FORMAT REGISTER VAKSINASI COVID 19

TIM : IIRSTN
LOKASI Kantor DIKPORA
TANGGAL : 02 DESEMBER2021

NO NAMA NIK UMUR JK (P/L)

1 JAMAL AGUNTA 7502040601910001 30 L

2 LALA PEBRIYANTI 7502046602000001 21 P
3 AMRAN DINGO 7502041205980002 23 L
4 SAFRUDIN HUSAIN.S.AP 7502060307910003 30 L
5 ZULKIFLI ABAS 7502040208920001 28 L
6 ISWADI YADJITALA,S.pd 7502042304740002 47 L
7 OLIN OTOLUWA 7502045010910001 30 P
8 WAODE MULIA 7502046910060002 15 P
9 KHUMAYROH D.LATINAPA 7502045101090001 12 P
10 IDRIS DUKALANG 7502040508640001 57 L
11 LISNAWATI ABUDI 7502046103990001 22 P
12 ASNITA MUSA 7502046307990001 22 P
13 FADLIYA HUDJA 7502046903010001 20 P
14 TASYA TUNALI 7502035602070001 14 P

15 RAHMAWATI ASSAGAF 7502046809080003 15 P

16
ISNAWATY LAMIUN 7502043103080002 13 P

17 NIRNAWATI NIUWA 7502045607870001 34 P

18 RAMLAN BULOTIO,ST 7571052006840001 37 L

19 REHAN DINGO 7502040712060002 15 L

20 WAHYUDIN LIE 7504040506090001 12 L

21 NINING ANTUALA 7502045207870003 34 P

22 7502043107050001 16 L
MUH BINTANG ZULYAN LAPASAU
23 YEYEN TAHIR 7502047010910001 30 P

24 NABILA BIYA 7502044804080002 13 P

25 VERAWATI DJAILANI 7502044705870001 34 P
26 ADRITA KAKU 7502044708760004 45 P
27 RIDWAN POLINGALA 7502042905090002 12 L
28 UMAR SARIDI 7502040107600052 61 L
29 MUZAKIR ABDULMANAF 7502041812090002 12 L
30 RIFALKASIM 7502042904090002 12 L
31 RIFALDI DILAN MASILU 7502041903010001 20 L
32 NURNANINGSIH ERIK 7502044808080003 14 P
33 BELA RAMADANI ABDULLAH 7502044109080001 13 P
34 RAHMAT ANWAR 7502041007070004 14 L
35 RAFLI DJURAGA 7502040808070001 14 L
36 ASTARI CICILIA CONO 7503035908090002 12 P
37 ALFA GOIYO 7502042808080003 13 L
38 ARISA SAMAI 7502044212620001 59 P
39 NAZWA MUTIARA USMAN 7502045203090001 12 P
40 RAHMATIA MAIYO 7502045507060001 15 P
41 MIDON DAKO 7502042005640001 57 L
42 MUHAZRIN RAUF 75002041812070001 14 L
43 NANDAR MENTU 7502041104090002 12 L
44 ALFIN DJAU 7502041107040001 17 L
45 SARLIN DINGO 750204628040001 17 P
46 ELSAPUTRI RUSTAM 7502048804090001 12 P
47 NURAIN OMINTODU 7602048202090002 12 P
48 ROSINTAWATY ADITYA LENGATO 7106024209040001 17 P
49 USMAN ENTENGO 7502041812890001 32 L
50 ARMAN HINTALO 7502042212890003 32 L
51 LENA YUSUF 7502046301700001 51 P
52 OSPIN A PUKOI 7502014304820001 39 P
53 MARVIN AHIRI 7502042306090001 12 L
54 MARFEL AHIRI 7502042306090002 12 L
55 SELVI MANOPPO 7502046305730001 48 P
56 SITI FEBRIANI 7502046502030001 18 P
57 MUSTIA NANGI 7502046207090003 12 P
58 MOHAMAD FARIS PAKAYA 7502040510090001 12 L
59 ASTIN HASIM 7502046109080002 13 P
60 PUTRI FEBRIYANTI POTALE 7502046806080001 13 P
61 ANISA DJIBU 750203410740025 17 P
62 APRIYANTO SALIKO 7502042111090002 12 L
63 MOH ALHAM KADJIBA 750204300100003 11 L
64 MOH ADHAN RAHIM 7502041512070003 14 L
65 HASNI LOLONTO 7502046712800001 41 P
66 RACHMAT IRAWAN MUSA 7502040606970001 24 L
67 FAISAL LAMIUN 7502040507990002 22 L
68 SUSMITA VAN GOBEL 7502044807960003 25 P
69 NENG KARMILA 7501134905940001 26 P
70 ASRIL LAMIUN 7502041408990001 22 L
71
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 HAPUS ========Ket Isi Dosis : P : Pelayanan Publik, R : Re
U : Masyarakat Umum, L : Lansia

batch : 202108141H

DOSIS
KATEGORI (CENTANG)
ALAMAT LENGKAP (CENTANG)
NO PELAYANAN MASYA
(DUSUSN, DESA,
HAPE DOSIS 1 DOSIS 2 NAKES PUBLIK LANSIA RAKAT
KECAMATAN)
(DESA,OPD) UMUM
DS. LIMBATO √ √ √
DS HUNGAYONAA √ √
DS LAMU √ √
DS DULANGEYA √ √
DS HUNGAYONAA √ √
ds mohungo √ √
DS TAPADAA √ √
DS LIMBATO √
DS HUNGAYONAA √
DS HUNGAYONAA √ √
DS PENTADU TIMUR √ √
DS HUNGAYONAA √ √
MOHUNGO √ √

DS MOHUNGO √

DS HUNGAYONAA √

√
DS HUNGAYONAA
DS HUNGAYONAA √ √

MOOTILANGO √ √

DS LAHUMBO √

DS HUNGAYONAA √

DS HUNGAYONAA √ √

√
ds mohungo
DS HUNGAYONAA √ √

DS HUNGAYONAA √

DS MODELOMO √ √
ds mohungo √ √
DS PENTADU BARAT √
DS AYUHULALO √ √
DS MODELOMO √
DS MODELOMO √
ds mohungo √ √
DS MODELOMO √
DS LIMBATO √
DS MODELOMO √
DS MODELOMO √
DS LAMU √
DS MODELOMO √
DS HUNGAYONAA √ √
DS MOHUNGO √
DS PILOLIYANGA √
DS HUNGAYONAA √ √
DS MODELOMO √
DS MODELOMO √
DS HUNGAYONAA √
DS LAMU √
DS MODELOMO √
DS MODELOMO √
DS LIMBATO √
DS HUNGAYONAA √ √
DS PENTADU TIMUR √ √
DS HUNGAYONAA √ √
BONTULADIDI TIMUR √ √
DS LAMU √
DS LAMU √
ds mohungo √ √
DS PENTADU BARAT √
DS LAMU √
DS PILOLIYANGA √
DS LAHUMBO √
DS LAHUMBO √
DS LAMU √
DS LAMU √
DS LAMU √
DS HUNGAYONAA √
DS HUNGAYONAA √ √
DS MODELOMO √ √
DS HUNGAYONAA √ √
DS HUNGAYONAA √ √
DS HUNGAYONAA √ √
DS HUNGAYONAA √ √
yanan Publik, R : Remaja, N : Nakes
um, L : Lansia

KETER
ANG) ANGAN
(DITUN
Remaja DA,
MENOL Ket Status (N, P, R)
AK) SMP 3TILAMUTA
DIKPORA
DIKPORA
DIKPORA

SDN 05 TILAMUTA

√ SMP 1TILAMUTA
√ SPM1 TILAMUTA
DIKPORA
DIKPORA

SMK 1 TIL
√ SPM1TILAMUTA

√ SMP1TILAMUTA

√ SMP1TILAMUTA

DIKPORA
DIKPORA

√ SMP1TILAMUTA

√ SDN 13 TILAMUTA

√ SMK 1 TILAMUTA
S

√ SMP1TILAMUTA
GURU SDN 13
TILAMUTA
DIKPORA
√ SDN 13 TILAMUTA
√ SDN 13 TILAMUTA
√ SDN 13 TILAMUTA

√ SDN 13 TILAMUTA
√ SMP 1 TILAMUTA
√ SDN 13 TILAMUTA
√ SDN 13 TILAMUTA
√ SDN 13 TILAMUTA
√ SDN 01TILAMUTA

√ SMP 1 TILAMUTA
√ SMP 1 TILAMUTA

√ SDN 13 TILAMUTA
√ SDN 13 TILAMUTA
√ SMA1TILAMUTA
√ SMA1TILAMUTA
√ SDN 13 TILAMUTA
√ SDN 13 TILAMUTA
√ SMA1TILAMUTA

SMP 3 TILAMUTA

√ SDN 06 TILAMUTA
√ SDN 06 TILAMUTA
BPBD
√ SMA 1 TILAMUTA
√ SDN 06 TILAMUTA
√ SDN 06 TILAMUTA
√ SMP05 TILAMUTA
√ SMP05 TILAMUTA
√ SMA 1 TILAMUTA
√ SDN 06 TILAMUTA
√ SDN 06 TILAMUTA
√ SMP1 TILAMUTA

SDN13 TILAMUTA