Tekanan

No Suhu NIK
darah

1 104/74 36.6 6472046108890004

2 174/98 36.6 3313021804680002
3 105/61 36.4 3524026903840001
4 134/82 36.5 3524020406780002
5 148/95 36.4 6472046012790004
6 144/91 36.4 6472045906770009
7 145/100 36 6472045104700005
8 114/67 36.3 6472046008870006
9 120/62 36.3 6472040109710003
10 145/72 36.6 6472043006990001
11 143/91 36.2 647204460576003
12 104/83 36 7305075707880001
13 112/73 36.4 6472045502850004
14 86/65 36.5 7311031908150003
15 142/93 36.1 6472051702860012
16 138/89 36.5 3510130607970003
17 118/80 69 3202095011870001
18 154/92 36.5 3510131804990002
19 142/86 36.4 3510134509740002
20 115/79 36.4 6472044707820005
21 139/81 36.5 6472041303960002
22 154/60 36.4 6472043112620052
23 133/84 36.4 6472042202010004
24 122/84 36.4 6472045410880001
25 106/75 36.3 6472041508840010
26 137/77 36.2 6472042605790003
27 136/82 36.2 6472045001640002
28 127/83 36 6472054904840008
29 132/91 36 6472045610780002
30 142/87 36,3 6472045005560002
31 110/65 36,4 6472040611000001
32 140/83 36,3 6472042102680001
33 140/77 36 6472041902570003
34 134/88 36,2 6472046403010003
35 138/71 36 6472062412010004
36 162/102 35,9 6472060510710005
37 125/85 36,2 6472054207960005
38 124/82 36,4 6472046708860004
39 168/92 36,1 6472046109590002
40 137/78 36,3 6472040701850005
41 131/78 36,3 6472044407770008
42 164/68 36,3 6472040711420001
43 175/95 36,6 64720470112650007
44 115/77 36,2 6472044101750019
45 127/83 36,3 6472050102520001
46 179/93 36,3 6472047112570011
47 169/103 36,3 6472046810710005
48 103/77 36,2 6402026506010001
49 160/104 36.5 6472040305740003
50 142/91 36.4 3315086504950004

Kelompok Umur:
6-11
12-17
18-30
31-45
46-59
≥ 60 tahun
Total

Pekerjaan:
ANAK
Umum
PRA LANSIA
Lansia
SDMK
Publik
Remaja
Total
 Kelompok Tanggal
Nama Penerima Vaksin Pekerjaan* Lahir

LIA MERLIN Umum 8/21/1989

SUNO Umum 4/18/1968
PURLIK Umum 12/29/1984
TARSAM Umum 6/4/1978
WINDA Umum 12/20/1979
ASTATI Umum 19/6/1977
DAHLIANA Umum 4/11/1970
NURUL HIKMAWATI Umum 8/20/1987
ASPIAN NUR Umum 9/1/1971
DWI YUDIANTO Umum 6/30/1999
SUPARTI Umum 8/5/1976
ASRIANI Umum 7/17/1988
HERYANI Umum 2/15/1985
MUH RAFIF Anak 8/19/2015
FATHUR RAHMAN Umum 2/17/1986
KRISNA MIHASTA Umum 7/6/1997
PUTRI RAHMAWATI Umum 11/10/1987
BIMA MIHASTA Umum 4/18/1999
NELA WAHYUNI Umum 9/5/1974
LUSIANA Umum 7/7/1982
MUH JEFRI Umum 3/13/1996
LA ODE HASIARA Umum 31/12/1962
ANTON DWIANTO Umum 2/22/2001
WA NURJANNAH Umum 14-10-1988
AGUS SUDIRMAN Umum 15/8/1984
BAMBANG RUDIANTO Umum 5/26/1979
FARIDDAH Umum 1/10/1964
RISMA YANTI Umum 04/09/1984
PAUJIAH Umum 16/10/1978
TASRIANI Lansia 05/10/1956
GEMILANG PRAMUDYA ERSA PUTRA Umum 11/06/2000
ASRAN Umum 21/02/1968
M.ABDUL AZIS Lansia 19/02/1957
MARSELA FATRICIA Umum 24/03/2001
M.FACHRI YAHYA Umum 24/12/2001
RAMADHANI NOVIANDI Umum 10/05/1971
RAHMATUN NUR ANISA Umum 07/02/1996
ITA ASTUTIK Umum 27/08/1986
MEI SIN Lansia 21/09/1959
MUHAMMAD SUDIK Umum 01/07/1985
DIYAH SARWO RINI Umum 07/04/1977
MAULIDIN Lansia 11/07/1942
SAGUNG GDE SRI ADNYANI Umum 30/12/1965
SURATMI Umum 01/01/1975
KADIMUN Lansia 02/01/1952
ROSDIANA Lansia 31/12/1957
ANI Umum 28/10/1971
MARIN PRISCA SELVI Umum 25/06/2001
RUSLAN Umum 03/05/1974
JAMIRAH Umum 4/25/1995

Kelompok Umur:
1
0
8
17
9
4
39
Pemberian
Pekerjaan: Dosis
1
43 Dosis 1
0 Dosis 2
6 Dosis 3
0 Total
0
0
50
 Umur
Kelompok
(18 sd ≥ 60 Alamat
Umur
tahun)
33 31-45 JL DAMAI NO 18
54 46-59 JL KENANGA
38 31-45 JL TALUNREJO
44 31-45 JL TALUNREJO
43 31-45 JL OTISTA
45 31-45 JL OTISTA
52 46-59 JL MARSDA A SALEH
35 31-45 JL PESUT GG MURAI
51 46-59 JL PESUT GG MURAI
23 18-30 JL GERILYA GG RUKUN
46 46-59 JL RUMBIA II
34 31-45 JL BTN GPC BLOK TS
38 31-45 JL GERILYA GG KELUARGA
7 6-11 JL BTN GPC BLOK TS
37 31-45 JL SERAYU
25 18-30 JL L MANGKURAT GG 10
35 31-45 JL JELAWAT GG 5
23 18-30 JL L MANGKURAT GG 10
48 46-59 JL L MANGKURAT GG 10
40 31-45 JL M A SALEH
26 18-30 JL DAMAI RT 26
60 ≥60 JL URIP SUMOHARJO
22 18-30 JL BIAWAN GG 2
34 31-45 JL OTISTA
38 31-45 JL JELAWAT GG 5
43 31-45 JL SULTAN ALIMUDDIN
59 46-59 JL DAMAI NO 18
38 31-45 JL.LAMBUNG MANGKURAT
#VALUE! #VALUE! JL.DAMAI
66 ≥60 JL.BIAWAN
22 18-30 JL.SULTAN ALIMUDDIN
#VALUE! #VALUE! JL.SULTAN SULAIMAN
#VALUE! #VALUE! JL.JELAWAT
#VALUE! #VALUE! JL.DAMAI
#VALUE! #VALUE! JL.M.SAID
51 46-59 JL.M.SAID
27 18-30 JL.MERDEKA TIMUR
#VALUE! #VALUE! JL.SULTAN ALIMUDDIN
#VALUE! #VALUE! JL.OTTO ISKANDARDINATA
37 31-45 JL.SULTAN ALIMUDDIN
45 31-45 JL.SULTAN ALIMUDDIN
80 ≥60 JL.P.SURIANSYAH
#VALUE! #VALUE! JL.SUNGAI DAMA
48 46-59 JL.BIAWAN
71 ≥60 JL.GERILYA
#VALUE! #VALUE! JL.JELAWAT
#VALUE! #VALUE! JL.JELAWAT
#VALUE! #VALUE! JL.KUNTAB
48 46-59 JL DAMAI
27 18-30 JL DUSUN MEDANG

11
5
34
50
 Dosis I
Tanggal
No. Hp
Tanggal Nama/Jenis/ Pemberian
Screening Merek Vaksin*** Vaksinasi
082250354141 5/17/2022 ASTRA ZENECA
085250481894 5/17/2022 ASTRA ZENECA
082261150743 5/17/2022 ASTRA ZENECA
081649492260 5/17/2022 ASTRA ZENECA
082157781304 5/17/2022 ASTRA ZENECA
5/17/2022 ASTRA ZENECA
082225567766 5/17/2022 ASTRA ZENECA
085232280945 5/17/2022 ASTRA ZENECA
081297237893 5/17/2022 ASTRA ZENECA
085753470294 5/17/2022 ASTRA ZENECA 5/17/2022
081258386392 5/17/2022 ASTRA ZENECA 5/17/2022
081250368810 5/17/2022 ASTRA ZENECA
085346858663 5/17/2022 ASTRA ZENECA
081250368810 5/17/2022 SINOVAC 5/17/2022
081242704224 5/17/2022 ASTRA ZENECA
082257590426 5/17/2022 ASTRA ZENECA
081649104907 5/17/2022 ASTRA ZENECA
082298483342 5/17/2022 ASTRA ZENECA
081250278212 5/17/2022 ASTRA ZENECA
085246111230 5/17/2022 ASTRA ZENECA
083152029487 5/17/2022 ASTRA ZENECA
081249999262 5/17/2022 ASTRA ZENECA
083140091631 5/17/2022 ASTRA ZENECA
082351215066 5/17/2022 ASTRA ZENECA
085389498232 5/17/2022 ASTRA ZENECA
081254394939 5/17/2022 ASTRA ZENECA
082144453369 5/17/2022 ASTRA ZENECA
082195768270 5/17/2022 ASTRA ZENECA
5/17/2022 ASTRA ZENECA
085389364620 5/17/2022 ASTRA ZENECA 5/17/2022
082155357335 5/17/2022 ASTRA ZENECA 5/17/2022
081347689288 5/17/2022 ASTRA ZENECA
082154195534 5/17/2022 ASTRA ZENECA 5/17/2022
5/17/2022 ASTRA ZENECA
0895704212282 5/17/2022 ASTRA ZENECA 5/17/2022
085754750313 5/17/2022 ASTRA ZENECA
085250736496 5/17/2022 ASTRA ZENECA
085349594657 5/17/2022 ASTRA ZENECA
082151484750 5/17/2022 ASTRA ZENECA
081312137666 5/17/2022 ASTRA ZENECA
081257596484 5/17/2022 ASTRA ZENECA
081520980123 5/17/2022 ASTRA ZENECA 5/17/2022
081347101063 5/17/2022 ASTRA ZENECA 5/17/2022
083140091631 5/17/2022 ASTRA ZENECA
085252557570 5/17/2022 ASTRA ZENECA
082120565619 5/17/2022 ASTRA ZENECA 5/17/2022
081253850175 5/17/2022 ASTRA ZENECA 5/17/2022
081345047341 5/17/2022 ASTRA ZENECA
085250555389 5/17/2022 ASTRA ZENECA
085393196460 5/17/2022 ASTRA ZENECA
Dosis I Dosis 2 DOSIS 3
Tanggal Tanggal
No. Batch Pemberian No. Batch Pemberian No. Batch
Vaksinasi Vaksinasi
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
D202110024
D202110024
5/17/2022 D202110024
5/17/2022 D202110024
202112223M
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
D202110024
D202110024
5/17/2022 D202110024
D202110024
5/17/2022 D202110024
D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
D202110024
D202110024
5/17/2022 D202110024
5/17/2022 D202110024
D202110024
D202110024
5/17/2022 D202110024
5/17/2022 D202110024
5/17/2022 D202110024
 Keterangan
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