DAFTAR CALON PESERTA PENERIMA VAKSINASI RSUP Dr. SITANALA TANGERANG Hari / Tanggal : Rabu 30 Juni 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 6/20/2021 1 Gandhi Inda Punna 14/04/1987 PRIA 34 Karyawan swasta Kedaung Barat RT. 005/001 Kec. Sepatan Timur, Kab. Tangerang 16:05:40 6/20/2021 2 SRI WAHYUWATI 19/03/1971 WANITA 50 Ibu rumah tangga Permata balaraja blok A/47 No 11 16:07:03 6/20/2021 3 Liana Christanto 24/09/1975 WANITA 45 Karyawan swasta Cluster Magnolia MA 5 No 22 Gading Serpong 16:10:57 6/20/2021 Srimawati br perangin 4 21/05/1971 WANITA 50 Ibu rumah tangga Jl. Halmahera V no 18 cimone mas permai tangerang 16:10:59 angin 6/20/2021 Vannesa Paramitha 5 11/07/1997 WANITA 24 Peg Swasta Komp. Serbaguna Sintanala Rt 4/13 16:18:32 Oentoro 6/20/2021 6 Sherly 13/01/1973 WANITA 48 Peg Swasta Komp Serbaguna Sintanala Rt 4/13 16:20:28 6/20/2021 7 Supriyadi 16/07/1980 PRIA 41 Security Legok RT/RW 005/002 Legok, Legok 16:24:05 6/20/2021 8 Robi 18/08/1988 PRIA 33 Security Kp. Cihuni RT/RW 003/004 Cihuni Pagedangan 16:27:07 6/20/2021 9 Baharaja Ediyanto Sitorus 28/11/2021 PRIA 56 Wiraswasta Perum TANGERANG RESIDANCE Blok C1 A no.5 16:31:59 6/20/2021 10 Moch Ridwan 10/02/1986 PRIA 35 Security Kp. Babakan RT/RW 001/006 Binong, Curug 16:34:49 6/20/2021 11 Nursarip 16/07/1978 PRIA 43 Security Kp. Kandang RT/RW 001/005 Medang Pagedangan 16:38:29 6/20/2021 12 ANDA 06/05/1981 PRIA 40 se curity Kp.medang, Rt/rw.001/003.kp.medang, KEL/Desa MEDANG 16:40:52 6/20/2021 13 Jana 18/09/1986 PRIA 36 Security Kp. Cicayur II RT/RW 002/004 Lengkong Kulon Pagedangan 16:40:57 6/20/2021 14 ADITYA DWISANTOSO 31/03/2001 PRIA 20 security Sari Bumi Indah D26/8 Rt 13 / Rw 17 Binong, Curug, Tangerang 16:42:12 6/20/2021 15 ABDUL RIDWAN 21/05/1996 PRIA 25 security Kp.sidamukti, rt01, rw03, sukaresmi, Pandeglang, Banten 16:43:06 6/20/2021 16 Andri 20/08/1999 PRIA 22 Security Kp Cihuni RT/RW 002/003 Cihuni Pagedangan 16:43:53 6/20/2021 17 PERDIANSYAH 20/10/2000 PRIA 21 security kp. Pagedangan, RT/RW 02/ 01, kel. Cicalengka, kec. Pagedangan 16:44:47 6/20/2021 KP.RUMPAK SINANG RT 02/01 KEL. PAKULONAN BARAT 18 SUMARDI 06/01/1989 PRIA 32 security 16:46:07 KEC.KELAPA DUA 6/20/2021 19 Muhamad Dedih 06/05/1986 PRIA 35 Security Kp. Galuga RT/RW 001/005 Binong Curug kab. Tangerang 16:46:43 6/20/2021 KP.RUMPAK SINANG RT 02/01 KEL. PAKULONAN BARAT 20 SUMARDI 06/01/1989 PRIA 32 security 16:48:12 KEC.KELAPA DUA 6/20/2021 21 IVAN MAULANA 12/07/1996 PRIA 25 security Kp. Cihuni Rt.002/Rw.003 Desa Cihuni Kecamatan Pagedangan 16:49:03 6/20/2021 22 Yayat supriadi 01/05/2021 PRIA 47 Karyawan swasta Jl. Teratai III Blok B.41 No.14 Pd.indah Kuta bumi Tangerang 16:49:49 6/20/2021 23 Rohim 08/05/1975 PRIA 46 Security Kp Kelapa RT/RW 004/004 Cicalengka Pagedangan kab Tangerang 16:53:07 6/20/2021 Jl.Pembangunan VI No.48 RT 001/12 Karangsari Neglasari Kota 24 Irma Maemunah 24/07/1978 WANITA 42 Wirausaha 16:54:23 Tangerang Banten 6/20/2021 25 IVAN MAULANA 12/07/1996 PRIA 25 security Kp. Cihuni Rt.002/Rw.003 Desa Cihuni Kecamatan Pagedangan 16:54:50 6/20/2021 MUHAMAD SAHRUL KP. Kelapa RT/001 RW/005 Kel/Desa.KADUSIRUNG 26 18/01/1994 PRIA 27 security 16:55:50 ARIPIN Kec.PAGEDANGAN 6/20/2021 27 Mad Raya 04/05/1982 PRIA 39 Security Kp Gurubug Rt 002 Rw 004 16:57:40 6/20/2021 28 MADYANI 17/09/1990 PRIA 31 security Kp.Binong Rt 003 Rw 002 Kel.Binong, Kec. Curug Kab. Tangerang 16:58:34 6/20/2021 Kp. Pakulonan Barat RT/RW 004/003 Pakulonan Barat Kelapa Dua 29 Abdul Muin 14/09/1969 PRIA 52 Buruh 16:59:45 kab. Tangerang 6/20/2021 KARANGKEMIRI RT.007 RW.002 KEL.KARANGKEMIRI 30 HERMAN TRIO SAPUTRA 21/05/1989 PRIA 32 security 16:59:48 KEC.PEKUNCEN KAB.BANYUMAS 6/20/2021 31 JAELANI 07/07/1980 PRIA 41 security kp cibogo wetan kelapa dua rt 03/03 kelapa dua Tangerang 17:00:58 6/20/2021 32 Zita Erwina 20/12/1963 WANITA 57 Wiraswasta Jl.Ketapang no.42 RT 008 RW 003 kel.Petir, kec.cipondoh 17:01:49 6/20/2021 33 CEPI SETIADI 23/10/1994 PRIA 27 security Kp solong, RT 02/06,Kec Jambe,Kab Tangerang-Banten 17:01:51 6/20/2021 34 YUSUP SUPRIADI HABIBI 07/08/1999 PRIA 22 security kp.CIKALAHI RT 011/RW 004/KEC.CINANGKA/SERANG/BANTEN 17:02:50 6/20/2021 35 HERI HARTOYO 25/09/1996 PRIA 25 security Kp, Pagedangan rt.003/002 De, Cicalengka Kec pagedangan 17:03:47 6/20/2021 36 AHMAD SUPANDI 01/08/1996 PRIA 25 security kp.curug, rt03/rw01 des. Curug sangereng, kec. Kelapa dua 17:04:49 6/20/2021 37 Agus Supardi 18/08/1985 PRIA 36 Security kp rawa buaya 02/04 medang kab. Tangerang 17:06:12 6/20/2021 38 AHMAD SUPANDI 01/08/1996 PRIA 25 security kp.curug, rt03/rw01 des. Curug sangereng, kec. Kelapa dua 17:06:43 6/20/2021 39 ERWIN SETIAWAN 19/07/1997 PRIA 24 security kp. Sawah RT.001/RW.003 des. Lengkong Kulon kec. Pagedangan 17:07:41 6/20/2021 40 Hj. Siti Rahmah 06/03/1948 WANITA 73 Wiraswasta Gg. Ketapang No.37 RT 001 RW 003 Kel.Petir, Kec. Cipondoh 17:08:07 6/20/2021 kp. Pabuaran RT.002/RW.006 des. Lengkong Kulon kec. 41 DARYANTO RIFALDI 02/09/1999 PRIA 22 security 17:08:29 Pagedangan tangerang 6/20/2021 42 Heri Welyando 05/05/1985 PRIA 36 Security kp cihuni 03/03 desa cihuni ke. Pagedangan . Kab .tangerang 17:08:48 6/20/2021 43 GILANG FIRMANSYAH 02/05/2002 PRIA 19 security kp.pakulonan barat rt05/rw03 kec. Kelapa duA 17:09:31 6/20/2021 KARYAWAN RAWA ROTAN RT 04 RW 02. Kelurahan ,Selapajang jaya, 44 M. SABIH 01/07/1979 PRIA 42 17:09:35 SWASTA kecamatan Neglasari 6/20/2021 45 Supriyadi 11/07/1985 PRIA 36 Security Kp. Pugur 001/002, Lengkong Kulon 17:10:29 6/20/2021 46 Ahmad saepullah 28/06/1983 PRIA 36 Security kp cicayur II 03/03 kab tangerang 17:11:35 6/20/2021 47 ABDUL ROHMAN 17/11/1979 PRIA 42 security KP. CIGATEN 002/001, DS CIHUN, PAGEDANGAN 17:12:04 6/20/2021 48 Yoga Permana 07/01/1993 PRIA 28 Security Kp. Medang 004/003, Medang 17:12:15 6/20/2021 49 ANDI SAPUTRA 10/12/1984 PRIA 37 security KP. CIHUNI,RT 004 /004, PAGEDANGAN 17:12:57 6/20/2021 KP. PAKULONAN BARAT RT.001, RW.003, KEC KELAPA DUA 50 SOLAHUDIN 04/12/1988 PRIA 33 security 17:13:51 TANGERANG 6/20/2021 51 Neneng Siti Kholilah 10/09/1984 WANITA 37 Wiraswasta Jl.Dukuh III No.87 RT 004 RW 024 Kel. Cibodasari Kec. Cibodas 17:14:05 6/20/2021 52 M Anwar Casidi 25/07/1997 PRIA 24 Security kp rahayu 01/05 ciomas 17:14:13 6/20/2021 53 Yoga Permana 07/01/1989 PRIA 28 Security Kp. Medang 004/003, Medang 17:14:29 6/20/2021 Rawa rotan RT 004 RW 02, Kel, Selapajang jaya, kec. Neglasari 54 M.SABIH 01/07/1979 PRIA 42 Karyawan swasta 17:14:43 kota tangerang 6/20/2021 55 MOHAMAD ALI PUA 07/12/1994 PRIA 27 security KP. CIHUNI RT.004 RW.002 TANGERANG 17:14:47 6/20/2021 KP. PONDOK JENGKOL, RT. 004, RW. 002, DS LENGKONG KULON, 56 MUHAMAD REZA FAHLEVI 16/06/2000 PRIA 21 security 17:15:46 PAGEDANGAN, TANGERANG 6/20/2021 57 Supandi 09/11/1986 PRIA 35 Security Kp. Carang Pulang 002/003, Cijantra 17:15:47 6/20/2021 58 Saheri 06/08/1989 PRIA 32 Security kp sarian 13/03 cikulur 17:16:43 6/20/2021 Jl. Imam Bonjol, GG. Eretan No 16 RT 03/ RW 06 Kelurahan 59 Ferry Hendi Winata 22/05/1992 PRIA 29 Karyawan Swasta 17:16:51 Sukajadi, Karawaci, Tangerang 6/20/2021 60 Sulaeman 28/05/1983 PRIA 38 Security Kp. Babakan 002/006, Bojong Nangka 17:17:25 6/20/2021 61 M. Yusuf 12/04/1985 PRIA 36 Security Kp. Lengkong Kulon 002/008, Pagedangan 17:18:46 6/20/2021 62 DEDE KURNIAWAN 30/04/1990 PRIA 31 security KP. CIHUNI RT.004, RW 004, PAGEDANGAN, kab tangerang 17:19:23 6/20/2021 63 Haris irwansyah 16/05/1976 PRIA 45 Security kp sangiang 01/02 periuk 17:19:46 6/20/2021 64 Apendi 03/05/1978 PRIA 43 Security Kp. Garubug 003/004, Bojong Nangka 17:19:47 6/20/2021 65 Nurhakim 29/05/1986 PRIA 35 Security Kp.