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IMUNISASI

NAMA ORANG /L G/N TANGGAL JAN FEB MAR APRIL MEI JUNI JULI AGST SEPT OKT NOV DES
NO. NAMA BAYI TUA LAHIR BCG / DPT 1 / DPT 2 / DPT 3 / CAMPAK
P G HBO POLIO I POLIO 2 POLIO3 POLIO 4
BB TB BB TB BB TB BB TB BB TB BB TB BB TB BB TB BB TB BB TB BB TB BB TB
NAZWA CASIDIN / DURI
1 .N 220515 6.5 60
P NG
FAIZA . A. A KARSONO /
2 KANITA 280415 8 72
P G
SALSA . N SUNATA / SITI
3 MELANI 110815 6 64
P G
GIVARI JENI / MISTI
4 020615 7 68
L G
RASSYA . A. F TASMAN /
5 NURYANTI 300415 7 73
L G
6 AMELIYAH P G 120415 8 74
YUKI IRFAN /
7 FIDELIYA .F TURINIH 170615 5 62
P G
M. ARIFIN SAMIDIN /
8 DENIS 031115 6 63
L G
YUSUF . M SIMIN /
9 WASRIAH 051215 4 57
L G
SELLA SUTRISNO /
10 PRASETYA SUHAEMI 100615 6 66
P NG
MAYDESTA TALKIM / DESI .
11 R 170515 11 91
L NG
12 DIAH TAMA / DEWI P NG 2 3 0 3 1 5 12 96
SELA WARGA / TATI .
13 T 030315 6 64
P G
JIHAN TRI ALI . R /
14 MAHESA TARSIKA . M 271115 5.2 62
P G
ARILIN JAENUDIN /
15 LINTANG .W IDAH 191215 4 59
JUBAEDAH
P NG
AHMAD . R SAYIDIN /
16 IROH . N 280615 7 70
L NG
WINDA TARJANA /
17 RISKA . A 101015 6 66
P G
18 FETI SOLIHA . R P NG 2 5 0 2 1 5 8 64
LIANA FAUZIAH
19 DULKARIM / 08 0313 9 79
P NG
WINDA . S
20 FITRIANA P NG 1 7 0715 7 68
21 PINANTI . C . A JENI / CAWI P NG 0 1 0615 7 70
MUHARI . M CANDI / SUTERI
22 20 0815 7 60
L G
23 YASMIN ROSIKIN / ELI P NG 0 5 0815 6 59
NOVIA . J WASNA /
24 TRIYANA 31 0715 8 66
P G
25 DZIKRA MUNIR / LISTI P NG 0 8 1015 6 65
SYAIF NAWIN /
26 FADILLAH . A MUNING 26 0115 8 76
L NG
HAWA AISY . H NURKHOLIS /
27 LUQI 24 0215 9 70
P NG
USWATUN SUPARNO /
28 KHASANAH MUTI 09 0815 8 60
P NG
MUHAMMAD . KARYO / ISRO
29 R 03 1215 4 57
L G
FAHAD ARSA B H. AGUS
30 MAKSUM / 12 1015 5 59
AFIYAH
L NG
JAN FEB MAR APRIL MEI JUNI JULI AGST SEPT OKT NOV DES
NO. NAMA BAYI NAMA ORANG TUA L / P G/N TANGGAL LAHIR
G BB TB BB TB BB TB BB TB BB TB BB TB BB TB BB TB BB TB BB TB BB TB BB TB

M. SAKTI KARSUDI / SUPRIYANTI


1 2 2 0 5 1 3 12 93
L NG
NADYA . N. A RUDI .W / NUNUNG
2 2 1 0 7 1 4 10 81
P NG
NAZWA CASIDIN / DURI .N
3 2 2 0 5 1 5 6.5 60
P NG
ELOK FITRI . A DEDI/ DESTI . A
4 1 8 0 9 1 1 14 96
P NG
FARAH . A DEDI / DISTI . A
5 1 3 1 0 1 3 11 84
P NG
TYARA . A CASYADI / JULEKA
6 1 4 0 9 1 4 11 80
P G
AFGANI DANI / KADMIAH
7 2 4 0 8 1 2 10 90
L G
RAISA NURKHASAN / IMASRIAH
8 0 5 0 6 1 3 10 89
P NG
SAQUILA .S TRISNA / KARLINA .P
9 1 1 0 9 1 4 10 78
P G
MUIZU TIRTA / DARSINAH
10 0 2 0 5 1 3 17 100
L NG
SAJARIL MASKUN / CARINIH
11 2 4 1 0 1 2 12 93
L G
BAEHAQIE . Q SUKAENI . A / KHUSNUL .
12 K 0 5 1 2 1 2 12 92
L NG
FAIZA . A. A KARSONO / KANITA
13 2 8 0 4 1 5 8 72
P G
SALSA . N SUNATA / SITI MELANI
14 1 1 0 8 1 5 6 64
P G
15 GIVARI JENI / MISTI L G 0 2 0 6 1 5 7 68
16 RASSYA . A. F TASMAN / NURYANTI L G 3 0 0 4 1 5 7 73
17 KIAN BAGUS L. Z DEDE .S / SELIANA L NG 1 7 0 9 1 4 10 81
18 NOVAL FAUZI . P HENDRI / VINA .O L G 2 2 1 1 1 3 9 74
19 M. AL AZKA L NG 1 5 0 3 1 3 15 99
A. SYUKUR / EILAWATI
20 M. ASSYAFIQ L NG 1 4 0 5 1 4 10 76
21 JESSIKA SUHENI P G 1 3 0 9 1 3 12 89
22 ARI SISWANTO WARNOTO / SRI DEVI L G 1 3 1 0 1 3 11 86
23 TEGAR . S L G 0 5 1 1 1 3 11 88
SAMSUDIN / WARIDAH
24 AMELIYAH P G 1 2 0 4 1 5 8 74
25 WIKE . R SIMIN / WASRIAH P G 0 1 1 0 1 1 13 92
26 NUROHMAN JALAL / SANIRIH L NG 0 7 0 1 1 2 11 90
27 EBRIYANO L NG 1 4 0 2 1 4 10 82
28 AMIRUDIN UMAR / SUKIRAH L NG 2 1 1 0 1 1 14 98
29 M. HAFIS .H SANDRIYANA / ANIYAH L NG 2 8 1 0 1 4 11 85
30 TRI DEA . P TARWADI / CARMINAH P G 1 4 0 8 1 3 10 92
31 HANDRI . W YONI / MIRNAWATI L NG 0 7 0 1 1 3 15 107
32 AYU. K P G 1 9 1 2 1 1 10 99
SEPI AJI / KUSLIAH
33 JUARI L G 2 0 0 1 1 3 9 89
34 RANGGA WAYUDI / TUMROH L NG 1 0 1 1 1 1 12 97
35 YUKI FIDELIYA .F IRFAN / TURINIH P G 1 7 0 6 1 5 5 62
36 LESTI INDRI . Y TARONI / NUGIYANTI P G 0 9 0 1 1 5 9 82
37 HALIMAH . S SLAMET / DARTI P G 0 1 0 1 1 5 7 71
38 M. ARIFIN SAMIDIN / DENIS L G 0 3 1 1 1 5 6 63
39 YUSUF . M SIMIN / WASRIAH L G 0 5 1 2 1 5 4 57
40 SELLA PRASETYA SUTRISNO / SUHAEMI P NG 1 0 0 6 1 5 6 66
41 DIAH FAHRI RISKI . B / SISKA . M L NG 0 5 1 0 1 2 12 93
42 DELA. A. U KARYONO / RASTI P NG 2 4 1 2 1 3 9 84
43 KHAYLA . H. A P NG 2 9 1 1 1 2 10 70
IMAM . A. D / YEN . A
44 KHANAYA H. A P NG 1 1 0 1 1 3 11 78
45 MAYDESTA TALKIM / DESI . R L NG 1 7 0 5 1 5 11 91
46 MUHAMAD . R . N TARKIM / WASNIAH L NG 1 1 0 9 1 2 12 90
47 ADILA . M RAHMAT . H / SISKA W P NG 1 6 0 9 1 1 9 82
48 WIDATUN CASLIM / TASKINAH P G 0 6 0 7 1 3 9 85
49 SIFA . A TADI . R / RATINIH P G 0 2 0 7 1 2 13 104
50 DIAH TAMA / DEWI P NG 2 3 0 3 1 5 12 96
51 SELA WARGA / TATI . T P G 0 3 0 3 1 5 6 64
52 JIHAN TRI MAHESA ALI . R / TARSIKA . M P G 2 7 1 1 1 5 5.2 62
ARILIN LINTANG .W JAENUDIN / IDAH
53 JUBAEDAH 1 9 1 2 1 5 4 59
P NG
54 AHMAD . R SAYIDIN / IROH . N L NG 2 8 0 6 1 5 7 70
55 WINDA TARJANA / RISKA . A P G 1 0 1 0 1 5 6 66
56 QUINNHAWA . R ARIBOWO / YANI P G 1 8 0 7 1 4 11 75
57 ADE RAHAYU HARYONO / ERNA P NG 2 8 1 0 1 4 10 76
58 HAIDAR . IBNU . H HERI / WIANAH L NG 2 7 0 8 1 4 10 75
59 ZIDDAN TARHADI / SAKIYAH L G 0 8 0 6 1 3 9 79
60 AIP JAELANI JUNAEDI / SITI . M L NG 1 5 0 5 1 4 10 77
61 ERIKA KADIRAH / YULI P NG 1 6 0 3 1 3 11 80
62 NASYA TRISNO / DARINIH P NG 2 0 1 1 1 2 14 99
63 GUNTUR MARHADI / IPAH L NG 1 1 0 4 1 2 13 90
64 ANISA SITI MARYAM SAKRUDIN / CANGINAH P NG 2 3 0 7 1 1 9.2 80
65 PURI GINA RAHAYU P NG 2 6 0 1 1 3 9 79
WANGSA / WIWIN
66 FETI SOLIHA . R P NG 2 5 0 2 1 5 8 64
67 LIANA FAUZIAH P NG 0 8 0 3 1 3 9 79
DULKARIM / WINDA . S
68 FITRIANA P NG 1 7 0 7 1 5 7 68
69 PINANTI . C . A JENI / CAWI P NG 0 1 0 6 1 5 7 70
70 MUHARI . M CANDI / SUTERI L G 2 0 0 8 1 5 7 60
71 YASMIN ROSIKIN / ELI P NG 0 5 0 8 1 5 6 59
72 NOVIA . J WASNA / TRIYANA P G 3 1 0 7 1 5 8 66
73 DZIKRA MUNIR / LISTI P NG 0 8 1 0 1 5 6 65
74 SYAIF FADILLAH . A NAWIN / MUNING L NG 2 6 0 1 1 5 8 76
75 HAWA AISY . H NURKHOLIS / LUQI P NG 2 4 0 2 1 5 9 70
76 USWATUN KHASANAH SUPARNO / MUTI P NG 0 9 0 8 1 5 8 60
77 MUHAMMAD . R KARYO / ISRO L G 0 3 1 2 1 5 4 57
FAHAD ARSA B H. AGUS MAKSUM /
78 AFIYAH 1 2 1 0 1 5 5 59
L NG
79 RANDI SUGIANTO / LELA L NG 1 5 1 2 1 4 10 75
REGISTER KOHORT IBU
DESA : BABADAN PUSKESMAS : BABADAN KECAMATAN : SINDANG DESA : BABADAN

NAMA UMUR UMUR HAMIL DETEKSI JARAK IMUNISASI KUNJUNGAN


NO RT/RW LILA TB HB TD
IBU SUAMI IBU KEHAMILAN KE- RESIKO HAMIL JAN FEB MAR APR MEI JUNI JULI
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REGISTER KOHORT IBU
PUSKESMAS : BABADAN KECAMATAN : SINDANG

PERSALINAN KELAHIRAN KUNJUNGAN KET


AGST SEPT OKT NOV DES NAKES NON NAKES LM LH NIFAS

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