LAPORAN VACSINASI BCG 2018

NAMA IBU
NO NAMA L/P TGL LHR
NAMA AYAH
1 Alita P 12/3/2017 Wita/Saipui
2 Nada P 12/6/2017 Januari E.S./Sopian
3 Aurelia P 11/28/2017 Viska/Doui J.
4 Sakita P 11/21/2017 Jauhari/Miranda
5 Louis L 12/1/2017 Festiana/Gratianus
6 M. Zaki L 12/14/2017 Yena/Mushanudin
7 Nadira P 11/15/2017 Reski/Oki
8 Salsa P 11/15/2017 Yulia/Supriyanto
9 Maqsila P 12/12/2017 Lisa/Risal
10 Reyhan L 11/23/2017 Sinta/Azra

1 Varen L 12/27/2017 Marlina/Kusnadi

2 Keyre p 1/11/2018 Emi/Sandi
3 Glorio L 12/27/2017 Dewi/Tulus
4 Arisha P 1/12/2018 Putri/Yuda
5 Elvina p 1/5/2018 Erviana/Elmandoni
6 Farel L 12/21/2017 Fitri/Doni
7 Habroda L 1/7/2018 Eti/Irzan
8 M. Natan L 1/11/2018 Eka /Hendri
9 Rechita P 1/2/2018 Lidia/Cherli
10 Sefania P 1/11/2018 Meling/Saksen
11 M. Alkenzo L 12/16/2017 Rosnawati/Arianto

1 Kayla P 2/2/2018 Asih/Hadi

2 M. Fadila L 2/6/2018 Melia/Ahmad
3 Reline P 1/15/2018 Yuli/Reno
4 Rafta L 2/2/2018 Fitri/Budi
5 Naura P 2/3/2018 Maya/Iwan
NAMA IBU
NO NAMA L/P TGL LHR
NAMA AYAH
6 Kanaya P 2/10/2018 Evi S/Suherman
7 Tisya P 2/8/2018 Yustina/Dendi
8 M. Gerflana L 1/31/2018 Yuliana/Wari
9 Charitsa P 2/1/2018 Restu/Adil
10 Chiko L 1/25/2018 Rido/Niar

1 Alfana P 2/7/2018 Maya/Diki

2 Farren L 12/26/2017 Marlina/Hendi
3 Sakela P 2/27/2018 Mardiana
4 Muhamad L 3/8/2018 Indah/Dedi
5 Arisyla P 2/18/2018 Yasmin/Yuanasta
6 Joey Devin L 2/24/2018 Dhanti/Johan

1 Michael L 4/2/2018 Meri/Harsono

2 M. Nawal P 4/14/2018 Lia/Miftah
3 Elfandra L 3/16/2018 Intansari/Kiki
4 Paskah L 4/1/2018 Yuli/Ferdrez
5 Rafkah L 23-Feb Safitri/Herman
6 Kayla P 3/16/2018 Lina S./Riko

1 Amelia P 5/2/2018 Emilda/Nasrum

2 Azzarah P 5/5/2018 Rindu/Anggita
3 M. Azam M. L 5/10/2018 Linda/Welhenari
4 Maxilianus L 4/9/2018 Mila/Sulis
5 Armando L 5/5/2018 Apriyanti/Ari
6 Shakila P 5/5/2018 Ria/James

1 Afdan L 4/22/2018 Ningsih/Junaidi

2 Risky R L 5/26/2018 Wini/Aldi
3 Winola P 6/3/2018 Willa/Fadely
4 M. Arfan L 6/2/2018 Fiana/Sarki
NAMA IBU
NO NAMA L/P TGL LHR
NAMA AYAH
 LAPORAN VACSINASI BCG 2019

NAMA IBU
NO NAMA L/P TGL LHR
NAMA AYAH
ASI BCG 2018

NO VAC
ALAMAT TPV
TGL EXP
Gg Binjai Pangkal Baru 1/13/2018
Jl. Rumbia I0/2 kel Asam 1/13/2018
Jl Batin ISO 5/2 Kel Pintu Air 1/13/2018
Jl Udelimasam5/2 Kel Giri maya 1/13/2018
Jl Akasia II 2/3 B Merapin 1/13/2018
Jl Kopi 8/3 Kel. G. Mada 1/13/2018
Perumnas Kace 1/13/2018
Jl Sungai Selan-Sp Katis 1/13/2018
Jl. Fatmawati 7/4 Tampak 1/13/2008
Jl. Nanas I 1/2 Kel Gajah Mada 1/13/2018

Dusun Kemuja 2/13/2018

B Menang-Sungai Selan 2/13/2018
Perum Tunas Ilalang blok 47 2/13/2018
Jl Gaudarla II Kepedang 2/13/2018
Jl. Nanasa II7/3 Kel Kramat 2/13/2018
As Ar Medang 2/13/2018
Jl. RE Martadinata 1/1 2/13/2018
Jl. Ahmad Dahlan 8/2 Kel Asam 2/13/2018
Jl. J. Sudirman Kel. Msaj Jamik 2/13/2018
Dusun Pedindang 2/13/2018
Dusun Terak 2/13/2018

Jl. Solihin GP Kel. Asam 3/13/2018

Dusun Kace 3/13/2018
Jl. Lumba-lumba3/1 P. Lalang 3/13/2018
G F Radij Mangkol 3/13/2018
Jl. Abdul Somat 49 Kel Asam 3/13/2018
NO VAC
ALAMAT TPV
TGL EXP
Jl. Kamp Melayu Dlm1/1Garungang 3/13/2018
Air Mawar 8/3 Bacang 3/13/2018
Dusun Air Musu 3/13/2018
Jl. Jati2/3 Gg Merapin 3/13/2018
Dusun Terak 3/13/2018

Dusun Jelutung 4/13/2018

Jl. Iman8/3 Kel. Gajah Mada 4/13/2018
Jl Nanas III Kel. Keramat 4/13/2018
Jl. Dekamir2/1 Pintu Air 4/13/2018
 Jl. Elang II B. Merapin 4/13/2018
Jl. Akasia III no 40 B. Merapin 4/13/2018

Jl. Batu Giok 7/3 Giri Maya 5/14/2018

Jl. Pelangi / Kampak 5/14/2018
As Kerabut Jerambah Gantung 5/14/2018
Jl. Pahlawan XII 7/3 Kec Pedang 5/14/2018
Kace Timur 5/14/2018
G. Baru 5/14/2018

Jl Irian Gg Melinjo5/2 G. Mada 6/14/2018

Kec Pangkalan Baru 6/14/2018
Jl SMA III Kel. Keramat 6/14/2018
Jl. Sol. GP,Gg Pisang6/2Kel. Asam 6/14/2018
Jl. Belimbing 7 6/2 Kel. Bintang 6/14/2018
Jl. Pahlawan XII1/1 Kec. Pedang 6/14/2018

Jl. Irian 3/2 Kel G. Mada 7/14/2018

Dusun Terak 7/14/2018
Jl. Abd. Somat 2/1 Kel Asam 7/14/2018
G. Hayati. Kace Timur 7/14/2018
NO VAC
ALAMAT TPV
TGL EXP
ASI BCG 2019

NO VAC
ALAMAT TPV
TGL EXP
 HASIL ANALISA INDIKATOR PADA DATA PASIEN TB/TRIWULAN TH 20

BULAN INDIKATOR

JAN-MART 1
2
3
4
5

APR-JUN
1
2
3
4
5

JUL-SEP
1
2
3
4
5

OKT-DES
1
2
3
4
DA DATA PASIEN TB/TRIWULAN TH 20..............

CAPAIAN TARGET KETERANGAN

 PEMBERIAN INH PROFILAKSIS

NO
NO TGL NAMA UMUR P/L THERAPY
RM
OFILAKSIS

ALAMAT KETERANGAN
 LEMBAR EKSPIDISI 2018

TGL TGL PARAF PARAF

NO JENIS EKSPIDI
KIRIM TERIMA PENGIRIM PENERIMA
 LAPORAN VACSINASI BCG 2017

NAMA IBU
NO NAMA L/P TGL LHR
NAMA AYAH
1 KENZO L 10/21/2016 INDAH / ALIONG
2 PITON L 11/18/2016 MENITA / TEGAR
3 CARISA P 11/24/2016 FERA / PENDI
4 ARKADI L 11/24/2016 INDAH / AGUS
5 NAKESIA P 11/14/2016 ENI / PAJERI
6 ARSYILLA P 11/30/2016 NURHALIMA / TEDI
7 ADIFA L 12/2/2016 RENI / ANGGA

1 GIOVANO L 12/25/2016 FIFI / SUKARI

2 GEOVAN L 12/2/2016 AGUSTINA / YAKOBUS
3 ALDAN L 1/2/2017 NISTIKA / ZOLPIAH
4 GRASIA P 1/5/2017 VINCENTIA /AGUSTINUS
5 YOGA L 12/14/2016 ANITA / ALMAJIANTO
6 RAFENDRA L 11/17/2016 KUSMANIA / PUJANTO

1 DEVIS L 1/17/2016 MISIAN/KONSEN

2 GIO. J.G L 1/30/2017 VERA/JONI
3 DIVYA P 1/26/2017 EMILIA/HERU
4 FELISIA P 2/2/2017 NINING
5 CALVERI. A L 2/1/2017 ELVIN
6 ALTARIK L 1/24/2017 IMELDA
7 DEY GI L 1/11/2017 GIA/DEDI
8 AHMAD A L 2/4/2017 SARIDAMAYANTI
9 MUHAMAD L 1/27/2017 SUSILAWATI/APRIADI
10 RACHEL L 1/14/2017 NAUKE
11 RAISYA L 1/23/2017 REA

LAPORAN VACSINASI BCG 2017

NAMA IBU
NO NAMA L/P TGL LHR
NAMA AYAH
1 M. AZIKRI L 2/11/2017 MARDIANA/SUKAMTO
2 ALEX ZIKRI L 2/21/2017 LELA/WAHYU
3 GRACE P 2/24/2017 RANTI/TOPA

1 ANDREANA P 3/20/2017 ROSMA/GURIADI

2 STEFANI P 3/14/2017 WARTA/ALIA
3 REFANDRA L 3/21/2017 JUWITA/DEDI
 4 MARSELINO L 3/27/2017 YULIAN/SIDI Y
5 ALISA P 3/17/2017 SUMIATI/ANDI
6 KARIN P 3/24/2017 RETNO/HOMULIANG
7 GREGORIO L 3/16/2017 ESRA/LUKAS
8 MUHAMAT NUR L 3/13/2017 MIRAI/MARDIANSYAH
9 GALANG W L 3/29/2017 WIWIK/SAMSUDIN
10 YOHANES L 4/2/2017 MIRA/DANIEL
11 VASILA L 2/17/2017 ARISTA/TAUFIK
12 HUMARISAH P 4/10/2017 DESI/RAMLI
13 MATTHEW L 3/23/2017 DESI/TEDI

1 M. RAFI L 4/13/2017 JUJUN/IIR

2 JOHAN L 4/28/2017 LUSIANA/BAYU
3 MUHAMAT L 4/30/2017 YULI/MUHAMAD
4 JUNAIRA P 5/3/2017 SITI/SUPARDI
5 FELISIA P 4/20/2017 FITA/WANDI
6 GRASIA P 4/11/2017 NOVI/YOS

1 WILIAM L 6/8/2017 PHILIA/VIRGILIUS

2 TYMOTI L 5/12/2017 EVA/ROBI
3 AKARESI L 6/2/2017 LINA/ERWIN

LAPORAN VACSINASI BCG 2017

NAMA IBU
NO NAMA L/P TGL LHR
NAMA AYAH
4 ENDRU L 5/19/2017 YUNI/HINDRA
5 M. GILANG R. L 6/10/2017 AGUSTIN/WISNU
6 RISKY L 6/3/2017 DENI/SAPARUDIN

1 FRANS L 6/26/2017 BERLIAN/PALAR

2 ALFATAH L 6/28/2017 OKTA SUMADI
3 SITIKHODIJAH P 7/10/2017 INTAN
4 WINER P 5/30/2017 MIRYAM
5 JOGLIN L 6/13/2017
6 ASZKIA P 7/10/2017 SANTI/AHMAD
7 KINARA P 7/29/2017 STIANA/FIRMANSYAH

1 AGIRA BIRU P 8/1/2017 SIFA/DIKA

2 WELFIN A L 8/10/2017 JUWITA/ EFENDI
3 CALISTA C P 7/26/2017 ERNAWATI/SUMARIAN
4 MUHAMAD L 7/22/2017 YUMAWATI/MAULANA
5 HERFINA .E P 7/18/2017 FERA/JHEN
6 MONEL P 7/14/2017 DENI/TIMBUL
7 ARTABIL L 7/28/2017 INDRAWATI/FAJAR
 8 GRACELLA P 7/18/2017 MARTA/KEMHO
9 CRISTIANO L 6/13/2017 MAGDALENA/ARYANTO
10 AZZAM L 7/23/2017 ERNAWATI/CANDRA
11 ARYIRA P 8/11/2017 MEDINA/DONY
12 GIONA N P 8/6/2017 RAHEL/MONAHON
13 ZEROUN B L 8/8/2017 NORI/ARDIYANTO
14 SATNAM L 8/2/2017 AGUSTINA/BAMBANG
15 KEIZA L 8/7/2017 SUPRIHATIN/MUNSARI
16 NICHOLAS L 8/3/2017 ERMINA/DANI K

LAPORAN VACSINASI BCG 2017

NAMA IBU
NO NAMA L/P TGL LHR
NAMA AYAH
17 JONEA L 8/3/2017 ARME/EDRA
18 ELMIERA P 7/18/2017 PUTRI/M. RAHMAN
19 AZILA P 8/10/2017 RAMUNA/ROBERT

1 ABSENA P 9/7/2017 NENI/RIDHO

2 AZARIN L 9/9/2017 SRI WAHYUNI/KASWANDI
3 RANIA P 9/3/2017 LILIS/RUDIANTO
4 ALMIRA P 9/6/2017 BONITA/M. RANGGA
5 RAFISKI L 8/25/2017 DENI/EVAN
6 ALEXANDER L 8/31/2017 MARTINA/DENSON
7 IGNASIUS L 7/29/2017 MENI/VINCEN

1 NIKOLAS L 10/1/2017 VITA/DENI

2 ZOAN L 9/25/2017 GELIA/BURA
3 ABEDIL L 9/22/2017 ERNI/MUSKRI
4 REFRIKA P 10/12/2017 RATNA/HENDRI
5 LONES L 10/11/2017 VERAWATI/SAKARIA
6 KAENE P 10/3/2017 WIWIK/TJHIN
7 NABILA P 10/28/2017 PUTRI/HENDI
8 MUHAMAD L 9/29/2017 TRIE/MENI

1 TRISTAN L 10/30/2017 HOWATI/WENDI

2 RIZKI L 11/8/2017 NURSIA/SUPRI
3 FRUMEN S L 10/27/2017 TITA/ALFIUS
4 YOSEF L 10/29/2017 MARIA/WILLI
5 GENATAN L 11/11/2017 VERAWATI/AGUS
6 SAQUENA P 11/3/2017 TM YOFI/DERMAWAN
7 ZAKY L 12/2/2017 SUNTIA/FEPI

LAPORAN VACSINASI BCG 2017

 NAMA IBU
NO NAMA L/P TGL LHR
NAMA AYAH
8 AISYAH P 9/18/2017 PUTRI/YULIO
9 SEAN C P 11/7/2017 YULIA/DODY
10 MUSHIA P 10/30/2017 HAMISA/TUMIRO
11 LIN VELA P 11/11/2017 RINA/HENDRO
12 HANAN L 11/1/2017 FARINI/HUSNI
13 ARISKI L 10/21/2017 NOPI/GINANJAR
14 ARKAINA L 11/13/2017 EZA/NURMAN

LAPORAN VACSINASI BCG 2017

NAMA IBU
NO NAMA L/P TGL LHR
NAMA AYAH
INASI BCG 2017

NO VAC
ALAMAT TPV
TGL EXP
Jl. Binamarga Bandes Pkl Baru 1/10/2017
Gg Bandes Pangkal Baru 1/10/2017
Gg Mangkol 1/10/2017
Ds Terak 1/10/2017
Jl Solor 32/4 Kel Kramat 1/10/2017
JL Irian 3/2 Kel Asam 11/10/2017
Gg Sempayo 5/2 Kel Asam 1/10/2017

JL. Sungai selan Pkl Baru 2/10/2017

Dusun Kace 2/10/2017
JL.Stama 6/2 kel B. Baru 2/10/2017
Jl. Bina Marga 7/2 Kel Asam 2/10/2017
Dsn Konghin Pkl Bara 2/10/2017
Perum B Marapin 2/10/2017

Konghin-Pangkal Baru 3/10/2017

Jl. Ratu Tunggal9/2 kel psr padi 3/10/2017
Jl. Kalamaya SDN 204/1Baciang 3/10/2017
Jl. Cempedak 7/5 Kel Kramat Mar-17
Ds Kayu Besi 3/10/2017
Pangkalan Baru 3/10/2017
Gg Duku2/1kel kramat 3/10/2017
Ds Air Gegas 3/10/2017
Jl Depati Hamzah1/2 Air Hitam 3/10/2017
Lubuk Besar 3/10/2017
Jl Balar- S. Selan 3/10/2017

INASI BCG 2017

NO VAC
ALAMAT TPV
TGL EXP
Jl Sanggar Fatmawati 9/3 Kel Kampak 4/10/2017
Jl Selangit 6/2 Selindung baru 4/10/2017
Jl Solihin Gp6/2 Kel Asam 4/10/2017

Jl. Lapangan Bola 2/3 P-Lalang 5/10/2017

Ds Terak 5/10/2017
Jl. Depati Barin 7/2 Opas Indah 5/10/2017
 Jl. Brokoli II 1/1 P. Lalang 5/10/2017
Jl Gajah Mada I 2/1 Kel Gajah Mada 5/10/2017
Kel Dal 13/5 Pangkal Baru 5/10/2017
Sungai Selan-Pangkal Baru 5/10/2017
Jl Kopi, 7/3 Kel Gajah Mada 5/10/2010
Jl Setia Utama no 63-Melintang 5/10/2017
Jl. Suka Damai ds Mangkol 5/10/2017
Jl. Gaudaria7/9 kel air kepak 5/10/2017
Ds Kace Timur 5/10/2017
Jl. Raya Air Itam 4/2 Air Itam 5/10/2017

Jl. Iman no 64 5/2 Kel Gajah Mada 6/10/2017

Jl Sungai Selan-Pkl Barat 6/10/2017
Jl. Pepabri 3/1 Air Itam 6/10/2017
Jl. Gajah Mada7/3 Kel G. Mada 6/10/2017
Ds Watu Melubang 6/10/2017
Perumahan Residen Selindung Baru 6/10/2017

Jl Kopi 6/3 Kel Gajah Mada 7/10/2017

Perum Gandaria II 1/3 Kc Pedang 7/10/2017
Jl Rukem I 5/2 Kel Asam 7/10/2017

INASI BCG 2017

NO VAC
ALAMAT TPV
TGL EXP
Jl Air Mawar 3/2 Bukit Intan 7/10/2017
Ds Mangkol 7/10/2017
Jl. Menumpang 7/10/2017

Konghin-Pgl Baru 8/10/2017

Dsn Dul-Pkl Baru 8/10/2017
Jl. Baniso 5/2 Pintu Air Atas 8/10/2017
Kapling Sinar Bulan 5/2 Bintan 8/10/2017
Dsn Mangkol-Pkl Baru 8/10/2017
Ds Kace Timur 8/10/2017
Jl. Solihin GP no 63 7/3 Melintang 8/10/2017

Jl. Batin Iso - Kel Pintu Air 9/11/2017

Jl. Rematadinata Bpas Medan 9/11/2017
Jl. Koba Pangkal Baru 9/11/2017
Ds Mendok Barat 9/11/2017
Jl. Jambu 5/2 Kel Bintang 9/11/2017
Jembatan Gantung kel Mabut 9/11/2017
Jl. Mujair 2/1 Rejosari 9/11/2017
 Ds Beluluk 9/11/2017
Jl. S. Damai Konghin 9/11/2017
Perm Permata 7 9/11/2017
Jl. Silihin GP 9/3 Kel Gajah Mada 9/11/2017
Desa Terak 9/11/2017
Jl. Depati Amir no 58 Melintang 9/11/2017
Jl. Pemda Kenari 7/2 Selindung 9/11/2017
Desa Terak 9/11/2017
Jl. Batu Kardera 9/11/2017

INASI BCG 2017

NO VAC
ALAMAT TPV
TGL EXP
Jl Mambo4/2 9/11/2017
Sungailiat 9/11/2017
Jl. Depati Hamzah 2/1 airitam 9/11/2017

Perumahan Brya 2/1 Kel Air Itam 10/11/2017

Jln Iman 5/2 Kel Gajah Mada 10/11/2017
Jl Kubis 3/3 Kel Parit lalang 10/11/2017
Jl. Lada 3/8 Kel Kramat 10/11/2017
Jl Dep Hamzah 8/2 Kel Air Itam 10/11/2017
Jl. Y. Sudarso 1/2 Gabek II 10/11/2017
Jl Binaraga 6/2 Kel Asam 10/11/2017

Desa Konghin 11/13/2017

Jl. Depati Amir 2/6 kel Kramat 11/13/2017
Jl. Trem 3/2 Kramat 11/13/2017
Jl Sriwijaya 2/4 Kamp Asam 11/13/2017
Jl. Binamarga 6/2 Kel Asam 11/13/2017
Jl. Suka Damai Mangkol 11/13/2017
Jl Kep Munir 3/2 Batintikal 11/13/2017
Jl Rambutan 137 3/1 Kramat 11/13/2017

Jl. Nilam I Bacang 12/13/2017

Pinang Sebatang 12/13/2017
Konghin 12/13/2017
Jl Kota Bumi II 3/9 Gajah Mada 12/13/2017
Jl. Alexander I7/3 B. Intan 12/13/2017
Jl SMA III 2/2 Kel Kramat 12/13/2017
Desa Nading 12/13/2017

INASI BCG 2017

 NO VAC
ALAMAT TPV
TGL EXP
Desa Padang Baru 12/13/2017
Jl. Menomba 5/2 Pangkal Baru 12/13/2017
Sungai selan 12/13/2017
Jl Kejaksaan 6/2 Kec Pedang 12/13/2017
Jl Iman 5/2 Kel Gajah Mada 12/13/2017
Simpang Rimba 12/13/2017
Kelurahan puputan 12/13/2017

INASI BCG 2017

NO VAC
ALAMAT TPV
TGL EXP