Scribd Logo
Upload

Welcome to Scribd!

  • Form Laporan Kipi-32

    Uploaded by

    puskesmas tarik
    6 views6 pages
    The document contains a list of 21 individuals with their names, dates of birth, gender, and identification numbers. It also includes tables with information about immunizations received by individuals, including the names and identification numbers of mothers, their addresses, dates of immunization, types of immunizations received and batch numbers. The final section notes the health status after immunization for each individual.

    Original Description:

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The document contains a list of 21 individuals with their names, dates of birth, gender, and identification numbers. It also includes tables with information about immunizations received by individuals, including the names and identification numbers of mothers, their addresses, dates of immunization, types of immunizations received and batch numbers. The final section notes the health status after immunization for each individual.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views6 pages

    Form Laporan Kipi-32

    Uploaded by

    puskesmas tarik
    The document contains a list of 21 individuals with their names, dates of birth, gender, and identification numbers. It also includes tables with information about immunizations received by individuals, including the names and identification numbers of mothers, their addresses, dates of immunization, types of immunizations received and batch numbers. The final section notes the health status after immunization for each individual.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 6

    NO NAMA SASARAN TGL LAHIR L/P NIK ANAK

    1
    2 Albirru 9/3/2021 L 3515010309210002
    3 M.Rafasya 12/10/2022 L 3515011012220001
    4 M.Dzikrillah 12/3/2022 P 35150103122200004
    5 Dinda Sheryl 10/24/2022 P 3515016410220001
    6 M.Azka 8/19/2021 L 3515011908210001
    7 Nashmia 12/15/2022 P 3515015512220001
    8 Mackenzi 11/1/2022 L 3515010111220002
    9 Kenzo 12/28/2022 L 3515012812220001
    10
    11
    12 Ammar Yusuf 10/17/2022 L 3515011710220002
    13 M.Rafasya 12/10/2022 3515011012220001
    14 M.Dzikrillah 12/3/2022 35150103122200004
    15 Kenzo 12/28/2022 3515012812220001
    16
    17
    18 Kenzo 12/28/2022 ,3515012812220001
    19 Kanezka 2/13/2023 ,3515011302230001

    20 Eleeya 2/1/2023 ,3525154102230002


    21 Cello 11/29/2022 ,3515012911220001

    1 Kanezka 2/13/2023 ,3515011302230001


    2 Neandro Sabian 1/7/2023 ,3515012701230001
    3 Eleeya 2/1/2023 ,3525154102230002

    1 Nadin ,26/01/23 ,3515016601230001


    2 Nadya 12/29/2023 ,3515016912210001
    3 Niyara 10/7/2021 ,3515014710210002
    4 Fahreza 4/20/2023 ,3515012004230001
    5 Kanezka 2/13/2023 ,3515011302230001
    6 Salsabilla 12/23/2023 ,3515016312210002
    7 Bagas 12/18/2023 ,3515011812210001
    LAPORAN KIPI

    NAMA IBU NIK IBU ALAMAT TGL IMUNISASI

    Maret 2023
    Ika Shinta 3515016503970001 Slawe 3/10/2023
    Endang 3509056701940002 Slawe 3/10/2023
    Anita Putri 3515015307940001 Macekan 3/10/2023
    Siti Agustin 3515015808920003 Macekan 3/10/2023
    Fitri Romdiyah 3518166212000001 Slawe 3/10/2023
    Siti Aisyah 3514164512940021 Bl.Kangkung 3/10/2023
    Rosita 3515014105970002 Bl.Kangkung 3/10/2023
    Rona 3515155204820002 Bl.Gabus 3/10/2023

    Apr-23
    Ana Rahmawati 3515014212970001 Slawe 4/10/2023
    Endang 3509056701940002 Slawe 3/10/2023
    Anita Putri 3515015307940001 Macekan 3/10/2023
    Rona 3515155204820002 Bl.Gabus 3/10/2023

    Mei 23
    Rona ,3515155204820002 Bl.Gabus 5/10/2023
    Dyaz ,3515015110960001 Bl.Gabus 5/10/2023

    Khoidiroh ,3515015404000002 Slawe 5/10/2023


    Nur Rohmawati ,3515014301960001 Slawe 5/10/2023

    Juni 23
    Dyaz ,3515015110960001 Bl.Gabus 6/10/2023
    Fajar Mentari ,3515016911920001 Bl.Gabus 6/10/2023
    Khoidiroh ,3515015404000002 Slawe 5/10/2023

    Juli 23
    Novita Sari ,3510015110950001 Macekan 7/10/2023
    Rohmatul Hidayah ,3515014508900001 Slawe 7/10/2023
    Siti Machmudah ,3515015603890004 Slawe 7/10/2023
    Indah Ayu Lestari ,3515026001010002 Macekan 7/10/2023
    Dyaz ,3515015110960001 Bl.Kangkung 7/10/2023
    Nur Komaria ,3515015808870002 Bl.Kangkung 7/10/2023
    Yuli ,3509104607920006 Bl.Kangkung 7/10/2023

    Agustus
    KONDISI AKHIR
    IMUNISASI YANG DIBERIKAN NOMOR BATCH
    SEHAT DIRUJUK MENINGGAL

    DPT 4 5043521 v
    DPT/HIB 2 5043521 v
    DPT /HB 2 5043521 v
    DPT /HB 3 5043521 v
    DPT 4 5043521 v
    DPT /HB 2 5043521 v
    DPT /HB 3 5043521 v
    DPT /HB 1 5043521 v

    DPT /HB 3 5042821 v


    DPT /HB 3 5042821 v
    DPT /HB 3
    DPT /HB 3

    DPT /HB 3 5042821 v


    DPT /HB 1 5042821 v

    DPT /HB 2 5042821 v


    DPT /HB 3 5042821 v

    DPT /HB 2 5042821 v


    DPT /HB 3 5042821 v
    DPT /HB 3 5042821 v

    DPT /HB 3 5043121 v


    DPT /HB 4 5043121 v
    DPT /HB 4 5043121 v
    DPT /HB 1 5043121 v
    DPT /HB 3 5043121 v
    DPT /HB 4 5043121 v
    DPT /HB 4 5043121 v

    You might also like