LAPORAN BULANAN BAYI BARU LAHIR

UPTD PUSKESMAS: BENTENG JAWA BULAN FEBRUARI 2024

BAYI LAHIR HIDUP
NO KEL/DESA L P JML KET.
1 TENGKU LEDA 1 1 2
2 TENGKU LAWAR 0 1 1
3 GORENG MENI 2 0 2
4 GOLO RENTUNG 1 1 2
5 COMPANG DERU 0 1 1
6 LAMBA KELI 2 3 5
7 MENI UTARA 0 1 1
8 GOLO PALENG 2 1 3
9 GOLO MUNGA 2 0 2
Kelahiran Bulan Ini 10 9 19

Kepala UPTD Puskesmas Benteng Jawa PENGELOLA IMUNISASI

Geradus Hasu Antonius Darwin. S.Kep.,Ns

Nip.197806282002021 003 Nip. 19891182023211003
 6
7
13
13
 LAPORAN BULANAN
REKAPITULASI IMUNISASI BAYI BALITA DI PUSKESMAS DAN JEJARINGNYA
KABUPATEN MANGGARAI TIMUR
UPTD PUSKESMAS: BENTENG JAWA BULAN: FEBRUARI 2024

T. LEDA T. LAWAR GORENG MENI GOLO RENTUNG COMPANG DERU LAMBA KELI MENI UTARA GOLO PALENG GOLO MUNGA PUSKESMAS SMK ST SMAN 1 LAMBA LEDA TOTAL
BERTOLOMEUS

NO ELEMEN DATA L P L P L P L P L P L P L P L P L P L P L P L P L P L+P

0 0 0
IMUNISASI
1 HB0 (0-< 7 hari) 1 1 0 1 2 0 1 1 0 1 2 3 0 1 2 1 2 0 0 0 0 0 0 0 10 9 19
2 BCG 1 3 2 2 0 0 2 1 0 0 0 1 0 1 1 2 0 0 0 0 0 0 6 10 16
3 DPT1/Hb1-HiB 1 (Pentavalen 1) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DPT1/Hb2-HiB 1 (Pentavalen 2) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 DPT1/Hb3-HiB 1 (Pentavalen 3) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Polio 1 1 3 2 2 0 0 2 1 0 0 0 1 0 1 1 2 0 0 0 0 0 0 6 10 16
7 Polio 2 3 3 0 0 0 2 3 0 1 1 3 0 0 0 1 1 1 1 0 0 0 0 0 0 12 8 20
8 Polio 3 0 3 2 0 0 0 1 3 3 1 1 3 0 0 0 0 1 0 0 0 0 0 0 0 8 10 18
9 Polio 4 0 1 0 1 0 3 1 2 2 2 1 2 0 0 0 0 0 0 0 0 0 0 0 0 4 11 15
10 IPV 1 0 1 0 1 0 3 1 2 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 2 9 11
11 PCV 1 3 3 0 0 0 2 1 3 1 0 3 0 2 4 1 1 0 0 0 0 0 0 0 0 11 13 24
12 pcv 2 0 3 0 0 0 5 1 1 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 4 10 14
13 pcv 3 1 0 0 1 2 1 2 3 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 8 6 14
14 RV 1 3 3 0 0 0 2 1 3 1 0 3 0 2 4 1 1 0 0 0 0 0 0 0 0 11 13 24
15 RV2 0 3 0 0 0 5 3 3 1 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 5 14 19
16 RV 3 4 1 0 0 0 3 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 5 4 9
17 CAMPAK/ MR 0 1 1 2 2 0 0 2 1 1 4 2 1 0 0 2 4 2 0 0 0 0 0 0 13 12 25
18 IPV 2 0 1 1 2 2 0 0 2 1 1 4 2 1 0 0 2 4 2 0 0 0 0 0 0 13 12 25
19 Imunisasi Wanita Usia Subur (WUS)
20 TT1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 TT2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 TT3 0 2 0 0 0 2 0 0 0 0 0 1 0 0 0 2 0 1 0 0 0 0 0 0 0 8 8
23 TT4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 TT5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Imunisasi Bumil 0 0 0 0 0 0 0 0 0
27 TT 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 TT 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 TT 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 TT 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 TT 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Lanjutan DPTHBHib usia 18 bulan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Lanjutan Campak Mr usia 18 bulan 5 3 3 1 1 1 2 2 0 1 0 1 0 1 0 0 2 1 0 0 0 0 0 0 13 11 24
34 Imunisasi Dasar Lengkap 0 1 1 2 0 2 0 3 1 1 3 2 0 0 0 2 4 2 0 0 0 0 0 0 9 15 24
Kepala UPTD Puskesmas Benteng Jawa Pengelola Imunisasi

Geradus Hasu Antonius Darwin. S.Kep.,Ns

Nip.197806282002021 003 Nip. 19891182023211003
BAYI IDL FEBRUARI 2024
Tanggal Tanggal
Jenis Tanggal Tanggal Tanggal Tanggal Tanggal Tanggal Tanggal Tanggal Tanggal Tanggal Tanggal
Tanggal Tanggal Imunisasi Imunisasi Imunisasi Tanggal IDL
NO Nama Anak Kelamin Nama Orang Tua Kelurahan atau Desa Imunisasi Imunisasi Imunisasi Imunisasi Imunisasi Imunisasi Imunisasi IPV Imunisasi Imunisasi Imunisasi Imunisasi MR
Lahir Anak HB0 DPT-Hb- DPT-Hb-Hib 1
Anak BCG 1 POLIO 1 POLIO 2 POLIO 3 POLIO 4 DPT-Hb-Hib 3 1 IPV 2 PCV 1 PCV 2 1
Hib 1 2

YOSEFINA J PUTRI ARBA 2023-04-27 Perempuan 9999999999999999 KRESENSIA MELNI TENGKU LEDA 2023-04-27 2023-06-20 2023-06-13 2023-06-13 2023-07-11 2023-08-08 2023-09-12 2023-07-11 2023-08-08 2023-09-12 2023-09-12 2024-02-13 2024-02-13 2024-02-28
1
BY MARIANA YUDIT 2023-04-25 Laki-laki 5319035401870002 MARIANA YUDIT 2023-04-25 2024-03-02 2023-06-20 2023-06-20 2023-07-17 2023-08-15 2023-09-11 2023-07-17 2023-08-15 2023-09-11 2023-09-11 2024-02-12 2024-02-12 2024-02-27
2
BY METILDA E BAHAGIA 2023-05-08 Perempuan 5319034510050002 METILDA E BAHAGIA TENGKU LAWAR 2023-05-08 2024-03-02 2023-06-18 2023-06-18 2023-07-17 2023-08-14 2023-09-11 2023-07-17 2023-08-14 2023-09-11 2023-09-11 2024-02-12 2024-02-12 2024-02-27
3
BY MARIA I PATRIANI 2023-05-05 Perempuan 5319034510960002 MARIA IDA PATRIANI 2023-05-05 2024-03-02 2023-06-13 2023-06-13 2023-07-18 2023-08-15 2023-09-12 2023-07-18 2023-08-15 2023-09-12 2023-09-12 2024-02-13 2024-02-13 2024-02-27
4
BY. BERGITA MEDIA 2023-04-30 Perempuan 5315036307980001 BERGITA MEDIA 2023-04-30 2024-03-02 2023-06-08 2023-06-08 2023-07-08 2023-08-08 2023-09-08 2023-07-08 2023-08-08 2023-09-08 2023-08-28 2024-02-13 2024-02-13 2024-02-22
5
GORENG MENI
BY. YULIANA R. WATI 2023-05-12 Perempuan 9999999999999999 YULIANA R. WATI 2023-05-12 2023-06-20 2023-06-12 2023-06-12 2023-07-11 2023-08-17 2023-09-17 2023-07-12 2023-08-17 2023-09-17 2024-01-15 2024-02-12 2024-02-12 2024-02-28
6
BY. YEHESEKIEL 2023-05-26 Laki-laki 9999999999999999 OLIVA SAIMAN 2023-05-27 2023-09-26 2023-07-20 2023-07-20 2023-08-20 2023-09-20 2023-10-20 2023-08-20 2023-09-20 2023-11-20 2023-10-20 2024-02-26 2024-02-26 2024-02-26
7
BY YOSEFINA JELIMUT 2023-05-01 Laki-laki 5319026508940002 YOSEFINA JELIMUT GOLO RENTUNG 2023-05-01 2023-07-27 2023-06-22 2023-06-22 2023-07-22 2023-08-22 2023-09-22 2023-07-22 2023-08-22 2023-09-22 2023-10-22 2024-02-12 2024-02-12 2024-02-26
8
BY KENZIE ALVARO 2023-04-29 Laki-laki 5310127005962001 EMILIA HASTI 2023-04-30 2023-08-08 2023-05-30 2023-05-30 2023-07-20 2023-08-20 2023-09-20 2023-07-20 2023-08-20 2023-09-20 2023-09-20 2024-02-12 2024-02-12 2024-02-26
9
BY.EMILIANA MILDA 2023-04-20 Laki-laki 9999999999999999 EMILIANA MILDA 2023-04-20 2023-05-24 2023-05-20 2023-05-20 2023-07-11 2023-08-08 2023-09-12 2023-07-11 2023-08-08 2023-09-12 2023-09-12 2024-02-13 2024-02-13 2024-02-28
10
COMPANG DERU
BY.FRANSISKA UDIS 2023-05-03 Perempuan 9999999999999999 FRANSISKA UDIS 2023-05-03 2023-06-25 2023-06-13 2023-06-13 2023-07-11 2023-08-08 2023-09-12 2023-07-11 2023-08-08 2023-09-12 2023-09-12 2024-02-13 2024-02-13 2024-02-28
11
KAROLINA SISKA 2023-05-20 Laki-laki 9999999999999999 MARIA MADINA 2023-05-20 2023-10-26 2023-06-15 2023-06-15 2023-08-15 2023-09-15 2023-10-26 2023-08-15 2023-09-15 2023-11-16 2023-11-16 2024-02-22 2024-02-22 2024-02-26
12
MARIA MADINA 2023-05-26 Laki-laki 9999999999999999 MARIA MADINA 2023-05-26 2023-10-26 2023-07-15 2023-07-15 2023-08-15 2023-09-15 2023-10-15 2023-08-15 2023-09-15 2023-11-15 2023-11-15 2024-02-22 2024-02-22 2024-02-26
13
SELVIANA FANTI 2023-02-05 Perempuan 9999999999999999 SELVIANA FANTI KELI 2023-02-05 2023-05-02 2023-03-16 2023-03-16 2023-04-17 2023-05-17 2023-06-15 2023-04-17 2023-05-17 2023-06-15 2023-06-16 2023-11-16 2023-11-16 2024-02-26
14
FRANSISKA NURYATI 2023-05-13 Perempuan 9999999999999999 FRANSISKA NURYATI 2023-05-13 2024-03-02 2023-06-16 2023-06-16 2023-07-16 2023-08-16 2023-09-16 2023-07-16 2023-08-16 2023-09-16 2023-09-16 2024-02-12 2024-02-12 2024-02-25
15
MARIA A MUDA 2023-04-24 Laki-laki 9999999999999999 MARIA A MUDA 2023-04-24 2023-05-02 2023-05-15 2023-05-15 2023-06-24 2023-07-24 2023-08-24 2023-06-24 2023-08-15 2023-08-24 2023-08-24 2024-02-22 2024-02-22 2024-02-28
16
BY.YOHANA FITRI 2023-04-20 Laki-laki 5319036708030001 YOHANA FITRI MANJU 2023-04-20 2024-03-02 2023-07-20 2023-07-20 2023-08-19 2023-09-20 2023-10-20 2023-08-19 2023-09-20 2023-11-20 2023-10-20 2024-02-20 2024-02-20 2024-02-29
17
BY. KARMELIA KASIH 2023-04-30 Laki-laki 9999999999999999 KARMELIA KASIH 2023-04-30 2023-08-21 2023-06-20 2023-06-20 2023-07-20 2023-08-19 2023-09-20 2023-07-20 2023-08-19 2023-09-20 2023-10-20 2024-02-20 2024-02-20 2024-02-29
18
BY.ODILIA TESENG 2023-05-09 Perempuan 5310065801990001 ODILIA TESENG 2023-05-10 2023-08-21 2023-07-20 2023-07-20 2023-08-19 2023-09-20 2023-10-20 2023-08-19 2023-09-20 2023-11-20 2023-10-20 2024-02-20 2024-02-20 2024-02-29
19
GOLO MUNGA
BY.FEBIANA NADI 2023-05-04 Perempuan 9999999999999999 FEBIANA NADI 2023-05-04 2023-08-28 2023-07-13 2023-07-13 2023-08-14 2023-09-13 2023-10-13 2023-08-14 2023-09-13 2023-11-13 2023-10-13 2024-02-20 2024-02-20 2024-02-29
20
BY. FRANSISKA DIDIMAN 1 2023-05-02 Laki-laki 9999999999999999 FRANSISKA DIDIMAN 2023-05-02 2023-06-26 2023-06-20 2023-06-20 2023-07-20 2023-08-19 2023-09-20 2023-07-20 2023-08-19 2023-09-20 2023-10-20 2024-02-20 2024-02-20 2024-02-29
21
BY. FRANSISKA DIDIMAN 2 2023-05-02 Laki-laki 9999999999999999 FRANSISKA DIDIMAN 2023-05-02 2023-06-26 2023-06-20 2023-06-20 2023-07-20 2023-08-19 2023-09-20 2023-07-20 2023-08-19 2023-09-20 2023-10-20 2024-02-20 2024-02-20 2024-02-29
22
BY ENEM 2023-05-23 Perempuan 5310066107940003 ANASTASIA ENEM 2023-05-24 2023-07-22 2023-06-21 2023-06-21 2023-07-23 2023-08-25 2023-09-23 2023-07-23 2023-08-25 2023-09-23 2023-09-23 2024-02-23 2024-02-23 2024-02-29
23
GOLO PALENG
BY REN 2023-05-19 Perempuan 5319035101030001 AGNES REN 2023-05-26 2023-07-27 2023-06-13 2023-06-13 2023-07-19 2023-08-19 2023-09-23 2023-07-19 2023-08-19 2023-09-23 2023-09-23 2024-02-19 2024-02-19 2024-02-29
24

Antonius Darwin. S.Kep.,Ns

Nip. 19891182023211003
 CAKUPAN IMUNISASI LANJUTAN
BULAN FEBRUARI 2024
Tanggal Lahir Jenis Kelamin Tanggal Imunisasi Tanggal Imunisasi
No Anak Anak
Nama Orang Tua Kelurahan atau Desa Puskesmas
DPT-Hb-Hib 4 MR 2

BY.MARIA 2022-05-31 Perempuan MARIA DIRGA COMPANG DERU 2024-02-13

1 DIRGA
Rubiati latif 2022-06-15 Perempuan OKTAVIANI R SARI 2024-02-13
2
YULIANUS 2022-07-24 Laki-laki SKOLASTIKA MURNI 2024-02-13
3 ARMIN CAIN
GILBY DEON 2022-07-06 Laki-laki YULIANA ERNA 2024-02-20
4
ALEKSANDER 2022-07-24 Laki-laki MERLIANA S MIDUNG 2024-02-13
5 YASANTO BALI
TENGKU LEDA
MUHAMAD 2022-08-12 Laki-laki MELTIANA SIMIN 2024-02-20
6 NIZAM
GABRIELA S BUR 2022-07-21 Perempuan NATALIA NITA 2024-02-20
7
FRANSISKA 2022-07-25 Perempuan OKTAVIANA NITA 2024-02-20
8 JULIANI ALETA
AGUSTIAN 2022-08-04 Laki-laki MARIA SETIA WATIMA 2024-02-13
9 PUTRA TODEK
BY VERONIKA 2022-08-24 Laki-laki VERONIKA SURYANI 2024-02-15
10 SURYANI
BY. DENGA 2022-08-23 Laki-laki ANASTASIA DENGA 2024-02-12
11
TENGKU LAWAR
BY ANUT 2022-08-01 Laki-laki R. ANUT 2024-02-12
12
BY MARIA N 2022-08-07 Perempuan MARIA NOVIANA JELUHUR 2024-02-13
13 JELUHUR
BY LUSIA TUTI 2022-08-03 Laki-laki LUSIA TUTI GORENG MENI 2024-02-13
14
BY KRISTINA Y. 2022-08-01 Perempuan KRISTINA Y. JEHABU 2024-02-13
15 JEHABU
BY MARIA LEN 2022-08-10 Perempuan MARIA LEN GOLO RENTUNG 2024-02-12
16
BY ANASTASIA 2022-07-31 Laki-laki ANASTASIA IDIL 2024-02-12
17
BY VERONIKA 2022-07-23 Laki-laki VERONIKA MIRNA 2024-02-12
18 MIRNA
BY EDELTRUDIS 2022-07-31 Perempuan EDELTRUDIS ELDA 2024-02-12
19 ELDA
BY DIRGA 2022-08-17 Laki-laki AVELINA ALUT GORENG MENI UTARA 2024-02-18
20
MARIA PETUNG 2022-08-14 Perempuan MARIA PETUNG KELI 2024-02-12
21
By. Vilgula Yersi 2022-06-26 Laki-laki Vilgula Yersi GOLO MUNGA 2024-02-20
22
BY YUNITA 2022-08-03 Laki-laki YUNITA SELVIA 2024-02-20
23 SELVIA
BY. YULIANA 2022-08-18 Perempuan YULIANA FITRI 2024-02-20
24 FITRI
Kepala UPTD Puskesmas Benteng Jawa Pengelola Imunisasi

Geradus Hasu Antonius Darwin. S.Kep.,Ns

Nip.19780628 Nip. 19891182023211003