LAPORAN BULANAN CAKUPAN IMUNISASI RUTIN BAYI

KELURAHAN SUKAMULYA
BULAN JANUARI 2020

HB0 BCG POLIO 1

NoNama Posyandu Lap Swasta Pkm Swasta Vaksin ∑ Lap Swasta Pkm Swasta Vaksin ∑ Lap Swasta Pkm Swasta Vaksin ∑
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
1 Safir 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 2
2 Permata 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1
3 Zamrud 1 3 0 0 0 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Rubi 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0
5 Topaz 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 1 1
6 Berlian 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1
7 Mutiara 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1
8 Intan 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Kristal 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0
10 Batu Giok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Griya Aboh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 2 6 0 0 0 0 0 0 2 6 3 6 0 0 0 0 0 0 3 6 3 6 0 0 0 0 0 0 3 6

POLIO 2 POLIO 3 POLIO 4

NoNama Posyandu Lap Swasta Pkm Swasta Vaksin ∑ Lap Swasta Pkm Swasta Vaksin ∑ Lap Swasta Pkm Swasta Vaksin ∑
L P L P L P L P L P L P L P L P L P L P L P L p L P L P L P
1 Safir 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Permata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Zamrud 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1
4 Rubi 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 1
5 Topaz 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 2
6 Berlian 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1
7 Mutiara 2 0 0 0 0 0 0 0 2 0 1 2 0 0 0 0 0 0 1 2 1 0 0 0 0 0 0 0 1 0
8 Intan 2 1 0 0 0 0 0 0 2 1 1 2 0 0 0 0 0 0 1 2 1 1 0 0 0 0 0 0 1 1
9 Kristal 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0
10 Batu Giok 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Griya Aboh 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 3 0
Jumlah 5 5 0 0 0 0 0 0 5 5 3 9 0 0 0 0 0 0 3 9 5 6 0 0 0 0 0 0 5 6

DPT Hb Hib 1 DPT Hb Hib 2 DPT Hb Hib 3

NoNama Posyandu Lap Swasta Pkm Swasta Vaksin ∑ Lap Swasta Pkm Swasta ∑ Lap Swasta Pkm Swasta Vaksin ∑
L P L P L P L P L P L P l p L P L P L P L P L P L P L P L P
1 Safir 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Permata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Zamrud 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1
4 Rubi 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 1
5 Topaz 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 2
6 Berlian 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1
7 Mutiara 2 0 0 0 0 0 0 0 2 0 1 2 0 0 0 0 0 0 1 2 1 0 0 0 0 0 0 0 1 0
8 Intan 2 1 0 0 0 0 0 0 2 1 1 2 0 0 0 0 0 0 1 2 1 1 0 0 0 0 0 0 1 1
9 Kristal 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0
10 Batu Giok 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Griya Aboh 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 3 0
Jumlah 5 5 0 0 0 0 0 0 5 5 3 9 0 0 0 0 0 0 3 9 5 6 0 0 0 0 0 0 5 6
 MR IDL (Imunisasi Dasar Lengkap) IPV
NoNama Posyandu Lap Swasta Pkm Swasta Vaksin ∑ Lap Swasta Pkm Swasta Vaksin ∑ Lap Swasta Pkm Swasta Vaksin ∑
L P L P L P L P L P L P L P L P L P L P L P P L L P L P L P
1 Safir 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
2 Permata 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
3 Zamrud 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1
4 Rubi 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 1
5 Topaz 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Berlian 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1
7 Mutiara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0
8 Intan 2 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 2 0 0 1 0 0 0 0 0 0 0 1
9 Kristal 0 3 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0
10 Batu Giok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Griya Aboh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0
Jumlah 4 7 0 0 0 0 0 0 4 7 4 7 0 0 0 0 0 0 4 7 3 4 0 0 0 0 0 0 3 4

BOOSTER DPT Hb Hib BOOSTER MR

NoNama Posyandu Lap Swasta Pkm Swasta Vaksin ∑ Lap Swasta Pkm Swasta Vaksin ∑
L P L P L P L P L P L P L p L P L P L P
1 Safir 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0
2 Permata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Zamrud 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Rubi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Topaz 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Berlian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Mutiara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Intan 1 1 0 0 0 0 0 0 1 1 0 4 0 0 0 0 0 0 0 4
9 Kristal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Batu Giok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Griya Aboh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 3 1 0 0 0 0 0 0 3 1 0 4 0 0 0 0 0 0 0 4
 LAPORAN PELAYANAN IMUNISASI
DI KELURAHAN SUKAMULYA
BULAN JANUARI TAHUN 2020

JENIS KELAMIN TANGGAL PEMBERIAN IMUNISASI VAKSIN

NO NAMA ANAK TANGGAL NAMA ORANG TUA ALAMAT LENGKAP DPTHbHib POLIO Booster MR Ambil Baru
L P LAHIR HB0 BCG MR BOOSTER
1 2 3 1 2 3 4 IPV DPTHbHib
1 P 12/20/2019 IROS/BARI PADAMULYA 04/02 12/20/2019
2 L 27-Dec DIANA/FUAD PADAMULYA 01/02 27-Dec
3 CLARA P 12/29/2019 SITI ZELIN/YOGI PADAMULYA 01/02 12/20/2019
4 L 12/29/2019 ELIS/BABAN SETIARASA 02/03 12/29/2019
5 P 1/1/2020 IMAS/AEP CIMUNCANG 01/04 1/1/2020
6 P 1/2/2020 RISYEU/IQBAL PERUM MUTIARA 1/2/2020
7 P 1/6/2020 EVI/IMAN PERUM SUKAMULYA 1/6/2020
8 P 1/18/2020 TITIN/DENI ABOH 02/01 1/18/2020
9
10 RAKADATUL p 11/26/2019 ELIS/SOPYAN ABOH 04/01 01/0I/2020 01/0I/2020
11 p 3-Dec ATI/CECE ALM LEUWIMALANG 04/06 1/2/2020 1/2/2020
12 L 12/2/2019 DWI KANIA/RUDI CIMUNCANG 03/05 1/2/2020 1/2/2020
13 FAWAZ GHIBRAN L 12/6/2019 LIIS/DANI CIMUNCANG 02/04 1/3/2020 1/3/2020
14 P 12/5/2019 DEDEH/AEP CIMUNCANG 01/04 1/4/2020 1/4/2020
15 zayyid L 12/2/2019 TINA/TEGUH PAMIJAHAN02/07 1/1/2020 1/1/2020
16 ANGGITA P 12/20/2019 LUSI/YANDI ABOH 02/01 1/20/2020 1/20/2020
17 SHERINA P 12/9/2019 AFDILLA/RAFI LEUWIMALANG 04/06 1/12/2020 1/12/2020
18 ALYSSA P 11/19/2019 RANI/RIKI PERUM MUTIARA 1/22/2020 1/22/2020
19
20
21 ADIBA P 11/6/2019 WATI/ARI LWIMALANG 05/06 01/0I/2020 01/0I/2020
22 NENG SYA P 23-Oct IDA/WAHYU PERUM GRIYA ABOH 1/2/2020 1/2/2020
23 M FAHRUL ULUM L 11/8/2019 SITI JENAB/SAEPUL SETIARASA 03/03 1/2/2020 1/2/2020
24 NANDINI P 11/5/2019 INA/IWAN SETIARASA 02/03 1/3/2020 1/3/2020
25 AMALIA ELONA P 10/25/2019 ELIS/OLAN BANTARGEDANG 08 1/4/2020 1/4/2020
26 M GHIBRAN L 10/31/2019 SARI/EDI M ABOH 04/01 1/1/2020 1/1/2020
27 RAFASYA L 10/25/2019 SELI/ENGKOS ABOH 04/01 1/20/2020 1/20/2020
28 DANIEL L 10/13/2019 DEA/HAMJAH SETIARASA 02/03 1/21/2020 1/21/2020
29 UJANG JONI L 11/10/2019 SUMINAR/DEDI CIMUNCANG 01/04 1/22/2020 1/22/2020
30 ASRI P 11/13/2019 EVI/IMAN PADAMULYA 02 1/20/2020 1/20/2010
31
32 LELUNA P 9/7/2019 DINA/DADAN ABOH 03/01 01/0I/2020 01/0I/2020
33 ALMIRA HALIMATUNNISA P 27-Sep ICA/HASAN PAMIJAHAN 02/07 1/2/2020 1/2/2020
34 ANANDA HUMAIRA P 10/9/2019 WINDI/HENDRA PAMIJAHAN 02/07 1/2/2020 1/2/2020
35 ASKA SHABIT A L 10/15/2019 SITI M/HENDRA ABOH 04/01 1/3/2020 1/3/2020
36 M DAVIN L 10/16/2019 YUNI/ODIK SETIARASA 04/03 1/4/2020 1/4/2020
37 SHAQUILLE P 10/16/2019 CAHYA/ERWIN SETIARASA 02/03 1/1/2020 1/1/2020
38 BELLA SEPTIANI P 9/29/2019 ELAWATI/BUDIANA ABOH 01/01 1/20/2020 1/20/2020
39 HIZDAN ARIENDRA P 10/1/2019 TANTI/JOAN CIMUNCANG 02/05 1/21/2020 1/21/2020
40 ALI MUH NURDIN L 10/2/2019 IRMA/DINDIN CIMUNCANG 03/05 1/22/2020 1/22/2020
41 ARETHA D P 10/2/2019 DEWI/AGUS SETIARASA 02/03 1/20/2020 1/20/2020
42 KHANSA HUMAIRA P 10/25/2019 DINI/YUDISTIRA ABOH 04/01 1/12/2020 1/12/2020
43 ALISHA SYAHIDA M P 10/21/2019 WATI/WAHYUDIN CIMUNCANG 03/04 1/4/2020 1/4/2020
44
45
46 KHAFKA L 8/30/2019 MINAH/WAWAN ABOH 04/01 01/0I/2020 01/0I/2020 01/0I/2020
47 DANIEL L 29-Aug LOVELI/PADIAMAN PERUM GRIYA ABOH 1/2/2020 1/2/2020 1/2/2020
48 ANAYA AUDIA P 9/6/2019 SINTA/UWES CIMUNCANG 01/05 1/2/2020 1/2/2020
49 HAPIZ BAIHAQI L 9/13/2019 SINTA/REZA PERUM GRIYA ABOH 1/3/2020 1/3/2020
50 UCOK L 9/9/2019 RIAMA/JILON PERUM GRIYA ABOH 1/4/2020 1/4/2020 1/4/2020
51 ALEA INARA PUTRI P 9/17/2019 DELIS/HERI CIMUNCANG 03/05 1/1/2020 1/1/2020
52 M MULKI AFNAN L 9/18/2019 ATIK/BUDI SETIARASA 04/03 1/20/2020 1/20/2020
53 MAIZA P 9/19/2019 RATNA/IYEP SETIARASA 02/03 1/21/2020 1/21/2020 1/22/2020
54 AISYAH P 9/10/2019 ASRI/HERI PADAMULYA 1/22/2020 1/22/2020 1/22/2020
55 MAISYA P 9/3/2019 AI DASNIATI/ANA CIMUNCANG 03/04 1/20/2020 1/20/2020 1/20/2020
56 RAINA P 9/26/2019 SHINTA/YAYAN ABOH 05/01 1/12/2020 1/12/2020 1/12/2020
57
58 FELISHA P 4/7/2019 FITRI/FAUZI PADAMULYA 02/02 1/8/2020
59 RAISA P 3/25/2019 NIA/SILMI CIMUNCANG 1/15/2020
60 VANIA P 3/16/2019 FITRIE/ASEP PAMIJAHAN 03/07 1/18/2020
61 ALESHA P 4/11/2019 RENI/BUDI ABOH 03/01 1/12/2020
62 M RIYAD L 3/27/2019 SANI/ASEP CIMUNCANG 1/13/2020
63 VANO L 4/18/2019 NEVI/IBROHIM SETIARASA 01/03 1/14/2020
64 VINO L 4/18/2019 NEVI/IBROHIM SETIARASA 01/03 1/15/2020
65 M ALHANIF L 4/10/2019 ANITA/ANANG PERUM MUTIARA 1/16/2020
66 AZMI P 4/1/2019 SITI/ABDUL PAMIJAHAN 07 1/17/2020
67 ANNISA P 4/6/2019 DESI/ANDRI LEUWIMALANG 04/06 1/18/2020
68 ALYSA P 4/13/2019 RENI/NANA PAMIJAHAN 02/07 1/19/2020
69
70 KHAYRA RAFFA P 7/4/2018 ANAMAH/ASEP SETIARASA 04/03 1/8/2020
71 ADAM MAOLANA L 7/14/2018 DESTI/UJANG SETIARASA 03/03 1/15/2020
72 RIFKI L 7/7/2018 NIA/EDI LEUWIMALANG 04/06 1/18/2020
73 ARJUNA HADI L 7/3/2018 DESI/JUNJUN LEUWIMALANG 06 1/12/2020
74
75 KHAIRA P 3/7/2018 SARAH/ARIS SETIARASA 01/03 1/15/2020
76 D NANDA P 4/1/2018 INA/IWAN SETIARASA 02/03 1/15/2020
77 ARIZKA P 4/7/2018 YEPI/EKO SETIARASA 04/03 1/15/2020
78 SENI SOPIAH P 4/1/2018 TANTI/NANANG SETIARASA 02/03 1/15/2020
79
80
81
82
83
84
85
86
87
88
89
90
 VAKSIN
No Batch ED VVM PETUGAS