REKAPITULASI

Pencatatan Pelayanan Vaksinasi COVID-19 di Puskesmas Ngulak Tgl 13 JANUARI 2022

Kabupaten Musi Banyuasin

Kepesertaan JKN DOSIS 1 DOSIS 2

TANGGAL Kelompok BPJS BPJS Non Non MERK TANGGAL TANGGAL TANGGAL
NO No Register NIK NAMA JK PEKERJAAN ALAMAT NO_HP NO BATCH NO BATCH KET
LAHIR Umur PBI PBI Anggota VAKSIN SKRINING VAKSIN VAKSIN
1 2 34 5 67 8 9 10 11 12 13 14 19 20 21 22 23
1 K-0002C48Z 1606050609030003 YUHA SEPRIYANTO L 9/6/2003 NGULAK I 081366214631 COVID-19 Vaccine Pfizer 13/01/2022 12/3/2021 SDDC1 13/01/2022 FM7785 SELESAI
2 P-IP4UHO2M 1606055707090001 TIYU HALISAH P 7/17/2009 NGULK II 085896170195 CoronaVac 13/01/2022 13/01/2022 202110202i LANJUT
3 P-LYVJDIOR 1606022707090005 M.AMENDI L 7/27/2009 MACANG SAKTI 082118409579 COVID-19 Vaccine Pfizer 13/01/2022 13/01/2022 FM7785 LANJUT
4 P-NP8P262U 1606056608080001 REVI YANTI P 8/26/2008 NGULAK I 089506260350 CoronaVac 13/01/2022 13/01/2022 202110202i LANJUT
5 P-OPOCOCHC 1606056703100001 ADINI MARIYA P 3/27/2010 NGULAK I 089505183273 CoronaVac 13/01/2022 13/01/2022 202110202I LANJUT
6 P-YB6TLI2F 1606055702100001 KHOIRUNNISA P 2/17/2010 TERUSAN 0853767665457 CoronaVac 13/01/2022 13/01/2022 202110202i LANJUT
7 P-YB7D9XDK 1606050102090001 RIAN FEBRIAN L 2/1/2009 NGULAK II 082285357355 CoronaVac 13/01/2022 13/01/2022 202110202i LANJUT
8 P-YB7UPBEQ 1606050405100002 KEVIN SAPUTRA L 5/4/2010 NGULAK II 082352147322 CoronaVac 13/01/2022 13/01/2022 202110202i LANJUT
9 P-YB94AIRB 1606050403070002 AGRA PANATOTY L 3/4/2007 NGULAK II 082784573651 CoronaVac 13/01/2022 13/01/2022 202110202i LANJUT
10 P-YBA2XY9V 1606050307060003 DIAN RIKALDO L 7/3/2006 NGULAK 085366857002 CoronaVac 13/01/2022 13/01/2022 202110202i LANJUT
11 P-YBAH1LFQ 1606052012090001 DAFI MUZHASANI L 12/20/2009 NGULAK 085218841911 CoronaVac 13/01/2022 13/01/2022 202110202i LANJUT
12 P-YBB1TDIM 1606055406100003 SAHRO JUNIYARSIH L 6/14/2010 NGULAK 085664257587 CoronaVac 13/01/2022 13/01/2022 202110202i LANJUT
13 P-YBDF3R7U 1606051812090001 MUHAMAD PRAYOGA PUTRA L 12/18/2009 NGULAK 081367434001 CoronaVac 13/01/2022 13/01/2022 202110202i LANJUT
14 P-YBETCRIS 1606050708650001 HERMAN L 8/7/1965 NGULAK 085213943441 COVID-19 Vaccine Pfizer 13/01/2022 13/01/2022 FM7785 LANJUT
15 P-YBFY6DUB 1606056812090001 AISYAH P 12/28/2009 NGULAK 085896174379 COVID-19 Vaccine Pfizer 13/01/2022 13/01/2022 FM7785 LANJUT
16 P-YBGK8TXF 1606050301100001 IMAM SAMUDRA L 1/3/2010 NGULAK I 085709122197 COVID-19 Vaccine Pfizer 13/01/2022 13/01/2022 FM7785 LANJUT
17 P-YBHHCP50 1606054111090001 NELLA ASI GUSTINA P 11/1/2009 NGULAK I 082235784674 COVID-19 Vaccine Pfizer 13/01/2022 13/01/2022 FM7785 LANJUT
18 P-YBHWNIB7 1606052710090002 ISMUD L 10/27/2009 NGULAK I 085788179992 COVID-19 Vaccine Pfizer 13/01/2022 13/01/2022 FM7785 LANJUT
19 P-YC2UEJL8 1606057011060001 ULFA ANGGRAINI P 11/30/2008 NGUNANG 082282831529 CoronaVac 13/01/2022 13/01/2022 202110202i LANJUT
20 P-YLBMOISP 1606052604760001 ABILIO DACOSTA L 4/26/1976 AIR ITAM 082299655343 COVID-19 Vaccine Pfizer 13/01/2022 13/01/2022 FM7785 LANJUT
21 Q-000A0BDX 1606051707850003 SAWIRAN L 7/17/1985 TERUSAN 082377054447 CoronaVac 13/01/2022 6/30/2021 24200721 13/01/2022 202110202I SELESAI
22 Q-0019IHDK 1606051602080001 FAREL ADITIYA L 2/16/2008 NGULAK 082182232710 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
23 Q-0019IHEF 1606050512070001 M YUNI DIKSAPUTRA L 12/5/2007 NGULAK I 085709122132 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
24 Q-0019IHGF 1606051308080003 AGIL ALPARI L 8/13/2008 NGULAK 081524639910 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
25 Q-0019IHHL 1606052209080005 RHAMADON L 9/22/2008 NGULAK 081524639910 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
26 Q-0019IHIF 1606054201090001 IMELDA PERMATASARI P 1/2/2009 NGULAK 085864431108 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
27 Q-0019IHJ1 1606054504090001 INDAH PURMA P 4/5/2009 NGULAK I 085609820849 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
28 Q-0019IHMB 1606052003090003 ANYA NADA P 3/20/2009 NGULAK 081210835853 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
29 Q-0019IHNM 1606052907080001 YOGA PRATAMA L 7/29/2008 NGULAK 085783286771 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
30 Q-0019IHNT 1606052907080001 RENDI DARMANSA L 7/29/2008 NGULAK 085768433630 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
31 Q-0019IHOD 1606051303080002 AJI DWI PRASETYO L 3/13/2008 NGULAK I 085783286771 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
32 Q-0019ITJ4 1606052309060003 FATIR CHRISTIAN RAMADHANL 9/23/2006 NGULAK I 085664253848 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
33 Q-0019J4ZH 1606055409090001 KLARA P 9/14/2009 NGULAK III 085709705867 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202I SELESAI
34 Q-0019J5BC 1606054602090002 SALSYAH P 2/6/2009 PALEMBANG 0852672420113 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202I SELESAI
35 Q-0019JGTF 1606056802080001 SANTY LESTARI P 2/28/2008 MACANG SAKTI 085874077460 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
36 Q-0019JIE7 1606057107080002 NURLAILA HUMAIROH P 7/31/2008 NGULAK I 085789062674 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
37 Q-0019JIM5 1606052608090002 AGAS DWI PUTRA L 8/26/2009 NGULAK I 081373711091 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
38 Q-0019JION 1606050109080001 ALDY FERNANDES L 9/1/2008 NGULAK I 085709352534 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
39 Q-0019JJ3Y 1606052611080002 ANGGA WIJAYA L 11/26/2008 NGULAK II 082260161153 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
40 Q-0019JJ55 1606060508090003 BAGUS DWI RIZKY L 8/5/2009 NGULAK II 081367978745 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
41 Q-0019JJ7U 1606051806080001 ADI WIJAYA L 6/18/2008 NGULAK 085840924106 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
42 Q-0019JJC0 1606056305080001 SALSA BILAL YASMIN P 5/23/2008 NGULAK I 081290952131 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
43 Q-0019JJJL 1606051006080002 ILHAM SETIAWAN L 6/10/2008 NGULAK II 081373313628 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
44 Q-0019JJUL 1606056610070001 AMELIA P 10/26/2007 NGULAK II 082280513549 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
45 Q-0019JKH5 1606051106080001 TIOGA L 6/11/2008 NGULAK 085709050278 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
46 Q-0019JKW0 1606050706070001 MARSEL L 6/7/2007 NGULAK 085368655981 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
47 Q-0019JL7L 1606050304080002 WANDIRO L 4/3/2008 NGULAK I 085609627510 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
48 Q-0019JLKZ 1606050202080001 GIMAS L 2/2/2008 NGULAK I 085709415167 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
K Q-0019JLP5 1606056502090001 ADE AMELIA P 2/25/2009 NGULAK I 081273943963 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
50 Q-0019JLZW 1606053105080001 MARCEL L 5/31/2008 NGULAK 085357734482 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
51 Q-0019JM3I 1606052110070003 ROI BAPI L 10/21/2007 NGULAKII 082280495979 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
52 Q-0019JM5U 1606052006070004 KRISTIAN ADINATA L 6/20/2007 NGULAK 081272289219 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
53 Q-0019JMC1 1606056304080002 KHOPIFAH NAZILA APRILIA P 4/23/2008 TERUSAN 081274884274 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
54 Q-0019JNOC 1606050406060002 RIYAN HIDAYAT L 6/4/2006 NGULAK II 085384021663 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
55 Q-0019JNVM 1606051008070002 LEO NARDO L 8/10/2007 NGULAK 085896174251 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
56 Q-0019JO5A 1606052905080002 RAHMANSYAH L 5/29/2008 NGULAK 081273941773 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
57 Q-0019JOBS 1606052912070002 RENO RIKARDO L 12/29/2007 NGULAK 081532975410 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
58 Q-0019JOZK 1606052202080001 TAUFIK KEMAS L 2/22/2008 NGULAK 085273396234 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
59 Q-0019JP5F 1606050906060002 M. LOIS PERNANDO HUSE CAL 6/9/2006 TERUSAN 081272214468 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
60 Q-0019JP6U 1606050603080002 JAINARDI L 3/6/2008 NGULAK 085841217604 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
61 Q-0019JPMX 1606050204080002 ADET L 4/2/2008 NGULAK I 081279867502 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
62 Q-0019JPW4 1606054904090001 WISNA DASVIANA L 4/9/2009 NGULAK I 085258600131 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202i SELESAI
62 Q-0019S2UI 1606054109090001 GATI SERA L 9/1/2009 NGULAK I 085609618907 CoronaVac 13/01/2022 10/7/2021 202108177F 13/01/2022 202110202I SELESAI
64 Q-001BSQ7I 1606054909950004 ANISA NURJANAH P 9/9/1995 NGULAK 082311874644 CoronaVac 13/01/2022 10/12/2021 202108177F 13/01/2022 202110202I SELESAI
65 Q-001DWFEC 1606050801080001 TRIASKA ROBERTO KARLOS P 1/8/2008 NGULAK II 081273165071 CoronaVac 13/01/2022 10/15/2021 202108177F 13/01/2022 202110202i SELESAI
66 Q-001DWG2Y 1606056512030002 SUCI ANGGRAINI P 12/25/2008 NGULAK 085267616210 CoronaVac 13/01/2022 10/15/2021 202108177F 13/01/2022 202110202i SELESAI
67 Q-001DWLE3 1606056606090003 PUTRI ANGRAINI P 6/26/2009 NGULAK I 085658600010 CoronaVac 13/01/2022 10/15/2021 202108177F 13/01/2022 202110202i SELESAI
68 Q-001DXBWV 1606056606090003 TANIA AULIA P 6/26/2009 NGULAK I 082126764103 CoronaVac 13/01/2022 10/15/2021 202108177F 13/01/2022 202110202I SELESAI
69 Q-001IWS60 1605021303920001 SUTRISNO L 3/13/1992 TANJUNG RAYA 082374318046 COVID-19 Vaccine Pfizer 13/01/2022 10/26/2021 FH33219 13/01/2022 FM7785 SELESAI
70 Q-001LR60N 1606052004830004 SARBINI L 4/20/1983 NGUNANG 082238963129 COVID-19 Vaccine Pfizer 13/01/2022 11/1/2021 FH3219 13/01/2022 330408d SELESAI
71 Q-001LSXYR 1606051212710006 HERMAN L 12/12/1971 NGULAK II 085213943441 CoronaVac 13/01/2022 11/1/2021 24007021 13/01/2022 202110202I SELESAI
72 Q-001NIURD 1606055502090002 ELSA PALENTIN GUSTIAYU P 2/15/2009 TERUSAN 085379860257 CoronaVac 13/01/2022 11/5/2021 24203121 13/01/2022 202110202I SELESAI
73 Q-001PM9SZ 1606055103770003 HERLINA P 3/11/1977 NGULAK 082183119308 COVID-19 Vaccine Pfizer 13/01/2022 11/10/2021 SDDC1 13/01/2022 FM7785 SELESAI
74 Q-001QH0I0 1606053101080001 RADIT DINATA L 1/31/2008 NGULAK 085809062851 COVID-19 Vaccine Pfizer 13/01/2022 11/12/2021 SDDC1 13/01/2022 330408d SELESAI
75 Q-001QL91K 1606054111910001 NOPIYANTI P 11/1/1991 NGULAK I 081532951936 COVID-19 Vaccine Pfizer 13/01/2022 11/13/2021 SDDC1 13/01/2022 FM7785 SELESAI
76 Q-001QZS0D 1606054709630002 RUSIA L 9/7/1963 NGULAK I 082377043865 COVID-19 Vaccine Pfizer 13/01/2022 11/13/2021 SDDC1 13/01/2022 FM7785 SELESAI
77 Q-001T0CUC 1606054803900001 SRI MAJA DIANA P 3/8/1990 NGULAK 085797940930 COVID-19 Vaccine Pfizer 13/01/2022 11/16/2021 SDDC1 13/01/2022 FM7785 SELESAI
78 Q-001TAWFV 1606054805870004 EKA SUSANTI P 5/8/1987 TERUSAN 081368149860 CoronaVac 13/01/2022 11/18/2021 202109177M 13/01/2022 FM7785 SELESAI
79 Q-001TC0IL 1606050202010003 PIRMANSYAH L 2/2/2001 TERUSAN 085377261257 CoronaVac 13/01/2022 11/21/2021 202109177M 13/01/2022 202110202I SELESAI
80 q-001W05E6 1606054202930001 YUYUN EKA SARI P 2/2/1993 NGULAK II 082186334804 CoronaVac 13/01/2022 11/22/2021 202109149O 13/01/2022 202110202I SELESAI
81 q-001WDHVO 1606054704850001 MALA TRISNA AYU P 4/7/1985 TERUSAN 082177575396 CoronaVac 13/01/2022 11/25/2021 202109149O 13/01/2022 202110202I SELESAI
82 q-001WDHWD 1606081010000004 JODI PRAYOGA L 10/9/1999 TERUSAN 085381678977 CoronaVac 13/01/2022 11/25/2021 202109149O 13/01/2022 202110202I SELESAI
83 q-001WDIRP 1606056708840001 MARYANI P 8/27/1984 NGULAK II 085213943441 CoronaVac 13/01/2022 11/22/2021 202109149O 13/01/2022 202110202I SELESAI
84 q-001WMLJE 1606056906910001 ELPRINA TARI P 6/29/1991 LIUBUK TUE 085377395959 CoronaVac 13/01/2022 11/24/2021 202109149O 13/01/2022 202110202I SELESAI
85 q-001XCO6Q 1606056703690002 MARYANI P 3/27/1969 TERUSAN 082175497235 CoronaVac 13/01/2022 11/30/2021 202109187M 13/01/2022 202110202I SELESAI
86 q-001XD1LE 1606056007070002 MINARSI P 6/16/2006 NGULAK II 085609626945 CoronaVac 13/01/2022 11/30/2021 202109187M 13/01/2022 202110202i SELESAI
87 q-001XD1LZ 1606056007070002 HERI JUANDI L 6/16/2006 NGULAK II 082282664000 CoronaVac 13/01/2022 11/30/2021 202109187M 13/01/2022 202110202I SELESAI
88 q-001XMSA9 1606056703960001 SOPIYANA P 3/27/1996 NGULAK I 085388695440 CoronaVac 13/01/2022 11/30/2021 202109187M 13/01/2022 202110202I SELESAI
89 q-001XNDUN 1606050510090002 PAREL L 10/5/2009 NGULAK II 085896918991 CoronaVac 13/01/2022 11/30/2021 202109187M 13/01/2022 202110202i SELESAI
90 q-001XNDUX 1606052409090002 ARIEL L 10/24/2009 NGULAK I 08127130658 CoronaVac 13/01/2022 11/30/2021 202109187M 13/01/2022 202110202i SELESAI
91 q-001XPOID 1606056302910001 LINDA SARI P 2/23/1991 NGULAK I 081373737278 CoronaVac 13/01/2022 12/2/2021 202109202E 13/01/2022 202110202I SELESAI
92 q-001XT38J 1606056511090002 SULASTRI P 11/25/2009 NGULAK 085788603070 CoronaVac 13/01/2022 12/2/2021 202109202E 13/01/2022 202110202I SELESAI
93 q-001YACHI 1606054707710001 NURJANA P 7/7/1971 TERUSAN 082179766476 CoronaVac 13/01/2022 12/4/2021 202109202E 13/01/2022 202110202I SELESAI
94 q-001YACHM 1606054106710001 YUMI P 6/1/1971 TERUSAN 085382092086 CoronaVac 13/01/2022 12/4/2021 202109202E 13/01/2022 202110202I SELESAI
95 q-001YACHN 1606051201680001 MARSIS L 1/12/1968 TERUSAN 082231773736 CoronaVac 13/01/2022 12/4/2021 202109202E 13/01/2022 202110202I SELESAI
96 q-001YMETR 1606056808940004 TITIN MULYANA P 8/28/1994 NGUNANG 082280340008 CoronaVac 13/01/2022 12/3/2021 202109202E 13/01/2022 202110202i SELESAI
97 q-001YNU2K 1606050707620003 ZULKARNAIN L 7/7/1962 NGULAK I 082377043865 CoronaVac 13/01/2022 12/6/2021 202109202E 13/01/2022 202110202I SELESAI
98 q-001YZOWN 1606050410090002 RISKI PUTRA OCTAVIANUS L 10/4/2009 NGULAK 085267563398 CoronaVac 13/01/2022 12/7/2021 202109202E 13/01/2022 202110202i SELESAI
99 Q-0026W3KI 1606051112780001 ARWIN L 12/11/1978 NGUNANG 082175447568 CoronaVac 13/01/2022 12/9/2021 202109199K 13/01/2022 202110202i SELESAI
100 Q-0026ZXXJ 1606051506080005 PAREL KURNIAWAN L 6/15/2008 NGULAK I 082280044819 CoronaVac 13/01/2022 12/9/2021 202109199K 13/01/2022 202110202i SELESAI
101 Q-002740KO 1606056411010002 AL MUKA ROMA L 11/24/2002 TERUSAN 082281273743 CoronaVac 13/01/2022 12/9/2021 202109199K 13/01/2022 202110202I SELESAI
102 Q-002740L3 1606056411010002 NOVA SISKA APRIANTI P 11/24/2002 TERUSAN 082281273734 CoronaVac 13/01/2022 12/9/2021 202109199K 13/01/2022 202110202I SELESAI
103 Q-00276MCU 1606052411860001 ANDI KURNIAWAN L 11/24/1986 TERUSAN 085375540165 CoronaVac 13/01/2022 12/10/2021 202109202E 13/01/2022 202110202I SELESAI
104 Q-00276MG1 1606054409800001 IIN PARLINA P 9/4/1980 TERUSAN 082246276861 CoronaVac 13/01/2022 12/10/2021 202109202E 13/01/2022 202110202I SELESAI
105 Q-0027T41D 1606052410060004 FIRDIANSYAH L 10/24/2006 NGULAK II 082278957509 CoronaVac 13/01/2022 12/7/2021 202109199K 13/01/2022 202110202i SELESAI
106 Q-00288TAJ 1606053005070002 RIKE APRIANSYA L 5/30/2007 TERUSAN 083171888338 CoronaVac 13/01/2022 12/13/2021 202109202E 13/01/2022 202110202I SELESAI
107 Q-00288TIU 1606053005070002 YURNI P 5/30/2007 TERUSAN 082279196525 CoronaVac 13/01/2022 12/13/2021 202109202E 13/01/2022 202110202I SELESAI
108 Q-0029BLLI 1605196006960001 CICA DWI PUTRI P 6/20/1996 SUMBER HARTA 082380981214 CoronaVac 13/01/2022 12/16/2021 202109199K 13/01/2022 202110202I SELESAI
109 Q-0029CLVW 1606050403820001 SRI PURWATI P 3/4/1982 NGULAK I 081278077404 CoronaVac 13/01/2022 12/16/2021 202109199K 13/01/2022 202110202I SELESAI
110 Q-0029E7GX 1606050403820001 MUHAMD AIZANTO L 3/4/1982 NGULAK I 081278077404 CoronaVac 13/01/2022 12/16/2021 202109199K 13/01/2022 202110202I SELESAI
111 Q-0029NRRA 1605092905900002 SUHENDRA L 5/29/1996 NGULAK I 085367313607 COVID-19 Vaccine Pfizer 13/01/2022 12/13/2021 FL4213 13/01/2022 FM7785 SELESAI
112 Q-0029Q7LO 1606020107750017 AMIRUL L 7/1/1975 TELUK KIJING 085384989562 CoronaVac 13/01/2022 12/15/2021 202109199K 13/01/2022 202110202I SELESAI
113 Q-0029Q843 1606022406880001 MUBIN L 6/24/1988 TELUK KIJING 081368870730 CoronaVac 13/01/2022 12/15/2021 202109199K 13/01/2022 202110202I SELESAI
114 Q-0029Q844 1606106310980001 RANI SAPATRI P 5/23/1995 TELUK KIJING 081368870730 CoronaVac 13/01/2022 12/15/2021 202109199K 13/01/2022 202110202I SELESAI
115 Q-0029S4O9 1606054410770001 ELVI SUKAISI P 10/4/1977 NGANTI 085269951563 COVID-19 Vaccine Pfizer 13/01/2022 12/17/2021 330404BD 13/01/2022 FM7785 SELESAI
116 Q-0029S4SN 1606051012740005 MUHAMMAD ALI L 12/10/1974 NGANTI 085384714636 COVID-19 Vaccine Pfizer 13/01/2022 12/17/2021 330404BD 13/01/2022 FM7785 SELESAI
117 Q-0029UKYC 1606052705720001 ISKANDAR UDIN L 5/27/1972 NGUNANG 082280712542 COVID-19 Vaccine Pfizer 13/01/2022 12/13/2021 FL4213 13/01/2022 FM7785 SELESAI
118 Q-002N9UF2 1606056412090002 KEYLA DWI RIYANTI P 12/24/2009 NGULAK II 082299655343 CoronaVac 13/01/2022 10/7/2021 202110202I 13/01/2022 202110202I SELESAI
119 Z-000ELZWV 1606054107600006 SITI MINA P 7/1/1960 NGULAK I 081368825187 COVID-19 Vaccine Pfizer 13/01/2022 11/16/2021 SDDC1 13/01/2022 FM7785 SELESAI
120 Z-000FS0HI 1606050806390001 SANANANG L 6/8/1939 TERUSAN 081388370596 CoronaVac 13/01/2022 11/30/2021 CoronaVac 13/01/2022 202110202I SELESAI
121 Z-000FS0J4 1606056907420001 ROIDAH P 7/29/1942 TERUSAN 081388370596 CoronaVac 13/01/2022 11/30/2021 CoronaVac 13/01/2022 202110202I SELESAI

KELOMPOK UMUR KEPESERTAAN BPJS KEPALA PUSKESMAS PJ.VAKSINATOR

12-17 0 BPJS PBI 0 NGULAK
18-30 0 BPJS NON PBI 0
31-45 0 NON ANGGOTA #REF!
46-59 0 TOTAL #REF!
>60 0 PEMBERIAN DOSIS dr. BAYU MURDALIN UMRIN, S.Kep
TOTAL 0 DOSIS 1 19 Penata TK.I / III.d Penata Muda TK I / III.b
PEKERJAAN DOSIS 2 102 NIP.19830308 201412 2 001 NIP.'197912072011011005
A 0 TUNDA 0
B 0 TOTAL 121
C 0
D 0
E 0
0
 REKAPITULASI
asi COVID-19 di Puskesmas Ngulak Tgl 29 JAN 2021
bupaten Musi Banyuasin

Kepesertaan JKN

TANGGA
Kelompok
NO No Register NIK NAMA JK PEKERJAAN L ALAMAT NO_HP
Umur
LAHIR

1 2 3 4 5 6 7 8 9
1 N-6D3B4 16060565ALIA P A 25-O1-1969 46-59 Nganti 082176080655
2 N-3A704516060661SAVITRI P A 21-02-1993 18-30 Babat To 08228105
3 N-60837A16060556RUSIA H P A 16-02-1965 46-59 ngunang 081373700903
4 N-0BE70E16060518HARMOK L A 18-09-1983 31-45 Jud II 081367336848
5 N-8D1D9A16060547SULASTR P A ### 46-59 Jud II 08527777236
6 N-24C35 16060517ZUBAIRI L A 17-08-1964 46-59 Macang sa082177836789
8
9
10
11
12
13
14

KEPESERTAAN BPJS
KELOMPOK UMUR BPJS PBI
18-30 BPJS NON PBI
 31-45 NON ANGGOTA
46-59 TOTAL
TOTAL PEMBERIAN DOSIS
PEKERJAAN DOSIS 1
A DOSIS 2
B TOTAL
C
D
E
 Kepesertaan JKN DOSIS 1 DOSIS 2
TANGGA
BPJS L TANGGA TANGGA
BPJS MERK
Non Non Anggota L NO BATCH L NO BATCH KET
PBI VAKSIN
PBI SKRININ VAKSIN VAKSIN
G
10 11 12 13 14 19 20 21 22 23
082176080655 √ 29-01-202
29-01-2021 2E+08 LANJUT
√ 29-01-2021 TIDAK DI VAKSIN
081373700903 √ 29-01-2021 TIDAK DI VAKSIN
081367336848 √ 29-01-202
29-01-2021 2E+08 LANJUT
08527777236 √ 29-01-2021 TIDAK DI VAKSIN
082177836789 √ 29-01-2021 DITUNDA
TIDAK DI VAKSIN
TIDAK DI VAKSIN

TIDAK DI VAKSIN
DITUNDA