIS P IRT 10/5/1995
3601116304740001 SITI JUBAEDAH P IRT 4/10/1973
3601115703010003 PUPUT.N P UMUM 3/17/2001
3601110107850123 JAHRUDIN L UMUM 1/1/1983
3601110307830001 KOMARUDIN L UMUM 3/24/1982
3601116710830001 ANITA P UMUM 10/27/1983
3601115502880002 MASNIAH P IRT 2/15/1988
3601246803950001 ROHAYAH P IRT 8/17/1995
3603276810000004 ISNI KHOFIA P UMUM 10/28/2000
Kepesertaan BPJS
yang sesuai)
INSTAN BPJS Non Merek Tanggal

Alamat No. Hp BPJS
SI Non Anggot Vaksin*** Screening
PBI
PBI a
P.DESA KOLELET 085887396520 COVID-19 6/24/2021

P.DESA KOLELET COVID-19 6/24/2021
NAKES KOLELET 082358947880 COVID-19 6/24/2021
GURU KOLELET 082117358230 COVID-19 6/24/2021
GURU KOLELET 083871297733 COVID-19 6/24/2021
LANSIA KOLELET 083871293566 COVID-19 6/24/2021
UMUM KOLELET 085321211973 COVID-19 6/24/2021
LANSIA KOLELET COVID-19 6/24/2021
PENSIUN KOLELET 081213344128 COVID-19 6/24/2021
KADER KOLELET 081287309186 COVID-19 6/24/2021
KADER KOLELET 083848183841 COVID-19 6/24/2021
Dosis I Dosis 2
Tangg
al
Tanggal KET
No. Pembe No. No
Pemberian No seri
Vaksinasi
Vaksin
asi
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
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6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
6/24/2021 24002221 16096451778667
PUSKESMAS PICUNG
Nama Umur
Vaksin tahun)
3601111503940004 ENDIN HAERUDIN L UMUM 3/15/1994

3601114107750027 DEDE. S P UMUM 7/1/1976
3601115005020001 RESTI. F P UMUM 5/10/2002
3601115001730002 E.NANI. M P IRT 1/10/1973
3601142001890002 INDRA. K L UMUM 1/20/1989
3173040908890006 GILANG. F L UMUM 8/9/1989
3601105210921995 SANTI P UMUM 2/21/1995
3601114107900067 ENENG. E P UMUM 1/5/1991
3601110107910114 MOCH. ROSADI L UMUM 6/8/1988
'3601146306950002 WINAWATI P UMUM 6/22/1995
3601110107000137 M.TAHIR L UMUM 8/18/1999
3601112309970001 RIKZA. P L UMUM 9/23/1997
3516132108690001 GATHUT. B L UMUM 6/21/1969
3601115910020001 DIANA P UMUM 10/19/2002
3601160107920106 AKSAN L UMUM 4/5/1989
3601110107850054 SUHERMAN L UMUM 7/1/1985
3602090401940002 AHMAD. H L UMUM 1/4/1994
3601341901890001 TONI.I L UMUM 1/19/1989
3601113004030004 FERDIANSYAH L UMUM 4/30/2003
3601114405010002 NENG FIKA P UMUM 5/4/2001
3601110406910002 SYARIF. H L UMUM 6/4/1991
3601114109020007 ILA. SEFTIALA P UMUM 01-09-20002
3601114212860002 ADE AISAH P UMUM 12/2/1986
3601110107560025 ALEK SAHRIN L UMUM 3/3/1972
3601114208860001 MUMUN. M P GURU TK 6/9/1985
3601110107700027 SAHRONI L P.DESA 5/15/1970
3601111903860001 EDI. S L P.DESA 3/19/1986
3601110711940002 SURYATNA. A L P.DESA 8/26/1991
3601110305730001 ENJANG L P.DESA 5/3/1973
3601115412930001 ALFI. N P P.DESA 12/14/1996
3601114107740021 UCU.H P IRT 5/26/1974
3601114107720027 NANI.S P IRT 3/15/1972
3601110107630108 AHMAD L UMUM 11/6/1963
3601110107580083 ADI. S L UMUM 6/6/1959
3601114107650018 YAYAH ROKAYAH P UMUM 6/8/1963
3601114212630001 JUMINTEN P IRT 12/2/1963
3601115312470001 OTIH P IRT 12/13/1948
3601114107480020 HINDUN P IRT 7/1/1948
3601114909700001 EUIS ROHAETI P KADER 9/9/1970
3601114412700001 E.YANTI P KADER 12/4/1971
3601114503700001 UCU.SURYATI P KADER 3/5/1970
3601114107850240 YATI P KADER 7/1/1985
3601115407840002 SITI ROHMAH P KADER 7/23/1983
3601115506790001 ENENG RATNA P KADER 6/15/1979
Kepesertaan BPJS (tulis
'Ya' pada kolom yang
sesuai)
Kelompo BPJS Merek

INSTANSI Alamat No. Hp BPJS Non
k Umur Non Vaksin***
PBI Anggota
PBI
UMUM CILILTAN 083841430255 COVID-19

UMUM SDOKO 081703026929 COVID-19
UMUM ANGSANA 082124058899 COVID-19
UMUM KADUHAUK 083896066662 COVID-19
UMUM BANJARSARI 083841538730 COVID-19
UMUM MAJASARI 085219998883 COVID-19
UMUM INDRAMAYU 085281044039 COVID-19
GURU TK CILILTAN 085215715133 COVID-19
P.DESA CILILTAN 087774172115 COVID-19
LANSIA CILILTAN 081282771912 COVID-19
KADER CILILTAN 085346817903 COVID-19
Dosis I Dosis 2
Tangg
Tanggal al
Tanggal KET
Screening Pembe No. No
Pemberian No. Batch No seri
rian Batch Seri
Vaksinasi
Vaksin
asi
6/24/2021 6/24/2021 6/24/2021 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
6/24/2021 6/24/2021 24002221 16096451778667
PORANA NAMA-NAMA PENERIMA VAKSIN DOSIS 1 DAN 2 TERMIN 6

kolom yang sesuai)
Tangg
Nama al
Umur Kelompo INSTAN BPJS Non Merek Tanggal Tanggal
No. Ticket NIK Penerima JK pekerjaan Alamat No. Hp BPJS Pembe No. No KET
(18-59 tahun) k Umur SI Non Angg Vaksin*** Screening Pemberian No. Batch No seri
Vaksin PBI rian Batch Seri
PBI ota Vaksinasi
Vaksin
asi
P-QCADJBW6 3602094408000005WULANSARI P IRT 8/14/2000 UMUM PICUNG 083871559145 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-QGDAPWBI 3601114110860001HILMAH P IRT 10/1/1986 UMUM PICUNG 085710507196 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-QP8RAOCA 3601110107810122YOYON. S L WIRASWASTA 7/10/1980 UMUM PICUNG 085717322285 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-R2RQ7YP6 3601132304960001AHMAD IRAWAN L WIRASWASTA 4/23/1996 UMUM PICUNG 083893063760 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-R0IARDGU 3604114505910000KASWANAH P IRT 5/5/1991 UMUM PICUNG 085910286145 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-RL54VO2X 3602095111850003SUSI P IRT 11/11/1985 UMUM PICUNG 089654988721 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-RKM5KFTH 3601111212890001YUDI YANA L GURU 12/12/1989 GURU PICUNG 087870195444 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-RK8I2HOO 3601116202920002ENOK NOVI P IRT 2/22/1992 UMUM PICUNG 08531896284 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
S-7DF876AA 3601114107910187NELIS DIAN P IRT 7/1/1991 UMUM PICUNG 083890921930 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-QWU6YQLB 3602096009960002HERA FERAWATI P NAKES 9/20/1995 UMUM PICUNG 085210333990 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-RJ3U26WK 3601114212990001AAS HANDAYANI P IRT 12/2/1999 UMUM PICUNG 085811459682 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-RGZJ49JV 3601116609010001MIA NURAZIZAH P IRT 9/26/2000 UMUM PICUNG 082332925174 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-OY1LXFC7 3601115410750001ARI L WIRASWASTA 10/1/1972 UMUM PICUNG 085643158468 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-PY3DLUHN 3601110705600001SUHARYANTO L WIRASWASTA 5/7/1961 UMUM PICUNG 081295959607 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-QTST7TIN 3601115208010001AYU GINA P UMUM 8/12/2001 UMUM PICUNG 081517971875 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-QSVCSRUN 3601114107910099DIAN ROSIANA P IRT 4/21/1991 UMUM PICUNG 082299823222 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-QT28HXJG 3603032207900001TRIO BAYU L UMUM 7/22/1990 UMUM PICUNG 081218037788 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-QONQ1CM1 3601316512000002SINTA. R P UMUM 2/25/2000 UMUM PICUNG 083804351382 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
P-QUXPGL6G 3601114602010005PEBIYOLA P UMUM 2/6/2001 UMUM PICUNG 085711214819 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
S-DDE7E62A 3601110107580201HALIL L UMUM 7/1/1958 UMUM PICUNG 083870303232 CORONA VAC 6/29/2021 6/29/2021 24003121 16096451778667
NA NAMA-NAMA PENERIMA VAKSIN DOSIS 1 DAN 2 TERMIN 6

(tulis 'Ya' pada kolom Dosis I
Umur Kelom yang sesuai)
No. Nama Penerima BPJS Non Merek Tanggal Tanggal
NIK JK pekerjaan (18-59 pok INSTANSI Alamat No. Hp BPJS
Ticket Vaksin Non Anggot Vaksin*** Screening Pemberian No. Batch No seri
tahun) Umur PBI
PBI a Vaksinasi
. 3601114107930071 LILI DAHLIA P MPS 5/23/1992 UMUM CILILITAN 085882829796 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601110303880003 DEDE.PARIKI L KK 3/3/1988 UMUM CILILITAN 0859102636995 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601116303790001 NURHASANAH P IRT 3/23/1978 UMUM CILILITAN 081511863714 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601111706760001 ARI PRIBADHIE L WIRASWASTA 6/17/1978 UMUM CILILITAN 081350377733 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114603870002 UMI SUNAETIN P IRT 3/6/1987 UMUM KADUPANDAK 081219640741 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601110602490001 SLAMET L PENSIUN 2/6/1949 UMUM CILILITAN 081316501076 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601115003590001 ENJUM P IRT 3/10/1959 UMUM CILILITAN 081383490212 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114207860002 TINI P IRT 4/21/1986 UMUM CILILITAN 085321212857 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114107830101 ELI P IRT 10/1/1979 UMUM CILILITAN 087808782350 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601115101830001 ENENG SANTI P IRT 1/11/1983 UMUM CILILITAN 087808782350 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601115012870001 NENG ATI P IRT 12/10/1988 UMUM CILILITAN 083874283868 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601111708910004 AGUS SETIAWAN L KARIAWAN 8/17/1991 UMUM KOLELET 083874143904 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114604790001 EMI.M P IRT 4/2/1981 UMUM KOLELET 081220820094 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601115603990001 DINI DELINI P MAHASISWI 3/16/1999 UMUM KOLELET 083871293566 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114909860001 TETI P IRT 2/2/1973 UMUM KOLELET 083124945662 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601116112010001 DEVI DESRIANTI P MAHASISWI 12/21/2001 UMUM KOLELET 083124945669 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114709630001 LARNI P IRT 9/7/1964 UMUM CILILITAN 085218904651 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114107480018 ARTI P IRT 7/1/1948 UMUM CILILITAN 083871048557 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3602094101370004 MAMIH P IRT 1/1/1937 UMUM CILILITAN 083871048557 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601116507020001 FITRA P MAHASISWI 7/25/2002 UMUM KOLELET 083875350828 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114903880002 SITI SUMARNI P IRT 7/11/1988 UMUM KADUPANDAK 083848126790 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601315212850001 NURHASANAH P IRT 8/12/1988 UMUM CILILITAN 085776891332 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601116811970001 DEWI.K P MAHASISWI 11/28/1997 UMUM CILILITAN 083807493450 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3171032609920001 HERIYANTO L MPS 9/26/1992 UMUM SAKETI 081285889060 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601110810910002 EDI SUTISON L P.DESA 10/1/1991 UMUM KADUBERA 085891606018 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3602090412940002 OJI FAUZI L MPS 12/1/1994 UMUM BANJARSARI 0812954170307 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601102008940001 RIDWAN DWI.T L MPS 8/24/1994 UMUM BOJONG 083874286187 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114806920001 TATI SULAWATI P IRT 6/8/1989 UMUM CILILITAN 082310670553 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3209060704630002 DEDE CAHYADI L WIRASWASTA 3/7/1983 UMUM CILILITAN 085891575961 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601115009500000 RINA RIANA P IRT 27-04-1978 KP. KADUMULA 83124945662 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601115003960006 EBTIN SUHARTINI P IRT 10/3/1996 KP. CIBAGOLO 85216446181 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601110207790007 TAUFIQUROHMAN L WIRASWASTA 2/5/1989 DESA KP. KADUPANDAK 83848126790 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601116004730001 ANAH P IRT 4/10/1972 KP. KADUMULA 81804848772 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3602096503650001 NANIH P IRT 25-03-1965 KP. KADUHAUK 83899876544 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601116210990001 ANIASA DWI SETIANI P MAHASISWA 22-10-1999 KP. KALAHANG 87805683351 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601110108900001 HENDRIANSYAH L WIRASWASTA 14-08-1992 KP. BABAKAN KEMBANG 81287309119 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601112312640002 M.I. TRIAYATNA L PNS 23-12-1964 SMP 1 PICUNG KP. KADUKALAHANG 81218193090 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3602091007950003 EDI L MAHASISWA 10/7/1995 KP. RANCABILUK 83871559184 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114401880002 DEWI PUNAWATI P IRT 4/1/1988 KP. CIHERANG 89695175588 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601115008000003 YAYU HERDIANTI P MAHASISWA 10/8/2000 KP. SINDANGRESMI 85886119795 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601104107970100 NYAI WAWA WASIAH P IRT 24 KADU HAUAK 082813470269 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601260107840004 IWAN FAUZI L PELAJAR/ MAHASISWA 26 RENGAT TENGAH 083841286841 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601115010760001 IPAT PATMAWATI P IRT 45 CIPURANG 085692719397 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601292803970000 MUHAMMAD JUHDI L WIRASWASTA 24 KARYASARI 083808642945 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114107680098 JUMAENAH P IRT 53 PASAR LAMA 085779367146 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601110107750105 OMAN WAHYUDI L WIRASWASTA 49 SUNGKAUEN 085693142130 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601115803590001 SANAH P IRT 62 CIBAGOLO 083871988550 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601111703740000 JAYA L PEDAGANG 47 SAMAPUN 083894423185 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114107830127 ICIH P IRT 1/3/1982 SAMAPUN 083890369397 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114107800051 MARSAH P IRT 2/5/1980 CIBAGOLO 085693592308 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601116106860001 IDA FARIDA P IRT 6/10/1983 PASIR PENDEUY 081224209606 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601115103840001 ADE MAESAROH P IRT 11/17/1983 BABAKAN TEREUP 02112008848 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3602091809640001 DUDDI SUDRAJAT L BURUH HARIAN LEPAS 9/18/1964 KADU HAUK 08777239360880 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114107620033 SAMAH P IRT 7/1/1962 MULIJATI 083832360646 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601116303860001 SANI P IRT 3/23/1986 CIMOYAN 083812938007 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601111209960001 IRFAN BAHTIAH L PELAJAR/ MAHASISWA 9/12/1996 CIBAGOLO 083814554480 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 36011141078500523 TUTI SUSANTI P IRT 7/1/1984 PASAR LAMA 0838930629591 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114302780003 YANTI P IRT 2/3/1978 SAMAPUN 083890369397 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601104107930093 SHANTY PEBRIYANI P IRT 2/23/1991 CIBAGOLO 083899266676 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114611020001 RATRI AWALIA RAMADHA
P PELAJAR 11/6/2002 CIBAGOLO 083834383188 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114207840010 INJAR GUSTILAH P IRT 8/17/1984 KADU KALAHANG 083877714895 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601116209800002 JUMIATI P IRT 9/22/1980 BABAKAN TEREUP 085777525101 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114302720002 AMAH P IRT 2/3/1972 PASIR PENDEUY 083139830342 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601116112890001 UUM P IRT 12/21/1989 PASIR PENDEUY 0831391830342 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114107810052 IJAH P IRT 7/1/1981 PASIR PENDEUY 083874401910 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114107640020 ANTINAH P IRT 7/3/1985 PASIR PENDEUY 081390233600 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3602093004750000 ISON L WIRASWASTA 4/30/1975 KADU HAUK 085782466580 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114107500025 SUADAH P IRT 7/1/1950 CIBAGOLO 087808782350 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 360111702760002 ARMAH P IRT 2/27/1976 PASIR PENDEUY 0859102760845 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114205860002 ENONG JHUWITA P IRT 5/2/1986 KADU MULA 085210385901 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601116201800001 KARTI P IRT 3/22/1980 KADU MULA 081804848772 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114107480054 NURHAYATI P IRT 5/20/1966 KADU MULA 085210385901 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114207850022 ADE YULISTIANA P IRT 8/13/1934 KADU KALAHANG 085880002816 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601110107900107 IMAN L WIRASWASTA 5/19/1990 CIKATULAMPAK 0838703881506 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601115008900001 SUPARTI P IRT 8/10/1961 KADU MULA 085210385901 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3277016001880019 ROSI ROSMIATI P IRT 1/20/1988 SUKAMANAH 083870845159 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601115003960006 ENTIN SUHARTINI P IRT 3/10/1996 CILILITAN 085216446181 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 360112160770001 ALDIN SYARIFUDIN L WIRASWASTA 6/16/1977 CILILITAN 083875370966 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114107920085 SITI AISAH P IRT 6/16/1993 KADUPANDAK 0859102606826 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3602091602810001 SUHERDI L WIRASWASTA 2/16/1981 BANJARSARI 087741154401 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601110107700086 SANUN L WIRASWASTA 12/2/1972 KADUBERA 083896532618 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114107820116 JUJU P IRT 7/1/1982 KADUBERA 085892748071 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114207820004 ITING.O P IRT 6/23/1986 CILILITAN 085710516412 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114107850066 RENI P IRT 7/1/1985 KADUPANDAK 085719022910 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114102560002 E. MARSINAH P IRT 2/1/1956 CILILITAN 085710523417 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601112504620001 SUKUR L WIRASWASTA 4/25/1962 CILILITAN 081390223271 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601110107930106 BOHAN MULYADI L WIRASWASTA 5/19/1993 CILILITAN 085714544518 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601114809860001 SITI APIPAH P WIRASWASTA 9/8/1986 CILILITAN 081908759645 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601115403660001 ENAH P IRT 3/14/1966 CILILITAN 083872666533 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3602090203010001 YOGA FIRDAUS L WIRASWASTA 7/6/2000 BANJARSARI 083841511932 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
. 3601115303810001 LESARI P IRT 3/13/1981 KADUPANDAK 0859102606826 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
tgl 05 P-GBNT5ZDA3601114708020001 RIPA AMELIA P UMUM 9/2/2001 KOLELET 081315529390 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3602092512890001 SUTISNA L UMUM 12/25/1989 KOLELET 082114984539 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601115103960003 HANI MARTARITA P UMUM 3/11/1996 CILILITAN 085773641314 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601215905960001 SITI AQILLAH P UMUM 5/18/1996 BANJARSARI 083813973349 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114107950017 AAN ANSORIAH P UMUM 4/1/1996 PS.SEDANG 085217175665 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114411870001 YULIAH P UMUM 12/12/1982 KOLELET 083895255139 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601115110640001 IYAH P UMUM 10/11/1964 KOLELET 083124945696 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114107900167 YULIYANTI P UMUM 10/27/1990 B.COPONG 085716787770 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3211061903900005 ROSADI L UMUM 3/19/1990 KEC.SITU RAJA 083829377474 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601115204990004 ENENG NANI. S P UMUM 4/12/1999 CIHERANG 085718503670 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3211061008800006 ADE KARYANA L UMUM 8/10/1980 KEC.SITU RAJA 083184416190 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114107690011 ENTIN P UMUM 7/1/1969 CILILITAN 085966776706 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114107830328 MIMIN AMINAH P UMUM 8/31/1982 KD.BERA 081511869633 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601113007850001 BAGJA RISMAWAN L UMUM 7/30/1985 PICUNG 081281983690 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
360111506880004 YANTO L UMUM 6/15/1988 KOLELET 083808163569 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601115007700001 SANAMI P IRT 2/3/1970 KOLELET 083871495674 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3602095707610001 UPEN L UMUM 7/17/1961 BANJARSARI 083815129703 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601111011860006 SUWANTO L UMUM 11/10/1986 PS.SEDANG 085365588896 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114907680001 CICIH KURNIASIH P IRT 9/8/1966 KOLELET 083877230288 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601115007910001 SITI MASITOH P IRT 7/10/1991 PS.SEDANG 083841134076 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601110202800004 SUPENDI L UMUM 3/23/1973 B.COPONG 085694273088 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601160107890214 USEP SAEPUL. M L UMUM 4/7/1988 CIHERANG 087773362340 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601111509800001 RAHMAT L UMUM 2/5/1982 KOLELET 083841176659 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601116706870005 RENA SUMIRNA P IRT 6/27/1987 BANJARSARI 083841429617 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601110506790005 CAHYADI L UMUM 6/5/1979 PICUNG 085810413189 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601115005920003 DEDE JULAEHA P IRT 5/10/1992 PICUNG 081387385090 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601116306630001 SURYATI P IRT 6/23/1963 CILILITAN 083891135642 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601110107600021 RUSDI L UMUM 4/20/1960 CILILITAN 085157905517 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601116802900003 SUHERNI P IRT 2/28/1990 CILILITAN 083870982852 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3201382310960004 RAHADIAN A L UMUM 10/23/1996 CICOMBONG 087843302033 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114107670055 RUHAENI P IRT 7/1/1963 CILILITAN 083871581347 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601103006960002 ERIK SAPUTRA L UMUM 2/7/1962 BOJONG 083807141859 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114107680080 UNIAH P IRT 5/1/1981 CILILITAN 083890674780 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3602094109750001 MARIDAH P IRT 9/1/1975 BANJARSARI 083890900954 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601110104030003 RAMA. N L UMUM 4/1/2003 CILILITAN 0895335249223 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114407730001 NURHASANAH P IRT 7/4/1973 KD.BERA 083871535375 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601105603990002 NINA DIANA P UMUM 3/16/1999 BOJONG 081807033412 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601110101960003 HELMI. H L UMUM 1/1/1996 CILILITAN 083870383868 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3604202009800001 MAYADI L UMUM 9/20/1980 KOLELET 083110903304 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114107690009 WARIAH P IRT 7/1/1974 CILILITAN 085773755905 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114304990006 NINA N. P UMUM 4/3/1999 BANJARSARI 081311281077 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3602091608920002 ATANG. H L UMUM 8/10/1993 BANJARSARI 085764033278 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601116107580001 MARA ATMARA P IRT 7/27/1957 KOLELET CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601100308950008 SAEPUL ANWAR L UMUM 8/3/1995 BOJONG 083806092660 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114107990080 IIN ROSITA P UMUM 2/16/2000 CILILITAN 085311642299 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3602091005930007 NURHADI L UMUM 12/26/1997 KOLELET 083871664447 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3602097010640001 WAWANG L UMUM 10/30/1964 BANJARSARI 083815395373 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114107030023 DITA AGUSTIAWATI P UMUM 8/9/2002 CILILITAN 083821148188 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601115011950001 IDA WARTINI P UMUM 11/10/1998 CILILITAN 083871297618 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601110702670001 SARIPUDIN L UMUM 2/7/1962 KD.BERA 085718532386 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114207710004 M.SAYUTI L UMUM 7/5/1978 KD.BERA 083895702196 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114207850024 ENONG ICIH P IRT 7/2/1986 CILILITAN 083891135642 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601106707990003 LUNA SELVIA P UMUM 7/27/1999 BOJONG 085959082766 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601116608870002 TIKAH P IRT 8/26/1987 CILILITAN 083841260159 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601112304850002 SUHENDI L UMUM 4/23/1985 CILILITAN 083895894425 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114506780001 OMAH HERYANI P IRT 6/5/1978 KADUPANDAK 085691099106 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601114107780065 IIN INASARI P IRT 8/2/1981 CILILITAN 083892300393 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3603186611870003 RENI NURAENI P IRT 11/26/1987 CILILITAN 085217702991 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601116105950001 MELI INDRIANI P UMUM 5/1/1996 CILILITAN 081221094424 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
3601101703780003 SAPURI L UMUM 3/17/1978 BOJONG 081513331223 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667
PUSKESMAS PICUNG Kepesertaan BPJS (tulis

'Ya' pada kolom yang Dosis I Dosis 2
Kelomp sesuai)
Umur BPJS Non Merek Tanggal Tanggal Tanggal
No. Ticket NIK Nama Penerima Vaksin JK pekerjaan ok INSTANSI Alamat No. Hp BPJS KET
(18-59 tahun) Non Anggot Vaksin*** Screening Pemberian No. Batch No seri Pemberian No. Batch No Seri
Umur PBI
PBI a Vaksinasi Vaksinasi
Y-0135XKTJ 3601114802870001 LENI YUNENGSIH P IRT 2/8/1987 UMUM KEC,SAWAH BESAR 085718006845 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-2BBRN6GY 3601115004790001 ENONG RUMIYATI P IRT 5/15/1982 UMUM KOLELET 081281824431 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-1NCI4QCQ 3601115203760001 WATI P IRT 3/12/1976 UMUM CILILITAN 085211786762 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-1S3Z57N3 3601114107010083 ELSA P IRT 1/17/2001 UMUM PICUNG 081313211649 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-1NCJK6ZD 3601114305720001 ENJUN P IRT 3/25/1978 UMUM CILILITAN 085211786762 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-1FG1Z6RR 3601115609800001 ROHAETI P IRT 9/16/1982 UMUM KADUPANDAK 085714773968 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
W-1A4E3F50 3601101208660002 CECE MAHFUDIN L WIRASWASTA 11/28/1966 UMUM BOJONG 081585460078 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-4ENCEP9B 3603044109970001 SUHARNI P IRT 9/1/1997 UMUM PICUNG 085774427956 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-4VR278PQ 3601115108000001 NENG GITA. Y P MAHASISWA 8/11/2000 UMUM PS.SEDANG 083812146493 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-3IP9E5XR 3601114107020074 NUR FAUZIAH P MAHASISWA 8/17/2003 UMUM CILILITAN 083890404799 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-3KJPERZX 3601104107890014 NURAENI P IRT 5/5/1989 UMUM BOJONG 083806125230 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-4C55GIAK 3313024503650001 PARNI P IRT 3/5/1965 UMUM JAWA TENGAH 085211771807 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-3EUVG3IH 3601180107870079 NURLIA P IRT 2/10/1985 UMUM CILILITAN 082310670553 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-3MW71A8D 3601316109870001 ASMAH P IRT 6/1/1979 UMUM SINDANGRESMI 083871757448 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-3OJWLBE7 3601110107840029 IROH RAHMAWATI P IRT 7/1/1983 UMUM CILILITAN 082298907951 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-3ZGFIJIA 3601110107600050 DARSIM L WIRASWASTA 1/1/1976 UMUM B.COPONG 083870820702 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-3TI1O7MH 3601115008880001 TITIN ANDRIYANI P IRT 11/24/1993 UMUM KOLELET 083871989239 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-429JUFSL 3517092408960002 YOYOK WINARNO L WIRASWASTA 8/24/1996 UMUM DSN. PLOSOWEDI 081252872136 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-61MVTJXP 3601116003760001 SARIPAH P IRT 5/15/1976 UMUM KOLELET 083871293566 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5ZOB8ZFR 3601112002030002 ILHAM FA L WIRASWASTA 2/20/2003 UMUM CILILITAN 0838711753490 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-58Q22KJA 3601114308830010 MARTINI P IRT 8/3/1983 UMUM KOLELET 083871293566 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5UOPSIL8 3601106602970002 WIDYA PRATIWI P IRT 2/26/1997 UMUM BOJONG 082298249297 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-4N485ABE 32070211085890004 DAVIT ARIYADI L MAHASISWA 5/11/1999 UMUM PERUM BUMI. 081223792229 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-D603C0E8 3602096401610002 YUSRIATI P GURU 1/21/1961 GURU BOJONG 081382475776 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5RXCKQFT 3602095211720001 ISAH P IRT 11/12/1972 UMUM BANJARSARI 083841184107 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5QB2SCBL 3601114504780001 JUMANAH P IRT 4/5/1978 UMUM KOLELET 083812703351 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-4HEI6H7K 3601110107030020 KHOIRUL ANWAR L MAHASISWA 12/28/2002 UMUM CILILITAN 083841426080 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5W0ZNAS9 1608025505000001 DESI MELINDA P MAHASISWA 5/15/2000 UMUM NEGRI PAKUAN 081314586435 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5DRFKHC3 3601114508980002 TATI HERAWATI P IRT 4/5/1998 UMUM KADUPANDAK 083873130492 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5B7OD8TZ 3204122101890002 REZA HARI. T L WIRASWASTA 1/21/1989 UMUM BANJARSARI 085720665278 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
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P-1KVK4AH3 3601112503780001 WIRAJAYA L WIRASWASTA 3/25/1978 UMUM SINDANGRESMI 085813866892 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-2DNBFUXF 3601114107730101 YATI P IRT 7/7/1972 UMUM CILILITAN 083895736670 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-FA750DC5 3601110107460016 SAIBAN L WIRASWASTA 7/1/1946 UMUM CILILITAN 0859102637429 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-3H5ALLTN 3601115206800001 RUMINAH P IRT 4/17/1977 UMUM KOLELET 081382724850 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-21M3TGWW 3601112511020002 JUNAEDI. R L MAHASISWA 9/25/2002 UMUM CILILITAN 081382536415 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-1Y7A3MJ5 3601112108010005 EEP SUJANA L MAHASISWA 8/21/2001 UMUM CILILITAN 083892648243 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-24G7HSD7 3601111606800005 DUDUNG. S L WIRASWASTA 6/16/1980 UMUM CILILITAN 085697676661 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-1VLUDK17 3601114702940004 HERTI P IRT 2/7/1997 UMUM CILILITAN 083831101864 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-2O6FB7IR 3601110704840004 ATANG SYAFE,I L WIRASWASTA 4/7/1984 UMUM CILILITAN 085210480954 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-1RWGM90N 3601106104940001 NENG HAMIDAH P IRT 4/21/1994 UMUM BOJONG 087775059163 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-6TDVXNAW 3602096510810002 ENJUN ITOH P IRT 10/25/1981 UMUM BANJARSARI 083811666150 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-2WA4KKSX 3601114107870026 MULYANIH P IRT 12/8/1986 UMUM CILILITAN 085882860410 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-30VD2TLQ 3601114107890065 YONI YULIAWATI P IRT 3/8/1988 UMUM CILILITAN 083872666562 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-33KKNCON 3601114307820006 IYOH P IRT 4/16/1982 UMUM CILILITAN 085781543674 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5OAW21R2 3601114704650001 NENY SURAHMI P IRT 7/4/1965 UMUM KADUPANDAK 083812703351 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5FYQ6FQN 3601100107780022 ENGKAN ISKANDAR L WIRASWASTA 7/14/1977 UMUM BOJONG 083819335500 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5XKPH8HL 3601141078800997 SARNAH P IRT 6/4/1980 UMUM KOLELET 083812833529 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5G4PWJZH 3601116004770002 ICIH P IRT 4/20/1974 UMUM CILILITAN 083895736670 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5MSLRZ20 3601114107730127 UNI P IRT 7/1/1973 UMUM CILILITAN 082310670553 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5LGST2PA 3601100107010073 ALDI.B L MAHASISWA 12/14/2000 UMUM BOJONG 089529938395 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5KAFKEEP 3601110107000086 ADITYA. A L MAHASISWA 4/18/2000 UMUM CILILITAN 085694640230 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5I8LXUMZ 3671021505720009 DAMIRIN L WIRASWASTA 5/15/1972 UMUM RAWA CANA 083871494786 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5EHTIBLZ 3601110602780003 SUAMAH P IRT 5/3/1977 UMUM KOLELET 083871293566 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5BDBBK2V 3206374609780002 AI SAADAH P IRT 9/6/1978 UMUM KP.CIBAHAYU 08387193566 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-76B637C1 3601114506560002 RONASIAH P IRT 8/5/1956 UMUM KOLELET 083841572418 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-7UQIAI2I 3601115201640001 EPON P WIRASWASTA 1/12/1967 UMUM CILILITAN 085773752059 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-7VT01GLA 3601104810930003 VIVI IRIANTI P MAHASISWA 10/8/1993 UMUM BOJONG 082246806536 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-7WSFV8BS 3671050907780002 MUHAMAD RUSLAN L WIRASWASTA 7/9/1978 UMUM KADUPANDAK 082114250988 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-46BC4E54 3602095803600001 ATIAH P IRT 3/18/1960 UMUM BANJARSARI 083807502015 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-82LMAXV7 3601342808970002 ADITYA ARIF. N L MAHASISWA 8/28/1997 UMUM CIEKEK 089501633457 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-81LAR62X 3601105412970001 DEDE UTARI P IRT 12/14/1997 UMUM BOJONG 089678807950 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-80V6MOLM 3602091409020001 MUHAMAD LATIF L MAHASISWA 9/14/2002 UMUM BANJARSARI 083871094882 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-85PSZ0I2 3601110904680001 PULUNG P IRT 4/9/1968 UMUM CIHERANG 085284676877 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-83WHI9C3 3601114107930108 NENENG KHOLIFAH P IRT 7/26/1992 UMUM KADUPANDAK 083111664004 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-7FDF29D6 3601110301480001 TARMUJI L WIRASWASTA 1/3/1948 UMUM CIHERANG 085284676877 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-885QWDUT 3602095807910002 PIPIT. P P IRT 6/18/1991 UMUM BANJARSARI 085710530662 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-86VGEZ8Q 3601100110880001 ADE SURYANA L WIRASWASTA 5/2/1989 UMUM B.COPONG 0859102606914 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-8BTWHSHV 3601312604880001 ERI YANTO L WIRASWASTA 6/5/1986 UMUM KOLELET 0812865449146 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-8B4NP6JC 3601114712950001 NURLELA. S P IRT 12/7/1995 UMUM CILILITAN 083147307386 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-8CMG5I0G 3601311604900001 EPUL L WIRASWASTA 4/1/1990 UMUM SINDANGRESMI 083877229514 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-2EVKYPSX 3601116207790001 MASNAH P IRT 7/22/1979 UMUM KOLELET 085215995450 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-6O5FCCBD 3602091103550001 DJAJA WITARJA L WIRASWASTA 3/11/1955 UMUM BANJARSARI 085780420953 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-2IIHSQWC 3601110204800002 AANG SUGIANA L WIRASWASTA 4/2/1980 UMUM CILILITAN 083806006562 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-2KHZIRVK 3601114102840001 EMAH P IRT 8/12/1984 UMUM PASIRSEDANG 083831101864 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-2CD74RO3 3601100701900002 REDI FATUROHMAN L WIRASWASTA 1/7/1990 UMUM BOJONG 08801123809 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-2NI8CABN 3601112909790001 UYON KUSNADI L WIRASWASTA 9/29/1979 UMUM KADUPANDAK 083872755974 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-2PLZE674 3601116905000001 LILIS MARLINA P IRT 6/29/2000 UMUM CIHERANG 03841498147 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-5649B797 3601131408780001 TEDI SUPRIATNA L WIRASWASTA 8/14/1978 UMUM BOJONG 081910838514 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-2TMWYZ14 3601111011760002 YADI SUPRIYADI L WIRASWASTA 11/10/1976 UMUM KP.CUKANG 085692719848 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-2R9II0YO 3601115610780002 NURLELA P IRT 10/16/1978 UMUM KADUPANDAK 083896715334 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-2YDGBNU3 3601115506720002 EROH P IRT 6/15/1972 UMUM CILILITAN 083895736670 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-D031D590 3601110107020067 MUHAMAD H L WIRASWASTA 9/3/2003 UMUM KADUPANDAK 083871292722 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-761M5CCX 3601114107630132 IKAH P IRT 7/1/1968 UMUM CILILITAN 083871495943 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-74JU87UD 3601110406890001 SANANGIAH P IRT 4/28/1989 UMUM CIHERANG 085719649229 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-72W8JA3M 3601114604020004 JUNI SUPRIYANTI P MAHASISWA 6/20/2001 UMUM CILILITAN 083841426571 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-712CVOAB 3601115610030002 TARISKA P MAHASISWA 10/16/2003 UMUM CILILITAN 083152533298 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-7JBYCWBW 3601116008870001 IMAS NURAENI P IRT 8/20/1988 UMUM CILILITAN 085717233332 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-7IILFF2G 3601114107750030 KOYAH P IRT 3/6/1975 UMUM CILILITAN 087774082618 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-8VQSCEGP 3601115305010001 MARTINA ULFAH P WIRASWASTA 5/13/2001 UMUM KADUPANDAK 082114833937 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-8UPJLLWZ 3601114312020003 SINTIA P IRT 12/3/2002 UMUM CILILITAN 083890978140 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-7YHFF67R 3604114505830005 SUTRISNI P IRT 5/5/1983 UMUM CIUJUNG DAMAI 082112829264 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-7ZLZLLZ0 3602091504850002 SARMAN L WIRASWASTA 4/14/1984 UMUM BANJARSARI 08567597178 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-7RN7PD5Z 3601114107630138 WARNI P IRT 10/2/1983 UMUM CILILITAN 085881414119 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-99338847 3601114612910001 ENJUM. J P IRT 12/6/1991 UMUM KOLELET 0859102632720 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-895KTGJZ 3602140205890004 AGUNG FADILAH L WIRASWASTA 5/2/1989 UMUM LEBAK 087772731616 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-4RGPRJDC 3601114107570014 SARNAH P IRT 7/1/1957 UMUM CILILITAN 083819456220 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-4UFWSE53 3216024107710113 ELIYANAH P IRT 7/1/1971 UMUM CILILITAN 083871495943 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-DVA9GCQ9 3601116508800001 JANATI P IRT 6/15/1984 UMUM KOLELET 083895255200 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HFE4LR6R 3601114107710065 NENI SUMIATI P IRT 3/5/1970 UMUM CILILITAN 083897121780 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-6JM07Y5K 3601112505720001 ABDUL HAPIP L WIRASWASTA 3/21/1978 UMUM CILILITAN 081380880503 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HF0HEPOK 3601115801020002 CHICHA AMELIA P MAHASIWA 1/18/2001 UMUM CILILITAN 082122510377 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HEPM2AAF 3601114209970001 HAFNI. R P IRT 9/2/1997 UMUM CILILITAN 085719062774 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HDLU1LMW 3601114107790114 ENENG P IRT 7/1/1979 UMUM CILILITAN 081316655569 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HGSBUF48 3601260302990002 HARIS. W.P L MAHASIWA 2/3/1999 UMUM CIKEDAL 083812651250 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HFJJCTSQ 3601115006670001 IREN CAHYA P IRT 7/12/1984 UMUM KOLELET 081381312376 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HFVC9E3C 3601115006620001 NINING P IRT 6/10/1963 UMUM CILILITAN 085216519416 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-B9PCN2CS 3602095708900005 ELIS MARYATI P IRT 8/17/1990 UMUM KOLELET 0812853956 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-5922791F 3601131704850003 RENAL. S L WIRASWASTA 4/17/1985 UMUM PICUNG 081283187500 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HEJ8C70P 3601111311960003 RIZKI N L MAHASIWA 11/13/1996 UMUM KOLELET 085210909206 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HE9ID18J 3601115601100002 SULIS. S P MAHASIWA 1/16/2000 UMUM CIHERANG 083813772286 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HE1OHL0P 3601115506020002 YULIYANTI P MAHASIWA 6/15/2002 UMUM KOLELET 081398885785 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-5MVG3PQS 3601112008860001 ARIS. M L WIRASWASTA 8/20/1987 UMUM KRAMATWATU 083818222500 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-4WO31DRS 3601114803870001 SAMANAH P IRT 3/8/1987 UMUM CILILITAN 081290182372 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HD56LHPJ 3601114107680117 NINING P IRT 8/16/1968 UMUM CILILITAN 083147284839 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H0DVFJBE 3601115203800002 SITI AISAH P IRT 3/12/1980 UMUM CILILITAN 083899792087 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HDFIBY9I 3601116308980001 RINA. F P IRT 8/23/1998 UMUM PS.SEDANG 083812355576 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HCVUUT3D 3601114107740061 UNAH P IRT 7/1/1973 UMUM KADUBERA 085782261837 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HBKID2OG 3602095008670001 LILIS. R.N P IRT 8/10/1967 UMUM BANJARSARI 085695382546 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-0OFRNKAI 3603120504790009 ACENG SUJANA L WIRASWASTA 4/5/1979 UMUM KOLELET 082115610568 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H2O7ASJI 3601116709970001 DEVIA.F P MAHASIWA 9/27/1997 UMUM CILILITAN 081320758079 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-DD38B651 3601115011570001 OYOK. M L WIRASWASTA 10/1/1957 UMUM KOLELET 083125324769 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-HA1HURN3 3601116808610001 IIS RUHIYATI P IRT 8/28/1961 UMUM KOLELET 083841259874 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H3L7NYZD 3601111203720001 ADE. S L WIRASWASTA 3/12/1972 UMUM KOLELET 088290713008 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-GLDMRTZU 3601115101020007 MUTIARA P MAHASIWA 1/11/2002 UMUM CILILITAN 089513076205 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-GG4Q9B3B 3602095408970001 RISA. A P IRT 8/14/1997 UMUM BANJARSARI 087773954613 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-GQB1JIJG 3601210107830087 MUHARI L WIRASWASTA 7/1/1983 UMUM GARDU TANAJK 083891474783 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-GTDONG3B 3601112611890001 DAMAN HURI L WIRASWASTA 11/26/1989 UMUM CILILITAN 083804328338 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H7XIKDIS 3601110107000024 DIANA. S.N P IRT 1/4/1999 UMUM PS.SEDANG 081314086779 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H7P9RX9J 3211061602790004 YANA L WIRASWASTA 2/16/1979 UMUM DUSUN PAMULIHAN 08889479929 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H8FMHH5T 3601114505790001 MEI WINDI P IRT 5/5/1979 UMUM CILILITAN 081294761264 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H7CSYLF1 3602095008740005 UUM UMIYATI P IRT 8/10/1974 UMUM BANJARSARI 087806745967 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H6MKX07J 3604060101910006 MUFROJI L WIRASWASTA 1/1/1991 UMUM KOLELET 083898956130 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H5LYHM6K 3601116302930002 RASNI NURAENI P IRT 9/23/1993 UMUM PS.SEDANG 083893638459 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H5V8RAKU 3601115207720003 EMI P IRT 7/12/1972 UMUM CILILITAN 085216027442 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H50QP7QQ 3601115010760003 ADE EMI P IRT 10/10/1976 UMUM KADUPANDAK 087886574728 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H40M0A09 3601110408030002 RIZKI DWI P MAHASIWA 8/4/2003 UMUM KADUPANDAK 089502821827 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H5O1R0LL 3601114107900228 RAKIYAH P IRT 6/18/1987 UMUM KP.CINGHETEKEN 085780439638 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H54NZC0H 3601114107950071 MULYATI P IRT 7/1/1990 UMUM CILILITAN 083898955460 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H4E3BPOO 3601114107680135 UTMINAH P IRT 3/6/1969 UMUM KADUPANDAK 088213695611 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-F7C74800 3601111902940001 ASEP S L WIRASWASTA 2/19/1994 UMUM PICUNG 085888485032 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H4PX4FOC 3601116909730001 SITI R P IRT 9/29/1973 UMUM KOLELET 085311036488 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-GF733UUB 3601114107800009 EMI SUCIAWATI P IRT 7/1/1980 UMUM KADUPANDAK 083841201227 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-H4SFDS7X 3602094609710001 ELA HAYATI P IRT 9/6/1971 UMUM BANJARSARI 081395578747 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-GILN0YJI 3601102309980004 REJA SETIADI L MAHASIWA 9/23/2023 UMUM KADU HEJO 081388139319 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-G0NANF9Y 3601101703780003 SAPURI L WIRASWASTA 3/17/1978 UMUM BOJONG 081513331223 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-5CF39994 3601114304990006 NINA. N P MAHASIWA 4/3/1999 UMUM BANJARSARI 081311281077 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-FW5NLJA0 3602091608920002 ATANG. H L WIRASWASTA 8/10/1993 UMUM BANJARSARI 085764033278 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-604999D7 3601116107580001 MARA ATMARA L WIRASWASTA 7/27/1957 UMUM KOLELET CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-FZF1E0ZV 3601100308950008 SAEPUL ANWAR L WIRASWASTA 8/3/1995 UMUM BOJONG 083806092660 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-FOOJEDXE 3601114107990080 IIN ROSITA P MAHASIWA 2/16/2000 UMUM CILILITAN 085311642299 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-FI7ADL8Z 3602091005930007 NURHADI L MAHASIWA 12/26/1997 UMUM KOLELET 083871664447 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-FK01P2BH 3602097010640001 WAWANG L WIRASWASTA 10/30/1964 UMUM BANJARSARI 083815395373 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-FLUM8Y0D 3601114107030023 DITIA. A P MAHASIWA 8/9/2002 UMUM CILILITAN 083821148188 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-FN5NWVT9 3601115011950001 IDA WARTINI P MAHASIWA 11/10/1998 UMUM CILILITAN 083871297618 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
UMUM CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-GTLCAQU8 3601111509800001 RAHMAT L WIRASWASTA 2/5/1982 UMUM KOLELET 083841176659 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
P-GVAJPWIU 3601116706870005 RENA SUMIRA P WIRASWASTA 6/27/1987 UMUM P SEDANG 083841429617 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-22743DD8 3601110506790005 CAHYADI L WIRASWASTA 6/5/1979 UMUM PICUNG 085810413189 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-D4B131C5 3601115005920003 DEDE JULAHEA P WIRASWASTA 5/10/1992 UMUM PICUNG 081387385090 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
S-6559E633 3601110107600021 RUSDI L WIRASWASTA 20/04/`1960 UMUM CILILITAN 085157905517 CORONA VAC 8/3/2021 8/3/2021 24003121 16096451778667 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
TANGGAL 23 JULI 2021
PUSKESMAS PICUNG
Kepesertaan BPJS (tulis 'Ya'
Dosis I Dosis 2
pada kolom yang sesuai)
Umur
Kelompok INSTANS Merek Tanggal
No. Ticket NIK Nama Penerima Vaksin JK pekerjaan (18-59 Alamat No. Hp KET
Umur I Vaksin*** Screening Tanggal Tanggal
NO tahun) BPJS BPJS Non
Pemberian No. Batch No seri Pemberian No. Batch No Seri
PBI Non PBI Anggota
Vaksinasi Vaksinasi
1 P-8FU5XX2M 3601115303740003 IRAH P IRT 5/13/1985 DEWASA UMUM CILILITAN 081386414060 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
2 P-AMUL6GMQ 3601110207800029 HENDRI L WIRASWASTA 6/9/1979 DEWASA UMUM CILILITAN CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
3 P-7SVXFU60 3601116402800001 YATI P IRT 5/10/1976 DEWASA UMUM CIHERANG 083147320794 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
4 P-7ZDWISR6 3603284502930004 FITA RUSMITA P IRT 2/5/1993 DEWASA UMUM PASIRSEDANG 087872644752 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
5 P-83H5F4SP 3601110406730002 SUPENDI L WIRASWASTA 6/4/1972 DEWASA UMUM PASIRSEDANG 087741028437 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
6 P-8AEKKYIS 3601115010750001 SETIA WATI P IRT 10/10/1975 DEWASA UMUM PASIRSEDANG 087884792858 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
7 P-8E670508 3601110707780001 MAHMUDI L WIRASWASTA 8/12/1986 DEWASA UMUM GANGGAENG 085882324606 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
8 P-8KH00423 3601114607730002 SITI SUKAESIH P IRT 5/2/1972 DEWASA UMUM CIHERANG 081386414060 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
9 P-AAVDCM82 3601142103670001 BAI SUHAELI L WIRASWASTA 3/21/1967 DEWASA UMUM KADUBERA 081211645241 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
10 P-A9KYXMAX 360111017800162 SALMAN L WIRASWASTA 8/19/1979 DEWASA UMUM KADUBERA 083138310009 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
11 P-AF5PG22C 3273124309650005 ASTINASARI P IRT 9/3/1965 DEWASA UMUM BANDUNG 081315529398 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
12 P-AGWD4DH8 3601261112850002 NURIMAN L WIRASWASTA 12/11/1985 DEWASA UMUM KOLELET 083812705685 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
13 P-APH8HITF 3601114304690002 AISAH P IRT 4/3/1969 DEWASA UMUM KOLELET CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
14 P-AY7IWDDH 3601112608990003 M.AJI FAISAL L WIRASWASTA 8/25/1999 DEWASA UMUM KOLELET 083808887734 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
15 P-BUEN7IPP 3601114801960001 SRI MELASARI P WIRASWASTA 1/8/1996 DEWASA UMUM KOLELET 081211587437 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
16 P-B2HNMNOH 3601110107790034 APIP RIFA'I L KADES 6/17/1979 DEWASA UMUM KADUPANDAK CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
17 P-C6TNL321 3602090102720005 ADE MUKMIN L WIRASWASTA 2/1/1972 DEWASA UMUM BANJARSARI 081219574445 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
18 Y-0132LDTL 3172044111991005 EKA NOVIANTI P IRT 11/1/1999 DEWASA UMUM JAKARTA 085710064633 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
19 P-BCCKH4HC 3601114402700004 ROHIMAH L IRT 2/4/1970 DEWASA UMUM KOLELET 085282383155 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
20 P-8POAF12J 3601111706070001 MUHAMAD RAFLI L MAHASISWA 6/17/2007 PELAJAR PELAJAR CIHERANG 081386414060 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
21 Y-01360638 3602095404980001 NOVITA P MAHASISWA 4/11/1998 PELAJAR PELAJAR BANJARSARI 085845347170 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
22 P-7UXENS9Y 3601114305060005 HERNAWATI P MAHASISWA 5/3/2006 REMAJA PELAJAR CIHERANG 083147320794 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
23 P-7YCMTNNJ 3602095007060001 NENG NANI P MAHASISWA 6/10/2006 REMAJA PELAJAR BANJARSARI 083807834915 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
24 P-715Y6WKD 360200908030004 AN,EGA FATAHILLAH L MAHASISWA 6/8/2007 REMAJA PELAJAR BANJARSARI 082110952365 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
25 P-8C1658AU 3601115603050004 ISMA BALYA NURSIAMI P MAHASISWA 3/16/2005 REMAJA PELAJAR PASIRSEDANG 087778167741 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
26 P-82JNSE7B 3601115812040004 NURHASANAH P MAHASISWA 12/18/2004 REMAJA PELAJAR KADUPANDAK 083892240157 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
27 P-96UPC5B1 3602096810060001 MUFITRIANI P MAHASISWA 10/28/2006 REMAJA PELAJAR BANJARSARI 081283241366 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
28 P-9BJ343K2 3601116912040001 MUAFIA SALWA N P MAHASISWA 12/29/2004 REMAJA PELAJAR KADUPANDAK 0856927412040 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
29 P-9F4160TD 3673026006050002 NENG DILA P MAHASISWA 6/20/2005 REMAJA PELAJAR SERANG 082125336260 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
30 P-9LAXOLH3 3601115906030001 HILDA AMELIA P P MAHASISWA 8/19/2003 REMAJA PELAJAR GANGGAENG 085719428879 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
31 P-9QA5GATN 3601115403070002 RAHMA WATI P MAHASISWA 3/14/2007 REMAJA PELAJAR CIHERANG 085770974893 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
32 P-90JP01FH 3602094608030005 NURASIAH P MAHASISWA 8/6/2003 REMAJA PELAJAR BANJARSARI 083899878549 CORONA VAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
33 P-A9GLK172 3601104710020001 MELIYANTI P PELAJAR 10/7/2003 REMAJA PELAJAR BOJONG 085691098929 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
34 Y-01348VHF 3602096007060002 CHIKA IRA P PELAJAR 7/20/2006 REMAJA PELAJAR BANJARSARI 083875526288 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
35 P-AO5VTZ2U 3601316912040001 NESTI ANANTA P PELAJAR 12/29/2004 REMAJA PELAJAR SINDANGRESMI 088102407160 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
36 P-AIHJ30TG 3602096304030003 LENI FARIDA P PELAJAR 4/23/2003 REMAJA PELAJAR BANJARSARI 081295085694 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
37 P-ALEL6YRJ 3602096009050003 SELI SETIA BUDHI P PELAJAR 9/20/2005 REMAJA PELAJAR BANJARSARI 083179507027 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
38 P-AKDR6KSZ 3601116011030002 DILAH P PELAJAR 11/15/2003 REMAJA PELAJAR CILILITAN 083891135634 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
39 P-AOFGPRYY 3602094708050002 SITI FERA A P PELAJAR 8/7/2005 REMAJA PELAJAR BANJARSARI 083870871324 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
40 P-ARUARH48 3602094403060006 AYU DWI ANISA P PELAJAR 3/4/2006 REMAJA PELAJAR BANJARSARI 085719445980 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
41 P-ATSH7252 3602095201070006 SITI MASITOH P PELAJAR 8/12/2005 REMAJA PELAJAR BANJARSARI 083899532913 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
42 P-AV4IUI1H 3602096807070005 VINA P PELAJAR 7/28/2007 REMAJA PELAJAR BANJARSARI 083841442915 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
43 P-A2J0N3TI 3601315802060001 IMA MUHAROMAH P PELAJAR 1/14/2006 REMAJA PELAJAR SINDANGRESMI 083895163637 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
44 P-B2KUADQI 3602095806060001 BUNGA RAHMA AYU D P PELAJAR 6/18/2006 REMAJA PELAJAR BANJARSARI 081511192887 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
45 P-B3PJ0F6V 3602096111050002 ZESICA CAHYA PERMATA P PELAJAR 11/21/2005 REMAJA PELAJAR BANJARSARI 0859102830961 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
46 P-B5CIP35E 3602096605070002 SINTA ADELIA P P PELAJAR 5/26/2006 REMAJA PELAJAR BANJARSARI 085695392539 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
47 P-B8FHVK20 3601314409050004 TATU AKHIRAH P PELAJAR 9/4/2005 REMAJA PELAJAR SINDANGRESMI 082310764996 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
48 P-BA77FCKD 3601100607030002 ULFAH ULFIAH P PELAJAR 6/6/2006 REMAJA PELAJAR BOJONG 085814304088 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
49 P-BCWRKYM6 3602105209060004 DINI H P PELAJAR 9/12/2006 REMAJA PELAJAR CILELES 088213762029 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
50 P-BEBOT6D2 3602104204060006 DIAH AYU A P PELAJAR 4/2/2006 REMAJA PELAJAR BANJARSARI 082116393405 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
51 P-BF2TDHDB 3602104512050001 NENENG P PELAJAR 12/1/2003 REMAJA PELAJAR CILELES 088210587498 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
52 P-BHX605UJ 3601104911060001 SITI KURNAESIH P PELAJAR 11/9/2006 REMAJA PELAJAR BOJONG 083890726295 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
53 P-BZBEVJXK 3602094504050005 WIWI P PELAJAR 4/5/2005 REMAJA PELAJAR BANJARSARI 083159765018 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
54 P-BLKRMDOI 3601314107080015 SITI NURUL AENI P PELAJAR 9/28/2006 REMAJA PELAJAR SINDANGRESMI 083152532891 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
55 P-B06SH11O 3602095904060001 HENI P PELAJAR 4/19/2006 REMAJA PELAJAR BANJARSARI 088290720313 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
56 P-TZSK0JD5 3602094102020003 WINDI F R P PELAJAR 2/15/2001 REMAJA PELAJAR BANJARSARI 085781548298 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
57 P-BPST1ENM 3602115101050005 DANU DHARMA L PELAJAR 1/11/2005 REMAJA PELAJAR CIMARGA 085710492671 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
58 P-BSADVZV2 3601142606000001 M YUSUP SUPRIATNA L PELAJAR 6/26/2000 REMAJA PELAJAR SAKETI 085216049937 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
59 P-BVD2BV68 3601114301030002 VIA APRIANI P PELAJAR 1/3/2003 REMAJA PELAJAR KOLELET 083871079490 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
60 P-BT5JCXMD 3601116102050001 ELSA NOPIANTI P PELAJAR 11/13/2005 REMAJA PELAJAR PSR SEDANG 085695148923 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
61 P-C15EQRAS 3601116501060001 ERLINA SEPTIANI P PELAJAR 10/12/2005 REMAJA PELAJAR PSR SEDANG 083897041879 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
62 Y-01345UEZ 3172042204081006 NATHAN L PELAJAR 4/22/2008 REMAJA PELAJAR JAKARTA 085773748920 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
63 P-C5FSHL5P 3602094505050000 ELSA NOPIANTI P PELAJAR 5/5/2005 REMAJA PELAJAR BANJARSARI 083812848635 CORONAVAC 7/23/2021 7/23/2021 24201221 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
64 P-A9GLK172 3601104710020001 MELIYANTI P PELAJAR 10/7/2003 REMAJA PELAJAR BOJONG 085691098929 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
65 Y-01348VHF 3602096007060002 CHIKA IRA P PELAJAR 7/20/2006 REMAJA PELAJAR BANJARSARI 083875526288 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
66 P-AO5VTZ2U 3601316912040001 NESTI ANANTA P PELAJAR 12/29/2004 REMAJA PELAJAR SINDANGRESMI 088102407160 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
67 P-AIHJ30TG 3602096304030003 LENI FARIDA P PELAJAR 4/23/2003 REMAJA PELAJAR BANJARSARI 081295085694 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
68 P-ALEL6YRJ 3602096009050003 SELI SETIA BUDHI P PELAJAR 9/20/2005 REMAJA PELAJAR BANJARSARI 083179507027 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
69 P-AKDR6KSZ 3601116011030002 DILAH P PELAJAR 11/15/2003 REMAJA PELAJAR CILILITAN 083891135634 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
70 P-AOFGPRYY 3602094708050002 SITI FERA A P PELAJAR 8/7/2005 REMAJA PELAJAR BANJARSARI 083870871324 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
71 P-ARUARH48 3602094403060006 AYU DWI ANISA P PELAJAR 3/4/2006 REMAJA PELAJAR BANJARSARI 085719445980 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
72 P-ATSH7252 3602095201070006 SITI MASITOH P PELAJAR 8/12/2005 REMAJA PELAJAR BANJARSARI 083899532913 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
73 P-AV4IUI1H 3602096807070005 VINA P PELAJAR 7/28/2007 REMAJA PELAJAR BANJARSARI 083841442915 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
74 P-A2J0N3TI 3601315802060001 IMA MUHAROMAH P PELAJAR 1/14/2006 REMAJA PELAJAR SINDANGRESMI 083895163637 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
75 P-B2KUADQI 3602095806060001 BUNGA RAHMA AYU D P PELAJAR 6/18/2006 REMAJA PELAJAR BANJARSARI 081511192887 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
76 P-B3PJ0F6V 3602096111050002 ZESICA CAHYA. P P PELAJAR 11/21/2005 REMAJA PELAJAR BANJARSARI 0859102830961 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
77 P-B5CIP35E 3602096605070002 SINTA ADELIA P P PELAJAR 5/26/2006 REMAJA PELAJAR BANJARSARI 085695392539 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
78 P-B8FHVK20 3601314409050004 TATU AKHIRAH P PELAJAR 9/4/2005 REMAJA PELAJAR SINDANGRESMI 082310764996 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
79 P-BA77FCKD 3601100607030002 ULFAH ULFIAH P PELAJAR 6/6/2006 REMAJA PELAJAR BOJONG 085814304088 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
80 P-BCWRKYM6 3602105209060004 DINI H P PELAJAR 9/12/2006 REMAJA PELAJAR CILELES 088213762029 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
81 P-BEBOT6D2 3602104204060006 DIAH AYU A P PELAJAR 4/2/2006 REMAJA PELAJAR BANJARSARI 082116393405 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
82 P-BF2TDHDB 3602104512050001 NENENG P PELAJAR 12/1/2003 REMAJA PELAJAR CILELES 088210587498 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
83 P-BHX605UJ 3601104911060001 SITI KURNAESIH P PELAJAR 11/9/2006 REMAJA PELAJAR BOJONG 083890726295 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
84 P-BZBEVJXK 3602094504050005 WIWI P PELAJAR 4/5/2005 REMAJA PELAJAR BANJARSARI 083159765018 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
85 P-BLKRMDOI 3601314107080015 SITI NURUL AENI P PELAJAR 9/28/2006 REMAJA PELAJAR SINDANGRESMI 083152532891 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
86 P-B06SH11O 3602095904060001 HENI P PELAJAR 4/19/2006 REMAJA PELAJAR BANJARSARI 088290720313 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
87 P-TZSK0JD5 3602094102020003 WINDI F R P PELAJAR 2/15/2001 REMAJA PELAJAR BANJARSARI 085781548298 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
88 P-BPST1ENM 3602115101050005 DANU DHARMA L PELAJAR 1/11/2005 REMAJA PELAJAR CIMARGA 085710492671 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
89 P-BSADVZV2 3601142606000001 M YUSUP SUPRIATNA L PELAJAR 6/26/2000 REMAJA PELAJAR SAKETI 085216049937 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
90 P-BVD2BV68 3601114301030002 VIA APRIANI P PELAJAR 1/3/2003 REMAJA PELAJAR KOLELET 083871079490 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
91 P-BT5JCXMD 3601116102050001 ELSA NOPIANTI P PELAJAR 11/13/2005 REMAJA PELAJAR PSR SEDANG 085695148923 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
92 P-C15EQRAS 3601116501060001 ERLINA SEPTIANI P PELAJAR 10/12/2005 REMAJA PELAJAR PSR SEDANG 083897041879 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
93 Y-01345UEZ 3172042204081006 NATHAN L PELAJAR 4/22/2008 REMAJA PELAJAR JAKARTA 085773748920 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
94 P-C5FSHL5P 3602094505050000 ELSA NOPIANTI P PELAJAR 5/5/2005 REMAJA PELAJAR BANJARSARI 083812848635 CORONAVAC 7/23/2021 7/23/2021 24201721 16239775553753 8/23/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
A-NAMA PENERIMA VAKSIN DOSIS 1 DAN 2 TERMIN 7
PUSKESMAS PICUNG
Nama Penerima
No. Ticket NIK JK pekerjaan
Vaksin
1 P-D96N2ZDY 3601110108670001 UJID L WIRASWASTA

2 P-EY5SZLOT 3601117003900001 SANI P IRT
3 S-FFC29A95 3601110401530001 SUKRAMA L WIRASWASTA
4 P-4HLKMCST 3601110610800001 DIKI SUTARMAN L WIRASWASTA
5 P-3L24U2M6 3376044505690007 SARKI B RASJA L WIRASWASTA
6 P-EWWM3AWA3601111008770002 WAHYUDI L WIRASWASTA
7 P-DXCR6OEO 3603115010900010 IMAS P IRT
8 P-F4VIVGVP 3601115602070001 AGNIA SALSABILLA P PELAJAR
9 P-DAE0NYAF 3602091011880001 MUMU L WIRASWASTA
10 P-EEVUCJ7J 3601112810030004 ARIEL TRI C R L WIRASWASTA
11 P-EABSWF9J 3602090504000006 FERDI ARIFIN L WIRASWASTA
12 P-DRLE58Y5 3601115812030002 DESTA WINRIYANTI P WIRASWASTA
13 P-E79JOJ4G 3602095908080002 AISYAH P PELAJAR
14 P-DFFG0GBZ 3602094407000001 ENENG JAMILATU J P IRT
15 P-DMZJTS2F 3602091809020004 AHYANI L WIRASWASTA
16 P-DFSERHWX 3602094407030002 IIS HAPADOH A P IRT
17 P-3I0PC3KW 3601114711080001 VEBIA ANGGRAENI P PELAJAR
18 P-F5SNIPHH 3601113010040001 ARIF LANGLANG W L MAHASISWA
19 P-F1DWFNG4 3601115101040001 RHENA TABELA P MAHASISWA
20 P-69M1TKCO 3376047004030001 PUTRI NURUL K P MAHASISWA
21 P-F2SAQQJQ 3601110404050003 MUHAMAD AFRIJAL L PELAJAR
22 P-ELPYHB7J 3316081808740002 EKO AGUS PURWANTO L WIRASWASTA
23 S-D614EEC8 3601114804700001 IPAH P GURU
24 P-EGEIUFAV 3601110107020190 TUHAETIDI L WIRASWASTA
25 S-857A6B15 3601114207750003 N. AI TRISNAWATI P GURU
26 S-65637968 3601112906820001 ASMARA L WIRASWASTA
27 P-DP9KNDMX 3601115207860002 KARSITI P IRT
28 P-EDGK7ZI2 3601114607690002 ELA ELAWATI P IRT
29 P-DCI8MOIY 3602090602740003 SOLEMAN L WIRASWASTA
30 P-E8PJH1P8 3521136107680001 YUS SRI HARTATI P IRT
31 Q-0007ZCSE 3601111306860002 ASEP SYARIPUDIN MUNAL WIRASWASTA
32 Q-0007YXA7 3601110107770067 ADE MASRAH MAYADI L WIRASWASTA
Kepesertaan BPJS
yang sesuai)
Umur Kelom
INSTA
(18-59 pok Alamat No. Hp BPJS BPJS Non
NSI Non Anggot
tahun) Umur PBI
PBI a
8/1/1967 DEWASA UMUM PSR SEDANG 083813206443

3/30/1990 DEWASA UMUM KADUPANDAK 083893063949
1/4/1953 DEWASA UMUM KOLELET 085710496607
10/6/1980 DEWASA UMUM CILILITAN 087879591497
5/5/1969 DEWASA UMUM KRANDON 081806254406
10/10/1990 DEWASA UMUM BANJARSARI 087888777972
2/16/2007 REMAJA UMUM CILILITAN 085966338775
10/28/2003 DEWASA UMUM PSR SEDANG 0859130913470
8/19/2008 REMAJA UMUM BANJARSARI 083871136257
10/30/2004 REMAJA UMUM SERANG 087776537532
4/30/2003 REMAJA UMUM KRANDON 081511690667
8/18/1974 DEWASA UMUM NGANPON 085645745617
8/19/2002 DEWASA UMUM KADUBERA 085694558648
6/29/1982 DEWASA UMUM PICUNG 081281983690
7/21/1968 DEWASA UMUM NGAWI 081907355097
Dosis I Dosis 2
Tangg
Merek Tanggal al
Tanggal
Vaksin*** Screening Pemberian No. Batch No seri Pembe No. No
rian Batch Seri
Vaksinasi
Vaksin
asi
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
CORONAVAC 7/22/2021 7/22/2021 24201221
7/22/2021 7/22/2021 24201221
KET
PUSKESMAS PICUNG
pekerjaa
No. Ticket NIK Nama Penerima Vaksin JK
n
X1 3173031703060001 RACHMAT NURHIDAYAT L PELAJAR

2 3601116706050001 YOHANA P PELAJAR
3 3601314208060001 ZAHRATUN NISA P PELAJAR
4 3601115408050002 Ihda Agnia P PELAJAR
5 3601114304060003 SADIAH P PELAJAR
6 3601315912060001 IRA RESTIANI P PELAJAR
7 3671027101060005 NAJWA RINTI KUMALADIAH P PELAJAR
8 3602095503060001 SADIAH P PELAJAR
9 3601114306060003 Putri Navilatun P PELAJAR
10 3601116003060001 RAHMA NURSYIFA P PELAJAR
11 3601310908050003 Yadi rianto L PELAJAR
12 3602246307060001 SITI AQILLAH AHADDIN P PELAJAR
13 3601114109060003 REGINA PUTRI CAHYANI P PELAJAR
14 3601114911050001 TIARA ABABIL P PELAJAR
15 3601116909030003 Mita susanti P PELAJAR
16 3601115412050001 DEA HIKMAWATI P PELAJAR
17 3601114405080002 DEWI P PELAJAR
18 3601315011060002 Emut Mutiara P PELAJAR
19 3601316709060001 ETI HARTATI P PELAJAR
XI
1 3602092805040001 M ANTON ROMADONA L PELAJAR
2 3601316303040001 DEWI ANGGRAENI P PELAJAR
3 3603186406050006 Fadhilatunnisa Anjaniputri Pinanti P PELAJAR
4 3601114101050005 TIA MUTIAROH P PELAJAR
5 3601101011040005 SIGIT FIRMANSYAH L PELAJAR
6 3602094706050004 FITRI RAHAYU ANGGRAENI P PELAJAR
7 3601115312050002 DESPITA ANTONIA P PELAJAR
8 3601314509040003 Suriah P PELAJAR
9 3601114606050002 IRA AZAHRA P PELAJAR
10 3601312706050002 SENDI MAULANA L PELAJAR
11 3601316606040001 WILLY HANDRI L PELAJAR
12 3601311802050001 BANI IRAWAN MAHRIF L PELAJAR
13 3602145105050008 DINA MERLINA P PELAJAR
14 3601111106060002 WAHID NAUFAL GHOZI AL-FIKRI L PELAJAR
15 3601112307040003 SIDAN SUBAGJA L PELAJAR
16 3601315907050001 SITI MASITOH P PELAJAR
17 3601114301060002 FHAZRIANI RIAU P PELAJAR
18 3601115106050001 Nispi Romdiah P PELAJAR
19 3602095101060001 HAYANTI P PELAJAR
20 3602095403060001 Siti Arini P PELAJAR
21 3601314605060001 AMELIA PUTRI P PELAJAR
22 3601310907060002 Aceng L PELAJAR
23 3601314912060001 EVA P PELAJAR
24 3601311702050001 FAHMI ILHAM L PELAJAR
25 3601311308040001 Achmad Fauzan L PELAJAR
26 3601112810040001 Gilang Ihza Ramadhan L PELAJAR
27 3601112302050002 EGI SAPUTRA L PELAJAR
28 3601116004050006 Rahma Aprilia P PELAJAR
29 3601111707030001 Fahri Husaeni L PELAJAR
30 3202375208040001 Elsa Rahmawati P PELAJAR
31 3601310603050002 Saparudin L PELAJAR
32 3602095105060001 SOPIAH APRILIA P PELAJAR
33 3602095608060003 NIKEN LATIFAH HANUM P PELAJAR
34 3601314406050003 RESTI P PELAJAR
35 3601115708040003 UNI AGIA SARI P PELAJAR
36 3601116303050002 Bela cantika P PELAJAR
37 3602096702040001 Ira Febriyani P PELAJAR
38 3601114709050003 Iis Aisyah P PELAJAR
39 3601114507050005 RESTA FEBRIYANTI P PELAJAR
40 3601311706050001 AGUS L PELAJAR
41 3601115901050002 LIA WIDIAWATI P PELAJAR
42 3601314712040002 Siti azizah P PELAJAR
43 3601116411050002 NOVI WIDIAWATI P PELAJAR
44 3601315103050003 ELMA P PELAJAR
45 3602091507050003 IMAM FERDIANSYAH L PELAJAR
46 3601314112050001 DESTI KURNIAWATI P PELAJAR
47 3601115507050003 ANISA PRATIWI P PELAJAR
48 3601116810040004 ANITA RAMADAN P PELAJAR
49 3601316408060001 VINA LESTARI P PELAJAR
50 3601116809050003 Eka rahayu P PELAJAR
51 3601111011040003 RISWAN FAUZI L PELAJAR
XII
1 3601116611040001 Lusiana Rahmawati P PELAJAR
2 3601314709050001 INTAN FEBRIYANTI P PELAJAR
3 3601114404030001 SUSI AULIA P PELAJAR
4 3601314110040002 Karisa Oktaviani Putri P PELAJAR
5 3601114101030008 AAS AMELIA P PELAJAR
6 3601314411060001 Nutia Nurmalasari P PELAJAR
7 3601110107040002 ANDIKA PERMANA L PELAJAR
8 3601316511150001 Roupurrohim L PELAJAR
9 3601314506050003 Nunung Alpiani P PELAJAR
10 3601114305040007 Dena mardiana P PELAJAR
11 3601114101040012 Siti Sapinah P PELAJAR
12 3601112205040003 RANGGA PRATAMA L PELAJAR
13 3601315301040001 Tia Amarandani P PELAJAR
14 3601110710030001 Mahesa L PELAJAR
15 3601314108040002 OPAH AGUSTIANI P PELAJAR
16 3601111202040003 DUDI PRATAMA L PELAJAR
17 3601116411040003 UUM UMAYAH P PELAJAR
18 3601315002050006 RESTIN SULASTRI P PELAJAR
19 3601115304050002 Denisa Inayaturrohmah P PELAJAR
20 3601110201040005 Muhamad Zidan Fauji L PELAJAR
21 3601114609040002 Aas surti P PELAJAR
22 3601312805030001 Sulyana L PELAJAR
23 3601315311040002 Janah P PELAJAR
24 3601116610940001 SINTA WANTESSA P PELAJAR
25 3601114107970133 Ita Aprilia P PELAJAR
26 3601315410040002 Melani Yulianto P PELAJAR
27 3601114503040003 Mesya Elfa Novita P PELAJAR
28 3601114609030003 Dini Septiani P PELAJAR
29 3601115106040002 Siti Nurjanah P PELAJAR
30 3601116901040002 Sri Leoni Safitri P PELAJAR
31 3601312801040001 Niko santoso L PELAJAR
32 3601110406040005 RONI IRAWAN L PELAJAR
33 3601111911040001 Rian Ardiansyah L PELAJAR
34 3601116504040001 Siti Julaeha P PELAJAR
35 3601112705040003 Handi putra L PELAJAR
36 3601116004050004 Sulistia Dewi Angraeni P PELAJAR
37 3601113004040001 Lara Rismaya P PELAJAR
38 3601110107040001 Eris Komala Desti P PELAJAR
39 3601312005050001 MUHAMAD REJA L PELAJAR
40 3601314701040010 Indriyani P PELAJAR
41 3601114901040001 Ira Mulyani P PELAJAR
42 3601116905040001 Rosita P PELAJAR
43 3601116701040004 Kurniah P PELAJAR
44 3601116906030003 DINA FAUZIAH P PELAJAR
45 3601115705023332 Sasti Ardiyanti P PELAJAR
46 3601114405040001 Dewi ayuni P PELAJAR
47 3601315002050005 SELA MARSELA P PELAJAR
48 3601316501050002 Samsiah P PELAJAR
49 3601115809040001 Helena Aulia P PELAJAR
50 3601115601050001 Siti Nurpah P PELAJAR
51 3601310701020001 ADI ABDILAH L PELAJAR
52 3601315310030002 ANI SINTIA P PELAJAR
53 3801115112030001 Dian Rosdiyanti P PELAJAR
54 3601115508040004 Fani Agustini P PELAJAR
55 3601114704040001 MIRNAWATI P PELAJAR
56 3601115108030002 Ati Jumiati P PELAJAR
57 3601115508040005 Fina Agustina P PELAJAR
58 3601110102050001 Deni Setiawan L PELAJAR
59 3601115302040001 Windi Novita P PELAJAR
129 ORG
Kepesertaan BPJS
yang sesuai)
Umur Kelom
INSTA BPJS Non
(18-59 pok Alamat No. Hp BPJS
NSI Non Anggot
tahun) Umur PBI
PBI a
17-03-2006 REMAJA UMUM Kp. Cipahul 083192804868

27-06-2005 REMAJA UMUM Kp. Babakan Teureup 085773237082
REMAJA UMUM 081387927715
14-08-2005 REMAJA UMUM Kp. Kadumula 083815953956
15-03-2006 REMAJA UMUM Kp. Cibunar 083877892887
31-01-2006 REMAJA UMUM Kp. Ledug 081297940932
03-06-2006 REMAJA UMUM Kp. Cimoyan 081511855372
07-01-2006 REMAJA UMUM Kp. Lebak Buluh 083894783921
23-07-2006 REMAJA UMUM Kp. Kaduhauk 083812325818
14-12-2005 REMAJA UMUM Kp. Bajeg 2 085811463411
04-05-2006 REMAJA UMUM Kp. Cikoneng 085810136508
10-11-2006 REMAJA UMUM Kp. Salampak 085814858714
27-09-2006 REMAJA UMUM Kp. Lebak Jeruk 085773237178
09-10-2005 REMAJA UMUM Kp. Citepuseun 085775996297

27-12-2004 REMAJA UMUM Kp. Pasirdurung Tengah 083813253442
24-06-2005 REMAJA UMUM Kp. Campaka 083841485913
01-01-2005 REMAJA UMUM Kp. Kadupandak 083812979960
10-11-2004 REMAJA UMUM Kp. Marga Mukti 083877980911
07-06-2005 REMAJA UMUM Kp. Pasir Huni 083832360862
13-12-2005 REMAJA UMUM Kp. Cigarunggung 083813545727
05-09-2004 REMAJA UMUM Kp. Ciodeng 081334365310
06-06-2005 REMAJA UMUM Kp. Sukamanah 083875645375
27-08-2005 REMAJA UMUM Kp. Pasirdurung 082114614536
11-05-2005 REMAJA UMUM Kp. Pasar Lama 085894202786
11-06-2006 REMAJA UMUM Kp. Bajeg 087837406887
23-07-2004 REMAJA UMUM Kp. Babakan Kembang 085211685224
03-01-2006 REMAJA UMUM Kp. Cimoyan 085930454363
19-06-2005 REMAJA UMUM Kp. Kadu Hauk 083874283816
06-05-2006 REMAJA UMUM Kp. Kalapanunggal 083890249102
09-07-2006 REMAJA UMUM Kp. Sidamukti 081315289499
09-12-2006 REMAJA UMUM Kp. Langkap Caang 083841428455
17-02-2005 REMAJA UMUM Kp. Angsana 083804944388
13-08-2004 REMAJA UMUM Kp. Pakis 085718168805
28-10-2004 REMAJA UMUM Kp. Kadukalahang 081213188314
23-02-2005 REMAJA UMUM Kp. Seuti Pasir 081221011052
17-07-2004 REMAJA UMUM Kp. Kadupandak 082217767193
06-03-2005 REMAJA UMUM Kp. Neglasari 083871586474
05-04-2005 REMAJA UMUM Kp. Pilar Pabrik 083875649503
27-02-2004 REMAJA UMUM Kp. Cijalu 083812146518
07-09-2005 REMAJA UMUM Kp. Supakalas Lebak 085219865819
02-05-2005 REMAJA UMUM Kp. Ciuyang 083871924019
11-03-2005 REMAJA UMUM Kp. Langkap Caang 083896434255
15-07-2005 REMAJA UMUM Kp. Lingga 081388131372
15-07-2005 REMAJA UMUM Kp. Supakalas Lebak 08557205687
24-08-2006 REMAJA UMUM Kp. Mekarjaya 083147165614
28-09-2005 REMAJA UMUM Kp. Ciherang 083890907909

10-09-2003 REMAJA UMUM Kp. Mulijati 082217767197
01-10-2004 REMAJA UMUM Kp. Kaduaceng 083159185715
01-01-2003 REMAJA UMUM Kp. Sindang Resmi 085719019636
31-03-2006 REMAJA UMUM Kp. Nyalindung 083871576189
05-06-2005 REMAJA UMUM Kp. Koang 085776862067
01-10-2004 REMAJA UMUM Kp. Pasir Kadu 083899270016
22-05-2004 REMAJA UMUM Kp. Pasar Picung 085695135604
07-10-2003 REMAJA UMUM Kp. Supakalas 083870407925
01-06-2004 REMAJA UMUM Kp. Angsana 083871586318
10-02-2005 REMAJA UMUM Kp. Salampak 083841244851
13-04-2005 REMAJA UMUM Kp. Pasir Peundeuy 083895413776
06-09-2004 REMAJA UMUM Kp. Ranca Duhang 083895737116
19-11-2004 REMAJA UMUM Kp. Pasir Durung 085213507647
REMAJA UMUM Kp. Kadumula 083808163570
REMAJA UMUM Kp. Kadumula 081296860512
21-05-2004 REMAJA UMUM Kp. Kadusumpung 081213188015
05-03-2004 REMAJA UMUM Kp. Sanghyang Damar 083894482698
01-09-2003 REMAJA UMUM Kp. Kebon Kelapa 083841391493
REMAJA UMUM Kp. Kebon Kelapa 083899005649
REMAJA UMUM Kp. Kebon Kelapa 083891474911
REMAJA UMUM Kp. Langkap Caang 082114610210
19-11-2004 REMAJA UMUM Kp. Supakalas 085770957424
REMAJA UMUM Kp. Babakan Bajeg 085773237173
27-05-2004 REMAJA UMUM Kp. Cisema 085711430021
20-04-2005 REMAJA UMUM Kp. Citepus 083898508053
REMAJA UMUM Kp. Cipurang 083875649405
15-03-2004 REMAJA UMUM Kp. Sukamaju 083834937967
REMAJA UMUM Kp. Sanghyang Damar 083841278193
29-05-2004 REMAJA UMUM Kp. Lebak Picung 083811575521
27-01-2004 REMAJA UMUM Kp. Lebak Buluh 083872416338
REMAJA UMUM Kp. Monggor Waru 085710516317
10-02-2005 REMAJA UMUM Kp. Cilamajang 083890174579
14-09-2004 REMAJA UMUM Kp. Lebak Picung 083811573340
24-03-2003 REMAJA UMUM Kp. Nambo Mesjid 083872037351
26-03-2004 REMAJA UMUM Kp. Pasar Baru 085694766069
15-08-2004 REMAJA UMUM Kp. Cimerak 087770382840
15-08-2004 REMAJA UMUM Kp. Cimerak 087822283603
13-02-2004 REMAJA UMUM Kp. Pamatang 083839552602
Dosis I Dosis 2
Tangg
Tanggal Tanggal
Merek al
Screenin Pemberi KET
Vaksin*** No. Pembe No. No
g an No seri
Vaksinas
Vaksin
i
asi
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021

CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
CORONAVAC 8/16/2021 8/16/2021
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TANGGAL 5 JULI 2021
PUSKESMAS PICUNG
Dosis I Dosis 2
Umur pada kolom yang sesuai)
INSTAN Tanggal Tanggal Tanggal
No. Ticket NIK Nama Penerima Vaksin JK pekerjaan (18-59 Kelompok Umur Alamat No. Hp BPJS BPJS Non Merek Vaksin*** KET
SI Screening Pemberian No. Batch No seri Pemberian No. Batch No Seri
tahun) PBI Non PBI Anggota
Vaksinasi Vaksinasi
1 P-FUDP6SJA 3601111408030004 ROBI AGUSTIN L UMUM 8/14/2003 UMUM CILILITAN 083841467839 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
2 P-F2OEQBV 3601186504010003 SARAH APRIANI P UMUM 4/25/2001 UMUM CILILITAN 081383071579 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
3 P-CZTRYBLA 3601114107020122 SITI HALIMATUSYADIAH P UMUM 12/15/2002 UMUM CIMANUK 085710503951 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
4 P-DPRQ7ZVP 3602090204720001 SON SUKARSONO L UMUM 4/2/1975 UMUM KADUHAUK 085710504219 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
5 P-E70JE6A3 3601114107930096 RATNA SUMIRA P UMUM 8/10/1992 UMUM CILILITAN 085775344670 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
6 P-EFW4EFW5 3602094802680001 ADE SUTIAH P IRT 2/8/1968 UMUM KADUHAUK 085695382546 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
7 P-DRAHQ0HC 3302265906810002 SITI KHASANAH P UMUM 6/19/1981 UMUM MALINGPING 085694455888 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
8 P-BOQPZ3S7 3602092106970001 AHMAD PUDOLI L UMUM 9/14/1998 UMUM KADUHAUK 08886113361 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
9 P-CX2A5YR1 3601116612860001 ENENG DAHLIA P UMUM 12/26/1986 UMUM KADUPANDAK 083808997247 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
10 P-GXHGJU2P 3601114107880258 YAYAH P UMUM 7/1/1988 UMUM CILILITAN 083891135642 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
11 P-BYX5HQU4 3601114107730102 SAMINAH P UMUM 7/1/1973 UMUM CILILITAN 083841384999 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
12 P-AUMZ440H 3601115206780001 TATI HAERIATI P UMUM 6/12/1976 UMUM KOLELET 083871293566 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
13 P-GBNT5ZDA 3601114708020001 RIPA AMELIA P UMUM 9/2/2001 UMUM KOLELET 081315529390 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
14 P-8MSDLYNG 3602092512890001 SUTISNA L UMUM 12/25/1989 UMUM KOLELET 082114984539 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
15 P-4GVBKVY0 3601115103960003 HANI MARTARITA P UMUM 3/11/1991 UMUM CILILITAN 085773641314 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
16 P-35VGV8R1 3601215905960001 SITI AQILLAH DZ P UMUM 5/19/1996 UMUM KADUHAUK 083813973349 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
17 P-5RR2CE3H 3601114107950017 AAN ANSORIAH P UMUM 4/1/1996 UMUM P SEDANG 085217175665 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
18 P-6QTN8PN2 3601114411870001 YULIAH P UMUM 12/12/1982 UMUM KOLELET 083895255139 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
19 P-7HZF1KJO 3601115110640001 IYAH P UMUM 10/11/1964 UMUM KOLELET 083124945696 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
20 P-9BFT24A3 3601114107900167 YULIANTI P UMUM 10/27/1990 UMUM B. COPONG 085716787770 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
21 P-5C4TEXDQ 3211061903900005 ROSADI L UMUM 3/19/1990 UMUM PAMULIHAN 083829377474 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
22 P-A7D7C4YK 3601115204990004 ENENG NANI SULASIAH P UMUM 4/12/1999 UMUM CIHERANG 085718503670 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
23 P-1UAFP659 3601114107690011 ENTIN P UMUM 7/1/1969 UMUM CILILITAN 085966776706 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
24 P-0BB0BREC 3211061008800006 ADE KARYANA L UMUM 8/10/1980 UMUM PAMULIHAN 083184416190 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
25 S-B83209F6 3601113007850001 BAGJA RISMAWAN L UMUM 7/30/1985 UMUM TIDAK ADA 081281983690 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
26 P-0XVXGFLM 3601114107830328 MIMIN AMINAH P UMUM 8/31/1982 UMUM KADUBERA 081511869633 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
27 P-H2SRF38X 3601111506880004 YANTO L UMUM 9/15/1988 UMUM KOLELET 083808163569 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
28 P-H2RX2RQ5 3601115007700001 SANAMI L UMUM 2/3/1970 UMUM KOLELET 083871495674 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
29 P-H3IHU0QK 3602095707610001 UPEN P UMUM 7/17/1961 UMUM KADUHAUK 083815129703 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
30 P-H07PPEXG 3601111011860006 SUWANTO L UMUM 11/10/1986 UMUM P SEDANG 085365588896 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
31 P-GYJVVDDQ 3601114907680001 CICIH KURNIASIH P UMUM 9/8/1966 UMUM KOLELET 083877430288 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
32 P-GOFWWSAT 3601115007910001 SITI MASITOH P UMUM 7/10/1991 UMUM P SEDANG 083841134076 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
33 P-GRXEX0PG 3601110202800004 SUPENDI L UMUM 3/23/1973 UMUM B COPONG 085694273088 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
34 P-GRP3E0NI 3601160107890214 USEP SAEPUL MUSTAKIM L UMUM 4/7/1988 UMUM CIHERANG 087773362340 CORONA VAC 7/5/2021 7/5/2021 24003121 16096451778667 8/5/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSINASI
TANGGAL 2 JULI 2021
PUSKESMAS PICUNG
Dosis I Dosis 2
pada kolom yang sesuai)
Umur Kelompo Tanggal Tanggal Tanggal
NO No. Ticket NIK Nama Penerima Vaksin JK pekerjaan INSTANSI Alamat No. Hp BPJS Non Merek Vaksin*** KET
(18-59 tahun) k Umur BPJS PBI Screening Pemberian No. Batch No seri Pemberian No. Batch No Seri
Non PBI Anggota
Vaksinasi Vaksinasi
1 P-A6LT7QQU 36011151010900001 SINDI AULIA P PELAJAR 1/11/2009 PELAJAR KOLELET 08315212596 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
2 P-A6LT7QQU 3601110207080034 M.RIDWAN SETIAWAN L PELAJAR 7/2/2008 PELAJAR KADUPANDAK 083834322134 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
3 P-DUJ89W9U 3601110103080002 SUMA WIJAYA L PELAJAR 3/1/2008 PELAJAR KOLELET 085880002705 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
4 P-M34GRUD 3201254409080003 DEWI MAHARANI P PELAJAR 9/4/2008 PELAJAR CILILITAN 083164593967 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
5 P-MA2K92QJ 3601110706040001 AHMAD SOLIHIN L PELAJAR 6/7/2004 PELAJAR KOLELET 085711284240 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
6 P-IYBBAUZP 3602092804090002 PADLI MAULANA L PELAJAR 4/28/2009 PELAJAR CIHERANG 085894181041 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
7 P-ME8DTIMO 3601133112050001 FAJAR NURIL MUTAQIN L PELAJAR 12/31/2005 PELAJAR MENES 083874282818 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
8 P-MDNESC6K 3601114208090001 ALIS AULIA P PELAJAR 5/19/2007 PELAJAR B. COPONG 083879333231 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
9 Y-01341D9R 3173086502090001 INDRI FEBIYANI P PELAJAR 2/25/2009 PELAJAR JAKARTA BARAT 087796135415 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
10 P-CGNOU5TU 3601116711070003 DEWI SAHARA P PELAJAR 11/27/2007 PELAJAR KOLELET 085773882997 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
11 Y-0134N8F1 3171080301060003 PUTRA ANDIKA L PELAJAR 1/3/2006 PELAJAR JOHAR BARU 085273330720 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
12 P-606G5Z5C 3601110208070004 PERDI L PELAJAR 8/2/2007 PELAJAR KOLELET 083161983951 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
13 P-6IIR1J9R 3601111510080002 RIZKY OCTA BADILLAH L PELAJAR 10/15/2008 PELAJAR CIHERANG 085773218083 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
14 P-AU9JNSWB 3601116705080001 AYU WULANDARY P PELAJAR 5/27/2008 PELAJAR KOLELET 085273330642 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
15 P-DLH5H08H 3602081004080002 BAGAS PRASETYOAJI L PELAJAR 4/10/2008 PELAJAR GUNUNG KENCANA 085773751775 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
16 P-EVG7WPXZ 3601114805090001 KASIH P PELAJAR 5/8/2009 PELAJAR KOLELET 085773676231 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
17 P-FWPIU0L5 3601111209050002 KOMARUDIN L PELAJAR 9/12/2005 PELAJAR KOLELET 085773676231 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
18 P-MN2VRTDO 3601110705080009 AKMAL FATHUROHMAN L PELAJAR 5/7/2008 PELAJAR KOLELET 085289486973 CORONA VAC 7/2/2021 7/2/2021 24003121 16096451778667 8/2/2021 24003121 16096451778667 DAPAT DIBERIKAN VAKSIN
Umur kolom BPJS
yang sesuai)
Kelompo INSTAN Non Merek Tanggal Tanggal Tanggal
No. Ticket NIK Nama Penerima Vaksin JK pekerjaan (18-59 Alamat No. Hp BPJS
k Umur SI Non Angg Vaksin*** Screening Pemberian No. Batch No seri Pemberian No. Batch No Seri KET
tahun) PBI
1 P-HOAE3Y03 3601115410670002 ANISAH P IRT 8/12/1969 REMAJA UMUM CILILITAN 083874284572 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
2 P-HNZR3OF5 3601114107840026 UTING ANGREANI L WIRASWASTA 4/21/1980 REMAJA UMUM CILILITAN 081219070607 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
3 P-HNTLRCGP 3601114107730118 EUIS P IRT 6/2/1968 REMAJA UMUM CILILITAN 083133532964 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
4 P-HN1KQAJD 3601114701830004 ROPIAH P IRT 12/12/1975 REMAJA UMUM KADUPANDAK 083834322134 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
5 P-GTV0TE7K 3601110107840062 MARNI P IRT 7/1/1986 REMAJA UMUM CIHERANG 085719044374 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
6 P-GTFKSNLR 3601114301690001 IAT HERAWATI P IRT 1/3/1969 REMAJA UMUM CIHERANG 085886801025 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
7 P-GULCRHTO 3601115107840001 ADE MARLINA P IRT 7/11/1984 REMAJA UMUM CIHERANG 085992808109 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
8 N-944E945D 3601114107630130 BAI ROHMAH P IRT 2/10/1963 REMAJA UMUM CILILITAN 083147335146 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
9 P-ATDE3E7P 3601114702930001 NITA P IRT 8/27/1992 REMAJA UMUM CIHERANG 087885789540 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
10 P-D81K0DTV 1810046702900002 SAKYAMAH P IRT 1/1/1991 REMAJA UMUM BANJARSARI 082122498637 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
11 P-HRXIA42 3601114107680097 ENENG SUHARYATI P IRT 5/4/1973 REMAJA UMUM CILILITAN 087777888873 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
12 Y-0133FKV6 3604241310840001 MISBAHULMUNIR L WIRASWASTA 10/13/1984 REMAJA UMUM KADUBERA 087789137212 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
13 P-HQX72MEU 3601114107620035 JUHARIAH P IRT 7/1/1962 REMAJA UMUM KADUPANDAK 085782644663 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
14 P-HPZ6JP7H 3601115010840002 SRI MULYATI P IRT 5/7/1985 REMAJA UMUM CILILITAN 083893320723 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
15 P-HQCCGS82 3601114107680177 ETIN P IRT 7/1/1968 REMAJA UMUM KADUPANDAK 085782644663 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
16 P-HPTX2NPD 3601116809770001 TINI P IRT 5/3/1975 REMAJA UMUM KOLELET 085214008471 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
17 P-HPNXKVTO 3601115206970003 SRI MULYANI P IRT 6/12/1997 REMAJA UMUM KOLELET 085254393162 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
18 P-HOJ8XLJG 3601114107930094 SITI AYU QAMARIEL P IRT 8/12/1969 REMAJA UMUM CILILITAN 085960476630 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
19 S-0D729E12 3601114107590025 SANTI P IRT 7/1/1959 REMAJA UMUM SUPAKALAS 081315662693 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
20 P-GDTB4P7G 3601114711760003 AAH ADIYATI P IRT 11/7/1976 REMAJA UMUM SUPAKALAS 081315662693 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
21 P-FUUU7Y4A 3601114509760001 ELIYAH P IRT 7/3/1979 REMAJA UMUM KADUPANDAK 085288958352 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
22 P-G2JD7ZNB 3601114107820051 TITI MARYANI P IRT 7/1/1982 REMAJA UMUM KADUPANDAK 085773748682 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
23 P-6MZL822I 3601114107920110 EPIH YULIANINGSIH P IRT 5/10/1992 REMAJA UMUM CIUYANG 081585463618 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
24 P-61TDF353 3601114107950151 JUMRON L WIRASWASTA 7/1/1995 REMAJA UMUM CIHERANG 081290993961 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
25 P-C2MLIM1K 3601114809940001 RIKA LESTARI P IRT 6/14/1994 REMAJA UMUM CIHERANG 081345531223 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
26 P-BTI103AZ 3602095408000001 GHANIS PUTRI ANGREANI P MAHASISWA 8/14/2000 REMAJA UMUM BANJARSARI 081321747482 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
27 P-BEMNGBEE 3601110207700006 JARNAH P IRT 7/1/1953 REMAJA UMUM CIHERANG 085591212234 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
28 P-BHHHKCAQ 3602090403890007 ETSYA WAHYU. K P IRT 3/4/1989 REMAJA UMUM BANJARSARI 083841441223 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
29 P-GRAOBSYV 3601114107890081 ERNA SURYANI P IRT 11/27/1987 REMAJA UMUM CILILITAN 081250003552 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
30 P-GQET93ZC 3601116811890002 KHOLIYAH P IRT 6/16/1990 REMAJA UMUM KOLELET 081282824542 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
31 P-DLE9NDUW 3602095708870004 IIS ISMA H P IRT 8/17/1987 REMAJA UMUM BANJARSARI 081231315573 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
32 P-DZSKX8X 3601111004640001 DADAN P L WIRASWASTA 4/10/1964 REMAJA UMUM KOLELET 085212365471 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
33 S-EB973890 3601115008500001 RUSMIATI P IRT 10/8/1950 REMAJA UMUM KADUPANDAK 083841522898 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
34 P-CTXVENH6 3601114107770059 TINI P IRT 6/11/1977 REMAJA UMUM CIHERANG 083841112597 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
35 S-DF26DA4C 3602092609530001 OMI SUJAI L WIRASWASTA 9/26/1953 REMAJA UMUM BANJARSARI 083841256789 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
36 P-CIF4Y32Z 3601115001920001 ENENG HAJAR P IRT 1/10/1992 REMAJA UMUM CIHERANG 083852256171 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
37 P-C1ZQT5CG 3602094104950005 APRILIA L P IRT 4/1/1995 REMAJA UMUM BANJARSARI 085385224687 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
38 P-GO7USDYA 3601114207700010 HAYATI P IRT 6/20/1970 REMAJA UMUM CILILITAN 085213242576 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
39 P-GQ2ZBNUY 3601115507690001 DEDE MARYANAH P IRT 2/10/1960 REMAJA UMUM KOLELET 085213255321 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
40 P-GPL715FF 3601114305910002 SITI MUKAROMAH P IRT 1/10/1993 REMAJA UMUM KOLELET 083813124669 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
41 P-GOJO3PRN 3601114107940069 ROSITA P IRT 8/16/1994 REMAJA UMUM CILILITAN 082253573102 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
42 P-GP3O1CD3 3601311008760002 SUKIR L WIRASWASTA 8/10/1976 REMAJA UMUM CIHERANG 082299000683 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
43 P-GNQ9C0QN 3601115812710001 ROHIMAH P IRT 12/18/1971 REMAJA UMUM CIHERANG 085813421460 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
44 P-GT30LBE0 3602090307920002 SANTIKA L WIRASWASTA 7/3/1992 REMAJA UMUM BANJARSARI 085236932471 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
45 P-GSPMPFYD 3601114804810001 YUNTI P IRT 4/8/1981 REMAJA UMUM CIHERANG 085678555952 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
46 P-GSEEJR2G 3601115802650001 SUKMANAH P IRT 2/18/1965 REMAJA UMUM CIHERANG 085214789546 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
47 P-GRPI25WQ 3601114208680001 SITI HASANAH P IRT 6/1/1968 REMAJA UMUM CILILITAN 085212362656 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
48 P-GS1MJ9WV 3601115209630001 SARIAH P IRT 9/12/1963 REMAJA UMUM CIHERANG 083841229744 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
49 P-HMKQV0FF 3601115911950001 HERA P IRT 11/19/1995 REMAJA UMUM CILILITAN 081954545217 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
50 S-8C6A87CF 3601114107580104 SUMIATI P IRT 11/1/1960 REMAJA UMUM KADUPANDAK 083841552569 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
51 P-HMDDHJ5A 3601114107690013 RATIH P IRT 11/7/1980 REMAJA UMUM CILILITAN 085611474447 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
52 P-HK476OOD 3601116110680001 CUCU L WIRASWASTA 6/1/1969 REMAJA UMUM CIHERANG 081917145623 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
53 P-HIBBHCQY 3601114902970005 SITA FUJIATI P IRT 2/9/1997 REMAJA UMUM KOLELET 085212125858 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
54 P-ANDGNPZC 3601115000570001 JUNAH P IRT 5/10/1970 REMAJA UMUM CIHERANG 083841229122 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
55 P-9O7COGW2 3601110605980004 SOLEMAN L WIRASWASTA 5/6/1998 REMAJA UMUM CIHERANG 085212477878 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
56 P-8SFDRV2W 3601114107770066 NANI SURYANI P IRT 5/20/1978 REMAJA UMUM B COPONG 083183261495 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
57 P-7EKJCSW3 3601115010930010 IRMA P IRT 10/10/1993 REMAJA UMUM CIHERANG 083841229255 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
58 S-C0AE5FFA 3601116208660001 ARISAH P IRT 2/4/1960 REMAJA UMUM KOLELET 083841229188 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
59 P-HA78B0VZ 3601116406970002 IIS ROSYANA P IRT 6/24/1997 REMAJA UMUM KADUPANDAK 083811137826 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
60 P-H9RS9NLD 3601114107630129 ENE P IRT 11/1/1963 REMAJA UMUM CILILITAN 083841229188 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
61 P-AJE1R8NZ 3602095409810002 EVY ROKHMAWATI P IRT 9/14/1981 REMAJA UMUM BANJARSARI 082117566177 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
62 P-GQTKL5EJ 3601114107930160 AAS TRIYANI P IRT 3/22/1993 REMAJA UMUM KOLELET 081297952370 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
63 P-H938BINZ 3601114505930001 UMU P IRT 5/7/1994 REMAJA UMUM KADUPANDAK 083853367847 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
64 S-6B974591 3601110208530003 MUHADI L WIRASWASTA 6/3/1945 REMAJA UMUM KADUPANDAK 083853367847 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
65 P-HSRPYPLS 3601114107870173 DEDE RENI YULIANTI P IRT 12/20/1984 REMAJA UMUM BUNGURCOPONG 083871524086 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
66 P-HSOATAQD 3601311002000005 ASEP HIDAYAT L WIRASWASTA 11/10/1999 REMAJA UMUM SINDANGRESMI 083808997264 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
67 P-HSHHSVMC 3601310107850092 MOHAMAD RIFAI L WIRASWASTA 5/13/1985 REMAJA UMUM DENPASAR TIMUR 081239712206 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
68 P-DWAGB8BJ 3601115008740001 SATIAH P IRT 8/10/1974 REMAJA UMUM CIHERANG 083125103872 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
69 P-H230GG2D 3601114107230009 ATIKAH P IRT 2/2/1961 REMAJA UMUM CILILITAN 083841229188 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
70 P-GZE6061H 3601110107610010 APAD L WIRASWASTA 11/2/1961 REMAJA UMUM PASIRSEDANG 083872672562 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
71 P-GZ25ULFC 3601110605720001 SATIRI P IRT 6/1/1972 REMAJA UMUM KOLELET 081298967570 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
72 S-2ADBDB81 3601110607500001 PADIL L WIRASWASTA 6/7/1950 REMAJA UMUM CILILITAN 083841229188 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
73 P-GYUBSECU 3601111105890001 ACENG L WIRASWASTA 5/11/1982 REMAJA UMUM KOLELET 083103051154 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
74 P-GYDYGERS 3601110804830001 SAPURI L WIRASWASTA 4/8/1983 REMAJA UMUM KOLELET 083103051154 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
75 P-GYCWWYGG 3601110600640003 YATI P IRT 1/20/1964 REMAJA UMUM CIHERANG 085889297423 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
76 S-6663D62D 3601115507640001 SATI P IRT 1/6/1957 REMAJA UMUM KOLELET 085212574084 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
77 P-GXABVHF3 3601115810680001 RANTI P IRT 10/18/1968 REMAJA UMUM CIHERANG 083897976078 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
78 S-B6B1FCA5 3601110107870104 AHMAD ARIFUDIN L WIRASWASTA 7/1/1989 REMAJA UMUM CIHERANG 083897976078 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
79 P-H80HDPLD 3601115204680003 MAMAH P IRT 4/12/1968 REMAJA UMUM KADUPANDAK 083834322134 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
80 P-H85UI2EL 3601114107630175 HODIJAH P IRT 7/1/1963 REMAJA UMUM KADUPANDAK 083834322134 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
81 S-5E850994 3601114107580059 ENTIN P IRT 7/1/1958 REMAJA UMUM CILILITAN 081287151367 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
82 P-H6Y67H5F 3601114107870028 ELIYAWATI P IRT 8/1/1987 REMAJA UMUM CILILITAN 083811140440 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
83 P-H7DWT5RF 3601116505940001 SARKUNAH P IRT 5/25/1994 REMAJA UMUM KOLELET 083811140440 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
84 P-H5JDYKVB 3601114205910001 ITOH P IRT 5/2/1991 REMAJA UMUM KOLELET 08593834188 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
85 P-HHASGLBH 3601110107750022 SOLIHIM L WIRASWASTA 8/8/1973 REMAJA UMUM CILILITAN 085217133130 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
86 P-HFN7SB91 3601114105690002 SITI MAEMUNAH P IRT 5/1/1969 REMAJA UMUM CILILITAN 083841187873 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
87 P-HGQ3XHY3 3601115103730001 ASMANAH P IRT 12/14/1974 REMAJA UMUM CIHERANG 083152271217 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
88 P-HE1EVZ7W 3601114107630155 IYAH P IRT 7/1/1963 REMAJA UMUM CILILITAN 081218321261 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
89 P-H1GWOWD 3601110207810013 INAN L WIRASWASTA 4/7/1969 REMAJA UMUM CILILITAN 085321213066 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
90 P-H0UBZ2MC 3601110107730017 SUPARTA L WIRASWASTA 6/12/1973 REMAJA UMUM PASIRSEDANG 081807222792 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
91 P-H0QIVXW1 3601112708920001 IPAT P IRT 11/30/1978 REMAJA UMUM KOLELET 083893851174 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
92 P-H1E18M8Y 3601110602730001 MAHDI L WIRASWASTA 2/6/1973 REMAJA UMUM CIHERANG 082310670911 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
93 P-HOB4DVIK 3601110107660007 SUNTANA L WIRASWASTA 6/21/1966 REMAJA UMUM PASIRSEDANG 083808160446 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
94 P-GZVS9IIB 3601114209920001 NUNGMAH P IRT 9/2/1992 REMAJA UMUM CIHERANG 083841229188 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
95 P-GZCFE9IF 3602090402810001 AMIR L WIRASWASTA 2/4/1981 REMAJA UMUM CIHERANG 085889297423 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
96 P-H5Y36IQM 3601110812770001 JUHDI L WIRASWASTA 3/13/1974 REMAJA UMUM KOLELET 081288584311 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
97 P-H4ADUZGM 3601114308920001 NANI P IRT 8/3/1970 REMAJA UMUM CILILITAN 083841229188 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
98 P-H26JJGW4 3601110602700002 BAHRI L WIRASWASTA 10/1/1969 REMAJA UMUM CIHERANG 085813312203 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
99 P-H2KLRTJD 3601114107690012 IYAH P IRT 7/1/1969 REMAJA UMUM CILILITAN 083841229188 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
100 S-7C99B8EE 3601114207570001 KARSI P IRT 10/21/1957 REMAJA UMUM KOLELET CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
101 P-GWY7DIVA 3601111310890001 INDRA L WIRASWASTA 5/10/1990 REMAJA UMUM KOLELET 083899012322 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
102 P-GWTSE20V 3601114508890003 UCU SUPRIATI P IRT 4/5/1984 REMAJA UMUM KOLELET 085212574084 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
103 P-GW18N757 3601114501000002 SARMINI P IRT 1/5/2000 REMAJA UMUM BUNGURCOPONG 083892707891 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
104 P-GWEFRSJ8 3601114510980003 PITRIAH P IRT 10/5/1998 REMAJA UMUM KADUPANDAK 0838990112322 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
105 P-GVBXSHDZ 3601114112680001 HJ.SARMAENAH P IRT 10/4/1970 REMAJA UMUM CIHERANG 085889297435 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
106 S-FBDE5EB1 3601111404700001 NASRIAL CANDRA L WIRASWASTA 4/14/1970 REMAJA UMUM CILILITAN 081363322260 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
107 P-GUBVJJYTD 3601116707740000 RUMYATI P IRT 7/27/1974 REMAJA UMUM CIHERANG 081224381488 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
108 P-HPGRRCRG 3601115109060000 SILVI RESTI SEPTIANI P MAHASISWA 6/11/2006 REMAJA PELAJAR CILILITAN 083891301765 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
109 P-HP18AQ3B 3601281201070000 JEPRI SAPUTRA L MAHASISWA 1/12/2007 REMAJA PELAJAR CILILITAN 081220635297 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
110 P-HRKWAQYW 3601114212030001 N HESTI RATNASARI P MAHASISWA 12/1/2003 REMAJA PELAJAR CILILITAN 083841426841 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
111 P-HRDR1ANE 3601116104090002 SALSABILA APRILIANI P MAHASISWA 4/21/2009 REMAJA PELAJAR CILILITAN 083890369636 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
112 P-0134PFG5 3174105206091004 AULIA PUTRI MAULAN P MAHASISWA 6/12/2009 REMAJA PELAJAR CILILITAN 081315949243 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
113 P-6SUN0JUM 3601115310010001 ENENG RISNA A P MAHASISWA 10/13/2001 REMAJA PELAJAR CIHERANG 085710508810 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
114 P-HA0QWIQB 3601115010060003 LAILA FRISTI OKTAVIANI P MAHASISWA 10/10/2006 REMAJA PELAJAR KADUPANDAK 083834322134 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
115 P-HC52MRYU 3601111108040001 RAPLI MAULANA L MAHASISWA 8/11/2004 REMAJA PELAJAR CILILITAN 083898955435 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
116 P-HCNAH1U3 3601112705050007 ARIL ADRIAN L MAHASISWA 5/27/2005 REMAJA PELAJAR CILILITAN 081318703376 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
117 P-H9632E29 3601115408080002 AGNES KALILA PRATIWI P MAHASISWA 8/14/2008 REMAJA PELAJAR KADUPANDAK 083834322134 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
118 J-000082E2 3601115910020001 DIANA P IRT 10/19/2002 DEWASA UMUM CILILITAN 083814145965 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
119 Q-00080VRT 3601110107780100 SARIP L SUPIR AMBULANCE 7/1/1978 DEWASA NAKES KADUPANDAK 081210289122 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
120 Z-590424AA 3601114101580001 SARNAAH P IRT 1/1/1958 DEWASA UMUM CILILITAN CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
121 P-HJ14ROON 3601146206950002 WINAWATI P WIRASWASTA 6/22/1992 DEWASA UMUM CIMAHI 083879229853 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
122 P-HMS4OX25 3602090401940002 AHMAD HAERUDIN L WIRASWASTA 1/4/1994 DEWASA UMUM BANJARSARI 083841538730 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
123 Q-0009921W 3601110107010138 NURHALIM L WIRASWASTA 9/21/2000 DEWASA UMUM CIHERANG 085888351497 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
124 P-GNTMW0SD 3601114206650002 ADE PURNAMAH L WIRASWASTA 6/2/1965 DEWASA UMUM KOLELET 085711051506 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
125 P-GN7MVZQD 3601112704630001 DADANG JUHERLAN L WIRASWASTA 5/27/1963 DEWASA UMUM KOLELET 085711051506 CORONAVAC 26-07-2021 26-07-2021 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
126 P-FWPIU0L5 3601111209050002 KOMARUDIN L MAHASISWA 9/12/2005 REMAJA PELAJAR KOLELET 085773676231 CORONAVAC 26-07-2022 26-07-2022 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
127 P-MN2VRTDO 3601110705080009 AKMAL FATHUROHMAN L MAHASISWA 5/7/2008 REMAJA PELAJAR KOLELET 085289486973 CORONAVAC 26-07-2023 26-07-2023 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
128 P-EVG7WPXZ 3601114805090001 KASIH P MAHASISWA 5/8/2009 REMAJA PELAJAR KOLELET 085773676231 CORONAVAC 26-07-2024 26-07-2024 24201721 16239775553753 8/26/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
PUSKESMAS PICUNG
Kepesertaan BPJS
Kelompo INSTAN Merek Tanggal
No. Ticket NIK Nama Penerima Vaksin JK pekerjaan (18-59 Alamat No. Hp BPJS Non Tanggal Tanggal
k Umur SI BPJS Vaksin*** Screening
tahun) Non Angg Pemberian No. Batch No seri Pemberian No. Batch No Seri KET
PBI
1 P-IGHVQWFW 3601110107990075 MUHAMAD ILAL L WIRASWASTA 5/5/1997 DEWASA UMUM CILILITAN 085813107030 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
2 P-HXD96PTY 3601111608000001 FIKRI ANGGARA L WIRASWASTA 8/16/2000 DEWASA UMUM CILILITAN 085281447377 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
3 P-1FGPHWIC 3329092411880001 ADITYA SETIAWAN L WIRASWASTA 12/24/1988 DEWASA UMUM CILILITAN 0895340039808 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
4 Y-012YMXLN 3601110207720003 NANA RUHIANA L WIRASWASTA 3/13/1968 DEWASA UMUM CILILITAN 082298506580 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
5 P-G9AWD58P 3601114107680100 ENOK ROYANI P IRT 4/21/1969 DEWASA UMUM CILILITAN 085281447377 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
6 P-FDMM4IPT 3209212208070003 TIAR MEGAN FIRDAUS P PELAJAR 8/22/2007 DEWASA UMUM CILILITAN 085892747199 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
7 Q-0009ADCA 3601115006900001 YAYAH P IRT 6/10/1986 DEWASA UMUM KOLELET 082111039431 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
8 P-112CKGXA 3601116409050001 SANTI UFIYANI P PELAJAR 9/24/2005 DEWASA UMUM KOLELET 081319385826 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
9 Q-0009FK3B 3602092604000001 FERDI MUTASILAH L MAHASISWA 4/26/2000 DEWASA UMUM BANJARSARI 085939691908 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
10 P-IHQVSVMS 3601112507090002 SARTAJAYA L PELAJAR 7/25/2009 DEWASA UMUM B COPONG 083871989200 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
11 P-1H4GHT31 3602092003680004 HIMAYATU SOLEHA P PELAJAR 3/20/2008 DEWASA UMUM BANJARSARI 083871296380 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
12 Q-00099IT2 3601114201930002 ITA AYUNDA SARI P IRT 1/2/1993 DEWASA UMUM KADUPANDAK 081212164717 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
13 P-ILKJ2YV2 3601114404090004 ROSALINDA P PELAJAR 4/4/2009 DEWASA UMUM KOLELET 085772721942 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
14 P-IL2848LB 1601267101860002 SUSI MARGARETA P IRT 1/27/1986 DEWASA UMUM SUKA MERINDU 085216371944 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
15 P-IKGLY1CU 3601114107650119 MUNIRAH P IRT 2/15/1969 DEWASA UMUM PSR SEDANG 083870871230 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
16 P-1KOAI90L 1601210203080001 M. NUR RIZQI WANSYAH L PELAJAR 3/2/2008 DEWASA UMUM SUKA MERINDU 085216371944 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
17 P-IJFML200 1601210110820002 IPAL WANSYAH L WIRASWASTA 10/1/1982 DEWASA UMUM SUKA MERINDU 085269371944 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
18 P-1SBNFLQS 3601116809030004 SEPTI LISTIANI P MAHASISWA 9/28/2003 DEWASA UMUM CILILITAN 085710494016 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
19 P-ISZZN3IR 3601114107380036 EUIS AMALIA P IRT 10/11/1994 DEWASA UMUM CILILITAN 081388611310 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
20 P-100MPPIN 3601134410080003 NAIRA ZYRA IFRA P PELAJAR 10/4/2008 DEWASA UMUM MENES 085212342827 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
21 S-GEEC2DID 3601106207550001 DJARIAH P IRT 7/20/1955 DEWASA UMUM BOJONG 0881024122309 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
22 P-IVC8RKHF 3601116511930003 SAPRAH P IRT 5/8/1993 DEWASA UMUM B COPONG 083878423286 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
23 P-1UWAW6YQ 3601115504870001 EMMA ALFULAELA S P GURU 4/15/1987 DEWASA UMUM KOLELET 085219988301 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
24 P-ITWYX2H 3601111207070001 IKSAN SANUSI L PELAJAR 7/1/2007 DEWASA UMUM PSR SEDANG 0859102626552 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
25 P-125A9PL3 3601106801780001 ERNAWATI P IRT 1/28/1978 DEWASA UMUM BOJONG 083878622800 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
26 P-IYLWWEN3 3217050608710012 YAYAN SOPIAN L WIRASWASTA 8/6/1971 DEWASA UMUM BOJONG 087711107916 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
27 P-IWMIHPQK 3601116906080001 RIRIN RIANTI P PELAJAR 6/29/2008 DEWASA UMUM CIHERANG 081213747034 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
28 P-IYD26OPZ 3601114907070002 ALIA P PELAJAR 7/9/2007 DEWASA UMUM CIHERANG 083811663748 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
29 P-1XF27QEX 3601112208920002 KUSNALDI L MAHASISWA 8/4/2002 DEWASA UMUM CIHERANG 083893062620 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
30 Q-0009ADBT 3601110107840112 ESLI RAMLI L GURU 10/23/1984 DEWASA UMUM KADUBERA 085781566344 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
31 S-CAODO3B0 3601114107900026 JAMILAH P IRT 5/10/1987 DEWASA UMUM PSR SEDANG 083147301211 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
32 P-IVNLQZQJ 3601114811900001 UNASIH P IRT 11/8/1990 DEWASA UMUM B COPONG 083871989200 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
33 P-1ZEE5TKC 3601113012950001 DIKI ZULKIFLI L WIRASWASTA 12/31/1994 DEWASA UMUM PSR SEDANG 085694400198 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
34 P-J0816PI9 3601114304000001 HENA APRIL TRIANA P MAHASISWA 4/3/2001 DEWASA UMUM PSR SEDANG 083878782439 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
35 P-12UE8Z8F 3601110204000002 GILANG LISTIAWAN L MAHASISWA 4/30/2000 DEWASA UMUM CILILITAN 085692720360 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
36 Q-0009FJUW 3601111212890001 NONE P IRT 12/12/1989 DEWASA UMUM CILILITAN 087870195444 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
37 P-JF2LBPXN 3601115608840002 NENG LINA P IRT 8/16/1984 DEWASA UMUM KOLELET 081517501836 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
38 P-JBQBXY12 3601110210030001 CANDRA ARIF HIDAYAT L MAHASISWA 10/2/2003 DEWASA UMUM CILILITAN 085711283561 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
39 P-JJVKK2NM 3601114104090009 NENG DIFA JUFILA P PELAJAR 4/1/2009 DEWASA UMUM KOLELET 085281464200 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
40 P-JJKF2V55 3601114606060002 TIARA REGITA P PELAJAR 6/6/2006 DEWASA UMUM KOLELET CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
41 P-JJQOCQ82 3601114403800002 NURILA P IRT 5/4/1980 DEWASA UMUM KOLELET 085284620000 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
42 P-J7SCXGAI 3601114101080004 ELIS P PELAJAR 1/1/2008 DEWASA UMUM KOLELET 085693834188 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
43 P-J7FRLTIB 3601114409080006 YULIA SEPTIANI P PELAJAR 9/4/2008 DEWASA UMUM CIHERANG 085782365967 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
44 P-J6RRLVHT 3601110404070004 ISNA P PELAJAR 4/4/2007 DEWASA UMUM KOLELET 085716372054 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
45 P-J654QN9M 3601112008010003 IRFAN AGUSTIAN L MAHASISWA 8/20/2001 DEWASA UMUM KADUPANDAK 083151496289 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
46 P-J2J7BZFI 3602094606810006 NURLAELA P IRT 6/6/1981 DEWASA UMUM CILILITAN 087772179685 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
47 P-J250A940 3601102712010001 RIYAN L MAHASISWA 12/27/2001 DEWASA UMUM BOJONG 083893729254 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
48 P-JIVA6JMY 3601102708040005 RIJAL AGUSTIAN L MAHASISWA 8/27/2003 DEWASA UMUM BOJONG 085711041093 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
49 P-J12B350X 3272042707750902 ADE ERMAN SEJATI L WIRASWASTA 7/27/1975 DEWASA UMUM SUKABUMI 083819764848 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
50 P-JIHM34JD 3601100708020005 MUHAMAD AFENDI L MAHASISWA 8/7/2002 DEWASA UMUM BOJONG 089507618345 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
51 P-JOK403IP 3601110107910053 MUHAMAD ARIP L WIRASWASTA 9/17/1991 DEWASA UMUM PSR SEDANG 083819457709 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
52 S-35E6B7ED 3601114107500051 MUMUN P IRT 7/1/1950 DEWASA UMUM KOLELET 085711051506 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
53 P-ITC15IVP 3601115906660001 HELA ALFULAEJA P IRT 6/19/1966 DEWASA UMUM KOLELET 085711051506 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
54 Q-00072641 3601115506890002 SUMI P GURU 6/15/1989 DEWASA UMUM KADUBERA 085771218344 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
55 P-IFMZ7740 3601110902680001 APIN L WIRASWASTA 2/9/1965 DEWASA UMUM B COPONG 082112147803 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
56 P-HJAYPMNF 3601115001730002 E. NANI MARLINA P IRT 1/10/1973 DEWASA UMUM CILILITAN 081808161688 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
57 S-ABK54F9B 3601114107500005 SUMIATI P IRT 8/26/1945 DEWASA UMUM PSR SEDANG 085711051506 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
58 P-1GBYJ36X 3601110107610067 SAHAD L WIRASWASTA 12/4/1968 DEWASA UMUM B COPONG 083840174488 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
59 P-1S0EDXC2 3601115012040001 INTAN PERMATASARI P MAHASISWA 12/10/2004 DEWASA UMUM CILILITAN 083878417042 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
60 P-IT321XX4 3601117011040001 NOVI PUSPITASARI P MAHASISWA 11/30/2004 DEWASA UMUM CILILITAN 083871495158 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
61 P-1Q7KDWZS 3671105507090004 MIRA HARTATI P PELAJAR 7/15/2009 DEWASA UMUM B COPONG 085695682425 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
62 P-1Q1AVTQ6 3602094908080002 REGINA AGUSTINA P PELAJAR 8/9/2009 DEWASA UMUM BANJARSARI 081584893092 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
63 P-IRETFK1J 3601110306070003 PULUNG L PELAJAR 6/3/2007 DEWASA UMUM B COPONG 083133670869 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
64 P-IQILQOZC 3602095007070002 RODIPA P PELAJAR 7/10/2007 DEWASA UMUM BANJARSARI 083870922410 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
65 P-IRQGPZHJ 3601104502050003 RISDA MAULANI YUSUF P PELAJAR 2/5/2005 DEWASA UMUM BOJONG 083893716015 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
66 P-IRJA1ZDZ 3601114508080002 ARI L PELAJAR 8/5/2008 DEWASA UMUM B COPONG 083878423686 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
67 P-IND3BJXE 3601115609080003 WIWI WIDIAWATI P PELAJAR 9/16/2008 DEWASA UMUM CILILITAN 085311469694 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
68 P-1MVV2USL 3173011307091004 DENU ISMAIL L PELAJAR 7/13/2009 DEWASA UMUM TANGERANG 083854468744 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
69 P-INPU3H31 3601116502860006 SARIANAH P IRT 2/25/1986 DEWASA UMUM KOLELET 085772721942 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
70 P-1O09A9GF 3601110107910107 DENI RAMADHAN L PERAWAT 4/9/1989 DEWASA UMUM CILILITAN CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
71 P-1OUIUE29 3601110101080008 DEDE YANUAR L PELAJAR 1/1/2008 DEWASA UMUM CILILITAN 085811461722 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
72 P-IPST3RVN 3601144107900025 OOM P IRT 7/1/1990 DEWASA UMUM KADUBERA 083870841237 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
73 P-IPPE3HPV 3601110107780161 SUHERI L WIRASWASTA 2/1/1979 DEWASA UMUM B COPONG 087772289086 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
74 P-IMGA84RP 3601110107620057 MAMAN SUHERMAN L WIRASWASTA 5/10/1961 DEWASA UMUM PSR SEDANG 083870871230 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
75 P-ILZOE8LQ 3601112911080004 TOMI ARDIYAN L PELAJAR 11/29/2008 DEWASA UMUM CILILITAN 083854468744 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
76 P-IILAPTPZ 3601114105070002 RIA P PELAJAR 5/1/2007 DEWASA UMUM KOLELET 081284304680 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
77 Q-0009FK3E 3602094209780001 NENG M SURYAMAH P IRT 9/2/1978 DEWASA UMUM BANJARSARI 085691376203 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
78 P-112ODZHG 3601110110970002 REZA ALFARIZI L WIRASWASTA 10/1/1997 DEWASA UMUM KOLELET 083814557052 CORONAVAC 27-07-2021 27-07-2021 24201721 16239775553753 8/27/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
PUSKESMAS PICUNG
Kepesertaan BPJS
Kelompo INSTAN Merek Tanggal
No. Ticket NIK Nama Penerima Vaksin JK pekerjaan (18-59 Alamat No. Hp BPJS Non Tanggal Tanggal
k Umur SI BPJS Vaksin*** Screening
PBI
1 P-KRNQ6G9L 3601115303090001 FRISSA CATUR MAUDINA P PELAJAR 3/13/2009 REMAJA UMUM KADUPANDAK 081210618413 CORONAVAC 28/07/2021 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
2 P-KUTVS7K 3601110406050002 ALFAN D U L PELAJAR 6/4/2005 REMAJA UMUM CILILITAN 08525474370 CORONAVAC 28/07/2022 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
3 P-9JZDS56R 3601110101070007 DEDE MAHFUDIN L PELAJAR 1/1/2007 REMAJA UMUM KADUPANDAK 081221331584 CORONAVAC 28/07/2023 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
4 P-KLNREI88 3601114804030001 NURKHOSIYAH P PELAJAR 4/12/2003 REMAJA UMUM PSR SEDANG 085319228113 CORONAVAC 28/07/2024 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
5 P-KKM9GZYW 3601111509080001 RAMDAN DARMA RIYANTO L PELAJAR 9/15/2008 REMAJA UMUM CILILITAN 085711283485 CORONAVAC 28/07/2025 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
6 P-KDU9J1VL 3601112601020002 M AZIS L MAHASISWA 1/26/2002 REMAJA UMUM CIHERANG 081212402637 CORONAVAC 28/07/2026 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
7 P-KFNV4POL 3601115503080001 DESTA ADELIA P PELAJAR 8/10/2008 REMAJA UMUM KOLELET 08881346177 CORONAVAC 28/07/2027 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
8 P-KGG6Z3S2 3602096401060004 RIRIN NURNELA SARI P PELAJAR 1/24/2006 REMAJA UMUM BANJARSARI 08557656755 CORONAVAC 28/07/2028 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
9 P-JJU7P1LK 3601115902090004 INEU DESIKHA P PELAJAR 2/19/2009 REMAJA UMUM COPONG 083890429880 CORONAVAC 28/07/2029 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
10 P-ISDKOBEH 3601115808020001 HANA FITRIANI AGUSTINA P PELAJAR 8/18/2002 REMAJA UMUM KADUPANDAK 085210825385 CORONAVAC 28/07/2030 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
11 P-H3CCXTGF 3601114104070004 MAYA P PELAJAR 4/1/2007 REMAJA UMUM KOLELET 085883446837 CORONAVAC 28/07/2031 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
12 P-40EGB96P 3601112610050003 INDRA PURNOMO L PELAJAR 10/26/2005 REMAJA UMUM PASIRSEDANG 083872672575 CORONAVAC 28/07/2032 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
13 P-7RXMPASZ 3601111703070001 IMRON L PELAJAR 3/1/2007 REMAJA UMUM KOLELET 085711284240 CORONAVAC 28/07/2033 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
14 P-GP3AQYCI 3601114210000002 JIHAN SUCI OKTAPIA P PELAJAR 10/2/2008 REMAJA UMUM KOLELET 085883446837 CORONAVAC 28/07/2034 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
15 P-8Y4KZV14 3601112204080003 ANWAR GOFUR L PELAJAR 4/22/2008 REMAJA UMUM KOLELET 085717556241 CORONAVAC 28/07/2035 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
16 P-EGHED6VE 3601114910070002 SELAWATI P PELAJAR 10/8/2008 REMAJA UMUM CIHERANG 085891776820 CORONAVAC 28/07/2036 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
17 P-DVFKKNKD 3601113001090001 ROHIM L PELAJAR 1/30/2009 REMAJA UMUM CIHERANG 083127280862 CORONAVAC 28/07/2037 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
18 P-AAMU2QZT 3601114905080002 DELIANTI P PELAJAR 5/9/2008 REMAJA UMUM CIHERANG 083806912582 CORONAVAC 28/07/2038 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
19 P-AIWIYYZJ 3601111304090004 ANRI PRATAMA L PELAJAR 4/13/2009 REMAJA UMUM CILILITAN 085694725597 CORONAVAC 28/07/2039 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
20 P-9XV0XQBT 3601110101070001 MOH.ALIF DARMAWAN L PELAJAR 1/1/2008 REMAJA UMUM PAMEDANGAN 081511690352 CORONAVAC 28/07/2040 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
21 P-C5YP0360 3601110906910002 AZIZ MUKSIN L WIRASWASTA 6/9/1991 DEWASA UMUM CIHERANG 085810905805 CORONAVAC 28/07/2041 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
22 P-BKR2K107 3601110102890001 M HENGKI L WIRASWASTA 1/2/1989 DEWASA UMUM CIHERANG 08158156445 CORONAVAC 28/07/2042 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
23 P-AV54TZ3N 3601115105750001 MARCANI L WIRASWASTA 5/11/1975 DEWASA UMUM B COPONG 083891469819 CORONAVAC 28/07/2043 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
24 p-8ewxlf52 3601110107730166 RONI L WIRASWASTA 5/19/1973 DEWASA UMUM CIHERANG 085711284240 CORONAVAC 28/07/2044 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
25 S-9A574465 3601100107900018 ASEP LATIF KURNIAWAN L WIRASWASTA 11/14/1990 DEWASA UMUM BOJONG 083841381408 CORONAVAC 28/07/2045 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
26 P-DHQPYHNA 3601111108770001 SAEPUL L WIRASWASTA 8/11/1977 DEWASA UMUM CIHERANG 08569998508 CORONAVAC 28/07/2046 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
27 P-D8I68GSS 3601110607890002 SUHANDI L WIRASWASTA 7/6/1989 DEWASA UMUM CIHERANG 08567441190 CORONAVAC 28/07/2047 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
28 P-CPLSANTS 3601110805930002 RAHMAT HIDAYAT L WIRASWASTA 11/25/1992 DEWASA UMUM B COPONG 083891469819 CORONAVAC 28/07/2048 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
29 P-EMEXQKB7 3601110503620001 EMAN SUHENDI L WIRASWASTA 3/5/1962 DEWASA UMUM KOLELET 085711051506 CORONAVAC 28/07/2049 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
30 P-KPGXSFDJ 3603310702900002 KURNIADI L WIRASWASTA 2/7/1990 DEWASA UMUM BANJARSARI 085715407490 CORONAVAC 28/07/2050 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
31 Y-0135V9S2 3601104101970004 SHIFA ANDRIANI P IRT 1/1/1997 DEWASA UMUM BOJONG 083899219699 CORONAVAC 28/07/2051 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
32 P-KMZ4FUVJ 3601104307910001 ROSANI P IRT 7/3/1991 DEWASA UMUM BOJONG 083808043834 CORONAVAC 28/07/2052 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
33 P-KMM8FU6A 3601110206080004 M YUSUP L PELAJAR 6/22/2008 REMAJA UMUM CIHERANG 085716255965 CORONAVAC 28/07/2053 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
34 P-KM2HIEBO 3601115602940001 DEWI R A P IRT 2/16/1994 DEWASA UMUM CILILITAN 085930005030 CORONAVAC 28/07/2054 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
35 P-KJUQRIZB 3601105801000005 FITRIA DININGSIH P MAHASISWA 1/18/2000 REMAJA UMUM BOJONG 085810136527 CORONAVAC 28/07/2055 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
36 P-KFDTXJRB 3601114411710001 SITI P IRT 11/4/1971 DEWASA UMUM KOLELET 08881346177 CORONAVAC 28/07/2056 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
37 P-KEFJGGBD 3601110107920111 MUHAMAD GOJALI L WIRASWASTA 6/14/1992 DEWASA UMUM CIHERANG 082111105009 CORONAVAC 28/07/2057 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
38 P-KD5UGARQ 3601115703820001 IPAH SUHERNI P IRT 6/8/1982 DEWASA UMUM KADUPANDAK 085211071866 CORONAVAC 28/07/2058 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
39 P-KCGYM249 3601116307000001 TUTI SUGIARTI P MAHASISWA 7/23/2000 DEWASA UMUM SINDANGRESMI 085813556380 CORONAVAC 28/07/2059 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
40 P-IJKUJ258 3601116208720001 TATI SUPRIATI P IRT 8/22/1972 DEWASA UMUM KADUPANDAK 085215171450 CORONAVAC 28/07/2060 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
41 S-BEE29A8F 3601114207570002 YATI P IRT 1/20/1963 DEWASA UMUM CILILITAN 083812703351 CORONAVAC 28/07/2061 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
42 S-CBB8F470 3601110107520003 HENDRA L WIRASWASTA 6/1/1952 DEWASA UMUM PSR SEDANG 087880178702 CORONAVAC 28/07/2062 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
43 P-5OHKGZ7 3601114107750069 KOKOM P IRT 7/1/1975 DEWASA UMUM CIHERANG 085920019240 CORONAVAC 28/07/2063 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
44 P-KR4GLRFD 3601114207890003 NURHAYATI P IRT 4/4/1989 DEWASA UMUM KOLELET 085716255965 CORONAVAC 28/07/2064 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
45 P-4EBB7ERA 3601084207870001 ENCUN SUNARIAH P IRT 4/8/1983 DEWASA UMUM KADUPANDAK 085692663787 CORONAVAC 28/07/2065 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
46 S-A15809CB 3601112112910001 YEYEN JAENUDIN P IRT 12/21/1991 DEWASA UMUM CIHERANG 085215971897 CORONAVAC 28/07/2066 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
47 Q-000821NW 3601110204610003 HENDY L WIRASWASTA 4/2/1961 DEWASA UMUM PSR SEDANG 085280189796 CORONAVAC 28/07/2067 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
48 Q-00081CZL 3601114107800067 AAN P IRT 2/1/1979 DEWASA UMUM KADUPANDAK 085719022910 CORONAVAC 28/07/2068 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
49 Q-000822WL 3601114511630004 MAEMUNAH P IRT 11/5/1963 DEWASA UMUM PSR SEDANG 085280189796 CORONAVAC 28/07/2069 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
50 Q-0009RCQV 3602092904800002 PARNO L WIRASWASTA 4/29/1980 DEWASA UMUM CILILITAN 085216926549 CORONAVAC 28/07/2070 28/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
PUSKESMAS PICUNG
Kepesertaan BPJS
Kelompok INSTAN Tanggal
No. Ticket NIK Nama Penerima Vaksin JK pekerjaan (18-59 Alamat No. Hp BPJS Non Merek Vaksin*** Tanggal Tanggal
Umur SI BPJS Screening
PBI
1 P-A6LT7QQU 36011151010900001 SINDI AULIA P PELAJAR 1/11/2009 REMAJA UMUM KOLELET 08315212596 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
2 P-A6LT7QQU 3601110207080034 M.RIDWAN SETIAWAN L PELAJAR 7/2/2008 REMAJA UMUM KADUPANDAK 083834322134 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
3 P-DUJ89W9U 3601110103080002 SUMA WIJAYA L PELAJAR 3/1/2008 REMAJA UMUM KOLELET 085880002705 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
4 P-M34GRUD 3201254409080003 DEWI MAHARANI P PELAJAR 9/4/2008 REMAJA UMUM CILILITAN 083164593967 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
5 P-MA2K92QJ 3601110706040001 AHMAD SOLIHIN L PELAJAR 6/7/2004 REMAJA UMUM KOLELET 085711284240 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
6 P-IYBBAUZP 3602092804090002 PADLI MAULANA L PELAJAR 4/28/2009 REMAJA UMUM CIHERANG 085894181041 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
7 P-ME8DTIMO 3601133112050001 FAJAR NURIL MUTAQIN L PELAJAR 12/31/2005 REMAJA UMUM MENES 083874282818 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
8 P-MDNESC6K 3601114208090001 ALIS AULIA P PELAJAR 5/19/2007 REMAJA UMUM B. COPONG 083879333231 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
9 Y-01341D9R 3173086502090001 INDRI FEBIYANI P PELAJAR 2/25/2009 REMAJA UMUM JAKARTA BARAT 087796135415 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
10 P-CGNOU5TU 3601116711070003 DEWI SAHARA P PELAJAR 11/27/2007 REMAJA UMUM KOLELET 085773882997 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
11 Y-0134N8F1 3171080301060003 PUTRA ANDIKA L PELAJAR 1/3/2006 REMAJA UMUM JOHAR BARU 085273330720 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
12 P-606G5Z5C 3601110208070004 PERDI L PELAJAR 8/2/2007 REMAJA UMUM KOLELET 083161983951 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
13 P-6IIR1J9R 3601111510080002 RIZKY OCTA BADILLAH L PELAJAR 10/15/2008 REMAJA UMUM CIHERANG 085773218083 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
14 P-AU9JNSWB 3601116705080001 AYU WULANDARY P PELAJAR 5/27/2008 REMAJA UMUM KOLELET 085273330642 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
15 P-DLH5H08H 3602081004080002 BAGAS PRASETYOAJI L PELAJAR 4/10/2008 REMAJA UMUM GUNUNG KENCANA 085773751775 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
16 P-EVG7WPXZ 3601114805090001 KASIH P PELAJAR 5/8/2009 REMAJA UMUM KOLELET 085773676231 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
17 P-FWPIU0L5 3601111209050002 KOMARUDIN L PELAJAR 9/12/2005 REMAJA UMUM KOLELET 085773676231 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
18 P-MN2VRTDO 3601110705080009 AKMAL FATHUROHMAN L PELAJAR 5/7/2008 REMAJA UMUM KOLELET 085289486973 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
19 P-7OWMYGP9 3601114608800008 SITI SUPARTI P IRT 8/6/1980 DEWASA UMUM KOLELET 083896009906 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
20 Y-0130UQUH 3173065009620004 SITI SUHERTI P IRT 9/10/1962 DEWASA UMUM SEMANAN CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
21 P-DCZHANXK 3602084502800005 SITI FATIMAH P IRT 2/5/1980 DEWASA UMUM GUNUNG KENCANA 085782630675 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
22 P-BVQESDPC 3601116603860001 NUR HADIZAH P IRT 2/1/1983 DEWASA UMUM KOLELET 085773882997 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
23 P-Z19ROYJM 3601110210910002 USUP SAPRONI L WIRASWASTA 10/1/1991 DEWASA UMUM DATAR 081288463011 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
24 P-9KPZDFQV 3601115207860001 NENGSIH P IRT 8/3/1987 DEWASA UMUM KOLELET 083812705643 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
25 P-8426QNXP 3601114207010008 SITI JULAEHA P IRT 7/2/2001 DEWASA UMUM KOLELET 0857182505003 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
26 P-HVQEEEBR 3601102101880004 JANURI L WIRASWASTA 1/21/1988 DEWASA UMUM MANGLID 085870098040 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
27 P-HJ5PBV2D 3602050708920006 ANDI SAPUTRA L WIRASWASTA 8/7/1992 DEWASA UMUM SINDANG WANGI 081219656079 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
28 P-GGGLL5DO 3601115304690001 MARIAM P IRT 4/13/1969 DEWASA UMUM KOLELET 085773751775 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
29 P-JT1IPJ3S 3601110604630003 DEDEN KUSNADI L WIRASWASTA 6/7/1982 DEWASA UMUM CIBATURKEUSIK 08214705911 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
30 P-LZIK0IAZ 3601111105920001 AHMAD SUGENG RIADI L WIRASWASTA 5/11/1992 DEWASA UMUM KOLELET 088290713008 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
31 P-MOCXRSOE 3601110604730001 MUGNI L WIRASWASTA 5/11/1964 DEWASA UMUM KOLELET 081585463259 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
32 P-M49QNQFP 3601111109080004 YUDA RAMADAN L WIRASWASTA 9/11/2001 DEWASA UMUM KOLELET 085813106484 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
33 P-M6RVRBFD 3601116310010001 WIWIN NURMARHAMAH P MAHASISWA 10/23/2001 DEWASA UMUM KOLELET 085281455311 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
34 P-MAF7PQ1S 3601110107950091 ERWAN PRIADI L WIRASWASTA 1/5/1995 DEWASA UMUM CILILITAN 081284440811 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
35 P-M9AHQKQS 3602094307880001 YULIANI P IRT 7/3/1988 DEWASA UMUM CILILITAN 085668196563 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
36 P-MC5YAU04 3601114804730001 SITI HADIJAH P IRT 4/8/1973 DEWASA UMUM PASIRSEDANG 083812704860 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
37 P-MDXH59AV 3601110812900001 MOHAMAD ARIA FAIZAL L WIRASWASTA 12/8/1998 DEWASA UMUM KOLELET 083898747173 CORONAVAC 29/07/2021 29/07/2021 24201721 16239775553753 8/28/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
PUSKESMAS PICUNG
Kepesertaan BPJS
Umur Kelompok INSTAN kolom yang sesuai) Tanggal
No. Ticket NIK Nama Penerima Vaksin JK pekerjaan Alamat No. Hp BPJS Non Merek Vaksin*** Tanggal Tanggal
(18-59 tahun) Umur SI BPJS Screening
PBI
1 P-2SBRVK23 3601110609090001 LABIB HABIL L PELAJAR 9/6/2006 REMAJA UMUM PSR SEDANG 083815686540 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
2 P-8ULLIIDI 3602095310070004 SYALWA ANDINI FITRI P PELAJAR 10/13/2007 REMAJA UMUM BANJARSARI 087871256813 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
3 P-FG00OW5F 3601115910040001 ELSA NURDEAS SAFITRI P MAHASISWA 10/19/2004 REMAJA UMUM CILILITAN 085771637776 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
4 P-FWNIYNRR 3601111702060001 KARSA L PELAJAR 2/12/2006 REMAJA UMUM CIHERANG 085710504189 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
5 P-GK5E2NOT 3601111708070003 DIKA L PELAJAR 8/17/2007 REMAJA UMUM CIHERANG 08383138498 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
6 P-HXYLTHNG 3601105307050002 LISTINA LATIFAH P PELAJAR 7/13/2005 REMAJA UMUM BOJONG 08574843107 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
7 P-NE2LFHFV 3601115010070003 SINDI P PELAJAR 10/10/2007 REMAJA UMUM B COPONG 083878802783 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
8 P-NDTWKXBR 3601315204070005 ALDY KURNIAWAN L PELAJAR 4/14/2007 REMAJA UMUM SINDANG RESMI 081297129668 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
9 P-36M76GOJ 3601105303850003 LINA YUNIAR ROHMAN P IRT 5/12/1985 DEWASA UMUM BOJONG 081574843107 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
10 P-6VXLOCXG 3601114107850266 YULI P IRT 7/1/1985 DEWASA UMUM BANJARSARI 081287101498 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
11 P-IP7TJTN6 3601110500710001 AHMAD NURGA L WIRASWASTA 2/5/1971 DEWASA UMUM KADUPANDAK 081210289122 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
12 P-J1DT2DVL 3601110107610040 HASAN L WIRASWASTA 9/5/1961 DEWASA UMUM CIHERANG 081212402637 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
13 P-NEZKNYV7 3601116812620001 MUTI'AH P IRT 12/28/1962 DEWASA UMUM PSR SEDANG 083895250329 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
14 P-NJFEUGS8 3601131012940002 GIGIN FERGIANSYAH L WIRASWASTA 12/10/1994 DEWASA UMUM MENES 081282202256 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
15 P-NIMP9DOB 3601110203750004 EMUL L WIRASWASTA 3/2/1975 DEWASA UMUM PSR SEDANG 087811677941 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
16 P-NHX5GS85 3601110107980207 DIDIK ANGGI LESMANA L WIRASWASTA 8/28/1997 DEWASA UMUM B COPONG 081336178302 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
17 P-NGZM36HO 3601115003580001 ETI ROHAYATI P IRT 10/7/1965 DEWASA UMUM KOLELET 083812705683 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
18 P-NOCX3VVI 3601112408950001 MAHDUM L WIRASWASTA 8/24/1995 DEWASA UMUM KOLELET 082311400687 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
19 P-NMZOLLE0 3601112705990002 ANDI L WIRASWASTA 5/27/1999 DEWASA UMUM CILILITAN 083806333775 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
20 Q-0009R2UI 3601111502670002 TATANG SUPARJO L WIRASWASTA 2/15/1967 DEWASA UMUM CILILITAN 082310670553 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
21 Q-0009P9KI 3601114107950104 YESI YULIANI P IRT 7/8/1995 DEWASA UMUM CILILITAN 085770108392 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
22 W-0000A70Y 3601102007820005 SUTISNA L WIRASWASTA 7/20/1982 DEWASA UMUM BANJARSARI 085781407206 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
23 Q-0009BK0X 3601101709700001 ADI JUNARDI L WIRASWASTA 9/17/1979 DEWASA UMUM B COPONG 081646088922 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
24 Q-0009PHAU 3601115512900001 JAENI NAIM L GURU 12/15/1990 DEWASA UMUM CILILITAN 083812982197 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
25 Q-0009B01U 3601114405990001 ANISA RISTIANI P IRT 5/29/1999 DEWASA UMUM KOLELET 081212145202 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
26 Q-0009R4LQ 3601114107850093 SANTI P IRT 12/25/1969 DEWASA UMUM KOLELET 083812705632 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
27 Q-0009R49L 3601111003620001 M. SARIM L WIRASWASTA 3/10/1962 DEWASA UMUM KOLELET 082124300216 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
28 Q-0009QJ5E 3601110507650001 JUHARI L WIRASWASTA 5/7/1965 DEWASA UMUM KOLELET 083899005649 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
29 Q-0007ZWN 3601116706760002 KOKOM KOMARIAH P IRT 6/27/1976 DEWASA UMUM BABAKAN LOA 085778231581 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
30 Q-0009FK0B 3601116202920002 ENOK NOVI P IRT 2/22/1992 DEWASA UMUM KOLELET 08531896284 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
31 W-0000A467 3601100410640001 ALIHARI L GURU 10/4/1964 DEWASA UMUM BOJONG 081547522547 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
32 Q-0009FJVW 3601114110860001 HILMAH P IRT 10/1/1986 DEWASA UMUM CILILITAN 085710507196 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
33 Q-0009Q644 3601315710920002 SURTI P IRT 7/15/1992 DEWASA UMUM KOLELET 085217104676 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
34 Q-000999OJ 3601114607840003 TETI HERIATI P IRT 7/6/1984 DEWASA UMUM CILILITAN 082219859695 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
35 Q-0009ADCB 3601114606820002 DEDE ALAWIYAH P IRT 6/6/1982 DEWASA UMUM B COPONG 083879981395 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
36 Z-0005UKX4 3601114107530019 EDAH DJUBAEDAH P IRT 12/1/1954 DEWASA UMUM CITEPUS CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
37 W-0000A5FL 3601110406630001 NAJMUDIN L WIRASWASTA 8/10/1968 DEWASA UMUM KOLELET 085213403544 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
38 Q-0009QMTG 3601110703770002 BABAY SUMATRA L WIRASWASTA 3/7/1977 DEWASA UMUM KADUPANDAK 082213549170 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
39 Q-0009S0J5 3601116406910002 RESI RISMAWATI P IRT 6/24/1991 DEWASA UMUM CILILITAN 085216027875 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
40 Q-0009PZJO 3601105504830004 DEDE ROHMAWATI P IRT 4/2/1994 DEWASA UMUM BOJONG 085774337870 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
41 Q-0009B01W 3601116501820001 JUMIATI P IRT 1/25/1982 DEWASA UMUM KADUBERA 085719064196 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
42 S-4F109D50 3601111001870001 ASEP PURKON L WIRASWASTA 7/24/1987 DEWASA UMUM CIHERANG 083841386001 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
43 J-00009YWS 3276080706940001 SANTANA L WIRASWASTA 6/7/1994 DEWASA UMUM B COPONG 08558399540 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
44 Q-0009FJYC 3601114701840005 AAN KARNAMAH L WIRASWASTA 2/12/1983 DEWASA UMUM KP BABAKAN 085711844388 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
45 P-ND6IEIXI 3601110104810122 YOYON SAHRONI L WIRASWASTA 7/10/1980 DEWASA UMUM KADUBERA 085717322265 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
46 Q-0009T8Q3 3601115504010004 SUSI APRIYANTI P IRT 4/15/2001 DEWASA UMUM KADUPANDAK 081288519730 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
47 Q-00081C31 3601114502960007 SAYU RAHMAWATI P IRT 6/25/1996 DEWASA UMUM KADUPANDAK 082118997572 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
48 Q-164861F5 3601114911350001 MOH.GEMBANG ASGAR L WIRASWASTA 11/9/1985 DEWASA UMUM KOLELET 087773092980 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
49 Q-0009FJZP 3601115507870003 ATIK KURNIA L WIRASWASTA 7/15/1987 DEWASA UMUM SUKAMAJU 083813118325 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
50 Q-0009SCP4 3602215403800003 ENOK RATNAWIAH P IRT 8/1/1980 DEWASA UMUM KOLELET 083871293566 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
51 Q-0009TAH8 3601114107890080 ROSDELIANA P IRT 8/4/1988 DEWASA UMUM CILILITAN 085692719958 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
52 Q-0009FJV3 3601111512610001 SUWARJONO L WIRASWASTA 12/15/1961 DEWASA UMUM CILILITAN 081282770185 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
53 W-0000A8GB 3601114807730002 ELIS YULIANINGSIH P IRT 7/8/1973 DEWASA UMUM CILILITAN 085219963787 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
54 Q-0009RFJ2 3601116506770003 SITI P IRT 6/25/1977 DEWASA UMUM KOLELET 0895397182997 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
55 Q-0009TAKA 3601114107680109 ARPAH P IRT 7/1/1969 DEWASA UMUM CILILITAN 082310670553 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
56 Q-0009FK0L 3601116502980001 RICHA DWI CAHYANI P IRT 2/20/1998 DEWASA UMUM CILILITAN 082265299372 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
57 W-00009TQS 3601115109830004 SUDIATI P IRT 9/11/1983 DEWASA UMUM CILILITAN 08382768846 CORONAVAC 30/07/2021 30/07/2021 24201721 16239775553753 8/30/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
PUSKESMAS PICUNG
Kepesertaan BPJS
Umur INSTAN kolom yang sesuai) Tanggal
No. Ticket NIK Nama Penerima Vaksin JK pekerjaan Kelompok Umur Alamat No. Hp BPJS Non Merek Vaksin*** Tanggal Tanggal
(18-59 tahun) SI BPJS Screening
PBI
1 P-OE4TXVNB 3601110809950002 MELINDA P PELAJAR 7/2/2007 PELAJAR UMUM CIHERANG 083184415819 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
2 P-GM5RRJBD 3601116810060001 SELA AMELIA PUTRI P PELAJAR 10/28/2006 PELAJAR UMUM CILILITAN 083811697212 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
3 P-G1EXROG7 3601115002090001 NURSYFA FEBRIYANTI P PELAJAR 2/10/2009 PELAJAR UMUM PSR SEDANG 083874406756 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
4 P-1EJS6BKL 3601115909070001 BRIHITA SEPTIANA R P PELAJAR 9/19/2007 PELAJAR UMUM CIHERANG 085811463208 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
5 P-1V04LO74 3601110203970005 MOCH AAN ANSORI L WIRASWASTA 3/2/1997 WIRASWASTA UMUM CILILITAN 085782287169 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
6 P-OD37NDOQ 3601112405830001 IWAN HADI PRAYITNO L WIRASWASTA 5/24/1983 WIRASWASTA UMUM KOLELET 081286359820 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
7 P-OD91F662 3602092509950003 RIZKY SEPTIAN WIBOWO L WIRASWASTA 9/25/1995 WIRASWASTA UMUM BANJARSARI 082299910992 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
8 P-OCP7EH5M 3602090110800002 SARMANI L WIRASWASTA 10/1/1980 WIRASWASTA UMUM BANJARSARI 083811666150 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
9 P-OCCTYQVV 3601240807910002 YAYAN MULYANA L WIRASWASTA 7/8/1991 WIRASWASTA UMUM CILELES 082120538496 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
10 P-OBXDYBHU 3601132505950002 AFREZA ZEIL FAHMI AZIZ L WIRASWASTA 5/25/1995 WIRASWASTA UMUM MENES 081316932936 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
11 P-OBHFJOV8 3601112702670001 AGUN SANTOSO L WIRASWASTA 2/27/1967 WIRASWASTA UMUM CILILITAN 085216237188 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
12 P-MJPNCLF8 3601117105880002 ENO SURYATI P IRT 5/16/1987 IRT UMUM B COPONG 085219836921 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
13 S-CC17B8B0 3601110408580001 KANTA RUSPANDI L WIRASWASTA 8/4/1958 WIRASWASTA UMUM KOLELET 082213325250 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
14 P-NE7OJUG 3601112007640001 ABAS L WIRASWASTA 12/16/1964 WIRASWASTA UMUM KOLELET 081804848772 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
15 P-IPIAY338 3601111509790001 UJANG HAMID L WIRASWASTA 9/15/1979 WIRASWASTA UMUM KOLELET 085219042386 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
16 P-NQ8H900U 3601114510930001 YATI SUPRIATI P NAKES 10/5/1984 NAKES UMUM KOLELET 081286359820 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
17 P-LCUZWSN 3601134112770001 DESI DASIA ROHMAN P NAKES 12/1/1977 NAKES UMUM MENES 085212342827 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
18 P-GBTZJCLE 3601114306870002 NANI SUMARNI P IRT 6/3/1987 IRT UMUM CILILITAN 083875619022 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
19 P-ABXOGWSM 3601116102920001 LELA WATI P IRT 2/21/1992 IRT UMUM KOLELET 081297952087 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
20 P-9CWD7WWJ 3602094408680001 ENI SRIHANDAYANI DRA P IRT 8/4/1968 IRT UMUM BANJARSARI 085771548980 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
21 P-7CUOEQF3 3601111210990001 M JENI L WIRASWASTA 4/16/1998 WIRASWASTA UMUM KOLELET 08180484772 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
22 P-678UDBC 3602092306850001 DIDIN SAEPUDIN L WIRASWASTA 6/23/1985 WIRASWASTA UMUM KOLELET 081211400400 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
23 S-CD4799E5 3601110201880001 RAHMATULLOH L NAKES 6/14/1981 NAKES UMUM B COPONG 085781549200 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
24 P-GSS8053L 3601110501070006 ADITYA PRATAMA L PELAJAR 1/5/2007 PELAJAR UMUM KOLELET 085717200672 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
25 Q-000AWDB7 3602096510810002 ENJUN ITOH P IRT 10/25/1981 IRT UMUM BANJARSARI 083811666150 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
26 Q-00009TR4T 3201254303830005 INTI TINA SARI P IRT 3/3/1983 IRT UMUM CILILITAN 081517810475 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
27 P-OBMA9GRB 3601114503700001 UCU SURYANTI P IRT 3/5/1970 IRT UMUM CILILITAN 087773374455 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
28 Q-000AUE99 3601115108000001 NENG GITA YUYUN N P IRT 8/11/2000 IRT UMUM PSR SEDANG 083812146493 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
29 P-FP89F58Q 3601113012700001 MUKRI L WIRASWASTA 7/1/1970 WIRASWASTA UMUM CIHERANG 083817578253 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
30 Q-000AXFFB 3601110204800002 AANG SUGIANA L WIRASWASTA 4/2/1980 WIRASWASTA UMUM CILILITAN 083806006562 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
31 Q-000AUHAE 3603044109970001 SUHARNI P IRT 9/1/1997 IRT UMUM PSR SEDANG 085774427956 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
32 Q-000AV355 1806095010990005 OKMALINDA P IRT 10/10/1999 IRT UMUM LAMPUNG 082361597028 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
33 Q-000AV2GE 3603034706000001 DEVI SURYANI P MAHASISWA 6/7/2000 MAHASISWA UMUM TAPOS 083813897497 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
34 Q-000AUMXM 1801095907950002 TUTI PUTRIYANTI P IRT 7/19/1995 IRT UMUM KEKELING 085280361710 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
35 Q-0009TM2Z 3601114107700028 SRI WAHYUNI P IRT 7/1/1970 IRT UMUM CILILITAN 081517810475 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
36 Q-000AV8UA 1608025505000001 DESI MELINDA SARI P MAHASISWA 5/15/2000 MAHASISWA UMUM PAKUAN 081314586435 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
37 Q-0009UA8F 3601114107710061 N NURHAYATI P IRT 7/21/1976 IRT UMUM CILILITAN 081297952097 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
38 Q-000AWK11 3324042912930001 ADI RADIPTYO L WIRASWASTA 12/29/1993 WIRASWASTA UMUM BOJONG 081532714482 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
39 Q-0009RGFU 3601115404740001 NINIH P IRT 4/14/1974 IRT UMUM KOLELET 081804848772 CORONAVAC 31/07/2021 31/07/2021 24201721 16239775553753 8/31/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
PUSKESMAS PICUNG
Kepesertaan BPJS
Umur INSTAN kolom yang sesuai) Tanggal
No. Ticket NIK Nama Penerima Vaksin JK pekerjaan Kelompok Umur Alamat No. Hp BPJS Non Merek Vaksin*** Tanggal Tanggal
(18-59 tahun) SI BPJS Screening
PBI
1 Z-0007WMYT 3601111007830001 JUMLI RAPIUDIN L WIRASWASTA 7/26/1982 DEWASA UMUM KADUPANDAK 083841571873 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
2 P-FKYFTFTV 3601115010980002 TITA SUNDARI P GURU 10/10/1998 DEWASA UMUM CILILITAN 083813000188 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
3 Q-000J4X47 3601114201080004 RISKA PUTRI A P PELAJAR 1/2/2008 REMAJA UMUM CILILITAN 085770620098 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
4 Q-000J4WWR 3601115802070001 HESTI NADILA PUTRI P PELAJAR 2/18/2007 REMAJA UMUM CILILITAN 085282669478 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
5 P-FNFTM8UV 3601114407070006 TIA JULIANTI P PELAJAR 7/4/2007 REMAJA UMUM KADUPANDAK 085719028272 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
6 P-FNNOLWXV 3601114207870028 DAUMI P IRT 2/3/1966 DEWASA UMUM CIHERANG 085692547549 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
7 P-FWAQEBLB 3601110207760019 TAKUROHMAN L WIRASWASTA 7/2/1976 DEWASA UMUM KOLELET 085782376878 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
8 Q-000A829D 3601110107930005 ASEP SAEPUL L WIRASWASTA 3/4/1989 DEWASA UMUM SUKAMANAH 087772299753 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
9 Q-000EJ546 3601115008900001 SUPARTI P IRT 8/10/1961 DEWASA UMUM KOLELET CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
10 P-G4B5XZSV 3601114508060001 AULIA RAHMA P PELAJAR 8/5/2006 REMAJA UMUM CILILITAN 085691926781 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
11 P-FKTKBAQ9 3601114209870002 DEWI ROSITA P IRT 9/2/1987 DEWASA UMUM CIHERANG 081511407646 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
12 P-FQU8HFXZ 3601114107740022 MAE P IRT 7/1/1974 DEWASA UMUM KADUPANDAK 085774773280 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
13 P-FMZ320NZ 3601116508050001 HELVI AGUSTINA P PELAJAR 8/25/2005 REMAJA UMUM KADUPANDAK 0859102626785 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
14 P-E79ZOL4G 3602095908080002 AISAH P PELAJAR 8/19/2008 REMAJA UMUM BANJARSARI 083870036257 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
15 P-FK9HPWR3 3601114702800001 ENOK KARTINAH P GURU 11/14/1979 DEWASA UMUM CIHERANG 081511407646 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
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17 P-AMUL6GMQ 3601110207800029 HENDRI L WIRASWASTA 6/9/1979 DEWASA UMUM CILILITAN CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
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20 P-FQ0YF0SR 3601112702090004 REPAN HADI L PELAJAR 2/27/2005 REMAJA UMUM KOLELET CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
21 P-FNAYM6AS 3601111702090003 SULTAN L PELAJAR 2/17/2009 REMAJA UMUM KADUPANDAK 085693565059 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
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55 Q-000J7BA5 3601112202790001 ADE SOLAHUDIN L WIRASWASTA 2/22/1979 DEWASA UMUM CILILITAN 083872670037 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
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60 Z-0007QPSV 3601114207750003 N AI TRISNAWATI P GURU 9/25/1979 DEWASA UMUM CILILITAN 083818220045 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
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89 P-FGZ00LDZ 3601115803880003 ELI MASNIA P IRT 3/18/1988 DEWASA UMUM PASIRSEDANG 083870874070 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
90 J-0000F4ZX 3601110107600078 ADE L WIRASWASTA 7/1/1968 DEWASA UMUM CILILITAN 083897121684 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
91 P-FHWREO1V 3601110105960002 JUMHADI L WIRASWASTA 7/1/1990 DEWASA UMUM CILILITAN 083812145378 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
92 Y-0131JK1V 3174065008860009 AAN ANIRAH P IRT 8/10/1986 DEWASA UMUM CILANDAK 085939517508 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
93 P-F160JIEL 3601114909940007 AAM P IRT 9/9/1994 DEWASA UMUM CIHERANG 085710257459 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
94 P-FK4AVSD4 3601116508970003 ISAH P IRT 8/25/1997 DEWASA UMUM CIHERANG 082149002247 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
95 S-E67219CE 3601111110450001 M SOLEH L WIRASWASTA 2/1/1956 DEWASA UMUM KOLELET 083871293566 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
96 P-FLS83YVH 3601114107680323 SAWIJAH P IRT 7/1/1968 DEWASA UMUM CILILITAN 083841426875 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
97 P-FMUSA6MX 3601115412920001 AMINAH P IRT 4/1/1992 DEWASA UMUM CIHERANG 085280255434 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
98 P-FM1HUFPZ 3601111206760004 IRWAN EKA PUTRA L WIRASWASTA 6/12/1976 DEWASA UMUM CILILITAN 083159313221 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
99 P-FR864AVH 3601110107560025 ALEK SAHRIN L WIRASWASTA 3/3/1972 DEWASA UMUM CILILITAN 081511856306 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
100 P-FREW10PX 3601114107830115 ,AE SAROH P IRT 4/5/1982 DEWASA UMUM CILILITAN 083838596001 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
101 P-F0E3FFFV 3601114107650046 ASMIRAH P IRT 7/1/1965 DEWASA UMUM CIHERANG 083879671317 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
102 S-627AF417 3601110603630002 AMIRUDIN L WIRASWASTA 4/12/1954 DEWASA UMUM KOLELET 083841229188 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN
103 P-FNQHIKW4 3601112802950002 MARNA L WIRASWASTA 2/28/1995 DEWASA UMUM KOLELET 083893705740 CORONAVAC 24/07/2021 24/07/2021 24201721 16239775553753 24/07/2021 24201721 16239775553753 DAPAT DIBERIKAN VAKSIN

Jumlah Vaksinasi by Name by Adres TGL 21-05-21

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LAPORANA NAMA-NAMA PENERIMA VAKSIN DOSIS 1 DAN 2

TANGGAL 13 September 2021

KANAL SARI BARAI VII/I 009/009 REJOSARI SEMARANG

KP.KADU BONGKOK 011/004 DS.CINGINGGANG KEC.GUNUNG

3601116209720000 dr.ANIK SUTARI KP.PASAR PICUNG 02/01

3601112012890000 ANAS SUBHANA KP.CIJALU 04/01 DS.KADUHAUK

3601115105990000 SRI MULYANI KP.RANCAMULYA 029/008 DS.PASIR

3601115609700000 ANAH KP.CIJALU 04/01 DS.KADUHAUK

3601104107740000 JUNI CIJALU DESA KADUHAUK

3601114806730000 MURTI 49 COVID-19

3601116211790000 RESI MULIA R 42 COVID-19

'3601100909760000 A SUPYANI P 42 SD N KOLELET 3 85710945330 COVID-19

3601112012770000 SUPARDI L 44 KORMIN PENDIDIKAN 85219531632 COVID-19

3601310509610000 AJAT SUDRAJAT L 60 KORMIN PENDIDIKAN 823298711608 COVID-19

3602094311650000 EUIS NURSIRTA P 56 KORMIN PENDIDIKAN COVID-19

3601111609760000 HUSEN L 45 KORMIN PENDIDIKAN COVID-19

3601116004660000 SARMUNAH P 51 SD N KADUPANDAK 1 85313591227 COVID-19

3601110107850080 IROS HIDAYAT L 37 SD N PASIR SEDANG 1 8568343350 COVID-19

3601115208800000 AISYAH p 32 SD N CILILITAN 2 87773125105 COVID-19

3601114412730000 SYAMSIAH L 48 SD N CILILITAN 2 85218744112 COVID-19

3602097011780000 ENENG ROBIAH P 43 SD N CIHERANG 2 COVID-19

3601115604850000 YANTI PATMAWATI P 36 COVID-19

3601114207740000 BAYINAH P 47 SD N KADUPANDAK 2 COVID-19

3601115202890000 SITI FAZRIYAH P 32 SD N KADUPANDAK 2 COVID-19

3602090406700000 MAHPUD L 51 SD N KADUPANDAK 2 85215150135 COVID-19

3601115802750000 DINI KARYAWATI P 46 SD N CILILITAN 3 87876407086 COVID-19

3601110207870010 KOMARUDIN L 43 SD N KOLELET 2 85313638334 COVID-19

3601115804820000 ASEP RONI BAHTIAR L 39 SD 85216631571 COVID-19

3601114107600010 DEDEH SUHAYATI P JAMAAH HAJI 58 V COVID-19

3601110107560020 UDIN HKS L JAMAAH HAJI 69 V COVID-19

3601112705670000 IDRUS L JAMAAH HAJI 54 V COVID-19

MUHAMAD SARDI COVID-19

3601116408570000 SITI SARWI SARJAYA P JAMAAH HAJI 64 V COVID-19

3601115202720000 ENE P JAMAAH HAJI 49 V COVID-19

3601245106700000 NANI P JAMAAH HAJI 51 V COVID-19

3601110107640030 KARTAN L JAMAAH HAJI 57 V COVID-19

3601241208650000 APENDI L JAMAAH HAJI 60 V COVID-19

3601114402740000 ANIMAH P JAMAAH HAJI 47 V COVID-19

3601115612800000 CINAH L JAMAAH HAJI 41 V COVID-19

3601116401740000 EMBET SURYANI L JAMAAH HAJI 46 V COVID-19

3601111006680000 UDIN L JAMAAH HAJI 51 V COVID-19

PUSKESMAS PICUNG Kepesertaan BPJS

3601114107850141 NURAENI P KDR.GANGGAENG 6/5/1983

Tanggal Tanggal Tanggal KET

3601111706890001 ROYADI L 9/15/1989

0DGJ PS.SEDANG 081382344050

3601110107780100 SARIP L NAKES 7/1/1978

PKM KADUPANDAK 081210289122 COVID-19

Nama Umur Kelom

3601112102890001 YAYAN.Y L P.DESA 3/5/1989

INSTAN BPJS Non Merek Tanggal

P.DESA KOLELET 085887396520 COVID-19 6/24/2021

3601111503940004 ENDIN HAERUDIN L UMUM 3/15/1994

Kelompo BPJS Merek

UMUM CILILTAN 083841430255 COVID-19

PUSKESMAS PICUNG Kepesertaan BPJS

PUSKESMAS PICUNG Kepesertaan BPJS

PUSKESMAS PICUNG Kepesertaan BPJS (tulis

1 P-D96N2ZDY 3601110108670001 UJID L WIRASWASTA

8/1/1967 DEWASA UMUM PSR SEDANG 083813206443

X1 3173031703060001 RACHMAT NURHIDAYAT L PELAJAR

17-03-2006 REMAJA UMUM Kp. Cipahul 083192804868

09-10-2005 REMAJA UMUM Kp. Citepuseun 085775996297