DATA BAYI UMUR 0 - 11 BULAN DESA

JUMLAH SASARAN SWEEPING DOFU

NO NAMA BAYI TANGGAL LAHIR ALAMAT
DPT/HB-HIB POLIO
1 2 3 1 2 3
1 Abd.hakam 13 Desember 2015 Tambaagung 12/3 14/4 13/6 13/1 12/3 14/4
2 Mar'atut Thaibah 2 Januari 2016 Tambaagung 12/3 12/5 13/6 11/2 12/3 12/5
3 Miftahul Ulum 5 Januari 2016 Tambaagung 12/3 12/5 13/7 11/2 12/3 12/5
4 M.Nurul Ilyas 19 Februari 2016 Tambaagung 13/6 15/8 14/4 13/6 15/8
5 Moh.Fahmi 2 Maret 2016 Tambaagung 13/6 15/8 17/10 14/4 13/6 15/8
6 Nafa Shaniatus 15 Maret 2016 Tambaagung 13/7 14/9 17/10 14/4 13/7 14/9
7 Bukhori Bardibas 21 Mei 2016 Tambaagung 15/8 17/10 21/6 15/8 17/10
8 Nurul Kamalia 1 Juni 2016 Tambaagung 15/8 14/9 17/10 8/7 15/8 14/9
9 M.Anwari Abror D 8 Juli 2016 Tambaagung 17/10 15/8 17/10
10 Siti Aisyah 1 Agustus 2016 Tambaagung 17/10 10/9 17/10
11 Soffan 13 Sept. 2016 Tambaagung 13/10
12 Faiqotul bariroh 3 Januari 2016 Candi 10/3 11/4 9/6 10/2 10/3 11/4
13 Iftitahatun N 1 Januari 2016 Candi 10/3 11/4 10/5 10/2 10/3 11/4
14 Ma'lufatun N 17 Maret 2016 Candi 9/6 11/7 10/8 14/4 9/6 11/7
15 Aisyatul Kamalia 17 Mei 2016 Candi 10/8 10/9 12/10 9/6 10/8 10/9
16 Fabikah Rayatun N 20 Juni 2016 Candi 10/9 12/10 20/7 10/9 12/10
17 M.Fahmi 13 Sept. 2016 Candi 12/10
18 M.Ali Hoil 14 Desember 2015 Campalok 11/3 13/4 11/6 14/1 11/3 13/4
19 Bahiyyah 14 Desember 2015 Campalok 11/3 13/4 11/6 14/1 11/3 13/4
20 Lailatul Fajriyah 6 Januari 2016 Campalok 13/4 11/6 13/8 15/2 13/4 11/6
21 Ahmad mahsus 6 Januari 2016 Campalok 13/4 11/6 12/7 15/2 13/4 11/6
22 Nurazizah 3 Februari 2016 Campalok 13/4 11/6 13/8 11/3 13/4 11/6
23 Moh.Rizal 20 Februari 2016 Campalok 11/6 13/8 13/10 13/4 11/6 13/8
24 Rofiqotus saadah 8 Maret 2016 Campalok 12/7 13/9 13/10 13/4 12/7 13/9
25 M.Amil Faqih 3 Maret 2016 Campalok 12/7 13/8 13/9 21/6 12/7 13/9
26 Hafida 19 Mei 2016 Campalok 12/7 13/9 13/10 21/6 12/7 13/9
27 Moh.Mahrus Ali 18 Mei 2016 Campalok 12/7 13/8 13/10 21/6 12/7 13/8
28 Akmal Syarrif 19 Mei 2016 Campalok 13/9 12/7 13/9
29 Ahmad S 16 Juni 2016 Campalok 13/9 20/7 13/9
30 Moh.Imamul H 17 Juli 2016 Campalok 13/10 13/10 13/10

31 Moh.Aidil 5 Juli 2016 Campalok 13/10 13/8 13/10

32 M.Romdan 8 Agustus 2016 Campalok 13/9
33 Wais Al Qurni 9 Agustus 2016 Campalok 13/9
34 M.Arsil Adim 17 Oktober 2016 Campalok 13/10
35 By Suaibah 7 Oktober 2016 Campalok
36 By Saniyah 7 Oktober 2016 Campalok

MENGETAHUI
KEPALA PUSKESMAS AMBUNTEN
dr.ARIYANIS RASDYAHATI
NIP.19790117 200901 2 003
ULAN DESA TAMBAAGUNG ARES

EEPING DOFU 0 - 11 JUMLAH SASARAN SWEEPING DOFU 1-3 [blm IDL] JUMLAH SASARAN BATITA
OLIO DPT/HB-HIB POLIO DPT/HB-HIB CAMPAK
CAMPAK CAMPAK
4 1 2 3 1 2 3 4 4[BATITA] BATITA
13/6 14/9
13/6 17/10
13/7 17/10

17/10
17/10

17/10

9/6 12/10
10/5 12/10
10/8
12/10

11/6 13/10
11/6 13/10
13/8 13/10
12/7 13/10
13/8
13/10
13/10
13/10
13/10
13/10

KOORDINATOR IMUNISASI
 WAHID HASYIM
NIP.19650812 198701 4 016