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DATA SASARAN VAKSIN KH

PUSKESMAS : KLABANG

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7

1 3511144101450011 SUARI AL MANIMA P 01|01|1945 76

3511146705540001 TOLAK ENA 27|05|1954


2 P 67

3511144201310002 AMNA 02|01|1931


3 P 90

3511144908600001 HJ. SITI NURHASANAH 09|08|1960


4 P 61

3511144806450001 SATRIYAM | B. MARYONO 08|06|1945


5 P 76

3511141512490001 SAMSONO 15|12|1949


6 L 72

3511144601610001 SUHATIMA 06|01|1961


7 P 60

3511141805500001 ABDUL JATIM 18|05|1950


8 L 71

3511141309610001 SUHARTONO 13|09|1961


9 L 60

3511141807590001 NIWAN 18|07|1959


10 L 62

3511146908610001 AWANI 29|08|1961


11 P 60

3511141809490001 SUNARYO 18|09|1949


12 L 72

3511146203520001 SARI | B. SANITO 22|03|1952


13 P 69

3511141212610002 MARYONO | P. TINO 12|12|1961


14 L 60

3511140101450032 ASNAWI 01|01|1945


15 L 76

3511144101520036 TAYINA 01|01|1952


16 P 69

3511140101560033 BUSANA | P. IMROM 01|01|1956


17 L 65

3511144207600005 BUYANI | B. IMRON 02|07|1960


18 P 61
A SASARAN VAKSIN KHUSUS LANSIA

KODE
JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN KAB/KOTA
TEMPAT KERJA

8 9 10 11 12
KARANGANYAR RT.1/RW.1 KLABANG 35.11

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1

KARANGANYAR RT.1/RW.1
DATA SASARAN VAKSIN KHU
PUSKESMAS :

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7

3511140101540035 MUDAHRI L 01|01|1954 67


1

3511144101360002 BURINA | B. RAS 01|01|1936


2 P 85

3511140204590001 H. SAHRITO 02|04|1959


3 L 62

3511141405530002 H. Z.H. MAWARDI 14|05|1953


4 L 68

3511144101580014 HJ. USWATUN HASANAH 01|01|1958


5 P 63

3511144101580015 RAHMANI 01|01|1958


6 P 63

3511140508580001 H. ABDURRAHMAN 05|08|1958


7 L 63

3511140101610031 SANISUR | P. LILIK 01|01|1961


8 L 60

3511140101550006 SAWAR 01|01|1955


9 L 66

3511144101590006 SAHWANI 01|01|1959


10 P 62

3511142301540001 HALIL 23|01|1954


11 L 67

3511144405510001 ARSINA 04|05|1951


12 L 70

3511144101570007 ETTI B.SUS 01|01|1957


13 P 64

3511140209600001 TORI 02|09|1960


14 L 61

3511144101350067 B. DU 01|01|1935
15 P 86

3511142101490003 ABD. ROI 21|01|1949


16 L 72

3511144101400055 SUINAP | B. MISNA 01|01|1940


17 P 81

3511140101400033 PA'I | P. BUNASIN 01|01|1940


18 L 81

3511144101470019 SENNI | B. BUNASIN 01|01|1947


19 P 74
3511144101380032 NORYATI 01|01|1938
20 P 83

3511144101500040 SUPIATUN 01|01|1950


21 P 71

3511144101560015 SURAMNA 01|01|1956


22 P 65

3511144101500047 RIYATI 01|01|1950


23 P 71

3511144105300001 NURTIMA 01|05|1930


24 P 91
A SASARAN VAKSIN KHUSUS LANSIA

KODE
JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN KAB/KOTA
TEMPAT KERJA

8 9 10 11 12

KARANGANYAR RT.2/RW.1 KLABANG 35.11

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1
KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1

KARANGANYAR RT.2/RW.1
DATA SASARAN VAKSIN KHU
PUSKESMAS :

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7
1 3511140101580011 MATWER L 01|01|1958 63

2 3511140101600012 SAHRITO L 01|01|1960 61

3 3511144101460014 RIYATI P 01|01|1946 75

4 3511141102610001 SUDAHRI L 11|02|1961 60

5 3511144502420001 SAMI P 05|02|1942 79

6 3511140107500015 JUHARI L 01|07|1950 71

7 3511144607600002 HOSNAWATI P 06|07|1960 61

8 3511140101410010 MUNADIN L 01|01|1941 80

9 3511144706580001 SUNARTI P 07|06|1958 63

10 3511140101430006 SAKRAWI L 01|01|1943 78

11 3511140905600001 ADI RAKSO L 09|05|1960 61

12 3511144201520001 MAHWENI P 02|01|1952 69

13 3511140210600002 SANITO | P. PIT L 02|10|1960 61

14 3511141807590003 NASIR | P. YUNI L 18|07|1959 62

15 3511146101350001 SAMI | B. AR P 21|01|1935 86

16 3511144311450002 BURANI| B. SANITO P 03|11|1945 76

17 3511144101450094 B. SATOMO P 01|01|1945 76

18 3511144111350001 SURAKNA | B. SAHMA P 01|11|1935 86

19 3511140101520042 AHMAD ZUHRI L 01|01|1952 69


20 3511144101380025 RIYAMA | B. BUNASIR P 01|01|1938 83

21 3511144402490002 SAHMA | B. YATI P 04|02|1949 72

22 3511145401610001 SUNANIK P 14|01|1961 60


A SASARAN VAKSIN KHUSUS LANSIA

KODE
JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN KAB/KOTA
TEMPAT KERJA

8 9 10 11 12

KARANGANYAR RT.3/RW.1 KLABANG 35.11

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1
KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1

KARANGANYAR RT.3/RW.1
DATA SASARAN VAKSIN KHU
PUSKESMAS :

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7
1 3511142003530001 SUWARTO L 10|10|1961 60

2 3511146508360003 B. SUTARJO P 25|08|1936 85

3 3511141706490001 SUGONDO L 17|06|1949 72

4 3511144806540001 SUTANI P 08|06|1954 67

5 3511141607500001 ARTAWAR L 16|07|1950 71

6 3511143112540001 SUKARDI L 31|12|1954 67

7 3511141408580001 SUTRISNO L 14/08/1958 63

8 3511142703550001 LATIP L 27|03|1955 66

9 3511146107560001 TARSIYATI P 21|07|1956 65

10 3511145611250001 SURIYE | B. TAYAM P 16|11|1925 96

11 3511141101420001 MARWI | P. LAENA L 11|01|1942 79

12 3511145708450001 NORSIPA | B. LAENA P 17|08|1945 76

13 3511140101500065 HOSEN L 01|01|1950 71

14 3511144101470021 ENIK | B. MARLINA P 01|01|1947 74

15 3511140104500001 BUSAKDIN L 01|04|1950 71

16 3511144207550001 BUYATI P 02|07|1955 66

17 3511144111450001 ETTI P 01|11|1945 76

18 3511141705510002 AHMADUN L 17|05|1951 70

19 3511145206580002 NISMA P 12|06|1958 63


20 3511145808550001 SURIMA | B. DIDI P 18|08|1955 66

21 3511144602600001 SAINEM P 06|02|1960 61

22 3511145908450001 B. SUWARSO P 19|08|1945 76

23 3511146808470001 ALWENI P 28|08|1947 74

24 3511141807550001 ASMAWI L 18|07|1955 66

25 3511145802580002 NISWATI P 18|02|1958 63

26 3511144101380033 MANISA | B. JUHARI P 01|01|1938 83

27 3511142104560002 TOLI SUTIRJO L 21|04|1956 65


A SASARAN VAKSIN KHUSUS LANSIA

KODE
JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN KAB/KOTA
TEMPAT KERJA

8 9 10 11 12

KARANGANYAR RT.4/RW.1 KLABANG 35.11

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1
KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1

KARANGANYAR RT.4/RW.1
DATA SASARAN VAKSIN KHU
PUSKESMAS :

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7
1 3511141612130002 NASIN L 04|06|1941 80

2 3511140101530003 SUNAHWAN L 01|01|1953 68

3 3511144101600018 RAHMANI P 01|01|1960 61

4 3511144101510004 NIWATI P 01|01|1951 70

5 3511140101510011 NIRU L 01|01|1951 70

6 3511144401590001 MISNA P 04|01|1959 62

7 3511140101610010 SANARU L 01|01|1961 60

8 3511144412600001 SUTRIYANI P 04|12|1960 61

9 3511140101400008 P. SANAWI L 01|01|1940 81

10 3511144101420033 ATI P 01|01|1942 79

11 3511144101610008 ARSIYA P 01|01|1961 60

12 3511144101400018 SANIMA | B. SAHWATI P 01|01|1940 81

13 3511140101590007 SATIRJO L 01|01|1959 62

14 3511144101610009 SUMIATI P 01|01|1961 60

15 3511144101450089 SINTEN P 01|01|1945 76

16 3511146201360001 B. KUSNI P 22|01|1936 85

17 3511145201450010 DAWIYANI P 12|01|1945 76

18 3511144607510001 HJ. LATIFAH P 06|07|1951 70

19 3511140101560039 MADRA'IS L 01|01|1956 65


20 3511144101500009 MAHMIDA P 01|01|1950 71
A SASARAN VAKSIN KHUSUS LANSIA

KODE
JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN KAB/KOTA
TEMPAT KERJA

8 9 10 11 12

KARANGANYAR RT.5/RW.1 KLABANG 35.11

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1

KARANGANYAR RT.5/RW.1
KARANGANYAR RT.5/RW.1
DATA SASARAN VAKSIN KHU
PUSKESMAS :

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7
1 3511144101480009 B. JAM P 01|01|1948 73

2 3511144101340004 SAHRIYA P 01|01|1934 87

3 3511140101540024 ASMAD L 01|01|1954 67

4 3511144401570001 AMA P 04|01|1957 64

5 3511141212490002 SUKARDI L 12|12|1949 72

6 3511144101490023 MASTIMA P 01|01|1949 72

7 3511144108490001 SUMANI | B. RIRIN P 01|08|1949 72

8 3511144104360003 DIMA | B. MARJUNI P 01|04|1936 85

9 3511144101550013 SAMI P 01|01|1955 66

10 3511144101500073 HJ.MARYAM P 01|01|1950 71

11 3511140101540005 ARJO L 01|01|1954 67

12 3511144103560005 NURYATI P 01|03|1956 65

13 3511140101450016 WEWET L 01|01|1945 76

14 3511144101490007 MISARI P 01|01|1949 72

15 3511140101610009 SUKARTO L 01|01|1961 60

16 3511140101390005 MINUDDIN L 01|01|1939 82

17 3511144101450020 JUMANTEN P 01|01|1945 76

18 3511141509950001 NASIB L 01|01|1953 68

19 3511144101600053 SEMMA B. RITMAWATI P 01|01|1960 61


A SASARAN VAKSIN KHUSUS LANSIA

KODE
JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN KAB/KOTA
TEMPAT KERJA

8 9 10 11 12

KARANGANYAR RT.6/RW.2 KLABANG 35.11

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2

KARANGANYAR RT.6/RW.2
DATA SASARAN VAKSIN KHU
PUSKESMAS :

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7
1 3511140101590035 ASAN L 01|01|1959 62

2 3511140101480004 H. MASYHURI L 01|01|1948 73

3 3511144101560014 HJ. SITI NURHASANAH P 01|01|1956 65

4 3511140101510012 ASMAWI L 01|01|1951 70

5 3511144101600020 SUHAENA P 01|01|1960 61

6 3511140101560016 NAHWI L 01|01|1956 65

7 3511140101510013 MARJALI L 01|01|1951 70

8 3511144101610011 ARTINA P 01|01|1961 60

9 3511145101550001 MURAMMA P 11|01|1955 66

10 3511140101600018 MISDIN | P. NOR L 01|01|1960 61

11 3511140101520011 CONGWAT L 01|01|1952 69

12 3511140101520012 ARJE | P. AMYANI L 01|01|1952 69

13 3511144101570003 NURTIMA P 01|01|1957 64

14 3511144101530011 SUNARI P 01|01|1953 68

15 3511146710770003 SUHANI P 01|01|1960 61

16 3511144101460015 MARYAM | B. SUR P 01|01|1946 75

17 3511140101550008 MISIN L 01|01|1955 66

18 3511144105550002 SAWIYA | B. SUGIARNI P 01|05|1955 66

19 3511144205420002 B. SAENA P 02|05|1942 79


20 3511140101490015 SAWIR L 01|01|1949 72

21 3511145201550010 MISNAYA P 12|01|1955 66

22 3511145305500001 NURSIMA | B. MASTIBA P 13|05|1950 71

23 3511144101430010 SUHAMI | B. PATIMA P 01|01|1943 78


A SASARAN VAKSIN KHUSUS LANSIA

KODE
JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN KAB/KOTA
TEMPAT KERJA

8 9 10 11 12

KARANGANYAR RT.7/RW.2 KLABANG 35.11

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2
KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2

KARANGANYAR RT.7/RW.2
DATA SASARAN VAKSIN KHU
PUSKESMAS :

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7
1 3511144601400002 SUAMYA P 06|01|1940 81

2 3511142712550001 SUKIMAN L 27|12|1955 66

3 3511144101530009 PATIMA P 01|01|1953 68

4 3511144101530010 MARWANI P 01|01|1953 68

5 3511144101450018 SAMI | B. MARTOMO P 01|01|1945 76

6 3511140101400007 SENNO L 01|01|1940 81

7 3511144101450019 SAMIDA P 01|01|1945 76

8 3511140101560013 ASWA L 01|01|1956 65

9 3511144101600019 SUMARNI P 01|01|1960 61

10 3511140101270002 WAHAB L 01|01|1927 94

11 3511144101400015 SUMAINA | B. TAHAL P 01|01|1940 81

12 3511140101580012 MAWI L 01|01|1958 63

13 3511144301600001 MISYATI P 03|01|1960 61

14 3511140101600013 KAFI L 01|01|1960 61

15 3511140101450072 SADIMAN L 01|01|1945 76

16 3511144101520039 SAMI P 01|01|1952 69

17 3511144101370023 BUANI P 01|01|1937 84

18 3511144101510005 RAHMA P 01|01|1951 70

19 3511144102600009 HJ. NURHALIMA L 01|02|1960 61


20 3511144501570001 SUWANI P 05|01|1957 64

21 3511144101550011 NORSIYA P 01|01|1955 66


A SASARAN VAKSIN KHUSUS LANSIA

KODE
JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN KAB/KOTA
TEMPAT KERJA

8 9 10 11 12

KARANGANYAR RT.8/RW.2 KLABANG 35.11

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2
KARANGANYAR RT.8/RW.2

KARANGANYAR RT.8/RW.2
DATA SASARAN VAKSIN KHU
PUSKESMAS :

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7
1 3511144101300020 BUSATI P 01|01|1930 91

2 3511140101360007 SADI L 01|01|1936 85

3 3511141911510001 MISNAWI L 19|11|1951 70

4 3511144101590016 SAMI P 01|01|1959 62

5 3511140101540021 MUHWI L 01|01|1954 67

6 3511144601560001 MISNAYA P 06|01|1956 65

7 3511140101550024 JOTO L 01|01|1955 66

8 3511140101520029 SAHWI L 01|01|1952 69

9 3511144101500033 DIANA | B. WIN P 01|01|1950 71

10 3511140101530013 MIDUN | P. WIN L 01|01|1953 68

11 3511140101450025 ENIK L 01|01|1945 76

12 3511144101500048 BUSIYA P 01|01|1950 71

13 3511140101450027 NIJAN L 01|01|1945 76

14 3511144101470016 SUWARMA P 01|01|1947 74

15 3511146302590002 DARNI | B. BUNARSO P 23|02|1959 62

16 3511140407430002 SUNAWI | P. ER L 04|07|1943 78

17 3511145101520001 BULATI | B. ER P 11|01|1952 69

18 3511140101530023 SUAMO L 01|01|1953 68

19 3511144809450001 ASIA | B. ENNO P 08|09|1945 76


20 3511144101550033 SAYATI P 01|01|1955 66

21 3511144101510036 INDAH P 01|01|1951 70

22 3511145707560001 SANAMI | B. BUNALI P 17|07|1956 65


A SASARAN VAKSIN KHUSUS LANSIA

KODE
JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN KAB/KOTA
TEMPAT KERJA

8 9 10 11 12

KARANGANYAR RT.9/RW.2 KLABANG 35.11

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2
KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2

KARANGANYAR RT.9/RW.2
DATA SASARAN VAKSIN KH
PUSKESMAS :

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7
1 3511144107350004 BUYA | B. SAPPANI P 01|07|1935 86

2 3511140107560004 NAWER | P. DIDI L 01|07|1956 65

3 3511144106590003 SUMARI | B. DIDI P 01|06|1959 62

4 3511140101500024 SUYAT L 01|01|1950 71

5 3511144101540027 NIWE P 01|01|1954 67

6 3511144101550032 TOLAENA P 01|01|1955 66

7 3511140101470013 MITO L 01|01|1947 74

8 3511144601600001 JUMA'IYA P 06|01|1960 61

9 3511140101540020 NITO | P. SURAJI L 01|01|1954 67

10 3511144101590015 SUKARTI P 01|01|1959 62

11 3511140101450026 DARWI L 01|01|1945 76

12 3511144101500034 MISNAYA P 01|01|1950 71

13 3511144101500036 SALAMI P 01|01|1950 71

14 3511140101550025 RUDIN L 01|01|1955 66

15 3511140101600043 BUNARWI L 01|01|1960 61

16 3511144101480022 ATIMA P 01|01|1948 73

17 3511144101300038 NURSATI | B. MATORI P 01|01|1930 91

18 3511141103590002 ADAM | P. KHOLIP L 11|03|1959 62

19 3511140101450052 SAMSUDIN | P. KIT L 01|01|1945 76


20 3511142511550002 DARWIS L 25|11|1955 66

21 3511145302600003 NURSIMA P 13|02|1960 61

22 3511140101610023 P. KUSTIN L 01|01|1961 60

23 3511144101520029 BUSAMI P 01|01|1952 69

24 3511140101550054 AHMADUN L 01|01|1955 66

25 3511144101590025 NARIYA P 01|01|1959 62

26 3511145004510001 MARIAM | B. KUSNI P 10|04|1951 70

27 3511140101560044 SURA'I L 01|01|1956 65

28 3511144107410004 SUNAK P 01|07|1941 80

29 3511140101480023 BESIN | P. EKSIN L 01|01|1948 73

30 3511144101540052 ENIK | B. EKSIN P 01|01|1954 67


A SASARAN VAKSIN KHUSUS LANSIA

JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN

8 9 10 11
KARANGANYAR RT.10/RW.2 KLABANG

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2
KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2

KARANGANYAR RT.10/RW.2
KODE
KAB/KOTA
TEMPAT KERJA

12

35.11
DATA SASARAN VAKSIN KH
PUSKESMAS :

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7
1 3511140312600003 AMBARI L 3/12/1960 61

2 3511140101500029 DARUS L 01|01|1950 71

3 3511144101550041 SURYAMI P 01|01|1955 66

4 3511140101520030 P.AGUS L 01|01|1952 69

5 3511144101550042 B.AGUS P 01|01|1955 66

6 3511144101500063 BUNIMA P 01/01/1950 71

7 3511144101600043 TIYAMI P 01|01|1960 61

8 3511140101480024 MISRAIL L 01|01|1948 73

9 3511144101490017 JUMASI P 01|01|1949 72

10 3511140101420030 NADIN L 01|01|1942 79

11 3511144101450052 PANI P 01|01|1945 76

12 3511144101500094 B. TARJO P 01/01/1950 71

13 3511145201410002 MARIYAM | B. MURTAYAM P 12|01|1941 80

14 3511140301590002 DURAHEM | P. HENDRI L 03|01|1959 62

15 3511140101500051 LAHEP | P. RUS L 01|01|1950 71

16 3511144101600063 TOLAK | B. RUS P 01|01|1960 61

17 3511144101490029 MA'ATI | B. MAHYATI P 01|01|1949 72

18 3511144101420027 MUYENNA | B. RUS P 01|01|1942 79

19 3511140101550044 MUHAMMAD | P. UM L 01|01|1955 66


20 3511144101600064 SUPYATI | .B . UM P 01|01|1960 61

21 3511144101550043 TIWANI P 01/01/1955 66

22 3511140101450050 NAWAR | P. I L 01|01|1945 76

23 3511144211480001 SAINI P 02|11|1948 73

24 3511144101370017 NAWE B. MISNADIN P 01/01/1937 84

25 3511142905370001 SUNA'AM | P. SURI L 29|05|1937 84

26 3511146007400001 MURDANI P 20|07|1940 81

27 3511144101350056 SUNI | B. RAHMA L 01|01|1935 86

28 3511144101330013 SANI | B. NAWE P 01|01|1933 88

29 3511144101450095 B. SAHRUMI P 01|01|1945 76

30 3511144101590035 KARTINI | B. LILIS P 01|01|1959 62

31 3511140302600005 HARYANTO L 03|02|1960 61

32 3511144605450001 ASMA P 06|05|1945 76

33 3511144101540053 MURAHMA P 01|01|1954 67


A SASARAN VAKSIN KHUSUS LANSIA

JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN

8 9 10 11
KARANGANYAR RT.11/RW.3 KLABANG

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3
KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3

KARANGANYAR RT.11/RW.3
KODE
KAB/KOTA
TEMPAT KERJA

12

35.11
DATA SASARAN VAKSIN KH
PUSKESMAS :

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7
1 3511142412470001 SUHRI L 24|12|1947 74

2 3511144101510037 ASMA | B. DARSONO P 01|01|1951 70

3 3511144101450049 SUHAMI | B. SAHAMO P 01|01|1945 76

4 3511140101610016 TOMO | P. TIKNO L 01|01|1961 60

5 3511140101510029 TOLE | P. TAIYIB L 01|01|1951 70

6 3511144101490012 SUARNA P 01|01|1949 72

7 3511140101600030 SAMO L 01|01|1960 61

8 3511140101550052 SUNAWI L 01|01|1955 66

9 3511144101600083 NAWANI P 01|01|1960 61

10 3511144101610035 MARNI P 01|01|1961 60

11 3511140101530015 TOMO L 01|01|1953 67

12 3511144101600045 SUWANA P 01|01|1960 61

13 3511140101550045 KARSO L 01|01|1955 66

14 3511144101570017 TIJA P 01|01|1957 64

15 3511140101600035 BITO | P. SALAMA L 01|01|1960 61

16 3511144211360001 SABIHA | B. NAWANI P 02|11|1936 85

17 3511140101570034 MARWAN | P. MARYOTO L 01|01|1957 64

18 3511144101300040 B. ARMA P 01/01/1930 91

19 3511144101520028 SAHAMI | B. TOLAK P 01|01|1952 69


20 3511144301350001 ETTI | B. SALAWI P 03|01|1935 84

21 3511140101570035 ARSAJI | P. ASYATI L 01|01|1957 64

22 3511145607480001 MURNAMI|B. TIN P 01|01|1960 61

23 3511144307420001 SANIA B. REANA P 23/07/1942 79

24 3511140103530002 DULASIR | P. MARIYA L 01|03|1953 68

25 3511144101560035 AMYA | B. MARIYA P 01|01|1956 65

26 3511140101500064 JINAL| P. SUNARTI L 01|01|1950 71

27 3511144101550063 DUNI| B. SUNARTI P 01|01|1955 66

28 3511140502510001 SUMARNI L 05|02|1951 70

29 3511144202400004 SUTRAMI | B. TITI P 02|02|1940 81

30 3511144607400005 NAWATI | B .MASIANI P 06|07|1940 81

31 3511146307420001 SANIYA P 23|07|1942 77


TA SASARAN VAKSIN KHUSUS LANSIA

JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN

8 9 10 11
KARANGANYAR RT.12/RW.3 KLABANG

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3
KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3

KARANGANYAR RT.12/RW.3
KODE
KAB/KOTA
TEMPAT KERJA

12

35.11
DATA SASARAN VAKSIN KH
PUSKESMAS :

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7
1 3511140101590017 ASAN L 01|01|1959 61

2 3511144101600036 SUWERMA P 01|01|1960 60

3 3511140101600028 BUNARWI | P. WANI L 01|01|1960 60

4 3511140101470016 MA'ADIN L 01|01|1947 73

5 3511144101540028 KARTINI P 01|01|1954 66

6 3511144101600037 SUNARMI P 01|01|1960 60

7 3511140101590019 SATRAWI L 01|01|1959 61

8 3511144101600039 MORYATI L 01|01|1960 66

9 3511144101580038 SUMI P 01|01|1958 60

10 3511232707960002 SANAWI L 27|07|1996 61

11 3511140101530012 H. ABDUL ASIS TOHA L 01|01|1953 67

12 3511144101550038 HJ. NURHASANA P 01|01|1955 65

13 3511145001540001 JUMASIA P 10|01|1954 66

14 3511144101500074 MAMI P 01|01|1950 70

15 3511144101350055 B. TOMI P 01|01|1935 85

16 3511144101580041 AKMI | B. IYAM P 01|01|1958 62

17 3511140101540030 NIAWI| P. IYON L 01|01|1954 66

18 3511144101580045 ETTI | B. IYON L 01|01|1958 62

19 3511140101560041 SAWITO L 01|01|1956 64


20 3511144101580046 MARYANI P 01|01|1958 62
A SASARAN VAKSIN KHUSUS LANSIA

JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN

8 9 10 11
KARANGANYAR RT.13/RW.3 KLABANG

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3

KARANGANYAR RT.13/RW.3
KARANGANYAR RT.13/RW.3
KODE
KAB/KOTA
TEMPAT KERJA

12

35.11
DATA SASARAN VAKSIN KH
PUSKESMAS :

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7
1 3511144101350071 SA'IYA P 01|01|1935 85

2 3511140107540008 ALMAWI | P. SITO L 01|07|1954 65

3 3511144107590006 SUJANA P 01|07|1959 60

4 3511144101520020 TOLAK P 01|01|1952 68

5 3511146910580001 HANI P 29|10|1958 61

6 3511142209480001 MASGI L 22|09|1948 71

7 3511145909500001 BING ENIK P 19|09|1950 69

8 3511145706450001 MA'ANI P 17|06|1945 74

9 3511140101530011 ARMAWI L 01|01|1953 67

10 3511140101520024 CONG ENIK SUGIONO L 01|01|1952 68

11 3511140101470015 MUALWI L 01|01|1947 73

12 3511144101500030 MURTAMI P 01|01|1950 70

13 3511144101400042 AMNA P 01|01|1940 80

14 3511144101420031 SULIAMI P 01|01|1942 78

15 3511144101300048 SUNAHMA P 01|01|1930 90

16 3511140101520025 ASMAWI L 01|01|1952 68

17 3511144101550035 SUTIYA L 01|01|1955 66

18 3511144101550036 ATINA P 01|01|1955 66

19 3511140101570020 JUTO L 01|01|1957 64


20 3511144101220010 ASMIN | B. ASIT P 01|01|1922 99

21 3511140101570021 ALMAWI L 01|01|1957 64

22 3511140101570022 RASMAT L 01|01|1957 64

23 3511141601460001 CONGENIK L 16|01|1946 75

24 3511145701480001 ARWANI P 17|01|1948 73

25 3511140101500027 JUMASIN L 01|01|1950 71

26 3511144101520022 MURSIYA P 01|01|1952 69

27 3511144101530027 TOLAK P 01|01|1953 68

28 3511144101450046 BEHANI | B. SANAIYA P 01|01|1945 76

29 3511140101520026 SUGI L 01|01|1952 69

30 3511144101550037 AMSIYE P 01|01|1955 66

31 3511140101440012 ASAN | P. MUYATO L 01|01|1944 77

32 3511144101480017 TOMI L 01|01|1948 73

33 3511140101570029 KARSO L 01|01|1957 64

34 3511144101400057 PUR | B. YANI P 01|01|1940 81

35 3511140101450037 CONGENIK | P. YANI L 01|01|1945 76

36 3511141203510002 CONG ENIK.MURHENNA L 12|03|1951 70

37 3511145301580001 HAWA P 13|01|1958 63

38 3511144410370001 TIJA | B. SUNAHMA P 04|10|1937 84

39 3511144101350059 B. MURSIYA P 01|01|1935 86

40 3511140101350031 NIKYAT | P. AMYA L 01|01|1935 86

41 3511144101400083 MORNAMI | B. SUWARJI P 01|01|1940 81


42 3511144112450006 TIJA | B. KUN P 01|12|1945 76

43 3511140101570042 SAMAWI L 01|01|1957 64

44 3511144101600094 NIWA P 01|01|1960 61

45 3511146702500001 AMSIYA P 27|02|1950 71


TA SASARAN VAKSIN KHUSUS LANSIA

JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN

8 9 10 11
KARANGANYAR RT. 14/RW.3 KLABANG

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3


KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3


KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3

KARANGANYAR RT. 14/RW.3


KODE
KAB/KOTA
TEMPAT KERJA

12

35.11
DATA SASARAN VAKSIN KH
PUSKESMAS :

JENIS
NO NIK NAMA TGL LAHIR UMUR INSTANSI PEKERJAAN
KELAMIN

1 2 3 4 5 6 7
1 3511140801520001 JANI P 08|01|1952 63

2 3511145001600004 SAHRIYANI P 10|01|1960 61

3 3511145001390005 SUGIYA P 10|01|1939 82

4 3511144101470015 SANI P 01|01|1947 74

5 3511140101590020 TOSEN L 01|01|1959 62

6 3511140101590021 TOLAK L 01|01|1959 62

7 3511144101500032 TOLAK B.AMYATI P 01|01|1950 81

9 3511142606530001 MUNACIP L 26|06|1953 68

10 3511144101570010 SUWATI P 01|01|1957 64

11 3511140101530014 NAHWAN L 01|01|1953 68

12 3511144101450051 ASNI L 01|01|1945 76

13 3511140101470020 ATRAWI L 01|01|1947 74

14 3511144101500039 MURAHMA P 01|01|1950 71

15 3511144101540031 TOYA P 01|01|1954 67

16 3511140101580029 SUKARWI L 01|01|1958 63

17 3511140101600040 MOMO L 01|01|1960 61

18 3511144101540044 MISNA P 01|01|1954 67

19 3511144101460024 SAKWATI B.KUSNADI L 01|01|1946 75

20 3511144101320014 SUMI P 01|01|1932 89


A SASARAN VAKSIN KHUSUS LANSIA

JENIS PEKERJAAN NO. HP ALAMAT KTP KECAMATAN

8 9 10 11
KARANGANYAR RT.15/RW.3 KLABANG

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3

KARANGANYAR RT.15/RW.3
KODE
KAB/KOTA
TEMPAT KERJA

12

35.11
REKAP DATA SASARAN VAKSIN
DESA : KARANGANYAR

NO RT JUMLAH

1 2 3 4 5
1 18
2 24
3 22
4 27
5 20
6 19
7 23
8 21
9 22
10 30
11 33
12 31
13 20
14 45
15 20
TOTAL 375
DATA SASARAN VAKSIN KHUSUS LANSIA

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