Laporan Vaksin

<center>Laporan Vaksin 09-08-2021 s/d 09-08-2021</center>
<center>RSUD KRAMAT JATI</center>

<table border="1">
<thead>
<tr>
<th rowspan="2">V1/V2</th>
<th rowspan="2">DOKTER PEMERIKSA</th>
<th rowspan="2">JENIS SASARAN</th>
<th rowspan="2">TANGGAL</th>
<th rowspan="2">NO. URUT</th>
<th rowspan="2">NO. TIKET</th>
<th rowspan="2">NIK</th>
<th rowspan="2">NAMA PENERIMA VAKSIN</th>
<th rowspan="2">JENIS KELAMIN</th>
<th rowspan="2">TANGGAL LAHIR</th>
<th rowspan="2">UMUR (18-59 tahun)</th>
<th colspan="6">ALAMAT KTP</th>
<th rowspan="2">NO. HP</th>
<th colspan="6">ALAMAT DOMISILI</th>
<th rowspan="2">SISTOL</th>
<th rowspan="2">DIASTOL</th>
<th rowspan="2">TB</th>
<th rowspan="2">BB</th>
<th rowspan="2">GOLONGAN DARAH</th>
<th rowspan="2">PEKERJAAN</th>
<th rowspan="2">RIW. PENY. ORTU</th>
<th rowspan="2">RIW. PENY. DIRI SENDIRI</th>
<th rowspan="2">MEROKOK</th>
<th rowspan="2">MAKAN BUAH DAN SAYUR</th>
<th rowspan="2">OLAHRAGA</th>
<th rowspan="2">KONSUMSI ALKOHOL</th>
<th rowspan="2">NOTES</th>
</tr>
<tr>
<td>JALAN,GANG, NO. RUMAH</td>
<td>RT</td>
<td>RW</td>
<td>KELURAHAN</td>
<td>KECAMATAN</td>
<td>KOTA</td>
<td>JALAN,GANG, NO. RUMAH</td>
<td>RT</td>
<td>RW</td>
<td>KELURAHAN</td>
<td>KECAMATAN</td>
<td>KOTA</td>
</tr>
</thead>
<tbody>
<tr bgcolor="" style="color:black">
<td>V2 CORONAVAC</td>
<td>dr. Nurul Fadli</td>
<td>MASYARAKAT UMUM</td>
<td>2021-08-09</td>
<td>1</td>
<td>P-O2ATZ7IZ</td>
<td style="mso-number-format:\@;">3201251506820013</td>
<td> ENCEP PIANA </td>
<td>L</td>
<td>1982-06-15</td>
<td>39</td>
<td>JL SMP 126 PERUM PONDOK DIAN</td>
<td>2</td>
<td>3</td>
<td>Batu Ampar</td>
<td>Kramat Jati</td>
<td>KOTA ADM. JAKARTA TIMUR</td>
<td>082126133851</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>131</td>
<td>79</td>
<td>170</td>
<td>65</td>
<td>-</td>
<td>PEDAGANG / WIRASWASTA</td>
<td style="text-transform: uppercase;"></td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>2</td>
<td>P-TTY1H724</td>
<td>KHOIRUNNISA</td>
<td>P</td>
<td>1998-08-07</td>
<td>22</td>
<td>CISALAK PASAR </td>
<td>4</td>
<td>4</td>
<td>Cisalak Pasar</td>
<td>Cimanggis</td>
<td>KOTA DEPOK</td>
<td>082114951429</td>
<td></td>
<td></td>
<td></td>
<td>Cimanggis</td>
<td>KOTA DEPOK</td>
<td>95</td>
<td>63</td>
<td>150</td>
<td>40</td>
<td>B</td>
<td>KARYAWAN / PEGAWAI</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>3</td>
<td> Q-000D934Y </td>
<td> ALYA NURJANAH </td>
<td>P</td>
<td>2001-10-15</td>
<td>19</td>
<td>JL KOJA NO. 45 </td>
<td>4</td>
<td>4</td>
<td>Cimanggis</td>
<td>KOTA DEPOK</td>
<td>082312115146</td>
<td></td>
<td></td>
<td></td>
<td>Cimanggis</td>
<td>KOTA DEPOK</td>
<td>85</td>
<td>64</td>
<td>157</td>
<td>53</td>
<td>-</td>
<td>BELUM BEKERJA</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>4</td>
<td>Y-013227M4</td>
<td>DEDE SAPUTRA </td>
<td>L</td>
<td>1990-09-02</td>
<td>30</td>
<td>JL. RAYA CONDET GG. ANGGREK NO. 27</td>
<td>1</td>
<td>16</td>
<td>Cililitan</td>
<td>08568888721</td>
<td>JL. RAYA CONDET GG. ANGGREK NO. 27</td>
<td>1</td>
<td>16</td>
<td>Cililitan</td>
<td>118</td>
<td>77</td>
<td>170</td>
<td>95</td>
<td>A</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>5</td>
<td> Z-0006Q0DI </td>
<td> DHELIA PUTRI SALSABIL </td>
<td>P</td>
<td>1996-10-27</td>
<td>24</td>
<td>JL. AL MABRUK NO. 16</td>
<td>3</td>
<td>3</td>
<td>Balekambang</td>
<td>085921739565</td>
<td></td>
<td></td>
<td></td>
<td>104</td>
<td>62</td>
<td>158</td>
<td>60</td>
<td>O</td>
<td>IBU RUMAH TANGGA</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>6</td>
<td> Z-0006PB7Z </td>
<td> EKA WULANDARI </td>
<td>P</td>
<td>2005-09-28</td>
<td>15</td>
<td>BATU AMPAR</td>
<td>12</td>
<td>05</td>
<td>Batu Ampar</td>
<td>085780341116</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>120</td>
<td>75</td>
<td>165</td>
<td>85</td>
<td>O</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>7</td>
<td>Y-0132FOLZ</td>
<td> MALIAH </td>
<td>P</td>
<td>1972-05-23</td>
<td>49</td>
<td>JL. AL MABRUK NO. 16</td>
<td>3</td>
<td>3</td>
<td>089637455082</td>
<td></td>
<td></td>
<td></td>
<td>100</td>
<td>71</td>
<td>165</td>
<td>72</td>
<td>O</td>
<td style="text-transform: uppercase;">Penyakit Diabetes</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>8</td>
<td> Y-0132YCGW</td>
<td> AHMAD FADILAH </td>
<td>L</td>
<td>1994-12-05</td>
<td>26</td>
<td>KEBON BARU</td>
<td>006</td>
<td>008</td>
<td>Kebon Baru</td>
<td>Tebet</td>
<td>KOTA ADM. JAKARTA SELATAN</td>
<td>088289644308</td>
<td></td>
<td></td>
<td></td>
<td>Kebon Baru</td>
<td>Tebet</td>
<td>128</td>
<td>91</td>
<td>160</td>
<td>83</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>9</td>
<td> Z-0006QUNA </td>
<td> SITI NORMA AMELIA </td>
<td>P</td>
<td>1980-01-01</td>
<td>41</td>
<td>KEL TENGAH</td>
<td>10</td>
<td>1</td>
<td>Tengah</td>
<td>082111470681</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>105</td>
<td>71</td>
<td>154</td>
<td>62</td>
<td>-</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>dr. Nursyahidah, Sp.F.K</td>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>10</td>
<td> Z-0006T85T </td>
<td>NASHAFWA AULIA </td>
<td>P</td>
<td>2004-04-09</td>
<td>17</td>
<td>perum condet baru blok A/1</td>
<td>008</td>
<td>003</td>
<td>Batu Ampar</td>
<td>087877732970</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>127</td>
<td>85</td>
<td>163</td>
<td>60</td>
<td>A</td>
<td>PELAJAR</td>
<td style="text-transform: uppercase;">Penyakit Jantung</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>dr. Christine Handayani T, Sp.A</td>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>11</td>
<td>Y-0133YBTL</td>
<td>FIRGYAWAN PUTRA BAKRI</td>
<td>L</td>
<td>2005-10-23</td>
<td>15</td>
<td>KEL TENGAH</td>
<td>10</td>
<td>1</td>
<td>Tengah</td>
<td>082111470681</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>120</td>
<td>76</td>
<td>170</td>
<td>52</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>12</td>
<td> Z-0006MNY4 </td>
<td> Muhammad Makmur </td>
<td>L</td>
<td>1979-10-11</td>
<td>41</td>
<td>JL. RAYA TENGAH NO 43</td>
<td>3</td>
<td>9</td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>081210655760</td>
<td></td>
<td></td>
<td></td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>151</td>
<td>88</td>
<td>158</td>
<td>64</td>
<td>-</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>dr. Pradana Akmaja Chaetawarsa, Sp.OG</td>
<td>2021-08-09</td>
<td>13</td>
<td>Y-0131VBVX</td>
<td> ZAHRANI SHOFA </td>
<td>P</td>
<td>2000-02-15</td>
<td>21</td>
<td>JL MESJID AL UMAR NO 38</td>
<td>007</td>
<td>12</td>
<td>Lubang Buaya</td>
<td>Cipayung</td>
<td>085773805200</td>
<td></td>
<td></td>
<td></td>
<td>Cipayung</td>
<td>113</td>
<td>79</td>
<td>156</td>
<td>42</td>
<td>-</td>
<td>PENDIDIKAN</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>14</td>
<td>Y-0132GTWJ</td>
<td> YULIANAH </td>
<td>P</td>
<td>1984-07-09</td>
<td>37</td>
<td>JL BATU AMPAR I NO. 32</td>
<td>4</td>
<td>4</td>
<td>Batu Ampar</td>
<td>081219448483</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>122</td>
<td>79</td>
<td>146</td>
<td>57</td>
<td>-</td>
<td style="text-transform: uppercase;">Penyakit Hipertensi,Penyakit
Diabetes</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>dr. Nur Chandra Bunawan, Sp. PD</td>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>15</td>
<td> Z-0006T89G </td>
<td>BAGAS RAIHAN WIRAYUDA </td>
<td>L</td>
<td>2006-01-17</td>
<td>15</td>
<td>JL.BATU AMPAR I NO.32</td>
<td>004</td>
<td>004</td>
<td>Batu Ampar</td>
<td>085889831823</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>117</td>
<td>68</td>
<td>165</td>
<td>45</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>16</td>
<td> Z-0006TCL9 </td>
<td>AHMAD SYAHRUL EFENDI </td>
<td>L</td>
<td>2003-05-19</td>
<td>18</td>
<td>BATU AMPAR</td>
<td>04</td>
<td>04</td>
<td>BATU AMPAR</td>
<td>GEDUNG AJI BARU</td>
<td>TULANG BAWANG</td>
<td>081280648920</td>
<td></td>
<td></td>
<td></td>
<td>BATU AMPAR</td>
<td>GEDUNG AJI BARU</td>
<td>TULANG BAWANG</td>
<td>132</td>
<td>81</td>
<td>175</td>
<td>50</td>
<td>AB</td>
<td>PELAJAR</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<tr bgcolor="#F8F607" style="color:black">
<td>REMAJA</td>
<td>2021-08-09</td>
<td>17</td>
<td>Y-0134AZSE</td>
<td> MUGHNI KAFI ALI </td>
<td>L</td>
<td>2008-06-12</td>
<td>13</td>
<td>JL MESJID AL UMAR NO 38</td>
<td>007</td>
<td>012</td>
<td>Cipayung</td>
<td>085773805200</td>
<td></td>
<td></td>
<td></td>
<td>Cipayung</td>
<td>71</td>
<td>48</td>
<td>136</td>
<td>24</td>
<td>-</td>
<td>PENDIDIKAN</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TUNDA</td>
</tr>
<td>LANSIA</td>
<td>2021-08-09</td>
<td>18</td>
<td> S-E53C5986 </td>
<td> S SUMIATI </td>
<td>P</td>
<td>1941-12-12</td>
<td>79</td>
<td>LUBANG BUAYA</td>
<td>004</td>
<td>12</td>
<td>Cipayung</td>
<td>085773805200</td>
<td></td>
<td></td>
<td></td>
<td>Cipayung</td>
<td>124</td>
<td>93</td>
<td>145</td>
<td>66</td>
<td>-</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>19</td>
<td>Y-012ZCU02</td>
<td>SULASTRI SIBATUARA</td>
<td>P</td>
<td>1994-09-09</td>
<td>26</td>
<td>KEL GEDONG</td>
<td>11</td>
<td>10</td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>082124297170</td>
<td></td>
<td></td>
<td></td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>108</td>
<td>61</td>
<td>151</td>
<td>49</td>
<td>A</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>dr. Dessy Gloria, Sp.A</td>
<td>2021-08-09</td>
<td>20</td>
<td>Y-0132J2M2</td>
<td> WARSITI </td>
<td>P</td>
<td>1975-12-30</td>
<td>45</td>
<td>JL, BATU AMPAR V</td>
<td>007</td>
<td>005</td>
<td>Batu Ampar</td>
<td>085714258186</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>141</td>
<td>66</td>
<td>142</td>
<td>53</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>21</td>
<td>P-TF3KE3KX</td>
<td> ANDRIAN SITUMORANG </td>
<td>L</td>
<td>2002-06-12</td>
<td>19</td>
<td>KP TENGAH</td>
<td>3</td>
<td>4</td>
<td>Tengah</td>
<td>081265817060</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>100</td>
<td>71</td>
<td>168</td>
<td>51</td>
<td>O</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>22</td>
<td>Q-000D8MEA</td>
<td>SEFTY MELIANA TAMBA</td>
<td>P</td>
<td>2001-01-20</td>
<td>20</td>
<td>HARAPAN PAHAM TAMBA</td>
<td>0</td>
<td>0</td>
<td>PANANGGANGAN II</td>
<td>NAINGGOLAN</td>
<td>SAMOSIR</td>
<td>085282837152</td>
<td>JL. UJUNG GEDONG NO. 17</td>
<td>11</td>
<td>10</td>
<td>PANANGGANGAN II</td>
<td>NAINGGOLAN</td>
<td>SAMOSIR</td>
<td>98</td>
<td>60</td>
<td>156</td>
<td>57</td>
<td>O</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>23</td>
<td>Y-0132056T</td>
<td>YUDI SUPRIATNA </td>
<td>L</td>
<td>1971-07-18</td>
<td>49</td>
<td>KEL TENGAH</td>
<td>10</td>
<td>4</td>
<td>Tengah</td>
<td>085781253540</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>157</td>
<td>93</td>
<td>160</td>
<td>53</td>
<td>B</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>24</td>
<td> Z-0006T31W </td>
<td>DANNU PRASETYA</td>
<td>L</td>
<td>2002-12-19</td>
<td>18</td>
<td>KEL TENGAH</td>
<td>10</td>
<td>4</td>
<td>Tengah</td>
<td>089628091748</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>115</td>
<td>71</td>
<td>168</td>
<td>63</td>
<td>-</td>
<td>PELAJAR</td>
<td style="text-transform: uppercase;">Penyakit Jantung,Penyakit
Hipertensi</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>PRA LANSIA</td>
<td>2021-08-09</td>
<td>25</td>
<td>Z-0006Q70E</td>
<td> PARWOKO </td>
<td>L</td>
<td>1963-06-15</td>
<td>58</td>
<td>JL INPRES GG SAMPURNA 4 NO 57</td>
<td>002</td>
<td>002</td>
<td>Tengah</td>
<td>082113860971</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>97</td>
<td>69</td>
<td>168</td>
<td>73</td>
<td>-</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>PRA LANSIA</td>
<td>2021-08-09</td>
<td>26</td>
<td> Y-0132DMYF</td>
<td> SADINI </td>
<td>P</td>
<td>1970-05-11</td>
<td>51</td>
<td>JL, SAMAPURNA IV</td>
<td>002</td>
<td>002</td>
<td>Tengah</td>
<td>0852842854024</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>146</td>
<td>62</td>
<td>145</td>
<td>50</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>27</td>
<td>P-SO20ZJ9L</td>
<td> EKI PRASTYO </td>
<td>L</td>
<td>2000-10-24</td>
<td>20</td>
<td>JL, KOMODOR HALIM PERDANA KUSUMA</td>
<td>006</td>
<td>008</td>
<td>Halim Perdana Kusuma</td>
<td>Makasar</td>
<td>082328632718</td>
<td>JL KOMODOR HALIM PERDANA KUSUMA</td>
<td>006</td>
<td>008</td>
<td>Halim Perdana Kusuma</td>
<td>Makasar</td>
<td>143</td>
<td>75</td>
<td>167</td>
<td>46</td>
<td>-</td>
<td>BURUH</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>28</td>
<td> Z-0006TBEI </td>
<td>HALIMAH TUSADIYAH </td>
<td>P</td>
<td>2006-03-15</td>
<td>15</td>
<td>KP TENGAH</td>
<td>001</td>
<td>004</td>
<td>Tengah</td>
<td>085697881497</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>125</td>
<td>76</td>
<td>157</td>
<td>40</td>
<td>A</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>29</td>
<td>Y-0131U1GJ</td>
<td> JOSHUA LEONARD SIAHAAN SH </td>
<td>L</td>
<td>1977-01-06</td>
<td>44</td>
<td>JL CAWANG 3 </td>
<td>007</td>
<td>006</td>
<td>Kebon Pala</td>
<td>Makasar</td>
<td>082110668787</td>
<td></td>
<td></td>
<td></td>
<td>Kebon Pala</td>
<td>Makasar</td>
<td>128</td>
<td>89</td>
<td>180</td>
<td>90</td>
<td>-</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>29</td>
<td> Z-0006SZSZ </td>
<td> DENI PURWANTO </td>
<td>L</td>
<td>1983-12-28</td>
<td>37</td>
<td>JL. INPRES NO. 99</td>
<td>3</td>
<td>3</td>
<td>Tengah</td>
<td>087785659095</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>142</td>
<td>107</td>
<td>160</td>
<td>74</td>
<td>B</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>30</td>
<td> Z-0006QWM1 </td>
<td> RUMINI </td>
<td>P</td>
<td>1980-02-12</td>
<td>41</td>
<td>CONDET BATU AMPAR</td>
<td>4</td>
<td>6</td>
<td>Batu Ampar</td>
<td>085771586588</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>125</td>
<td>76</td>
<td>149</td>
<td>62</td>
<td>B</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>31</td>
<td>Y-01325ROB</td>
<td>YETI SITI ROHAYATI </td>
<td>P</td>
<td>1991-05-01</td>
<td>30</td>
<td>JL. KUMBANG DALAM NO. 15</td>
<td>4</td>
<td>6</td>
<td>Batu Ampar</td>
<td>085691624932</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>162</td>
<td>90</td>
<td>148</td>
<td>64</td>
<td>B</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>33</td>
<td>Y-0134CIUY</td>
<td> RASENDRIYA KAUTSAR NELWAN </td>
<td>L</td>
<td>2005-10-09</td>
<td>15</td>
<td>JL PANGKALAN JATI V NO 21</td>
<td>004</td>
<td>005</td>
<td>Cipinang Melayu</td>
<td>Makasar</td>
<td>087875050587</td>
<td></td>
<td></td>
<td></td>
<td>Makasar</td>
<td>114</td>
<td>74</td>
<td>175</td>
<td>55</td>
<td>O</td>
<td>PENDIDIKAN</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>34</td>
<td>Y-0134CFGQ</td>
<td>GENDIS QUINA NELWAN</td>
<td>P</td>
<td>2008-07-06</td>
<td>13</td>
<td>004</td>
<td>005</td>
<td>Makasar</td>
<td>087875050587</td>
<td></td>
<td></td>
<td></td>
<td>Makasar</td>
<td>109</td>
<td>69</td>
<td>155</td>
<td>45</td>
<td>O</td>
<td>PENDIDIKAN</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>35</td>
<td>P-IRAVWR25</td>
<td> FAREL M NELWAN </td>
<td>L</td>
<td>2007-02-20</td>
<td>14</td>
<td>006</td>
<td>006</td>
<td>Makasar</td>
<td>087875050587</td>
<td></td>
<td></td>
<td></td>
<td>Makasar</td>
<td>108</td>
<td>60</td>
<td>167</td>
<td>55</td>
<td>O</td>
<td>PENDIDIKAN</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>PRA LANSIA</td>
<td>2021-08-09</td>
<td>36</td>
<td> Z-0006QQ8Y </td>
<td> IBAY SITI SOBARIAH </td>
<td>P</td>
<td>1968-10-06</td>
<td>52</td>
<td>BATU AMPAR</td>
<td>4</td>
<td>6</td>
<td>Batu Ampar</td>
<td>085223443478</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>132</td>
<td>79</td>
<td>150</td>
<td>53</td>
<td>B</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>PRA LANSIA</td>
<td>2021-08-09</td>
<td>37</td>
<td> Z-0006T4H1 </td>
<td>KAMALUDIN </td>
<td>L</td>
<td>1966-06-04</td>
<td>55</td>
<td>BATU AMAP NO.12</td>
<td>004</td>
<td>009</td>
<td>Batu Ampar</td>
<td>0812944140064</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>157</td>
<td>80</td>
<td>170</td>
<td>90</td>
<td>B</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>PRA LANSIA</td>
<td>2021-08-09</td>
<td>38</td>
<td> Z-0006QQEO </td>
<td> IIN KARTINAH </td>
<td>P</td>
<td>1966-07-02</td>
<td>55</td>
<td>JL. KUMBANG NO. 61</td>
<td>4</td>
<td>6</td>
<td>Batu Ampar</td>
<td>0895364072194</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>170</td>
<td>86</td>
<td>152</td>
<td>46</td>
<td>-</td>
<td style="text-transform: uppercase;">Penyakit Hipertensi</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>39</td>
<td>Y-01324H77</td>
<td>ETI DARYATI </td>
<td>P</td>
<td>1975-11-01</td>
<td>45</td>
<td>BATU AMAPAR NO.15</td>
<td>004</td>
<td>006</td>
<td>Batu Ampar</td>
<td>081219870623</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>B</td>
<td>I R T</td>
<td>TIDAK</td>
<td></td>
<td>YA</td>
<td></td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>40</td>
<td>Y-01344WLD</td>
<td>SUCI NURLYHAYATI </td>
<td>P</td>
<td>2003-11-26</td>
<td>17</td>
<td>JL BATU AMPAR II</td>
<td>012</td>
<td>003</td>
<td>Batu Ampar</td>
<td>085893897808</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>103</td>
<td>72</td>
<td>161</td>
<td>39</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>PRA LANSIA</td>
<td>2021-08-09</td>
<td>41</td>
<td> Z-0006Q0D6 </td>
<td>SURATMI </td>
<td>P</td>
<td>1968-04-19</td>
<td>53</td>
<td>BATU AMPAR NO.29</td>
<td>5</td>
<td>3</td>
<td>Batu Ampar</td>
<td>081314059863</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>139</td>
<td>70</td>
<td>150</td>
<td>56</td>
<td>-</td>
<td>I R T</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>42</td>
<td>Y-01326HXH</td>
<td>NESA RHISKA LESTARI </td>
<td>P</td>
<td>2002-08-22</td>
<td>18</td>
<td>05</td>
<td>03</td>
<td>Batu Ampar</td>
<td>089523739417</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>102</td>
<td>74</td>
<td>158</td>
<td>48</td>
<td>-</td>
<td>LAINNYA</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>43</td>
<td>Y-01326HXO</td>
<td>NISA RHISKI LESTARI</td>
<td>P</td>
<td>2002-08-22</td>
<td>18</td>
<td>BATU AMPAR </td>
<td>5</td>
<td>3</td>
<td>Batu Ampar</td>
<td>0895396174767</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>114</td>
<td>74</td>
<td>155</td>
<td>45</td>
<td>-</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>44</td>
<td>Y-013217TX</td>
<td>SOPUROH</td>
<td>P</td>
<td>1985-10-11</td>
<td>35</td>
<td>GG LANANG</td>
<td>7</td>
<td>3</td>
<td>083826269889</td>
<td></td>
<td></td>
<td></td>
<td>133</td>
<td>85</td>
<td>163</td>
<td>56</td>
<td>A</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>PRA LANSIA</td>
<td>2021-08-09</td>
<td>45</td>
<td>Y-01323W19</td>
<td> YAYAT HIDAYAT HARIRI </td>
<td>L</td>
<td>1968-08-17</td>
<td>52</td>
<td>BAMBU KUNING 6B</td>
<td>003</td>
<td>004</td>
<td>Batu Ampar</td>
<td>081219845400</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>137</td>
<td>78</td>
<td>170</td>
<td>87</td>
<td>B</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>PRA LANSIA</td>
<td>2021-08-09</td>
<td>46</td>
<td> Y-0132AXXL </td>
<td> ADE AWANGSIH </td>
<td>P</td>
<td>1966-07-20</td>
<td>55</td>
<td>JL, RAYA CONDET NO.6B</td>
<td>003</td>
<td>004</td>
<td>Batu Ampar</td>
<td>085780664343</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>116</td>
<td>67</td>
<td>152</td>
<td>57</td>
<td>O</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>47</td>
<td> Y-0131YN0Q</td>
<td> TOPIK HIDAYAT </td>
<td>L</td>
<td>1979-05-07</td>
<td>42</td>
<td>JL, BATU AMPAR V NO.85</td>
<td>007</td>
<td>005</td>
<td>Batu Ampar</td>
<td>085883536846</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>109</td>
<td>54</td>
<td>168</td>
<td>59</td>
<td>O</td>
<td>BURUH</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>YA</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>48</td>
<td> Z-0006T89C </td>
<td>CHRIESTYO FEBRIANTO </td>
<td>L</td>
<td>2004-02-16</td>
<td>17</td>
<td>BATU AMPAR IV NO.23</td>
<td>10</td>
<td>03</td>
<td>Batu Ampar</td>
<td>081314051307</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>119</td>
<td>90</td>
<td>160</td>
<td>41</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>NAKES</td>
<td>2021-08-09</td>
<td>49</td>
<td> Z-0006H02T </td>
<td> ABDIAL GUNAWAN</td>
<td>L</td>
<td>1998-08-04</td>
<td>23</td>
<td>JL H REMAIH </td>
<td>002</td>
<td>007</td>
<td>Baru</td>
<td>Pasar Rebo</td>
<td>087780149286</td>
<td></td>
<td></td>
<td></td>
<td>Baru</td>
<td>Pasar Rebo</td>
<td>130</td>
<td>79</td>
<td>170</td>
<td>75</td>
<td>B</td>
<td>LAINNYA</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>50</td>
<td> Z-0006H0W2 </td>
<td>EVANO VIERGIO WIDODO </td>
<td>L</td>
<td>2004-09-10</td>
<td>16</td>
<td>JL H ALI NO 92</td>
<td>008</td>
<td>004</td>
<td>Tengah</td>
<td>081382470724</td>
<td>JL H ALI NO 92</td>
<td>008</td>
<td>004</td>
<td>Tengah</td>
<td>125</td>
<td>76</td>
<td>175</td>
<td>100</td>
<td>O</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>51</td>
<td>Y-0134EVD1</td>
<td>M RAFIF PADHLURRAHMAN </td>
<td>L</td>
<td>2004-09-04</td>
<td>16</td>
<td>JL. ASEM CIJANTUNG </td>
<td>6</td>
<td>1</td>
<td>Cijantung</td>
<td>Pasar Rebo</td>
<td>085782869249</td>
<td></td>
<td></td>
<td></td>
<td>Cijantung</td>
<td>Pasar Rebo</td>
<td>112</td>
<td>74</td>
<td>168</td>
<td>41</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>52</td>
<td> Z-0006T54Y </td>
<td>DESTA ALFIARY SYAFIQ </td>
<td>L</td>
<td>2004-12-29</td>
<td>16</td>
<td>JL. GONGSENG RAYA </td>
<td>1</td>
<td>9</td>
<td>Baru</td>
<td>Pasar Rebo</td>
<td>0895344210298</td>
<td>JL. GONGSENG RAYA </td>
<td>1</td>
<td>9</td>
<td>Baru</td>
<td>Pasar Rebo</td>
<td>113</td>
<td>68</td>
<td>176</td>
<td>51</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>53</td>
<td>Z-00063RN7</td>
<td> MUHFAISAL ARISANDI </td>
<td>L</td>
<td>2002-05-30</td>
<td>19</td>
<td>JL GONGSENG RAYA GG H MATSANI NO 61</td>
<td>001</td>
<td>009</td>
<td>Baru</td>
<td>Pasar Rebo</td>
<td>081384800940</td>
<td></td>
<td></td>
<td></td>
<td>Baru</td>
<td>Pasar Rebo</td>
<td>128</td>
<td>82</td>
<td>171</td>
<td>55</td>
<td>-</td>
<td>PENDIDIKAN</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>54</td>
<td>Y-01348JOW</td>
<td> RASYA MUHAMMAD HAFIF </td>
<td>L</td>
<td>2006-11-09</td>
<td>14</td>
<td>JL. GONGSENG RAYA</td>
<td>1</td>
<td>9</td>
<td>Baru</td>
<td>Pasar Rebo</td>
<td>089635509865</td>
<td></td>
<td></td>
<td></td>
<td>Baru</td>
<td>Pasar Rebo</td>
<td>108</td>
<td>72</td>
<td>162</td>
<td>41</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>55</td>
<td>Y-01321UZD</td>
<td>MUHAMAD PRASETYO AL RISKY </td>
<td>L</td>
<td>2000-05-18</td>
<td>21</td>
<td>JLN. JELITA NO. 35</td>
<td>4</td>
<td>2</td>
<td>Tengah</td>
<td>085893558938</td>
<td>JLN. JELITA NO. 35</td>
<td>4</td>
<td>2</td>
<td>Tengah</td>
<td>141</td>
<td>79</td>
<td>173</td>
<td>80</td>
<td>O</td>
<td>BURUH</td>
<td style="text-transform: uppercase;">Kolesterol Tinggi</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>56</td>
<td>Z-00065BX5</td>
<td> MUHAMAD FIKRI </td>
<td>L</td>
<td>1996-11-17</td>
<td>24</td>
<td>GG KLINGKIP NO 26</td>
<td>009</td>
<td>009</td>
<td>Tengah</td>
<td>0881024481298</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>109</td>
<td>58</td>
<td>170</td>
<td>77</td>
<td>O</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>57</td>
<td>P-3VKO7W9V</td>
<td> AKHIT SETYO NUGROHO</td>
<td>L</td>
<td>1998-01-25</td>
<td>23</td>
<td>JL, KRESEK INDAH</td>
<td>001</td>
<td>003</td>
<td>Kalisari</td>
<td>Pasar Rebo</td>
<td>088212137603</td>
<td></td>
<td></td>
<td></td>
<td>Kalisari</td>
<td>Pasar Rebo</td>
<td>114</td>
<td>71</td>
<td>169</td>
<td>51</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>58</td>
<td>Z-0006Q0CP</td>
<td> ABILARAS CIKARANI </td>
<td>P</td>
<td>1997-12-31</td>
<td>23</td>
<td>JL KRAMAT TENGAH NO. 21</td>
<td>1</td>
<td>4</td>
<td>Tengah</td>
<td>081286621131</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>98</td>
<td>54</td>
<td>167</td>
<td>60</td>
<td>O</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>59</td>
<td>Y-013206KC</td>
<td> SUKAMTO </td>
<td>L</td>
<td>1984-03-11</td>
<td>37</td>
<td>JL, INPRES GG SAMPURNA IV NO.85</td>
<td>002</td>
<td>002</td>
<td>Tengah</td>
<td>081281913970</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>131</td>
<td>72</td>
<td>161</td>
<td>60</td>
<td>-</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>60</td>
<td>Y-0132CU66</td>
<td>MELISSA</td>
<td>P</td>
<td>1988-05-23</td>
<td>33</td>
<td>JL DAMAI NO 73</td>
<td>007</td>
<td>003</td>
<td>Batu Ampar</td>
<td>089655525274</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>133</td>
<td>80</td>
<td>158</td>
<td>48</td>
<td>B</td>
<td>I R T</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>61</td>
<td>Q-000BI7EH</td>
<td> ABDUL RAFI </td>
<td>L</td>
<td>1998-03-07</td>
<td>23</td>
<td>jl dato tonggara 1 no 18</td>
<td>18</td>
<td>11</td>
<td>087886360772</td>
<td></td>
<td></td>
<td></td>
<td>109</td>
<td>84</td>
<td>168</td>
<td>56</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>62</td>
<td>Z-0006T2W2</td>
<td>MAULANA MUHAMAD</td>
<td>L</td>
<td>1979-01-28</td>
<td>42</td>
<td>KP KRAMAT JL OLAHRAGA I</td>
<td>15</td>
<td>5</td>
<td>Cililitan</td>
<td>089669313318</td>
<td></td>
<td></td>
<td></td>
<td>Cililitan</td>
<td>135</td>
<td>81</td>
<td>170</td>
<td>82</td>
<td>AB</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>63</td>
<td> Y-01310SPR</td>
<td> SANTI SETOWATI </td>
<td>P</td>
<td>1981-01-01</td>
<td>40</td>
<td>KP. KRAMAT</td>
<td>15</td>
<td>5</td>
<td>Cililitan</td>
<td>08979397133</td>
<td></td>
<td></td>
<td></td>
<td>Cililitan</td>
<td>154</td>
<td>94</td>
<td>170</td>
<td>78</td>
<td>AB</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>64</td>
<td>Y-0132Y4LC</td>
<td> RINI </td>
<td>P</td>
<td>1978-10-12</td>
<td>42</td>
<td>JL H TAIMAN RAYA</td>
<td>3</td>
<td>10</td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>089523458884</td>
<td></td>
<td></td>
<td></td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>111</td>
<td>83</td>
<td>160</td>
<td>67</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>65</td>
<td> Y-01329804</td>
<td> MUHAMAD IRFAN WARDANA </td>
<td>L</td>
<td>2000-02-01</td>
<td>21</td>
<td>JL H TAIMAN RAYA </td>
<td>3</td>
<td>10</td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>08968243056</td>
<td></td>
<td></td>
<td></td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>115</td>
<td>70</td>
<td>171</td>
<td>63</td>
<td>O</td>
<td>YA</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>66</td>
<td>Y-0134FMF8</td>
<td>IRWAN ADITYA WARDANA </td>
<td>L</td>
<td>2006-12-22</td>
<td>14</td>
<td>JL H TAIMAN RAYA</td>
<td>3</td>
<td>10</td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>08951330399</td>
<td></td>
<td></td>
<td></td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>137</td>
<td>89</td>
<td>162</td>
<td>60</td>
<td>O</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>67</td>
<td>P-TO7J8C9F</td>
<td>SITI MARYAM </td>
<td>P</td>
<td>1975-04-06</td>
<td>46</td>
<td>DK JATI SARI</td>
<td>03</td>
<td>01</td>
<td>MADUGOWONGJATI</td>
<td>GRINGSING</td>
<td>BATANG</td>
<td>085771437059</td>
<td>JL.DATO TONGGARA I NO.55</td>
<td>10</td>
<td>11</td>
<td>MADUGOWONGJATI</td>
<td>GRINGSING</td>
<td>BATANG</td>
<td>133</td>
<td>72</td>
<td>165</td>
<td>70</td>
<td>O</td>
<td>I R T</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>68</td>
<td>Q-000D99P4</td>
<td>AGUNG BUDI HARJA</td>
<td>L</td>
<td>1999-08-12</td>
<td>21</td>
<td>JL DATO TONGGARA I NO. 55</td>
<td>10</td>
<td>11</td>
<td>081286417927</td>
<td></td>
<td></td>
<td></td>
<td>142</td>
<td>94</td>
<td>172</td>
<td>109</td>
<td>O</td>
<td>PENGEMUDI</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>69</td>
<td> Y-0131ZPJH</td>
<td> BAYU SETYAWAN </td>
<td>L</td>
<td>1999-06-17</td>
<td>22</td>
<td>G SAAD NO.51</td>
<td>004</td>
<td>002</td>
<td>Tengah</td>
<td>082143484899</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>110</td>
<td>63</td>
<td>175</td>
<td>66</td>
<td>B</td>
<td>PENGEMUDI</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>70</td>
<td>Z-0006QX2U</td>
<td> MOH IDRIS </td>
<td>L</td>
<td>1983-05-25</td>
<td>38</td>
<td>JL JEMBATAN I</td>
<td>8</td>
<td>5</td>
<td>081219246224</td>
<td></td>
<td></td>
<td></td>
<td>143</td>
<td>84</td>
<td>171</td>
<td>62</td>
<td>O</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>71</td>
<td>Y-0133D562</td>
<td> SUKRON ZAZILA </td>
<td>L</td>
<td>1986-10-22</td>
<td>34</td>
<td>7</td>
<td>5</td>
<td>083891642661</td>
<td></td>
<td></td>
<td></td>
<td>121</td>
<td>85</td>
<td>170</td>
<td>55</td>
<td>O</td>
<td>BURUH</td>
<td>YA</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>72</td>
<td>Y-0131XPUM</td>
<td> HERI ISWANTOST </td>
<td>L</td>
<td>1990-04-25</td>
<td>31</td>
<td>JL JEMBATAN I NO. 49P</td>
<td>8</td>
<td>5</td>
<td>082111881686</td>
<td></td>
<td></td>
<td></td>
<td>136</td>
<td>95</td>
<td>176</td>
<td>56</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>72</td>
<td>Z-0006QYDE</td>
<td>RANGGA WARDANA </td>
<td>L</td>
<td>1985-11-22</td>
<td>35</td>
<td>JL.DERMAGA NO.46</td>
<td>010</td>
<td>003</td>
<td>082275547081</td>
<td></td>
<td></td>
<td></td>
<td>139</td>
<td>90</td>
<td>165</td>
<td>67</td>
<td>O</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>74</td>
<td>Z-0006T4IA</td>
<td>ADHO SUGIANTO</td>
<td>L</td>
<td>1999-05-20</td>
<td>22</td>
<td>8</td>
<td>5</td>
<td>085810745293</td>
<td></td>
<td></td>
<td></td>
<td>148</td>
<td>58</td>
<td>173</td>
<td>46</td>
<td>O</td>
<td>BURUH</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>75</td>
<td>Z-0006Q28F</td>
<td>YULLY PUTRIARTI </td>
<td>P</td>
<td>1994-07-17</td>
<td>27</td>
<td>KOMP KODAM JAYA 0505 BLOK B 4 NO 1</td>
<td>001</td>
<td>001</td>
<td>08119717794</td>
<td></td>
<td></td>
<td></td>
<td>112</td>
<td>83</td>
<td>152</td>
<td>64</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>76</td>
<td>P-SP7RH33Z</td>
<td> WAHYU KHANAFI </td>
<td>L</td>
<td>1999-11-13</td>
<td>21</td>
<td>KALIPASIS </td>
<td>002</td>
<td>001</td>
<td>KALIPAKIS</td>
<td>SUKOREJO</td>
<td>KENDAL</td>
<td>085774629742</td>
<td>PEJATEN TIMUR</td>
<td>001</td>
<td>007</td>
<td>KALIPAKIS</td>
<td>SUKOREJO</td>
<td>KENDAL</td>
<td>125</td>
<td>88</td>
<td>165</td>
<td>55</td>
<td>-</td>
<td>BURUH</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>77</td>
<td>P-TRPIUN0Z</td>
<td> NASIDIN </td>
<td>L</td>
<td>1982-05-03</td>
<td>39</td>
<td>JL DURI BULAN NO. 73</td>
<td>-</td>
<td>-</td>
<td>Tengah</td>
<td>085213023736</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>120</td>
<td>79</td>
<td>162</td>
<td>63</td>
<td>-</td>
<td>BURUH</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>78</td>
<td>Q-000D92EK</td>
<td> NASIKIN </td>
<td>L</td>
<td>1994-11-18</td>
<td>26</td>
<td>PEMATANG AWI </td>
<td>002</td>
<td>005</td>
<td>SUKAJAYA PUNDUH</td>
<td>MARGA PUNDUH</td>
<td>PESAWARAN</td>
<td>085269391096</td>
<td>GG MEDE NO 74</td>
<td>005</td>
<td>003</td>
<td>SUKAJAYA PUNDUH</td>
<td>MARGA PUNDUH</td>
<td>PESAWARAN</td>
<td>123</td>
<td>80</td>
<td>165</td>
<td>53</td>
<td>-</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>79</td>
<td>Y-0131MRLJ</td>
<td>RINDRA MAHAZAR PUTRA </td>
<td>L</td>
<td>1996-08-25</td>
<td>24</td>
<td>JL.PISANGAN LAMA III NO.15</td>
<td>09</td>
<td>03</td>
<td>Pisangan Timur</td>
<td>Pulogadung</td>
<td>081289403954</td>
<td></td>
<td></td>
<td></td>
<td>Pisangan Timur</td>
<td>Pulogadung</td>
<td>137</td>
<td>74</td>
<td>171</td>
<td>93</td>
<td>-</td>
<td>PELAJAR</td>
<td>YA</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>80</td>
<td>Y-0134KQAT</td>
<td>SITI CHODIJAH MAIMUNAH </td>
<td>P</td>
<td>2003-05-06</td>
<td>18</td>
<td>JL. H. ZAKARIA</td>
<td>6</td>
<td>3</td>
<td>Lenteng Agung</td>
<td>Jagakarsa</td>
<td>089662327752</td>
<td>JL. H. ZAKARIA</td>
<td>6</td>
<td>3</td>
<td>Jagakarsa</td>
<td>138</td>
<td>80</td>
<td>165</td>
<td>105</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>81</td>
<td> Y-0130W52K</td>
<td>ARIE PRASETIYO </td>
<td>L</td>
<td>1985-01-11</td>
<td>36</td>
<td>JL.PERUM WARGA NO.05</td>
<td>001</td>
<td>002</td>
<td>Cililitan</td>
<td>081905611169</td>
<td></td>
<td></td>
<td></td>
<td>Cililitan</td>
<td>135</td>
<td>96</td>
<td>172</td>
<td>75</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>82</td>
<td> Z-0006QX40 </td>
<td> NADIA KHANSA ADYPUTRI </td>
<td>P</td>
<td>1995-11-04</td>
<td>25</td>
<td>KEL TENGAH</td>
<td>10</td>
<td>4</td>
<td>Tengah</td>
<td>081224544336</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>108</td>
<td>66</td>
<td>162</td>
<td>53</td>
<td>O</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>84</td>
<td>Z-0006SFBD</td>
<td> MOCH NURUL LATIEF </td>
<td>L</td>
<td>1994-11-17</td>
<td>26</td>
<td>JL.KENANGA NO.20</td>
<td>12</td>
<td>2</td>
<td>Kalisari</td>
<td>Pasar Rebo</td>
<td>081289841872</td>
<td></td>
<td></td>
<td></td>
<td>Kalisari</td>
<td>Pasar Rebo</td>
<td>113</td>
<td>62</td>
<td>169</td>
<td>72</td>
<td>O</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>85</td>
<td>Q-0009BWRQ</td>
<td> SATRIA SEDYA DHARMAWAN </td>
<td>L</td>
<td>1998-08-24</td>
<td>22</td>
<td>JL RAYA INPRES NO 80 GG KELINGKIP</td>
<td>005</td>
<td>009</td>
<td>Tengah</td>
<td>81353390994</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>157</td>
<td>98</td>
<td>176</td>
<td>78</td>
<td>O</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>86</td>
<td> Z-0005XYZV</td>
<td>KISWANTO </td>
<td>L</td>
<td>1977-05-15</td>
<td>44</td>
<td>JL.MANUNGGAL IX NO.40</td>
<td>001</td>
<td>002</td>
<td>082211293398</td>
<td></td>
<td></td>
<td></td>
<td>154</td>
<td>92</td>
<td>169</td>
<td>82</td>
<td>-</td>
<td style="text-transform: uppercase;">Penyakit Hipertensi,Kolesterol
Tinggi</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>87</td>
<td>Y-0132LKMF</td>
<td>RAFI AULIA MAULANA </td>
<td>L</td>
<td>1997-07-31</td>
<td>23</td>
<td>JL.PKP NO.06</td>
<td>02</td>
<td>12</td>
<td>Kelapa Dua Wetan</td>
<td>Ciracas</td>
<td>085881703865</td>
<td></td>
<td></td>
<td></td>
<td>Ciracas</td>
<td>130</td>
<td>71</td>
<td>170</td>
<td>67</td>
<td>B</td>
<td>LAINNYA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>88</td>
<td>Z-0006PSEC</td>
<td>NANA JUANA </td>
<td>L</td>
<td>1981-06-12</td>
<td>40</td>
<td>JL.RAYA PKP NO.05</td>
<td>02</td>
<td>012</td>
<td>Ciracas</td>
<td>081298088275</td>
<td></td>
<td></td>
<td></td>
<td>Ciracas</td>
<td>115</td>
<td>89</td>
<td>170</td>
<td>53</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>89</td>
<td>Z-0006PSC8</td>
<td>DENI RAHMAT MAULANA </td>
<td>L</td>
<td>1975-01-02</td>
<td>46</td>
<td>JL. PKP NO.06</td>
<td>02</td>
<td>12</td>
<td>Ciracas</td>
<td>087878792111</td>
<td></td>
<td></td>
<td></td>
<td>Ciracas</td>
<td>160</td>
<td>74</td>
<td>158</td>
<td>70</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>90</td>
<td>Z-0006PSEQ</td>
<td>TETY SUHAETY </td>
<td>P</td>
<td>1977-03-12</td>
<td>44</td>
<td>JL.RAYA PKP NO.06</td>
<td>02</td>
<td>12</td>
<td>Ciracas</td>
<td>087786710077</td>
<td></td>
<td></td>
<td></td>
<td>Ciracas</td>
<td>120</td>
<td>86</td>
<td>165</td>
<td>75</td>
<td>B</td>
<td>DOSEN/GURU</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>91</td>
<td>Z-0005VJ6S</td>
<td> ARYO GADING PRIAMBODO </td>
<td>L</td>
<td>1997-01-08</td>
<td>24</td>
<td>JL GENERASI 2 NO 20</td>
<td>005</td>
<td>003</td>
<td>Tengah</td>
<td>089626130268</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>132</td>
<td>99</td>
<td>160</td>
<td>100</td>
<td>O</td>
<td>PENDIDIKAN</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>92</td>
<td> Z-0006R3IP</td>
<td> ADE SURYANA </td>
<td>L</td>
<td>1982-04-12</td>
<td>39</td>
<td>JL BATU KINYANG 3 NO 67 A</td>
<td>002</td>
<td>004</td>
<td>Batu Ampar</td>
<td>0895345525143</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>111</td>
<td>71</td>
<td>165</td>
<td>61</td>
<td>-</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>93</td>
<td>Y-0132328I</td>
<td>KUSUMA MANAEK HASIBUAN</td>
<td>L</td>
<td>1972-12-03</td>
<td>48</td>
<td>JL DURI BULAN /64B</td>
<td>1</td>
<td>4</td>
<td>Batu Ampar</td>
<td>085789620145</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>128</td>
<td>89</td>
<td>170</td>
<td>66</td>
<td>-</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>94</td>
<td>P-PAYM1JKY</td>
<td> RAHMAT </td>
<td>L</td>
<td>1978-02-20</td>
<td>43</td>
<td>KP NYECLE</td>
<td>002</td>
<td>012</td>
<td>Cilangkap</td>
<td>Tapos</td>
<td>KOTA DEPOK</td>
<td>0895319738345</td>
<td></td>
<td></td>
<td></td>
<td>Cilangkap</td>
<td>Tapos</td>
<td>KOTA DEPOK</td>
<td>135</td>
<td>78</td>
<td>160</td>
<td>67</td>
<td>-</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>PRA LANSIA</td>
<td>2021-08-09</td>
<td>95</td>
<td>Q-000D9BCX</td>
<td>ZULCHAIR SUKATA </td>
<td>L</td>
<td>1970-01-18</td>
<td>51</td>
<td>016</td>
<td>005</td>
<td>Batu Ampar</td>
<td>08161666136</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>109</td>
<td>45</td>
<td>169</td>
<td>50</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>PRA LANSIA</td>
<td>2021-08-09</td>
<td>96</td>
<td>Z-0006QUEJ</td>
<td>SUKARMAN</td>
<td>L</td>
<td>1962-06-05</td>
<td>59</td>
<td>JL MANUNGGAL XIII</td>
<td>5</td>
<td>2</td>
<td>08993751402</td>
<td></td>
<td></td>
<td></td>
<td>139</td>
<td>82</td>
<td>162</td>
<td>53</td>
<td>-</td>
<td>BURUH</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>97</td>
<td> Z-0006QVXV</td>
<td>APRIL YANTO MAHADEWA</td>
<td>L</td>
<td>1997-04-08</td>
<td>24</td>
<td>JL DUKUH VI</td>
<td>8</td>
<td>2</td>
<td>Dukuh</td>
<td>081316310450</td>
<td></td>
<td></td>
<td></td>
<td>Dukuh</td>
<td>121</td>
<td>74</td>
<td>170</td>
<td>56</td>
<td>O</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>98</td>
<td> Q-000D9AT9 </td>
<td> KOMALA DEWI </td>
<td>P</td>
<td>1986-10-17</td>
<td>34</td>
<td>JL MANGGA KOMPLEK BATU JAYA NO. 122</td>
<td>-</td>
<td>-</td>
<td>Tengah</td>
<td>085312514289</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>108</td>
<td>78</td>
<td>152</td>
<td>56</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>99</td>
<td>Z-0006Q0CX</td>
<td>DIAH MEGA OKTIASARI </td>
<td>P</td>
<td>1994-10-26</td>
<td>26</td>
<td>JL BATU SARI</td>
<td>009</td>
<td>002</td>
<td>Batu Ampar</td>
<td>081574069056</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>125</td>
<td>76</td>
<td>160</td>
<td>86</td>
<td>AB</td>
<td>LAINNYA</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>100</td>
<td> Y-0133FXJG</td>
<td>REZKI WAHYUDI ARDIANTO</td>
<td>L</td>
<td>1998-02-05</td>
<td>23</td>
<td>JL BATU SARI </td>
<td>9</td>
<td>2</td>
<td>Batu Ampar</td>
<td>081218209377</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>134</td>
<td>69</td>
<td>174</td>
<td>81</td>
<td>A</td>
<td>PELAJAR</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>101</td>
<td>P-TPHLWW9Y</td>
<td>MIARNA</td>
<td>P</td>
<td>1983-10-24</td>
<td>37</td>
<td>JL.BATU AMPAR III NO.18</td>
<td>14</td>
<td>03</td>
<td>Batu Ampar</td>
<td>082110345959</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>109</td>
<td>71</td>
<td>160</td>
<td>58</td>
<td>B</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>102</td>
<td> Q-000D90JS </td>
<td> RIDWAN </td>
<td>L</td>
<td>1983-10-24</td>
<td>37</td>
<td>JL BATU AMPAR III NO. 18 D</td>
<td>14</td>
<td>3</td>
<td>Batu Ampar</td>
<td>089604489650</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>132</td>
<td>85</td>
<td>165</td>
<td>68</td>
<td>B</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>103</td>
<td> Q-000D90U7 </td>
<td>CHANG SUNG LIANG</td>
<td>L</td>
<td>1999-05-01</td>
<td>22</td>
<td>JL BATU AMPAR III NO. 18 D</td>
<td>14</td>
<td>3</td>
<td>Batu Ampar</td>
<td>08988268070</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>98</td>
<td>57</td>
<td>155</td>
<td>47</td>
<td>-</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>104</td>
<td> Z-0006QZAA </td>
<td> AMELYA AYU SYAPUTRI </td>
<td>P</td>
<td>2001-12-17</td>
<td>19</td>
<td>JL, BATU AMPAR III</td>
<td>007</td>
<td>003</td>
<td>Batu Ampar</td>
<td>087848980934</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>109</td>
<td>81</td>
<td>166</td>
<td>66</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>105</td>
<td>Z-0006T2X0</td>
<td> ANDRIAS SAPUTRO </td>
<td>L</td>
<td>1976-11-21</td>
<td>44</td>
<td>JL.BATU AMPAR III</td>
<td>007</td>
<td>003</td>
<td>Batu Ampar</td>
<td>081384386229</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>117</td>
<td>77</td>
<td>169</td>
<td>69</td>
<td>-</td>
<td>YA</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>106</td>
<td>Y-0134FENU</td>
<td> GALIH ARIEF SETIAWAN </td>
<td>L</td>
<td>2007-12-31</td>
<td>13</td>
<td>JL, BATU AMPAR III</td>
<td>007</td>
<td>003</td>
<td>Batu Ampar</td>
<td>0895621010739</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>106</td>
<td>74</td>
<td>171</td>
<td>61</td>
<td>A</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>107</td>
<td> Z-0006H0X8 </td>
<td>KEYKO AUDYA AMARADHISYA </td>
<td>P</td>
<td>2004-01-09</td>
<td>17</td>
<td>JL. RS POLRI NO. 63</td>
<td>12</td>
<td>3</td>
<td>081289758677</td>
<td>JL. RS POLRI NO. 63</td>
<td>12</td>
<td>3</td>
<td>112</td>
<td>74</td>
<td>155</td>
<td>61</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>108</td>
<td>Z-0006Q0C4</td>
<td>EVA FAUZIA</td>
<td>P</td>
<td>1988-05-30</td>
<td>33</td>
<td>JL.BATU ALAM JAYA NO.08</td>
<td>01</td>
<td>03</td>
<td>Batu Ampar</td>
<td>083898487216</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>160</td>
<td>92</td>
<td>158</td>
<td>52</td>
<td>-</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>109</td>
<td>Z-0006PSJG</td>
<td>LINDA PARDEDESE</td>
<td>P</td>
<td>1974-03-18</td>
<td>47</td>
<td>KEL GEDONG NO. 34</td>
<td>11</td>
<td>10</td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>081314484438</td>
<td></td>
<td></td>
<td></td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>O</td>
<td>TIDAK</td>
<td></td>
<td>YA</td>
<td></td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>110</td>
<td>Y-0134IG4Y</td>
<td>NABAWIYAH FAHMI </td>
<td>P</td>
<td>2007-05-19</td>
<td>14</td>
<td>JL PUCUNG II NO 58</td>
<td>011</td>
<td>002</td>
<td>087783256662</td>
<td></td>
<td></td>
<td></td>
<td>134</td>
<td>63</td>
<td>141</td>
<td>46</td>
<td>A</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>111</td>
<td> Z-0006T5OD </td>
<td> JASON SYAHPUTRA </td>
<td>L</td>
<td>2003-08-18</td>
<td>17</td>
<td>JL.PANGERAN NO.43B</td>
<td>005</td>
<td>002</td>
<td>087776617835</td>
<td></td>
<td></td>
<td></td>
<td>127</td>
<td>74</td>
<td>166</td>
<td>88</td>
<td>O</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>PRA LANSIA</td>
<td>2021-08-09</td>
<td>112</td>
<td> Q-000D8GP8 </td>
<td> EMAH </td>
<td>P</td>
<td>1964-09-11</td>
<td>56</td>
<td>JL.PANGERAN NO.43B</td>
<td>02</td>
<td>05</td>
<td>087784015667</td>
<td></td>
<td></td>
<td></td>
<td>122</td>
<td>60</td>
<td>157</td>
<td>66</td>
<td>-</td>
<td>I R T</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>113</td>
<td> Z-0006LMPX </td>
<td> BURHANNUDIN </td>
<td>L</td>
<td>1990-11-04</td>
<td>30</td>
<td>GG.MURSIDI NO.56</td>
<td>008</td>
<td>001</td>
<td>Tanjung Barat</td>
<td>Jagakarsa</td>
<td>089654004695</td>
<td></td>
<td></td>
<td></td>
<td>Tanjung Barat</td>
<td>Jagakarsa</td>
<td>109</td>
<td>76</td>
<td>165</td>
<td>95</td>
<td>O</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>114</td>
<td> Q-000D9A8C </td>
<td> DIANA TABAH SHOLAWATI </td>
<td>P</td>
<td>1976-07-23</td>
<td>44</td>
<td>JL SWADAYA NO. 44</td>
<td>2</td>
<td>13</td>
<td>Jatimakmur</td>
<td>Pondok Gede</td>
<td>KOTA BEKASI</td>
<td>085217725106</td>
<td></td>
<td></td>
<td></td>
<td>Jatimakmur</td>
<td>110</td>
<td>63</td>
<td>161</td>
<td>58</td>
<td>O</td>
Diabetes</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>115</td>
<td> Z-00065EWR </td>
<td>NURYATI</td>
<td>P</td>
<td>1981-08-08</td>
<td>40</td>
<td>JL JEMBATAN I NO 38D</td>
<td>008</td>
<td>005</td>
<td>081280338067</td>
<td></td>
<td></td>
<td></td>
<td>126</td>
<td>81</td>
<td>157</td>
<td>74</td>
<td>AB</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>116</td>
<td> Y-0134HEWP </td>
<td> GIGA PRATAMA PUTRA </td>
<td>L</td>
<td>2005-05-28</td>
<td>16</td>
<td>JL HA DULHAMID </td>
<td>009</td>
<td>002</td>
<td>087881760558</td>
<td></td>
<td></td>
<td></td>
<td>115</td>
<td>69</td>
<td>165</td>
<td>54</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>PRA LANSIA</td>
<td>2021-08-09</td>
<td>117</td>
<td>Y-0132AZT3</td>
<td> MASIAH </td>
<td>P</td>
<td>1962-05-15</td>
<td>59</td>
<td>BATU AMPAR</td>
<td>2</td>
<td>3</td>
<td>Batu Ampar</td>
<td>082194208651</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>152</td>
<td>68</td>
<td>150</td>
<td>59</td>
<td>B</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>118</td>
<td>P-7DAXFBKS</td>
<td> DINDA FEBRYNA WIBOWO </td>
<td>P</td>
<td>2003-02-09</td>
<td>18</td>
<td>GG BADAR 002 NO.09F</td>
<td>002</td>
<td>003</td>
<td>Batu Ampar</td>
<td>085717275832</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>115</td>
<td>65</td>
<td>158</td>
<td>55</td>
<td>-</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>119</td>
<td>Y-0132CI62</td>
<td> FATIMAH SALSABILLA </td>
<td>P</td>
<td>1999-12-24</td>
<td>21</td>
<td>JL MASJID AL BARIYYAH </td>
<td>001</td>
<td>001</td>
<td>Tengah</td>
<td>081383667793</td>
<td>JL SDI PERUMAHAN CALISTA REGENCY BLOK D2/8</td>
<td>001</td>
<td>001</td>
<td>Tengah</td>
<td>100</td>
<td>62</td>
<td>163</td>
<td>56</td>
<td>O</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>120</td>
<td> Z-0006QYEN</td>
<td>OKTA VERDIAN</td>
<td>L</td>
<td>1985-07-26</td>
<td>35</td>
<td>JL MANUNGGAL XIII NO. 7</td>
<td>3</td>
<td>4</td>
<td>081218065062</td>
<td></td>
<td></td>
<td></td>
<td>103</td>
<td>65</td>
<td>165</td>
<td>40</td>
<td>B</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>121</td>
<td> Z-0006TAPO </td>
<td> RANIA MAHARANI </td>
<td>P</td>
<td>2005-10-15</td>
<td>15</td>
<td>JL DERMAGA NO. 32</td>
<td>12</td>
<td>3</td>
<td>08118994200</td>
<td></td>
<td></td>
<td></td>
<td>122</td>
<td>77</td>
<td>173</td>
<td>53</td>
<td>A</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>122</td>
<td> Q-000D91D4</td>
<td>RAJENDRA ATTAR RAJASA </td>
<td>L</td>
<td>2009-07-12</td>
<td>12</td>
<td>JL DERMAGA NO.32</td>
<td>12</td>
<td>003</td>
<td>08118994200</td>
<td></td>
<td></td>
<td></td>
<td>131</td>
<td>64</td>
<td>154</td>
<td>40</td>
<td>A</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>123</td>
<td> Z-0006QY7W </td>
<td>HANAFI </td>
<td>L</td>
<td>1976-10-06</td>
<td>44</td>
<td>JL.GARDU N O.10E</td>
<td>008</td>
<td>005</td>
<td>082112706871</td>
<td></td>
<td></td>
<td></td>
<td>99</td>
<td>60</td>
<td>170</td>
<td>49</td>
<td>-</td>
<td>LAINNYA</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>124</td>
<td> Z-0005WXMY </td>
<td> ANNISA NURAINI </td>
<td>P</td>
<td>2002-05-01</td>
<td>19</td>
<td>JL H BAPING GG USAHA NO 65</td>
<td>005</td>
<td>009</td>
<td>Ciracas</td>
<td>Ciracas</td>
<td>081210687919</td>
<td></td>
<td></td>
<td></td>
<td>Ciracas</td>
<td>Ciracas</td>
<td>103</td>
<td>65</td>
<td>165</td>
<td>48</td>
<td>B</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>125</td>
<td> Z-0005IQUU </td>
<td> ANGGY INTAN PERMATASARI </td>
<td>P</td>
<td>1992-05-06</td>
<td>29</td>
<td>BATU AMPAR</td>
<td>007</td>
<td>002</td>
<td>Batu Ampar</td>
<td>087822245131</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>129</td>
<td>67</td>
<td>155</td>
<td>76</td>
<td>-</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>PRA LANSIA</td>
<td>2021-08-09</td>
<td>126</td>
<td> Z-0005JCRV </td>
<td> SUBUR PRAYITNO </td>
<td>L</td>
<td>1964-06-22</td>
<td>57</td>
<td>BATU AMPAR </td>
<td>002</td>
<td>003</td>
<td>Batu Ampar</td>
<td>081284953247</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>160</td>
<td>81</td>
<td>162</td>
<td>56</td>
<td>O</td>
<td>LAINNYA</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>127</td>
<td>P-U7IEOIQS</td>
<td>ROLANDO ALBERT GEORGE WAWORUNTU</td>
<td>L</td>
<td>1972-04-01</td>
<td>49</td>
<td>JL.BATU AMPAR NO.26</td>
<td>02</td>
<td>03</td>
<td>Batu Ampar</td>
<td>085342346703</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>146</td>
<td>75</td>
<td>170</td>
<td>97</td>
<td>-</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>128</td>
<td> Z-0006T0E4 </td>
<td>MUHAMMAD YUSUF WILIANA</td>
<td>L</td>
<td>2002-12-18</td>
<td>18</td>
<td>JL.BAMBU KUNING II NO.28</td>
<td>008</td>
<td>005</td>
<td>Pondok Ranggon</td>
<td>Cipayung</td>
<td>08872572146</td>
<td></td>
<td></td>
<td></td>
<td>Pondok Ranggon</td>
<td>Cipayung</td>
<td>108</td>
<td>66</td>
<td>175</td>
<td>68</td>
<td>O</td>
<td>PELAJAR</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>129</td>
<td> Y-013442G8 </td>
<td> ANNISA AQILAH AZ ZAHRA </td>
<td>P</td>
<td>2007-07-14</td>
<td>14</td>
<td>JL DUKUH III</td>
<td>010</td>
<td>001</td>
<td>Dukuh</td>
<td>089523737123</td>
<td></td>
<td></td>
<td></td>
<td>Dukuh</td>
<td>109</td>
<td>66</td>
<td>155</td>
<td>41</td>
<td>B</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>130</td>
<td> Z-0006PB8F </td>
<td> NIKITA ELMIRA </td>
<td>P</td>
<td>2009-04-03</td>
<td>12</td>
<td>JL DUKUH III </td>
<td>010</td>
<td>002</td>
<td>Dukuh</td>
<td>089654854056</td>
<td></td>
<td></td>
<td></td>
<td>Dukuh</td>
<td>93</td>
<td>62</td>
<td>151</td>
<td>40</td>
<td>-</td>
<td>PELAJAR</td>
<td style="text-transform: uppercase;">Penyakit Asma</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>131</td>
<td> Z-0006Q15N </td>
<td> TABITHA CHRIESTANIA REVAYA </td>
<td>P</td>
<td>2007-03-23</td>
<td>14</td>
<td>BATU AMPAR NO. 23</td>
<td>10</td>
<td>3</td>
<td>Batu Ampar</td>
<td>081314051307</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>121</td>
<td>82</td>
<td>155</td>
<td>62</td>
<td>-</td>
<td>PELAJAR</td>
<td style="text-transform: uppercase;">Penyakit Stroke</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>LANSIA</td>
<td>2021-08-09</td>
<td>132</td>
<td> Z-0006NSLS </td>
<td> OSTHA AGUSTINA SIRAIT </td>
<td>P</td>
<td>1954-02-26</td>
<td>67</td>
<td>JL KIRAI 1 NO 53</td>
<td>005</td>
<td>010</td>
<td>Tengah</td>
<td>08122945997</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>168</td>
<td>79</td>
<td>154</td>
<td>78</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>133</td>
<td> Z-00068Z7T </td>
<td> RICHIE GHIFARI</td>
<td>L</td>
<td>2001-01-21</td>
<td>20</td>
<td>JL MANGGA NO 117</td>
<td>002</td>
<td>003</td>
<td>Batu Ampar</td>
<td>085883255662</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>135</td>
<td>81</td>
<td>180</td>
<td>63</td>
<td>B</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>134</td>
<td>Z-0005F3R4</td>
<td> HERLINA ROHMATILAH </td>
<td>P</td>
<td>1997-06-26</td>
<td>24</td>
<td>JL, BATU SARI 2</td>
<td>012</td>
<td>002</td>
<td>Batu Ampar</td>
<td>0895323394300</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>121</td>
<td>80</td>
<td>152</td>
<td>55</td>
<td>O</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>135</td>
<td>S-9463796B</td>
<td>Dimas Sukaeri </td>
<td>L</td>
<td>1990-12-30</td>
<td>30</td>
<td>JL.TELAGA NO.138</td>
<td>013</td>
<td>009</td>
<td>Pekayon</td>
<td>Pasar Rebo</td>
<td>081383695395</td>
<td></td>
<td></td>
<td></td>
<td>Pekayon</td>
<td>Pasar Rebo</td>
<td>114</td>
<td>78</td>
<td>169</td>
<td>91</td>
<td>A</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>136</td>
<td>P-U1TKLB6S</td>
<td>M RAFI DERREL SEPTIANTO </td>
<td>L</td>
<td>2003-09-10</td>
<td>17</td>
<td>JL TRIKKORA 1 </td>
<td>007</td>
<td>009</td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>082312979622</td>
<td></td>
<td></td>
<td></td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>116</td>
<td>64</td>
<td>164</td>
<td>65</td>
<td>A</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>dr. Herawaty</td>
<td>2021-08-09</td>
<td>137</td>
<td>S-BF1C93B6</td>
<td>MOHAMAD RIANTO HUNTOYUNGO </td>
<td>L</td>
<td>1988-07-28</td>
<td>33</td>
<td>JL. RAWAJATI TIMUR VIII/2</td>
<td>003</td>
<td>003</td>
<td>Rawajati</td>
<td>Pancoran</td>
<td>085241174152</td>
<td>gg lapangan no 56b </td>
<td>005</td>
<td>03</td>
<td>Rawajati</td>
<td>Pancoran</td>
<td>97</td>
<td>70</td>
<td>167</td>
<td>54</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>dr. Wiwit Ida Chahyani, Sp.S</td>
<td>2021-08-09</td>
<td>138</td>
<td>Y-0132NVNS</td>
<td> ASMA RAMLI </td>
<td>P</td>
<td>1989-08-12</td>
<td>31</td>
<td>JL. RAWAJATI TIMUR VIII/2</td>
<td>003</td>
<td>008</td>
<td>Rawajati</td>
<td>Pancoran</td>
<td>081316290833</td>
<td></td>
<td></td>
<td></td>
<td>Rawajati</td>
<td>Pancoran</td>
<td>90</td>
<td>60</td>
<td>164</td>
<td>56</td>
<td>O</td>
<td style="text-transform: uppercase;">Penyakit Diabetes,Kolesterol
Tinggi</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>LANSIA</td>
<td>2021-08-09</td>
<td>139</td>
<td>S-E487BDB8</td>
<td> PITHA SIRAIT </td>
<td>P</td>
<td>1954-04-07</td>
<td>67</td>
<td>JL H RADIAN I NO. 48</td>
<td>7</td>
<td>3</td>
<td>Kalibaru</td>
<td>Medan Satria</td>
<td>081219509569</td>
<td>JL H BAING NO. 95 D</td>
<td>7</td>
<td>9</td>
<td>Kalibaru</td>
<td>Medan Satria</td>
<td>114</td>
<td>74</td>
<td>175</td>
<td>60</td>
<td>-</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>140</td>
<td>P-MYI95BLN</td>
<td>EVA MEYLAND </td>
<td>P</td>
<td>1978-04-12</td>
<td>43</td>
<td>JL.WADAS RAYA UJUNG</td>
<td>007</td>
<td>003</td>
<td>Jaticempaka</td>
<td>081285401964</td>
<td>JL.H.BAING NO.95D</td>
<td>007</td>
<td>009</td>
<td>Jaticempaka</td>
<td>124</td>
<td>83</td>
<td>170</td>
<td>68</td>
<td>A</td>
<td>I R T</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>141</td>
<td> Q-000CA6YW</td>
<td> MARISSA LANTIN HAGOGOAN </td>
<td>P</td>
<td>2001-03-13</td>
<td>20</td>
<td>jl h baing no 95</td>
<td>007</td>
<td>009</td>
<td>Tengah</td>
<td>081220723639</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>131</td>
<td>79</td>
<td>160</td>
<td>67</td>
<td>B</td>
<td>PENDIDIKAN</td>
<td style="text-transform: uppercase;">Penyakit Diabetes,Penyakit
HipertensiKolesterol Tinggi</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>142</td>
<td>Y-0132GREY</td>
<td> ELLA LISNAWATI </td>
<td>P</td>
<td>1970-10-27</td>
<td>50</td>
<td>JL, ERETAN I NO.42</td>
<td>001</td>
<td>009</td>
<td>08179892728</td>
<td></td>
<td></td>
<td></td>
<td>104</td>
<td>71</td>
<td>157</td>
<td>45</td>
<td>A</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>143</td>
<td>Z-00068VWA</td>
<td>GNATIUS TRI IRIAWAN </td>
<td>L</td>
<td>1970-11-03</td>
<td>50</td>
<td>jl eretan 1 no 42 </td>
<td>009</td>
<td>001</td>
<td>087780001082</td>
<td></td>
<td></td>
<td></td>
<td>121</td>
<td>81</td>
<td>165</td>
<td>61</td>
<td>A</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>144</td>
<td> Y-0131MOHA</td>
<td> ERIK PARIAMA NAINGGOLAN </td>
<td>L</td>
<td>1994-03-12</td>
<td>27</td>
<td>KP JAWA RAWASARI</td>
<td>8</td>
<td>9</td>
<td>Rawasari</td>
<td>Cempaka Putih</td>
<td>KOTA ADM. JAKARTA PUSAT</td>
<td>085891621673</td>
<td>JL. MASJID AL-MABRUK NO. 32</td>
<td>11</td>
<td>3</td>
<td>Rawasari</td>
<td>130</td>
<td>97</td>
<td>170</td>
<td>58</td>
<td>O</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>145</td>
<td>Z-0006QVVX</td>
<td>SYACHRUL </td>
<td>L</td>
<td>1981-01-16</td>
<td>40</td>
<td>JL.DUKUH II NO24</td>
<td>006</td>
<td>001</td>
<td>Dukuh</td>
<td>085776615537</td>
<td></td>
<td></td>
<td></td>
<td>Dukuh</td>
<td>103</td>
<td>47</td>
<td>172</td>
<td>70</td>
<td>O</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>146</td>
<td> Z-0006Q8Y9</td>
<td> EVA MADANIYYAH </td>
<td>P</td>
<td>1995-11-10</td>
<td>25</td>
<td>JL. ANYER IX NO. 5</td>
<td>13</td>
<td>2</td>
<td>Menteng</td>
<td>Menteng</td>
<td>08986245123</td>
<td>JL. ANYER IX NO. 5</td>
<td>13</td>
<td>2</td>
<td>Menteng</td>
<td>Menteng</td>
<td>119</td>
<td>85</td>
<td>160</td>
<td>70</td>
<td>-</td>
JantungPenyakit Asma</td>
<td style="text-transform: uppercase;">Penyakit Asma</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>LANSIA</td>
<td>2021-08-09</td>
<td>147</td>
<td> Z-0006PZKN </td>
<td>KUSMINTO</td>
<td>L</td>
<td>1958-03-12</td>
<td>63</td>
<td>JL DANA PRASETYA </td>
<td>010</td>
<td>008</td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>081383669376</td>
<td></td>
<td></td>
<td></td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>127</td>
<td>98</td>
<td>159</td>
<td>57</td>
<td>O</td>
<td>LAINNYA</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>149</td>
<td> Y-0132CPDU</td>
<td>IMAM FAHRUROZI </td>
<td>L</td>
<td>1993-08-15</td>
<td>27</td>
<td>JL MASJID NO 23</td>
<td>013</td>
<td>007</td>
<td>Susukan</td>
<td>Ciracas</td>
<td>087884872247</td>
<td></td>
<td></td>
<td></td>
<td>Susukan</td>
<td>Ciracas</td>
<td>140</td>
<td>90</td>
<td>178</td>
<td>78</td>
<td>B</td>
<td>LAINNYA</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>150</td>
<td>Y-0132DGMO</td>
<td> SITI HERAWANI </td>
<td>P</td>
<td>1980-09-08</td>
<td>40</td>
<td>JL, BATU AMPAR V NO.85</td>
<td>007</td>
<td>005</td>
<td>Batu Ampar</td>
<td>085779660644</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>116</td>
<td>70</td>
<td>153</td>
<td>65</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>151</td>
<td>Y-0131ZLHK</td>
<td> MIOSH SYAWAL DAMAYAGI </td>
<td>L</td>
<td>2001-12-21</td>
<td>19</td>
<td>JL PINTU 2 TMII NO </td>
<td>12</td>
<td>03</td>
<td>Pinangranti</td>
<td>Makasar</td>
<td>085890390455</td>
<td></td>
<td></td>
<td></td>
<td>Pinangranti</td>
<td>Makasar</td>
<td>127</td>
<td>60</td>
<td>166</td>
<td>75</td>
<td>-</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>dr.Kartika Iswaranti, Sp.OG</td>
<td>NAKES</td>
<td>2021-08-09</td>
<td>152</td>
<td> Y-0135R4ZT </td>
<td> RIZKY SEPTIANY </td>
<td>P</td>
<td>1996-09-04</td>
<td>24</td>
<td>JL MARDANI RAYA GGA/5</td>
<td>010</td>
<td>005</td>
<td>Cempaka Putih Barat</td>
<td>087880019668</td>
<td></td>
<td></td>
<td></td>
<td>Cempaka Putih Barat</td>
<td>106</td>
<td>75</td>
<td>158</td>
<td>84</td>
<td>A</td>
<td>LAINNYA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>dr. Rengsi uli, MARS</td>
<td>2021-08-09</td>
<td>153</td>
<td> Y-0132VPEP</td>
<td>MOHAMMAD IKHLAS AARAAF </td>
<td>L</td>
<td>1996-10-04</td>
<td>24</td>
<td>JL BATU SARI 2</td>
<td>012</td>
<td>002</td>
<td>Batu Ampar</td>
<td>081290969248</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>125</td>
<td>81</td>
<td>180</td>
<td>91</td>
<td>O</td>
<td>LAINNYA</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>154</td>
<td>Y-01350E7Z</td>
<td>SHABILA RENATA BARA SEKAR SAMUDRA</td>
<td>P</td>
<td>2007-11-23</td>
<td>13</td>
<td>JL H TAIMAN </td>
<td>1</td>
<td>2</td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>085854860726</td>
<td></td>
<td></td>
<td></td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>109</td>
<td>63</td>
<td>165</td>
<td>69</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>155</td>
<td>Y-0133YDGZ</td>
<td>RADEN RANDY ARSYADI SYABAN </td>
<td>L</td>
<td>2006-09-20</td>
<td>14</td>
<td>JL.H.LATIEF NO.6B</td>
<td>003</td>
<td>003</td>
<td>Batu Ampar</td>
<td>085773049534</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>130</td>
<td>63</td>
<td>172</td>
<td>67</td>
<td>O</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>156</td>
<td>Y-0132KOI6</td>
<td>SUNARDIYATI </td>
<td>P</td>
<td>1974-11-12</td>
<td>46</td>
<td>JLN SMP 126</td>
<td>003</td>
<td>003</td>
<td>Tengah</td>
<td>085885586271</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>105</td>
<td>63</td>
<td>157</td>
<td>57</td>
<td>A</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>157</td>
<td>Y-0132OW6D</td>
<td> FITRIANI HASANAH </td>
<td>P</td>
<td>2000-12-13</td>
<td>20</td>
<td>KEL. TENGAH</td>
<td>3</td>
<td>3</td>
<td>Tengah</td>
<td>085885586271</td>
<td>KEL. TENGAH</td>
<td>3</td>
<td>3</td>
<td>Tengah</td>
<td>123</td>
<td>71</td>
<td>168</td>
<td>55</td>
<td>-</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>158</td>
<td>Y-0134UK34</td>
<td> MUHAMMAD ABDUL AZIZ </td>
<td>P</td>
<td>2007-11-05</td>
<td>13</td>
<td>KEL TENGAH</td>
<td>3</td>
<td>3</td>
<td>Tengah</td>
<td>085694337394</td>
<td>KEL TENGAH</td>
<td>3</td>
<td>3</td>
<td>Tengah</td>
<td>91</td>
<td>60</td>
<td>162</td>
<td>37</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>159</td>
<td>Z-0006A3SF</td>
<td> BUKTARMAN </td>
<td>L</td>
<td>1973-06-08</td>
<td>48</td>
<td>10</td>
<td>11</td>
<td>085316215725</td>
<td></td>
<td></td>
<td></td>
<td>125</td>
<td>63</td>
<td>173</td>
<td>69</td>
<td>-</td>
<td>YA</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>160</td>
<td>Z-0006BVGP</td>
<td> MEYSA ZAHWA AULIA CAHYANI </td>
<td>P</td>
<td>2009-05-19</td>
<td>12</td>
<td>10</td>
<td>11</td>
<td>081285963674</td>
<td></td>
<td></td>
<td></td>
<td>103</td>
<td>59</td>
<td>161</td>
<td>67</td>
<td>O</td>
<td>PENDIDIKAN</td>
<td>YA</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>161</td>
<td>Z-0006B63W</td>
<td>AULIA PUTRI RAMADHANY</td>
<td>P</td>
<td>2005-10-06</td>
<td>15</td>
<td>10</td>
<td>11</td>
<td>088213462880</td>
<td></td>
<td></td>
<td></td>
<td>91</td>
<td>60</td>
<td>157</td>
<td>34</td>
<td>-</td>
<td>PENDIDIKAN</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>162</td>
<td>Y-012ZEQAB</td>
<td> IRDAWATI </td>
<td>P</td>
<td>1980-05-15</td>
<td>41</td>
<td>JL, DATO TONGGARA I</td>
<td>010</td>
<td>011</td>
<td>088809782203</td>
<td></td>
<td></td>
<td></td>
<td>137</td>
<td>79</td>
<td>154</td>
<td>63</td>
<td>O</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>163</td>
<td>Y-0134C4X0</td>
<td> RAFLIQA AULIA KUSUMAWARDANI </td>
<td>P</td>
<td>2003-09-20</td>
<td>17</td>
<td>jl, dato tonggara i</td>
<td>010</td>
<td>001</td>
<td>088809782211</td>
<td></td>
<td></td>
<td></td>
<td>121</td>
<td>62</td>
<td>159</td>
<td>62</td>
<td>O</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>164</td>
<td>Y-0131YKG5</td>
<td> AERNAWATI </td>
<td>P</td>
<td>1981-06-15</td>
<td>40</td>
<td>jl sdi no 58</td>
<td>008</td>
<td>06</td>
<td>Batu Ampar</td>
<td>08111221981</td>
<td>JL. IKAN HIAS no 41</td>
<td>10</td>
<td>03</td>
<td>Batu Ampar</td>
<td>129</td>
<td>81</td>
<td>149</td>
<td>66</td>
<td>-</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>165</td>
<td>Y-0131YIRR</td>
<td>MOHAMAD IMAN SOEGIHARTO ST</td>
<td>L</td>
<td>1977-03-22</td>
<td>44</td>
<td>jl ikan hias no 41</td>
<td>10</td>
<td>03</td>
<td>Batu Ampar</td>
<td>085888191918</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>137</td>
<td>83</td>
<td>166</td>
<td>63</td>
<td>-</td>
<td>YA</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>167</td>
<td>Y-0132GRHM</td>
<td> MUTHIAH HANNAH </td>
<td>P</td>
<td>2002-12-03</td>
<td>18</td>
<td>JL SDI PERUMAHAN CALISTA BLOK B2 NO 28</td>
<td>001</td>
<td>001</td>
<td>Batu Ampar</td>
<td>081223639475</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>103</td>
<td>64</td>
<td>165</td>
<td>51</td>
<td>A</td>
<td>PENDIDIKAN</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>168</td>
<td>Y-0132GB1X</td>
<td> AISYAH HUMAIRAH </td>
<td>P</td>
<td>1998-09-20</td>
<td>22</td>
<td>JL SDI PERUMAHAN CALISTA BLOK B2 NO 28</td>
<td>001</td>
<td>001</td>
<td>Batu Ampar</td>
<td>081223639478</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>122</td>
<td>65</td>
<td>142</td>
<td>49</td>
<td>-</td>
<td>PENDIDIKAN</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>169</td>
<td>P-TZD7NETG</td>
<td> RISKI SEPTIANING ASTUTI </td>
<td>P</td>
<td>1994-09-24</td>
<td>26</td>
<td>JL, INPRES NO,22</td>
<td>002</td>
<td>009</td>
<td>Tengah</td>
<td>085710413593</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>125</td>
<td>79</td>
<td>155</td>
<td>51</td>
<td>B</td>
<td style="text-transform: uppercase;">Penyakit Diabetes,Penyakit
HipertensiPenyakit Stroke</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>170</td>
<td> Y-0134GD2Z </td>
<td>NADILA NUR RAMADHANI</td>
<td>P</td>
<td>2007-09-19</td>
<td>13</td>
<td>JL.RAYA TENGAH NO..02</td>
<td>009</td>
<td>008</td>
<td>Tengah</td>
<td>081904389368</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>118</td>
<td>67</td>
<td>152</td>
<td>62</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>171</td>
<td>Z-00060DKU</td>
<td>FITRI YANIH</td>
<td>P</td>
<td>1986-06-06</td>
<td>35</td>
<td>kp tengah no 112</td>
<td>008</td>
<td>001</td>
<td>Tengah</td>
<td>087776310235</td>
<td></td>
<td></td>
<td></td>
<td>Tengah</td>
<td>119</td>
<td>78</td>
<td>157</td>
<td>73</td>
<td>A</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>172</td>
<td>P-KZMNSRUM</td>
<td> GIN-GIN MUTIARA PERDANA </td>
<td>P</td>
<td>2003-05-11</td>
<td>18</td>
<td>KP.BALEENDAH </td>
<td>009</td>
<td>004</td>
<td>Baleendah</td>
<td>Baleendah</td>
<td>KAB. BANDUNG</td>
<td>089654227045</td>
<td></td>
<td></td>
<td></td>
<td>Baleendah</td>
<td>Baleendah</td>
<td>101</td>
<td>66</td>
<td>149</td>
<td>40</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>PRA LANSIA</td>
<td>2021-08-09</td>
<td>173</td>
<td>3205277006690001</td>
<td> LIA NURALIAH </td>
<td>P</td>
<td>1969-06-30</td>
<td>52</td>
<td>KP. CIBANGO</td>
<td>001</td>
<td>001</td>
<td>Bojong Kidul</td>
<td>Pameungpeuk</td>
<td>KAB. GARUT</td>
<td>085316258453</td>
<td></td>
<td></td>
<td></td>
<td>Bojong Kidul</td>
<td>Pameungpeuk</td>
<td>KAB. GARUT</td>
<td>136</td>
<td>84</td>
<td>153</td>
<td>55</td>
<td>O</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>174</td>
<td>P-L04NM5Z0</td>
<td> GAN-GAN PERMATA LAKSANA </td>
<td>L</td>
<td>2003-05-11</td>
<td>18</td>
<td>KP.BALEENDAH</td>
<td>009</td>
<td>004</td>
<td>Baleendah</td>
<td>Baleendah</td>
<td>083825724357</td>
<td></td>
<td></td>
<td></td>
<td>Baleendah</td>
<td>Baleendah</td>
<td>116</td>
<td>76</td>
<td>171</td>
<td>58</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>175</td>
<td>Y-0131WJ3E</td>
<td>ALFIAH PARIPURNI </td>
<td>P</td>
<td>2001-04-30</td>
<td>20</td>
<td>PONDOK BAMBU</td>
<td>002</td>
<td>004</td>
<td>Pondok Bambu</td>
<td>Duren Sawit</td>
<td>085893657491</td>
<td></td>
<td></td>
<td></td>
<td>Pondok Bambu</td>
<td>Duren Sawit</td>
<td>117</td>
<td>75</td>
<td>159</td>
<td>65</td>
<td>-</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>176</td>
<td> P-U6VBBJBP </td>
<td>RIAN GUNAWAN</td>
<td>L</td>
<td>1998-01-03</td>
<td>23</td>
<td>CISALAK PASAR KOJA</td>
<td>4</td>
<td>4</td>
<td>Cimanggis</td>
<td>KOTA DEPOK</td>
<td> 081381769958</td>
<td></td>
<td></td>
<td></td>
<td>Cimanggis</td>
<td>KOTA DEPOK</td>
<td>104</td>
<td>78</td>
<td>161</td>
<td>62</td>
<td>-</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>177</td>
<td>Q-000D9BNA</td>
<td>AHMAD MAULANA</td>
<td>L</td>
<td>1999-06-26</td>
<td>22</td>
<td>GG.MASJID CISALAK</td>
<td>004</td>
<td>003</td>
<td>Cisalak</td>
<td>Sukmajaya</td>
<td>KOTA DEPOK</td>
<td>085881647347</td>
<td>JL.RAYA LAPANGAN TEMBAK CIBUBUR NO.02</td>
<td>07</td>
<td>01</td>
<td>Cisalak</td>
<td>Sukmajaya</td>
<td>KOTA DEPOK</td>
<td>122</td>
<td>72</td>
<td>166</td>
<td>58</td>
<td>-</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>178</td>
<td> Y-0132WN77 </td>
<td> NAZILAH</td>
<td>P</td>
<td>1988-07-24</td>
<td>32</td>
<td>GG. PRIBADI</td>
<td>10</td>
<td>8</td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>081584826413</td>
<td>GG. PRIBADI</td>
<td>10</td>
<td>8</td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>142</td>
<td>87</td>
<td>154</td>
<td>82</td>
<td>-</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>179</td>
<td> Y-0132Z7RW </td>
<td>WARSITO </td>
<td>L</td>
<td>1983-11-06</td>
<td>37</td>
<td>GG PRIBADI</td>
<td>010</td>
<td>008</td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>081584826413</td>
<td></td>
<td></td>
<td></td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>116</td>
<td>77</td>
<td>180</td>
<td>61</td>
<td>A</td>
<td>YA</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>180</td>
<td>Y-0136HZCP</td>
<td>RADEN DENIS SULTHANI RAMADLAN</td>
<td>L</td>
<td>2001-12-13</td>
<td>19</td>
<td>JL. H LATIEF NO. 6 B</td>
<td>3</td>
<td>3</td>
<td>Batu Ampar</td>
<td>085775649313</td>
<td>PERUM WAHANA E 6/9</td>
<td>7</td>
<td>7</td>
<td>Batu Ampar</td>
<td>109</td>
<td>68</td>
<td>166</td>
<td>55</td>
<td>O</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>181</td>
<td>P-MAL8BBCH</td>
<td>MISTIAH</td>
<td>P</td>
<td>1998-12-30</td>
<td>22</td>
<td>KP. GULUSUR BARAT</td>
<td>5</td>
<td>2</td>
<td>Panyaungan Jaya</td>
<td>C I O M A S
</td>
<td>KABUPATEN SERANG</td>
<td>083893254686</td>
<td>JL. SMP 126 PERUMAHAN PONDOK DIAN</td>
<td>2</td>
<td>3</td>
<td>Panyaungan Jaya</td>
<td>C I O M A S
</td>
<td>110</td>
<td>64</td>
<td>149</td>
<td>43</td>
<td>-</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>182</td>
<td>P-NDXSLT5M</td>
<td>SANTIAH</td>
<td>P</td>
<td>1987-07-08</td>
<td>34</td>
<td>KP. CIMANUNGTUNG</td>
<td>12</td>
<td>4</td>
<td>Sukadana</td>
<td>C I O M A S
</td>
<td>083879148764</td>
<td>JL. SMP 126 PERUMAHAN PONDOK DIAN </td>
<td>2</td>
<td>3</td>
<td>Sukadana</td>
<td>C I O M A S
</td>
<td>110</td>
<td>72</td>
<td>155</td>
<td>58</td>
<td>-</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>183</td>
<td>Y-0132IXSL</td>
<td>AGUS SETIAWAN </td>
<td>L</td>
<td>1988-10-22</td>
<td>32</td>
<td>JL. H. NASIH </td>
<td>14</td>
<td>3</td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>085780233745</td>
<td>22-10-1988</td>
<td>14</td>
<td>3</td>
<td>Gedong</td>
<td>Pasar Rebo</td>
<td>131</td>
<td>79</td>
<td>168</td>
<td>117</td>
<td>-</td>
<td>PENGEMUDI</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>184</td>
<td>S-16A6E739</td>
<td>Herman </td>
<td>L</td>
<td>1972-06-23</td>
<td>49</td>
<td>JL. BATU AMPAR III NO. 9C</td>
<td>7</td>
<td>4</td>
<td>Batu Ampar</td>
<td>083871693021</td>
<td>JL. BATU AMPAR III NO. 9C</td>
<td>7</td>
<td>4</td>
<td>Batu Ampar</td>
<td>137</td>
<td>74</td>
<td>158</td>
<td>65</td>
<td>-</td>
<td>YA</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>185</td>
<td>Z-0006SG8R</td>
<td>SUPARTI </td>
<td>P</td>
<td>1980-04-04</td>
<td>41</td>
<td>JL, GARDU / H M AMIN</td>
<td>008</td>
<td>002</td>
<td>089636174113</td>
<td></td>
<td></td>
<td></td>
<td>162</td>
<td>94</td>
<td>149</td>
<td>66</td>
<td>-</td>
<td>TIDAK</td>
<td>YA</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>186</td>
<td>Y-0132CQZP</td>
<td> FARIDA ROMADHONI ISNAINIAH </td>
<td>P</td>
<td>2001-12-10</td>
<td>19</td>
<td>JL GARDU GG H AMIN NO 116</td>
<td>007</td>
<td>002</td>
<td>0895374877284</td>
<td></td>
<td></td>
<td></td>
<td>104</td>
<td>63</td>
<td>154</td>
<td>55</td>
<td>B</td>
<td>PENDIDIKAN</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>2021-08-09</td>
<td>187</td>
<td>Y-0132MIF9</td>
<td> SADAM HUSEIN </td>
<td>L</td>
<td>1981-09-24</td>
<td>39</td>
<td>jl.agung raya 1 /21 b</td>
<td>010</td>
<td>002</td>
<td>Jagakarsa</td>
<td>082260888902</td>
<td></td>
<td></td>
<td></td>
<td>Jagakarsa</td>
<td>106</td>
<td>63</td>
<td>171</td>
<td>59</td>
<td>O</td>
<td>YA</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>188</td>
<td>Y-01346XW4</td>
<td>DANURDARA DYOTA KARAHAJENGAN</td>
<td>L</td>
<td>2004-02-05</td>
<td>17</td>
<td>JL H LATIEF NO. 6 B</td>
<td>3</td>
<td>3</td>
<td>Batu Ampar</td>
<td>081296793950</td>
<td></td>
<td></td>
<td></td>
<td>Batu Ampar</td>
<td>131</td>
<td>74</td>
<td>167</td>
<td>39</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
<td>REMAJA</td>
<td>2021-08-09</td>
<td>189</td>
<td>Y-0134CWU6</td>
<td>EXCELITA ANNISA MARSHANDA </td>
<td>P</td>
<td>2004-03-21</td>
<td>17</td>
<td>JL. MAN 6 NO. 76</td>
<td>8</td>
<td>4</td>
<td>Dukuh</td>
<td>081808309861</td>
<td>JL. MAN 6 NO. 76</td>
<td>8</td>
<td>4</td>
<td>Dukuh</td>
<td>123</td>
<td>81</td>
<td>165</td>
<td>65</td>
<td>-</td>
<td>PELAJAR</td>
<td>TIDAK</td>
<td>TIDAK</td>
<td>YA</td>
<td>TIDAK</td>
<td>SELESAI</td>
</tr>
</tbody>
</table>
<table>

<tr>
<td colspan="2" style="padding-right: 50px;">
MASYARAKAT UMUM 
Dosis 1 Tervaksin = 4 
Tertunda = 0 
Dosis 2 tervaksin= 125 
Tertunda= 0
</td>
NAKES 
Tertunda= 0 
</td>
REMAJA 
Tertunda= 0
</td>
PRA LANSIA 
Tertunda= 0
</td>
LANSIA 
Tertunda= 0
</td>
<td colspan="29"></td>
</tr>
<tr>
<td colspan="37" style="padding: 25px 0;">
JUMLAH TERVAKSIN: 185 
JUMLAH TERTUNDA: 1 
</td>
</tr>

<tr>
<td colspan="37">
DOKTER PETUGAS VAKSIN: 
<ol>
<li>dr. Nurul Fadli : 36</li><li>dr. Nursyahidah, Sp.F.K :
22</li><li>dr. Christine Handayani T, Sp.A : 30</li><li>dr. Pradana Akmaja
Chaetawarsa, Sp.OG : 7</li><li>dr. Nur Chandra Bunawan, Sp. PD : 21</li><li>dr.
Dessy Gloria, Sp.A : 32</li><li>dr. Herawaty : 14</li><li>dr. Wiwit Ida Chahyani,
Sp.S : 8</li><li>dr.Kartika Iswaranti, Sp.OG : 7</li><li>dr. Rengsi uli, MARS :
9</li> </ol>
</td>
</tr>
</table>

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<center><b>Laporan Vaksin 09-08-2021 s/d 09-08-2021</b></center>

<center><b>RSUD KRAMAT JATI</b></center>

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