You are on page 1of 11

≡ FORM PENCATATAN MANUAL VERSI 1 PELAKSANAAN VAKSINASI DI MEJA 4

NO NO_TIKET NIK TGL_REGISTRASI


1 P-2XSGRL2E 3501051607700003 2021-08-19
2 P-9KWBMU94 3501050204720004 2021-08-19
3 P-9HIZV3HY 3501054103780001 2021-08-19
4 P-9G38UGT9 3501051104920002 2021-08-19
5 P-9TOLKN76 3501052602030008 2021-08-19
6 P-9MP5AMVK 3501050507780001 2021-08-19
7 S-767363B8 3501050106450003 2021-08-19
8 P-A3B7U03T 3501050105750003 2021-08-19
9 P-9V7ZNCMU 3502022904900001 2021-08-19
10 P-ADJH1NXK 3501055412020002 2021-08-19
11 P-AERTZJ1S 3501054910830001 2021-08-19
12 P-AFDUB3ZL 3501051506960001 2021-08-19
13 P-AH01YHJW 3501051907610001 2021-08-19
14 P-AFWWR64U 3501054406820008 2021-08-19
15 P-ATJUFINL 3501053003800001 2021-08-19
16 P-AR3W5J9L 3501055004660001 2021-08-19
17 P-ATW1NP5F 3501054712900003 2021-08-19
18 P-AQV03WCT 3501054108890001 2021-08-19
19 S-AABCF4B0 3501051007550003 2021-08-19
20 S-80375C4F 3501050502590001 2021-08-19
21 Y-0135WJFK 3501054807030001 2021-08-19
22 P-AXUA4HUD 3501052212910006 2021-08-19
23 S-287794BF 3501050311600002 2021-08-19
24 P-BCS4M56F 3501050704720003 2021-08-19
25 P-BD6MFKWB 3501101601980002 2021-08-19
26 P-BCZQ74G6 3276100103870003 2021-08-19
27 P-BBJFQJZK 3501054602720001 2021-08-19
28 P-BAL2IT0B 3501050901910005 2021-08-19
29 P-ARWUVEVK 3501050505800003 2021-08-19
30 P-B9Y8MSO7 3501051402740001 2021-08-19
31 P-B9FVLPGA 3501050504900002 2021-08-19
32 P-B82YO9WT 3501056505820003 2021-08-19
33 P-B6THR1NU 3501051302840001 2021-08-19
34 P-B6E7PQ0X 3501051412860004 2021-08-19
35 P-B6DTHC3G 3501052104650001 2021-08-19
36 P-C7EV7IZH 3501052504830001 2021-08-19
37 P-C4TQH26H 3501056112010003 2021-08-19
38 P-C2XDVXQT 3501054205790004 2021-08-19
39 P-CGYWEY9L 3501054706890001 2021-08-19
40 P-CIR6XV63 3501052703020001 2021-08-19
41 P-CFC5Y1XM 3501054903860003 2021-08-19
42 P-CJXTB8BX 3501055103010001 2021-08-19
43 S-5BDE593F 3501054905600001 2021-08-19
44 P-CK8ZDEZH 3501042103720001 2021-08-19
45 P-CMU7WFXR 3501054410870001 2021-08-19
46 P-CLOIMRKO 3501051003800004 2021-08-19
47 P-CLVZ5RR2 3501051108990003 2021-08-19
48 P-7LGQ8KY7 3501054304780001 2021-08-19
49 P-CVMGNEQZ 3501055606760004 2021-08-19
50 P-CUH97JOP 3501052306650002 2021-08-19
2021-08-19
2021-08-19
2021-08-19
2021-08-19
2021-08-19
2021-08-19
2021-08-19
2021-08-19
2021-08-19
NAAN VAKSINASI DI MEJA 4

NAMA JAM_VAKSIN KODE_JENIS_VAKSIN NO_BATCH


ISTAMAR 09:00:00 P70251501COV | CoronaVac 24202221
SUPARNO 09:00:00 P70251501COV | CoronaVac 24202221
WARSINI 09:00:00 P70251501COV | CoronaVac 24202221
FITRI CAHYONO 09:00:00 P70251501COV | CoronaVac 24202221
AHMAD SAIFUDIN 09:01:00 P70251501COV | CoronaVac 24202221
JUMAWAN 09:03:00 P70251501COV | CoronaVac 24202221
SUNARTO 09:05:00 P70251501COV | CoronaVac 24202221
PURWOTO 09:07:00 P70251501COV | CoronaVac 24202221
SUGENG SYAHYUDI 09:09:00 P70251501COV | CoronaVac 24202221
FINA AVIONITA 09:11:00 P70251501COV | CoronaVac 24202221
MARIANTI 09:13:00 P70251501COV | CoronaVac 24202221
GANDUNG SUGIYONO 09:15:00 P70251501COV | CoronaVac 24202221
MESELAN 09:17:00 P70251501COV | CoronaVac 24202221
SUMARTI 09:19:00 P70251501COV | CoronaVac 24202221
TUGIYAT 09:21:00 P70251501COV | CoronaVac 24202221
SOKIYEM 09:23:00 P70251501COV | CoronaVac 24202221
SUNARTI 09:25:00 P70251501COV | CoronaVac 24202221
RENI SUSANTI 09:27:00 P70251501COV | CoronaVac 24202221
KATEMAN 09:29:00 P70251501COV | CoronaVac 24202221
SURATNO 09:31:00 P70251501COV | CoronaVac 24202221
ALDONA HERDIANA 09:33:00 P70251501COV | CoronaVac 24202221
BAMBANG SETIAWAN 09:35:00 P70251501COV | CoronaVac 24202221
TULADI 09:37:00 P70251501COV | CoronaVac 24202221
TRI WIBOWO 09:39:00 P70251501COV | CoronaVac 24202221
DWI CAHYONO 09:41:00 P70251501COV | CoronaVac 24202221
DWI SETYAWAN 09:43:00 P70251501COV | CoronaVac 24202221
SARMINEM 09:45:00 P70251501COV | CoronaVac 24202221
RIFKI JAZULI 09:47:00 P70251501COV | CoronaVac 24202221
TUMARNI 09:49:00 P70251501COV | CoronaVac 24202221
TUMARIN 09:51:00 P70251501COV | CoronaVac 24202221
PUJI PRIO UTOMO 09:53:00 P70251501COV | CoronaVac 24202221
WINARNI 09:55:00 P70251501COV | CoronaVac 24202221
WIDIYONO 09:57:00 P70251501COV | CoronaVac 24202221
WARDIONO 09:59:00 P70251501COV | CoronaVac 24202221
PAIMIN 10:01:00 P70251501COV | CoronaVac 24202221
HENY WAHYU SADMOKO 10:03:00 P70251501COV | CoronaVac 24202221
DEWI FITRI RELIA 10:05:00 P70251501COV | CoronaVac 24202221
SETIYANI 10:07:00 P70251501COV | CoronaVac 24202221
SITI NURYANI 10:09:00 P70251501COV | CoronaVac 24202221
BAYU ANDRES SAPUTRO 10:11:00 P70251501COV | CoronaVac 24202221
SUMARYATI 10:13:00 P70251501COV | CoronaVac 24202221
ALFINDA MUZIZATUL KAROMA 10:15:00 P70251501COV | CoronaVac 24202221
BONATIN 10:17:00 P70251501COV | CoronaVac 24202221
SLAMET SARONI 10:19:00 P70251501COV | CoronaVac 24202221
YULIANA 10:21:00 P70251501COV | CoronaVac 24202221
UNTUNG 10:23:00 P70251501COV | CoronaVac 24202221
AGUS TRIATMOKO 10:25:00 P70251501COV | CoronaVac 24202221
Anik Rofiah 10:27:00 P70251501COV | CoronaVac 24202221
SRI REJEKI 10:29:00 P70251501COV | CoronaVac 24202221
SUKARDI 10:31:00 P70251501COV | CoronaVac 24202221
10:33:00 24202221
10:35:00 24202221
10:37:00 24202221
10:39:00 24202221
10:41:00 24202221
10:43:00 24202221
10:45:00 24202221
10:47:00 24202221
10:49:00 24202221
24202221
HASIL_OBSERVASI KETERANGAN_KELUHAN
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
1 | Tanpa Keluhan
KETERANGAN_VAKSIN
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--

You might also like