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RENCANA KERJA BULAN IMUNISASI ANAK NASIONAL, BA

Kabupaten/Kota:
Puskesmas:

April May June


No Kegiatan
1 2 3 4 1 2 3 4 1 2 3 4
1 Persiapan
Pendataan Sasaran by name by
a
address
1. Imunisasi Kejar 12 - 59 bl
2. Imunisasi CR 9 - 59 bl
b Pemetaan & Strategi khusus
- nomaden
- wilayah sulit dijangkau
- anti vacc
- wilayah konflik/Pengungsi
Identifikasi ketersediaan
c tenaga & Kebutuhan Tenaga
sesuai tugas
Menghitung kapasitas rantai
d dingin di Puskesmas

Menghitung perkiraan
e frekuensi pengambilan vaksin
ke Kab Kota
Identifikasi ketersediaan
f Vaccine Carrier & Kebutuhan
vaccine carrier

g Pemetaan /Identifikasi Lokasi


Pelayanan

Koordinasi & Sosialisasi Linsek


Tk Kecamatan: Kec,
h Puskesmas, Kades, PKK kec dan
Desa, KUA, TOGA, TOMA, dan
Ormas tk Kec lainnya.

i KIE BIAN: Masy Umum

Workshop tk Puskesmas:
j
Korim, Bides, Bikor,
Sosialisasi BIAN tk
k
Desa/Kelurahan oleh Bides
l Penyusunan Micro-planning
2 Self Monitoring Kesiapan
Alat: Ceklist Kesiapan BIAN
(Readiness Assessment)

3 Pelaksanaan Imunisasi BIAN

Briefing Tim Pelaksana


Imunisasi sebelum ke lapangan

Cek Perlengkapan logistik dan


Form RR

Evaluasi Cakupan dengan


4 metode RCA

a Analisa cakupan per desa/kel


b Sweeping
c Penentuan lokasi evaluasi

Penyusunan, Penjadwalan Tim


d Evaluasi, dan briefing RCA

e Pelaksanaan RCA

f Analisa RCA dan Tindak lanjut


NASIONAL, BANDUNG BARAT, 2022

July August Sept


1 2 3 4 1 2 3 4 1 2 3 4
RENCANA KERJA BULAN IMUNISASI ANAK NASIONAL, BA
PROVINSI:
Kabupaten/Kota:

April May June


No Kegiatan
1 2 3 4 1 2 3 4 1 2 3
1 Persiapan
a Orientasi BIAN
Orientasi BIAN Kab-Kota
Orientasi BIAN Puskesmas
b Penyusunan POKJA
Pertemuan Sosialisasi dan komitmen
c anggota POKJA serta Lintas Sektor
lainnya.
d Penyegaran KOMDA - POKJA KIPI
Pemetaan & Strategi khusus tk
e
Provinsi / Kab Kota
- nomaden
- wilayah sulit dijangkau
- anti vacc
- wilayah konflik/Pengungsi

Identifikasi ketersediaan tenaga &


f
Kebutuhan Tenaga sesuai tugas

g Penghitungan Kebutuhan Logistik

1. Vaksin berdasarkan jenisnya

2. Alat suntik berdasarkan jenisnya

3. Safety Box

Menghitung kapasitas penyimpanan


h
rantai dingin di Prov / Kab Kota

i Menghitung perkiraan frekuensi


- Provinsi: Penerimaan dari Pusat dan
Distribusi ke Kab Kota
- Kab Kota: Pengambilan ke Prov dan
Distribusi ke Puskesmas
Identifikasi High Risk Area
j Berdasarkan cakupan imunisasi dan
kasus/klb PD3I
k Sosialisasi BIAN melalui:
- Podcast
- Spot Radio FM
- Webinar

- Media (social/IG, cetak dan online)

Sasaran di Tk Prov & Kab Kota:


l Masyarakat Umum, Toga, Toma, Org
Kemasyarakatan, Org Keagamaan

m Penyusunan Micro-planning

2 Monitoring Kesiapan
Penyusunan dan Penjadwalan Tim
Monitoring, Prioritas High Risk
District
Alat: Ceklist Kesiapan BIAN
(Readiness Assessment Tool)

3 Monitoring Pelaksanaan
Penyusunan dan Penjadwalan Tim
Monitoring, Prioritas High Risk
District

Briefing Tim Monitoring Lapangan

Alat: Ceklist Supervisi Pelaksanaan


BIAN

4 Evaluasi Cakupan dengan metode


RCA
a Analisa cakupan:

- Provinsi: per kab kota & kec/Pusk

- Kab kota: per pusk/kec & desa/kel

b Penentuan lokasi evaluasi


Penyusunan, Penjadwalan Tim
c
Evaluasi, dan briefing RCA
d Pelaksanaan RCA
e Analisa RCA dan Tindak lanjut
K NASIONAL, BANDUNG BARAT, 2022

June July August Sept


4 1 2 3 4 1 2 3 4 1 2 3 4
FORMAT PENDATAAN POSYANDU SASARAN BIAN
SASARAN IMUNISASI TAMBAHAN CAMPAK RUBELA ADALAH 9-59 BULAN DAN SASARAN IMUNISASI KEJAR

Provinsi : Jawa Barat Desa/Kelurahan : Gununghalu


Kabupaten : Bandung Barat Posyandu :
Puskesmas : DTP Gununghalu
Isilah kolom yang tidak berwarna!

No. Nama Anak Tanggal Lahir Umur (bulan) NIK

MEKAR SARI
1 M. FAIZ 7/23/2020 25 3217152307200000
2 M. IRSAD 8/18/2017 60 3217151808170000
3 M. FARHAN 8/16/2017 60 3217151608170001
4 M. RIDWAN 8/20/2017 60 3217152008170001
5 GILANG 8/4/2020 24 3217150408200003
6 KHOIRUL ANAM 11/1/2017 58 3217150111170002
7 M. KHALFA 8/8/2020 24 3217150808200001
8 ASLAM 8/23/2018 48 3217150805130008
9 M. ZAYID 10/8/2018 46 3217150810180000
10 M. SAHRUL 2/9/2019 42 3217150902160001
11 RAFLI 1/18/2019 43 3217150801190002
12 SATRIA 2/4/2019 43 3217155207130006
13 RAFA 5/30/2019 39 3217153005190003
14 M. ABIYAN 6/21/2019 38 3217152106190001
15 M. NADZIB 7/13/2019 37 3217151307180001
16 M. DANISH 10/22/2019 34 3217152210190002
17 M. ARKAN 12/8/2019 32 3217151406120003
18 M. RAMDAN 4/26/2020 28 3217151204210014
19 M. NIZAM 4/24/2020 28 321715240420000
20 M. H. Q. NAWAWI 5/27/2020 27 3217152705200001
21 M. SAID 10/17/2020 22 32171517102010000
22 DAFFA .A 12/16/2020 20 3217151612200001
23 ARSYAD. H 4/19/2021 16 3217151904210002
24 ALDAN 6/8/2021 14 3217150806210002
25 M. DAFFA .P 6/7/2021 14 3217150706210005
26 M. SULTAN. A 7/25/2021 12 3217152507210001
27 M. HISAM 5/24/2021 15 3217152709180010
28 ADAM. A 9/2/2021 11 3217152807210010
29 M. IHSAN 9/9/2021 11 3217152701210004
30 M. ZIDAN 9/24/2021 10 3217151212100004
31 M. IQBAL 10/10/2021 10 3217152567120081
32 SADAM HAMIZAN 8/24/2020 24 3217152708200004
33 REVAN A.A 8/6/2018 49 3217150608180003
34 M SANDI 8/1/2018 49 321715
35 KEANU 10/19/2017 58 321715
36 ADZRIEL 4/5/2020 28 3217150504200004
37 M SAHAL 8/8/2018 49 3217151606170003
38 AZLAN 6/27/2019 38 321715
39 M GHIFAR A 10/25/2020 22 321715
40 ANNASYA 7/31/2020 24 3217157107200001
41 ALULA 8/11/2017 61 3217155108170003
42 ZAIZA 7/15/2017 61 3217155507170002
43 ELISA 12/10/2017 57 321715
44 SAKILA NOVARINA 12/19/2017 56 3217156811170001
45 JIHAN 1/7/2017 68 3217154701180001
46 RAISYA 6/9/2018 51 3217154906180001
47 SALWA 10/19/2018 46 3217155910180001
48 NURLATIFAH 12/22/2018 44 3217156212180001
49 WAFA 7/22/2019 37 3217156202190001
50 ZAHIRA 2/18/2019 42 3217156802190002
51 SAKILA 2/18/2019 42 3217156802190002
52 ARUMI SHANUM 12/28/2019 32 3217156812190001
53 INAYA 1/6/2020 31 3217154810200001
54 AI AZKIA 1/27/2020 31 3217156701200001
55 KEIRA 3/27/2020 29 321715613200001
56 KAYYISA 3/26/2020 29 3217156603200002
57 ZAFFA 7/14/2020 25 3217150207200004
58 TIARRA U 9/19/2020 23 3217155809200001
59 SANDRINA 7/15/2020 25 3217152330720001
60 DELISA 10/25/2020 22 3217150210200011
61 ERINA 11/13/2020 21 3273025002210005
62 AGHTANIA 2/10/2021 18 3217154108210005
63 AYLA 8/1/2021 12 3217156209210001
64 AZMIA 11/8/2017 58 321715
65 ZAINA 8/24/2017 60 3217156904170003
66 GINA N 9/22/2021 10 3217156209210001
67 MIKAILA 10/6/2020 22 321715
68 ADILA 9/5/2020 23 3217154509200002
69 NAIRA 9/16/2020 23 321715
70 WILDA 8/8/2020 24 3217154808200002
HEGARSARI
1 ERINKA DWI A 9/10/2021 11 3217155009210001
2 M ALI SANJAYA 2/2/2021 18 3217150202210002
3 AUVA HAJIRA 2/19/2021 18 3217155902210001
4 QIANA N R 8/8/2020 24
5 NABIL HAQONI 12/10/2020 20 3217151012200002
6 KANSA M.A 8/23/2020 24 3217151012200002
7 DENI A N 8/13/2020 24 3217151308200003
8 REINA R 7/13/2020 25 3217155307200001
9 SAIMA 7/15/2020 25
10 M ADZRIL 6/25/2020 26 321715000001401
11 HISYAM M 5/6/2020 27 321715000001402
12 YUSUF S 8/5/2020 24 321715000001403
13 ABYZAR H 3/13/2020 29 321715000001404
14 NANDA F 8/8/2020 24 321715000000076
15 M IKHSAN 7/22/2019 37 3217152207190001
16 FATHIN A 3/4/2019 42 321715000000079
17 DANIAL ADAM 3/25/2019 41 3217152503190002
18 MIKAILA P.A 9/26/2018 47 321715000000081
19 AL-ZENA 12/18/2018 44 3217155812170001
20 M ZIDAN 5/16/2018 51 3217151605180003
21 M. AFADAN 12/4/2018 45 321715000000089
22 M SUBHI 10/6/2018 47 321715000000077
23 IQMA N 10/25/2018 46 321715000000080
24 RAGIL 10/3/2017 59 321715000000084
25 ANINDITA 8/7/2017 61 321715000000085
26 M ADAM 7/6/2017 62 3217150607170001
27 ARBANI 1/29/2018 55 321715000000083
28 M AZKA 1/15/2010 153 3217150501180002
29 FADILATUL M 5/24/2019 39 321715000001407
30 GHAISAN RAFFA HAPIS 4/11/2019 40 3217155311140002
31 KEENAN S.AI. 6/1/2019 39 3217150106200002
32 M RIZKY 4/10/2019 40 321715000000078
33 ARFAN 8/4/2017 61 321715

LEWILARANGAN
1 AZAM ALFARIZI 10/16/2017 58 3217151610170001
2 SAGITA NURKATIA 11/21/2017 57 3217156111170003
3 REYKA AILA PUTRI 12/4/2017 57 3217154412170001
4 DINARA HAIDA Z 1/21/2018 55 3217156701180001
5 M AZKA 7/1/2018 50 3217150107180021
6 YUNA AQUILA A 8/6/2018 49 3217154608180003
7 ADAM AL-THARIS I 9/29/2018 47 3217152909180002
8 M AZAM PUTRA 8/30/2018 48 3217153008180001
9 PUTRI PATYATU HASNA 11/24/2018 45 3217156411180002
10 RAFA NAZRIEL R 10/25/2018 46 3217152510180002
11 ADNAN RAHMAT 1/5/2019 44 3217150501190004
12 RAMA ALFATIH S 5/14/2019 39 3217151405190001
13 HADI ADHA F 2/24/2019 42 3217152402190001
14 RAHMAH NUR A 7/24/2019 37 3217156407190002
15 REVANSA F Z 11/26/2019 33 3217152611190002
16 RANIA AQILA N 11/6/2019 33 3217154611190001
17 GAITSYA 12/8/2019 32 321715
18 KINANTI NURFATHIYYA 3/8/2020 29 3217154803200002
19 M SULTAN 7/4/2020 25 321715
20 ARSHAKA R A 5/31/2021 14 321715
21 ALKHYRA H.A 5/23/2021 15 321715
22 VRISKA AMALIA 2/21/2021 18 3217156102210001
23 YUMNA H.H 3/4/2021 17 3217154403210001
24 ALIPAH PUTRI N.H 10/3/2020 22 321715431020001
25 YASNA 7/30/2019 37 321715
26 AISHA NAZRYAH A 4/22/2021 16 3217156204210003
27 AHSAN SIDIQ A 8/2/2021 12 3217150208210001
28 ALMEERA RAZAN .H 3/20/2021 17 3217156003200001
29 ARSIAN 9/17/2021 11 321715

AL HIDAYAH
1 AZRIL HAMIZAN 27-08-2018 #VALUE! 3217152708180003
2 ALYA RAMADANI 16-08-2017 #VALUE! 3217155606170002
3 NAZHIRA NURAISYAH 01-12-2018 #VALUE! 3217154112180001
4 FAZRIL NURPADILAH 31-01-2019 #VALUE! 3217153101190001
5 ILYASA ATHALAH ATHAR R 23-03-2019 #VALUE! 3217152303190001
6 ASSAFA RAMADANI 22-05-2019 #VALUE! 3217156205190001
7 ALEXI KAYLA DEFA 15-02-2019 #VALUE! 3217155502190003
8 JASMINE FAIZAH F 08-03-2019 #VALUE! 3217154803190002
9 NAUFALIN JAZILA PUTRI K 01-04-2019 #VALUE! 3217154104190001
10 SITI FATMAH 18-07-2019 #VALUE! ;3217150802060088
11 AZKAYRA MAUZA G 19-08-2019 #VALUE! 3217155908190002
12 ALEYSHA NADIRA 12-01-2020 #VALUE! 321715050700012
13 M. MALIK SYA'BANI 31-03-2020 #VALUE! 3273053103200001
14 AINUN MAHYA 20-03-2020 #VALUE! 3217156003200002
15 NAZMA AULIANI 15-03-2020 #VALUE! 3217151501501950001
16 M. ZIAN IDQU R 22-07-2020 #VALUE! 3217152207200001
17 SOPYAN SAURI 7-01-2020 #VALUE! 3217156807000001
18 MUH. ARDIAN A 14-10-2020 #VALUE! 3217151410200003
19 ELVAN AGUSTIAN 30-08-2020 #VALUE! 3217143008200001
20 SANIA INAYATUL AZKIA 21-12-2020 #VALUE! 3217156112200001
21 ALFINO DAFA M 20-12-2020 #VALUE! 3217152012200001
22 DINARA 04-12-2020 #VALUE! 3217151206060046
23 SALSABILA 03-02-2021 #VALUE! 321715291220009
24 FATHIYA HASANAH PUTRI 05-04-2021 #VALUE! 3217151501150001
25 YAFIZHAN AKBAR G 03-06-2021 #VALUE! 3217151105210004
26 M. ELZIYAN AYMAN 12-08-2021 #VALUE! 3217150202170007

MEKAR FAMILY
1 Nazeela 15/08/2021 10
2 Naumi 30/10/2020 20
3 Abu Chesa 12/05/2021 15
4 Kekey 24/08/2018 46 3217156408180002
5 Yasmin Alifa H. S. 16/08/2021 10
6 Arsyana Azlan R. 07/09/2021 9 3217150709210001
7 Rafka Al-Atkhaf 03/07/2021 11
8 Nurshalwa A. 01/06/2021 12
9 Destya Putri R. 20/04/2021 14 3217156004210001
10 Shauma H. H. 16/4/2021 14
11 M. Adrian Hafiz 25/11/2020 19 3217152511200002
12 Naira Asipatun H. hh/bb/tttt 17
13 Fahrotul Janah hh/bb/tttt 22
14 Khairunissa 01/03/2021 15
15 M. Azril Saputra 28/01/2021 17
16 Adelia Denoya 08/11/2020 19
17 M. Rehan Alvino 10/02/2020 29
18 M. Azka A. 09/11/2020 19 3217150911200001
19 Ardana Abiputra 30/10/2020 20 3217153010200001
20 Naladhipa J. A. 24/10/2020 20 3217156410200001
21 Ghazi Wirayudha 11/09/2020 21 3217151109200002
22 Gistara Dipayana 06/09/2020 21
23 Sakila K. P. 30/7/2020 23
24 Jibran 07/06/2020 24
25 Danisa Azwa F. 07/04/2020 27 3217154704200002
26 M. Rizki Fadilah Usman 24/03/2020 26 3217152403200001
27 Fatih Alfarizki 09/10/2019 32 3217150910190001
28 Mufida F. N. 26/08/2019 33
29 M. Tazki H. 25/09/2019 33 3217152509190001
30 Raya 24/03/2019 40
31 M. Elvano S. 17/06/2019 36 3217151706190001
32 Rasyid R. 30/04/2019 38 3217153004190001
33 M. Gibran 07/05/2019 39
34 Reina Ulfa F. 08/04/2019 38 3217154804190002
35 Mikaila N. S 05/04/2019 38 3217154504190002
36 Andra M. 08/03/2019 38
37 Rifki Alhakim 10/02/1019 40
38 Fahira Nabila 17/02/2019 40
39 Andian Danu Bahri 02/03/2019 39
40 Saffa Nuranisa 30/05/2018 48 3217107005180001
41 M. Alhapis 14/12/2018 42 3217151412180001
42 Riyanti 09/12/2018 42
43 Adara Novianti 16/11/2018 43
44 Rayhana Bilqis 19/10/2018 44
45 Tasya Oktaviani 26/10/2018 44 3217156610180001
46 Naviza Alawiyah S. 04/11/2018 43 3217154411180002
47 Delisha Rahmawati 25/10/2018 44 3217156510180001
48 Mupiah 25/05/2018 49
49 Bilal 20/05/2018 49 3217152005180002
50 Rifan Sya'ban 28/04/2018 50
51 M. Akil 24/04/2018 50
52 Candra R. 06/03/2018 51
53 M. Ilham 29/11/2017 55
54 Widia Aprilliana 07/04/2018 51 3217154704180002
55 Apandi A. P. 09/03/2018 51
56 Al-Saffa 24/03/2018 51
57 Arpan Noval R. 19/03/2018 51
58 Sharla Granadia P. 18/03/2018 50
59 Adam Ihsan L. 08/03/2018 51 3217150803180001
60 Raysa Aryani 20/11/2017 54
61 M. Hasby 13/11/2017 55
62 Adiba 01/02/2018 52
63 Azka Zidan 30/10/2017 56 3217153010170001
64 Nisa N. 04/08/2017 58 3217154308170001
65 Adena 30/07/2017 59

LEMBURGEDE
1 WASILATU 8/13/2021 12 3217155308210002
2 M FAJRIL 4/14/2021 16 3217151404210003
3 MUTIARA 8/26/2021 11 3217156608210001
4 M SAAD 4/16/2021 16 3217151307090019
5 M SAID 4/16/2021 16 3217151307090019
6 QUENZA 12/9/2020 20 3217152306200005
7 NAISILA 10/1/2020 22 3217151607120002
8 DAFA 4/2/2020 28 3217150204200001
9 SEN SEN 8/24/2020 24 3217156408200001
10 M ALFI 9/11/2020 23 3217151109200004
11 M RIZAL 9/10/2020 23 3217151009200001
12 M RIZKI 2/5/2020 30 3217150502200001
13 AQILA 2/12/2020 30 3217155202200002
14 M FATAN 8/27/2018 48 3217152708180001
15 SAFA 2/14/2020 30 3217152207190021
16 NABILA 10/8/2019 34 3217154810190002
17 PUTRI N 9/17/2019 35 3217155709190001
18 RAHMALIA 6/10/2019 38 3217155006190001
19 ALAYYA 6/6/2019 38 3217154606190002
20 ASEP ZAKI S 5/3/2019 40 3217150305190001
21 HAIFA 1/14/2019 43 3217155401190001
22 KYEISA 3/11/2019 41 3217155103190002
23 M ALBI 11/7/2018 45 3217150711180001
24 NURSABIRA 10/14/2018 46 3217155410180001
25 ADEEVA 9/23/2018 47 3217156309180002
26 RAIHAN P 7/5/2018 50 3217150507180003
27 M SYANI 5/15/2018 51 3217151505180002
28 M ARFAD 3/30/2018 53 3217153003180002
29 ALFARIJA 4/16/2018 52 3217151604180002
30 M ARSYA 4/17/2018 52 3217151704180006
31 AINUN 3/21/2018 53 3217154704180001
32 RAISYA M 11/27/2017 57 3217156711170001
33 SITI SALWA 8/14/2017 60 3217155408170001

DAHLIA
1 M AGUNG BANU F 8/27/2017 60 3217152708170003
2 SALSABILA A 8/8/2017 61
3 M REZA SAPUTRA 8/21/2017 60 3217152108180003
4 RESTU M AZKA S 9/2/2017 60 3217150209170004
5 KURNIA 8/10/2017 61
6 SITI ASIAH 2/5/2018 55 3217154603180002
7 M MALIK IBRAHIM 2/21/2018 54 3217152202180003
8 M ZAMZAM ADNAN 12/21/2017 56 3217152112170001
9 ADILA ANISA 4/6/2018 53 3217154604180001
10 ISTAVANI ANINDIYA T 3/19/2018 53 3217150303100004
11 M ABDUL MANAP 3/11/2018 54 3217151103180002
12 MEILA PUTRI K 5/5/2018 52 3217154505180001
13 M ARDIANSYAH 5/23/2018 51 3217152305180002
14 AZIZ MAULANA F 8/20/2018 48 3217152008190002
15 ADITIA ABDUL M 9/25/2018 47
16 NEIDA ALISBHA Z 10/27/2018 46 3217156710180003
17 M SAEUPUL M Y M 12/3/2018 45 3217150312180002
18 CHERILIA RIVANI A.H 11/18/2018 45
19 ALIAH LESTARI 1/16/2019 43 3217155801190002
20 M HANDRAHID 2/9/2019 42 3217150902190004
21 M RAMDANI 2/28/2017 66 3217152912170007
22 M SANSAN N 3/22/2019 41 3217152203190001
23 M REZKY R,N 3/23/2019 41 3217152303190003
24 NENG SARI 5/14/2019 39 3217155305190003
25 SHINTIA R.N 5/16/2019 39 3217155605190002
26 SALMA AULIA R 6/9/2019 38 3217154906190002
27 M GIBRAN ARFAN 7/30/2019 37 3217153007190001
28 FARHAN N.H 9/26/2019 35 3217153007190001
29 M KHUSNI .T 9/14/2019 35 3217151909190001
30 SITI ZULFA .H.A 9/18/2019 35 3217155809190004
31 WULAN NURCAHYA 11/6/2019 33 3217154611190005
32 AZIZAH LUZAIN 12/1/2019 33 3217154112190004
33 SALSA LUZAIN 2/26/2019 42 3217156602200003
34 NISA ANGGRAENI 2/28/2019 42 3217156802200002
35 M ATHARAZKA 4/29/2019 40 3217152904200002
36 ALFAZRI GILANG R 5/14/2019 39 3217151405200001
37 ARSY SAKINA H 5/22/2019 39 3217156205200001
38 HAFIZH RAMDAN 6/4/2019 39 3217150407200004
39 ANISA PUTRI R 7/2/2019 38 3217154207200005
40 M FAISAL 8/4/2019 36 3217150408200001
41 RIYAN 8/28/2020 23 3217152808200001
42 M SAYYI N 11/11/2020 21 3217151111200002
43 M SALMAN F 12/8/2020 20 3217152612200002
44 M HANIF AL.F 12/26/2020 19 3217152612200001
45 DEANDRA .P 1/12/2018 55 3217155201180002
46 KHANZA 12/25/2020 20 3217150609120029
47 AMARA DEFINA 1/20/2021 19 3217154102010005
48 SITI AMELIA A 2/20/2021 18 3217156002210002
49 M DEDE ALIF 3/13/2021 17 3217151303210002
50 M SAMSUDIN 4/15/2021 16 3217151504210002
51 M AZRIL .H 4/13/2021 16 3217151304210002
52 M ALVAN F 5/13/2021 15 3217151305210004
53 AQILA KHOIRUNNISA 6/6/2021 14 3217154606210002
54 SERIL JULIANTI 7/27/2021 12 3217151604052380
55 ABDUL KOHAR 9/5/2021 11 3217155120321009

ANGGREK
1 FAEYZA GAFFI F 9/26/2021 10
2 RESTINA AIZA D 9/10/2021 11
3 ZUBY AZZAHRA 8/11/2021 12
4 ADELIA NURHASANAH 7/25/2021 12
5 M RAFKA R 6/27/2021 13
6 SHEFIA NURUL H 6/17/2021 14
7 SHANI RIFQI FUADI 5/30/2021 14
8 AESYILA MEILANI 5/26/2021 14
9 RAKA M ALFATIH 5/7/2021 15 3217150705210002
10 M RAMDAN 4/24/2021 16 3217152404210001
11 MUADZ HISYAM 4/6/2021 16
12 HALWA LAILATUL 3/19/2021 17
13 AGHNIA SAHIRA P 3/11/2021 17
14 RANIA RIFATUL L 3/8/2021 17
15 KAYRA SHANUM 1/30/2021 18
16 ALGHAISAN 12/19/2020 20 3217151912200001
17 ARAFAH SIDQIA N 11/22/2020 21
18 SITI NAZIFA F 9/8/2020 23 3217154809200002
19 BHAGASKARA 8/13/2020 24 3217151308200004
20 BHIMANTARA 8/13/2020 24 3217151308200005
21 REGINA KAILA N 8/11/2020 24
22 M NAWAWI MUBAROK 7/20/2020 25 3217152007200003
23 M FAIZ WILDAN ALFATIH 7/18/2020 25 3217151807200005
24 AISYAH HASNA 7/13/2020 25 3217155307200002
25 ALMAHYRA 6/28/2020 26
26 ARKADIUS MILIK 5/28/2020 27
27 ALIZA TALITA A 3/29/2020 29 3217156903200002
28 HASNA NURAFIFAH 2/8/2020 30
29 FAHMI FADILAH 1/13/2020 31 3217151301200002
30 KHIAR ABDUL AZIZ 1/7/2020 31 3217150701200003
31 KHANZA K M 11/6/2019 33 3217154611190002
32 AISHWA ASYILA HUSANA 9/10/2019 35 3217155009190001
33 HISAN ZAVIAR M 8/11/2019 36 3217151108190001
34 ANISA ALIFA H 7/26/2019 37 3217156607190003
35 BILQIS FLORENTINA 7/10/2019 37 3217155007190004
36 DAVINA N 7/3/2019 38
37 ESHAL SAKILA L 7/1/2019 38
38 M FAWWAZ 5/13/2019 39 3217151305190001
39 DZIANISA R S 5/3/2019 40 3217134305190001
40 ADINDA PUTRI 5/2/2019 40 3217154205190001
41 ZAHIRA 4/21/2019 40
42 ARIBAH 3/23/2019 41
43 M ZEIN 1/28/2019 43 3273252801190002
44 SITI NAFISA 12/21/2018 44 3217156112180001
45 M HASBI 11/8/2018 45
46 JIHAN FAIRUZ 11/8/2018 45 3273164811180001
47 DAFFA 10/9/2018 46
48 SITI FATIMAH NH 10/1/2018 47 3217154110180001
49 DEWI ALVIANSYAH 9/26/2018 47 3217156609180001
50 NAFEEZA HANUM 8/8/2018 49 3217094808180002
51 M KEIYSHAN 6/11/2018 50 3217151106180002
52 AIRNADHIF 6/5/2018 51 3217150506180002
53 NAFHISA 5/22/2018 51
54 M ABDUL KAFI 3/15/2018 53 3217151503180002
55 ELISA ALIANTI 2/6/2018 55 3217154602180002
56 M RIFKI HAMIZAN 1/30/2018 55 3217153001180003
57 M FARHAN 1/29/2018 55 3217152901180002
58 RAFFAN 1/23/2018 55 3217152301180002
59 ALZHEA 11/14/2017 57 3217155411170001
60 KHUMAIRA 11/11/2017 58 3217155111170001
61 M DZAKIR 11/5/2017 58 3217150511170003
62 TINA FITRIYANI 11/1/2017 58 3217154111170001
63 FANIA 10/22/2017 58 3217156210170001
64 WASYIFA ELYA Z 10/14/2017 58 3217155410170001
65 KAMELIA 10/2/2017 59 3217154210170004
66 KAMAL 10/2/2017 59 3217150210170003
67 CHANTIKA 9/19/2017 59 3217155909170001
68 M DWI RAZKA 7/21/2017 61 3217156107170001
69 M BAGJA 7/13/2017 62 3217151307170003

SARIMBIT
1 ULFA ZAHARANI 9/8/2021 11
2 NAZMA ALMIRA 8/12/2021 12
3 ZAHIRA HAYATUN 7/9/2021 13 3217154906210001
4 BILQIS ASERA 6/5/2021 14
5 ANDITA NAURA 6/6/2021 14 3204404606210002
6 ANDAYANI 3/26/2021 16 3217156603210001
7 KHANZA UPAIRAH A 3/2/2021 17
8 BALQIS 2/12/2021 18 3217155202210003
9 M FAHREZA 3/20/2021 17 3217152003210001
10 MUHAMMAD VIRZHA 3/14/2021 17 3217121403210004
11 RIDAN 12/9/2020 20 3217150912200001
12 SELA AYUNDA 4/28/2020 28
13 KHANZALIA PUTRI 10/21/2020 22 3217156110200002
14 SAKILA 8/8/2020 24
15 DIVA FATURAHMAN 7/10/2020 25 3217151007200005
16 RAMDAN 5/8/2020 27 3273230805200005
17 NADIA 7/24/2020 25 3217156406200005
18 DELISA 2/28/2020 30
19 NAURA NUREEN B 1/6/2020 31
20 GIBRAN 10/13/2019 34
21 AIZA HILMI 11/2/2019 33 3217154211190001
22 INTAN 7/4/2019 38 3217154407190001
23 KESA ASALMA 7/16/2019 37 3217155607190001
24 DELA HERLIANI 6/8/2019 38 3217154806190001
25 PUTRI ZAHRA 8/26/2019 36 3217156608190001
26 BILAL 6/1/2019 39
27 SALMA 3/19/2019 41 3217155903190003
28 SALWA 3/19/2019 41 3217155903190002
29 ALTAP AIDIL 5/16/2019 39 3217151605190005
30 KHAYLA ALMIRA 4/17/2019 40 3217155704190001
31 M SYATHIR ALFARONIZAM 11/16/2018 45 3217151611180003
32 SANTI 12/15/2018 44 3217155512180001
33 ALYA 1/1/2019 44 3217154101190001
34 ABDUL WAHID 10/19/2018 46 3217151710180005
35 ANINDIA 11/22/2018 45 3217156211180001
36 M HAPIT 8/5/2018 49 3217150508180001
37 SYAIDATINNISA 9/28/2018 47
38 HERMAWAN 5/4/2018 52 3217150405180002
39 RESA A 2/10/2018 54 3217155004180002
40 BALQITS KALISTA M 5/23/2018 51 3204386305180004
41 M RIZWAN 10/4/2017 59 3217150410170001
42 D HERMAWAN 8/18/2017 60 3217151808170006
43 KHOLID YUSUP 9/4/2017 60 3217150409170001
44 AISYAH 7/9/2017 62 3273234907170002

DELIMA
1 AKILA NURANISA 8/25/2021 11 3217156508210000
2 VANIA ANINDIRA ZULAIKHA 8/13/2021 12 3217155308210001
3 PAJAR 8/7/2021 12
4 LIVIANI RAYA ASHANTI 7/20/2021 13 3217156007210003
5 LIVIANA RAYA SHAHIRA 7/20/2021 13 3217156007210002
6 QIRANI SYAHIRA A 7/12/2021 13 3217156007210003
7 M KIAN ARKANA 7/5/2021 13
8 ABDUL AZIZ A 7/10/2021 13 3217151007210002
9 M GIBRAN KHISAN 6/22/2021 14 3217152206210002
10 NAZIA BILQIS NADIRA 6/13/2021 14
11 HANIFA APRILIA 4/17/2021 16
12 MELANI RAFANIA A 4/20/2021 16 3217156004210002
13 ASFI AHMAD SAEPUL R 2/11/2021 18 3217151102210002
14 RIZKI RAYAN FAHRI 2/10/2021 18
15 SHAKILA AULIA R 2/5/2021 18 3217154502210002
16 ROHIMA THALITA 12/27/2020 19 3217156712200004
17 NAYLA AZAHRA 11/1/2020 21 3217154111200002
18 ARZAN FAREL B 10/13/2020 22
19 RAFKA ARSYA FATHAN 2/1/2020 30 3217150101200002
20 M SEPTIAN RAIS 9/15/2020 23 3217151509200001
21 SAYILA FUTRI S 9/13/2020 23 3217155309200001
22 SEPTIAN FIRMANSYAH 9/8/2020 23
23 UFAIRAH SALSABILA 9/1/2020 23 3217154109200001
24 RIFKI ZAHIR S 8/26/2020 24 3217152608200002
25 RAFKA ZAHIR S 8/26/2020 24 3217152608200001
26 SITI HAWATUL Z 8/9/2020 24 3217154908200001
27 M AJI PRATAMA 8/7/2020 24
28 BILQIS FAIHA HERMAWAN 8/7/2020 24 3217154708200002
29 ZIDHAN ARION GAZELLE 6/11/2020 26 3217151106200001
30 M FARIDOTUN HIDAYAT 6/10/2020 26 3217151006200002
31 ZIDAN ALFAREZIY S 6/4/2020 25 3217150406200003
32 SULAEMAN 5/29/2020 27 3217152905200004
33 ALFI INAYAH 4/25/2020 28 3217156504200003
34 ARSYAD NAUFAL 4/10/2020 28 3217151104200002
35 DERA ASIFA 4/10/2020 28 3217155004200001
36 FAIZAL RAMDANI 3/11/2020 29 3217151103200002
37 HANA AULIA HADIJAH 2/13/2020 30 3217155302200001
38 M ATHAR ADITAMA 11/29/2019 33 3217152911190003
39 SITI MARIAM 11/8/2019 33 3217154811190001
40 M FARIDO 10/20/2019 34 3217150210190001
41 AFFIFA SAYHIRA 9/7/2019 35 3217154709190002
42 ZIYA ARSYILA SEJAN 9/7/2019 35 3217154706190002
43 RAYYAN LABIB A 8/25/2019 36 3217152508190002
44 ALFIN DAFA MUAPAK 8/20/2019 36 3217152008190001
45 RIFKI AHMAD 7/24/2019 37 3217152407190001
46 AYU BAHIRA F 6/6/2019 38 3217154606190001
47 ZAHRA AULIA NISA 5/30/2019 39 3217157005190001
48 DELISA FITRIANI 5/23/2019 39 3217156305190001
49 VIOLA WANDA HAMIDAH 5/28/2019 39 3217156805190001
50 APRILIANTI 4/13/2019 40 3217155304190002
51 ALPIAN IBRAHIM 2/28/2019 42 3217152802190001
52 AI SISKA 2/28/2019 42
53 AKILLA NUR AFANI 2/27/2019 42 3217156702190001
54 HERA SULISTIAWATI 2/18/2019 42 3217155802190001
55 ALFAN FEBRIANSYAH 1/26/2019 43 3217152601190001
56 AL FAHRI 12/11/2018 44
57 M HAFIZ 12/9/2018 44
58 DELISA NURUL ULPA 12/2/2018 45 3217154212180001
59 ELSA SAFUTRI 11/30/2018 45 3217157001180002
60 LATIF HABIB ALFARIJI 10/26/2018 46
61 KHAILA FUTRI HOIRUNISA 10/15/2018 46 3217155510180002
62 M RIZKI 8/26/2018 48 3217152608180002
63 ABIDZAR ALTAN M 8/17/2018 48 3217151708180003
64 M WILDAN 7/13/2018 49 3217151307180001
65 MAULANA ARAZAK 6/1/2018 51 3217150106180001
66 KHOIRUNISA AL ZAHRA 4/30/2018 52 3217157004180001
67 M SURYAH AL PALAH 4/11/2018 52 3217151104180002
68 NASYA NUR AQILA 3/10/2018 54 3217155003180003
69 SITI NURPAJAR 11/25/2017 57 3217156511170001
70 RANGGA SEPTIAN 9/5/2017 60 3217150509170001

MAWAR
1 M REYAN 7/17/2017 61 3217151707170002
2 NURANISA SALSABILA 7/27/2017 61 3217156206170002
3 M AZHAR 8/6/2017 61 3217150608170001
4 AQILA NURAZIZAH 8/6/2017 61 3217154608170001
5 ARFAN 8/16/2017 60 3217150110090035
6 NADIRA SITI 8/28/2017 60 3217156808170001
7 ABIZARD 9/8/2017 60 3217150807170003
8 RAPKA 9/21/2017 59 3217152109170003
9 ZHAKIYA THALITA 12/25/2017 56 3217156512170002
10 ALISA PUTRI 2/18/2018 54 3217155802180002
11 SANDI BARIKH 3/15/2018 53 3217151503180001
12 ABIRA 5/10/2018 52
13 SIFA KHOERUNISA 5/11/2018 51 3217155105180001
14 AINUM RAHMA 5/17/2018 51 3217155807180002
15 M FAYYADH 6/8/2018 51 3217150806180001
16 M FITRA 6/14/2018 50 3217152406180001
17 M DIAN SAPUTRA 6/17/2018 50 3217150706180002
18 SITI NURAZKIA 7/1/2017 62 3217154108170002
19 WULAN 8/30/2018 48
20 HASNA 8/30/2018 48
21 AQBAR ATHAYA 9/9/2018 47 3217150909180001
22 RIZKI NUGRAHA 9/10/2018 47 3217151009180003
23 ADAM 9/10/2018 47 3217150910180005
24 M ADYAN 10/4/2018 47 3217150410180001
25 KESYA 10/7/2018 47 3217154710180001
26 M FATHAN 11/16/2018 45
27 AZKA F.A 11/17/2018 45
28 AZIZA HILMIA SALMA 11/27/2018 45 3217156711180001
29 FALSA 5/18/2018 51 3217151805180003
30 MAULIDA FITRIA 11/20/2018 45 3217156011180001
31 M FAIZ 3/1/2018 54
32 JAPAN 1/24/2019 43 3217152401190001
33 M AKMAL 1/7/2019 43 3217151701190001
34 ASTI 2/15/2019 42
35 REGITA 2/24/2019 42 3217156402190001
36 KHANZA ZAYNA 4/12/2019 40 3217155404190002
37 ZENIA QONITA 4/19/2019 40 3217155904190002
38 NADIRA 4/24/2019 40 3217156404190001
39 M ASLAM 5/3/2019 40 3217150305190002
40 M ALIF RAIHAN 5/5/2019 40 3217152403190003
41 NAJRIL VIDAM 5/7/2019 39 3217150705190001
42 NAJLA RIFA 5/9/2019 39 3217154705190003
43 M HASBI R 5/14/2019 39 3217151905190001
44 M AZRIEL 3/14/2019 41 3217151405190003
45 M SAIFUL FAJAR 5/25/2019 39 3217152205180001
46 M HAJJUL ARRIZKI 8/18/2019 36 3217151208190002
47 SAWQI RAWA 9/4/2019 35 3217150409190001
48 SHAFA ADZKIA 9/21/2019 35 3217156109190004
49 ASHIFA RAFANIA 10/22/2019 34 3217156210190001
50 M HISYAM 11/30/2019 33 3217153011190002
51 M YUSUF 12/19/2019 32 3217151903150006
52 ABIL 3/5/2019 42
53 ALFIYA HASNA 1/8/2020 31 3217154801200001
54 NADIVA 1/13/2020 31 3217150204190003
55 DITYA 1/13/2020 31 3217151301200001
56 AISHA RAHMA 1/15/2020 31 3217151408150007
57 MUTIA NISA 1/16/2020 31 3217153003100002
58 SHAQILA AHYARUL 1/20/2020 31 3217151501150005
59 M FAQIH 2/16/2020 30 3217151602200002
60 M ALROJI 2/20/2020 30 3217152002200002
61 M IRSYAD 2/24/2020 30 3217152402200001
62 SYAHRIZA 2/27/2020 30 3217152702200002
63 ADELIA 1/5/2020 31
64 TIARA PERMATA 2/3/2020 30 3217156302200002
65 NAYLA 4/5/2020 28 3217154904200001
66 ABIZARD 4/13/2020 28 3217151304200001
67 SYAKIRA 5/9/2020 27 3217151009190020
68 M SYAM 5/10/2020 27 3217151005200002
69 ASIFA SAMIRATUNNISA 5/11/2020 27 3217157004200001
70 M GINAN 6/10/2020 26 3217151006200001
71 SILMI DILA 7/4/2020 25 3217152501080012
72 NURON MARDIYAH 7/5/2020 25 3217155507200004
73 NADIA 7/5/2020 25 3217154507200001
74 M RADITIA 7/10/2020 25 3217151007200002
75 AFKARINA 7/14/2020 25
76 M ALBIANSYAH 9/20/2020 23 3217151604059829
77 RAKA 11/24/2020 21
78 NURLAILIN 12/23/2020 20 3217156309200001
79 GAZWAN 12/28/2020 19
80 M IHSANUL 11/11/2020 21
81 RIDWAN KAMIL 12/12/2020 20 3217152009120008
82 IZMA HASNA 6/18/2020 26
83 NAJFAN 10/10/2020 22 3217151010200001
84 NADIA 8/30/2020 23 3217157008200002
85 NAWAFTA 7/29/2020 24 3217152907200006
86 M FAHRI 1/31/2021 18 3217153101210001
87 RIYUZAKI 2/20/2021 18 3217152309110008
88 KAYLA 3/11/2021 17
89 GIBRAN 1/31/2021 18
90 M HUSNA MUBAROK 3/4/2021 17 3217153004200003
91 HANIF 4/10/2021 16 3217150111170006
92 M ARGANTA 6/12/2021 14 3217153009190003
93 RASYADU RAZI 10/3/2021 10
94 KANAYA 4/30/2021 15 3217157004210002
95 DHAFITA N 7/17/2021 13
96 SHAHIRA NURKALISA 7/25/2021 12 3217152702200002
97 M DZAKI 8/31/2021 11
98 NAZMA 3/15/2020 29
99 M RAFA NUGRAHA 10/26/2021 9 3217152610210002
100 ARESHA SHAKILA 5/16/2020 27 3217155605200003
101 M ARVHAN 9/1/2018 48 3217150109160008
102 LUTVIA KHANZA 11/23/2017 57 3217156312170003

MERPATI
1 M AZAM 8/23/2018 48 3217152308180001
2 SALSA 1/3/2018 56 3217157001180001
3 M RAFLI 3/11/2020 29 3217151103200005
4 NURSYAFIRA 11/19/2017 57 3217155911180003
5 M RIYAN 11/29/2018 45 3217152911180003
6 ALVIN 8/25/2020 24 3217152701120036
7 AZKIA 12/23/2018 44 3217156312180005
8 M LUTFHI 1/23/2017 67 3217152301170001
9 SANDI BARIK 3/1/2018 54 3217151503180001
10 DAFFA IBNU 4/2/2020 28 3217150204200001
11 ATHARAZKA 7/1/2021 13 3217151007210030
12 ADELIA 6/20/2021 14 3217156006210001
13 YUSUF 3/8/2019 41 3217150803190003
14 ASYFARAFA 10/22/2019 34 3217156210190001
15 ANINDIA 5/7/2018 52 3217153470518002
16 ALYA 12/29/2019 32 3217156912140002
17 AHSAN 31
18 M RIFAN 10/4/2018 47 3217150410180003
19 M HAFIZ 1/17/2021 19 3217151701210001
20 AHDAPIAN 10/7/2019 34
21 RAISA 53
22 NAZWA 8/29/2002 243
23 AYESA 45

NUSANTARA
1 FAHRUL ROZI 9/16/2017 59 3217151609170003
2 M GHAISAN FILLIO 10/25/2017 58 3217152510170002
3 M KHOIRUL GIBRAN 11/20/2017 57 3217152011170001
4 M IQBAL 1/5/2018 56 3217150501180004
5 M ADRIEL FAIZ 4/22/2018 52
6 AGNIATUSSOLIHAH 6/12/2018 50 3217155208190004
7 M REZA 4/20/2018 52
8 ADRIAN PRADITA 11/20/2018 45 3217152011180002
9 PIO RIZKI 12/31/2018 44 3217153112180002
10 M RIFKI 1/1/2019 44 3217150101190001
11 CHYNTIA R 3/5/2019 42 3217154503190001
12 KHAIRI KHAFIDZ 3/31/2019 41 3217153103190002
13 A ALI ALFADILAH 7/9/2019 37
14 VIONA P 9/4/2019 35 3217154409190001
15 M ARYA 2/9/2020 30 3217150902200001
16 M GIBRAN A 8/29/2019 36 3217152908200002
17 M ASLAN HADI 10/26/2020 22
18 IRMA IZZATUN 10/16/2020 22 3217155610200001
19 HANIA FAUZIAH 1/28/2021 18 3217156802210001
20 CIKA AULIA 1/20/2021 19 3217152812150002
21 M RIDO 9/15/2017 59 3217152812150002
22 ALISA Z 7/10/2018 49 3217155007180001
23 PAWAZ H 1/15/2019 43
24 RAMDANIA Z 5/19/2019 39 3217155905190003
25 REZA A 7/12/2019 37 3217151207190003
26 SILMI S R 8/28/2019 36
27 MAIRA 9/10/2019 35
28 M SYAILENDRA 12/9/2019 32
29 NADIA A 12/29/2019 32 3217156912190001
30 M FANJI 5/23/2020 27 3217152205200001
31 NAJLA R 3/14/2018 53 3216195403180001
32 HUMAIRA N 3/16/2021 17
33 EZA A 3/28/2021 16 3217152302210001
34 M IKHSAN F 5/13/2021 15
35 RAFASYA A 5/2/2021 15 3217152702210001
36 M HADIAN 4/12/2021 16 3217151204210001
37 AKSA A 3/24/2019 41 3217152403190002
38 NAWAL A 4/2/2020 28 3216194204200002

PASIRJAYA
1 NABILA S 1/19/2021 19
2 MUTIA H 9/21/2021 11
3 NADIRA 3/3/2021 17
4 M DAFFA 9/6/2021 11 3217150608210001
5 AMARA MUTIARA R 8/2/2021 12 3217154208210001
6 SAHID K 4/8/2021 16
7 M MIRZA 4/17/2021 16
8 FAQIH 4/19/2021 16 3217151904210003
9 M TRISTAN 2/5/2021 18 3217150502210002
10 AZAHRA A 1/6/2021 19 3217154601210004
11 FAIDA 7/3/2020 25 3217154307200001
12 SINAN 3/3/2020 29 3217153003200001
13 HUMAIRA 8/11/2020 24
14 M HUSNI 7/1/2020 25 3217150108200001
15 MEIDITA AS 5/15/2020 27 3217155505200001
16 NAIMA 5/28/2020 27 3217156805200001
17 NIZAM 3/17/2020 29 3217151703200001
18 M BAGASKARA 1/4/2019 44 3217150401190004
19 AIMEERA 10/19/2019 34 3217155909190002
20 AHTAR N 7/20/2019 37 3217152709190002
21 IRFAN 7/25/2019 37 3217152406180004
22 RAFAN 4/13/2019 40 3217151304190001
23 NAZAR SITI 9/15/2018 47
24 YASSIN 11/12/2018 45 3217151209180002
25 M ARYA 9/2/2018 48 3217150209180003
26 M DJUNA 6/8/2018 51 3217150806180003
27 ZAHIRA 8/24/2018 48 3217156408180003
28 ZAKIRA 8/24/2018 48 3217156408180004
29 LATIFA 6/6/2018 51 3217154606180001
30 AQILA 5/8/2018 52 3217154605180003
31 M RIZKI F 31/04/2019 39 3217153103190004
32 SHAKILA 10/28/2020 21 3217156811200001
RIMBA LESTARI
1 KHOIRUL FAHMI 2/27/2020 30 3217152702200003
2 M KAFFA NURUL 8/10/2020 24 3217151008200003
3 M ARSIL 2/20/2020 30
4 HAMIGAR H 9/12/2020 23 3217151209200003
5 M ALIF PURWOKO 11/4/2020 21 3217150411200001
6 ADIATNA 4/24/2020 28
7 M HAFIZ 1/3/2020 31
8 AZRIL 5/3/2020 27 3217150305200002
9 MALIK ABDUL 10/14/2020 22 3217151410200002
10 M RAFIUL 10/1/2020 22
11 M ZULFA 4/16/2020 28 3217151604200001
12 NENG AZIJAH 8/3/2020 24 3217156703180001
13 NENG ALFI 4/15/2020 28 3217155504200001
14 JUHAILA 2/2/2020 30
15 NADIPA 4/9/2020 28 3217154904200000
16 PUTRI NURJANAH 10/13/2020 22
17 AKILA RANIA 10/26/2020 22 3217156510200001
18 ERINKA 3/3/2020 29 3217151809950002
19 AYUDA FITRIA 4/6/2021 16
20 ARUMI N 3/19/2021 17 3217155903210003
21 NAZMA PUTRI 5/11/2021 15 3217155105210004
22 TANIA 5/10/2021 15 321715500240003
23 SOFA HILKI 7/19/2021 13
24 INSTAN SYIFA 4/8/2021 16
25 RANYA 9/21/2021 11
26 AFIFAH 1/28/2021 18
27 CINTIA 4/5/2021 16
28 FEBI 2/28/2021 17
29 NAZWA 7/26/2021 12
30 AIWAN 7/21/2021 13
31 KAFASYA 4/22/2021 16
32 ABDUL HARIS 5/14/2021 15
33 M AKSAN 3/23/2021 17
34 WAFA 6/19/2021 14
35 M DAFA 6/14/2021 14
36 M ALFAUZI 3/23/2021 17 3217152303210001
37 M ARSYAD 2/6/2021 18
38 M ALFIN 9/3/2021 11
39 M MIKDAD 9/30/2021 10
40 M SYIRI KAFI 4/1/2021 16
41 PAFIN 6/1/2018 51 3277010106180009
42 RAFASYA 11/22/2018 45 3217152911180006
43 SIFAUL HASANAH 10/24/2018 46 3217156703180001
44 ZIHAN FALITA 3/15/2018 53 3217155503180001
45 NUR AULIA 6/4/2018 51 3217154406180002
46 MITA NURASIFA 4/29/2018 52
47 RAHMA AULIA 6/22/2018 50 3217156206180002
48 PUTRI AULIA 8/20/2018 48
49 AULIA 5/21/2018 51
50 ARSYI AULIA 10/11/2018 46 3217155110180001
51 ELSA 9/30/2018 47 3217154308180001
52 NAZVA 9/29/2018 47
53 ZAHRA SYABILA 6/26/2018 50
54 ANISA RAHMANIA 12/21/2018 44 3217157012180001
55 ALYA 10/17/2018 46
56 ANDINI 8/3/2018 49 3217154408190005
57 ADITIA 8/16/2019 36 3217151608190001
58 BINTANG 3/29/2019 41 3217152903190001
59 M AZRIL 4/11/2019 40 3217151104190002
60 ATARPA 3/14/2019 41 3217151303190001
61 ALISA 3217156611170002
62 AIMAR 11/9/2017 58 3217150911170002
63 MAGFIROH 2/3/2017 67 3204094308170001
64 TANIA PUTRI 12/23/2017 56 3217156312170004
65 AULIA KUSHERAWATI 5/27/2017 63 3217156705170031
66 SEPTIANI M 9/20/2017 59 3217150509180001
67 KESYALWA 10/5/2017 59 3217154505180004
68 NAMIRA S 10/20/2017 58 3217156010170001
69 NINDI R 4/17/2017 64 3217155704170001
70 SIFA K 2/2/2017 67 3217154202170002
71 MUTIARA A 9/25/2017 59 3217156509170001
72 SALSABILA 9/26/2017 59 3217156309170001
73 AYUNDA 8/23/2017 60 3217156308170001
74 KHOIRUNNISA F 8/5/2017 61 3217154508170001
75 BUSROL KARIM 7/16/2017 61 3204131607170002
76 M ADRIAN A 11/24/2017 57
77 M REUHAN P.A 2/13/2017 67
78 M ZAKI A 5/30/2017 63 3217153005170005
79 DIMAS R 5/21/2017 63
80 ALDI R.P 7/9/2017 62 3217150907170003
81 M HERU 8/17/2019 36 3217151705190003
82 M ZULFA 4/26/2019 40 3217152604190002
83 RAZKI 10/24/2019 34
84 RAGIL A 5/11/2019 39 3217151105190001
85 M RIZKI 8/28/2019 36
86 M ADITIA 8/25/2019 36
87 M FAKIH 7/10/2019 37 3217151007190001
88 RIDWAN G 9/9/2019 35
89 M YUSUF 10/9/2019 34 3217150910190002
90 M FAHRIZA 11/21/2019 33 3217152111190002
91 DETA 12/28/2019 32 3217152812190003
92 AZHAR 4/26/2019 40
93 SITI H 8/1/2019 37 3217154108190001
94 PUTRI A 9/15/2019 35
95 SALMA 10/15/2019 34
96 ZIANA H 12/20/2019 32 3217156012190001
97 NABILLAH Q 11/22/2019 33
98 ALYA A R 5/17/2019 39 3217155705190001
99 NERA S 6/10/2019 38 3217155006190002
100 WILDAN 2/15/2020 30 3217151502200002
101 ADHAR ILAHI 10/23/2017 58 3217152310170001
102 ABIYA ABDILLAH 12/23/2017 56 3217152312170002
103 M HASBI 11/12/2017 57 3217151211170002
104 AZKI 4/18/2018 52 3217158031180004
105 RIBAN ABDILLAH 3/18/2018 53 3217151803180003
106 M TUBAGUS 1/5/2018 56 3217150301180002
107 M DAFFA 4/10/2018 53 3217151004180003
108 M RIZKI PRATAMA 4/14/2018 52 3217151405180004
109 M FAISAL 5/13/2018 51 3217150301180001
110 NENDI SAPUTRA 1/14/2018 55 3217151401180005
111 M ARGA R 2/9/2018 55
112 RIHAN REIZA 5/10/2018 52 3217151005180002
113 RYIU S 7/2/2018 50 3217150207180003
114 M DIMAS 7/27/2018 49 3217154307070004
115 ABDUL JABAR 9/10/2018 47 3217151006180002
116 M FADIL F 9/5/2018 48 3217150509180001
117 LUTFI S 9/28/2018 47 3217152809180002
118 M RIFKI S 10/6/2018 47 3217150810180001
119 ABIZAR ARFAN 11/19/2018 45 3217151911180001
120 M ARKAN 11/28/2018 45

TANGSI
1 M RAZIS 10/13/2018 46
2 M ADBUL R 9/22/2018 47 3201192209180001
3 AFIFA S N 9/12/2018 47
4 M UMBARA Z S 3/8/2019 41
5 ATINA YARA 9/11/2019 35
6 PADLA FATIMAH 9/14/2019 35 3217155409190001
7 M MARDI 9/23/2019 35 3217152309190001
8 RIZKA U.U 9/30/2019 35 3217157009190002
9 TIYA N 4/22/2021 16 3217156204210001
10 M RIZKI M 10/21/2019 34
11 APIK ABDUL A 10/13/2019 34 321715131019001
12 SITI S F 1/21/2020 31 3217156101200002
13 M ALFAZZAR 2/27/2020 30
14 M R RAFIF A 4/26/2020 28
15 RAYYAN M F 6/2/2020 26
16 MUPIDA F N 8/25/2019 36 3217156518090002
17 ALFA R 8/30/2020 23 3217153009200001
18 ABIZARD N A 11/28/2020 20 3217152811200002
19 ALIYA K.P 1/14/2021 19
20 DEFINA N.Z 2/12/2021 18 3217155202210001
21 ZAMILATUL .K 3/16/2021 17
22 ALPAN P.P 4/21/2021 16 3217152104210001
23 KAYLA P.A 4/13/2021 16
24 KHALISA A.A 8/10/2021 12 3217155008210002
25 FARESTA S 9/5/2021 11
26 M SIDKI J 7/26/2021 12
27 VIRENDRA A.K 11/15/2021 9
28 M FAREL 4/16/2021 16

Al Hikmah
1 Reihan Perbiawan 10/4/2019 33 321715100419002
2 Assifatu Haifa 23/12/2018 42 3217156312180006
3 Farhan Hizatul Maulana 22/08/2021 10 3217156208210001
4 Andi Saputra 31/07/2017 59 3217153107170001
5 Meinanda Cahaya 29/01/2020 38 3217156901200001
6 Putri Kirana 13/03/2019 39 3217155303190002
7 Denden Umar S 4/10/2019 39 3277010410190002
8 Dede Rahmat M 9/8/2021 9 3217150908210002
9 Adam Firdaus 13/11/2017 55 3217151311170001
10 Sarah Safitri M 14/09/2018 45 3217155409180001
11 Mutia Nisa Adiba 4/8/2019 39 3217154408190003
12 Putri Raisya 27/07/2018 47 3217206707182429

Plamboyan
Raya fitria 4/14/2021 3217150606780011
Ega safitri 4/18/2021
Azkaira yasna 4/29/2021 3217156904210002
Kadza zainun 6/11/2021 3217152506200015
Apipah hinaya 6/25/2021 3217152802090002
M rizki a 7/5/2021 3217154311970008
Zasty muhamad 6/19/2021 3217155208970006
Nabila putri 3/18/2021 3217155202210002
Nur khoirunisa 2/28/2021 3271156802210002
M akmal h 1/1/2021 3217150101210011
Dafa rapisqi 1/4/2021
M agung m 9/18/2021 3217151809200002
M rizki a m 9/9/2021 3217152506200004
Neng risma 7/20/2020
Ahmad hilmi 1/4/2020 3217150401200004
Rehan 12/12/2019 3217151212190001
Rafli al gibran 12/27/2019 3217150212190001
Adelia putri 12/5/2019 3217154512190004
Hendra adis 7/30/2019 3217153007190003
Salsa nurul a 7/30/2019 3217156109030002
Repaleno 4/3/2019
Aisyah ayundia 1/13/2019
Riski saputra 6/29/2019 3217152906190002
M yusuf r 6/9/2019 3217150905190001
Asep aska 1/29/2019 3217152901190002
M ridwan 1/29/2019 3217152509190003
Ulfa anjani 1/11/2019 3271155101190001
M pandu 3/29/2018 3217152903180002
Siti nurjanah 7/13/2018 3217155307180001
Siti aisyah r 6/19/2018 3217155906180001
Naura asifa a 5/18/2018 3217155006160002
Siti kaila 10/19/2018 3217155910170001
Ahmad m 10/12/2021
Raja rifansyah 11/23/2019 3217152311190003

Glatik
Najmi minifah 8/11/2017 59 Bulan 3217155108170001
Muhamad kaysan 8/17/2017 59 Bulan 321711708170002
Arsyi nurhasanah 8/18/2017 59 Bulan 3271155808170002
Afnan arrasyid billah 8/23/2017 59 Bulan 3217150308170002
Mega 8/29/2017 59 Bulan
Risyad khairunnadzier 9/21/2017 58 Bulan 3217152109170002
Muhamad ahlan 10/2/2017 56 Bulan 3217150210170002
Intan 12/3/2017 55 Bulan
Fahri 3/31/2018 52 Bulan 3217153110310001
Dafin 5/21/2018 50 Bulan 3217152105180002
Keysa 7/13/2018 48 Bulan
Azizah 7/29/2018 48 Bulan 3217156907180001
Muhamad revan 11/1/2018 44 Bulan 3217150111190002
Adzril 11/22/2018 44 Bulan 3217152211180001
Alya 11/27/2018 44 Bulan
Miptahul hayat 12/7/2018 43 Bulan 3217150712180001
Naupal 12/18/2018 44 Bulan 3217151812180002
Habibah 12/25/2018 43 Bulan 3217156512180001
Abizar 12/28/2018 43 Bulan 3217150803190001
Apip abdillah 1/18/2019 42 Bulan 3217151801190001
Azzahra 1/4/2019 42 Bulan 3329114401190003
M azka maulana 3/9/2022 40 Bulan 3217150803190002
Riska 3/22/2019 40 Bulan
M fatih 4/16/2019 39 Bulan 3217151604190001
Satria 5/16/2019 38 Bulan
Alvin 6/12/2019 37 Bulan 3217151206190001
Naira 8/4/2019 35 Bulan 3217154408190008
M dastan 8/29/2019 35 Bulan
M shubqi 10/2/2019 33 Bulan 3217153005170001
Aska permana 1/29/2019 42 Bulan
M rasyid 11/5/2019 32 Bulan
Sani nurmaulida 11/10/2019 32 Bulan 3217155011190002
Abdul rizky m 11/21/2019 32 Bulan 3217152111190001
Azril a 11/26/2019 32 Bulan 3217152611190001
Hafizah 12/9/2019 31 Bulan 3217154912190001
Hilya azzahra 2/3/2020 29 Bulan 3217154302200002
Muhammad far 3/1/2020 28 Bulan 3217150103200006
Abdul cahya 3/24/2020 28 Bulan
M azka maulana 3/26/2020 28 Bulan 3217152603200004
Nafisa 4/9/2020 27 Bulan 3217134904200001
Abdul m faizin 4/9/2020 27 Bulan 3217150904200001
Salsabila putri 5/5/2020 26 Bulan 3217154505500001
Abdul qodir 5/14/2020 26 Bulan 3217151405200002
M nadhip 6/10/2020 25 Bulan 3217151406200001
Ahmad agung 7/29/2020 24 Bulan 3217152907200005
Saviq m a 8/1/2020 23 Bulan 3217152907200005
Azam 8/13/2020 23 Bulan 321715130820002
Fathan yusuf a 11/12/2020 20 Bulan 3217153003120001
Nuria nadhira 11/15/2020 20 Bulan 3217155511200001
Angelia 10/26/2020 21 Bulan
Haidar 3/22/2021 16 Bulan
Basyasya sofi 4/3/2021 15 Bulan 3217154304210001
Astri mikaila p 4/11/2021 15 Bulan 3204375104210002
Azkia saumi 4/15/2021 15 Bulan
Jihan kanita 6/14/2021 13 Bulan 3217155407210003
M syahril 4/25/2019 27 Bulan 3217152504200002
Alya 6/5/2019 39 Bulan 3217394306210001
Aksa maulana 9/26/2019 34 Bulan 3217344309210001

MELATI
Maulida putri 11/30/2017 57 3217157011170004
amila nazla 4/17/2018 52 3217155704180002
M Al'luqman 5/19/2018 51 321715905180003
kayla sabila 11/9/2018 45
Hanivah nursyamsiah 12/24/2018 44 3217156412180001
Dimas Khoiril 2/7/2019 42 3217150702190001
Siiti Nuraila 3/7/2019 41 3217154703190001
Hasby aditya 1/4/2019 43
vira yunita 4/5/2019 40
Shahira ramadina 5/14/2019 39 3217155405190002
Al fariz 7/27/2019 37 3217152707190003
Asilah nurhusna 8/30/2019 36 3217157008190002
salwa rahmawati 11/20/2019 33 3217156011190003
sayyidah mufida 11/26/2019 33 3217156611190003
zahra 12/13/2019 32 3217155312190001
sullaman rikhotul m 12/26/2019 32 3217152612190001
m husni 5/27/2020 27 3217152705200002
Alby rifky 6/1/2020 26 3217150106200003
Arsyanus solihah 6/10/2020 26 3217155006200001
Alif ahmad 8/3/2020 24 3217150308200002
Ripda hanindiya 9/2/2020 23 3217154209200002
azkia adawiyah 9/11/2020 23 32171550092000008
m jenal muttaqin 11/20/2020 21
Aliya hasanah 11/30/2020 21 3217157011200001
Ravinza ibrahim 18//01/2021 19 321715801210002
Arunika barkah 2/27/2021 18 3217156702210002
Syaputra junianto 6/26/2021 14 3217152606210002
yumna salsabila 10/14/2021 10 3217155410210001

m
TOTAL VIAL VAKSIN (Jumlah Vial = Jumlah Total Sasaran/IP Vaksin

IP Vaksin: Rekapitulasi tabel


MR = 8 Sasaran imunisasi Campak Rubela = 3 Pemberian jenis vaksin suntikan berbe
OPV = 8 Sasaran imunisasi kejar OPV =2 LV - LV = jarak minimal 4 mgg
IPV = 4 Sasaran imunisasi kejar IPV = 2 LV - non LV = tidak ada jarak minimal
DPT-HB-Hib = 4 Sasaran imunisasi kejar DPT-HB-Hib = 3
Cakupan
CR = 3 = 100% Penta = 1 = 1/3 = 30%
OPV = 2 = 100%
Catatan: IPV = 1 = 1/2 50%
Anak yang sudah mendapatkan ORI Campak Rubela, tidak perlu mendapatkan imunisasi tambahan Campak Rubela s
Total kebutuhan vial yang dibutuhkan yang mengacu pada perhitungan baris total vial vaksin
Anak usia 18-24 bulan yang pada saat bersamaan mendapatkan imunisasi rutin (DPT-HB-Hib4 dan Campak rubella 2)
Kebutuhan Vaksin Khusus Campak Rubela = (Total Sasaran - Sudah Mendapatkan ORI Campak Rubela sejak Januar
RAN IMUNISASI KEJAR ADALAH 12-59 BULAN

Apakah anak merupakan


Nama Orang Tua Alamat sasaran Imunisasi
Tambahan
Campak Rubella (Ya=1,
Tidak = 0)

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

BUBUN BUDIMAN Kp. Cibanteng Rt. 02 1


AGUS PERMANA Kp. Cibanteng Rt. 01 1
IWAN Kp. Cibanteng Rt. 02 1
RUKMAN Kp. Cibanteng Rt. 02 1
KARSIANTO Kp. Cibanteng Rt. 02 1
SOLEH BADRUN S Kp. Cibanteng Rt. 01 1
RIDWAN KRISTIAT Kp. Cibanteng Rt. 02 1
IRFANI FIRDAUS Kp. Cibanteng Rt. 02 1
HARISMA K Kp. Cibanteng Rt. 02 1
JENAL ARIFIN Kp. Cibanteng Rt. 02 1
DIAN ARDIANTO Kp. Cibanteng Rt. 02 1
RAHMAT DIPRAJAT Kp. Cibanteng Rt. 01 1
ACHMAD SAMBAS Kp. Cibanteng Rt. 02 1
UJANG TAUPIK Kp. Cibanteng Rt. 01 1
SYAMSUL RIJLAN HIDAYAT Kp. Cibanteng Rt. 02 1
ABDUL ROHMAN Kp. Cibanteng Rt. 01 1
AI NURHASANAH Kp. Cibanteng Rt. 01 1
NEDI Kp. Cibanteng Rt. 01 1
M.IRFAN Kp. Cibanteng Rt. 01 1
WAWAN Kp. Cibanteng Rt. 02 1
ETET DAMAN S Kp. Cibanteng Rt. 01 1
AGUS PERMANA Kp. Cibanteng Rt. 01 1
SAEPUDIN ROMDONI Kp. Cibanteng Rt. 02 1
HARISMA K Kp. Cibanteng Rt. 02 1
ANDI GUNAWAN Kp. Cibanteng Rt. 02 1
DIAN ARDIANTO Kp. Cibanteng Rt. 02 1

Irfan/Sintia Ciawitali 01/07 1


Pipin/Nuryani Ciawitali 02/07 1
Denis/Tiara Ciawitali 02/07 1
Hendra/Ica Ciawitali 02/07 1
Satiawan/Lala Ciawitali 02/07 1
Heri/Marni Ciawitali 02/07 1
Usup/Lilis Ciawitali 02/07 1
Kamal/Dewi Ciawitali 03/07 1
Cecep/Yuni Ciawitali 02/07 1
Saep/Aas Ciawitali 01/07 1
Ajat/Wartini Ciawitali 04/07 1
Ade Toto/Imas Ciawitali 04/07 1
Miftah/Fitri Ciawitali 03/07 1
Sukiman/Cicin Ciawitali 03/07 1
Ahmad/Ilah Ciawitali 03/07 1
Dani/Ina Ciawitali 02/07 1
Agus/Pipin Ciawitali 04/07 1
Rijki/Nurlaela Ciawitali 04/07 1
Abdul/Timi Ciawitali 01/07 1
Lukman/Suci Ciawitali 02/07 1
Dani/Amelia Ciawitali 04/07 1
Rizwan/Febi Ciawitali 02/07 1
Rian/Emi Ciawitali 03/07 1
Diki/Rani Ciawitali 03/07 1
Dedi/Yani Ciawitali 01/07 1
Udin/Anisa Ciawitali 04/07 1
Iim/Lilis Ciawitali 02/07 1
Ujang Saepuloh/Tika Ciawitali 01/07 1
Dedi/Adah Ciawitali 04/07 1
Rojak/Anisa Ciawitali 04/07 1
Romi/Intan Ciawitali 01/07 1
Hasyim/Mulyati Ciawitali 01/07 1
Saep/Aas Ciawitali 01/07 1
Asep Hayat/Ida Ciawitali 01/07 1
Komar/Winda Ciawitali 04/07 1
Asep/Anggi Ciawitali 04/07 1
Soleh/Nita Ciawitali 02/07 1
Ade/Ika Ciawitali 04/07 1
Asep/Rindi Ciawitali 02/07 1
Surya/Rika Ciawitali 02/07 1
Iwan/Santi Ciawitali 01/07 1
Anan/Datih Ciawitali 03/07 1
Ijay/Rosi Ciawitali 02/07 1
Hasan/Hj. Yati Ciawitali 03/07 1
Agus/Ai Fitri Ciawitali 04/07 1
Idan/Sawiyah Ciawitali 01/07 1
Hakim/Rinawati Ciawitali 02/07 1
Jayan/Lilis Ciawitali 03/07 1
Opik/Ai Ciawitali 01/07 1
Yusuf/Susi Ciawitali 03/07 1
Budi/Ai Ciawitali 01/07 1
Yuyus/Latipah Ciawitali 03/07 1
Asep/Nina Ciawitali 03/07 1
Usep/Tanti Ciawitali 02/07 1
Asmin/Daniah Ciawitali 04/07 1
Kurnia/Mila Ciawitali 02/07 1
Soleh/Leni Ciawitali 02/07 1
Asep Nurfalah/Sarah Ciawitali 01/07 1
Mahdiat/Dede Ciawitali 02/07 1
Badru/Aisah Ciawitali 03/07 1
Cahya/Samsiah Ciawitali 03/07 1
Sopian/Nurlaela Ciawitali 02/07 1
Wildan/Nurjanah Ciawitali 02/07 1
Yoyon/Iis Ciawitali 02/07 1
Rizwan/Febi Ciawitali 02/07 1

LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1
LEMBURGEDE 1

KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1
KP TONJONG 1

KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1
KP BABAKAN 1

SITI / DUDU KP. ONGRET RT 03/24 1


FITRIANI / SUHERMAN KP. ONGRET RT 04/24 1
ARISKA / RIDWAN KP. ONGRET RT 04/24 1
LINDA/ BUDI ENO KP. KUBANG RT 01/24 1
EDAH / ASEP M KP. ONGRET RT 03/24 1
IYAM / ROHMAT KP. ONGRET RT 03/24 1
AISYAH N / ILYAS KP. KUBANG RT 01/24 1
TUTI / DANU KP. ONGRET RT 04/24 1
SILVI / FIRMAN KP. CIBARENGKOK RT 03/24 1
TIKA / AHMAD KP. ONGRET RT 03/24 1
PIRDA / KORID KP. ONGRET RT 04/24 1
SRI / SANDI KP. ONGRET RT 04/24 1
ADE IRA / HENDRA KP. ONGRET RT 03/24 1
EVI / AGUS KP. ONGRET RT 04/24 1
HENI / DIKI KP. CIBARENGKOK RT 02/24 1
YANI / HADI KP. KUBANG RT 01/24 1
ATIKAH / AYI KP. KUBANG RT 01/24 1
IWAN / EUIS KP. ONGRET RT 04/24 1
SITI K / AIP H KP. KUBANG RT 01/24 1
FITRI / JIHAN KP. ONGRET RT 04/24 1
ENUNG / HILMAN KP. ONGRET RT 04/24 1
HANI / ARIS KP. ONGRET RT 04/24 1
MARLINA / ADE KP. ONGRET RT 04/24 1
FITRI / SANDI KP. ONGRET RT 04/24 1
WATI / SUTISNA KP. ONGRET RT 04/24 1
NENG / RIFA'I KP. ONGRET RT 04/24 1
AI S / OSID KP. ONGRET RT 03/24 1
AI S / OSID KP. ONGRET RT 03/24 1
ELIS / ANDRI KP. CIBARENGKOK RT 02/24 1
ANI / IWAN KP. CIBARENGKOK RT 02/24 1
AI SULASTRI/RIZKYANA KP. KUBANG RT 01/24 1
SITI / IDAD KP. ONGRET RT 04/24 1
IPAN / AGUS KP. ONGRET RT 04/24 1
HENI / DIKI KP. CIBARENGKOK RT 02/24 1
CANDRI / TONI KP. ONGRET RT 04/24 1
ENTO / AJAT KP. ONGRET RT 04/24 1
IYAM / RUDI KP. ONGRET RT 03/24 1
HEMA / ENGKUR KP. CIBARENGKOK RT 02/24 1
ELI / DADIN KP. CIBARENGKOK RT 02/24 1
FITRI / HUSNI KP. CIBARENGKOK RT 02/24 1
IIS / ASEP KP. ONGRET RT 04/24 1
FITRI / SANDI KP. ONGRET RT 04/24 1
YAYANG S / YUSUP KP. KUBANG RT 01/24 1
YANI / HADI KP. KUBANG RT 01/24 1

ANDRI YULIANA /RITA KP CIPAKU2 RT02/RW11 1


AHMAD N /SITI NURJANAH KP CIPAKU2 RT01/RW11 1
ENCEP /NENG SITI KP CIPAKU2 RT01/RW11 1
HER /I ENENG FENI KP CIPAKU2 RT03/RW11 1
HER /I ENENG FENI KP CIPAKU2 RT03/RW11 1
ADE AGRIB /SUSI KP CIPAKU2 RT02/RW11 1
DANI /ERLIN R KP CIPAKU2 RT01/RW11 1
NURJAMAN /PRATIWI N KP CIPAKU1 RT01/RW10 1
ADAN S /SITI HANIPAH KP CIPAKU2 RT01/RW11 1
IWAN /NENDEN KP CIPAKU1 RT03/RW10 1
APANDI /AI LINDA KP CIPAKU2 RT01/RW11 1
AGUS W /WULANDARI KP CIPAKU1 RT01/RW10 1
OYON /ANAH KP CIPAKU2 RT03/RW11 1
ASEP S /SINTA ROHAETI KP CIPAKU1 RT03/RW10 1
AGUS N /AI SUPARSIH KP CIPAKU1 RT02/RW10 1
IRMAN /NURYANTI KP CIPAKU2 RT01/RW11 1
RUHIMAT /NANI ARYANI KP CIPAKU1 RT02/RW10 1
SUPRIA /AMINAH KP CIPAKU2 RT01/RW11 1
CANDRA H /SINDI M KP CIPAKU1 RT02/RW10 1
ASEP R /LILIS L KP CIPAKU1 RT01/RW10 1
AMAT /SINTA KP CIPAKU2 RT03/RW11 1
ADE RAHMAT /LILIS KP CIPAKU2 RT01/RW11 1
DADAN /TATI ROHENDAH KP CIPAKU2 RT02/RW10 1
ROHMAT /ADAH KP CIPAKU2 RT02/RW11 1
ROHMAT /ADAH KP CIPAKU2 RT02/RW11 1
AWAT /ERNAWATI KP CIPAKU1 RT01/RW10 1
AHMAD /METRI KP CIPAKU2 RT02/RW11 1
ASEP H/NENG NANI N KP CIPAKU1 RT02/RW10 1
ASEP ANTON /UCU Y KP CIPAKU2 RT01/RW11 1
ROHMAT H /DEWI S KP CIPAKU1 RT03/RW10 1
DASEP /LULU FEBRIYANI S KP CIPAKU1 RT03/RW10 1
KODIR /SANAH KP CIPAKU1 RT03/RW10 1
FERI / AISAH KP CIPAKU1 RT01/RW10 1
ABDUL R /NIAWATI KP CIPAKU2 RT03/RW11 1
IKIN /MARWATI KP CIPAKU1 RT03/RW10 1
USMAN /IMAS KP CIPAKU2 RT01/RW11 1
RIZWAN F /AI RESNAWATI KP CIPAKU1 RT02/RW10 1
ASEP S/ YENI KP CIPAKU1 RT02/RW10 1
ANANG /NENDAH KP CIPAKU2 RT02/RW11 1
HANDA /SOLIHAT KP CIPAKU1 RT01/RW10 1
CECEP /AAN KP CIPAKU2 RT02/RW11 1
AGUS /EVI KANIA KP CIPAKU2 RT01/RW11 1
RESTA /RENI NURFITRI KP CIPAKU2 RT03/RW11 1
NURYAMAN /SRIYANI KP CIPAKU2 RT03/RW11 1
LILI /YATI KP CIPAKU1 RT01/RW10 1
SETIO BUDI U /YUYUN W KP CIPAKU1 RT02/RW10 1
CECEP /AROH KP CIPAKU1 RT03/RW10 1
CECEP /RENI KP CIPAKU2 RT01/RW11 1
AGUS ROBANI /NIPAH KP CIPAKU2 RT01/RW11 1
ROYANI /DEDE KP CIPAKU2 RT02/RW11 1
SUPIAN /CASTINI KP CIPAKU2 RT03/RW11 1
RIDWAN /NENGSIH KP CIPAKU2 RT03/RW11 1
SUPRIATNA /NURAENI KP CIPAKU2 RT03/RW11 1
NURAHMAN /SAADAH KP CIPAKU2 RT03/RW11 1
IRFAN /DEFVI KP CIPAKU2 RT03/RW11 1
ADE RAHMAT /LILIS KP CIPAKU2 RT01/RW11 1
HENRIK /NINA KP CIPAKU2 RT01/RW11 1
IYAN /AI NURYANTI KP CIPAKU2 RT03/RW11 1
CECEP /ELA KP CIPAKU2 RT02/RW11 1
IDAL /AAT KP CIPAKU2 RT01/RW11 1
RUYAT H /NUR APIPAH KP CIPAKU2 RT03/RW11 1
IWAN /NENDEN KP CIPAKU1 RT03/RW10 1
DEDE S/ MASROH M KP CIPAKU1 RT02/RW10 1
WAWAN /AAS MALASARI KP CIPAKU1 RT02/RW10 1
EMAN S /AI TIN TIN M KP CIPAKU1 RT03/RW10 1
CECEP S /WIDAYANTI KP CIPAKU1 RT02/RW10 1
ADE AGRIB /SUSI KP CIPAKU2 RT02/RW11 1
ASEP S /NUNUY N KP CIPAKU2 RT03/RW11 1
JAJANG /ADAH JULAEHA KP CIPAKU1 RT01/RW10 1
ANDAR I /ROSITA KP CIPAKU1 RT02/RW10 1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1
KP CIHANJAWAR 1

KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
KP PASIRJAYA 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1
PARATAG 1

TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1
TANGSI 1

Cecep Suhendar Kp. Coblong Rt 01


Iwan Setiawan Kp. Coblong Rt 01
Hadian Kp. Coblong Rt 01
Mulyadi Kp. Coblong Rt 01
Asep N Kp. Coblong Rt 01
M Taufik Kp. Coblong Rt 02
Diki Somantri Kp. Coblong Rt 02
Usman Kp. Coblong Rt 02
Saeful Rohman Kp. Coblong Rt 03
Hamdan Kp. Coblong Rt 03
Muhaimin Kp. Coblong Rt 03
Ade Tatar Kp. Coblong Rt 03

enur kp sadatar
Anggi kp sadatar
Rita kp sadatar
Siti kp sadatar
Mira kp sadatar
Winda kp sadatar
Siti kp sadatar
Siti n kp sadatar
Sulastri kp sadatar
Siti kp sadatar
Sifa kp sadatar
Iwang kp sadatar
Siti s kp sadatar
Imas kp sadatar
Rukmini kp sadatar
Nur kp sadatar
Yuli kp sadatar
Ani marlina kp sadatar
Suminsr kp sadatar
Nur kp sadatar
Siti kp sadatar
Deulis kp sadatar
Ai rosidah kp sadatar
Susan kp sadatar
Nia kp sadatar
D anita kp sadatar
Neng gita kp sadatar
Ririn kp sadatar
Lisnawati kp sadatar
Winda kp sadatar
Dewi kp sadatar
Yuyu kp sadatar
Leni kp sadatar
Rini kp sadatar
kp sadatar

Johar Kp Cipayung
Engkos Kp Cipayung
Wawan Kp Cipayung
Ade Kp Cipayung
Yayat Kp Cipayung
Arif Kp Cipayung
Yusuf Kp Cipayung
Pendi Kp Cipayung
Riki Kp Cipayung
Abdul Kp Cipayung
Abdul Kp Cipayung
Jaenydin Kp Cipayung
Yayan Kp Cipayung
Dedi Kp Cipayung
Ridwan Kp Cipayung
Sadad Kp Cipayung
Cepi Kp Cipayung
Cepi Kp Cipayung
Nurjaman Kp Cipayung
Kohir Kp Cipayung
A rohman Kp Cipayung
A mujab Kp Cipayung
Asep Kp Cipayung
Kurnia Kp Cipayung
Ahmad Kp Cipayung
Candra Kp Cipayung
Dede Kp Cipayung
Heru Kp Cipayung
Johar Kp Cipayung
Asep Kp Cipayung
Badri Kp Cipayung
Supian Kp Cipayung
Ade Kp Cipayung
Ridwan Kp Cipayung
Hadid Kp Cipayung
Alex Kp Cipayung
Nanang Kp Cipayung
Parid Kp Cipayung
Asep Kp Cipayung
Rizky Kp Cipayung
Judin Kp Cipayung
Yusup Kp Cipayung
Wawan Kp Cipayung
Reza Kp Cipayung
Edih Kp Cipayung
Yanto Kp Cipayung
Nurdiana Kp Cipayung
Assep Kp Cipayung
M luthfi Kp Cipayung
Hamzah Kp Cipayung
Dedi Kp Cipayung
Ary Kp Cipayung
Aso Kp Cipayung
Roy Kp Cipayung
Soni Kp Cipayung
Ade Kp Cipayung
Dedi Kp Cipayung
Dian Kp Cipayung

iwan Kp Pasir Ceuri


eli Kp Pasir Ceuri
abdul Kp Pasir Ceuri
cecep Kp Pasir Ceuri
tatang Kp Pasir Ceuri
ahmad Kp Pasir Ceuri
ahmad Kp Pasir Ceuri
yana Kp Pasir Ceuri
yana Kp Pasir Ceuri
ahmad Kp Pasir Ceuri
nurjaman Kp Pasir Ceuri
hamid Kp Pasir Ceuri
abas Kp Pasir Ceuri
usman Kp Pasir Ceuri
sarif Kp Pasir Ceuri
robi Kp Pasir Ceuri
dadan Kp Pasir Ceuri
erus Kp Pasir Ceuri
jaelani Kp Pasir Ceuri
aceng Kp Pasir Ceuri
asep Kp Pasir Ceuri
pahli Kp Pasir Ceuri
ade Kp Pasir Ceuri
abdul Kp Pasir Ceuri
yadi Kp Pasir Ceuri
ridwan Kp Pasir Ceuri
resvi Kp Pasir Ceuri
suryana Kp Pasir Ceuri

837
h Total Sasaran/IP Vaksin) 105

nis vaksin suntikan berbeda dapat dilakukan bersamaan atau sesuai ketentuan yaitu
k minimal 4 mgg
tidak ada jarak minimal

bahan Campak Rubela sejak Januari 2022

4 dan Campak rubella 2) maka tetap masuk dalam Sasaran Imunisasi Kejar
pak Rubela sejak Januari 2022)/IP vaksin
Jumlah dosis yang dibutuhkan untuk
Apakah anak Apakah anak sasaran Imunisasi Kejar melengkapi status imunisasi
mendapatkan ORI (Ya = 1, Tidak = 0)
Campak Rubela sejak
Januari 2022
(Ya =1, Tidak=0) OPV IPV DPT-HB-Hib OPV IPV DPT-HB-Hib

0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0

0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0

0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0

0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0

0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0

0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0

0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0

0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0

0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0

0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0

0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0

0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0

0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0

0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 1 0 0 1 0 0
0 837 0 0 837 0 0
105 105 0 0
FORMAT PENDATAAN KEBUTUHAN TENAGA DAN JADWAL PELAKSANAAN BULAN IMUNISASI ANAK NASIONAL
Provinsi : Puskesmas :
Kabupaten :

Jumlah Sasaran Imunisasi Kejar


Nama Tempat Pelaksanaan (Usia 12-59 bulan)
No. Nama Puskesmas Nama Kelurahan
Imunisasi
OPV IPV

1 Cililin Batulayang RW 01 9 9
SDN Bongas 2 0 0

TOTAL 9 9
MUNISASI ANAK NASIONAL

Jumlah Sasaran
asaran Imunisasi Kejar Tambahan Jumlah Kebutuhan Tenaga
sia 12-59 bulan)
Campak Rubela Jumlah Total
Sasaran
DPT-HB-Hib Usia 9-59 bln Vaksinator Nakes lainnya Guru/Kader Supervisor

8 15 41 1 1 2 1
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
8 15 41
Tanggal
Daftar Nama Tim Pelaksanaan
Pelaksana
Layanan

Santi, kader Lita 8 May


Ani, Suci, Kader Cici 9 May
FORMAT PENDATAAN KEBUTUHAN LOGISTIK DAN COLD CHAIN

Nama Provinsi :
Nama Kabupaten :
Nama Puskesmas :

Nama Nama Pos Jumlah Kebutuhan Vaksin (Vial)


No.
Desa/Kelurahan Pelayanan
OPV IPV DPT-HB-Hib Campak Rubela
1 Batulayang RW 01 2 3 2 2
2 SDN Bongas 2 2
3
4
5
6
7
8
9
10
11
12
13
14
TOTAL 2 3 2 4
Jumlah Kebutuhan Logistik Jumlah Cold Chain Tersedia dan Berfu

Dropper Pelarut MR ADS 5 ml ADS 0.5 ml Safety box Pen Marker Refrigerator
2 2 3 33 1 1 1
0 2 3 0 1 1

2 4 6 33 2 2
old Chain Tersedia dan Berfungsi Jumlah Kebutuhan
Vaccine Carrier
Vaccine Carrier
4 3
FORMAT JADWAL KEGIATAN PENDUKUNG PELAKSANAAN BIAN

Nama Nama Waktu


No Kegiatan yang Akan Dilaksanakan Tempat Pelaksanaan
Puskesmas Desa/Kelurahan Pelaksanaan

1 Cililin Batulayang Pertemuan Kooridnasi dengan Kepala Sekolah 23 Mei 2022 Balai Dinas Pendidikan
Pertemuan dengan Kepala Desa, Kader

Orientasi Petugas Kesehatan


Monitoring kebutuhan logistik
Evaluasi Pelaksanaan BIAN
AAN BIAN

Penanggung
Sasaran Kegiatan Sumber Dana
Jawab Keg

Kepala Sekolah/Guru
MATRIK RENCANA KEGIATAN PELAKSANAAN BIAN KABUPATEN BANDUNG BARAT
MEI JUNI JULI AGUSTUS
NO KEGIATAN
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
1 PERSIAPAN
Orientasi BIAN
a Orientasi BIAN TK Kabupaten
b Orientasi BIAN TK Kecamatan
c Orientasi BIAN TK Desa
d
Pertemuan Sosialisasi dan komitmen Anggota POKJA
serta Lintas Sektor
e Surat Edaran Dukungan Lintas Sektor
- Bupati
- Dinkes
- Kemenag
- Disdik
f Penyegaran/pertemuan Pokja KIPI
g Sosialisasi Melalui Media (sosial/IG)
Penyusunan Mikroplaning
a Menentukan Sasaran
b Identifikasi ketersediaan dan kebutuhan tenaga
c menghitung kebutuhan logistik
1. Vaksin berdasarkan jenisnya
2. Alat suntik berdasarkan jenisnya
3. Safty Box
4. kapasitas cold chain
d menghitung frekwensi distribusi
1. Penerimaan dari Provinsi
2. Distribusi ke Faskes
g Menyusun jadwal pelaksanaan

f Identifikasi High Risk Area berdasarkan cakupan/KLB


2 PELAKSANAAN
3 MONITORING/SUPERVISI
Jadwal Sosialisasi BIAN KBB
No Acara Waktu Pembicara
1 Pembukaan 14.00 - 14.15 Kabid/Kasie
2 Kebijakan/Pengantar Pelaksanaan BIAN 14.15 - 14.45 dr Wildan
3 Kondisi Bandung Capaian Imunisasi KBB 14.45 - 15.15 KBB
5 Penyusunan Mikroplaning 15.15 - 15.30 Provinsi
Kesepakatan 15.30 - selesai Suvi KBB
2017 2018
Pen 1 Pen 2 Pen 3 P0l 1 P0l 2 P0l 3 P0l 4 IPV MR Pen Pen Pen P0l 1P0l 2P0l 3
RONGGA 82 61 165 156 95 104 198 1006 199 82 61 165 156 95 104
GUNUNGHALU -688 -570 -514 -551 -550 -503 -410 845 -570 -688 -570 -514 -551 -550 -503
SINDANGKERTA 20 51 -29 108 38 78 -34 219 33 20 51 -29 108 38 78
CICANGKANGGIRANG -126 -94 -100 -108 -131 -87 -90 178 -60 -126 -94 -100 -108 -131 -87
CILILIN -126 -119 -106 -88 -65 -53 -36 153 12 -126 -119 -106 -88 -65 -53
MUKAPAYUNG 44 69 16 13 32 45 -14 436 55 44 69 16 13 32 45
CIHAMPELAS -112 -83 -106 -67 -82 -92 -105 370 -47 -112 -83 -106 -67 -82 -92
PATARUMAN -197 -214 -183 -195 -210 -196 -194 112 -171 -197 -214 -183 -195 -210 -196
CIPONGKOR -65 -66 -42 -27 -66 -33 -87 729 110 -65 -66 -42 -27 -66 -33
CITALEM -24 -29 -24 -16 -23 -29 -20 58 -19 -24 -29 -24 -16 -23 -29
BATUJAJAR 39 43 57 42 39 37 57 560 57 39 43 57 42 39 37
CIPATAT 25 16 43 46 -40 16 39 34 41 25 16 43 46 -40 16
RAJAMANDALA -43 -31 -26 -46 -43 -33 23 58 -4 -43 -31 -26 -46 -43 -33
SUMURBANDUNG 29 32 36 -49 39 98 68 197 59 29 32 36 -49 39 98
PADALARANG 154 236 199 57 189 296 139 457 237 154 236 199 57 189 296
JAYAMEKAR -74 -76 -75 -74 -77 25 -63 42 -54 -74 -76 -75 -74 -77 25
TAGOGAPU -49 -50 -64 -19 -12 -20 -16 31 -33 -49 -50 -64 -19 -12 -20
NGAMPRAH 79 89 90 80 82 104 79 443 254 79 89 90 80 82 104
CIMAREME 107 89 92 192 132 136 126 942 191 107 89 92 192 132 136
PARONGPONG 139 222 226 143 157 276 241 550 227 139 222 226 143 157 276
CIWARUGA 16 29 -36 33 14 26 58 324 39 16 29 -36 33 14 26
LEMBANG -123 -99 -83 425 -117 -99 -82 34 -65 -123 -99 -83 425 -117 -99
JAYAGIRI -38 -55 -54 -75 -36 -63 -50 -44 -15 -38 -55 -54 -75 -36 -63
CIKOLE -151 -130 -127 -98 -143 -133 -126 -117 -62 -151 -130 -127 -98 -143 -133
CIBODAS 34 37 30 30 34 37 30 165 41 34 37 30 30 34 37
CISARUA 5 15 20 -8 1 14 31 120 12 5 15 20 -8 1 14
PASIRLANGU 2 19 42 -1 11 23 37 134 38 2 19 42 -1 11 23
CIKALONGWETAN -57 -31 -17 -63 -57 -31 -16 31 -35 -57 -31 -17 -63 -57 -31
RENDE 6 22 27 1 6 22 27 20 15 6 22 27 1 6 22
CIPEUNDEUY -45 -85 -108 -6 -6 -59 -88 -12 -140 -45 -85 -108 -6 -6 -59
CIRATA -72 -46 -12 -38 -77 -29 23 159 169 -72 -46 -12 -38 -77 -29
SAGULING -9 -8 -13 -2 -9 -10 -13 0 -13 -9 -8 -13 -2 -9 -10
2018 2019 2020
P0l 4IPV MR Pen Pen Pen P0l 1P0l 2 P0l 3 P0l 4 IPV MR Pen 1 Pen 2 Pen 3 P0l 1 P0l 2 P0l 3 P0l 4 IPV
198 1006 199 -112 -54 -53 -28 -80 0 -31 -80 -208 9 27 43 28 -15 23 45 898
-410 845 -570 -135 -173 -105 -127 -130 -175 20 902 -183 252 264 299 271 226 248 369 895
-34 219 33 25 31 40 20 46 57 39 176 58 -18 -5 -35 49 2.57 -12 -43 252
-90 178 -60 -3 31 57 -39 -1 47 72 223 99 -78 -33 14 -120 -78 -26 28 444
-36 153 12 -171 -104 -165 -177 -149 -112 -199 71.3 -175 2 64 -6 -2 25.3 55.3 -28 105
-14 436 55 77 80 -36 82 115 138 23 429 41 152 108 96 142 183 130 106 455
-105 370 -47 -52 -40 -70 -55 -54 -36 -66 469 -15 149 207 238 129 155 207 235 775
-194 112 -171 -68 -75 -55 -75 -40 -62 -72 -25 -102 228 261 280 242 203 245 257 908
-87 729 110 -345 -306 -301 -222 -279 -273 -278 -143 -172 -199 -115 -38 -104 -269 -164 -149 649
-20 58 -19 48 77 92 141 137 158 176 435 111 46 69 69 75 72.6 96.6 84.6 625
57 560 57 74 74 69 73 77 74 69 178 81 82 98 91 98 131 98.1 97.1 1662
39 34 41 104 93 96 143 125 101 115 103 83 164 191 176 155 160 191 176 487
23 58 -4 87 115 156 83 89 117 159 219 102 230 284 339 245 243 284 338 727
68 197 59 331 334 339 285 331 333 338 413 341 25 30 31 28 28 47 32 474
139 457 237 97 101 139 -6 118 133 132 854 152 681 753 690 496 695 775 681 1192
-63 42 -54 1 20 32 -1 16 16 21 450 6 305 360 396 251 289 337 380 905
-16 31 -33 -52 -32 -50 -24 -30 -23 -35 -7.28 -47 -73 -43 -38 -31 20 13 -9 600
79 443 254 67 74 90 91 94 114 94 178 83 46 43 45 46 39.7 45.7 45.7 367
126 942 191 52 113 88 45 59 81 78 458 89 922 922 958 853 897 919 956 1664
241 550 227 -40 37 -18 -92 -119 -101 53 463 211 -40 37 -18 -92 -119 -101 53.5 463
58 324 39 9 30 35 16 6 28 40 70.5 39 77 104 123 75 90.8 106 121 466
-82 34 -65 124 114 98 114 124 120 115 196 112 18 30 29 48 18 30 29 757
-50 -44 -15 -3 2 4 -9 2 -4 1 6.75 1 58 43 18 6 31 31 18 272
-126 -117 -62 -4 -4 -4 -4 -4 -3 -4 9 -4 28 14 2 41 26 15 -4 471
30 165 41 -405 -436 -427 -403 -455 -413 -424 -355 -448 -216 -153 -147 -167 -163 -138 -143 -104
31 120 12 78 78 80 76 78 78 80 131 92 95 92 101 100 105 88 102 617
37 134 38 65 60 68 47 59 55 60 117 68 118 175 47 115 162 515
-16 31 -35 118 141 144 119 121 140 148 276 142 697 720 810 586 717 784 859 1349
27 20 15 96 104 109 45 74 85 82 328 115 92 73 35 88 100 69.2 10.2 79
-88 -12 -140 70 51 13 66 78 47 -12 56.8 14 132 123 125 132 142 118 125 694
23 159 169 28 69 142 55 29 63 128 278 155 130 216 300 96 137 222 312 512
-13 0 -13 45 44 48 47 48 55 51 62.7 54 1 -3 2 10 0.87 -3.13 1.87 299
4115 4781 5204 3821 4210 4734 5248
2021
MR Pen 1 Pen 2 Pen 3 P0l 1 P0l 2 P0l 3 P0l 4 IPV MR Pen 1 Pen 2 Pen 3 P0l 1 P0l 2 P0l 3
-71 9 27 43 28 -15 23 45 898 -71 70 122 363 340 80 254
282 336.5 299.5 312.5 308 286 263 385 1181 301.5 -924 -751 -523 -652 -720 -672
3 45.57 100.6 108.6 83.6 76.6 107 69.6 148 69.57 91 227 54 367 200 306
86 138.4 108.4 228.4 86.4 157 209 252 439 302.4 -194 -81 100 -288 -183 57
-4 3.271 107.3 151.3 80.3 51.3 137 219 209 89.27 -417 -170 -231 -274 -202 -25
153 677.5 660.5 669.5 697 681 683 695 704 696.5 995 987 762 948 1044 1042
252 96 163 189 -75 100 158 194 178 96 -31 164 145 -135 37 145
268 -115 -69 -77 -101 -82 -50 -97 -40 -97 -348 -310 -217 -323 -338 -258
-2 966 940 944 1029 1004 985 1003 1003 1027 293 388 522 650 325 483
72 -7.44 -18.4 -30.4 237 278 297 310 296 17.56 38 69 82 420 441 493
95 693.1 503.1 537.1 485 -84 503 530 815 442.1 927 761 811 740 202 749
207 -47 13 32 -50 -40 10 18 40 -50 271 329 390 340 165 334
316 198.4 241.4 266.4 161 210 243 276 307 226.4 430 579 710 398 457 579
23 25.72 17.72 19.72 26.7 27.7 41.7 22.7 280 -8.276 440 446 462 242 465 618
827 819.1 811.1 782.1 674 845 898 775 1123 940.1 1905 2137 2009 1278 2036 2398
346 444 545 642 108 228 353 461 354 103 603 774 921 211 380 757
-28 -248 -149 -154 -280 -208 -138 -173 -29 -201 -470 -323 -369 -372 -241 -187
40 -82 -64 -26 -67 -86 -68 -51 -5 -54 188 230 288 229 211 299
967 1418 1488 1477 1363 1416 1468 1476 1685 1430 2607 2702 2708 2646 2637 2741
211 -39.5 37.49 -17.5 -92 -119 -101 53.5 463 211.5 159 556 399 11 -42 250
152 28.82 135.8 25.82 24.8 32.8 30.8 54.8 172 73.82 147 328 112 182 158 217
54 165.4 155.4 164.4 25.4 -4.64 7.36 6.36 27.4 15.36 61 101 125 1037 -97 -41
19 38 47 36 8 31 48 29 18 4 17 -18 -50 -145 -8 -51
-4 77 43 54 37 69 75 29 62 30 -200 -206 -201 -121 -194 -178
-193 473 454 462 467 473 436 462 459 455 -80 -61 -52 -44 -77 -41
97 195 190 189 201 193 190 189 234 188 378 390 410 361 378 384
184 -136 -106 -100 44 -109 -66 -54 -124 -250 51 -8 227 136 87 35
792 958.6 953.6 1051 824 979 1032 1074 1241 1109 1660 1753 1971 1403 1703 1894
36 810.7 812.7 828.7 825 817 819 840 845 829.7 1012 1035 1028 961 1004 1018
234 777.2 781.2 774.2 771 771 780 774 744 779.2 889 785 696 957 979 827
344 681 745 793 630 715 771 787 994 776 695 938 1211 705 727 998
6 148.9 151.9 163.9 18.9 5.87 2.87 15.9 -109 51.87 177 177 188 72 37 35
5764 11439 14048 15050 12279 11649 15458
P0l 4 IPV MR
455 3728 48
-48 4666 -741
-4 1012 195
173 1463 368
-79 692 -65
797 2461 1001
153 2162 239
-299 1068 -272
403 2968 1074
530 1471 162
810 3775 732
387 698 322
820 1370 637
529 1561 474
1865 4083 2393
737 1794 348
-248 627 -341
246 1425 576
2763 5692 2869
642 2490 1088
332 1356 343
-14 1048 51
-52 209 -6
-230 309 -101
-45 330 -104
433 1222 401
242 776 78
2049 2928 1973
987 1293 1012
711 1471 747
1273 2102 1613
43 253 86
16359 58501 17199

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