SASARAN DOFU (DROP OUT FOLLOW UP) PUSKESMAS SEI LANGKAI 2017

PROVINSI : Kep. Riau

KOTA : Batam
PUSKESMAS : Sei Langkai
KELURAHAN : Sei Langkai

Tanggal Pemberian Imunisasi

TANGGAL
NO NAMA ANAK NAMA ORANG TUA ALAMAT
LAHIR HB-0 BCG Polio 1 DPTHBHIB 1 Polio 2 DPTHBHIB 2 Polio 3 DPTHBHIB 3 Polio 4 Campak

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 GRISDA 26/10/2015 Eriando Tambunan Bukit Melat 1/14/2017 1/14/2017 2/14/2017 2/14/2017
2 ADZAN RAHIM 10/6/2015 Rahmi Mulyadi/Sri Rahmi Turnia No. 50 1/8/2017 1/8/2017
3 REYA 12/10/2015 Anis Buana Raya 1/9/2017 1/9/2017 2/8/2017 2/8/2017
4 NICK JANSON 9/10/2016 Aliken/Eka Rabayu 2/15/2017 2/15/2017
5 VIANDI 6/11/2016 Yohana/Suhendri Sei Pelunggut 1/5/2017 1/5/2017 2/6/2017 2/6/2017
6 ALEX 5/15/2016 Kana/Wanda Sei Pelunggut 1/3/2017 1/3/2017
7 TISIA 3/4/2016 Linsana Sei Pelunggut 1/3/2017 1/3/2017
8 FAREL ATHARIZ 12/25/2015 Zainal/Afriyant Permata Rabayu 1/15/2017 1/15/2017 2/15/2017 2/15/2017
9 MALIKA RIZKI 5/8/2016 Nadia Taman Cipta Asri 1/22/2017 1/22/2017
Jumlah
KOTA : Batam
PUSKESMAS : Sei Langkai
KELURAHAN : Sei Langkai

TANGGAL
NO NAMA ANAK NAMA ORANG TUA ALAMAT
LAHIR HB-0

1 2 3 4 5 6
1 GRISDA 26/10/2015 Eriando Tambunan Bukit Melat
2 ADZAN RAHIM 10/6/2015 Rahmi Mulyadi/Sri Rahmi Turnia No. 50 10/7/2015
3 REYA 12/10/2015 Anis Buana Raya
4 NICK JANSON 9/10/2016 Aliken/Eka Rabayu 9/15/2016
5 VIANDI 6/11/2016 Yohana/Suhendri Sei Pelunggut 6/11/2016
6 ALEX 5/15/2016 Kana/Wanda Sei Pelunggut
7 TISIA 3/4/2016 Linsana Sei Pelunggut
8 FAREL ATHARIZ 12/25/2015 Zainal/Afriyant Permata Rabayu
9 MALIKA RIZKI 5/8/2016 Taman Cipta Asri
Jumlah
Sei Langkai
Sei Langkai

Tanggal Pemberian Imunisasi

BCG Polio 1 DPTHBHIB 1 Polio 2 DPTHBHIB 2 Polio 3 DPTHBHIB 3 Polio 4

7 8 9 10 11 12 13 14
12/14/2015 12/14/2015 12/14/2016 12/14/2016 1/14/2017 1/14/2017 2/14/2017 2/14/2017
11/9/2015 11/9/2015 12/8/2015 12/8/2015 1/8/2016 1/8/2016 1/8/2017 1/8/2017
1/8/2016 1/8/2016 3/8/2016 3/8/2016 1/9/2017 1/9/2017 2/8/2017 2/8/2017
10/15/2016 10/15/2016 2/15/2017 2/15/2017
8/28/2016 8/28/2016 10/5/2016 10/5/2016 1/5/2017 1/5/2017 2/6/2017 2/6/2017
6/3/2016 6/3/2016 1/3/2017 1/3/2017
5/4/2016 5/4/2016 6/3/2016 6/3/2016 1/3/2017 1/3/2017
1/15/2016 2/15/2016 1/15/2017 1/15/2017 2/15/2017 2/15/2017
5/22/2016 5/22/2016 6/22/2016 6/22/2016 1/22/2017 1/22/2017
Campak

15