NO NO REGISTRASI "NIK" "NAMA_LENGKAP"

(1) (2) (3)

1 3510164406780006 TRI HANDAYANI
2 3510164307710006 FAUZIAH
3 3510164509920003 ELVIRA WARDHINA
4 3510160611790002 INSAN KUSUMA
5 3510161108800001 ANTON RIYADIYONO
6 3510176901750002 MARIYANA
7 3510162211820008 ACH FAUZI
8 351014620280003 SANI ROHIMAH
9 3510162606930008 ASMADI
10 3510166301760004 DIAN PUJIASTUTI
11 3510166411930001 METTA FERDIANI
12 3510161208480005 FERDINAND SUDIRMAN
13 3510216207690003 CICIK SRI SETYOWATI
14 3510167012890002 DESY KURNIA WULAN SARI
15 3510165301530002 SUNARSIH
16 3510161801510001 MULYO HARTONO
17 3510215211610002 LILIK SUMARNI JAMIN
18 3510164906690003 SITI FATIMAH
19 3510164406940005 NILLA YUNIARTI
20 3510161411700001 MUSLIMIN
21 3510162108710005 SYAMSUL ARIFIN
22 3510164605660003 LAILATUL HASANAH
23 3510163007750002 HADI NURHIDAYAT
24 3510164203770003 ISTIANAH
25 3510162505840003 DICKY PITONO
26 3510164110620003 HALIMATUS SA'DIYAH
27 3510164908920006 OLGA EMAL ANASTASYA
28 3510167005680002 NURYANI
29 3510161902510002 SOERIYADI
30 3510161707630003 ASNAN
31 3510164210730001 NURHAYATI
32 3510154807830002 WAHYU PUSPITASARI
33 3510165010700008 RR AJU RETNO WULANDARI
34 3522151208920006 ARDHI WISNU WARDHANA
35 3510162310820004 DEDI TRI DARMAWAN
36 3510160105760006 ANDY AZIS
37 3510161202760006 MUHAMMAD MAS'UD ZAIN
38 3510176903640001 LILIK ESTININGTYAS
39 3510160808570005 SUDIRMAN
40 3510150504780003 BUNADI EKO PURNOMO
41 3510162308670002 KHOIRUL WAHIDIN
42 3510166702680001 DIAH PURWATI
43 3510166704680006 VARLINA TUMIYATI
44 3510161804740002 USMAN
45 3510166603740007 SULISTYO EKARINI
46 3510166209730003 EKO MINDARWANI
47 3510165505650004 SRI WULAN
48 3510161003830004 ARDI SAMUDRA ROCHMATULLOH
49 3510162207930004 ANDY MUHAMMAD
50 3510164504730005 LINA RUSMAWATI
51 3510166108760005 NINING SETYOWATI
52 3510214606700004 SRIATUN
53 3510162401970005 FIRMAN WAHYU R
54 3510215102720002 SITI AMINAH NUR AINI
55 3510161701740007 HARI SETIAWAN
56 6401080111910002 ARMAN PRASTYO
57 3510165206680001 ERNA YUNI LESTARI
58 3510167003660001 SRI INDAH WAHYUNINGSIH
59 3510161902640003 HERI HANDOKO
60 3510160909490003 H. ASMA'I HADI
61 3510160310900005 PRADIPTYA OCTAVIYANDA
62 3510164606690007 ENDANG IMPALAWATI
63 3510162107910004 MUHYIDIN
64 3578043101650012 MOHAMMAD KODORI
65 3510165812970010 DITA ADE HARIYANI
66
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 398
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KETERANGAN
JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 BOOSTER PUSKESMA
TANGGAL : 17-1-22

UMUR KELOMPOK "JENIS

"TMPT_LHR" "TGL_LHR" UMUR "ALAMAT"
KELAMIN"

(4) (5) (6) (7) (8) (9)

BANYUWANGI 6/4/1978 44 31-45 P JL GENTENGAN BARU A35
BANYUWANGI 7/3/1971 51 46-59 P JL SUMBING 19
BANYUWANGI 9/5/1992 30 18-30 P JL ANDALAS NO 57
BANYUWANGI 11/6/1979 43 31-45 P JL KINIBALU 2
BANYUWANGI 8/11/1980 42 31-45 L JL TIDAR NO 46
BANYUWANGI 1/29/1975 48 46-59 P JL UDANG WINDU 32
BANYUWANGI 11/22/1982 40 31-45 L JL KALILO
BANYUWANGI 2/22/1982 40 31-45 P DSN PENDARUNGAN
BANYUWANGI 6/26/1993 29 18-30 L DSN LANGRING
BANYUWANGI 1/23/1976 47 46-59 P JL BRIGJEN KATAMSO
BANYUWANGI 11/24/1993 29 18-30 P JL KEPITING
BANYUWANGI 8/12/1948 74 ≥60 L JL KALILO
BANYUWANGI 7/22/1969 53 46-59 P JL ANDALAS 77
BANYUWANGI 12/30/1989 33 31-45 P JL DR SOETOMO GG JAYA NO 33
MALANG 1/13/1953 70 ≥60 P JL RIAU 15
MALANG 1/18/1951 72 ≥60 L JL RIAU 15
BANYUWANGI 11/12/1961 61 ≥60 P JL ARGOPURO 37
BANYUWANGI 6/9/1969 53 46-59 P JL LETKOL ISTIQLAH NO 20
BANYUWANGI 6/4/1994 28 18-30 P JL IKAN BANYAR
BANYUWANGI 11/14/1970 52 46-59 L JL RIAU GG MUTIARA NO 38
BANYUWANGI 8/4/1971 51 46-59 L JL BENGAWAN NO 80
PONOROGO 5/6/1966 56 46-59 P JL PAJAJARAN NO 15
BANYUWANGI 7/30/1975 47 46-59 L JL MH THAMRIN VILLA BUKIT MA
BANYUWANGI 3/2/1977 45 31-45 P JL JOHAR NO 5 LINGK BRAK
BANYUWANGI 5/25/1984 38 31-45 L PERUM ALAM ELOK BLOK D2
BANYUWANGI 10/1/1962 60 ≥60 P JL BANTERANG 42
BANYUWANGI 8/9/1992 30 18-30 P JL BANTERANG NO 62
BANYUWANGI 5/30/1968 54 46-59 P JL TERNATE GG II NO 49
BANYUWANGI 2/19/1995 27 18-30 L JL SAYU GRINGSING
BANYUWANGI 7/17/1963 59 46-59 L
BANYUWANGI 10/2/1973 49 46-59 P JL BHREE WIRABUMI NO 5
BANYUWANGI 7/8/1983 39 31-45 P LINGK KRAJAN
BANYUWANGI 10/10/1970 52 46-59 P JL KARIMUN JAWA NO 72
BANYUWANGI 8/12/1992 122 ≥60 L JL. RINJANI
BANYUWANGI 10/23/1982 122 ≥60 L PERUM VILLA BUKIT MAS
BANYUWANGI 5/1/1976 122 ≥60 L JL. MERBABU
BANYUWANGI 2/12/1976 122 ≥60 L VIKA BUKIT MAS
BANYUWANGI 3/29/1964 122 ≥60 P JL. MAHAKAM
MALANG 8/8/1957 122 ≥60 L JL. KARIMUNJAWA
BANYUWANGI 4/5/1978 122 ≥60 L JL. BANTERANG
BANYUWANGI 8/23/1967 122 ≥60 L PERUM VILA GAJAH MADA
BANYUWANGI 2/27/1968 122 ≥60 P JL. LAWU
BANYUWANGI 4/27/1968 122 ≥60 P JL. MERBABU
BANYUWANGI 4/18/1974 122 ≥60 L JL. BROMO
BANYUWANGI 3/26/1974 122 ≥60 P JL. RIAU
BANYUWANGI 9/22/1973 122 ≥60 L JL. MH THAMRIN
BANYUWANGI 5/15/1965 122 ≥60 P JL. IJEN
BANYUWANGI 3/10/1983 122 ≥60 L JL. IJEN
BANYUWANGI 7/22/1993 122 ≥60 L JL. OPAK
BANYUWANGI 4/5/1973 122 ≥60 P JL. PROGO
BANYUWANGI 8/21/1976 122 ≥60 P PERUM BERLIAN INDAH
BLITAR 6/6/1970 122 ≥60 P PERUM GGM
BANYUWANGI 1/24/1997 122 ≥60 L JL. MH THAMRIN
BANYUWANGI 2/11/1972 122 ≥60 P JL. YOS USDARSO
BANYUWANGI 1/17/1974 122 ≥60 L JL. PROGO
BANYUWANGI 11/1/1991 122 ≥60 L JL. TUNGGUL AMETUNG
BANYUWANGI 6/12/1968 122 ≥60 P JL. IKAN LEMURU
BANYUWANGI 3/30/1966 122 ≥60 P PERUM PURI BRAWIJAYA
BANYUWANGI 2/19/1964 122 ≥60 L KP. MLAYU
BANYUWANGI 9/9/1949 122 ≥60 L JL. TIDAR
BANYUWANGI 10/3/1990 122 ≥60 L JL. BOROBUDUR
BANYUWANGI 6/6/1969 122 ≥60 P JL. KARIMUNJAWA
BANYUWANGI 6/21/1991 122 ≥60 L SINGODIWONGSO
BANYUWANGI 1/31/1965 122 ≥60 L WONOKROMO
BANYUWANGI 12/18/1997 122 ≥60 P KALILO
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

VID-19 BOOSTER PUSKESMAS SINGOTRUNAN
ANGGAL : 17-1-22

NAMA
"NAMA JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3
"RT" "RW" KECAMA BPJS
KELURAHAN PEKERJAAN
TAN
(10) (11) (12) (13) (14) (15) (16) (17) (18)

16 1/17/2022 1
16 14 1/17/2022 1
6 3 16 14 1/17/2022 1
16 14 1/17/2022 1
16 14 1/17/2022 1
16 1/17/2022 1
16 13 1/17/2022 1
14 1/17/2022 1
1/17/2022 1
1/17/2022 1
3 5 16 1/17/2022 1
5 2 16 13 1/17/2022 1
4 3 16 14 1/17/2022 1
JAYA NO 33 1/17/2022 1
16 12 1/17/2022 1
16 12 1/17/2022 1
21 91 1/17/2022 1
3 3 16 16 1/17/2022 1
16 1/17/2022 1
16 12 1/17/2022 1
16 16 1/17/2022 1
5 3 16 18 1/17/2022 1
4 2 16 13 1/17/2022 1
2 1 21 95 1/17/2022 1
16 14 1/17/2022 1
3 2 16 10 1/17/2022 1
16 10 1/17/2022 1
16 12 1/17/2022 1
1/17/2022 1
1/17/2022 1
16 10 1/17/2022 1
3 2 17 BANJARSARI 1/17/2022 1
16 12 1/17/2022 1
1 1 16 14 1/17/2022 1
16 13 1/17/2022 1
1 4 16 14 1/17/2022 1
GIRI 1/17/2022 1
3 2MOJOPANGGUNG 1/17/2022 1
16 12 1/17/2022 1
16 10 1/17/2022 1
5 3 16 16 1/17/2022 1
2 16 16 14 1/17/2022 1
16 14 1/17/2022 1
2 1 16 14 1/17/2022 1
16 12 1/17/2022 1
16 13 1/17/2022 1
3 4 16 14 1/17/2022 1
16 14 1/17/2022 1
16 13 1/17/2022 1
3 3 16 16 1/17/2022 1
16 1/17/2022 1
21 91 1/17/2022 1
16 12 1/17/2022 1
1 2 21 91 1/17/2022 1
16 16 1/17/2022 1
16 KEBALENAN 1/17/2022 1
5 3 16 SOBO 1/17/2022 1
16 1/17/2022 1
16 10 1/17/2022 1
2 1 16 14 1/17/2022 1
2 3 16 1/17/2022 1
16 12 1/17/2022 1
16 14 1/17/2022 1
SURABAYA 1/17/2022 1
1 2 16 13 1/17/2022 1
16
16
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16
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16
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16
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16
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16
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 16
16
16

JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS

NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN-1

(19) (20) (21) (22) (23) (24)

FM7783 PFIZER 9 082234799178
FM7783 PFIZER 9 083857975572
FM7783 PFIZER 9 081336779595
FM7783 PFIZER 9 082330603139
FM7783 PFIZER 9 08113501123
FM7783 PFIZER 9 085224668627
FM7783 PFIZER 9 085334270435
FM7783 PFIZER 9 081315602263
FM7783 PFIZER 9 081913922932
FM7783 PFIZER 9 081336033762
FM7783 PFIZER 9 088228281836
FM7783 PFIZER 9 085258387472
FM7783 PFIZER 9 081358745317
FM7783 PFIZER 9 081216762192
FM7783 PFIZER 9 082142107337
FM7783 PFIZER 9 08123492223
FM7783 PFIZER 9 08123484743
FM7783 PFIZER 9 081336711226
FM7783 PFIZER 9 081330778696
FM7783 PFIZER 9 085234131221
FM7783 PFIZER 9
FM7783 PFIZER 9
FM7783 PFIZER 9
FM7783 PFIZER 9
FM7783 PFIZER 9 085311474971
FM7783 PFIZER 9 082333798228
FM7783 PFIZER 9 089603773522
FM7783 PFIZER 9 082334112862
FM7783 PFIZER 9 082302072419
FM7783 PFIZER 9 082330443679
FM7783 PFIZER 9 081249212903
FM7783 PFIZER 9 085331653501
FM7783 PFIZER 9 081292288770
FM7783 PFIZER 9 085967146166
FM7783 PFIZER 9 081332164303
FM7783 PFIZER 9 08124949234
FM7783 PFIZER 9 081336796673
FM7783 PFIZER 9 081336114240
FM7783 PFIZER 9 082330445004
FM7783 PFIZER 9 085257948691
FM7783 PFIZER 9 081259435466
FM7783 PFIZER 9 081358446933
FM7783 PFIZER 9 08179693267
FM7783 PFIZER 9 082141471163
FM7783 PFIZER 9 08124905503
FM7783 PFIZER 9 081336090869
FM7783 PFIZER 9 081336452285
FM7783 PFIZER 9 082147046522
FM7783 PFIZER 9 082247129526
FM7783 PFIZER 9 085799292436
FM7783 PFIZER 9 082330735581
FM7783 PFIZER 9 085217327743
FM7783 PFIZER 9 082140559508
FM7783 PFIZER 9 081336081271
FM7783 PFIZER 9 081216064121
FM7783 PFIZER 9 082335501514
FM7783 PFIZER 9 087755842041
FM7783 PFIZER 9 081252611524
FM7783 PFIZER 9 085236563552
FM7783 PFIZER 9 082114907279
FM7783 PFIZER 9 08223459522
FM7783 PFIZER 9 085230745370
FM7783 PFIZER 9 087712644414
FM7783 PFIZER 9
FM7783 PFIZER 9 083846986628
SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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 SINOVAC 9
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SINOVAC 9

JELAS JELAS JELAS JELAS JELAS

 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510165903710001 LILIS ENDANG RAHAJU BANYUWANGI

2 3510166605740001 MIMIN HARTATI BANYUWANGI
3 3174041109640001 CAHYONO MADIUN
4 3510161706860004 AHMAD FAIZIN BANYUWANGI
5 3510166303610001 CIPTANINGSIH MARIYANI BANYUWANGI
6 351016600380001 ENDANG NURHAYATI BANYUWANGI
7 3510166912520002 BAE'AH ANDARINI BANYUWANGI
8 3510160609670004 RAHMAT HARIYADI BANYUWANGI
9 3510161210790003 NURCAHYANTO BANYUWANGI
10 3510174103700003 SITI ROFIQOH BANYUWANGI
11 3510167006590241 BUWANG MARIAM BANYUWANGI
12 3510175704640002 SRI WURYANI BANYUWANGI
13 3510175311620001 DRA. HJ. SETYANINGSIH BANYUWANGI
14 3510142311880002 TAUFIK HIDAYAT BANYUWANGI
15 3510163003630001 MOMON SUHANDOYO BANYUWANGI
16 3510165101670001 FITRIA INDAHATI BANYUWANGI
17 35173086902520002OEI SHO LIE TJIN BANYUWANGI
18 3510166912690001 TRI WAHYUNI BANYUWANGI
19 3510176903640002 MARDIANA DWI PANGLIPUR BANYUWANGI
20 3510164101590014 SRI REZEKI BANYUWANGI
21 3510166108680005 SITI HAISAH BANYUWANGI
22 3510161011750007 HARIYANTO BANYUWANGI
23 3510166202550001 ENDANG SETYOWATI BANYUWANGI
24 3510100210800002 JAROT EDHI SURYANTO BANYUWANGI
25 3510165805680005 CUCUK SITI RAHAYU BANYUWANGI
26 3510160406640003 SUPRIYADI BANYUWANGI
27 3510144109850002 EMI SURYANI BANYUWANGI
28 3510161601850009 BAYU ESKARINO BANYUWANGI
29 3510132805590001 SURYADI BANYUWANGI
30 3510134905640001 LULUK KALIWAMI BANYUWANGI
31 3510132501900002 MERZHA HEDIY SUHASTRA BANYUWANGI
32 3510146406680003 PUJIANI BANYUWANGI
33 3510164509670001 NURONNIYAH BANYUWANGI
34 3510161203560001 ERPAN BANYUWANGI
35
36
37
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 398
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400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 19/1/22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

3/19/1971 51 46-59 P JL. KLUNGKUNG

5/26/1974 48 46-59 P KEBALENAN INDAH
9/11/1966 56 46-59 L JL. ASEM
6/17/1986 36 31-45 L PERUM GRIYA SOBO ASRI
3/23/1961 61 ≥60 P JL. SUPRAPTO
3/20/1983 39 31-45 P JL. ASCEH
12/29/1952 70 ≥60 P JL. BROMO
9/6/1967 55 46-59 L JL. LETNAN SANYOTO
10/12/1979 43 31-45 L PERUM VILA GAJAH MADA
3/1/1970 52 46-59 P JL. MAWAR
6/30/1959 63 ≥60 P JL. NIAS 4
4/17/1964 58 46-59 P PERUM PURI CAMAR
11/13/1962 60 ≥60 P JL. MH TAMRIN
11/23/1988 34 31-45 L KRAJAN
3/30/1963 59 46-59 L JL. KYAI SALEH
1/11/1967 56 46-59 P JL. KALIMAS 2
3/29/1952 70 ≥60 P PERUM KEMBANGAN BARU
12/29/1969 53 46-59 P JL. UDANG WINDU 1
3/29/1964 58 46-59 P JL. ANGKLUNG CARUK
1/1/1959 64 ≥60 P JL. BENGAWAN 3
8/21/1968 54 46-59 P JL. BUNYU
11/1/1975 47 46-59 L JL. OPAK
2/22/1955 68 ≥60 P JL. GUMITIR 4
10/2/1980 42 31-45 L PERUM KEBALENAN
5/18/1968 54 46-59 P BEDEWANG 1
6/4/1964 58 46-59 L JL. IKAN SADAR
9/1/1985 37 31-45 P WELARAN
1/16/1985 38 31-45 L JL. KEPITING 3
5/28/1959 63 ≥60 L LUGONTO 3
5/9/1964 58 46-59 P LUGONTO 3
1/25/1990 33 31-45 L PERUM VILLA MUTIARA HIJAU
6/24/1968 54 46-59 P JL. MANGGIS
9/5/1967 55 46-59 P JL. KAPT WAROKA 5
3/12/1956 66 ≥60 L JL. ANDALAS
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

KESMAS SINGOTRUNAN
2

JENIS
NAMA TANGGAL VAKSIN PENTAHAPAN VAKSIN-3
"RW" "NAMA KELURAHAN PEKERJAA BPJS
KECAMATAN
N
(11) (12) (13) (14) (15) (16) (17) (18)

16 18 1/19/2022 1
16 20 1/19/2022 1
JAKARTA 1/19/2022 1
16 TUKANGKAYU 1/19/2022 1
16 PENGANJURAN 1/19/2022 1
16 18 1/19/2022 1
16 14 1/19/2022 1
16 TUKANGKAYU 1/19/2022 1
16 16 1/19/2022 1
GIRI 1/19/2022 1
1 16 12 1/19/2022 1
16 1/19/2022 1
16 13 1/19/2022 1
KABAT 1/19/2022 1
16 KEPATIHAN 1/19/2022 1
1 16 13 1/19/2022 1
JAKARTA 1/19/2022 1
4 16 TUKANGKAYU 1/19/2022 1
GIRI MOJOPANGGUNG 1/19/2022 1
3 16 16 1/19/2022 1
16 12 1/19/2022 1
16 13 1/19/2022 1
2 16 14 1/19/2022 1
16 1/19/2022 1
2 SONGGON 1/19/2022 1
16 KARANGREJO 1/19/2022 1
16 PENGANJURAN 1/19/2022 1
3 16 22 1/19/2022 1
2 ROGOJAMPI 1/19/2022 1
2 ROGOJAMPI 1/19/2022 1
16 KARANGREJO 1/19/2022 1
KABAT KALIREJO 1/19/2022 1
3 16 TUKANGKAYU 1/19/2022 1
16 14 1/19/2022 1
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
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16
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16
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16
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16
16
16
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16
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16
16
16
16
16
16
16
16
16
16
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16
16
16
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16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
 16
16
16

JELAS JELAS JELAS JELAS JELAS JELAS JELAS

 ALASAN MEREK
NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(19) (20) (21) (22) (23) (24)

FM7783 PFIZER 9 08532656144

FM7783 PFIZER 9 085233270961
FM7783 PFIZER 9
FM7783 PFIZER 9 081333740311
FM7783 PFIZER 9 082336611864
FM7783 PFIZER 9 082234047153
FM7783 PFIZER 9
FM7783 PFIZER 9 081358064401
FM7783 PFIZER 9 08125290606
FM7783 PFIZER 9 081234565970
FM7783 PFIZER 9 081357960543
FM7783 PFIZER 9 08123474669
FM7783 PFIZER 9 081234997222
FM7783 PFIZER 9 085399479447
FM7783 PFIZER 9 082334636107
FM7783 PFIZER 9 08124955125
FM7783 PFIZER 9 08787628834
FM7783 PFIZER 9 087806548435
FM7783 PFIZER 9 081252201730
FM7783 PFIZER 9 08124903379
FM7783 PFIZER 9 081336703740
FM7783 PFIZER 9 085101728876
FM7783 PFIZER 9 081336426082
FM7783 PFIZER 9 085258288371
FM7783 PFIZER 9 085204908150
FM7783 PFIZER 9 087755115843
FM7783 PFIZER 9 081216666521
FM7783 PFIZER 9
FM7783 PFIZER 9 081215761992
FM7783 PFIZER 9 081334902670
FM7783 PFIZER 9 085236674757
FM7783 PFIZER 9 081249104148
FM7783 PFIZER 9
FM7783 PFIZER 9
SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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 SINOVAC 9
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JELAS JELAS JELAS JELAS JELAS

 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510060405870002 BENY FERNANDO BANYUWANGI

2 3510166305930004 MELISA ANGGRAINI BANYUWANGI
3 3510150709670002 SAIFUL MUNIRI BANYUWANGI
4 3510162804660004 SLAMET IRIANTO BANYUWANGI
5 3510166508970004 AISYAH PUTRI AMSI BANYUWANGI
6 3510161107760006 SLAMET ALYADI BANYUWANGI
7 3510160107810074 ANDY HENDRATA BANYUWANGI
8 3510136111840004 RATIH DWI ASPRIYANTI BANYUWANGI
9 3510161205680009 MOHAMAD YAHYA BANYUWANGI
10 3510215205680012 W SUPRIHATINIGSIH BANYUWANGI
11 3523142009950003 M THOHA ISMAIL TUBAN
12 3510184511000001 ANISHA ASYURA JASMINE BANYUWANGI
13 3510165204620002 SRI ENDAH WAHYUNINGSIH NGANJUK
14 3510214604690003 WINARSIH BANYUWANGI
15 3510165007820009 PRASMARANI WIGATI BANYUWANGI
16 3510214409890004 MARIANA SARI BANYUWANGI
17 3510170206830002 HAIRUL WARITSIN BANYUWANGI
18 3510162104690001 DANANG PRIANDOKO BANYUWANGI
19 3510161408690003 AGUS SUGENG PANCOKO BANYUWANGI
20 3510165511730001 DWI HINDARTI LASMISARI BANYUWANGI
21 3510161308700006 MUHAMMAD SALIM B BANYUWANGI
22 3510165412820002 HUSNUL HOTIMAH BANYUWANGI
23 3510173112910004 ABD MUGHLIS BANYUWANGI
24 3510170309640001 WINDU SUBROTO BANYUWANGI
25 3510084207910007 RISTYA WARDHANI BANYUWANGI
26 3510162002670001 FARUQ USTADI JEMBER
27 3510175111690002 KHOMSATUN BANYUWANGI
28 3510166407870006 DINA FITRIYAH BANYUWANGI
29 3510184901850002 DEWI KUSUMAWATI BANYUWANGI
30 35101666806810004ROSY PURWATI BANYUWANGI
31 3510160408540003 BUDIONO BANYUWANGI
32 3510165407600004 NI MADE WATI DENPASAR
33 5171041502850002 TOPAN FEBRIYANTO BANYUWANGI
34 3510141510860002 HENKY KURNIAWAN BANYUWANGI
35 3510215301720005 SRI HARTATI BANYUWANGI
36 3510165008520010 RUMIATI BANYUWANGI
37 3510165608700003 SUSIANAH AGUSTIN BANYUWANGI
38 3510162105780004 ABDUL HARIS BANYUWANGI
39 UU-003U9 3510164307710005 BIBIT UTAMI BANYUWANGI
40 3510166102730006 ROHMANIYAH BANYUWANGI
41 UU-003U8 3510162807020006 DAFA ACHMAD A BANYUWANGI
42 3510215212700005 DIANA HANDAYANI BANYUWANGI
43 3510164309840008 HETI ENISKA BANYUWANGI
44 3510162512900003 DIDIK DWI PRAYOGO BANYUWANGI
45 3510166812820004 RIMA DWIYANTI BANYUWANGI
46 3510160209780005 RUDI IRAWAN MADIUN
47 3510166612800004 SANTI BANYUWANGI
48 UU-0O3UA3510166516630003 TITIK FANI ULIYAH BANYUWANGI
49 3510214910860007 INDAH ANNISA MUFRIHAH BANYUWANGI
50 3510162212750001 KUSRIONO NGANJUK
51 3510065009970003 RULIN SETIAWATI BANYUWANGI
52 U-0000DIE 3510144305950001 RIZKI BANYUWANGI
53 U-0000V7 3510086105970001 DAYU ANGGRAINI BANYUWANGI
54 U-0000UDA3510076803910001 SITI NUZULUL QURNIANIYAH BANYUWANGI
55 3510165212670005 MUAWANAH BANYUWANGI
56 3510161010630007 SAI BANYUWANGI
57 3510176302850001 LUH TITIS SISWOYO BANYUWANGI
58 3510214912620001 SRI BUDININGSIH BANYUWANGI
59 3510161801980002 MOH YANU ADIWANWAR BANYUWANGI
60 3510162606680004 DWI SASONGKO BANYUWANGI
61 3510162903900002 AFRIENDY HARYO WIJAYA AMBON
62 UU-OO3U 3510165109710002 SUTRANINGTYAS BANYUWANGI
63 3510160505670005 MISLAN BANYUWANGI
64 3510161508690001 SUPRIYANTO BANYUWANGI
65 3510164305770008 NURHARINI BANYUWANGI
66 3510217108770003 YETTI ISMAWATI BANYUWANGI
67 3510081401900002 DENY SETYAWAN BANYUWANGI
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
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103
104
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107
108
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113
114
115
116
117
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119
120
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122
123
124
125
126
127
128
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131
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135
136
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140
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162
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166
167
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172
173
174
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176
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179
180
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182
183
184
185
186
187
188
189
190
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192
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195
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197
198
199
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201
202
203
204
205
206
207
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209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
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253
254
255
256
257
258
259
260
261
262
263
264
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266
267
268
269
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271
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273
274
275
276
277
278
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280
281
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286
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288
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296
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303
304
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306
307
308
309
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311
312
313
314
315
316
317
318
319
320
321
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323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
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346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
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363
364
365
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367
368
369
370
371
372
373
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380
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382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 20-1-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT"
KELAMIN"

(5) (6) (7) (8) (9)

5/4/1987 35 31-45 L PERUM GRIYA PESONA KARANGREJO

5/23/1993 29 18-30 P KROBOKAN
9/7/1967 55 46-59 L DSN JOYOSARI
4/28/1966 56 46-59 L JL BANGKA NO 24
8/25/1997 25 18-30 P PERUM KEBALENAN
7/11/1976 46 46-59 L JL RIAU KROBOKAN
7/1/1981 41 31-45 L PERUM KERTOSARI ASRI
11/21/1984 38 31-45 P JL TERNATE 24
5/12/1968 54 46-59 L JL BENGAWAN 36
3/12/1968 54 46-59 P LINGK SUKOWIDI
9/20/1995 27 18-30 L JL KOLONEL SUGIONO
11/5/2000 22 18-30 P JL RAYA SITUBONDO NO 71
4/12/1962 60 ≥60 P JL TRUNOJOYO GG AL HILAL 46E
4/6/1968 54 46-59 P PERUM VILLA SUKOWIDI BLOK MB II
7/10/1982 40 31-45 P JL BOROBUDUR GG III NO 116
9/4/1989 33 31-45 P PERUM GRAHA BLAMBANGAN
6/2/1983 39 31-45 L JL BOROBUDUR GG III NO 116
4/21/1969 53 46-59 L PERUM SOBO INDAH PERMAI BLOK A/8
8/14/1969 53 46-59 L JL PRAMBANAN NO 20
11/15/1973 49 46-59 P PERUM DINAS PKBR
8/13/1970 52 46-59 L PERUM GRIYA PERMATA HUSADA
12/14/1982 40 31-45 P JL IJEN GG SRAWET
12/31/1991 31 31-45 L DSN LEBAK
9/3/1964 58 46-59 L PERUM PERMATA GIRI DC 09
7/2/1991 31 31-45 P JL TUNGGUL AMETUNG GG IV NO 1205
2/20/1967 56 46-59 L JL IJEN 53
11/11/1969 53 46-59 P LINGK PERUM PERMATA GIRI BLOK DE 2
7/24/1987 35 31-45 P PERUM VILLA ASRI
1/9/1985 38 31-45 P JL TUNGGUL AMETUNG GG IV NO 1205
6/28/1981 41 31-45 P
8/4/1954 68 ≥60 L KJL KEPITING 7B
7/14/1960 62 ≥60 P JL KEPITING 7B
2/15/1985 38 31-45 L PERUM GARUDA REGENCY C 01
10/15/1986 36 31-45 L DSN KRAJAN
4/13/1972 50 46-59 P JL YANIMULYO
8/10/1952 70 ≥60 P JL BATUR NO 11
8/16/1970 52 46-59 P JL MENDUT GG XIV NO 28
 5/21/1978 44 31-45 L JL GUNUNG BATUR
7/3/1971 51 46-59 P JL RINJANI NO 11
2/21/1973 49 46-59 P JL IJEN
7/28/2002 20 18-30 L JL BRIGEN KATAMSO
12/12/1970 52 46-59 P JL JEMBRANA
9/3/1984 38 31-45 P PERUM CITRA PESONA INDAH III
12/25/1990 32 31-45 L JL KARIMUN JAWA
12/28/1982 40 31-45 P JL IKAN HIU
4/2/1978 44 31-45 L JL JENDERAL SUDIRMAN
12/28/1980 42 31-45 P JL JENDERAL SUDIRMAN
11/25/1963 59 46-59 P JL PROGO
10/9/1986 36 31-45 P SUKOWIDI
12/22/1975 47 46-59 L PERUM PAKIS ASRI
9/10/1997 25 18-30 P DSN KRAJAN
5/3/1995 27 18-30 P DSN KRAJAN
5/1/1997 25 18-30 P DSN KRAJAN WETAN
3/28/1991 31 31-45 P DSN SUMBEREJO
12/12/1967 55 46-59 P JL KH AGUS SALIM
10/10/1963 59 46-59 L JL GUNUNG IJEN
2/23/1985 37 31-45 L JL BOGOWONTO
12/9/1962 60 ≥60 P PERUM BWI BARU
1/18/1998 25 18-30 L JL SUMBING
6/26/1968 54 46-59 L JL IKAN CAKALANG
3/29/1990 32 31-45 L JL MOJOPAHIT
9/11/1971 51 46-59 P DSN KRJAN
5/5/1967 55 46-59 P JL IJEN
8/15/1969 53 46-59 L JL IKAN KERANG
5/3/1977 45 31-45 P JL BASUKI RAHMAT
8/31/1977 45 31-45 P JL BROMO
1/14/1990 33 31-45 L BAGOREJO
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS

KESMAS SINGOTRUNAN

NAMA JENIS
"RT" "RW" KECAMATA "NAMA KELURAHAN PEKERJAA BPJS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3
N N
(10) (11) (12) (13) (14) (15) (16) (17) (18)

16 8 1/20/2022 1
1 2 16 23 1/20/2022 1
5 1 17 1/20/2022 1
4 1 16 12 1/20/2022 1
1 1 16 22 1/20/2022 1
2 2 16 23 1/20/2022 1
1/20/2022 1
3 2 16 12 1/20/2022 1
1 3 16 16 1/20/2022 1
1 2 21 91 1/20/2022 1
1/20/2022 1
1/20/2022 1
16 22 1/20/2022 1
21 91 1/20/2022 1
16 18 1/20/2022 1
5 3 17 1/20/2022 1
16 18 1/20/2022 1
1/20/2022 1
1 2 16 18 1/20/2022 1
16 14 1/20/2022 1
1/20/2022 1
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JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS

 ALASAN MEREK
NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(19) (20) (21) (22) (23) (24)

FM7783 PFIZER 9
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JELAS JELAS JELAS JELAS JELAS

 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510166001730002 ARI USTIYANI BANYUWANGI

2 3510202604940005 ANAS ANSORI BANYUWANGI
3 3510201712820002 MUHAMAD NAUFAL M BANYUWANGI
4 3510165502950007 RIANI ANDRE FEBRI SAFITRI BANYUWANGI
5 3510160506930001 ABDUL WAHID BANYUWANGI
6 3510162305630003 HARSONO BANYUWANGI
7 3510176006650002 SRI RAHAYU BANYUWANGI
8 351016450984004 ISMI AROFAH BANYUWANGI
9 3510161907980010 ARIEF YUDI SETIAWAN BANYUWANGI
10 3510166609610002 SUHARTATIK BANYUWANGI
11 3510172003950002 HUSNUL A BANYUWANGI
12 3510200905890001 MEIDIAN FAUZI MUBAROK BANYUWANGI
13 3510164807700002 FATMA YULIANDARI BANYUWANGI
14 3510165409620001 WIDAYATI BANYUWANGI
15 3510164405800006 MERI INDRIANA BANYUWANGI
16 35101617056901001RUSTAMAJI BANYUWANGI
17 3510166803680002 IDHA FATMAWATI BANYUWANGI
18 3510156208640001 MARIA ULFA BANYUWANGI
19 3510166812630001 SUSWATI BANYUWANGI
20 3510160803800004 DWI ANDRIYANTO BANYUWANGI
21 3510215903650006 MIMIK HARNINGSIH BANYUWANGI
22 3510156001810001 YENNI RACHMAWATI BANYUWANGI
23 3510165311720001 MASTUROH BANYUWANGI
24 3510162708850002 MOH SOIM BANYUWANGI
25 3510165105740005 LINA KAMALIN BANYUWANGI
26 3510162401810010 ARI BASTIAH BANYUWANGI
27 3510164410830001 SYLVIA NUISHYA ANGGRAENI BANYUWANGI
28 3510162202640003 FADIANTORO BANYUWANGI
29 3510161907900010 ARIEF YUDI SETIAWAN BANYUWANGI
30 3510164808690003 DURATUL YATIMAH BANYUWANGI
31 3510215206660004 LILIK SUDARNENI TULUNGAGUNG
32 3510104912950002 RIMA DELLAVIA BANYUWANGI
33 3510164701960001 DWI KHRISNAWATI BANYUWANGI
34 3510160611640002 SUMADI BANYUWANGI
35 3510161107730003 MUHAMMAD HAFRIZAL BANYUWANGI
36 3510172808650001 AKHMAD ZAYIN BANYUWANGI
37 3510166909780001 RIVA SEPTIARINA BANYUWANGI
38 3510162607790005 AGENG PRIYANTO BANYUWANGI
39 3510165105740007 NURMAINI RAHMANIAH BANYUWANGI
40 3510132204940002 FAESAL KOMARI BANYUWANGI
41 3510156312860005 IQRIMA BANYUWANGI
42 3510165107530001 MUNAWAROH JEMBER
43 3510164312810004 EKA PUJI ASUTI BANYUWANGI
44 3510164104680011 ARNI BANYUWANGI
45 3510174101830006 LAELA WULANDARI BANYUWANGI
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KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 24-1-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

1/20/1973 50 46-59 P JL MERAPI NO 2 1

4/26/1994 28 18-30 L DSN TEGAL PAKIS 4
12/17/1982 40 31-45 L DSN PANJEN 1
2/15/1995 28 18-30 P KARIMUN JAWA GG MANGGIS 47
6/5/1993 29 18-30 L JL KH ABDUL WAHID NO 30 1
5/23/1963 59 46-59 L KJL KALIMAS NO 22 2
6/20/1965 57 46-59 P JL MAWAR 67A 1
9/5/1984 38 31-45 P JL KYAI SALEH 37 2
7/19/1990 32 31-45 L PERUM GRIYA DADAPAN INDAH
9/26/1961 61 ≥60 P JL BROMO 15 1
3/28/1995 27 18-30 P JL IKAN
5/9/1989 33 31-45 L JL AIRLANGGA 1 2
7/8/1970 52 46-59 P JL BHRE WIRABUMI 14
9/14/1962 60 ≥60 P JL SAWO INDAH NO 11
1/4/1980 43 31-45 P PERUM GPH BLOK I II
5/17/1969 53 46-59 L SOBO
3/28/1966 56 46-59 P JL IKAN TOMBRO 29
8/22/1964 58 46-59 P GLAGAH
12/28/1963 59 46-59 P JL SIDOPEKSO NO 14
3/8/1980 42 31-45 L GIRI
3/19/1965 57 46-59 P JL YOS SUDARSO 127
1/20/1981 42 31-45 P GLAGAH
11/13/1972 50 46-59 P JL NIAS NO 9B
8/27/1985 37 31-45 L PESUCEN
5/11/1974 48 46-59 P PERUM WISMA MUKTI B 6
1/24/1981 42 31-45 L JL LAWU 2
10/4/1983 39 31-45 P JL IKAN WIJINONGKO 1
2/22/1964 59 46-59 L JL MH THAMRIN 3
7/19/1990 32 31-45 L PERUM GRIYA DADAPAN INDAH
8/8/1969 53 46-59 P JL BENGAWAN 1
6/20/1966 56 46-59 P PERUM GGM C14
12/9/1995 27 18-30 P DSN TULUNGREJO 3
1/7/1996 27 18-30 P KEBALENAN
11/6/1964 58 46-59 L JL IKAN LEMURU
7/11/1973 49 46-59 L JL PROGO
8/28/1965 57 46-59 L PAYAMAN 2
9/29/1970 52 46-59 P JL CILIWUNG
 7/26/1979 43 31-45 L KAMPUNG MELAYU
5/11/1974 48 46-59 P JL KARIMUN JAWA 1
4/22/1994 28 18-30 L PERUM BUKIT MAS 4
12/23/1986 36 31-45 P JL KH HARUN NO 20 2
7/11/1953 69 ≥60 P JL NIAS 3
12/3/1981 41 31-45 P PENGANJURAN
4/1/1968 54 46-59 P JL BASUKI RAHMAT
1/1/1983 40 31-45 P LING WATU ULO 2
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

9 PUSKESMAS SINGOTRUNAN
4-1-22

JENIS
"RW" NAMA KECAMATAN "NAMA KELURAHAN PEKERJAA BPJS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3
N
(11) (12) (13) (14) (15) (16) (17) (18)

3 16 14 1/24/2022 1
5 KALIBARU 1/24/2022 1
2 JAMBEWANGI 1/24/2022 1
16 12 1/24/2022 1
2 16 KERTOSARI 1/24/2022 1
1 16 13 1/24/2022 1
3 17 47 1/24/2022 1
1 16 1/24/2022 1
1/24/2022 1
3 16 14 1/24/2022 1
16 8 1/24/2022 1
2 16 20 1/24/2022 1
16 10 1/24/2022 1
1/24/2022 1
1/24/2022 1
16 20 1/24/2022 1
16 8 1/24/2022 1
1/24/2022 1
16 11 1/24/2022 1
17 1/24/2022 1
21 91 1/24/2022 1
1/24/2022 1
16 12 1/24/2022 1
1/24/2022 1
1/24/2022 1
3 16 14 1/24/2022 1
3 16 22 1/24/2022 1
5 16 13 1/24/2022 1
1/24/2022 1
1 16 16 1/24/2022 1
21 91 1/24/2022 1
1 11 68 1/24/2022 1
16 22 1/24/2022 1
1/24/2022 1
16 16 1/24/2022 1
2 17 47 1/24/2022 1
16 15 1/24/2022 1
 16 10 1/24/2022 1
4 16 12 1/24/2022 1
1 13 1/24/2022 1
2 16 19 1/24/2022 1
1 16 12 1/24/2022 1
16 17 1/24/2022 1
16 1/24/2022 1
2 15 1/24/2022 1
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
 16
16
16

JELAS JELAS JELAS JELAS JELAS JELAS JELAS

NO BATCH ALASAN TIDAK MEREK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(19) (20) (21) (22) (23) (24)

FM 7783 PFIZER 9 08123484419

FM 7783 PFIZER 9 082191329533
FM 7783 PFIZER 9 08113395595
FM 7783 PFIZER 9 085335265223
FM 7783 PFIZER 9 085335859350
FM 7783 PFIZER 9 085234683863
FM 7783 PFIZER 9 085236434520
FM 7783 PFIZER 9 085330197745
FM 7783 PFIZER 9 082301119603
FM 7783 PFIZER 9 081249095060
FM 7783 PFIZER 9 08234818245
FM 7783 PFIZER 9 087895250590
FM 7783 PFIZER 9 081933019720
FM 7783 PFIZER 9
FM 7783 PFIZER 9 085235755712
FM 7783 PFIZER 9
FM 7783 PFIZER 9 081249481064
FM 7783 PFIZER 9
FM 7783 PFIZER 9
FM 7783 PFIZER 9
FM 7783 PFIZER 9
FM 7783 PFIZER 9
FM 7783 PFIZER 9 081338179788
FM 7783 PFIZER 9
FM 7783 PFIZER 9
FM 7783 PFIZER 9 0852343740000
FM 7783 PFIZER 9 085236442042
FM 7783 PFIZER 9 085203045954
FM 7783 PFIZER 9
FM 7783 PFIZER 9 081336194384
FM 7783 PFIZER 9 085258033122
FM 7783 PFIZER 9
FM 7783 PFIZER 9 085859029177
FM 7783 PFIZER 9 081252892999
FM 7783 PFIZER 9 081336910396
FM 7783 PFIZER 9 085236100651
FM 7783 PFIZER 9 081232845436
FM 7783 PFIZER 9
FM 7783 PFIZER 9 08123490422
FM 7783 PFIZER 9 085330771487
FM 7783 PFIZER 9 082334859454
FM 7783 PFIZER 9
FM 7783 PFIZER 9
FM 7783 PFIZER 9 085204991350
FM 7783 PFIZER 9
FM 7783 PFIZER 9
FM 7783 PFIZER 9
FM 7783 PFIZER 9
FM 7783 PFIZER 9
FM 7783 PFIZER 9
FM 7783
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
 SINOVAC 9
SINOVAC 9
SINOVAC 9

JELAS JELAS JELAS JELAS JELAS

 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510165212640001 HJ. ZAKIYAH BANYUWANGI

2 3506186011850001 ESTHA YESSICA ERWINDRIANTI BANYUWANGI
3 3510161211890003 I PUTU INDRA WIJAYA PROBOLINGGO
4 3510161209690004 NURSAMSI BANYUWANGI
5 3510166205610001 HJ. NURCAHYANI DWI ISTINA BANYUWANGI
6 3510161007600003 BAMBANG HERMANTO BANYUWANGI
7 3510166481260001 RINI HASTUTI BANYUWANGI
8 3510166007000006 NIANG PRADITA BANYUWANGI
9 3510167005870005 FITRIA GUNAWATI BANYUWANGI
10 3510214605780004 RINA ASMARANI BANYUWANGI
11 3510164704610001 ENDRI KUSTININGSIH BANYUWANGI
12 3510162105750001 MUHAMAD WAHYUDI BANYUWANGI
13 3510175601660002 MITA SIHPANGLIPUR BANYUWANGI
14 3510161212640002 KADIMAN KEDIRI
15 3510140406730004 ABDUL HAYI BANYUWANGI
16 3510164201650002 SITI MUKHOLIDA BANYUWANGI
17 3510161408620003 HARSONO BANYUWANGI
18 3510164704650001 DRA. BAROROTIN BANYUWANGI
19 3510166706600001 PUDJI HARTATIK BANYUWANGI
20 3510164101840015 ROBBIYATUL MUNAWAROH BANYUWANGI
21 3510162801830003 ERY HENDRATA BANYUWANGI
22 3510160611730004 BUDI SETYAWAN BANYUWANGI
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
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149
150
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152
153
154
155
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159
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161
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163
164
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167
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171
172
173
174
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218
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263
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300
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303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
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342
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344
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346
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348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
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380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL :

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

12/12/1964 58 46-59 P JL. IKAN LAYUR 4 1

11/20/1985 37 31-45 P PERUM ADIMAS GAJAH MADA
11/12/1989 33 31-45 L JL. SRIWIJAYA
9/12/1969 53 46-59 L PERUM SOBO INDAH
5/22/1961 61 ≥60 P JL. RINJANI
7/10/1960 62 ≥60 L JL. YOS SUDARSO
12/8/1960 62 ≥60 P JL. DOHO
7/20/2000 22 18-30 P JL. NIAS
5/30/1987 35 31-45 P PERUM GRIYA PERMATA HUSADA
5/6/1978 44 31-45 P VILLA BUKIT MAS
4/7/1961 61 ≥60 P JL. RA KARTINI
5/21/1975 47 46-59 L JL. IKAN CAKALANG
1/16/1966 57 46-59 P JL. KOPENBAYAN
12/12/1964 58 46-59 L JL. BRIGJEN KATAMSO
6/4/1973 49 46-59 L
1/2/1965 58 46-59 P JL. IKAN SULIR
8/14/1962 60 ≥60 L JL. SIDOPEKSO 3 1
4/7/1965 57 46-59 P JL. MENDUT
6/27/1960 62 ≥60 P JL. DI PANJAITAN
1/1/1984 39 31-45 P JL ABDULLAH
1/28/1983 40 31-45 L JL. IKAN LEMURU
11/6/1973 49 46-59 L PERUM GRIYA PERMATA HUSADA
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

GOTRUNAN

NAMA JENIS ALASAN

KECAMATA "NAMA KELURAHAN PEKERJAA BPJS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH TIDAK
N N TERVAKSIN

(12) (13) (14) (15) (16) (17) (18) (19) (20)

16 20 1/25/2022 1 FM 7783
17 46 1/25/2022 1 FM 7783
16 24 1/25/2022 1 FM 7783
16 20 1/25/2022 1 FM 7783
16 14 1/25/2022 1 FM 7783
21 91 1/25/2022 1 FM 7783
16 18 1/25/2022 1 FM 7783
16 12 1/25/2022 1 FM 7783
16 13 1/25/2022 1 FM 7783
17 47 1/25/2022 1 FM 7783
16 1/25/2022 1 FM 7783
16 8 1/25/2022 1 FM 7783
17 47 1/25/2022 1 FM 7783
16 1/25/2022 1 FM 7783
16 1/25/2022 1 FM 7783
16 20 1/25/2022 1 FM 7783
16 11 1/25/2022 1 FM 7783
16 18 1/25/2022 1 FM 7783
16 23 1/25/2022 1 FM 7783
1/25/2022 1 FM 7783
16 19 1/25/2022 1 FM 7783
16 13 1/25/2022 1 FM 7783
16
16
16
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16
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 16
16
16

JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS

MEREK FASKES NO.HP KETERANGAN
VAKSIN

(21) (22) (23) (24)

PFIZER 9
PFIZER 9 085785848822
PFIZER 9 081336494664
PFIZER 9 081330910119
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9 085933348709
PFIZER 9 081249992801
PFIZER 9 081230824939
PFIZER 9 081249943076
PFIZER 9 08531043989
PFIZER 9 081358614197
PFIZER 9 081259148500
PFIZER 9 082332600544
PFIZER 9
PFIZER 9 081934774648
PFIZER 9 081249518383
PFIZER 9 081358654337
PFIZER 9 085235120333
PFIZER 9 082332818528
PFIZER 9 082131243940
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
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SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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SINOVAC 9
SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9

JELAS JELAS JELAS

 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR" UMUR
I
(1) (2) (3) (4) (5) (6)

1 3510166607810001 EKA PUSPITASARI BANYUWANGI 7/26/1981 41

2 3510161407770002 DWI SOEKARNO BANYUWANGI 7/14/1977 45
3 3510166104650011 HIKMAH BANYUWANGI 4/21/1965 57
4 3510161606570004 WIJIANTO WINOTO BANYUWANGI 6/16/1957 65
5 3510141311770002 WHISNU ARIEF PRASETYOBANYUWANGI 11/13/1977 45
6 3510162308960001 BENYAMIN WIJAYA BANYUWANGI 8/23/1996 26
7 3510165612850004 RESMI DWI ATMINI BANYUWANGI 12/16/1985 37
8 3510210709090006 MUHAMAT RAMADHAN BANYUWANGI 9/9/1990 32
9 3510160712680003 ABD ROSYID BANYUWANGI 12/7/1968 54
10 351017670890002 RIDHA TANSILIA BANYUWANGI 6/27/1988 34
11 3510166805620001 LILIK SEKAR NURLIKA BANYUWANGI 5/28/1962 60
12 3510167006960016 UMI MALIKAH BANYUWANGI 6/30/1996 26
13 [3510160410890004 RENDY SINGGIH SAPUTRABANYUWANGI 10/4/1989 33
14 3510164104660001 HARIYANI BANYUWANGI 4/1/1966 56
15 3510160809850004 SIGIT SUDARMANTO BANYUWANGI 9/8/1985 37
16 3510224804920003 FITRIA FATMAWATI BANYUWANGI 4/8/1992 30
17 3510166908620001 LUWISA SARLOTA BANYUWANGI 8/29/1962 60
18 3510217004900004 GUSTI SAYU PUTU APRILLIA TBANYUWANGI 4/30/1990 32
19 3515185802830001 HAPPY FITRI ROHMAWATI BANYUWANGI 2/18/1983 40
20 3510167000970001 WILLIAM WIJAYA BANYUWANGI 8/30/1997 25
21 3510174902820002 UMMI KULSUM BANYUWANGI 2/9/1982 41
22 3518110701950001 MUHAMMAD ARFIAN ARBAIBANYUWANGI 1/1/1994 29
23 3510150203710002 TAHYAT BANYUWANGI 3/2/1971 51
24 3510166812690001 WILIS TRIANA BANYUWANGI 12/28/1969 53
25 3510161705950001 MOCH AINUN NAJIB ADITYABANYUWANGI 5/17/1995 27
26 3510150209620004 IDA BAGUS KOMPIANG DENPASAR 9/2/1962 60
27 3510165506870009 NUR CHOTIMAH BANYUWANGI 6/15/1987 35
28 3510165607980001 DISYE PRATISTIANA DEWI BANYUWANGI 7/16/1998 24
29 3510162707800004 ROFIAN WAHYU HIDAYAT BANYUWANGI 7/27/1980 42
30 3510162306780005 NIOCH IKROM BANYUWANGI 6/23/1978 44
31 3510161010680014 SYAFIK UDDIN JEMBER 10/10/1988 34
32 3510161309500003 AMANDAS WINSTON M BANYUWANGI 9/13/1950 72
33 123
34 123
35 123
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 398 123
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KETERANGAN
JELAS JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 27-1-22

KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" NAMA KECAMATAN "NAMA KELURAHAN
KELAMIN"

(7) (8) (9) (10) (11) (12) (13)

31-45 P JL AGUNG WILIS NO 10 16 11

31-45 L LINGK GENTENGAN 3 3 16 16
46-59 P JL BENGAWAN 3 3 16 16
≥60 L JL BASUKI RAHMAT
31-45 L PERUM MUTIARA HIJAU BLOK 4 2 16 8
18-30 L JL JEND SUDIRMAN
31-45 P JL KAPTEN ILYAS 22
31-45 L GG LOMBOK 21 91
46-59 L LINGK GENTENGAN 3 3 16 16
31-45 P JL HOS COKROAMINOTO 4 3 17 52
≥60 P JL MUSI NO 107E
18-30 P JL IKAN PAUS NO 35 16 8
31-45 L JL UDANG WINDU NO 25
46-59 P JL RANGGAWUNI 3 1 16 22
31-45 L JL IKAN BEDUL 4 3 16 8
18-30 P DSN SELOAGUNG 4 1 SILIRAGUNG
≥60 P JL IKAN KEMBANG WARU NO 29
31-45 P JL SUTAWIJAYA
31-45 P KRAJAN 3 1 15 53
18-30 L JL JENDERAL SUDIRMAN
31-45 P KRAJAN
18-30 L KLATAK 21 91
46-59 L DSN KRAJAN 4 2 15 56
46-59 L JL MERBABU 1 4 16 13
18-30 L JL UDANG WINDU 1 4 16 19
≥60 P JL WIDURI 4 1 15 53
31-45 P JL LUSI 16 9
18-30 P JL MH THAMRIN 5 1 16 13
31-45 L JL AGUNG WILIS 2 2 16 11
31-45 L
31-45 L JL BUNYU 3 1 16 12
≥60 P JL MUSI 2 2 16 17
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
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≥60
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≥60
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≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
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≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16
≥60 16

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

 JENIS ALASAN
TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH TIDAK MEREK FASKES
PEKERJAA BPJS VAKSIN
N TERVAKSIN

(14) (15) (16) (17) (18) (19) (20) (21) (22)

1/27/2022 1 FM7783 PFIZER 9

1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
9 1/27/2022 1 FM7783 PFIZER 9
3 1/27/2022 1 FM7783 PFIZER 9
19 1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
1/27/2022 1 FM7783 PFIZER 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
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SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
 SINOVAC 9
SINOVAC 9
SINOVAC 9

JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS

 NO.HP KETERANGAN

(23) (24)

081259964515
085258070789
087868789653
085102731052
08123499347

085888007709

081336063231
082264447427
082131955804
085792448636
082247311347
085761832965

085234392854
081232394060
081232995518
082135865772

081342040129

085258811585
08123264649
089509329720
081358205324
082143250087

081245870043
085236855051
085736585859
JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP"
I
(1) (2) (3)

1 3510140511760002 HAIRUL ANAM

2 3510211202780002 WIWIT SUGIANTO
3 3510145505660003 DJUMARTI
4 3510212509960002 SUKIONO
5 3510163108520003 YOHANES VAPTISTA HIANG PURNAMA
6 3510163012750003 KALILA SAPUTRA
7 3510160107640069 SUMARDI
8 3510164404660001 MARWIYAH
9 3510164211810009 WAHYU NURLITA SARI
10 3371025904490001 KUSUMA PERTIWI
11 3510160109750000 UMAR HADI WALUYO
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
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29
30
31
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38
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 83
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128
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172
173
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212
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214
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216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
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234
235
236
237
238
239
240
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242
243
244
245
246
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248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
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279
280
281
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284
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287
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289
290
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293
294
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296
297
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300
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302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
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377
378
379
380
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382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 31-1-22

UMUR KELOMPOK "JENIS

"TMPT_LHR" "TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(4) (5) (6) (7) (8) (9) (10)

BANYUWANGI 11/5/1976 46 46-59 L JL DURIAN N0 7 6

BANYUWANGI 2/12/1978 45 31-45 L SUKOWIDI 1
BANYUWANGI 5/15/1966 56 46-59 P JL S PARMAN 1
BANYUWANGI 9/25/1996 24 18-30 L DSN PANCORAN
BANYUWANGI 8/31/1952 70 ≥60 L JL DOHO
BANYUWANGI 12/30/1975 47 46-59 L JL KH WAHID HASYIM 3
JEMBER 7/1/1964 58 46-59 L JL LETJEN S HARIYONO 1
BANYUWANGI 4/4/1966 56 46-59 P JL IKAN LAYUR
BANYUWANGI 11/2/1981 41 31-45 L PERUM BANYUWANGI BARU
BANYUWANGI 4/19/1949 73 ≥60 P GPH
BANYUWANGI 9/1/1975 47 46-59 L JL BRIGJEN KATAMSO
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

ESMAS SINGOTRUNAN

NAMA JENIS
"RW" KECAMATA "NAMA KELURAHAN PEKERJAA BPJS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
N N
(11) (12) (13) (14) (15) (16) (17) (18) (19)

3 14 76 12/31/2022 1 FM7783
3 21 91 12/31/2022 1 FM7783
1 16 24 12/31/2022 1 FM7783
13 12/31/2022 1 FM7783
16 14 12/31/2022 1 FM7783
1 16 17 12/31/2022 1 FM7783
1 16 141 12/31/2022 1 FM7783
16 8 12/31/2022 1 FM7783
16 17 12/31/2022 1 FM7783
16 13 12/31/2022 1 FM7783
16 12/31/2022 1 FM7783
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
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16
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16
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16
16
16
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16
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16
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16
16
16
16
16
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JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS

 ALASAN MEREK
TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(20) (21) (22) (23) (24)

PFIZER 087857317774
PFIZER
PFIZER 081336729098
PFIZER 081973248811
PFIZER
PFIZER 082331100560
PFIZER 0822334492562
PFIZER 081246771396
PFIZER 082264371649
PFIZER 081328126020
PFIZER
SINOVAC 9
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SINOVAC 9
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 SINOVAC 9
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SINOVAC 9

JELAS JELAS JELAS JELAS

 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP"
I
(1) (2) (3)

1 3578155302800004 MEGAWATI SUTANTO

2 3510165211480001 NARMI
3 3510162712860004 DEDY SETIAWAN
4 3510211705860001 ROBBY FIRMANSYAH
5 3510175501720001 YATI MUSTIKA
6 3376025812790006 SITI SOFIATI
7 3510166909690007 MOENADIFAH
8 3510162002650004 DJUANG PRIBADI
9 3510214902800008 VERONICA IMELDA P
10 3510212300790003 DANIEL HALIM
11 3510061010690001 SLAMET SUPRIYADI
12 3510160308860002 RADITYA CHANDRA GUNAWAN
13 520113030660001 EDY SUHARTONO
14 3510165903670002 WIDIJAWATI PRAMOEDEWI
15 3510165006560002 YANI GUNAWAN
16 3510166509750006 SRI INDRASTUTI
17 3510165908900008 FIDIA WULANDARI
18 3510165011790011 NOVIANTI AYU NASTITI
19 3510156803900001 DYAH MARTA RACHMAWATI
20 3510160104770007 SYAIFUR RAHMAN A
21 3510165707670002 YUSRONIYAH
22
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KETERANGAN
JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SIN
TANGGAL : 3-2-22

UMUR KELOMPOK "JENIS

"TMPT_LHR" "TGL_LHR" UMUR KELAMIN"

(4) (5) (6) (7) (8)

BANYUWANGI 2/13/1980 43 31-45 P

BANYUWANGI 11/12/1948 74 ≥60 P
BANYUWANGI 12/27/1986 36 31-45 L
BANYUWANGI 5/17/1986 36 31-45 L
BANYUWANGI 1/15/1972 51 46-59 P
BANYUWANGI 12/18/1979 43 31-45 P
BANYUWANGI 9/29/1969 53 46-59 P
JEMBER 2/20/1965 58 46-59 L
BANYUWANGI 2/9/1980 43 31-45 P
BANYUWANGI 6/23/1979 43 31-45 L
BANYUWANGI 10/10/1969 53 46-59 L
BANYUWANGI 8/3/1986 36 31-45 L
BANYUWANGI 6/5/1960 62 ≥60 L
BANYUWANGI 3/19/1967 55 46-59 P
BANYUWANGI 6/10/1956 66 ≥60 P
BANYUWANGI 9/25/1975 47 46-59 P
BANYUWANGI 8/19/1990 32 31-45 P
BANYUWANGI 11/10/1979 43 31-45 P
BANYUWANGI 3/28/1990 32 31-45 P
BANYUWANGI 4/1/1977 45 31-45 L
BANYUWANGI 7/17/1967 55 46-59 P
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS

LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 3-2-22

NAMA
"ALAMAT" "RT" "RW" KECAMATA "NAMA KELURAHAN
N
(9) (10) (11) (12) (13)

LINGK KALIPURO ASRI B-5 NO 8 21 95

JL BENGAWAN GG KENANGA NO 2 16 14
JL BELITUNG GG II NO 47A 16 12
PERUM SUKOWIDI INDAH RESIDENCE BLOK 101 21 91
JL LETKOL ISTIQLA 159 16 16
KLATAK 4 6 21 91
JL CITARUM NO 1
JL LETKOL ISTIQLAH NO 66 16 16
HOTEL KETAPANG INDAH 21 92
HOTEL KETAPANG INDAH 21 92

JL BRANTAS NO 7 16 13
BTN PENGANTIGAN 16 13
JL KUTAI 10
JL BANTERANG 16 10
JL LETNAN SULAIMAN 2 2 16 20
JL GUNUNG IJEN NO 66 16 14
JL AGUNG WILIS 35 16 11
KJL IKAN LAYUR
JL KOPRAL SANUSI NO 20
JL IKAN PAUS
16
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 16
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JELAS JELAS JELAS JELAS JELAS

 JENIS ALASAN
TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH TIDAK MEREK FASKES
PEKERJAA BPJS VAKSIN
N TERVAKSIN

(14) (15) (16) (17) (18) (19) (20) (21) (22)

2/3/2022 1 FM7783 PFIZER 9

2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
2/3/2022 1 FM7783 PFIZER 9
SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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SINOVAC 9
 SINOVAC 9
SINOVAC 9
SINOVAC 9

JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS

 NO.HP KETERANGAN

(23) (24)

0813333000025
08113601196
085258906268
082264119192
081249323241
081567605007
081216227107
082244095805

81232829490
081252190789
082331121384
08522241581
082234567395
0811358
081234752597
082232588114
081234881788
085850995531
081336175185
JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP"
I
(1) (2) (3)

1 3510210507970003 SANDI ARI KUSUMO

2 3510160202690004 DARMALILI KOSASI
3 5201132104880001 ARDY APRILLIAN S
4 3510144309750003 DIAN RAHMA INAYATI
5 3510202608930002 MISBAHUL MUNIR
6 3510200404870006 IMAM ROBANI
7 351016162590001 ISMAIL
8 3301186708910002 VINA INDRIANA
9 3510160207640003 DRS. RONIADI DWI ANANTA
10 3510165607800002 KRESYANA PUJI
11 3510166204920001 SIAN LUISKARLISA
12 3510176212810002 YULIA HANDAYANI
13 3510164612900003 MIKE NATALIA KRISTANTI
14 3510165503910002 AYU DEWI SAFITRI
15 3510160607920001 GARIA DEWATA PUTRA
16 35101601010810019MUHSON ARIFIN
17 3509102903910002 ALVIN EKA TRIJAYANTO
18 3510162101860002 HARY KUSWANTO
19 3510162003640002 AGUS HARIYANTO
20 3510161803960004 MOH. IRFAN EFENDI
21 3510174606740002 RIZKIYANI
22 3510135606940003 FACHRUN NISAA DWI PRAPTIANA SARI
23 3510214407930007 YULIA KURNIAWATI
24 3510136707920005 HERLINA DWI ARISTIN
25 3510160802870002 FERRY FERDIAN SAPUTRA
26 3510162110010006 IVANDY ORLIN M
27
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 398
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KETERANGAN
JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTR
TANGGAL : 7-2-22

UMUR KELOMPOK "JENIS

"TMPT_LHR" "TGL_LHR" UMUR "ALAMAT"
KELAMIN"

(4) (5) (6) (7) (8) (9)

BANYUWANGI 7/5/1996 26 18-30 L LINGK GENTENGAN

BANYUWANGI 2/2/1969 54 46-59 L JL BARONG NO 23 LINGK GAPLEK
BANYUWANGI 4/21/1988 34 31-45 L PENGANTIGAN
BANYUWANGI 9/3/1975 47 46-59 P JL IKAN LAYUR
BANYUWANGI 26/8/93 #VALUE! #VALUE! L TEMUASRI
BANYUWANGI 4/4/1987 35 31-45 L JAKARTA
BANYUWANGI 16/12/59 #VALUE! #VALUE! L JL.BENGAWAN
CILACAP 27/8/91 #VALUE! #VALUE! P JAKARTA
BANYUWANGI 2/7/1964 59 46-59 L JL. JENGGALA
SURABAYA 16/7/80 #VALUE! #VALUE! P WELARAN
BANYUWANGI 22/4/92 #VALUE! #VALUE! P JL.AIRLANGGA
BANYUWANGI 22/12/81 #VALUE! #VALUE! P JL.HAYAM WURUK
BANYUWANGI 6/12/1990 32 31-45 P JL. UDANG WINDU
KUPANG 15/3/91 #VALUE! #VALUE! P JL. IKAN PAUS
BANYUWANGI 6/7/1992 30 18-30 L JL.ANDALAS
BANYUWANGI 10/10/1981 41 31-45 L JL. IKAN TOMBRO
BANYUWANGI 29/3/91 #VALUE! #VALUE! L BALUNG
BANYUWANGI 21/1/86 #VALUE! #VALUE! L SUKOWIDI
BANYUWANGI 20/3/64 #VALUE! #VALUE! L JL. IKAN BANYAR
BANYUWANGI 18/3/96 #VALUE! #VALUE! L JL.MOJOPAHIT
BANYUWANGI 6/6/1974 48 46-59 P JL. ANGGREK
BANYUWANGI 16/6/94 #VALUE! #VALUE! P KAOTAN
BANYUWANGI 4/7/1993 29 18-30 P KRAMAT
BANYUWANGI 27/7/92 #VALUE! #VALUE! P JL.SURATI
BANYUWANGI 8/2/1987 35 31-45 L JL. SURATI
BANYUWANGI 21/10/01 #VALUE! #VALUE! L JL. LEJEN SUTOYO
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

 COVID-19 PUSKESMAS SINGOTRUNAN
ANGGAL : 7-2-22

JENIS
"RT" "RW" NAMA KECAMATAN "NAMA KELURAHAN PEKERJAA BPJS TANGGAL VAKSIN
N
(10) (11) (12) (13) (14) (15) (16)

16 16 2/7/2022
NGK GAPLEK 15 53 2/7/2022
16 13 2/7/2022
16 20 2/7/2022
1 1 SEMPU 2/7/2022
2/7/2022
16 16 2/7/2022
2/7/2022
1 3 16 TAMANBARU 2/7/2022
16 PENGANJURAN 2/7/2022
16 SOBO 2/7/2022
GIRI PENATABAN 2/7/2022
16 TUKANGKAYU 2/7/2022
2 4 16 KARANGREJO 2/7/2022
4 3 16 14 2/7/2022
16 KARANGREJO 2/7/2022
JEMBER 2/7/2022
21 91 2/7/2022
16 KERTOSARI 2/7/2022
16 TAMANBARU 2/7/2022
GIRI BOYOLANGU 2/7/2022
BLIMBINGSARI 2/7/2022
3 1 16 KERTOSARI 2/7/2022
3 1 16 KP.MLY 2/7/2022
16 KP.MLY 2/7/2022
16 2/7/2022
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
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16
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16
16
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16
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16
16
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16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
 16
16
16

JELAS JELAS JELAS JELAS JELAS JELAS

 ALASAN MEREK
PENTAHAPAN VAKSIN-3 NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(17) (18) (19) (20) (21) (22) (23) (24)

1 FM7783 PFIZER 9 08383580323

1 FM7783 PFIZER 9 0811351035
1 FM7783 PFIZER 9 081803744012
1 FM7783 PFIZER 9 085334361254
1 FM7783 PFIZER 9
1 FM7783 PFIZER 9
1 FM7783 PFIZER 9 082146589839
1 FM7783 PFIZER 9 081212209619
1 FM7783 PFIZER 9
1 FM7783 PFIZER 9 081336559004
1 FM7783 PFIZER 9 087850222022
1 FM7783 PFIZER 9 081358058597
1 FM7783 PFIZER 9 082247776012
1 FM7783 PFIZER 9 081931712864
1 FM7783 PFIZER 9 085231977105
1 FM7783 PFIZER 9 085336108898
1 FM7783 PFIZER 9 085230526324
1 FM7783 PFIZER 9 085258966119
1 FM7783 PFIZER 9 085236308072
1 FM7783 PFIZER 9 081335527700
1 FM7783 PFIZER 9 081249962023
1 FM7783 PFIZER 9 082245482760
1 FM7783 PFIZER 9 081315457104
1 FM7783 PFIZER 9 085234626044
1 FM7783 PFIZER 9 082244301600
1 FM7783 PFIZER 9
SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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 SINOVAC 9
SINOVAC 9
SINOVAC 9

JELAS JELAS JELAS JELAS JELAS JELAS JELAS

 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510175609980001 LINA AYU TRINARDO BANYUWANGI

2 3574050701950003 RAHMAD HIDAYAT JEMBER
3 3510160812980003 RIZA FALIFI BANYUWANGI
4 3510161107830006 FITRI AKBAR SOLEH BANYUWANGI
5 3510172909980001 FARIN NUR FAIZ BANYUWANGI
6 3510137105770003 SUSI ILMIYATI BANYUWANGI
7 3510160709890002 BAYU RIONO BANYUWANGI
8 3510180604990002 DWI KOKO WIJAYA BANYUWANGI
9 3574044111870001 MEGA SUKMA PRAWESTI PROBOLINGGO
10 3510160805820004 IWAN SETIAWAN BANYUWANGI
11 3510166007840004 YULI KUSMIATI BANYUWANGI
12 3510161709760001 TONI EKO S BANYUWANGI
13 3510143010900002 MAZDA SETIAWAN BANYUWANGI
14 3510162210810004 ANJAR NUR KHAIRUDIN BANYUWANGI
15 3510211406770006 ABDUL ROZAK BANYUWANGI
16 3510165408880001 FELICE AGUSTIN HENRITA BANYUWANGI
17 3510162603950005 MOCH RIZQI ARISMANTO BANYUWANGI
18 3510210507800010 JESSY SUSANTO BANYUWANGI
19 3510030307970002 AGUNG PRASETYO BANYUWANGI
20 3510142601940004 FIRMAN BAHTIAR BANYUWANGI
21 3508050103870004 MOKHAMMAD ANANG BANYUWANGI
22 3510165911710002 ENI KHOIRIYAH BANYUWANGI
23 3510166003890008 LEILY REZANIA BANYUWANGI
24 3510161705530003 ABDUL KADIR BANYUWANGI
25 3510165308680003 ANTIN EKO FAJARYANTI BANYUWANGI
26 3510160606000004 ALVIN YUNIAN FIRDAUS BLITAR
27 3510130903730002 DANI RUSMANA CIAMIS
28 3510210807860001 FIRMAN AKBAR BANYUWANGI
29 LILIK HERAWATI BANYUWANGI
30
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 398
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KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 10-2-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

9/16/1998 24 18-30 P LINGK PAYAMAN

1/7/1995 28 18-30 L PERUM TEGALBESAR PERMAI 2
12/8/1998 24 18-30 L LINGK SUKOWIDI
7/11/1983 39 31-45 L JL KARIMUN JAWA GG MANGGA NO 29
9/29/1998 24 18-30 P LINGK PAYAMAN 3
5/31/1977 45 31-45 P JL BUNYU NO 62
9/7/1989 33 31-45 L JL KALILO 5
4/6/1999 23 18-30 L DSN KARANGANYAR
11/1/1987 35 31-45 P JL KALILO 5
5/8/1982 40 31-45 L JL CITARUM NO 66
7/20/1984 38 31-45 P JL MH THAMRIN PERUM PKBR NO 22
9/17/1976 46 46-59 L JL KALILO NO 37
10/30/1990 32 31-45 L DSN TIMUREJO 2
10/22/1981 41 31-45 L JL AIR LANGGA NO 9
6/14/1977 45 31-45 L PERUM KAV GIRI E-5
8/14/1988 34 31-45 P JL TIDAR LINGK SWG
3/26/1996 26 18-30 L JL BUNYU NO 7
7/5/1980 42 31-45 L LINGK TANJUNG 3
7/3/1997 25 18-30 L DSN CURAH PECAK 2
1/26/1994 29 18-30 L DSN KRAJAN 2
3/1/1987 35 31-45 L DS SUMBER AYU 5
11/19/1971 51 46-59 P JL GUMITIR NO 1 4
3/20/1989 33 31-45 P JL MEDANG KAMULAN I NO 5 3
5/17/1953 69 ≥60 L JL PROGO NO 9 2
8/13/1968 54 46-59 P JL KOPRAL SANUSI NO 14 2
6/6/2000 22 18-30 L JL KOPRAL SANUSI NO 14 2
3/9/1973 49 46-59 L DSN LUGONTO 2
7/8/1986 36 31-45 L JL IKAN WIJINONGKO 1
123 ≥60 P PERUM VILLA SUKOWIDI
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

MAS SINGOTRUNAN

JENIS
NAMA TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
"RW" "NAMA KELURAHAN PEKERJAA BPJS
KECAMATAN
N
(11) (12) (13) (14) (15) (16) (17) (18) (19)

17 47 2/10/2022 1 FM7783
JEMBER 2/10/2022 1 FM7783
21 91 2/10/2022 1 FM7783
16 12 2/10/2022 1 FM7783
2 17 47 2/10/2022 1 FM7783
16 12 2/10/2022 1 FM7783
2 16 13 2/10/2022 1 FM7783
BAJULMATI 2/10/2022 1 FM7783
2 16 13 2/10/2022 1 FM7783
16 2/10/2022 1 FM7783
16 13 2/10/2022 1 FM7783
16 13 2/10/2022 1 FM7783
2 ROGOJAMPI GITIK 2/10/2022 1 FM7783
16 22 2/10/2022 1 FM7783
21 91 2/10/2022 1 FM7783
16 14 2/10/2022 1 FM7783
16 12 2/10/2022 1 FM7783
1 21 91 2/10/2022 1 FM7783
3 2/10/2022 1 FM7783
3 14 KEDAYUNAN 2/10/2022 1 FM7783
3 2/10/2022 1 FM7783
4 16 14 2/10/2022 1 FM7783
4 16 18 2/10/2022 1 FM7783
3 16 16 2/10/2022 1 FM7783
2 16 17 2/10/2022 1 FM7783
2 16 2/10/2022 1 FM7783
1 17 2/10/2022 1 FM7783
7 16 2/10/2022 1 FM7783
21 91 2/10/2022 1 FM7783
16
16
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16
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16
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 16
16
16

JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS

 ALASAN MEREK
TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(20) (21) (22) (23) (24)

PFIZER 9 087871782848
PFIZER 9 082334658353
PFIZER 9 082144443871
PFIZER 9 0852265067899
PFIZER 9 082228658088
PFIZER 9 085336010350
PFIZER 9 081281642073
PFIZER 9 081216414899
PFIZER 9 082257990945
PFIZER 9 081336960631
PFIZER 9 082331115838
PFIZER 9 08124971400
PFIZER 9 085239071501
PFIZER 9 081335555544
PFIZER 9 081331613986
PFIZER 9 082141848513
PFIZER 9 081358588065
PFIZER 9
PFIZER 9 081515959081
PFIZER 9 082244070735
PFIZER 9 085232378038
PFIZER 9 082139588141
PFIZER 9
PFIZER 9
PFIZER 9 081336874387
PFIZER 9 081232511600
PFIZER 9
PFIZER 9
PFIZER 9 NAKES
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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 SINOVAC 9
SINOVAC 9
SINOVAC 9

JELAS JELAS JELAS JELAS

 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510167108780007 UZLIFATUL HASANAH JOMBANG

2 3510163004610001 TOBING TATANG BANYUWANGI
3 3502016112970001 PITRIANA KARTIKARI PONOROGO
4 3510164704620000 SUMARNI DENPASAR
5 3510215902690001 WAHYU TRI HARDINI BANYUWANGI
6 3510165809450006 SUGIHARTI BANYUWANGI
7 3510210401000002 ANGGARAKSA MAULANA RAMADHAN BANYUWANGI
8 3510145610400002 THONG HWI TJEN BANYUWANGI
9 3510165207630012 ELVYN TATANG BANYUWANGI
10 3510166403590004 LILIS TATANG BANYUWANGI
11 3510154106840006 RINIAWATI BANYUWANGI
12
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 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL :

NAMA
UMUR KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(5) (6) (7) (8) (9) (10) (11) (12)

8/31/1978 44 31-45 P PERUM PESONA TIDAR B12 A 16

4/30/1961 #REF! #REF! L JL JENDERAL SUDIRMAN 1 1 16
12/21/1997 25 18-30 P TRUNENG SIHAUNG 1 2
9/7/1962 60 ≥60 P JL SUDIRMAN 1 1 16
2/19/1969 61 ≥60 L JL RIAU NO 27 16
9/18/1945 77 ≥60 P JL RIAU NO 27 16
1/4/2000 23 18-30 L JL RIAU NO 27 16
10/18/1940 82 ≥60 L JL JENDERAL SUDIRMAN NO 1 1 16
7/12/1963 59 46-59 P JL JENDERAL SUDIRMAN NO 1 1 16
3/24/1959 #REF! #REF! P JL JENDERAL SUDIRMAN 1 1 16
6/1/1984 38 31-45 P GLENMORE
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
 123 ≥60 16
123 ≥60 16
123 ≥60 16

0
0

JELAS JELAS JELAS JELAS JELAS JELAS JELAS

GOTRUNAN

JENIS ALASAN
"NAMA KELURAHAN PEKERJAA BPJS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH TIDAK
N TERVAKSIN

(13) (14) (15) (16) (17) (18) (19) (20)

2/14/2022 1 324408P
11 2/14/2022 1 324408P
2/14/2022 1 324408P
11 2/14/2022 1 324408P
12 2/14/2022 1 324408P
12 2/14/2022 1 324408P
12 2/14/2022 1 324408P
11 2/14/2022 1 324408P
11 2/14/2022 1 324408P
11 19 2/14/2022 1 324408P
2/14/2022 1 324408P
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

ASTRAZENECA
ASTRAZENECA
ASTRAZENECA 085702153159
ASTRAZENECA
ASTRAZENECA 081336734954
ASTRAZENECA 081336734954
ASTRAZENECA 081336734954
ASTRAZENECA 08124941181
ASTRAZENECA 08124941181
ASTRAZENECA 081249441181
ASTRAZENECA 081332519738
SINOVAC 9
SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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SINOVAC 9
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SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9

JELAS JELAS JELAS

 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3523154408740002 HJ ALFU SUNAH BANYUWANGI

2 3523153107600001 SHODIQ HADI MAULANA BANYUWANGI
3 3510172603760002 DIAN MASKURI ROHMAN BANYUWANGI
4 35102116018110003 ADRIANUS YANSEN PALE BANYUWANGI
5 3510162503640003 SUNARYO BANYUWANGI
6 3510162003850009 MOH ILHAM BANYUWANGI
7 3208105903900001 IYAR SUGIARTI BANYUWANGI
8
9
10
11
12
13
14
15
16
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
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 17-02-22

NAMA
UMUR KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(5) (6) (7) (8) (9) (10) (11) (12)

8/4/1974 48 46-59 P JL MANUNGGAL SELATAN 3 1 TUBAN

7/31/1960 62 ≥60 L WIDENGAN
3/26/1976 46 46-59 P JL MAWAR
1/16/1981 42 31-45 L JL KALILO
3/25/1964 58 46-59 L JL OPAK
3/20/1985 37 31-45 L JL IKAN PUTIHAN 2 2
3/19/1990 32 31-45 P JL MEBABU 1 4 16
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
 123 ≥60 16
123 ≥60 16
123 ≥60 16

0
0

JELAS JELAS JELAS JELAS JELAS JELAS JELAS

OTRUNAN

"NAMA JENIS ALASAN

KELURAHA PEKERJAA BPJS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH TIDAK
N N TERVAKSIN

(13) (14) (15) (16) (17) (18) (19) (20)

2/17/2022 1 324408P
2/17/2022 1 324408P
2/17/2022 1 324408P
16 13 2/17/2022 1 324408P
16 13 2/17/2022 1 324408P
16 141 2/17/2022 1 324408P
14 2/17/2022 1 324408P
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

ASTRAZENECA 085730882012 VAKSIN 3

ASTRAZENECA 085755409627 VAKSIN 3
ASTRAZENECA 081249591515 VAKSIN 3
ASTRAZENECA 081231889993 VAKSIN 3
ASTRAZENECA 081249590073 VAKSIN 3
ASTRAZENECA 081336278834 VAKSIN 3
ASTRAZENECA 0838534894161 VAKSIN 3

ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9
SINOVAC 9

JELAS JELAS JELAS

 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 21-02-22

NO KELOMPOK NAMA "NAMA JENIS ALASAN

UMUR "JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR" UMUR "ALAMAT" "RT" "RW" KECAMATA KELURAHA PEKERJAA BPJS
KELAMIN" TERVAKSIN
I N N N
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) (24)

1 3510165602700008 MILA EMILDA BANYUWANGI 2/16/1970 53 46-59 P AGUNG WILIS 3 2 16 11 2/21/2022 1 324408P ASTRAZENECA 081341574197 VAKSIN 3
2 3510165708550004 MURJIWATI BANYUWANGI 8/17/1955 67 ≥60 P JL KARIMUN JWA 16 12 2/21/2022 1 324408P ASTRAZENECA 082337830035 VAKSIN 3
3 3510161409840002 HERY FIRMANSYAH BANYUWANGI 9/14/1984 38 31-45 L JL PROGO 16 16 2/21/2022 1 324408P ASTRAZENECA 082131629886 VAKSIN 3
4 3510162503530001 SUGITO BANYUWANGI 3/25/1953 69 ≥60 L JLKARIMUN JAWA 16 12 2/21/2022 1 324408P ASTRAZENECA VAKSIN 3
5 3510165803630003 SUDARIYAH BANYUWANGI 3/18/1963 56 46-59 P JL ADI SUCIPTO 16 19 2/21/2022 1 324408P ASTRAZENECA 085230755796 VAKSIN 3
6 35101670099950005 REGGIE BUDI H BANYUWANGI 8/30/1995 31 31-45 P JL CANDI PALOSAN 082232959066 VAKSIN 3
7 35103064603810003 HILDA ULFIANA AZIS BANYUWANGI 3/6/1981 26 18-30 P PERUM SOBO PERMAI 16 SOBO 2/17/2022 1 324408P ASTRAZENECA 081332849228 VAKSIN 3
8 66 ≥60 P
9 123 ≥60
10 123 ≥60
11 123 ≥60
12 123 ≥60
13 123 ≥60
14 123 ≥60
15 123 ≥60
16 123 ≥60
17 123 ≥60
18 123 ≥60
19 123 ≥60
20 123 ≥60
21 123 ≥60
22 123 ≥60
23 123 ≥60
24 123 ≥60
25 123 ≥60
26 123 ≥60
27 123 ≥60
28 123 ≥60
29 123 ≥60
30 123 ≥60
31 123 ≥60
32 123 ≥60
33 123 ≥60
34 123 ≥60
35 123 ≥60
36 123 ≥60
37 123 ≥60
38 123 ≥60
39 123 ≥60
40 123 ≥60
41 123 ≥60
42 123 ≥60
43 123 ≥60
44 123 ≥60
45 123 ≥60
46 123 ≥60
47 123 ≥60
48 123 ≥60
49 123 ≥60
50 123 ≥60
51 123 ≥60
52 123 ≥60
53 123 ≥60
54 123 ≥60
55 123 ≥60
56 123 ≥60
57 123 ≥60
58 123 ≥60
59 123 ≥60
60 123 ≥60
61 123 ≥60
62 123 ≥60
63 123 ≥60
64 123 ≥60
65 123 ≥60
66 123 ≥60
67 123 ≥60
68 123 ≥60
69 123 ≥60
70 123 ≥60
71 123 ≥60
72 123 ≥60
73 123 ≥60
74 123 ≥60
75 123 ≥60
76 123 ≥60
77 123 ≥60
78 123 ≥60
79 123 ≥60
80 123 ≥60
81 123 ≥60
82 123 ≥60
83 123 ≥60
84 123 ≥60
85 123 ≥60
86 123 ≥60
87 123 ≥60
88 123 ≥60
89 123 ≥60
90 123 ≥60
91 123 ≥60
92 123 ≥60
93 123 ≥60
94 123 ≥60
95 123 ≥60
96 123 ≥60
97 123 ≥60
98 123 ≥60
99 123 ≥60
100 123 ≥60
101 123 ≥60
102 123 ≥60
103 123 ≥60
104 123 ≥60
105 123 ≥60
106 123 ≥60
107 123 ≥60
108 123 ≥60
109 123 ≥60
110 123 ≥60
111 123 ≥60
112 123 ≥60
113 123 ≥60
114 123 ≥60
115 123 ≥60
116 123 ≥60
117 123 ≥60
118 123 ≥60
119 123 ≥60
120 123 ≥60
121 123 ≥60
122 123 ≥60
123 123 ≥60
124 123 ≥60
125 123 ≥60
126 123 ≥60
127 123 ≥60
128 123 ≥60
129 123 ≥60
130 123 ≥60
131 123 ≥60
132 123 ≥60 16 SINOVAC 9
133 123 ≥60 16 SINOVAC 9
134 123 ≥60 16 SINOVAC 9
135 123 ≥60 16 SINOVAC 9
136 123 ≥60 16 SINOVAC 9
137 123 ≥60 16 SINOVAC 9
138 123 ≥60 16 SINOVAC 9
139 123 ≥60 16 SINOVAC 9
140 123 ≥60 16 SINOVAC 9
141 123 ≥60 16 SINOVAC 9
142 123 ≥60 16 SINOVAC 9
143 123 ≥60 16 SINOVAC 9
144 123 ≥60 16 SINOVAC 9
145 123 ≥60 16 SINOVAC 9
146 123 ≥60 16 SINOVAC 9
147 123 ≥60 16 SINOVAC 9
148 123 ≥60 16 SINOVAC 9
149 123 ≥60 16 SINOVAC 9
150 123 ≥60 16 SINOVAC 9
151 123 ≥60 16 SINOVAC 9
152 123 ≥60 16 SINOVAC 9
153 123 ≥60 16 SINOVAC 9
154 123 ≥60 16 SINOVAC 9
155 123 ≥60 16 SINOVAC 9
156 123 ≥60 16 SINOVAC 9
157 123 ≥60 16 SINOVAC 9
158 123 ≥60 16 SINOVAC 9
159 123 ≥60 16 SINOVAC 9
160 123 ≥60 16 SINOVAC 9
161 123 ≥60 16 SINOVAC 9
162 123 ≥60 16 SINOVAC 9
163 123 ≥60 16 SINOVAC 9
164 123 ≥60 16 SINOVAC 9
165 123 ≥60 16 SINOVAC 9
166 123 ≥60 16 SINOVAC 9
167 123 ≥60 16 SINOVAC 9
168 123 ≥60 16 SINOVAC 9
169 123 ≥60 16 SINOVAC 9
170 123 ≥60 16 SINOVAC 9
171 123 ≥60 16 SINOVAC 9
172 123 ≥60 16 SINOVAC 9
173 123 ≥60 16 SINOVAC 9
174 123 ≥60 16 SINOVAC 9
175 123 ≥60 16 SINOVAC 9
176 123 ≥60 16 SINOVAC 9
177 123 ≥60 16 SINOVAC 9
178 123 ≥60 16 SINOVAC 9
179 123 ≥60 16 SINOVAC 9
180 123 ≥60 16 SINOVAC 9
181 123 ≥60 16 SINOVAC 9
182 123 ≥60 16 SINOVAC 9
183 123 ≥60 16 SINOVAC 9
184 123 ≥60 16 SINOVAC 9
185 123 ≥60 16 SINOVAC 9
186 123 ≥60 16 SINOVAC 9
187 123 ≥60 16 SINOVAC 9
188 123 ≥60 16 SINOVAC 9
189 123 ≥60 16 SINOVAC 9
190 123 ≥60 16 SINOVAC 9
191 123 ≥60 16 SINOVAC 9
192 123 ≥60 16 SINOVAC 9
193 123 ≥60 16 SINOVAC 9
194 123 ≥60 16 SINOVAC 9
195 123 ≥60 16 SINOVAC 9
196 123 ≥60 16 SINOVAC 9
197 123 ≥60 16 SINOVAC 9
198 123 ≥60 16 SINOVAC 9
199 123 ≥60 16 SINOVAC 9
200 123 ≥60 16 SINOVAC 9
201 123 ≥60 16 SINOVAC 9
202 123 ≥60 16 SINOVAC 9
203 123 ≥60 16 SINOVAC 9
204 123 ≥60 16 SINOVAC 9
205 123 ≥60 16 SINOVAC 9
206 123 ≥60 16 SINOVAC 9
207 123 ≥60 16 SINOVAC 9
208 123 ≥60 16 SINOVAC 9
209 123 ≥60 16 SINOVAC 9
210 123 ≥60 16 SINOVAC 9
211 123 ≥60 16 SINOVAC 9
212 123 ≥60 16 SINOVAC 9
213 123 ≥60 16 SINOVAC 9
214 123 ≥60 16 SINOVAC 9
215 123 ≥60 16 SINOVAC 9
216 123 ≥60 16 SINOVAC 9
217 123 ≥60 16 SINOVAC 9
218 123 ≥60 16 SINOVAC 9
219 123 ≥60 16 SINOVAC 9
220 123 ≥60 16 SINOVAC 9
221 123 ≥60 16 SINOVAC 9
222 123 ≥60 16 SINOVAC 9
223 123 ≥60 16 SINOVAC 9
224 123 ≥60 16 SINOVAC 9
225 123 ≥60 16 SINOVAC 9
226 123 ≥60 16 SINOVAC 9
227 123 ≥60 16 SINOVAC 9
228 123 ≥60 16 SINOVAC 9
229 123 ≥60 16 SINOVAC 9
230 123 ≥60 16 SINOVAC 9
231 123 ≥60 16 SINOVAC 9
232 123 ≥60 16 SINOVAC 9
233 123 ≥60 16 SINOVAC 9
234 123 ≥60 16 SINOVAC 9
235 123 ≥60 16 SINOVAC 9
236 123 ≥60 16 SINOVAC 9
237 123 ≥60 16 SINOVAC 9
238 123 ≥60 16 SINOVAC 9
239 123 ≥60 16 SINOVAC 9
240 123 ≥60 16 SINOVAC 9
241 123 ≥60 16 SINOVAC 9
242 123 ≥60 16 SINOVAC 9
243 123 ≥60 16 SINOVAC 9
244 123 ≥60 16 SINOVAC 9
245 123 ≥60 16 SINOVAC 9
246 123 ≥60 16 SINOVAC 9
247 123 ≥60 16 SINOVAC 9
248 123 ≥60 16 SINOVAC 9
249 123 ≥60 16 SINOVAC 9
250 123 ≥60 16 SINOVAC 9
251 123 ≥60 16 SINOVAC 9
252 123 ≥60 16 SINOVAC 9
253 123 ≥60 16 SINOVAC 9
254 123 ≥60 16 SINOVAC 9
255 123 ≥60 16 SINOVAC 9
256 123 ≥60 16 SINOVAC 9
257 123 ≥60 16 SINOVAC 9
258 123 ≥60 16 SINOVAC 9
259 123 ≥60 16 SINOVAC 9
260 123 ≥60 16 SINOVAC 9
261 123 ≥60 16 SINOVAC 9
262 123 ≥60 16 SINOVAC 9
263 123 ≥60 16 SINOVAC 9
264 123 ≥60 16 SINOVAC 9
265 123 ≥60 16 SINOVAC 9
266 123 ≥60 16 SINOVAC 9
267 123 ≥60 16 SINOVAC 9
268 123 ≥60 16 SINOVAC 9
269 123 ≥60 16 SINOVAC 9
270 123 ≥60 16 SINOVAC 9
271 123 ≥60 16 SINOVAC 9
272 123 ≥60 16 SINOVAC 9
273 123 ≥60 16 SINOVAC 9
274 123 ≥60 16 SINOVAC 9
275 123 ≥60 16 SINOVAC 9
276 123 ≥60 16 SINOVAC 9
277 123 ≥60 16 SINOVAC 9
278 123 ≥60 16 SINOVAC 9
279 123 ≥60 16 SINOVAC 9
280 123 ≥60 16 SINOVAC 9
281 123 ≥60 16 SINOVAC 9
282 123 ≥60 16 SINOVAC 9
283 123 ≥60 16 SINOVAC 9
284 123 ≥60 16 SINOVAC 9
285 123 ≥60 16 SINOVAC 9
286 123 ≥60 16 SINOVAC 9
287 123 ≥60 16 SINOVAC 9
288 123 ≥60 16 SINOVAC 9
289 123 ≥60 16 SINOVAC 9
290 123 ≥60 16 SINOVAC 9
291 123 ≥60 16 SINOVAC 9
292 123 ≥60 16 SINOVAC 9
293 123 ≥60 16 SINOVAC 9
294 123 ≥60 16 SINOVAC 9
295 123 ≥60 16 SINOVAC 9
296 123 ≥60 16 SINOVAC 9
297 123 ≥60 16 SINOVAC 9
298 123 ≥60 16 SINOVAC 9
299 123 ≥60 16 SINOVAC 9
300 123 ≥60 16 SINOVAC 9
301 123 ≥60 16 SINOVAC 9
302 123 ≥60 16 SINOVAC 9
303 123 ≥60 16 SINOVAC 9
304 123 ≥60 16 SINOVAC 9
305 123 ≥60 16 SINOVAC 9
306 123 ≥60 16 SINOVAC 9
307 123 ≥60 16 SINOVAC 9
308 123 ≥60 16 SINOVAC 9
309 123 ≥60 16 SINOVAC 9
310 123 ≥60 16 SINOVAC 9
311 123 ≥60 16 SINOVAC 9
312 123 ≥60 16 SINOVAC 9
313 123 ≥60 16 SINOVAC 9
314 123 ≥60 16 SINOVAC 9
315 123 ≥60 16 SINOVAC 9
316 123 ≥60 16 SINOVAC 9
317 123 ≥60 16 SINOVAC 9
318 123 ≥60 16 SINOVAC 9
319 123 ≥60 16 SINOVAC 9
320 123 ≥60 16 SINOVAC 9
321 123 ≥60 16 SINOVAC 9
322 123 ≥60 16 SINOVAC 9
323 123 ≥60 16 SINOVAC 9
324 123 ≥60 16 SINOVAC 9
325 123 ≥60 16 SINOVAC 9
326 123 ≥60 16 SINOVAC 9
327 123 ≥60 16 SINOVAC 9
328 123 ≥60 16 SINOVAC 9
329 123 ≥60 16 SINOVAC 9
330 123 ≥60 16 SINOVAC 9
331 123 ≥60 16 SINOVAC 9
332 123 ≥60 16 SINOVAC 9
333 123 ≥60 16 SINOVAC 9
334 123 ≥60 16 SINOVAC 9
335 123 ≥60 16 SINOVAC 9
336 123 ≥60 16 SINOVAC 9
337 123 ≥60 16 SINOVAC 9
338 123 ≥60 16 SINOVAC 9
339 123 ≥60 16 SINOVAC 9
340 123 ≥60 16 SINOVAC 9
341 123 ≥60 16 SINOVAC 9
342 123 ≥60 16 SINOVAC 9
343 123 ≥60 16 SINOVAC 9
344 123 ≥60 16 SINOVAC 9
345 123 ≥60 16 SINOVAC 9
346 123 ≥60 16 SINOVAC 9
347 123 ≥60 16 SINOVAC 9
348 123 ≥60 16 SINOVAC 9
349 123 ≥60 16 SINOVAC 9
350 123 ≥60 16 SINOVAC 9
351 123 ≥60 16 SINOVAC 9
352 123 ≥60 16 SINOVAC 9
353 123 ≥60 16 SINOVAC 9
 354 123 ≥60 16 SINOVAC 9
355 123 ≥60 16 SINOVAC 9
356 123 ≥60 16 SINOVAC 9
357 123 ≥60 16 SINOVAC 9
358 123 ≥60 16 SINOVAC 9
359 123 ≥60 16 SINOVAC 9
360 123 ≥60 16 SINOVAC 9
361 123 ≥60 16 SINOVAC 9
362 123 ≥60 16 SINOVAC 9
363 123 ≥60 16 SINOVAC 9
364 123 ≥60 16 SINOVAC 9
365 123 ≥60 16 SINOVAC 9
366 123 ≥60 16 SINOVAC 9
367 123 ≥60 16 SINOVAC 9
368 123 ≥60 16 SINOVAC 9
369 123 ≥60 16 SINOVAC 9
370 123 ≥60 16 SINOVAC 9
371 123 ≥60 16 SINOVAC 9
372 123 ≥60 16 SINOVAC 9
373 123 ≥60 16 SINOVAC 9
374 123 ≥60 16 SINOVAC 9
375 123 ≥60 16 SINOVAC 9
376 123 ≥60 16 SINOVAC 9
377 123 ≥60 16 SINOVAC 9
378 123 ≥60 16 SINOVAC 9
379 123 ≥60 16 SINOVAC 9
380 123 ≥60 16 SINOVAC 9
381 123 ≥60 16 SINOVAC 9
382 123 ≥60 16 SINOVAC 9
383 123 ≥60 16 SINOVAC 9
384 123 ≥60 16 SINOVAC 9
385 123 ≥60 16 SINOVAC 9
386 123 ≥60 16 SINOVAC 9
387 123 ≥60 16 SINOVAC 9
388 123 ≥60 16 SINOVAC 9
389 123 ≥60 16 SINOVAC 9
390 123 ≥60 16 SINOVAC 9
391 123 ≥60 16 SINOVAC 9
392 123 ≥60 16 SINOVAC 9
393 123 ≥60 16 SINOVAC 9
394 123 ≥60 16 SINOVAC 9
395 123 ≥60 16 SINOVAC 9
396 123 ≥60 16 SINOVAC 9
397 123 ≥60 16 SINOVAC 9
398 123 ≥60 16 SINOVAC 9
399 123 ≥60 16 SINOVAC 9
400 123 ≥60 16 SINOVAC 9

0
0
KETERANGAN
JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510167010660001 YENI WINARTO BANYUWANGI

2 3510161508910002 EMERALD RIDWAN A BANYUWANGI
3 3510134508960006 ILUH WULAN A BANYUWANGI
4 3510166903560002 HENI YUWATI BANYUWANGI
5 3510215405010002 NASTASHA VINE A BANYUWANGI
6 3510214902720002 ENDANG SUSILOWATI BANYUWANGI
7 3510213012730006 DOLLY VEGAYANTO JAKARTA
8 3510164305660001 SUTITINARHATI BANYUWANGI
9 3510215112940002 GUSTI AYU MADE DESSINTA UTAMI BANYUWANGI
10 3510166407930001 ANITA PERMATASARI BANYUWANGI
11 3510165810850004 SAFRIDA BANYUWANGI
12 3510216707510001 ZAKIYAH CHANIAGO BANYUWANGI
13 3510164805790003 DIAN ANGGRAINI BANYUWANGI
14 3507076711690002 RUBIARSI BANYUWANGI
15 3320107103760001 ENI DARYANTI BANYUWANGI
16 3510165005800010 NURUL AWATI BANYUWANGI
17 3510125106800001 ERFINA BANYUWANGI
18 3510165705940002 NURUL STYOWATI BANYUWANGI
19
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KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 21-02-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

10/30/1966 56 46-59 P JL BATUR NO 9

8/15/1991 31 31-45 L JL BATUR NO 9
8/5/1996 26 18-30 P PATOMAN
3/29/1956 66 ≥60 P JL TIDAR
5/14/2001 21 18-30 P SUKOWIDI 1 4
2/9/1972 51 46-59 P SUKOWIDI 1 4
12/30/1973 49 46-59 L SUKOWIDI 1 4
5/3/1966 56 46-59 P KAPTEN SUTAJI
12/11/1994 28 18-30 P PERUM PESONA SURYA MILENIA
7/24/1993 29 18-30 P JL. TUNGGUL AMETUNG
10/18/1985 37 31-45 P JL. BROMO
7/27/1951 71 ≥60 P PERUM GRIYA GIRI MULYA
5/8/1979 43 31-45 P JL. KINIBALU
11/27/1969 53 46-59 P JANGKUNG
3/31/1976 46 46-59 P SEMARANG
5/10/1980 42 31-45 P JL. DI PANJAITAN
6/11/1980 42 31-45 P KEDUNG LIWUNG SINGOJURUH
5/17/1994 28 18-30 P JL. AGUS SALIM KEBALENAN
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 0
0

JELAS JELAS JELAS JELAS JELAS JELAS

MAS SINGOTRUNAN

NAMA "NAMA JENIS ALASAN

KECAMATA KELURAHA PEKERJAA BPJS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH TIDAK
N N N TERVAKSIN

(12) (13) (14) (15) (16) (17) (18) (19) (20)

16 14 2/21/2022 1 350208D
16 14 2/21/2022 1 350208D
2/21/2022 1 350208D
16 13 2/21/2022 1 350208D
21 91 2/21/2022 1 350208D
21 91 2/21/2022 1 350208D
21 91 2/21/2022 1 350208D
2/21/2022 1 350208D
JEMBER 2/21/2022 1 350208D
16 2/21/2022 1 350208D
16 14 2/21/2022 1 350208D
21 91 2/21/2022 1 350208D
16 14 2/21/2022 1 350208D
DADAPAN 2/21/2022 1 350208D
2/21/2022 1 350208D
16 10 2/21/2022 1 350208D
SINGOJURUH 2/21/2022 1 350208D
KEBALENAN 2/21/2022 1 350208D
16
16
16
16
16
16
16
16
16
16
16
16
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16
16
16
16
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16
16
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16
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16
16
16
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16
16
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16
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16
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16
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16
16
16
JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

PFIZER VAKSIN 3
PFIZER VAKSIN 3
PFIZER VAKSIN 3
PFIZER VAKSIN 3
PFIZER 085258387427 VAKSIN 3
PFIZER 08223146473 VAKSIN 3
PFIZER 081336620125 VAKSIN 3
PFIZER 083856804743 VAKSIN 3
PFIZER 081231128532 VAKSIN 3
PFIZER VAKSIN 3
PFIZER 081234423016 VAKSIN 3
PFIZER 081336621025 VAKSIN 3
PFIZER VAKSIN 3
PFIZER VAKSIN 3
PFIZER VAKSIN 3
PFIZER VAKSIN 3
PFIZER VAKSIN 3
PFIZER 081333299905 VAKSIN 3
SINOVAC 9
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SINOVAC 9
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JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510167003720001 UMMI AZIZA BANYUWANGI 3/30/1972

2 3525145010650028 UUT HENY SURYANI BANYUWANGI 10/10/1965
3 3510211001860002 TRIO JANUARDI WIHARJO BANYUWANGI 1/10/1986
4 5106044107570622 ANG TIEN HWA BANYUWANGI 7/1/1957
5 3510162609660006 SURYANTO BANYUWANGI 9/26/1966
6 3510164905740004 INDRA MEITA REVIA BANYUWANGI 5/9/1974
7 3510166607020004 NANDA KUMALASARI BANYUWANGI 7/26/2002
8 3510085708920012 EVI DIANNITA SARI BANYUWANGI 8/17/1992
9 35101651014900001HAISAH BANYUWANGI 1/11/1949
10 3510166305970001 AULIA MOZALIVA BANYUWANGI 5/23/1997
11 351016050780005 TEGUH SISWATO BANYUWANGI 6/5/1980
12 3510165809790002 NUNIK KARMILA BANYUWANGI 9/18/1979
13 3510165602010003 ANUGRAH DWI S BANYUWANGI 2/16/2001
14 3311060605750003 SLAMET SUKJOHARJO 5/6/1975
15 3510171803870004 MARIO EKI YUSANTO BANYUWANGI 3/18/1987
16 3510165401960003 ZAKIYO YENITA A BANYUWANGI 1/14/1996
17 3510140504910003 MUSLIHUDIN BANYUWANGI 4/5/1991
18 3510165112720004 SRI RAHAYU P BANYUWANGI 12/11/1972
19 3510164808800006 LENA ARI AGUSTIN BANYUWANGI 8/8/1980
20 3510151808930001 AGUS SUWARI BANYUWANGI 8/18/1993
21 3573050610850007 ADITYA ANGGA YADHIKAR BANYUWANGI 10/6/1985
22 3510162901820003 IMAM LUTFIANTO BANYUWANGI 1/29/1982
23 3510164208940001 AMBI WAHYU I BANYUWANGI 8/2/1994
24 3510164109790007 FITRIYA AMBARWATI KLATEN 9/1/1979
25 3578160704830003 HASAN BANYUWANGI 4/7/1983
26 3510160104870004 SANDY ANGGARA SETYO BANYUWANGI 4/1/1987
27 3510141009780003 BUDIONO BANYUWANGI 9/10/1978
28 3308096912880003 REIZA MUFLICHIN BANYUWANGI 12/29/1988
29 3510141008840007 AGUS NAUVAL BANYUWANGI 8/10/1984
30 3510160308970002 AGUS SANTOSO BANYUWANGI 8/3/1996
31 351016040589040 SLAMET SUBANDRIYO BANYUWANGI 5/4/1989
32 351016160010004 MUHAMMAD BRILLIANT F BANYUWANGI 10/16/2001
33 3510162810810004 MOH KASIFUL GOMA BANYUWANGI 10/28/1981
34 3510164505020006 DEA MELITA PUTRI BANYUWANGI 5/5/2002
35 3510162609700004 FADJAR TEJO S MALANG 9/26/1970
36 18710211040001 MARTINUS QILBERTH N 11/2/2004
37 3510166506980003 ICA HIKMAH MAULIDIA BANYUWANGI 6/26/1998
38 1871010504680005 FERERIUS SUPRIYADI BANYUWANGI 4/5/1969
39 351016070480001 YUDIANTO BANYUWANGI 4/7/1980
40 1871015908720004 MARIA THERESIA WAHYUNIBANYUWANGI 8/19/1972
41 1871017009970002 GABRIELA MOURENIYA G LAMPUNG 9/30/1997
42 3510162907960001 BENEDIKTUS KRISMA BANYUWANGI 7/29/1996
43 3510161205730001 MUHLISIN BANYUWANGI 5/12/1973
44 3510181001900009 MUHAMMAD SURYADI BANYUWANGI 9/29/1988
45 3510166108650002 DYAH RUBIATI BANYUWANGI 8/21/1965
46 3510162303760001 DEDY MARDIANTO BANYUWANGI 3/23/1976
47 3510096801920002 NURUL LATIFAH BANYUWANGI 1/28/1992
48 3510161009580001 SUKARNO BANYUWANGI 9/10/1958
49 3510160505920006 ANANDA POPY S BANYUWANGI 5/5/1992
50 3510165609810003 MENTIK ROHIMAH BANYUWANGI 9/16/1981
51 3510141703940003 MOHAMAD NUR ISKANDARBANYUWANGI 3/17/1994
52 3510171006480001 MINGOS BANYUWANGI 8/10/1948
53 351017512460002 THONG WIE LIAN BANYUWANGI 12/25/1946
54 3510166105650006 MARITJU BANYUWANGI 5/21/1965
55 3510166006590005 TJHIE TJUN GWAT BANYUWANGI 6/20/1959
56 3510165010480003 LINDAWATI BANYUWANGI 10/23/1952
57 3510212007440002 HAIRUDIN BANYUWANGI 7/20/1944
58 351016410950004 YOSEPHINE NOVELIA BANYUWANGI 6/1/1995
59 3510164301800001 UNTUNG SUSIATI BANYUWANGI 1/3/1980
60 3510160806870004 TIKO AMBARA BANYUWANGI 6/8/1987
61 3515066409700005 SUSI INDIYANI BANYUWANGI 9/24/1970
62 3510161108750006 AGUS PURNOMO BANYUWANGI 8/11/1975
63 351016291272001 CATRI PRABOWO BANYUWANGI 12/29/1972
64 3510171905630001 SUPIYAN BANYUWANGI 5/19/1963
65 3571015764870004 SUMARNI HALIM BANYUWANGI 4/17/1987
66 3510166411970001 NOVIA ARDIANI BANYUWANGI 11/24/1997
67 3510163009880002 EDI SANJAYA BANYUWANGI 9/30/1988
68 351012020293004 M.SOFYAN BANYUWANGI 2/2/1993
69 3510162005820006 EDI PURWANTO BANYUWANGI 5/20/1982
70 3510160206940003 EKO PRASMIKO H BANYUWANGI 6/2/1994
71 3510170608960001 HARISIN BANYUWANGI 8/6/1996
72 35160205740003 TRI ASMARA HADI W BANYUWANGI 5/2/1974
73 3510161310720002 SUGIANTO BANYUWANGI 10/13/1972
74 3573024802810010 FRANCISCA FEBRIANI S BANYUWANGI 2/8/1981
75 3510160802960004 CYRILLUAS REINHARD BANYUWANGI 2/8/1996
76 3510092004960004 NANDI RISMA WIJAYA BANYUWANGI 4/20/1996
77 3510147105950002 MEYDIANA ISFANDARI BANYUWANGI 5/31/1995
78 3510210806820003 I GEDE PUTU NURDIANA BANYUWANGI 6/8/1982
79 3510160210980006 M.PRASETYO BANYUWANGI 10/2/1998
80 351013150688003 MUHAMAD SAFAAT BANYUWANGI 6/15/1988
81 351016520899004 RIZKYANA AYU MEGA PUTRBANYUWANGI 8/12/1999
82 3510166812660001 TUKIS INDRIYANI BANYUWANGI 12/28/1966
 83 3510161701630001 YANI BANYUWANGI 1/17/1963
84 3510100309850001 FUAD RODIAT BANYUWANGI 9/3/1985
85 3510160806910003 KARISMA ARDI P BANYUWANGI 6/8/1991
86 351017070290001 FERI SUWITO BANYUWANGI 2/7/1990
87 3573011110850008 ANDIKA OKTAMA SANTRIA BANYUWANGI 10/11/1985
88 3510161809930002 M.LIKY ANGGI PANDI P BANYUWANGI 9/18/1993
89 3510160109820004 SUHAIRI BANYUWANGI 9/1/1982
90 3510165804890003 DEWI NOVITA SARI BANYUWANGI 4/18/1989
91 3510161704840009 SELAMET SUROSO BANYUWANGI 4/17/1984
92 3510163107810005 M.IQBAL BANYUWANGI 7/31/1981
93 3510163006880024 GALIH TEJO K BANYUWANGI 5/27/1988
94 3510214911710002 SUMIYEM BANYUWANGI 11/9/1971
95 3572030701760003 YUDHA ARIYANTO BANYUWANGI 1/7/1976
96 3510122811810002 KARYA SUSANTO BANYUWANGI 11/28/1981
97 3204084101850001 ATIKA AULIA BANYUWANGI 1/1/1985
98 3510131507880002 HENDRI EKO YULIANTO BANYUWANGI 7/15/1988
99 3510151008840007 AGUS NAUVAL BANYUWANGI 8/10/1984
100
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172
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 398
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400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 24-2-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

50 46-59 P JL KINIBALU 3 1 16
57 46-59 P JL GUMITIR 16
37 31-45 L JL YOS SUDARSO 21
65 ≥60 P BR DINAS LAMPU
56 46-59 L
48 46-59 P JL KOPRAL TALAB NO 27 3 1 16
20 18-30 P JL PROGO 2 2 16
30 18-30 P JL TIDAR 16
74 ≥60 P
25 18-30 P JL IKAN SADAR 1 NO 46 16
42 31-45 L JL ARGOPURO 59
43 31-45 P JL DI PANJAITAN 10
21 18-30 L JL SUMBING NO 14 16
47 46-59 L JANTEN 3 1 BENDOSARI
35 31-45 L DSN KRAJAN 5 3 KEMIREN
27 18-30 L PERUM KEBALENAN BARU 1 BLOK B 20
31 31-45 L DSN KEPAWUNG KABAT
50 46-59 P JL GUNUNG SRAWET 3 2 16
42 31-45 P JL IJEN NO 8 16
29 18-30 L LINGK SUKOROJO
37 31-45 L JL MKH ASYARI NO 43
41 31-45 L JL BRANTAS NO 6 4 2 16
28 18-30 P JL BRANTAS NO 6 16
43 31-45 P PERUM BWI BARU BLOK E 6 5 2 16
39 31-45 L PERUM BAWEAN REGENCY
35 31-45 L JL SINGOSARI NO 7
44 31-45 L DSN KRAJAN 2 1
34 31-45 L JL SINGOSARI NO 07
38 31-45 L KRAJAN
26 18-30 L JL SAYU GRINGSING 16
33 31-45 L JL DI PANJAITAN 16
21 18-30 L JL MUSI 16
41 31-45 L JL SURATI BARU 16
20 18-30 P JL MH THAMRIN 3 1 16
52 46-59 L GAMBIRAN
18 18-30 L
24 18-30 P KAMPUNG MANDAR 16
53 46-59 L LAMPUNG
42 31-45 L JL MALABAR
50 46-59 P LABUHAN RATU
25 18-30 P LABUHAN RATU
26 18-30 L JL MENDUT 16
49 46-59 L JL PROGO 16
34 31-45 L DSN KARANGBARU
57 46-59 L PERUM MENDUT 16
46 46-59 L JL PROGO 2 2 16
31 31-45 P GENTENG WTAN
64 ≥60 L JL ROGO 2 2 16
30 18-30 P KROBOKAN KP MANDAR
41 31-45 P JL PROGO 2 2 16
28 18-30 L DSN KRAJAN
74 ≥60 L JL IKAN PAUS 2 3 16
76 ≥60 L JL IKAN PAUS 2 3 16
57 46-59 L JL SUDIRMAN 16
63 ≥60 L DOHO 16
70 ≥60 P JL JOPOPATI 16
78 ≥60 L
27 18-30 L DOHO 16
43 31-45 P SINDORO 16
35 31-45 P KRAJAN
52 46-59 P JL TANGKUBAN PERAHU 16
47 46-59 L JL DI PANJAITAN 16
50 46-59 L KEPATIHAN
59 46-59 P HADEOROK
35 31-45 P AROGURO
25 18-30 P JL GUNUNG IJEN
34 31-45 L KAMPUNG MANDAR 16
30 18-30 L DSN KLONTANG
40 31-45 L JL BENGAWAN
28 18-30 L LINGK UJUNG
26 18-30 P KOPENBAYAH
48 46-59 L JL DI PANJAITAN 2 2 16
50 46-59 L KAMPUNG MANDAR 16
42 31-45 P PURI BRAWIJAYA
27 18-30 L
26 18-30 P DSN KRAJAN 5 7
27 18-30 P
40 31-45 L JL DENPASAR 1 2 21
24 18-30 L KAMPUNG BARU
34 31-45 L DSN KRAJAN
23 18-30 P JL SAYU GRINGSING 16
56 46-59 P PERUM KEBALENAN
 60 ≥60 L PERUM KEBALENAN
37 31-45 L JL MH THAMRIN 16
31 31-45 L SEGOBANG
33 31-45 L JL MAHAKAM 3 2
37 31-45 L MENDUT REGENCY
29 18-30 L PERUMKEBALENAN
40 31-45 L JL DI PANJAITAN
33 31-45 P JL TUNGGUL AMETUNG
38 31-45 L JL TIDAR 2 1 16
41 31-45 L JL BUNYU 16
34 31-45 L DSN KRAJAN
51 46-59 P PERUM GGM 5 4
47 46-59 L JL CENDRWASIH
41 31-45 L DSN KRAJAN LOR
38 31-45 P KOMP GBI
34 31-45 L DSN GURIT
38 31-45 L KRAJAN KEDAYUNAN
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

GOTRUNAN

JENIS ALASAN
TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH TIDAK MEREK
"NAMA KELURAHAN PEKERJAA BPJS VAKSIN
N TERVAKSIN

(13) (14) (15) (16) (17) (18) (19) (20) (21)

14 2/24/2022 1 35020BD PFIZER

14 2/24/2022 35020BD PFIZER
91 2/24/2022 35020BD PFIZER
2/24/2022 35020BD PFIZER
2/24/2022 35020BD PFIZER
TKANGKAYU 2/24/2022 35020BD PFIZER
16 2/24/2022 35020BD PFIZER
14 2/24/2022 35020BD PFIZER
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8 2/24/2022 35020BD PFIZER
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14 2/24/2022 35020BD PFIZER
BENDOSARI 2/24/2022 35020BD PFIZER
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14 2/24/2022 35020BD PFIZER
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13 2/24/2022 35020BD PFIZER
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23 2/24/2022 1 350208D PFIZER
23 2/24/2022 1 35020BD PFIZER
17 2/24/2022 1 350208D PFIZER
23 2/24/2022 1 35020BD PFIZER
14 2/24/2022 1 350208D PFIZER
2/24/2022 1 35020BD PFIZER
2/24/2022 1 350208D PFIZER
23 2/24/2022 1 35020BD PFIZER
 2/24/2022 1 350208D PFIZER
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2/24/2022 1 350208D PFIZER
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18 2/24/2022 1 350208D PFIZER
16 2/24/2022 1 35020BD PFIZER
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18 2/24/2022 1 35020BD PFIZER
16 2/24/2022 1 350208D PFIZER
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16 2/24/2022 1 350208D PFIZER
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16 2/24/2022 1 350208D PFIZER
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8 2/24/2022 1 350208D PFIZER
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11 2/24/2022 1 350208D PFIZER
18 2/24/2022 1 35020BD PFIZER
10 2/24/2022 1 350208D PFIZER
2/24/2022 1 35020BD PFIZER
18 2/24/2022 1 350208D PFIZER
14 2/24/2022 1 35020BD PFIZER
2/24/2022 1 350208D PFIZER
14 2/24/2022 1 35020BD PFIZER
23 2/24/2022 1 350208D PFIZER
2/24/2022 1 35020BD PFIZER
2/24/2022 1 350208D PFIZER
2/24/2022 1 35020BD PFIZER
2/24/2022 1 350208D PFIZER
23 2/24/2022 1 35020BD PFIZER
2/24/2022 1 350208D PFIZER
2/24/2022 1 35020BD PFIZER
2/24/2022 1 350208D PFIZER
2/24/2022 1 35020BD PFIZER
23 2/24/2022 1 350208D PFIZER
23 2/24/2022 1 35020BD PFIZER
2/24/2022 1 350208D PFIZER
2/24/2022 1 35020BD PFIZER
2/24/2022 1 350208D PFIZER
2/24/2022 1 35020BD PFIZER
91 2/24/2022 1 350208D PFIZER
2/24/2022 1 35020BD PFIZER
2/24/2022 1 350208D PFIZER
10 2/24/2022 1 35020BD PFIZER
2/24/2022 1 350208D PFIZER
 2/24/2022 1 35020BD PFIZER
14 2/24/2022 1 350208D PFIZER
2/24/2022 1 35020BD PFIZER
2/24/2022 1 350208D PFIZER
2/24/2022 1 35020BD PFIZER
2/24/2022 1 350208D PFIZER
2/24/2022 1 35020BD PFIZER
2/24/2022 1 350208D PFIZER
14 2/24/2022 1 35020BD PFIZER
12 2/24/2022 1 350208D PFIZER
2/24/2022 1 35020BD PFIZER
2/24/2022 1 350208D PFIZER

2/24/2022 35020BD PFIZER

2/24/2022 35020BD PFIZER
2/24/2022 35020BD PFIZER
2/24/2022 35020BD PFIZER
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2/24/2022 35020BD PFIZER
35020BD PFIZER
JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS
FASKES NO.HP KETERANGAN

(22) (23) (24)

9 085895799416
9 081217629098
9 08170500020
9 087857305000
9
9 087809051974
9
9 082302455314
9
9 085334586134
9 082233776290
9 083824361496
9 081517198460
9 085330678365
9 082232791361
9
9 085233146027
9 082131546168
9 085231588905
9 082337071248
9 082140337111
9
9 082337432545
9 081234565888
9 081232199629
9 081336156572
9 085331072347
9 085235086029
9 085238609146
081332011292
081246044894

087352718510

082245571111

089655973415
085655697869
082141453282
082157789191

081235160512

082257600434
082335931161

087753912680

081233161140

082233380054
081216022049
081216022049
08124941181
08123461928
08123204800

085749415322
085232032465
08767589949
081233106988
082228880544
08966580741
081235657355
082131435558
08211408881
087884302355
087755996388

088235488720
082139031533
085860475796

087865908343

085222660935
087843952841
082132503397
08231741160
0812499731337
 081336990001
081334117324
082338768667
089683715633
081235264543
082261240500
085203531567
083847091985
081235659913
085733404959
081233039830
081336248698
082335090007
0853353300005
082217609561
082302459833
08538609146
9
9
9
9
9
9
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9
9
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9
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9
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9
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9
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9
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9
9
 9
9
9

JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510216910870001 GRACE IMMANUEL P BANYUWANGI 10/29/1987

2 3510165907630003 SUMINAH BANYUWANGI 7/19/1963
3 3578152506790002 FARIZKA F JAKARTA 6/25/1979
4 3510161606630002 ACH SUHAIMI R BANYUWANGI 6/16/1963
5 3510072010920004 RIO HERMAWAN BANYUWANGI 10/20/1992
6 3510162309770003 FATHUR ROHMAN BANYUWANGI 9/23/1977
7 3510166412800005 RINA KURNIAWATI BANYUWANGI 12/24/1980
8 3510162110490002 M BUSTAMI NAWAWI BANYUWANGI 10/21/1949
9 3672061105740002 DEDI SURYADI JAKARTA 5/11/1974
10 3510065006680003 HAMSIATIKA RUSMIATI BANYUWANGI 6/10/1968
11 3510212112940005 ARIF S BANYUWANGI 12/21/1994
12
13
14
15
16
17
18
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20
21
22
23
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25
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38
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 83
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128
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173
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218
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263
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308
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353
354
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361
362
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382
383
384
385
386
387
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389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 25-2-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

35 31-45 P PERUM BRAWIJAYA RESIDENCE

59 46-59 P JL SAYU GRINGSING 50B 16
43 31-45 P PERUM MENDUT REGENCY
59 46-59 L JL SAYU GRINGSING 50B
30 18-30 L GAMBIRAN 2 7
45 31-45 L JL KINIBALU NO 25
42 31-45 P
73 ≥60 P JL MH THAMRIN PERUM PKBR NO 8
48 46-59 L PERUM VILLA BUKIT MAS 17
54 46-59 P KEPATIHAN 3 4 CLURING
28 18-30 L LINGK SUKOWIDI 21
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

GOTRUNAN

JENIS ALASAN
TANGGAL PENTAHAPAN VAKSIN-3 NO BATCH TIDAK MEREK
"NAMA KELURAHAN PEKERJAA BPJS VAKSIN VAKSIN
N TERVAKSIN

(13) (14) (15) (16) (17) (18) (19) (20) (21)

35020BD PFIZER
10 35020BD PFIZER
35020BD PFIZER
35020BD PFIZER
35020BD PFIZER
35020BD PFIZER
35020BD PFIZER
35020BD PFIZER
47 35020BD PFIZER
35020BD PFIZER
91 35020BD PFIZER
SINOVAC
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SINOVAC
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SINOVAC
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SINOVAC
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SINOVAC
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SINOVAC
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SINOVAC
SINOVAC
SINOVAC
 SINOVAC
SINOVAC
SINOVAC

JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS

FASKES NO.HP KETERANGAN

(22) (23) (24)

9 087854771811
9
9 081332449599
9 082338311384
9 V1
9 087857354566
9 082330609374
9
9 081273564498
9 082337405869
9 081292280764 V2
9
9
9
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9
 9
9
9

JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510166702630002 LINA SUGIANTO BANYUWANGI 2/22/1963

2 3510164105530004 SUNDARI BANYUWANGI 5/1/1953
3 3510164610770011 NINIK SUNDARI BANYUWANGI 10/6/1977
4 3510164107890047 INDAH JULIAWATI S BANYUWANGI 7/1/1989
5 5271062707010003 DIMAS W BANYUWANGI 7/27/2001
6 3510160507470004 HADI DARMAWAN BANYUWANGI 7/5/1947
7 3510166608770002 HARYATI BANYUWANGI 8/26/1977
8 3510166305310001 SURYAWATI BANYUWANGI 5/23/1931
9 3510165807790003 RENI PUJI RAHAYU BANYUWANGI 7/18/1979
10 3510165502640005 HARIYATI BANYUWANGI 2/15/1964
11 3510160806620005 AKHMAD SAMSUDIN BANYUWANGI 6/8/1962
12 3510162503890009 RINNO WIDODO BANYUWANGI 3/25/1989
13 3510166512750003 SITI AFIFAH BANYUWANGI 1/5/1974
14 3510166307640005 SITI MARHENI BANYUWANGI 7/23/1964
15 3404062009800006 BARID PALADIN A BANYUWANGI 9/20/1980
16 3510164507750008 ANI HARIYANTI BANYUWANGI 7/5/1975
17 3510166107990003 MAULINA YULIANDARI BANYUWANGI 7/21/1999
18 3510165410750003 NURUL HIDAYATI BANYUWANGI 10/14/1975
19 3510166301660002 SUWARNI BANYUWANGI 1/23/1966
20 3510160707590007 JOKO SUROSO BANYUWANGI 7/7/1959
21 3510164304650006 SITI ASIYAH BANYUWANGI 5/29/1965
22
23
24
25
26
27
28
29
30
31
32
33
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37
38
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 398
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KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 26-2-22

UMUR KELOMPOK "JENIS

UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(6) (7) (8) (9) (10) (11)

60 ≥60 P KALILO 1 2
69 ≥60 P KALILO
45 31-45 P KALILO 2 5
33 31-45 P JL JENDRAL SUDIRMAN NO 59
21 18-30 L PERUM VILLA MUTIARA HIJAU BLOK G35
75 ≥60 L JL MH THAMRIN 87
45 31-45 P KALILO
91 ≥60 P KALILO 1 2
43 31-45 P JL KALILO
59 46-59 P JL TRUNOJOYO GG AL HILAL
60 ≥60 L JL TRUNOJOYO GG AL HILAL
33 31-45 L KALILO 3 2
49 46-59 p PERUM PERMATA HUSADA 4 5
58 46-59 P KALILO 5 2
42 31-45 L PAGUNG BARU 3
47 46-59 P JL KALILO 1 4
23 18-30 P JL KALILO 1 4
47 46-59 P JL KALILO
57 46-59 P
63 ≥60 L JL MH THAMRIN 5 2
57 46-59 P KALILO 5 2
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

NGOTRUNAN

NAMA JENIS ALASAN

KECAMATA "NAMA KELURAHAN PEKERJAA BPJS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH TIDAK
N N TERVAKSIN

(12) (13) (14) (15) (16) (17) (18) (19) (20)

16 13 2/26/2022 1
16 13 2/26/2022 1
16 13 2/26/2022 1
16 13 2/26/2022 1
16 13 2/26/2022 1
16 13 2/26/2022 1
16 13 2/26/2022 1
16 13 2/26/2022 1
16 13 2/26/2022 1
2/26/2022 1
2/26/2022 1
16 13 2/26/2022 1
16 13 2/26/2022 1
16 13 2/26/2022 1
2/26/2022 1
16 13 2/26/2022 1
16 13 2/26/2022 1
16 13 2/26/2022 1
2/26/2022 1
16 13 2/26/2022 1
16 13 2/26/2022 1
16
16
16
16
16
16
16
16
16
16
16
16
16
16
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16
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16
16
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16
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16
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16
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16
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16
16
16
16
 16
16
16

JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS

 MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

ASTRAZENECA 9 08123482389
ASTRAZENECA 9 083141687230
ASTRAZENECA 9 085234627486
ASTRAZENECA 9 0895336538180
ASTRAZENECA 9 085732464473
ASTRAZENECA 9 081249646463
ASTRAZENECA 9 083846273562
ASTRAZENECA 9 08123482389
ASTRAZENECA 9 081259096795
ASTRAZENECA 9 085232203098
ASTRAZENECA 9 081252639336
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JELAS JELAS JELAS

 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510163006540140 MUH. BASIRIN BANYUWANGI

2 3510166309600003 SUMARTINI BANYUWANGI
3 3510165805820006 WAHIDA NURIS D BANYUWANGI
4 3510165511850006 IRNA YULIAWATI BANYUWANGI
5 3510164208700003 MASLUHARTIN BANYUWANGI
6 3510160608500003 SOEROSO BANYUWANGI
7 3510166210540001 TITIEK TUNGGARWATI BANYUWANGI
8 3510164206770002 RULLY SULISTIYARINI BANYUWANGI
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13 3510166507460001 FATIMAH BANYUWANGI
14 3510164404570002 AMENAH BANYUWANGI
15 3510167006500184 OENTOENG PAIDJEM BANYUWANGI
16 3510164801690003 ARIYANI BANYUWANGI
17 3510165708510005 SUWASIH BANYUWANGI
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19 3510167006530113 BANIYAH BANYUWANGI
20 3510161911620002 UNTUNG SELAMET BANYUWANGI
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22 3510163006520062 MULYADI BANYUWANGI
23 3510167008500004 MASITAH BANYUWANGI
24 3510165508530006 MARWIYAH BANYUWANGI
25 35101670065590126NAPSIYAH BANYUWANGI
26 3510167009710004 NOER ERMAWATI BANYUWANGI
27 3510161006840008 BUDI BANYUWANGI
28 3510166505790004 MARIYATI BANYUWANGI
29 3510164262420003 JAKKIYAH BANYUWANGI
30 3510161205740003 JOKO HARIYANTO BANYUWANGI
31 3510165307670002 SRI HIDAYATI BANYUWANGI
32 3510166108630001 RESOPIN BANYUWANGI
33 35101642020286001YUNIASEH BANYUWANGI
34 5101041205750006 ACHMAD MUNIR BANYUWANGI
35 3510166604850002 KASIYATI BANYUWANGI
36 3510167012720003 NUR HIDAYATI BANYUWANGI
37 3510214408770002 SRI AGUSTINA BANYUWANGI
38 3510166908770003 ROSIDA BANYUWANGI
39 3510160107520044 MULYOHADI BANYUWANGI
40 3510166111690005 RAHMANIYATUN BANYUWANGI
41 3510045306810001 YAYUK YUNITA BANYUWANGI
42 3510164211770009 SRI DEWI A BANYUWANGI
43 3510164104990002 NISA YASMIN BANYUWANGI
44 3510161903540001 SUJONO BANYUWANGI
45 3510165706680007 HARTATI BANYUWANGI
46 3510165305650003 SIYANI BANYUWANGI
47 3510165808740005 LULUK KUSMIYATI BANYUWANGI
48 3510165010650024 IMSIYAH BANYUWANGI
49 3510164504760006 HARTATIK BANYUWANGI
50 3510166103690003 NURJANAH BANYUWANGI
51 3510165209700003 UMI SETYOWATI BANYUWANGI
52 3510160908660002 JOKO SETIYONO BANYUWANGI
53 3510165705440002 TATIK SUTJIATI BANYUWANGI
54 3510167006650124 KARTINI BANYUWANGI
55 3510167006630166 MUSRIAH BANYUWANGI
56 3510164810590003 NUR LAILA BANYUWANGI
57 3510167108670002 ISRIYAH BANYUWANGI
58 3510164510590001 NORMA BANYUWANGI
59 3510167006450116 AMSIAH BANYUWANGI
60 3510162711950002 RIYAN DWI M BANYUWANGI
61 3510161204400006 MUDHOFAR BANYUWANGI
62 3510164106840003 RATIH DWI RETNANI BANYUWANGI
63 3510166510720003 DWI NURHAYATI BANYUWANGI
64 3510164212630004 MARIYAM BANYUWANGI
65 3510165904650002 SUMENAH BANYUWANGI
66 3510175808750002 ERNI PRAWESTI BANYUWANGI
67 3510165906510002 ALIYAH BANYUWANGI
68 3510164210600002 SUHAIBAH BANYUWANGI
69 3510167006520066 HADIAH BANYUWANGI
70 3510163007470002 MAHMUDI BANYUWANGI
71 3510164707890003 DEVI MAHDALENA BANYUWANGI
72 3510162109510001 BUWANG BAJURI BANYUWANGI
73 3510166404560002 SUSIYATI BANYUWANGI
74 3510172609010002 CALVIN SHEUNG BANYUWANGI
75 3510165310740002 SITI MARIA ULFA BANYUWANGI
76 3510167112670005 NURUL FITRIYAH BANYUWANGI
77 3510164403450002 SUMIJATI BANYUWANGI
78 5101044812750002 SUMIATI BANYUWANGI
79 3510166811740003 ERNA SETIAWATI BANYUWANGI
80 3510165607630002 KHOSIDA BANYUWANGI
81 3510162009600001 BUDIANTO BANYUWANGI
82 3510161510710005 HARIYANTO BANYUWANGI
83 3510165408800009 FITRI HIDAYATI BANYUWANGI
84 3510166709540001 SUHARTINI BANYUWANGI
85 3510164507720007 YULIA SUSANTY BANYUWANGI
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KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 28 - 2- 2022

NAMA "NAMA JENIS

UMUR KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT" "RW" KECAMATA KELURAHA PEKERJAA
KELAMIN"
N N N
(5) (6) (7) (8) (9) (10) (11) (12) (13) (14)

6/30/1954 68 ≥60 L KALILO 1 1 16 13

6/23/1960 62 ≥60 P JL. BOGOWONTO 16 13
5/18/1982 40 31-45 P KALILO 1 1 16 13
11/15/1985 37 31-45 P 16 13
8/2/1970 52 46-59 P JL. OPAK 16 13
8/6/1950 72 ≥60 L JL. LETKOL ISTIQLAH 16 16
10/22/1954 68 ≥60 P JL. LETKOL ISTIQLAH 16 16
6/2/1977 45 31-45 P JL. OPAK 1 1 16 13
9/25/1954 68 ≥60 L JL. OPAK 16 13
8/8/1948 74 ≥60 L KALILO 16 13
6/3/1984 38 31-45 P KALILO 1 1 16 13
5/4/1955 67 ≥60 P KALILO 16 13
7/25/1946 76 ≥60 P JL. KALIMAS 16 13
4/4/1957 65 ≥60 P JL. KALIMAS 16 13
6/30/1950 72 ≥60 P KALILO 16 13
1/8/1969 54 46-59 P JL. KALIMAS 16 13
8/17/1957 65 ≥60 P 16 13
2/6/1980 43 31-45 L KALILO 1 1 16 13
6/30/1953 69 ≥60 P KALILO 16 13
11/19/1962 60 ≥60 L JL. CITARUM 16 PANDEREJO
5/14/1956 66 ≥60 L JL. OPAK 16 13
6/30/1952 70 ≥60 L JL. KALILO 16 13
8/30/1950 72 ≥60 P JL. KALIMAS 16 13
8/15/1953 69 ≥60 P JL. OPAK 16 13
6/30/1959 63 ≥60 P KALILO 16 13
9/30/1971 51 46-59 P JL. BRANTAS 16 13
6/10/1984 38 31-45 L KALILO 16 13
5/25/1979 43 31-45 P JL. MH THAMRIN 16 13
12/2/1984 38 31-45 P JL. OPAK 16 13
5/12/1974 48 46-59 L JL. OPAK 3 1 16 13
7/13/1967 55 46-59 P JL. MH TH 3 2 16 13
8/21/1963 59 46-59 P JL. BOGOWONTO 16 13
2/2/1986 37 31-45 P KALILO 16 13
5/12/1975 47 46-59 L VBM 16 13
4/26/1985 37 31-45 P JL. KALIMAS 16 13
12/30/1972 50 46-59 P KALILO 2 2 16 13
8/4/1977 45 31-45 P KALILO 16 13
8/29/1977 45 31-45 P JL. BOGO 4 2 16 13
7/1/1952 70 ≥60 L JL. BRANTAS 16 13
11/21/1969 53 46-59 P KALILO 16 13
 6/13/1981 41 31-45 P JL. OPAK 4 1 16 13
11/2/1977 45 31-45 P JL. IKAN WADER PARI 16 KARANGREJO
4/1/1999 23 18-30 P JL. IKAN WADER PARI 16 KARANGREJO
3/19/1954 68 ≥60 L KALILO 16 13
6/16/1968 54 46-59 P JL. OPAK 16 13
5/13/1965 57 46-59 P PENGANTIGAN 16 13
8/18/1974 48 46-59 P JL. KALIM 3 1 16 13
10/10/1965 57 46-59 P KALILO 16 13
4/5/1976 46 46-59 P JL. KALIM 4 1 16 13
3/21/1969 53 46-59 P JL. KALIM 4 1 16 13
9/12/1970 52 46-59 P JL. OPAK 16 13
8/9/1966 56 46-59 L JL. OPAK 16 13
5/17/1949 73 ≥60 P JL. OPAK 16 13
30/6/65 #VALUE! #VALUE! P KALILO 16 13
6/30/1963 59 46-59 P JL. MH THAMRIN 16 13
10/8/1959 63 ≥60 P KALILO 16 13
8/31/1967 55 46-59 P JL. OPAK 16 13
10/5/1959 63 ≥60 P JL. OPAK 1 1 16 13
6/30/1945 77 ≥60 P JL. KALIMAS 16 13
11/27/1995 27 18-30 L PENGANTIGAN 16 13
8/12/1940 82 ≥60 L JL. MH THAMRIN 16 13
6/1/1984 38 31-45 P JL. BOGOWONTO 16 13
10/25/1972 50 46-59 P JL. MH THAMRIN 16 13
12/2/1942 80 ≥60 P JL. KALIM 4 1 16 13
4/19/1965 57 46-59 P JL. OPAK 16 13
8/18/1975 47 46-59 P JL. A YANI 16 13
6/19/1951 71 ≥60 P KALILO 2 1 16 13
10/2/1960 62 ≥60 P JL. KALILO 16 13
6/30/1952 70 ≥60 P JL. OPAK 16 13
7/30/1947 75 ≥60 L 16 13
7/7/1989 33 31-45 P 16 13
9/21/1951 71 ≥60 L JL. KALIMAS 16 13
4/24/1956 66 ≥60 P JL. OPAK 16 13
9/26/2001 21 18-30 L 16 13
10/13/1974 48 46-59 P KALILO 16 13
12/31/1967 55 46-59 P 16 13
3/4/1945 77 ≥60 P KALILO 16 13
12/8/1975 47 46-59 P KALILO 16 13
11/24/1974 48 46-59 P 16 13
7/16/1963 59 46-59 P KALILO 16 13
9/20/1960 62 ≥60 L KALILO 16 13
10/15/1971 51 46-59 L JL. KERTANEGARA 16 KEBALENAN
8/14/1980 42 31-45 P JL, KERTANEGARA 16 KEBALENAN
9/27/1954 68 ≥60 P JL. KERTANEGARA 16 KEBALENAN
7/5/1972 50 46-59 P
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
123 ≥60 16
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JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS

N

ALASAN
TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH TIDAK MEREK FASKES
BPJS VAKSIN
TERVAKSIN

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NO.HP KETERANGAN

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 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
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1 3510140710910004 DWI OKTA PRASETYO BANUWANGI

2 3510125211940003 DINI AYU PANGESTI BANUWANGI
3 3510165305770002 DIAN ANGRAINI BANUWANGI
4 3510165807740002 IRA YULLI SUSANTI BANUWANGI
5 3509104507930003 DWI ARUM W BANUWANGI
6 3510162710010003 ADI PRATAMA BANUWANGI
7 3509100311920001 AMRULLOH RIDHO F BANUWANGI
8 35109114110920004IDA AYU KUSUMA W JMBER
9 3510190912890003 MUHAMMAD ALI AMSORI BANUWANGI
10 3524221808840002 ABDUL WARITS BANUWANGI
11 3510090205930005 UNTUNG WIYONO BANUWANGI
12 3510080205010002 AHMAD BASHORI BANUWANGI
13 3510231103920001 BAYU DWI SAPUTRA BANUWANGI
14 3510166507900001 SHELINA NURILA YULIANI BANUWANGI
15 3509190612730004 SAIFUL BAHRI BANUWANGI
16 3509273008840004 MISNARI BANUWANGI
17 3509210611970007 AINUR ROSI JMBER
18 3520010802940001 UMAR WIRAHADI BANUWANGI
19 3510161907860008 BRIMO FAGUNTORO BANUWANGI
20 3520174611980001 RANI HERTAMI BANUWANGI
21 3510161607930005 FIRMAN ARDIANSYAH BANUWANGI
22 3510130606920003 RANGGA FIRMANSYAH BANUWANGI
23 351207581093001 MUHAMMADA MUHSINA BANUWANGI
24 3510100808980004 AHMAD RIZAL MUTTAKIN BANUWANGI
25 3502121101940002 SUHADI BANUWANGI
26 3510160301940007 RIZKY IMANANDA SAPUTRA BANUWANGI
27 3510142506940004 MOH AS'AD BANUWANGI
28 3510130407940004 NURAHMAD ROSIDI BANUWANGI
29 3510160411920001 SUGIARTO BANUWANGI
30 3503062903940001 YOGA DELIZ PRATAMA BANUWANGI
31 3510161208740003 BUDI MARWOTO BANUWANGI
32 3510211604970001 AHMAD NUR YASIN BANUWANGI
33 3509020607880005 SUGENG WIDAYANTO JMBER
34 3510212003970003 DIMAS SATRIO MAULANA BANUWANGI
35 3511011909790013 MUH ARIFIN BONDOWOSO
36 3510211208950003 WAHYU TRI SAPTO WIBOWO BANYUWANGI
37 3510169011810004 SITI AISAH BANYUWANGI
38 3510071012010004 HERU KURNIAWAN BANYUWANGI
39 3510146408840002 HAPSARI WINGATI BANYUWANGI
40 3510160911950001 JATMIKO FARIS AQIL BANYUWANGI
41 3510102201990003 MUHAMAD FITRIMA FURI BANYUWANGI
42 3511161002970001 AHMAD LUTFI ISNAINI BANYUWANGI
43 3510162607950007 ABDUL HARIS JA'PAR BANYUWANGI
44 3510161404000006 RAGA WISTIO BANYUWANGI
45 351021101099009 ABDUL MUID BANYUWANGI
46 3510142904000001 NUR MUHAMMAD AINUL YAQIN BANYUWANGI
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50 3510141106740002 SAMUGI BANYUWANGI
51 3518096504870008 ERVIN WIDHIATI BANYUWANGI
52 3510212601030001 SUSENO WIDIYANTO BANYUWANGI
53 3509164107990158 VITA RAHMAWATI BANYUWANGI
54 3510176704920002 FIRDAUS S BAKTIR BANYUWANGI
55 3510141701980005 RENO FAJAR NUSA BANYUWANGI
56 3510162305680004 IOKIANO AGUS S SOLO
57 3510160712760003 MAWAN EKO PURNOMO BANYUWANGI
58 3509276809850001 RIZA PURNAMASARI BANYUWANGI
59 3509210110900008 TRI SAKTI WICAKSONO BANYUWANGI
60 350714010697001 MUHAMMAD ROMY PRAMONO BANYUWANGI
61 35101717099000001M ADHI KHARISMA JIWA BANYUWANGI
62 350905580589003 RIA SAFITRIANTI JEMBER
63 3510021012900002 NURPIALI BANYUWANGI
64 3510151111860001 INDRA ARIYANA BANYUWANGI
65 3510162005940008 PRAMUDITA AKBAR P A BANYUWANGI
66 3510162205800004 SANDI PRIYATMOKO BANYUWANGI
67 3510212712870003 MOCHAMAD NUR KHOLIS BANYUWANGI
68 351009080290001 TITOK ARIF PAMBUDI BANYUWANGI
69 3510135009960004 NURIYATUS SHOLEHA BANYUWANGI
70 35109191208910002DELON WIRA TRIMANGGALA BANYUWANGI
71 3510161601620002 MARWIYAH BANYUWANGI
72 3510165511950005 UMY FADILAH BANYUWANGI
73 3510165904950003 RIKA ARDINA BANYUWANGI
74 3510131902860004 PRIYO PRASETYO UTOMO BANYUWANGI
75 3510132208970004 VINANDO BINTANG SATRIA BANYUWANGI
76 3510151003900001 DENDI DWI LESTARI BANYUWANGI
77 357810170789001 HENDRI PURNOMO SURABAYA
78 3510062010870002 EKO RUSMIANTO BANYUWANGI
79 3515142812850002 RADITYA PERMANA BANYUWANGI
80 3510161110910002 RISKI OKTA NURFADLI BANYUWANGI
81 3510082107920001 YOFI WAHYU SULARSO BANYUWANGI
82 3510035506920005 DINDA AIRTIYA C BANYUWANGI
 83 3578064508810009 SULISSILOWATI BANYUWANGI
84 3509195808630006 LILIK AGUSTINA BANYUWANGI
85 3510050408860004 ANDI FAJAR HIDAYAT BANYUWANGI
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KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 1-3-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

10/7/1991 31 31-45 L DSN UMBULREJO 2

11/12/1994 28 18-30 P DSN UMBULREJO 2
5/13/1977 45 31-45 P PERUM BRAWIJAYA RESIDENCE E 8
7/18/1974 48 46-59 P JL BLAMBANGAN 8
7/5/1993 29 18-30 P DSNKARANG ANYAR 3
10/27/2001 21 18-30 L L GOW NO 9 4
11/3/1992 30 18-30 L JL JAWA GG MELAWAI
10/1/1992 30 18-30 P JL IKAN SELIDING NO E5
12/9/1989 33 31-45 L PERUM CPI 2 NO 5
8/18/1984 38 31-45 L PERUM PURI GADING A-32
5/2/1993 29 18-30 L DUSUN WADUNG DOKAR 3
5/2/2001 21 18-30 L DSN SUMBERAGUNG 2
3/11/1992 30 18-30 L DSN KAJAN 1 1
7/25/1990 32 31-45 P PERUM PESAT GATRA VILLAGE
12/6/1973 49 46-59 L JL HAYAM WURUK XI 94
8/30/1984 38 31-45 L LINGK SECANG MANGIR 3
11/6/1997 25 18-30 L GOMBENGSARI
2/8/1994 29 18-30 L PONCOL 24
7/19/1986 36 31-45 L KEBALENAN BAU 2 BLOK G 8 2
11/6/1998 24 18-30 P DSN TAWANG 14
7/16/1993 29 18-30 L JL KHTHOHA PAKIS
6/6/1992 30 18-30 L DSN ROGOJAMPI UTARA 1
10/18/1993 29 18-30 L DSN ROGOJAMPI UTARA 1
12/7/1998 24 18-30 L DSN WONOASIH 3
1/11/1994 29 18-30 L JL KENANGA 16
1/3/1994 29 18-30 L PERUM VILLA GAJAH ADA C 20
6/25/1994 28 18-30 L JLIKAN WIJINONGKO LINGK WONOSARI
7/4/1994 28 18-30 L DSN LUGONTO 1
11/4/1992 30 18-30 L DSN SECAWAN
3/29/1994 28 18-30 L DSN PONDOK NONGKO PERUM PURI RAHAYU BLOK L4
8/12/1974 48 46-59 L JL IKAN WIJINONGKO 1
4/16/1997 25 18-30 L DSN GUNUNG REMUK 1
7/6/1988 34 31-45 L DSN PONDOK WALUH
3/20/1997 25 18-30 L DSN KRAJAN WETAN 3
9/19/1979 43 31-45 L DSN KRAJAN 2 1
8/12/1995 27 18-30 L PERUM SUKOWIDI INDAH RESIDENCE
11/10/1981 41 31-45 P JL IKAN WIJINONGKO 1
12/10/2001 21 18-30 L GLOWONG 4
8/24/1984 38 31-45 P
11/9/1995 27 18-30 L JL KAPUAS NO 9
1/21/1999 24 18-30 L DSN WONOASIH 3
2/10/1997 26 18-30 L LOR SAWAH DSN GRONDO
7/26/1995 27 18-30 L LINGK KRAJAN 1
4/14/2000 22 18-30 L JL IKAN PAUS
10/10/1999 23 18-30 L LINGK LEREK
4/29/2000 22 18-30 L
12/14/1985 37 31-45 L PERMATA PURI 2 GIRI
10/19/1998 24 18-30 L LINGK LEREK 2
3/29/1995 27 18-30 L DSN KRAJAN
6/11/1974 48 46-59 L JLRAMBUTAN L20
4/25/1987 35 31-45 P PERUM PURI GADINGM MAS A-32
1/26/2003 20 18-30 L LINGK LEREK
7/27/1999 23 18-30 P DSN GUMUKRASE
4/27/1992 30 18-30 L PERUM PERMATA PURI 2 GIRI
1/17/1998 25 18-30 L DSN KRAJAN DS PAKISTAJI
5/23/1968 54 46-59 L JLBLAMBANGAN 8
12/7/1976 46 46-59 L PERUM BRAWIJAYA RESIDENCE E 8
9/28/1985 37 31-45 P JLIKAN SULIR
10/1/1990 32 31-45 L DSN TEMUREJO 2
6/1/1997 25 18-30 L WONGSOREJO
9/17/1990 32 31-45 L JL GAJAH MADA GG KELAPA II
5/18/1989 33 31-45 P PURWOREJO
12/10/1990 32 31-45 L PASEMBRA 6
11/11/1986 36 31-45 P DSN KRAJAN 2
5/20/1994 28 18-30 L JL RW MONGISIDI NO 34
5/22/1980 42 31-45 L JL SUPRIYADI NO 32
12/27/1987 35 31-45 L KALIPURO
2/8/1990 33 31-45 L GENTENG
9/10/1996 26 18-30 P PETUNG BARAT
8/13/1991 31 31-45 L PERUM PESAT GATRA BLOK L 9
1/16/1962 61 ≥60 P JL CENDRAWASIH NO 20
11/15/1995 27 18-30 P JL CENDRAWASIH NO 20
4/19/1995 27 18-30 P JL BHREE WIRABUMI
2/19/1986 36 31-45 L
8/22/1997 25 18-30 L ROGOJAMPI
3/10/1990 32 31-45 L JL BHRE WIRABUMI NO 44 2
7/17/1989 33 31-45 L JL PLOSO 5/178
10/20/1987 35 31-45 L PERUM TAMAN SAWIT
12/28/1985 37 31-45 L PERUM PURI MENDUT C-7
10/11/1991 31 31-45 L LINGK KRAJAN 1
7/21/1992 30 18-30 L KARANGLO 2
6/15/1992 30 18-30 P JL GAJAH MADA GG PALAPA 5
8/5/1981 41 31-45 P KEMBANG KUNING KULON L/5
8/18/1963 59 46-59 P PERUM BMP AA-12
8/4/1986 36 31-45 L PERUM SUTRI K8
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 0
0

JELAS JELAS JELAS JELAS JELAS

PUSKESMAS SINGOTRUNAN
3-22

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3

"RW" NAMA KECAMATAN "NAMA KELURAHAN BPJS
PEKERJAAN

(11) (12) (13) (14) (15) (16) (17) (18)

1 SINGOJURUH 3/1/2022 1
1 SINGOJURUH 3/1/2022 1
3/1/2022 1
3 3/1/2022 1
2 BALUNG 3/1/2022 1
4 TAMANSARI 3/1/2022 1
JEMBER 3/1/2022 1
3/1/2022 1
KERTOSARI 3/1/2022 1
KABAT DADAPAN 3/1/2022 1
1 3/1/2022 1
5 SRONO 3/1/2022 1
2 TEGALSARI 3/1/2022 1
3/1/2022 1
JEMBER 3/1/2022 1
1 21 95 3/1/2022 1
21 3/1/2022 1
3 MAGETAN 3/1/2022 1
4 16 3/1/2022 1
3 MAGETAN 3/1/2022 1
3/1/2022 1
3 3/1/2022 1
3 3/1/2022 1
1 BUMIHARJO 3/1/2022 1
2 3/1/2022 1
3/1/2022 1
3/1/2022 1
3 ROGOJAMPI 3/1/2022 1
KABAT 3/1/2022 1
RAHAYU BLOK L4 3/1/2022 1
7 3/1/2022 1
4 3/1/2022 1
KENCONG 3/1/2022 1
12 21 97 3/1/2022 1
1 GAMBIRAN 3/1/2022 1
3/1/2022 1
7 16 3/1/2022 1
1 WRINGINAGUNG 3/1/2022 1
3/1/2022 1
3/1/2022 1
3 3/1/2022 1
3/1/2022 1
1 3/1/2022 1
16 8 3/1/2022 1
3/1/2022 1
3/1/2022 1
17 47 3/1/2022 1
2 21 GOMBENG 3/1/2022 1
KABAT DADAPAN 3/1/2022 1
KABAT KALIREJO 3/1/2022 1
3/1/2022 1
21 95 3/1/2022 1
3/1/2022 1
3/1/2022 1
14 3/1/2022 1
3 16 18 3/1/2022 1
3/1/2022 1
16 20 3/1/2022 1
2 GENTENG 3/1/2022 1
3/1/2022 1
3/1/2022 1
TEGALDLIMO 3/1/2022 1
3 SAMBIREJO 3/1/2022 1
2 15 3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
16 3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
2 16 10 3/1/2022 1
SBY 3/1/2022 1
3/1/2022 1
3/1/2022 1
3 21 92 3/1/2022 1
1 SUKONATAR 3/1/2022 1
3 3/1/2022 1
 SBY 3/1/2022 1
JEMBER 3/1/2022 1
16 20 3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
3/1/2022 1
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
NO BATCH ALASAN TIDAK MEREK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(19) (20) (21) (22) (23) (24)

35020BD PFIZER 9 085236222123

35020BD PFIZER 9 081333564212
35020BD PFIZER 9 081249988005
35020BD PFIZER 9 081259112723
35020BD PFIZER 9 081330795590
35020BD PFIZER 9 089504420405
35020BD PFIZER 9 082257916092
35020BD PFIZER 9 081234958170
35020BD PFIZER 9 085234666944
35020BD PFIZER 9 081336077243
35020BD PFIZER 9 085606122000
35020BD PFIZER 9 085335126050
35020BD PFIZER 9 082234962270
35020BD PFIZER 9 082331696988
35020BD PFIZER 9 081332866255
35020BD PFIZER 9 082223110145
35020BD PFIZER 9 085604820186
35020BD PFIZER 9 085735100472
35020BD PFIZER 9 081332063014
35020BD PFIZER 9 087851279600
35020BD PFIZER 9 081234164506
35020BD PFIZER 9 081270056057
35020BD PFIZER 9 081270056057
35020BD PFIZER 9 08533631693
35020BD PFIZER 9 083735995603
35020BD PFIZER 9 087851127225
35020BD PFIZER 9 081336757713
35020BD PFIZER 9 089618457496
35020BD PFIZER 9 081330782530
35020BD PFIZER 9 085315642000
35020BD PFIZER 9 082318323797
35020BD PFIZER 9 089515763919
35020BD PFIZER 9 082211436556
35020BD PFIZER 9 081939779727
35020BD PFIZER 9 085233134508
35020BD PFIZER 9 081330369245
35020BD PFIZER 9 087827097853
35020BD PFIZER 9 085735730502
35020BD PFIZER 9 082334560960
35020BD PFIZER 9 081359274542
35020BD PFIZER 9 081292289043
35020BD PFIZER 9 085333162611
35020BD PFIZER 9 082213242930
35020BD PFIZER 9 089529447601
35020BD PFIZER 9 085735730169
35020BD PFIZER 9 087762796458
35020BD PFIZER 9 081234975169
35020BD PFIZER 9 085708759721
35020BD PFIZER 9 085959628414
35020BD PFIZER 9 082334560960
35020BD PFIZER 9 081252258484
35020BD PFIZER 9 085707883613
35020BD PFIZER 9 08563543340
35020BD PFIZER 9 081216287500
35020BD PFIZER 9 087774211288
35020BD PFIZER 9 08123238335
35020BD PFIZER 9 08124958776
35020BD PFIZER 9 081252946789
35020BD PFIZER 9 082336539598
35020BD PFIZER 9 081233930160
35020BD PFIZER 9 082301456634
35020BD PFIZER 9 081336611409
35020BD PFIZER 9 082234955981
35020BD PFIZER 9 082140725302
35020BD PFIZER 9 081357620312
35020BD PFIZER 9 082331212514
35020BD PFIZER 9 08113667212
35020BD PFIZER 9 082126260505
35020BD PFIZER 9 087806508778
35020BD PFIZER 9 082335586768
35020BD PFIZER 9 082331671813
35020BD PFIZER 9 085230210400
35020BD PFIZER 9 085236173208
35020BD PFIZER 9 08123668789
35020BD PFIZER 9 081328857808
35020BD PFIZER 9 085336047808
35020BD PFIZER 9 085733653511
35020BD PFIZER 9 081252794357
35020BD PFIZER 9 085234840444
35020BD PFIZER 9 081235400184
35020BD PFIZER 9 082266852103
35020BD PFIZER 9 085203951303
35020BD PFIZER 9 082333252851
35020BD PFIZER 9 082331419120
35020BD PFIZER 9 085859763167
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD PFIZER 9
35020BD 9
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19
TANGGAL : 4-3-22

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510161707840006 JULYAS DHANY H BANYUWANGI 17-7-84

2 3578121110740001 MUHAMMAD FARID ROMAD BANYUWANGI 11/10/1974
3 3510141902960001 HAFITRIO FARIN BANYUWANGI 19-2-96
4 3510161803910015 NU'MAN FAJAR ROMADHONBANYUWANGI 18-3-91
5 3510056207920003 VIVIN UL QURANIYUL F BANYUWANGI 22-7-92
6 3578232108790002 SETIAWAN ARI WAHYUDI BANYUWANGI 21-8-79
7 3510160803980001 ADAM LIPI AINUL YAQIN BANYUWANGI 8/3/1998
8 3510165805810010 SETRANING PRATIWI BANYUWANGI 18-5-81
9 3510155511700002 SITI NURHAYATI BANYUWANGI 15-11-70
10 3510175006700007 NURUL HIDAYATI BANYUWANGI 10/6/1970
11 3510221507700006 EKO YULIANTO BANYUWANGI 15-7-70
12 3510162302700003 M SHOLIKAN JOMBANG 23-2-71
13 3510162402690001 WINDU SEMEDI BANYUWANGI 24-2-69
14 3510226808680003 WARSINI HENDRAWATI BANYUWANGI 28-8-68
15 3510032601690002 AKYASUDIN BANYUWANGI 26-1-69
16 3510165312720004 ROMA ULIAN BANYUWANGI 13-12-72
17 3510164409810003 LULUT EXI RASDIATI BANYUWANGI 4/9/1981
18 3510170807820004 JOKO TRI NURCAHYO BANYUWANGI 8/7/1982
19 3510161608880007 ANDRE REFALDI BANYUWANGI 16-8-88
20 3510155006920003 WIKA DIANITA UTAMI BANYUWANGI 10/6/1992
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
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255
256
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258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
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290
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294
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296
297
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300
301
302
303
304
305
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308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
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326
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328
329
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331
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333
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336
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342
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350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
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379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
AN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 4-3-22 BPR JATIM

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

#VALUE! #VALUE! L JL DOHO 12 16

48 46-59 L
#VALUE! #VALUE! L JL LETKOL ISTIQLAH NO 11 16
#VALUE! #VALUE! L VILLA MUTIARA HIJAU 16
#VALUE! #VALUE! P DSN STOPLAS 1 4
#VALUE! #VALUE! L JL LETJEN SUTOYO GG PARKIT 3B
24 18-30 L JL LETKOL ISTIQLAH NO 26 16
#VALUE! #VALUE! P JL DR SOETOMO 30B
#VALUE! #VALUE! P LINGK TEMBAKON 2 1 15
52 46-59 P LINGK KRAJAN II 2 6
#VALUE! #VALUE! L DSN SUMBER BENING 1 1
#VALUE! #VALUE! L PERUM VILLA PESONA TIDAR B-12A 16
#VALUE! #VALUE! L JL LETJEN SUTOYO GG PARKIT NO 22
#VALUE! #VALUE! P DSN SUMBERBENING 2 3
#VALUE! #VALUE! L DSN SUMBER REZEKI 2 1 PURWOHARJO
#VALUE! #VALUE! P LINGK KRAJAN II 3 1 16
41 31-45 P JL BOROBUDUR 16
40 31-45 L PERUM PURI GADING MAS P 3 3 17
#VALUE! #VALUE! L JL MUSI GG MAWAR 63 16
30 18-30 P DSN KRAJAN 1 12 21
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

 "NAMA KELURAHAN NO.HP KETERANGAN

(13) (23) (24)

18 081246696650
081234864955
16 085203944882
8 08228152112
085258742804
081217109997
16 08980758814
08113513081
081336779672
081249992974
085236142356
13
081336733925
085236194520
URWOHARJO 081231179467
085236157115
18 08124908989
DADAPAN 081332421305
085236363281
97 085232796796
JELAS JELAS
 LAPORAN HARIAN

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510160111440002 HERU DAHONO BANYUWANGI

2 3510161112480004 MOCHAMAD SUTEJO BANYUWANGI
3 3510167006680034 SUHARTINI BANYUWANGI
4 3510164710570004 ISKAYA BANYUWANGI
5 3510165206630011 SUPIYAH BANYUWANGI
6 3510160403900002 INDRA FERDIANSA BANYUWANGI
7 3510166107620003 LIANA BANYUWANGI
8 3510167005640005 PANGESTUNINGSIH BANYUWANGI
9 3510160606500003 MARWOTO BANYUWANGI
10 3510161212530004 KUSBANDI BANYUWANGI
11 3510164105310002 NAUMI SURABAYA
12 3510166103560001 MARIYAMI BANYUWANGI
13 3510165205590001 IMRONA BANYUWANGI
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KETERANGAN
JELAS JELAS JELAS JELAS
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 7-3-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

1/1/1944 79 ≥60 L JL TAWANGALUN 1 3

12/11/1948 74 ≥60 L
6/30/1968 54 46-59 P AGUNG WILIS 2 1
10/7/1957 65 ≥60 P JL AGUNG WILIS NO 3
6/12/1963 59 46-59 P JL AGUNG WILIS NO 3 2 1
3/4/1990 32 31-45 L JL SIDOPEKSO 2 1
7/21/1962 60 ≥60 P JL SEKARDALU NO 39 1 3
5/30/1964 58 46-59 P JL SEKARDALU NO 7
6/6/1950 72 ≥60 L JL SEKARDALU NO 39
12/12/1953 69 ≥60 L JL SEKARDALU 1 1
5/1/1931 91 ≥60 P JL AGUNG WILIS NO 3 2 1
3/21/1956 66 ≥60 P JL SIDOPEKSO NO 32
5/12/1959 63 ≥60 P JL AGUNG WILIS NO 21
7/4/1958 64 ≥60 P JL SIDOPEKSO
8/24/1954 68 ≥60 L JL AGUNG WILIS NO 31
2/14/1953 70 ≥60 L JL AGUNG WILIS NO 3
8/4/1954 68 ≥60 L JL SEKARDALU NO 34
8/27/1960 62 ≥60 L JL AGUNG WILIS NO 31
12/30/1954 68 ≥60 L JL TAWANGALUN NO 29 3 3
9/9/1959 63 ≥60 L JL SEKARDALU 2 1
11/20/1950 72 ≥60 L JL SEKARDALU NO 152 2 3
12/24/1958 64 ≥60 P JL AGUNG WILIS NO 20
3/9/1963 59 46-59 P JL TAWANG ALUN 1 4
4/15/1941 81 ≥60 L LINGK GAJAH OLING 2 2
8/18/1948 74 ≥60 P JL SEKARDALU NO 24
6/30/1939 83 ≥60 P JL TAWANG ALUN 3 3
7/17/1968 54 46-59 P JL SEKARDALU NO 28
10/9/1956 66 ≥60 L JL DI PANJAITAN NO 36
4/21/1952 70 ≥60 L JL AGUNG WILIS 2 2
9/4/1953 69 ≥60 L JL SEKARDALU NO 32A
7/27/1954 68 ≥60 P JL AGUNG WILIS NO 22
10/27/1950 72 ≥60 P JL AGUNG WILIS NO 8
6/30/1960 62 ≥60 L JL TAWANG ALUN NO 6 3 3
8/16/1935 87 ≥60 L JL SIDOPEKSO NO 32
5/3/1966 56 46-59 P JL AGUNG WILIS NO 17 1 2
10/5/1968 54 46-59 L JL SEKARDALU NO 12 3 3
5/27/1954 68 ≥60 P JL AGUNG WILIS 1 2
11/12/1990 32 31-45 L JL SEKARDALU 1 1
12/3/1968 54 46-59 P JL SIDOPEKSO NO 2 3 1
12/7/1958 64 ≥60 P JL SEKARDALU 1 1
6/2/1959 63 ≥60 P JL AGUNG WILIS NO 25
5/23/1962 60 ≥60 L JL AGUNG WILIS NO 22
9/30/1987 35 31-45 L LINGK SRITANJUNG
7/8/1988 34 31-45 P JL DEDALI PUTIH 3 2
6/30/1958 64 ≥60 L JL DEDALI PUTIH 1 3
1/6/1965 58 46-59 L JL SIDOPEKSO 3 1
10/23/1962 60 ≥60 P JL DEDALI PUTIH 3 2
9/8/1950 72 ≥60 P LINGK GAJAH OLING
4/21/1968 54 46-59 P JL SEKARDALU NO 20 1 2
7/8/1988 34 31-45 P JL SAYU WIWIT NO 11 1 2
7/1/1986 36 31-45 P JL TAWANG ALUN 33
8/15/1982 40 31-45 L JL SAYU WIWIT NO 11
12/1/1962 60 ≥60 L JL SEKARDALU NO 5 2 3
6/2/1966 56 46-59 P JL AGUNG WILIS 1 2
7/17/1998 24 18-30 P JL AGUNG WILIS NO 9
6/5/1972 50 46-59 P JL AGUNG WILIS 2 1
9/5/1968 54 46-59 P JL SEKARDALU 2 2
8/23/1969 53 46-59 P JL SEKARDALU 1 1
3/18/1967 55 46-59 P
4/27/1960 62 ≥60 L JL AGUNG WILIS NO 38
6/30/1947 75 ≥60 L JL SIDOPEKSO NO 11
6/19/1960 62 ≥60 P
8/17/1965 57 46-59 P JL SEKARDALU 2 1
4/1/1951 71 ≥60 L JL SEKARDALU 2 1
10/10/1936 86 ≥60 P JL DI PANJAITAN NO 46 1 3
5/11/1952 70 ≥60 P JL SEKARDALU 2 3
2/14/1956 67 ≥60 L JL SIDOPEKSO 3 1
2/17/1957 66 ≥60 L JL SIDOPEKSO 3 1
5/29/1964 58 46-59 P JL PB SUDIRMAN 178
6/10/1971 51 46-59 P JL DEDALI PUTIH
4/4/1979 43 31-45 L JL SEKARDALU NO 17
11/17/1960 62 ≥60 L JL AGUNG WILIS NO 31
8/20/1978 44 31-45 P JL SEKARDALU NO 17
2/15/1974 49 46-59 P JL ARGOPURO 21
9/20/1957 65 ≥60 L JL SIDOPEKSO 3 4
3/20/1959 63 ≥60 P JL SIDOPEKSO NO 31 2 1
4/8/1950 72 ≥60 L JL AGUNG WILIS NO 42
6/10/1959 63 ≥60 P JL SIDOPEKSONO 2
4/29/1967 55 46-59 L LINGK SRITANJUNG 3 1
7/20/1981 41 31-45 P LINGK SRITANJUNG 3 1
6/30/1954 68 ≥60 L JL AGUNG WILIS NO 29
9/20/1967 55 46-59 L JL AGUNG WILIS 1 2
8/28/1955 67 ≥60 L JL AGUNG WILIS NO 40 1 1
11/5/1977 45 31-45 P JL AGUNG WILIS 2 1
7/23/1963 59 46-59 P JL AGUNG WILIS NO 40 1 1
8/21/1967 55 46-59 P JL TAWANG ALUN NO 10 1 2
5/13/1969 53 46-59 P JL AGUNG WILIS NO 9 1 2
10/27/1982 40 31-45 L LINK SRITANJUNG 1 3
9/27/1976 46 46-59 P JL DEDALI PUTIH 1 3
12/25/1951 71 ≥60 L LINGK SRITANJUNG
7/31/1972 50 46-59 L JL AGUNG WILIS 2 1
8/10/1965 57 46-59 L LINGK SRITANJUNG 3 2
1/16/1989 34 31-45 P JL AGUNG WILIS NO 20
7/7/1998 24 18-30 L LINGK WONOSARI 1 2
6/10/2001 21 18-30 L JL IKAN WADER
8/23/1960 62 ≥60 P JL SEKARDALU 2 3
1/21/1998 25 18-30 L JL GANDRUNG NO 89 SUKOR 2 1
4/14/1977 45 31-45 L JL AGUNG WILIS
12/10/1991 31 31-45 L SEDAYU 7/18A
6/14/1994 28 18-30 P SEDAYU 7/18A
11/17/1960 62 ≥60 L JL AGUNG WILIS NO 31
4/3/1977 45 31-45 P JL SIDOPEKSO
5/15/1961 61 ≥60 P JL TAWANGALUN 3 3
9/19/1957 65 ≥60 L JL AGUNG WILIS NO 16
9/14/1955 67 ≥60 L LINGK SRITANJUNG 3 1
6/16/1994 28 18-30 P JL KARIMUN JAWA GG MANGGA
6/30/1957 65 ≥60 P JL LETKOL ISTIQLAH
5/19/1974 48 46-59 P PERUM PERMATA GIRI
1/1/1999 24 18-30 L DSN SUMBERAGUNG 5 3
8/1/1944 78 ≥60 L JL TIDAR 2 1
8/15/1970 52 46-59 P SEDAYU 7/18A 7 3
6/13/1975 47 46-59 P PERUM VILLA BUKIT MAS
8/16/1995 27 18-30 L JL UDANG WINDU NO 42
7/22/1990 32 31-45 P PESUCEN 3 1
6/3/1979 43 31-45 P LINGK SUKOWIDI
5/25/1978 44 31-45 P JL KALILO 15
2/9/1976 47 46-59 P JL KARIMUN JAWA 4 4
10/16/1986 36 31-45 L JL GAJAH MADA NO 46
11/30/1994 28 18-30 L
3/11/1998 24 18-30 P VILLA BUKIT MAS NN-9
7/11/1970 52 46-59 L PERUM VILLA PESONA TIDAR
21/2/2001 #VALUE! #VALUE! P KRAJAN SURODILAGAN
8/12/2000 22 18-30 P JL.BROMO
19/11/71 #VALUE! #VALUE! L JL. BROMO
22/5/44 #VALUE! #VALUE! P JL. TANGKUBAN PERAHU
17/5/78 #VALUE! #VALUE! P JL. BROMO
12/7/1976 46 46-59 P JL. KINIBALU
6/9/1986 36 31-45 P JL. KARIMUNJAWA
3/9/1993 29 18-30 L SINGOTRUNAN
1/4/1996 27 18-30 L SINGOTRUNAN
22/8/99 #VALUE! #VALUE! L SINGOTRUNAN
13/10/58 #VALUE! #VALUE! L JL. TANGKUBAN PERAHU 3 3
27/3/55 #VALUE! #VALUE! P SINGOTRUNAN
27/12/42 #VALUE! #VALUE! L JL. GUNUNG SRAWET 3 2
1/2/1995 28 18-30 L JL. IKAN PAUS 3 4
2/1/1970 53 46-59 P JL. TANGKUBAN PERAHU
20/11/60 #VALUE! #VALUE! P JL. SUMBING
2/12/1986 37 31-45 P JL. SUMBING
27/6/96 #VALUE! #VALUE! P JL. BROMO
3/7/1974 48 46-59 P MENDUT REGEMMCY
13/12/45 #VALUE! #VALUE! P JL. KALASAN
12/3/1959 63 ≥60 L JL. MERBABU 1 4
17/6/55 #VALUE! #VALUE! L SINGOTRUNAN
21/3/90 #VALUE! #VALUE! L JL. IKAN CAKALANG 2 1
27/2/93 #VALUE! #VALUE! L
25/11/93 #VALUE! #VALUE! L JL. ANDALAS
25/11/92 #VALUE! #VALUE! L JL. MALABAR
5/4/1995 27 18-30 P JL.MALABAR
3/4/1986 36 31-45 L JL. MALABAR
20/12/63 #VALUE! #VALUE! P JL. IJEN 3 4
11/1/1960 62 ≥60 P
10/3/1972 50 46-59 L JL. SEKARDALU 2 1
1/7/1951 72 ≥60 L JL. SAYU WIWIT
28/7/01 #VALUE! #VALUE! P JL. HAYAM WURUK
30/3/97 #VALUE! #VALUE! L KEMIREN
13/12/69 #VALUE! #VALUE! P JL. SEKARDALU 2 1
28/6/98 #VALUE! #VALUE! P ROGOJAMPI
16/11/57 #VALUE! #VALUE! P PERUM PERMATA HUSADA
3/8/1976 46 46-59 P GOMBENGSARI
2/10/1996 27 18-30 L PERUM CITRA PESONA
18/12/80 #VALUE! #VALUE! P VILLA BUKIT MAS
3/7/1977 45 31-45 L PERUM VILLA BUKIT MAS
23/8/59 #VALUE! #VALUE! P JL. TIDAR 2 1
19/3/75 #VALUE! #VALUE! P SINGOTRUNAN
1/1/1961 62 ≥60 P SRITANJUNG
14/11/70 #VALUE! #VALUE! L SEDAYU KREMBANGAN
27/5/82 #VALUE! #VALUE! L JL. MALUKU
5/1/1966 56 46-59 P SINGOTRUNAN
24/6/02 #VALUE! #VALUE! L PERUM VILLA BUKIT MAS
1/4/1968 55 46-59 P JL. MAWAR
12/5/1977 45 31-45 P PERUM PESONA TIDAR
13/4/72 #VALUE! #VALUE! L JL. BASUKI RAHMAT
 24/12/83 #VALUE! #VALUE! P JL. IKAN ARWANA
10/4/1995 27 18-30 L BANJAR TEGAL BADENG BARAT
21/2/78 #VALUE! #VALUE! L JL,. TIDAR
7/18/1980 42 31-45 P JL. TIDAR
1/16/1958 65 ≥60 L DSN SUKAJAYA 2 5
1/17/1967 56 46-59 P JL SEKARDALU NO 6 2 2
5/27/1995 27 18-30 P JL INDRAGIRI 1 6
2/28/1985 37 31-45 L LINGK KROBOKAN 2 1
3/9/1959 63 ≥60 P LINGK SRITANJUNG
2/19/1989 33 31-45 L DSN KRAJAN 1 1
6/21/1960 62 ≥60 P JL AGUNG WILIS
7/3/1983 39 31-45 P JL SEKARDALU NO 30 3 3
8/18/1974 48 46-59 L ASMIL YONIF 509 2 19
7/30/1950 72 ≥60 P JL DEDALI PUTIH NO 10 3 2
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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 0
0

JELAS JELAS JELAS JELAS JELAS JELAS

 NAMA
JENIS NO.HP KETERANGAN
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (23) (24)

16 11

16 11
16 11
16 11
16 11 08883650464
16 11 085290267920
16 11 082338352499
16 11 081336235056
16 11
16 11
16 11 082140625300
16 11
16 11
16 11 082141077771
16 11
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16 11
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16 11 085749345868
16 11
16 11
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16 11 082231708744
16 11 088209192277
16 11 085737624048
16 11 085336194483
16 11
16 11
16 11
16 11
16 11 081232845449
16 11 081554106661
16 11 081232845449
16 11
16 11 082232354302
16 11 082244714293
16 11
16 11 082141390132
16 11
16 11 085257627293
16 11
16 11
16 11 085330263488
16 11 081233389227
16 11 081233389227
16 11
16 11
16 11 085100733234
16 11 081235281054
16 11 085937088040
16 11 082141149527
16 11 089695139041
16 11 085336244592
16 11 08983130487
21 91 085102901195
16 11
16 11 085234626250
16 11 085336798344
16 11
16 11 085236885825
16 11 085236885825
16 11
16 11
 16 11
16 11
16 11
16 11
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16 11
16 11
16 11
16 11 08113393903
16 11 081233674491
16 11 081229922089
083125255575
081333040710
16 11
081259964748
16 11

16 11 085336244592
16 11
16 11
16 11
16 11
16 12
16 16

16 14

17 47
16

21 91
16 14 082233146114
16 12 085731435876
081331475688

085604970602
087752841377
SURODILAGAN 089602514829
16 13 085746846239
16 14 082330511888
16 14 085221446802
16 14 085732893565
16 12 081358872759
 16 12 081233541986

16 14 085232206566

16 14 081357462770
16 8 082266474101
16 14 085336368666
16 14 082143605591
16 14 082331860312
16 14 087751143000
08123110437
081358041274
16 14 08519164998

087760498476
08119510059
16 14 08979731744
16 14 081939618287
16 14 083834423512
16 14 081252639401
16 14 082336007624

16 11

081236132297
16 TEMENGGUNGAN
081999286806
08124933768
082231511012
16 KERTOSARI 081333864123
081256541798
085234679692
16 14
16 14 082247908038
16 11 083103491389
KREMBANGAN SBY
DENPASAR 081338567700

085732860117
081358431112
081239605691
083239295493
 081336611010
TEGAL BADENG BARAT 082340399358
16 14 085236661969
16 14 085236661969
SUBANG
16 11
17 47 085784883447
16 23 085252523607
16
15 DADAPAN 085233828955
16 11
16 11 085290267920
JEMBER
16 11
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510164706690004 SITI SARI KARMILA BANYUWANGI

2 3510164611570005 SUHADIYAH BANYUWANGI
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68 3510167006550202 BUKASI BANYUWANGI
69 3510167006340013 MUADJAYANAH BANYUWANGI
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73 3510162904620001 SUDI PRAYITNO BANYUWANGI
74 35101641075600057 MUAWANAH BANYUWANGI
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80 3510160607670004 MARSUTO SITUBONDO
81 3510166908760004 UMAMI SAFITRI BANYUWANGI
82 3510160107580097 MARHAWI BANYUWANGI
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90 3510164608890002 YENI INDRAWATI BANYUWANGI
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92 3510167006530156 KARTINA BANYUWANGI
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95 3510164705600001 SHERLY SUSANA JEMBER
96 3510166111690001 SITI AMINAH BANYUWANGI
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99 3510166101750003 IDA AIDA BANYUWANGI
100 3510161703420001 MASTURI HADI BANYUWANGI
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120 3510165506760010 SITI AISAH JAKARTA
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136 3510164107430139 ALIPA BANYUWANGI
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138 3510166311570004 INDUN HANDAYANI BANYUWANGI
139 3510162408520004 NGADIONO BANYUWANGI
140 3510160506500008 N HANAFI BANYUWANGI
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146 3510166703870003 FATMAWATI BANYUWANGI
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148 3510164104530006 SUMARNI BANYUWANGI
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150 3510167005600005 WASIATI BANYUWANGI
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152 3510166303540002 SUSILOWATI BANYUWANGI
153 3510167007500013 LINCE MARIANA BANYUWANGI
154 3510163007480005 ISMAIL HADI BANYUWANGI
155 3510160405010008 REZA DIFTA DWI PERMANA BANYUWANGI
156 3510160507570004 ASNAWI BANYUWANGI
157 3510165708850003 DWI AGUSTIN NOVIANA BANYUWANGI
158 3510166101610001 NURSIYAH BANYUWANGI
159 3510160308680002 UNTUNG SUPRIYADI BANYUWANGI
160 3510165201690005 SULIS SETIYANINGSIH BANYUWANGI
161 3510164808620002 DUMIYATI BANYUWANGI
162 3510164107550042 UNTUNG JULIYA BANYUWANGI
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164 3510167006450247 SUPIANI BANYUWANGI
165 3510165506670004 ENDANG SUSILOWATI BANYUWANGI
166 3510166107560002 KALIMA BANYUWANGI
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172 3510166009840002 WHENDI ANASTASIA LASUT BANYUWANGI
173 3510162006560002 ACHMAD PRIYADI BANYUWANGI
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177 3510166004590005 USNAH BANYUWANGI
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179 3510166104020006 SANIYAH APRIL LAILIYA BANYUWANGI
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183 3510165403600010 RUSWATI BANYUWANGI
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220 3510160506710008 SUGIYANTO BANYUWANGI
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222 3510167006480193 JUBAIDAH BANYUWANGI
223 3510161101600002 HARIYANTO BANYUWANGI
224 3510214908810001 ROSIDA BANYUWANGI
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226 3510164405530002 AFIYAH BANYUWANGI
227 3510164306400003 BUNIJE BANYUWANGI
228 3510167003710009 MULYANI BANYUWANGI
229 3510164107670039 PAITUN BANYUWANGI
230 3510162011640004 PRIBADI UTOMO BANYUWANGI
231 3510161211500001 SODIQ BANYUWANGI
232 3510167006630154 NURYAH BANYUWANGI
233 3510167006510125 ASMAIYAH BANYUWANGI
234 3510160307580004 ABDULLAH SANI BANYUWANGI
235 3510163006580115 SLAMET HARIYADI BANYUWANGI
236 3510164601520003 SUWANI BANYUWANGI
237 3510165111480001 NURHAYATI BANYUWANGI
238 3510165205590004 MISWATI BANYUWANGI
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241 3510166210700004 FAUZIAH BANYUWANGI
242 3510164907880010 NURUL ASLAMIYAH BANYUWANGI
243 3510164701810001 KOMARIYAH BANYUWANGI
244 NURUL
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KETERANGAN
JELAS JELAS JELAS JELAS
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 8-3-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

6/7/1969 53 46-59 P JL SURATI BARU

11/6/1957 65 ≥60 P JL SURATI BARU GG DAMAI
4/20/1957 65 ≥60 L JL SAYU WIWIT NO 3
12/3/1936 86 ≥60 L JL BANTERANG GG KELINCI NO 2 1
3/8/1995 27 18-30 L
5/31/1948 74 ≥60 P
4/7/1954 68 ≥60 L JL BANTERANG NO 42
3/25/1950 72 ≥60 L JL MENDUT NO 52
6/30/1937 85 ≥60 L
4/27/1956 66 ≥60 L
10/6/1955 67 ≥60 L LINGK JAJANG PENATU
6/11/1967 55 46-59 L
7/30/1976 46 46-59 P JLBHRE WIRABUMI NO 23 2
12/30/1958 64 ≥60 P JL BANTERANG LAMA NO 24
6/25/1980 42 31-45 P JL SURATI BARU GG GEMBIRA 2
5/5/1955 67 ≥60 L JL SURATI BARU
5/7/1968 54 46-59 P JL BHRE WIRABUMI NO 47 2
6/30/1960 62 ≥60 P JL SAYU WIWIT
4/7/1945 77 ≥60 L JL SAYU GRINGSING 41
6/26/1954 68 ≥60 P JL SAYU GRINGSING 41
8/20/1969 53 46-59 P
2/4/1976 47 46-59 P JL SAU GRINGSING NO 6 1
12/29/1962 60 ≥60 P JL BHRE WIRABUMI NO 47 2
8/8/1965 57 46-59 P JL BHRE WIRABUMI NO 47 3
6/1/1956 66 ≥60 P LINGK PATEMON WETAN
7/5/2000 22 18-30 P
7/21/1980 42 31-45 P JL SAYU GRINGSING 41 1
4/29/1955 67 ≥60 P
11/10/1959 63 ≥60 P JL BANTERANG BARU NO 60
2/4/1967 56 46-59 P JL PENATARAN NO 51 2
6/22/1985 37 31-45 L JL. BHRE WIRABUMI 1
8/5/1958 64 ≥60 L JL. BATUR NO. 1
8/5/1963 59 46-59 P JL. RINJANI GG. DAHLIA
11/27/1949 73 ≥60 L JL. KARIMUN JAWA 2
2/27/1995 27 18-30 P JL. SAWO INDAH
2/27/1995 27 18-30 P JL. SAWO INDAH
9/14/1964 58 46-59 L
5/10/1973 49 46-59 L KALIPURO
2/12/1965 58 46-59 L JL. JEND. SUDIRMAN 263F
2/9/1958 65 ≥60 L JL. RINJANI GG. DAHLIA
 3/19/1976 46 46-59 P JL. IJEN 2
6/20/1994 28 18-30 L JL. TUNGGUL AMETUNG 108
10/18/1986 36 31-45 L JL. MERAPI NO. 1
6/30/1986 36 31-45 L JL. SUMBING 48 2
9/24/1990 32 31-45 P JL. SUMBING 48 2
7/1/1943 79 ≥60 P JL. SAYU GRINGSING 22
8/29/1970 52 46-59 L JL. BHRE WIRABUMI 1
6/5/1950 72 ≥60 L JL. SURATI BARU NO. 11
11/24/1998 24 18-30 P LINGK. JAJANG PENATU 1
5/18/1975 47 46-59 L JL. BANTERANG 1
6/30/1962 60 ≥60 L JL. BANTERANG 2
4/7/1943 79 ≥60 L JL. BANTERANG
8/23/1994 28 18-30 P DUSUN GURIT 3
10/25/1966 56 46-59 L JL. BANTERANG 2
10/14/1999 23 18-30 P JL. KAPTEN ILYAS
6/11/1991 31 31-45 P
7/27/1988 34 31-45 L JL SAYU GRINGSING 45
6/30/1971 51 46-59 P JL. BANTERANG 3
2/28/1959 63 ≥60 P JL. SAYU WIWIT GG. KELINCI
6/21/1982 40 31-45 L JL. SAYU GRINGSING 44 2
1/17/1993 30 18-30 L
10/9/1965 57 46-59 L LINGK. JAJANG PENATU 2
7/1/1952 70 ≥60 P
6/24/1961 61 ≥60 P LINGK. JAJANG PENATU
6/30/1967 55 46-59 P JL. DI. PANJAITAN 96 3
5/13/1956 66 ≥60 P LINGK. PATEMON WETAN 3
3/16/1995 27 18-30 L LINGK. JAJANG PENATU 1
6/30/1955 67 ≥60 L
6/30/1934 88 ≥60 P LINGK. PATEMON WETAN 3
11/23/1979 43 31-45 P JL. SAYU GRINGSING 1
6/30/1953 69 ≥60 P JL. SAYU GRINGSING 2
1/13/2001 22 18-30 L JL. BANTERANG 3
4/29/1962 60 ≥60 L JL. BHRE WIRABUMI 2
7/1/1956 66 ≥60 P LINGK. JAJANG PENATU 3
5/8/1963 59 46-59 P
4/23/1954 68 ≥60 L JL. BANTERANG
12/5/1965 57 46-59 P
8/18/1940 82 ≥60 L
9/9/1959 63 ≥60 L JL. BANTERANG
7/6/1967 55 46-59 L JL BHRE WIRABUMI NO 47 3
4/29/1976 46 46-59 P
7/1/1958 64 ≥60 L
6/30/1981 41 31-45 P
10/2/1962 60 ≥60 L
4/18/1946 76 ≥60 L JL SURATI BAU GG SAMUDRA
2/14/1987 36 31-45 P
12/18/1995 27 18-30 L JL BANTERANG NO 15
6/23/1970 52 46-59 P
 3/1/1944 78 ≥60 L JL SAYU GRINGSING
8/6/1989 33 31-45 P JL SAYU GRINGSING NO 50 2
5/24/1964 58 46-59 P JAJANG PENATU 2
6/30/1953 69 ≥60 P LINGK JAJANG PENATU
6/1/1972 50 46-59 P JL BHRE WIRABUMI NO 47 3
5/22/1986 36 31-45 L
5/7/1960 62 ≥60 P SIDOPEKSO 3
11/21/1969 53 46-59 P JL SURATI NO 6 3
7/5/1955 67 ≥60 L JL BHRE WIRABUMI NO 47
10/6/1972 50 46-59 P PERUM GGM P-02
1/21/1975 48 46-59 P
3/17/1942 80 ≥60 L
3/25/1951 71 ≥60 L
2/6/1972 51 46-59 L
12/5/1954 68 ≥60 L JL KH WAHID HASYIM NO 51
8/28/1968 54 46-59 P JL BHRE WIRABUMI NO 47
12/24/1977 45 31-45 P JL SAYU WIWIT GG TANAMOR 1
1/20/1970 53 46-59 P
2/8/1947 76 ≥60 P LINGK PATEMON WETAN
6/30/1946 76 ≥60 P JL SURATI BARU NO 01
9/8/1967 55 46-59 P
4/17/1987 35 31-45 P LINGK JAJANG PENATU 1
8/25/1950 72 ≥60 P LINGK PATEMON WETAN
2/27/1970 52 46-59 P
11/11/2000 22 18-30 P KEBAELNAN
6/23/1956 66 ≥60 P JL SAYU GRINGSING
9/9/1953 69 ≥60 P
8/27/1946 76 ≥60 L JL SURATI BARU NO 01
1/28/1950 73 ≥60 L
1/2/1967 56 46-59 P JL. JAJANG PENATU
10/7/2000 22 18-30 P JL. JAJANG PENATU
15/6/76 #VALUE! #VALUE! P JL. SAYU WIWIT 2
1/6/1972 51 46-59 P JL. SURATI BARU 2
15/8/49 #VALUE! #VALUE! L JAJANG PENATU
16/9/47 #VALUE! #VALUE! L KP. MLAYU
7/9/1994 28 18-30 P KP. MLAYU
8/8/1971 51 46-59 L PATEMON WETAN 1
5/10/1978 44 31-45 P PATEMON WETAN 1
19/10/00 #VALUE! #VALUE! L JL. BHRE WIRABUMI 3
25/4/54 #VALUE! #VALUE! P KP. MLAYU
4/2/1979 43 31-45 L JAJANG PENATU 2
23/3/73 #VALUE! #VALUE! P JL. SURATI BARU 3
5/4/1986 36 31-45 P KP. MLAYU
11/7/1960 62 ≥60 P JAJANG PENATU 3
4/8/1958 64 ≥60 P JL. BHRE WIRABUMI
26/6/61 #VALUE! #VALUE! P KP. MLAYU
1/11/1962 61 ≥60 P JL. BOROBUDUR 2
1/7/1943 80 ≥60 P JL. SAYU GRINGSING
 10/1/1965 57 46-59 P JL. SAYU GRINGSING
23/11/57 #VALUE! #VALUE! L JL. BANTERANG
24/8/52 #VALUE! #VALUE! L JL. SURATI BARU
5/6/1950 72 ≥60 L JL. SURATI BARU
7/3/1985 37 31-45 P JL. BANTERANG
17/8/40 #VALUE! #VALUE! P KP. MLAYU
1/7/1970 53 46-59 L KP. MLAYU
21/6/98 #VALUE! #VALUE! P KP. MLAYU
20/1/60 #VALUE! #VALUE! P JL. BHRE WIRABUMI
27/3/87 #VALUE! #VALUE! P JL. BHRE WIRABUMI
1/9/1961 62 ≥60 P JL. BHRE WIRABUMI
1/4/1953 70 ≥60 P JL. SAYU GRINGSING
18/1/58 #VALUE! #VALUE! L KP. MLAYU
30/5/60 #VALUE! #VALUE! P JL. BANTERANG
11/6/1951 71 ≥60 P PATEMON WETAN
23/3/54 #VALUE! #VALUE! P JL. BANTERANG
30/7/50 #VALUE! #VALUE! P KP. MLAYU
30/7/48 #VALUE! #VALUE! L PATEMON WETAN 4
4/5/2001 21 18-30 L KP. MLAYU
5/7/1957 65 ≥60 L JL. SAYU WIWIT
17/8/85 #VALUE! #VALUE! P KP. MLAYU
21/1/61 #VALUE! #VALUE! P JL. SAYU WIWIT
3/8/1968 54 46-59 L KP. MLAYU
12/1/1969 53 46-59 P JL. BANTERANG
8/8/1962 60 ≥60 P JL. BANTERANG 3
1/7/1955 68 ≥60 P KP. MLAYU
5/5/1949 73 ≥60 L JL. SAYU WIWIT
30/6/45 #VALUE! #VALUE! P KP. MLAYU
15/6/67 #VALUE! #VALUE! P JL. SURATI BARU 1
21/7/56 #VALUE! #VALUE! P JL. SAYU GRINGSING
1/4/1978 45 31-45 P KP. MLAYU
20/2/53 #VALUE! #VALUE! L KP. MLAYU
8/2/1999 23 18-30 P KP. MLAYU
23/1/60 #VALUE! #VALUE! L KP. MLAYU
30/6/68 #VALUE! #VALUE! P JL. SAYU GRINGSING
20/9/84 #VALUE! #VALUE! L JL. BANTERANG
20/6/58 #VALUE! #VALUE! L KP. MLAYU
14/3/53 #VALUE! #VALUE! L JAJANG PENATU
1/7/1949 74 ≥60 P JL. SAYU WIWIT
6/9/1984 38 31-45 L JL. SURATI BARU
20/4/59 #VALUE! #VALUE! P JAJANG PENATU
30/6/49 #VALUE! #VALUE! P JL. SAYU WIWIT
21/4/02 #VALUE! #VALUE! P PATEMON WETAN 3
12/7/1935 87 ≥60 L JL. BANTERANG
17/9/47 #VALUE! #VALUE! L JL. SURATI LAMA
30/5/53 #VALUE! #VALUE! P JL. BANTERANG
14/3/60 #VALUE! #VALUE! P KP. MLAYU
4/12/1972 50 46-59 P JL. BHRE WIRABUMI
30/6/51 #VALUE! #VALUE! L JL. SAYU WIWIT
12/3/1958 64 ≥60 P KP. MLAYU
30/4/57 #VALUE! #VALUE! L JL. BHRE WIRABUMI
14/3/55 #VALUE! #VALUE! L KP. MLAYU
25/6/81 #VALUE! #VALUE! L KP. MLAYU
30/6/72 #VALUE! #VALUE! P JL. SAYU GRINGSING
9/7/1965 57 46-59 L KP. MLAYU
6/4/1968 54 46-59 P PERUM GGM 2
1/7/1982 41 31-45 P KP. MLAYU
5/4/1972 50 46-59 P JAJANG PENATU
30/6/56 #VALUE! #VALUE! P KP. MLAYU
23/3/01 #VALUE! #VALUE! P KETAPANG 2
8/4/1969 53 46-59 P KETAPANG 2
11/11/1965 57 46-59 P KALILO 2
12/7/1972 50 46-59 P GESARI 2
1/6/1979 44 31-45 P KALILO 2
30/1/40 #VALUE! #VALUE! P KALILO 2
31/1/93 #VALUE! #VALUE! P KALILO
12/5/1979 43 31-45 L KALILO 2
1/7/1956 67 ≥60 P JL. BROMO 1
4/5/1961 61 ≥60 P JL. MH THAMRIN 2
4/4/1982 40 31-45 P GESARI 2
6/6/1961 61 ≥60 P JAJANG PENATU 2
30/7/66 #VALUE! #VALUE! P KP. MLAYU
12/10/1979 43 31-45 P JL. SAYU GRINGSING 2
7/3/1960 62 ≥60 L JL. SAYU GRINGSING 2
31/12/57 #VALUE! #VALUE! P JL. SURATI BARU
20/4/69 #VALUE! #VALUE! P KP. MLAYU
1/7/1958 65 ≥60 L KP. MLAYU
11/11/1948 74 ≥60 P KP. MLAYU
23/9/97 #VALUE! #VALUE! L JL. MERAPI 4
11/12/1947 75 ≥60 P KP. MLAYU
10/11/1959 63 ≥60 L JL. SAYU GRINGSING
16/6/62 #VALUE! #VALUE! L KP. MLAYU
15/12/69 #VALUE! #VALUE! L KP. MLAYU
5/6/1971 51 46-59 L JL. BANTERANG 4
17/11/56 #VALUE! #VALUE! L JL. MERAPI
30/6/48 #VALUE! #VALUE! P JL. SURATI BARU
11/1/1960 62 ≥60 L JL. BANTERANG 3
9/8/1981 41 31-45 P KP. MLAYU
20/2/46 #VALUE! #VALUE! L KP. MLAYU
4/5/1953 69 ≥60 P JAJANG PENATU 3
3/6/1940 82 ≥60 P JL. BANTERANG
30/3/71 #VALUE! #VALUE! P KP. MLAYU
1/7/1967 56 46-59 P JL. BANTERANG
20/11/64 #VALUE! #VALUE! L KP. MLAYU
12/11/1950 72 ≥60 L KP. MLAYU
30/6/63 #VALUE! #VALUE! P JL. SURATI BARU
30/6/51 #VALUE! #VALUE! P JL. BANTERANG
3/7/1958 64 ≥60 L JL. DI PANJAITAN 1
30/6/58 #VALUE! #VALUE! L PATEMON WETAN
6/1/1952 70 ≥60 P KP. MLAYU
11/11/1948 74 ≥60 P KP. MLAYU
12/5/1959 63 ≥60 P JL. BANTERANG
10/12/1966 56 46-59 P JL. SAYU GRINGSING
30/6/55 #VALUE! #VALUE! P KP. MLAYU
22/10/70 #VALUE! #VALUE! P PATEMON WETAN 3
9/7/1988 34 31-45 P JL. DI PANJAITAN 1
7/1/1981 41 31-45 P KP. MLAYU
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 0
0

JELAS JELAS JELAS JELAS JELAS

 NAMA
"RW" KECAMATA "NAMA KELURAHAN NO.HP KETERANGAN
N
(11) (12) (13) (23) (24)

16 10 081234604522
16 10
16 10
3 16 10 085326645979

16 10
16 10

16 10

16 10 082335901374

2 16 10
16 10 08123485434
2 16 10
16 10
2 16 10
16 10
16 10 081234431628
16 10 081233919105
16 10
2 16 10 085900093264
2
1

2 083129313439

2 085330147888
2 16 10 05204668668
16 14 081231289727
16 14
4 16 12 085257312190
16 TK. KAYU
16 TK. KAYU
081559626211
081336360711
16 PANDEREJO 085236677739
16 14
4 16 14 085233837506
082281488794
16 14 08155912195
1 16 14 087781093159
1 16 14 085931243761
16 10
2 16 10 082145580129
16 10 081258111923
2 16 10
3 16 10 081329608835
1 16 10 082397143643
16 10
2 ROGOJAMPI PENGANTIGAN 087755910557
2 16 10 081216038609
16 SNG 085755019159

16 10 087704458598
3 16 10 082334319332
16 10
2 16 10
16 10
3 16 10 081220678202
16 10
16 10 081330766500
1 16 10 087860041751
2 16 10
3 16 10 085895952232
16 10
2 16 10
2 16 10 083847104094
2 16 10
2 16 10 087743275602
2 16 10 082331237123
3 16 10
16 10
16 10 081331728592
16 10
16 10
16 10 081803482855
2 16 10
16 10
16 10
16 10
16 10
16 10 085233282065
16 10
16 10 08983199381
16 10 0895395162126
 16 10
2 16 10 082234674424
1 16 10 081230156535
16 10
1 16 10 085231432983

1 16 11 085101778933
3 16 10 082139337126
16 10
21 91

081332513162
16 10 082198394663
3 16 10

16 10
16 10 082231631385

2 16 10 081230845045
16 10 082332050064

16 10 085257456522

16 10 082231631385

16 10
16 10
1 16 10
3 16 10
16 10
16 10
16 10
2 16 10
2 16 10
1 16 10
16 10
3 16 10 081234980936
2 16 10
16 10
2 16 10
16 10
16 10
3 16 TAMANBARU 087860102052
16 10
 16 10 082144524222
16 10
16 10 081336609123
16 10 081258111923
16 10 08560862803
16 10
16 10
16 10
16 10
16 10
16 10 08123015635
16 10 085933522135
16 10
16 10
16 10
16 10 08140281123
16 10
1 16 10 085761967909
16 10
16
16 10
16
16 10
16 10 082139565780
2 16 10
16 10
16
16 10
2 16 10 089504859956
16 10
16 10
16 10
16 10
16 10
16 10
16 10
16 10
16 10
16 10
16 10
16 10
16 10
3 16 10
16 10
16 10
16 10
16 10
16 10
 16 10
16 10
16 10
16 10
16 10
16 10
16 10
5 21 91
16 10
16 10
16 10
12 21 91
12 21 91
4 16 13
1 16 13
4 16 13
2 16 13
16 13
4 16 13
1 16 13
5 16 13
2 16 13
2 16 10
16 10
2 16 10
2 16 10
16 10
16 10
16 10
16 10
3 16 14
16 10
16 10
16 10
16 10
3 16 10
16 14
16 10
2 16 10
16 10
16 10
2 16 10
16 10 081216351100
16 10
16 10 085257456522
16 10
16 10
16 10
 16 10
1 16 10 081217476957
16 10 082140424727
16 10
16 10
16 10
16 10 085239667187
16 10
3 16 10 081936344457
1 16 10 085749344947
16 10
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN C
TANG

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510160608680001 MUSTAFA BANYUWANGI 9/6/1968

2 3510165408000003 NURUL HIDAYATI BANYUWANGI 8/14/2000
3 3510165207890004 FAUZIAH BANYUWANGI 7/1/1989
4 3510166012510005 UNAINAH BANYUWANGI 12/20/1951
5 3510162611640002 MOHAMAD MASTORI EFEND
BANYUWANGI 11/26/1964
6 3510162105650002 ABDUL KHALIQ BANYUWANGI 5/21/1965
7 3510166105750008 ERMI HALIKUSRINI BANYUWANGI 5/21/1975
8 3510165312820002 SANTI ROHANI BANYUWANGI 12/13/1982
9 3510166509760001 ERLI SULISTIYANA BANYUWANGI 9/25/1976
10 3529015005010009 DIANA DEWI SUMENEP 5/10/2001
11 3510161706020001 SANI ANGGRA BANYUWANGI 6/17/2002
12 3510210104710002 KUSMAN GRESIK 4/1/1971
13 2510162509550001 KATIMAN BANYUWANGI 9/25/1955
14 3510163006590152 MAJID MULYONO BANYUWANGI 6/30/1959
15 3510166910800001 WAHYU ROCHMANIYAH HABANYUWANGI 10/29/1980
16 3510166810520001 LASMIATI JEMBER 10/28/1952
17 3510165005650011 HOLIDA FATIMA BANYUWANGI 5/10/1985
18 3510167006720113 ROCHIMA BANYUWANGI 6/30/1972
19 3510164411800004 NINING WAHYUNI BANYUWANGI 11/4/1980
20 3510165508760009 QOYIMAH BANYUWANGI 8/5/1976
21 3510163006590148 BUHARI BANYUWANGI 6/30/1959
22 3510165401950003 AYU IRAWATI BANYUWANGI 1/14/1995
23 3510164909950007 CYNTIA EKA DINNI PRATIWIBANYUWANGI 9/29/1995
24 3510163006900014 SUROSO BANYUWANGI 6/30/1990
25 3510164403590002 AMIN HARI PRINGATI BANYUWANGI 3/4/1959
26 3510164612640005 SUPRIYATIN BANYUWANGI 12/6/1964
27 3510164705500003 RUKIYAH BANYUWANGI 5/7/1950
28 3510167001760003 ROCHMANIYAH BANYUWANGI 1/30/1976
29 3510160609680001 SUPRAPTO BANYUWANGI 9/6/1968
30 3510167006760027 JUMANIAH BANYUWANGI 6/30/1976
31 3510167012420002 HJ SITI HASNAH BANYUWANGI 12/30/1942
32 3510163006600081 MOH HAIRUDI BANYUWANGI 6/30/1960
33 3510161003620001 SUDIARTO BANYUWANGI 3/10/1962
34 3510162501970002 MUHAMMAD RAMADHAN HBANYUWANGI 1/25/1997
35 3510160909590007 SURACHMAT BANYUWANGI 9/9/1959
36 3510161010530006 LUTFI ALFAN BANYUWANGI 10/10/1953
37 3510166505600003 RUKAIYAH BANYUWANGI 5/25/1960
38 3510163009730004 ABDUL GAFFAR BANYUWANGI 9/1/1973
39 3510164802980005 WIDIA AYU LESTARI BANYUWANGI 2/28/1998
40 3510165304620003 SAHRIYAH BANYUWANGI 4/13/1962
41 5171047112640219 MISIATI BANYUWANGI 12/31/1964
42 3510166104790006 HARIYATI BANYUWANGI 4/21/1979
43 3510164403860003 RINA FITRIANI BANYUWANGI 3/4/1986
44 3510164809840006 ILHAMIYAH BANYUWANGI 9/8/1984
45 3512135808650002 SITI AMINAH BANYUWANGI 8/18/1965
46 3510165508530004 MUK ASINAH BANYUWANGI 8/15/1953
47 3510167006540142 SITIMA BANYUWANGI 6/30/1954
48 3510160312930004 RISKI NURDIANSYAH BANYUWANGI 12/3/1993
49 3510167006640195 DJUMAIYAH BANYUWANGI 6/30/1964
50 3510161307840001 JULFAN ACHYAR BANYUWANGI 7/13/1984
51 3512125603710001 HARIYATI BANYUWANGI 3/16/1971
52 3510164605610005 HALIMAH BANYUWANGI 5/6/1961
53 3507152808990003 FIRZA AMANDA KIPTIYA BANYUWANGI 8/28/1999
54 3510165001730007 MARIATIK BANYUWANGI 1/10/1973
55 3510160106530003 M HERMAN BANYUWANGI 6/1/1953
56 3510160709730002 DARIYONO BANYUWANGI 9/7/1973
57 3510162406990002 FATUR MAULANA BANYUWANGI 6/24/1999
58 3510165008680004 NUR'AINI BANYUWANGI 8/10/1968
59 3510164803750004 MISRIANI BANYUWANGI 3/8/1975
60 3510165808790002 IKA ISMAWATI BANYUWANGI 8/18/1979
61 3510167006710046 SITI ROHANI BANYUWANGI 6/30/1971
62 3510162408440002 HANIDIN BANYUWANGI 8/24/1944
63 3510163006450129 M HARJONO BANYUWANGI 6/30/1945
64 3510162310680002 ANSORI BANYUWANGI 10/23/1968
65 3510167006520123 SUMIYATI BANYUWANGI 6/30/1952
66 3510162006460007 DJUMAIDIN BANYUWANGI 6/20/1946
67 3510164808620005 TUTI ASIATI BANYUWANGI 8/8/1962
68 3510167006540221 WISNATI BANYUWANGI 6/30/1954
69 3510165606710008 WELLY BANYUWANGI 6/16/1971
70 3510161904740007 NARUJI BANGKALAN 3/5/1974
71 3510164108030005 NURLAILI BANYUWANGI 8/1/2003
72 3510166506690002 DEWI LESTARI BANYUWANGI 6/25/1969
73 3510160205830008 SUPRIYANTO BANYUWANGI 5/2/1983
74 3510164708840005 WAHYUNING AGUSTINA BANYUWANGI 8/7/1984
75 3510165202680001 LILIS MARYANI BANYUWANGI 2/12/1968
76 3510167010760006 FITRIYAH BANYUWANGI 10/30/1976
77 3510165106790002 SUMIYATIN BANYUWANGI 6/11/1979
78 3510160104730003 ACHMAD YANI BANYUWANGI 4/1/1973
79 3510160303880004 AMRUL H BANYUWANGI 3/3/1988
80 3510075508920003 ARSANI BANYUWANGI 8/15/1992
81 3510211206920005 JONI SETYAWAN BANYUWANGI 6/12/1992
82 3510164201930002 SHITA YULIANA BANYUWANGI 1/2/1993
 83 3510161907940001 ANUGERAH YUSTISIA UTA BANYUWANGI 7/19/1994
84 3510166510780004 SRI MULYAWATI BANYUWANGI 10/25/1978
85 3510040405970002 TONI HENDRAWAN NATA UBANYUWANGI 4/5/1997
86 3510165602000004 MELIANA KARINDA CITRA BANYUWANGI 2/16/2000
87 3510163006560092 BUNAHWI BANYUWANGI 6/30/1956
88 3510211711900003 MOCH ANSORI BANYUWANGI 11/17/1990
89 3510166907570005 SURATIK BANYUWANGI 7/29/1957
90 5101015404870006 RISKA ELVA PURNAMA SARJEMBRANA 4/14/1987
91 3510164505740009 ROSIDA BANYUWANGI 5/5/1974
92 3510160401770006 ALI MANSUR BANYUWANGI 1/4/1977
93 3529250107780241 DIDI DARMADI BANYUWANGI 7/1/1978
94 3510164604910002 AMINATUL JANNAH BANYUWANGI 4/6/1991
95 3510162706010005 ERLANGGA EKO SUSANTOBANYUWANGI 6/27/2001
96 351016470777002 ERNAWATI BANYUWANGI 7/7/1977
97 3515164101520049 SUTAMI BANYUWANGI 1/1/1952
98 3510164809690002 NURHASANAH BANYUWANGI 8/8/1969
99 3510166808740003 MARIATIK BANYUWANGI 8/28/1974
100 3510164501730005 LASMINI BANYUWANGI 1/5/1973
101 3510161211690001 NURYASIN BANYUWANGI 11/12/1969
102 3510161205500001 ACHMAD TOHIR SITUBONDO 5/12/1950
103 351016460665008 PONISRI BANYUWANGI 6/6/1965
104 3510167006630123 WIWIK ISTUWILUJENG BANYUWANGI 6/30/1963
105 3510161506850008 ROFIK SUGIYANTO BANYUWANGI 6/15/1985
106 3510164508730006 ASINAH BANYUWANGI 8/5/1973
107 3510165204450004 PATIMAH BANYUWANGI 4/12/1945
108 3578125707690002 YULI KARYAWATI BANYUWANGI 7/17/1969
109 3510160302800002 IRWAN WAHYUDI BANYUWANGI 2/3/1980
110 3510165605510004 SUTINI BLITAR 5/16/1951
111 3510164105650002 IDA MAFILIAH BANYUWANGI 5/1/1965
112 351016503670004 ENY MUDJIATI BANYUWANGI 3/15/1967
113 3510167101620001 SUGIYATI BANYUWANGI 1/31/1962
114 3510165804800010 YULIATIN BANYUWANGI 4/18/1980
115 3510215108930002 TIRTA AMERTA ISWORO BANYUWANGI 8/11/1993
116 3510211005970005 ARTHA RIZKI ISWORO BANYUWANGI 5/10/1997
117 3510166909850007 WIWIK LIDIYANA BANYUWANGI 9/29/1985
118 3510216601970002 DIAN ARI BANYUWANGI 1/26/1997
119 3510160712550002 HANNAS MARHAENDRA BANYUWANGI 12/7/1955
120 351016590369001 RIMBAWATI BANYUWANGI 3/19/1969
121 3510162508980004 DANY HADI PURNOMO BANYUWANGI 8/25/1998
122 3510160406610005 SUHAIMI BANYUWANGI 6/4/1961
123 3510164109800004 SUNARMI BANYUWANGI 9/1/1980
124 3510164603680003 SUHARIYATI BANYUWANGI 3/6/1968
125 3510167006500169 RADIYAH BANYUWANGI 6/30/1950
126 3510164609010002 ANGGIE ANDINA RITANSA BANYUWANGI 9/6/2001
127 3510161406020007 FERI IRAWAN BANYUWANGI 6/14/2002
128 3510164110010006 PRITA RARA ULUMIYAH BANYUWANGI 10/1/2001
129 3510164804890004 NURUL DWI APRILIYANI BANYUWANGI 4/8/1989
130 3510164101590010 SARDJIATUN BANYUWANGI 1/1/1959
131 3510165404810006 TRISTA UMAMI BANYUWANGI 4/14/1981
132 3510163006530060 SAHARUDIN BANYUWANGI 6/30/1953
133 3510165304630001 HATIAJAH BANYUWANGI 4/13/1963
134 3510160506630005 ARSAD YUSUF BANYUWANGI 6/5/1963
135 3510161809540001 SUHAIRI BANYUWANGI 9/18/1954
136 3510166803720001 ISTIKUMAH BANYUWANGI 3/18/1972
137 35100165812970005DIAN AMALIA PRATIWI BANYUWANGI 12/18/1997
138 3510164508520003 MAKMUNAH BANYUWANGI 8/5/1952
139 3510163108440001 SARKAWI BANYUWANGI 8/31/1944
140 3510160707720003 SAPUAN BANYUWANGI 7/7/1972
141 3510164512690003 MAMIK SRI UTAMI BANYUWANGI 12/15/1969
142 3510162804480001 ANDI JAUHARI BANYUWANGI 4/28/1948
143 3510167006580179 SRI ENDANG RESMI BANYUWANGI 6/30/1956
144 3510167006630147 ISMAWATI BANYUWANGI 6/30/1963
145 3510166802780003 WIWIK MARIATUL KIPTIYAHBANYUWANGI 2/28/1978
146 3510161809670003 DEDY BUDI KURNIAWAN BANYUWANGI 9/18/1967
147 3510165809690004 HENY FANTHIYAH BANYUWANGI 9/18/1969
148 3510165604880004 SARI WASIYA BANYUWANGI 4/16/1988
149 3510162010820009 ABU BAKAR BANYUWANGI 10/20/1982
150 3510162101760003 MESLAN BANYUWANGI 1/21/1976
151 3510160302650002 MOH. SALEH BANYUWANGI 2/3/1965
152 3510167006490161 ASMINAH BANYUWANGI 6/30/1949
153 3510160406720004 MOH. HASANI BANYUWANGI 6/4/1972
154 3510164703490001 RUSTINA BANYUWANGI 3/7/1949
155 3510161907850003 MOHAMMAD MUHLISIN BANYUWANGI 7/19/1985
156 3510162802500003 MULYO SUSENO BANYUWANGI 2/28/1950
157 3510035804960007 SABRINA AYU INDAH ISWAR
BANYUWANGI 4/18/1996
158 35104020212900003DWI PURNAWIRAWAN BANYUWANGI 12/2/1990
159 3510160410960001 YOGI KRISANANTA BANYUWANGI 10/4/1996
160 3509176908950001 FIFI AGUSTIN BANYUWANGI 8/29/1995
161 3510132401950002 ALI MURTADOH BANYUWANGI 1/24/1995
162 3509262212020002 RICO DEFRIANSYAH BANYUWANGI 12/22/2002
163 3522196002950002 AGNES VENTYANA BANYUWANGI 2/20/1995
164 3510165202850007 NUR HAFIDHA A BANYUWANGI 2/12/1985
165 3510062006920001 GINANJAR BAGUS SAPUTRBANYUWANGI 6/20/1992
166 3510166005990004 ELLIKA KHAIRUNNISA BANYUWANGI 5/20/1999
167 3510164306880007 NURUL SAMSIYAH BANYUWANGI 6/3/1988
168 3510130903990001 CHORY SAPUTRA BANYUWANGI 3/9/1999
169 3510165506830003 MARIYAH BANYUWANGI 6/15/1983
170 3510122208990003 AHMAD WILDAN SYIBA BANYUWANGI 8/22/1990
171 3510166303850004 NITA SETIYAWATI BANYUWANGI 3/23/1985
172 3510164202440001 BOHANI BANYUWANGI 2/2/1944
173 3510165602880004 HUSNUL KHOTIMAH BANYUWANGI 12/16/1988
174 3510166109650001 DJAMILA BANYUWANGI 9/21/1965
175 3510164505680003 IDAWATI SURYANI BANYUWANGI 5/5/1988
176 3510166005670002 SANDU HERMANTO BANYUWANGI 5/20/1967
177 3510160107600056 USNADI BANYUWANGI 7/1/1960
178 3510165704720002 NANIK SUTARI BANYUWANGI 4/17/1972
179 3510162312700002 DWI RIBUDIYANTO BANYUWANGI 12/23/1970
180 3510167112780005 DESY ARIYANI BANYUWANGI 12/31/1976
181 3510160312500001 MOH. SYAMSUL MUARIF BANYUWANGI 12/3/1950
182 3175035409830011 NUR AZIZAH BANYUWANGI 9/14/1983
183 3510167011820004 R. RAHAYU LESTARI BANYUWANGI 11/30/1982
184 3510161709810005 DADANG KUSWANA HIDAY BANYUWANGI 9/17/1981
185 3510162807770005 AKHAMD MAHBUBI BANYUWANGI 7/28/1977
186 3510165601690001 INGEWATI PUGUH BANYUWANGI 1/15/1969
187 3510205206840007 HERMINARSIH BANYUWANGI 6/12/1984
188 3510165105450001 MAISARAH BANYUWANGI 5/11/1945
189 3510164909670002 NISWATI BANYUWANGI 9/9/1967
190 3510165505520003 VERONICA MARIA SARWENBANYUWANGI 5/15/1952
191 3510166507560003 MISNA BANYUWANGI 7/25/1956
192 3510215011700008 LILIS ZAENI BANYUWANGI 11/10/1970
193 3510212408800001 GATOT FERIYANTO BANYUWANGI 8/24/1980
194 3510166002730003 ENDANG SUSILOWATI BANYUWANGI 2/20/1973
195 3510165609990004 FATBELA ZULFA M BANYUWANGI 9/16/1999
196 3510071411980004 MOH. YAFI ROYHANUL AN BANYUWANGI 11/14/1998
197 3510160201550003 SUPRIYADI BANYUWANGI 1/2/1955
198 3510090104950003 MASHURI BANYUWANGI 4/1/1995
199 3510050110960002 WAHYU DIKYAYYAN ARIFA BANYUWANGI 11/1/1997
200 2171092206829007 AHMAD MUNIP BANYUWANGI 6/22/1982
201 3510096305990005 ANES ALFIANA BANYUWANGI 5/23/1999
202 3510166606680009 NUKLIA BANYUWANGI 6/26/1968
203 3510044502020003 VARA FARLENNZY DEA T BANYUWANGI 2/5/2002
204 3510162909560002 MUNIS SYAMSUDDIN BANYUWANGI 9/29/1956
205 3510165212010003 RISKIYANI LAILATUL NATA BANYUWANGI 12/12/2001
206 3510165006940002 BETTY NUR INDASARI BANYUWANGI 6/10/1994
207 3510161404670006 I PUTU GEDE WIDIANA BANYUWANGI 4/14/1967
208 3510095312970003 DAIKA HUDANI NABILA BANYUWANGI 12/13/1997
209 3510136609950001 ELVERA SEPTAVIANI BANYUWANGI 9/26/1995
210 3510165010970003 PALUPI RAHMA SARI BANYUWANGI 10/10/1997
211 3510163006630133 SUPRIYADI BANYUWANGI 6/30/1963
212 3510167006740032 YULIATI BANYUWANGI 6/30/1974
213 3510160506770004 ANDI SUROSO BANYUWANGI 6/1/1977
214 3510162801640002 SAHRI BANYUWANGI 1/28/1964
215 3510161108540003 ABD. KARIM YUSUF BANYUWANGI 8/11/1954
216 3510165806020005 VICA TETY SAFIRA BANYUWANGI 6/18/2002
217 3510161205670004 JOYON SUGIONO BANYUWANGI 5/12/1967
218 3510166502770004 HOLIJAH BANYUWANGI 2/25/1977
219 3510161606990003 BAGOES NUR ALFIYAN BANYUWANGI 6/18/1999
220 3510166608720008 LISWATI BANYUWANGI 8/26/1972
221 3510160202680006 ABD. GANI BANYUWANGI 2/2/1968
222 351016300662011 SLAMET SUPARDI BANYUWANGI 6/30/1962
223 3510176203880002 SRI WULANDARI BANYUWANGI 3/22/1988
224 3510166204750006 PANCA KURNIA ARLINI BANYUWANGI 4/22/1975
225 3510166008670002 LUFI PATONA BANYUWANGI 8/20/1967
226 3510160206600002 SUPRAPTO BANYUWANGI 6/2/1960
227 3510166105620001 WIDIJOWATI SRI REDJEKI BANYUWANGI 5/21/1962
228 3510176112730005 SRI ENDAH WULANDARI BANYUWANGI 12/31/1973
229 3510161807690002 JUNAIDI BANYUWANGI 7/18/1967
230 3510160110990004 AGUNG TRI PRASETYA BANYUWANGI 10/1/1999
231 3510040509000001 FIKRI HAIKAL SIDIQ BANYUWANGI 9/5/2000
232 3510161711950009 MUHAMAD REZA PAHLEVI BANYUWANGI 11/17/1995
233 3510162401470001 H. USMAN GAFFAR BANYUWANGI 1/24/1947
234 3510166211550001 ATIJAH BANYUWANGI 11/22/1955
235 3510165706880011 DWI LESTARI BANYUWANGI 6/17/1988
236 3510164406580004 FATIMAH BANYUWANGI 6/4/1958
237 3510164811690008 IDA KURILLIANA BANYUWANGI 11/8/1969
238 3510161906830008 HENDRO SUJATMIKO BANYUWANGI 6/19/1983
239 3510164402680002 RUSILAH BANYUWANGI 2/4/1968
240 5201136307650001 YULIARNI BANYUWANGI 7/23/1965
241 3510166008640004 HJ. DWI NUR AINI BANYUWANGI 8/28/1966
242 5171011710550001 SUBANDI BANYUWANGI 10/17/1955
243 3510165806650008 HARTATIK BANYUWANGI 6/18/1965
244 3510160612640001 H. BUDI UTOMO BANYUWANGI 12/6/1962
245 1601301802960002 DEDI FERDIANSYAH BANYUWANGI 2/18/1996
246 3529252311790001 SYAUGI HASYIM BANYUWANGI 11/23/1979
247 3510166106650004 SUPARNING BANYUWANGI 6/21/1965
248 3510164807680002 SITI AISYAH BANYUWANGI 7/8/1968
249 3510166211840002 NOVI INDAH WIJAYANTI BANYUWANGI 11/22/1984
250 3510163005650003 MASSURI BANYUWANGI 5/30/1965
251 3510176812960001 GHINA MALINDA BANYUWANGI 12/28/1996
252 3520134803940001 SOVI AYU ANGELA BANYUWANGI 3/8/1994
253 3510162104520003 AAN SETIAWAN BANYUWANGI 4/21/1952
254 3510167005800003 SRI ASTUTI BANYUWANGI 5/30/1980
255 3510214907770003 NAPSIYAH BANYUWANGI 7/9/1977
256 3510162806000004 FERIYANTO SRIANJAYA BANYUWANGI 7/29/1999
257 3510164808720011 KASIH WINARNI BANYUWANGI 8/8/1972
258 3510167006570061 MASNAH BANYUWANGI 6/30/1957
259 3510164705980002 HENING NAYENGGITA BANYUWANGI 5/7/1998
260 3510164412020004 SINANGHAYU GINAMALINI BANYUWANGI 12/4/2002
261 3510160909680003 SUKARYONO BANYUWANGI 9/9/1968
262 3510166711940001 DWI WULANDARI BANYUWANGI 11/27/1994
263 3510163006740034 MOH. NUR BANYUWANGI 6/30/1974
264 3510150501940002 RISWANDI BANYUWANGI 1/5/1994
265 3510165510510001 SANTI BANYUWANGI 10/15/1951
266 3510161512600003 ACHMAD SANUSI BANYUWANGI 12/15/1960
267 3510167006650262 ASANA BANYUWANGI 6/30/1965
268 3510167006500170 MULAWIYAH BANYUWANGI 6/30/1950
269 3510162702910002 NIKO SETIAWAN BANYUWANGI 2/27/1991
270 3510162401960001 JERRY RAMANDHA DWI P BANYUWANGI 1/24/1996
271 3510216401930005 RATIH PURWANINGTYAS BANYUWANGI 1/24/1993
272 3510163006650060 JUMAIDIN BANYUWANGI 6/30/1965
273 3510165210810003 WAHYU MUSDIYANA BANYUWANGI 10/12/1981
274 3510161409910003 SUPRIADI BANYUWANGI 9/14/1991
275 3510160709790003 BUDI HARSONO BANYUWANGI 9/7/1979
276 3510160106570002 ABD AZIS BANYUWANGI 6/1/1957
277 3510160510600002 ANJAR SUNGKONO BANYUWANGI 1/5/1960
278 3510162411700004 ANANG DWI KURNIAWAN BANYUWANGI 11/24/1970
279 3510165006710005 SITI HAMILA BANYUWANGI 6/10/1971
280 3510164710700001 INDRAWATI BANYUWANGI 10/7/1970
281 3510165202920006 ISTI RAHAYU BANYUWANGI 2/12/1992
282 3510163112590005 ISHAURI BANYUWANGI 12/31/1959
283 3510164708730012 MULYANI BANYUWANGI 8/7/1973
284 3515186706670001 LILIK HANDAYANI BANYUWANGI 6/27/1967
285 3510164811650004 SITI NURHAYATI BANYUWANGI 11/8/1965
286 3510164101500009 LILIEK SULIATI BANYUWANGI 1/1/1950
287 3510162202870002 PEBRI BUDI HARTONO BANYUWANGI 2/22/1987
288 3510161806840001 FANI ALFAN BANYUWANGI 6/18/1984
289 3204136710970008 FETI NURBAETI BANYUWANGI 10/27/1997
290 3510165605810006 NURHIDAYAH BANYUWANGI 5/16/1981
291 3510162809900004 AHMAD YUSUF BANYUWANGI 9/28/1990
292 3510161712670001 SEKARDIYONO BANYUWANGI 12/17/1967
293 3510167006580069 SUNARIYAH BANYUWANGI 6/30/1958
294 3510164305560002 SRI HARINI BANYUWANGI 5/3/1956
295 3510163006610026 HARIYADI BANYUWANGI 6/30/1961
296 3276020809690016 R. TEGUH WIDODO BANYUWANGI 9/8/1969
297 3276026006770017 ADE YUNI SUSANTI BANYUWANGI 6/20/1977
298 3510165001850006 RATNA HARTATIK BANYUWANGI 1/10/1985
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KETERANGAN
JELAS JELAS JELAS JELAS JELAS
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 10-3-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

54 46-59 L JL KRAKATAU 5 3 16
22 18-30 P JL KRAKATAU 5 3 16
33 31-45 P JL KRAKATAU 5 3 16
71 ≥60 P JL KRAKATAU 16
58 46-59 L KROBOKAN 1 3 16
57 46-59 L JL RIAU 2 3 16
47 46-59 P JL DI PANJAITAN 1 2 16
40 31-45 P JL DI PANJAITAN 1 2 16
46 46-59 P KROBOKAN 1 2 16
21 18-30 P JL TRUNOJOYO 2 5 SUMENEP
20 18-30 L KROBOKAN 1 2 16
51 46-59 L JL DI PANJAITAN 1 2 16
67 ≥60 L JL RIAU
63 ≥60 L JL RIAU KROBOKAN
42 31-45 P JL RINJANI NO 49
70 ≥60 P KROBOKAN 3 2 16
37 31-45 P JL SURATI BARU 1 3 16
50 46-59 P 16
42 31-45 P JL RIAU KROBOKAN 3 2 16
46 46-59 P JL RIAU 1 3 16
63 ≥60 L 16
28 18-30 P JL RIAU KROBOKAN 2 2 16
27 18-30 P DI PANJAITAN
32 31-45 L KROBOKAN 2 3 16
63 ≥60 P JL SURATI NO 24 16
58 46-59 P JL RIAU NO 94 2 2 16
72 ≥60 P KROBOKAN
47 46-59 P JL SAYU GRINGSING 2 2 16
54 46-59 L LINGK KROBOKAN 3 2 16
46 46-59 P KROBOKAN 3 2 16
80 ≥60 P KRAJAN 1 2 16
62 ≥60 L JL RIAU KROBOKAN 16
60 ≥60 L LINGK KRAJAN 3 3 16
26 18-30 L
63 ≥60 L JL DI PANJAITAN GG MERPATI
69 ≥60 L JL RIAU
62 ≥60 P LINGK KRAJAN
49 46-59 L JL RIAU 3 2 16
24 18-30 P
60 ≥60 P JL DI PANJAITAN 2 2
58 46-59 P LINGK KROBOKAN 3 2
43 31-45 P
36 31-45 P JL SURATI BARU 2 2 16
38 31-45 P JL DI PANJAITAN 3 3
57 46-59 P
69 ≥60 P JL DI PANJAITAN 2 1 16
68 ≥60 P JL DI PANJAITAN NO 17
29 18-30 L
58 46-59 P JL RIAU 3 2 16
38 31-45 L LINGK KROBOKAN 2 2
51 46-59 P SAYU GRINGSING 1 3
61 ≥60 P LINGK KROBOKAN 3 2 16
23 18-30 P JL DI PANJAITAN NO 100 1 2
50 46-59 P JL DI PANJAITAN 1 2 16
69 ≥60 L LINGK KROBOKAN 16
49 46-59 L JL DI PANJAITAN NO 29 2 2 16
23 18-30 L JL DI PANJAITAN 3 2 16
54 46-59 P JL DI PANJAITAN NO 29 2 2 16
47 46-59 P JL DI PANJAITAN 3 2
43 31-45 P JL DI PANJAITAN 1 2
51 46-59 P LINGK KRAJAN 3 2
78 ≥60 L LINGK KRAJAN
77 ≥60 L LINGK KROBOKAN
54 46-59 L JL DI PANJAITAN NO 103 3 1 16
70 ≥60 P JL RIAU NO 22
76 ≥60 L JL RIAU NO 22
60 ≥60 P LINGK KROBOKAN
68 ≥60 P LINGK KRAJAN NO 33
51 46-59 P JL DI PANJAITAN 1 2
48 46-59 L JL IKAN CAKALANG 4 3
19 18-30 P LINGK KROBOKAN 2 1
53 46-59 P JL RIAU GG BERLIAN 2 2 16
39 31-45 L LINGK KRAJAN 3 2 16
38 31-45 P LINGK KRAJAN 3 2
55 46-59 P JL TIDAR NO 24 16
46 46-59 P
43 31-45 P LINGK KALILO 5 1 16
49 46-59 L LINGK KROBOKAN 2 3
34 31-45 L JL IJEN NO 70
30 18-30 P DSN PLAMPANG
30 18-30 L JL RINJANI GG DAHLIA NO 52B
30 18-30 P JL DI PANJAITAN 3 1
28 18-30 L JL BROMO NO 2 3 2
44 31-45 P JL SAYU GERINGSING 2 3 16
25 18-30 L KRAJAN 3 4
22 18-30 P KROBOKAN 1 3
66 ≥60 L LINGK KROBOKAN
32 31-45 L JL LINGK KROBOKAN 2 3
65 ≥60 P JL SAYU GRINGSING 1 1
35 31-45 P KROBOKAN 3 3
48 46-59 P KROBOKAN 1 3
46 46-59 L DI PANJAITAN 2 1
44 31-45 L
31 31-45 P JL KH WAHID HASYIM NO 24
21 18-30 L JL RIAU 3 3
45 31-45 P JL RIAU 3 3
71 ≥60 P
53 46-59 P KROBOKAN 1 3
48 46-59 P KROBOKAN 1 2
50 46-59 P KROBOKAN 1 2
53 46-59 L KRAJAN 3 1
72 ≥60 L KROBOKAN 3 2
57 46-59 P KROBOKAN 3 2
59 46-59 P
37 31-45 L KROBOKAN 3 2
49 46-59 P JL RIAU 3 3
77 ≥60 P LINGK KRAJAN
53 46-59 P PRAPAT KURUNG
43 31-45 L SAYU GRINGSING 1 3
71 ≥60 P KROBOKAN 3 2
57 46-59 P JL RIAU NO 23 3 3
55 46-59 P KROBOKAN 2 3
61 ≥60 P JL SURATI NO 40
42 31-45 P JL DI PANJAITAN 3 3
29 18-30 L
25 18-30 P
37 31-45 P JL DI PANJAITAN 3 3
26 18-30 P KLATAKAN 4 1
67 ≥60 L JL SURATI NO 40
53 46-59 P JL IKAN KERANG 4 3
24 18-30 L JL DI PANJAITAN 2 3
61 ≥60 P
42 31-45 P KROBOKAN 1 1
54 46-59 P JL. RIAU 16
72 ≥60 P KROBOKAN 16
21 18-30 P JL. DI PANJAITAN 16
20 18-30 L JL. DI PANJAITAN 16
21 18-30 P KROBOKAN 3 3 16
33 31-45 P JL. RIAU 2 2 16
64 ≥60 P JL. RIAU 16
41 31-45 P KROBOKAN 1 2 16
69 ≥60 P JL. RIAU 3 3 16
59 46-59 P JL. DI PANJAITAN 3 3 16
59 46-59 L JL. SURATI BARU 1 3 16
68 ≥60 L JL. SURATI 16
50 46-59 P JL. RIAU 3 2 16
25 18-30 P KROBOKAN 3 3 16
70 ≥60 P JL. SURATI BARU 16
78 ≥60 P JL. SURATI BARU 16
50 46-59 P JL. RIAU 16
53 46-59 P JL. SURATI BARU 16
74 ≥60 L JL. DI PANJAITAN 16
66 ≥60 P JL. SURATI BARU 16
59 46-59 P KRAJAN 16
44 31-45 P KROBOKAN 3 3 16
55 46-59 L JL. SURATI BARU 16
53 46-59 P JL. SURATI BARU 1 3 16
34 31-45 P KRAJAN 3 3 16
40 31-45 L KRAJAN 16
47 46-59 L JL. DI PANJAITAN 3 3 16
58 46-59 L JL. DI PANJAITAN 1 1 16
73 ≥60 P JL. SAYU GRINGSING 1 3 16
50 46-59 L KP. MANDAR 16
73 ≥60 P KROBOKAN 16
37 31-45 L JL. KAPTEN ILYAS 16
72 ≥60 L JL. TERNATE 2 3 16
26 18-30 P PUEWOHARJO
32 31-45 P TEGALDELIMO
26 18-30 L JL. IKAN CAKALANG 3 1 16
27 18-30 P KRAJAN 1 3 JEMBER
28 18-30 L BLIMBINGSARI 3 BLIMBINGSDARI
3
20 18-30 L JEMBER JEMBER
27 18-30 P BOJONEGORO
38 31-45 P JL. SERAYU 16
30 18-30 L KRAJAN 3 1 CLURING
23 18-30 P JL. DI PANJAITAN 16
34 31-45 P KROBOKAN 1 2 16
23 18-30 L MANGGISAN 16
39 31-45 P JL. KRAKATAU 16
32 31-45 L DSN. PADUNG SINGOJURUH
37 31-45 P KRAJAN 3 3 16
79 ≥60 P KROBOKAN 1 2 16
34 31-45 P JL. RIAU 2 3 16
57 46-59 P KRAJAN 2 1 16
34 31-45 P JL. DI PANJAITAN 16
55 46-59 L KROBOKAN 2 3 16
62 ≥60 L KP. MANDAR 16
50 46-59 P KROBOKAN 2 1 16
52 46-59 L KROBOKAN 2 1 16
46 46-59 P KRAJAN 3 3 16
72 ≥60 L KP. MANDAR 16
39 31-45 P JL. BAWEAN 16
40 31-45 P JL. IKAN WADER 16
41 31-45 L JL. IKAN WADER 16
45 31-45 L KALILO 5 1 16
54 46-59 P
38 31-45 P PERUM PURI KERTOSARI 16
77 ≥60 P
55 46-59 P SINGODIPURO 3 4 16
70 ≥60 P JL. DI PANJAITAN 16
66 ≥60 P
52 46-59 P KRAJAN 2 2 21
42 31-45 L KRAJAN 4 2 21
50 46-59 P JL. RIAU 2 2 16
23 18-30 P JL. BUNYU 1 4 16
24 18-30 L GAMBIRAN GAMBIRAN
68 ≥60 L KROBOKAN 16
27 18-30 P KEMBIRITAN
25 18-30 L JL. CENDRAWASIH MUNCAR
40 31-45 L SAPEKEN
23 18-30 P DSN CURAHKETANG TIMUR
54 46-59 P KRAJAN 1 2 16
21 18-30 P SUMBERLUHUR TEGALDELIMO
66 ≥60 L KRAJAN 1 2 16
21 18-30 P JL. BATUR 16
28 18-30 P JL. DEMPO 3 1 16
55 46-59 L JL. KARIMUNJAWA 5 3 16
25 18-30 P JL. ARJUNA GENTENG
27 18-30 P JL. TANJUNG ROGOJAMPI
25 18-30 P JL. KUTAI 16
59 46-59 L JL. KAPTEN ILYAS 16
48 46-59 P KROBOKAN 2 3 16
45 31-45 L JL. RIAU 3 3 16
59 46-59 L KROBOKAN 2 3 16
68 ≥60 L KP. MANDAR 16
20 18-30 P KP. MANDAR 16
55 46-59 L KROBOKAN 3 2 16
45 31-45 P JL. RIAU 3 2 16
23 18-30 L KROBOKAN 3 2 16
50 46-59 P KP. MANDAR 16
55 46-59 L JL. DI PANJAITAN 16
60 ≥60 L JL. DI PANJAITAN 16
34 31-45 P KP. MANDAR 16
47 46-59 L KROBOKAN 2 3 16
55 46-59 P JL. DI PANJAITAN 3 1 16
62 ≥60 L JL. DI PANJAITAN 16
60 ≥60 P JL. MH THAMRIN 16
49 46-59 P JL. IJEN 16
55 46-59 L KP. MANDAR 16
23 18-30 L JL. LETKOL ISTIQLAH 16
22 18-30 L GAMBIRAN
27 18-30 L JL. RIAU 3 3 16
76 ≥60 L JL. DI PANJAITAN 16
67 ≥60 P KRAJAN 2 2 16
34 31-45 P JL. IKAN CUCUT 2 1 16
64 ≥60 P JL. RIAU 16
53 46-59 P KROBOKAN 2 3 16
39 31-45 L JL. DI PANJAITAN 3 1 16
55 46-59 P JL. SUMBING 2 1 16
57 46-59 P JL. MH THAMRIN 16
56 46-59 P JL. BROMO 16
67 ≥60 L JL. KRAKATAU 6 3 16
57 46-59 P JL. KRAKATAU 16
60 ≥60 L JL. BROMO 16
26 18-30 L BLOK WANABARATA
43 31-45 L JL. BELITUNG 16
57 46-59 P JL. MH THAMRIN 16
54 46-59 P JL. BROMO 16
38 31-45 P JL. TIDADR 16
57 46-59 P JL. TARAKAN 16
26 18-30 P JL. MAHAKAM 16
28 18-30 P JL. MH THAMRIN 16
70 ≥60 P JL. SINDORO 16
42 31-45 P JL. SUMBING 16
45 31-45 P KALIPURO 2 2 21
23 18-30 L JL. KARIMUNJAWA 16
50 46-59 P JL. RIAU 2 3 16
65 ≥60 P JL. SAYU GRINGSING 16
24 18-30 P KROBOKAN 1 2 16
20 18-30 P KROBOKAN 1 2 16
54 46-59 L JL. RIAU 3 3 16
28 18-30 P KROBOKAN 1 3 16
 48 46-59 L JL. RIAU 2 3 16
29 18-30 L KROBOKAN 1 3 16
71 ≥60 P KROBOKAN 16
62 ≥60 L JL. DI PANJAITAN 16
57 46-59 P KRAJAN 3 3 16
72 ≥60 P JL. RIAU 3 3 16
31 31-45 L KROBOKAN 2 3 16
27 18-30 L JL. IKAN KERANG 4 3 16
30 18-30 P KLATAKAN 4 1
57 46-59 L JL. DI PANJAITAN 3 1 16
41 31-45 L KP. MANDAR 16
31 31-45 L JL. RIAU 2 3 16
43 31-45 L JL. DI PANJAITAN 3 3 16
65 ≥60 L KROBOKAN 16
63 ≥60 L KROBOKAN 16
52 46-59 P KP. MANDAR 16
51 46-59 P KROBOKAN 3 2 16
52 46-59 P KP. MANDAR 16
31 31-45 P KROBOKAN 3 3 16
63 ≥60 P KP. MANDAR 16
49 46-59 P JL. KAPTEN ILAYS 16
55 46-59 P JL. DEMPO 16
57 46-59 P JL. RIAU 3 3 16
73 ≥60 P JL. DI PANJAITAN 16
35 31-45 L JL. RIAU 3 3 16
38 31-45 L JL. RIAU 3 2 16
25 18-30 P KO BUGEL NEGLASARI
41 31-45 P KROBOKAN 1 3 16
32 31-45 L JL. SAYU GRINGSING 1 3 16
55 46-59 L KROBOKAN 1 2 16
64 ≥60 P KP. MANDAR 16
66 ≥60 P KROBOKAN 1 2 16
61 ≥60 L KP. MANDAR 16
53 46-59 L JL. DI PANJAITAN 2 2 16
45 31-45 P JL. DI PANJAITAN 2 2 16
38 31-45 P KP. MANDAR 16
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

 JENIS
"NAMA KELURAHAN PEKERJAA BPJS NO.HP KETERANGAN
N
(13) (14) (15) (23) (24)

14 082334549451
14 083897789595
14 085964167574
14 085332600397
23 081232454369
23 089505442090
23
23
23

23
23

082335333801
087755510571
23
23
23
23
23 083853945602
23
23

23
23 081335577093
23

10
23 081234973573
23 0895410956433
23 082141783009
23 085784162969
23

081934898212

087713820144
23 085337821068

23 087852718570
089513256515

23

23
08113784121

23 087883882028
081210196439
23 083112162720
23 082143144975
23 082335350468
23 085607683879
23 087802197282
083853321882
082132493128

081913426095

23 085233394135

081220195280
081230156535

08113660616

12
23 085215228784
085215228784
13 085232664099

13 082330532152
083114900888
081330568640
082332760001
085238612208
 081249044870
23
082342408386

085855464210

082351399540

087755544106

081216769957

087775046817
081336397708
085259726865

081026590742
087857477010

087701006633
081357281255
082141044494

083830319113

23
23
23
23
 23
23
23
23
23
23
23
23
23
23
23 0859183966896
23 085918396696
23
23
23
23
23
23 085331366938
23
23
23
23
23
23
23
23
23
16
12

8
AJUNG
LIMBINGSDARI

PANDEREJO

23 08783688905
23
12
14
SINGOJURUH
23
23
 23
23
23
23
23 081259114766
23 082336397708
23
23
23
089526555522
KERTOSARI 082332822877
KERTOSARI 081233234789
13 082337069882

KERTOSARI 081235960197

14 085258390368
23 081331085225

91
91 08223116228
23 085706607277
12 085964308562
GAMBIRAN 083117705835
23 081234371298
081414881415
081234591645
081372543056
082335542896
23 081336047563
EGALDELIMO 089504431199
23 081336054804
14 085784915474
14 081335572336
12 0818362878
087802100934
ROGOJAMPI 081332001031
TAMANBARU 082331716527
16
23 082132482499
23 081216769957
23 082384015596
23
23
23 081249090890
23 081249090890
23
23
23
23 082334316999
23
23 083114900888
23 085236360544
23
13 082140625198
14 081331727300
23
16 082142089235
082334350516
23 088217230264
23
23
0895367373481
23 085334649049
23 085232461876
23 085336308523
14 081233791468
13 087864407474
14 087857458825
14 08969707144
23 089969707144
14 081230027149
085609315030
12 085230985388
13
14 081337953545
14 082266096200
12 082123544637
081252542428
13 0895330329338
14
14 085233801299
91
12 081936938940
23 08980604055
23
23 081234845989
23 081330031906
23 089562108723
23
 23 087864303979
23
23
23
23
23
23 087701006633
KEPATIHAN

23
23
23
23 081336297874
23
23
23
23
23
23
23
16
14
23
23
23
23
NEGLASARI
23
23
23
23
23
23
23
23
23
JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510165505700007 SRI HARYATI BANYUWANGI 5/15/1970

2 3510164405720003 NUR HAEMAH BANYUWANGI 5/4/1972
3 3510167006620102 USNIYAH BANYUWANGI 6/30/1962
4 3510165007750003 NANI ROSIDA BANYUWANGI 7/10/1975
5 3510165303510001 NANIK SUGIARTI BANYUWANGI 3/13/1951
6 3510164710680002 HJ ALVIA ROCHMAWATI BANYUWANGI 10/7/1968
7 3510216404650006 DYAH LIESTYARINI BANYUWANGI 5/23/1958
8 3510167006690128 LASTUTIK BANYUWANGI 6/30/1969
9 3510211403560005 HARSONO WIBOWO SURABAYA 3/10/1956
10 3510162502700003 RUSLA BANYUWANGI 2/25/1970
11 5103056207760006 YULI HIDIANA BANYUWANGI 7/22/1976
12 3510160706610008 M. ISNAINI ARIFIN BANYUWANGI 6/7/1961
13 3510160811650003 JUMADI BANYUWANGI 8/11/1965
14 3510166501600004 NURUL ZANNAH BANYUWANGI 1/25/1960
15 3509141206500006 KASIM BANYUWANGI 6/12/1950
16 3510164209790008 ALIYAH BANYUWANGI 9/2/1979
17 3510167006620125 IRIANINGSIH BANYUWANGI 6/30/1962
18 3510162611660001 NOVI BUDIANTO BANYUWANGI 11/26/1966
19 3510164804810003 SULASTININGSIH BANYUWANGI 4/8/1981
20 3510166101810005 SARI NOFI BANYUWANGI 1/21/1981
21 3510167006660135 NIKMAH BANYUWANGI 6/30/1966
22 3510163006540092 ACHYAR BANYUWANGI 6/30/1954
23 3510160204580003 ANTON HARIYOSO BANYUWANGI 4/2/1958
24 5171036707570002 HINDUN KURNIASIH BANYUWANGI 7/27/1957
25 3510163009610003 ANANG SUDARTO BANYUWANGI 9/30/1961
26 3510164909830005 ANISSA ARIFIANI BANYUWANGI 9/9/1983
27 3510160707560005 MOH ANSORI BANYUWANGI 7/7/1956
28 3510166407770004 IMAS KURNIAWATI BANYUWANGI 7/24/1977
29 3510163006340053 SUMITO BANYUWANGI 6/30/1934
30 3510160102540006 HARY PRANOTO BANYUWANGI 2/1/1954
31 3510162111690001 H HASAN BASRI BANYUWANGI 11/21/1969
32 3510164903550002 FARIDA BANYUWANGI 3/9/1955
33 3510160505570004 RAYIS BANYUWANGI 5/5/1957
34 3510161703480002 KATIJAN DJOKO SAPTONOBANYUWANGI 3/17/1948
35 3510162606570001 BALOK ASPIA BANYUWANGI 6/26/1957
36 3510164910680005 ISTIANAH BANYUWANGI 10/9/1968
37 3510160510670005 MOHAMAD IMRON ROSYADBANYUWANGI 10/5/1967
38 3510162803530003 SLAMET RIYADI BANYUWANGI 3/28/1953
39 3510164205780006 ISLAMIYAH BANYUWANGI 5/2/1978
40 3510164707690009 RIBUT SUPRIHATIN BANYUWANGI 7/7/1969
41 3510166508950002 AGIL MAHARINA BANYUWANGI 8/25/1995
42 3510215710620002 SUKARIYATI BANYUWANGI 10/17/1962
43 3510160106720009 SUWANDI BANYUWANGI 6/1/1972
44 3510166209640001 SITI SULASTRI BANYUWANGI 9/22/1964
45 3510162504930003 APRI DWI PRAYOGA BANYUWANGI 4/25/1993
46 3510165006800011 YULIATIN BANYUWANGI 6/10/1980
47 3510165407660003 HARSILIK BANYUWANGI 7/14/1966
48 3509210907520001 SLAMET SUGIARTO BANYUWANGI 7/9/1952
49 3510162512520002 ABDUL AZIS BANYUWANGI 12/25/1952
50 351013650699005 VINA AYU BANYUWANGI 6/25/1999
51 3507136410780003 LUSIANA BANYUWANGI 10/24/1978
52 3510161910710070007 ABD ROCHMAN BANYUWANGI 10/19/1971
53 3510166407620002 SULASTRI BANYUWANGI 7/24/1962
54 4510161501420002 ALI HUSIN BANYUWANGI 1/15/1942
55 3510162809680001 KUSNADI BANYUWANGI 9/28/1968
56 3510166401610002 SULAIKANAH BANYUWANGI 1/24/1961
57 3510160510850006 DIMAS SYAFI'I ARIEF BANYUWANGI 10/5/1985
58 3510165008570003 UNTUNG MARDIYAH BANYUWANGI 8/10/1957
59 51710150007900001 RIZKA AMIRA BANYUWANGI 7/10/1990
60 3510161709800001 MOHAMAD NALAM BANYUWANGI 9/17/1980
61 3510176212830002 NUR FAIQO BANYUWANGI 12/22/1983
62 3510214908990003 NOVIANITA PUTRI N BANYUWANGI 8/9/1999
63 3510161602860010 ELIAS BUDIARTO BANYUWANGI 2/16/1986
64 3510161708600006 M. ANWAR BANYUWANGI 8/17/1960
65 3510162509530001 SUJAHRI BANYUWANGI 9/25/1953
66 3510162910560003 SUDJITO BANYUWANGI 10/29/1956
67 3510166707970002 ADELIA FIRDANI ANWAR BANYUWANGI 6/27/1997
68 351016460390003 SUGERMANDJAHRATI BANYUWANGI 6/6/1939
69 3510160407440001 MOH. PUJAINI BANYUWANGI 7/4/1944
70 3510166105770003 MEI DIAN KARYAWATI BANYUWANGI 5/21/1977
71 3510165707540003 NISWATI BANYUWANGI 7/17/1954
72 52061118126710002 BAHRI BANYUWANGI 12/18/1967
73 3510165311780005 EMY FARIANTINI BANYUWANGI 11/13/1978
74 3510160808590005 HADIRIN BANYUWANGI 8/8/1959
75 3510167006630237 LAILIYAH BANYUWANGI 6/30/1963
76 3510164410580001 JAMILAH BANYUWANGI 10/4/1958
77 3510165508600004 MUSAMAH BANYUWANGI 8/15/1960
78 351024604900002 NURUL QOIDAH BANYUWANGI 4/24/1990
79 3510161704910002 HARRY FITRIYANTO BANYUWANGI 4/17/1991
80 3510167005660003 MURIYATI BANYUWANGI 5/30/1966
81 3510161604440002 MUKTI BANYUWANGI 4/16/1944
82 3510164706930005 RIAN YUNITA SARI BANYUWANGI 6/7/1993
 83 3510164705740004 KOMARIYAH BANYUWANGI 5/7/1974
84 3510160505820011 ARIS KURNIADY H BANYUWANGI 5/5/1982
85 3510166010720003 ISMIYATI BANYUWANGI 10/20/1972
86 3510165108570003 UMI INDI HARTATI BANYUWANGI 8/11/1957
87 3510165709880003 AMANDA KURNIA DEWI BANYUWANGI 9/17/1988
88 3571026205780002 SUPRIYATININGSIH BANYUWANGI 5/22/1978
89 5308040408600001 SYAMSUL HIDAYAT BANYUWANGI 8/4/1960
90 3510162806700001 HADI PURYANTO BANYUWANGI 6/28/1970
91 3510162202680002 SAMAN BANYUWANGI 2/22/1968
92 3510166610630001 MISRIYAH BANYUWANGI 10/26/1963
93 3510210308980002 MUHAMMAD AZHAR BASYI BANYUWANGI 8/3/1998
94 3510166608950002 LINA AGUSTYASANTI BANYUWANGI 8/26/1995
95 3510167006490153 KIPTIYAH BANYUWANGI 6/30/1949
96 3510164805700005 TITIK RATNA NURBAYA BANYUWANGI 5/8/1970
97 3510210505940005 DALIP HANDAYANI BANYUWANGI 5/5/1994
98 3510160106670002 TAUFIQ RAKHMAN BANYUWANGI 6/1/1967
99 3510164709680004 NINIK SUSIYANI BANYUWANGI 9/7/1968
100 3510164302790005 RENY RAHMAWATI BANYUWANGI 2/3/1979
101 3510166709820004 YETTY MAYA PURWOSARI BANYUWANGI 9/27/1982
102 3510165906980001 INTAN ROHMATIKA BANYUWANGI 6/19/1998
103 3510156408580001 TUKINAH BANYUWANGI 8/24/1958
104 3510161504680005 LUKMAN HAKIM BANYUWANGI 4/15/1968
105 3216166106660002 AYU SUMARNI BANYUWANGI 9/4/1970
106 3510167112550001 ASPIATI BANYUWANGI 12/31/1955
107 3510160910540001 RACHMAD BANYUWANGI 10/9/1954
108 3510163006610122 SUPRIYONO BANYUWANGI 6/30/1961
109 3510163006610062 MOH. SUDI BANYUWANGI 6/30/1961
110
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267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
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381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 11-3-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

52 46-59 P JL TIDAR 4 1 16
50 46-59 P LINGK KALILO 3 1
60 ≥60 P JL BRANTAS 1 2
47 46-59 P JL MH THAMRIN 3 2
71 ≥60 P JL KALILO
54 46-59 P JL KALIMAS 3 1
64 ≥60 P JL ARGOPURO 3 1 21
2 3 P JL TERNATE 2 3 16
66 ≥60 L JL ARGOPURO 3 1 21
52 46-59 L JL KALIMAS 4 1 16
46 46-59 P JL MNUANSA UTAMA SELATAN JIMBARAN
61 ≥60 L JL BRANTAS 1 3 16
57 46-59 L JL MH THAMRIN GENTENGAN BARU B.22
63 ≥60 P JL MH THAMRIN 105 3 2 16
72 ≥60 L JL KALIMAS 16
43 31-45 P JL KALIMAS NO 60 3 1 16
60 ≥60 P JL OPAK NO 21 16
56 46-59 L PERUM MENDUT REGENCY
41 31-45 P JL KALILO 5 2 16
42 31-45 P JL KALILO 1 3 16
56 46-59 P JL KALIMAS LINGKKALILO 4 1 16
68 ≥60 L KALILO 4 1 16
64 ≥60 L
65 ≥60 P PERUM PENGANTIGAN RESIDENCE BLOK D.2 16
61 ≥60 L JL LETKOL ISTIQLAH GG MA 2 5 16
39 31-45 P JL MONGISIDI 13 4 1
66 ≥60 L JL KALIMAS NO 56
45 31-45 P JL KALILO NO 23 16
88 ≥60 L JL OPAK NO 21 5 1 16
69 ≥60 L JL MH THAMRIN NO 103
53 46-59 L JL KALILO NO 23 1 3 16
67 ≥60 P JL KALIMAS NO 22 16
65 ≥60 L JL BOGOWONTO 2 2 16
74 ≥60 L JL BOGOWONTO NO 11 4 2 16
65 ≥60 L
54 46-59 P JL OPAK 5 1 16
55 46-59 L JL KALILO 5 2 16
69 ≥60 L JL MH THAMRIN 5 1 16
44 31-45 P JL OPAK 19 3 1 16
53 46-59 P JL BRANTAS 16
27 18-30 P KALILO 4 2 16
60 ≥60 P JL BOGOWONTO 4 2 16
50 46-59 L JL KALILO 5 2 16
58 46-59 P JL BOGOWONTO 4 2 16
29 18-30 L JL BOGOWONTO 4 2 16
42 31-45 P JL KALILO 18 16
56 46-59 P KALILO 1 3 16
70 ≥60 L KALILO 16
70 ≥60 L JL BOGOWONTO 4 2 16
23 18-30 P DSN SUKODONO DESA ALIYAN
44 31-45 P PENGANTIGAN 5 1 16
51 46-59 L JL BOGOWONTO 4 2 16
60 ≥60 P JL MH THAMRIN 5 1 16
81 ≥60 L JL MH THAMRIN 3 5 16
54 46-59 L JL BRANTAS 1 2 16
62 ≥60 P JL KALILO 2 2 16
37 31-45 L JL MH THAMRIN 3 2 16
65 ≥60 P JL KALILO 2 3 16
32 31-45 P JL BOGOWONTO 2 2 16
42 31-45 L
39 31-45 P PAYAMAN 17
23 18-30 P PERUM GGM 21
37 31-45 L JL OPAK 5 1 16
62 ≥60 L KALILO 1 5 16
69 ≥60 L JL. MH THAMRIN 1 2 16
66 ≥60 L JL. BRANTAS 1 2 16
25 18-30 P JL. MH THAMRIN 3 2 16
83 ≥60 P JL. MH THAMRIN 3 2 16
78 ≥60 L KALILO 3 3 16
45 31-45 P KJL. KALIMAS 4 1 16
68 ≥60 P JL. BOGOWONTO 16
55 46-59 L WAWORADA BIMA
44 31-45 P JL. KALIMAS 4 1 16
63 ≥60 L JL. BRANTAS 16
59 46-59 P JL. BRANTAS 16
64 ≥60 P JL. BRANTAS 16
62 ≥60 P JL. OPAK 16
32 31-45 P JL. KALIMAS 3 1 16
31 31-45 L JL. KALIMAS 3 1 16
56 46-59 P JL. KALIMAS 3 1 16
78 ≥60 L KALILO 16
29 18-30 P PENGANTIGAN 16
 48 46-59 P KALILO 4 1 16
40 31-45 L PENGANTIGAN 16
50 46-59 P JL. BOGOWONTO 16
65 ≥60 P JL. MH THAMRIN 16
34 31-45 P JL. MH THAMRIN 3 2 16
44 31-45 P JL. MAYJEN SUNGKONO 16
62 ≥60 L PENGANTIGAN 16
52 46-59 L JL. BRANTAS 1 2 16
55 46-59 L JL. OPAK 16
59 46-59 P KALILO 3 2 16
24 18-30 L PERUM VILLA SUKOWIDI 21
27 18-30 P JL. KALIMAS 16
73 ≥60 P JL. OPAK 3 1 16
52 46-59 P JL. MH THAMRIN 16
28 18-30 P KALILO 4 2 16
55 46-59 L KALILO 5 2 16
54 46-59 P PENGANTIGAN 16
44 31-45 P JL. BOGOWONTO 16
40 31-45 P SUKOROJO BANJARSARI
24 18-30 P JL. MH THAMRIN 3 2 16
64 ≥60 P KALILO 4 2 16
54 46-59 L JL. MH THAMRIN 3 2 16
52 46-59 P JL. BRANTAS 1 2 16
67 ≥60 P JL. BRANTAS 1 3 16
68 ≥60 L JL. BOGOWONTO 16
61 ≥60 L JL. KALIMAS 4 1 16
61 ≥60 L GESARI 2 2 16
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

NGOTRUNAN

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK

"NAMA KELURAHAN BPJS TERVAKSIN
PEKERJAAN

(13) (14) (15) (16) (17) (18) (19) (20)

13 3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
91 3/11/2022 1 35020BD
12 3/11/2022 1 35020BD
91 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
JIMBARAN 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
3/11/2022 1 35020BD
47 3/11/2022 1 35020BD
91 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 1 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
 13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
91 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
BANJARSARI 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
13 3/11/2022 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
3/11/2022 1 35020BD
35020BD
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
MEREK FASKES NO.HP KETERANGAN
VAKSIN

(21) (22) (23) (24)

PFIZER 9 082338444586
PFIZER 9 085336555806
PFIZER 9 081332268209
PFIZER 9 08129931349
PFIZER 9 08982159622
PFIZER 9 08233119116
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9 082334859975
PFIZER 9 082301804457
PFIZER 9 085236087900
PFIZER 9
PFIZER 9
PFIZER 9 0859195370400
PFIZER 9
PFIZER 9
PFIZER 9 081235332630
PFIZER 9 087794894039
PFIZER 9 083847672027
PFIZER 9
PFIZER 9 081210196471
PFIZER 9
PFIZER 9 085102706700
PFIZER 9 08123491884
PFIZER 9
PFIZER 9 089513515423
PFIZER 9
PFIZER 9 082334214970
PFIZER 9 082143896290
PFIZER 9 081235453278
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9 087857486593
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9 082133971010
PFIZER 9 085282422187
PFIZER 9
PFIZER 9
PFIZER 9 085235589529
PFIZER 9 089520314923
PFIZER 9 082301057580
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9 085156614925
PFIZER 9 083857179788
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9 085648553331
PFIZER 9 085230713845
PFIZER 9 082146163590
PFIZER 9 082139204232
PFIZER 9 085230713842
PFIZER 9 082264732737
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 081332268209 V3
PFIZER 082231414327 V3
PFIZER 08980684616 V3
PFIZER V3
PFIZER 085330272956 V3
PFIZER 089515769002 V3
PFIZER 085232684719 V3
PFIZER 081329602828 V3
PFIZER 082301238331 V3
PFIZER 082257397318 V3
PFIZER 089521802134 V3
PFIZER V3
PFIZER 081334121306 V3
PFIZER 081335315908 V3
PFIZER V3
PFIZER 085236361837 V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER 085258073804 V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER V3
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR" UMUR
I
(1) (2) (3) (4) (5) (6)

1 3510161010800011 INDRA SUGIYANTO BANYUWANGI 10/10/1980 42

2 351021145960005 M.SAIFUL BANYUWANGI 5/14/1996 26
3 3514143006830003 SURIAWAN BANYUWANGI 6/30/1983 39
4 351021250960004 RAMA JEFRI YANDANU BANYUWANGI 1/25/1996 27
5 3510160511920001 ANDRIYAN RINDIYANTO BANYUWANGI 11/5/1992 30
6 3510161701880001 WAHYU HIDAYAT BANYUWANGI 1/17/1988 35
7 3510165909620008 RAHAYUNINGSIH BANYUWANGI 9/19/1962 60
8 3510170201020004 JOANITA NATHANIEL DUSTBANYUWANGI 1/2/2002 21
9 3510214507800011 TRI YULI ASTUTI BANYUWANGI 7/25/1980 42
10 3510226804820003 FIDELIS ANGELA SRI W BANYUWANGI 4/28/1982 40
11 3510160601750003 MATLUSERI TRI B BANYUWANGI 1/6/1975 48
12 3509231007020003 AHMAT PANJI SAPUTRA BANYUWANGI 7/10/2002 20
13 3510210811930002 NOVIAN ARIS SANDI BANYUWANGI 11/8/1993 29
14 3510169909020007 FIKRI SEPTIAN BANYUWANGI 9/9/2002 20
15 3510166507750007 KASIATI BANYUWANGI 7/25/1975 47
16 3510166302710003 TITIN HARIYATIN BANYUWANGI 2/23/1971 51
17 3510164103700002 YULIANI BANYUWANGI 3/1/1970 52
18 3510165403860001 ANISA MARTIANA BANYUWANGI 3/14/1986 36
19 3510172508590002 AGUS SUPRAPTO BANYUWANGI 8/25/1959 63
20 3510175911640002 ENDANG SRIWIGATI BANYUWANGI 11/19/1964 58
21 3510160502410001 SOEJADI BANYUWANGI 2/5/1941 82
22 35101645044800001HATIMAH BANYUWANGI 4/5/1948 74
23 351021481060001 SUTRATIK BANYUWANGI 10/8/1966 56
24 3510164106480002 SRI INDAJATI BANYUWANGI 6/1/1948 74
25 3510162801980007 WILFREDO THEODORA W BANYUWANGI 1/26/1998 25
26 3510160401470001 BUANG ASMUI BANYUWANGI 1/4/1947 76
27 3510167006590125 IKRIMAH BANYUWANGI 6/30/1959 #REF!
28 3510161902990002 ALDI FIQI H BANYUWANGI 2/19/1999 23
29 3510166911620002 DRA SOFIYAH BANYUWANGI 11/29/1962 60
30 123
31 123
32 123
33 123
34 123
35 123
36 123
37 123
38 123
39 123
40 123
41 123
42 123
43 123
44 123
45 123
46 123
47 123
48 123
49 123
50 123
51 123
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54 123
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66 123
67 123
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 83 123
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114 123
115 123
116 123
117 123
118 123
119 123
120 123
121 123
122 123
123 123
124 123
125 123
126 123
127 123
128 123
129 123
130 123
131 123
132 123
133 123
134 123
135 123
136 123
137 123
138 123
139 123
140 123
141 123
142 123
143 123
144 123
145 123
146 123
147 123
148 123
149 123
150 123
151 123
152 123
153 123
154 123
155 123
156 123
157 123
158 123
159 123
160 123
161 123
162 123
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164 123
165 123
166 123
167 123
168 123
169 123
170 123
171 123
172 123
173 123
174 123
175 123
176 123
177 123
178 123
179 123
180 123
181 123
182 123
183 123
184 123
185 123
186 123
187 123
188 123
189 123
190 123
191 123
192 123
193 123
194 123
195 123
196 123
197 123
198 123
199 123
200 123
201 123
202 123
203 123
204 123
205 123
206 123
207 123
208 123
209 123
210 123
211 123
212 123
213 123
214 123
215 123
216 123
217 123
218 123
219 123
220 123
221 123
222 123
223 123
224 123
225 123
226 123
227 123
228 123
229 123
230 123
231 123
232 123
233 123
234 123
235 123
236 123
237 123
238 123
239 123
240 123
241 123
242 123
243 123
244 123
245 123
246 123
247 123
248 123
249 123
250 123
251 123
252 123
253 123
254 123
255 123
256 123
257 123
258 123
259 123
260 123
261 123
262 123
263 123
264 123
265 123
266 123
267 123
268 123
269 123
270 123
271 123
272 123
273 123
274 123
275 123
276 123
277 123
278 123
279 123
280 123
281 123
282 123
283 123
284 123
285 123
286 123
287 123
288 123
289 123
290 123
291 123
292 123
293 123
294 123
295 123
296 123
297 123
298 123
299 123
300 123
301 123
302 123
303 123
304 123
305 123
306 123
307 123
308 123
309 123
310 123
311 123
312 123
313 123
314 123
315 123
316 123
317 123
318 123
319 123
320 123
321 123
322 123
323 123
324 123
325 123
326 123
327 123
328 123
329 123
330 123
331 123
332 123
333 123
334 123
335 123
336 123
337 123
338 123
339 123
340 123
341 123
342 123
343 123
344 123
345 123
346 123
347 123
348 123
349 123
350 123
351 123
352 123
353 123
354 123
355 123
356 123
357 123
358 123
359 123
360 123
361 123
362 123
363 123
364 123
365 123
366 123
367 123
368 123
369 123
370 123
371 123
372 123
373 123
374 123
375 123
376 123
377 123
378 123
379 123
380 123
381 123
382 123
383 123
384 123
385 123
386 123
387 123
388 123
389 123
390 123
391 123
392 123
393 123
394 123
395 123
396 123
397 123
 398 123
399 123
400 123

KETERANGAN
JELAS JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 14-03-2022

NAMA
KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA "NAMA KELURAHAN
KELAMIN"
N
(7) (8) (9) (10) (11) (12) (13)

31-45 L JL SAYU WIWIT 2 2 16 11

18-30 P
31-45 P
18-30 L
18-30 L
31-45 L
≥60 P JL IKAN GURITA 1 1 16 141
18-30 L JL MAWAR 1 3 17 46
31-45 P DSN GUNUNG REMUK 1 4 21 91
31-45 L JL TANGKUBAN PERAHU 3 3 16 14
46-59 L JL TANGKUBAN PERAHU 3 3 16 14
18-30 L
18-30 L BRAK 2 1 21 91
18-30 L PANDEREJO 3 1 16 15
46-59 P JL SUMBING 16 14
46-59 P JL SUMBING 16 14
46-59 P JL SUMBING 1 2 16 14
31-45 P JL PROGO 2 2 16 16
≥60 L JL IJEN 3 3 16 14
46-59 P JL IJEN 3 3 16 14
≥60 L JL BASUKI RAHMAT 16 12
≥60 P JL SUMBING 16 14
46-59 P KETAPANG 21 91
≥60 P JL BASUKI RAHMAT 16 12
18-30 L JL BASUKI RAHMAT 1 1 16 12
≥60 L JL BROMO 1 2 16 14
#REF! P JL BROMO 1 2 16 14
18-30 L JL BOGOWONTO 16 13
≥60 P
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

 JENIS ALASAN
TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH TIDAK MEREK FASKES
PEKERJAA BPJS VAKSIN
N TERVAKSIN

(14) (15) (16) (17) (18) (19) (20) (21) (22)

3/14/2022 1 35020BD PFIZER

3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
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3/14/2022 1 35020BD PFIZER
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3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
3/14/2022 1 35020BD PFIZER
JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 NO.HP KETERANGAN

(23) (24)

087862608999

082145514656
082301574227

082119449429

087806692858

0823344969955

087852718500

081331514465
JELAS
 LAPORAN HARIAN VAKS

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510162008650006 SUROSO BANYUWANGI 8/20/1965

2 3510160202700002 RAHMAD BANYUWANGI 2/2/1970
3 3510165103930002 FITRI EKOWATI BANYUWANGI 3/11/1993
4 5103014602730004 SITI KOMARIE BANYUWANGI 2/6/1973
5 3510167006540230 BOHAIRIYAH BANYUWANGI 6/30/1954
6 51616912670003 RUMIYATI BANYUWANGI 12/29/1967
7 3510171101960002 SAIFUL AZIZ SETIAWAN BANYUWANGI 1/11/1996
8 3510174010040001 SARTIKA PUSPITASARI BANYUWANGI 10/8/1994
9 3510166712590001 NUR HASANAH BANYUWANGI 12/27/1959
10 3510211211630002 MOH SAJURI BANYUWANGI 11/12/1963
11 3510165204780009 NURUL LAMI' BANYUWANGI 4/12/1978
12 3510161106930003 DEDY MUFIANTORO BANYUWANGI 6/11/1993
13 351016410963003 LISAWATI WIDJAJA BANYUWANGI 9/1/1963
14 3510167006470100 SAM'AH BANYUWANGI 6/30/1947
15 351016490882007 ISTIQOMAH BANYUWANGI 8/9/1982
16 3510165508690005 KHOSIYAH ROBBA BANYUWANGI 6/15/1989
17 3510164404860012 DEWI APRIL LIANI BANYUWANGI 4/4/1986
18 3510166910700003 AINUN JARIYAH BANYUWANGI 10/29/1970
19 3510164909600006 PAUJIAH BANYUWANGI 9/9/1960
20 3510165206830003 SRI WAHYUNI BANYUWANGI 6/12/1983
21 3510200203670002 MUHADI BANYUWANGI 3/2/1967
22 3510164706600004 NURHAYATI BANYUWANGI 6/7/1960
23 351016300650007 ABDUL KOHAR BANYUWANGI 6/30/1950
24 3510112301560002 SOEPENO BANYUWANGI 1/23/1956
25 3510165410010003 SAPNA SAVIERA BANYUWANGI 10/14/2001
26 3510214808860006 YASMIN KURNIAWATI BANYUWANGI 8/8/1986
27 3510163006580073 SUPATMO BANYUWANGI 6/30/1958
28 3510165509860006 SEPTI ANDARI BANYUWANGI 9/15/1986
29 3273195602700005 AMSAL HANIFAH BANYUWANGI 2/16/1970
30 3510164106820005 MUSRIPAH BANYUWANGI 6/1/1982
31 3510165709730001 SITI NURHAYATI BANYUWANGI 9/17/1973
32 3510034504760005 SUPARNI BANYUWANGI 4/5/1976
33 3510215010620003 TITI SUGIARTI BANYUWANGI 10/10/1962
34 3510164108530004 SUPATMININGSIH BANYUWANGI 8/1/1953
35 3510162409590002 SUKARMAN BANYUWANGI 9/24/1959
36 3510165303450002 SUMARTINI HASTUTI BANYUWANGI 3/13/1945
37 3510166509860005 SUSANTI BANYUWANGI 10/25/1986
38 3510166401640001 NIORI SJACHRONI BANYUWANGI 1/24/1964
39 3508201203830009 BAYU SEPTA M BANYUWANGI 3/12/1983
40 3510162904520000 ANTONIUS BANYUWANGI 4/29/1952
41 3510155107880002 SUCIATI BANYUWANGI 7/11/1988
42 3510167004640000 ANNI BANYUWANGI 4/30/1964
43 3510166810930002 NUR MARIA ULFA BANYUWANGI 10/28/1993
44 3510166008620002 SUWARNI BANYUWANGI 8/20/1962
45 3510165208730001 ISTRIYANI BANYUWANGI 8/12/1973
46 3510166901670004 NURKARYATI BANYUWANGI 1/29/1967
47 3510160108960000 RICKO GUSTIANDANU AMABANYUWANGI 8/1/1996
48 3510161709960002 FRESA TRI DARMAWAN BANYUWANGI 9/17/1996
49 3510161609760001 MUJAINI BANYUWANGI 9/16/1976
50 3510160210690002 SUPRIYONO BANYUWANGI 10/2/1969
51 3510160105930004 BINTANG PRAMUDA W BANYUWANGI 5/1/1993
52 3510164703980004 ANIS FASIROTUS SAKINAHBANYUWANGI 3/7/1998
53 3510163006550092 BUDIYONO BANYUWANGI 6/30/1955
54 3510211002710002 ABDULLAH WASIAN BANYUWANGI 2/10/1971
55 3510164102720007 TUTIK HARININGSIH BANYUWANGI 2/1/1972
56 3510134702910005 INDAH RIZA KURNIA BANYUWANGI 2/7/1991
57 3510216903800003 SRI WINARNI BANYUWANGI 3/29/1980
58 3510165002560003 SUHERNIK DRA BANYUWANGI 2/10/1956
59 3510165301020000 JIHAN VEBBY A BANYUWANGI 1/13/2002
60 3510165703730006 SUSI MARDI NINGSIH BANYUWANGI 3/17/1973
61 3510167006540207 LULUK BANYUWANGI 6/30/1954
62 2171104908779001 IRMA HARIRO BANYUWANGI 8/9/1977
63 3510166705740008 MEIDRIANI DEWI BANYUWANGI 5/27/1974
64 3510165608730012 MARYANA BANYUWANGI 8/16/1973
65 3578235905780001 DINA TRIANA BANYUWANGI 5/19/1978
66 3510165909790005 MAHMUDAH BANYUWANGI 9/19/1979
67 3506155501810003 SUHARTATIK BANYUWANGI 1/15/1981
68 3510163006480061 M SUHAILI BANYUWANGI 6/30/1948
69 3510167006530105 SARIYATUN BANYUWANGI 6/30/1953
70 3510161809550002 BAMBANG SUDJATMIKO BANYUWANGI 9/18/1955
71 3510164212580006 SRI HASTUTI BANYUWANGI 12/2/1958
72 3510160811790003 BANI ADAM BANYUWANGI 11/8/1979
73 351016461188003 ULIVA NIKITA M SE BANYUWANGI 11/6/1988
74 3510164107630180 SITI HARININGSIH BANYUWANGI 7/1/1963
75 3510161602640001 ABDUL NAGIB BANYUWANGI 2/16/1964
76 3510166803950003 HUSNUL ROSIANA BANYUWANGI 3/28/1995
77 3510166710020002 ULFA ALVINA WAHYUNING BANYUWANGI 10/27/2002
78 3510165108810004 CITRA MAHAYU BANYUWANGI 8/11/1981
79 3510210601670006 ENDRO LUKITO BANYUWANGI 1/6/1967
80 3510166202890003 HUSNUL ANDIYA ULFA BANYUWANGI 2/22/1989
81 3510165803790005 RINI SULISTYOWATI BANYUWANGI 3/18/1979
82 3510165409980002 RACHMITHA AULIA IMAMAHBANYUWANGI 9/14/1998
 83 3510164107630188 INSIYAH BANYUWANGI 7/1/1963
84 351016470870004 SITI MASKANAH BANYUWANGI 8/7/1970
85 3510164407750007 SULISTYOWATI BANYUWANGI 7/4/1975
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 15-3-22

UMUR KELOMPOK "JENIS NAMA

UMUR "ALAMAT" "RT" "RW"
KELAMIN" KECAMATAN

(6) (7) (8) (9) (10) (11) (12)

57 46-59 L JL MH THAMRIN 3 2 16
53 46-59 L JL MH THAMRIN 1 1 16
29 18-30 P PERUM PENGANTIGAN 5 1 16
50 46-59 P PERUM PENGANTIGAN 5 1 16
68 ≥60 P JL BOGOWONTO 4 2
55 46-59 P KALILO 4 16
27 18-30 L GESARI 1 3
28 18-30 P VBM 2 2 17
63 ≥60 P JL BRANTAS NO 23
59 46-59 L KRAJAN 2 12 21
44 31-45 P KALILO 1 5
29 18-30 L JL KYAI SALEH 5 1 16
59 46-59 P KALIMAS 1 1 16
75 ≥60 P JL BOGOWONTO 16
40 31-45 P KALILO 1 5
33 31-45 P KALILO 3 4 16
36 31-45 P PERUM PURI CITRA BERLIAN 1 2 16
52 46-59 P JL KALILO 4 4
62 ≥60 P JL KALIMAS NO 19
39 31-45 P JL KALILO 1 4
55 46-59 L PENGANTIGAN 16
62 ≥60 P JL KALILO 16
72 ≥60 L JL KALILO 16
67 ≥60 L DSN MARGO MAKMUR
21 18-30 P JL OPAK NO 5 16
36 31-45 P PERUM PKBR 3 2 16
64 ≥60 L LINGK GESARI 16
36 31-45 P LINGK KALILO 1 4 16
53 46-59 P JL PERINTIS KEMERDEKAAN BANDUNG
40 31-45 P KALILO 1 5 16
49 46-59 P JL KALILO 2 4 16
46 46-59 P PERUM PENGANTIGAN RESIDENCE 5 1 16
60 ≥60 P JL MH THAMRIN PERUM PKBR 3 2 16
69 ≥60 P JL MH THAMRIN LINGK GESARI 16
63 ≥60 L JL KALILO 16
77 ≥60 P JL MH THAMRIN NO 86
36 31-45 P LINGK KALILO 16
59 46-59 P JL LETKOL ISTIQLAH GG AWAR NO 13 16
39 31-45 L PERUM PKBR 3 2 16
70 ≥60 L JL IKAN MAS 1 1 16
34 31-45 P PERUM PENGANTIGAN RESIDENCE 5 1 16
58 46-59 P KARANGREJO 1 1 16
29 18-30 P JL KALILO 5 2 16
60 ≥60 P JL KALILO 3 3 16
49 46-59 P JL KALILO 2 4 16
56 46-59 P JL BROMO 1 1 16
26 18-30 L JL BROMO 1 1 16
26 18-30 P KALILO 5 2 16
46 46-59 L JL KALIMAS NO 19 3 1 16
53 46-59 L KALILO 2 4 16
29 18-30 L KALILO 5 2 16
24 18-30 P BOGOWONTO 4 2 16
67 ≥60 L JL KALIMAS KALILO 4 1 16
52 46-59 L JL BOGOWONTO 4 2 16
51 46-59 P JLKALIMAS 23A 16
32 31-45 P KALILO 2 2 16
42 31-45 P JL KALIMAS 3 1 16
67 ≥60 P KALILO 1 5 16
21 18-30 P BRANTAS 1 2 16
49 46-59 P JL KALILO 3 3 16
68 ≥60 P JL KALILO 16
45 31-45 P PERUM PERMATA JINGGA 2 2
48 46-59 P JL TERATAI PERUM PERMATA JING 2 2
49 46-59 P JL MENDUT NO 65
44 31-45 P JL KARAH GG MASJID 2 3
43 31-45 P JL ANDALAS NO 24
42 31-45 P JL MH THAMRIN VBM 4 2 16
74 ≥60 L LINGK KALILO NO 88 16
69 ≥60 P LINGK KALILO NO 88 16
67 ≥60 L JL KALILO 1 4 16
64 ≥60 P JL KALILO 1 4 16
43 31-45 L JL LETKOL ISTIQLAH GG AWAR NO 2 1 16
34 31-45 P JL BROMO NO 8 2 1 16
59 46-59 P JL KALILO 1 5 16
59 46-59 L JL BANGKA GG 11 NO 2 1 2 16
27 18-30 P KALILO 16
20 18-30 P JL KALILO 1 4 16
41 31-45 P JL KALILO 3 2 16
56 46-59 L LINGK KLATAKAN 4 1 21
33 31-45 P LINGK KALILO
43 31-45 P JL KALILO 16
24 18-30 P JL KALILO NO 11 1 4 16
 59 46-59 P KALILO 1 5 16
52 46-59 P KALILO 1 5 16
47 46-59 P KALILO 3 4 16
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 0
0

JELAS JELAS JELAS JELAS JELAS JELAS

 JENIS NO.HP KETERANGAN
"NAMA KELURAHAN
PEKERJAAN

(13) (14) (23) (24)

13
16 081358176463
13
13

13 082334855238

47 0821397244333
085330954439
95
081333885094
13 081239817576
13 081336806608
13 085335532461
089680808663
13
20 089682628888

089682626888
085236677715
13 081337237774
13
13
082139555186
13 082233706400
13 08214950900
13
13 085335230486
082245962792
13
13 085258215896
13 085338439948
13 081252172617
13 082234809535
13

13 081216699526
13 082302325544
13
8
13
8
13 085156614925
13
13 087857341721
13 081333399115
13 083115053285
13
13 081252110200
13 085232753325
13
13
13
13 085236685370
13 08230232320
13
13 081252110200
13
13
13 085230340474
13 085269820214

082139406106

089515761427
13 081357396139
13
13
13 081231051894
13 082141825899
16 081357639098
13
13
12
13 085236687776
13
13 082143052272
91 081249989490

13 082234748071
13
13
13
13
JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510161702440001 MOCHAMMAD CHOTIM ATBBANYUWANGI 17-2-44

2 3510160803620001 H MAT SAUDI BANYUWANGI 8/3/1962
3 3510164202620004 ALFIAH BANYUWANGI 2/2/1962
4 3510163006640099 SISWANTO BANYUWANGI 30-6-64
5 3510167006580195 HAYATI BANYUWANGI 30-6-58
6 3510161607700004 ROHIM BANYUWANGI 16-7-70
7 3510165408870002 AGUSTINAWATI BANYUWANGI 14-8-87
8 351016101630002 UMI KULSUM BANYUWANGI 21-1-63
9 35101655006660006ARI WAHYUNI BANYUWANGI 10/6/1966
10 7371076102750003 DJUNAEDAH DAHLAN UJUNG PANDANG 21-2-75
11 3510161106700002 ABDUL CHOLIK BANYUWANGI 11/6/1970
12 3510165605550003 YATENI BANYUWANGI 16-5-55
13 3510165206590006 SITI CHOIRIYAH BANYUWANGI 12/6/1959
14 3510164602710005 SRI WAHYUNI BANYUWANGI 6/2/1971
15 3510160504690002 SUWELO BANYUWANGI 5/4/1969
16 3505036906870004 LINCA PUSPITASARI BANYUWANGI 29-6-87
17 3510160304760003 EDI SURYONO BANYUWANGI 3/4/1976
18 3510166308600005 ALIYAH BANYUWANGI 23-8-60
19 3510166202890004 FITKA NUFITASARI S E BANYUWANGI 22-2-89
20 3510164202020006 SINDI LUSIA FEBILA BANYUWANGI 2/2/2002
21 3510165806450007 ROKAIYAH BANYUWANGI 18-6-45
22 3510164612720007 BETI SRI HANDAYANI BANYUWANGI 6/12/1972
23 3510165808710002 MUAYANA BANYUWANGI 18-8-71
24 3510164806690002 SULASMI BANYUWANGI 1/9/1969
25 3510166711680004 SUMARTINI BANYUWANGI 1/2/1966
26 351016221260001 KURDIYANTO BANYUWANGI 22-12-60
27 3510166011690005 ASNAH BANYUWANGI 20-11-69
28 3510164408690004 RUBAIYAH BANYUWANGI 4/8/1969
29 3510160612650001 SUPANDI BANYUWANGI 6/12/1965
30 3510165212690004 ISRIYANI BANYUWANGI 12/12/1969
31 3510167006500180 ISTIANAH BANYUWANGI 30-6-50
32 3510162909600003 SUDIRMAN BANYUWANGI 29-9-60
33 3510166406610006 SUMARSIH BANYUWANGI 24-6-61
34 3510160304470001 ASMUNI BANYUWANGI 3/4/1947
35 3510165207580009 SAWIYAH BANYUWANGI 12/7/1958
36 3510162701530002 H ENDRO GUNAWAN BANYUWANGI 27-1-53
37 3510160107680134 JAFAR BANYUWANGI 1/7/1968
38 3510161304680001 ABDUL HADI BANYUWANGI 13-4-68
39 3510161608740004 DEDE BAHRUL BANYUWANGI 16-8-74
40 5108054709940002 EKA ALMAH BANYUWANGI 7/9/1994
41 3510161506660004 MOCH ARSO PONIMAN BANYUWANGI 15-6-66
42 3510165701680002 SULIKANAH BANYUWANGI 17-1-68
43 3510162810540001 MATRAYU BANYUWANGI 28-10-54
44 3510164212760004 DWI IRA MARGAWATI BANYUWANGI 21-2-76
45 3510164704680004 KATIYAH BANYUWANGI 7/4/1968
46 3510165511700002 SIAMAH BANYUWANGI 15-11-70
47 3510165607760003 NURHAYATI BANYUWANGI 16-7-76
48 3510160501470002 SAMSUL ARIFIN BANYUWANGI 5/1/1947
49 3510167005630005 WARSINI BANYUWANGI 30-5-63
50 3510164103800004 HAMIDAH BANYUWANGI 1/3/1980
51 3510166005540002 SUCI ROKHANI BANYUWANGI 20-5-54
52 3510155606760009 DWI WERDININGSIH BANYUWANGI 16-6-76
53 3510165011630005 RIBUT BANYUWANGI 10/1/1963
54 3510160705760006 IMAM SYAFI'I BANYUWANGI 7/5/1976
55 3510164204480002 AKISAH BANYUWANGI 2/4/1948
56 3510161010510006 HANAPI BANYUWANGI 10/10/1951
57 3510165506520006 LUSIA POSOWATI BANYUWANGI 15-6-52
58 3510175710970002 PUTRI EKA DWI LESTARI BANYUWANGI 17-10-97
59 3510160202590005 MUSTAIN BANYUWANGI 2/2/1959
60 3510166506650007 WONTEN BANYUWANGI 25-6-65
61 3510164203650007 SUMINING BANYUWANGI 2/3/1965
62 3510160403620001 A BAIKUNI ST MM SAMPANG 4/3/1982
63 3510161808570002 KUSNO SUKAMTO BANYUWANGI 18-8-57
64 6472055012680009 ISTIANAH BANYUWANGI 10/12/1968
65 3510154607720013 DJAMALIA BANYUWANGI 6/7/1972
66 3510160905940004 MUHAMMAD ARIF SYAIFULSULAWESI 9/5/1994
67 3510215704710001 RUHUL IZZAH NTB 17-4-71
68 3510167003730003 MUJIANA BANYUWANGI 30-3-73
69 3510162007700004 RAHMAT HAEDORI BANYUWANGI 20-7-70
70 3515186804570004 TITIK SUTININGSIH BANYUWANGI 28-4-57
71 3510165212570003 TITIK BUNIATI BANYUWANGI 12/12/1957
72 3510160210940002 DIMAS DWI RUDIANYAHYA BANYUWANGI 2/10/1994
73 3510164712970003 REGITA DEASY MUTIASAN BANYUWANGI 7/12/1997
74 3510160601550003 AMIR BANYUWANGI 6/1/1955
75 3510166510610001 SULASTRI BANYUWANGI 25-10-61
76 3510162204670004 MUKHLAS ROWI BANYUWANGI 22-4-67
77 3510165212560011 INDROWATI BANYUWANGI 12/12/1956
78 3510166206980002 MORISIANA WIDAYANTI BANYUWANGI 1/6/1998
79 3510162004590001 MULYONO BANYUWANGI 20-4-59
80 3510165703780002 RUMIYATI BANYUWANGI 17-3-78
81 3510174502030002 NOOR CHADIJAH MAULINA BANYUWANGI 5/2/2003
82 3510166308540001 SRI PENGESTIASIH BANYUWANGI 23-8-54
 83 3510164409680001 SULAIKANAH BANYUWANGI 4/9/1968
84 3510163112500004 KASRINI BANYUWANGI 31-12-50
85 3510165509740001 ASIH MURNIATI BANYUWANGI 15-9-74
86 3510165711860002 ERLINA BANYUWANGI 17-11-86
87 3510167006480171 NUR FAIZAH BANYUWANGI 6/30/1948
88 3510165075300003 SULURIYANTO BANYUWANGI 7/15/1953
89 3510161810570001 SUROSO BANYUWANGI 10/18/1957
90 3508145305870001 LISFATIN CHASANAH LUMAJANG 5/13/1987
91 3510164509690003 RULI HANDAYANI BANYUWANGI 9/5/1969
92 3510160705770003 RUDI HARTONO BANYUWANGI 5/7/1977
93 3510160501460003 EFFENDY BANYUWANGI 1/5/1946
94 3510164909800003 ERMIATI BANYUWANGI 9/9/1980
95 3525140405640001 SUTIKNO BANYUWANGI 5/4/1964
96 3510130509510001 EFFENDI BANYUWANGI 9/5/1951
97 3510166409630004 YENI SUSIANI BANYUWANGI 9/24/1963
98 3510162411560002 JAKFAR BANYUWANGI 11/24/1956
99 3510166305630004 HAYANAH BANYUWANGI 5/23/1963
100 3510161511430001 ABDUL SYUKUR ISKANDARBANYUWANGI 11/15/1943
101 3510164606800006 ADI ASTUTI BANYUWANGI 6/6/1980
102 3516114303800007 USWATUN HASANAH BANYUWANGI 3/3/1980
103 3510161403760001 DIDIK HARIYONO BANYUWANGI 3/14/1976
104 3515061307690005 YAHMUJI BANYUWANGI 7/13/1969
105 3510164808600003 SITI AMINAH BANYUWANGI 8/8/1960
106 3510164201530003 JOHANIAH BANYUWANGI 1/2/1953
107 3510162804920004 VICKY ARDANI BANYUWANGI 4/28/1992
108 3510160102550002 M.GUFRON BANYUWANGI 2/1/1955
109 3510165804030005 TIFANNA DINDA APRILIA BANYUWANGI 4/18/2003
110 3510164708660001 NUR HAYATI BANYUWANGI 8/7/1966
111 3510165604530001 USNIA BANYUWANGI 4/16/1953
112 3510165308590001 PATRAH BANYUWANGI 8/13/1959
113 3510165702600001 SRI ROWIATOETI BANYUWANGI 2/17/1960
114 3510166008610003 HJ SULASIH BANYUWANGI 8/20/1961
115 3510164704900007 FURI RIA SUSANTI BANYUWANGI 4/7/1990
116 3510165606740008 SRI UTAMI SULSEL 6/16/1974
117 3510161109850003 HERMAWAN BANYUWANGI 9/11/1985
118 3510164408840006 DEDEH MAHMUDAH BANYUWANGI 8/4/1984
119 3510165109860003 WIRIYASTUTI BANYUWANGI 9/11/1986
120 3510161603690005 MUSA ZACHARIA T BANYUWANGI 3/16/1969
121 3573026603780001 ERNA KARTIKA SARI BANYUWANGI 3/26/1978
122 3175054804700003 PRIHATIN JAKARTA 4/8/1970
123 3510165502740004 SITI ROCHIMAH BANYUWANGI 2/15/1974
124 3510165606780006 ISTIANAH BANYUWANGI 6/16/1978
125 3510162104730003 RIBUT HARIYONO BANYUWANGI 4/21/1973
126 3510164505710009 HOLIDAH BANYUWANGI 5/5/1971
127 3510160808540004 I KETUT SUMARTA BANYUWANGI 8/8/1954
128 3510167006650207 SITI ULWIYAH BANYUWANGI 6/30/1965
129 3510165010680006 KARTINI BANYUWANGI 1/15/1968
130 3510164503510003 SULASIYAH BANYUWANGI 3/5/1951
131 3510162210420001 SUKARDI HARIYANTO BANYUWANGI 10/22/1942
132 3510165510450001 HADIYAH BANYUWANGI 10/15/1945
133 3510165109730006 NUR HALIANA BANYUWANGI 9/11/1973
134 3510161601640001 ROMADHON HARIYANTO BANYUWANGI 1/16/1964
135 3510011212650001 CHOTIB ZAMAN BULELENG 12/12/1956
136 3510161511840001 LUTFI HARIYANTO BANYUWANGI 11/15/1984
137 3510165212600008 ROSIYATI BANYUWANGI 12/12/1960
138 3510164507770001 IRMAWATI BANYUWANGI 6/6/1972
139 3510165104860009 LUTFIAH ANDRIANI BANYUWANGI 4/11/1986
140 3510164505600005 MARHAMAH BANYUWANGI 5/5/1960
141 3510050510800009 AGUS WIDIARSO BANYUWANGI 10/5/1980
142 3510162007700004 RAHMAT HAEDORI BANYUWANGI 7/20/1970
143 3510165609970004 IKE WULANDARI BANYUWANGI 11/17/1997
144 3510165505390001 HABIBAH BANYUWANGI 5/15/1939
145 351011108900004 JOKO RISKIANTO BANYUWANGI 10/10/1989
146 3510162007470003 DRS SUJITNO DJOKO KUS BANYUWANGI 7/20/1947
147 3510165409890009 NORMALAM PURNAMA SARBANYUWANGI 9/14/1989
148 3510167006650116 KISWATI BANYUWANGI 6/30/1965
149 3512101812740002 CHAIRULLAH MUNDI AKBA BANYUWANGI 12/18/1974
150 3510161205840003 RECKY SUKARNO BANYUWANGI 5/12/1984
151 3510165202860010 INDAH SUSANTI BANYUWANGI 2/12/1986
152 3510165012730004 NURJANAH BANYUWANGI 12/10/1973
153 3510161202700007 MUHLISIN BANYUWANGI 2/12/1970
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
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271
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273
274
275
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288
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293
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301
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303
304
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306
307
308
309
310
311
312
313
314
315
316
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318
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320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
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363
364
365
366
367
368
369
370
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372
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383
384
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386
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 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 16-3-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

#VALUE! #VALUE! L JL LAWU I NO 13 16

60 ≥60 L JL SUMBING NO 38 16
61 ≥60 P JL BROMO GG TIARA NO 17 16
#VALUE! #VALUE! L JL SUMBING NO 25 16
#VALUE! #VALUE! P JL SUMBING NO 30 16
#VALUE! #VALUE! L JL SUMBING NO 37 16
#VALUE! #VALUE! P JL SUMBING 32 1 2 16
#VALUE! #VALUE! P JL BROMO NO 57 16
56 46-59 P JL AGUNG WILIS 2 1 16
#VALUE! #VALUE! P JL SUMBING 16
52 46-59 L JL SEKARDALU
#VALUE! #VALUE! P JL SUMBING NO 12 16
63 ≥60 P JL IJEN NO 37 16
51 46-59 P JL GUNUNG SRAWET 16
53 46-59 L JL GUNUNG SRAWET 3 2 16
#VALUE! #VALUE! P JL SUMBING NO 88 16
46 46-59 L JL ANDALAS 16
#VALUE! #VALUE! P JL RINJANI NO 68 16
#VALUE! #VALUE! P JL ANDALAS 16
21 18-30 P JL IJEN NO 37 16
#VALUE! #VALUE! P JL KINIBALU 2 3 16
50 46-59 P JL KRAKATAU 07 16
#VALUE! #VALUE! P JL ANDALAS NO 4 4 3 16
54 46-59 P LINGK SINGODIWONGSO 3 1 16
57 46-59 P JL KRAKATAU 07 5 3 16
#VALUE! #VALUE! L JL ANDALAS NO 34 16
#VALUE! #VALUE! P JL SUMBING NO 23 1 1 16
53 46-59 P JL SUMBING NO 25 1 1 16
57 46-59 L JL SUMBING 1 1 16
53 46-59 P JL KRAKATAU NO 02 16
#VALUE! #VALUE! P JL ANDALAS NO 24 1 1 16
#VALUE! #VALUE! L JL KRAKATAU 16
#VALUE! #VALUE! P JL MERAPI NO 12 16
75 ≥60 L JL SUMBING NO 41 16
64 ≥60 P JL TIDAR 16
#VALUE! #VALUE! L JL MALABAR NO 17 16
55 46-59 L JL SUMBING 1 2 16
#VALUE! #VALUE! L JL ANDALAS 4 3 16
#VALUE! #VALUE! L JL BATUR UTARA 3 3 16
28 18-30 P JL ANDALAS NO 66 16
#VALUE! #VALUE! L JL IJEN GG SRAWET NO 35B 16
#VALUE! #VALUE! P JL SUMBING NO 41 1 1 16
#VALUE! #VALUE! L JL KINIBALU NO 16 16
#VALUE! #VALUE! P JL BATUR 16
54 46-59 P JL SUMBING 16
#VALUE! #VALUE! P JL SUMBING 1 1 16
#VALUE! #VALUE! P JL BATUR NO 7 3 3 16
75 ≥60 L JL SUMBING NO 23 1 2 16
#VALUE! #VALUE! P JL GUNUNG AGUNG 1 3 16
43 31-45 P JL SUMBING NO 26 16
#VALUE! #VALUE! P JL SUMBING NO 40 16
#VALUE! #VALUE! P BANYUWANGI
59 46-59 L JL MERBABU 1 4 16
46 46-59 L JL TIDAR 16
75 ≥60 P JL MERBABU 16
71 ≥60 L JL SUMBING NO 32 16
#VALUE! #VALUE! P JL IJEN GG WILIS NO 20 16
#VALUE! #VALUE! P JL INDRA GIRI 1 6 17
64 ≥60 L JL ANDALAS 16
#VALUE! #VALUE! L JL ANDALAS NO 54 4 3 16
58 46-59 P JL SUMBING NO 6 16
40 31-45 L JL BATUR NO 40A 1 1 16
#VALUE! #VALUE! L JL KRAKATAU NO 01 16
54 46-59 P JL IJEN 16
50 46-59 P JL IJEN 16
28 18-30 L JL ANDALAS NO 19 4 3 16
#VALUE! #VALUE! P PERUM VILLA SUKOWIDI F-11 21
#VALUE! #VALUE! P JL RINJANI GG KERINCI 1 1 16
#VALUE! #VALUE! L JL RINJANI 16
#VALUE! #VALUE! P JL DEMPO 16
65 ≥60 P JL KINIBALU IV NO 4 3 1 16
29 18-30 L JL KAPTEN WAROKA 16
25 18-30 P JL BASUKI RACHMAT 109E 21
67 ≥60 L JL RINJANI NO 68 16
#VALUE! #VALUE! P JL GALUNGGUNG 16
#VALUE! #VALUE! L JL KINIBALU NO 4 16
66 ≥60 P JL SUMBING 1 1 16
25 18-30 P JL ANDALAS 3 3 16
#VALUE! #VALUE! L JL BROMO 3 2 16
#VALUE! #VALUE! P JL KINIBALU 16
19 18-30 P JL MAWAR NO 18
#VALUE! #VALUE! P JL TANGKUBAN PERAHU NO 8 16
 54 46-59 P JL KINIBALU 16
#VALUE! #VALUE! L JL ANDALAS NO 34 16
#VALUE! #VALUE! P JL SUMBING NO 88 16
#VALUE! #VALUE! P JL ANDALAS 16
74 ≥60 P JL LAWU 16
69 ≥60 L JL BROMO 16
123 ≥60 L JLGUNUNG AGUNG 3 2 16
35 31-45 P JL KH ASYARI 4 3 16
53 46-59 P JL SUMBING 2 1 16
45 31-45 L JL GUMITIR 4 2 16
77 ≥60 L JL BASUKI RAHMAT 16
42 31-45 P JL GAUNG 16
58 46-59 L JL GUMITIR 4 2 16
71 ≥60 L JL SUMBING 16
59 46-59 P JL ANDALAS 16
66 ≥60 L JL AGUNG WILIS 2 1 16
59 46-59 P JL ANDALAS 3 3 16
79 ≥60 L JL RINJANI 4 1 16
42 31-45 L JL IJEN 16
42 31-45 P JL ANDALAS 16
46 46-59 L JL ANDALAS 4 3 16
53 46-59 L 16
62 ≥60 P JL SUMBING 16
70 ≥60 P JL SUMBING 16
30 18-30 L JL ANDALAS 4 3 16
68 ≥60 L JL ANDALAS 4 3 16
19 18-30 P JL MERBABU
56 46-59 P JL SUMBING 16
69 ≥60 P SWG 16
63 ≥60 P JL ANDALAS 4 3 16
63 ≥60 P JL MERPAPI 16
61 ≥60 P JL MERAPI 16
32 31-45 P JL TANGKUBAN PERAHU 16
48 46-59 P JL ANDALAS 16
37 31-45 L JL ANDALAS 16
38 31-45 P JL BATUR 3 3 16
36 31-45 P JL RINJANI 2 1 16
53 46-59 L JL ANDALAS 16
44 31-45 P MALANG
52 46-59 P KAMP PULE 4 10 JAKTIM
49 46-59 P JL BATUR 3 3 16
44 31-45 P JL GUNUNG BATUR 16
49 46-59 L JL BATUR 16
51 46-59 P JL BROMO 16
68 ≥60 L JL SUMBING NO 40 16
 57 46-59 P JL BANTERANG 16
55 46-59 P JLAGUNG 16
71 ≥60 P JL MERBABU 16
80 ≥60 L JL MERBABU 16
77 ≥60 P JL MERBABU 16
49 46-59 P J IJEN GG LAWU 1 4 16
59 46-59 L JL IJEN GG LAWU 16
66 ≥60 L JL ANDALAS 4 3 16
38 31-45 L JL SUMBING 1 2 16
62 ≥60 P JLKRAKATAU 5 3 16
50 46-59 P JL IJEN 16
36 31-45 P JL SUMBING 1 1 16
62 ≥60 P JL SUMBING 16
42 31-45 L JL RINJANI 2 1 16
52 46-59 L JL RINJANI 16
25 18-30 P JL MENDUT 16
83 ≥60 P JL GUNUNG AGUNG 16
33 31-45 L JL KH AGUS SALIM 16
75 ≥60 L GALUNGUNG 4 3 16
33 31-45 P JL ADI SUCIPTO 16
57 46-59 P JL KINIBALU 16
48 46-59 L JL SUMBING 16
38 31-45 L PERUM VBM
37 31-45 P PERUM VBM
49 46-59 P JL SUMBING 1 2 16
53 46-59 L JL SUMBING 16
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

NGOTRUNAN

JENIS
TANGGAL PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK
"NAMA KELURAHAN PEKERJAA BPJS VAKSIN TERVAKSIN
N
(13) (14) (15) (16) (17) (18) (19) (20)

14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
16-3-22 1 ACB1252
91 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
16-3-22 1 ACB1252
91 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
19 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
12 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
16-3-22 1 ACB1252
16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
18 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
18 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
19 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
16-3-22 1 ACB1252
16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
14 16-3-22 1 ACB1252
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

ASTRAZENECA 9 081281767265
ASTRAZENECA 9
ASTRAZENECA 9 082144156123
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 081331615791
ASTRAZENECA 9
ASTRAZENECA 9 081216413898
ASTRAZENECA 9
ASTRAZENECA 9 082338412195
ASTRAZENECA 9
ASTRAZENECA 9 085784001798
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 082271527873
ASTRAZENECA 9 085334447635
ASTRAZENECA 9
ASTRAZENECA 9 087757924122
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 085330740515
ASTRAZENECA 9
ASTRAZENECA 9 082247048063
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 082331101812
ASTRAZENECA 9 085230021835
ASTRAZENECA 9
ASTRAZENECA 9 085236266606
ASTRAZENECA 9 082335406125
ASTRAZENECA 9
ASTRAZENECA 9 087861685887
ASTRAZENECA 9 085233701828
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 087757923190
ASTRAZENECA 9 082350824491
ASTRAZENECA 9
ASTRAZENECA 9 085258511067
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 081236125559
ASTRAZENECA 9 085331155572
ASTRAZENECA 9
ASTRAZENECA 9 085337884522
ASTRAZENECA 9 082334112458
ASTRAZENECA 9 085812405403
ASTRAZENECA 9 082257039532
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 082301805586
ASTRAZENECA 9 081331615791
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 082141452170
ASTRAZENECA 9 082231003705
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 081217397331
ASTRAZENECA 9 089506140187
ASTRAZENECA 9
ASTRAZENECA 9 081232049358
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 081230352103
ASTRAZENECA 9
ASTRAZENECA 9 081281767265
ASTRAZENECA 9 081353248161
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
JELAS JELAS JELAS
 LAPORAN HARIAN VA

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510164208540001 TUTI WAHYUNINGSIH SURABAYA 8/2/1954

2 3510165008720007 SYLVIA IRANI SURABAYA 8/10/1972
3 3510165407490002 JAHRATI BANYUWANGI 7/14/1949
4 3271052701720016 UNGGUL SATRIO BANYUWANGI 1/27/1972
5 3510165007740002 JAMILAH BANYUWANGI 8/9/1972
6 3510161210550003 SELAMET BANYUWANGI 10/12/1955
7 3510165604590007 SRIGATI BANYUWANGI 4/16/1959
8 3510162809590001 SUDIYO BANYUWANGI 9/28/1959
9 3510164106590006 KANTI RAHAYU BANYUWANGI 6/1/1959
10 3510162308540001 KASMANI WARDHANA BANYUWANGI 8/23/1954
11 3510161603750007 KOMARUL HUDA BANYUWANGI 3/16/1975
12 3510164401790001 YOSSI TINAWATI BANYUWANGI 1/4/1979
13 3510145511710002 SITI CHOTIFAH BANYUWANGI 11/15/1971
14 3510146106720002 YUNIATI KRISTANTI BANYUWANGI 6/21/1972
15 3510160706840004 AHMAD EFENDI BANYUWANGI 6/7/1984
16 3510166507480001 WIWIK SARIYATIN BANYUWANGI 7/25/1948
17 3510162510700006 MOHAMMAD HAEDORI BANYUWANGI 10/25/1970
18 3510162209010001 RAJA VIGA DWI SEPTA BANYUWANGI 9/22/2001
19 3510165411700003 BRANTI IRAWATI MALANG 11/14/1970
20 3510165308690006 ENDANG RUMILAH SURABAYA 8/13/1969
21 3510162811680001 HARIYANTO BANYUWANGI 11/28/1968
22 3510164110010007 REINA OKTAVIA DAMAYANTBANYUWANGI 10/1/2001
23 3510165501590005 MUSANADAH BANYUWANGI 1/15/1959
24 3510152810920002 RIFAL PRATAMA BANYUWANGI 10/28/1992
25 3510161603580001 BIBIT HARSONO BANYUWANGI 3/16/1958
26 3510163006500159 SUROSO BANYUWANGI 6/30/1950
27 3510164309560003 NURKASIYANI BANYUWANGI 9/3/1956
28 3510161208590009 RAYIS BANYUWANGI 8/12/1959
29 3519151203900003 AINUR ROFOQIH BANYUWANGI 3/12/1990
30 3510164709000002 FITRI DWI ALFINA BANYUWANGI 9/7/2000
31 3510164705680003 FATMAWATI BANYUWANGI 5/7/1968
32 3510161003600002 BAHRUL ULUM SINGARAJA 2/10/1960
33 3510166806980001 RISKA MAULIDYA IMANANDBANYUWANGI 6/28/1998
34 3510165501820005 LULUK ANDAYAH BANYUWANGI 1/1/1982
35 3510165405850002 MEITA RIANI BANYUWANGI 5/14/1985
36 3510165204470003 SUTIYAH BANYUWANGI 4/12/1947
37 3510216706440001 SITI HANANI BANYUWANGI 6/27/1944
38 3510161802950003 PEBRU BAGUS PERMANA BANYUWANGI 2/18/1995
39 3510163006530134 SUJIANTO JEMBER 6/30/1953
40 3510162112000003 MUHAMMAD FAHRIZA RIFKIBANYUWANGI 12/21/2000
41 3510164110700003 DWI ERRYANI PUTRI BANYUWANGI 10/1/1970
42 3510160804540002 HAEDORI BANYUWANGI 4/8/1954
43 3173010306021002 JORDI KURNIAWAN BANYUWANGI 6/3/2002
44 3510163006640115 SAHNAWI BANYUWANGI 6/30/1964
45 3510174202640002 MARIA PANCA Y BANYUWANGI 2/2/1964
46 3173010605770016 ASMU'IHIDAYAT BANYUWANGI 5/6/1977
47 3510161607600003 ROHIM BANYUWANGI 7/16/1960
48 3510164308900002 VINA AGUSTINA BANYUWANGI 8/3/1990
49 3510165808690003 RIRIN DWI PANGESTI BANYUWANGI 8/18/1969
50 3510165009740004 RIRIH CATUR W BANYUWANGI 9/10/1974
51 3510165505800003 RIKI MEIYANI BANYUWANGI 5/15/1980
52 3510163006580051 MAHWI BANYUWANGI 6/30/1958
53 3510167006620242 RUKIYAH BANYUWANGI 6/30/1962
54 3510160708900003 HERU PURNOMO BANYUWANGI 8/7/1990
55 3510162103750002 EKO MARET SETIAWAN BANYUWANGI 3/21/1975
56 3510165501820007 RUSMAWATI BANYUWANGI 1/15/1982
57 3510166508860002 AGUSTINA SARI BANYUWANGI 9/25/1986
58 3510161105490002 MAHPUD BANYUWANGI 5/11/1949
59 3510166808800006 TUTUS PUASANTI BANYUWANGI 8/28/1980
60 3510161411770007 LUKE KUSANTO MALANG 11/14/1977
61 3510164402630004 MUJIATI BANYUWANGI 2/4/1963
62 3510161210650004 MAHSUN BANYUWANGI 10/12/1965
63 5101051412640003 WAHYU HERLAMBANG BANYUWANGI 12/14/1964
64 3510161607560001 ABDUL KARIM BANYUWANGI 7/16/1956
65 3510164303600002 MARYANI BANYUWANGI 3/3/1960
66 3510166103810004 ANITA UMIYATI BANYUWANGI 3/21/1981
67 3510164203910003 LINA MURJIATI BANYUWANGI 3/2/1991
68 3510165601760003 AMBARWATI RAH UTAMI BANYUWANGI 1/16/1976
69 3510167011830001 NANIK SUPIYANI BANYUWANGI 11/30/1983
70 3271054906750017 MITARSIH BANYUWANGI 6/9/1975
71 3510166511030001 KARINA SALSABILA PUTRI BANYUWANGI 11/25/2003
72 3510161606720003 MASHURI BANYUWANGI 6/16/1972
73 3510160411710001 ABDUL KADIR ZAELANI BANYUWANGI 11/4/1971
74 3510160904530002 HERIYANTO BANYUWANGI 4/9/1953
75 3510165112590004 KAMSIAH BANYUWANGI 12/11/1959
76 3512082109850002 ADI SUPRIYADI BANYUWANGI 9/21/1985
77 3510165007670002 ASTUTI BANYUWANGI 7/10/1967
78 3510162802150002 EMIR SALIM FAUZAN BANYUWANGI 2/28/2015
79 3510166709880010 TINA SEPTIARINI BANYUWANGI 9/28/1989
80 3510160101510008 HARTONO WIRYODIMEJO BANYUWANGI 1/1/1951
81 3510202901820003 MIFTAHUL HUDA DENPASAR 1/29/1982
82 3510164108630003 AGE SUCIATI BANYUWANGI 8/1/1963
 83 3510166005700005 WINAYAH BANYUWANGI 5/20/1970
84 3515186308650001 KRISTYANA TRI BANYUWANGI 8/23/1965
85 3510162607640001 SUSANTO BANYUWANGI 7/26/1964
86 3506231708780003 UU NURSAMSI BANYUWANGI 8/17/1978
87 5103015707790002 YULI HANDAYANI BANYUWANGI 7/17/1979
88 3510215807920001 ANGGI RIZKY HANDAYANI BANYUWANGI 7/18/1992
89 3510166612850003 ELI SAWATI BANYUWANGI 12/26/1985
90 3510164210800007 LIDIA SANDI BANYUWANGI 10/2/1980
91 3510165102650004 NUNUNG SRI WAHYUNI BANYUWANGI 2/11/1965
92 3510162904700001 HERMAN SUSILO BANYUWANGI 4/29/1976
93 3510166202530003 ARIYATI BANYUWANGI 2/22/1953
94 3512135104020002 SUCI MAULIDIYAH BANYUWANGI 4/11/2002
95 3510160812790012 MOCH. ABD BASID BANYUWANGI 12/8/1979
96 3575015308870001 INTAN WULANDARI BANYUWANGI 8/13/1987
97 3510164111840005 KHOYIMAH BANYUWANGI 11/1/1984
98 3510204709960004 LOLA LUPITASARI BANYUWANGI 12/11/1996
99 3513246505610002 TUTIK ERLINPURWANTI BANYUWANGI 5/25/1961
100 3510212206000006 M. YOGA TRI WIBISONO BANYUWANGI 6/22/2000
101 3510162702680001 SUHAN WAHYU R BANYUWANGI 2/27/1968
102 3510161004550006 SUWARNO BANYUWANGI 4/10/1955
103 3510164506800005 NASIDA RIA BANYUWANGI 6/5/1980
104 3510163112830006 LUKMAN HADI BANYUWANGI
105 3510160702700002 NUR HARIRI BANYUWANGI 7/7/1970
106 3510160903590002 BUSAINI BANYUWANGI 3/9/1959
107 3510165901660002 JAMILAH BANYUWANGI 1/19/1966
108 3510160708490004 MUJANJI JOMBANG 8/7/1949
109 3510161903640002 DUDUNG MATIUS BANYUWANGI 3/19/1964
110 3510166111680003 NARIYAH BANYUWANGI 11/21/1968
111 3510161210740005 SLAMET SANTOSO BANYUWANGI 10/12/1974
112 3510161708770009 HARIYANTO BANYUWANGI 8/17/1977
113 3510164112580006 SUMELIK BANYUWANGI 12/1/1958
114 3510165206760009 DYAH RITA KRISMAYANI BANYUWANGI 6/12/1976
115 3510162206540005 BAHARUDIN BANYUWANGI 6/22/1954
116 3510164312680002 SUHARTINI BANYUWANGI 12/3/1968
117 3510160509010001 AHMAD MAULANA ZAIDAN BANYUWANGI 9/5/2001
118 3510160703590002 BUDI UTOMO BANYUWANGI 3/7/1959
119 3510161405990002 AHMAD FIRMAN AKBAR BANYUWANGI 5/14/1999
120 3510161708500003 HANIPAN BANYUWANGI 8/17/1950
121 3510166406740005 ROSIDA BANYUWANGI 6/24/1974
122 3510167012500005 RASMINI BANYUWANGI 12/30/1950
123 3510164810980006 KHARIZSA LIBRANTI BANYUWANGI 10/8/1998
124 3510160707670003 SUHARTO BANYUWANGI 7/7/1967
125 3510162811750004 MOHAMMAD ALIF LUQMANBANYUWANGI 11/28/1975
126 3510166402670002 HERLIN HERAWATI BANYUWANGI 4/24/1967
127 3509190308850004 AGUS BUDI HARDI BANYUWANGI 8/3/1985
128 3401122312910002 DAVID MORRISON MARRUSBANYUWANGI 12/23/1991
129 3510164107800069 YUYUN YULIANA BANYUWANGI 7/1/1981
130 3510166411750003 RETNO WULAN AMBAR BANYUWANGI 11/24/1975
131 3510164309980002 LEVANA ANGELA RUCELLI BANYUWANGI 9/3/1998
132 3512075604730001 VERI DIANA BANYUWANGI 4/6/1973
133 5108014502010002 SITI JAMILATUL ISNAINI BANYUWANGI 2/5/2001
134 3510170203550002 FRITS DANIEL SENDUK BANYUWANGI 3/2/1955
135 3510175504570002 ANASTASIA M WIENDRATI BANYUWANGI 4/15/1957
136 3510162403600002 SUTRISNO BANYUWANGI 3/24/1960
137 3510165902650002 LYDIA SITIAMA BANYUWANGI 5/19/1962
138 3510166312500002 INDAWATI BANYUWANGI 12/23/1950
139 3510166011820008 DWI NOVILASARI BANYUWANGI 11/20/1982
140 3510052308440001 YASIN SUGENG NURDIYANBANYUWANGI 8/23/1944
141 3510164911490001 SRI DHARMANINGSIH BANYUWANGI 11/9/1949
142 3510162112000003 MUHAMMAD FAHRIZA RIFKBANYUWANGI 12/21/2000
143 3510161612860003 DENY WAHYUNI BANYUWANGI 12/16/1986
144 3510166803920003 DIAH WAHYUNINGSIH BANYUWANGI 3/28/1992
145 3510162212000003 AHMAD MAHDAN AZIZ BANYUWANGI 12/22/2000
146 3510164511610004 SULIYANI BANYUWANGI 11/5/1961
147 3510161202670005 SUBARNO BANYUWANGI 2/12/1967
148 3510160712750003 BUDI HANDOYO BANYUWANGI 12/7/1975
149 3510164409830008 YENI ASTUTI BANYUWANGI 9/4/1983
150 '5302020401010001 JULIUS BARBOSA P BANYUWANGI 7/3/2001
151 3510210312750004 DICKY AGUNG PRASETYO BANYUWANGI 12/3/1975
152 3510161508760003 SUWARNO BANYUWANGI 8/15/1976
153 3510166705620002 JAMILAH BANYUWANGI 5/27/1962
154 3510161205780012 FERRY CASTHANA BANYUWANGI 5/12/1978
155 3510162801940003 INDRA PUTRA NUARI BANYUWANGI 1/28/1994
156 3510165608640001 INDAH NAHKODA BANYUWANGI 8/16/1964
157 3510165505800005 TRI LESTARI BANYUWANGI 5/15/1980
158 5108034604960002 MUJIKA DEWI PRASITITA S BANYUWANGI 4/6/1996
159 3510166202890009 DHITA ANGGREINI PUTRI BANYUWANGI 2/22/1989
160 3510160506020002 YOVIE HARI SAHPUTRA BANYUWANGI 6/5/2002
161 3511116904500003 SOELASIH BANYUWANGI 4/29/1950
162 3510164109620004 RENI KUSTINA BANYUWANGI 9/1/1962
163 3510215503710005 SRI RATNA NINGSIH BANYUWANGI 3/15/1971
164 3510161003730001 HERMAWAN BANYUWANGI 3/10/1973
165 5108034504000001 MUJI INDAH AYU SULASTRIBANYUWANGI 4/5/2000
166 3510164303570002 TATIK SUMARNI BANYUWANGI 3/3/1957
167 3510165704920006 DIAH KURNIAWATI BANYUWANGI 4/17/1992
168 3510165201690002 ROKAIYAH BANYUWANGI 1/12/1969
169 3510211504840006 TRIONO APRILIYANTO BANYUWANGI 4/15/1984
170 3510165911010001 SHAFIRA LUTHFIYANA BANYUWANGI 11/19/2001
171 3510165002700003 LINDA SUSILOWATI BANYUWANGI 2/10/1970
172 3510166301920003 PUTRI CHRYSTIANA ATHA BANYUWANGI 1/23/1992
173 3510166207660002 LILIK MAISARAH BANYUWANGI 7/22/1966
174 3510161802660004 SUKIRMAN BANYUWANGI 2/18/1966
175 3320084809880003 SUKOWATI MUHARSIH BANYUWANGI 9/8/1988
176 3510161502580003 AFANDI BANYUWANGI 2/15/1958
177 3579031205650005 ABDUL HADI BANYUWANGI 5/12/1965
178 3510165910730001 DIANA HERAWATI BANYUWANGI 10/19/1973
179 3579036408640003 ROSALINA ELSA BANYUWANGI 8/24/1964
180 3510161607560001 ABDUL KARIM BANYUWANGI 7/16/1956
181 3510164101630009 LILIK SUSIOWATI BANYUWANGI 1/1/1963
182 3510162004760003 AJI PURNOMO BANYUWANGI 4/20/1976
183 3510156112920002 BADIATUL ASMINAH BANYUWANGI 12/21/1992
184 3510164303600002 MARYANI BANYUWANGI 3/3/1960
185 3510165810740002 MARIANI BANYUWANGI 10/18/1974
186 3510160501800004 SAIFUL HIDAYAT BANYUWANGI 1/5/1980
187 3510140208680006 SUPANDI BANYUWANGI 8/2/1968
188 3510161212500006 KASDI BANYUWANGI 12/12/1950
189 3510165901680002 SRI RAHAYU BANYUWANGI 10/19/1968
190 3510164712720003 MARIA ULFA BANYUWANGI 12/7/1972
191 3510174206870003 LIA SHERLY VIANA BANYUWANGI 6/2/1987
192 3510162003640004 PAEMAN MAHENDRA BANYUWANGI 3/20/1964
193 3510167112820006 SUNARTI BANYUWANGI 12/31/1982
194 3510165401840001 DJANUANTI NOVIKASARI BANYUWANGI 1/14/1984
195 3510167008610004 SRI SUKATMI BANYUWANGI 8/30/1961
196 3510164207640005 SRI WATININGSIH BANYUWANGI 7/2/1964
197 3510165506000009 ADYSSA TRIKA MAULIDYA BANYUWANGI 6/15/2000
198 3510164907760004 RENY SASMITHA BANYUWANGI 7/9/1976
199 3510167005720006 YAYUK MARYUNA BANYUWANGI 5/30/1972
200 3510096109930004 ULA RIZQI NUR AMALIA BANYUWANGI 9/21/1993
201 3510165906880006 YULI SETIANI BANYUWANGI 6/19/1988
202 3510162207560004 TJIA TONG HO BANYUWANGI 7/22/1956
203 3510162005680009 WIROSO ASKAR BANYUWANGI 5/20/1968
204 3510164803810002 SITI CHOIRIYAH BANYUWANGI 3/8/1981
205 3510164405410002 ANJANI BANYUWANGI 5/4/1941
206 3510124802820002 MASKISTIANI BANYUWANGI 2/8/1982
207 3510167006610142 SUCIATI BANYUWANGI 6/30/1961
208 3510165301500001 HIKMA BANYUWANGI 1/13/1950
209 3510165006730010 SUSIANA BANYUWANGI 6/10/1973
210 3510162006910003 MUHAMAD ALI AKBAR BANYUWANGI 6/20/1991
211 3510215308700001 SRI HARTINI BANYUWANGI 8/13/1970
212 3510210604680005 MARUPIN BANYUWANGI 4/6/1968
213 3529160506830005 ANUGRAH DWI PRASETYA BANYUWANGI 6/5/1983
214 3510171706000002 FERDI ZULFIAN BANYUWANGI 6/30/2000
215 3510162212740005 HARIYANTO BANYUWANGI 12/22/1974
216 3510162208780007 SAMSUL FADLI BANYUWANGI 8/22/1978
217 3510163006540124 SAPII BANYUWANGI 6/30/1954
218 3510164107930056 WD ARIANA BANYUWANGI 7/1/1993
219 3510161905750003 SYAJIDI BANYUWANGI 5/19/1975
220 3510167006630209 SUMINA BANYUWANGI 6/30/1963
221 3510161502800004 HERI SUDARMONO BANYUWANGI 2/15/1980
222 5108015705020002 PUTRI WIDYA PRAMITHA BANYUWANGI 5/17/2002
223 3510155008920001 DWI SRI SAPTO AGUSTINA BANYUWANGI 8/18/1992
224 35101603126220001 MUDIANTORO BANYUWANGI 12/3/1962
225 3510166610850001 DIAS PRATAMA SARI BANYUWANGI 10/26/1985
226 3510165608750005 RIMA IRFITASARI BANYUWANGI 8/16/1975
227 3510166010820007 ERNAWATI BANYUWANGI 10/20/1982
228 3510132502880002 SINARKO BANYUWANGI 2/25/1988
229 3510165103620004 SUPIATI BANYUWANGI 3/11/1962
230 5171035308760001 JUMILAH BANYUWANGI 8/13/1976
231 3273160708810012 M. IRFAN BANYUWANGI 8/7/1981
232 327316302850004 RIKA SUSANA BANYUWANGI 2/23/1985
233 3510171203840003 RAJAB ARIF FIANTO BANYUWANGI 3/12/1984
234 3510160208810009 AGUS SUPRAYITNO BANYUWANGI 8/2/1981
235 3510164602790001 LINDA SUSANTI BANYUWANGI 2/6/1980
236 3508036706910003 SANTI PRASTIWI BANYUWANGI 6/27/1991
237 3510165708550005 WAGIATI BANYUWANGI 8/17/1955
238 3510164810690003 WAGIYANTI BANYUWANGI 10/8/1969
239 351016140630004 MOCH. TOHARI IRONI BANYUWANGI 6/14/1963
240 3510212808840007 AGUS RIYANTO BANYUWANGI 8/28/1984
241 3510166803920003 DIAH WAHYUNINGSIH BANYUWANGI 3/28/1992
242 3510164702900005 MURYATI BANYUWANGI 2/7/1990
243 3510166406570004 KASIYANI BANYUWANGI 6/24/1957
244 3510165006830004 LULUS JUNIATARI BANYUWANGI 6/10/1983
245 3510165406780003 RINI KURNIAWATI BANYUWANGI 6/14/1978
246 3510161012490003 M.H HAJAJ Denpasar 10-12-1929
247 3510166305510001 HJ.MARIYAM HAJAJ Banyuwangi 23-05-1951
248 3510174302710002 NURHAYATI 3-2-1971
249 3510165101940002 SITI ROHAYANTI 11-01-1994
250 3510170402680002 SASMITA 04-02-1968
251 3510175105880003 Nur Hindana Zulfa 11-05-1988
252 3510171604960002 Rega Jias Faudji 16-04-1996
253 3510164510970004 Sri Wahyuni 05-10-1997
254 3510161310890004 Bima Budi Prayoga 13-10-1989
255 3510171209630002 Agus Nur Hakin 12-09-1963
256 3510173010940001 Yoga Adi Wijaya 31-10-1995
257 3510165807670002 Siti Solasiyah 18-07-1967
258 3510161005000001 Dani Rokhmatillah 10-05-2000
259 3510141007020008 Rizky Adi Kurniawan 10-07-2002
260 3510161803670004 Bibit Hariyanto 18-03-1967
261 3510165306000001 Yuniar Dwi Arsanti 13-06-2000
262 3510165908670004 Wien Hartini 19-08-1967
263 3510165906750003 Yuyun Dwi Arini 19-06-1975
264 3510027005000005 Alful Lailatun Nikmah 20-06-1996
265 3510172202690002 Ibnu Faizin 22-02-1969
266 3510161111670002 JUNAIDI 11-11-1967
267 3510035105950001 Anidya Illung Guvita 11-05-1995
268 35101619117000001 Ahmad Jumali 19-11-1970
269 3510162807940008 Ganang Riken Prahartono 28-07-1994
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KETERANGAN
JELAS JELAS JELAS JELAS JELAS
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 17-3-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

68 ≥60 P JL RINJANI GG KERINCI NO 72 1 1 16

50 46-59 P JL RINJANI GG KERINCI NO 72 1 1 16
73 ≥60 P JL GUNUNG IJEN 16
51 46-59 L KP CIBURIAL
50 46-59 P JL SUMBING 16
67 ≥60 L JL ANDALAS 2 1 16
63 ≥60 P JL IJEN 2 4 16
63 ≥60 L JL RINJANI NO 27 16
63 ≥60 P JL BROMO NO 14 16
68 ≥60 L JL BROMO NO 14 16
47 46-59 L JL KH HARUN 59
44 31-45 P PERUM VILLA PESONA TIDAR 4 1 16
51 46-59 P PERUM KALIREJO PERMAI L 14 3 3 14
50 46-59 P JL RAMBUTAN BA BLOK L 14
38 31-45 L JL BROO NO 17 16
74 ≥60 P JL RAUNG NO 17 16
52 46-59 L JL TIDAR 6 3 16
21 18-30 L JL TIDAR 6 3 16
52 46-59 P JL KRAKATAU NO 81 6 3 16
53 46-59 P JL ANDALAS 1 1 16
54 46-59 L JL MALABAR NO 30 3 1 16
21 18-30 P JL ANDALAS NO 5 1 1 16
64 ≥60 P JL KINIBALU NO 14 16
30 18-30 L JL RINJANI 16
64 ≥60 L JL KINIBALU NO 14 16
72 ≥60 L JL SUMBING NO 12 1 1 16
66 ≥60 P JL SUMBING 16
63 ≥60 L JL ANDALAS 4 3 16
32 31-45 P JL BELITUNG 16
22 18-30 P JL RINJANI NO 15 4 3 16
54 46-59 P JL RINJANI NO 15 4 3 16
63 ≥60 L JL RINJANI NO 15 4 3 16
24 18-30 P JL TIDAR 2 1 16
41 31-45 P JL MERBABU 4 3 16
37 31-45 P PERUM VILLA PESONA TIDAR 4 1 16
75 ≥60 P JL BATUR NO 4 16
78 ≥60 P LINGK KALIPURO ASRI 3 1 21
27 18-30 L JL KALILO 1 5 16
69 ≥60 L JL ANDALAS NO 9 3 3 16
22 18-30 L JL SUMBING NO 58 16
52 46-59 P JL LETKOL ISTIQLAH 1 2 16
68 ≥60 L JL ANDALAS 3 3 16
20 18-30 L JL KINIBALU NO 33 2 3 16
58 46-59 L JL GUNUNG AGUNG NO 20
59 46-59 P LINGK MOJOROTO 2 2
45 31-45 L JL KINIBALU 2 3 16
62 ≥60 L JL KRAKATAU NO 81 5 3 16
32 31-45 P KREMBANGAN BARAT NO 09
53 46-59 P LINGKJAJANG PENATU 3 2 16
48 46-59 P JL BANTERANG 3 2 16
42 31-45 L JL BANTERANG NO 06 16
64 ≥60 L JL BANTERANG NO 25 16
60 ≥60 P JL BANETRANG 16
32 31-45 L JL BANETRANG 1 2 16
47 46-59 L JL ABDULLAH 3 2 16
41 31-45 P JL BANTERANG 1 2 16
36 31-45 P JL SUMBING NO 70 1 2 16
73 ≥60 L
42 31-45 P JL GALUNGGUNG NO 43 4 3 16
45 31-45 L JL GALUNGGUNG NO 43 4 3 16
60 ≥60 P JL BROMO NO 14 16
57 46-59 L JL SUMBING 2 2 16
58 46-59 L JL BATUR BARAT 2 3 16
66 ≥60 L JL ANDALAS 16
62 ≥60 P JL GALUNGGUNG NO 33 16
41 31-45 P JL SUMBING 1 2 16
31 31-45 P PERUM BUMI KETAPANG INDAH 21
47 46-59 P JL MERBABU 4 3 16
39 31-45 P JL SUMBING NO 66 1 2 16
47 46-59 P 16
19 18-30 P JL MERBABU 4 3 16
50 46-59 L JL TAWANGALUN NO 08 12/31/1899 2 16
51 46-59 L JL TERNATE NO 66 16
69 ≥60 L LINGK PAYAMAN 17
63 ≥60 P LINGK PAYAMAN 17
37 31-45 L JL KINIBALU NO 32 2 3 16
55 46-59 P JL SUMBING NO 27 16
7 0 L LINGK JAJANG PENATU 2 3 16
33 31-45 P JL GALUNGGUNG 4 3 16
72 ≥60 L JL KARIMUN JAWA NO 38 16
41 31-45 L PERUM ALAM ELOK 3 BLOK B-08 6 3 16
59 46-59 P JL MERBABU 4 3 16
 52 46-59 P 16
57 46-59 P JL RAJAWALI BLOK G NO 101
58 46-59 L JL BATUR NO 166 2 4 16
44 31-45 LAKI KP CIPANNANGKES GIRIWANGI 17 6 GIRIWANGI
43 31-45 PEREMPUANJL SUMBING 4 2 BANYUWANGI
30 18-30 PEREMPUANDUSUN KRAJAN 1 5 KALIPURO
37 31-45 PEREMPUANJL NUSANTARA NO 25 PROBOLINGGO
42 31-45 PEREMPUANLINGK KEROBOKAN 1 2 BANYUWANGI
58 46-59 PEREMPUANJL ANDALAS 4 3 BANYUWANGI
46 46-59 LAKI BANYUWANGI BANYUWANGI
70 ≥60 PEREMPUANJL IJEN BANYUWANGI
20 18-30 PEREMPUANKAMPUNG TENGAH ASEMBAGUS
43 31-45 LAKI JL BENGAWAN GG NUSA INDAH NO 3 3 2 BANYUWANGI
35 31-45 PEREMPUANJL BENGAWAN GG NUSA INDAH NO 3 3 BANYUWANGI
2
38 31-45 PEREMPUANJL IJEN 2 BANYUWANGI
4
26 18-30 PEREMPUANJL RIAU GG MUTIARA 4 BANYUWANGI
3
61 ≥60 PEREMPUANJL MH THAMRIN N0 59 5 BANYUWANGI
1
22 18-30 LAKI DUSUN KRAJAN 1 5 KALIPURO
54 46-59 LAKI JL IJEN 2 BANYUWANGI
4
67 ≥60 LAKI JL ANDALAS NO 42 BANYUWANGI
42 31-45 PEREMPUANJL SUMBING BANYUWANGI
123 ≥60 L JL. RINJANI 3 3 16
52 46-59 LAKI JL MH THAMRIN N0 1 BANYUWANGI
63 ≥60 LAKI JL RINJANI NO 29 BANYUWANGI
57 46-59 PEREMPUANJL RINJANI NO 31 BANYUWANGI
73 ≥60 L JL. RINJANI 1 1 16
58 46-59 L JL. RINJANI 16
54 46-59 P JL. MERBABU 16
48 46-59 L JL. MERBABU 1 4 16
45 31-45 L JL. IJEN 3 2 16
64 ≥60 P JL. SUMBING 16
46 46-59 P PERUM PERMATA HUSADA 16
68 ≥60 L JL. IJEN 16
54 46-59 P JL. RINJANI 16
21 18-30 L JL. RINJANI 16
63 ≥60 L JL. MERBABU 16
23 18-30 L JL. RINJANI 16
72 ≥60 L JL. SUMBING 1 2 16
48 46-59 P JL. BATUR 16
72 ≥60 P PERUM VILLA PESONA TIDAR 16
24 18-30 P JL. TAWANG ALUN 1 2 16
55 46-59 L JL. BATUR 2 3 16
47 46-59 L PERUM PESONA TIDAR 16
55 46-59 P PENGANJURAN
37 31-45 L BANYUWANGI
31 31-45 L KALISENTUL
41 31-45 P JL. IJEN 16
47 46-59 P PENGANJURAN
24 18-30 P PENGANJURAN
49 46-59 P BANYUWANGI
22 18-30 P JL. SINDORO 16
67 ≥60 L JL. MAWAR 16
65 ≥60 P JL. MAWAR 16
62 ≥60 L BANYUWANGI
60 ≥60 P BANYUWANGI
72 ≥60 P JL.BASUKI RAHMAT 16
40 31-45 P JL. AGUNG WILIS 16
78 ≥60 L DSN. SUMBERRAYU 4 6 MUNCAR
73 ≥60 P JL. MALABAR 16
22 18-30 L JL. SUMBING 1 2 16
36 31-45 L JL. ANDALAS 4 3 16
30 18-30 P JL. ANDALAS 4 3 16
22 18-30 L JL. LETKOL ISTIQLAH 1 2 16
61 ≥60 P JL. TIDAR 3 1 16
56 46-59 L JL. IJEN 3 2 16
47 46-59 L GENTENGAN 2 3 16
39 31-45 P BANYUWANGI 16
21 18-30 L NTT NTT
47 46-59 L KETAPANG 21
46 46-59 L JL. KINIBALU 2 3 16
60 ≥60 P JL. MH THAMRIN 2 3 16
44 31-45 L JL. LAWU 16
29 18-30 L JL.IJEN 2 4 16
58 46-59 P JL. SAYU WIWIT 16
42 31-45 P JL. ABDULLAH 3 2 16
26 18-30 P JL. SAYU GRINGSING 2 3 16
33 31-45 P JAJANG PENATU 3 2 16
20 18-30 L JL. BANTERANG 3 2 16
72 ≥60 P JL. BANTERANG 16
60 ≥60 P JAJANG PENATU 2 1 16
51 46-59 P JL. JOGOPATI 16
49 46-59 L JL. BHRE WIRABUMI 2 2 16
22 18-30 P JL. SAYU GRINGSING 2 3 16
65 ≥60 P JL. BHRE WIRABUMI 16
30 18-30 P JL. BHRE WIRABUMI 3 1 16
54 46-59 P JL. BHRE WIRABUMI 1 2 16
38 31-45 L KRAJAN 16
21 18-30 P JAJANG PENATU 3 1 16
53 46-59 P JL. BHRE WIRABUMI 16
31 31-45 P SINGOTRUNAN 16
56 46-59 P JL. RINJANI 3 3 16
57 46-59 L JL. ANDALAS 4 3 16
34 31-45 P JL. SUMBING 1 2 16
65 ≥60 L JL. BATUR 16
57 46-59 L JL. BASUKI RAHMAT 16
49 46-59 P JAJANG PENATU 16
58 46-59 P JL. BASUKI RAHMAT 16
66 ≥60 L JL. ANDALAS 16
60 ≥60 P JL. BANTERANG 3 2 16
46 46-59 L KROBOKAN 16
30 18-30 P GESARI 1 2 16
62 ≥60 P JL. GALUNGGUNG 16
48 46-59 P JL. BHRE WIRABUMI 16
43 31-45 L JL. ANDALAS 16
54 46-59 L JL. ANDALAS 16
72 ≥60 L PATEMON WETAN 16
54 46-59 P JL. SAYU GRINGSING 16
50 46-59 P JL. ANDALAS 16
35 31-45 P KALIPURO 21
58 46-59 L JL. BHRE WIRABUMI 16
40 31-45 P JL. ANDALAS 16
39 31-45 P PATEMON WETAN 3 2 16
61 ≥60 P JL. BANTERANG 3 2 16
58 46-59 P SINGOTRUNAN 16
22 18-30 P JL. BANTERANG 16
46 46-59 P JL. TANGKUBAN PERAHU 16
50 46-59 P JL. BANTERANG 16
29 18-30 P PERUM VILLA GAJAH MADA 16
34 31-45 P PERUM VILLA GAJAH MADA 16
66 ≥60 L JL. DI PANJAITAN 16
54 46-59 L JL. BANTERANG 16
41 31-45 P JL. PROGO 16
81 ≥60 P JAJANG PENATU 16
41 31-45 P DSN. CANTUK SINGOJURUH
61 ≥60 P JL. BANTERANG 16
73 ≥60 P JL. BANTERANG 16
49 46-59 P JAJANG PENATU 2 2 16
31 31-45 L PATEMON WETAN 2 2 16
52 46-59 P PERUM GGM 2 5 21
54 46-59 P PERUM GGM 2 5 21
39 31-45 L JL. BANTERANG 16
22 18-30 L PERUM PERMATA DA 11 GIRI
48 46-59 L JL. BANTERANG 2 3 16
44 31-45 L JL. SAYU GRINGSING 16
68 ≥60 L JL. SURATI BARU 16
 29 18-30 P JL. BANTERANG 16
47 46-59 L JAJANG PENATU 4 3 16
59 46-59 P JL.BUNYU 16
43 31-45 L SINGOTRUNAN 16
20 18-30 P GEROBOGAN BALI
30 18-30 P JL. KALIMAS 16
60 ≥60 L JL. BENGAWAN 16
37 31-45 P JL. AIRLANGGA SOBO
47 46-59 P JL. BANOKA 2 2 16
40 31-45 P GESARI 16
34 31-45 L DSN WONOREKSO ALASMALANG
60 ≥60 P JL. SUMBING 1 1 16
46 46-59 P JL. MERBABU 16
41 31-45 L SINGOTRUNAN 16
37 31-45 P CLUSTER ANDALUS
38 31-45 L JL.MAWAR 3 2 GIRI
41 31-45 L JL. DEMPO 3 1 16
43 31-45 P JL. MERBABU 1 4 16
31 31-45 P JL. RINJANI 16
67 ≥60 P JL. MERBABU 16
53 46-59 P JL. MERBABU 16
59 46-59 L JL. MERBABU 16
38 31-45 L JL. ANDALAS 4 3 16
30 18-30 P JL. ANDALAS 4 3 16
33 31-45 P JL. TIDAR 3 1 16
65 ≥60 P JL. SUMBING 16
39 31-45 P JL. SUMBING 2 2 16
44 31-45 P JL. ANDALAS 3 3 16
#VALUE! #VALUE! L JL BOEDIONO N0 20 4 3 16
#VALUE! #VALUE! P JL BOEDIONO N0 20 4 3 16
#VALUE! #VALUE! P Perum Permata Giri 17
#VALUE! #VALUE! P JL SAYU WIWIT GG KELINCI 2 2 16
#VALUE! #VALUE! P Perum Permata Giri 17
#VALUE! #VALUE! P Dsn Kluncing Giri 1 3 17
#VALUE! #VALUE! L Jl Banterang Gg Samudra 2 3 16
#VALUE! #VALUE! P Jl Banterang Gg Samudra 2 3 16
#VALUE! #VALUE! L Jl Letkol Istiglah 3 3 16
#VALUE! #VALUE! L Perum Permata Giri 4 6 17
#VALUE! #VALUE! L Jl Kemuning 04
#VALUE! #VALUE! P Lingk Singomayan Bart 2 1 16
#VALUE! #VALUE! L Jl P hidayat Pucang Anom Sidoarjo 6 2
#VALUE! #VALUE! L Perum Dadapan Indah 14
#VALUE! #VALUE! L Jl Letkol Istiglah 3 3 16
#VALUE! #VALUE! P Jl Ijen 3 4 16
#VALUE! #VALUE! P Jl Letkol Istiglah 3 3 16
#VALUE! #VALUE! P Jl Merbabu NO 3 16
#VALUE! #VALUE! P Dsn Sukorejo 1 7 2
#VALUE! #VALUE! L Jl Mawar No 4 2 3 17
#VALUE! #VALUE! L JL Ikan Gurita no 20 3 2 16
#VALUE! #VALUE! P Dsn Krajan (Sidorejo) 7 2
#VALUE! #VALUE! L Jl Ikan Pesut 16
#VALUE! #VALUE! L Lingk Ujung 4 3 16
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

 JENIS
"NAMA KELURAHAN PEKERJAA NO.HP KETERANGAN
N
(13) (14) (23) (24)

14
14
14 081232852648
081233834493
14 082234799295
14 082140419727
14 087857357861
14 081336126894
14 082359169409
14 082359169409
081335974718
13 081358293183

14 081249291881
14 085233216813
14 085234844457
14 085330740515
14
14
14
14
14
14 082331535135
14
14
14 081230352103
14
12 081234260863
14
14 081336396788
14 081336687256
14 087702600770
14 081238678644
13 085204905700
14 081358664999
91
 13
14
14 08548723608
16 08883051170
14
14 082232354356

14
14
08123485434
10 081233840574
14 082257251698
10 081217080714
10 083852502303
10 083852502303
10 083852502303
TKANGKYU 082257916070
10 082332917654
14

14
14
14
14 085335308915
14
14
14 085335879911
14 085904102542
97
14
14
14
14 08383542582
11
12
082141245779
082141245779
14
14
10
14
12
14
14
 14

14
CIPANANGKES 081233334079
SINGOTRUNAN 0852349491
KETAPANG 082123300091
ROBOLINGGO 083847190522
KP MANDAR
SINGOTRUNAN
ANYUWANGI
SINGOTRUNAN
KP TENGAH 085157710200
SINGONEGARAN 085755395100
SINGONEGARAN 085730771646
SINGOTRUNAN 082330728176
LATENG 0895384909238
PENGANTIGAN 081233151178
KETAPANG 082247802073
SINGOTRUNAN 085233837506
SINGOTRUNAN
SINGOTRUNAN 082334112458
14
SINGOTRUNAN 087755822211
SINGOTRUNAN 08776885227
SINGOTRUNAN 081934832845
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 14

14
085236859535
082140567280

14 08775803962
11 081235743409

14 08135879792
14 085648723608
14 081249992081
14
16
14 082335454303
14
16 082151412051

91
14 082301456294
14
12
14
10 081995283437
TUKANGKAYU 082234403366
10 081334945215
14 089676197966
10 08980604081
10
10
10 082257443440
10 082336870891
10 083117506156
10
10 082339442756
10 081328862691
082236787990
10 08883635812
10 081234573162
14
 14
14 083853946558
14
14
14
10 081330264525
14
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10 081336111115
23 087860041830
12 082257034729
14 085335879911
10 081998065503
14
14
10
10
14
91 081238423923
10 085606435015
14
10 085232615460
10 085232693795
14
10
14 089682939476
10 081236061749
16
16
12
10
16 085336300708
10
SINGOJURUH
10 081230156535
10
10 081997921584
10 087755711114
91 087793312273
91 08123301305051
10

10
10 087755970444
10
 10 085161351937
10
12
14

12
16 0813366172402

12
13
ALASMALANG
14
14
14

PENATABAN
14
14 081330304178
14
14
14
14
14
14
14
14
14
14
14
14
47
10
47 081336242456
103 082359380513
10 081330229676
10 089680749073
16 085749481072
47 085236069998
082233243357
16 08131550377
089683181331
73 089620591154
16 081235123234
14 0895384505548
16 0812355132234
 14 081775213500
6 085235956979
46 081335580319
141 081232840005
129 085296622081
22 081331423990
9 087846082604
JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510162406650008 SURYADI YUSUP SONI BANYUWANGI

2 3510161708590006 MUSAIRIK BANYUWANGI
3 3510164811640001 HAERONIK BANYUWANGI
4 3510162208700005 AGUS HARIYANTO BANYUWANGI
5 3510160706610006 KADARISMAN SUMENEP
6 3510164110020004 SABINA OKTAVIA ROJABA BANYUWANGI
7 3510170303900002 SUTRISNO BANYUWANGI
8 3510166101810007 DWI HARTATIK BANYUWANGI
9 3510163006580098 KASIDIYANTO BANYUWANGI
10 3510165106700008 SRI WATI BANYUWANGI
11 3510165304590001 SUMARIN BANYUWANGI
12 3510165110960002 PUTRI OKTAVIANINGRUM BANYUWANGI
13 3510160705780002 RULIYANTO BANYUWANGI
14 3510165011930003 CAHYA NUR LAILI BANYUWANGI
15 3510167006680058 ILMIYAH BANYUWANGI
16 3510167006520065 MASITA BANYUWANGI
17 3510164607720002 JAMILA BANYUWANGI
18 3510211705710007 ARIF EKO WAHYUDI BANYUWANGI
19 3510160405530003 SLAMET BANYUWANGI
20 3510165302590001 TANTIN ALIMIN BANYUWANGI
21 3510160605680003 WASTO JOKO SUPRIYANTO BANYUWANGI
22 3510165009750002 MARIYANI BANYUWANGI
23 3510162208720004 SAPTA AGUS SUPRIYADI BANYUWANGI
24 3510160505540009 HARIS BANYUWANGI
25 3510166901640001 EKO MISDIYANINGRUM BANYUWANGI
26 3510163006500092 HASAN BASRI BANYUWANGI
27 3510167006590124 ATWATI BANYUWANGI
28 3510163006570092 MISTARI BANYUWANGI
29 3510160305600003 ISNAINI BANYUWANGI
30 3510165404630005 HERI KASWATI BANYUWANGI
31 3510162402860003 ERFAN AGUS SUPRIYADI BANYUWANGI
32 3510166403810009 ANITA BANYUWANGI
33 3510167006610072 AMSIYAH BANYUWANGI
34 3510162505590003 SUWANTO BANYUWANGI
35 3510161003730003 KADEK YULI ADI BANYUWANGI
36 3510166512390002 FAURIYAH BANYUWANGI
37 3510161209960002 MUHAMMAD IRFAN BANYUWANGI
38 3510160610740002 IBRAHIM BANYUWANGI
39 3510162312680001 MOHAMAD SALEH BANYUWANGI
40 3510161604720005 SUHERWAN BANYUWANGI
41 3529254506850008 DURIANA BANYUWANGI
42 3510162401740004 HARI IRAWAN BANYUWANGI
43 3509301712590001 DODY SANTOSO BANYUWANGI
44 3510164107000044 FRIDA ATMA YOLANDA BANYUWANGI
45 3510165504630005 RAWEN BANYUWANGI
46 3510165505610003 MAILISWATI BANYUWANGI
47 3510162808780000 MOCH FADLAN BANYUWANGI
48 3510164608680002 SUYATI BANYUWANGI
49 3510162012720004 ABDUL ATIM MARGA DILLA BANYUWANGI
50 3510162907600001 SUNARTO BANYUWANGI
51 3510165006730007 SRI ENDANG YUNARNI BANYUWANGI
52 3510167006660143 JAENAH BANYUWANGI
53 3510161706490003 SUNARJOYO BANYUWANGI
54 3510161205530004 WIMPY HARTONO BANYUWANGI
55 3510166703900001 WULAN RODIYAH BANYUWANGI
56 3509193112620005 WAHYU BUDI BANYUWANGI
57 3510160806480001 ISMAIL BANYUWANGI
58 3510160608890003 BOBI A BANYUWANGI
59 3510166105630003 SUJATMIKOWATI BANYUWANGI
60 3510161010540008 MOCH HUSIN BANYUWANGI
61 3510162111790007 ABU DAWUD BANYUWANGI
62 3510160608450002 SISWANTO BANYUWANGI
63 3510164912940002 VIVIN NANDA ALIFIA BANYUWANGI
64 3510160812550001 DARMADI BANYUWANGI
65 3510162903030002 YOFA HERVIAN MAULANA F BANYUWANGI
66 3510165602590005 SUMINEM BANYUWANGI
67 3510162011520001 SUTOMO BANYUWANGI
68 3510165010780001 SULURIYAH BANYUWANGI
69 3510167006680070 DWI INTAYANI BANYUWANGI
70 3510164504620001 MARIAM BANYUWANGI
71 3510166503660003 SULIKAH BANYUWANGI
72 3510166111790001 SURYATI BANYUWANGI
73 3510165604720002 ARTIKA NURTIKAWATI BANYUWANGI
74 3510162508640007 SUMARDIYANTO BANYUWANGI
75 3510160508540002 MARSITO BANYUWANGI
76 3514132909570001 BUSTAMI BANYUWANGI
77 3510164310600001 IRAWATI BANYUWANGI
78 6108040909870001 AMIN BUDI PONTIANAK
79 3510135512930003 TANTI DWI LESTARI BANYUWANGI
80 3509202210900002 TRISDIANTO BANYUWANGI
81 3309054509740001 SITI ARINI BANYUWANGI
82 3309050204700001 BUDIONO BANYUWANGI
 83 3510166509820003 ENDANG SISWATI BANYUWANGI
84 3510167006730073 SUPIYANI BANYUWANGI
85 3510162201610001 BUANG ENIK BANYUWANGI
86 3510164101750009 NUR HAYATI BANYUWANGI
87 3510164301860002 DWI IRA PUSPITA BANYUWANGI
88 35160901730003 ARIEF SISWANDOHONO BANYUWANGI
89 351656057960003 DIAN ANGGRAINI BANYUWANGI
90 35109176307920001 ROHMATUL LAILI BANYUWANGI
91 3510164301720004 KARTINI BANYUWANGI
92 3510164404600004 WIDATMIJATI BANYUWANGI
93 3510166412710002 DJUMIATI BANYUWANGI
94 3510167006690125 PAINI BANYUWANGI
95 3510160808710004 SUPRIYADI BANYUWANGI
96 3510162306950002 RAHMAT HIDAYAT BANYUWANGI
97 3510165909630003 SUMINAH BANYUWANGI
98 3510165905910002 FATIMAH TUHJUHRO BANYUWANGI
99 3510162312800001 HENDRIYO BANYUWANGI
100 3510160708640005 AGUS SUNARTO BANYUWANGI
101 3510163006540093 MISKAN BANYUWANGI
102 3510163006580092 SUPARMAN BANYUWANGI
103 3510167006390111 BUINAH BANYUWANGI
104 3510164105100004 AIS DWI LESTARI BANYUWANGI
105 3510166308600003 DWI NIRMALA AGUSTIN BANYUWANGI
106 3510162710520002 MARCUS MANGISI BANYUWANGI
107 3510161009580002 AGUS SOEPRAPTO BANYUWANGI
108 3510161608660003 AGUS SUSIYANTO BANYUWANGI
109 3510162805520006 HADI BANYUWANGI
110 3510163006580079 ABDULLAH BANYUWANGI
111 3510164711750002 NUR SAADAH BANYUWANGI
112 3510160602650003 MURTHADO BANYUWANGI
113 3510166611630001 HARMINI BANYUWANGI
114 3510166501770001 SURYANINGSIH BANYUWANGI
115 3510165407680007 TINI ASTUTIK BANYUWANGI
116 3510172402950001 GUS FALAH BANYUWANGI
117 3510161407680004 ABDULLAH BANYUWANGI
118 3509306108630004 NURHAYATI BANYUWANGI
119 3510161605550002 SUTOYO BANYUWANGI
120 3510215305750013 IKA KHAMILA BANYUWANGI
121 3510140912670001 RIPAI BANYUWANGI
122 3510161708540003 ACHMAD JATIM BANYUWANGI
123 3510162311670002 ACHMAD BUSAIRI BANYUWANGI
124 3510165205620002 ENI KUMBAYANI BANYUWANGI
125 3510164508810005 SITI ROFIKOH BANYUWANGI
126 3510164106590007 SURATMI BANYUWANGI
127 3510160111580001 ACHMAD MOCHTAR BANYUWANGI
128 3510164411650002 MARIYANA BANYUWANGI
129 3510160707510004 ABDUL AZIZ BANYUWANGI
130 3510166210990003 YUSTIN OKTA FRIDHA BANYUWANGI
131 5171015205750011 KADEK NURNINGSIH BANYUWANGI
132 3510160907470001 SUROSO EDI WIROSO BANYUWANGI
133 3510167006550200 JUMIA BANYUWANGI
134 3509194109660002 EMI SURYANINGSIH BANYUWANGI
135 3510167112650005 MARIYAMAH BANYUWANGI
136 3510166205550001 SUGIYATI BANYUWANGI
137 3510161612730002 RONI AMALUDIN BANYUWANGI
138 3510164410790007 OCTAVIANTININGSIH BANYUWANGI
139 3510165812630001 MISWANAH BANYUWANGI
140 3510165408000002 ZIHAN ELMIRA PUTRI BANYUWANGI
141 3510163112490007 SLAMET RIYADI BANYUWANGI
142 3510167006620213 JUHAIRIYAH BANYUWANGI
143 3510166805000008 TIRTA ALFINA BANYUWANGI
144 3510166402890001 NATASYA ROSA FEBRINA BANYUWANGI
145 3510166305600004 CLARA AMILDA BOHAM BANYUWANGI
146 5108020303800012 KOMANG AGUS JUNAEDI BANYUWANGI
147 3510160612680002 HERY KUSWANTO BANYUWANGI
148 3510164503640003 SUBEKTI BANYUWANGI
149 3510162603480001 SAMSIK BANYUWANGI
150 3510166507990006 ANATASTASYA ANITA PA BANYUWANGI
151 3510166207690005 MUADAH BANYUWANGI
152 3510164507780005 YULIANA BANYUWANGI
153 3510166608790005 NAYU DEWI FITRIANI BANYUWANGI
154 3510167006720102 MAS AMAH BANYUWANGI
155 3510165202580006 SUNARMI BANYUWANGI
156 3510160702960003 NUZULUL FAJAR BANYUWANGI
157 3510166003620004 ROHAILAH BANYUWANGI
158 3510160101530010 SUTADI BANYUWANGI
159 3510165212660005 RUSIYATI BANYUWANGI
160 3510165211820004 ELMANIYA BANYUWANGI
161 3510164204760002 NURELA BANYUWANGI
162 3510162511520002 MOHAMMAD SARIP BANYUWANGI
163 3510166008720003 BUANI BANYUWANGI
164 3510165011620006 PRISTIOWATI BANYUWANGI
165 3510167006540181 MISNATI BANYUWANGI
166 3510165003870001 SITI KHOLIFAH BANYUWANGI
167 3510160107630142 HADI SANTONO BANYUWANGI
168 3510164802010002 YULI FEBRI ANGGRAINI BANYUWANGI
169 3510167009630002 RUDAYANI BANYUWANGI
170 3510164401400001 SUMINI BANYUWANGI
171 3510165304910001 ATI MUSPIATINA BANYUWANGI
172 3510161406020006 M.WILDAN BANYUWANGI
173 3510164606750010 FARIDA BANYUWANGI
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KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 18-3-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

5/24/1965 57 46-59 L JL BUNYU 3

8/17/1959 63 ≥60 L JL KARIMUN JAWA GG SUKUN 77/16
11/8/1964 58 46-59 L JL KARIMUN JAWA GG SUKUN 77/16 4
8/22/1970 52 46-59 L JL KARIMUN JAWA GG SUKUN 77/16 1
6/7/1961 61 ≥60 L JL KARIMUN JAWA 5
10/1/2002 4 4 P JL KARIMUN JAWA 4
1/3/1989 34 31-45 L JL KARIMUN JAWA 4
1/21/1981 42 31-45 P JL KARIMUN JAWA 5
6/30/1958 64 ≥60 L JL KARIMUN JAWA NO 64
6/11/1970 52 46-59 P JL KARIMUN JAWA 1
4/13/1959 63 ≥60 P JL KARIMUN JAWA 1
10/11/1998 24 18-30 P JL KARIMUN JAWA 1
5/7/1978 44 31-45 L JL IKAN TOMBRO 58
11/10/1993 29 18-30 P JL KARIMUN JAWA NO 57
6/30/1968 54 46-59 P JL KARIMUN JAWA
6/30/1952 70 ≥60 P JL KARIMUN JAWA
7/6/1972 50 46-59 P JL RIAU 2
5/17/1971 51 46-59 L JL TERNATE 4
5/4/1953 69 ≥60 L JL RIAU GG PERMATA NO 08
2/13/1959 64 ≥60 P JL RIAU GG PERMATA NO 08
5/6/1968 54 46-59 L JL KARIMUN JAWA GG SUKUN NO 56
9/10/1975 47 46-59 P JL KARIMUN JAWA 3
8/22/1972 50 46-59 L JL RIAU 2
5/5/1954 68 ≥60 L JL KARIMUN JAWA
1/29/1964 59 46-59 L JL KARIMUN JAWA 2
6/30/1950 72 ≥60 L JL KARIMUN JAWA
6/30/1959 63 ≥60 P JL KARIMUN JAWA
6/1/1957 65 ≥60 L LINGK KEBUN JERUK 4
5/3/1960 62 ≥60 L JL KARIMUN JAWA
4/1/1963 59 46-59 L LINGK KEBUN JERUK 4
2/24/1986 36 31-45 L JL KARIMUN JAWA 2
3/24/1981 41 31-45 P JL KARIMUN JAWA 4
8/10/1961 61 ≥60 P JL KARIMUN JAWA 4
5/25/1959 63 ≥60 L JL KARIMUN JAWA NO 50
3/10/1973 49 46-59 L JL KARIMUN JAWA 4
12/25/1939 83 ≥60 P JL BUNYU NO 19
9/12/1996 26 18-30 L JL KARIMUN JAWA NO 36
 10/6/1974 48 46-59 L JL RIAU GG JAMBU 2
12/23/1968 54 46-59 L JL NIAS NO 9B
4/16/1970 52 46-59 L JL BANGKA NO 52
6/5/1985 37 31-45 P KAMPUNG BUKUT SAPEKEN
1/24/1974 49 46-59 L JL RIAU NO 48 3
12/17/1959 63 ≥60 L JL KARIMUN JAWA NO 21
7/1/2000 22 18-30 P JL LAWU I NO 2
4/15/1963 59 46-59 P JL KARIMUN JAWA GG BLIMBING 2
5/15/1961 61 ≥60 P JL BASUKI RAHMAT GG MANGGA 2
8/28/1978 44 31-45 L JL KARIMUN JAWA
8/6/1968 54 46-59 P JL KARIMUN JAWA 5
12/20/1972 50 46-59 L JL KARIMUN JAWA 5
7/29/1960 62 ≥60 L JL BUNYU NO 28
6/10/1973 49 46-59 P JL TERNATE
6/30/1966 56 46-59 P JL KARIMUN JAWA GG BELIMBING
6/17/1949 73 ≥60 L JL KARIMUN JAWA GG MANGGA NO 01
5/12/1953 69 ≥60 L JL KALIMAS NO 54
3/27/1990 32 31-45 P JL BASUKI RACHMAT GG MANGGA NO 18 2
12/31/1962 60 ≥60 L JL BUNYU NO 25 3
6/8/1948 74 ≥60 L JL BANGKA NO 71
8/6/1989 33 31-45 L BANYUWANGI
5/21/1963 59 46-59 P JL KARIMUN JAWA 5
10/10/1954 68 ≥60 L JL KARIMUN JAWA
11/21/1979 43 31-45 L JL TARAKAN 2
8/6/1945 77 ≥60 L JL TARAKAN NO 09
12/9/1994 28 18-30 P JL KARIMUN JAWA GG JAMBU 3
12/8/1955 67 ≥60 L JL KARIMUN JAWA
3/29/2003 19 18-30 L JL KARIMUN JAWA GG MANGGA NO 01 1
2/16/1959 64 ≥60 P JL NIAS NO 18
11/20/1952 70 ≥60 L JL BELITUNG GG II NO37
10/10/1978 44 31-45 P JL KARIMUN JAWA 4
6/30/1968 54 46-59 P JL KARIMUN JAWA
4/5/1962 60 ≥60 P JL KARIMUN JAWA 4
3/25/1966 56 46-59 P JL KARIMUN JAWA 5
11/21/1979 43 31-45 P JL TARAKAN 2
4/16/1972 50 46-59 P JL KARIMUN JAWA 5
8/25/1964 58 46-59 L JL KARIMUN JAWA 5
8/5/1954 68 ≥60 L JL KARIMUN JAWA GG MANGGA NO 3
9/29/1957 65 ≥60 L PERUM ROYAL GARDEN BLOK B-3
10/3/1960 62 ≥60 P JL KARIMUN JAWA NO 41
9/9/1987 35 31-45 L JL DI PANJAITAN NO 1 1
12/15/1993 29 18-30 P KRAJAN KULON 4
10/22/1990 32 31-45 L
9/5/1971 51 46-59 P
4/2/1970 52 46-59 L
 9/25/1982 40 31-45 P JL LAWU I NO 2
12/17/1971 51 46-59 P JL KARIMUN JAWA 5
1/22/1961 62 ≥60 L JL KARIMUN JAWA 5
1/1/1975 48 46-59 P JL KARIMUN JAWA 47
1/3/1986 37 31-45 P JL. IKAN PUTIHAN 2
1/9/1973 50 46-59 L JL. LETJEN S HARIYONO
5/16/1979 43 31-45 P JL. LETJEN S HARIYONO
7/23/1992 30 18-30 P DSN. KARANGANYAR
1/3/1972 51 46-59 P JL BUNYU 3
4/4/1960 62 ≥60 P JL KARIMUN JAWA GG MANGGA
12/24/1971 51 46-59 P JL KARIMUN JAWA 1
6/30/1969 53 46-59 P JL KARIMUN JAWA 2
8/8/1971 51 46-59 L JL KARIMUN JAWA GG MANGGA 4
6/23/1995 27 18-30 L JL KARIMUN JAWA GG MANGGA 4
9/19/1963 59 46-59 P JL KARIMUN JAWA GG MANGGA 4
5/19/1991 31 31-45 P JL KARIMUN JAWA 2
12/23/1980 42 31-45 L JL KARIMUN JAWA NO 75 4
8/7/1964 58 46-59 L JL DHARMA WANGSA NO 70
6/30/1954 68 ≥60 L JL KARIMUN JAWA NO 75
6/30/1958 64 ≥60 L JL KARIMUN JAWA NO 75
6/30/1939 83 ≥60 P JL KARIMUN JAWA NO 75
1/5/2010 13 0 P JL BELITUNG 3
8/23/1960 62 ≥60 P JL BUNYU
10/27/1952 70 ≥60 L JL BUNYU NO 19
9/10/1958 64 ≥60 L JL KARIMUN JAWA
8/16/1966 56 46-59 L KBJ 1
5/28/1952 70 ≥60 L JL BELITUNG
6/30/1958 64 ≥60 L JL BELITUNG
11/7/1975 47 46-59 P KRAJAN 3
2/6/1965 58 46-59 L KRAJAN 3
11/26/1963 59 46-59 P JL RIAU
1/25/1977 46 46-59 P JL RIAU 3
7/14/1968 54 46-59 P JL BELITUNG
2/24/1995 27 18-30 P PENATABAN
9/11/1968 54 46-59 L JL BELITUNG
8/21/1963 59 46-59 P JL KARIMUN JAWA 3
5/16/1955 67 ≥60 L JL KARIMUN JAWA
5/13/1975 47 46-59 P LTG
12/9/1967 55 46-59 L DSN MANTREN
8/17/1954 68 ≥60 L JL BANGKA
11/23/1967 55 46-59 L JL BUNYU
5/12/1962 60 ≥60 P JL BUNYU 1
8/5/1981 41 31-45 P JL KARIMUN JAWA
6/1/1959 63 ≥60 P JL KARIMUN JAWA
11/1/1958 64 ≥60 L JL BELITUNG NO 11
 11/4/1965 57 46-59 P JL RIAU 2
7/7/1951 71 ≥60 L JL BASUKIRAHMAT
10/2/1999 23 18-30 L JL KARIMUN JAWA 1
5/12/1975 47 46-59 P JL KARIUN JAWA 5
7/9/1947 75 ≥60 L JL BUNYU NO 27
6/30/1955 67 ≥60 P JL KARIMUN JAWA
9/1/1966 56 46-59 P JL BUNYU
12/31/1965 57 46-59 L JL BANGKA 5
5/22/1955 67 ≥60 P JL KARIMUN JAWA
12/16/1973 49 46-59 L JL KARIMUN JAWA 4
10/4/1979 43 31-45 L KBJ 3
12/1/1964 58 46-59 P KBJ 4
8/14/2000 22 18-30 P KBJ GG SUKUN 3
12/31/1949 73 ≥60 L JLKARIMUN JAWA
6/30/1962 60 ≥60 P JL KARIMUN JAWA 5
5/28/2000 22 18-30 P JL KARIMUN JAWA 4
2/24/1989 33 31-45 P JL KARIMUN JAWA 3
5/23/1960 62 ≥60 P KRAJAN
3/3/1980 42 31-45 P JL KARIMUN JAWA
12/6/1968 54 46-59 L JL KARIMUN JAWA
3/5/1964 58 46-59 P JL KARIMUN JAWA
3/26/1948 74 ≥60 L JL NIAS
7/25/1999 23 18-30 P JP 2
7/22/1969 53 46-59 P JL ANDALAS 3
7/5/1978 44 31-45 P JL BELITUNG 5
8/26/1979 43 31-45 P JL RIAU 3
6/30/1972 50 46-59 P JL KARIUN JAWA
2/12/1958 65 ≥60 P KBJ
2/7/1996 27 18-30 L JL BELITUNG NO 39
3/20/1962 60 ≥60 P JL RIAU 1
1/1/1953 70 ≥60 L JL KARIMUN JAWA
12/12/1966 56 46-59 P JL KARIMUN JAA 5
11/12/1982 40 31-45 P KBJ
4/2/1976 46 46-59 P JL RIAU
11/25/1952 70 ≥60 L JL KARIMUN JAWA NO 41
8/20/1972 50 46-59 P JL TERNATE 5
11/10/1962 60 ≥60 P JL KARIMUN JAWA 5
6/30/1954 68 ≥60 P JL KARIMUN JAWA
3/10/1987 35 31-45 P JL KARIMUN JAWA 5
7/1/1963 59 46-59 L JL KARIMUN JAWA
2/8/2001 22 18-30 P KBJ 5
9/30/1963 59 46-59 P KBJ 5
1/4/1940 83 ≥60 P KARIMUN JAWA
4/13/1991 31 31-45 P LATENG
6/14/2002 20 18-30 L JL BELITUNG 4
6/6/1975 47 46-59 P JL TERNATE
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

ESMAS SINGOTRUNAN

NAMA JENIS
"RW" KECAMATA "NAMA KELURAHAN PEKERJAA BPJS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3
N N
(11) (12) (13) (14) (15) (16) (17) (18)

4 16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
3 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
3 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
SAPEKEN 3/18/2022 1
2 16 12 3/18/2022 1
16 12 3/18/2022 1
16 14 3/18/2022 1
4 16 12 3/18/2022 1
4 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
2 16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
2 16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
3/18/2022 1
16 12 3/18/2022 1
1 16 12 3/18/2022 1
13 WONOSOBO 3/18/2022 1
3/18/2022 1
3/18/2022 1
3/18/2022 1
 16 14 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
3/18/2022 1
2 16 KARANGREJO 3/18/2022 1
16 3/18/2022 1
16 3/18/2022 1
3/18/2022 1
1 16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 22 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
2 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
1 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
2 16 12 3/18/2022 1
16 12 3/18/2022 1
17 46 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
2 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
3 16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
1 16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
3 16 10 3/18/2022 1
3 16 14 3/18/2022 1
1 16 12 3/18/2022 1
2 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
2 16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
3 16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
4 16 12 3/18/2022 1
4 16 12 3/18/2022 1
16 12 3/18/2022 1
16 12 3/18/2022 1
2 16 12 3/18/2022 1
16 12 3/18/2022 1
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

ACB1252 ASTRAZENECA 9 081937685472

ACB1252 ASTRAZENECA 9 081249788243
ACB1252 ASTRAZENECA 9 082232598944
ACB1252 ASTRAZENECA 9 085219466250
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 081238872610
ACB1252 ASTRAZENECA 9 082334316356
ACB1252 ASTRAZENECA 9 082334316356
ACB1252 ASTRAZENECA 9 082334316356
ACB1252 ASTRAZENECA 9 082237244995
ACB1252 ASTRAZENECA 9 087802193652
ACB1252 ASTRAZENECA 9 083831639397
ACB1252 ASTRAZENECA 9 081340589930
ACB1252 ASTRAZENECA 9 082336790473
ACB1252 ASTRAZENECA 9 085232915900
ACB1252 ASTRAZENECA 9 0811357223
ACB1252 ASTRAZENECA 9 087806521074
ACB1252 ASTRAZENECA 9 085238539175
ACB1252 ASTRAZENECA 9 085237569600
ACB1252 ASTRAZENECA 9 085258259747
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 085234015290
ACB1252 ASTRAZENECA 9 08236010459
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 083831639397
ACB1252 ASTRAZENECA 9 085933759001
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 081332173359
ACB1252 ASTRAZENECA 9 081249008568
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 081339303857
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 085236466872
ACB1252 ASTRAZENECA 9 082318327649
ACB1252 ASTRAZENECA 9 085374400559
ACB1252 ASTRAZENECA 9 082236437133
ACB1252 ASTRAZENECA 9 081217450580
ACB1252 ASTRAZENECA 9 08121711480
ACB1252 ASTRAZENECA 9 082264381715
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 085258394978
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 085259350439
ACB1252 ASTRAZENECA 9 086311835979
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 081235133412
ACB1252 ASTRAZENECA 9 082236952766
ACB1252 ASTRAZENECA 9 082247795190
ACB1252 ASTRAZENECA 9 082141165310
ACB1252 ASTRAZENECA 9 089755840147
ACB1252 ASTRAZENECA 9 082235756223
ACB1252 ASTRAZENECA 9 082334311820
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 085259343727
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 08233277910
ACB1252 ASTRAZENECA 9 082143395528
ACB1252 ASTRAZENECA 9 081913050904
ACB1252 ASTRAZENECA 9 081233071951
ACB1252 ASTRAZENECA 9 08525858907
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 081358447643
ACB1252 ASTRAZENECA 9 085232659004
ACB1252 ASTRAZENECA 9 085648098504
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 082131545064
ACB1252 ASTRAZENECA 9 085101721778
ACB1252 ASTRAZENECA 9 081249808488
ACB1252 ASTRAZENECA 9 085232039634
ACB1252 ASTRAZENECA 9 081335931492
ACB1252 ASTRAZENECA 9 081338750800
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 081231219519
ACB1252 ASTRAZENECA 9 081331720039
ACB1252 ASTRAZENECA 9 08123496061
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 08123562231
ACB1252 ASTRAZENECA 9 081336189845
ACB1252 ASTRAZENECA 9 085232144929
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JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSI
TA

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
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206 3510164902560002 HAISAH BANYUWANGI
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208 SAMSIATI
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KETERANGAN
JELAS JELAS JELAS JELAS
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 19-3-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

4/21/1960 62 ≥60 P JL KARIMUN JAWA

2/4/2003 20 18-30 L JL BUNYU 3 4
12/20/1975 47 46-59 P JL KARIMUN JAWA 1 4
8/11/1986 36 31-45 P JL KARIMUN JAWA 2 4
6/30/1994 28 18-30 P JL KARIMUN JAWA 1 4
1/2/1999 24 18-30 P JL KARIMUN JAWA 1 4
8/10/2000 22 18-30 P JL KARIMUN JAWA
4/30/2003 19 18-30 P JL KARIMUN JAWA 1 4
7/11/1986 36 31-45 L JL KARIMUN JAWA 1 4
9/25/1993 29 18-30 P JL KARIMUN JAWA
7/27/1995 27 18-30 P JL KARIMUN JAWA NO 11 2 4
2/10/1965 58 46-59 P JL KARIMUN JAWA NO 84 5 4
2/2/1980 43 31-45 P JL BANGKA NO 64 5 1
8/28/1978 44 31-45 P JL RIAU GG GAFILAS 1 4
4/10/1979 43 31-45 L JL BUNYU NO 17 3 4
2/21/1967 56 46-59 P
7/10/1981 41 31-45 P JL BUNYU NO 17 3 4
3/10/1972 50 46-59 P LINGK KEBUN JERUK
11/20/1968 54 46-59 L JL KARIMUN JAWA NO 30 5 4
6/30/1960 62 ≥60 L JL KARIMUN JAWA NO 11
1/6/1964 59 46-59 P JL KARIMUN JAWA 5 4
5/25/1966 56 46-59 L JL KARIMUN JAWA 2 4
1/20/2001 22 18-30 P LATENG
6/20/1975 47 46-59 P JL KARIMUN JAWA 4 4
9/26/1969 53 46-59 P JL KARIMUN JAWA NO 20 4 4
6/30/1964 58 46-59 L JL KARIMUN JAWA NO 20 4 4
3/23/1974 48 46-59 P JL KARIMUN JAWA NO 18 4 4
10/23/1981 41 31-45 L JL BUNYU 2 1
6/9/1966 56 46-59 L JL KARIMUN JAWA 4 4
4/12/1956 66 ≥60 L JL KARIMUN JAWA NO 23
6/12/1982 40 31-45 P JL KARIMUN JAWA 4 4
6/30/1964 58 46-59 P JL KARIMUN JAWA NO 23 4 4
1/28/1989 34 31-45 P JL KARIMUN JAWA NO 23 4 4
5/28/1984 38 31-45 L JL KARIMUN JAWA NO 23 4 4
8/12/1947 75 ≥60 P JL KARIMUN JAWA GG BELIMBING 2 4
4/7/1973 49 46-59 P JL KARIMUN JAWA NO 4 4 4
8/5/1967 55 46-59 L JL KARIMUN JAWA 5 4
 8/19/1983 39 31-45 P JL KARIMUN JAWA LINGK KEBUN 5 4
3/8/1954 68 ≥60 L JL BUNYU NO 10 5 3
1/1/1970 53 46-59 L JL KARIMUN JAWA 4 4
5/27/1986 36 31-45 P LINGK KRAJAN 2 3
2/5/1973 50 46-59 L LINGK KRAJAN 2 3
5/4/1956 66 ≥60 L SMB 2 1
7/29/1959 63 ≥60 P SMB 2 1
1/3/1950 73 ≥60 L BLKG SDLATENG I GG MANGGA NO 75
4/1/2000 22 18-30 L JL KARIMUN JAWA 4 4
9/10/1970 52 46-59 P JL KARIMUN JAWA
2/6/1962 61 ≥60 P JL KARIMUN JAWA
3/10/1955 67 ≥60 L JL DI PANJAITAN NO 63
5/4/1955 67 ≥60 P JL KARIMUN JAWA 5 4
12/30/1961 61 ≥60 P JL TERNATE 5 3
6/7/1961 61 ≥60 P LINGK ANTOGAN 4 1
6/15/1974 48 46-59 P JL KARIMUN JAWA 4 4
5/11/1983 39 31-45 P PENGANJURAN 5 2
7/19/1975 47 46-59 P PERUM KAVLING GIRI UNDAH E 6 6
11/5/1972 50 46-59 P KEPATIHAN 3 1
1/1/1982 41 31-45 P JL SEKARDALU NO 17 1 1
11/18/1984 38 31-45 P KARANGREJO 4 4
4/22/1970 52 46-59 P SOBO
3/28/2002 20 18-30 L JL SEKARDALU NO 17 1 1
5/1/1982 40 31-45 L GLAGAH
8/28/1968 54 46-59 L JL KARIMUN JAWA NO 37
7/7/1971 51 46-59 P PERUM KAVLING GIRI UNDAH E 6 6
10/10/1948 74 ≥60 P LATENG
10/19/1997 25 18-30 P
6/30/1960 62 ≥60 P JL KARIMUN JAWA GG JAMBU NO 65
4/25/1963 59 46-59 L JL DI PANJAITAN NO 46B 1 2
10/31/1964 58 46-59 P JL DI PANJAITAN NO 46B 1 2
9/5/1982 40 31-45 L LINGK KEBUN JERUK NO 17 2 4
1/16/1979 44 31-45 P JL KARIMUN JAWA 5 4
3/14/1999 23 18-30 P JL BENGAWAN NO 15 3 3
10/5/1951 71 ≥60 P JL KARIMUN JAWA
7/23/1976 46 46-59 P JL KARIMUN JAWA GG MANGGIS N 3 4
3/5/1980 42 31-45 P JL TERNATE 3 3
7/23/1956 66 ≥60 L JL BELITUNG GG II NO 42
5/3/1967 55 46-59 L JL KARIMUN JAWA 4 4
2/6/1962 61 ≥60 P JL BELITUNG GG II NO 42
4/1/2002 20 18-30 P JL KARIMUN JAWA NO 11 2 4
9/6/1967 55 46-59 L JL BANGKA NO 62 4 1
6/30/1964 58 46-59 L JL KARIMUN JAWA 5 4
3/18/2000 22 18-30 L JL KARIMUN JAWA NO 11 2 4
5/16/1973 49 46-59 P JL KARIMUN JAWA 5 4
10/14/1963 59 46-59 L JL BUNYU NO 23 3 4
12/8/1973 49 46-59 P JL BUNYU NO 23
6/30/1948 74 ≥60 P JL BUNYU NO 23
4/5/1959 63 ≥60 P JL BUNYU NO 05
6/30/1953 69 ≥60 L JL TERNATE 5 3
3/30/1956 66 ≥60 P JL TERNATE 5 3
6/26/1968 54 46-59 P JL BANGKA NO 76 4 1
5/5/1945 77 ≥60 P JL TERNATE 3 3
2/21/1981 41 31-45 P JL KARIMUN JAWA NO 6 4 4
10/25/1975 47 46-59 L JL KARIMUN JAWA NO 6 4 4
1/13/1996 27 18-30 P JL RIAU GG MUTIARA 5 3
1/3/1997 26 18-30 L JL RIAU GG MUTARA NO 21 5 3
6/30/1972 50 46-59 L JL RIAU GG MUTIARA 5 3
10/23/1968 54 46-59 P JL RIAU GG MUTIARA 11
7/27/1963 59 46-59 P JL RIAU GG MUTIARA NO 21 5 3
2/11/1984 39 31-45 P JL KYAI SALEH NO 19 2 1
1/8/1996 27 18-30 P LINGK KALILO 4 5
10/14/1987 35 31-45 P JL BANGKA NO 10 4 1
7/17/1974 48 46-59 P JL KARIMUN JAWA 5 4
1/25/1973 50 46-59 P JL TERNATE
9/1/1958 64 ≥60 L JL KARIMUN JAWA NO 52
5/1/1970 52 46-59 L LINGK KEBUN JERUK NO 17 3 4
5/16/1966 56 46-59 L JL TERNATE
8/18/1957 65 ≥60 P JL TERNATE
4/12/1970 52 46-59 L JL RIAU GG JAMBU NO 39 2 4
1/30/1967 56 46-59 P JL BUNYU NO 10 5 3
10/30/1969 53 46-59 P JL RIAU NO 30 4 1
11/9/1970 52 46-59 L JL RIAU NO 30 4 1
9/21/1948 74 ≥60 L JL MERAPI NO 3 4 3
6/18/1952 70 ≥60 P JL KARIMUN JAWA GG JAMBU NO 65 3 4
1/12/1956 67 ≥60 P LINGK KEBUN JERUK 3 4
9/18/1972 50 46-59 P JL TERNATE 4 3
8/9/1969 53 46-59 P JL TERNATE NO 51 5 3
5/9/2002 20 18-30 P PERUM KAVLING GIRI UNDAH E
7/5/1970 52 46-59 L JL DI PANJAITAN NO 49 1 2
1/20/2003 20 18-30 P JL TERNATE 4 3
8/3/1979 43 31-45 P JL KARIMUN JAWA 4 4
6/30/1959 63 ≥60 P JL KARIMUN JAWA
12/30/1969 53 46-59 P JL RIAU GG MUTIARA LINGK KRAJAN 5 3
8/11/1958 64 ≥60 P JL KARIMUN JAWA 5 4
2/23/1958 65 ≥60 L JL KARIMUN JAWA 5 4
5/21/1972 50 46-59 L JL KARIMUN JAWA 4 4
5/12/1960 62 ≥60 P JL RIAU GG MUTIARA 5 3
9/8/1953 69 ≥60 L JL BUNYU NO 37
3/12/1958 64 ≥60 P JL BUNYU NO 37
 3/23/1985 37 31-45 P JL BANGKA 1 2
4/22/1994 28 18-30 L JL P SUDIRMAN GG VIII 7 4
5/5/1981 41 31-45 P JL DI PANJAITAN NO 49 1 2
9/19/1968 54 46-59 L JL BHRE WIRABUMI NO 3 3 1
3/13/1968 54 46-59 L LINGK KEBUN JERUK 2 4
9/1/1979 43 31-45 L JL KARIMUN JAWA 4 4
6/2/1982 40 31-45 P JL KARIMUN JAWA
7/6/1971 51 46-59 P LINGK KEBUN JERUK 3 3
12/3/1965 57 46-59 L JL RIAU NO 30 2 4
4/13/1961 61 ≥60 P JL TERNATE 5 3
6/6/1965 57 46-59 L JL KARIMUN JAWA 5 4
8/30/1977 45 31-45 P JL RIAU NO 43 5 3
2/5/1960 63 ≥60 L JL. KARIMUNJAWA 1 3
10/23/1959 63 ≥60 L JL KARIMUN JAWA NO 1 1 3
1/15/1973 50 46-59 L JL TERNATE 5 3
5/23/1979 43 31-45 L LINGK KEBUN JERUK 3 4
6/1/1974 48 46-59 P LINGK KEBUN JERUK 5 3
4/30/1972 50 46-59 P JL TERNATE NO 43 5 3
10/9/1971 51 46-59 P JL BUNYU NO 22 5 3
4/12/1964 58 46-59 L JL BUNYU 5 3
3/22/1979 43 31-45 P JL TERNATE 5 3
6/30/1965 57 46-59 L JL KARIMUN JAWA 47
9/21/1967 55 46-59 P JL KARIMUN JAWA 3 4
3/7/1978 44 31-45 L JL TERNATE 4 3
12/31/1996 26 18-30 P JL KARIMUN JAWA GG MANGGIS NO 3 4
8/9/1969 53 46-59 P JL TARAKAN 4 2
9/14/1957 65 ≥60 P JL TARAKAN NO 22
4/4/1968 54 46-59 L JL KARIMUN JAWA GG JAMBU NO 65 3 4
5/14/1972 50 46-59 P
12/26/1971 51 46-59 L
4/1/1966 56 46-59 P LINGK KRAJAN 4 1
1/30/1959 64 ≥60 L JL KARIMUN JAWA GG SUKUN
6/30/1958 64 ≥60 L JL KARIMUN JAWA NO 31
4/6/1949 73 ≥60 L JL NIAS NO 35
12/7/1970 52 46-59 P JL BELITUNG 3 2
5/10/2001 21 18-30 P JL TARAKAN
10/22/1979 43 31-45 P JL BELITUNG GG II NO 42 3 2
10/17/1979 43 31-45 P JL TERNATE NO 3
3/6/1969 53 46-59 L JL KARIMUN JAWA 4 4
3/1/1989 33 31-45 P LINGK KBJ 5 3
6/11/1986 36 31-45 L JL KARIMUN JAWA 1 3
7/19/2002 20 18-30 L JL TERNATE 5 3
11/4/1984 38 31-45 P JL TERNATE
4/8/1994 28 18-30 P JL TERNATE 4 3
9/21/1968 54 46-59 P JL BUNYU NO 64 4 4
12/30/1974 48 46-59 P JL BUNYU NO 17 3 4
12/20/1969 53 46-59 L JL NIAS NO 35 3 1
11/2/1973 49 46-59 P JL NIAS NO 35 3 1
4/15/1969 53 46-59 L JL RIAU GG PERMATA NO 25 1 3
5/13/1956 66 ≥60 L JL BASUKI RAHMAT NO 17 GG TERNA 3 3
2/1/1960 63 ≥60 P JL BASUKI RAHMAT NO 17 GG TERNA 3 3
1/14/1964 59 46-59 P JL KARIMUN JAWA NO 1 1 3
10/22/1963 59 46-59 L LINGKUNGAN I
6/30/1981 41 31-45 L JL SUMBING NO 16
1/1/1959 64 ≥60 P JL BELITUNG GG II NO 42
2/9/1965 58 46-59 P JL RIAU GG MUTIARA NO 42 5 3
6/15/1965 57 46-59 P JL BASUKI RAHMAT 5 2
9/21/1990 32 31-45 L JL TERNATE NO 16 2 3
6/8/2001 21 18-30 L JL KARIMUN JAWA 2 4
2/5/1973 50 46-59 P JL KARIMUN JAWA 5 4
2/2/1968 55 46-59 P JL BUNYU NO 30 3 4
6/20/1988 34 31-45 L JL TERNATE NO 54 4 3
3/5/1961 61 ≥60 P JL KARIMUN JAWA 4 4
3/20/1960 62 ≥60 L JL BASUKI RAHMAT
5/28/1968 54 46-59 L JL KARIMUN JAWA NO 49 4 4
11/24/1974 48 46-59 P JL BANGKA NO 91 5 1
7/7/1960 62 ≥60 L JL BUNYU NO 11
4/25/1970 52 46-59 P JL KARIMUN JAWA 4 4
8/7/1967 55 46-59 L JL KARIMUN JAWA NO 81 4 4
8/15/1982 40 31-45 L JL KARIMUN JAWA GG MANGGIS 3 4
9/28/1992 30 18-30 P JL PROGO 3 2
10/20/1969 53 46-59 P JL KARIMUN JAWA NO 81 4 4
8/15/1975 47 46-59 P JL TENRNATE 4 3
1/19/1970 53 46-59 P GG MANGGA 4 4
11/11/1958 64 ≥60 L JL BANGKA 4 1
7/17/1945 77 ≥60 P JL KARIMUN JAWA NO 12 1 4
6/3/1961 61 ≥60 P JL BUNYU NO 5 3
5/13/1968 54 46-59 L JL. BUNYU
2/9/1956 67 ≥60 L JL. BUNYU
6/30/1965 57 46-59 P JL. TERNATE 4 3
123 ≥60 P
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 0
0

JELAS JELAS JELAS JELAS JELAS JELAS

 NAMA
KECAMATA "NAMA KELURAHAN NO.HP KETERANGAN
N
(12) (13) (23) (24)

16 12
16 12 081337915702
16 12 081292280707
16 12
16 12
16 12
16 12
16 12 082139583212
16 12 089630117611
16 12 087755654535
16 12
16 12
16 12
16 12 082257578709
16 12 085258769347
16 12
16 12 082330402232
16 12 081230313354
16 12
16 12 08133494475
16 12 082213202720
16 12 083831639397
16 12 081299008568
16 12 081249008568
16 12
16 12
16 12 085652217596
16 12 087757997786
16 12 083125193496
16 12 082337957890
16 12 085235265715
16 12
16 12 087857454572
16 12 082336010490
16 12
16 12
16 12 082139585904
16 12
16 12
16 12 081337769370
21 95
21 95
16 16
16 16

16 12 087776884986
16 12 081252205931
16 12
16 12 081249939291
16 12
16 12
21 95
16 12 081803453146
16
21 91
16
16 11
16 8
16 22
16 11
15
16 12 082145653277
21 95 088901990200
16 12 085233789968

08999081064
16 12

082132323511
16 PANDEREJO

085258079182
085933716163
085236157267
085933716163
0895338278028

085233836394
081334945152
085233836394
 089678343787
08113590812

082132936754
085232603246
085232603246
082331934210
087712640308
085231047988
085235905786
081515390923
16 KEPATIHAN
16 13
16 12

082132938484
081334945170
081916603111
082215050560

085233825345
085608630610
16 14

081916603111
082334175868
21 91 083851385444

08970660652

081358632635
081262299067
PROBOLINNGO

16 10 082335779049

-89650241537
085258798232
082301057626

0852326590004
081336118351
16 12

082333469238

082333469238
082335378069

081230154548

16 12

16 12

16 12 082335108284
083834428479
087776884958
085336261358
085336572330
089682918887

081946661374
16 12 087755727651
0833526160

16 12 083848300674
087806578062
08586425554
 089523901740
085336261358
085331264162
085333439293

085218231375
16 14 082132917171

082319197336

085608506482
085730393179

081387082401
081230158734
085232194738
085157971559
16 16

085258795689

16 12
16 12
16 12 085311265729
16 12
JELAS JELAS JELAS
 LA

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP"
I
(1) (2) (3)

1 3510215701750007 HOLISIYAH
2 3510165306990003 EKA SITI KAROMAH
3 3526010712770004 YONAS CHANDRA SUHARTONO
4 3510164409820005 ENDANG SETITOWATI
5 5103011707030003 MUHAMMAD TAUFIKHIDAYAT
6 3510162103030004 WILLY ANDIKA YOANDA
7 3510161810020002 AGUNG FAJAR OCTAMA
8 3510164306820004 DEWI FATIMAH
9 3510165105700007 SUNARMI
10 3510167003800007 RUBINEM
11 3510165410670002 HARIYANI
12 3510162304940001 DANI APRIYANTO
13 351016240200002 BAGOES MUHAMMAD SHOLEH
14 3510166809680002 YUSIDA KARIYANA
15 3510165208740005 KATIYEM
16 3510161007780005 NURHARIRI
17 3510160811660002 ABU AMAR
18 3510163001770003 ASEP GUNAWAN
19 3510165702720004 KHOTIJAH
20 3510167003700004 LIKE FADJARIYAH
21 3510164309030005 SEPTIA ANDRIANI
22 3510162206690005 HERU PURNOMO
23 3510166103970001 EVELINA MEISYA
24 3510161504960004 HENOCH PARMENAS HARTONO
25 3510160908640001 SUDI HARTONO
26 351001680500004 VINKY SHALSABILLA SYARANIE
27 3510165206640006 IKE ROSDIANA
28 3510165205780008 SUMARNI
29 3511164109690003 VARIANI
30 3510165203620003 WIDJAJAWATI
31 3509194301870003 LUSIA ANGELINA SETIA BUDI
32 3509195008830006 LINA WAHYUNI
33 3510164312990002 EUNIKE VICTORIA
34 6371037006940006 AULIA
35 3510161606910002 ALFEUS SOSIPATER HARTONO
36 3510161109850002 PAULUS PANDU PRADANA
37 3573022802840002 HADI WIJAKSANA
38 3173080510910012 BRIAN ARTHUR GOZALI
39 3510164601660003 EDY ISMANTO
40 3511186502980001 LEONITA VALENCIA
41 3372050304710004 RACHMAT SETIAWAN
42 3372054609720022 YESSI ARYSANTI
43 3510165011910001 ERLINA NORMA NOVITA
44 3510210307840001 FAISAL BAHRI
45 3510181807800008 ANDRI DWI CAHYONO
46 3510162702720003 SUROSO
47 3510160305860004 COCKY HARIYANTO
48 3510185306860005 FITRIANA NINGSIH
49 3510130709690001 HENDY SAPTONO
50 3510157006770014 MISATI
51 3510141203750007 RUDI PURNOMO
52 3510164504820004 WAHYUNI ARI SUSANTI
53 3510162607980005 ROBIUL LESTARI
54 3510136606990001 MAULIDIA NURUL AINI
55 3510164401850003 ROBBANA
56 351009140990001 TOGAR RIZAL AMRI
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 21-3-22

UMUR KELOMPOK "JENIS

"TMPT_LHR" "TGL_LHR" UMUR "ALAMAT"
KELAMIN"

(4) (5) (6) (7) (8) (9)

BANYUWANGI 1/17/1975 48 46-59 P LINGKUNGAN KLATAKAN

BANYUWANGI 6/13/1999 23 18-30 P JL IJEN GG LAWU NO 19
BANYUWANGI 12/7/1977 45 31-45 L
BANYUWANGI 9/4/1982 40 31-45 P JL SUMBING NO 68
BANYUWANGI 7/17/2003 19 18-30 L JL SUMBING NO 68
BANYUWANGI 3/21/2003 19 18-30 L JL PROGO NO 02
BANYUWANGI 10/18/2002 20 18-30 L JL SUMBING NO 68
BANYUWANGI 6/3/1982 40 31-45 P JL IJEN LINGK SINGODIWONGSO
BANYUWANGI 5/11/1970 52 46-59 P JL SUMBING NO 68
BANYUWANGI 3/30/1980 42 31-45 P JL IJEN
BANYUWANGI 10/14/1967 55 46-59 P JL GUNUNG SRAWET NO 33
BANYUWANGI 4/23/1994 28 18-30 L JL IJEN LAWU NO 19
BANYUWANGI 2/24/2000 22 18-30 L JL IJEN NO 8
BANYUWANGI 9/28/1968 54 46-59 P JL MH THAMRIN NO 18B
BANYUWANGI 8/12/1974 48 46-59 P JL IJEN GG LAWU NO 19
BANYUWANGI 7/10/1978 44 31-45 L JL SUMBING
BANYUWANGI 11/8/1966 56 46-59 L JL JEND SUDIRMAN NO 148
BANYUWANGI 1/30/1977 46 46-59 L JL SINDORO
BANYUWANGI 2/17/1972 51 46-59 P JL IJEN GG LAWU NO 19
BANYUWANGI 3/30/1970 52 46-59 P JL BUNYU NO 27
BANYUWANGI 9/3/2003 19 18-30 P JL MH THAMRIN GG MAWAR
BANYUWANGI 6/22/1969 53 46-59 L KALILO
PALEMBANG 3/21/1997 25 18-30 P JL ANDALAS
BANYUWANGI 4/15/1996 26 18-30 L JL MH THAMRIN GG MAWAR
BANYUWANGI 8/9/1964 58 46-59 L KALILO
BANYUWANGI 5/28/2000 22 18-30 P DSN KRAJAN
BANYUWANGI 6/12/1964 58 46-59 P JL MH THAMRIN GG MAWAR
BANYUWANGI 5/12/1978 44 31-45 P JL MH THAMRIN GG MAWAR
BANYUWANGI 9/1/1969 53 46-59 P DSN GRUNDO JL RAYA 950
BANYUWANGI 3/12/1962 60 ≥60 P JL DATUK MALIK IBRAHIM
BANYUWANGI 1/3/1987 36 31-45 P JL UNTUNG SUROPATI
BANYUWANGI 8/10/1983 39 31-45 P JL GATOT SUBROTO 29
BANYUWANGI 12/3/1999 23 18-30 P JL DATUK MALIK IBRAHIM
BANYUWANGI 6/30/1994 28 18-30 P JL DATUK MALIK IBRAHIM
BANYUWANGI 6/16/1991 31 31-45 L JL MH THAMRIN NO 9
BANYUWANGI 9/11/1985 37 31-45 L JL DATUK MALIK IBRAHIM
BANYUWANGI 2/28/1984 38 31-45 L JL DATUK MALIK IBRAHIM
BANYUWANGI 10/5/1991 31 31-45 L MEGA KEBON JERUK KAV 12
BANYUWANGI 1/6/1966 57 46-59 L JL MH THAMRIN GG MAWAR
BANYUWANGI 2/25/1998 24 18-30 P SOKLEH SELATAN 26
BANYUWANGI 4/3/1971 51 46-59 L BONOREJO
BANYUWANGI 9/6/1972 50 46-59 P BONOREJO
BANYUWANGI 11/10/1991 31 31-45 P JL CILIWUNG II
BANYUWANGI 7/3/1984 38 31-45 L JL ANDALAS
BANYUWANGI 7/18/1980 42 31-45 L JL DEMPO NO 27
BANYUWANGI 2/27/1972 50 46-59 L JL SUMBING
BANYUWANGI 5/3/1986 36 31-45 L JL KRAKATAU
BANYUWANGI 6/13/1986 36 31-45 P JL DEMPO NO 27
BANYUWANGI 9/7/1969 53 46-59 L LINGK GESARI
BANYUWANGI 6/30/1977 45 31-45 P DSN REJOPURO
BANYUWANGI 3/12/1975 47 46-59 L JL CANDI JAWI NO 3
BANYUWANGI 4/5/1982 40 31-45 P JL CANDI JAWI NO 3
BANYUWANGI 7/26/1998 24 18-30 P JL RINJANI GG KERINCI NO 33
BANYUWANGI 6/26/1999 23 18-30 P DSN GURIT
BANYUWANGI 1/4/1985 38 31-45 L JL KYAI SALEH NO 26
BANYUWANGI 9/14/1990 32 31-45 L PERUM FLAMBOYAN BLOK G-06
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

 JENIS
"RT" "RW" NAMA KECAMATAN "NAMA KELURAHAN PEKERJAA NO.HP
N
(10) (11) (12) (13) (14) (23)

5 1 21 91 088228073927
1 4 16 14 085156815275

1 2 16 14 082334565694
4 2 16 14 0895334128773
3 3 16 16 085920511550
1 2 16 14 089612578914
3 4 16 14
16 14 081331803375
2 4 16 14 085334067806
16 14 085258505183
1 4 16 14 082234303870
16 14 081336922433
16 14 087755823762
1 4 16 14 081338195907
1 2 16 14 085335755930
1 1 16 11
16 14
16 14 085331549717
3 4 16 12
2 5 16 13
2 5 16 13 081315638914
4 3 16 14
2 5 16 13
2 5 16 13 087755871128
3 6 PESANGGARAN 085930244326
2 5 16 13 082246711777
2 5 16 13

2 2

2 5 16 13 082144224223
1 2
 16 13
SUKOSARI
4 16 NUSUKAN
4 16 NUSUKAN
3 25 JEMBER 082132373373
6 3 1`6 14
3 1 16 14
4 2 16 14 081331803375
5 3 16 14 0811334967256
3 1 16 14
2 1 16 13
4 2 15 KAMPUNGANYAR
1 1 16 18 081249398456
1 1 16 18 082234022355
16 14 085806137733
1 3 13
1 2 16 KEPATIHAN
4 1 16 22
JELAS JELAS JELAS JELAS JELAS JELAS
KETERANGAN

(24)
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510160108740003 AGUS BEKTI UTOMO BANYUWANGI 8/1/1974

2 3510211710840000 MUCH TAUFIK BANYUWANGI 10/17/1984
3 3510160202800005 MOH TOHAR BANYUWANGI 2/2/1980
4 3510170912920001 FAJAR ABADI BANYUWANGI 12/9/1992
5 3510081701950000 FERI TRI WAHONO BANYUWANGI 1/17/1995
6 3510210507930002 ACHMAD FAUZI BANYUWANGI 7/5/1993
7 3510190604900002 SAHRUL ANAM BANYUWANGI 4/6/1990
8 3510081502830006 AGUS SUSANTO BANYUWANGI 2/15/1983
9 3572011506910005 ARI PRATAMA BANYUWANGI 6/15/1991
10 3510080204890006 HARUN ARRASYID BANYUWANGI 6/1/1988
11 3512101504950003 ZAINAL ANSOR BANYUWANGI 4/15/1995
12 3504014209930002 RIZKY RAHMAWATI BANYUWANGI 9/2/1993
13 3510052212940001 HENDRIYANTO BANYUWANGI 12/22/1994
14 3510212310680001 IMAM SUPRIYADI BANYUWANGI 10/23/1968
15 3510020104830007 ANDREAS HERMAWAN BANYUWANGI 4/1/1983
16 3510230602910002 MOHAMAD SHOLIHIN BANYUWANGI 2/6/1991
17 3512020801900004 ANGGA EKO PURWANTO BANYUWANGI 1/8/1990
18 3510164707920001 DWI RACHAMWATI S P BANYUWANGI 7/7/1992
19 3510211701860003 NURSHOHIM BANYUWANGI 1/17/1986
20 35102110703000003MOHAMMAD GUFRON BANYUWANGI 3/3/2000
21 3510160801840002 HENDRO EKO WIDIYANTO BANYUWANGI 1/8/1984
22 3510020803950000 FAJAR LUKMAN BANYUWANGI 3/8/1995
23 3211180409880003 HEGAR SUKMANA BEKASI 9/4/1988
24 3510140611910003 ALI IMRON BANYUWANGI 11/6/1991
25 3510175004960001 DITYA CAHYANING INDYARBANYUWANGI 4/10/1996
26 3510130905900004 MOH RIFAI MUBAROK BANYUWANGI 5/9/1990
27 3510161202750005 RIBUT HARIYADI BANYUWANGI 2/12/1975
28 3510150107950018 TRIMO BANYUWANGI 2/10/1995
29 3510121701840004 SOLIHIN BANYUWANGI 1/17/1984
30 3510172307890003 RINO AGUS SETYAWAN BANYUWANGI 7/23/1989
31 3512082910750001 RAHARKO SURYA BANYUWANGI 10/29/1975
32 3510162906810002 ANDHI KAUTSAR BANYUWANGI 6/29/1981
33 3510210312750003 SUSILOHADI BANYUWANGI 12/3/1975
34 3510151609820002 IWAN IKA CAHYONO BANYUWANGI 9/16/1982
35 3510080202960008 FEBRI KUSWOYO BANYUWANGI 2/2/1996
36 3510171407810003 ABDUL GOFUR BANYUWANGI 7/14/1981
37 3510082111990002 DION NUR SAPUTRA BANYUWANGI 11/21/1999
38 3510092208760001 IMAM MUHTADI BANYUWANGI 8/22/1976
39 3510160904680001 SELAMET IDIYANTO BANYUWANGI 4/9/1968
40 3510161510860003 KRISNA KURNIAWAN BANYUWANGI 10/15/1986
41 3510164203960004 FITRIYAN SARI BANYUWANGI 3/2/1996
42 3510172003780002 ISNAINI BANYUWANGI 3/20/1978
43 3510171406830002 SISWO HARJOKO BANYUWANGI 6/14/1983
44 3510160306730006 FATKUR VAWATONI BANYUWANGI 6/3/1973
45 3510171102790002 HASAN NUR ROFIK BANYUWANGI 2/11/1979
46 3510162807940007 M UDI HARTONO BANYUWANGI 7/28/1994
47 3510202504770001 MASHUDI BANYUWANGI 4/25/1977
48 351023110397001 DENDI JOHAN WAHYUDI BANYUWANGI 3/11/1997
49 3510145106880003 ULFA TRIWIJAYA BANYUWANGI 6/11/1988
50 3510201112930002 EGA ADITYA PRANATA BANYUWANGI 12/11/1993
51 3510162808850005 AGUS SETIAWAN BANYUWANGI 8/28/1985
52 351013504790002 SUMARDI BANYUWANGI 4/5/1979
53 3510171510720001 MUJAHIDIN BANYUWANGI 10/15/1972
54 3510133010700009 PUDJI RUSDIANTO SURABAYA 10/30/1970
55 3510026202890005 ARI SISWANTO BANYUWANGI 2/22/1989
56 3510092601680001 MUJIMAN BANYUWANGI 1/26/1968
57 3573016612920003 LYLA DIAH SUSANTI BANYUWANGI 12/26/1992
58 3510090307870001 KAHFI PANGI RIDUWAN BANYUWANGI 7/3/1987
59 3512081902920001 ARIEF SYAHBATUR RAHMABANYUWANGI 2/19/1992
60 3510091506770001 NANAG ISWANTO BANYUWANGI 6/15/1977
61 351--21910690001 JARNI BANYUWANGI 10/19/1969
62 7310060707970004 FITRIYANTO BANYUWANGI 7/7/1997
63 3512070912920001 DEDI SUDIRTO BANYUWANGI 12/9/1992
64 35100622110820004SAMSUL HIDAYAT BANYUWANGI 10/21/1982
65 3510132702840001 ARIS SUMITRO BANYUWANGI 2/27/1984
66 3510102509810001 GIGIH GUNAWAN BANYUWANGI 9/25/1981
67 3510080601860002 EKO HENDRI YANTO BANYUWANGI 1/6/1986
68 3510042511360003 SUNGKONO BANYUWANGI 11/25/1986
69 3510192711930001 RESTU DWI AGUNG PRAKOBANYUWANGI 11/27/1993
70 3510076401950001 MAWADDAH PUTRI MADURBANYUWANGI 1/24/1995
71 3510127112910003 SITI ROVIQOH BANYUWANGI 12/31/1991
72 3510082811770002 MOH SODIKIN BANYUWANGI 11/28/1977
73 3510051104920004 CANDRA HERMAWAN BANYUWANGI 4/11/1992
74 3510052509920005 JOKO PERMADI BANYUWANGI 9/25/1992
75 3510062107920001 AGUS YUDIYANTO BANYUWANGI 7/21/1992
76 3510221701830005 AHMAD BUSAIRI BANYUWANGI 1/17/1983
77 3525095909940001 DWI INDAH PRATIWI BANYUWANGI 9/19/1994
78 3502172508820013 ERWIN BUDI PRASETYO BANYUWANGI 8/25/1982
79 3510222605910003 DADANG CANDRA UTAMA BANYUWANGI 5/26/1991
80 3510061506980002 IMAM ABDULLOH FAQIH BANYUWANGI 6/15/1998
81 3510063006730020 SUPARMAN BANYUWANGI 6/30/1973
82 3510062511790003 WIJI WIYONO BANYUWANGI 11/25/1979
 83 3510061702940003 DWI CAHYO KURNIAWAN BANYUWANGI 2/17/1995
84 3510182307760002 SUPRIYANTO BANYUWANGI 7/23/1976
85 3510081509780003 AMIN FAUZI BANYUWANGI 9/15/1978
86 3510061205810004 LATIF HAMDANI BANYUWANGI 5/12/1981
87 3510044402900001 EVA NURIA ARIFIN BANYUWANGI 2/4/1990
88 3510070207710003 R TRI YUL SULISTIYANTO BANYUWANGI 7/2/1971
89 3510042401810003 SUDARNO BANYUWANGI 1/24/1981
90 3510081911880002 WAWAN ASIYANTO BANYUWANGI 11/19/1988
91 3510212310680003 DIDIK HENDRO UTOMO BANYUWANGI 10/23/1968
92 3510190104940003 ABDUL HADI ARDIANSYAH BANYUWANGI 8/5/1994
93 3510166010970002 INTAN SAMARANI SAFANA BANYUWANGI 10/20/1997
94 3510141211820009 HAIRUL BAYU AJI BANYUWANGI 11/12/1982
95 3510145704010004 RIZQI DWI CAHYANI BANYUWANGI 4/17/2001
96 3510162206920001 ARI SUFI TRISNADI BANYUWANGI 6/22/1992
97 3510213003910004 MOH FARIS RAMADHON BANYUWANGI 3/30/1991
98 3510121407760002 INDRA SUGIARTO BANYUWANGI 7/14/1976
99 3510081508770003 AGUS SUBAGIYO BANYUWANGI 8/15/1977
100 3510061602840003 KHOIRUL AFANDI BANYUWANGI 2/16/1984
101 3510162006980003 RIDHO AGNISA PERDANA BANYUWANGI 6/20/1998
102 3510120212940001 WAIS AL QURNI BANYUWANGI 12/2/1994
103 3510141005810010 ABDUL ROHMAN BANYUWANGI 5/10/1981
104 3510142303670004 SOEPRAJOEGI BANYUWANGI 3/23/1967
105 3510211010880004 SULAIMAN BANYUWANGI 10/10/1988
106 3510051812690005 ANWARUDIN BANYUWANGI 12/18/1969
107 3510222603770006 MUHKLISIN BANYUWANGI 10/26/1977
108 3510021307840004 JAENI EKO S BANYUWANGI 7/13/1984
109 3510075003990002 TIKA DWI RATNA SARI BANYUWANGI 3/10/1999
110 3510081204750005 AHMAD FADLULLAH BANYUWANGI 4/12/1975
111 3510160708900002 M ALIF FASIAL M BANYUWANGI 8/7/1990
112 3510162010810010 AHMAD FATHONI BANYUWANGI 10/20/1981
113 3510051506730004 SUCIPTO BANYUWANGI 6/15/1973
114 3510013010010001 YONA PUTRA AGUNG BANYUWANGI 10/30/2001
115 3510032208750004 AGUS SUJARWO BANYUWANGI 8/22/1975
116 3510060404890003 TONI NUR APRIANTO BANYUWANGI 4/4/1989
117 3510021210750004 SULISTIONO BANYUWANGI 10/12/1975
118 3510232404890001 AHMAD SAIFUL ARIK S BANYUWANGI 2/24/1989
119 3510045010950006 ARVINA FIFTA DEWI BANYUWANGI 10/10/1995
120 3502176209820012 NARULITA AHMAPUTRI M PONOROGO 9/22/1982
121 3510084606960005 YUNI SORAYA BANYUWANGI 6/6/1996
122 3510132406940005 MOCH MUNIR BANYUWANGI 6/24/1994
123 3510164102830001 CHOLIFAH ANGGRAINI BANYUWANGI 2/1/1983
124 3510162711960002 AHMAD NAJIB BANYUWANGI 1/27/1996
125 3510170312870001 HENDRI SETIAWAN BANYUWANGI 12/3/1987
126 3510210504850004 DANIA INDRAYANA BANYUWANGI 4/5/1985
127 3510081205750003 MUNIR BANYUWANGI 5/12/1975
128 3510052303730005 SUPRIYADI BANYUWANGI 3/23/1973
129 3510162606970003 ANGGA EKA SAPUTRA BANYUWANGI 6/26/1997
130 3510100908860008 ARFI BASTIYAS BANYUWANGI 8/9/1986
131 3510052509960006 MOH. EKO YUDONO BANYUWANGI 9/25/1996
132 35100092802860008HENDRA SUSILO BANYUWANGI 2/28/1986
133 3510163006620150 IDHAM HIDAYAT BANYUWANGI 6/30/1962
134 3510110201860013 HERMANTO BANYUWANGI 1/2/1986
135 3510232211990004 ANDI KURNIAWAN BANYUWANGI 11/22/1999
136 3510090708860009 SYAIFUL IKHWAN BANYUWANGI 8/7/1986
137 3510171910690001 BUDI HARTONO BANYUWANGI 10/19/1969
138 3504010802940001 ZAKI PRADANA PUTRA BANYUWANGI 2/8/1994
139 3510192411850004 SATRIYO HANDOYO BANYUWANGI 11/24/1985
140 3510041009890003 MOH. TOHARI BANYUWANGI 9/3/1989
141 3510021601990003 BAYU ANGGARA PUTRA BANYUWANGI 2/25/1999
142 3510164308810003 FITRIYANA BANYUWANGI 8/3/1981
143 3510160606880003 MUH. RUSDI BANYUWANGI 6/6/1988
144 3510150705890001 ANGGA FITRIANTO BANYUWANGI 5/7/1989
145 3510024302970007 NISA FEBRI FITRIYANI BANYUWANGI 2/3/1997
146 3510164411870007 NOVRIDA MFIRUNGKAS BANYUWANGI 11/4/1987
147 3510130303870006 FATAHUR KHORIB BANYUWANGI 3/3/1987
148 3510165609900007 YOKE VIRGINA PRATIWI BANYUWANGI 9/16/1990
149 3312112812920001 DECKI RESDYANTO SUDIR BANYUWANGI 12/28/1992
150 35102109111730001ISROFI BANYUWANGI 11/9/1973
151 3510162809730004 UNTUNG ROHANA BANYUWANGI 9/29/1975
152 3510161202910001 RISTA RAHMA BANYUWANGI 2/12/1991
153 3510162009690005 RIANTO CONDRO PURNOMBANYUWANGI 9/20/1969
154 3510160406830007 FERDY MULYANDI BANYUWANGI 6/4/1983
155 3510160108680002 NUR EFENDI BANYUWANGI 8/1/1968
156 3510101604860001HADI MUSTOFA BANYUWANGI 4/16/1986
157 3510203108950002 DIMAS TRI WINANDA PUTRBANYUWANGI 8/31/1995
158 3510162104770005 AZIS WAHYUDI BANYUWANGI 4/21/1977
159 3510192710870002 YOPI HERY PRAYOGI BANYUWANGI 10/27/1987
160 3510162404710002 AHMAD WIBISONO BANYUWANGI 4/24/1971
161 3510161404740002 ROHMAN SUGIHARTONO BANYUWANGI 4/14/1974
162 35101805002940003HENDRI PL BANYUWANGI 2/5/1994
163 3510130109750001 WELLY INDRA BANYUWANGI 9/1/1975
164 3575012007920001 MOHAMAD ARIEF BUDI PE BANYUWANGI 7/10/1992
165 3203100601761456 DENNY FAJAR BANYUWANGI 1/6/1976
166 5103021011930005 I GUSTI NEGARA PUTRA K BANYUWANGI 11/10/1993
167 3510161910920003 CHRITOFEL A P BANYUWANGI 10/19/1992
168 3513211005920004 DANY HERMAWAN BANYUWANGI 5/10/1992
169 3510022811920002 DENI WAHYUDI BANYUWANGI 11/28/1992
170 3510221011800002 SLAMET SANTOSO LUMAJANG 11/10/1990
171 3519080902940002 ROHMAN ARDIANSYAH BANYUWANGI 2/9/1994
172 3510160801790006 SUHARMAN BANYUWANGI 1/8/1979
173 3504012004760002 ANDIK APRIANTO BANYUWANGI 4/20/1976
174 3510071908720005 ERVAN KURNIAWAN BANYUWANGI 8/19/1972
175 3510090401640008 SUYONO BANYUWANGI 1/4/1964
176 3510071207650019 SLAMET SUDIBYO BANYUWANGI 7/12/1965
177 3501051705990001 DEDI NUR DILA WIJAYANTOBANYUWANGI 5/17/1999
178 3510201504940003 AHMAD FATHUN NADA BANYUWANGI 4/15/1994
179 3578317107910001 NOVIANA MAHARANI BANYUWANGI 7/31/1991
180 7306085610890004 RINI ADRIYANTI BANYUWANGI 10/16/1989
181 3510230406860004 MUHAMMAD IRFAN BANYUWANGI 6/4/1986
182 3510160405810001 ANDI NURMAN BANYUWANGI 5/4/1981
183 3510130501850002 AULIYA URROHMAN BANYUWANGI 1/5/1985
184 3510221007800003 WIDIYONO BANYUWANGI 7/10/1980
185 3510160512930001 SATRIA AMARTA BANYUWANGI 12/5/1993
186 3510160508810005 AGUS WIDIYANTO BANYUWANGI 8/5/1981
187 3510192901950003 ADITYA FERDIANSYAH BANYUWANGI 1/29/1995
188 3510020509990001 PUPUN FERMANIYANTO BANYUWANGI 9/5/1999
189 3510102608780002 ARIF KHOIRUN ZAIN BANYUWANGI 8/26/1978
190 3510082411990003 HARIS NOERLAILI FARHAN BANYUWANGI 11/24/1999
191 3510152605960001 MOH. MUSTOFAL LUTFI BANYUWANGI 5/26/1996
192 3510032511630004 SLAMET RIYANTO BANYUWANGI 1/25/1963
193 3510150311940002 SURYA FANDY ASTIANTO BANYUWANGI 11/3/1994
194 3510082001930005 TAUFIQ RIFKI HIDAYATULL BANYUWANGI 1/28/1993
195 3510170106010005 AHMAD MUHAIMIN BANYUWANGI 6/1/2001
196 3510022804820004 SAROJI BANYUWANGI 4/28/1982
197 3510161601810004 HENDRA SASMITA BANYUWANGI 1/16/1981
198 3510050803810004 SUGIARTO BANYUWANGI 3/8/1981
199 3510092104900003 WAHYUDI BANYUWANGI 4/21/1990
200 3510053005870002 DEDY FITRIYANTO BANYUWANGI 5/30/1987
201 3510131108690001 AGUS SETIAWAN BANYUWANGI 8/11/1969
202 35100521212850002DENNY GANRA HERMAWANBANYUWANGI 12/22/1985
203 3510191211880003 MUSTOFA BANYUWANGI 11/12/1988
204 3510191604790005 M. ZAINI BANYUWANGI 4/16/1979
205 3518130505740002 ARIFIN KEDIRI 5/5/1974
206 3510122602930001 MIFTAHUL HUDA BANYUWANGI 2/26/1993
207 351008081200002 EKO PURNOMO BANYUWANGI 12/12/1980
208 3510132701890001 BUDIMAN BANYUWANGI 1/27/1989
209 3509110405910003 MOHAMAD KHAFID BANYUWANGI 5/4/1991
210 3512134110930002 NURIKA LAILATUR REZA SITUBONDO 10/1/1993
211 3510051103750005 SAMSUL ARIFIN JEMBER 3/11/1975
212 3510050802920004 BAYUANGGA LESA BANYUWANGI 2/8/1993
213 3510152001890005 AWANG DAYU ARISANDI BANYUWANGI 1/20/1989
214 3302186906950003 EGA SURYA WULANDARI BANYUWANGI 6/29/1995
215 7371120304920001 MUHAMMAD JUNAIDI MUKHBANYUWANGI 4/3/1992
216 3510131003660004 HAEROJI BANYUWANGI 3/10/1966
217 3510161012840008 RACHMAT ADI PURWANTOBANYUWANGI 12/10/1984
218 3510080111830003 DIDIK SANDOYO BANYUWANGI 1/1/1983
219 3510061210860007 AGUS IRWANTO BANYUWANGI 10/12/1986
220 3510161312790002 SOPYAN HADI BANYUWANGI 12/13/1979
221 3510060610880001 DODI VEBRIANTO BANYUWANGI 10/6/1988
222 3510142006960002 HABIB HAMDANI BANYUWANGI 6/20/1996
223 6202061206010005 BAYU STIYAWAN BANYUWANGI 6/12/2001
224 3610084201740002 PUJI ASTUTIK BANYUWANGI 1/2/1974
225 3510161008800001 EKO RUSDIYANTO BANYUWANGI 8/10/1980
226 3510011105740002 ERVAN EFFENDY BANYUWANGI 5/11/1974
227 3510020303940002 MURSAID BANYUWANGI 3/3/1994
228 3510040107880075 KHOIRUL ANWAR BANYUWANGI 7/1/1988
229 3510160812920003 WAHYU ABADI BANYUWANGI 12/8/1992
230 3510161506770008 SUGENG RUSPENDI BANYUWANGI 6/15/1977
231 3510022812930001 DENY AHMAD SYAIFUL BANYUWANGI 12/28/1993
232 3510080503820011 EDI PRIANGGAWAN BANYUWANGI 3/5/1982
233 3510167006470120 ALFIYAH BANYUWANGI 6/30/1947
234 3510165207370001 HATIJAH BANYUWANGI 7/12/1937
235 3510080304020003 AKBR PRATAMA BANYUWANGI 4/3/2003
236 6202063112560018 BASUKI BANYUWANGI 12/31/1956
237 3510085006810009 RATNA SULISTYOWATI BANYUWANGI 6/10/1983
238 3510081901810002 HERU WIDODO BANYUWANGI 1/19/1981
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KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SING
TANGGAL : 22-3-22 PLN

UMUR KELOMPOK "JENIS NAMA

UMUR "ALAMAT" "RT" "RW"
KELAMIN" KECAMATAN

(6) (7) (8) (9) (10) (11) (12)

48 46-59 L JL CANDI JAWI 56K BANYUWANGI 16

38 31-45 L PERUM SUTRI 6 4 16
43 31-45 L BANYUWANGI
30 18-30 L DSN POSSUMUR 4 6 BENGKAK
28 18-30 L DSN KOMIS KULON
29 18-30 L JL JAYAPURA NO 1 21
32 31-45 L SROYO TIMUR 2 1 SONGGON
40 31-45 L SUMBERAGUNG 2 4
31 31-45 L PERUM GRIYA PESONA KARANGREJO EE 03
34 31-45 L WONOSOBO
27 18-30 L DSN JALEN 1 5 SETAIL
29 18-30 L PERUMAHAN BOROBUDUR REGENCY C1
28 18-30 L JL KEDUNGREJO 1 1
54 46-59 L KETAPANG 21
39 31-45 L PERUM DADAPAN INDAH
32 31-45 L BALOKAN TEGALSARI
33 31-45 L JL DI PANJAITAN
30 18-30 L JL SIDOPEKSO 27 16
37 31-45 L
22 18-30 L LINGK SUKO 4 1 21
39 31-45 L JL IKAN LUMBA LUMBA 16
27 18-30 L DSN RINGIN MULYO DESA RINGINTELU
34 31-45 L LINGK CIPATUNG SUMEDANG
31 31-45 L DS SUMBERAN
26 18-30 L LINGK CUNGKING 1 1
32 31-45 L DSN BADES
48 46-59 L PERUM VILLA BUKIT MAS 1/19
28 18-30 L DSN SUKONATAR
39 31-45 L DSN UMBUL REJO
33 31-45 L JL MAWAR 3 2
47 46-59 L JL TAWANGALUN
41 31-45 L JL IKAN HIU 2 1 16
47 46-59 L
40 31-45 L JL BARONG 511
27 18-30 L DSN SUMBERAGUNG
41 31-45 L JL INDRA GIRI
23 18-30 L DSN SUMBERAGUNG SRONO
46 46-59 L CANGAAN
54 46-59 L LINGK KRAJAN 3 3 16
36 31-45 L JL SERAYU NO 31
26 18-30 P DSN DONOSUKO 1 1 BADEAN
44 31-45 L JL NUSA INDAH NO 42
39 31-45 L JL TERATAI NO 24 17
49 46-59 L PERUM VILLA BUKIT MAS BLOK A1 04
44 31-45 L PENATABAN 17
28 18-30 L KERTOSARI JL IKAN LOUHAN
45 31-45 L DSN AWU AWU 3 5
25 18-30 L KARANG MULYA TEGALSARI
34 31-45 P PERUM PESAT GATRA VILLAGE
29 18-30 L PETAHUNAN JAJAG
37 31-45 L JL BANTERANG BARU NO 44 16
43 31-45 L PERUM GRIYA GURIT 13
50 46-59 L PENATABAN
52 46-59 L PENGANTIGAN
33 31-45 L SAMBIREJO
55 46-59 L DSN KOPEN 2 2 GENTENG
30 18-30 P JL SATRIA BARAT MALANG
35 31-45 L DSN KRAJAN 4 6 GENTENG WETAN
30 18-30 L DSN BANGOREJO
45 31-45 L
53 46-59 L DSN GUNUNG SARI 3 2
25 18-30 L GENTENG
30 18-30 L KP TLEBUNG 2 1 SITUBONDO
40 31-45 L DS KRAJAN 1 5 CLURING
38 31-45 L DSN GAMBOR
41 31-45 L MUNCAR
37 31-45 L PLAMPANG REJO WONOSOBO
36 31-45 L TAPANREJO
29 18-30 L BALAK LOR 2 2 SONGGON
28 18-30 P DSN CANGAAN 2 7 GENTENG
31 31-45 P DSN CERMEAN 1 1 SINGOJURUH
45 31-45 L WONOSOBO
30 18-30 L DSN KRAJAN 3 3
30 18-30 L DSN KRAJAN MUNCAR
30 18-30 L DSN KALIREJO 3 7
40 31-45 L SELOAGUNG
28 18-30 L KEBALENAN
40 31-45 L JL AR HAKIM 3 2 PONOROGO
31 31-45 L DSN SUMBRBENING
24 18-30 L PLAMPANGREJO 1 2 CLURING
49 46-59 L DSN WRINGINPITU 2 1
43 31-45 L PLAMPANG REJO CLURING
27 18-30 L
46 46-59 L DSN ASEMAN 2 3
44 31-45 L SUKOPURO WETAN 1 1 SUKONATAR
41 31-45 L DSN SUMBERKEPUH TEGALDLIMO
33 31-45 P DSN SUMBERKEPUH
51 46-59 L TEMPUREJO 2 1 GAMBIRAN
42 31-45 L RINGINASRI 2 5
34 31-45 L DSN SUMBERAGUNG
54 46-59 L PERU M KALIPURO ASRI BLOK D/7
28 18-30 L DSN BUMISARI
25 18-30 P JL IKAN WIJINONGKO
40 31-45 L DSN KRAJAN 2 3 KABAT
21 18-30 L DSN KRAJAN 2 2 14
30 18-30 L PERUM SOBO
31 31-45 L PERUM GGM F13
46 46-59 L DS LEMAH BANG KULON SINGOJURUH
45 31-45 L KEPNDUNGAN SRONO
39 31-45 L CURAH PACUL 1 3 MUNCAR
24 18-30 L JL DARMAWANGSA
28 18-30 L DSN SUKOREJO 4 1 SINGOJURUH
41 31-45 L DSN KRAJAN BENELAN LOR
55 46-59 L DSN KEPUH WETAN
34 31-45 L
53 46-59 L DESA RINGIN PUTIH 3 2
45 31-45 L BARUREJO 1 5
38 31-45 L DSN GUNUNGSARI 2 2 BANGOREJO
23 18-30 P DSN KRAJAN 5 1
47 46-59 L SRONO
32 31-45 L JL IKAN PESUT NO 23
41 31-45 L MT HARIYONO NO 69
49 46-59 L DSN SUMBERSEWU
21 18-30 L DSN SILIRBARU
47 46-59 L DESA BULUREJO 4 1
33 31-45 L DSN REJOSARI 5 2 BENCULUK
47 46-59 L DSN PLAOSAN 3 2
33 31-45 L DSN KARANGDORO 3 2
27 18-30 P TEGALDLIMO
40 31-45 P JL ARIF RAHMAN HAKIM 3 2 PONOROGO
26 18-30 P PERUM BUNGA RESIDENCE D15
28 18-30 L BADES KARANGBENDO
40 31-45 P JL CUT NYAK DIEN NO 41
27 18-30 L SUMBEREJO
35 31-45 L KERTOSARI
37 31-45 P DS KEBAMAN SRONO
47 46-59 L DSN SUKOLILO SRONO
49 46-59 L DSN. KEMENDUNGB MUNCAR
25 18-30 L JL. IKAN CAKALANG 4 3 16
36 31-45 L DSN. WONOASIH 2 2
26 18-30 L DSN. KRAJAN 1 1
36 31-45 L DSN PANDAN 3 1
60 ≥60 L JL. IKAN LUMBA LUMBA 16
37 31-45 L DSN KEBONREJO 2 4 KALIBARU
23 18-30 L BLOK AGUNG
36 31-45 L DSN CANGAAN GENTENG WETAN
53 46-59 L JL. NUSA INDAH GIRI
29 18-30 L PERUM BOROBUDUR REGENCY 16
37 31-45 L JL. ABDULLAH 16
33 31-45 L WRINGIN PITU TEGALDELIMO
23 18-30 L BANGOREJO
41 31-45 P 16
34 31-45 L JL. IKAN LUMBA LUMBA 16
33 31-45 L PERUM CPI 16
26 18-30 P PERUM GRIYA GIRI MULYA 21
35 31-45 P DSN TIMUREJO ROGOJAMPI
35 31-45 L DS. PATOMAN
32 31-45 P PERUM GRIYA DADAPAN
30 18-30 L NAMBANGAN 2 1
49 46-59 P SINGONEGARAN 16
47 46-59 L KALILO 16
32 31-45 P 16
53 46-59 L JL. IKAN TOMBRO 16
39 31-45 L JL. IKAN CAKALANG 16
54 46-59 L PERUM SOBO KARTIKA 1 3 16
36 31-45 L PERUM BVILA BUKIT MAS 16
27 18-30 L JL. PINUS SUMBEREJO
45 31-45 L JL. IKAN SADAR 16
35 31-45 L DSN LATENG GLADAG
51 46-59 L PERUM PAKIS JALIO
48 46-59 L BANYUWANGI
29 18-30 L KEBUNREJO WONGSOREJO
47 46-59 L KEBUN KIDUL ROGOJAMPI
30 18-30 L JL. KALIURANG PASURUAN
47 46-59 L JL. CITARUM 16
29 18-30 L BALANGAN MENGWI
30 18-30 L JL. MAYOR SUPOMO
30 18-30 L JL. MENDUT 16
30 18-30 L DS. KEBONDALEM BANGOREJO
32 31-45 L DSN. SUKOMUKTI
29 18-30 L PERUM PENGATIGAN INDAH ROGOJAMPI
44 31-45 L KAMPUNGBARU 16
46 46-59 L BANYUWANGI
50 46-59 L LIDAH GAMBIRAN
59 46-59 L KRAJAN 2 7 STAIL
57 46-59 L YOSOWILANGUN JAJAG
23 18-30 L PACITAN
28 18-30 L DSN. PANJEN 3 4 JAMBEWANGI
31 31-45 P PERMATA GENTENG GENTENG
33 31-45 P JL. TRENGGONO 16
36 31-45 L DSN. MOJOROTO TEGALSARI
41 31-45 L DSN JALEN GENTENG
38 31-45 P DSN GURIT ROGOJAMPI
42 31-45 L REJOAGUNG SUMBERAGUNG
29 18-30 L DSN. PPENGASTULAN 2 1
41 31-45 L WATU ULO 1 2 REJOSARI
28 18-30 L SONGGON
23 18-30 L RINGIN TELU 2 3 BANGOREJO
44 31-45 L DSN SIDOLUHUR 1 3 SEPANJANG
23 18-30 L DSN SUMBERWANGI 4 18 WONOSOBO
26 18-30 L DSN. KENJO 3 2
60 ≥60 L GUMUKREJO
28 18-30 L JL. GANDRUNG 15
30 18-30 L DSN. SELOGIRI 8
21 18-30 L BOYOLANGU 17
40 31-45 L DS. SERE 2
42 31-45 L JL. IKAN PESUT
41 31-45 L BANYUWANGI
32 31-45 L DSN. JEMISARI 1 2
35 31-45 L TEMBOKREJO 5
53 46-59 L ROGOJAMPI
37 31-45 L BANYUWANGI
34 31-45 L DSN KRAJAN 19
43 31-45 L SRAGI 19
48 46-59 L JL. RONGGO WARSITO NGANJUK
29 18-30 L KRAJAN 12
42 31-45 L DS. REJOAGUNG 8
34 31-45 L WARENGAN 3 1 13
31 31-45 L PUOSOREJO 1 2 CLURING
29 18-30 P KAMP. TENGAH 3 2 ASEMBAGUS
47 46-59 L PALUREJO 5
30 18-30 L KRAJAN 5
34 31-45 P BANYUWANGI
27 18-30 L DS. KARANG KEMIRI BANYUMAS
30 18-30 L JL. IKAN PESUT
56 46-59 L DSN. KRAJAN BLIMBINGSARI
38 31-45 L JL. IKAN SEPAT KARANGREJO
 40 31-45 L KEPUNDAUNGAN 8
36 31-45 L DS. TREMBELANG 6
43 31-45 L JL. MUSI 16
34 31-45 L DSN. SIMBAR 6
26 18-30 L BABAKAN 14
21 18-30 L GLOWONG
49 46-59 P PERUM KEBALENAN 16
42 31-45 L JL. KERTANEGARA 16
48 46-59 L JL TEMBAKUR 1
28 18-30 L DSN. GUNUNG SARI
34 31-45 L WRINGIN PITU 3 7 TEGALDELIMO
30 18-30 L JOGOLATRI
45 31-45 L JL. PENATARAN 16
29 18-30 L JL. GUNUNG SARI 2
40 31-45 L BAGOREJO 8
75 ≥60 P JL. LETKOL ISTIQLAH 16
85 ≥60 P JL. LETKOL ISTIQLAH 16
19 18-30 L DSN. WONOSOBO
66 ≥60 L JL. PELITA TENGAH
39 31-45 P DSN. KRAJAN 4 1 WONOSOBO
42 31-45 L DSN KRAJAN WETAN 4 1 WONOSOBO
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

KSIN COVID-19 PUSKESMAS SINGOTRUNAN
ANGGAL : 22-3-22 PLN

"NAMA KELURAHAN JENIS PEKERJAAN BPJS TANGGAL VAKSIN PENTAHAPAN

(13) (14) (15) (16) (17)

3/22/2022
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95 3/22/2022
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3/22/2022
3/22/2022
97 3/22/2022
3/22/2022
3/22/2022
3/22/2022
11 3/22/2022
3/22/2022
95 3/22/2022
3/22/2022
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23 3/22/2022
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3/22/2022
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3/22/2022
10 3/22/2022
3/22/2022
3/22/2022
3/22/2022
3/22/2022
3/22/2022
3/22/2022
ENG WETAN 3/22/2022
3/22/2022
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9 3/22/2022
BUMIHARJO 3/22/2022
KEDUNGREJO 3/22/2022
KEMBIRITAN 3/22/2022
3/22/2022
3/22/2022
3/22/2022
ENG WETAN 3/22/2022
BOYOLANGU 3/22/2022
3/22/2022
3/22/2022
3/22/2022
3/22/2022
3/22/2022
3/22/2022
3/22/2022
91 3/22/2022
GITIK 3/22/2022
WATUKEBO 3/22/2022
3/22/2022
3/22/2022
16 3/22/2022
13 3/22/2022
3/22/2022
3/22/2022
3/22/2022
SOBO 3/22/2022
13 3/22/2022
3/22/2022
KARANGREJO 3/22/2022
3/22/2022
PAKIS 3/22/2022
3/22/2022
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TAMANBARU 3/22/2022
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BANGOREJO 3/22/2022
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3/22/2022
3/22/2022
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PADANG 3/22/2022
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3/22/2022
JELAS JELAS JELAS JELAS
VAKSIN-3 NO BATCH ALASAN TIDAK TERVAKSIN MEREK VAKSIN FASKES

(18) (19) (20) (21) (22)

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1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
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1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
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1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
1 ACB1252 ASTRAZENECA 9
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1 ACB1252 ASTRAZENECA 9
JELAS JELAS JELAS JELAS JELAS
 NO.HP KETERANGAN

(23) (24)

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JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510166003940002 FITRI ARUMSARI BANYUWANGI

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26 3510162103720010 SUNARDIYONO BANYUWANGI
27 3510165705880001 DINDA AJENG B BANYUWANGI
28 3510215006960005 FAVA NURBAITY BANYUWANGI
29 3510160509510001 SUTRISNO BANYUWANGI
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39 3510161610880001 HUZAIM BANYUWANGI
40 3510164908550002 HENY KUSWINARTI JOMBANG
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42 3510161711530001 LUCAS MARTONO BANYUWANGI
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50 3510102705940003 DIAN KUMBARA JAYA BANYUWANGI
51 3510180301930002 AUNUR ROHIM BANYUWANGI
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53 3511052410900002 UMARUL FARUQ ARIFU BANYUWANGI
54 3510160104640002 UNTUNG HARIYONO BANYUWANGI
55 3510164707670007 SRI WAHYUNINGSIH BANYUWANGI
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57 3510215201790004 FIFIN INDRAWATI R BONDWOSO
58 3510165809970003 SALHA ABU BAKAR SALIM BANYUWANGI
59 3510165507690007 CHOMSAH YULIA N BANYUWANGI
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62 3510166010750002 MARIYAM BANYUWANGI
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68 BAKCDATE ABDUL AZIS
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70 3510161601650001 BAMBANG EKO WINARTO BANYUWANGI
71 3510160711600004 SUHAIRI BANYUWANGI
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75 3510161505650005 SUNARYO BANYUWANGI
76 7371136811920006 NURUL MENTARI UJUNG PANDANG
77 3510164706790003 SAMSIYATUN BANYUWANGI
78 3510172106920003 CAKRA TRIWIBAWA BANYUWANGI
79 3510166503760002 EKO DIAN LIA LIDIA RINI BANYUWANGI
80 3510161911650002 ALI BAKRISUK BANYUWANGI
81 3510216008590002 INDAH RINI BANYUWANGI
82 3509206910830001 EMY SULISTYOWATI BANYUWANGI
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84 3508195812960001 AMINI SHARDA DEVI BANYUWANGI
85 3510165202860002 DIAN MARDIYATI CHOLIDAH BANYUWANGI
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87 3202292004700010 HUSNAN ARAFAH BANYUWANGI
88 3510164305980008 DELA HARUM NOVIA SARI BANYUWANGI
89 3510165203940002 TATIMMUS SHOLIHAAT MALANG
90 3510111203930006 HASAN BASRI BANYUWANGI
91 3510164107570040 YULIASIH BANYUWANGI
92 3510162503780006 RUDY SETYAWAN BANYUWANGI
93 3510050403030002 PANDU BRATA M BANYUWANGI
94 3510210504640005 SUBROTO BANYUWANGI
95 3509290210500001 EDY SANTOSO JEMBER
96 3510216410850001 TRI AYU NINGSIH BANYUWANGI
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 398
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KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTR
TANGGAL : 24-3-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

3/20/1994 28 18-30 P JL SIMPANG GAJAH MADA GG PALAPA II

4/9/1981 41 31-45 L JL RONGGO LAWE 6
8/30/1994 28 18-30 L JL RONGGO LAWE 6
3/17/1970 52 46-59 L
7/5/2000 22 18-30 P JL HOS COKROAMINOTO 4
9/25/1999 23 18-30 P JL SUMBING 62
12/27/1994 28 18-30 P PERUM GGM X-06 5
6/1/1991 31 31-45 L DSN LUGONTO 1
4/28/1985 37 31-45 L
3/20/1957 65 ≥60 L JL RINJANI GG III NO 3 3
7/28/1986 36 31-45 L JL KALILO NO 117 5
10/12/1996 26 18-30 P
12/16/1976 46 46-59 P JL LAWU II 2
6/6/1945 77 ≥60 P JL TERNATE
9/11/1970 52 46-59 L JL TERNATE 5
7/3/1977 45 31-45 L JL BATUR NO 14 1
9/1/1997 25 18-30 P JL MH THAMRIN 1
5/25/1992 30 18-30 P JL KALILO NO 117 5
12/7/1959 63 ≥60 L JL KALILO NO 12
7/3/1983 39 31-45 P JL BELITUNG NO 1
4/21/1971 51 46-59 P LINGK KALIPURO ASRI
12/18/1996 26 18-30 P JL MH THAMRIN 1
6/10/1980 42 31-45 P JL KAMPAR NO 3
6/28/1961 61 ≥60 P JL KRAKATAU NO 18 5
9/12/1974 48 46-59 P PERUM GRIYA SOBO ASRI II/C3
3/21/1972 50 46-59 L PERUM GRIYA SOBO ASRI II/C3
5/17/1988 34 31-45 P JL KH AGUS SALIM NO II 4
6/16/1996 26 18-30 P JL YOS SUDARSO SUKOWIDI 1
9/5/1951 71 ≥60 L JL RINJANI NO 44 1
2/9/1977 46 46-59 P KRAJAN WETAN 3
1/15/1974 49 46-59 L KRAJAN WETAN 3
6/17/1970 52 46-59 P JL SEKARDALU NO 2 2
8/30/1960 62 ≥60 P JL SUSUIT TUBUN GG III NO 16 1
9/20/1995 27 18-30 L LINGK. KOPENBAYAH 2
3/15/1954 68 ≥60 P PERUM VILLA PESONA TIDAR
9/21/1995 27 18-30 P JL. RIAU 3
7/5/1995 27 18-30 L KOPENBAYAH
 1/20/1959 64 ≥60 P PERUM GRIYA GIRI MULYA
10/16/1988 34 31-45 L BANYUWANGI
8/9/1955 67 ≥60 P JL. MERAPI
2/25/1980 42 31-45 P PERUM GRIYA DADAPAN INDAH
11/17/1953 69 ≥60 L JL. SUMBING
3/5/1997 25 18-30 L BTN TEGAL BULELENG
9/27/1996 26 18-30 L DSN.MELATI
8/6/2000 22 18-30 L BANJAR TENGAH NEGARA
10/3/1980 42 31-45 P JL. SUMBING 4
1/6/1985 38 31-45 P JL. TERNATE
12/24/1974 48 46-59 P PERUM GRIYA SOBO ASRI
1/8/1985 38 31-45 L BANYUWANGI
5/27/1994 28 18-30 L BANYUWANGI
1/3/1993 30 18-30 L DS. POSUMUR BENGKAK
8/23/1995 27 18-30 L DSN. LAOS
10/1/1990 32 31-45 L BANYUWANGI
4/1/1964 58 46-59 L GENTENGAN
7/7/1967 55 46-59 P JL. ANDALAS 2
12/10/1967 55 46-59 P JL. TIDAR
1/12/1979 44 31-45 P JL. IKAN SADAR
9/18/1997 25 18-30 L JL. IKAN KEPITING
7/15/1969 53 46-59 P PERUM SOBO INDAH
11/29/1960 62 ≥60 P JL. BATUR
5/24/1995 27 18-30 L PERUM GRIYA GIRI MULYA
10/20/1975 47 46-59 P JL. MERBABU
4/24/1972 50 46-59 L KALIPURO 4
2/22/1956 67 ≥60 P JL. MERBABU
2/16/1971 52 46-59 L BANYUWANGI
7/17/1954 68 ≥60 L JL. MH THAMRIN
12/30/1994 28 18-30 L BANYUWANGI
123 ≥60
4/27/1997 25 18-30 L BANYUWANGI
1/16/1965 58 46-59 L JL. TERNATE
11/7/1960 62 ≥60 L JL. ANDALAS
3/20/1957 65 ≥60 L JL. RINJANI
7/20/1997 25 18-30 P JL. TERNATE
3/22/1999 23 18-30 L PERUM KEBALENAN BARU 1
5/15/1965 57 46-59 L JL. LAWU 2
11/28/1992 30 18-30 P JL. TUDUNG
6/7/1979 43 31-45 L JL. SINDORO 4
6/21/1992 30 18-30 L PERUM PERMATA GIRI
3/25/1976 46 46-59 L PERUM VILLA PESONA TIDAR
2/19/1965 58 46-59 L JL. BELITUNG
8/20/1959 63 ≥60 P VILLA BUKIT MAS
10/29/1983 39 31-45 P BANYUWANGI
 3/30/1969 53 46-59 P JL. MH THAMRIN
12/18/1996 26 18-30 P JL. MH THAMRIN
2/12/1986 37 31-45 P JL. MAJAPAHIT
5/28/1979 43 31-45 L JL. BELITUNG 3
4/20/1970 52 46-59 L JL. BELITUNG
5/3/1998 24 18-30 P JL. OPAK 3
3/12/1994 28 18-30 P JL. BANGKA 2
3/12/1993 29 18-30 L DSN BARUREJO 1
7/1/1957 65 ≥60 P JL RINJANI NO 44 1
3/25/1978 44 31-45 L
3/4/2009 13 0 L DUSUN SIDOMULYO 3
4/5/1964 58 46-59 L
10/2/1950 72 ≥60 L DUSUN KRAJAN TIMUR 3
10/24/1985 37 31-45 P KJL TERNATE 3
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

 PUSKESMAS SINGOTRUNAN
4-3-22

JENIS
"RW" NAMA KECAMATAN "NAMA KELURAHAN PEKERJAA BPJS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3
N
(11) (12) (13) (14) (15) (16) (17) (18)

3/24/2022 1
4 MOJOKERTO 3/24/2022 1
4 MOJOKERTO 3/24/2022 1
3/24/2022 1
3 17 3/24/2022 1
16 14 3/24/2022 1
6 21 97 3/24/2022 1
2 13 ROGOJAMPI 3/24/2022 1
3/24/2022 1
3 16 14 3/24/2022 1
2 16 13 3/24/2022 1
3/24/2022 1
3 16 14 3/24/2022 1
16 12 3/24/2022 1
3 16 12 3/24/2022 1
4 16 14 3/24/2022 1
2 16 13 3/24/2022 1
2 16 13 3/24/2022 1
3/24/2022 1
16 12 3/24/2022 1
21 91 3/24/2022 1
2 16 13 3/24/2022 1
3/24/2022 1
3 16 14 3/24/2022 1
16 3/24/2022 1
16 3/24/2022 1
1 16 3/24/2022 1
2 21 91 3/24/2022 1
1 16 14 3/24/2022 1
1 SRONO 3/24/2022 1
1 SRONO 3/24/2022 1
1 16 11 3/24/2022 1
1 16 3/24/2022 1
4 GIRI 3/24/2022 1
16 13 3/24/2022 1
3 16 23 3/24/2022 1
GIRI 3/24/2022 1
 21 91 3/24/2022 1
3/24/2022 1
16 14 3/24/2022 1
3/24/2022 1
16 14 3/24/2022 1
BULELENG 3/24/2022 1
PROBOLINGGO 3/24/2022 1
BALI 3/24/2022 1
1 16 14 3/24/2022 1
16 12 3/24/2022 1
16 SOBO 3/24/2022 1
16 3/24/2022 1
16 3/24/2022 1
3/24/2022 1
GIRI 3/24/2022 1
3/24/2022 1
16 16 3/24/2022 1
1 16 14 3/24/2022 1
16 13 3/24/2022 1
16 3/24/2022 1
16 3/24/2022 1
16 SOBO 3/24/2022 1
16 14 3/24/2022 1
21 91 3/24/2022 1
16 14 3/24/2022 1
1 21 91 3/24/2022 1
16 14 3/24/2022 1
16 3/24/2022 1
16 12 3/24/2022 1
16 3/24/2022 1
3/24/2022 1
16 3/24/2022 1
16 12 3/24/2022 1
16 14 3/24/2022 1
16 14 3/24/2022 1
16 14 3/24/2022 1
4 16 3/24/2022 1
3 16 12 3/24/2022 1
MAKASSAR 3/24/2022 1
2 16 14 3/24/2022 1
GIRI 3/24/2022 1
16 13 3/24/2022 1
16 12 3/24/2022 1
16 13 3/24/2022 1
16 3/24/2022 1
 16 13 3/24/2022 1
16 13 3/24/2022 1
16 TAMANBARU 3/24/2022 1
2 16 14 3/24/2022 1
16 12 3/24/2022 1
1 16 13 3/24/2022 1
2 16 12 3/24/2022 1
4 11 3/24/2022 1
1 16 14 3/24/2022 1
16 14 3/24/2022 1
8 16 14 3/24/2022 1
16 14 3/24/2022 1
3 JEMBER 3/24/2022 1
3 16 12 3/24/2022 1
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

ACB1252 ASTRAZENECA 9 081237070768

ACB1252 ASTRAZENECA 9 081231831834
ACB1252 ASTRAZENECA 9 081334134921
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 085807118175
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 082141490960
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 082337454350
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 BLM ENTRY
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 08224706663
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 087757683530
ACB1252 ASTRAZENECA 9 081234588673
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 08123296365
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 081358785128
ACB1252 ASTRAZENECA 9 081358153191
ACB1252 ASTRAZENECA 9 081330156191
ACB1252 ASTRAZENECA 9 085238577001
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 0821321136544
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 081299134008
ACB1252 ASTRAZENECA 9 082232982799
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 89676368726
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 085338277881
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 085735656127
ACB1252 ASTRAZENECA 9 081936952255
ACB1252 ASTRAZENECA 9 082232354559
ACB1252 ASTRAZENECA 9 08113620868
ACB1252 ASTRAZENECA 9 089697637506
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 0838478310
ACB1252 ASTRAZENECA 9 081333522546
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 082141412013
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 081226396965
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 085236364168
ACB1252 ASTRAZENECA 9 087794892576
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 082142959302
ACB1252 ASTRAZENECA 9 082333528812
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 082330447861
ACB1252 ASTRAZENECA 9 081335701941
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 082337454350
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 081220382085
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 81232337903
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 083834869732
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510160805520003 WARSITO BANYUWANGI

2 3510164410860004 RIZKY OKTAVIANA BANYUWANGI
3 3510167006550058 SRI SUHENDINI BANYUWANGI
4 3510166004550005 ELISYA SULISTYO UTAMI BANYUWANGI
5 35101666003590001SUPARTI BANYUWANGI
6 3510164508870002 AYU RIZKY BANYUWANGI
7 3510164809590002 ISTIANAH BANYUWANGI
8 3510164109640001 SURTI BANYUWANGI
9 3510165006700010 MINUK BANYUWANGI
10 3510165103030003 SOFIA NUR AULIYA BANYUWANGI
11 3510166511740001 SRI WINDARI BANYUWANGI
12 3510167006340022 KUSWATI BANYUWANGI
13 3510164105800001 SUMIRAH BANYUWANGI
14 3510165509880008 PUJI LUTFIAH BANYUWANGI
15 3510162512810006 WIRDUNIA SOLICHIN S BANYUWANGI
16 3575031310900001 ABD SOMAD BANYUWANGI
17 3510162112520003 ZAINURI RAHMADI BANYUWANGI
18 3510164506560002 SRI MARYATI BANYUWANGI
19 3510164211580001 HJ ISTIQOMAH BANYUWANGI
20 3510161701710001 ABD YAZID BANYUWANGI
21 3510162701530001 SUDARSONO BANYUWANGI
22 3510166008680003 LINA RUSWITA BANYUWANGI
23 3510160702680001 HUSNAN BANYUWANGI
24 3510166710940004 OLIFTA WIDIANTI BANYUWANGI
25 3510166104600003 SUBANDIYAH BANYUWANGI
26 3510162109570001 SIDHARTA LAMONGAN
27 351067103610002 SITI HAWA BANYUWANGI
28 3510160107530093 MASTRUR BANYUWANGI
29 3510161309590001 BAMBANG SUGIARTO BANYUWANGI
30 3510165409730004 TUPLIK SUGIARTI BANYUWANGI
31 3510161901640002 MUNTHOLIB SIDOARJO
32 3510164804820004 LIA WIDYAWATI BANYUWANGI
33 3510160807680003 ALI MANSUR BANYUWANGI
34 3510205112480001 MARKAMAH BANYUWANGI
35 3510164111840009 RINA TRIWANTI BANYUWANGI
36 3510162003620001 BORADI BANYUWANGI
37 3510167009650011 SUMIATI BANYUWANGI
38 3510164810520001 SITI MAIMUNAH BANYUWANGI
39 3510162002730010 MOHAMMAD ALI IMRON BANYUWANGI
40 3510161706630001 HERMAN SUCIPTO BANYUWANGI
41 350924401690001 MARIJATUL ASTUTIK BANYUWANGI
42 3510160106830012 MOH SOFIN BANYUWANGI
43 3510164712970001 TINDI WAHYU AZHARI BANYUWANGI
44 3510160101710005 RUDI HARTONO BANYUWANGI
45 3510165209890003 YURI EKA PRASTIWI BANYUWANGI
46 3510165708750003 DEWI UTARI NGANJUK
47 3510160111680002 SUNARYO BANYUWANGI
48 3510064104620005 MASTUROH BANYUWANGI
49 3510165202030010 YASMIN DEVI BANYUWANGI
50 3510164404690002 ENIS IDAWATI BANYUWANGI
51 3510162106170004 DR AGUNG DYAH AYU BANYUWANGI
52 3510166305660003 SRI WATI BANYUWANGI
53 3510164504640005 UNTUNG FATIMAH BANYUWANGI
54 3510162005550002 SUDARSONO BANYUWANGI
55 3510165003490002 MALEHATUN BANYUWANGI
56 351016700654-0034 ARIFATUN BANYUWANGI
57 3510161505480002 SANUSI CHMAD BANYUWANGI
58 3510161208680003 BUDI RAHARJO BANYUWANGI
59 3510165507610005 SUPARTINI BANYUWANGI
60 3510166310800001 DEWI NIRAWATI BANYUWANGI
61 3510160504730002 MOHAMMAD BASUKI BANYUWANGI
62 3510161005770003 DARMAWAN BANYUWANGI
63 3510166807580002 SUWARNI BANYUWANGI
64 3510166510690001 SUYATMINI BANYUWANGI
65 3510161204700004 SLAMET WAHYUDI BANYUWANGI
66 3510167006430047 SAHAMI SUMENEP
67 35101216506890001SRI YUNITA BANYUWANGI
68 3510164408780001 AMBANG SITI MARIAMAH BANYUWANGI
69 3510162905790002 M.CHANDRA ARIEF BANYUWANGI
70 3510165710780002 RANIS BANYUWANGI
71 3510166106520004 SITI KIPTIYAH BANYUWANGI
72 3510163105710006 CANTY MEDYA P SURABAYA
73 3510160406790002 PANJI SUHARTONO BANYUWANGI
74 3507334211930001 LINDA PUJI PURNAWATI BANYUWANGI
75 3510162207870001 RINGGA SURADIHARJA BANYUWANGI
76 351016040752002 HAERONI BANYUWANGI
77 3510167006590047 SITI CHOTIJAH BANYUWANGI
78 3510166410990001 DINA ASIYAH AFANDI BANYUWANGI
79 3510165611620008 DIAN SUMARSI W BANYUWANGI
80 3510162909500002 ABDUL JALIL BANYUWANGI
81 3510161612440001 PUDJIONO KEBUMEN
82 3510167006540057 AMINAH KEBUMEN
83 3510160307640002 ABDUL ROHIM BANYUWANGI
84 3510166212590001 NURDIANA BANYUWANGI
85 3510165103510001 SUPINAH BANYUWANGI
86 3510160606630009 KUSMIYANTO BANYUWANGI
87 3510164501490001 SITI SAKWANAH BANYUWANGI
88 3510162503690003 HERY PRIATMOKO BANYUWANGI
 89 3510161906820005 EKO SETYA BUDI BANYUWANGI
90 3510066103850001 ROCHMATIN BANYUWANGI
91 3510165203560005 SUPIANI BANYUWANGI
92 3578013107540001 MULYADI BANYUWANGI
93 3510166705960001 ZULFA ISTIGFAROH BANYUWANGI
94 3510166608690007 SITI MASLAH BANYUWANGI
95 3510161407560002 TJUK WALUYO BANYUWANGI
96 3510162207570002 ACMAD YUSUF BANYUWANGI
97 3510164908580004 MARDIANA BANYUWANGI
98 35106165206510002LUSIANA SURABAYA
99 3510167006640059 SULASIAH BANYUWANGI
100 3510166505910003 NILA RISMAWATI BANYUWANGI
101 351016710580006 SUMIYATI BANYUWANGI
102 3510161808610002 BASTARI BANYUWANGI
103 3510160406540004 DARMO SANTOSO BANYUWANGI
104 3510166406520002 SITI HANAH BANYUWANGI
105 3510165307800005 INDRI YULIATI BANYUWANGI
106 3510162206910003 MOHAMMAD HARIYANTO BANYUWANGI
107 3510161002640003 SLAMET HARIYADI BANYUWANGI
108 3510165912810004 NUR SRI HANDAYANI BANYUWANGI
109 3510162208820003 MOH.AFANDI WIBISONO BANYUWANGI
110 3510166210910007 UMI NISFU LAILI BANYUWANGI
111 3510165808720003 SUMARDIANA BANYUWANGI
112 3510160111880003 DWI PRIYANTO BANYUWANGI
113 3510164408580008 NURHAYATI BANYUWANGI
114 3510161803720003 M.ALIF MAULANA BANYUWANGI
115 3510165409600001 UNTUNG KISWA BANYUWANGI
116 3510213110950004 AHMAD SOFYAN N BANYUWANGI
117 3510164505520002 ISMIATI BANYUWANGI
118 3510166004590006 SUDARSIH BANYUWANGI
119 3510165310840007 RUPITA MAYANGSARI BANYUWANGI
120 3510167006600342 KASTINI BANYUWANGI
121 3510161912800003 ENCIK ABDUL GOFAR BANYUWANGI
122 3510165305020003 DINA SALSABILA ROSINA BANYUWANGI
123 3510166912730003 SITI ROSIDAH BANYUWANGI
124 3510166210700005 ISTIK IDAYANI BANYUWANGI
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179 3510162212730002 YUSUF WIBISONO BANYUWANGI
180 3510164209600007 DJUMIYEM BANYUWANGI
181 3510166407020001 ILAN CAHYONI BANYUWANGI
182 3510164109690003 SULATIN BANYUWANGI
183 3510166803590001 ISTILAH BANYUWANGI
184 3510162302870002 RUSYDI RAHADIAN HARIY BANYUWANGI
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186 3510167006620056 SRI MUNAH BANYUWANGI
187 3510165506590004 INSIYAH BANYUWANGI
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189 3510160410700001 Ir. YUSTINUS IRWAN SURABAYA
190 3510162409950004 M. ADJI FATURRAHMAN BANYUWANGI
191 3510161707590001 SURAPIK BANYUWANGI
192 3510163009600002 SIYADI BANYUWANGI
193 3510184911650004 ROFIQOH BANYUWANGI
194 3510165410670001 NISWATI BANYUWANGI
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196 3510242609830003 HADI PURWANTO BANYUWANGI
197 SULASTRI SULASTRI BANYUWANGI
198 3510166409650005 SUMIYATI BANYUWANGI
199 3510166407770006 YENI YANUAWATI BANYUWANGI
200 3510165008630004 SUTINAH BANYUWANGI
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202 3510162108730005 RIBUT SENTIKO BANYUWANGI
203 3510166008870007 DIAH AGUS HARIYANTI BANYUWANGI
204 3510163001560001 SURACHMAN BANYUWANGI
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209 3510167110690004 SULIYANA BANYUWANGI
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211 3510167006530051 KASIYATIK BANYUWANGI
212 3510166011590002 JULAEHA BANYUWANGI
213 3510160701540003 TJUTJUK HARIYANTO BANYUWANGI
214 3510166512640002 SURATMI BANYUWANGI
215 3510167006520190 AMANAH BANYUWANGI
216 3510165206730003 SUPARWANTI BANYUWANGI
217 3510166712850005 ERMA NURLAILI BANYUWANGI
218 3510166602580001 SUSWATI BANYUWANGI
219 3510165202770010 FEBI DAMAYANTI BANYUWANGI
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223 351017407770004 HIKMAH EKAWATI BANYUWANGI
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227 3510163006530032 MOH. ZAINAL BANYUWANGI
228 3519125001680002 NANIK HARTINI BANYUWANGI
229 3510210711470002 MOHAMAD TOYIFI BANYUWANGI
230 3510167006670046 YASRI MARINA CEPU
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232 3510163006570045 TOIMIN BANYUWANGI
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241 3510165105990002 MEI RIZA A YUNI BANYUWANGI
242 3510162907000001 TRI FANDI FAHRURROZI BANYUWANGI
243 3510164903580001 HADIYAH BANYUWANGI
244 3610165708740004 AGUSTININGSIH BANYUWANGI
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246 3510164611800002 NOVI HANDAYANI BANYUWANGI
247 3510164509560004 SUKARTINI BANYUWANGI
248 3510164705770006 SITI UMAINAROH UMAIYAH JOMBANG
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KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNA
TANGGAL : 25/3/2022

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

5/8/1952 70 ≥60 L JL PROGO 3

10/4/1986 36 31-45 P JL PROGO 3
6/30/1955 67 ≥60 P JL JENDERAL SUDIRMAN 2
4/20/1956 66 ≥60 P JL JENDERAL SUDIRMAN
3/26/1959 63 ≥60 P JL OPAK
8/5/1987 35 31-45 P SURABAYA
9/8/1959 63 ≥60 P KRAJAN 1
9/1/1964 58 46-59 P JL KAPTEN ILYAS
6/12/1978 44 31-45 P JL PROGO
3/11/2003 19 18-30 P JL PROO 3
11/25/1974 48 46-59 P JL PROGO
6/30/1934 88 ≥60 P JL PROGO
1/1/1958 65 ≥60 P JL PROGO 2
9/15/1988 34 31-45 P JL PROGO
12/25/1981 41 31-45 P JL PROGO
10/13/1990 32 31-45 L JL PROGO 1
12/21/1952 70 ≥60 L JL PROGO
6/5/1956 66 ≥60 P JL PROGO
11/2/1958 64 ≥60 P JL PROGO
1/17/1971 52 46-59 L JLPROGO 1
1/27/1953 70 ≥60 L JL PROGO
8/20/1968 54 46-59 P JL PROGO 3
2/27/1968 54 46-59 P JL PROGO
10/27/1994 28 18-30 P JLPROGO
4/21/1960 62 ≥60 P JL KAPTEN ILYAS
9/21/1957 65 ≥60 P SINGOMAYAN BARAT
3/31/1961 61 ≥60 P JL PROGO
7/1/1953 69 ≥60 L JL LETQOL ISTIQLAH
9/13/1959 63 ≥60 L JL KAPTEN ILYAS
9/14/1973 49 46-59 P JL KAPTEN ILYAS
1/19/1964 59 46-59 L JL LETQOL ISTIQLAH 1
4/8/1982 40 31-45 P JL PROGO
7/8/1968 54 46-59 L JL PROGO
12/11/1948 74 ≥60 P DSN KRAJAN
11/1/1984 38 31-45 P JL KAPTEN ILYAS
3/20/1962 60 ≥60 L JL BENGAWAN 4
9/30/1965 57 46-59 P JL PROGO
10/8/1952 70 ≥60 P SINGONEGARAN
2/20/1973 50 46-59 L JL PROGO 3
6/17/1963 59 46-59 L JL KALIMAS 3
10/4/1969 53 46-59 P JL KALILO 1
6/1/1983 39 31-45 L JL PROGO
12/7/1997 25 18-30 L JL BENGAWAN
1/1/1971 52 46-59 L KRAJAN 2
9/12/1989 33 31-45 P JL KALIMAS 2
8/17/1975 47 46-59 P JL PROGO
11/1/1968 54 46-59 L JL PROGO
4/1/1962 60 ≥60 P DSN KRAJAN
2/12/2003 20 18-30 P DUREN 1
4/4/1969 53 46-59 P JL LETQOL ISTIQLAH
1/4/1980 43 31-45 P JL PROGO
5/23/1966 56 46-59 P JL BENGAWAN
5/15/1964 58 46-59 P JL LETQOL ISTIQLAH 3
5/20/1955 67 ≥60 L JL LETQOL ISTIQLAH 3
3/10/1949 73 ≥60 P JL PROGO 1
6/30/1954 68 ≥60 P JL PROGO 2
5/15/1948 74 ≥60 L JL KAPTEN ILYAS 3
8/12/1968 54 46-59 L JL PROGO 2
7/15/1961 61 ≥60 P JL PROGO 1
10/23/1980 42 31-45 P JL LETQOL ISTIQLAH
4/5/1973 49 46-59 L JL PROGO
5/10/1977 45 31-45 L JL PROGO 1
7/28/1958 64 ≥60 P GTG 3
10/25/1969 53 46-59 P GTG 3
4/12/1970 52 46-59 L JL PROGO 3
6/30/1943 79 ≥60 P JL BENGAWAN
6/25/1989 33 31-45 P PERUM VILLA GAJAH MADA 5
8/4/1978 44 31-45 P JL PROGO 1
5/26/1979 43 31-45 L JL PROGO 3
10/17/1978 44 31-45 P JL PROGO 2
6/21/1952 70 ≥60 P JL PROGO
5/31/1971 51 46-59 P JL KAPTEN ILYAS 1
6/4/1979 43 31-45 L JL KALIMAS 3
11/2/1993 29 18-30 P MALANG
7/22/1987 35 31-45 L JLKAPTEN ILYAS 2
7/4/1953 69 ≥60 P JLKALIMAS 3
6/30/1959 63 ≥60 P JL PROGO 2
10/24/1999 23 18-30 P JL LETQOL ISTIQLAH 3
11/16/1962 60 ≥60 P JL KAPTEN ILYAS 2
9/29/1950 72 ≥60 L JL PROGO 3
12/16/1944 78 ≥60 L JL PROGO 3
6/3/1954 68 ≥60 P JL PROGO 3
7/3/1964 58 46-59 L JL PROGO 1
12/22/1959 63 ≥60 P KALILO 3
3/11/1951 71 ≥60 P JL BENGAWAN
5/5/1962 60 ≥60 L JL PROGO 3
1/5/1949 74 ≥60 P JL PROGO
3/25/1969 53 46-59 L JL KAPTEN ILYAS 2
6/19/1982 40 31-45 L JL KALILO 2
3/21/1985 37 31-45 P JL KALILO
3/12/1956 66 ≥60 P JL PROGO 1
7/31/1954 68 ≥60 L JL LETQOL ISTIQLAH 2
5/27/1996 26 18-30 P JLPROGO
8/26/1969 53 46-59 P JL LETQOL ISTIQLAH
7/14/1956 66 ≥60 L JL BENGAWAN
7/22/1957 65 ≥60 L SINGONEGARAN
8/9/1958 64 ≥60 P SINGONEGARAN
6/12/1951 71 ≥60 P JL PROGO 1
6/30/1964 58 46-59 P SMB 1
5/25/1991 31 31-45 P JL LETQOL ISTIQLAH
5/31/1980 42 31-45 P JL PROGO 3
8/1/1961 61 ≥60 L SMB 1
6/4/1954 68 ≥60 L LATENG 4
6/24/1952 70 ≥60 P JL BENGAWAN
7/13/1980 42 31-45 P JL BENGAWAN
6/22/1991 31 31-45 L JL LETQOL ISTIQLAH
2/10/1964 59 46-59 L SINGONEGARAN
12/19/1981 41 31-45 P JL KAPTEN ILYAS 2
8/22/1982 40 31-45 L JL KAPTEN ILYAS
10/22/1991 31 31-45 P JL PROGO 3
8/18/1972 50 46-59 P JLKALIMAS 2
11/1/1988 34 31-45 L GTG 2
8/4/1968 54 46-59 P JL OPAK 2
3/18/1972 50 46-59 L JL PROGO 3
9/14/1960 62 ≥60 P GTG
10/31/1995 27 18-30 L KALIPURO
5/5/1952 70 ≥60 P JL BENGAWAN 3
4/20/1959 63 ≥60 P JL BENGAWAN
10/13/1984 38 31-45 P JL PROGO 2
6/30/1960 62 ≥60 P JL BENGAWAN
12/19/1980 42 31-45 L JL BENGAWAN 1
5/13/2002 20 18-30 P JL PROGO 1
12/29/1973 49 46-59 P JL BENGAWAN
10/22/1970 52 46-59 P JL PROGO 1
11/28/1973 49 46-59 P JL PROGO 1
5/4/1968 54 46-59 P JL LETQOL ISTIQLAH 1
6/29/1976 46 46-59 L JL BENGAWAN
10/28/1958 64 ≥60 P JL PROGO
4/25/1971 51 46-59 P JL LETQOL ISTIQLAH
6/30/1970 52 46-59 P JL BENGAWAN
6/6/1964 58 46-59 P JL BENGAWAN 2
8/2/1977 45 31-45 P JL KALILO 3
7/20/1990 32 31-45 P JL PROGO 2
8/5/1987 35 31-45 P KAJUDAN
6/14/1983 39 31-45 P SINGONEGARAN
6/30/1958 64 ≥60 P JL. PROGO
 6/21/1961 61 ≥60 P JL. PROGO 1
12/21/1993 29 18-30 P JL. PROGO
9/29/1969 53 46-59 P JL. OPAK 2
9/18/1976 46 46-59 P JL. PROGO 1
1/24/1970 53 46-59 L JL. POGO 1
12/18/1960 62 ≥60 P JL. PROGO
11/4/1959 63 ≥60 P JL. PROGO 3
3/24/1958 64 ≥60 L SINGONEGARAN
1/27/1953 70 ≥60 L JL. PROGO
3/1/1979 43 31-45 P KRAJAN 2
1/15/1958 65 ≥60 L JL. KAPTEN ILYAS
4/23/1999 23 18-30 L JL. PROGO 1
10/20/1966 56 46-59 P KRAJAN 3
12/27/1977 45 31-45 P JL. PROGO
8/4/1980 42 31-45 P JL. LETKOL ISTIQLAH 1
7/31/1978 44 31-45 L JL.PROGO 3
8/5/1954 68 ≥60 L JL. PROGO
3/12/1968 54 46-59 P JL. PROGO 2
11/5/1968 54 46-59 P JL. MUSI 1
12/24/1972 50 46-59 P JL. PROGO 1
11/1/1969 53 46-59 L JL. PROGO 2
5/12/1968 54 46-59 P JL. KALIMAS 3
1/19/1995 28 18-30 P JL. PROGO
6/1/1995 27 18-30 L JL. KALIMAS 3
3/1/1983 39 31-45 P KRAJAN 3
10/10/1945 77 ≥60 L JL. PROGO
6/30/1942 80 ≥60 L JL.LOSARI
3/23/1998 24 18-30 P JL. PROGO 3
1/21/1993 30 18-30 L JL. BENGAWAN 2
3/3/2003 19 18-30 P JL. KYAI ASYARI
6/19/1987 35 31-45 P JL. PROGO 3
6/1/1975 47 46-59 P JL. PROGO 1
12/27/1961 61 ≥60 P JL. KAPTEN ILYAS 3
6/30/1962 60 ≥60 P JL. KALIMAS 3
6/22/1988 34 31-45 L JL. RAYA SESETAN
7/5/1970 52 46-59 P JL. PROGO 3
5/8/1958 64 ≥60 L JL. PROGO 3
3/23/1992 30 18-30 P JL. RAYA SESETAN
10/28/1983 39 31-45 P JL. PROGO 2
6/26/1987 35 31-45 P JL. KAPTEN ILYAS
8/22/1970 52 46-59 L JL. LETKOL ISTIQLAH 1
4/7/1964 58 46-59 P PERUM GRIYA GIRI MULYA
12/22/1973 49 46-59 L GENTENGAN 3
9/2/1960 62 ≥60 P JL. LETKOL ISTIQLAH 1
6/24/2002 20 18-30 P GENTENGAN 3
9/1/1969 53 46-59 P JL. PROGO
3/28/1959 63 ≥60 P JL. PROGO 3
2/23/1987 35 31-45 L JL. KALIMAS 2
 8/18/1970 52 46-59 L JL. PROGO 1
6/30/1962 60 ≥60 P JL. LETKOL ISTIQLAH 2
6/15/1959 63 ≥60 P JL. PROGO
5/21/1997 25 18-30 L JL PROGO 3
10/4/1970 52 46-59 L JL. KAPTEN ILYAS 1
11/11/1996 26 18-30 L JL. KAPTEN ILYAS
7/17/1959 63 ≥60 L JL. KAPTEN ILYAS
9/30/1960 62 ≥60 L JL. KAPTEN ILYAS
11/9/1965 57 46-59 P JL. BENGAWAN 1
10/14/1967 55 46-59 P JL. LETKOL ISTIQLAH 3
10/5/1981 41 31-45 L JL. LOSARI 3
9/26/1983 39 31-45 L PERUM VILLA GAJAH MADA 5
6/10/1961 61 ≥60 P JL. PROGO 3
9/24/1965 57 46-59 P JL. PROGO 1
7/24/1977 45 31-45 P JL. PROGO 2
8/10/1963 59 46-59 P JL. KAPTEN ILYAS 2
11/3/1978 44 31-45 P JL. PROGO 3
8/21/1973 49 46-59 L JL. PROGO 1
8/20/1987 35 31-45 P JL. KAPTEN ILYAS 2
1/30/1956 67 ≥60 L JL. PROGO
12/19/1980 42 31-45 L JL. BENGAWAN 1
7/3/1984 38 31-45 P JL. MT HATIYONO 2
7/12/1982 40 31-45 P PERUM VILLA GAJAH MADA 5
12/11/1963 59 46-59 P JL. WIBISANA
10/31/1969 53 46-59 P JL. PROGO
11/10/1960 62 ≥60 L JL. BENGAWAN 2
6/30/1953 69 ≥60 P JL. BENGAWAN
11/20/1959 63 ≥60 P JL. KALIMAS
1/7/1954 69 ≥60 L JL. KALIMAS
12/25/1964 58 46-59 P JL. BENGAWAN 2
6/30/1952 70 ≥60 P JL. PROGO 3
6/11/1973 49 46-59 P JL. PROGO 3
12/27/1985 37 31-45 P JL. BENGAWAN 2
2/26/1958 64 ≥60 P JL. OPAK 2
2/12/1977 46 46-59 P JL. KAPTEN ILYAS 1
3/30/1998 24 18-30 L JL. BENGAWAN 2
3/20/1954 68 ≥60 P JL. LETKOL ISTIQLAH
6/20/1948 74 ≥60 P JL. PROGO
7/7/1977 45 31-45 P JL. KAPTEN ILYAS
9/1/2000 22 18-30 L GENTENGAN
12/4/1962 60 ≥60 P JL. PROGO 3
11/27/1993 29 18-30 L JL. PROGO 3
6/30/1953 69 ≥60 L JL.BENGAWAN
1/10/1968 55 46-59 P JL. SARADAN SENOPATI
11/7/1947 75 ≥60 L SECANG
6/30/1967 55 46-59 P JL. PROGO 3
11/30/1976 46 46-59 P JL.BENGAWAN 2
6/30/1957 65 ≥60 L GENTENGAN
 3/11/1977 45 31-45 P JL. BENGAWAN 2
8/29/1975 47 46-59 L JL. BENGAWAN 2
11/13/1967 55 46-59 P GENTENGAN 4
9/7/1969 53 46-59 P JL. PROGO 1
5/1/1963 59 46-59 P KRAJAN 3
6/9/1973 49 46-59 L GENTENGAN 4
7/11/1959 63 ≥60 P KALILO 1
9/6/1959 63 ≥60 L KALILO
5/11/1999 23 18-30 P JL. LETKOL ISTIQLAH 1
7/29/2000 22 18-30 L JL. PROGO 3
3/9/1958 64 ≥60 P JL. BENGAWAN 2
8/17/1974 48 46-59 P GENTENGAN 4
1/23/2001 22 18-30 L GENTENGAN 4
11/6/1980 42 31-45 P JL.BENGAWAN 2
9/5/1956 66 ≥60 P JL. BENGAWAN
5/7/1977 45 31-45 P JL. LETKOL ISTIQLAH 1
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 0
0

JELAS JELAS JELAS JELAS JELAS

-19 PUSKESMAS SINGOTRUNAN
25/3/2022

NAMA JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3

"RW" "NAMA KELURAHAN BPJS
KECAMATAN PEKERJAAN

(11) (12) (13) (14) (15) (16) (17) (18)

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 1 16 16 3/25/2022
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1 16 PAKIS 3/25/2022
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 1 16 14 3/25/2022
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1 16 16 3/25/2022
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SURABAYA 3/25/2022
16 16 3/25/2022
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2 16 16 3/25/2022
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16 3/25/2022
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16 TUKANGKAYU 3/25/2022
2 16 14 3/25/2022
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1 16 16 3/25/2022
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SANGLAH 3/25/2022
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SANGLAH 3/25/2022
3 16 16 3/25/2022
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21 91 3/25/2022
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2 16 16 3/25/2022
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1 16 16 3/25/2022
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3 16 16 3/25/2022
2 16 TUKANGKAYU 3/25/2022
3 16 16 3/25/2022
DENPASAR 3/25/2022
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3 16 16 3/25/2022
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2 16 16 3/25/2022
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16 16 3/25/2022
CARUBAN 3/25/2022
21 91 3/25/2022
2 16 16 3/25/2022
2 16 16 3/25/2022
16 16 3/25/2022
 2 16 16 3/25/2022
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1 16 16 3/25/2022
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
NO BATCH ALASAN TIDAK MEREK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(19) (20) (21) (22) (23) (24)

ACB1252
ACB1252 087857224102
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ACB1252 V3
ACB1252 V3
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ACB1252 V3
ACB1252 V3
ACB1252 V3
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ACB1252 085336580776 V3
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ACB1252 V3
ACB1252 085232270438 V3
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ACB1252 V3
ACB1252 087857176139 V3
ACB1252 085784885731 V3
ACB1252 082332807102 V3
ACB1252 V3
ACB1252 V3
ACB1252 085336580776 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 083831936872 V3
ACB1252 082139101788 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 081234634604 V3
ACB1252 V3
ACB1252 V3
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ACB1252 V3
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ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
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ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 081234552305 V3
ACB1252 V3
ACB1252 V3
ACB1252 082131549533 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 085336924887 V3
ACB1252 V3
ACB1252 082232807226 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 081233742679 V3
ACB1252 V3
ACB1252 08233981095 V3
ACB1252 V3
ACB1252 V3
ACB1252 087871484152 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
ACB1252 V3
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 35101624050300004DITO H BANYUWANGI 5/24/2003

2 3510161512650005 SUNARTO BANYUWANGI 12/15/1965
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13 3510166610010009 SINTA OKTAVIA BANYUWANGI 10/1/2001
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53 3510166303690003 HUSNUL KHOTIMAH BANYUWANGI 3/23/1969
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57 3510164205600001 SUTINI BANYUWANGI 5/2/1960
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111 3510165503700005 HENI PUSPITA RATNA DEWBANYUWANGI 3/15/1970
112 3510161008800004 SAIFUL KAHFI BANYUWANGI 8/10/1980
113 35101620120000011DIMAS HERIANTO BANYUWANGI 12/20/2000
114 3510166807760003 HARTINI BANYUWANGI 7/28/1976
115 3510164708740002 KARWANINGSIH BANYUWANGI 8/7/1974
116 3510165302730005 SITI MARIYAM BANYUWANGI 2/13/1973
117 3510166610620001 TUTIK RUSIANI BANYUWANGI 10/26/1962
118 3510164510770007 TURIA HANDAYANI BANYUWANGI 10/5/1977
119 3510165504650005 SULIYANA BANYUWANGI 4/15/1965
120 3510161101650001 SAMSURI BANYUWANGI 1/11/1965
121 3510164603440001 NURUL JANNAH BANYUWANGI 3/6/1944
122 3510166905690002 NUR HANISAH BANYUWANGI 5/29/1969
123 3510166110730006 ANISWATI BANYUWANGI 10/21/1973
124 3510165008450006 KIPTIYAH BANYUWANGI 8/10/1945
125 3510162208700007 DARUL ALIM BANYUWANGI 8/22/1970
126 3510165604620002 NENI WAHYUNI BANYUWANGI 4/16/1962
127 3510160306550002 ASEP DARMAWAN BANDUNG 6/3/1955
128 3504036011920004 FIA IZZATUL MUNA BANYUWANGI 11/20/1992
129 3510244306950003 DHINDA JIMY PRADASARI BANYUWANGI 6/3/1995
130 3510161504580002 SYAFIUDIN SUMENEP 4/15/1958
131 3510165212510004 ASNAYAH BANYUWANGI 12/12/1941
132 3510165902000008 FRISCA ANANTASYA FEBIOBANYUWANGI 2/19/2000
133 3510166711970005 EVA NURHALIZA BANYUWANGI 11/27/1997
134 3510046001960005 LILA IKA FATMAWATI BANYUWANGI 1/6/1996
135 3510161712770000 IMAM SYAFI'I BANYUWANGI 12/17/1977
136 3510156710840002 ENDANG MARTA KURNIAWBANYUWANGI 10/27/1984
137 3510166304690001 SITA MARLIANA BANYUWANGI 4/23/1969
138 3510166406730001 HALILLAH BANYUWANGI 6/24/1973
139 3510165105480002 NANY NURAINI BANYUWANGI 5/11/1948
140 3512081710800001 REVIANUS ALEXANDER T BANYUWANGI 10/17/1980
141 3510166404560003 NANIK WIDARINI BANYUWANGI 4/24/1956
142 3510161006570001 SUNAHYU BANYUWANGI 6/10/1957
143 3510167006600082 JOHRIYAH BANYUWANGI 6/30/1960
144 3510165605770007 PURWATI BANYUWANGI 5/16/1977
145 3510162401640001 SUGIYANTO BANYUWANGI 1/24/1964
146 3510160501680003 MUHAMMAD JALALI BANYUWANGI 1/5/1968
147 3510164202620003 MARWATI BANYUWANGI 2/2/1962
148 3510165011390002 SRINGATI OETAMI BANYUWANGI 11/10/1939
149 3510165512830006 LULUK HANIAH BANYUWANGI 12/15/1983
150 3510165209520001 NURHAYATI BANYUWANGI 9/12/1952
151 3510164602490002 MUSANNADAH BANYUWANGI 2/6/1949
152 3510162406770010 SUYONO BANYUWANGI 6/24/1977
153 3510167005580002 KARTINI BANYUWANGI 5/30/1958
154 3510161706740002 MUHTAROM BANYUWANGI 6/17/1974
155 3510166302820006 IKA LINDIARTI BANYUWANGI 2/23/1982
156 3510161705860002 MOCH IMAM WAHYUDI BANYUWANGI 5/17/1986
157 3510160704010003 YOGA PRASETYO A BANYUWANGI 4/7/2001
158 3510166009720006 CICIK WAHYU P BANYUWANGI 9/20/1972
159 3510160810550004 SUHAIMI BANYUWANGI 10/8/1955
160 3510161203640003 SUGIANTONO BANYUWANGI 3/12/1964
161 3510165204570003 RINA WIDYANI BANYUWANGI 4/12/1957
162 3512140105820003 DIMAS ADRIANTO BANYUWANGI 5/1/1982
163 3510162507680004 ABD HAMID BANYUWANGI 7/5/1968
164 3510163107780001 KETUT AL HEQQY A BANYUWANGI 7/31/1978
165 3510164609760002 NURUL DAMAYANTI BANYUWANGI 9/6/1976
166 3510160105820001 TEGUH WIDYANTOMO BANYUWANGI 5/1/1982
167 3510164708630002 SURATI BANYUWANGI 8/7/1963
168 3510166604550001 R A RAMDANINGSIH BANYUWANGI 4/26/1955
169 3510166505620000 SUWARNI BANYUWANGI 5/25/1962
170 3510165010700006 FAUZIAH BANYUWANGI 10/10/1970
171 3510165708680003 ZAINAB BANYUWANGI 4/14/1967
172 351016610000002 YURISMAN ENDRIYANI BANYUWANGI 10/26/2000
173 3510160205700007 HAMZAH BANYUWANGI 5/2/1970
174 3510165003740002 TRISNO BUDIHARTI BANYUWANGI 3/10/1974
175 3510164811850003 AINUN DEWI WARDANI BANYUWANGI 11/8/1985
176 3510163006640031 JONO BANYUWANGI 6/30/1964
177 3510160712590003 WAGIMIN BANYUWANGI 12/7/1959
178 3510165512690001 ROHANAH BANYUWANGI 12/14/1969
179 3510166904830008 INA MARIANA BANYUWANGI 4/29/1983
180 3510166712800002 SUNINGSIH BANYUWANGI 12/27/1980
181 3510165902640002 MUFIDAH BANYUWANGI 2/19/1964
182 3510166602720002 PANCA ISWARINI BLUMAJANG 2/26/1972
183 3510162401770001 ACHMAD ARROFIK BANYUWANGI 1/24/1977
184 3510164609790002 FITRI FATMAWATI BANYUWANGI 9/6/1979
185 3510210903860007 MOH HARIS ASHARI BANYUWANGI 3/9/1986
186 3510161507540001 SANAPI BANYUWANGI 7/15/1954
187 3510165211970002 RETNO RIZKY GUMILANG BANYUWANGI 11/12/1997
188 3510161208610002 ABDUL AZIS BANYUWANGI 8/12/1961
189 3510164711790011 YUNITA ESTIKA SUWARDINBANYUWANGI 11/7/1979
190 3510215102550002 SITI AFRASIA BANYUWANGI 2/11/1955
191 3519122710680001 ABDUR RAHMAN BANYUWANGI 10/27/1968
192 3510165504690002 SULASTRI BANYUWANGI 4/15/1969
193 3209121007810008 SIGIT PRAMONO BANYUWANGI 7/10/1981
194 3510164909710006 CUCU SUSANAH CIANJUR 9/9/1971
195 3510165706810006 SUMARNI BANYUWANGI 6/17/1981
196 3510166204440002 HAINIYAH BANYUWANGI 4/22/1944
197 3510165805780005 SITI MUNAWAROH POROGO 5/18/1978
198 3510166911650001 LILIS LISNAWATI BANYUWANGI 11/29/1965
199 3510160505470001 SUKARDJI KARTO BANYUWANGI 5/5/1947
200 3510166005960008 YESI FATRIKA NARA BANYUWANGI 5/20/1996
201 3510165212800011 DWI YANTI BANYUWANGI 12/12/1980
202 3510162702630001 BONANG PRASUNAN BANYUWANGI 2/27/1963
203 3510167005590008 JAMILAH BANYUWANGI 5/30/1959
204 3510164608570004 TOLAAH BANYUWANGI 8/6/1957
205 3510165507650007 ISLAMIYAH BANYUWANGI 7/15/1965
206 3510161712620001 IMRON MASHURI BANYUWANGI 12/17/1962
207 3510164810680001 ROSIDAH BANYUWANGI 10/8/1968
208 3510166004550002 NURHAYATI BANYUWANGI 4/20/1955
209 3510165107790001 RAJAONAH BANYUWANGI 7/11/1979
210 3510167006560038 NIHAYAH BANYUWANGI 6/30/1956
211 3510161303500001 ABDULLAH BANYUWANGI 3/13/1950
212 3510166706810004 SRI WAHYUNI BANYUWANGI 6/27/1981
213 3510160107690055 MUH KHOIRUL ANAM BANYUWANGI 7/1/1969
214 3510166612530001 HJ ZUNAIDAH BANYUWANGI 12/26/1953
215 3510166506020003 SITI AISYAH BANYUWANGI 6/15/2002
216 3510162012800004 TEGUH SETIA BUDI BANYUWANGI 12/20/1980
217 3510167006530219 SRI SETIYOWATI BANYUWANGI 8/4/1953
218 3510166708740001 JUMA'ATI BANYUWANGI 8/27/1974
219 3515151907660001 BAMBANG PUJO TRIOKO PONOROGO 7/19/1966
220 3510166910740001 ERNAWATI BANYUWANGI 10/1/1974
221 3510162806630003 HARIYONO BANYUWANGI 6/28/1963
222 3510161102730002 SUTAMAN BANYUWANGI 2/11/1973
223 3510182402610003 AKHMAD SANTOSO BANYUWANGI 2/24/1961
224 3510214605890003 MELYSA RIADINY BANYUWANGI 5/6/1989
225 3510165805860002 EKA DIAH KARYAWATI BANYUWANGI 5/18/1986
226 3510166510630002 NURSIRTU BILLAILI BANYUWANGI 10/25/1963
227 3578125408900001 ELSITA RISNAWATI GOBEL BANYUWANGI 8/14/1990
228 3510211402720004 ANDREAS CAHYA LLOYD BANYUWANGI 2/14/1972
229 3510166807690001 SUMARNI BANYUWANGI 7/28/1969
230 3510175907690003 FAIQATUL HIMMAH BANYUWANGI 7/19/1969
231 3510116607780003 SRI WIDAYATI BANYUWANGI 7/26/1978
232 3510163006490017 ABDUR ROHIM BANYUWANGI 6/30/1949
233 3510166806640002 SAKDIAH BANYUWANGI 6/28/1964
234 3510166111440001 ARBAINAH BANYUWANGI 11/21/1944
235 3510163003730001 SUGENG WIBOWO BANYUWANGI 3/30/1973
236 3510162510640004 M SISWANTO BANYUWANGI 10/25/1964
237 3510165008520008 PARSIH BANYUWANGI 8/10/1952
238 3509056908800002 SICILIA SARI BANYUWANGI 8/29/1980
239 3510164303680004 SAM'AH BANYUWANGI 3/3/1968
240 3510165312650002 SUMIYATUN BANYUWANGI 12/13/1965
241 3510162008920003 TEGUH HARIADI BANYUWANGI 8/20/1992
242 3510170101840003 HAIRUL ANIS BANYUWANGI 1/1/1984
243 3510165509810012 HILMA MAULANA BANYUWANGI 9/15/1981
244 3510166810690003 DEWI ISMAYANTI BANYUWANGI 10/28/1969
245 3510160404650007 MOH GUNAWAN BANYUWANGI 4/4/1965
246 3510166109570001 MARSISWATI BANYUWANGI 9/21/1957
247 3510166810640003 SULISTIOWATI BANYUWANGI 10/28/1964
248 3510166106690003 LILIK HARIYANI BANYUWANGI 6/21/1969
249 3510162712640005 ISMAIL BANYUWANGI 12/27/1964
250 3510060902970002 IMAMROYANI BANYUWANGI 2/4/1997
251 3510161008610003 HARIYADI BANYUWANGI 8/10/1961
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 398
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KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 26-3-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

19 18-30 L JL PROGO 16
57 46-59 P JL PROGO 3 2 16
31 31-45 P JL KALILO
19 18-30 P JL PROGO 2 2 16
46 46-59 L JL PROGO 2 2 16
80 ≥60 P JL KALILO
62 ≥60 L JL KALILO
25 18-30 L JL PROGO 2 2 16
33 31-45 P JL IKAN PAUS KRGREJO 4 4 16
54 46-59 P JL PROGO 1 2 16
54 46-59 P JL PROGO 16
30 18-30 P JL PROGO 2 3 16
21 18-30 P KRAJAN SNG 2 3 16
44 31-45 L JL PROGO 3 2 16
51 46-59 P JL BENGAWAN 3 3 16
59 46-59 L JL OPAK 2 1 16
64 ≥60 P JL SERUNI
48 46-59 P JL KAPTEN ILYAS 3 2 16
43 31-45 P JL KAPTEN ILYAS 2 2 16
38 31-45 P JL KAPTEN ILYAS 16
26 18-30 P JL ARGOPURO JEMBER 1 2
75 ≥60 P KRAJAN S 16
56 46-59 L GTG 2 3 16
54 46-59 L JL PROGO 16
48 46-59 P JL PROGO 2 3 16
59 46-59 L JL BENGAWAN 1 3 16
49 46-59 P KRAJAN 2 3 16
73 ≥60 P JL PROGO 1 2 16
65 ≥60 P JL PROGO 1 3 16
64 ≥60 P JL PROGO 3 1 16
56 46-59 P KEPATIHAN 2 1
64 ≥60 P KRAJAN 2 3 16
49 46-59 L JL PROGO 2 2 16
68 ≥60 P SMB 1 1 16
36 31-45 L JL PRAMBANAN 1 1
24 18-30 P JL KAPTEN ILYAS 2 1 16
68 ≥60 P JL LETQOL ISTIQLAH 2 1 16
 47 46-59 P JL PROGO 1 3 16
56 46-59 L JL PROGO 1 3 16
62 ≥60 P JL PROGO 1 1 16
54 46-59 P JL KAPTEN ILYAS 1 1 16
56 46-59 P JL PROGO 2 3 16
47 46-59 P GTG 1 3 16
54 46-59 L SNG 16
59 46-59 P JL KALILO 3 1 16
59 46-59 P JL KALILO 1 1 16
50 46-59 P JL BENGAWAN 16
58 46-59 L JL BENGAWAN 16
78 ≥60 P JL BENGAWAN 16
35 31-45 P WATU UNCUL 3 1
70 ≥60 L GTG 2 3 16
62 ≥60 P GTG 3 2 16
53 46-59 P JL KALILO 3 1 16
49 46-59 P SNG
47 46-59 P JL CITARUM
56 46-59 P CITARUM
62 ≥60 P JL KALILO 16
56 46-59 P SMB 16
21 18-30 L PERUM PERMATA HUSADA BLOK E9 16
28 18-30 P JL RIAU 2 4 16
79 ≥60 L JL KAPTEN ILYAS 16
59 46-59 L JL PROGO 2 2 16
74 ≥60 P JL PROGO 2 2 16
74 ≥60 P JL PROGO 2 2 16
67 ≥60 L JL BENGAWAN 2 1 16
20 18-30 P DSN PEKARANGAN
36 31-45 P SILIRAGUNG 9 2
22 18-30 P JL PROGO 1 2 16
41 31-45 P GTG 2 1 16
#REF! #REF! L GTG 2 2 16
53 46-59 L SMB 2 2 16
54 46-59 L PERUM VILLA GAJAH MADA 16
38 31-45 P PERUM VILLA GAJAH MADA 16
77 ≥60 P JL LOSARI 16
66 ≥60 P JL BENGAWAN 1 1 16
20 18-30 L JL KAPTEN ILYAS 16
27 18-30 L JL PROGO 16
65 ≥60 P JL BENGAWAN 4 3 16
57 46-59 P JL PROGO 2 2 16
30 18-30 L JLOPAK 2 2 16
31 31-45 P PERUM VILLA GAJAH MADA 5 3 16
59 46-59 L JL KALIMAS 2 1 16
 44 31-45 L PERUM KEBALENAN 3 4 16
68 ≥60 L JL BENGAWAN 16
62 ≥60 L JL LOSARI 2 1 16
#REF! #REF! L JL BENGAWAN 16
41 31-45 P SNG 16
52 46-59 P JL LETQOL ISTIQLAH 16
40 31-45 P JL KALILO 3 1 16
50 46-59 P JL KAPTEN ILYAS 1 1 16
21 18-30 L SMB 2 1 16
31 31-45 P DSN KRAJAN 4 2 16
53 46-59 L JL KALILO 1 1 16
19 18-30 P JL PROGO 2 2 16
66 ≥60 P JL TERNATE 3 3 16
63 ≥60 L JL KAPTEN ILYAS 2 1 16
65 ≥60 L JL KAPTEN ILYAS 16
64 ≥60 P SNG 16
34 31-45 L JLPROGO 16
59 46-59 L JL BENGAWAN 2 2 16
49 46-59 L JL BENGAWAN 1 2 16
46 46-59 L JL KAPTEN ILYAS 1 1 16
57 46-59 L JL KALILO 16
46 46-59 L JL BENGAWAN 4 3 16
28 18-30 L KARANGBENDO 2 3 16
62 ≥60 L SMB 16
56 46-59 P SMB 2 1 16
52 46-59 P JL PROGO NO 1 2 3 16
35 31-45 P JL PROGO LINGK KRAJAN
57 46-59 P 16
52 46-59 P JL PROGO 3 3 16
42 31-45 L JL PROGO NO 1 2 3 16
22 18-30 L JL PROGO NO 01 2 3 16
46 46-59 P JL PROGO NO 27 2 2 16
48 46-59 P JL PROGO 2 2 16
50 46-59 P JL PROGO NO 25 2 2 16
60 ≥60 P JL KALILO GG TERATAI NO 7 3 1 16
45 31-45 P JL PROGO 16
57 46-59 P JL PROGO 2 2 16
58 46-59 L JL PROGO 2 2 16
78 ≥60 P JL KAPTEN ILYAS NO 54
53 46-59 P JL PROGO NO 23 16
49 46-59 P JL PROGO 2 3 16
77 ≥60 P JL KAPTEN ILYAS NO 02 16
52 46-59 L JL PROGO NO 02 2 3 16
60 ≥60 P JL OPAK NO 26 2 1 16
67 ≥60 L JL LETKOL ISTIQLAH NO 15 3 3 16
30 18-30 P PERUM VILLA GAJAH MADA BLOK E.03 16
27 18-30 P SINGONEGARAN 16
64 ≥60 L JL PROGO NO 27 3 2 16
81 ≥60 P JL PROGO NO 34 16
22 18-30 P JL KARIMUN JAWA NO 41 16
25 18-30 P JL BENGAWAN GG ANONIM NO 09
27 18-30 P JL BENGAWAN 2 2 16
45 31-45 L KRAJAN 2 3 16
38 31-45 P PERUM VILLA GAJAH MADA BLOK F6 16
53 46-59 P JL PROGO NO 5 1 2 16
49 46-59 P JL PROGO NO 42 1 2 16
74 ≥60 P JL KAPTEN ILYAS NO 15 16
42 31-45 L
66 ≥60 P JL DHARMAWANGSA
65 ≥60 L JL DHARMAWANGSA
62 ≥60 P JL PROGO NO 21 3 1 16
45 31-45 P JL KAPTEN ILYAS NO 09 GG TERAT 2 1 16
59 46-59 L JL PROGO 04 16
55 46-59 L JL LETKOL ISTIQLAH NO 23 1 1 16
61 ≥60 P PROGO 3 2 16
83 ≥60 P JL BENGAWAN GG KENANGA 16
39 31-45 P JL KALILO GG TERATAI NO 7 1 1 16
70 ≥60 P JL KALILO GG TERATAI NO 7
74 ≥60 P JL KALILO NO 10 3 1 16
45 31-45 L LINGK GENTENGAN 1 3 16
64 ≥60 P GENTENGAN 1 3 16
48 46-59 P LINGK GENTENGAN 4 3 16
40 31-45 P JL OPAK NO 25 16
36 31-45 L JL OPAK NO 25 16
21 18-30 L JL KALILO NO 14 1 1 16
50 46-59 P JL PROGO NO 2 16
67 ≥60 L JL BENGAWAN GG ANONIM NO 28 16
58 46-59 L JL MH THAMRIN 1 1 16
65 ≥60 P JL KALIMAS 16
40 31-45 L WONOREJO BANYUPUTIH
54 46-59 L LINGK GENTENGAN 16
44 31-45 L JL BENGAWAN GG KENANGA NO 27 16
46 46-59 P 16
40 31-45 L JL KALIMAS NO 46 2 1 16
59 46-59 P JL LOSARI 3 1 16
67 ≥60 P JL KAPTEN ILYAS 1 3 16
60 ≥60 P JL LOSARI NO 46 16
52 46-59 P JL KALILO 3 1 16
55 46-59 P JL KALILO NO 15 SMB 16
22 18-30 P JL KALILO 3 1 16
52 46-59 L JL LETKOL ISTIQLAH 1 1 16
48 46-59 L PERUM PERMATA HUSADA BLOK E 9
37 31-45 P JL BENGAWAN 4 3 16
58 46-59 L PERUM GAJAH MADA BLOK G 10 16
63 ≥60 L JL KALILO NO 17 16
53 46-59 P PERUM GAJAH MADA BLOK G 10 5 3 16
39 31-45 P JL PROGO 1/1/1900 3 16
42 31-45 P JL BENGAWAN NO 18 16
59 46-59 P BENGAWAN 16
50 46-59 P JL KALILO 1 1 16
46 46-59 L JL PROGO NO27 2 2 16
43 31-45 P LINGK KRAJAN BULUSAN 2 2 21
36 31-45 L JL KAPTEN ILYAS NO 19 16
68 ≥60 L JL PROGO NO 52 16
25 18-30 P JL PROGO NO 32 16
61 ≥60 L JL PROGO NO 14 2 3 16
43 31-45 P JL LETKOL ISTIQLAH 3 2 16
68 ≥60 P JL TIDORE 4 2 21
54 46-59 L SARADAN
53 46-59 P JL CITARUM 3 3 16
41 31-45 L JL KALILO 1 1 16
51 46-59 P JL BENGAWAN 2 1 16
41 31-45 P JL BENGAWAN 2 1 16
78 ≥60 P JL KALIMAS NO 46 16
44 31-45 P JL BENGAWAN 2 1 16
57 46-59 P JL PROGO NO 23 3 3 16
75 ≥60 L BENGAWAN 16
26 18-30 P JL KALIMAS NO 8 16
42 31-45 P JL LETKOL ISTIQLAH 1 2 16
59 46-59 L JL KAPTEN ILYAS NO 3 1 1 16
63 ≥60 P JL BENGAWAN GG NUSA INDAH 3 2 16
65 ≥60 P JL BENGAWAN 16
57 46-59 P JL BENGAWAN 1 1 16
60 ≥60 L JL PROGO 2 2 16
54 46-59 P JL CITARUM 3 3 16
67 ≥60 P LINGK SINGOMAYAN BARAT 16
43 31-45 P LINGK SMB 2 2 16
66 ≥60 P JL LETKOL ISTIQLAH NO 31 16
72 ≥60 L JL KAPTEN ILYAS 2 2 16
41 31-45 P LINGK GENTENGAN 16
53 46-59 L JL LETKOL ISTIQLAH NO 42 16
69 ≥60 P JL PROGO NO 1 16
20 18-30 P SINGONEGARAN 16
42 31-45 L JL KAPTEN ILYAS 1 1 16
69 ≥60 P LINGK SMB 16
 48 46-59 P JL LETKOL ISTIQLAH GG KENANGA 2 1 16
56 46-59 L DSN PANDEAN 6 1 SIDOARJO
48 46-59 P KRAJAN 1 2 16
59 46-59 L JL PROGO NO 28 16
50 46-59 L JL PROGO 1 2 16
61 ≥60 L JL BENGAWAN GG KENANGA 1 1 16
33 31-45 P JL LETKOL ISTIQLAH NO 27 4 1 16
36 31-45 P JL LETKOL ISTIQLAH 3 2 16
59 46-59 P JL LETKOL ISTIQLAH NO 26 3 2 16
32 31-45 P PERUM VILLA GAJAH MADA G 2 16
51 46-59 L TELUK NIBUNG TIMUR 5 8 SBY
53 46-59 P JL KALILO GG MELATI 1 1 16
53 46-59 P JL MAWAR 1 3 17
44 31-45 P KRAJAN 3 9 KALIBARU WETAN
73 ≥60 L JL PROGO NO 26 16
58 46-59 P KRAJAN 16
78 ≥60 P JL PROGO NO 12 2 2 16
49 46-59 L JL PROGO NO 42 3 2 16
58 46-59 L 16
70 ≥60 P JL BENGAWAN GG KENANGA NO 29A 16
42 31-45 P JL KAPTEN ILYAS NO 17 1 1 16
54 46-59 L 16
57 46-59 P LINGK KALILO 3 4 16
30 18-30 L JL PROGO 2 2 16
39 31-45 L PENATABAN 3 4 17
41 31-45 P JL PENGANTGAN 16
53 46-59 P JL SIDOPEKSO 3 2 16
57 46-59 L JL PROGO 1 3 16
65 ≥60 P JL OPAK NO 50 16
58 46-59 P LINGK SMB 1 1 16
53 46-59 P JL IKAN LAYUR 1 1 16
58 46-59 L JL IKAN LAYUR NO 50 1 1 16
26 18-30 L DSN CEMPOKOSARI 5 2
61 ≥60 L JL PROGO 3 3 16
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

MAS SINGOTRUNAN

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK

"NAMA KELURAHAN BPJS TERVAKSIN
PEKERJAAN

(13) (14) (15) (16) (17) (18) (19) (20)

16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
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16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
 16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
12 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
BANYUPUTIH 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
92 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
91 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
 16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
10 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
LIBARU WETAN 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
13 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
13 3/26/2022 1 ACB1252
11 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
SOBO 3/26/2022 1 ACB1252
SOBO 3/26/2022 1 ACB1252
3/26/2022 1 ACB1252
16 3/26/2022 1 ACB1252
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

AZTRAZENECA 081999276797
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AZTRAZENECA
AZTRAZENECA
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AZTRAZENECA
AZTRAZENECA
AZTRAZENECA
AZTRAZENECA
AZTRAZENECA
AZTRAZENECA
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AZTRAZENECA 081358863368
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ASTRAZENECA 9
ASTRAZENECA 9
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ASTRAZENECA 9 082298945857
ASTRAZENECA 9 085812483640
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ASTRAZENECA 9
ASTRAZENECA 9 083830524508
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ASTRAZENECA 9
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ASTRAZENECA 9 081330156625
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ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 082332589171
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ASTRAZENECA 9 085231055235
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ASTRAZENECA 9 081240013792
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ASTRAZENECA 9 082141828098
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ASTRAZENECA 9 085215242841
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JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510160202630002 MOH.ARIFUDIN BANYUWANGI 2/2/1963

2 3510162907560002 GATOT SETIADI WIRABUNA BANYUWANGI 7/29/1956
3 3510164508970004 DIRGAMAYA DEWASASRI HA
BANYUWANGI 8/5/1997
4 3510164805650002 SUMIATI BANYUWANGI 5/8/1965
5 3510164305900002 FITRI DWI A JAKARTA 5/3/1990
6 3510165603790016 MUAYANAH BANYUWANGI 3/16/1979
7 3510164903840003 RINA LESTARI BANYUWANGI 3/9/1984
8 3510164104900005 RENDITA TRISSIA P BANYUWANGI 4/1/1990
9 3510164211980002 NOVIA RISKYNDARI BANYUWANGI 11/2/1998
10 3510165202710003 HAYYUNA ABDAI BANYUWANGI 2/12/1971
11 3674012912670001 TJAHJADI BANYUWANGI 12/29/1967
12 3510166606610004 RAHAYUNINGSIH BANYUWANGI 6/26/1961
13 3509192509870002 ANDRE FERDIANTO BANYUWANGI 9/25/1987
14 5101015610810008 ROHIMAH BANYUWANGI 10/16/1981
15 3510166197820009 FITRIYAH BANYUWANGI 7/21/1982
16 3510164307970002 VIOLA AYUNANI BANYUWANGI 7/3/1997
17 5171046911780003 SUYATMI USMAN BANYUWANGI 11/29/1978
18 3510162404860003 RIZAL S.P BANYUWANGI 4/24/1986
19 3510165910480001 KATMI BANYUWANGI 10/19/1948
20 3510076602980002 TEYSA FEBI VIOLITA BANYUWANGI 2/26/1998
21 3510162508720004 AGUS SLAMET PURNOMO BANYUWANGI 8/1/1972
22 3510150909820003 HERMANTO BANYUWANGI 9/9/1982
23 3510215601590003 SUSIANI BANYUWANGI 1/16/1959
24 3510165505460002 SEKARWATI BANYUWANGI 5/15/1946
25 3510165410700005 MAS CAHAYA RINI SUNDARBANYUWANGI 10/14/1970
26 3511111401600003 MUH. HASAN BULELENG 1/14/1960
27 3510154807950004 SITI RAHMASARI BANYUWANGI 7/7/1995
28 3510216611670003 DWI LAHATININGSIH BANYUWANGI 11/26/1969
29 3510215212640004 FAURIYAH BANYUWANGI 12/12/1964
30 3510166704990002 DIYA MAULINA JULFA BANYUWANGI 4/27/1999
31 3510165712980002 DINDA SARI R BANYUWANGI 12/17/1998
32 3510164104030004 GITA APRILIYAH BANYUWANGI 4/1/2003
33 3510166812010004 TIA AGNI ARDIYAN F BANYUWANGI 12/28/2001
34 3510216003020002 FENY RAHMAWATI BANYUWANGI 3/20/2002
35 3313140506600002 NURHADI ARIS BANYUWANGI 6/5/1960
36 3510165003890002 KIKI MARIA UTAMA BANYUWANGI 3/10/1989
37 3510162303680003 UMAR ABDAT BANYUWANGI 3/23/1968
38 3510162409800001 ALI SLAMET BANYUWANGI 9/24/1980
39 6202062103830001 EDI SUPRAPTO BANYUWANGI 3/21/1983
40 3510160701650001 SURIYANTO BANYUWANGI 1/7/1965
41 3510165205700006 NURHAYATI BANYUWANGI 5/12/1970
42 3510216506980001 EKA BELA YUNIAR BANYUWANGI 6/25/1998
43 3510216104940008 SITI MARIA ULFA BANYUWANGI 10/18/1994
44 3510215711820002 DWI KRISTANTI BANYUWANGI 11/17/1982
45 3510162812020002 ASWIN DHAFA RAHADIAN BANYUWANGI 12/28/2002
46 3510165803830005 HOLIPAH IKA RUPAWATI BANYUWANGI 3/18/1983
47 5171036601590001 NURUL HIDAYATI BANYUWANGI 1/26/1959
48 3510166209570001 HERNIYATI BANYUWANGI 9/22/1957
49 7371132701840003 JAMIL ILHAM UJUNG PANDAN 1/28/1986
50 3510162109980001 RENALDY MUSTOFA BANYUWANGI 9/21/1998
51 3510165703750002 RISTIANA BANYUWANGI 3/17/1975
52 3510164906690004 BUTET MISNIAR BANYUWANGI 6/9/1969
53 3510164704770004 ARI MARIYATI BANYUWANGI 4/7/1977
54 3510164912520003 HIKMAH BANYUWANGI 12/9/1952
55 3510165906700002 NIFA YUNIARTI BANYUWANGI 6/19/1970
56 3510165003930008 HAJAR NUR RAHMAWATI BANYUWANGI 9/10/1993
57 3510186402920003 DEWI KURNIAWATI BANYUWANGI 2/24/1992
58 3510162802490004 BASRI BANYUWANGI 2/28/1949
59 3510161602630001 SYAMSI BANYUWANGI 2/16/1963
60 3529236405970001 RITA KHAIRINA APRIATI SUMENEP 5/24/1997
61 3510161603880002 YUDI KURNIAWAN BANYUWANGI 3/16/1988
62 3510166612800005 VIRDA DAMAYANTI BANYUWANGI 12/26/1980
63 3571021505840006 MOH. ANTON GOZALI BANYUWANGI 5/15/1984
64 3510166510990004 AGNES ELFARETA FATIMA BANYUWANGI 10/25/1999
65 3510214712930001 KENNIS EFRIX ROZANA BANYUWANGI 12/7/1993
66 3510165205370002 DJAENAB BANYUWANGI 5/12/1937
67 3510164204670004 DWI ERNAWATI BANYUWANGI 4/2/1967
68 3510144211020004 NUR ADELIA PUTRI H BANYUWANGI 11/2/2002
69 3510165609670002 SUPARTI BANYUWANGI 9/16/1967
70 3510166410020002 SILVIA OKTA RIZKA BANYUWANGI 10/24/2002
71 3510165605600002 HARSINI BANYUWANGI 5/16/1960
72 3510164112580002 SIYAMAH BANYUWANGI 12/1/1958
73 3510161105600006 ACHMAD BUSONO BANYUWANGI 5/11/1960
74 3510160602570002 SODIQ BANYUWANGI 2/6/1957
75 3510164904590001 SRI LESTARI SURIYANTINI BANYUWANGI 4/9/1959
76 3510165107010003 MAHDA MAULIDIYA BANYUWANGI 7/11/2001
77 3510162008920004 HERU CAHYO HAJARDIANTBANYUWANGI 8/20/1992
78 3510166004920001 IDA FITRIA BANYUWANGI 4/20/1992
79 3510162110770005 AGUS HARIYADI BANYUWANGI 10/21/1977
80 3510214707850002 LINDA LISTYORINI BANYUWANGI 7/1/1985
81 3510166511820006 NUR HASANAH BANYUWANGI 11/25/1982
 82 3510164909390001 HJ. NISWATIN BANYUWANGI 9/9/1939
83 3510164608610003 UMI ROHILA BANYUWANGI 8/6/1961
84 3510166208850001 HAFIDOH HUMAIROH BANYUWANGI 8/22/1985
85 3510164711700002 YETTY RACHMAWATI BANYUWANGI 11/7/1970
86 3510160206640002 AHMAD AUNUR ROHIM BANYUWANGI 1/2/1964
87 3510165205670003 SITI RAHMANIYAH BANYUWANGI 5/12/1967
88 3510165512980001 DUVALIANI NADYA K BANYUWANGI 12/15/1998
89 3171084510850004 ATRIZA SAPUTRI JAKARTA 10/5/1985
90 3510161208880003 MUHAMMAD CHAIRUMAN BANYUWANGI 8/12/1988
91 1571074802910041 DELVIA PEBRIDA MANADO 2/8/1991
92 IIS
93 3510164111600002 PUDJI CHUSUSANTI SURABAYA 11/1/1960
94 3510162404740003 ACHMAD ROFIQUR ROCHMBANYUWANGI 4/24/1974
95
96
97
98
99
100
101
102
103
104
105
106
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127
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172
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307
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351
352
353
354
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 397
398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 28-3-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

60 ≥60 L KEROBOKAN 3 2 16
66 ≥60 L
25 18-30 L JL MH THAMRIN 16
57 46-59 P JL MERBABU 1 4 16
32 31-45 P JL TERNATE 2 3 16
43 31-45 P KEROBOKAN 3 2 16
38 31-45 P JL PROGO 16
32 31-45 P JL SUMBING 1 2 16
24 18-30 P KROBOKAN 3 2 16
52 46-59 P JL. IJEN 1 4 16
55 46-59 L KEPATIHAN 16
61 ≥60 P JL. RINJANI 16
35 31-45 L DSN. TULUNGREJO 1 1 GLENMORE
41 31-45 P JL. TIDAR 2 1 16
40 31-45 P JL. ANDALAS 3 1 16
25 18-30 P JL. KRAKATAU 5 3 16
44 31-45 P PERUM WAHYU KAYANGAN DENPASAR
36 31-45 L JL. SUMBING 3 2 16
74 ≥60 P JL. JEND. SUDIRMAN 2 1 16
24 18-30 P DS. KAMPUNG BARU 2 3 7
50 46-59 L JL. SUMBING 4 2 16
40 31-45 L JL. CEKOMARIA
64 ≥60 P GENTENGAN 16
76 ≥60 P JL. MH THAMRIN 16
52 46-59 L SINGOMAYAN BARAT 1 2 16
63 ≥60 L KAMPUNG BARU 4 1 21
27 18-30 P JL. BANTERANG 1 2 16
53 46-59 P SUKOWIDI 21
58 46-59 P SUKOWIDI 21
23 18-30 P JL. KH. HARUN 5 1 16
24 18-30 P PERUM SEKAR
19 18-30 P BANYUWANGI 16
21 18-30 P BANYUWANGI 16
20 18-30 P BANYUWANGI 16
62 ≥60 L JL. TANGKUBAN PERAHU 16
33 31-45 P JL. RIAU 16
54 46-59 L JL. IJEN 16
42 31-45 L JL. MH THAMRIN 1 1 16
39 31-45 L DS. KRAJAN WETAN 2 1WONOSOBO
58 46-59 L JL. GUNUNG SRAWET 16
52 46-59 P JL. GUNUNG SRAWET 16
24 18-30 P SUKOWIDI 3 2 21
28 18-30 P DS. KRAJAN WETAN ALASBULUH
40 31-45 P PERUM VILLA BUKIT MAS 16
20 18-30 L JL. MALABAR 16
39 31-45 P JL. MH THAMRIN 16
64 ≥60 P JL. ANDALAS 1 1 16
65 ≥60 P JL. RINJANI 1 1 16
37 31-45 L JL. NUSANTARA 4 3 16
24 18-30 L JL. ANDALAS 1 1 16
47 46-59 P JL. ANDALAS 1 1 16
53 46-59 P KRAJAN 4 4 16
45 31-45 P JL. GALUNGGUNG 4 3 16
70 ≥60 P JL. GALUNGGUNG 4 3 16
52 46-59 P JL. GUNUNG AGUNG 3 2 16
29 18-30 P PERUM PURI BRAWIJAYA PERMAI 16
30 18-30 P DSN. KRAJAN 12 2 18
73 ≥60 L JL. TERNATE 16
60 ≥60 L JL. BATUR 3 3 16
25 18-30 P JL. ANDALAS 3 3 16
34 31-45 L JL. ANDALAS 3 3 16
42 31-45 P JL. MUSI 1 2 16
38 31-45 L JL. MUSI 1 2 16
23 18-30 P JL. MUSI 16
29 18-30 P DSN. KRAJAN DUA 3 7 GENTENG
85 ≥60 P JL. OPAK 16
55 46-59 P JL. SINGOSARI 2 2 16
20 18-30 P DSN. KERTOSARI 3 2 KABAT
55 46-59 P JL. BHRE WIRABUMI 2 2 16
20 18-30 P JL. MALABAR 2 1 16
62 ≥60 P JL. LOSARI 3 1 16
64 ≥60 P JL. PROGO 16
62 ≥60 L JL. JENDRAL SUDIRMAN 1 2 16
66 ≥60 L JL. RIAU 2 4 16
63 ≥60 P JL. RIAU 2 4 16
21 18-30 P JL. KERTANEGARA 1 3 16
30 18-30 L JL. BENGAWAN 16
30 18-30 P JL. BENGAWAN 16
45 31-45 L JL. RINJANI 1 2 16
37 31-45 P JL. RINJANI 1 2 16
40 31-45 P KEBUN JERUK 16
 83 ≥60 P JL. SUPRIYADI 16
61 ≥60 P JL. SUPRIYADI 16
37 31-45 P JL. CANDI JAWI 16
52 46-59 P JL. SUPRIYADI 2 2 16
59 46-59 L JL. SUPRIYADI 16
55 46-59 P BANYUWANGI 16
24 18-30 P GENTENGAN 2 3 16
37 31-45 P JL. KENARI 2 1 MIMIKA
34 31-45 L PERUM GRIYA SOBO ASRI 16
32 31-45 P PERUM GRIYA SOBO ASRI 16
123 ≥60 JL. SUPRIYADI 16
62 ≥60 P JL. MH THAMRIN 1 1 16
48 46-59 L JL. SUPRIYADI 16
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

MAS SINGOTRUNAN

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK

"NAMA KELURAHAN BPJS TERVAKSIN
PEKERJAAN

(13) (14) (15) (16) (17) (18) (19) (20)

23 3/28/2022 1 ACB1252
3/28/2022 1 ACB1252
13 3/28/2022 1 ACB1252
14 3/28/2022 1 ACB1252
12 3/28/2022 1 ACB1252
23 3/28/2022 1 ACB1252
16 3/28/2022 1 ACB1252
14 3/28/2022 1 ACB1252
23 3/28/2022 ACB1252
14 3/28/2022 1 ACB1252
3/28/2022 1 ACB1252
14 3/28/2022 ACB1252
GLENMORE 3/28/2022 1 ACB1252
14 3/28/2022 1 ACB1252
14 3/28/2022 ACB1252
14 3/28/2022 1 ACB1252
DENPASAR 3/28/2022 1 ACB1252
14 3/28/2022 ACB1252
16 3/28/2022 1 ACB1252
3/28/2022 1 ACB1252
14 3/28/2022 ACB1252
3/28/2022 1 ACB1252
3/28/2022 1 ACB1252
13 3/28/2022 ACB1252
16 3/28/2022 1 ACB1252
BULUSAN 3/28/2022 1 ACB1252
10 3/28/2022 ACB1252
91 3/28/2022 1 ACB1252
91 3/28/2022 1 ACB1252
TUKANG KAYU 3/28/2022 ACB1252
BAKUNGAN 3/28/2022 1 ACB1252
3/28/2022 1 ACB1252
3/28/2022 ACB1252
3/28/2022 1 ACB1252
14 3/28/2022 1 ACB1252
12 3/28/2022 ACB1252
 14 3/28/2022 1 ACB1252
14 3/28/2022 1 ACB1252
WONOSOBO 3/28/2022 ACB1252
14 3/28/2022 1 ACB1252
14 3/28/2022 1 ACB1252
91 3/28/2022 ACB1252
ALASBULUH 3/28/2022 1 ACB1252
13 3/28/2022 1 ACB1252
14 3/28/2022 ACB1252
13 3/28/2022 1 ACB1252
14 3/28/2022 1 ACB1252
14 3/28/2022 ACB1252
10 3/28/2022 1 ACB1252
14 3/28/2022 1 ACB1252
14 3/28/2022 ACB1252
12 3/28/2022 1 ACB1252
14 3/28/2022 1 ACB1252
14 3/28/2022 ACB1252
14 3/28/2022 1 ACB1252
KEBALENAN 3/28/2022 1 ACB1252
ALASBULUH 3/28/2022 ACB1252
12 3/28/2022 1 ACB1252
14 3/28/2022 1 ACB1252
14 3/28/2022 ACB1252
14 3/28/2022 1 ACB1252
PENGANJURAN 3/28/2022 1 ACB1252
PENGANJURAN 3/28/2022 ACB1252
PENGANJURAN 3/28/2022 1 ACB1252
3/28/2022 1 ACB1252
13 3/28/2022 ACB1252
TAMANBARU 3/28/2022 1 ACB1252
PENDARUNGAN 3/28/2022 1 ACB1252
10 3/28/2022 ACB1252
14 3/28/2022 1 ACB1252
16 3/28/2022 1 ACB1252
16 3/28/2022 ACB1252
16 3/28/2022 1 ACB1252
12 3/28/2022 1 ACB1252
12 3/28/2022 ACB1252
KEBALENAN 3/28/2022 1 ACB1252
16 3/28/2022 1 ACB1252
16 3/28/2022 ACB1252
14 3/28/2022 1 ACB1252
14 3/28/2022 1 ACB1252
12 3/28/2022 ACB1252
 3/28/2022 1 ACB1252
3/28/2022 1 ACB1252
TAMANBARU 3/28/2022 ACB1252
TAMANBARU 3/28/2022 1 ACB1252
TAMANBARU 3/28/2022 1 ACB1252
3/28/2022 ACB1252
16 3/28/2022 1 ACB1252
3/28/2022 1 ACB1252
TUKANG KAYU 3/28/2022 ACB1252
TUKANG KAYU 3/28/2022 1 ACB1252
TAMANBARU 3/28/2022 1 ACB1252
13 3/28/2022 ACB1252
TAMANBARU 3/28/2022 1 ACB1252
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

ASTRAZENECA 085204553698
ASTRAZENECA
ASTRAZENECA 082233146196
ASTRAZENECA 085235266459
ASTRAZENECA
ASTRAZENECA 085204553698
ASTRAZENECA 08228912542
ASTRAZENECA
ASTRAZENECA 089682727274 V3
ASTRAZENECA V3
ASTRAZENECA 081316314227 V3
ASTRAZENECA 085234767472 V3
ASTRAZENECA 085558556087 V3
ASTRAZENECA 081339599355 V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA 085737222220 V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA 082334112458 V3
ASTRAZENECA 081338795323 V3
ASTRAZENECA 087762447479 V3
ASTRAZENECA 087755823762 V3
ASTRAZENECA 085235540517 V3
ASTRAZENECA V3
ASTRAZENECA 082245927033 V3
ASTRAZENECA 081336804846 V3
ASTRAZENECA 085855319538 V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA 083851919119 V3
ASTRAZENECA V3
ASTRAZENECA 081238388690 V3
ASTRAZENECA V3
ASTRAZENECA 085230542119 V3
ASTRAZENECA 085259114219 V3
ASTRAZENECA 081259453270 V3
ASTRAZENECA 082236889224 V3
ASTRAZENECA V3
ASTRAZENECA 081335899234 V3
ASTRAZENECA 081238388690 V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA 081336436312 V3
ASTRAZENECA 088231812804 V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA 085236109345 V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA 082132777199 V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
ASTRAZENECA V3
JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510166706990002 NUR WAHYUNI BANYUWANGI 9/27/1999

2 3510161703720006 HADI SUYANTO BANYUWANGI 3/17/1972
3 3510164110570003 SUWARSIH BANYUWANGI 10/1/1957
4 3510165208540007 HAULAH BANYUWANGI 8/12/1954
5 3510164808720004 HENI SUKAISIH BANYUWANGI 8/8/1972
6 3510164401980004 FIROTUL MUNIROH BANYUWANGI 1/4/1998
7 3215044606780006 FEMI WAHYUNI BANYUWANGI 6/6/1978
8 3510160282880001 FERY SANDI BANYUWANGI 2/2/1988
9 3510161307590002 SUPIYONO BANYUWANGI 7/13/1959
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24 3510164311830001 EVIE NOVIANDARI BANYUWANGI 11/3/1983
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26 35104411010001 PATRIA BANYUWANGI 11/4/2001
27 3510165807010004 NURIS SHOBAHATUS SALABANYUWANGI 18/1/2001
28 3510162007720003 MOH. ALI HANDOKO BANYUWANGI 20/7/72
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30 3510164509850001 YUNITA SARI BANYUWANGI 5/9/1985
31 3510165512590001 KAMILA BANYUWANGI 15/12/59
32 3510163006510116 MOH. LAZIM BANYUWANGI 30/6/51
33 3201070504930006 MOH. RIDWAN BANYUWANGI 5/4/1993
34 3510114303690002 MUSRIAH BANYUWANGI 3/3/1969
35 3510217000480110 PATATUN BANYUWANGI 30/6/48
36 3374085608960002 AGUSTINA MALA BANYUWANGI 16/8/96
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40 3510164501000004 DINDA TRIVANIAR BANYUWANGI 5/1/2000
41 3510171108670001 TIBURTIUS EDI TRAYODA BANYUWANGI 11/8/1967
42 3510160312580002 DONNY SUHENDRA BANYUWANGI 3/12/1958
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44 3510166310640003 YENNY RAHAYU BANYUWANGI 23/10/64
45 3510163005940001 MOH. BUDI SUGIARTO BANYUWANGI 30/5/94
46 3510160102830003 RAHMAD HIDAYAT BANYUWANGI 1/2/1987
47 3510176210740001 THERESIA TRI ANGGRAINI BANYUWANGI 22/10/74
48 3510170307980001 THOMAS ADI YOGA BANYUWANGI 3/7/1998
49 3510160301580001 YUNIARDI BANYUWANGI 3/1/1958
50 3510166009620001 MUSLIKAH BANYUWANGI 20/9/62
51 5171035803040001 LULUWA BANYUWANGI 28/3/04
52 3510162101850001 SAMSUL FAUZI BANYUWANGI 21/1/85
53 3510165402860007 SITI SOFIA BANYUWANGI 14/2/86
54 3510161303570002 H. AYIP MISDI BANYUWANGI 13/3/57
55 3510217006610052 SUGIHARTI BANYUWANGI 30/6/61
56 3510161710920003 ELDY MARIO MAHDY BANYUWANGI 17/10/92
57 3510162802620003 TURINO JUNAIDI BANYUWANGI 28/2/62
58 3510165312950001 AUDINA PUTRI BANYUWANGI 13/12/95
59 3510165607700006 NUR AINI BANYUWANGI 16/6/70
60 3510164609990002 TIA ARIANA BANYUWANGI 6/9/1999
61 3510161304930002 RAYYAN ABDAT BANYUWANGI 13/4/93
62 35101414111690004KADARISMAN BANYUWANGI 14/11/69
63 3510141302690002 AHADI BANYUWANGI 13/2/69
64 3510164107830122 HERIDAH BANYUWANGI 1/7/1983
65 3510216710750002 RITANINGSIH BANYUWANGI 27/10/75
66 3510210511030006 FARHAN MAULANA SYAIFUBANYUWANGI 5/11/2003
67 3510166403990002 RAHAYU SUWANDARINI BANYUWANGI 24/3/99
68 3510165711030002 DWI AYU NOVIYANTI BANYUWANGI 17/11/03
69 35102148068200013DEVI SUGIYANTI JAKARTA 8/6/1982
70 3510164803660003 RUBITA BANYUWANGI 8/3/1966
71 3510211209710001 RIBUT SANTOSO BANYUWANGI 12/9/1971
72 3510166212020004 AQILAH ZULFA AZZAHRA BANYUWANGI 22/12/02
73 3510215712670002 TITIK RIWAYATI BANYUWANGI 17/12/67
74 3510165105730004 MENIK IRAWATI BANYUWANGI 11/5/1973
75 3510163010620002 CHAERUL KAMIL BANYUWANGI 30/10/62
76 3510161609720001 MOH. ANDI PURWANTO BANYUWANGI 16/9/72
77 3510166008950002 PUTRI DAMAYANTI BANYUWANGI 20/8/95
78 3510165305730007 QUROTUN AYUNI BANYUWANGI 13/5/73
79 5171034204620001 CHAIRUNNISA BANYUWANGI 2/4/1962
80 3510211202590003 SLAMET RIYONO BANYUWANGI 12/2/1959
81 3510080111780004 NANANG FAHRURROJI BANYUWANGI 1/11/1978
 82 3510214510680001 HAMDIYASTUTI BANYUWANGI 5/10/1968
83 3510166006820005 WAHYUNINGSIH BANYUWANGI 20/6/82
84 3510217011840004 SITI WAHYUNI BANYUWANGI 30/11/84
85 3510164702780004 ZAKIYAH BANYUWANGI 7/2/1978
86 3926162412771024 KAREL YOHANIS M SORONG 24/12/77
87 3578180107840001 FARIZHA ARDHIAN R SURABAYA 1/7/1984
88 3510164802850003 RULITA SUWANDANI BANYUWANGI 8/2/1985
89 3510166402010003 FIRDA PUTRI MAHARANI BANYUWANGI 24/2/01
90 3510160508690010 MOHAMMAD AGUS RIFAI BANYUWANGI 5/8/1969
91 3510161112590001 SUJOKO BANYUWANGI 11/12/1959
92 3510065805770006 ANIS KURNIAWATI BANYUWANGI 18/5/77
93 3510164501650005 YURISTINA BANYUWANGI 5/1/1965
94 3523115505030004 NOVIANA DEWI SAFITRI SAMPIT 15/5/03
95 3510165403880007 IKA SARI ANASTASIA BANYUWANGI 14/3/68
96 3510167006620012 SITI ROHMANIAH BANYUWANGI 30/6/62
97 3523151907950005 MUHAMMAD WILDAN MUTOSIDOARJO 19/7/95
98 3510167008880002 WIRANTI RATNA SIWI BANYUWANGI 30/8/88
99 3510165305590002 SRI MULYANINGSIH BANYUWANGI 13/5/59
100 3510161307680006 MACHFUD BANYUWANGI 13/7/68
101 3510162402010002 FERDI PUTRA MAHENDRA BANYUWANGI 1/2/2001
102 3510171803890001 MUHAMMAD SUBANDRIYO BANYUWANGI 18/3/89
103 3510161505760001 YANTO SUGHARTONO BANYUWANGI 15/5/78
104 3510166904710006 SUPRIYATI BANYUWANGI 29/4/71
105 3510165111600004 RINI HARTIWI BANYUWANGI 11/11/1960
106 3674010704020004 RAFIAQSA DHIYA BANYUWANGI 7/4/2002
107 3510162408950004 ARDY MAULANA BANYUWANGI 24/8/95
108 3510166510740005 ENY FATMAWATI BANYUWANGI 25/10/74
109 3510216412910001 TRI AYU MEGAWATI BANYUWANGI 24/12/91
110 3510160802730002 SALIM ABDURRAHMAN BANYUWANGI 8/2/1973
111 3316065607780001 PUJI HARIANTI BANYUWANGI 16/7/78
112 3510166007610002 PARIYAH BANYUWANGI 20/7/61
113 3510160506820013 RUDI HARIYANTO BANYUWANGI 5/6/1982
114 3510121812940002 DICKY LAZUARDI ALFIAN BANYUWANGI 18/12/94
115 3510160911820002 SISWONO BANYUWANGI 9/11/1982
116 3510160308820004 AGUS SETIAWAN BANYUWANGI 3/8/1982
117 3510162412950002 MOH. RESTU DIRANGGA BANYUWANGI 24/12/95
118 3510161709930002 RISTIAN FANDY SUPRAPTOBANYUWANGI 17/9/93
119 3510165307940001 PUTRI DYAH AYU KUMALASBANYUWANGI 13/7/94
120 3510166010780001 SITI INROYATIN BANYUWANGI 20/10/78
121 3510163006630114 SAHAYU BANYUWANGI 30/6/63
122 3510160606820006 YUDI DWI PURNOMO BANYUWANGI 6/6/1982
123 3510176911840002 ANTIK DEWI MUMPUNI BANYUWANGI 29/11/84
124 3510160107540047 ACHMADI BANYUWANGI 1/7/1954
125 3510177012640002 LILIS TUTIK MAINI BANYUWANGI 30/12/64
126 3510172401530001 SUGIANTO HARI UTOMO BANYUWANGI 24/1/53
127 3510164901670003 MISNAH BANYUWANGI 9/1/1967
128 3510207103870008 RATNA NINGSIH BANYUWANGI 1/4/1987
129 3510164402980005 TRI WAHYUNI FEBRIYANTI BANYUWANGI 4/2/1998
130 3510164203610001 SUKARMI BANYUWANGI 2/3/1961
131 3510167008540004 KUSMINI BANYUWANGI 30/8/54
132 3510164312760001 HENY KUSRINI BANYUWANGI 3/12/1976
133 3510166807960004 MAULIDIYANA BANYUWANGI 28/7/96
134 5101014303900008 NURUL MUBAROKAH BANYUWANGI 3/3/1990
135 3510164509650005 LILIK MASRUHI BANYUWANGI 5/9/1955
136 3510216001020002 DYNA ADELIA MAHARANI BANYUWANGI 20/1/02
137 3510166404610001 HAISAH BANYUWANGI 24/4/61
138 3510160902040008 DZIKRY ARDANI KUSFITO BANYUWANGI 9/2/2004
139 3510164804610002 ISTIANAH BANYUWANGI 8/4/1951
140 3510171306990002 KURNIAWAN BANYUWANGI 13/6/99
141 3510161406540002 ABDUL RAHMAN BANYUWANGI 14/6/54
142 3510165712770004 HARTATIK BANYUWANGI 17/12/77
143 3510134803010005 CITRA WULANDARI BANYUWANGI 7/3/2001
144 3510144107500089 KAMSIYAH BANYUWANGI 1/7/1950
145 3510165212640006 SUWARNI BANYUWANGI 12/12/1964
146 3510167108790005 SANTI AGUSTINI BANYUWANGI 31/8/79
147 3510165204900010 DORA EKA PERTIWI BANYUWANGI 12/4/1990
148 3510215809890002 SEKAR AYU SEPTI KURNIA LAMPUNG 18/9/89
149 3510020309970002 AJI BIMA SAMUDRA BANYUWANGI 3/9/1997
150 3510164302680005 TITIK ZUBAIDAH BANYUWANGI 3/2/1968
151 3510167105670001 SUKARTINI BANYUWANGI 31/5/67
152 3510162304560002 S. HEVI SUJONO BANYUWANGI 23/4/56
153 3510221205850013 RENDRA PRASETYO BANYUWANGI 12/5/1985
154 3573015704900003 IKE DIAN SAPUTRI BANYUWANGI 17/4/90
155 3510166012940009 HEKSANENG NUR ROHILA BANYUWANGI 20/12/94
156 3510160601960004 RIVKI DWI CAHYONO BANYUWANGI 6/1/1995
157 3510162811720002 SUPRIYANTO BANYUWANGI 28/11/72
158 3510164404640004SISISWATI BANYUWANGI 4/4/1964
159 3510161003820005 MUARTIYAN HASIM BANYUWANGI 10/3/1982
160 5101035909830001 UMI KALSUM BANYUWANGI 19/9/83
161 3510216206720006 EVI INDRAWATININGTYAS BANYUWANGI 22/6/72
162 3510166711770002 NOVITA SASTRAWATI BANYUWANGI 27/11/77
163 3510165112860002 CHINDHY NUR RIZKI BONDOWOSO 11/12/1986
164 3510165102790002 SRI RAHAYU NINGSIH BANYUWANGI 11/2/1979
165 3510160302040003 FAHMY HERLANGGA PUTRA BANYUWANGI 3/2/2004
166 3510164209740001 HATIJAH BANYUWANGI 2/9/1974
167 3510161306830004 EDY SURYATMOJO BANYUWANGI 13/6/83
168 3510160310810008 LUKMAN HADI BANYUWANGI 3/10/1981
169 3510052912860005 ALIF RAHMAN HAKIM BANYUWANGI 29/12/86
170 3573032103880002 AMIN PRASETYO BANYUWANGI 21/3/88
171 3276055010840022 WAHYUNI TRISHKANADARI BANYUWANGI 10/10/1984
172 3510166312830006 INUNG MARLIYA BANYUWANGI 23/12/83
173 3510164203840001 NUR IZRIYAH BANYUWANGI 2/3/1984
174 3510214201880003 SILVIA DWI JAYANTI BANYUWANGI 2/1/1988
175 3510166007670004 YULIA HARASWATI BANYUWANGI 20/7/67
176 3510160611810007 NANANG PUDJI R BANYUWANGI 6/11/1981
177 3510160107790053 ERNUGIANTO BANYUWANGI 10/7/1979
178 3510145312800008 QONAAH HUSNUL K BANYUWANGI 13/12/80
179 3510161203680005 AHMAD HIDAYAT BANYUWANGI 12/3/1968
180 3510165211020002 AYU NOVITRI R BANYUWANGI 12/11/2002
181 3510165604970003 ERFINA WINDA BANYUWANGI 16/4/97
182 3510165612740004 YUL ASRIKA BANYUWANGI 16/12/74
183 3510214206800006 INDRAYANI BANYUWANGI 2/6/1980
184 3578232808150001 AHMAD AMIR QILAL W BANYUWANGI 28/8/15
185 3510165407000003 AINUN AULIA M BANYUWANGI 14/7/00
186 3510216711710001 SAIKE MARINI BANYUWANGI 27/11/71
187 351021031000001 DIMAS ENDRO I BANYUWANGI 3/10/2000
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KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 31-3-2022

UMUR KELOMPOK "JENIS

UMUR "ALAMAT" "RT" "RW" NAMA KECAMATAN
KELAMIN"

(6) (7) (8) (9) (10) (11) (12)

23 18-30 P SNG 16
50 46-59 L SNG 16
65 ≥60 P SNG 16
68 ≥60 P SNG 16
50 46-59 P SNG 16
22 18-30 P SNG 16
44 31-45 P SNG 16
35 31-45 L SNG 16
63 ≥60 L JL BENGAWAN 16
47 46-59 L GENTENGAN 4 3 16
39 31-45 P GENTENGAN 3 3 16
62 ≥60 P GENTENGAN 3 3 16
55 46-59 L GENTENGAN 2 3 16
70 ≥60 L JL BENGAWAN 16
65 ≥60 P JL BENGAWAN 2 3 16
22 18-30 L JL BENGAWAN 16
36 31-45 L TAMANSURUH 16
70 ≥60 P JL BENGAWAN 16
24 18-30 P JL BENGAWAN 16
39 31-45 L JL BENGAWAN 3 3 16
43 31-45 P SNG 16
52 46-59 L SMB 3 3 16
53 46-59 P JL BENGAWAN 4 3 16
39 31-45 P SNG 16
48 46-59 P JL BENGAWAN 2 3 16
21 18-30 P SNG 16
#VALUE! #VALUE! P GG. MANGGA 4 4 16
#VALUE! #VALUE! L JL. BRAWIJAYA 3 3 GIRI
39 31-45 P LINGK. WATU ULO 3 3 GIRI
37 31-45 P JL. BANTERANG 3 2 16
#VALUE! #VALUE! P JL. BANTERANG 3 2 16
#VALUE! #VALUE! L JL. BANTERANG 3 2 16
29 18-30 L JL. CIKALANGAN BOGOR
53 46-59 P TERONGAN KEBONREJO
#VALUE! #VALUE! P KRAJAN 21
#VALUE! #VALUE! P KP. KAGOK
#VALUE! #VALUE! L MOJOROTO
36 31-45 L JL. ANDALAS 16
#VALUE! #VALUE! P PERUM BRAWIJAYA 5 3 16
22 18-30 P PERUM BRAWIJAYA 5 3 16
55 46-59 L CUNGKING 1 2 GIRI
64 ≥60 L SINGOTRUNAN 4 1 16
#VALUE! #VALUE! P PERUM MENDUT REGENCY 3 4 16
#VALUE! #VALUE! P SINGOTRUNAN 4 1 16
#VALUE! #VALUE! L TUKANGKAYU 4 1 16
36 31-45 L JL. RIAU 16
#VALUE! #VALUE! P CUNGKING 1 2 GIRI
24 18-30 L CUNGKING 1 2 GIRI
64 ≥60 L PERUM BRAWIJAYA GIRI
#VALUE! #VALUE! P JL. IJEN 2 4 16
#VALUE! #VALUE! P JL. BASUKI RAHMAT 16
#VALUE! #VALUE! L JL. IJEN 2 4 16
#VALUE! #VALUE! P JL. IJEN 2 4 16
#VALUE! #VALUE! L JL. RINJANI 3 1 16
#VALUE! #VALUE! P KETAPANG 21
#VALUE! #VALUE! L JL. DI PANJAITAN 1 2 16
#VALUE! #VALUE! L PENGANTIGAN 3 4 16
#VALUE! #VALUE! P PENGANTIGAN 3 4 16
#VALUE! #VALUE! P KALILO 16
23 18-30 P KALILO 3 4 16
#VALUE! #VALUE! L JL. IJEN 16
#VALUE! #VALUE! L PERUM KALIREJO KABAT
#VALUE! #VALUE! L PEUM KALIREJO KABAT
40 31-45 P PERUM PESONA TIDAR 4 1 16
#VALUE! #VALUE! P PERUM TIDAR PENGANTIGAN 4 1 16
19 18-30 L DSN. KRAJAN 16
#VALUE! #VALUE! P GENTENGAN 16
#VALUE! #VALUE! P JL. GUNUNG AGUNG 16
40 31-45 P DSN. PALUREJO 3 3 21
56 46-59 P GENTENGAN 16
51 46-59 L KRAJAN 16
#VALUE! #VALUE! P JL. KAPTEN ILYAS 3 2 16
#VALUE! #VALUE! P KRAJAN 16
49 46-59 P PERUM PURI MENDUT RESIDENCE 16
#VALUE! #VALUE! L JL. RIAU 16
#VALUE! #VALUE! L JL. KALIMAS 3 1 16
#VALUE! #VALUE! P JL. GUNUNG AGUNG 3 2 16
#VALUE! #VALUE! P SINGOMAYAN TIMUR 2 1 16
61 ≥60 P JL. BASUKI RAHMAT 16
63 ≥60 L SUKOWIDI 21
45 31-45 L KRAJAN 3 2 16
 54 46-59 P KRAJAN 1 5 21
#VALUE! #VALUE! P JL. CITARUM 2 3 16
#VALUE! #VALUE! P PERUM KAVLING GIRI INDAH 21
44 31-45 P JL. IKAN MAS 2 2 16
#VALUE! #VALUE! L JL. JERUK BETITING
39 31-45 P GRIYA KEBRAON SELATAN SURABAYA
37 31-45 P JL. MH THAMRIN 16
#VALUE! #VALUE! P JL. GALUNGGUNG 4 3 16
53 46-59 L KEBUN JERUK 1 3 16
63 ≥60 L JL. KH WAHID HASYIM 16
#VALUE! #VALUE! P JL. MH THAMRIN 16
57 46-59 P JL. KH WAHID HASYIM 16
#VALUE! #VALUE! P KRAJAN 7 1 TUBAN
#VALUE! #VALUE! P JL. RW MONGINSIDI 2 3 16
#VALUE! #VALUE! P JL. AIRLANGGA 2 2 16
#VALUE! #VALUE! L JL. MANUNGGAL TUBAN
#VALUE! #VALUE! L JL. TANGKUBAN PERAHU 16
#VALUE! #VALUE! P JL. TANGKUBAN PERAHU 16
#VALUE! #VALUE! L JL. BOGOWONTO 4 2 16
22 18-30 L JL. GALUNGGUNG 4 3 16
#VALUE! #VALUE! L CUNGKING GIRI
#VALUE! #VALUE! L PERUM KALIREJO 16
#VALUE! #VALUE! P JL. DI PANJAITAN 1 1 16
62 ≥60 P JL. RIAU 3 2 16
20 18-30 P JL. LUSI 1 2 16
#VALUE! #VALUE! L JL. KRAKATAU 5 3 16
#VALUE! #VALUE! P JL. PROGO 3 3 16
#VALUE! #VALUE! P JL. KARIMUNJAWA 1 4 16
49 46-59 P JL. BELITUNG 5 2 16
#VALUE! #VALUE! P BANYUWAGI 16
#VALUE! #VALUE! P JL. KRAKATAU 4 3 16
40 31-45 L JL. BATUR 3 4 16
#VALUE! #VALUE! L DSN. PASINAN TIMUR SINGOJURUH
40 31-45 L JL. BROMO 2 1 16
40 31-45 L BANYUWAGI 16
#VALUE! #VALUE! L KEBUN JERUK 3 4 16
#VALUE! #VALUE! P JL. KOPRAL TALAB 2 1 16
#VALUE! #VALUE! P JL. ADI SUCIPTO 3 5 16
#VALUE! #VALUE! P JL. DR. SOETOMO 2 1 16
#VALUE! #VALUE! P JL. RIAU 5 3 16
40 31-45 P JL. TERNATE 2 3 16
#VALUE! #VALUE! P MOJOROTO 3 3 16
69 ≥60 L JL. BROMO 16
#VALUE! #VALUE! P JL. RADEN WIJAYA 16
#VALUE! #VALUE! L JL. RADEN WIJAYA 16
 55 46-59 P JL. RIAU 5 3 16
36 31-45 P LATENG 2 3 16
24 18-30 P JL. RIAU GG MUTIARA 5 3 16
62 ≥60 P JL. TERNATE 2 3 16
#VALUE! #VALUE! P BANYUWAGI 16
46 46-59 P JL. LAWU 16
#VALUE! #VALUE! P JL. TRENGGONO 2 2 16
32 31-45 P DSN. KRAJAN BLIMBINGSARI
67 ≥60 P SINGONEGARAN 16
#VALUE! #VALUE! P VILLA BUKIT MAAS 2 2 GIRI
#VALUE! #VALUE! P JL. KINIBALU 2 3 16
18 18-30 L JL. ANDALS 1 1 16
71 ≥60 P JL. KINIBALU 16
#VALUE! #VALUE! L JL. BRAWIJAYA 3 1 GIRI
#VALUE! #VALUE! L JL. KINIBALU 2 3 16
#VALUE! #VALUE! P KLATAKAN 3 1 21
21 18-30 P JL. KAPTEN ILYAS 16
73 ≥60 P DSN. JURANG JERO
58 46-59 P JL. RIAU 1 3 16
#VALUE! #VALUE! P JL. LAWU 2 3 16
32 31-45 P JL. LETKOL ISTIQLAH 3 3 16
#VALUE! #VALUE! P DSN. KRAJAN 1 15 21
25 18-30 L DSN. SERE 2 3 BANGOREJO
54 46-59 P JL. TIDAR 4 1 16
#VALUE! #VALUE! P JL. IJEN 3 2 16
#VALUE! #VALUE! L JL. RIAU 1 3 16
37 31-45 L DSN. KRAJAN 2 2 SILIRAGUNG
#VALUE! #VALUE! P JL. CILIWUNG 1 2 16
#VALUE! #VALUE! L JL. DEMPO 3 1 16
27 18-30 L DSN. SALAKAN 3 1 KENJO
#VALUE! #VALUE! L JL. BELITUNG 16
58 46-59 P SINGOTRUNAN 16
40 31-45 P JL. BENGAWAN 16
#VALUE! #VALUE! P BANJAR JEMBRANA
#VALUE! #VALUE! P PERUM VILLA PESONA TIDAR 4 1 16
#VALUE! #VALUE! P PENGANTIGAN 16
36 31-45 P PERUM VILLA PESONA TIDAR 4 1 16
43 31-45 P JL. BANTERANG 2 3 16
18 18-30 L JL. SAWO INDAH 2 6 16
49 46-59 P LATENG 16
#VALUE! #VALUE! L JL. RINJANI 16
41 31-45 L JL. ANDALAS 16
#VALUE! #VALUE! L KRAJAN 4 5 MUNCAR
#VALUE! #VALUE! L JL. SUMBING 16
38 31-45 P JL. SAMBAS ABADIJAYA
#VALUE! #VALUE! P PERUM PALM RAYA 3 3 16
39 31-45 P JL. CUMI CUMI 3 1 16
35 31-45 P KEBUN JERUK 4 4 16
#VALUE! #VALUE! P JL. MAYOR SUPOMO 2 8 16
41 31-45 L JL. BRAWIJAYA 16
43 31-45 L JL. SUMBING 3 2 16
#VALUE! #VALUE! P DS. JURANG JERO 2 1 16
54 46-59 L JL. IJEN 3 2 16
20 18-30 P JL. PANJANG 3 2 16
#VALUE! #VALUE! P BANYUWAGI 16
#VALUE! #VALUE! P PERMATA GRIYA HUSADA 4 5 16
43 31-45 P JL. ARGOPURO 2 1 21
#VALUE! #VALUE! L JL. LETJEN SUTOYO 16
#VALUE! #VALUE! P KRAJAN 3 1 16
#VALUE! #VALUE! P KLATAKAN 21
22 18-30 L KLATAKAN 21
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

AS SINGOTRUNAN

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK

"NAMA KELURAHAN BPJS TERVAKSIN
PEKERJAAN

(13) (14) (15) (16) (17) (18) (19) (20)

16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
BAKUNGAN 3/31/2022 1 D202110015
BAKUNGAN 3/31/2022 1 D202110015
10 3/31/2022 1 D202110015
10 3/31/2022 1 D202110015
10 3/31/2022 1 D202110015
3/31/2022 1 D202110015
3/31/2022 1 D202110015
97 3/31/2022 1 D202110015
3/31/2022 1 D202110015
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14 3/31/2022 1 D202110015
KEBALENAN 3/31/2022 1 D202110015
KEBALENAN 3/31/2022 1 D202110015
MOJOPANGGUNG 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
TAMANBARU 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
TUKANGKAYU 3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
3/31/2022 1 D202110015
3/31/2022 1 D202110015
3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
97 3/31/2022 1 D202110015
23 3/31/2022 1 D202110015
13 3/31/2022 1 D202110015
13 3/31/2022 1 D202110015
13 3/31/2022 1 D202110015
13 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
3/31/2022 1 D202110015
3/31/2022 1 D202110015
13 3/31/2022 1 D202110015
13 3/31/2022 1 D202110015
3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
TEMBOKREJO 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
3/31/2022 1 D202110015
KEPATIHAN 3/31/2022 1 D202110015
3/31/2022 1 D202110015
3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
13 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
91 3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
 91 3/31/2022 1 D202110015
PANDEREJO 3/31/2022 1 D202110015
91 3/31/2022 1 D202110015
PANDEREJO 3/31/2022 1 D202110015
3/31/2022 1 D202110015
3/31/2022 1 D202110015
13 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
3/31/2022 1 D202110015
3/31/2022 1 D202110015
3/31/2022 1 D202110015
SOBO 3/31/2022 1 D202110015
3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
13 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
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3/31/2022 1 D202110015
10 3/31/2022 1 D202110015
23 3/31/2022 1 D202110015
KEPATIHAN 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
TUKANGKAYU 3/31/2022 1 D202110015
TUKANGKAYU 3/31/2022 1 D202110015
PENGANJURAN 3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
MOJOPANGGUNG 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
3/31/2022 1 D202110015
3/31/2022 1 D202110015
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12 3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
3/31/2022 1 D202110015
3/31/2022 1 D202110015
KEBALENAN 3/31/2022 1 D202110015
3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
GIRI 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
MOJOPANGGUNG 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
91 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
91 3/31/2022 1 D202110015
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13 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
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PANDEREJO 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
3/31/2022 1 D202110015
16 3/31/2022 1 D202110015
3/31/2022 1 D202110015
13 3/31/2022 1 D202110015
13 3/31/2022 1 D202110015
13 3/31/2022 1 D202110015
10 3/31/2022 1 D202110015
TUKANGKAYU 3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
TAPANREJO 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
3/31/2022 1 D202110015
KARANGREJO 3/31/2022 1 D202110015
SOBO 3/31/2022 1 D202110015
12 3/31/2022 1 D202110015
TUKANGKAYU 3/31/2022 1 D202110015
3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
KALIREJO 3/31/2022 1 D202110015
14 3/31/2022 1 D202110015
TAMANBARU 3/31/2022 1 D202110015
3/31/2022 1 D202110015
13 3/31/2022 1 D202110015
91 3/31/2022 1 D202110015
TUKANGKAYU 3/31/2022 1 D202110015
KERTOSARI 3/31/2022 1 D202110015
91 3/31/2022 1 D202110015
91 3/31/2022 1 D202110015
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

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JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-1
NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510166608800008 INDRAWATI SE BANYUWANGI 8/26/1980

3 3510176202920002 MUNAWAROH BANYUWANGI 2/22/1992
5 3510167006680116 YANI BANYUWANGI 6/30/1968
10 3514234201000006 QUROTA AYUN BANYUWANGI 1/2/2000
13 3510166308820001 ERY AGUSRIANA BANYUWANGI 8/23/1982
15 3510216109990002 NABILA RISATUSSULITA BANYUWANGI 9/21/1999
16 3510164205690001 ISTIAMAH BANYUWANGI 5/2/1969
18 3510165511800001 YULIES SETYWATI BANYUWANGI 11/15/1980
19 351016500977004 IRIANI RUSDIANA BANYUWANGI 9/10/1977
20 3510165010590005 SUWARNI BANYUWANGI 10/10/1959
22 3510165003830010 IMA BANYUWANGI 3/10/1983
24 350902418850008 EMMANUELA ARIE H BANYUWANGI 8/1/1985
25 3510165109820004 SUSANA NURHAYATI SOFIABANYUWANGI 9/11/1982
26 3510124106670005 SUWANAH BANYUWANGI 6/1/1967
27 3510165107770006 SRI HASTUTIK BANYUWANGI 7/11/1977
31 3510165202990008 DITTA SUCIATI BANYUWANGI 1/12/1999
32 3510124206750006 SUDARTIK BANYUWANGI 6/2/1975
33 3510125504720004 HADIYAH BANYUWANGI 4/15/1972
35 3510165601860007 RATNA NURDIYANA BANYUWANGI 1/16/1986
38 3510125705000002 SITI HOLIPAH BANYUWANGI 6/17/2000
39 3510037112920002 DEVI RETNOSARI BANYUWANGI 11/30/1991
40 3510215010730004 SEKAR DELIMA BANYUWANGI 10/10/1973
41 3510216208720001 KARTIKA IDAYATI BANYUWANGI 8/22/1972
42 3329105306860003 MAHFUDOH BREBES 6/13/1986
44 9203016511710003 NELLY ROSALINA H FAKFAK 11/25/1971
45 3515184204970007 TYAS WIDYARATNA SANDHBANYUWANGI 4/2/1997
46 9203014409830006 YOANNITA KRISTINA LETA FAKFAK 9/4/1983
48 3515185407650005 POEDJI ANIK VIRDIANA BANYUWANGI 7/14/1965
49 3515184608940014 WAHYU WIDYASARI S SBY 8/6/1994
51 3510167006670151 TUKRIMAH BANYUWANGI 6/30/1967
53 3510166209580001 TJITJIK EDININGTYAS BANYUWANGI 9/22/1958
54 3510166103890003 PRADITA AYU LESTARI BANYUWANGI 3/21/1989
56 3510164506690001 ENDAH YUNIARTI BANYUWANGI 6/5/1969
57 3510164207960003 WIDYA SELASTARI BANYUWANGI 4/1/2003
59 3510175908810005 RUSTININGSIH BANYUWANGI 8/19/1981
62 3403174401950003 PIPIN MISTIANI BANYUWANGI 1/4/1995
63 3310194410950002 DEVITA LYDIA PUTRI KLATEN 10/4/1995
64 3510214302730004 ERNIK ERMAWATININGSIH JEMBER 2/3/1973
65 3510216406610001 ISMI BANYUWANGI 6/24/1961
66 3510166704030000 TASYA WAHENI BANYUWANGI 4/27/2003
RAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
NAMA
KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
UMUR KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

42 31-45 P 16
30 18-30 P LABANASEM 3 5
54 46-59 P JL RIAU 4 3 16
23 18-30 P JL IJEN 2 4
40 31-45 P JL AGUNG WILIS 2 2 16
23 18-30 P PERUM VILLA TIDAR 16
53 46-59 P PERUM PURI CITRA BERLIA
42 31-45 P JL TIDAR 3 1 16
45 31-45 P JL BROMO 3 2 16
63 ≥60 P SMB 1 1 16
39 31-45 P JL RIAU 4 3
37 31-45 P
40 31-45 P GESARI 4 1 16
55 46-59 P DSN TABANAN 1 2
45 31-45 P JL BRANTAS 16
24 18-30 P KALILO 16
47 46-59 P DSN TABANAN 2 2 SIGOJURUH
50 46-59 P DSN TABANAN 2 2 SIGOJURUH
37 31-45 P
22 18-30 P DSN TABANAN 2 2 SIGOJURUH
31 31-45 P DSN ROGOJAMPI UTARA 1 5 12
49 46-59 P DSN GUNUNG REMUK 3 3 21
50 46-59 P DSN GUNUNG REMUK 2 4 21
36 31-45 P JL TERNATE 5 3 16
51 46-59 P JL. KI HAJAR DEWANTARA 1 3 16
25 18-30 P JL. ANJASMORO KEPUH
39 31-45 P JL. N. SAM RATULANGI
57 46-59 P JL ANJASMORO DN-39 8 8 SIDOARJO
28 18-30 P JL ANJASMORO DN-39 8 8 SIDOARJO
55 46-59 P JL BOGOWONTO 4 2 16
64 ≥60 P JL MH THAMRIN PERUM PKBR NO 3 2 16
33 31-45 P JL GUNUNG BATUR NO 85 2 3 16
53 46-59 P JL BROMO 21 3 3 16
19 18-30 P LINGK KALILO 3 5 16
41 31-45 P PERUM BRAWIJAYA RESIDENCE BLOK KAMBOJA NO 14
28 18-30 P KARANGLORI II 2 7YOGYAKARTA
27 18-30 P JL GUNUNG BATUR NO 85 2 3 16
50 46-59 P LINGK SUKOWIDI GG LOMBOK 3 5 21
61 ≥60 P JL JEMBRANA KLATAKAN 1 1 21
19 18-30 P JL GENTENGAN BARU 3 5 16
 "NAMA KELURAHAN NO.HP KETERANGAN

(13) (23) (24)

14

12
08222984228
10 085728586029
14 089679587053
082247817912
14
14 082144102977
16

13 0895366415455

13 081249302774
13 085704082191
BENELAN KIDUL
BENELAN KIDUL

BENELAN KIDUL

97
97
12

13
13 0811358561
14
14
13 0895330460789
085335058307
OGYAKARTA
14
91
91
13
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510165506770004 MUJAYANA BANYUWANGI 6/15/1977

3 3510164112600003 SUMILAH BANYUWANGI 12/1/1960
4 3510165709710001 ISROWATI BANYUWANGI 9/17/1971
5 3510165911620004 SUMIATI BINOTO SURABAYA 11/19/1962
6 3510165803500001 ENDANG HARTATI SURABAYA 3/18/1950
8 3510166004790003 HOLISAH BANYUWANGI 4/20/1979
9 3510167004000004 ELYSWANDA VIRANDIA BANYUWANGI 4/30/2000
10 3510164407660008 SUPIARININGSIH BANYUWANGI 7/4/1966
13 3510164108820005 ANANDARI BANYUWANGI 8/1/1982
15 5108016504890001 VANINA ESA RISWARI BANYUWANGI 4/25/1989
21 3510166211690002 HARTATIK BANYUWANGI 11/22/1969
22 3510167105810002 INSIANI IRMA BANYUWANGI 5/31/1981
23 3510165506570005 SUALIYA BANYUWANGI 6/15/1957
25 3574034107910002 YANAH BANYUWANGI 7/1/1991
26 5108034809680001 DESAK NYOMAN ALIT BANYUWANGI 9/8/1968
27 3510164902630002 SUHARTI BANYUWANGI 2/9/1963
28 3510165309920006 MAULIA DEVI UTAMI BANYUWANGI 9/13/1992
29 3510167006600081 RUKAIYAH BANYUWANGI 6/30/1960
33 3510162807000003 FANIE QOVINA RIFQI BANYUWANGI 7/28/2000
36 3510164404010005 NUR KHAROMAH A BANYUWANGI 4/4/2001
37 3510165205600008 MUSANADAH BANYUWANGI 5/12/1960
40 3510167006450096 RUSDIYATI BANYUWANGI 6/30/1945
41 3510164308840003 MERY PURNAMASARI BANYUWANGI 8/3/1984
43 3510166307780002 HARTATIK BANYUWANGI 7/23/1978
44 3510166006780011 EKA SUGIANTI BANYUWANGI 6/20/1978
45 3510165404820004 YULIATIN BANYUWANGI 4/14/1982
46 3510164311850001 NOVIDA ARDIYANA BANYUWANGI 11/3/1985
47 3574034803600002 JUMIARSIH JEMBER 3/8/1960
48 3510165808600003 HERLINA BANYUWANGI 8/18/1960
49 3510166512640003 MARDIANA BANYUWANGI 12/25/1964
50 3510167006430067 DJUNAEDAH BANYUWANGI 6/30/1943
51 3510217011430003 SITI MINTARSIH BANYUWANGI 11/30/1943
52 3510165508760007 SITI NUR AISYAH BANYUWANGI 8/15/1976
53 3510167006730036 HARTATIK BANYUWANGI 6/30/1973
54 3510165801890004 MUSAMAH BANYUWANGI 1/18/1989
55 3510167006540210 MARTINI BANYUWANGI 6/30/1954
57 3510165411790004 SAENATI BANYUWANGI 11/14/1979
59 3510166709650001 NURSIDA BANYUWANGI 9/27/1965
60 3510167006630110 MUJIATI BANYUWANGI 6/30/1963
61 3510167006620243 SUHARIYATI BANYUWANGI 6/30/1962
62 3529017006570130 KALSUM BANYUWANGI 6/30/1957
 63 3510165607740006 LISYATI BANYUWANGI 7/16/1974
65 3510165208970007 SRI HANDAYANI BANYUWANGI 8/12/1997
66 3510164404890005 FITRI NURHAINI BANYUWANGI 4/4/1989
68 5171036106660006 HUSNI IDA WATI BANYUWANGI 6/21/1966
69 3510167006740065 ISMANIYAH BANYUWANGI 6/30/1974
70 3510166812720002 SITI NURKHOTIMAH BANYUWANGI 12/28/1972
71 3510165201810003 HAIRINI BANYUWANGI 1/12/1981
73 3510164212910010 DESY RATNA SARI BANYUWANGI 12/2/1991
75 3510164111840008 MILIYASIH BANYUWANGI 11/1/1984
79 3510164802670004 ALEKSIA SRI HARTI BANYUWANGI 2/8/1967
82 3510165506710004 MARGARETA VERONICA BANYUWANGI 6/15/1971
83 3510164206870010 FITRIYAH BANYUWANGI 6/2/1987
84 3510204111010005 NOVIETA SANTI Q BANYUWANGI 11/1/2001
86 3510166402920000 SRI WAHYUNI BANYUWANGI 2/24/1992
88 3510214310950001 SITI MAISAROH BANYUWANGI 10/3/1995
92 3578045403030010 SITI FATIMAH SALSABILA BANYUWANGI 3/14/2003
93 3578046104780010 DIAN KARTIKASARI BANYUWANGI 4/21/1978
96 35101644122720002MARINTEN BANYUWANGI 12/4/1972
97 3510165003990003 MAIMUNAH FARHANA BANYUWANGI 3/10/1999
98 3510155706970004 ANNA RISHOFA A BANYUWANGI 6/17/1997
99 3510164601730006 WIWIN SULISTIYOWATI AMBON 1/6/1973
100 3510054202580012 WIDYA KRISTANTI BANYUWANGI 2/2/1958
101 1375016311960001 WULAN ANGGRAINI PADANG PANJA 11/23/1996
102 3510166112620001 SUHAENAH BANYUWANGI 12/21/1962
103 3510165812960006 LESTARI RIZKY IMAWATI BANYUWANGI 12/18/1996
104 3510166507020002 TIRA YULIA N BANYUWANGI 7/25/2002
105 3510167103670001 DWI INDAH IS F BANYUWANGI 3/31/1967
106 3510164306930004 WANDA YUNITA BANYUWANGI 6/3/1993
107 3510165008980006 BELIA EGA A BANYUWANGI 8/10/1998
108 3510164201640004 BADRIYA BANYUWANGI 1/2/1964
110 3510165006680004 SUMINA BANYUWANGI 6/10/1968
112 3510167006570042 SUWARTI BANYUWANGI 6/30/1957
114 3510165002730007 NURMAWATI BANYUWANGI 2/10/1973
115 3510166403980003 ANNISA M SARI BANYUWANGI 3/24/1998
117 3510166807650001 HANIFAH BANYUWANGI 7/28/1965
118 3510164611570005 SUHADIYAH BANYUWANGI 11/18/1960
119 3510165503350002 REHATI BANYUWANGI 3/15/1935
120 3510164903790010 WIWIK ISYANTI D BANYUWANGI 3/9/1979
121 3510165105630004 SARIPAH NURHAYATI BANYUWANGI 4/13/1963
123 3510164107380111 BURATI BANYUWANGI 7/1/1938
124 3510167008580005 SAINABA BANYUWANGI 8/30/1958
126 7306085709910008 YULFIANI P BANYUWANGI 9/17/1991
128 3510164512630006 TRI RISKYATI BANYUWANGI 12/5/1963
129 3510167007590011 SENETI BANYUWANGI 7/30/1959
131 3510215509030002 SEPTA LATIFA Q BANYUWANGI 9/15/2009
134 3510165401650003 SUPIYATIN BANYUWANGI 1/14/1965
136 3510165102790006 ETI PURWANINGSIH BANYUWANGI 2/11/1977
137 3510164512630006 TRI RISKYATI BANYUWANGI 12/5/1963
140 3510166404750005 ILMAWATI BANYUWANGI 4/24/1975
141 3510166004820000 CATUR LINDA Y BANYUWANGI 4/20/1982
147 3510165811890001 HARTINI BANYUWANGI 11/18/1989
148 3514114808740006 NURUL FARAH R BANYUWANGI 8/8/1974
153 3510164504870003 DEWI YUL SUMENEP 4/5/1987
156 3510165211730002 SRI ASTUTI BANYUWANGI 11/12/1973
157 3510166705670002 MARWIYAH BANYUWANGI 5/27/1967
158 3510166511860005 SETYADIANPRAMITA BANYUWANGI 11/25/1986
159 3510165404660004 TURIYATI BANYUWANGI 4/14/1966
160 3510166708780004 MIMIK ANDRAYANI BANYUWANGI 8/27/1978
161 3510164210850001 IRMA ROSYINTA BANYUWANGI 10/2/1985
163 3510165809890004 WINDY ARVITASARI BANYUWANGI 9/18/1989
164 3510164107780068 YULIASTUTIK BANYUWANGI 12/16/1972
165 3510164111770002 EVA ANDRIANA BANYUWANGI 11/1/1977
166 3510167006670136 YULIANA BANYUWANGI 6/30/1967
167 3510165710840003 SURYATI OKTAVIA BANYUWANGI 10/17/1984
168 3510164107820086 IKA YULI ASTUTI BANYUWANGI 7/1/1982
169 3525166009940001 FAUZIAH A BANYUWANGI 9/20/1994
170 3510165111480001 NURHAYATI BANYUWANGI 11/11/1948
171 3510166102620001 SITI MAS'AMAH BANYUWANGI 2/21/1962
172 3510166009590005 SULIYATI BANYUWANGI 9/20/1959
174 3510166801880005 SANTI TRIYASTUTIK BANYUWANGI 10/28/1988
175 3510167006640069 NANIK BUDAYANI BANYUWANGI 6/30/1964
176 3510165503740002 ISTIANA BANYUWANGI 3/15/1974
178 3510166911760006 SHOLIHAH BANYUWANGI 11/29/1976
179 3510135002850003 MARIA PERTIWI BANYUWANGI 2/10/1985
180 3510165306710002 ISTIQOMAH BANYUWANGI 6/13/1971
181 3510164110680003 ASNAYAH BANYUWANGI 10/1/1968
182 3510216801980003 FENI FERDIANA BANYUWANGI 1/28/1998
183 3510165012580002 LILIK MANTREASIH BANYUWANGI 12/10/1958
185 3510165503630005 DAMMAWIYAH BANYUWANGI 3/15/1963
187 3510165508580007 ATRIYAH BANYUWANGI 8/15/1958
189 3510166508600002 SITI NURMA BANYUWANGI 8/25/1960
191 3510164101630018 NASRIYAH BANYUWANGI 1/1/1963
192 3510164206570001 RAHMANI BANYUWANGI 6/2/1957
194 3510161011820006 NURUL ISLAMI BANYUWANGI 11/10/1982
195 3510245507780008 ULLY BAITUL UMROH BANYUWANGI 7/15/1978
196 '3510166908770005 ISTIQOMAH BANYUWANGI 8/29/1977
197 3510166310830002 YUANA CHILIA BANYUWANGI 10/23/1983
200 3510165309670003 MUJIATI BWI 9/13/1967
201 3510166402670003 UMAIDAH BWI 2/24/1967
204 3510165106630005 RIYATMI BWI 6/11/1963
205 3510166608710001 SUPIYATI BWI 8/26/1971
206 3510165202730013 MARIYATUL KIPTIYAH BWI 2/12/1973
207 3510166105810001 RENNY MEI KURNIAWATI BWI 5/21/1981
208 3510164308860001 AGUSTINA HANDAYANI BWI 8/3/1986
209 3510164110720006 ISMIYAH BWI 10/1/1972
211 3510165211790004 DHUHA RACHMANIA BWI 11/12/1979
212 3510136403850002 VENNY MARISA BWI 3/24/1985
219 3510166709910002 NURMANTI BWI 9/27/1991
220 3510165601890004 IKE LESTARI RAHAYU BWI 1/16/1989
221 3510165001870006 NIKMATUS SHOLIHA BWI 1/10/1987
223 3510164809690003 HARTINI BWI 9/8/1969
224 3510166308740002 FAUZIAH BWI 8/23/1974
225 3510165510620002 NURUL KOMAR BWI 10/15/1962
227 3510166811630002 SITI SAIDAH BWI 11/28/1963
229 3510165012030004 AMYLINA SYAFINA BWI 12/10/2003
230 3510164404700003 EMY SULISTYOWATI BWI 4/4/1970
233 3510166803920002 DAYUNG NURWININGSIH BWI 3/28/1992
236 3510176110880005 WINARTI BWI 10/21/1988
237 3510167006750089 TRI WAHYUNI LASTIANA BWI 6/30/1975
238 3510166912670001 MARIATUL SIAMI BWI 12/29/1967
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
NAMA
KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
UMUR KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

45 31-45 P JL DEMPO 3 1 16
62 ≥60 P JL RINJANI 1 3 16
51 46-59 P JL ANDALAS 4 3 16
60 ≥60 P JL IKAN PAUS 1 4 16
72 ≥60 P JL MALABAR 3 1 16
43 31-45 P JL KINIBALU IV NO 14 3 1 16
22 18-30 P JL KINIBALU GG IV NO 14 3 1 16
56 46-59 P LINGK KROBOKAN 1 2 16
40 31-45 P JL BROMO NO 53 1 3 16
33 31-45 P JL KALILO NO 75 1 5 16
53 46-59 P JL RIAU 2 3 16
41 31-45 P LINGK KROBOKAN 3 2 16
65 ≥60 P JL RIAU KROBOKAN 16
31 31-45 P 16
54 46-59 P KAMPUNG MELAYU 16
60 ≥60 P KAMPUNG MELAYU 16
30 18-30 P JL BANTERANG BARU 3 2 16
62 ≥60 P JL SAU WIWIT GG KELINCI 16
22 18-30 P JL BANTERANG BARU 16
21 18-30 P JL BHRE WIRABUMI 16
62 ≥60 P JL TERNATE NO 30 16
77 ≥60 P JL BATUR 16
38 31-45 P JL BANTERANG NO 72 16
44 31-45 P JL SAYU WIWIT NO 17 16
44 31-45 P 16
40 31-45 P 16
37 31-45 P JL DI PANJAITAN 1 2 16
62 ≥60 P JL BANTERANG 1 2 16
62 ≥60 P JL SURATI NO 25 16
58 46-59 P LINGK KRAJAN 1 3 16
79 ≥60 P LINGK KROBOKAN 16
79 ≥60 P LINGK KROBOKAN 16
46 46-59 P LINGK KROBOKAN 3 2 16
49 46-59 P LINGK KROBOKAN 1 3 16
34 31-45 P JL RIAU LINGK KROBOKAN 2 3 16
68 ≥60 P LINGK KROBOKAN 16
43 31-45 P JL RIAU GG BERLIAN NO 59 16
57 46-59 P LINGK KROBOKAN 3 2 16
59 46-59 P JL RIAU 3 3 16
60 ≥60 P JL RIAU 2 3 16
65 ≥60 P JL IKAN WIJINONGKO
#REF! #REF! P JL BANGKA NO 68 16
25 18-30 P LINGK KROBOKAN 12/31/1899 3 16
33 31-45 P LINGK KROBOKAN 1 3 16
56 46-59 P KROBOKAN 16
48 46-59 P LINGK KROBOKAN 2 3 16
50 46-59 P JL RIAU 3 3 16
42 31-45 P JL RIAU LINGK KROBOKAN 2 3 16
31 31-45 P JL RIAU LINGK KROBOKAN 2 3 16
38 31-45 P LINGK KROBOKAN 1 2 16
56 46-59 P LINGK KRAJAN JL RIAU 16
51 46-59 P JL MH THAMRIN 1 2 16
35 31-45 P JL BOGOWONTO NO 26 16
21 18-30 P TEMUGURUH 1 3 SEMPU
30 18-30 P JL BOGOWONTO NO 26 4 2 16
27 18-30 P JL BOGOWONTO NO 26 2 2 16
19 18-30 P ROGOJAMPI
44 31-45 P ROGOJAMPI
50 46-59 P JL LETKOL ISTIQLAH 16
23 18-30 P
25 18-30 P
50 46-59 P JL SUMBING NO 34 2 1 16
65 ≥60 P DSN KRAJAN
26 18-30 P JL UMAR GAFAR 4 3 BUKITTINGGI
60 ≥60 P JL ANDALAS 4 3 16
26 18-30 P LINGK KRAJAN 1 1 21
20 18-30 P JL DEMPO 16
55 46-59 P JL KALIMAS NO 22 2 1 16
29 18-30 P JL BOEDIONO NO 18 4 3 16
24 18-30 P
59 46-59 P JL SAYU GRINGSING NO 22 16
54 46-59 P 16
65 ≥60 P JL SURATI 16
50 46-59 P JL SAYU GRINGSING NO 22 16
24 18-30 P JL BANTERANG BARU 3 2 16
57 46-59 P JL BANTERANG 3 2 16
62 ≥60 P JL BANTERANG GG JAKA TARUB NO 24
87 ≥60 P JL BHRE WIRABUMI 16
43 31-45 P JL SURATI NO 13 3 3 16
59 46-59 P JL BANTERANG BARU GG KERAMAT NO 27
84 ≥60 P JL SURATI BARU 16
64 ≥60 P 16
31 31-45 P 16
59 46-59 P 16
63 ≥60 P JL MH THAMRIN LINGK GESARI 16
13 0 P
58 46-59 P JL SURATI BARU
46 46-59 P
59 46-59 P
47 46-59 P
40 31-45 P
33 31-45 P JL SURATI GG DAMAI NO 21 3 1 16
48 46-59 P
35 31-45 P JL DI PANJAITAN 3 2 16
49 46-59 P LINGK PATEMON WETAN 2 1 16
55 46-59 P
36 31-45 P LINGK PATEMON WETAN 1 1 16
56 46-59 P LINGK KROBOKAN 2 1 16
44 31-45 P
37 31-45 P
33 31-45 P LINGK PATEMON WETAN 3 1 16
50 46-59 P
45 31-45 P
55 46-59 P LINGK PATEMON WETAN 1 1 16
38 31-45 P
40 31-45 P
28 18-30 P
74 ≥60 P JL BANTERANG BARU GG DEPOT RIDHO 16
61 ≥60 P JL BANTERANG BARU 4 1 16
63 ≥60 P JL RIAU LINGK KROBOKAN 16
34 31-45 P JL RIAU LINGK KROBOKAN 3 2 16
58 46-59 P JL RIAU 2 3 16
48 46-59 P LINGK KROBOKAN 1 2 16
46 46-59 P JL CUT NYA DIEN 8
38 31-45 P KRAJAN 2 3 ROGOJAMPI
51 46-59 P JL RIAU GG INTAN 21 1 2 16
54 46-59 P JL RIAU GG INTAN 1 3 16
25 18-30 P LINGK KROBOKAN 1 2 16
64 ≥60 P JL RIAU GG PERMATA NO 2 16
59 46-59 P JL DIPANJAITAN 1 2 16
64 ≥60 P LINGKKROBOKAN 16
62 ≥60 P JL RIAU GG INTAN 21 1 3 16
60 ≥60 P JL RIAU GG BERLIAN NO 59 2 3 16
65 ≥60 P LINGK KROBOKAN 1 2 16
40 31-45 P JL RIAU LINGK KROBOKAN 16
44 31-45 P PERUM PURI BRAWIJAYA PERMAI
45 31-45 P KROBOKAN 1 1 16
39 31-45 P PERUM PESONA TIDAR 4 1 16
55 46-59 P BWI
55 46-59 P SMB 1 2 BWI
59 46-59 P JL.LETKOL ISTIQLAH 14 3 2 BWI
51 46-59 P SMB 3 2 BWI
50 46-59 P JL.BENGAWAN GG ANONIM 11 BWI
41 31-45 P JL.LETKOL ISTIQLAH 33 BWI
36 31-45 P JL.BENGAWAN 22 1 2 BWI
50 46-59 P JL.LETKOL ISTIQLAH 14 3 3 BWI
43 31-45 P SMB 28 1 1 BWI
37 31-45 P JL.LETKOL ISTIQLAH 37 2 1 BWI
31 31-45 P JL.LETKOL ISTIQLAH 17 2 1 BWI
34 31-45 P JL.LETKOL ISTIQLAH 18 BWI
36 31-45 P JL.LETKOL ISTIQLAH 38 BWI
53 46-59 P JL.LETKOL ISTIQLAH BWI
48 46-59 P JL.KAPTEN ILYAS 1 1 BWI
60 ≥60 P JL.KAPTEN ILYAS 26 1 1 BWI
59 46-59 P SMB 11 2 1 BWI
19 18-30 P BWI
52 46-59 P BWI
30 18-30 P BWI
34 31-45 P SMB 1 2 BWI
47 46-59 P JL.KALILO 31 1 1 BWI
55 46-59 P JL.KALILO 14 BWI
AS SINGOTRUNAN
JENIS ALASAN TIDAK
"NAMA KELURAHAN BPJS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
PEKERJAAN TERVAKSIN

(13) (14) (15) (16) (17) (18) (19) (20)

14 4/8/2022 1 326571P
14 4/8/2022 1 326571P
14 4/8/2022 1 326571P
8 4/8/2022 1 326571P
14 4/8/2022 1 326571P
14 4/8/2022 1 326571P
14 4/8/2022 1 326571P
23 4/8/2022 1 326571P
14 4/8/2022 1 326571P
13 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
12 4/8/2022 1 326571P
14 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
23 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
12 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
12 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
4/8/2022 1 326571P
 12 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
12 4/8/2022 1 326571P
13 4/8/2022 1 326571P
13 4/8/2022 1 326571P
4/8/2022 1 326571P
13 4/8/2022 1 326571P
13 4/8/2022 1 326571P
4/8/2022 1 326571P
4/8/2022 1 326571P
16 4/8/2022 1 326571P
4/8/2022 1 326571P
4/8/2022 1 326571P
14 4/8/2022 1 326571P
4/8/2022 1 326571P
BUKITTINGGI 4/8/2022 1 326571P
14 4/8/2022 1 326571P
92 4/8/2022 1 326571P
14 4/8/2022 1 326571P
13 4/8/2022 1 326571P
14 4/8/2022 1 326571P
4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
13 4/8/2022 1 326571P
4/8/2022 1 326571P
 4/8/2022 1 326571P
4/8/2022 1 326571P
4/8/2022 1 326571P
4/8/2022 1 326571P
4/8/2022 1 326571P
10 4/8/2022 1 326571P
4/8/2022 1 326571P
23 4/8/2022 1 326571P
10 4/8/2022 1 326571P
4/8/2022 1 326571P
10 4/8/2022 1 326571P
23 4/8/2022 1 326571P
4/8/2022 1 326571P
4/8/2022 1 326571P
10 4/8/2022 1 326571P
4/8/2022 1 326571P
4/8/2022 1 326571P
10 4/8/2022 1 326571P
4/8/2022 1 326571P
4/8/2022 1 326571P
4/8/2022 1 326571P
10 4/8/2022 1 326571P
10 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
4/8/2022 1 326571P
ROGOJAMPI 4/8/2022 1 326571P
12 4/8/2022 1 326571P
12 4/8/2022 1 326571P
23 4/8/2022 1 326571P
12 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
12 4/8/2022 1 326571P
12 4/8/2022 1 326571P
23 4/8/2022 1 326571P
23 4/8/2022 1 326571P
4/8/2022 1 326571P
23 4/8/2022 1 326571P
13 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG KARY.SWASTA 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG WIRASWASTA 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
SNG 4/8/2022 1 326571P
 MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

ASTRAZENECA 9 081336191469
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ASTRAZENECA 9 085733640709
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ASTRAZENECA 9 0895042777772
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ASTRAZENECA 9
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ASTRAZENECA 9
ASTRAZENECA 9 081219649848
ASTRAZENECA 9
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ASTRAZENECA 9
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 LAPORAN H
NO
NO REGISTRAS "NIK" "NAMA_LENGKAP"
I
(1) (2) (3)

1 3510166305760002 MUSRIFAH
2 3510217006530080 SALMAH
4 3510164505550006 SITI AMLIHA
10 3510166007850002 SOFIA DEWI F
11 3510164912570004 SUMIATI
12 3510165906800005 FARIDA ERLIYANI
13 3510164311750005 NURUL FITRIATIN
14 3510165809550001 SITI MUTIAH
17 3510165104840002 HERAWATI
18 3510165303890006 SUTINAH
21 3510167006680063 ISTIYANAH
22 3510165003600003 SRI UTAMI
23 3510166008610002 KUSTINAH
29 3510166104630002 KARTINI
30 3510166312500004 MUJIATI
31 3510164604750001 TINA HERMAWATI
32 3510165404960001 FRIDA ANGGUN
33 3510164104000011 VIRGITA NUR FITRI
36 3510166706640003 DYAH SUDJARWANI
37 3510166805880007 RATIH ULFASARI
39 3510167004400002 GINTEN
40 3510217007840004 SITI QOMARIYAH
41 3510134210800003 LIYANA
43 3510164609670004 LUBNA DARAYIT
49 3510165009740013 SUTINAH
53 3510165111840015 DWI NURMASITA
54 3510166909690009 SURIYAH
55 3510215811750003 HELDA YUANA
57 3510166412980004 LINA KOMARIA
58 3510166601690002 MASKANAH
61 3510167006620212 SUGIATI
62 3510167006510052 ROHAYAH
63 3510165302570001 HAMIDAH
64 3510165204760005 RIRIN INDAWATI
65 3510166406980002 BUNGA MAULIDHA HARIRI
66 3510164809930003 INDRI TRI HANDAYANI
68 3510165207900003 YULIA RATNA SARI
70 3510165010030002 SAGHINA RANAVIA AZZAHRA
71 3510166504650003 SRIWATI
72 3510167107730002 EVI MEGAWATI
73 3510166405610003 SUKARTIKA RAHAYU
75 3510164110610002 SUSI SETYOWATI
79 2171025811759002 SHOFIA HANA
80 3510164110720003 ENDANG SULISTYOWATI
 81 1471026611960001 HALIMAH SYAHPUTRI
82 3510166803700002 TIN SUKESI
84 5171046507780004 YULIANTI
85 3510164711030001 NAURA DINA HANIFA
86 3510164202910004 LIA PUTRI GALUH FIBRIANTINI
87 3510165202970007 PUSPA INDAH JUWITA LOKA
88 3510166503650002 LILIK MARTINI
89 7205077006020001 WULANDARI
90 3510164606980003 VERNINTA YUNI TIARASARI
92 3510166208030002 AZIZAH SEDYA SARI
95 3510165705710005 SITI HOLILAH
96 3510165209640005 SUPRAPTI
98 3510166309600004 RUSMIATI
99 3510165210560001 SITI HAISYAH
102 3510164112570003 ENDANG SUPARTININGSIH
103 3510164906780002 DEWI YULIANDARI
105 3510166008930006 YUSIANA RARA ANDRIATI
107 3510165511680003 SUNARMI
108 3510160102600003 NASIHIN
117 3510165708640006 SUTARMI
118 3510165208690009 RAHMAWATI
119 3510166511720005 HELEN NOVITA
121 3510164801630001 SITI NURHAYATI
124 3510165204760002 SRI SURYANI
125 3510165403850006 MARDIANA DWI LESTARI
126 3510164810730002 ALAMINAH YUSUF
127 3510166304710003 SRI DJUMARSIH
128 3510217110000003 LUTHFIA DEWANA SAPUTRI
131 3510165807730003 SITI ROHMANIYAH
133 3510164101790009 SITI SOLEHA
136 3510166512680003 ROHMANIAH
138 3510166608640002 IDA ASTUTI
139 3510166107970004 YENI SYAFIROH
140 3510164510700005 INDAWATI
142 3510165208030001 ARDELIA DANIATI
143 3510162009010003 RIZAL FAUZIL AMIN
144 3510164509650002 LASIYAH
147 3510167101690003 SUCIATI
149 3510167006600303 SADRIMAH
150 3578165704690003 SITI RAHAYU
152 3578166210970003 ERVIDA OKTANANDA
154 3512067006850001 ERNAWATI
157 3510166012780003 EVI PURMAWIYANTI
158 3510165906750005 CICIK SULISTIOWATI
162 3510164801000004 YESI JALINTIWI
163 3510164507700009 EMI
164 3510164402720001 JUBAIDAH
167 3375014804640001 SITI RAHMANIYAH
169 3510164711920002 ANNISA RISMATIKA
171 3510164205650001 ISMANIYAH
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN

UMUR KELOMPOK "JENIS

"TMPT_LHR" "TGL_LHR" UMUR KELAMIN"

(4) (5) (6) (7) (8)

BANYUWANGI 23-5-76 #VALUE! #VALUE! P

BANYUWANGI 30-6-53 #VALUE! #VALUE! P
BANYUWANGI 5-5-55 #VALUE! #VALUE! P
BANYUWANGI 20-7-85 #VALUE! #VALUE! P
BANYUWANGI 9-12-67 #VALUE! #VALUE! P
BANYUWANGI 19-6-80 #VALUE! #VALUE! P
BANYUWANGI 3-11-75 #VALUE! #VALUE! P
BANYUWANGI 18-9-55 #VALUE! #VALUE! P
BANYUWANGI 11-4-84 #VALUE! #VALUE! P
BULELENG 13-3-89 #VALUE! #VALUE! P
BANYUWANGI 30-6-68 #VALUE! #VALUE! P
BANYUWANGI 10-3-60 #VALUE! #VALUE! P
BANYUWANGI 20-8-61 #VALUE! #VALUE! P
BANYUWANGI 1-4-63 #VALUE! #VALUE! P
BANYUWANGI 23-12-50 #VALUE! #VALUE! P
BANYUWANGI 6-4-75 #VALUE! #VALUE! P
BANYUWANGI 14-4-96 #VALUE! #VALUE! P
BANYUWANGI 1-4-00 #VALUE! #VALUE! P
BANYUWANGI 27-6-64 #VALUE! #VALUE! P
BANYUWANGI 28-5-88 #VALUE! #VALUE! P
BANYUWANGI 30-4-40 #VALUE! #VALUE! P
SURABAYA 30-7-84 #VALUE! #VALUE! P
BANYUWANGI 2-10-80 #VALUE! #VALUE! P
SITUBONDO 6-9-67 #VALUE! #VALUE! P
BANYUWANGI 10-9-74 #VALUE! #VALUE! P
BANYUWANGI 11-11-84 #VALUE! #VALUE! P
SAMPANG 29-9-69 #VALUE! #VALUE! P
BANYUWANGI 18-11-75 #VALUE! #VALUE! P
BANYUWANGI 24-12-98 #VALUE! #VALUE! P
BANYUWANGI 26-1-69 #VALUE! #VALUE! P
BANYUWANGI 30-6-62 #VALUE! #VALUE! P
BANYUWANGI 30-6-51 #VALUE! #VALUE! P
BANYUWANGI 13-2-57 #VALUE! #VALUE! P
BANYUWANGI 12-4-76 #VALUE! #VALUE! P
BANYUWANGI 24-7-98 #VALUE! #VALUE! P
BANYUWANGI 8-9-93 #VALUE! #VALUE! P
BANYUWANGI 12-7-90 #VALUE! #VALUE! P
BANYUWANGI 10-10-03 #REF! #REF! P
BANYUWANGI 25-4-64 #VALUE! #VALUE! P
MALANG 31-7-73 #VALUE! #VALUE! P
BANYUWANGI 24-5-61 #VALUE! #VALUE! P
BANYUWANGI 1-10-61 #VALUE! #VALUE! P
Banyuwangi 18-11-1975 #VALUE! #VALUE! P
Banyuwangi 01-10-1972 #VALUE! #VALUE! P
PEKANBARU 26-11-1996 #VALUE! #VALUE! P
Banyuwangi 28-03-1970 #VALUE! #VALUE! P
Banyuwangi 25-07-1978 #VALUE! #VALUE! P
Banyuwangi 07-11-2003 #VALUE! #VALUE! P
Banyuwangi 02-02-1991 #REF! #REF! P
Banyuwangi 12-02-1997 #VALUE! #VALUE! P
Banyuwangi 25-03-1965 #VALUE! #VALUE! P
Banyuwangi 30-06-2002 #VALUE! #VALUE! P
Banyuwangi 06-06-1998 #VALUE! #VALUE! P
Banyuwangi 22-8-2003 #VALUE! #VALUE! P
Banyuwangi 17-5-1971 #VALUE! #VALUE! P
Banyuwangi 12-9-1964 #VALUE! #VALUE! P
Banyuwangi 23-9-1960 #VALUE! #VALUE! P
Banyuwangi 12-10-1956 #VALUE! #VALUE! P
Banyuwangi 1-12-1957 #VALUE! #VALUE! P
Banyuwangi 9-6-1978 #VALUE! #VALUE! P
Banyuwangi 20-8-1993 #VALUE! #VALUE! P
Banyuwangi 15-11-1968 #VALUE! #VALUE! P
Banyuwangi 1-2-1960 #VALUE! #VALUE! L
Banyuwangi 17-8-1964 #VALUE! #VALUE! P
Banyuwangi 12-8-1969 #VALUE! #VALUE! P
Banyuwangi 25-11-1972 #VALUE! #VALUE! P
BANYUWANGI 8-1-63 #VALUE! #VALUE! P
BANYUWANGI 12-4-76 #VALUE! #VALUE! P
BANYUWANGI 14-3-85 #VALUE! #VALUE! P
Banyuwangi 6-10-1973 #VALUE! #VALUE! P
Banyuwangi 23-4-1971 #VALUE! #VALUE! P
Banyuwangi 31-10-2000 #VALUE! #VALUE! P
Banyuwangi 18-7-1973 #VALUE! #VALUE! P
Banyuwangi 1-1-1979 #VALUE! #VALUE! P
Banyuwangi 25-12-1968 #VALUE! #VALUE! P
Banyuwangi 26-8-1964 #VALUE! #VALUE! P
Banyuwangi 21-6-1997 #VALUE! #VALUE! P
Banyuwangi 5-10-1970 #VALUE! #VALUE! P
Banyuwangi 12-8-2003 #VALUE! #VALUE! P
Banyuwangi 20-9-2001 #VALUE! #VALUE! P
Banyuwangi 5-9-1965 #VALUE! #VALUE! P
BWI 1/31/1969 54 46-59 P
BWI 6/30/1960 62 ≥60 P
BIWI 4/17/1969 53 46-59 P
BWI 10/22/1997 25 18-30 P
BWI 6/30/1985 37 31-45 P
BWI 12/20/1978 44 31-45 P
BWI 6/19/1975 47 46-59 P
BWI 1/8/2000 23 18-30 P
BWI 7/5/1970 52 46-59 P
BWI 2/4/1972 51 46-59 P
BWI 4/6/1964 58 46-59 P
BWI 11/7/1992 30 18-30 P
BWI 5/2/1965 57 46-59 P
ESMAS SINGOTRUNAN
NAMA
"ALAMAT" "RT" "RW" KECAMATA "NAMA KELURAHAN
N
(9) (10) (11) (12) (13)

JL DIPANJAITAN 2 1 16 12
JL NIAS 2 1 16 12
JL RIAU GG MUTIARA NO 8 16 12
JL NIAS NO 37 4 1 16 12
JL BUNYU 4 4 16 12
JL RIAU GG GAFILAS NO 42 16 12
JL RIAU GG GAVILAS 2 4 16 12
JL RIAU GG PERMATA NO 12 1 3 16 12
JL NIAS NO 37 2 1 16 12
JL DI PANJAITAN 2 1 16 12
KRAJAN 3 3 16 23
JL DI PANJAITAN NO 26 16 23
LINGK GAJAH OLING 16 11
LINGK GAJAH OLING 1 3 16 11
JL AGUNG WILIS NO 3 16 11
JL TAWANG ALUN NO 23 3 3 16 11
JL TAWANG ALUN 16 11
LINGK KOPENBAYAH 2 4
JL DEDALI PUTIH NO 14 1 3 16 11
LINGK KROBOKAN 2 1 16 23
LINGK KRAJAN NO 15
JL BUNYU 1 4 16 12
JL BUNYU BLOK TK AL IRSYAD 16 12
JL BUNYU LINGK KBJ 2 1 16 12
JL TERNATE 16 12
JL RIAU GG GAFILAS NO 61 2 4 16 12
LINGK KRAJAN 4 1 16 12
JL RIAU GG PERMATA 3 3 16 12
JL NIAS NO 25B 4 1 16 12
JL MUSI GG MAWAR 16 PENGANJURAN
JL RIAU 2 4 16 12
JL ENGGANO
JL RIAU GG REMAJA 16 12
JL RIAU GG GAFILAS 1 4 16 12
JL RIAU 1 4 16 12
JL RIAU GG REMAJA 4 2 16 12
JL SAYU WIWIT 1 2 16 11
JL BASUKI RACHMAD GG MANGGA 2 4 16 12
JL RIAU GG PERMATA 1 3 16 12
JL RIAU GG PERMATA 4 3 16 12
JL DIPANJAITAN 1 2 16 12
JL RIAU GG PERMATA BO 12 4 3 16 12
SAKURA GARDEN 2 4 BATAM
JL.KRAKATAU 6 3 16 14
JL.TANGKUBAN PERAHU 1 4 PEKANBARU KOTA
KOTA TINGGI
JL.BASUKI RAHMAT GG SENYUM 2 3 16 14
JL.KEMBANG KEPOH PALM INDAH
JL.SUMBING NNO.79 2 2 16 14
JL.MH THAMRIN 1 2 16 13
JL.SUMBING NO.73 2 2 16 14
JL.SUMBING NO.73 2 2 16 14
DSN JATIMULYA TILOAN
JL.KALIMAS NO.37
JL.IJEN NO.8 2 4 16 14
JL.RIAU GG PERMATA NO.1 3 3 16 12
JL.TARAKAN NO.20 4 2 16 12
JL.RIAU GG PERMATA NO.1 4 2 16 12
JL.ANGGENO GG KYAI SALEH NO.5 3 2 16 12
LINGK SRITANJUNG 16 11
LINGK.SRITANJUNG 16 11
JL.TAWANG ALUN 1 2 12 11
JL.TAWANG ALUN 12 11
JL.TAWANGALUN NO.1 12 11
LINGK.SRITANJUNG 12 11
JL.SIDOPEKSO NO.27 12 11
LINGK.SRITANJUNG 2 2 12 11
JL MUSI GG MAWAR 2 1 16
LINGK GAJAH OLING 1 2 16 11
JL DIPANJAITAN NO 26 2 2
JL.BASUKI RAHMAT GG SENYUM 2 4 12 12
JL.DEMPO NO.30 3 1 16 12
PERUM VILLA SUKOWINI
JL.NIAS NO.24 2 1 16 11
JL.DI PANJAITAN NO.55 2 2 16 12
JL.DI PANJAITAN NO.55 2 2 16 11
KRAJAN
JL.DI PANJAITAN NO.55 2 2 16 11
JL.BUNYU NO.47 1 4 16 11
JL.TERNATE 6 3 16 11
JL.BANTERANG NO.55 3 3 16 10
JL.NIAS NO.40 2 1 16 11
JL.BANTERANG BARU 5 3 2 BWI SNG
JL/KAPTEN ILYAS 18 BWI SNG
JL.KALILO GG MELATI 40 1 1 BWI SNG
JL.AHMAD YANI 42 2 2 BWI SNG
KP.PAREYAAN 1 3 SUMBERKOLAK PANARIKAN
JL.KAPTEN ILYAS 1 1 BWI SNG
PERUM ADIMAS GAJAH MADA C10 5 3 BWI SNG
JL.LETKOL ISTIQLAH 43 3 3 BWI SNG
JL.BRANTAS 18 BWI SNG
JL.LETKOL ISTIQLAH 3 3 BWI SNG
JL.LETKOL ISTIQLAH 14 2 1 BWI SNG
 BWI SNG
PERUM VGM D1 5 3 BWI SNG
NO.HP KETERANGAN

(23) (24)
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510164402990004 EKA PEBRIANI BANYUWANGI

2 35101649084400 JOHANA FRANSISCA BANYUWANGI
4 3517026811960001 MAGDALENA KEDIRI
6 3510166806600003 SALWIYAH BANYUWANGI
7 3510167003500005 LINA LIESTYOWATI BANYUWANGI
9 3515186501750005 RUTH CANDRA KUSUMA SURABAYA
11 3510166303820010 KARYATI MADIUN
12 3510166310960005 FRIDA OKTAVIA BANYUWANGI
15 3509084407950001 NIDIA TITIS KURNIASARI JEMBER
16 35101664087880013 INDAH LESTARI BANYUWANGI
17 3510166710590004 ANI ROSIDA BANYUWANGI
18 3510164105700005 YENI SULISTIOWATI BANYUWANGI
19 3510164406580004 FATIMAH BANYUWANGI
20 3510165705800004 RINI MARIYATI BANYUWANGI
21 3510165002000003 VIANTY NOOR AISYAH BANYUWANGI
22 3510165001020003 DWI YULIA SYAFITRI BANYUWANGI
27 3510166503510001 TJAHYA HENIWARTI BANYUWANGI
28 3510174505920003 GHITA MEYLISA HERTANTIYA BANYUWANGI
29 3510166302950003 RANI VEGI HARIYANI BANYUWANGI
30 3510165012770003 FARIDA SARI BANYUWANGI
32 3510166702940006 EVA ROSIANA SUCI BANYUWANGI
33 3510167006610059 MUFIDAH BANYUWANGI
35 3510165910970005 ANGEL JELITA BRILLIANT YURI BANYUWANGI
36 3510166807830004 NUNING YULIATIN BANYUWANGI
37 3507245505970002 YOLA KONY DAKOTA BANYUWANGI
38 3510164106860007 IKA WULAN HADIYANI BANYUWANGI
40 3510164103010003 ADINDA TAMARA BANYUWANGI
41 3510165204770004 HANDAYANI BANYUWANGI
42 3510164702680007 SRI WERDI HASTUTI BANYUWANGI
43 3510167006700070 SUMINI BANYUWANGI
45 3510166411030001 LOLITA FITRIANI BAHTIAR BANYUWANGI
46 3510165512930008 TRIMARIA ULFA BANYUWANGI
50 3510166308750005 GUSTINA BANYUWANGI
51 3510164108660001 TUKINEM SOLO
52 3510157105850001 MAYA WULANDARI PUTRI BANYUWANGI
53 3510236212800004 ANITA NURMILASARI BANYUWANGI
54 5101016405990007 ELLA NABILA BANYUWANGI
57 3510164404000003 RATNA PUJI LESTARI BANYUWANGI
58 3510164708530001 KATEMI BANYUWANGI
60 3510164306890003 YUNI IDA PRATIWI BANYUWANGI
61 3510165811640001 HAISAH BANYUWANGI
62 3510216412780005 LILIK BANYUWANGI
64 3510164506760002 PAULINDA BANYUWANGI
66 3510161212780002 MADE ISA BELA BANYUWANGI
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRU
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT"
UMUR KELAMIN"

(5) (6) (7) (8) (9) (10)

2/4/1999 24 18-30 P JL TERNATE 3

8/9/1944 78 ≥60 P JL MUSI NO 48
11/28/1996 26 18-30 P SINGOTRUNAN 1
6/28/1960 62 ≥60 P LINGK KRAJAN GG I NO17
3/30/1950 72 ≥60 P LINGK KRAJAN NO 05
1/25/1975 48 46-59 P PAKIS TIRTOSARI 11
3/23/1982 40 31-45 P JL TERNATE 4
10/23/1996 26 18-30 P JL KARIMUN JAWA 1
7/4/1995 27 18-30 P DSN KRAJAN 1
8/24/1978 44 31-45 P
10/27/1959 63 ≥60 P JL MERBABU NO 03 1
5/1/1970 52 46-59 P JL KARIMUN JAWA GG MANGGIS NO 47
6/4/1958 64 ≥60 P JL RIAU 3
5/17/1980 42 31-45 P LINGK SUKOWIDI
2/10/2000 23 18-30 P LINGK SUKOWIDI
1/10/2002 21 18-30 P LINGK SUKOWIDI 4
3/25/1951 71 ≥60 P JL IJEN NO 63 3
5/5/1992 30 18-30 P JL IKAN CAKALANG
2/23/1995 27 18-30 P SINGOTRUNAN
12/10/1977 45 31-45 P JL MALABAR II NO 05
2/27/1994 28 18-30 P JL KARIMUN JAWA 5
6/30/1961 61 ≥60 P JL OPAK 5
10/19/1997 25 18-30 P JL KAPTEN ILYAS
7/28/1983 39 31-45 P JL TERNATE 3
5/15/1997 25 18-30 P
6/1/1986 36 31-45 P JL BRANTAS
3/1/2001 21 18-30 P JL H THAMRIN 1
4/12/1977 45 31-45 P JL GUNUNG SRAWET
2/7/1968 55 46-59 P JL KARIMUN JAWA
6/30/1970 52 46-59 P JL ANDALAS
11/1/2003 19 18-30 P JL ANDALAS 3
12/16/1993 29 18-30 P
8/23/1975 47 46-59 P KBJ 3
8/1/1966 56 46-59 P JL GUMITR 4
3/31/1985 37 31-45 P PURI CAMAR
12/22/1980 42 31-45 P PERUM VBM 1
5/24/1999 23 18-30 P BANJAR KETAPANG
4/4/2000 22 18-30 P JL BATUR 70
8/7/1953 69 ≥60 P JL KRAKATAU
6/3/1989 33 31-45 P JL RW MONGINSIDI 3
11/18/1964 58 46-59 P JL ANDALAS 4
12/24/1978 44 31-45 P PERUM VILLA SUKOWIDI
6/5/1976 46 46-59 P JL BOGOWONTO
12/12/1978 44 31-45 P JL IKAN ARWANA 4
PUSKESMAS SINGOTRUNAN
NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3
"RW" KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(11) (12) (13) (14) (15) (16) (17) (18)

3 16 12 4/11/2022 1
16 4/11/2022 1
4 16 14 4/11/2022 1
4/11/2022 1
4/11/2022 1
5 SBY 4/11/2022 1
3 16 12 4/11/2022 1
4 16 12 4/11/2022 1
8 JEMBER 4/11/2022 1
4/11/2022 1
4 16 14 4/11/2022 1
16 12 4/11/2022 1
2 16 23 4/11/2022 1
21 91 4/11/2022 1
21 91 4/11/2022 1
1 21 91 4/11/2022 1
2 16 14 4/11/2022 1
4/11/2022 1
16 14 4/11/2022 1
16 14 4/11/2022 1
4 16 12 4/11/2022 1
1 16 13 4/11/2022 1
16 16 4/11/2022 1
3 16 12 4/11/2022 1
4/11/2022 1
16 14 4/11/2022 1
2 16 13 4/11/2022 1
16 14 4/11/2022 1
16 12 4/11/2022 1
16 14 4/11/2022 1
3 16 14 4/11/2022 1
4/11/2022 1
3 16 12 4/11/2022 1
2 16 14 4/11/2022 1
17 51 4/11/2022 1
2 16 47 4/11/2022 1
4/11/2022 1
16 14 4/11/2022 1
16 14 4/11/2022 1
1 16 18 4/11/2022 1
3 16 14 4/11/2022 1
 21 91 4/11/2022 1
16 13 4/11/2022 1
2 16 8 4/11/2022 1
 ALASAN TIDAK
NO BATCH MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9 081336673601
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9 08581531879
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9 08221757102
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9 081337911207
D202110024 ASTRAZENECA 9 0877507560128
D202110024 ASTRAZENECA 9 087750756928
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9 0895390178621
D202110024 ASTRAZENECA 9 085963002531
D202110024 ASTRAZENECA 9 085215962902
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
D202110024 ASTRAZENECA 9
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

2 3510160909780013 IRAWANSYAH BANYUWANGI 9-9-78

4 3510162310650002 SLAMET H BANYUWANGI 23-10-1965
11 3510132209860002 YOSRI NURDIAN MUSLIM BANYUWANGI 22-6-1986
12 3510212510880001 ANDY BAGUS SETYAWAN BANYUWANGI 25-10-1988
13 3509190406770004 AZIS PUJI SLAMET JEMBER 4-6-1977
14 3510021202920007 TAUFIQ DWI RIZKIA BANYUWANGI 12-2-1992
15 3510241904860002 SUNARYO BANYUWANGI 19-4-1986
16 3510160209940002 RIZKY PUTRA P BANYUWANGI 2-9-1994
17 3510162308420001 DJUMADIN BANYUWANGI 23-06-1942
19 3510161909030004 HUSNI MUBAROQ BANYUWANGI 19-09-2003
24 3510161105720008 SUMARII BANYUWANGI 11-5-1972
25 3510163006550090 ASMAD BANYUWANGI 30-06-1955
26 3510161009820005 BUDI SANTOSO BANYUWANGI 10-09-1982
27 3510162404010003 M.DION ARDIANSYAH BANYUWANGI 24-04-2001
28 3510160106030004 MOHAMMAD FAREZI R BANYUWANGI 01-06-2003
29 3510160802000003 MUHAMMAD DARWIN AL BANYUWANGI 08-02-2000
32 3510162806760004 JONI ALBASAH BANYUWANGI 28-06-1976
33 3510161010810015 ZAKARIA BANYUWANGI 10-10-1981
38 3510163006570122 SAIRI BANYUWANGI 30-06-1957
39 3510162501750001 RIBUT HARIYANTO BANYUWANGI 25-01-1975
44 3510160101690020 ABDUL GAFUR BANYUWANGI 01-01-1969
46 3510162901620002 SUMADI BANYUWANGI 29-01-1962
50 3510162512640002 ABDUR RAHMAN BANYUWANGI 25-12-1964
52 3510162503670002 HATTAJUDIN BANYUWANGI 25-03-1967
54 3510160706660001 MOH SALIM BANYUWANGI 07-06-1966
58 3510162607720002 YUDI PURNOMO BANYUWANGI 26-07-1972
60 3510163006660040 SAMPARAK DAENG B GOWA 30-06-1966
61 3510160606840001 SUROSO BANYUWANGI 06-06-1984
62 3510163006650156 BUNAWI BANYUWANGI 30-06-1965
63 3510162811830004 HERMAN PURWANTO BANYUWANGI 28-10-1983
65 3510161404660001 SYAIFUL BAKHRI BANYUWANGI 14-04-1966
67 3510160202830007 BUDI HARTONO BANYUWANGI 02-02-1983
69 3510160202760003 SAHRAWI YANTO BANYUWANGI 02-02-1976
70 3510163006530062 NIALI BANYUWANGI 30-06-1953
72 3510162611750006 RUDY IRAWAN BANYUWANGI 26-11-1975
73 9101010711720005 SLAMET HARIYONO BANYUWANGI 07-11-1972
81 3510161805660003 SADARI BANYUWANGI 18-05-1966
82 3510160812000001 IQBAL RIZKY R BANYUWANGI 08-12-2000
86 3510160509640004 DJUMAADIN BANYUWANGI 05-09-1964
87 3510161611700002 MUJIONO BANYUWANGI 18-11-1970
88 3510162706790001 MOCH ZULKARNAIN BANYUWANGI 27-06-1979
 90 3510162001920002 ACHMAD RUHYAT JEMBRANA 20-01-1992
93 3510160304610006 SUYONO BANYUWANGI 03-04-1961
95 3510163010720003 KURNIADY BANYUWANGI 30-10-1972
96 3510160205000007 RIDHO QIDDAM AKBAR BANYUWANGI 02-05-2000
97 3510160506710009 BUSAIRI BANYUWANGI 05-06-1971
99 3510162801850003 WAHYU IRAWAN BANYUWANGI 28-1-85
105 3510162909740005 NAZI BANYUWANGI 29-9-1974
109 3510165803820011 MOH. ZALYANAH JAMILAH BANYUWANGI 14-03-1982
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
NAMA "NAMA
KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA KELURAHA
UMUR KELAMIN"
N N
(6) (7) (8) (9) (10) (11) (12) (13)

#VALUE! #VALUE! L KROBOKAN 16 23

#VALUE! #VALUE! L JL. RIAU 2 3 16 12
#VALUE! #VALUE! L DSN. PATOMAN TIMUR 3 2 16
#VALUE! #VALUE! L SECANG 1 1 21 91
#VALUE! #VALUE! L JL. SULTAN AGUNG JEMBER
#VALUE! #VALUE! L DSN. KRAJAN 3 TEMBOKREJO
4
#VALUE! #VALUE! L KRAJAN 3 3 LICIN
#VALUE! #VALUE! L JL. JENDRAL SUDIRMAN 1 1 16 PANDEREJO
#VALUE! #VALUE! L JL RIAU KROBOKAN 3 2 16 23
#VALUE! #VALUE! L KROBOKAN 16 23
#VALUE! #VALUE! L JL RIAU KROBOKAN 3 2 16 23
#VALUE! #VALUE! L KROBOKAN 2 3 16 23
#VALUE! #VALUE! L KROBOKAN 3 2 16 23
#VALUE! #VALUE! L JL RIAU 3 2 16 23
#VALUE! #VALUE! L KRJAN 3 3 16 23
#VALUE! #VALUE! L JL DI PANJAITAN 16 23
#VALUE! #VALUE! L KROBOKAN 2 3 16 23
#VALUE! #VALUE! L KROBOKAN 3 2 16 23
#VALUE! #VALUE! L KRAJAN 16 23
#VALUE! #VALUE! L JL IKAN LULUT KRAJAN 1 1 16 23
#VALUE! #VALUE! L KROBOKAN 1 2 16 23
#VALUE! #VALUE! L JL SURATI 2 1 16 23
#VALUE! #VALUE! L KRAJAN 3 3 16 23
#VALUE! #VALUE! L KRAJAN 3 2 16 23
#VALUE! #VALUE! L JL DI PANJAITAN 3 1 16 23
#VALUE! #VALUE! L JL SURATI BARU 2 1 16 23
#VALUE! #VALUE! L JL DI PANJAITAN 2 1 16 23
#VALUE! #VALUE! L JL DI PANJAITAN 3 3 16 23
#VALUE! #VALUE! L KROBOKAN 1 3 16 23
#VALUE! #VALUE! L KRAJAN 3 3 16 23
#VALUE! #VALUE! L JL SURATI BARU 3 1 16 23
#VALUE! #VALUE! L JLBANTERANG 16 10
#VALUE! #VALUE! L JL DI PANJAITAN 1 2 16 23
#REF! #REF! L KRAJAN 16 23
#VALUE! #VALUE! L JL SURATI BARU 1 3 16 23
#VALUE! #VALUE! L KROBOKAN 1 1 16 23
#VALUE! #VALUE! L KROBOKAN 2 1 16 23
#VALUE! #VALUE! L JL SURATI BARU 3 1 16 23
#REF! #REF! L KROBOKAN 2 1 16 23
#VALUE! #VALUE! L KRAJAN 3 3 16 23
#VALUE! #VALUE! L JL DI PANJAITAN 2 1 16 23
#VALUE! #VALUE! L JL DI PANJAITAN 1 3 16 23
#VALUE! #VALUE! L JL DI PANJAITAN 2 3 16 23
#VALUE! #VALUE! L JL RIAU 3 2 16 23
#VALUE! #VALUE! L KRAJAN 3 3 16 23
#VALUE! #VALUE! L JL DI PANJAITAN 3 1 16 23
#VALUE! #VALUE! L JL. BUNYU 3 1 16 12
#VALUE! #VALUE! L JL. BANGKA 4 1 16 12
#VALUE! #VALUE! L JL. BUNYU 3 1 16 12
 JENIS ALASAN
TANGGAL MEREK
PEKERJAA BPJS PENTAHAPAN VAKSIN-3 NO BATCH TIDAK FASKES NO.HP
VAKSIN TERVAKSIN VAKSIN
N
(14) (15) (16) (17) (18) (19) (20) (21) (22) (23)

4/12/2022 D202110024 087770173

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PANDEREJO 4/12/2022 D202110024
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KETERANGAN

(24)

V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
 LAPORAN HARIAN VAKSIN COVID-19
NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

2 3510163006470083 MOCHAMAD TOHA BANYUWANGI 6/30/1947

7 3510162302730002 RUDY MULYONO BANYUWANGI 2/23/1973
8 3510162202630003 ISMAIL BANYUWANGI 2/22/1963
10 3510160604860005 MUCHAMAD SYAIFUL KUM BANYUWANGI 4/6/1986
18 3510160509620003 SUKOSO BANYUWANGI 9/5/1962
21 3510163007600013 JAJULI BANYUWANGI 7/30/1960
26 3510162005590002 MOHAMMAD BASRI BANYUWANGI 5/20/1959
27 3510161006490001 MURSIDI BANYUWANGI 6/10/1949
29 3510210808950007 VICTOR BAGUS BANYUWANGI 8/8/1995
32 3510160606930001 HABIB MUHAMMAD AMRULBANYUWANGI 6/6/1993
34 3510161503620003 BUANG HARUN BANYUWANGI 3/15/1962
36 3510161907030002 MOH REGI ALVIANSYAH BANYUWANGI 7/19/2003
38 5171032307770005 BAYU HADI YUWONO BANYUWANGI 7/23/1977
40 3510162904850005 MOH ROPIK BANYUWANGI 4/29/1985
44 3510162009960004 MOCH RIZKY BAKHROIN BANYUWANGI 9/20/1996
48 3510161709770002 WIKAN KAMANDANU BANYUWANGI 9/17/1977
49 3510162204680002 SYAIFUL KAHFI BANYUWANGI 4/22/1968
54 3510161210630001 SUYONO KADIR BANYUWANGI 10/12/1963
55 3510162207980005 FERRY YULIANTO BANYUWANGI 7/22/1998
71 3510160204040002 FIRMAN DWI KURNIAWAN BANYUWANGI 4/2/2004
73 3515152310930002 FIRZA FAIZ AFIFFI BANYUWANGI 10/23/1993
77 3510162612680004 MUSTAKIM BANYUWANGI 12/26/1968
81 3510160112690001 ADI SUMARSONO BANYUWANGI 12/1/1969
84 3510162810680003 JAM'AN AHYADI BANYUWANGI 10/28/1969
86 3508032303890003 ARIS FEBRIS SETIAWAN BANYUWANGI 3/23/1989
91 3510162306660001 CHOLID TAUFIQ BANYUWANGI 6/23/1966
97 3510161301690001 SENIMAN BANYUWANGI 1/13/1969
99 3510163006620135 M RAHMAN BANYUWANGI 6/30/1962
100 3510165707710004 ARIES AMALIA BANYUWANGI 7/17/1971
107 3510163006600075 YONGKER BANYUWANGI 6/30/1960
108 3510160202960004 CARLES TRIO BUDIATO BANYUWANGI 2/2/1996
109 3510167103600003 ASIYANI BANYUWANGI 3/31/1960
116 3510162708910002 AHMAD KAMAL BANYUWANGI 27-8-1991
117 3510160705500002 R. MOHAMMAD SUKORO BANYUWANGI 7-5-1950
118 3510161210570004 OEI GIANTO SANTOSO BANYUWANGI 12-10-1957
119 3510162212520001 MAHFUD IBRAHIM BANYUWANGI 22-12-1952
121 3305121602860002 FAOZAN SAPTADI BANYUWANGI 16-2-1986
125 3510111303620001 JAM'I BANYUWANGI 13-3-1962
128 3510160307980006 RIZAL TRI PUTRANDA BANYUWANGI 3-7-1998
131 3510162011880002 ACHMAD MASDUKI BANYUWANGI 20-11-1988
137 3510161106560001 SUNARTO BANYUWANGI 11-6-1956
139 3510162201700002 SOENANTIJOSO BANYUWANGI 22-1-1970
141 3510212705740002 PANDU SETIONO BONDOWOSO 27-5-1974
143 3508142703720002 MUHAMMAD HUSEN BANYUWANGI 27-3-1972
147 3510162405960004 AGAN RIZKIAN BANYUWANGI 24-5-1996
149 3510161710900005 RANDI SUJARWANTO BANYUWANGI 17-10-1990
152 3510162207760010 ABDUL HADI SUMENEP 22-7-1976
154 3510162501680002 SUPARNO BANYUWANGI 25-1-1968
155 3510166409930003 RIZKY FAJRINA SEPTIANA BANYUWANGI 24-9-1993
156 3510161606750009 TORIK BAUZIR BANYUWANGI 16-6-1975
160 3510162103020006 MOH. SALIM ADIKUSUMA BANYUWANGI 21-3-2002
162 3510162605820007 SYAIFUL BASIR BANYUWANGI 26-5-1982
167 3510163003640002 MUHAMMAD ALFAN HIDAYABANYUWANGI 30-3-1964
171 3510161004680003 MUHAIMIN BANYUWANGI 10-4-1968
177 3510160509790009 MUSLIMIN BANYUWANGI 5-9-1979
179 5171031307610001 SYAMSURI BANYUWANGI 13-7-1961
180 3510160506790007 KOKOK FEBRIYANTO BANYUWANGI 5-6-1979
184 3510161505550006 FATHUR ROHMAN BANYUWANGI 15-5-1955
186 3510163101880003 MISBAHUL MUNIR BANYUWANGI 31-1-1988
189 3510162009580002 ACHMAD IMRON BANYUWANGI 20-9-1958
190 3510162606590008 HARIYADI BANYUWANGI 26-6-1959
194 3510163006570093 SUNARYO BANYUWANGI 30-6-1957
198 3510161009710004 SUDJIONO BANYUWANGI 10-9-1971
201 3510151510860003 JOKO PRIYANTO BANYUWANGI 14-10-1986
204 3510162008710004 KADEK SISWA PARWATA BANYUWANGI 20-8-1971
208 3510161610840002 TEGUH PRASETYO BANYUWANGI 16-10-1984
209 3510160401760001 SUPYAN HADI BANYUWANGI 4-1-1976
210 3510161402800001 HERI PURNOMO BANYUWANGI 14-2-1980
212 3510161701780002 ERWIN SISWANTO BANYUWANGI 17-10-1978
213 3510160304460001 SYAMBUDI M SUBINI BANYUWANGI 3-4-1946
216 3510160103760004 SUYONO BANYUWANGI 1-3-1976
218 3510163108850002 TAKIM SURAHMAN BANYUWANGI 31-8-1985
221 3510161608620005 ANWAR BANYUWANGI 16-8-1962
222 3510162404490003 DRS. A MAKKI HAMZAH BANYUWANGI 24-4-1949
225 3510161510750002 ABDUL HANAN BANYUWANGI 15-10-1975
229 3510160212650001 MISRIYANTO BANYUWANGI 2-12-1965
230 3510160603020005 MOH. DHAFIN AL KAUTSARBANYUWANGI 6-3-2002
231 3514142612850001 AFIF AMRULLAH BANYUWANGI 26-12-1985
232 3510162311980003 RAKA SURYA PRASETIA BANYUWANGI 23-11-1998
233 3510160508500004 SUHAIMI BANYUWANGI 5-8-1950
235 3510161912810005 YUSRON BANYUWANGI 19-12-1981
239 3510161004970008 YUSUF TIDAR PANGESTU BANYUWANGI 10-4-1997
AN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
NAMA
KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
UMUR KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

75 ≥60 L KALILO 3 4 16
49 46-59 L KALILO 16
60 ≥60 L JL KALILO 3 4 16
36 31-45 L LINGK KALILO 2 4 16
60 ≥60 L LINGK KALILO 3 4 16
62 ≥60 L JL KALILO 16
63 ≥60 L JL KALILO 16
73 ≥60 L JL KALILO 16
27 18-30 L KALILO 16
29 18-30 L
60 ≥60 L JL RINJANI NO 50 16
19 18-30 L JL RINJANI 16
45 31-45 L JL GATSU VI GG BHINGKA
37 31-45 L JL ANDALAS 16
26 18-30 L JL BROMO NO 43 16
45 31-45 L JL BROMO 57 1 3 16
54 46-59 L JL RINJANI GG KERINCI NO 7 16
59 46-59 L JL ANDALAS NO 57 16
24 18-30 L LINGK UJUNG 16
18 18-30 L JL RINJANI 16
29 18-30 L PERUM SURYA ASRI A5 36 3
54 46-59 L JL SEKARDALU NO 31 16
53 46-59 L JL SIDOPEKSO NO 258 3 1 16
53 46-59 L JL SIDOPEKSO NO 258 16
#REF! #REF! L JL TAWANG ALUN NO 08 16
56 46-59 L JL TAWANG ALUN NO 10 16
54 46-59 L JL TARAKAN 2 2 16
60 ≥60 L JL KARIMUN JAWA GG MANGGA NO 1 4 16
51 46-59 L LINGK KBJ GG SUKUN 3 4 16
62 ≥60 L JL KARIMUN JAWA 16
27 18-30 L JL KARIMUN JAWA NO 67 4 4 16
62 ≥60 L JL KARIMUN JAWA 4 4 16
#VALUE! #VALUE! L JL. BELITUNG 16
#VALUE! #VALUE! L JL. MERBABU 16
#VALUE! #VALUE! L JL. IJEN 1 4 16
#VALUE! #VALUE! L JL. BATUR 1 4 16
#VALUE! #VALUE! L JL. PADANG PANJANG
#VALUE! #VALUE! L GESARI 2 3 16
#VALUE! #VALUE! L KROBOKAN 1 3 16
#VALUE! #VALUE! L JL. LETKOL ISTIQLAH 16
#VALUE! #VALUE! L JL. RINJANI 16
#VALUE! #VALUE! L JAJANG PENATU 16
#VALUE! #VALUE! L JL. RAUNG 4 3 16
#VALUE! #VALUE! L JL. KH ASYARI 4 3 16
#VALUE! #VALUE! L JL. MH THAMRIN 2 5 16
#VALUE! #VALUE! L JL. ANDALAS 1 1 16
#VALUE! #VALUE! L JL. KARIMUNJAWA 5 4 16
#VALUE! #VALUE! L JL. MH THAMRIN 2 5 16
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L JL. BANGKA 4 1 16
#VALUE! #VALUE! L GENTENGAN 4 3 16
#VALUE! #VALUE! L PATEMON WETAN 3 3 16
#VALUE! #VALUE! L JL. RINJANI 1 2 16
#VALUE! #VALUE! L JL. ANDALAS 3 3 16
#VALUE! #VALUE! L GGM 16
#VALUE! #VALUE! L JL. TIDAR 5 3 16
#VALUE! #VALUE! L JL. RINJANI 1 1 16
#VALUE! #VALUE! L JL. BATUR 16
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L JL. DEMPO 16
#VALUE! #VALUE! L JL. RINJANI 1 1 16
#VALUE! #VALUE! L SINGODIPURO 16
#VALUE! #VALUE! L JL. RINJANI 4 1 16
#VALUE! #VALUE! L JL. GUNUNG BATUR 16
#VALUE! #VALUE! L JL. BATUR 2 3 16
#VALUE! #VALUE! L JL. PROGO 3 2 16
#VALUE! #VALUE! L JL. BATUR 1 1 16
#VALUE! #VALUE! L JL. BROMO 3 2 16
#VALUE! #VALUE! L JL. ANDALAS 1 1 16
#VALUE! #VALUE! L JL. ANDALAS 16
#VALUE! #VALUE! L JL. RINJANI 1 1 16
#VALUE! #VALUE! L JL. KRAKATAU 6 3 16
#VALUE! #VALUE! L JL. BATUR 1 4 16
#VALUE! #VALUE! L JL. ANDALAS 3 1 16
#VALUE! #VALUE! L PERUM PENGANTIGAN RESIDENC 5 1 16
#VALUE! #VALUE! L JL. ANDALAS 4 3 16
#VALUE! #VALUE! L JL. RINJANI 3 3 16
#VALUE! #VALUE! L JL. DEMPO 16
#VALUE! #VALUE! L JL. BATUR 2 3 16
#VALUE! #VALUE! L JL. RIAU 1 4 16
#VALUE! #VALUE! L JL. KARIMUNJAWA 1 4 16
#VALUE! #VALUE! L JL. KARIMUNJAWA 5 4 16
"NAMA KELURAHAN NO.HP KETERANGAN

(13) (23) (24)

13
13
13
13
13 085232632976
13 082312967643
13 082330446021
13 082337508727
13

14
14

14
14
14
14
14

14

11
11
11
11
11
12
12
12
12
12
12
12 085967193669 V3
14 081331835279 V3
14 V3
14 V3
V3
13 V3
23 V3
16 V3
14 085806137733 V3
 10 083852068410 V3
14 V3
TUKANGKAYU V3
13 08219466146 V3
14 V3
12 V3
13 082337244670 V3
V3
12 V3
16 V3
10 V3
14 V3
14 V3
V3
14 V3
14 V3
14 V3
14 082336008384 V3
14 085203843435 V3
14 V3
14 V3
14 V3
14 V3
14 081235322268 V3
14 V3
14 V3
14 V3
14 08953670001033V3
14 081301828885 V3
14 V3
14 V3
14 V3
14 081358300254 V3
13 085333736498 V3
14 V3
14 V3
14 V3
14 08596790950 V3
12 V3
12 V3
12 V3
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510145511900007 DEWI MASITOH BANYUWANGI 3-3-1992

2 3510166012660004 SUDARSIH W BANYUWANGI 20-12-1966
3 3510164512850005 SWI SULISTIARINI BANYUWANGI 5-12-1985
4 3510164801910003 NIA HANDAYANI BANYUWANGI 8-1-1991
5 3510162411860001 INDRA TRIMULYA BANYUWANGI 24-11-1986
6 3510166706770004 MAMIK HANDAYANI BANYUWANGI 27-6-1977
7 3510166605920002 DR. INDA MEILINA SOFIANI BANYUWANGI 26-5-1992
8
9
10
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38
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 83
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128
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173
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218
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263
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308
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353
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 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 14-4-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

#VALUE! #VALUE! P JL. LETKOL ISTIQLAH 16

#VALUE! #VALUE! P JL. KERTANEGARA 16
#VALUE! #VALUE! P JL. TERNATE 5 3 16
#VALUE! #VALUE! P JL. PENATARAN 1 3 16
#VALUE! #VALUE! L JL. MH THAMRIN 5 1 16
#VALUE! #VALUE! P JL. ACEH 3 3 16
#VALUE! #VALUE! P JL. IKAN ARWANA PERUM VILLA MUTIARA HIJAU 16
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

MAS SINGOTRUNAN

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK

"NAMA KELURAHAN BPJS TERVAKSIN
PEKERJAAN

(13) (14) (15) (16) (17) (18) (19) (20)

16 PFIZER PM2956
KEBALENAN
12
TAMANBARU
13
TAMANBARU
KERTOSARI
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

IBU HAMIL V3
082141022209 V3
V3
V3
V3
V3
V3
JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-1
NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

2 3510211102010003 IGNACIUS MARIO FEBRIANDA BANYUWANGI 11-2-2001

6 351016011970001 RIZKI DWI AKBAR BANYUWANGI 7-11-1997
8 3510162307710005 MUNIF BANYUWANGI 23-7-1971
11 3510161105820002 MOHAMMAD ABIDIN BANYUWANGI 11-5-1982
12 3510161212550006 AMIR BIN THALIB BANYUWANGI 12-12-1955
14 3510160408240003 MUFTI IMRON BANYUWANGI 4-8-1974
15 3510162905630005 NAJIB BARIDWAN BANYUWANGI 29-5-1963
16 3510161708840006 AGUSTIAWAN BANYUWANGI 17-8-1984
22 3510165202790003 SULTANAH BT MUHAMAD BAJRE BANYUWANGI 12-2-1979
25 3510161110710003 MOHAMMAD ALI BAUZIR BANYUWANGI 11-1-1971
29 3510160505500005 FARID BANYUWANGI 5-5-1950
31 3510161904810006 AHMAD HIDAYAT BANYUWANGI 19-4-1981
35 3510161010600002 SUPRIYANTO BANYUWANGI 10-10-1960
38 3510162404810006 BUDIANTO BANYUWANGI 24-4-1981
41 3510163004750003 ACHMAD SURYANTO BANYUWANGI 30-4-1975
49 351009310700002 MUHAMMAD ZUFARSYAH BANYUWANGI 31-7-2000
51 3510160606770010 TAUFIK HIDAYAT BANYUWANGI 6-6-1977
57 3510163112500005 SANUSI BANYUWANGI 31-12-1950
58 3510163006600112 IMAM HIDAYAT BANYUWANGI 30-6-1960
59 3510163006760051 MOCH. UMAR BANYUWANGI 30-6-1976
61 3510160608610002 DWI ENDAR SUSILO BANYUWANGI 6-8-1961
63 3510162805720002 HADI PURNOMO BANYUWANGI 28-5-1972
65 3510162302740004 IMAM WAHYUDI BANYUWANGI 23-2-1974
68 3510161206810011 WAHYUDI BANYUWANGI 12-6-1981
69 3510163112860002 FIRDINAN SYAH BANYUWANGI 31-12-1986
74 3510162805640002 ASARI BANYUWANGI 28-5-1964
75 3510162812660001 ALI MUSTOFA BANYUWANGI 28-12-1966
83 3510162404500001 BURHAN HASHIBUAN BANYUWANGI 24-4-1950
89 3510161506000011 MOCH. RISKY MAULIDI BANYUWANGI 15-6-2000
90 3510160707870003 WASKITO TRI WIBOWO BANYUWANGI 7-7-1987
91 3510162909830004 PERIKOM BANYUWANGI 29-9-1983
93 3510162504800008 SOFYAN HADI BANYUWANGI 25-4-1980
96 3510162206560001 HENDRO ATMOKO BANYUWANGI 22-6-1956
99 3510161708610003 AGUS SUNARYO BANYUWANGI 17-8-1961
101 3510163006510050 SUTONO BANYUWANGI 30-6-1951
102 3510162501780005 NUR ALFALAH BANYUWANGI 25-1-1978
107 3510161206590004 SUHAIRI BANYUWANGI 12-6-1959
110 3510160506970007 DEINAR SURYO PRAKOSO BANYUWANGI 5-6-1997
113 3510172412750002 MULYONO BANYUWANGI 24-12-1975
115 3510160510770003 PUNGGI PURNAWAN BANYUWANGI 5-1-1977
117 3510162003700002 HIZBUL WATHONI BANYUWANGI 20-3-1970
118 3510162512520001 BUSAIRI BANYUWANGI 25-12-1952
120 3510161612660003 GATOT SUDARTO BANYUWANGI 16-12-1966
122 3510162402890001 TRI FIKI PURNOMO BANYUWANGI 24-2-1989
131 3510160505820010 MARIO EKO UTOMO BANYUWANGI 6-5-1982
134 3510162806650003 MULUD SUGIANTO BANYUWANGI 28-6-1965
140 3510161303990004 EFRISA SARDANU BANYUWANGI 11-3-1999
141 3510160609920002 HAKIKI RIZAL EFENDI BANYUWANGI 6-9-1992
143 5101041211860002 M. SANTOSO BANYUWANGI 12-11-1986
144 3510161803750001 SURYANTO BANYUWANGI 18-3-1975
145 3510162406930007 FURQON FERDYANSYAH BANYUWANGI 24-6-1993
146 3510160410680001 RUSDI YANTO BANYUWANGI 4-10-1968
148 3510160505030005 M. FAIZAL MAULANA BANYUWANGI 5-5-2003
149 3510160208720002 WAKIMIN BANYUWANGI 2-8-1972
152 3510212310840006 BAMBANG SUWARDI BANYUWANGI 23-10-1984
154 3604102104730011 RCH. NANANG WILIS PUTRA BANYUWANGI 21-4-1973
157 3510161103850004 HADI SUMARNO BANYUWANGI 11-3-1985
159 3510162802690002 SURIYANTO SUMENEP 28-2-1969
160 3510161201760008 GATOT SUGIANTO BANYUWANGI 12-1-1976
164 3510160603050003 DEVA DAVID BANYUWANGI 6-3-2005
165 3510160303810013 UJIK BANYUWANGI 3-3-1981
167 3510141002820004 EDI MULYONO BANYUWANGI 10-2-1983
169 3515130204710005 ERIES JONIFIANTO LUMAJANG 4/2/1971
172 3510161304800004 SYAM MASARDI BANYUWANGI 4/13/1980
175 3578103112590012 ANDI NYAMPA DAMING BANYUWANGI 12/31/1959
177 3311061704780003 BEJO SUKOHARJO 4/17/1978
178 3510161904760003 SLAMET HIDAYAT BANYUWANGI 4/19/1976
181 3510171005800002 SETYO EFENDI BANYUWANGI 5/10/1980
187 3510160202620006 JUNAINIK BANYUWANGI 2/2/1962
189 3510240505880002 IMRON SUGIANTO BANYUWANGI 5/5/1988
190 3510143008790003 AGUS ZAINUL M BANYUWANGI 8/30/1979
191 3510161702780003 A FIRMAN ISHADI BANYUWANGI 2/17/1978
192 3510161212600011 HUSAINI BANYUWANGI 12/12/1960
194 3510172807770002 MA'MURI BANYUWANGI 7/28/1977
196 3510160904580002 SASTRO MARGO UTOMO BANYUWANGI 4/9/1958
197 3510140610930003 RENDY HARI YOKO BANYUWANGI 10/6/1993
198 3510212902800002 DJAENURY ICHWAN PONOROGO 2/29/1980
202 3510161007620002 MARTOYO BANYUWANGI 7/10/1962
203 3510162905900006 INDRA KURNIAWAN BANYUWANGI 5/29/1990
204 3510161010760008 SLAMET HARIYADI BANYUWANGI 10/10/1976
206 3510161609580001 SUYATNO BANYUWANGI 9/16/1958
209 3510161406510002 UJANG BASKORO BANYUWANGI 6/14/1951
210 3510162908680001 ACHMAD LUTFIE BANYUWANGI 8/29/1968
212 3517100704740005 HAYAT ARIFIN BANYUWANGI 4/7/1974
214 3510161406580009 MOHAMAD BANYUWANGI 6/14/1958
217 3510162805880003 EKO PRASETYO BANYUWANGI 5/28/1988
218 7504071204690001 AMIR BANYUWANGI 4/12/1969
222 3510160912640005 KHOIRI BANYUWANGI 12/9/1964
226 3510161608520002 GHUFRON BANYUWANGI 8/16/1952
229 3510162111650003 ACHMAD HARIYONO BANYUWANGI 11/21/1965
232 3510160603520001 ACHMAD EFENDI BANYUWANGI 3/6/1952
236 3510162710640001 AUNUR HAHRUS BANYUWANGI 10/27/1964
238 3510161806970005 ARIF HIDAYAT BANYUWANGI 7/18/1997
HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
NAMA "NAMA
KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA KELURAHA
UMUR KELAMIN"
N N
(6) (7) (8) (9) (10) (11) (12) (13)

#VALUE! #VALUE! L PERUM GGM 6 4 21 91

#VALUE! #VALUE! L JL. SAYU WIWIT 3 3 16 14
#VALUE! #VALUE! L JL. BUNYU 16 12
#VALUE! #VALUE! L SUKOWIDI 2 3 21 97
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L JL. BUNYU 16 12
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L KEBUN JERUK 1 1 16 12
#VALUE! #VALUE! L JL. TIDAR 16 14
#VALUE! #VALUE! L JL. LETKOL ISTIQLAH 16 16
#VALUE! #VALUE! L GESARI 1 3 16 13
#VALUE! #VALUE! L KRAJAN 2 5 GENTENG
#VALUE! #VALUE! L KALILO 3 3 16 13
#VALUE! #VALUE! L GESARI 16 13
#VALUE! #VALUE! L SINGOMAYAN BARAT 16 16
#VALUE! #VALUE! L KALILO 16 13
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L KALILO 1 3 16 13
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L KALILO 5 2 16 13
#VALUE! #VALUE! L JL. BRANTAS 1 3 16 13
#VALUE! #VALUE! L JL. BOGOWONTO 16 13
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L JL. BOGOWONTO 2 2 16 13
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L JAJANG PENATU 2 3 16 10
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L KALILO 16 13
#VALUE! #VALUE! L KALILO 16 13
#VALUE! #VALUE! L KALILO 16 13
#VALUE! #VALUE! L KALILO 16 13
#VALUE! #VALUE! L KALILO 16 13
#VALUE! #VALUE! L JL. BOGOWONTO 16 13
#VALUE! #VALUE! L KALILO 16 13
#VALUE! #VALUE! L BANYUWANGI 16
#VALUE! #VALUE! L JL. AIRLANGGA 2 2 16 SOBO
#VALUE! #VALUE! L JL. LAWU 2 3 16 14
#VALUE! #VALUE! L JL. DEMPO 3 1 16 14
#VALUE! #VALUE! L JL. DEMPO 3 1 16 14
#VALUE! #VALUE! L JL. DI PANJAITAN 2 3 16 23
#VALUE! #VALUE! L JL. TIDAR 2 1 16 13
#VALUE! #VALUE! L SUKOWIDI 21 91
#VALUE! #VALUE! L JL. BASUKI RAHMAT 16 14
#VALUE! #VALUE! L JL. BASUKI RAHMAT 3 2 16 14
#VALUE! #VALUE! L JL. RINJANI 4 1 16 14
#VALUE! #VALUE! L JL. RINJANI 1 1 16 14
#VALUE! #VALUE! L JL. TIDAR 2 1 16 13
#VALUE! #VALUE! L JL. DEMPO 3 1 16 14
#VALUE! #VALUE! L GENTENGAN 1 1 16 16
#VALUE! #VALUE! L JL. LAWU 2 3 16 14
#VALUE! #VALUE! L PENGANTIGAN 16 13
#VALUE! #VALUE! L KALILO 2 3 16 13
#VALUE! #VALUE! L KALILO 1 3 16 13
51 46-59 L TAMAN GAYUNGANSARI BARAT 8 1 SBY
42 31-45 L LINGK MUHAJIRIN 1 SUMBAWA
4 BARAT
63 ≥60 L JL KARANG ASEM
44 31-45 L JL RINJANI NO 51 2 1 16 14
46 46-59 L JL BENGAWAN 2 4 16 16
42 31-45 L JL HADRAH CARUK 25 4 1 17 53
61 ≥60 L JL RINJANI GG KERINCI NO 66A 1 1 16 14
34 31-45 L JL BATUR 49 16 14
43 31-45 L LINGK SUKOWIDI 3 2 21 91
45 31-45 L PERUM PENGANTIGAN RESIDEN 5 1 16 13
62 ≥60 L JL BASUKI RAHMAT 1 2 16 14
45 31-45 L JL ANGGREK 1 2 17 BOYOLANGU
64 ≥60 L JL KRAKATAU I NO 7 5 3 16 14
29 18-30 L DSN KRAJAN 2 1 14 KALIREJO
42 31-45 L PERUM VBM BLOK CC 09 2 2 17 47
60 ≥60 L JL IJEN 1 4 16 14
32 31-45 L JL IJEN 1 4 16 14
46 46-59 L JL GALUNGGUNG 4 3 16 14
64 ≥60 L LINGK GESARI 1 1 16 13
71 ≥60 L JL RINJANI NO 47 16 14
54 46-59 L JL BROMO NO 39 1 3 16 14
48 46-59 L DSN JAJAR 4 KEPUH
5 KEMBANG
64 ≥60 L JL KRAKATAU 16 14
34 31-45 L JL KALILO 1 4 16 14
53 46-59 L DSN KEBUN SARI PAHUWATO
58 46-59 L JL BROMO NO 29 16 14
70 ≥60 L JL RINJANI NO 16
57 46-59 L JL KARIMUN JAWA 1 4 16 12
70 ≥60 L JL RINJANI NO 15 4 1 16 14
58 46-59 L JL BASUKI RAHMAT 1 2 16 14
25 18-30 L JL LETJEN SUTOYO NO 01 1 1 16 TUKANGKAYU
 JENIS
PEKERJAA NO.HP KETERANGAN
N
(14) (23) (24)

081291332V3
081285248V3
085230938V3
V3
V3
V3
V3
V3
081214133V3
V3
V3
V3
081232285V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
 V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3

BOYOLANGU
TUKANGKAYU
 LAPORAN HARIAN VA

NO
"TMPT_LHR UMUR KELOMPOK "JENIS
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TGL_LHR" UMUR
" KELAMIN"
I
(1) (2) (3) (4) (5) (6) (7) (8)

1 351017100SANTOSO BANYUWAN 2/10/1964 59 46-59 L

2 351017470MASLIKA BANYUWAN 7/7/1968 54 46-59 P
3 351013010HARI JULIYANTO BANYUWA 7/1/1969 53 46-59 L
4 351016641DESILLA IZMAVIYANBANYUWA 12/24/2003 19 18-30 P
5 351016101NONO SURYADI BANYUWA 11/10/1980 42 31-45 L
6 351016481DESY NOVIANDARI BANYUWA 12/8/1981 41 31-45 P
7 351016060AHMAD SHOFA AL MBANYUWA 4/6/2003 19 18-30 L
8 351016240AHMAD RAHARDI K BANYUWA 4/24/1998 24 18-30 L
9 351016040MAULANA SAFA ADIBANYUWA 2/4/2002 21 18-30 L
10 BANYUWA 6/20/1995
350919200ANAK AGUNG GEDHE 27 18-30 L
11 351016621RISKA AMELIYA BANYUWAN10/22/1989 33 31-45 P
12 351016591HABIBAH BANYUWAN10/19/1971 51 46-59 P
13 351016590MISKANAH BANYUWA 3/19/1964 58 46-59 P
14 351016300SURYO ATMOJO BANYUWA 6/30/1959 63 ≥60 L
15 351016560NURHAYATI BANYUWA 6/16/1975 47 46-59 P
16 351016670SUMARSIH BANYUWA 7/27/1984 38 31-45 P
17 351016040HELMI EKO P BANYUWA 5/4/1988 34 31-45 L
18 123 ≥60
19 123 ≥60
20 123 ≥60
21 123 ≥60
22 123 ≥60
23 123 ≥60
24 123 ≥60
25 123 ≥60
26 123 ≥60
27 123 ≥60
28 123 ≥60
29 123 ≥60
30 123 ≥60
31 123 ≥60
32 123 ≥60
33 123 ≥60
34 123 ≥60
35 123 ≥60
36 123 ≥60
37 123 ≥60
38 123 ≥60
39 123 ≥60
40 123 ≥60
41 123 ≥60
42 123 ≥60
43 123 ≥60
44 123 ≥60
45 123 ≥60
46 123 ≥60
47 123 ≥60
48 123 ≥60
49 123 ≥60
50 123 ≥60
51 123 ≥60
52 123 ≥60
53 123 ≥60
54 123 ≥60
55 123 ≥60
56 123 ≥60
57 123 ≥60
58 123 ≥60
59 123 ≥60
60 123 ≥60
61 123 ≥60
62 123 ≥60
63 123 ≥60
64 123 ≥60
65 123 ≥60
66 123 ≥60
67 123 ≥60
68 123 ≥60
69 123 ≥60
70 #REF! #REF!
71 123 ≥60
72 123 ≥60
73 123 ≥60
74 123 ≥60
75 123 ≥60
76 123 ≥60
77 123 ≥60
78 123 ≥60
79 123 ≥60
80 123 ≥60
81 123 ≥60
 82 123 ≥60
83 123 ≥60
84 123 ≥60
85 123 ≥60
86 #REF! #REF!
87 123 ≥60
88 123 ≥60
89 123 ≥60
90 123 ≥60
91 123 ≥60
92 123 ≥60
93 123 ≥60
94 123 ≥60
95 123 ≥60
96 123 ≥60
97 123 ≥60
98 123 ≥60
99 123 ≥60
100 123 ≥60
101 123 ≥60
102 123 ≥60
103 123 ≥60
104 123 ≥60
105 123 ≥60
106 123 ≥60
107 123 ≥60
108 123 ≥60
109 123 ≥60
110 123 ≥60
111 123 ≥60
112 123 ≥60
113 123 ≥60
114 123 ≥60
115 123 ≥60
116 123 ≥60
117 123 ≥60
118 123 ≥60
119 123 ≥60
120 123 ≥60
121 123 ≥60
122 123 ≥60
123 123 ≥60
124 123 ≥60
125 123 ≥60
126 123 ≥60
127 123 ≥60
128 123 ≥60
129 123 ≥60
130 123 ≥60
131 123 ≥60
132 123 ≥60
133 123 ≥60
134 123 ≥60
135 123 ≥60
136 123 ≥60
137 123 ≥60
138 123 ≥60
139 123 ≥60
140 123 ≥60
141 123 ≥60
142 123 ≥60
143 123 ≥60
144 123 ≥60
145 123 ≥60
146 123 ≥60
147 123 ≥60
148 123 ≥60
149 123 ≥60
150 123 ≥60
151 123 ≥60
152 123 ≥60
153 123 ≥60
154 123 ≥60
155 123 ≥60
156 123 ≥60
157 123 ≥60
158 123 ≥60
159 123 ≥60
160 123 ≥60
161 123 ≥60
162 123 ≥60
163 123 ≥60
164 123 ≥60
165 123 ≥60
166 123 ≥60
167 123 ≥60
168 123 ≥60
169 123 ≥60
170 123 ≥60
171 123 ≥60
172 123 ≥60
173 123 ≥60
174 123 ≥60
175 123 ≥60
176 123 ≥60
177 123 ≥60
178 123 ≥60
179 123 ≥60
180 123 ≥60
181 123 ≥60
182 123 ≥60
183 123 ≥60
184 123 ≥60
185 123 ≥60
186 123 ≥60
187 123 ≥60
188 123 ≥60
189 123 ≥60
190 123 ≥60
191 123 ≥60
192 123 ≥60
193 123 ≥60
194 123 ≥60
195 123 ≥60
196 123 ≥60
197 123 ≥60
198 123 ≥60
199 123 ≥60
200 123 ≥60
201 123 ≥60
202 123 ≥60
203 123 ≥60
204 123 ≥60
205 123 ≥60
206 123 ≥60
207 123 ≥60
208 123 ≥60
209 123 ≥60
210 123 ≥60
211 123 ≥60
212 123 ≥60
213 123 ≥60
214 123 ≥60
215 123 ≥60
216 123 ≥60
217 123 ≥60
218 123 ≥60
219 123 ≥60
220 123 ≥60
221 123 ≥60
222 123 ≥60
223 123 ≥60
224 123 ≥60
225 123 ≥60
226 123 ≥60
227 123 ≥60
228 123 ≥60
229 123 ≥60
230 123 ≥60
231 123 ≥60
232 123 ≥60
233 123 ≥60
234 123 ≥60
235 123 ≥60
236 123 ≥60
237 123 ≥60
238 123 ≥60
239 123 ≥60
240 123 ≥60
241 123 ≥60
242 123 ≥60
243 123 ≥60
244 123 ≥60
245 123 ≥60
246 123 ≥60
247 123 ≥60
248 123 ≥60
249 123 ≥60
250 123 ≥60
251 123 ≥60
252 123 ≥60
253 123 ≥60
254 123 ≥60
255 123 ≥60
256 123 ≥60
257 123 ≥60
258 123 ≥60
259 123 ≥60
260 123 ≥60
261 123 ≥60
262 123 ≥60
263 123 ≥60
264 123 ≥60
265 123 ≥60
266 123 ≥60
267 123 ≥60
268 123 ≥60
269 123 ≥60
270 123 ≥60
271 123 ≥60
272 123 ≥60
273 123 ≥60
274 123 ≥60
275 123 ≥60
276 123 ≥60
277 123 ≥60
278 123 ≥60
279 123 ≥60
280 123 ≥60
281 123 ≥60
282 123 ≥60
283 123 ≥60
284 123 ≥60
285 123 ≥60
286 123 ≥60
287 123 ≥60
288 123 ≥60
289 123 ≥60
290 123 ≥60
291 123 ≥60
292 123 ≥60
293 123 ≥60
294 123 ≥60
295 123 ≥60
296 123 ≥60
297 123 ≥60
298 123 ≥60
299 123 ≥60
300 123 ≥60
301 123 ≥60
302 123 ≥60
303 123 ≥60
304 123 ≥60
305 123 ≥60
306 123 ≥60
307 123 ≥60
308 123 ≥60
309 123 ≥60
310 123 ≥60
311 123 ≥60
312 123 ≥60
313 123 ≥60
314 123 ≥60
315 123 ≥60
316 123 ≥60
317 123 ≥60
318 123 ≥60
319 123 ≥60
320 123 ≥60
321 123 ≥60
322 123 ≥60
323 123 ≥60
324 123 ≥60
325 123 ≥60
326 123 ≥60
327 123 ≥60
328 123 ≥60
329 123 ≥60
330 123 ≥60
331 123 ≥60
332 123 ≥60
333 123 ≥60
334 123 ≥60
335 123 ≥60
336 123 ≥60
337 123 ≥60
338 123 ≥60
339 123 ≥60
340 123 ≥60
341 123 ≥60
342 123 ≥60
343 123 ≥60
344 123 ≥60
345 123 ≥60
346 123 ≥60
347 123 ≥60
348 123 ≥60
349 123 ≥60
350 123 ≥60
351 123 ≥60
352 123 ≥60
353 123 ≥60
354 123 ≥60
355 123 ≥60
356 123 ≥60
357 123 ≥60
358 123 ≥60
359 123 ≥60
360 123 ≥60
361 123 ≥60
362 123 ≥60
363 123 ≥60
364 123 ≥60
365 123 ≥60
366 123 ≥60
367 123 ≥60
368 123 ≥60
369 123 ≥60
370 123 ≥60
371 123 ≥60
372 123 ≥60
373 123 ≥60
374 123 ≥60
375 123 ≥60
376 123 ≥60
377 123 ≥60
378 123 ≥60
379 123 ≥60
380 123 ≥60
381 123 ≥60
382 123 ≥60
383 123 ≥60
384 123 ≥60
385 123 ≥60
386 123 ≥60
387 123 ≥60
388 123 ≥60
389 123 ≥60
390 123 ≥60
391 123 ≥60
392 123 ≥60
393 123 ≥60
394 123 ≥60
395 123 ≥60
396 123 ≥60
 397 123 ≥60
398 123 ≥60
399 123 ≥60
400 123 ≥60

0
0
KETERANGAN
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL :

NAMA "NAMA JENIS

TANGGAL PENTAHAPAN VAKSIN-3
"ALAMAT" "RT" "RW" KECAMATA KELURAHA PEKERJAA BPJS VAKSIN
N N N
(9) (10) (11) (12) (13) (14) (15) (16) (17) (18)

PAYAMAN 1 2 GIRI PFIZER

PAYAMAN 1 2 GIRI PFIZER
TEGAL PFIZER
JL.PAJAJARAN 16 PFIZER
JL. MUSI 16 PANDEREJO PFIZER
JL. MUSI 16 PFIZER
JL. MENDUT 16 PFIZER
JL. MENDUT 16 PFIZER
JL. CILIW 4 2 16 PANDEREJO PFIZER
JL. DIPONEGORO JEMBER PFIZER
JL BOGO 4 2 16 13 4/18/2022 1
LINGK KALI 4 2 16 13
JL BOGO 4 2 16 13
JL BOGO 4 2 16 13
JL BOGO 4 2 16 13
KAPTEN SARPAN
JL BOGO 4 2 16 13
JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 ALASAN MEREK
NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(19) (20) (21) (22) (23) (24)

FM2956 V3
FM2956 V3
FM2956 V3
FM2956 V3
FM2956 V3
FM2956 V3
FM2956 V3
FM2956 V3
FM2956 V3
FM2956 V3
FM2956 PFIZER 9
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN CO
NO
"TMPT_LHR
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TGL_LHR"
"
I
(1) (2) (3) (4) (5)

1 3510166606960001 FIKARIA RAUDATUL ILMI BANYUWAN

26-6-1996
2 3510167001450004 SAMIYATUN BANYUWAN
30-1-1945
3 3510165110600001 RUBAIYAH BANYUWA11-10-1960
5 3510165312500001 RADIYAH BANYUWA13-12-1950
6 3510162005810008 NOVA SUFANDAMALI BANYUWA20-5-1981
10 3510164907470002 SUSIATI BANYUWA9-7-1947
11 3510166906900003 YUNITA BUDIARTI BANYUWA29-6-1990
14 3510164402670003 MIMIK MURNIATI BANYUWA4-2-1967
15 3510166705970002 FAMILIYA P A BANYUWA27-5-1997
18 351016431890002 SELVIE KURNIA BANYUWA31-8-1990
21 3510164511720005 ISTIANA BANYUWA5-11-1972
22 3510164405500003 MUHAYAH BANYUWA4-5-1950
23 3510166307910001 NUR AYUMA LASMI BANYUWA23-7-1991
29 3510126208880004 NUR HALIMA BANYUWA22-8-1988
31 3510164604760002 UMIYANI BANYUWA6-4-1976
34 3510164107580081 SUWARNI BANYUWA1-7-1968
35 3510165411750008 SRI HARIYANI BANYUWA14-11-1975
36 3510166203860003 IKE RETNO A BANYUWA22-3-1986
37 3510165005750008 HANIYA BANYUWA10-5-1975
38 3510164107680086 SUMINI BANYUWA1-7-1968
40 3510165103810006 ROHANITA BANYUWA11-3-1981
43 3510165004660004 KATMINAH BANYUWA10-4-1966
44 3510166208760007 NUR CHOTIMAH BANYUWA22-8-1976
46 3510166906610003 ATIM MUYANI BANYUWA29-6-1961
47 3510164810730001 SURYATI BANYUWA8-10-1973
48 3510167006360132 USNAH BANYUWA30-6-1936
50 3510167103630002 HENI RATNAWATI BANYUWA31-3-1963
51 3510166210700002 MEGA WATI BANYUWA22-10-1970
52 3510167006590146 INNAMA BANYUWA30-6-1959
55 3510166909670006 MARIYATIN BANYUWA29-9-1967
56 3510135111800002 SRI INDAYATI BANYUWA11-11-1980
57 3510166909600001 EMY SRI WAHYUNINGSIH BANYUWA29-9-1960
58 3510165801550002 HATIJAH BANYUWA18-1-1965
59 3510164511780010 USNIAWATI BANYUWA5-11-1978
60 3510164311050001 RAHMADANI FITRIA BANYUWA3-11-2005
61 351016535740004 MISWATI BANYUWA13-5-1974
62 3510166209690007 UMI LATIFAH BANYUWA22-9-1969
63 3510164109630002 TATI ASIATI BANYUWA1-9-1963
64 3510086301920002 SYLVIANA HAMDAH BANYUWA23-1-1992
67 3510166008680004 SUHAENA BANYUWA20-8-1968
68 3510216901010003 NUR LAILIEANY STELLANY HARTONO BANYUWA29-1-2001
 69 3510166810990008 ENY KUMALA SARI BANYUWA26-10-1999
70 3510164504820002 IDA MARIANA BANYUWAN
5-4-1982
71 3510165507560005 MISNAH BANYUWA15-7-1956
72 3510164107680153 MUAWANAH BANYUWA1-7-1968
73 3510165108500001 AMINAH BANYUWA11-8-1950
74 3510166906580005 SAWIYAH BANYUWA29-6-1958
76 3510164208990002 SHAYU AJENG BELLA PERTIWI BANYUWA2-8-1999
78 3510164701640002 SAMANAH BANYUWA7-1-1964
79 3510165707910004 SITI HIKMATUL H BANYUWA17-7-1991
80 3510165608700002 AGUSTINA BANYUWA16-8-1970
81 3510165512700005 TUTUK WIDIANINGSIH BANYUWA15-12-1970
83 3510166606700008 MARIA ULFA BANYUWA26-6-1970
86 3510167006660128 KOMSIAH BANYUWAN
30-6-1966
87 3510167006690081 SITI ULFA BANYUWA30-6-1969
88 3510165402680002 SUPARLIK BANYUWA14-2-1968
89 3510165104520002 MARIYAM BANYUWA11-4-1952
90 3510167006500200 MARIANAH BANYUWA30-6-1950
91 3510214301980004 AGNES NABELLA BANYUWA3-1-1998
92 3510164906590003 SITI HAISAH BANYUWA9-6-1959
93 3510167006610047 SITI MARIYAM BANYUWA30-6-1961
94 3510165708700007 ASIYAH BANYUWA17-8-1970
95 3510164503540003 JAMILAH BANYUWA5-3-1954
97 3510166501640001 ISTIKOMAH BANYUWA25-1-1964
99 3510165906660002 IDA LATIPAH BANYUWA19-6-1966
100 3510165703970004 SITI MARISA BANYUWA17-3-1997
102 3510164808630003 ATIKAH BANYUWA8-8-1963
103 35101657006610003 MARYANI BANYUWA17-6-1961
105 3510164107590046 SULAIKANAH BANYUWA1-7-1959
106 3510166312700003 KUTWATI BANYUWA23-12-1970
107 3510164205020005 MEI AMIDATUS JAHRO BANYUWA2-5-2002
108 3504034408840001 AGUSTININGSIH BANYUWAN
4-8-1984
111 3510164706780009 FATIMAH BANYUWA7-6-1978
112 3510166510680001 LINDARIA SILABAN SUMATRA25-10-1968
114 3510166808950005 SILVIA MAULIDA RIZKI BANYUWA28-8-1995
116 3510166205780004 HIKMAH BANYUWA22-5-1978
117 3510165207550007 MASITAH BANYUWA12-7-1955
118 3510165507400005 JUMRATI BANYUWA15-7-1940
119 3510166808750007 SITI ELZAM BANYUWA28-8-1975
120 3510167103890005 RITA HENDRI DIANA BANYUWA31-3-1989
121 3510164905770003 NURHAYATI BANYUWA9-5-1977
122 3510167006530217 DJOHIRIAH BANYUWA30-6-1953
123 3510166308890003 SITI SULASTRI BANYUWA23-8-1989
124 3510165003580003 PAINI BANYUWA10-3-1958
126 3510165505830007 TUTIK IRAWATI BANYUWA15-5-1983
127 3510164907030001 RENATA ZAHRA ANINDITA BANYUWA9-7-2003
129 3510164207670007 ROHANI BANYUWA2-7-1967
130 3510214705800011 JULAEHA BANYUWA7-5-1980
131 3510167007590003 SISWATI BANYUWA30-7-1959
133 3510166208020003 SINTA AYU BANYUWA22-8-2002
136 3510164508700003 SIAMAH BANYUWA5-8-1970
137 3510164207760004 ISNAYAH BANYUWA2-7-1978
138 3510167006700073 PATEMAH BANYUWA30-6-1970
139 3510165703560001 SULIYATIN BANYUWA17-3-1956
140 3510164102630005 MISNAH BANYUWA1-2-1963
141 3510165010640002 KULSUM BANYUWAN10/10/1964
142 3510166303660006 SITI SULASIYAH BANYUWAN 3/23/1966
144 3510165707530003 SITI HATIDJAH BANYUWA 7/17/1953
145 3510164711820010 ERNAWATI BANYUWA 11/7/1982
148 3510165404010005 VEBI DWI APRILIANA BANYUWA 4/14/2001
150 3510166704900007 IDA FITRIYA BANYUWA 4/27/1990
153 3510166707720002 MUJIATIK BANYUWA 7/27/1972
154 3510165507630005 NIKMAYATI BANYUWA 7/15/1963
155 351016550680011 NURYATIN BANYUWA 5/15/1968
156 3510165503840007 HANI HIDAYATI BANYUWA 3/15/1984
157 3510164609970002 DEWI ALVIONITA SEPTIANI BANYUWA 9/6/1997
159 3510166906770001 INDAH PURWANINGSIH BANYUWA 6/29/1977
160 3510166610670001 UMI HAIRUL UMAH BANYUWA 10/26/1967
161 3510164902590004 BORAHMA BANYUWA 2/9/1959
162 3510167006640177 MOHAINA BANYUWA 6/30/1964
163 3510164107510016 SAIDAH BANYUWA 7/1/1951
164 3510164509620001 NURHAYATI BANYUWA 9/5/1962
166 3510144107800114 LILIK UTAMI BANYUWA 7/1/1978
167 3510166306810001 IKNIYAH BANYUWA 6/23/1981
168 3510165707950001 IRMANIA YULIANTI BANYUWA 7/17/1995
169 3510166909860014 TRI HARINI BANYUWA 9/29/1986
171 3510167006660119 BUSRIYANINGSIH BANYUWA 6/30/1966
173 3510167006640056 MUJIANA BANYUWA 6/30/1964
174 3510165811730003 NUR AINI BANYUWA 11/18/1973
177 3510167006600242 SAHMAWATI BANYUWA 6/30/1960
178 3510165109670002 SAIMAH BANYUWA 2/11/1967
179 3510166405930005 MEILITA LESTARI BANYUWA 5/24/1993
180 3510167006560111 SITI CHOTIJAH BANYUWA 6/30/1956
181 3510165110850004 SITI NURAENI BANYUWA 10/11/1985
185 3510164505550004 KOMARIYA BANYUWA 5/5/1965
186 3510167004430001 SUMARLIYAH BANYUWA 4/30/1943
187 3510165003920006 DUWI ROHMADIYA BANYUWA 3/7/1982
189 5101046810980001 SALAMAH MADURATNA BANYUWA 10/28/1998
196 3510164107600093 PAINI BANYUWA 7/1/1960
197 3510167009730002 INNATIK BANYUWA 9/30/1973
198 3510174504010002 TYOLLANDA NURAFIDA BANYUWA 4/5/2001
200 3510165405600001 NURHASANAH BANYUWA 5/14/1960
202 3510166403800012 MARDIANAH BANYUWA 3/24/1980
203 3510166701020004 ARI KHOIRIYAH BANYUWA 1/27/2002
205 3510164406820005 INSIYAH BANYUWA 6/4/1982
206 3510174809610002 ERNA RUSIDAH BANYUWA 9/8/1961
209 3510167003740003 HERMIN RIMBAWATI BANYUWAN 3/30/1974
211 3510165507740004 ISLAMIYAH BANYUWA 7/15/1974
213 3510164707810002 ISMAH WAHYUNINGSIH BANYUWA 7/7/1981
214 3510166510820007 MAKBULAH BANYUWA 10/25/1982
215 3510166509700001 FARIDA BANYUWA 9/25/1970
216 3510164903710006 ISRIYAH BANYUWA 3/9/1971
217 3510165010780004 SITI SUMIAN BANYUWA 10/10/1978
219 3510164410660001 MASROYAH BANYUWA 10/4/1966
220 3509026306890001 ANI NUR KHALIFAH JEMBER 6/23/1989
221 5171017006600005 NUR SIDAH BANYUWA 6/30/1960
223 3510174109960002 MUTMAINNAH BANYUWA 9/1/1996
227 3510164607730001 LEGI SARIATI UTAMI BANYUWA 7/6/1973
228 3510165003830006 ERNAWATI BANYUWA 3/10/1983
229 3510165102750002 ERIA DEWI BANYUWA 2/11/1975
230 3510165609910005 ROHILAH BANYUWA 9/16/1991
231 3510165208670004 MISWATI BANYUWA 8/12/1967
232 3510166003460002 TUMINAH BANYUWA 3/20/1946
233 3510164112650004 SITI FATIMAH BANYUWA 12/1/1965
234 3510160806560003 SUHAINI BANYUWA 6/8/1956
235 3510167110820003 VERONICA RATNA HANDAYANI BANYUWA 10/31/1982
236 3510167006450326 USNIYAH BANYUWA 6/30/1946
237 3510164304570001 SAWIYAH BANYUWA 4/3/1957
238 3510167006580077 KISWATI BANYUWA 6/30/1958
241 3510166802020003 WIDYA HOTIMAH BANYUWA 2/28/2002
242 3510217006650213 ADEMAH BANYUWA 6/30/1965
244 3510174708800001 YULI ASTUTIK BANYUWA 8/7/1980
245 3510214605650001 JAMALAH BANYUWA 5/6/1965
247 3510164106610010 ATRI BETA SOLO 6/1/1961
ORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
NAMA "NAMA
KELOMPOK "JENIS TANGGAL
UMUR "ALAMAT" "RT" "RW" KECAMATA KELURAHA PENTAHAPAN
UMUR KELAMIN" VAKSIN
N N
(6) (7) (8) (9) (10) (11) (12) (13) (16) (17)

#VALUE! #VALUE! P PATEMON 1 1 16 10 4/19/2022

#VALUE! #VALUE! P JL. SURATI BARU 16 10
#VALUE! #VALUE! P JL. BHRE WIRABUMI 16 10
#VALUE! #VALUE! P PATEMON 2 2 16 10
#VALUE! #VALUE! P JL. SAYU GRINGSING 16 10
#VALUE! #VALUE! P JL. BANTER 3 2 16 10
#VALUE! #VALUE! P JL. BANTERANG 16 10
#VALUE! #VALUE! P JL. SURATI 3 3 16 10
#VALUE! #VALUE! P JL. IJEN 3 2 16 14
#VALUE! #VALUE! P JL. BANTER 4 1 16 10
#VALUE! #VALUE! P PATEMON WETAN 16 10
#VALUE! #VALUE! P JL. BANTERANG 16 10
#VALUE! #VALUE! P JL. BANTERANG 16 10
#VALUE! #VALUE! P JAJANG PE 4 1 16 10
#VALUE! #VALUE! P PATEMON 4 1 16 10
#VALUE! #VALUE! P PATEMON WETAN 16 10
#VALUE! #VALUE! P JL. BANTERANG 16 10
#VALUE! #VALUE! P JL. SURATI 3 3 16 10
#VALUE! #VALUE! P PATEMON 4 3 16 10
#VALUE! #VALUE! P JL. BANTERANG 16 10
#VALUE! #VALUE! P JL. BANTERANG 16 10
#VALUE! #VALUE! P PATEMON 2 3 16 10
#VALUE! #VALUE! P KP. MLAYU 16 10
#VALUE! #VALUE! P JL. BANTER 2 3 16 10
#VALUE! #VALUE! P JAJANG PE 4 3 16 10
#VALUE! #VALUE! P JAJANG PE 4 3 16 10
#VALUE! #VALUE! P PATEMON 4 3 16 10
#VALUE! #VALUE! P KRAJAN 3 1 16 23
#VALUE! #VALUE! P PATEMON 3 3 16 10
#VALUE! #VALUE! P PATEMON 3 3 16 10
#VALUE! #VALUE! P JL. BANTER 2 3 16 10
#VALUE! #VALUE! P PANDEREJO 16
#VALUE! #VALUE! P PATEMON 2 3 16 10
#VALUE! #VALUE! P PATEMON 2 3 16 10
#VALUE! #VALUE! P JAJANG PENATU 16 10
#VALUE! #VALUE! P JAJANG PE 3 3 16 10
#VALUE! #VALUE! P JL. SURATI 3 3 16 10
#VALUE! #VALUE! P JL. NUSANT 4 3 16 10
#VALUE! #VALUE! P JAJANG PE 2 1 16 10
#VALUE! #VALUE! P PATEMON 1 1 16 10
#VALUE! #VALUE! P PERUM GGM 21 91
#VALUE! #VALUE! P JOGOLATRI 16 11
#REF! #REF! P
#VALUE! #VALUE! P KALILO 2 3 16 13
#VALUE! #VALUE! P KALILO 2 3 16 13
#VALUE! #VALUE! P KALILO 16 13
#VALUE! #VALUE! P KALILO 16 13
#VALUE! #VALUE! P KALILO 1 3 16 13
#VALUE! #VALUE! P KALILO 1 4 16 13
#VALUE! #VALUE! P KALILO 3 3 16 13
#VALUE! #VALUE! P JL. BRANTAS 16 13
#VALUE! #VALUE! P KALILO 2 3 16 13
#VALUE! #VALUE! P JL. BRANTA 2 3 16 13
#REF! #REF! P KALILO 16 13
#VALUE! #VALUE! P KALILO 2 3 16 13
#VALUE! #VALUE! P KALILO 16 13
#VALUE! #VALUE! P JL. BRANTAS 16 13
#VALUE! #VALUE! P JL. BRANTA 1 3 16 13
#VALUE! #VALUE! P KALILO 2 3 16 13
#VALUE! #VALUE! P KALILO 16 13
#VALUE! #VALUE! P KALILO 2 3 16 13
#VALUE! #VALUE! P KALILO 2 3 16 13
#VALUE! #VALUE! P KALILO 1 3 16 13
#VALUE! #VALUE! P KALILO 2 4 16 13
#VALUE! #VALUE! P KALILO 2 3 16 13
#VALUE! #VALUE! P JL. PROGO 16 16
#VALUE! #VALUE! P KALILO 2 3 16 13
#VALUE! #VALUE! P KALILO 3 4 16 13
#VALUE! #VALUE! P KALILO 3 4 16 13
#VALUE! #VALUE! P KALILO 16 13
#VALUE! #VALUE! P JL. PROGO 1 2 16 13
#VALUE! #VALUE! P KEDUNGWARU
#VALUE! #VALUE! P KALILO 1 3 16 13
#VALUE! #VALUE! P KALILO 2 3 16 13
#VALUE! #VALUE! P KEBUN JER 1 1 16 12
#VALUE! #VALUE! P KALILO 1 3 16 13
#VALUE! #VALUE! P KALILO 16 13
#VALUE! #VALUE! P KALILO 16 13
#VALUE! #VALUE! P KALILO 1 3 16 13
#VALUE! #VALUE! P KALILO 2 3 16 13
#VALUE! #VALUE! P KALILO 2 3 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P KALILO 1 3 16 13
#VALUE! #VALUE! P PERUM GG 5 5 21 91
#VALUE! #VALUE! P KALILO 3 2 16 13
#VALUE! #VALUE! P GESARI 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P GESARI 1 3 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P GESARI 1 3 16 13
#VALUE! #VALUE! P GESARI 1 3 16 13
#VALUE! #VALUE! P JL. RADEN 1 3 16 13
#VALUE! #VALUE! P GESARI 1 3 16 13
#VALUE! #VALUE! P GESARI 1 3 16 13
58 46-59 P PW 4 3 16 10
56 46-59 P JL TIDAR 6 6 16 14
69 ≥60 P JL SURATI BARU 16 10
40 31-45 P PW 3 2 16 10
21 18-30 P PW 2 3 16 10
32 31-45 P PW 1 3 16 10
50 46-59 P LINGK PW 3 2 16 10
59 46-59 P PW 3 2 16 10
54 46-59 P JL BANTER 2 2 16 10
38 31-45 P LINGK KRAJ 1 1 16 KEPATIHAN
25 18-30 P PW 1 2 16 10
45 31-45 P JL BHREWI 3 2 16 10
55 46-59 P LINGK PW 3 2 16 10
64 ≥60 P PW 2 3 16 10
58 46-59 P PW 2 3 16 10
71 ≥60 P JL BANTERANG 16 10
60 ≥60 P 16 10
44 31-45 P JL BANTERANG BARU PW 16 10
41 31-45 P JL BANTERANG BARU 16 10
27 18-30 P JL SAYU GR 2 2 16 10
36 31-45 P PW 2 3 16 10
56 46-59 P JP 2 3 16 10
58 46-59 P JL BANTER 2 1 16 10
49 46-59 P JP 16 10
62 ≥60 P JP 2 3 16 10
56 46-59 P PW 1 2 16 10
29 18-30 P PW 1 1 16 10
66 ≥60 P JP 16 10
37 31-45 P LINGK PW 3 3 16 10
57 46-59 P JL JOGOPAT 1 1 16 10
79 ≥60 P JL SURATI NO 20 16 10
40 31-45 P JL BANTER 4 1 16 10
24 18-30 P JL POGOT GG 3 MELAYA DENPASAR
62 ≥60 P PW 3 2 16 10
49 46-59 P JL SURATI 3 3 16 10
21 18-30 P LINGKPAYA 3 2 17 47
62 ≥60 P
42 31-45 P
21 18-30 P
40 31-45 P LINGK KALILO 16 13
61 ≥60 P PERUM PERMATA GIRI C19 17 53
48 46-59 P JL BRANTAS 1 3 16 13
48 46-59 P JL KALILO 1 3 16 13
41 31-45 P JL KALILO 1 3 16 13
40 31-45 P JL KALILO 2 3 16 13
52 46-59 P JL KALILO 2 3 16 13
51 46-59 P LINGK KALILO 16 13
44 31-45 P KALILO 16 13
56 46-59 P JL KALILO 3 3 16 13
33 31-45 P JL KALILO 1 3 16 13
62 ≥60 P LINGK KALI 2 3 16 13
26 18-30 P LINGK KALI 2 3 16 13
49 46-59 P LINGK KALI 3 3 16 13
39 31-45 P LINGK GESA 1 3 16 13
48 46-59 P LINGK GESA 1 3 16 13
31 31-45 P GESARI 1 3 16 13
55 46-59 P LINGK GESA 1 3 16 13
76 ≥60 P LINGK GESA 1 3 16 13
57 46-59 P GESARI 1 3 16 13
66 ≥60 P LINGK GESARI 16 13
40 31-45 P LINGK GESARI 16 13
76 ≥60 P LINGK GESA 1 3 16 13
65 ≥60 P JL RADEN W 1 3 16 13
64 ≥60 P LINGK GESA 1 3 16 13
20 18-30 P LINGK GESA 1 3 16 13
57 46-59 P LINGK SUKO 1 1 21 95
42 31-45 P JL HAYAM 1 4 17 47
57 46-59 P LINGK SUKO 1 1 21 91
61 ≥60 P LINGK GESA 1 3 16 13
VAKSIN-3 NO BATCH NO.HP KETERANGAN

(18) (19) (23) (24)

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V3
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V3
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 LAPORAN HARIAN VAKSIN CO
TA

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510166505840008 TRI SUGIARTI BANYUWANGI 25-5-1984

2 3510165403880003 HEELMIYAH BANYUWANGI 14-3-1988
3 3510167006410106 SITI MAESARAH BANYUWANGI 30-6-1941
4 3510166510700001 ARBAIYAH BANYUWANGI 25-10-1970
5 3510121608600002 SOEMAILI BANYUWANGI 16-8-1960
6 3510161909620003 HADI SUHARSO BANYUWANGI 19-9-1962
7 3510161111990003 ALVIN CAHYA PRATAMA BANYUWANGI 11-11-1999
8 3510161208580006 MASHURI BANYUWANGI 12-8-1958
9 3510166611720002 SUPRAPTI BANYUWANGI 26-9-1972
10 3510083004970007 APRILIANTARI BAYU DIRGANTARA BANYUWANGI 30-4-1997
11 3510164407740006 HUSNUL KORIAH BANYUWANGI 4-7-1974
12 3510167006510091 LILIK SULIKATI BANYUWANGI 30-6-1951
13 351016521580002 MUAYANAH BANYUWANGI 12-1-1958
14 3510166507590001 SITI ASIYAH BANYUWANGI 25-7-1959
15 3510160107760076 GAMAL SHOOLEGA BANYUWANGI 1-7-1976
16 3510166209800003 SUMIATUN BANYUWANGI 22-9-1980
17 3510167006700146 HAOLAH BANYUWANGI 30-6-1970
18 3510160409710002 BUDI SUHARTO BANYUWANGI 4-9-1971
19 3510160408010004 AMAR PIKRI A BANYUWANGI 4-8-2002
20 351016508700009 SATUNI BANYUWANGI 16-8-1970
21 3510164504700001 TITIS SETYOWATI BANYUWANGI 5-4-1970
22 3511225504930002 NURJANNAH BANYUWANGI 15-4-1993
23 3510167006620202 RISTIYANI BANYUWANGI 30-6-1962
24 3510166105780002 NURHASANAH BANYUWANGI 21-5-1978
25 3510163008810006 SURYADI BANYUWANGI 30-8-1981
26 3510165707700006 NURINDAH BANYUWANGI 17-7-1970
27 3510165407700005 ENDANG SUMARNI BANYUWANGI 14-7-1970
28 3510164304650003 SULASTIN BANYUWANGI 3-4-1965
29 3510160107750037 TONI SULISTIYO BANYUWANGI 1-7-1975
30 3510165909600004 SUSIYATI BANYUWANGI 19-9-1960
31 3510164806710007 ROMANIA BANYUWANGI 8-6-1971
32 3510160107680127 BUDIYANTO BANYUWANGI 1-7-1968
33 3510165904770001 FARIDA BANYUWANGI 19-4-1977
34 3510166812710003 YANI MARIANA BANYUWANGI 28-12-1971
35 3510161204680007 HARIYANTO BANYUWANGI 12-4-1968
36 3510166205690002 HOLIPATUN BANYUWANGI 22-5-1969
37 3510166406840003 DEVI LIRA Y BANYUWANGI 22-6-1984
38 3510166303650005 MARHUMAH BANYUWANGI 23-3-1965
39 3510144606960007 SITI MUFIDATI BANYUWANGI 26-6-1996
40 3510165411930003 NOVI EKA FAJARWATI BANYUWANGI 14-11-1993
41 3510161205630006 SUNARYO BANYUWANGI 12-5-1963
42 3510165412950002 LIA ARIS TANTIYA BANYUWANGI 14-12-1995
43 3510162401670004 SUWANDI BANYUWANGI 24-1-1967
44 3510165110010001 SINDY SAPUTRI BANYUWANGI 11-10-2001
45 3510164604630001 SITI RAHMATUN BANYUWANGI 6-4-1963
46 3510162003870002 ERWIN PURWNTO BANYUWANGI 20-3-1987
47 3510165702750009 DWI HERNANIK BANYUWANGI 17-2-1975
48 3510165802790003 SUMARNI BANYUWANGI 18-2-1979
49 3510167006540106 SANADAH BANYUWANGI 30-6-1954
50 3510162702790001 MOH. SOLASIN BANYUWANGI 27-2-1979
51 3510166103780004 TRI MARIYATIN BANYUWANGI 21-3-1978
52 3510165105030002 DELA MAULIDA BANYUWANGI 11-5-2003
53 3510241408720003 SURYANTO BANYUWANGI 14-8-1972
54 3510152306880007 M. ASPURI BANYUWANGI 1-6-1988
55 351016403700002 GUGUP RIYANI BANYUWANGI 5-3-1970
56 3510175808900001 DIAN AGUSTINA BANYUWANGI 18-8-1990
57 3510167006540082 ASIYAH BANYUWANGI 30-6-1954
58 3510164402740002 SULASIYAH BANYUWANGI 4-2-1974
59 3510165206760004 SUYANTINI BANYUWANGI 12-6-1976
60 3510095806900004 YUNI ISNAINI BANYUWANGI 18-6-1990
61 3510167006510136 ATON BANYUWANGI 30-6-1951
62 3510163006720081 MOH. HARUN BANYUWANGI 30-6-1972
63 3510162901610001 ISNAINI ASKAN BANYUWANGI 29-1-1961
64 3510165208690006 HUSNUL KHOTIMAH BANYUWANGI 12-8-1969
65 3510161211790008 HERMAWAN BANYUWANGI 12-11-1979
66 3510162502570001 REKSO BUDI BANYUWANGI 25-2-1957
67 3510154502020004 MILA ARIANTI BANYUWANGI 5-2-2002
68 3510166210710001 WINANTIE WIDJI RAHAYU BANYUWANGI 22-10-1971
69 3510161404580001 BROTO GUNADI BANYUWANGI 14-4-1958
70 3510165308990006 AULIA MAHARANI BANYUWANGI 13-8-1999
71 3510165908720003 AGUSTIN BANYUWANGI 19-8-1972
72 3510162810690003 FATURAHMAN BANYUWANGI 1-10-1969
73 3510165510780002 GUSNIATI BANYUWANGI 15-10-1978
74 3510165611860003 NOVI MAULIANA BANYUWANGI 16-11-1986
75 3510166503840005 SITI ADIA BANYUWANGI 25-3-1984
76 3510160812730003 HARIYANTO BANYUWANGI 8-12-1973
77 3510166607760009 SITI FATIMAH BANYUWANGI 26-7-1976
78 3510165005030002 MIA RISTA FAUZA BANYUWANGI 10-5-2003
79 3510161506570003 MOH. KASIM BANYUWANGI 15-6-1957
80 3510165712690003 SITI UMRONA BANYUWANGI 17-12-1969
81 3510160704690006 HAMID SAMSIDI BANYUWANGI 7-4-1969
82 3510167006570173 WADIAH BANYUWANGI 30-6-1957
 83 3510163006640059 ABDUL ROHIM BANYUWANGI 30-6-1964
84 3510164806670003 ASEMAH BANYUWANGI 8-6-1967
85 3510160405440002 MOH. RIZAL EFENDI BANYUWANGI 4-5-1994
86 3510167006670168 HANISA BANYUWANGI 30-6-1967
87 3510167006530212 SARI ATI BANYUWANGI 30-6-1953
88 3510164508710004 ENI WIDAYATI BANYUWANGI 5-8-1971
89 3510162910800010 BUDIANTO EKO PURNOMO BANYUWANGI 29-10-1980
90 3510165910960006 DWI RISKI NILAMSARI BANYUWANGI 18-10-1996
91 3510160208570002 RIDWAN BANYUWANGI 2-8-1957
92 3510162706730007 ABDUL HARIS BANYUWANGI 27-6-1973
93 3510161706670003 MOHAMAD SYARBINI BANYUWANGI 17-6-1967
94 3510165510950006 NUR AZIZAH BANYUWANGI 15-10-1995
95 3510167006550098 MASKANAH BANYUWANGI 30-6-1955
96 3510160303860006 HERMANSYAH BANYUWANGI 3-3-1986
97 3510164204500003 TUTI HERAWATI BANYUWANGI 2-4-1950
98 3510162404890006 JOKO SAPUTRA BANYUWANGI 24-4-1989
99 3510166004550006 NANIK BANYUWANGI 20-4-1955
100 3510165003890003 SANTI INDAH SARI BANYUWANGI 10-3-1989
101 3510165203380005 SUPIYATUN BANYUWANGI 12-3-1938
102 3510167005670002 SUTATI BANYUWANGI 30-5-1967
103 3510166006800006 NURIANA BANYUWANGI 20-6-1980
104 3510160505590006 PADILAH BANYUWANGI 5-5-1959
105 3510167006900017 NISWATI BANYUWANGI 30-6-1990
106 3510161204950002 RIFKY APRILYANTO BANYUWANGI 12-4-1995
107 3510167006670159 SRI JAMIATI BANYUWANGI 30-6-1967
108 3510167006750068 MUAWANAH BANYUWANGI 30-6-1975
109 3510131806730002 SUKIMAN BANYUWANGI 18-6-1973
110 3510165802650002 MASTINAH BANYUWANGI 18-2-1965
111 3510165509770002 SUPARMI BANYUWANGI 15-9-1977
112 3510164606770003 BUSIYATI BANYUWANGI 6-6-1977
113 3529250201700001 SURIYADI BANYUWANGI 2-1-1970
114 3510163001720001 MANIK CATUR PRASETYO BANYUWANGI 30-1-1972
115 3529251507770004 HASAN RIYADI BANYUWANGI 15-7-1977
116 3510167006580117 SUTIYATI BANYUWANGI 30-6-1958
117 3510164305690008 JUMENAH BANYUWANGI 3-5-1969
118 3510167006590086 NURANI BANYUWANGI 30-6-1959
119 3510163006520151 USMAN ALI BANYUWANGI 30-6-1952
120 3510166704030004 YORIS APRILIA MAYASARI BANYUWANGI 27-4-2003
121 3510167006680072 HASIANI BANYUWANGI 30-6-1968
122 3510167006400230 NUR HAWIYAH BANYUWANGI 30-6-1940
123 3510194704820003 HARIYANI BANYUWANGI 7-4-1982
124 6201021006780008 IRWAN SUPRIAWAN BANYUWANGI 10-6-1978
125 3510160902960001 HARIS ROMADON BANYUWANGI 9-2-1996
126 3510161305920003 AHMAD SATRIYA BANYUWANGI 13-5-1992
127 3510214405790002 HARIANI BANYUWANGI 4-5-1979
128 3510161212000004 AHMAD RAMADHANI BANYUWANGI 12-12-2000
129 3510166702830007 SAHWIYAH BANYUWANGI 21-2-1982
130 3510163009990003 RISKY PRASETYO BANYUWANGI 30-9-1999
131 3510161010680008 GUNAWAN BANYUWANGI 10/10/1968
132 3510160406720003 SLAMET PUJIANTO BANYUWANGI 6/4/1972
133 3510167006520094 JUMAATI BANYUWANGI 6/30/1952
134 3510162504820005 HARIYANTO BANYUWANGI 4/25/1982
135 3510162105660003 SANURI BANYUWANGI 5/21/1966
136 3510165705710001 MARIYATI BANYUWANGI 5/17/1971
137 3510165612840004 MAIMUN BANYUWANGI 12/16/1984
138 3510167006730038 SARIYATUN BANYUWANGI 6/30/1973
139 3510163110720004 SLAMET SUSIANTO BANYUWANGI 10/31/1972
140 3510167006630118 MUSAYANA BANYUWANGI 6/30/1963
141 3510167010650004 NURMALA BANYUWANGI 10/30/1965
142 3510163006450075 BUSAI BANYUWANGI 6/30/1945
143 3510164606760010 ZAENAH BANYUWANGI 6/6/1976
144 3510167006490101 BUSATI BANYUWANGI 6/30/1949
145 3510164806790003 FITRIYANI BANYUWANGI 6/8/1979
146 3510163006540066 ABD RASYID BANYUWANGI 6/30/1954
147 3510160301010003 JANUARDI RUDI H BANYUWANGI 1/3/2001
148 3510165203730002 BUDIATI BANYUWANGI 3/12/1973
149 3510164404740004 HOLILAH BANYUWANGI 3/6/1977
150 3510166010810011 MARIA ULFA BANYUWANGI 10/20/1981
151 3510161510570001 HASIM BANYUWANGI 10/15/1957
152 3515186108790007 KHRISTINE BANYUWANGI 8/21/1979
153 3510162403830004 HARIADI BANYUWANGI 4/24/1983
154 3510200606000006 VIRA SEPTIYANI BANYUWANGI 9/15/1999
155 3510165208820007 RITA ULANDARI BANYUWANGI 8/12/1982
156 3510162709790003 SUTRIMAN BANYUWANGI 9/27/1979
157 3510165306800005 NIA ANGGRAINI BANYUWANGI 6/13/1980
158 3510165010820006 TRI WAHYUNI BANYUWANGI 10/10/1982
159 3510164406780009 LILIK KURNIAWATI BANYUWANGI 6/4/1978
160 3510162107920002 AKRI IRAWAN BANYUWANGI 7/21/1992
161 3510167006450110 HATIJA BANYUWANGI 6/30/1945
162 3510165702760001 KRISTANTI SUGARA BANYUWANGI 2/17/1976
163 3510162811850006 RAIBUL GOFAR BANYUWANGI 3/8/1986
164 3510161103000001 PRATAMA ARI PURNAMA P BANYUWANGI 3/11/2000
165 3510164401880005 ANITA BANYUWANGI 1/4/1988
166 3510161510640002 ATIM HARIYADI BANYUWANGI 10/15/1964
167 3510161605710007 NUR HADI SUCIPTO BANYUWANGI 5/16/1971
168 3510214211960004 R R AYU NOVITA SARI BANYUWANGI 11/2/1996
169 3510161508680008 AGUS IWAN BANYUWANGI 8/15/1968
170 3510162710620001 SAPRAWI BANYUWANGI 10/27/1962
171 3510161712880002 ADE ANDREANSYAH BANYUWANGI 12/17/1988
172 3510161503790001 BUSIONO BANYUWANGI 3/15/1979
173 3510161811850004 TIRTA RICO SAPUTR BANYUWANGI 11/18/1985
174 3510165305030002 FARIDA RATNA MAULIDA BANYUWANGI 5/13/2003
175 3510167006590216 SUNIYATUN BANYUWANGI 6/30/1959
176 3510160107730086 SUGIYANTO BANYUWANGI 11/10/1974
177 3510166108730002 SRI WAHYUNI BANYUWANGI 8/21/1973
178 3510161108700002 SAIFUL ANAM BANYUWANGI 8/11/1970
179 3510167006860018 EMI PRASTIWI BANYUWANGI 6/30/1986
180 3510167006690130 HAMDANI BANYUWANGI 6/30/1969
181 3510164603740005 LAILIYAH BANYUWANGI 3/6/1974
182 3510165802750003 FARIDA ARIYANI BANYUWANGI 2/18/1975
183 3510167006670082 MARIYAMAH BANYUWANGI 6/30/1967
184 3510164209670003 SAKDIYAH BANYUWANGI 9/2/1967
185 3510165007960001 SRI WAHYUNINGSIH BANYUWANGI 7/10/1996
186 3510167006600209 SUHAIBAH BANYUWANGI 6/30/1960
187 3510165212970007 EKA NUR SAFITRI BANYUWANGI 12/6/1997
188 3510164910950007 MIKE SUSANTI BANYUWANGI 6/24/1995
189 3510163006520067 NURMAN BANYUWANGI 6/30/1952
190 3510163009630003 MASNEN BANYUWANGI 9/30/1963
191 3216090404020001 TUBAGUS AKHMAD AL QIFARI BEKASI 4-4-2002
192 3510167006500120 SAADAH BANYUWANGI 30-6-1950
193 3510165506690005 SITI MARIYAM BANYUWANGI 15-6-1969
194 3510164707600004 SARIYATI BANYUWANGI 7-7-1960
195 3510168812720001 SULASTRI LILIK LESTARI BANYUWANGI 1-12-1972
196 3510165807560001 KARIYATI BANYUWANGI 18-7-1956
197 3510162210730005 SELAMET HARIYADI BANYUWANGI 22-10-1973
198 3510164705770009 SUMIYATIN BANYUWANGI 7-5-1977
199 3510167112800003 HARIYANI BANYUWANGI 31-12-1980
200 3510166810790004 SULASTRIANINGSIH BANYUWANGI 28-12-1979
201 3510164103670003 ALFIYAH BANYUWANGI 1-3-1967
202 3510165604790005 MUNIROH BAWAZIER BANYUWANGI 16-4-1979
203 3510164810780004 CICIK FATMAWATI BANYUWANGI 8-10-1978
204 3510164411720002 TITUT PURWATI BANYUWANGI 4-11-1972
205 3510166802870008 FEPTIAS EKA PUTRI BANYUWANGI 28-2-1987
206 3510161907650002 SUMARDI BANYUWANGI 19-7-1965
207 3510165505000004 SOFIYAHTUN NURLAILI BANYUWANGI 15-5-2000
208 3510160906970004 WAJID BUDIARTO BANYUWANGI 9-6-1997
209 3510162001630003 RIYANA BANYUWANGI 20-1-1963
210 3510165901010004 LELANDA WULANDARI BANYUWANGI 19-1-2001
211 3510164606770015 SAKDIYAH BANYUWANGI 6-6-1977
212 3510165712900002 SITI AMINAH BANYUWANGI 17-12-1990
213 3510164202770008 FIRDAUS SYAMLAN BANYUWANGI 2-2-1977
214 3510144109800006 SULASTRI BANYUWANGI 1-9-1980
215 3510160510740001 SURYONO BANYUWANGI 5-10-1974
216 35105017112750302NI WAYAN PATRI BANYUWANGI 31-12-1975
217 3510156404960003 LINDA PURWANTI BANYUWANGI 24-4-1996
218 3510166907880005 UMI CAHYANI BANYUWANGI 29-7-1988
219 3510166405480001 MUSLEHAK BANYUWANGI 24-5-1948
220 3510165204600010 MARIYAM BANYUWANGI 12-4-1960
221 3510163009740006 SUDIRO BANYUWANGI 30-9-1974
222 3510166807860004 YULI SYAHRUDIN BANYUWANGI 28-7-1986
223 3510164104810009 ELVIYAH BANYUWANGI 1-4-1981
224 3510166102920002 DESI HARIYANTINI BANYUWANGI 20-12-1992
225 3510165906820003 BINTI SALBIYAH BANYUWANGI 19-6-1982
226 3510167005760002 NUR IMALAH BANYUWANGI 30-5-1976
227 3510165010870011 SRI WAHYUNI BANYUWANGI 10-10-1987
228 3510164808570003 CHOTMAWATI BANYUWANGI 8-8-1957
229 3510160405680006 MUHAMMAD SURI BANYUWANGI 4-5-1968
230 3510165009680006 MUJARAAH BANYUWANGI 1-9-1968
231 3510161502740009 MOH. ALIMIN BANYUWANGI 15-2-1974
232 3510167006540089 JANNAH BANYUWANGI 30-6-1954
233 3510164611860004 EKA RIZKI NOVIAN DAVI BANYUWANGI 6-11-1985
234 3510167006520117 MUSIIN BANYUWANGI 30-6-1952
235 3510165908790004 ERNAWATI BANYUWANGI 19-8-1979
236 3510165810820006 HEI ARDIYANTI BANYUWANGI 18-10-1982
237 3510166904980003 KRISTIANINGSIH BANYUWANGI 29-4-1998
238 3510165702880001 NUR HOLILA FEBRI BANYUWANGI 17-2-1988
239 3510160102030005 NOVAL INDRA KUSUMA BANYUWANGI 1-2-2003
240 3510166202680005 AMALIA ABDI BANYUWANGI 22-2-1968
241 3510166104930002 HUSNUL HOTIMAH BANYUWANGI 21-4-1993
242 3510141712900001 ISMAIL MARZUKI BANYUWANGI 12-12-1990
243 3510161208620002 MARZUKI BANYUWANGI 12-8-1962
244 3510164106700001 ULIYATUN HASANAH BANYUWANGI 1-6-1970
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KETERANGAN
JELAS JELAS JELAS JELAS JELAS
RAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL :

NAMA "NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA KELURAHA
KELAMIN"
N N
(6) (7) (8) (9) (10) (11) (12) (13)

#VALUE! #VALUE! P SRITANJUNG 16 11

#VALUE! #VALUE! P JL. SIDOPEKSO 16 11
#VALUE! #VALUE! P JL. SINDURO 16 14
#VALUE! #VALUE! P JL. SINDURO 16 14
#VALUE! #VALUE! L TEMENGGUNGAN 16 11
#VALUE! #VALUE! L JL. MALABAR 16 14
#VALUE! #VALUE! L KROBOKAN 16 23
#VALUE! #VALUE! L JL. TAWANG ALUN 1 2 16 11
#VALUE! #VALUE! P JL. SIDOPEKSO 16 11
#VALUE! #VALUE! P WONOSOBO
#VALUE! #VALUE! P SINGODIPURO 16 14
#VALUE! #VALUE! P JL. SAYU WIWIT 16 11
#VALUE! #VALUE! P JL. SEKARDALU 16 11
#VALUE! #VALUE! P JL. KAPTEN ILYAS 16 16
#VALUE! #VALUE! P SRITANJUNG 16 11
#VALUE! #VALUE! P JL. SRAWET 3 2 16 14
#VALUE! #VALUE! P GESARI 5 1 16 13
#VALUE! #VALUE! L SRITANJUNG 16 11
#VALUE! #VALUE! L SINGOTRUNAN 16 14
#VALUE! #VALUE! P JL. SEKARDALU 16 11
#VALUE! #VALUE! P JL. DI PANJAITAN 16 10
#VALUE! #VALUE! P JL. TAWANG ALUN 16 11
#VALUE! #VALUE! P SRITANJUNG 1 3 16 11
#VALUE! #VALUE! P SINGOTRUNAN 16 14
#VALUE! #VALUE! P JL. TAWANG ALUN 16 11
#VALUE! #VALUE! P JL. BATUR 3 4 16 14
#VALUE! #VALUE! P JL. TAWANG ALUN 16 11
#VALUE! #VALUE! P JL. SAYU WIWIT 1 2 16 10
#VALUE! #VALUE! L JL. TAWANG ALUN 16 11
#VALUE! #VALUE! P TEMENGGUNGAN 16 11
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! L PENGANTIGAN 16 13
#VALUE! #VALUE! P KALILO 16 13
#VALUE! #VALUE! P JL. LETKOL ISTIQLAH 1 5 16 16
#VALUE! #VALUE! L JL. LETKOL ISTIQLAH 16 16
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! L JL. LETKOL ISTIQLAH 2 5 16 16
#VALUE! #VALUE! P JL. LETKOL ISTIQLAH 2 5 16 16
#VALUE! #VALUE! L KALILO 1 5 16 13
#VALUE! #VALUE! P KALILO 1 5 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! L KALILO 16 13
#VALUE! #VALUE! P GANG MAWAR 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P KALILO 16 13
#VALUE! #VALUE! L PENGANTIGAN 16 13
#VALUE! #VALUE! P JL. MH THAMRIN 2 5 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! L JL. MH THAMRIN 2 5 16 13
#VALUE! #VALUE! L KALILO 1 5 16 13
#VALUE! #VALUE! P JL. MH THAMRIN 2 5 16 13
#VALUE! #VALUE! P KALILO 16 13
#VALUE! #VALUE! P KALILO 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P KALILO 16 13
#VALUE! #VALUE! P JL. MH THAMRIN 16 13
#VALUE! #VALUE! L PENGANTIGAN 16 13
#VALUE! #VALUE! P PERUM GENTENGAN BARU 16 13
#VALUE! #VALUE! P PERUM GENTENGAN BARU 16 13
#VALUE! #VALUE! L KALILO 16 13
#VALUE! #VALUE! L JL. MH THAMRIN 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! L JL. LETKOL ISTIQLAH 16 16
#REF! #REF! P KALILO 16 13
#VALUE! #VALUE! P KALILO 16 13
#VALUE! #VALUE! L KALILO 1 5 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P KALILO 1 5 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! P JL. LETKOL ISTIQLAH 2 5 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! L PENGANTIGAN 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! L KALILO 16 13
#VALUE! #VALUE! P JL. MH THAMRIN 16 13
#VALUE! #VALUE! L PENGANTIGAN 16 13
#VALUE! #VALUE! P PENGANTIGAN 16 13
#VALUE! #VALUE! L PENGANTIGAN 16 13
#REF! #REF! P KROBOKAN 1 3 16 23
#VALUE! #VALUE! P JL. DI PANJAITAN 2 3 16 23
#VALUE! #VALUE! P JL. SURATI BARU 16 23
#VALUE! #VALUE! L JL. DI PANJAITAN 16 23
#VALUE! #VALUE! P JL. DI PANJAITAN 16 23
#VALUE! #VALUE! L KROBOKAN 16 23
#VALUE! #VALUE! L JL. RIAU 3 2 16 23
#VALUE! #VALUE! L JL. SURATI BARU 1 2 16 23
#VALUE! #VALUE! P KROBOKAN 3 2 16 23
#VALUE! #VALUE! P KROBOKAN 16 23
#VALUE! #VALUE! L JL. DI PANJAITAN 2 2 16 23
#VALUE! #VALUE! P JL. DI PANJAITAN 16 23
#VALUE! #VALUE! L BANYUWANGI 16 23
#VALUE! #VALUE! P KRAJAN 3 3 16 23
#VALUE! #VALUE! P KRAJAN 2 2 16 KERTOSARI
#VALUE! #VALUE! P KRAJAN 2 2 16 23
#VALUE! #VALUE! P MANDAR 16 23
#VALUE! #VALUE! P JL. RIAU 2 3 16 23
#VALUE! #VALUE! P KRAJAN 16 23
#VALUE! #VALUE! P KROBOKAN 1 3 16 23
#VALUE! #VALUE! L JL. DI PANJAITAN 16 23
#VALUE! #VALUE! P KROBOKAN 1 3 16 23
#VALUE! #VALUE! P KROBOKAN 1 3 16 23
#VALUE! #VALUE! L KRAJAN 2 1 16 23
#VALUE! #VALUE! P KROBOKAN 1 3 16 23
#VALUE! #VALUE! P KROBOKAN 2 3 16 23
#VALUE! #VALUE! P KROBOKAN 1 3 16 23
#VALUE! #VALUE! L SUMENEP MADURA
#VALUE! #VALUE! L JL. RIAU 2 3 16 23
#VALUE! #VALUE! L PAGERUNGAN BESAR MADURA
#VALUE! #VALUE! P KROBOKAN 16 23
#VALUE! #VALUE! P JL. RIAU 1 3 16 23
#VALUE! #VALUE! P KROBOKAN 1 3 16 23
#VALUE! #VALUE! L JL. DI PANJAITAN 2 1 16 23
#VALUE! #VALUE! P JL. SURATI BARU 16 23
#VALUE! #VALUE! P JL. DI PANJAITAN 2 3 16 23
#VALUE! #VALUE! P KROBOKAN 16 23
#VALUE! #VALUE! P KROBOKAN 3 2 16 23
#VALUE! #VALUE! L KROBOKAN 3 2 16 23
#VALUE! #VALUE! L KROBOKAN 1 1 16 23
#VALUE! #VALUE! L KROBOKAN 1 3 16 23
#VALUE! #VALUE! P JL. IKAN CUMI 3 1 16 SOBO
#VALUE! #VALUE! L KROBOKAN 1 3 16 23
#VALUE! #VALUE! P KROBOKAN 1 3 16 23
#VALUE! #VALUE! L KROBOKAN 1 3 16 23
54 46-59 L LINGK KROBOKAN 3 2 16 23
50 46-59 L JL DI PANJAITAN 2 2 16 23
70 ≥60 P LINGK KRAJAN 16 23
40 31-45 L LINGK KROBOKAN 3 2 16 23
56 46-59 L JL IKAN CUMI-CUMI NO 21 16
51 46-59 P KROBOKAN 1 3 16 23
38 31-45 P LINGK KROBOKAN 1 3 16 23
49 46-59 P LINGK KROBOKAN 1 3 16 23
50 46-59 L JL SURATI BARU 1 2 16 10
59 46-59 P KROBOKAN 1 2 16 23
57 46-59 P LINGK KROBOKAN 2 1 16 23
77 ≥60 L LINGK KROBOKAN 16 23
46 46-59 P JL RIAU LINGK KROBOKAN 2 3 16 23
73 ≥60 P LINGK KROBOKAN 16 23
43 31-45 P JL RIAU LINGK KROBOKAN 2 3 16 23
68 ≥60 L LINGK KROBOKAN 1 3 16 23
22 18-30 L LINGK KROBOKAN 1 3 16 23
49 46-59 P LINGK KROBOKAN 1 2 16 23
45 31-45 P JL RIAU LINGK KROBOKAN 16 23
41 31-45 P JL RIAU 2 3 16 23
65 ≥60 L LINGK KRAJAN 16 23
43 31-45 P JL RIAU LINGK KROBOKAN 2 3 16 23
39 31-45 L JL RIAU LINGK KROBOKAN 2 3 16 23
23 18-30 P JL RIAU 1 3 16 23
40 31-45 P JL RIAU 1 3 16 23
43 31-45 L BANYUWANGI
42 31-45 P JL IKAN CUCUT NO 21 16 23
40 31-45 P JL DI PANJAITAN 1 1 16 23
44 31-45 P LINGK KROBOKAN 2 1 16 23
30 18-30 L JL DI PANJAITAN 3 1 16 23
77 ≥60 P JL DI PANJAITAN NO 53 16 23
47 46-59 P KAMPUNG MANDAR 16 23
36 31-45 L KAMPUNG MANDAR 16 23
22 18-30 L JL DI PANJAITAN 1 2 16 23
35 31-45 P KAMPUNG MANDAR 16 23
58 46-59 L KRAJAN 1 3 16 23
51 46-59 L JL DI PANJAITAN 2 3 16 23
26 18-30 P JL KRAKATAU I NO 1 16 14
54 46-59 L KAMPUNG MANDAR 16 23
60 ≥60 L JL DI PANJAITAN LINGK KRAJ 3 3 16 23
34 31-45 L JL SURATI BARU 2 1 16 23
43 31-45 L LINGK KROBOKAN 2 3 16 23
 37 31-45 L LINGK KROBOKAN 3 2 16 23
19 18-30 P GG KH ABDUL SYUKUR
63 ≥60 P JL RIAU LINGK KROBOKAN 16 23
48 46-59 L JL SAYU GRINGSING 1 2 16 10
49 46-59 P LINGK KROBOKAN 3 3 16 23
52 46-59 L JL DI PANJAITAN NO 26 1 2 16 23
36 31-45 P JL RIAU LINGK KROBOKAN 1 3 16 23
53 46-59 P LINGK KROBOKAN 1 3 16 23
48 46-59 P JL SAYU GRINGSING 2 3 16 23
48 46-59 P JL RIAU NO 70 KROBOKAN 3 2 16 23
55 46-59 P LINGK KROBOKAN 3 2 16 23
55 46-59 P JL RIAU 3 3 16 23
26 18-30 P DSN KRAJAN 1 5 KABAT
62 ≥60 P LINGK KROBOKAN 2 3 16 23
25 18-30 P JL RIAU 3 3 16 23
27 18-30 P LINGK KROBOKAN 1 3 16 23
70 ≥60 L JL DI PANJAITAN 16 16 23
59 46-59 L LINGK KROBOKAN 3 2 16 23
#VALUE! #VALUE! L BEKASI
#VALUE! #VALUE! P JL. KARIMUNJAWA 3 4 16 12
#VALUE! #VALUE! P JL. BASUKI RAHMAT 16 14
#VALUE! #VALUE! P JL. TERNATE 3 3 16 12
#VALUE! #VALUE! P JL. KARIMUNJAWA 2 4 16 12
#VALUE! #VALUE! P JL. TERNATE 16 12
#VALUE! #VALUE! L JL. TERNATE 5 3 16 12
#VALUE! #VALUE! P JL. TERNATE 5 3 16 12
#VALUE! #VALUE! P JL. KARIMUNJAWA 1 4 16 12
#VALUE! #VALUE! P JL. TERNATE 2 3 16 12
#VALUE! #VALUE! P JL. TERNATE 2 3 16 12
#VALUE! #VALUE! P JL. BANGKA 1 2 16 12
#VALUE! #VALUE! P JL. KARIMUNJAWA 16 12
#VALUE! #VALUE! P JL. TERNATE 2 3 16 12
#VALUE! #VALUE! P JL. BUNYU 1 4 16 12
#VALUE! #VALUE! L KEBUN JERUK 3 4 16 12
#VALUE! #VALUE! P KRAJAN 5 3 16 12
#VALUE! #VALUE! L JL. KARIMUNJAWA 2 4 16 12
#VALUE! #VALUE! P JL. KARIMUNJAWA 16 12
#VALUE! #VALUE! P JL. GUNUNG REMUK 16
#VALUE! #VALUE! P JL. BELITUNG 5 2 16 12
#VALUE! #VALUE! P JL. KARIMUNJAWA 4 4 16 12
#VALUE! #VALUE! L JL. BELITUNG 5 2 16 12
#VALUE! #VALUE! P JL. BANGKA 5 1 16 12
#VALUE! #VALUE! L JL. KARIMUNJAWA 16 12
#VALUE! #VALUE! P JL. TERNATE 5 3 16 12
#VALUE! #VALUE! P JL. TERNATE 5 3 16 12
#VALUE! #VALUE! P LATENG 16 12
#VALUE! #VALUE! P JL. BASUKI RAHMAT 16 14
#VALUE! #VALUE! P JL. KARIMUNJAWA 16 12
#VALUE! #VALUE! L JL. RIAU 2 3 16 12
#VALUE! #VALUE! P JL. KARIMUNJAWA 16 12
#VALUE! #VALUE! P JL. BUNYU 16 12
#VALUE! #VALUE! P JL. KARIMUNJAWA 5 4 16 12
#VALUE! #VALUE! P JL. RIAU 2 3 16 12
#VALUE! #VALUE! P JL. RIAU 2 3 16 12
#VALUE! #VALUE! P LATENG 16 12
#VALUE! #VALUE! P JL. KARIMUNJAWA 16 12
#VALUE! #VALUE! L KEBUN JERUK 1 1 16 12
#VALUE! #VALUE! P KEBUN JERUK 1 1 16 12
#VALUE! #VALUE! L JL. BUNYU 3 4 16 12
#VALUE! #VALUE! P KEBUN JERUK 16 12
#VALUE! #VALUE! P JL. BELITUNG 4 2 16 12
#VALUE! #VALUE! P JL. BASUKI RAHMAT 5 2 16 12
#VALUE! #VALUE! P JL. KARIMUNJAWA 4 4 16 12
#VALUE! #VALUE! P JL. KARIMUNJAWA 3 4 16 12
#VALUE! #VALUE! P JL. TERNATE 5 3 16 12
#VALUE! #VALUE! P JL. BUNYU 3 4 16 12
#VALUE! #VALUE! L SUKOWIDI 21 91
#VALUE! #VALUE! P JL. BUNYU 3 1 16 12
#VALUE! #VALUE! P JL. BUNYU 16 12
#VALUE! #VALUE! L JL. BUNYU 3 4 16 12
#VALUE! #VALUE! L JL. BASUKI RAHMAT 5 2 16 14
#VALUE! #VALUE! P KRAJAN 16
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS JELAS

 VAKSIN-3 NO BATCH NO.HP KETERANGAN

(18) (19) (23) (24)

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JELAS JELAS JELAS
 LAPORAN HAR
NO
"TMPT_LHR UMUR
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TGL_LHR"
"
I
(1) (2) (3) (4) (5) (6)

1 351016230DICKY SURYA KURNIAWAN BANYUWAN 8/23/1980 42

7 351016020SYAMSI BANYUWA 5/2/1980 42
11 351016120YANTO BANYUWA 2/12/1955 68
15 351016020ARIPIN BANYUWA 5/2/1946 76
21 351016120SURYADI BANYUWA 7/12/1976 46
29 351016260KABUL HARIANTO BANYUWA 6/28/1978 44
32 351916291MOHAMAD HUSAINI BANYUWA 10/29/1970 52
35 351021050PRAWOTO RIZAL S BANYUWA 5/5/1978 44
36 351016190EKO SUGIANTORO BANYUWA 9/19/1992 30
37 351016116SELAMET BANYUWA 11/10/1965 57
42 351010210ERVITO YANUAR A BANYUWA 1/21/1995 28
43 351016010SUDIYANTO BWI 6/1/1959 63
52 351016510SURYO BWI 5/11/1951 71
53 351016010MOH.ISKANDAR ARIPIN BWI 4/1/1996 26
54 351016190DANY PRADIPTA BWI 4/19/1993 29
55 351016170TAUFIK RACHMAN BWI 9/17/1968 54
56 351016040DICKY ARDIYANTO BWI 3/4/1995 27
61 351016160SLAMET EKO BWI 4/16/1969 53
64 351016171ADITYA MAULAN 17-12-1983 #VALUE!
72 351016150MUHAMMAH AMRIN 01-08-1970 #VALUE!
74 351021080BUANG MISRI 08-02-1968 #VALUE!
80 351016121HASBI IQBAL ANAASAFI 13-11-2003 #VALUE!
83 351016280SUMADI 28-02-1945 #VALUE!
89 351016080IMAM MALIKI 08-09-1967 #VALUE!
99 351016270ALFAN HIDAYAT 27-03-1983 #VALUE!
105 351016120SUPENO HADI 12-03-1971 #VALUE!
126 351016270DODOK LARIYANTO 27-07-1981 #VALUE!
130 351016140RAHARJO BANYUWA 6/14/1950 72
135 351016210ARTHA WIDJAYA BANYUWA 7/21/1940 82
142 351016120ABDUL AZIZ BANYUWA 4/12/1967 55
145 351016130APENDI BANYUWA 7/13/1962 60
159 351016030YASIN BANYUWA 6/3/1950 72
160 351016270KUSHARIYANTO BANYUWA 8/27/1978 44
162 351016300HADI SUWONDO BANYUWA 9/30/1967 55
173 351016121SUKARDI BANYUWA 11/12/1953 69
182 351016570ENGGAR SAFRIDA BANYUWA 1/17/1994 29
185 351016150ARIFIN BANYUWA 8/15/1966 56
188 351016080SOENIKO BANYUWA 7/8/1944 78
191 '35101612 SUPRANANTO BANYUWA 6/22/1960 62
194 351016050JOKO MUHAMMAD BANYUWAN 2/5/1953 70
196 351016300ATMONO BANYUWA 7/30/1966 56
197 351016150SAPTO HARI PURNOMO BANYUWA 4/15/1962 60
198 351016700SUHRIYAN BANYUWA 6/3/1960 62
204 351016261SLAMET IRIYANTO BANYUWA 11/26/1962 60
205 351016010HADARUDDIN BANYUWA 1/1/1970 53
208 351016280SLAMET SANTOSO BANYUWA 5/28/1983 39
212 351016010TAUFIK HIDAYAT BANYUWA 1/8/1989 34
218 351016101CANDRA AGUS SANTOSO BANYUWA 12/10/1952 70
219 351016231ABDUL MAJID BANYUWA 10/23/1966 56
220 351016120BAMBANG HARTOYO BANYUWA 3/12/1976 46
221 351016151IWAN SUGIHARTO BANYUWA 12/15/1975 47
223 351016071SLAMET ELI HARTONO BANYUWA 12/17/1961 61
228 351016220M SADIQ BANYUWA 9/22/1981 41
239 351016700PONIRAH BANYUWA 6/30/1965 57
250 351016150AGUS HARIYADI BANYUWA 8/15/1980 42
252 351016300SUHAILIK BANYUWA 6/30/1963 59
254 351016040ABDUL AZIZ BANYUWA 5/4/1978 44
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
NAMA "NAMA JENIS
KELOMPOK "JENIS TANGGAL
UMUR "ALAMAT" "RT" "RW" KECAMATA KELURAHA PEKERJAA BPJS VAKSIN
KELAMIN"
N N N
(7) (8) (9) (10) (11) (12) (13) (14) (15) (16)

31-45 L PENATABAN GIRI 4/21/2022

31-45 L JL. ANDAL 3 1 16 14 4/21/2022
≥60 L JL. KRAKATAU 16 14 4/21/2022
≥60 L JL. IJEN 3 4 16 14 4/21/2022
46-59 L JL. ANDAL 4 3 16 14 4/21/2022
31-45 L JL. MH THAMRIN 16 13 4/21/2022
46-59 L KEBUN JE 3 3 16 12 4/21/2022
31-45 L JL. TERNA 4 3 16 12 4/21/2022
18-30 L JL. BANGKA 16 13 4/21/2022
46-59 L JL. BELIT 4 2 16 12 4/21/2022
18-30 L GLENMORE 16 12 4/21/2022
≥60 L JL.KAPTEN SARPAN BWI TUKANGKAYU 4/21/2022
≥60 L JL.KAPTEN ILYAS 10 BWI SNG 4/21/2022
18-30 L JL.BENGA 4 3 BWI SNG 4/21/2022
18-30 L JL.BENGA 2 2 BWI SNG 4/21/2022
46-59 L JL.KAPTEN 2 2 BWI SNG 4/21/2022
18-30 L JL.MOJOPA 2 2 BWI TAMANBARU 4/21/2022
46-59 L JL.BENGAWAN 48 BWI SNG 4/21/2022
#VALUE! L JL SUMBING N0 77 16 14 4/21/2022
#VALUE! L JL Tidar 6 3 16 14 4/21/2022
#VALUE! L JL Bromo 2 4 16 14 4/21/2022
#VALUE! L JLOpak 16 14 4/21/2022
#VALUE! L JL Batur No 27 16 14 4/21/2022
#VALUE! L JL Bromo 1 1 16 14 4/21/2022
#VALUE! L JL Batur N 3 3 16 14 4/21/2022
#VALUE! L Singotrunan 16 14 4/21/2022
#VALUE! L JL Ijen No 3 4 16 14 4/21/2022
≥60 L LINGK GESARI 16 13 4/21/2022
≥60 L JL MH THAMRIN NO 111 16 13 4/21/2022
46-59 L KALILO 2 3 16 13 4/21/2022
≥60 L JL NIAS 2 1 16 12 4/21/2022
≥60 L JL BELIT 3 2 16 12 4/21/2022
31-45 L JL TERNA 2 3 16 12 4/21/2022
46-59 L JL BELIT 3 2 16 12 4/21/2022
≥60 L JL GUNUN 3 4 16 14 4/21/2022
18-30 L JL SUMBI 1 2 16 14 4/21/2022
46-59 L JL LAWU II 2 2 16 14 4/21/2022
≥60 L JL KRAJA 1 1 JEMBER 4/21/2022
≥60 L JL SEKAR 3 1 16 11 4/21/2022
≥60 L JL SIDOPEK 3 1 16 11 4/21/2022
46-59 L SRITANJU 2 3 16 11 4/21/2022
 ≥60 L SIDOPKES 3 2 16 11 4/21/2022
≥60 L SAYU WIWIT 16 4/21/2022
≥60 L JL SAYU W 1 2 16 11 4/21/2022
46-59 L SRITANJU 3 3 16 11 4/21/2022
31-45 L SEKARDA 2 3 16 11 4/21/2022
31-45 L SRITANJU 1 3 16 11 4/21/2022
≥60 L JOGOPATI 2 3 16 11 4/21/2022
46-59 L DI PANJAI 1 3 16 11 4/21/2022
46-59 L SAYU WIW 3 3 16 11 4/21/2022
46-59 L SIDOPKES 3 1 16 11 4/21/2022
≥60 L AGUNG WI 2 1 16 11 4/21/2022
31-45 L SIDOPKES 1 3 16 11 4/21/2022
46-59 L JL ANDAL 4 3 16 14 4/21/2022
31-45 L JL KRAKA 5 3 16 14 4/21/2022
46-59 L JL BUDIO 3 2 16 14 4/21/2022
31-45 L JL BATUR 1 4 16 14 4/21/2022
 ALASAN MEREK
PENTAHAPAN VAKSIN-3 NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(17) (18) (19) (20) (21) (22) (23) (24)

D202110033
D202110033 V3
D202110033 V3
D202110033 V3
D202110033 V3
D202110033 V3
D202110033 V3
D202110033 V3
D202110033 V3
D202110033 V3
D202110033 V3
D202110033
D202110033
D202110033
D202110033
D202110033
D202110033
D202110033
3 D202110033 AZ 085259736578
3 D202110033 AZ 082331702421
3 D202110033 AZ 089515772052
3 D202110033 AZ 089086098835
3 D202110033 AZ 082298124708
3 D202110033 AZ 082139439035
3 D202110033 AZ 082351093502
2 D202110033 AZ 081333218978
3 D202110033 AZ
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
1 D202110033 ASTRAZENECA
 LAPORAN HARIAN VAKSI
T

NO
"NAMA_LEN "TMPT_LHR UMUR KELOMPOK "JENIS
NO REGISTRAS "NIK" "TGL_LHR" UMUR "ALAMAT"
GKAP" " KELAMIN"
I
(1) (2) (3) (4) (5) (6) (7) (8) (9)

1 351016230DICKY SU BANYUWAN
23-8-1980 #VALUE! #VALUE! L PENATABAN
2 351014290TRISNA LU BANYUWAN
29-3-1995 #VALUE! #VALUE! L KALILO
3 351016690PUTRI INDBANYUWA29-1-1995 #VALUE! #VALUE! P KALILO
4 351016290AHMAD BABANYUWA29-3-1962 #VALUE! #VALUE! L JL. BOGO
5 351017470RETNANINBANYUWA7-6-1971 #VALUE! #VALUE! P BANYUWANGI
6 351016181AHMAD HABANYUWA18-11-1970 #VALUE! #VALUE! L JL. GUMIT
7 910901511HUSNUL HBANYUWA11-10-1981 #VALUE! #VALUE! P SINGOTRUNAN
8 351016460SRI WAHYBANYUWA6-6-1977 #VALUE! #VALUE! P KEBUN JERUK
9 351016600NURIYANABANYUWA20-4-1980 #VALUE! #VALUE! P JL. TERNA
10 351017180ADITYA P BANYUWA18-7-1998 #VALUE! #VALUE! L BANYUWANGI
11 351016560SITI NAIL JOMBANG16-7-2001 #VALUE! #VALUE! P PERUM VILL PESONA
12 351016010FADILAH BANYUWA1-7-1968 #VALUE! #VALUE! L JL. BATUR
13 351016510SRIKANDIBANYUWA11-6-1985 #VALUE! #VALUE! P KEBUN JERUK
14 351016620AINURVIT BANYUWA22-3-2003 #VALUE! #VALUE! P JL. GUMIT
15 351016240TRIO SUPR BANYUWA24-3-1988 #VALUE! #VALUE! L JL. GUMIT
16 351016571ERNAWATBANYUWA17-10-1982 #VALUE! #VALUE! P PATEMON
17 351008540SUTIYANI BANYUWA14-9-1985 #VALUE! #VALUE! P JL. ANDALS
18 351015700FARIDA BANYUWA 6/30/1961 61 ≥60 P JL. IJEN
19 510803010WAHYUDIBANYUWA1-1-1974 #VALUE! #VALUE! L BANJAR DINAS TEGA
20 317408010ANDREANBANYUWA1-1-1971 #VALUE! #VALUE! L JAKARTA SELATAN
21 352008240BUDI SLA BANYUWA24-2-1977 #VALUE! #VALUE! L JL. ANDAL
22 351017480SULASTRIBANYUWA8-5-1971 #VALUE! #VALUE! P KRAJAN
23 352925501NURDATIYBANYUWA10-11-1970 #VALUE! #VALUE! P SAPEKEN
24 351313310MUHAMMABANYUWA31-5-1996 #VALUE! #VALUE! L KRAJAN
25 351021060RIDO MAUBANYUWA6-6-2003 #VALUE! #VALUE! L KRAJAN
26 351016700MISKANAHBANYUWA30-6-1972 #VALUE! #VALUE! P KRAJAN
27 351020520SUSANA MBANYUWA12-2-1992 #VALUE! #VALUE! P TOJO LOR
28 351016090H. BOEDI BANYUWA9-5-1954 #VALUE! #VALUE! L JL. CAND
29 351016050SABARIMABANYUWA5-6-1992 #VALUE! #VALUE! L TAMANBA
30 351016270SRI HARTA
LAMPUNG 7/7/1978 44 31-45 P JL. SUMBI
31 351016100SUDARWAJBANYUWA10-5-1955 #VALUE! #VALUE! L JL. MENDUT
32 351016210SUGENG SBANYUWA21-4-1965 #VALUE! #VALUE! L JL. SUMBI
33 351017640SHINTYA BANYUWA24-6-2003 #VALUE! #VALUE! P JL. RADEN
34 351016550IKA KURNBANYUWA15-4-1983 #VALUE! #VALUE! P JL. AGUNG
35 351016680SISILIA F BANYUWA28-1-1993 #VALUE! #VALUE! P DSN. KAMPUNG BAR
36 351016630HENI BANYUWA 7/23/1979 43 31-45 P JL. BUNYU
37 351016420SAFRINA BANYUWA 9/1/2003 19 18-30 P JL. ANDAL
38 351016700SUTRAMI BANYUWA30-6-1965 #VALUE! #VALUE! P JL. BRAN
39 351009211YOSAR IRBANYUWA21-11-1970 #VALUE! #VALUE! L BANYUWANGI
40 351016710NINIK WU BANYUWA31-5-1979 #VALUE! #VALUE! P JL. SUMBI
41 351016621LABITA L BANYUWA 12/22/1998 24 18-30 P JL. GUMITIR
42 351013641DESITA IZBANYUWA24-12-2003 #VALUE! #VALUE! P JL. PAJAJ
43 351016070AHMAD RIBANYUWA7-1-2000 #VALUE! #VALUE! L JL. MENDU
44 351016120NUR SYAKMAKASSA22-5-2006 #VALUE! #VALUE! P JL. SURAT
45 351016491SURATI BANYUWA9-101-1970 #REF! #REF! P JL. SUMBI
46 351016541RATNA KUBANYUWA14-12-1967 #VALUE! #VALUE! P JL. MERBABU
47 351016611SITNAWATBANYUWA12-12-1976 #VALUE! #VALUE! P JL. LAWU
48 351016450RUKMIMI BANYUWA5-7-1971 #VALUE! #VALUE! P JL. LAWU
49 351016531HASILA BANYUWA13-11-1956 #VALUE! #VALUE! P JL. IJEN
50 351016480SUPARMI BANYUWA8-4-1953 #VALUE! #VALUE! P SINGODIWONGSO
51 351016471NOVA SU BANYUWA7-12-1981 #VALUE! #VALUE! P JL. GUMIT
52 351016500INDRAWATBANYUWA10-5-1982 #VALUE! #VALUE! P SINGODIWONGSO
53 351016150MISNAWI BANYUWA15-7-1958 #VALUE! #VALUE! P JL. MALABAR
54 123 ≥60
55 123 ≥60
56 123 ≥60
57 123 ≥60
58 123 ≥60
59 123 ≥60
60 123 ≥60
61 123 ≥60
62 123 ≥60
63 123 ≥60
64 123 ≥60
65 123 ≥60
66 123 ≥60
67 123 ≥60
68 123 ≥60
69 123 ≥60
70 #REF! #REF!
71 123 ≥60
72 123 ≥60
73 123 ≥60
74 123 ≥60
75 123 ≥60
76 123 ≥60
77 123 ≥60
78 123 ≥60
79 123 ≥60
80 123 ≥60
81 123 ≥60
82 123 ≥60
83 123 ≥60
84 123 ≥60
85 123 ≥60
86 #REF! #REF!
87 123 ≥60
88 123 ≥60
 89 123 ≥60
90 123 ≥60
91 123 ≥60
92 123 ≥60
93 123 ≥60
94 123 ≥60
95 123 ≥60
96 123 ≥60
97 123 ≥60
98 123 ≥60
99 123 ≥60
100 123 ≥60
101 123 ≥60
102 123 ≥60
103 123 ≥60
104 123 ≥60
105 123 ≥60
106 123 ≥60
107 123 ≥60
108 123 ≥60
109 123 ≥60
110 123 ≥60
111 123 ≥60
112 123 ≥60
113 123 ≥60
114 123 ≥60
115 123 ≥60
116 123 ≥60
117 123 ≥60
118 123 ≥60
119 123 ≥60
120 123 ≥60
121 123 ≥60
122 123 ≥60
123 123 ≥60
124 123 ≥60
125 123 ≥60
126 123 ≥60
127 123 ≥60
128 123 ≥60
129 123 ≥60
130 123 ≥60
131 123 ≥60
132 123 ≥60
133 123 ≥60
134 123 ≥60
135 123 ≥60
136 123 ≥60
137 123 ≥60
138 123 ≥60
139 123 ≥60
140 123 ≥60
141 123 ≥60
142 123 ≥60
143 123 ≥60
144 123 ≥60
145 123 ≥60
146 123 ≥60
147 123 ≥60
148 123 ≥60
149 123 ≥60
150 123 ≥60
151 123 ≥60
152 123 ≥60
153 123 ≥60
154 123 ≥60
155 123 ≥60
156 123 ≥60
157 123 ≥60
158 123 ≥60
159 123 ≥60
160 123 ≥60
161 123 ≥60
162 123 ≥60
163 123 ≥60
164 123 ≥60
165 123 ≥60
166 123 ≥60
167 123 ≥60
168 123 ≥60
169 123 ≥60
170 123 ≥60
171 123 ≥60
172 123 ≥60
173 123 ≥60
174 123 ≥60
175 123 ≥60
176 123 ≥60
177 123 ≥60
178 123 ≥60
179 123 ≥60
180 123 ≥60
181 123 ≥60
182 123 ≥60
183 123 ≥60
184 123 ≥60
185 123 ≥60
186 123 ≥60
187 123 ≥60
188 123 ≥60
189 123 ≥60
190 123 ≥60
191 123 ≥60
192 123 ≥60
193 123 ≥60
194 123 ≥60
195 123 ≥60
196 123 ≥60
197 123 ≥60
198 123 ≥60
199 123 ≥60
200 123 ≥60
201 123 ≥60
202 123 ≥60
203 123 ≥60
204 123 ≥60
205 123 ≥60
206 123 ≥60
207 123 ≥60
208 123 ≥60
209 123 ≥60
210 123 ≥60
211 123 ≥60
212 123 ≥60
213 123 ≥60
214 123 ≥60
215 123 ≥60
216 123 ≥60
217 123 ≥60
218 123 ≥60
219 123 ≥60
220 123 ≥60
221 123 ≥60
222 123 ≥60
223 123 ≥60
224 123 ≥60
225 123 ≥60
226 123 ≥60
227 123 ≥60
228 123 ≥60
229 123 ≥60
230 123 ≥60
231 123 ≥60
232 123 ≥60
233 123 ≥60
234 123 ≥60
235 123 ≥60
236 123 ≥60
237 123 ≥60
238 123 ≥60
239 123 ≥60
240 123 ≥60
241 123 ≥60
242 123 ≥60
243 123 ≥60
244 123 ≥60
245 123 ≥60
246 123 ≥60
247 123 ≥60
248 123 ≥60
249 123 ≥60
250 123 ≥60
251 123 ≥60
252 123 ≥60
253 123 ≥60
254 123 ≥60
255 123 ≥60
256 123 ≥60
257 123 ≥60
258 123 ≥60
259 123 ≥60
260 123 ≥60
261 123 ≥60
262 123 ≥60
263 123 ≥60
264 123 ≥60
265 123 ≥60
266 123 ≥60
267 123 ≥60
268 123 ≥60
269 123 ≥60
270 123 ≥60
271 123 ≥60
272 123 ≥60
273 123 ≥60
274 123 ≥60
275 123 ≥60
276 123 ≥60
277 123 ≥60
278 123 ≥60
279 123 ≥60
280 123 ≥60
281 123 ≥60
282 123 ≥60
283 123 ≥60
284 123 ≥60
285 123 ≥60
286 123 ≥60
287 123 ≥60
288 123 ≥60
289 123 ≥60
290 123 ≥60
291 123 ≥60
292 123 ≥60
293 123 ≥60
294 123 ≥60
295 123 ≥60
296 123 ≥60
297 123 ≥60
298 123 ≥60
299 123 ≥60
300 123 ≥60
301 123 ≥60
302 123 ≥60
303 123 ≥60
304 123 ≥60
305 123 ≥60
306 123 ≥60
307 123 ≥60
308 123 ≥60
309 123 ≥60
310 123 ≥60
311 123 ≥60
312 123 ≥60
313 123 ≥60
314 123 ≥60
315 123 ≥60
316 123 ≥60
317 123 ≥60
318 123 ≥60
319 123 ≥60
320 123 ≥60
321 123 ≥60
322 123 ≥60
323 123 ≥60
324 123 ≥60
325 123 ≥60
326 123 ≥60
327 123 ≥60
328 123 ≥60
329 123 ≥60
330 123 ≥60
331 123 ≥60
332 123 ≥60
333 123 ≥60
334 123 ≥60
335 123 ≥60
336 123 ≥60
337 123 ≥60
338 123 ≥60
339 123 ≥60
340 123 ≥60
341 123 ≥60
342 123 ≥60
343 123 ≥60
344 123 ≥60
345 123 ≥60
346 123 ≥60
347 123 ≥60
348 123 ≥60
349 123 ≥60
350 123 ≥60
351 123 ≥60
352 123 ≥60
353 123 ≥60
354 123 ≥60
355 123 ≥60
356 123 ≥60
357 123 ≥60
358 123 ≥60
359 123 ≥60
360 123 ≥60
361 123 ≥60
362 123 ≥60
363 123 ≥60
364 123 ≥60
365 123 ≥60
366 123 ≥60
367 123 ≥60
368 123 ≥60
369 123 ≥60
370 123 ≥60
371 123 ≥60
372 123 ≥60
373 123 ≥60
374 123 ≥60
375 123 ≥60
376 123 ≥60
377 123 ≥60
378 123 ≥60
379 123 ≥60
380 123 ≥60
381 123 ≥60
382 123 ≥60
383 123 ≥60
384 123 ≥60
385 123 ≥60
386 123 ≥60
387 123 ≥60
388 123 ≥60
389 123 ≥60
390 123 ≥60
391 123 ≥60
392 123 ≥60
393 123 ≥60
394 123 ≥60
395 123 ≥60
396 123 ≥60
397 123 ≥60
398 123 ≥60
399 123 ≥60
400 123 ≥60
 0
0
KETERANGAN
JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS
APORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 21-4-22

NAMA "NAMA JENIS

TANGGAL PENTAHAPAN VAKSIN-3 NO BATCH
"RT" "RW" KECAMATA KELURAHA PEKERJAA BPJS VAKSIN
N N N
(10) (11) (12) (13) (14) (15) (16) (17) (18) (19)

PENATABAN GIRI PFIZER FM2956

16 13
5 2 16 13
4 2 16 13 FM2956
BANYUWANGI 16 PFIZER FM2956
4 2 16 14
SINGOTRUNAN 16 14
KEBUN JERUK 16 12
5 3 16 12
BANYUWANGI 16
PERUM VILL PESONA TIDAR 16 13
3 3 16 14
KEBUN JERUK 16 13
4 2 16 14
4 2 16 14
4 1 16 10
JL. ANDALS 16 14
2 4 16 14
BANJAR DINAS TEGALASIH
JAKARTA SELATAN
3 3 16 14
3 1 GIRI
SAPEKEN
2 1RANGKANG
1 9 21 91
3 1 16 12
2 TEMUGURUH
3
2 1 16 TAMANBARU
2 1 16
2 2 16 14
JL. MENDUT 16
2 2 16 14
4 2 GIRI
2 2 16 11
DSN. KAMPUNG BARU JAJAG
4 1 16 12
2 1 16 14
1 2 16 14
BANYUWANGI 16
2 2 16 14
JL. GUMITIR 16 14
5 3 16 TAMANBARU
2 1 16 TAMANBARU
1 2 16 23
2 2 16 14
JL. MERBABU 16 14
16 14
2 3 16 14
16 14
SINGODIWONGSO 16 14
4 2 16 14
SINGODIWONGSO 16 14
JL. MALABAR 16 14
JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 ALASAN
TIDAK MEREK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(20) (21) (22) (23) (24)

V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
V3
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
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128
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173
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218
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263
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271
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308
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353
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365
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382
383
384
385
386
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388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 23-4-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

MAS SINGOTRUNAN

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK

"NAMA KELURAHAN BPJS TERVAKSIN
PEKERJAAN

(13) (14) (15) (16) (17) (18) (19) (20)

JELAS JELAS JELAS JELAS JELAS JELAS JELAS
MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
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31
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38
39
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68
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75
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 83
84
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96
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121
122
123
124
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128
129
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173
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218
219
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263
264
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269
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271
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275
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279
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301
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308
309
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316
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319
320
321
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329
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352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 25-4-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

MAS SINGOTRUNAN

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK

"NAMA KELURAHAN BPJS TERVAKSIN
PEKERJAAN

(13) (14) (15) (16) (17) (18) (19) (20)

JELAS JELAS JELAS JELAS JELAS JELAS JELAS
MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
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226
227
228
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231
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239
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241
242
243
244
245
246
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248
249
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255
256
257
258
259
260
261
262
263
264
265
266
267
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269
270
271
272
273
274
275
276
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308
309
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312
313
314
315
316
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319
320
321
322
323
324
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328
329
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333
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339
340
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352
353
354
355
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357
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359
360
361
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364
365
366
367
368
369
370
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373
374
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378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 26-4-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

MAS SINGOTRUNAN

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK

"NAMA KELURAHAN BPJS TERVAKSIN
PEKERJAAN

(13) (14) (15) (16) (17) (18) (19) (20)

JELAS JELAS JELAS JELAS JELAS JELAS JELAS
MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510153003690004 LUKMANUL HAKIM BANYUWANGI

2 3510035208680003 LILIK KHATULISTYOWATI PONTIANAK
3 3510164412950001 CINTYA ZULVINA AFKARINA BANYUWANGI
4 3510164411030003 CHITA SHOFIYA ROMADHANI BANYUWANGI
5 3510142302970003 LARANDI RASMAN M BANYUWANGI
6 3510164905000004 ARINI NURHIDAYAH BANYUWANGI
7 3510161607830008 WAHYUDIN BANYUWANGI
8 351016231130005 ANAS NUR HIDAYAT BANYUWANGI
9 3510166406710001 SRI HIDAYATI BANYUWANGI
10 3510161606740005 ABU AMAR BANYUWANGI
11 3510164201840009 DWI ROFI LESTARI BANYUWANGI
12 3510165010700009 NUR FARIKA BANYUWANGI
13 3510167006660099 HATIJAH BANYUWANGI
14 3510165006980006 HIKMA ATTAMIMI BANYUWANGI
15 5171012111770001 MOCH ASYRAFF BIN YUSUF BANYUWANGI
16 3510166109970003 VIVI PRAPTILIYAH AYUNDA BANYUWANGI
17 3510162103000005 ARDIANSYAH DWI PANGESTU BANYUWANGI
18 3510164110570007 JAMILAH BANYUWANGI
19 3509191701030005 ALIF SABILI R BANYUWANGI
20 3510090710690003 IMRON GENDRO P BANYUWANGI
21 3510161909780006 RUDI SUDIARTO BANYUWANGI
22 3510165307800002 FATIMAH ARIYATI BANYUWANGI
23 3510166302820008 ZULFA IRAWATI BANYUWANGI
24 3510167006480093 FARIDAH BANYUWANGI
25 '3510162705990003 LANGGENG HENDRI BANYUWANGI
26 3510161801670006 TOTOK BUDIANTORO BANYUWANGI
27 3510162606560002 HARI SUSANTO BANYUWANGI
28 3510165507740001 MILA HARIYANI BANYUWANGI
29 3510160611710004 SLAMET HARIYANTO BANYUWANGI
30 3510211601770002 WAHYU BUDI WIBISONO BANYUWANGI
31 3510217009760004 TRI SULISWATI SURABAYA
32 3510167012610006 SULASTRI BANYUWANGI
33 3510161508530002 NUR HARIRI BANYUWANGI
34 3510162306750002 MUHAMMAD SULTHON BANYUWANGI
35 3510215104920005 AYU DINA LAILIYAH BANYUWANGI
36 3510161007870012 SURYO UTOMO BANYUWANGI
37 3510162903580002 MOH SAIPUL BANYUWANGI
38 3510167006600214 HAERONIK BANYUWANGI
39 3515165308730003 WIDIANTI YUNI ASIH PASURUAN
40 3510160108730003 SAHRONI BANYUWANGI
41 3510161708600004 JOKO PAMUNGKAS BANYUWANGI
42 3510215102980001 SITI NADIRA F BANYUWANGI
43 3510214812680004 WAHYUNINGSIH BANYUWANGI
44 3510165810910001 NUR LAELI BANYUWANGI
45 3510160201040001 FARHAN ROSIDI BANYUWANGI
46 3510164406690003 SULYATIK BANYUWANGI
47 3510166704640003 SULISIYAH BANYUWANGI
48 3510214706000004 NURONNIA BANYUWANGI
49 3510165710900003 RINDI SUJARMINTO BANYUWANGI
50 3510165512660006 DWI NURHAYATI BANYUWANGI
51 3510164110620004 SITI SUGIASIH BANYUWANGI
52 3510163004040001 TITAN EZRANO FAUSTA ADJIE BANYUWANGI
53 3510166511970003 VITHA FAULANI BANYUWANGI
54 3510166403700002 WIWIK HARTATI BANYUWANGI
55 3510164204680007 FARIDA BANYUWANGI
56 3510164204820004 HENI MUSTIKOWATI BANYUWANGI
57 3510161208540006 MAHFUZD SYABIBI TABANAN
58 3510161406820009 RINO FIANTO BANYUWANGI
59 3510160308920004 MOH. MUJIB BANYUWANGI
60 3510156210880001 ENDANG PUJI HARTI BANYUWANGI
61 3510165201660004 TUFIATI BANYUWANGI
62 3510206502990002 EKA AGUS PUTRIANI BLITAR
63 3510164505940001 HANI BAHRIYAH BANYUWANGI
64 3510166302030004 ABEL AROFAH PUTRI BANYUWANGI
65 3510160806970002 YUSTIAR REVANDA PUTRA BANYUWANGI
66 3510155011980006 FUJI AYU ASTUTI BANYUWANGI
67 3510164502820005 FERI BALKIS BANYUWANGI
68 3579035107990001 ALDA DIAN ROZANTI R BANYUWANGI
69 3510165907690003 MENIK WIDYAWATI BANYUWANGI
70 3510136001840005 RISTI HERNI BANYUWANGI
71 3510166702650001 SALWIYAH JEMBRANA
72 3510160111990002 MUHAMMAD MAULANA ISHAQ BANYUWANGI
73 3579035203040003 ASHILAA DINDA ARDIAL RAHADI BANYUWANGI
74 3510205006990005 EKA YUNI ARTI JURDILA BANYUWANGI
75 3510164103950006 LAILI FITRIYANI BANYUWANGI
76 3510165306760004 SUKARMI BANYUWANGI
77 3678062910710002 JOHANNES GUNAWAN SURABAYA
78 3578064811720005 HANDAYANY ATMODJO SITUBONDO
79 3510165607630006 ISTIANAH BANYUWANGI
80 3510163006630118 MOH.ALI BANYUWANGI
81 3510164509010001 NADIA BANYUWANGI
82 3510164908490001 SRI RAHAYU BANYUWANGI
 83 3510162603030006 FEBRI HERMAWAN BANYUWANGI
84 3510160911690005 ANDI KURNIAWAN BANYUWANGI
85 3510212401040002 RIDHO YANUDIRA S BANYUWANGI
86 6301011708880002 AGUS HENDRA WIJAYA BANYUWANGI
87 3510161008840004 HADI PURNOMO SURABAYA
88 3509110803850008 MUHAMMAD EDI SUGIYANTO BANYUWANGI
89 3509115102870006 DEWI KUSUMA BANYUWANGI
90 3510167006710080 ALPIYAH BANYUWANGI
91 3510211606010004 MOCH. GILANG MAULANA BANYUWANGI
92 3510167003030002 RESTINA DWI UTAMI BANYUWANGI
93 3510215711760001 SUNARTI BANYUWANGI
94 3510212712750002 PURWANTO BANYUWANGI
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 12 MEI 2022

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

3/30/1969 53 46-59 L DSN KRAJAN

8/12/1968 54 46-59 P KALIREJO 3
12/4/1995 27 18-30 P JL BENGAWAN 1
11/4/2003 19 18-30 P JL BENGAWAN 1
2/23/1997 25 18-30 L PERUM GEDONG
5/9/2000 22 18-30 P JL LETKOL ISTIQLAH GG MAWAR
7/16/1983 39 31-45 L JL KALILO 3
11/23/2003 19 18-30 L JL LETKOL ISTIQLAH GG MAWAR
6/24/1971 51 46-59 P JL LETKOL ISTIQLAH GG MAWAR
6/16/1973 49 46-59 L JL LETKOL ISTIQLAH GG MAWAR 2
1/2/1984 39 31-45 P JL KALILO 4
10/10/1970 52 46-59 P JL BOEDIONO GG SRAWET 3
6/30/1966 56 46-59 P JL BELITUNG 3
6/10/1998 24 18-30 P JL BELITUNG 3
11/21/1977 45 31-45 L JL BATANTA
9/21/1997 25 18-30 P JL SRAWET NO 85B 2
3/21/2000 22 18-30 L JL KINIBALU 3
10/1/1957 65 ≥60 P JL BELITUNG 4
1/17/2003 20 18-30 L TEGAL BESAR PERMAI 2 5
10/7/1969 53 46-59 L DSN KRAJAN 2
9/19/1978 44 31-45 L JL BOGOWONTO 2
7/13/1980 42 31-45 P JL KALIMAS NO 22 3
2/23/1982 40 31-45 P JL SAYU WIWIT NO 73 2
6/30/1948 74 ≥60 P JL KALIMAS NO 23
27-05-1999 #VALUE! #VALUE! L
18-01-1967 #VALUE! #VALUE! L JL GUMITIR N0.01 4
26-06-1956 #VALUE! #VALUE! L JL NUSANTARA NO.26 2
15-07-1974 #VALUE! #VALUE! P JL TERNATE 5
06-11-1971 #VALUE! #VALUE! L JL TERNATE 5
16-01-1977 #VALUE! #VALUE! L DUSUN KRAJAN 3
30-09-1976 #VALUE! #VALUE! P DUSUN KRAJAN 3
30-12-1961 #VALUE! #VALUE! P LINGK KALILO
15-08-1953 #VALUE! #VALUE! L LINGK KALILO
12-06-1975 #VALUE! #VALUE! L LINGK KALILO 5
11-04-1992 #VALUE! #VALUE! P JL ANDALAS 1
10-07-1987 #VALUE! #VALUE! L JL ANDALAS 1
29-03-1958 #VALUE! #VALUE! L LINGK SINGODIWONGSO 9
30-06-1960 #VALUE! #VALUE! L JL MALABAR
13-08-1973 #VALUE! #VALUE! P HL KI DEMANG 2
01-08-1973 #VALUE! #VALUE! L JL IJEN 3
17-08-1958 #VALUE! #VALUE! L JL GUNUNG IJEN NO 20
11-02-1998 #VALUE! #VALUE! P
08-12-1968 #VALUE! #VALUE! P
18-10-1991 #VALUE! #VALUE! P DUSUN KRAJAN 2
02-01-2004 #VALUE! #VALUE! L JL KINIBALU NO.24
04-06-1969 #VALUE! #VALUE! P JL OPAK NO.43 3
27-04-1964 #VALUE! #VALUE! P JL OPAK NO.43 3
07-06-2000 #VALUE! #VALUE! P DUSUN GUNUNGREMUK
01-10-1990 #VALUE! #VALUE! P JL SUMBING NO.56 4
15-12-1966 #VALUE! #VALUE! P JL BENGAWAN NO.10
01-10-1962 #VALUE! #VALUE! P JL RIAU GG MUTIARA 5
30-04-2004 #VALUE! #VALUE! L
25-11-1997 #VALUE! #VALUE! P JL ANDALAS NO.36 3
24-03-1970 #VALUE! #VALUE! P JL BATUR 1 NO.23 2
02-04-1968 #VALUE! #VALUE! P JL LAWU II GG SENYUM 2
02-04-1982 #VALUE! #VALUE! P JL MALABAR 2
12-08-1954 #VALUE! #VALUE! L JL BELITUNG GG II 4
14-06-1982 #VALUE! #VALUE! L JL BANGKA NO.71 5
03-08-1992 #VALUE! #VALUE! L JL BUNYU NO.47 1
22-10-1988 #VALUE! #VALUE! P LINGK KRAJAN 2
12-01-1966 #VALUE! #VALUE! P JL TARAKAN NO.16 2
25-02-1999 #VALUE! #VALUE! P JL TARAKAN NO.16 2
05-05-1994 #VALUE! #VALUE! P JL BANGKA 5
23-02-2003 #VALUE! #VALUE! P LINGK PATEMON WETAN 1
08-06-1997 #VALUE! #VALUE! L JL SRAWET NO.85 B 2
10-11-1998 #VALUE! #VALUE! P DUSUN WONOSARI 2
05-02-1982 #VALUE! #VALUE! P JL OPAK NO.05 2
11-07-1999 #VALUE! #VALUE! P JL BASUKI RAHMAT NO.115 3
19-07-1969 #VALUE! #VALUE! P JL BROMO LINGK SINGODIPURO 3
20-01-1984 #VALUE! #VALUE! P JL KARIMUN JAWA 5
27-02-1965 #VALUE! #VALUE! P JL BANGKA 5
01-11-1999 #VALUE! #VALUE! L LINGK KEBUN JERUK 3
12-03-2004 #VALUE! #VALUE! P JL BASUKI RAHMAT NO.115 3
10-06-1999 #VALUE! #VALUE! P DSN KRAJAN 4
01-03-1995 #VALUE! #VALUE! P JL KINIBALU NO.23 2
13-06-1976 #VALUE! #VALUE! P JL GUNUNG IJEN
29-10-1971 #VALUE! #VALUE! L KRANGGAN PANGSELAN 1
08-11-1972 #VALUE! #VALUE! P KRANGGAN PANGSELAN 1
16-07-1963 #VALUE! #VALUE! P JL TIDAR 6
30-06-1963 #VALUE! #VALUE! L JL BANGKA 5
05-09-2001 #VALUE! #VALUE! P JL BANGKA NO.102
09-08-1949 #VALUE! #VALUE! P JL MALABAR NO.22 2
26-03-2003 #VALUE! #VALUE! L JL KINIBALU NO.33 2
09-11-1969 #VALUE! #VALUE! L JL BATUR NO.47 3
24-01-2004 #VALUE! #VALUE! L DUSUN KRAJAN 2
17-08-1988 #VALUE! #VALUE! L ROMBONGAN 10 14
10-08-1984 #VALUE! #VALUE! L JL IJEN 2
08-03-1985 #VALUE! #VALUE! L SOBO
11-02-1987 #VALUE! #VALUE! P KLINGK WONOSARI 2
30-06-1971 #VALUE! #VALUE! P LINGK GESARI 1
16-06-2001 #VALUE! #VALUE! L
30-03-2003 #VALUE! #VALUE! P LINGK SINGODIWONGSO 3
17-11-1976 #VALUE! #VALUE! P JL YOS SUDARSO N0.133 4
27-12-1975 #VALUE! #VALUE! L JL YOS SUDARSO N0.133 4
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

PUSKESMAS SINGOTRUNAN
EI 2022

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3
"RW" KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(11) (12) (13) (14) (15) (16) (17) (18)

15 REJOSARI 5/12/2022 1
3 KABAT 5/12/2022 1
1 16 16 5/12/2022 1
1 16 16 5/12/2022 1
16 5/12/2022 1
5/12/2022 1
4 16 13 5/12/2022 1
16 13 5/12/2022 1
5/12/2022 1
5 16 13 5/12/2022 1
4 16 13 5/12/2022 1
2 16 14 5/12/2022 1
2 16 12 5/12/2022 1
2 16 12 5/12/2022 1
5/12/2022 1
2 16 14 5/12/2022 1
1 16 14 5/12/2022 1
2 16 12 5/12/2022 1
16 JEMBER 5/12/2022 1
5 GENTENG 5/12/2022 1
2 16 14 5/12/2022 1
1 16 13 5/12/2022 1
3 16 11 5/12/2022 1
16 16 5/12/2022 1
12-05-2022 1
2 16 14 12-05-2022 1
1 16 23 12-05-2022 1
3 16 12 12-05-2022 1
3 16 12 12-05-2022 1
8 KALIPURO 12-05-2022 1
8 KALIPURO KETAPANG 12-05-2022 1
16 13 12-05-2022 1
16 13 12-05-2022 1
2 16 13 12-05-2022 1
3 16 14 12-05-2022 1
3 16 14 12-05-2022 1
4 16 14 12-05-2022 1
 16 14 12-05-2022 1
3 GEDANGAN KETAJEN 12-05-2022 1
4 16 14 12-05-2022 1
12-05-2022 1
12-05-2022 1
12-05-2022 1
12 KALIPURO 97 12-05-2022 1
16 14 12-05-2022 1
1 16 13 12-05-2022 1
1 16 13 12-05-2022 1
KALIPURO 97 12-05-2022 1
2 16 14 12-05-2022 1
16 16 12-05-2022 1
3 16 12 12-05-2022 1
12-05-2022 1
3 16 14 12-05-2022 1
4 16 14 12-05-2022 1
3 16 14 12-05-2022 1
1 16 14 12-05-2022 1
2 16 12 12-05-2022 1
1 16 12 12-05-2022 1
4 16 12 12-05-2022 1
3 GLAGAH BANJARSARI 12-05-2022 1
2 16 12 12-05-2022 1
2 16 12 12-05-2022 1
1 16 12 12-05-2022 1
1 16 10 12-05-2022 1
2 16 14 12-05-2022 1
1 GLAGAH TAMANSURUH 12-05-2022 1
1 16 13 12-05-2022 1
1 16 14 12-05-2022 1
2 16 14 12-05-2022 1
4 16 12 12-05-2022 1
1 16 12 12-05-2022 1
2 16 12 12-05-2022 1
1 16 14 12-05-2022 1
1 SEMPU 12-05-2022 1
3 16 14 12-05-2022 1
12-05-2022 1
8 SAWAHAN SAWAHAN 12-05-2022 1
8 SAWAHAN SAWAHAN 12-05-2022 1
3 16 14 12-05-2022 1
1 16 12 12-05-2022 1
16 12 12-05-2022 1
1 16 14 12-05-2022 1
3 16 14 12-05-2022 1
3 16 14 12-05-2022 1
5 KALIPURO 97 12-05-2022 1
3 TAKISUNGSUMBER MAKMUR 12-05-2022 1
4 16 14 12-05-2022 1
12-05-2022 1
1 16 SOBO 12-05-2022 1
3 16 13 12-05-2022 1
12-05-2022 1
4 16 14 12-05-2022 1
1 KALIPURO KLATAK 12-05-2022 1
1 KALIPURO KLATAK 12-05-2022 1
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

ACB1252 ASTRAZENECA 9 081236689014

ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9 085219588787
ACB1252 ASTRAZENECA 9 089676761767
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRAZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 081232740134
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 085336299880
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 087757731869
ACB1252 ASTRA ZENECA 9 089513516471
ACB1252 ASTRA ZENECA 9 082139970243
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 085331281381
ACB1252 ASTRA ZENECA 9 082337189175
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 081315604446
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 081335959796
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 08818471672
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 087759764307
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 0813599510676
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 082335761732
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 085221441788
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 082145859402
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 083834892701
ACB1252 ASTRA ZENECA 9 085337459343
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 085231588988
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9 083125255276
ACB1252 ASTRA ZENECA 9
ACB1252 ASTRA ZENECA 9
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510162911720005 NOER HENDRA BUDI W BANYUWANGI

2 3510161709580004 ASNAWI BANYUWANGI
3 3510166108790007 IRMA RAMDHANI BANYUWANGI
4 3510163112570005 SURYADI BANYUWANGI
5 3510163108940003 NANDA GIANANJAR BANYUWANGI
6 3510167003640002 NASIFAH BANYUWANGI
7 3510166512580005 TJOENG SIOE TJOEN BANYUWANGI
8 3510162007010004 M JAELANI RENAL DI ALI BANYUWANGI
9 3510166204990004 SARI DEWI NUR BANYUWANGI
10 3510166307030003 ELSA NUR ROHMA BANYUWANGI
11 3510162607950005 NURIN MASKHOIRI BANYUWANGI
12 3511111912920001 HARI MUKTI R BANYUWANGI
13 3510167103890003 VINA ISWARIYAH BANYUWANGI
14 3510166307030004 ELSI NURROHMI BANYUWANGI
15 3510166307970002 SITI KATMAWATI BANYUWANGI
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
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43
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 83
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122
123
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126
127
128
129
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172
173
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216
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218
219
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228
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234
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236
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242
243
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246
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251
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255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
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283
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287
288
289
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296
297
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305
306
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308
309
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311
312
313
314
315
316
317
318
319
320
321
322
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324
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326
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328
329
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332
333
334
335
336
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339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 12 MEI 2022

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

29/11/1972 #VALUE! #VALUE! L JL GENTENGAN BARU A-6 3 5

17-09-1958 #VALUE! #VALUE! L JL ANDALAS NO 25 BANYUWANGI
21-08-1979 #VALUE! #VALUE! P JL GENTENGAN BARU A-6 3 5
31-12-1957 #VALUE! #VALUE! L JL IJEN BANYUWANGI
31-08-1994 #VALUE! #VALUE! L
30-03-1965 #VALUE! #VALUE! P JL NUSANTARA NO.26 2 1
25-12-1958 #VALUE! #VALUE! P JL TANGKUBAN PERAHU BANYUWANGI
20-07-2001 #VALUE! #VALUE! L JL SUMBING BANYUWANGI
22-04-1999 #VALUE! #VALUE! P
23-07-2003 #VALUE! #VALUE! P SINGOYANAN BARAT 2 2
26-07-1995 #VALUE! #VALUE! L VILLA BUKIT MAS BLOK MM 6 2 2
19-12-1992 #VALUE! #VALUE! L JL BROMO NO.2 2 2
31-03-1989 #VALUE! #VALUE! P JL ANDALAS GG RINJANI NO 42 3 3
23-07-2003 #VALUE! #VALUE! P SINGOMAYAN BARAT 2 2
23-07-1997 #VALUE! #VALUE! P VILLA BUKIT MAS BLOK MM 6 2 2
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

USKESMAS SINGOTRUNAN
2022

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

BANYUWANGIPENGANTIGAN 12-05-2022 1 FN1431

BANYUWANGISINGOTRUNAN 12-05-2022 1 FN1431
BANYUWANGIPENGANTIGAN 12-05-2022 1 FN1431
BANYUWANGISINGOTRUNAN 12-05-2022 1 FN1431
12-05-2022 1 FN1431
BANYUWANGI
KAMPUNG MANDAR 12-05-2022 1 FN1431
BANYUWANGISINGOTRUNAN 12-05-2022 1 FN1431
BANYUWANGISINGOTRUNAN 12-05-2022 1 FN1431
12-05-2022 1 FN1431
BANYUWANGISINGONEGARAN 12-05-2022 1 FN1431
GIRI 12-05-2022 1 FN1431
BANYUWANGISINGOTRUNAN 12-05-2022 1 FN1431
BANYUWANGISINGOTRUNAN 12-05-2022 1 FN1431
BANYUWANGISINGONEGARAN 12-05-2022 1 FN1431
GIRI 12-05-2022 1 FN1431
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9 089666327414
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP"
I
(1) (2) (3)

1 3510162006040003 PRAYUGO ALDO SAPUTRA

2 3510161803010002 MOCH EKO PRASETYO
3 3510161812770003 DUDIK RAHARDIAN
4 3510167006600207 MARFUAH
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTR
TANGGAL : 14-05-2022

UMUR KELOMPOK "JENIS

"TMPT_LHR" "TGL_LHR" UMUR "ALAMAT"
KELAMIN"

(4) (5) (6) (7) (8) (9)

BANYUWANGI 20-06-2004 #VALUE! #VALUE! L

BANYUWANGI 18-03-2001 #VALUE! #VALUE! L
BANYUWANGI 18-12-1977 #VALUE! #VALUE! L LINGK KROBOKAN
BANYUWANGI 30-06-1960 #VALUE! #VALUE! P LINGK KROBOKAN
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 OVID-19 PUSKESMAS SINGOTRUNAN
GAL : 14-05-2022

JENIS
"RT" "RW" NAMA KECAMATAN "NAMA KELURAHAN PEKERJAA BPJS TANGGAL VAKSIN
N
(10) (11) (12) (13) (14) (15) (16)

14-05-2022
14-05-2022
2 1 BANYUWANGI KAMPUNG MANDAR
2 1 BANYUWANGI KAMPUNG MANDAR
 ALASAN MEREK
PENTAHAPAN VAKSIN-3 NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(17) (18) (19) (20) (21) (22) (23) (24)

V3 FN1431 PFIZER
V3 FN1431 PFIZER 082340192878

081315457147
 LAPORAN HARIAN VAKSIN
TAN

NO
"NAMA_LEN "TMPT_LHR UMUR KELOMPOK "JENIS
NO REGISTRAS "NIK" "TGL_LHR" UMUR
GKAP" " KELAMIN"
I
(1) (2) (3) (4) (5) (6) (7) (8)

1 351016120DHAFA FI BANYUWA12-07-2003 #VALUE! #VALUE! L

2 351016610HURIA SAFIBANYUWAN
21-06-1985 #VALUE! #VALUE! P
3 351016591LULUS MUBANYUWA19-10-1965 #VALUE! #VALUE! P
4 351016460MUAYANI BANYUWA06-08-1960 #VALUE! #VALUE! P
5 351016111ARI PUJI BANYUWA11-11-1994 #VALUE! #VALUE! L
6 351016050BAGAS WA BANYUWA05-07-2001 #VALUE! #VALUE! L
7 351016461HAERONI BANYUWA06-11-1978 #VALUE! #VALUE! L
8 351016680SAKDIYAHBANYUWA28-02-1952 #VALUE! #VALUE! P
9 351016221H RUSMANJEMBER 22-12-1954 #VALUE! #VALUE! L
10 351016490TRI WULABONDOWO09-02-1960 #VALUE! #VALUE! P
11 351016060RADITYA BANYUWA06-05-2003 #VALUE! #VALUE! L
12 351016200SAMSUL MBANYUWA20-05-1970 #VALUE! #VALUE! L
13 351016060MOHAMMA BANYUWA06-07-1999 #VALUE! #VALUE! L
14 351016620NABILA N BANYUWA22-06-2000 #VALUE! #VALUE! P
15 351021100LAURENTIUS RUIS 10-08-2000 #VALUE! #VALUE! L
16 350918011KHOIRI JEMBER 01-12-1965 #VALUE! #VALUE! L
17 351021200VINDY PUBANYUWA20-08-1997 #VALUE! #VALUE! P
18 351003250TUMIN KUBANYUWA25-07-1973 #VALUE! #VALUE! L
19 352804090MOCH CHBANYUWA09-03-1973 #VALUE! #VALUE! L
20 351016590AINUN NISBANYUWA19-02-2002 #VALUE! #VALUE! P
21 351016510WASLIKAHMOJOKER11-07-1944 #VALUE! #VALUE! P
22 351016681UMI ROSI BANYUWA28-11-1988 #VALUE! #VALUE! P
23 351016200PRAYUGOBANYUWA20-06-2004 #VALUE! #VALUE! L
24 351016700SAWANDI BANYUWA30-06-1963 #VALUE! #VALUE! L
25 351016541SITI MAK BANYUWA14-11-1970 #VALUE! #VALUE! P
26 123 ≥60
27 123 ≥60
28 123 ≥60
29 123 ≥60
30 123 ≥60
31 123 ≥60
32 123 ≥60
33 123 ≥60
34 123 ≥60
35 123 ≥60
36 123 ≥60
37 123 ≥60
38 123 ≥60
39 123 ≥60
40 123 ≥60
41 123 ≥60
42 123 ≥60
43 123 ≥60
44 123 ≥60
45 123 ≥60
46 123 ≥60
47 123 ≥60
48 123 ≥60
49 123 ≥60
50 123 ≥60
51 123 ≥60
52 123 ≥60
53 123 ≥60
54 123 ≥60
55 123 ≥60
56 123 ≥60
57 123 ≥60
58 123 ≥60
59 123 ≥60
60 123 ≥60
61 123 ≥60
62 123 ≥60
63 123 ≥60
64 123 ≥60
65 123 ≥60
66 123 ≥60
67 123 ≥60
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 14-05-2022

NAMA "NAMA JENIS

TANGGAL PENTAHAPAN VAKSIN-3
"ALAMAT" "RT" "RW" KECAMATA KELURAHA PEKERJAA BPJS VAKSIN
N N N
(9) (10) (11) (12) (13) (14) (15) (16) (17) (18)

JL. BROMO 2 2 BANYUWANGI

SINGOTRUNAN 14-05-2022 1
JL. BATUR 3 4 BANYUWANGI
SINGOTRUNAN 14-05-2022 1
JL. BROMO 2 2 BANYUWANGI
SINGOTRUNAN 14-05-2022 1
JL. IJEN N 2 4 BANYUWANGI
SINGOTRUNAN 14-05-2022 1
JL IJEN 3 4 BANYUWANGI
SINGOTRUNAN 14-05-2022 1
JL KARIM 4 4 BANYUWANGILATENG 14-05-2022 1
PERUM VILLA SUKOWIDI KALIPURO KLATAK 14-05-2022 1
JL. BATUR 3 4 BANYUWANGI
SINGOTRUNAN 14-05-2022 1
JL KINIBAL 3 1 BANYUWANGI
SINGOTRUNAN 14-05-2022 1
JL KINIBAL 3 1 BANYUWANGI
SINGOTRUNAN 14-05-2022 1
JL DI PAN 1 2 BANYUWANGI
KAMPUNG MANDAR 14-05-2022 1
JL MH TH 3 5 BANYUWANGI
PENGANTIGAN 14-05-2022 1
JL. BARIT 2 3 BANYUWANGI
PENGANJURAN 14-05-2022 1
JL. DI PAN 3 1 BANYUWANGI
KAMPUNG MANDAR 14-05-2022 1
PERUM GGM KALIPURO KLATAK 14-05-2022 1
JL SUMBIN 1 1 BANYUWANGI
SINGOTRUNAN 14-05-2022 1
14-05-2022 1
14-05-2022 1
JL PROGO 2 3 BANYUWANGI
SINGONEGARAN 14-05-2022 1
JL PROGO 2 3 BANYUWANGI
SINGONEGARAN 14-05-2022 1
JL BATUR 2 4 BANYUWANGI
SINGOTRUNAN 14-05-2022 1
JL BATUR 2 4 BANYUWANGI
SINGOTRUNAN 14-05-2022 1
14-05-2022 1
JL PROGO 3 3 BANYUWANGI
SINGONEGARAN 14-05-2022 1
JL PROGO 2 3 BANYUWANGI
SINGONEGARAN 14-05-2022 1
 ALASAN MEREK
NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(19) (20) (21) (22) (23) (24)

ACB1252 ASTRA ZENECA

ACB1252 ASTRA ZENECA 082340192878
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA 081315457147
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA 083834423976
ACB1252 ASTRA ZENECA 085236810358
ACB1252 ASTRA ZENECA 082340192878
ACB1252 ASTRA ZENECA 081330766387
ACB1252 ASTRA ZENECA 081234454237
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA
ACB1252 ASTRA ZENECA 085231133145
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510165002940005 METHA SHIDAWATI BANYUWANGI

2 3509192508990004 AGUSTIAN DWI PRADIPTA U JEMBER
3 3510162102750001 NURCHOLIS MAJID BANYUWANGI
4 3510164101870014 EKA PRAFITASARI BANYUWANGI
5 3510212205810004 SETYO HADI PRANYOTO BANYUWANGI
6 3510167009780002 KHUSNUL KHOTIMAH BANYUWANGI
7 3510162505750007 DIDIK KUSWANTORO BANYUWANGI
8 3510164106860006 DESTA TRI ANGGRAINI BANYUWANGI
9 3510165012770002 DESI EKA ROSIANA BANYUWANGI
10 3510165707770004 RAHMAWATI BANYUWANGI
11 1471066912630002 WAHYUNING MUSTARIATI BANYUWANGI
12 3510162610760004 RAGIL RAHMAT BANYUWANGI
13 3510163006630075 HUSNI BANYUWANGI
14 3510165803820003 DIANTI BANYUWANGI
15 3510166208610001 SRI HARTINI BANYUWANGI
16 3510162703660001 HAIRUDIN BANYUWANGI
17 3510090603930004 LUKMAN HAKIM BANYUWANGI
18 3510035601960002 ZUHROH ILMIYAH BANYUWANGI
19 3510095307730003 SITI THOYIBAH BANYUWANGI
20 3510094407030005 PUTRI AYU SUKMA K BANYUWANGI
21 3510090104950002 ACHMAD AINUL YAQIN BANYUWANGI
22 5308116206860001 ENDANG SRIWATI BANYUWANGI
23 3510160102000011 GUNTUR ADJI PANGESTU BANYUWANGI
24 3313144610960003 DINA OCTAFIA BANYUWANGI
25 3313145008710004 YULIANA BANYUWANGI
26 3171035602910004 TRI PRIHATINI R BANYUWANGI
27 3510165106830010 NILA MAHARANI BANYUWANGI
28 3510163006510101 SURIPTO BANYUWANGI
29 3510164607580005 USNIYAH BANYUWANGI
30 3510164204560003 SITI MASITA BANYUWANGI
31 3510162212500002 MAS SOEROSO BANYUWANGI
32 3510162106710002 JOHAN UNTUNG BANYUWANGI
33 3510164608640002 SITI JULAIHAK BANYUWANGI
34 3510165411000002 NUR JANNAH BANYUWANGI
35 3510195406000001 MAULIDATUL HASANAH BANYUWANGI
36 3510160511910011 MOH SOFYAN AFANDI BANYUWANGI
37 3510161805600002 SUBAGIANTO BANYUWANGI
38 3510166801760003 ASMINA BANYUWANGI
39 351016476630006 SUWARNI BANYUWANGI
40 7204071112740007 SAHABUDDINSE BANYUWANGI
41 3510162712630006 BAMBANG WALUYO BANYUWANGI
42 3510163006650060 JUMAADIN BANYUWANGI
43 3510163103020008 FAJAR RIZKI A BANYUWANGI
44 3275016809830031 SITI AMINAH BANYUWANGI
45 3510164403610005 SITINA BANYUWANGI
46 3312071501400004 HARIS KAMINO BANYUWANGI
47 3510164102730006 SARINA BANYUWANGI
48 3510201412590003 HARDI PITONO BANYUWANGI
49 3510164104590005 SUCI P BANYUWANGI
50 3510164806000006 KIRANA NUR INTISAR BANYUWANGI
51 3510160105830006 RHONI PRIYA FIRMANDA BANYUWANGI
52 3510164708810008 FITRIYAH BANYUWANGI
53 3510175209860002 LULUK ASTUTI BANYUWANGI
54 3510175805860002 ROMDANAH BANYUWANGI
55 3510175606920002 ANDRIKA AYU KURNIA DEWBANYUWANGI
56 3510166801860003 MASITAH BANYUWANGI
57 3510166309880003 ANTIKA BANYUWANGI
58 3510165009820005 TITIK PUJIATI BANYUWANGI
59 3510161708810012 SETYAWAN BANYUWANGI
60 3510164511880003 LULUS SUPRIHATIN BANYUWANGI
61 3510166905920004 YENY SUPIANA BANYUWANGI
62 3510162104720003 SUGENG BADRAT BANYUWANGI
63 3510166004770001 MARDIYAH BANYUWANGI
64 3510164502710003 SENTOT INDRAWATI BANYUWANGI
65 3510166402940004 KURNIA LESTARI BANYUWANGI
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
 89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUN
TANGGAL : 19-5-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

2/10/1994 29 18-30 P SIGOTRUNAN

8/25/1999 23 18-30 L JL TENGKU UMAR GG KALISERANG 1 3
2/21/1975 L JL BROMO 2 2
1/1/1987 36 31-45 P KROBOKAN 1 2
5/22/1981 41 31-45 L JL DI PANJAITAN NO 37
9/30/1978 44 31-45 P KROBOKAN 2 3
5/25/1975 47 46-59 L JL DI PANJAITAN NO 21 3 2
6/1/1986 36 31-45 P KRAJAN 3 2
12/10/1977 45 31-45 P JL DI PANJAITAN 3 2
7/17/1977 45 31-45 P JL DI PANJAITAN 3 2
12/29/1963 59 46-59 P JL DI PANJAITAN NO 29 2 2
10/28/1996 26 18-30 L LINGK KRAJAN 3 2
6/30/1963 59 46-59 L JL DI PANJAITAN NO 18
3/18/1982 40 31-45 P JL DI PANJAITAN NO 29 2 1
8/22/1961 61 ≥60 P JL DI PANJAITAN 29 2 2
3/27/1966 56 46-59 L JL KAPTEN WAROKA
3/6/1993 29 18-30 L DSN KRAJAN 2 5
1/16/1996 27 18-30 P DSN BULUREJO 6 2
7/13/1973 49 46-59 P DSN KRAJAN 2 5
7/4/2003 19 18-30 P DSN KRAJAN 2 5
4/1/1995 27 18-30 L DSN KRAJAN 2 5
123 ≥60 P DSN KEBIRANGGA
2/1/2000 23 18-30 P PATEMON WETAN 1 1
10/6/1996 26 18-30 P JL TANGKUBAN PERAHU 3 3
8/10/1971 51 46-59 P JL TANGKUBAN PERAHU 3 3
2/16/1991 32 31-45 P JAKARTA PUSAT
6/11/1983 39 31-45 P THAMRIN RECIDENT 7 9
6/30/1951 71 ≥60 L JL BUNYU
7/6/1958 64 ≥60 P JL BUNYU
4/2/1956 66 ≥60 P JL AGUNG WILIS 1 2
12/22/1950 72 ≥60 L JL AGUNG WILIS 1 2
6/21/1971 51 46-59 L JL TERNATE 5 3
8/6/1964 58 46-59 P JL LAWU 1 3
11/14/2000 22 18-30 P JL LAWU 1 3
6/14/2000 22 18-30 P JL BELITUNG
11/5/1991 31 31-45 L ST 3 3
5/18/1960 62 ≥60 L JL LAWU II NO 13
1/28/1976 47 46-59 P JL TERNATE
6/7/1963 59 46-59 P JL TERNATE 5 3
12/11/1974 48 46-59 P THAMRIN RECIDENT 7 9
12/27/1963 59 46-59 L JL TERNATE
6/30/1965 57 46-59 L JL DI PANJAITAN 3 1
3/31/2002 20 18-30 L JL PROGO 1 3
9/25/1983 39 31-45 P JL TIDAR 2 1
3/4/1961 61 ≥60 P GESARI 1 2
1/15/1940 83 ≥60 L JL TERNATE
2/1/1973 50 46-59 P JL KINIBALU 3 1
12/14/1959 63 ≥60 L DSN KRAJAN 2 1
4/1/1959 63 ≥60 P JL MH THAMRIN 3 2
6/8/2000 22 18-30 P ST 2 3
5/1/1983 39 31-45 L
8/7/1981 41 31-45 P GESARI 2 3
9/12/1966 56 46-59 P LINGK PAYAMAN 2 2
5/18/1986 36 31-45 P DSN KEDAWUNG
6/16/1992 30 18-30 P PAYAMAN 1 2
1/28/1986 37 31-45 P JL BASUKI RAHMAT GG I 5 2
9/23/1988 34 31-45 P JL RADEN WIJAYA 1 3
9/10/1982 40 31-45 P GESARI
8/17/1981 41 31-45 L GESARI
11/5/1988 34 31-45 P GESARI 1 3
5/29/1992 30 18-30 P GESARI 1 3
4/21/1972 50 46-59 L GESARI 1 3
4/20/1977 45 31-45 P GESARI
2/5/1971 52 46-59 L GESARI 1 3
2/24/1994 28 18-30 P DSN KEDUNGSARI 1 3
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 0
0

JELAS JELAS JELAS JELAS JELAS JELAS

PUSKESMAS SINGOTRUNAN
5-22

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

5/19/2022 1 ACB1252
JEMBER 5/19/2022 1 ACB1252
16 14 5/19/2022 1 ACB1252
16 23 5/19/2022 1 ACB1252
16 23 5/19/2022 1 ACB1252
16 23 5/19/2022 1 ACB1252
16 23 5/19/2022 1 ACB1252
16 23 5/19/2022 1 ACB1252
16 23 5/19/2022 1 ACB1252
16 23 5/19/2022 1 ACB1252
16 23 5/19/2022 1 ACB1252
16 23 5/19/2022 1 ACB1252
16 23 5/19/2022 1 ACB1252
16 23 5/19/2022 1 ACB1252
16 23 5/19/2022 1 ACB1252
16 TUKANGKAYU 5/19/2022 1 ACB1252
GENTENG 5/19/2022 1 ACB1252
5/19/2022 1 ACB1252
GENTENG 5/19/2022 1 ACB1252
GENTENG 5/19/2022 1 ACB1252
GENTENG 5/19/2022 1 ACB1252
5/19/2022 1 ACB1252
16 10 5/19/2022 1 ACB1252
16 14 5/19/2022 1 ACB1252
16 14 5/19/2022 1 ACB1252
5/19/2022 1 ACB1252
JKT 5/19/2022 1 ACB1252
16 12 5/19/2022 1 ACB1252
16 12 5/19/2022 1 ACB1252
16 11 5/19/2022 1 ACB1252
16 11 5/19/2022 1 ACB1252
16 12 5/19/2022 1 ACB1252
16 14 5/19/2022 1 ACB1252
16 14 5/19/2022 1 ACB1252
16 12 5/19/2022 1 ACB1252
16 12 5/19/2022 1 ACB1252
16 14 5/19/2022 1 ACB1252
16 12 5/19/2022 1 ACB1252
16 12 5/19/2022 1 ACB1252
JKT 5/19/2022 1 ACB1252
 16 12 5/19/2022 1 ACB1252
16 23 5/19/2022 1 ACB1252
16 16 5/19/2022 1 ACB1252
16 13 5/19/2022 1 ACB1252
16 13 5/19/2022 1 ACB1252
16 12 5/19/2022 1 ACB1252
16 14 5/19/2022 1 ACB1252
SEMPU 5/19/2022 1 ACB1252
16 14 5/19/2022 1 ACB1252
16 11 5/19/2022 1 ACB1252
5/19/2022 1 ACB1252
16 13 5/19/2022 1 ACB1252
17 46 5/19/2022 1 ACB1252
17 46 5/19/2022 1 ACB1252
17 46 5/19/2022 1 ACB1252
16 12 5/19/2022 1 ACB1252
16 13 5/19/2022 1 ACB1252
16 13 5/19/2022 1 ACB1252
16 13 5/19/2022 1 ACB1252
16 13 5/19/2022 1 ACB1252
16 13 5/19/2022 1 ACB1252
16 13 5/19/2022 1 ACB1252
16 13 5/19/2022 1 ACB1252
16 13 5/19/2022 1 ACB1252
13 GINTANGAN 5/19/2022 1 ACB1252
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 081336326145
ASTRAZENECA 9 08311209205
ASTRAZENECA 9 083125185419
ASTRAZENECA 9 081249990539
ASTRAZENECA 9 082245996478
ASTRAZENECA 9 081227671113
ASTRAZENECA 9
ASTRAZENECA 9 08988149354
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 081908881983
ASTRAZENECA 9 085236829477
ASTRAZENECA 9 085236829447
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 085231821527
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 089504860027
ASTRAZENECA 9 082230892151
ASTRAZENECA 9 081264783125
ASTRAZENECA 9 081949763142
ASTRAZENECA 9
ASTRAZENECA 9 081354790301
ASTRAZENECA 9 081949763142
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 085258737493
ASTRAZENECA 9 085336449904
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 081234895521
ASTRAZENECA 9 082231820351
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3512091010980000 SATRIO TIRTO SUSANTO BANYUWANGI

2 3510210412730001 BARCELINUS IWAN S LUMAJANG
3 3510163006520137 USMAN DOLAH BANYUWANGI
4 3510166006490004 BASRIYAH BANYUWANGI
5 3509115003960003 SHOFIATUL KHASANAH BANYUWANGI
6 3510161506720005 KATIMAN BANYUWANGI
7 3510165403660002 SUGIHARTINI BANYUWANGI
8 3510150801590001 EKO WAHYUDI BANYUWANGI
9 3510155607720003 EMI SURYAWATI BANYUWANGI
10 35101215603690001 LULUK KHOMSIYAH BANYUWANGI
11 3510160307980008 BIAGGI AJI PANGESTU BANYUWANGI
12 3510162005840007 ANDI SETIAWAN BANYUWANGI
13 3510160211840001 KOES PRANOVIANTO HIDAYAT BANYUWANGI
14
15
16
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
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 19-5-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

10/10/1998 24 18-30 L
12/4/1973 49 46-59 L KLATAK GGM BLOK KL 02
6/30/1952 70 ≥60 L JL RIAU GG BERLIAN NO 26
6/20/1949 73 ≥60 P LINGK KALILO
3/10/1996 26 18-30 P DSN PURWOJATI 3 16
6/15/1972 50 46-59 L KALILO 5 2
3/14/1966 56 46-59 P JL SUMBING 1 2
1/8/1959 64 ≥60 L
7/16/1972 50 46-59 P LINGK SUKOROJO 2 1
3/16/1969 53 46-59 P
7/3/1998 24 18-30 L
5/20/1984 38 31-45 L JL SUMBING 2 1
11/2/1984 38 31-45 L
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

KESMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

5/19/2022 1 070K21A
21 91 5/19/2022 1 O7OK21A
16 12 5/19/2022 1 O7OK21A
16 13 5/19/2022 1 O7OK21A
JEMBER 5/19/2022 1 O7OK21A
16 13 5/19/2022 1 O7OK21A
16 14 5/19/2022 1 O7OK21A
5/19/2022 1 O7OK21A
5/19/2022 1 O7OK21A
5/19/2022 1 O7OK21A
5/19/2022 1 O7OK21A
16 14 5/19/2022 1 070K214
5/19/2022 1 070K214
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

MODERNA 9
MODERNA 9
MODERNA 9
MODERNA 9
MODERNA 9
MODERNA 9
MODERNA 9
MODERNA 9
MODERNA 9
MODERNA 9
MODERNA 9
MODERNA 9
MODERNA 9
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510162909020006 MUHAMMAD RAFI BANYUWANGI 9/29/2002

2 3510162704030003 ACHMAD SYAHDAN ERIED BANYUWANGI 4/27/2003
3 3510165104660002 SAMEKATI BANYUWANGI 4/11/1966
4 3510161805030003 AHMAD ZAIMAR B BANYUWANGI 5/18/2003
5 3510164710790001 KIPTIYAH BANYUWANGI 10/7/1979
6 3510166511900005 NOVITASARI BANYUWANGI 11/25/1990
7 3510164607640009 YAYUK NASIFAH BANYUWANGI 7/6/1964
8 3510161703800002 SURYADI BANYUWANGI 3/17/1980
9 3510166411000001 TESA YASMINAL JAHWA BANYUWANGI 11/24/2000
10 3510164508780005 AGUSTINA BANYUWANGI 8/5/1978
11 3510162508690003 SUDIYONO BANYUWANGI 8/25/1969
12 3510150203690001 AHMAD TAUFIK BANYUWANGI 3/2/1969
13 3510166901730001 MURTINA BANYUWANGI 1/29/1973
14 3510164307580001 ATIKA BANYUWANGI 7/3/1958
15 3510160906550002 USNAN BANYUWANGI 6/9/1955
16 3510161702650002 MOH DAHLAN BANYUWANGI 2/17/1965
17 3510167101770001 HOLIYAH BANYUWANGI 1/31/1977
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
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 19-5-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

20 18-30 L JL DI PANJAITAN 16
19 18-30 L JL DI PANJAITAN NO 29 16
56 46-59 P KRAJAN 3 2 16
19 18-30 L JL DI PANJAITAN NO 17 16
43 31-45 P JL DI PANJAITAN NO 17 16
32 31-45 P KRAJAN 16
58 46-59 P JL DI PANJAITAN 16
42 31-45 L JL DI PANJAITAN 16
22 18-30 P PERUM TAMAN KEBON KOPI 6 6
44 31-45 P JL DI PANJAITAN 3 2 16
53 46-59 L JL DI PANJAITAN 3 2 16
53 46-59 L KRAJAN 2 2 16
50 46-59 P KALIDERES JAKARTA
64 ≥60 P JL DI PANJAITAN NO 4 16
67 ≥60 L JL DI PANJAITAN NO 4 16
58 46-59 L JL BANTERANG BARU 48
46 46-59 P GESARI 3 1 16
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

AS SINGOTRUNAN

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK

"NAMA KELURAHAN BPJS TERVAKSIN
PEKERJAAN

(13) (14) (15) (16) (17) (18) (19) (20)

23 5/19/2022 1 FN1431
23 5/19/2022 1 FN1431
23 5/19/2022 1 FN1431
23 5/19/2022 1 FN1431
23 5/19/2022 1 FN1431
23 5/19/2022 1 FN1431
23 5/19/2022 1 FN1431
23 5/19/2022 1 FN1431
5/19/2022 1 FN1431
23 5/19/2022 1 FN1431
23 5/19/2022 1 FN1431
23 5/19/2022 1 FN1431
5/19/2022 1 FN1431
23 5/19/2022 1 FN1431
23 5/19/2022 1 FN1431
5/19/2022 1 FN1431
14 5/19/2022 1 FN1431
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510165403570001 ISTIANAH BSY BANYUWANGI

2 3510160106810004 MUJIONO BANYUWANGI
3 3510166912010003 AUFA YASMIN BANYUWANGI
4 3510135610980005 BULQIS SALSABILA ISMI AZBANYUWANGI
5 3510122206950001 PRAYOGO PANGESTU BANYUWANGI
6 3510121010990003 RANDI OKIFIANTO BANYUWANGI
7 3510166309640001 ENDANG SURATMI MADIUN
8 3510165902010004 BELA APRESITA E PTR BANYUWANGI
9 3510160501570004 HARI SOENARKO BANYUWANGI
10 3510164109780004 RUSTIN HANDAYANI BANYUWANGI
11 3510160802790000 HENDRIK PRAYOGI BANYUWANGI
12 3510167006640087 PUJIATI BANYUWANGI
13 3510160106650005 RIYANTO CILACAP
14 3510164402640001 ELIYANI BANYUWANGI
15 3510161105970006 ANGGA SETIAWAN BANYUWANGI
16 3510165911920005 DESLYN NOVIANTARI BANYUWANGI
17 3510211008940004 BAYU HARDIKA BANYUWANGI
18 3510160105450001 H.MOLLAH UJUNG PANDANG
19 3510164102220001 SUMINI BANYUWANGI
20 3510164305690005 NURHAYATIN LAMONGAN
21 5204082806960001 DONI DWI WIBOWO BANYUWANGI
22 3510165811650002 SITI MARIYANI BANYUWANGI
23 3510165411930004 ERNI KARMILA BANYUWANGI
24 5108052707750002 M.HARIS SETIAWAN BANYUWANGI
25 3510164201750004 USIYANI BANYUWANGI
26 3510166911670001 SRI PENI HANDAYANI BANYUWANGI
27 3510162103680003 ABDULLAH SANI BANYUWANGI
28 3510165712600001 HJ HUMAIDI NEGARA
29 3510162302670001 MISWADI BANYUWANGI
30 3510195012740004 MARLINA BANYUWANGI
31 3510190906730002 HAMBALI BANYUWANGI
32 3510165507680003 MASPUPAH BANYUWANGI
33 3510161006630007 Drs. MUTA'ALIM BANYUWANGI
34 3510163006610048 SUTEJA BANYUWANGI
35 3510164206680003 MAIMANAH BANYUWANGI
36 3510162310650003 MOH. ALI MUSTOFA BANYUWANGI
37 3510163006570090 BUWANG BANYUWANGI
38 3510167112640002 ROSDIANA BANYUWANGI
39 3510161812740005 HADI HARTO BANYUWANGI
40 3510164803700004 JUHARIAH BANYUWANGI
41 3510161011700005 MISBAH BANYUWANGI
42 3510165501610001 KULSUM MAWARDI BANYUWANGI
43 3510165411990004 ADELIA ALMIRA K BANYUWANGI
44 3510165502700005 SITI HAMIDAH BANYUWANGI
45 3510165501790006 HARIYATI BANYUWANGI
46 3510161010790003 IWAN SETIAWAN BANYUWANGI
47 3510163103770004 KARYANTO BANYUWANGI
48 9101016306790004 ENY PURWATI BANYUWANGI
49 3510167006480119 ASLAMIYAH BANYUWANGI
50 3510166808300001 SAIYA BANYUWANGI
51 3510164306720007 USNIAH BANYUWANGI
52 3510165710960001 SOFIYATUN HASANAH BANYUWANGI
53 3510162009740004 JUNAIDI BANYUWANGI
54 3510166206880004 WIWIN INDAH P BANYUWANGI
55 3510160605770007 MAT SALEH BANYUWANGI
56 3510164204520002 SUHARTIYAH BANYUWANGI
57 3510166706620002 SRI ASTUTIK BANYUWANGI
58 3510164608590002 HADIYE BANYUWANGI
59 3510161001000005 IKE FITRIA INDAHSARI BANYUWANGI
60 3510164404700005 HARTATI BANYUWANGI
61 3510160209750003 SURYADI BANYUWANGI
62 3510164512730005 RIRIN SULISTYOWATI BANYUWANGI
63 3510160303790002 MONETO BANYUWANGI
64 3510166803560001 SUMINAH BANYUWANGI
65 3510161708760011 AGUS SUGIANTO BANYUWANGI
66 3510160907940005 MOHAMMAT AS'AT JEMBER
67 3510161206600009 ISMAEL BANYUWANGI
68 3510162408800004 MAHFUD BANYUWANGI
69 3510161710840008 INDRA wahyudi BANYUWANGI
70 3510166904860003 RESSI DWI RHAYU BANYUWANGI
71
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 398
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400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 23/5/22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

5/14/1957 65 ≥60 P JL KAPTEN WAROKA GG KEBONSA 5 3

6/1/1981 41 31-45 L JL MH THAMRIN 1 2
12/29/2001 21 18-30 P JL SUMBING 4 2
10/16/1998 24 18-30 P
6/22/1995 27 18-30 L
10/2/1999 23 18-30 L DSN PASINAN TIMUR 3 3
9/23/1964 58 46-59 L JL TERNATE 5 3
2/19/2001 21 18-30 P JL SAYU GRINGSING 3 3
1/5/1957 66 ≥60 L JL IJEN 3 4
9/1/1978 44 31-45 L JL IJEN 3 2
2/8/1979 44 31-45 L JL IJEN 3 2
6/1/1961 61 ≥60 P JL IJEN 3 4
6/1/1965 57 46-59 L JL BASUKI RAHMAT 2 3
2/4/1964 59 46-59 P JL BASUKI RAHMAT 2 3
5/11/1997 25 18-30 L JL BELITUNG 3 2
11/19/1992 30 18-30 P TANJUNG
8/10/1994 28 18-30 L TANJUNG 3 2
5/1/1945 77 ≥60 L JL RIAU 2 3
2/1/1922 101 ≥60 P JL SURATI
5/3/1969 53 46-59 P JL LAWU 1 3
6/28/1996 26 18-30 L JL KAPTEN ILYAS NO 20
11/18/1965 57 46-59 P JL BATUR NO 148
11/24/1994 28 18-30 P
7/27/1975 47 46-59 L
1/2/1975 48 46-59 P JL BROMO GG PURNAMA
11/29/1967 55 46-59 P JL RINJANI TIMUR I NO 29
3/21/1968 54 46-59 L KROBOKAN 3 1
12/17/1960 62 ≥60 P JL GUNUNG AGUNG UTARA
2/23/1967 55 46-59 L JL MENDUT
12/10/1974 48 46-59 P JL SUMBING 1 2
6/9/1973 49 46-59 L JL SUMBING NO 15
15/07/1968 #VALUE! #VALUE! P JL SAYU GRINGSING 1 3
6/10/1963 59 46-59 L LINGK KRAJAN 1 3
6/30/1961 61 ≥60 L LINGK KRAJAN 1 3
6/2/1968 54 46-59 P LINGK KRAJAN 1 3
10/23/1965 57 46-59 L JL SAYU GRINGSING 1 1
6/30/1957 65 ≥60 L JL DI PANJAITAN 2 3
12/31/1964 58 46-59 P LINGK KRAJAN 1 3
12/18/1974 48 46-59 L LINGK PW 3 1
3/8/1970 52 46-59 P LINGK KRAJAN 1 3
11/10/1970 52 46-59 L LINGK KRAJAN 1 3
1/15/1961 62 ≥60 P JL DI PANJAITAN NO 85 3 2
11/14/1999 23 18-30 P JL DI PANJAITAN NO 85 3 2
2/15/1970 53 46-59 P JL DI PANJAITAN 1 2
1/15/1979 44 31-45 P LINGK PW 3 1
10/10/1979 43 31-45 L JL DI PANJAITAN 1 2
3/31/1977 45 31-45 L JL DI PANJAITAN 3 2
6/23/1979 43 31-45 P
6/30/1948 74 ≥60 P JL DI PANJAITAN
8/28/1930 92 ≥60 P JL DI PANJAITAN
6/3/1972 50 46-59 P JL DI PANJAITAN 1 1
10/17/1996 26 18-30 P JL DI PANJAITAN 1 1
9/20/1974 48 46-59 L LINGK KERAMAT 3 3
6/22/1988 34 31-45 P JL DI PANJAITAN 1 1
5/6/1977 45 31-45 L JL DI PANJAITAN 1 1
4/2/1952 70 ≥60 P JL DI PANJAITAN 1 1
6/27/1962 60 ≥60 P JL DI PANJAITAN 1 1
8/6/1959 63 ≥60 P JL DI PANJAITAN 1 1
1/10/2000 23 18-30 P JL DI PANJAITAN 1 1
3/21/1970 52 46-59 P JL DI PANJAITAN 1 1
9/2/1975 47 46-59 L JL DI PANJAITAN 1 1
12/5/1973 49 46-59 P JL DI PANJAITAN 1 1
3/3/1979 43 31-45 L JL DI PANJAITAN 1 1
3/28/1956 66 ≥60 P JL DI PANJAITAN 1 1
8/17/1976 46 46-59 L JL DI PANJAITAN 3 2
7/9/1994 28 18-30 L JL DI PANJAITAN 3 1
6/12/1960 62 ≥60 L LINGK KRAJAN 3 3
8/24/1980 42 31-45 L LINGK KRAJAN 3 3
10/17/1984 38 31-45 L SUMBER BANJAR 10 4
4/19/1986 #REF! #REF! P KROBOKAN 3 1
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

PUSKESMAS SINGOTRUNAN
5/22

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3

NAMA KECAMATAN "NAMA KELURAHAN BPJS
PEKERJAAN

(12) (13) (14) (15) (16) (17) (18)

16 19 5/23/2022 1
16 13 5/23/2022 1
16 14 5/23/2022 1
5/23/2022 1
5/23/2022 1
5/23/2022 1
16 12 5/23/2022 1
16 10 5/23/2022 1
16 14 5/23/2022 1
16 14 5/23/2022 1
16 14 5/23/2022 1
16 14 5/23/2022 1
16 10 5/23/2022 1
16 10 5/23/2022 1
16 12 5/23/2022 1
5/23/2022 1
21 91 5/23/2022 1
16 23 5/23/2022 1
5/23/2022 1
16 14 5/23/2022 1
16 16 5/23/2022 1
5/23/2022 1
5/23/2022 1
5/23/2022 1
5/23/2022 1
5/23/2022 1
16 23 5/23/2022 1
5/23/2022 1
16 18 5/23/2022 1
16 14 5/23/2022 1
16 14 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 10 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 10 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
16 23 5/23/2022 1
5/23/2022 1
16 23 5/23/2022 1
JELAS JELAS JELAS JELAS JELAS JELAS
NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510160701710003 SURAKIP SITUBONDO

2 3510161206680004 SLAMET HARIYADI BANYUWANGI
3 3510165403760001 SAHAWIYAH BANYUWANGI
4 3510164406630009 KARIMA BANYUWANGI
5 3510162412780005 FERRY YANTO BANYUWANGI
6 3510215605820009 MULYATININGSIH BANYUWANGI
7 3510163103750001 HARIYONO BANYUWANGI
8 3510134405020003 MYLISCA TIARA ZALZA BANYUWANGI
9 1602225502030001 WIDIA NINGSIH BANYUWANGI
10 3510215809000003 NAURA SEPTI A BANYUWANGI
11 3510060203020002 MOHAMAD AKBAR A BANYUWANGI
12 3510165807020001 ALDANA PUTRI A BANYUWANGI
13 3512145210020001 IIN KURNIAWATI BANYUWANGI
14 3510060512010004 MUHAMMAD LAROY BAFI BANYUWANGI
15 3510140402820002 UNTUNG RIYANTO BANYUWANGI
16 3510125007840002 LIDIA ARI K BANYUWANGI
17 3510164302960005 FEBRI NUR EKA A BANYUWANGI
18 3510161408610003 SUDARYONO BANYUWANGI
19 3510214905040006 ADELIA ANGGARAINI BANYUWANGI
20 3512147101030001 TRI WIDIYANTI SITUBONDO
21 3510142002020003 HARI KURNIAWAN BANYUWANGI
22 3510062908020006 MOHAMMAD IHSAN BANYUWANGI
23 3510166809820004 HAIZAH LIYA BANYUWANGI
24 351016605830003 NIANATUL LATIFA BANYUWANGI
25 3510212807710005 VINCENTIUS R
26 3510240303020002 AHMAD ALIP BANYUWANGI
27 3510164305780005 FENNY TUNJUNGSARI BANYUWANGI
28 3510162702980004 SATRIA PAMUNGKAS BANYUWANGI
29 3510166706720007 LATIFAH BAROKAH BANYUWANGI
30 3510216803900003 DENY TRI WINARSIH BANYUWANGI
31 3510166411740005 LILIK SURYANI BANYUWANGI
32
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37
38
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 398
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KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 27/05/2022

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

1/7/1971 52 46-59 L LINGK KRAJAN 3 3

6/12/1968 54 46-59 L LINGK KROBOKAN 2 2
3/14/1976 46 46-59 P LINGK KRAJAN 2 2
6/4/1963 59 46-59 P JL DI PANJAITAN 2 3
12/24/1978 44 31-45 L JL BANTERANG GG KERAMAT 2 3
5/16/1982 40 31-45 P JL YOS SUDARSO
3/31/1975 47 46-59 L JL GUNUNG AGUNG 1 3
5/4/2002 20 18-30 P
2/15/2003 19 18-30 P
9/18/2000 22 18-30 P
3/2/2002 20 18-30 L
7/18/2002 20 18-30 P
10/12/2002 20 18-30 P
9/5/2001 21 18-30 L
2/4/1979 44 31-45 L LINGK SUKOROJO 2 1
7/10/1984 38 31-45 P JL TERNATE NO.34 5 3
2/3/1996 27 18-30 P JL RIAU 4 3
8/14/1961 61 ≥60 L JL RANGGAWUNI 3 1
5/9/2004 18 18-30 P LINHK SUKOWIDI 2 3
1/31/2003 20 18-30 P KP JELUN 12 3
2/20/2002 20 18-30 L DSN LABANSUKADI 1 5
8/29/2002 20 18-30 L DSN TAPANSARI 3 3
9/28/1982 40 31-45 P JL RIAU 1 4
5/26/1983 39 31-45 P JL GUNUNG AGUNG
7/28/1971 51 46-59 L
3/3/2002 20 18-30 L
5/3/1978 44 31-45 P JL KARIMUN JAWA 1 3
2/27/1998 24 18-30 L JL BROMO
6/27/1972 50 46-59 P JL MH THAMRIN 5 6
3/28/1990 32 31-45 L
11/24/1974 48 46-59 P JL IJEN
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

PUSKESMAS SINGOTRUNAN
5/2022

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3

NAMA KECAMATAN "NAMA KELURAHAN BPJS
PEKERJAAN

(12) (13) (14) (15) (16) (17) (18)

16 23 5/27/2022 1
16 23 5/27/2022 1
16 23 5/27/2022 1
16 23 5/27/2022 1
16 10 5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
16 14 5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
16 5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
16 5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
5/27/2022 1
JELAS JELAS JELAS JELAS JELAS JELAS
NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA 085222861868
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA 081335208395
ACB1252 ASTRAZENECA 081343761402
ACB1252 ASTRAZENECA
ACB1252 ASTRAZENECA 082234915374
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510163108750002 RUDIYANTO BANYUWANGI

2 3510167005690003 JUMA'AM BANYUWANGI
3 3510161103900005 ANDI FAHRUL HIDAYAT BANYUWANGI
4 3510164307750005 IDA KUSNIAWATI BANYUWANGI
5 3510165207010006 NURUL ABDOLIA BANYUWANGI
6 3510164808010005 IVANIA NANDA K BANYUWANGI
7 3510165906500001 RATAIFIL MINAMI BANYUWANGI
8 3512136404010002 FARA APRILIA BANYUWANGI
9 3510162008010002 ABDUL MALIK BANYUWANGI
10 3510162404760012 HENDRA SANTOSO BANYUWANGI
11 3510164605710005 SRI WIDYASTUTIK BANYUWANGI
12 3510165002480002 IDAWATI SURYANI BANYUWANGI
13 3510167006620121 SRIAMI BANYUWANGI
14 3510163006540089 JUMAUDIN BANYUWANGI
15 3510161808670005 ABDUL HADI BANYUWANGI
16 3510122509030002 RIFQI ALF BANYUWANGI
17 3526034807980002 MUKRIFAH BANGKALAN
18 3175041504710010 MUHLISIN BANGKALAN
19 3526010412860003 MOHAMAD ARIFIN A BANGKALAN
20 1225116405680004 HOTIJAH
21 3526015707870011 JULIYANTI
22 3510164905760003 BAHASWAN BADIAH
23 3510160506830007 FAIZ GASIM
24
25
26
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31
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38
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 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 27/05/22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

8/31/1975 47 46-59 L JL DI PANJAITAN 1 1

5/30/1969 53 46-59 P JL DI PANJAITAN 3 3
3/11/1990 32 31-45 L JL SURATI BARU NO 30 1 3
7/3/1975 47 46-59 P JL DI PANJAITAN 2 3
7/12/2001 21 18-30 P JL DI PANJAITAN 2 3
8/8/2001 21 18-30 P JL DI PANJAITAN 1 3
6/19/1950 72 ≥60 P JL SAYU GRINGSING NO.74
4/24/2001 21 18-30 P LINGK KRAJAN 1 3
8/20/2001 21 18-30 L LINGK KRAJAN 2 2
4/24/1976 46 46-59 L LINGK KROBOKAN 1 3
5/6/1971 51 46-59 P LINGK KRAJAN 1 3
2/10/1948 75 ≥60 P LINGK KRAJAN 1 3
6/30/1962 60 ≥60 P LINGK KRAJAN 3 2
6/30/1954 68 ≥60 L JL DI PANJAITAN
8/18/1967 55 46-59 L JL DI PANJAITAN NO.27
9/25/2003 19 18-30 L
7/8/1995 27 18-30 L DS MANGGIS
4/15/1971 51 46-59 L JL NUSA I 9 4
12/4/1986 36 31-45 L KP BARAT EMBONG
5/24/1968 54 46-59 P JL NUSA I 9 4
7/17/1987 35 31-45 P KP BARAT EMBONG
5/9/1976 46 46-59 P JL BATUR NO.31 1 4
6/5/1983 39 31-45 L JL BATURMO.33 1 4
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

PUSKESMAS SINGOTRUNAN
05/22

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3

NAMA KECAMATAN "NAMA KELURAHAN BPJS
PEKERJAAN

(12) (13) (14) (15) (16) (17) (18)

16 23 27/05/2022 1
16 23 27/05/2022 1
16 23 27/05/2022 1
16 23 27/05/2022 1
16 23 27/05/2022 1
16 23 27/05/2022 1
16 10 27/05/2022 1
16 23 27/05/2022 1
16 23 27/05/2022 1
16 23 27/05/2022 1
16 23 27/05/2022 1
16 23 27/05/2022 1
16 23 27/05/2022 1
16 23 27/05/2022 1
16 23 27/05/2022 1
27/05/2022 1
27/05/2022 1
27/05/2022 1
27/05/2022 1
27/05/2022 1
27/05/2022 1
16 10 27/05/2022 1
16 10 27/05/2022 1
JELAS JELAS JELAS JELAS JELAS JELAS
NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA 081916568320
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA 081333467278
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA 085331544931
070K21A MODERNA
070K21A MODERNA 08775235257
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3201021602850009 FU'AD ISKANDAR BANYUWANGI

2 3510166408930009 MAULIFATUS ISTIQOMAH BANYUWANGI
3 35101266711790004 INAYATUR ROBANIYAH BANYUWANGI
4 3574033008650003 BERNARDUS WINURYANTOBANYUWANGI
5 3510244509030003 ERNAWATI BANYUWANGI
6 3510166005770008 FATMAWATI BANYUWANGI
7 3510215810980002 RENA CITRA P BANYUWANGI
8 3510164207690003 ISLAMIYAH BANYUWANGI
9 3510165212500005 RUKMININGSIH BANYUWANGI
10 351016808640005 ASIYAH BANYUWANGI
11 3510162505710004 SUHARTONO BANYUWANGI
12 3510166611560002 JUBAIDAH BANYUWANGI
13 3510164301760001 RUSDIANA DEWI BANYUWANGI
14
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353
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 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 30-05-2022

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

2/16/1985 38 31-45 L JL KALILO GG TERATAI NO.7 3 1

8/24/1993 29 18-30 P JL KALILO GG TERATAI NO.7 3 1
11/27/1982 40 31-45 P JL ANDALAS 3 3
8/24/1965 57 46-59 L JL MAYJED PANJAITAN 2 3
9/5/2003 19 18-30 P DUSUN GEBUD 2 2
5/2/1977 45 31-45 P JL NIAS GG MERPATI NO.18 1 1
10/18/1998 24 18-30 P JL DURIAN C 19
7/2/1969 53 46-59 P LINGK SINGODIWONGSO 3 4
12/12/1950 72 ≥60 P JL MALABAR NO.2 2 1
8/28/1964 58 46-59 P JL IJEN GG SRAWET 3 2
5/25/1971 51 46-59 L JL LAWU II
11/26/1956 66 ≥60 P JL LAWU II
1/3/1976 47 46-59 P JL LAWU II 2 3
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

PUSKESMAS SINGOTRUNAN
5-2022

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3

NAMA KECAMATAN "NAMA KELURAHAN BPJS
PEKERJAAN

(12) (13) (14) (15) (16) (17) (18)

16 16 5/30/2022 1
16 16 5/30/2022 1
16 14 5/30/2022 1
5/30/2022 1
5/30/2022 1
16 5/30/2022 1
5/30/2022 1
16 14 5/30/2022 1
16 14 5/30/2022 1
16 14 5/30/2022 1
5/30/2022 1
5/30/2022 1
16 14 5/30/2022 1
JELAS JELAS JELAS JELAS JELAS JELAS
NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA 085236589243
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
070K21A MODERNA
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510160110700004 SELAMET MULYADI BANYUWANGI

2 3510162411710002 PANANI BANYUWANGI
3 5171036811840004 TRI SUDI RAHAYU BANYUWANGI
4 3510160904840011 BUDI ARIES NURHIDAYAT BANYUWANGI
5 5171036002870024 NUR LAILA BANYUWANGI
6 3510061307790006 MURSALIN BANYUWANGI
7 3510215111480002 SUTIYANI BANYUWANGI
8 3510161105770002 NUR ACHMAD BANYUWANGI
9 3510162309970004 BIMA PRAMADA AFANDI BANYUWANGI
10 3510161401980003 RYAN DIMAS SETYAWAN BANYUWANGI
11
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353
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384
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391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 30-05-2022

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

10/1/1970 52 46-59 L JL RIAU GG BERLIAN NO.35 2 3

11/24/1971 51 46-59 L JL TERNATE 3 3
11/28/1984 38 31-45 P JL BELITUNG GG II
4/9/1984 38 31-45 L JL SEKARDALU 2 3
2/20/1987 35 31-45 P JL BELITUNG NO.37
7/13/1979 43 31-45 L PERUM SOBO WATER SPRING 1 3
11/11/1948 74 ≥60 P SUKOWIDI 2 1
5/11/1977 45 31-45 L PENGANTIGAN
9/23/1997 25 18-30 L JL KALILO 1 5
1/14/1998 25 18-30 L JL ABDULAH NO.58 3 2
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

PUSKESMAS SINGOTRUNAN
5-2022

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3

NAMA KECAMATAN "NAMA KELURAHAN BPJS
PEKERJAAN

(12) (13) (14) (15) (16) (17) (18)

16 15 5/30/2022 1
16 15 5/30/2022 1
16 15 5/30/2022 1
16 11 5/30/2022 1
16 15 5/30/2022 1
16 5/30/2022 1
KLATAK 5/30/2022 1
16 15 5/30/2022 1
16 15 5/30/2022 1
16 5/30/2022 1
JELAS JELAS JELAS JELAS JELAS JELAS
 NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

D202111039 ASTRA ZENECA 085257278452

D202111039 ASTRA ZENECA
D202111039 ASTRA ZENECA
D202111039 ASTRA ZENECA
D202111039 ASTRA ZENECA 085238081613
D202111039 ASTRA ZENECA 081237772924
D202111039 ASTRA ZENECA
D202111039 ASTRA ZENECA 085232721234
D202111039 ASTRA ZENECA 082009130093
D202111039 ASTRA ZENECA 0821321358859
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510164508020005 AGUSTIN ASMANIYA BANYUWANGI

2 3510162304620002 ITUT SUGIANTO BANYUWANGI
3 3510165303810007 ENDANG SUSILOWATI BANYUWANGI
4 3511184204960001 FIDELIA BANYUWANGI
5 3578271012760002 DONNY KRISTIANTO SURABAYA
6 3510167006590220 JUHAIRIYAH BANYUWANGI
7 3510166908680009 SITI MASRURIN BANYUWANGI
8 3510167112490007 FATMA KENIZ BIBI JEMBER
9 3510167006750045 RAHMANI BANYUWANGI
10 3510034908660004 MASRI'AH BANYUWANGI
11 3510164611030003 ERRINA RAHMADHANI BANYUWANGI
12 3510164909020002 SITI NURMASITA FIRDAUS BANYUWANGI
13 3510166507780005 SITI HALIMAH BANYUWANGI
14 3510162808580003 SUGIARTO BANYUWANGI
15 3510161901920002 ANDIKA YANUAR PRADANABANYUWANGI
16
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128
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173
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218
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263
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308
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353
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359
360
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365
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371
372
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374
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380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 30-05-2022

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

8/5/2002 20 18-30 P LINGK SRITANJUNG NO.44 2 3

4/23/1962 60 ≥60 L LINGK SEKARDALU 1 1
3/13/1981 41 31-45 P JL GUNUNG SRAWET 3 2
4/2/1996 26 18-30 P SOKLEH SELATAN 26 5
12/10/1976 46 46-59 L SATELIT UTARA
6/30/1959 63 ≥60 P JL RIAU GG BERLIAN NO.26
8/29/1968 54 46-59 P PERUM VBM 1 1
12/31/1949 73 ≥60 P JL BUNYU NO.59 4 4
6/30/1975 47 46-59 P JL DI PANJAITAN 3 1
8/9/1966 56 46-59 P PERUM GRIYA GIRI MULYA 2 4
11/6/2003 19 18-30 P PERUM VILLA GAJAH MADA 5 3
9/9/2002 20 18-30 P JL BASUKI RAHMAT 5 2
7/25/1978 44 31-45 P LATENG
8/28/1958 64 ≥60 L JL SUMBING 1 2
1/19/1992 31 31-45 L JL SEKARDALU 3 3
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

PUSKESMAS SINGOTRUNAN
5-2022

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3

NAMA KECAMATAN "NAMA KELURAHAN BPJS
PEKERJAAN

(12) (13) (14) (15) (16) (17) (18)

16 11 5/30/2022 1
16 11 5/30/2022 1
16 14 5/30/2022 1
BONDOWOSO 5/30/2022 1
SURABAYA 5/30/2022 1
16 5/30/2022 1
5/30/2022 1
16 5/30/2022 1
16 23 5/30/2022 1
KLATAK 5/30/2022 1
16 16 5/30/2022 1
16 12 5/30/2022 1
16 12 5/30/2022 1
16 14 5/30/2022 1
16 11 5/30/2022 1
JELAS JELAS JELAS JELAS JELAS JELAS
NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

FN1431 PFIZER
FN1431 PFIZER
FN1431 PFIZER
FN1431 PFIZER
FN1431 PFIZER
FN1431 PFIZER
FN1431 PFIZER
FN1431 PFIZER 082139277488
FN1431 PFIZER 085259346348
FN1431 PFIZER
FN1431 PFIZER
FN1431 PFIZER
FN1431 PFIZER 085964168248
FN1431 PFIZER
FN1431 PFIZER 083142920955
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 '3510214102010007 NINDYA YERI FEBRIANI BANYUWANGI 2/4/2001

2 3510165805000002 NADYA SIROTUL HIKMA BANYUWANGI 5/18/2000
3 3510164508000001 AULIA FIRDAUS BANYUWANGI 8/5/2000
4 35101624038500002SAID NURMANSYAH BANYUWANGI 3/24/1985
5 5308045507690001 AFIYAH NURUDDIN BANYUWANGI 7/15/1969
6 3510161001020003 RUDY HARTAWAN BANYUWANGI 1/10/2002
7 3510162511990001 LODY SYAHPUTRA P.K BANYUWANGI 11/25/1999
8 3510190708850006 BAYU SAPUTO BANYUWANGI 12/6/1988
9 3510160507710004 SUMADI BANYUWANGI 7/5/1971
10 3510212709590002 NANANG HERMANTO BANYUWANGI 9/27/1959
11 3510166101870003 FIRDA ULFIANA BANYUWANGI 1/20/1987
12 3510161808680006 AGUS SALIM AMBON 8/18/1968
13 3510160101960007 ACHMAD HAIRUDIN BANYUWANGI 1/1/1996
14 3510211906970003 TIRTA EKA PRASETYO BANYUWANGI 6/19/1997
15 3510160406680003 ACHYAR BANYUWANGI 6/4/1968
16 3510160907650001 NABIL BAMAISARAH BANYUWANGI 7/9/1965
17 3510161112930002 BUDI HARIYANTO BANYUWANGI 12/11/1993
18 3603282412690006 LUTFI BANYUWANGI 12/24/1969
19 3510164505990001 SYAFRINA FARAHDILA BANYUWANGI 5/5/1999
20 3510164408830007 ROHIMAH BANYUWANGI 8/4/1983
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 2-6-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

22 18-30 P JL ANDALAS 3 3 16
22 18-30 L LINGK. KALILO 1 5 16
22 18-30 P JL. OPAK NO. 35 5 1 16
37 31-45 L JL. ANDALAS 4 3 16
53 46-59 P JL. MH THAMRIN 3 5 16
21 18-30 L JL. BROMO NO. 1 2 3 16
23 18-30 L JL RINJANI NO. 2 1 3 16
34 31-45 L JL BANGKA NO. 68 4 1 16
51 46-59 L JL SUMBING 2 1 16
63 ≥60 L LINGK SUKOWIDI 2 1 KLATAK
36 31-45 P JL BANGKA NO. 68 4 1 16
54 46-59 L JL SINDURO 4 1 16
27 18-30 L JL IJEN 2 4 16
25 18-30 L PERUM VILLA SUKOWIDI 2 LD-02 3 4 KLATAK
54 46-59 L JL IJEN 2 4 16
57 46-59 P JL KERINCI NO. 10 2 3 16
29 18-30 L JL. IJEN 2 4 16
53 46-59 L JL SAYU GRINGSING 1 1 16
23 18-30 P JL BANGKA 4 1 16
39 31-45 P JL BELITUNG GG II NO.42 3 2 16
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

MAS SINGOTRUNAN

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK

"NAMA KELURAHAN BPJS TERVAKSIN
PEKERJAAN

(13) (14) (15) (16) (17) (18) (19) (20)

STR 6/2/2022 1 D202111039

13 6/2/2022 1 D202111039
PTG 6/2/2022 1 D202111039
STR 6/2/2022 1 D202111039
PTG 6/2/2022 1 D202111039
STR 6/2/2022 1 D202111039
STR 6/2/2022 1 D202111039
LTG 6/2/2022 1 D202111039
STR 6/2/2022 1 D202111039
6/2/2022 1 D202111039
STR 6/2/2022 1 D202111039
STR 6/2/2022 1 D202111039
STR 6/2/2022 1 D202111039
KALIPURO 6/2/2022 1 D202111039
STR 6/2/2022 1 D202111039
STR 6/2/2022 1 D202111039
STR 6/2/2022 1 D202111039
KAMELA 6/2/2022 1 D202111039
LTG 6/2/2022 1 D202111039
LTG 6/2/2022 1 D202111039
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

ASTRA ZENECA 081336805753

ASTRA ZENECA 085336485267
ASTRA ZENECA -
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA 085259451714
ASTRA ZENECA 0895366417446
ASTRA ZENECA 085236676187
ASTRA ZENECA 081234361615
ASTRA ZENECA 085314081762
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA 081358183794
ASTRA ZENECA 08123488733
ASTRA ZENECA -
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 11-6-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

MAS SINGOTRUNAN

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK

"NAMA KELURAHAN BPJS TERVAKSIN
PEKERJAAN

(13) (14) (15) (16) (17) (18) (19) (20)

JELAS JELAS JELAS JELAS JELAS JELAS JELAS
MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510162211710004 CUKUP WAHONO BANYUWANGI 11/22/1971

2 3510162709640001 DAMASKUS BANYUWANGI 9/27/1964
3 3173044405950003 ELSA JAKARTA 5/4/1995
4 3578120409690001 SOEPRAPTO JUSWANTO SURABAYA 9/4/1969
5 350292408800001 AGUS SANTOSO JEMBER 8/24/1980
6 3509294112570001 YULIATI JEMBER 12/1/1959
7 9203010108870003 KRISTIAN AGUSTINO FAKFAK 8/1/1987
8 9203015112640001 HERCE VERONIKA H BANDUNG 12/11/1964
9 9203014506430002 AGNES KENG LAN NIO PADANG 6/5/1943
10 9203014409630002 HENDARINA HENDRIK BANDUNG 9/4/1963
11 3510211306040003 FIRMANSYAH PURWANTO BANYUWANGI 6/13/2004
12 3510215411960003 ENGELINA ESTER T BANYUWANGI 11/14/1996
13 3510164105710001 DWI HANDAYANI BANYUWANGI 5/1/1971
14 3510164401010004 DHEWI SARTYKA BANYUWANGI 1/4/2001
15 3510164206780003 YENNY WACHYUNINGSIH BANYUWANGI 6/2/1978
16 3510167107980002 KHARISMA YULIANI BANYUWANGI 7/31/1998
17 3510161205780013 MOH BAIHAKI BANYUWANGI 5/12/1978
18 3510165502870003 SOMILA ROSE YAZINGNAOKOREA 2/15/1987
19 3510165212580016 KASIATI BANYUWANGI 12/12/1958
20 3510163006740062 SUHAIRI BANYUWANGI 6/30/1974
21 3510166904950002 CATUR WULANDARI BANYUWANGI 4/29/1995
22 3510166001650002 FARISIA BANYUWANGI 1/20/1966
23 3578166901930004 FATIMAH BANYUWANGI 1/29/1993
24 3510163007590003 PUJI HARSONO BANYUWANGI 7/30/1959
25 3510164911000002 OCTAVIA YUNITA SARI BANYUWANGI 10/9/2000
26 3510163009790001 HADI PRASETYO BANYUWANGI 9/30/1979
27 3510166911840013 YATIK BANYUWANGI 11/29/1984
28 3511102810460001 AGUS SOEDARSONO SAMPANG 10/28/1946
29 3510165010500003 ASMAWATI BANYUWANGI 10/10/1950
30 3510162805040002 MUHAMMAD NAUFAL FAUZBANYUWANGI 5/28/2004
31 3510162611560001 DARYONO BANYUWANGI 11/26/1956
32 3510166803640003 MARIYATIN BANYUWANGI 3/28/1964
33 3510163006650175 PARNOTO BANYUWANGI 6/30/1965
34 3510164704750002 WELLY SENDRA RIAU 4/7/1975
35 3510165804990001 SUCI AVRILIANANDA BANYUWANGI 4/18/1999
36 3510162507030001 GIMNASTIAR AL VICKRY Z BANYUWANGI 7/25/2003
37 3510166901800002 EMI KURNIA BANYUWANGI 1/29/1980
38
39
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 83
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128
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173
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263
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308
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353
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 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 13-6-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

51 46-59 L JL IJEN NO 11 2 4 16
58 46-59 L PERUM MENDUT REGENCY
27 18-30 P DSN KRAJAN TIMUR 3 3 JEMBER
53 46-59 L JL TRUNOJOYO 22 1 1 JEMBER
42 31-45 L DSN KRAJAN TIMUR 3 3 JEMBER
63 ≥60 P DSN KRAJAN TIMUR 3 3 JEMBER
35 31-45 L JL IMAM BONJOL 2 0 FAKFAK
58 46-59 P JL IMAM BONJOL 2 0 FAKFAK
79 ≥60 P JL KH DEWANTARA 1 3 FAKFAK
59 46-59 P JL KH DEWANTARA 4 0 FAKFAK
18 18-30 L LINGK KLATAKAN 4 1 21
26 18-30 P JL SEMERU NO 77 LINGK SUKOWIDI 21
51 46-59 P JL KALIMAS NO 43 2 1 16
22 18-30 P JL KALIMAS NO 43 2 1 16
44 31-45 P JL SURATI BARU NO 11 4 3 16
24 18-30 P JL SURATI BARU NO 11 4 3 16
44 31-45 L JL RIAU 1 3 16
36 31-45 P JL BROMO 3 3 16
64 ≥60 P JL SOEKARNO HATTA D-500
48 46-59 L KROBOKAN 2 3 16
27 18-30 P JL ANDALAS NO 5 1 1 16
57 46-59 P JL ANDALAS NO 5 1 1 16
30 18-30 P JL MALABAR NO 21 3 1 16
63 ≥60 L LINGK KALILO 16
22 18-30 P LINGK KRAJAN 3 3 16
43 31-45 L LINGK KRAJAN 3 3 16
38 31-45 P JL GUNUNG AGUNG NO 17 3 2 16
76 ≥60 L JL SUMBING NO 45 2 2 16
72 ≥60 P JL SUMBING NO 45 2 2 16
18 18-30 L JL DENPASAR LINGK KLATAKAN 1 2 21
66 ≥60 L JL KALIMAS NO 43 16
58 46-59 P JL KALIMAS NO 41 16
57 46-59 L LINGK KRAJAN 3 3 16
47 46-59 P JL MH THAMRIN LINGK GESARI 1 2 16
23 18-30 P JL SURATI BARU GG RAMAI 4 1 16
19 18-30 L JL BANTERANG NO 23 4 3 16
43 31-45 P JL BANTERANG NO 23 4 3 16
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

MAS SINGOTRUNAN

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK

"NAMA KELURAHAN BPJS TERVAKSIN
PEKERJAAN

(13) (14) (15) (16) (17) (18) (19) (20)

14 6/13/2022 1 FM2956
6/13/2022 1 FM2956
6/13/2022 1 FM2956
6/13/2022 1 FM2956
6/13/2022 1 FM2956
6/13/2022 1 FM2956
6/13/2022 1 FM2956
6/13/2022 1 FM2956
6/13/2022 1 FM2956
6/13/2022 1 FM2956
6/13/2022 1 FM2956
6/13/2022 1 FM2956
16 6/13/2022 1 FM2956
16 6/13/2022 1 FM2956
10 6/13/2022 1 FM2956
10 6/13/2022 1 FM2956
23 6/13/2022 1 FM2956
14 6/13/2022 1 FM2956
6/13/2022 1 FM2956
23 6/13/2022 1 FM2956
14 6/13/2022 1 FM2956
14 6/13/2022 1 FM2956
14 6/13/2022 1 FM2956
13 6/13/2022 1 FM2956
23 6/13/2022 1 FM2956
23 6/13/2022 1 FM2956
14 6/13/2022 1 FM2956
14 6/13/2022 1 FM2956
14 6/13/2022 1 FM2956
91 6/13/2022 1 FM2956
16 6/13/2022 1 FM2956
16 6/13/2022 1 FM2956
23 6/13/2022 1 FM2956
13 6/13/2022 1 FM2956
10 6/13/2022 1 FM2956
10 6/13/2022 1 FM2956
10 6/13/2022 1 FM2956
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

PFIZER 9 082139583143
PFIZER 9 08113590809
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510166203740001 PAINI BANYUWANGI

2 3175060909880020 RUSTAM BANYUWANGI
3 3510164810760001 MUFIDA BANYUWANGI
4 3510162503710002 SURIYONO BANYUWANGI
5 3510212705770005 AJIE JALU KRESNA BANYUWANGI
6 3510215606760006 SIHWATI BANYUWANGI
7 3672065008740004 EVI AFIDAH BANYUWANGI
8 3510165403920007 GITA MARINI BANYUWANGI
9 3510210303010005 MOHAMMAD AALDI BANYUWANGI
10 3510164807020005 VIKA JULIANA ARTANTI BANYUWANGI
11 3510210908710005 SUKWANTO BANYUWANGI
12 1304011211880003 ACHMAD EFFENDI BANYUWANGI
13 3510161110890006 BAGUS JOHNI R BANYUWANGI
14 3523151911030001 MOH DAFFA RAIKHAN H BANYUWANGI
15 3510162305980002 BAGAS NURIL H BANYUWANGI
16 3510166402010002 YASMIN ANGGI DEA S BANYUWANGI
17 3510162306690006 IKHSAN YUNIANTO BANYUWANGI
18 3510165308590002 FAIKA BANYUWANGI
19 3510160810750003 EDY SUYONO BANYUWANGI
20 3510164302550005 SULASTRI BANYUWANGI
21 3510164606650009 MUJILAH BANYUWANGI
22 3510165907850004 FITRIYAH BANYUWANGI
23 3510165203890002 DIYA PUSPITASARI BANYUWANGI
24 3510161606780009 DEDY SUDARSO BANYUWANGI
25 3510166504890010 FIDYA SALIM BAKRISUK BANYUWANGI
26 3510165004890003 ALFIN FITRI UMAMI BANYUWANGI
27 3510165201790011 BADI'AH ABDAT BANYUWANGI
28 35181460037600002 LAELATUL FAUDAH BANYUWANGI
29 3510165907850006 SUMAYA BASALAMAH BANYUWANGI
30 3510161309760001 SAID HASAN BANYUWANGI
31 3510161808650006 PURWADI BANYUWANGI
32 3510216206720005 DWI RAHAYU S BANYUWANGI
33 3510214811030007 FADILATUR ROHMA RAMADANI GRESIK
34 3510167003800009 ROHIMA BANYUWANGI
35 3510164709770003 DYAH MAYASARI BANYUWANGI
36 3510167007770003 WAHYUN NADHIROH BANYUWANGI
37 3510212909750005 MOH ALI BANYUWANGI
38 3510160707850004 ANDRY YULIANTO BANYUWANGI
39 3510215409750003 TUTI LANITA NINGSIH BANYUWANGI
40 3510166812740002 DWI KRISTINAWATI BANYUWANGI
41 3510165112950002 INKA CHRISTIE C BANYUWANGI
42 3510162411710001 HADI SUPRANOTO BANYUWANGI
43 3510162505590005 SURIPTO BANYUWANGI
44 3510165108750005 MIRA NURANDRIANI BANYUWANGI
45 3510211210650007 ABD LATIF BANYUWANGI
46 3510164608770003 RIA SILVIYATININGRUM BANYUWANGI
47
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351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
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378
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380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 16-6-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

3/22/1974 48 46-59 P JL SUMBING

9/9/1988 34 31-45 L UJUNG KRAWANG 9
10/8/1976 46 46-59 P KALILO 4
3/25/1971 51 46-59 L KALILO 4
5/27/1997 25 18-30 L GIRI
6/16/1976 46 46-59 P GIRI
8/19/1973 49 46-59 P JL MH THAMRIN
3/14/1992 30 18-30 P PERUM VBM KK 18 2
3/3/2001 21 18-30 L LINGK SUKOWIDI 1
7/8/2002 20 18-30 P JL BANTERANG 2
8/9/1971 51 46-59 L PERUM VBM KK 18 2
11/12/1988 34 31-45 L JL BANTERANG NO 36 4
10/11/1989 33 31-45 L JL RIAU NO 94
11/19/2003 19 18-30 L LINGK WIDENGAN 3
5/23/1998 24 18-30 L JL BRANTAS NO 26 4
2/24/2001 21 18-30 P LINGK KRAJAN 3
6/23/1969 53 46-59 L JL SURATI BARU NO 3 3
8/13/1959 63 ≥60 P JL LETKOL ISTIQLAH GG MAWAR
10/8/1975 47 46-59 L LINGK SRITANJUNG
2/3/1955 68 ≥60 P JL SINDORO 17 2
6/6/1965 57 46-59 P JL SUMBING 2
7/19/1985 37 31-45 P JL BANGKA 4
3/12/1989 33 31-45 P
6/16/1978 44 31-45 L MANDAR 3
4/25/1989 33 31-45 P
4/10/1989 33 31-45 P
1/12/1979 44 31-45 L
3/16/1979 43 31-45 P JL BANGKA 5
7/19/1985 37 31-45 P JL BANGKA 2
9/13/1976 46 46-59 L JL BUNYU 52 3
8/18/1965 57 46-59 L JL SUMBING 2
6/22/1972 50 46-59 P PERUM PERMATA PURI
11/8/2003 19 18-30 P PERUM PERMATA PURI 3
3/30/1980 42 31-45 P JL SINDORO 17 2
9/7/1977 45 31-45 P LETNAN SULAIMAN 3
7/30/1977 45 31-45 P JL DI PANJAITAN 55 2
9/29/1975 47 46-59 L LINGK SUKOWIDI 1
 7/7/1985 37 31-45 L JL PENATARAN BLOK MANGGIS 9 1
9/14/1975 47 46-59 P LINGK SUKOWIDI
12/28/1973 49 46-59 P JL RINJANI 03 1
12/11/1995 27 18-30 P JL WIJAYA KUSUMA GG III NO 99 3
11/24/1971 51 46-59 L JL LETKOL ISTIQLAH GG MAWAR 1
5/25/1959 63 ≥60 L JL GUMITIR
8/11/1975 47 46-59 P JL KAPTEN SUTAJI GG II 30 3
10/12/1965 57 46-59 L DSN KRAJAN GG MASJID 23
8/6/1977 45 31-45 P JL LETKOL ISTIQLAH GG MAWAR NO 3 1

123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 0
0

JELAS JELAS JELAS JELAS JELAS

PUSKESMAS SINGOTRUNAN
6-22

NAMA JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3

"RW" "NAMA KELURAHAN BPJS
KECAMATAN PEKERJAAN

(11) (12) (13) (14) (15) (16) (17) (18)

16 14 6/16/2022 1
5 CAKUNG 6/16/2022 1
1 16 13 6/16/2022 1
1 16 13 6/16/2022 1
6/16/2022 1
6/16/2022 1
16 13 6/16/2022 1
2 17 47 6/16/2022 1
5 21 91 6/16/2022 1
2 16 10 6/16/2022 1
2 14 47 6/16/2022 1
1 16 10 6/16/2022 1
16 23 6/16/2022 1
11 TUBAN 6/16/2022 1
2 16 13 6/16/2022 1
3 16 23 6/16/2022 1
3 16 10 6/16/2022 1
6/16/2022 1
16 11 6/16/2022 1
1 16 14 6/16/2022 1
1 16 14 6/16/2022 1
1 16 12 6/16/2022 1
6/16/2022 1
3 16 23 6/16/2022 1
6/16/2022 1
6/16/2022 1
6/16/2022 1
1 16 12 6/16/2022 1
1 16 12 6/16/2022 1
1 16 12 6/16/2022 1
1 16 14 6/16/2022 1
6/16/2022 1
3 21 6/16/2022 1
1 16 14 6/16/2022 1
6/16/2022 1
2 16 12 6/16/2022 1
5 21 91 6/16/2022 1
3 16 6/16/2022 1
21 91 6/16/2022 1
3 16 14 6/16/2022 1
4 JEMBER 6/16/2022 1
3 16 16 6/16/2022 1
16 14 6/16/2022 1
2 16 6/16/2022 1
21 97 6/16/2022 1
3 16 16 6/16/2022 1
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

FM2956 PFIZER 9 085204613938

FM2956 PFIZER 9 082132656036
FM2956 PFIZER 9 087855212396
FM2956 PFIZER 9 087855212396
FM2956 PFIZER 9 085730349523
FM2956 PFIZER 9 082257033377
FM2956 PFIZER 9 089524138452
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9 085235843511
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9 082217609561
FM2956 PFIZER 9 082340018865
FM2956 PFIZER 9
FM2956 PFIZER 9 085236676187
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
FM2956 PFIZER 9
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510160508740004 SUYITNO BANYUWANGI 8/5/1974

2 3510160104910003 WAHYU IRAWAN SAPUTRABANYUWANGI 4/1/1991
3 3510161912030001 RACA AMIN ANGGARA BANYUWANGI 12/19/2003
4 3510180209860004 SONY SATRIYANI BANYUWANGI 9/2/1986
5 3510170807900001 KUDUS BANYUWANGI 7/8/1990
6 3510161809030006 RIANG FERDIANSYAH BANYUWANGI 9/18/2003
7 3510162811780002 LUKMAN ARIF BANYUWANGI 11/28/1978
8
9
10
11
12
13
14
15
16
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
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
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68
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71
72
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75
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79
80
81
82
 83
84
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117
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120
121
122
123
124
125
126
127
128
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138
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140
141
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143
144
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153
154
155
156
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159
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161
162
163
164
165
166
167
168
169
170
171
172
173
174
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183
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189
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211
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213
214
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217
218
219
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221
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226
227
228
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263
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308
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312
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316
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318
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320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 16-6-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

48 46-59 L GESARI 16
31 31-45 L GESARI
19 18-30 L GERARI 16
36 31-45 L GESARI 16
32 31-45 L GESARI 16
19 18-30 L JL R WIJAYA 16
44 31-45 L GESARI 16
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

MAS SINGOTRUNAN

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK

"NAMA KELURAHAN BPJS TERVAKSIN
PEKERJAAN

(13) (14) (15) (16) (17) (18) (19) (20)

13 6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
13 6/16/2022 1 ACB6268
13 6/16/2022 1 ACB6268
13 6/16/2022 1 ACB6268
13 6/16/2022 1 ACB6268
13 6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
6/16/2022 1 ACB6268
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510161403550002 LUKMANUL HAKIM BWI

2 3515184909750001 HADIYANA BWI
3 3510164504660006 SUHESTI MARIYEM BWI
4 3510165901950002 DIA DARA TILASO BWI
5 3510161108660003 AHMAD ISKANDAR BWI
6 3510165205630012 SULASIYAH BWI
7 3510160101950004 IMRON HERMANSYAH BANYUWANGI
8 3510165703970003 VERDA RUSDIANA PUTRI BANYUWANGI
9 3510211206630018 MAHWI BANYUWANGI
10 3510215702660004 SAHWATI BANYUWANGI
11 3510216408010003 NILUH EKA SHEVI S BANYUWANGI
12 3510162903740003 JOKO HANDOKO BANYUWANGI
13 3510215810730003 ALIP NURKANTI BANYUWANGI
14 3510166402680004 SUMARNIK BANYUWANGI
15 3510162908850014 AGUS BUDI SANTOSO BANYUWANGI
16 3510164701900002 SITI AMINAH BANYUWANGI
17 3510165909560002 HERNI SUMIATI BANYUWANGI
18 3510164403910003 DINI ANGGRAINI BANYUWANGI
19 3510201611920005 DWI MIARSO BANYUWANGI
20 3510215311820004 LYA WIDYASTUTIK JOMBANG
21 3510160912720002 ROHMAT BANYUWANGI
22 3510160506040002 IHISYAM MAHDI BANYUWANGI
23 3510165002970001 RESSY WIDYA H BANYUWANGI
24 3510160808610004 ZAINUL MUSTAKIM BANYUWANGI
25 3510164605970002 NABILAH ARVINA BANYUWANGI
26 3510211705960001 MOH BAMBANG HARDIYANTO BANYUWANGI
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
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82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
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202
203
204
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206
207
208
209
210
211
212
213
214
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216
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218
219
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224
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234
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237
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241
242
243
244
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246
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248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 20-6-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

3/14/1955 67 ≥60 L JL.PROGO 17 1 3

9/9/1975 47 46-59 P GRIYO WAGE ASRI 1 BLOK E-22 3 2
4/5/1966 56 46-59 P JL.PROGO 17 1 3
1/19/1995 28 18-30 P JL.PROGO 11 3 3
8/11/1966 56 46-59 L JL.PROGO 22 3 3
5/12/1963 59 46-59 P JL.PROGO 24 1 3
1/1/1995 28 18-30 L JL KINIBALU 2 3
3/17/1997 25 18-30 P JL ANDALAS 4 3
6/12/1963 59 46-59 L GUNUNG REMUK 2 2
2/17/1966 57 46-59 P GUNUNG REMUK 2 2
8/24/2001 21 18-30 P PERUM KAVLING GIRI INDAH
3/29/1974 48 46-59 L JL DI PANJAITAN NO 17
10/18/1973 49 46-59 P JL KALIMAS NO 53 5 1
2/24/1968 54 46-59 P JL SUMBING NO 42 2 1
8/29/1985 37 31-45 L JL SUMBING NO 54 2 2
1/7/1990 33 31-45 P JL LETKOL ISTIQLAH GG MAWAR N 1 3
9/19/1956 66 ≥60 P JL LETKOL ISTIQLAH GG MAWAR
3/4/1991 31 31-45 P JL SUMBING 2 1
11/16/1992 30 18-30 L JL KARIMUN JAWA NO 47 3 1
11/13/1982 40 31-45 P JL BROMO NO 33 3 2
12/9/1972 50 46-59 L JL TARUMANEGARA NO 9 4 4
6/5/2004 18 18-30 L JL SURATI NO 77 3 1
2/10/1997 26 18-30 P JL RINJANI GG KERINCI NO 25 3 1
8/8/1961 61 ≥60 L JL ANDALAS NO 28 4 3
5/6/1997 25 18-30 P JL DATUK MALIK IBRAHIM 3 1
5/17/1996 26 18-30 L TANJUNG 1 2
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

MAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 16 6/20/2022 1 FM2956
SIDOARJO WAGE 6/20/2022 1 FM2956
16 16 6/20/2022 1 FM2956
16 16 6/20/2022 1 FM2956
16 16 6/20/2022 1 FM2956
16 16 6/20/2022 1 FM2956
16 16 6/20/2022 1 FM2956
16 14 6/20/2022 1 FM2956
21 97 6/20/2022 1 FM2956
21 97 6/20/2022 1 FM2956
21 91 6/20/2022 1 FM2956
16 23 6/20/2022 1 FM2956
16 13 6/20/2022 1 FM2956
16 14 6/20/2022 1 FM2956
16 14 6/20/2022 1 FM2956
16 16 6/20/2022 1 FM2956
16 16 6/20/2022 1 FM2956
16 14 6/20/2022 1 FM2956
16 12 6/20/2022 1 FM2956
16 14 6/20/2022 1 FM2956
16 18 6/20/2022 1 FM2956
16 10 6/20/2022 1 FM2956
16 14 6/20/2022 1 FM2956
16 14 6/20/2022 1 FM2956
16
21 91
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP"
I
(1) (2) (3)

1 3510162805040003 RIDZHA DWI E

2 3510213006970000 HELGA PRATAMA
4 3510163004790007 ABD AZIZ
9 3510160404630003 KARNO WIDJAJA
10 3510161502600005 ALIE ARIFIN
12 3510160808920006 ANGGA PRASETYO
13 3510160609040004 M ERLEY NOURMAN F
 LAPORAN HARIAN VAKSIN COVID-19 PUSKES
KELOMPOK "JENIS
"TMPT_LHR" "TGL_LHR" UMUR
UMUR KELAMIN"

(4) (5) (6) (7) (8)

BANYUWANGI 5/1/2003 19 18-30 L

BANYUWANGI 6/30/1997 25 18-30 L
BANYUWANGI 4/30/1979 43 31-45 L
BANYUWANGI 4/4/1963 59 46-59 L
BANYUWANGI 2/15/1960 63 ≥60 L
BANYUWANGI 8/8/1992 30 18-30 L
BANYUWANGI 9/6/2004 18 18-30 L
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN

"ALAMAT" "RT" "RW" NAMA KECAMATAN "NAMA KELURAHAN

(9) (10) (11) (12) (13)

LINGK SUKOWIDI 21 91
JL SUMBING NO 87 2 2 16 14
JL JEND SUDIRMAN 112 1 1 16
JL OPAK 1 1 16 13

JL ANDALAS 4 3 16 14
 JENIS ALASAN TIDAK
BPJS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
PEKERJAAN TERVAKSIN

(14) (15) (16) (17) (18) (19) (20)

6/23/2022 1 ACB6268
6/23/2022 1 ACB6268
6/23/2022 1 ACB6268
6/23/2022 1 ACB6268
6/23/2022 1 ACB6268
6/23/2022 1 ACB6268
6/23/2022 1 ACB6268
 MEREK VAKSIN FASKES NO.HP KETERANGAN

(21) (22) (23) (24)

ASTRAZENECA 9
ASTRAZENECA 9 082334292535
ASTRAZENECA 9 081358900430
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
 LAPORAN HARIAN VAKSIN COVID-1
TANGGAL :

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
I
(1) (2) (3) (4) (5)

1 3510214702700001 SRI SULISTYOWATI BANYUWANGI 2/7/1970

2 3510165506780003 UMI SUGIARTI BANYUWANGI 6/15/1978
3 3510164911820005 NANI ROSITA BANYUWANGI 11/9/1982
4 3510166108740004 MAUDU'AH BANYUWANGI 8/21/1966
5 3510166710810002 SITI KHOLIFAH BANYUWANGI 10/27/1981
6 3510165606740006 YUNI ARITA BONDOWOSO 6/16/1974
7 3510166509770004 SALIYATI BANYUWANGI 9/25/1977
8 3510165506780009 HENI KIUSUMAWATI MALANG 6/15/1978
9 3510166812670001 HARISUN BANYUWANGI 12/28/1967
10 3510161611770002 ARIS KURNIA IRAWAN BANYUWANGI 11/16/1977
11 3510165202680004 SRIWATI MARIYANA BANYUWANGI 2/12/1968
12 3510072608690002 SOEJONO BANYUWANGI 8/26/1969
13 3510162301000007 MUHAMMAD RIYANTO EKOBANYUWANGI 1/23/2000
14 3510165611030002 ANDINI PUTRI N BANYUWANGI 11/16/2003
15
16
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
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS JELAS
N HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 27-6-22

NAMA
UMUR KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA
KELAMIN"
N
(6) (7) (8) (9) (10) (11) (12)

53 46-59 P JL LAWU I 1 3 16
44 31-45 P JL PROGO 3 2 16
40 31-45 P JL KARIMUN JAWA GG MANGGA 2 4 16
56 46-59 P JL BROMO 2 3 16
41 31-45 P JL OPAK NO 41 5 1 16
48 46-59 P JL OPAK NO 41 5 1 16
45 31-45 P JL OPAK NO 32 5 1 16
44 31-45 P JL TIDAR 2 1 16
55 46-59 P JL RINJANI 1 2 16
45 31-45 L JL SAYU WIWIT 2 3 16
55 46-59 P LINGK KALILO 5 1 16
53 46-59 L JL TERNATE 3 3 16
23 18-30 L KROBOKAN 16
19 18-30 P JL RINJANI GG KERINCI I 39 16
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
 123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

"NAMA KELURAHAN NO.HP KETERANGAN

(13) (23) (24)

14
16
12
14
13
13
13
14
14
11
13
12
23
14
JELAS JELAS
 LAPORAN

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP"
I
(1) (2) (3)

1 3510161112850001 RANGGA AJUDYA

2 3516156711920002 SITI DIA NOVITASARI
3 3510160710900003 DIMAS TRI S
4 3510164301580001 JAENAP
5 3509216901940006 MIFTHA RUWAHNINGSARI
6 3510160110660001 PIPIN ALFIAN
7 3510165905690002 KASIYANI
8 3510162206740004 MUHAMAD YUSUF
9 3510162405030003 MUHAMMAD ZAKARIYA FIRDAUS
10 3575034212810003 DWI INDIANI
11 3510141505970007 MUHAMMAD SURYA ANGGA
12 3510166401020002 MAULVI BANAFSAH
13 3510167006580141 NUR HALIMAH
14 3510161512730003 SAMRI FERIAL SOEHADI
15 351013511960003 ANISA FITRI
16 3510137003670002 MISGIWATI
17 3510162210820007 ABDUL BASITH
18 3510091701030002 AHMAD SYAIKHAN YA'QUB
19 3510214204990002 APVRIDA REZKI
20 3510166409000005 SRI RAHAYU
21 3510164810010008 DINDA OKTAVIA BERLIANA
22 3510165606820009 NILA DIANA WATI
23 3510215601990001 VIFITRI MULYA SARY
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 398
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KETERANGAN
JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 27-6-22

UMUR KELOMPOK "JENIS

"TMPT_LHR" "TGL_LHR" UMUR KELAMIN"

(4) (5) (6) (7) (8)

BANYUWANGI 12/11/1985 37 31-45 L

BANYUWANGI 11/27/1992 30 18-30 P
BANYUWANGI 10/2/1990 32 31-45 L
BANYUWANGI 1/3/1958 65 ≥60 P
BANYUWANGI 1/29/1994 29 18-30 P
BANYUWANGI 10/1/1966 56 46-59 L
BANYUWANGI 5/19/1969 53 46-59 P
BANYUWANGI 6/22/1974 48 46-59 L
BANYUWANGI 5/24/2004 18 18-30 L
BANYUWANGI 12/2/1981 41 31-45 P
BANYUWANGI 5/15/1997 25 18-30 L
BANYUWANGI 1/24/2002 21 18-30 P
BANYUWANGI 6/30/1958 64 ≥60 P
BANYUWANGI 12/15/1973 49 46-59 L
BANYUWANGI 11/25/1996 26 18-30 P
BANYUWANGI 3/30/1967 55 46-59 P
BANYUWANGI 10/22/1982 40 31-45 L
BANYUWANGI 1/17/2003 20 18-30 L
BANYUWANGI 4/2/1999 23 18-30 P
BANYUWANGI 9/24/2000 22 18-30 P
BANYUWANGI 10/8/2001 21 18-30 P
BANYUWANGI 6/16/1982 40 31-45 P
BANYUWANGI 1/16/1999 24 18-30 P
123 ≥60
123 ≥60
123 ≥60
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 123 ≥60
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#REF! #REF!
123 ≥60
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 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS

 PUSKESMAS SINGOTRUNAN
-6-22

NAMA
"ALAMAT" "RT" "RW"
KECAMATAN

(9) (10) (11) (12)

JL TIDAR NO 6 2 1 16

JL BENGAWAN GG KENANGA 5 1 16
JL SURATI BARU NO 55 16
PERUM TEGAL BESAR R-5 JEMBER
PERUM VILLA PESONA TIDAR BLOK B-12 4 1 16
PERUM VILLA PESONA TIDAR BLOK B-12 4 1 16
JL SURATI BARU 56 4 1 16
JL TIDAR NO 52 2 1 16
JL PATIUNUS 1 1 BUGUL KIDUL
DSN KRAJAN 1 9 14
JL IJEN 3 2 16
JL LOSARI 64 3 1 16
JL KARIMUN JAWA NO 04 1 3 16
BANJAR PUANA JEMBRANA
DSN LUGONTO 1 2 13
JL MUSI NO 24 1 2 16
CANGAAN 5 8
DSN KRAJAN 3 3 21
JL ANDALAS 2 1 16
KRAJAN I 2 1 17
JL KYAI SALEH
PERUM GRIYA GIRI MULYA 21
JELAS JELAS JELAS JELAS
"NAMA KELURAHAN NO.HP KETERANGAN

(13) (23) (24)

14
HAMIL
16
10

13
13
10
14

DADAPAN
14

12

ROGOJAMPI

97
14

91
JELAS JELAS
 LAPORAN HARIAN VAK

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP"
I
(1) (2) (3)

1 3510164708950003 RIZKI WAHYUNI

2 3510162608760009 AGUS WAHYUDI
3 350709668790005 SUNARTI
4 3510165112960002 EKY ASRUANUL L
5 3510165504690009 SUYATI
6 3510160604760005 MOHAMAD IMRON
7 6303194811960001 NOMI SUZANDA
8 3510166706660002 SARIYATI
9 3510162712870007 SALAM TEGUH
10 3578060905850007 MOCH DANI SANTOSO
11 3510164201900003 IRMA SUSANTI
12 3510166006920007 ILMINA MARFUATI K
13 3510164502650006 HERLIS MAEKA
14 3510161505770014 URAY DIVA RUKMANA
15 3510161002990004 RIZALDY DWI F
16 3510164401720002 SUYANI
17 3510162407970003 RIKI PUJIANTO
18 3510164907780003 ANITA TURISIA
19 3510161906020006 DZAKI AHMAD F
20 3509026612750002 SRI WILIS
21 3175056711470002 HARTATIE
22
23
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38
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 83
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128
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173
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218
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263
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381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 30-6-22

UMUR KELOMPOK "JENIS

"TMPT_LHR" "TGL_LHR" UMUR "ALAMAT"
KELAMIN"

(4) (5) (6) (7) (8) (9)

BANYUWANGI 7/8/1995 27 18-30 P JL BANGKA

BANYUWANGI 8/26/1976 46 46-59 L JL MH THAMRIN NO 61
MALANG 8/26/1979 43 31-45 P UNDAAN WETAN
BANYUWANGI 12/11/1996 26 18-30 P JL DI PANJAITAN
BANYUWANGI 4/15/1969 53 46-59 P JL TERNATE
BANYUWANGI 4/6/1976 46 46-59 L JL BATUR NO 08
BANYUWANGI 11/8/1996 26 18-30 P JL KARIMUN JAWA NO 12
BANYUWANGI 6/27/1966 56 46-59 P TERNATE
BANYUWANGI 12/27/1986 36 31-45 L LINGK KEBUN JERUK
SBY 5/9/1985 37 31-45 L TENGGER
BANYUWANGI 1/2/1990 33 31-45 P JL TERNATE NO 19
BANYUWANGI 6/20/1992 30 18-30 P JL KEPITING GG BUNTU
MAGETAN 2/5/1965 58 46-59 P JL OPAK
BANYUWANGI 5/15/1977 45 31-45 P JL RINJANI
BANYUWANGI 2/10/1999 24 18-30 L KEL KEMARAYA
BANYUWANGI 1/4/1972 51 46-59 P JL TERNATE
BANYUWANGI 7/24/1997 25 18-30 L JL TIDAR
BANYUWANGI 7/9/1978 44 31-45 P JL MH THAMRIN GENTENGAN BARU A11
BANYUWANGI 6/19/2002 20 18-30 L JL MH THAMRIN VBM
JEMBER 12/26/1975 47 46-59 P BALUNG HENI
JAKARTA 11/27/1947 75 ≥60 P PASAR REBO
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

 NAMA
"RT" "RW" KECAMATA "NAMA KELURAHAN NO.HP KETERANGAN
N
(10) (11) (12) (13) (23) (24)

5 1 16 12
5 1 16 13
6 10 SBY
2 2 16 12
3 3 16 12
3 4 16 14
16 12
16 12
5 1 16 12
3 4 SBY
16 12
3 3 16 20
1 1 16 13
3 3 16 14
KENDARI
3 3 16 12
4 1 16 13
NGAN BARU A11 16 16
4 2 16 13
2 5 PENASUBAN
JAKARTA
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510175409020001 LINTANG DARIZ SEPTANTIA Banyuwangi

2 3510164911740002 SITI NURJANAH Banyuwangi
3 3510165912780004 KHOTIMA Banyuwangi
4 3510156510970002 IVANA KRISTANTI WAHYUDI Banyuwangi
5 3510162101040001 YANNIS DAFFA JANUARIUS Banyuwangi
6 3510164808900007 HENY AGUSTIN MALINDAWATI Banyuwangi
7 3510016811830005 HOLISAH Banyuwangi
8 3510161309720003 AHMAD SALEHUDIN Banyuwangi
9 3510166911920002 SHINTA NOVITA Banyuwangi
10 3510162109670001 MOHAMMAD NASIR Banyuwangi
11 3510164201810013 KAROMAH Banyuwangi
12 3510211705910001 IMAM SYAFI'I Banyuwangi
13 3510161606820001 SURYANTO Banyuwangi
14 3510160903580002 SUDARSONO Banyuwangi
15 3510166909930004 EFKARIMA LIA SAFITRI Banyuwangi
16 3510166807760007 SUMIATI Banyuwangi
17 3510165107880005 ERNI YULIANI Banyuwangi
18 3526014205940005 SELA DWI MEIYANTI Banyuwangi
19 3510165708910006 RISA ISMAWATI Banyuwangi
20 3510162006900002 ADE SETIAWAN Banyuwangi
21 3510161602720004 FIRMAN NOOR MUHARAM Banyuwangi
22 3510160409890008 ACH RUSMIANTO Banyuwangi
23 3510166008030002 SISILIA FAHLEVI Banyuwangi
24 3510164911860001 MUKAROMAH Banyuwangi
25 3510160808800017 ASFANDI Banyuwangi
26 3510160506670010 IMAM SYAFII Banyuwangi
27 3510160409890008 ACH RUSMIANTO Banyuwangi
28 3510165607860011 RIKA KRISTIANA Banyuwangi
29 6302076006790001 HENY AMBARWATI Banyuwangi
30 3510156505810002 SITI NURHAYATI Banyuwangi
31 3510160110020004 INDRALOKA BIMASKTI Banyuwangi
32 3510166901960002 NURUL CHOLISA R Banyuwangi
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL :

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

9/14/2002 20 18-30 P Jl Anggrek No 30 1 2

11/9/1974 48 46-59 P Jl Karimun Jawa 5 4
12/19/1978 44 31-45 P Lingk. Singomayan 3 3
10/25/1997 25 18-30 P
1/21/2004 19 18-30 L Jl. Ikan Wijinongko 1 3
8/8/1990 32 31-45 P Jl Rinjani III No 18
11/28/1983 39 31-45 P Jl. Brantas No 26 4 2
9/13/1972 50 46-59 L Lingk Krajan 1 3
11/29/1992 30 18-30 P Lingk Jajang Penatu 2 1
9/21/1967 55 46-59 L Jl. Tidar 3 1
1/2/1981 42 31-45 p Jl. Tidar 2 1
11/17/1991 31 31-45 L Lingk. Klatakan 3 2
6/16/1982 40 31-45 L Jl. DI Panjaitan No 17
3/9/1958 64 ≥60 L Jl Bhre Wirabumi No 47
9/29/1993 29 18-30 P Jl Banterang No 60 3 3
7/28/1976 46 46-59 P Jl Belitung No 22 2 2
7/11/1988 34 31-45 P Jl Bromo N o 59 2 3
5/2/1994 28 18-30 P Lingk Kalilo 3 4
8/17/1991 31 31-45 P Lingk Singodiwongso 3 2
6/20/1980 42 31-45 L Lingk Singodiwongso 3 2
2/16/1972 51 46-59 L Jl Kapten Ilyas No 45
9/4/1989 33 31-45 L Jl Kalilo 1 5
8/20/2003 19 18-30 P KROBOKAN 3 3
11/9/1986 36 31-45 P JL DI PANJAITAN 2 2
8/8/1980 42 31-45 L JL RIAU 2 2
6/5/1967 55 46-59 L JL RIAU
9/4/1989 33 31-45 L Jl Kalilo 1 5
7/16/1986 36 31-45 P JL DI PANJAITAN 2 2
6/20/1979 43 31-45 P JL RIAU GG FLAMBOYAN 3 2
5/25/1981 41 31-45 P JL RIAU
10/1/2002 20 18-30 L JL AGUNG WILIS 1 2
1/29/1996 27 18-30 P JL AGUNG WILIS 1 2
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

SMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 48 7/7/2022 1 328423P
16 12 7/7/2022 1 328423P
16 16 7/7/2022 1 328423P
16 7/7/2022 1 328423P
16 16 7/7/2022 1 328423P
16 14 7/7/2022 1 328423P
16 13 7/7/2022 1 328423P
16 23 7/7/2022 1 328423P
16 10 7/7/2022 1 328423P
16 13 7/7/2022 1 328423P
16 13 7/7/2022 1 328423P
21 91 7/7/2022 1 328423P
16 23 7/7/2022 1 328423P
16 10 7/7/2022 1 328423P
16 10 7/7/2022 1 328423P
16 12 7/7/2022 1 328423P
16 14 7/7/2022 1 328423P
16 13 7/7/2022 1 328423P
16 14 7/7/2022 1 328423P
16 14 7/7/2022 1 328423P
16 16 7/7/2022 1 328423P
16 13 7/7/2022 1 328423P
16 23 7/7/2022 1 328423P
16 23 7/7/2022 1 328423P
16 23 7/7/2022 1 328423P
16 23 7/7/2022 1 328423P
16 13 7/7/2022 1 328423P
16 10 7/7/2022 1 328423P
16 23 7/7/2022 1 328423P
16 23 7/7/2022 1 328423P
16 11 7/7/2022 1 328423P
16 11 7/7/2022 1 328423P
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

ASTRAZENECA 9
ASTRAZENECA 9 082244968255
ASTRAZENECA 9 087857363378
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 082334436269
ASTRAZENECA 9 085961122446
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 085730628962
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 082144331800
ASTRAZENECA 9
ASTRAZENECA 9 083805362328
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 087857350303
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

2 3510165007920003 YULI NOVITASARI Banyuwangi

5 3510161302030006 IRFANI FEBRIAN Banyuwangi
8 3510165406840007 EKA WULANDARI Banyuwangi
10 3510166805020005 DWINDA RIZKY Banyuwangi
13 3510164103670002 SITI NURJANAH Banyuwangi
14 3510164111620003 INDRI TININGSIH Banyuwangi
17 3510176412810002 DYAH NUR UTAMININGGRUM Banyuwangi
21 3507076405910007 RINA NUR ROHMI Banyuwangi
24 3510166409010006 KHOLIFATUZ Banyuwangi
28 3510165205890010 FITRIYA NINGSIH Banyuwangi
30 3510165712020004 TIKA SAFITRI Banyuwangi
31 3510165509670002 KOMSATUN Banyuwangi
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
UMUR KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

7/10/1992 30 18-30 P Jl Andalas No 16 1 1

2/13/2003 20 18-30 P Jl Bromo ,Singotrunan 2 2
6/14/1984 38 31-45 P Jl Kalilo ,Pengantigan 1 4
5/28/2002 20 18-30 P Jln Agung Wilis No 19
3/1/1967 55 46-59 P Jl Belitung 4 2
11/1/1962 60 ≥60 P Jl Bunyu No 70 2 1
12/24/1981 41 31-45 P
5/24/1991 31 31-45 P Perum Vila Bukit mas 2 2
9/24/2001 21 18-30 P Jl Riau , Mandar 3 2
5/12/1989 33 31-45 P Jl MH Thamrin No 55
12/17/2002 20 18-30 P Krajan 1 3
9/15/1967 55 46-59 P
USKESMAS SINGOTRUNAN
NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 14 7/11/2022 3 328423P
16 14 7/11/2022 3 328423P
16 13 7/11/2022 3 328423P
16 11 7/11/2022 3 328423P
16 12 7/11/2022 3 328423P
16 12 7/11/2022 3 328423P
7/11/2022 3 328423P
16 47 7/11/2022 3 328423P
16 23 7/11/2022 3 328423P
16 16 7/11/2022 3 328423P
16 23 7/11/2022 3 328423P
7/11/2022 3 328423P
ALASAN TIDAK
MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

ASTRAZENECA 9
ASTRAZENECA 9 081334945710
ASTRAZENECA 9
ASTRAZENECA 9 081230154532
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9 081249890719
ASTRAZENECA 9 082338732809
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 35101663035300004 SUMIATI BANYUWANGI

2 3510167006580157 SUMIATI BANYUWANGI
5 3510166106960006 SANIMA BANYUWANGI
6 3510214609980001 SEPTI KRISMONIKA BANYUWANGI
9 3510165707700005 NURHAYANTI BANYUWANGI
11 3510167006580236 UMIYAH BANYUWANGI
13 3510165712760007 ROHMANIA BANYUWANGI
14 3510165703650008 YATI NURHAYATI BANYUWANGI
15 3510167008500002 MUDJENAH BANYUWANGI
16 3510165408740007 HERNI AGUS HARINI BANYUWANGI
17 3510156704740001 SULIS LEGOWATI BANYUWANGI
19 3510165804610004 HATIJAH BANYUWANGI
20 3510164101760004 DAMAYANTI BANYUWANGI
22 3529255707770005 YATIK USMAWATI BANYUWANGI
23 3510165109760001 EMMA RACHMAWATI BANYUWANGI
24 3510145103030003 LISTYA NIRBAYA BANYUWANGI
28 3510165608660003 WIWIK TRI ENY PUJI L BANYUWANGI
30 35101658090000005 DYNA EKA SAFIRHA BANYUWANGI
31 3510166408950003 IKRIMA NURUL M BANYUWANGI
32 3510166407640001 SANIYAH BANYUWANGI
34 3510164405410002 ANJANI BANYUWANGI
35 3510164606570005 SUHAIBAH BANYUWANGI
37 3510164912640002 YAYUK SRI LESTARI BANYUWANGI
38 3510165203510002 SUNATIYAH BANYUWANGI
40 3510165808650006 ANIK KARYATI BANYUWANGI
41 3510164901720006 SANIYAH BANYUWANGI
42 3510164107460021 MISNATI BANYUWANGI
43 3510155304970001 RATRI SEKARINGGALIH BANYUWANGI
44 351066309750001 FATHIYAH BANYUWANGI
50 3510166311710004 UNTARTIK BANYUWANGI
52 3510165109630001 MISNAWATI BANYUWANGI
54 3510166708860003 SANTI AGUSTINA BANYUWANGI
56 3510167006580116 SANIYAH BANYUWANGI
58 3510167003680003 KARTINA BANYUWANGI
59 3510164808620004 NURHAYATI BANYUWANGI
60 3510166509870002 NOVI INDAH M BANYUWANGI
64 3510165706800007 YULIANA BANYUWANGI
65 3510164101700011 MISKI YANDARI BANYUWANGI
66 3510165704990005 VANISA TRI H BANYUWANGI
67 3510165906930002 RESTATI WIWIN A LOMBOK TIMUR
68 3510165511830006 WIWIN PUSPITASARI BANYUWANGI
69 3510166906990002 WIDY ARNITA BANYUWANGI
70 3510166901900004 SITI HAYATI BANYUWANGI
71 3510166309760005 BUHANI BANYUWANGI
72 3510164202650005 SRI ASTUTI BANYUWANGI
73 3510165604730007 SUMAENA BANYUWANGI
74 3510167009810002 MARPUAH BANYUWANGI
77 3510167006700149 AMINAH BANYUWANGI
78 3510165202910004 TIKA FEBRIYANI BANYUWANGI
79 3510167006620115 SUGIATI BANYUWANGI
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
UMUR KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

3/23/1953 69 ≥60 P JL SURATI NO 20

6/30/1958 64 ≥60 P JL SURATI NO 25
8/26/1996 26 18-30 P JL BANTERANG NO 15
9/6/1998 24 18-30 P JL BANTERANG
7/17/1970 52 46-59 P PATEMON WETAN 1 3
6/30/1958 64 ≥60 P JL BANTERANG 3 3
12/17/1976 46 46-59 P JL SURATI BARU NO 41 3 2
3/17/1965 57 46-59 P PATEMON WETAN 3 2
8/30/1950 72 ≥60 P JL BANTERANG 2 3
8/14/1974 48 46-59 P JL SURATI BARU NO 41
4/24/1974 48 46-59 P JL BANTERANG PW 1 3
4/18/1961 61 ≥60 P JL SURATI BARU 3 2
1/1/1978 45 31-45 P PATEMON WETAN 3 2
7/17/1977 45 31-45 P JL SURATI BARU
9/11/1976 46 46-59 P JL IJEN 2 4
3/11/2003 19 18-30 P PERUM KALIREJO
8/18/1968 54 46-59 P JL SAYU GRINGSING
9/18/2000 22 18-30 P JL SURATI BARU 3 3
9/24/1995 27 18-30 P JL BANTERANG
7/24/1964 58 46-59 P JL SAYU GRINGSING
5/4/1941 81 ≥60 P JAJANG PENATU
6/6/1957 65 ≥60 P BANTERANG 1 2
12/9/1954 68 ≥60 P
3/12/1951 71 ≥60 P JL BANTERANG
8/18/1965 57 46-59 P JL BHRE WIRABUMI
1/9/1972 51 46-59 P JL SAYU GRINGSING 1 1
7/1/1946 76 ≥60 P JL BHRE WIRABUMI
4/13/1997 25 18-30 P BANJARSARI
6/23/1975 47 46-59 P JL BRIGJEN KATAMSO
11/23/1971 51 46-59 P JL BANTERANG 3 2
9/11/1963 59 46-59 P KAMPUNG MELAYU
8/27/1986 36 31-45 P JAGALAN 3 2
6/30/1958 64 ≥60 P JL DI PANJAITAN 3 2
3/30/1968 54 46-59 P KRAJAN 3 3
8/8/1962 60 ≥60 P KRAJAN 3 3
9/25/1987 35 31-45 P JL DI PANJIATAN 3 2
6/17/1980 42 31-45 P JL RW MONGISIDI 1 3
1/1/1970 53 46-59 P KRAJAN 3 3
4/17/1999 23 18-30 P KRAJAN 3 3
6/19/1993 29 18-30 P KRAJAN 3 3
11/15/1983 39 31-45 P KRAJAN 3 3
6/29/1999 23 18-30 P KRAJAN 3 3
1/29/1990 #REF! #REF! P KRAJAN 3 3
9/23/1976 46 46-59 P KRAJAN 3 3
2/2/1965 58 46-59 P JL DI PANJAITAN 3 1
4/16/1973 49 46-59 P KRAJAN 3 3
9/30/1981 41 31-45 P KRAJAN 3 3
6/30/1970 52 46-59 P KRAJAN 1 1
2/12/1991 32 31-45 P KROBBOKAN 1 1
6/30/1962 60 ≥60 P KRAJAN 3 3
MAS SINGOTRUNAN
NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

7/12/2022 1 328423P
7/12/2022 1 328423P
7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
7/12/2022 1 328423P
16 TKY 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
16 10 7/12/2022 1 328423P
7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
16 23 7/12/2022 1 328423P
ALASAN TIDAK
MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
ASTRAZENECA 9
 LAPORAN HARIAN VAKSIN
TAN

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510210304040002 NAUFAL HANIF BANYUWANGI

2 3508145305870001 LISFATIN CHASANAH BANYUWANGI
3 3510162603000006 ALGA SETYAWAN YODY BANYUWANGI
4 3510164904780002 MARIA ULFA BANYUWANGI
5 2172035409690001 SULIS SETYOWATI BANYUWANGI
6 3510174311930002 ERNI MAGHFIROH BANYUWANGI
7 3510166802850001 SITI ROHMANIA BANYUWANGI
8 3510070803850002 HARI MUKTI BANYUWANGI
9 3510165108790007 ISTI ROHANIYAH BANYUWANGI
10 3511084508820002 LAILIA RAHMAN BANYUWANGI
11 3510165206840010 UMMUL KHOIROH BANYUWANGI
12 3510161509700003 ARTOYO BANYUWANGI
13 3510165311910007 TRI NOVITA SARI BANYUWANGI
14 3510165812760006 SUSI IRAWATI BANYUWANGI
15 3510161403620010 HADI SUYITNO BANYUWANGI
16 3510160806720008 SUHARTONO BANYUWANGI
17 3510161011800003 BOBY PURWANTO BANYUWANGI
18 3510165205010002 ELSA NAFADILA BANYUWANGI
19 3510166310710002 RITA DEWI BANYUWANGI
21 3510162103810006 SUVIANDI BANYUWANGI
22 3510163006760024 SURYONO BANYUWANGI
23 3510166612560001 HENDRIK LISTYA HIDAYATI BANYUWANGI
24 3510161006540004 JOKO SUNARKO BANYUWANGI
25 3510161707560004 SUTRISNO BANYUWANGI
26 3510171508630003 SANAN BANYUWANGI
27 3510164506680004 ANJANI BANYUWANGI
28 3510210711670004 MOH YUSUF CATUR BANYUWANGI
29 1271130110730003 WHASKITO ARYO KUNCORO BANYUWANGI
30 3510165201630003 KUSDIAWATI BANYUWANGI
31 3510160602460001 SYAFRIL DJAMU BANDA ACEH
34 3510165606010002 KARISMA ANJELITA SARI BANYUWANGI
35 3510164212760003 KHOLISAH BANYUWANGI
36 3510217006480110 PATATUN BANYUWANGI
37 3510161506020002 ILHAM DWI S BANYUWANGI
38 3510164707760001 MUJAYINAH BANYUWANGI
39 3510164706000001 NIDYA AYUNING CAHYANI BANYUWANGI
40 3510164711730004 NURAINI BANYUWANGI
41 3510166501590002 HERMIN ROSILAWATI BANYUWANGI
42 3510165802020005 PUTRI AIDA NURMATUL ULUM BANYUWANGI
44 3510162908790002 HARIYONO BANYUWANGI
45 3510165608850005 NURHASANAH PASURUAN
46 3510166706040005 DYAH AJENG PUSPITA BANYUWANGI
47 3516152606930001 SAIFUL ANSORI MOJOKERTO
48 3510162810030001 DHIKA RAMADHANI A BANYUWANGI
50 3510164901040001 ANJELIA RANI A DENPASAR
51 3510166304750005 ROCHIMAH PEKALONGAN
52 3510166503720003 DWI ISNIYAHWATI BANYUWANGI
53 35101670066820040 NAFISAH BANYUWANGI
54 3510162310030002 NANDA HAFIDZA AL RIZKY BANYUWANGI
55 3510167006700067 MA'ANI BANYUWANGI
56 3510163006650076 H MAHFUD BANYUWANGI
57 3510166806920012 ROOSNIAWATI SOFIA BANYUWANGI
58 3510165411980002 NILLA AYU FERADILLA BANYUWANGI
59 3510160703970004 RANGGA YUSUF BANYUWANGI
60 3510166505600005 SUCIATI BANYUWANGI
61 3510161308490001 BAMBANG SUMANTRI PROBOLINGGO
62 3510164204820010 KOMARIYAH NINGSIH BANYUWANGI
63 3510160812900008 AGUS SANTOSO BANYUWANGI
64 3577031608740002 ADE MUSLIHUDIN BANYUWANGI
65 3510164605020002 FARDA FENDIARTINA BANYUWANGI
66 3510164301540001 ROHMAH BANYUWANGI
67 3510165510770003 DWI SETYOWATI BANYUWANGI
68 3510166709960002 HUSNUL CHOTIMAH BANYUWANGI
69 3510124406000004 ELIA PURWATI BANYUWANGI
70 3510160205640005 SLAMET GUFRON BANYUWANGI
71 3510166705720003 NANING SULISTYANINGSIH BANYUWANGI
72 3510072010920004 RIO HERMAWAN BANYUWANGI
73
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KETERANGAN
JELAS JELAS JELAS JELAS
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 14-7-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

4/3/2004 18 18-30 L KLATAK

5/13/1987 35 31-45 P JL KH ASHARI
3/26/2000 22 18-30 L JL RIAU GG JAMBU NO 20 2 4
4/9/1978 44 31-45 P PERUM CITRA BERLIAN 1 2
9/14/1969 53 46-59 P JL RINJANI NO 40 2 2
11/3/1993 29 18-30 P LINGK KRAJAN 2 1
2/28/1985 37 31-45 P GEMBOLO PURWODADI
3/8/1985 37 31-45 L GEMBOLO PURWODADI
8/11/1979 43 31-45 P
8/5/1982 40 31-45 P DSN KRAJAN 3 1
6/12/1984 38 31-45 P JL KH TOHA NO 19 1 2
9/15/1970 52 46-59 L JL JEND SUDIRMAN 132A 2 1
11/12/1991 31 31-45 P PERUM VGM 4 3
12/18/1976 46 46-59 P JL JEND SUDIRMAN 132A 2 1
3/14/1962 60 ≥60 L JL DEMPO NO 25C 3 1
6/8/1972 50 46-59 L
11/10/1980 42 31-45 L JL MH THAMRIN GG MAWAR
5/12/2001 21 18-30 P
10/23/1971 51 46-59 P
3/21/1981 41 31-45 L
6/30/1976 46 46-59 L LATENG
12/26/1956 66 ≥60 L GESARI 3 2
6/10/1954 68 ≥60 L GESARI 3 2
7/17/1956 66 ≥60 L SINGODIWONGSO 2 3
8/15/1963 59 46-59 L GESARI 3 2
6/5/1968 54 46-59 P GESARI 3 2
11/7/1967 55 46-59 L KLATAK 4 5
10/1/1973 49 46-59 L
1/12/1963 60 ≥60 P JL MH THAMRIN
2/6/1946 77 ≥60 L JL MH THAMRIN 4 3
6/16/2001 21 18-30 P JL BELITUNG 3 2
12/2/1976 46 46-59 P JL MH THAMRIN 5 1
6/30/1948 74 ≥60 P KETAPANG
6/15/2002 20 18-30 L JL BENGAWAN 1 2
7/7/1976 46 46-59 P JL IJEN 3 2
6/7/2000 22 18-30 P JL BROMO 24
11/7/1973 49 46-59 P JL BROMO 24 1 1
 1/25/1959 64 ≥60 P JL MH THAMRIN PERUM PKBR 3 2
2/18/2002 20 18-30 P JL KARIMUN JAWA 3 4
8/29/1979 43 31-45 L LINGK KROBOKAN
8/16/1985 37 31-45 P JL KARIMUN JAWA 3 4
6/27/2004 18 18-30 P JL IJEN GG SRAWET 3 2
6/26/1993 29 18-30 L DSN KAJANGAN LOR 2 3
10/28/2003 19 18-30 L JL BROMO
1/9/2004 19 18-30 P JL MERBABU 1 4
4/23/1975 47 46-59 P JL BASUKI RAHMAT 3 2
3/25/1972 50 46-59 P PERUM PAKIS ASRI B 01 5 5 2
6/27/1968 54 46-59 P
10/23/2003 19 18-30 P PERUM VILLA TIDAR 4 1
6/30/1970 52 46-59 P
6/30/1965 57 46-59 L
6/28/1992 30 18-30 P DSN GOMBOL 1 2
11/24/1998 24 18-30 P JL KINIBALU 2 3
3/7/1997 25 18-30 L JL KINIBALU 2 3
5/25/1960 62 ≥60 P JL MH THAMRIN 3 2
8/13/1949 73 ≥60 L PERUM PKBR 3 2
4/2/1982 40 31-45 P LINGK PATEMON WETAN 1 3
12/8/1990 32 31-45 L
8/16/1974 48 46-59 L
5/6/2002 20 18-30 P JL BRANTAS 39A
1/3/1954 69 ≥60 P JL MH THAMRIN
10/15/1977 45 31-45 P LINGK GESARI 3 2
9/12/1996 26 18-30 P JL PROGO NO 7 1 3
6/4/2000 22 18-30 P DSN BARUREJO KULON
5/2/1964 #REF! #REF! L
5/27/1972 50 46-59 P
10/20/1992 30 18-30 L GAMBIRAN
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 0
0

JELAS JELAS JELAS JELAS JELAS JELAS

 NAMA
KECAMATA "NAMA KELURAHAN NO.HP KETERANGAN
N
(12) (13) (23) (24)

16 12
16 22
16 14
17 43

16
16 16
16 16
16 16
16 14

16 12
16 12
16 14
16 14
16 14
16 14
16 14
21

16 12
16 13

16 16
16 14
16 13
16 14
 16 13
16 12
16 23
16 12
16 14
MOJOKERTO
16 13
16 14
16 14
16

16 13

SINGOJURUH
16 14
16 14
16 13
16 13
16 10

16 13

16 13
16 16
JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510162909590002 JAINI BANYUWANGI

2 3510160909560003 SULIYONO BANYUWANGI
3 3510161803770004 REDY SUPRIYANTO BANYUWANGI
4 3510165512950007 DESI WULANDARI BANYUWANGI
5 3510191909850002 FERI HERMANSYAH BANYUWANGI
6 3510132806780006 YUSUF BANYUWANGI
7 3510161280291003 NANDIKA WIDAYADI BANYUWANGI
8 3510166506590006 HUSNIYAH BANYUWANGI
9 3510215106840009 INDAH IRKA ARIYANTI BANYUWANGI
10 3510164901930002 RENNY DEWI LESTARI BANYUWANGI
11 3510160808580004 SUTOMO BANYUWANGI
12 3510166307600002 SORAYA BANYUWANGI
13 3510165110860007 ISKANA SUSANTI BANYUWANGI
14 3510160810020002 ILHAM ZAKARIA BANYUWANGI
15 3510166108790008 FITRIA BANYUWANGI
16 3510165205680008 MUDRIKA BANYUWANGI
17 3510160407520003 MULYONO BANYUWANGI
18 3510165011660003 DESI MASITA BANYUWANGI
19 3510167006540101 MAIMUNAH BANYUWANGI
20 3510161009000002 SEPTA ADI P BANYUWANGI
21 3510164704720005 SUPRIYATIN BANYUWANGI
22 3510164703930005 ANIS MARINDA BANYUWANGI
23 3510164905560002 FARIDAH BANYUWANGI
24 3510167006420222 MASNAH BANYUWANGI
25 3510163006550095 ABDUL CHOLIK BANYUWANGI
26 3510167006570104 LAILIYAH BANYUWANGI
27 3510166908860002 MIMIN AGUSTINA BANYUWANGI
28 3510160109670003 SUDIARTO BANYUWANGI
29 3510167112560001 UMIATI BANYUWANGI
30 3510164911610001 HASIDA BANYUWANGI
31 3510164506430003 BODOS OENAENAH BANYUWANGI
32 3510160412540003 BASIR AMARI BANYUWANGI
33 3510161811030004 ARYA NOVALOVA R BANYUWANGI
34 3510161808570001 WADHORI MOJOKERTO
35 3510162209750004 SLAMET BUDI SANTOSO BANYUWANGI
36 3510164105010002 DIAN ROSYIDAH BANYUWANGI
37 3510164109400002 NASEHAK BANYUWANGI
38 3510165201590004 RUGINEM BANYUWANGI
39 3510160607840008 SAIFUL BAHARI BANYUWANGI
40 3510167010540008 JUMITUN BANYUWANGI
41 3510160201980006 AUNUR GAMAR NAJEMI BANYUWANGI
42 3510166309900001 SEPTINA FIKA M BANYUWANGI
43 3510164807040003 SUKMA AYU HINDRIANI BANYUWANGI
44 3510165504750002 SULISTIYOWATI BANYUWANGI
45 3510161502000003 M.DZIKRI ROBANI BANYUWANGI
46 3510166505770004 SULIKA BANYUWANGI
47 3510071210520001 BUANG SUYONO BANYUWANGI
48 3510164712080002 SYAFIRA ULFIA ZAHRO BANYUWANGI
49 3510166109660002 NURHAYATI BANYUWANGI
50 3510161602670000 WINOTO BANYUWANGI
51 3510166712600002 MINI HANDAYANI BANYUWANGI
52 3510164303710006 SUPIYATI JEMBER
53 351016290200004 DAFFA ZIDHAN K BANYUWANGI
54 3510162109010005 DIVA FATHUR ARDHIAN BANYUWANGI
55 3510162104470003 SUTRISNO BANYUWANGI
56 3510164609780001 YULIS YULIA NINGSIH BANYUWANGI
57 3510162309740001 HARIYANTO BANYUWANGI
58 3510161305820005 MUSTOFA BANYUWANGI
59 3510165101480001 MAUNAH BANYUWANGI
60 3510165003640002 LUFFIA BANYUWANGI
61 3510161508460005 REDJO DIMULYO BANYUWANGI
62 3510166210580004 SUCIATI BANYUWANGI
63 3510162308610001 HARIYONO BANYUWANGI
64 3510167006530196 SAHRIYA BANYUWANGI
65 3510166708500001 SALWIYAH BANYUWANGI
66 3510166501650004 ASNAYAH BANYUWANGI
67 3510166612830007 DWI SHINTALIA BANYUWANGI
68 3510166811550002 LUSIANA INDRAWATI JEMBER
69 3510164107660081 SITI ROMLAH BANYUWANGI
70 3510167006590116 AENAH BANYUWANGI
71 3510166704940010 DELLA RIMA EL SHINTA BANYUWANGI
72 3510164903850008 SRI RAHAYU BANYUWANGI
73 3510161206740011 MAK SUPATAN ILMI BANYUWANGI
74 3510162703040002 ERIKSA PRAKOSO PUTRA BANYUWANGI
75 3510095112880009 DEVITA BANYUWANGI
76 3510216707020002 FEBI AYU HIDAYATI BANYUWANGI
77 6102066709900001 ELIWATI BANYUWANGI
78 3510164408630001 SUSWATI BANYUWANGI
79 3510164604020003 TANAYA TRY BANYUWANGI
80 3510215607820007 MASLIHAH BANYUWANGI
81 3510165712030001 DESI RATNASARI BANYUWANGI
83 3510030602860002 MUHAMMAD SYAIFUDIN BANYUWANGI
84 3510161401670002 LUMADYO BANYUWANGI
85 3510160905510001 SUMARDI BANYUWANGI
86 3510210112860004 WAHYONO BANYUWANGI
87 3510165604630009 DRA PRATIWI MAMANG I BANYUWANGI
 88 3510163007490006 SANDY KURNIAWAN BANYUWANGI
89 3510165911820006 NOVITA EKAYANTI JEMBER
90 3510166502650002 UNTUNG FITRIANI BANYUWANGI
91 3510165402710004 PARIDAH BANYUWANGI
92 3510160809680004 RACHMAD BANYUWANGI
93 3510164607650006 MUAYADAH BANYUWANGI
94 3510165204730004 SITI MAISAROH BANYUWANGI
95 3510160105020007 M.TEGAR F BANYUWANGI
96 3510161505720002 NUR HARIRI BANYUWANGI
97 3510161407840009 IWAN SETIAWAN BANYUWANGI
98 3510160405970005 YUDO P BANYUWANGI
99 3510066103880004 NITA NURYANI BANYUWANGI
100 3510166806570001 KUSWATI BANYUWANGI
101 3510161002840004 INDRA DWI F BANYUWANGI
102 3510164702630002 MAHBUBAH BANYUWANGI
103 3510166510920003 ANNISA OCTAVIANI BANYUWANGI
104 3510164708950002 MAULIDA SITI RUKMANA BANYUWANGI
105 3510162110770004 ANDI LALA BANYUWANGI
106 3510160303890004 ANDI SUMARDIANTO BANYUWANGI
107 351016236404840003 WINARTI BANYUWANGI
108 3510161808710002 JAENUR ROHMAN BANYUWANGI
109 3510161608700004 DRAJAT BANYUWANGI
110 3510166704510004 UMI RAHAYU BANYUWANGI
111 3510166704990003 FELIN YESIKA BANYUWANGI
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
UMUR KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

9/29/1959 63 ≥60 L JL OPAK NO 21 5 1

9/9/1956 66 ≥60 L JL OPAK NO 01 4 1
3/18/1977 45 31-45 L JL OPAK NO 41 5 1
12/15/1995 27 18-30 P JL KALIMAS 1 1
9/19/1985 37 31-45 L JL OPAK 5 1
6/28/1978 44 31-45 L JL OPAK 5 1
2/28/1991 31 31-45 L JL KALIMAS 3 1
6/25/1959 63 ≥60 P JL KALIMAS NO 55 5 1
8/11/1981 41 31-45 P JL OPAK 1 1
1/9/1993 30 18-30 P JL OPAK 3 1
8/8/1958 64 ≥60 L JL KALIMAS 4 1
7/23/1980 42 31-45 P JL OPAK 4 1
10/11/1986 36 31-45 P JL OPAK 2 1
10/8/2002 20 18-30 L JL OPAK 5 1
8/21/1979 43 31-45 P JL KALIMAS 3 1
5/2/1968 54 46-59 P JL OPAK 2 1
7/4/1952 70 ≥60 L JL KALIMAS 2 1
11/10/1966 56 46-59 P JL OPAK 5 1
6/30/1954 68 ≥60 P KALILO 3 1
9/10/2000 22 18-30 L JL MH THAMRIN 5 1
4/7/1972 50 46-59 P JL MH THAMRIN 5 1
3/7/1983 39 31-45 P JL MH THAMRIN 5 1
5/9/1956 66 ≥60 P JL OPAK 5 1
6/30/1942 80 ≥60 P JL MH THAMRIN 5 1
6/30/1955 67 ≥60 L JL OPAK 2 1
6/30/1957 65 ≥60 P JL KALIMAS NO 50
8/29/1986 36 31-45 P JL KALIMAS 4 1
9/1/1967 55 46-59 L JL KALIMAS
12/31/1956 66 ≥60 P JL OPAK 1 1
11/9/1961 61 ≥60 P JL OPAK 5 1
6/5/1943 79 ≥60 P JL MH THAMRIN 5 1
12/4/1954 68 ≥60 L JL MH THAMRIN 5 1
11/18/2003 19 18-30 L JL OPAK 5 1
8/18/1957 65 ≥60 L JL KALIMAS 4 1
9/22/1975 47 46-59 L PERUM PURI CITRA BELIAN 1 2
5/1/2001 21 18-30 P JL MH THAMRIN 5 1
9/1/1940 82 ≥60 P JL OPAK 5 1
1/12/1959 64 ≥60 P JL OPAK 5 1
7/6/1984 38 31-45 L JL KALIMAS 4 1
10/30/1954 68 ≥60 P KALILO 3 1
1/2/1998 25 18-30 L JL OPAK 5 1
 9/23/1990 32 31-45 P JL KALIMAS
7/8/2004 18 18-30 P JL KALIMAS 3 1
4/15/1975 47 46-59 P KALILO 4 1
2/15/2000 22 18-30 L JL OPAK 5 1
5/25/1977 45 31-45 P KALILO 1
10/12/1952 70 ≥60 L KALILO 4 1
12/7/2003 19 18-30 P JL KALIMAS
9/21/1966 56 46-59 P JL KALIMAS
2/16/1967 56 46-59 L JL OPAK 5 1
12/27/1960 62 ≥60 P JL OPAK
3/16/1971 51 46-59 P JL KALIMAS 1 1
2/29/2000 22 18-30 L JL OPAK
9/21/2001 21 18-30 L JL OPAK
4/21/1947 75 ≥60 L JL OPAK 1 1
9/6/1978 44 31-45 P JL KALIMAS
9/23/1974 48 46-59 L KALILO 4 1
5/13/1982 40 31-45 L JL KALIMAS 4 1
1/11/1948 75 ≥60 P JL OPAK 5 1
3/10/1964 58 46-59 P JL OPAK 4 1
8/15/1946 76 ≥60 L JL KALIMAS 4 1
10/22/1958 64 ≥60 P KALILO
8/23/1963 59 46-59 L JL OPAK 5 1
6/30/1953 69 ≥60 P JL KALIMAS 4 1
8/27/1957 65 ≥60 P JL KALIMAS
1/25/1965 58 46-59 P JL BATUR 3 3
12/26/1983 39 31-45 P JL MH THAMRIN
11/28/1955 67 ≥60 P JL MH THAMRIN 2 1
7/1/1966 56 46-59 P JL KALIMAS 2 1
6/30/1959 #REF! #REF! P JL OPAK 3 1
4/27/1994 28 18-30 P JL OPAK 3 1
3/9/1985 37 31-45 P JL KALIMAS 4 1
6/12/1974 48 46-59 L JL KALIMAS 3 1
3/27/2004 18 18-30 L SNG
12/12/1988 34 31-45 P VGM
7/27/2002 20 18-30 P VGM
9/27/1990 32 31-45 P PERUM ADIMAS
8/4/1963 59 46-59 P PERUM VGM
4/6/2002 20 18-30 P VGM
7/16/1982 40 31-45 L VGM
12/17/2002 20 18-30 P VGM
2/6/1986 37 31-45 L DSN KOPEN
1/14/1967 56 46-59 L JL KAPTEN ILYAS 3 2
5/9/1951 71 ≥60 L SMT
12/1/1986 #REF! #REF! L KALIPURO
4/16/1963 59 46-59 P CANDI PLAOSAN
 4/30/1949 73 ≥60 L JL MH THAMRIN
11/19/1982 40 31-45 P JL MH THAMRIN
2/25/1965 57 46-59 P JL OPAK 5 1
2/19/1971 52 46-59 P JL KALIMAS3 3 1
9/8/1968 54 46-59 L JL KALIMAS 3 1
7/6/1965 57 46-59 P JL KALIMAS
4/12/1973 49 46-59 P JL MH THAMRIN 5 1
6/1/2002 20 18-30 L KALILO 1 5
5/15/1979 43 31-45 L KALILO 1 5
4/14/1984 38 31-45 L JL OPAK
5/4/1997 25 18-30 L JL KALIMAS
3/21/1983 39 31-45 P JL OPAK 4 1
6/28/1957 65 ≥60 P JL KALIMAS 2 1
2/10/1984 39 31-45 L JL OPAK 4 1
2/7/1963 60 ≥60 P JL MH THAMRIN 5 1
10/25/1992 30 18-30 P JL IKAN PUTIHAN 3 2
8/7/1995 27 18-30 P PERUM SUTRI
10/21/1977 45 31-45 L
3/3/1989 33 31-45 L PERUKM PERMATA INDAH
4/24/1984 38 31-45 P JL KALIMAS
8/18/1971 51 46-59 L KALILO 1 1
8/16/1970 52 46-59 L JL KALIMAS
4/27/2001 21 18-30 P JL KALIMAS 5 1
4/27/1999 23 18-30 P
MAS SINGOTRUNAN
NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 KEBALENAN 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 14 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 KRJ 7/16/2022 1 328423P
16 SOBO 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
21 91 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
16 13 7/16/2022 1 328423P
ALASAN TIDAK
MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

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ASTRAZENECA
ASTRAZENECA
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ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
ASTRAZENECA
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 LAPORAN HARIAN VAKSIN
NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

6 35101650119900004 NOVIA MEGA P BANYUWANGI

7 3510165111610002 HALIMAH BANYUWANGI
8 3510165711990002 NUR AISYAH SAFITRI LAMONGAN
10 3510156104480002 SRI SUKARTINI BANYUWANGI
11 3510165802670003 SRI UMIYATI BANYUWANGI
12 3510236209980003 LINDA FAFENI BANYUWANGI
14 3510165103720004 SUBEKTI RENANINGSIH BANYUWANGI
16 3510164305740004 MASKUROH BANYUWANGI
18 3513125004980001 ANISA PUTRI M BANYUWANGI
21 3510165207830008 FITRI ROHIMAH BANYUWANGI
22 3510165305860004 IMA RONI HUSNA BANYUWANGI
25 3510165601860005 ANI YULITA BANYUWANGI
27 3510166506730004 SIYAMA BANYUWANGI
28 3510164812550001 NINGSAH BANYUWANGI
32 3510166703610004 ENDANG SRIWIJAYANTI BANYUWANGI
37 3510165108850001 KUNTARI BANYUWANGI
38 3510135307010004 RESITA GHANIYA BANYUWANGI
39 3510146707880002 DIAN ADOLFINA R PALANGKARAYA
40 3510164307010004 FANY SALSA FAZILA BANYUWANGI
41 3510165609860004 NURSIAH BANYUWANGI
44 3510164512580003 SAMA'ATI BANYUWANGI
45 3510167007620003 LINDRIANA BANYUWANGI
47 3510164307840001 FATMAWATI BANYUWANGI
51 3510166107690001 YULI WULANDARI BANYUWANGI
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
UMUR KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

11/10/1999 23 18-30 P JL GATOT SUBROTO KRAJAN 2 2

11/11/1961 61 ≥60 P KROBOKAN 3 2
11/17/1999 23 18-30 P JL BENGAWAN 2 3
4/21/1948 74 ≥60 P LINGK WATU ULO 1 2
2/15/1967 56 46-59 P JL KINIBALU 3 1
9/22/1998 24 18-30 P DSN POLEAN 3 4
2/24/1971 51 46-59 P JL KH AGUS SALIM 3 2
5/3/1974 48 46-59 P JL KALILO 1 4
4/10/1998 24 18-30 P JL KARIMUN JAWA 2 4
7/12/1983 39 31-45 P JL KAPTEN DULASIM
5/18/1986 36 31-45 P JL BROGJEN KATAMSO 23 5 3
1/16/1986 37 31-45 P JL MALABAR NO 54
7/1/1973 49 46-59 P JL TARAKAN NO 27 4 2
12/8/1955 67 ≥60 P JL BUNYU 3 1
3/27/1961 61 ≥60 P JL MALABAR NO 12 2 2
9/11/1985 37 31-45 P
7/13/2001 21 18-30 P JL BUNYU 2 1
7/27/1988 34 31-45 P JL RIAU GG MUTIARA 1 3
7/3/2001 21 18-30 P JL ANDALAS 3 3
9/16/1968 54 46-59 P JL KINIBALU 1 1
12/5/1958 64 ≥60 P KROBOKAN
7/30/1962 60 ≥60 P SWIG
7/3/1984 38 31-45 P JL TIDAR
7/21/1969 53 46-59 P JL BENGAWAN 1 1
 NAMA
KECAMATA "NAMA KELURAHAN NO.HP KETERANGAN
N
(12) (13) (23) (24)

21 92
16 23
16 16
15
16 14
TEGALSARI
16
16 13
16 12
GRESIK
16
16 14
16 12
16 12
16 14

16 12
16 12
16 14
16 14
16 23
16 14
16 14
16 16
 LAPORAN HARIAN VAKSIN
NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510165904890006 SANTI DEWI BANYUWANGI

2 3510160801870012 ANISA ANUGRAH BANYUWANGI
3 3510160712030001 ARYACHAKFI AKBAR BANYUWANGI
4 3510166506040002 ANANDA KHOIRUNISA BANYUWANGI
5 3510166012560004 NUR LAILI BANYUWANGI
6 3510166509810002 NURVI INDRAWATI BANYUWANGI
7 3510167006500210 MUNATI BANYUWANGI
8 3510154207860002 SULASTRI BANYUWANGI
9 3510216202600003 MISNATUN BANYUWANGI
10 3510167006730065 SUMIATI BANYUWANGI
12 3510165803730004 YUSWANTI ACEH TIMUR
13 3510165204810009 DEWI MASITA BANYUWANGI
19 3510157009900001 UMI AINUR ROSITA BANYUWANGI
21 3510165901910003 RIA PUTRI SHANTI I BANYUWANGI
24 3510165305880002 YULIANA BANYUWANGI
25 3510165604650005 HAIRIYAH BANYUWANGI
26 3510166510880003 SOFIA DEWI BANYUWANGI
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
UMUR KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

4/19/1989 33 31-45 P IKAN WIJINONGKO 1 3

1/8/1987 36 31-45 P IKAN WIJINONGKO 1 3
12/7/2003 19 18-30 P PERUM KERTANEGARA 6 3
6/25/2004 18 18-30 P GTG 2
12/20/1956 66 ≥60 P
9/25/1981 41 31-45 P GTG 2
6/30/1950 72 ≥60 P GTG 2
7/2/1986 36 31-45 P GTG 2
2/22/1960 63 ≥60 P GTG 2
6/20/1973 49 46-59 P GTG 2
3/18/1973 49 46-59 P JL AIRLANGGA 2 2
4/12/1981 41 31-45 P JL BOGOWONTO 4 2
9/30/1990 32 31-45 P JL KINIBALU NO 14
1/19/1991 32 31-45 P JL SRAWET NO 68
5/13/1988 34 31-45 P JL PROGO NO 3
4/16/1965 57 46-59 P JL BATUR 3 3
11/25/1987 35 31-45 P KROBOKAN 1 3
 NAMA
KECAMATA "NAMA KELURAHAN NO.HP KETERANGAN
N
(12) (13) (23) (24)

16
16
16
16 16

16 16
16 16
16 16
16 16
16
16 13
16 12
16 14
16 16
16 14
16 23
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

3 3510164907720002 FADLUN BAHARUN BANYUWANGI

5 3510162203710001 ADIL SUKMAYUDHA BANYUWANGI
18 3510163006520095 HASAN BASRI BANYUWANGI
22 3510160908550003 M.BASALAMAH BANYUWANGI
24 3510163006610050 AHYAR BANYUWANGI
26 3510160301790001 ENDRO W BANYUWANGI
29 3510160901720003 JAMIUDDIN BANYUWANGI
32 3510161702000003 M.GUFRONIL H BANYUWANGI
37 3510127006660051 RAKYAT BANYUWANGI
38 3510162210030004 SURYA SAPUTRA BANYUWANGI
39 3510162511030003 AKBAR NUR FAIZIN F BANYUWANGI
45 3510161912550001 AHMAD BANYUWANGI
46 3510162110940001 LOVI DWI PRAKOSO BANYUWANGI
55 3510161708500004 AMARI BANYUWANGI
59 3510161309000005 DIMAS ARI PRATAMA BANYUWANGI
60 3510162803600003 SUWARDI BANYUWANGI
62 3510210408810005 MUBARROK BANYUWANGI
66 3510162402010003 RIDHO PANGESTU ADJIE BANYUWANGI
67 3510161910830002 A.SURYADI GUNAWAN BANYUWANGI
69 3509111009680003 BAMBANG SURYONO BANYUWANGI
70 3510161505970004 LAGUSTA FRENDI P BANYUWANGI
71 3510211907030003 MAHSA RIFANDI SAVERO BANYUWANGI
73 3510163012990007 REGA DIKRI YANDA BANYUWANGI
75 3510161603990005 REKI SUMARSONO BANYUWANGI
78 3510162209020004 ALFIAN ALDO TRISTIATNO BANYUWANGI
80 3510140412660003 CHRIS SATMIKO BANYUWANGI
81 3510161306020006 KGS ACHMAD RENATI MAULANA BANYUWANGI
82 3510162311030004 KGS ADAM DWI ANANDA BANYUWANGI
84 5171032409800008 SUSANTO BANYUWANGI
86 3510160206690001 KASIYANTO BANYUWANGI
87 3509150301910001 RAIS BANYUWANGI
89 3510163006650067 ALI MANSYAH BANYUWANGI
91 3510141503890003 MOH ABD MUSTAKIM BANYUWANGI
92 3510150504810003 SUNANDI BANYUWANGI
93 3529040309540001 BUKASA BANYUWANGI
94 3510161007720002 ABDUL KADIR BANYUWANGI
97 3510165907730003 MASULAH BANYUWANGI
100 3510160105620005 MARDJUDIN BANYUWANGI
101 3510160208660002 MUSTAKIM BANYUWANGI
102 3510164104010002 ANTA IMAMA HAKIM BANYUWANGI
103 3510161512910004 DWIKY KRISTIANTO BANYUWANGI
104 3510161206030001 FIRNANDA BAGUS SETIAWAN BANYUWANGI
105 3510161304040005 FATHUR RACHMAN HAKIM BANYUWANGI
106 3510160212030002 MUHAMAD NUR HANIF BANYUWANGI
107 3510161406920003 FARIZ FARDAN FATIH BANYUWANGI
108 3576012512960001 DIO RAKA WICAKSONO BANYUWANGI
111 3510162510840005 YUDI PRISTIYONO BANYUWANGI
114 3510162806950004 YOHANNES YUAN HENDY TANGGERANG
118 3510163101880002 DICKY DONALTA BANYUWANGI
119 3515022606830002 RUDIYANTO BANYUWANGI
121 3510160202760004 MOHAMMAD SUWANDI BANYUWANGI
124 3510195302960005 KIKI DWI KURNIAWAN BANYUWANGI
128 3510162410810008 ACHMAD RIAN ARDANA BANYUWANGI
130 3510160412730002 JODI BACHTIAR BANYUWANGI
133 3510160210850003 OKKY ARDI PURWA H BANYUWANGI
134 3510161502550003 ABD HAFID HAMZAH BANYUWANGI
135 3510161707600001 ISNAINI BANYUWANGI
136 3510162308590003 AGUSTA SURADJI BANYUWANGI
139 3510162108590003 SETIA BUDI JEMBRANA
142 3510161103830004 SUGIANTO BANYUWANGI
146 3510162103940002 WILDANI ROCHMAN BANYUWANGI
147 3510160301940008 SAMSUN RIZAL BANYUWANGI
150 351016110790006 AGUS SUGIANTORO BANYUWANGI
154 5101011005880009 RUDI CAHYONO BANYUWANGI
157 3510164104500004 HJ HINDUN NAFISAH BANYUWANGI
158 3510160607800003 DANI WIDARYANTO BANYUWANGI
159 3510161710450004 H.MOHAMAD MAHPUD BANYUWANGI
160 3510162111430002 KARNOTO BANYUWANGI
161 3510212406770001 ARMAN HARI P BANYUWANGI
162 3510162704660002 SUKARI BANYUWANGI
166 3510041404620003 SENEN BANYUWANGI
167 35101201612700004 M.KHODIR BANYUWANGI
171 3510162605020005 M.DAFFA MAULIDA BANYUWANGI
172 3510161604620002 ISNAINI BANYUWANGI
174 3510160511740001 DWI CAHYO NOVIANTO BANYUWANGI
179 3510167006600234 HARMUNI BANYUWANGI
185 3510241707580002 HADI PURWANTO BANYUWANGI
186 3510160107470044 KESWAH BANYUWANGI
189 3510161104940003 HENDRA BAGUS ANDRIAN SYAH BANYUWANGI
190 3510160205660001 HARI BUDIYANTO BANYUWANGI
192 3510131310810001 DIDIT HASTANTO BANYUWANGI
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
UMUR KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

7/9/1972 50 46-59 L JL BUNYU 4 4

3/22/1971 51 46-59 L JL BATUR BARAT 4 4
6/30/1952 70 ≥60 L JL BUNYU
123 ≥60 L
6/30/1961 61 ≥60 L JL BUNYU 2 1
1/3/1979 44 31-45 L JL RIAU 3 2
1/9/1972 51 46-59 L JL RIAU 4 3
2/17/2000 22 18-30 L JL BUNYU 1 4
6/30/1966 56 46-59 L SUKOREJO 3 1
10/22/2003 19 18-30 L JL RIAU 2 3
11/25/2003 19 18-30 L KROBOKAN 2 3
12/19/1955 67 ≥60 L JL RIAU 4 3
10/21/1994 28 18-30 L KRAJAN 4 1
8/17/1950 72 ≥60 L JL DI PANJAITAN
9/13/2000 22 18-30 L JL RIAU 2 4
3/28/1960 62 ≥60 L JL BROMO 1 1
8/4/1981 41 31-45 L DSN SELOGIRI
2/24/2001 21 18-30 L JL ANDALAS 4 3
10/19/1983 39 31-45 L JL MH THAMRIN 1 2
9/10/1968 54 46-59 L JL TIDAR 6 3
6/15/1997 #REF! #REF! L JL TIDAR 6 3
7/19/2003 19 18-30 L PERUM VILLA SUKOWIDI 3 4
12/30/1999 23 18-30 L KROBOKAN
3/16/1999 23 18-30 L JL ANDALAS 4 3
9/22/2002 20 18-30 L JL GUNUNG IJEN 2 4
12/4/1966 56 46-59 L PERUM KALIREJO 6 3
6/13/2002 20 18-30 L JL RIAU 3 2
11/23/2003 19 18-30 L JL RIAU
9/24/1980 42 31-45 L JL BELITUNG 3 2
6/2/1969 #REF! #REF! L JL DI PANJAITAN 3 1
1/3/1991 32 31-45 L JL DI PANJAITAN 1 1
6/30/1965 57 46-59 L JL DI PANJAITAN 3 1
3/15/1989 33 31-45 L DSN WATU ULO 2 2
4/5/1981 41 31-45 L TEMABKON 1 2
9/3/1954 68 ≥60 L DSN BAN BAN
7/10/1972 50 46-59 L KBJ 4 3
7/19/1973 49 46-59 L JL DI PANJAITAN 1 2
5/1/1962 60 ≥60 L JL BANTERANG
8/2/1966 56 46-59 L JL DI PANJAITAN
4/1/2001 21 18-30 L JL DI PANJAITAN 1 2
12/15/1991 31 31-45 L JL BAJANG RATU
 6/12/2003 19 18-30 L JL LETQOL ISTIQLAH 1 1
4/13/2004 18 18-30 L JL LETQOL ISTIQLAH
12/2/2003 19 18-30 L SMB 1 1
6/14/1992 30 18-30 L JL ANDALAS 3 5
12/25/1996 26 18-30 L MOJOKERTO
11/25/1984 38 31-45 L JL TERNATE 5 3
6/28/1995 27 18-30 L JL LETQOL ISTIQLAH 1 2
1/31/1988 35 31-45 L JL DI PANJAITAN 1 2
6/26/1983 39 31-45 L SEMAMPIR
2/2/1976 47 46-59 L GESARI 3 2
2/13/1996 27 18-30 L JL BELITUNG 3 2
10/24/1981 41 31-45 L KRAJAN 3 2
12/4/1973 49 46-59 L JL AGUNG WILIS
10/2/1985 37 31-45 L JL SUDIRMAN
2/15/1955 68 ≥60 L KAPTEN ILYAS 1 1
7/17/1960 62 ≥60 L KAPTEN ILYAS 1 1
8/23/1959 63 ≥60 L KALILO 3 2
8/21/1959 63 ≥60 L JL BROMO 1 3
3/11/1983 39 31-45 L JL SINDORO 3 2
3/21/1994 28 18-30 L JL BROMO 1 2
1/3/1994 29 18-30 L JL BROMO 3 3
1/11/1979 44 31-45 L JL BROMO
5/10/1988 34 31-45 L JL BROMO 3 3
4/1/1950 72 ≥60 L JL BROMO 2 3
7/6/1980 42 31-45 L JL RINJANI 1 3
10/17/1945 77 ≥60 L JL BROMO
11/21/1943 79 ≥60 L JL BATUR 3 3
6/24/1977 45 31-45 L KRAJAN 1 3
4/27/1966 56 46-59 L JL CILIWUNG 2 2
4/14/1964 58 46-59 L
12/21/1970 52 46-59 L
5/26/2002 20 18-30 L SRITANJUNG
4/16/1962 60 ≥60 L JL BATUR BARAT 3 3
11/5/1974 48 46-59 L JL BROMO 2 2
6/30/1960 62 ≥60 L JL BATUR UTARA
7/17/1958 64 ≥60 L KRAJAN 1 2
7/1/1947 75 ≥60 L JL BATUR BARAT
4/10/1994 28 18-30 L NTT
5/2/1966 56 46-59 L JL RINJANI 4 3
10/13/1981 41 31-45 L JL TIDAR 2 1
SMAS SINGOTRUNAN
NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 12
16 12
16 12

16 12
16 12
16 12
16 12

16 12

16 12
16 12

16 12

16
16
16

16
16
16
KBAT
16
16
16
16
16
16
GLGAH

16 12

16 10

16 12
16
16 18

16

16 12
16
16 23

16
16
16 PNGJURAN
16

16
16
16
16
16

16
16

16

16
ALASAN TIDAK
MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510165009750003 LUSI WIDIASTUTI BANYUWANGI

2 3510165410030002 DWI PUTRI LASYA DIKSI BANYUWANGI
3 3510164209720003 MARDIYAH BANYUWANGI
4 3510160110750004 ALFAN BANYUWANGI
5 3510166412580003 ALIYAH HADIYANI BANYUWANGI
6 3510163006630058 SUDIRMAN BANYUWANGI
7 3510164401870009 ELISA BANYUWANGI
8 3510161504010006 MIFTAHUS SALAM ALFARIZI BANYUWANGI
9 3510166909860003 NINA MAYASARI BANYUWANGI
10 3510161208600005 AGUS SRI BUDIANTO PURWOKERTO
11 3510161008790004 RAHMAD WAHYUDI BANYUWANGI
12 3173015903750011 SAUNI BANYUWANGI
13 3510166104840007 ERNAWATI BANYUWANGI
14 3510210905010002 AHMAD FIKRI AHRORI BANYUWANGI
15 3510166803020006 NADIA AZRO A BANYUWANGI
16 3510182209990004 SAIFUL ROHMAN BANYUWANGI
17 3512142610970001 MUHAMMAD ABDI F SITUBONDO
18 3510165305990008 RANI PITALOKA BANYUWANGI
19 3510164411720001 RATNA SULIYANI BANYUWANGI
20 3510164301600002 NURJANAH BANYUWANGI
21 3510164106020004 DIAN CAHYA M BANYUWANGI
22 3512135607900003 SHINTA KUSUMA DEWI BANYUWANGI
23 3510161209980002 HENDRA KURNIAWAN BANYUWANGI
24 3510165209680009 ENDANG ANDAYANI BANYUWANGI
25 3510164706960006 HILDA DWI PUSPITASARI BANYUWANGI
26 3510164710860006 DWI LAILY OKTAVIANI BANYUWANGI
27 3510166803720002 KURAISEIN MILAPUSPITA BANYUWANGI
28 3510161305830006 ARDHI SUSILO BANYUWANGI
29 3510160910020005 BUDI HERLANGGA BANYUWANGI
30 3510164104950008 PUTRI APRILYANI BANYUWANGI
31 3510172509990003 LANGGENG RAMADAN BANYUWANGI
32 3510160103980003 PANDU CAHYA PAMUNGKAS BANYUWANGI
33 3510185306900001 ERMA MULYASARI BANYUWANGI
34 3510164311020005 RANI ULAN NOVIA BANYUWANGI
35 3510202305770003 YOYON SURYONO BANYUWANGI
36 3510172810950001 ROBBI SHOBIRIN BANYUWANGI
37 3510164203970004 VIVI VIRDAUS BANYUWANGI
38 3510211411860001 GUNTUR WAHYU HIDAYAT BANYUWANGI
39 3516102105800001 SAMIADIN BANYUWANGI
40
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257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
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292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
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346
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348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 25/7/22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

9/10/1975 47 46-59 P JL RINJANI 1 3

10/14/2003 19 18-30 P JL RINJANI 1 3
9/2/1972 50 46-59 P JL SUMBING 1 2
10/1/1975 47 46-59 L JL SUMBING 1 2
12/24/1958 64 ≥60 P JL BENGAWAN 3 3
6/30/1963 59 46-59 L MH THAMRIN 2 3
6/1/1987 35 31-45 P JL ANDALAS 4 3
4/15/2001 21 18-30 L JL BANGKA 4 1
9/29/1966 56 46-59 P JL RIAU GG KYAI SALEH 3 2
8/12/1960 62 ≥60 L JL RINJANI 4 1
8/10/1979 43 31-45 L JL BANGKA 5 1
3/19/1975 47 46-59 L JL KINIBALU 2 3
4/25/1985 37 31-45 P JL TERNATE 1 3
5/9/2001 21 18-30 L KAMPUNG BARU 2 2
3/28/2002 20 18-30 P PERUM VILLA PESONA 4 1
9/22/1999 23 18-30 L GALEKAN 3 5
10/26/1997 25 18-30 L GALEKAN 1 5
5/13/1999 23 18-30 P JL ANDALAS 4 3
11/4/1972 50 46-59 P JL KYAI SALEH 2 3
1/3/1960 63 ≥60 P JL RINJANI 1 3
6/1/2002 20 18-30 P KRAJAN 3 1
7/16/1990 32 31-45 P SMB 1 1
9/12/1998 24 18-30 L JL TIDAR 4 1
9/12/1968 54 46-59 P JL KARIMUN JAWA 4 4
6/7/1996 26 18-30 P JL KARIMUN JAWA 2 4
10/7/1986 36 31-45 P JL KRAKATAU
3/28/1977 45 31-45 P JL IJEN 4 1
5/13/1983 39 31-45 L JL LAWU 1 3
10/9/2002 20 18-30 L JL ANDALAS 3 3
4/5/1995 27 18-30 P JL BENGAWAN 2 1
9/25/1999 23 18-30 L JL MAWAR 3 2
3/1/1998 24 18-30 L JL CANDI PLAOSAN 2 2
9/13/1990 32 31-45 P JL TARAKAN 4 2
11/3/2000 22 18-30 P PERUM PURI BRAWIJAYA 4 4
5/23/1997 25 18-30 L JL BROMO 1 3
10/28/1995 27 18-30 L JL IJEN GG SRAWET 3 2
3/2/1997 25 18-30 P JL IJEN GG SRAWET 3 2
11/14/1986 36 31-45 L PONDOK NONGKO 1 2
5/21/1980 42 31-45 L DSN SUMENGKO 1 3
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

SMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 14 19 7/25/2022 1 328426P
16 14
16 14
16 14
16 16
16
16 14
16 12
16 12
16 14
16 12
16 14
16 12

16 14

16 14
16
16 14
16 23
16 16
16 13
16 12
16 12
16 14
16 14
16 14
16 14
16 16

16 12
16 20
16 14
16 14
16 14
MOKER
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

ASTRAZENECA
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 8206014407650002 JUMAIDAH BANYUWANGI

2 3510167003670004 SUHARTININGSIH BANYUWANGI
3 3510166108730004 CAHYA HERAWATI BANYUWANGI
4 3510164101610015 SURYANI BANYUWANGI
5 3510164104640003 SAYU HADIYATI BANYUWANGI
6 3510165109720004 ENDANG S TATIK BANYUWANGI
7 3510160112810005 HARIYANTO BANYUWANGI
8 3510166501810001 NUR ISLAMIYAH BANYUWANGI
9 3510161705870003 EKO SETIAWAN BANYUWANGI
10 3510163009020001 PRASETYO CAHYA SURYA BANYUWANGI
11 3510162409700002 YUSUF BAHTIAR BANYUWANGI
12 3510166606590001 JUMINEM BANYUWANGI
13 3510161206760012 JOKO PURNOMO BANYUWANGI
14 3510160404570001 ACHMAD KOEBAI BANYUWANGI
15 3510165107790003 NUR WIJAYANTI BANYUWANGI
16 3510216012710001 NURHAYATI BANYUWANGI
17 3510130811800001 SUTARSO TUKIMIN BANYUWANGI
18 3510162908020004 MOHAMAT RUDI P BANYUWANGI
19 3510162104650007 SUGENG SUPRIYADI BANYUWANGI
20 3510236805000002 BELLA ADI RISMALA BANYUWANGI
21 3510072403000002 BAMBANG PUTRA P BANYUWANGI
22 3510186010020007 NURUL LAILATUS S BANYUWANGI
23 3510166607040001 ANNA YURI A KLATEN
24 3610165806750002 SETIYOWATI JEMBER
25 3510165010630003 SUWARSIH BANYUWANGI
26 3510171211680001 AHYAR BANYUWANGI
27 3510162012750013 SLAMET SUPRIADI BANYUWANGI
28 3174021209521001 MAT SYAHRI JAKARTA
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 26-7-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

4/7/1965 57 46-59 P JL MERPATI 10

30-3-67 #VALUE! #VALUE! P JL SUMBING 2
21-8-73 #VALUE! #VALUE! P JL SUMBING 2
1/1/1961 62 ≥60 P JL SRAWET 2
1/4/1964 59 46-59 P JL SUMBING 2
11/9/1972 50 46-59 P JL IJEN 3
1/12/1981 42 31-45 L JL SUMBING 2
25-1-81 #VALUE! #VALUE! P JL SUMBING 2
26-5-88 #VALUE! #VALUE! L JL MALABAR NO 7
30-9-02 92 ≥60 L JL SUMBING 2
24-9-70 #VALUE! #VALUE! L JL SRAWET 2
26-6-59 #VALUE! #VALUE! P JL SUMBING NO 77
12/6/1976 46 46-59 L JL SRAWET 2
4/4/1957 65 ≥60 L
11/7/1979 43 31-45 P JL SRAWET 2
20-12-71 #VALUE! #VALUE! P
8/11/1980 42 31-45 L JL SRAWET 2
29-8-02 -7 0 L JL SUMBING 2
21-4-65 #VALUE! #VALUE! L JL SUMBING 2
28-5-00 #VALUE! #VALUE! P DSN KRAJAN 3
24-3-00 #VALUE! #VALUE! L
20-10-02 2 0 P
26-7-04 -4 0 P
18-6-75 #VALUE! #VALUE! P JL JA SUPRAPTO 4
10/10/1963 59 46-59 P LINGK GESARI 3
12/11/1968 54 46-59 L JL INDRA GIRI 1
20-12-75 #VALUE! #VALUE! L JL GUNUNG SRAWET 3
12/9/1952 70 ≥60 L LINGK SINGODIWONGSO 3
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

9 PUSKESMAS SINGOTRUNAN
6-7-22

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3
"RW" KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(11) (12) (13) (14) (15) (16) (17) (18)

3 HALMAHERA 26-7-22 1
2 16 14 26-7-22 1
2 16 14 26-7-22 1
2 16 14 26-7-22 1
2 16 14 26-7-22 1
2 16 14 26-7-22 1
2 16 14 26-7-22 1
2 16 14 26-7-22 1
16 14 26-7-22 1
2 16 14 26-7-22 1
2 16 14 26-7-22 1
16 14 26-7-22 1
2 16 14 26-7-22 1
16 14 26-7-22 1
2 16 14 26-7-22 1
26-7-22 1
2 16 14 26-7-22 1
2 16 14 26-7-22 1
2 16 14 26-7-22 1
3 26-7-22 1
26-7-22 1
WONGSOREJO 26-7-22 1
26-7-22 1
2 16 PENGANJURAN 26-7-22 1
2 16 13 26-7-22 1
6 17 26-7-22 1
2 16 14 26-7-22 1
2 16 14 26-7-22 1
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
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FT5335 PFIZER 9
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FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510194505930001 T. SRI RAHAYU ACEH

2 3510161903890003 FANNY SISWANDONO BANYUWANGI
3 3578211103760001 DANNY WIJAYA BANYUWANGI
4 3578215712770002 FRANSISCA NATALI HERTANTO BANYUWANGI
5 3578210311030002 KEVIN WIJAYA SOEKOTJO BANYUWANGI
6 3509192308960007 AGATHA KEVIN KURNIAWAN BANYUWANGI
7 3510161901820007 PRASETYA KURNIAWAN BANYUWANGI
8 3510225210940002 DWI RATNASARI BANYUWANGI
9 3510226404980002 TANIA DEVI RATNASARI BANYUWANGI
10 3510165707620009 SRI RAHAYU SITUBONDO
11 3510166311650005 KASIHATI BANYUWANGI
12 3510165210890003 ASTRI OKTAVIA MAULINDA BANYUWANGI
13 3510162908980005 BAGUS RISKI HOIRI BANYUWANGI
14 3510164404740006 ROFIAH BANYUWANGI
15 3510211804900004 SIGIT BASUKI BANYUWANGI
16 3510164404540006 JARATI BANYUWANGI
17 5171035611990001 NOVITA DELINDA SARI BANYUWANGI
18 3510166503940001 DEWI MUSALAWATI BANYUWANGI
19 3511034810820001 TRESIYA FERAWATI BANYUWANGI
20 3511031703770005 FERDINAND HIDAYAT BANYUWANGI
21 3510166007890003 LIANA ARMADANI UTAMI BANYUWANGI
22 3510161601950007 LUCKEN YANUARDI BANYUWANGI
23 3506171007870003 JOKO PURNOMO BANYUWANGI
24 3510217103990002 PUTU PRASINTYA KARTIKA D BANYUWANGI
25 3510160809930002 ARIF ALFIANTO BANYUWANGI
26 3510162705810003 ISWANTO DWIHARTAJI BANYUWANGI
27 3578110311870001 YOHANES HANDOKO SURABAYA
28 3510164211880001 SUTRA KURNIAWATI BANYUWANGI
29 3510141606940003 KOMARUZ ZAMAN BANYUWANGI
30 3510161004820006 YAHYA BANYUWANGI
31 3510161104710007 TRI PRASETYANTO BANYUWANGI
32 3510091902780004 MUKHLIS CHOLID BANYUWANGI
33 3510164406030005 FADIA YUNISTIRA BANYUWANGI
34 647203640890003 CORRY KURNIA BANYUWANGI
35 3510165911990001 DIANA HOLILA BANYUWANGI
36 3510205509960001 SOFIATUL JANNAH BANYUWANGI
37 3509194206890004 RIZKIYA BANYUWANGI
38 3510163006510097 SUPRAPTO BANYUWANGI
39 3510216401980005 EKA WULANDARI BANYUWANGI
40 3510165510720010 ANIS SUHAYATI BESUKI
41 3510161910850003 ACHMAD YANI BANYUWANGI
42 3510166504780005 DEWI APRIYANI BANYUWANGI
43 3510161606740011 RADHITE TRI HANDA BANYUWANGI
44 35101650054840013 ANA MARDIYANA BANYUWANGI
45 3510161512730007 AHMAD SAIFULLOH BANYUWANGI
46 3510165901680006 NUR JANNAH BANYUWANGI
47 3510166505710004 INDRAYANI BANYUWANGI
48 3510161410720002 SUTRISNO BANYUWANGI
49 3510131010740015 SULUR AFANDI BANYUWANGI
50 3510161606980006 MUHAMMAD FAISHAL S BANYUWANGI
51 3510164508030003 PUTRI AYU L BANYUWANGI
52 3175075902020007 SITI MARLINAH BANYUWANGI
53 3510215202030007 CUT IDAH FITRIAH BANYUWANGI
54
55
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 398
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KETERANGAN
JELAS JELAS JELAS JELAS
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 28-7-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

5/5/1993 29 18-30 P JAMBESARI

3/19/1989 33 31-45 L DSN KRAJAN 1
3/11/1976 46 46-59 L PRADAH KALI KENDAL 1
12/17/1977 45 31-45 P PRADAH KALI KENDAL 1
11/3/2003 19 18-30 L PRADAH KALI KENDAL 1
8/23/1996 26 18-30 P SEMPUSARI 2
1/19/1982 41 31-45 L TAMANBARU 1
10/12/1994 28 18-30 P TAMAN BARU 1
4/20/1998 24 18-30 P KRAJAN 3
7/17/1962 60 ≥60 P KRAJAN 3
11/23/1965 57 46-59 P JL MERBABU NO 28
10/12/1989 33 31-45 P JL IKAN TOMBRO LINGK KALIASIN
8/29/1998 24 18-30 L LINGK GESARI 2
4/4/1974 48 46-59 P JL MERBABU NO 28 1
4/18/1990 32 31-45 L JL MH THAMRIN LINGK GESARI 1
4/4/1954 68 ≥60 P
11/16/1999 23 18-30 P PERUM VILLA PESONA TIDAR 4
3/25/1994 28 18-30 P JL SUMBING 1
10/8/1982 40 31-45 P TLOGOSARI 11
3/17/1977 45 31-45 L
7/20/1989 33 31-45 P JL PB SUDIRMAN 1
1/16/1995 28 18-30 L JL SUMBING 1
7/10/1987 35 31-45 L JL PB SUDIRMAN 1
3/31/1999 23 18-30 P PERUM BRAWIJAYA RESIDENCE 4
9/27/1995 27 18-30 L JL TERNATE NO 18
5/27/1981 41 31-45 L PERUM PURI KERTOSARI
11/3/1987 35 31-45 L DONOKERTO 7
11/2/1988 34 31-45 P JL DI PANJAITAN 3
6/16/1994 28 18-30 L DSN KELIR
4/10/1982 40 31-45 L PERUM PESON ATIDAR A 12A 4
4/11/1971 51 46-59 L JL BROMO 2
2/10/1978 45 31-45 L JL BUNYU 3
6/4/2003 19 18-30 P JL BANGKA NO 77 5
8/24/1994 28 18-30 P JL SUMBING SRAWET 2
11/19/1999 23 18-30 P JL TARAKAN 4
9/15/1996 26 18-30 P DSN KARANGANYAR 2
6/2/1989 33 31-45 P PERUM TEGAL BESAR PERMAI
 6/30/1951 71 ≥60 L LINGK JP
1/24/1998 25 18-30 P LIONGK SUKOWIDI 1
10/15/1972 50 46-59 P JL IJEN 2
10/19/1985 37 31-45 L LINGK ANTOGAN 4
4/25/1978 44 31-45 P JL GUNUNG GUMITIR
6/16/1974 48 46-59 L JL GUNUNG GUMITIR
4/10/1984 38 31-45 P JL BRANTAS NPO 37
12/15/1973 49 46-59 L
1/19/1968 55 46-59 P JL CITARUM 2
5/25/1971 51 46-59 P JL GUNUNG AGUNG NO 08
10/14/1972 50 46-59 L JL GUNUNG AGUNG NO 08
10/13/1974 48 46-59 L DSN SUKAN KIDUL 1
6/16/1998 24 18-30 L JL KAPTEN ILYAS 1
8/5/2003 19 18-30 P JL SUMBING 1
2/19/2002 20 18-30 P JL ANDALAS 2
2/12/2003 20 18-30 P JL TIDAR NO 30
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

"RW" NAMA KECAMATAN "NAMA KELURAHAN NO.HP KETERANGAN

(11) (12) (13) (23) (24)

17
4 MUNCAR
3
3
3
3
5
5
2 SILIRAGUNG
1 16 23
16 14

1 16 13
4 16 14
2 16 13

1 16 13
1 16 14
3 BONDOWOSO

10 KEDIRI
1 16 14
10 KEDIRI
3 16 22
16 12
16
8 SBY
1 16 23

1 16 13
2 16 14
1 16 12
1 16 12
2 16 14
2 16 12
2 SEMPU
 16 10
5 21 91
4 16 14
1 21 95
16 14
16 14
16 13

3 16
16 14
16 14
2 GLADAG
3
1 16 14
1 16 14
16 14
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSI
TA

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510162910990002 JURAIS ABDUL GHONI BANYUWANGI

2 3510165410640002 AKMALIYAH BANYUWANGI
3 3510164503690004 MARMAH BANYUWANGI
4 3510161810890004 FERY ANDRIAWAN BANYUWANGI
5 3510162101910009 DIKA ESTIAWAN BANYUWANGI
6 3510166903710004 ANA LUQIANA BANYUWANGI
7 3510161109820007 EDI SUGIYANTO BANYUWANGI
8 3510161011690008 SUYONO BANYUWANGI
9 3510160212000009 MUHAMMAD RIZAL P BANYUWANGI
10 3515171406000004 IMAM RIZAL MAULIDI SIDOARJO
11 3510130507840008 HOLID NURKAHPI BANYUWANGI
12 3510165605760004 RISTIANAH SURABAYA
13 3510214812710002 SITI AMINAH BANYUWANGI
14 3510164812760003 SUJIATI BANYUWANGI
15 3510195606970002 NURPITA AMILIATUL BANYUWANGI
16 3510162709710004 SLAMET ISNAINI BANYUWANGI
17 3510192508910002 MUHAMMAD SARI BANYUWANGI
18 3510160808630006 DJUNAIDI BANYUWANGI
19 3510162305800004 WAHYUDI BANYUWANGI
20 3510215512780001 KAYANI BANYUWANGI
21 3510212707760006 EKO PURWANTO BANYUWANGI
22 3510016004740004 SUPIN SUNDARI BANYUWANGI
23 3510211311800002 KESI PURWANTO BANYUWANGI
24 3510161206740008 ALEH SUDIANA CIAMIS
25 3510165508640003 ASMAWATI BANYUWANGI
26 3510161010640004 M NOOR BANYUWANGI
27 3510205004770005 SUWAROH BANYUWANGI
28 3510160407760002 WARSITO BANYUWANGI
29 3510160802740009 ENDRO MARDIARTO BANYUWANGI
30 3510162706720002 NURYADI BANYUWANGI
31 3510135002920004 ETMY SANJAYA BANYUWANGI
32 3510135010650011 LINDAYANI BANYUWANGI
33 3510160702680002 SUPANDI BANYUWANGI
34 3510211301010003 BAYU ANGGARA BANYUWANGI
35
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37
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 398
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400

KETERANGAN
JELAS JELAS JELAS JELAS
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 29-7-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

10/29/1999 23 18-30 L JL RIAU 4 3

10/14/1964 58 46-59 P JL RINJANI 4 1
3/5/1969 53 46-59 P JL BATUR
10/18/1989 33 31-45 L JL IKAN GURAMI 1 2
1/21/1991 32 31-45 L
3/29/1971 51 46-59 P JL BUNYU
9/11/1982 40 31-45 L
11/10/1969 53 46-59 L KRAJAN 3 3
12/2/2000 22 18-30 L JL RIAU GG PERMATA
6/14/2000 22 18-30 L JL MERAK 6 1
7/5/1984 38 31-45 L PENGATIGAN
5/16/1976 46 46-59 P JL RAUNG 32 4 3
12/8/1971 51 46-59 P KP BARU 4 1
12/8/1976 46 46-59 P JL BRANTAS 1 2
6/18/1995 27 18-30 P DSN GUMUK CANDI 3 4
9/27/1971 51 46-59 L JL BASRA 16 6 6
8/25/1991 31 31-45 L DSN TEGALREJO 2 1
10/18/1962 60 ≥60 L JL ANDALAS NO 19 4 3
5/23/1980 42 31-45 L JL GUNUNG AGUNG NO 24 1 3
12/15/1978 44 31-45 P GG LOMBOK
7/27/1976 46 46-59 L JL TIDORE 4 2
4/20/1974 48 46-59 P DSN RINGINAGUNG 2 3
11/13/1980 42 31-45 L SINGOTRUNAN 6 3
6/12/1974 48 46-59 L LINGK LEREK 1 1
8/15/1964 58 46-59 P JL DI PANJAITAN 107 3 1
10/10/1964 58 46-59 L JL DI PANJAITAN 107 3 1
4/10/1976 46 46-59 P DSN KRAJAN 3 7
7/4/1976 46 46-59 L KINIBALU 2 2
2/8/1974 49 46-59 L JL IKAN MUNGSING 3 3
6/27/1972 50 46-59 L JL BOGOWONTO 4 2
2/10/1992 31 31-45 P DSN JAJANGSURAT 1 4
10/10/1965 57 46-59 P DSN JAJANGSURAT 4 4
2/7/1968 55 46-59 L JL TARAKAN NO 22 4 2
1/13/2001 22 18-30 L JL SEMERU LINGK SUKOWIDI 4 4
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

 NAMA
KECAMATA "NAMA KELURAHAN NO.HP KETERANGAN
N
(12) (13) (23) (24)

16 12
16 14
16 14
16

16 12

16 KEPATIHAN
16 12
SDA
RGJ
16 14
21 92
16 13
SONGGON
16 12
SONGGON
16 14
16 14
21 91
21 91
1
16 14
21
16 23
16 23
20 TEMUASRI
16 14
16 8
16 13
13
13
16 12
21 91
JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510161802860003 FEBRI HADI PRAYOGA BANYUWANGI

2 3510162410780002 BAGUS RONI WIJAYA BANYUWANGI
3 1510166509990002 RESA NUR LAILI BANYUWANGI
4 3510144409930004 SULAIKANAH BANYUWANGI
5 3510162606970004 RIO HUSNUL HAQIQI BANYUWANGI
6 3510162906970005 SLAMET BUDIANTYO BANYUWANGI
7 3510145311850003 DEWI MAULIYA BANYUWANGI
8 3510161808000001 PRAYUDHA MARDIKA BANYUWANGI
9 3510166303700007 SUMIYATI BANYUWANGI
10 3510196606970000 AFISATUL LAILIYAH BANYUWANGI
11 3529254804030001 NUR LISA AULIA SUMENEP
12 3529256105920002 UCI NURBAITI I SUMENEP
13 3510166203910007 DHANIASTY PUTRININGTYAS BANYUWANGI
14 3510214807960001 YULIA LARASWATI BANYUWANGI
15 3510164907950002 CINDY TRIE LESTARI BANYUWANGI
16 3510163006690053 YOYOK AHMADI BANYUWANGI
17 3578161702050007 MOCH RIZAL BANYUWANGI
18 3510164101980005 NURUL PERMATASARI SIDOARJO
19 3510151502740005 IMAM PURWANTO BANYUWANGI
20 3510165110020002 MAUDY OKTAVIANI BANYUWANGI
21 3510214505040004 WAHYU MEDIANA BANYUWANGI
22 3510160307800002 DWI ERIP ROMDANI BANYUWANGI
23 3510163108930001 M RIAN ARI SETYAWAN BANYUWANGI
24 3510164203010002 DWI SETYO NINGRUM BANYUWANGI
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 1-8-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

2/18/1986 36 31-45 L JL BELITUNG GG II 3

10/24/1978 44 31-45 L JL TIDAR 6
9/25/1999 23 18-30 P JL RW MONGISIDI NO 43 4
9/4/1993 29 18-30 P
6/26/1997 25 18-30 L
6/29/1997 25 18-30 L JL IJEN 3
11/13/1985 37 31-45 P DSN KRAJAN 1
8/18/2000 22 18-30 L JL SUMBING NO 26 4
3/23/1970 52 46-59 P LINGK GENTENGAN 3
6/26/1997 25 18-30 P LINGK ROWO 2
4/8/2003 19 18-30 P JL MERBABU 1
5/21/1992 30 18-30 P JL MERBABU INDAH 1
3/22/1991 31 31-45 P JL BASUKI RAHMAT 5
7/8/1996 26 18-30 P JL BOROBUDUR NO 23 4
7/9/1995 27 18-30 P JL BASUKI RAHMAT 5
6/30/1969 53 46-59 L JL MH THAMRIN GESARI 1
12/10/1996 26 18-30 L PERUM PERMATA HUSADA K 109
1/1/1998 25 18-30 P JL SIDOPEKSO NO 35 3
2/15/1974 49 46-59 L JL LAWU I NO 03 1
10/11/2002 20 18-30 P PERUM ROYAL GARDEN BLOK C-15 2
5/5/2004 18 18-30 P SUKOWIDI GG LOMBOK 2
7/3/1980 42 31-45 L JL KRAKATAU III 5
8/31/1993 29 18-30 L JL TIDAR 4
3/2/2001 21 18-30 P KRAJAN 3
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

 KESMAS SINGOTRUNAN
2

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3
"RW" KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(11) (12) (13) (14) (15) (16) (17) (18)

2 16 12 8/1/2022 1
3 16 14 8/1/2022 1
2 16 8/1/2022 1
8/1/2022 1
8/1/2022 1
2 16 14 8/1/2022 1
4 14 8/1/2022 1
2 16 14 8/1/2022 1
2 16 14 8/1/2022 1
1 16 8/1/2022 1
6 16 14 8/1/2022 1
4 16 14 8/1/2022 1
2 16 12 8/1/2022 1
1 16 18 8/1/2022 1
2 16 12 8/1/2022 1
2 16 13 8/1/2022 1
8/1/2022 1
1 16 11 8/1/2022 1
3 16 14 8/1/2022 1
4 16 12 8/1/2022 1
5 21 91 8/1/2022 1
3 16 14 8/1/2022 1
1 16 13 8/1/2022 1
3 8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
8/1/2022 1
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9 BUMIL
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP"
I
(1) (2) (3)

1 3510161909680004 PANJUL SUJARWADI

2 3510161901960006 JIMMY
3 3510211511620001 ASIS GILANG ROMADHON
4 3510162503950008 ERWIN MAULANA HUDA
5 3510211509690001 BUDI EKO N
6 3510166811030001 FITRI KIRANA ZAHRA
7 3510211805040002 PRADIVTAJUAN S
8 3510086306930002 ANA MURTI
9 3510162405940006 MUHAMMAD FARIDL
10 3510161911970001 PRANANDA ARDISTYA
11 3510161212770003 DJATI DWI H
12 3510166712030003 NUR MUSTIKA INDAH P
13 3510161705010003 MUHAMMAD YUDHA P
14 3510144805970004 ANNISA MAHARANI
15 3510161309030004 MOHAMAD ILHAM S
16 3510165509810011 DIANA MARIATI
17 3515182409000006 SANCA MAHAMERU I
18 3510160605970009 MAHESTI BAGAS Y
19 3510161901010003 SAMSUL ARIF
20 3510164509740004 KHOLIFAH
21 3510161912930006 FARIS OKKY M
22 3510214511770004 PUJI ASTUTI
23 3510165212810011 SITI ASIYAH
24 3510162012980002 M AINUN NAJIB R
25 3508011805800003 NUR WAHYUDI
26 3510163108990003 NUR SIFA YASIN
27 3510165109020005 BALQIS
28 3510164303990000 AINI NAFIAH
29 3510216212710001 FAJAR VARIA
30 3509296411920005 NOVI YUSELA
31 3510165011790007 LILIK HARIYATI
32 3510216701030006 HANIFAH AZZAHRA
33 3510160207030004 SYAIKHAH RAHMANIL
34 2172036507020001 TAHNIA
35 3510164710560003 MUZNAH
36 3510161407530002 MOHAMAD NAJIB
37 3510161002600004 MAT HOLIL
38 3512085405060001 LUDIA KHOIRUN NISA
39 3510214501040004 FIFA ROSITA DINI
40 3510165204600004 SITI AMINAH
41 3510165611960002 ANA MUNAILAH K
42 3510160507030002 ANDRI RAHARDIANTO
43 3510164304020003 NANDA ZAITUN N
44 3510167005770005 ISTIMALAH
45 3510163012690002 ABDUL HARIS
46
47
48
49
50
51
52
53
54
55
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 83
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128
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173
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218
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263
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308
309
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316
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353
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391
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393
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395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESM
TANGGAL : 4-8-22

UMUR KELOMPOK "JENIS

"TMPT_LHR" "TGL_LHR" UMUR KELAMIN"

(4) (5) (6) (7) (8)

GRESIK 9/19/1968 54 46-59 L

BANYUWANGI 1/19/1996 27 18-30 L
BANYUWANGI 11/15/1962 60 ≥60 L
BANYUWANGI 3/25/1995 27 18-30 L
BANYUWANGI 9/15/1969 53 46-59 L
BANYUWANGI 11/28/2003 19 18-30 P
BANYUWANGI 5/18/2004 18 18-30 L
BANYUWANGI 6/13/1993 29 18-30 P
BANYUWANGI 5/24/1994 28 18-30 L
BANYUWANGI 11/19/1997 25 18-30 L
BANYUWANGI 12/12/1977 45 31-45 L
BANYUWANGI 12/27/2003 19 18-30 P
BANYUWANGI 5/17/2001 21 18-30 L
BANYUWANGI 5/8/1997 25 18-30 P
BANYUWANGI 9/13/2003 19 18-30 L
BANYUWANGI 9/15/1981 41 31-45 P
SIDOARJO 9/24/2000 22 18-30 L
BANYUWANGI 5/6/1997 25 18-30 L
BANYUWANGI 1/19/2001 22 18-30 L
BANYUWANGI 9/5/1974 48 46-59 P
BANYUWANGI 12/19/1993 29 18-30 L
BANYUWANGI 11/5/1977 45 31-45 P
BANYUWANGI 12/12/1981 41 31-45 P
BANYUWANGI 12/20/1998 24 18-30 L
BANYUWANGI 5/18/1980 42 31-45 L
BANYUWANGI 8/31/1999 23 18-30 L
BANYUWANGI 9/11/2002 20 18-30 P
BANYUWANGI 3/3/1999 23 18-30 P
BANYUWANGI 12/22/1971 51 46-59 L
BANYUWANGI 11/24/1992 30 18-30 P
BANYUWANGI 11/10/1979 43 31-45 P
BANYUWANGI 1/27/2003 20 18-30 P
BANYUWANGI 7/2/2003 19 18-30 P
TANJUNGPINANG 7/25/2002 20 18-30 P
BANYUWANGI 10/7/1956 66 ≥60 P
BANYUWANGI 7/14/1953 69 ≥60 L
BANYUWANGI 2/10/1960 63 ≥60 L
SITUBONDO 5/14/2006 16 0 P
BANYUWANGI 1/5/2004 19 18-30 P
BANYUWANGI 4/22/1960 62 ≥60 P
SUMENEP 11/16/1996 26 18-30 P
BANYUWANGI 7/5/2003 19 18-30 L
BANYUWANGI 4/3/2002 20 18-30 P
BANYUWANGI 5/30/1977 45 31-45 P
BANYUWANGI 12/30/1969 53 46-59 L
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS

 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 4-8-22

JENIS
"ALAMAT" "RT" "RW" NAMA KECAMATAN "NAMA KELURAHAN
PEKERJAAN

(9) (10) (11) (12) (13) (14)

LINGK SINGOWIGNYO 4 3 16 14

DSN KRAJAN 3 3
JL PENATARAN 2 2 16

JL BELITUNG NO 22 16 12

JL MANGGIS 2 3
LINGK SINGOWIGNYO 4 3 16 14

JL PROGO NO 3 1 2 16 16

JL BATUR 3 3 16 14

LINGK SINGOWIGNYO 4 3 16 14

JL KARIMUN JAWA 2 4 16 12
LINGK SUKOWIDI 1 2 21 91

JL SINDORO 4 1 16 14
LINGK TANJUNG 21 91
JL SURATI BARU NO 36
JL RINJANI NO 40 2 2 16 14
JL BASUKI RAHAMT 2 2 16 14
JL ANDALAS 16 14
JL IJEN 16 14
 SITUBONDO
LINGK KAMPUNG BARU 4 3 21 92

KROBOKAN 3 1 16 23
DSN KEJOYO 1 5 KABAT
JL ANDALAS 6 3 16 14
JL ANDALAS 6 3 16 14
JL ANDALAS 6 3 16 14
JELAS JELAS JELAS JELAS JELAS JELAS
 TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES
BPJS TERVAKSIN

(15) (16) (17) (18) (19) (20) (21) (22)

8/4/2022 3 FT5335 PFIZER 9

8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
8/4/2022 3 FT5335 PFIZER 9
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
NO.HP KETERANGAN

(23) (24)
JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

2 3515145504750006 EMA APRILIANA BANYUWANGI

3 3510164306900003 PUTRI WAHYUNINGSIH BANYUWANGI
4 3510166009760003 FARHANA BANYUWANGI
8 3510164308580006 NURHASANAH BANYUWANGI
12 3510204901030006 NESI QURROTUL A BANYUWANGI
14 3510166205920003 PUSPITA DEWI ARUM D BANYUWANGI
24 3510146205940002 NURJANAH BANYUWANGI
25 3510165605650008 SULASTRI BANYUWANGI
26 3510167112990005 RIFA MILANIA N BANYUWANGI
27 351016606600005 ISWANAH BANYUWANGI
31 3510165108030002 DHOMIRO BANYUWANGI
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
UMUR KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

4/15/1975 47 46-59 P
6/3/1990 32 31-45 P JL DEMPO X 3 1
9/26/1976 46 46-59 P
8/3/1958 64 ≥60 P
1/9/2003 20 18-30 P
5/22/1992 30 18-30 P
5/22/1994 28 18-30 P
5/16/1965 57 46-59 P
12/31/1999 23 18-30 P
6/26/1960 62 ≥60 P
8/11/2003 19 18-30 P
JELAS JELAS JELAS JELAS JELAS JELAS
SMAS SINGOTRUNAN
NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

8/8/2022 3 FT5335
16 14 8/8/2022 3 FT5335
8/8/2022 3 FT5335
8/8/2022 3 FT5335
8/8/2022 3 FT5335
8/8/2022 3 FT5335
8/8/2022 3 FT5335
8/8/2022 3 FT5335
8/8/2022 3 FT5335
8/8/2022 3 FT5335
8/8/2022 3 FT5335
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK
MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I

3 3510167110010005 SALSABILA ZARADIVA PUTRI BANYUWANGI

4 3510166801980001 CHYNTIA ZAKIAH FITRI BANYUWANGI
5 3510166602830005 RINTA SARI BANYUWANGI
14 3510027005000005 ALFUL LAILATUN NIKMAH BANYUWANGI
15 3510167006550115 MUSAWANAH BANYUWANGI
16 3510164601640001 NURHAYATI BANYUWANGI
17 3510215802680001 SRI'AH KEDIRI
19 3510166303930005 FITRIA WINATA BANYUWANGI
20 3510165004880004 RISTI RETNO ASIH BANYUWANGI
21 3510165106000005 YUNI NOVITASARI` BANYUWANGI
25 3510165112940001 ROHMANILA ELFIANA BANYUWANGI
26 3573054308630001 ERNI HERAWATI T TULUNGAGUNG
27 357304564940003 SONIA YOVITASARI MALANG
28 3510165407930003 RIMA YULI NURHAYATI BANYUWANGI
29 3510217110000003 LUTHFIA DEWANA S BANYUWANGI
30 3510165706600003 SOLICHAH BANYUWANGI
33 3510164109030002 SEPTIA LAILA W BANYUWANGI
34 3510156712980001 VENA DESTIA PRATIWI BANYUWANGI
38 3509195806930009 SYARIFAH EVA FARHANA BANYUWANGI
39 3510166811900001 SANTI BANYUWANGI
40 3510166602940002 RIA FEBRIYANA BANYUWANGI
41 3510166605020003 PANCA DYAH A BANYUWANGI
42 3510164507020011 KARISMA J BANYUWANGI
43 3510166102960003 FITRI M BANYUWANGI
44 3510236601820001 IKA SUGIHARTATIK BANYUWANGI
45 3510166606990005 NABILA RIANI M BANYUWANGI
46 3510164809950002 CIPTANINGASIH NUR BANYUWANGI
47 3510132605980001 DIKO MAHENDRA BANYUWANGI
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRU
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT"
UMUR KELAMIN"

10/31/2001 21 18-30 P JL KINIBALU II NO 4 3

1/28/1998 25 18-30 P JL KINIBALU II NO 4 3
2/26/1983 39 31-45 P JL SUMBING 1
6/20/1996 26 18-30 P DSN SUKOREJO 1
6/30/1955 67 ≥60 P JL RIAU GG GAFILAS 1
1/6/1964 59 46-59 P JL BANGKA 5
2/18/1968 55 46-59 P LINGK SUKOWIDI 1
3/23/1993 29 18-30 P JL BATUR NO 166 2
4/10/1988 34 31-45 P PERUM GRIYA PERMATA HUSADA E.7
6/11/2000 22 18-30 P JL BATUR NO 166 2
12/11/1994 28 18-30 P JL SUMBING NO 86
8/2/1963 59 46-59 P JL SALAHUTU INDAH 8 4
4/16/1994 28 18-30 P MANGARAN 1
7/14/1993 29 18-30 P DSN WONOSUKO 3
10/31/2000 22 18-30 P PERUM VILLA SUKOWIDI NM 10
6/17/1960 62 ≥60 P GESARI 2
9/1/2003 19 18-30 P JL UDANG WINDU 2
12/27/1998 24 18-30 P JL BARONG NO 438 3
6/18/1993 29 18-30 P JL RINJANI NO 7 1
11/28/1990 32 31-45 P DSN KEPUH WETAN 2
2/26/1994 28 18-30 P JL KARIMUN JAWA GG MANGGA 1
5/26/2002 20 18-30 P JL IKAN PAUS
7/5/2002 20 18-30 P JL BANGKA
2/21/1996 26 18-30 P JL CITARUM
1/26/1982 41 31-45 P JL BARONG
6/26/1999 23 18-30 P JL KRAKATAU 6
9/8/1995 27 18-30 P JL GUNUNG AGUNG 3
5/26/1998 24 18-30 L DSN MADURAN
PUSKESMAS SINGOTRUNAN
NAMA JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3
"RW" "NAMA KELURAHAN BPJS
KECAMATAN PEKERJAAN

1 16 14 8/11/2022 3
1 16 14 8/11/2022 3
2 16 14 8/11/2022 3
7 8/11/2022 3
4 16 12 8/11/2022 3
1 16 12 8/11/2022 3
2 21 91 8/11/2022 3
4 16 14 8/11/2022 3
8/11/2022 3
4 16 14 8/11/2022 3
16 14 8/11/2022 3
11 MALANG 8/11/2022 3
5 SITUBONDO 8/11/2022 3
1 21 8/11/2022 3
21 91 8/11/2022 3
1 16 13 8/11/2022 3
5 16 8/11/2022 3
3 15 8/11/2022 3
3 16 14 8/11/2022 3
2 16 8/11/2022 3
4 16 12 8/11/2022 3
16 8 8/11/2022 3
16 12 8/11/2022 3
16 8/11/2022 3
17 8/11/2022 3
3 16 14 8/11/2022 3
2 16 14 8/11/2022 3
13 8/11/2022 3
 ALASAN TIDAK
NO BATCH MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

202107B1603 SINOPHARM 9
202107B1603 SINOPHARM 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510165302660003 HARIYANI BANYUWANGI

2 3510166701020003 NUR AINI SALSABYLA BANYUWANGI
3 3510166406000003 NABILA DWI MAULANA BANYUWANGI
4 3510086703800008 YUYUN YULIATI BANYUWANGI
5 3510166001020004 AINIA PANCA WULAN DARI BANYUWANGI
6 3510166405030002 DIVA AYU MAULIDISTYA BANYUWANGI
7 3510164210020002 AFIFAH SHABRINA H BANYUWANGI
10 3510164211630003 NURHAYATI BANYUWANGI
13 3510165602870003 DIAN MUTIARANI BANYUWANGI
14 3510214706800008 SANTI RAHAYU BANYUWANGI
17 3510164305620003 HILDA MARIA ULFA BANYUWANGI
18 3510164909030001 ALIVIA SALWA SABILA BANYUWANGI
19 3510166009750003 FIRTIYAH SALEM LUMAJANG
20 3510164904810009 AYU EKA P BANYUWANGI
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT"
UMUR KELAMIN"

(5) (6) (7) (8) (9) (10)

2/13/1966 57 46-59 P JL SAYU GRINGSING KRAJAN 1

1/27/2002 21 18-30 P JL SAYU GRINGSING KRAJAN 1
6/24/2000 22 18-30 P JL MH THAMRIN VILLA BUKIT MAS 4
3/27/1980 42 31-45 P DSN PARIREJO 5
1/22/2002 21 18-30 P JL GUMITIR 4
5/24/2003 19 18-30 P JL MH THAMRIN VILLA BUKIT MAS 3
10/2/2002 20 18-30 P GENTENGAN BARU A.10 KALILO
11/2/1963 59 46-59 P JL BENGAWAN GG KENANGAN NO 3
2/16/1987 36 31-45 P JL SURATI BARU NO 12 3
6/7/1980 42 31-45 P GRIYA KLATAK ASRI 4
5/3/1962 60 ≥60 P
9/9/2003 19 18-30 P JL MH THAMRIN GENTENGAN BARU
9/20/1975 47 46-59 P JL BASUKI RAHMAT GG CEMPAKA 3
4/9/1981 41 31-45 P JL DEDALI PUTIH NO 25 3
SKESMAS SINGOTRUNAN
NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3
"RW" KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(11) (12) (13) (14) (15) (16) (17) (18)

3 16 23 8/15/2022 3
3 16 23 8/15/2022 3
2 16 13 8/15/2022 3
1 SRONO 8/15/2022 3
2 16 14 8/15/2022 3
5 16 13 8/15/2022 3
16 13 8/15/2022 3
16 8/15/2022 3
1 16 10 8/15/2022 3
1 21 91 8/15/2022 3
8/15/2022 3
16 13 8/15/2022 3
2 16 16 8/15/2022 3
2 16 11 8/15/2022 3
 ALASAN TIDAK
NO BATCH MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3578101802820004 ALBERTUS CANDI S SURABAYA

3 3510032102000004 AHMAD ALFIAN M BANYUWANGI
5 3510130712890004 MOHAMMAD DAMA BANYUWANGI
9 3510161011570005 SUYITNO BANYUWANGI
10 3510162012950005 DWI NUR CAHYO BANYUWANGI
12 3510160802780008 KARDONO WIJAYA BANYUWANGI
15 3510160710030001 ABDUL AZIZUR RAHMAN BANYUWANGI
16 3510162508950003 MOH INDRA BUDI C BANYUWANGI
18 3510162010030006 WILDANIAR KAHLIL G BANYUWANGI
19 3510162402930004 CATUR FEBRIANTO BANYUWANGI
21 IFTIHAD MAULANA AKBAR BANYUWANGI
22 3510161205030001 ARCHA NANDA DEWANTARA BANYUWANGI
23 3510162908620001 HAINURI BANYUWANGI
25 3510162207980007 RACHMAT KURNIAWAN P BANYUWANGI
29 630103206600001 SYAIFUL BASIR BANYUWANGI
30 3510162003630002 BAMBANG HERI PURNOMO BANYUWANGI
33 3510162811980007 DERI NOVERTA N BANYUWANGI
35 3510150402840002 IMAM FAUZI BANYUWANGI
38 3510162201680001 HASIKIN BANYUWANGI
41 3510160405680008 WAHYUDI BANYUWANGI
42 3510160202610002 TEMON BANYUWANGI
47 3510161001730000 DRAJAD UTOMO BANYUWANGI
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT"
UMUR KELAMIN"

(5) (6) (7) (8) (9)

2/18/1982 41 31-45 L JL LEO 54

2/21/2001 21 18-30 L
12/7/1989 33 31-45 L PERUM BRAWIJAYA RESIDENCE
11/10/1957 65 ≥60 L JL LAWU II GG SENYUM
12/20/1995 27 18-30 L JL KALILO
2/8/1978 45 31-45 L JL BANTERANG NO 27
10/7/2003 19 18-30 L JL BANGKA LINGK KBJ
8/25/1995 27 18-30 L
10/20/2003 19 18-30 L
2/24/1993 29 18-30 L JL GUMITIR
123 ≥60 L LINGK SMB
5/12/2003 19 18-30 L PERUM GRIYA HUSADA BLOK C 7
8/29/1962 60 ≥60 L
7/22/1998 24 18-30 L JL ANDALAS
6/26/1960 62 ≥60 L JL HIDAYAH
3/20/1963 59 46-59 L PW
11/8/1998 24 18-30 L KP MELAYU
2/4/1984 39 31-45 L DSN SALAKAN
1/22/1968 55 46-59 L JL SAYU WIWIT
5/4/1968 54 46-59 L JL BANTERANG BARU
2/2/1961 62 ≥60 L KP MELAYU
1/10/1973 50 46-59 L PATEMON WETAN
JELAS JELAS JELAS JELAS
VID-19 PUSKESMAS SINGOTRUNAN
NAMA JENIS TANGGAL VAKSIN PENTAHAPAN
"RT" "RW" "NAMA KELURAHAN BPJS
KECAMATAN PEKERJAAN

(10) (11) (12) (13) (14) (15) (16) (17)

6 6 SBY 8/18/2022
8/18/2022
4 3 16 8/18/2022
16 14 8/18/2022
1 4 16 13 8/18/2022
16 10 8/18/2022
5 1 16 12 8/18/2022
8/18/2022
8/18/2022
4 2 16 14 8/18/2022
2 1 16 16 8/18/2022
17 8/18/2022
8/18/2022
5 3 16 14 8/18/2022
8/18/2022
1 1 16 10 8/18/2022
8/18/2022
1 1 8/18/2022
1 3 16 10 8/18/2022
2 1 16 10 8/18/2022
16 10 8/18/2022
16 10 8/18/2022
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 ALASAN TIDAK
VAKSIN-3 NO BATCH MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(18) (19) (20) (21) (22) (23) (24)

3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
3 FT5335 PFIZER 9
JELAS JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510166808770003 SITI ROCHIMAH BANYUWANGI

2 3510166012660004 SUDARSIH WAHYUNIJATI BANYUWANGI
3 3510164801910003 NIA HANDAYANI BANYUWANGI
4 3510164210650002 SRI MURNI A BANYUWANGI
5 3510116911950002 SELVIANA EKA FRANSISKA BANYUWANGI
6 8204074411860002 TRI NINGRUM NOVALIA BANYUWANGI
7 3510215409970001 SEPTI FAUZIA BANYUWANGI
8 3510211207670001 R TOERWENDI JOELI BANYUWANGI
9 3510165512870001 HANI NARULITA A BANYUWANGI
10 3510145702940001 ILMA PRIMADANI BANYUWANGI
11 3510166001890003 HERLIA RISDA SUNARTA BANYUWANGI
12 3510214808880001 GITA AGUSTINA CIAMIS
13 3510165908660004 SITI RAHMAWATI BANYUWANGI
14 3510165402910001 NUR ADINDA BANYUWANGI
15 3510066010920004 EKA PUJI LESTARI BANYUWANGI
16 3510074808900005 USWATUN HASANAH BANYUWANGI
17 3510164504730009 ANITA ARISTYANI BANYUWANGI
18 3510166304810007 DIAN ROSALINDA W SBY
19 3510165206690001 DR. HUSNUL MUFIDATI SUMENEP
20 3510166106900001 NUR ROSITA BANYUWANGI
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL :

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

8/28/1977 45 31-45 P JL MH THAMRIN GG MAWAR

12/20/1966 56 46-59 P PERUM KERTANEGARA B 11
1/8/1991 32 31-45 P JL PENATARAN BLOK MANGGIS 1 3
10/2/1965 57 46-59 P JL IJEN 3 4
11/29/1995 27 18-30 P DSN TEGALPAKIS 4 5
11/4/1986 36 31-45 P ASMIL INGGRISAN JL DIPONEGORO NO 5
9/14/1997 25 18-30 P KLATAK
7/12/1967 55 46-59 L PERUM GGM BLOK B/21
12/15/1987 35 31-45 P LINGK SMB 2 1
2/17/1994 28 18-30 P DSN KRAJAN 3 5
1/20/1989 34 31-45 P JL KEPITING 7B 3 3
8/8/1988 34 31-45 P JL RANGGAWUNI 3 1
8/19/1966 56 46-59 P JL LETKOL ISTIQLAH
2/14/1991 32 31-45 P JL BOROBUDUR
10/20/1992 30 18-30 P PERUM GRIYA PESONA
8/8/1990 32 31-45 P DSN NGADIREJO 6 1
4/5/1973 49 46-59 P JL SUMBING
4/23/1981 41 31-45 P JL RINJANI 4 3
6/12/1969 53 46-59 P JL BENGAWAN NO 57 2 2
6/21/1990 32 31-45 P JL AIRLANGGA I 1 1
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

 NAMA
KECAMATA "NAMA KELURAHAN NO.HP KETERANGAN
N
(12) (13) (23) (24)

16 13
16
16 18
16 14

16
21 91
21 91
16 16
14
16
16
16 16
16
16 8
PURWOHARJO
16 14
16 14

16
JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510164311940004 IRMA NOVIANTI BANYUWANGI

2 351016270672000 MULYONO BANYUWANGI
3 3510166812010005 DWI ULI SUSANTI BANYUWANGI
4 3510164704710004 HALIMAH SUMENEP
5 3510162606710003 M.UNTUNG BANYUWANGI
6 3321032101970005 MUHAMMAD ARIF R BANYUWANGI
7 3510160310030005 ALFARIQSYACH BANYUWANGI
8 '3510162310620002 JOKO SUNITO BANYUWANGI
9 35101666810030001 DINY SALSABILLAH MALAKIANO BANYUWANGI
10 3510165105000002 ANUR UMIFAH BANYUWANGI
11 3510164606760002 MUSRIFAH TULUNG AGUNG
12 3510161910590001 DAMANHURI BANYUWANGI
13 3510161906760002 SUKARYANTO BANYUWANGI
14 3510160102600005 BUANG SUWARSO BANYUWANGI
15 3510164506910003 ERMA SYAFITRI BANYUWANGI
16 3510160201000007 KRISNA RO HARFIANSYAH BANYUWANGI
17 3510166101810007 DWI HARTATIK BANYUWANGI
18 3510161808510005 SUWITO BANYUWANGI
19 3510160607010002 MUHAMMAD ANDI KAUSAR BANYUWANGI
20 3510164505730004 NUR AINI BANYUWANGI
21 3510176612510002 SUNDARI BANYUWANGI
22 3510161005020004 HEIDY MEGA ABIMANYU BANYUWANGI
23 3510214812720004 SULISTYANING DYAH SINTA BANYUWANGI
24 3510210905030005 ABIMANYU RADYA MAHESA BANYUWANGI
25 3510205512790003 ISTIRIYAH BANYUWANGI
26 3510162008000001 M.SULTHON ARIFI BANYUWANGI
27 3273222310950002 EDRICK LEMUEL GUNAWAN
28 3510165501990002 NANDA FITRI AMALIA BANYUWANGI
29 3510165002620003 AZIZAH BANYUWANGI
30 3508194107880094 ARHAMA LUMAJANG
31 3510160108900009 SLAMET BBANGUN BANYUWANGI
32 3507205604840003 JUMAIYAH MALANG
33 3510165112970008 YOHANA DEVITAYATI BANYUWANGI
34 3509196610840003 YERMINA OCTAVIA BANYUWANGI
35 3510162207970004 RIZAL SURYA PRATAMA BANYUWANGI
36 3510167006570075 SITI ABSAH BANYUWANGI
37 3510162309870002 VERDIAN SUSIANTO BANYUWANGI
38 3510165407660005 ENI YULIASTUTI BANYUWANGI
39 3510165206770003 HARIYATI BANYUWANGI
40 3510215210990001 DEWI NURUL M BANYUWANGI
41 3510134511030005 IKA SABINA HOIRUNNISA BANYUWANGI
42 3510162103030004 WILLY ANDIKA YOANDA BANYUWANGI
43
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 398
399
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KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 22-8-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

11/3/1994 28 18-30 P
6/27/1972 50 46-59 L JL TERNATE 3 3
12/28/2001 21 18-30 P KBJ 5 3
4/7/1971 51 46-59 P KBJ 5 3
6/26/1971 51 46-59 L KBJ 5 3
1/10/1997 26 18-30 L
10/3/2003 19 18-30 L JL MH THAMRIN 2 5
10/23/1962 60 ≥60 L GAPLEK 1 1
10/26/2003 19 18-30 P JL MH THAMRIN 1 1
5/11/2000 22 18-30 P JL MH THAMRIN 4 2
6/6/1976 46 46-59 P JL MH THAMRIN 4 2
11/29/1959 63 ≥60 L JL DI PANJAITAN 3 1
6/19/1976 46 46-59 L JL SIDOPEKSO 3 2
2/10/1960 63 ≥60 L
6/5/1991 31 31-45 P JL DENPASAR 1 2
1/2/2000 23 18-30 L JL OPAK 1 1
1/21/1981 42 31-45 P JL KARIMUN JAWA 5 4
8/18/1951 71 ≥60 L JL ANDALAS 3 3
7/6/2001 21 18-30 L KBJ 1 1
5/5/1973 49 46-59 P
12/26/1951 71 ≥60 P JL GAJAH MADA 2 2
5/10/2002 20 18-30 L JL KALILO 3 2
12/8/1972 50 46-59 P JL DURIAN 1 1
5/9/2003 19 18-30 l JL DURIAN 1 1
12/15/1979 43 31-45 P DSN PARIREJO
8/20/2000 22 18-30 L JL DI PANJAITAN 2 2
10/3/1995 27 18-30 L
1/15/1999 24 18-30 P KWANGSAN SEDATI
2/10/1962 61 ≥60 P JL BANGKA 2 1
3/21/1988 34 31-45 P JL SUMBING 3 2
8/1/1989 33 31-45 L
4/16/1984 38 31-45 P DSN GENDOGO 2 1
12/11/1997 25 18-30 P JL KARIMUN JAWA 2 4
10/26/1984 38 31-45 P JL LUMBA LUMBA 3 2
7/22/1997 25 18-30 L JL BELITUNG 3 2
6/7/1957 65 ≥60 P
9/30/1987 35 31-45 P
 7/14/1966 56 46-59 P JL MENDUT 3 1
6/12/1977 45 31-45 P JL MH THAMRIN
10/12/1999 23 18-30 P KRAJAN 2 1
11/5/2003 19 18-30 P DSN KRAJAN 1 3
3/21/2003 19 18-30 L JL PROGO
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

ESMAS SINGOTRUNAN

NAMA JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH

"NAMA KELURAHAN BPJS
KECAMATAN PEKERJAAN

(12) (13) (14) (15) (16) (17) (18) (19)

8/22/2022 3 FT5335
16 14 8/22/2022 3 FT5335
16 12 8/22/2022 3 FT5335
16 12 8/22/2022 3 FT5335
16 12 8/22/2022 3 FT5335
8/22/2022 3 FT5335
16 13 8/22/2022 3 FT5335
BAKUNGAN 8/22/2022 3 FT5335
16 13 8/22/2022 3 FT5335
16 13 8/22/2022 3 FT5335
16 13 8/22/2022 3 FT5335
16 23 8/22/2022 3 FT5335
16 11 8/22/2022 3 FT5335
8/22/2022 3 FT5335
21 91 8/22/2022 3 FT5335
16 16 8/22/2022 3 FT5335
16 12 8/22/2022 3 FT5335
16 14 8/22/2022 3 FT5335
16 12 8/22/2022 3 FT5335
8/22/2022 3 FT5335
8/22/2022 3 FT5335
16 14 8/22/2022 3 FT5335
21 91 8/22/2022 3 FT5335
21 91 8/22/2022 3 FT5335
8/22/2022 3 FT5335
16 12 8/22/2022 3 FT5335
8/22/2022 3 FT5335
8/22/2022 3 FT5335
16 12 8/22/2022 3 FT5335
16 13 8/22/2022 3 FT5335
8/22/2022 3 FT5335
MLNG 8/22/2022 3 FT5335
16 12 8/22/2022 3 FT5335
JEMBER 8/22/2022 3 FT5335
16 12 8/22/2022 3 FT5335
8/22/2022 3 FT5335
8/22/2022 3 FT5335
16 18 8/22/2022 3 FT5335
16 16 8/22/2022 3 FT5335
21 95 8/22/2022 3 FT5335
RGJ 8/22/2022 3 FT5335
16 16
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510074509940005 LIDYA SEPTYANA PUTRI BANYUWANGI

2 3510166512670003 METI CRIESTIEN ASTIWI BANYUWANGI
3 3510192006740004 MARTONO BANYUWANGI
4 3510160702660003 WINANTO BANYUWANGI
5 3510164709700004 YULIANA WAHYU ASTUTI BANYUWANGI
6 3510161206650005 WAWAN SUBAGIO BANYUWANGI
7 3510173112680001 UDIK SUKADANI BANYUWANGI
8 3510165005670005 DIAN KARTIKANININGDYA BANYUWANGI
9 3510175804670002 NIAMAH SUDARWIATI BANYUWANGI
10 3510211209670003 M.AINUDDIN BANYUWANGI
11 3510132512690003 WAWAN PRAYITNO BANYUWANGI
12
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128
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218
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263
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308
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353
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361
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378
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380
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382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 22/8/22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

9/5/1994 28 18-30 P PERUM PURI BRAWIJAYA 3 4

12/25/1967 55 46-59 P JL ANDALAS 4 3
6/20/1974 48 46-59 L
2/7/1966 57 46-59 L
9/7/1970 52 46-59 P
6/12/1965 57 46-59 L JL ANDALAS 3 3
12/31/1968 54 46-59 L BOYOLANGU
5/10/1967 55 46-59 P JL RIAU
4/18/1967 55 46-59 P PERUM GRIYA PERMATA HUSADA
9/12/1967 55 46-59 L PERUM VILLA SUKOWIDI BLOK F11 1 4
12/25/1969 53 46-59 L DSN KEDUNEN 3 5
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

SMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 20 8/22/2022 3 FT5335
16 14 8/22/2022 3 FT5335
8/22/2022 3 FT5335
8/22/2022 3 FT5335
8/22/2022 3 FT5335
16 14 8/22/2022 3 FT5335
8/22/2022 3 FT5335
16 12 8/22/2022 3 FT5335
8/22/2022 3 FT5335
21 91 8/22/2022 3 FT5335
8/22/2022 3 FT5335
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510166712740002 SRI WAHYUNI BANYUWANGI

2 5207024502850009 NURINA PURNAMASARI BANYUWANGI
3 3510166303900004 ASTARI MARULLYTA BANYUWANGI
4 3510050601930001 AHMAD HISYAM ASARI BANYUWANGI
5 BANYUWANGI
6 BANYUWANGI
7 BANYUWANGI
8 BANYUWANGI
9 BANYUWANGI
10 BANYUWANGI
11 BANYUWANGI
12
13
14
15
16
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
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 23/8/22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

12/27/1974 48 46-59 P KALILO PERUMNAS 4 5

2/5/1985 38 31-45 P
3/23/1990 32 31-45 P JL BOROBUDUR 3 1
1/6/1993 40 31-45 L KEDUNGREJO 3 3
41 31-45 L
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

SMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 13 8/23/2022 1 FT5335
8/23/2022 1 FT5335
16 18 8/23/2022 1 FT5335
MUNCAR 8/23/2022 1 FT5335
8/23/2022 1 FT5335
8/23/2022 1 FT5335
8/23/2022 1 FT5335
8/23/2022 1 FT5335
8/23/2022 1 FT5335
8/23/2022 1 FT5335
8/23/2022 1 FT5335
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

2 3510165108690005 HAYINAH BANYUWANGI

6 35101154306900002 SALLY NURMALASARI BANYUWANGI
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
UMUR KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

8/11/1969 53 46-59 P JL MH THAMRIN 3 5

6/3/1990 32 31-45 P JL RAYA LICIN 3 2
SMAS SINGOTRUNAN
NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 13 8/23/2022 1 FT5335
8/23/2022 1 FT5335
ALASAN TIDAK
MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER
PFIZER
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510165101930002 RINA DWI A BANYUWANGI

2 3513050805880001 HERMAN ARISKA A PROBOLINGGO
3 3510135010890005 IKA SRI WAHYUNI BANYUWANGI
4 3510130205930002 EKO HARI WIBOWO BANYUWANGI
5 3510160405750006 ACHMAD YUNUS S BANYUWANGI
6 3510150808680008 HADI SUTOYO BANYUWANGI
7 BANYUWANGI
8 BANYUWANGI
9 BANYUWANGI
10 BANYUWANGI
11 BANYUWANGI
12
13
14
15
16
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
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 25/8/22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

1/11/1993 30 18-30 P LINK KLATAKAN 5 1

5/8/1988 34 31-45 L DSN KRAJAN 2 2
10/10/1989 33 31-45 P DSN CANGKRING 3 1
5/2/1993 40 31-45 L ROGOJAMPI
5/4/1975 41 31-45 L PERUM AGUS SALIM
8/8/1968 54 46-59 L DSN KRAJAN 1 1
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

SMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-4 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

KLATAK 8/25/2022 4 FT5335

KABAT 8/25/2022 4 FT5335
RGJ 8/25/2022 4 FT5335
8/25/2022 4 FT5335
8/25/2022 4 FT5335
15
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PF
PF
PF
PF
PF
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

8 3510167010000002 MAYSA FAUZI BANYUWANGI

10 3510164611990001 DEVI INTAN BANYUWANGI
11 3510164412000002 MIRANDA AMILIA BANYUWANGI
12 3510164909580005 USNIYA BANYUWANGI
13 3510165809690002 INDAH SUWARNI BANYUWANGI
15 3510166512980001 DESSY VEVIANA DITA S BANYUWANGI
16 3510166104000006 ZARWANDA ASFARINA BANYUWANGI
17 3510166807910004 TRI UTAMI BANYUWANGI
19 3510166506830009 LISANA AUFIYA BANYUWANGI
20 3510166003030004 NABILA BALQIS BANYUWANGI
21 3510164408780004 WINHARNENI BANYUWANGI
22 3510165303670001 JAMILA ACHMADI BANYUWANGI
23 3510164507570007 FAHMI HILMIYAH BANYUWANGI
24 3510214403000005 DINA PRATIWI BANYUWANGI
28 3510166503890001 HANNY WAHYUDEBIA BANYUWANGI
29 3510165605020002 MALAK MUFLIHA BANYUWANGI
34 3515074607510002 KUATI SURABAYA
35 3510165501980007 ADHIK DWI RHAMADHANI BANYUWANGI
36 3510164205680006 KANA EMIAWANTI BANYUWANGI
38 3510165909810005 HELFA WAHYU BANYUWANGI
39 3510166011840008 NURONIA BANYUWANGI
41 3510166904010001 QORINATUL HUSNAH BANYUWANGI
42 3510215107830004 TUTUS FITRIANI BANYUWANGI
44 3510176606540001 MALIANA MUNTU BANYUWANGI
49 3510167006640163 MISRI BANYUWANGI
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
UMUR KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

10/30/2000 22 18-30 P JL. BUNYU 4 1

11/25/1999 23 18-30 P JL AGUNG WILIS 2 2
12/4/2000 22 18-30 P JL RAUNG 29 4 3
9/9/1958 64 ≥60 P JL KARIMUN JAWA 18 5 4
9/18/1969 53 46-59 P SINGOMAYAN BARAT 2 2
12/25/1998 24 18-30 P JL KYAI SALEH 71 2 3
4/21/2000 22 18-30 P JAKARTA BARAT
7/28/1991 31 31-45 P LINK PW 2 2
6/25/1983 39 31-45 P JL MALABAR 6 2 1
3/20/2003 19 18-30 P JL KALILO 58 2 3
8/4/1978 44 31-45 P LINGK KALILO 2 3
3/13/1967 55 46-59 P JL RINJANI 37 4 1
7/4/1958 64 ≥60 P JL RINJANI 39 4 1
3/4/2000 22 18-30 P KALIPURO
3/25/1989 33 31-45 P JL MENDUT VX
5/16/2002 20 18-30 P JL BANGKA 91 5 1
7/6/1951 71 ≥60 P SIDOARJO
1/15/1998 25 18-30 P JL BROMO
5/2/1968 54 46-59 P JL BROMO
9/19/1981 41 31-45 P JL RIAU 2 3
11/20/1989 33 31-45 P
4/29/2001 21 18-30 P JL KH ASYARI
7/11/1983 39 31-45 P JL GUMITIR 4 2
6/26/1954 68 ≥60 P JL RADEN WIJAYA GIRI
6/30/1964 58 46-59 P JL BROMO 34 1 2
SMAS SINGOTRUNAN
NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 12 8/25/2022 3 FT5335
16 11 8/25/2022 3 FT5335
16 14 8/25/2022 3 FT5335
16 12 8/25/2022 3 FT5335
16 16 8/25/2022 3 FT5335
16 15 8/25/2022 3 FT5335
8/25/2022 3 FT5335
16 10 8/25/2022 3 FT5335
16 14 8/25/2022 3 FT5335
16 13 8/25/2022 3 FT5335
16 13 8/25/2022 3 FT5335
16 14 8/25/2022 3 FT5335
16 14 8/25/2022 3 FT5335
8/25/2022 3 FT5335
16 TAMANBARU 8/25/2022 3 FT5335
16 12 8/25/2022 3 FT5335
8/25/2022 3 FT5335
16 14 8/25/2022 3 FT5335
16 14 8/25/2022 3 FT5335
16 23 8/25/2022 3 FT5335
8/25/2022 3 FT5335
16 TK KAYU 8/25/2022 3 FT5335
16 14 8/25/2022 3 FT5335
8/25/2022 3 FT5335
16 14 8/25/2022 3 FT5335
ALASAN TIDAK
MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PF 083853538928
PF 085807811990
PF -
PF
PF 081336605390
PF
PF
PF
PF 087743444654
PF
PF
PF
PF
PF 085648545738
PF
PF
PF
PF 083852264700
PF 085330646296
PF
PF
PF
PF
PF
PF
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510166210850003 YOHANA OKVIANITA BANYUWANGI

2 3578184903770001 STEPHANIE DEVI A BANYUWANGI
3 3504096208930002 MAULINA HARI P BANYUWANGI
4 3510164706890002 YOTA F BANYUWANGI
5 3510160812790007 EKO HARIS PRAYOGO BANYUWANGI
6 3573051607910007 MUHAMMAD FAISAL A MALANG
7 3510070603760005 SETIYO BUDI TJAHYA P BANYUWANGI
8 3510165703770001 ERNA SETYOWATI BANYUWANGI
9 3510245510820005 EVY WAHYUNINGSIH BANYUWANGI
10 3510162607700002 ABDULLAH ZAINI BANYUWANGI
11 3510164206740002 HAMIDATUL MUHTAROH H NGANJUK
12 3510096402670001 ANDRIYANI HAMZAH BANYUWANGI
13 3510166212750003 ESTIANA SRI BANYUWANGI
14 3510166705700006 HIMMATUN ALIYAH BANYUWANGI
15 3510154211890002 NOPY ULANDARI BANYUWANGI
16 3510142012780007 ARDIYANTO BANYUWANGI
17 3510145304790002 MALA DEWI MIKAWATI BANYUWANGI
18 3510154105910002 MAYA FAHMI P BANYUWANGI
19 3510210908890006 RIFKY GUSTAMA MULYA SERANG
20 3510132104730004 HANIPAN BANYUWANGI
21 3510056707970009 JUSENDRYN MIWA A BANYUWANGI
22 3510165508730009 ANNISA NURUL H BANYUWANGI
23 3510167005920002 ZIHAN MEIDINA BANYUWANGI
24 3510175008890001 DIAN PUTRI WARDHANI BANYUWANGI
25 3510105804920004 WINDY APRILINA S BANYUWANGI
26 3510166609730001 RAHAYU SISWATI NGANJUK
27 3510144309760002 FRIDA HERDYANA JEMBER
28 3510071009760008 MOHAMAD ZAENI BANYUWANGI
29 3510160907770003 BONAJI KEDIRI
30 3510086105970001 DAYU ANGGRAINI BANYUWANGI
31 3510160509850002 ROCHMAN AFANDI BANYUWANGI
32 3510161602010002 MOHAMMAD FEBRIYADI F BANYUWANGI
33 3510076803910001 SITI UZULUL Q TULUNGAGUNG
34 3510020204980003 DANI ALFIAN ANWARI BANYUWANGI
35 3510163103950006 YOGA SUWARDIWAN BANYUWANGI
36 3510080402670005 WAWAN PURNAWAN BREBES
37 3510161503730013 AMRULLOH BANYUWANGI
38 3510161002880001 DENIS HIDAYAT BANYUWANGI
39 3510140701910004 LUGIS SLAMET J BANYUWANGI
40 5207030903820001 DONY WIGUNARTO BANYUWANGI
41 3510176510760002 WIWIK WIKAYATI BANYUWANGI
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
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65
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71
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74
75
76
77
78
79
80
81
82
 83
84
85
86
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94
95
96
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98
99
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103
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108
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110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 29-8-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

10/22/1985 37 31-45 P
3/9/1977 45 31-45 P
8/22/1993 29 18-30 P JL KALIMAS NO 31
6/7/1989 33 31-45 P JL BENGAWAN 4 3
12/8/1979 43 31-45 L PERUM BANYUWANGI BARU BLOK 5 2
7/16/1991 31 31-45 L PERUM ISTANA CAKALANG KAV 3 6 6
3/6/1976 46 46-59 L DSN TREMBELANG 6 1
3/17/1977 45 31-45 P JL KH WAHID HASYIM 4 1
10/15/1982 40 31-45 P DSN KRAJAN 3 2
7/26/1970 52 46-59 L JL ANDALAS NO 22 B 3 3
6/2/1974 48 46-59 P JL IKAN WIJINONGKO LINGK 1 3
2/24/1967 55 46-59 P DSN CANGAAN 1 9
12/22/1975 47 46-59 P LINGK GAPLEK 2 2
5/27/1970 52 46-59 P PERUM GGM 5 4
11/2/1989 33 31-45 P DSN WATU ULO 2 2
12/20/1978 44 31-45 L
4/13/1979 43 31-45 P PERUM KALIREJO PERMAI 3 3
5/1/1991 31 31-45 P DSN SALAKAN 1 1
8/9/1989 33 31-45 L PERUM BINA MARGA 4 1
4/21/1973 49 46-59 L DSN PUSPAN 2 1
7/27/1997 25 18-30 P DSN KRAJAN 2 11
8/15/1973 49 46-59 P JL IKAN SEPAT NO 10 3 3
5/31/1992 30 18-30 P JL PAJAJARAN GG IV 5 3
8/10/1989 33 31-45 P LINGK MOJOROTO 1 3
4/18/1992 30 18-30 P DSN SIDOLUHUR 1 3
9/26/1973 49 46-59 P JL LETKOL ISTIQLAH 2 5
9/3/1976 46 46-59 P PERUM KALIREJO PERMAI 5 3
9/10/1976 46 46-59 L DSN YOSOWINANGUN 5 2
7/9/1977 45 31-45 L PERUM BANYUWANGI BARU BLOK 5 2
5/21/1997 25 18-30 P DSN KRAJAN WETAN 3 3
9/5/1985 37 31-45 L JL LETNAN SULAIMAN NO 31 2 2
2/16/2001 21 18-30 L JL TUNGGUL AMETUNG BLOK A 2 3
3/28/1991 31 31-45 P DSN SUMBEREJO 6 2
4/2/1998 24 18-30 L DSN SUKOREJO 2 6
3/31/1995 27 18-30 L JL AGUNG WILIS NO 31 2 1
2/4/1967 56 46-59 L DSN SRONO 2 5
3/15/1973 49 46-59 L JL KH THOHA 2 2
 2/10/1988 35 31-45 L PERUM GRIYA PESONA
1/7/1991 32 31-45 L DSN DADAPAN 2 1
3/9/1982 40 31-45 L DSN KRAJAN 3 1
10/25/1976 46 46-59 P PERUM GRIYA PERMATA HUSADA 4 6
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
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#REF! #REF!
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

SMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-4 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
16 16 8/29/2022 4 FT5335
16 8/29/2022 4 FT5335
MALANG 8/29/2022 4 FT5335
8/29/2022 4 FT5335
16 8/29/2022 4 FT5335
LICIN 8/29/2022 4 FT5335
16 14 8/29/2022 4 FT5335
16 8/29/2022 4 FT5335
9 8/29/2022 4 FT5335
8/29/2022 4 FT5335
21 91 8/29/2022 4 FT5335
15 8/29/2022 4 FT5335
8/29/2022 4 FT5335
14 8/29/2022 4 FT5335
15 8/29/2022 4 FT5335
16 8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
16 8 8/29/2022 4 FT5335
16 8/29/2022 4 FT5335
17 47 8/29/2022 4 FT5335
8/29/2022 4 FT5335
16 16 8/29/2022 4 FT5335
14 8/29/2022 4 FT5335
8/29/2022 4 FT5335
16 8/29/2022 4 FT5335
8/29/2022 4 FT5335
16 8/29/2022 4 FT5335
16 8/29/2022 4 FT5335
GAMBIRAN 8/29/2022 4 FT5335
8/29/2022 4 FT5335
16 11 8/29/2022 4 FT5335
8/29/2022 4 FT5335
16 8/29/2022 4 FT5335
16 8 8/29/2022 4 FT5335
14 8/29/2022 4 FT5335
8/29/2022 4 FT5335
17 8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
8/29/2022 4 FT5335
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510214412990002 DESY ALFIANDA BANYUWANGI

2 3510164604980004 SELLA MAHARANI BANYUWANGI
3 3510214105720005 SULISTYOWATI BANYUWANGI
4 5271064507680002 IR. EMY KURNIAWATI BANYUWANGI
5 3510164201730002 WARSI HIDAYATI BANYUWANGI
6 3575010305780001 ROBY IRAWAN PASURUAN
7 3509314910810001 RUT CENDANI SETIA B SITUBONDO
8 3510164604680006 SULASTRI BANYUWANGI
9 3510160808650013 MOHAMMAD ANGSORIK BANYUWANGI
10 3510160112770003 SLAMET RIYANTO BANYUWANGI
11 3510166505700008 NUNUNG BANYUWANGI
12 3510161605030001 WIDURA HASTA SASANGKA BANYUWANGI
13 3510212108010001 HERU LULUK SETIYAWAN BANYUWANGI
14 3510167003030008 VIRGINIA ROSSY BUNGA BANYUWANGI
15 3510164212010003 ADELIA DESI AMITHA BANYUWANGI
16 3510165906820002 HALIMATUN NUROWIYAH BANYUWANGI
17 3510164709810001 IRFIN SAPTANINGRUM BANYUWANGI
18 3510160410550002 SUROSO BANYUWANGI
19 3509096907940004 FAIS ZATHUR ROSIDA BANYUWANGI
20 3510166406970005 DWI CITRA INDRIANA BANYUWANGI
21 3510166408610002 NAIMAH BANYUWANGI
22 3510160106940005 ISMIYANTO BANYUWANGI
23 3510165104970005 KHOLIFATUR ROHMAH BANYUWANGI
24 3510165010840010 SULIS SETIYOWATI BANYUWANGI
25 3510214310010003 HAVIN PUSPITASARI BANYUWANGI
26 3510162107780002 SUDARSONO BANYUWANGI
27 3510167006530143 SIFAK BANYUWANGI
28 3510164607810004 SIYAM RAHMADANI BANYUWANGI
29 3510211103810006 KHAIRODIN BANYUWANGI
30 3510163105690002 SUPARNA MADIUN
31 3510161906990003 RAMA ARISANDI BANYUWANGI
32 3512064911850002 TITIS TRI WULANDARI BANYUWANGI
33 3510165806810001 PALUPI TYAS UTAMI BANYUWANGI
34 3510166709720005 RAHMAWATI BANYUWANGI
35 3510164403890001 ERNA SILFIYANA BANYUWANGI
36 3510211507000004 ABDILLAH FATHU MUBAROK BANYUWANGI
37 3510164204740010 YETI APRILINA BANYUWANGI
38 3510165604920002 MERLYNA UCI CAHYANTI BANYUWANGI
39 3510160802000001 YOGIANSO TRI PANGESTU BANYUWANGI
40 3510165607720005 LUTFIATUL KOMAR BANYUWANGI
41 3506174307760002 RITA YULIANTININGSIH BANYUWANGI
42 3510165006020005 SALSABILA FARAH RIFAT SAID BANYUWANGI
43 3510162609010004 SEPTA KURNIA PUTRA BANYUWANGI
44 351021470920005 NINIK ARTIYANI BANYUWANGI
45 3510164610850002 INDRI RAHMAWATI BANYUWANGI
46 3510162507840005 GUGUS CATUR PRAMONO BANYUWANGI
47 3510213101830005 AHMAD HUMAMUL H JEMBER
48 3510215704010002 MUJIANA BANYUWANGI
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
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73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 29-8-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

12/4/1999 23 18-30 P BRAK KALIPURO

4/6/1998 24 18-30 P JL MERBABU NO 7 4 3
5/1/1972 50 46-59 P LINGK SUKOWIDI 5 5
7/5/1968 54 46-59 P JL BASUKI RAHMAT NO 92 5 2
1/2/1973 50 46-59 P JL KINIBALU NO 13 5 3
5/3/1978 44 31-45 L JL RAYA KALIRUNGKUT NO 5 3 3
11/9/1981 41 31-45 P JL RAYA KALIRUNGKUT NO 5 3
4/6/1968 54 46-59 P JL KINIBALU NO 13 2 4
8/8/1965 57 46-59 L JL KARIMUN JAWA 2 4
12/1/1977 45 31-45 L JL BANGKA 4 1
5/25/1970 52 46-59 P JL BROMO NO 106 GESARI 2 1
5/16/2003 19 18-30 L LINGK GENTENGAN 4 3
8/21/2001 21 18-30 L LINGK BRAK 2 1
3/30/2003 19 18-30 P JL KALILO NO 21 1 4
12/2/2001 21 18-30 P JL KRAKATAU 6 3
6/19/1982 40 31-45 P JL BELITUNG NO 3 3 2
9/7/1981 41 31-45 P PERUM VILLA PESONA TIDAR CC 4 1
10/4/1955 67 ≥60 L
7/29/1994 28 18-30 P JL ANDALAS NO 64 2 1
6/24/1997 25 18-30 P JL GUMITIR 4 2
8/24/1961 61 ≥60 P JL RIAU GG KYAI SALEH
6/1/1994 28 18-30 L JL GUMITIR 4 2
4/11/1997 25 18-30 P JL RINJANI 4 3
10/10/1984 38 31-45 P JL RIAU GG KYAI SALEH 4 2
10/3/2001 21 18-30 P DSN SELOGIRI 3 5
7/21/1978 44 31-45 L JL RIAU 3 2
6/30/1953 69 ≥60 P JL KINIBALU NO 3 3 1
7/6/1981 41 31-45 P JL RIAU NO 13 3 2
3/11/1981 41 31-45 L DSN WONOSOBO 3 1
5/31/1969 53 46-59 L JL SUMBING 4 3
6/19/1999 23 18-30 L JL SUMBING 4 2
11/9/1985 37 31-45 P JL SUMBING NO 77
6/18/1981 41 31-45 P PERUM SEKAR BAKUNG
9/27/1972 50 46-59 P JL BELITUNG NO 3 3 2
3/4/1990 32 31-45 P JL BELITUNG GG II 3 2
7/15/2000 22 18-30 L DSN SELOGIRI 3 4
4/2/1974 48 46-59 P JL.MAYOR SUPONO 2 8
4/16/1992 30 18-30 P GTG 4 3
2/8/2000 23 18-30 L GTG 4 3
7/16/1972 50 46-59 L JL.CILIWUNG 18 4 2
7/3/1976 46 46-59 P VGM C23 5 3
5/28/2002 20 18-30 P JL.DR.SOETOMO 47 2 1
9/26/2001 21 18-30 P JL.BENGAWAN GG KENANGA 18 2 1
9/7/1972 50 46-59 P VGM 5 3
10/6/1985 37 31-45 P JL.KALILO 17 1 1
7/25/1984 38 31-45 L JL.KALILO 17 1 1
1/31/1983 40 31-45 L SUKOWIDI
4/17/2001 21 18-30 P DSN SUMBEREJO 3 1
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

SMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

21 8/29/2022 3 FT5335
16 14 8/29/2022 3 FT5335
21 91 8/29/2022 3 FT5335
16 12 8/29/2022 3 FT5335
16 14 8/29/2022 3 FT5335
SBY 8/29/2022 3 FT5335
SBY 8/29/2022 3 FT5335
16 12 8/29/2022 3 FT5335
16 12 8/29/2022 3 FT5335
16 12 8/29/2022 3 FT5335
16 13 8/29/2022 3 FT5335
16 16 8/29/2022 3 FT5335
21 91 8/29/2022 3 FT5335
16 13 8/29/2022 3 FT5335
16 14 8/29/2022 3 FT5335
16 12 8/29/2022 3 FT5335
16 13 8/29/2022 3 FT5335
8/29/2022 3 FT5335
16 14 8/29/2022 3 FT5335
16 14 8/29/2022 3 FT5335
16 12 8/29/2022 3 FT5335
16 14 8/29/2022 3 FT5335
16 14 8/29/2022 3 FT5335
16 12 8/29/2022 3 FT5335
21 97 8/29/2022 3 FT5335
16 23 8/29/2022 3 FT5335
16 14 8/29/2022 3 FT5335
16 23 8/29/2022 3 FT5335
21 8/29/2022 3 FT5335
16 14 8/29/2022 3 FT5335
16 14 8/29/2022 3 FT5335
16 14 8/29/2022 3 FT5335
8/29/2022 3 FT5335
16 12 8/29/2022 3 FT5335
16 12 8/29/2022 3 FT5335
21 97 8/29/2022 3 FT5335
16 16 8/29/2022 3 FT5335
 16 16 8/29/2022 3 FT5335
16 16 8/29/2022 3 FT5335
16 PANDEREJO 8/29/2022 3 FT5335
16 16 8/29/2022 3 FT5335
16 PENGANJURAN 8/29/2022 3 FT5335
16 16 8/29/2022 3 FT5335
16 16 8/29/2022 3 FT5335
16 16 8/29/2022 3 FT5335
16 16 8/29/2022 3 FT5335
21 91 8/29/2022 3 FT5335
SRONO KEPUNDUNG 8/29/2022 3 FT5335
8/29/2022 3 FT5335
8/29/2022 3 FT5335
8/29/2022 3 FT5335
8/29/2022 3 FT5335
8/29/2022 3 FT5335
8/29/2022 3 FT5335
8/29/2022 3 FT5335
8/29/2022 3 FT5335
8/29/2022 3 FT5335
8/29/2022 3 FT5335
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VA

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510172808480003 BUDHI SETIAWAN A BANYUWANGI

2 3510176806490002 TENG KIEM TJOE RRC
3 3510172303820004 ANDY IRAWAN BANYUWANGI
4 3510161106650006 UNTUNG SAHUNI BANYUWANGI
5 3510166611920002 MAFILLATUL ROHMANINAH BANYUWANGI
6 3510164805980005 MARIA DONA K BANYUWANGI
7 3510160301040005 ANANDA RIZAL P BANYUWANGI
8 3510166607690002 YULIATIN BANYUWANGI
9 3510164406030005 FADIA YUNISTIRA BANYUWANGI
10 3510162410910002 INDRA AGUS B BANYUWANGI
11 3510162110850005 SUYONO BUDI SANTOSO BANYUWANGI
12 3374130305930001 AHMAD BAHARUDIN BANYUWANGI
13 3510160504870006 WISNU WIDODO BANYUWANGI
14 3510166811000003 NOFITA ARYANI R BANYUWANGI
15 3510216012860001 DEVI RATNAWATI BANYUWANGI
16 3510164902700004 NUR HANDAYANI BANYUWANGI
17 3505090103570001 PUJI PITOYO BANYUWANGI
18 3510162901630001 IRIYANTO BANYUWANGI
19 3510216008880001 SARIMAWATI BANYUWANGI
20 3510190710950001 SETIA PURNAMA BANYUWANGI
21 3578056804960002 NIN DYA TRIYANAJAYA BANYUWANGI
22 3510161808900007 AGUS FAUZI BANYUWANGI
23 3510211604420001 HUSEIN BANYUWANGI
24 3510166809970001 SAFIRA KARTIKA S BANYUWANGI
25 3510144505890000 PONIATI BANYUWANGI
26 3320144507780004 LIS SETYOWATI BANYUWANGI
27 3510211112690005 MOHAMMAD IKROM BANYUWANGI
28 3510162404030004 DARELL ATHAYA D BANYUWANGI
29 3510162404030005 FARREL ATHAYA DAFFA BANYUWANGI
30 3510155903000002 YULITAWATI BANYUWANGI
31 3510161207960004 RIKKI YULIANTO BANYUWANGI
32 3510164504810009 SITI NUR LAILI BANYUWANGI
33 3510162007010007 LUQMAN HAKIM SUPRIYADI BANYUWANGI
34 3510164307980004 SYAFIKA BANYUWANGI
35 3510166408800001 HUSMAYANTIN BANYUWANGI
36 3510141301860003 ROSY IFTON BANYUWANGI
37 3574040306900001 ANIGA AHMAD PROBOLINGGO
38 3510205102850003 RULI HARIYATI BANYUWANGI
39 3510211706740012 USNIANTO BANYUWANGI
40 3510163103960002 TIKO ALAMSYAH BANYUWANGI
41 3510164712710003 ASANAH DWI YANTI BANYUWANGI
42 3510161008830004 AGUS SANTOSO BANYUWANGI
43 3510166103820008 ROHIMAH BANYUWANGI
44 3510161611920003 AJI SANTOSO BANYUWANGI
45 3510165201630005 FARIDA ARIYANI BANYUWANGI
46 3510163006620067 USMAN BANYUWANGI
47 3508155608950004 KHOLIFA BANYUWANGI
48 3510206808980002 YULIANA SUGIARTI AMBON
49 3510110505020002 IBNUFIRMANSAYH BANYUWANGI
50 3510160705620002 SUNARTO TULUNGAGUNG
51 3510045705940001 ARIN KARISTIN BANYUWANGI
52 3510206210960005 ARI TRI WULANDARI BANYUWANGI
53 3510166506750007 TITIK KULMAWATI BANYUWANGI
54 3510162506770006 KASIONO BANYUWANGI
55 3510160312030002 NADHIF KURNIA PURBAWISESA BANYUWANGI
56 3510167006630184 UNTUNG BANYUWANGI
57 3510125611670002 WIWIK DWI ASTUTI BANYUWANGI
58 3510211202730008 HERI NURHARIRI BANYUWANGI
59 3510164110760005 PARISIYAH BANYUWANGI
60 3510165206620015 SUCIATI BANYUWANGI
61 3510163007530004 MAT HALIL BANYUWANGI
62 3510161112030002 MOH.TEGAR PRAKOSO BANYUWANGI
63
64
65
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308
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353
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383
384
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386
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 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 1-9-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

8/22/1948 74 ≥60 L JL HAYAM WURUK NO 14 1

6/28/1949 73 ≥60 P JL HAYAM WURUK NO 14 1
3/23/1982 40 31-45 L JL HAYAM WURUK NO 14 1
6/11/1965 57 46-59 L JL KRAKATAU 6
11/26/1992 30 18-30 P JL TERNATE 5
5/8/1998 24 18-30 P SRITANJUNG 3
1/3/2004 19 18-30 L LINGK KRAJAN 3
7/26/1969 53 46-59 P JL IJEN 3
6/4/2003 19 18-30 P JL BANGKA NO 77 5
10/24/1991 31 31-45 L KBJ 1
10/21/1985 37 31-45 L
5/3/1993 29 18-30 L PAMULARSIH BARAK
4/5/1987 35 31-45 L JL IJEN
11/28/2000 22 18-30 P JL BROMO GG PURNAMA 2
12/20/1986 36 31-45 P JL RIAU GG GAFILAS 1
2/9/1970 53 46-59 P JL IJEN 2
3/1/1957 65 ≥60 L DSN KAMBANGAN 4
1/29/1963 60 ≥60 L JL IJEN 2
8/20/1988 34 31-45 P LATENG
10/7/1995 27 18-30 P DSN KRAJAN 2
4/28/1996 26 18-30 P DSN KRAJAN 2
8/18/1990 32 31-45 L
4/16/1942 80 ≥60 L JL TIDORE 3
9/28/1997 25 18-30 P LETKOL ISTIQLAH GG MAWAR
5/5/1989 33 31-45 P LINGK GOMBENGSARI 1
7/5/1978 44 31-45 P CEPOGO 2
12/11/1969 53 46-59 L LINGK KALIPURWO
4/24/2003 19 18-30 L JL AGUNG WILIS NO 45 2
4/24/2003 19 18-30 L JL AGUNG WILIS NO 45 2
3/19/2000 22 18-30 P KALILO 2
7/11/1996 26 18-30 L KALILO 2
4/5/1981 41 31-45 P JL IKAN SADAR 1
7/20/2001 21 18-30 L JL DI PANJAITAN NO 10
7/3/1997 25 18-30 P JL BANGKA NO 77 1
8/24/1980 42 31-45 P JL KARIMUN JAWA 1
1/13/1986 37 31-45 L DSN DONOSUKO 1
6/3/1990 32 31-45 L JL BANGKA 1
 2/11/1984 39 31-45 P JL IJEN 3
6/17/1973 49 46-59 L SELOGIRI 2
3/31/1996 26 18-30 L SRITANJUNG 2
12/7/1971 51 46-59 P JL BATUR UTARA 3
8/10/1983 39 31-45 L JL IJEN 3
3/21/1982 40 31-45 P JL BANGKA NO 79
11/16/1992 30 18-30 L JL TERNATE 5
1/12/1963 60 ≥60 P JL MH THAMRIN 1
6/30/1962 60 ≥60 L JL KARIMUN JAWA GG BELIMBING
8/16/1998 24 18-30 P JL BANGKA 5
8/28/1998 24 18-30 P DSN NGANJUKAN 2
5/5/2002 20 18-30 L DSN TEGALPAKIS 6
5/7/1962 60 ≥60 L JL IKAN GURITA 2
5/17/1994 28 18-30 P DAMBUNTUNG 6
6/11/1996 26 18-30 P DSN NGANJUKAN 7
6/25/1975 47 46-59 P LINGK KRAJAN 1
6/25/1977 45 31-45 L LINGK KRAJAN 1
12/3/2003 19 18-30 L JL SERAYU 1
6/30/1963 59 46-59 L JL.BENGAWAN GG KENANGA 40
11/16/1967 55 46-59 P JL.MONGOSIDI 4 4
2/12/1973 50 46-59 L PERUM PESONA TIDAR 4
10/1/1976 46 46-59 P PERUM PESONA TIDAR 4
5/2/1962 60 ≥60 P JL.KALILO 1
7/30/1963 59 46-59 L JL.BENGAWAN GG KENANGA 40 3
12/11/2003 19 18-30 L
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

 NAMA
"RW" KECAMATA "NAMA KELURAHAN NO.HP KETERANGAN
N
(11) (12) (13) (23) (24)

5 17 47
5 17 47
5 17 47
3 16 14
3 16 12
1 16 11
3 16 23
4 16 14
1 16 12
1 16 12

SEMARANG
16 14
2 16 14
4 16 12
4 16 14
8 BLITAR
4 16 14
16 12
2 SONGGON
2 SONGGON

2 21 91

2 21
8 JEPARA

2 16 11
2 16 11
3 16 13
3 16 13
1 16 8
16 10
2 16 12
4 16 12
2
2 16 12
4 16 14
3 21 97
3 16 11
3 16 14
4 16 14
16 12
3 16 12
1 16 13
16 12
1 16 12
4 SEMPU
2 KALIBARU
1 16 8
2 TEGALDLIMO
3 TEGALDLIMO
3 16 23
3 16 23
1 16
16 16
1 16 TUKANGKAYU
1 16 13
1 16 13
3 16 13
1 16 16
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN
NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

2 3510166703820006 HAPPY INDAH KRISTINA BANGKALAN

6 3510177108570002 MIRA CARLINA BANYUWANGI
10 3510164306040001 ADELIA SUHENDRO BANYUWANGI
11 3510165505800010 NASIKA BANYUWANGI
13 3510166709000002 AIMI SUKMA LESTARI BANYUWANGI
16 3510165001710001 SUSI YURIDA IRAWAN KLATEN
17 3510164510550003 SIATI BANYUWANGI
19 3510166904990004 DINDA HARDINATA BANYUWANGI
20 3510164106530011 ASTUTIK BANYUWANGI
23 3510166811680004 HJ ILMIYAH BANYUWANGI
24 3510164303620005 HAISAH BANYUWANGI
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
UMUR KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

3/27/1982 40 31-45 P
8/31/1957 65 ≥60 P
6/3/2004 18 18-30 P JL KOLONEL SUGIONO NO 4 2 3
5/15/1980 42 31-45 P MULYOSARI 1 2
9/7/2000 22 18-30 P TUKANGKAYU 1 2
1/10/1971 52 46-59 P JL TIDAR 4 1
10/5/1955 67 ≥60 P JL KARIMUN JAWA NO 22
4/29/1999 23 18-30 P JL ANDALAS 2 1
6/1/1953 69 ≥60 P JL ANDALAS NO 11
11/28/1968 54 46-59 P JL DI PANJAITAN 2 1
3/3/1962 60 ≥60 P JL BANTERANG 3 2
 NAMA
KECAMATA "NAMA KELURAHAN NO.HP KETERANGAN
N
(12) (13) (23) (24)

16

16 13
16 12
16 14
16 14
16 10
16 10
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510164508690005 SITI ROHTATIK BANYUWANGI

2 3510163006670082 ADIMIN BANYUWANGI
3 3510162212620002 SUMARDI BANYUWANGI
4 3510211303970001 IMAMUL FIKRI BANYUWANGI
5 3510165408690002 RAMSIANI MALANG
6 3510161710710004 MUHAMAD FAUSIY BANYUWANGI
7 3510161509960003 VICKY FIRDAUS BANYUWANGI
8 3510165605600001 ENY FARIYATI BANYUWANGI
9 3510161605900004 RIDUAN BUDI UTOMO BANYUWANGI
10 3510161705970004 REVIN INDI S BANYUWANGI
11 3510164606680013 MAIMUNAH BANYUWANGI
12 3510167105980005 DIVA GIOFANNY BANYUWANGI
13 3510165207560003 LILIEK TIWI S TULUNGAGUNG
14 3510165508780002 ISLAMIYAH BANYUWANGI
15 3510165407660004 WIRI YANTI BANYUWANGI
16 351016056403760001 RETNO WULANDARI BLITAR
17 3510150303870002 LASIYANTO BANYUWANGI
18 3509276406860005 ERLIA YUNI TRI W BANYUWANGI
19 3510164404700008 SUMINI MARINI YOGYAKARTA
20 3509094506990004 HERLINA JEMBER
21 3509117101030003 IZZATUH AFKARINA JEMBER
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 8-9-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

8/5/1969 53 46-59 P JL ANDALAS 6 3

6/30/1967 55 46-59 L JL IJEN 2 4
12/22/1962 60 ≥60 L JL KAPTEN ILYAS ILYAS 1 1
3/13/1997 25 18-30 L DSN BANJAR WARU 1 2
8/14/1969 53 46-59 P JL RIAU 10 3 1
10/17/1971 51 46-59 L JL BENGAWAN GG KENANGA
9/15/1996 26 18-30 L JL NIAS NO 16A 1 1
5/16/1960 62 ≥60 P JL RANGGAWUNI 3 1
5/16/1990 32 31-45 L JL BELITUNG
5/17/1997 25 18-30 P PERUM MENDUT HIJAU AA23
6/6/1968 54 46-59 P JL TERNATE NO 52 4 3
5/31/1998 24 18-30 P JL SUMBING NO 73 2 2
7/12/1956 66 ≥60 P PERUM KETAPANG 6 3
8/15/1978 44 31-45 P JL BROMO 1 3
2/14/1966 57 46-59 P JL RINJANI NO 48
3/24/1974 48 46-59 P DSN NGROBYONG 3 1
4/5/1987 35 31-45 P LINGK TEMBAKON 1 1
6/24/1986 36 31-45 P JL BROMO 2 3
4/4/1970 52 46-59 P JL KH HARUN 2 3
7/30/2000 22 18-30 P DSN KRAJAN 3 5
1/31/2003 20 18-30 P DSN KRAJAN 5 1
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

ESMAS SINGOTRUNAN

NAMA JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH

"NAMA KELURAHAN BPJS
KECAMATAN PEKERJAAN

(12) (13) (14) (15) (16) (17) (18) (19)

16 14 9/8/2022 3 FT5335
16 14 9/8/2022 3 FT5335
16 16 9/8/2022 3 FT5335
9/8/2022 3 FT5335
16 12 9/8/2022 3 FT5335
9/8/2022 3 FT5335
16 12 9/8/2022 3 FT5335
16 22 9/8/2022 3 FT5335
16 9/8/2022 3 FT5335
9/8/2022 3 FT5335
16 12 9/8/2022 3 FT5335
16 14 9/8/2022 3 FT5335
9/8/2022 3 FT5335
16 14 9/8/2022 3 FT5335
16 14 9/8/2022 3 FT5335
9/8/2022 3 FT5335
15 9/8/2022 3 FT5335
16 14 9/8/2022 3 FT5335
16 9/8/2022 3 FT5335
JEMBER 9/8/2022 3 FT5335
JEMBER 9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022 3 FT5335
9/8/2022
9/8/2022
9/8/2022
9/8/2022
9/8/2022
9/8/2022
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

2 3510174510700004 SUWANA BANYUWANGI

3 3517104511800001 SITI ZUMROTUL L BANYUWANGI
4 3512135603600001 JAMILA BANYUWANGI
5 6402046502660001 HETTY NURHAYATI BANYUWANGI
6 3510165510680001 HARTINI BANYUWANGI
7 3510217010550002 SETYO RAHAYU BANYUWANGI
8 3510214410880003 TRIANA OKTAVIA BANYUWANGI
9 3510166610820003 OKVI SUMANTI BANYUWANGI
11 3510164602970007 IZATI RAUDYA T BANYUWANGI
12 3510165212420002 HJ BONIYEM MADIUN
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
KELOMPOK "JENIS
"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
UMUR KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

10/5/1970 52 46-59 P LINGK KRAJAN 1 1

11/5/1980 42 31-45 P JL KARIMUN JAWA GG JAMBU
3/16/1960 62 ≥60 P JL WALET LINGK PLAMPANG 1 1
2/25/1966 56 46-59 P JL POH GADING NO 888
10/15/1966 56 46-59 P JL MALABAR 3 1
10/30/1955 67 ≥60 P PERUM VILLA BUKIT MAS T 06
10/4/1988 34 31-45 P PERUM VBM 4 2
10/26/1982 40 31-45 P JL KARIMUN JAWA GG SUKUN 3 4
2/6/1997 26 18-30 P JL BROMO NO 74 3 3
12/12/1942 80 ≥60 P JL BROMO NO 74 3 3
SMAS SINGOTRUNAN
NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

17 47 9/12/2022 3 FT5335
16 12 9/12/2022 3 FT5335
16 9/12/2022 3 FT5335
9/12/2022 3 FT5335
16 14 9/12/2022 3 FT5335
9/12/2022 3 FT5335
16 13 9/12/2022 3 FT5335
16 12 9/12/2022 3 FT5335
16 14 9/12/2022 3 FT5335
16 14 9/12/2022 3 FT5335
ALASAN TIDAK
MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510214903650003 NI WAYAN SERINADI DENPASAR

2
3
4
5
6
7
8
9
10
11
12
13
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19
20
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38
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 83
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128
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173
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218
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263
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308
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353
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383
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385
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391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 12-9-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

3/9/1965 57 46-59 P PERUM GGM

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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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#REF! #REF!
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123 ≥60
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 123 ≥60
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123 ≥60
#REF! #REF!
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

SMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

21 91 9/12/2022 4 FT5335
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3515175108960001 ALYA IMTIYAZ W BWI

2 3520054305030001 SHANTIKA AMEYLIA PRASTE BWI
3 3510172410950003 Ahmad Syarifudin Baharsyah BWI
4 3510164806710005 Sugiyati BWI
5 3510162110020004 Faturrohman Pramana Putra BWI
6 351016411100006 Jihan Madina BWI
7 3510160703860003 Rusdi BWI
8 3510166602020001 Zalsabilla Febrina Putri BWI
9 3510166511770002 K. Noormala Sari BWI
10 7271014208960001 AMALIA RASYID BWI
11 3510164901710003 SUPARTINI BWI
12 3510165510650005 SUPARTINI BWI
13 3509200205980001 DANDI ADI S BWI
14 3510160710990001 MIFTAH H A BWI
15 3512115105030001 MEIDITA MAULIDIA SITUBONDO
16 3509154411980001 ENI SOFI YANTI BWI
17 3510165412560001 MASITA BWI
18 3510166012650002 SUHARININGSIH BWI
19 3510163009980001 DERI OKTAVIANTO PRAMONO BWI
20 3510162806580001 SUKARIYANTO KEDIRI
21 3510166511880002 IRA NOVITA SARI BWI
22 3510161607860003 AJIBENI YUSUF BWI
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
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 83
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95
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123
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127
128
129
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132
133
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135
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173
174
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218
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263
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301
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308
309
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312
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316
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318
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320
321
322
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333
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351
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353
354
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357
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360
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364
365
366
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370
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380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 15-9-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

8/11/1996 26 18-30 P SINGOTRUNAN

5/3/2003 19 18-30 P DESA HADAH
24/10/1995 #VALUE! #VALUE! L SINGOTRUNAN
8/6/1971 51 46-59 P Jl Ijen 2
10/21/2002 20 18-30 L JL RINJANI
11/1/2000 22 18-30 P Jl Bangka No 55
3/7/1986 36 31-45 L Jl Bangka No 55
2/26/2002 20 18-30 P Jl Kapten Ilyas No 66
11/25/1977 45 31-45 p Jl Kapten Ilyas No 66
8/2/1996 26 18-30 P JL PAMULARSIH BARAT VII/8
1/9/1971 52 46-59 P JL RIAU GG BERLIAN NO 50 2
10/15/1965 57 46-59 P JL RIAU GG BERLIAN NO 50 2
5/2/1998 24 18-30 L PATRANG
10/7/1999 23 18-30 L JL PAJAJARAN IV NO 15
5/11/2003 19 18-30 P KP TUNGGUL GUNUNG
11/4/1998 24 18-30 P DSN KRAJAN
12/14/1956 66 ≥60 P JL IKAN MAS NO 49 2
12/20/1965 57 46-59 P JL IKAN MAS NO 49 4
9/30/1998 24 18-30 L JL IKAN KAKAP NO 10B 3
6/28/1958 64 ≥60 L JL KEMBANG WARU NO 9 4
11/25/1988 34 31-45 P PERUM KEBALENAN INDAH
7/16/1986 36 31-45 L
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

-19 PUSKESMAS SINGOTRUNAN
: 15-9-22

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3

"RW" NAMA KECAMATAN "NAMA KELURAHAN BPJS
PEKERJAAN

(11) (12) (13) (14) (15) (16) (17) (18)

16 14 9/15/2022 3
17 51 9/15/2022 3
16 14 9/15/2022 3
4 16 14 9/15/2022 3
16 14 9/15/2022 3
16 12 9/15/2022 3
16 12 9/15/2022 3
16 16 9/15/2022 3
16 16 9/15/2022 3
9/15/2022 3
3 16 12 9/15/2022 3
3 16 12 9/15/2022 3
JEMBER 9/15/2022 3
16 9/15/2022 3
SITUBONDO 9/15/2022 3
JEMBER 9/15/2022 3
2 16 8 9/15/2022 3
3 16 8 9/15/2022 3
3 16 8 9/15/2022 3
3 16 8 9/15/2022 3
9/15/2022 3
9/15/2022 3
9/15/2022 3
9/15/2022 3
9/15/2022 3
9/15/2022 3
9/15/2022 3
9/15/2022 3
9/15/2022 3
9/15/2022 3
9/15/2022 3
9/15/2022 3
9/15/2022 3
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

FT5335 PFIZER 9 085923180844

FT5335 PFIZER 9 089603095379
FT5335 PFIZER 9 087878755288
FT5335 PFIZER 9 082332582522
FT5335 PFIZER 9 081252013681
FT5335 PFIZER 9 087701386998
FT5335 PFIZER 9 081934219419
FT5335 PFIZER 9 083142613168
FT5335 PFIZER 9 081334945044
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
FT5335 PFIZER 9
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510164807940001 DEWI LESTARI BANYUWANGI

2 3510131104990004 ANDIKA YOGI MAULANA BANYUWANGI
3 3510160909500005 YUSUF BANYUWANGI
4 3173051401820005 DEDY SUPRIYATNO JAKARTA
5 3510160301990004 DIMAS NICO A BANYUWANGI
6 3510165207750007 YULI FATMA WIJAYANTI BANYUWANGI
7 3510160708000002 M.NUR CAHYO IFANI BANYUWANGI
8 3510162703040002 ERIKSA PRAKOSO PUTRA BANYUWANGI
9 3373045606800001 TITI NURHAYATI BANYUWANGI
10 3578084107820002 FAUZIAH ZEHAN SURABAYA
11 3510180404990006 LUKI IRAWAN BANYUWANGI
12 JUMINAH
13 3510162005770001 EDY SUWANDONO BANYUWANGI
14 3517101601780001 SYARIF BURHANUDIN CILACAP
15 3510213006650143 MOHAMAD RONI BANYUWANGI
16 3510167007670009 ENI YULIASTUTI BANYUWANGI
17 3510162909010002 ZAIM LAHMADI BANYUWANGI
18 3509185702850001 LIDIA MISTIKA JEMBER
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
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
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190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
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274
275
276
277
278
279
280
281
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283
284
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286
287
288
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290
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292
293
294
295
296
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298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
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379
380
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382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 19-9-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

7/8/1994 28 18-30 P JL IKAN TOMBRO 2 1

6/11/1999 23 18-30 L DSN SUSUKAN KIDUL 1 2
9/9/1950 72 ≥60 L JAJANG PENATU 2 2
1/14/1982 41 31-45 L WATU ULO 2 2
1/3/1999 24 18-30 L JL BATUR 3 3
7/12/1975 47 46-59 P JL BROMO 3 2
8/7/2000 22 18-30 L JL MERBABU 2 4
3/27/2004 18 18-30 L JL KAPTEN ILYAS 3 2
6/16/1980 42 31-45 P PERUM VILLA SUKOWIDI 1 4
7/1/1982 40 31-45 P JL BANGKA 4 1
4/4/1999 23 18-30 L
123 ≥60
5/20/1977 45 31-45 L JL BROMO 1 3
1/16/1978 45 31-45 L JL KARIMUN JAWA 3 4
6/30/1965 57 46-59 L JL MAHONI
7/30/1967 55 46-59 P JL SEKARDALU 2 2
9/29/2001 21 18-30 L JL BELITUNG 4 2
2/17/1985 38 31-45 P PERUM BAWEAN-SUKOWIDI 2 2
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

SMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 KRJ 9/19/2022 3 FT5335

RGJ GLADAK 9/19/2022 3 FT5335
16 10 9/19/2022 3 FT5335
GLGAH BAKUNGAN 9/19/2022 3 FT5335
16 14 9/19/2022 3 FT5335
16 14 9/19/2022 3 FT5335
16 14 9/19/2022 3 FT5335
16 16 9/19/2022 3 FT5335
9/19/2022 3 FT5335
16 12 9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
16 14 9/19/2022 3 FT5335
16 12 9/19/2022 3 FT5335
21 PESUCEN 9/19/2022 3 FT5335
16 10 9/19/2022 3 FT5335
16 12 9/19/2022 3 FT5335
21 KLATAK 9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022 3 FT5335
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
9/19/2022
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9 BARU BISA DI ENTRY TGL 09/10/22
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
A DI ENTRY TGL 09/10/22
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510170212970001 DONI DWI SANDIKA BANYUWANGI

2 3510084310790003 ISTIKOMAH BANYUWANGI
3 3510172901490002 DRS. MOCH KIROMAN M BANYUWANGI
4 3510177112550001 SITI DJAMIELAH BANYUWANGI
5 3510162007000003 HAIRUL UMAM BASYIR BANYUWANGI
6 5102054303020001 REHANNUR KHOIRIYAH BANYUWANGI
7 3510164911970007 IRA NOVITA SARI BANYUWANGI
8 3508145305870001 LISFATIN CHASANAH BANYUWANGI
9 3510163006640050 BUSAIRI BANYUWANGI
10 3510166704690001 VITA VIDIA BANYUWANGI
11 3510054810990005 UMI NAIMAH BANYUWANGI
12 3510160703910004 BENI LUKMAN HAKIM BANYUWANGI
13 3510166412650001 SRI RAHAYU BANYUWANGI
14 3510162803660002 YUDO PRAYITNO BANYUWANGI
15 3510161212630004 HERI PRABOWO BANYUWANGI
16 3510085701880003 ISTI MUNAWAROH BANYUWANGI
17 3510166506000003 INDAH ROYANU BANYUWANGI
18 3510172302640002 ACHMAD SURIPNO BANYUWANGI
19 3510120201000002 RIA ERNA SARI BANYUWANGI
20 3510166206580001 LILIK YUNI HARIYATI BANYUWANGI
21 3510165308990004 SYAFIRA LATIFAH BANYUWANGI
22 3510176707810002 LINA BUDIARTI BANYUWANGI
23 3510162501630002 M TAUFIK BANYUWANGI
24 3510164907750010 SUMARIYAH BANYUWANGI
25 3510174406720003 KHOSIDAH BANYUWANGI
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 22-9-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

12/2/1997 25 18-30 L JL MH THAMRIN NO 265A 1 1

10/3/1979 43 31-45 P JL BATUR NO 17 1 1
1/29/1949 74 ≥60 L JL MAWAR 3 2
12/31/1955 67 ≥60 P JL MAWAR 3 2
7/20/2000 22 18-30 L JL PROGO 32 2 3
3/3/2002 20 18-30 P BANJAR TUNGGAL
11/9/1997 25 18-30 P JL SUMBING 2 2
5/13/1987 35 31-45 P JL KH ASYARI
6/30/1964 58 46-59 L JL BRANTAS KALILO 1 2
4/27/1969 53 46-59 P JL KARIMUN JAWA GG MANGGA NO 1 4
10/8/1999 23 18-30 P JL BRANTAS KALILO 1 2
3/7/1991 31 31-45 L JL BRANTAS LINGK KALILO 1 2
12/24/1965 57 46-59 P JL RIAU GG BERLIAN NO 40
3/28/1966 56 46-59 L JL BROMO 20 3 3
12/12/1963 59 46-59 L JL KARIMUN JAWA GG NAGKA 1 4
1/17/1988 35 31-45 P DSN SUMBERREJO 1 3
6/25/2000 22 18-30 P JL RIAU LINGK KROBOKAN 2 3
2/23/1964 59 46-59 L LINGK PAYAMAN 1 2
1/3/2000 23 18-30 P JL BATUR NO 17 3 1
6/22/1958 64 ≥60 P JL RINJANI NO 12 2 1
8/13/1999 23 18-30 P JL RINJANI NO 12 2 1
7/27/1981 41 31-45 P PERUM GRIYA PERMATA HUSADA 4 6
1/25/1963 60 ≥60 L JL BATUR NO 32 1 3
9/11/1975 47 46-59 P JL BELITUNG NO 80 5 1
6/4/1972 50 46-59 P LINGK PAYAMAN 1 2
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

ESMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 9/22/2022 3 FT5335
16 14 9/22/2022 3 FT5335
17 9/22/2022 3 FT5335
17 9/22/2022 3 FT5335
16 16 9/22/2022 3 FT5335
TABANAN 9/22/2022 3 FT5335
16 14 9/22/2022 3 FT5335
9/22/2022 3 FT5335
16 13 9/22/2022 3 FT5335
16 12 9/22/2022 3 FT5335
16 13 9/22/2022 3 FT5335
16 13 9/22/2022 3 FT5335
16 12 9/22/2022 3 FT5335
16 14 9/22/2022 3 FT5335
16 12 9/22/2022 3 FT5335
SRONO 9/22/2022 3 P0001384
16 23 9/22/2022 3 P0001384
17 9/22/2022 3 P0001384
16 14 9/22/2022 3 P0001384
16 14 9/22/2022 3 P0001384
16 14 9/22/2022 3 P0001384
17 9/22/2022 3 P0001384
16 14 9/22/2022 3 P0001384
16 12 9/22/2022 3 P0001384
17 9/22/2022 3 P0001384
9/22/2022 3 P0001384
9/22/2022 3 P0001384
9/22/2022 3 P0001384
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
9/22/2022 3
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510161204540002 MOH SAMSI BANYUWANGI

4 3510160703960001 RAKA HARDINATA P BANYUWANGI
5 3510162908980006 M YUSRIL BANYUWANGI
6 3510161010770008 RISKO ASRIANTO BANYUWANGI
7 3510242802970000 AGUS JAINUDI BANYUWANGI
8 3510161803910003 HADI KURNIAWAN BANYUWANGI
10 3510162806790012 ANTONIUS NUGROHO BANYUWANGI
13 3510161311660001 DUL HAJI BANYUWANGI
15 6372051306010002 AGSHAL WIDIANSYAH BANYUWANGI
18 3510131005740001 PODO SAMPURNO BANYUWANGI
19 1810011706930009 DANUL ILMI MAJALENGKA
20 3210260107980402 DIAN KURBA MAJALENGKA
22 3515021705690001 BRAMANTYO RUDI S BANYUWANGI
23 3510161806770004 SUGENG ERDIANTARA BANYUWANGI
24 3510161707790005 NADIF AGIL BANYUWANGI
25 3510160112030001 MOCH HAIGAL U BANYUWANGI
28 3507130109730005 ABDUL MAJDI BANYUWANGI
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
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71
72
73
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76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
 96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
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171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
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192
193
194
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199
200
201
202
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212
213
214
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219
220
221
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223
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226
227
228
229
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231
232
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239
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244
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256
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259
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262
263
264
265
266
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268
269
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271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
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293
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296
297
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300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
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348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
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382
383
384
385
386
387
388
389
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393
394
395
396
397
398
399
400
KETERANGAN
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNA
TANGGAL : 26-9-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

4/12/1954 68 ≥60 L JL TARAKAN 26 4 2

3/7/1996 26 18-30 L JL ANDALAS NO 11 2 1
8/29/1998 24 18-30 L JL SUMBING GG SRAWET 2 2
10/10/1977 45 31-45 L JL SUMBING 45
2/28/1997 25 18-30 L DSN KRAJAN 4 3
3/18/1991 31 31-45 L LINGK KRAJAN 1 1
6/28/1979 43 31-45 L JL SINDORO 4 2
11/13/1966 56 46-59 L LINGK SMB 2 2
6/13/2001 21 18-30 L DSN KRAJAN WETAN 3 1
5/10/1974 48 46-59 L DSN JATISARI 1 2
6/17/1993 29 18-30 L BLOK BUNIHURIP 6 2
1/5/1996 27 18-30 L BLOK DESA LEBAKWANGI 13 5
5/17/1969 53 46-59 L JL TAMRIN NO 1GESARI 1 1
6/18/1977 45 31-45 L TAMANBARU
7/17/1979 43 31-45 L KBJ 1 4
12/1/2003 19 18-30 L JL BELITUNG NO 81 3 2
9/1/1973 49 46-59 L VILLA SUKOWIDI H10 1 4
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
0
0
PUSKESMAS SINGOTRUNAN
-9-22

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3

NAMA KECAMATAN "NAMA KELURAHAN BPJS
PEKERJAAN

(12) (13) (14) (15) (16) (17) (18)

16 12 9/26/2022 3
16 14 9/26/2022 3
16 14 9/26/2022 3
16 14 9/26/2022 3
9/26/2022 3
16 9/26/2022 3
16 14 9/26/2022 3
16 16 9/26/2022 3
9/26/2022 3
9/26/2022 3
MAJALENGKA 9/26/2022 3
MAJALENGKA 9/26/2022 3
16 13 9/26/2022 3
16 18 9/26/2022 3
16 12 9/26/2022 3
16 12 9/26/2022 3
21 91 9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
9/26/2022 3
 NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
P0001384 PFIZER 9
 LAPORAN HARIAN VAKSIN COVID-1
TANGGAL : 2

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510210305760010 SUDARSO BANYUWANGI

2 3510164704580002 NUR CAHYO SRI HARTATI BANYUWANGI
3 3510167006690048 MUKAROMAH BANYUWANGI
4 3510174306930002 SUCIYATI BANYUWANGI
5 3510161301840005 M.HAIF BANYUWANGI
6 3510166309030001 SEPTYA WARDATUL AINI BANYUWANGI
7 3510165407720004 SUSWATI BANYUWANGI
8 3510105311970004 IDA SAFITRI BANYUWANGI
9 3510166302980001 IMANIAR SOFYANA FEBRIANI BANYUWANGI
10 3510165806820003 INDAH HETTININGRUM BANYUWANGI
11 3510060209810004 HERU PRASDI UTOMO BANYUWANGI
12 351017170510002 MOH.MAULUD SARIFUDIN BANYUWANGI
13 3510166412740003 KUNDI ARTININGSIH BANYUWANGI
14 3510164106000006 MIRA HUSNUL HOTIMAH BANYUWANGI
15 3510162606930003 NICO WILIYANTO BANYUWANGI
16 3510160501510003 ZAINUL ARIFIN BANYUWANGI
17 3578010210850002 M.FAJAR KUSUMA SURABAYA
18 3510161908560001 ADY SUTOKO BANYUWANGI
19 1802062005990003 NISFUL MUCHLIS LAMPUNG TENG
20 5171036203660001 SUPREHATIN BANYUWANGI
21 3510164808570005 SUTIK SUYANTI BANYUWANGI
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
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 83
84
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128
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218
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263
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308
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353
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384
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386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
RAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 28-9-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

5/3/1976 46 46-59 L SUKOWIDI 3 2

4/7/1958 64 ≥60 L JL SRI TANJUNG 2 3
6/30/1969 53 46-59 P JL BELITUNG 3 2
6/3/1993 29 18-30 P KARANGENTE 1 5
1/13/1984 39 31-45 L JL BANGKA
9/23/2003 19 18-30 P JL KALILO 3 1
7/14/1972 50 46-59 P PATEMON WETAN 3 1
11/13/1997 25 18-30 P DSN SIDODADI 1 1
2/23/1998 24 18-30 P JL NIAS 2 1
6/18/1982 40 31-45 P JL BROMO 2 2
9/2/1981 41 31-45 L DSN TREMBELANG 2 1
5/17/2001 #REF! #REF! L JAMBESARI GIRI
12/24/1974 48 46-59 L JL KRAKATAU
6/1/2000 22 18-30 P JL KARIMUN JAWA 5 4
6/26/1993 29 18-30 L JL DI PANJAITAN
1/5/1951 72 ≥60 L JL BENGAWAN 2 2
10/2/1985 37 31-45 L JL BENGAWAN
8/19/1956 66 ≥60 L KALILO 5 1
5/20/1999 23 18-30 L KALILO 1 4
3/22/1966 56 46-59 P JL TIDAR
8/8/1957 65 ≥60 P JL DI PANJAITAN
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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#REF! #REF!
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 123 ≥60
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#REF! #REF!
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

 NAMA
KECAMATA "NAMA KELURAHAN KETERANGAN
N
(12) (13) (24)

21
16 11
16

16 12
16 16
16 10

16 12
16 14

16 12
16 10
16 16
16 16
JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510162406820010 DADANG HERMANTO BANYUWANGI

2 3510165210940004 LUKITA INDAH PERMATASARI BANYUWANGI
3 3523157008960004 VINA LAILATUN BARIDAH SIDOARJO
4 3173035608850009 PUJI AGUSTINA BANYUWANGI
5 3510164505620012 UBAIDIAH BANYUWANGI
6 3510160409500002 JAKFAR BANYUWANGI
7 3510165111010007 ELDA SYAHBANI PERMANA P BANYUWANGI
8 3205041004870001 DIKI HIDAYAT GARUT
9 3510055401980003 AFFARINA AMANI R BANYUWANGI
10
11
12
13
14
15
16
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
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
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171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
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211
212
213
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218
219
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263
264
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268
269
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274
275
276
277
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284
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287
288
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293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 3-10-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

6/24/1982 40 31-45 L JL OPAK NO 50 2 1

10/12/1994 28 18-30 P JL BENGAWAN GG KENANGA NO 2 2 2
8/30/1996 26 18-30 P GARASSI V
8/16/1985 37 31-45 P JL KEBUN JERUK
5/5/1962 60 ≥60 P JL SUMBING NO 10 1 1
9/4/1950 72 ≥60 L JL TERNATE NO 16 2 3
11/11/2001 21 18-30 P JL RINJANI 3 3
4/12/1987 35 31-45 L JL RIAU 4 3
1/14/1998 25 18-30 P JL BATUR NO 27 4 3
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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#REF! #REF!
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 123 ≥60
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#REF! #REF!
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

PUSKESMAS SINGOTRUNAN
0-22

JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3

NAMA KECAMATAN "NAMA KELURAHAN BPJS
PEKERJAAN

(12) (13) (14) (15) (16) (17) (18)

16 16 10/3/2022 3
16 16 10/3/2022 3
POLEWALI MANDAR 10/3/2022 3
JAKBAR 10/3/2022 3
16 14 10/3/2022 3
16 12 10/3/2022 3
16 14 10/3/2022 3
16 12 10/3/2022 3
16 14 10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
10/3/2022 3
JELAS JELAS JELAS JELAS JELAS JELAS
 NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
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P0001431 PFIZER 9
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P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
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P0001431 PFIZER 9
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P0001431 PFIZER 9
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P0001431 PFIZER 9
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P0001431 PFIZER 9
P0001431 PFIZER 9
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P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510146812950002 AYU PERDANA P BANYUWANGI

2 3510214901670002 NANIK SUMARNI BANYUWANGI
3 3510131808740012 AGUS SUJARWO BANYUWANGI
4 3510160705850003 MOH YANTO BANYUWANGI
5 3510162411030002 FITRA RIZQI R BANYUWANGI
6 3510080808790008 ISWAHYUDI BANYUWANGI
7 3510165303870004 LUCKY MARTINNIY BANYUWANGI
8 3510080502010002 SENA ADI CANDRA BANYUWANGI
9 3578100509810002 HADI PURWANTO SURABAYA
10 3307034304020014 ITA SEPTIYANINGSIH BANYUWANGI
11 3510162712660002 UNTUNG SUROPATI BANYUWANGI
12 3510185509840003 MARFUAH BANYUWANGI
13 3510170404600001 SUNIK BANYUWANGI
14 3206030504890005 RONI NURDANI TASIKMALAYA
15 3509194201040003 AUDREY NUR AINI BANYUWANGI
16 3510166506710007 MUNAWAROH BANYUWANGI
17 3510046907950003 LUSY DWI HADIANA BANYUWANGI
18 3510096810970002 NURUL KHOTIMAH BANYUWANGI
19 3510164310670001 DRA NUGRAHENI DWI LESTARI BANYUWANGI
20 3510161907570003 SOEHAIMI BANYUWANGI
21 3510130301880004 DEDE ABDUL GHANI BANYUWANGI
22 3510160109960004 MOCH FAHMI AL F BANYUWANGI
23 3510164408990004 NONA YANA PRATIWI BANYUWANGI
24 3510164407010004 ADELIA AYUNDHA M BANYUWANGI
25 3510162207790001 ACHMAD FATHUR ROZZAQ BANYUWANGI
26 3510160110900005 FAISOL YUSUF BANYUWANGI
27 3510161912860002 SULTHON A BANYUWANGI
28 3510161001040004 YAKOP SOLIKIN MAULANA BANYUWANGI
29 3510165005590003 FATIMAH BANYUWANGI
30 3510161302480001 MOCH RIDWAN BANYUWANGI
31 3510167006650228 BUNIYEM BANYUWANGI
32 3510136801900003 TYAR PRIMEDIA SAFITRI BANYUWANGI
33 3510166303790003 PUJI ASTUTI BANYUWANGI
34 3510160107980044 RASHIF ASLAM BANYUWANGI
35 3510167006610055 JUMALIA BANYUWANGI
36 3510172502040001 HAIRUL HADI SAPUTRA BANYUWANGI
37 3510162512560001 MOHAMAD SUDARMA BANYUWANGI
38
39
40
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 83
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173
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263
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308
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353
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 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUN
TANGGAL : 6-10-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

12/28/1995 27 18-30 P PERUM PURI BRAWIJAYA PERMAI

1/9/1967 56 46-59 P LINGK KALIPURO ASRI 2 1
8/18/1974 48 46-59 L DSN KEBONDALEM 2 1
5/7/1985 37 31-45 L JL MH THAMRIN NO 58 2 1
11/24/2003 19 18-30 L JL RW MONGISIDI 3 1
8/8/1979 43 31-45 L PERUM FLAMBOYAN I 4 1
3/13/1987 35 31-45 L JL JAGUNG SUPRAPTO NO 71 A 3 3
2/5/2001 22 18-30 L DSN KRAJAN 3 1
9/5/1981 41 31-45 L KAPAS MADYA I D/76
4/3/2002 20 18-30 P KRAMAT 3 5
12/27/1966 56 46-59 L LINGK KRAJAN SURODILAGAN 3 3
9/15/1984 38 31-45 P PERUM BANYUWANGI BARU B.5
4/4/1960 62 ≥60 L LINGK KRAJAN III
4/5/1989 33 31-45 L TLOGOMULYO 3 2
1/2/2004 19 18-30 P
6/25/1971 51 46-59 P PERUM PURI BRAWIJAYA PERMAI
7/29/1995 27 18-30 P
10/28/1997 25 18-30 P DSN CURUH KETANGI 5 3
10/3/1967 55 46-59 P
7/19/1957 65 ≥60 L
1/3/1988 35 31-45 L JL PENATARAN NO 18A 2 2
9/1/1996 26 18-30 L
8/4/1990 32 31-45 P JL KINIBALU NO 40
7/4/2001 21 18-30 P
7/22/1979 43 31-45 L JL SUPRIYADI 18 2 2
10/1/1990 32 31-45 L JL IKAN CUMI CUMI 3 1
12/19/1986 36 31-45 L BENGAWAN GG KENANGA 3 1
1/10/2004 19 18-30 L JL GUMITIR 4 2
5/10/1959 63 ≥60 P JL KARIMUN JAWA
2/13/1948 75 ≥60 L
6/30/1965 57 46-59 P JL KARIMUN JAWA
1/26/1990 33 31-45 P
3/23/1979 43 31-45 P JL IJEN NO 44 3 4
7/1/1998 24 18-30 L JL BELITUNG GG II NO 44
6/30/1961 61 ≥60 P
2/25/2004 18 18-30 L DSN KOPENDUKUH
12/25/1956 66 ≥60 L JL RINJANI GG II NO 36
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

9 PUSKESMAS SINGOTRUNAN
-10-22

NAMA
"NAMA TANGGAL VAKSIN PENTAHAPAN VAKSIN-3
KECAMATA JENIS PEKERJAAN BPJS
KELURAHAN
N
(12) (13) (14) (15) (16) (17) (18)

10/6/2022 3
21 10/6/2022 3
13 10/6/2022 3
16 14 10/6/2022 3
16 10/6/2022 3
16 10/6/2022 3
16 10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
16 10/6/2022 3
10/6/2022 3
17 10/6/2022 3
10/6/2022 3
10/6/2022 3
16 10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
16 10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
16 10/6/2022 3
16 10/6/2022 3
16 16 10/6/2022 3
16 14 10/6/2022 3
16 12 10/6/2022 3
10/6/2022 3
16 12 10/6/2022 3
10/6/2022 3
16 14 10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
10/6/2022 3
JELAS JELAS JELAS JELAS JELAS JELAS
 NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
P0001431 PFIZER 9
JELAS JELAS JELAS JELAS JELAS
 LAPOR

NO "TMPT_LHR UMUR KELOMPOK

NO "NIK" "NAMA_LENGKAP" "TGL_LHR" UMUR
REGISTRASI "

(1) (2) (3) (4) (5) (6) (7)

1 3510082002870004 NOERHADI BWI 20/2/1987 #VALUE! #VALUE!

2 3510161704550002 MASWAH BWI 4/17/1955 67 ≥60
3 3510166607040004 YULIANDRIYANI BWI 7/26/2004 18 18-30
4 3510164509540002 MUKMINAH BWI 9/5/1954 68 ≥60
5 3510174808910001 KUROTUL A'YUN BWI 8/8/1991 31 31-45
6 3510166509780001 NURUL SAFITRI BWI 9/25/1978 44 31-45
7 3510161204960002 MOH. HASAN BWI 4/12/1996 26 18-30
8 3510163008720007 AGUS BUDI RAHARJOBWI 8/30/1972 50 46-59
9 3510167009510001 SULASTRI BWI 9/20/1951 71 ≥60
10 3510166312890005 QUR ROTA A'YUNIN BWI 12/23/1989 33 31-45
11 3510160602040009 AFDAL ANDREANO BWI 2/6/2004 19 18-30
12 3510182307000005 TONY DEWANTORO BWI 7/23/2000 22 18-30
13 3510167009010001 SUMI CAHYYAM R BWI 9/30/2001 21 18-30
14 3510211206830004 SLAMET HARIANTO BWI 6/12/1983 39 31-45
15 3510166903720003 NUR CAHAYATI BWI 3/29/1972 50 46-59
16 3510122912000002 ALFI SYAHFITRA BWI 12/29/2000 22 18-30
17 3510165212980007 RARA AYU ANNISA BWI 12/12/1998 24 18-30
18 3510165309720001 ENDANG SUSILOWATBWI 9/13/1972 50 46-59
19 3509106905730001 MARGARITA SOERATBWI 5/29/1973 49 46-59
20 3510161008590003 NUR HARIRI BWI 8/10/1959 63 ≥60
21 3510160706750006 SAIKHU BWI 6/7/1975 47 46-59
22 3510136506010001 NUR MAULIDIA BWI 6/25/2001 21 18-30
23 3510162407770005 ANDI KUSYULIANTO BWI 7/24/1977 45 31-45
24 3510166901000002 RISMA AFRIHIATI BWI 1/29/2000 23 18-30
25 3510165704780005 SUHARIRIN BWI 4/17/1978 44 31-45
26 123 ≥60
27 123 ≥60
28 123 ≥60
29 123 ≥60
30 123 ≥60
31 123 ≥60
32 123 ≥60
33 123 ≥60
34 123 ≥60
35 123 ≥60
36 123 ≥60
37 123 ≥60
38 123 ≥60
39 123 ≥60
40 123 ≥60
41 123 ≥60
42 123 ≥60
43 123 ≥60
44 123 ≥60
45 123 ≥60
46 123 ≥60
47 123 ≥60
48 123 ≥60
49 123 ≥60
50 123 ≥60
51 123 ≥60
52 123 ≥60
53 123 ≥60
54 123 ≥60
55 123 ≥60
56 123 ≥60
57 123 ≥60
58 123 ≥60
59 123 ≥60
60 123 ≥60
61 123 ≥60
62 123 ≥60
63 123 ≥60
64 123 ≥60
65 123 ≥60
66 123 ≥60
67 123 ≥60
68 123 ≥60
69 123 ≥60
70 #REF! #REF!
71 123 ≥60
72 123 ≥60
73 123 ≥60
74 123 ≥60
75 123 ≥60
76 123 ≥60
77 123 ≥60
78 123 ≥60
79 123 ≥60
80 123 ≥60
81 123 ≥60
82 123 ≥60
 83 123 ≥60
84 123 ≥60
85 123 ≥60
86 #REF! #REF!
87 123 ≥60
88 123 ≥60
89 123 ≥60
90 123 ≥60
91 123 ≥60
92 123 ≥60
93 123 ≥60
94 123 ≥60
95 123 ≥60
96 123 ≥60
97 123 ≥60
98 123 ≥60
99 123 ≥60
100 123 ≥60
101 123 ≥60
102 123 ≥60
103 123 ≥60
104 123 ≥60
105 123 ≥60
106 123 ≥60
107 123 ≥60
108 123 ≥60
109 123 ≥60
110 123 ≥60
111 123 ≥60
112 123 ≥60
113 123 ≥60
114 123 ≥60
115 123 ≥60
116 123 ≥60
117 123 ≥60
118 123 ≥60
119 123 ≥60
120 123 ≥60
121 123 ≥60
122 123 ≥60
123 123 ≥60
124 123 ≥60
125 123 ≥60
126 123 ≥60
127 123 ≥60
128 123 ≥60
129 123 ≥60
130 123 ≥60
131 123 ≥60
132 123 ≥60
133 123 ≥60
134 123 ≥60
135 123 ≥60
136 123 ≥60
137 123 ≥60
138 123 ≥60
139 123 ≥60
140 123 ≥60
141 123 ≥60
142 123 ≥60
143 123 ≥60
144 123 ≥60
145 123 ≥60
146 123 ≥60
147 123 ≥60
148 123 ≥60
149 123 ≥60
150 123 ≥60
151 123 ≥60
152 123 ≥60
153 123 ≥60
154 123 ≥60
155 123 ≥60
156 123 ≥60
157 123 ≥60
158 123 ≥60
159 123 ≥60
160 123 ≥60
161 123 ≥60
162 123 ≥60
163 123 ≥60
164 123 ≥60
165 123 ≥60
166 123 ≥60
167 123 ≥60
168 123 ≥60
169 123 ≥60
170 123 ≥60
171 123 ≥60
172 123 ≥60
173 123 ≥60
174 123 ≥60
175 123 ≥60
176 123 ≥60
177 123 ≥60
178 123 ≥60
179 123 ≥60
180 123 ≥60
181 123 ≥60
182 123 ≥60
183 123 ≥60
184 123 ≥60
185 123 ≥60
186 123 ≥60
187 123 ≥60
188 123 ≥60
189 123 ≥60
190 123 ≥60
191 123 ≥60
192 123 ≥60
193 123 ≥60
194 123 ≥60
195 123 ≥60
196 123 ≥60
197 123 ≥60
198 123 ≥60
199 123 ≥60
200 123 ≥60
201 123 ≥60
202 123 ≥60
203 123 ≥60
204 123 ≥60
205 123 ≥60
206 123 ≥60
207 123 ≥60
208 123 ≥60
209 123 ≥60
210 123 ≥60
211 123 ≥60
212 123 ≥60
213 123 ≥60
214 123 ≥60
215 123 ≥60
216 123 ≥60
217 123 ≥60
218 123 ≥60
219 123 ≥60
220 123 ≥60
221 123 ≥60
222 123 ≥60
223 123 ≥60
224 123 ≥60
225 123 ≥60
226 123 ≥60
227 123 ≥60
228 123 ≥60
229 123 ≥60
230 123 ≥60
231 123 ≥60
232 123 ≥60
233 123 ≥60
234 123 ≥60
235 123 ≥60
236 123 ≥60
237 123 ≥60
238 123 ≥60
239 123 ≥60
240 123 ≥60
241 123 ≥60
242 123 ≥60
243 123 ≥60
244 123 ≥60
245 123 ≥60
246 123 ≥60
247 123 ≥60
248 123 ≥60
249 123 ≥60
250 123 ≥60
251 123 ≥60
252 123 ≥60
253 123 ≥60
254 123 ≥60
255 123 ≥60
256 123 ≥60
257 123 ≥60
258 123 ≥60
259 123 ≥60
260 123 ≥60
261 123 ≥60
262 123 ≥60
263 123 ≥60
264 123 ≥60
265 123 ≥60
266 123 ≥60
267 123 ≥60
268 123 ≥60
269 123 ≥60
270 123 ≥60
271 123 ≥60
272 123 ≥60
273 123 ≥60
274 123 ≥60
275 123 ≥60
276 123 ≥60
277 123 ≥60
278 123 ≥60
279 123 ≥60
280 123 ≥60
281 123 ≥60
282 123 ≥60
283 123 ≥60
284 123 ≥60
285 123 ≥60
286 123 ≥60
287 123 ≥60
288 123 ≥60
289 123 ≥60
290 123 ≥60
291 123 ≥60
292 123 ≥60
293 123 ≥60
294 123 ≥60
295 123 ≥60
296 123 ≥60
297 123 ≥60
298 123 ≥60
299 123 ≥60
300 123 ≥60
301 123 ≥60
302 123 ≥60
303 123 ≥60
304 123 ≥60
305 123 ≥60
306 123 ≥60
307 123 ≥60
308 123 ≥60
309 123 ≥60
310 123 ≥60
311 123 ≥60
312 123 ≥60
313 123 ≥60
314 123 ≥60
315 123 ≥60
316 123 ≥60
317 123 ≥60
318 123 ≥60
319 123 ≥60
320 123 ≥60
321 123 ≥60
322 123 ≥60
323 123 ≥60
324 123 ≥60
325 123 ≥60
326 123 ≥60
327 123 ≥60
328 123 ≥60
329 123 ≥60
330 123 ≥60
331 123 ≥60
332 123 ≥60
333 123 ≥60
334 123 ≥60
335 123 ≥60
336 123 ≥60
337 123 ≥60
338 123 ≥60
339 123 ≥60
340 123 ≥60
341 123 ≥60
342 123 ≥60
343 123 ≥60
344 123 ≥60
345 123 ≥60
346 123 ≥60
347 123 ≥60
348 123 ≥60
349 123 ≥60
350 123 ≥60
351 123 ≥60
352 123 ≥60
353 123 ≥60
354 123 ≥60
355 123 ≥60
356 123 ≥60
357 123 ≥60
358 123 ≥60
359 123 ≥60
360 123 ≥60
361 123 ≥60
362 123 ≥60
363 123 ≥60
364 123 ≥60
365 123 ≥60
366 123 ≥60
367 123 ≥60
368 123 ≥60
369 123 ≥60
370 123 ≥60
371 123 ≥60
372 123 ≥60
373 123 ≥60
374 123 ≥60
375 123 ≥60
376 123 ≥60
377 123 ≥60
378 123 ≥60
379 123 ≥60
380 123 ≥60
381 123 ≥60
382 123 ≥60
383 123 ≥60
384 123 ≥60
385 123 ≥60
386 123 ≥60
387 123 ≥60
388 123 ≥60
389 123 ≥60
390 123 ≥60
391 123 ≥60
392 123 ≥60
393 123 ≥60
394 123 ≥60
395 123 ≥60
396 123 ≥60
397 123 ≥60
 398 123 ≥60
399 123 ≥60
400 123 ≥60

0
0
KETERANGAN
JELAS JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 10-10-22

NAMA "NAMA JENIS

"JENIS
"ALAMAT" "RT" "RW" KECAMATA KELURAHA PEKERJAA BPJS
KELAMIN"
N N N
(8) (9) (10) (11) (12) (13) (14) (15)

L DSN KRAJAN WETAN 5 1 8 190

P Jl Belitung 3 2 16 12
P Jl Belitung 3 2 16 12
P Jl Belitung 3 2 16 12
P Jl Belitung 5 1 16 12
P JL Sayu Gringsing 2 3 16 23
L Jl Belitung 3 2 16 12
L Jl Belitung 3 2 16 12
P JL Sumbing 4 2 16 14
P Jl Trunojoyo 4 2 16 22
L Jl Ijen 3 2 16 14
L DSN KRAJAN 1 1 18
P JL KALILO 4 4 16 13
L DSN KRAJAN 2 5 21
P JL BROMO NO 10 16 14
L DSN WONOREKSO 1 1
P JL TIDAR 4 1 16 14
P JL KEPITING LING SET 2 5
P JL AMBULU DSN KRAJAN 2 7
P JL KALILO 4 4 16 13
L LINGK KROBOKAN 3 1 16 23
P JL TANGKUBAN PERAHU 16 10
L PERUM VILLA GAJAHMADA 16 16
P JL MH THAMRIN 1 2 16 13
P HL MH THAMRIN 1 2 16 13
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 ALASAN MEREK
TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(16) (17) (18) (19) (20) (21) (22) (23) (24)

10/10/2022 3 P0001431 PFIZER 9

10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
10/10/2022 3 P0001431 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 LA

NO UMUR
NO "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR"
REGISTRASI

(1) (2) (3) (4) (5) (6)

1 3510161406740004 DANI EKO DARIANTO BWI 14/6/74 #VALUE!

2 3510161601670002 ISNAINI BWI 1/16/1967 56
3 3510162401020001 ADI CANDRA PRATAM BWI 1/24/2002 21
4 3510165610920002 SITI MASYITAH BWI 10/16/1992 30
5 3510242407010001 IRHAM HAYYI BWI 7/24/2001 21
6 35101231210810003 ABU SUFYAN SE BWI 10/12/1981 41
7 3510085204830008 NURUL BANIATI BWI 4/12/1983 39
8 3510154710920005 TRI OKTAVIA BWI 10/25/1992 30
9 3510151607040002 WISNU DIO SAPUTRA BWI 7/16/2004 18
10 3529045302880004 EFI ELIANA BWI 2/13/1988 35
11 3510165801800002 INA MURTININGSIH BWI 1/18/1980 43
12 3510162809980001 SEPTIAN GILANG BWI 9/28/1998 24
13 3510160303770002 HENDRI PURWANTO SUMENEP 3/3/1977 45
14 3510241509020001 MAUDI IQBAL BWI 9/15/2002 20
15 3510167006630124 SRI NGATIYAH BWI 6/30/1963 59
16 3510162812720001 SUBUR SLAMET BWI 12/28/1972 50
17 6310096805730001 RISDYAWATI BWI 5/28/1973 49
18 3510164706990003 YOLANDA PUTRI BWI 5/7/1999 23
19 3510166702760002 ASPIAH BWI 2/27/1976 46
20 3510150506010002 MOHAMAD SABIQ ADZIK
BWI 6/5/2001 21
21 3510084701870004 YEYEN ARI SUSANTI BWI 1/7/1987 36
22 3510165608780004 SUSILOWATI BWI 8/16/1978 44
23 3510132301880002 TEGUH SETIAWAN HUNBWI 1/23/1988 35
24 3510154502920003 SAYU VIETHA BWI 2/5/1990 33
25 5205014908040002 INDRYA PRADITHA BWI 8/9/2004 18
26 3510161602720004 FIRMAN NOOR MUHAR BWI 2/16/1972 51
IRFANI FAKHIROTUL
27 3510167006910021 MUZTAHIDAH BWI 6/30/1991 31
28 3510160506450003 MOCHAMAD YASIN BWI 6/5/1945 77
29 3510166504810001 APRILIA FARA BWI 4/25/1961 61
30 3510171307940002 ABDUL MU'ID AMRULLOBWI 7/13/2004 18
31 3510161004040002 AHMAD ZUHAL BWI 4/10/2004 18
32 3510162312940003 IQBAL DANDY BWI 12/23/1994 28
33 3510164304020002 SHAFA AMIR THALIB BWI 4/3/2002 20
34 3510160112840001 EKO SUGIHARTONO BWI 12/1/1984 38
35 3510162005960003 ABDULLAH HABIB BWI 5/20/1996 26
36 351016580257001 NURHATINI BWI 2/18/1957 66
37 3510055205900006 DWI WIDIAWATI BWI 5/12/1990 32
38 3510040303850001 ANDHIKA ADY WIJAYA BWI 3/3/1985 37
39 123
40 123
41 123
42 123
43 123
44 123
45 123
46 123
47 123
48 123
49 123
50 123
51 123
52 123
53 123
54 123
55 123
56 123
57 123
58 123
59 123
60 123
61 123
62 123
63 123
64 123
65 123
66 123
67 123
68 123
69 123
70 #REF!
71 123
72 123
73 123
74 123
75 123
76 123
77 123
78 123
79 123
80 123
81 123
 82 123
83 123
84 123
85 123
86 #REF!
87 123
88 123
89 123
90 123
91 123
92 123
93 123
94 123
95 123
96 123
97 123
98 123
99 123
100 123
101 123
102 123
103 123
104 123
105 123
106 123
107 123
108 123
109 123
110 123
111 123
112 123
113 123
114 123
115 123
116 123
117 123
118 123
119 123
120 123
121 123
122 123
123 123
124 123
125 123
126 123
127 123
128 123
129 123
130 123
131 123
132 123
133 123
134 123
135 123
136 123
137 123
138 123
139 123
140 123
141 123
142 123
143 123
144 123
145 123
146 123
147 123
148 123
149 123
150 123
151 123
152 123
153 123
154 123
155 123
156 123
157 123
158 123
159 123
160 123
161 123
162 123
163 123
164 123
165 123
166 123
167 123
168 123
169 123
170 123
171 123
172 123
173 123
174 123
175 123
176 123
177 123
178 123
179 123
180 123
181 123
182 123
183 123
184 123
185 123
186 123
187 123
188 123
189 123
190 123
191 123
192 123
193 123
194 123
195 123
196 123
197 123
198 123
199 123
200 123
201 123
202 123
203 123
204 123
205 123
206 123
207 123
208 123
209 123
210 123
211 123
212 123
213 123
214 123
215 123
216 123
217 123
218 123
219 123
220 123
221 123
222 123
223 123
224 123
225 123
226 123
227 123
228 123
229 123
230 123
231 123
232 123
233 123
234 123
235 123
236 123
237 123
238 123
239 123
240 123
241 123
242 123
243 123
244 123
245 123
246 123
247 123
248 123
249 123
250 123
251 123
252 123
253 123
254 123
255 123
256 123
257 123
258 123
259 123
260 123
261 123
262 123
263 123
264 123
265 123
266 123
267 123
268 123
269 123
270 123
271 123
272 123
273 123
274 123
275 123
276 123
277 123
278 123
279 123
280 123
281 123
282 123
283 123
284 123
285 123
286 123
287 123
288 123
289 123
290 123
291 123
292 123
293 123
294 123
295 123
296 123
297 123
298 123
299 123
300 123
301 123
302 123
303 123
304 123
305 123
306 123
307 123
308 123
309 123
310 123
311 123
312 123
313 123
314 123
315 123
316 123
317 123
318 123
319 123
320 123
321 123
322 123
323 123
324 123
325 123
326 123
327 123
328 123
329 123
330 123
331 123
332 123
333 123
334 123
335 123
336 123
337 123
338 123
339 123
340 123
341 123
342 123
343 123
344 123
345 123
346 123
347 123
348 123
349 123
350 123
351 123
352 123
353 123
354 123
355 123
356 123
357 123
358 123
359 123
360 123
361 123
362 123
363 123
364 123
365 123
366 123
367 123
368 123
369 123
370 123
371 123
372 123
373 123
374 123
375 123
376 123
377 123
378 123
379 123
380 123
381 123
382 123
383 123
384 123
385 123
386 123
387 123
388 123
389 123
390 123
391 123
392 123
393 123
394 123
395 123
396 123
 397 123
398 123
399 123
400 123

KETERANGAN
JELAS JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 13-10-22

"NAMA JENIS
KELOMPOK "JENIS NAMA
UMUR "ALAMAT" "RT" "RW" KELURAHA PEKERJAA
KELAMIN" KECAMATAN
N N
(7) (8) (9) (10) (11) (12) (13) (14)

#VALUE! L JL BATUR NO 18 2 2 16 14
46-59 L JL LETKOL ISTIQLAH 3 3 16 16
18-30 L MH THAMRIN 1 2 16 16
18-30 P JL RIAU NO 72 MANDAR 16 23
18-30 L SEGOBANG 1 2 24
31-45 L BAKUNGAN 24 54
31-45 P WONOSOBO 8 190
18-30 P WONOSOBO 8 190
18-30 L TEMBAAKON 1 1 15
31-45 P JL D.I PANJAITAN KRO 3 1 16 23
31-45 P JL DI PANJAITAN KROB 3 1 16 23
18-30 L JL DI PANJAITAN KROB 3 1 16 23
31-45 L JL DI PANJAITAN KROB 3 1 16 23
18-30 L JELUN 3 2 24
46-59 P JL DEMPO NO 27 3 1 16 14
46-59 L JL IKAN TONGKOL 3 1 16 21
46-59 P JL IKAN GURITA 1 1 16 21
18-30 P LINGK SINGODIWONGS 4 3 16 14
46-59 P JL IKAN TONGKOL 3 1 16 21
18-30 L MONDPLUKO 1 1
31-45 P WONOSOBO 8 190
31-45 P 1 3 16 12
31-45 L JL GUNUNG IJEN NO 7 4 1 16 14
31-45 P JL ANDALAS 4 3 16 14
18-30 P LINGK SALAMA 8 5 DOMPU BADA
46-59 L JL KAPTEN ILYAS NO 45 16 16
31-45
P DSN KRAJAN
≥60 L JL MALABAR NO 32 16 14
≥60 P JL SRITANJUNG NO 8A 2 3 16 11
18-30 L JL HAYAM WURUK 1 4 16 16
18-30 L JL BENGAWAN NO 6 1 1
18-30 L PERUM GRIYA GIRI 1 5 21
18-30 P JL BANGKA NO 3 2 2 16 12
31-45 L LINGK GESARI 16 13
18-30 L JL MALABAR NO 13 3 1 16 14
≥60 P JL DEDALI PUTIH NO 27 3 2 16 11
31-45 P LINGK KRAJAN 2 2 15
31-45 L PERUM GRIYA DADAPA 3 2 14
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
#REF!
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
 ≥60
≥60
≥60
≥60
#REF!
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
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≥60
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≥60
≥60
≥60
≥60
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≥60
≥60
≥60
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≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
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≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
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0
0

JELAS JELAS JELAS JELAS JELAS JELAS JELAS

 ALASAN MEREK
BPJS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(15) (16) (17) (18) (19) (20) (21) (22) (23) (24)

10/13/2022 3 P0001431 PFIZER 9

10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
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10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
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10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
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10/13/2022
3 P0001431 PFIZER 9
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10/13/2022 3 P0001431 PFIZER 9
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10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
10/13/2022 3 P0001431 PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3217010908970001 ARDIAN SETIADI BANYUWANGI

2 3515115104000003 NABILA MARYARANI G BANYUWANGI
3 3510211112970003 RADEN RISYAL S BANYUWANGI
4 3510164511890004 WINDI HERLIYANI BANYUWANGI
5 3510165208500004 SUDARSIH KERTOSONO
6 3510171507820002 MOH YUSUF BANYUWANGI
7 5171014108470002 HALIMAH BANYUWANGI
8 35181616107750004 PURWANTO BANYUWANGI
9 3510164204870001 NILAWATI NURFATHONAH BANYUWANGI
10 351160107860032 WAGIMAN BANYUWANGI
11 3510161208040009 ANDRAS EFENDI BANYUWANGI
12 3510150603780001 SLAMET BANYUWANGI
13 3510167105010005 ADITA MAULILDA SILVANI BANYUWANGI
14 3510165803980001 IGRAH LISBANTYA GUSMAN BANYUWANGI
15 351566406980003 MARTATYA PUTRI ANGGRAINI BANYUWANGI
16 3510177012890002 ERINA DAMAYANTI BANYUWANGI
17 3510142211000003 RISANG PANISWARA BANYUWANGI
18 3510161604700003 H.DIDIK HERMANSYAH BANYUWANGI
19 3510160910470002 HADI WIBOWO MOJOKERTO
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
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45
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51
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74
75
76
77
78
79
80
81
82
 83
84
85
86
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90
91
92
93
94
95
96
97
98
99
100
101
102
103
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108
109
110
111
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113
114
115
116
117
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120
121
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123
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127
128
129
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173
174
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218
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263
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297
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308
309
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315
316
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328
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333
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351
352
353
354
355
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357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
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384
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386
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390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 17-10-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

8/9/1997 25 18-30 L LEMBANG BANDUNG BARAT

4/11/2000 22 18-30 P TAMAN SIDOREJO M 28
12/11/1997 25 18-30 L
11/5/1989 33 31-45 P JL MH THAMRIN 1 2
1/11/1900 123 ≥60 p MALABAR 3 1
7/15/1982 40 31-45 L JL HAYAM WURUK 1 4
8/1/1947 75 ≥60 P JL SERMA TIRTA BALI
7/16/1975 47 46-59 L JL PB SUDIRMAN 4 2
4/2/1987 35 31-45 P JL IKAN LAYUR 1 4
7/1/1986 36 31-45 L JL IKAN WIJI NONGKO 1 7
8/12/2004 18 18-30 L KROBOKAN 1 2
3/6/1978 44 31-45 L
5/5/2001 21 18-30 P JL MH THAMRIN 1 3
3/18/1998 24 18-30 P JL BRIGJEN KATAMSO 1 3
6/24/1998 24 18-30 P JL ARYO BEBANGAH 2 4
12/23/1989 33 31-45 P JL FLAMBOYAN 2 2
11/22/2000 22 18-30 P JL TUNGGUL AMETUNG GG 4 5 2
4/16/1970 52 46-59 L JL KALILO 2 4
10/9/1947 75 ≥60 L JL MALABAR 3 1
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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 123 ≥60
123 ≥60
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#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

SMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

10/17/2022 1 P0001431

16 PTG
16 STR
GIRI PENATABAN

16 SOBO
16 TKY
16 23

SIDOARJO
BOYOLANGU
16 KEBALENAN
16 PTG
16 STR
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER
PFIZER
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
 L

NO
"TMPT_LHR UMUR
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TGL_LHR"
"
I
(1) (2) (3) (4) (5) (6)

1 3510165403730003 SITI KOMARIYAH BWI 3/14/1973 49

2 5101044407770001 ISTIANAH BWI 7/4/1977 45

KIKI MELIZA
3 3210246703900041 VELINDRIA BWI 3/27/1990 32
EMA RUSMITA
4 3510166207960003 SAVITRI BWI 7/22/1996 26
DENPAS
5 5171016805990007 SITI NUR AISYAH AR 5/28/1999 23
ACH RISKI
6 3510241510040003 RAMADANI BWI 10/15/2004 18

7 3510161910980003 LUKMAN MAULANA BWI 10/19/1995 27

8 3510165109860003 WIRYASTUTI BWI 9/11/1986 36
9 3510164707730004 ISRI NASIFA BWI 7/7/1973 49
10 3514234604820005 SAFIATI BWI 4/6/1982 40
11 3510181601770001 HASANUDIN BWI 1/16/1977 46
12 3510135111960001 CHARITSA ULFI BWI 11/11/1996 26
13 3510166104770013 MUJIMAH BWI 4/21/1977 45

14 3510212404840002 SUPRIYANTO BWI 4/24/1984 38

15 351021600790003 RAISA RISQIA BWI 7/20/1990 32
MOH AGAM
16 3510212209040004 ARDIANSYAH BWI 9/22/2004 18
ONGKY FIRDAUS
17 3510161510020005 WANGSA BWI 10/15/2002 20
HERMAN EDI
18 3510161801960007 SAPUTRA BWI 1/18/1996 27
FANY NAUFAL
19 3510162909980002 PRATAMA BWI 9/29/1998 24
HANDY KIROMI
20 3510130707040002 NU'MAN BWI 7/7/2004 18
AFNI FAUZI
21 3510163004940003 BAMAZRUK BWI 4/30/1994 28
DORRIS RIZKY
22 3510167001030004 AMALIA BWI 1/30/2003 20
BELLA NOVITA
23 3510164811020002 LESTARI BWI 11/8/2002 20
24 3510166709970001 SEPTI DWI INDAH BWI 9/27/1997 25
AJI AKBAR
25 3510162803990009 FARDIANSYAH BWI 3/28/1999 23
26 3510044504910007 IRFA LAILATUL BWI 4/5/1991 31
27 3510160806820006 SYAIFUL MUNIF BWI 6/8/1982 40
28 3510160303790001 HADI DERMAWAN BWI 3/3/1979 43
29 3510165505980005 EVA CAHYA WATI BWI 5/13/1998 24
30 3510162401920004 YUSUP ABADI BWI 1/24/1992 31
31 3510160906040001 MOH MUBAROK BWI 6/9/2004 18
GILANK
32 3510160911020008 RAMADHANI BWI 11/9/2002 20
33 3510212201970005 FIGAR RAMADHAN BWI 1/22/1997 26
34 3510151008980002 BAGUS SUGIARTO BWI 8/10/1998 24
35 3510164406820003 TATIK MAGHFIROH BWI 6/4/1982 40
36 3510212901940002 AHMAD ROSULI BWI 1/29/1994 29
37 3510171712910003 DEKY PRANAJAYA BWI 12/17/1991 31
MUH. TAUFIK
38 5103011707030003 HIDAYAT BWI 7/17/2003 19
BAGUS ADI
39 5101010812010005 SANTOSO BWI 12/8/2001 21
ARIF
40 3510163008970005 RAHMATULLOH BWI 8/31/1997 25
41 3510212011020004 EKO WAHYUDI BWI 11/20/2002 20
42 3510211605990001 AGUNG SISWANA BWI 2/6/1998 25
43 5101015006740008 PURWATI BWI 6/10/1974 48
NADIYA AYU
44 3510164112940003 ANNISAI BWI 12/1/1994 28
45 3510214611790005 EVA RUSIANI BWI 11/6/1979 43
46 3510165910770003 ISTIQOMAH BWI 10/19/1977 45
47 123
48 123
49 123
50 123
51 123
52 123
53 123
54 123
55 123
56 123
57 123
58 123
59 123
60 123
61 123
62 123
63 123
64 123
65 123
66 123
67 123
68 123
69 123
70 #REF!
71 123
72 123
73 123
 74 123
75 123
76 123
77 123
78 123
79 123
80 123
81 123
82 123
83 123
84 123
85 123
86 #REF!
87 123
88 123
89 123
90 123
91 123
92 123
93 123
94 123
95 123
96 123
97 123
98 123
99 123
100 123
101 123
102 123
103 123
104 123
105 123
106 123
107 123
108 123
109 123
110 123
111 123
112 123
113 123
114 123
115 123
116 123
117 123
118 123
119 123
120 123
121 123
122 123
123 123
124 123
125 123
126 123
127 123
128 123
129 123
130 123
131 123
132 123
133 123
134 123
135 123
136 123
137 123
138 123
139 123
140 123
141 123
142 123
143 123
144 123
145 123
146 123
147 123
148 123
149 123
150 123
151 123
152 123
153 123
154 123
155 123
156 123
157 123
158 123
159 123
160 123
161 123
162 123
163 123
164 123
165 123
166 123
167 123
168 123
169 123
170 123
171 123
172 123
173 123
174 123
175 123
176 123
177 123
178 123
179 123
180 123
181 123
182 123
183 123
184 123
185 123
186 123
187 123
188 123
189 123
190 123
191 123
192 123
193 123
194 123
195 123
196 123
197 123
198 123
199 123
200 123
201 123
202 123
203 123
204 123
205 123
206 123
207 123
208 123
209 123
210 123
211 123
212 123
213 123
214 123
215 123
216 123
217 123
218 123
219 123
220 123
221 123
222 123
223 123
224 123
225 123
226 123
227 123
228 123
229 123
230 123
231 123
232 123
233 123
234 123
235 123
236 123
237 123
238 123
239 123
240 123
241 123
242 123
243 123
244 123
245 123
246 123
247 123
248 123
249 123
250 123
251 123
252 123
253 123
254 123
255 123
256 123
257 123
258 123
259 123
260 123
261 123
262 123
263 123
264 123
265 123
266 123
267 123
268 123
269 123
270 123
271 123
272 123
273 123
274 123
275 123
276 123
277 123
278 123
279 123
280 123
281 123
282 123
283 123
284 123
285 123
286 123
287 123
288 123
289 123
290 123
291 123
292 123
293 123
294 123
295 123
296 123
297 123
298 123
299 123
300 123
301 123
302 123
303 123
304 123
305 123
306 123
307 123
308 123
309 123
310 123
311 123
312 123
313 123
314 123
315 123
316 123
317 123
318 123
319 123
320 123
321 123
322 123
323 123
324 123
325 123
326 123
327 123
328 123
329 123
330 123
331 123
332 123
333 123
334 123
335 123
336 123
337 123
338 123
339 123
340 123
341 123
342 123
343 123
344 123
345 123
346 123
347 123
348 123
349 123
350 123
351 123
352 123
353 123
354 123
355 123
356 123
357 123
358 123
359 123
360 123
361 123
362 123
363 123
364 123
365 123
366 123
367 123
368 123
369 123
370 123
371 123
372 123
373 123
374 123
375 123
376 123
377 123
378 123
379 123
380 123
381 123
382 123
383 123
384 123
385 123
386 123
387 123
388 123
389 123
390 123
391 123
392 123
393 123
394 123
395 123
396 123
397 123
398 123
399 123
400 123
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 20-10-22

"NAMA JENIS
KELOMPOK "JENIS NAMA
UMUR "ALAMAT" "RT" "RW" KELURAHA PEKERJAA
KELAMIN" KECAMATAN
N N
(7) (8) (9) (10) (11) (12) (13) (14)

46-59 P
31-45 PERUM VILLA BUKIT
P MAS 17
31-45
P KERTOSARI 16 21
18-30
P DUSUN WONOSUKO

18-30
P JL KALILO NO 44 2 3 16 13
18-30
L DSN KRAJAN BARAT 1 3
18-30
L JL KALILO NO 44 2 3 16 13
31-45 P
46-59 P JL KALILO NO 18 16 14
31-45 P KASURAN 6 6 REJOSO REJOSO
46-59 L DUSUN KRAJAN DUA 2 1 9 44
18-30 P DSN BANJE 3 2 13
31-45 P LINGK GENTENGAN 1 3 16 16
31-45 PERUM SALIMAS
L SQUARE 1 2 21 91
31-45 P JL BROMO 3 2 16 14
18-30
L DUSUN KRAJAN 2 6 21 93
18-30
L JL KARIMUN JAWA 16 12
18-30
L JL SUMBING 1 2 16 14
18-30
L JL IJEN NO 13 3 4 16 14
18-30
L DUSUN GURIT 1 5 13 13
18-30
L JL BANTERANG BARU 4 3 16 10
18-30
P JL KERTANEGARA 1 3 20
18-30
P JL BENGAWAN 4 3 16 16
18-30 P JL KALIMAS NO 30 4 1 16 14
18-30
L JL SUMBING NO 87 2 2 16 14
31-45 P PURWOREJO 1 1 4 191
31-45 L JL BROMO 3 2 16 14
31-45 L JL PROGO 16 16
18-30 P LINGK KALILO 3 3 16 13
31-45 L LINGK KALILO 4 1 16 13
18-30 L JL PROGO 3 2 16 13
18-30
L
18-30 L PERUM VILA PESONA 4 1 16 13
18-30 L LINGK KARANGASEM 1 2 15 52
31-45 P
18-30 L
31-45 L LINGK KRAJAN 1 3 1 17 47
18-30
L JL SUMBING 4 2 16 14
18-30
L LINGK SINGOWIGNYO 2 3 16 14
18-30
L JL GUMITIR NO 2 16 14
18-30 L DUSUN KRAJAN 1 3 21 98
18-30 L DUSUN KRAJAN 1 2 21 98
46-59 P LINGK SINGOWIGNYO 2 3 16 14
18-30
P LINGK KRAMAT 2 2 16 21
31-45 P JL MH THAMRIN 2 2 16 16
31-45 P JL MH THAMRIN 4 2 16 16
≥60
≥60
≥60
≥60
≥60
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#REF!
≥60
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 ≥60
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≥60
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≥60
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#REF!
≥60
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≥60
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≥60
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≥60
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≥60
≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
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≥60
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≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
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≥60
≥60
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≥60
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≥60
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≥60
≥60
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≥60
≥60
≥60
≥60
≥60
≥60
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≥60
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≥60
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≥60
≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
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≥60
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≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
 ALASAN
TANGGAL PENTAHAPAN VAKSIN-3 NO BATCH TIDAK MEREK FASKES NO.HP
BPJS VAKSIN VAKSIN
TERVAKSIN

(15) (16) (17) (18) (19) (20) (21) (22) (23)

10/20/2022 3 P0001431 PFIZER 9

10/20/2022
3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022
3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
10/20/2022 3 P0001431 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
KETERANGAN

(24)
 LAPO

"TMPT_LHR UMUR
NO NO REGISTRASI "NIK" "NAMA_LENGKAP" "TGL_LHR"
"

(1) (2) (3) (4) (5) (6)

1 3578041806840004 DJOKO SURYO BWI 6/18/1984 38

2 3510160212850002 SUBHAN EFENDI BWI 12/2/1985 37
3 3510165009890003 SITI NORMA BWI 9/10/1989 33
4 3510165407700002 YULI HARTUTIK BWI 7/14/1970 52
5 3510161510920002 BAYU SETIO BUDI BWI 10/15/1992 30
6 3510162704700002 MOH HUSAINI BWI 4/27/1970 52
7 3510174403990004 DEVI MARDHITA BWI 3/4/1999 23
8 3510160607650005 ASMAI BWI 7/3/1965 57
9 3304036103840002 AISYAH ROHYATI BWI 3/21/1984 38
10 3510156606760001 DWI ISTUNING SETIYBWI 6/26/1976 46
11 3510163112690012 EKO SUWINARYANT BWI 12/31/1969 53
12 3510084802870005 RANTAU WIJAYANTI BWI 2/8/1987 36
13 3510160111710002 HARIYONO BWI 11/1/1971 51
14 3510212005640002 MIARSO BWI 5/20/1964 58
15 3510215608850005 YAYUK IDIYATI BWI 8/16/1985 37
16 3518095808630002 SITI MARYATI BWI 8/18/1963 59
17 3510161306750003 MISRANI BWI 6/13/1975 47
18 3510165301780001 JAM'IYAH BWI 1/13/1978 45
19 3510161207870002 MUHAMMAD IMRON BWI 7/12/1987 35
20 3510164505050004 SELVI MEI RIKA DEWIBWI 5/5/2005 17
21 6404125203660001 BUAMA BWI 3/12/1966 56
22 3510161111770003 ACHMAD SYAH BWI 11/11/1977 45
23 123
24 123
25 123
26 123
27 123
28 123
29 123
30 123
31 123
32 123
33 123
34 123
35 123
36 123
37 123
38 123
39 123
40 123
41 123
42 123
43 123
44 123
45 123
46 123
47 123
48 123
49 123
50 123
51 123
52 123
53 123
54 123
55 123
56 123
57 123
58 123
59 123
60 123
61 123
62 123
63 123
64 123
65 123
66 123
67 123
68 123
69 123
70 #REF!
71 123
72 123
73 123
74 123
75 123
76 123
77 123
78 123
79 123
 80 123
81 123
82 123
83 123
84 123
85 123
86 #REF!
87 123
88 123
89 123
90 123
91 123
92 123
93 123
94 123
95 123
96 123
97 123
98 123
99 123
100 123
101 123
102 123
103 123
104 123
105 123
106 123
107 123
108 123
109 123
110 123
111 123
112 123
113 123
114 123
115 123
116 123
117 123
118 123
119 123
120 123
121 123
122 123
123 123
124 123
125 123
126 123
127 123
128 123
129 123
130 123
131 123
132 123
133 123
134 123
135 123
136 123
137 123
138 123
139 123
140 123
141 123
142 123
143 123
144 123
145 123
146 123
147 123
148 123
149 123
150 123
151 123
152 123
153 123
154 123
155 123
156 123
157 123
158 123
159 123
160 123
161 123
162 123
163 123
164 123
165 123
166 123
167 123
168 123
169 123
170 123
171 123
172 123
173 123
174 123
175 123
176 123
177 123
178 123
179 123
180 123
181 123
182 123
183 123
184 123
185 123
186 123
187 123
188 123
189 123
190 123
191 123
192 123
193 123
194 123
195 123
196 123
197 123
198 123
199 123
200 123
201 123
202 123
203 123
204 123
205 123
206 123
207 123
208 123
209 123
210 123
211 123
212 123
213 123
214 123
215 123
216 123
217 123
218 123
219 123
220 123
221 123
222 123
223 123
224 123
225 123
226 123
227 123
228 123
229 123
230 123
231 123
232 123
233 123
234 123
235 123
236 123
237 123
238 123
239 123
240 123
241 123
242 123
243 123
244 123
245 123
246 123
247 123
248 123
249 123
250 123
251 123
252 123
253 123
254 123
255 123
256 123
257 123
258 123
259 123
260 123
261 123
262 123
263 123
264 123
265 123
266 123
267 123
268 123
269 123
270 123
271 123
272 123
273 123
274 123
275 123
276 123
277 123
278 123
279 123
280 123
281 123
282 123
283 123
284 123
285 123
286 123
287 123
288 123
289 123
290 123
291 123
292 123
293 123
294 123
295 123
296 123
297 123
298 123
299 123
300 123
301 123
302 123
303 123
304 123
305 123
306 123
307 123
308 123
309 123
310 123
311 123
312 123
313 123
314 123
315 123
316 123
317 123
318 123
319 123
320 123
321 123
322 123
323 123
324 123
325 123
326 123
327 123
328 123
329 123
330 123
331 123
332 123
333 123
334 123
335 123
336 123
337 123
338 123
339 123
340 123
341 123
342 123
343 123
344 123
345 123
346 123
347 123
348 123
349 123
350 123
351 123
352 123
353 123
354 123
355 123
356 123
357 123
358 123
359 123
360 123
361 123
362 123
363 123
364 123
365 123
366 123
367 123
368 123
369 123
370 123
371 123
372 123
373 123
374 123
375 123
376 123
377 123
378 123
379 123
380 123
381 123
382 123
383 123
384 123
385 123
386 123
387 123
388 123
389 123
390 123
391 123
392 123
393 123
394 123
395 123
396 123
397 123
398 123
399 123
400 123
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 7-11-22

NAMA "NAMA JENIS

KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA KELURAHA PEKERJAA BPJS
KELAMIN"
N N N
(7) (8) (9) (10) (11) (12) (13) (14) (15)

31-45 L LINGK PASAREN

31-45 L TEMENGGUNGAN 2 2 16 11
31-45 P TEMENGGUNGAN 2 2 16 11
46-59 P JL KALILO 3 3 16 13
18-30 L JL RINJANI GG II 3 3 16 14
46-59 L PERUM PURI MEND 3 1 16 18
18-30 P
46-59 L JL KALILO 3 3 16 13
31-45 P JL LAWU II GG 2 3 16 14
46-59 P JL MH THAMRIN G 2 5 16 13
46-59 L JL MH THAMRIN G 2 5 16 13
31-45 P JL BENGAWAN 1 1 16 16
46-59 L LINGK KALILO 2 1 16 13
46-59 L SUKOWIDI 3 2 21 91
31-45 P LINGK WARUNG K 1 1 21 91
46-59 P DSN SUGIH WARA 22 6 10
46-59 P
31-45 P
31-45 L JL SINDORO 4 1 16 14
0 P JL SUMBING NO 42 16 14
46-59 P JL BANGSAL TENG 5 2
31-45 L JL BUNYU NO 7 2 1 16 12
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
 ≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
#REF!
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
 ≥60
≥60
≥60
≥60
≥60
≥60
#REF!
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
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≥60
≥60
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≥60
≥60
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≥60
≥60
≥60
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≥60
≥60
≥60
≥60
≥60
≥60
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≥60
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≥60
≥60
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≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
 ALASAN MEREK
TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(16) (17) (18) (19) (20) (21) (22) (23) (24)

11/7/2022 3 FX2761 PFIZER 9 081246453465

11/7/2022 3 FX2761 PFIZER 9 085335108537
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9 089670755201
11/7/2022 3 FX2761 PFIZER 9 081359721310
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9 87841955276
11/7/2022 3 FX2761 PFIZER 9 082330637763
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9 085233837506
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9 085232729311
11/7/2022 3 FX2761 PFIZER 9 089523949012
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9
11/7/2022 3 FX2761 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
3 P0001384 PFIZER 9
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR" UMUR
I
(1) (2) (3) (4) (5) (6)

1 3510106105940001 NILA AYU DINANTI BWI 5/21/1994 28

MIA AYU
2 3510056002960004 PERMATASARI BWI 2/20/1996 26
FIRA
3 3510164501960002 ASRININGTIYAS BWI 1/5/1996 27

4 3579034108600015 SUTJINING RAHAYU MALANG 8/1/1960 62

5 3510166011720003 FAIZAH BWA 11/20/1972 50

6 3510214712910004 DARA DETA DILAILY BWI 12/7/1991 31

7 3510162406820011 KGS LUTFI HAKIM BWI 6/24/1982 40
8 3510160112920002 GOJALI RAHMAN BWI 12/1/1992 30
9 3510210110580005 SUGIYANTO BWI 10/1/1958 64
10 3512134707900004 KAWILAH situbondo 7/7/1990 32
IMAN NARDA
11 3510161708040001 SAPUTRA BWI 8/17/2004 18
DANA AGUS
12 5106042308930004 SETIAWAN BWI 8/23/1993 29
WAQIAH RIZKY
13 3510216811940004 NAVY A.H JEMBER 11/28/1994 28

14 3510151112850001 deny setiyono BWI 12/11/1985 37

17 3510161711760004 HELMI BASWEDAN BWI 11/17/1976 46

18 3510160508970007 MUH.LUKMAN BWI 8/5/1997 25
19 3510165808040005 NURUL AGUSTA BWI 8/18/2004 18
20 3510164207770008 ISTIKOMAH BWI 7/2/1977 45
21 3510161308600002 ABDUL HADI BWI 8/13/1960 62
22 3510162104680005 PRIYONO BWI 4/21/1968 54
23 3510166408920002 ZORA HEDYTHA F BWI 8/24/1992 30

24 3510164301040002 MAYZZA BAIGISAL Z BWI 1/3/2004 19

25 3510167006600308 SIAMIK BWI 6/30/1960 62
26 3510166704800005 FATHIYAH ISHAK BWI 4/27/1980 42
AL FIKRI
27 3510160603040001 SURYANANTA BWI 3/6/2004 18
28 3510164101010009 NABILA BWI 1/1/2001 22
29 3510191202950001 WAHYU SETYO B BWI 2/12/1995 28
30 3510161312690001 PUDJI HARIANTO BWI 12/13/1968 54

31 3510164410630004 TINTIN SUSIYANTINI BWI 10/4/1963 59

32 3510163012600003 BUDI HADJOKO BWI 12/30/1960 62
 MOH.IRFAN
33 3524142510990001 BUKHORI LAMONGAN 10/10/1999 23
ACHMAD IKROM
34 3510162007780003 WAHYUDI BWI 7/20/1978 44
35 3510162612750003 WAHYU UTOMO BWI 12/26/1975 47
36 3510166407640001 SANIYAH BWI 7/24/1964 58

37 3504030306890003 ARGA ROMANSYAH TULUNGAGU 6/3/1989 33

SHAFIYAH
38 3574035301030005 SALSABILA BWI 1/13/2003 20
39 7404085607940002 SAHARIA UNCUME 7/16/1994 28
40 BWI 123
41 BWI 123
42 BWI 123
43 BWI 123
44 BWI 123
45 BWI 123
46 BWI 123
47 123
48 123
49 123
50 123
51 123
52 123
53 123
54 123
55 123
56 123
57 123
58 123
59 123
60 123
61 123
62 123
63 123
64 123
65 123
66 123
67 123
68 123
69 123
70 #REF!
71 123
72 123
73 123
74 123
75 123
76 123
77 123
 78 123
79 123
80 123
81 123
82 123
83 123
84 123
85 123
86 #REF!
87 123
88 123
89 123
90 123
91 123
92 123
93 123
94 123
95 123
96 123
97 123
98 123
99 123
100 123
101 123
102 123
103 123
104 123
105 123
106 123
107 123
108 123
109 123
110 123
111 123
112 123
113 123
114 123
115 123
116 123
117 123
118 123
119 123
120 123
121 123
122 123
123 123
124 123
125 123
126 123
127 123
128 123
129 123
130 123
131 123
132 123
133 123
134 123
135 123
136 123
137 123
138 123
139 123
140 123
141 123
142 123
143 123
144 123
145 123
146 123
147 123
148 123
149 123
150 123
151 123
152 123
153 123
154 123
155 123
156 123
157 123
158 123
159 123
160 123
161 123
162 123
163 123
164 123
165 123
166 123
167 123
168 123
169 123
170 123
171 123
172 123
173 123
174 123
175 123
176 123
177 123
178 123
179 123
180 123
181 123
182 123
183 123
184 123
185 123
186 123
187 123
188 123
189 123
190 123
191 123
192 123
193 123
194 123
195 123
196 123
197 123
198 123
199 123
200 123
201 123
202 123
203 123
204 123
205 123
206 123
207 123
208 123
209 123
210 123
211 123
212 123
213 123
214 123
215 123
216 123
217 123
218 123
219 123
220 123
221 123
222 123
223 123
224 123
225 123
226 123
227 123
228 123
229 123
230 123
231 123
232 123
233 123
234 123
235 123
236 123
237 123
238 123
239 123
240 123
241 123
242 123
243 123
244 123
245 123
246 123
247 123
248 123
249 123
250 123
251 123
252 123
253 123
254 123
255 123
256 123
257 123
258 123
259 123
260 123
261 123
262 123
263 123
264 123
265 123
266 123
267 123
268 123
269 123
270 123
271 123
272 123
273 123
274 123
275 123
276 123
277 123
278 123
279 123
280 123
281 123
282 123
283 123
284 123
285 123
286 123
287 123
288 123
289 123
290 123
291 123
292 123
293 123
294 123
295 123
296 123
297 123
298 123
299 123
300 123
301 123
302 123
303 123
304 123
305 123
306 123
307 123
308 123
309 123
310 123
311 123
312 123
313 123
314 123
315 123
316 123
317 123
318 123
319 123
320 123
321 123
322 123
323 123
324 123
325 123
326 123
327 123
328 123
329 123
330 123
331 123
332 123
333 123
334 123
335 123
336 123
337 123
338 123
339 123
340 123
341 123
342 123
343 123
344 123
345 123
346 123
347 123
348 123
349 123
350 123
351 123
352 123
353 123
354 123
355 123
356 123
357 123
358 123
359 123
360 123
361 123
362 123
363 123
364 123
365 123
366 123
367 123
368 123
369 123
370 123
371 123
372 123
373 123
374 123
375 123
376 123
377 123
378 123
379 123
380 123
381 123
382 123
383 123
384 123
385 123
386 123
387 123
388 123
389 123
390 123
391 123
392 123
393 123
394 123
395 123
396 123
397 123
398 123
399 123
400 123
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 3-11-22

"NAMA JENIS
KELOMPOK "JENIS NAMA
UMUR "ALAMAT" "RT" "RW" KELURAHA PEKERJAA
KELAMIN" KECAMATAN
N N
(7) (8) (9) (10) (11) (12) (13) (14)

18-30 P DSN.SEP.WETAN 1 2 GLEMOR

18-30
P DSN.KUMENDUNG 4 4 MUNCAR
18-30
P JL.KH AGUS SALIM BWI
≥60
P DADAPTULIS DALAM 2 7
46-59 P JL.KERINCI NO.10 2 3 BWI STR
31-45
P PERUM GGM 3 4 KALIPURO KLATAK
31-45 L JL.RIAUNO.38 BWI MANDAR
18-30 L JL.SINDORO BWI STR
≥60 L DSN KRAJAN 1 12 KALIPURO KETAPANG
31-45 P villa gajah mada 5 3 bwi SNG
18-30
L JL.AGUNG WILIS NO.14 2 1 BWI TMG
18-30
L DSN KEPEI

18-30
P Perum griya patoman asri

31-45
L Perum villa gajah mada 5 3 BWI SNG
46-59
L JL.BMALABAR 2 1 BWI STR
18-30 L KROB 3 2 BWI MDR
18-30 P JL.KAPTEN ILYAS 1 1 BWI SNG
31-45 P KROB 3 2 BWI MDR
≥60 L JL.GENTENG BARU
46-59 L JL.LAWU NO.7 1 3 BWI STR
18-30 P JL.KARIMUN JAWA 1 4 BWI LTG
18-30
P JL.KALIMAS 4 1 BWI PTG
≥60 P JL.ANDALAS 2 1 BWI STR
31-45 P
18-30
L JL.KALASAN
18-30 P JL.BUNYU 2 1 BWI LATENG
18-30 L DSN GUMUK CANDI SONGGON SONGGON
46-59 L BALI BALI
46-59
P
≥60 L
18-30
L SOBO BWI SOBO
31-45
L JL.CITARUM BWI PANDEREJO
46-59 L KRAJAN 2 1 BWI PAKIS
46-59 P
31-45
L TULUNGAGUNG
18-30
P JL.SERMA ABDURAHMAN
18-30 P JL.SUMBER INDAH 35 0 BALIKPAPAN UTARA
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
#REF!
≥60
≥60
≥60
≥60
≥60
≥60
≥60
 ≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
#REF!
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
 ALASAN
TANGGAL PENTAHAPAN VAKSIN-3 NO BATCH TIDAK MEREK FASKES NO.HP
BPJS VAKSIN VAKSIN
TERVAKSIN

(15) (16) (17) (18) (19) (20) (21) (22) (23)

11/3/2022 3 FX2761 PFIZER 9

11/3/2022
3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022
3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
11/3/2022 3 FX2761 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
3 PFIZER 9
KETERANGAN

(24)
 LAPO

NO
"TMPT_LHR UMUR KELOMPOK
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TGL_LHR" UMUR
"
I
(1) (2) (3) (4) (5) (6) (7)

1 3510210605800006 EDI SUMANTRI BWI 5/6/1980 42 31-45

2 3510216307960001 TIA ZURKARNAIN BWI 7/23/1996 26 18-30
3 3510215504840005 ULFFATUR UMROH BWI 4/15/1984 38 31-45
4 3510166901830002 DEWI SETIOWATI BWI 1/29/1983 40 31-45
5 3510165505550008 RASMIYATI BWI 5/5/1955 67 ≥60
6 3574054505810010 KHUROTUL AINI BWI 5/5/1981 41 31-45
7 5101024411810003 ENY SETIAWAN BWI 11/4/1981 41 31-45
8 3510165203880008 IKA JUHARTINI BWI 8/12/1988 34 31-45
9 3510162401020001 ADI CANDRA PRATA BWI 1/24/2002 21 18-30
10 3510165111940003 RUHUL MAWADDAH BWI 11/11/1994 28 18-30
11 3510164412880005 INDAH SETYAWATI BWI 12/4/1988 34 31-45
12 3510160901030003 OVIN RHOJA DANUA BWI 1/9/2003 20 18-30
13 3510162907910003 JULIK PRAYITNO BWI 7/29/1991 31 31-45
14 3510174101950004 JENNIFER WILAYANGBWI 1/1/1995 28 18-30
15 3510166406990006 LINDA HUSNUN HAS BWI 6/24/1999 23 18-30
16 123 ≥60
17 123 ≥60
18 123 ≥60
19 123 ≥60
20 123 ≥60
21 123 ≥60
22 123 ≥60
23 123 ≥60
24 123 ≥60
25 123 ≥60
26 123 ≥60
27 123 ≥60
28 123 ≥60
29 123 ≥60
30 123 ≥60
31 123 ≥60
32 123 ≥60
33 123 ≥60
34 123 ≥60
35 123 ≥60
36 123 ≥60
37 123 ≥60
38 123 ≥60
39 123 ≥60
40 123 ≥60
41 123 ≥60
42 123 ≥60
43 123 ≥60
44 123 ≥60
45 123 ≥60
46 123 ≥60
47 123 ≥60
48 123 ≥60
49 123 ≥60
50 123 ≥60
51 123 ≥60
52 123 ≥60
53 123 ≥60
54 123 ≥60
55 123 ≥60
56 123 ≥60
57 123 ≥60
58 123 ≥60
59 123 ≥60
60 123 ≥60
61 123 ≥60
62 123 ≥60
63 123 ≥60
64 123 ≥60
65 123 ≥60
66 123 ≥60
67 123 ≥60
68 123 ≥60
69 123 ≥60
70 #REF! #REF!
71 123 ≥60
72 123 ≥60
73 123 ≥60
74 123 ≥60
75 123 ≥60
76 123 ≥60
77 123 ≥60
78 123 ≥60
79 123 ≥60
80 123 ≥60
81 123 ≥60
82 123 ≥60
 83 123 ≥60
84 123 ≥60
85 123 ≥60
86 #REF! #REF!
87 123 ≥60
88 123 ≥60
89 123 ≥60
90 123 ≥60
91 123 ≥60
92 123 ≥60
93 123 ≥60
94 123 ≥60
95 123 ≥60
96 123 ≥60
97 123 ≥60
98 123 ≥60
99 123 ≥60
100 123 ≥60
101 123 ≥60
102 123 ≥60
103 123 ≥60
104 123 ≥60
105 123 ≥60
106 123 ≥60
107 123 ≥60
108 123 ≥60
109 123 ≥60
110 123 ≥60
111 123 ≥60
112 123 ≥60
113 123 ≥60
114 123 ≥60
115 123 ≥60
116 123 ≥60
117 123 ≥60
118 123 ≥60
119 123 ≥60
120 123 ≥60
121 123 ≥60
122 123 ≥60
123 123 ≥60
124 123 ≥60
125 123 ≥60
126 123 ≥60
127 123 ≥60
128 123 ≥60
129 123 ≥60
130 123 ≥60
131 123 ≥60
132 123 ≥60
133 123 ≥60
134 123 ≥60
135 123 ≥60
136 123 ≥60
137 123 ≥60
138 123 ≥60
139 123 ≥60
140 123 ≥60
141 123 ≥60
142 123 ≥60
143 123 ≥60
144 123 ≥60
145 123 ≥60
146 123 ≥60
147 123 ≥60
148 123 ≥60
149 123 ≥60
150 123 ≥60
151 123 ≥60
152 123 ≥60
153 123 ≥60
154 123 ≥60
155 123 ≥60
156 123 ≥60
157 123 ≥60
158 123 ≥60
159 123 ≥60
160 123 ≥60
161 123 ≥60
162 123 ≥60
163 123 ≥60
164 123 ≥60
165 123 ≥60
166 123 ≥60
167 123 ≥60
168 123 ≥60
169 123 ≥60
170 123 ≥60
171 123 ≥60
172 123 ≥60
173 123 ≥60
174 123 ≥60
175 123 ≥60
176 123 ≥60
177 123 ≥60
178 123 ≥60
179 123 ≥60
180 123 ≥60
181 123 ≥60
182 123 ≥60
183 123 ≥60
184 123 ≥60
185 123 ≥60
186 123 ≥60
187 123 ≥60
188 123 ≥60
189 123 ≥60
190 123 ≥60
191 123 ≥60
192 123 ≥60
193 123 ≥60
194 123 ≥60
195 123 ≥60
196 123 ≥60
197 123 ≥60
198 123 ≥60
199 123 ≥60
200 123 ≥60
201 123 ≥60
202 123 ≥60
203 123 ≥60
204 123 ≥60
205 123 ≥60
206 123 ≥60
207 123 ≥60
208 123 ≥60
209 123 ≥60
210 123 ≥60
211 123 ≥60
212 123 ≥60
213 123 ≥60
214 123 ≥60
215 123 ≥60
216 123 ≥60
217 123 ≥60
218 123 ≥60
219 123 ≥60
220 123 ≥60
221 123 ≥60
222 123 ≥60
223 123 ≥60
224 123 ≥60
225 123 ≥60
226 123 ≥60
227 123 ≥60
228 123 ≥60
229 123 ≥60
230 123 ≥60
231 123 ≥60
232 123 ≥60
233 123 ≥60
234 123 ≥60
235 123 ≥60
236 123 ≥60
237 123 ≥60
238 123 ≥60
239 123 ≥60
240 123 ≥60
241 123 ≥60
242 123 ≥60
243 123 ≥60
244 123 ≥60
245 123 ≥60
246 123 ≥60
247 123 ≥60
248 123 ≥60
249 123 ≥60
250 123 ≥60
251 123 ≥60
252 123 ≥60
253 123 ≥60
254 123 ≥60
255 123 ≥60
256 123 ≥60
257 123 ≥60
258 123 ≥60
259 123 ≥60
260 123 ≥60
261 123 ≥60
262 123 ≥60
263 123 ≥60
264 123 ≥60
265 123 ≥60
266 123 ≥60
267 123 ≥60
268 123 ≥60
269 123 ≥60
270 123 ≥60
271 123 ≥60
272 123 ≥60
273 123 ≥60
274 123 ≥60
275 123 ≥60
276 123 ≥60
277 123 ≥60
278 123 ≥60
279 123 ≥60
280 123 ≥60
281 123 ≥60
282 123 ≥60
283 123 ≥60
284 123 ≥60
285 123 ≥60
286 123 ≥60
287 123 ≥60
288 123 ≥60
289 123 ≥60
290 123 ≥60
291 123 ≥60
292 123 ≥60
293 123 ≥60
294 123 ≥60
295 123 ≥60
296 123 ≥60
297 123 ≥60
298 123 ≥60
299 123 ≥60
300 123 ≥60
301 123 ≥60
302 123 ≥60
303 123 ≥60
304 123 ≥60
305 123 ≥60
306 123 ≥60
307 123 ≥60
308 123 ≥60
309 123 ≥60
310 123 ≥60
311 123 ≥60
312 123 ≥60
313 123 ≥60
314 123 ≥60
315 123 ≥60
316 123 ≥60
317 123 ≥60
318 123 ≥60
319 123 ≥60
320 123 ≥60
321 123 ≥60
322 123 ≥60
323 123 ≥60
324 123 ≥60
325 123 ≥60
326 123 ≥60
327 123 ≥60
328 123 ≥60
329 123 ≥60
330 123 ≥60
331 123 ≥60
332 123 ≥60
333 123 ≥60
334 123 ≥60
335 123 ≥60
336 123 ≥60
337 123 ≥60
338 123 ≥60
339 123 ≥60
340 123 ≥60
341 123 ≥60
342 123 ≥60
343 123 ≥60
344 123 ≥60
345 123 ≥60
346 123 ≥60
347 123 ≥60
348 123 ≥60
349 123 ≥60
350 123 ≥60
351 123 ≥60
352 123 ≥60
353 123 ≥60
354 123 ≥60
355 123 ≥60
356 123 ≥60
357 123 ≥60
358 123 ≥60
359 123 ≥60
360 123 ≥60
361 123 ≥60
362 123 ≥60
363 123 ≥60
364 123 ≥60
365 123 ≥60
366 123 ≥60
367 123 ≥60
368 123 ≥60
369 123 ≥60
370 123 ≥60
371 123 ≥60
372 123 ≥60
373 123 ≥60
374 123 ≥60
375 123 ≥60
376 123 ≥60
377 123 ≥60
378 123 ≥60
379 123 ≥60
380 123 ≥60
381 123 ≥60
382 123 ≥60
383 123 ≥60
384 123 ≥60
385 123 ≥60
386 123 ≥60
387 123 ≥60
388 123 ≥60
389 123 ≥60
390 123 ≥60
391 123 ≥60
392 123 ≥60
393 123 ≥60
394 123 ≥60
395 123 ≥60
396 123 ≥60
397 123 ≥60
398 123 ≥60
399 123 ≥60
400 123 ≥60
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 10-11-22

NAMA "NAMA JENIS

"JENIS TANGGAL VAKSIN
"ALAMAT" "RT" "RW" KECAMATA KELURAHA PEKERJAA BPJS
KELAMIN"
N N N
(8) (9) (10) (11) (12) (13) (14) (15) (16)

L Lingk Antogan 4 1 21 11/10/2022

P LINGK KP BARU 1 2 21 92 11/10/2022
P PERUM GRIYA GIRI 17 11/10/2022
P JL BANGKA NO 36 3 1 16 12 11/10/2022
P JL IJEN NO 34 16 14 11/10/2022
P JL KALILO NO 16 16 11/10/2022
P JL KINIBALU 3 1 16 14 11/10/2022
P LINGK GESARI 16 13 11/10/2022
L LINGK GESARI 1 2 16 13 11/10/2022
P JL KAPTEN ILYAS N 1 1 16 16 11/10/2022
P KRAJAN 2 1 16 14 11/10/2022
L LINGK JAJANG PEN 3 3 16 10 11/10/2022
L JL JOGO PATI 42 16 10 11/10/2022
P LEBAK PERMAI 8 3 11/10/2022
P JL KAPTEN ILYAS N 3 3 11/10/2022
 ALASAN MEREK
PENTAHAPAN VAKSIN-3 NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(17) (18) (19) (20) (21) (22) (23) (24)

3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9 081336213111
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9 085337498600
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9 88990806382
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510165309680001 SITI ROHAYATUN KLATEN

2 3510165310820008 MARIATUL LUKHITA BANYUWANGI
3 3510164103950001 ERLINA CANDRA BANYUWANGI
4 3510164510020003 ARDHISA RESTU BANYUWANGI
5 3510162806750004 ACHMAD ADIM BANYUWANGI
6 3510162912930004 JEMMI HARIYANTO BANYUWANGI
7 5103056611010008 AJENG ANDINI PUTRI BANYUWANGI
8 3510214403650006 SUMIARSIH BANYUWANGI
9 3510161801990007 ACHMAD RIZAL F BANYUWANGI
10 3510165711570001 SULASTRI BANYUWANGI
11 3510167007780002 SRI ASTUTI BANYUWANGI
12 3510164411970001 ELABANA NOVIANTI BANYUWANGI
13 3311042909960001 TRI SUTRISNO BANYUWANGI
14 3510164904600001 ELLY DARMAWATI BANYUWANGI
15 3510165105670002 KURNIA LESTARI BANYUWANGI
16 3510166503000002 MARINA NURMA BANYUWANGI
17 3510162104970003 M ABDILLAH HADI WIJAYA BANYUWANGI
18 3510161504030002 DICKY FARYANZAH BANYUWANGI
19 3510163006660031 SLAMET HARIYADI BANYUWANGI
20 1472027103680001 SRI WULANDARI BANYUWANGI
21 3514122504020002 OLGA CRISNA JAYA S BANYUWANGI
22 3510161507610009 SUKARDI BANYUWANGI
23 3510162712010002 MOCH RIZKY BANYUWANGI
24 3510166008640005 SURIYATI BANYUWANGI
25 3510162111720005 RACHMADIYANTO BANYUWANGI
26 3510165504790008 SRI RAHAYU BANYUWANGI
27 3510164712720006 RISDIANI BANYUWANGI
28 3510164105720003 HINDARTI BANYUWANGI
29 3510167006650210 ZULAEHA BANYUWANGI
30 3510161506680001 BIBIB PRAYOGO BANYUWANGI
31 3510164911870004 NOVI KUMALASARI BANYUWANGI
32 3510140503850005 SODIKIN BANYUWANGI
33 3510164703760005 FARIYANTI BANYUWANGI
34 3510166412950004 DEVI EKA BANYUWANGI
35 3510162607210010 FITRIN EL DIANA BANYUWANGI
36 3510167006500075 SAYU MAHMUDAH BANYUWANGI
37 35101611009010002 BATARA ANDAKA BANYUWANGI
38 3510167006520046 MUJARAAH BANYUWANGI
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 14-11-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

9/13/1968 54 46-59 P LINGK KBJ 2 3

10/13/1982 40 31-45 P JL KARIMUN JAWA 1 4
3/1/1995 27 18-30 P JL KARIMUN JAWA 5 4
10/5/2002 20 18-30 P KBJ 2 3
6/28/1975 47 46-59 L JL KARIMUN JAWA 1 4
12/29/1993 29 18-30 L JL KARIMUN JAWA 5 4
11/26/2001 21 18-30 P KORI NUANSA UNGASAN
3/4/1965 57 46-59 P PERUM VILLA SUKOWIDI 2 LB-05
1/18/1999 24 18-30 L JL OPAK 2 1
11/17/1957 65 ≥60 P JL SEKARDALU
7/30/1978 44 31-45 P JL TAWANG ALUN NO 04
11/4/1997 25 18-30 P JL AGUNGWILIS NO 27
9/29/1996 26 18-30 L SUKOHARJO
4/9/1960 62 ≥60 P JL TAWANG ALUN NO 04
5/11/1967 55 46-59 P JL SIDOPEKSO NO 24
3/25/2000 22 18-30 P JL AGUNG WILIS NO 16
4/21/1997 25 18-30 L JL AGUNG WILIS NO 28
4/5/2003 19 18-30 L JL SIDOPEKSO NO 35
6/30/1966 56 46-59 L LINGK SRITANJUNG
3/31/1968 54 46-59 P JL DEDALI PUTIH NO 10
4/25/2002 20 18-30 L JL SEKARDALU
7/15/1961 61 ≥60 L JL AGUNG WILIS NO 23
12/27/2001 21 18-30 L JL SEKARDALU NO 6
8/20/1964 58 46-59 P JL AGUNG WILIS NO 23
11/21/1972 50 46-59 L JL TAWANG ALUN NO 04
4/15/1979 43 31-45 P JL TAWANG ALUN
12/7/1972 50 46-59 P JL SAYU WIWIT NO 11
5/1/1972 50 46-59 P JL SEKARDALU NO 6
6/30/1965 57 46-59 P JL SAYU WIWIT
5/15/1968 54 46-59 L LINGK GAJAH OLING
11/9/1987 35 31-45 P JL DEDALI PUTIH NO 11A
3/5/1985 37 31-45 L JL DEDALI PUTIH NO 11A
3/7/1976 46 46-59 P JL JAGUNG SUPRAPTO
12/24/1995 27 18-30 P JL JAGUNG SUPRAPTO
3/7/1962 60 ≥60 P JL JAGUNG SUPRAPTO
6/3/1950 72 ≥60 P LINGK GAJAH OLING
9/11/2001 21 18-30 L JL AGUNG WILIS NO 27
6/30/1952 70 ≥60 P JL SEKARDALU
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

SMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 12 11/14/2022 3 FX2761
16 12 11/14/2022 3 FX2761
16 12 11/14/2022 3 FX2761
16 12 11/14/2022 3 FX2761
16 12 11/14/2022 3 FX2761
16 12 11/14/2022 3 FX2761
BADUNG 11/14/2022 3 FX2761
21 91 11/14/2022 3 FX2761
16 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
JATENG 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 10 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 10 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
16 11 11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
11/14/2022 3 FX2761
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
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PFIZER 9
PFIZER 9
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PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510216004950005 AFIA DWI JAYANTI BANYUWANGI

2 3510210504010004 YOGA FIRLY AKBAR M BANYUWANGI
3 3510161002670002 MOH NAJIB BANYUWANGI
4 3510166709650002 SAYU SUMIATI BANYUWANGI
5 3510161410990005 NUR ERVANI M BANYUWANGI
6 3510164301010004 TASYA CHOIRUN NISSA BANYUWANGI
7 3517096303000003 ASIYAH BANYUWANGI
8 3510160405540002 SARNO SANYOTO BANYUWANGI
9 3512086806960001 DEWI FATMAWATI BANYUWANGI
10 3510165709750006 PUSPITA RINI BANYUWANGI
11 351016641090003 LUSIYANAH BANYUWANGI
12 3204173012950005 RIZAL SUNJAYA BANYUWANGI
13 3510166311750003 MUNIFAH BANYUWANGI
14 3510162410770003 ISMAIL B BANYUWANGI
15 3172045910760010 ENDAH ASMARANI BANYUWANGI
16 3578174703960005 IKA MARISSA N BANYUWANGI
17 351709630300003 ASIYAH BANYUWANGI
18
19
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263
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308
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353
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 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 17-11-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

4/20/1995 27 18-30 P JL IJEN 3 4

4/5/2001 21 18-30 L PERUM GGM BLOK FF-15
2/10/1967 56 46-59 L JL BENGAWAN NO 15
9/27/1965 57 46-59 P JL RINJANI NO 75 3 2
10/14/1999 23 18-30 P JL RINJANI NO 75 3 3
1/3/2001 22 18-30 P JL SAYU GRINGSING JP 4 3
3/23/2000 22 18-30 P JL RINJANI NO 32
5/4/1954 68 ≥60 L JL KARIMUN JAWA NO 13
6/28/1996 26 18-30 P JL BUKIT PUTIH 3 3
9/17/1975 47 46-59 P JL KAPTEN ILYAS 1 1
10/24/1990 32 31-45 P JL SUMBING 2 1
12/30/1995 27 18-30 L KP SINDANGSARI 1 11
11/23/1975 47 46-59 P JL BUNYU NO 50 2 1
10/24/1977 45 31-45 L JL BUNYU NO 50 2 1
10/19/1976 46 46-59 P DSN KRAJAN 1 3
3/7/1996 26 18-30 P MLAGERI 3 5
3/23/2000 22 18-30 P JL MH THAMRIN NO 32 1 4
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

SMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 14 11/17/2022 3 FX2761
21 91 11/17/2022 3 FX2761
16 16 11/17/2022 3 FX2761
16 14 11/17/2022 3 FX2761
16 14 11/17/2022 3 FX2761
16 10 11/17/2022 3 FX2761
16 14 11/17/2022 3 FX2761
16 12 11/17/2022 3 FX2761
PANJI 11/17/2022 3 FX2761
16 16 11/17/2022 3 FX2761
16 14 11/17/2022 3 FX2761
11/17/2022 3 FX2761
16 12 11/17/2022 3 FX2761
16 12 11/17/2022 3 FX2761
11/17/2022 3 FX2761
BANDONGAN 11/17/2022 3 FX2761
16 14 11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
11/17/2022 3 FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
FX2761
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
 LAPORAN

NO "TMPT_LHR UMUR KELOMPOK

NO "NIK" "NAMA_LENGKAP" "TGL_LHR" UMUR
REGISTRASI "

(1) (2) (3) (4) (5) (6) (7)

1 3510164807040005 ALINA JASMINE BWI 7/8/2004 18 18-30

2 3510160512030001 FERI EKA BWI 12/5/2003 19 18-30
3 3510161408660004 WAHYU NAGA BWI 8/14/1966 56 46-59
4 3510164806870008 YUNITA PURNAMA BWI 6/8/1987 35 31-45
5 3510165107720002 FARIDA HAJAJ BWI 7/11/1972 50 46-59
6 3510161407550001 TOTOK SUDIYARTO BWI 7/14/1955 67 ≥60
7 3510160102940003 HARIS EKO MUNANDBWI 2/1/1994 29 18-30
8 3510166512710002 NINING BWI 12/25/1971 51 46-59
9 3510164306560001 ALWIYAH BWI 6/3/1956 66 ≥60
10 3510170303680003 AHMAD FAUZI BWI 3/3/1968 54 46-59
11 3510142207920002 ALI FIKRI BWI 7/22/1992 30 18-30
12 123 ≥60
13 123 ≥60
14 123 ≥60
15 123 ≥60
16 123 ≥60
17 123 ≥60
18 123 ≥60
19 123 ≥60
20 123 ≥60
21 123 ≥60
22 123 ≥60
23 123 ≥60
24 123 ≥60
25 123 ≥60
26 123 ≥60
27 123 ≥60
28 123 ≥60
29 123 ≥60
30 123 ≥60
31 123 ≥60
32 123 ≥60
33 123 ≥60
34 123 ≥60
35 123 ≥60
36 123 ≥60
37 123 ≥60
38 123 ≥60
39 123 ≥60
40 123 ≥60
41 123 ≥60
42 123 ≥60
43 123 ≥60
44 123 ≥60
45 123 ≥60
46 123 ≥60
47 123 ≥60
48 123 ≥60
49 123 ≥60
50 123 ≥60
51 123 ≥60
52 123 ≥60
53 123 ≥60
54 123 ≥60
55 123 ≥60
56 123 ≥60
57 123 ≥60
58 123 ≥60
59 123 ≥60
60 123 ≥60
61 123 ≥60
62 123 ≥60
63 123 ≥60
64 123 ≥60
65 123 ≥60
66 123 ≥60
67 123 ≥60
68 123 ≥60
69 123 ≥60
70 #REF! #REF!
71 123 ≥60
72 123 ≥60
73 123 ≥60
74 123 ≥60
75 123 ≥60
76 123 ≥60
77 123 ≥60
78 123 ≥60
79 123 ≥60
80 123 ≥60
81 123 ≥60
82 123 ≥60
 83 123 ≥60
84 123 ≥60
85 123 ≥60
86 #REF! #REF!
87 123 ≥60
88 123 ≥60
89 123 ≥60
90 123 ≥60
91 123 ≥60
92 123 ≥60
93 123 ≥60
94 123 ≥60
95 123 ≥60
96 123 ≥60
97 123 ≥60
98 123 ≥60
99 123 ≥60
100 123 ≥60
101 123 ≥60
102 123 ≥60
103 123 ≥60
104 123 ≥60
105 123 ≥60
106 123 ≥60
107 123 ≥60
108 123 ≥60
109 123 ≥60
110 123 ≥60
111 123 ≥60
112 123 ≥60
113 123 ≥60
114 123 ≥60
115 123 ≥60
116 123 ≥60
117 123 ≥60
118 123 ≥60
119 123 ≥60
120 123 ≥60
121 123 ≥60
122 123 ≥60
123 123 ≥60
124 123 ≥60
125 123 ≥60
126 123 ≥60
127 123 ≥60
128 123 ≥60
129 123 ≥60
130 123 ≥60
131 123 ≥60
132 123 ≥60
133 123 ≥60
134 123 ≥60
135 123 ≥60
136 123 ≥60
137 123 ≥60
138 123 ≥60
139 123 ≥60
140 123 ≥60
141 123 ≥60
142 123 ≥60
143 123 ≥60
144 123 ≥60
145 123 ≥60
146 123 ≥60
147 123 ≥60
148 123 ≥60
149 123 ≥60
150 123 ≥60
151 123 ≥60
152 123 ≥60
153 123 ≥60
154 123 ≥60
155 123 ≥60
156 123 ≥60
157 123 ≥60
158 123 ≥60
159 123 ≥60
160 123 ≥60
161 123 ≥60
162 123 ≥60
163 123 ≥60
164 123 ≥60
165 123 ≥60
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL :

NAMA "NAMA JENIS

"JENIS TANGGAL
"ALAMAT" "RT" "RW" KECAMATA KELURAHA PEKERJAA BPJS VAKSIN
KELAMIN"
N N N
(8) (9) (10) (11) (12) (13) (14) (15) (16)

P JL KALILO NO 105 5 2 16 13 11/21/2022

L JL ANDALAS NO 66 4 3 16 14 11/21/2022
L JL KARIMUN JAWA 1 3 16 12 11/21/2022
P JL KARIMUN JAWA 1 3 16 12 11/21/2022
P JL MERAPI 08 16 14 11/21/2022
L JL TERNATE NO 15 16 14 11/21/2022
L JL BATUR BARAT 3 3 16 14 11/21/2022
P JL MALABAR 3 1 16 14 11/21/2022
P JL SUMBING NO 43 2 2 16 14 11/21/2022
L PERUM PERMATA GIR 1 6 17 47 11/21/2022
L DUSUN DONOSUKO 1 3 25 69 11/21/2022
11/21/2022
11/21/2022
11/21/2022
11/21/2022
11/21/2022
11/21/2022
11/21/2022
11/21/2022
11/21/2022
11/21/2022
11/21/2022
11/21/2022
 ALASAN MEREK
PENTAHAPAN VAKSIN-3 NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(17) (18) (19) (20) (21) (22) (23) (24)

3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
 LAPORAN HARIAN V

NO
"TMPT_LHR UMUR KELOMPOK "JENIS
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TGL_LHR" UMUR
" KELAMIN"
I
(1) (2) (3) (4) (5) (6) (7) (8)

1 35101660108400ELIS BUDIATI BWI 10/20/1984 38 31-45 P

2 35101622107600BAGUS SETYO B BWI 10/22/1976 46 46-59 L
3 35101611065900SUJANI BWI 6/11/1959 63 ≥60 L
4 35101643058000SITI MULYANI BWI 5/3/1980 42 31-45 P
5 35101655118900VEMILIA PUHBAYA
BWI 11/15/1989 33 31-45 P
6 35111102010300ALAM YAJID BWI 1/2/2003 20 18-30 L
7 35101664070400VERLITA ADISTI BWI 7/24/2004 18 18-30 P
8 35101650116200ISTIKOMAH BWI 11/10/1962 60 ≥60 P
9 35090856116900ANI NOVIDA BWI 11/16/1969 53 46-59 P
10 35102164078300IKE SULISTIYANI BWI 7/24/1983 39 31-45 P
11 35101647067700HENDRAS JUNIA BWI 6/7/1977 45 31-45 P
12 35101612077200MOH TEGUH BWI 7/12/1972 50 46-59 L
13 35101649018800AYU WINDARI BWI 1/9/1988 35 31-45 P
14 35101617037200EKO HOLIWIANT BWI 3/17/1972 50 46-59 L
15 123 ≥60
16 123 ≥60
17 123 ≥60
18 123 ≥60
19 123 ≥60
20 123 ≥60
21 123 ≥60
22 123 ≥60
23 123 ≥60
24 123 ≥60
25 123 ≥60
26 123 ≥60
27 123 ≥60
28 123 ≥60
29 123 ≥60
30 123 ≥60
31 123 ≥60
32 123 ≥60
33 123 ≥60
34 123 ≥60
35 123 ≥60
36 123 ≥60
37 123 ≥60
38 123 ≥60
39 123 ≥60
40 123 ≥60
41 123 ≥60
42 123 ≥60
43 123 ≥60
44 123 ≥60
45 123 ≥60
46 123 ≥60
47 123 ≥60
48 123 ≥60
49 123 ≥60
50 123 ≥60
51 123 ≥60
52 123 ≥60
53 123 ≥60
54 123 ≥60
55 123 ≥60
56 123 ≥60
57 123 ≥60
58 123 ≥60
59 123 ≥60
60 123 ≥60
61 123 ≥60
62 123 ≥60
63 123 ≥60
64 123 ≥60
65 123 ≥60
66 123 ≥60
67 123 ≥60
68 123 ≥60
69 123 ≥60
70 #REF! #REF!
71 123 ≥60
72 123 ≥60
73 123 ≥60
74 123 ≥60
75 123 ≥60
76 123 ≥60
77 123 ≥60
78 123 ≥60
79 123 ≥60
80 123 ≥60
81 123 ≥60
82 123 ≥60
 83 123 ≥60
84 123 ≥60
85 123 ≥60
86 #REF! #REF!
87 123 ≥60
88 123 ≥60
89 123 ≥60
90 123 ≥60
91 123 ≥60
92 123 ≥60
93 123 ≥60
94 123 ≥60
95 123 ≥60
96 123 ≥60
97 123 ≥60
98 123 ≥60
99 123 ≥60
100 123 ≥60
101 123 ≥60
102 123 ≥60
103 123 ≥60
104 123 ≥60
105 123 ≥60
106 123 ≥60
107 123 ≥60
108 123 ≥60
109 123 ≥60
110 123 ≥60
111 123 ≥60
112 123 ≥60
113 123 ≥60
114 123 ≥60
115 123 ≥60
116 123 ≥60
117 123 ≥60
118 123 ≥60
119 123 ≥60
120 123 ≥60
121 123 ≥60
122 123 ≥60
123 123 ≥60
124 123 ≥60
125 123 ≥60
126 123 ≥60
127 123 ≥60
128 123 ≥60
129 123 ≥60
130 123 ≥60
131 123 ≥60
132 123 ≥60
133 123 ≥60
134 123 ≥60
135 123 ≥60
136 123 ≥60
137 123 ≥60
138 123 ≥60
139 123 ≥60
140 123 ≥60
141 123 ≥60
142 123 ≥60
143 123 ≥60
144 123 ≥60
145 123 ≥60
146 123 ≥60
147 123 ≥60
148 123 ≥60
149 123 ≥60
150 123 ≥60
151 123 ≥60
152 123 ≥60
153 123 ≥60
154 123 ≥60
155 123 ≥60
156 123 ≥60
157 123 ≥60
158 123 ≥60
159 123 ≥60
160 123 ≥60
161 123 ≥60
162 123 ≥60
163 123 ≥60
164 123 ≥60
165 123 ≥60
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL :

NAMA "NAMA JENIS

TANGGAL PENTAHAPAN VAKSIN-3
"ALAMAT" "RT" "RW" KECAMATA KELURAHA PEKERJAA BPJS VAKSIN
N N N
(9) (10) (11) (12) (13) (14) (15) (16) (17) (18)

JL BELITU 5 2 16 12 11/24/2022 3
JL TERNAT 5 3 16 12 11/24/2022 3
JL MENDUT GG XIV 08 16 11/24/2022 3
JL ANDALA 3 1 16 14 11/24/2022 3
JL SIDOP 3 1 16 14 11/24/2022 3
JL BRIGP 14 4 BONDOWOSO
NANGKALAAN 11/24/2022 3
11/24/2022 3
JL SAYU GRINGSING 16 10 11/24/2022 3
JL KARIM 4 4 16 12 11/24/2022 3
DSN KRAJ 3 10 21 95 11/24/2022 3
LINGK KAL 3 3 16 13 11/24/2022 3
LINGK KAL 3 3 16 13 11/24/2022 3
PERUM V 1 2 17 47 11/24/2022 3
LINGK KE 2 3 16 12 11/24/2022 3
 ALASAN MEREK
NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(19) (20) (21) (22) (23) (24)

FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
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PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
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PFIZER 9
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PFIZER 9
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PFIZER 9
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PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
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PFIZER 9
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PFIZER 9
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PFIZER 9
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PFIZER 9
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 LAPO

NO
"TMPT_LHR UMUR KELOMPOK
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TGL_LHR" UMUR
"
I
(1) (2) (3) (4) (5) (6) (7)

1 3510162512030001 ANDHIKA RIZQI WISNU BWI 12/25/2003 19 18-30

2 3510161406020008 ILHAM DANU SETYAJI BWI 6/14/2002 20 18-30
3 3510162301870003 RISQI MAS ULIN BWI 1/23/1987 36 31-45
4 3510166512900002 SITI N UR CHOLIFAH BWI 12/25/1990 32 31-45
5 3510176202020004 RANI NUR RAHMAYANTI BWI 2/22/2002 20 18-30
6 3510174202750002 RINA WIJAYANTI BWI 2/2/1975 48 46-59
7 3510167006720054 YUYUN PUSPITA BWI 6/30/1972 50 46-59
8 3510161411970003 YOHANES ASTIKA BWI 11/14/1997 25 18-30
9 5303055103000003 ALICIA ALEXANDRA BWI 3/11/2000 22 18-30
10 3510141602010002 FANI ZURHO FILLA BWI 2/16/2001 21 18-30
11 3510161308610001 DRS.H.AGUS ISWANTO BWI 8/13/1961 61 ≥60
12 3214010511800015 HELMI ABDUL GOFURR BWI 11/5/1980 42 31-45
13 3510163112640006 SUKARDI BWI 12/31/1964 58 46-59
14 3510161407440002 WIRAWAN SISWANTO BWI 7/14/1944 78 ≥60
15 3510245006800088 EMAZIAH BWI 6/10/1980 42 31-45
16 3510045005990003 DEWI HILMIANA BWI 5/10/1999 23 18-30
17 3510174310920004 CERIA NUR OKTAVIA MALANG 10/3/1992 30 18-30
18 3510160912890008 HARUN AR ROSYID BWI 12/9/1989 33 31-45
19 3510165212820006 SRI WATI BWI 12/12/1982 40 31-45
20 123 ≥60
21 123 ≥60
22 123 ≥60
23 123 ≥60
24 123 ≥60
25 123 ≥60
26 123 ≥60
27 123 ≥60
28 123 ≥60
29 123 ≥60
30 123 ≥60
31 123 ≥60
32 123 ≥60
33 123 ≥60
34 123 ≥60
35 123 ≥60
36 123 ≥60
37 123 ≥60
38 123 ≥60
39 123 ≥60
40 123 ≥60
41 123 ≥60
42 123 ≥60
43 123 ≥60
44 123 ≥60
45 123 ≥60
46 123 ≥60
47 123 ≥60
48 123 ≥60
49 123 ≥60
50 123 ≥60
51 123 ≥60
52 123 ≥60
53 123 ≥60
54 123 ≥60
55 123 ≥60
56 123 ≥60
57 123 ≥60
58 123 ≥60
59 123 ≥60
60 123 ≥60
61 123 ≥60
62 123 ≥60
63 123 ≥60
64 123 ≥60
65 123 ≥60
66 123 ≥60
67 123 ≥60
68 123 ≥60
69 123 ≥60
70 #REF! #REF!
71 123 ≥60
72 123 ≥60
73 123 ≥60
74 123 ≥60
75 123 ≥60
76 123 ≥60
77 123 ≥60
78 123 ≥60
79 123 ≥60
80 123 ≥60
81 123 ≥60
82 123 ≥60
 83 123 ≥60
84 123 ≥60
85 123 ≥60
86 #REF! #REF!
87 123 ≥60
88 123 ≥60
89 123 ≥60
90 123 ≥60
91 123 ≥60
92 123 ≥60
93 123 ≥60
94 123 ≥60
95 123 ≥60
96 123 ≥60
97 123 ≥60
98 123 ≥60
99 123 ≥60
100 123 ≥60
101 123 ≥60
102 123 ≥60
103 123 ≥60
104 123 ≥60
105 123 ≥60
106 123 ≥60
107 123 ≥60
108 123 ≥60
109 123 ≥60
110 123 ≥60
111 123 ≥60
112 123 ≥60
113 123 ≥60
114 123 ≥60
115 123 ≥60
116 123 ≥60
117 123 ≥60
118 123 ≥60
119 123 ≥60
120 123 ≥60
121 123 ≥60
122 123 ≥60
123 123 ≥60
124 123 ≥60
125 123 ≥60
126 123 ≥60
127 123 ≥60
128 123 ≥60
129 123 ≥60
130 123 ≥60
131 123 ≥60
132 123 ≥60
133 123 ≥60
134 123 ≥60
135 123 ≥60
136 123 ≥60
137 123 ≥60
138 123 ≥60
139 123 ≥60
140 123 ≥60
141 123 ≥60
142 123 ≥60
143 123 ≥60
144 123 ≥60
145 123 ≥60
146 123 ≥60
147 123 ≥60
148 123 ≥60
149 123 ≥60
150 123 ≥60
151 123 ≥60
152 123 ≥60
153 123 ≥60
154 123 ≥60
155 123 ≥60
156 123 ≥60
157 123 ≥60
158 123 ≥60
159 123 ≥60
160 123 ≥60
161 123 ≥60
162 123 ≥60
163 123 ≥60
164 123 ≥60
165 123 ≥60
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL :

NAMA "NAMA JENIS

"JENIS TANGGAL
"ALAMAT" "RT" "RW" KECAMATA KELURAHA PEKERJAA BPJS VAKSIN
KELAMIN"
N N N
(8) (9) (10) (11) (12) (13) (14) (15) (16)

L JL BOGOWONTO 4 2 16 13 11/28/2022
L JL MANYOR SUPONO 1 2 16 19 11/28/2022
L JL RIAU NO 28 4 1 16 12 11/28/2022
P JL CEMARA 1 2 16 20 11/28/2022
P JL RINJANI NO 81 4 3 16 14 11/28/2022
P JL RINJANI NO 81 4 3 16 14 11/28/2022
P JL RINJANI NO 81 4 3 16 14 11/28/2022
L JL IKAN GURAMI NO 2 2 16 141 11/28/2022
L JL KALIANGET NO 2 0 0 KUTE KUTE 11/28/2022
P DSN KRAJAN 4 1 BENELAN LOR 11/28/2022
L LINGK KRAJAN 3 1 16 54 11/28/2022
L JL BELITUNG 5 2 16 12 11/28/2022
L JL IKAN WIJINONGKO 2 3 16 22 11/28/2022
L JL TANGKUBANPERA 3 3 16 14 11/28/2022
P JL BANTERANG 3 2 16 10 11/28/2022
P JL BENGAWAN NO 08 3 3 16 16 11/28/2022
P JL IKAN WIJINONGKO 1 3 16 54 11/28/2022
L JL IKAN WIJINONGKO 1 3 16 54 11/28/2022
P JL BROMO 2 2 16 14 11/28/2022
 ALASAN MEREK
PENTAHAPAN VAKSIN-3 VAKSIN-4 NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(17) (18) (19) (20) (21) (22) (23) (24) (25)

3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
4 FX2761 PFIZER 9
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3 FX2761 PFIZER 9
4 FX2761 PFIZER 9
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 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510150506800001 ERIK ISTIWATI BANYUWANGI

2 3510164910000006 ZANA COBITHA BANYUWANGI
3 3510166305960001 DHIMAS ELOK WAHYUNI BANYUWANGI
4 3510166310670002 TUBIS NIRWANA BANYUWANGI
5 3510152502640001 SAMADI SUSANTO BONDOWOSO
6 '3510161511730001 BENYAMIN SISWOYO BANYUWANGI
7 3510210907800005 HARIYONO BANYUWANGI
8 3510164809560008 YOARTININIGSIH BETASRI BANYUWANGI
9 3510166106520002 DWI FIRMANIING BANYUWANGI
10 3510166303610001 CIPTANINGSIH MARIANI BANYUWANGI
11 3510162110490002 M.BUSTAMI NAWAWI BANYUWANGI
12 3510211604420001 HUSEIN BANYUWANGI
13 3510215203820003 INDAH YENI BANYUWANGI
14 3510165505390001 HABIBAH BONDOWOSO
15 3510166706620001 SRI WIDYANTI BANYUWANGI
16 3510163004610001 TOBING TATANG BANYUWANGI
17 3510164709620005 SUMARNI BANYUWANGI
18 3509191608850002 ENDIK PUJI H BANYUWANGI
19 3510176512460002 THONG WIE LIAN BANYUWANGI
20 3510171006480001 MINGGOS BANYUWANGI
21 3510165610400002 THONG HWI TJEN BANYUWANGI
22 3510166403590004 LILIES TATANG BANYUWANGI
23 3510160505900008 BAMBANG WIDODO BANYUWANGI
24 3510161611610003 SUYANTO BANYUWANGI
25 3510152010530002 SUPARMAN BANYUWANGI
26 3510161906620001 PAULUS SLAMET BANYUWANGI
27 3510162702760002 IMAM HERU P BANYUWANGI
28 3510166006040005 CHIKA NABILA O BANYUWANGI
29 3510215203820003 INDAH YENI BANYUWANGI
30 3510166910950004 VIOLITA KRISTANTI SANTOSO BANYUWANGI
31 3510212005020002 RIZKY BAYU SETIAWAN BANYUWANGI
32 3510165704680004 RINI SUSILOWATI BANYUWANGI
33 3514162808040001 M.RIFKY SETYAWAN BANYUWANGI
34 3510166307500001 MURTINI TULUNG AGUNG
35
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KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL :01-12-2022

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

6/5/1990 32 31-45 L JL GUMITIR 4 2

10/9/2000 22 18-30 P JL BANGKA 5 1
5/23/1996 26 18-30 L JL RW MONGINSIDI 2 3
10/23/1967 #REF! #REF! L JL OPAK 2 1
2/25/1964 58 46-59 L KRAJAN 1 1
11/15/1973 49 46-59 L JL MERBABU
7/9/1980 42 31-45 L SUKOWIDI 2 3
9/8/1956 66 ≥60 P JL JAGUNG SUPRAPTO 9 2
6/21/1952 70 ≥60 L JL MH THAMRIN
3/23/1961 61 ≥60 P JL JAGUNG SUPRAPTO 4 2
123 ≥60 L JL MH THAMRIN 3 2
4/16/1942 80 ≥60 L JL TIDORE 3 2
3/12/1982 40 31-45 p DSN KRAJAN 2 5
5/15/1939 83 ≥60 P JL GUNUNG AGUNG 3 2
6/27/1962 60 ≥60 P JL GUNUNG AGUNG 3 2
4/30/1961 61 ≥60 L
9/7/1962 60 ≥60 P
8/16/1985 37 31-45 L JL RINJANI 1 4
12/25/1946 76 ≥60 L
8/10/1948 74 ≥60 L
10/16/1940 82 ≥60 L
3/24/1959 63 ≥60 P
5/5/1959 63 ≥60 L
11/16/1961 61 ≥60 L
10/20/1953 69 ≥60 L
6/19/1962 60 ≥60 L
2/22/1976 46 46-59 L
6/20/2004 18 18-30 P JL ANDALASS 1 1
3/12/1982 40 31-45 P KRJAN 2 5
10/29/1995 27 18-30 P DSN WONOSARI 3 2
5/20/2002 20 18-30 L DSN KRAJAN 3 2
4/17/1968 54 46-59 P PERUM GGM 4 2
8/28/2004 18 18-30 L PERUM KALIPURO
7/23/1950 72 ≥60 P JL LETQOL ISTIQLAH 2 5
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

SMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN-3 NO BATCH
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18) (19)

16 14 49 12/1/2022 1 FX2761
16 12 12/1/2022 1 FX2761
16 17 12/1/2022 1 FX2761
16 14 12/1/2022 1 FX2761
GLGAH BAKUNGAN 12/1/2022 1 FX2761
12/1/2022 1 FX2761
21 91 12/1/2022 1 FX2761
16 12/1/2022 2 FX2761
12/1/2022 2 FX2761
12/1/2022 2 FX2761
12/1/2022 2 FX2761
12/1/2022 1 FX2761
12/1/2022 1 FX2761
16 12/1/2022 2 FX2761
16 12/1/2022 2 FX2761
12/1/2022 2 FX2761
12/1/2022 2 FX2761
12/1/2022 1 FX2761
12/1/2022 2 FX2761
12/1/2022 2 FX2761
12/1/2022 2 FX2761
12/1/2022 2 FX2761
12/1/2022 1 FX2761
12/1/2022 2 FX2761
12/1/2022 2 FX2761
12/1/2022 2 FX2761
12/1/2022 1 FX2761
16 14 12/1/2022 1 FX2761
12/1/2022 1 FX2761
12/1/2022 1 FX2761
12/1/2022 1 FX2761
12/1/2022 1 FX2761
12/1/2022 1 FX2761
12/1/2022 2 FX2761
12/1/2022 1 FX2761
12/1/2022 1 FX2761
JELAS JELAS JELAS JELAS JELAS JELAS JELAS
ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(20) (21) (22) (23) (24)

PFIZER
PFIZER
PFIZER
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9 BOSTER 2
PFIZER 9 BOSTER 2
PFIZER 9 BOSTER 2
PFIZER 9 BOSTER 2
PFIZER 9
PFIZER 9
PFIZER 9 BOSTER 2
PFIZER 9 BOSTER 2
PFIZER 9 BOSTER 2
PFIZER 9 BOSTER 2
PFIZER 9
PFIZER 9 BOSTER 2
PFIZER 9 BOSTER 2
PFIZER 9 BOSTER 2
PFIZER 9 BOSTER 2
PFIZER 9
PFIZER 9 BOSTER 2
PFIZER 9 BOSTER 2
PFIZER 9 BOSTER 2
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9 BOSTER 2
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS
 LAPORAN H

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510167006530217 DJUHRIAH BANYUWANGI

2 3510166903560002 HENI YUWATI BANYUWANGI
3 3510166009560001 HADIYAH BANYUWANGI
4 3510167006620102 USNIYAH BANYUWANGI
5 3510163006680045 HARORY BANYUWANGI
6 3510162910560003 SUDJITO BANYUWANGI
7 3510160107520044 MULYOHADI BANYUWANGI
8 3510164107540043 TINAYAH BANYUWANGI
9 3510163007540001 ISA ANSORI BANYUWANGI
10 3510160808590005 HADIRIN BANYUWANGI
11 3510160707590007 JOKO SUROSO BANYUWANGI
12 3510161008690004 SANTOSO BANYUWANGI
13 351016140650003 RAHARJO BANYUWANGI
14 3510167006500200 MARIANA BANYUWANGI
15 3510171911580803 AHMAD PUGUH R BANYUWANGI
16 3510161211560002 MOHAMAD AHYAR BANYUWANGI
17 3510166305310001 SURYAWATI BANYUWANGI
18 3510164106590009 SULASTRI BANYUWANGI
19 3510166412900002 HASRI RIZAQOH BANYUWANGI
20 3510164206600008 NUR HAYATI BANYUWANGI
21 3510165007030001 NUFIA ULFA BANYUWANGI
22 3510161102620003 OKI ANDRIANUDI BANYUWANGI
23 3510167006520066 HADIAH BANYUWANGI
24 3510165202660006 ST HOTIZAH BANYUWANGI
25 3510163007470002 MAHMUDI BANYUWANGI
26 3510161708600006 M ANWAR BANYUWANGI
27 3510165003580003 PAINI BANYUWANGI
28 3510163006540092 ACHYAR BANYUWANGI
29 3510166512610002 SITI KHOLISAH BANYUWANGI
30 3510164105530004 SUNDARI BANYUWANGI
31 3510166706630005 LASMI RAHAYU BANYUWANGI
32 3510160507470004 HADI DARMAWAN BANYUWANGI
33 3510167006490123 SITI ZAENAB BANYUWANGI
34 3510163006420083 MOHAMAD SAID BANYUWANGI
35 3510164608510003 SUPIJATI BANYUWANGI
36 3510161909590003 ALI ASIKIN BANYUWANGI
37 3578170202600000 SISWANTO BANYUWANGI
38 3578174611610003 TRIWAHYUNI BANYUWANGI
39 3510163006500077 ABDUL KOHAR BANYUWANGI
40 3510164503540003 JAMILAH BANYUWANGI
41 3510164706600004 NURHAYATI BANYUWANGI
42 3510165405600001 NUR HASANAH BANYUWANGI
43 3510166209600001 INAYAH BANYUWANGI
44 3510162912600002 SUJIYANTO BANYUWANGI
45 3510167009650009 SITI NURMALA BANYUWANGI
46 3513155208040004 QURROTUL AINI DWI BANYUWANGI
47 3522096808040001 SITI NUR FADHILA BANYUWANGI
48 3510182312850005 DENY EKA W BANYUWANGI
49 3510167006450116 AMSIYAH BANYUWANGI
50 3510160407440001 MOH PUJAINI BANYUWANGI
51 3510166507010002 AJENG ROSITA I BANYUWANGI
52 3510164111600002 PUDJI C SBY
53 3510161002840004 INDRA DWI F BANYUWANGI
54 3510164404570002 AMENAH BANYUWANGI
55 3510167006490201 MASWAH BANYUWANGI
56 3510166308690004 ROSIDAH BANYUWANGI
57 3510164606390003 SUGERMAN D BANYUWANGI
58 3510162009600001 BUDIANTO BANYUWANGI
59 3510166311520002 ERNA BANYUWANGI
60 3510166712590001 NURHASANAH BANYUWANGI
61 3510165602880001 ANIS PUJI L BANYUWANGI
62 3505012304820002 SYAIFUDIN ZAUHARI BANYUWANGI
63 3510163006520062 MULYADI BANYUWANGI
64 3510161903540001 SUJONO BANYUWANGI
65 3509210907520001 SLAMET SUGIARTO BANYUWANGI
66 3510163008000002 ADITYA P BANYUWANGI
67 3510160101500008 J HERRY SURYONO BANYUWANGI
68 3510165008570003 UNTUNG MARDIYAH BANYUWANGI
69 3510161405560002 RUSMAN BANYUWANGI
70 3510164402690008 SITI MASITAH BANYUWANGI
71 3510160910540001 RACHMAD BANYUWANGI
72 3510165902000007 SHIFA DIAZTY S BANYUWANGI
73 3510162509540002 T WAHYUDI MUKLAS BANYUWANGI
74 3510163006870023 WASIS NUGROHO BANYUWANGI
75 3510163101580002 SUSILO BANYUWANGI
76 3510164906590003 SITI HAISAH BANYUWANGI
77
78
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329
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377
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400
KETERANGAN
JELAS JELAS JELAS JELAS
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 2-12-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

6/30/1953 69 ≥60 P JL KALILO 18

3/29/1956 66 ≥60 P JL TIDAR 3
9/20/1956 66 ≥60 P GESARI
6/30/1962 60 ≥60 P JL BRANTAS NO 22
6/30/1968 54 46-59 L
10/29/1956 66 ≥60 L JL BRANTAS NO 22 1
7/1/1952 70 ≥60 L JL BRANTAS 1
7/1/1954 68 ≥60 P JL BRANTAS 1
7/30/1954 68 ≥60 L JL LETKOL ISTIQLAH GG MAWAR
8/8/1959 63 ≥60 L JL BRANTAS NO 22 1
7/7/1959 63 ≥60 L JL KALILO NO 119
8/10/1961 61 ≥60 L JL KALILO 50
6/14/1950 72 ≥60 L GESARI
6/30/1950 72 ≥60 P JL BRANTAS NO 6 1
11/19/1958 64 ≥60 L JL KALILO 1
11/12/1956 66 ≥60 L JL OPAK
5/23/1931 91 ≥60 P JL JEND SUDIRMAN NO 59
6/1/1959 63 ≥60 P KALILO 4
12/24/1990 32 31-45 L JL MH THAMRIN NO 117
6/2/1960 62 ≥60 P JL KALILO
7/10/2003 19 18-30 P JL TRUNOJOYO 4
2/11/1962 61 ≥60 L JL MH THAMRIN
6/30/1952 70 ≥60 P JL OPAK 5
2/12/1966 57 46-59 P KALILO 1
7/30/1947 75 ≥60 L
8/17/1960 62 ≥60 L KALILO 1
3/10/1958 64 ≥60 P KALILO 1
6/30/1954 68 ≥60 L LINGK KALILO 4
12/25/1961 61 ≥60 P KALILO 1
5/1/1953 69 ≥60 P KALILO 1
6/27/1963 59 46-59 P KALILO NO 10 1
7/5/1947 75 ≥60 L JL MH THAMRIN NO 87
6/30/1949 73 ≥60 P KALILO
6/30/1942 80 ≥60 L JLKALILO 2
8/6/1951 71 ≥60 P LINGK KALILO 1
9/19/1959 63 ≥60 L JL KALILO NO 10
2/2/1960 63 ≥60 L KEDINDING 1
11/6/1961 61 ≥60 P KEDINDING 1
6/30/1956 66 ≥60 L JL KALILO 3
3/5/1954 68 ≥60 P KALILO 1
 6/7/1960 62 ≥60 P KALILO 3
5/14/1960 62 ≥60 P JL BRANTAS 1
9/22/1962 60 ≥60 P JL LETKOL ISTIQLAH NO 59 2
12/29/1960 62 ≥60 L BRANTAS 1
9/30/1965 57 46-59 P JL KALILO 3
8/12/2004 18 18-30 P DSN TEGALAN 2
8/28/2004 18 18-30 P DSN KEDUNG GALEH 3
12/23/1985 37 31-45 L ASRAMA POLISI
6/30/1945 77 ≥60 P KALIMAS NO 52
7/4/1944 78 ≥60 L LINGK KALILO
7/25/2001 21 18-30 P KALILO 4
11/1/1960 62 ≥60 P JL MH THAMRIN 1
2/10/1984 39 31-45 L JL OPAK 4
4/4/1957 65 ≥60 P JL KALIMAS 3
6/30/1949 73 ≥60 P JL KALILO 21 3
8/23/1969 53 46-59 P JL KALILO NO 21 3
6/6/1939 83 ≥60 L JL MH THAMRIN 3
9/20/1960 62 ≥60 L JL KALILO NO 33 1
11/23/1952 70 ≥60 P JL MH THAMRIN NO 88 1
12/27/1959 63 ≥60 P JL BRANTAS 1
2/16/1988 35 31-45 P BENGAWAN 1
4/23/1962 60 ≥60 L GENTENGAN 2
6/30/1952 70 ≥60 L JL KALILO
3/19/1954 68 ≥60 L KALILO 4
7/9/1952 70 ≥60 L KALILO 1
8/30/2000 22 18-30 L JL TIDAR PERUM ALAM ELOK 6
1/1/1950 73 ≥60 L JL MH THAMRIN NO 88 1
8/10/1957 65 ≥60 P JL KALILO 3
5/14/1956 66 ≥60 L JL OPAK 3
2/4/1969 54 46-59 P JL MUSI 1
10/9/1954 68 ≥60 L JL BOGOWONTO 4
2/19/2000 22 18-30 P JL KALILO 1/3/1900
9/25/1954 68 ≥60 L JL OPAK 1
6/30/1987 35 31-45 L JL KALILO 2
1/31/1958 65 ≥60 L JL KALILO 3
6/9/1959 63 ≥60 P JL KALIO 2
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 0
0

JELAS JELAS JELAS JELAS JELAS

 NAMA
"RW" KECAMATA "NAMA KELURAHAN VAKSIN 3 VAKSIN 4 NO.HP KETERANGAN
N
(11) (12) (13) (18) (23) (24)

16 13 4
1 16 13 4
16 13 4
16 13 4
16 13 3
2 16 13 4
2 16 13 4
2 16 13 3
16 13 4
2 16 13 4
16 13 4
16 13 4
16 13 4
3 16 13 4
3 16 13 4
16 13 4
4
4 16 13 4
16 13 3
16 13 4
1 3
16 13 4
1 16 13 4
5 16 13 3
4
5 16 13 4
3 16 13 4
1 16 13 4
4 16 13 3
5 16 13 4
4 16 13 3
16 13 4
16 13 4
5 16 13 3
5 16 13 3
16 13 3
4 KENJERAN SBY 4
4 KENJERAN SBY 4
3 16 13 4
3 16 13 4
3 16 13 4
3 16 13 4
5 16 13 4
3 16 13 4
3 16 13 3
2 16 11 3
1 3
3
4
4
1 16 13 3
1 16 13 4
1 16 13 3
1 16 13 4
3 16 13 3
3 16 13 3
2 16 13 4
4 16 13 4
2 16 13 4
2 16 13 4
2 16 13 3
1 16 13 3
16 13 4
1 16 13 4
2 16 13 4
3 16 13 3
2 16 13 4
2 16 13 4
1 16 13 4
1 16 3
2 16 13 4
4 16 13 3
1 16 13 4
2 16 13 3
3 16 13 3
3 16 13 4
JELAS JELAS JELAS JELAS JELAS
 LAPORAN

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510160607530008 AHMAD BANYUWANGI

2 3510161207350004 MATRAMO BANYUWANGI
3 3510167006530156 KARTINA BANYUWANGI
4 3510163006560038 MOLYONO BANYUWANGI
5 3510167006600081 RUKAIYAH BANYUWANGI
6 35101605050490002 MOH BASERI BANYUWANGI
7 3510167006490122 RAUDAH BANYUWANGI
8 3510160703500003 H SURIYADI BANYUWANGI
9 3510167006530171 HJ SUYANI BANYUWANGI
10 3510161403530002 ACHMAD SANTOSO JUFRY BANYUWANGI
11 3510161006620005 ACHMAD SOFYAN BANYUWANGI
12 3510161402560004 SAHADIYONO BANYUWANGI
13 3510167012580004 SOIW LEE KWIE BANYUWANGI
14 3510166506480003 HJ SITI MOERDIYATI BANYUWANGI
15 3510166504540002 TJANDRANINGSIH JEMBER
16 3510160312360001 BADJURI BANYUWANGI
17 3510163006620126 MOHAMMAD MASNUR BANYUWANGI
18 3510167009790004 NENY CYNTHIA DEWI BANYUWANGI
19 3510160507570000 ASNAWI BANYUWANGI
20 3510164103740002 ELI ELFITRI BANYUWANGI
21 3510166101610001 NURSIYAH BANYUWANGI
22 3510162006560002 ACHMAD PRIYADI BANYUWANGI
23 3510164306400003 BUNIJE BANYUWANGI
24 3510167005600005 WASIATI BANYUWANGI
25 3510161808400004 MASHUN SUPRIYADI BANYUWANGI
26 3510165011590006 CUK IDA BANYUWANGI
27 3510165702780003 TRINIL ANGGRAINI BANYUWANGI
28 3510055709940004 INDRAYANI BANYUWANGI
29 3510162006890003 EKA SETIA BUDI BANYUWANGI
30 3510160507550002 SUROSO BANYUWANGI
31 3510166104560002 NUNUK DHARMAWATI BANYUWANGI
32 3510160704430001 SAPII BANYUWANGI
33 3510161102990003 GUNTUR FEBRIANO BANYUWANGI
34 3510160102580007 BADERUS BANYUWANGI
35 3510160301040005 ANANDA RIZAL P BANYUWANGI
36 3511116904500003 SOELASIH BANYUWANGI
37 3511112010420002 KAHAR BANYUWANGI
38 3510165203580005 UMAIYAH BANYUWANGI
39 3510161508490003 RUSMAN BANYUWANGI
40 3510160203500001 MAKRUPIN BANYUWANGI
41 3510161902510002 SOERYADI BANYUWANGI
42 3510163006510029 WAYAN SUKARYO BANYUWANGI
43 3510166802590001 HATIJAH BANYUWANGI
44 3510161509680001 SUPARMAN BANYUWANGI
45 3510161703420001 MASTURI HADI M BANYUWANGI
46 3510215306760001 MUHAIYAH BANYUWANGI
47 3510161912670006 MOCH SOPYAN BANYUWANGI
48 3510162904620001 SUDI PRAYITNO BANYUWANGI
49 3510167008610004 SRI SUKATMI BANYUWANGI
50 3510163004570003 SUYONO BANYUWANGI
51 3510162503510004 MARTIN RONDONUWU BANYUWANGI
52 3510165111480001 NURHAYATI BANYUWANGI
53 3510210711470002 MOHAMAD TOYIFI BANYUWANGI
54 3510164909530000 SRI INDASAH BANYUWANGI
55 3510162304540001 SOERJANTO GOUFRONT BANYUWANGI
56 3510166611780003 BAROKAH BANYUWANGI
57 3510160903770007 RONI FATIHUL IHSAN BANYUWANGI
58 3573015608770001 DIAN RATNA A MALANG
59 3510162501950004 SELAMET WAHYUDI BANYUWANGI
60 3510246901970003 ULFIN NAJAH BANYUWANGI
61 3510166904850008 VIVIEN APRIN WULANDARI BANYUWANGI
62 3510167006650089 ASTUTIK BANYUWANGI
63 3510164606610005 WINARTI BANYUWANGI
64 3510166406610002 FARIDA SURYATI BANYUWANGI
65 3510161806670004 TONI TARUNA NEGARA BANYUWANGI
66 3510161001610002 SUHAILI BANYUWANGI
67 3510165801550002 HATIJAH BANYUWANGI
68 3510167006550235 DJAENAH BANYUWANGI
69 3578036811720002 SRI MULYANI SBY
70 3510160610550001 SUDIYONO BANYUWANGI
71 3510165206040006 NADHIFIA SHABRINA BANYUWANGI
72 3510163007480005 ISMAIL HADI BANYUWANGI
73 3510167007500013 LINCE MARIANA BANYUWANGI
74 3510166105010005 SALSA BELLA BANYUWANGI
75 3510166112010003 RISTIA DAENG S BANYUWANGI
76 3510164507680003 WIWIK WAHYU NINGSIH BANYUWANGI
77 3510164906550003 SALWIYAH BANYUWANGI
78 3510163006660034 SULAEMAN BANYUWANGI
79
80
81
82
 83
84
85
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128
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173
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218
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263
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308
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328
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333
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353
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364
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 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 3-12-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

7/6/1953 69 ≥60 L KAMPUNG MELAYU 66

7/12/1935 87 ≥60 L JL BANTERANG NO 58
6/30/1953 69 ≥60 P LINGK JP
6/30/1956 66 ≥60 L JL SAYU WIWIT 2
6/30/1960 62 ≥60 P LINGK JP 2
5/5/1949 73 ≥60 L JL SAYU WIWIT NO 8
6/30/1949 73 ≥60 P JL SAYU WIWIT NO 8
3/7/1950 72 ≥60 L JL SAYU GRINGSING 2
6/30/1953 69 ≥60 P JL SAYU GRINGSING 2
3/14/1953 69 ≥60 L LINGK JP NO 32
6/10/1962 60 ≥60 L JL BANTERANG GG II NO 33
2/14/1956 67 ≥60 L JL BHRE WIRABUMI GG SANTRI NO 24
12/30/1958 64 ≥60 P
6/25/1948 74 ≥60 P JP 3
4/25/1954 68 ≥60 P LINGK JP 2
12/3/1936 86 ≥60 L JL BANTERANG 1
6/30/1962 60 ≥60 L JL BANTERANG BARU 2
9/30/1979 43 31-45 P LINGK KRAJAN 1
7/5/1957 65 ≥60 L JL SAYU WIWIT GG KELINCI
3/1/1974 48 46-59 P JL BANTERANG 4
1/21/1961 62 ≥60 P JL SAYU WIWIT GG KELINCI
6/20/1956 66 ≥60 L LING JP 2
6/3/1940 82 ≥60 P JL BANTERANG NO 58
5/30/1960 62 ≥60 P JL BANTERANG NO 52
8/18/1940 82 ≥60 L JP 3
11/10/1959 63 ≥60 P JL BANTERANG BARU NO 80
2/17/1978 45 31-45 P JL BANTERANG 4
9/17/1994 28 18-30 P LINGK GESARI 2
6/20/1989 33 31-45 L LINGK GESARI 2
7/5/1955 67 ≥60 L JL BHRE WIRABUMI
4/21/1956 66 ≥60 P JL LETKOL ISTIQLAH GG MAWAR
4/7/1943 79 ≥60 L JL BANTERANG
2/11/1999 24 18-30 L JL KH HARUN LINGK KRAJAN 3
2/1/1958 65 ≥60 L
1/3/2004 19 18-30 L KRAJAN 3
4/29/1950 72 ≥60 P JL BANTERANG NO 26
10/20/1942 80 ≥60 L JL BANTERANG NO 26
 3/12/1958 64 ≥60 P JL SAYU GRINGSING NO 13
8/15/1949 73 ≥60 L JAJANG PENATU NO 15
3/2/1950 72 ≥60 L JL BANTERANG NO 6
2/19/1951 72 ≥60 L JL SAYU GRINGSING NO 17
6/30/1951 71 ≥60 L JL SAYU WIWIT GG KELINCI
2/28/1959 63 ≥60 P JL SAYU WIWIT GG KELINCI NO 24
9/15/1968 54 46-59 L JL BANTERANG 3
3/17/1942 80 ≥60 L JL BANTERANG
6/13/1976 46 46-59 P JL BANTERANG GG SAMUDRA
12/19/1967 55 46-59 L JL BANTERANG GG SAMUDRA
4/29/1962 60 ≥60 L JL BHRE WIRABUMI GG SANTRI NO 24 2
8/30/1961 61 ≥60 P JL BANTERANG 3
4/30/1957 65 ≥60 L JL BHRE WIRABUMI NO 38
3/25/1951 71 ≥60 L JL BRHE WIRABUMI
1/11/1948 75 ≥60 P JL BANTERANG BARU
11/7/1947 75 ≥60 L LINGK SECANG 4
9/9/1953 69 ≥60 P JL BANTERANG 2
4/23/1954 68 ≥60 L JL BANTERANG NO 23
11/26/1979 43 31-45 P KP MELAYU 2
3/9/1977 45 31-45 L KRAJAN 1
8/16/1977 45 31-45 P KRAJAN 1
1/25/1995 28 18-30 L PERUM ALAM ELOK 1
1/29/1997 26 18-30 P PERUM ALAM ELOK 1
4/29/1985 37 31-45 P JL SURATI BARU 3
6/30/1965 57 46-59 P LINGK PATEMON WETAN 3
6/6/1961 61 ≥60 P JP 2
6/24/1961 61 ≥60 P LINGK JP
6/18/1967 55 46-59 L JL BRHE WIRABUMI
1/10/1961 62 ≥60 L LINGK PW
1/18/1955 68 ≥60 P LINGK PATEMON WETAN 2
6/30/1955 67 ≥60 P LINGK JP
11/28/1972 50 46-59 P RUNGKUT LOR 3
10/6/1955 67 ≥60 L LINGK JP
6/12/2004 18 18-30 P JL RINJANI 1
7/30/1948 74 ≥60 L LINGK PATEMON WETAN
7/30/1950 72 ≥60 P LINGK PATEMON WETAN
5/21/2001 21 18-30 P JL SURATI BARU 4
12/21/2001 21 18-30 P JL SAYU GRINGSING NO 1 4
7/5/1968 54 46-59 P JL SAYU GRINGSING 3
6/9/1955 67 ≥60 P MELAYU 2
6/30/1966 56 46-59 L LINGK PATEMON WETAN 3
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

 NAMA
"RW" KECAMATA "NAMA KELURAHAN VAKSIN 3 VAKSIN 4 NO.HP KETERANGAN
N
(11) (12) (13) (18) (23) (24)

16 10 4
16 10 4
16 10 4
2 16 10 4
2 16 10 4
16 10 4
16 10 4
2 16 10 4
2 16 10 4
16 10 4
16 10 4
16 10 4
16 10 4
2 16 10 4
1 16 10 4
2 16 10 4
1 16 10 4
3 16 10 3
16 10 4
3 16 10 3
16 10 4
1 16 10 4
16 10 4
16 10 4
2 16 10 4
16 10 4
1 16 10 3
3 16 13 3
3 16 13 3
16 10 4
16 16 4
16 10 4
3 16 3
3
3 16 23 3
16 10 4
16 10 4
 16 10 4
16 10 4
16 10 4
16 10 4
16 10 4
16 10 4
3 16 10 3
16 10 4
16 10 3
16 10 3
2 16 10 4
2 16 10 4
16 10 4
16 10 4
16 10 4
1 21 4
2 16 10 4
16 10 4
2 16 10 3
2 16 3
2 16 3
4 16 14 3
4 16 14 3
1 16 10 3
1 16 10 3
2 16 10 4
16 10 4
16 10 3
16 10 4
3 16 10 4
16 10 3
14 SBY 3
16 10 4
3 16 14 3
16 10 4
16 10 4
1 16 10 3
3 16 10 3
1 16 10 3
2 16 10 3
1 16 10 3
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510167012620003 FATMAWATI BANYUWANGI

2 3514086806010002 S ROFIATUL ANISA BANYUWANGI
3 3510161708590006 MUSAIRIK BANYUWANGI
4 3510161605550002 SUTOYO BANYUWANGI
5 3510167006590091 ATENI BANYUWANGI
6 3510160105510002 AMARI BANYUWANGI
7 3510166805560001 SUBAIDA NARTHA BANYUWANGI
8 3510167006390111 BUINAH BANYUWANGI
9 3510161706490003 SUNARJOYO MADIUN
10 3510166705910006 DINA LUTFIANA BANYUWANGI
11 3510163006580092 SUPARMAN BANYUWANGI
12 3510167006620116 RIPKAH BANYUWANGI
13 3510164108630011 SRI MUMPUNI BANYUWANGI
14 3510160812550001 DARMADI BANYUWANGI
15 3510167006640092 SUWARTINI BANYUWANGI
16 3510164705710005 AWALIYAH BANYUWANGI
17 3510165509660005 SITI ROFI'AH BANYUWANGI
18 3510162001600004 SARWI BANYUWANGI
19 3510165108580001 SRI ASTUTI BANYUWANGI
20 3510165904830011 SAKINA BANYUWANGI
21 3510164901030002 ANNISA DWI NURDIANTY BANYUWANGI
22 3510162010760002 SLAMET JUNAIDI BANYUWANGI
23 3510160409900002 FARID BAHTIAR BANYUWANGI
24 3510167006600130 RASMIATI BANYUWANGI
25 3510163006500092 HASAN BASRI BANYUWANGI
26 3510164211020005 SAFIRA AZ ZAHRA BANYUWANGI
27 3510164510510001 SUTINAH YOGYAKARTA
28 3510161010540008 MOCH HUSIN BANYUWANGI
29 3510166108840000 SERLI AGUSTINA BANYUWANGI
30 3578111403000001 RIGEL SYADZAQINTARA A SBY
31 3510166712980006 DINDA CINDY DEVINA BULELENG
32 3510166701820004 NURHAYATI BANYUWANGI
33 3510167103600003 ASIYANI BANYUWANGI
34 3510160104010003 RAIHAN FAHREZA MUHAMMAD BANYUWANGI
35 3510164912920003 TIA SANTI PRATIWI BANYUWANGI
36 3510161611890003 RESKI MAULANA BANYUWANGI
37 3510167006610072 AMSIYAH BANYUWANGI
38 3510163006540093 MISKAN BANYUWANGI
39 3510161009580002 AGUS SOEPRAPTO BANYUWANGI
40 3510167006590124 ATWATI BANYUWANGI
41 3510164404600004 WIDATMIJATI BANYUWANGI
42 3510160705780002 RULIYANTO BANYUWANGI
43 3510167006690052 TRIKOWATI BANYUWANGI
44 3510161605810002 ACHMAD ROZIQIN BANYUWANGI
45 3510161211600004 SLAMET ROHMAN BANYUWANGI
46 3510165303530002 PRAMI BANYUWANGI
47 3510165710740008 SINTA HAYATI BANYUWANGI
48 3510165703780001 MARINI DEWI SBY
49 3510163006580098 KASIDIYANTO BANYUWANGI
50 3510165806520002 SITI HAWA BANYUWANGI
51 3510160508540002 MARSITO BANYUWANGI
52 3510164102610001 QOMARIYAH SINGARAJA
53 3510167006520065 MASITA BANYUWANGI
54 3510160706610006 KADARISMAN SUMENEP
55 3510162906910004 ILHAM LAHIA BANYUWANGI
56 3510160912400003 MUGOPAR BANYUWANGI
57 3510167006650106 HAMIDA BANYUWANGI
58 3510165409550002 SURIYA BANYUWANGI
59 3510245202920004 FRENI SETIAWATI BANYUWANGI
60 3508101205910005 SADDAM BWI
61 3510215211610002 LILIK SUMARI BWI
62 3510161401690003 SELAMET RISKI BWI
63 3510160104620005 DJOKO SANTOSO BWI
64 3510160910470003 SUPARDJAN CEPU
65 3510166501600004 NURUL ZANNAH BWI
66 3510160207720002 AWANG KOESNADI BWI
67 3510164903710007 NURJANNAH BWI
68 3510166405000003 HAFIZA MELLIAWATI BWI
69 3510164712900004 SAKINAH BWI
70 3510164808740001 TUTY AMALIA BWI
71 3510164809770006 LINA ALFIAH BWI
72 3510181201620002 KATIMAN BWI
73 3510165301530002 SUNARSIH BWI
74 3510161801510001 MULYO HARTONO BWI
75 3510175804660002 HARTATIK BWI
76 3510165311860006 NOVA MARIYANA BWI
77 3510160806620005 ACHMAD SAMSUDIN BWI
78 3510165003840009 DEWI INDRI YANI BWI
79 3510161204890008 ANDREAS RAMADHLAN BWI
80 3510162109780008 YAYAN ADI PURWANTO BWI
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
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107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
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131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
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149
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152
153
154
155
156
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158
159
160
161
162
163
164
165
166
167
168
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170
171
172
173
174
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176
177
178
179
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181
182
183
184
185
186
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189
190
191
192
193
194
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197
198
199
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201
202
203
204
205
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207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
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292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
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380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUN
TANGGAL : 5-12-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

12/30/1961 61 ≥60 P JL TERNATE 5

6/28/2001 21 18-30 P KRAJAN 6
8/17/1959 63 ≥60 L JL KARIMUN JAWA GG SUKUN
5/16/1955 67 ≥60 L JL KARIMUN JAWA GG BELIMBING
6/30/1959 63 ≥60 P JL KARIMUN JAWA 4
5/1/1951 71 ≥60 P JL KARIMUN JAWA GG JAMBU 3
5/28/1956 66 ≥60 P JL KARIMUN JAWA GG SUKUN
6/30/1939 83 ≥60 P JL KARIMUN JAWA NO 75
6/17/1949 73 ≥60 L JL KARIMUN JAWA GG MANGGA NO 01
5/27/1991 31 31-45 P KBJ 2
6/30/1958 64 ≥60 L JL KARIMUN JAWA NO 75
6/30/1962 60 ≥60 P JL KARIMUN JAWA 4
8/1/1963 59 46-59 P JL KARIMUN JAWA GG BELIMBING
12/8/1955 67 ≥60 L JL KARIMUN JAWA
6/30/1964 58 46-59 P JL KARIMUN JAWA GG JAMBU
5/7/1971 51 46-59 P JL KARIMUN JAWA 66 SUKUN 3
9/15/1966 56 46-59 P JL KARIMUN JAWA
1/20/1960 63 ≥60 L JL KARIMUN JAWA 66 SUKUN
8/11/1958 64 ≥60 P JL KARIMUN JAWA NO 58
4/19/1983 39 31-45 P JL TERNATE
1/9/2003 20 18-30 P JL RIAU GG GAFILAS 4
10/26/1976 46 46-59 L JL TERNATE 2
9/4/1990 32 31-45 L JL BASUKI RAHMAT 4
6/30/1960 62 ≥60 P JL KARIMUN JAWA GG JAMBU 3
6/30/1950 72 ≥60 L JL KARIMUN JAWA
11/1/2002 20 18-30 P LINGK KBJ 4
10/5/1951 71 ≥60 P JL KARIMUN JAWA 2
10/10/1954 68 ≥60 L JL KARIMUN JAWA 5
8/21/1984 38 31-45 P JL TARAKAN 4
3/14/2000 22 18-30 L GEMBONG 3
12/27/1998 24 18-30 P JL IKAN TOMBRO 3
1/27/1982 41 31-45 P LINGK KRAJAN 4
3/31/1960 62 ≥60 P JL KARIMUN JAWA
4/1/2001 21 18-30 L JL KARIMUN JAWA 5
12/9/1992 30 18-30 P PERUM ADIMAS SOBO
11/16/1989 33 31-45 L PERUM ADIMAS SOBO
8/10/1961 61 ≥60 P JL KARIMUN JAWA 4
 6/30/1954 68 ≥60 L JL KARIMUN JAWA
9/10/1958 64 ≥60 L JL KARIMUN JAWA NO 36
6/30/1959 63 ≥60 P JL KARIMUN JAWA
4/4/1960 62 ≥60 P JL KARIMUN JAWA GG MANGGA NO 01
5/7/1979 43 31-45 L
10/22/1969 53 46-59 P JL KARIMUN JAWA 2
5/16/1981 41 31-45 L GG MUTIARA
11/12/1960 62 ≥60 L JL BASUKI RAHMAT
3/13/1953 69 ≥60 P JL KARIMUN JAWA
10/17/1974 48 46-59 P JL KARIMUN JAWA 4
3/17/1978 44 31-45 P JL KARIMUN JAWA GG MANGGA NO 12
6/30/1958 64 ≥60 L JL KARIMUN JAWA NO 64
6/18/1952 70 ≥60 P JL KARIMUN JAWA GG JAMBU 3
8/5/1954 68 ≥60 L JL KARIMUN JAWA GG MANGGA NO 3
2/1/1961 62 ≥60 P JL KARIMUN JAWA 3
8/30/1952 70 ≥60 P JL KARIMUN JAWA 5
6/7/1961 61 ≥60 L JL KARIMUN JAWA 5
6/26/1991 31 31-45 P JL BELITUNG
12/9/1940 82 ≥60 L JL KARIMUN JAWA
6/30/1965 57 46-59 P LINGK KEBUN JERUK 1
9/14/1955 67 ≥60 P JL BASUKI RAHMAT
2/12/1992 31 31-45 P JL TERNATE 1
5/12/1991 31 31-45 L KL KYAI GHOZALI NO 16
11/12/1961 61 ≥60 P
1/14/1969 54 46-59 L JL MH THAMRIN 1
4/1/1962 60 ≥60 L JL BENGAWAN GG KENANGA 3
10/9/1947 75 ≥60 L LINGK WELARAN BARAT 4
1/25/1960 63 ≥60 P JL MH THAMRIN NO 105 3
7/2/1972 50 46-59 L LINGK JAJANG PENATU 3
3/9/1971 51 46-59 P KRAJAN 3
5/24/2000 22 18-30 P KRAJAN 3
12/7/1990 32 31-45 P JL KYAI GHOZALI NO 16
8/8/1974 #REF! #REF! P JL MALABAR 2
9/8/1977 45 31-45 P JL SINDORO 4
1/12/1962 61 ≥60 L DS SUMBERKENCONO
1/13/1953 70 ≥60 P JL RIAU NO 15 2
1/18/1951 72 ≥60 L JL RIAU NO 15 2
4/18/1966 56 46-59 P LINGK MOJOROTO 2
11/13/1986 36 31-45 P LINGK SRI TANJUNG 3
6/8/1962 60 ≥60 L JL TRUNOJOYO GG HILAL 4
3/10/1984 38 31-45 P JL IJEN 3
4/12/1989 33 31-45 L JL PROGO NO 48 1
9/21/1978 44 31-45 L JL RIAU 2
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS

VID-19 PUSKESMAS SINGOTRUNAN
AL : 5-12-22

NAMA JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN 3

"RW" "NAMA KELURAHAN BPJS
KECAMATAN PEKERJAAN

(11) (12) (13) (14) (15) (16) (17)

3 16 12 12/5/2022
4 PASURUAN 12/5/2022 3
16 12 12/5/2022
16 12 12/5/2022
4 16 12 12/5/2022
4 16 12 12/5/2022
16 12 12/5/2022 3
12/5/2022
16 12 12/5/2022
3 16 12 12/5/2022 3
16 12 12/5/2022
4 16 12 12/5/2022 3
16 12 12/5/2022 3
16 12 12/5/2022
16 12 12/5/2022 3
4 16 12 12/5/2022 3
16 12 12/5/2022 3
16 12 12/5/2022 3
16 12 12/5/2022
16 12 12/5/2022 3
4 16 12 12/5/2022 3
3 16 12 12/5/2022 3
4 16 12 12/5/2022 3
4 16 12 12/5/2022
16 12 12/5/2022
4 16 12 12/5/2022 3
4 16 12 12/5/2022
4 16 12 12/5/2022
2 16 12 12/5/2022 3
4 SBY 12/5/2022 3
1 16 8 12/5/2022 3
4 16 12 12/5/2022 3
16 12 12/5/2022
4 16 12 12/5/2022 3
16 12/5/2022 3
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4 16 12 12/5/2022
 16 12 12/5/2022
16 12 12/5/2022
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16 12 12/5/2022
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4 16 12 12/5/2022 3
16 12 12/5/2022 3
16 12 12/5/2022 3
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4 16 12 12/5/2022 3
16 12 12/5/2022 3
16 12 12/5/2022
4 16 12 12/5/2022
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4 16 12 12/5/2022
4 16 12 12/5/2022
4 16 12 12/5/2022
16 12 12/5/2022 3
16 12 12/5/2022 3
3 16 12 12/5/2022 3
12/5/2022 3
3 16 12 12/5/2022 3
lumajang 12/5/2022 3
12/5/2022
2 16 14 12/5/2022 3
1 16 16 12/5/2022 3
2 16 17 12/5/2022 3
2 16 13 12/5/2022
2 16 10 12/5/2022 3
3 16 23 12/5/2022 3
3 16 23 12/5/2022 3
lumajang 12/5/2022 3
1 16 14 12/5/2022 3
1 16 14 12/5/2022 3
12/5/2022
4 16 12 12/5/2022
4 16 12 12/5/2022
2 17 51 12/5/2022 3
3 16 11 12/5/2022 3
2 16 22 12/5/2022
2 16 14 12/5/2022 3
3 16 16 12/5/2022 3
3 16 12 12/5/2022 3
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12/5/2022
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JELAS JELAS JELAS JELAS JELAS JELAS
VAKSIN 4 NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(18) (19) (20) (21) (22) (23) (24)

4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
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FX2761 PFIZER 9
FX2761 PFIZER 9
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4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
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4 FX2761 PFIZER 9
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JELAS JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510174206010002 ARTIKA MAULIA BWI

2 3510164505550005 AMINAH BWI
3 3510167006480093 FARIDAH BWI
4 3510160808480004 HASAN BASRI BWI
5 3510165307010007 RETNONINGTYAS BWI
6 3510166909630003 KORAIRIANA ISTIARTI BWI
7 3510214105740002 JAZILAH BWI
8 3510164106570003 SUWATI BWI
9 3510164711640001 TAVIA PRATIWI BWI
10 3510164711630004 ERNA PUJIAT BWI
11 3510162502640003 FERDIANTO BWI
12 3510160506970005 ADITYA RAKA WIDYANTONO BWI
13 3579011808610001 GUDO RIBOWO BWI
14 3510166003900006 MAHFIDA INSIYANA BWI
15 3510162206890004 AHMAD FARIS RIZA BWI
16 3510054202580012 WIDYA KRISTANTI BWI
17 3510167112550001 ASPIATI BWI
18 3510160709680003 MUSTAQIM BWI
19 3510160101610014 ABDUL KADIR BWI
20 3510166711030002 FITRIA TABITA RAMADINA BWI
21 3510161012790002 HERY MULYONO BWI
22 3510175906860002 UMI AULIA BWI
23 3510166006590005 TJHIE TJUN GWAT BWI
24 3510163108520003 YOHANES BAPTISTA BWI
25 3510166805690001 FETTY NURIDA BWI
26 3510161607530005 AGUSTINUS MUHHORI BWI
27 3510164812640003 ALTDAWIYAH BWI
28 3510160910990006 BAYU ARDI NUGROHO BWI
29 3510162802810010 WAHYUDI BWI
30 3510214506540003 MIRAWATI BWI
31 3510211010530003 CHRISTIAN BWI
32 3510166302650001 SALMAH BAUZIR BWI
33 3510165405010003 JIHAN FACHIRA MARTA BWI
34
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 398
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KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 8-12-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

2/6/2001 22 18-30 P CONCRONG 1 1

5/5/1955 67 ≥60 P LINGK KALILO
6/30/1948 74 ≥60 P LINGK KALIMAS NO 23
8/8/1948 74 ≥60 L LINGK KALILO
7/13/2001 21 18-30 P JL BATUR 297
9/29/1963 59 46-59 P JL BATUR 297
5/1/1974 48 46-59 P DSN KOPEN PAYAH 3 2
8/1/1957 65 ≥60 P JL MH THAMRIN 1 2
11/7/1964 58 46-59 P JL BATUR NO 49
11/7/1963 59 46-59 P JL MH THAMRIN NO 30 2 1
2/25/1964 58 46-59 L JL IJEN NO 41 3 4
6/5/1997 25 18-30 L JL TERNATE II NO 77 2 3
8/18/1961 61 ≥60 L PERUM VILLA KERTOSARI
3/21/1990 32 31-45 P JL IKAN HIU NO 01 1 1
6/22/1989 33 31-45 L JL IKAN HIU NO 01 1 1
2/2/1958 65 ≥60 P DUSUN KRAJAN
12/31/1955 67 ≥60 P JL BRANTAS 1 3
9/7/1968 54 46-59 L JL PROGO 2 2
1/1/1961 62 ≥60 L JL MALABAR NO 16 2 1
11/24/2003 19 18-30 P JL SAYU GRINGSING 2 3
12/10/1979 43 31-45 L JL SAYU GRINGSING 2 3
6/19/1966 56 46-59 P JL PROGO NO 10A 2 2
6/20/1959 63 ≥60 P JL JOHO NO 16
8/31/1952 70 ≥60 L JL JOHO NO 16
5/28/1969 53 46-59 P LINGK GENTENGAN 3 3
7/16/1953 69 ≥60 L PERUM VILLA SUKOWIDI
12/8/1964 58 46-59 P JL BELITUNG 2 2
10/9/1999 23 18-30 L JL BELITUNG 3 2
2/28/1981 41 31-45 L JL RIAU GG BERLIAN 2 3
6/5/1964 58 46-59 P JL RIAU GG BERLIAN 2 3
10/10/1953 69 ≥60 P JL RIAU GG BERLIAN 2 3
2/23/1965 57 46-59 P LINGK KRAJAN 4 4
5/14/2001 21 18-30 P LINGK KRAJAN 4 4
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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#REF! #REF!
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

USKESMAS SINGOTRUNAN
-22

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN 3 VAKSIN 4
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18)

17 48 12/8/2022 3
16 13 12/8/2022 4
16 13 12/8/2022 4
16 13 12/8/2022 4
16 13 12/8/2022 3
16 13 12/8/2022 3
21 96 12/8/2022 3
16 13 12/8/2022 3
16 14 12/8/2022 3
16 14 12/8/2022 3
16 14 12/8/2022 3
16 12 12/8/2022 3
16 21 12/8/2022 4
16 21 12/8/2022 3
16 21 12/8/2022 3
12/8/2022 4
16 13 12/8/2022 4
16 16 12/8/2022 3
16 14 12/8/2022 3
16 23 12/8/2022 3
16 23 12/8/2022 3
16 16 12/8/2022 3
12/8/2022 4
12/8/2022 4
16 16 12/8/2022 3
16 91 12/8/2022 4
16 12 12/8/2022 3
16 12 12/8/2022 3
16 12 12/8/2022 3
16 12 12/8/2022 4
16 12 12/8/2022 4
16 12 12/8/2022 3
16 12 12/8/2022 3
JELAS JELAS JELAS JELAS JELAS JELAS
 NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
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PFIZER 9
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PFIZER 9
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PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
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PFIZER 9
PFIZER 9
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PFIZER 9
PFIZER 9
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PFIZER 9
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PFIZER 9
PFIZER 9
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PFIZER 9
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PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
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JELAS JELAS JELAS JELAS JELAS
 LAPORAN HA

NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510162406580003 HADI SURYANTO BANYUWANGI

2 3573012206480001 ABDUL RODJAK BOGOR
3 3510160804520002 MOCH BUSAIRI BANYUWANGI
4 3311067112640007 PARTI SUKOHARJO
5 3311063112630004 SUDARMO SUKOHARJO
6 3510161409550001 SOEYITNO BANYUWANGI
7 3510165408650006 SITI HAFIFA BANYUWANGI
8 3510165111630004 SUSTIYANI BANYUWANGI
9 3510162704600002 SOEDJONO DWI P BANYUWANGI
10 3510161112480004 MOCHAMMAD SUTEJO JEMBER
11 3510161701000005 JOHAN EFENDI BANYUWANGI
12 3510164502690004 RATNA WIDIYARINI BANYUWANGI
13 3510161307950004 GITA KURNIA ANANDA P BANYUWANGI
14 3510150602760005 ANDREAS DERMAWAN BANYUWANGI
15 3510161402560002 HENRY FIYONO BANYUWANGI
16 3510165010360002 RAPIAH BANYUWANGI
17 3510164307420001 ALKAMAH BANYUWANGI
18 3510161208590001 TJO TJING KOEN BANYUWANGI
19 3510162408540001 BAJURI EFENDI BANYUWANGI
20 3510162810510001 SUKARNO BANYUWANGI
21 3510165111590008 SUMRIYAH BANYUWANGI
22 3510165006590004 SRI INDASAH BANYUWANGI
23 3510163006470084 ANWAR BANYUWANGI
24 3510167004000007 ALNORA RISQI T BANYUWANGI
25 3510164812790004 HERNAWATI BANYUWANGI
26 3510162708700005 AGUS MUNANDAR BANYUWANGI
27 3510197009980001 SITI MAISAROH BANYUWANGI
28 3510160909590006 SLAMET HARIYADI BANYUWANGI
29 3510166705890004 INDRIANI MERIANA BANYUWANGI
30 3510162206610002 ACHMAD ILYAS BANYUWANGI
31 3372052512510002 ANTONIUS FLORENSIUS DARSONO SURAKARTA
32 3510161911630001 SLAMET SISWANTO BANYUWANGI
33 3510167006570180 SUPIYATIK BANYUWANGI
34 3510167103490001 LISWATI BANYUWANGI
35 3510165812960001 PUPUT NANDA KARYA DEVIA BANYUWANGI
36 3510166708600002 HAIRONIK BANYUWANGI
37 3510166312620001 SUNAIYAH BANYUWANGI
38 3510160112620001 MOCHAMAD NAFIS BANYUWANGI
39 3510167006620065 USWATUN HASANAH BANYUWANGI
40 3579010104510001 WINARNO BANYUWANGI
41 3510164205590003 SITI FARIDA JEMBER
42 3510160305510003 HENDRA RUSDIYANTO BANYUWANGI
43 3510164705600001 SHERLY SUSANA BANYUWANGI
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KETERANGAN
JELAS JELAS JELAS JELAS
LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 9-12-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

6/24/1958 64 ≥60 L JL SIDOPEKSO 1 3

6/22/1948 74 ≥60 L PERUM GRIYA ASRI 11 4
4/8/1952 70 ≥60 L JL SIDOPEKSO 3 2
12/31/1964 58 46-59 P TEGALREJO 2 5
12/31/1963 59 46-59 L TEGALREJO 2 5
9/14/1955 67 ≥60 L LINGK SRITANJUNG
8/14/1965 57 46-59 P JL SIDOPEKSO 1 3
11/11/1963 59 46-59 P JL SIDOPEKSO 1 3
4/27/1960 62 ≥60 L JL AGUNG WILIS NO 38
12/11/1948 74 ≥60 L JL SIDOPEKSO 3 1
1/17/2000 23 18-30 L LINGK KALILO
2/5/1969 54 46-59 P JL SIDOPEKSO 1 1
7/13/1995 27 18-30 L JL SIDOPEKSO 1 1
2/6/1976 47 46-59 L
2/14/1956 67 ≥60 L JL SIDOPEKSO NO 03
10/10/1936 86 ≥60 P JL DI PANJAITAN 1 3
7/3/1942 80 ≥60 P JL SIDOPEKSO 3 2
8/12/1959 63 ≥60 L JL SAYU WIWIT NO 41
8/24/1954 68 ≥60 L JL AGUNG WILIS NO 31
10/28/1951 71 ≥60 L JL SEKARDALU NO 31A 1 3
11/11/1959 63 ≥60 P JL SEKARDALU NO 31A 1 3
6/10/1959 63 ≥60 P JL SIDOPEKSO NO 02
6/30/1947 75 ≥60 L JL SIDOPEKSO NO 11 1 3
4/30/2000 22 18-30 P JL DI PANJAITAN NO 56 2 3
12/8/1979 43 31-45 P JL TIDAR NO 22 4 1
8/27/1970 52 46-59 L JL DI PANJAITAN NO 56 2 3
7/17/1999 23 18-30 P DSN BALAK KIDUL 1 1
9/9/1959 63 ≥60 L JL SEKARDALU NO 31A
5/27/1989 33 31-45 P JL SIDOPEKSO 3 1
6/22/1961 61 ≥60 L JL SIDOPEKSO 2 1
12/25/1951 71 ≥60 L LINGK SRITANJUNG 3 1
11/19/1963 59 46-59 L JL A YANI NO 21 UTARA
6/30/1957 65 ≥60 P
3/31/1949 73 ≥60 P JL MUSI NO 37
12/18/1996 26 18-30 P JL MH THAMRIN GENTENGAN BAR 3 5
8/27/1960 62 ≥60 L JL AGUNG WILIS NO 31
12/23/1962 60 ≥60 P LINGK SRITANJUNG 1 1
12/1/1962 60 ≥60 L JL SEKARDALU NO 5
6/30/1962 60 ≥60 P JL SEKARDALU NO 11 2 3
4/1/1951 71 ≥60 L JL SEKARDALU NO 02
5/2/1959 63 ≥60 P JL KAPUAS NO 3 3 3
5/3/1951 71 ≥60 L LINGK KRAJAN
5/7/1960 62 ≥60 P JL SIDOPEKSO NO 03
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

 NAMA VAKSIN 3 VAKSIN 4 NO.HP KETERANGAN
"NAMA KELURAHAN
KECAMATAN

(12) (13) (18) (23) (24)

16 11 4
MALANG 3
16 11 3
SUKOHARJO 3
SUKOHARJO 3
16 11 4
16 11 3
16 11 3
16 11 4
16 11 4
16 13 3
16 11 3
16 11 3
16 11 3
16 11 4
16 11 4
16 11 4
16 11 3
16 11 4
16 11 3
16 11 3
16 11 4
16 11 4
16 11 3
16 11 3
16 11 3
SONGGON 3
16 11 4
16 11 3
16 11 4
16 11 4
3
16 11 3
4
16 13 3
16 11 4
16 11 3
16 11 4
16 11 4
16 11 4
16 4
3
16 11 4
JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510160401470001 BUANG ASMUI BANYUWANGI

2 3510167006590125 IKRIMAH BANYUWANGI
3 3510162104520003 AAN SETIAWAN BANYUWANGI
4 5171011710550001 SUBANDI BANYUWANGI
5 3510167006600214 HAERONIK BANYUWANGI
6 3510165103620004 SUPIATI BANYUWANGI
7 3510162007690004 SLAMET HARIYADI BANYUWANGI
8 3510161706470003 DJITUNG ISWADI BANYUWANGI
9 3510164504480001 HATIMAH BANYUWANGI
10 3510166312500002 INDA WATI BANYUWANGI
11 3510161611490002 BAMBANG BASUKI BANYUWANGI
12 3510130509510001 EFFENDI BANYUWANGI
13 3510165803500001 ENDANG HARTATI BANYUWANGI
14 3510165503490002 SOEPARTI BANYUWANGI
15 3510164404530003 SUMINI BANYUWANGI
16 3510166011600004 LISWATI BANYUWANGI
17 3510167006480171 NUR FAIZAH BANYUWANGI
18 3510161702440001 MOCHAMMAD CHOTIM ATBANY BANYUWANGI
19 3510166603020003 PUTRI AYU SITA N BANYUWANGI
20 3510160103010003 MAULVI MUHAMMAD ARDI BANYUWANGI
21 3510161603580001 BIBIT HARSONO BANYUWANGI
22 3510244802750001 RIDA YULISTYOWATI BANYUWANGI
23 3510164505690001 SITI NURIYATIK BANYUWANGI
24 3510160304470001 ASMUNI BANYUWANGI
25 510160505560004 UNTUNG SLAMET BANYUWANGI
26 3510166806610003 YUHANA BANYUWANGI
27 3510162309890005 ADIB AKHDIYT BANYUWANGI
28 3510161608520002 GHUFRON BANYUWANGI
29 3510164908490001 SRI RAHAYU BANYUWANGI
30 3510165806450007 ROKAIYAH BANYUWANGI
31 3510044912890001 DENIK MULYAWATI BANYUWANGI
32 3510161507000004 GALANG PRATAMA BANYUWANGI
33 3510161006630009 WURDIYONO KLATEN
34 3510164707880007 HALIMATUS SA'DIAH BANYUWANGI
35 3510211812550002 BASURI BANYUWANGI
36 351016709580004 ASNAWI PALEMBANG
37 3510217007790004 HOLISA BANYUWANGI
38 3510165404670005 HALIMATUS SA'DIAH BANYUWANGI
39 3510160408860011 EDY PURNOMO BANYUWANGI
40 3510211601740002 FREDY HIDAYAT BANYUWANGI
41 3510160810880007 RICKY RUSLAN MOHAMAD SUMENEP
42 3510164407690005 LEGIRAH BANYUWANGI
43 3510174107980011 MAYA HINDIYANI SITUBONDO
44 3510242504980002 APRILLIAN DENDY S BANYUWANGI
45 3510160801020002 AFILA BAHARUDIN K BANYUWANGI
46 3510160512980005 DINO VIRDYANSAH M BANYUWANGI
47 3510164402600004 JAMALAH BANYUWANGI
48 3510164101610016 MUMPUNI RAHAYU BANYUWANGI
49 3510164106590006 KANTI RAHAYU BANYUWANGI
50 3510162308540001 KASMANI WARDHANA BANYUWANGI
51 3510164804610002 ISTIANAH BANYUWANGI
52 3510144107500089 KAMSIYAH BANYUWANGI
53 3510164208720010 LISDA RISMIWATI BANYUWANGI
54 3510165407510002 SARIYEM WONOGIRI
55 3507124802030003 EKA PERBIANTI BANYUWANGI
56 3510160611000003 MUHAMMAD RIZKI RIZAL BANYUWANGI
57 3510162505720001 MUHAMMAD SUTADJI BANYUWANGI
58 3510165301660002 SRI AMAN AMIN JEMBER
59 3510160202570001 SLAMET UTOYO BANYUWANGI
60 3510164505770013 NINIT DAVITA BANYUWANGI
61 3510161601010002 ZHIDAN FAHRUS BANYUWANGI
62 3510166404610001 HAISAH BANYUWANGI
63 3510162609040001 ALFITO PRARISTA D BANYUWANGI
64 3510161708500003 HANIPAN BANYUWANGI
65 3510165911570002 SUGIARTI BANYUWANGI
66 3510160601550003 AMIR BONDOWOSO
67 6302060511640001 FAUJI ASRAN BANYUWANGI
68 3510167006540072 SRI RAHAYU BANYUWANGI
69 3510165008520010 RUMIAT BANYUWANGI
70 3510166702650002 LUTFIAH HAMIDUN BANYUWANGI
71 3510160510490003 SAIMUN BANYUWANGI
72 3510164904620001 GELLA RUSMANINGRUM MADIUN
73 3510164709990001 REGITA SEPTIARINI BANYUWANGI
74 3510164408680002 SITI SAUDAH BANYUWANGI
75 3510167006620114 HASANAH BANYUWANGI
76 3510161406540002 ABDUL RAHMAN BANYUWANGI
77 3510160203580007 SUHARYANTO JEMBER
78 3510166505860003 LILIK ANDAYANI BANYUWANGI
79 3510160305590001 SAMSUL BANYUWANGI
80 3510161004550006 SUWARNO BANYUWANGI
81
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 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 10-12-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT"
KELAMIN"

(5) (6) (7) (8) (9) (10)

1/4/1947 76 ≥60 L JL BROMO 1

6/30/1959 63 ≥60 P JL BROMO 1
4/21/1952 70 ≥60 L JL SINDORO NO 36
10/17/1955 67 ≥60 L JL KRAKATAU
6/30/1960 62 ≥60 P JL MALABAR NO 54
3/11/1962 60 ≥60 P JL SUMBING 1
7/20/1969 53 46-59 L JL SUMBING 1
6/17/1947 75 ≥60 L JL KINIBALU II NO 11
4/5/1948 74 ≥60 P JL SUMBING
12/23/1950 72 ≥60 P JL BASUKI RAHMAT
11/16/1949 73 ≥60 L JL MALABAR NO 54
9/5/1951 71 ≥60 L JL SUMBING NO 37
3/18/1950 72 ≥60 P JL MALABAR GG I NO 04
3/15/1949 73 ≥60 P JL RINJANI NO 26 GG CEMPAKA PTIH
4/4/1953 69 ≥60 P
11/20/1960 62 ≥60 P JL SUMBING NO 2 1
6/30/1948 74 ≥60 P JL LAWU I NO 03
2/17/1944 79 ≥60 L JL LAWU I NO 13
3/26/2002 20 18-30 P BANYUWANGI
3/1/2001 21 18-30 L JL BUDIONO 3
3/16/1958 64 ≥60 L JL KINIBALU II NO 11
2/8/1975 48 46-59 P DSN KRAJAN 3
5/5/1969 53 46-59 P JL IJEN IV GG II
4/3/1947 75 ≥60 L JL SUMBING 2
5/5/1956 66 ≥60 L JL KRAKATAU 5
6/28/1961 61 ≥60 P JL KRAKATAU 5
9/23/1989 33 31-45 L
8/16/1952 70 ≥60 L JL RINJANI NO 16
8/9/1949 73 ≥60 P JL MALABAR 2
6/18/1945 77 ≥60 P JL KINIBALU
12/9/1989 33 31-45 P LINGK PATEMON WETAN 1
7/15/2000 22 18-30 L JL RAUNG 4
6/10/1963 59 46-59 L JL IJEN IV GG II 3
7/7/1988 34 31-45 P JL MALABAR 3
12/18/1955 67 ≥60 L LINGK PORONG
9/17/1958 64 ≥60 L JL ANDALAS 3
7/30/1979 43 31-45 P PORONG 1
 4/14/1967 55 46-59 P JL ANDALAS 6
8/4/1986 36 31-45 L JL ANDALAS 4
1/16/1974 49 46-59 L
10/8/1988 34 31-45 L JL IKAN TOMBRO 2
7/4/1969 53 46-59 P JL ANDALAS
10/27/1997 25 18-30 P JL DEMPO 3
4/25/1998 24 18-30 L JL DEMPO 3
1/8/2002 21 18-30 L JL IJEN IV GG II 3
12/5/1990 32 31-45 L JL LAWU
2/4/1960 63 ≥60 P JL MALABAR NO 7
1/1/1961 62 ≥60 P JL MALABAR NO 22
6/1/1959 63 ≥60 P JL BROMO NO 14
8/23/1954 68 ≥60 L JL BROMO NO 14
4/8/1951 71 ≥60 P JL KINIBALU IV NO 02
7/1/1950 72 ≥60 P DSN JURANGJERO 1
8/2/1972 50 46-59 P JL KINIBALU 3
7/14/1951 71 ≥60 P JL KINIBALU II NO 11 3
2/8/2003 20 18-30 P JL PRENJAK
11/6/2000 22 18-30 L JL IJEN IV GG II 3
5/25/1972 50 46-59 L JL GUMITIR 4
1/13/1966 57 46-59 P JL BENGAWAN GG TERATAI 2
2/2/1957 66 ≥60 L JL BENGAWAN GG TERATAI 2
5/5/1977 45 31-45 P JL ANDALAS
1/15/2001 22 18-30 L JL ANDALAS 4
4/24/1961 61 ≥60 P JL KINIBALU
9/26/2004 18 18-30 L JL MALABAR 2
8/17/1950 72 ≥60 L JL SUMBING 1
11/19/1957 65 ≥60 P JL KINIBALU
1/6/1955 68 ≥60 L JL RINJANI 2
11/5/1964 58 46-59 L JL BERINGIN 5
6/30/1954 68 ≥60 P JL KINIBALU NO 22
8/10/1952 70 ≥60 P JL BATUR NO 11
2/27/1965 57 46-59 P JL TIDAR 2
10/5/1949 73 ≥60 L JL IJEN NO 20
4/9/1962 60 ≥60 P JL RINJANI 3
9/7/1999 23 18-30 P JL IJEN 2
8/4/1968 54 46-59 P JL RINJANI GG II 3
6/30/1962 60 ≥60 P JL SUMBING 1
6/14/1954 68 ≥60 L JL KINIBALU NO 23
3/2/1958 64 ≥60 L DSN RINGINMULYO 2
5/25/1986 36 31-45 P JL KINIBALU 2
5/3/1959 63 ≥60 L JL RINJANI II
4/10/1955 67 ≥60 L JL ANDALAS NO 42
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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123 ≥60
123 ≥60
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123 ≥60
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123 ≥60
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123 ≥60
123 ≥60
123 ≥60
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 123 ≥60
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0
0

JELAS JELAS JELAS JELAS JELAS

OTRUNAN

NAMA VAKSIN 3 VAKSIN 4 NO BATCH ALASAN TIDAK MEREK VAKSIN

"RW" "NAMA KELURAHAN TERVAKSIN
KECAMATAN

(11) (12) (13) (18) (19) (20) (21)

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JELAS JELAS JELAS JELAS JELAS JELAS JELAS
FASKES NO.HP KETERANGAN

(22) (23) (24)

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JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510165002830003 UMROTUN BANYUWANGI

2 3510161010640003 SUPRIYONO BANYUWANGI
3 3510165809540002 FATIMAH BANYUWANGI
4 3510164101590010 SARDJIATUN BANYUWANGI
5 3510162509550001 KATIMAN BANYUWANGI
6 3510165111600004 RINI HARTIWI JEMBER
7 3510166810520001 LASMIATI JEMBER
8 3510166006570002 SITI DJUWARIYAH BANYUWANGI
9 3510162308420001 DJUMADIN BONDOWOSO
10 3510161208580002 AGUS SANTOSO BANYUWANGI
11 3510163006590152 MAJID MULYONO SIDOARJO
12 3510164411620001 WIWIK SUPARTIWI BANYUWANGI
13 3509146111000000 DEWI ERNAWATI JEMBER
14 3510167006620243 SUHARIYATI BANYUWANGI
15 3510160709550001 SAHARI S BANYUWANGI
16 3510164303610007 SULISTYONINGSIH BANYUWANGI
17 3510161204570002 MUHAMAD SALEH BANYUWANGI
18 3510165001760005 YULIANA BANYUWANGI
19 3510166208610001 SRI HARTINI BANYUWANGI
20 3510162006460007 DJUMAIDIN BANYUWANGI
21 3510165909020005 REGINA DWI P BANYUWANGI
22 3510167006520123 SUMIYATI BANYUWANGI
23 3510165211700002 KARTINI JEMBER
24 3510165508530004 MUK ASINAH BANYUWANGI
25 3510166512990008 HAFIDA CAHYA R BANYUWANGI
26 3510167006640111 SULIANI BANYUWANGI
27 3510167006540142 SITIMA BANYUWANGI
28 3510165904780008 MUJAYANTI BANYUWANGI
29 3510217011430003 SITI MINTARSIH BANYUWANGI
30 3510165506570005 SUALIYA BANYUWANGI
31 3510167006580117 SUTIYATI BANYUWANGI
32 3529254107800478 SUBAIDA SUMENEP
33 3510164705500003 RUKIYAH BANYUWANGI
34 3510165510510001 SANTI BANYUWANGI
35 3510160106530003 M HERMAN BANYUWANGI
36 3510165605510004 SUTINI BANYUWANGI
37 3510160712550002 HANNAS MARHAENDRA BANYUWANGI
38 3510167101620001 SUGIYATI BANYUWANGI
39 3510165002830002 NOVITA GOENAWAN BANYUWANGI
40 3529252504020002 UMAM FERDI K SUMENEP
41 3510167006570061 MASNAH BANYUWANGI
42 3515164101520049 SUTAMI BANYUWANGI
43 3510164106600009 AMALIYAH BANYUWANGI
44 3510164202440001 BOHANI BANYUWANGI
45 3510164305560002 SRI HARTINI NGANJUK
46 3529256109010001 NUR FAIDA SUMENEP
47 3510163006560092 BUNAHWI BANYUWANGI
48 3510046204980005 ANI KUSYANTI JEMBER
49 3510165808890007 FAUZI SORAYA M BANYUWANGI
50 3510160102830006 BUDI SANTOSO BANYUWANGI
51 3510166406020002 FINDIYAH BANYUWANGI
52 3510167006580179 SRI ENDANG RESMI BANYUWANGI
53 3510164505600005 MARHAMAH BANYUWANGI
54 3510165708710005 WASILAH BANYUWANGI
55 3510164410970002 ULFA WARDIYANINGSIH BANYUWANGI
56 3510216506960002 SITI LAILIYAH BANYUWANGI
57 3510164404650005 LINATRI AFRIYANTI BANYUWANGI
58 3510160208570002 RIDWAN BANYUWANGI
59 3510163006450129 M HARJONO BANYUWANGI
60 3510211104520003 ABU SUJAI SUWARSONO BANYUWANGI
61 3510166811650002 IR. IRA STEPHANI RAWUNG BANYUWANGI
62 3510162407590001 GATOT TARYONO BANYUWANGI
63 3510164207720003 SUMARMI BANYUWANGI
64 3510161507580002 MISNAWI BANYUWANGI
65 3510211106920005 ISMAIL RACHMAS BANYUWANGI
66 3510164906650006 ROHANI BANYUWANGI
67 3510212811510001 R. BAMBANG SAFARI BANYUWANGI
68 3510164409550001 SUPIYATI BANYUWANGI
69 3510170203550002 FRITS DANIEL S. BANYUWANGI
70 3510175504570002 ANASTASIA M. BANYUWANGI
71 3510166310820013 RETNO WULANDARI BANYUWANGI
72 3510210804860004 MOCH. AKASA BANGKALAN
73 3510166602040001 FEBRISA TRI H. BANYUWANGI
74 3510160502040001 FEBRIAN BAYU P. BANYUWANGI
75 3510162003570002 IMAM S. LUMAJANG
76 3510160712500001 FERTINA TUS G. AMBON
77 3510174504600002 SUMILA BANYUWANGI
78 3510166405930003 EMI SEILLA BANYUWANGI
79 3510161709450001 HASAN BASRI BANYUWANGI
80 3510167006650123 CHAIRIYAH BANYUWANGI
81 3510164605650001 SITINAH BANYUWANGI
82 3510214509860006 WATI LESTARI BANYUWANGI
 83 3510166202020003 URSHILLA AYUDIA BANYUWANGI
84 3510166007720002 UMI MARIYANI BANYUWANGI
85 3510160203630004 MOHAMMAD UNIK ALFARI BANYUWANGI
86 3212151311900002 YUDHI N. BANYUWANGI
87 3510167006540210 MARTINI BANYUWANGI
88 3510164901590002 DJUNAEDAH BANYUWANGI
89 3510167006600112 MUKYATI BANYUWANGI
90 3510167006430107 HAIRIYAH BANYUWANGI
91 3510160510600002 ANJAR SUNGKONO BANYUWANGI
92 3510162502780002 SYAIFUL ROHMAN BANYUWANGI
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 398
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KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 12-12-22

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

2/10/1983 40 31-45 P JL DI PANJAITAN 3 1

10/10/1964 58 46-59 L JL DI PANJAITAN 3 1
9/18/1954 68 ≥60 P JL SURATI NO 28
1/1/1959 64 ≥60 P JL RIAU NO 94
9/25/1955 67 ≥60 L JL RIAU NO 94
11/11/1960 62 ≥60 P JL RIAU KROBOKAN 3 2
10/28/1952 70 ≥60 P KROBOKAN 3 2
6/20/1957 65 ≥60 P LINGK KROBOKAN 3 2
8/23/1942 80 ≥60 L KROBOKAN 3 2
8/12/1958 64 ≥60 L JL SURATI NO 34
6/30/1959 63 ≥60 L KROBOKAN 2 3
11/4/1962 60 ≥60 P KROBOKAN 1 3
11/21/2000 22 18-30 P JL DI PANJAITAN 2 2
6/30/1962 60 ≥60 P JL RIAU 2 3
9/7/1955 67 ≥60 L JL RIAU 2 3
3/3/1961 61 ≥60 P KROBOKAN 3 2
4/12/1957 65 ≥60 L KROBOKAN 3 2
1/10/1976 47 46-59 P KRAJAN 1 3
8/22/1961 61 ≥60 P JL DI PANJAITAN 2 2
6/20/1946 76 ≥60 L JL RIAU 3 3
9/19/2002 20 18-30 P JL RIAU LINGK KROBOKAN 3 3
6/30/1952 70 ≥60 P JL RIAU NO 22
11/12/1970 52 46-59 P JL RIAU KROBOKAN 3 3
8/15/1953 69 ≥60 P JL DI PANJAITAN KROBOKAN
12/25/1999 23 18-30 P KRAJAN 2 3
6/30/1964 58 46-59 P KROBOKAN 2 2
6/30/1954 68 ≥60 P JL DI PANJAITAN 3 1
4/19/1978 44 31-45 P LINGK KRAJAN 2 3
11/30/1943 79 ≥60 P LINGK KROBOKAN
6/15/1957 65 ≥60 P JL RIAU LINGK KROBOKAN
6/30/1958 64 ≥60 P LINGK KROBOKAN 1 3
7/1/1980 42 31-45 P KROBOKAN 1 3
5/7/1950 72 ≥60 P LINGK KROBOKAN
10/15/1951 71 ≥60 P LINGK KROBOKAN 1 3
6/1/1953 69 ≥60 L LINGK KROBOKAN
5/16/1951 71 ≥60 P KROBOKAN 3 2
12/7/1955 67 ≥60 L JL SURATI NO 40
 1/31/1962 61 ≥60 P JL SURATI NO 40
2/10/1983 40 31-45 P JL DI PANJAITAN 2 2
4/25/2002 20 18-30 L DSN III 6 2
6/30/1957 65 ≥60 P JL SAYU GRINGSING NO 70
1/1/1952 71 ≥60 P PASIR RAYA
6/1/1960 62 ≥60 P KROBOKAN 3 2
2/2/1944 79 ≥60 P KROBOKAN 1 2
5/3/1956 66 ≥60 P KROBOKAN 1 2
9/21/2001 21 18-30 P KROBOKAN 1 3
6/30/1956 66 ≥60 L KROBOKAN
4/22/1998 24 18-30 P KROBOKAN 3 2
8/18/1989 33 31-45 P JL DI PANJAITAN 2 1
2/1/1983 40 31-45 L JL SAYU GRINGSING NO 70 1 3
6/22/2002 20 18-30 P LATENG
6/30/1958 64 ≥60 P JL SURATI NO 71
5/5/1960 62 ≥60 P JL SUMBING NO 20 1 1
8/17/1971 51 46-59 P KROBOKAN 3 2
4/4/1997 25 18-30 P JL TIDAR 2 1
6/25/1996 26 18-30 P DSN PEKARANGAN 1 2
4/4/1965 57 46-59 P JL RIAU 3 3
8/2/1957 65 ≥60 L KROBOKAN
6/30/1945 77 ≥60 L KROBOKAN
4/11/1952 70 ≥60 L DUSUN KRAJAN 1 9
11/28/1965 57 46-59 P LING. KRAMAT 1 2
7/24/1959 63 ≥60 L LING. KRAMAT 1 2
7/2/1972 50 46-59 P JL. RIAU GG. BERLIAN 0 0
7/15/1958 64 ≥60 L JL. MALABAR 54 0 0
6/11/1992 30 18-30 L BANYUWANGI
6/9/1965 57 46-59 P JL. IJEN 3 4
11/28/1951 71 ≥60 L PERUM DJATI KAYANGAN
9/4/1955 67 ≥60 P JL. KINIBALU
3/2/1955 67 ≥60 L JL. MAWAR 38
4/15/1957 65 ≥60 P JL. MAWAR 38
11/22/1982 40 31-45 P PERUM GRIYA MUTIARA INDAH 2 1
4/7/1985 37 31-45 L DS. KLAMPOK 10 4
2/26/2004 18 18-30 P JL. PROGO 3 3
2/5/2004 19 18-30 L JL. PROGO 3 3
3/20/1957 65 ≥60 L JL. RINJANI 3 3
12/7/1950 72 ≥60 P JL. RINJANI 3 3
4/5/1960 62 ≥60 P JL. MH THAAMRIN 1 1
5/24/1993 29 18-30 P JL. BUNYU 25 1 4
9/17/1945 77 ≥60 L JL. KERINCI 28 2 3
6/30/1965 57 46-59 P JL. RINJANI II 3 3
5/6/1965 57 46-59 P JL. BUNYU 36 5 3
9/5/1986 36 31-45 P LING. SUKOWIDI 2 2
 2/22/2002 20 18-30 P JL. KALILO 23
7/20/1972 50 46-59 P JL. JOGOPATI 2 3
3/2/1963 59 46-59 L JL. KRAKATAU 6 3
11/13/1990 32 31-45 L JL. MH. THAMRIN 82 1 2
6/30/1954 68 ≥60 P KROBOKAN
1/9/1959 64 ≥60 P JL RIAU 3 2
6/30/1960 62 ≥60 P KROBOKAN 3 2
6/30/1943 79 ≥60 P KROBOKAN
10/5/1960 62 ≥60 L KROBOKAN 3 2
2/25/1978 44 31-45 L JL DI PANJAITAN NO 29 2 1
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

NAN

VAKSIN 3 VAKSIN 4 ALASAN TIDAK MEREK VAKSIN

NAMA KECAMATAN "NAMA KELURAHAN TERVAKSIN

(12) (13) (18) (20) (21)

16 23 3 PFIZER
16 23 3 PFIZER
16 4 PFIZER
16 4 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
16 4 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
16 23 3 PFIZER
16 23 4 PFIZER
16 23 3 PFIZER
16 23 4 PFIZER
16 23 3 PFIZER
16 23 3 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
16 23 3 PFIZER
16 23 4 PFIZER
16 23 3 PFIZER
16 23 4 PFIZER
16 23 3 PFIZER
16 23 3 PFIZER
16 23 4 PFIZER
16 23 3 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
16 23 3 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
 16 23 4 PFIZER
16 23 3 PFIZER
GAPEKEN PFIZER
16 23 4 PFIZER
4 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
16 23 3 PFIZER
16 23 4 PFIZER
16 23 3 PFIZER
16 23 3 PFIZER
16 23 3 PFIZER
16 12 3 PFIZER
16 23 4 PFIZER
16 14 4 PFIZER
16 23 3 PFIZER
16 14 3 PFIZER
21 3 PFIZER
16 23 3 PFIZER
16 23 4 PFIZER
16 23 4 PFIZER
KALIPURO KETAPANG 3 PFIZER
BANYUWANGI KERTOSARI 3 PFIZER
BANYUWANGI KERTOSARI 3 PFIZER
BANYUWANGI LATENG 3 PFIZER
BANYUWANGI SINGOTRUNAN 4 PFIZER
3 PFIZER
BANYUWANGI SINGOTRUNAN 3 PFIZER
KALIPURO KALIPURO 4 PFIZER
BANYUWANGI SINGOTRUNAN 3 PFIZER
4 PFIZER
4 PFIZER
KALIPURO KLATAK 3 PFIZER
DRIYOREJO TENARU 3 PFIZER
BANYUWANGI SINGONEGARAN 3 PFIZER
BANYUWANGI SINGONEGARAN 3 PFIZER
BANYUWANGI SINGOTRUNAN 4 PFIZER
BANYUWANGI SINGOTRUNAN 4 PFIZER
GIRI GIRI 3 PFIZER
BANYUWANGI LATENG 3 PFIZER
BANYUWANGI SINGOTRUNAN 4 PFIZER
BANYUWANGI SINGOTRUNAN 3 PFIZER
BANYUWANGI LATENG 3 PFIZER
KALIPURO KLATAK 3 PFIZER
BANYUWANGI PENGANTIGAN 3 PFIZER
BANYUWANGI TEMENGGUNGAN 3 PFIZER
BANYUWANGI SINGOTRUNAN 3 PFIZER
BANYUWANGI PENGANTIGAN 3 PFIZER
16 23 4 PFIZER
16 23 3 PFIZER
16 23 3 PFIZER
16 23 3 PFIZER
16 23 4 PFIZER
16 23 3
JELAS JELAS JELAS JELAS JELAS
FASKES NO.HP KETERANGAN

(22) (23) (24)

9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
JELAS JELAS
 NO
"TMPT_LHR UMUR
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TGL_LHR"
"
I
(1) (2) (3) (4) (5) (6)

1 3510161408830003 AGUS PRIBOWO BWI 8/14/1983 39

2 3509077009020001 RUTH GABRISIA BWI 9/30/2002 20
3 3510160301580001 YUNIARDI BWI 1/3/1958 65
4 3510165612620005 HARTINAH BWI 12/16/1962 60
5 3510165301540001 MUJIATIN BWI 1/13/1993 30
6 3510164608570006 SULIYASIH BWI 8/6/1957 65
7 3510164307650002 KHOLIF TIASTUTI BWI 7/3/1965 57
8 3510245305920002 AYU PUTRI ELITASARBWI 5/13/1992 30
9 2172020707800004 RONY HERMAWAN BWI 7/7/1980 42
10 3510212105880003 YUDI EKO PURANTO BWI 5/21/1988 34
11 3510086212040004 RANA DESY SAFIRA BWI 12/22/2004 18
12 3510165901930002 IVELIANA CINDRAKA BWI 1/19/1993 30
13 3510156306020001 DEVY MUTIARA RENIBWI 6/23/2002 20
14 3510161507040001 HABRIAL HAMIM HAKBWI 7/15/2004 18
15 3510171002990001 ISTAQUL KAHFI BWI 2/10/1999 24
16 3573026009570002 SUMIYATI BWI 9/20/1957 65
17 3510210803700002 DEDUNG ARIEF SUR BWI 3/8/1970 52
18 NUR JANNAH 123
19 3516034305740004 INDAH NADIYAH BWI 5/3/1974 48
20 3510165406730002 SITI FATIMAH BWI 6/14/1973 49
21 3510166212830009 ADITYA MEGA PARAMBWI 12/22/1983 39
22 3510164503940001 FITRIYAH NUR HASABWI 3/5/1994 28
23 3510167004950001 INDI DWI HARYATIN BWI 4/30/1995 27
24 123
25 123
26 123
27 123
28 123
29 123
30 123
31 123
32 123
33 123
34 123
35 123
36 123
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 5-1-23

NAMA "NAMA JENIS

KELOMPOK "JENIS TANGGAL VAKSIN
UMUR "ALAMAT" "RT" "RW" KECAMATA KELURAHA PEKERJAA BPJS
KELAMIN"
N N N
(7) (8) (9) (10) (11) (12) (13) (14) (15) (16)

31-45 L JL BROMO 1 1 16 13 1/5/2023

18-30 P 1/5/2023
≥60 L PERUM BRAW 5 3 16 20 1/5/2023
≥60 P PERUM BRAW 5 3 16 20 1/5/2023
18-30 P JL LETKOL IS 2 5 16 13 1/5/2023
≥60 P JL IJEN 16 14 1/5/2023
46-59 P JL KYAI SAL 1 2 16 9 1/5/2023
18-30 P JL KYAI SAL 1 2 16 9 1/5/2023
31-45 L JL KARIMUN 5 4 16 12 1/5/2023
31-45 L LINGK LEREK 1 2 21 94 1/5/2023
18-30 P DSN KRAJAN 4 1 8 182 1/5/2023
18-30 P JL YOS SUDRSO 21 1/5/2023
18-30 P 1/5/2023
18-30 L JL RIAU NO 3 3 2 16 12 1/5/2023
18-30 L LINGK KRAJAN 2 2 17 48 1/5/2023
≥60 P MALANG 1/5/2023
46-59 L JL IKAN LUM 2 3 16 141 1/5/2023
≥60 1/5/2023
46-59 P MOJOKERTO 1/5/2023
46-59 P JL TERNATE 5 3 16 12 1/5/2023
31-45 P JL IJEN NO 5 2 4 16 14 1/5/2023
18-30 P JL TERNATE 5 3 16 12 1/5/2023
18-30 P PERUM SOBO 1/5/2023
≥60 1/5/2023
≥60 1/5/2023
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
 ALASAN MEREK
PENTAHAPAN VAKSIN 3 VAKSIN 4 NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(17) (18) (19) (20) (21) (22) (23) (24)

3 FX2761 PFIZER 9
3 FX2761
4 FX2761
4 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1 3510170607870002 MUKTI YANIS BANYUWANGI

2 3510164601700002 ANASTASIA T BANYUWANGI
3 3510161110990002 DIMAS RAHMATULLAH BANYUWANGI
4 3510166708030007 KANIA KARUNIA BANYUWANGI
5 3510214407750003 SALAMAH SETIORINI BANYUWANGI
6 3510161403620001 IMAM SUPOWARNO BANYUWANGI
7 3510165906990001 AYU DINDA SAFRIDA BANYUWANGI
8 3510160303810006 EKO KUSBANDONO BANYUWANGI
9 3510165301830004 EVI KOMARIYAH BANYUWANGI
10 3525106409840002 YUSTINA RAHAYU GRESIK
11 3510211205030004 MUHAMAD AGUS SALIM BANYUWANGI
12 3510162601040001 JOVAN RIYADI BANYUWANGI
13 3510167112680002 TJIA SIOE LAN BANYUWANGI
14 3510166109620002 HAMILA BANYUWANGI
15 3510163110550003 MOCH SARTONO PASURUAN
16 3510162005000003 WIDIYATMIKO PUTRA P BANYUWANGI
17 3510245506520003 JAMIK'ATI BANYUWANGI
18 3510160508440002 MARCUS DE PAUW BANYUWANGI
19 3510167006770029 DARINI SUKOHARJO
20 3510161011680003 EKO BUDI WIYOTO BANYUWANGI
21 3510164609710003 SITI RAHAYU BANYUWANGI
22 3510216406860003 IDA AYU FITRI BANYUWANGI
23 3510162710910002 EKA YUDA PRASETYA BANYUWANGI
24 3510164306830003 FARICHA BANYUWANGI
25 3578152306000004 YUNIAR IMANTO SBY
26 3510161406940003 KEVIN KRISDIANTO BANYUWANGI
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL : 9-1-23

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

6/7/1987 35 31-45 L PORONG 1 1

6/1/1970 52 46-59 P
11/10/1999 23 18-30 L JL KALILO 1 4
27-6-03 -5 0 P JL DR SOETOMO 3 4
4/7/1975 47 46-59 P LINGK SUKOWIDI 4 3
14-3-62 #VALUE! #VALUE! L PERUM SOBO INDAH PERMAI 2 2
19-6-99 #VALUE! #VALUE! P JL KOLONEL SUGIYONO 3 2
3/3/1981 41 31-45 L JL KOLONEL SUGIYONO 3 2
13-1-83 #VALUE! #VALUE! P JL IKAN MAS NO 44 1 2
24-9-84 #VALUE! #VALUE! P JL PASIR 6 NO 14 3 5
12/5/2003 19 18-30 L SUKOWIDI
16-1-04 7 0 L SINGOTRUNAN
31-12-68 #VALUE! #VALUE! P JL CANDI SEWU 1 2
21-9-62 #VALUE! #VALUE! P JL TERNATE 5 3
31-10-55 #VALUE! #VALUE! L JL IKAN CUCUT KRAJAN 2 1
20-5-00 #VALUE! #VALUE! L JL PROGO 1 3
15-6-52 #VALUE! #VALUE! P JL SUMBING 2 2
5/8/1944 78 ≥60 L JL MH THAMRIN PERUM PKBR 3 2
30-6-77 #VALUE! #VALUE! P JL KALILO 3 3
10/11/1968 54 46-59 L JL KALILO
6/9/1971 51 46-59 P JL BELITUNG 3 2
24-6-86 #VALUE! #VALUE! P LINGK ANTOGAN 4 1
27-10-91 #VALUE! #VALUE! L JL MH THAMRIN 3 2
3/6/1983 39 31-45 P LINGK SUKOWIDI 4 4
23-6-00 #VALUE! #VALUE! L TAMBAK SARI 16 6
14-6-94 #VALUE! #VALUE! L JL IJEN NO 3 4 1
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

USKESMAS SINGOTRUNAN
-23

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN 3 VAKSIN 4
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18)

17 9/1/2023 3
9/1/2023 3
16 13 9/1/2023 3
16 9/1/2023 3
21 91 9/1/2023 3
16 9/1/2023 3
16 8 9/1/2023 3
16 8 9/1/2023 3
16 8 9/1/2023 3
GRESIK 9/1/2023 3
21 91 9/1/2023 3
16 14 9/1/2023 3
16 9/1/2023 3
16 12 9/1/2023 3
16 23 9/1/2023 4
16 16 9/1/2023 3
16 14 9/1/2023 3
16 13 9/1/2023 3
16 13 9/1/2023 3
16 13 9/1/2023 3
16 12 9/1/2023 3
21 91 9/1/2023 3
16 13 9/1/2023 3
21 91 9/1/2023 3
SBY 9/1/2023 3
16 14 9/1/2023 3
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
9/1/2023
JELAS JELAS JELAS JELAS JELAS JELAS
 NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
FX2761 PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS JELAS
 LAP

NO
"TMPT_LHR UMUR KELOMPOK
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TGL_LHR" UMUR
"
I
(1) (2) (3) (4) (5) (6) (7)
1 3510165003470002 MALEHATUN BWI 3/10/1949 73 ≥60
2 3510162005560006 ABDUL SAMAD BWI 5/20/1956 66 ≥60
3 3510167006520111 SALWATI BWI 6/30/1952 70 ≥60
4 3510163006420046 BACHRODJI BWI 6/30/1942 80 ≥60
5 3510166011590002 JULAEHA BWI 11/20/1959 63 ≥60
6 3510161105620002 AGUS PURNOMO BWI 5/11/1962 60 ≥60
7 3510160805520003 WARSITO BWI 5/8/1952 70 ≥60
8 3510166207640001 YULIS TINA BWI 7/22/1964 58 46-59
9 3510164310530001 ENDANG RENY BWI 10/3/1953 69 ≥60
10 3510160406790002 PANJI SUHARTONO BWI 6/4/1979 43 31-45
11 3510164708630002 SURATI BWI 8/7/1963 59 46-59
12 3510165903930001 FITRI MUZOALIFAH BWI 3/19/1993 29 18-30
13 3510166505620003 SUWARNI BWI 2/25/1962 60 ≥60
14 3510162010920003 PETER PRAMANA BWI 10/20/1992 30 18-30
15 3510167006680141 NUR HALIMAS BWI 6/30/1968 54 46-59
16 3510163006450132 MINHAD BWI 6/30/1945 77 ≥60
17 3510166204440002 HANIYAH BWI 4/22/1944 78 ≥60
18 3510167008580003 DJAMILAH BWI 8/30/1958 64 ≥60
19 3507316909690002 DARMI BWI 9/29/1969 53 46-59
20 3510166603590001 SUPARTI BWI 3/26/1959 63 ≥60
21 3510165906650003 WAHYUNINGSIH BWI 6/19/1965 57 46-59
22 3510166005030001 SANDRA MAUDY BWI 5/20/2003 19 18-30
23 3510160805630001 YUSUF BUSONO BWI 5/8/1963 59 46-59
24 35101656046200021 NENI WAHYUNI BWI 4/16/1962 60 ≥60
25 3510166009820003 INDAHWATI BWI 9/28/1982 40 31-45
26 3510166104760001 DINI LESTARI BWI 4/21/1976 46 46-59
27 3510165910480001 KATMI BWI 10/19/1948 74 ≥60
28 3510160505600005 ISNAINI BWI 5/5/1960 62 ≥60
29 3510167006550058 SRI SUHENDINI BWI 6/30/1955 67 ≥60
30 3510166602580001 SUSWATI BWI 2/26/1958 64 ≥60
31 3510161706630001 HERMAN SUCIPTO BWI 6/17/1963 59 46-59
32 3510166004550005 ELISYA SULISTYO UTBWI 4/20/1956 66 ≥60
33 351016107550063 SUPRIADI BWI 7/1/1955 67 ≥60
34 3510165204570003 RINA WIDYANI BWI 4/12/1957 65 ≥60
35 3510161010450002 MOHAMMAD TOHAR BWI 10/10/1945 77 ≥60
36 3510165808840001 AGUSTINA UMAIRA BWI 8/18/1984 38 31-45
37 3510167004010005 APRILIA PUTRI SANDI BWI 4/30/2001 21 18-30
38 3510163112420006 AYANG CAHYA BWI 12/31/1992 30 18-30
39 3510164808760009 MUR ESTIANI BWI 6/8/1976 46 46-59
40 3510160405560004 ARBANI BWI 5/4/1956 66 ≥60
41 3510166907590003 SITI HAMIDAH BWI 7/29/1959 63 ≥60
42 35110176608840002 KHOIROTA BWI 8/28/1984 38 31-45
43 3510161810030001 MUHDHAR AL GHUFROBWI 10/18/2003 19 18-30
44 3510171707740004 HELMI MUHAFI BWI 7/17/1974 48 46-59
45 3510166506810007 MIMIT ULFA SARI BWI 6/25/1981 41 31-45
46 3510166106910003 PUTRI YUNI PRATIWI BWI 6/21/1991 31 31-45
47 3510162303600005 YOHANES TONI RATUNBWI 3/23/1960 62 ≥60
48 3510164210560002 LILIK ROCHMIYATI BWI 10/2/1956 66 ≥60
49 3510166509520001 KUSTINI MALANG 9/25/1952 70 ≥60
50 3510164706670008 SITI MASBULLAH BWI 6/7/1967 55 46-59
51 3510165812600003 ANY WIDAYATI BWI 12/18/1960 62 ≥60
52 320107080797001 DHEAN ALIF JOELIANSYA BOGOR 7/8/1997 25 18-30
53 3510214805750001 SITI FATIMAH BWI 7/5/1971 51 46-59
54 3510154203950006 CAHYA SAFITRI BWI 3/2/1995 27 18-30
55 3510011108950001 ADI KURNIAWAN BWI 8/11/1995 27 18-30
56 3510194101990010 DIAH NIAMATUS SHOL BWI 1/12/1999 24 18-30
57 3510162207020001 YOGA JULIYANTO BWI 7/22/2002 20 18-30
58 3510161004000002 MOH YURZAN BWI 4/10/2000 22 18-30
59 3510075903940005 IVA AYU RINJANI BWS 3/19/1994 28 18-30
60
61
62
63
64
65
66
67
68
69
70
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL :

NAMA "NAMA JENIS

"JENIS TANGGAL VAKSIN
"ALAMAT" "RT" "RW" KECAMATA KELURAHA PEKERJAA BPJS
KELAMIN"
N N N
(8) (9) (10) (11) (12) (13) (14) (15) (16)

P JL PROGO NO 17 16 16 1/12/2023
L JL PROGO NO 56 2 2 16 16 1/12/2023
P JL PROGO NO 48 2 2 16 16 1/12/2023
L JL LOSARI 1/12/2023
P JL KALIMAS 1/12/2023
L JL PROGO NO 18 16 16 1/12/2023
L JL PROGO NO 27 16 16 1/12/2023
P JL PROGO NO 18 3 1 16 16 1/12/2023
P JL PROGO NO 27 16 16 1/12/2023
L JL KALIMASS 3 1 16 16 1/12/2023
P JL LOSARI NO 44 3 1 16 16 1/12/2023
P JL KALIMAS 2 1 16 16 1/12/2023
P JL LOSARI NO 46 16 16 1/12/2023
L JL KALIMAS NO 18 2 1 16 16 1/12/2023
P 16 16 1/12/2023
L JL LOSARI 3 1 16 16 1/12/2023
P JL KALIMAS NO 4 2 1 16 16 1/12/2023
P JL PROGO N 6 3 1 16 16 1/12/2023
P JL OPAK NO 25 16 16 1/12/2023
P JL OPAK NO 25 16 16 1/12/2023
P JL KALIMAS NO 16 2 1 16 16 1/12/2023
P JLOPAK 23 2 1 16 16 1/12/2023
L JL OPAK NO 25 16 16 1/12/2023
P JLOPAK 23 2 1 16 16 1/12/2023
P JL LOSARI NO 57 16 16 1/12/2023
P PERUM SUTRI 16 16 1/12/2023
P JL JENDRAL SUDIRMAN 16 16 1/12/2023
L JL LOSARI 2 1 16 16 1/12/2023
P JL JENDRL 16 16 1/12/2023
P JL OPAK NO 24 16 16 1/12/2023
L JL KALIMAS NO9 3 1 16 16 1/12/2023
P JL JENDRAL SUDIRMAN 16 16 1/12/2023
L JL LOSARI NO 43 16 16 1/12/2023
P JL KAIIMAS NO 46 16 16 1/12/2023
L JL PROGO NO 46 16 16 1/12/2023
P JL IKN PAUS 2 3 16 8 1/12/2023
P JL IKAN ARWANA 5 2 16 8 1/12/2023
P JL SAYU GRINGSING 16 10 1/12/2023
P JL BROMO NO8 1 1 16 14 1/12/2023
P SMB 2 1 16 16 1/12/2023
P SMB 2 1 16 16 1/12/2023
P JL ANGGREK NO 25 2 2 17 48 1/12/2023
L LING KRAJAN 16 12 1/12/2023
P JL ANGGREK NO 25 2 2 17 48 1/12/2023
P JL TERNATE 5 3 16 12 1/12/2023
P JL CENDRAWASIH 1 4 21 91 1/12/2023
L JL BENGAWAN 16 16 1/12/2023
P JL BENGAWAN 16 16 1/12/2023
P JL RINJANI 2 2 16 14 1/12/2023
P JL PROGO NO 18 3 2 16 16 1/12/2023
P JL PROGO 3 2 16 16 1/12/2023
L KOTA WISATA 4 14 BOGOR 1/12/2023
P JL TIDAR 2 1 16 14 1/12/2023
P JL ANDALAS 3 3 16 14 1/12/2023
L JL ANDALAS 3 3 16 14 1/12/2023
P DUSUN KRAJAN I 4 5 18 1/12/2023
L JL BASUKI RAHMAT 5 2 16 12 1/12/2023
L JL KARIMUN JAWA 1 4 16 12 1/12/2023
P JL RIAU NO 59 1 3 16 12 1/12/2023
 ALASAN MEREK
PENTAHAPAN VAKSIN 3 VAKSIN 4 NO BATCH TIDAK FASKES NO.HP KETERANGAN
TERVAKSIN VAKSIN

(17) (18) (19) (20) (21) (22) (23) (24)

3 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
3 FX2761 PFIZER 9
4 FX2761 PFIZER 9
3 FX2761 PFIZER 9
4 FX2761 PFIZER 9
3 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
4 FX2761 PFIZER 9
3 FX2761 PFIZER 9
4 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
3 FX2761 PFIZER 9
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR"
I
(1) (2) (3) (4)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
 398
399
400

KETERANGAN
JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL :

UMUR KELOMPOK "JENIS

"TGL_LHR" UMUR "ALAMAT" "RT" "RW"
KELAMIN"

(5) (6) (7) (8) (9) (10) (11)

123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60
#REF! #REF!
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
123 ≥60
 123 ≥60
123 ≥60
123 ≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

USKESMAS SINGOTRUNAN

NAMA
JENIS TANGGAL VAKSIN PENTAHAPAN VAKSIN 3 VAKSIN 4
KECAMATA "NAMA KELURAHAN BPJS
PEKERJAAN
N
(12) (13) (14) (15) (16) (17) (18)
JELAS JELAS JELAS JELAS JELAS JELAS
NO BATCH ALASAN TIDAK MEREK VAKSIN FASKES NO.HP KETERANGAN
TERVAKSIN

(19) (20) (21) (22) (23) (24)

PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
PFIZER 9
JELAS JELAS JELAS JELAS JELAS
 NO
NO REGISTRAS "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR" UMUR
I
(1) (2) (3) (4) (5) (6)

1 123
2 123
3 123
4 123
5 123
6 123
7 123
8 123
9 123
10 123
11 123
12 123
13 123
14 123
15 123
16 123
17 123
18 123
19 123
20 123
21 123
22 123
23 123
24 123
25 123
26 123
27 123
28 123
29 123
30 123
31 123
32 123
33 123
34 123
35 123
36 123
37 123
38 123
39 123
40 123
41 123
42 123
43 123
44 123
45 123
46 123
47 123
48 123
49 123
50 123
51 123
52 123
53 123
54 123
55 123
56 123
57 123
58 123
59 123
60 123
61 123
62 123
63 123
64 123
65 123
66 123
67 123
68 123
69 123
70 123
71 123
72 123
73 123
74 123
75 123
76 123
77 123
78 123
79 123
80 123
81 123
82 123
 83 123
84 123
85 123
86 123
87 123
88 123
89 123
90 123
91 123
92 123
93 123
94 123
95 123
96 123
97 123
98 123
99 123
100 123
101 123
102 123
103 123
104 123
105 123
106 123
107 123
108 123
109 123
110 123
111 123
112 123
113 123
114 123
115 123
116 123
117 123
118 123
119 123
120 123
121 123
122 123
123 123
124 123
125 123
126 123
127 123
128 123
129 123
130 123
131 123
132 123
133 123
134 123
135 123
136 123
137 123
138 123
139 123
140 123
141 123
142 123
143 123
144 123
145 123
146 123
147 123
148 123
149 123
150 123
151 123
152 123
153 123
154 123
155 123
156 123
157 123
158 123
159 123
160 123
161 123
162 123
163 123
164 123
165 123
166 123
167 123
168 123
169 123
170 123
171 123
172 123
173 123
174 123
175 123
176 123
177 123
178 123
179 123
180 123
181 123
182 123
183 123
184 123
185 123
186 123
187 123
188 123
189 123
190 123
191 123
192 123
193 123
194 123
195 123
196 123
197 123
198 123
199 123
200 123
201 123
202 123
203 123
204 123
205 123
206 123
207 123
208 123
209 123
210 123
211 123
212 123
213 123
214 123
215 123
216 123
217 123
218 123
219 123
220 123
221 123
222 123
223 123
224 123
225 123
226 123
227 123
228 123
229 123
230 123
231 123
232 123
233 123
234 123
235 123
236 123
237 123
238 123
239 123
240 123
241 123
242 123
243 123
244 123
245 123
246 123
247 123
248 123
249 123
250 123
251 123
252 123
253 123
254 123
255 123
256 123
257 123
258 123
259 123
260 123
261 123
262 123
263 123
264 123
265 123
266 123
267 123
268 123
269 123
270 123
271 123
272 123
273 123
274 123
275 123
276 123
277 123
278 123
279 123
280 123
281 123
282 123
283 123
284 123
285 123
286 123
287 123
288 123
289 123
290 123
291 123
292 123
293 123
294 123
295 123
296 123
297 123
298 123
299 123
300 123
301 123
302 123
303 123
304 123
305 123
306 123
307 123
308 123
309 123
310 123
311 123
312 123
313 123
314 123
315 123
316 123
317 123
318 123
319 123
320 123
321 123
322 123
323 123
324 123
325 123
326 123
327 123
328 123
329 123
330 123
331 123
332 123
333 123
334 123
335 123
336 123
337 123
338 123
339 123
340 123
341 123
342 123
343 123
344 123
345 123
346 123
347 123
348 123
349 123
350 123
351 123
352 123
353 123
354 123
355 123
356 123
357 123
358 123
359 123
360 123
361 123
362 123
363 123
364 123
365 123
366 123
367 123
368 123
369 123
370 123
371 123
372 123
373 123
374 123
375 123
376 123
377 123
378 123
379 123
380 123
381 123
382 123
383 123
384 123
385 123
386 123
387 123
388 123
389 123
390 123
391 123
392 123
393 123
394 123
395 123
396 123
397 123
 398 123
399 123
400 123

KETERANGAN
JELAS JELAS JELAS JELAS JELAS JELAS
 LAPORAN HARIAN VAKSIN COVID-19 PUSKESMAS SINGOTRUNAN
TANGGAL :

NAMA
KELOMPOK "JENIS
UMUR "ALAMAT" "RT" "RW" KECAMATA "NAMA KELURAHAN
KELAMIN"
N
(7) (8) (9) (10) (11) (12) (13)

≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60
≥60

0
0

JELAS JELAS JELAS JELAS JELAS JELAS

 JENIS ALASAN
TANGGAL PENTAHAPAN VAKSIN-3 NO BATCH TIDAK MEREK FASKES
PEKERJAA BPJS VAKSIN VAKSIN
N TERVAKSIN

(14) (15) (16) (17) (18) (19) (20) (21) (22)

JELAS JELAS JELAS JELAS JELAS JELAS JELAS JELAS
NO.HP KETERANGAN

(23) (24)
JELAS
KODE BPJS
1 BPJS PBI
2 BPJS NON PBI
3 NON ANGGOTA
KODE KECAMATAN 1 BELUM/TIDAK BEKERJA
1 PESANGGARAN 2 APOTEKER
2 BANGOREJO 3 BIDAN
3 PURWOHARJO 4 BURUH HARIAN LEPAS
4 TEGALDELIMO 5 BURUH NELAYAN/PERIKANAN
5 MUNCAR 6 BURUH TANI/PERKEBUNAN
6 CLURING 7 DOKTER
7 GAMBIRAN 8 DOSEN
8 SRONO 9 GURU
9 GENTENG 10 INDUSTRI
10 GLENMORE 11 KARYAWAN BUMD'
11 KALIBARU 12 KARYAWAN BUMN
12 SINGONJURUH 13 KARYAWAN HONORER
13 ROGOJAMPI 14 KARYAWAN SWASTA
14 KABAT 15 KEPALA DESA
15 GLAGAH 16 KONSULTAN
16 BANYUWANGI 17 KEPOLISIAN
17 GIRI 18 MEKANIK
18 WONGSOREJO 19 MENGURUS RUAH TANGGA
19 SONGGON 20 NELAYAN/PERIKANAN
20 SEMPU 21 PEDAGANG
21 KALIPURO 22 PEGAWAI NEGERI SIPIL (PNS)
22 SILIRAGUNG 23 PELAJAR/MAHASISWA
23 TEGALSARI 24 PELAUT
24 LICIN 25 PEMBANTU RUMAH TANGGA
25 BLIMBINGSARI 26 PENATA RAMBUT
27 PENATA RIAS
28 PENDETA
29 PENELITI
30 PENSIUNAN
31 PENYIAR RADIO
32 PERANGKAT DESA
33 PERAWAT
34 PERDAGANGAN
35 PETANI/PEKEBUN
36 ANGGOTA DEWAN
37 PETERNAK
38 SENIMAN
39 SOPIR
40 TENTARA NASIONAL INDONESIA (TNI)
41 TRANSPORTASI
42 TUKANG BATU
43 TUKANG CUKUR
44 TUKANG JAHIT
45 TUKANG KAYU
46 TUKANG LAS/PANDAI BESI
47 TUKANG LISTRIK
48 WARTAWAN
49 WIRASWASTA
50 PEKERJA LAINNYA
KODE DESA/KELURAHAN 38 Wringin Agung 76 Kalirejo
1 Bangorejo 39 Wringinrejo 77 Kedayunan
2 Kebondalem 40 Yosomulyo 78 Labanasem
3 Ringintelu 41 Genteng Kulon 79 Macan Putih
4 Sambimulyo 42 Genteng Wetan 80 Pakistaji
5 Sambirejo 43 Kaligondo 81 Pendarungan
6 Sukorejo 44 Kembiritan 82 Pondoknongko
7 Temurejo 45 Setail 83 Sukojati
8 Karangrejo 46 Penataban 84 Tambong
9 Kepatihan 47 Giri 85 Banyuanyar
10 Kampung Melayu 48 Boyolangu 86 Kajarharjo
11 Temenggungan 49 Grogol 87 Kalibaru Kulon
12 Lateng 50 Jambesari 88 Kalibaru Manis
13 Pengantigan 51 Mojopanggung 89 Kalibaru Wetan
14 Singotrunan 52 Bakungan 90 Kebonrejo
15 Panderejo 53 Banjarsari 91 Klatak
16 Singonegaran 54 Glagah 92 Bulusan
17 Penganjuran 55 Kampunganyar 93 Bulusari
18 Tamanbaru 56 Kemiren 94 Gombengsari
19 Tukangkayu 57 Kenjo 95 Kalipuro
20 Kebalenan 58 Olehsari 96 Kelir
21 Kertosari 59 Paspan 97 Ketapang
22 Sobo 60 Rejosari 98 Pesucen
23 Kampung Mandar 61 Tamansuruh 99 Telemung
24 Pakis 62 Bumiharjo 100 Banjar
25 Sumberrejo 63 Karangharjo 101 Gumuk
26 Benculuk 64 Margomulyo 102 Jelun
27 Cluring 65 Sepanjang 103 Kluncing
28 Kaliploso 66 Sumbergondo 104 Licin
29 Plampangrejo 67 Tegalharjo 105 Pakel
30 Sarimulyo 68 Tulungrejo 106 Segobang
31 Sembulung 69 Badean 107 Tamansari
32 Sraten 70 Bareng 108 Blambangan
33 Tamanagung 71 Benelan Lor 109 Kedungrejo
34 Tampo 72 Bunder 110 Kedungringin
35 73 111 (Kedungpringin)
Gambiran Dadapan Kumendung
36 Jajag 74 Gombolirang 112 Sumberberas
37 Purwodadi 75 Kabat 113 Sumbersewu
114 Tambakrejo 153 Tegalarum 192 Kedungasri
115 Tapanrejo 154 Temuasri 193 Kedunggebang
116 Tembokrejo 155 Temuguruh 194 Kedungwungu
117 Wringin Putih 156 Barurejo 195 Kendalrejo
118 Kandangan 157 Buluagung 196 Purwoagung
119 Pesanggaran 158 Kesilir 197 Purwoasri
120 Sarongan 159 Seneporejo 198 Tegaldlimo
121 Sumberagung 160 Siliragung 199 Wringinpitu
122 Sumbermulyo 161 Alas Malang 200 Dasri
123 Bulurejo 162 Benelan Kidul 201 Karangdoro
124 Glagahagung 163 Cantuk 202 Karangmulyo
125 Grajagan 164 Gambor 203 Tamansari
126 Karetan (Keretan) 165 Gumirih 204 Tegalrejo
127 Kradenan 166 Kemiri 205 Tegalsari
128 Purwoharjo 167 Lemahbang Kulon 206 Alasbulu
129 Sidorejo 168 Padang 207 Alasrejo
130 Sumberasri 169 Singojuruh 208 Bajulmati
131 Aliyan 170 Singolatren 209 Bangsring
132 Blimbing Sari 171 Sumber Baru 210 Bengkak
133 Bomo 172 Balak 211 Bimorejo
134 Bubuk 173 Bangunsari 212 Sidodadi
135 Gintangan 174 Bayu 213 Sumberanyar
136 Gitik 175 Bedewang 214 Sumberkencono
137 Gladag 176 Parangharjo 215 Watukebo
138 Kaligung 177 Songgon 216 wongsorejo
139 Kaotan 178 Sragi 217 Sidowangi
140 Karang Bendo 179 Sumber Arum
141 Karangrejo 180 Sumber Bulu
142 Kedaleman 181 Bagorejo
143 Lemahbang Dewo 182 Kebaman
144 Mangir 183 Kepundungan
145 Patoman 184 Parijatah Kulon
146 Pengantigan 185 Parijatah Wetan
147 Rogojampi 186 Rejoagung
148 Watu Kebo 187 Sukomaju
149 Gendoh 188 Sukonatar
150 Jambewangi 189 Sumbersari
151 Karangsari 190 Wonosobo
152 Sempu 191 Kalipait
 1 BELUM/TIDAK BEKERJA
2 APOTEKER
3 BIDAN
4 BURUH HARIAN LEPAS
5 BURUH NELAYAN/PERIKANAN
6 BURUH TANI/PERKEBUNAN
7 DOKTER
8 DOSEN
9 GURU
10 INDUSTRI
11 KARYAWAN BUMD'
12 KARYAWAN BUMN
13 KARYAWAN HONORER
14 KARYAWAN SWASTA
15 KEPALA DESA
16 KONSULTAN
17 KEPOLISIAN
18 MEKANIK
19 MENGURUS RUAH TANGGA
20 NELAYAN/PERIKANAN
21 PEDAGANG
22 PEGAWAI NEGERI SIPIL (PNS)
23 PELAJAR/MAHASISWA
24 PELAUT
25 PEMBANTU RUMAH TANGGA
26 PENATA RAMBUT
27 PENATA RIAS
28 PENDETA
29 PENELITI
30 PENSIUNAN
31 PENYIAR RADIO
32 PERANGKAT DESA
33 PERAWAT
34 PERDAGANGAN
35 PETANI/PEKEBUN
36 ANGGOTA DEWAN
37 PETERNAK
38 SENIMAN
39 SOPIR
40 TENTARA NASIONAL INDONESIA (TNI)
41 TRANSPORTASI
42 TUKANG BATU
43 TUKANG CUKUR
44 TUKANG JAHIT
45 TUKANG KAYU
46 TUKANG LAS/PANDAI BESI
47 TUKANG LISTRIK
48 WARTAWAN
49 WIRASWASTA
50 PEKERJA LAINNYA
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KODE PENTAHAPAN
1 SDM KESEHATAN
2 PETUGAS LAYANAN PUBLIK TERMIN 1
3 PETUGAS LAYANAN PUBLIK TERMIN 2
4 PETUGAS LAYANAN PUBLIK TERMIN 3
5 LANSIA
KODE VAKSINASI
0 BELUM TERVAKSIN
1 DIVAKSIN
2 DITUNDA
3 BATAL
4 MENOLAK
KODE ALASAN DITUNDA/ TIDAK TERVAKSINASI
1 TERKONVIRMASI COVID-19
2 SEDANG HAMIL/MENYUSUI
3 RIWAYAT ALERGI BERAT TERVAKSINASI
4 SEDANG TERAPI AKTIF PENYAKIT KELAINAN DARAH
5 PENYAKIT JANTUNG
6 AUTOIMUN SITEMIK
7 PENYAKIT GINJAL
8 REUMATIK AUTOIMUN
9 PENYAKIT SALURAN PERNAFASAN
10 HIPERTIROID
11 KANKER/IMUNIKOMPROMOISE
12 DM
13 HIV
14 PENYAKIT ASMA, PPOK, TBC
KODE FASKES
1 PKM WONGSOREJO
2 PKM BAJULMATI
3 PKM KELIR
4 PKM KLATAK
5 PKM MOJOPANGGUNG
6 PKM PASPAN
7 PKM LICIN
8 PKM SOBO
9 PKM SINGOTRUNAN
10 PKM KERTOSARI
11 PKM KABAT
12 PKM BADEAN
13 PKM GITIK
14 PKM GLADAG
15 PKM SINGONJURUH
16 PKM SONGGON
17 PKM KEBAMAN
18 PKM PARIJATAH KULON
19 PKM WONOSOBO
20 PKM KEDUNGREJO
21 PKM SUMBERBERAS
22 PKM TAPANREJO
23 PKM TEMBOKREJO
24 PKM TEGALSARI
25 PKM KEDUNGWUNGU
26 PKM PURWOHARJO
27 PKM GRAJAGAN
28 PKM BENCULUK
29 PKM TAMPO
30 PKM JAJAG
31 PKM YOSOMULYO
32 PKM TEGALSARI
33 PKM GENTENG KULON
34 PKM KEMBIRITAN
35 PKM SEMPU'
36 PKM KARANGSARI
37 PKM GENDOH
38 PKM SEPANJANG
39 PKM TULUNGREJO
40 PKM KALIBARU KULON
41 PKM KEBUNDALEM
42 PKM SAMBIREJO
43 PKM PESANGGARAN
44 PKM SUMBERAGUNG
45 PKM SILIRAGUNG
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