Blangko Imunisasi Perdesa

LAPORAN PELAYANAN BAYI DAN BATITA DIPOSYANDU PUSKESMAS LINGE
DESA: KUTE BARU

BATITA
HB KET(LENGKA
TANGGAL HB UNIJEK CAMPAK/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 (1-7 HARI) BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK1 P/MATI/ TT BUMIL
JAM 24 TH 8-24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21 22
1 Haura Aisya Maulida 4/6/2016 P
4/7/2016 6/17/2016 6/17/2016 7/20/2016 7/20/2016 8/12/2016 8/12/2016 9/9/2016 9/9/2016 1/13/2017 2/7/2018 8/20/2018
2 Hajam Giri Widia Ningsih 4/24/2016 L 4/27/2016 6/17/2016 6/17/2016 7/29/2016 7/29/2016 8/22/2016 8/22/2016 10/14/2016 10/14/2016 1/13/2017 11/16/2018 12/14/2018
3 Sakira Ramdani Maria Ulfa 6/18/2016 P 6/20/2016 1/29/2016 1/29/2016 8/12/2016 8/12/2016 9/9/2016 9/9/2016 12/9/2016 12/9/2016 4/13/2017 8/8/2018 10/12/2018
4 Khaliza Iska Andriani 9/4/2016 P 10/10/2016 10/4/2016 10/4/2016 11/11/2016 11/11/2016 12/9/2016 12/9/2016 1/13/2017 1/13/2017 7/12/1900 8/8/2018 10/12/2018
5 Mauliza Gayomi Amna Payumi 12/11/2016 P 7/11/2017 3/10/2017 4/6/2017 4/13/2017 4/13/2017 5/13/2017 5/13/2017 7/12/2017 7/12/2017 9/15/2017 8/8/2018 12/14/2018
6 Alya wanara Mirdayani 6/26/2018 P 6/26/2018

7/13/2018 7/13/2018 8/13/2018 8/13/2018 9/13/2018 9/13/2018 10/13/2018 10/13/2018 10/13/2018 3/13/2019 12/13/2019 5/12/2020
7 Najwa Muranis Basirah Pitri 6/18/2018 P 6/18/2018 8/10/2018 8/10/2018 9/14/2018 9/14/2018 10/12/2018 10/12/2018 1/16/2018 1/16/2018 1/16/2018 6/18/2019 4/13/2020 5/12/2020
8 Zauza Kanita Novita Lestari 7/21/2018 P 7/21/2018 10/12/2018 10/12/2018 11/16/2018 11/16/2018 1/11/2019 1/11/2019 3/8/2019 3/8/2019 3/8/2019 4/12/2019 5/12/2020 7/12/2020
9 Zimaru Muharam Anna Widia 09/9/2018 L 9/9/2018 10/12/2018 10/12/2018 11/16/2018 11/16/2018 1/7/2019 1/7/2019 2/7/2019 2/7/2019 2/7/2019 7/27/2019 6/12/2020 9/12/2020
10 Rizki Ahdi Rusmayanti 11/12/2018 L 11/12/2018

12/14/2018 12/14/2018 11/1/2019 11/1/2019 3/8/2019 3/8/2019 4/12/2019 4/12/2019 4/12/2019 8/12/2019 4/12/2020 5/12/2020
11 Alisa Zahra Miftahuriska 12/4/2019 P 3/8/2019 5/10/2019 5/10/2019 6/28/2019 6/28/2019 7/12/2019 7/12/2019 10/12/2019 10/12/2019 10/12/2019 8/12/2020 10/12/2021 12/12/2021
12 Aisyah Marlina 12/4/2019 P 12/4/2019 2/15/2020 2/15/2020 3/13/2020 3/13/2020 4/13/2020 4/13/2020 5/13/2020 5/13/2020 5/13/2020 8/12/2020 5/12/2021 5/12/2021
13 Rusma Devina Nurma 12/6/2019 P 12/12/2019 2/15/2020 2/15/2020 3/13/2020 3/13/2020 4/13/2020 4/13/2020 5/13/2020 5/13/2020 5/13/2020 8/12/2020 5/12/2021 5/12/2021
14 Abil Amra Pratama Aulia 10/30/2019 L 10/30/2019 12/10/2019 12/10/2019 1/20/2020 1/20/2020 3/13/2020 3/13/2020 4/13/2020 4/13/2020 4/13/2020 7/10/2020 5/13/2021 10/10/2021
15 Salistia Enjelita Muria wati 3/2/2020 P 3/2/2020 4/13/2020 4/13/2020 5/13/2020 5/13/2020 6/13/2020 6/13/2020 7/10/2020 7/10/2020 7/10/2020 11/10/2020 6/13/2021 2/13/2022
16 Putri Lingga Dwi Srikandi 3/13/2020 P 3/13/2020 4/13/2020 4/13/2020 5/13/2020 5/13/2020 6/13/2020 6/13/2020 7/10/2020 7/10/2020 7/10/2020 11/10/2020 9/13/2021 2/13/2022
17 M.Fahri Rahmadanu Pitria Ningsih 5/15/2020 L 5/15/2020 Uci 6/12/2020 6/12/2020 7/10/2020 7/10/2020 8/12/2020 8/12/2020 9/11/2020 9/11/2020 9/11/2020 2/11/2021
9/13/2021
12/31/1899
Alfahri RahmadanuJoni Sahputra 5/15/2020 L 5/15/2020 6/15/2020 6/15/2020 7/18/2020 7/18/2020 8/9/2021 8/9/2021 9/6/2021 9/6/2021 9/6/2021 3/6/2021 10/9/2021 4/12/2022
18 Raisa Ajalia Rahmayani 8/27/2020 P 8/27/2020 10/11/2020 10/11/2020 11/11/2020 11/11/2020 12/12/2020 12/12/2020 1/12/2021 1/12/2021 1/12/2021 5/10/2021 1/13/2022 7/7/2022
19 Alfariq Zafran Q Sita warni 1/7/2021 L 1/7/2021 3/7/2021 3/7/2021 4/9/2020 4/9/2020 5/9/2021 5/9/2021 10/9/2021 10/9/2021 10/9/2021 9/13/2021
20 Albizar Falerizam Evarahmawati 4/13/2021 L 4/13/2021 6/9/2021 6/9/2021 7/9/2021 7/9/2021 9/13/2021 9/13/2021 10/13/2021 10/13/2021 10/13/2021 3/6/2021
22 Giano Niara Novita Sari 5/17/2021 L 5/17/2021 6/9/2021 6/9/2021 7/9/2021 7/9/2021 8/13/2021 8/13/2021 9/13/2021 9/13/2021 9/13/2021 1/13/2022
23 Seri Mayang Siti Suheri 6/21/2021 P 8/13/2021 8/13/2021 7/9/2021 7/9/2021 9/13/2021 9/13/2021 10/13/2021 10/13/2021 10/13/2021 2/13/2022
24 JULISA LAURA Mayani 7/2/2021 P 7/3/2021 9/13/2021 9/13/2021 10/9/2021 10/9/2021 11/9/2021 11/9/2021 12/9/2021 12/9/2021 12/9/2021 3/13/2022
25 NADIFAREL Kentik 8/21/2021 L 8/22/2021 9/13/2021 9/13/2021 10/9/2021 10/9/2021 11/9/2021 11/9/2021 12/9/2021 12/9/2021 12/9/2021 4/13/2022
26 HARIQ AQLAN Salawati 9/3/2021 L 9/4/2021 10/13/2021 10/13/2021 11/9/2021 11/9/2021 12/9/2021 12/9/2021 1/9/2022 1/9/2022 1/9/2022
27 M.ALZIKRA MARLINA 12/14/2021 L 12/14/2021 2/14/2022 2/14/2022
28
29
DESA: KUTE BARU
BULAN FEB
BATITA
HB KET(LENGKA
NO NAMA ANAK NAMA IBU JK UNIJEK<24 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV DPT HB18- CAMPAK18- P/MATI/
LAHIR JAM (1-7 HARI) MR PINDAH)
24 TH 24 TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Salistia Enjelita Muria wati 3/2/2020 P 2/13/2022
2 Putri Lingga Dwi Srikandi 3/13/2020 P 2/13/2022
3 M.Fahri Rahmadanu Pitria Ningsih 5/15/2020 L 1/1/2022
4 Raisa Ajalia Rahmayani 8/27/2020 P 1/13/2022
5 Albizar Falerizam Evarahmawati 4/13/2021 L 3/6/2021
6 Giano Niara Novita Sari 5/17/2021 L 1/13/2022
7 Seri Mayang Siti Suheri 6/21/2021 P 2/13/2022
8 JULISA LAURA Mayani 7/2/2021 P 3/13/2022
9 HARIQ AQLAN Salawati 9/3/2021 L 1/9/2022 1/9/2022 1/9/2022
10 M.ALZIKRA MARLINA 12/14/2021 L 2/14/2022 2/14/2022
11
Kepala Desa Kute Baru
( SAMSU RIZAL)
DESA: KUTE BARU
BATITA
TANGGAL HB HB UNIJEK DPT HB DPT HB CAMPAK/ KET(LENGKA
NO NAMA ANAK NAMA IBU JK UNIJEK<24 BCG POLIO 1 POLIO 2 POLIO 3 DPT HB 3 POLIO 4 IPV DPT HB18- CAMPAK18- P/MATI/
LAHIR (1-7 HARI) 1 2 MR
JAM 24 TH 24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Albizar Falerizam Evarahmawati 4/13/2021 L 6/6/2022
2 Giano Niara Novita Sari 5/17/2021 L 6/6/2022
3 JULISA LAURA Mayani 7/2/2021 P 6/13/2022
4 NADIFAREL Kentik 8/21/2021 L 6/13/2022
5 M.ALZIKRA MARLINA 12/14/2021 L 6/12/2022 6/12/2022 6/12/2022
6
7
8
9
10
( SAMSU RIZAL)
DESA: KUTE BARU
BATITA
HB KET(LENGKA
TANGGAL HB UNIJEK POLIO DPT HB DPT HB CAMPAK/
NO NAMA ANAK NAMA IBU JK UNIJEK<24 BCG POLIO 2 POLIO 3 DPT HB 3 POLIO 4 IPV DPT HB18- CAMPAK1 P/MATI/
LAHIR (1-7 HARI) 1 1 2 MR PINDAH)
JAM 24 TH 8-24 TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 M.Fahri Rahmadanu Pitria Ningsih 5/15/2020 L 7/1/2022
2 Raisa Ajalia Rahmayani 8/27/2020 P 7/7/2022
3 Seri Mayang Siti Suheri 6/21/2021 P 7/13/2022
4
5
6
7
8
9
10
( SAMSU RIZAL)
DESA: KUTE BARU
BATITA
HB KET(LENGKA
TANGGAL HB UNIJEK POLIO DPT DPT HB POLIO DPT HB POLIO CAMPAK/
NO NAMA ANAK NAMA IBU JK UNIJEK<24 BCG POLIO 2 IPV DPT HB18- CAMPAK1 P/MATI/
LAHIR (1-7 HARI) 1 HB 1 2 3 3 4 MR PINDAH)
JAM 24 TH 8-24 TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Alfariq Zafran Q Sita warni 1/7/2021 L 9/10/2022
2 HARIQ AQLAN Salawati 9/3/2021 L 9/10/2022
3 M.ALZIKRA MARLINA 12/14/2021 L 9/11/2022
4
5
6
7
8
9
10
11
( SAMSU RIZAL)
DESA: KUTE BARU SWEPING
HB BATITA
TANGGAL UNIJEK HB UNIJEK POLIO DPT HB DPT HB POLIO CAMPAK/ KET(LENGKA
NO NAMA ANAK NAMA IBU JK BCG DPT HB 1 POLIO 2 POLIO 3 IPV DPT HB18- CAMPAK18- P/MATI/
LAHIR <24 (1-7 HARI) 1 2 3 4 MR
24 TH 24 TH PINDAH)
JAM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Giano Niara Novita Sari 5/17/2021
L 4/13/2022
2 Rusma Devina Siti Suheri 6/21/2021 P 4/13/2022
3 JULISA LAURA Nurma 12/6/2020 P 4/9/2022

4
5
6
7
8
9
10
( SAMSU RIZAL)
1/11/2021 1/11/2021 2/11/2021 2/11/2021 3/13/2021 3/13/2021 3/13/2021 7/16/2021 - -
30 Amah Rejeki Safiq 10/17/2020 L 10/17/2020 11/17/2020 11/17/2020
31 Apia Simehate Pitriani 11/9/2020 P 11/9/2020 11/11/2020 11/11/2020 1/11/2021 1/11/2021 2/11/2021 2/11/2021 3/13/2021 3/13/2021 3/13/2021 7/16/2021 - -
32 Maliq Ishak Rusdiana 11/6/2020 L 11/6/2020 12/11/2020 12/11/2020 1/11/2021 1/11/2021 2/11/2021 2/11/2021 3/13/2021 3/13/2021 3/13/2021 9/10/2021
33 FATIATUN RAHMAH SITI FATIMAH 5/24/2021 P 5/24/2021 7/9/2021 7/9/2021 8/30/2021 8/30/2021 9/9/2021 9/9/2021 10/21/2021 10/21/2021 10/21/2021 2/11/2022
34 SYELIN SAFITRI SUSPARIDAINI 2/27/2021 L 2/27/2021 4/9/2021 4/9/2021 5/9/2021 5/9/2021 8/9/2021 8/9/2021 10/21/2021 10/21/2021 10/21/2021 2/11/2022
35 ALEYSHA AZKAIRA ALFINA KARTIKA 9/16/2021 P 9/16/2021 11/15/2021 11/15/2021 12/15/2021 12/15/2021 1/11/2022 1/11/2022 2/11/2022 2/11/2022 2/11/2022 5/10/2022
36 SOPIA AMANDA ZATRAINI 12/17/2021 P 12/17/2021 1/15/2022 1/15/2022 2/15/2022 2/15/2022 3/15/2022 3/15/2022 4/15/2022 4/15/2022 4/15/2022 9/11/2022
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
DESA: KUTE ROBEL
BATITA
HB KET(LENGKAP
TANGGAL HB UNIJEK
NO NAMA ANAK NAMA IBU JK UNIJEK<24 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV CAMPAK/MR DPT HB18-24 CAMPAK18- /MATI/
LAHIR (1-7 HARI)
JAM TH 24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 FATIATUN RAHMAH SITI FATIMAH 5/24/2021 P 2/11/2022
2 RIKO ARYANDA SUSPARIDAINI 2/27/2021 L 2/11/2022
3 ALEYSHA AZKAIRA ALFINA KARTIKA 9/16/2021 P 1/11/2022 1/11/2022 2/11/2022 2/11/2022 2/11/2022
4 Sopia amanda ZATRAINI 12/17/2021 P 1/15/2022 1/15/2022 2/15/2022 2/15/2022
10
11
KEPALA DESA KUTE ROBEL
( SUSNAINI,SE )
DESA: KUTE ROBEL
BATITA KET(LENG
HB
TANGGAL HB UNIJEK DPT HB DPT HB POLIO CAMPAK/ KAP/
NO NAMA ANAK NAMA IBU JK UNIJEK<24 BCG POLIO 1 POLIO 2 POLIO 3 DPT HB 3 IPV DPT HB18- CAMPAK1 MATI/
LAHIR (1-7 HARI) 1 2 4 MR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Nabil Virendera Kartini 6/9/2020 L
- 6/6/2022
2 FATIATUN RAHMAH SITI FATIMAH 5/24/2021 P 5/11/2022
3 ALEYSHA AZKAIRA ALFINA KARTIKA 9/16/2021 P 6/10/2022
4
5
6
7
8
9
10
11
( SUSNAINI,SE )
DESA: KUTE ROBEL
BATITA KET(LENG
HB
TANGGAL HB UNIJEK DPT HB POLIO DPT HB DPT HB POLIO CAMPAK/ KAP/
NO NAMA ANAK NAMA IBU JK UNIJEK<24 BCG POLIO 1 POLIO 3 IPV DPT HB18- CAMPAK1 MATI/
LAHIR (1-7 HARI) 1 2 2 3 4 MR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Fitri Ramadani Fatimah 6/23/2020 P
- 7/11/2011
2 Aqil Alfata Fitriani 7/23/2020 L

- 7/11/2011
3
4
5
6
7
8
9
10
( SUSNAINI,SE )
DESA: KUTE ROBEL
BATITA
TANGGAL HB HB UNIJEK DPT HB POLIO CAMPAK/ KET(LENGK
NO NAMA ANAK NAMA IBU JK UNIJEK<24 BCG POLIO 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 IPV DPT HB18- CAMPAK18- AP/MATI/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
9/11/2022
1 Amah Rejeki Safiq 10/17/2020 L
2 Apia Simehate Pitriani 11/9/2020 P - 9/11/2022
3 Maliq Ishak Rusdiana 11/6/2020 L 9/11/2022
4 SYELIN SAFITRI SUSPARIDAINI 2/27/2021 L 9/11/2022
5 SOPIA AMANDA ZATRAINI 12/17/2021 P 9/11/2022
10
( SUSNAINI,SE )
30 Putri Amanda Wahdini 4/4/2021 P 4/4/2021 5/5/2021 5/5/2021 6/6/2021 6/6/2021 7/10/2021 7/10/2021 109/9/2021 109/9/2021 109/9/2021 11/6/2021
31 M.rafka hafis Sahni 6/1/2021 L 6/1/2021 8/3/2021 8/3/2021 11/10/2021 11/10/2021 12/10/2021 12/10/2021 1/10/2022 1/10/2022 1/10/2022 -
32 Kanesa Putri Arumi Yuni Murtika 6/27/2021 L 6/27/2021 8/3/2021 8/3/2021 9/12/2021 9/12/2021 10/12/2021 10/12/2021 1/10/2022 1/10/2022 1/10/2022 11/6/2021
33 Bayu Aprina 3/27/2021 L 3/27/2021 5/28/2021 5/28/2021 7/6/2021 7/6/2021 8/6/2021 8/6/2021 9/6/2021 9/6/2021 9/6/2021 11/6/2021
34 Sauga Medina 12/30/2021 P 12/30/2021 2/12/2022 2/12/2022 4/13/2022 4/13/2022 5/13/2022 5/13/2022 7/13/2022 7/13/2022 7/13/2022
35 Munawarah T Kausar 7/24/2021 P 7/24/2021 11/10/2021 11/10/2021 12/10/2021 12/10/2021 1/10/2022 1/10/2022 4/10/2022 4/10/2022 4/10/2022
36 THAHA QAMARUZAMAN HESI NOLISA 1/24/2022 L 1/24/2022 3/23/2022 3/23/2022 6/20/2022 6/20/2022
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
DESA: KUTE RIEM
BULAN FEB
BATITA
KET(LENGKAP
HB UNIJEK<24 HB UNIJEK
NO NAMA ANAK NAMA IBU TANGGAL LAHIR JK JAM (1-7 HARI) BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV CAMPAK/MR DPT HB18-24 CAMPAK18- /MATI/
TH 24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 M.rafka hafis Sahni 6/1/2021 L 3/20/2022
2 Kanesa Putri Arumi Yuni Murtika 6/27/2021 L 1/6/2022
3 Bayu Aprina 3/27/2021 L 1/6/2022
4 Sauga Medina 12/30/2021 P 5/13/2022 5/13/2022
5 Munawarah T Kausar 7/24/2021 P 1/10/2022 1/10/2022
6
7
8
9
10
KEPALA DESA KUTE RIEM
(URIANSYAH)
DESA: KUTE RIEM
BATITA
HB KET(LENGKAP
NO NAMA ANAK NAMA IBU JK UNIJEK<2 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV DPT HB18-24 CAMPAK18- /MATI/
LAHIR (1-7 HARI) MR
4 JAM TH 24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 M.ARKAN FITRI YONA 3/17/2020 L 6/10/2022
2 Rihlata Dhuhadima Sri Rahmayani 2/28/2020 L 6/10/2022
3 Nayara Azuhra Minahaza 11/13/2020 P 6/10/2022
4 Bayu Aprina 3/27/2021 L 9/19/2022
5 Sauga Medina 12/30/2021 P 6/16/2022 6/16/2022
6 Munawarah T Kausar 7/24/2021 P 6/10/2022 6/10/2022 6/10/2022
7 THAHA QAMARUZAMAN HESI NOLISA 1/24/2022 L 6/20/2022 6/20/2022
8
9
10
(URIANSYAH)
DESA: KUTE RIEM
BATITA
TANGGAL HB HB UNIJEK POLIO POLIO CAMPAK/ KET(LENGK
NO NAMA ANAK NAMA IBU JK UNIJEK<2 BCG DPT HB 1 POLIO 2 DPT HB 2 DPT HB 3 POLIO 4 IPV DPT HB18- CAMPAK18- AP/MATI/
4 JAM 24 TH 24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Putri Amanda Wahdini 4/4/2021 P 7/10/2022
2 M.rafka hafis Sahni 6/1/2021 L 7/6/2022
3 Kanesa Putri Arumi Yuni Murtika 6/27/2021 L 7/6/2022
4 Sauga Medina 12/30/2021 P 7/13/2022 7/13/2022 7/13/2022
5 Munawarah T Kausar 7/24/2021 P 7/6/2022
6
7
8
9
10
11
(URIANSYAH)
DESA: KUTE RIEM
BATITA
TANGGAL HB HB UNIJEK DPT HB CAMPAK/ KET(LENGK
NO NAMA ANAK NAMA IBU JK UNIJEK<24 BCG POLIO 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV DPT HB18- CAMPAK18- AP/MATI/ TT BUMIL
LAHIR (1-7 HARI) 1 MR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21 22
1 Zafira Usma H Asmah 8/22/2020 P 9/10/2022
2 RAFKA GUARA G DEWI SARTIKA 3/15/2021 L 9/10/2022
3 Bayu Aprina 3/27/2021 L 9/19/2022
4 Sauga Medina 12/30/2021 P 9/10/2022
5
6
7
8
9
10
11
(URIANSYAH)
30 ARSA PUTRA SRI MULYANI 3/23/2022 L 3/23/2022 5/14/2022 5/14/2022
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
DESA: KUTE RAYANG
BULAN FEB
BATITA
TANGGAL HB UNIJEK<24 HB UNIJEK (1-7 CAMPAK/ KET(LENGKAP/
NO NAMA ANAK NAMA IBU JK BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV
LAHIR JAM HARI) MR DPT HB18-24 CAMPAK18-24 MATI/PINDAH)
TH TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
2/14/2022
1 Albi yandera Nurhasanah 8/1/2020 L
1/14/2022 1/14/2022 1/14/2022
2 NADIPA ALDAIRA NURHIDAYAH 9/15/2021 P
1/14/2022 1/14/2022 1/14/2022
3 RAFA IZAM Nurhasanah 9/28/2021 L
10
KEPALA DESA KUTE RAYANG
( MUSYAWIR )
DESA: KUTE RAYANG
BATITA
TANGGAL HB UNIJEK<24 HB UNIJEK KET(LENGKAP/
NO NAMA ANAK NAMA IBU JK BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV CAMPAK/MR
LAHIR JAM (1-7 HARI) CAMPAK18-24 MATI/PINDAH)
DPT HB18-24 TH TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Fania Afnika Khusna Dewi 2/14/2020 P 6/14/2022

Sakila Mahbengi Nasinta 5/21/2020 P
2 6/14/2022
3 Albi yandera Nurhasanah 8/1/2020 L 6/14/2022
4 AZKIA ALMAIRA HASRAH 12/24/2020 P 6/14/2022
5 ARUMI JUMI RISKI 7/17/2021 P 6/14/2022
6 NADIPA ALDAIRA NURHIDAYAH 9/15/2021 P 6/14/2022
7 AMELIA FITRIANI 1/27/2022 P 6/14/2022 6/14/2022
10
( MUSYAWIR )
DESA: KUTE RAYANG
BATITA
TANGGAL HB UNIJEK<24 HB UNIJEK (1- KET(LENGKAP/
NO NAMA ANAK NAMA IBU JK BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV CAMPAK/MR
LAHIR JAM 7 HARI) CAMPAK18-24 MATI/PINDAH)
DPT HB18-24 TH TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
2 RAFA IZAM Nurhasanah 9/28/2021 L 7/14/2022
3 ARSA PUTRA SRI MULYANI 3/23/2022 L 7/14/2022 7/14/2022
10
( MUSYAWIR )
DESA: KUTE RAYANG
HB BATITA
TANGGAL HB UNIJEK KET(LENGKAP/
NO NAMA ANAK NAMA IBU JK UNIJEK<24 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV CAMPAK/MR
LAHIR JAM (1-7 HARI) CAMPAK18-24 MATI/PINDAH)
DPT HB18-24 TH TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
2 AZKIA ALMAIRA HASRAH 12/24/2020 P 9/14/2022
3 AMELIA FITRIANI 1/27/2022 P 9/14/2022
10
( MUSYAWIR )
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
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
DESA: KUTE KERAMIL
BULAN FEB
BATITA
KET(LENG
NO NAMA ANAK NAMA IBU TANGGAL JK HB UNIJEK<24 HB UNIJEK (1-7 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV CAMPAK/ DPT KAP/
LAHIR JAM HARI) MR HB18-24 CAMPAK1 MATI/
8-24 TH PINDAH)
TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 FAUZI SABELA YUSMANIAR 2/15/2022 L 2/15/2022
2 PUTRI SALSABILA ISHAK HABIBAH 2/15/2022 P 2/15/2022
3 M.ARIZKI LINGE MITA FAURIANA 2/22/2022 L 2/22/2022
4 DAPID ANGGARA RISMAYANTI 2/18/2022 L 2/19/2022
5 CAVIN ANGGARA SRI WAHYUNI 3/15/2022 L 3/15/2022
6
7
8
9
10
KEPALA DESA KUTE KERAMIL
(ARBADI YUSRA )
DESA: KUTE KERAMIL
BATITA
HB HB KET(LENG
TANGGAL UNIJEK UNIJEK CAMPAK/ KAP/
NO NAMA ANAK NAMA IBU LAHIR JK <24 (1-7 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK18- MATI/
JAM HARI) 24 TH 24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 M.Sidiq Mardiah 5/1/2020 L 6/20/2022
2 HAFIZ NAZWA Ulpiarahmi 10/1/2021 L 6/20/2022 6/20/2022 6/20/2022
3 RAINA ULANDARI SUKSMALELA 11/28/2021 P 6/20/2022 6/20/2022 6/20/2022
4 WEN KUARA Helvira 12/12/2021 L 6/20/2022 6/20/2022
5 UMAIRA HAYATI 1/4/2022 P 6/20/2022 6/20/2022
6 FAUZI SABELA YUSMANIAR 2/15/2022 L 6/20/2022 6/20/2022
7 PUTRI SALSABILA ISHAK HABIBAH 2/15/2022 P 6/20/2022 6/20/2022
8 M.ARIZKI LINGE MITA FAURIANA 2/22/2022 L 6/20/2022 6/20/2022
9 DAPID ANGGARA RISMAYANTI 2/18/2022 L 6/20/2022 6/20/2022
10 CAVIN ANGGARA SRI WAHYUNI 3/15/2022 L 6/20/2022 6/20/2022
(ARBADI YUSRA )
DESA: KUTE KERAMIL
BATITA
HB HB KET(LENG
TANGGAL CAMPAK/ KAP/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 UNIJEK BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK18- MATI/
JAM (1-7 HARI) 24 TH 24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 HAFIZ NAZWA Ulpiarahmi 10/1/2021 L 7/9/2022
2 WEN KUARA Helvira 12/12/2021 L 7/20/2022 7/20/2022 7/20/2022
3 UMAIRA HAYATI 1/4/2022 P 7/20/2022 7/20/2022 7/20/2022
4 FAUZI SABELA YUSMANIAR 2/15/2022 L 7/20/2022 7/20/2022 7/20/2022
5 PUTRI SALSABILA ISHAK HABIBAH 2/15/2022 P 7/20/2022 7/20/2022 7/20/2022
6 M.ARIZKI LINGE MITA FAURIANA 2/22/2022 L 7/20/2022 7/20/2022 7/20/2022
7 DAPID ANGGARA RISMAYANTI 2/18/2022 L 7/20/2022 7/20/2022 7/20/2022
8 CAVIN ANGGARA SRI WAHYUNI 3/15/2022 L 7/20/2022 7/20/2022 7/20/2022
9
10
(ARBADI YUSRA )
DESA: KUTE KERAMIL
BATITA
HB KET(LEN
TANGGAL HB UNIJEK DPT HB DPT HB POLIO CAMPAK/ GKAP/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 (1-7 BCG POLIO 1 1 POLIO 2 2 POLIO 3 DPT HB 3 4 IPV MR DPT HB18- CAMPAK1 MATI/
HARI)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Rafasya Alfatih EvaSastrawijaya 3/8/2020 L 9/9/2022
2 M.Sidiq Mardiah 5/1/2020 L 6/20/2022
3 Putri Nabila Syakib Masyani 8/4/2020 P 9/20/2022
4 Alesha Zahra Rasidah 11/23/2020 P 9/20/2022
5 Azalea Khalifa Mardiara Rizki 12/8/2020 P 9/20/2022
6 Qiara Naira Rajwa Lastriana 4/1/2021 P 9/20/2022
7 Wildan Isaqi Munawarah 4/8/2021 L 9/20/2022
8 Atawfun nisa razka Yuslina 4/24/2021 P 9/20/2022
9 RAINA ULANDARI SUKSMALELA 11/28/2021 P 9/20/2022
10 WEN KUARA Helvira 12/12/2021 L 9/20/2022
11 UMAIRA HAYATI 1/4/2022 P 9/20/2022
(ARBADI YUSRA )
106 DAFA DZUHARI NURHASANAH 10/14/2021 L 10/14/2021 11/18/2021 11/18/2021 12/9/2021 12/9/2021 2/9/2022 2/9/2022 2/9/2022 2/9/2022 2/9/2022
107 M. ASRA RAYYAN ASMINAR 10/19/2021 L 10/19/2021 11/18/2021 11/18/2021 12/9/2021 12/9/2021 2/9/2022 2/9/2022 2/9/2022 2/9/2022 2/9/2022
108 ALYA SALSABILA FITRI HANDAYANI 11/19/2021 P 11/19/2021 12/9/2021 12/9/2021 1/9/2022 1/9/2022 2/9/2022 2/9/2022
109 SHENNA ARSYILA RIZKI SILVI DEVI 1/13/2022 P 1/13/2022 3/9/2022 3/9/2022
110 SHARA WANI 1/19/2022 P 1/19/2022 3/9/2022 3/9/2022
111 ANISA WULANDARI 3/1/2022 L 3/1/2022
112 NURUL SAHPUTRI 3/29/2022 L 3/29/2022
113 KUMALA SARI 4/27/2022 L 5/28/2022
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
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
DESA: ARUL ITEM
BATITA
TANGGAL HB UNIJEK<24 HB UNIJEK (1- CAMPAK/ KET(LENGKAP

NO NAMA ANAK NAMA IBU JK BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV DPT HB18- CAMPAK18- /MATI/
LAHIR JAM 7 HARI) MR
24 TH 24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 M.Raski Ihsan Tria Erlita R 1/4/2020 P

1/9/2022
2 Defano Budiana 1/23/2020 L 1/9/2022
3 OLIVIA Irawati 1/24/2020 P 2/9/2022
4 Fahri Maulana Triana I 2/22/2020 L 2/9/2022
5 Zikri Maulana Triana II 2/22/2020 L

2/9/2022
6 M.FATAN Yunitawati 2/27/2020 L

2/9/2022
7 Aulia Rifani Lusianan 2/27/2020 P

2/9/2022
8 Ulya Humairah Nuraini 6/9/2020 P 1/8/2022
9 Afifah Talita Avina Sahara 7/5/2020 P 1/8/2022
10 Farman Iqbal Erlinawati 7/8/2020 L 2/8/2022
11 Hilya Afidah Umi Kulsum 9/20/2020 P 2/8/2022
12 M.Hanif Syarahil Juni Nanda Yunita 7/12/2021 L 2/9/2022 2/9/2022 2/9/2022
13 ISYANA ASHEEQA Nadia 7/25/2021 P 2/9/2022 2/9/2022 2/9/2022
14 SAKILA MUTIA AZAHRA SRI DEWI 9/8/2021 P 2/9/2022 2/9/2022 2/9/2022
15 BAYU PRAMUJA LISNAWATI 9/26/2021 L 2/9/2022 2/9/2022 2/9/2022
16 ALZAM AMANI ERNA YULIANA 10/19/2021 L 2/9/2022 2/9/2022 2/9/2022 2/9/2022 2/9/2022
17 RAIHAN AZLAN R RIKA LESTARI 9/26/2021 L 2/9/2022 2/9/2022 2/9/2022 2/9/2022 2/9/2022
18 DAFA DZUHARI NURHASANAH 10/14/2021 L 2/9/2022 2/9/2022 2/9/2022 2/9/2022 2/9/2022
19 M.ASRA RAYYAN ASMINAR 10/19/2021 L 2/9/2022 2/9/2022 2/9/2022 2/9/2022 2/9/2022
20 ALYA SALSABILA FITRI HANDAYANI 11/19/2021 P 1/9/2022 1/9/2022 2/9/2022 2/9/2022
KEPALA DESA ARUL ITEM
( )
DESA: ARUL ITEM
BATITA
HB KET(LENG
TANGGAL HB UNIJEK DPT HB POLIO CAMPAK/ KAP/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK< (1-7 BCG POLIO 1 DPT HB 1 POLIO 2 2 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK1 MATI/
24 JAM HARI) 24 TH 8-24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Zuhrian Syahputra Sri Wahyuni 3/3/2020 L 6/9/2022
2 Isnaini Dhiaulhaq Wulandari 3/28/2020 P 6/9/2022
3 Laila Fatonah Suarni 4/7/2020 P 6/9/2022
4 Vania Ulvairah Erdiyanti 10/10/2020 P 6/9/2022
5 Vayolla Nadiffa Sumiati 11/9/2020 P 6/8/2022
6 M.Sahril Hafiz Sinta Damayanti 11/9/2020 L 6/8/2022
7 Nahla Desanti Rina Sari 12/8/2020 P 6/8/2022
8 Sidiq Arsalan Rita Juliana 12/1/2020 L 6/8/2022
9 M.Syarahil HAFIS Juni Nanda Yunita 7/12/2021 L 6/9/2022
10 ISYANA ASHEEQA Nadia 7/25/2021 P 6/9/2022
11 ALYA SALSABILA FITRI HANDAYANI 11/19/2021 P 6/9/2022 6/9/2022 6/9/2022
12 SHENNA ARSYILA RIZKI SILVI DEVI 1/13/2022 P 6/9/2022 6/9/2022
13 SHARA WANI 1/19/2022 P 6/9/2022 6/9/2022
14 NURUL SAHPUTRI 3/29/2022 L 6/9/2022 6/9/2022
15 KUMALA SARI 4/27/2022 L 7/9/2022 7/9/2022
( )
DESA: ARUL ITEM
BATITA
KET(LENG
TANGGAL HB HB UNIJEK DPT HB DPT HB POLIO DPT POLIO CAMPAK/ KAP/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 (1-7 HARI) BCG POLIO 1 1 POLIO 2 2 3 HB 3 4 IPV MR DPT HB18- CAMPAK1 MATI/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Ulya Humairah Nuraini 6/9/2020 P 7/9/2022
2 Afifah Talita Avina Sahara 7/5/2020 P 7/9/2022
3 Farman Iqbal Erlinawati 7/8/2020 L 7/9/2022
4 KUMALA SARI 4/27/2022 L 7/9/2022 7/9/2022
5
6
7
8
9
10
( )
DESA: ARUL ITEM
BATITA
KET(LENG
TANGGAL HB HB UNIJEK POLIO DPT HB DPT HB POLIO DPT HB CAMPAK/ KAP/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 (1-7 HARI) BCG 1 1 POLIO 2 2 3 3 POLIO 4 IPV MR DPT HB18- CAMPAK1 MATI/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Zaidan Syakib Melati 9/1/2020 L 9/9/2022
2 Hilya Afidah Umi Kulsum 9/20/2020 P 9/9/2022
3 Vania Ulvairah Erdiyanti 10/10/2020 P 9/9/2022
4 M.Alif Sahwana Rahma Eva W 2/21/2021 L 9/8/2022
5 Yasmin Dwi Amira Harlina 3/8/2021 P 9/8/2022
6 Sabardi Salmiati 3/18/2021 L 9/8/2022
7 Ahmad Yusuf Patah Sakinah Indah 3/29/2021 L 9/8/2022
8 Absal Miftah Suparti 3/22/2021 L 9/8/2022
9
10
11
( )
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
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
DESA: ANTARA
BATITA
HB HB KET(LENGK
TANGGAL UNIJEK DPT HB DPT HB CAMPAK/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 (1-7 BCG POLIO 1 1 POLIO 2 DPT HB 2 POLIO 3 3 POLIO 4 IPV MR DPT HB18- CAMPAK1 AP/MATI/
JAM HARI) 24 TH 8-24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 M.Naufal Anjarni 2/15/2021 L 1/9/2021
2 Maysa Maulia P Yani 3/23/2021 P 1/9/2021
3 Auna wati Maulida 3/23/2021 P 2/9/2022
4 Silva Trianai Juni Astuti 3/27/2021 P 2/9/2022
5 AZKIA ULIMA Lia Semehate 9/9/2021 P 2/8/2022 2/8/2022
6 HARTA SIMEHATE ERNA 10/4/2021 L 2/8/2022 2/8/2022
7 NOPITA SARI MURNIATI 10/13/2021 P 1/8/2022 1/8/2022

8
9
10
KEPALA DESA ANTARA
( RIZAL )
DESA: ANTARA
BATITA
HB
TANGGAL HB UNIJEK POLIO DPT HB POLIO DPT HB CAMPAK/ KET(LENGKAP/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 (1-7 BCG 1 1 2 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK1 MATI/PINDAH)
JAM 24 TH 8-24 TH
HARI)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Fadil Ramadan Suryani 5/7/2020 6/9/2022
2 Izzatunisa Asifa Hamimah 7/15/2020 P 6/9/2022
3 NAZLA ALIFA Mawaddah 7/31/2021 P 6/9/2022
4 AZKIA ULIMA Lia Semehate 9/9/2021 P 6/9/2022 6/9/2022 6/9/2022
5
6
7
8
9
10
11
KEPALA DESA ANTARA
( RIZAL )
DESA: ANTARA
BATITA
HB
TANGGAL HB UNIJEK POLIO DPT HB DPT HB POLIO DPT HB POLIO CAMPAK/ KET(LENGKAP/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 (1-7 BCG 1 1 POLIO 2 2 3 3 4 IPV MR DPT HB18- CAMPAK1 MATI/PINDAH)
JAM 24 TH 8-24 TH
HARI)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Tofik Rahman Rahmayani 2/2/2020 L 7/9/2022
2 Mauladi Rezeki Rumina Sari 10/31/2020 L 7/9/2022
3 Farhan Diko Santi arami 12/1/2020 L 7/9/2022
4 AZKIA ULIMA Lia Semehate 9/9/2021 P 7/9/2022
5
6
7
8
9
10
11
KEPALA DESA ANTARA
( RIZAL )
DESA: ANTARA
BATITA
HB
TANGGAL HB UNIJEK POLIO DPT POLIO DPT HB POLIO DPT HB POLIO CAMPAK/ KET(LENGKAP/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 (1-7 BCG 1 HB 1 2 2 3 3 4 IPV MR DPT HB18- CAMPAK1 MATI/PINDAH)
JAM 24 TH 8-24 TH
HARI)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Arsila Irawati 7/10/2020 P 9/9/2022
2 Putra Aliandera Nila Agustina 8/20/2020 9/9/2022
3 HARTA SIMEHATE ERNA 10/4/2021 L 9/9/2022
4 NOPITA SARI MURNIATI 10/13/2021 P 9/9/2022
5
6
7
8
9
10
11
KEPALA DESA ANTARA
( RIZAL )
DESA: ANTARA
BATITA
HB
TANGGAL HB UNIJEK POLIO DPT POLIO DPT HB POLIO DPT HB POLIO CAMPAK/ KET(LENGKAP/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 (1-7 BCG 1 HB 1 2 2 3 3 4 IPV MR DPT HB18- CAMPAK1 MATI/PINDAH)
JAM 24 TH 8-24 TH
HARI)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Farhan Dika Santi arami 12/1/2020 L 4/9/2022
2 ZAHRA Lilis Asmiati 1/25/2020 P 4/9/2022
3 Maysa Maulia P Yani 3/23/2021 P 4/9/2022
4
5
6
7
8
9
10
11
KEPALA DESA ANTARA
( RIZAL )
129 Ainal mahara
FIRDAUS 4/29/2021 L 4/29/2021 6/9/2021 6/9/2021 7/9/2021 7/9/2021 8/9/2021 8/9/2021 9/9/2021 9/9/2021 9/9/2021 1/9/2021 10/8/2022
130
FAZIA MAHARA 4/30/2021 P 4/30/2021 6/9/2021 6/9/2021 7/9/2021 7/9/2021 8/9/2021 8/9/2021 9/9/2021 9/9/2021 9/9/2021 1/9/2021
131 Ulandari
M.Rafasa Aditia.W 5/10/2021 L 5/10/2021 6/9/2021 6/9/2021 7/9/2021 7/9/2021 8/9/2021 8/9/2021 9/9/2021 9/9/2021 9/9/2021 1/9/2021
132
M.Uais Selamah 5/19/2021 L 5/19/2021 6/9/2021 6/9/2021 7/9/2021 7/9/2021 8/9/2021 8/9/2021 9/9/2021 9/9/2021 9/9/2021 1/9/2021
133
Ayunadia Sumarni 6/4/2021 P 6/4/2021 9/8/2021 9/8/2021 10/8/2021 10/8/2021 11/9/2021 11/9/2021 12/9/2021 12/9/2021 12/9/2021 3/9/2021
134 AFIKA NAILA Nuraini 6/9/2021 P 6/9/2021 10/8/2021 10/8/2021 11/9/2021 11/9/2021 12/9/2021 12/9/2021 1/9/2022 1/9/2022 1/9/2022 3/9/2021
135 TIFANI ALEYSA Nurul Hasenah 7/4/2021 P 7/4/2021 9/8/2021 9/8/2021 10/8/2021 10/8/2021 11/8/2021 11/8/2021 12/8/2021 12/8/2021 12/8/2021 4/8/2022
136
M.RAFKA Sumarnati 7/17/2021 L 7/14/2021 10/8/2021 10/8/2021 08/11//2021 08/11//2021 12/8/2021 12/8/2021 1/9/2022 1/9/2022 1/9/2022 4/8/2022
137
ABRAN AZAM Pira cahaya 7/20/2021 L 7/20/2021 10/8/2021 10/8/2021 08/11//2021 08/11//2021 12/8/2021 12/8/2021 1/9/2022 1/9/2022 1/9/2022 4/8/2022
138 RANIA RUMAISA Lia maya sari 9/2/2021 p 9/2/2021 10/8/2021 10/8/2021 08/11//2021 08/11//2021 12/8/2021 12/8/2021 1/9/2022 1/9/2022 1/9/2022 5/8/2022
139 SALWAIRA Yusmika 9/15/2021 p 9/15/2021 10/8/2021 10/8/2021 08/11//2021 08/11//2021 12/8/2021 12/8/2021 1/9/2022 1/9/2022 1/9/2022 5/8/2022
140 BILAL MAYANG SARI 10/22/2021 L 10/22/2021 12/8/2021 12/8/2021 1/8/2022 1/8/2022 2/8/2022 2/8/2022 3/13/2022 3/13/2022 3/13/2022
141
MALIKA QAIRA AKSARANI 10/26/2021 P 10/26/2021 2/8/2022 2/8/2022 3/8/2022 3/8/2022 5/8/2022 5/8/2022
142
LATIF AKRAM LINGGA Idawati 11/22/2021 L 11/22/2021 12/8/2021 12/8/2021 1/8/2022 1/8/2022 2/8/2022 2/8/2022 3/13/2022 3/13/2022 3/13/2022
143
DAFIN ALBIRU ZAKIATUN ILMA 11/25/2021 L 11/25/2021 12/8/2021 12/8/2021 1/8/2022 1/8/2022 2/8/2022 2/8/2022 3/13/2022 3/13/2022 3/13/2022
144 ARFA MAULINA RINA DAMAYANTI 1/29/2022 P 1/29/2022 4/8/2022 4/8/2022
145 WAFA SHANUM SARWANI 1/30/2022 P 1/30/2022 4/8/2022 4/8/2022
146 HABIB ALFATIH MAHLIDAWATI 1/30/2022 L 1/30/2022 4/8/2022 4/8/2022
147
LAURA FELCIA ALARA MUTIARA RAHMADANI 2/15/2022 P 2/15/2022 3/8/2022 3/8/2022 4/8/2022 4/8/2022 5/8/2022 5/8/2022
148
DAFA ALFARI RUHMI RIZKI 2/17/2022 L 2/17/2022 4/8/2022 4/8/2022
149
WAZNA PEBRINA 3/15/2022 P 3/15/2022
150
ALPATIH KHAURUL RMDN HARMA DEWI 3/22/2022 L 3/22/2022
151 KAMARIAH 3/25/2022 L 3/25/2022
152 RAHMITA 4/20/2022 L 4/20/2022
153
WIRDA 4/22/2022 L 4/22/2022
154
RIDAWATI 4/20/2022 P 4/20/2022
155
RITASARI 5/10/2022 P 5/11/2022
156 MASTINA 5/18/2022 L 5/19/2022
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
DESA: GEMBOYAH
BATITA
HB UNIJEK<24 HB UNIJEK CAMPAK/ KET(LENGKAP/

NO NAMA ANAK NAMA IBU TANGGAL LAHIR JK JAM (1-7 HARI) BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR CAMPAK18-24 MATI/PINDAH)
DPT HB18-24 TH TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1
Hilya Alesa Miska 4/5/2020 P 2/8/2022
2
Nurul amni Dewi Hutari 8/18/2020 P 2/8/2022
3
Silvia Putri Susiani 8/21/2020 P 2/8/2022
4
M.RAFKA Sumarnati 7/17/2021 L 2/8/2022 2/8/2022 2/8/2022
5
ABRAN AZAM Pira cahaya 7/20/2021 L 2/8/2022 2/8/2022 2/8/2022
6
RANIA RUMAISA Lia maya sari 9/2/2021 p 2/8/2022 2/8/2022 2/8/2022
7
SALWAIRA Yusmika 9/15/2021 p 2/8/2022 2/8/2022 2/8/2022
8
BILAL MAYANG SARI 10/22/2021 L 2/8/2022 2/8/2022
9
MALIKA QAIRA AKSARANI 10/26/2021 P 2/8/2022 2/8/2022
10
LATIF AKRAM LINGGA Idawati 11/22/2021 L 2/8/2022 2/8/2022
11
DAFIN ALBIRU ZAKIATUN ILMA 11/25/2021 L 2/8/2022 2/8/2022
12
LAURA FELCIA ALARA MUTIARA RAHMADANI 2/15/2022 P 2/15/2022
13
DAFA ALFARI RUHMI RIZKI 2/17/2022 L 2/17/2022
KEPALA DESA GEMBOYAH
( RUSLI )
DESA: GEMBOYAH
BATITA
HB HB UNIJEK KET(LENGKAP/
NO NAMA ANAK NAMA IBU TANGGAL LAHIR JK UNIJEK<2 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV CAMPAK/MR DPT HB18-24 CAMPAK18- MATI/PINDAH)
4 JAM (1-7 HARI)
TH 24 TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Aliya Azela Sumijah 7/2/2020 P 6/8/2022

2 M.Gibran Haris Suli Paulina 7/11/2020 L 6/8/2022
3 M.Rasid Nurul Vida 7/20/2020 L 6/8/2022
4 M.Gibran Yusuf Fitridayani 7/22/2020 L 6/8/2022
5 Aura Mahbengi Wahyuni 7/24/2020 P 6/8/2022
6 Nurul amni Dewi Hutari 8/18/2020 P 6/8/2022
7 Silvia Putri Susiani 8/21/2020 P 6/8/2022
8 M.Aqmal Wardalina 12/1/2020 L 6/8/2022
9 halwa kirein Saadah 1/9/2021 P 6/8/2022
10 TIFANI ALEYSA Nurul Hasenah 7/4/2021 P 6/8/2022
11 M.RAFKA Sumarnati 7/17/2021 L 6/8/2022
12 ABRAN AZAM Pira cahaya 7/20/2021 L 6/8/2022
13 MALIKA QAIRA AKSARANI 10/26/2021 P 6/8/2022 6/8/2022 6/8/2022
14 LATIF AKRAM LINGGA Idawati 11/22/2021 L 6/8/2022 6/8/2022 6/8/2022
15 DAFIN ALBIRU ZAKIATUN ILMA 11/25/2021 L 6/8/2022 6/8/2022 6/8/2022
16 ARFA MAULINA RINA DAMAYANTI 1/29/2022 P 6/8/2022 6/8/2022
17 WAFA SHANUM SARWANI 1/30/2022 P 6/8/2022 6/8/2022
18 HABIB ALFATIH MAHLIDAWATI 1/30/2022 L 6/8/2022 6/8/2022
19 LAURA FELCIA ALARA MUTIARA RAHMADANI 2/15/2022 P 6/8/2022 6/8/2022 6/8/2022
20 DAFA ALFARI RUHMI RIZKI 2/17/2022 L 6/8/2022 6/8/2022
21 WAZNA PEBRINA 3/15/2022 P 6/8/2022 6/8/2022
22 ALPATIH KHAURUL RMDN HARMA DEWI 3/22/2022 L 6/8/2022 6/8/2022
23 KAMARIAH 3/25/2022 L 6/8/2022 6/8/2022
24 RAHMITA 4/20/2022 L 6/8/2022 6/8/2022
25 WIRDA 4/22/2022 L 6/8/2022 6/8/2022
26 RIDAWATI 4/20/2022 P 6/8/2022 6/8/2022
( RUSLI )
DESA: GEMBOYAH
BATITA
HB
HB UNIJEK KET(LENGKAP/
NO NAMA ANAK NAMA IBU TANGGAL LAHIR JK UNIJEK<2 (1-7 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV CAMPAK/MR DPT HB18-24 CAMPAK18-24 MATI/PINDAH)
4 JAM HARI) TH TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1
Uswatun Padilah Sri Wahyuni 2/13/2021 P 7/8/2022
2
RANIA RUMAISA Lia maya sari 9/2/2021 p 7/8/2022
3 SALWAIRA Yusmika 9/15/2021 p 7/8/2022
4 BILAL MAYANG SARI 10/22/2021 L 7/8/2022
5 MALIKA QAIRA AKSARANI 10/26/2021 P 7/8/2022
6
ARFA MAULINA RINA DAMAYANTI 1/29/2022 P 7/8/2022 7/8/2022 7/8/2022
7
WAFA SHANUM SARWANI 1/30/2022 P 7/8/2022 7/8/2022 7/8/2022
8
HABIB ALFATIH MAHLIDAWATI 1/30/2022 L 7/8/2022 7/8/2022 7/8/2022
9 DAFA ALFARI RUHMI RIZKI 2/17/2022 L 7/8/2022 7/8/2022 7/8/2022
10
WAZNA PEBRINA 3/15/2022 P 7/8/2022 7/8/2022
11
ALPATIH KHAURUL RMDN HARMA DEWI 3/22/2022 L 7/8/2022 7/8/2022
12
KAMARIAH 3/25/2022 L 7/8/2022 7/8/2022
13 RAHMITA 4/20/2022 L 7/8/2022 7/8/2022
14
WIRDA 4/22/2022 L 7/8/2022 7/8/2022
15 RIDAWATI 4/20/2022 P 7/8/2022 7/8/2022
16
RITASARI 5/10/2022 P 7/8/2022 7/8/2022
17
MASTINA 5/18/2022 L 7/8/2022 7/8/2022
( RUSLI )
DESA: GEMBOYAH
BATITA
HB HB UNIJEK (1- KET(LENGKAP/

NO NAMA ANAK NAMA IBU TANGGAL LAHIR JK UNIJEK<24 7 HARI) BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV CAMPAK/MR CAMPAK18-24 MATI/PINDAH)
JAM DPT HB18-24 TH TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 8/8/2022
Azkkia Akila Nisa Ikrima 9/10/2020 P
2 9/8/2022
Nur Seyla Rahmi Maulita 10/2/2020 P
3 M.Aqmal Wardalina 9/8/2022
12/1/2020 L
4 halwa kirein Saadah 9/8/2022
1/9/2021 P
5 Uswatun Padilah Sri Wahyuni 9/8/2022
2/13/2021 P
6 9/8/2022
FIRDAUS Ainal mahara 4/29/2021 L
7 9/8/2022
LATIF AKRAM LINGGA Idawati 11/22/2021 L
8 9/8/2022
DAFIN ALBIRU ZAKIATUN ILMA 11/25/2021 L
9 ARFA MAULINA RINA DAMAYANTI 9/8/2022
1/29/2022 P
10 WAFA SHANUM SARWANI 9/8/2022
1/30/2022 P
11 HABIB ALFATIH MAHLIDAWATI 9/8/2022
1/30/2022 L
12 9/8/2022 9/8/2022 9/8/2022
WAZNA PEBRINA 3/15/2022 P
13 9/8/2022 9/8/2022 9/8/2022
ALPATIH KHAURUL RMDN HARMA DEWI 3/22/2022 L
14 9/8/2022 9/8/2022 9/8/2022
KAMARIAH 3/25/2022 L
15 RAHMITA 9/8/2022 9/8/2022
4/20/2022 L
16 9/8/2022 9/8/2022
WIRDA 4/22/2022 L
17 9/8/2022 9/8/2022
RIDAWATI 4/20/2022 P
18 RITASARI 9/8/2022 9/8/2022
5/10/2022 P
19 MASTINA 9/8/2022 9/8/2022
5/18/2022 L
( RUSLI )
DESA: GEMBOYAH
BATITA
HB HB UNIJEK (1-7 KET(LENGKAP/

NO NAMA ANAK NAMA IBU TANGGAL LAHIR JK UNIJEK<24 HARI) BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV CAMPAK/MR CAMPAK18-24 MATI/PINDAH)
JAM DPT HB18-24 TH TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1
Adiva Kanza Parida 12/15/2020 L 4/8/2022
2
Rismayanti Rahmadani 1/20/2021 P 4/8/2022
3 Reja alpijar Marni 4/4/2021 L 4/8/2022
4 M.Uais Selamah 5/19/2021 L 4/8/2022
5
10
( RUSLI )
27 ALI AMRAN RATNA DEWI 7/13/2020 L 7/13/2021 8/9/2020 8/9/2020 10/010/2020 10/010/2020 10/11//2020 10/11//2020 12/10/2020 12/10/2020 12/10/2020 5/9/2021 2/8/2022 9/8/2022
28 GREYSA HAFISA R SITI SURYANI 12/21/2020 P 12/21/2020 2/8/2021 2/8/2021 3/9/2021 3/9/2021 4/9/2021 4/9/2021 5/9/2021 5/9/2021 5/9/2021 10/8/2021 6/8/2022
29 RAFASA ARIGA HARDIANTI PUTRI

1/6/2021 L 1/6/2021 2/8/2021 2/8/2021 3/9/2021 3/9/2021 4/9/2021 4/9/2021 5/9/2021 5/9/2021 5/9/2021 10/8/2021
31 AZAM NABIL ZURAIDAH 2/1/2021 L 2/1/2021 3/8/2021 3/8/2021 4/8/2021 4/8/2021 4/9/2021 4/9/2021 6/9/2021 6/9/2021 6/9/2021 10/8/2021
32 YUMNA SAKIRA APRINA 5/1/2021 P 5/1/2021 6/9/2021 6/9/2021 7/9/2021 7/9/2021 5/9/2021 5/9/2021 9/9/2021 9/9/2021 9/9/2021 1/8/2022
33 AZAHRA HUMAIRA ERLINA SARITA 4/3/2021 P 4/3/2021 5/3/2021 5/3/2021 7/9/2021 7/9/2021 8/9/2021 8/9/2021 9/8/2021 9/8/2021 9/8/2021 2/8/2022
34 NAZLA ALIFA MADDAH 7/31/2021 L 7/31/2021 9/8/2021 9/8/2021 10/8/2021 10/8/2021 11/8/2021 11/8/2021 12/9/2021 12/9/2021 12/9/2021
35 AHMAD FADIL MARIANA 10/4/2021 P 10/4/2021 1/8/2022 1/8/2022 2/8/2022 2/8/2022 3/8/2022 3/8/2022 4/8/2022 4/8/2022 4/8/2022
36 HUSA ALZAHRA SURYANI 1/9/2022 P 1/9/2022 3/8/2022 3/8/2022 4/8/2022 4/8/2022 6/8/2022 6/8/2022
37 ZELA AURELIA AULIA PITRI 1/13/2022 P 1/13/2022 4/8/2022 4/8/2022 6/8/2022 6/8/2022
38 FITRIANA 3/6/2022 P 3/6/2022 6/8/2022 6/8/2022 7/8/2022 7/8/2022
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
DESA: PANTAN REDUK
BATITA
TANGGAL HB HB UNIJEK KET(LENGKAP

NO NAMA ANAK NAMA IBU JK UNIJEK<24 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV CAMPAK/MR DPT HB18-24 CAMPAK18- /MATI/
LAHIR (1-7 HARI)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Rizka M.reza Yusmiati 2/26/2020 L 1/9/2022
2 Nabil Altaaruf Sri Wahyuni 3/16/2020 L 2/9/2022
3 ALI AMRAN RATNA DEWI 7/13/2020 L 2/8/2022
4 YUMNA SAKIRA APRINA 5/1/2021 P 1/8/2022
5 AZAHRA HUMAIRA ERLINA SARITA 4/3/2021 P 2/8/2022
6 AHMAD FADIL MARIANA 10/4/2021 P 1/8/2022 1/8/2022 2/8/2022 2/8/2022
7
8
9
10
KEPALA DESA PANTAN REDUK
( )
DESA: PANTAN REDUK
BATITA
HB HB KET(LENGK
TANGGAL UNIJEK UNIJEK DPT HB CAMPAK/
NO NAMA ANAK NAMA IBU LAHIR JK <24 (1-7 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 3 POLIO 4 IPV MR DPT HB18- CAMPAK18- AP/MATI/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Rizka M.reza Yusmiati 2/26/2020 L 6/9/2022
2 Nabil Altaaruf Sri Wahyuni 3/16/2020 L 6/9/2022
4 GREYSA HAFISA R SITI SURYANI 12/21/2020 P 6/8/2022
5 YUMNA SAKIRA APRINA 5/1/2021 P 6/8/2022
6 NAZLA ALIFA MADDAH 7/31/2021 L 6/8/2022
7 HUSA ALZAHRA SURYANI 1/9/2022 P 6/8/2022 6/8/2022
8 ZELA AURELIA AULIA PITRI 1/13/2022 P 6/8/2022 6/8/2022
9 FITRIANA 3/6/2022 P 6/8/2022 6/8/2022
10
( )
DESA: PANTAN REDUK
BATITA
HB HB KET(LENGK
TANGGAL UNIJEK POLIO CAMPAK/ DPT CAMPAK AP/MATI/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<2 (1-7 BCG 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR
4 JAM HB18-24 18-24 PINDAH)
HARI) TH TH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 AHMAD FADIL MARIANA 10/4/2021 P 7/8/2022
2 HUSA ALZAHRA SURYANI 1/9/2022 P 7/8/2022 7/8/2022 7/8/2022
3 ZELA AURELIA AULIA PITRI 1/13/2022 P 7/8/2022 7/8/2022
4 FITRIANA 3/6/2022 P 7/8/2022 7/8/2022
5
6
7
8
9
10
( )
DESA: PANTAN REDUK
BATITA
HB HB KET(LENGK
TANGGAL UNIJEK CAMPAK/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 (1-7 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK18- AP/MATI/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
2 AZAHRA HUMAIRA ERLINA SARITA 4/3/2021 P 9/8/2022
3 HUSA ALZAHRA SURYANI 1/9/2022 P 9/8/2022
4 ZELA AURELIA AULIA PITRI 1/13/2022 P 9/8/2022 9/8/2022 9/8/2022
5 FITRIANA 3/6/2022 P 9/8/2022 9/8/2022 9/8/2022
6
7
8
9
10
( )
29 M ALKHALID BOYNEM 3/15/2021 L 3/15/2021 5/18/2021 5/18/2021 6/18/2021 6/18/2021 7/18/2021 7/18/2021 9/18/2021 9/18/2021 9/18/2021
30 ARUMI IZRA NABILA NURMA 1/10/2021 P 1/10/2021 3/18/2021 3/18/2021 7/18/2021 7/18/2021 8/18/2021 8/18/2021 9/18/2021 9/18/2021 9/18/2021
31 AYESA KAMALIA ULFA SUGIANTI 11/5/2021 P 11/5/2021 12/18/2022 12/18/2022 5/18/2022
32 PUTRI WIJAYA MUJIATI 12/27/2021 P 12/27/2021 1/18/2022 1/18/2022
33 M.AZKA ALFATIH MISRAWATI 1/22/2022 L 1/22/2022 3/18/2022 3/18/2022
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
10
0
10
1
10
2
DESGELAMPANG GADING
BATITA
TANGGAL HB HB UNIJEK CAMPAK/ KET(LENGKAP

NO NAMA ANAK NAMA IBU JK UNIJEK<24 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV DPT HB18-24 CAMPAK18- /MATI/
LAHIR (1-7 HARI) MR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 M ALFARENRA RATNAWATI
9/13/2020 L 2/18/2022
2 DINDA SEPTIANI HARWANTI

9/19/2020 P 2/18/2022
3 AYESA KAMALIA ULFA SUGIANTI

11/5/2021 P 1/18/2022 1/18/2022 2/18/2022 2/18/2022
4 PUTRI WIJAYA MUJIATI

12/27/2021 P 2/18/2022 2/18/2022
5 M.AZKA ALFATIH MISRAWATI

1/22/2022 L 1/22/2022
6
7
8
9
10
KEPALA DESA
GELAMPANG GADING
(SUKADI)
DESA: GELAMPANG GADING
BATITA
HB HB KET(LENGK
TANGGAL POLIO CAMPAK/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 UNIJEK BCG 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK18 AP/MATI/
JAM (1-7 HARI) 24 TH -24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 KhalisTa Maharani Ainun febrian 3/2/2020 P 6/18/2022
2 M ALFARENRA RATNAWATI 9/13/2020 L 6/18/2022
3 DINDA SEPTIANI HARWANTI 9/19/2020 P 6/18/2022
4 RAISA AINUL R WEDA SARI 8/2/2021 P 6/18/2022
5 LABIB MUDRIKA FITRI SUSANTI 6/20/2021 L 6/18/2022
6 ARUMI IZRA NABILA NURMA 1/10/2021 P 6/18/2022
7 AYESA KAMALIA ULFA SUGIANTI 11/5/2021 P 6/18/2022 6/18/2022
8 PUTRI WIJAYA MUJIATI 12/27/2021 P 6/18/2022 6/18/2022
9 M.AZKA ALFATIH MISRAWATI 1/22/2022 L 6/18/2022 6/18/2022
10
KEPALA DESA
GELAMPANG GADING
(SUKADI)
BATITA
HB HB KET(LENGK
TANGGAL UNIJEK DPT HB POLIO CAMPAK/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<2 (1-7 BCG POLIO 1 1 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK18 AP/MATI/
4 JAM HARI) 24 TH -24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 ALFINO KHAIJAL YANTI HANDAYANI
10/24/2020 L 7/18/2022
2 AIBAZAH HUMAIRA SEPTI AYUNDA 11/14/2020 P 7/18/2022
3 M ALKHALID BOYNEM 3/15/2021 L 7/18/2022
4 AYESA KAMALIA ULFA SUGIANTI 11/5/2021 P 7/18/2022 7/18/2022 7/18/2022
5 PUTRI WIJAYA MUJIATI 12/27/2021 P 7/18/2022 7/18/2022 7/18/2022
6 M.AZKA ALFATIH MISRAWATI 1/22/2022 L 7/18/2022 7/18/2022
7
8
9
10
KEPALA DESA
GELAMPANG GADING
(SUKADI)
BATITA
HB HB KET(LENGK
TANGGAL DPT HB DPT HB CAMPAK/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 UNIJEK BCG POLIO 1 1 POLIO 2 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK18 AP/MATI/
JAM (1-7 HARI) 24 TH -24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 M ALFARENRA RATNAWATI 9/13/2020 L 9/18/2022
2 DINDA SEPTIANI HARWANTI 9/19/2020 P 9/18/2022
3 ALFINO KHAIJAL YANTI HANDAYANI

10/24/2020 L 9/18/2022
6 ARUMI IZRA NABILA NURMA 1/10/2021 P 9/18/2022
7 PUTRI WIJAYA MUJIATI 12/27/2021 P 9/18/2022
8 M.AZKA ALFATIH MISRAWATI 1/22/2022 L 9/18/2022 9/18/2022 9/18/2022
9
10
KEPALA DESA
GELAMPANG GADING
(SUKADI)
28 Nadira Mufida Mawaddah 11/5/2019 P 11/5/2019 12/18/2019 12/18/2019 1/18/2020 1/18/2020 2/18/2020 2/18/2020 3/18/2020 3/18/2020 3/18/2020 7/18/2020 4/18/2021 10/18/2021
29 Arami Nasha Ari Ridayati 11/7/2019 P 11/7/2019 1/23/2020 1/23/2020 2/23/2020 2/23/2020 3/18/2020 3/18/2020 4/18/2020 4/18/2020 4/18/2020 7/18/2020 4/18/2021 10/18/2021
30 Daniz Mayza Maya Oktavia 11/26/2019 L 11/26/2019 1/23/2020 1/23/2020 2/18/2020 2/18/2020 3/18/2020 3/18/2020 5/18/2020 5/18/2020 5/18/2020 8/18/2020 5/18/2021 11/18/2021
31 Aurelia Kharu Dini 11/27/2019 P 11/27/2019 1/23/2020 1/23/2020 2/18/2020 2/18/2020 3/18/2020 3/18/2020 4/18/2020 4/18/2020 4/18/2020 8/18/2020 5/18/2021 11/18/2021
32 Syafa Aqillatum Eka Ratna Sari 11/28/2019 P 11/28/2019 1/23/2020 1/23/2020 2/18/2020 2/18/2020 3/18/2020 3/18/2020 4/18/2020 4/18/2020 4/18/2020 8/18/2020 6/18/2021 11/18/2021
33 Riski Anggit 12/9/2019 L 12/9/2019 1/18/2020 1/18/2020 2/18/2020 2/18/2020 3/18/2020 3/18/2020 5/18/2020 5/18/2020 5/18/2020 8/18/2020 6/18/2021 12/18/2021
34 Izza Hilyan Sinema Rizki 12/11/2019 P 12/11/2019 1/23/2020 1/23/2020 2/18/2020 2/18/2020 3/18/2020 3/18/2020 4/18/2020 4/18/2020 4/18/2020 8/18/2020 6/18/2021 12/18/2021
35 Isnaini Nova Juliatun 12/12/2019 P 121/12/2019 1/18/2020 1/18/2020 2/18/2020 2/18/2020 3/18/2020 3/18/2020 4/18/2020 4/18/2020 4/18/2020 8/18/2020 6/18/2021 12/18/2021
36 SKILA PERMATA MARDIAH 12/21/2019 p 12/21/2019 1/18/2020 1/18/2020 2/18/2020 2/18/2020 3/18/2020 3/18/2020 5/18/2020 5/18/2020 5/18/2020 8/18/2020 10/18/2021 5/18/2022
37 Ifra Mikaila Z Maryani 2/7/2020 P 2/7/2020 3/13/2020 3/13/2020 5/18/2020 5/18/2020 6/18/2020 6/18/2020 8/18/2020 8/18/2020 8/18/2020 10/18/2021 10/18/2021
38 Ahmad Syafik Ining 5/29/2020 L 5/29/2020 4/18/2020 4/18/2020 6/18/2020 6/18/2020 8/18/2020 8/18/2020 9/18/2020 9/18/2020 9/18/2020 10/18/2021 11/18/2021 5/18/2022
39 Hafiz Zafran Siti Khodijah 4/14/2020 L 4/14/2020 6/18/2020 6/18/2020 8/18/2020 8/18/2020 9/18/2020 9/18/2020 10/18/2020 10/18/2020 10/18/2020 1/18/2021 11/18/2021 5/18/2022
40 Attaya Arseneo A Marya Ulfa 6/23/2020 L 6/23/2020 8/18/2020 8/18/2020 9/18/2020 9/18/2020 10/18/2021 10/18/2021 11/18/2021 11/18/2021 11/18/2021 3/18/2021 1/18/2022
41 M.Rafisky Al fariq Ulan 6/27/2020 L 6/27/2020 8/18/2020 8/18/2020 9/18/2020 9/18/2020 10/18/2021 10/18/2021 11/18/2021 11/18/2021 11/18/2021 3/18/2021
42 Fayza Tazkia Nurwati 8/3/2020 P 8/3/2020 9/18/2020 9/18/2020 10/18/2020 10/18/2020 11/18/2020 11/18/2020 12/18/2020 12/18/2020 12/18/2020 5/18/2021
43 Tamala Asifa Asri Nurcayani 9/13/2020 P 9/13/2020 10/18/2020 10/18/2020 11/18/2020 11/18/2020 12/18/2020 12/18/2020 1/18/2021 1/18/2021 1/18/2021 5/18/2021
44 Azmi Fahreza Mutmainah 10/1/2020 L 10/1/2020 11/18/2020 11/18/2020 12/18/2020 12/18/2020 1/18/2021 1/18/2021 2/18/2021 2/18/2021 2/18/2021 6/18/2021 5/18/2022
45 Wulandari 11/3/2020 L 11/3/2020 12/18/2020 12/18/2020 1/18/2021 1/18/2021 2/18/2021 2/18/2021 3/18/2021 3/18/2021 3/18/2021 7/18/2021
46 Sukran Alfatih Nurhayati 11/14/2020 L 11/14/2020 12/18/2020 12/18/2020 1/18/2021 1/18/2021 2/18/2021 2/18/2021 3/18/2021 3/18/2021 3/18/2021 7/18/2021 5/18/2022
47 Fatih Arsa Alkalifi Sri Marpuah 11/26/2020 L 11/26/2020 1/18/2021 1/18/2021 2/18/2021 2/18/2021 3/18/2021 3/18/2021 4/18/2021 4/18/2021 4/18/2021 7/18/2021 5/18/2022
48 AULIA KHAIRUNISA Marsanah 4/11/2021 P 4/11/2021 6/18/2021 6/18/2021 7/18/2021 7/18/2021 9/18/2021 9/18/2021 10/18/2021 10/18/2021 10/18/2021 1/18/2022
49 ALEYA NUR ASIFA Aprinamawarni 5/7/2021 P 5/7/2021 6/18/2021 6/18/2021 7/18/2021 7/18/2021 9/18/2021 9/18/2021 10/18/2021 10/18/2021 10/18/2021 1/18/2022
50 KHASAN AL HALIFI SAMROH 5/24/2021 L 5/24/2021 6/18/2021 6/18/2021 7/18/2021 7/18/2021 9/18/2021 9/18/2021 10/18/2021 10/18/2021 10/18/2021 1/18/2022
51 SAUMA HIRIATI SITI FATIMAH 4/19/2021 P 4/19/2021 6/18/2021 6/18/2021 7/18/2021 7/18/2021 9/18/2021 9/18/2021 10/18/2021 10/18/2021 10/18/2021 1/18/2022
52 ALFARO RAFISI F RIOHAYATI 6/22/1900 L 6/22/1900 8/18/2021 8/18/2021 9/18/2021 9/18/2021 10/18/2021 10/18/2021 11/18/2021 11/18/2021 11/18/2021 3/18/2022
53 M.SYAQIL ARAYAN AMATUNIKMAH 1/16/2022 L 1/16/2022 5/18/2022 5/18/2022
54 YUMNA SANUM MINANLIA CAHYA NI 2/23/2022 P 2/23/2022 5/18/2022 5/18/2022 5/18/2022 5/18/2022
55 KINANA FAQIHA M SRI WAHYUNI 4/28/2022 P 4/28/2022
56
57
58
59
60
61
DESADISPOT LINGE
BATITA
TANGGAL HB HB UNIJEK DPT HB CAMPAK/ KET(LENGKAP

NO NAMA ANAK NAMA IBU JK UNIJEK<24 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 POLIO 4 IPV DPT HB18- CAMPAK18- /MATI/
LAHIR (1-7 HARI) 3 MR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Attaya Arseneo A Marya Ulfa 6/23/2020

L 1/18/2022
2 AULIA KHAIRUNISA Marsanah 4/11/2021

P 1/18/2022
3 ALEYA NUR ASIFA Aprinamawarni 5/7/2021

P 1/18/2022
4 KHASAN AL HALIFI SAMROH 5/24/2021

L 1/18/2022
5 SAUMA HIRIATI SITI FATIMAH 4/19/2021

P 1/18/2022
6
7
8
9
10
KEPALA DESA DESPOT LINGE
( )
DESA: DISPOT LINGE
BATITA
HB KET(LENGK
TANGGAL HB UNIJEK DPT HB CAMPAK
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK< (1-7 HARI) BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 3 POLIO 4 IPV /MR DPT HB18- CAMPAK18- AP/MATI/
24 JAM 24 TH 24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Ahmad Syafik Ining 5/29/2020 L 6/18/2022
2 Hafiz Zafran Siti Khodijah 4/14/2020 L 6/18/2022
3 Attaya Arseneo A Marya Ulfa 6/23/2020 L 6/18/2022
4 M.Rafisky Al fariq Ulan 6/27/2020 L 6/18/2022
5 M.SYAQIL ARAYAN AMATUNIKMAH 1/16/2022 L 6/18/2022 6/18/2022
6 YUMNA SANUM MINANGKLIA CAHYA NINGRUM 2/23/2022 P 6/18/2022 6/18/2022

7 KINANA FAQIHA M SRI WAHYUNI 4/28/2022 P 6/18/2022 6/18/2022
8
9
10
( )
DESA: DISPOT LINGE
BATITA
HB HB KET(LENGK
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK< (1-7 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK1 AP/MATI/
24 JAM HARI) 24 TH 8-24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Azmi Fahreza Mutmainah 10/1/2020 L 7/18/2022
2 NADIA Wulandari 11/3/2020 L 7/18/2022
3 Sukran Alfatih Nurhayati 11/14/2020 L 7/18/2022
4 Fatih Arsa Alkalifi Sri Marpuah 11/26/2020 L 7/18/2022
5 M.SYAQIL ARAYAN AMATUNIKMAH 1/16/2022 L 7/18/2022 7/18/2022
6 YUMNA SANUM MINANGKLIA CAHYA NINGRUM 2/23/2022 P 7/18/2022 7/18/2022 7/18/2022

7 KINANA FAQIHA M SRI WAHYUNI 4/28/2022 P 7/18/2022 7/18/2022
8
9
10
( )
DESA: DISPOT LINGE
BATITA
HB KET(LENGK
TANGGAL HB UNIJEK POLIO DPT HB CAMPAK/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 (1-7 HARI) BCG 1 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK18- AP/MATI/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Fayza Tazkia Nurwati 8/3/2020 P 9/18/2022
2 Tamala Asifa Asri Nurcayani 9/13/2020 P 9/18/2022
3 Azmi Fahreza Mutmainah 10/1/2020 L 9/18/2022
4 AULIA KHAIRUNISA Marsanah 4/11/2021 P 9/18/2022
5 ALEYA NUR ASIFA Aprinamawarni 5/7/2021 P 9/18/2022
6 SAUMA HIRIATI SITI FATIMAH 4/19/2021 P 9/18/2022
7 ALFARO RAFISI F RIOHAYATI 6/22/1900 L 9/18/2022
8 M.SYAQIL ARAYAN AMATUNIKMAH 1/16/2022 L 9/18/2022 9/18/2022 9/18/2022
9 KINANA FAQIHA M SRI WAHYUNI 4/28/2022 P 9/18/2022 9/18/2022 9/18/2022
10
( )
10
0
10
1
10
2
10
3
10
4
10
5
10
6
10
7
10
8
10
9
DESA:PANTAN NANGKA
BATITA
TANGGAL HB HB UNIJEK CAMPAK/ KET(LENGK

NO NAMA ANAK NAMA IBU L p UNIJEK<24 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV DPT HB18- CAMPAK18- AP/MATI/
LAHIR (1-7 HARI) MR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Rahmad azril Juliana Dewi 3/18/2020 L 1/15/2022 D

2 Bayhaqi Nilam sari 4/28/2020 L 2/15/2022
3 M.syahdan Fitriana 4/29/2020 L 2/15/2022
4 Labika Kapsa Rina Sari 7/28/2020 P 1/15/2022 D

5 Abri Samanab Rahmayana 8/29/2020 L 1/15/2022
6 M.Nizam Wafi Supriyanti 8/24/2020 L 1/15/2022
7 Safira juraini 4/19/2021 P 1/15/2022
8 M.Hafiz Ramadan Sukmawati 4/29/2021 P 1/15/2022
9 Ikbal Romi Pitri Rahayu 5/1/2021 L 1/15/2022
10 Husni Mubara Mahati 8/18/2021 L 1/15/2022 1/15/2022 1/15/2022
11 QUEN OKTA SHEZA MARIANA 10/4/2021 P 1/15/2022 1/15/2022 2/15/2022 2/15/2022
12 LUTFAN ALFARIZI SITU ROSMAWATI 10/8/2021 L 1/15/2022 1/15/2022 2/15/2022 2/15/2022
13 MUZAKIR MANAF JUWARNI 11/4/2021 L 1/15/2022 1/15/2022 2/15/2022 2/15/2022
14 ANISA NADIFA JASIAH 12/13/2021 L 2/15/2022 2/15/2022
15 NAISYA ALIKA LAURA ASIAH 1/3/2022 L 1/3/2022
KEPALA DESA PANTAN NANGKA
(KURNIA)
DESAPANTAN NANGKA
BATITA
KET(LEN
TANGGAL HB HB UNIJEK POLIO DPT HB POLIO DPT HB POLIO DPT HB POLIO CAMPAK/ GKAP/
NO NAMA ANAK NAMA IBU LAHIR L p UNIJEK<24 (1-7 HARI) BCG 1 1 2 2 3 3 4 IPV MR DPT HB18- CAMPAK1 MATI/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Labika Kapsa Rina Sari 7/28/2020 P 6/15/2022 D
2 Alma Kinara Nurhijah 1/3/2021 P 6/15/2022
3 Cheriko Pratama Tri mayasari 1/7/2021 P 6/16/2022
4 Naila Ismi Arumi Rohkana 1/9/2021 P 6/17/2022
5 Syafa aramikaadila Tila Aini 1/27/2021 P 6/18/2022
6 QUEN OKTA SHEZA MARIANA 10/4/2021 P 6/15/2022
7 LUTFAN ALFARIZI SITU ROSMAWATI 10/8/2021 L 6/15/2022
8
9
10
11
12
(KURNIA)
DESA: PANTAN NANGKA
BATITA
HB HB KET(LENG
TANGGAL UNIJEK POLIO DPT POLIO CAMPAK/ KAP/
NO NAMA ANAK NAMA IBU LAHIR L p UNIJEK<24 (1-7 BCG 1 DPT HB 1 POLIO 2 HB 2 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK18 MATI/
JAM HARI) 24 TH -24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Abri Samanab Rahmayana 8/29/2020 L 7/15/2022
2 M.Nizam Wafi Supriyanti 8/24/2020 L 7/15/2022
3 Cahya Eva Gustina 2/22/2021 P 7/15/2022
4 ANISA NADIFA JASIAH 12/13/2022 L 7/15/2022 7/15/2022 7/15/2022
5 NAISYA ALIKA LAURA ASIAH 1/3/2022 L 7/15/2022 7/15/2022
6 LUTFI KHADAPI MISRI 3/2/2022 L 7/15/2022 7/15/2022
7 JUWITA DEWI JUMIATI 3/25/2022 P 7/15/2022 7/15/2022
8 NURBAITI 4/2/2022 P
9
10
(KURNIA)
DESA: PANTAN NANGKA
BATITA
HB HB KET(LENG
TANGGAL UNIJEK DPT HB POLIO CAMPAK/ KAP/
NO NAMA ANAK NAMA IBU LAHIR L p UNIJEK<2 (1-7 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 3 4 IPV MR DPT HB18- CAMPAK18 MATI/
4 JAM HARI) 24 TH -24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Dahvin Adipa Mike Yuliani 10/29/2020 L 9/15/2022
2 Alzio Sakhi Termiko Septika Ayuni 3/24/2021 L 9/15/2022
3 Safira juraini 4/19/2021 P 9/15/2022
4 M.Hafiz Ramadan Sukmawati 4/29/2021 P 9/15/2022
5 MUZAKIR MANAF JUWARNI 11/4/2021 L 9/15/2022
6 M.IZATUL HAQ SRI MURNI 12/9/2021 L P 9/15/2022
7 NAILA ANISA 12/15/2021 L 9/15/2022
8 ANISA NADIFA JASIAH 12/13/2022 L 9/15/2022
9
10
(KURNIA)
DESA: SWEPING PANTAN NANGKA
BLN APRIL
BATITA
KET(LENG
TANGGAL HB
NO NAMA ANAK NAMA IBU L p UNIJEK<24 HB UNIJEK BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV CAMPAK/
DPT HB18- CAMPAK18
KAP/
LAHIR (1-7 HARI) MR MATI/
JAM 24 TH -24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Meisya Putri Susi 5/2/2020 P 1/15/2022
2 Naila Tania Susanti 5/19/2020 P 2/15/2022
3 M.IZATUL HAQ SRI MURNI 12/9/2021 L P 12/9/2021 1/15/2022 1/15/2022 5/15/2022 5/15/2022
4 ZAINAL ANISA 12/15/2021 L 12/15/2021 1/15/2022 1/15/2022 5/15/2022 5/15/2022
5
6
7
8
9
10
(KURNIA)
28 Abid Adha Masdayani 2/20/2020 L 2/20/2020 4/13/2020 4/13/2020 5/13/2020 5/13/2020 6/13/2020 6/13/2020 7/13/2020 7/13/2020 7/13/2020 11/13/2020 6/13/2021 1/13/2022 D
29 Kaida Afrilia Sartika Mahlia 4/21/2020 P 4/22/2020 6/13/2020 6/13/2020 7/13/2020 6/13/2020 8/13/2020 8/13/2020 `13/9/2020 `13/9/2020 `13/9/2020 2/13/2021 9/13/2021 3/13/2022 D
30 Meisa Hipza Mina Suminar 5/10/2020 P 5/11/2020 6/13/2020 6/13/2020 7/13/2020 6/13/2020 8/13/2020 8/13/2020 `13/9/2020 `13/9/2020 `13/9/2020 2/13/2021 10/13/2021 4/13/2022
31 Al Mira Safwana Evi Rahayu 5/12/2020 P 5/13/2020 6/13/2020 6/13/2020 8/13/2020 8/13/2020 9/13/2020 9/13/2020 10/13/2020 10/13/2020 10/13/2020 2/13/2021 10/13/2021 4/13/2022
32 Zakira Fitri Asnaini 5/31/2020 P 5/31/2020 7/13/2020 7/13/2020 8/13/2020 8/13/2020 9/13/2020 9/13/2020 10/13/2020 10/13/2020 10/13/2020 3/13/2021 10/13/2021 4/13/2022
33 Nabila Murni 8/26/2020 P 8/26/2020 10/13/2020 10/13/2020 11/13/2020 11/13/2020 12/13/2020 12/13/2020 1/13/2021 1/13/2021 1/13/2021 4/13/2021 1/13/2022 8/13/2022
34 Rumaisyah Mastina 10/10/2020 P 10/10/2020 12/13/2020 12/13/2020 1/13/2021 1/13/2021 2/13/2021 2/13/2021 3/13/2021 3/13/2021 3/13/2021 6/13/2021 2/13/2022 7/13/2021
38 ALHAFIS RONI SRI CAHYANI 3/13/2021 P 3/13/2021 5/13/2021 5/13/2021 6/13/2021 6/13/2021 7/13/2021 7/13/2021 8/9/2021 8/9/2021 8/9/2021 9/9/2021
35 SHOFIAH JIHAN Puji ROSIVAH 3/31/2021 L 1/31/2021 3/13/2021 3/13/2021 7/13/2021 7/13/2021 8/13/2021 8/13/2021 10/18/2021 10/18/2021 10/18/2021
36 KHALISA SUCI S Sulistiati 4/2/2021 P 4/2/2021 6/13/2021 6/13/2021 7/13/2021 7/13/2021 8/13/2021 8/13/2021 10/18/2021 10/18/2021 10/18/2021
37 ADINDA AURELIA LAILA MUAJAROH 8/18/2021 P 8/18/2021 10/13/2021 10/13/2021 11/18/2021 11/18/2021 12/13/2021 12/13/2021
39 YANA NABILA RAFIKAMURI L 12/9/2021 P 12/9/2021 1/18/2022 1/18/2022 2/18/2022 2/18/2022
40 NAIFA HAMIDA MIDA AINI 12/21/2021 P 12/21/2021 1/18/2022 1/18/2022 2/18/2022 2/18/2022
41 SINDI ELINA Nora Elia 1/1/2022 P 1/1/2022 5/13/2022 5/13/2022
44 M.ELPATAN ALFARIZKI DENI SUPRIANTI 3/21/2022 L 3/21/2022 5/13/2022 5/13/2022
45 ARDIANSYAH HABIBI Nurmasitah 3/23/2022 L 3/24/2022 5/13/2022 5/13/2022
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
DESA: KEMERLENG
BATITA
KET(LEN
TANGGAL HB HB UNIJEK CAMPAK/ GKAP/
NO NAMA ANAK NAMA IBU L P UNIJEK<24 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV DPT HB18-24 CAMPAK18- MATI/
LAHIR (1-7 HARI) MR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Nabila Murni 8/26/2020 P 1/13/2022
2 Rumaisyah Mastina 10/10/2020 P 2/13/2022
3 YANA NABILA RAFIKAMURI L 12/9/2021 P 1/18/2022 1/18/2022 2/18/2022 2/18/2022

4 NAIFA HAMIDA MIDA AINI 12/21/2021 P 1/18/2022 1/18/2022 2/18/2022 2/18/2022
5
6
7
8
9
10
KEPALA DESA KEMERLENG
( )
DESA: KEMERLENG
BATITA KET(LE
HB HB NGKAP/
TANGGAL UNIJEK DPT HB CAMPAK
NO NAMA ANAK NAMA IBU LAHIR L P UNIJEK< (1-7 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 3 POLIO 4 IPV /MR DPT HB18- CAMPAK18 MATI/
24 JAM HARI) 24 TH -24 TH PINDAH
)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Meisa Hipza Mina Suminar 5/10/2020 P 4/13/2022
2 Al Mira Safwana Evi Rahayu 5/12/2020 P 4/13/2022
3 Zakira Fitri Asnaini 5/31/2020 P 6/13/2022

4 ADINDA AURELIA LAILA MUAJAROH 8/18/2021 P 6/13/2022 6/13/2022
5 YANA NABILA RAFIKAMURI L 12/9/2021 P 6/13/2022 6/13/2022
6 NAIFA HAMIDA MIDA AINI 12/21/2021 P 6/13/2022 6/13/2022
7 SINDI ELINA Nora Elia 1/1/2022 P 6/13/2022 6/13/2022
8 M.ELPATAN ALFARIZKI DENI SUPRIANTI 3/21/2022 L 6/13/2022 6/13/2022
9 ARDIANSYAH HABIBI Nurmasitah 3/23/2022 L 6/13/2022 6/13/2022
10
( MUSAWIR )
DESA: KEMERLENG
BATITA KET(LE
HB HB NGKAP/
TANGGAL UNIJEK POLIO DPT HB CAMPAK/
NO NAMA ANAK NAMA IBU LAHIR L P UNIJEK< (1-7 BCG 1 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK18 MATI/
24 JAM HARI) 24 TH -24 TH PINDAH
)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Rumaisyah Mastina 10/10/2020 P 7/13/2021
2 ADINDA AURELIA LAILA MUAJAROH 8/18/2021 P 7/13/2022 7/13/2022 7/13/2022

3 YANA NABILA RAFIKAMURI L 12/9/2021 P 7/13/2022 7/13/2022 7/13/2022
4 NAIFA HAMIDA MIDA AINI 12/21/2021 P 7/13/2022 7/13/2022 7/13/2022
5 SINDI ELINA Nora Elia 1/1/2022 P 7/13/2022 7/13/2022
6 M.ELPATAN ALFARIZKI DENI SUPRIANTI 3/21/2022 L 7/13/2022 7/13/2022
7 ARDIANSYAH HABIBI Nurmasitah 3/23/2022 L 7/13/2022 7/13/2022
8
9
10
( MUSAWIR )
DESA: KEMERLENG
BATITA KET(LE
HB HB NGKAP/
TANGGAL UNIJEK UNIJEK POLIO DPT HB DPT HB CAMPAK/
NO NAMA ANAK NAMA IBU LAHIR L P <24 (1-7 BCG 1 1 POLIO 2 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK18 MATI/
JAM HARI) 24 TH -24 TH PINDAH
)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Nabila Murni 8/26/2020 P 9/13/2022
2 ALHAFIS RONI SRI CAHYANI 3/13/2021 P 9/9/2021 9/9/2022
3 SHOFIAH JIHAN Puji ROSIVAH 3/31/2021 L 9/9/2021 9/9/2022
4 SINDI ELINA Nora Elia 1/1/2022 P 9/13/2022 9/13/2022 9/13/2022
5 M.ELPATAN ALFARIZKI DENI SUPRIANTI 3/21/2022 L 9/13/2022 9/13/2022 9/13/2022
6 ARDIANSYAH HABIBI Nurmasitah 3/23/2022 L 9/13/2022 9/13/2022 9/13/2022
7
8
9
10
( MUSAWIR )
DESASP III UNING
BATITA
KET(LENG
TANGGAL HB HB UNIJEK CAMPAK/ KAP/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<2 (1-7 HARI) BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK1 MATI/
4 JAM 24 TH 8-24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
2 Felisa Murniati 1/30/2017 P 5/5/2017 5/12/2017 5/12/2017 5/12/2017 5/12/2017 6/12/2017 6/12/2017 7/12/2017 7/12/2017 10/12/2017 7/12/2018 12/12/2018
3 Fahmi Rita Asraini 3/9/2017 L 5/5/2017 5/12/2017 5/12/2017 6/12/2017 6/12/2017 7/12/2017 7/12/2017 8/12/2017 8/12/2017 12/12/2017 8/8/2018 12/12/2018
4 Alhumairah Aisah 5/19/2017 P 7/7/2017 7/12/2017 7/12/2017 9/12/2017 9/12/2017 10/12/2017 10/12/2017 11/12/2017 11/12/2017 3/12/2018 1/12/2018
5 Fatah Alfarizi Nurlia Santi 3/5/2017 L 5/5/2017 5/12/2017 5/12/2017 6/12/2017 6/12/2017 7/12/2017 7/12/2017 8/12/2017 8/12/2017 12/12/2017 11/12/2018 12/12/2018
6 Naura Aqila Aminah 6/3/2017 P 7/12/2017 7/12/2017 7/12/2017 9/12/2017 9/12/2017 10/12/2017 10/12/2017 11/12/2017 11/12/2017 11/12/2017 2/12/2018 12/12/2018 5/13/2019
7 Farija Alia Anifah 7/26/2017 L 7/26/2017 9/12/2017 9/12/2017 10/12/2018 10/12/2018 10/12/2017 10/12/2017 12/12/2017 12/12/2017 12/12/2017 4/12/2018 5/13/2019 6/13/2019
8 M.Azam Janiwarni 12/3/2017 L 12/3/2017 1/12/2018 1/12/2018 2/12/2018 2/12/2018 11/12/2017 11/12/2017 4/12/2014 4/12/2014 4/12/2014 9/12/2018 5/13/2019 7/13/2019
9 Farid Ahmad Alip Ratna 7/31/2017 L 7/31/2017 8/31/2017 8/31/2017 9/12/2017 9/12/2017 10/12/2017 10/12/2017 11/12/2017 11/12/2017 11/12/2017 1/12/2018 7/13/2019 11/13/2019
10 Almu Haza Maimunah 1/16/2018 L 1/16/2018 3/12/2018 3/12/2018 4/12/2018 4/12/2018 5/12/2018 5/12/2018 7/12/2018 7/12/2018 7/12/2018 11/12/2018 8/31/2019 10/13/2019
11 Raska Rafasa Dewi Maya Sari 11/13/2018 L 11/13/2018 2/12/2019 2/12/2019 3/13/2019 3/13/2019 4/13/2019 4/13/2019 5/13/2019 5/13/2019 5/13/2019 7/13/2019 5/13/2020 11/13/2020
12 Azmi Armika Siti Mari 11/15/2018 L 11/15/2018 2/13/2019 2/13/2019 3/13/2019 3/13/2019 4/13/2019 4/13/2019 5/13/2019 5/13/2019 5/13/2019 8/21/2019 5/13/2020 11/13/2020
13 Aqila Riski Siti Sarah 1/11/2019 P 1/11/2019 2/13/2019 2/13/2019 3/13/2019 3/13/2019 4/13/2019 4/13/2019 5/13/2019 5/13/2019 5/13/2019 11/13/2019 5/13/2020 11/13/2020
14 Saputri Ria Sapa Yana 12/29/2019 P 12/29/2019 2/13/2019 2/13/2019 3/13/2020 3/13/2020 4/13/2020 4/13/2020 5/13/2020 5/13/2020 5/13/2020 9/13/2020 6/13/2021 12/13/2021 Dapat
15 M.Alfin Huda Diana Sari 1/21/2020 L 1/21/2020 5/13/2020 5/13/2020 6/13/2020 6/13/2020 7/13/2020 7/13/2020 8/13/2020 8/13/2020 8/13/2020 10/13/2020 7/13/2021 1/13/2022 Dapat
16 Alfandi Sairah 4/2/2020 L 4/2/2020 5/13/2020 5/13/2020 6/13/2020 6/13/2020 7/13/2020 7/13/2020 8/13/2020 8/13/2020 8/13/2020 12/13/2020 10/13/2021 3/13/2022 Dapat
17 Khaira Arabil Nadine 5/13/2020 L 5/13/2020 8/13/2020 8/13/2020 9/13/2020 9/13/2020 10/13/2020 10/13/2020 11/13/2020 11/13/2020 11/13/2020 2/13/2021 10/13/2021 3/13/2022
18 Khianda Ariga Rahmayani 6/19/2020 L 6/19/2020 8/13/2020 8/13/2020 9/13/2020 9/13/2020 10/13/2020 10/13/2020 11/13/2020 11/13/2020 11/13/2020 2/13/2021 10/13/2021 5/13/2022
19 RAIHANA MUSRIPAH SAMI 11/10/2021 P 11/10/2021 12/10/2021 12/10/2021 1/13/2022 1/13/2022 3/13/2022 3/13/2022
20 KHAYLA ALMIRA ELISA PITRI 12/16/2021 P 12/16/2021 1/13/2022 1/13/2022 2/13/2022 2/13/2022 3/13/2022 3/13/2022
21 QIBRAN ALFAREZO MAULIDA 1/6/2022 L 1/7/2022 2/13/2022 2/13/2022 5/13/2022 5/13/2022
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
68
69
DESA: SP III UNING
BATITA
TANGGAL HB HB UNIJEK (1- KET(LENGK

NO NAMA ANAK NAMA IBU JK UNIJEK<2 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV CAMPAK/MR DPT HB18- CAMPAK18 AP/MATI/
LAHIR 7 HARI)
4 JAM 24 TH -24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Khianda Ariga Rahmayani 6/19/2020 L 2/13/2021
2 RAIHANA MUSRIPAH SAMI 11/10/2021 P 1/13/2022 1/13/2022
3 KHAYLA ALMIRA ELISA PITRI 12/16/2021 P 1/13/2022 1/13/2022 2/13/2022 2/13/2022
4 QIBRAN ALFAREZO MAULIDA 1/6/2022 L 1/7/2022 2/13/2022 2/13/2022
5
6
7
8
9
10
KEPALA DESA SP III UNING
( )
DESASP III UNING
BATITA
KET(LENG
TANGGAL HB HB UNIJEK POLIO DPT POLIO CAMPAK/ KAP/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<2 (1-7 HARI) BCG 1 HB 1 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK1 MATI/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Khianda Ariga Rahmayani 6/19/2020 L 6/13/2022
2 QIBRAN ALFAREZO MAULIDA 1/6/2022 L 6/13/2022 6/13/2022
3
4
5
6
7
8
9
10
( )
DESASP III UNING
BATITA
KET(LENG
TANGGAL HB HB UNIJEK POLIO DPT HB POLIO CAMPAK/ KAP/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<2 (1-7 HARI) BCG 1 1 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK1 MATI/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Alfandi Sairah 4/2/2020 L 7/13/2022
2 RAIHANA MUSRIPAH SAMI 11/10/2021 P 7/13/2022 7/13/2022 7/13/2022
3 KHAYLA ALMIRA ELISA PITRI 12/16/2021 P 7/13/2022 7/13/2022 7/13/2022
5
6
7
8
9
10
11
( )
DESA: SP III UNING
BATITA
KET(LENG
TANGGAL HB HB UNIJEK POLIO DPT HB DPT HB POLIO CAMPAK/ KAP/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<2 (1-7 HARI) BCG 1 1 POLIO 2 2 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK1 MATI/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Khaira Arabil Nadine 5/13/2020 L 8/13/2022
2 RAIHANA MUSRIPAH SAMI 11/10/2021 P 9/13/2022
3 KHAYLA ALMIRA ELISA PITRI 12/16/2021 P 9/13/2022
5
6
7
8
9
10
( )
30 Adnan Fitri 3/23/2020 L 3/23/2020 4/15/2020 4/15/2020 6/15/2020 6/15/2020 7/15/2020 7/15/2020 8/15/2020 8/15/2020 8/15/2020 6/15/2021 3/15/2021 10/15/2021
31 Cut Aisyah Azalea Remita Julianti 4/4/2020 P 4/4/2020 5/15/2020 5/15/2020 6/15/2020 6/15/2020 7/15/2020 7/15/2020 8/15/2020 8/15/2020 8/15/2020 6/15/2021 3/15/2021 6/15/2022
32 Kasim Ramadan Nurlina 5/20/2020 L 5/20/2020 6/15/2020 6/15/2020 6/15/2020 6/15/2020 7/15/2020 7/15/2020 8/15/2020 8/15/2020 8/15/2020 2/15/2021 4/15/2021 6/15/2022
33 Ramaisa Arumi Sartikawati 5/14/2020 P 5/14/2020 6/15/2020 6/15/2020 7/15/2020 7/15/2020 8/15/2020 8/15/2020 8/15/2021 8/15/2021 8/15/2021 2/15/2021 6/15/2021 6/15/2022
34 Windi arami Julita 7/17/2020 L 7/17/2020 8/15/2020 8/15/2020 8/15/2020 8/15/2020 9/15/2020 9/15/2020 10/15/2020 10/15/2020 10/15/2020 4/15/2021 6/15/2021 7/15/2022
35 Sakira Putri Siarlaila 8/2/2020 P 8/2/2020 9/15/2020 9/15/2020 10/15/2020 10/15/2020 11/15/2020 11/15/2020 12/15/2020 12/15/2020 12/15/2020 5/15/2021 4/15/2022
36 Santiara Pitri Ipeh 8/3/2020 P 8/3/2020 9/15/2020 9/15/2020 10/15/2020 10/15/2020 11/15/2020 11/15/2020 12/15/2020 12/15/2020 12/15/2020 5/15/2021 5/15/2022
37 Mira Kirani Asnaiani 10/18/2020 P 10/18/2020 12/15/2020 12/15/2020 1/15/2021 1/15/2021 2/15/2021 2/15/2021 3/15/2021 3/15/2021 3/15/2021 12/15/2021 5/15/2022
38 M Fauzan Mirawati 11/3/2020 L 11/3/2020 12/15/2020 12/15/2020 1/15/2021 1/15/2021 2/15/2021 2/15/2021 3/15/2021 3/15/2021 3/15/2021 12/15/2021 5/15/2022
39 M.Rafli Iman Eli Yani 11/28/2020 L 11/28/2020 1/15/2021 1/15/2021 2/15/2021 2/15/2021 3/15/2021 3/15/2021 4/15/2021 4/15/2021 4/15/2021 9/15/2021 6/15/2022
40 Riskan Abadi Rahmayana 12/1/2020 L 12/1/2020 12/20/2021 12/20/2021 1/15/2021 1/15/2021 2/15/2021 2/15/2021 3/15/2021 3/15/2021 3/15/2021 12/15/2021
41 T,Sulthan Alvahrizi Zaniyah 5/25/2021 L 5/25/2021 7/15/2021 7/15/2021 8/15/2021 8/15/2021 10/15/2021 10/15/2021 11/15/2021 11/15/2021 11/15/2021 2/15/2022
42 SISMA AINI fatimah 6/5/2021 P 6/7/2021 8/15/2021 8/15/2021 9/15/2021 9/15/2021 10/15/2021 10/15/2021 11/15/2021 11/15/2021 11/15/2021 2/15/2022
43 HUFAIRA Rita wahyuni 7/6/2021 p 7/6/2021 8/15/2021 8/15/2021 10/15/2021 10/15/2021 10/15/2021 10/15/2021 11/15/2021 11/15/2021 11/15/2021 2/15/2022
44 FIANSYAH Sakdiah 8/4/2021 L 8/4/2021 10/15/2021 10/15/2021 11/15/2021 11/15/2021 12/15/2021 12/15/2021 1/15/2022 1/15/2022 1/15/2022 4/15/2022
45 DAHNIAR PUTRI ISNAINI 10/28/2021 P 10/29/2021 12/15/2021 12/15/2021 1/15/2022 1/15/2022 2/15/2022 2/15/2022 3/15/2022 3/15/2022 3/15/2022 4/15/2022
46 DARA ADELIA TRI SUMARNI 10/22/2021 P 10/22/2021 12/15/2021 12/15/2021 1/15/2022 1/15/2022 2/15/2022 2/15/2022 3/15/2022 3/15/2022 3/15/2022
47 FERU GUNAWAN RAHAYU ANISA 11/13/2021 L 11/13/2021 12/15/2021 12/15/2021 1/15/2022 1/15/2022 2/15/2022 2/15/2022 3/15/2022 3/15/2022 3/15/2022
48 JUANDA WANOVAL WAHYUNI 1/3/2022 L 1/3/2022 2/15/2022 2/15/2022 3/15/2022 3/15/2022
49 HASNAH JURIJAMAHARA 1/6/2022 P 1/6/2022 2/15/2022 2/15/2022 3/15/2022 3/15/2022 4/15/2022 4/15/2022
50 KHAIRANI NIRPARIDAYANI 1/13/2022 P 1/13/2022 2/15/2022 2/15/2022 3/15/2022 3/15/2022 4/15/2022 4/15/2022
51 DEPI AMARA PITRI DAMAYANTI 2/28/2022 P 2/28/2022 4/15/2022 4/15/2022
52 AULIA PUTRI ARMI MISNI 3/22/2022 P 3/22/2022 4/15/2022 4/15/2022
53 RAHELSA SASENA KAMALIA 4/11/2022 P 4/11/2022
54 DAVINA JIPA RAHMASARI 4/14/2022 P 4/14/2022 5/5/2022 5/5/2022
55 KASMINI 5/2/2022 L 5/2/2022
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
10
0
10
1
10
2
10
3
10
4
10
5
10
6
10
7
10
8
10
9
11
0
11
1
11
2
11
3
11
4
11
5
11
6
11
7
11
8
11
9
12
0
12
1
12
2
12
3
DESA: MUNGKUR
BATITA
HB
TANGGAL HB UNIJEK<24 UNIJEK KET(LENGKA
NO NAMA ANAK NAMA IBU JK BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV CAMPAK/MR DPT HB18-24 CAMPAK18- P/MATI/
LAHIR JAM (1-7
TH 24 TH PINDAH)
HARI)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 T,Sulthan Alvahrizi Zaniyah 5/25/2021 L 2/15/2022
2 SISMA AINI fatimah 6/5/2021 P 2/15/2022
3 HUFAIRA Rita wahyuni 7/6/2021 p 2/15/2022
4 FIANSYAH Sakdiah 8/4/2021 L
5 DAHNIAR PUTRI ISNAINI 10/28/2021 P 1/15/2022 1/15/2022 2/15/2022 2/15/2022

6 DARA ADELIA TRI SUMARNI 10/22/2021 P 1/15/2022 1/15/2022 2/15/2022 2/15/2022
7 FERU GUNAWAN RAHAYU ANISA 11/13/2021 L 1/15/2022 1/15/2022 2/15/2022 2/15/2022
8 JUANDA WANOVAL WAHYUNI 1/3/2022 L 1/3/2022 2/15/2022 2/15/2022
9 HASNAH JURIJAMAHARA 1/6/2022 P 1/6/2022 2/15/2022 2/15/2022
10 KHAIRANI NIRPARIDAYANI 1/13/2022 P 1/13/2022 2/15/2022 2/15/2022
11 DEPI AMARA PITRI DAMAYANTI 2/28/2022 P 2/28/2022
KEPALA DESA MUNGKUR
( )
DESA: MUNGKUR
BATITA
KET(LENG
TANGGAL HB HB UNIJEK DPT HB POLIO CAMPAK KAP/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 (1-7 HARI) BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 3 4 IPV /MR DPT HB18- CAMPAK1 MATI/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Cut Aisyah Azalea Remita Julianti 4/4/2020 P 6/15/2022
2 Kasim Ramadan Nurlina 5/20/2020 L 6/15/2022
3 Ramaisa Arumi Sartikawati 5/14/2020 P 6/15/2022
4 DAVINA JIPA RAHMASARI 4/14/2022 P 4/14/2022 5/5/2022 5/5/2022 6/15/2022 6/15/2022
5 KASMINI 5/2/2022 L 5/2/2022 6/15/2022 6/15/2022
6
7
8
9
10
11
KEPALA DESA MUNGKUR
( )
DESA: MUNGKUR
BATITA
HB HB KET(LENGK
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK< (1-7 BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK18- AP/MATI/
24 JAM HARI) 24 TH 24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Windi arami Julita 7/17/2020 L 7/15/2022
2 Sakira Putri Siarlaila 8/2/2020 P 7/15/2022
3 Santiara Pitri Ipeh 8/3/2020 P 7/15/2022
4 Mira Kirani Asnaiani 10/18/2020 P 7/15/2022
5 M Fauzan Mirawati 11/3/2020 L 7/15/2022
6 FIANSYAH Sakdiah 8/4/2021 L 7/15/2022
7 DAHNIAR PUTRI ISNAINI 10/28/2021 P 7/15/2022
8 DARA ADELIA TRI SUMARNI 10/22/2021 P 7/15/2022
9 FERU GUNAWAN RAHAYU ANISA 11/13/2021 L 7/15/2022
10 JUANDA WANOVAL WAHYUNI 1/3/2022 L 7/15/2022 7/15/2022 7/15/2022
11 HASNAH JURIJAMAHARA 1/6/2022 P 7/15/2022 7/15/2022 7/15/2022
12 DEPI AMARA PITRI DAMAYANTI 2/28/2022 P 7/15/2022 7/15/2022
13 AULIA PUTRI ARMIGA MISNI 3/22/2022 P 7/15/2022 7/15/2022
14 RAHELSA SASENA KAMALIA 4/11/2022 P 7/15/2022 7/15/2022
15 KASMINI 5/2/2022 L 7/15/2022 7/15/2022
KEPALA DESA MUNGKUR
( )
DESA: MUNGKUR
BATITA
HB KET(LENGK
TANGGAL HB UNIJEK POLIO POLIO CAMPAK/
NO NAMA ANAK NAMA IBU LAHIR JK UNIJEK<24 (1-7 HARI) BCG 1 DPT HB 1 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK18- AP/MATI/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Sakira Putri Siarlaila 8/2/2020 P 9/15/2022
2 Santiara Pitri Ipeh 8/3/2020 P 9/15/2022
3 Mira Kirani Asnaiani 10/18/2020 P 9/15/2022
4 M Fauzan Mirawati 11/3/2020 L 9/15/2022
5 M.Rafli Iman Eli Yani 11/28/2020 L 9/15/2022
6 Riskan Abadi Rahmayana 12/1/2020 L 9/15/2022
7 JUANDA WANOVAL WAHYUNI 1/3/2022 L 9/15/2022
8 HASNAH JURIJAMAHARA 1/6/2022 P 9/15/2022
9 DEPI AMARA PITRI DAMAYANTI 2/28/2022 P 9/15/2022 9/15/2022 9/15/2022
10 AULIA PUTRI ARMIGA MISNI 3/22/2022 P 9/15/2022 9/15/2022 9/15/2022
11 RAHELSA SASENA KAMALIA 4/11/2022 P 9/15/2022 9/15/2022
12 KASMINI 5/2/2022 L 9/15/2022 9/15/2022
KEPALA DESA MUNGKUR
( )
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
DESA: GEWAT
BATITA
KET(LEN
TANGGAL HB UNIJEK<24 HB UNIJEK CAMPAK/ GKAP/
NO NAMA ANAK NAMA IBU L P BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 DPT HB 3 POLIO 4 IPV DPT HB18-24 CAMPAK18- MATI/
LAHIR JAM (1-7 HARI) MR
TH 24 TH PINDAH)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 SALWA HUMAIRA AINUN MARDIAH 10/27/2021 P 2/15/2022 2/15/2022

2 HUMAIRA AZAHRA YULISAN 2/16/2022 P 2/16/2022
3
4
5
6
7
8
9
10
KEPALA DESA GEWAT
( SANDI SUARDI )
DESA: GEWAT
BATITA KET(LE
HB NGKAP/
TANGGAL HB UNIJEK DPT HB CAMPAK/
NO NAMA ANAK NAMA IBU LAHIR L P UNIJEK<24 (1-7 HARI) BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 POLIO 3 3 POLIO 4 IPV MR DPT HB18- CAMPAK18- MATI/
JAM 24 TH 24 TH PINDAH
)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 ALEYSA ZEFANIA FITRIANI 6/8/2021 P 6/15/2022
2 GHAZA ALTAN HAGYA KARTIKA 7/27/2021 L 6/15/2022
3 FAISAL AFANDI SRI JEMAT 4/20/2021 L 6/15/2022
5 HUMAIRA AZAHRA YULISAN 2/16/2022 P 6/15/2022 6/15/2022
6
7
8
9
10
KEPALA DESA GEWAT
( SANDI SUARDI )
DESA: GEWAT
BATITA KET(LE
HB NGKAP/
TANGGAL HB UNIJEK POLIO CAMPAK/
NO NAMA ANAK NAMA IBU LAHIR L P UNIJEK<24 (1-7 HARI) BCG POLIO 1 DPT HB 1 POLIO 2 DPT HB 2 3 DPT HB 3 POLIO 4 IPV MR DPT HB18- CAMPAK18- MATI/
)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 mulyati Rasmiati 7/12/2020 P 7/15/2022
3 HUMAIRA AZAHRA YULISAN 2/16/2022 P 7/15/2022 7/15/2022
4 ATHYA RAMADANI WAHYUNI 5/1/2022 P 7/15/2022 7/15/2022
5
6
7
8
9
10
KEPALA DESA GEWAT
( SANDI SUARDI )
DESA: GEWAT
BATITA KET(LE
HB NGKAP/
TANGGAL HB UNIJEK POLIO POLIO POLIO CAMPAK/
NO NAMA ANAK NAMA IBU LAHIR L P UNIJEK<24 (1-7 HARI) BCG 1 DPT HB 1 2 DPT HB 2 POLIO 3 DPT HB 3 4 IPV MR DPT HB18- CAMPAK18- MATI/
)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21
1 Sakira Anggraini Kemalasari 8/28/2020 P 9/15/2022
2 ALTAF FEBRIAN Tilawati 2/16/2021 L 9/15/2022
3 BALKIS ULFAIRA Khairunisa 3/3/2021 P 9/15/2022
4 ATHYA RAMADANI WAHYUNI 5/1/2022 P 9/15/2022 9/15/2022
5
6
7
8
9
10
KEPALA DESA GEWAT
( SANDI SUARDI )
NO TANGGAL NAMA ANAK NAMA IBU TANGGAL LAHIR JK JENIS IMUNISASI

1 2 3 4 5 6
NO NAMA ANAK NAMA IBU JK JENIS IMUNISASI

NO TANGGAL NAMA ANAK NAMA IBU TANGGAL LAHIR JK
1 2 3 4 5
NO NAMA ANAK NAMA IBU JK

SKESMAS LINGE
JENIS IMUNISASI
JENIS IMUNISASI

Blangko Imunisasi Perdesa

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LAPORAN PELAYANAN BAYI DAN BATITA DIPOSYANDU PUSKESMAS LINGE

DESA: KUTE BARU

6 Alya wanara Mirdayani 6/26/2018 P 6/26/2018

10 Rizki Ahdi Rusmayanti 11/12/2018 L 11/12/2018

27 M.ALZIKRA MARLINA 12/14/2021 L 12/14/2021 2/14/2022 2/14/2022

2 Putri Lingga Dwi Srikandi 3/13/2020 P 2/13/2022

3 M.Fahri Rahmadanu Pitria Ningsih 5/15/2020 L 1/1/2022

4 Raisa Ajalia Rahmayani 8/27/2020 P 1/13/2022

5 Albizar Falerizam Evarahmawati 4/13/2021 L 3/6/2021

6 Giano Niara Novita Sari 5/17/2021 L 1/13/2022

7 Seri Mayang Siti Suheri 6/21/2021 P 2/13/2022

8 JULISA LAURA Mayani 7/2/2021 P 3/13/2022

9 HARIQ AQLAN Salawati 9/3/2021 L 1/9/2022 1/9/2022 1/9/2022

10 M.ALZIKRA MARLINA 12/14/2021 L 2/14/2022 2/14/2022

Kepala Desa Kute Baru

2 Giano Niara Novita Sari 5/17/2021 L 6/6/2022

3 JULISA LAURA Mayani 7/2/2021 P 6/13/2022

4 NADIFAREL Kentik 8/21/2021 L 6/13/2022

5 M.ALZIKRA MARLINA 12/14/2021 L 6/12/2022 6/12/2022 6/12/2022

Kepala Desa Kute Baru

2 Raisa Ajalia Rahmayani 8/27/2020 P 7/7/2022

3 Seri Mayang Siti Suheri 6/21/2021 P 7/13/2022

Kepala Desa Kute Baru

2 HARIQ AQLAN Salawati 9/3/2021 L 9/10/2022

3 M.ALZIKRA MARLINA 12/14/2021 L 9/11/2022

Kepala Desa Kute Baru

2 Rusma Devina Siti Suheri 6/21/2021 P 4/13/2022

3 JULISA LAURA Nurma 12/6/2020 P 4/9/2022

Kepala Desa Kute Baru

1 FATIATUN RAHMAH SITI FATIMAH 5/24/2021 P 2/11/2022

2 RIKO ARYANDA SUSPARIDAINI 2/27/2021 L 2/11/2022

4 Sopia amanda ZATRAINI 12/17/2021 P 1/15/2022 1/15/2022 2/15/2022 2/15/2022

KEPALA DESA KUTE ROBEL

2 FATIATUN RAHMAH SITI FATIMAH 5/24/2021 P 5/11/2022

3 ALEYSHA AZKAIRA ALFINA KARTIKA 9/16/2021 P 6/10/2022

KEPALA DESA KUTE ROBEL

2 Aqil Alfata Fitriani 7/23/2020 L

KEPALA DESA KUTE ROBEL

2 Apia Simehate Pitriani 11/9/2020 P - 9/11/2022

3 Maliq Ishak Rusdiana 11/6/2020 L 9/11/2022

4 SYELIN SAFITRI SUSPARIDAINI 2/27/2021 L 9/11/2022

5 SOPIA AMANDA ZATRAINI 12/17/2021 P 9/11/2022

KEPALA DESA KUTE ROBEL

1 M.rafka hafis Sahni 6/1/2021 L 3/20/2022

2 Kanesa Putri Arumi Yuni Murtika 6/27/2021 L 1/6/2022

3 Bayu Aprina 3/27/2021 L 1/6/2022

4 Sauga Medina 12/30/2021 P 5/13/2022 5/13/2022

5 Munawarah T Kausar 7/24/2021 P 1/10/2022 1/10/2022

KEPALA DESA KUTE RIEM

2 Rihlata Dhuhadima Sri Rahmayani 2/28/2020 L 6/10/2022

3 Nayara Azuhra Minahaza 11/13/2020 P 6/10/2022

4 Bayu Aprina 3/27/2021 L 9/19/2022

5 Sauga Medina 12/30/2021 P 6/16/2022 6/16/2022

6 Munawarah T Kausar 7/24/2021 P 6/10/2022 6/10/2022 6/10/2022

7 THAHA QAMARUZAMAN HESI NOLISA 1/24/2022 L 6/20/2022 6/20/2022

KEPALA DESA KUTE RIEM

2 M.rafka hafis Sahni 6/1/2021 L 7/6/2022

3 Kanesa Putri Arumi Yuni Murtika 6/27/2021 L 7/6/2022

4 Sauga Medina 12/30/2021 P 7/13/2022 7/13/2022 7/13/2022

5 Munawarah T Kausar 7/24/2021 P 7/6/2022

KEPALA DESA KUTE RIEM

2 RAFKA GUARA G DEWI SARTIKA 3/15/2021 L 9/10/2022

3 Bayu Aprina 3/27/2021 L 9/19/2022