1 2 3 4 5 6 7 8 9 10 14 15 16 17 18
1 LAILATUS AZZAHRO 2-Perempuan 6/15/2016 7 bln Yuli - Suhri OPO-OPO DPT/HB/Hib3 5043715 10 2017 2-Bidan 1-Posyandu 1/6/2017 0-Ya
2 LAILA PUTRI AZIZAH 2-Perempuan 7/3/2016 6 SAHIR OPO-OPO DPT/HB/Hib3 5043715 10 2017 2-Bidan 1-Posyandu 1/21/2017 0-Ya
3 AZKAYRA YASNA 2-Perempuan 7/23/2016 6 MUZAMIL SEBORO DPT/HB/Hib3 5043715 10 2017 2-Bidan 1-Posyandu 1/21/2017 0-Ya
4 A.FAUZUL 1-Laki-Laki 7/19/2016 6 BL KOMARIA KEDUNG C DPT/HB/Hib3 5043715 10 2017 2-Bidan 1-Posyandu 1/6/2017 0-Ya
5 AKMAL IBAD 1-Laki-Laki 9/27/2016 4 BL HUSNUL H KEDUNG C DPT/HB/Hib3 5043715 10 2017 2-Bidan 1-Posyandu 1/6/2017 0-Ya
6 RIFKI HAMIZAN 1-Laki-Laki 17/10/16 3 BL LATIFAH KEDUNG C DPT/HB/Hib2 5043715 10 2017 2-Bidan 1-Posyandu 1/6/2017 0-Ya
7 ZAINIL ABIDIN 1-Laki-Laki 10/20/2016 3 BL SITI NAIMAH KEDUNG C DPT/HB/Hib2 5043715 10 2017 2-Bidan 1-Posyandu 1/6/2017 0-Ya
8 KHOFIFAH 2-Perempuan 11/4/2016 2 BL ZULAIHA KEDUNG C DPT/HB/Hib1 5043715 10 2017 2-Bidan 1-Posyandu 1/6/2017 0-Ya
9 M DAFA MAULANA 1-Laki-Laki 14-09-16 4 BL TUTIK SOKAAN DPT/HB/Hib2 5043715 10 2017 2-Bidan 1-Posyandu 1/3/2017 0-Ya
10 MOH ABD FADLI 1-Laki-Laki 26-09-2016 4 HULLIYA KAMAL K DPT/HB/Hib2 5043715 10 2017 2-Bidan 1-Posyandu 04-01-2017 0-Ya REWEL
11 LAILATUR 2-Perempuan 23-06-2017 19 MUSLIHA KAMAL K 5043715 10 2017 2-Bidan 1-Posyandu 03-01-2017 0-Ya REWEL
12 ASSIDDIQI 1-Laki-Laki 8/26/2016 4 BL HUZAIMA TANJUNGSARI DPT/HB/Hib2 5043715 10 2017 2-Bidan 1-Posyandu 1/13/2016 0-Ya
A. RIDWAN
13 1-Laki-Laki 9/7/2016 4 DIAN/ SYAFI'I JATIURIP DPT/HB/Hib2 5043715 10 2017 2-Bidan 1-Posyandu 1/10/2017 0-Ya
HIDAYATULLAH
14 KESYA 2-Perempuan 10/9/2016 4bln sawati SENTONG DPT/HB/Hib2 5043715 10 2017 2-Bidan POSYANDU 4/1/2017 0-Ya REWEL
MARET
15 NAYLI 2-Perempuan 10/18/2016 4 bln Rohayu-Ali jbair OPO-OPO DPT/HB/Hib2 5044115 2-Bidan 1-Posyandu 2/11/2017 0-Ya
2018
MARET
16 AULAN NURIL 2-Perempuan 10/12/2016 4 bln Astutik-Sundari OPO-OPO DPT HB HIB 5044115 2-Bidan 1-Posyandu 2/9/2017 0-Ya
2018
MARET
17 GEBI HILDA 2-Perempuan 10/20/2016 4bln Rid'ah-Gofur OPO-OPO DPT HB HIB 5044115 2-Bidan 1-Posyandu 2/9/2017 0-Ya
2018
MARET
18 HIKMATUL MUFIDA 2-Perempuan 9/25/2016 5bln Suprihatin-Saifur OPO-OPO DPT HB HIB 5044115 2-Bidan 1-Posyandu 2/9/2017 0-Ya
2018
MARET
19 AHSAN ZAINAL 1-Laki-Laki 2/22/2016 11bln Romlah-Hasim OPO-OPO DPT HB HIB 5044115 2-Bidan 1-Posyandu 9/13/2016 0-Ya
2018
MARET
20 KIRANA NAURA ZIBIL 2-Perempuan 10/10/2016 4 ARTIKA/ FAISOL RAWAN DPT HB HIB 5044115 2-Bidan 1-Posyandu 2/7/2017 0-Ya 0-Ya
2018
MARET
21 AULIA RISKI 2-Perempuan 6/22/2015 19 SUPRIADI SEBORO DPT HB HIB 5044115 2-Bidan 1-Posyandu 2/20/2017 0-Ya
2018
MARET
22 M DANIEL 1-Laki-Laki 10 OKT 16 4 BL ENDANG SOKAAN DPT HB HIB 5044115 2-Bidan 1-Posyandu 7/2/2017 0-Ya
2018
MARET
23 diana holida 2-Perempuan 42629 5 lailatus s GEBANGAN DPT HB HIB 5044115 2-Bidan 1-Posyandu 2/13/2017 0-Ya
2018
MARET
24 abdul qodir 1-Laki-Laki 42609 5 holifa GEBANGAN DPT HB HIB 5044115 2-Bidan 1-Posyandu 2/14/2017 0-Ya
2018
MARET
25 ASSIDDIQI 1-Laki-Laki 8/27/2016 5 BL HUZAIMA TANJUNGSARI DPT HB HIB 5044115 2-Bidan 1-Posyandu 2/21/2017 0-Ya
2018
MARET
26 PUTRA ANGGA 1-Laki-Laki 9/21/2016 4 BL PAHIMAH TANJUNGSARI DPT HB HIB 5044115 2-Bidan 1-Posyandu 2/21/2017 0-Ya
2018
MARET
27 SUWARIL HUSNI A 1-Laki-Laki 8/5/2016 6 BLN HUSNAWIYAH PATEMON DPT HB HIB 5044115 2-Bidan 1-Posyandu 2/7/2017 0-Ya
2018
MARET
28 SITI IZZATUL IZZA 1-Laki-Laki 11/24/2016 3 JUMAATIN TEMENGGUNGAN DPT HB HIB 5044115 2-Bidan 1-Posyandu 2/6/2017 0-Ya
2018
MARET
29 IRENE LEORA KAYLA 1-Laki-Laki 02/10/16 5 IKE/IRHAM JATIURIP DPT HB HIB 5044115 2-Bidan 1-Posyandu 2/10/2017 0-Ya
2018
MARET
30 ANISA KAMALIYATUZ 2-Perempuan 02/12/16 3 NUR KHOLISOH KRAJAN 1 DPT HB HIB 5044115 2-Bidan 1-Posyandu 2/10/2017 0-Ya
2018
31 AMINATUZ ZUHRIYAH 2-Perempuan 8/26/2015 19 HAMBALI SEBORO DPT HB HIB 5040216 03 18 1-Posyandu 3/22/2017 0-Ya
32 FAREL 1-Laki-Laki 11/11/2016 4 BL SITI ROMLA KEDUNG C DPT HB HIB 5040216 03 18 1-Posyandu 3/10/2017 0-Ya
33 MAULANA M 1-Laki-Laki 03-AGST 16 7 BL HENI S SOKAAN DPT HB HIB 5040216 03 18 1-Posyandu 3/9/2017 0-Ya
34 abyan syah 1-Laki-Laki 01/01/2017 2bln fadilah DAWUHAN DPT HB HIB 5040216 03 18 1-Posyandu 3/3/2017 0-Ya
35 ARTANABIL 1-Laki-Laki 08-12-2016 3 JAMIATUL KAMAL K DPT HB HIB 5040216 03 18 1-Posyandu 01-03-2017 0-Ya REWEL
36 AKBAR 1-Laki-Laki 23-12-2017 3 SHOIMAH KAMAL K DPT HB HIB 5040216 03 18 1-Posyandu 01-03-2017 0-Ya REWEL
37 M. ZIDAN LATIEF 1-Laki-Laki 11/11/16 4 AMINATUR JATIURIP DPT HB HIB 5040216 03 18 1-Posyandu 3/10/2017 0-Ya 0-Ya
38 RESTI LIZA 2-Perempuan 8/25/2016 8 bln Istiqomah-Taufik Cr Kates DPT HB HiB 5040216 03 2018 1-Posyandu 4/5/2017 0-Ya
39 ARKA ARYA NUR AKB 1-Laki-Laki 16-1-2017 3 SUPRIYATIN KARANGREN DPT HB HiB 5040216 03 2018 1-Posyandu 8-4 2017 0-Ya
40 SYAHRONI 1-Laki-Laki 12/24/2016 4 BL SULAIHA PE03 DPT HB HiB 5040216 03 2018 1-Posyandu 4/10/2017 0-Ya
41 DORROTUN NAFILA 2-Perempuan 2/8/2017 2 BL SALAMA PE05 DPT HB HiB 5040216 03 2018 1-Posyandu 4/10/2017 0-Ya
42 M ROFIL 1-Laki-Laki 21 NOV 16 5 BK DESI S KR ANYAR DPT HB HiB 5040216 03 2018 1-Posyandu 4/11/2017 0-Ya
43 DEWI SYARIFAH 2-Perempuan 13-08-2015 20 IMROATUS KRAJAN DPT HB HiB 5040216 03 2018 1-Posyandu 03-04-2017 0-Ya REWEL
44 RISKI ALBAR 1-Laki-Laki 16-01-2017 3 ELA MUSTIKA KRAJAN DPT HB HiB 5040216 03 2018 1-Posyandu 03-04-2017 0-Ya REWEL
45 MOCH KAVIL 1-Laki-Laki 10/5/2016 6 BLN MEGAWATI KELORAN DPT HB HiB 5040216 03 2018 1-Posyandu 4/5/2016 0-Ya
46 KESYA 2-Perempuan 10/9/2016 4bln sawati silolembu DPT HB HiB 5040216 03 2018 1-Posyandu 4/1/2017 0-Ya REWEL
47 M JAKI 1-Laki-Laki 12/27/2016 4 AZIZ SEBORO DPT HB HIB 5040216 1 18 1-Posyandu 5/20/2017 0-Ya
48 M. ZAKARIYA 1-Laki-Laki 25-01-17 4 BL NUR LAILA SOKAAN DPT HB HIB 5040216 1 18 1-Posyandu 13-05-2017 0-Ya
49 diana isma 2-Perempuan 24/02/2017 3bln khirun nisak DAWUHAN DPT HB HIB 5040216 1 18 1-Posyandu 5/3/2017 0-Ya
50 mutiara 2-Perempuan 10-03-2017 2 kartika GEBANGAN DPT HB HIB 5040216 1 18 1-Posyandu 5/10/2017 0-Ya 0-Ya
51 sultan hairul ishak 1-Laki-Laki 42043 27 BL IKA WAHYUNI SUMBER K DPT HB HIB 5040216 1 18 1-Posyandu ### 0-Ya
52 RISKI ALBAR 1-Laki-Laki 16-01-2018 4 ELA MUSTIKA KAMAL K DPT HB HIB 5040216 1 18 1-Posyandu 03-05-2017 0-Ya
53 AKBAR 1-Laki-Laki 23-12-2017 3 SHOIMAH KAMAL K DPT HB HIB 5040216 1 18 1-Posyandu 03-05-2017 0-Ya
54 M ASHIL 1-Laki-Laki 4/29/2017 25 BL WARDATUL WILA TANJUNGSARI DPT HB HIB 5040216 1 18 1-Posyandu 5/4/2017 0-Ya
55 PUTRI QIRAN A 2-Perempuan 06/01/17 5 HALIMAH JATIURIP DPT HB HIB 5040216 1 18 1-Posyandu 5/11/2017 0-Ya 0-Ya
56 IZZA SHIDDIQOH 2-Perempuan 21/01/17 5 SITI NASUHA JATIURIP DPT HB HIB 5040216 1 18 1-Posyandu 5/11/2017 0-Ya
57 M. ALIEF PUTRA A.W 1-Laki-Laki 11/02/17 4 MAFTUHATUL F JATIURIP DPT HB HIB 5040216 1 18 1-Posyandu 5/11/2017 0-Ya
58 mutiara 2-Perempuan 3/10/2017 3 kartika GEBANGAN DPT HB HIB 5040416 1 18 6/9/2017 0-Ya
59 M FIKRI ALAZIZ 1-Laki-Laki 6/12/16 6 BL LAILA/MISBAHUR SUMBER K DPT HB HIB 5040416 1 18 5/6/2017 0-Ya
60 M. FAHMI 1-Laki-Laki 23 PEB 2017 4 NURHAYATI KREJENGAN DPT HB HIB 5040416 1 18 19/6/2018 0-Ya
61 RISKI ALBAR 1-Laki-Laki 16-01-2018 5 ELA MUSTIKA KARANGREN DPT HB HIB 5040416 1 18 03-06-2017 0-Ya
62 KAIZA 2-Perempuan 18-02-2017 4 SYARIFAH KARANGREN DPT HB HIB 5040416 1 18 03-06-2017 0-Ya
63 MOH FIRMAN 1-Laki-Laki 15-03-2017 3 HALIMATUS KARANGREN DPT HB HIB 5040416 1 18 03-06-2017 0-Ya
64 M ROHMATULLOH 1-Laki-Laki 6/25/2016 11 PINATUL A TANJUNGSARI DPT HB HIB 5040416 1 18 6/10/2017 0-Ya
65 ZULFA ZAKIYAH A 2-Perempuan 16/04/17 2 TUTIK R JATIURIP DPT HB HIB 5040416 1 18 6/16/2017 0-Ya
66 DALILAH AYU MUNIRO2-Perempuan 26/02/17 4 Hj.NURUL B JATIURIP DPT HB HIB 5040416 1 18 6/11/2017 0-Ya
67 M. ARKA H 1-Laki-Laki 31/07/17 5 HAMISAH JATIURIP DPT HB HIB 5040416 1 18 6/11/2017 0-Ya
68 ALIFFINO 1-Laki-Laki 2/1/2017 5 bkn Mardia-Slamet OPO-OPO DPT HB HIB 5040416 1 18 2-Bidan 1-Posyandu 7/3/2017 0-Ya
69 KHOFIFAH 2-Perempuan 12/28/2017 6 bulan Silaturrahma-Sipu OPO-OPO DPT HB HIB 5040416 1 18 2-Bidan 1-Posyandu 7/3/2017 0-Ya
70 KESHA NEZA PURTI 2-Perempuan 26.11.2016 8 ANISA RAWAN DPT HB HIB 5040416 1 18 2-Bidan 1-Posyandu 15.07.2017 0-Ya
71 QIYANA NAURA ZIBIL 2-Perempuan 10/10/2016 9 ARTIKA RAWAN DPT HB HIB 5040416 1 18 2-Bidan 1-Posyandu 15.07.2017 0-Ya
72 M LUTFI 1-Laki-Laki 2 FATMAWATI RAWAN DPT HB HIB 5040416 1 18 2-Bidan 1-Posyandu 15.07.2017 0-Ya
73 LAILATUS SAVIRA A 2-Perempuan 25.04.2017 3 EVI SRI U RAWAN DPT HB HIB 5040416 1 18 2-Bidan 1-Posyandu 15.07.2017 0-Ya
74 AISYAH H 2-Perempuan 4/21/2017 3 SUBHAN SEBORO DPT HB HIB 5040416 1 18 2-Bidan 1-Posyandu 7/21/2017 0-Ya 0-Ya
75 FAURUS SURUR 1-Laki-Laki SITI AISYAH K CALUK DPT HB HIB 5040416 1 18 2-Bidan 1-Posyandu 7/5/2017 0-Ya
76 LUTFUL KARIM 1-Laki-Laki ALFIATUS K CALUK DPT HB HIB 5040416 1 18 2-Bidan 1-Posyandu 7/7/2017 0-Ya
77 JIHAN SALSABILA 2-Perempuan 05-03-2017 4 BL HALIMA SOKAAN DPT HB HIB 5040416 1 18 2-Bidan 1-Posyandu 11-07-2017 0-Ya
78 HANUM H 2-Perempuan 12/31/2016 7 DITA TANJUNGSARI DPT HB HIB 5040416 1 18 2-Bidan 1-Posyandu 7/7/2017 0-Ya
79 M NAZRIEL 1-Laki-Laki 03/05/2017 2 BULANDALILUL H PATEMON DPT HB HIB 5040416 1 18 2-Bidan 1-Posyandu 06/07/2017 0-Ya
80 HAURA FILZA I 2-Perempuan 03/05/17 3 MAGHFIROH JATIURIP DPT HB HIB 5040416 1 18 2-Bidan 1-Posyandu 7/11/2017 0-Ya
81 AZZANA PUTRI A 2-Perempuan 04/05/17 3 ST KHODIJAH JATIURIP DPT HB HIB 5040416 1 18 2-Bidan 1-Posyandu 7/11/2017 0-Ya
0122M614
82 FATIMAH HILDA 2-Perempuan 9/23/2015 23 TAMIM OPO-OPO MR 1-11-2018 2-Bidan 1-Posyandu 8/9/2017 0-Ya DIARE
9
0122M614
83 SRI AYUNI 2-Perempuan 7/27/2011 6 AHMAD OPO OPO MR 1-11-2018 2-Bidan 1-Posyandu 8/14/2017 0-Ya
9
0122M614
84 HASAN HAFIDUL 1-Laki-Laki 03/07/2012 61 HAMIDA K CALUK MR 1-11-2018 2-Bidan 1-Posyandu 8/10/2017 0-Ya
9
0122M614
85 NUR ZAKIYA 2-Perempuan 8/13/2014 35 MU'TIHUL ISLAM K CALUK MR 1-11-2018 2-Bidan 1-Posyandu 8/10/2017 0-Ya 0-Ya
9
0122M614
86 A.DAFA 1-Laki-Laki 15/2/2015 29 MILA K CALUK MR 1-11-2018 2-Bidan 1-Posyandu 8/10/2017 0-Ya 0-Ya √
9
0122M614
87 M.ALIZEIN 1-Laki-Laki 8/9/2015 22 MARWIYAH K CALUK MR 1-11-2018 2-Bidan 1-Posyandu 8/10/2017 0-Ya √
9
0122M614
88 HARIS ZAMZAMI 1-Laki-Laki 20/10/2015 21 AYUNI K CALUK MR 1-11-2018 2-Bidan 1-Posyandu 8/10/2017 0-Ya √
9
0122M614
89 M.TAUFIQURROHMAN 1-Laki-Laki 7/19/2016 13 FITRIA K CALUK MR 1-11-2018 2-Bidan 1-Posyandu 8/10/2017 0-Ya 0-Ya √
9
0122M614
90 M.NAZRIL ILHAM 1-Laki-Laki 14/03/2013 53 ST.MAISAROH K CALUK MR 1-11-2018 2-Bidan 1-Posyandu 8/10/2017 0-Ya
9
0122M614
91 A.TRISTAN ALIF 1-Laki-Laki 21/10/2014 33 NOVA K CALUK MR 1-11-2018 2-Bidan 1-Posyandu 8/10/2017 0-Ya
9
0122M614
92 M.ALFAN ASRORI 1-Laki-Laki 2/2/2016 17 SUHARTININGSI K CALUK MR 1-11-2018 2-Bidan 1-Posyandu 8/10/2017 0-Ya 0-Ya √
9
0122M614
93 ALEX PRATAMA 1-Laki-Laki 26-05-2015 26 BL IMROATUL SOKAAN MR 1-11-2018 2-Bidan 1-Posyandu 11-08-2017 0-Ya
9
0122M614
94 FELISI ARSIFA 2-Perempuan 11-08-2016 12 MARTIK SOKAAN MR 1-11-2018 2-Bidan 1-Posyandu 8/11/2017 0-Ya
9
0122M614
95 ALDI 1-Laki-Laki 15/4/2016 16 Romlah WIDORO MR 1-11-2018 2-Bidan 1-Posyandu 8/10/2017 0-Ya Diare dan anemi
9
0122M614
96 raflialghazali 1-Laki-Laki 26/10/2016 10BL BADRRIA/BAWON S KATOMOHO MR 1-11-2018 2-Bidan 1-Posyandu 8/9/2017 0-Ya
9
0122M614
97 WARDAH ZAKIYAH 2-Perempuan 27/3/2016 17 BL INHASANI/MBISI S KATOMOHO MR 1-11-2018 2-Bidan 1-Posyandu 8/9/2017 0-Ya
9
0122M614
98 INAYATULANILIZAH 2-Perempuan 9/5/2016 15 BL SOLEHUDIN/SRI KREJENGAN MR 1-11-2018 2-Bidan 1-Posyandu 8/9/2017 0-Ya
9
0122M614
99 MAGHFIROH 2-Perempuan 10/12/2015 22 EVI/YANTO KREJENGAN MR 1-11-2018 2-Bidan 1-Posyandu 8/7/2017 0-Ya
9
0122M614
100 AZKAYRA 2-Perempuan 13 NOV 2016 9 NURUL/GALIH TANJUNGSARI MR 1-11-2018 2-Bidan 1-Posyandu 8/8/2017 0-Ya
9
0122M614
101 M IZZUDIN 1-Laki-Laki 9/26/2015 23 MAGFIROTUL A TANJUNGSARI MR 1-11-2018 2-Bidan 1-Posyandu 8/7/2017 0-Ya 0-Ya DIARE
9
0122M614
102 VIKO ANDIKA PRATAM 1-Laki-Laki MUTMAINAH TEMENGGUNGAN MR 1-11-2018 2-Bidan 1-Posyandu 8/7/2017 0-Ya
9
0122M614
103 ALMAIRA LAILATUL J 2-Perempuan 04/11/2017 9 BL FARIDATUL J TEMENGGUNGAN MR 1-11-2018 2-Bidan 1-Posyandu 8/7/2017 0-Ya
9
0122M614
104 VIKA NANDA RAHAYU 1-Laki-Laki MEGA RAHAYU TEMENGGUNGAN MR 1-11-2018 2-Bidan 1-Posyandu 8/7/2017 0-Ya
9
0122M614
105 MOH. HAIKAL 1-Laki-Laki 5/12/2013 4TH LILIS N TEMENGGUNGAN MR 1-11-2018 2-Bidan 1-Posyandu 8/7/2017 0-Ya
9
0122M614
106 ROBIATUL IMAMA 2-Perempuan EDIYANTO TEMENGGUNGAN MR 1-11-2018 2-Bidan 1-Posyandu 8/7/2017 0-Ya
9
0122M614
107 FELIN 2-Perempuan 7/23/2013 4TH DINA TEMENGGUNGAN MR 1-11-2018 2-Bidan 1-Posyandu 8/7/2017 0-Ya
9
0122M614
108 M. GILVANA AZIDAN 1-Laki-Laki 8/27/2015 2TH QURROTUL A TEMENGGUNGAN MR 1-11-2018 2-Bidan 1-Posyandu 8/7/2017 0-Ya
9
0122M614
109 DAVINA NAILA M. 2-Perempuan 4/30/2014 3TH SULASTRI TEMENGGUNGAN MR 1-11-2018 2-Bidan 1-Posyandu 8/7/2017 0-Ya
9
0122M614
110 M. ZAKA REVALDIANS 1-Laki-Laki 8/30/2016 1TH JUHAIRIYAH TEMENGGUNGAN MR 1-11-2018 2-Bidan 1-Posyandu 8/7/2017 0-Ya
9
0122M614
111 NOVITA FIRDAUSIYAH 2-Perempuan 20/11/.2011 6TH FATIMAH TEMENGGUNGAN MR 1-11-2018 2-Bidan 1-Posyandu 8/7/2017 0-Ya
9
0122M614
112 LAILA ZUHRUFIYAH 2-Perempuan 9/21/2012 5TH ADI TEMENGGUNGAN MR 1-11-2018 2-Bidan 1-Posyandu 8/7/2017 0-Ya
9
113 M. BINTANG M 1-Laki-Laki 11/05/17 3 LAILATUL JATIURIP DPT HB HIB 5040916 9/1/2018 2-Bidan 1-Posyandu 8/11/2017 0-Ya
114 M. ABIRATA 1-Laki-Laki 20/05/17 3 ANI M JATIURIP DPT HB HIB 5040916 9/1/2018 2-Bidan 1-Posyandu 8/11/2017 0-Ya
115 SITI IZZATUL IZZA 11/24/2016 3 JUMAATIN TEMENGGUNGAN DPT HB HIB 5040916 9/1/2018 2-Bidan 1-Posyandu 2/6/2017 0-Ya
116 REZA MAULIDI 1-Laki-Laki 12/12/2016 9 BLN Luluk-Jamaluddin OPO-OPO MR 1-Posyandu 9/19/2017 0-Ya 0-Ya
117 ANGGA SAPUTRA 1-Laki-Laki 2/3/2017 7 BLN Dewi Refani OPO-OPO DPT HB HIB 5040916 9/1/2018 1-Posyandu 9/14/2017 0-Ya
118 ANINDITA KEISHA 1-Laki-Laki 10/6/2016 11 BL ENDANG P K CALUK MR 1-Posyandu 9/11/2017 0-Ya
119 al dikri 1-Laki-Laki 24/06/2017 3 umiyati GEBANGAN DPT HB HIB 5040916 9/1/2018 1-Posyandu 11/09/2017 0-Ya 0-Ya
120 reyvan 1-Laki-Laki 23/06/2017 3 kofifa GEBANGAN DPT HB HIB 5040916 9/1/2018 1-Posyandu 11/09/2017 0-Ya 0-Ya
121 ALISA T 2-Perempuan 21-6-2014 MANISA KREJENGAN MR 1-Posyandu 18-9-2017 0-Ya
122 M.ZAINUL 1-Laki-Laki 24-05-20117 4 LAILATUS KAMAL K DPT HB HIB 5040916 9/1/2018 1-Posyandu 11-09-2017 0-Ya
123 ANDIASKA 1-Laki-Laki 04-07-2017 2 LIA MUKRIFAH KAMAL K DPT HB HIB 5040916 9/1/2018 1-Posyandu 09-09-2017 0-Ya
124 dava 1-Laki-Laki 6/10/2016 15 SITI RAHAYU TANJUNGSARI MR 1-Posyandu 9/10/2017 0-Ya
125 FAIREL 1-Laki-Laki 1/25/2017 9 Nurhasanah OPO-OPO 2-Bidan 1-Posyandu 10/7/2017 0-Ya
126 M.NAHRI 1-Laki-Laki 15-07-17 3 UMI KULSUM SOKAAN DPT/HB/Hib1 2-Bidan 1-Posyandu 14-10-2017 0-Ya
127 PUTRA ANGGA 1-Laki-Laki 9/21/2016 12 PAHIMAH TANJUNGSARI 2-Bidan 1-Posyandu 10/12/2017 0-Ya
128 AHSAN ZAINAL 1-Laki-Laki 22/02/2016 19 BLN Romlah-Hasim OPO-OPO DPT/HB/Hib4 5040916 Sep-19 2-Bidan 1-Posyandu 11/7/2017 0-Ya
129 PATIMMATUS 2-Perempuan 03/06/2017 5 BLN Sulia-Hamid OPO-OPO DPT/HB/Hib3 5040916 Sep-19 2-Bidan 1-Posyandu 11/6/2017 0-Ya
130 ZAHROTUL QOLBI 2-Perempuan 22/06/2015 28 BLN Sulia-Hamid OPO-OPO DPT/HB/Hib4 5040916 Sep-19 2-Bidan 1-Posyandu 11/6/2017 0-Ya
131 PUTRI NABILA 2-Perempuan 05/09/2017 2 SULASTRI SEBORO DPT/HB/Hib1 5040916 Sep-19 2-Bidan 1-Posyandu 17/11/2017 0-Ya
132 FAIQOTUL 2-Perempuan 13/07/2017 4 SUTINI SEBORO DPT/HB/Hib2 5040916 Sep-19 2-Bidan 1-Posyandu 17/11/2017 0-Ya
133 AHMAD 1-Laki-Laki 23/06/2017 5 NANIK W SEBORO DPT/HB/Hib3 5040916 Sep-19 2-Bidan 1-Posyandu 17/11/2017 0-Ya
KEDUNG
134 AZKA AULIA 1-Laki-Laki 25/07/2017 4 BL ENI L DPT/HB/Hib3 5040916 Sep-19 2-Bidan 1-Posyandu 11/8/2017 0-Ya
CALUK
KEDUNG
135 RAIHANUN MILKA 1-Laki-Laki 14/05/2017 6 BL RESTIN DPT/HB/Hib3 5040916 Sep-19 2-Bidan 1-Posyandu 11/8/2017 0-Ya
CALUK
05-09-
136 M. SOLIHIN 1-Laki-Laki 2 SUKARSIH SOKAAN DPT/HB/Hib1 5040916 Sep-19 2-Bidan 1-Posyandu 14-11-2017 0-Ya
2017
137 reyvan 1-Laki-Laki 23/06/2017 5 kofifa GEBANGAN DPT/HB/Hib3 5040916 Sep-19 2-Bidan 1-Posyandu 11/11/2017 0-Ya rewel
24-05-
138 M.ZAINUL 1-Laki-Laki 5 LAILATUS KAMAL K DPT/HB/Hib3 5040916 Sep-19 2-Bidan 1-Posyandu 01-11-2017 0-Ya rewel
20117
139 ANDIASKA 1-Laki-Laki 04-07-2017 2 LIA MUKRIFAH KAMAL K DPT/HB/Hib1 5040916 Sep-19 2-Bidan 1-Posyandu 01-11-2017 0-Ya rewel
140 M. ASKA FADIL M 1-Laki-Laki 16/07/2017 4 MASNANIK JATIURIP DPT/HB/Hib3 5040916 Sep-19 2-Bidan 1-Posyandu 12/11/2017 0-Ya
141 AISYAH DEVINA P 2-Perempuan 27/07/2017 4 SUJIRAWATI JATIURIP DPT/HB/Hib3 5040916 Sep-19 2-Bidan 1-Posyandu 11/11/2017 0-Ya
142 M. ASHABUL KAHFI 1-Laki-Laki 07/08/2017 3 NUR HASANAH JATIURIP DPT/HB/Hib1 5040916 Sep-19 2-Bidan 1-Posyandu 12/11/2017 0-Ya
143 IBRAHIM MUFIQ A 1-Laki-Laki 08/08/2017 3 EMI JATIURIP DPT/HB/Hib1 5040916 Sep-19 2-Bidan 1-Posyandu 12/11/2017 0-Ya
144 SATRIYO ZABRAN W 1-Laki-Laki 07/08/2017 3 JUWAIRIYAH JATIURIP DPT/HB/Hib1 5040916 Sep-19 2-Bidan 1-Posyandu 12/11/2017 0-Ya
KEDUNG
145 FAURUS SURUR 1-Laki-Laki 4/29/2017 8 BL SITI AISYAH DPT/HB/Hib3 5041716 DES 2019 1-Posyandu 12/5/2017 0-Ya
CALUK
KEDUNG
146 AZKA AULIA 2-Perempuan 7/25/2017 5 BL ENI L DPT/HB/Hib2 5041716 DES 2019 1-Posyandu 12/8/2017 0-Ya
CALUK
12-06-
147 FIRDA LUSIANA 2-Perempuan 6 ISMAWATI SOKAAN DPT/HB/Hib3 5041716 DES 2019 1-Posyandu 09-12-2017 0-Ya
2017
148 M. ATHIF R 1-Laki-Laki 8/21/2017 4 MUSYAROFAH KREJENGAN DPT/HB/Hib2 5041716 DES 2019 1-Posyandu 12/19/2017 0-Ya
149 MOH FIRDAUS 1-Laki-Laki 05-04-2016 19 MUZAYANAH KAMAL K 5041716 DES 2019 1-Posyandu 04-12-2017 0-Ya
150 ANDIASKA 1-Laki-Laki 04-07-2017 3 LIA MUKRIFAH KAMAL K DPT/HB/Hib1 5041716 DES 2019 1-Posyandu 04-12-2017 0-Ya
151 M. NAUVAL H 1-Laki-Laki 9/10/2017 3 SUNARSIH JATIURIP DPT/HB/Hib1 5041716 DES 2019 1-Posyandu 12/12/2017 0-Ya
152 ZAKARIA 1-Laki-Laki 10/23/2017 2 HILMINA JATIURIP DPT/HB/Hib1 5041716 DES 2019 1-Posyandu 12/12/2017 0-Ya
153 M. ALIEF PUTRA A.W 1-Laki-Laki 2/11/2017 10 MAFTUHATUL F JATIURIP 5041716 DES 2019 1-Posyandu 12/11/2017 0-Ya
154 DALILAH AYU MUNIRO2-Perempuan 2/26/2017 9 Hj.NURUL B JATIURIP 5041716 DES 2019 1-Posyandu 11/12/107 0-Ya
PUSKESMAS : KREJENGAN
TAHUN : 2017
1 LAILATUS AZZAHRO P 6/15/2016 7 bln Yuli - Suhri OPO-OPO DPT3 DPT3 Posy 1/6/2017 X
7 ZAINIL ABIDIN L 10/20/2016 3 BL SITI NAIMAH KEDUNG C DPT HB HIB IM SWEEPING 1/6/2017 √
10 MOH ABD FADLI √ 26-09-2016 4 HULLIYA KAMAL K DPT 3 POSYANDU 04-01-2017 √ REWEL
JUMLAH
LAPORAN KIPI ( KEJADIAN IKUTAN PASCA IMUNISASI )
PUSKESMAS : KREJENGAN
TAHUN : 2017
5044115
3 GEBI HILDA P 10/20/2016 4bln Rid'ah-Gofur OPO-OPO DPT HB HIB
MARET 2018
PRIHATINI H POSY 2/9/2017 √
5044115
4 HIKMATUL MUFIDA P 9/25/2016 5bln Suprihatin-Saifur OPO-OPO DPT HB HIB
MARET 2018
PRIHATINI H Posy 2/9/2017 √
5044115
5 AHSAN ZAINAL L 2/22/2016 11bln Romlah-Hasim OPO-OPO DPT HB HIB
MARET 2018
PRIHATINI H Posy 9/13/2016 √
5044115
6 KIRANA NAURA ZIBIL V 10/10/2016 4 ARTIKA/ FAISOL RAWAN DPT HB HIB
MARET 2018
NANIK RUMAH IBU 2/7/2017 √ √
5044115
7 AULIA RISKI √ 6/22/2015 19 SUPRIADI SEBORO DPT HB HIB
MARET 2018
SISMAWATI PUSTU 2/20/2017 √
5044115
8 M DANIEL L 10 OKT 16 4 BL ENDANG SOKAAN DPT HB HIB
MARET 2018
UMI K POSYANDU 7/2/2017 √
5044115
9 diana holida p 42629 5 lailatus s GEBANGAN DPT HB HIB
MARET 2018
KARTIKA pustu 2/13/2017 √
5044115
10 abdul qodir l 42609 5 holifa GEBANGAN DPT HB HIB KARTIKA rumah p tinggi 2/14/2017 √
MARET 2018
5044115
11 ASSIDDIQI √ 8/27/2016 5 BL HUZAIMA TANJUNGSARI DPT HB HIB 1/21/2017 POLINDES 2/21/2017 √
MARET 2018
5044115
12 PUTRA ANGGA √ 9/21/2016 4 BL PAHIMAH TANJUNGSARI DPT HB HIB 1/22/2017 POLINDES 2/21/2017 √
MARET 2018
5044115
13 SUWARIL HUSNI A L 8/5/2016 6 BLN HUSNAWIYAH PATEMON DPT HB HIB DPT HIB 3 POSYANDU 2/7/2017 √
MARET 2018
5044115
14 SITI IZZATUL IZZA P 11/24/2016 3 JUMAATIN TEMENGGUNGAN DPT HB HIB 2/6/2017 POSYANDU 2/6/2017 √
MARET 2018
5044115
15 IRENE LEORA KAYLA 02/10/16 5 IKE/IRHAM JATIURIP DPT HB HIB PAHA KIRI POSYANDU 2/10/2017 √
MARET 2018
5044115
16 ANISA KAMALIYATUZ 02/12/16 3 NUR KHOLISOH KRAJAN 1 DPT HB HIB PAHA KIRI POSYANDU 2/10/2017 √
MARET 2018
LAPORAN KIPI ( KEJADIAN IKUTAN PASCA IMUNISASI )
PUSKESMAS : KREJENGAN
TAHUN : 2017
10
11
12
13
14
15
16
LAPORAN KIPI ( KEJADIAN IKUTAN PASCA IMUNISASI )
PUSKESMAS : KREJENGAN
TAHUN : 2017
1 RESTI LIZA P 8/25/2016 8 bln Istiqomah-Taufik Cr Kates DPT HB HiB DPT1 Posy 4/5/2017 √
2 ARKA ARYA NUR AKBAR X 16-1-2017 3 SUPRIYATIN KARANGREN DPT HB HiB D1 POSYANDU 8-4 2017 √
6 DEWI SYARIFAH √ 13-08-2015 20 IMROATUS KRAJAN DPT HB HiB POSYANDU 03-04-2017 √ REWEL
7 RISKI ALBAR √ 16-01-2017 3 ELA MUSTIKA KRAJAN DPT HB HiB POSYANDU 03-04-2017 √ REWEL
8 MOCH KAVIL L 10/5/2016 6 BLN MEGAWATI KELORAN DPT HB HiB DPT HIB 3 POSYANDU 4/5/2016 √
9 KESYA √ 10/9/2016 4bln sawati silolembu DPT HB HiB PAHA KANAN POSYANDU 4/1/2017 √ REWEL
10
11
12
13
14
15
16
LAPORAN KIPI ( KEJADIAN IKUTAN PASCA IMUNISASI )
PUSKESMAS : KREJENGAN
TAHUN : 2017
2 M. ZAKARIYA L 25-01-17 4 BL NUR LAILA SOKAAN DPT HB HIB UMI K POSYANDU 13-05-2017 Ö
3 diana isma √ 24/02/2017 3bln khirun nisak DAWUHAN DPT HB HIB ZUBAIDAH POSYANDU 5/3/2017 Ö
5 sultan hairul ishak L 42043 27 BL IKA WAHYUNI SUMBER K DPT HB HIB AZIZATUN N POSYANDU ### Ö
6 RISKI ALBAR √ 16-01-2018 4 ELA MUSTIKA KAMAL K DPT HB HIB LAILI I POSYANDU 03-05-2017 Ö Ö
9 PUTRI QIRAN A Ö 06/01/17 5 HALIMAH JATIURIP DPT HB HIB ROIDAH POSYANDU 5/11/2017 Ö Ö
10 IZZA SHIDDIQOH Ö 21/01/17 5 SITI NASUHA JATIURIP DPT HB HIB ROIDAH POSYANDU 5/11/2017 Ö
11 M. ALIEF PUTRA A.W Ö 11/02/17 4 MAFTUHATUL F JATIURIP DPT HB HIB ROIDAH POSYANDU 5/11/2017 Ö
LAPORAN KIPI ( KEJADIAN IKUTAN PASCA IMUNISASI )
PUSKESMAS : KREJENGAN
TAHUN : 2017
4 RISKI ALBAR √ 16-01-2018 5 ELA MUSTIKA KARANGREN DPT3 POSYANDU 03-06-2017 √ REWEL
8 ZULFA ZAKIYAH A Ö 16/04/17 2 TUTIK R JATIURIP DPT HB HIB PAHA KIRI POSYANDU 6/16/2017 Ö
9 DALILAH AYU MUNIRO Ö 26/02/17 4 Hj.NURUL B JATIURIP DPT HB HIB PAHA KIRI POSYANDU 6/11/2017 Ö
10 M. ARKA H Ö 31/07/17 5 HAMISAH JATIURIP DPT HB HIB PAHA KIRI POSYANDU 6/11/2017 Ö
11
LAPORAN KIPI ( KEJADIAN IKUTAN PASCA IMUNISASI )
PUSKESMAS : KREJENGAN
TAHUN : 2017
3 KESHA NEZA PURTI V 26.11.2016 8 ANISA RAWAN HBC1 PAHA KANAN RUMAH IBU 15.07.2017 V
4 QIYANA NAURA ZIBIL V 10/10/2016 9 ARTIKA RAWAN HBC 3 PAHA KANAN RUMAH IBU 15.07.2017 V
6 LAILATUS SAVIRA A V 25.04.2017 3 EVI SRI U RAWAN HBC1 PAHA KANAN RUMAH IBU 15.07.2017 V
13 HAURA FILZA I Ö 03/05/17 3 MAGHFIROH JATIURIP DPT HB HIB PAHA KIRI POSYANDU 7/11/2017 Ö
14 AZZANA PUTRI A Ö 04/05/17 3 ST KHODIJAH JATIURIP DPT HB HIB PAHA KIRI POSYANDU 7/11/2017 Ö
LAPORAN KIPI ( KEJADIAN IKUTAN PASCA IMUNISASI )
2 ANGGA SAPUTRA L 2/3/2017 7 BLN Dewi Refani PA DPT HB HIB DPT3 Posy 9/14/2017 X
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
1 AHSAN ZAINAL L 2/22/2016 19 BLN Romlah-Hasim OPO-OPO DPT HB -Hib Posy 11/7/2017 √
3 ZAHROTUL QOLBI P 6/22/2015 28 BLN Sulia-Hamid OPO-OPO DPT HB -Hib Posy 11/6/2017 √
7 AZKA AULIA P 7/25/2017 4 BL ENI L KEDUNG CALUK DPT HB -Hib SWEEPING 11/8/2017 √
8 RAIHANUN MILKA P 5/14/2017 6 BL RESTIN KEDUNG CALUK DPT HB -Hib SWEEPING 11/8/2017 √
12 ANDIASKA L 04-07-2017 2 LIA MUKRIFAH KAMAL K DPT HB -Hib POSYANDU 01-11-2017 √ REWEL
15 M. ASHABUL KAHFI L 07/08/17 3 NUR HASANAH JATIURIP DPT HB -Hib POSYANDU 12/11/2017 √
18