LAPORAN RIIL IMUNISASI PUSKESMAS WONOKUSUMO

RW : XIV

SASARAN 125

KABUPATEN / KOTA : SURABAYA

PROVINSI : JAWA TIMUR

TAHUN : 2019

TANGGAL
NO NAMA BAYI NAMA IBU ALAMAT LENGKAP KELURAHAN
LAHIR BAYI
1 AZKA MAULANA 05/01/2018 ISWANTO WONOSARI LOR KB 2/18 WONOKUSUMO
2 ARFAN ZAFRAN 08/01/2018 ARIF WONOSARI LOR 5B/20 WONOKUSUMO
3 KHAYLA NADIRA 04/01/2018 SAFRISAL WONOSARI LOR KB 2/18 B WONOKUSUMO
4 AISYAH 13/01/2018 IMAM WONOSARI LOR BARU 6/10 WONOKUSUMO
5 RAISHA 18/01/2018 ABD ROHIM WONOSARI LOR 4/9 WONOKUSUMO
6 ADIFA 14/02/2018 ABD ROHMAN WONOSARI LOR BARU 5/16 WONOKUSUMO
7 FELISA 17/02/2018 WONOSARI LOR KB 3/9 WONOKUSUMO
8 ALVIATUS ZAKIA 25/02/2018 MALIK WONOSARI LOR 2/8B WONOKUSUMO
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO WONOSARI 3D/7 WONOKUSUMO
10 ACHMAD FAIYEK 19/02/2018 ROFIQ WONOSARI LOR KB 2/25 WONOKUSUMO
11 ADAM 01/03/2018 WONOSARI LOR WONOKUSUMO
12 ADINDA NAFISA 10/03/2018 KHOIRUL WONOSARI LOR 6/2 WONOKUSUMO
13 ZHAFRAN 10/03/2018 ISMAIL WONOSARI LOR KB 3/10 WONOKUSUMO
14 NUR ANINDITA 12/03/2018 M. AINUL WONOSARI LOR 8/8 WONOKUSUMO
15 ALVIN 20/03/2018 MAKNESAM WONOSARI LOR WONOKUSUMO
16 NEFAN DHEANDRA 23/03/2018 ANGGA WONOSARI LOR 3A/8A WONOKUSUMO
17 RAZQA 24/03/2018 KRISTIAN WONOSARI LOR KB 16 WONOKUSUMO
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI WONOSARI LOR 4/43 WONOKUSUMO
19 FAJAR HARDIANYAH 30/03/2018 WONOSARI LOR 3/19 WONOKUSUMO
20 MALIKA ZAHIRA 08/04/2018 MASRIFA WONOSARI LOR BARU 9/1A WONOKUSUMO
21 BILQIS 07/04/2018 WONOSARI LOR KB 3 WONOKUSUMO
22 WAHYU SUSANTO 19/04/2018 MENIK WONOSARI LOR 5B/8 WONOKUSUMO
23 FATHIA SAFFA 01/04/2018 HEPRI WONOSARI L0R 3B/2 WONOKUSUMO
24 AISATUR.M 16/04/2018 RODI WONOSARI LOR 4/43 WONOKUSUMO
25 ALVA RISAL 08/05/2018 WONOSARI LOR 3/10 WONOKUSUMO
26 AQILA 09/05/2018 WONOSARI LOR WONOKUSUMO
27 M.UBAIDILLAH.R 11/04/2018 WONOKUSUMO
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH WONOSARI LOR BARU 1/21 WONOKUSUMO
29 MIKAILA 22/07/2018 ADIT WONOSARI LOR BARU 12/1 WONOKUSUMO
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI WONOSARI LOR BARU 8/11 WONOKUSUMO
31 AISYAH ALIFA 11/07/2018 SUMRI WONOSARI LOR 5B/10A WONOKUSUMO
32 ADIP REZA 29/06/2018 SOFI WONOSARI LOR 5A/16A WONOKUSUMO
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS WONOSARI LOR VB/8B WONOKUSUMO
34 ALKAFI AZURA 20/07/2018 MAHFUD WONOSARI LOR KB 72 WONOKUSUMO
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN WONOSARI LOR BARU 4/9 WONOKUSUMO
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH WONOSARI LOR 4/12A WONOKUSUMO
37 AL FATIH 03/04/2018 FAISOL WONOSARI LOR BARU 5/12 WONOKUSUMO
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH WONOSARI LOR BARU 10/23 WONOKUSUMO
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL WONOSARI LOR BARU 10/23 WONOKUSUMO
40 M.RASYID PUTRA 07/06/2018 YUNIANTO SIMO RUKUN 9/42 WONOKUSUMO
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN WONOSARI LOR BARU 8/10 WONOKUSUMO
42 FARZAMA FITRA 09/06/2018 WONOSARI LOR KB WONOKUSUMO
43 FAIQ ANDI 20/10/2018 WONOSARI LOR BARU KB WONOKUSUMO
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH WONOSARI LOR KB 1/10B WONOKUSUMO
45 NADIA 25/04/2018 WONOARI LOR 3D/23 WONOKUSUMO
46 ALISA 11/09/2018 ABD.JALIL WONOKUSUMO
47 HAFIFA 28/10/2018 WONOSARI LOR 4/12A WONOKUSUMO
48 ABIZAR DEVANO 03/12/2018 WONOSARI LOR 4/7B WONOKUSUMO
49 ASKA PARADIS 08/11/2018 WONOSARI LOR BARU 5/27 WONOKUSUMO
50 ARSAD 27/10/2018 WONOSARI LOR WONOKUSUMO
51 SANA HILWA 14/12/2018 SAIFUL WONOSARI LOR BARU 1/10 WONOKUSUMO
52 SINTIA DWI P 09/12/2018 SUYANTO WONOSARI LOR BARU KB/64 WONOKUSUMO
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK WONOSARI LOR 1/54 WONOKUSUMO
54 RAY VINSYAH 12/11/2018 KANZA WONOSARI LOR 3A/2 WONOKUSUMO
55 AIRA 29/12/2018 CATUR WONOSARI LOR KB I/32 WONOKUSUMO
56 SALSABILA 24/12/2018 WONOSARI LOR 5A/10 WONOKUSUMO
57 ZAKIATUS SAFA 10/02/2019 ANSORI WONOSARI LOR 5B/14 WONOKUSUMO
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN WONOSARI LOR KB 1/8 WONOKUSUMO
59 M.SOBIR 30/11/2018 ZAINI WONOSARI LOR 3/30 WONOKUSUMO
60 RAHMAT KENJI 21/09/2018 MISLAMI WONOSARI KB 64 WONOKUSUMO
61 M.ASHABI 21/10/2018 M.SAKUR WONOSARI LOR 3F/5 WONOKUSUMO
62 ALI MUSAYYEF 15/12/2018 ISMAIL WONOSARI LOR BARU 8/7 WONOKUSUMO
63 MAULIDIA 21/11/2018 ACH.TURI WONOSARI LOR BARU10/2 WONOKUSUMO
64 BILQIS 24/09/2018 JUPRI WONOSARI LOR BARU 10/23 WONOKUSUMO
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY WONOSARI LOR BARU 45/14 WONOKUSUMO
66 AGIL FARDIANSYAH 05/02/2019 SIGIT WONOSARI LOR 5B/15 WONOKUSUMO
67 MUTIARA INDAH 06/10/2018 TEGUH WONOSARI LOR KB/14 WONOKUSUMO
68 AIRA PUTRI A 09/09/2018 ARIS WONOSARILOR KB 1/24A WONOKUSUMO
69 alfiyah 27/06/2018 wonosari lor WONOKUSUMO
70 DIMAS 29/01/2019 HERIN WONOSARI LOR BARU 11/39 WONOKUSUMO
71 SHERLY 25/01/2019 DODIK WONOSARI LOR BARU 10/18 WONOKUSUMO
72 ISMALA 11/12/2018 FAHRIZAL WONOSARI LOR BARU 10/23 WONOKUSUMO
73 M.HARUN NAJIB 27/11/2018 NAJIB WONOSARI LOR 5B/15 WONOKUSUMO
74 ASROFIL AKBAR 22/09/2018 WONOSARI LOR BARU 10/ WONOKUSUMO
75 FADIA RAHTILLAH 20/04/2019 WONOSARI LOR BARU 58A WONOKUSUMO
76 ALIF GIBRAN 27/02/2019 ABD WONOSARI LOR 4/2 WONOKUSUMO
77 AKIFA 15/12/2018 BUDIONO WONOSARI LOR 3C/1C WONOKUSUMO
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
 98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
 LAPORAN RIIL IMUNISASI PUSKESMAS WONOKUSUMO
RW : XIV
SASARAN : 125
KABUPATEN / KOTA : SURABAYA
PROVINSI : JAWA TIMUR
TAHUN : 2019

TANGGAL TANGGAL PEMBERIAN IMUNISASI

NO NAMA BAYI NAMA IBU ALAMAT LENGKAP KELURAHAN
LAHIR BAYI HB0 (0<24 JAM)
1 AZKA MAULANA 05/01/2018 ISWANTO WONOSARI LOR KB 2/18 WONOKUSUMO 05/01/2018
2 ARFAN ZAFRAN 08/01/2018 ARIF WONOSARI LOR 5B/20 WONOKUSUMO 08/01/2018
3 KHAYLA NADIRA 04/01/2018 SAFRISAL WONOSARI LOR KB 2/18 B WONOKUSUMO 04/01/2018
4 AISYAH 13/01/2018 IMAM WONOSARI LOR BARU 6/10 WONOKUSUMO 13/01/2018
5 RAISHA 18/01/2018 ABD ROHIM WONOSARI LOR 4/9 WONOKUSUMO 18/01/2018
6 ADIFA 14/02/2018 ABD ROHMAN WONOSARI LOR BARU 5/16 WONOKUSUMO 14/02/2018
7 FELISA 17/02/2018 0 WONOSARI LOR KB 3/9 WONOKUSUMO 17/02/2018
8 ALVIATUS ZAKIA 25/02/2018 MALIK WONOSARI LOR 2/8B WONOKUSUMO 25/02/2018
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO WONOSARI 3D/7 WONOKUSUMO 27/02/2018
10 ACHMAD FAIYEK 19/02/2018 ROFIQ WONOSARI LOR KB 2/25 WONOKUSUMO 19/02/2018
11 ADAM 01/03/2018 0 WONOSARI LOR WONOKUSUMO 01/03/2018
12 ADINDA NAFISA 10/03/2018 KHOIRUL WONOSARI LOR 6/2 WONOKUSUMO 10/03/2018
13 ZHAFRAN 10/03/2018 ISMAIL WONOSARI LOR KB 3/10 WONOKUSUMO 10/03/2018
14 NUR ANINDITA 12/03/2018 M. AINUL WONOSARI LOR 8/8 WONOKUSUMO 12/03/2018
15 ALVIN 20/03/2018 MAKNESAM WONOSARI LOR WONOKUSUMO 20/03/2018
16 NEFAN DHEANDRA 23/03/2018 ANGGA WONOSARI LOR 3A/8A WONOKUSUMO 23/03/2018
17 RAZQA 24/03/2018 KRISTIAN WONOSARI LOR KB 16 WONOKUSUMO 24/03/2018
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI WONOSARI LOR 4/43 WONOKUSUMO 29/03/2018
19 FAJAR HARDIANYAH 30/03/2018 0 WONOSARI LOR 3/19 WONOKUSUMO 30/03/2018
20 MALIKA ZAHIRA 08/04/2018 MASRIFA WONOSARI LOR BARU 9/1A WONOKUSUMO 08/04/2018
21 BILQIS 07/04/2018 0 WONOSARI LOR KB 3 WONOKUSUMO 07/04/2018
22 WAHYU SUSANTO 19/04/2018 MENIK WONOSARI LOR 5B/8 WONOKUSUMO 19/04/2018
23 FATHIA SAFFA 01/04/2018 HEPRI WONOSARI L0R 3B/2 WONOKUSUMO 01/04/2018
24 AISATUR.M 16/04/2018 RODI WONOSARI LOR 4/43 WONOKUSUMO 17/04/2018
25 ALVA RISAL 08/05/2018 0 WONOSARI LOR 3/10 WONOKUSUMO 08/05/2018
26 AQILA 09/05/2018 0 WONOSARI LOR WONOKUSUMO 5/9/2018
27 M.UBAIDILLAH.R 11/04/2018 0 0 WONOKUSUMO 4/11/2018
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH WONOSARI LOR BARU 1/21 WONOKUSUMO 4/21/2018
29 MIKAILA 22/07/2018 ADIT WONOSARI LOR BARU 12/1 WONOKUSUMO 7/22/2018
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI WONOSARI LOR BARU 8/11 WONOKUSUMO 4/21/2018
31 AISYAH ALIFA 11/07/2018 SUMRI WONOSARI LOR 5B/10A WONOKUSUMO 7/11/2018
32 ADIP REZA 29/06/2018 SOFI WONOSARI LOR 5A/16A WONOKUSUMO 6/29/2018
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS WONOSARI LOR VB/8B WONOKUSUMO 7/24/2018
34 ALKAFI AZURA 20/07/2018 MAHFUD WONOSARI LOR KB 72 WONOKUSUMO 7/20/2018
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN WONOSARI LOR BARU 4/9 WONOKUSUMO 8/6/2018
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH WONOSARI LOR 4/12A WONOKUSUMO 4/5/2018
37 AL FATIH 03/04/2018 FAISOL WONOSARI LOR BARU 5/12 WONOKUSUMO 4/3/2018
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH WONOSARI LOR BARU 10/23 WONOKUSUMO 10/1/2018
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL WONOSARI LOR BARU 10/23 WONOKUSUMO 11/7/2018
40 M.RASYID PUTRA 07/06/2018 YUNIANTO SIMO RUKUN 9/42 WONOKUSUMO 6/8/2018
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN WONOSARI LOR BARU 8/10 WONOKUSUMO 10/1/2018
42 FARZAMA FITRA 09/06/2018 0 WONOSARI LOR KB WONOKUSUMO 6/9/2018
43 FAIQ ANDI 20/10/2018 0 WONOSARI LOR BARU KB WONOKUSUMO 10/20/2018
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH WONOSARI LOR KB 1/10B WONOKUSUMO 6/5/2018
45 NADIA 25/04/2018 0 WONOARI LOR 3D/23 WONOKUSUMO 4/25/2018
46 ALISA 11/09/2018 ABD.JALIL 0 WONOKUSUMO 9/11/2018
47 HAFIFA 28/10/2018 0 WONOSARI LOR 4/12A WONOKUSUMO 10/28/2018
48 ABIZAR DEVANO 03/12/2018 0 WONOSARI LOR 4/7B WONOKUSUMO 12/4/2018
49 ASKA PARADIS 08/11/2018 0 WONOSARI LOR BARU 5/27 WONOKUSUMO 11/8/2018
50 ARSAD 27/10/2018 0 WONOSARI LOR WONOKUSUMO 10/27/2018
51 SANA HILWA 14/12/2018 SAIFUL WONOSARI LOR BARU 1/10 WONOKUSUMO 12/14/2018
52 SINTIA DWI P 09/12/2018 SUYANTO WONOSARI LOR BARU KB/64 WONOKUSUMO 12/9/2018
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK WONOSARI LOR 1/54 WONOKUSUMO 2/13/2019
54 RAY VINSYAH 12/11/2018 KANZA WONOSARI LOR 3A/2 WONOKUSUMO 11/12/2018
55 AIRA 29/12/2018 CATUR WONOSARI LOR KB I/32 WONOKUSUMO 1/3/2019
56 SALSABILA 24/12/2018 0 WONOSARI LOR 5A/10 WONOKUSUMO
57 ZAKIATUS SAFA 10/02/2019 ANSORI WONOSARI LOR 5B/14 WONOKUSUMO 2/10/2019
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN WONOSARI LOR KB 1/8 WONOKUSUMO 10/30/2018
59 M.SOBIR 30/11/2018 ZAINI WONOSARI LOR 3/30 WONOKUSUMO 11/30/2018
60 RAHMAT KENJI 21/09/2018 MISLAMI WONOSARI KB 64 WONOKUSUMO 9/21/2018
61 M.ASHABI 21/10/2018 M.SAKUR WONOSARI LOR 3F/5 WONOKUSUMO 10/22/2018
62 ALI MUSAYYEF 15/12/2018 ISMAIL WONOSARI LOR BARU 8/7 WONOKUSUMO 12/16/2018
63 MAULIDIA 21/11/2018 ACH.TURI WONOSARI LOR BARU10/2 WONOKUSUMO 11/21/2018
64 BILQIS 24/09/2018 JUPRI WONOSARI LOR BARU 10/23 WONOKUSUMO 9/24/2018
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY WONOSARI LOR BARU 45/14 WONOKUSUMO 6/3/2018
66 AGIL FARDIANSYAH 05/02/2019 SIGIT WONOSARI LOR 5B/15 WONOKUSUMO 2/5/2019
67 MUTIARA INDAH 06/10/2018 TEGUH WONOSARI LOR KB/14 WONOKUSUMO 10/12/2018
68 AIRA PUTRI A 09/09/2018 ARIS WONOSARILOR KB 1/24A WONOKUSUMO 9/10/2018
69 alfiyah 27/06/2018 0 wonosari lor WONOKUSUMO 6/27/2018
70 DIMAS 29/01/2019 HERIN WONOSARI LOR BARU 11/39 WONOKUSUMO 1/30/2019
71 SHERLY 25/01/2019 DODIK WONOSARI LOR BARU 10/18 WONOKUSUMO 1/25/2019
72 ISMALA 11/12/2018 FAHRIZAL WONOSARI LOR BARU 10/23 WONOKUSUMO 12/11/2018
73 M.HARUN NAJIB 27/11/2018 NAJIB WONOSARI LOR 5B/15 WONOKUSUMO 11/28/2018
74 ASROFIL AKBAR 22/09/2018 0 WONOSARI LOR BARU 10/ WONOKUSUMO 9/22/2018
75 FADIA RAHTILLAH 20/04/2019 0 WONOSARI LOR BARU 58A WONOKUSUMO
76 ALIF GIBRAN 27/02/2019 ABD WONOSARI LOR 4/2 WONOKUSUMO 2/28/2019
77 AKIFA 15/12/2018 BUDIONO WONOSARI LOR 3C/1C WONOKUSUMO 12/15/2018
78 0 0 0 0 0
79 0 0 0 0 0
80 0 0 0 0 0
81 0 0 0 0 0
82 0 0 0 0 0
83 0 0 0 0 0
84 0 0 0 0 0
85 0 0 0 0 0
86 0 0 0 0 0
87 0 0 0 0 0
88 0 0 0 0 0
89 0 0 0 0 0
90 0 0 0 0 0
91 0 0 0 0 0
92 0 0 0 0 0
93 0 0 0 0 0
94 0 0 0 0 0
95 0 0 0 0 0
96 0 0 0 0 0
97 0 0 0 0 0
98 0 0 0 0 0
 99 0 0 0 0 0
100 0 0 0 0 0
101 0 0 0 0 0
102 0 0 0 0 0
103 0 0 0 0 0
104 0 0 0 0 0
105 0 0 0 0 0
106 0 0 0 0 0
107 0 0 0 0 0
108 0 0 0 0 0
109 0 0 0 0 0
110 0 0 0 0 0
111 0 0 0 0 0
112 0 0 0 0 0
113 0 0 0 0 0
114 0 0 0 0 0
115 0 0 0 0 0
116 0 0 0 0 0
117 0 0 0 0 0
118 0 0 0 0 0
119 0 0 0 0 0
120 0 0 0 0 0
121 0 0 0 0 0
122 0 0 0 0 0
123 0 0 0 0 0
124 0 0 0 0 0
125 0 0 0 0 0
126 0 0 0 0 0
127 0 0 0 0 0
128 0 0 0 0 0
129 0 0 0 0 0
130 0 0 0 0 0
131 0 0 0 0 0
132 0 0 0 0 0
133 0 0 0 0 0
134 0 0 0 0 0
135 0 0 0 0 0
136 0 0 0 0 0
137 0 0 0 0 0
138 0 0 0 0 0
139 0 0 0 0 0
140 0 0 0 0 0
141 0 0 0 0 0
142 0 0 0 0 0
143 0 0 0 0 0
144 0 0 0 0 0
145 0 0 0 0 0
146 0 0 0 0 0
147 0 0 0 0 0
148 0 0 0 0 0
149 0 0 0 0 0
150 0 0 0 0 0
TOTAL 50

Ʃ KOMULATIF -75
 LAPORAN RIIL IMUNISASI PUSKESMAS WONO

RW : XIV

SASARAN : 125

KABUPATEN / KOTA : SURABAYA

PROVINSI : JAWA TIMUR

TAHUN : 2019

TANGGAL
NO NAMA BAYI NAMA IBU
LAHIR BAYI

1 AZKA MAULANA 05/01/2018 ISWANTO

2 ARFAN ZAFRAN 08/01/2018 ARIF
3 KHAYLA NADIRA 04/01/2018 SAFRISAL
4 AISYAH 13/01/2018 IMAM
5 RAISHA 18/01/2018 ABD ROHIM
6 ADIFA 14/02/2018 ABD ROHMAN
7 FELISA 17/02/2018 0
8 ALVIATUS ZAKIA 25/02/2018 MALIK
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO
10 ACHMAD FAIYEK 19/02/2018 ROFIQ
11 ADAM 01/03/2018 0
12 ADINDA NAFISA 10/03/2018 KHOIRUL
13 ZHAFRAN 10/03/2018 ISMAIL
14 NUR ANINDITA 12/03/2018 M. AINUL
15 ALVIN 20/03/2018 MAKNESAM
16 NEFAN DHEANDRA 23/03/2018 ANGGA
17 RAZQA 24/03/2018 KRISTIAN
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI
19 FAJAR HARDIANYAH 30/03/2018 0
20 MALIKA ZAHIRA 08/04/2018 MASRIFA
21 BILQIS 07/04/2018 0
22 WAHYU SUSANTO 19/04/2018 MENIK
23 FATHIA SAFFA 01/04/2018 HEPRI
24 AISATUR.M 16/04/2018 RODI
25 ALVA RISAL 08/05/2018 0
26 AQILA 09/05/2018 0
27 M.UBAIDILLAH.R 11/04/2018 0
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH
29 MIKAILA 22/07/2018 ADIT
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI
31 AISYAH ALIFA 11/07/2018 SUMRI
32 ADIP REZA 29/06/2018 SOFI
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS
34 ALKAFI AZURA 20/07/2018 MAHFUD
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH
37 AL FATIH 03/04/2018 FAISOL
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL
40 M.RASYID PUTRA 07/06/2018 YUNIANTO
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN
42 FARZAMA FITRA 09/06/2018 0
43 FAIQ ANDI 20/10/2018 0
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH
45 NADIA 25/04/2018 0
46 ALISA 11/09/2018 ABD.JALIL
47 HAFIFA 28/10/2018 0
48 ABIZAR DEVANO 03/12/2018 0
49 ASKA PARADIS 08/11/2018 0
50 ARSAD 27/10/2018 0
51 SANA HILWA 14/12/2018 SAIFUL
52 SINTIA DWI P 09/12/2018 SUYANTO
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK
54 RAY VINSYAH 12/11/2018 KANZA
55 AIRA 29/12/2018 CATUR
56 SALSABILA 24/12/2018 0
57 ZAKIATUS SAFA 10/02/2019 ANSORI
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN
59 M.SOBIR 30/11/2018 ZAINI
60 RAHMAT KENJI 21/09/2018 MISLAMI
61 M.ASHABI 21/10/2018 M.SAKUR
62 ALI MUSAYYEF 15/12/2018 ISMAIL
63 MAULIDIA 21/11/2018 ACH.TURI
64 BILQIS 24/09/2018 JUPRI
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY
66 AGIL FARDIANSYAH 05/02/2019 SIGIT
67 MUTIARA INDAH 06/10/2018 TEGUH
68 AIRA PUTRI A 09/09/2018 ARIS
69 alfiyah 27/06/2018 0
70 DIMAS 29/01/2019 HERIN
71 SHERLY 25/01/2019 DODIK
72 ISMALA 11/12/2018 FAHRIZAL
73 M.HARUN NAJIB 27/11/2018 NAJIB
74 ASROFIL AKBAR 22/09/2018 0
75 FADIA RAHTILLAH 20/04/2019 0
 76 ALIF GIBRAN 27/02/2019 ABD
77 AKIFA 15/12/2018 BUDIONO
78 0 0 0
79 0 0 0
80 0 0 0
81 0 0 0
82 0 0 0
83 0 0 0
84 0 0 0
85 0 0 0
86 0 0 0
87 0 0 0
88 0 0 0
89 0 0 0
90 0 0 0
91 0 0 0
92 0 0 0
93 0 0 0
94 0 0 0
95 0 0 0
96 0 0 0
97 0 0 0
98 0 0 0
99 0 0 0
100 0 0 0
101 0 0 0
102 0 0 0
103 0 0 0
104 0 0 0
105 0 0 0
106 0 0 0
107 0 0 0
108 0 0 0
109 0 0 0
110 0 0 0
111 0 0 0
112 0 0 0
113 0 0 0
114 0 0 0
115 0 0 0
116 0 0 0
117 0 0 0
118 0 0 0
119 0 0 0
120 0 0 0
121 0 0 0
122 0 0 0
123 0 0 0
124 0 0 0
125 0 0 0
126 0 0 0
127 0 0 0
128 0 0 0
129 0 0 0
130 0 0 0
131 0 0 0
132 0 0 0
133 0 0 0
134 0 0 0
135 0 0 0
136 0 0 0
137 0 0 0
138 0 0 0
139 0 0 0
140 0 0 0
141 0 0 0
142 0 0 0
143 0 0 0
144 0 0 0
145 0 0 0
146 0 0 0
147 0 0 0
148 0 0 0
149 0 0 0
150 0 0 0
TOTAL
Ʃ KOMULATIF
MUNISASI PUSKESMAS WONOKUSUMO

TANGGAL PEMBERIAN
ALAMAT LENGKAP KELURAHAN IMUNISASI
BCG
WONOSARI LOR KB 2/18 WONOKUSUMO 27/01/2018
WONOSARI LOR 5B/20 WONOKUSUMO 23/01/2018
WONOSARI LOR KB 2/18 B WONOKUSUMO 09/01/2018
WONOSARI LOR BARU 6/10 WONOKUSUMO 09/02/2018
WONOSARI LOR 4/9 WONOKUSUMO 23/02/2018
WONOSARI LOR BARU 5/16 WONOKUSUMO 23/02/2018
WONOSARI LOR KB 3/9 WONOKUSUMO 19/02/2018
WONOSARI LOR 2/8B WONOKUSUMO 09/03/2018
WONOSARI 3D/7 WONOKUSUMO 06/03/2018
WONOSARI LOR KB 2/25 WONOKUSUMO 02/03/2018
WONOSARI LOR WONOKUSUMO 16/03/2018
WONOSARI LOR 6/2 WONOKUSUMO 27/03/2018
WONOSARI LOR KB 3/10 WONOKUSUMO 20/03/2018
WONOSARI LOR 8/8 WONOKUSUMO 13/04/2018
WONOSARI LOR WONOKUSUMO 11/05/2018
WONOSARI LOR 3A/8A WONOKUSUMO 04/05/2018
WONOSARI LOR KB 16 WONOKUSUMO 08/06/2018
WONOSARI LOR 4/43 WONOKUSUMO 17/04/2018
WONOSARI LOR 3/19 WONOKUSUMO 15/05/2018
WONOSARI LOR BARU 9/1A WONOKUSUMO 10/04/2018
WONOSARI LOR KB 3 WONOKUSUMO 11/05/2018
WONOSARI LOR 5B/8 WONOKUSUMO 24/04/2018
WONOSARI L0R 3B/2 WONOKUSUMO 04/05/2018
WONOSARI LOR 4/43 WONOKUSUMO 08/06/2018
WONOSARI LOR 3/10 WONOKUSUMO 13/07/2018
WONOSARI LOR WONOKUSUMO 11/05/2018
0 WONOKUSUMO 11/05/2018
WONOSARI LOR BARU 1/21 WONOKUSUMO 24/04/2018
WONOSARI LOR BARU 12/1 WONOKUSUMO 24/08/2018
WONOSARI LOR BARU 8/11 WONOKUSUMO 18/05/2018
 WONOSARI LOR 5B/10A WONOKUSUMO 18/08/2018
WONOSARI LOR 5A/16A WONOKUSUMO 05/07/2018
WONOSARI LOR VB/8B WONOKUSUMO 31/07/2018
WONOSARI LOR KB 72 WONOKUSUMO 24/08/2018
WONOSARI LOR BARU 4/9 WONOKUSUMO 14/08/2018
WONOSARI LOR 4/12A WONOKUSUMO 13/04/2018
WONOSARI LOR BARU 5/12 WONOKUSUMO 20/04/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 12/10/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 30/11/2018
SIMO RUKUN 9/42 WONOKUSUMO 14/07/2018
WONOSARI LOR BARU 8/10 WONOKUSUMO 09/10/2018
WONOSARI LOR KB WONOKUSUMO
WONOSARI LOR BARU KB WONOKUSUMO 21/12/2018
WONOSARI LOR KB 1/10B WONOKUSUMO 27/07/2018
WONOARI LOR 3D/23 WONOKUSUMO 16/05/2018
0 WONOKUSUMO 19/10/2018
WONOSARI LOR 4/12A WONOKUSUMO 16/11/2018
WONOSARI LOR 4/7B WONOKUSUMO 04/01/2019
WONOSARI LOR BARU 5/27 WONOKUSUMO 14/12/2018
WONOSARI LOR WONOKUSUMO 11/01/2019
WONOSARI LOR BARU 1/10 WONOKUSUMO 28/12/2018
WONOSARI LOR BARU KB/64 WONOKUSUMO 14/12/2018
WONOSARI LOR 1/54 WONOKUSUMO 22/02/2019
WONOSARI LOR 3A/2 WONOKUSUMO 23/11/2018
WONOSARI LOR KB I/32 WONOKUSUMO 18/01/2019
WONOSARI LOR 5A/10 WONOKUSUMO 11/01/2019
WONOSARI LOR 5B/14 WONOKUSUMO 15/02/2019
WONOSARI LOR KB 1/8 WONOKUSUMO 30/11/2018
WONOSARI LOR 3/30 WONOKUSUMO 23/01/2019
WONOSARI KB 64 WONOKUSUMO 27/09/2018
WONOSARI LOR 3F/5 WONOKUSUMO 26/10/2018
WONOSARI LOR BARU 8/7 WONOKUSUMO 21/12/2018
WONOSARI LOR BARU10/2 WONOKUSUMO 07/12/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 05/10/2018
WONOSARI LOR BARU 45/14 WONOKUSUMO 25/06/2018
WONOSARI LOR 5B/15 WONOKUSUMO 15/03/2019
WONOSARI LOR KB/14 WONOKUSUMO 24/10/2018
WONOSARILOR KB 1/24A WONOKUSUMO 12/09/2019
wonosari lor WONOKUSUMO 31/08/2018
WONOSARI LOR BARU 11/39 WONOKUSUMO 15/03/2019
WONOSARI LOR BARU 10/18 WONOKUSUMO 08/02/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO 04/01/2019
WONOSARI LOR 5B/15 WONOKUSUMO 11/01/2019
WONOSARI LOR BARU 10/ WONOKUSUMO 05/10/2018
WONOSARI LOR BARU 58A WONOKUSUMO 10/05/2019
 WONOSARI LOR 4/2 WONOKUSUMO 15/03/2019
WONOSARI LOR 3C/1C WONOKUSUMO 28/12/2018
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TOTAL 0

Ʃ KOMULATIF -125
 LAPORAN RIIL IMUNISASI PUSKESMAS WONO

RW : XIV

SASARAN : 125

KABUPATEN / KOTA : SURABAYA

PROVINSI : JAWA TIMUR

TAHUN : 2019

TANGGAL
NO NAMA BAYI NAMA IBU
LAHIR BAYI

1 AZKA MAULANA 05/01/2018 ISWANTO

2 ARFAN ZAFRAN 08/01/2018 ARIF
3 KHAYLA NADIRA 04/01/2018 SAFRISAL
4 AISYAH 13/01/2018 IMAM
5 RAISHA 18/01/2018 ABD ROHIM
6 ADIFA 14/02/2018 ABD ROHMAN
7 FELISA 17/02/2018 0
8 ALVIATUS ZAKIA 25/02/2018 MALIK
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO
10 ACHMAD FAIYEK 19/02/2018 ROFIQ
11 ADAM 01/03/2018 0
12 ADINDA NAFISA 10/03/2018 KHOIRUL
13 ZHAFRAN 10/03/2018 ISMAIL
14 NUR ANINDITA 12/03/2018 M. AINUL
15 ALVIN 20/03/2018 MAKNESAM
16 NEFAN DHEANDRA 23/03/2018 ANGGA
17 RAZQA 24/03/2018 KRISTIAN
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI
19 FAJAR HARDIANYAH 30/03/2018 0
20 MALIKA ZAHIRA 08/04/2018 MASRIFA
21 BILQIS 07/04/2018 0
22 WAHYU SUSANTO 19/04/2018 MENIK
23 FATHIA SAFFA 01/04/2018 HEPRI
24 AISATUR.M 16/04/2018 RODI
25 ALVA RISAL 08/05/2018 0
26 AQILA 09/05/2018 0
27 M.UBAIDILLAH.R 11/04/2018 0
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH
29 MIKAILA 22/07/2018 ADIT
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI
31 AISYAH ALIFA 11/07/2018 SUMRI
32 ADIP REZA 29/06/2018 SOFI
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS
34 ALKAFI AZURA 20/07/2018 MAHFUD
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH
37 AL FATIH 03/04/2018 FAISOL
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL
40 M.RASYID PUTRA 07/06/2018 YUNIANTO
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN
42 FARZAMA FITRA 09/06/2018 0
43 FAIQ ANDI 20/10/2018 0
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH
45 NADIA 25/04/2018 0
46 ALISA 11/09/2018 ABD.JALIL
47 HAFIFA 28/10/2018 0
48 ABIZAR DEVANO 03/12/2018 0
49 ASKA PARADIS 08/11/2018 0
50 ARSAD 27/10/2018 0
51 SANA HILWA 14/12/2018 SAIFUL
52 SINTIA DWI P 09/12/2018 SUYANTO
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK
54 RAY VINSYAH 12/11/2018 KANZA
55 AIRA 29/12/2018 CATUR
56 SALSABILA 24/12/2018 0
57 ZAKIATUS SAFA 10/02/2019 ANSORI
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN
59 M.SOBIR 30/11/2018 ZAINI
60 RAHMAT KENJI 21/09/2018 MISLAMI
61 M.ASHABI 21/10/2018 M.SAKUR
62 ALI MUSAYYEF 15/12/2018 ISMAIL
63 MAULIDIA 21/11/2018 ACH.TURI
64 BILQIS 24/09/2018 JUPRI
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY
66 AGIL FARDIANSYAH 05/02/2019 SIGIT
67 MUTIARA INDAH 06/10/2018 TEGUH
68 AIRA PUTRI A 09/09/2018 ARIS
69 alfiyah 27/06/2018 0
70 DIMAS 29/01/2019 HERIN
71 SHERLY 25/01/2019 DODIK
72 ISMALA 11/12/2018 FAHRIZAL
73 M.HARUN NAJIB 27/11/2018 NAJIB
74 ASROFIL AKBAR 22/09/2018 0
75 FADIA RAHTILLAH 20/04/2019 0
 76 ALIF GIBRAN 27/02/2019 ABD
77 AKIFA 15/12/2018 BUDIONO
78 0 0 0
79 0 0 0
80 0 0 0
81 0 0 0
82 0 0 0
83 0 0 0
84 0 0 0
85 0 0 0
86 0 0 0
87 0 0 0
88 0 0 0
89 0 0 0
90 0 0 0
91 0 0 0
92 0 0 0
93 0 0 0
94 0 0 0
95 0 0 0
96 0 0 0
97 0 0 0
98 0 0 0
99 0 0 0
100 0 0 0
101 0 0 0
102 0 0 0
103 0 0 0
104 0 0 0
105 0 0 0
106 0 0 0
107 0 0 0
108 0 0 0
109 0 0 0
110 0 0 0
111 0 0 0
112 0 0 0
113 0 0 0
114 0 0 0
115 0 0 0
116 0 0 0
117 0 0 0
118 0 0 0
119 0 0 0
120 0 0 0
121 0 0 0
122 0 0 0
123 0 0 0
124 0 0 0
125 0 0 0
126 0 0 0
127 0 0 0
128 0 0 0
129 0 0 0
130 0 0 0
131 0 0 0
132 0 0 0
133 0 0 0
134 0 0 0
135 0 0 0
136 0 0 0
137 0 0 0
138 0 0 0
139 0 0 0
140 0 0 0
141 0 0 0
142 0 0 0
143 0 0 0
144 0 0 0
145 0 0 0
146 0 0 0
147 0 0 0
148 0 0 0
149 0 0 0
150 0 0 0
TOTAL
Ʃ KOMULATIF
MUNISASI PUSKESMAS WONOKUSUMO

TANGGAL PEMBERIAN
ALAMAT LENGKAP KELURAHAN IMUNISASI
POLIO1
WONOSARI LOR KB 2/18 WONOKUSUMO 06/03/2018
WONOSARI LOR 5B/20 WONOKUSUMO 23/01/2018
WONOSARI LOR KB 2/18 B WONOKUSUMO 09/01/2018
WONOSARI LOR BARU 6/10 WONOKUSUMO 09/02/2018
WONOSARI LOR 4/9 WONOKUSUMO 23/02/2018
WONOSARI LOR BARU 5/16 WONOKUSUMO 23/02/2018
WONOSARI LOR KB 3/9 WONOKUSUMO 19/02/2018
WONOSARI LOR 2/8B WONOKUSUMO 09/03/2018
WONOSARI 3D/7 WONOKUSUMO 06/03/2018
WONOSARI LOR KB 2/25 WONOKUSUMO 02/03/2018
WONOSARI LOR WONOKUSUMO 16/03/2018
WONOSARI LOR 6/2 WONOKUSUMO 18/05/2018
WONOSARI LOR KB 3/10 WONOKUSUMO 11/05/2018
WONOSARI LOR 8/8 WONOKUSUMO 13/04/2018
WONOSARI LOR WONOKUSUMO 11/05/2018
WONOSARI LOR 3A/8A WONOKUSUMO 04/05/2018
WONOSARI LOR KB 16 WONOKUSUMO 31/03/2018
WONOSARI LOR 4/43 WONOKUSUMO 17/04/2018
WONOSARI LOR 3/19 WONOKUSUMO 15/05/2018
WONOSARI LOR BARU 9/1A WONOKUSUMO 11/05/2018
WONOSARI LOR KB 3 WONOKUSUMO 13/04/2018
WONOSARI LOR 5B/8 WONOKUSUMO 24/04/2018
WONOSARI L0R 3B/2 WONOKUSUMO 04/05/2018
WONOSARI LOR 4/43 WONOKUSUMO 08/06/2018
WONOSARI LOR 3/10 WONOKUSUMO 13/07/2018
WONOSARI LOR WONOKUSUMO 08/06/2018
0 WONOKUSUMO 11/05/2018
WONOSARI LOR BARU 1/21 WONOKUSUMO 09/07/2018
WONOSARI LOR BARU 12/1 WONOKUSUMO 24/08/2018
WONOSARI LOR BARU 8/11 WONOKUSUMO 18/05/2018
 WONOSARI LOR 5B/10A WONOKUSUMO 18/08/2018
WONOSARI LOR 5A/16A WONOKUSUMO 05/07/2018
WONOSARI LOR VB/8B WONOKUSUMO 31/07/2018
WONOSARI LOR KB 72 WONOKUSUMO 24/08/2018
WONOSARI LOR BARU 4/9 WONOKUSUMO 14/08/2018
WONOSARI LOR 4/12A WONOKUSUMO 13/04/2018
WONOSARI LOR BARU 5/12 WONOKUSUMO 20/04/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 12/10/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 30/11/2018
SIMO RUKUN 9/42 WONOKUSUMO 14/07/2018
WONOSARI LOR BARU 8/10 WONOKUSUMO 09/10/2018
WONOSARI LOR KB WONOKUSUMO 24/10/2018
WONOSARI LOR BARU KB WONOKUSUMO 20/10/2018
WONOSARI LOR KB 1/10B WONOKUSUMO 27/07/2018
WONOARI LOR 3D/23 WONOKUSUMO 16/05/2018
0 WONOKUSUMO 19/10/2018
WONOSARI LOR 4/12A WONOKUSUMO 16/11/2018
WONOSARI LOR 4/7B WONOKUSUMO 04/01/2019
WONOSARI LOR BARU 5/27 WONOKUSUMO 15/11/2018
WONOSARI LOR WONOKUSUMO 11/01/2019
WONOSARI LOR BARU 1/10 WONOKUSUMO 28/12/2018
WONOSARI LOR BARU KB/64 WONOKUSUMO 14/12/2018
WONOSARI LOR 1/54 WONOKUSUMO 22/02/2019
WONOSARI LOR 3A/2 WONOKUSUMO 23/11/2018
WONOSARI LOR KB I/32 WONOKUSUMO 18/01/2019
WONOSARI LOR 5A/10 WONOKUSUMO 11/01/2019
WONOSARI LOR 5B/14 WONOKUSUMO 15/02/2019
WONOSARI LOR KB 1/8 WONOKUSUMO 30/11/2018
WONOSARI LOR 3/30 WONOKUSUMO 23/01/2019
WONOSARI KB 64 WONOKUSUMO 27/09/2018
WONOSARI LOR 3F/5 WONOKUSUMO 28/11/2018
WONOSARI LOR BARU 8/7 WONOKUSUMO 11/01/2019
WONOSARI LOR BARU10/2 WONOKUSUMO 07/12/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 13/03/2019
WONOSARI LOR BARU 45/14 WONOKUSUMO 25/06/2018
WONOSARI LOR 5B/15 WONOKUSUMO 15/02/2019
WONOSARI LOR KB/14 WONOKUSUMO 24/10/2018
WONOSARILOR KB 1/24A WONOKUSUMO 12/09/2018
wonosari lor WONOKUSUMO 29/10/2018
WONOSARI LOR BARU 11/39 WONOKUSUMO 08/02/2019
WONOSARI LOR BARU 10/18 WONOKUSUMO 08/02/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO 04/01/2019
WONOSARI LOR 5B/15 WONOKUSUMO 11/01/2019
WONOSARI LOR BARU 10/ WONOKUSUMO 17/01/2019
WONOSARI LOR BARU 58A WONOKUSUMO 10/05/2019
 WONOSARI LOR 4/2 WONOKUSUMO 15/03/2019
WONOSARI LOR 3C/1C WONOKUSUMO 28/12/2018
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TOTAL 0

Ʃ KOMULATIF -125
 LAPORAN RIIL IMUNISASI PUSKESMAS WONO

RW : XIV

SASARAN : 125

KABUPATEN / KOTA : SURABAYA

PROVINSI : JAWA TIMUR

TAHUN : 2019

TANGGAL
NO NAMA BAYI NAMA IBU
LAHIR BAYI

1 AZKA MAULANA 05/01/2018 ISWANTO

2 ARFAN ZAFRAN 08/01/2018 ARIF
3 KHAYLA NADIRA 04/01/2018 SAFRISAL
4 AISYAH 13/01/2018 IMAM
5 RAISHA 18/01/2018 ABD ROHIM
6 ADIFA 14/02/2018 ABD ROHMAN
7 FELISA 17/02/2018 0
8 ALVIATUS ZAKIA 25/02/2018 MALIK
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO
10 ACHMAD FAIYEK 19/02/2018 ROFIQ
11 ADAM 01/03/2018 0
12 ADINDA NAFISA 10/03/2018 KHOIRUL
13 ZHAFRAN 10/03/2018 ISMAIL
14 NUR ANINDITA 12/03/2018 M. AINUL
15 ALVIN 20/03/2018 MAKNESAM
16 NEFAN DHEANDRA 23/03/2018 ANGGA
17 RAZQA 24/03/2018 KRISTIAN
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI
19 FAJAR HARDIANYAH 30/03/2018 0
20 MALIKA ZAHIRA 08/04/2018 MASRIFA
21 BILQIS 07/04/2018 0
22 WAHYU SUSANTO 19/04/2018 MENIK
23 FATHIA SAFFA 01/04/2018 HEPRI
24 AISATUR.M 16/04/2018 RODI
25 ALVA RISAL 08/05/2018 0
26 AQILA 09/05/2018 0
27 M.UBAIDILLAH.R 11/04/2018 0
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH
29 MIKAILA 22/07/2018 ADIT
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI
31 AISYAH ALIFA 11/07/2018 SUMRI
32 ADIP REZA 29/06/2018 SOFI
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS
34 ALKAFI AZURA 20/07/2018 MAHFUD
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH
37 AL FATIH 03/04/2018 FAISOL
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL
40 M.RASYID PUTRA 07/06/2018 YUNIANTO
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN
42 FARZAMA FITRA 09/06/2018 0
43 FAIQ ANDI 20/10/2018 0
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH
45 NADIA 25/04/2018 0
46 ALISA 11/09/2018 ABD.JALIL
47 HAFIFA 28/10/2018 0
48 ABIZAR DEVANO 03/12/2018 0
49 ASKA PARADIS 08/11/2018 0
50 ARSAD 27/10/2018 0
51 SANA HILWA 14/12/2018 SAIFUL
52 SINTIA DWI P 09/12/2018 SUYANTO
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK
54 RAY VINSYAH 12/11/2018 KANZA
55 AIRA 29/12/2018 CATUR
56 SALSABILA 24/12/2018 0
57 ZAKIATUS SAFA 10/02/2019 ANSORI
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN
59 M.SOBIR 30/11/2018 ZAINI
60 RAHMAT KENJI 21/09/2018 MISLAMI
61 M.ASHABI 21/10/2018 M.SAKUR
62 ALI MUSAYYEF 15/12/2018 ISMAIL
63 MAULIDIA 21/11/2018 ACH.TURI
64 BILQIS 24/09/2018 JUPRI
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY
66 AGIL FARDIANSYAH 05/02/2019 SIGIT
67 MUTIARA INDAH 06/10/2018 TEGUH
68 AIRA PUTRI A 09/09/2018 ARIS
69 alfiyah 27/06/2018 0
70 DIMAS 29/01/2019 HERIN
71 SHERLY 25/01/2019 DODIK
72 ISMALA 11/12/2018 FAHRIZAL
73 M.HARUN NAJIB 27/11/2018 NAJIB
74 ASROFIL AKBAR 22/09/2018 0
75 FADIA RAHTILLAH 20/04/2019 0
 76 ALIF GIBRAN 27/02/2019 ABD
77 AKIFA 15/12/2018 BUDIONO
78 0 0 0
79 0 0 0
80 0 0 0
81 0 0 0
82 0 0 0
83 0 0 0
84 0 0 0
85 0 0 0
86 0 0 0
87 0 0 0
88 0 0 0
89 0 0 0
90 0 0 0
91 0 0 0
92 0 0 0
93 0 0 0
94 0 0 0
95 0 0 0
96 0 0 0
97 0 0 0
98 0 0 0
99 0 0 0
100 0 0 0
101 0 0 0
102 0 0 0
103 0 0 0
104 0 0 0
105 0 0 0
106 0 0 0
107 0 0 0
108 0 0 0
109 0 0 0
110 0 0 0
111 0 0 0
112 0 0 0
113 0 0 0
114 0 0 0
115 0 0 0
116 0 0 0
117 0 0 0
118 0 0 0
119 0 0 0
120 0 0 0
121 0 0 0
122 0 0 0
123 0 0 0
124 0 0 0
125 0 0 0
126 0 0 0
127 0 0 0
128 0 0 0
129 0 0 0
130 0 0 0
131 0 0 0
132 0 0 0
133 0 0 0
134 0 0 0
135 0 0 0
136 0 0 0
137 0 0 0
138 0 0 0
139 0 0 0
140 0 0 0
141 0 0 0
142 0 0 0
143 0 0 0
144 0 0 0
145 0 0 0
146 0 0 0
147 0 0 0
148 0 0 0
149 0 0 0
150 0 0 0
TOTAL
Ʃ KOMULATIF
MUNISASI PUSKESMAS WONOKUSUMO

TANGGAL PEMBERIAN
ALAMAT LENGKAP KELURAHAN IMUNISASI
DPT/HB (1)
WONOSARI LOR KB 2/18 WONOKUSUMO 06/01/2018
WONOSARI LOR 5B/20 WONOKUSUMO 13/03/2018
WONOSARI LOR KB 2/18 B WONOKUSUMO 07/03/2018
WONOSARI LOR BARU 6/10 WONOKUSUMO 12/04/2018
WONOSARI LOR 4/9 WONOKUSUMO 28/03/2018
WONOSARI LOR BARU 5/16 WONOKUSUMO 20/04/2018
WONOSARI LOR KB 3/9 WONOKUSUMO 28/04/2018
WONOSARI LOR 2/8B WONOKUSUMO 08/05/2018
WONOSARI 3D/7 WONOKUSUMO 26/04/2018
WONOSARI LOR KB 2/25 WONOKUSUMO 19/04/2018
WONOSARI LOR WONOKUSUMO 14/05/2018
WONOSARI LOR 6/2 WONOKUSUMO 18/05/2018
WONOSARI LOR KB 3/10 WONOKUSUMO 11/05/2018
WONOSARI LOR 8/8 WONOKUSUMO 10/07/2018
WONOSARI LOR WONOKUSUMO 08/06/2018
WONOSARI LOR 3A/8A WONOKUSUMO 04/06/2018
WONOSARI LOR KB 16 WONOKUSUMO 20/07/2018
WONOSARI LOR 4/43 WONOKUSUMO 08/06/2018
WONOSARI LOR 3/19 WONOKUSUMO 05/06/2018
WONOSARI LOR BARU 9/1A WONOKUSUMO 10/07/2018
WONOSARI LOR KB 3 WONOKUSUMO 11/06/2018
WONOSARI LOR 5B/8 WONOKUSUMO 19/06/2018
WONOSARI L0R 3B/2 WONOKUSUMO 04/06/2018
WONOSARI LOR 4/43 WONOKUSUMO 13/09/2018
WONOSARI LOR 3/10 WONOKUSUMO 09/08/2018
WONOSARI LOR WONOKUSUMO 09/07/2018
0 WONOKUSUMO 11/06/2018
WONOSARI LOR BARU 1/21 WONOKUSUMO 09/07/2018
WONOSARI LOR BARU 12/1 WONOKUSUMO 10/10/2018
WONOSARI LOR BARU 8/11 WONOKUSUMO 20/07/2018
 WONOSARI LOR 5B/10A WONOKUSUMO 18/09/2018
WONOSARI LOR 5A/16A WONOKUSUMO 12/09/2018
WONOSARI LOR VB/8B WONOKUSUMO MENOLAK
WONOSARI LOR KB 72 WONOKUSUMO 21/09/2018
WONOSARI LOR BARU 4/9 WONOKUSUMO 11/10/2018
WONOSARI LOR 4/12A WONOKUSUMO 08/06/2018
WONOSARI LOR BARU 5/12 WONOKUSUMO 12/06/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 09/01/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO 07/01/2019
SIMO RUKUN 9/42 WONOKUSUMO 17/08/2018
WONOSARI LOR BARU 8/10 WONOKUSUMO 05/12/2018
WONOSARI LOR KB WONOKUSUMO 24/10/2018
WONOSARI LOR BARU KB WONOKUSUMO 08/01/2019
WONOSARI LOR KB 1/10B WONOKUSUMO 24/08/2018
WONOARI LOR 3D/23 WONOKUSUMO 12/06/2018
0 WONOKUSUMO 15/11/2018
WONOSARI LOR 4/12A WONOKUSUMO 07/02/2019
WONOSARI LOR 4/7B WONOKUSUMO 07/02/2019
WONOSARI LOR BARU 5/27 WONOKUSUMO 01/02/2019
WONOSARI LOR WONOKUSUMO 07/02/2019
WONOSARI LOR BARU 1/10 WONOKUSUMO 14/02/2018
WONOSARI LOR BARU KB/64 WONOKUSUMO 18/02/2019
WONOSARI LOR 1/54 WONOKUSUMO 13/04/2019
WONOSARI LOR 3A/2 WONOKUSUMO 28/02/2018
WONOSARI LOR KB I/32 WONOKUSUMO 12/03/2019
WONOSARI LOR 5A/10 WONOKUSUMO 12/03/2019
WONOSARI LOR 5B/14 WONOKUSUMO 10/04/2019
WONOSARI LOR KB 1/8 WONOKUSUMO 31/12/2018
WONOSARI LOR 3/30 WONOKUSUMO 27/02/2019
WONOSARI KB 64 WONOKUSUMO 21/11/2018
WONOSARI LOR 3F/5 WONOKUSUMO 11/02/2019
WONOSARI LOR BARU 8/7 WONOKUSUMO 13/03/2019
WONOSARI LOR BARU10/2 WONOKUSUMO 22/01/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO 13/03/2019
WONOSARI LOR BARU 45/14 WONOKUSUMO 03/08/2018
WONOSARI LOR 5B/15 WONOKUSUMO 09/04/2019
WONOSARI LOR KB/14 WONOKUSUMO 06/12/2018
WONOSARILOR KB 1/24A WONOKUSUMO 13/11/2018
wonosari lor WONOKUSUMO 28/09/2018
WONOSARI LOR BARU 11/39 WONOKUSUMO 10/04/2019
WONOSARI LOR BARU 10/18 WONOKUSUMO 10/04/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO 05/03/2019
WONOSARI LOR 5B/15 WONOKUSUMO 04/02/2019
WONOSARI LOR BARU 10/ WONOKUSUMO 17/01/2019
WONOSARI LOR BARU 58A WONOKUSUMO
 WONOSARI LOR 4/2 WONOKUSUMO 15/05/2019
WONOSARI LOR 3C/1C WONOKUSUMO 15/02/2019
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TOTAL 0

Ʃ KOMULATIF -125
 LAPORAN RIIL IMUNISASI PUSKESMAS WONO

RW : XIV

SASARAN : 125

KABUPATEN / KOTA : SURABAYA

PROVINSI : JAWA TIMUR

TAHUN : 2019

TANGGAL
NO NAMA BAYI NAMA IBU
LAHIR BAYI

1 AZKA MAULANA 05/01/2018 ISWANTO

2 ARFAN ZAFRAN 08/01/2018 ARIF
3 KHAYLA NADIRA 04/01/2018 SAFRISAL
4 AISYAH 13/01/2018 IMAM
5 RAISHA 18/01/2018 ABD ROHIM
6 ADIFA 14/02/2018 ABD ROHMAN
7 FELISA 17/02/2018 0
8 ALVIATUS ZAKIA 25/02/2018 MALIK
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO
10 ACHMAD FAIYEK 19/02/2018 ROFIQ
11 ADAM 01/03/2018 0
12 ADINDA NAFISA 10/03/2018 KHOIRUL
13 ZHAFRAN 10/03/2018 ISMAIL
14 NUR ANINDITA 12/03/2018 M. AINUL
15 ALVIN 20/03/2018 MAKNESAM
16 NEFAN DHEANDRA 23/03/2018 ANGGA
17 RAZQA 24/03/2018 KRISTIAN
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI
19 FAJAR HARDIANYAH 30/03/2018 0
20 MALIKA ZAHIRA 08/04/2018 MASRIFA
21 BILQIS 07/04/2018 0
22 WAHYU SUSANTO 19/04/2018 MENIK
23 FATHIA SAFFA 01/04/2018 HEPRI
24 AISATUR.M 16/04/2018 RODI
25 ALVA RISAL 08/05/2018 0
26 AQILA 09/05/2018 0
27 M.UBAIDILLAH.R 11/04/2018 0
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH
29 MIKAILA 22/07/2018 ADIT
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI
31 AISYAH ALIFA 11/07/2018 SUMRI
32 ADIP REZA 29/06/2018 SOFI
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS
34 ALKAFI AZURA 20/07/2018 MAHFUD
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH
37 AL FATIH 03/04/2018 FAISOL
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL
40 M.RASYID PUTRA 07/06/2018 YUNIANTO
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN
42 FARZAMA FITRA 09/06/2018 0
43 FAIQ ANDI 20/10/2018 0
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH
45 NADIA 25/04/2018 0
46 ALISA 11/09/2018 ABD.JALIL
47 HAFIFA 28/10/2018 0
48 ABIZAR DEVANO 03/12/2018 0
49 ASKA PARADIS 08/11/2018 0
50 ARSAD 27/10/2018 0
51 SANA HILWA 14/12/2018 SAIFUL
52 SINTIA DWI P 09/12/2018 SUYANTO
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK
54 RAY VINSYAH 12/11/2018 KANZA
55 AIRA 29/12/2018 CATUR
56 SALSABILA 24/12/2018 0
57 ZAKIATUS SAFA 10/02/2019 ANSORI
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN
59 M.SOBIR 30/11/2018 ZAINI
60 RAHMAT KENJI 21/09/2018 MISLAMI
61 M.ASHABI 21/10/2018 M.SAKUR
62 ALI MUSAYYEF 15/12/2018 ISMAIL
63 MAULIDIA 21/11/2018 ACH.TURI
64 BILQIS 24/09/2018 JUPRI
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY
66 AGIL FARDIANSYAH 05/02/2019 SIGIT
67 MUTIARA INDAH 06/10/2018 TEGUH
68 AIRA PUTRI A 09/09/2018 ARIS
69 alfiyah 27/06/2018 0
70 DIMAS 29/01/2019 HERIN
71 SHERLY 25/01/2019 DODIK
72 ISMALA 11/12/2018 FAHRIZAL
73 M.HARUN NAJIB 27/11/2018 NAJIB
74 ASROFIL AKBAR 22/09/2018 0
75 FADIA RAHTILLAH 20/04/2019 0
 76 ALIF GIBRAN 27/02/2019 ABD
77 AKIFA 15/12/2018 BUDIONO
78 0 0 0
79 0 0 0
80 0 0 0
81 0 0 0
82 0 0 0
83 0 0 0
84 0 0 0
85 0 0 0
86 0 0 0
87 0 0 0
88 0 0 0
89 0 0 0
90 0 0 0
91 0 0 0
92 0 0 0
93 0 0 0
94 0 0 0
95 0 0 0
96 0 0 0
97 0 0 0
98 0 0 0
99 0 0 0
100 0 0 0
101 0 0 0
102 0 0 0
103 0 0 0
104 0 0 0
105 0 0 0
106 0 0 0
107 0 0 0
108 0 0 0
109 0 0 0
110 0 0 0
111 0 0 0
112 0 0 0
113 0 0 0
114 0 0 0
115 0 0 0
116 0 0 0
117 0 0 0
118 0 0 0
119 0 0 0
120 0 0 0
121 0 0 0
122 0 0 0
123 0 0 0
124 0 0 0
125 0 0 0
126 0 0 0
127 0 0 0
128 0 0 0
129 0 0 0
130 0 0 0
131 0 0 0
132 0 0 0
133 0 0 0
134 0 0 0
135 0 0 0
136 0 0 0
137 0 0 0
138 0 0 0
139 0 0 0
140 0 0 0
141 0 0 0
142 0 0 0
143 0 0 0
144 0 0 0
145 0 0 0
146 0 0 0
147 0 0 0
148 0 0 0
149 0 0 0
150 0 0 0
TOTAL
Ʃ KOMULATIF
MUNISASI PUSKESMAS WONOKUSUMO

TANGGAL PEMBERIAN
ALAMAT LENGKAP KELURAHAN IMUNISASI
POLIO2
WONOSARI LOR KB 2/18 WONOKUSUMO 04/06/2018
WONOSARI LOR 5B/20 WONOKUSUMO 15/05/2018
WONOSARI LOR KB 2/18 B WONOKUSUMO 07/03/2018
WONOSARI LOR BARU 6/10 WONOKUSUMO 12/04/2018
WONOSARI LOR 4/9 WONOKUSUMO 12/04/2018
WONOSARI LOR BARU 5/16 WONOKUSUMO 20/04/2018
WONOSARI LOR KB 3/9 WONOKUSUMO 28/04/2018
WONOSARI LOR 2/8B WONOKUSUMO 23/06/2018
WONOSARI 3D/7 WONOKUSUMO 26/05/2018
WONOSARI LOR KB 2/25 WONOKUSUMO 19/04/2018
WONOSARI LOR WONOKUSUMO 14/05/2018
WONOSARI LOR 6/2 WONOKUSUMO 06/07/2018
WONOSARI LOR KB 3/10 WONOKUSUMO 11/06/2018
WONOSARI LOR 8/8 WONOKUSUMO 10/07/2018
WONOSARI LOR WONOKUSUMO 08/06/2018
WONOSARI LOR 3A/8A WONOKUSUMO 04/06/2018
WONOSARI LOR KB 16 WONOKUSUMO 08/06/2018
WONOSARI LOR 4/43 WONOKUSUMO 08/06/2018
WONOSARI LOR 3/19 WONOKUSUMO 05/07/2018
WONOSARI LOR BARU 9/1A WONOKUSUMO 10/07/2018
WONOSARI LOR KB 3 WONOKUSUMO 11/06/2018
WONOSARI LOR 5B/8 WONOKUSUMO 19/06/2018
WONOSARI L0R 3B/2 WONOKUSUMO 04/06/2018
WONOSARI LOR 4/43 WONOKUSUMO 13/09/2018
WONOSARI LOR 3/10 WONOKUSUMO 12/09/2018
WONOSARI LOR WONOKUSUMO 09/07/2018
0 WONOKUSUMO 12/07/2018
WONOSARI LOR BARU 1/21 WONOKUSUMO 08/08/2018
WONOSARI LOR BARU 12/1 WONOKUSUMO 10/10/2018
WONOSARI LOR BARU 8/11 WONOKUSUMO 20/07/2018
 WONOSARI LOR 5B/10A WONOKUSUMO 18/09/2018
WONOSARI LOR 5A/16A WONOKUSUMO 12/09/2018
WONOSARI LOR VB/8B WONOKUSUMO MENOLAK
WONOSARI LOR KB 72 WONOKUSUMO 21/09/2018
WONOSARI LOR BARU 4/9 WONOKUSUMO 11/10/2018
WONOSARI LOR 4/12A WONOKUSUMO 08/06/2018
WONOSARI LOR BARU 5/12 WONOKUSUMO 12/06/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 09/01/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 07/01/2019
SIMO RUKUN 9/42 WONOKUSUMO 17/08/2018
WONOSARI LOR BARU 8/10 WONOKUSUMO 09/01/2019
WONOSARI LOR KB WONOKUSUMO 08/01/2019
WONOSARI LOR BARU KB WONOKUSUMO 08/01/2019
WONOSARI LOR KB 1/10B WONOKUSUMO 24/08/2018
WONOARI LOR 3D/23 WONOKUSUMO 12/06/2018
0 WONOKUSUMO 15/11/2018
WONOSARI LOR 4/12A WONOKUSUMO 07/02/2019
WONOSARI LOR 4/7B WONOKUSUMO 07/02/2019
WONOSARI LOR BARU 5/27 WONOKUSUMO 14/12/2018
WONOSARI LOR WONOKUSUMO 14/03/2019
WONOSARI LOR BARU 1/10 WONOKUSUMO 14/02/2019
WONOSARI LOR BARU KB/64 WONOKUSUMO 18/02/2019
WONOSARI LOR 1/54 WONOKUSUMO 17/05/2019
WONOSARI LOR 3A/2 WONOKUSUMO 28/02/2019
WONOSARI LOR KB I/32 WONOKUSUMO 12/03/2019
WONOSARI LOR 5A/10 WONOKUSUMO 12/03/2019
WONOSARI LOR 5B/14 WONOKUSUMO 14/05/2019
WONOSARI LOR KB 1/8 WONOKUSUMO 31/12/2018
WONOSARI LOR 3/30 WONOKUSUMO 27/02/2019
WONOSARI KB 64 WONOKUSUMO 21/11/2018
WONOSARI LOR 3F/5 WONOKUSUMO 11/02/2019
WONOSARI LOR BARU 8/7 WONOKUSUMO 13/03/2019
WONOSARI LOR BARU10/2 WONOKUSUMO 22/01/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO 08/05/2019
WONOSARI LOR BARU 45/14 WONOKUSUMO 03/08/2018
WONOSARI LOR 5B/15 WONOKUSUMO 07/05/2019
WONOSARI LOR KB/14 WONOKUSUMO 06/12/2018
WONOSARILOR KB 1/24A WONOKUSUMO 13/11/2018
wonosari lor WONOKUSUMO 04/03/2019
WONOSARI LOR BARU 11/39 WONOKUSUMO 08/05/2019
WONOSARI LOR BARU 10/18 WONOKUSUMO 19/06/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO 05/03/2019
WONOSARI LOR 5B/15 WONOKUSUMO 04/02/2019
WONOSARI LOR BARU 10/ WONOKUSUMO 08/05/2019
WONOSARI LOR BARU 58A WONOKUSUMO
 WONOSARI LOR 4/2 WONOKUSUMO 15/05/2019
WONOSARI LOR 3C/1C WONOKUSUMO 15/02/2019
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TOTAL 0

Ʃ KOMULATIF -125
 LAPORAN RIIL IMUNISASI PUSKESMAS WON

RW : XIV

SASARAN : 125

KABUPATEN / KOTA : SURABAYA

PROVINSI : JAWA TIMUR

TAHUN : 2019

TANGGAL
NO NAMA BAYI NAMA IBU
LAHIR BAYI

1 AZKA MAULANA 05/01/2018 ISWANTO

2 ARFAN ZAFRAN 08/01/2018 ARIF
3 KHAYLA NADIRA 04/01/2018 SAFRISAL
4 AISYAH 13/01/2018 IMAM
5 RAISHA 18/01/2018 ABD ROHIM
6 ADIFA 14/02/2018 ABD ROHMAN
7 FELISA 17/02/2018 0
8 ALVIATUS ZAKIA 25/02/2018 MALIK
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO
10 ACHMAD FAIYEK 19/02/2018 ROFIQ
11 ADAM 01/03/2018 0
12 ADINDA NAFISA 10/03/2018 KHOIRUL
13 ZHAFRAN 10/03/2018 ISMAIL
14 NUR ANINDITA 12/03/2018 M. AINUL
15 ALVIN 20/03/2018 MAKNESAM
16 NEFAN DHEANDRA 23/03/2018 ANGGA
17 RAZQA 24/03/2018 KRISTIAN
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI
19 FAJAR HARDIANYAH 30/03/2018 0
20 MALIKA ZAHIRA 08/04/2018 MASRIFA
21 BILQIS 07/04/2018 0
22 WAHYU SUSANTO 19/04/2018 MENIK
23 FATHIA SAFFA 01/04/2018 HEPRI
24 AISATUR.M 16/04/2018 RODI
25 ALVA RISAL 08/05/2018 0
26 AQILA 09/05/2018 0
27 M.UBAIDILLAH.R 11/04/2018 0
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH
29 MIKAILA 22/07/2018 ADIT
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI
31 AISYAH ALIFA 11/07/2018 SUMRI
32 ADIP REZA 29/06/2018 SOFI
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS
34 ALKAFI AZURA 20/07/2018 MAHFUD
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH
37 AL FATIH 03/04/2018 FAISOL
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL
40 M.RASYID PUTRA 07/06/2018 YUNIANTO
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN
42 FARZAMA FITRA 09/06/2018 0
43 FAIQ ANDI 20/10/2018 0
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH
45 NADIA 25/04/2018 0
46 ALISA 11/09/2018 ABD.JALIL
47 HAFIFA 28/10/2018 0
48 ABIZAR DEVANO 03/12/2018 0
49 ASKA PARADIS 08/11/2018 0
50 ARSAD 27/10/2018 0
51 SANA HILWA 14/12/2018 SAIFUL
52 SINTIA DWI P 09/12/2018 SUYANTO
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK
54 RAY VINSYAH 12/11/2018 KANZA
55 AIRA 29/12/2018 CATUR
56 SALSABILA 24/12/2018 0
57 ZAKIATUS SAFA 10/02/2019 ANSORI
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN
59 M.SOBIR 30/11/2018 ZAINI
60 RAHMAT KENJI 21/09/2018 MISLAMI
61 M.ASHABI 21/10/2018 M.SAKUR
62 ALI MUSAYYEF 15/12/2018 ISMAIL
63 MAULIDIA 21/11/2018 ACH.TURI
64 BILQIS 24/09/2018 JUPRI
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY
66 AGIL FARDIANSYAH 05/02/2019 SIGIT
67 MUTIARA INDAH 06/10/2018 TEGUH
68 AIRA PUTRI A 09/09/2018 ARIS
69 alfiyah 27/06/2018 0
70 DIMAS 29/01/2019 HERIN
71 SHERLY 25/01/2019 DODIK
72 ISMALA 11/12/2018 FAHRIZAL
73 M.HARUN NAJIB 27/11/2018 NAJIB
74 ASROFIL AKBAR 22/09/2018 0
75 FADIA RAHTILLAH 20/04/2019 0
 76 ALIF GIBRAN 27/02/2019 ABD
77 AKIFA 15/12/2018 BUDIONO
78 0 0 0
79 0 0 0
80 0 0 0
81 0 0 0
82 0 0 0
83 0 0 0
84 0 0 0
85 0 0 0
86 0 0 0
87 0 0 0
88 0 0 0
89 0 0 0
90 0 0 0
91 0 0 0
92 0 0 0
93 0 0 0
94 0 0 0
95 0 0 0
96 0 0 0
97 0 0 0
98 0 0 0
99 0 0 0
100 0 0 0
101 0 0 0
102 0 0 0
103 0 0 0
104 0 0 0
105 0 0 0
106 0 0 0
107 0 0 0
108 0 0 0
109 0 0 0
110 0 0 0
111 0 0 0
112 0 0 0
113 0 0 0
114 0 0 0
115 0 0 0
116 0 0 0
117 0 0 0
118 0 0 0
119 0 0 0
120 0 0 0
121 0 0 0
122 0 0 0
123 0 0 0
124 0 0 0
125 0 0 0
126 0 0 0
127 0 0 0
128 0 0 0
129 0 0 0
130 0 0 0
131 0 0 0
132 0 0 0
133 0 0 0
134 0 0 0
135 0 0 0
136 0 0 0
137 0 0 0
138 0 0 0
139 0 0 0
140 0 0 0
141 0 0 0
142 0 0 0
143 0 0 0
144 0 0 0
145 0 0 0
146 0 0 0
147 0 0 0
148 0 0 0
149 0 0 0
150 0 0 0
TOTAL
Ʃ KOMULATIF
IMUNISASI PUSKESMAS WONOKUSUMO

TANGGAL PEMBERIAN
ALAMAT LENGKAP KELURAHAN IMUNISASI
DPT/HB (2)
WONOSARI LOR KB 2/18 WONOKUSUMO 10/04/2018
WONOSARI LOR 5B/20 WONOKUSUMO 13/04/2018
WONOSARI LOR KB 2/18 B WONOKUSUMO 07/04/2018
WONOSARI LOR BARU 6/10 WONOKUSUMO 06/06/2018
WONOSARI LOR 4/9 WONOKUSUMO 12/04/2018
WONOSARI LOR BARU 5/16 WONOKUSUMO 21/05/2018
WONOSARI LOR KB 3/9 WONOKUSUMO 31/05/2018
WONOSARI LOR 2/8B WONOKUSUMO 23/06/2018
WONOSARI 3D/7 WONOKUSUMO 26/05/2018
WONOSARI LOR KB 2/25 WONOKUSUMO 19/05/2018
WONOSARI LOR WONOKUSUMO 11/07/2018
WONOSARI LOR 6/2 WONOKUSUMO 06/07/2018
WONOSARI LOR KB 3/10 WONOKUSUMO 11/06/2018
WONOSARI LOR 8/8 WONOKUSUMO 05/09/2018
WONOSARI LOR WONOKUSUMO 09/07/2018
WONOSARI LOR 3A/8A WONOKUSUMO 09/07/2018
WONOSARI LOR KB 16 WONOKUSUMO 24/08/2018
WONOSARI LOR 4/43 WONOKUSUMO 19/10/2018
WONOSARI LOR 3/19 WONOKUSUMO 05/07/2018
WONOSARI LOR BARU 9/1A WONOKUSUMO 10/08/2018
WONOSARI LOR KB 3 WONOKUSUMO 13/08/2018
WONOSARI LOR 5B/8 WONOKUSUMO 19/07/2018
WONOSARI L0R 3B/2 WONOKUSUMO 09/07/2018
WONOSARI LOR 4/43 WONOKUSUMO 19/10/2018
WONOSARI LOR 3/10 WONOKUSUMO 12/09/2018
WONOSARI LOR WONOKUSUMO 12/09/2018
0 WONOKUSUMO 12/07/2018
WONOSARI LOR BARU 1/21 WONOKUSUMO 08/08/2018
WONOSARI LOR BARU 12/1 WONOKUSUMO 14/11/2018
WONOSARI LOR BARU 8/11 WONOKUSUMO 05/09/2018
 WONOSARI LOR 5B/10A WONOKUSUMO 18/10/2018
WONOSARI LOR 5A/16A WONOKUSUMO 12/10/2018
WONOSARI LOR VB/8B WONOKUSUMO MENOLAK
WONOSARI LOR KB 72 WONOKUSUMO 26/10/2018
WONOSARI LOR BARU 4/9 WONOKUSUMO 15/11/2018
WONOSARI LOR 4/12A WONOKUSUMO 09/07/2018
WONOSARI LOR BARU 5/12 WONOKUSUMO 18/07/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 13/03/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO 07/02/2019
SIMO RUKUN 9/42 WONOKUSUMO 05/10/2018
WONOSARI LOR BARU 8/10 WONOKUSUMO 09/01/2019
WONOSARI LOR KB WONOKUSUMO 08/01/2019
WONOSARI LOR BARU KB WONOKUSUMO 02/03/2019
WONOSARI LOR KB 1/10B WONOKUSUMO 05/10/2018
WONOARI LOR 3D/23 WONOKUSUMO 15/08/2018
0 WONOKUSUMO 21/12/2018
WONOSARI LOR 4/12A WONOKUSUMO
WONOSARI LOR 4/7B WONOKUSUMO 14/03/2019
WONOSARI LOR BARU 5/27 WONOKUSUMO
WONOSARI LOR WONOKUSUMO 14/03/2019
WONOSARI LOR BARU 1/10 WONOKUSUMO 14/03/2019
WONOSARI LOR BARU KB/64 WONOKUSUMO 08/05/2019
WONOSARI LOR 1/54 WONOKUSUMO 17/05/2019
WONOSARI LOR 3A/2 WONOKUSUMO
WONOSARI LOR KB I/32 WONOKUSUMO 09/04/2019
WONOSARI LOR 5A/10 WONOKUSUMO 09/04/2019
WONOSARI LOR 5B/14 WONOKUSUMO 14/05/2019
WONOSARI LOR KB 1/8 WONOKUSUMO 12/03/2019
WONOSARI LOR 3/30 WONOKUSUMO 27/03/2019
WONOSARI KB 64 WONOKUSUMO 22/12/2018
WONOSARI LOR 3F/5 WONOKUSUMO 13/03/2018
WONOSARI LOR BARU 8/7 WONOKUSUMO 10/04/2019
WONOSARI LOR BARU10/2 WONOKUSUMO 22/02/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO 08/05/2019
WONOSARI LOR BARU 45/14 WONOKUSUMO 03/09/2018
WONOSARI LOR 5B/15 WONOKUSUMO 07/05/2019
WONOSARI LOR KB/14 WONOKUSUMO 06/01/2019
WONOSARILOR KB 1/24A WONOKUSUMO 06/01/2019
wonosari lor WONOKUSUMO 29/10/2018
WONOSARI LOR BARU 11/39 WONOKUSUMO 08/05/2019
WONOSARI LOR BARU 10/18 WONOKUSUMO 19/06/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO 10/04/2019
WONOSARI LOR 5B/15 WONOKUSUMO 04/04/2019
WONOSARI LOR BARU 10/ WONOKUSUMO 08/05/2019
WONOSARI LOR BARU 58A WONOKUSUMO
 WONOSARI LOR 4/2 WONOKUSUMO
WONOSARI LOR 3C/1C WONOKUSUMO 15/03/2019
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TOTAL 0

Ʃ KOMULATIF -125
 LAPORAN RIIL IMUNISASI PUSKESMAS WONO

RW : XIV

SASARAN : 125

KABUPATEN / KOTA : SURABAYA

PROVINSI : JAWA TIMUR

TAHUN : 2019

TANGGAL
NO NAMA BAYI NAMA IBU
LAHIR BAYI

1 AZKA MAULANA 05/01/2018 ISWANTO

2 ARFAN ZAFRAN 08/01/2018 ARIF
3 KHAYLA NADIRA 04/01/2018 SAFRISAL
4 AISYAH 13/01/2018 IMAM
5 RAISHA 18/01/2018 ABD ROHIM
6 ADIFA 14/02/2018 ABD ROHMAN
7 FELISA 17/02/2018 0
8 ALVIATUS ZAKIA 25/02/2018 MALIK
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO
10 ACHMAD FAIYEK 19/02/2018 ROFIQ
11 ADAM 01/03/2018 0
12 ADINDA NAFISA 10/03/2018 KHOIRUL
13 ZHAFRAN 10/03/2018 ISMAIL
14 NUR ANINDITA 12/03/2018 M. AINUL
15 ALVIN 20/03/2018 MAKNESAM
16 NEFAN DHEANDRA 23/03/2018 ANGGA
17 RAZQA 24/03/2018 KRISTIAN
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI
19 FAJAR HARDIANYAH 30/03/2018 0
20 MALIKA ZAHIRA 08/04/2018 MASRIFA
21 BILQIS 07/04/2018 0
22 WAHYU SUSANTO 19/04/2018 MENIK
23 FATHIA SAFFA 01/04/2018 HEPRI
24 AISATUR.M 16/04/2018 RODI
25 ALVA RISAL 08/05/2018 0
26 AQILA 09/05/2018 0
27 M.UBAIDILLAH.R 11/04/2018 0
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH
29 MIKAILA 22/07/2018 ADIT
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI
31 AISYAH ALIFA 11/07/2018 SUMRI
32 ADIP REZA 29/06/2018 SOFI
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS
34 ALKAFI AZURA 20/07/2018 MAHFUD
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH
37 AL FATIH 03/04/2018 FAISOL
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL
40 M.RASYID PUTRA 07/06/2018 YUNIANTO
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN
42 FARZAMA FITRA 09/06/2018 0
43 FAIQ ANDI 20/10/2018 0
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH
45 NADIA 25/04/2018 0
46 ALISA 11/09/2018 ABD.JALIL
47 HAFIFA 28/10/2018 0
48 ABIZAR DEVANO 03/12/2018 0
49 ASKA PARADIS 08/11/2018 0
50 ARSAD 27/10/2018 0
51 SANA HILWA 14/12/2018 SAIFUL
52 SINTIA DWI P 09/12/2018 SUYANTO
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK
54 RAY VINSYAH 12/11/2018 KANZA
55 AIRA 29/12/2018 CATUR
56 SALSABILA 24/12/2018 0
57 ZAKIATUS SAFA 10/02/2019 ANSORI
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN
59 M.SOBIR 30/11/2018 ZAINI
60 RAHMAT KENJI 21/09/2018 MISLAMI
61 M.ASHABI 21/10/2018 M.SAKUR
62 ALI MUSAYYEF 15/12/2018 ISMAIL
63 MAULIDIA 21/11/2018 ACH.TURI
64 BILQIS 24/09/2018 JUPRI
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY
66 AGIL FARDIANSYAH 05/02/2019 SIGIT
67 MUTIARA INDAH 06/10/2018 TEGUH
68 AIRA PUTRI A 09/09/2018 ARIS
69 alfiyah 27/06/2018 0
70 DIMAS 29/01/2019 HERIN
71 SHERLY 25/01/2019 DODIK
72 ISMALA 11/12/2018 FAHRIZAL
73 M.HARUN NAJIB 27/11/2018 NAJIB
74 ASROFIL AKBAR 22/09/2018 0
75 FADIA RAHTILLAH 20/04/2019 0
 76 ALIF GIBRAN 27/02/2019 ABD
77 AKIFA 15/12/2018 BUDIONO
78 0 0 0
79 0 0 0
80 0 0 0
81 0 0 0
82 0 0 0
83 0 0 0
84 0 0 0
85 0 0 0
86 0 0 0
87 0 0 0
88 0 0 0
89 0 0 0
90 0 0 0
91 0 0 0
92 0 0 0
93 0 0 0
94 0 0 0
95 0 0 0
96 0 0 0
97 0 0 0
98 0 0 0
99 0 0 0
100 0 0 0
101 0 0 0
102 0 0 0
103 0 0 0
104 0 0 0
105 0 0 0
106 0 0 0
107 0 0 0
108 0 0 0
109 0 0 0
110 0 0 0
111 0 0 0
112 0 0 0
113 0 0 0
114 0 0 0
115 0 0 0
116 0 0 0
117 0 0 0
118 0 0 0
119 0 0 0
120 0 0 0
121 0 0 0
122 0 0 0
123 0 0 0
124 0 0 0
125 0 0 0
126 0 0 0
127 0 0 0
128 0 0 0
129 0 0 0
130 0 0 0
131 0 0 0
132 0 0 0
133 0 0 0
134 0 0 0
135 0 0 0
136 0 0 0
137 0 0 0
138 0 0 0
139 0 0 0
140 0 0 0
141 0 0 0
142 0 0 0
143 0 0 0
144 0 0 0
145 0 0 0
146 0 0 0
147 0 0 0
148 0 0 0
149 0 0 0
150 0 0 0
TOTAL
Ʃ KOMULATIF
MUNISASI PUSKESMAS WONOKUSUMO

TANGGAL PEMBERIAN
ALAMAT LENGKAP KELURAHAN IMUNISASI
POLIO3
WONOSARI LOR KB 2/18 WONOKUSUMO 04/07/2018
WONOSARI LOR 5B/20 WONOKUSUMO 09/07/2018
WONOSARI LOR KB 2/18 B WONOKUSUMO 07/04/2018
WONOSARI LOR BARU 6/10 WONOKUSUMO 06/06/2018
WONOSARI LOR 4/9 WONOKUSUMO 14/05/2018
WONOSARI LOR BARU 5/16 WONOKUSUMO 21/05/2018
WONOSARI LOR KB 3/9 WONOKUSUMO 31/05/2018
WONOSARI LOR 2/8B WONOKUSUMO 25/07/2018
WONOSARI 3D/7 WONOKUSUMO 26/06/2018
WONOSARI LOR KB 2/25 WONOKUSUMO 19/05/2018
WONOSARI LOR WONOKUSUMO 11/07/2018
WONOSARI LOR 6/2 WONOKUSUMO 15/11/2018
WONOSARI LOR KB 3/10 WONOKUSUMO 09/07/2018
WONOSARI LOR 8/8 WONOKUSUMO 10/10/2018
WONOSARI LOR WONOKUSUMO 09/07/2018
WONOSARI LOR 3A/8A WONOKUSUMO 09/07/2018
WONOSARI LOR KB 16 WONOKUSUMO 20/07/2018
WONOSARI LOR 4/43 WONOKUSUMO 08/07/2018
WONOSARI LOR 3/19 WONOKUSUMO 05/08/2018
WONOSARI LOR BARU 9/1A WONOKUSUMO 10/08/2018
WONOSARI LOR KB 3 WONOKUSUMO 13/08/2018
WONOSARI LOR 5B/8 WONOKUSUMO 19/07/2018
WONOSARI L0R 3B/2 WONOKUSUMO 09/07/2018
WONOSARI LOR 4/43 WONOKUSUMO 19/10/2018
WONOSARI LOR 3/10 WONOKUSUMO 12/10/2018
WONOSARI LOR WONOKUSUMO 12/09/2018
0 WONOKUSUMO 13/08/2018
WONOSARI LOR BARU 1/21 WONOKUSUMO 13/09/2018
WONOSARI LOR BARU 12/1 WONOKUSUMO 14/11/2018
WONOSARI LOR BARU 8/11 WONOKUSUMO 05/09/2018
 WONOSARI LOR 5B/10A WONOKUSUMO 18/10/2018
WONOSARI LOR 5A/16A WONOKUSUMO 12/10/2018
WONOSARI LOR VB/8B WONOKUSUMO MENOLAK
WONOSARI LOR KB 72 WONOKUSUMO 26/10/2018
WONOSARI LOR BARU 4/9 WONOKUSUMO 15/11/2018
WONOSARI LOR 4/12A WONOKUSUMO 09/07/2018
WONOSARI LOR BARU 5/12 WONOKUSUMO 18/07/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 13/03/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO 07/02/2019
SIMO RUKUN 9/42 WONOKUSUMO 05/10/2018
WONOSARI LOR BARU 8/10 WONOKUSUMO 08/05/2019
WONOSARI LOR KB WONOKUSUMO
WONOSARI LOR BARU KB WONOKUSUMO 02/03/2019
WONOSARI LOR KB 1/10B WONOKUSUMO 15/11/2018
WONOARI LOR 3D/23 WONOKUSUMO 15/08/2018
0 WONOKUSUMO 21/12/2018
WONOSARI LOR 4/12A WONOKUSUMO
WONOSARI LOR 4/7B WONOKUSUMO 14/03/2019
WONOSARI LOR BARU 5/27 WONOKUSUMO 01/02/2019
WONOSARI LOR WONOKUSUMO
WONOSARI LOR BARU 1/10 WONOKUSUMO 14/03/2019
WONOSARI LOR BARU KB/64 WONOKUSUMO 08/05/2019
WONOSARI LOR 1/54 WONOKUSUMO
WONOSARI LOR 3A/2 WONOKUSUMO
WONOSARI LOR KB I/32 WONOKUSUMO 26/04/2019
WONOSARI LOR 5A/10 WONOKUSUMO 12/03/2019
WONOSARI LOR 5B/14 WONOKUSUMO
WONOSARI LOR KB 1/8 WONOKUSUMO 12/03/2019
WONOSARI LOR 3/30 WONOKUSUMO 08/05/2019
WONOSARI KB 64 WONOKUSUMO 22/12/2018
WONOSARI LOR 3F/5 WONOKUSUMO 13/03/2019
WONOSARI LOR BARU 8/7 WONOKUSUMO 08/05/2019
WONOSARI LOR BARU10/2 WONOKUSUMO 22/02/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR BARU 45/14 WONOKUSUMO 03/09/2018
WONOSARI LOR 5B/15 WONOKUSUMO
WONOSARI LOR KB/14 WONOKUSUMO 06/01/2019
WONOSARILOR KB 1/24A WONOKUSUMO 06/01/2019
wonosari lor WONOKUSUMO 07/05/2019
WONOSARI LOR BARU 11/39 WONOKUSUMO 19/06/2019
WONOSARI LOR BARU 10/18 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO 08/05/2019
WONOSARI LOR 5B/15 WONOKUSUMO 07/05/2019
WONOSARI LOR BARU 10/ WONOKUSUMO diajak pindah ke bali
WONOSARI LOR BARU 58A WONOKUSUMO
 WONOSARI LOR 4/2 WONOKUSUMO
WONOSARI LOR 3C/1C WONOKUSUMO 15/03/2019
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TOTAL 0

Ʃ KOMULATIF -125
 LAPORAN RIIL IMUNISASI PUSKESMAS WON

RW : XIV

SASARAN : 125

KABUPATEN / KOTA : SURABAYA

PROVINSI : JAWA TIMUR

TAHUN : 2019

TANGGAL
NO NAMA BAYI NAMA IBU
LAHIR BAYI

1 AZKA MAULANA 05/01/2018 ISWANTO

2 ARFAN ZAFRAN 08/01/2018 ARIF
3 KHAYLA NADIRA 04/01/2018 SAFRISAL
4 AISYAH 13/01/2018 IMAM
5 RAISHA 18/01/2018 ABD ROHIM
6 ADIFA 14/02/2018 ABD ROHMAN
7 FELISA 17/02/2018 0
8 ALVIATUS ZAKIA 25/02/2018 MALIK
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO
10 ACHMAD FAIYEK 19/02/2018 ROFIQ
11 ADAM 01/03/2018 0
12 ADINDA NAFISA 10/03/2018 KHOIRUL
13 ZHAFRAN 10/03/2018 ISMAIL
14 NUR ANINDITA 12/03/2018 M. AINUL
15 ALVIN 20/03/2018 MAKNESAM
16 NEFAN DHEANDRA 23/03/2018 ANGGA
17 RAZQA 24/03/2018 KRISTIAN
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI
19 FAJAR HARDIANYAH 30/03/2018 0
20 MALIKA ZAHIRA 08/04/2018 MASRIFA
21 BILQIS 07/04/2018 0
22 WAHYU SUSANTO 19/04/2018 MENIK
23 FATHIA SAFFA 01/04/2018 HEPRI
24 AISATUR.M 16/04/2018 RODI
25 ALVA RISAL 08/05/2018 0
26 AQILA 09/05/2018 0
27 M.UBAIDILLAH.R 11/04/2018 0
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH
29 MIKAILA 22/07/2018 ADIT
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI
31 AISYAH ALIFA 11/07/2018 SUMRI
32 ADIP REZA 29/06/2018 SOFI
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS
34 ALKAFI AZURA 20/07/2018 MAHFUD
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH
37 AL FATIH 03/04/2018 FAISOL
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL
40 M.RASYID PUTRA 07/06/2018 YUNIANTO
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN
42 FARZAMA FITRA 09/06/2018 0
43 FAIQ ANDI 20/10/2018 0
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH
45 NADIA 25/04/2018 0
46 ALISA 11/09/2018 ABD.JALIL
47 HAFIFA 28/10/2018 0
48 ABIZAR DEVANO 03/12/2018 0
49 ASKA PARADIS 08/11/2018 0
50 ARSAD 27/10/2018 0
51 SANA HILWA 14/12/2018 SAIFUL
52 SINTIA DWI P 09/12/2018 SUYANTO
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK
54 RAY VINSYAH 12/11/2018 KANZA
55 AIRA 29/12/2018 CATUR
56 SALSABILA 24/12/2018 0
57 ZAKIATUS SAFA 10/02/2019 ANSORI
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN
59 M.SOBIR 30/11/2018 ZAINI
60 RAHMAT KENJI 21/09/2018 MISLAMI
61 M.ASHABI 21/10/2018 M.SAKUR
62 ALI MUSAYYEF 15/12/2018 ISMAIL
63 MAULIDIA 21/11/2018 ACH.TURI
64 BILQIS 24/09/2018 JUPRI
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY
66 AGIL FARDIANSYAH 05/02/2019 SIGIT
67 MUTIARA INDAH 06/10/2018 TEGUH
68 AIRA PUTRI A 09/09/2018 ARIS
69 alfiyah 27/06/2018 0
70 DIMAS 29/01/2019 HERIN
71 SHERLY 25/01/2019 DODIK
72 ISMALA 11/12/2018 FAHRIZAL
73 M.HARUN NAJIB 27/11/2018 NAJIB
74 ASROFIL AKBAR 22/09/2018 0
75 FADIA RAHTILLAH 20/04/2019 0
 76 ALIF GIBRAN 27/02/2019 ABD
77 AKIFA 15/12/2018 BUDIONO
78 0 0 0
79 0 0 0
80 0 0 0
81 0 0 0
82 0 0 0
83 0 0 0
84 0 0 0
85 0 0 0
86 0 0 0
87 0 0 0
88 0 0 0
89 0 0 0
90 0 0 0
91 0 0 0
92 0 0 0
93 0 0 0
94 0 0 0
95 0 0 0
96 0 0 0
97 0 0 0
98 0 0 0
99 0 0 0
100 0 0 0
101 0 0 0
102 0 0 0
103 0 0 0
104 0 0 0
105 0 0 0
106 0 0 0
107 0 0 0
108 0 0 0
109 0 0 0
110 0 0 0
111 0 0 0
112 0 0 0
113 0 0 0
114 0 0 0
115 0 0 0
116 0 0 0
117 0 0 0
118 0 0 0
119 0 0 0
120 0 0 0
121 0 0 0
122 0 0 0
123 0 0 0
124 0 0 0
125 0 0 0
126 0 0 0
127 0 0 0
128 0 0 0
129 0 0 0
130 0 0 0
131 0 0 0
132 0 0 0
133 0 0 0
134 0 0 0
135 0 0 0
136 0 0 0
137 0 0 0
138 0 0 0
139 0 0 0
140 0 0 0
141 0 0 0
142 0 0 0
143 0 0 0
144 0 0 0
145 0 0 0
146 0 0 0
147 0 0 0
148 0 0 0
149 0 0 0
150 0 0 0
TOTAL
Ʃ KOMULATIF
IMUNISASI PUSKESMAS WONOKUSUMO

TANGGAL PEMBERIAN
ALAMAT LENGKAP KELURAHAN IMUNISASI
DPT/HB (3)
WONOSARI LOR KB 2/18 WONOKUSUMO 04/06/2018
WONOSARI LOR 5B/20 WONOKUSUMO 15/05/2018
WONOSARI LOR KB 2/18 B WONOKUSUMO 07/05/2018
WONOSARI LOR BARU 6/10 WONOKUSUMO 11/07/2018
WONOSARI LOR 4/9 WONOKUSUMO 14/05/2018
WONOSARI LOR BARU 5/16 WONOKUSUMO 21/06/2018
WONOSARI LOR KB 3/9 WONOKUSUMO 09/07/2018
WONOSARI LOR 2/8B WONOKUSUMO 25/07/2018
WONOSARI 3D/7 WONOKUSUMO 26/06/2018
WONOSARI LOR KB 2/25 WONOKUSUMO 19/06/2018
WONOSARI LOR WONOKUSUMO 11/08/2018
WONOSARI LOR 6/2 WONOKUSUMO 15/11/2018
WONOSARI LOR KB 3/10 WONOKUSUMO 09/07/2018
WONOSARI LOR 8/8 WONOKUSUMO 10/10/2018
WONOSARI LOR WONOKUSUMO 09/08/2018
WONOSARI LOR 3A/8A WONOKUSUMO 10/08/2018
WONOSARI LOR KB 16 WONOKUSUMO 10/10/2018
WONOSARI LOR 4/43 WONOKUSUMO 19/10/2018
WONOSARI LOR 3/19 WONOKUSUMO 05/08/2018
WONOSARI LOR BARU 9/1A WONOKUSUMO 09/01/2019
WONOSARI LOR KB 3 WONOKUSUMO 13/09/2018
WONOSARI LOR 5B/8 WONOKUSUMO 20/08/2018
WONOSARI L0R 3B/2 WONOKUSUMO 12/09/2018
WONOSARI LOR 4/43 WONOKUSUMO 07/02/2019
WONOSARI LOR 3/10 WONOKUSUMO 12/10/2018
WONOSARI LOR WONOKUSUMO 12/10/2018
0 WONOKUSUMO 13/08/2018
WONOSARI LOR BARU 1/21 WONOKUSUMO 13/09/2018
WONOSARI LOR BARU 12/1 WONOKUSUMO 10/04/2019
WONOSARI LOR BARU 8/11 WONOKUSUMO 05/10/2018
 WONOSARI LOR 5B/10A WONOKUSUMO 12/03/2019
WONOSARI LOR 5A/16A WONOKUSUMO 12/11/2018
WONOSARI LOR VB/8B WONOKUSUMO MENOLAK
WONOSARI LOR KB 72 WONOKUSUMO 30/11/2018
WONOSARI LOR BARU 4/9 WONOKUSUMO 11/01/2019
WONOSARI LOR 4/12A WONOKUSUMO 10/08/2018
WONOSARI LOR BARU 5/12 WONOKUSUMO 20/08/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 08/05/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 07/03/2019
SIMO RUKUN 9/42 WONOKUSUMO 08/01/2019
WONOSARI LOR BARU 8/10 WONOKUSUMO 08/05/2019
WONOSARI LOR KB WONOKUSUMO 09/04/2019
WONOSARI LOR BARU KB WONOKUSUMO 07/05/2019
WONOSARI LOR KB 1/10B WONOKUSUMO 15/11/2018
WONOARI LOR 3D/23 WONOKUSUMO 15/09/2018
0 WONOKUSUMO 07/02/2019
WONOSARI LOR 4/12A WONOKUSUMO
WONOSARI LOR 4/7B WONOKUSUMO
WONOSARI LOR BARU 5/27 WONOKUSUMO
WONOSARI LOR WONOKUSUMO
WONOSARI LOR BARU 1/10 WONOKUSUMO
WONOSARI LOR BARU KB/64 WONOKUSUMO
WONOSARI LOR 1/54 WONOKUSUMO
WONOSARI LOR 3A/2 WONOKUSUMO
WONOSARI LOR KB I/32 WONOKUSUMO 7/05/2019
WONOSARI LOR 5A/10 WONOKUSUMO 07/05/2019
WONOSARI LOR 5B/14 WONOKUSUMO
WONOSARI LOR KB 1/8 WONOKUSUMO
WONOSARI LOR 3/30 WONOKUSUMO 08/05/2019
WONOSARI KB 64 WONOKUSUMO 29/01/2019
WONOSARI LOR 3F/5 WONOKUSUMO
WONOSARI LOR BARU 8/7 WONOKUSUMO 08/05/2019
WONOSARI LOR BARU10/2 WONOKUSUMO 23/03/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR BARU 45/14 WONOKUSUMO 03/10/208
WONOSARI LOR 5B/15 WONOKUSUMO
WONOSARI LOR KB/14 WONOKUSUMO 06/02/2019
WONOSARILOR KB 1/24A WONOKUSUMO 12/02/2019
wonosari lor WONOKUSUMO 07/12/2018
WONOSARI LOR BARU 11/39 WONOKUSUMO 19/06/2019
WONOSARI LOR BARU 10/18 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO 08/05/2019
WONOSARI LOR 5B/15 WONOKUSUMO
WONOSARI LOR BARU 10/ WONOKUSUMO
WONOSARI LOR BARU 58A WONOKUSUMO
 WONOSARI LOR 4/2 WONOKUSUMO
WONOSARI LOR 3C/1C WONOKUSUMO 15/04/2019
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TOTAL 0

Ʃ KOMULATIF -125
 LAPORAN RIIL IMUNISASI PUSKESMAS WONO

RW : XIV

SASARAN : 125

KABUPATEN / KOTA : SURABAYA

PROVINSI : JAWA TIMUR

TAHUN : 2019

TANGGAL
NO NAMA BAYI NAMA IBU
LAHIR BAYI

1 AZKA MAULANA 05/01/2018 ISWANTO

2 ARFAN ZAFRAN 08/01/2018 ARIF
3 KHAYLA NADIRA 04/01/2018 SAFRISAL
4 AISYAH 13/01/2018 IMAM
5 RAISHA 18/01/2018 ABD ROHIM
6 ADIFA 14/02/2018 ABD ROHMAN
7 FELISA 17/02/2018 0
8 ALVIATUS ZAKIA 25/02/2018 MALIK
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO
10 ACHMAD FAIYEK 19/02/2018 ROFIQ
11 ADAM 01/03/2018 0
12 ADINDA NAFISA 10/03/2018 KHOIRUL
13 ZHAFRAN 10/03/2018 ISMAIL
14 NUR ANINDITA 12/03/2018 M. AINUL
15 ALVIN 20/03/2018 MAKNESAM
16 NEFAN DHEANDRA 23/03/2018 ANGGA
17 RAZQA 24/03/2018 KRISTIAN
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI
19 FAJAR HARDIANYAH 30/03/2018 0
20 MALIKA ZAHIRA 08/04/2018 MASRIFA
21 BILQIS 07/04/2018 0
22 WAHYU SUSANTO 19/04/2018 MENIK
23 FATHIA SAFFA 01/04/2018 HEPRI
24 AISATUR.M 16/04/2018 RODI
25 ALVA RISAL 08/05/2018 0
26 AQILA 09/05/2018 0
27 M.UBAIDILLAH.R 11/04/2018 0
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH
29 MIKAILA 22/07/2018 ADIT
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI
31 AISYAH ALIFA 11/07/2018 SUMRI
32 ADIP REZA 29/06/2018 SOFI
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS
34 ALKAFI AZURA 20/07/2018 MAHFUD
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH
37 AL FATIH 03/04/2018 FAISOL
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL
40 M.RASYID PUTRA 07/06/2018 YUNIANTO
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN
42 FARZAMA FITRA 09/06/2018 0
43 FAIQ ANDI 20/10/2018 0
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH
45 NADIA 25/04/2018 0
46 ALISA 11/09/2018 ABD.JALIL
47 HAFIFA 28/10/2018 0
48 ABIZAR DEVANO 03/12/2018 0
49 ASKA PARADIS 08/11/2018 0
50 ARSAD 27/10/2018 0
51 SANA HILWA 14/12/2018 SAIFUL
52 SINTIA DWI P 09/12/2018 SUYANTO
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK
54 RAY VINSYAH 12/11/2018 KANZA
55 AIRA 29/12/2018 CATUR
56 SALSABILA 24/12/2018 0
57 ZAKIATUS SAFA 10/02/2019 ANSORI
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN
59 M.SOBIR 30/11/2018 ZAINI
60 RAHMAT KENJI 21/09/2018 MISLAMI
61 M.ASHABI 21/10/2018 M.SAKUR
62 ALI MUSAYYEF 15/12/2018 ISMAIL
63 MAULIDIA 21/11/2018 ACH.TURI
64 BILQIS 24/09/2018 JUPRI
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY
66 AGIL FARDIANSYAH 05/02/2019 SIGIT
67 MUTIARA INDAH 06/10/2018 TEGUH
68 AIRA PUTRI A 09/09/2018 ARIS
69 alfiyah 27/06/2018 0
70 DIMAS 29/01/2019 HERIN
71 SHERLY 25/01/2019 DODIK
72 ISMALA 11/12/2018 FAHRIZAL
73 M.HARUN NAJIB 27/11/2018 NAJIB
74 ASROFIL AKBAR 22/09/2018 0
75 FADIA RAHTILLAH 20/04/2019 0
 76 ALIF GIBRAN 27/02/2019 ABD
77 AKIFA 15/12/2018 BUDIONO
78 0 0 0
79 0 0 0
80 0 0 0
81 0 0 0
82 0 0 0
83 0 0 0
84 0 0 0
85 0 0 0
86 0 0 0
87 0 0 0
88 0 0 0
89 0 0 0
90 0 0 0
91 0 0 0
92 0 0 0
93 0 0 0
94 0 0 0
95 0 0 0
96 0 0 0
97 0 0 0
98 0 0 0
99 0 0 0
100 0 0 0
101 0 0 0
102 0 0 0
103 0 0 0
104 0 0 0
105 0 0 0
106 0 0 0
107 0 0 0
108 0 0 0
109 0 0 0
110 0 0 0
111 0 0 0
112 0 0 0
113 0 0 0
114 0 0 0
115 0 0 0
116 0 0 0
117 0 0 0
118 0 0 0
119 0 0 0
120 0 0 0
121 0 0 0
122 0 0 0
123 0 0 0
124 0 0 0
125 0 0 0
126 0 0 0
127 0 0 0
128 0 0 0
129 0 0 0
130 0 0 0
131 0 0 0
132 0 0 0
133 0 0 0
134 0 0 0
135 0 0 0
136 0 0 0
137 0 0 0
138 0 0 0
139 0 0 0
140 0 0 0
141 0 0 0
142 0 0 0
143 0 0 0
144 0 0 0
145 0 0 0
146 0 0 0
147 0 0 0
148 0 0 0
149 0 0 0
150 0 0 0
TOTAL
Ʃ KOMULATIF
MUNISASI PUSKESMAS WONOKUSUMO

TANGGAL PEMBERIAN
ALAMAT LENGKAP KELURAHAN IMUNISASI
POLIO4
WONOSARI LOR KB 2/18 WONOKUSUMO 04/08/2018
WONOSARI LOR 5B/20 WONOKUSUMO 12/09/2018
WONOSARI LOR KB 2/18 B WONOKUSUMO 07/05/2018
WONOSARI LOR BARU 6/10 WONOKUSUMO 11/07/2018
WONOSARI LOR 4/9 WONOKUSUMO 14/06/2018
WONOSARI LOR BARU 5/16 WONOKUSUMO 21/06/2018
WONOSARI LOR KB 3/9 WONOKUSUMO 09/07/2018
WONOSARI LOR 2/8B WONOKUSUMO 11/09/2018
WONOSARI 3D/7 WONOKUSUMO 26/07/2018
WONOSARI LOR KB 2/25 WONOKUSUMO 19/06/2018
WONOSARI LOR WONOKUSUMO 11/08/2018
WONOSARI LOR 6/2 WONOKUSUMO 07/02/2019
WONOSARI LOR KB 3/10 WONOKUSUMO 14/08/2018
WONOSARI LOR 8/8 WONOKUSUMO 10/11/2018
WONOSARI LOR WONOKUSUMO 09/08/2018
WONOSARI LOR 3A/8A WONOKUSUMO 10/08/2018
WONOSARI LOR KB 16 WONOKUSUMO 24/08/2018
WONOSARI LOR 4/43 WONOKUSUMO 19/10/2018
WONOSARI LOR 3/19 WONOKUSUMO 05/09/2018
WONOSARI LOR BARU 9/1A WONOKUSUMO 09/01/2019
WONOSARI LOR KB 3 WONOKUSUMO 13/09/2018
WONOSARI LOR 5B/8 WONOKUSUMO 20/08/2018
WONOSARI L0R 3B/2 WONOKUSUMO 12/09/2018
WONOSARI LOR 4/43 WONOKUSUMO 07/02/2019
WONOSARI LOR 3/10 WONOKUSUMO 08/01/2019
WONOSARI LOR WONOKUSUMO 12/10/2018
0 WONOKUSUMO 14/09/2018
WONOSARI LOR BARU 1/21 WONOKUSUMO 14/10/2018
WONOSARI LOR BARU 12/1 WONOKUSUMO 08/05/2019
WONOSARI LOR BARU 8/11 WONOKUSUMO 05/10/2018
 WONOSARI LOR 5B/10A WONOKUSUMO 12/03/2019
WONOSARI LOR 5A/16A WONOKUSUMO 12/11/2018
WONOSARI LOR VB/8B WONOKUSUMO MENOLAK
WONOSARI LOR KB 72 WONOKUSUMO 30/11/2018
WONOSARI LOR BARU 4/9 WONOKUSUMO 11/01/2019
WONOSARI LOR 4/12A WONOKUSUMO 10/08/2018
WONOSARI LOR BARU 5/12 WONOKUSUMO 20/08/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 08/05/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO 07/03/2019
SIMO RUKUN 9/42 WONOKUSUMO 08/01/2019
WONOSARI LOR BARU 8/10 WONOKUSUMO
WONOSARI LOR KB WONOKUSUMO
WONOSARI LOR BARU KB WONOKUSUMO 07/05/2019
WONOSARI LOR KB 1/10B WONOKUSUMO 25/01/2019
WONOARI LOR 3D/23 WONOKUSUMO 15/09/2018
0 WONOKUSUMO 07/02/2019
WONOSARI LOR 4/12A WONOKUSUMO
WONOSARI LOR 4/7B WONOKUSUMO
WONOSARI LOR BARU 5/27 WONOKUSUMO
WONOSARI LOR WONOKUSUMO
WONOSARI LOR BARU 1/10 WONOKUSUMO
WONOSARI LOR BARU KB/64 WONOKUSUMO
WONOSARI LOR 1/54 WONOKUSUMO
WONOSARI LOR 3A/2 WONOKUSUMO
WONOSARI LOR KB I/32 WONOKUSUMO
WONOSARI LOR 5A/10 WONOKUSUMO 07/05/2019
WONOSARI LOR 5B/14 WONOKUSUMO
WONOSARI LOR KB 1/8 WONOKUSUMO
WONOSARI LOR 3/30 WONOKUSUMO
WONOSARI KB 64 WONOKUSUMO 29/01/2019
WONOSARI LOR 3F/5 WONOKUSUMO
WONOSARI LOR BARU 8/7 WONOKUSUMO
WONOSARI LOR BARU10/2 WONOKUSUMO 23/03/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR BARU 45/14 WONOKUSUMO 18/11/2018
WONOSARI LOR 5B/15 WONOKUSUMO
WONOSARI LOR KB/14 WONOKUSUMO 06/02/2019
WONOSARILOR KB 1/24A WONOKUSUMO 12/02/2019
wonosari lor WONOKUSUMO
WONOSARI LOR BARU 11/39 WONOKUSUMO
WONOSARI LOR BARU 10/18 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR 5B/15 WONOKUSUMO
WONOSARI LOR BARU 10/ WONOKUSUMO
WONOSARI LOR BARU 58A WONOKUSUMO
 WONOSARI LOR 4/2 WONOKUSUMO
WONOSARI LOR 3C/1C WONOKUSUMO 16/05/2019
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TOTAL 0

Ʃ KOMULATIF -125
 LAPORAN RIIL IMUNISASI PUSKESMAS WONO

RW : XIV

SASARAN : 125

KABUPATEN / KOTA : SURABAYA

PROVINSI : JAWA TIMUR

TAHUN : 2019

TANGGAL
NO NAMA BAYI NAMA IBU
LAHIR BAYI

1 AZKA MAULANA 05/01/2018 ISWANTO

2 ARFAN ZAFRAN 08/01/2018 ARIF
3 KHAYLA NADIRA 04/01/2018 SAFRISAL
4 AISYAH 13/01/2018 IMAM
5 RAISHA 18/01/2018 ABD ROHIM
6 ADIFA 14/02/2018 ABD ROHMAN
7 FELISA 17/02/2018 0
8 ALVIATUS ZAKIA 25/02/2018 MALIK
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO
10 ACHMAD FAIYEK 19/02/2018 ROFIQ
11 ADAM 01/03/2018 0
12 ADINDA NAFISA 10/03/2018 KHOIRUL
13 ZHAFRAN 10/03/2018 ISMAIL
14 NUR ANINDITA 12/03/2018 M. AINUL
15 ALVIN 20/03/2018 MAKNESAM
16 NEFAN DHEANDRA 23/03/2018 ANGGA
17 RAZQA 24/03/2018 KRISTIAN
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI
19 FAJAR HARDIANYAH 30/03/2018 0
20 MALIKA ZAHIRA 08/04/2018 MASRIFA
21 BILQIS 07/04/2018 0
22 WAHYU SUSANTO 19/04/2018 MENIK
23 FATHIA SAFFA 01/04/2018 HEPRI
24 AISATUR.M 16/04/2018 RODI
25 ALVA RISAL 08/05/2018 0
26 AQILA 09/05/2018 0
27 M.UBAIDILLAH.R 11/04/2018 0
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH
29 MIKAILA 22/07/2018 ADIT
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI
31 AISYAH ALIFA 11/07/2018 SUMRI
32 ADIP REZA 29/06/2018 SOFI
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS
34 ALKAFI AZURA 20/07/2018 MAHFUD
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH
37 AL FATIH 03/04/2018 FAISOL
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL
40 M.RASYID PUTRA 07/06/2018 YUNIANTO
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN
42 FARZAMA FITRA 09/06/2018 0
43 FAIQ ANDI 20/10/2018 0
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH
45 NADIA 25/04/2018 0
46 ALISA 11/09/2018 ABD.JALIL
47 HAFIFA 28/10/2018 0
48 ABIZAR DEVANO 03/12/2018 0
49 ASKA PARADIS 08/11/2018 0
50 ARSAD 27/10/2018 0
51 SANA HILWA 14/12/2018 SAIFUL
52 SINTIA DWI P 09/12/2018 SUYANTO
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK
54 RAY VINSYAH 12/11/2018 KANZA
55 AIRA 29/12/2018 CATUR
56 SALSABILA 24/12/2018 0
57 ZAKIATUS SAFA 10/02/2019 ANSORI
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN
59 M.SOBIR 30/11/2018 ZAINI
60 RAHMAT KENJI 21/09/2018 MISLAMI
61 M.ASHABI 21/10/2018 M.SAKUR
62 ALI MUSAYYEF 15/12/2018 ISMAIL
63 MAULIDIA 21/11/2018 ACH.TURI
64 BILQIS 24/09/2018 JUPRI
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY
66 AGIL FARDIANSYAH 05/02/2019 SIGIT
67 MUTIARA INDAH 06/10/2018 TEGUH
68 AIRA PUTRI A 09/09/2018 ARIS
69 alfiyah 27/06/2018 0
70 DIMAS 29/01/2019 HERIN
71 SHERLY 25/01/2019 DODIK
72 ISMALA 11/12/2018 FAHRIZAL
73 M.HARUN NAJIB 27/11/2018 NAJIB
74 ASROFIL AKBAR 22/09/2018 0
75 FADIA RAHTILLAH 20/04/2019 0
 76 ALIF GIBRAN 27/02/2019 ABD
77 AKIFA 15/12/2018 BUDIONO
78 0 0 0
79 0 0 0
80 0 0 0
81 0 0 0
82 0 0 0
83 0 0 0
84 0 0 0
85 0 0 0
86 0 0 0
87 0 0 0
88 0 0 0
89 0 0 0
90 0 0 0
91 0 0 0
92 0 0 0
93 0 0 0
94 0 0 0
95 0 0 0
96 0 0 0
97 0 0 0
98 0 0 0
99 0 0 0
100 0 0 0
101 0 0 0
102 0 0 0
103 0 0 0
104 0 0 0
105 0 0 0
106 0 0 0
107 0 0 0
108 0 0 0
109 0 0 0
110 0 0 0
111 0 0 0
112 0 0 0
113 0 0 0
114 0 0 0
115 0 0 0
116 0 0 0
117 0 0 0
118 0 0 0
119 0 0 0
120 0 0 0
121 0 0 0
122 0 0 0
123 0 0 0
124 0 0 0
125 0 0 0
126 0 0 0
127 0 0 0
128 0 0 0
129 0 0 0
130 0 0 0
131 0 0 0
132 0 0 0
133 0 0 0
134 0 0 0
135 0 0 0
136 0 0 0
137 0 0 0
138 0 0 0
139 0 0 0
140 0 0 0
141 0 0 0
142 0 0 0
143 0 0 0
144 0 0 0
145 0 0 0
146 0 0 0
147 0 0 0
148 0 0 0
149 0 0 0
150 0 0 0
TOTAL
Ʃ KOMULATIF
MUNISASI PUSKESMAS WONOKUSUMO

TANGGAL PEMBERIAN
ALAMAT LENGKAP KELURAHAN IMUNISASI
IPV
WONOSARI LOR KB 2/18 WONOKUSUMO 04/08/2018
WONOSARI LOR 5B/20 WONOKUSUMO 12/09/2018
WONOSARI LOR KB 2/18 B WONOKUSUMO 07/06/2018
WONOSARI LOR BARU 6/10 WONOKUSUMO 13/08/2018
WONOSARI LOR 4/9 WONOKUSUMO 14/06/2018
WONOSARI LOR BARU 5/16 WONOKUSUMO 21/07/2018
WONOSARI LOR KB 3/9 WONOKUSUMO 09/08/2018
WONOSARI LOR 2/8B WONOKUSUMO 12/09/2018
WONOSARI 3D/7 WONOKUSUMO 26/07/2018
WONOSARI LOR KB 2/25 WONOKUSUMO 19/07/2018
WONOSARI LOR WONOKUSUMO 11/10/18
WONOSARI LOR 6/2 WONOKUSUMO 07/02/2019
WONOSARI LOR KB 3/10 WONOKUSUMO 14/08/2018
WONOSARI LOR 8/8 WONOKUSUMO 10/11/2018
WONOSARI LOR WONOKUSUMO 10/09/2018
WONOSARI LOR 3A/8A WONOKUSUMO 10/09/2018
WONOSARI LOR KB 16 WONOKUSUMO 13/03/2019
WONOSARI LOR 4/43 WONOKUSUMO 19/11/2018
WONOSARI LOR 3/19 WONOKUSUMO 05/09/2018
WONOSARI LOR BARU 9/1A WONOKUSUMO 09/02/2019
WONOSARI LOR KB 3 WONOKUSUMO 15/10/2018
WONOSARI LOR 5B/8 WONOKUSUMO 20/09/2018
WONOSARI L0R 3B/2 WONOKUSUMO 12/10/2018
WONOSARI LOR 4/43 WONOKUSUMO 14/03/2019
WONOSARI LOR 3/10 WONOKUSUMO 08/01/2019
WONOSARI LOR WONOKUSUMO 08/01/2019
0 WONOKUSUMO 14/09/208
WONOSARI LOR BARU 1/21 WONOKUSUMO 14/10/2018
WONOSARI LOR BARU 12/1 WONOKUSUMO 08/05/2014
WONOSARI LOR BARU 8/11 WONOKUSUMO 05/11/2018
 WONOSARI LOR 5B/10A WONOKUSUMO 09/04/2019
WONOSARI LOR 5A/16A WONOKUSUMO 08/01/2019
WONOSARI LOR VB/8B WONOKUSUMO MENOLAK
WONOSARI LOR KB 72 WONOKUSUMO 09/01/2018
WONOSARI LOR BARU 4/9 WONOKUSUMO 07/02/2018
WONOSARI LOR 4/12A WONOKUSUMO 11/10/2018
WONOSARI LOR BARU 5/12 WONOKUSUMO 11/10/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO 10/04/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO
SIMO RUKUN 9/42 WONOKUSUMO
WONOSARI LOR BARU 8/10 WONOKUSUMO
WONOSARI LOR KB WONOKUSUMO
WONOSARI LOR BARU KB WONOKUSUMO
WONOSARI LOR KB 1/10B WONOKUSUMO 25/01/2019
WONOARI LOR 3D/23 WONOKUSUMO 15/09/2018
0 WONOKUSUMO 14/03/2019
WONOSARI LOR 4/12A WONOKUSUMO
WONOSARI LOR 4/7B WONOKUSUMO
WONOSARI LOR BARU 5/27 WONOKUSUMO
WONOSARI LOR WONOKUSUMO
WONOSARI LOR BARU 1/10 WONOKUSUMO
WONOSARI LOR BARU KB/64 WONOKUSUMO
WONOSARI LOR 1/54 WONOKUSUMO
WONOSARI LOR 3A/2 WONOKUSUMO
WONOSARI LOR KB I/32 WONOKUSUMO
WONOSARI LOR 5A/10 WONOKUSUMO
WONOSARI LOR 5B/14 WONOKUSUMO
WONOSARI LOR KB 1/8 WONOKUSUMO
WONOSARI LOR 3/30 WONOKUSUMO
WONOSARI KB 64 WONOKUSUMO 13/03/2019
WONOSARI LOR 3F/5 WONOKUSUMO
WONOSARI LOR BARU 8/7 WONOKUSUMO
WONOSARI LOR BARU10/2 WONOKUSUMO 08/05/2019
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR BARU 45/14 WONOKUSUMO
WONOSARI LOR 5B/15 WONOKUSUMO
WONOSARI LOR KB/14 WONOKUSUMO 15/03/2019
WONOSARILOR KB 1/24A WONOKUSUMO 01/04/2019
wonosari lor WONOKUSUMO 04/04/2019
WONOSARI LOR BARU 11/39 WONOKUSUMO
WONOSARI LOR BARU 10/18 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR 5B/15 WONOKUSUMO
WONOSARI LOR BARU 10/ WONOKUSUMO
WONOSARI LOR BARU 58A WONOKUSUMO
 WONOSARI LOR 4/2 WONOKUSUMO
WONOSARI LOR 3C/1C WONOKUSUMO 16/05/2019
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TOTAL 0

Ʃ KOMULATIF -125
 LAPORAN RIIL IMUNISASI PUSKESMAS WON

RW : XIV

SASARAN : 125

KABUPATEN / KOTA : SURABAYA

PROVINSI : JAWA TIMUR

TAHUN : 2019

TANGGAL
NO NAMA BAYI NAMA IBU
LAHIR BAYI

1 AZKA MAULANA 05/01/2018 ISWANTO

2 ARFAN ZAFRAN 08/01/2018 ARIF
3 KHAYLA NADIRA 04/01/2018 SAFRISAL
4 AISYAH 13/01/2018 IMAM
5 RAISHA 18/01/2018 ABD ROHIM
6 ADIFA 14/02/2018 ABD ROHMAN
7 FELISA 17/02/2018 0
8 ALVIATUS ZAKIA 25/02/2018 MALIK
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO
10 ACHMAD FAIYEK 19/02/2018 ROFIQ
11 ADAM 01/03/2018 0
12 ADINDA NAFISA 10/03/2018 KHOIRUL
13 ZHAFRAN 10/03/2018 ISMAIL
14 NUR ANINDITA 12/03/2018 M. AINUL
15 ALVIN 20/03/2018 MAKNESAM
16 NEFAN DHEANDRA 23/03/2018 ANGGA
17 RAZQA 24/03/2018 KRISTIAN
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI
19 0
20 MALIKA ZAHIRA 08/04/2018 MASRIFA
21 BILQIS 07/04/2018 0
22 WAHYU SUSANTO 19/04/2018 MENIK
23 FATHIA SAFFA 01/04/2018 HEPRI
24 AISATUR.M 16/04/2018 RODI
25 ALVA RISAL 08/05/2018 0
26 AQILA 09/05/2018 0
27 M.UBAIDILLAH.R 11/04/2018 0
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH
29 MIKAILA 22/07/2018 ADIT
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI
31 AISYAH ALIFA 11/07/2018 SUMRI
32 ADIP REZA 29/06/2018 SOFI
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS
34 ALKAFI AZURA 20/07/2018 MAHFUD
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH
37 AL FATIH 03/04/2018 FAISOL
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL
40 M.RASYID PUTRA 07/06/2018 YUNIANTO
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN
42 FARZAMA FITRA 09/06/2018 0
43 FAIQ ANDI 20/10/2018 0
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH
45 NADIA 25/04/2018 0
46 ALISA 11/09/2018 ABD.JALIL
47 HAFIFA 28/10/2018 0
48 ABIZAR DEVANO 03/12/2018 0
49 ASKA PARADIS 08/11/2018 0
50 ARSAD 27/10/2018 0
51 SANA HILWA 14/12/2018 SAIFUL
52 SINTIA DWI P 09/12/2018 SUYANTO
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK
54 RAY VINSYAH 12/11/2018 KANZA
55 AIRA 29/12/2018 CATUR
56 SALSABILA 24/12/2018 0
57 ZAKIATUS SAFA 10/02/2019 ANSORI
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN
59 M.SOBIR 30/11/2018 ZAINI
60 RAHMAT KENJI 21/09/2018 MISLAMI
61 M.ASHABI 21/10/2018 M.SAKUR
62 ALI MUSAYYEF 15/12/2018 ISMAIL
63 MAULIDIA 21/11/2018 ACH.TURI
64 BILQIS 24/09/2018 JUPRI
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY
66 AGIL FARDIANSYAH 05/02/2019 SIGIT
67 MUTIARA INDAH 06/10/2018 TEGUH
68 AIRA PUTRI A 09/09/2018 ARIS
69 alfiyah 27/06/2018 0
70 DIMAS 29/01/2019 HERIN
71 SHERLY 25/01/2019 DODIK
72 ISMALA 11/12/2018 FAHRIZAL
73 M.HARUN NAJIB 27/11/2018 NAJIB
74 ASROFIL AKBAR 22/09/2018 0
75 FADIA RAHTILLAH 20/04/2019 0
 76 ALIF GIBRAN 27/02/2019 ABD
77 AKIFA 15/12/2018 BUDIONO
78 0 0 0
79 0 0 0
80 0 0 0
81 0 0 0
82 0 0 0
83 0 0 0
84 0 0 0
85 0 0 0
86 0 0 0
87 0 0 0
88 0 0 0
89 0 0 0
90 0 0 0
91 0 0 0
92 0 0 0
93 0 0 0
94 0 0 0
95 0 0 0
96 0 0 0
97 0 0 0
98 0 0 0
99 0 0 0
100 0 0 0
101 0 0 0
102 0 0 0
103 0 0 0
104 0 0 0
105 0 0 0
106 0 0 0
107 0 0 0
108 0 0 0
109 0 0 0
110 0 0 0
111 0 0 0
112 0 0 0
113 0 0 0
114 0 0 0
115 0 0 0
116 0 0 0
117 0 0 0
118 0 0 0
119 0 0 0
120 0 0 0
121 0 0 0
122 0 0 0
123 0 0 0
124 0 0 0
125 0 0 0
126 0 0 0
127 0 0 0
128 0 0 0
129 0 0 0
130 0 0 0
131 0 0 0
132 0 0 0
133 0 0 0
134 0 0 0
135 0 0 0
136 0 0 0
137 0 0 0
138 0 0 0
139 0 0 0
140 0 0 0
141 0 0 0
142 0 0 0
143 0 0 0
144 0 0 0
145 0 0 0
146 0 0 0
147 0 0 0
148 0 0 0
149 0 0 0
150 0 0 0
TOTAL
Ʃ KOMULATIF
IMUNISASI PUSKESMAS WONOKUSUMO

TANGGAL PEMBERIAN
ALAMAT LENGKAP KELURAHAN IMUNISASI
CAMPAK/MR (1)
WONOSARI LOR KB 2/18 WONOKUSUMO 07/10/2018
WONOSARI LOR 5B/20 WONOKUSUMO 09/10/2018
WONOSARI LOR KB 2/18 B WONOKUSUMO 05/10/2018
WONOSARI LOR BARU 6/10 WONOKUSUMO 12/10/2018
WONOSARI LOR 4/9 WONOKUSUMO 19/10/2018
WONOSARI LOR BARU 5/16 WONOKUSUMO 16/11/2018
WONOSARI LOR KB 3/9 WONOKUSUMO 23/11/2018
WONOSARI LOR 2/8B WONOKUSUMO 30/11/2018
WONOSARI 3D/7 WONOKUSUMO 30/11/2018
WONOSARI LOR KB 2/25 WONOKUSUMO 22/11/2018
WONOSARI LOR WONOKUSUMO 07/12/2018
WONOSARI LOR 6/2 WONOKUSUMO 01/03/2019
WONOSARI LOR KB 3/10 WONOKUSUMO 11/01/2019
WONOSARI LOR 8/8 WONOKUSUMO 08/02/2019
WONOSARI LOR WONOKUSUMO 21/12/2018
WONOSARI LOR 3A/8A WONOKUSUMO 28/12/2018
WONOSARI LOR KB 16 WONOKUSUMO
WONOSARI LOR 4/43 WONOKUSUMO
WONOKUSUMO
WONOSARI LOR BARU 9/1A WONOKUSUMO 08/03/2019
WONOSARI LOR KB 3 WONOKUSUMO 09/11/2018
WONOSARI LOR 5B/8 WONOKUSUMO 25/01/2019
WONOSARI L0R 3B/2 WONOKUSUMO 04/01/2018
WONOSARI LOR 4/43 WONOKUSUMO 26/04/2019
WONOSARI LOR 3/10 WONOKUSUMO 08/02/2019
WONOSARI LOR WONOKUSUMO 07/02/2019
0 WONOKUSUMO 11/01/2019
WONOSARI LOR BARU 1/21 WONOKUSUMO 25/01/2018
WONOSARI LOR BARU 12/1 WONOKUSUMO
WONOSARI LOR BARU 8/11 WONOKUSUMO
 WONOSARI LOR 5B/10A WONOKUSUMO
WONOSARI LOR 5A/16A WONOKUSUMO
WONOSARI LOR VB/8B WONOKUSUMO
WONOSARI LOR KB 72 WONOKUSUMO
WONOSARI LOR BARU 4/9 WONOKUSUMO
WONOSARI LOR 4/12A WONOKUSUMO 11/01/2019
WONOSARI LOR BARU 5/12 WONOKUSUMO 14/03/2018
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO
SIMO RUKUN 9/42 WONOKUSUMO
WONOSARI LOR BARU 8/10 WONOKUSUMO
WONOSARI LOR KB WONOKUSUMO
WONOSARI LOR BARU KB WONOKUSUMO
WONOSARI LOR KB 1/10B WONOKUSUMO
WONOARI LOR 3D/23 WONOKUSUMO 25/01/2019
0 WONOKUSUMO
WONOSARI LOR 4/12A WONOKUSUMO
WONOSARI LOR 4/7B WONOKUSUMO
WONOSARI LOR BARU 5/27 WONOKUSUMO
WONOSARI LOR WONOKUSUMO
WONOSARI LOR BARU 1/10 WONOKUSUMO
WONOSARI LOR BARU KB/64 WONOKUSUMO
WONOSARI LOR 1/54 WONOKUSUMO
WONOSARI LOR 3A/2 WONOKUSUMO
WONOSARI LOR KB I/32 WONOKUSUMO
WONOSARI LOR 5A/10 WONOKUSUMO
WONOSARI LOR 5B/14 WONOKUSUMO
WONOSARI LOR KB 1/8 WONOKUSUMO
WONOSARI LOR 3/30 WONOKUSUMO
WONOSARI KB 64 WONOKUSUMO
WONOSARI LOR 3F/5 WONOKUSUMO
WONOSARI LOR BARU 8/7 WONOKUSUMO
WONOSARI LOR BARU10/2 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR BARU 45/14 WONOKUSUMO
WONOSARI LOR 5B/15 WONOKUSUMO
WONOSARI LOR KB/14 WONOKUSUMO
WONOSARILOR KB 1/24A WONOKUSUMO
wonosari lor WONOKUSUMO 12/04/2019
WONOSARI LOR BARU 11/39 WONOKUSUMO
WONOSARI LOR BARU 10/18 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR 5B/15 WONOKUSUMO
WONOSARI LOR BARU 10/ WONOKUSUMO
WONOSARI LOR BARU 58A WONOKUSUMO
 WONOSARI LOR 4/2 WONOKUSUMO
WONOSARI LOR 3C/1C WONOKUSUMO
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TOTAL 0

Ʃ KOMULATIF -125
 LAPORAN RIIL IMUNISASI PUSKESMAS WON

RW : XIV

SASARAN : 125

KABUPATEN / KOTA : SURABAYA

PROVINSI : JAWA TIMUR

TAHUN : 2019

TANGGAL
NO NAMA BAYI NAMA IBU
LAHIR BAYI

1 AZKA MAULANA 05/01/2018 ISWANTO

2 ARFAN ZAFRAN 08/01/2018 ARIF
3 KHAYLA NADIRA 04/01/2018 SAFRISAL
4 AISYAH 13/01/2018 IMAM
5 RAISHA 18/01/2018 ABD ROHIM
6 ADIFA 14/02/2018 ABD ROHMAN
7 FELISA 17/02/2018 0
8 ALVIATUS ZAKIA 25/02/2018 MALIK
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO
10 ACHMAD FAIYEK 19/02/2018 ROFIQ
11 ADAM 01/03/2018 0
12 ADINDA NAFISA 10/03/2018 KHOIRUL
13 ZHAFRAN 10/03/2018 ISMAIL
14 NUR ANINDITA 12/03/2018 M. AINUL
15 ALVIN 20/03/2018 MAKNESAM
16 NEFAN DHEANDRA 23/03/2018 ANGGA
17 RAZQA 24/03/2018 KRISTIAN
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI
19 FAJAR HARDIANYAH 30/03/2018 0
20 MALIKA ZAHIRA 08/04/2018 MASRIFA
21 BILQIS 07/04/2018 0
22 WAHYU SUSANTO 19/04/2018 MENIK
23 FATHIA SAFFA 01/04/2018 HEPRI
24 AISATUR.M 16/04/2018 RODI
25 ALVA RISAL 08/05/2018 0
26 AQILA 09/05/2018 0
27 M.UBAIDILLAH.R 11/04/2018 0
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH
29 MIKAILA 22/07/2018 ADIT
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI
31 AISYAH ALIFA 11/07/2018 SUMRI
32 ADIP REZA 29/06/2018 SOFI
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS
34 ALKAFI AZURA 20/07/2018 MAHFUD
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH
37 AL FATIH 03/04/2018 FAISOL
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL
40 M.RASYID PUTRA 07/06/2018 YUNIANTO
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN
42 FARZAMA FITRA 09/06/2018 0
43 FAIQ ANDI 20/10/2018 0
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH
45 NADIA 25/04/2018 0
46 ALISA 11/09/2018 ABD.JALIL
47 HAFIFA 28/10/2018 0
48 ABIZAR DEVANO 03/12/2018 0
49 ASKA PARADIS 08/11/2018 0
50 ARSAD 27/10/2018 0
51 SANA HILWA 14/12/2018 SAIFUL
52 SINTIA DWI P 09/12/2018 SUYANTO
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK
54 RAY VINSYAH 12/11/2018 KANZA
55 AIRA 29/12/2018 CATUR
56 SALSABILA 24/12/2018 0
57 ZAKIATUS SAFA 10/02/2019 ANSORI
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN
59 M.SOBIR 30/11/2018 ZAINI
60 RAHMAT KENJI 21/09/2018 MISLAMI
61 M.ASHABI 21/10/2018 M.SAKUR
62 ALI MUSAYYEF 15/12/2018 ISMAIL
63 MAULIDIA 21/11/2018 ACH.TURI
64 BILQIS 24/09/2018 JUPRI
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY
66 AGIL FARDIANSYAH 05/02/2019 SIGIT
67 MUTIARA INDAH 06/10/2018 TEGUH
68 AIRA PUTRI A 09/09/2018 ARIS
69 alfiyah 27/06/2018 0
70 DIMAS 29/01/2019 HERIN
71 SHERLY 25/01/2019 DODIK
72 ISMALA 11/12/2018 FAHRIZAL
73 M.HARUN NAJIB 27/11/2018 NAJIB
74 ASROFIL AKBAR 22/09/2018 0
75 FADIA RAHTILLAH 20/04/2019 0
 76 ALIF GIBRAN 27/02/2019 ABD
77 AKIFA 15/12/2018 BUDIONO
78 0 0 0
79 0 0 0
80 0 0 0
81 0 0 0
82 0 0 0
83 0 0 0
84 0 0 0
85 0 0 0
86 0 0 0
87 0 0 0
88 0 0 0
89 0 0 0
90 0 0 0
91 0 0 0
92 0 0 0
93 0 0 0
94 0 0 0
95 0 0 0
96 0 0 0
97 0 0 0
98 0 0 0
99 0 0 0
100 0 0 0
101 0 0 0
102 0 0 0
103 0 0 0
104 0 0 0
105 0 0 0
106 0 0 0
107 0 0 0
108 0 0 0
109 0 0 0
110 0 0 0
111 0 0 0
112 0 0 0
113 0 0 0
114 0 0 0
115 0 0 0
116 0 0 0
117 0 0 0
118 0 0 0
119 0 0 0
120 0 0 0
121 0 0 0
122 0 0 0
123 0 0 0
124 0 0 0
125 0 0 0
126 0 0 0
127 0 0 0
128 0 0 0
129 0 0 0
130 0 0 0
131 0 0 0
132 0 0 0
133 0 0 0
134 0 0 0
135 0 0 0
136 0 0 0
137 0 0 0
138 0 0 0
139 0 0 0
140 0 0 0
141 0 0 0
142 0 0 0
143 0 0 0
144 0 0 0
145 0 0 0
146 0 0 0
147 0 0 0
148 0 0 0
149 0 0 0
150 0 0 0
TOTAL
Ʃ KOMULATIF
IMUNISASI PUSKESMAS WONOKUSUMO

TANGGAL PEMBERIAN
ALAMAT LENGKAP KELURAHAN IMUNISASI
PENTA BOOSTER
WONOSARI LOR KB 2/18 WONOKUSUMO
WONOSARI LOR 5B/20 WONOKUSUMO
WONOSARI LOR KB 2/18 B WONOKUSUMO
WONOSARI LOR BARU 6/10 WONOKUSUMO
WONOSARI LOR 4/9 WONOKUSUMO
WONOSARI LOR BARU 5/16 WONOKUSUMO
WONOSARI LOR KB 3/9 WONOKUSUMO
WONOSARI LOR 2/8B WONOKUSUMO
WONOSARI 3D/7 WONOKUSUMO
WONOSARI LOR KB 2/25 WONOKUSUMO
WONOSARI LOR WONOKUSUMO
WONOSARI LOR 6/2 WONOKUSUMO
WONOSARI LOR KB 3/10 WONOKUSUMO
WONOSARI LOR 8/8 WONOKUSUMO
WONOSARI LOR WONOKUSUMO
WONOSARI LOR 3A/8A WONOKUSUMO
WONOSARI LOR KB 16 WONOKUSUMO
WONOSARI LOR 4/43 WONOKUSUMO
WONOSARI LOR 3/19 WONOKUSUMO
WONOSARI LOR BARU 9/1A WONOKUSUMO
WONOSARI LOR KB 3 WONOKUSUMO
WONOSARI LOR 5B/8 WONOKUSUMO
WONOSARI L0R 3B/2 WONOKUSUMO
WONOSARI LOR 4/43 WONOKUSUMO
WONOSARI LOR 3/10 WONOKUSUMO
WONOSARI LOR WONOKUSUMO
0 WONOKUSUMO
WONOSARI LOR BARU 1/21 WONOKUSUMO
WONOSARI LOR BARU 12/1 WONOKUSUMO
WONOSARI LOR BARU 8/11 WONOKUSUMO
 WONOSARI LOR 5B/10A WONOKUSUMO
WONOSARI LOR 5A/16A WONOKUSUMO
WONOSARI LOR VB/8B WONOKUSUMO
WONOSARI LOR KB 72 WONOKUSUMO
WONOSARI LOR BARU 4/9 WONOKUSUMO
WONOSARI LOR 4/12A WONOKUSUMO
WONOSARI LOR BARU 5/12 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO
SIMO RUKUN 9/42 WONOKUSUMO
WONOSARI LOR BARU 8/10 WONOKUSUMO
WONOSARI LOR KB WONOKUSUMO
WONOSARI LOR BARU KB WONOKUSUMO
WONOSARI LOR KB 1/10B WONOKUSUMO
WONOARI LOR 3D/23 WONOKUSUMO
0 WONOKUSUMO
WONOSARI LOR 4/12A WONOKUSUMO
WONOSARI LOR 4/7B WONOKUSUMO
WONOSARI LOR BARU 5/27 WONOKUSUMO
WONOSARI LOR WONOKUSUMO
WONOSARI LOR BARU 1/10 WONOKUSUMO
WONOSARI LOR BARU KB/64 WONOKUSUMO
WONOSARI LOR 1/54 WONOKUSUMO
WONOSARI LOR 3A/2 WONOKUSUMO
WONOSARI LOR KB I/32 WONOKUSUMO
WONOSARI LOR 5A/10 WONOKUSUMO
WONOSARI LOR 5B/14 WONOKUSUMO
WONOSARI LOR KB 1/8 WONOKUSUMO
WONOSARI LOR 3/30 WONOKUSUMO
WONOSARI KB 64 WONOKUSUMO
WONOSARI LOR 3F/5 WONOKUSUMO
WONOSARI LOR BARU 8/7 WONOKUSUMO
WONOSARI LOR BARU10/2 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR BARU 45/14 WONOKUSUMO
WONOSARI LOR 5B/15 WONOKUSUMO
WONOSARI LOR KB/14 WONOKUSUMO
WONOSARILOR KB 1/24A WONOKUSUMO
wonosari lor WONOKUSUMO
WONOSARI LOR BARU 11/39 WONOKUSUMO
WONOSARI LOR BARU 10/18 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR 5B/15 WONOKUSUMO
WONOSARI LOR BARU 10/ WONOKUSUMO
WONOSARI LOR BARU 58A WONOKUSUMO
 WONOSARI LOR 4/2 WONOKUSUMO
WONOSARI LOR 3C/1C WONOKUSUMO
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TOTAL 0

Ʃ KOMULATIF -125
 LAPORAN RIIL IMUNISASI PUSKESMAS WON

RW : XIV

SASARAN : 125

KABUPATEN / KOTA : SURABAYA

PROVINSI : JAWA TIMUR

TAHUN : 2019

TANGGAL
NO NAMA BAYI NAMA IBU
LAHIR BAYI

1 AZKA MAULANA 05/01/2018 ISWANTO

2 ARFAN ZAFRAN 08/01/2018 ARIF
3 KHAYLA NADIRA 04/01/2018 SAFRISAL
4 AISYAH 13/01/2018 IMAM
5 RAISHA 18/01/2018 ABD ROHIM
6 ADIFA 14/02/2018 ABD ROHMAN
7 FELISA 17/02/2018 0
8 ALVIATUS ZAKIA 25/02/2018 MALIK
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO
10 ACHMAD FAIYEK 19/02/2018 ROFIQ
11 ADAM 01/03/2018 0
12 ADINDA NAFISA 10/03/2018 KHOIRUL
13 ZHAFRAN 10/03/2018 ISMAIL
14 NUR ANINDITA 12/03/2018 M. AINUL
15 ALVIN 20/03/2018 MAKNESAM
16 NEFAN DHEANDRA 23/03/2018 ANGGA
17 RAZQA 24/03/2018 KRISTIAN
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI
19 FAJAR HARDIANYAH 30/03/2018 0
20 MALIKA ZAHIRA 08/04/2018 MASRIFA
21 BILQIS 07/04/2018 0
22 WAHYU SUSANTO 19/04/2018 MENIK
23 FATHIA SAFFA 01/04/2018 HEPRI
24 AISATUR.M 16/04/2018 RODI
25 ALVA RISAL 08/05/2018 0
26 AQILA 09/05/2018 0
27 M.UBAIDILLAH.R 11/04/2018 0
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH
29 MIKAILA 22/07/2018 ADIT
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI
31 AISYAH ALIFA 11/07/2018 SUMRI
32 ADIP REZA 29/06/2018 SOFI
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS
34 ALKAFI AZURA 20/07/2018 MAHFUD
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH
37 AL FATIH 03/04/2018 FAISOL
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL
40 M.RASYID PUTRA 07/06/2018 YUNIANTO
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN
42 FARZAMA FITRA 09/06/2018 0
43 FAIQ ANDI 20/10/2018 0
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH
45 NADIA 25/04/2018 0
46 ALISA 11/09/2018 ABD.JALIL
47 HAFIFA 28/10/2018 0
48 ABIZAR DEVANO 03/12/2018 0
49 ASKA PARADIS 08/11/2018 0
50 ARSAD 27/10/2018 0
51 SANA HILWA 14/12/2018 SAIFUL
52 SINTIA DWI P 09/12/2018 SUYANTO
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK
54 RAY VINSYAH 12/11/2018 KANZA
55 AIRA 29/12/2018 CATUR
56 SALSABILA 24/12/2018 0
57 ZAKIATUS SAFA 10/02/2019 ANSORI
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN
59 M.SOBIR 30/11/2018 ZAINI
60 RAHMAT KENJI 21/09/2018 MISLAMI
61 M.ASHABI 21/10/2018 M.SAKUR
62 ALI MUSAYYEF 15/12/2018 ISMAIL
63 MAULIDIA 21/11/2018 ACH.TURI
64 BILQIS 24/09/2018 JUPRI
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY
66 AGIL FARDIANSYAH 05/02/2019 SIGIT
67 MUTIARA INDAH 06/10/2018 TEGUH
68 AIRA PUTRI A 09/09/2018 ARIS
69 alfiyah 27/06/2018 0
70 DIMAS 29/01/2019 HERIN
71 SHERLY 25/01/2019 DODIK
72 ISMALA 11/12/2018 FAHRIZAL
73 M.HARUN NAJIB 27/11/2018 NAJIB
74 ASROFIL AKBAR 22/09/2018 0
 75 FADIA RAHTILLAH 20/04/2019 0
76 ALIF GIBRAN 27/02/2019 ABD
77 AKIFA 15/12/2018 BUDIONO
78 0 0 0
79 0 0 0
80 0 0 0
81 0 0 0
82 0 0 0
83 0 0 0
84 0 0 0
85 0 0 0
86 0 0 0
87 0 0 0
88 0 0 0
89 0 0 0
90 0 0 0
91 0 0 0
92 0 0 0
93 0 0 0
94 0 0 0
95 0 0 0
96 0 0 0
97 0 0 0
98 0 0 0
99 0 0 0
100 0 0 0
101 0 0 0
102 0 0 0
103 0 0 0
104 0 0 0
105 0 0 0
106 0 0 0
107 0 0 0
108 0 0 0
109 0 0 0
110 0 0 0
111 0 0 0
112 0 0 0
113 0 0 0
114 0 0 0
115 0 0 0
116 0 0 0
117 0 0 0
118 0 0 0
119 0 0 0
120 0 0 0
121 0 0 0
122 0 0 0
123 0 0 0
124 0 0 0
125 0 0 0
126 0 0 0
127 0 0 0
128 0 0 0
129 0 0 0
130 0 0 0
131 0 0 0
132 0 0 0
133 0 0 0
134 0 0 0
135 0 0 0
136 0 0 0
137 0 0 0
138 0 0 0
139 0 0 0
140 0 0 0
141 0 0 0
142 0 0 0
143 0 0 0
144 0 0 0
145 0 0 0
146 0 0 0
147 0 0 0
148 0 0 0
149 0 0 0
150 0 0 0
TOTAL
Ʃ KOMULATIF
L IMUNISASI PUSKESMAS WONOKUSUMO

TANGGAL PEMBERIAN
IMUNISASI
ALAMAT LENGKAP KELURAHAN
MR BOOSTER

WONOSARI LOR KB 2/18 WONOKUSUMO

WONOSARI LOR 5B/20 WONOKUSUMO
WONOSARI LOR KB 2/18 B WONOKUSUMO
WONOSARI LOR BARU 6/10 WONOKUSUMO
WONOSARI LOR 4/9 WONOKUSUMO
WONOSARI LOR BARU 5/16 WONOKUSUMO
WONOSARI LOR KB 3/9 WONOKUSUMO
WONOSARI LOR 2/8B WONOKUSUMO
WONOSARI 3D/7 WONOKUSUMO
WONOSARI LOR KB 2/25 WONOKUSUMO
WONOSARI LOR WONOKUSUMO
WONOSARI LOR 6/2 WONOKUSUMO
WONOSARI LOR KB 3/10 WONOKUSUMO
WONOSARI LOR 8/8 WONOKUSUMO
WONOSARI LOR WONOKUSUMO
WONOSARI LOR 3A/8A WONOKUSUMO
WONOSARI LOR KB 16 WONOKUSUMO
WONOSARI LOR 4/43 WONOKUSUMO
WONOSARI LOR 3/19 WONOKUSUMO
WONOSARI LOR BARU 9/1A WONOKUSUMO
WONOSARI LOR KB 3 WONOKUSUMO
WONOSARI LOR 5B/8 WONOKUSUMO
WONOSARI L0R 3B/2 WONOKUSUMO
WONOSARI LOR 4/43 WONOKUSUMO
WONOSARI LOR 3/10 WONOKUSUMO
WONOSARI LOR WONOKUSUMO
0 WONOKUSUMO
WONOSARI LOR BARU 1/21 WONOKUSUMO
WONOSARI LOR BARU 12/1 WONOKUSUMO
WONOSARI LOR BARU 8/11 WONOKUSUMO
WONOSARI LOR 5B/10A WONOKUSUMO
WONOSARI LOR 5A/16A WONOKUSUMO
WONOSARI LOR VB/8B WONOKUSUMO
WONOSARI LOR KB 72 WONOKUSUMO
WONOSARI LOR BARU 4/9 WONOKUSUMO
WONOSARI LOR 4/12A WONOKUSUMO
WONOSARI LOR BARU 5/12 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO
SIMO RUKUN 9/42 WONOKUSUMO
WONOSARI LOR BARU 8/10 WONOKUSUMO
WONOSARI LOR KB WONOKUSUMO
WONOSARI LOR BARU KB WONOKUSUMO
WONOSARI LOR KB 1/10B WONOKUSUMO
WONOARI LOR 3D/23 WONOKUSUMO
0 WONOKUSUMO
WONOSARI LOR 4/12A WONOKUSUMO
WONOSARI LOR 4/7B WONOKUSUMO
WONOSARI LOR BARU 5/27 WONOKUSUMO
WONOSARI LOR WONOKUSUMO
WONOSARI LOR BARU 1/10 WONOKUSUMO
WONOSARI LOR BARU KB/64 WONOKUSUMO
WONOSARI LOR 1/54 WONOKUSUMO
WONOSARI LOR 3A/2 WONOKUSUMO
WONOSARI LOR KB I/32 WONOKUSUMO
WONOSARI LOR 5A/10 WONOKUSUMO
WONOSARI LOR 5B/14 WONOKUSUMO
WONOSARI LOR KB 1/8 WONOKUSUMO
WONOSARI LOR 3/30 WONOKUSUMO
WONOSARI KB 64 WONOKUSUMO
WONOSARI LOR 3F/5 WONOKUSUMO
WONOSARI LOR BARU 8/7 WONOKUSUMO
WONOSARI LOR BARU10/2 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR BARU 45/14 WONOKUSUMO
WONOSARI LOR 5B/15 WONOKUSUMO
WONOSARI LOR KB/14 WONOKUSUMO
WONOSARILOR KB 1/24A WONOKUSUMO
wonosari lor WONOKUSUMO
WONOSARI LOR BARU 11/39 WONOKUSUMO
WONOSARI LOR BARU 10/18 WONOKUSUMO
WONOSARI LOR BARU 10/23 WONOKUSUMO
WONOSARI LOR 5B/15 WONOKUSUMO
WONOSARI LOR BARU 10/ WONOKUSUMO
WONOSARI LOR BARU 58A WONOKUSUMO
WONOSARI LOR 4/2 WONOKUSUMO
WONOSARI LOR 3C/1C WONOKUSUMO
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TOTAL 0
Ʃ KOMULATIF -125
 LAPORAN RIIL IMUNISASI PUSKESMAS WON

RW : XIV

SASARAN : 125

KABUPATEN / KOTA : SURABAYA

PROVINSI : JAWA TIMUR

TAHUN : 2019

TANGGAL
NO NAMA BAYI NAMA IBU ALAMAT LENGKAP KELURAHAN HB0 (0<24
LAHIR BAYI BCG POLIO1
JAM)
1 AZKA MAULANA 05/01/2018 ISWANTO WONOSARI LOR KB 2/18 WONOKUSUMO 05/01/2018 27/01/2018 06/03/2018
2 ARFAN ZAFRAN 08/01/2018 ARIF WONOSARI LOR 5B/20 WONOKUSUMO 08/01/2018 23/01/2018 23/01/2018
3 KHAYLA NADIRA 04/01/2018 SAFRISAL WONOSARI LOR KB 2/18 B WONOKUSUMO 04/01/2018 09/01/2018 09/01/2018
4 AISYAH 13/01/2018 IMAM WONOSARI LOR BARU 6/10 WONOKUSUMO 13/01/2018 09/02/2018 09/02/2018
5 RAISHA 18/01/2018 ABD ROHIM WONOSARI LOR 4/9 WONOKUSUMO 18/01/2018 23/02/2018 23/02/2018
6 ADIFA 14/02/2018 ABD ROHMAN WONOSARI LOR BARU 5/16 WONOKUSUMO 14/02/2018 23/02/2018 23/02/2018
7 FELISA 17/02/2018 0 WONOSARI LOR KB 3/9 WONOKUSUMO 17/02/2018 19/02/2018 19/02/2018
8 ALVIATUS ZAKIA 25/02/2018 MALIK WONOSARI LOR 2/8B WONOKUSUMO 25/02/2018 09/03/2018 09/03/2018
9 NADIFA PUTRI 26/02/2018 AGUS PURWANTO WONOSARI 3D/7 WONOKUSUMO 27/02/2018 06/03/2018 06/03/2018
10 ACHMAD FAIYEK 19/02/2018 ROFIQ WONOSARI LOR KB 2/25 WONOKUSUMO 19/02/2018 02/03/2018 02/03/2018
11 ADAM 01/03/2018 0 WONOSARI LOR WONOKUSUMO 01/03/2018 16/03/2018 16/03/2018
12 ADINDA NAFISA 10/03/2018 KHOIRUL WONOSARI LOR 6/2 WONOKUSUMO 10/03/2018 27/03/2018 18/05/2018
13 ZHAFRAN 10/03/2018 ISMAIL WONOSARI LOR KB 3/10 WONOKUSUMO 10/03/2018 20/03/2018 11/05/2018
14 NUR ANINDITA 12/03/2018 M. AINUL WONOSARI LOR 8/8 WONOKUSUMO 12/03/2018 13/04/2018 13/04/2018
15 ALVIN 20/03/2018 MAKNESAM WONOSARI LOR WONOKUSUMO 20/03/2018 11/05/2018 11/05/2018
16 NEFAN DHEANDRA 23/03/2018 ANGGA WONOSARI LOR 3A/8A WONOKUSUMO 23/03/2018 04/05/2018 04/05/2018
17 RAZQA 24/03/2018 KRISTIAN WONOSARI LOR KB 16 WONOKUSUMO 24/03/2018 08/06/2018 31/03/2018
18 MUHAIMIN ISKANDAR 29/03/2018 MUSERI WONOSARI LOR 4/43 WONOKUSUMO 29/03/2018 17/04/2018 17/04/2018
19 FAJAR HARDIANYAH 30/03/2018 0 WONOSARI LOR 3/19 WONOKUSUMO 30/03/2018 15/05/2018 15/05/2018
20 MALIKA ZAHIRA 08/04/2018 MASRIFA WONOSARI LOR BARU 9/1A WONOKUSUMO 08/04/2018 10/04/2018 11/05/2018
21 BILQIS 07/04/2018 0 WONOSARI LOR KB 3 WONOKUSUMO 07/04/2018 11/05/2018 13/04/2018
22 WAHYU SUSANTO 19/04/2018 MENIK WONOSARI LOR 5B/8 WONOKUSUMO 19/04/2018 24/04/2018 24/04/2018
23 FATHIA SAFFA 01/04/2018 HEPRI WONOSARI L0R 3B/2 WONOKUSUMO 01/04/2018 04/05/2018 04/05/2018
24 AISATUR.M 16/04/2018 RODI WONOSARI LOR 4/43 WONOKUSUMO 17/04/2018 08/06/2018 08/06/2018
25 ALVA RISAL 08/05/2018 0 WONOSARI LOR 3/10 WONOKUSUMO 08/05/2018 13/07/2018 13/07/2018
26 AQILA 09/05/2018 0 WONOSARI LOR WONOKUSUMO 43229 11/05/2018 08/06/2018
27 M.UBAIDILLAH.R 11/04/2018 0 0 WONOKUSUMO 43201 11/05/2018 11/05/2018
28 PUTRI AURA ZASKIA 21/04/2018 ROHMAH WONOSARI LOR BARU 1/21 WONOKUSUMO 43211 24/04/2018 09/07/2018
29 MIKAILA 22/07/2018 ADIT WONOSARI LOR BARU 12/1 WONOKUSUMO 43303 24/08/2018 24/08/2018
30 ABD.RAHMAN HAFIS 21/04/2018 MUNADI WONOSARI LOR BARU 8/11 WONOKUSUMO 43211 18/05/2018 18/05/2018
31 AISYAH ALIFA 11/07/2018 SUMRI WONOSARI LOR 5B/10A WONOKUSUMO 43292 18/08/2018 18/08/2018
32 ADIP REZA 29/06/2018 SOFI WONOSARI LOR 5A/16A WONOKUSUMO 43280 05/07/2018 05/07/2018
33 ACH.FAHRAL AULIA 20/07/2018 ACH.MACHRUS WONOSARI LOR VB/8B WONOKUSUMO 43305 31/07/2018 31/07/2018
34 ALKAFI AZURA 20/07/2018 MAHFUD WONOSARI LOR KB 72 WONOKUSUMO 43301 24/08/2018 24/08/2018
35 HAFIS ALFARIZI 05/08/2018 M.ALFIN WONOSARI LOR BARU 4/9 WONOKUSUMO 43318 14/08/2018 14/08/2018
36 LAILATUL QOMARIAH 05/04/2018 ABDULLOH WONOSARI LOR 4/12A WONOKUSUMO 43195 13/04/2018 13/04/2018
37 AL FATIH 03/04/2018 FAISOL WONOSARI LOR BARU 5/12 WONOKUSUMO 43193 20/04/2018 20/04/2018
38 ARRAYAN OKTARIM 01/10/2018 SRIJANAH WONOSARI LOR BARU 10/23 WONOKUSUMO 43374 12/10/2018 12/10/2018
39 NAISHA SAFFABELA 07/11/2018 M. SAIFUL WONOSARI LOR BARU 10/23 WONOKUSUMO 43411 30/11/2018 30/11/2018
40 M.RASYID PUTRA 07/06/2018 YUNIANTO SIMO RUKUN 9/42 WONOKUSUMO 43259 14/07/2018 14/07/2018
41 RAFKA AQIL OKTARIA 01/10/2018 SAMSUDIN WONOSARI LOR BARU 8/10 WONOKUSUMO 43374 09/10/2018 09/10/2018
42 FARZAMA FITRA 09/06/2018 0 WONOSARI LOR KB WONOKUSUMO 43260 0 24/10/2018
43 FAIQ ANDI 20/10/2018 0 WONOSARI LOR BARU KB WONOKUSUMO 43393 21/12/2018 20/10/2018
44 ACH.KEMAL 05/06/2018 SITI MAYSAROH WONOSARI LOR KB 1/10B WONOKUSUMO 43256 27/07/2018 27/07/2018
45 NADIA 25/04/2018 0 WONOARI LOR 3D/23 WONOKUSUMO 43215 16/05/2018 16/05/2018
46 ALISA 11/09/2018 ABD.JALIL 0 WONOKUSUMO 43354 19/10/2018 19/10/2018
47 HAFIFA 28/10/2018 0 WONOSARI LOR 4/12A WONOKUSUMO 43401 16/11/2018 16/11/2018
48 ABIZAR DEVANO 03/12/2018 0 WONOSARI LOR 4/7B WONOKUSUMO 43438 04/01/2019 04/01/2019
49 ASKA PARADIS 08/11/2018 0 WONOSARI LOR BARU 5/27 WONOKUSUMO 43412 14/12/2018 15/11/2018
50 ARSAD 27/10/2018 0 WONOSARI LOR WONOKUSUMO 43400 11/01/2019 11/01/2019
51 SANA HILWA 14/12/2018 SAIFUL WONOSARI LOR BARU 1/10 WONOKUSUMO 43448 28/12/2018 28/12/2018
52 SINTIA DWI P 09/12/2018 SUYANTO WONOSARI LOR BARU KB/64 WONOKUSUMO 43443 14/12/2018 14/12/2018
53 MIRZA RAHMAT 13/02/2019 ACH. MUBAROK WONOSARI LOR 1/54 WONOKUSUMO 43509 22/02/2019 22/02/2019
54 RAY VINSYAH 12/11/2018 KANZA WONOSARI LOR 3A/2 WONOKUSUMO 43416 23/11/2018 23/11/2018
55 AIRA 29/12/2018 CATUR WONOSARI LOR KB I/32 WONOKUSUMO 43468 18/01/2019 18/01/2019
56 SALSABILA 24/12/2018 0 WONOSARI LOR 5A/10 WONOKUSUMO 0 11/01/2019 11/01/2019
57 ZAKIATUS SAFA 10/02/2019 ANSORI WONOSARI LOR 5B/14 WONOKUSUMO 43506 15/02/2019 15/02/2019
58 M.RISKY ALFATIH 29/10/2018 SAIFUDIN WONOSARI LOR KB 1/8 WONOKUSUMO 43403 30/11/2018 30/11/2018
59 M.SOBIR 30/11/2018 ZAINI WONOSARI LOR 3/30 WONOKUSUMO 43434 23/01/2019 23/01/2019
60 RAHMAT KENJI 21/09/2018 MISLAMI WONOSARI KB 64 WONOKUSUMO 43364 27/09/2018 27/09/2018
61 M.ASHABI 21/10/2018 M.SAKUR WONOSARI LOR 3F/5 WONOKUSUMO 43395 26/10/2018 28/11/2018
62 ALI MUSAYYEF 15/12/2018 ISMAIL WONOSARI LOR BARU 8/7 WONOKUSUMO 43450 21/12/2018 11/01/2019
63 MAULIDIA 21/11/2018 ACH.TURI WONOSARI LOR BARU10/2 WONOKUSUMO 43425 07/12/2018 07/12/2018
64 BILQIS 24/09/2018 JUPRI WONOSARI LOR BARU 10/23 WONOKUSUMO 43367 05/10/2018 13/03/2019
65 SHAQUILLE ALTAN G 03/06/2018 SHERLY WONOSARI LOR BARU 45/14 WONOKUSUMO 43254 25/06/2018 25/06/2018
66 AGIL FARDIANSYAH 05/02/2019 SIGIT WONOSARI LOR 5B/15 WONOKUSUMO 43501 15/03/2019 15/02/2019
67 MUTIARA INDAH 06/10/2018 TEGUH WONOSARI LOR KB/14 WONOKUSUMO 43385 24/10/2018 24/10/2018
68 AIRA PUTRI A 09/09/2018 ARIS WONOSARILOR KB 1/24A WONOKUSUMO 43353 12/09/2019 12/09/2018
69 alfiyah 27/06/2018 0 wonosari lor WONOKUSUMO 43278 31/08/2018 29/10/2018
70 DIMAS 29/01/2019 HERIN WONOSARI LOR BARU 11/39 WONOKUSUMO 43495 15/03/2019 08/02/2019
71 SHERLY 25/01/2019 DODIK WONOSARI LOR BARU 10/18 WONOKUSUMO 43490 08/02/2019 08/02/2019
72 ISMALA 11/12/2018 FAHRIZAL WONOSARI LOR BARU 10/23 WONOKUSUMO 43445 04/01/2019 04/01/2019
73 M.HARUN NAJIB 27/11/2018 NAJIB WONOSARI LOR 5B/15 WONOKUSUMO 43432 11/01/2019 11/01/2019
74 ASROFIL AKBAR 22/09/2018 0 WONOSARI LOR BARU 10/ WONOKUSUMO 43365 05/10/2018 17/01/2019
75 FADIA RAHTILLAH 20/04/2019 0 WONOSARI LOR BARU 58A WONOKUSUMO 0 10/05/2019 10/05/2019
76 ALIF GIBRAN 27/02/2019 ABD WONOSARI LOR 4/2 WONOKUSUMO 43524 15/03/2019 15/03/2019
77 AKIFA 15/12/2018 BUDIONO WONOSARI LOR 3C/1C WONOKUSUMO 43449 28/12/2018 28/12/2018
78 0 0 0 0 0 0 0 0
79 0 0 0 0 0 0 0 0
80 0 0 0 0 0 0 0 0
81 0 0 0 0 0 0 0 0
82 0 0 0 0 0 0 0 0
83 0 0 0 0 0 0 0 0
84 0 0 0 0 0 0 0 0
85 0 0 0 0 0 0 0 0
86 0 0 0 0 0 0 0 0
87 0 0 0 0 0 0 0 0
88 0 0 0 0 0 0 0 0
89 0 0 0 0 0 0 0 0
90 0 0 0 0 0 0 0 0
 91 0 0 0 0 0 0 0 0
92 0 0 0 0 0 0 0 0
93 0 0 0 0 0 0 0 0
94 0 0 0 0 0 0 0 0
95 0 0 0 0 0 0 0 0
96 0 0 0 0 0 0 0 0
97 0 0 0 0 0 0 0 0
98 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0
101 0 0 0 0 0 0 0 0
102 0 0 0 0 0 0 0 0
103 0 0 0 0 0 0 0 0
104 0 0 0 0 0 0 0 0
105 0 0 0 0 0 0 0 0
106 0 0 0 0 0 0 0 0
107 0 0 0 0 0 0 0 0
108 0 0 0 0 0 0 0 0
109 0 0 0 0 0 0 0 0
110 0 0 0 0 0 0 0 0
111 0 0 0 0 0 0 0 0
112 0 0 0 0 0 0 0 0
113 0 0 0 0 0 0 0 0
114 0 0 0 0 0 0 0 0
115 0 0 0 0 0 0 0 0
116 0 0 0 0 0 0 0 0
117 0 0 0 0 0 0 0 0
118 0 0 0 0 0 0 0 0
119 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0
121 0 0 0 0 0 0 0 0
122 0 0 0 0 0 0 0 0
123 0 0 0 0 0 0 0 0
124 0 0 0 0 0 0 0 0
125 0 0 0 0 0 0 0 0
126 0 0 0 0 0 0 0 0
127 0 0 0 0 0 0 0 0
128 0 0 0 0 0 0 0 0
129 0 0 0 0 0 0 0 0
130 0 0 0 0 0 0 0 0
131 0 0 0 0 0 0 0 0
132 0 0 0 0 0 0 0 0
133 0 0 0 0 0 0 0 0
134 0 0 0 0 0 0 0 0
135 0 0 0 0 0 0 0 0
136 0 0 0 0 0 0 0 0
137 0 0 0 0 0 0 0 0
138 0 0 0 0 0 0 0 0
139 0 0 0 0 0 0 0 0
140 0 0 0 0 0 0 0 0
141 0 0 0 0 0 0 0 0
142 0 0 0 0 0 0 0 0
143 0 0 0 0 0 0 0 0
144 0 0 0 0 0 0 0 0
145 0 0 0 0 0 0 0 0
146 0 0 0 0 0 0 0 0
147 0 0 0 0 0 0 0 0
148 0 0 0 0 0 0 0 0
149 0 0 0 0 0 0 0 0
150 0 0 0 0 0 0 0 0
TOTAL 50 0 0
∑ KOMULATIF 50 50 0
PUSKESMAS WONOKUSUMO

TANGGAL PEMBERIAN IMUNISASI

CAMPAK/M PENTA MR
DPT/HB (1) POLIO2 DPT/HB (2) POLIO3 DPT/HB (3) POLIO4 IPV
R (1) BOOSTER BOOSTER
06/01/2018 04/06/2018 10/04/2018 04/07/2018 04/06/2018 04/08/2018 04/08/2018 07/10/2018 0 0
13/03/2018 15/05/2018 13/04/2018 09/07/2018 15/05/2018 12/09/2018 12/09/2018 09/10/2018 0 0
07/03/2018 07/03/2018 07/04/2018 07/04/2018 07/05/2018 07/05/2018 07/06/2018 05/10/2018 0 0
12/04/2018 12/04/2018 06/06/2018 06/06/2018 11/07/2018 11/07/2018 13/08/2018 12/10/2018 0 0
28/03/2018 12/04/2018 12/04/2018 14/05/2018 14/05/2018 14/06/2018 14/06/2018 19/10/2018 0 0
20/04/2018 20/04/2018 21/05/2018 21/05/2018 21/06/2018 21/06/2018 21/07/2018 16/11/2018 0 0
28/04/2018 28/04/2018 31/05/2018 31/05/2018 09/07/2018 09/07/2018 09/08/2018 23/11/2018 0 0
08/05/2018 23/06/2018 23/06/2018 25/07/2018 25/07/2018 11/09/2018 12/09/2018 30/11/2018 0 0
26/04/2018 26/05/2018 26/05/2018 26/06/2018 26/06/2018 26/07/2018 26/07/2018 30/11/2018 0 0
19/04/2018 19/04/2018 19/05/2018 19/05/2018 19/06/2018 19/06/2018 19/07/2018 22/11/2018 0 0
14/05/2018 14/05/2018 11/07/2018 11/07/2018 11/08/2018 11/08/2018 11/10/18 07/12/2018 0 0
18/05/2018 06/07/2018 06/07/2018 15/11/2018 15/11/2018 07/02/2019 07/02/2019 01/03/2019 0 0
11/05/2018 11/06/2018 11/06/2018 09/07/2018 09/07/2018 14/08/2018 14/08/2018 11/01/2019 0 0
10/07/2018 10/07/2018 05/09/2018 10/10/2018 10/10/2018 10/11/2018 10/11/2018 08/02/2019 0 0
08/06/2018 08/06/2018 09/07/2018 09/07/2018 09/08/2018 09/08/2018 10/09/2018 21/12/2018 0 0
04/06/2018 04/06/2018 09/07/2018 09/07/2018 10/08/2018 10/08/2018 10/09/2018 28/12/2018 0 0
20/07/2018 08/06/2018 24/08/2018 20/07/2018 10/10/2018 24/08/2018 13/03/2019 0 0 0
08/06/2018 08/06/2018 19/10/2018 08/07/2018 19/10/2018 19/10/2018 19/11/2018 0 0 0
05/06/2018 05/07/2018 05/07/2018 05/08/2018 05/08/2018 05/09/2018 05/09/2018 0 0 0
10/07/2018 10/07/2018 10/08/2018 10/08/2018 09/01/2019 09/01/2019 09/02/2019 08/03/2019 0 0
11/06/2018 11/06/2018 13/08/2018 13/08/2018 13/09/2018 13/09/2018 15/10/2018 09/11/2018 0 0
19/06/2018 19/06/2018 19/07/2018 19/07/2018 20/08/2018 20/08/2018 20/09/2018 25/01/2019 0 0
04/06/2018 04/06/2018 09/07/2018 09/07/2018 12/09/2018 12/09/2018 12/10/2018 04/01/2018 0 0
13/09/2018 13/09/2018 19/10/2018 19/10/2018 07/02/2019 07/02/2019 14/03/2019 26/04/2019 0 0
09/08/2018 12/09/2018 12/09/2018 12/10/2018 12/10/2018 08/01/2019 08/01/2019 08/02/2019 0 0
09/07/2018 09/07/2018 12/09/2018 12/09/2018 12/10/2018 12/10/2018 08/01/2019 07/02/2019 0 0
11/06/2018 12/07/2018 12/07/2018 13/08/2018 13/08/2018 14/09/2018 14/09/208 11/01/2019 0 0
09/07/2018 08/08/2018 08/08/2018 13/09/2018 13/09/2018 14/10/2018 14/10/2018 25/01/2018 0 0
10/10/2018 10/10/2018 14/11/2018 14/11/2018 10/04/2019 08/05/2019 08/05/2014 0 0 0
20/07/2018 20/07/2018 05/09/2018 05/09/2018 05/10/2018 05/10/2018 05/11/2018 0 0 0
18/09/2018 18/09/2018 18/10/2018 18/10/2018 12/03/2019 12/03/2019 09/04/2019 0 0 0
12/09/2018 12/09/2018 12/10/2018 12/10/2018 12/11/2018 12/11/2018 08/01/2019 0 0 0
MENOLAK MENOLAK MENOLAK MENOLAK MENOLAK MENOLAK MENOLAK 0 0 0
21/09/2018 21/09/2018 26/10/2018 26/10/2018 30/11/2018 30/11/2018 09/01/2018 0 0 0
11/10/2018 11/10/2018 15/11/2018 15/11/2018 11/01/2019 11/01/2019 07/02/2018 0 0 0
08/06/2018 08/06/2018 09/07/2018 09/07/2018 10/08/2018 10/08/2018 11/10/2018 11/01/2019 0 0
12/06/2018 12/06/2018 18/07/2018 18/07/2018 20/08/2018 20/08/2018 11/10/2018 14/03/2018 0 0
09/01/2019 09/01/2018 13/03/2019 13/03/2019 08/05/2018 08/05/2019 10/04/2019 0 0 0
07/01/2019 07/01/2019 07/02/2019 07/02/2019 07/03/2019 07/03/2019 0 0 0 0
17/08/2018 17/08/2018 05/10/2018 05/10/2018 08/01/2019 08/01/2019 0 0 0 0
05/12/2018 09/01/2019 09/01/2019 08/05/2019 08/05/2019 0 0 0 0 0
24/10/2018 08/01/2019 08/01/2019 0 09/04/2019 0 0 0 0 0
08/01/2019 08/01/2019 02/03/2019 02/03/2019 07/05/2019 07/05/2019 0 0 0 0
24/08/2018 24/08/2018 05/10/2018 15/11/2018 15/11/2018 25/01/2019 25/01/2019 0 0 0
12/06/2018 12/06/2018 15/08/2018 15/08/2018 15/09/2018 15/09/2018 15/09/2018 25/01/2019 0 0
15/11/2018 15/11/2018 21/12/2018 21/12/2018 07/02/2019 07/02/2019 14/03/2019 0 0 0
07/02/2019 07/02/2019 0 0 0 0 0 0 0 0
07/02/2019 07/02/2019 14/03/2019 14/03/2019 0 0 0 0 0 0
01/02/2019 14/12/2018 0 01/02/2019 0 0 0 0 0 0
07/02/2019 14/03/2019 14/03/2019 0 0 0 0 0 0 0
14/02/2018 14/02/2019 14/03/2019 14/03/2019 0 0 0 0 0 0
18/02/2019 18/02/2019 08/05/2019 08/05/2019 0 0 0 0 0 0
13/04/2019 17/05/2019 17/05/2019 0 0 0 0 0 0 0
28/02/2018 28/02/2019 0 0 0 0 0 0 0 0
12/03/2019 12/03/2019 09/04/2019 26/04/2019 7/05/2019 0 0 0 0 0
12/03/2019 12/03/2019 09/04/2019 12/03/2019 07/05/2019 07/05/2019 0 0 0 0
10/04/2019 14/05/2019 14/05/2019 0 0 0 0 0 0 0
31/12/2018 31/12/2018 12/03/2019 12/03/2019 0 0 0 0 0 0
27/02/2019 27/02/2019 27/03/2019 08/05/2019 08/05/2019 0 0 0 0 0
21/11/2018 21/11/2018 22/12/2018 22/12/2018 29/01/2019 29/01/2019 13/03/2019 0 0 0
11/02/2019 11/02/2019 13/03/2018 13/03/2019 0 0 0 0 0 0
13/03/2019 13/03/2019 10/04/2019 08/05/2019 08/05/2019 0 0 0 0 0
22/01/2019 22/01/2019 22/02/2019 22/02/2019 23/03/2019 23/03/2019 08/05/2019 0 0 0
13/03/2019 08/05/2019 08/05/2019 0 0 0 0 0 0 0
03/08/2018 03/08/2018 03/09/2018 03/09/2018 03/10/208 18/11/2018 0 0 0 0
09/04/2019 07/05/2019 07/05/2019 0 0 0 0 0 0 0
06/12/2018 06/12/2018 06/01/2019 06/01/2019 06/02/2019 06/02/2019 15/03/2019 0 0 0
13/11/2018 13/11/2018 06/01/2019 06/01/2019 12/02/2019 12/02/2019 01/04/2019 0 0 0
28/09/2018 04/03/2019 29/10/2018 07/05/2019 07/12/2018 0 04/04/2019 12/04/2019 0 0
10/04/2019 08/05/2019 08/05/2019 19/06/2019 19/06/2019 0 0 0 0 0
10/04/2019 19/06/2019 19/06/2019 0 0 0 0 0 0 0
05/03/2019 05/03/2019 10/04/2019 08/05/2019 08/05/2019 0 0 0 0 0
04/02/2019 04/02/2019 04/04/2019 07/05/2019
diajak 0 0 0 0 0 0
17/01/2019 08/05/2019 08/05/2019 pindah ke 0 0 0 0 0 0
0 0 0 bali
0 0 0 0 0 0 0
15/05/2019 15/05/2019 0 0 0 0 0 0 0 0
15/02/2019 15/02/2019 15/03/2019 15/03/2019 15/04/2019 16/05/2019 16/05/2019 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0