Nama Puskesmas/Jejaring : PUSKESMAS KEDUN

Kabupaten/Kota
Provinsi

No No Urut No. Tiket

1 1 P-X7K8O9QI
2 2 P-X9VLVEZR
3 3 P-XDF6MLCR
4 4 P-XE5PHO90
5 5 P-XDTJV8PU
6 6 P-XFDGYYG3
7 7 P-XHC7KLDN
8 8 P-XBQOJ0BB
9 9 P-XFBAFGSO
10 10 P-X64K9T68
11 11 P-X57KEOZO
12 12 P-X4DK2QNO
13 13 P-X2TZFQ1Z
14 14 P-X0ATVAHA
15 15 P-WYW7JR9O
16 16 P-WX3Y3VF2
17 17 P-WMQ8CDHR
18 18 P-WTCVZ7T7
19 19 P-WRMKB0NJ
20 20 P-WRQ88JTN
21 21 P-WOJORZTU
22 22 P-WNP4NVTY
23 23 P-WM1FKY1H
24 24 P-WKQG32O8
25 25 P-WIWHTTQC
26 26 P-WGR5F73S
27 27 P-WFICQXX4
28 28 P-WDHDCP9G
29 29 P-WB5Z04BF
30 30 P-W59J8U27
31 31 P-W6S4XDJ2
32 32 P-W5QDSEI3
33 33 P-UC83CCMJ
34 34 P-T8QUEB2T
35 35 P-TOUPH81N
36 36 P-V1YMN7NW
37 37 P-Q1AMEO4N
38 38 P-LC2XJ2RZ
39 39 P-KI1RVI5S
40 40 P-GSQBVRU
41 41 P-F2NIN0CQ
42 42 P-9ZXQSP4W
43 43 P-4CZ1S921
44 44 P-TBO21RHF
45 45 P-4A0XX0SF
46 46 P-TEPMON5D
47 47 P-RY1IRKJ6
48 48 P-NQMGV1ON
49 49 P-P42QDSBJ
50 50 P-Q76U6BCC
51 51 S-165B0D4A
52 52 S-FD877643
53 53 S-DB367008
54 54 S-F1D71BD8
55 55 S-E86E30F9
56 56 S-B2DAB237
57 57 S-22EB2881
58 58 S-E2C0CC74
59 59 S-3FB9CD20
60 60 S-3B5B1837
61 61 P-XN48CP27
62 62 P-X3QQAN01
63 63 Q-000YCI0L
64 64 P-X7YJ8HA3
65 65 P-XA6GI4YS
66 66 P-XCUQJSWM
67 67 P-XMX5N2BN
68 68 P-XM6EJ9DE
69 69 P-XQR1RVZX
70 70 P-XJBVLSHU
71 71 P-XK6LADTN
72 72 P-XKG3ZXA1
73 73 P-XKS7BQSE
74 74 P-XLIFHL1T
75 75 P-XLKMDDYK
76 76 P-XNKT7Y0M
77 77 P-XPUV0EKX
78 78 P-XXOWLEQL
79 79 P-XNZDU8AX
80 80 P-YDVKTC52
81 81 P-YHUZ7FVO
82 82 P-YHQBB4TE
83 83 P-YJSUU2S5
84 84 P-YJSA78AN
85 85 P-YKAINH1K
86 86 P-YMQX3QBC
87 87 P-YMYADMPG
88 88 P-YXREQHN9
89 89 P-YXPKOMFI
90 90 P-YXNJ69RT
91 91 P-YXMJJIR0
92 92 P-YWJC298O
93 93 P-YWHMCMF0
94 94 P-YX77DVYB
95 95 P-YXAYUHX4
96 96 P-YXDGLNHU
97 97 P-YNKVV5UP
 98 98 P-YY8F43MM
99 99 P=YY9BH32F
100 100 P-YY6VHQ75
101 101 P-YXRYEIV3
102 102 P-YXQIAFJN
103 103 P-YXYGOW6Q
104 104 P-YNBMVQTW
105 105 P-YPFKB368
106 106 P-YPPIN1MK
107 107 P-YW0B8KEO
108 108 P-YDCAE0K4
109 109 P-YDPWDCIQ
110 110 S-79DFDFBD
111 111 P-YEF2PZFZ
112 112 P-YW8QNAGJ
113 113 P-YWAUDJUK
114 114 P-YWG10CA8
115 115 P-YXBYMN0L
116 116 P-YXTBRZIY
117 117 P-YXSM3OIP
118 118 P-XFVARGDA
119 119 P-XGFV78BI
120 120 P-XHK2OK9G
121 121 P-XSIJOUVB
122 122 P-XHWQC0ZJ
123 123 P-XJG6PG0C
124 124 P-XFTG5JBG
125 125 P-XMB010EV
126 126 P-YD4LDZXS
127 127 P-YCTIV59Y
128 128 P-X7K8O9Q1
129 129 P-YVOQ5QC3
130 130 P-YVQGGJE3
131 131 P-YWT4R2CP
132 132 P-YWRH58II
133 133 P-F4LGMA5L
134 134 P-C3TWKQ1S
135 135 P-CBFEDIDF
136 136 P-A6PWRBUZ
137 137 P-768P71PA
138 138 P-6VHFH3FKS
139 139 P-RULHRHMY
140 140 P-ND4NLJWH
141 141 P-QY2LGRUS
142 142 P-QRHDLMKO
143 143 P-UAVYHAMH
144 144 P-S76NH60R
145 145 P-VI9S0N0D
146 146 P-QS7CCB6E
147 147 P-OUUEXN5F
148 148 P-O7XIPFUB
149 149 P-N4Q5S5LA
150 150 P-ISYSEX8F
151 151 P-IM1T6HWQ
152 152 P-H9RPN1Q8
153 153 P-UXIUAHHK
154 154 P-VKGCPT7F
155 155 P-W37Y4VH2
156 156 N-C0AD33A0
157 157 P-W3L36HZC
158 158 P-W9C76EBW
159 159 P-0006FAQ1
160 160 P-WCKIFKOI
161 161 P-WCPQLUA1
162 162 P-WDJ5ENZ4
163 163 P-WMVDS6CC
164 164 P-WMAWEQ48
165 165 P-WJQKY493
166 166 P-WJ51WUZM
167 167 P-WECB7FU6
168 168 P-WGMT9PSO
169 169 P-WI0KAJD0
170 170 P-WHFQDVW9
171 171 P-WHL07GKC
172 172 P-WICWXCWZ
173 173 P-WP1OTGWJ
174 174 P-WQ02KC3Q
175 175 P-WQLHMXDF
176 176 P-WPMPD7CG
177 177 P-WSNP3JCM
178 178 P-WTP057WM
179 179 P-WUH8644I
180 180 P-WV86L1EZ
181 181 J-0004335B
182 182 P-WNMBVIVT
183 183 P-WYQGOW4Q
184 184 P-X0TWWUL8
185 185 P-X1TIPIO1
186 186 P-X1PSSMQ0
187 187 P-X38WM4ME
188 188 P-WW0M0ZF4
189 189 P-WW7SST27
190 190 P-WX43WYZE
191 191 P-WJU8MGHW
192 192 P-WXWW3HEQ
193 193 P-XIMWWRB4
194 194 P-XHXMNPMX
195 195 P-XIEDBUKY
196 196
197 197
198 198
199 199
200 200
201 201
202 202
203 203
204 204
205 205
206 206
207 207
208 208
209 209
210 210
211 211
212 212
213 213
214 214
215 215
216 216
217 217
218 218
: PUSKESMAS KEDUNGREJO
: BANYUWANGI
: JAWA TIMUR

NIK Nama Penerima Vaksin

3509031307730000 KUSNANDAR
3510056803740003 TRI WANDARI
3510055808670003 SURYATI
3510224912670002 SUTINAH
3510050905670003 NASROI
3510052306700003 SLAMET RIDWAN
3510051212730009 HARIYANTO GOMANI
3510052204740004 SUGIARTO
3510056507720002 SUSIANI
3510055406710009 NUR HASANAH
3510056008670002 SUPIYEM
3510050402740006 SAMSURI
3510050402690002 SAMINULLOH
3510057006660043 SUTARTIK
3527025009690006 PONIYATI
3510050706650008 PRAYIT
3510051606630007 SUPRAPTO RAHARJO
3510055212740006 WINARTI
3510055401790004 IDA HARIYANI
3510054204750005 BUSANI
3510055904690002 SULASTRI
3578045509720005 WIWIN WIDYAWATI
3510054107620064 SUNARTI
3510057010650002 ARBAIYAH
3510051112650002 SUMAHMO
3510050602730008 SABAR SUTOPO
3510054107760073 URIPAH
3510054407680009 SARIPAH
3510050606620008 HARIYANTO
3510054611630004 ZULAIHA
3510051107680014 FATHUL
3510051904680003 NURHASYIM ASHARI
3510055707700006 SUNARSIH
3510056107710002 KATIMAH
3510055308730006 ROMELAH
3510054908720011 INDRANINGSIH
3510057010730002 DEWI SULIATUN
3510054803710004 NUR ASIYAH FATMAWATI
3510055509730005 NURHAYATI
3510081212710008 MOH. SYAFIÍ
3510057006660038 SUNAR
3510057006720041 ULIYANAH
3510054809720005 WIJIYATININGSIH
3510054603670002 ALISAH
3510052412680001 SANALI
3510081201700014 SUPRIYADI
3510085205690004 SATIK
3510031508710003 FAHRUR ROZY
3510081407650006 SUJAÍ
3510054708700007 SITI JULAIKAH
3510054107600086 INDRAWATI
3510050406540003 BUSAIRI
3510054506570004 SUMIATI
3510051512500002 SISWOYO
3510054107530256 KATINI
3510051507580007 ASTOMO
3510051811590002 M. SOKIB
3510054305570008 JUWATI
3510081207450008 H. ASARI
3510084709550007 HJ. SUNARTI
3510051101000009 MOHAMMAD RIZAL
3510054204820009 JAMINAH
3510050107890083 MOH. MUHSAN
3510050410000003 TINTO OKTA AL FRIANTO
3510051711810001 ROFIÍ RAHMAN ALJASAIR
3510050304820009 MOHAMMAD SALIM
3510055904010006 SILVIRA DEWI APRILIA
3510051506950003 AHMAD ANIS SUGANDI
3510051404930000 ANDY SAPUTRA
3510054403730009 ANIK ANDRIYANI
3510052504820007 HALIK
3510206905840003 LIA EKA SUSANTI
3510056909880008 NIA DANIATI
3510051203790014 WINARSO
3510052012880002 FAISOL ALI MUBAROK
3509294810980005 IIS MIATI
3510050902860006 SUKRIS EFENDI
3510056911010005 HOFIFAH MAULANI
3510051502820004 HENDRO FEBRIYANTO
5101015212920010 FITRIYAH
3514221210810006 ASMADI
3514225301840004 ASRI
3510056111930002 SUMIATI NAFAIYAH
3510052209920005 HENDRO SANTOSO
3510056809990003 BELLA PUTRI TRISFA
3510054705870006 SITI FARIDA
3510054806020002 MAULIDIA JUNIARTI
3510054904980003 SRI WULANDARI
3510050605970006 MAULIDA
3510052712920004 MISTARI
3510056611900004 RIQO RAUDATUL HASANAH
3510051808960003 VIKI ABDUL HAKIM
3510156702940003 ALFIYASARI
3510054803840003 NUR LAILIN
2172015707810003 YULIASTUTI
3510050905800001 MOH. KHOLIL
3510056410830005 SUSWATI
3510054105900003 FITRI NINGSIH
3510052401000005 ARIS MUNANDAR
3510056311020007 VINASTI AYU SARI
3510056602850003 SRI UTAMI
3510057011850003 NITA PRIMA
3510054109020005 CHIKA SINTA DEWI
3510054506960005 TITA FEBRIANTI
3510050311840003 FAJARIYANTO
3510056103920002 ALSUPINAH
3510050905970010 DANI HUSADA
3510054207660003 PONINTEN
3510056611760003 NUNIK DEWI PUSPITARINI
3510051601600001 SUWANDI
3510082112730002 EDY SUCIPTO
3510052907710005 JULIADI
3510055207670004 ASMINA
3510054503670001 ENDANG SUKARLISTYANI
3510055104650006 LIMBOK HANDAYANI
3510055706670008 RUSMINI
3510054105710002 MARWIYAH
3510053006710020 M. HOLIQ
3510050808740014 ABDUL HOLEK
3510051407720009 SUBAIRI
3510055307730009 HAIRUL BARIYAH
3510084505680001 SULASTRI
3510055104750006 SRI MARYATI
3510055808750006 HOLIF
3510054606750018 RIRIN ANGGRAINI
3510054407660007 SITI MALIKAH
3510055807740002 ANISWATI
3509031307730004 KUSNANDAR
3510050907950004 CHARLES ELGA LAKSONO
3510050603860007 RUDY SUKMA ANUGRAH
3510055505660004 SURYATI
3510051010650011 HARIYOKO
3510156412910002 RISTU NIYANA
3510054311770004 YUSSI YANTI
3510056406780003 FATONAH
3510054706940003 VAIKATUL ROHMAH
3510131504830006 MOHAMAD ALI RODHO
3510051006820005 BUDIONO
3510050302000008 ARIF SAPUTRA
3510055201870015 ELLA ASTI LESTARI
3510051507800016 MULYADI
3510082209980002 LUTFI MAULANA MAKHRUS
3509030107840504 SAMSURI
3510050203800012 SAIPUL AMWAR
3510056605000001 JOFA MILLENFA GIENG
3510054503780005 KATINI
3510055503850009 SUNAINI RUSMAWATI
3510055902930005 ANA RIZKI
3510225812940003 LINDA AMINATUS ZAHRA
5101042101900004 ALI SUBHAN
3510052101810004 YOKI MAULANA ISHAK
3510054310910005 NURHAYATI
3510040703980005 DANU KRESNA SETIADI
3510056609840002 LIDIA FERDERICA EFFENDY
3510055612840002 TITIN LESWATI
3510052203940005 NATHANIEL JEFFRY ARISANDY
3510051402000007 FERRY VALENTINO
3510055302880004 LULUK WAHYUNI
3510051806040002 MOHAMMAD FATHAN FARIHI
3510056403790008 ZANIYAH
3510056202920005 DINA MASITA
3509130708860005 WAWAN SUGIANTO
3510055503790001 DEWI WIDIASTUTIK
3509105009810003 IDUN YULAIKHAH
3510050204950003 FREDERIKA AHMAT EFENDI
3510056803030005 SILNA FARADISA NAILIL IZZA
3510056502960005 ROGIVAH NUR SAFITRI
3510055812820005 SITI MUHANIFAH
3529116710890002 KHARIDAH
3510054211820005 TUTIK MARDIANA
3507054206850006 PURWATI
3510051505840010 SAIRULLOH
3510056606800003 WIDI ASTUTIK
3510054207860007 KHOMARIYAH
3510056505890005 MARSIMAH
5108015507810012 YUYUN HARIANI
3510055503860009 SUMIATI DEWI
3510055402970002 FAIYATUL FITTRIYANI
3510050303780014 WAHYUDI
3510055909880005 NURMA YUNITA
3510050206860007 EDI JATMIKO
3510056205920004 WIWIK MIYATI
3510055404810007 LINA HUWISA
3510235701900004 BUDI ASTUTIK
3510231602880003 MOH IRVAN
3510053112850007 RUDIYANTO
3510054502850009 SAYUMI
3510056010770005 SITI AMINAH
3510055907020005 BALQIS ZAFIA PUTRI
3510052512000007 DENI YUDA PRATAMA
3510056403000007 BRENDA MERI SANDI
3510057011890004 YENI FATNUR JANAH
3510084704840007 SITI ROKAYAH
3510086611900008 RENNY PUSPITASARI
3510201807830004 HENDIK ISMAWAN
 FORMAT PENCA
T

Umur
Jenis Kelompok
Pekerjaan* (18-59
Kelamin Umur
tahun)

L 48
P 47
P 54
P 54
L 54
l 51
L 48
L 47
P 49
P 50
P 54
L 47
L 49
P 55
P 52
L 56
L 58
P 47
P 47
P 46
P 52
P 51
P 59
P 56
L 56
L 48
P 45
P 53
L 59
P 58
L 53
L 53
P 51
P 50
P 48
P 49
P 48
P 50
P 48
L 50
L 55
P 49
P 49
P 54
L 53
L 51
P 52
L 50
L 56
P 51
P 61
L 67
P 64
L 71
P 68
L 63
L 62
P 64
L 76
P 66
L 21
P 39
L 35
L 21
L 41
L 39
P 20
L 26
L 28
P 27
L 39
P 37
P 33
L 42
L 33
P 29
L 41
P 20
L 39
P 29
L 40
P 37
P 28
L 29
P 18
P 34
P 19
P 23
P 24
L 29
P 31
L 25
P 27
P 33
P 40
L 41
P 38
P 31
L 21
P 19
P 36
P 36
P 19
P 25
L 33
P 31
L 24
P 55
P 45
L 61
L 48
L 49
P 54
P 54
P 56
P 54
P 50
L 50
L 47
L 49
L 48
P 54
P 44
P 44
P 44
P 55
P 53
L 52
L 25
L 35
P 55
L 54
P 30
P 40
P 43
P 27
L 38
L 39
L 19
P 34
L 41
L 23
L 33
L 33
L 21
P 43
P 36
P 28
P 28
L 31
L 40
P 30
L 23
P 33
P 33
P 27
L 21
P 37
L 17
P 42
P 29
L 35
P 42
P 40
P 34
P 18
P 25
P 40
P 38
P 39
P 36
L 33
P 40
P 35
P 32
P 40
P 35
P 24
L 43
P 33
L 35
P 29
P 40
P 31
L 33
L 36
P 36
P 44
P 19
L 21
P 21
P 22
P 33
P 31
L 38
 FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-
TINGKAT PUSKESMAS/JEJARING

Alamat

TAMBAKREJO 2/2 SUMBERBARU JEMBER

KAPAS BARU SURABAYA
KRAJAN 3/9
KRAJAN 3/9 TEMBOKREJO
TEMBOKREJO 3/6 MUNCAR
kedungrejo 4/1
TEMBOKREJO 1/12 MUNCAR
KEDUNGREJO 4/4 MUNCAR
KRAJAN 3/6 TEMBOKREJO
MUNCAR 2/2 KEDUNGREJO
SAMPANGAN 2/2 KEDUNGREJO
KEDUNGREJO 1/4 MUNCAR
MUNCAR 2/2 KEDUNGREJO
TEMBOKREJO 2/13 MUNCAR
KEDUNGREJO 4/2 MUNCAR
STOPLAS 2/3 KEDUNGREJO
KRAJAN 3/11 TEMBOKREJO
KRAJAN 1/14 TEMBOKREJO
KRAJAN 1/14 TEMBOKREJO
MUNCAR 1/4
TEMBOKREJO 2/13 MUNCAR
WONOKROMO SURABAYA
KEDUNGREJO 2/3 MUNCAR
KEDUNGREJO 3/3 MUNCAR
PALUREJO 2/2 TEMBOKREJO
KEDUNGREJO 2/3 MUNCAR
KEDUNGREJO 2/3 MUNCAR
KEDUNGREJO 4/12 MUNCAR
KRAJAN 1/13 TEMBOKREJO
TEMBOKREJO 2/13 MUNCAR
KRAJAN 1/14 TEMBOKREJO
KRAJAN 2/14 TEMBOKREJO
KRAJAN 1/14 TEMBOKREJO
SUKOSARI 1/2 BLAMBANGAN
SUKOSARI BLAMBANGAN
SUMBERBERAS MUNCAR
KRAJAN 4/9 KEDUNGRINGIN
PALUREJO 2/2 TEMBOKREJO
KRAJAN 1/13 TEMBOKREJO
KRAJAN BARU 2/4 WONOSOBO
KRAJAN 1/14 TEMBOKREJO
SAMPANGAN 2/3 KEDUNGREJO
KRAJAN 2/13 TEMBOKREJO
KUMENDUNG
PATOMAN BARAT 3/6 BLIMBINGSARI
UMBULREJO 3/5 BAGOREJO
UMBULREJO
KALIBOYO 3/3 PURWOHARJO
UMBULREJO
KRAJAN 1/14 TEMBOKREJO
SAMPANGAN 1/2 KEDUNGREJO
MUNCAR BARU 3/2 TEMBOKREJO
KEDUNGREJO 1/2 MUNCAR
STOPLAS 2/3 KEDUNGREJO
STOPLAS 2/3 KEDUNGREJO
STOPLAS 3/3 KEDUNGREJO
BLAMBANGAN 2/3
MUNCAR BARU 3/6 TEMBOKREJO
SUMBERAGUNG 2/1 REJOAGUNG SRONO
SUMBERAGUNG 2/1 REJOAGUNG SRONO
SAMPANGAN 3/1 KEDUNGREJO
SAMPANGAN 2/3 KEDUNGREJO
MUNCAR
KEDUNGREJO 5/1 MUNCAR
PALUREJO 1/12 TEMBOKREJO
KEDUNGREJO 2/4 MUNCAR
KEDUNGREJO 3/1 MUNCAR
STOPLAS 2/2 KEDUNGREJO
MUNCAR 2/1 KEDUNGREJO
MUNCAR 4/1 KEDUNGREJO
KEDUNGREJO 4/3
KRAJAN 1/1 KEDUNGREJO
KEDUNGREJO 4/3
KALIMATI 1/4 KEDUNGREJO
KEDUNGREJO 4/1
MUNCAR 4/1 KEDUNGREJO
SAMPANGAN 4/2 KEDUNGREJO
KRAJAN 3/6
MUNCAR 4/1 KEDUNGREJO
TEMBOKREJO 2/14 MUNCAR
PALUREJO 2/10 TEMBOKREJO
PALUREJO 2/10 TEMBOKREJO
PALUREJO 1/9 TEMBOKREJO
PALUREJO 2/10 TEMBOKREJO
MUNCAR BARU 1/8 TEMMBOKREJO
PALUREJO 3/10 TEMMBOKREJO
TEMBOKREJO 2/10
KEDUNGREJO 2/3 MUNCAR
KEDUNGREJO 2/3 MUNCAR
KEDUNGREJO 2/3 MUNCAR
KEDUNGREJO 2/3 MUNCAR
KRAJAN 4/1 KEDUNGREJO
SUKOSARI 3/3 BLAMBANGAN
MUNCAR 1/4 KEDUNGREJO
KEDUNGREJO 1/2 MUNCAR
KEDUNGREJO 1/4 MUNCAR
TEMBOKREJO 2/10 MUNCAR
KEDUNGREJO 2/3 MUNCAR
BLAMBANGAN 4/4
TEMBOKREJO 3/7
KEDUNGREJO 1/3
KEDUNGREJO 2/3 MUNCAR
TEMBOKREJO 1/7 MUNCAR
PALUREJO 2/10 TEMBOKREJO
KRAJAN 1/4 KEDUNGREJO
KRAJAN 1/4 KEDUNGREJO
KRAJAN 3/11 TEMBOKREJO
SAMPANGAN 3/1 KEDUNGREJO
KRAJAN 2/14 TEMBOKREJO
KRAJAN 1/3 BLAMBANGAN
KOMIS WETAN 1/8 WONOSOBO SRONO
KRAJAN 3/11 TEMBOKREJO
KRAJAN 3/4 KEDUNGREJO
SUKOSARI 3/3 BLAMBANGAN
MUNCAR 2/4 KEDUNGREJO
KEDUNGREJO 1/4 MUNCAR
KEDUNGREJO 2/3 MUNCAR
STOPLAS 1/3 KEDUNGREJO
KEDUNGREJO 2/3 MUNCAR
SAMPANGAN 2/2 KEDUNGREJO
KRAJAN 1/14
KRAJAN 3/2
KEDUNGREJO 1/1 MUNCAR
STOPLAS 1/3 KEDUNGREJO
KRAJAN 6/6 TEMBOKREJO
KRAJAN 1/13 TEMBOKREJO
MUNCAR 2/5
TAMBAKREJO 2/2 SUMBERBARU JEMBER
PALUREJO 1/4 SUMBERSEWU
KRAJAN 1/6 TEMBOKREJO
KRAJAN 1/4 KEDUNGREJO
KRAJAN 3/2 KEDUNGREJO
MUNCAR 2/6 KEDUNGREJO
SUMBERGROTO 2/2 REJOAGUNG
STOPLAS 4/1 KEDUNGREJO
SAMPANGAN 1/2 KEDUNGREJO
SAMPANGAN 1/2 KEDUNGREJO
KRAJAN 2/8 TEMBOKREJO
KRAJAN 3/14 TEMBOKREJO
KRAJAN 1/6 KEDUNGREJO
MUNCAR BARU 3/6 TEMBOKREJO
UMBULREJO
KALIMATI 3/21 KEDUNGREJO
KRAJAN 3/3 KEDUNGREJO
SUMBERAYU 5/5 SUMBERBERAS
KRAJAN 1/3 KEDUNGREJO
KRAJAN 2/8 TEMBOKREJO
KRAJAN 4/9 KEDUNGRINGIN
KRAJAN BARU 5/5 WONOSOBO SRONO
SUKOSARI 3/3 BLAMBANGAN
KRAJAN 1/6 KEDUNGREJO
STOPLAS 4/1 KEDUNGREJO
SUMBERLUHUR 1/1 TEGALDLIMO
SUMBERAYU 1/2 SUMBERBERAS
TEMBOKREJO 2/14 MUNCAR
KRAJAN 1/13 TEMBOKREJO
KRAJAN 1/13 TEMBOKREJO
KRAJAN 3/3 KEDUNGREJO
KEDUNGREJO 2/2 MUNCAR
SAMPANGAN 2/2 KEDUNGREJO
KALIMATI 3/2 KEDUNGREJO
GUMUKLIMO 5/15 NOGOSARI RAMBIPUJI
KRAJAN 1/13 TEMBOKREJO
KRAJAN 1/12 TEMBOKREJO
MUNCAR 1/4 KEDUNGREJO
KEDUNGREJO 2/3 MUNCAR
TEMBOKREJO MUNCAR
STOPLAS 2/3 KEDUNGREJO
KALIMATI 1/4 KEDUNGREJO
STOPLAS 2/3 KEDUNGREJO
KEDUNGREJO 2/3 MUNCAR
KALIMATI 1/4 KEDUNGREJO
PALUREJO 2/16 TEMBOKREJO
PALUREJO 2/16 TEMBOKREJO
TEGALREJO 9/3 TULUNGREJO GLENMORE
PALUREJO 1/15 TEMBOKREJO
STOPLAS 2/3 KEDUNGREJO
PALUREJO 1/13 TEMBOKREJO
KEDUNGRINGINGI 3/12 KEDUNGRINGIN
MUNCAR 4/1 KEDUNGREJO
KEDUNGREJO 2/1 MUNCAR
KEDUNGREJO 2/3 MUNCAR
PALUREJO 1/8 TEMBOKREJO
KRAJAN 4/4 KEDUNGREJO
KRAJAN 4/4 KEDUNGREJO
TEMBOKREJO 2/10 MUNCAR
TEMBOKREJO 2/10 MUNCAR
MUNCAR 2.7 TEMBOKREJO
KEDUNGREJO 2/3 MUNCAR
TEMBOKREJO 2/5
TEMBOKREJO MUNCAR
TEMBOKREJO 1/4
BAGOREJO SRONO
BAGOREJO 2/2 SRONO
KRAJAN 1/1 SEMPU
AKSANAAN VAKSINASI COVID-19
KESMAS/JEJARING

Kepesertaan BPJS (tulis 'Ya'

pada kolom yang sesuai)
No. Hp
BPJS BPJS Non
PBI Non PBI Anggota

081234549797
082231164196
081231164365
085338172190
081236164165
085213779231
082341052748
082245555494
081236169165
085257636570
082331086984
085336484941
085257636570
089515756766
085336141655
085258093645
082302081045
082331699583
085257785056
082335408775
085648729453
081288367753
081249774292
082330445787
082330616910
083848125257
082236261997
085258291835
082131536097
085730605184
083117162815
085214974690
081336251771
085230270611
085230270611
081336520250
085236630175
082330616910
082131536097
082244827595
089515756766
081238728443
081235295670
081330395838
081330395838
081358206145
081358206145
081336347039
085232856219
081233788700
082244776869
085257782471
085234627781
082236261997
082236261997
082330445787
081358583171
085237556078
082330229925
082330229925
089602496215
082332601945
085336243118
085706666346
085331847676
082145266606
089602496215
085331264925
085234593830
081234889333
085220212300
085258752881
085220212300
085231095813
081234889333
081232853377
082330201763
083127182603

081330606898
082144164364
085330332367
085330332367
089512642403
089512642403
082132212311
081358306304
081358304649
089697642506
085748682092
085211632067
089697642506
087866985026
087897979538
082330207857
08127795936
085335106751
087756145191
085236632180
082232720214
089523901840
085313418817
085259792460
085748682092
087756145191
085204247968
085204247968
081217479828
089605496215
081246600159
081336600318
082330229925
081217479828
085204563972

085231971145
082301702078
085313418817
082237294958
081358250009
085215943237
082335408321
089523946099
082537989342
085331264925
081358250009
082236605258
082330517799
082331489009
081234549797
085330882831
083847474777
082245491018
082327222232
082334664030
081358555739
085330673870
081238728443
085739229340
082214903246
0888996885603

089523946099
085330771582
081358206145
082318434410
085204885725
089682084281
085236136465
082214903246
081357657001
082221726358
081338816608
085204038666
082145932881
082331082566
081353128573
082331699583
08113412375
089682082798
084236444550
0895385286437
082301436505
082318434410
088805499164
082337246094
081357322122
082335634188
085230631971
082245996261
085257914214
082334125375
085213954441
0838484125257
082334125375
085258295355
085232631978
085367859689
081337557789
082247839286
081249994253
082131811109
082242839283
085806017791
085338553554
087846162202
085258682121
085236874212

085258752091
085258752091
087846162202
089321286886
082330616910
085331247196
085336486941
082143908637
08214390637
085258752881
Merek Vaksin*** Tanggal Screening
 Dosis I Dosis 2

Tanggal Tanggal
Pemberian No. Batch Pemberian
Vaksinasi Vaksinasi
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
A1077
Dosis 2
Keterangan
(Contoh: Ditunda/Dirujuk/….)
No. Batch