You are on page 1of 6

RS KELUARGA KITA

DAFTAR IMUNISASI PERIODE 29 JUNI 2022 - 29 JULI 202

Nama Pasien /
No. Tanggal Umur Jenis Vaksin
Orang Tua
1 29/06/2022 By. Ny Linda Damayanti 1 hari HbO
2 30/06/2022 Ny. Siti Nurul Huda 30 th TT
3 01/07/2022 By. Ny Debby Riestiani 1 hari HbO
4 01/07/2022 By. Ny Iis Ismawati 1 hari HbO
5 02/07/2022 Tn. Imron Rosadi 26 th TT
6 02/07/2022 An. Ceisya Ulfariah 1 bln BCG
7 04/07/2022 An. Nindia Graceva 1bln BCG
8 04/07/2022 An. Muhammad Syauqi 2 bln BCG
9 04/07/2022 An. Dita Amalia 1 bln BCG
10 05/07/2022 Tn. Meldi Satria 51 th TT
11 10/07/2022 Tn. Umar Bahuri 47 th TT
12 10/07/2022 Tn. Lukmansyah 45 th TT
13 12/07/2022 Tn. Joni Nugroho 50 th TT
14 13/07/2022 An. Sabrina Kireina 2 bln Pentabio&Polio
15 13/07/2022 An. Raahila Jasmine 2 bln Pentabio&Polio
16 13/07/2022 Tn. Deni 39 th TT
17 17/07/2022 Tn. Andi Dermawan 18 th TT
18 18/07/2022 Ny. Ruminah 64 th TT
19 19/07/2022 By. Ny Irna Lestari 1 hari HbO
20 20/07/2022 By. Ny Eka Tantia 1 hari HbO
21 21/07/2022 By. Ny Kiki Agustina 1 hari HbO
22 22/07/2022 By. Ny Emah Rohimah 1 hari HbO
23 24/07/2022 By. Ny Emah Rohimah 2 hari Polio
24 24/07/2022 By. Ny Arnasih 1 hari HbO
25 25/07/2022 By. Ny Erna Wati 1 hari HbO
26 25/07/2022 By. Ny Neni Sutrisni 1 bln BCG
27 25/07/2022 An. Pragata Mirza 1 bln BCG
28 26/07/2022 By. Ny Siti Nurwulan 1 hari HbO
29 26/07/2022 By. Ny Siti Aisyah 1 hari HbO
30 27/07/2022 By. Ny Dela Sartika 1 hari HbO
31 29/07/2022 By. Ny Erniwati 1 hari HbO
32 29/07/2022 By. Ny Neneng 1 hari HbO
33 13/07/2022 An. Azka Firdaus 5 th TT
34 29/06/2022 Ny. Tjung Kim 34 th TT
35 29/06/2022 Tn. Lukmanul Hakim 21 th TT
36 29/06/2022 By. Ny Siti Hopipah 1 hari HbO
37 30/06/2022 By. Ny Kiki Rizki I 2 hari Polio
38 30/06/2022 By. Ny Kiki Rizki II 2 hari Polio
39 02/07/2022 By. Ny Siti Rusmilah 1 bln BCG
41 04/07/2022 An. Muhammad Alfatar 2 hari Polio
42 04/07/2022 An. Raefal Tan 1 bln BCG
43 04/07/2022 By. Ny Nurul Ayudiah 1 bln BCG
44 04/07/2022 By. Ny Sri Nurdiah 1 hari HbO
45 06/07/2022 By. Ny Dewi Guswiyanti 2 hari Polio
46 06/07/2022 By. Ny Rizkina Diani 2 hari Polio
47 06/07/2022 By. Ny Siti Fatimah 2 hari Polio
48 06/07/2022 By. Ny Ratu Siti 2 hari Polio
49 06/07/2022 By. Ny Sri Rahayu 2 hari Polio
50 06/07/2022 By. Ny Indah 2 hari Polio
51 06/07/2022 Tn. Atang Suryana 23 th TT
52 13/07/2022 An. Syufran Nur 17 th TT
53 22/07/2022 By. Ny Susilawati 2 hari Polio
54 24/07/2022 By. Ny Yulaela 2 hari Polio
55 24/07/2022 By. Ny Ela 2 hari Polio
56 24/07/2022 By. Ny Sunarsih 2 hari Polio
57 24/07/2022 By. Ny Siti Maesaroh 2 hari Polio
58 24/07/2022 By. Ny Reni Sukmawati 2 hari Polio
59 25/07/2022 An. Gricella Leora 1 bln BCG
60 25/07/2022 An. Muhammad Alfatar 2 bln BCG
61 25/07/2022 Ny. Emi 75 th TT
62 26/07/2022 By. Ny Cindy Erisya 1 hari HbO
63 26/07/2022 Tn. Erin Suhaerin 44 th TT
64 29/07/2022 Nn. Jumiati 23 th TT

PJ Program Imunisasi,

(Bd. Nia Herliani, S.ST ) ( Hermin Indri Haps


Nip. 197904172008012034 SIPA: 446.94/068/SIP
TA
2022 - 29 JULI 2022

Alamat
emerlad karawaci rt/rw 04/10 curug
jl raya plp rt/rw 01/08 curug
kp. Tegal rt/rw 01/04 curug
kp. Cisereh rt/rw 01/01 curug
curug
kp. Tegal rt/rw 01/04 curug
cluster mutiara blok c3/21 curug
kp. Cisereh rt/rw 03/07 curug
kp. Curug wetan rt/rw 06/03 curug
citra pasundan rt/rw 01/12 curug
kp. Bitung rt/rw 04/03 curug
kp. Babakan rt/rw 02/06 curug
kp. Sempur rt/rw 06/06 curug
kp. Peusar rt/rw 01/01 curug
kp. Cijengir rt/rw 04/03 curug
kp. Cijengir rt/rw 16/03 curug
kp. Sukabakti rt/rw 03/06 curug
kp. Margasari rt/rw 05/06 curug
kp. Soka rt/rw 01/01 curug
grand puri asih blok d4 no 12 curug
kp. Sempur rt/rw 01/01 curug
kp. Soka rt/rw 05/03 curug
kp. Soka rt/rw 05/03 curug
kp. Babakan rt/rw 01/06 curug
kp. Onyam rt/rw 02/07 curug
kp. Curug kulon rt/rw 05/02 curug
kp. Onyam rt/rw 01/09 curug
kp. Kontrakan rt/rw 01/08 curug
kp. Kadu rt/rw 03/01 curug
kp. Sentul rt/rw 02/04 curug
kp. Mekar jaya rt/rw 02/13 curug
kp. Pabuaran rt/rw 02/09 curug
binong permai rt/rw 08/11 curug
bukit vihara pasar kemis
kp. Cikupa rt/rw 01/02 cikupa
kp. Pasir gaok cikupa
kp. Candu rt/rw 04/01 legok
kp. Candu rt/rw 04/01 legok
kp. Candu rt/rw 03/01 legok
kp ciangir rt/rw 01/02 legok
kp. Koleksi rt/rw 01/01 legok
kp. Candu rt/rw 04/01 legok
kp. Cakung rt/rw 05/04 legok
kp. Bunder rt/rw 08/02 cikupa
graha segovia blok s24 no 4 panongan
panongan
kp. Kabasiran rt/rw 03/01 parung panjang
legok
kp. Cirarab rt/rw 01/02 legok
kp. Seminar rt/rw 01/03 cikeusal
puri harmoni panongan
kp. Bojong rt/rw 05/02 cikupa
kp. Blok kelapa rt/rw 01/02 legok
graha raflesia blok e33/02 panongan
kp. Bojong kamal rt/rw 02/05 legok
kp. Dukuh pinang rt/rw 03/03 kelapa dua
bunana permai rt/rw 05/04 pasar kemis
medang lestari rt/rw 04/08 pagedangan
kp. Ciangir rt/rw 01/02 legok
kp. Ciakar rt/rw 03/01 panongan
kp. Inggung rt/rw 04/02 panongan
panongan
kp. Cakung rt/rw 03/04 legok

Curug, 31 Juli 2022

Penanggung Jawab Apotik,

( Hermin Indri Hapsari, S.Farm, Apt )


SIPA: 446.94/068/SIPA/1872-Dinkes/2017
Kepada YTH : PJ Program Imunisasi Puskesmas Curug

RS KELUARGA KITA
CATATAN STOK VAKSIN PERIODE 29 JUNI 2022 - 29 J

NO. NAMA VAKSIN STOK AWAL PENERIMAAN


1 HBO 0 PCS 50 PCS
2 BCG 0 VIAL 5 VIAL
3 CAMPAK / MR 12 VIAL 0 VIAL
4 DPT - HB - HIB 10 VIAL 0 VIAL
5 POLIO 0 VIAL 5 VIAL
6 TD / TT 0 VIAL 10 VAL

PJ Program Imunisasi,

(Bd. Nia Herliani, S.ST )


Nip. 197904172008012034
ARGA KITA
ERIODE 29 JUNI 2022 - 29 JULI 2022

PEMAKAIAN SISA KET


17 PCS 33 PCS -
3 VIAL 2 VIAL -
0 VIAL 12 VIAL -
1 VIAL 9 VIAL -
4 VIAL 1 VIAL -
3 VIAL 7 VIAL -

Curug, 31 Juli 2022

Penanggung Jawab Apotik,

( Hermin Indri Hapsari, S.Farm, Apt )


SIPA: 446.94/068/SIPA/1872-Dinkes/2017

You might also like