| # | Antrian | Nama (passport hal satu) | Nama (passport hal empat) | Jenis Kelamin | Tanggal Lahir | Status WUS | Jawaban | Jenis Vaksin | Tanggal Vaksin | Aksi |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | A061 | NUR FAJRINA | NUR FAJRINA | Perempuan | 15-01-1995 | YA | 0 | Polio | 25-06-2025 | Cek Antrian |
| 2 | A062 | GHANI RUSMAN RAMDANI | GHANI RUSMAN RAMDANI | Laki Laki | 26-01-1996 | 0 | Polio | 25-06-2025 | Cek Antrian | |
| 3 | - | SINTIA APRIHIANTI SOLIHAH | SINTIA APRIHIANTI SOLIHAH | Perempuan | 07-04-1998 | YA | 1 | Meningitis | 25-06-2025 | Cetak Antrian |
| 4 | - | ARSUNAH | ARSUNAH | Perempuan | 04-04-1968 | 0 | Meningitis, Polio | 25-06-2025 | Cetak Antrian | |
| 5 | - | SUDARTI | SUDARTI | Perempuan | 24-06-1957 | 0 | Polio | 25-06-2025 | Cetak Antrian | |
| 6 | - | NURTI BUDIYANTI | NURTI BUDIYANTI | Perempuan | 05-01-1994 | YA | 0 | Meningitis | 25-06-2025 | Cetak Antrian |
| 7 | - | JAJANG SETIA PERMANA | JAJANG SETIA PERMANA | Laki Laki | 10-10-1976 | 0 | Meningitis, Polio | 25-06-2025 | Cetak Antrian | |
| 8 | - | RENDI RAMDANI | RENDI RAMDANI | Laki Laki | 25-02-1993 | 1 | Meningitis, Polio | 25-06-2025 | Cetak Antrian | |
| 9 | - | CIMAHI TENGAH | CIMAHI TENGAH | Perempuan | 03-11-1967 | 0 | Meningitis, Polio | 25-06-2025 | Cetak Antrian | |
| 10 | - | NURTI BUDIYANTI | NURTI BUDIYANTI | Perempuan | 05-01-1994 | YA | 0 | Polio | 25-06-2025 | Cetak Antrian |
| 11 | - | SRI SUMIYENI | SRI SUMIYENI | Perempuan | 11-11-1958 | 0 | Meningitis | 25-06-2025 | Cetak Antrian | |
| 12 | - | SOLICKAH | SOLICKAH | Perempuan | 10-06-1956 | 0 | Meningitis, Polio | 25-06-2025 | Cetak Antrian | |
| 13 | - | TITA ROSITA | TITA ROSITA | Perempuan | 12-06-1960 | 0 | Meningitis, Polio | 25-06-2025 | Cetak Antrian | |
| 14 | - | SURATIH | SURATIH KASAN SUHADI | Perempuan | 10-07-1968 | 0 | Meningitis | 25-06-2025 | Cetak Antrian | |
| 15 | - | SRI WARA RAHAYU | SRI WARA RAHAYU | Perempuan | 08-05-1957 | 1 | Polio | 25-06-2025 | Cetak Antrian | |
| 16 | - | UTARI | UTARI | Perempuan | 31-01-1967 | 0 | Polio | 25-06-2025 | Cetak Antrian | |
| 17 | - | MARKUS | MARKUS ACHMAD HAMAN | Laki Laki | 26-04-1958 | 0 | Meningitis | 25-06-2025 | Cetak Antrian | |
| 18 | - | AJENG FAJRIATI NURUL FATIMAH | AJENG FAJRIATI NURUL FATIMAH | Perempuan | 24-12-1998 | YA | 0 | Meningitis, Polio | 25-06-2025 | Cetak Antrian |
| 19 | - | SRI SUMIYENI | SRI SUMIYENI | Perempuan | 15-11-1958 | 0 | Polio | 25-06-2025 | Cetak Antrian | |
| 20 | - | ASEP ABDUL AZIZ | ASEP ABDUL AZIZ | Laki Laki | 02-08-1993 | 0 | Meningitis, Polio | 25-06-2025 | Cetak Antrian |