4. Calon Penerima Vaksin Tanggal 02 Juli 2021

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4. Calon Penerima Vaksin Tanggal 02 Juli 2021 DAFTAR CALON PESERTA PENERIMA VAKSINASI RSUP Dr. SITANALA TANGERANG Hari / Tanggal : Jumat 02 Juli 2021 Sesi 1 : 08.00 s/d 10.00 WIB *SIAPKAN KTP PADA SAAT DAFTAR ULANG TANGGAL JENIS NO Timestamp NAMA USIA PEKERJAAN ALAMAT (SESUAI KTP) LAHIR KELAMIN 6/21/2021 1 Yanuar Galih Nugroho 07/01/1989 PRIA 32 Karyawan Restoran Jl Perdamaian No.40 RT 02/03 Cipondoh Tangerang 7:22:30 6/21/2021 IBU RUMAH 2 SUNENGSIH 28/06/1962 WANITA 58 JL. SARANGAN 1 NO. 5 RT.003 RW.012 TANGERANG 7:24:24 TANGGA 6/21/2021 Perum Flamboyan Garden 1 Blok A2 no. 24, Rt. 001/04 Desa 3 Musliha 21/05/1966 WANITA 55 Wiraswasta 7:25:22 Kutruk, Kec. Jambe, Kab. Tangerang 6/21/2021 Jl. Serangkai 1 blok c23/155 puri agung rt005/rw012 kelurahan 4 Silvia utami 04/01/1993 WANITA 28 Karyawan swasta 7:26:02 gelam jaya kecamatan pasar kemis 6/21/2021 Graha Gardenia Blok Xp. 20/01-03, RT. 003/012, Desa Mekar 5 Hanifah 10/11/1967 WANITA 54 Wiraswasta 7:29:12 Bakti, KEc. Panongan, Kab. Tangerang 6/21/2021 Graha Gardenia Blok XP 20/01-03, RT. 003/012, Desa Mekar 6 Achmad Ruri Alfiansyah 16/01/1987 PRIA 34 Karyawan Swasta 7:31:44 Bakti, Kec. Panongan Kab. Tangerang 6/21/2021 7 Rudy Pranata 29/07/1960 PRIA 61 Wiraswasta Permata Tangerang Blok EC-2/2 7:34:29 6/21/2021 Mengurus rumah 8 Lie Na 25/12/1968 WANITA 53 Permata Tangerang Blok EC-2/2 7:37:41 tangga 6/21/2021 9 Andri setiadi 29/05/1981 PRIA 40 Swasta Jl. Gatot subroto 33B cilacap 7:39:42 6/21/2021 10 Erna yulianti 27/09/1991 WANITA 30 Ibu rumah tangga Kp gombol paya rt 002 rw 013 kalideres 7:41:42 6/21/2021 11 Erna yulianti 27/09/1991 WANITA 30 Karyawan Kp gombol paya rt 002 rw 013 kalideres 7:43:06 6/21/2021 12 Kusnanto 22/11/1983 PRIA 37 Farmasi Pondongan RT 03/RW 6 Banaran Grogol Sukoharjo 7:49:41 6/21/2021 Jl. Utan Panjang III No. 4 RT.012/RW.006, Utan Panjang, 13 Lidia Agustina 24/08/1989 WANITA 31 Karyawan Swasta 7:52:21 Kemayoran, Jakarta pusat 6/21/2021 Taman Pinang Indah Blok D No 23 RT/RW. 004/004 Neroktog, 14 Mariana Tjandra 09/03/1984 WANITA 37 Karyawan swasta 8:01:16 Pinang, Tangerang 6/21/2021 15 Reni maryani 26/03/1990 WANITA 31 Karyawan swasta Jl kakap II No 98B 8:02:21 6/21/2021 16 Bernadeth Noveida 01/11/1995 WANITA 25 Karyawan Swasta BKP Blok 4B No.1, Margatani-Kramatwatu, Serang, Banten 8:07:03 6/21/2021 Jl. Utan Panjang III No. 4 RT.012/RW.006, Utan Panjang, 17 Lidia Agustina 24/08/1989 WANITA 31 Karyawan Swasta 8:11:12 Kemayoran, Jakarta pusat 6/21/2021 PERUMAHAN PURI CITRA BLOK C4 No. 01 PIPITAN WALANTAKA 18 WAHYONO ANDI SUGANDI 17/10/1971 PRIA 50 KARYAWAN 8:12:06 SERANG 6/21/2021 Kp. Gaga rt. 05/09 kelurahan semanan kecamatan kalideres 19 Nuramelia novianti dewi 25/11/1984 WANITA 36 Karyawan 8:12:15 jakarta barat 6/21/2021 Kp. Karang Anyar RT. 003 RW. 012 Kel. Karangsari Kec. Neglasari 20 Burhanudin 03/10/1980 PRIA 41 Satpam 8:13:12 Kota Tangerang 6/21/2021 21 SARDI BIN IDONG 27/05/1981 PRIA 40 TEKNISI KB.BARU SELATAN RT.001/002 PAKULONAN - TANGSEL 8:13:28 6/21/2021 RIYAN ARIS MADANI 22 29/06/1994 PRIA 26 TEKNISI PANDANAN RT.002/012 SUMBEREJO - GUNUNG KIDUL 8:14:43 AMRULLOH 6/21/2021 23 ARIF SULISTEYO 04/01/1992 PRIA 29 TEKNISI TEMBELANG RT.001/002 TAMBAHREJO,PAGERUYUNG - KENDAL 8:16:00 6/21/2021 Kp. Bojong Renged, RT/RW:003/001, Kel. Bojong Renged, Kec. 24 Dwi Resti Budiyanti 22/12/1997 WANITA 23 Karyawan Swasta 8:17:07 Teluknaga 6/21/2021 25 MAHAT 06/08/1995 PRIA 25 TEKNISI KOTA JAWA RT.011/004 WAYKHILAU - PESAWARAN 8:17:19 6/21/2021 Meniek Tauriska aryawan Bank 26 06/05/1982 WANITA 39 Jl.Cempaka No.54 03/04 Sukaasih Tangerang 8:18:11 Wardhany Panin Tangeran 6/21/2021 27 WAHYUDIN 12/10/1994 PRIA 26 TEKNISI KP.ALASTUA RT.002/009 CIBINONG GUNUNG SINDUR - BOGOR 8:18:29 6/21/2021 28 sadam husen 19/06/1995 WANITA 28 Wartawan Cipete Jakarta Selatan 8:19:03 6/21/2021 29 CHRISTINA KAWIJAYA 16/02/1971 PRIA 50 Ibu Rumah Tangga Poris Paradise 2 BB 2 No.15 RT 009 RW 010 Cipondoh Tangerang 8:19:29 6/21/2021 30 AWALUDIN NURDIANSYAH 08/09/1988 PRIA 32 TEKNISI KP.CIMANGIR RT.003/006 GUNUNGSINDUR - BOGOR 8:19:38 6/21/2021 Jln klingkit nmr 90 rt 03 rw 12 kel Rawa Buaya Kec Cengkareng 31 Yusran 31/12/1974 PRIA 47 Karyawan Swasta 8:21:43 Jak Bar 6/21/2021 32 Dorma simanullang 25/03/1976 WANITA 45 Karyawan swasta Jl gede vi no 18 005/022 cibodasari cibodas 8:22:50 6/21/2021 MENGURUS 33 LIANAWATI 03/09/1972 WANITA 50 Kp. Kandang genteng 006/003 tanjung burung teluknaga 8:25:36 RUMAH TANGGA 6/21/2021 Pembantu Rumah 34 EMY 28/06/1959 WANITA 62 Jl. Mantri No 2 Medan 8:25:48 Tangga 6/21/2021 KARYAWAN KP. TERITI RT.001 / 004 KEL. KARET KEC. SEPATAN KAB. 35 RACHMAWATI 07/09/1982 WANITA 38 8:25:57 SWASTA TANGERANG 6/21/2021 Dasana Indah Blok UD 11 No 27 RT005/RW028 Bojong Nangka 36 Tiodora Hia Sinta 28/09/1987 WANITA 34 Karyawan Swasta 8:26:13 Kelapa Dua 6/21/2021 37 Delphine saskya 18/07/2000 WANITA 21 Berjualan kue Jl aster 2 blok f16 bumi indah tahap 1 kutajaya pasarkemis 8:26:57 6/21/2021 38 Jamaludin 15/05/1984 PRIA 37 Swasta Kp gaga 8:27:27 6/21/2021 39 maria fransiska hani 12/01/1970 WANITA 51 pedagang kue Jl aster 2 blok f 16 bumi indah tahap 1 kutajaya 8:27:34 6/21/2021 Pembantu Rumah 40 TARMI 01/07/1963 WANITA 58 Dsn Jatirejo rt 001 rw 012 8:28:13 Tangga 6/21/2021 41 Wiliani Tio 04/06/1992 WANITA 29 Karyawan Jl mantri no 2 medan 8:29:28 6/21/2021 KP PONDOK BARU 001/004 KAMPUNG MELAYU BARAT 42 SUPRATMAN 07/08/1968 PRIA 52 WIRASWASTA 8:30:44 TELUKNAGA 6/21/2021 43 FERI ANDRIAWAN 12/03/1988 PRIA 33 TEKNISI KP.GUNUNGSINDUR RT.001/012 GUNUNG SINDUR - BOGOR 8:31:29 6/21/2021 44 IMBRON 18/04/1993 PRIA 28 TEKNISI KP.GUNUNG SINDUR RT.001/011 GUNUNG SINDUR - BOGOR 8:32:43 6/21/2021 45 Hendra Ahyani 14/10/1980 PRIA 41 Karyawan Swasta Kp. Teriti RT 01 RW 04 DS karet kec. Sepatan tangerang 8:33:50 6/21/2021 46 ROHIDI 13/05/1989 PRIA 32 TEKNISI KP.BUARAN RT.001/002 PAKUJAYA SERPONG UTARA -TANGSEL 8:34:11 6/21/2021 MENGURUS KP PONDOK BARU 001/004 KAMPUNG MELAYU BARAT 47 HAN NIE 05/06/1972 WANITA 49 8:34:54 RUMAH TANGGA TELUKNAGA 6/21/2021 Jalan pembangunan 4, kota tangerang, Neglasari, Karangsari. 48 Muhammad Aji Cahyadi 14/12/2002 PRIA 18 Mahasiswa 8:35:07 RT/RW.02/05 6/21/2021 49 RUDY EFENDY 13/10/1989 PRIA 31 TEKNISI GEBYOG RT.001/002 KARANGREJO - MAGETAN 8:36:00 6/21/2021 KP.CIKOLEANG RT.003/002 PABUARAN GUNUNG SINDUR - 50 RION 11/10/1997 PRIA 23 TEKNISI 8:37:05 BOGOR 6/21/2021 51 SUDIYONO 03/03/1981 PRIA 40 TEKNISI DUSUN SIBER RT.004-004 PENGGARIT - PEMALANG 8:38:22 6/21/2021 Jl. kubang sari III No.54, RT001/RW006 Sekeloa Coblong Kota 52 Seliaty Bunga Paretta 28/10/1993 WANITA 27 Karyawan Swasta 8:38:42 Bandung 6/21/2021 Kp Bitung, RT 003/ 001, Desa Bitung Jaya, Kec. Cikupa, Kab. 53 Muhamad Rizki Alpiansyah 28/06/1996 PRIA 25th Wiraswasta 8:39:04 Tangerang, Banten 15710 6/21/2021 perum duta asri cadas blok h no 23 rt 02 rw 08 lebak wangi 54 sumad 03/12/1981 PRIA 39 karyawan swasta 8:39:51 sepatan timur tangerng 6/21/2021 55 SUHADI 04/12/1984 PRIA 37 TEKNISI KLAMPOK RT.004/010 - BANJARNEGARA 8:40:10 6/21/2021 56 GUSTIAWAN 07/08/1996 PRIA 24 TEKNISI KP.CIATER BARAT RT.006/002 SERPONG - TANGSEL 8:41:31 6/21/2021 Dusun Krawat RT02/RW02 desa Tempur sari Sidoharjo Kab. 57 Lia Resti Pratiwi 05/07/1995 WANITA 25 Karyawan Swasta 8:42:27 Wonogiri, Jawa Tengah 6/21/2021 58 KHOERUDIN 06/06/1982 PRIA 39 TEKNISI KP.CIMANGGU RT.007/003 KABANDUNGAN - SUKABUMI 8:42:28 6/21/2021 59 Indra Budiman 27/04/1999 PRIA 22 Karyawan swasta Villa taman bandara Blok H5. No.23 8:42:29 6/21/2021 60 PARTO 05/05/1993 PRIA 28 TEKNISI KEPYAR RT.004-008 WONOGIRI 8:43:16 6/21/2021 61 Dorthy Beatrice Annette 25/11/2002 WANITA 18 Mahasiswi Poris Paradise 2 BB 2/15 8:43:29 6/21/2021 62 Roihan syaifullah 29/07/1988 PRIA 33 Pegawai swasta Link.Pekarungan no 24 RT 05/01 Kel.kagungan kec.serang Banten 8:44:13 6/21/2021 63 M.RIKI DARMAWAN 26/01/1998 PRIA 23 TEKNISI KP KEBON KELAPA RT.001/008 SUKARAKSA - BOGOR 8:44:32 6/21/2021 64 Intan pandini 03/08/2002 WANITA 18 Mahasiswa Cikahuripan 8:44:40 6/21/2021 KARYAWAN VILLA TANGERANG REGENSI II BLOK FH11 NO.15 RT/RW 005/011 65 Amelia Suhanda 25/08/1989 WANITA 32 8:46:40 SWASTA GELAM JAYA KEC.
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