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DATA VAKSINASI
LOKASI DESA MODELOMO, 26 OKTO

UMUR DOSIS
NO NAMA NAMA ORANG TUA/WALI NIK NO HP ALAMAT
L P 1 2
1 Novita Malumu - 7108065611960001 082312127656 25 √
Modelomo
2 Fitirana H. Khaly Herson D. Khaly 7502044507030002 082341602082 18 Modelomo √

3 Djabir Mohamad - 7502041507710003 085396566582 50 Modelomo √

4 Abdul Rahmat Mokoginta - 7502042109030001 083819986298 17 Modelomo √

5 Astina Dalaini - 7502044508790004 083819986261 42 Modelomo √

6 Isna Rahmat - 7502046609870001 081241248465 34 Modelomo √

7 Abdul Ahmad Mokoginta Astina Dalaini 7502042010080002 085214026140 13 Modelomo √

8 Nur Fadila Kaida Sarmiati Dalaini 7502036203080001 085340211625 13 Modelomo √

9 Sarmiati Dalaini - 7502046112760002 085340211625 45 Modelomo √

10 Seriyati Abdullah - 7502044501910002 082216805299 30 Modelomo √

11 Erni Saman - 7502045505720001 085240273373 42 Modelomo √

12 Asfit Iyanu - 7502041402950001 082299795348 26 Modelomo √

13 Hasna Abdullah - 7502044711850004 085298818332 36 Modelomo √

14 Sartin Koingo - 7502044304690001 085240760915 52 Modelomo √

15 Merlin Kio - 7502045505920002 081214018791 29 13 √

16 Risna Taniyo - 7502044303840006 082240760915 37 Modelomo √

17 Riwin Hustin - 7502045304870002 081355575796 33 Modelomo √

18 Armin Pakaya - 7502044304730003 085298840700 48 Modelomo √

19 Tisni Otoluwa - 7500245202900002 081385117621 31 Modelomo √

20 Risna Lamusu - 7502046512770001 082150936429 44 Modelomo √

21 Samsia Van Gobel - 7502044803800001 085298842082 41 Modelomo √

22 Opin Bakari - 7502045009840001 085240760915 37 Modelomo √

23 Rabia Bahu - 7502044707780004 082348590405 43 Penbar √

24 Kamel Kamana - 7502040402030002 085240760915 18 Modelomo √

25 Karman Antu - 7502041209750003 085255547881 46 Modelomo √

26 Herman Mentu - 7502040477500002 082150942565 46 Penbar √

27 Awaludin Ismail Ismati Hudjuli 7502040405050004 082191499508 16 Modelomo √

28 Walta Hulopi - 7502045109990003 081343825112 23 Modelomo √

29 Risal Moiso - 7502042904960001 082292965383 25 Modelomo √

30 Sri Damayani F. Mopangga - 75710657088830005 085242379127 38 13 √

31 Laila Patamani - 7502046705950003 082259743394 26 Piloliyanga √

32 Indrawati Ambo - 7502066211840002 082293651880 26 Lahumbo √

33 Djalaludin Hulanta - 7502041606710003 082259553263 50 Modelomo √

34 Isniati Hudjuli - 7502044812840001 082189212374 37 Modelomo √

35 Rayuddin - 5204252311970001 085279051114 24 Penbar √

36 Sri Maya Ningsih Marhaba - 7502046005920004 085241534599 29 Modelomo √

37 Dewi Yusuf - 7502045704790002 081343340583 43 Mohungo √

38 Rosni Rahmat - 7502044707760001 082142736254 45 Modelomo √

39 Andi Prasetyo - 7502021503030002 081222803536 18 Modelomo √

40 Siskawaty Radjihum - 7502044212900001 085398261942 30 Modelomo √

41 Sri Yayunda Guzali - 7502045603920001 082335389851 29 Modelomo √

42 Ahmad Abd. Wahid - 7502040110970002 081355974257 25 Modelomo √

43 Diana Nusi - 7502047103810002 082346452109 40 Modelomo √

44 Hasna Djafar - 7502046002800001 082193991324 41 Modelomo √

45 Gusnar H. Khaly Herson D. Khaly 7502040412060001 087829940542 15 Modelomo √

46 Sitti Adzahra Umaiya Maku Yayu Yance 7502046710080002 082296611527 13 Modelomo √

47 Marniati Kamana - 7502044910710003 085240023038 50 Modelomo √

48 Midyan Abd. Wahid - 7502046104030008 082191832419 18 Modelomo √

49 Indra Bulango - 7502044503820006 085298807200 39 Modelomo √

50 Ismail Abd. Wahid - 7502040217750001 085395546224 46 Modelomo √

51 Selvi Djapu - 7502044511770003 082349039391 43 Modelomo √

52 Kiflin Bati - 7502042610020002 085256651046 19 Lahumbo √

Tunda : 7
Menolak : 1
Pulang : 1
 DATA VAKSINASI
LOKASI DESA MODELOMO, 26 OKTOBER 2021

PUBLIK KETERANGAN
SISWA MASYARAKAT LANSIA
OPD GURU PUBLIK LAINNYA TUNDA MENOLAK PULANG
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SMANTIL

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MTS Til

MTS Til

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SMK TIL

SMK TIL HT
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√ HT

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SMP 1 Til HT

MTS Til

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