Nama Puskesmas/Fasyankes/Pos

Kabupaten/Kota
Provinsi
Hari, Tanggal

No No. Tiket

1 Z-000DJAGL

2
Z-000F185W

3 Q-001R9UXX

4 Q-001Q32NK

7 Q-001JZPHE

9 Q-001K43WE

10 Q-001K2G6P
11 Q-001RA4KC

12 Q-001QQWZY

13 Q-001K4W98

14

15

16

17 Q-001R9THC

18 Q-001K05N2

19 Q-001K4HOZ

20 Q-001K1V6C

21 Q-001K36VL

22 Q-001K1

23 Q-001PXDOT

24 Q-001K1O21

26 Q-001F3D7W

27 Q-0010QECQ

28 K-00022C89

29 Q-001OUGFB

30 Z-400FA875
31 Q-001AAM4P

32 Q-001OI4EN

33 Q-001G30AN

34 Q-001A0OZQ

35 Z-000E8JPX

36 Q-00033OD8

37 Q-000337OK

38 Q-0001OLSTU

39 Q-001ERJL3

40 Q-001OL99O

41 Q-001OKEIO

42

43 K-00022894

44 Q-001OLG47

45 Q-00033BDB

46 Q-0010QXLD

47 Q-0010L0L0HR

48 Q-0010KSL3

Q-0010LST6
49

50 Z-0000R2JJ
51 Q-001FELUD

52 Q-001SGS23

53 Q-00036ODS

54 Q-001NMTAB

55 Q-0010IQR3

56 Q-0010WHYU

57 Q-000PG9IL

58 Q-001FWFYY

59

60 Q-000JVFNV

61 Q-001P5O4D

62 Q-001P5ORC

63 K-000ZZLTE

64

65 Z-000D11XC

66

67

68
69

70

71

72

73

74

75

76

77

78

79

80

81

82

83

84

85

86
87

88

89

90

91

92

93

94

95

96

97

98

99

100

101

102

103

104
105

106

107

108

109

110

111

112

113

114

115

116

117

118

119

120

121

122
123

124

125

126

127

128

129

130

131

132

133

134

135

136

137

138

139

140
141

142

143

144

145

146

147

148

149

150

151

152

153

154

155

156

157

158
159

160

111

112

113

114

115

116

117

118

119

120

121

122

123

124

125

126
127

128

129

130

131

132

133

134

135

136

137

138

139

140

141

142

143

144
145

146

147

148

149

150

151

152

153

154

155

156

157

158

159

160

161

162
163

164

165

166

167

168

169

170

171

172

173

174

175

176

177

178

179

180
181

182

183

184

185

186

187

188

189

190

191

192

193

194

195

196

197

198
199

200

201

202

203

204

205

206

207

208

209

210

211

212

213

214

215

216
217

218

219

220

221

222

223

224

225

226

227

228

229

230

231

232

233

234
235

236

237

238

239

240

241

242

243

244

245

246

247

248

249

250

251

252
253

254

255

256

257

258

259

260

261

262

263

264

265

266

267

268

269

270
271

272

273

274

275

276

277

278

279

280

281

282

283

284

285

286

287

288
289

290

291

292

293

294

295

296

297

298

299

300

301

302

303

304

305

306
307

308

309

310

311

312

313

314

315

316

317

318

319

320

321

322

323

324
325

326
 NIK

3206061004520002

3206061206560003

3206066501820002

32060610097500002

3206061103501003

3206066610990001

3206062201990002

3206061796000001

3206060104810002

3206061810680001
3206064409600000

3206061105730001

3206076304070001

3208084808700015

3206066125700001

3206060906020003

3206062308780001

3206061507730006

3206060311730001

3206066607720001

3206066011860001

3206065302930001

3206061001860001

3206084204850002

3206074707820005

3206060107800073

3206066808760004

3206064202880001

3206061804520001
3206063007990003

3206061506960002

3206064107690068

3206065802880001

3206065011580002

3206065211740002

3206060202730001

3206064403610007

3206061609900001

3207204605880002

3276024705840019

3206065006080003

3206064201960002

3206062503000003

3206060406890002

3206066011080002

3206060102990001

3206061006040001

3206060308000001

3206066411550001
3206061512760001

3206060511680002

3206064302800001

3206060205750001

3206061608980001

3206060202810004

3206061812730001

3206065510910002

3206065066610003

3206061304760001

3206065101800001

3273244906940002

3206062607840002

3206066407910003

3206063009850001
 Kelompok Umur:

18-30

31-45

46-59

≥ 60 tahun

Total

Pekerjaan:

B
 C

Total
: UPTD PUSKESMAS CIBALONG
: TASIKMALAYA
: JAWA BARAT
: JUMAT 17 DESEMBER 2021

Jenis
Nama Penerima Vaksin Pekerjaan*
Kelamin

HALILI L B

EMAN L B

IREN FITRIA M P B

YAYU SURBANA L B

ERAH P B

SITI KHODIJAH P B

ANTASYA P B

ISIS MH L B

ADE ROHMAT L B

ADE JENAL L B
POPON P B

ENGKUS KUSNADI L B

SARAH YAZI P B

TUTI KURNIAN P B

WAWANG P B

MOHAMAD FAJAR MAULUDIN L B

ATEN ROHIMAN L B

DIDIN WAHYUDIN L B

DODI KURNIADI L B

ELI NELIA P B

SANTI P B

WULAN SRI P B

MASUM P B

IWIN P B

IMAS MASTUROH P B

DIK DIK L B

ISUM SUMIARTI P B

SUSI SUSILAWATI P B

UCUP L B
IKBAL L B

VIJAY L B

SOPIAH P B

IKA YANTIKA P B

YAYAH P B

AYING P B

MUKHLISIN L B

N WAHYATI P B

EKI L B

NURCAHYANI P B

RENI PAHRIDAH P B

MEPI MELISA P B

LISDANIA L B

IKHSAN MA'ARIF L B

RUDIANSYAH L B

REINATHA ARYANI P B

RULI ISWANTO L B

RAMDAN L B

ARIZ RIZKI L B

KOKOM KOMARIAH P B
YAYA L B

OOP MUSTOPA L B

IKA SARTIKA P B

IWAN L B

ARIP L B

ADI SUPRIADI L B

YAYA SUHAYA L B

SUSI SUSILAWATI P B

EMPAT P B

YAYAT PRAYANA L B

ANI SUMARTINI P B

SUCI PUJIANTI P B

YAYAT PRAYANA L B

ANA TARLINA P B

DENIS RIDA P B

B
B

B
B

B
B

B
B

B
B

B
B

B
B

B
B

B
B

B
B

B
B

B
B

B
B

B
B

B
B

B
B

B
B

B
 B

elompok Umur: Kepesertaan BPJS

2 BPJS PBI

7 BPJS Non PBI

5 Non Anggota

19 Total

Pekerjaan: Pemberian Dosis

0 Dosis 1

326 Dosis 2
0 Total

326
 FORMAT PENCATA
TINGKAT PUS

Umur
Tanggal Lahir Kelompok Umur
(18 sd ≥ 60 tahun)

10/04/1952 71 ≥60

12/06/1956 66 ≥60

04/12/1986 36 31-45

9/10/1975 47 46-59

01/03/1960 63 ≥60

02/03/1970 53 46-59

22/01/1999 24 18-30

9/17/1960 62 ≥60

01/04/1981 42 31-45

18/10/1968 54 46-59
08/02/1981 42 31-45

11/05/1973 49 46-59

23/07/2007 15 0

08/08/1970 52 46-59

26/12/1957 65 ≥60

07/06/2002 20 18-30

23/09/1978 44 31-45

15/07/1973 49 46-59

03/11/1973 49 46-59

26/07/1972 50 46-59

20/11/1986 36 31-45

13/02/1993 30 18-30

10/01/1986 37 31-45

12/12/1979 43 31-45

10/04/1988 35 31-45

07/06/1990 32 31-45

28/08/1976 46 46-59

02/02/1988 35 31-45

18/04/1952 71 ≥60
30/07/1999 23 18-30

15/06/1996 26 18-30

01/04/1969 54 46-59

18/02/1988 35 31-45

10/11/1958 64 ≥60

12/11/1974 48 46-59

02/02/1973 50 46-59

04/03/1961 62 ≥60

09/05/1990 33 31-45

06/05/1988 35 31-45

07/05/1984 39 31-45

10/06/2008 14 0

02/01/1996 27 18-30

25/03/2000 23 18-30

04/06/1989 33 31-45

26/11/2008 14 0

21/07/2000 22 18-30

10/06/2002 20 18-30

30/08/2000 22 18-30

24/11/1955 67 ≥60
15/12/1976 46 46-59

05/11/1968 54 46-59

03/02/1987 36 31-45

02/05/1975 48 46-59

16/08/1998 24 18-30

02/02/1981 42 31-45

18/12/1973 49 46-59

15/10/1991 31 31-45

10/06/1961 61 ≥60

13/04/1976 47 46-59

11/01/1980 43 31-45

09/06/1994 28 18-30

26/07/1984 38 31-45

24/07/1991 31 31-45

30/09/1985 37 31-45

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60

123 ≥60
 123 ≥60

123 ≥60

#REF!

#REF!
FORMAT PENCATATAN PELAKSANAAN VAKSINASI COV
TINGKAT PUSKESMAS/FASYANKES/POS VAKSINAS

Alamat

KP. BANJJARAN

KP. BANJARAN

KP. CIBALONG

KP. BANJARAN

KP. CIBALONG

KP. BANJARAN

KP. BANJARAN

KP. BANJARAN

KP. MUARA

KP. MUARA
KP. SAREUPEUN

KP. RANCAKALONG

KP. BANJARAN

KP. MUARA

KP. CIBALONG

KP. SODONG

KP. BANJARAN

KP. CIGADOAN

KP. LEUWI HAUR

KP. CILILITAN

KP. PASIRLAJA

KP. CIHAUR

KP. KERTAWANA

KP. CIBALONG

DOSIS 2 SINOVAC

KP. SODONG

KP. CIHAUR

KP. BANJARAN

KP. BANJARAN

KP. PARUNGBALA
KP. BANJARAN

KPP. BABAKAN GINTUNG

KP. PASIRLAJA

KP. CIBALONG

KP. CIBALONG

KP.SODONG

KP. SODONG

KP. SUKASUKUR

KP. CIKAREO

KP. MUARA

KP. MUARA

KP. CILIMBANGAN

KP. BANJARAN

KP. BANJARAN

KP. CILIMBANGAN

KP. CIBALONG

KP. SUKASUKUR

KP. MUARA

KP. SUKASUKUR

KP. CIHAUR
KP. BANJARAN

KP. BANJARAN

KP. SUKASUKUR

KP. BANJARAN

KP. CIBALONG

KP. CIGADOAN

KP. PARUNGBALA

KP. BABAKANGINTUNG

KP. SUKASUKUR

KP. CIBALONG

KP. SUKASUKUR

KPP. CIBALONG

KPP. CIBALONG

KP. CIBALONG

KP. CIBALONG
Pekerjaan

Total
LAKSANAAN VAKSINASI COVID-19
/FASYANKES/POS VAKSINASI

Kepesertaan BPJS (tulis 'Ya' pada kolom yang sesuai)

No. Hp

BPJS PBI BPJS Non PBI

081214133955

085320304240

08569098001

081218123550

082315484956

085794838270

085103205564

082321353818

082128983049

082122004835
082129763665

085351667100

085220331404

085318984659

08112473838

082316594077

081223838066

085220335714

085321913172

081382877277

085321913149

082121826712

081313607177

085220335714

DOSIS 2 SINOVAC

082118167278

081290388714

082219025143

081212829501

081324611820
085320274709

082295320334

085314785756

085352814356

081324611820

081312516764

081220227226

082320054461

081288415628

082119291236

082258575070

082321353810

082295979660

082316584616

087718876863

082214416716

081223911092

081572038025

085322919200
082398894971

081223844287

082399476813

082119584334

081320205492

085803378055

082120526262

085222334575

081313314536

081252747702

085352474891

085876263802

085314005555

085222367715

085892839808
0

326

326
a' pada kolom yang sesuai)

Tanggal Screening Nama/Jenis/Merek Vaksin***

Non Anggota

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER
12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 PFIZER

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC

12/17/2021 SINOVAC
12/17/2021 SINOVAC

12/17/2021 SINOVAC
 Dosis I

Tanggal Pemberian
No. Batch No. Serial
Vaksinasi

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289
12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 FM4289

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I

12/17/2021 202109184I
12/17/2021 202109184I

12/17/2021 202109184I
 Dosis 2

Tanggal Pemberian
No. Batch No. Serial
Vaksinasi
 Keterangan
(Ditunda/Tidak Diberikan/Lanjut)

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP

LENGKAP
LENGKAP

LENGKAP