Lap. Dist. Yandu

LAPORAN HASIL DISTRIBUSI OBAT CACING PADA ANAK USIA DINI
POSYANDU/PAUD : BIBIS
JUMLAH ANAK : 18
TANGGAL DISTRIBUSI : 11/25/2016
DESA HARGOWILIS KECAMATAN KOKAP
PUSKESMAS KOKAP II
KABUPATEN KULON PROGO
TAHUN 2016
Obat Jml. Obat Diterima Jml. Obat Dipakai Sisa
Albendazole
Usia Pemberian Obat Alasan Tidak

No. Nama Anak Usia Dini L/P TGL. LAHIR diberi/
L P Ya Tidak Menolak Menolak
1 GIESYA CHESYRA P 10/3/2012 49

2 FEBRI NUR PRATAMA L 2/23/2013 45
3 ARIF ILHAM PRATAMA L 5/17/2013 42
4 MIFTASYA KHOIRUNISA P 6/8/2013 41
5 ADELIA SALFA ASHILA P 6/29/2013 40
6 FATUROHMAN ARASYID L 9/3/2013 38
7 IQBAL ARKANA SAKTIAWAN L 9/29/2013 37
8 INTAN NURAINI P 12/1/2013 35
9 JONATAN PANJI WARDANA L 8/21/2014 27
10 JIHAN NAURA L 10/17/2014 25
11 ARFA KANDRIA RABBANI L 10/29/2014 24
12 ANINDITYA SARASWATI CAN P 12/10/2014 23
13 NUR AZIZAH P 1/13/2015 22
14 ABINAYA RAINANDA L 5/5/2015 18
15 NUR ENDAH P 5/16/2015 18
16 LATIF ARKAN L 5/20/2015 18
17 ASYIFA SALSABILA P 10/31/2015 12
18 NADINE ZAHIRA P 2/12/2016 9 v
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,
Kepala UPTD Puskesmas Kokap II Penanggung Jawab
dr. Saktining Wasesa

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD :CLAPAR I
JUMLAH ANAK : 23
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 VEA BEBY CS P 11/21/2011 59

2 LAUNISSA AURIZAL P 1/26/2012 57
3 ANANDA LIKEY VL P 5/13/2012 53
4 ASAFA KIRANA P P 6/26/2012 52
5 ABY YULPAHMI L 7/14/2012 51
6 SENA ARGA FEBRIAN L 12/17/2012 46
7 M AHNAF ARKAAN L 2/11/2013 44
8 MAURA QW P 2/14/2013 44
9 DAVA NUR ARIFIN L 5/29/2013 41
10 TRI FARDANA L 8/24/2013 38
11 LATIF ZAFRONA L 1/1/2014 34
12 ERLANGGA PUTRA P L 2/3/2014 33
13 WAHID ILHAM M L 3/12/2014 31
14 ALIFYAN FATIN A P 3/22/2014 31
15 DWI DEVIANA PUTRI P 6/15/2014 28
16 DESKA GILANG DWI A L 10/21/2014 24
17 RATRI DWI H P 3/12/2015 19
18 HUSNA MARTYAS P 3/28/2015 19
19 ZAINAB SALSABILA P 7/8/2015 15
20 SEPTI P 9/28/2015 13
21 DESWIFA RAHMAWATI P 12/2/2015 11
22 UFAIRAN AISYA P 4/15/2016 6 V
23 INAIN AKMAL Z L 4/18/2016 6 V
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : CLAPAR II
JUMLAH ANAK : 20
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 NOVIYANTI S P 11/22/2011 59
2 DAFFA FIRISKY L 12/23/2011 58
3 PRIZILIA AP P 4/28/2012 54
4 ERLINDA OKTAVIANI P 10/14/2012 48
5 NAUFAL KF L 2/14/2013 44
6 AMEILIA PUTRI P 5/25/2013 41
7 SYAHIRA ZAHWA A P 12/22/2013 34
8 ALDO SETYAWAN L 12/31/2013 34
9 RAYHAN DWI P L 3/29/2014 31
10 DIANA MAEDAHWATI P 4/8/2014 30
11 ARIF DWI ZANUAR L 4/8/2014 30
12 FAUZAN L 4/25/2014 30
13 ASSIFA NUR S P 5/31/2014 29
14 CLOROLINE XENA Q P 6/25/2014 28
15 HILAL ABIYU S L 6/30/2014 28
16 KINANTHI P 1/17/2015 21
17 ZAFRAN ALFAREZE L 6/10/2015 16
18 HANUM JATI P 8/2/2015 15
19 YENI NURIZQI AP p 9/23/2015 13
20 DIAS SEKO L 12/12/2015 10 V
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ...........................
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : CLAPAR III
JUMLAH ANAK : 24
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 HAFIZH NURROHIM L 12/27/2011 58

2 ELIS KURNIAWATI P 12/29/2011 58
3 MAYLA KURNIASARI P 5/5/2012 54
4 NEIZA VIOLA A P 11/6/2012 48
5 FIFA WULANDARI P 1/3/2013 46
6 REIGA MUTIARA Z P 1/9/2013 45
7 DIMAS AKMAL A L 4/26/2013 42
8 MUH IHSAN ALFA RIZKI L 5/5/2013 42
9 MUH SUKRI BINTONO L 7/1/2013 40
10 LATIFAH NURUL R P 7/8/2013 40
11 M ALFIFAH KHOIRURIZAL L 2/21/2014 32
12 MIKAYLAISA ULFA SARI P 5/1/2014 30
13 ANAS NUROHMAN L 11/3/2014 24
14 RENDRA FAHRI HAHARDIKA L 1/9/2015 21
15 DESTA VALENT L 1/9/2015 21
16 IQBAL ROMADANI L 6/19/2015 16
17 AMANDA P 8/16/2015 14
18 KHEILA AFIFAH P 9/30/2015 13
19 SUGENG H L 10/20/2015 12
20 FATKAH UZZU FADILAN L 12/7/2015 11
21 VANESYA FEBY P 2/7/2016 9 V
22 ADEVA SHAKILA P 2/11/2016 8 V
23 IFTINA ASSYBIYA RAFI P 4/18/2016 6 V
24 EVANA FARZAN FAIZA L 5/19/2016 5 V
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : KALI BIRU
JUMLAH ANAK : 27
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 AQUIRA BALVANA H P 11/13/2011 59

2 IKHSAN PAMUJI L 2/10/2012 56
3 TIVANIA ANURELDY PUTRI A P 7/27/2012 51
4 CHEISAR NABIL RAFIF NAUFA L 9/1/2012 50
5 AZKA SATRIA NUGROHO L 11/1/2012 48
6 DELONIK REGIA VERONAKA P 11/19/2012 47
7 GOZI FAINES RAMZI L 1/3/2013 46
8 FARHAN ZAINULLOH L 3/31/2013 43
9 AHMAD UBAIDILLAH L 4/1/2013 43
10 ADELISA FIKIA MAURIN P 9/8/2013 38
11 KEFIN L 12/2/2013 35
12 IRFAN NUR HIDAYAT L 12/18/2013 34
13 BILQIS ALZAFA P 1/31/2014 33
14 AIRA NAHDA ANINDITA P 4/4/2014 31
15 NURUL AQILLA P 4/8/2014 31
16 BINTANG FAIZAL R L 4/10/2014 30
17 PANI ADITA FATMA NIGITA P 5/3/2014 30
18 RAMADANI RISKY R L 7/12/2014 27
19 SARAH NURAINI P 8/16/2014 26
20 ALMA HAFIYAH P 10/4/2014 25
21 NESYA DARA AININ ESYAL P 10/5/2014 25
22 AULIA KINAN Z P 4/28/2015 18
23 ALNAMIRA AZGIARA N P 5/1/2015 18
24 RAMADAN AH L 5/14/2015 17
25 AKBAR KUNANG ABDULLAH L 9/24/2015 13
26 KANZA SHAFIRA P 12/9/2015 11
27 ASRI AURA PUTRI P 12/16/2015 10 V
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ...........................
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : KLEPU
JUMLAH ANAK : 26
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 AZKA NUR MUSLIM P 10/11/2011 60

2 HUSNA SAFA D P 12/6/2011 58
3 ATAKA FATAH R P 12/17/2011 58
4 FEBRIAN KHOIRUNISA P 1/21/2012 57
5 DIVA KUMARA P 7/27/2012 51
6 HANIFAH INDRIANI P 9/9/2012 49
7 DAFFA SETIA LAKSANA L 4/2/2013 43
8 AQILA IZZADIN FADILLAH P 4/5/2013 42
9 ILHAM FAHRUDIN L 7/30/2013 39
10 RAKA FAHDLUROHMAN L 9/2/2013 38
11 ASHILA SYFA P 9/15/2013 37
12 KHOIROTUN NISA P 10/18/2013 36
13 EARLITA ARSYFA P 10/29/2013 36
14 NAILA SHAFANATALIA P 12/14/2013 34
15 GINA MARTA FITRIA P 8/31/2014 26
16 ANGGA REFANA L 9/6/2014 25
17 RADITYA ADI NUGROHO L 10/5/2014 24
18 ADINDA P 11/20/2014 23
19 ASHILA VIRTIASA R P 4/19/2015 18
20 AZHAR SYAMBANA L 5/6/2015 17
21 ARLAN YANU MAULANA L 5/18/2015 17
22 AMARUFI L 5/20/2015 17
23 AZALENA P 6/24/2015 16
24 NAFEEZA SHALIKHA R P 8/31/2015 14
25 NAZEERA SHALIKHA R P 8/31/2015 14
26 AZHAR SYAMBANA L
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : SIDOWAYAH
JUMLAH ANAK : 27
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 FAIZ ABDULLAH L 10/10/2011 60

2 MANDALA YENA P L 12/12/2011 58
3 FAHYATUL NUR AFIKA P 4/9/2012 54
4 AFRIZAL PIUS L L 5/3/2012 54
5 ARLITA NUR AHZAHRA P 5/22/2012 53
6 BINARDIAN TANGGUH L 6/19/2012 52
7 RAYSHA AYU P P 10/23/2012 48
8 CLARA ADE LUTFI P P 11/6/2012 48
9 NAVI HAROMI P 11/15/2012 47
10 ARGIA DWI PUTRA L 3/28/2013 43
11 ANGGITA ADI D L 6/5/2013 41
12 KEYRA SEPTA Z P 9/6/2013 38
13 LINTANG A PUTRI S P 9/12/2013 37
14 FAZA NUR AZIZAH P 11/8/2013 36
15 JULIANA SILVI R L 2/21/2014 32
16 ARJUNA YONA PS L 3/14/2014 31
17 REVYANA AULIA P 8/19/2014 26
18 INDAH ROSILA PUTRI P 3/29/2015 19
19 ZUHUD ABDULLAH T L 4/6/2015 19
20 NISRINA FAIZATUL P 7/29/2015 15
21 KAYLA GABY A P 9/23/2015 13
22 REZA FERNANDA S L 10/4/2015 13
23 ADELIA OKTAVIANA P 10/22/2015 12
24 ISAN USWATUN P 11/17/2015 11
25 ALUN ADZIKRI L 12/26/2015 10 V
26 ALTAFUNISA SAFERA Q P 2/6/2016 9 V
27 LATIFAH INDRIANA P 2/16/2016 8 V
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 20
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : SOKA
JUMLAH ANAK : 17
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 JIHAN P 12/26/2011 58
2 ANGGITA P 4/24/2012 54
3 MELISA P 5/26/2012 53
4 FANDI L 6/27/2012 52
5 SATRIYA L 10/24/2012 48
6 GIYAN ADITYA ARDANI L 11/26/2013 35
7 WENING YULIYANTI P 7/1/2014 28
8 DAFA AMINDITO L 10/1/2014 25
9 NAURA AZAHARA P 11/6/2014 24
10 AMANAH YARIS L 12/7/2014 22
11 HAIKAL ALI L 3/16/2015 19
12 EVAN ZAKI WIBOBO L 3/28/2015 19
13 ABID AQILA L 6/27/2015 16
14 FASA HUSNA P 7/4/2015 16
15 HANIFA P 12/29/2015 10 V
16 DZAKIRA ADIBA P 2/27/2016 8 V
17 AMANAH REFA P 3/24/2016 7 V
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : SREMO LOR
JUMLAH ANAK : 22
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 SULTAN RM L 11/12/2011 59
2 IKBAL ADITYA P L 11/17/2011 59
3 SEKAR DA P 11/22/2011 59
4 ANUGRAH JS L 6/4/2012 53
5 RUFIANA BEKTI WULANDARI P 6/4/2012 53
6 RAFA ARDITA L 1/25/2013 45
7 DAMAR PA L 2/4/2013 45
8 KHOLIFATUL AS P 5/8/2013 42
9 ANDIKA GUMELAR PRATAM L 11/12/2013 35
10 ANINDYA GALIH S P 1/13/2014 33
11 JAFNAH ALAYZIA P 3/14/2014 31
12 APRILIA N P 4/23/2014 30
13 MUHSIN A2 L 6/20/2014 28
14 FORADILA ZK P 8/13/2014 26
15 ULAYYA NALALAH A P 9/19/2014 25
16 M.RAFIF EMIRA L 1/22/2015 21
17 GIBRAN L 6/12/2015 16
18 KHANSA ARDHITA P 8/18/2015 14
19 CALYSTA NATHANIA W P 12/3/2015 11 V
20 ARKAN L 5/5/2016 6 V
21 KHALILAN E.Z P 5/20/2016 5 V
22 DANISH AHZA H L
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ...........................
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : SREMO TENGAH
JUMLAH ANAK : 27
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 BATRISYA AZRA Q P 11/8/2011 59

2 NINDITA SAFA NF P 12/4/2011 58
3 ANISA KHOLIFATUL P 1/7/2012 57
4 GALIH SANDIAGA L 3/4/2012 55
5 SANDRA ODARA K P 6/10/2012 52
6 DIAZ ANGGUN OKTAVIANI P 10/9/2012 48
7 EISYA ARAFAH P 11/17/2012 47
8 DIKA BAYU ANGGA REZA L 3/9/2013 43
9 MIFTA MERISKA A P 4/18/2013 42
10 FAWWAZ ARFAN N L 4/22/2013 42
11 HANDOKO DWI PRASETYO L 6/2/2013 41
12 MUHHAMAD MIRZA L 6/7/2013 40
13 FALIHAH NAILATUSY S P 8/4/2013 38
14 AISYAH AYUDIA RAFANI P 8/14/2013 38
15 KHALISA NASWA HUSNA P 8/28/2013 38
16 NOVAL MAIKEL FA L 9/15/2013 37
17 AISYAH NUR RAHMA P 9/19/2013 37
18 YASAKHA L 10/4/2013 36
19 LUBNA SYAFIYYAH A P 11/8/2013 35
20 AZNA IZZATUL SYIFA P 12/31/2013 34
21 NASYANAH SYADA A P 8/17/2014 26
22 ABIYYI TAUFIQUL L 9/17/2014 25
23 AHMAD SADEWA AJ L 11/18/2014 23
24 SANDY TRISNA D L 2/13/2015 20
25 ATHIFAH DZIKRA H P 3/27/2015 19
26 KHAIRA AININ P 12/22/2015 10 V
27 NUR ROSYID ALIHSAN P 12/23/2015 10 V
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : TEGAL REJO
JUMLAH ANAK : 23
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 TEKI NOVA U P 11/6/2011 60

2 KHILMA ANIKHOH P 4/12/2012 55
3 ANDHIKA FIKRIANSYA L 4/19/2012 54
4 NAUFAL WAHYU S L 6/13/2012 53
5 KAYLA PUTRI A2 P 8/4/2012 51
6 PANDU YOGA P L 10/31/2012 48
7 LULU LATIFAH P 11/7/2012 48
8 KENZIE PH L 11/20/2012 47
9 NUFIDA ANINDYA P 4/1/2013 43
10 ADI MAS,UD F L 5/11/2013 42
11 RAHMA FEDILA P 11/5/2013 36
12 BRYAN ALIF S L 12/22/2013 34
13 CORDILIA KHARISA P 12/26/2013 34
14 MEDHANITA FARA A P 2/17/2014 32
15 LINTANG ALI ZAKI L 5/12/2014
16 MEIDA NUR ARTA P 5/30/2014 29
17 RAFASKA BAGAS L 7/5/2014 28
18 DIMA PURWA M L 8/14/2014 27
19 ANIES AUDIANANTA L 10/30/2014 24
20 ILYASA JIBRIL L 2/2/2015 21
21 AGASTYA PRABAKES s L 2/23/2015 20
22 NUGROHO RAHFITAMA L 10/22/2015 12
23 SAYEKTI WIBOWO L 4/11/2016 7 V
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ...........................
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : TEGIRI I
JUMLAH ANAK : 34
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 MUH NABIL L 2/19/2012 56

2 SANDY KAFATUL K P 4/12/2012 54
3 LAKSAMANA LINGGA M L 5/7/2012 54
4 FITRI GUSTINA P 8/14/2012 50
5 IFA NURSILA P 8/25/2012 50
6 NAUFAL IFAT D L 9/18/2012 49
7 ZANUAR AFFANDI L 1/1/2013 46
8 RADHITIO L 1/26/2013 45
9 RAHMAT DARMAWAN L 3/17/2013 43
10 HENI NUR HAYATI P 4/2/2013 43
11 ASWAN ARROHMAN L 9/7/2013 38
12 DIMAS IRVAN S L 9/17/2013 37
13 MUHAMAD FADIL L 9/24/2013 37
14 HANIFAN ROSYID L 10/12/2013 36
15 SANDRINA OKTAVIANI P 10/27/2013 36
16 ADELIA NUR ALIZAH P 12/1/2013 35
17 NUH ADHLAN L 2/19/2014 32
18 DIMAS FAHRI A L 3/5/2014 32
19 ZAHRA SA'ADAH P 3/6/2014 32
20 FAIZA ALYA P 3/19/2014 31
21 AHYA NANDA L 5/22/2014 29
22 JIWAN NIRWALA S L 6/1/2014 29
23 HAMIZAN KR L 7/3/2014 28
24 FAREL ADNAN NUR H L 9/14/2014 25
25 DIAZ ADITYA L 11/13/2014 23
26 AHLAN HF L 1/12/2015 21
27 AINUM MA L 1/12/2015 21
28 ANANDA RAFI P L 6/5/2015 17
29 FAREN BAGAS W L 6/14/2015 16
30 ELANG GIBRAN K L 8/7/2015 15
31 RASYA NUR TAUFFILAH L 10/31/2015 12
32 CAYRA AZALIA ROSELYN P 11/2/2015 12
33 PINASTI SEKAR KINASIH P 11/5/2015 12
34 WILDAN ALFIANDRA L 12/13/2015 10 V
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Kokap, ...........................
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : TEGIRI II
JUMLAH ANAK : 30
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 DETIO L 12/30/2011 58
2 DINA P 3/18/2012 55
3 ANINDITA P 5/11/2012 53
4 INKA WIDYA P 5/20/2012 53
5 ADIT KURNIAWAN L 6/16/2012 52
6 AZAHRA P 6/20/2012 52
7 AZZAHRA RIYAI P P 6/20/2012 52
8 ALIFKA SEPTIANA P 9/25/2012 49
9 DIMAS HANUNG L 10/24/2012 48
10 FARAH L 2/12/2013 44
11 M HAFIS P 4/17/2013 42
12 RAMBOE L 5/18/2013 41
13 NAURA MEISA ANIDA F L 5/5/2014 30
14 MEISYA ARVIANDITA P 5/7/2014 30
15 NAZILA OKTA P P 10/9/2014 24
16 NAUFAN L 10/11/2014 24
17 ROYYEN L 5/7/2015 18
18 DZAIKRO ESTU ASMORO L 6/13/2015 16
19 AYSHA SALSABILA P 6/30/2015 16
20 IRHAM ADI L 7/1/2015 16
21 RAFAEL L 7/8/2015 16
22 VICKY PRADIANSYAH L 7/22/2015 15
23 AZZALFA P 8/18/2015 14
24 MUHAMMAD AL YAAS L 10/20/2015 12
25 AJENG ANDRIANA P 12/30/2015 10 V
26 AULITA GIAS C P 1/26/2016 9 V
27 FAREL REISYA P 2/22/2016 8 V
28 REINAN FS P 2/22/2016 8 V
29 FINIRA P 4/3/2016 7 V
30 ALKA L 4/19/2016 6 V
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : CRANGAH
JUMLAH ANAK : 11
DESA HARGOTIRTO KECAMATAN KOKAP
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 WAHYU EKA S P 4/20/2012 55

2 FAJAR SIFAUN H L 5/19/2012 54
3 ABID FAJAR PRATAMA L 3/28/2013 43
4 SARIFA DEVI A P 6/6/2013 41
5 WAJENDRA PARANA L 1/23/2014 33
6 CANDRA PANGESTU L 4/7/2014 31
7 FAZIL ATHAYA R L 6/5/2014 29
8 ZUFAN NUR PRASETYO L 6/5/2014 29
9 MICHELLE AYUNDA P 6/29/2015 16
10 ALIEFA HASANUL H P 10/3/2015 13
11 KAYSHA NANDA A P 2/10/2016 9 V
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : KEJI
JUMLAH ANAK : 23
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 KHOIRUNISA SALSABILA P 1/25/2012 57

2 HANUM KHOIRUL M L 2/13/2012 57
3 APRILIA BAYU SENGAJI L 4/1/2012 55
4 NA,AFIL NUR ISNANTYA L 6/30/2012 52
5 TEOVELUS VIERZA M L 9/10/2012 50
6 TALITA ARIFATUN N P 10/22/2012 48
7 DEVA ZAINUR ANAN L 12/2/2012 47
8 ANA QUROTUL UYUN P 2/5/2013 45
9 IQBAL RAYYAN R L 7/26/2013 39
10 KHANSA NADIYA A P 3/19/2014 31
11 FAIZ ZAHRA AL HANAFI L 4/16/2014 31
12 NAILA MUAZHRA P 4/28/2014 30
13 BERNICE APTAZENA P 6/20/2014 28
14 DIAH CANDRA LESTARI P 1/10/2015 22
15 EVA LEVINA ANANTA P 3/12/2015 20
16 ERNI AFRI ASTUTI P 5/5/2015 18
17 NAZNEEM EZZALEEA P 8/25/2015 14
18 HILLYA HFSHOTUL K P 10/2/2015 13
19 AHFADZ HAKIM M L 10/15/2015 13
20 CHITRA P 1/4/2016 10 V
21 AULIA IZZATUNISA P 4/12/2016 7 V
22 ANNORA GOLDIE RATUPAKSI P 6/11/2016 5 V
23 CHITRA P V
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : MENGURI
JUMLAH ANAK : 29
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 ZAQI L 1/26/2012 57
2 FADLI DIKI S L 1/29/2012 57
3 SHALA FAHADA W P 1/31/2012 57
4 MEI AMANDA E P 5/8/2012 54
5 AFIFAH NUR LAILA P 6/11/2012 53
6 ERIKA AYU ERAWATI P 10/1/2012 49
7 FAHRI RADITYA L 10/7/2012 49
8 GANY HIDAYAT L 11/4/2012 48
9 ANGGI PRATIWI P 3/12/2013 44
10 RULIF SANDARI P 3/19/2013 44
11 RASYA ARKAM L 4/10/2013 43
12 ALEX AFAANDI L 6/15/2013 41
13 RIFQON SAUGI A L 6/28/2013 40
14 ALYSA NINDA A P 8/22/2013 39
15 ARKA MAULANA F L 9/22/2013 38
16 ROHMAT HAFIF A L 7/10/2014 28
17 ALIFTA FITRI N P 8/20/2014 27
18 SHEILA ZAFIRA S P 12/23/2014 22
19 SHERLINA RAHAYU S P 4/7/2015 19
20 AHNAB BAGNI A L 7/14/2015 16
21 PUTRI NURUL ILMI L 8/4/2015 15
22 ADEEVA ZIHNI I P 9/7/2015 14
23 M ASRI AFDAL L 11/3/2015 12
24 AFIYAH NAJLA H P 12/1/2015 11
25 FATHARIAN IRHAM F L 2/2/2016 9 V
26 REFANDA ADITYA R L 5/11/2016 6 V
27 M KHALID AL QADAR L 7/11/2016 4 V
28 AFIYAH NAJLA H P
29 SHERLINA RAHAYU S P
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ...........................
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : NGANTI I
JUMLAH ANAK : 10
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 KHENZI NATHALAKSITA P 3/6/2013 44

2 MUNAJAT PRATAMA L 6/3/2013 41
3 NICO SAPUTRA ALGANI L 6/10/2013 41
4 AUWALINA SEPTININGSIH P 9/16/2013 37
5 RAZIQ HANAN L 11/23/2013 35
6 ADILA MUSHOLIQIN L 1/8/2014 34
7 NAZKA SALLY ADERAYA P 1/23/2014 33
8 SHAQILA AZAHRA P 1/25/2014 33
9 AFIFAH JUMBARINA P P 6/8/2014 29
10 AZUMIMA QUROTA YUNIN P 2/5/2016 9 V
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : NGANTI II
JUMLAH ANAK : 17
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 LATIFAH AFIAT P 12/24/2011 58

2 RIZAL ADI PRATAMA L 1/5/2012 58
3 DIALOVA P 1/15/2012 57
4 WANUDYA AYU SIFA P 5/11/2012 54
5 ADITYA L 6/25/2013 40
6 WILDAN L 8/10/2013 39
7 RESTU SENJA KINARA P 8/19/2013 38
8 DZAKIRA TALITA ZAHRA P 3/26/2014 31
9 ALIF IQBAL FAIZ L 5/13/2014 30
10 ANDIKA DWI KURNIAWAN L 6/17/2014 28
11 NADIA ASKIA P 6/22/2014 28
12 NOVIAN BAGUS B L 11/7/2014 24
13 FAHRA SALSA BELLA P 1/17/2015 21
14 SILFI NUR AZIZAH p 5/10/2015 18
15 FALDIS MARSELO L 11/10/2015 12
16 NATASYA ANDIKA PUTRI P 11/30/2015 11
17 KUFIA NAJATA P 2/11/2016 9 V
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ...........................
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : SEBATANG I
JUMLAH ANAK : 11
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 ASLANI YUSUF L 2/11/2011 68

2 ERICO YANKY A L 4/8/2012 54
3 ARVIN RADITYA P L 6/20/2012 52
4 RAFI AKBAR RADITYA L 10/16/2012 48
5 GEISHANCHOLIFATUN UMA P 1/2/2013 46
6 INDAH ASMORO WULAN P 3/5/2013 44
7 LUTFIANA NUR AZIZAH P 6/21/2013 40
8 ADILA SIQIA DEVI P 9/6/2013 38
9 RADEVA ABDI SATRIA L 5/12/2015 17
10 ADIBA SYAQILA P 6/28/2015 16
11 ZAKIYAH AULIA P 7/4/2015 16
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : SEBATANG II
JUMLAH ANAK : 18
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 LUTFI RAHMANA L 12/20/2011 58

2 NESYA WAHYU J P 3/27/2012 55
3 ARYA IHSAN SAPUTRA L 9/2/2012 50
4 RIFKA ARDIANI L P 6/26/2013 40
5 DARIF R PRADIPTA L 7/29/2013 39
6 ANINDITA ALFA S P 10/5/2013 37
7 ADINDA QANITA D P 12/14/2013 34
8 AFANDA REZA A L 3/2/2014 32
9 NASHIRUL ASROFI L 3/29/2014 31
10 KHANZA AQILA P P 4/14/2014 30
11 RIVAN WAHYU L 6/26/2014 28
12 ZILDAN DWI S L 12/13/2014 22
13 M RIAN F P 2/4/2015 21
14 DHEA ANANTHA R P 7/6/2015 16
15 ERLAN ARYA A L 8/21/2015 14
16 FAIS ATHAYA L 11/12/2015 11
17 ANANDA BAGAS L 11/13/2015 11
18 NEIL PUTRI F P 4/21/2016 6 V
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 20
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : SEGAJIH
JUMLAH ANAK : 14
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 BADRIKA NISCALA A L 9/17/2012 49

2 ARGHA DINTARA L 12/2/2012 47
3 REZA ADITYA L 3/9/2013 44
4 LATIF MAYTESAN L 5/21/2013 41
5 RAHMAT FATHAN L 1/4/2014 34
6 BELVAN DIPENDRA M L 4/7/2014 31
7 ARDIAZEL PUTRA PAMUNGK L 4/26/2014 30
8 HANA RISKA M P 11/9/2014 24
9 DWI TRI LASEHA ABADI L 11/12/2014 24
10 KEVIN L 6/26/2015 16
11 BEKTI SHOFIATUN N P 9/7/2015 14
12 GHANI L 9/9/2015 14
13 KHALIFAH ZIKRI H l 9/25/2015 13
14 CHAHNA DIRA P 11/25/2015 11
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : SEKENDAL
JUMLAH ANAK : 16
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 DAFFA SETYA WAHYU PUTRA L 12/16/2011 59

2 REXA DWI ANDIKA F L 2/11/2012 57
3 MEYSA IRVIANA AZAHRA P 5/5/2012 54
4 INTAN NAURA SAKABELA P 6/13/2012 53
5 DUDUNG AJI D L 12/7/2012 47
6 DAREL IVANDER A L 4/29/2013 42
7 MICHAEL EXCELLO L 12/4/2013 35
8 DESYA ARTIKA P 12/10/2013 35
9 AHMAD FADIL DZAKI A L 4/11/2014 31
10 ANATASYA ALISYA NP P 9/17/2014 25
11 KEYZIA ATHAYA SAFA P 10/10/2014 25
12 NANDA PRATAMA L 1/13/2015 22
13 BINTANG ISRAF IFANDRA L 3/18/2015 19
14 GRACIA P 5/1/2015 18
15 RAFKA P 9/16/2015 14
16 ANDIRA NARSIH PUTRI P 12/30/2015 10 V
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ...........................
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : SOROPATI
JUMLAH ANAK : 28
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 BAGAS AHMAD M L 12/14/2011 58

2 ALFIN ADITYA L 1/5/2012 58
3 AISYA NAFIA P 5/9/2012 54
4 ZHULFAN BANIANTA L 6/29/2012 52
5 KHOINUR AFIFAH P 10/19/2012 48
6 REYHAN YUDA P L 1/29/2013 45
7 DZAKWAN YUSUF A L 3/28/2013 43
8 AQOK WARDANA L 4/12/2013 42
9 YUDISTIRA L 5/17/2013 41
10 ATHALAMA L 9/3/2013 38
11 RISKA TLETISYA P 10/31/2013 36
12 YUAN MARCELA L 11/13/2013 35
13 ADEEBA NAURABYTA P 12/17/2013 34
14 RAKA KENZI L 1/4/2014 34
15 ATHAR ZAIDHAN A L 1/26/2014 33
16 SINDY FEBRIANATI P 2/26/2014 32
17 DEFIAN SATRIYA L 3/18/2014 31
18 NATASYA INTAN A P 4/2/2014 31
19 DIKI UJAMA L 10/19/2014 24
20 AKBAR DRAJAT KAMA S L 1/13/2015 21
21 RIFA NADA MUANA P 2/12/2015 20
22 THALITA KHANZA X P 2/18/2015 20
23 BINTANG AFHAN AHZA L 2/28/2015 20
24 MIKHA ELLA L 6/19/2015 16
25 NUANDRA L 7/10/2015 16
26 JAFNA ENGGAR Z L 11/23/2015 11
27 BRIGITA DE P 1/11/2016 10 V
28 RAUFAN FURQON AF L 3/21/2016 7 V
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : SUNGAPAN I
JUMLAH ANAK : 15
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 ANAFI THIFALZA P 2/7/2012 57

2 EDI SAPUTRO L 3/9/2012 56
3 DEVIKA AZKA P 5/18/2012 54
4 ABIDILLAH L 12/22/2012 46
5 USWATUL LAILATUL P 12/30/2012 46
6 FAHRI PA L 4/1/2013 43
7 FAIZ ADITYA S L 7/11/2013 40
8 FATHI QA P 12/4/2013 35
9 HASNA AFIFAH P 6/26/2014 28
10 NOFTIU L 11/24/2014 23
11 ABID THALWANI L 12/19/2014 22
12 RIDWAN L 9/14/2015 14
13 HAFID RAFA NAVIAN L 11/14/2015 12
14 HASNA AFIFAH P
15 NOFTIU L
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ...........................
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : SUNGAPAN II
JUMLAH ANAK : 31
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 NADZIFATUL AINUR R L 4/18/2012 55

2 JUNIKA FISTARIFA P 6/6/2012 53
3 ZULAIKA DWI F P 8/31/2012 50
4 BIRU AUFATIHAH P 9/14/2012 50
5 NOVA EGI SAPUTRA P 11/7/2012 48
6 NADA KHALIFA HONEY P 12/29/2012 46
7 ADNAN HANIF FATINUHA L 12/29/2012 46
8 IQBAL FIQAN L 1/10/2013 46
9 DIKY RAIHAN M L 4/13/2013 43
10 FARHAN NITYA SAPUTRA L 5/20/2013 42
11 WINDI NUR ASIFA P P 6/16/2013 41
12 ANINDITA KEISA ZAHRA P 9/15/2013 38
13 RAFA ADYA PRATAMA L 9/15/2013 38
14 FAHMI AZALIA DAMARA P 10/29/2013 36
15 ALIF ARYA PRADIPTA L 11/19/2013 36
16 ALIF ABDILLAH A L 12/26/2013 34
17 MARYATI DWI ASTUTI P 3/20/2014 32
18 ANGGI NAVIDA RAMADANI L 7/7/2014 28
19 SYAFA RAMADANI P 7/20/2014 28
20 ATHAYA AULIA YUNJUNG P 10/3/2014 25
21 YUSUF KHOIRUDIN L 12/21/2014 22
22 ALTAF FIKAR L 6/19/2015 17
23 FIRDHA AKIFA L 7/23/2015 15
24 ALIFAH NUR A P 9/21/2015 13
25 AHMAD ARDANI L 11/23/2015 11
26 SULAIMAN ALFARUQ L 12/13/2015 11
27 ALINE FARZANA L 1/1/2016 10 V
28 MAHIRA HASNA K P 1/30/2016 9 V
29 FERNANDA A ACHMADI L 2/1/2016 9 V
30 ALGHOZALI ROHMAN L 3/27/2016 7 V
31 AFIFATUN NAFISAH P 5/9/2016 6 V
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : TEGANING I
JUMLAH ANAK : 22
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 DWI PUTRA HAPY P 11/5/2011 60

2 FAIZ L 2/11/2012 57
3 AMALINA F P 2/28/2012 56
4 NURUL FATIMAH P 9/19/2012 49
5 AURENATA P 10/15/2012 49
6 DAMAR L 11/14/2012 48
7 HASNA P 3/4/2013 44
8 IRSYAD L 5/6/2013 42
9 AHMAD NAUFAL L 8/9/2013 39
10 DHEA AMANDA P 9/17/2013 37
11 LUTFI NUR FARIDA P 12/13/2013 35
12 FADIL L 4/17/2014 30
13 HANAN L 4/22/2014 30
14 FARIS ARDA M P 8/15/2014 27
15 KINANDA ADI T L 11/16/2014 24
16 ERISA PUSPITA P 1/10/2015 22
17 GHANIA RAAIQ L 4/26/2015 18
18 JUNA P 4/26/2015 18
19 SILVIA LIVIANA P 10/2/2015 13
20 NAURA AILANI S P 2/15/2016 9 V
21 BANU ADITYA L 2/15/2016 9 V
22 CALISTA NAJMA ORLIN P 5/22/2016 5 V
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ...........................
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : TEGANING II
JUMLAH ANAK : 21
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 KUMARA PREDITA R L 11/2/2011 60

2 NOVALIA DWI CAHYANI P 11/20/2011 59
3 SIWI KARTIKA SARI P 1/16/2012 57
4 ANAN APRILIA P 4/5/2012 55
5 ALTAF FALD ZAIN L 4/6/2012 55
6 ZADA WIRYOTEJO L 5/29/2012 53
7 RESTU NOVA P 11/2/2012 48
8 ANDIKA BP L 12/12/2012 46
9 ADINDA NAFISA P 9/5/2013 38
10 EZA TIARA S P 10/6/2013 37
11 SILVIA DWI OKTAVIAN P 10/25/2013 36
12 DENI DWI SAPUTRO L 12/7/2013 35
13 NABILAH JUNITA P P 6/3/2014 29
14 GIBRAN PRAMUDIA P 6/3/2014 29
15 NAYLA ASHAR NP P 11/8/2014 24
16 DIRA KINAR AZZAHRA l 6/24/2015 16
17 ADNAN RAMADHAN l 7/8/2015 16
18 AGEISTINA AWANDA P 8/20/2015 14
19 CITRA KHARISTYA P P 1/4/2016 10 V
20 ASSYAAF PRATAMA AR L 1/25/2016 9 V
21 ASTIN CINTYA RISQI P P 2/26/2016 8 V
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : TEGANING III
JUMLAH ANAK : 27
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 VERONIKA ADELIA S P 10/14/2011 60 V

2 IVENA P 12/17/2011 58
3 VINDA DESTAVELIA P 12/25/2011 58
4 MARSYA P 5/24/2012 53
5 ARYA NANDA P P 6/9/2012 53
6 BRIYAN PRANESYA L 7/12/2012 51
7 SATRIA PUTRA L 11/17/2012 47
8 DENI L 12/23/2012 46
9 MUHAMMAD RIFA,I L 5/8/2013 42
10 FATIN SAHIRA P 9/27/2013 37
11 AISYAH QUROTA AYUN P 2/28/2014 32
12 BILAL HANEZKY L 8/4/2014 27
13 SYAQUILA DZAKIRA L 8/29/2014 26
14 AHMAD RIKY ALFINO L 8/30/2014 26
15 KNAN MUTHI P 9/6/2014 26
16 DAFA ARFANDI L 10/21/2014 24
17 ALYCIA ASHENDA P 1/12/2015 21
18 MANDALA L 4/8/2015 19
19 DINAR GADANG L 6/8/2015 17
20 CLARA META P 6/25/2015 16
21 DEA ANANTA P 7/6/2015 16
22 ALIFAH NAUFALIN P 7/9/2015 16
23 BIMO CAHYO L 9/8/2015 14
24 NURVIA MASHAYU P 10/31/2015 12
25 ALEZHA ALULA FARZANA P 12/14/2015 10 V
26 SASI KIRANA P 1/8/2016 10 V
27 DINA KIRANA P 1/8/2016 10 V
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ...........................
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab
POSYANDU/PAUD : TIRTO
JUMLAH ANAK : 33
PUSKESMAS KOKAP II
TAHUN 2016
Albendazole

1 RISNAINI P 10/25/2011 60 V
2 CAVADISA COROLINA D P 10/31/2011 60 V
3 NANANG JATI SAPUTRA L 11/18/2011 60 V
4 INTAN RAHMAWATI P 12/18/2011 59
5 TYAS SYARITA DIANI P 3/4/2012 56
6 NABILATUS TUSHOLIKAH P 5/16/2012 54
7 EKA RISKIAN AKBAR L 7/13/2012 52
8 ALIFIA SYAFA ASHARA P 8/4/2012 51
9 NURUL FITRIANI P 9/4/2012 50
10 SALMAN ADIYAKSA L 11/7/2012 48
11 ANISA DEWI NUR AZIZAH P 1/6/2013 46
12 NINDIA KENCANA P 2/11/2013 45
13 ROID TAMAN MUAFA L 3/7/2013 44
14 AZAKA KHALIQA DZAHIN P 3/27/2013 43
15 ALIF NUR EFENDI L 5/10/2013 42
16 ANIDA IZZOTUNNISA P 5/18/2013 42
17 ANGGITA SYASI KHIRANA P 8/14/2013 39
18 SEPTIANA LESTARI P 9/23/2013 37
19 ZAHIRA AZHAR NAFISAH P 10/20/2013 37
20 FIDELA LATIFAH P 11/20/2013 36
21 RIYANDIKA L 12/9/2013 35
22 ANDREAS K L 2/13/2014 33
23 ZAKY AFPAN L 3/12/2014 32
24 ANTON FAUZI L 11/19/2014 24
25 ASNA MULAS ARROFI L 12/3/2014 23
26 AIKO ABINA RAMANIYA P 3/10/2015 20
27 ANATASHA ANGGITA P 4/15/2015 19
28 MEILA USWATUN P 5/2/2015 18
29 ARDA AFIFAH P 5/26/2015 17
30 NAYLA ARYUNI W P 6/7/2015 17
31 FIDHELIO Z.A L 8/6/2015 15
32 AZAM RA'ID PRADIPTA L 9/8/2015 14
33 QURTAN TIRTA WIJAYA L 1/22/2016 9 V
34
35
36
37
38
39
40
41
42
43
44
45
Kokap, ........................... 2016
Mengetahui,

NIP. 19761014 200701 2 006
Kejadian Ikutan
ap, ........................... 2016
anggung Jawab

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LAPORAN HASIL DISTRIBUSI OBAT CACING PADA ANAK USIA DINI

Usia Pemberian Obat Alasan Tidak

1 GIESYA CHESYRA P 10/3/2012 49

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 VEA BEBY CS P 11/21/2011 59

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 HAFIZH NURROHIM L 12/27/2011 58

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 AQUIRA BALVANA H P 11/13/2011 59

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 AZKA NUR MUSLIM P 10/11/2011 60

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 FAIZ ABDULLAH L 10/10/2011 60

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 BATRISYA AZRA Q P 11/8/2011 59

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 TEKI NOVA U P 11/6/2011 60

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 MUH NABIL L 2/19/2012 56

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 WAHYU EKA S P 4/20/2012 55

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 KHOIRUNISA SALSABILA P 1/25/2012 57

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 KHENZI NATHALAKSITA P 3/6/2013 44

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 LATIFAH AFIAT P 12/24/2011 58

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 ASLANI YUSUF L 2/11/2011 68

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 LUTFI RAHMANA L 12/20/2011 58

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 BADRIKA NISCALA A L 9/17/2012 49

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak

1 DAFFA SETYA WAHYU PUTRA L 12/16/2011 59

dr. Saktining Wasesa

Usia Pemberian Obat Alasan Tidak