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NAMA UNIT PELAYANAN KESEHATAN : nifas

BULAN : April
TAHUN : 2017

NO NAMA BAYI / BATITA JK TANGGAL LAHIR NAMA ORANG TUA

1 by. Ny. Yuliana P 1/4/2017 Ny. Yuliana


2 BY. NY. Dwi desianti P 1/4/2017 NY. Dwi desianti
3 by. Ny. Dwi nuraini L 1/4/2017 Ny. Dwi nuraini
4 by.ny. Maimunah L 2/4/2017 ny. Maimunah
5 by. Ny. Rahmawati L 2/4/2017 ny. Ny. Rahmawati
6 by. Siti nurjanah P 2/4/2017 ny. Siti nurjanah
7 by. Rum mayang sari P 3/4/2017 ny. Rum mayang sari
8 by. Ema I L 4/4/2017 ny. Ema I
9 by. Imelda L 4/4/2017 ny. Imelda
10 by. Musripah P 4/4/2017 ny. Musripah
11 by. Siti juhaeriyah P 5/4/2017 ny. Siti juhaeriyah
12 by. Widya P 5/4/2017 ny. Widya
13 by. Masripah P 5/4/2017 ny. Masripah
14 by. Rini P 6/4/2017 ny. Rini
15 by. Widya 2 p 5/4/2017 ny. widya
16 by. Fatimah p 5/4/2017 Ny. Fatimah
17 by teti p 8/4/2017 Ny teti
18 by nunung L 8/4/2017 Ny nunung
19 by nurlela p 9/4/2017 Ny nurlela
20 by pipit p 9/4/2017 Ny pipit
21 by nunuk p 9/4/2017 Ny nunuk
22 by chindyana p 9/4/2017 Ny chindyana
23 by eni p 10/4/2017 Ny eni
24 by lina L 12/4/2017 Ny lina
25 by erna L 12/4/2017 Ny erna
26 by. Mayrlin L 12/4/2017 Ny. Mayrlin
27 by shela januar L 13/4/2017 Ny shela januar
28 by marsela L 14/4/2017 Ny marsela
29 by.mardiah P 15/4/2017 Ny. Mardiah
30 by.umi L 17/4/2017 Ny.Umi
31 by maryani P 19/4/2017 Ny maryani
32 by lia P 19/4/2017 Ny lia
33 by Uci P 19/4/2018 Ny. Uci
34 by Ai Suryani P 19/4/2019 ny Ai Suryani
35 by Sri Rahayu P 19/4/2017 Ny Sri Rahayu
36 by Lina 1 L 20/4/2017 ny lina
37 by Lina 2 L 20/4/2017 ny lina
38 by rika kamirata P 21/4/2017 ny rika karimata
39 by pujiyati p 21/4/2017 ny pujiyati
40 by muayah p 22/4/2017 ny muayah
41 by irfadilla L 22/4/2017 Ny irfadilla
42 by nati L 22/4/2017 ny nat
43 by mevy L 22/4/2017 ny mevy
44 by rodiah p 22/4/2017 ny rodiah
45 by nana L 25/4/2017 ny nana
46 by silvia L 25/4/2017 ny silvia
47 by nurjanah L 25/4/2017 ny nurjanah
48 by keenan ali L 25/4/2017 ny Cinthia
49 by euis L 26/4/2017 ny euis
50 by maryam L 26/4/2017 ny maryam
51 by sri maryati L 26/4/2017 ny sri maryati
52 by wila santika P 27/4/2017 ny wila santika
53 by hayatun L 27/4/2017 ny hayatun
54 by teti p 27/4/2017 ny teti
55 by boinem p 27/4/2017 ny boinem
56 by sri maryani L 28/4/2017 ny sri maryani
57 by azizah L 28/4/2017 ny azizah
58 by sri nurkholifah p 28/4/2017 ny sri nurkholifah
59 by. Atijah L 29/4/2017 ny. Atijah
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LAPORAN CAKUPAN IMUNISASI

NO.TELP ALAMAT RT / RW

JL. Kompas gg.kembang rt 002/08, ciputat


O81285555757 jl. Taruma negara no.27 rt 01/05, ciputat
O8997759296 kp. Gunung rt 001/09, jombang ciputat
O81282416033 jl. Kemiri VIII rt 03/04, pd.cabe udik pamulang
O82112788757 jl. Bulak raya rt 03/04, serua ciputat
O81291599679 Buaran timur rt 011/04, jelupang serpong utara
O81399999866 kp. Jelupang rt 22/06, serpong utara
O82112035692 jl. Cendrawasih I rt 005/02, sawah baru
O2172797425 komp. Puri pamulang blok 67
O89608267702 jl. Oscar II bambu apus rt 001/02
O87886880024 kedaung Gg. H. dahlan rt 12/09
O8588486723 jl suka mulya no.50, ciputat
O89608267702 jl. Oscar II bambu apus rt 001/02, pamulang
O83806622503 jl. Trubus II pd.cabe ilir rt 001/08
O85884867231 jl. Sukamulya no.50, ciputat
O85218167060 jl. Kemiri VI rt 02/01, pd. Cabe
O83813952170 kp.cilenggang serpong
O82312101035 jl. Talas III pd. Cabe ilir rt 003/02, pamulang
- jl. Buringin rt 003/07, pamulang
O838074146388 jl. Punawarman pisangan ciputat
O85945989324 jl. Legoso rasa
O89623255196 benda baru rt 004/020
O85888877871 jl aria putra rt 010/19, kedaung
O8987566306 serpong rt 007/02
O82216654044 kp. Gunung rt 003/016, jombang ciputat
O217415669 reni jaya blok aa7/9, jombang ciputat
O85883165992 kp. Sherum poncol rt 01/06, kec.ciputat
O83807002320 jl. Kentang rt 004/07, pondok cabe
O83876908244 kp. Kademangan rt 002/02, setu
O81906168991 jl. Aria putra kedaung
O812119987515 lengkong gudang timur rt 002/04
O81316878123 jl pahlawan rt 003/009, rempoa
O82114394351 jl. Cipunegara XII cipayung rt 002/09 no. 44, ciputat
- jl. H. usman rt 002/008, ciputat
- kp.sengkol rt 004/002, muncul-setu
O8998718595 kp. Ciater rt 003.001, rawa mekar jaya
O8998718595 kp. Ciater rt 003.001, rawa mekar jaya
O85697365727 renijaya rt 004/02, pamulang barat
O87809463043 jl. Wadasari II rt 003/ 02, pd. Aren
O89613323686 nusa jaya rt 04/02, pd.ranji cip-tim
O87786440112 jl ketapang 3 reni jaya rt 004/06, pamulang
O85966275922 kp. Babakan kelapa 2
O81310705252 pinus raya pamulang barat
O81298111605 kp. Ciater barat
O85319092544 jl. Kemuning II rt 005/05, ciputat
O83895546186 kp. Gunung rt 001/06, jombang
O81287378551 sd parakan rt 003/08, pondok benda
O85219690168 jl. Sektor 7 rt 002/03, ciledug
O81219431577 jl. Buaran rt 001/04, gunung sindur-bogor
- jl. Pinus rt 003/04, pamulang
O83891443763 jl. Lamtoro rt 004/016, pamulang
O83808055337 kp. Sengkol rt 002/01, muncul, setu
O89687250333 jl. H.rean rt 02/01 benda baru pamulang
O85718664378 jl. Lingkar selatan rt 001/01 muncul setu
O85810919466 jl.sukamulya rt 02/07, serua indah
O81296070246 kp.dongkal komp. Polri rt 003/06, kedaung
O81803203750 jl. Rawakalong rt 01/01, gunung sindur-bogor
O8987757442 kp. Lengkong gudang rt 002/09, lengkong-serpong
O85945031528 jl. Salak 8, pondok benda pamulang
..
ANTIGEN (DI ISI TANGGAL IMUNISASI)
KELURAHAN
HB 0 POLIO

2/4/2017
2/4/2017
2/4/2017
3/4/2017
3/4/2017
3/4/2017
5/4/2017
5/4/2017
5/4/2017
5/4/2017
6/4/2017
6/4/2017
6/4/2017
7/4/2017
7/4/2017
8/4/2017
10/4/2017
10/4/2017
10/4/2017
10/4/2017
10/4/2017
10/4/2017
13/4/2017
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13/4/2017
13/4/2017
14/4/2017
14/4/2017
16/4/2017
18/4/2017
20/4/2017
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21/4/2017
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23/4/2017
24/4/2017
26/4/2017
26/4/2017
26/4/2017
27/4/2017
27/4/2017
27/4/2017
28/4/2017
28/4/2017
28/4/2017
28/4/2017
29/4/2017
29/4/2017
29/4/2017
30/4/2017
NAMA UNIT PELAYANAN KESEHATAN VK
BULAN AGUSTUS
TAHUN : 2017

NO NAMA BAYI / BATITA JK TANGGAL LAHIR NAMA ORANG TUA

1 By.Ny Ristiani L 8/4/2017 Ny Ristiani


2 By.Ny Sri.P P 8/5/2017 Ny Sri.P
3 By.Ny Sri Hartati P 8/5/2017 Ny Sri Hartati
4 By.Ny Suci P 8/6/2017 By.Ny Suci
5 By.Ny nuranah P 8/6/2017 Ny nuranah
6 By Ny siti juleha P 8/6/2017 Ny siti juleha
7 by.ny emmy L 8/7/2017 Ny emmy
8 by.ny listia P 8/8/2017 ny listia
9 by ny vina L 8/8/2017 ny vina
10 by ny irma P 8/10/2017 ny irma
11 by ny afniarti L 8/10/2017 ny afniarti
12 by ny fiyka P 8/11/2017 Ny fiyka
13 by ny sri asih P 8/15/2017 Ny sri asih
14 by ny rahmawati L 8/15/2017 ny rahmawati
15 by ny siti maryam L 8/16/2017 ny siti maryam
16 by ny rima P 8/16/2017 ny rima
17 by ny tiara L 8/19/2017 ny tiara
18 by ny rohmiyati P 8/19/2017 NY rohmiyati
19 by ny putri okta L 8/20/2017 ny putri okta
20 by ny sri mulati L 8/21/2017 ny sri mulati
21 by ny iyos P 8/21/2017 ny iyos
22 by ny indah L 8/21/2017 ny indah
23 by ny nurjanah P 8/22/2017 ny nurjanah
24 by ny nurafniah P 8/22/2017 ny nurafniah
25 by ny sutini L 8/22/2017 ny sutini
26 by ny susi P 8/23/2017 ny susi
27 by ny nuraini P 8/24/2017 Ny nuraini
28 by ny nurlaela P 8/25/2017 ny nurlaela
29 by ny ririn L 8/27/2017 ny ririn
30 by ny fridieta L 8/27/2017 ny fridieta
31 by ny ayu putri L 8/27/2017 ny ayu putri
32 by ny t.reza P 8/29/2017 ny t.reza
33 by ny asyah L 8/31/2017 ny asyah
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LAPORAN IMUNISASI

NO.TELP ALAMAT RT / RW KELURAHAN

87885161637 GG SALAM 1
81281837440 JL.H. Nurleman RT 002/003
85888096990 pondok benda rt 002/009
81310010807 villa melati mas
85695895044 jalan pinang
81291611340 pondok kacang timur
85100199992 jl.h.nurleman
89637885698 pondok petir rt 003/009
89601382420 jl slak 9 no 89 rt 3/4 pd benda pamulang
81310869221 nuh no 25 rt08/10

85212267544 jl aria putra 1


88210632312 kp ciledug
87808986845 rawa lele rt 01/05
8787105558 kp pulo 003/003
89535377719 kp duku gg sukma rt 004/001
895329631 jl selada 1 rt 002/003 pd cabe ilir
81310006230 jl cendrawasih rt 01/11 no 5 cipayung ciputat
81218100422 JL kemuning rt04/05 pamulangf
89538511519 kp cilalung rt001/005 jombang ciputat
8988554734 kp parigi 002/005
85810911012 jl musyawarah 004/004 ciputat
895325251910 kemiri jaya cabeudik 004/004
89515005026 kebun duren no 18 001/008 cipayung
81381885802 trubus II pondok cabe ilir 001/004
89653371520 jl mandor baret 001/007 pisangan

8561065558 jl kemiri raya


81297276493 jl albarkah poncol no 99
88211540394 jl parkit 004/004 sawah lama ciputat
81210886426 villa pamulang mas tahap II no 6 bambu apus
83875511215 jl delima 1 007/007 pamulang timur
..
ANTIGEN (DI ISI TANGGAL IMUNISASI)
HB 0 POLIO
8/4/2017 8/4/2017
8/5/2017 8/5/2017
8/5/2017 8/5/2017
8/6/2017
8/6/2017
8/6/2017
8/7/2017
8/8/2017
8/8/2017
8/10/2017
8/10/2017
8/11/2017 8/11/2017
8/15/2017
8/15/2017
8/16/2017 8/16/2017
8/16/2017 8/16/2017
8/19/2017
8/19/2017
8/20/2017 8/20/2017
8/21/2017 8/21/2017
8/21/2017 8/21/2017
8/21/2017 8/21/2017
8/22/2017 8/22/2017
8/22/2017 8/22/2017
8/22/2017 8/22/2017
8/23/2017 8/23/2017
8/24/2017 8/24/2017
8/25/2017 8/25/2017
8/27/2017 8/27/2017
8/27/2017 8/27/2017
8/27/2017 8/27/2017
8/29/2017 8/29/2017
8/31/2017 8/31/2017
NAMA UNIT PELAYANAN KESEHATAN VK
BULAN JUNI
TAHUN : 2017

NO NAMA BAYI / BATITA JK TANGGAL LAHIR NAMA ORANG TUA

1 BY.MNY.WATI P 6/2/2017 ny.wati


2 by ny nurul P 6/3/2017 ny nurul
3 by.ny wulan P 6/4/2017 ny wulan
4 by ny sella P 6/5/2017 ny sella
5 by.ovilia P 6/6/2017 NY.ovilia
6 by ny maryanih P 6/6/2017 ny maryanih
7 by ny nyai halimah P 6/6/2017 Ny nyai halimah
8 by ny endah L 6/6/2017 NY ny endah
9 by ny kartini L 6/6/2017 ny kartini
10 by ny muawanah L 6/11/2017 ny muawanah
11 by ny sri lestari L 6/13/2017 NY sri lestari
12 by ny dewi P 6/13/2017 ny dewi
13 by ny marlina P 6/15/2017 ny marlina
14 by ny sri L 7/16/2017 ny sri
15 BY NY DESI L 6/17/2017 NY DESI
16 BY NY ST NURJANAH P 6/17/2017 NY ST NURJANAH
17 BY NY KONITAH P 6/19/2017 NY KONITAH
18 BY NY MARYATI P 6/18/2017 NY MARYATI
19 BY NY ZUMILAH L 6/21/2017 NY ZUMILAH
20 BY NY NOVIYANTI P 6/21/2017 NY NOVIYANTI
21 BY NY DESI P 6/21/2017 NY DESI
22 BY NY TUTI P 6/21/2017 NY TUTI
23 BY NY MIRNAWATI L 6/22/2017 NY MIRNAWATI
24 BY NY JUMROHATUN L 6/22/2017 NY JUMROHATUN
25 BY NY DANURAH P 6/23/2017 NY DANURAH
26 by ny lia L 6/25/2017 ny lia
27 BY NY MANISA P 6/25/2017 NY MANISA
28 BY NY DESI L 6/26/2017 NY DESI
29 BY NY SURYANTI P 6/26/2017 NY SURYANTI
30 BY NY DWITA P 6/29/2017 NY DWITA
31 BY NY DIVIA L 6/29/2017 NY DIVIA
32 BY NY YOLANDA L 6/29/2017 NY YOLANDA
33 BY NY RAYNA P 6/30/2017 NY RAYNA
34 BY NY ST KHODIJAH P 6/30/2017 NY ST KHODIJAH
35 BY NY MONICA L 7/1/2017 NY MONICA
36 BY NY RIKA L 7/1/2017 NY RIKA
37 BY NY SARNAH L 7/2/2017 NY SARNAH
38 BY NY JAMILAH L 7/2/2017 NY JAMILAH
39 BY NY ERNA P 7/2/2017 NY ERNA
40 BY NY SRIEKA P 7/3/2017 NY SRIEKA
41 BY NY MARNI 7/3/2017 NY MARNI
42 BY NY FITRIYANI 7/3/2017 NY FITRIYANI
43 BY NY SRI EKA P 7/3/2017 NY SRI EKA
44 BY NY FATMASARI P 7/4/2017 NY FATMASARI
45 BY NY SUSILOWATI L 7/4/2017 NY. SUSILOWATI
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LAPORAN CAKUPAN IMUNISASI

NO.TELP ALAMAT RT / RW

89666417703 jl.lengkong gudang timur rt 01/03


89688330724 rawabebek rt01/01 pulo gebang
89618378872 KP KOCEAK RT 03/01 KERANGAN
895349005257 JL.KEMIRI II RT 02/04 PD.CABE
81293909839 GUNUNG INDAH NO 37
83876880201 JL.TERATAI Putih RT 03/09 RENGAS
88210541909 BSD BLOK E2 26 SEKTOR XII
BABAKAN POCIS RT 02/01
PISANGAN BARAT RT 008/009
87871840692 PURI BINTARO HIJAU NO 50 RT 004/005
PANCOL LESTARI RT 002/009 PMLG TIMUR
85819451285 PD.AREN RT 004/005
81314894086 AKASIA RT 01/12 PAM TIM
85716564308 ARIA PUTRA RT 01/09 CIPUTAT
82298041769 JL.SERPONG RT 04/08
8953215567 PAKU ALAM RT05/01
81282662512 KP DUKUH RT 06/08 SERUA INDAH
83808282588 PDK PUCUNG RT 04/01
81296527379 GRAHA INDAH PAMULANG II RT 08/03
81310041228 PALAPA RT 01/018 SERUA CIPUTAT
85717450445 RE MARTADINATA NO 39 RT 005/004 CIPAYUNG
81261908528 PNDOK MIN
JL.LEGOSO RAYA
85212145676 JL.JOMBANG RAYA RT3/2 CIPUTAT
jl.masjid akbar no 73
8888455195 CABERAYA RT 03/03
BUKIT PAMULANG INDAH
8988164493 JL KP BUARAN
CABE III
85695334970 MASJID ALIKHLAS
85773298849 JL UNTA RAYA RT 04/06
87771558589 PARUNG BENYING RT 01/18
91290249739 MAWAR RT 009/007 JURANG MANGU TIMUR
85719644973 BUKIT PAMULANG RT 17/16
8382926140 BABAKAN RT 05/04 SETU
85772100577 KEBANTENAN RT 03/08
85691107008 BENDARA RAWA KALONG RT 01/05
81317748972 PINUS RT 02/20
81289999064 JOMBANG RT 02/01 LENGKONG GDG TIMUR

KP BULAK RT 04/12 KEDAUNG

89508059920 ANGGREK ATAS 3 RT 005/006


81284497738 TIGA PUTRA RT 02/11
GURAME III RT 01/01

..
ANTIGEN (DI ISI TANGGAL IMUNISASI)
KELURAHAN
HB 0 POLIO

lk gdg timur 6/2/2017 6/2/2017


6/3/2017 6/3/2017
6/4/2017 6/4/2017
6/5/2017 6/5/2017
CIRENDEU 6/6/2017 6/6/2017
CIPUTAT 6/6/2017 6/6/2017
6/6/2017 6/6/2017
SETU 6/6/2017 6/6/2017
CIRENDEU 6/6/2017 6/6/2017
PD.AREN 6/11/2017 6/11/2017
PAMULANG 6/13/2017 6/13/2017
PD.AREN 6/13/2017 6/13/2017
PAMULANG 6/15/2017 6/15/2017
CIPUTAT 7/16/2017 7/16/2017
SERPONG 6/17/2017 6/17/2017
SERPONG UTARA 6/17/2017 6/17/2017
CIPUTAT 6/19/2017 6/19/2017
PD. AREN 6/18/2017 6/18/2017
BENDA BARU 6/21/2017 6/21/2017
CIPUTAT 6/21/2017 6/21/2017
CIPUTAT 6/21/2017 6/21/2017
BOGOR 6/21/2017 6/21/2017
CIPUTAT 6/22/2017 6/22/2017
CIPUTAT 6/22/2017 6/22/2017
muncul 6/23/2017 6/23/2017
6/25/2017 6/25/2017
6/25/2017 6/25/2017
6/26/2017 6/26/2017
PD.CABE 6/26/2017 6/26/2017
6/29/2017 6/29/2017
6/29/2017 6/29/2017
SERUA 6/29/2017 6/29/2017
6/30/2017 6/30/2017
6/30/2017 6/30/2017
SETU 7/1/2017 7/1/2017
PD.AREN 7/1/2017 7/1/2017
RAWA KALONG 7/2/2017 7/2/2017
PAM TIMUR 7/2/2017 7/2/2017
SERPONG 7/2/2017 7/2/2017
7/3/2017 7/3/2017
7/3/2017 7/3/2017
7/3/2017 7/3/2017
SERUA 7/3/2017 7/3/2017
DEPOK 7/4/2017 7/4/2017
PAMULANG 7/4/2017 7/4/2017
NAMA UNIT PELAYANAN KESEHATAN VK
BULAN JULI
TAHUN : 2017

NO NAMA BAYI / BATITA JK TANGGAL LAHIR NAMA ORANG TUA

1 by.N y herlina L 7/6/2017 N y herlina


2 by.NY Desty P 7/9/2017 NY Desty
3 BY.NY.DIANA L 7/9/2017 NY.Diana
4 BY.NY HERNA L 7/10/2017 NY HERNA
5 BY NY RINI P 7/12/2017 NY RINI
6 BY NY DEWI L 7/11/2017 NY DEWI
7 BY NY NENI P 7/12/2017 NY NENI
8 BY NY MARTINI L 7/12/2017 NY MARTINI
9 BY NY SUHENAH P 7/13/2017 NY SUHENAH
10 by ny nurhasanah L 7/13/2017 ny nurhasanah
11 BY NY TRI P 7/15/2017 NY TRI
12 BY NY Yunengsih P 7/16/2017 NY Yunengsih
13 BY NY CICI L 7/17/2017 NY CICI
14 BY NY INDAH P 7/18/2017 NY INDAH
15 BY NY IIS L 7/19/2017 NY IIS
16 BY NY Khaerunnisa P 7/18/2017 NY Khaerunnisa
17 BY NY NANI P 7/18/2017 NY NANI
18 BY NY RISTA P 7/20/2017 NY RISTA
19 By.Ny. Usrokul P 7/21/2017 Ny. Usrokul
20 By.Ny Heni L 7/21/2017 .Ny Heni
21 By.Ny.Eva L 7/21/2017 Ny.Eva
22 By.Ny.Lestari P 7/23/2017 Ny.Lestari
23 By.Ny.Zaliyah L 7/23/2017 Ny.Zaliyah
24 By.Ny.Minah P 7/24/2017 Ny.Minah
25 By.Ny.Nurjanah P 7/25/2017 Ny.Nurjanah
26 By.Ny.Anin L 7/25/2017 Ny.Anin
27 By.Ny.Suati L 7/25/2017 Ny.Suati
28 By.Ny.Istiqomah L 7/26/2017 Ny.Istiqomah
29 By.Ny.Choirunnisa L 7/27/2017 Ny.Choirunnisa
30 By.Ny.Uci L 7/28/2017 Ny.Uci
31 By.Ny.Juju L 7/29/2017 Ny.Juju
32 By.Ny.ila L 7/30/2017 Ny.ila
33 By.Ny.Qurotul L 7/31/2017 Ny.Qurotul
34 By.Ny.St Muniroh P 7/31/2017 Ny.St Muniroh
35 By.Ny.Ayuningsih L 7/30/2017 Ny.Ayuningsih
36 By.Ny.Maryani P 8/1/2017 NY MARYANI
37 By.Ny.Ade P 8/2/2017 Ny.Ade
38 By.Ny.oktaviani L 7/31/2017 NY.Oktaviani
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77
LAPORAN CAKUPAN IMUNISASI

NO.TELP ALAMAT RT / RW KELURAHAN

85881849314 PD.AREN RT 002/011 PD.AREN


8811516582 GG. NANGKA KEDAUNG
81284647431 JL.PANTI ASUHAN RT002/005 JURANG MANGU
87883423215 PISANGAN BARAT RT 005/009 CIPUTAT TIMUR
85813987587 PERUM PONDOK KACANG PRIMA RT 008/005
PAMULANG PERMAI 2 RT 05/16 BENDA BARU
8787752331 CILEDUG RT 001/002 PARIGI PARIGI
85697319831 KP PELADEN RT 003/005 PD.KARYA
89537537872 JL LEGOS RAYA GG HIKMAH 03/01 PISANGAN CIPTIM
81296657767 JL K.H. DEWANTARA 03/06 CIPUTAT
83872401509 JL.CIMANGGIS 003/001 CIPAYUNG
JALAN TALAS
83813684140 KEBON MANGGIS 01/04
856642083389 JL BARKAH GG KIPIN
89658718047 KP BULAK 04/03 PD.KACANG TIMUR
85710334254 JL BELATIK ATAS 08/09 RENGAS
87788088759 JL ARIA PUTRA 01/09 CIPUTAT
8994494476 JL CENDRAWASIH III 00/002 CIPUTAT
85695264845 LAMTORO 03/16 PAM TIM PAMTIM
89533120610 KERANGGAN 09/04
84532911288 PERIGI 01/05 PERIGI BARU
81318329710 KP BUARAN 02/09 SERUA INDAH
85217338389 ALHIDAYAH 01/02 PDK JAYA PD AREN
81380870989 JL.CIATER TENGAH
85891439955 KP PERIGI LAMA 02/07
8577984724 KP RAWA JOMBANG 01/01 JOMBANG
87211009876 PAMULANG TIMUR 02/03
89657331945 JL.K.H. DEWANTORO
81212376523 PERUM BUKIT INDAH 06/05 SERUA
81281750432 JL.OTISTA 99 MANDOR 04/11
82122459942 PARIGI 02/05 PD AREN
8211805818 KP BABAKAN 04/05 SETU SETU
81299369263 CENDRAWASIH NO 17 03/05 CIPAYUNG
85776979466 JL TALAS II KP.CIPAYUNG 04/01
89533417973 PD.PETIR SELADA II
JL.SITU GINTUNG
83879983862 JL PINANG 02/014 PAMULANG
89532701290 BABAKAN KELAPA 2 04/04

..
IMUNISASI

ANTIGEN (DI ISI TANGGAL IMUNISASI)


HB 0 POLIO
7/6/2017 7/6/2017
7/9/2017 7/9/2017
7/9/2017 7/9/2017
7/10/2017 7/10/2017
7/12/2017 7/12/2017
7/11/2017 7/11/2017
7/12/2017 7/12/2017
7/12/2017
7/13/2017 7/13/2017
7/13/2017 7/13/2017
7/15/2017 7/15/2017
7/16/2017 7/16/2017
7/17/2017 7/17/2017
7/18/2017 7/18/2017
7/19/2017
7/18/2017
7/18/2017
7/20/2017 7/20/2017
7/21/2017 7/21/2017
7/21/2017 7/21/2017
7/21/2017 7/21/2017
7/23/2017 7/23/2017
7/23/2017 7/23/2017
7/24/2017
7/25/2017
7/25/2017
7/25/2017
7/26/2017
7/27/2017
7/28/2017 7/28/2017
7/29/2017
7/30/2017 7/30/2017
7/31/2017 7/31/2017
7/31/2017
7/30/2017
8/1/2017 8/1/2017
8/2/2017 8/2/2017
7/31/2017 7/31/2017
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN SEPTEMBER
TAHUN : 2017

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 NY.Dewi L 9/1/2017 8977771663


2 Ny.Lidya L 9/2/2027 81294211655
3 Ny.Rita L 9/2/2027 89532519530
4 Ny.Celestine L 9/2/2017 81222133699
5 Ny.basriani L 9/4/2017 85774443263
6 Ny.Fauziana P 9/4/2017 89666685308
7 Ny Ayu L 9/5/2017 89890098118
8 Ny.Fitria L 9/5/2017 81316421600
9 Ny. ST suhersih P 9/7/2017 85887792476
10 NY.Mimin P 9/9/2017 85710259340
11 Ny.Ratna L 9/9/2017 89674332610
12 Ny maya P 9/11/2017 85780922206
13 Ny Zahra P 9/11/2017 89643576871
14 Ny Sagita L 9/11/2017 81212891342
15 NY.Atikah L 9/12/2017 82114724638
16 Ny.Nyayu P 9/12/2017
17 Ny Ayu P 9/13/2017 89532146737
18 Ny Rahayu P 9/13/2017 81299344927
19 NY Karina P 9/14/2017 8510183100
20 Ny Lasriah P 9/14/2017 81386441407
21 Ny Lisnawati P 9/15/2017 89604819474
22 Ny nuralfi P 9/14/2017
23 Ny novi P 9/16/2017 81282311164
24 Ny della P 9/17/2017 89603317922
25 Ny nurain L 9/17/2017 85719740774
26 Ny Lita P 9/20/2017 81288027803
27 Ny dede L 9/21/2017 81310721109
28 Ny Marni L 9/21/2017 82311923163
29 Ny Isvy L 9/22/2017 82298947757
30 Ny Virginia L 9/23/2017 8521096788
31 Ny Nurhayati P 9/23/2017 82112729590
32 Ny iis P 9/24/2017 81896756625
33 NY endah L 9/24/2017 81318000925
34 Ny ratih P 9/25/2017 87874812369
35 Ny neneng L 9/25/2017 87886972680
36 ny yekah L 9/27/2017 82112249254
37 ny devi P 9/27/2017
38 ny firda L 9/28/2017 85694568005
39 ny dwi sandia P 9/29/2017 89623294669
40 ny linah P 9/29/2017 81296114588
41 ny debi P 9/30/2017 83805984525
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0
JL alam segar I rt 03/08 pamulang 9/1/2017
JL manunggal rt 15/02 pasanggrahan 9/2/2027
jl sumbawa jombang 9/2/2027
pamulang permai 1 rt 5/14 9/2/2027
pamulang permai 1 A 32/01 9/4/2017
pangasinan kebon kopi 004/006 9/4/2017
kp.h.basir kp ceger no 149 rt 04/02 9/5/2017
jl gurame timur no 56 rt 03/01 bambu apus 9/5/2017
kp parigi 9/7/2017
kp cilenggang rt 07/03 serpong 9/9/2017
kp gunung rt04/08jombang ciputat 9/9/2017
bukit pamulang indah d-1/8 rt 08/04 pamulang 9/11/2017
jl cendrawasih rt 05/01 kp sawah 9/11/2017
jalan panti asuhan jurang mangu rt 03/12 jurang mangu 9/11/2017
jl.h.toran rt03/01 rengas ciptim 9/12/2017
pondok pucung blok d3 no 7 rt001/004 pdk aren 9/12/2017
jalan belimbing 9/13/2017
jl.kh wahid hasyim 06/03 jurang mangu timur pd.aren 9/13/2017
jl otista gg mandor rt 002/011 ciputat 9/14/2017
jl pondok kacang prima 015/08 9/14/2017
jl. Kp cilalyna 05/05 9/15/2017
jl talas III pdk cabe ilir 9/14/2017
kp pondok jati 01/13 9/16/2017
kp sawah ciputat 01/01 9/17/2017
jl beringin 1 pamulang barat 004/007 9/17/2017
kp masjid jombang ciputat tangsel 9/20/2017
amal bakti 07/02 rengas 9/21/2017
jl alam segar 03/08 pam-bar 9/21/2017
jl pamulang permai 2 benda barat 02/11 pamulang 9/22/2017
jl merapi blok air 08/14 limo depok 9/23/2017
perum benda baru e22/29-30 rt 04/17 9/23/2017
JL BHAKTI 03/07 CIPUTAT 9/24/2017
jl surya kencana 9/24/2017
kp pisangan barat cireundeu 01/05 9/25/2017
jl cemara 03/01 pambar 9/25/2017
kp pondok 004/002 9/27/2017
kp pd kemiri 9/27/2017
kp pulo 003/003 parigi 9/28/2017
jl trubus 1 9/29/2017
pamulang timur 01/14 9/29/2017
jl legoso gg dogol 004/001 9/30/2017
TANGGAL IMUNISASI
POLIO

9/2/2027
9/2/2027
9/2/2027
9/4/2017

9/11/2017

9/12/2017

9/13/2017

9/14/2017
9/14/2017

9/17/2017
9/17/2017
9/20/2017
9/21/2017
9/21/2017

9/24/2017

9/27/2017
9/30/2017
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN OKTOBER
TAHUN : 2017

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 Ny eni P 10/1/2017 81399700404


2 ny sutinah P 10/2/2017 89666360637
3 ny febriyanti L 10/2/2017 89513161129
4 ny anisya P 10/2/2017 8961715361
5 NY SAIDAR L 10/2/2017 81210507339
6 NY SRI WINARTI P 10/4/2017 82311848616
7 NY SITI MUSDALIFAH P 10/4/2017 81280475578
8 NY FAIZAH P 10/5/2017 81295714427
9 NY RISMAWATI L 10/5/2017 89609627663
10 NY RIAYANTINI P 10/5/2017 85691100532
11 NY MINARTI L 10/7/2017 88210927019
12 NY SRI NURJANAH L 10/7/2017 85780631477
13 NY PITUR L 10/10/2017 859510538343
14 NY HARTINI P 10/11/2017 82111820372
15 NY SAWIYAH P 10/11/2017 88210790076
16 NY NENI L 10/11/2017 85217971365
17 NY KARINAH P 10/12/2017 87785658003
18 NY YULIANA P 10/13/2017 81283922813
19 NY YUANA L 10/14/2017 85719369391
20 NY ASRI YULIARTI L 10/14/2017 81290673402
21 NY PARTIWI P 10/15/2017 87884604564
22 NY ELISAH L 10/15/2017 83875510907
23 NY PUTRI L 10/16/2017 895345297429
24 NY RIDA P 10/17/2017 89503303289
25 NY GRENLAN L 10/18/2017 8956892105
26 NY LUVVI P 10/19/2017 85774341846
27 NY SUMINI L 10/19/2017 81214525516
28 NY RUSNI P 10/30/2017 83876882697
29 NY FIONA L 10/20/2017 81293631698
30 NY YUSRI P 10/22/2017 8561083474
31 NY MARIAH P 10/23/2017 81311024241
32 NY SITA L 10/23/2017 85310360277
33 NY AMALIA L 10/24/2017 82210339311
34 NY NASIYAH L 10/29/2017 87808845447
35
36
37
38
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0
KP MARUGA 10/1/2017
KP SENGKOL 06/02 10/2/2017
JL PUSPITEK 16/04 10/2/2017
CENDRAWASIH 02/06 CIPAYUNG 10/2/2017
JL TALAS V 03/09 10/2/2017
JL GALUR 03/03 NO 50 CIREUNDE 10/4/2017
PD PETIR 04/01 PD BENDA 10/4/2017
JL CEMARA 1 GG KUBUR 01/01 10/5/2017
CIREUNDE INDAH I 004/001 CIPTIM 10/5/2017
JL PINANG 01/03 PAMULANG 10/5/2017
PDK PUCUNG 02/01 10/7/2017
JL SURYA KENCANA GG KEMUNING II 05/05 10/7/2017
JL LENGKENG 04/04 PAMULANG 10/10/2017
GRIYA PAMULANG 2 RT 003/20 PD BENDA 10/11/2017
JL AMD BABAKAN 01/01 BHAKTI JAYA 10/11/2017
KP MASJID 01/03 JOMBANG 10/11/2017
JURANG MANGU BARAT 03/01 10/12/2017
H.REAN BENDA BARU 005/002 10/13/2017
SURYA KENCANA 01/06 PAMULANG 10/14/2017
JL RUSIA IV 10/14/2017
KB KOPI 002/006 PENGASINAN 10/15/2017
KP BULAK BARAT 10/15/2017
JL SEMANGGI II 02/03 CIPTIM 10/16/2017
KP TEGAL ROTAN 01/08 SAWAH BARU CIPUTAT 10/17/2017
KP SETU 10/18/2017
KP WARU 10/19/2017
KP GURAME III 10/19/2017
KP PONDOK AREN 10/30/2017
PONDOK CABE RT004/004 10/20/2017
TRUBUS NO 45 RT 004/004 10/22/2017
JL PUSPITEK RAYA TAMAN TEKNO BLOK A5 10/23/2017
JL H BASRI PDK KACANG TIMUR 05/05 10/23/2017
KP CAMPURSARI 10/24/2017
KP DUKUH RT 02/02 JOMBANG 10/29/2017
TANGGAL IMUNISASI
POLIO
10/1/2017

10/4/2017

10/10/2017
10/11/2017
10/11/2017
10/11/2017
10/12/2017
10/13/2017
10/14/2017
10/14/2017
10/15/2017
10/15/2017
10/16/2017
10/17/2017
10/18/2017
10/19/2017
10/19/2017
10/30/2017
10/20/2017
10/22/2017
10/23/2017
10/23/2017
10/24/2017
10/29/2017
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN NOVEMBER
TAHUN : 2017

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 NY PURWI L 11/2/2017 81210009197


2 NY LILIS P 11/2/2017 81286066616
3 NY SAYUPI L 11/5/2017 8956747707
4 NY ANITA L 11/3/2017 0
5 NY YULIA P 11/5/2017 81298534472
6 NY LENI L 11/6/2017 87786487802
7 NY MULYANAH L 11/7/2017 81317664643
8 NY ANI MAYANGSARI P 11/7/2017 8128382860
9 NY SURTI L 11/11/2017 89694195564
10 NY IRMA.D L 11/12/2017 89553162057
11 NY ATI P 11/13/2017 81385902904
12 NY NENIH P 11/13/2017 8952827193
13 NY SINTIA L 11/14/2017 87873835724
14 NY MUSLIMAH P 11/14/2017 87809426468
15 NY ALFATIKAH L 11/14/2017 83813122843
16 NY FIOLA L 11/15/2017 87781432416
17 NY TRI HANDAYANI L 11/19/2017 81311194944
18 NY WAHYUNI P 11/19/2017 89519236092
19 NY INTAN SUCI L 11/19/2017 89520028231
20 NY SITI UMAYAH L 11/20/2017 89505833648
21 NY BAHIJAH P 11/20/2017 81298122912
22 NY ROBINGAH P 11/27/2017 81230027853
23 NY FRIENTY P 11/24/2017 89621922486
24 NY RISMA L 11/24/2017 81617596040
25 NY ANINDITA P 1/27/2017 85613155669
26 NY SUSANTI L 11/29/2017 89604236036
27
28
29
30
31
32
33
34
35
36
37
38
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
JL H. SAIMIN 003/001 11/2/2017 11/2/2017
JL TALAS III NO 4 003/002 11/2/2017 11/2/2017
KP SERUA PONCOL 001/006 11/5/2017 11/5/2017
JL JUANDA CIPUTAT 002/001 11/3/2017
JL PERMATA PAMULANG RT03/03 BHAKTI JAYA 11/5/2017 11/5/2017
JL CABE IV 005/011 11/6/2017 11/6/2017
KP BULAK 003/011 11/7/2017 11/7/2017
PONCOL LESTARI 001/009 PAMTIM 11/7/2017 11/7/2017
CEMPAKA PUTIH 003/005 CIPTIM 11/11/2017 11/11/2017
CIREUNDEU RAYA 004/003 PISANGAN 11/12/2017
JL SALAK 004/004 PAMULANG 11/13/2017
JL PUSKESMAS 004/011 PD AREN 11/13/2017
JL KP PABUARAN 001/003 GUNUNG SINDUR 11/14/2017
JL SERUA PONCOL 001/005 SAWAHBARU CIPUTAT 11/14/2017 11/14/2017
JL TALAS I 001/010 PAMULANG 11/14/2017 11/14/2017
JL CENDRAWASIH V 006/002 SAWAH BARU CIPUTAT 11/15/2017
JL CIREUNDEU RAYA 005/005 PISANGAN CIPTIM 11/19/2017 11/19/2017
PASAR JENGKOL BUKIT IBU 003/001 11/19/2017
KEBON DUREN 003/009 CIPAYUNG CIPUTAT 11/19/2017
JL SALIH 003/003 PARIGI 11/20/2017
JL SURYA KENCANA 002/006 PAMULANG 11/20/2017
KP PANGKAL 002/004 11/27/2017
BENDABARU TANGSEL 11/24/2017 11/24/2017
JL TEGAL ROTAN 001/010 SAWAH BARU 11/24/2017 11/24/2017
PERUM VILA DAGO BLOK F4/10 005/020 1/27/2017
JL SALAK IV 004/003 PD BENDA 11/29/2017
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN JANUARI
TAHUN 2018

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 NY.MARNI P 1/2/2018 81287433075


2 NY.PRISILIA P 1/2/2018 81214594441
3 NY.SURYANIH P 1/3/2018 8978650283
4 NY.MUHARANI P 1/3/2018 89535188396
5 NY.ANI L 1/8/2018 82321310012
6 NY.APONG L 1/6/2018
7 NY.KHOLIS L 1/8/2018 82122028154
8 NY.LENY L 1/9/2018 85210280696
9 NY.NURAIDA P 1/9/2018 87774185906
10 NY.YUSACA L 1/10/2018 85772205634
11 NY.ANITA P 1/12/2018 81288631588
12 NY.JAMILAH P 1/14/2018 82112260890
13 NY.INDAH L 1/15/2018 89523879731
14 NY.SOLEHA L 1/15/2018 89651696187
15 NY.ROMI L 1/15/2018 81382233204
16 NY.FITRI L 1/16/2018 89678971345
17 NY.MARIOS P 1/16/2018 81266331839
18 NY.JERMINA L 1/16/2018 82113818697
19 NY.PARTINAH L 1/19/2018 8788228575
20 NY.VUVUT P 1/20/2018
21 NY.NURLAELA L 1/22/2018 85691052507
22 NY.DIANA L 1/22/2018 87771852636
23 NY SUPATMI P 1/23/2018 85811752507
24 NY LIAWATI P 1/23/2018 89506625586
25 NY YASMIN L 1/23/2018 8568626939
26 NY ARMELIN L 1/24/2018 81297694538
27 NY NURYANTI P 1/24/2018 85748100228
28 NY NUNUNG L 1/25/2016 81281355307
29 NY SOFIYATI P 1/26/2018 85210348171
30 NY INDAH L 1/26/2018 85325148504
31 NY LIA ANGGELA L 1/26/2018 81286287836
32 NY SANTI P 1/27/2018 81317732645
33 NY AMELLISA P 1/27/2018 81289497077
34 NY TANIA L 1/27/2018 85813195718
35 NY SANTI L 1/27/2018 8896509078
36 NY INTEN P 1/29/2018 85716718833
37 NY AI KURNIAWATI P 1/30/2018 87884230486
38 NY YUSRI L 1/30/2018 83813062949
39 NY DINAH L 1/31/2018 85810240200
40 NY JUMANAH P 1/31/2018 89675309468
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
KP BABAKAN SETU 06/03 1/2/2018
JL.FLAMBOYAN REMPOA 06/12 1/2/2018
JL H. BASIR KP CEGER 04/02 PD AREN 1/3/2018
JL BUARAN 01/07 SERPONG 1/3/2018
JL KALIMONGSO 79 02/01 JURANG MANGU PD AREN 1/8/2018
KP DUKUH 01/01 SERUA CIPUTAT 1/6/2018
JL CENDRAWASIH 05/02 SAWAH BARU 1/8/2018
KP KADEMANGAN 02/01 SETU 1/9/2018
KP GUNUNG 09/01 JOMBANG 1/9/2018
JL CENDRAWASIH 01/01 CIPAYUNG CIPUTAT 1/10/2018
JL PLN PONDOK AREN 02/01 1/12/2018
JL DR SETIA BUDI KB MANGGIS 01/04 1/14/2018
JL CILENGGANG SETU 04/02 SERPONG 1/15/2018
KP CURUG 03/01 BABAKAN SETU 1/15/2018
JL SINAR PAMULANG 2/02 1/15/2018
JL SELADA II TANGSEL 1/16/2018
MASJID DARUSSALAM NO 19 KEDAUNG PAMULANG 1/16/2018
JL PINUS BARAT BLOK B3 04/04 PAMBAR 1/16/2018
JL LENGKONG 02/02 SERPONG UTARA 1/19/2018
JL.H. SARMAH NO 1 03/07 PD KACANG TIMUR 1/20/2018
KP BLOK KELAPA 6/4 JURANG MANGU TIMUR 1/22/2018
JL TEGAL ROTAN RT 04 SAWAH BARU CIPUTAT 1/22/2018
JL SENGKOL 03/01 SETU 1/23/2018
SUKABAKTI 3 04/06 CIPUTAT 1/23/2018
JL KEMUNING 04/05 PAMBAR 1/23/2018
PAMULANGPERMAI 2 24/19 BENDABARU 1/24/2018
JL CENDRAWASIH 01/11 CIPAYUNG CIPUTAT 1/24/2018
JL GUNUNG INDAH NO 44 002/003 CIREUNDEU 1/25/2016
KP MASJID 4/3 JOMBANG 1/26/2018
KADEMANGAN SETU 01/02 1/26/2018
JL SWADAYA KEDAUNG 09/10 1/26/2018
JL LAMTORO 04/16 PAMTIMUR 1/27/2018
PDK KACANG TIMUR 06/01 1/27/2018
PAMULANG PERMAI 04/11 1/27/2018
JL SWADAYA PARAKAN 01/08 PAMULANG 1/27/2018
JL.H.TAIP 05/19 KEDAUNG 1/29/2018
KP BULAK BARAT 05/04 KEDAUNG PAMULANG 1/30/2018
JL PLUTO DALAM 02/04 PISANGAN 1/30/2018
PD RANJI 02/01 TANGSEL 1/31/2018
KP RAWA KALONG 01/01 1/31/2018
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN FEBRUARI
TAHUN 2018

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 NY KHOTIMAH P 2/2/2018 89539475565


2 NY SUYAMTI L 2/2/2018 82160228901
3 NY PRIHATIN P 2/2/2018 89681141255
4 NY ROJANAH L 2/5/2018 85694034008
5 NY AULIA P 2/7/2018 85810646954
6 NY NURUL P 2/9/2018 89955005541
7 NY RITA DIANA L 2/14/2018 83812572625
8 NY YUNI P 2/17/2018 88801106686
9 NY RESTIAWATI L 2/17/2018 89516950806
10 NY PUTRI RIZKI P 2/19/2018 8111923087
11 NY SIVA L 2/20/2018 89643464204
12 NY MIRDA P 2/24/2018 82258193638
13 NY YULIANA QOTRUNIDA P 2/26/2018 85959439508
14 NY LIA L 3/27/2018 85946050719
15 NY NURHAYATI L 3/27/2018 81298112732
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
KP CURUG RT 03/09 2/2/2018
JL KAVLING KEDAUNG 2/2/2018
JL TALAS V RT 01/09 PD CABE 2/2/2018
JL KP SERPONG RT 04/02 SERPONG 2/5/2018
JL GARUDA 05/02 SAWAH 2/7/2018
JL TANAH WIJAYA CIKOKOL 2/9/2018
JL PALANG T 01/11 CIPUTAT 2/14/2018
KP KADEMANGAN 02/03 SETU 2/17/2018
SERPONG 01/07 SERPONG 2/17/2018
KOMPLEK GARUDA NO 41 RT 04/08 2/19/2018
CIMANGGISAN RT 03/03 CIAYUNG CIPTIM 2/20/2018
PAMULANG TIMUR 01/07 2/24/2018
RENI JAYA BLOK AE 06/36 PAMULANG 2/26/2018
CILENGGANG 04/02 SERPONG 3/27/2018
JL PINANG KEL PAMULANG 3/27/2018
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN MARET
TAHUN 2018

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 NY ILA SITI R P 3/1/2018


2 NY SULISTYANINGSIH P 3/1/2018
3 NY PUTRI L 3/2/2018 8381201011
4 NY LYSAH L 3/4/2018 8956943881
5 NY NENENG L 3/5/2018 83870890840
6 NY SITI KHODIJAH P 3/5/2018
7 NY DINA L 3/6/2018 82220469041
8 NY IRMA P 3/7/2018 85939108431
9 NY SITI FARIDA P 3/9/2018 89696029445
10 NY HASANAH P 3/9/2018
11 NY SRI L 3/15/2018 85777949930
12 NY CIKA P 3/16/2018 82210030354
13 NY RISMA L 3/17/2018 87871496033
14 NY DYANTI L 3/18/2018 82298348905
15 NY OKTAVIANI P 3/20/2018 2192716184
16 NY ERNI L 3/20/2018 85776126674
17 NY SUHELIN P 3/21/2018 87877288472
18 NY SARIFAH L 3/21/2018 89262717676
19 NY SITI KHODIJAH P 3/21/2018 8176769179
20 NY TYAS L 3/23/2018 83898582720
21 NY WARIDAH P 3/23/2018 85711406400
22 NY CICIH NURAENI P 3/24/2018 81298262356
23 NY NURUL L 3/24/2018 85694472228
24 NY NINA L 3/24/2018 82398677771
25 NY IVARAH L 3/24/2018 81906007015
26 NY RESI P 3/24/2018 87780462828
27 NY SUNARSIH P 3/26/2018 85883144714
28 NY MALIMUDATUS P 3/27/2018 8567667657
29 NY SURATMININGSIH L 3/27/2018 87885725235
30 NY INDAH PUTRI P 3/27/2018 85779680348
31 NY SAPNAH 3/27/2018 89568032485
32 NY ELMAYUNINA L 3/28/2018 21283091158
33 NY EVI SELVIA P 3/29/2018 87871315323
34 NY RAHMAWATI L 3/29/2018
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
KP PISANGAN BARATRT 04/05 3/1/2018
CIPAYUNG RT 04/04 CIPUTAT 3/1/2018
KADEMANGAN RT 01/01 SETU 3/2/2018
JL SALAK 8 PONDOK BENDA 3/4/2018
KP SETU RT 04/03 BUARAN SERPONG 3/5/2018
CIPAYUNG RT 02/09 CIPUTAT 3/5/2018
TARUMANEGARA 05/01 CIPTIM 3/6/2018
GG WARU RT 03/03 PAMULANG 3/7/2018
JL CEGER 04/011 JURANG MANGU 3/9/2018
JL ASIA PUTRA 3/9/2018
JL LOBAN 1/6 0D CABE 3/15/2018
JL KH EWANTORO RT 02/05 CIPUTAT 3/16/2018
KP DUKUH RT 05/01 SERUA CIPUTAT 3/17/2018
KP CIATER RT 04/03 SERPONG 3/18/2018
KP JOMBANG 3/20/2018
JL SADIH DA'UN 3/20/2018
JL KP RAWA RT 01/11 3/21/2018
JL PINANG RAYA RT 02/14 3/21/2018
KP PD AREN 11/1 PONDOK BETUNG 3/21/2018
JL MUSHOLLA CURUG 3/23/2018
JL PONDOK RAYA 4/5 PONDOK RANJI 3/23/2018
BUKIT PAMULANG INDAH RT 05/04 PAMULANG 3/24/2018
JL ROSA RAYA PONDOK RANJI 3/24/2018
JL AL BARKAH KP CEGER PAMULANG 3/24/2018
JL H NURSALEH GG KETUPAT 3/24/2018
JL H SOM RT 06/01 PD PUCUNG 3/24/2018
JL PINANG KEL PAMULANG TIMUR KEC PA,ULANG 3/26/2018
JL PAMULANG PERMAI B 23 NO D 10 3/27/2018
JL TALA III 3/27/2018
JL DELIMA JAYA R 04/02 3/27/2018
JL DAMAI III RT 08/01 PONDOK PUCUNG 3/27/2018
JL MASJID DARUSALAM RT 05/14 KEDAUNG 3/28/2018
GG DEWI SARTIK NANGKA CIMANGGIS 3/29/2018
3/29/2018
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN APRIL
TAHUN 2018

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 NY.NINING L 4/2/2018 85217848880


2 NY.ZAQIAH P 4/4/2018 8584463960
3 NY.ANISA CAHYATI L 4/4/2018 89561153543
4 NY.ELI L 4/5/2018 89647805835
5 NY.SITI AISYAH L 4/5/2018 85959695109
6 NY.ALPIYAH L 4/5/2018 87770036611
7 NY.SATI P 4/5/2018 81211690288
8 NY. MANI L 4/5/2018 83893096576
9 NY.ITA L 4/6/2018 88808128007
10 NY.ANIS L 4/6/2018 89533072754
11 NY.TASRIPAH L 4/8/2018
12 NY.SINTIA P 4/8/2018 88808302277
13 NY.RAHMAWATI L 4/9/2018 81317581233
14 NY.DESMA 4/10/2018 81389109299
15 NY.NURYATI P 4/11/2018 83876045215
16 NY.AGNES L 4/11/2018 8781094215
17 NY.SANTIKA L 4/12/2018 85311999721
18 NY.DIANA L 4/13/2018
19 NY.LIA L 4/13/2018 81288792437
20 NY.WARSIDAH P 4/14/2018 81317450409
21 NY.MARIA ULFAH P 4/16/2018 83891919107
22 NY.YUYUN L 4/18/2018 8180253598
23 NY.DEWI L 4/18/2018 85819425563
24 NY SEPTIAN P 4/19/2018 81381660880
25 NY SRI NURHASANAH L 4/20/2018 85939937546
26 NY YANI L 4/20/2018 81535356462
27 NY NINIK P 4/20/2018 85212292322
28 NY ERNAWATI L 4/21/2016 85717143854
29 NY RISTI L 4/21/2016 81319989610
30 NY NIAH P 4/21/2016 8952590661
31 NY NURYANAH L 4/22/2018 81287534075
32 NY SETIYANI L 4/22/2018 89537986851
33 NY SITI NURAENI P 4/23/2018 8128224419
34 NY SITI KOTIJAH L 4/23/2018 82298714108
35 NY RIAN CAHYA P 4/25/2018 81281143285
36 NY FIKIYAWATI P 4/25/2018 87806754596
37 NY SARAH P 4/27/2018 81299057491
38 NY KUNAH L 4/27/2018 85810844712
39 NY ASTRIYANI L 4/29/2018 81381712403
40 NY YULIANA P 4/29/2018 81310685891
41 NY ELDA WIDARTI L 4/30/2018 89537566550
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
JL.LADA GOTONG ROYONG PD CABE UDIK 4/2/2018
JL.PAJAJARAN NO 20 RT 02/02 PAMULANG BARAT 4/4/2018
JL KENTANG RT 04/07 PD CABE ILIR PAMULANG 4/4/2018
JL JARI BUKER NUSA INDAH 4/5/2018
JL LAMTORO RT 04/16 PAMULANG 4/5/2018
KP CIATER RT 04/07 SERPONG 4/5/2018
JL GLATIK ATAS NO 2 CIPUTAT 4/5/2018
JL CENDRAWASI RT 02/11 CIPAYUNG CIPUTAT 4/5/2018
JL KUBIS IV RT 06/05 PONDOK CABE ILIR 4/6/2018
JL SUKA MULYA RT 02/08 SARUA INDAH 4/6/2018
4/8/2018
JL RUSA II NO 3 RT 04/04 PD RANJI CIPTIM 4/8/2018
CIPUNALANG III NO 38 4/9/2018
CILENGGANG RT 04/03 CISAUK 4/10/2018
KRANGGAN 14/03 CISAUK 4/11/2018
JL SWADAYA RT 03/15 KEL KEDAUNG 4/11/2018
JL PINANG RAYA RT 01/02 4/12/2018
KP MANGA CIATER RT 03/08 SERPONG 4/13/2018
JL PESANTREN KP CEGER RT 01/03 PD AREN 4/13/2018
BSD BLOK R 10 SEKTOR 1-2 RT 05/04 RAWA BUNTU 4/14/2018
JL CEMARA II KEL PAMULANG BARAT PAMULANG 4/16/2018
JL KAU KEUANGAN 09/01 KEDAUNG 4/18/2018
PERUM GRIYA ASRI PAMULANG 4/18/2018
JURANG MANGU BARON 03/02 PD AREN 4/19/2018
JL MADE II RT 01/04 4/20/2018
JL SETIA KAWAN RT 03/02 PAMULANG BARAT 4/20/2018
JL ELANG RAYA NO 95 RT 04/03 SAWAH CIPUTAT 4/20/2018
JL NUSA INDAH RAYA RT 05/12 PD AREN 4/21/2016
JL H NURLEMAN RT 01/03 KEL BENDA BARU PAMULANG 4/21/2016
KP CILEDUG RT 04/02 KEL PERIGI PD AREN 4/21/2016
KP PD BELIMBING RT 02/04 PD AREN 4/22/2018
JL KEMIRI VIII RT 03/04 PONDOK CABE UDIK 4/22/2018
GG PABUARAN BARAT RT 01/03 PD KARYA 4/23/2018
KP BARU ASIH 08/-3 KEL MUNCUL 4/23/2018
KP GRIYA BLOK C4/9 RAWA KALONG 4/25/2018
JL WAKIEL M PULO 4/25/2018
JL LINGKAR SELATAN RT 02/01 GUNUNG SINDUR 4/27/2018
JL UTAN RT 04/04 CEMPKA PUTIH CIPTIM 4/27/2018
JL ARA PUTRA 06/15 KEL KEDAUNG PAMULANG 4/29/2018
KP KEDEMANGAN RT 04/01 SETU 4/29/2018
KP SETU RT 15/04 4/30/2018
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN MEI
TAHUN 2018

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 BY NY NOVI P 5/1/2018 89652085449


2 BY NY NANI P 5/3/2018
3 BY NY ZUBAIDAH P 5/3/2018 81397316134
4 BY NY SUSANTI P 5/3/2018 81807836111
5 BY NY RATMI P 5/4/2018 83874997572
6 BY NY ANI P 5/4/2018 81905355604
7 BY NY TRI MURNIYATI P 5/5/2018 8780803083
8 BY NY NURMAWATI P 5/5/2018 81281564589
9 BY NY NURHASANAH P 5/5/2018 83890721280
10 BY NY RAFIAH L 5/6/2018 83813953590
11 BY NY NYAI SURYANI P 5/6/2018 8197260007
12 BY NY LINDA L 5/7/2018 89513993421
13 BY NY ERNA FITRI P 5/7/2018 82295601667
14 BY NY SRI WAHYUNI L 5/8/2018 87880163924
15 BY NY ST JULAEHA 5/10/2018 89532084867
16 BY NY IRMA S 5/10/2018 89527837072
17 BY NY MARDIANAH L 5/11/2018
18 BY NY MUNIYATI P 5/12/2018 8816841427
19 BY NY ARIYANTI L 5/12/2018 89638336178
20 BY NY HUDAYANTI L 5/13/2018 85890339727
21 BY NY YUNIATI L 5/13/2018 89533362705
22 BY NY DEA M L 5/14/2018 89681782592
23 BY NY ST JULAEHA P 5/15/2018 87882557676
24 BY NY DWI RAHAYU P 5/16/2018 8963619464
25 BY NY SUCI L 5/16/2018
26 BY NY LEVI.E P 5/17/2018 81315345591
27 BY NY JANNAWATI P 5/17/2018 8568679174
28 BY NY NURAZIZAH L 5/18/2018 89509451119
29 BY NY NENENG L 5/20/2018 88809723117
30 BY NY NURHAYATI L 5/20/2018 81295508656
31 BY NY ROSMALA L 5/21/2018 81360078241
32 BY NY SUNARTI P 5/20/2018 82297397968
33 BY NY RITA L 5/30/2018 85779746417
34 BY NY SELVIANA P 5/30/2018 85920394555
35 BY NY ST NURASIAH L 5/31/2018 83898609234
36 BY NY SUPARTIN L 5/31/2018 85218152258
37
38
39
40
41
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
JL CENDRAWASIH 1 5/2 SAWAH BARU CIPUTAT 5/1/2018
KP CEGER 5/11 JURANG MANGU 5/3/2018
JL AKASIA 1/12 PAMTIR 5/3/2018
JL SUKADAMAI 4/4 SERUA INDAH CIPUTAT 5/3/2018
H.MUHARI NO 33 3/1 BOJONG SARI DEPOK 5/4/2018
KP KEBON KOPI 2/7 PENGASINAN 5/4/2018
JL JATI NO 8 1/9 CIREUNDEU CIPTIM 5/5/2018
JL UJUNG KENARI KP CEGER 7/11 JURANG MANGU PD AREN 5/5/2018
JL MUSHOLA NURUL HUDA 3/11 PERIGI BARU PD AREN 5/5/2018
PRIYANG 13/5 PD JAGUNG SERPONG UTARA 5/6/2018
JL TRUBUS II NO 55 PD CABE ILIR PAMULANG 5/6/2018
PAMULANG PERMAI BLOK A 3/10 5/7/2018
KP KEBANTENAN PD AREN 5/7/2018
KP GUNUNG 2/9 5/8/2018
JL LEMBAH PINUS BLOK A3 5/10/2018
JL LEGOSO INDAH GG HIKMAH 5/10/2018
JL CENDRAWASIH 1 4/2 SAWAH BARU CIPUTAT 5/11/2018
KP CILEDUG 1/3 PERIGI BARU PD AREN 5/12/2018
CILEDUG 5/4 BAMBU APUS PAMULANG 5/12/2018
KP CEGER 3/11 JURANG MANGU TIMUR PD AREN 5/13/2018
GG LANGGAR 14/11 KEDAUNG PAMULANG 5/13/2018
PD BENDA 1/3 PAMULANG 5/14/2018
JL SADI DAUN 3/4 PERIGI PD AREN 5/15/2018
JL RAWA LELE 2/6 JOMBANG CIPUTAT 5/16/2018
GRIYA ASRI BSD BLOK D2 NO 9 30/7 JELUPANG 5/16/2018
JL MELATI VII A 8 NO 2 2/7 KEDAUNG PAMULANG 5/17/2018
KP GUNUNG UTARA 5/1 CIREUNDEU CIPUTAT 5/17/2018
CURUG RT 2/8 BOJONG SARI DEPOK 5/18/2018
BUKIT PAMULANG INDAH BLOK F 14 NO 7 1/3 PAMBAR 5/20/2018
JL PERINTIS III/74A 4/3 KEDAUNG PAMULANG 5/20/2018
JL ALAM SEGAR 3/8 PAMBAR 5/21/2018
JURANG MANGU TIMUR 3/5 5/20/2018
JL ALAM SEGAR 4/5 BAMBU APUS PAMULANG 5/30/2018
JL KAYU PUTIH RAYA 3/1 PD CABE UDIK 5/30/2018
JURANG MANGU 2/4 5/31/2018
JL ASMAWI 6/4 SAWAH BARU CIPUTAT 5/31/2018
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN JUNI
TAHUN 2018

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 Ny. Lismawati L 6/1/2018 82113098105


2 Ny.Fanda P 6/2/2018 8979062993
3 Ny. Julaeha L 6/2/2018 87770368727
4 Ny. Nurjanah P 6/1/2018 83811518721
5 Ny. Nursetia L 6/3/2018 82299251828
6 Ny. Ari siti L 6/4/2018 8976030861
7 Ny. Marinah L 6/4/2018 8159866220
8 Ny. Warsiah p 6/5/2018 87881225807
9 Ny. Hardayani p 6/6/2018 87876019079
10 Ny. Vivi L 6/7/2018 81290761095
11 Ny. Iswati p 6/8/2018 8777858761
12 Ny. Amelia L 6/10/2018 8980191159
13 Ny. Harsianah L 6/10/2018 81219814064
14 Ny. Ulfatul p 6/12/2018 877871715478
15 Ny. Barokah L 6/13/2018 85773625482
16 ny. Maya p 6/16/2018 85810344146
17 Ny. Warnifah p 6/20/2018
18 Ny. Ineke L 6/20/2018 8963089547
19 ny. Yesi L 6/21/2018 89628263798
20 Ny. Endang 6/21/2018
21 Ny. Meilia p 6/22/2018 89671600219
22 Ny. Emin L 6/25/2018 81228169229
23 Ny. Sella L 6/27/2018 82291304811
24 Ny. Neneng L 6/30/2018
25 Ny. Nurjannah L 6/30/2018 895336822904
26 Ny. Mariyati L 6/19/2018 81315664026
27 Ny. Sopiah L 6/19/2018 81908635014
28
29
30
31
32
33
34
35
36
37
38
39
40
41
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
Jl. Cendrawasih 07/02 ciputat 6/1/2018
Kp. Jati rt 1/5 Buaran- Serpong 6/2/2018
Jl. Brantasana 02 Rt 006/005 Pondok Benda 6/2/2018
Jl kemiri rt 008/002 serpong 6/1/2018
Kp. Serpong RT 008/002 Serpong 6/3/2018
Komp Reni jaya blok AA 4/14 pambar 6/4/2018
Jl. Swadaya 11 kp-utan 4/3 pondok pucung 6/4/2018
Kp. Pondok sentul rt/rw 010/010 ciater 6/5/2018
Jl. Talas 1 rt 002/10 pondok cabe 6/6/2018
Jl. Talas 4rt 06/01 no 5 pamulang 6/7/2018
Jl. Aria putra rt 009/010 kedaung pamulang 6/8/2018
Jl. H. Rean rt 002/001 benda baru pamulang 6/10/2018
jl. Lestari 2 rt05/02 bojong sari 6/10/2018
Kp. Parigi 004/005 pondok aren 6/10/2018
Jl. Citandun rt 04/09 cipayung 6/13/2018
jl. Cemara kav. Ciputat bukit nusa indah country estate 6/16/2018
Kp. Serpong rt 3/1 serpong 6/20/2018
kp. Kekupu no 27 rt 03/08 sawayan depok 6/20/2018
JL. Amd babakan pocis rt 2/2 bukit jaya 6/21/2018
kp. Kacang barat rt 04/03 pondok kacang barat 6/21/2018
kp. Lengkong ludes rt 003/009 serpong 6/22/2018
pam. Per 1 b-12 6/25/2018
jl. Lele 5/5 bambu apus pamulang 6/27/2018
6/30/2018
ascan bambu apus pamulang 6/30/2018
amd. Babakan pocis rt 3/2 bakti jaya 6/19/2018
Kp. Jurang mangu rt 004/001 jurang mangu barat pd. Aren 6/19/2018
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN JULI
TAHUN 2018

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 Ny. Mulyati L 7/10/2018 8568090532


2 Ny. Irna Yunita L 7/13/2018 89657057639
3 Ny. Rokayah P 7/13/2018 87888323593
4 Ny. Siska P 7/14/2018 87785353041
5 Ny. Firda P 7/16/2018 83892152194
6 Ny. Sisca L 7/18/2018 81298842824
7 Ny. Rahma L 7/19/2018 82114694794
8 Ny. Nursalamah p 7/19/2018 89635325955
9 Ny. Eva L 7/21/2018 083812730993 / 081311646485
10 Ny. Kusniati L 7/22/2018 82312369762
11 Ny. Nabila L 7/23/2018 8554391799
12 Ny. Mariah P 7/27/2018 82124135992
13 Ny. Tri Wulan L 7/29/2018 89629927082
14 Ny. Nanda 7/29/2018
35
36
37
38
39
40
41
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
Kp. Baru Asih Rt/007/003 Muncul Setu Tangsel 7/10/2018
Asem 03/08 Jombang Ciputat 7/13/2018
Kp. Pomdok Jagung 01/01 7/13/2018
Jl. Saadih Daoun Kp. Ciledug Rt 04/03 Parigi Baru 7/14/2018
Legoso Gg. Hikmah Rt 5/1 7/16/2018
Jl. Kaukeungan VIII Rt 005/001 7/18/2018
Jl. Salak 5 Buaran Rt 04/04 Pd Benda Pamulang 7/19/2018
Jl. Wisma DPR RI Blok A1/7 Rt 001/005 Jl Legoso Raya No. Pisangan Ciputat 7/19/2018
Kp. Lebak 2 Rt 05/07 Pondok Cabe Ilir Kec. Pamulang 7/21/2018
Kp. Buaran 5/2 Paku Jaya Serpong 7/22/2018
Jl. Masjid Darusalam Pamulang Tangsel 7/23/2018
J. Inprees Rt 06/09 Benda Baru Pamulang 7/27/2018
Jl. Legoso Raya Gg. Bunbur No. 28 005/008 Pisangan 7/29/2018
Jl. H Kasman Sengkol Rt 003/001 Kel. Muncul Kec. Seru Kota Tangerang Selatan 7/29/2018
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN agst 18
TAHUN 2018

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 ny krisdayanti l 8/2/2018 89637426853


2 ny fitri l 8/3/2018 83808570572
3 ny revika p 8/4/2018 85263883705
4 ny inah l 8/6/2018
5 ny miranda l 8/7/2018 87882777874
6 ny karisah p 8/8/2018 8561860132
7 ny sri wahyu l 8/9/2018 83893016005
8 ny yantih p 8/10/2018 87888313210
9 ny titin p 8/10/2018
10 ny nikmatus p 8/12/2018 85930225415
11 ny mirayanti 1 l 8/13/2018 89504060089
12 ny mirayanti 2 l 8/13/2018 89504060089
13 ny siti aisah l 8/16/2018 85804119912
14 ny yurni p 8/17/2018
35 ny neneng l 8/18/2018 82113005783
36 ny mika l 8/21/2018
37 ny ratnasari p 8/26/2018 89631648220
38
39
40
41
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
kp serpong 02/07 serpong 8/2/2018
jl masjid nurul huda no 16 2/8 ciptim 8/3/2018
jl kh dewantara 1/2 ciputat 8/4/2018
kp rancasaga 13/3 setu 8/6/2018
jl papandayan blok c/27 12/17 pd cabe udik pamulang 8/7/2018
griya serpong 3/6 blok c3/12 setu 8/8/2018
jalan reni jaya pamulang barat 8/9/2018
kebon duren rt 05/rw09 cipayung- ciputat 8/10/2018
jl.swadaya rt 004/008, pondok benda pamulang-Tangsel 8/10/2018
jl. Pinguin II blok cd-17 rt 008/008 pdk betung pdk aren 8/12/2018
jl.karya usaha no II rt 06/02 pd.picung kec. Pd aren 8/13/2018
jl.karya usaha no II rt 06/02 pd picung kec pd aren 8/13/2018
jl. Cabe I rt 03/05 pd cabe udik pamulang 8/16/2018
swadaya IV rt 007/005 pondok benda 8/17/2018
flamboyan raya no 4 rt 05/03 ciputat timur 8/18/2018
jl.otista raya gg. H.maung rt 009/018 kadaung 8/21/2018
pambar gg mede III rt 5/4 Tangsel 8/26/2018
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN september
TAHUN 2018

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 ny. Samsiyah P 9/5/2018 81381689078


2 NY IKA P 9/12/2018 87762457489
3 NY SRI WAHYUNI P 9/12/2018 8956711976
4 NY SEVI L 9/12/2018 85219066737
5 NY ZENA P 9/13/2018 87787368550
6 NY NURMILAH P 9/13/2018 81289389668
7 NY PUTRI L 9/14/2018 88775745366
8 ny. Amalia L 9/15/2018 85227480003
9 ny. Eliana P 9/16/2018
10 ny. Ferdy L 9/17/2018 8138583597
11 ny. Dwi safinda P 9/18/2018 85959726716
12 ny. Siti nurhapiroh L 9/18/2018 87783963007
13 ny. Aminah P 9/19/2018 81287672255
14 ny. Maryani P 9/20/2018
35 ny. Nenden P 9/22/2018 8990102816
36 ny. Lusi P 9/22/2018 895320298230
37 ny. Maysri P 9/23/2018 81905601134
38 ny. Marina L 9/26/2018
39 ny. Maryam P 9/26/2018 83127359354
40 ny. Suparmi P 9/27/2018 81517372437
41 ny. Dian P 9/27/2018 81298885378
ny ludia L 9/30/2018 89635323172
NY NATIYA L 9/30/2018 8979095186
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
KP KERANGGAN 01/04 9/5/2018 9/5/2018
GANG RAYA 9/12/2018
BUARAN 02/02 9/12/2018 9/12/2018
KETAPANG PAMULANG BARAT 06/06 9/12/2018
JL GUNUNG RAYA 3/1 CIRENDEU 9/13/2018
JL CILENGGANG III 10/04 SERPONG 9/13/2018
JL JAMBU KEDAUNG 04/05 KEDAUNG SAWANGAN DEPOK 9/14/2018
pd.kacang prima B Rt 11/08 kel. Pd. Kacang timur 9/15/2018
Kb. Kopi Rt/Rw 08/04 Pd. Betung 9/16/2018
Jl. Amd wahab kedaung sawa 9/17/2018
cimanggis 12/04 cipayung ciputat 9/18/2018
Jl. Suka mulya sewa indah 9/18/2018
Jl. Suka mulya sewa indah 9/19/2018
Jl. Pinang Rt 2/3 pamulang timur 9/20/2018
permata pamulang Blok A 3/18 Rt 06/04 bakti jaya 9/22/2018
Jl. Kramat Rt 01/10 renggas ciputat 9/22/2018
Jl. Kemuning IV no. 36 Rt 05/06 pamulang barat 9/23/2018
Jp. Pd. Benda Rt 2/4 pamulang 9/26/2018
Jl. Masjid darusallam Rt 09/04 kedaung 9/26/2018
Jl. Kubis I kel. Pondok cabe ilir kec. Pamulang kota 9/27/2018
Jl. Johar Bam III. 442 13 T/11 johar Bam jakarta 9/27/2018
JL ARIA PUTRA 05/15 KEDAUNG PAMULANG 9/30/2018
KP SARI MULYA 02/01 SETU 9/30/2018
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN oktober
TAHUN 2018

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 ny. nurvarida L 10/2/2018 82136313338


2 NY. YULIA P 10/3/2018 81511357478
3 NY. MASHULFAH L 10/4/2018 81388064794
4 NY. MARIAH L 10/4/2018 83875295744
5 NY. MUANAH P 10/5/2018
6 NY. RODIAH L 10/6/2018 85719301797
7 NY. PARSINI P 10/8/2018 817747101
8 NY. YENI L 10/8/2018 81584066495
9 NY. ERNI P 10/9/2018 81286213797
10 NY. WENTI P 10/9/2018 83877666003
11 NY. FARAH P 10/9/2018 83899212869
12 NY. FARAH P 10/9/2018 83899212869
13 NY. NADIRA P 10/9/2018 89516402885
14 NY. IDA L 10/10/2018 89604692620
35 NY. SUMIATI L 10/9/2018
36 NY. BUNGA P 10/9/2018
37 NY. ENDANG P 10/14/2018
38 NY. NOVI ARYANI L 10/10/2018
39 NY. CYNTIA P 10/11/2018
40 NY. NURUL P 10/12/2018
41 NY. SAIDAH P 10/12/2018
42 NY. LINDA L 10/15/2018
43 NY. SELVI P 10/15/2018
44 NY. DINI P 10/17/2018
45 NY. MASRSIH L 10/17/2017
46 NY. ERLIA L 10/17/2018
47 NY.ELI PUPUT L 10/18/2018
48 NY. ENI SUNAINI P 10/19/2018
49 NY. AMELIA P 10/20/2018
50 NY. RAHMAWATI L 10/22/2018
51 NY. SEKIAWATI L 10/23/2018
52 NY. DWI RATNASARI P 10/24/2018
53 NY. ROHAYATI L 10/24/2018
54 NY. DESI L 10/27/2018
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
JL. AMARTA I BLOK B2 NO. 24 10/2/2018
KP. DADAP RT 3/3 RAWA BUNTU 10/3/2018
JL. RAYA SERPONG RT 2/1 PAKULONAN 10/4/2018
JL. RAWA LELE RT 01/10 JAMBUNG 10/4/2018
10/5/2018
JL. WERITA 2/12 PONDOK CABE UDIK PAMULANG 10/6/2018 10/6/2018
VILLA DAGO TOL BLOK DG NO 21 RT 03/09 KELRAHAN JERUA 10/8/2018
JL. AGIA PUTRA GG MUSHOLLA 06/02 KEDAUNG 10/8/2018
JL. CENDRAWASIH 06/01 SAWAH 10/9/2018
KP. WARGA 1/8 CIATER 10/9/2018
JL.H MAHMUD GINDING RT 3/4 SAWAH BARU CIPUTAT 10/9/2018
JL.H MAHMUD GINDING RT 3/4 SAWAH BARU CIPUTAT 10/9/2018
H. LAINIH 3/5 KEL JURANGMANGU KEC PD AREN 10/9/2018
KP DUKUH 1/9 SERUA INDAH CIPUTAT 10/10/2018
KP LIO RT 2/1 PARIGI SERUA BARU PD AREN 10/9/2018 10/9/2018
JL. RAYA CIATER RAWA MEKAR JAYA RT 01/01 SERPONG 10/9/2018
PONDOK BETUNG RT 6/3 PONDOK AREN 10/14/2018
JERUK PURUT RT 07/03 CILANDAK TIMUR PASAR MINGGU 10/10/2018
JL. ALAM SEGAR RT 04/08 PAMBAR 10/11/2018 10/11/2018
WADASARI RT 08/02 PONDOK BETUNG 10/12/2018
JURANGMARUNG TIMUR RT 01/012 10/12/2018
PANTI ASUHAN RT 06/01 JURANG MANGU 10/15/2018
JL. OTTO ISKANDAR PINARA RT 02/011 10/15/2018
JL. CILENGGANG II RT 7/3 SERPONG 10/17/2018
KP. BULAK 2/9 SERUA 10/17/2018
KP. MASJID JOMBANG RT 5/3 CIPUTAT 10/17/2018
KP.SERUA PONCOL RT 3/6 KEL SAWAH BARU CIPUTAT 10/18/2018
JL. PONCOL 2/2 LEBAK BUULUS JAKREL 10/19/2018
JL. LELE RT 5/5 BAMBU APUS PAMULANG 10/20/2018
JL. RAYA SERUA RT 2/1 SERUA 10/22/2018
JL. GG PINANG RT1/16 PAMULANG TIMUR 10/23/2018
JL. CIREUNDEU MEKAR BARU 4 NO 5 RT 6/6 CIPUTAT 10/24/2018
JL. GG PINANG RT1/16 PAMULANG TIMUR 10/24/2018
JL. OTISTA RAYA GG MANDOR RT 2/1 CIPUTAT 10/27/2018
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN november
TAHUN 2018

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 NY. ELA NURLAELA L 11/2/2018 85607152848


2 NY. BADRIA L 11/2/2018 82220686769
3 NY. SITI ROHMANI L 11/2/2018 81382732941
4 NY. SAMILA P 11/3/2018 895383826686
5 NY. SRI RAHMAWATI P 11/3/2018 81318008528
6 NY. NURLAELA L 11/3/2018 83811134052
7 NY. YULIANTI L 11/5/2018 81584247741
8 NY. SHINTA L 11/5/2018 89684685388
9 NY. KHAIRUNNISA P 11/8/2018 89601532602
10 NY. YULI L 11/10/2018 8974942557
11 NY. NURHAYATI L 11/10/2018 89662012802
12 MY. LISA ADAH P 11/10/2018 87889456493
13 NY. NURBAETI P 11/14/2018 89896293506
14 NY. LUSIANA L 11/16/2018 83871768740
15 NY. SHOLA P 11/17/2018 89637671991
16 NY.ADE P 11/18/2018 8131543435
17 NY. NURUL P 11/18/2018 85219205821
18 NY. LUTFIAH L 11/24/2018 89610649520
19 NY. KUSWATI L 11/24/2018 12/20/-3741
20 NY. ISMAL L 11/25/2018 12/20/-3741
21 NY. PURWATI L 11/27/2018 12/20/-3741
22 NY. NURHASANAH L 11/30/2018 12/20/-3741
23 NY. MAEMUNAH L 11/30/2018 12/20/-3741
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
JL. AMD BAKTI JAYA RT 01/02 CLUSTER PRATAMA RESIDENCE NO 7 11/2/2018 11/2/2018
KP.BUARAN RT 004/002 SERUA CIPUTAT 11/2/2018 11/2/2018
JL. KH AHMAD DAHLAN NO. 32 KP PONCOL RT 04/02 11/2/2018 11/2/2018
JL. ALAM SEGAR RT 04/08 PAMULANG 11/3/2018
JL. SUKA DAMAI RT 003/004 SAWAH LAMA CIPUTAT 11/3/2018 11/3/2018
JL. WR SUPRATMAN RT 03/10 CIPUTAT TIMUR 11/3/2018
JL. CABE 1 RT 3/5 PONDOK CABE UDIK PAMULANG KEL. PD. CABE UDIK 11/5/2018
KP. CIATER TENGAH RT 1/6 CIATER, KRL. CIATER, KEC. SERPONG 11/5/2018
GG. KESENIAN PD BENDA 01/05 BUARAN 11/8/2018
KP. PERSI RT 04/10 LENGKONG WETAN 11/10/2018
GG. MASJID NURUL SALAM RT 008/005 JALAN MAJU TIMUR 11/10/2018
JL. KIPIN LEGOSO RAYA RT 006/001 PISANGAN TIMUR CIPUTAT 11/10/2018
KEBON DUREN CIPAYUNG CIPUTAT 11/14/2018
JL. TALAS 1 RT 1/10 PD CABE ILIR 11/16/2018
PD JENGKOL RT 02/11 PD AREN
JL. CENDRAWASIH 2 NO 96 RT 04/02 SAWAH BARU
KP SERUA RT 05/04 SAWAH BARU CIPUTAT
JL. SUKAKANYA 2/9 SERUA INDAH CIPUTAT 11/24/2018
JL. HAJI MURI SALIM 06/02 PISANGAN CIPTIM 11/24/2018
JL. PINUS 01/22 KEL. PAMULANG TIMUR
JL. RUSA RAYA 5/4 PONDOK RANJI 11/27/2018
JL. KP GUNUNG GG MADRASAH 3/8 JOMBANG 11/30/2018
JL. KP MARUGA RT 003/004 SERUA CIPUTAT 11/30/2018
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN Desember
TAHUN 2018

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 NY. DEWI P 12/1/2018 897705113


2 NY. ASTI P 12/2/2018
3 NY. ADELLA P 12/2/2018 89535894037
4 BY. NY. CHOLTPAH TANTIL 12/4/2018 85716626655
5 BY. NY FITRI ANDREANI L 12/4/2018 8159773509
6 BY. NY. NENTI L 12/4/2018 88808973055
7 BY. NY. ERLIN L 12/6/2018 81213970705
8 BY. NY. ADE DWI L 12/7/2018 85995720670
9 BY. NY. MARIA P 12/9/2018 81296667644
10 BY. NY. SITI HAWA P 12/10/2018 87879167660
11 BY. NY. YULI L 12/11/2018 82368040484
12 BY. NY. NURHAYATI L 12/12/2018 8577629299546
13 BY. NY. ANISYA L 12/13/2018 87780653663
14 BY. NY. GITA P 12/15/2018 81316594497
15 BY. NY. DARISMA L 12/15/2018 81290521266
16 BY. NY. HAPSARI P 12/16/2018 81392641512
17 BY. NY. SALMIAH L 12/16/2018 8211278412
18 BY. NY. AYU TRIONA L 12/17/2018 813382600898
19 BY. NY. RATNA L 12/17/2018 877740691
20 BY. NY. INTAN L 12/18/2018 87728243353
21 BY. NY. RATHY L 12/18/2018 82123163087
22 BY. NY. NENI L 12/18/2018 81398968012
23 BY. NY. SRI LESTUTI L 12/21/2018 85959733662
24 BY. NY. FITRI L 12/20/2018 8988137246
25 by ny fania p 12/25/2018 8128819496
26 by ny hani l 12/25/2018 8129557320
27 by ny yuliana l 12/26/2018
28 by ny dianita p 12/27/2018 89509444686
29 by ny liza p 12/27/2018 83199237232
30 by ny rohimah p 12/27/2018 895412932603
31 by ny suhartini p 12/29/2018 81906400326
32 by ny dina l 12/19/2018 87881208833
33 by ny irma p 12/30/2018 87783105652
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
JL. BAKTI JAYA POCIS 004/001 12/1/2018
JL. NUSA IV RT 03/04 PONDOK RANJI CIPUTAT TIMUR 12/2/2018
JL. GURAME III RT 05/01 BAMBUAPUS PAMULANG 12/2/2018
JL. RAYA PAJAJARAN Gg. CEMARA RT 01/01 PAMULANG BARAT KEC. PAMUL 12/4/2018
JL. AKASRA RT 01/12 PAMULANG TIMUR 12/4/2018
JL. PERUM PAKU JAYA PERMAI BLOK A 20/08 12/05 BAKTI JAYA 12/4/2018
Gg. SALAM 01 RT 01 RW 01 SERPONG 12/6/2018
JL. TAQWA NO. 106 KAP. GUNUNG RT 01 RW 06 GINTUNG 12/7/2018
KESATRIAN POLRI CI[PUTAT RT 02 RW 12 CIPUTAT 12/9/2018
JL. PLN, PD. AREN RT 10/RW 01 PONDOK AREN/PONDOK KARYA 12/10/2018
KAMPUNG. GARDU BUARAN SERPONG RT 04/01 12/11/2018
JL. AMPELA 3 RT 03/03 RENGAS CIPUTAT TIMUR 12/12/2018 12/12/2018
JL. ATISTA GG. SAKTI NO 191 RT 11 RW 09 KEDAUNG 12/13/2018 12/13/2018
JL. SUKA MAKMUR RT 07 RW 02 SERUA INDAH CIPUTAT 12/15/2018
JL. LEGOSO RAYA KOMPLEK RENGAS RT 08 RW 02 PISANGAN 12/15/2018
JL. LURA RT 5/3 PD. BENDA PAMULANG 12/16/2018 12/16/2018
JL. PONDOK KARYA PONDOK AREN 12/16/2018 12/16/2018
KMP. PONDOK AREN RT 15 PONDOK BETUNG 12/17/2018 12/17/2018
KMP. SERPONG JL. RAYA SERPONG 04/01 12/17/2018 12/17/2018
JL. MANGGA RT 01/07 PAMULANG TIMUR 12/18/2018 12/18/2018
JL HAJI GADUNG NO 14 RT 02/15 PONDOK RANJI 12/18/2018 12/18/2018
JL. OTRISTA SASAK TINGGI RT 03/11 CIPUTAT 12/18/2018
JL. MERIANGAN RAYA RT 06 RW 15 PONDOK RANJI 12/21/2018 12/21/2018
TEGAL ROTAN SAWA BARU 12/20/2018 12/20/2018
jl ir h juanda no 54 rt 6/1 cipayung 12/25/2018
rawa mekar nusa loka ciater 12/25/2018
serpong 12/26/2018
jl lobak no 23 4/6 pd cabe ilir pamulang 12/27/2018
jl ajem mail 1/7 saahbaru ciputat tangsl 12/27/2018
jl pdk pucung 01/01 pd pucung 12/27/2018
jl pd benda 002/004 buaran 12/29/2018
jl. H. Muhtar 07/02 rengas ciptim 12/19/2018
pd petir bojong sari depok 12/30/2018
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN januari
TAHUN 2019

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 ny rahmawati L 1/30/2019 81317519316


2 ny inah L 1/30/2019 89503399383
3 ny rosdiana L 1/30/2019 85770843963
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
kp parakan rt 06/06 1/30/2019 1/30/2019
jl lobak 1/6 pd cabe ilir 1/30/2019 1/30/2019
jl sd imprss pabuaran barat 1/7 1/30/2019 1/30/2019
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN februari
TAHUN 2019

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 Ny.neni sundari L 2/1/2019 82110061328


2 Ny. Iis istiqomah L 2/2/2019 87873133379
3 Ny.fitra L 2/3/2019 87820590352
4 Ny.fitri P 2/5/2019 85770288907
5 Ny. Sri wahyunu P 2/5/2019 81268262952
6 Ny. Sheila L 2/7/2019 81381110224
7 Ny. Nurwulan L 2/7/2019 88211948816
8 Ny. Sri r L 2/8/2019 81284887865
9 Ny. Nur komalasari L 2/11/2019 81280411828
10 Ny. Boispan P 2/12/2019 85946733923
11 Ny.Ningmas P 2/14/2019 85947147560
12 Ny. Rina L 2/14/2019 816298775
13 Ny.Susilawati P 2/14/2019 81381883783
14 Ny. Hesti L 2/15/2019 82260586004
15 Ny. Dina L 2/15/2019 85773485729
16 Ny. Ciko P 2/16/2019 89687913154
17 Ny. Savira L 2/16/2019 89532811889
18 Ny. Siti fanroh L 2/16/2019 87771712840
19 Ny. Elsa L 2/16/2019 87781435454
20 Ny. Beski L 2/21/2019 82114992515
21 Ny. Pratiwi L 2/22/2019 81222819312
22 Ny. Silva L 2/23/2019 81310233502
23 Ny. Aisyah P 2/22/2019 85811254975
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
bojong sari baru rt/rw 01/03 depok 2/1/2019
jl.ir.h.juanda rt/rw 3/1 ciputat tangsel 2/2/2019
jl.lamtoro rt/rt 02/16 pamulang timur 2/3/2019
jl.h.rean rt/rw 004/001 benda baru 2/5/2019
jl.lele v rt/rw 004/001 benda baru 2/5/2019
Jl otista gg.sakti no.246 rt/rw 11/09 kedaung 2/7/2019
jl.kesadaran 1 rt/rw 04/05 pondok petir bojongsari depok 2/7/2019
Jl.taman wijaya,kesuma rt/rw 005/02 cilandak barat 2/8/2019
JL. Abdi pondok ranji 2/11/2019
cempaka putih rt/rw 05/05 ciputat timur 2/12/2019
KP.sewa cendrawasih V rt/rw 07/02 sawah baru 2/14/2019
ds.wonosari podosari parigi baru 2/14/2019
bambu apus rt/rw 04/03 bambu apus 14/02/1019
Kp.rawa sawah rt/rw 03/02 kom. Rawa johan baru jakarta 2/15/2019 2/15/2019
pamulang barat rt/rw 02/07 2/15/2019 2/15/2019
jl. Talas V no.30 rt/rw 04/09 pd.cabe iii 2/16/2019
jl.cemara ii no.83 rt/rw 02/01 pambar 2/16/2019 2/16/2019
kp.bulak jl.inpres rt/rw 02/09 benda baru 2/16/2019 2/16/2019
jl.jambu kp.utan rt/rw 07/05 cempaka putih 2/16/2019 2/16/2019
jl.raya pamulang gg.bais buaran serpong 2/21/2019 2/21/2019
komp arya braha rt/tw 02/16 kedaung 22/02/210
jl.amdu kp.sawah rt/rw 04/07 no.90 2/23/2018
Ko. Cilalma rt/rw 03/05 2/22/2019
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN april
TAHUN 2019

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 BY. NY. RINA P 4/3/2019 0895372134857


2 BY. NY. KORIYAH L 4/3/2019 081210042414
3 BY. NY. NITA P 4/6/2019 08571573935
4 BY. NY. NURHIKMAH L 4/8/2019 089601445686
5 BY. NY. IMAH P 4/8/2019 0895360012947
6 BY. NY. SRIWATI L 4/11/2019 081381713313
7 BY. NY. SITI HALIAH P 4/11/2019 081294171711
8 BY. NY. SITI ROHMIATUL P 4/11/2019 081911069262
9 BY. NY. JUNITA L 4/14/2019 081287425029
10 BY. NY. DEVI L 4/14/2019
11 BY. NY. WIJAYANTI L 4/15/2019 08567323984
12 BY. NY. DEWI P 4/14/2019 089618121335
13 BY. NY. MINI L 4/15/2019 081936039754
14 BY. NY. NOVIA L 4/17/2019 085817271559
15 BY. NY. VIVI P 4/17/2019 087867041330
16 BY. NY. DESI R P 4/22/2019 085716731126
17 BY. NY. NAPSIAH L 4/19/2019
18 BY. NY. AGNESTYA L 4/24/2019 081807271287
19 BY. NY. ZAHRA P 4/25/2019 089670202391
20 BY. NY. USROTUL P 4/26/2019 085695264854
21 BY. NY. RISTA L 4/26/2019 085892259567
22 BY. NY. AMELIA P 4/28/2019 081292937361
23 BY. NY. IRMAWATI L 4/29/2019 087885167557
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
JL. TERUBUS 2 RT.04 RW. PONDOK CABE ILIR PAMULANG 4/3/2019
JL. DELIMA I RT.01 RW.01 PAMULANG TIMUR, PAMULANG 4/3/2019
JURANG MANGU RT.003 RW.002 PONDOK AREN, TALAS 3 4/6/2019
KP.BABAKAN RT.06 RW.04 4/8/2019
KP. JOMBANG RT.04 RW.03, LENGKONG GUDANG TIMUR SERPONG 4/8/2019
JL. LURAH RT.01 RW.04 PARIGI BARU PONDOK AREN 4/11/2019
KP. TEGAL ROTAN 001/007 KEL. SAWAH BARU CIPUTAT 4/11/2019
KP. NAMGA 07/04 SERUA CIPUTAT 4/11/2019
PAMULANG PERMAI NO.07 RT.06 RW.12 PAMULANG BARAT 4/14/2019
4/14/2019
JL. KODIKLAT TNI KP. BUARAN RT.03 RW.03 BUARAN SERPONG 4/15/2019
JL. DUL SILEM RT.1 RW.3 RAWA MEKAR JAYA SERPONG 4/14/2019
KP. RAWA LINDUNG RT.002 RW.004 PONDOK CABE 4/15/2019
JL. AMANDIRI RT.04 RW.05 CIPAYUNG CIPUTAT 4/17/2019
BENDA TIMUR 8A E43/16A BENDA BARU RT.003 RW. 014 PAMULANG 4/17/2019
JL. AKASIA NO.71 RT.3 RW.18 PAMULANG TIMUR 4/22/2019
SETU PAMULANG 4/19/2019
KEDAUNG JL. MAWAR VIII BLOK D 1/11 4/24/2019
KP.GUNUNG RT.001 RW.009 JOMBANG 4/25/2019
JL. BINTARO 003/016 PAMULANG TIMUR 4/26/2019
RENI JAYA BB 3/2 RT.03 RW.14 PONDOK BENDA KEC.PAMULANG 4/26/2019
KP. RAWA LELE RT.03 RW.07 JOMBANG 4/28/2019
KP. PONDOK SENTUL RT.9 RW.10 CIATER SERPONG 4/29/2019
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN mei
TAHUN 2019

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 Ny. Santi L 5/2/2019 087875589837


2 Ny. Arini P 5/4/2019 08787666622
3 Ny. Yuliah L 5/4/2019
4 Ny. Atikah L 5/5/2019 0895355359
5 Ny. Jayanti P 5/6/2019 08568666035
6 Ny. Ida F L 5/6/2019 089603239753
7 Ny. Dwi Wahyuli L 5/7/2019 089624041383
8 Ny. Aah L 5/8/2019 085947579149
9 Ny. Siti Aminah L 5/8/2019 0895605936265
10 Ny. Annisa P 5/8/2019 089608612895
11 Ny. Nurdiyanti L 5/11/2019 081617485743
12 Ny. Putri Noer R L 5/11/2019 087869051771
13 Ny. Maryam L 5/13/2019 081808471885
14 Ny. Tri Zulianingsih L 5/14/2019 087789245378
15 Ny. Siti Imtihana P 5/14/2019 089653497991
16 Ny. Destriana L 5/15/2019 089630387213
17 Ny. Yani P 5/17/2019 081296767838
18 Ny. Rumbiyanti P 5/18/2019 089514359945
19 Ny. Endang L 5/18/2019 082211284181
20 Ny. Gusmamirah P 5/20/2019 082198373621
21 Ny. Ajeng sita L 5/21/2019 082112887379
22 Ny. Sindi Budi L 5/20/2019 085887263119
23 Ny. Neneng L 5/23/2019 089687904018
24 Ny. Ika Yuliastuti L 5/23/2019 0821`3359567
25 Ny.Halimah L 5/24/2019 81905846030
26 Ny.Tiwi P 5/25/2019 85939172180
27 Ny.Ita P 5/25/2019 \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\]
28 Ny.Rahma L 5/25/2019
29 Ny.Amrilah L 5/25/2019 85282204609
30 Ny.Anggrek P 5/26/2019 85946373798
31 Ny.Hania L 5/27/2019 81284647968
32 Ny.Ayu Wulandari L 5/28/2019 89696031636
33 Ny.Marieni P 5/28/2019 43613
34 Ny.Debi L 5/30/2019 12/20/-3741
35 Ny.Heni P 5/30/2019 12/20/-3741
36 Ny Mutiara P 5/30/2019 82211458660
37 Ny,Indri P 5/31/2019 85624968742
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
ciater barat RT 09/03 ciater, serpong 5/2/2019
kebon manggis RT 02/04 pondok kacang timur 5/4/2019
Jl Bayam RT 3/6 pd.cabe ilir, pamulang 5/4/2019
Jl. Beringin I RT 4/7 Pamulang barat, pamulang 5/5/2019
Jl. Sasak tinggi Gg. Mandor RT 04/11 ciputat 5/6/2019
Jl. Bangau Blok E 34/3 RT 5/07 benda baru pamulang 5/6/2019
Kp. Buaran RT 2/9 serua indah ciputat 5/7/2019
pamulang barat 03/08 pamulang barat 5/8/2019
Kp. Jurang Mangu RT 3/1, Jurangmangu Timur Pdk Aren 5/8/2019
kp.parung benying RT 04/03 Serua ciputat 5/8/2019
kp.gunung RT 3/16 Jombang Ciputat 5/11/2019
Reni jaya AE 10 RT 3/21 Pamulang barat 5/11/2019
Jl. Bayem RT 2/06 pd.cabe ilir pamulang 5/13/2019
Reni Jaya jl. Pinus 2 blok A G 3/17 5/14/2019
Jl. Desa Cipayung Rt 5/04 Cipayung 5/14/2019
Jl. Menjangan RT 6/01 Pd. Ranji 5/15/2019
Jl. Nasabah I RT 6/05 kedaung Pamulang 5/17/2019
JL. KH Dewantoro RT 03/02 ciputat 5/18/2019
Jl.Kp. Rawa RT 07/16, pondok pucung pdk aren 5/18/2019
Kp.Serpong 1/02 5/20/2019
Jl. RE martadinata Gg. H. Banten RT 3/08 cipayung ciputat 5/21/2019
Kp. Jombang RT 2/5 Lengkong Gudang timur serpong 5/20/2019
Jl. Lada Gg. Gotong royong pdk. Cabe udik RT 7/05 5/23/2019
Jl. Otiska raya Gg. H.Maung No.100 5/23/2019
Jl. H.Walid RT 12/10 kedauamh pamulang 5/24/2019
Kp.Cilahung 004/004 Jombang, Ciputat 5/25/2019
Pisangan Barat No.18 3/9 Cirendeu Ciputat Timur 5/25/2019
Kp.Dukuh RT 003/001 Ciputat 5/25/2019
Jl.Setic Budi 3/16 Pamulang Timur 5/24/2019
Kp.Taman Cilengi Blok 2 E Rt 07/22 Bandung 26/052019
Jl.SMP Mabad RT 05/05 Cempaka putih 5/27/2019
Pondok Sentul RT 06/10 Kel.Ciater Kec.Serpong 5/28/2019
Jl.Kebon Manggis RT 01/04 Pd.Kacang Timur 5/28/2019
Jl.Muchtiar RT 01/01 Cipayung Ciputat 5/30/2019
Jl.Cemara No.29 RT 03/01 5/30/2019
Kavling Pilihan Blok H/3 Rt 01/03 5/30/2019
Jl.Selada II 4/11 Pondok cabe iLir pamulang 31/05.2019
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN juni
TAHUN 2019

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 NY.Nita yandini P 6/1/2019 0895385121868


2 NY.Sawiyah P 6/5/2019 081410147033
3 NY.Ning darwins P 6/6/2019 085212240177
4 NY.Irma rosdiana P 6/7/2019 081218068807
5 NY.Endang sulastri L 6/7/2019
6 NY.Sri w. L 6/7/2019
7 NY.Anggi P 6/9/2019 081291026651
8 NY.Fitri jumilah L 6/9/2019 081219434055
9 NY.Wiwin L 6/12/2019
10 NY.Linda L 6/13/2019 087873720206
11 NY.Rusmiyati P 087883484289
12 NY.Melda L 6/14/2019 089661048860
13 NY.Arianti L 6/19/2019 083877151748
14 NY.Emi L 6/24/2019 0856677806
15 NY.Numi P 6/15/2019 081519928152
16 NY.Aryanti L 6/15/2019 081295055551
17 NY.Deya malfianti P 6/15/2019 089526312908
18 NY.Ita.m. P 6/16/2019 089647500298
19 NY.Nela karima L 6/17/2019 082111036688
20 NY.Uswatun nur L 6/18/2019 085216115549
21 NY.Iyus susanti P 6/20/2019 081385877349
22 NY.Tasya L 6/20/2019 087884695553
23 NY.Carsidah L 6/21/2019 082211011038
24 NY.Mutiara P 6/22/2019 85778633089
25 NY.Asih L 6/22/2019 87723757419
26 NY.Ely yusiah L 6/24/2019 8998633889
27 NY.Halsia nurul P 6/26/2019
28 NY.Idriyati L 6/26/2019 81295133639
29 NY.Misnawati L 6/27/2019 81585521536
30 NY.Rusyanti L 6/27/2019 89699298698
31 NY.Destea L 6/28/2019 8954154807
32 NY.Lusi P 6/30/2019 81219777097
33 NY.Nurdianc L 6/30/2019
34
35
36
36
36
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
kp buaran 1/3 buaran serpong 6/1/2019
kp buaran 04/01 paku jaya serpong utara 6/5/2019
sasak tinggi 003/011 6/6/2019
jl.kemandoran kedaung tangsel 6/7/2019
jl.lumong no.12 pd benda 6/7/2019
jl.cabe 5/11 pd cabe 6/7/2019
jln.anggrek atas 6/5 benda baru 6/9/2019
curug 1/9 curug,bojongsari,depok 6/9/2019
jl.amd dadakan pocis 7 6/12/2019
jl.lio garut 04/04 pondok kacang barat 6/13/2019
jl.alam segar 003/004 pamulang barat 6/14/2019
pd.cabe udik 2 003/011 6/14/2019
pamulang jaya 03/02 setu kota 6/19/2019
jl.benda barat xi kavling barat no.69 004/019 6/24/2019
pd.belimbing 02/04 jurang mangu pondok aren 5/15/2019
jl.pulsiem 01/03 rawa mekar jaya serpong 6/15/2019
jl.akasia 2/1 pamulang 6/15/2019
kp.kavlinng serpong 04/04 serpong 6/15/2019
jl.marsia alkhasyim cimanggis 4/1 6/17/2019
jl.pakip blok j3 no.3 6/18/2019
kebes nanat no.31 1/2 panunggangan 6/20/2019
pd.aren 07/03 tangsel 6/20/2019
jln.pd cabe ilir 1 no 82 E pd cabe ilir 6/21/2019
perumahan jaya ,pamulang extension blok c-11 8/9 pd.benda pamulang 6/22/2019
jl.kesadaran 002/003 pd benda 6/22/2019
kp.dadap 001/003 rawa suhu serpong 6/24/2019
jl.pd raya 1/1 pd cabe udih pamulang 6/26/2019
pamulang barat 6/26/2019
jln.pinus 01/20 pamulang timur 6/27/2019
kp.lio 4/3 parigi pd,aren 6/27/2019
jln.suka bakti 3 004/006 serua 6/28/2019
jln.H.cari No.20 005/001pd.kacang barat 6/30/2019
jln.surya kencana gg.keminim No 6 2/6 6/30/2019
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN JULI
TAHUN 2019

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 ny rachmawati L 7/1/2019 0895803248320


2 ny mega P 7/3/2019 089680661813
3 ny sepi L 7/2/2019 08974441535
4 ny anggina P 7/3/2019 0895333054733
5 ny masdalena L 7/5/2019 085214986614
6 ny paulina L 7/6/2019 081289486363
7 ny pertiwi P 7/6/2019 08387878870
8 ny st fatimah P 7/6/2019 083804653450
9 ny indah L 7/7/2019 089617549425
10 ny herlin L 7/7/2019 0857858212694
11 ny jela L 7/7/2019 08161364023
12 ny sri w L 7/7/2019 085810167239
13 ny afriyanti P 7/11/2019 085779217961
14 ny halimatussadiyah L 7/11/2019 08377116845
15 ny dwi 1 L 7/11/2019 087784211671
16 ny dwi 2 L 7/11/2019 087784211671
17 ny safitri L 7/11/2019
18 ny sutini L 7/12/2019 081219352722
19 ny eris L 7/13/2019 082171802016
20 ny st warokah P 7/13/2019 081288372794
21 ny eva L 7/13/2019 085781262481
22 ny resti P 7/14/2019 08818188340
23 ny difa P 7/15/2019 083808366321
24 ny tuti P 7/15/2019 81371221901
25 ny rizkia L 7/16/2019 89977542380
26 ny ela P 7/17/2019 89641776186
27 ny dessy P 7/20/2019 12/20/-3741
28 ny nabila L 7/20/2019 89514262304
29 ny susilawati L 7/21/2019 89508151805
30 ny dona P 7/22/2019 87787367175
31 ny heni L 7/22/2019 85886832202
32 ny ferlina L 7/23/2019 8956817274
33 ny putri L 7/23/2019 85893495223
34 ny devi L 7/23/2019 12/20/-3741
35 ny ami P 7/23/2019 12/20/-3741
36 ny romlah P 7/24/2019 12/20/-3741
37 ny zara P 7/24/2019 12/20/-3741
38 ny riska L 7/27/2019 12/20/-3741
39 ny ayanih P 7/28/2019 12/20/-3741
40 ny rendra P 7/29/2019 12/20/-3741
41 ny cutneli P 7/29/2019 12/20/-3741
42 ny marisa P 7/29/2019
43 ny dina L 7/30/2019 12/20/-3741
44 ny yuliati P 7/31/2019 12/20/-3741
45 ny mega L 7/31/2019 12/20/-3741
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
JL AMD BABAKAN POCIS 4/1 BHAKTI JAYA SETU 7/1/2019
jl kemiri VIII 1/4 pd cabe udik pamulang 7/3/2019
pd serut 1/10 pd kacang barat pd aren 7/2/2019
cimanggis 2/3 cipayung ciputat 7/3/2019
kp buaran 3/9 serua indah ciputat 7/5/2019
pamulang barat 3/5 pamulang 7/6/2019
jl cabe no 61 1/5 pd cabe ilir 7/6/2019
jl legoso 7/1 pisangan ciptim 7/6/2019
kp kedaung 2/3 serua indah ciputat 7/7/2019
jl h sarmah 1/7 parigi pd aren 7/7/2019
jl kemiri VIII 1/4 pd cabe udik pamulang 7/7/2019
komplek permata pamulang 7/7/2019
kp bulak timur 5/4 kedaung 7/11/2019
jl kemiri IX 4/4 pd cabe udik 7/11/2019
jl puspitek 1/2 buaran setu 7/11/2019
jl puspitek 1/2 buaran setu 7/11/2019
kp buaran 7/2 serua 7/11/2019
jl sukamulya no 10 02/07 7/12/2019
jl kubis III 2/5 pd cabe ilir pamulang 7/13/2019
jl pajajaran no 2 1/3 pamulang 7/13/2019
kp perigi 4/6 pd aren 7/13/2019
jl masjid darussalam 6/4 kedaung 7/14/2019
jl bukit indah blok l 1-3 serua ciputat 7/15/2019
pd benda 1/5 serpong 7/15/2019
kp lio 1/3 parigi pd aren 7/16/2019
jl surya kencana 5/6 pamulang 7/17/2019
kp bulak timur 10/11 kedaung 7/20/2019
jl h toran 2/1 rengas 7/20/2019
jl lobak no 20 4/6 7/21/2019
reni jaya blok a 14/17 7/22/2019
perumahan kemang b24 bhakti jaya 7/22/2019
cipayung 3/4 7/23/2019
jl otista 2/11 ciputat 7/23/2019
kp bulak 2/9 benda baru pamulang 7/23/2019
parakan rt 06/09. pondok benda 7/23/2019
jl ciputat molek II no 13 003 7/24/2019
007 ciputut timur 7/24/2019
jl guaran gang no.12 rt 04/01 serpong 7/27/2019
jl raya ciledug 004/004 pd.raya 7/28/2019
jl swadaya no 77 rt 7/5 pondok benda 7/29/2019
jl talas II rt 004/001 pci pamulang 7/29/2019
kp.bbk rt 05/03 bbk tangsel 7/29/2019
jl akasia rt 001/018 pamulang 7/30/2019
jl akasia rt 002/001 pamulang 7/31/2019
jl.H.Rean rt 02/01 Benda baru 7/31/2019
NAMA UNIT PELAYANAN KESEHATAN RUANG VK
BULAN AGUSTUS
TAHUN 2019

NO NAMA IBU L/P TANGGAL LAHIR NO.TELP

1 NY TOYIBAH P 8/1/2019 089514632675


2 NY NURINDAH L 8/2/2019 089517126495
3 NY ST MARYAM P 8/3/2019 081212309456
4 NY ROIPAH P 8/4/2019 081317625064
5 NY FATMAWATI L 8/5/2019 083875345213
6 NY NENG RIFKI P 8/6/2019 0895621159661
7 NY EVA SARI P 8/7/2019 082110469275
8 NY MUTIA P 8/8/2019 081317969677
9 NY MAYA SARI P 8/9/2019 08129820642
10 NY ASTRIYANI P 8/11/2019 081381712403
11 NY NURHAYATI P 8/11/2019 085770067095
12 NY LIVIA L 8/12/2019 082227995857
13 NY WAREINI P 8/13/2019 081295173852
14 NY RIMA L 8/14/2019 089680627716
15 NY LINGGIT P 8/14/2019 089653451512
16 NY DAHLIA P 8/14/2019 089622754441
17 NY SUMIYATI L 8/15/2019 0895615769222
18 NY ERIE L 8/15/2019 085694543318
19 NY SARAS L 8/15/2019 085893407767
20 NY WIDYA P 8/17/2019 081380323141
21 NY INTAN P 8/23/2019 081541287053
22 NY DIAH L 8/28/2019 085778456384
23 NY PUTRI P 8/28/2019 089519674174
24 NY KARSIH P 8/31/2019 81286237090
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
LAPORAN CAKUPAN IMUNISASI

TANGGAL IMUNISASI
ALAMAT RT / RW DAN KELURAHAN
HB 0 POLIO
JALAN DELIMA 01/01 PAMULANG TIMUR 8/1/2019 By. NY TOYIBAH
JL OSCAR RAYA 2/2 BAMBU APUS 8/2/2019 By. NY NURINDAH
JL MAHONI 11 03/02 PAMULANG BARAT 8/3/2019 By. NY ST MARYAM
JL CEMARA 11 01/02 PAMULANG BARAT 8/4/2019 By.NY ROIPAH
PAMULANG TIMUR 01/03 8/5/2019 By.NY FATMAWATI
KP CILALUNG 05/05 JOMBANG CIPUTAT 8/6/2019 By.NY NENG RIFKI
KP PERMATA SAWANGAN DEPOK 02/08 8/7/2019 By.NY EVA SARI
LEGOSO GG DAHU NO 40 B PISANGAN 8/8/2019 By.NY MUTIA
JL ANGSANA 1 02/06 PAMULANG TIMUR 8/9/2019 By.NY MAYA SARI
JL ARIA PUTRA 06/15 KEDAUNG PAMULANG 8/11/2019 By.NY ASTRIYANI
JL OTISTA GG SAKTI 09/09 KEDAUNG 8/11/2019 By.NY NURHAYATI
GREEN BAMBU RESIDANCE PAMULANG MAS BLOK C NO 2 8/12/2019 By.NY LIVIA
JL KAYUMANIS 04/02 PD CABE UDIK 8/13/2019 By.NY WAREINI
JL ARIA PUTRA KEDAUNG 8/14/2019 By.NY RIMA
JL NUSA JAYA NO 27 KP KLADEN 8/14/2019 By.NY LINGGIT
JL SAIDIN 06/03 BAMBU APUS 8/14/2019 By.NY DAHLIA
JL ANGGREK PONDOK BENDA 02/18 8/15/2019 By.NY SUMIYATI
KP BABAKAN 05/03 SETU 8/15/2019 By.NY ERIE
JL SALAK V NO 38 03/04 PD BENDA 8/15/2019 By.NY SARAS
JL REDIT 2 C33/15 03/04 BENDA BARU 8/17/2019 By.NY WIDYA
KEBON DUREN 03/09 CIPAYUNG 8/23/2019 By.NY INTAN
KP BULAK 03/09 SERUA CIPUTAT 8/28/2019 By.NY DIAH
KP UTAN JL H.ECHO CEMPAKA PUTIH CIPUTAT 8/28/2019 By.NY PUTRI
JL CEMARA II 01/02 PAMULANG BARAT 8/31/2019 By.NY KARSIH

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