FORMAT PELACAKAN / PENDATAAN SEKALIGUS FORMAT PELAYA

SASARAN USIA 9 BULAN SD 59 BULAN untuk KAMPA

POSYANDU : DURIAN
DESA : PRAJJAN
KELURAHAN :

TANGGAL
NO NIK NAMA SASARAN LAHIR/(umur dlm JENIS KELAMIN NAMA IBU
bln)

1 2 3 4 5 6
1 Is'af 10/12/2017 10 17
2 Fahmi 5/9/2017 5 17
3 Salman 5/1/2017 5 17
4 Moh Yusuf 6/24/2018 6 18
5 Awad 7/5/2018 7 18
6 Moh Bassas 9/5/2018 9 18
7 Nurus Soleh 1/13/2018 1 18
8 Moh Ilham Syafi'ih 2/12/2017 2 17
9 Zurkarnaen 12/14/2018 12 18
10 iImjatul Muslim 1/1/2019 1 19
11 Rizki el-mubarok 5/3/2018 5 18
12 Aira 19 3 17
13 St. Thalia 26 4 18
14 Sahlatul Manal 15 7 18
15 Nur Asna 6 4 18
16 Dian 5 10 18
17 Nur jihan Aini 1 11 18
18 Putri 1 1 18
19 St. Sakinah 28 1 18
20 Nabila 24 3 18
21 Sofia 25 3 17
22 Anisa 23 10 18
23 Kalia Jasmin 12 1 19
24 Muharror 5 12 16
25 Nabhan Rabbani 11 12 16
26 ATIN 12 6 17
27 Ananda Septiani 6 9 17
28 Faida Naila 22 7 17
29 Naila 23 12 16
30 afiyah Rizky 15 10 17
31 Aulia Isyatunnisa' 1 2 17
32 Ijedus 1 1 19
33 Nur Zaitun 11 1 19
34 Nuzaiman 12 1 19
35 Risky El-mubarok 3 5 18
36 Mohammad Faqih 10 5 18
37 Qutru Nada 6 8 18
38 Sohibul Abbas 15 8 18
39 Najwa Bismilla 19 8 18
40 AzRIL Rafid 1 10 18
41 Ahinu Ilal Habib 26 10 18
42 Arika Fatima 17 12 18
43 Ajmal 13 3 18
44 Siti Suhripah 23 3 18
45 Izzul Haq 29 3 18
46 A'rojul Haq 30 1 18
47 Qurrotul Akyun 16 2 18
48 Arum 21 11 17
49 Adib 21 11 17
50 Feri 6 12 17
51 Erika Faradisa 2 11 17
52 by Fatliyah 23 3 19
53 Hofifatul Ilmiah 31 3 19
54 by masluhah 1 4 19
55 Achmad Fakhir Athoilla 8 4 19
56 Mohammad 20 2 19
57 by sukideh 19 3 19
58 ahmad Mubarrid 8 6 17
59 Tahsinul Adilla 16 6 17
60 Qonita ilahi 20 8 17
61 Ali jamil 18 1 17
62 Rahmatullah 12 3 17
63 Ameliya A. 6 6 17
64 Amina 14 8 18
65 By. Lilik
66 Afra Nayla
67 By. Firdaus 12 6 19
68 By Munawaroh 26 6 19
69 By Alfia 4 7 19
70 By Musayadah 4 7 19
71 By Mila 11 7 19
72 By Versi 19 7 19
73 Iwel 29 12 16
74 by Fatmawati 7 8 19
75 Moh. Haikal kamil 2 8 19
76 by Nurul 6 8 19
77 by halimatus s. 13 8 19
78 Aknaf 20 8 19
79 by Nur Hasanah 3 8 19
80 Aliyur Ridho 5 5 17
81 Dalalis Sya'ban 18 5 17
82 achmad dava 2 7 19
83 helmi 1 6 17
84 Najib 5 12 17
 85 afrok zenat 25 10 18
86 Awej Aljuhani 11 7 18
87 haikal 8 9 18
88 by. Zainah 17 12 18
89 ahmad faisol 8 6 16
90 isnadud thallib 25 12 16
91 Sakinah 17 6 18
92 Habib Risik 8 9 18
93 Alif 5 1 18
94 Embeng 29 3 18
95 Alfina 17 12 18
96 Atika 11 1 19
97 Nusaimah 12 1 19
98 Naya 9 7 18
99 Nurus 21 5 18
100 Munaweroh 13 7 19
101 by. Sakinah 10 6 19
102 alfina 17 12 18
103 maded 15 8 18
105 by. Imroatus 14 10 19
106 by. Hilwa 23 10 19
107 by. Sakiyah 4 11 19
108 by. Fauziyah 10 11 19
109 by. fauziyah 10 11 19
110 by. Filda 21 11 19
111 by syafiyah 23 11 19
112 by. Marjakna 28 11 19
113 by, nurul 7 12 19
114 dayat 9 12 19
115 by. Jumati 19 12 19
116 by. Sulalah 13 1 20
117 by. Inayah 31 1 20
118 by. Riddotul laily 1 1 21
119 by. Halimatus 1 2 21
120 by. Tomimah 12 2 21
121 by. Tasrifah 16 1 20
122 by inayah 31 1 20
123 by fais 1 2 20
124 by. Muisah 29 2 20
125 by. Dhini 6 3 20
126 by. Sofia 14 3 20
127 by. Isfi 17 3 20
128 by nafilah 12 4 20
129 by turofah 20 4 20
130 by soimah 20 4 20
131 by hidayatullah 24 4 20
132 by nurhasanag 24 4 20
133 by ihdina 10 5 20
134 aisyah 15 5 20
135 by sulai 22 5 20
136 by khoirul i 7 7 20
137 by nurul faizah 13 7 20
138 by hanah 17 7 20
139 by sulastri 22 7 20
140 by munaweroh 1 8 20
142 by fitria 19 8 20
143 by kholifah 22 8 20
144 by tomimah 27 8 20
145 by meri 4 9 20
146 by fuhrotun 4 9 20
147 by saedah 11 10 20
148 by hilweh 15 10 20
149 by anis 15 11 20
150 by misbehah 29 11 20
151 by firda 29 11 20
152 by jamila 30 11 20
153 by heni 28 3 21
154 salwe 25 3 21
155 by azizah 16 4 21
156 by istiwosatul 21 4 21
157 imjetul muslim 1 1 19
158 intan 9 1 19
159 Nur Zaitun 11 1 19
160 kalliya jasmina 13 1 19
161 nuzaimah 12 1 19
162 mois alkodri 20 2 19
163 sitna ilma 3/6/2019 3 19
164 mohammad fannan 2019-03-19 3 19
IGUS FORMAT PELAYANAN KAMPANYE MR
BULAN untuk KAMPANYE MR
RT/RW :
PUSKESMAS :
KAB/KO :
PROVINSI :

ALAMAT
lengkap Tanggal Imunisasi MR saat
TELP KET
(RT/RW/DSN/ Kampanye
DESA)
7 8 9 10