NO NAMA SASARAN TGL LAHIR L/P NIK ANAK

1 SYIFANA ALMAIRA 11/18/2022 P .3515135811220001

2 MELVIN 5/15/2021 L .3515011505210001
3 MOH. ZAIN ALRASYID 12/28/2022 L .3515012812220002
4 RAHMAD HIDAYATULLOH 12/17/2020 L .3515011712200004
5 M. NABIL A 4/12/2021 L .3515012903210003
6 ALMIRA YASMIN A. 11/28/2022 P .3515016811220001
7 HANIFAH 8/10/2021 P .3516085008210001
8 ALESHA YUMNA A 5/17/2021 P .3515015705210003
9 AZRIL 12/6/2022 L .3515010512220001
10 M DIDI LABIB 4/15/2022 L .3515011504220004

MARET 2023
1 SHINTA 12/7/2022 P .3515014612220002
2 TIRTA PRAWITASARI 11/14/2023 P .3515015411220001
3 DENIZ 12/1/2022 L .3515014112220001
4 MOCH ZAIN AL ROZID 12/28/2022 L .3515012812220002
5 AZRIL NOVAL 12/6/2022 L .3515010512220001
6 RAKA NADHIFA 1/5/2023 L .3515010501230001
7 KEYSILA AIQILA G 10/12/2022 P .3515015210220002
8 ARUMI ALESA R 11/11/2022 P .3576025111220003
9 ZIDANE NAZHIEF 12/1/2022 L .3515010112220003
10 DZIBAN ZAYN O 10/16/2022 L .3515011610220001

Apr-23
1 SHINTA 12/7/2022 P .3515014612220002
2 ARUMI ALESA R 11/11/2022 P .3576025111220003
3 AZRIL 12/6/2022 L .3515010512220001
4 MOCH ZAIN AL ROSID 12/28/2022 L .3515012812220002
5 DENIZ 12/1/2022 L .3515014112220001
6 OLLE ARKATAMA 1/10/2023 L .3524051001230002
7 KENZO SHAQUILLE 2/10/2023 L .3516161602230002
8 ALTA FANDRA D 12/22/2022 L .3515012212220002
9 TIRTA PRAWITASARI 11/14/2022 P .3515015411220001
10 ZIDANE NADHIF 12/2/2022 L .3515010112220003

MEI 2023
1 OLLE ARKATAMA 1/10/2023 L .3524051001230002
2 RAKA NADHIFAH 1/5/2023 L .3515010501230001
3 KENZO SHAQUILLE 2/10/2023 L .3516161602230002
4 RAYAN ADITAMA A 2/7/2023 L .3515010702230002
 5 NAHDA MAIRA 11/2/2021 P .3515014211210002
6 SEPTIANA PUTRI CLARA 9/14/2021 P .3515015309210002
7 ALTA FANDRA 12/22/2022 L .3515012212220002
8 AQILLA 11/5/2021 P .3515014511210001
9 WAFIQ RAFFA 2/13/2023 L .3515011202230002
10 AHMAD NUR ALFARIZKY 2/28/2023 L .3515012802230001

JUNI 2023
1 OLLE ARKATAMA 1/10/2023 L .3524051001230002
2 ADSILA MAUDY SHAROON 3/16/2023 P .3515015603230001
3 RAYAN ADITAMA A 2/7/2023 L .3515010702230002
4 ANISAH DYAH PITALOKA 3/20/2023 P .3515016003230001
5 KENZO SHAQUILLE 2/10/2023 L .3516161602230002
6 RAKA NADHIFAH 1/5/2023 L .3515010501230001
7 NAOMIRA YASMIN 3/16/2023 P .3515015603230002

8 ANNISA SHAZNA 1/24/2023 P .3515016401230002

9 WAFIQ RAFFA 2/13/2023 L .3515011202230002

10 AHMAD NUR ALFARIZKY 2/28/2023 L .3515012802230001

JULI 2023
1 OLLE ARKATAMA 1/10/2023 L .3524051001230002
2 ADSILA MAUDY SHAROON 3/16/2023 P .3515015603230001
3 RAYAN ADITAMA A 2/7/2023 L .3515010702230002
4 ANISAH DYAH PITALOKA 3/20/2023 P .3515016003230001
5 KENZO SHAQUILLE 2/10/2023 L .3516161602230002
6 NAOMIRA YASMIN 3/16/2023 P .3515015603230002

7 ANNISA SHAZNA 1/24/2023 P .3515016401230002

8 WAFIQ RAFFA 2/13/2023 L .3515011202230002
9 AHMAD NUR ALFARIZKY 2/28/2023 L .3515012802230001
10 M ALBIFARDZAN A 9/15/2022 L .3515011509220001
 LAPORAN KIPI FEBRUARI 2023

NAMA IBU NIK IBU ALAMAT TGL IMUNISASI

SITI NOVITASARI .3505035511960000 BLIJO 2/8/2023

NUR ALFIAH BLIJO RT.8 2/8/2023
ELI DWI S BLIJO RT.9 2/8/2023
NINIK SETARI BLIJO RT.16 2/8/2023
ASMAUL FAUZIAH SEBANI RT.23 2/10/2023
MIFTAKHUL JANNAH SEBANI RT.25 2/10/2023
SITI AZIZAH BLIJO RT.1 2/10/2023
ST NUR INAYAH BLIJO RT 1 2/8/2023
CHOIROTUN NISA BLIJO RT 4 2/8/2023
ELYS AYUNI BLIJO RT 12 2/8/2023

LISYA NUR C BLERE RT28 3/6/2023

IKA FEBRIANTI BLERE RT 26 3/6/2023
DEWI BLIJO RT 9 3/8/2023
ELLY DWI S BLIJO RT 9 3/8/2023
CHOIRUN NISA BLIJO RT 4 3/8/2023
EKA Y BLIJO RT 13 3/8/2023
ATIK BLERE RT 31 3/6/2023
SULISTYOWATI BLERE RT 27 3/10/2023
IMA M SEBANI RT 21 3/10/2023
LISYA NUR C SEBANI RT 23 3/10/2023

SANTI .3515016407990002 BLERE RT 28 4/5/2023

SULISTYOWATI BLERE RT27 4/5/2023
CHOIRUN NISA BLIJO RT 4 4/8/2023
ELY DWI S BLIJO RT 9 4/8/2023
DEWI BLIJO RT 9 4/8/2023
EKO YELLI BLERE RT 31 4/10/2023
NUR FADILAH BLIJO RT 14 4/10/2023
RATIH .3515015111900002 SEBANI RT 23 4/10/2023
IKA FEBRIANTI BLERE RT 26 4/10/2023
IMA MIFTACHUL SEBANI RT 21 4/10/2023

EKO YELLI BLERE RT 31 5/5/2023

EKA Y BLIJO RT 1 5/8/2023
NUR FADILAH BLIJO RT 14 5/8/2023
BLIJO RT13 5/8/2023
SRI WAHYUNI BLIJO RT 7 5/8/2023
LUTFIANASARI SEBANI RT 22 5/10/2023
RATIH SEBANI RT 23 5/10/2023
SRIBUDI SEBANI RT 21 5/10/2023
SUPRIASIH SEBANI RT 21 5/10/2023
ENI DWI R SEBANI RT 22 5/10/2023

EKO YELLI BLERE RT 31 6/5/2023

HENI NUR A BLIJO RT 13 6/9/2023
BLIJO RT13 6/9/2023
BLIJO RT 4 6/9/2023
NUR FADILAH BLIJO RT 14 6/9/2023
EKA Y BLIJO RT 1 6/9/2023
MEI INDAH S SEBANI RT 25 6/12/2023

YUNI SUVIANA SEBANI RT 19 6/12/2023

SUPRIASIH SEBANI RT 21 6/12/2023

ENI DWI R SEBANI RT 22 6/12/2023

EKO YELLI BLERE RT 31 7/5/2023

HENI NUR A BLIJO RT 13 7/7/2023
BLIJO RT13 7/7/2023
BLIJO RT 4 7/7/2023
NUR FADILAH BLIJO RT 14 7/7/2023
MEI INDAH S SEBANI RT 25 7/10/2023

YUNI SUVIANA SEBANI RT 19 7/10/2023

SUPRIASIH SEBANI RT 21 7/10/2023
ENI DWI R SEBANI RT 22 7/10/2023
ERTA TRI Y BLIJO RT 16 7/7/2023

JL.RAYA KEMUNING - TARIK

DIBERIKAN PARACETAMOL DAN SEMBUH
 KONDISI AKHIR
IMUNISASI YANG DIBERIKAN NOMOR BATCH
SEHAT DIRUJUK MENINGGAL
DPT 2, FOLIO 3, PCV 2 5043421,2054421,GE4176 V
DPT LANJUTAN 5043421 V
BCG, FOLIO 1 0371G019,2054421 V
DPT LANJUTAN 5043421 V
CAMPAK LANJUTAN 0121W176 V
DPT 1, PCV 1, FOLIO 2 5043421,GE4176,2054421 V
DPT LANJUTAN 5043421 V
CAMPAK LANJUTAN 0121W176 V
DPT 1,P0LIO 2,PCV 1 5043421,2054421,GE4176 V
CAMPAK 0121W176 V

DPT 2,PCV 2, POLIO 3 5043521, GE4176, 2052622 V

DPT 2,PCV 2, POLIO 3 5043521, GE4176, 2052622 V
DPT 2, PCV 2, POLIO 3 5043521, G34176 , 2052622 V
DPT 1, PCV 1, POLIO 2 5043521, GE4176, 2052622 V
DPT 2, PCV 2, POLIO 3 5043521, GE4176, 2052622 V
DPT 1, PCV 1, POLIO 2 5043521, GE4176, 2052622 V
DPT 3, POLIO 4 5043521, 2052622 V
DPT 2, PCV 2, POLIO 3 5043521, GE4176, 2052622 V
DPT 2, PCV 2, POLIO3 5043521, GE4176, 2052622 V
DPT 3, POLIO 4 5043521, 2052622 V

DPT 3, POLOI 4 5042821, 2053122 V

DPT 3, POLIO 4 5042821 , 2053122 V
DPT 3, POLIO 4 5042821 , 2053122 V
DPT 2, POLIO 3,PCV 2 5042821, 2053122, GE4176 V
DPT 2, POLIO 3 5042821, 2053122 V
BCG, POLIO 1 0371MA053, 2053122 V
BCG, POLIO 1 0371MA053, 2053122 V
DPT1, POLIO 2, PCV 1 5042821, 2053122, GE4176 V
DPT 3, POLIO 4 5042821, 2053122 V
DPT 3, POLIO 4 5042821, 2053122 V

DPT 1, POLIO2, PCV 1 5042821, 2053122, GE4176 V

DPT 1, POLIO2, PCV 1 5042821, 2053122, GE4176 V
DPT 1, POLIO2, PCV 1 5042821, 2053122, GE4176 V
DPT 1, POLIO2, PCV 1 5042821, 2053122, GE4176 V
DPT LANJ 5042821 V
DPT LANJ 5042821 V
DPT 1, POLIO2, PCV 1 5042821, 2053122, GE4176 V
DPT LANJ 5042821 V
DPT 1, POLIO2, PCV 1 5042821, 2053122, GE4176 V
DPT 1, POLIO2, PCV 1 5042821, 2053122, GE4176 V

DPT 2, POLIO 3, PCV 2 5042821, 2053722, GL6830 V

DPT 1, POLIO 2, PCV 1 5042821, 2053722, GL6830 V
DPT 2, POLIO 3, PCV 2 5042821, 2053722, GL6830 V
DPT 1, POLIO 2, PCV 1 5042821, 2053722, GL6830 V
DPT 2, POLIO 3, PCV 2 5042821, 2053722, GL6830 V
DPT 3, POLIO 4 5042821, 2053722 V
DPT 1, POLIO 2, PCV 1, RV 1 5042821, 2053722, GL6830 V
61B22073A
DPT 1, POLIO 2, PCV 1 5042821, 2053722, GL6830 V
DPT 2, POLIO 3, PCV 2, RV 2 5042821, 2053722, GL6830 V
61B22073A
DPT 2, POLIO 3, PCV 2, RV 2 5042821, 2053722, GL6830 V
61B22073A

DPT3, POLIO 4 5042821, 2053122 V

DPT2, POLIO 3, PCV 2, RV 1 5042821, 2053722, GL6830 V
DPT 3, POLIO 4 5042821, 2053122 V
DPT2, POLIO 3, PCV 2 5042821, 2053722, GL6830 V
DPT 3, POLIO 4 5042821, 2053122 V
DPT 2, POLIO 3, PCV 2, RV 2 5042821, 2053722, GL6830 V
61B22073A
DPT2, POLIO 3, PCV 2 5042821, 2053722, GL6830 V
DPT3, POLIO 4 5042821, 2053122 V
DPT3, POLIO 4 5042821, 2053122 V
CAMPAK 0121W176 V