DATA SASARAN VAKSINASI COVID / 19 PUSKESMAS GADINGREJO KOTA PASURUAN

Tanggal Pelayanan : 19-8-2022

No No. Registrasi NIK Nama Penerima Vaksin Jenis Pekerjaan
Kelamin *
1 P-0BNW6JAP 3575015006920003 NAFISAH
2 P-018HE1GG 3575016508730001 SITI NGAISAH
3 P-0BJD5Q50 3575014504760001 NUR AINI
4 P-08SPOU9M 3575010107520046 MUJAMMIL
5 P-0BRVTNLI 3575010808920004 KHOIRUL ANAM
6 P-0CA27LFU 3575014107720069 SAROMA
7 P-0CXYG0IA 3575014603690002 SITI AMINAH
8 P-0DCK1WM9 3575015508650003 SATUNI
9 P-0EHB79S4 3575014112790004 KHOIRIYAH
10 P-0EHDDNJY 3575016606710004 KUSNIA
11 P-0EH5FJJI 3575015807630002 SUFIYAH
12 P-0EEIODBT 3575023103870003 M. YUSUF
13 P-0DRERVUP 3575014302800004 HASANAH
14 P-0DIM787M 3575011709900002 TEGUH ADIYATNO
15 S-C5BA4ECD 3575015709350001 CHOIRIYAH
16 S-CC32312A 3575016512540001 MUDJIJATI
17 S-E5A3AA86 3575014107350016 MAIMUNA
18 UP-008ZYYA 3575011202920002 WAGIYANTO
19 P-0BJD5Q50 3575014504760001 BUALI
20 S-0DE1B96C 3575010107300048 ROCHMAN
21 P-06QAJKQD 3575013005970003 ABDUL SHOLEH
22 P-05X6BOHK 3575010507030003 MUHAMMAD SAMSUL ARIFIN
23 S-931D9E68 3575012312510001 ABDULLAH DACHLAN
24 S-34CB728E 3575014107550128 KASIPA
25 S-D234E5A5 3575010602550001 RUSMAN
26 P-0CF2BE71 3575014107680058 ASNI
27 P-0E276W4T 3575011704840003 SOHIBUL WASILAH
28 S-6348D515 3575012103620001 SAWALI
29 P-02HF44RB 3575012009910006 KHOIRUL MAULUDI
30 P-09BH3P38 3575010107900081 ZULAIKHAH
31 P-030OBRHH 3514056604970001 RUMIATI
32 P-07M9JD1Q 3575015609870002 EKA FATMAWATI
33 P-0ARRHLLQ 3575014107620042 NAFSIYAH
34 P-0CC20U9O 3575010107890034 TAUFIK
35 P-0CMY0PA3 3575010107910040 HIDAYAT
36 P-0EHEVTJF 3575015701680002 MISKAYAH
37 S-9965D2D5 3575014107600172 JUMIK
38 P-IBVV5LBH 3575016712730004 KASIATI
39 P-11NX4EUI 3575014504760001 SUSILOWATI
40 P-0DXJ5AXI 3575012012630002 SALIMIN
41 S-D05BD1C3 3575016304530001 BUNAIDAH
42 Q-0008IXMP 3575016305790001 SULISTIANA
43 Z-000OKV20 3575011501600001 SUTJIPTO
44 Q-003B8NQ3 3514160407920004 JOKO MAKMUR
45 Z-000OKV20 3575011501600001 SUTJIPTO
46 Q-003B8LC6 3514035211970002 MESI NOVITASARI
47 Q-003BAKQ0 3575015610730001 ALFIYAH
48 Q-002X4D2H 3575010107760101 FADIL
49 Q-002X4FQK 3575014908720007 NURUL AINI
50 Q-002X4BZ7 3575014107860126 SIT ROCHMAH
51 Q-002GXBT7 3575010812880001 GINANJAR
52 Q-002EWUI9 3575014302680003 SULICHATI
53 q-001Z1ZCB 3575014505750010 KHUSNUL KHOTIMAH
54 q-001WGQJ3 3575014801950002 SITI MUSRIFAH
55 Q-001PQPAK 3575015010750005 HASANAH
56 Q-001IPZGT 3575010107860165 MOCH HADI
57 Q-001F3Z8S 3575015204650007 SAUDAH
58 Q-001C0W0Q 3575015203850003 ZUNDAH
59 Q-000PUZF1 3575012006960001 SUTRISNO
60 Z-00067HTB 3575011609580001 SANDJOYO
61 Z-0005N18C 3575014101450007 MUSTIYAH
62 Z-62454254 3575010709520001 SUTADJI
63 A-0000TLC2 3575014703770002 KHOTIMAH
64 UU-0211QGW 3575010107850056 SISWANTO
65 UU-01L8F2S 3575014112670001 SITI FATIMAH
66 UU-01WZHQO 3575010107720073 DASUNI
67 UU-01TMDS5 3575016711650001 SITI MUSRIFAH
68 UU-01TMDHE 3575010107820187 SOLEH JALIL
69 UU-01SFTID 3575014107840126 SITI KHOTIJAH
70 UU-01OK3CR 3575014107560105 DJUHRIYAH
71 UU-01J6KYO 3575012111880001 AHMADA
72 UU-01EVX34 3575014101480015 SURAH
73 UU-01EVX34 3575014101480015 SURAH
74 UP-008ZYY3 3575011202480001 FATAH
75 UU-018U9RK 3575010402830005 SUPIAN HADI
76 UP-008ZTE8 3575010505520001 AMIR
77 UP-00905DJ 3575034608970003 IFTAKHUL JANNAH
78 UU-012Q1VT 3575011605960003 MUKLASON
79 UU-00PUJKT 3575014701720001 KHOWILAH
80 UU-00PUDCD 3575015010800005 SOLEHAH
81 UU-00PUPY0 3575014403900004 SALMAH
82 UU-00PULU8 3575014507830001 MALICHAH
83 UP-008ZXYO 3575014107700064 MARDIYAH
84 UP-008ZUI3 3575014506900004 KHUSWATUN KHASANAH
85 UU-00Y2VU1 3575014107760124 SOLICHAH
86 UP-008ZXT7 3575014107470051 MUTAYAM
 87 UP-008ZY0G 3575014107790082 NAFISAH
88 UU-00Y3MDO 3575010411910002 SUPARDI
89 UU-00AZGAB 3575010901990002 R. MOCH. KHOIRUDDIN
90 UP-009007D 3575014112740002 ANGGARWATI
91 UP-00900NL 3575015106620001 SUMIN RAHAYU
92 UP-0090073 3575014112420001 KASIANI
93 UL-002C2W2 3575014107530167 MARFUA
94 UP-008ZXU2 3575014107530020 PAENI
95 UP-008ZUV4 3575014711580002 NUNG LASTRI
96 UL-002C2XA 3575014107580118 AMINAH
97 UU-015BA7C 3575010107590026 ABDUL QODIR JAILANI
98 UL-002C2XR 3575014107600022 DEWI SUMIATI
99 UL-002C2XR 3575014107600022 DEWI SUMIATI
100 UU-00PUHQ1 3575014802880005 NADIFAH
 Umur Kelompok Alamat
Umur
30 UMUM BUKIR GADINGREJO
49 UMUM BUKIR GADINGREJO
46 UMUM Bukir Gadingrejo
32 UMUM GADINGREJO
32 UMUM GADINGREJO
50 RENTAN GADINGREJO
53 RENTAN GADINGREJO
57 RENTAN Gadingrejo
43 UMUM GADINGREJO
51 RENTAN GADINGREJO
60 LANSIA GADINGREJO 1/3
35 UMUM gadingrejo 2/3
42 UMUM GADINGREJO 2/4
31 UMUM GADINGREJO 3/4
87 LANSIA JL BANDA 4/3 GADINGREJO
68 LANSIA JL GATOT SUBROTO
30 UMUM JL GATOT SUBROTO
30 UMUM JL GATOT SUBROTO RT 3 RW 7 BUKIR
70 LANSIA JL HAMGTUAH 1/4 GADINGREJO
92 LANSIA JL HANGTUAH
25 UMUM JL HANGTUAH 1/2 GADINGREJO
19 UMUM JL HANGTUAH 1/3 GADINGREJO
71 LANSIA JL HANGTUAH 1/3 GADINGREJO
67 LANSIA JL HANGTUAH 1/4 GADINGREJO
67 LANSIA JL HANGTUAH 2
54 RENTAN JL HANGTUAH 2/4 GADINGREJO
38 UMUM JL HANGTUAH 2/4 GADINGREJO
66 LANSIA JL HANGTUAH 3/3 GADINGREJO
33 UMUM JL HANGTUAH 6/4 GADINGREJO
32 UMUM JL HANGTUAH 6/4 GADINGREJO
25 UMUM JL HANGTUAH GADINGREJO
35 UMUM JL HANGTUAH GADINGREJO
60 LANSIA JL HANGTUAH GADINGREJO
33 UMUM JL HANGTUAH GADINGREJO
31 UMUM JL HANGTUAH GADINGREJO
54 RENTAN JL HANGTUAH GADINGREJO
62 LANSIA JL HANGTUAH GADINGREJO
49 UMUM JL HANGTUAH II
52 RENTAN JL HANGTUAH RT02/RW03 GADINGREJO
59 RENTAN jl. hang tuah 2/4
69 LANSIA JL.EATOT SUBROTO
43 UMUM JL.GATOT SUBROTO RW 06 RT 001
63 LANSIA JL GATOT SUBROTO
30 UMUM JL. Gatot Subroto 3/5 - Bukir
63 LANSIA JL. Gatot Subroto 3/5 - Bukir
25 UMUM JL. Gatot Subroto 4/7 - Bukir
49 UMUM JL HALMAHERA GADINGREJO
46 UMUM JL. HANG TUAH 5/4
40 UMUM JL. HANG TUAH 5/4
36 UMUM JL. HANG TUAH 5/4 GADINGREJO
34 UMUM BUKIR ,JL URIP SUMOHARJO RT 001 RW 002
54 RENTAN GADINGREJO 5/4
47 UMUM JL HANGTUAH 05/04 GADINGREJO
27 UMUM JL JEND S PARMAN
47 UMUM JL HANGTUAH GADINGREJO
36 UMUM JL HANGTUAH NO 8 GADINGREJO
57 RENTAN JL. URIP SUMOHARJO 3/2 - BUKIR
37 UMUM JL HANGTUAH
26 UMUM JL HANGTUAH 1/3 GADINGREJO
64 LANSIA JL GATOT SUBROTO
77 LANSIA JL GATOT SUBROTO,
70 LANSIA JL URIP SUMOHARJO
45 UMUM BUKIR PASURUAN
37 UMUM JL.GATOT SUBROTO RT 02 /07 BUKIR
55 RENTAN JL HALMAHERA 1/5 GADINGREJO
49 UMUM JL HANGTUAH GADINGREJO
57 RENTAN JL BANDA 04/03 GADINGREJO
40 UMUM JL HANGTUAH 04/04 GADINGREJO
38 UMUM JL HANGTUAH 05/04 GADINGREJO
66 LANSIA Jl Hangtuah Gang IV RT 1 RW 4 kec Gading rejo kota Pasuruan
34 UMUM DSN JAMBANGAN RT15/05 DESA KETANGIREJO KEC.KEJAYAN KAB.PASURUAN
74 LANSIA JL HANGTUAH
74 LANSIA JL HANGTUAH 05/04 GADINGREJO
74 LANSIA JL HANGTUAH 1/4 GADINGREJO
39 UMUM JL GATOT SUBROTO RT 03 RW 06 BUKIR GADINGREJO PASURUAN
68 LANSIA JL. GATOT SUBROTO 4/7 - BUKIR
25 UMUM JL HANGTUAH GADINGREJO
26 UMUM JL HANG TUA 2/3 GADINGREJO
50 RENTAN JL. GATOT SUBROTO 1/7 - BUKIR
42 UMUM JL HANGTUAH GADINGREJO
37 UMUM JL HANGTUAH 1/3 GADINGREJO
42 UMUM JL HANGTUAH 4/3 GADINGREJO
52 RENTAN JL HALMAHERA 2/3 GADINGREJO
32 UMUM JL. Gatot Subroto RT05 RW07 - Bukir
46 UMUM GADINGREJO 3/3
75 LANSIA JL HALMAHERA 3/3 GADINGREJO
43 UMUM GADINGREJO RT 2 RW 4
31 UMUM JL HANGTUAH 1/3 GADINGREJO
23 UMUM JL HALMAHERA GG 1X GADINGREJO
48 UMUM JL URIP SUMOHARJO
59 RENTAN JL GATOT SUBROTO
80 LANSIA DUSUN KEPUH RT 003 RW 02
69 LANSIA JL GATOT SUBROTO
69 LANSIA JL GATOT SUBROTO
65 LANSIA JL URIP SUMOHARJO
64 LANSIA JL BANDA NO 4
63 LANSIA JL GATOT SUBROTO
62 LANSIA JL. GATOT SUBROTO
62 LANSIA JL. GATOT SUBROTO
34 UMUM JL HANGTUAH
 Kepesertaan BPJS (tulis 'Ya'
Dosis I
No. Hp pada kolom yang sesuai) Merek Vaksin*** Tanggal
BPJS PBI BPJS Non PNon Anggo Screening Tanggal Pembe
No. Batch
08000000000 Pfizer 8/19/2022 PT5335
08000000000 Pfizer 8/19/2022 PT5335
08000000000 Pfizer 8/19/2022 PT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
- Pfizer 8/19/2022 PT5335
- Pfizer 8/19/2022 PT5335
08383454877 Pfizer 8/19/2022 PT5335
08113777705 Pfizer 8/19/2022 FT5335
- Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
- Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08155406731 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
08113777705 Pfizer 8/19/2022 FT5335
- Pfizer 8/19/2022 PT5335
08575538195 Pfizer 8/19/2022 PT5335
08965498331 Pfizer 6/8/2022 FN1431
08950801319 Pfizer 6/8/2022 FN1431
08965498331 Pfizer 6/8/2022 FN1431
08570646053 Pfizer 6/8/2022 FN1431
08113777705 Pfizer 5/25/2022 FN1431
08113777705 Pfizer 3/12/2022 35020DB
08113777705 Pfizer 3/12/2022 FL4789 Gad
08113777705 Pfizer 3/12/2022 35020DB
08953384056 Pfizer 12/30/2021 FM7783
08000000000 Pfizer 12/27/2021 A1113
08113777705 Pfizer 12/8/2021 A1121
08784012136 Pfizer 11/29/2021 A1067
08113777705 Pfizer 11/11/2021 A1094
08319474744 Pfizer 10/26/2021 A1076
08585662405 Pfizer 10/18/2021 C202106115
08319274744 Pfizer 10/13/2021 PW40166
08113777705 Pfizer 8/26/2021 PV46700
- Pfizer 7/5/2021 24003521
08822715847 Pfizer 6/28/2021 24003521
08223317904 Pfizer 4/8/2021 24000221
08775444487 Pfizer 9/25/2021 202108154G
08233460794 Pfizer 4/13/2022 FM2956-
08113777705 Pfizer 11/15/2021 A1067
08113777705 Pfizer 12/8/2021 A1121
08113777705 Pfizer 12/22/2021 A1121
08314787828 Pfizer 12/22/2021 A1121
08113777705 Pfizer 12/21/2021 A1113
08500000000 Pfizer 12/11/2021 20219174I
08161514209 Pfizer 11/25/2021 324407P
08113777705 Pfizer 12/21/2021 202109174I
08113777705 Pfizer 12/21/2021 202109174I
08113777705 Pfizer 10/18/2021 C202106115
08573046154 Pfizer 10/11/2021 AB0016
08525841196 Pfizer 11/22/2021 24007021
08113777705 Pfizer 11/8/2021 24007021
08135082721 Pfizer 9/13/2021 K004A
08969920708 Pfizer 10/25/2021 C202106115
08233331855 Pfizer 10/23/2021 202108147H
08180840416 Pfizer 8/26/2021 PV46700
08384656090 Pfizer 8/26/2021 PV46700
08383479893 Pfizer 9/9/2021 202108118H
08314928147 Pfizer 10/8/2021 202108172F
08560658609 Pfizer 10/1/2021 202108154G
08113777705 Pfizer 9/24/2021 202108123H
08213227654 Pfizer 9/1/2021 2021071371
08283846100 Pfizer 8/30/2021 24202221
08574541962 Pfizer 7/12/2021 24200421
08223034024 Pfizer 7/9/2021 24201321
08564378095 Pfizer 6/28/2021 24003521
08983392629 Pfizer 6/14/2021 24002621
08574999998 Pfizer 6/14/2021 24002621
08213449340 Pfizer 6/14/2021 24002621
08113777705 Pfizer 6/14/2021 24002621
08113777705 Pfizer 6/11/2021 24002621
08214331055 Pfizer 4/8/2021 24001821
08223482245 Pfizer 4/8/2021 24000221
08223482245 Pfizer 4/8/2021 24000221
0810000000 Pfizer 9/30/2021 202108154G
 (Lanjut/
Dosis 2 BOSTER Tunda/ NAMA
No. Tiket Tanggal Pembe
No. Batch No. Tiket Tanggal PembeNo. Batch Alasan) INSTANSI
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
8/19/2022 PT5335
6/8/2022 202111236F 8/19/2022 PT5335
5/12/2022 D20211103 8/19/2022 PT5335
5/11/2022 D20211103 8/19/2022 PT5335
3/30/2022 FL4789 8/19/2022 PT5335
3/17/2022 20210903E 8/19/2022 PT5335
3/17/2022 20210903E 8/19/2022 PT5335
3/12/2022 202109188I 8/19/2022 PT5335
2/24/2022 202109188I 8/19/2022 PT5335
2/2/2022 324407P 8/19/2022 PT5335
1/19/2022 202109183M 8/19/2022 PT5335
1/19/2022 202109183M 8/19/2022 PT5335
1/10/2022 202109174I 8/19/2022 PT5335
12/27/2021 N0001518 8/19/2022 PT5335
12/24/2021 2021091074 8/19/2022 PT5335
12/8/2021 24007021 8/19/2022 PT5335
12/6/2021 A1113 8/19/2022 PT5335
11/22/2021 24007021 8/19/2022 PT5335
11/20/2021 202108178F 8/19/2022 PT5335
11/19/2021 A1067 8/19/2022 PT5335
11/18/2021 A1067 8/19/2022 PT5335
11/8/2021 24007021 8/19/2022 PT5335
11/5/2021 24007021 8/19/2022 PT5335
11/1/2021 202108178F 8/19/2022 PT5335
10/22/2021 C202106115 8/19/2022 PT5335
9/29/2021 202108154G 8/19/2022 PT5335
9/27/2021 202108154G 8/19/2022 PT5335
8/9/2021 24201921 8/19/2022 PT5335
8/6/2021 24004621 8/19/2022 PT5335
7/26/2021 24200421 8/19/2022 PT5335
7/12/2021 24200421 8/19/2022 PT5335
7/12/2021 24200421 8/19/2022 PT5335
7/12/2021 24200421 8/19/2022 PT5335
7/12/2021 24200421 8/19/2022 PT5335
7/10/2021 24200421 8/19/2022 PT5335
6/8/2021 24001821 8/19/2022 PT5335
5/6/2021 24001821 8/19/2022 PT5335
5/6/2021 24001821 8/19/2022 PT5335
7/13/1905 24007021 8/19/2022 PT5335