FORMAT PELAKSANAAN RAPID TE

PROVINSI JAWA BARA

BULAN : Juni

NO Tanggal NAMA NIK UMUR

1 03/06/2020 dr. YUSFIANI HERMA 26 TH

2 03/06/2020 HERU ARAFI 25 TH
3 04/06/2020 SALMA FEBRIANI 15 TH
4 05/06/2020 KOMAR SANJAYA 19 TH
5 05/06/2020 EGA SANDI 28 TH
6 05/06/2020 BD. GARNIS AMBARWATI 29 TH
7 05/06/2020 YUDHI HADI H 33 TH
8 07/06/2020 dr. YUSFIANI HERMA 26 TH
9 07/06/2020 dr. SETYA ROFIQ 28 TH
10 07/06/2020 BD. GARNIS AMBARWATI 29 TH
11 07/06/2020 YUDHI HADI H 33 TH
12 07/06/2020 BD. TUTIAH 54 TH
13 07/06/2020 DEDE KURNIA 47 TH
14 07/06/2020 SITI WAHYUNINGSIH 48 TH
15 08/06/2020 ASTUTI DAMAYANTI 39 TH
16 08/06/2020 ROSI DAYANTI 20 TH
17 09/06/2020 DEDE ISEP 3203061304640005 56 TH
18 09/06/2020 ENDAH THAMARA 3217076112630001 56 TH
19 09/06/2020 FARIDA 41 TH
20 09/06/2020 SUPARMAN S.Pd 3203311107610002 59 TH
21 09/06/2020 SURYANA 3202102506760003 59 TH
22 09/06/2020 ASEP ZENAL ARIPIN 3203052702750001 45 TH
23 09/06/2020 DADANG GUMARA S.IP 3203050106650010 55 TH
24 09/06/2020 HARYADI 3203072209800006 40 TH
25 09/06/2020 ONI TANTOWI S.Pd 3203011505660006 53 TH
26 09/06/2020 SURYANA S.IP 3203011111720003 47 TH
27 09/06/2020 HERI SUPIANDI 3203061410670001 52 TH
28 09/06/2020 KUSWAMA 3203060706820012 38 TH
29 09/06/2020 DEDE SUPARMAN 47 TH
30 09/06/2020 DIDI KUSNADI 3203061609640002 56 TH
31 09/06/2020 ANDY B 3203311612740001 46 TH
32 09/06/2020 DADANG KUSWARA 3203312603670001 57 TH
33 09/06/2020 A. SOBANA 3273151211730002 46 TH
34 09/06/2020 ISMAT RUHIMAT 58 TH
35 10/06/2020 INDRA K 3217070804880001 32 TH
36 10/06/2020 JUJUN JUNAEDI 3203310705770204 42 TH
37 10/06/2020 ADE RASPATI 3203310906770002 43 TH
38 10/06/2020 YETI SRI S 320331460620002 48 TH
39 10/06/2020 DEDE 3203311007810001 38 TH
40 10/06/2020 CEUCEU SHOFIA 3203314605830001 37 TH
41 10/06/2020 YUDA EKA P 3203061212930004 27 TH
42 10/06/2020 IYUS DARUSALAM 3203311410760001 44 TH
43 10/06/2020 SABAR HADIMAN 3203312605840003 36 TH
44 10/06/2020 LUKMAN 3203072311820003 38 TH
45 10/06/2020 KURNIA RAHMAN 3203054110000011 19 TH
46 10/06/2020 BENI 3203312207720001 41 TH
47 10/06/2020 FITRI HERAWATI 20 TH
48 10/06/2020 RAHMAT KURNIAWAN 3203311007730002 47 TH
49 10/06/2020 LILI SUHERMAN 3203310801750003 45 TH
50 10/06/2020 UUS MULYADI 3203310312740002 46 TH
51 10/06/2020 ASEP DEDE S 3203310812650001 54 TH
52 10/06/2020 IRVAN PRIATNA 3203051601830002 38 TH
53 10/06/2020 ASEP BUDIMAN 3203312909790001 40 TH
54 10/06/2020 EKAWATI 3203317005840001 36 TH
55 6/11/2020 ASEP SAEPUL A 3203090703860012 34 TH
56 6/11/2020 HJ. TUTI HENDRAWATI 3203315608580001 62 TH
57 6/11/2020 MUSTOPA 3203310612820002 38 TH
58 6/11/2020 NENEG LISYULIANTI 3203315002800001 40 TH
59 6/11/2020 AAM AMANAH 57 TH
60 6/11/2020 DADAN HERMAWAN 3203062309660002 54 TH
61 6/11/2020 DADAH KUSMIATI 3203314909640004 56 TH
62 6/11/2020 YANA SUDIYANA 3203052007650005 55 TH
63 6/11/2020 NINING SUMINAR 3203065203640005 56 TH
64 6/11/2020 ETI HERLAWATI 3203315005630002 57 TH
65 6/11/2020 AGUS SUGIAT R 3217072508700006 50 TH
66 6/11/2020 NENDEN S 3203316606790084 41 TH
67 6/11/2020 SUTARKOS 3203052412680004 52 TH
68 6/11/2020 UNDANG SARIPUDN 3203311505620001 58 TH
69 6/11/2020 ENI NURYANI 3203315411630001 57 TH
70 6/11/2020 YUNDI ISKANDAR 3203312909910002 29 TH
71 6/11/2020 ASEP SAPRUDIN 3203060102680014 52 TH
72 6/11/2020 ASTRI MELAPONKA 3203074405820009 38 TH
73 6/11/2020 AAN KHASANAH 3203056312700001 49 TH
74 6/11/2020 SUHERMAN 3203310305630001 57 TH
75 6/11/2020 LILIS SRI M 3203315203650001 55 TH
76 6/11/2020 SRI HERNAWATI 3203315103820083 38 TH
77 6/11/2020 LINA MARLINA 3203316107760002 44 TH
78 6/11/2020 YULI ROSMAYANTI 3203065807910004 29 TH
79 6/11/2020 AI LASMINI 320306481070008 50 TH
80 6/11/2020 NURLELA 3203314909860000 33 TH
81 6/11/2020 AJENG YUSNIA 3203314406095000 25 TH
82 6/11/2020 TINI WARTINI 3203316904660002 54 TH
83 6/11/2020 YETI RUHYATI 3203314204730004 47 TH
84 6/11/2020 SRI AMELIAWATI 3203316206990002 21 TH
85 6/11/2020 N ATIKAH 3203315508560001 64 TH
86 6/11/2020 ERNAWATI 3203314506840007 36 TH
87 6/11/2020 YAYAT F 3203314430540005 54 TH
88 6/11/2020 OOS GAOS 32030623046000002 59 TH
89 6/11/2020 YUSNIAWATI 32033151612800003 40 TH
90 6/11/2020 RESA ROSIDAH 3203044705850016 35 TH
91 6/11/2020 M HANIF N 3203311312910002 28 TH
92 6/11/2020 E SITI AAS 3203315702920002 28 TH
93 6/11/2020 DADAN 3203311304620002 58 TH
94 6/11/2020 WINNY LESTARI 3203317009890001 31 TH
95 6/11/2020 SELFI ISWARI 3203314401930003 27 TH
96 6/11/2020 ASEP SUDRAJAT 3203312005690002 51 TH
97 6/11/2020 ERNI 3203066308720002 47 TH
98 6/11/2020 ARDILA PERMATA 3203315307910002 28 TH
99 6/11/2020 ENI 3203316506680001 52 TH
100 6/11/2020 EMOD 3203312606660003 54 TH
101 6/11/2020 SITI KORIAH 3203315911960001 23 TH
102 6/11/2020 JUARIAH 3203315605680002 52 TH
103 6/11/2020 IWAN 3203310704620002 57 TH
104 6/11/2020 ASEP 3203312512890005 31 TH
105 6/11/2020 EDI SUPIANDI 3203061405640008 56 TH
106 6/11/2020 SUMIATI SUSILAWATI 46 TH
107 6/11/2020 HENDANG 3203061611630002 57 TH
108 6/11/2020 UJANG S 3203060205620008 58 TH
109 6/11/2020 YAYAH ROKAYAH 3203056503800003 40 TH
110 6/11/2020 LILIS SITI H 61 TH
111 6/11/2020 HERNI NURAENI 3203317005740001 45 TH
112 6/11/2020 NANI WAHYUNI 3203315210730002 47 TH
113 6/11/2020 ERNA MARYA 34 TH
114 6/11/2020 NANI HUSEN 3203316612830001 38 TH
115 6/11/2020 MUJI ERNAWATI 45 TH
116 6/11/2020 SAHIDIN 3203060504660008 54 TH
117 6/12/2020 PURI 19 TH
118 6/12/2020 YULIANI 3203314307000004 19 TH
119 6/12/2020 CORNELIA CAROLIN C 20 TH
120 6/12/2020 RANITA MELIANI L 20 TH
FORMAT PELAKSANAAN RAPID TEST COVID-19
PROVINSI JAWA BARAT

JENIS KELAMIN
TANGGAL LAHIR ALAMAT TEMPAT TINGGAL WARGA NEGARA

L P
11/6/1993 ü GOMBONG PERMAI NO.22 CIANJUR INDONESIA
10/12/1994 ü KP. PASIR MANGGAH 01/02-MEKARWANGI INDONESIA
2/7/2005 ü KP. HAURWANGI RT 02/05 INDONESIA
18/7/2001 ü KP. PARUNG BITUNG 04/03 KERTAMUKTI INDONESIA
9/4/1992 ü KP. CISAAR 01/08 CIPEUYEUM INDONESIA
7/1/1991 ü KP. MARELENG 06/05 KERTAMUKTI INDONESIA
15/9/1987 ü KP. MARELENG 06/05 KERTAMUKTI INDONESIA
11/6/1993 ü GOMBONG PERMAI NO.22 CIANJUR INDONESIA
7/4/1992 ü GOMBONG PERMAI NO.22 CIANJUR INDONESIA
7/1/1991 ü KP. MARELENG 06/05 KERTAMUKTI INDONESIA
15/9/1987 ü KP. MARELENG 06/05 KERTAMUKTI INDONESIA
6/4/1966 ü KP. MARELENG 06/05 KERTAMUKTI INDONESIA
24/8/1972 ü KP. SELAKOPI 01/12 HAURWANGI INDONESIA
26/6/1971 ü KP. SELAKOPI 01/12 HAURWANGI INDONESIA
16/08/1980 ü KP. MARELENG 01/05 KERTAMUKTI INDONESIA
1/9/1999 ü KP. PASAR BARU 02/06 KERTASARI INDONESIA
13/04/1964 ü KP. BOJONG PICUNG 02/03 BOJONG PICUNG INDONESIA
21/12/1963 ü KP. WARUNG TIWU 02/16 INDONESIA
ü KP. TEGOK MULYA 02/05 CIHEA INDONESIA
11/7/1961 ü KP. CIPETIR 02/06 SUKATANI INDONESIA
25/06/1976 ü KP. CIPEUTEUY 03/07 KERTASARI INDONESIA
27/02/1976 ü KP. PASIR JENGKOL 02/03 NANGGALAMEKAR INDONESIA
1/6/1965 ü KP. BTN CIBOGO BLOK A NO.67 03/07 MK INDONESIA
22/09/1980 ü KP. ASTEN 03/04 PAMOYANAN CIANJUR INDONESIA
15/05/1966 ü KP. SITI JENAB NO 67 03/07 PAMOYANAN INDONESIA
11/11/1972 ü KP. PARIGI 02/08 INDONESIA
14/10/1967 ü KP. BOJONG PICUNG INDONESIA
7/6/1982 ü KP. BABAKAN SIMARATA 02/01 KERTASARI INDONESIA
ü KP. HAURWANGI 01/02 HAURWANGI INDONESIA
16/09/1964 ü KP. HAURWANGI 01/04 HAURWANGI INDONESIA
16/12/1974 ü KP. RAKSABALA 03/02 RAMASARI INDONESIA
26/03/1967 ü KP. TEGAL KONENG 03/05 MEKARWANGI INDONESIA
12/11/1973 ü JLN. SURYANI DALAM IV 26 BANDUNG INDONESIA
19/08/1976 ü KP. SALAKOPI HAURWANGI INDONESIA
4/8/1988 ü KP. WARUNG TIWU 05/05 BANDUNG BARAT INDONESIA
5/7/1977 ü KP. SAGATAN 03/04 RAMASARI INDONESIA
6/9/1977 ü KP. RAMASARI 03/01 RAMASARI INDONESIA
6/6/1972 ü KP. RAMASARI 03/02 RAMASARI INDONESIA
8/10/1981 ü KP. HAURWANGI 03/02 HAURWANGI INDONESIA
5/6/1983 ü KP. HAURWANGI 03/02 HAURWANGI INDONESIA
10/12/1993 ü KP. RAMASARI 01/01 RAMASARI INDONESIA
10/14/1976 ü KP. SAGATAN 04/04 RAMASARI INDONESIA
 26/051984 ü KP. RAWA BADAK 02/09 RAMASARI INDONESIA
11/23/1982 ü KP. SIPON 05/01 HAURWANGI INDONESIA
10/1/2000 ü KP. PASAR MANGGA 02/02 MEKARWANGI INDONESIA
28/07/]1972 ü KP. SAGATAN 02/04 RAMASARI INDONESIA
12/28/1999 ü KP. HAURWANGI 02/05 HAURWANGI INDONESIA
7/10/1973 ü KP. TEGAL KONENG 03/05 MEKARWANGI INDONESIA
1/8/1975 ü KP. PASIR LOA 03/02 MEKARWANGI INDONESIA
12/3/1974 ü KP. PASIR KALIKI 02/07 INDONESIA
12/8/1965 ü KP. PASIR JUNTIN 03/03 MEKARWANGI INDONESIA
1/16/1983 ü KP. TEGAL KONENG 02/05 MEKARWANGI INDONESIA
9/29/1979 ü KP. PASIR WARU 03/07 INDONESIA
5/30/1984 ü KP. RAWA BADAK 02/09 RAMASARI INDONESIA
3/7/1986 ü KP. SUKAHURIP 01/04 INDONESIA
8/16/1958 ü KP. PASIR MALAKA 02/02 KERTASARI INDONESIA
12/6/1982 ü KP. LEUWEUNG TAMIANG 03/01 HAURWANGI INDONESIA
2/10/1980 ü KP. KULINA 01/04 SUKATANI INDONESIA
10/18/1963 ü KP. BUNIAYU 02/04 KERTAMUKTI INDONESIA
9/23/1966 ü KP. PAREANG 02/09 HAURWANGI INDONESIA
09/09.1964 ü KP. TANGKOLO 01/04 CIHEA INDONESIA
7/20/1965 ü KP. CISAAR 02/09 CIPEUYEUM INDONESIA
3/12/1964 ü KP. MARELENG 01/02 CIPEUYEUM INDONESIA
5/10/1963 ü KP. CIPEUYEUM 01/07 KERTAMUKTI INDONESIA
8/25/1970 ü KP. KAUM 02/11 CIPATAT KBB INDONESIA
6/26/1979 ü KP. CIPETIR 03/08 SUKATANI INDONESIA
12/24/1968 ü KP. PASIR GOMBONG 01/04 MEKARWANGI INDONESIA
5/15/1962 ü KP. PARUNG BITUNG 04/01 HAURWANGI INDONESIA
11/14/1963 ü KP. KULINA 02/04 SUKATANI INDONESIA
9/29/1991 ü KP. CIPEUTEUY 01/07 KERTASARI INDONESIA
2/1/1968 ü KP. PARABON 03/03 KERTASARI INDONESIA
5/4/1982 ü KP. LELES 05/02 SUKAMANAH INDONESIA
12/23/1971 ü PERUM BUMI CIRANJANG ASRI BLOK E NO 35 INDONESIA
5/3/1963 ü KP. CIPEUYEUM 01/07 CIPEUYEUM INDONESIA
3/12/1965 ü KP. MARELENG 05/05 KERTAMUKTI INDONESIA
3/11/1982 ü KP. CINANGSIH 02/10 KERTAMUKTI INDONESIA
7/21/1976 ü KP. PARABON 01/04 KERTASARI INDONESIA
7/18/1991 ü KP. BABAKAN SIRNA 01/02 KERTASARI INDONESIA
10/8/1970 ü KP. KULINA 01/03 SUKATANI INDONESIA
9/9/1986 ü KP. CIPETIR 01/08 SUKATANI INDONESIA
6/4/1995 ü KP. KULINA 02.03 SUKATANI INDONESIA
4/29/1966 ü KP. RAKSABALA 01/02 RAMASARI INDONESIA
4/2/1973 ü KP. CIPEUYEUM 03/01 MEKARWANGI INDONESIA
6/22/1999 ü KP. CIPEUYEUM 01/07 KERTAMUKTI INDONESIA
7/15/1956 ü KP. SIPON 02/01 HAURWANGI INDONESIA
6/5/1984 ü KP. SUKADANA 01/07 HAURWANGI INDONESIA
5/3/1964 ü KP. RAKSABALA 03/02 RAMASARI INDONESIA
3/23/1960 ü KP. RAKSABALA 03/02 RAMASARI INDONESIA
12/16/1980 ü KP. SALAKOPI01/12 HAURWANGI INDONESIA
5/7/1985 ü JLN ABDUL BIN NUH 02/09 RANCAGOONG INDONESIA
12/13/1991 ü KP. CIPETIR 04/06 SUKATANI INDONESIA
2/17/1992 ü KP. SAGATAN 01/04 RAMASARI INDONESIA
4/13/1962 ü KP. BABAKAN HURMAT 03/01 MEKARWANGI INDONESIA
9/30/1989 ü KP. MARELENG 01/01 CIPEUYEUM INDONESIA
1/4/1993 ü KP. PARABON 03/03 KERTASARI INDONESIA
5/20/1959 ü KP. SAGATAN 04/04 RAMASARI INDONESIA
7/22/1972 ü KP. RAKSABALA 03/02 RAMASARI INDONESIA
7/13/1991 ü KP. RAKSABALA 02/02 RAMASARI INDONESIA
6/25/1968 ü KP. SAMPAI 02/05 CIHEA INDONESIA
6/28/1966 ü KP. BUNIAYU 01/04 KERTASARI INDONESIA
7/17/1996 ü KP. PARUGPUG 02/01 CIHEA INDONESIA
5/16/1968 ü KP. TANGKOLO 01/03 CIHEA INDONESIA
4/7/1962 ü KP. TEGAL KONENG 02/05 MEKARWANGI INDONESIA
12/25/1989 ü KP. PARUNG BITUNG 02/02 HAURWANGI INDONESIA
5/14/1964 ü KP. PAREANG 01/03 HAURWANGI INDONESIA
1/20/1974 ü KP. CIPEUYEUM 02/07 HAURWANGI INDONESIA
11/16/1963 ü KP. SAGATAN 02/04 HAURWANGI INDONESIA
5/2/1962 ü KP. BABAKAN LABAR 03/05 BOJONG PICUNG INDONESIA
3/25/1980 ü KP. PASIR DANAS 02/06 HAURWANGI INDONESIA
3/23/1959 ü KP. CIPEUYEUM 01/01 CIPEUYEUM INDONESIA
5/30/1974 ü KP. PASIR GOMBONG 01/04 MEKARWANGI INDONESIA
10/12/1973 ü KP. PASIR GOMBONG 02/04 MEKARWANGI INDONESIA
20.05/1986 ü KP. PASIR MANGGAH 01/02 MEKARWANGI INDONESIA
12/26/1983 ü KP. SOROPOTAN 01/05 MEKARWANGI INDONESIA
6/11/1975 ü KP. RAKSABALA 01/02 RAMASARI INDONESIA
4/5/1966 ü KP. RAMASARI 01/01 RAMASARI INDONESIA
ü BANTAR CARINGIN 03/10 CIHEA INDONESIA
7/3/2000 ü KP. MARELENG 03/01 CIPEUYEUM INDONESIA
6/21/1999 ü KP. SUKASARI 01/16 CIRANJANG INDONESIA
7/24/2000 ü KP. SUKASARI 01/16 CIRANJANG INDONESIA

Penanggung Jawab

Kankan Sumpena,SKM
NIP. 19710329 199103 1 004
Form. 1

STATUS TEST RAPID

NO. TELEPON

+ -
087727436688 ü
081381437193 ü
ü
082319779372 ü
083817014338 ü
085624881140 ü
0858710054 ü
087727436688 ü
08191227228 ü
085624881140 ü
0858710054 ü
008122069745 ü
087885702449 ü
087885702449 ü
ü
008572909731 ü
085234379088 ü
08112320964 ü
087821167376 ü
087820222515 ü
085974950427 ü
08587478224 ü
087822604764 ü
087822091980 ü
081322150645 ü
0895322231921 ü
085624650097 ü
087738855579 ü
081220458072 ü
0818648195 ü
081222676584 ü
081912171976 ü
081322641539 ü
081914515808 ü
082315882323 ü
087834104126 ü
085320527100 ü
082128714332 ü
081809622268 ü
0818957163 ü
081912513966 ü
085222771976 ü
081461112269 ü
082318427016 ü
082319774461 ü
085938548666 ü
008318245982 ü
081912226380 ü
081912080699 ü
087282423899 ü
087821556588 ü
087720210546 ü
087721402341 ü
087828721644 ü
085691769772 ü
081728334558 ü
08179015582 ü
085863772861 ü
085222284902 ü
089698482585 ü
085794486820 ü
087721231065 ü
081912136721 ü
081971477630 ü
081563264189 ü
08776493238 ü
081932314293 ü
087728304950 ü
087720234117 ü
087811512778 ü
088825601458 ü
085723537770 ü
087824987600 ü
082116004518 ü
087820482650 ü
087820024055 ü
08953597999 ü
083174871040 ü
085795339189 ü
081211355008 ü
085659923624 ü
083817912688 ü
087822942403 ü
081931477630 ü
081211882446 ü
08384250976 ü
087820147075 ü
081809051609 ü
087889341344 ü
083843217272 ü
 08987446607 ü
085222771969 ü
08771473363 ü
085795524944 ü
087720404012 ü
087885899234 ü
082315230363 ü
087820214107 ü
085714248118 ü
087728324000 ü
085314017772 ü
085814214740 ü
087828477202 ü
087881990843 ü
081313218459 ü
087736815573 ü
082216839389 ü
085795365369 ü
08938579832 ü
081912184265 ü
087821012052 ü
08156715217 ü
081779974268 ü
082120840114 ü
08156119259 ü
082111373234 ü
ü
ü
085320423684 ü
082112212996 ü

Penanggung Jawab

Kankan Sumpena,SKM
NIP. 19710329 199103 1 004