NA

FASKES : AEK NAULI

TANGGAL : 14 Agustus 2021

NO NAMA NIK TANGGAL LAHIR

1 RAMIAN HUTAJULU 1272044811690002 11/8/1969

2 DANIEL TONY SIBURIAN 1272010406670001 4 Juni 1967
3 HERMAN SAUT TUA P.SIMAJUNTAK 1272043101850001 1/31/1985
4 JANNES PANDAPOTAN SIHOMBING 1208060712930001 12/7/1993
5 DEVINA MELINA SIBURIAN 1272015201010001 1/12/2001
6 DUMA SIHITE 1272044306760006 6/3/1978
7 JUITA SAMOSIR 1272045605650001 5/16/1965
8 SIHAT M SIBORO 1208112403800001 3/24/1980
9 SUCI 1272046808830004 8/28/1983
10 EDISON PANJAITAN 1272041705530001 5/18/1953
11 RAMTO SIMANUNGKALIT 1272041602730001 2/16/1973
12 LAGO G SILITONGA 1272042907760005 7/29/1976
13 JONATHAN SIAHAAN 1272042706000001 6/27/2000
14 JANE CATERINE SIHOMBING 1208066501980001 1/25/1998
15 ROSMEDI SINAGA 1208067003960003 3/30/1996
16 CRISTA FITRIANI SIHOMBING 1208064810950003 10/8/1995
17 FARIDA BONITA PURBA 1272046309940002 9/23/1994
18 ELSHA RIYANI SARAGIH 1208056106020002 6/21/2002
19 JOJOR DELIMA GULTOM 1272045706740002 6/17/1976
20 JANNES SILITONGA 1272041212610003 12/12/1961
21 ERNAWATI SITANGGANG 1272046311780002 11/23/1978
22 TIO DUNGDUNGAN BORU SIMORANGKIR 1222035506750004 6/15/1975
23 HENRY MARINGAN SIAHAAN 1272052503670001 3/25/1967
24 HEHESENTES SIHOMBING 1272062104840001 4/29/1984
25 JANDRI MARNAEK TUA PASARIBU 1272060901840002 1/19/1986
26 ANSELMUS KRISOLOGUS SIAGIAN 1272043007030001 7/30/2003
27 SANDI PARNINGOTAN SIRINGO-RINGO 1208182606890004 6/26/1989
28 ALLER DEDE SITANGGANG 1272043108860004 8/31/1986
29 DORIS ELISABETH 3175065503800023 3/15/1980
30 NURSINTA SIDABUTAR 1272044603780005 3/6/1978
31 BERINSEN SINAGA 1208291612720003 12/16/1972
32 DAVIT EBEN EER SIANIPAR 1272042709990001 7/27/1999
33 DERITA MAWATI HUTABARAT 1208185104660001 4/11/1966
34 GERMAN SIMANGUNSONG 1272080810530001 10/8/1953
35 SILVYA LESMANA AMBARITA 1208097006960001 6/30/1996
36 DANIEL LAURENS NAINGGOLAN 1272011705970006 5/17/1997
37 TINURIA BATUBARA 1272046012630001 12/20/1963
38 TIURMAULI SINURAT 1208084510760001 10/5/1976
39 MIAN JAHN PETER HUTASOIT 3603211509770003 9/15/1977
40 NURHAYATI SITUMORANG 1272084905770001 5/9/1977
41 SURYA HALOMOAN NAIBAHO 1208023006750001 6/30/1975
42 LASMAN GIRSANG 1208011205560002 5/12/1956
43 MERY WATY MARPAUNG 1272046102770006 2/21/1977
44 SOLFINA SINAGA 1208015512550002 12/15/1955
45 RIANDY GOKLAS PANGARIBUAN 1272040803970001 3/8/1997
46 RAHEL ENGELYN PARDEDE 1272046907020002 7/29/2002
47 CARLES ANTONIUS TAMBUNAN 8107011606860004 6/16/1986
48 MERY CHRISTINA PARDEDE 1272046512010001 12/25/2001
49 ELISA SITUMORANG 1272044911990001 11/9/1999
50 JHON DEDY PURBA 1208080804780002 4/8/1978
51 ROSYANNA MARGARET SIAHAAN 1272046801930004 1/28/1993
52 PUTRA JAYA MARPAUNG 1272042111910002 11/21/1991
53 JUMAN 1208030504720003 4/5/1972
54 MARIA OKTAVIANA NABABAN 1272044710970001 10/7/1997
55 DIANA NABABAN 1272044202580001 2/2/1958
56 LERMIN SINAGA 1272015806530001 6/18/1953
57 NURDIN MARPAUNG 1272040404640002 4/4/1964
58 LIDYA PEBRINA MANURUNG 1272045502990001 2/15/1999
59 JONATHAN PUTRA MANURUNG 1272041205010003 2/12/2002
60 SURIADI 1208111009900003 9/10/1990
61 ANTONIUS RUMAPEA 1272040110660002 10/12/1966
62 ANDRE PARLUHUTAN PANGGABEAN 1272041305860001 5/13/1986
63 SIHAR PANGARIBUAN 1272041209620003 9/12/1962
64 AKEN NAINGGOLAN 1272041207650002 7/12/1965
65 TORSIANNA SIAHAAN 1272046412460001 1/28/1993
66 KEVIN GABRYEL HUTAURUK 1272031206930002 6/12/1993
67 TORANG SIAHAAN 1272041202600001 2/12/1960
68 SULIKA 1208117115240054 12/31/1964
69 RIDWAN SILALAHI 1272040104820001 4/1/1982
70 LINA HERTATI SILALAHI 1272045411790001 11/14/1979
71 ABSON SIMANJUNTAK 1272042705630004 5/27/1963
72 ERIDA HUTABARAT 1272045201600001 1/12/1960
73 RAMTO ROBERT SIMAJUNTAK 1272043011680006 11/30/1969
74 FORMELINA WATI SIAHAAN 1208056703880002 3/27/1988
75 RUBEN ALFREDO MATONDANG 1272043010840001 10/30/1984
76 EMMA SITINDAON 1272045805720001 5/18/1972
77 FEBRICA STEPANUS HAREFA 1272040302000001 2/9/2000
78 ONISIA SEVIN SIMATUPANG 1272044709990001 9/7/1999
79 TOMU NABABAN 1272041608670002 8/16/1967
80 TUNGGUL TOGA PARLIN SINAGA 3173061001830001 1/10/1983
81 ROSPITA SINURAT 1272046112670003 12/21/1967
82 HORASMA JOHN SIRAIT 1272042302750002 2/23/1975
83 HAFRY KHARISMA SITANGGANG 1208052910000001 10/29/2000
84 PAULUS NOVENTO 1272070311020001 11/3/2002
85 RINI ARTHA PASARIBU 1272025604890002 4/16/1989
86 JHON FERY SITANGGANG 1272042108880001 8/21/1988
87 LENNI SIMBOLON 3671026801750001 1/28/1975
88 HENDRI ROBINSON HUTAJULU 1272051005820005 5/10/1982
89 PARLINDUNGAN ARITONANG 3515181307630004 7/13/1963
90 OPANI LIS ORICA MANIHURUK 2171036411820005 11/24/1982
91 JULIANA SARAGIH 1272045407640002 7/14/1964
 92 SAPRI 1102012505910002 5/25/1991
93 OKTA HELDA 1506104410950001 10/4/1995
94 HERTA LENA SIRINGO-RINGO 1272044604750003 4/6/1975
95 SERI NOVITA SIRINGO-RINGO 1272044908980001 8/9/1998
96 CAROLINA SATITI 3671024603030002 3/6/2003
97 AYENDE T.H .SIRAIT 3671026601740004 1/26/1974
98 NOVITA SARI ZEGA 1272046711990001 11/27/1999
99 RUT EVANI MANULLANG 1272035106890003 6/11/1989
100 YUSUF HOTDES SITUNGKIR 1272070712010004 12/7/2001
101 JUANDA RAY MARPAUNG 1272042202960001 2/22/1996
102 JAMES M SINAGA 1272051108750001 8/11/1975
103 SEBASTIAN NABABAN 1272041608910002 8/10/1991
104 LUSIANA NAINGGOLAN 1272044210800002 10/2/1980
105 MINAR PASARIBU 1272045708720000 8/17/1972
106 NETTY SILABAN 1272044710770001 10/2/1977
107 NURMAYA SIMANJUNTAK 1272045310870000 10/13/1987
108 BENNY PARLINDUNGAN SARAGI 1272040410820002 10/4/1982
109 LENTINA LUMBANGAOL 1272044904640002 4/9/1964
110 HERLINA HUTABARAT 1272044708620002 8/7/1962
111 JOHAN RIO F SINAMBELA 1272042606030001 6/26/2003
112 CAHAYA ESRA MENTARI SIRAIT 1272045106000001 6/11/2000
113 PRIMA DESMON ALCINO SIHOMBING 1272042809990001 9/28/1999
114 LAMBOK SILALAHI 1272042801960004 1/15/1996
115 SATRA RIVALDO SIMANJUNTAK 1272042309990004 9/23/1999
116 INTAN CLAUDYA SIMANJUNTAK 1272044501030003 1/5/2003
117 LONGLARIA SIAHAAN 1272044503390001 3/5/1939
118 MORISSANA SINAGA 3173086512800001 12/25/1980
119 MARTIN ONRUSO SIMANJUNTAK 1272040903750001 3/9/1975
120 ROBERTUS R BUTAR-BUTAR 1272040709750003 9/9/1975
121 SARMA ULI SIRAIT 1272046911740001 11/29/1974
122 PRENGKI SINAGA 1211041012870003 12/10/1987
123 JOHN RAMALIMSON PURBA 1272040307670002 7/3/1967
124 DJUANG LANTI EDY SARAGI 5271022006680001 6/20/1968
125 FEBRINA MULIANY SIAHAAN 1272045302980001 2/13/1998
126 DARMON HAS SILALAHI 1208171309830002 9/13/1983
127 MARISI SITANGGANG 3671051506760011 6/15/1976
128 ZEPRI SITANGGANG 3671050307860009 7/3/1986
129 CHRISTIAN PATAR HUTAHAEAN 1272042605920004 5/26/1992
130 SABAR RUMAHORBO 1272042003900001 3/20/1990
131 DANIEL RAJAGUKGUK 1272041202840001 12/12/1983
132 RAMA OLOTUA PURBA 1272035007870004 7/10/1987
133 NORISMA SIMANUNGKALIT 127204430370007 3/3/1970
134 ELFRIDA PAKPAHAN 1272046307680002 7/23/1968
135 TOMMI SIAHAAN 1272042112940000 12/21/1994
136 DOHAR P.E.SIMATUPANG 3603216109790004 9/21/1979
137 PAULINA MANIK 1272046705830002 5/27/1983
138 ENDY SATRIA GINTING 1272030905700006 5/9/1970
139 RUSDI SINAGA 1272041604810009 4/16/1981
140 DEWANI SARAGIH 1272045402700002 2/14/1970
141 NEHEMIA BAKARA 1272045305960000 5/13/1996
142 EDWARD H. SIJABAT 1272040112820001 1/8/1982
143 HOTNA ROIDA SIMANGUNSONG 1272045806630002 6/18/1963
144 GABRIELLA AMARYA MARGARETA HARAHAP 1272045805030001 5/18/2003
145 TOGAR HUTAGAOL 127204200560001 5/20/1965
146 DARWIN SIANIPAR 1272041112670001 12/11/1967
147 ROSDIANA SIBARANI 12720144057500004 5/4/1975
148 JUNINRA SIBURIAN 1208012806000004 6/28/2000
149 RAY KEVIN ARUAN 1272040101020001 1/1/2002
150 JUNETTI SIMORANGKIR 1272085808660001 8/18/1966

TOTAL:150
 NAMA - NAMA SASARAN VAKSINASI KOTA PEMATANGSIANTAR

SASARAN VAKSINASI

PEKERJAAN / TEMPAT MASYARA

ALAMAT
TUGAS PELAYAN KAT ANAK 12-17
LANSIA
PUBLIK RENTAN TAHUN
& UMUM
JL.Ricardo Siahaan No.14 JUALAN 1
JL.Dalil Tani no.8 DOSEN 1
JL.SKI NO 35 Wiraswasta 1
JL.Bahkora 2 Honor di Lurah 1
JL.Dalil Tani no.8 Mahasiswa 1
JL.SKI GG Bersama N0.18 IRT 1
JL.SKI GG Dame No.38 IRT 1
JL.Nias No.36 Dokter 1
JL.SKI Gg Aman N0.25 IRT 1
JLSKI GG Sentosa - 1
JL.Tepian No.43 Bertani 1
JL.D.I.Panjaitan N0.4 Karyawan Swasta 1
JL.SKI N0.61 Mahasiswa 1
JL.BAHKORA 2 Mahasiswa 1
JL.BAHKORA 2 - 1
JL.Bahkora 2 PEGAWAI SWASTA 1
JL.SKI no.4 IRT 1
SIMBOLON TENGKOH PANEI - 1
JL.D.I.Panjaitan GG NAULI N0.10 A IRT 1
JL.SKI GG SENTOSA Wiraswasta 1
JL.BENDUNGAN N0.55 Wiraswasta 1
JL.Ricardo Siahaan No.29 PENJAHIT 1
JL.D.I.PANJAITAN GG WADUK SUPIR 1
JL.MEDAN KM 6 Wiraswasta 1
PERUMAHAN BERSATU BLOK N0.15 Wiraswasta 1
JL.RICARDO SIAHAAN PELAJAR 1
J.TEPIAN N0.12 Wiraswasta 1
JL.BENDUNGAN N0.34 Wiraswasta 1
JL.SKI P.SIANTAR Karyawan Swasta 1
JL.PANGARIBUAN ATAS GG DAME IRT 1
Huta IV Jl.Blok Songo Marihat Wiraswasta 1
JL.GG SENTOSA N0.51 Mahasiswa 1
JL.Rindung IRT 1
JL.Bahkora 2 gg sentosa Bertani 1
JL.Pane Mahasiswa 1
JL.Pane komp Sma Negeri 3 n0.15 Mahasiswa 1
JL.D.I.Panjaitan NO.56 IRT 1
Lingkungan IX Metro Ujung Padang Karyawan Swasta 1
JL.D.I Panjaitan Gg Lada Karyawan Swasta 1
Jl.Bahkora 2 Petani 1
JL.D.I.Panjaitan Gg Nauli N0.79 Wiraswasta 1
JL.Makadame Raya Komp LP Pensiunan 1
JL.SKI Gg Dame N0.23 Wiraswasta 1
JL.Makadame Raya Komp LP IRT 1
JL.Pengairan No.14 Mahasiswa 1
JL.D.I.Panjaitan N0.13 PELAJAR 1
JL.SKI N0.80 Nelayan 1
JL.Mata Air NO.31 Mahasiswa 1
JL.SKI GG Dame Mahasiswa 1
Lingkungan IX Metro Ujung Padang Karyawan Swasta 1
JL.SKI GG SENTOSA N0.27 Wiraswasta 1
JL.SKI GG Dame N0.12 - 1
JL.Sembada Huta 2 Karyawan Swasta 1
JL.Ricardo Siahaan N0.46 - 1
JL.SKI GG Dame JUALAN 1
JL.Perwira N0.176 Pensiunan 1
JL.Bendungan N0.61 Wiraswasta 1
JL.Ricardo Siahaan Wiraswasta 1
JL.Ricardo Siahaan Mahasiswa 1
Huta Tetap Rejo Tanah Jawa Wiraswasta 1
JL.bendungan No.55 Wiraswasta 1
JL.D.I.Panjaitan - 1
JL.Ricardo Siahaan Gg.Parna Wiraswasta 1
JL.Ricardo Siahaan Wiraswasta 1
JL.D.I Panjaitan NO.33 - 1
JL.Cendana - 1
JL.Bendungan Wiraswasta 1
JL.Nias No.36 IRT 1
JL.Mata Air NO.3 Wiraswasta 1
JL.Bendungan no.55 IRT 1
JL.Bendungan Wiraswasta 1
JL.Tepian N0.21 IRT 1
Jl.Tepian N0.9 Petani 1
JL.Ricardo Siahaan Gg Parna 28 Wiraswasta 1
Gg Dame Wiraswasta 1
JL,SKI Gg Aman N0.23 Wiraswasta 1
JL.SKI Mahasiswa 1
JL.SKI N0.52 Mahasiswa 1
JL.Gereja No.76 Wiraswasta 1
JL.PANGARIBUAN ATAS GG DAME Wiraswasta 1
JL.Ricardo Siahaan IRT 1
jl.Enggang Wiraswasta 1
Sawah II Mahasiswa 1
JL.Bunga Lawang Mahasiswa 1
jl.Enggang Wiraswasta 1
JL.Bendungan Wiraswasta 1
JL.Ricardo Siahaan N0.39 IRT 1
JL.D.I.Panjaitan Gg Waduk Wiraswasta 1
JL.PangarIbuan no.5 JUALAN 1
JL.SKI N0.43 IRT 1
JL.SKI GG Beringin No.13 Bertani 1
Desa Pulo Ndadap Nusantara Sehat 1
Desa Pulo Ndadap IRT 1
Jl.Ricardo Siahaan No.95 IRT 1
JL.Ricardo Siahaan N0.94 Mahasiswa 1
JL.Ricardo Siahaan Mahasiswa 1
Jl.Ricardo Siahaan Buruh 1
JL.Pengairan N0.17 Mahasiswa 1
JL.Sekata Wiraswasta 1
JL.Nagahuta Gg Antara N0.4 Mahasiswa 1
JL.Bendungan No.61 Karyawan Swasta 1
JLBahkora Marihat 2 Petani 1
JL.Ricardo Siahaan Wiraswasta 1
Jl.Laguboti I No.20 A IRT 1
Jl.SKI No.98 IRT 1
JL.D.I Panjatan No.76 Pedagang 1
JL.D.I Panjatan No.76 IRT 1
JL.SKI Gg Aman Supir 1
JL.D.I Panjatan No.76 Wiraswasta 1
JL.Bendungan Wiraswasta 1
Jl.SKI No.98 Pelajar 1
JL.MR Siahaan No.21 Mahasiswa 1
JL.MR Siahaan Mahasiswa 1
JL.SKI Gg Beringin Wiraswasta 1
JL.MR Siahaan .Gg.Murni Mahasiswa 1
JL.MR Siahaan .Gg.Murni Mahasiswa 1
JL.D.I Panjatan No.33 Pensiunan 1
JL.SKI NO.102 Pedagang 1
Jl.Laguboti I No.20 A Pengacara 1
Jl.D.I Panjaitan Gg.Nauli No.10 Karyawan Swasta 1
JL.SKI No.17 IRT 1
Jl.D.I Panjaitan Gg.Waduk No.11 Wiraswasta 1
Jl.D.I Panjaitan Gg.Waduk No.20 Wiraswasta 1
Jl.SKI Gg.Beringin No 13 Pensiunan 1
Jl.D.I Panjaitan Gg.Waduk - 1
Jl.Bendungan Wiraswasta 1
Jl.Bendungan Pedagang 1
Jl.Bendungan No.55 Wiraswasta 1
Jl.Pengairan No.14 Wiraswasta 1
JL.MR Siahaan Gg.Jambu No.15 Wiraswasta 1
Jl.Mata Air No.28 Wiraswasta 1
Jl.Sadum No.37 Karyawan Swasta 1
Jl.SKI No.21 Pedagang 1
JL.MR Siahaan .Gg.Murni IRT 1
JL.MR Siahaan No.68 - 1
Jl.D.I Panjaitan Gg.Lada PNS 1
Jl.Tepian No.01 IRT 1
JL.Rajamin Purba No.137 Petani 1
Jl.Tepian No.01 Wiraswasta 1
Jl.Bendungan No.15 IRT 1
JL.MR Siahaan .No.53 Wiraswasta 1
JL.MR Siahaan Wiraswasta 1
JL.MR Siahaan .Gg.Durian. IRT 1
Jl.Tepian No.11 Mahasiswa 1
JL.MR Siahaan .No.28 PNS 1
Jl.Bendungan No.41 Supir 1
Jl.Matio Gg.Mutiara Indah Wiraswasta 1
Jl.Kampung Baru Wiraswasta 1
JL.MR Siahaan .No.51 Mahasiswa 1
BAHKORA II MARIHAT II PETANI 1

10 3 137
TANGGAL VAKSINASI JENIS VAKSIN INPUT

VAKSIN CATAT KETERANGAN

ASTRAZE APLIKASI
DOSIS 1 DOSIS 2 COVID-19 MANUAL
NECA PCARE
BF KERTAS

8/14/2021 1 1 1
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8/14/2021 1 1 1
 NAMA - NAMA SASARAN VAKSINASI KOTA PEMATANGSIANTAR
FASKES : AEK NAULI
TANGGAL : 17 September 2021

SASARAN VAKSINASI TANGGAL VAKSINASI JENIS VAKSIN INPUT

PEKERJAAN /
TANGGAL MASYARAKA ANAK VAKSIN CATAT
NO NAMA NIK ALAMAT TEMPAT PELAYAN ASTRAZE APLIKASI KETERANGAN
LAHIR LANSIA T RENTAN & 12-17 DOSIS 1 DOSIS 2 COVID-19 MANUAL
TUGAS PUBLIK NECA PCARE
UMUM TAHUN BF KERTAS
1 ALPITER SIMANUNGKALIT 1272042001620001 20-01-1962 JL.SKI GG AMAN NO.21 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
2 RUMONDANG SIBARANI 1272044509520001 5/9/1952 JL.Pangaribuan Atas GG Dame N0.8 Berdagang 1 20-08-2021 9/17/2021 1 1 1
3 ELON RYNFOR PARDEDE 1272041710680003 17-10-1968 JL.SKI N0.37 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
4 LIAN LINAR PARDEDE 1272044201670001 2/1/1967 JL.Mata Air N0.16 IRT 1 20-08-2021 9/17/2021 1 1 1
5 JUNIDA PARDEDE 1272045606700001 16-06-1970 JL.D.I.Panjaitan GG Nauli N0.38 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
6 PATRICIA JULIET SIHOMBING 2171037007039001 7/30/2003 JL.Pangaribuan Mahasiswi 1 8/19/2021 9/17/2021 1 1 1 Dosis I di Balige
7 DAVID TORANG BAKARA 1272041508930003 15-08-1993 JL.Ricardo Siahaan Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
8 DANIEL S PARDOMUAN 1272040310000001 3/10/2000 JL.Singa 1 20-08-2021 9/17/2021 1 1 1
9 TURMAN HALOMOAN SIAHAAN 1272041305700002 13-05-1970 JL.Ricardo Siahaan GG Parna N0.26 Supir 1 20-08-2021 9/17/2021 1 1 1
10 DENNY WATY R SILITONGA 2171045012810001 10/12/1981 JL.Ricardo Siahaan GG Seri N0.10 - 1 20-08-2021 9/17/2021 1 1 1
11 PURNAMA SILALAHI 1272045907760001 19-07-1976 JL.SKI GG Sentosa No.29 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
12 ROSDIANA HUTABARAT 1272044605640003 6/5/1964 JL.Bendungan NO.49 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
13 PUTRI PERNADANI PANJAITAN 1272045203000002 12/3/2000 JL.SKI No.26 Mahasiswa 1 20-08-2021 9/17/2021 1 1 1
14 GABRIELA ELISABETH SIMANUNGKALIT 1272065708030002 17-08-2003 JL.Medan KM 6 Gereja Mahasiswa 1 20-08-2021 9/17/2021 1 1 1
15 HASUDUNGAN TAMBUNAN 1272043112510002 31-12-1951 JL.Pangaribuan Atas N0.9 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
16 ESMAN NABABAN 1272040611630001 6/11/1963 JL.Bendungan N0.8 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
17 ARIANTO NABABAN 1272042402780001 24-02-1978 JL.Ricardo Siahaan Buruh 1 20-08-2021 9/17/2021 1 1 1
18 ANGGUN THERESIA PANJAITAN 1272045703020001 17-03-2002 JL.D.I.Panjaitan No.3 Mahasiswa 1 20-08-2021 9/17/2021 1 1 1
19 TIARMA TAMPUBOLON 3275014204650020 2/4/1965 JL.Ricardo Siahaan GG Seri IRT 1 20-08-2021 9/17/2021 1 1 1
20 GOLDA MERY AGUSTINA PANJAITAN 1272045708950001 17-08-1995 Bukit Nanggerang Vilage Blok 7 Karyawan 1 20-08-2021 9/17/2021 1 1 1
21 FRISKA SIDABUTAR 1272044309790002 3/9/1979 JL.Bendungan Buruh 1 20-08-2021 9/17/2021 1 1 1
22 TIODOR SIAGIAN 1272046004610001 20-04-1961 JLSKI No.63-B Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
23 RALI ARDIAN HUTAGAOL 1272040502970001 JL.D.I.Panjaitan GG Nauli NO.8 Mahasiswa 1 20-08-2021 9/17/2021 1 1 1
24 KRISTINA VICTORIA SIMAJUTAK 1272044812800001 8/12/1980 JL.D.I.Panjaitan GG Nauli IRT 1 20-08-2021 9/17/2021 1 1 1
25 BILLY SANJAYA TARIGAN 1272010111900002 1/11/1990 JL.D.I.Panjaitan No.56 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
26 ASNI HERAWATI HUTABARAT 1272046311520001 23-11-1952 JL.Tepian No.74 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
27 YUSUF HOTDES TRIWAN SITUNGKIR 1272070712010004 12/7/2001 JL.Nagahuta No.04 Mahasiswa 1 8/14/2021 9/17/2021 1 1 1
28 PAENA SIDABUTAR 1272046112380001 21-12-1938 JL.Ricardo Siahaan Petani 1 20-08-2021 9/17/2021 1 1 1
29 ROSMIN SIMAJUNTAK 1272044608620001 6/8/1962 JL.Ricardo Siahaan GG Durian N0.81 IRT 1 20-08-2021 9/17/2021 1 1 1
30 MINAR PASARIBU 1272045708720003 8/17/1972 JL.SKI GG aman No.98 IRT 1 8/14/2021 9/17/2021 1 1 1
31 ROBERT MANURUNG 1272041903650001 19-03-1965 JL.Ricardo Siahaan Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
32 DERMAWATI SIREGAR 1272044912700004 9/12/1970 JL.SKI Buruh 1 20-08-2021 9/17/2021 1 1 1
33 IDA NURSANI NAINGGOLAN 1272045610620001 16-10-1962 JL.Pengairan Buruh 1 20-08-2021 9/17/2021 1 1 1
34 MIRNA SEMBIRING 3275115605710006 17-05-1969 JL.D.I.Panjaitan Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
35 RUMONDANG SIAHAAN 1272046405480001 24-05-1948 JL.SKI GG Aman N0.14 IRT 1 20-08-2021 9/17/2021 1 1 1
36 ERNAWATI MANURUNG 1272044404730001 4/4/1973 JL.SKI N0.32 IRT 1 20-08-2021 9/17/2021 1 1 1
37 ROHANA SIAHAAN 1272041811660002 18-11-1966 JL.Ricardo Siahaan N0.68 Berdagang 1 20-08-2021 9/17/2021 1 1 1
38 YONA SARTIUS PAKPAHAN 1272042309960001 23-09-1996 JL.Rantau Parapat N0.11A Mahasiswa 1 20-08-2021 9/17/2021 1 1 1
39 MERY APUL SIMAJUNTAK 1272045812690001 18-12-1969 JL.Ricardo Siahaan GG Parna N0.11 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
40 POMPI SITORUS 1208225503870003 15-03-1987 HUTa 2 Bah Gunung Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
41 ROSJUITA HASUGIAN 1272056707600001 27-07-1960 JL.Jambu GG Pala N0.9 Pensiunan 1 20-08-2021 9/17/2021 1 1 1
42 MARIANI SIAHAAN 1272044208530001 2/8/1953 JL.SKI N0.15 Pensiunan 1 20-08-2021 9/17/2021 1 1 1
43 HAMSAH SIHOMBING 1272040912640001 9/12/1964 JL.Ricardo Siahaan Gg Seri Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
44 ERNY F ARITONANG 1272046411700002 24-11-1970 JL.Pangaribuan Atas N0.5 IRT 1 20-08-2021 9/17/2021 1 1 1
45 SIAUW THIAM LOI 1272040505760003 5/5/1976 JL.Pangaribuan Atas N0.5 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
46 JUMADI PARDOMUAN TAMBUNAN 1272042101990002 24-01-1999 JL.Bendungan N0.30 Mahasiswa 1 20-08-2021 9/17/2021 1 1 1
47 MELVA CHRISTINA SIANIPAR 1272046006970001 20-06-1997 JL.D.I.Panjaitan GG Waduk N0.10 Mahasiswa 1 20-08-2021 9/17/2021 1 1 1
48 RENATO GOHEN SIMAMORA 1272040709880001 7/9/1988 JL.D.I.Panjaitan GG Waduk no.5 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
49 JOHAN ARIFIN GOPINDO 1272040604960004 6/4/1996 JL.Bendungan N0.43 - 1 20-08-2021 9/17/2021 1 1 1
50 LIBER MARPAUNG 1272041912680003 19-12-1968 JL.SKI GG Dame N0.35 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
51 ANDRE ORLANDO NAPITUPULU 1272040602840001 6/2/1984 JL.SKI GG Aman N0.20 - 1 20-08-2021 9/17/2021 1 1 1
52 ROYEN HORAS HUTAGAOL 1272040309780003 3/9/1978 JL.Pengairan N0.16 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
53 ERWIN LAMBOK SIMAMORA 1272041904830001 19-04-1983 JL.D.I.Panjaitan GG Waduk N0.5 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
54 ESTER MEGA HILDA SITUMORANG 1272046705990001 27-05-1999 JL.Ricardo Siahaan N0.4 - 1 20-08-2021 9/17/2021 1 1 1
55 NORHON FRONIKA SIBURIAN 1272046407760001 24-07-1976 JL.Pengairan N0.16 - 1 20-08-2021 9/17/2021 1 1 1
56 TESA LONIKA PANE 1218135509000001 15-09-2000 JL,Bahkora 2 Mahasiswa 1 20-08-2021 9/17/2021 1 1 1
57 HABENGETON OPPUNGSUNGGU 1272040205650005 25-08-1978 JL.SKI N0.102 Pedagang 1 20-08-2021 9/17/2021 1 1 1
58 RADA PUPE SITUMORANG 1406095101790006 11/2/1997 JL.SKI Ujung Jembatan Merah IRT 1 20-08-2021 9/17/2021 1 1 1
59 IKA NATRINA SIAHAAN 1271096602800002 26-02-1980 JL.Tepian Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
60 JULIANA LESTARI TAMPUBOLON 1212016607870003 26-07-1987 JL.Viyata Yudha Tojai Baru Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
61 DEDY IRWAN SIHITE 1272042010840001 20-10-1984 JL.SKI N0.17 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
62 HERWIN SIAGIAN 1212112105870002 21-05-1987 JL.Viyata Yudha Tojai Baru Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
63 JUARA PANGIHUTAN PANJAITAN 1272041311750003 13-11-1975 JL.Pangaribuan GG Aman N0.10 - 1 20-08-2021 9/17/2021 1 1 1
64 JOHAN RIO F SINAMBELA 1272042606030001 6/26/2003 JL.SKI N0.98 Wiraswasta 1 8/14/2021 9/17/2021 1 1 1
65 DEBORA SILITONGA 1271075302780002 13-02-1978 JL.Melanton Siregar Gg Pd - 1 20-08-2021 9/17/2021 1 1 1
66 JHONSON HASIHOLAN NABABAN 1272010905780001 9/5/1978 JL.Persada N0.28 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
67 RONNY MANAHAN SIBURIAN 1272041510840002 15-10-1984 JL.D.I.Panjaitan GG Waduk N0.17 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
68 ARIFIN TAMBUNAN 1272040709680003 7/9/1968 JL.Sentosa N0.04 Petani 1 20-08-2021 9/17/2021 1 1 1
69 DEVI YOLANDA SIAHAAN 127204490980003 9/9/1983 JL.SKI GG Sentosa n013 IRT 1 20-08-2021 9/17/2021 1 1 1
70 JOANA MEILIANA SIAJUNTAK 1272046405760004 24-05-1976 JL.Pangaribuan GG Aman N0.10 - 1 20-08-2021 9/17/2021 1 1 1
71 RISMAULI PANJAITAN 1272036112710002 21-12-1971 JL.Damar Belakang Pedagang 1 20-08-2021 9/17/2021 1 1 1
72 ROSENDY SITUMORANG 1217054202980003 2/2/1998 Sibalanja Mahasiswa 1 20-08-2021 9/17/2021 1 1 1
73 TIAMBUN BATU BARA 1272015201740004 12/1/1974 JL.Pane Komp SMA Negeri 3 IRT 1 20-08-2021 9/17/2021 1 1 1
74 SITI MARDIA SINAGA 1407056905990005 29-05-1999 DUSUN SEI Kayangan Mahasiswa 1 20-08-2021 9/17/2021 1 1 1
75 HELMINA SIAHAAN 1272044503550001 5/3/1955 JL.Pangaribuan Atas Pedagang 1 20-08-2021 9/17/2021 1 1 1
76 NURSANI SARAGIH 1208296311850002 23-11-1985 Parmahanan IRT 1 20-08-2021 9/17/2021 1 1 1
77 HENRICHO PASARIBU 1272070410730003 4/10/1973 JL.Melati Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
78 MARTAULINA SIANTURI 2171126503769001 25-03-1976 JL.D.I.Panjaitan GG Waduk N0.7 IRT 1 20-08-2021 9/17/2021 1 1 1
79 DHEA BENITA SIMATUPANG 1272065005030003 10/5/2003 JL.Medan KM 6 Gereja Mahasiswa 1 20-08-2021 9/17/2021 1 1 1
80 DORMAULI NAIBAHO 1272036504790003 25-04-1979 JL.Tepian N0.33 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
81 NAOMI DAME YANTI HUTAGALUNG 1272046710830003 27-10-1983 JL.D.I.Panjaitan N0.25 Pedagang 1 20-08-2021 9/17/2021 1 1 1
82 NORAULI DAMANIK 1272046103780001 21-03-1978 JL.Bendungan N0.08 IRT 1 20-08-2021 9/17/2021 1 1 1
83 HALOMOAN MARIHOT PANJAITAN 1272042004720003 20-04-1972 JL.Bendungan N0.15 Buruh 1 20-08-2021 9/17/2021 1 1 1
84 IRAWATI SILABAN 1371035807870001 18-07-1987 JL.D.I.Panjaitan N0.50 Pelayan Gereja 1 20-08-2021 9/17/2021 1 1 1
85 DIAPARI PURBA TOGATOROP 1272041601640003 16-01-1964 JL.SKI GG Dame Bertani 1 20-08-2021 9/17/2021 1 1 1
86 TIMBUL FREDDY NAINGGOLAN 1272011802700001 18-02-1970 Jl.Pane Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
87 HISAR HARIANTO AMBARITA 1272042703780001 21-03-1978 JL.Ricardo Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
88 RUTH ARITONANG 1272046303000002 23-03-2000 JL.Pangaribuan Mahasiswa 1 20-08-2021 9/17/2021 1 1 1
89 TIOMAN SINAGA 1272046812720002 28-12-1972 JL.Bendungan IRT 1 20-08-2021 9/17/2021 1 1 1
90 TOMU SIMAJUNTAK 1272010705790006 7/5/1979 Jl.Rawe 2 Wiraswasta 1 20-08-2021 9/17/2021 1 1 1
91 ANAWA ISTAFIRA SIMARMATA 1272044612010002 12/6/2001 JL.NIAS Mahasiswa 1 20-08-2021 9/17/2021 1 1 1
92 AGUSTRYANY PURBA SIBORA 127204580790002 8/18/1979 JL.NIAS IRT 1 20-08-2021 9/17/2021 1 1 1
TOTAL : 8 2 82

Pematangsiantar, 17 September 2021

Vaksinator Puskesmas Aek Nauli
Rosanna Purba
NIP.198611032009042003