DAFTAR IBU HAMIL YANG DIVAKSINASI COVID-19

Nama Puskesmas : PUSKESMAS KEDAUNG BARAT DESA SANGIANG…......................

Kab/Kota : KAB. TANGERANG
Provinsi : BANTEN
BULAN AGUSTUS 2021
USIA
No NAMA IBU UMUR Alamat Domisili
KEHAMILAN
1 tasmi/marsan 33 sangiang 03/02 20minggu
2 arastinah/jamaludin 25 jarak 05/01 16
3 miatul ulum/mustari 30 sangaing05/02 32
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BULAN SEPTEMBER 20021

USIA
No NAMA IBU UMUR Alamat Domisili
KEHAMILAN
51 dahlia/mulyadi 21 pangsor 04/03 14
52 maryanah/mulyadi 30 sangiang 04/03 32
53 nani/hendra 27 sangiang 02/04 32
54 nunung/moh.holil 25 sangiang 07/02 31
55 st usnayah/nawamin 21 sangiang 06/02 36
56 nining/sahim 35 sangiang 06/02 37
57 diana/nahori 30 sangiang 06/02 20
58 wiwin 24 pangsor 16
59 putri rahayu 20 jarak 05/01 28
60 pipih 29 sangiang 15
61 rusni 33 pangsor 20
62 st aliyah 26 pangsor 15
63 st bahjah/yanto 30 pangsor 04/03 28
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BULAN OKTOBER 2021

No NAMA IBU UMUR Alamat Domisili USIA
KEHAMILAN
101 st patimah/isin 35 sangiang 01/01 16
102 marnah/nurjaya 35 pangsor 32
103 warsih/karim 32 sangiang 02/01 15
104 nawiyah/saripudin pangsor 04/03
105 indri sundari jarak 06/01
106 sari/amung sangiang 02/01 24
107 ani sangiang 02/03 20
108 bella/khaerul 21 sangiang 03/02 23 minggu
109 aap/enduy 30 sangiang 01/01 32
110 sopiah/andi 27 sangiang 01/02 25
111 Ade veraria/didi 32 sangiang 01/02 35
112 st mariam/abdul khoidar 20 sangiang 01/01 34
113 yuliyanah/suhemi 30 sangiang 06/02 16
114 nining/sabrawi 34 pangsor 04/03 24
115 nuriyah/febi 34 pangsor 04/03 30
116 sri noviya damayanti 20 sangiang 02/04 28
117 karlin 27 pangsor 03/03 20
118 kinah 20 pangsor 03/03 24
119 mulyanah 27 pangsor 06/03 28
120 ade irma 30 sangiang 03/01 28
121 santi 21 pangsor 04/03 16
122 sopiah 20 sangiang 01/02 16
123 nemih nurita 21 sangiang 03/02 20
124 ebah 20 sangiang 04/03 22
125 st rosita 34 sangiang 01/03 20
126 juriah/bagis 30 sangiang 03/02 15
127
128 NOVEMBER
129 siti romlah 21 sangiang 06/02 16
130 dwi suci 35 pangsor 04/03 28
131 amdiah 30 pangsor 04/03 15
132 sopiah 24 sangiang 02/04 20
133 dahlia 20 pangsor 03/03 15
134 diana safitri 29 pangsor 03/03 28
135 wiwin 33 sangiang 01/03 15
136
137 DESEMBER
138 merlin 25 sangiang kecil 02/04 20
139 yuliyanti 32 sangiang 04/03 28
140 st nur apiyah 27 sangiang 16
141 maesaroh 20 sangiang 01/01 20
142 sri rahayu 30 sangiang 06/01 32
143
144 JANUARI 2022
145 mirnah 28 sangaing kecil 02/04 20
146 cici 24 sangiang 02/02 16
147 irma erpiana 24 sangaing 01/01 24
148 yuliyanah 28 sangiang 07/02 20
149 suhelis 20 sangiang 02/02 20
150
151 FEBRUARI 2022
152 Neneng 31 sangiang 03/03 16
153 tita 20 sangiang 06/02 16
154 dwi ratnasari 22 sangiang 05/03 16
155 lisna 21 sangiang 03/03 20
156 desusi 25 sangiang 02/03 20
157 nursih 38 sangiang 01/01 16
158
159 MARET 20222
160 st badriah 28 sangiang 02/04 16
161 hajijah 36 sangiang 02/04 16
162 dede 29 sangiang 06/01 18
163 nurhayati 38 sangiang 05/01 18
164 anita 36 sangiang 06/01 20
165 st rohmah 30 sangiang 02/02 20
166
167 APRIL 20222
168 dede kurniasih 22 sangiang 06/01 22
169 wiwi 28 sangiang 06/01 20
170 juhairia 30 sangiang 02/04 24
171 st robiah 27 sangiang 04/03 16
172 nurhayanah 20 sangiang 01/03 14
173 st fatmah 26 sangiang 02/02 15
174
175 MEI
176 Engkas 36 sangiang 06/01 15
177 saropah 34 sanngaing 03/04 20
178 yuliyanti 34 sangiang 03/04 17
179 pinah 26 sangiang 03/03 17
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lanjutkan
9

G…......................

VAKSIN COV-19….................
DOSIS 1 DOSIS 2
agustus september
agustus september
agustus september
VAKSIN COV-19….................
DOSIS 1 DOSIS 2
27-9-2021 9/11/2021
21-9-2021 9/11/2021
21-9-2021 9/11/2021
21-9-2021
21-9-2021
21-9-2021 19-10-2021
21-9-2021 19-10-2021
21-9-2021
15-9-2021 12/11/2021
21-9-2021 11/11/2021
21-9-2021 11/11/2021
21-9-2021
15-9-2021 22-10-2021
VAKSIN COV-19….................
DOSIS 1 DOSIS 2
7/10/2021 9/11/2021
9/10/2021 9/11/2021
7/10/2021 9/11/2021
9/10/2021 9/11/2021
9/10/2021 6/12/2021
7/10/2021 12/11/2021
7/10/2021 12/11/2021
7/10/2021 6/12/2021
7/10/2021 6/12/2021
7/10/2021 11/11/2021
7/10/2021 12/11/2021
7/10/2021 7/12/2021
7/10/2021 8/12/2021
9/10/2021 12/11/2021
9/10/2021 12/11/2021
8/10/2021 6/12/2021
8/10/2021 8/12/2021
8/10/2021 8/12/2021
8/10/2021 9/12/2021
8/10/2021 9/12/2021
8/10/2021 10/12/2021
8/10/2021 10/1/2022
8/10/2021 10/1/2022
8/10/2021 6/12/2021
8/10/2021 10/1/2022
7/10/2021 9/12/2021

9/11/2021 10/12/2021
9/11/2021 10/1/2022
11/11/2021 7/12/2021
12/11/2021 10/1/2022
12/11/2021 9/12/2021
5/11/2021 8/12/2021
4/11/2021 11/1/2022

7/12/2021 10/1/2022
8/12/2021 7/2/2022
8/12/2021 11/1/2022
9/12/2021 11/1/2022
10/12/2021 13-1-2022

7/1/2022 8/2/2022
7/1/2022 8/2/2022
12/1/2022 14/2/2022
13-1-2022 15/2/2022
15/1/2022 15/2/2022

7/2/2022 8/3/2022
7/2/2022 4/4/2022
8/2/2022 10/3/2022
11/2/2022 11/3/20222
14/2/2022 15/3/2022
15/2/2022 5/4/2022

5/3/2022 5/4/2022
5/3/2022 6/4/2022
6/3/2022 7/4/2022
10/3/2022 10/4/2022
10/3/2022 11/5/2022
11/3/2022 11/5/2022

4/4/2022 9/5/2022
4/4/2022 13/5/2022
5/4/2022
6/4/2022 9/5/2022
7/4/2022 9/5/2022
8/4/2022 14/5/2022

10/5/2022
11/5/2022
12/5/2022
12/5/2022
LAPORAN VAKSINASI COVID 19 PADA IBU HAMIL
NAMA PUSKESMAS : KEDAUNG BARAT DESA SANGIANG

VAKSIN TAHAP 1

JUMLAH IBU
JUMLAH SASARAN
NO BULAN HAMIL YANG
BUMIL YG DI VAKSIN BULAN LALU BULAN INI
TERDAFTAR

1 AGUSTUS 2021 36 36 0 3

2 SEPTEMBER 2021 52 52 3 13

3 OKTOBER 2021 68 68 13 26

4 NOVEMBER 2021 78 78 26 7

5 DESEMBER 2021 72 72 7 5

6 JANUARI 2022 73 73 5 5

7 FEBRUARI 2022 72 72 5 6

8 MARET 2022 78 78 6 6

9 Apr-22 75 75 6 6

10 Mei 2022 70 70 6 4

lanjutkan
VAKSIN TAHAP 1 VAKSIN TAHAP 2

KUMULATIF PRESENTASE BULAN LALU BULAN INI KUMULATIF PRESENTASE KASUS KIPI

3 0 0 0 0

15 0 3 3 0

39 3 3 6 0

33 6 16 22 0

12 16 17 33 0

10 17 10 27 0

11 10 6 16 0

12 6 4 10 0

12 4 6 10 0

10 6 7 13 0
KETERANGAN