LAPORAN IMUNISASI BULAN AGUSTUS 2019

NAMA ORANG TUA BERAT

TANGGAL
NO NAMA BAYI ALAMAT BADAN
LAHIR
AYAH IBU (GRAM) HB-O BCG
1 BY NY NANIK 8/1/2019 WARTOYO NANIK SOMBOKELING 6/3 POTRONAYAN NOGOSARI 3400 √
2 BY NY SUNARTI 8/3/2019 ARIYANTO SUNARTI SAWIT 1/4 SINDON NGEMPLAK 3650 √
3 BY NY SUYAMTI 8/7/2019 AGUS SUYAMTI SEMPOL 6/2 POTRONAYAN NOGOSARI 3300 √
4 BY NY PARTINI 8/8/2019 ROSYID PARTINI BERAN 3/6 DIBAL NGEMPLAK 3200 √
5 BY NY FITRAMI 8/12/2019 HARYADI FITRAMI KEMBANG 6/1 SAMBI 2700 √
6 BY NY FITRI H 8/12/2019 WAWAN FITRI H KARANGSONO 6/4 MANGGUNG MGEMPLAK 3800 √
7 BY NY LUSI H 8/14/2019 MUHAMMAD LUSI H MANUKAN 8/3 BANGAK BANYUDONO 3000 √
8 BY NY DWI ROCHIMAH 8/14/2019 MUZAYIN DWI ROCHIMAH ASEM GROWONG 6/3 SEMBUNGAN NOGOSARI 2700 √
9 BY NY RUMIASIH 8/15/2019 WAHYONO RUMIASIH GATAK 1/9 NGESREP NGEMPLAK 3000 √
10 BY NY ANIF 8/16/2019 AGUS ANIF BRAJAN 2/9 SINDON NGEMPLAK 3200 √
11 BY NY IMMA S 8/18/2019 PARMANTO IMMA S SAWIT 2/4 SINDON NGEMPLAK 2900 √
12 BY NY YULIANTI 8/18/2019 IHSAN YULIANTI TANJUNGSARI 4/3 NGESREP NGEMPLAK 2500 √
13 BY NY MUSFIAH 8/21/2019 AAN MUSFIAH KRECEK 6/2 DENGGUNGAN 2800 √
14 BY NY RIKA 8/21/2019 YUNIZAR RIKA SEMONO 1/3 SAMBI 2800 √
15 BY NY RANI 8/21/2019 ADITYA RANI KARANG PILANG 5/1 JAGOAN SAMBI 2700 √
16 BY NY MULYATI 8/23/2019 PANIDI MULYATI KEMBANG 3/3 SAMBI 3300 √
17 BY NY ENDANG 8/27/2019 HARYANTO ENDANG BRAJAN 2/8 SINDON NGEMPLAK 3400 √
18 BY NY SRI BINTANG 8/27/2019 ALI SRI BINTANG CANDEN 7/2 SAMBI 3300 √
19 SURYANINGSIH 8/27/2019 CEPI SURYANINGSIH GEJIGAN 1/3 GATAK SAMBI 2650 √
20 BY NY IKA LESTARI 8/27/2019 ARIS IKA LESTARI WINONG 7/1 CANDEN 3700 √
21 BY NY LESTIA 8/27/2019 TANTRIYANTO LESTIA SAWIT 2/4 SINDON NGEMPLAK 3400 √
22 BY NY SUSI NATALIA 8/27/2019 KRIS H SUSI NATALIA KEYONGAN NOGOSARI 4000 √
23 BY NY SHOLEKHAH 8/28/2019 SYEH FURIJAL SHOLEKHAH REJOSARI 6/1 GLONGGONG NOGOSARI 2600 √
24 BY NY DINA LESTARI 8/29/2019 WIBOWO DINA LESTARI GIRANG GUNUNG GULI NOSARI 3100 √
25 BY NY SRI SUNARTI 8/30/2019 ARIF SUSANTO SRI SUNARTI NGANCAN 1/6 SOBOKERTO 3000 √
CATATAN : 1) Dalam Wilayah Kolom Putih
2) Luar Wilayah Kolom Merah
AGUSTUS 2019

JENIS IMUNISASI IMUNISASI TAMBAHAN KETERANGAN

POLIO 1 DPT 1 POLIO 2 DPT 2 POLIO 3 DPT 3 POLIO 4 IPV MR DPT LANJUT MR LANJUT
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