Nama Puskesmas/Faskes/Pos

Kabupaten/Kota
Provinsi
Tanggal Pelaksanaan

No Status_Catat No_Registrasi

1 P_Care P-6JY83VMI
2 P_Care
3 P_Care P-6PQMESIT
4 P_Care P-6JXE4IHH
5 P_Care P-6CMJJS7A
6 P_Care P-5ZLYWQOW
7 P_Care P-72SGEKR8
8 P_Care P-6XYRPS9I
9 P_Care P-7ODJ3BKN
10 P_Care P-6UN8GE4I
11 P_Care P-6NC2LDQQ
12 P_Care P-81RDLQIJ
13 P_Care P-7NYQVHRD
14 P_Care P-7K6NGU5R
15 P_Care P-7F3AA2PI
16 P_Care P-8KUOQB23
17 P_Care P-8D9B956Y
18 P_Care P-826BOFGW
19 P_Care P-7TJAB22C
20 P_Care P-93J3UMTJ
21 P_Care P-8T6FEA2U
22 P_Care P-8L5XC436
23 P_Care P-9RAB6RQV
24 P_Care P-A5W3YTCL
25 P_Care P-A2BJLTZM
26 P_Care P-9KHGEOCX
27 P_Care P-AU5YG43J
28 P_Care P-AKXY7LYN
29 P_Care P-AEFAQFJL
30 P_Care P-B83SF2WJ
31 P_Care P-AZO522EY
32 P_Care P-BGM1LV8W
33 P_Care P-AXRF94HC
34 P_Care P-C43GT02A
35 P_Care P-BSD3R3IX
36 P_Care P-CL5WBW8D
37 P_Care P-D8TRALAN
38 P_Care P-CV2Q6ZUP
39 P_Care P-DCTOVJ2S
40 P_Care P-CD43NUDD
41 P_Care P-DN6UEPJU
42 P_Care P-EWACNAW7
43 P_Care P-FBQYSCNH
44 P_Care P-F5ZO3QAB
45 P_Care P-FUU7UWCD
46 P_Care P-GLPAKZAG
47 P_Care P-H64JYHBF
48 P_Care P-HI6NIMP6
49 P_Care P-GGOR2RMW
50 P_Care P-G5LJGXO4
51 P_Care P-FOOUMAIJ
52 P_Care P-INZ3LCIJ
53 P_Care P-HHHEPM43
54 P_Care P-ISVNY4EN
55 P_Care P-ID1XYWBQ
56 P_Care P-JIEFRJ0D
57 P_Care P-JLRDSXAO
58 P_Care P-KN1MQCBB
59 P_Care P-KNV5R4YK
60 P_Care P-JYX6JZ63
61 P_Care P-LA3JHIIX
62 P_Care P-LLLOF4RR
63 P_Care P-NBOSTXRZ
64 P_Care P-NY7G38Z5
65 Manual
66 P_Care P-NOVXOOJ9
67 P_Care P-NAPW6VOG
68 P_Care P-MLQ78KYS
69 P_Care P-M37HQXJY
70 P_Care P-OJWSKT2V
71 P_Care P-O71UTDBW
72 P_Care P-PHU5ZZQQ
73 P_Care P-P17ZI27K
74 P_Care P-PXEV3AZO
75 P_Care P-QBPLK248
SD GANESHA NUSANTARA BATUBULAN
TIM UBUD II

12/24/2021

NIK

5104015703150002
5104027061400001
5108095105140001
5104015201150001
5104014702150004
5108091301150001
5104011001140001
5104010407140003
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5107054312130003
5104013006140002
5107056308140002
5107021505150001
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5105010704150003
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5171021010140002
5107061702150001
5104041301150001
5105024904140001
5101042812140002
5104037008140001
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5104015604140001
5108073006130003
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5107074505140001
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5108022111130002
5104030805140003
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5105024801120001
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5102080702120002
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5107041212110002
5101057001120003
5105020708110005
 Kumulatif Pelaksanaan
Yang Teregistrasi
Kumulatif Divaksinasi Ke-1
SDM Kesehatan
Petugas Publik
Lansia
Masyarakat Rentan
Masyarakat Umum

Anak 12-17
Disabilitas
Ibu Hamil
Anak 6-11
Total
Kumulatif Divaksinasi Ke-2
SDM Kesehatan
Petugas Publik
Lansia
Masyarakat Rentan
Masyarakat Umum
Anak 12-17
Disabilitas
Ibu Hamil
Anak 6-11
Total
Kumulatif Divaksinasi Ke-3
SDM Kesehatan
Petugas Publik
Lansia
Masyarakat Rentan
Masyarakat Umum
Anak 12-17
Disabilitas
Ibu Hamil
Anak 6-11
Total
Kumulatif Pemakaian Vaksin (Orang)
Sinovac Vaksin 1
Sinovac Vaksin 2
Sinovac Vaksin 3
Total Sinovac
Biofarma_10 Vaksin 1
Biofarma_10 Vaksin 2
Biofarma_10 Vaksin 3
Total Biofarma_10
AstraZeneca Vaksin 1
AstraZeneca Vaksin 2
AstraZeneca Vaksin 3
Total AstraZeneca
Moderna Vaksin 1
Moderna Vaksin 2
Moderna Vaksin 3
Total Moderna
Sinopharm Vaksin 1
Sinopharm Vaksin 2
Sinopharm Vaksin 3
Total Sinopharm
FORMAT PENCATATAN PELAKSANAAN VAKSINASI C
TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI

75

Jenis_Kelami
Nama
n

NI KADEK ANGGITA JHIVANI Perempuan

I PUTU ADI ASTAWA Laki-laki
PUTU CHIKA ANGRENI PUTRI Perempuan
LUH AYU IVANA CAHYANI Perempuan
I GUSTI AGUNG ASMITHA CALYA SINABA Perempuan
I NENGAH ANGGA JANUARTA WIJAYA Laki-Laki
PUTU DEVA BAGUSTY DIAMOND Laki-Laki
MIKO ARJUNA LESMANA RAMADAN Laki-Laki
I MADE BAGASKARA Laki-Laki
I PUTU DONI WIRAPERMANA Laki-Laki
NI KADEK DEPI ANTI Perempuan
KADEK KRISHNA DEVANTARA Laki-Laki
NI LUH KARUNIA WIDIA PUTRI Perempuan
I GEDE BAGUS YUJUNSA Laki-Laki
GREY EZRA VALEDA Laki-Laki
I PUTU GYOVANNO ALLANDO PUTRA Laki-Laki
I DEWA GEDE MAHA CHANDRA WIGUNA Laki-Laki
I MADE PRADNYANA Laki-Laki
I KADEK KISNA WIDYANTA Laki-Laki
I PUTU NARADYAKSA Laki-Laki
NI KADEK PUTRI ASIH Perempuan
I KETUT PUTRA DHARMA AGASTYA Laki-Laki
NI MADE SRI DARMAYANTI ADININGRUM Perempuan
ANAK AGUNG PUTRI CAYA KIRANA Perempuan
NI KOMANG CHESYA ADINDA PUTRI Perempuan
I KOMANG WISNU BHAYANGKARA Laki-Laki
I GEDE BANU NARADA Laki-Laki
I KOMANG ARYA MERTA TRI GUNA Laki-Laki
NI KADEK KAYLA PUTRIAYU Perempuan
I DEWA AYU RAMANIA DEWI Perempuan
RISMA KHOIRUNNISA Perempuan
I PUTU RADITYA DINATA Laki-Laki
KADEK ASKA MAHA PUTRA Laki-Laki
I GUSTI NGURAH SATYA NANDA DANANJAYA Laki-Laki
I KOMANG REHAN CAHAYANA Laki-Laki
I GEDE NARENDRA KRISNAJAYA Laki-Laki
NI KADEK AYU JELITA MURNIASIH Perempuan
I GUSTI LANANG BAGUS SASTRAGUNA Laki-Laki
PUTU INTAN PRADNYA SASKARI Perempuan
MUHAMMAD MALMSTEEN BANESTA SUSANTO Laki-Laki
I KADEK BAYU MAHESWARA Laki-Laki
I MADE RADITYA ADI WIGUNA Laki-Laki
I PUTU RADITYA MIRACLE MAHAYANA Laki-Laki
PUTU ANGEL DIANDRA OKTARIA Perempuan
I KADEK AGUS RAYZA MAYURA Laki-Laki
I KADEK SANDY ARYA PARMANA Laki-Laki
I KOMANG PANDE OKI SURYA PUTRA Laki-Laki
I WAYAN GEDE PURNA PRATAMA PUTRA Laki-Laki
I KETUT PANDE IKO CANDRA PUTRA Laki-Laki
I KADEK PANDE WIJAYA PUTRA Laki-Laki
I GUSTI LANANG AGUNG ADHIPRAMANA Laki-Laki
NI PUTU DWI WAHYUNING Perempuan
NI PUTU BULAN AMELITHA MAHESWARI Perempuan
I GST NGR. A. ADI B. PRAMA DIKSA ARYANINGRAT Laki-Laki
NI PUTU FRIDA OKTARIANI Perempuan
GEDE RESTU APRIANA Laki-Laki
I PUTU PRAWIRA WARINGIN DANUARTHA Laki-Laki
PUTU NARENDRA ARYASATIA PUTRA Laki-Laki
NI KOMANG AYU ARISTHA Perempuan
PUTU NOPA WIRAWAN Laki-Laki
LUH LAURA INDRAYANI Perempuan
I GEDE ANGGA PRATAMA Laki-Laki
I KOMANG DEVA SATRIA ADI PUTRA Laki-Laki
IDA AYU TRISHA PRASANTI Perempuan
I NGURAH RADITYA PRATAMA Laki-Laki
SHINTA SEPTIARA Perempuan
NI KADEK YUNNA WAHYU WIRANINGSIH Perempuan
I KOMANG RESA PUTRA MAHENDRA Laki-Laki
ZAHROTON NAFISHA Perempuan
NILUH MANIK WULANDARI Perempuan
NI KETUT ADEL TRISA PUTRI Perempuan
KOMANG SUKRAWAN Laki-Laki
DEWA GEDE SATRIA DANANJAYA Laki-Laki
IDA AYU KOMANG KIRANI ADNYASWARI Perempuan
WAYAN ANJASMARA Laki-Laki
umulatif Pelaksanaan
75
ulatif Divaksinasi Ke-1
0
0
0
0
0
0
0
0
75
0
mulatif Divaksinasi Ke-2
0
0
0
0
0
0
0
0
0
0
mulatif Divaksinasi Ke-3
0
0
 0
0
0
0
0
0
0
0
f Pemakaian Vaksin (Orang)
75
0
0
75
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
LAKSANAAN VAKSINASI COVID-19
YANKES/POS VAKSINASI

Kategori sasaran Umur

Anak 6-11 6
Anak 6-11 7
Anak 6-11 7
Anak 6-11 6
Anak 6-11 6
Anak 6-11 6
Anak 6-11 7
Anak 6-11 7
Anak 6-11 7
Anak 6-11 7
Anak 6-11 8
Anak 6-11 7
Anak 6-11 7
Anak 6-11 6
Anak 6-11 6
Anak 6-11 6
Anak 6-11 7
Anak 6-11 7
Anak 6-11 6
Anak 6-11 6
Anak 6-11 7
Anak 6-11 7
Anak 6-11 7
Anak 6-11 7
Anak 6-11 7
Anak 6-11 8
Anak 6-11 8
Anak 6-11 9
Anak 6-11 8
Anak 6-11 7
Anak 6-11 8
Anak 6-11 7
Anak 6-11 8
Anak 6-11 7
Anak 6-11 8
Anak 6-11 8
Anak 6-11 8
Anak 6-11 8
Anak 6-11 9
Anak 6-11 8
Anak 6-11 8
Anak 6-11 9
Anak 6-11 8
Anak 6-11 9
Anak 6-11 9
Anak 6-11 8
Anak 6-11 9
Anak 6-11 8
Anak 6-11 9
Anak 6-11 8
Anak 6-11 8
Anak 6-11 9
Anak 6-11 9
Anak 6-11 9
Anak 6-11 9
Anak 6-11 8
Anak 6-11 9
Anak 6-11 9
Anak 6-11 9
Anak 6-11 9
Anak 6-11 8
Anak 6-11 9
Anak 6-11 9
Anak 6-11 8
Anak 6-11 9
Anak 6-11 10
Anak 6-11 9
Anak 6-11 9
Anak 6-11 9
Anak 6-11 10
Anak 6-11 9
Anak 6-11 10
Anak 6-11 10
Anak 6-11 9
Anak 6-11 10
 Harian Pelaksanaan
Yang Teregistrasi 75
Harian Divaksinasi Ke-1
SDM Kesehatan 0
Petugas Publik 0
Lansia 0
Masyarakat Rentan 0
Masyarakat Umum 0

Anak 12-17 0

Disabilitas 0

Ibu Hamil 0
Anak 6-11 75
Total 0
Harian Divaksinasi Ke-2
SDM Kesehatan 0
Petugas Publik 0
Lansia 0
Masyarakat Rentan 0
Masyarakat Umum 0
Anak 12-17 0
Disabilitas 0
Ibu Hamil 0
Anak 6-11 0
Total 0
Harian Divaksinasi Ke-3
SDM Kesehatan 0
Petugas Publik 0
Lansia 0
Masyarakat Rentan 0
Masyarakat Umum 0
Anak 12-17 0
Disabilitas 0
Ibu Hamil 0
Anak 6-11 0
Total 0
Harian Pemakaian Vaksin (Orang)
Sinovac Vaksin 1 75
Sinovac Vaksin 2 0
Sinovac Vaksin 3 0
Total Sinovac 75
Biofarma_10 Vaksin 1 0
Biofarma_10 Vaksin 2 0
Biofarma_10 Vaksin 3 0
Total Biofarma_10 0
AstraZeneca Vaksin 1 0
AstraZeneca Vaksin 2 0
AstraZeneca Vaksin 3 0
Total AstraZeneca 0
Moderna Vaksin 1 0
Moderna Vaksin 2 0
Moderna Vaksin 3 0
Total Moderna 0
Sinopharm Vaksin 1 0
Sinopharm Vaksin 2 0
Sinopharm Vaksin 3 0
Total Sinopharm 0
Kelompok_Umur Alamat

0 JL. BATUYANG, KAKAKTUA 6X

6-11 JL. PASEKAN
0 JL BATUYANG GG PIPITVIII NO 2
0 Jl. Batuyang Gang Kaswari No. 5
0 Jln.Pasekan Batu Intan 7 no 30
0 Batuyang Gg Bangau XI/10
0 Jln. Batuyang Gang Bangau No 11
0 Jln. Pasekan Gg Batunirmala Br. Tub
0 JL. BATUYANG GG. BANGAU XI/12
0 Jln. Gunung Lebah No 8
0 Jalan batuyang Gang Pipit Permai 3c
0 BR. DINAS BATUAJI
0 Jln. Batuyang Gang Kakaktua No. 4
0 Jln. Batuyang, Gg Puyuh 1 Utara
0 Jln. Batuyang Gang Bangau IX no. 38
0 DUSUN BAYUH DESA KUTAMPI
0 Batubulan Gang Pipit Permai IA
0 Jln. Plawa No.92. Br. Lingk Pangan Kelod Denpasar Timu
0 Br. Dinas Tihingan Kangin Bebandem Karangasem
0 JL. BATUYANG GANG BANGAU XI/25
0 Jln. Sumandang VI/No 18
0 Jln. Dewi Sri gang Salak 1G
0 JL. BATU INTAN III NO 50
0 JL. DEWI SRI GANG SALAK 16 BATUBULAN
0 Jln. Batuyang Gg Elang 9 N0.9
0 Jln. Batuintan Selatan Gg. Baturaja no 2
0 Jln. Batuyang No 98X
0 Jln. Batu Intan 3 No. 37
0 Jln. Raya Batuyang 130
0 Jln. Batu Intan Selatan No 67
0 Dusun Karangsono. Jember
0 Gang Pipit 8 No.4
0 JL. BATUYANG GG PIPIT NO 5
0 Jln. batuyang
0 Jln. Subak Blaki, Batuyang
0 Br. Tegeha, Jln Batuyang Batubulan
0 JL. DEWI SRI GG SALAK 19 NO 5
0 Gang Puyuh 1F N0.8
0 Jln. Sumandang IV
0 Taman Asri
0 Gang Panji br. Kenanga
0 BR. KAPAL BATUBULAN
0 GG SALAK 16 NO 17
0 Br. Melinggih Payangan
0 BANJAR WANASARI
0 JL. BATUYANG GG GARUDA II
0 Jln Batuyang Gang Pipit 12K
0 JL. PLAWA NO 92 DPS
0 Jln. Batuyang Gang Pipit 12K
0 Br. Dinas Linggasana
0 Jln. Batuyang Gang Bangau III C/5
 0 JL. BATUYANG, KAKAKTUA 6X
0 Jln Dewisri, Gang 1 Batubulan
0 Jln. Batuyang no 70B Batubulan
0 Br. Dinas Tampad, Batubulan Kangin, Sukawat
0 JL. BATU INDAH II B
0 Br. Belong Ulakan
0 JL. BATUYANG GG PIPIT
0 Br. Dinas Delod Rurung
0 Jln. Batuyang Gang Kakaktua
0 Br. Dangin Berawah, Perancak, Jembarana
0 JL. BATUYANG GG PIPIT ASRI
0 BR. TERUNYAN, KINTAMANI
0 Jln. Dewi Sri Gang Jeruk
6-11 MELAYA
0 Jln. Batuyang Gang Bangau III No.19
0 Br. Dinas Batu Aji Batubulan
0 Jln. Batu Indan Gang Batu Padas B5
0 Jln. Gang Pipit Asri 2
0 Jalan Batuyang Gang Bangau
0 Gang Bangau XI/15
0 Br. Dinas Kajeng Kangin
0 Gang Pipit Permai
0 Jln Dewi Sri Gang Salak 1
0 Jln. Sumandang VI/ No 18
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 No_Hp Merek_Vaksin_Vaksinasi_1

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