Nama Puskesmas/Fasyankes/Pos

Kabupaten/Kota
Provinsi
BULAN
TAHUN

No.
No NIK
Registrasi

1 0001 7202025209000003

2 0002 7202026507050001

3 0003 7202024706050001

4 0004 7202022112050001
5 0005 7202026012050003

6 0006 7202010710030004

7 0007 7306081201040001

8 0008 7202020402990001

9 0009 7202025005760001

10 0010 7202182303990001

11 0011 7202020207040004

12 0012 7202021508050001

13 0013 7202196904070001

14 0014 7202020105050001

15 0015 7601020907070002

16 0016 7202022806080002

17 0017 7202021210080001

18 0018 7271034309890011

19 0019 7202022505070001

20 0020 7202024110090002

21 0021 7202026502090002
22 0022 7202026606090001

23 0023 7202020505090002

24 0024 7202025906090001

25 0025 7202025710090001

26 0026 7202181811080002

27 0027 7202026803090002

28 0028 7202024702090001

29 0029 7202022808090002

30 0030 7202022910080001

31 0031 7202022311080002

32 0032 7202020105090001

33 0033 7202022511060002

34 0034 7202021211080002

35 0035 7202014902080003

36 0036 7202022310070003

37 0037 7202024709060001

38 0038 7202025604070004
39 0039 7202026604070002

40 0040 7202026912070001

41 0041 7202025704070001

42 0042 7202022804070003

43 0043 7202026309070001

44 0044 7202181309090001

45 0045 7202021109090001

46 0046 7202027003070001

47 0047 7202214112060001

48 0048 7202026207070001

49 0049 7202024705080001

50 0050 7202022502080003

51 0051 7202027005070001

52 0052 7271032508050003

53 0053 7202022511080001

54 0054 7202026203090001

55 0055 7202020110060006
56 0056 3318101704080002

57 0057 7202027105080001

58 0058 7202020509060002

59 0059 7202021708080002

60 0060 7202192404080001

61 0061 7202026808080002

62 0062 7202026307080001

63 0063 7202024801080001

64 0064 7202024407080003

65 0065 7202193110950002

66 0066 7202214209080001

67 0067 7202022209070001

68 0068 7202022511070001

69 0069 7202021507070002

70 0070 7202026812060002

71 0071 7202025301070001

72 0072 7202025305050002
73 0073 7202025505070002

74 0074 7202020809060001

75 0075 7202025412060001

76 0076 7202024306090005

77 0077 7202026907070003

78 0078 7202020911070001

79 0079 7202020304070001

80 0080 7202026105080002

81 0081 7202025004070003

82 0082 7202025803080001

83 0083 7202027011080002

84 0084 7202023103760002

85 0085 7202192808090001

86 0086 7202196606060003

87 0087 7203146905050001

88 0088 7202020701070001

89 0089 7202025904040002
90 0090 7202025401060001

91 0091 7202191903640001

92 0092 7202022407050002

93 0093 7202022204050001

94 0094 7209041010810002

95 0095 7202026801050001

96 0096 7202195701070001

97 0097 7322124203060001

98 0098 7202024511040001

99 0099 7202093010060001

100 0100 7202024609040001

101 0101 7203126810040003

102 0102 7202191505050001

103 0103 7202025209950002

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105 0105 7202024106080001

106 0106 7202021010040004

107 0107 7202026306050001

108 0108 7202020305050002

109 0109 7206025604880002

110 0110 7202183107060002

111 0111 7202025107050002

112 0112 7208132408060001

113 0113 7202025510040001

114 0114 7202025609050003

115 0115 7202024206060002

116 0116 7202026912980003

117 0117 7202010710030003

118 0118 7202185011040001

119 0119 7202186907050003

120 0120 7202032901990005

121 0121 7202024101060001

122 0122 7202027004060001

123 0123 7202021002060002

124 0124 7202025105050002

125 0125 7202185907040001

126 0126 7202020701030004

127 0127 7202020910050003

128 0128 7202197107040001

129 0129 7202022609060001

130 0130 7310056104050001

131 0131 7202186706050001

132 0132 7202025805050003

133 0133 7202026010040004

134 0134 7202025903060001

135 0135 7202012810960001

136 0136 7202021908050002

137 0137 7202020801050002

138 0138 7202043009000003

139 0139 7202012701020003

140 0140 7202020205880001

141 0141 7202185802050002

142 0142 7202064603060001

143 0143 7202022104810005

144 0144 7202185008060002

145 0145 7202025506050001

146 0146 7202021310050005

147 0147 7202020807060003

148 0148 7202020702030001

149 0149 7202220707980001

150 0150 7202180807060001

151 0151 7202022802060002

152 0152 7202020111040002

153 0153 7202020806060001

154 0154 7202011902930001

155 0155 7202012406990009

156 0156 7202011110980002

157 0157 7202025006040001

158 0158 7202024308050002

159 0159 7202022003990002

160 0160 7202224903050002

161 0161 7202025705780001

162 0162 7308141707890002

163 0163 7308145608860002

164 0164 7202024808990003

165 0165 7202225107010001

166 0166 7202020404050002

167 0167 7202021507920015

168 0168 7202020305060002

169 0169 7202022003080003

170 0170 7208090510070002

171 0171 7202022712070001

172 0172 7204070611980003

173 0173 7209071108000001

174 0174 7202013003980003

175 0175 7202214101020001

176 0176 7202024509970001

177 0177 7202020206680001

178 0178 7202026212030001

179 0179 7202186409080001

180 0180 7202025711080001

181 0181 7202026306080001

182 0182 7202016709050002

183 0183 7206026209070001

184 0184 7202015505060003

185 0185 7202022810050001

186 0186 7202021111040001

187 0139 7202022412050001

188 0140 7202022009060002

189 0141 7202020312030002

190 0142 7202021608040001

191 0143 7202026406080001

192 0144 7209055207050003

193 0145 7202020812050003

194 0146 7202045211060002

195 0147 7202026709050001

196 0148 7202026010060002

197 0149 7202014808070001

198 0150 7202030605080001

199 0151 7202190805050001

200 0152 7202196703080001

201 0153 7202026802090001

202 0154 7202026605040001

203 0155 7202026411030002

204 0156 7202190307050001

205 0157 7208060111040003

206 0158 7202025708060002

207 0159 7324016510050001

208 0160 7202021101060001

209 0161 7324035703030002

210 0162 7202025303050002

211 0163 7202022105050001

212 0164 7202021005080001

213 0165 7206016405030001

214 0166 7202022410070001

215 0167 7202020602060003

216 0168 7202015710650006

217 0169 7202014810760001

218 0170 7202021002800003

219 0171 7202026405860003

220 0172 7202020608720003

221 0173 7202022708780001

222 0174 7202020202680001

223 0175 7202191604010001

224 0176 7202015005750009

225 0177 7202026909860001

 226 0178 7202016703710001

227 0179 7202014605710007

228 0180 7371106809900003

229 0181 7202010505670001

230 0182 7202024304080001

Keterangan
* Pekerjaan dikelompokkan menjadi:
A = Petugas Medis dan Non Medis di Fasilitas Pelayanan Kesehatan
B = Petugas pelayanan publik yang berhadapan langsung dengan masyarakat
C = Lansia
D = Masyarakat Umum
E = Remaja

Kelompok Umur:
12-17 (REMAJA)
18-30
31-45
46-59
LANSIA (>=60)
Total
Pekerjaan:
A
 B
C
D
E
Total
: PUSKESMAS MAPANE
: POSO
: SULAWESI TENGAH
: SEPTEMBER
: 2021

Nama Penerima Vaksin Jenis Kelamin Pekerjaan*

RISKA YANTI P D

NURUL KHAIRU NISA P E

JHYAWIDIANA P E

MOH. RANGGA PANGESTU L E

FASMAWATI P E

MOH. MURSALIM L E

MUH. ADHITYA M L E

ALI GUNAWAN L D

IGUN SUTRIONO L D

ANDRIANTO L D

PUTRA ADITYA PRATAMA L E

ACHMAD FATHY DJAFAR L E

WINDA APRILIA P E

MOHAMMAD REZA L E

FAREL PRATAMA SALU L E

RIVALDY JUNIOR TANTANASA L E

GLEN WUMU W. KALIGIS L E

STEFANY RIFKA AKASSE P B

MUZZRIVAL KULUP L E

ELSA MARATO P E

MAJEFTI GABRIELLA RUMPAJANJI p E

RENISHA TRIANDIN KATUME P E

TRY WAHYU PAPUTUNGAN L E

JUNIALIN SIMBADJU P E

OLVI AGRIYANI TOWONU P E

CRISTO GIMBO L E

AMELIA PUTRI W. DG NUSU P E

MUZDALIVA P E

ALFRETS FREDERIC MALAKIKI L E

SAAD IKHTIAR L E

ARYA JAGAD SATRIA L E

REZKY MANDIARA L E

NOVERRIYANTO MAGAU L E

MAIKEL ANUGRAH KODEA L D

CELSY C. TOBELY P E

KHUZNUL FAUZHY SARALAA L E

MERLIN TERI P E

DOLINDA VANESYA TOWENGKE P E

FRISCA GIZELLA PITI P E

NYOMAN TRI ELLYSIA PURAGOMBO P E

CHELSEA AVRYLIA WANU P E

BAMBANG APRIZAL L E

JESICA SAYUTI LANTIGIA P E

RADITIA POTOHU L E

GERALD DEVISKAL DJEPA L E

VICKA PAULINDA TOKUTENDE P E

NANCY FLORENSITA CLAUDIA TOBILI P E

DELVIANA YULIANI TOLAKI P E

NUR FATIMAH ZAHRA P E

AGUNG FEBRIAN L E

TITI KARINAH P E

AHMAD ZULFIKAR YUNUS L E

KRISTIAN ARMAN BORAHI L E

NURLINDA P E

OFEL SION MAGAU L E

ACHMAD SYAHRIR ZAKARIYA AFRIZAL L E

DILTA HANANDA P E

RIFAT BOLI L E

DIRGAMANSYAH L E

KEVIN DEFRAN TUMONGGI L E

DEVI AYUNITA SABIHI P E

SRI FERA JULIANI SUPARTO P E

VEBY CLAUDIA RATOSIGI P E

SITI JUMARIAH A. TALIBE P E

AFKAR IMANUEL ROHAN L B

SUCI RAMADHANI S. P. DJOYOSUROTO P E

FADLY MASURU L E

FAUZAN L E

AKSEL TOLOSI L E

FANY EKLESIA SUPARTO P E

DINA PUTRI TOLAGE P E

RATNA SARI P E
NURLIYANA ALIMA ELMAS P E

SELTIANUS KALAPADANG L E

MIRA LISTRA KATUME P E

DEA ELMA PANTJO'U P E

NURHALIMA UMAR T. P E

SYAHRUL YUSUF L E

DEVI PURNAMA SARI P E

NURHALISA P E

IRLANI APRILIA KATUME P E

ALDA AULIA P E

ARINA PUTRI CAHYANI P E

ANDRES FERIAN PURAGOMBO L D

ELON GIDEON DJANIBA L E

NIA HASTUTI P E

NINA SAPITRI P E

MOH. FAHRI L E

ISMI P E
ZAHRATUL JANAH P E

ROHAN L D

AHMAD GILAN FIRGIANSA L E

ARIEF MULIYADI NASRUDIN L E

HANNAS ISKANDAR. T L D

SUMIARTI P E

ENI SINTIAWATI P E

SRI ASTI ANANTA P E

INDAH RAMADANI P E

ANDI DIVA LATIFA PAWILOI P E

DEWI KARTIKA SARI P E

MUTIA SUCI RAMADANI P E

REZA SASTRA L E

RIFKI P D

VERAWATI P E

SOFIA FITRI SIFA ANI P E

AFDHAL JUKHAIRY L E
RAHMANIAH P E

FATURRAHMAN LIUMPOLE L E

CHRISTIN WELANA TUMAKAKA P D

RIYAN HIDAYAT L E

NURANISA FITRI P E

DWI ANDIKA L E

T. SAMSIA P E

HASMAH P E

NURUL SAVIRA P E

CINDI DEVITASARI P B

MOH. MURSALAM L E

RIRIN ARIYANTI P E

NUR AMALYA P E

MOH. RIDWAN L D

NURVADILLA P E

FATIMA AZAHRA P E

DELON SIMBAJU L E
NABILA MARSANINGSI P E

RESTI LUTFIAH P E

ALI FIQRIFIAR L D

SYAHRUL RAMADHAN L E

SAFIRA P E

RAGIL RAMADAN L E

RIDHAYANI PUTRI P E

NURUL INDAH SARI P E

TYARA ASSA LAFIAH P E

PUTRI RAMADANI P E

HIKMAH P E

MUH. GISWARI ALI PUTRA L D

RIFIAL ZIA ULHAQ L E

IHWAN L E

JAMES STEVAN ITO L D

ADITIYA EKO SAPUTRA L. L D

ALBAR L D
SYAFIA KEPAK P E

IMEL MARCELIA GUMPATA P E

ISKANDAR MS L D

NUR AFIFA P E

NIRMA SUKAWATI P E

ILHAM L E

GUGUN GUNAWAN HI. NUHUNG L E

ARDIANSYA L D

NUHDI ARDIYANTO L D

SAHRIL L E

ARILMAN L E

FITRA RAMADHAN AMIRUDIN L E

BASO MARDANI L E

FAHRUL SALMAN L D

RENDI FEIRARY SALMAN L D

ADIL FATWA A GANI L B

SRI WINARNI LABINTJI P E

AGUSTINA P E

MUHAMAD FAJAR L D

NURUL SABRINA SAPIU P E

SUTRIANI P D

ERWIN L D

SUHARMINI P D

ADELIA P D

JEANE CLAUDIA LARIWU P D

RULI L E

MUH. ARSYAT L D

FALDI DANGKA L E

YUPITRAN AMRAFEL POGENTO L E

CLIF LIBER KUMOLONTANG L E

SAYES CHRISTIAN BASE L E

RISKAN KAIMUN L B

PARMAN MARJAN L B

SAM FADLAN TAHADJU L B

PRATIWI RAMADHANI P B

MAGFIRA P D

ARAS L D

FARADILLA NUR ITSNAINI P E

PUTRI LEMPO P E

ORIZA SATIVA RUMIHIN P E

TIRZA MAGAU P E

ANDI NAZALYA HUDZAIFAH P E

CLAUDIA SHALLOMITHA P E

SUCI HUSAIN P E

JUMADIL L E

MOH. IQBAL L E

FERI KURNIAWAN L E

JAMIL L E

RANDY SAPUTRA L E

RAHMAN L E

TENRI RISKA YANI P E

SRI YUWINDI P E

MUH. SYABIL L E

LASMATIUR ARITONANG P E

SAHRA YUSUF P E

REFITA IMROHATUN ASHARI P E

MUTIARA FAIRUS ASHYA P E

GAMALIEL MEYVICHO PEONI L E

CRISABELA LINDO P E

ADALYA MARGARETH LAPEARI P E

NADIA TRI ANANDA P E

ADE TIRTA DEWI P E

ROSMA P E

WANDI L E

AL MUQADDIM D. LACUKE L. L E

RISKAYANTI JOHORI P E

PUTRI ANJELINA P E

BAYU WIDIANTO L E
RENA P D

NUR MULIA P E

MOH. FIKAL ADITTIA L E

MAICHEL AGRIS POBAHI L E

MIRNA P D

MALKIA H.D ROSON L E

ALAN DANGKA L E

SUHARTI LUBAH P B

DARMAWATI P B

SYAMSUDDIN L B

SUPRIYATI P B

ABAS L B

SUDIRMAN L D

NASIR MADJID L B

DEVIS MANGULA L B

MAIMUNAH JUMPAI P B

NORMA YUNITA DJ. DINDA P B

 MUHRIANI P B

KASMARIA P B

SADRIWANTI ARIFIN P B

ANDI PONTOH L B

CELLINE AVRIL KAREPOUWAN P E

***Merek Vaksin
A = Sinovac
tas Pelayanan Kesehatan B = Lainnya (Mohon disebutkan jenis vaksin
apan langsung dengan masyarakat

Kelompok Umur:
176 Kepesertaan BPJS
27 Anggota
16 Non Anggota
9 Total
1 Pemberian Dosis
229 Dosis 1
Pekerjaan: Dosis 2
0 Total
21
0
33
176
230
 FORMAT PENCATATAN PELAKSANAAN VAKSI
TINGKAT PUSKESMAS/FASYANKES/POS V

Umur
Kelompok Umur
(18-59 tahun)

21 18-30

16 12-17

16 12-17

15 12-17
16 12-17

17 12-17

17 12-17

22 18-30

22 18-30

23 18-30

17 12-17

16 12-17

14 12-17

16 12-17

14 12-17

13 12-17

13 12-17

32 31-45

14 12-17

12 12-17

12 12-17
12 12-17

12 12-17

12 12-17

12 12-17

12 12-17

12 12-17

12 12-17

12 12-17

12 12-17

12 12-17

12 12-17

14 12-17

12 12-17

13 12-17

13 12-17

15 12-17

14 12-17
14 12-17

14 12-17

14 12-17

14 12-17

14 12-17

12 12-17

12 12-17

14 12-17

14 12-17

14 12-17

13 12-17

13 12-17

14 12-17

16 12-17

12 12-17

12 12-17

15 12-17
13 12-17

13 12-17

15 12-17

13 12-17

13 12-17

13 12-17

13 12-17

13 12-17

13 12-17

25 18-30

13 12-17

14 12-17

13 12-17

14 12-17

14 12-17

14 12-17

16 12-17
14 12-17

15 12-17

14 12-17

12 12-17

14 12-17

13 12-17

14 12-17

13 12-17

14 12-17

15 12-17

12 12-17

45 31-45

12 12-17

15 12-17

16 12-17

13 12-17

17 12-17
15 12-17

57 46-59

16 0

16 12-17

40 31-45

16 12-17

14 12-17

15 12-17

16 12-17

14 12-17

17 12-17

16 12-17

16 12-17

17 LANSIA

17 12-17

13 12-17

17 12-17
16 12-17

16 12-17

33 31-45

15 12-17

16 12-17

15 12-17

17 12-17

16 12-17

15 12-17

22 18-30

17 12-17

16 12-17

16 12-17

22 18-30

15 12-17

15 12-17

15 12-17
16 12-17

17 12-17

18 18-30

16 12-17

17 12-17

15 12-17

16 12-17

16 12-17

16 12-17

17 12-17

15 12-17

24 18-30

16 12-17

16 12-17

21 18-30

19 18-30

33 31-45
16 12-17

15 12-17

40 31-45

15 12-17

16 12-17

16 12-17

15 12-17

18 18-30

23 18-30

15 12-17

15 12-17

16 12-17

15 12-17

28 18-30

22 18-30

23 18-30

17 12-17
16 12-17

22 18-30

16 12-17

43 31-45

32 31-45

35 31-45

22 18-30

20 18-30

12 12-17

33 31-45

15 12-17

13 12-17

14 12-17

13 12-17

22 18-30

21 18-30

23 18-30
21 18-30

24 18-30

53 46-59

17 12-17

13 12-17

12 12-17

13 12-17

16 12-17

14 12-17

15 12-17

15 12-17

16 12-17

16 12-17

15 12-17

17 12-17

17 12-17

13 12-17
16 12-17

15 12-17

14 12-17

15 12-17

15 12-17

14 12-17

13 12-17

16 12-17

13 12-17

12 12-17

16 12-17

17 12-17

16 12-17

16 12-17

15 12-17

15 12-17

15 12-17
18 18-30

16 12-17

16 12-17

13 12-17

18 18-30

13 12-17

15 12-17

56 46-59

45 31-45

41 31-45

35 31-45

49 46-59

43 31-45

53 46-59

20 18-30

46 46-59

35 31-45
 50 46-59

50 46-59

31 31-45

54 46-59

13 12-17

n disebutkan jenis vaksin yang diterima Puskesmas/Faskes)

172
58
230

181
49
230
T PENCATATAN PELAKSANAAN VAKSINASI COVID-19
GKAT PUSKESMAS/FASYANKES/POS VAKSINASI

Alamat No. HP

KEL. MAPANE 082293109347

KEL. KASIGUNCU 082290312507

KEL. TABALU 082259730650

KEL. MAPANE 081356409938

KEL. MAPANE 082271129190

DESA TAUNCA 082259650281

KEL. KASIGUNCU 085240592183

KEL. TABALU 082393017283

JL. P. JAWA II 085242809281

DESA TUMORA 082259071096

KEL. MAPANE 082259103849

KEL. KASIGUNCU 085394112975

DESA PANTANGOLEMBA 085242325312

DESA BEGA 085249951770

DESA MALITU 081244580704

DESA BETANIA 082296497025

KEL. KASIGUNCU 082292046461

JL. P. IRIAN JAYA 085246333033

KEL. MAPANE 085249947855

DESA BETANIA 082192785373

DESA BETANIA 081214018430

DESA BETANIA 082192972794

KEL. KASIGUNCU 082291607171

DESA BETANIA 08225908073

DESA BETANIA 082343138150

KEL. KASIGUNCU 082193496972

DESA BEGA 082271305846

KEL. MAPANE 085249947855

DESA BETANIA 082393017384

KEL. TABALU 082192972919

KEL. TABALU 082188388862

DESA TOINI 082190925022

DESA BETANIA 082291862753

DESA BETANIA 085341347628

KEL. KASIGUNCU 082191776698

KEL. KASIGUNCU 085241055805

DESA BETANIA 082296221813

DESA BETANIA 082311956800

DESA BETANIA 082296766703

DESA SAATU 082259281213

KEL. KASIGUNCU 082251771673

KEL. KASIGUNCU 085397215163

KEL. KASIGUNCU 081356701657

KEL. KASIGUNCU 082217782883

DESA TOINI 082396480442

KEL. KASIGUNCU 082394719466

DESA TOINI 082259357251

DESA TOINI 082296234828

KEL. KASIGUNCU 081340339675

KEL. TABALU 082194242693

KEL. KASIGUNCU 082290640595

KEL. KAYAMANYA 085399949617

DESA TOINI 082192972046

DESA BEGA 082259733714

DESA BETANIA 082259771638

KEL. KASIGUNCU 081285845615

KEL. TABALU 082246912510

DESA BETANIA 082254738018

KEL. TABALU 082346912520

DESA MALITU 082297266875

DESA TOINI 085220767724

KEL. KASIGUNCU 082258835946

DESA BETANIA 082290640543

DESA TOINI 082320622445

DESA BETALEMBA 081242230916

DESA BEGA 082262525447

KEL. KASIGUNCU 085322432534

DESA BEGA 081241611380

DESA BETANIA 082345075891

KEL. KASIGUNCU 082261470919

DESA BETANIA 082259890145

KEL. KASIGUNCU 082393153284

KEL. KASIGUNCU 082394583536

DESA BETANIA 082256349226

DESA BETANIA 082293840760

KEL. KASIGUNCU 082346984492

DESA BEGA 085823724249

DESA BEGA 082293840047

KEL. KASIGUNCU 082237064557

KEL. KASIGUNCU 082343965030

DESA BETANIA 085399744580

DESA LAPE 082293326539

KEL. TABALU 082348950121

DESA SAATU 082346910195

DESA MALITU 082297266875

DESA TAUNCA 082211125846

DESA BEGA 082252567270

DESA BEGA 082217039536

DESA BEGA 081355678089

KEL. TABALU 082259103719

DESA BETALEMBA 085242940167

KEL. KASIGUNCU 082259029394

DESA TOKORONDO 082195138654

DESA BEGA 082260487970

KEL. TABALU 082312799773

DESA TAUNCA 082291343912

DESA TOKORONDO 082190843429

KEL. KASIGUNCU 087703595839

KEL. MAPANE 082296681800

KEL. KASIGUNCU 082271315009

KEL. KASIGUNCU 082259479472

DESA TAUNCA 082215535631

DESA SAATU 082291525737

DESA KILO 082217358309

KEL. TABALU 082293427726

KEL. KASIGUNCU 081340172584

DESA BEGA 082251493174

DESA TOINI 082217467616

KEL. MAPANE 081342555987

DESA KILO 081523756693

DESA BEGA 082217029005

DESA TOINI 082259993216

KEL. TABALU 083152611063

DESA BEGA 082259103805

KEL. KASIGUNCU 082215767150

KEL. TABALU 082291236691

DESA TAUNCA 082260052205

DESA KILO 085396781952

DESA KILO 085256177367

DESA TOYADO 082292825285

DESA UWERALULU 082213594491

DESA TOINI 085283774867

DESA BETANIA 082259058030

KEL. MAPANE 082239662577

DESA KILO 082293355324

KEL. TABALU 082262375267

KEL. KASIGUNCU 085233042830

KEL. MAPANE 082298371793

KEL. KASIGUNCU 082271479946

DESA KILO 085397951801

DESA KILO 082259181628

DESA TIWAA 082271438891

DESA LAPE 082189631147

KEL. MAPANE 082258883219

JL. P. TARAKAN 082223975546

KEL. MAPANE 085346089988

DESA MASAMBA 082298961751

KEL. PETIRODONGI 082290450249

JL. P. BUTON 082296173029

DESA TOKORONDO 082290135470

DESA KILO 082259056673

KEL. KASIGUNCU 085337386109

DESA MASAMBA 085395371070

DESA KILO 082349838039

DESA PINEDAPA 082344677544

DESA TOWU 082236792789

DESA TOINI 082293315002

KEL. KASIGUNCU 085249950561

KEL. SAYO 082391395390

DESA KILO 082344677221

DESA TOWU 082210430551

DESA BEGA 082293840791

DESA TOWU 089636487825

JL. P. BUTON 085241313267

JL. P. BUTON 082293653918

JL. P. IRIAN JAYA 085342750698

DESA TOINI 083152256716

DESA BEGA 082295914215

KEL. KASIGUNCU 082291947197

KEL. KASIGUNCU 085240592183

KEL. KASIGUNCU 082347116331

DESA MASAMBA 085282936821

DESA MASAMBA 085282936821

KEL. MAPANE 082393015050

KEL. RANONONCU 082293839024

DESA TOINI 082290134612

KEL. MAPANE 081355592682

KEL. KASIGUNCU 082260973154

DESA BETANIA 081242671086

KEL. KASIGUNCU 085394975717

KEL. KASIGUNCU 082346308346

KEL. MAPANE 082296544151

KEL. MAPANE 082271324696

KEL. MAPANE 082393149398

KEL. SAYO 085342020272

DESA BEGA 082290826810

DESA BEGA 082259733714

DESA LANTO JAYA 085756228231

DESA BETANIA 081243243675

KEL. KASIGUNCU 082259837116

DESA BETANIA 085232862552

KEL. MOENGKO 082189266764

KEL. MAPANE 082290574109

KEL. MOENGKO 081523741099

DESA LAPE 082261658288

DESA MASAMBA 085241645241

DESA TOKORONDO 082290639921

DESA MASANI 081297744058

DESA TOKORONDO 083120404555

DESA TOKORONDO 085796958291

KEL. TABALU 083152259444

KEL. GEBANGREJO 081241565064

DESA MASAMBA 081345755006

DESA PANTANGOLEMBA 082271021202

DESA BEGA 082136388022

KEL. KASIGUNCU 082213617808

KEL. KAYAMANYA 081242251026

KEL. KASIGUNCU 082271491919

DESA MALITU 085298642994

DESA MALITU 081347842255

DESA BEGA 082290640437

DESA MASAMBA 085824762624

KEL. KASIGUNCU 082398442620

DESA PATIWUNGA 082393023972

DESA TOINI 082259060659

DESA TIWAA 082290612956

KEL. KASIGUNCU 085240947460

DESA MASAMBA 085824762561

KEL. KASIGUNCU 082398481931

DESA BEGA 082293370129

DESA MASAMBA 085823186522

DESA BETANIA 082259888969

KEL. KASIGUNCU 082271478763

DESA BETANIA 082145396300

KEL. KASIGUNCU 081244380249

JL. P. BUTON 081341351878

KEL. KAYAMANYA 081242938109

KEL. MAPANE 081341150240

KEL. TABALU 082259968290

KEL. KASIGUNCU 085241411469

KEL. KASIGUNCU 085341820570

KEL. KASIGUNCU 082291135141

DESA TANGKURA 082213765207

JL. P. SABANG 082235195475

KEL. KASIGUNCU 082290315945

JL. P. BATAM 081342501559

KEL. MAPANE 081252044499

KEL. MAPANE 085255921512

KEL. MOENGKO 082296700995

DESA BETANIA 082259255500

Keterangan Vaksinasi
Lanjut 230
Ditunda 0
Tidak Diberikan 0
Total 230
Jenis Kelamin
Laki - Laki 108
Perempuan 122
Total 230
VID-19
SI

Kepesertaan BPJS
(tulis 'Ya' pada Dosis I
kolom yang sesuai)
Merek
Tanggal Screening
Vaksin***
Non Tanggal Pemberian
Anggota
Anggota Vaksinasi

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021
Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021
Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021
Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021
Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021
Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021
Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021
 Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021
Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021
Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021
Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021
Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021
 Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021
Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021

Ya A 21-10-2021 21-10-2021
 Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021

Ya A 21-10-2021
Dosis I Dosis 2

Tanggal Pemberian
No. Batch No. Batch
Vaksinasi

C202106121

C202106121

C202106121

C202106121
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C202106121

C202106121

C202106121

C202106121

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C202106121

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C202106121

C202106121

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C202106121

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C202106121

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C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121
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C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

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C202106121

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C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121
C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121
C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121
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C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121
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C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

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C202106121

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C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121
21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121
21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121
 21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121

C202106121
21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121

21-10-2021 C202106121
 Dosis 3
Keterangan
(Lanjut / Ditunda /
Tanggal Pemberian Tidak Diberikan)
No. Batch
Vaksinasi

Lanjut

Lanjut

Lanjut

Lanjut
Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut
Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut
Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut
Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut
Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut
Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut
Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut

Lanjut
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