FORMAT PENDATAAN POSYANDU SASARAN BIAN

SASARAN IMUNISASI TAMBAHAN CAMPAK RUBELA ADALAH 9-59 BULAN DAN SASARAN IMUNISASI KEJAR
PELAKSANAAN : AGUSTUS 2022 01 Agustus 2022
Provinsi : Desa/Kelurahan
Kabupaten : Bandung Barat Posyandu
Puskesmas : Cipongkor
Isilah kolom yang berwarna PUTIH!

Tanggal Lahir
No. Nama Anak Jenis Kelamin (L/ P) NIK

1 M ISMAIL L 8/19/2020 3217121908204107 

2 ABDUL BASIR L 5/11/2021 3217121105214007 
3 ADAM L 12/21/2018 3217122112180055 
4 ADINDA P 11/7/2019 3217124711190055 
5 AHMAD FAUZAN NASIHIN L 5/3/2018 3217120305180002 
6 AHMAD YASIR L 4/11/2017 3217121104170003 
7 AI MAYA F P 4/4/2018 3217124404180005 
8 AIRA P 11/26/2019 3217126611190055 
9 AISATUN P 7/18/2020 3217125807200030 
10 ALBI MUALBA L 4/15/2017 3217121504170001 
11 ALFIRA P 8/20/2020 3217126008204100 
12 ALVI L 12/19/2019 3217121912190055 
13 ARAFA L 1/31/2021 3217127101214111 
14 ARFAN L 8/14/2018 3217121408180031 
15 ARKA L 3/1/2021 3217120103214012 
16 AZKA BIJAKSANA L 5/20/2018 3217122005180006 
17 AZKIATUN P 10/22/2020 3217126210204105 
18 AZLAN L 6/27/2018 3217122706180055 
19 BY NY SINDI L 1/10/2021 3217121001214113 
20 BY NY YULIANTI L 1/31/2021 3217123101214110 
21 BY SITI AISAH L 8/1/2020 3217124108200030 
22 DEVIN ARKA SABIAN L 11/8/2018 3217120811180002 
23 DINDA P 4/15/2020 3217125504200030 
24 DIRGA ARAFA L 8/10/2019 3217121008190055 
25 FARHAN L 3/12/2017 3217121203170008 
26 FARHAN L 7/20/2020 3217122007200030 
27 FEBRI HARYADI L 3/30/2019 3217123003190001 
28 GUMILAR L 5/25/2020 3217122505200030 
29 HAMZAH L 8/30/2019 3217123008190055 
30 HILYA P 12/23/2019 3217126312190030 
31 KESYA P 8/29/2017 3217126908170055 
32 KIANU L 5/18/2019 3217121805190030 
33 LUTFI L 9/11/2019 3217121109190055 
34 LUTFI ABDUL GANI L 9/11/2019 3217121109190030 
35 M ABDUL L 2/4/2021 3217120402214108 
36 M AKBAR L 9/22/2017 3217122209170001 
37 M ARFADHIA L 10/20/2020 3217122010204103 
38 M AZRIL PRADIPTA L 1/4/2019 3217120401190003 
39 M FADRI PEBRIAN L 2/18/2018 3217121802180004 
40 M FAQI L 9/9/2019 3217120909190055 
41 M FARDA AL-ASHA L 7/23/2019 3217122307190055 
42 M FAWAZ MUSYAFA L 9/10/2018 3217121009180003 
43 M GITO ALPARIJI L 6/10/2019 3217121006190001 
44 M ILHAM L 1/4/2019 3217120401190001 
45 M MAHER ASAHRONI L 7/19/2018 3217121907180001 
46 M REY HANAN L 4/1/2020 3217120104200030 
47 M RIFKI SIDIQ L 9/20/2020 3217122009204102 
48 M SAID L 12/23/2019 3217122312190055 
49 M SATRIA L 9/13/2020 3217121309204101 
50 M YUSUF L 2/6/2019 3217120602190030 
51 M. ARDIANSYAH L 2/13/2021 3217121302210001 
52 M. HANIF ALHASBI L 1/3/2021 3217120301214010 
53 M. HASBI L 3/5/2021 3217120503214008 
54 M. RADITIA L 2/12/2021 3217121202214009 
55 M. RIFKI FADILAH L 3/14/2021 3217121403214011 
56 MIKAILA P 4/23/2020 3217126304200030 
57 MIRNA P 7/2/2020 3217124207200030 
58 MOCH ARDIAS MUZAKI L 4/5/2018 3217120504180001 
59 MUHAMAD GIBRAN L 4/18/2017 3217121804170055 
60 MULKI L 1/2/2021 3217120201214109 
61 NASWA NADIRA PUTRI P 9/24/2018 3217126409180002 
62 NAVISA P 9/17/2017 3217125709170055 
63 NAZMA P 3/19/2021 3217125903214014 
64 NENG SRI M P 8/29/2020 3217126908204106 
65 NURHAYATI P 4/9/2018 3217124904180055 
66 RAFISQI L 12/2/2019 3217120212190055 
67 RAHMAT L 4/20/2019 3217122004190055 
68 RANGGA L 1/19/2021 3217121901214112 
69 RANTI P 10/4/2019 3217124410190055 
70 RAPASA ADITIA L 8/8/2018 3217120808180031 
71 REEM HERDIANA L 8/12/2019 3217125208190001 
72 RIPALDI L 6/30/2017 3217123006170003 
73 RISKA P 7/14/2018 3217125407180055 
74 SAKILA P 4/23/2021 3217126304214013 
75 SELVIA AUDREY N P 7/21/2017 3217126107170002 
76 SITI ANISA APRILIANI P 4/19/2018 3217125904180003 
77 SITI NAIRA P 10/11/2020 3217125110204104 
78 SOPIYA MARWAH P 4/23/2018 3217126302180030 
79 TAZKIYA P 11/19/2018 3217125911180055 
80 ZAHIRA P 5/16/2020 3217125605200030 
81 ZAYID L 6/15/2018 3217121506160002 
82 ZULFAN L 4/17/2020 3217121704200030 
83 ADIBA SHAQILA ATMARINI 5/21/2021 3217126105210001 
84 AI FITRIANI YANI 4/1/2017 3217124104170004 
85 AI WIDIA WIJAYANTI 10/14/2019 3217125410190050 
86 Ai Windi 2/17/2017 3217125702170002 
87 AKMAL 8/14/2020 3217121408204202 
88 ALDI 6/26/2020 3217122606200050 
89 AMIRA 12/4/2020 3217124412204209 
90 ANDI 5/4/2019 3217120405190050 
91 ARSILA ALMAHRA 8/25/2019 3217126508190003 
92 ARSILA ZAHRA ALFATUNISA 6/1/2018 3217124106180001 
93 BAYU SAPUTRA 8/6/2020 3217120608204207 
94 BILAL PATUROHMAN 9/13/2018 3217121309180005 
95 BY NY SITI NURLAELA 2/1/2021 3217124102214214 
96 CEP PAWAZ NABIL 12/26/2019 3217122612190001 
97 Dava Alrajib 3/29/2017 3217122903170001 
98 DINARA LAILA ZAHWA 11/11/2019 3217125111190003 
99 Fairus Hamijan 4/18/2017 3217121804170001 
100 HAURA AZKIA MUPIDAH 6/24/2017 3217606406170000 
101 INDRIANI 4/30/2020 3217127004200050 
102 JIHAN UMNIA APIPAH 2/21/2021 3217126102214005 
103 KHANZA ADIBA HUMAIRA 8/9/2020 3217124908204201 
104 LAYLA NAJMA HAFIZAH 2/1/2021 3217124102214006 
105 M ALWI AL-PATIH 2/27/2018 3217122702180050 
106 M AJRIL MAULANA 3/6/2019 3217120603190003 
107 M AZRIL ALFARIZKI 4/1/2020 3217120104204006 
108 M Dika PRatama P 7/10/2017 3217121007170001 
109 M FATHIAN 3/23/2020 3217122303200050 
110 M FAWAZ 4/6/2019 3217120604190051 
111 M FAZAR 2/28/2020 3217122802200003 
112 M HAFIZ MAHARDIKA 3/3/2020 3217120303204005 
113 M HASBY ALAWI 8/3/2019 3217120308190050 
114 M HIKAM ALPATIR 9/13/2018 3217121309180003 
115 M HOIRUN NIJAM 9/20/2019 3217122009190001 
116 M IKHSAN MAULANA 6/29/2019 3217122906190005 
117 M KENZI AL-FATIH 1/25/2020 3217122501200003 
118 M LUTPI NUR JAMIL 12/28/2018 3217122812180001 
119 M Maulana Alpandi 12/14/2017 3217121412170002 
120 M NOVA NUGRAHA 3/31/2019 3217123103190051 
121 M NOVAL 4/18/2020 3217121804200050 
122 M NOVAL MUZZAKY 9/4/2017 3217120409170001 
123 M NUGRAHA 9/28/2020 3217122809204203 
124 M PAJAR SEBASTIAN 12/22/2018 3217122212180001 
125 M RADEN BINTANG 4/24/2020 3217122404200050 
126 M RAFASA 9/28/2020 3217122809204213 
127 M Rajib Setiawan 4/15/2018 3217605504180000 
128 M RAPIK 5/1/2020 3217120105204006 
129 M RAPIK IRSYAD 1/2/2019 3217120201190001 
130 M REPALDI ISMAWAN 9/13/2018 3217121309180001 
131 M REYHAN ALMUJAKI 4/18/2019 3217121804190002 
132 M RIJAL 1/22/2019 3217122201190001 
133 M RIZKI PAUZAN 12/13/2019 3217121312190050 
134 M SAUKI 10/30/2020 3217123010204211 
135 M Sigit 5/2/2017 3217604205170000 
136 M UWAIS AL-QORANI 4/28/2019 3217122804190060 
137 MIKAILA MARWAH 8/21/2018 3217126108180049 
138 MIKHAYLA AZZAHRA 1/11/2020 3217125101204005 
139 Mugni Alhasani 10/6/2017 3217120610170004 
140 N Wava Humairoh 5/3/2017 3217604305170000 
141 NAJRA SABIRA 12/22/2018 3217126212180001 
142 NAURA AULIA 1/2/2021 3217124201214208 
143 NAURA AZAHRA 6/18/2020 3217125806200050 
144 NAYLA DAVINA PUTRI ARDINA 6/8/2021 3217124806210001 
145 NEGITA SEPTIANI 6/15/2020 3217125506200050 
146 NOVIANA PITRI 5/7/2019 3217120705190050 
147 NURA AULIYA 1/2/2021 3217126201214004 
148 NURAH 8/16/2019 3217125608190050 
149 PUTRI ANJANI 3/4/2020 3217124403204002 
150 RAFANIA 2/4/2020 3217124402204008 
151 Rais Azkia 4/4/2017 3217124464170002 
152 Raisa Sapitri 9/5/2017 3217604509170000 
153 RAVANIA HUSNA AZAHRA 7/6/2020 3217124607200050 
154 REYHAN MAHARDIKA 1/21/2019 3217122101190001 
155 Rubiah adawiah 9/10/2017 3217125009170001 
156 SABRIL 4/11/2019 3217121104190051 
157 Saidatul Azizah 3/27/2017 3217126703170001 
158 SALPA D PUTRI 1/27/2017 321712670170002 
159 SALSA NABILA N 4/15/2019 3217125504190050 
160 SALWA PAHWA NADHIRA 3/8/2018 3217124803180002 
161 SANUM 1/11/2021 3217125101214212 
162 SANUM DIYA S 1/11/2021 3217125101214008 
163 SASKIYA ALMALIA 6/19/2020 3217125906200050 
164 SERLI ANAIRA 10/13/2017 3217601310140000 
165 SITI AYU PATIMAH 1/22/2020 3217126201204200 
166 SITI MASRIAH 11/5/2020 3217124511204210 
167 SITI RAISA 2/11/2020 3217125102204004 
168 SITI SUMIRAHAYU 1/28/2019 3217126801190001 
169 SITI SYARIPAH AULIA 11/25/2020 3217126511204205 
170 SYAKILA AULIA SEPTIYANI 9/12/2020 3217125209204206 
171 SYINTIA RAHMAH 9/10/2017 3217125009170002 
172 THORIQ FARHAN FAHRIZ 12/9/2020 3217120912204204 
173 TIARA L 4/1/2020 3217124104204007 
174 Tiara Laraswati P 5/11/2017 3217601105170000 
175 TIRTA RAHAYU 9/18/2018 3217125809180050 
176 ZAHRA NUR LATIPAH 4/15/2017 3217125504170007 
177 ABIL 6/5/2020 3217120506200043 
178 AI HILMA ANFA 1/7/2021 3217124701214405 
179 AI SAFA 6/9/2020 3217124906200043 
180 AMIRA QAILA ANALIA 10/28/2020 3217126801200002 
181 ARLI ARZI YADI 11/23/2018 3217122311180003 
182 ASHILLA FITRIANI 2/4/2017 3217124402170002 
183 ATTARAZKA PUTRA TAOPIK 6/17/2021 3217121706210002 
184 BALQIS 2/29/2020 3217126902200044 
185 BILQIS 2/29/2020 3217126902200043 
186 BY EVA 8/25/2021 3217122508214006 
187 BY NY EVA 8/25/2021 3217122508215000 
188 DAMAR 6/11/2018 3217121106180055 
189 HAMZAH 4/16/2018 3217121604180055 
190 HANNA NURLATIFAH 9/21/2018 3217126109180002 
191 HILMI 6/14/2017 3217121406170055 
192 IQBAL 11/18/2019 3217121811190055 
193 KAILA ZULFA 2/4/2019 3217124402190001 
194 KEIRAHMA 4/15/2017 3217125504170052 
195 KHANSA KHODIJAH 5/25/2018 3217126505180001 
196 M ADI SAPUTRA 8/21/2020 3217122108204404 
197 M AL-FARIZ 7/30/2018 3217123007180001 
198 M ALZAM 2/9/2021 3217120902214402 
199 M ALZAM MAULANA 7/31/2021 3217122809170003 
200 M AZKA 5/25/2017 3217122505170052 
201 M AZMI ALFADIL 3/9/2019 3217120903190001 
202 M DZIKRI AL HASBY 11/4/2019 3217122804150009 
203 M HAIKAL 12/8/2020 3217120812204411 
204 M HILMI 1/25/2019 3217122501190055 
205 M ILHAM 3/25/2017 3217122503170052 
206 M ILYAS 8/17/2020 3217121708204407 
207 M JABAR ARRASID 12/25/2020 3217122512204406 
208 M KHALID HASAN 7/10/2020 3217121007200001 
209 M NOVAL 11/4/2019 3217120411190055 
210 M RIVAL NASRUDIN 1/23/2018 3217122301180002 
211 M SABA 8/8/2019 3217120808190055 
212 M SAID IDRIS 2/14/2019 3217121402190001 
213 M SALMAN 1/26/2019 3217122601190055 
214 M SANDI 2/16/2019 3217121602190055 
215 M. AFNAN ARIZZA 2/27/2021 3217122702210002 
216 M. ALZAM MAULANA 7/31/2021 3217123107214008 
217 MAELA 5/26/2020 3217126605200043 
218 MOCH ABDUL ROHMAN 8/24/2018 3217122408180002 
219 MOHAMAD NOFAL 11/4/2019 3217120411190002 
220 MUHAMAD FERDIAN 10/18/2017 3217121810170005 
221 MUHAMAD MUKHSIN DERAJATULOH 5/10/2017 3217121005170002 
222 MUHAMAD NURUL FAUZI 4/20/2019 3217126004190001 
223 MUHAMAD PAUZAN PERMANA 2/13/2020 3217121302200001 
224 MUHAMAD SYAHIR NAZMU 3/24/2021 3217122403210002 
225 NABILA ASMA KARISA 8/15/2018 3217125508180055 
226 NADIA 4/10/2020 3217125012840021 
227 NAJWA KALIMAH 12/3/2018 3217124312180055 
228 NENG AZMI NURIYA ABSARI 3/27/2017 3217126703170006 
229 NENG ZAHRA MUHIBAH 12/19/2019 3217125912190055 
230 RAIHANA 10/25/2020 3217126510204400 
231 RIRIN MAHARANI 7/26/2017 3217126607170002 
232 RIZKA CANTIKA 1/11/2020 3217121101200055 
233 SABIK HAMJAH 8/1/2018 3217120108180055 
234 SABRINA 12/18/2020 3217125812204401 
235 SAHLA HAIZAL HUSNA 10/26/2019 3217126610190055 
236 SALMA HANAWIAH 10/2/2019 3217124210190004 
237 SALWA RAHMA DANI 7/7/2017 3217124707170001 
238 SALWA SALSABILA 11/15/2020 3217125511204408 
239 SITI JAMILAH 12/14/2018 3217125412180003 
240 SITI NURAJIJAH 1/25/2021 3217126501214409 
241 SYAKILA 2/24/2020 3217126402200043 
242 TASYA HUWAIDA 1/13/2018 3217125301180002 
243 YUSUP ALPATIH 5/18/2018 3217121805180055 
244 ZEIN ABDALLAH 11/18/2019 3217121811190001 
245 ZEN FAQIRAH 1/17/2021 3217125701214403 
246 ZIKRI ALIF 6/15/2017 3217121506170055 
247 ACEP H 8/9/2019 3217120908190055 
248 ADIRA NUR AIZA 7/9/2020 3217124907200040 
249 AFIFAH 9/23/2019 3217126309190055 
250 AFIFAH PUTRI 6/15/2018 3217125506180002 
251 AIRA 1/23/2021 3217126302214503 
252 AISYAH 7/14/2020 3217121407200040 
253 ALIPA 5/4/2018 3217124405180006 
254 ALMIRA 4/23/2019 3217126304190007 
255 APRILIA SAHLA AURA KANSA 11/2/2017 3217124211170003 
256 AQILA PERMATASARI 8/12/2018 3217125208180001 
257 ASKIA INAYA LASMI 10/15/2017 3217125510170004 
258 AZKIA 6/12/2018 3217125206180005 
259 ELVINA 9/27/2020 3217126709204504 
260 FAHMI AGNI ASSIDIQI 4/22/2020 3217122204200040 
261 FAUZIAH 7/19/2020 3217125907200040 
262 HANIP RAJIB MUHTADI 3/15/2019 3217121503190002 
263 HANNA KHOIRUNNISA 5/11/2020 3217121105200040 
264 HELPI 12/12/2017 3217121212170003 
265 HILMAN MAULANA YUSUP 6/30/2020 3217123006200040 
266 HILMI MAULANA YUSUP 6/30/2020 3217123006200041 
267 INTAN 7/8/2019 3217124807190055 
268 INTAN 8/7/2019 3217124708190001 
269 JAHIDA 4/18/2018 3217125804180055 
270 JAHIRA 2/11/2017 3217125102170004 
271 JIHAN 4/9/2018 3217124904180001 
272 KESYA 9/11/2019 3217125109190055 
273 M ABDUL WAHAB 9/29/2018 3217122909180003 
274 M ARFAN 4/30/2019 3217123004190049 
275 M HABSI 5/11/2019 3217121105190001 
276 M HOIRUL ATOYA 6/4/2019 3217120406190055 
277 M ILYAH 4/26/2019 3217122604190001 
278 M IRSAD 5/8/2019 3217120805190003 
279 M IRSYAD 6/6/2020 3217120606200040 
280 M KENZI 8/9/2019 3217120908190056 
281 M NOVAL 3/10/2018 3217121003180055 
282 M RAFIF AL FAHRI 2/21/2020 3217122102200040 
283 M RAPA JAIDAN GUSMI 5/22/2017 3217122205170001 
284 M RIJKI MAULANA 5/25/2018 3217122505180055 
285 M RIPAL 2/11/2017 3217121102170055 
286 M YASIR AKBAR 9/28/2018 3217122809180001 
287 MELATI 9/29/2020 3217126909204500 
288 N SITI KAROMA 10/8/2019 3217124810190002 
289 NADIA NURSAHIRA 6/12/2020 3217125206200030 
290 NAJMI 5/10/2018 3217135005180001 
291 NAPIS 1/31/2019 3217123101190001 
292 PARHAN PAUZI ALBARI 9/21/2017 3217122109170002 
293 RAFASYA 7/3/2017 3217120307170055 
294 RARIN 5/8/2020 3217124805200040 
295 RAYA 12/14/2017 3217121412170003 
296 SAKIRA 9/23/2018 3217126309180004 
297 SIDQI 9/26/2020 3217122609204501 
298 SITI AMELIA 10/18/2018 3217125810180002 
299 SITI HALIMATU SA\'DIAH 6/7/2019 3217124706190001 
300 SITI NURWAFA 9/9/2020 3217124909204502 
301 SYAHDAN 10/15/2019 3217121510190055 
302 ZAHRA 12/26/2019 3217126612190055 
303 ABDUL MUJIM 3/19/2020 3217121903200045 
304 ADE LIA PUTRI A 1/16/2018 3217125601180007 
305 ADELIA ARAFAH 8/9/2019 3217124908190001 
306 AHMAD FIKRI 11/17/2019 3217121711190055 
307 AI AZHA 1/29/2019 3217126901190001 
308 AI RISKA 8/20/2019 3217126008190055 
309 AI ROSIDAH 5/23/2019 3217126305190001 
310 AI SAIDAH ALIYAH 12/3/2018 3217124312180001 
311 AI WAFA 3/1/2019 3217124102190055 
312 AIDAH 5/31/2020 3217127105200001 
313 AINA TALITA ZAHRAN 4/30/2019 3217127004190001 
314 AINUN N 6/19/2020 3217125906200045 
315 AKSA YUSUF P 11/3/2019 3217120311190055 
316 ALIPA NURPALIDAH 12/28/2017 3217126812170001 
317 ALPIANSAH 7/5/2017 3217120507170055 
318 ANDI 12/18/2018 3217121812180001 
319 ANISA 11/12/2020 3217125211204603 
320 AULIA 5/5/2019 3217124505190055 
321 AYU NAFISA AZHA 1/12/2019 3217125201190001 
322 AZHAR 5/5/2020 3217120505200040 
323 AZKA AKILA QIRANI 1/31/2018 3217127101180034 
324 AZMI 5/9/2020 3217120905200040 
325 BY NY LAELA 1/15/2021 3217121501214602 
326 CLARISA 12/29/2019 3217126912190055 
327 D HAMI 11/8/2017 3217120811170004 
328 DEDE HAJIM 7/5/2017 3217120507170003 
329 DEN ILYAS 1/7/2019 3217120701190055 
330 DEVINA A F 3/9/2019 3217120903190002 
331 DINDA 2/22/2017 3217126202170055 
332 DINI ARYANI 7/13/2018 3217125307180055 
333 ELSA 10/19/2019 3217125910190055 
334 ELSA NANDIN 10/19/2019 3217125910190001 
335 GILANG 5/23/2019 3217122305190055 
336 IMAM 7/2/2020 3217120207200040 
337 KAILA 1/13/2018 3217125301180001 
338 LINDA AZZAHRA 6/25/2019 3217126506190004 
339 M ABDUL AZIZ 8/2/2019 3217120208190001 
340 M ABDUL FAISAL 11/29/2019 3217122911190055 
341 M AJKA SAPUTRA 4/9/2018 3217120904180055 
342 M AKMAL LATIF 1/8/2019 3217120801190055 
343 M ANDRA S 11/13/2019 3217121311190055 
344 M ARIZKI 2/22/2020 3217122202200030 
345 M AZKA 9/4/2018 3217120409180055 
346 M FADIL 7/3/2020 3217120307200040 
347 M FAHRI 2/5/2019 3217120502190004 
348 M FAJAR SIDIQ 8/20/2019 3217122008190003 
349 M FIKRI AL GIPARI 11/27/2019 3217121711190001 
350 M GIBRAN 11/5/2020 3217120511204600 
351 M HAIKAL 6/5/2020 3217120506200045 
352 M HAPIDO 1/23/2018 3217122301180055 
353 M HARISKI 10/1/2019 3217120110190005 
354 M JAENURI 1/1/2020 3217120101200055 
355 M JAINAL HUSNA 2/4/2017 3217120402170003 
356 M NURPAUZAN 4/10/2020 3217121004200040 
357 M PARHAN 11/26/2017 3217122611170055 
358 M PAZAR SIDIK 10/28/2017 3217122810170055 
359 M RAFI FAHRI 12/24/2019 3217122412190055 
360 M RAIHAN 5/5/2017 3217120505170002 
361 M REPAN 5/20/2018 3217122005180055 
362 M RIVAL 3/25/2020 3217122503200040 
363 M RIZAL HERDIANSYAH 7/14/2019 3217121407190001 
364 M RIZIQ 9/18/2019 3217121809190055 
365 M RIZKI AGI 12/28/2019 3217122812190055 
366 M ROBI MAULANA 11/2/2018 3217120211180055 
367 M SAID ALWI 3/11/2019 3217121103190001 
368 M ULWAN 9/17/2019 3217121709190055 
369 M WUAFI 1/14/2020 3217121401200055 
370 M ZAENI 12/22/2019 3217122212190005 
371 MUHAMAD ATAR 10/13/2019 3217121310190001 
372 NADA SOBAH 11/22/2018 3217126211180055 
373 NADIA 4/10/2020 3217125004200040 
374 NADIA LESTARI 12/3/2019 3217124312190055 
375 NADIA YUSRIATUL 7/31/2017 3217127107170055 
376 NANDA 4/30/2018 3217127004180055 
377 NAPISA 1/21/2017 3217126101170004 
378 NENG HAPSA 11/17/2017 3217125711170002 
379 NENG RAHMA 4/11/2019 3217125104190004 
380 NENG SUSILAWATI 10/28/2019 3217126810190055 
381 NEPA 2/1/2018 3217120102180004 
382 NISA APIPIAH 1/14/2019 3217125401190001 
383 NURAENI 6/3/2019 3217124206190001 
384 NURDENI KAILA 1/13/2018 3217125301180055 
385 PADIAN 6/12/2020 3217121206200040 
386 PAIDA INAYAH 1/9/2019 3217124901190049 
387 ROBI 2/11/2018 3217121102180055 
388 ROHMAH 4/4/2019 3217124404190055 
389 SABRIA 11/12/2017 3217125211170055 
390 SAHAL MUTAKIN 7/31/2017 3217123107170055 
391 SALMAN 3/7/2020 3217120703200040 
392 SALSABILA 1/7/2020 3217124701200055 
393 SALSABILA RAMADANI 5/7/2019 3217124705190055 
394 SERLI 5/5/2017 3217124505170002 
395 SERLI NURHASANAH 10/30/2018 3217127010180055 
396 SILPI 4/14/2019 3217125404190055 
397 SIPA 1/13/2021 3217125301214601 
398 SITI NAJWA AS 4/14/2019 3217125404190031 
399 SITI SANI SAADAH 2/17/2019 3217125702190001 
400 TIARA JULAIKA 1/19/2019 3217125901190003 
401 AIZA 9/25/2019 3217126509190055 
402 AKILA ANINDIA 7/4/2018 3217124407180055 
403 ALZIRA DELISA P 1/16/2018 3217125601180002 
404 AMIRAH PUTRI 9/11/2018 3217125109180002 
405 ANISA KHUMAIRA AZKIA 7/11/2017 3217125107170007 
406 ARDI RIFANSYAH 2/5/2021 3217120502210001 
407 ARTESYA SALSABILA 7/4/2021 3217124407214012 
408 AZKIA AZZAHRA 2/1/2021 3217124102214701 
409 BY RISA 9/1/2021 3217120109214015 
410 FERA SITI AISAH 1/17/2018 3217121701180005 
411 FIRZA 5/31/2019 3217123105190055 
412 GALKIN 1/14/2021 3217121401214703 
413 GIOVANI M R 12/31/2017 3217123112170003 
414 HUSNI HOERUL MUBAROK 11/12/2018 3217121211180003 
415 KHALISYA HUMAIRA 6/4/2021 3217124406214014 
416 KHANZA ADIBA. H 8/9/2020 3217124908200002 
417 M AFNAL 11/8/2020 3217120811204700 
418 M ALDY ADHA 9/1/2017 3217120109170003 
419 M ARFA IBNU AL-HAFIZ 8/31/2017 3217123108174001 
420 M ARFAN 7/17/2020 3217121707200040 
421 M AZKA ALDRIC 9/13/2017 3217121309170002 
422 M AZRIL 8/22/2019 3217122208194704 
423 M DAFI 1/20/2020 3217122001200055 
424 M FADLAN 3/9/2020 3217120903200040 
425 M HAFIZ ARDIAN 6/21/2019 3217123106190055 
426 M IBRAHIM CAKETI 3/11/2021 3217121103215002 
427 M MALIK ALPATIH 3/18/2021 3217121803210002 
428 M MANSYUR S 3/19/2017 3217121903170002 
429 M MUFTI SETIAWAN 12/8/2018 3217120812180003 
430 M RAFFASYA ELFATIH 9/1/2018 3217120109180001 
431 M. ALKI ANASIR 5/7/2021 3217124705214011 
432 M. HAFIZ MAHARDIKA 1/6/2019 3217122306150007 
433 M. IBRAHIM CAKETI 3/11/2021 3217121103214009 
434 MEGA ROSALINA 1/27/2021 3217126701214702 
435 MILHAN 9/1/2019 3217120109190055 
436 MUHAMAD NAZRAN 4/20/2021 3217122004210003 
437 MUHAMAD RAFKA 2/25/2018 3217122502180003 
438 NABILA LAISA NUR AZIZA 4/5/2019 3217124504190055 
439 NADA 8/29/2019 3217126908190055 
440 NADHIFATUL KAMILAH 3/23/2021 3217126303215000 
441 NADHIFATUL KAMILAH 3/23/2021 3217126303214010 
442 NAILA 3/8/2020 3217124803200040 
443 OLIVIA JASMIN 4/8/2020 3217124804200001 
444 PUTRI R.S 4/28/2021 3217126804214013 
445 RIYAD MAHREZ 3/7/2019 3217120703190055 
446 SALVA SAPUTRI 12/9/2018 3217124912180003 
447 SITI HUMAIRA 3/25/2019 3217126503190055 
448 SITI NURAVIFAH 3/19/2018 3217125903180002 
449 SITI NURFADILAH 10/24/2018 3217126410180002 
450 TALULLAH 11/1/2018 3217124111180001 
451 TSABITA 4/28/2020 3217126804200040 
452 TSANI AGISNI SALAMAH 12/11/2018 3217125112180002 
453 ZAHRA 5/22/2019 3217126205190001 
454 ZYAN ARFAN AS 5/25/2020 3217122505200040 
455 M ALI 4/20/2020 3217122004200044 
456 AENUNA 8/28/2019 3217126808190055 
457 AFIFA FATIMAH 10/11/2020 3217125110200003 
458 AGISNI LAILATUL ARIFAH 9/21/2018 3217126109180055 
459 AHADIAT TAMIM NAHROWI 7/6/2019 3217120607190004 
460 AHIDAYAT 7/6/2019 3217120607190005 
461 Ai Febi Rosmayanti 2/21/2017 3217606102170000 
462 AILA NAFISAH 10/6/2019 3217124610190002 
463 AKHMAN M 8/29/2019 3217122908190055 
464 Aliya 3/3/2017 3217604303170000 
465 ALMIRA NURRIZKIANI A 8/23/2019 3217126308190002 
466 ARYA 7/10/2020 3217121007200040 
467 AYUMI 3/17/2019 3217125703190002 
468 BY NY YENI N 8/12/2021 3217121208214027 
469 GINA NAYLAL MUNA 7/17/2019 3217125707190002 
470 HAPIDZ MAHARDIKA 11/25/2017 3217122511170004 
471 JIHAN NURAZIZAH 2/16/2020 3217125602200044 
472 KAMELIA KHUMAIRA SAKILA 5/10/2018 3217125005180004 
473 Khanza Ramadhanissa Mulyana 6/14/2017 3217125406170003 
474 M ALBIAN NAWAWI 7/11/2018 3217121107180001 
475 M ALFI BINTANG RAMADAN 5/21/2019 3217122105190001 
476 M ILYAS 1/6/2020 3217120601200055 
477 M MUGNI JAELANI 2/29/2020 3217122902200002 
478 M RAFKA 12/24/2019 3217122412190056 
479 M RAMDAN AL FAQIH 5/13/2020 3217121305200040 
480 M. RASYID AKBAR 4/3/2021 3217120304210003 
481 MUHAMAD IRFAN ALANBARI 9/26/2018 3217122609180001 
482 MUHAMAD YASHA ALFATIH 1/20/2017 3217122001170001 
483 NABAH FAUZAN 9/13/2017 3217121309170055 
484 NADIPA CIKA SYAWAL 5/28/2020 3217126805200040 
485 NAILA 10/21/2019 3217126110190055 
486 NAJMA SUROYA 11/6/2018 3217124611180002 
487 NAYLA IFATULLAH 10/21/2019 3217126110190400 
488 NENG NANDA AULIA 6/24/2019 3217126406190002 
489 NENG NAZWA JUWARIAH 2/15/2019 3217125502190003 
490 Neng Nuril Puadah 1/9/2018 3217124901180001 
491 NIZAR MUHIBUTOBRI 5/17/2017 3217601705170004 
492 NOREEN FITRIA NUR FHADILA 6/14/2018 3217125406180031 
493 NURUL ELSA ASSYFA 4/19/2018 3217125904180002 
494 NURUL HUSNA AULIA 8/16/2018 3217125608180055 
495 RAFA 11/5/2019 3217120511190055 
496 RAKHA GINANJAYA 7/21/2019 3217122107190002 
497 RIZKI AHMAD FAUZI 9/23/2019 3217122309190004 
498 Sabrina Oktovia 10/16/2017 3217125610170003 
499 SALSABILAH 4/16/2019 3217124604190001 
500 SELY AZZAHRA 2/27/2018 3217126702180003 

TOTAL
IP Vaksin:
MR = 8
OPV = 8
IPV = 4
DPT-HB-Hib = 4
Catatan:
Anak yang sudah mendapatkan ORI Campak Rubela, tidak perlu mendapatkan imunisasi tambahan Campak Rubela s
Total kebutuhan vial yang dibutuhkan yang mengacu pada perhitungan baris total vial vaksin
Anak usia 18-24 bulan yang pada saat bersamaan mendapatkan imunisasi rutin (DPT-HB-Hib4 dan Campak rubella 2)
Kebutuhan Vaksin Khusus Campak Rubela = (Total Sasaran - Sudah Mendapatkan ORI Campak Rubela sejak Januar
SASARAN IMUNISASI BIAN:
Imunisasi Kejar : Lahir pada bulan Sept 2017 - bulan Agust 2021
Imunisasi CR : Lahir pada bulan Sept 2017 - bulan Oktober 2021

Kolom Tambahan:
*) Jumlah Dosis Vaksin yang pernah didapat
JENIS KELAMIN
L
P
RAN IMUNISASI KEJAR ADALAH 12-59 BULAN
(Disesuaikan dengan tgl pelaksanaan di masing-masing Posyandu)
: Sirnagalih
: Desa Sirnagalih

Apakah anak *) Jumlah Dosis Vaksin yang

mendapatkan ORI pernah didapat
Nama Orang Tua (IBU) Alamat Campak Rubela sejak
Januari 2022
(Ya =1, Tidak=0)
OPV IPV DPT-HB-Hib

ANWAR KP RAWA TAMPELE 4 1 3

BOBI RITA KP. RAWATAMPELE 4 1 3
LIA HAERANI KP RAWA TAMPELE 4 1 4
CACA W KP RAWA TAMPELE 4 1 4
MAHAMAD MUJIB KP RAWA TAMPELE 4 1 4
RITA INDRIANI KP RAWA TAMPELE 4 1 4
ASEP SUTISNA KP SANTAR 4 1 4
0 KP RAWA TAMPELE 4 1 3
DEVI KP RAWA TAMPELE 4 1 3
CACA W KP RAWATAMPELE 4 1 4
DEDI KP RAWA TAMPELE 4 1 3
0 KP RAWA TAMPELE 4 1 4
MUS KP RAWA TAMPELE 4 1 3
MIPTAH KP RAWA TAMPELE 4 1 3
JAJA KP. RAWATAMPELE 4 1 4
MALIK NIROM KP RAWATAMPELE 4 1 2
JAENUDIN KP RAWA TAMPELE 4 1 4
0 KP RAWA TAMPELE 4 1 4
SINDI KP RAWA TAMPELE 3 1 3
YULIANTI KP RAWA TAMPELE 3 1 3
SITI AISAH KP RAWA TAMPELE 4 1 4
dedi mulyana kp rawatampele 4 1 4
BUDI KP RAWA TAMPELE 4 1 4
SAEPUL MUKODAS KP RAWA TAMPELE 4 1 4
MIPTAH KP RAWA TAMPELE 4 1 4
AHMAD KP RAWA TAMPELE 4 1 4
ELAS SUHERMAN KP RAWATAMPELE 4 1 3
IWAN KP RAWA TAMPELE 4 1 3
MALIK NIROM KP RAWA TAMPELE 4 1 4
JENI KP RAWA TAMPELE 4 1 4
0 KP RAWA TAMPELE 4 1 4
ANTON KP RAWA TAMPELE 4 1 4
HERI KP RAWA TAMPELE 4 1 3
TARDI KP RAWA TAMPELE 4 1 4
TATI KP RAWA TAMPELE 4 1 3
RAHMAT H KP RAWATAMPELE 4 1 3
YANA KP RAWA TAMPELE 4 1 4
SAEPUL HUSNA KP RAWATAMPELE 4 1 4
AHMAD MUJIDIN KP RAWATAMPELE 4 1 4
DEDI ROHAELI KP RAWA TAMPELE 4 1 4
KOSIAH KP RAWA TAMPELE 4 1 4
PENDI KP RAWATAMPELE 4 1 4
solihin kp rawatampele 4 1 4
UJANG SOMANTRI KP RAWATAMPELE 4 1 4
RIDWAN KP RAWA TAMPELE 4 1 4
A BANAN KP RAWA TAMPELE 4 1 3
CECENG KP RAWA TAMPELE 4 1 3
0 KP RAWA TAMPELE 4 1 4
DADANG KP RAWA TAMPELE 4 1 4
HENDAR KP RAWA TAMPELE 4 1 4
RAHMAT. H KP. RAWATAMPELE 4 1 3
ADE. S KP. CALO 4 1 3
MA KP. RAWATAMPELE 4 1 3
ANDRI KP. RAWATAMPELE 4 1 3
DEDIH KP. RAWATAMPELE 4 1 3
HENDRI KP RAWA TAMPELE 4 1 3
HENDI KP RAWA TAMPELE 4 1 4
DEDEN KP RAWATAMPELE 4 1 4
UNANG SOPIAN KP RAWA TAMPELE 4 1 4
SALWA KP RAWA TAMPELE 4 1 4
INDRA SETIAWAN KP RAWATAMPELE 4 1 4
0 KP RAWA TAMPELE 4 1 3
NIROM KP. RAWATAMPELE 2 1 2
BUDI KP RAWA TAMPELE 4 1 4
0 KP RAWA TAMPELE 4 1 3
ENENG KP RAWA TAMPELE 4 1 4
0 KP RAWA TAMPELE 4 1 3
AAS KP RAWA TAMPELE 3 1 3
YANA MULYANA KP RAWA TAMPELE 4 1 4
ASEP SAEPULOH KP RAWA TAMPELE 4 1 4
AGUS HERDIANA KP RAWA TAMPELE 4 1 4
HERI KP RAWA TAMPELE 4 1 4
0 KP RAWA TAMPELE 3 1 3
SAEPUDIN KP. RAWATAMPELE 3 1 3
DEDE RUKMANA KP RAWA TAMPELE 4 1 4
ZAENAL MUTAKIN KP RAWA TAMPELE 4 1 4
AAN KP RAWA TAMPELE 3 1 3
SAEPUL SAGITA KP RAWA TAMPELE 4 1 4
0 KP RAWA TAMPELE 4 1 3
DANI KP RAWA TAMPELE 3 1 3
ASEP SUHENDAR KP RAWA TAMPELE 4 1 4
A CEPI KP RAWA TAMPELE 3 1 3
AHMAD/ SITI NURHAMIDAH KP PANGKALAN 4 1 2
JUBAEDAH PANGKALAN 3 1 3
IHAT KP PANGKALAN 4 1 4
Adah Pangkalan 4 1 4
ENI KP PANGKALAN 4 1 4
SITI NURELAH KP PANGKALAN 4 1 3
DEDE KP PANGKALAN 4 1 4
ETI N KP PANGKALAN 3 1 3
ENIN KP PANGKALAN 4 1 4
SITI AISAH KP PANGKALAN 4 1 4
DEWI KP PANGKALAN 4 1 4
RENI KP PANGKALAN 4 1 4
SITI NURLAELA KP PANGKALAN 3 1 3
SITI HARTATI KP PANGKALAN 4 1 4
Erna Pangkalan 4 1 4
ERNA KP PANGKALAN 4 1 4
Neti Handayani Pangkalan 4 1 4
NURLAELA PANGKALAN 4 1 4
AYU KP PANGKALAN 4 1 4
SITI MUNAWAROH KP PANGKALAN 3 1 3
ELIS ROSIDA KP PANGKALAN 4 1 4
SITI NURLAELA KP PANGKALAN 3 1 3
IMAS KP PANGKALAN 4 1 4
APIT AIDAH KP PANGKALAN 3 1 3
TIDAK ADA NAMA KP 4 1 4
Nadia N Palah Pangkalan 4 1 4
DODOH KP PANGKALAN 4 1 4
0 KP PANGKALAN 4 1 4
IMAS KP PANGKALAN 4 1 4
TIDAK ADA NAMA KP 3 1 3
ROSMALA KP PANGKALAN 4 1 4
SITI HAMIDAH KP PANGKALAN 4 1 4
MELI KP PANGKALAN 4 1 3
SANTI KP PANGKALAN 4 1 3
ROSIDAH KP PANGKALAN 4 1 4
HERNAWATI KP PANGKALAN 4 1 4
Rima Melati Pangkalan 4 1 4
SITI SOLEHAH KP PANGKALAN 4 1 4
NENG KP PANGKALAN 4 1 4
ENENG HANDAYANI PANGKALAN 4 1 4
EUIS KP PANGKALAN 4 1 4
NOK YETI KP PANGKALAN 4 1 4
YANTI KP PANGKALAN 4 1 3
WIWIN KP PANGKALAN 4 1 4
Yanti Pangkalan 4 1 4
JAJANG KP 3 1 3
SITI ROBIAH KP PANGKALAN 4 1 4
IRMAWATI KP PANGKALAN 4 1 4
NIDAH KP PANGKALAN 4 1 4
SITI HAMIDAH KP PANGKALAN 3 1 3
S SARTIKA KP PANGKALAN 4 1 4
MARITA KP PANGKALAN 4 1 3
S Robiah Pangkalan 4 1 4
0 KP PANGKALAN 4 1 4
S SUMIYATI KP PANGKALAN 4 1 4
SUSI KP 4 1 4
Nia Pangkalan 4 1 4
Reni Pangkalan 3 1 3
MAESAROH KP PANGKALAN 4 1 4
SITI MARIAM KP PANGKALAN 4 1 4
TATAT KP PANGKALAN 4 1 4
FARNY ANDIKA N/ YUNITA KP PANGKALAN 4 1 4
ENENG MAYANI KP PANGKALAN 4 1 4
0 KP PANGKALAN 4 1 4
SITI MARIAM KP PANGKALAN 3 1 3
0 KP PANGKALAN 4 1 4
TIDAK ADA NAMA KP 3 1 3
SUMARNI/DADAN KP 4 1 4
S. Komariah Pangkalan 4 1 4
Imas Saroh Pangkalan 4 1 4
SUMARNI KP PANGKALAN 4 1 4
ERNA KP PANGKALAN 4 1 4
Erat Rantanengsih Pangkalan 4 1 4
0 KP PANGKALAN 4 1 4
Nita Nurhalipah Pangkalan 4 1 4
DEDEH PANGKALAN 3 1 3
0 KP PANGKALAN 3 1 3
YANTI KP PANGKALAN 4 1 4
NENG HANDAYANI KP PANGKALAN 3 1 3
NENENG HANDAYANI KP PANGKALAN 3 1 3
SUMIATI KP PANGKALAN 3 1 3
NURHIDAYAH PANGKALAN 4 1 4
IIS JAKIYAH KP PANGKALAN 3 1 3
MIDAH KP PANGKALAN 3 1 3
ERAT KP 4 1 4
SARIAH KP PANGKALAN 4 1 4
ROSIDAH KP PANGKALAN 4 1 4
HADNI KP PANGKALAN 3 1 3
SUMIYATI KP PANGKALAN 4 1 4
ATI ADIANTI KP PANGKALAN 4 1 4
CUCU/SLMAET KP 4 1 4
Cucu Pangkalan 4 1 4
0 KP PANGKALAN 4 1 4
AIDAH PANGKALAN 4 1 3
NURAENI KP 3 1 3
SITI MARPUAH 0 3 1 2
SITI MASIAH KP 3 1 3
RIJAL KP 3 1 2
mulyadi kp joglo 4 1 4
nasrulloh kp joglo 4 1 4
AHMAD TAOPIK KP JOGLO 3 1 2
LISNA KP 4 1 4
LISNA KP 4 1 4
EVA KP. JOGLO 3 1 2
EVA KP JOGLO 3 1 2
0 KP JOGLO 4 1 3
ASEP ROHMAT KP JOGLO 4 1 3
agus suhendi kp joglo 4 1 3
0 KP JOGLO 4 1 4
HENDRIK KP JOGLO 4 1 4
aang kp joglo 4 1 4
SASKIA KP JOGLO 4 1 3
ABDUL ROJAK KP JOGLO 4 1 3
TITIN 0 0 0 0
H. OMAN KP 4 1 4
NENG FERA KP PASIR CIKUR 4 1 4
marlan kp pasar 4 1 4
MARLAN KP JOGLO 3 1 2
ANWAR KP PASIR CIKUR 4 1 4
SANJA KP 4 1 3
WULAN 0 4 1 4
0 KP JOGLO 4 1 4
0 KP JOGLO 4 1 3
PARIDAH 0 3 1 3
SITI FATIMAH 0 4 1 4
IWAN KP 3 1 3
ENAS KP JOGLO 3 1 3
MUPA KP JOGLO 4 1 3
HADI ROSADI KP JOGLO 4 1 3
AMINAH KP JOGLO 4 1 4
H IWAN KP JOGLO 3 1 3
0 KP JOGLO 4 1 4
ITA KP 4 1 4
MARLAN KP. PASAR 3 1 2
SITI JULAEHA KP 4 1 3
MULYANA KP JOGLO 4 1 3
MUFA KP 4 1 4
SITI WULAN KP 4 1 3
DEDE MULYANA KP JOGLO 4 1 3
NIDAH KP JOGLO 4 1 4
JUHAI KP 4 1 4
ACENG NAJMU KP JOGLO 3 1 3
JUJU KP JOGLO 4 1 4
ENTIN KP 4 1 4
OPI KP JOGLO 4 1 4
H ELI SADILI KP JOGLO 4 1 4
OLEH KP JOGLO 4 1 3
RATNA KP JOGLO 4 1 3
ASEP NANDANG KP TALUN 4 1 4
DANI WAHYU KP JOGLO 3 1 3
AMINAH KP JOGLO 4 1 4
TUTI KP JOGLO 4 1 4
DADAN S KP JOGLO 4 1 4
YADI MULYADI KP 4 1 3
RAHMAT KP JOGLO 4 1 4
IJUM KP PASIR CIKUR 4 1 3
KOHAR BIN AJAM KP JOGLO 4 1 4
NENG SIFA 0 4 1 4
SITI MASIPAH KP 4 1 3
RIDWAN KP JOGLO 4 1 3
RINI KP JOGLO 4 1 4
SITI MASITOH KP 4 1 4
SITI SOLIHAT KP PASIR CIKUR 4 1 3
NENG AIDA KP JOGLO 4 1 4
RENI KP CIAWI 4 1 4
NENG LINDA KP CIAWI 4 1 4
MAEMUNAH KP CIAWI 4 1 3
PATIMAH KP CIAWI 4 1 4
AI DEWI 0 4 1 3
AISYAH KP CIAWI 4 1 3
YULIANA KP JOGLO 4 1 4
SINTA WATI KP ANGGALAYA 4 1 4
ICAH KP CIAWI 4 1 4
DELA WATI KP KUBANG JAYA 4 1 3
RATNA NINGSIH KP PASIR HAYAM 4 1 4
ANI KP JOGLO 4 1 4
YULIANA 0 4 1 3
ITA ROSTIANI KP CIAWI 4 1 4
NURLAILA KP CIAWI 4 1 4
SITI HODIJAH KP JOGLO 4 1 4
AI SITI BARIAH KP CIAWI 4 1 4
RENI KP CIAWI 4 1 4
SITI HAMIDAH KP CIAWI 4 1 4
SITI HAMIDAH KP CIAWI 4 1 4
SANTI KP CIAWI 4 1 3
NENDEN KP JOGLO 4 1 4
MAEMUNAH KP CIAWI 4 1 4
NENG KP PASIR HAYAM 4 1 4
ELIN KP JOGLO 4 1 4
SITI AISYAH KP CIAWI 4 1 4
rizkiah kp kubang jaya 4 1 4
LINDA KP JOGLO 4 1 4
siti sutina kp joglo 4 1 4
SITI NURHALIMAH KP CIAWI 4 1 4
SITI SARIAH KP JOGLO 4 1 4
EKA KP JOGLO 4 1 3
MASONENG KP CIAWI 4 1 3
ENUR KP CIAWI 4 1 3
ENUR KP CIAWI 4 1 3
ELISAH KP CIAWI 4 1 3
anisyah kp angalaya 4 1 4
SITI AISYAH KP CIAWI 4 1 4
WULAN KP CIAWI 4 1 4
nurlina kp joglo 4 1 4
AISAH 0 4 1 3
S NURMASARI KP ANGGALAYA 4 1 4
ASIH LESTARI KP CIAWI 4 1 4
NANI KP ANGGALAYA 4 1 4
SITI ASMA KP JOGLO 4 1 4
LIA YULIA WATI KP CIAWI 4 1 4
OOP KP CIAWI 4 1 4
KIKI KP CIAWI 4 1 3
SITI PATIMAH KP CIAWI 4 1 3
RINA KP CIAWI 4 1 4
WULAN 0 4 1 3
IIS NURHALISA KP PASIR HAYAM 4 1 4
FATIMAH KP JOGLO 4 1 4
SITI RANIA 0 4 1 3
0 KP CIAWI 4 1 4
0 KP CIAWI 4 1 4
WIWI KP CIRAWA 4 1 3
MULYATI KP PASIR GANTUNG 4 1 4
BELUM ADA KP SIRNAGALIH 4 1 4
AI FATIMAH KP CIRAWA 4 1 4
SITI ROBIAH KP PASIR GANTUNG 4 1 4
0 KP CIRAWA 4 1 4
ETI KP SUMUMPUT 4 1 4
HAMDANI KP SIRNAGALIH 4 1 3
AI NURHAYATI KP CIRAWA 4 1 4
UROH KP CIRAWA 4 1 3
AI KOMALASARI KP LIUNG GUNUNG 4 1 4
NENTI KP CIRAWA 4 1 4
KIKI ROQIAH KP CIRAWA 4 1 4
MASKANAH KP LIUNG GUNUNG 4 1 4
ANI KP CIRAWA 4 1 4
BELUM ADA KP SUMUMPUT 4 1 4
SANTI 0 4 1 3
MASIDAH KP CIRAWA 4 1 4
YANI NURAENI KP SUMUMPUT 4 1 3
RINI KP CIRAWA 4 1 3
IIS MAYANTI KP CIRAWA 4 1 4
KOMALASARI KP CIRAWA 4 1 3
LAELA 0 4 1 2
MASQUROH KP CIRAWA 4 1 4
KOSIAH KP CIRAWA 4 1 4
ANI KP SUMUMPUT 4 1 4
ENUR KP CIRAWA 4 1 3
MARYANI KP LIUNG GUNUNG 4 1 4
0 KP CIRAWA 4 1 4
0 KP CIRAWA 4 1 4
SONA KP CIRAWA 4 1 4
SANAH KP CIRAWA 4 1 4
0 KP CIRAWA 4 1 4
SITI P KP CIRAWA 4 1 3
DEDE LINA KP SIRNAGALIH 4 1 4
ANI KP LIUNG GUNUNG 4 1 4
LENI KP LIUNG GUNUNG 4 1 4
SOPIAH KP CIRAWA 4 1 3
CUCU KP CIRAWA 4 1 4
NURJANAH KP CIRAWA 4 1 4
CUCU KP CIRAWA 4 1 4
MASKANAH KP CIRAWA 4 1 4
0 KP CIRAWA 4 1 3
ERNA LELA KP CIRAWA 4 1 3
NENG MAYA KP SUMUMPUT 4 1 4
LIYAWATI KP LIUNG GUNUNG 4 1 4
AI FATIMAH KP SIRNAGALIH 4 1 4
NURAENI 0 4 1 3
SITI AMINAH KP CIRAWA 4 1 3
0 KP CIRAWA 4 1 3
EPA ROSITA KP SIRNAGALIH 4 1 2
RANI KP CIRAWA 4 1 2
SARIAH KP CIRAWA 4 1 4
WIDA KP CIRAWA 4 1 3
0 KP CIRAWA 4 1 4
0 KP CIRAWA 4 1 4
ROFIAH KP CIRAWA 4 1 4
YANI KP SUMUMPUT 4 1 3
0 KP CIRAWA 4 1 3
N MAYA KP CIRAWA 4 1 3
LENI MARLENI KP SIRNAGALIH 4 1 4
0 KP CIRAWA 4 1 3
IIM KP CIRAWA 4 1 2
NENI KP CIRAWA 4 1 3
SITI ROHIMAH KP SUMUMPUT 4 1 4
0 KP CIRAWA 4 1 4
0 KP CIRAWA 4 1 3
ULPA 0 4 1 4
ROSMAYANTI KP SIRNAGALIH 4 1 4
RINA KP CIRAWA 4 1 4
RIKA KP CIRAWA 4 1 3
YAYAH KP CIRAWA 4 1 4
SITI SABANIAH KP CIRAWA 4 1 4
0 KP CIRAWA 4 1 4
ELIS KP SIRNAGALIH 4 1 4
NURAENI KP LIUNG GUNUNG 4 1 4
AAT KP PASIR GANTUNG 4 1 4
FATIMAH KP CIRAWA 4 1 4
RODIAH KP PASIR GANTUNG 4 1 4
ERNA LELA KP PASIR GANTUNG 4 1 4
AI SUSI KP SUMUMPUT 4 1 3
ELIS KP CIRAWA 4 1 3
SITI MARIAM KP CIRAWA 4 1 3
BELUM ADA KP SIRNAGALIH 4 1 4
0 KP CIRAWA 4 1 4
0 KP CIRAWA 4 1 4
0 KP CIRAWA 4 1 4
HERLINA KP CIRAWA 4 1 4
ROHAYATI KP CIRAWA 4 1 2
SITI AIDAH KP CIRAWA 4 1 3
0 KP CIRAWA 4 1 3
SITI ROHLAH KP SUMUMPUT 4 1 4
SANTIAWATI KP CIRAWA 4 1 3
0 KP CIRAWA 4 1 3
RISMA 0 4 1 3
LILIS KP SIRNAGALIH 4 1 3
EMA NIAWATI KP SIRNAGALIH 4 1 4
AI SRI KP CISEPAN 4 1 4
NIA KP LAMPING 4 1 4
RINA N KP LAMPING 4 1 4
RINA N KP LAMPING 4 1 4
NENG HESTI R KP LAMPING 4 1 4
EPI NURYANTI KP LEUWI TAMIANG 4 1 3
AI K/ AGUS KP LAMPING 4 1 3
MAIDAH KP. LAMPING 4 1 4
ADAH 0 4 1 4
RISA KP 4 1 3
MASKUPAH KP LEUWI TAMIANG 4 1 4
0 KP LAMPING 4 1 4
SIFA 0 4 1 4
SIPA/TETEP KP LAMPING 4 1 4
CUCU S KP MAWAR 4 1 4
RINI KP. TEGAL LIMUS 4 1 3
ELIS. R KP. KARANG NAMPRAK 4 1 4
ENUNG 0 4 1 4
leni s kp lamping 4 1 4
NUNUNG N KP LAMPING 4 1 4
TUTI KP LEUWI TAMIANG 4 1 3
marni m kp lamping 4 1 4
ATI N KP LAMPING 4 1 4
LENI KP LAMPING 4 1 2
WIWIN KP TEGAL LIMUS 4 1 3
0 KP LAMPING 4 1 4
NORRIAH/SODIK KP LAMPING 4 1 4
SITI M/AHMAD KP LAMPING 4 1 3
sri utami kp lamping 4 1 4
HANIFAH KP LAMPING 4 1 4
ENENG RD KP SANINTEN 4 1 4
YUYU KP. LAMPING 4 1 3
SIPA KP. SINDANG RERET 4 1 3
NORRIAH KP. LAMPING 4 1 3
SITI JUARIAH 0 4 1 3
AI REZA KP LAMPING 4 1 4
CUCU KP. LEUWI TAMIANG 4 1 2
INA KP. TEGAL LIMUS 4 1 4
0 KP LAMPING 4 1 4
RISA ANTIKA KP LAMPING 4 1 4
IMAS/ASEP J KP CIBOLANG 4 1 3
IMAS KP. CIBOLANG 4 1 3
SRI WAHYUNI KP LAMPING 4 1 4
NENG IRMA KP. KARANG NAMPRAK 4 1 2
HALIMAH KP. LAMPING 4 1 3
0 KP LAMPING 4 1 4
ENGKAS KP LAMPING 4 1 4
0 KP LAMPING 4 1 4
LISNA KP. LEUWI TAMIANG 4 1 4

noriah kp lamping 4 1 4

SITI AMINAH KP LAMPING 4 1 4

ISDA KP SINDANG RERET 4 1 4
SITI ARMILAH KP LAMPING 4 1 4
LUTFIYULLOH KP LAMPING 4 1 4
YANI MULYANI KP LEUWI TAMIANG 4 1 3
SITI HAPSOH KP 4 1 4
JAMILAH KP LEBAK HUNI 4 1 4
MASRIAH KP. CIBULAN 4 1 3
AMINAH KP LEBAK HUNI 4 1 4
SITI SAODAH KP LEBAK HUNI 4 1 4
SITI SAODAH KP LEBAK HUNI 4 1 4
Siti Hasanah Kp Kicau 4 1 4
YAYAH KP 4 1 4
NURUL KP LEBAK HUNI 4 1 4
Hj. Elis Kp lebak Huni 4 1 4
TETI PARIDA KP LEBAK HUNI 4 1 4
IMAS KP 4 1 4
ENDANG SELPIANA KP KICAU 4 1 4
YENI NURHASANAH KP. KICAU 4 1 4
DEDE ROSMALA KP LEBAK HUNI 4 1 4
RATNA N KP PASIR CIKUR 4 1 3
YEYEH KP 4 1 3
ENI KP KICAU 4 1 4
Neng Lina Herdianawati Kp Lebak Huni 4 1 4
LINDA PURNAMA KP SANTAR 4 1 3
DEWI HARTATI KP LEBAK HUNI 4 1 4
MELAWATI KP LEBAK HUNI 4 1 3
RATNAWATI KP SANTAR 4 1 3
IHAT KP LEBAK HUNI 4 1 4
IMA NURAENI KP 4 1 4
LINDA PURNA MASARI KP. SANTAR 4 1 3
neng risma kp lebak huni 4 1 4
RANI KP LEBAK HUNI 4 1 4
0 KP LEBAK HUNI 4 1 4
HANI SITI SAHWAL M KP 4 1 4
IDA KP LEBAK HUNI 4 1 3
ROS DIANAH KP LEBAK HUNI 4 1 4
IDA Kp cicau 4 1 4
SITI FATIMAH KP 4 1 4
siti saadah kp lebak huni 4 1 4
melawati Kp Lebak Huni 4 1 4
SITI SAODAH KP LEBAK HUNI 4 1 4
AIDAH KP LEBAK HUNI 4 1 4
NISA SULASTRI KP KICAU 4 1 4
ANI KAMILAH KP LEBAK HUNI 4 1 4
SITI KP LEBAK HUNI 4 1 4
ADE RODIYAH KP 4 1 4
NENI SAWITRI KP LEBAK HUNI 4 1 4
Yanti Kp Santar 4 1 4
NENG ESA KP SANTAR 4 1 4
JAMILAH KP SANTAR 4 1 4

0
bahan Campak Rubela sejak Januari 2022

4 dan Campak rubella 2) maka tetap masuk dalam Sasaran Imunisasi Kejar
pak Rubela sejak Januari 2022)/IP vaksin

an Agust 2021
an Oktober 2021
 Apakah anak merupakan Apakah anak sasaran Imunisasi Kejar Apakah Anak
sasaran Imunisasi (Ya = 1, Tidak = 0) merupakan sasaran
Umur (bulan) Tambahan
Campak Rubella (Ya=1,
imunisasi KEJAR
Tidak = 0) (Ya = 1 , Tidak = 0)
OPV IPV DPT-HB-Hib

23 1 0 0 1 1
14 1 0 0 0 0
43 1 0 0 0 0
32 1 0 0 0 0
50 1 0 0 0 0
63 0 0 0 0 0
51 1 0 0 0 0
32 1 0 0 1 1
24 1 0 0 1 1
63 0 0 0 0 0
23 1 0 0 1 1
31 1 0 0 0 0
18 1 0 0 1 1
47 1 0 0 1 1
17 1 0 0 0 0
50 1 0 0 1 1
21 1 0 0 0 0
49 1 0 0 0 0
18 1 1 0 1 1
18 1 1 0 1 1
24 1 0 0 0 0
44 1 0 0 0 0
27 1 0 0 0 0
35 1 0 0 0 0
64 0 0 0 0 0
24 1 0 0 0 0
40 1 0 0 1 1
26 1 0 0 1 1
35 1 0 0 0 0
31 1 0 0 0 0
59 1 0 0 0 0
38 1 0 0 0 0
34 1 0 0 1 1
34 1 0 0 0 0
17 1 0 0 0 0
58 1 0 0 1 1
21 1 0 0 0 0
42 1 0 0 0 0
53 1 0 0 0 0
34 1 0 0 0 0
36 1 0 0 0 0
46 1 0 0 0 0
37 1 0 0 0 0
42 1 0 0 0 0
48 1 0 0 0 0
28 1 0 0 1 1
22 1 0 0 1 1
31 1 0 0 0 0
22 1 0 0 0 0
41 1 0 0 0 0
17 1 0 0 0 0
18 1 0 0 1 1
16 1 0 0 0 0
17 1 0 0 0 0
16 1 0 0 0 0
27 1 0 0 1 1
24 1 0 0 0 0
51 1 0 0 0 0
63 0 0 0 0 0
18 1 0 0 0 0
46 1 0 0 0 0
58 1 0 0 1 1
16 1 1 0 1 1
23 1 0 0 0 0
51 1 0 0 1 1
31 1 0 0 0 0
39 1 0 0 1 1
18 1 1 0 1 1
33 1 0 0 0 0
47 1 0 0 0 0
35 1 0 0 0 0
61 0 0 0 0 0
48 1 1 0 1 1
15 1 1 0 0 1
60 0 0 0 0 0
51 1 0 0 0 0
21 1 1 0 1 1
51 1 0 0 0 0
44 1 0 0 1 1
26 1 1 0 1 1
49 1 0 0 0 0
27 1 1 0 1 1
14 1 0 0 1 1
64 0 0 0 0 0
33 1 0 0 0 0
65 0 0 0 0 0
23 1 0 0 0 0
25 1 0 0 1 1
19 1 0 0 0 0
38 1 1 0 1 1
35 1 0 0 0 0
50 1 0 0 0 0
23 1 0 0 0 0
46 1 0 0 0 0
18 1 1 0 1 1
31 1 0 0 0 0
64 0 0 0 0 0
32 1 0 0 0 0
63 0 0 0 0 0
61 0 0 0 0 0
27 1 0 0 0 0
17 1 1 0 0 1
23 1 0 0 0 0
18 1 1 0 1 1
53 1 0 0 0 0
40 1 1 0 1 1
28 1 0 0 0 0
60 0 0 0 0 0
28 1 0 0 0 0
39 1 0 0 0 0
29 1 0 0 0 0
28 1 1 0 1 1
35 1 0 0 0 0
46 1 0 0 0 0
34 1 0 0 1 1
37 1 0 0 1 1
30 1 0 0 0 0
43 1 0 0 0 0
55 1 0 0 0 0
40 1 0 0 0 0
27 1 0 0 0 0
58 1 0 0 0 0
22 1 0 0 0 0
43 1 0 0 0 0
27 1 0 0 1 1
22 1 0 0 0 0
51 1 0 0 0 0
27 1 1 0 1 1
42 1 0 0 0 0
46 1 0 0 0 0
39 1 0 0 0 0
42 1 1 0 1 1
31 1 0 0 0 0
21 1 0 0 1 1
62 0 0 0 0 0
39 1 0 0 0 0
47 1 0 0 0 0
30 1 0 0 0 0
57 1 0 0 0 0
62 0 0 0 0 0
43 1 0 0 0 0
18 1 0 0 0 0
25 1 0 0 0 0
13 1 0 0 0 0
25 1 0 0 0 0
38 1 0 0 0 0
18 1 1 0 1 1
35 1 0 0 0 0
28 1 1 0 1 1
29 1 0 0 0 0
63 0 0 0 0 0
58 1 0 0 0 0
24 1 0 0 0 0
42 1 0 0 0 0
58 1 0 0 0 0
39 1 0 0 0 0
64 0 0 0 0 0
66 0 0 0 0 0
39 1 1 0 1 1
52 1 0 0 0 0
18 1 1 0 1 1
18 1 1 0 1 1
25 1 1 0 1 1
57 1 0 0 0 0
30 1 1 0 1 1
20 1 1 0 1 1
29 1 0 0 0 0
42 1 0 0 0 0
20 1 0 0 0 0
22 1 1 0 1 1
58 1 0 0 0 0
19 1 0 0 0 0
28 1 0 0 0 0
62 0 0 0 0 0
46 1 0 0 0 0
63 0 0 0 0 0
25 1 1 0 1 1
18 1 1 0 1 1
25 1 1 0 1 1
21 1 1 0 1 1
44 1 0 0 0 0
65 0 0 0 0 0
13 1 1 0 1 1
29 1 0 0 0 0
29 1 0 0 0 0
11 1 0 0 0 0
11 1 0 0 0 0
49 1 0 0 1 1
51 1 0 0 1 1
46 1 0 0 1 1
61 0 0 0 0 0
32 1 0 0 0 0
41 1 0 0 0 0
63 0 0 0 0 0
50 1 0 0 1 1
23 1 1 1 1 1
48 1 0 0 0 0
17 1 0 0 0 0
12 1 0 0 0 0
62 0 0 0 0 0
40 1 0 0 0 0
32 1 0 0 1 1
19 1 0 0 0 0
42 1 0 0 0 0
64 0 0 0 0 0
23 1 1 0 1 1
19 1 0 0 0 0
24 1 1 0 1 1
32 1 1 0 1 1
54 1 0 0 1 1
35 1 0 0 1 1
41 1 0 0 0 0
42 1 1 0 1 1
41 1 0 0 0 0
17 1 0 0 0 0
12 1 1 0 1 1
26 1 0 0 1 1
47 1 0 0 1 1
32 1 0 0 0 0
57 1 0 0 1 1
62 0 0 0 0 0
39 1 0 0 0 0
29 1 0 0 0 0
16 1 1 0 0 1
47 1 0 0 0 0
27 1 0 0 0 0
43 1 0 0 0 0
64 0 0 0 0 0
31 1 0 0 1 1
21 1 0 0 1 1
60 0 0 0 0 0
30 1 1 0 1 1
48 1 0 0 0 0
19 1 0 0 0 0
33 1 0 0 0 0
33 1 0 0 1 1
60 0 0 0 0 0
20 1 0 0 1 1
43 1 0 0 0 0
18 1 0 0 0 0
29 1 0 0 1 1
54 1 0 0 1 1
50 1 0 0 0 0
32 1 0 0 0 0
18 1 0 0 1 1
61 0 0 0 0 0
35 1 0 0 0 0
24 1 0 0 0 0
34 1 0 0 1 1
49 1 0 0 0 0
18 1 0 0 1 1
24 1 0 0 1 1
50 1 0 0 0 0
39 1 0 0 0 0
56 1 0 0 0 0
47 1 0 0 1 1
57 1 0 0 0 0
49 1 0 0 0 0
22 1 0 0 1 1
27 1 0 0 0 0
24 1 0 0 0 0
40 1 0 0 0 0
26 1 0 0 0 0
55 1 0 0 0 0
25 1 0 0 0 0
25 1 0 0 0 0
36 1 0 0 1 1
35 1 0 0 0 0
51 1 0 0 0 0
65 0 0 0 0 0
51 1 0 0 0 0
34 1 0 0 0 0
46 1 0 0 0 0
39 1 0 0 0 0
38 1 0 0 0 0
37 1 0 0 0 0
39 1 0 0 0 0
38 1 0 0 1 1
25 1 0 0 1 1
35 1 0 0 1 1
52 1 0 0 1 1
29 1 0 0 1 1
62 0 0 0 0 0
50 1 0 0 0 0
65 0 0 0 0 0
46 1 0 0 0 0
22 1 0 0 1 1
33 1 0 0 0 0
25 1 0 0 0 0
50 1 0 0 0 0
42 1 0 0 0 0
58 1 0 0 0 0
60 0 0 0 0 0
26 1 0 0 1 1
55 1 0 0 1 1
46 1 0 0 0 0
22 1 0 0 1 1
45 1 0 0 0 0
37 1 0 0 0 0
22 1 0 0 1 1
33 1 0 0 0 0
31 1 0 0 0 0
28 1 0 0 1 1
54 1 0 0 0 0
35 1 0 0 0 0
32 1 0 0 0 0
42 1 0 0 0 0
35 1 0 0 0 0
38 1 0 0 0 0
43 1 0 0 1 1
41 1 0 0 0 0
26 1 0 0 1 1
39 1 0 0 0 0
25 1 0 0 0 0
32 1 0 0 0 0
55 1 0 0 0 0
60 0 0 0 0 0
43 1 0 0 0 0
20 1 0 0 1 1
38 1 0 0 0 0
42 1 0 0 1 1
26 1 0 0 1 1
54 1 0 0 0 0
26 1 0 0 1 1
18 1 0 0 1 1
31 1 0 0 0 0
56 1 0 0 0 0
60 0 0 0 0 0
42 1 0 0 1 1
40 1 0 0 0 0
65 0 0 0 0 0
48 1 0 0 0 0
33 1 0 0 0 0
33 1 0 0 0 0
38 1 0 0 0 0
24 1 0 0 1 1
54 1 0 0 0 0
37 1 0 0 0 0
35 1 0 0 0 0
32 1 0 0 1 1
51 1 0 0 0 0
42 1 0 0 0 0
32 1 0 0 0 0
29 1 0 0 0 0
46 1 0 0 1 1
24 1 0 0 1 1
41 1 0 0 0 0
35 1 0 0 0 0
32 1 0 0 0 0
20 1 0 0 1 1
25 1 0 0 1 1
54 1 0 0 1 1
34 1 0 0 1 1
31 1 0 0 1 1
65 0 0 0 0 0
27 1 0 0 1 1
56 1 0 0 0 0
57 1 0 0 0 0
31 1 0 0 0 0
62 0 0 0 0 0
50 1 0 0 1 1
28 1 0 0 1 1
36 1 0 0 0 0
34 1 0 0 1 1
31 1 0 0 1 1
44 1 0 0 1 1
40 1 0 0 0 0
34 1 0 0 0 0
30 1 0 0 1 1
31 1 0 0 0 0
33 1 0 0 0 0
44 1 0 0 0 0
27 1 0 0 1 1
31 1 0 0 0 0
60 0 0 0 0 0
51 1 0 0 0 0
66 0 0 0 0 0
56 1 0 0 0 0
39 1 0 0 0 0
33 1 0 0 0 0
54 1 0 0 0 0
42 1 0 0 0 0
37 1 0 0 1 1
54 1 0 0 1 1
25 1 0 0 1 1
42 1 0 0 0 0
53 1 0 0 0 0
39 1 0 0 0 0
56 1 0 0 0 0
60 0 0 0 0 0
28 1 0 0 1 1
30 1 0 0 1 1
38 1 0 0 1 1
62 0 0 0 0 0
45 1 0 0 1 1
39 1 0 0 1 1
18 1 0 0 1 1
39 1 0 0 1 1
41 1 0 0 0 0
42 1 0 0 0 0
34 1 0 0 0 0
48 1 0 0 0 0
54 1 0 0 0 0
46 1 0 0 0 0
60 0 0 0 0 0
17 1 0 0 0 0
12 1 0 0 0 0
18 1 0 0 0 0
11 1 0 0 0 0
54 1 0 0 0 0
38 1 0 0 0 0
18 1 0 0 0 0
55 1 0 0 0 0
44 1 0 0 0 0
13 1 0 0 0 0
23 1 0 0 0 0
20 1 0 0 0 0
59 1 0 0 0 0
59 1 0 0 0 0
24 1 0 0 1 1
58 1 0 0 0 0
35 1 0 0 0 0
30 1 0 0 1 1
28 1 0 0 1 1
37 1 0 0 0 0
16 1 0 0 0 0
16 1 0 0 0 0
64 0 0 0 0 0
43 1 0 0 0 0
47 1 0 0 0 0
14 1 0 0 0 0
42 1 0 0 1 1
16 1 0 0 0 0
18 1 0 0 1 1
35 1 0 0 0 0
15 1 0 0 1 1
53 1 0 0 0 0
39 1 0 0 0 0
35 1 0 0 0 0
16 1 0 0 0 0
16 1 0 0 0 0
28 1 0 0 0 0
27 1 0 0 1 1
15 1 0 0 0 0
40 1 0 0 0 0
43 1 0 0 0 0
40 1 0 0 0 0
52 1 0 0 0 0

45 1 0 0 0 0
45 1 0 0 0 0
27 1 0 0 0 0
43 1 0 0 0 0
38 1 0 0 0 0
26 1 0 0 1 1
27 1 0 0 0 0
35 1 0 0 0 0
21 1 0 0 1 1
46 1 0 0 0 0
36 1 0 0 0 0
36 1 0 0 0 0
65 0 0 0 0 0
33 1 0 0 0 0
35 1 0 0 0 0
64 0 0 0 0 0
35 1 0 0 0 0
24 1 0 0 0 0
40 1 0 0 0 0
11 1 0 0 0 0
36 1 0 0 0 0
56 1 0 0 1 1
29 1 0 0 1 1
50 1 0 0 0 0
61 0 0 0 0 0
48 1 0 0 1 1
38 1 0 0 0 0
30 1 0 0 1 1
29 1 0 0 1 1
31 1 0 0 0 0
26 1 0 0 0 0
15 1 0 0 0 0
46 1 0 0 0 0
66 0 0 0 0 0
58 1 0 0 0 0
26 1 0 0 0 0
33 1 0 0 1 1
44 1 0 0 0 0
33 1 0 0 0 0
37 1 0 0 0 0
41 1 0 0 0 0
54 1 0 0 0 0
62 0 0 0 0 0
49 1 0 0 0 0
51 1 0 0 0 0
47 1 0 0 0 0
32 1 0 0 0 0
36 1 0 0 0 0
34 1 0 0 0 0
57 1 0 0 0 0
39 1 0 0 0 0
53 1 0 0 0 0

451 39 1 145 148

TOTAL VIAL VAKSIN (Jumlah Vial = Jum

Jumlah dosis yang dibutuhkan untuk Rencana Pemberian Dosis Sasaran
melengkapi status imunisasi Imunisasi Kejar & CR Pada Bulan Agustus

OPV IPV DPT-HB-Hib OPV IPV DPT-HB-Hib CR

0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 1 0 0 1 1
0 0 0 0 0 0 0
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 2 0 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
2 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
1 0 1 1 0 1 1
1 0 0 1 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
0 0 1 0 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 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 1
1 0 0 1 0 0 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 1 0 1 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
1 0 1 1 0 1 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 0
1 0 1 1 0 1 1
1 0 2 1 0 1 1
1 0 1 1 0 1 1
1 0 2 1 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 1 0 0 1 1
0 0 1 0 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 1 0 0 1 1
4 1 4 1 1 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
1 0 1 1 0 1 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
1 0 1 1 0 1 1
0 0 1 0 0 1 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
1 0 1 1 0 1 1
0 0 1 0 0 1 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 1
1 0 0 1 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 1 0 0 1 1
0 0 1 0 0 1 1
0 0 0 0 0 0 0
1 0 1 1 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 0 0 0 0 0
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 1 0 0 1 1
0 0 1 0 0 1 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 1
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43 1 158 39 1 145 451

AL VAKSIN (Jumlah Vial = Jumlah Total Sasaran/IP Vaksin) 5 1 37 57

 Diisi pada saat pelayanan imunisasi Kejar & CR bulan Agustus (termasuk Sweeping pada
Sasaran Apakah anak September) 2022
Suntikan Bulan sasaran BIAN (JIKA DIIMUNISASI, ISI TANGGAL PELAYANAN)
Agustus (Agustus)
OPV IPV DPT-HB-Hib

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CR OPV IPV DPT-HB-Hib

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