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DATA CALON JAMAAH HAJI REGULER 2024
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NO NAMA NO PORSI USIA TLP ALAMAT NIK PK 1PK 2DX VAKSINASI KET STATUSKBIH
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COVID 1COVID 2COVID 3COVID 4
MENINGITIS
INFLUENZA
7
1.ABDULLOH 130056713161081216498500DURUNGBEDUG RT 6 RW2 351507030765000114-11-2023 RISTI 21/11/2023 RSUD ISTITOAHHT + E11.923/08/2021/ ASTRA/ 21005624/11/2021/ ASTRA LOT A 109214/07/2022/ PFIZER/ FNA07282BA DI KASIHKAN 20/01/2024AL-IKHLAS
8
2SULAIMANAH 130056713356081216498500DURUNGBEDUG RT 6 RW2 351507471167000314-11-2023 RISTI 22/11/23 ISTITOAHHT + E78.523/08/2021/ ASTRA/ 21005612/11/2021/ ASTRA/ 1303030113/07/2022 / PFIZER / 13030301VAXIGRIP X3F851VBA SUDAH DI KASIHKANAL-IKHLAS
9
3IDA LUTFIANAH130056595352085648537790DURUNGBEDUG RT 6 RW2 351507530871000216/11/202322/11/2023 ISTITOAH Z0005/04/2021 ASTRA/ CTMAV50411/06/2021 / ASTRA/ ABV652230/03/2022 /MODERNA/ 006H21A BA SUDAH DI KASIHKANAL-IKHLAS
10
4MUCHAMMAD HANAFI 130056609653085648537790DURUNGBEDUG RT 6 RW2 351507030570000516/11/202321/11/2023 ISTITOAH E78.520/01/2022/ CORONAVAC/ 202108155117/02/2022/CORONAVAC/202110215E10/06/2022/PFIZER/FN1431BA SUDAH DI KASIHKANAL-IKHLAS
11
5BUDI HARTONO GUNTORO 130058249558085102230903SEPANDE RT 09 RW 03351507210265000118/11/2023 RISTI22/11/23 PENDAMPINGAN I10 + E78.5 + E11.9 02/03/2021/CORONAVAC/2400022116/3/2021/CORONAVAC/2400072114/02/2022/MODERNA/058F21ATIDAK ISTHITAAH SEMENTARA, EVALUASI HBA1C 1 BULAN LAGI ( BA SUDAH DI KASIHKAN 23/01/2024AS-SYUMAIS
12
6SITI MASTUKHAH 130058249156085102230903SEPANDE RT 09 RW 03351507540767000618/11/202322/11/23 PENDAMPINGAN I1124/09/2021/ CORONAVAC/ 2420282109/03/2022/CORONAVAC/202109178M31/07/2022/PFIZER/FM9282ADVICE KONTROL SPJP TIAP BULAN BA DI KASIHKIAN 20/01/2024AS-SYUMAIS
13
7DIDUK HARI SUSANTO 130059877859081336278832PERUM. ISTANA MEGA ASRI D50 RT 28 RW 8 SUMOKALI CANDI 351506111164000220/11/2023 RISTI22/11/23 PENDAMPINGAN I10+E78.5+E7929/3/21/ASTRA/CTMAV5047/6/21/ASTRA/ABV652207/02/2022/MODERNA/058F21ABA SUDAH DI KASIHKAN AS-SYUMAIS
14
8MIFTACHUL JANNAH 130059877951085100141206PERUM. ISTANA MEGA ASRI D50 RT 28 RW 8 SUMOKALI CANDI 3515065002730004
20/11/2023
22/11/2023 ISTITOAH E79+E78.510/03/2021/CORONAVAC/2400022125/03/2021/CORONAVAC/2400092114/02/2022/MODERNA/058F21ABA SUDAH DI KASIHKANAS-SYUMAIS
15
9ROHMAD 130056596456085645398305KEDUNGKENDO RT 02 RW 13515071205670005
20/11/2023
06/12/2023 ISTITOAH E78.5 + E7921/08/2023/ASTRA/21005612/11/2021/ASTRA/A108310/03/2022/PFIZER/350208DBA SUDAH DI KASIHKANAS-SYUMAIS
16
10SUTINAH RAHAYU 130056596148085645398305KEDUNGKENDO RT 02 RW 23515076010750005
20/11/2023
06/12/2023 ISTITOAH I10+E78.5 08/06/2021/CORONAVAC/2400242106/07/2021/CORONAVAC/2400242131/01/2022/ASTRA/NM0003AS-SYUMAIS
17
11HARIONO 130056166555081331593118PERUM JALAGRIYA MII/22 RT 24 RW 5 KARANGTANJUNG3515071309680002
20/11/2023
23/11/2023 ISTITOAH I106/4/2021/ASTRA/A0453138/6/21/ASTRA/CTMAV55131/3/22/ASTRA/ACB5321VAXIGRIP X3F851VHBA1c 7.6 diterapi metformin , KONTROL RUTIN ( BA SUDAH DI KASIHKAN)JABALNOOR
18
12MAROTIN 130056166353081327305189PERUM JALAGRIYA MII/22 RT 24 RW 5 KARANGTANJUNG351507540570000120/11/2023 RISTI23/11/2023 PENDAMPINGAN I10+E78.5+ ISKEMIA 15/07/2021/CORONAVAC/2420082118/08/2021/CORONAVAC/2420082131/03/2022/ASTRA/ACB5321VAXIGRIP X3F851VKONSUL SPJP. 25-11-23 DX:S.PJK,HHD,DYSLIPID , KONTROL RUTIN POLI JANTUNG , HBA1C 9.0 KONSUL POLI DALAM (7/12/23), HASIL SP.PD (8/12/23): HHD+ S.PJK+ DISLIPID+ DM TYPE 2, KONTROL RUTIN CEK GDP, 2JPP 1BLN. HBA1C 3BLN / HASIL HBA1C 05/01/2024 5,7 BA DI KASIHKAN 20/1/2024JABALNOOR
19
13ATA FITRIA 130059535738081230374485ORCHID REGENCY M-44 3515185307850001
20/11/2023
9/12/23 ISTITOAH E78.5 + E7918/09/2021/BIOFARMA/24202821BLM MASUK SISTEM 19/12/2023/INAVAC/A1CCH007ROHMATUL UMMAH
20
14MOCH BAHRUL ULUM 130056591919081953658029DURUNGBEDUG RT 22 RW 5 3515072008040003
20/11/2020
24/11/2023 PENDAMPINGAN I10+E78.5+E7906/09/2021/BIOFARMA/2420262107/10/2021/BIOFARMA/2400692119/01/2023/PFIZER/FX2761AL-IKHLAS
21
15JUNAIDI 13005659215485746877532DURUNGBEDUG RT 22 RW 5 3515071309690003
20/11/2023
24/11/2023 PENDAMPINGAN E79+E78.523/07/2022/MODERNA/058F21A19/01/2023/PFIZER/FX276119/12/2023/INAVAC/A1CCH007TIDAK ISTHITAAH SEMENTARA, KONTROL RUTIN EVALUASI GDP & GD2JPP / BLN, HBA1C /3 BLN (hasil hba1c 12/2/2024 = 8.2AL-IKHLAS
22
16
MARTAIB 		130059564772087762957476DURUNGBEDUG RT 26 RW 6351507030751000121/11/202323/11/2023 PENDAMPINGAN (RSUD) HHD+DISLIPID21/10/2021/CORONAVAC/202108118H19/11/2021/CORONAVAC/2400692119/12/2023/INAVAC/A1CCH007flubio 2023070005ADVICE KONTROL SPJP TIAP BULAN ,AL-IKHLAS
23
17MOKHAMAD IKHWAN 130056958753085731567800DURUNGWETAN RT 1 RW 1 DURUNGBANJAR 3515070105700005
22/11/2023
7/12/2023 ISTITOAH E78.5 + E7930/03/2021/ASTRA/CTMAV50425/05/2021/ASTRA/CTMAV50408/02/2022/MODERNA/058F21AVAXIGRIP X3F851VROHMATUL UMMAH
24
18MUNAWAROH 130056958853085731567800DURUNGWETAN RT 1 RW 1 DURUNGBANJAR 3515601000222517
22/11/2023
7/12/2023 ISTITOAH PENDAMPINGAN LVH + ISKEMIA ANTEROLAT + AORTOSKLEROSIS 21/09/2021/CORONAVAC/2400602121/10/2021/CORPNAVAC/2400692119/12/2023/INAVAC/A1CCH007VAXIGRIP X3F851VADVICE KONTROL SPJP , TIAP BULAN ROHMATUL UMMAH
25
19KOESTANTONO 130059076258081330076011PERUM JALAGRIYA JII/09 KARANGTANJUNG3515072209650002
22/11/2023
7/12/2023 ISTITOAH 22/03/2021/CORONAVAC /2400022105/04/2021/CORONAVAC/2400072127/01/2022/ASTRA/323124PVAXIGRIP X3F851VJABALNOOR
26
20ZAKIYATUS SYARIFAH 130059076847083189959017PERUM JALAGRIYA JII/09 KARANGTANJUNG351507521176001122/11/2023 RISTI 7/12/2023 ISTITOAH ISK + I10 + E78.512/04/2021/ASTRA/CTMAV50408/07/2021/ASTRA/ABX561819/12/2023/INAVAC/A1CCH007VAXIGRIP X3F851VAL-IKHLAS
27
21HERU SUTRISNO 1300594444630895321291891DSN. PESANTREN JAMBANGAN RT 2 RW 1 351507201259000123/11/2023 RISTI7/12/23 RSUD PENDAMPINGAN HT+ DM TYPE 2 + DISLIPID 19/12/2023/INAVAC/A1CCH00720/01/202423/03/2024VAXIGRIP X3F851VKONTROL RUTIN SP.D DAN SPJP , CEK ULANG GDP 2JPP 1 BLN + HBA1C 3BLN .HBA1C 15.01.2024 5.6 ( BA SUDAH DI KASIHKAN 19/1/24)AL-IKHLAS
28
22ISTIROHMANIYAH 13005944405408982878546DSN. PESANTREN JAMBANGAN RT 2 RW 1 351507590369000223/11/20238/12/23 ISTITOAH E78.5 + E7909/06/2021/CORONAVAC/2400242107/07/2021/CORONAVAC/2400242107/12/2022/PFIZER/ PAA182621VAXIGRIP X3F851VBA SUDAH DI KASIHKANAL-IKHLAS
29
23SAHRI130056801647081358562277PR. GADINGFAJAR II D-9 / 15A RT 40 RW 10 SEPANDE 351507181176000523/11/202302/01/2024 ISTITOAH E11.9+E78+E7705/03/2021/CORONAVAC/2400022119/03/2021/CORONAVAC/2400112114/02/2022/MODERNA/058F21ABA SUDAH DI KASIHKANAS-SYUMAIS
30
24YUNITA RAHMAWATI 130056801943085230091417PR. GADINGFAJAR II D-9 / 15A RT 40 RW 10 SEPANDE 351507590680000423/11/202302/01/2024/ISTITOAH DNG PENDAMPINGANE66+E79+E7805/03/2021/CORONAVAC/2400022116/04/2022/ASTRA/D20211002419/12/2023/INAVAC/A1CCH007BA SUDAH DI KASIHKANAS-SYUMAIS
31
25SULIHAN 130059106252085731800165DS. SIDOMULYO RT 7 RW 4 JAMBANGAN 3515070301710004
24/11/2023
12/12/23 ISTITOAH I10 + E78.518/08/2021/CORONAVAC/2420212116/09/2021/CORONAVAC/2420202113/07/2022/PFIZER/FT5331VAXIGRIP X3F851VBA SUDAH DI KASIHKANAL-IKHLAS
32
26NUR WAHYUNI 130059105949085648223222DS. SIDOMULYO RT 7 RW 4 JAMBANGAN 3515074507740008
24/11/2023
12/12/23 ISTITOAH E78.5 + E7927/02/2021/CORONAVAC/2400022118/03/2021/CORONAVAC/2400092105/02/2022/PFIZER/FL4789VAXIGRIP X3F851VBA SUDAH DI KASIHKANAL-IKHLAS
33
27MUHAMAD TAUFIQ130055870346085733738778DS. SIDOMULYO RT 7 RW 4 JAMBANGAN 3515075102560001
24/11/2023
12/12/23 ISTITOAH I10 + E7905/06/2021/CORONAVAC/2400212103/07/2021/CORONAVAC/2400242113/12/2022/PFIZER/FX2761VAXIGRIP X3F851VBA SUDAH DI KASIHKANAL-IKHLAS
34
28SARDJONO 130058901458082140040366PERUM TNI AL RT 31 RW 8 3515071003650008
24/11/2023
13/12/2023 PENDAMPINGANE11.9 + I10 + E78.5 + E7903/02/2021/SINOVAC/20200900918/02/2021/SINOVAC/20201104526/12/2022/PFIZER /FX2761BA SUDAH DI KASIHKANJABALNOOR
35
29ENDANG PURWANINGSIH 1300589012570895620070554PERUM TNI AL RT 31 RW 8 3515077112660001
24/11/2023
13/12/2023 ISTITOAH I10 + E78.5 + E7913/09/2021/SINOVAC/2420222111/10/2021/SINOVAC/2420202114/02/2022 / AZTRA ZENECA/D202110024BA SUDAH DI KASIHKANJABALNOOR
36
30SURATI 130056372256081330401863PERUM TNI AL BV/6 RT 19 RW 7 KEDUNGKENDO 351507521067000825/11/2023
27/12/2023 ISTITOAH RSUD
e11.9 , i10 , e78.5
02/03/2021/SINOVAC/2400012116/03/2021/SINOVAC/24000221BLM MASUK SATUSEHAThba1c 11.8 24/01/2024 6.5AS-SYUMAIS
37
31MISDI 13005637206008123183062PERUM TNI AL BV/6 RT 19 RW 7 KEDUNGKENDO 351507101063000125/11/2023 RISTI27/12/2023 istithaah rsudi10 .e11.9 + hhd18/06/2021/CORONAVAC/2400242117/07/2021/CORONAVAC/24201621BLM MASUK SATUSEHAThba1c 13 24/1/24 5.8AS-SYUMAIS
38
32MAISAROH 13005847065208570699226SEPANDE RT 13 RW 04351507440571000104/11/202313/12/2023 ISTITOAH PENDAMPINGAN I10+E11.9+E78.5+E7909/09/2021/SINOVAC/202107144K05/11/2021/SINOVAC/B20210606903/1/2024/ inavac/ A1CCH007flubio 2023070005BA SUDAH DI KASIHKANAL-AMANAH
39
33KUSAERI 130058470356085706896226SEPANDE RT 13 RW 04351507240467000304/11/202313/12/2023 ISTITOAH PENDAMPINGAN E11.9 + E78.509/09/2021/SINOVAC/202107144K05/09/2021/SINOVAC/B20210606903/1/2024/ inavac/ A1CCH007flubio 2023070005BA SUDAH DI KASIHKANAL-AMANAH
40
34SUPRIYANTO 130057522660081253142199PERUM TNI AL RT 24 RW 8 KEDUNGKENDO CANDI351507040663000406/12/2023 RISTI15/12/2023 ISTITOAH RSUD PENDAMPINGAN HT + DM TYPE 2 23/09/2021/CORONAVAC/2420282122/01/2022/CORONAVAC/202109146010/05/2022/MODERNA/000115AKONTROL RUTIN RSUD 16-12-23 CEK DGP, GD2JPP 1 BLN, HBA1C 3BLN 11.4 ( hasil tanggal 5/2/2024 8.9 , cek hba1c 19/2/2024 7.,4, 20/2/2024 BA DI BERKANSAFA MARWAH
41
35SUFIYAH 130057523356085646994226PERUM TNI AL RT 24 RW 8 KEDUNGKENDO CANDI351507641067000306/12/202315/12/2023 ISTITOAH DR RSUD PENDAMPINGANE11.9 + E79 + E78.5 21/08/2021/MODERNA/001F21A27/09/2021/MODERNA/001F21A16/04/2022/MODERNA/000115AKONTROL RUTIN RSUD 16-12-23 CEK DGP, GD2JPP 1 BLN, HBA1C 3BLN 9.6 ( hasil hba1c 5/2/2024= 8.2, CEK HBA1C 19/2/2024, 6.4, 20/2/2024 BA DI BERIKANSAFA MARWAH
42
36SUYANTO 130058486140085810248379DUSUN KAYEN RT 12 RW 4 CANDI SDA 351507141283000306/12/202315/12/2023 ISTITOAH E78.5 + E7917/03/2021/SINOVAC/2400022107/04/2021/SINOVAC/2400072127/01/2022/PFIZER/FF8847BA SUDAH DI KASIHKAN 10/1/24AS-SYUMAIS
43
37ANIS FARIDAH, SPD 130058485642085731239959DUSUN KAYEN RT 12 RW 4 CANDI SDA 351507510781000206/12/202315/12/2023 ISTITOAH E78.522/03/2021/ASTRA/CTMAV50431/05/2021/ASTRA/ABV652207/02/2022/MODERNA/058F21ABA SUDAH DI KASIHKAN 10/1/24AS-SYUMAIS
44
38IR. YOESA RACHMAD 130058762254081332018512PURI INDAH BLOK CN-14 RT 12 RW 05 SIDODADI 351507240169000208/12/202314/12/2023 ISTITOAH I10 + E78.9 + E7901/04/2021/ASTRA/CTMAV50411/06/2021/ASTRA/ABV652211/03/2022/PFIZER/35020BDflubio 2023070005BA SUDAH DI KASIHKAN 09/1/24MABRUROH
45
39YULI KARTIKASARI, SH130058762154085100783918PURI INDAH BLOK CN-14 RT 12 RW 05 SIDODADI 351507620769000608/12/2023 RISTI 14/12/2023 ISTITOAH PENDAMPINGAN I10 + E10.9 + E78.5 03/12/2021/CORONAVAC/2400742103/01/2022/CORONAVAC/2400762119/12/2023/INAVAC/A1CCH00704/1/2024 RUJUK KE RSUD HBA1C 13 (BA SUDAH DI KASIHKAN 19/1/24)MABRUROH
46
40MAISAROH 130059005744085903148833DUSUN KAUMAN RT 01 RW 01 SEPANDE 351507691079000108/12/202314/12/2023 PENDAMPINGAN RUJUK KE RSUD , PENDAMPINGAN 16/12/23PKM: ISKEMK + HHD + PJK , RSUD: PJK ISCHEMIC + HHD + ASMA 09/03/2021/CORONAVAC/2400022123/03/2021/CORONAVAC/2400092109/02/2022/MODERNA/058F21AVAXIGRIP X3F851VKONTROL RUTIN POLI JANTUNG (BA SUDAH DI KASIHKAN 09/1/24)ROHMATUL UMMAH
47
41AFAF AL- MUSYIKILAH 130059939925081359383354KAYEN RT 11 RW 4 KEDUNGKENDO 351507631198000209/12/202320/12/2023 ISTITOAH E78.5 + E7908/02/2021/CORONAVAC/2400262108/03/2021/CORONAVAC/2400262101/10/2021/MODERNA/021021AVAXIGRIP X3F851VBA SUDAH DI KASIHKAN 09/1/24ROHMATUL UMMAH
48
42FU'ATUN130059940061KAYEN RT 11 RW 4 KEDUNGKENDO 351507461262000109/12/2023 RISTI20/12/2023 ISTITOAH RSUD HHD + E78.523/09/2021/CORONAVAC/2420282101/11/2021/CORONAVAC/2420352125/04/2022/ASTRA/D202110032VAXIGRIP X3F851VPRO ECOCARDIOGRAFI + KONTROL POLI JANTUNG BA SUDAH DI KASIHKAN 09/1/24ROHMATUL UMMAH
49
43HARI PRASETYO UTOMO 130057653934082115573684KEBONSARI RT 1 RW 2 CANDI 351507071289000209/12/202323/12/2023Z0019/08/2021/SINOPHARM/202105B086301/09/2021/SINOPHARM/202105B086307/03/2022/SINOPHARM/202106B1312VAXIGRIP X3F851VNAMIROH
50
44SLAMET130056212063085645683651DS. KEDUNGKENDO RT 12 RW 04351507300660000413/12/2023 RISTI27/12/2023 ISTITOAH RSUDI11 + E11.923/09/2021/SINOVAC/2420282101/11/2021/SINOVAC/20210606919/12/2023/INAVAC/A1CCH007PRO ECOCARDIOGRAFI , HBAIC 14AS-SYUMAIS
51
45SURATNO130059673064085732951739PERUM TNI AL BLOK C4/7 RT 22 RW 07 KEDUNGKENDO 3515007030659000714/12/2023 RISTI 05/01/2024 ISTITOAH RSUD DENGAN TERAPII10 / E78.93/5/2021/CORONAVAC/2400022106/04/2021/CORONAVAC/2400112129/03/2022/ASTRA/D202110017BA SUDAH DI KASIHKAN 09/1/24JABALNOOR
52
46SRI SUHARTININGSIH 13014123485989647760545PERUM TNI AL BLOK C4/7 RT 22 RW 07 KEDUNGKENDO 351507690865000214/12/202305/01/2024 ISTITOAH E7819/06/2021/CORONAVAC/2400242119/07/2021/CORONAVAC/2420162129/03/2022/ASTRA/D202110017BA DSUDAH DI KASIHKAN 19/01/2024JABALNOOR
53
47ASFARUL ATIP 130057769043081330128390KAUMAN RT 06 RW 02 SEPANDE CANDI SIDOARJO 351507271180000117/12/202323/12/2023 ISTITOAHZ0024/9/2021/SINOVAC/242028215/11/2021/SINOVAC/2400742119/12/2023/INAVAC/A1CCH007VAXIGRIP X3F851VBA SUDAH DI KASIHKAN 13/1/24AL-IKHLAS
54
48TJANDRA ASRI WULANDARI13006047285108123202821SIDOKARE ASRI YY/7-8 RT 32 RW 08351507500272000321/12/2023 RISTI30/12/2023 ISTITOAH PKM SDDI10. E78.5,E7910/03/2021/CORONAVAC/2400092129/03/2021/CORONAVAC/2400092108/02/2022/PFIZER/FM7783BA SUDAH DI KASIHKAN 20/1/24AL-MUTAZAM
55
49ARI WIJANARKO130060473955081330017425SIDOKARE ASRI YY/7-8 RT 32 RW 093515071508680001
21/12/2024
30/12/2023/ ISTITOAHE78,512/04/2021/CORONAVAC/2400172110/05/2021/CORONAVAC/2400252108/02/2022/ASTRA/NM0003BA SUDAH DI KASIHKAN 20/1/24AL-MUTAZAM
56
50M. ASWIN YASA N.130060473025081331177981SIDOKARE ASRI YY/7-8 RT 32 RW 10351507270398000121/12/2025 RISTI30/12/2023/ ISTITOAH RSUD09/04/2021/CORONAVAC/2400092130/04/2021/CORONAVAC/2400182108/02/2022/ASTRA/NM0003ISTITOAH RSUD DNGAN TERAPI DARI SP PD CANDESARTAN 8MG 1-0-0, METFORMIN 3X5MG, FENOFIBRAT 300MG 0-0-1 ( BA SUDAH DI KAISHKAN 27/1/2024)AL-MUTAZAM
57
51M. ARINDRA PUTRA W.130060473321087754957579SIDOKARE ASRI YY/7-8 RT 32 RW 113515071702020001
21/12/2026
30/12/2023/ istitoahI1009/04/2021/CORONAC/2400092130/04/2021/CORONAVAC/2400182108/02/2022/PFIZER/FM7783BA SUDAH DI KASIHKAN 27/1/2024AL-MUTAZAM
58
52ISNAINIYAH130057800853085851680036SUMOKALI RT 10 RW 02351507470870000123/12/2023 RISTI29/12/2023 di rujuk ke rsud 04/06/2021/C0RONAVAC/2400212102/07/2021/CORONAVAC/2400242103/1/2024/ inavac/ A1CCH007VAXIGRIP X3F851V02 /1/2024 / iISTITOAH RSUD DENGAN TERAPY RUTIN TIAP BULAN PTU 1X100MG , BISOPROLOL 1X2,5MGAL-IKHSAN
59
53UMI HANIK13005744074785748284284DURUNG BEDUG RT 14 RW 043515075907760007
30/12/2023
9/1/2024 ISTITOAH
I10 + E78 M96 9
29/10/2021/SINOVAC/2420352101/12/2021/ SINOVAC /202109152H03/1/2024/ inavac/ A1CCH007BA SUDAH DI KASIHKAN 13/1/24AL-IKHLAS
60
54MUFARRIKATUL ANJANI13005744062385856425592DURUNG BEDUG RT 14 RW 043515074204000003
30/12/2023
9/1/2024 ISTITOAHE78 13/10/2021/PFIZER/OFJ837223/11/2021/PFIZER/301408A24/09/2022/PZIFER/P00001384BA SUDAH DI KASIHKAN 13/1/24AL-IKHLAS
61
55SAMSUL MA'ARIF130059886047895630192078KKEDUNG KENDO RT 10/04351507060776000204/01/202410/01/2024 ISTITOAHZOO16/08/2023/ INAVAC/ A1CCL01204/1/2024/ inavac/ A1CCH00723/03/2024/ inavacVAXIGRIP X3F851VBA SUDAH DI KASIHKAN 13/1/24
AL MUKSININ LAWANG
62
56SITI NINGSIH13005988644385731698247KEDUNGKENDO RT 10/04351507621280000304/01/202410/01/2024 ISTITOAH
E78 + I10 +E11
23/09/2021/CORONAVAC/2420282101/11/2021/ CORONAVAC/B20210606916/08/2023/INAVAC/A1CCL012VAXIGRIP X3F851VBA SUDAH DI KASIHKAN 13/1/24AL MUKSININ LAWANG
63
57DEDE YAYAH ROKAYAH13006012535185106365353
SIDOKARE ASRI A II/3 RT 15 RW 03
351507691172000106/01/202410/01/2024/ RUJUK RSUD E78+E1117/04/2021/ ASTRA ZENECA/ CTMAV50410/07/2021/ ASTRAZENECA/ABX561809/02/2022/ASTRAZENECA/NM00328/02/2023/PFIZER/FY7381BA SUDAH DI KASIHKAN 13/1/24AL AMANAH
64
58ARIF ANDI SETIYAWAN13006012495081330142525SIDOKARE ASRI A II/3 RT 15 RW 03351507250573000106/01/202410/01/2024/ ISTITOAHi1025/02/2021/ CORONAVAC/2400012112/03/2021/CORONAVAC/2400012210/02/2022/ASTRAZENECA/NM0003BA SUDAH DI KASIHKAN 13/1/24AL AMANAH
65
59DARMAWAN13015487974285706319041
KARANG TANJUNG RT 07 RW 02
3578051812810006
16/01/2024
24/06/2021/ASTRAZENECA/ABX279522/09/2021/ASTRAZENECA/321881PAZ29/03/2022/ASTRAZENECA/D202110015BA SUDAH DI KASIHKAN 20/1/24AL - IKHLAS
66
60MAIJUN 13006001294085730374379KARANG TANJUNG RT 07 RW 023515075205830007
16/01/2024
29//06/2021/CORONAVAC/2400242127/07/2021CORONAVAC/2420162129/03/2022/ASTRAZENECA/D202110015BA SUDAH DI KASIHKAN 20/1/24AL - IKHLAS
67
61EKO MAHENDRA JAYA130058157056811306322PURI INDAH ASRI CL-09
3578042403660007
19/01/2024
CORONAVAC/24002421/14/06/2021CORONAVAC/24003521/12/07/2021PFIZER/FL4789/03/02/2022BA SUDAH DI KASIHKAN 23/1/24MABRUROH
68
62ERNA NOVIANTARI13005815685481231449667PURI INDAH ASRI CL-093578044511710004
19/01/2024
CORONAVAC/24002121/14/06/2021CORONAVAC/24003521/12/07/2021PFIZER/FL4789/03/02/2022BA SUDAH DI KASIHKAN 23/1/24MABRUROH
69
63ABDUL MUJIB13005546806885645747427DURUNG BEDUG RT 05 RW 033515070101550003
24/01/2024
CORONAVAC/24202821/22/09/2021CORONAVAC/B202106069/06/12/2021PFIZER/FX2761/20/01/2023BA SUDAH DI KASIHKAN 27/1/2024AL IHKLAS
70
64ULFAH13006131156785895741708NYAMPLUNG RT. 18 RW. 04351507710157001423/1/202426/1/2024 ISTITOAH RSUD SINOVAC/24202221/13/09/2021SINOVAC/2021081551/13/10/2021
71
65MASRUCHIN130061311772 NYAMPLUNG RT. 18 RW. 04351507140753000223/1/202405/2/2024 ISTIOTAH RSUDCORONAVAC/24202221/13/09/2021SINOVAC/2021081551/13/10/2021
HBA1C CEK 6/2/2024 7.7 . BA SUDAH DIKASIHKAN
72
66RINI SOESETYOWATI13006112505685732720354PERUM TNI AL C4/32 RT 28 RW 08 KEDUNG KENDO 351507650268000127/1/202431/1/2024 RUJUK KE RSUD 05/04/202119/05/2021SINOPHARM/202106B1351/26/7/2022HBA1C 8.7 RUJUK KE RSUD
73
67IMAM SYAFIRI 13006112556581230437453PERUM TNI AL C4/32 RT 28 RW 08 KEDUNG KENDO351507241058000227/1/202431/01/2024 RUJUK KE RSUD SUDAH DI VAKSIN DARI KBIHSUDAH DI VAKSIN DARI KBIHSUDAH DI VAKSIN DARI KBIHHBA1C 11 RUJUK KE RSUD
74
68SAKIR 13006149836381252183798KEDUNG KENDO RT 17 RW 06351507080960000227/1/202431/1/2024CORONAVAC/24202821/23/09/2021CORONAVAC/202108118H/01/11/202123/03/2024/inavacDARI RSUD PERLU TCM . HASIL THORAK TB PARU / HASIL TCM NEGATIF 5/2/2024
75
69SULKAN 13005926208081252219375
KARANG TANJUNGRT 01 RW 01
3515071512530005
31/01/2024
1/2/2024 RUJUK RSUD LANSIACORONAVAC/24002621/22/7/2021CORONAVAC/24202121/19/08/2021VAXIGRIP X3F851V
76
70MUZAROH ANFAH130133650961KEDUNG KENDO RT 12 RW 043515074101650064
13/03/2024
RUJUK RSUD I10 +I51.7
23/03/2024/ inavac
HHD SUDAH ECHO , ISTIOAH DARI RSUD ( SUDAH DIKAISHKAN BA 16/03/2024)
77
71ASTIKA13007705516385707205971
DUSUN KRAJAN SEPANDE RT 01 RW 03
3515075011600002
13/03/2024
RUJUK RSUD I25+I51.7+E11.9HHD SUDAH ECHO , ISTIOAH DARI RSUD ( SUDAH DIKAISHKAN BA 16/03/2024)
78
72IZDIHAR SALY13011871432981249478995
PURI INDAH CN 14 RT 12 RW 05
3515074805950002
13/03/2024
ISTITOAHZ00AZTRAZENECA/PV46700/01/09/2021AZTRAZENECA/A1094/10/11/2021PFIZER/35020BD/11/03/2022BA SUDAH DI KASIHKAN 15/03/2024
79
73MUTMAINAH13010766197981252183798
KARANG TANJUNGRT 01 RW 01
3515075005540001
14/03/2024
RUJUK RSUD I10 +I51.7BA SUDAH DI KASIHKAN 20/03/2024
80
74CHUSNAH13010120824085730372099
PUSPA GARDEN AD 10 RT 36 RW 10
3525126107830001
16/03/2024
ISTITOAH 19/03/2024
e78CORONAVAC/24004621/06/09/2021CORONAVAC/24202621/04/10/2021BA SUDAH DI KASIHKAN 19/03/2024
81
75MULYANI130070978561DURUNG BEDUG RT 05 RW 01251507410363000220/3/2024
ISTITOAH 21/3/2024
E78+I10CORONAVAC/24202821/22/9/221CORONAVAC/24203521/27/10/221PFIZER/FX2761/22/9/221
82
76
83
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85
86
87
88
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90
91
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93
94
95
96
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100