NO TANGGAL NAMA NIK

1 3/7/2022 VIVIE 3507066512600002

2 3/7/2022 RUDY WIDJATMIKO 3507061001710002
3 3/7/2022 HADI WALUYO 3507061701690002
4 3/7/2022 DEWI RATNASARI 3507065103000001
5 3/7/2022 WIDYO UKKY WICAKSONO 3571012012800008
6 3/7/2022 BILLY RAISSA MADHA 3507082901100001
7 3/7/2022 SRI SUEDI 3507064709610001
8 3/7/2022 SOEHARIJONO 3507062106640001
9 3/7/2022 DIAN ELVIANA 3507145508770005
10 3/7/2022 MISENO 3507063012630001
11 3/7/2022 MARDINAH 3508044804690003
12 3/7/2022 DYAN HIDAYAH 3507065107020002
13 3/7/2022 WINARTI 3507064404740002
14 3/7/2022 WARIYAH 3507065207570003
15 3/7/2022 BILGIS AINIYAH 3507064308990007
16 3/7/2022 LILIK SUSIATI 3507066010810002
17 3/7/2022 KUNTA YUSTENDA DWI N. 3507061505920002
18 3/7/2022 DESI FIRDAUS ILMI 3507065312970001
19 3/7/2022 ANGGI NOVIANTI 3507064702010001
20 3/7/2022 PUSPOWATI 3507064208520002
21 3/7/2022 KURDI 3507062404760002
22 3/7/2022 NAHRIYAH 3507066508750001
23 3/7/2022 YUYUNING SETIO RINI 3507065202830005
24 3/7/2022 ENDANG RATNAWATI 3507066303700001
25 3/7/2022 APRILIO 3507061904110003
26 3/7/2022 JEVACO 3507062101120002
27 3/7/2022 GAYUH 3507062201120002
28 3/7/2022 DEVA MARCELLIA LOVINDA 3507066603130001
29 3/7/2022 RINDIA MARIANA 3507066412880001
30 3/7/2022 ERLINA ARI SUSANTI 3507064607980002
31 3/7/2022 ACHMAD SYARIEF RAMDHAN 3573033001970002
32 3/7/2022 MUCHAMMAD GILANG 3524062206110003
33 3/7/2022 MULYONO EFENDI 3507061407590001
34 3/7/2022 HENIK ATMAJA NINGRUM 3507066505690002
35 3/7/2022 PRIYO RUDITO 3507062711590001
36 3/7/2022 RENDI WALFIAN 3507060401100001
37 3/7/2022 ALFAN MAHARDIKA 3507061512120003
38 3/7/2022 MEISYAH 3507084905120001
39 3/7/2022 YONI INDRA 3507063008140003
40 3/7/2022 SALSABILA NADHIFA AZZAHRA 3507068121300001
41 3/7/2022 WARNININGSIH 3507064205600003
42 3/7/2022 TYASANTO 3507060810510001
43 3/7/2022 ALFAN MADITA 3507062512750002
44 3/7/2022 HADI SUCIPTO 3507062808790003
45 3/7/2022 SAIFUL HAMZAH 3508150707840006
46 3/7/2022 DESI RAHMA W 3507064412960001
47 3/7/2022 ROBBY BUDIARTO 3507132004960001
48 3/7/2022 SAFA ANIS 3507066611090001
49 3/7/2022 KAFI RIJAL FAWWAZ 3507071603010001
50 3/7/2022 JESSYCA 3507064905120003
51 3/7/2022 REZA 3507300405110001
52 3/7/2022 SALSABILA 3507306812130001
53 3/7/2022 ARRIAL 3507065906130001
54 3/7/2022 SALSA
55 3/7/2022 JIHAN
56 3/7/2022 RAFI
57 3/7/2022 WIDYAWATI 3507064412900003
58 3/7/2022 RIZAL ALFATTAH 3507060809970002
59 3/7/2022 BILLY YOGA RINALDY 3507301605950002
 REKAPAN HARIAN VAKSINASI COVID 19

TANGGAL VAKSIN
TANGGAL LAHIR UMUR ALAMAT SESUAI KTP
DOSIS 1 DOSIS 2
12/25/1960 61 TIRTOMARTO 09/03
1/10/1971 51 TIRTOMARTO 22/09
1/17/1969 53 SUMBERWANGI 18/07
3/11/2000 22 TAWANGSARI 23/09
12/20/1980 41 SUDIRMAN NO 57 04/04
1/29/2010 12 TIRTOMARTO 07/02
9/7/1961 60 TIRTOMARTO 03/01
6/21/1964 57 TIRTOMARTO 08/03
8/15/1977 44 TAWANGAGUNG 12/03
12/30/1963 58 TAWANGSARI 23/09
4/8/1969 52 TAWANGSARI 23/09
7/11/2002 19 MULYOAGUNG 02/01
4/4/1974 48 SUMBERWANGI 18/07
7/12/1957 64 SUMBER WANGI 18/07
8/3/1999 22 SUKOMAJU B 40/07
10/20/1981 40 KRAJAN 04/02 V
5/15/1992 29 TAWANGSARI 24/09 V
12/13/1997 24 SUKOMAJU A 28/12
2/7/2001 21 SUKOMAJU A 28/12 V
8/2/1952 69 SUMBER SEWU 03/01
4/24/1976 45 ARGOMULYO 16/04
8/25/1975 46 KRAJAN 12/04
2/12/1983 39 TAWANGSARI 22/09
3/23/1970 52 KRAJAN 08/03
4/19/2011 10 TIRTOMARTO
1/21/2012 10 TIRTOMARTO
1/22/2012 10 TIRTOMARTO V
3/26/2013 8 KRAJAN 04/01 V
12/24/1988 33 TAWANGSARI 22/09
7/6/1998 23 KRAJAN 01/01
1/30/1997 25 DANAU MATANA XI 09/12 V
6/22/2011 10 TIRTOMOYO V
7/14/1959 62 TIRTOMARTO 13/05
5/25/1969 52 TAWANGSARI 24/09
11/27/1959 62 KRAJAN 03/01 TIRTOMARTO
1/4/2010 12 TIRTOMARTO V
12/15/2012 9 TIRTOMARTO
5/9/2012 9 TIRTOMOYO V
8/30/2014 7 TIRTOMOYO 01/01 V
10/11/1931 90 TIRTOMARTO 22/09
 5/2/1960 61 TIRTOMARTO V
10/8/1951 70 TIRTOMARTO
12/25/1975 46 TIRTOMARTO V
8/28/1979 42 TIRTOMOYO V
7/7/1984 37 SONOWANGI
12/4/1996 25 SONOWANGI
4/20/1996 25 KEPANJEN
11/26/2009 12 TIRTOMOYO
3/16/2001 20 PONCOKUSUMO
5/9/2012 9 TIRTOMARTO
5/4/2011 10 TIRTOMARTO
12/28/2013 8 TIRTOMARTO
6/19/2013 8 TIRTOMARTO
#VALUE! #VALUE! TIRTOMARTO
#VALUE! #VALUE! TIRTOMARTO
#VALUE! #VALUE! TIRTOMARTO
12/4/1990 31 TIRTOMARTO
9/8/1997 24 TIRTOMARTO
5/16/1995 26 TIRTOYUDO
NGGAL VAKSIN ENTRI P CRAE
JENIS VAKSIN NOMOR BATCH NO HP
DOSIS 3 YA TIDAK
V MODERNA 018F21A 083851995208
V MODERNA 018F21A 082336401966
V MODERNA 018F21A 085204894431
V MODERNA 018F21A 082234440129
V MODERNA 018F21A 081357141361
V SINOVAC 202109153P 082234936456
V MODERNA 018F21A 081336540848
V MODERNA 018F21A 083851995208
V MODERNA 018F21A 085204113000
V MODERNA 018F21A 082232295549
V MODERNA 018F21A 082232295549
V MODERNA 018F21A 088231250629
V MODERNA 018F21A 082316482041
V MODERNA 018F21A 082234240840
V MODERNA 018F21A 083851995208
MODERNA 018F21A 083851995208
SINOVAC 202109153P
V MODERNA 018F21A 085655282766
MODERNA 018F21A 085843215679
V MODERNA 018F21A 085258506103
V MODERNA 018F21A
V MODERNA 018F21A 0812212392658
V MODERNA 018F21A 085234770895
V MODERNA 018F21A 08123342501
V SINOVAC 202109153P 082319204256
V SINOVAC 202109153P 082332674891
SINOVAC 202109153P 082232295419
SINOVAC 202109153P 08248145271
V MODERNA 018F21A 08113000777
V MODERNA 018F21A 082257331850
MODERNA 018F21A 08123451887
SINOVAC 202109153P
V SINOVAC 202109153P 085274695464
V MODERNA 018F21A 082299960624
V MODERNA 018F21A 082310774552
SINOVAC 202109153P 081334166006
V SINOVAC 202109153P 085334424770
SINOVAC 202109153P 085334424770
SINOVAC 202109153P 081216417635
V MODERNA 018F21A
 MODERNA 018F21A 081252183337
V MODERNA 018F21A 081234286592
MODERNA 018F21A 082234936456
MODERNA 018F21A 081316417835
MODERNA 018F21A
MODERNA 018F21A
MODERNA 018F21A 081252611181
SINOVAC 202109153P 085334636062
MODERNA 018F21A 081330504653
SINOVAC 202109153P
SINOVAC 202109153P
SINOVAC 202109153P 08113000777
SINOVAC 202109153P
SINOVAC 202109153P 082384402783
SINOVAC 202109153P 082384402783
SINOVAC 202109153P 082384402783
MODERNA 018F21A 083835997982
MODERNA 018F21A 0881027044320
MODERNA 018F21A 082257360173
 JUMLAH PEMAKAIAN VAKSIN

MODERNA SINOVAC PFIZER AZ

NO TANGGAL NAMA NIK

1 3/9/2022 BINTANG CAHYANING K. 3508024412940001

2 3/9/2022 WIDYA ALMAIDA 3508045905900002
3 3/9/2022 KURNIA AGUSTIN 3507054608920001
4 3/9/2022 MAHMUD WISNU ADI 3507052807920003
5 3/9/2022 CITRA EKA ANGGRAENI 3507065503970001
6 3/9/2022 LILIK SUPRIYATI 3507064810810001
7 3/9/2022 ERINDA LAVENIA KISMAYA 3507306107930001
8 3/9/2022 PONIDI 3507060809520001
9 3/9/2022 FAISAL KUSUMA HADI 3507061510900001
10 3/9/2022 HIKMA YUNITA FINTISARI 3507064306870001
11 3/9/2022 NANTI NUGRAHENI 3507064508710003
12 3/9/2022 SUPONJO 3507060101750045
13 3/9/2022 WIJIATI 3507064303560001
14 3/9/2022 LILIS INDARTIK 3507064905680001
15 3/9/2022 YUSI PRASETYO 3508041612910003
16 3/9/2022 TEKAD 3507060103620004
17 3/9/2022 JEVIE SEFTIA ANGGRAINI 3507065109920001
18 3/9/2022 ZIDNI ALVIAN FEBRI KURNIAWAN
3519132110930001
19 3/9/2022 DRIESTA LOUIS PRATAMA 3507060105150001
20 3/9/2022 SUPANGAT 3507060103500005
21 3/9/2022 AGUS CAHYONO 3507062508680001
22 3/9/2022 SUTRISNO 3507061610540001
23 3/9/2022 SUTINI 3507064711790004
24 3/9/2022 RIZKA MUSTIKANINGRUM 3573014905916002
25 3/9/2022 SYIHAB ALFA LUTFI AHMAD 3507242005900001
26 3/9/2022 SAMSURI 3507060108710005
27 3/9/2022 SITI SYAROFA 3507064803810001
28 3/9/2022 NURUSH SHOFIYAH 3507065708720003
29 3/9/2022 SUMILAH 3507065203470001
30 3/9/2022 SITI MUCHAROMAH 3507064305540001
31 3/9/2022 LIA AYU KUMALASARI 3507065405850001
32 3/9/2022 MU'INI 3507064702680001
33 3/9/2022 DWIRETNANINGSIWI 3573017112630003
34 3/9/2022 YUNIAR TRI DEVI 3507066606010002
35 3/9/2022 WIDAYATI 3507064507770005
36 3/9/2022 AURORA SALSABILLA PUTRI 3507065601160001
37 3/9/2022 JUWARIYAH 3507065607660001
38 3/9/2022 SALWAH NANDA AZ-ZAHWA 3507064602160002
39 3/9/2022 MEGA MARANATA 3507066612960002
40 3/9/2022 ERVAN SAYUDI 3507060606780006
41 3/9/2022 JAUZA FAWWAS AZKA PUTRA 3507062205150001
42 3/9/2022 SUDI ISMAWAN 3507060402800003
43 3/9/2022 ROMLAH 3507065008630001
44 3/9/2022 HANA AYUNINGTYAS 3507066910930002
 REKAPAN HARIAN VAKSINASI COVID 19

TANGGAL VAKSIN
TANGGAL LAHIR UMUR ALAMAT SESUAI KTP
DOSIS 1 DOSIS 2
12/4/1994 27 DARUNGAN
5/19/1990 31 GUNUNGJATI 03/07
8/6/1992 29 SUMBER KEMBAR 08/09
7/28/1992 29 GUNUNGJATI 03/07
3/15/1997 25 SIDORENGGO 13/03
10/8/1981 40 KRAJAN 10/04
7/21/1993 28 SIDOMARTO 22/04
9/8/1952 69 TIRTOMARTO 08/03
10/15/1990 31 KRAJAN 13/03
6/3/1987 34 SUMBER SEWU 04/01
8/5/1971 50 PERTANIAN 10/04
1/1/1975 47 KRAJAN 16/06
3/3/1956 66 KRAJAN 05/02
5/9/1968 53 KRAJAN 05/02
12/16/1991 30 SUMBER BULUS 01/13
3/1/1962 60 TAWANGSARI 32/10 V
9/11/1992 29 KRAJAN 01/01 V
10/21/1993 28 BLEDAK 42 02/01
5/1/2015 6 KRAJAN 13//04 V
3/1/1950 72 TAWANGSARI 30/10
8/25/1968 53 KRAJAN 09/03
10/16/1954 67 TAWANGSARI 22/09
11/7/1979 42 KRAJAN 16/06
33367 30 KARANGPLOSO
33013 31 SOPONYONO 02/02
26146 50 KRAJAN 10/04
29653 41 TIRTOMARTO 08/03 V
26528 49 KAMPUNG ANYAR 12/04 V
17238 75 KRAJAN 09/03
19847 67 KRAJAN 09/03
31181 36 KRAJAN 12/04 V
24875 54 SUMBERPUCUNG 16/03 V
23376 58 SULFAT AGUNG III/15 03/21
37068 20 KRAJAN 09/03
28311 44 KRAJAN 09/03
42385 6 TIRTOMARTO V
24304 55 KRAJAN 07/01
42406 6 KRAJAN 08/03 V
35425 25 KRAJAN 12/03 V
28647 43 KRAJAN 01/01
42146 6 TIRTOMOYO V
29255 42 KRAJAN 09/03
23233 58 TIRTOMARTO 09/03 V
34271 28 KRAJAN 14/05 V
NGGAL VAKSIN ENTRI P CRAE
JENIS VAKSIN NOMOR BATCH NO HP
DOSIS 3 YA TIDAK
V MODERNA 3 018F21A 081235208029
V MODERNA 3 018F21A 0822329773392
V MODERNA 3 018F21A 085649588790
V MODERNA 3 018F21A 085791333171
V MODERNA 3 018F21A 081217173277
V MODERNA 3 018F21A 081330903477
V MODERNA 3 018F21A 082141480848
V MODERNA 3 018F21A 082225105277
V MODERNA 3 018F21A 082132593176
V MODERNA 3 018F21A 085331990636
V MODERNA 3 018F21A 082225105277
V MODERNA 3 018F21A 082332918334
V MODERNA 3 018F21A 081334202689
V MODERNA 3 018F21A 082225105277
V MODERNA 3 018F21A 081359593116
MODERNA 2 018F21A 082237909297
MODERNA 2 018F21A 085259274880
V MODERNA 3 018F21A 082139259993
SINOVAC 2 202109203E 082221464644
V MODERNA 3 018F21A 082225105277
V MODERNA 3 018F21A 081327408592
V MODERNA 3 018F21A 085370595091
V MODERNA 3 018F21A 082331670709
V MODERNA 3 018F21A 082225105277
V MODERNA 3 018F21A 0895336751947
V MODERNA 3 018F21A 081330903477
ASTRA 1 D202109012 082234257626
ASTRA 1 D202109012 081217522538
V MODERNA 3 018F21A 081333102643
V MODERNA 3 018F21A 085330354907
ASTRA 1 D202109012 082143346464
ASTRA 1 D202109012 081336720166
V ASTRA 3 D202109012 081333460595
V MODERNA 3 018F21A 085812170027
V MODERNA 3 018F21A 082215070629
SINOVAC 2 202109203E 08813228637
V MODERNA 3 018F21A 085231644358
SINOVAC 1 202109203E 082225105277
ASTRA 1 D202109012 082142747841
V MODERNA 3 018F21A 081234602200
 SINOVAC 2 202109203E 083835743942
V MODERNA 3 018F21A 081253666159
SINOVAC 2 202109203E 085934811942
MODERNA 2 018F21A 081235069752
 JUMLAH PEMAKAIAN VAKSIN

MODERNA SINOVAC PFIZER AZ

NO TANGGAL NAMA NIK

1 3/16/2022 MUHAMMAD ROFI 3507062604980001

2 3/16/2022 SITI MAISYAROH 3508025704760001
3 3/16/2022 TITAH RAISAKAH 3507064306060002
4 3/16/2022 DELLA MURIDA Y 3507064408040002
5 3/16/2022 SUKATI 3507064201610002
6 3/16/2022 ANRINA 3527035004930007
7 3/16/2022 MITA ANANDA DWI K 3507065608990002
8 3/16/2022 SLAMET WIYONO 6209050505720001
9 3/16/2022 AJI HARI WONGSO 3507061003660003
10 3/16/2022 JATI KRISNA MURTI 3507064409850003
11 3/16/2022 SITI AMINAH 3507064704730002
12 3/16/2022 DARIONO 3507061403740001
13 3/16/2022 M.NAHROFIL F 3507063110030001
14 3/16/2022 ALISYA MIA A 3507066805040001
15 3/16/2022 VANI NURVITA SANTI 3507316303010001
16 3/16/2022 SITI FATIMAH 3507065601810001
17 3/16/2022 MARSIH 3519035006790005
18 3/16/2022 SUTRIANA 3507067101880003
19 3/16/2022 MOCH DIAN NUR I 3507062611900001
20 3/16/2022 SELAMET RIYANTO 3507060704720001
21 3/16/2022 SAIDA YULIANA 3507065206740033
22 3/16/2022 BENING INDAH PINASTI 3507064711090002
23 3/16/2022 PUTRI RAMADANI 3507064409120003
24 3/16/2022 RAFAEL DECO EGAN 350706018080005
25 3/16/2022 NAURA ASSILA RAHMA 3507045301160002
26 3/16/2022 ALVIAN PRIMANSYAH 3507062305980002
27 3/16/2022 DHJRA ALTHAFA RISQI 350706060110001
28 3/16/2022 GATOT SUBROTO 3507060606800005
29 3/16/2022 NATASYA SUCI AZIZA 3507066512140002
30 3/16/2022 ABDUL ROHMAN 3507064710800001
31 3/16/2022 SULIATI 3507062706760001
 REKAPAN HARIAN VAKSINASI COVID 19

TANGGAL VAKSIN
TANGGAL LAHIR UMUR ALAMAT SESUAI KTP
DOSIS 1 DOSIS 2 DOSIS 3
SIDOMARTO 26/06 3/16/2022
LUMAJANG 3/16/2022
TIRTOMARTO 4/1 3/16/2022
TIRTOMARTO 13/05 3/16/2022
TIRTOMARTO 3/16/2022
TIRTOMARTO 31/10 3/16/2022
TIRTOMARTO 15 3/16/2022
TIRTOMARTO 15/05 3/16/2022
KRAJAN 13/03 3/16/2022
TIRTOMATRO 3/16/2022
PERTANIAN 10/04 3/16/2022
KRAJAN 16/06 3/16/2022
KRAJAN 05/02 3/16/2022
KRAJAN 05/02 3/16/2022
SUMBER BULUS 01/13 3/16/2022
TIRTOMARTO 15/05 3/16/2022
TIRTOMARTO 23/09 3/16/2022
SUMAWE 3/16/2022
KRAJAN 13//04 3/16/2022
TIRTOMARTO 23/09 3/16/2022
KRAJAN 09/03 3/16/2022
TIRTOMARTO 25/11 3/16/2022
TIRTOMARTO 25/11 3/16/2022
TIRTOMARTO 31/10 3/16/2022
TIRTOMARTO 3/16/2022
KRAJAN 10/04 3/16/2022
TIRTOMARTO 08/03 3/16/2022
TIRTOMARTO 4/4 3/16/2022
TIRTOMARTO 30/10 3/16/2022
TIRTOMARTO 30/11 3/16/2022
TIRTOMARTO 30/12 3/16/2022
 ENTRI P CRAE JUMLAH PEMAKAIA
JENIS VAKSIN NOMOR BATCH NO HP
YA TIDAK MODERNA
ASTRA 1 D202109012 082234459068 V
ASTRA 2 D202109012 082234383264 V
MODERNA 3 018F21A 081252286432 V 1 DOSIS
MODERNA 3 018F21A 085895425951 V 1 DOSIS
MODERNA 3 018F21A 08533972555 V 1 DOSIS
MODERNA 3 018F21A 082301579366 V 1 DOSIS
MODERNA 3 018F21A 085258465162 V 1 DOSIS
MODERNA 3 018F21A 085251839264 V 1 DOSIS
MODERNA 3 018F21A 081233321321 V 1 DOSIS
MODERNA 3 018F21A 082140355455 V 1 DOSIS
MODERNA 3 018F21A 081931104405 V 1 DOSIS
MODERNA 3 018F21A 085330974800 V 1 DOSIS
MODERNA 3 018F21A 082257170535 V 1 DOSIS
MODERNA 3 018F21A 081335824329 V 1 DOSIS
MODERNA 3 018F21A 082264060416 V 1 DOSIS
MODERNA 2 018F21A 08819423121 V 1 DOSIS
MODERNA 2 018F21A 085641667579 V 1 DOSIS
MODERNA 3 018F21A 085232442180 V 1 DOSIS
MODERNA 3 018F21A 082266608887 V 1 DOSIS
MODERNA 3 018F21A 085646617579 V 1 DOSIS
MODERNA 3 018F21A 082338067910 V 1 DOSIS
SINOVAC 202109203E 082225105277 V
SINOVAC 202109203E 082331670709 V
SINOVAC 202109203E 082228477829 V
SINOVAC 202109203E 088805597284 V
SINOVAC 202109203E 081249357903 V
SINOVAC 202109203E 085335479748 V
SINOVAC 202109203E 082225105277 V
SINOVAC 202109203E 085338184976 V
MODERNA 018F21A 085338184976 V 1 DOSIS
MODERNA 018F21A 085338184976 V 1 DOSIS
JUMLAH PEMAKAIAN VAKSIN

SINOVAC PFIZER AZ
1 DOSIS
1 DOSIS

1 DOSIS
1 DOSIS
1 DOSIS
1 DOSIS
1 DOSIS
1 DOSIS
1 DOSIS
1 DOSIS
NO TANGGAL NAMA NIK TANGGAL LAHIR UMUR

1 3/17/2022 kenley haikal

2 3/17/2022 dafa
3 3/17/2022 riski akbar
4 3/17/2022 inggi fauziah
5 3/17/2022 yudha adi putra
6 3/17/2022 deny prasetyo
7 3/17/2022 abd aziz
8 3/17/2022 m alif maulana
9 3/17/2022 m iqbal alfanur 3507060207150002
10 3/17/2022 febrian yuli saputra 3507060402160001
11 3/17/2022 bagus arsyha keanoo 3507062301160001
12 3/17/2022 hamdani
13 3/17/2022 defa
14 3/17/2022 samsyi ridwan
15 3/17/2022 alif firdaus
16 3/17/2022 ahmad fauzi ayatullah
17 3/17/2022 syafira nia k
18 3/17/2022 dea asmawati
19 3/17/2022 keza ersalina p
20 3/17/2022 naila bilqis arahman
21 3/17/2022 amanda
22 3/17/2022 devinda pratiwi
23 3/17/2022 fatmawati
24 3/17/2022 siska 3507064508070001
25 3/17/2022 adinda setyowati 3507064909080001
26 3/17/2022 novia nirmala p '3507064909080001
27 3/17/2022 m farhan nusulul r
28 3/17/2022 agustin firnanda '3507065908070002
29 3/17/2022 hanifatur isma 3508026905090004
30 3/17/2022 zainap 3508116303060002
31 3/17/2022 saiful bahri
32 3/17/2022 rohmansyah
33 3/17/2022 defa oktariano
34 3/17/2022 roudotul jannah
35 3/17/2022 qiano raisya
36 3/17/2022 alya
37 3/17/2022 m.nawaf fauzi
38 3/17/2022 adb hafid f
39 3/17/2022 m. fahmi
 TANGGAL VAKSIN
ALAMAT SESUAI KTP JENIS VAKSIN NOMOR BATCH
DOSIS 1 DOSIS 2 DOSIS 3
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 3/17/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 SINOVAC 202109203 E
PONPES DARUL ULUM 1/14/2022 SINOVAC 202109203 E
 ENTRI P CRAE JUMLAH PEMAKAIAN VAKSIN
NO HP
YA TIDAK MODERNA SINOVAC PFIZER AZ
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 V 1 DOSIS
082244445244 1 DOSIS
082244445244
082244445244
082244445244
082244445244
082244445244
082244445244
082244445244
NO TANGGAL NAMA NIK

1 3/21/2022 SAWAL 350706******0001

2 3/21/2022 SANDRA SETYO PANGESTU 350706******0001
3 3/21/2022 SANDY 350706******0001
4 3/21/2022 SRI UTAMI 350706******0001
5 3/21/2022 SURIPAH 350706******0001
6 3/21/2022 MUSRIAH 350706******0005
7 3/21/2022 MU'ALLIMAH 350706******0002
8 3/21/2022 cahyo arti rangga felani 350706******0003
9 3/21/2022 HERI WIDODO 350706******0001
10 3/21/2022 PAULUS DIDIK SUHANDOKO 350706******0018
11 3/21/2022
12 3/21/2022
13 3/21/2022
14 3/21/2022
15 3/21/2022
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
 REKAPAN HARIAN VAKSINASI COVID 19

TANGGAL VAKSIN
TANGGAL LAHIR UMUR ALAMAT SESUAI KTP
DOSIS 1 DOSIS 2 DOSIS 3
3/21/2022
3/21/2022
3/21/2022
3/21/2022
3/21/2022
3/21/2022
3/21/2022
3/21/2022
3/21/2022
3/21/2022
3/21/2022
3/21/2022
3/21/2022
3/21/2022
3/21/2022
 ENTRI P CRAE JUMLAH PEMAKAIA
JENIS VAKSIN NOMOR BATCH NO HP
YA TIDAK MODERNA
Moderna 018F21A 082225105277 V 1 DOSIS
Moderna 018F21A 081233296652 V 1 DOSIS
Moderna 018F21A 082225105277 V 1 DOSIS
Moderna 018F21A 082225105277 V 1 DOSIS
Moderna 018F21A 082271239636 V 1 DOSIS
Moderna 018f21a 085772666974 V 1 DOSIS
Moderna 018f21A 082233682308 V 1 DOSIS
Moderna 018F21A 085845189840 V 1 DOSIS
Moderna 018f21A 082264022676 V 1 DOSIS
Moderna 018F21A 082340107670 V 1 DOSIS
Moderna 018F21A 082340107670 V 1 DOSIS
Moderna 018F21A 082340107670 V 1 DOSIS
Moderna 018F21A 082340107670 V 1 DOSIS
Moderna 018f21a 082340107670 V 1 DOSIS
Moderna 018f21a 082340107670 V 1 DOSIS
JUMLAH PEMAKAIAN VAKSIN

SINOVAC PFIZER AZ
NO TANGGAL NAMA NIK

1 3/23/2022 MEI ANDISIANTO 3507070505040004

2 3/23/2022 SULISWATI 3507064909730002
3 3/23/2022 INDAH SUNDARI 8107034702920005
4 3/23/2022 INA FITRIANI 3507065811010001
5 3/23/2022 SULIYEM 3507064810730001
 REKAPAN HARIAN VAKSINASI COVID 19

TANGGAL LAHIR UMUR ALAMAT SESUAI KTP TANGGAL VAKSIN

DOSIS 1 DOSIS 2 DOSIS 3
5/5/2004 PONCOKUSUMO 7/24/2021 8/23/2021 3/23/2022
9/9/1973 MULYOASRI 7/21/2021 8/31/2021 3/23/2022
2/7/1982 MULYOASRI 7/8/2021 9/11/2021 3/23/2022
11/18/2001 MULYOASRI 7/8/2021 9/11/2022 3/23/2022
10/8/1973 MULYOASRI 7/8/2021 9/11/2021 3/23/2022
JENIS VAKSIN NOMOR BATCH NO HP ENTRI P CRAE JUMLAH PEMAKAIA
YA TIDAK MODERNA
MODERNA 081F21A TETAP V 1
MODERNA 081F21A 082228475997 V 1
MODERNA 081F21A TETAP V 1
MODERNA 081F21A TETAP V 1
MODERNA 081F21A TETAP V 1
JUMLAH PEMAKAIAN VAKSIN
SINOVAC PFIZER AZ
NO TANGGAL NAMA NIK

1 3/31/2022 MUHAMAAD ABYAN RAFFASYA 3507061411150001

2 3/31/2022 DYAH PUJI RAHAYU 3507066612800003
3 3/31/2022 MUNIROH 3507064612000001
4 3/31/2022 HENDRIK KURNIAWAN 3507060209930001
5 3/31/2022 BIMO STYO 3507062910660001
6 3/31/2022 ELY ISMAYASARI 3507064908720001
7 3/31/2022 MARITA RESTYANI 3507064803020002
8 3/31/2022 NOVIA NUR AMIN 3506194509000001
9 3/31/2022 NUR JANATIN ALIYAH 3507096909860003
10 3/31/2022 BAGUS BAYU ARISONA 1671142203920003
11 3/31/2022 RATNI PRASETYOWATI 3507065505770005
12 3/31/2022 TATA MILA KARINDA 3507065520990001
13 3/31/2022 WHAN RIANUS YOSEF C 3507040309970002
14 3/31/2022 T HARTONO 3507060101350022
15 3/31/2022 RIGUK ARIFANTO 3507060507840001
16 3/31/2022 KHUSNUL KHOTIMAH 3507064801780003
17 3/31/2022 HARIYANTO 1406061010780007
18 3/31/2022 AGUS HARYONO 3507060108810003
19 3/31/2022 ANDIK WICAKSONO 3507060908740003
20 3/31/2022 RISMIATI 3507064701670001
21 3/31/2022 MELYNDA TOBING 3507065808000002
22 3/31/2022 SUMARYANI 3507064508760005
23 3/31/2022 ANGGI SEPTIANI 3507064909000002
24 3/31/2022 MEISHITA WULANSARI 3507066105970004
25 3/31/2022 RIMA SUKMANINGSIH 3507064906870001
26 3/31/2022 FAHRI AKHTAR ARDIYANTO 3507061002160001
27 3/31/2022 DAMMAR MANGGALA WASKITA 3507063004150003
28 3/31/2022 MISIYANTO 3507060806440002
29 3/31/2022
30 3/31/2022
31 3/31/2022
 REKAPAN HARIAN VAKSINASI COVID 19
TANGGAL VAKSIN
TANGGAL LAHIR UMUR ALAMAT SESUAI KTP
DOSIS 1 DOSIS 2 DOSIS 3
6 TIRTOMARTO 12/04 12/18/2021 3/31/2022
42 TIRTOMARTO 12/04 7/13/2021 3/16/2022 3/31/2022
22 TIRTOMARTO 4/2 6/8/2021 7/6/2021 3/31/2022
29 TIRTOMARTO 18/07 9/11/2021 10/9/2021 3/31/2022
56 TIRTOMARTO 07/02 7/17/2021 8/16/2021 3/31/2022
50 TIRTOMARTO 02/01 5/24/2021 6/21/2021 3/31/2022
22 TIRTOMARTO 12/04 9/1/2021 10/1/2021 3/31/2022
22 TIRTOMARTO 18/07 9/11/2021 10/9/2021 3/31/2022
34 LEBAKHARJO 3/12/2021 3/26/2021 3/31/2022
30 LEBAK HARJO 23/10 3/12/2021 3/26/2021 3/31/2022
45 LEBAKHARJO 32/13 3/12/2021 3/26/2021 3/31/2022
23 TIRTOMARTO 11/04 7/12/2021 8/16/2021 3/31/2022
25 SITIARJO 40/07 9/20/2021 11/5/2021 3/31/2022
87 TIRTOMARTO 07/02 9/11/2021 10/9/2021 3/31/2022
38 TIRTOMARTO 3/27/2021 5/20/2021 3/31/2022
44 TIRTOMARTO 5/2 7/12/2021 8/16/2021 3/31/2022
44 TAMANSARI 10/05 7/14/2021 8/14/2021 3/31/2022
41 TIRTOMARTO 22/09 KARTU KERI 3/31/2022
42 TIRTOMARTO 8/3 3/23/2021 4/6/2021 3/31/2022
55 TIRTOMARTO 11/04 7/12/2021 8/16/2021 3/31/2022
22 TIRTOMARTO 22/09 7/12/2021 8/31/2021 3/31/2022
46 TIRTOMARTO 22/09 7/12/2021 8/31/2021 3/31/2022
22 TIRTOMARTO 12/04 6/12/2021 10/28/2021 3/31/2022
25 TIRTOMARTO 02/01 6/2/2021 8/25/2021 3/31/2022
35 TIRTOMARTO 6/8/2021 7/6/2021 3/31/2022
6 TIRTOMARTO 8/3 12/18/2021 3/31/2022
6 TIRTOMARTO 8/3 12/18/2021 3/31/2022
54 TIRTOMARTO 5/02 7/3/2021 8/7/2021 3/31/2022
3/31/2022
3/31/2022
3/31/2022
 ENTRI P CRAE JUMLAH PEMAKAIA
JENIS VAKSIN NOMOR BATCH NO HP
YA TIDAK MODERNA
SINOVAC 2 202112238K 085257340015 V
ASTRAZENECA D202110015 082330626471 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 085880378487 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 082232672935 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 082230180507 V
ASTRAZENECA D202110015 082149748606 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 085234988082 V
ASTRAZENECA D202110015 085234653361 V
ASTRAZENECA D202110015 082233821234 V
SINOVAC 2 202112238K V
SINOVAC 2 202112238K V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
ASTRAZENECA D202110015 V
JUMLAH PEMAKAIAN VAKSIN
SINOVAC PFIZER AZ
1 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1 DOSIS
1 DOSIS
1/2 DOSIS
1 DOSIS
1 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
1/2 DOSIS
NO NAMA NIK ALAMAT UMUR VAKSIN BATCH DOSIS KET
1 ali sahid 350706080tirtomarto 32 AZ D20211003d3
4 ANJARI 350706530MULYOASRI 38 AZ D20211003d3
5 JARWENI 350706660MULYOASRI 43 AZ D20211003d3
6 SUPRIATIN350706410TIRTOMART 61 AZ D20211003d3
7 IKSAN 350706010TIRTOMART 67 AZ D20211003d3
10 MASHAD 350706270PURWOHAR 29 AZ D20211003D1
11 SUROSO 350713210TIRTOMAR 41 AZ D20211003D1
13 SUGENG 350706100TIRTOMMA 50 AZ D20211003D1
16 SRI WAHYU350706420SONOWANG 39 AZ D20211003D1
17 DANDI 350706230TIRTOMART 21 AZ D20211003D3
18 SUTRISNO 350706111SONOWANG 60 AZ D20211003D3
19 ADAN 350706030TIRTOMOYO 21 AZ D20211003D1
22 SUNARMI 350706531SONOWANG 52 AZ D20211003D3
23 HARI 350706480TIRTOMART 52 AZ D20211003D3
25 AGUS 350706140SIMOJAYA 31 AZ D20211003D3
26 VIKI 350706021SIMOJAYA 52 AZ D20211003D3
29 HANUN 350706620TIRTOMOYO 22 AZ D20211003D3
30 NANDA 350706480TIRTOMART 22 AZ D20211003D3
32 M AINUN 350706300MULYOASRI 18 AZ D20211003D3
33 BELA 350706540MULYOASRI 21 AZ D20211003D3
34 MISIATI 350706520PURWOHAR 59 AZ D20211003D3
35 SUNYOTO 350706010PURWOHAR 63 AZ D20211003D3
38 ARINADI 350206640SONOWANG 40 AZ D20211003D1
NO NAMA NIK USIA ALAMAT
1 VALENIASIH 3507065108890001 33 MULYOASRI 27/7
2 UMAR WIDODOD 3507061908810002 41 MULYOASRI 21/6
3 SUCIPTO 3514120807850004 37 WINONG 2/3 GEMPOL
4 EKO W 6301090802980001 24 AMBAWANG RT 5
5 BAKRI 3507060201700003 52 TIRTOMARTO 9/3
6 SUNARTI 3507066706740002 48 TIRTOMARTO 9/3
7 AGUS 3507060908960001 26 PURWOHARJO 6/2
8 SIDIQ 3507060808000003 22 SIDORENGGO 20/4
9 PARNI 3507066007870001 35 MULYOASRI 28/8
10 DIDIK 3507061612810002 41 TAMANASRI 9/3
11 SULIADI 3507060503800005 42 TAMANASRI 5/2
12 MOHAMAD 3507060102740002 48 TAMANASRI 13/4
13 PUJI RAHAYU 3507064906740002 38 PURWOHARJO 3/1
14 MATOSEN 3507060108600032 52 TIRTOMARTO 7/2
15 RIWAYATI 3507064108630020 59 WIROTAMAN
16 RATNA 3507065202820002 40 TIRTOMARTO 4/1
VAKSIN DOSIS BATCH
MODERNA D3 007L21A
MODERNA D3 007L21A
MODERNA D3 007L21A
MODERNA D3 007L21A
MODERNA D3 007L21A
MODERNA D3 007L21A
MODERNA D3 007L21A
PFIZER D1 FN1431
MODERNA D3 007L21A
MODERNA D3 007L21A
MODERNA D3 007L21A
MODERNA D3 007L21A
MODERNA D3 007L21A
PFIZER TUNDA
PFIZER D3 FN1431
PFIZER D3 FN1431
NO NAMA NIK USIA ALAMAT VAKSIN DOSIS BATCH
1 BALOK 350706050 61 TIRTOMOYO
SINO D1 202112238K
2 SIATI 350706470 62 TIRTOMOYO
SINO D3 202112238K
3 SRI WULAN350706551 31 SIDORENGG
AZ D3
4 ELVA SEPT 350706470 21 TAMANASRI
AZ D3
5 WINARSIH 350706450 46 TAMANASRI
AZ D3
6 FARIDA RA350708430 28 ARGOYUWOAZ D3
7 RIWAYATI 350706420 45 ARGOYUWOAZ D3 D2 DAN D3 BLM
8 FITRIA 350706560 22 TIRTOMOYO D3
9 SRI WATI 610902680 59 ARGOYUWONO 12/3 D3
10 BUINI 350706410 63 ARGOYUWONO D3
11 MUJIONO 350706150 39 ARGOYUWONO 5/2 D3
12 SOLIKIN 350706170 19 ARGOYUWONO 20/2 D3
13 IKMALUL 350706060 25 SIDORENGGO 4/1 D3 D3 BELUM
14 DEHRUJI 350706140 60 TAMANASRI 14/4 D1
15 DIAN 350706100 21 WIROTAMAN 7/2 D1
16 ABD MUKS350706280 29 TAMANASRI 17/5 D3
17 SRI UTAMI350706480 20 TAMANASRI 17/5 D3
18 SULIADI 350706010 54 D1
19 MATLASIT 350706040 58 D3
20 ISMAIL' 350730020 42 D1
21 RIFA 350706470 22 D3
22 RIZKI 350706010 22 D1
23 DWI D3
NO TANGGAL NAMA NIK TANGGAL LAHIR UMUR

1 7/25/2022 nuriwayati 3507065002700001 2/10/1970

2 riga 3507093011920002 11/30/1992
3 aji akir 3507062006650003 6/20/1965
4 kasiyem 3507066509620001 9/25/1963
5 agus susianto 3507061708860004 8/17/1986
6 matsari 3507060101590027 1/1/1959
7 laminem 3507064108570013 8/1/1950
8 waris 3507061606690001 6/16/1969
9 yuli winarni :3507066307620001 7/3/1992
10 sita dewi a :3507064402890001 2/4/1989
11 sutiono :3507061707760002 7/17/1976
12 yurizal :350706405980002 5/4/1998
13 jelita :3507066907930001 7/9/1993
14 febika putri r 3507305502990002 2/5/1999
15 elok fitri :3507061705880001 5/17/1988
16 samini "3508064206460001 6/2/1946
17 agus rubianto "3507116018500003 1/6/1985
18 zahwa islami "3507065205020002 5/20/2000
19 yana paulina "3507067008000001 8/30/2000
20 amelia "7371106711980007 11/7/1998
21 buimen "3507060712630001 12/7/1963
22 renggha "3507061809010001 9/18/2001
23
 TANGGAL VAKSIN
ALAMAT SESUAI KTP JENIS VAKSIN NOMOR BATCH
DOSIS 1 DOSIS 2 DOSIS 3
lebakharjo 7/25/2022 sinovac 202112238k
turen 7/25/2022 sinovac
lebakharjo 7/25/2022 sinovac
tirtomarto 7/25/2022 sinovac
tirtomarto 7/25/2022 sinovac
tirtomarto 7/25/2022 sinovac
tirtomarto 7/25/1988 sinovac
tirtomarto 7/25/2022 sinovac
tirtomarto 7/2/2022 sinovac
tirtomarto 7/25/2022 sinovac
tirtomarto 7/25/2022 sinovac
tirtomarto 7/25/2022 sinovac
tirtomarto 7/25/2022 sinovac
tirtoyudo 7/25/2022 sinovac
tirtomarto 7/25/2022 sinovac
tirtomarto 7/25/2022 sinovac
tirtomarto 7/25/2022 sinovac
tirtomarto 7/25/2022 sinovac
tirtomarto 7/25/2022 sinovac
tirtomoyo 7/25/2022 sinovac
tirtomarto 7/25/2022 sinovac
tirtomarto 7/25/2022 astra
 ENTRI P CRAE JUMLAH PEMAKAIAN VAKSIN
NO HP
YA TIDAK MODERNA SINOVAC PFIZER AZ
085649906314 v
085746995162 v
085791913120 v
081334249850 v
082125430308 v
081359375199 v
085234490332 v
085604625437 v
085604625437 v
082302512452 v
0823364483345 v
081234624404 v
082337682085 v
082140413503 v
082257314813 v
082244803880 v
085331091917 v
082337802114 v
081249354298 v
085850912764 v
081252286784 v
085339117894 v
NO TANGGAL NAMA NIK

1 7/26/2022 yudi efendi 3507090906810001

2 dyah puspita 3507066402830001
3 ngatemin 3507062804740001
4 wagiyah 3507065507710001
5 imanuel yohanes 3507061607860001
6 siti nurhayati 3507064408920002
7 eko sari yuliana 3507065507700005
8 hemanto 3507062502610001
9 zella 3507065902900002
10 sulastri 3507065406730001
11 sugiati 3507065408740002
12 sundari 3507064111670001
13 eva mei 3507065905920001
14 sri wayati 3507066906810003
15 tarno 3507061412520001
16 miati 3507064708790002
17 sulastri 3507065010780003
18 sugiono 3507062505750002
19 kartini 3507066412560001
20 indarwati 350706111630001
21 yanti 3507066811700001
22 toni 3507063103790002
23 enik handayani 3507065508580003
24 dian suprianto 3507060301880006
25 umi hayati 3507065210790003
26 siti aminah 3507065407610001
27 susilo 3505191111850002
28 dwi wahyuti 3507067103790001
29 lutfiatul 3507044708940004
30 agus setiawan 3507061708880002
31 sutinah 3507064304680004
32 nurhayati 3507065502780001
33 umiati 3507065008660002
34 sumiati 3507065506720002
35 ngatemi 3507065707610001
36 sugiono 3507061906760002
37 liskari 3507062402760002
38 sanimin 3507060101430007
39 choirul anam 3507062810710001
40 yunanik 3507067101840001
41 adi 3507060405990002
42 joko mursito 3507062704630001
43 liyeh 3507065003800006
 ALAMAT SESUAI TANGGAL VAKSIN
TANGGAL LAHIR UMUR JENIS VAKSIN
KTP DOSIS 1 DOSIS 2 DOSIS 3
6/9/1981 tirtomarto v sinovac
2/4/1983 tirtomarto v
4/28/1974 tirtomarto v
7/5/1971 tirtomarto v
7/16/1986 tirtomarto v
8/4/1992 tirtomarto v
7/5/1970 tirtomarto v
2/25/1961 tirtomarto v
2/9/1990 tirtomarto v
6/4/1973 tirtomarto v
8/4/1978 tirtomarto v
11/1/1967 tirtomarto v
5/9/1992 tirtomarto v
6/9/1981 tirtomarto v
12/14/1952 tirtomarto v
8/7/1979 tirtomarto v
10/10/1978 tirtomarto v
5/25/1975 tirtomarto v
5/12/1960 tirtomarto v
11/1/1963 tirtomarto v
11/8/1970 tirtomarto v
3/1/1979 tirtomarto v
8/5/1958 tirtomarto v
1/3/1988 purwoharjo v
10/2/1979 tirtomarto v
7/4/1961 tirtomarto v
11/11/1985 tirtomarto v
3/1/1979 tirtomarto v
8/7/1994 tirtomarto v
8/17/1988 tirtomarto v
4/30/1968 tirtomarto v
2/5/1978 tirtomarto v
8/10/1966 tirtomarto v
6/15/1972 tirtomarto v
7/17/1961 tirtomarto v
6/19/1976 tirtomarto v
2/24/1976 tirtomarto v
1/1/1943 tirtomarto v
10/28/1971 tirtomarto v
1/1/1984 tirtomarto v
5/4/1999 tirtomarto v
4/27/1963 tirtomarto v
tirtomarto v
 ENTRI P CRAE JUMLAH PEMAKAIAN VAKSIN
NOMOR BATCH NO HP
YA TIDAK MODERNASINOVAC PFIZER AZ
202112238k 082330808272 v
082318319441 v
082333437197 v
081216137659 v
088217129132 v
082232302588 v
0812301333954 v
082311524418 v
082259629144 v
085335378303 v
085336860844 v
085259629211 v
081238740440 v
082257498601 v
08233486128 v
085259434729 v
085233776197 v
085334604809 v
082334486128 v
081231643891 v
082228541436 v
082233876886 v
085330673670
082333835811
085233002278
081238740440
081357500857
08815015096
08819717838
08819717838
088741129468
081332497357
0813321928
082311524418
08523300278
085235526403
081216705066
08131943139
082336035778
081216705066
081336443478
082338857466
085746665081
NO TANGGAL NAMA NIK TANGGAL LAHIR UMUR

1 7/28/2022 wagimen 3507060101430026 lansia 79

2 suratinem 3507064911680001 lansia 54
3 purnami 3507064204730003 lansia 49
4 siswanto 3507060609710004 lansia 51
5 siajianto 3507062505750003 umum 47
6 bella 3507064805010003 umum 21
7 rinda 3507065201940004 umum 28
8 eka 3507061711040001 umum 18
9 yuwono 3507061010750003 umum 47
10 priati '3507064510710003 lansia 51
11 imam '35074051403920006 umum 30
12 siari 35073013107000002 lansia 52
13 agustinah 3507065608650001 lansia 57
14 mujiono 3507060101950006 umum 27
15 rica 3507065612800001 umum 42
16 rini ridawati 3507305208800002 umum 42
17 mujiadi 3507061008800005 umum 42
18 kustin nilamsari 3507066102840002 umum 38
19 arista 3507065409880001 umum 34
20 suyadi 3507061309580002 lansia 64
21 ngatipa 3507066910580001 lansia 64
22 ning sumiati 3507065005870001 umum 35
23 defit 350706171080002 umum 42
24 juwariyah ;3507064101650088 lansia 57
25 miskat ;3507060101570042 lansia 65
26 sukardiono 3573032509660001 lansia 56
27 lusi ;3507064507600007 umum 29
28 djuma'ati 3507064507600007 lansia 62
29 musripah 3507064406620000 lansia 60
30 abdul aziz 3507061608650007 lansia 57
31 umi hasanah 3507064305960001 umum 26
32 umama ;3507065109980001 umum 24
33 yuliati '3508024912830001 umum 39
34 miserum 3507064101670054 lansia 55
35 muklis ;3507061505980001 umum 24
36 tri mawati ;350706403750004 lansia 49
37 karmidi 35070609115700001 lansia 65
38
39
40
41
42
43
 ALAMAT TANGGAL VAKSIN ENTRI P CRAE
JENIS VAKSIN
NOMOR BATCH NO HP
SESUAI KTP DOSIS 1 DOSIS 2 DOSIS 3 YA TIDAK
tirtomarto v sinovac 202112238k
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
probolinggo v
tlogosari v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
sidorenggo v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
tirtomarto v
 JUMLAH PEMAKAIAN VAKSIN
MODERNA SINOVAC PFIZER AZ
 ALAMAT
NO TANGGAL NAMA NIK TANGGAL LAHIR UMUR
SESUAI KTP
1 7/29/2022 sri wahyuni 350707108670001 tirtomarto
2 fifin 3507067103000001 tirtomarto
3 prayit 3507060101760040 tirtomarto
4 darinem 3507066712520001 tirtomarto
5 tukijo 3569000107062811 tirtomarto
6 riami 3507064407890002 tirtomarto
7 painem 3507065507550002 tirtomarto
8 ningsih w 3506244101790004 kediri
9 gagah 3524182705970003 lamongan
10 painem 3507064101500040 tirtomarto
11 tiwar '3507065602420001 tirtomarto
12 kusmiati 3507064407780002 tirtomarto
13 roudlotul j 3507067005870001 tirtomarto
14 ninik 3507064504890001 tirtomarto
15 indrawati 3507064305840001 tirtomarto
16 elvita 3507066707030002 tirtomarto
17 sugeng 3507062707640001 tirtomarto
18 moh sakur 3507061706790001 tirtomarto
19 wagiyem 3507064803540001 tirtomarto
20 poniyem 3507065001410001 tirtomarto
21 slamet 3507060709520003 tirtomarto
22 suwarni 3507066307550001 tirtomarto
23 sugito 3573030311750003 tirtomarto
24 ngatminah 3507064811590000 tirtomarto
25 ponidi 3507061615500001 tirtomarto
26 kusmiani 3507066909790001 tirtomarto
27 supriatin 3507066808770002 tirtomarto
28 poninten 3507064407530002 tirtomarto
29 kateno 3507061908590000 tirtomarto
30 sarijem 3507064108400010 tirtomarto
31 sutini 3507067112610002 tirtomarto
32 joko 3507060906660001 tirtomarto
33
34
35
36
37
38
39
40
41
42
43
 TANGGAL VAKSIN ENTRI P CRAE JUMLAH PEMAKAIAN VAKSIN
JENIS VAKSIN
NOMOR BATCH NO HP
DOSIS 1 DOSIS 2 DOSIS 3 YA TIDAK MODERNA SINOVAC
v sinovac 202112238k
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
v
MLAH PEMAKAIAN VAKSIN
PFIZER AZ
NO TANGGAL NAMA NIK TANGGAL LAHIR UMUR

1 8/1/2022 sutris harianto 3507060108640008

2 rudianto 3507060608810001
3 fadilah siami 3507065808570000
4 imam safi,i 3507060404540003
5 edi purwanto 3507061909820002
6 sutiyem 3507064211890001
7 supik 3507066903660001
8 suliati 3507065404770001
9 yan adhitya 3507062401790003
10 purwantoko 3507061909840002
11 albert farrell 3507060105040001
12 sunaidah 3507294610870005
13 jumadi 3507060101910006
14 ismail 3507060101960011
15 windhi 3507066208970002
16 salam 3507060212560001
17 ngatini 3507065110800001
18 boimin 35070601015000041
19 luluk 3507060502810001
20 sugianto 350706410365004
21 nasiyeh 350706103650004
22 slamet 3507061210740002
23 siti kholifah 3507064809760003
24 irfan 350706280297004
25 supiyah 3507065007720001
26 siti kholifah 3507066005950001
27 suliana 3507065010780004
28 alya nadifatul 3508024503010002
29 anita surya 350706540290002
30 kasiyem 3507064108520009
31 voni agus 350706470187002
32 ervina 3507064701870002
33 jumali 3507060203600002
34 ngatubi 3507061103580001
35 jumiati 3507065506800002
36 endang pirniati ;3507065908710001
37 suwarni 3507064104630003
38 fitriya siasi 3507064206870002
39 soini ;3507064206870002
40 siti jaenap 3507064101630063
41 wagiyem 3507064101540033
 sumiati 3507064405650007
42 nyono 3507060101570053
43 narti 3507064904690001
mamik yuniati ;3507064101830010
suwartin 3507066802680001
melon a ;3507066503820002
dwi rosita 350706410190005
dedik s '3507061805880001
painten ;350706410690040
sugijono ;3507061605560001
suwardiono 3507062808660001
sulastri ningsih 3507064102630005
sriami 35070641022630005
kuslan 121428010108500104
dani 3507060507550001
melasi 3507064207700000
a"an kartini 3507066304800007
rahmad basuki 3507301505770002
rasipah 3507064101450040
kastiani 3507065006780003
ari setiawan 35073311511930001 b
dami agustin 350706560874 b
kamari 3507060302410 2m
jumakiyah 3507066007730002 b
rudianto 3507061809780001 b
sulianto 3507061302010001 b
ginah 3507064506550002 2m
iput diah 3507064101790006 b
aqmal 3507060904020003 b
rianti 3507065004460001 2m
ayu dita 3507066111990001 b
kurniawan 3515182512810005 b
tika darmi 3507064211820001 b
susilo 3507066205700002 b
sutrisno 3507062010620002 b
riza 3507062406910001 b
mujianto 3507063012790002 b
pria wahyudi 3507060909720001 2m
ucok 35070601003770003 d2
siti suswani 3507305209940004 b
darmaji 3507240405720007 b
pepe f 3507064307960001 b
gema 3507066011990001 b
sulianto 3507060304710004 b
katimah 3507064101690048 d2
dewangga 3507062505020000 b
andayani 3507066404640001 d2
sri w 3507065206800002 d2
tulam ;3507062912550001 d2
ratna 3507244105710002 b
gini 3507064712600000 d2
adi widodo 3507062808650007 b
ALAMAT TANGGAL VAKSIN ENTRI P CRAE
SESUAI JENIS VAKSINNOMOR BATCH NO HP
KTP DOSIS 1 DOSIS 2 DOSIS 3 YA TIDAK
v sinovac 202112238k
v sinovac 202112238k
v sinovac 202112238k
v sinovac 202112238k
v sinovac 202112238k
v sinovac 202112238k
v sinovac 202112238k
v sinovac 202112238k
v sinovac 202112238k
v sinovac 202112238k
v sinovac 202112238k
v sinovac
v
v
v sinovac
v
v sinovac
v moderna
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v moderna
sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
 v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v moderna
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v
v moderna
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v moderna
v sinovac
v sinovac
v sinovac
v moderna
v sinovac
v sinovac
v moderna
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v sinovac
v moderna
v moderna
v moderna
v
v
v
 v
v sinovac
v sinovac
v moderna
v sinovac
v sinovac
v sinovac
v
v sinovac
 JUMLAH PEMAKAIAN VAKSIN
MODERNA SINOVAC PFIZER AZ
 ALAMAT
NO TANGGAL NAMA NIK TANGGAL LAHIRUMUR SESUAI
KTP
1 8/2/2022 anita 3507064310860003
2 ike susanti 3507065110910001
3 enik eri ;3507066811810000
4 sinta lestari ;3507066110990002
5 siti nasiyah ;350706470580003
6 indriani ;3507065209970001
7 rika wahyu ;3508025702010003
8 saumiatul ;3507065804880003
9 sri puji ;3573055110750007
10 yelin ;3507064806980003
11 evit ;3507066905900001
12 martiwi ;3507064609850002
13 sinta ;35070667103960001
14 idawati ;3507064910790004
15 ika p ;3505164708870003
16 yulaifatul ;3507065805980002
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43

mujianto 3507063012790002 b
pria wahyudi 3507060909720001 2m
ucok 35070601003770003 d2
siti suswani 3507305209940004 b
darmaji 3507240405720007 b
pepe f 3507064307960001 b
gema 3507066011990001 b
sulianto 3507060304710004 b
katimah 3507064101690048 d2
dewangga 3507062505020000 b
andayani 3507066404640001 d2
sri w 3507065206800002 d2
tulam ;3507062912550001 d2
ratna 3507244105710002 b
gini 3507064712600000 d2
adi widodo 3507062808650007 b
 TANGGAL VAKSIN ENTRI P CRAE JUMLAH PEMAKAIAN VAKSIN
JENIS VAKSIN
NOMOR BATCHNO HP
DOSIS 1 DOSIS 2 DOSIS 3 YA TIDAK MODERNA SINOVAC
V frizer
V frizer
V frizer
V frizer
V frizer
V frizer
V frizer
V frizer
V frizer
V frizer
V frizer
V frizer
V frizer
V frizer
V frizer
 v sinovac
v moderna
v moderna
v moderna
v
v
v
 v
v sinovac
v sinovac
v moderna
v sinovac
v sinovac
v sinovac
v
v sinovac
MLAH PEMAKAIAN VAKSIN
PFIZER AZ