PENCATATAN IMUNISASI RUTIN BAYI/BATITA DI UNIT PELAYANAN

NAMA UNIT PELAYANAN KESEHATAN : RS Camatha Sahidya

BULAN : Juni TAHUN :2017

TANGGAL IMUNISASI

TANGGAL
NO NAMA BAYI/BATITA L/P LAHIR NAMA IBU ALAMAT KELURAHAN
HB (0-7 HARI) BCG POLIO 1 DPTHB-Hib 1 POLIO 2 DPTHB-Hib 2 POLIO 3 DPTHB-Hib 3 DPTHB 3 POLIO 4 CAMPAK

Mangsang Permai
1 By Ny Novelly L 6/21/2017 Nevelly 6/21/2017 6/21/2017
No 65 Tj Piayu

2 By Ny Rusianti P 6/19/2017 Rusianti Perum Marina View' 6/21/2017 6/21/2017

Perum bukit
3 By Ny Siti Anisah L 6/19/2017 Siti Anisah 6/21/2017 6/21/2017
Barelang

4 By Ny Santi P 6/19/2017 Santi Bida Ayu 6/21/2017 6/21/2017

5 By Ny Priska L 6/19/2017 Priska Ruli Bumi Permai 6/21/2017 6/21/2017

6 By Ny Rosika P 6/19/2017 Rosika Pulau Sembut 6/21/2017 6/21/2017

7 By Ny Debora P 6/19/2017 Debora Putra Jaya 6/21/2017 6/21/2017

Perum Puri
8 By Ny Rika Wardani P 6/21/2017 Rika Wardani Kharisma Blok A no 6/21/2017 6/21/2017
18

9 By Ny Titi Mani L 6/20/2017 Titi Mani Pancur Pelabuhan 6/21/2017 6/21/2017

10 By Ny Roslina L 6/19/2017 Roslina T Cipta Asri 6/21/2017 6/21/2017

11 By Ny Rosmaidah P 6/19/2017 Rosmaidah Kav Baru Sei Daun 6/21/2017 6/21/2017

12 By Ny Numala L 6/19/2017 Numala Kav Polordu 6/21/2017 6/21/2017

13 By Ny Ana P 6/19/2017 Ana Perum BAP 6/21/2017 6/21/2017

14 By Ny Kartika L 6/22/2017 Kartika mangsang Permai 6/22/2017 6/24/2017

15 By Ny Masniar P 6/22/2017 Masniar Kota Mas Marina 6/22/2017 6/23/2017

By Ny Lima Lima Perum Kopkar Pln

16 P 6/22/2017 6/22/2017 6/23/2017
Sihombing Sihombing Blok D

By Nyn Kristiani Kristiani Komp MKGR Blok

17 L 6/22/2017 6/22/2017 6/28/2017
Mardiana Mardiana B No 12

PJB Thp 2 Blok D

18 By Ny Nurhalima P 6/22/2017 Nurhalima 6/22/2017 6/23/2017
No 24

Graha Namarina C4
19 By Ny Natalia L 6/22/2017 Natalia 6/22/2017 6/23/2017
No 24
Ruli Kampung
20 Nby Ny Novita Sari L 6/20/2017 Novita Sari Bintang Bintang Tj 6/22/2017 6/22/2017
Uncang

21 By Ny Rusmiati L 6/20/2017 Rusmiati Tembesi I Lestari 6/22/2017 6/22/2017

 Bengkong Mahkota
22 By Ny Rininta L 6/20/2017 Rininta 6/22/2017 6/22/2017
blok C No 42

Ruli Bida Ayu Blok

23 By Ny Ina Sianipar L 6/20/2017 Ina Sianipar 6/22/2017 6/22/2017
D

Cendana Thp 1 Blok

24 By Ny Silvia Yuni P 6/20/2017 Silvia Yuni 6/22/2017 6/22/2017
A

Komplek Pertamina
25 By Ny Siti Marima P 6/20/2017 Siti Marima 6/22/2017 6/22/2017
2 Kabil

By Ny Feronika Feronika Kav Bida Ayu blok

26 L 6/20/2017 6/22/2017 6/22/2017
Sembiring Sembiring B No 5

Perum Bumi Sukma

27 By Ny Erni Wilis L 6/20/2017 Emi Wilis Blok Maiwah II No 6/22/2017 6/22/2017
21

28 By Ny Zarianti L 6/23/2017 Zarianti Perum Cipta Asri 6/23/2017 6/25/2017

29 By Ny Rahmawati P 6/23/2017 Rahmawati Pondok Pratiwi 6/23/2017 6/23/2017

30 By Ny Orenita P 6/23/2017 Orenita Perum Suka Maju 6/24/2017 6/23/2017

31 By Ny Chici P 6/23/2017 Chici Taman Anugrah 6/24/2017 6/25/2017

32 By Ny Nur Aziza L 6/24/2017 Nur Aziza PJB 2 Blok W 4 6/25/2017 6/27/2017

33 By Ny Rapmawati L 6/24/2017 Rapmawati Asmil Yonif 6/25/2017 6/27/2017

Sungai Raya Kec

34 By Ny Yohana P 6/24/2017 Yohana 6/26/2017 6/28/2017
Galang

Taman Lestari Blok

35 By Ny Ezi Arifa P 6/26/2017 Ezi A 6/26/2017 6/28/2017
B7 No 2

36 By Ny Rinda P 6/26/2017 Rinda Perum Pemda 7 6/26/2017 6/28/2017

37 By Ny Rina P 6/26/2017 Rina Piayu Asri 6/26/2017 6/28/2017

Perum muka Kuning

38 By Ny Ennis P L 6/26/2017 Ennis P 6/27/2017 6/29/2017
Pratama Blok G

39 By Ny Siti Solehah P 6/27/2017 Siti Solehah Tembesi Sidomulyo 6/27/2017 6/29/2017

Piayu bidadari Blok

40 By Ny jumriani P 6/27/2017 Jumriati 6/27/2017 6/29/2017
A No 88

41 By Ny Jayanti L 6/27/2017 Jayanti Kav Kamboja 6/27/2017 6/29/2017

42 By Ny Suryani L 6/27/2017 Suryani Kav Sei Lekop 6/27/2017 6/29/2017

Perum Buana
43 By Ny Deni P 6/28/2017 Deni Impian 2 Blok 6/28/2017 6/29/2017
Fantasy I/15

Perum Taman
44 By Ny Amalia L 6/28/2017 Amalia 6/28/2017 6/30/2017
Carina blok 16

45 By Ny Cici A P 6/29/2017 Cici Puri Mas C/15 6/29/2017 7/1/2017

46 By Ny rina P 6/29/2017 Rina MKP Blok N 6/29/2017 7/1/2017

Graha Nusa batam

47 By Ny iin P 6/30/2017 Iin 6/30/2017 7/2/2017
Q 31'
48 by Ny Suriati L 6/30/2017 Suriati Rusundoa Fanindo 6/30/2017 7/2/2017

49 by ny Nur Cahaya p 6/30/2017 Nur cahaya Mangsang Permai 6/30/2017 7/2/2017

Perum Taman Cipta

50 by Ny Mariati P 6/30/2017 Mariati 6/30/2017 7/2/2017
Asri

51 By Ny Cindy L 5/8/2017 Cindy Batu Aji 6/5/2017

52 By Ny Endang P 6/1/2017 Endang Tj Piayu 6/5/2017

53 By Ny Maini L 6/1/2017 Maini Batu Aji 6/5/2017

54 By Ny Relawati P 6/2/2017 Relawati Batu Aji 6/6/2017

55 By Ny Sri M L 6/2/2017 Sri M Tj Piayu 6/6/2017

56 By Ny Ermani L 6/4/2017 Ermani Bida Ayu 6/9/2017

57 By Ny Itta L 6/10/2017 Itta Bida Ayu 6/22/2017

58 By Ny Yanti P 5/2/2017 Yanti Batu Aji 6/2/2017

59 By Ny Pepi L 6/3/2017 Pepi Batu Aji 6/6/2017

60

Mengetahui, Batam,
Pimpinan Penanggung Jawab Laporan

____________________________ _________________________
Dr. Dr. Ibrahim, SH, MSc, MKn, Mpdked Richard Rikardo, Amd. RM
DPTHB-Hib CAMPAK
LANJUTAN LANJUTAN
( USIA 18 ( USIA 2
BULAN ) TAHUN )