LAPORAN IMUNISASI KELURAHAN ANDALAS

BULAN : JANUARI 2022

JENIS IMUNISASI LANJUTAN

NAMA
TANGGAL DPT/ CAMP
NO NAMA BAYI LAHIR JK ORANG
TUA HB0 BCG POLIO DPT/ POLIO DPT/ POLIO DPT/ POLIO PCV MR HIB AK
1 HIB 1 2 HIB 2 3 HIB 3 4 BOSTE BOSTE
R R

1 JAVIN 1/15/2021 LK √

2 HANA 1/17/2021 PR √

3 RINDU IKA B 8/16/2021 PR √ √

4 SHANEENA MASA 7/12/2021 PR √ √

5 RYUGA AZKA 11/17/2021 LK √ √

6 SHEZA AQILA 9/29/2021 PR √ √

7 RAYANZA
DAANESH 12/8/2021 LK √ √

8 SYAUQI TAJMEEL 10/12/2021 LK √ √

9 HANA IHZA PR √ √

10 KHAWLA NIZIA PR √ √

11 FAIRA ARTA 7/24/2021 LK √ √

12 RAZIQ NAYMAN LK √ √

13 NADIVA PRANATA 3//12/21 PR √ √

14 ASSYIFA WAHYUNI 11/22/2020 LK √

LAPORAN IMUNISASI KELURAHAN ANDALAS
BULAN : FEBRUARI 2022

JENIS IMUNISASI

TANGGAL NAMA ORANG

NO NAMA BAYI JK
LAHIR TUA
HB0 BCG POLIO 1 DPT/HIB 1 POLIO 2 DPT/HIB 2 POLIO 3 DPT/ HIB 3

1 KAYRA RAMADHANI 4/14/2021 P DIAN/NIKO

2 HAMZAH HYDER R 12/23/2021 L EKO S/ RITA 2/2/2022 2/2/2022

3 AZURA QIANDRA SEVERI 6/16/2020 P EKO S/ RITA 2/2/2022 2/2/2022

4 PASHA AULIAN NABIL 9/28/2021 L SHERLY N/ WIRA 2/2/2022 2/2/2022

RISNA SUKMA/
5 NAUFAL KINAN ATHALLA 3/12/2021 L
DIKI
FADILA OKSA/
6 RAZIQ AYMAN NADI 6/2/2021 L NALDO

7 AZKA PRATAMA 7/26/2020 L SUMI

8 AL FATIH RYUGA 8/3/2020 L DHYTA

9 M. SYAUQI 1/6/2022 L ARTATI/ ARISPEN 2/7/2022 2/7/2022

SISKA M/ IFRA
10 ALESHA AL KHAIRA 12/20/2021 P 2/7/2022 2/7/2022
DONI

11 ALTHAF ALGIFARI 5/2/2021 L YOLA/ RIZKI

OKTRI/ TRI
12 SHAHEENA MASA 7/12/2021 P 2/7/2022
UTAMI

13 BILAL NUR RAHMAD 6/20/2020 L NUR AISYAH 2/8/2022

14 M. RISWAN SHOLEH 4/1/2020 L SYARIFAH AINI 2/8/2022

15 RAYYAN RINDO L FEBRINI 2/8/2022 2/8/2022

16 AISYAH RAFERLIN 12/15/2021 P HERLIN 2/8/2022 2/8/2022

17 FATIYA FAJRINA 1/3/2022 P EWI AFRIANI 2/8/2022 2/8/2022

18 M. HAMZAH L CICI/ ALEK 2/8/2022 2/8/2022

19 BILQIS RAIDA HUMAIRA 12/29/2021 P LIDYA SARMITA 2/8/2022 2/8/2022

20 ALSAFA 9/1/2021 L EZA EZILA 2/10/2022 2/10/2022

21 AHMAD HARUN 6/16/2021 L ESSY ERYATI 2/10/2022 2/10/2022

22 SYAFIQ MALIK IKHWAN 3/23/2020 L DINI KURNIATI

NADYA
23 IBRAHIM ELJAS R 4/13/2021 L
FEBRIANA

24 HANA IHZA ALMAHIRA 5/10/2021 P ISYAH DEWI

 LANJUTAN

DPT/HIB CAMPAK
POLIO 4 PCV MR
BOSTER BOSTER

2/2/2022

2/3/2022

2/3/2022

2/3/2022

2/7/2022

2/7/2022

2/7/2022

2/8/2022

2/8/2022
 2/10/2022

2/10/2022

2/3/2022
LAPORAN IMUNISASI KELURAHAN ANDALAS
BULAN : MARET 2022

JENIS IMUNISASI LANJUTAN

TANGGAL NAMA ORANG

NO NAMA BAYI JK
LAHIR TUA
DPT/HIB CAMPAK
HB0 BCG POLIO 1 DPT/HIB 1 POLIO 2 DPT/HIB 2 POLIO 3 DPT/ HIB 3 POLIO 4 IPV MR BOSTER BOSTER

1 FIRZA MAULANA ALKAHFI 3/19/2021 L SILVIANA 3/1/2022

2 FALESHA AKIRA DELIA 5/12/2021 P YULIA 3/1/2022

3 ASLAN ABIMATA FLADIA 1/25/2021 L RENI MARDIAN 3/1/2022

4 GANI ARYA PUTRA 10/8/2021 L NILAWATI 3/8/2022

ALVINO TRI
5 NOVRIANSYAH 11/10/2021 L YULIA NINGSIH 3/8/2022 3/8/2022

6 BILAL NUR RAHMAD 6/20/2020 L NUR AISYAH 3/8/2022

7 M. RISWAN SHALEH 4/1/2020 L SYARIFAH 3/8/2022

8 AISYAH RAFERLIN 12/15/2021 P HERLIN 3/8/2022 3/8/2022

9 FATIAH 1/3/2022 P EWI 3/8/2022 3/8/2022

10 SHEZA AQILLA 9/29/2021 P YULIVIA 3/9/2022 3/9/2022

RAYYANZA DANESH
11 AKHTAR 12/8/2021 L KESSY AGUSTINA 3/9/2022 3/9/2022

NURFITRIANA
12 SYAQUILLE FAWWAZ 11/17/2021 L 3/9/2022 3/9/2022
WULAN

13 BY. ANI SOFYA 3/26/2022 L ANI SOFYA 3/27/2022

14

15

16

17

18
19

20

21

22

23

24
LAPORAN IMUNISASI KELURAHAN ANDALAS
BULAN : APRIL 2022

JENIS IMUNISASI LANJUTAN

TANGGAL NAMA ORANG

NO NAMA BAYI JK
LAHIR TUA
DPT/HIB CAMPAK
HB0 BCG POLIO 1 DPT/HIB 1 POLIO 2 DPT/HIB 2 POLIO 3 DPT/ HIB 3 POLIO 4 IPV MR BOSTER BOSTER

SISKA/ IFRA
1 12/20/2021 P DONI 4/4/2022
ALESYA ALKHAIRA
2 ALI JASSIN WISKA 11/26/2021 L ANJANI / ADILA 4/5/2022 4/5/2022

3 AURORA SENA 9/1/2020 P MUTIAH / DIAN 4/5/2022

4 ELVANO ABIZAR 12/7/2021 L TRIYAS 4/7/2022 4/7/2022

5 KHAWLA NIZIA SHANUM 8/9/2021 P ALHUMAIDA 4/7/2022 4/7/2022

6 RAZIQ AIMAN NADI 6/2/2021 L FADILAH 4/7/2022

7 HANA IHZA ALMAHYRA 5/10/2021 P AISYAH DEWI 4/7/2022

8 ARIC ALFARENDRA 12/10/2019 L ARCY DIAN 4/7/2022

9 IBRAHIM EIJAZ R 4/13/2021 L NADYA / JUNIUS 4/11/2022

10 FAEGAN MUHAMMAD 1/28/2022 L RAHMAYUNI 4/12/2022 4/12/2022

11 GIBRAN ALFARIZI 3/13/2021 L ROSI 4/12/2022

12 ALVINO TRI 11/10/2021 L YULIA NENGSIH 4/12/2022 4/12/2022

13 RISWAN SHALEH 4/1/2020 L SYARIFAH 4/12/2022

14 BILAL NUR RAHMAD 6/20/2020 L NUR AISYAH 4/12/2022

15 ARUMI RISKIANA 7/24/2020 P RESI AMAREL 4/14/2022

16 KAWA 2/23/2022 P SISKA √ √

17 IBNU 12/14/2021 L FITRI √ √

18 AKHTAR 7/2/2021 L TIA √ √

19 FATAH 9/26/2020 L FITRI √

20 FAIZ 3/5/2022 L LUCI √ √

21 KINAN 3/10/2022 P RIZKI √ √

22

23

24

25

26

27

28

29

30

31
LAPORAN IMUNISASI KELURAHAN ANDALAS
BULAN : APRIL 2022

JENIS IMUNISASI LANJUTAN

TANGGAL NAMA ORANG

NO NAMA BAYI JK
LAHIR TUA
DPT/HIB CAMPAK
HB0 BCG POLIO 1 DPT/HIB 1 POLIO 2 DPT/HIB 2 POLIO 3 DPT/ HIB 3 POLIO 4 IPV MR BOSTER BOSTER

2 M. FAEGAN 1/28/2022 L RAHMAYUNI 5/10/2022

3 FATIYA FAJRIANA 1/3/2022 P 5/10/2022

4 RAISA ADIVA FITRI 4/28/2022 P FITRI / EPI 5/10/2022

5 AISYAH P 5/10/2022

6 BILQIS P 5/10/2022

7 SITI AISYAH P DEWI /- 5/12/2022

8 SYAFIQ MALIK L DINI / 5/12/2022

SUCI OKTALINA /
9 ACAZIA ZOEYA SAMEERA 3/16/2022 P 5/14/2022
FAISAL

10 PASHA AULIAN NABIEL 9/28/2021 L SHERLY / WIRA 5/14/2022

KANZA ADIBA ERLIN

11 RAMBE 9/16/2021 P AISYAH / ROBI 5/14/2022

12 ARUMA DJIWA ENDANG 9/30/2019 P TRI / DEDI 5/17/2022

13 ARGA GUIZA 1/6/2021 L RISKA / RAHMAT 5/18/2022

14 JIHAN MIKAYLA YUNUS 12/3/2020 P HERMALENI/ ARI 5/18/2022

EPI HARIATI /
15 AYRA SHIRLY HUMAIZA 6/13/2019 P 5/18/2022
WAJARSYAH

16

17

18
19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35
LAPORAN IMUNISASI KELURAHAN ANDALAS
BULAN : JUNI 2022

JENIS IMUNISASI LANJUTAN

TANGGAL NAMA ORANG

NO NAMA BAYI JK
LAHIR TUA
DPT/HIB CAMPAK
HB0 BCG POLIO 1 DPT/HIB 1 POLIO 2 DPT/HIB 2 POLIO 3 DPT/ HIB 3 POLIO 4 IPV MR BOSTER BOSTER

1 20/12/2021 P 6/6/2022 6/6/2022

ALESYA ALKHAIRA 

2 16/08/2021 P BETTY 6/6/2022

RINDU IKA BETHEN 

3 MUHAMMAD SYAUQI AL 06/01/2022 L 6/6/2022 6/6/2022

GHIFARI 

4 SHEZA AQILA NADRIA 9/29/2021 P ALIVIA 6/8/2022

5 ARFIN HIDAYAT 10/3/2021 L GUSMIWATI 6/8/2022 6/8/2022

6 TSADIQ AHMAD YUZA 1/4/2022 L NURUL WAHYUNI

7 ALULA LAMIA LASYIRA 7/9/2021 P WAHYUNINGSIH 6/8/2022

8 RASYA MUHAMMAD ATAYA 3/23/2021 L FATMAWILDA 6/8/2022

9 RAYYANZA DANESH AKHTAR 12/8/2021 L KESSY AGUSTIAN 6/8/2022 6/8/2022

10 SHAQUEL FAWWAZ 11/17/2021 L NUR FITRIANA 6/8/2022

MUHAMMAD ZEVAN
11 RAMADHAN 4/12/2022 L ERID / DENI 6/13/2022 6/13/2022

12 AISYAH RAFELIN P ERLIN 6/14/2022

13 FAEGAN L YUNI 6/14/2022 6/14/2022

14 RAISA ADIVA P 6/14/2022 6/14/2022

15 BILQIS RAIDA ALMIRA  2021-12-29  P 6/15/2022

lidya sarmila / ade 

16 ALI JASSIN WISKA 11/26/2021 L ANJANI SHABRINA 6/15/2022 6/15/2022

17 AISYAH RAMADHANI 4/8/2022 P GUSRAWENI 6/15/2022

18
19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35
 LAPORAN IMUNISASI KELURAHAN ANDALAS
BULAN : JULI 2022

JENIS IMUNISASI LANJUTAN

TANGGAL NAMA ORANG

NO NAMA BAYI JK
LAHIR TUA
DPT/HIB CAMPAK
HB0 BCG POLIO 1 DPT/HIB 1 POLIO 2 DPT/HIB 2 POLIO 3 DPT/ HIB 3 POLIO 4 IPV MR BOSTER BOSTER

1 25-12-2018 P Siska Mardianti 4 Juli 2022

Azzahra Malika

2 13-01-2020 L Nila Permata Sari 4 Juli 2022

Arka Ikhwanul Ghani

3 01/06/2022 L Hartati 4 Juli 2022 4 Juli 2022

Muhammad Syauqi Alghifari

4 Qory Putri Nugroho 10 Mei 2018 P Resvia 4 Juli 2022

Mardhatillah

5 Rizky Ramadhan 7/6/2017 L Meri Sofian 4 Juli 2022

6 Jihan Aira Saquila 25-01-2018 P Meri Syofyan 4 Juli 2022

Zulmai Syafril/
7 Keysha Naura Qianzi 25-09-2020 P Nova oktavia 5 Juli 2022

Zulmai Syafril/
8 Fariza Raisa Rafania 6/2/2017 P 5 Juli 2022
Nova oktavia

9 Aisyah Ramadhani 8/4/2022 P Gusraweni 5 Juli 2022 5 Juli 2022

10 Fauzia Octa Risca 7/10/2017 P Ulan Amyer Sari/ 5 Juli 2022

Armen Suwendi

11 ARKATAMA OKTAZIO 8/21/2021 L LIDYA SARI 7/6/2022

12 ACAZIA ZOEYA SAMEERA 3/16/2022 P SUCI OKTALINA 7/6/2022 7/6/2022

13 AZURA KIANDRA 6/16/2020 P RITA YUSTIKA 7/6/2022

14 FATIAH AYUNA RAMBEE 8/31/2019 P SITI AISYAH 7/6/2022

KHANZA ADIBA ERLIM

15 RAMBEE 9/16/2021 P 7/6/2022
SITI AISYAH

16

17

18
19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35
1371026512180001 081374754614

1371021301200001 082383353337

1371020601220002 085278242224

1371025005180004 083180527051

1371020706160004 085361731285

085361731285

1371086509200001 082391150911

1371084602170001 082391150911

082360127913

1371024710170003 085213277175

1371022108210001 085278037509

1371025603220001

1371025606200001

BLM ADA NIK 085837978662

BLM ADA NIK 085837978662