FORMAT PENCATATAN HASIL PELAYANAN B

Posyandu/Pos ayanan BIAN lainnya : SD 06 EKOR LUBUK

Desa/kelurahan EKOR LUBUK
Tanggal : 28 MEI 2022
Jenis
No. Nama Anak Tgl lahir Umur Kelamin Nama orang tua
(L/P)
a b c d e f
1 Lakeisha Maharani 11-06-2010 12 P Mulya effendi
2 Muhammad Arfan 2011-07-10 11 L Destawarmen
3 Shaziva Hesna Qianna 2013-12-25 8 p Mulya effendi
4 Elfa Novita Bakri 2009-07-27 13 P Bakri Arizal
5 Indriani Bakri 2012-06-06 10 P Bakri Arizal
6 Muhammad Afif 2009-10-29 13 L Nofriadi
7 Kuntum Khaira Jannah 2015-01-27 7 P Nofriadi
8 Naomy Hara 2009-08-21 13 P Steffy Gusmar
9 Maory Lhuciyama 2011-05-23 11 P Steffy Gusmar
10 Zaky Al Fata 2013-05-09 9 L Nursal Efendi
11 Ibrahim Muviq 2010-05-10 12 L Dedi Gustian
12 Ilma Sabbrina 2012-10-02 10 P Purwanti Ningsih
13 Fernando Vabrianto 2011-06-23 11 L Joko Rianto
14 Melia Kandani 2012-01-21 10 L Chandra Midi
15 Anita Amanda Putri 2013-05-23 9 P Ardianto
16 Fauziahul Putri 2010-09-13 12 P Yasril Indra Nika
17 Alif Muzakkiy 2011-10-28 11 L Oki Masri
18 Asyifa Nailah Putri 2012-07-09 10 P Yulinar
19 Muhamad Farhan 31-10-2009 13 L Zulfi Hendri
20 Rahmat Rizky Ananda 2009-07-22 13 L Rita Yusmarni
21 Heru Kurniawan 2010-10-02 12 L Rita Yusmarni
22 Adam Putra Pratama 2009-03-05 13 L Syafrinof
23 Rahmat Fadillah 2010-03-21 12 L Gusnimar
24 Al Rayhan Irawan 2009-06-13 13 L Mulyadi
25 Nurli Rahmadani 2009-09-11 13 P Anang Sang Putra
26 Jihan Al Khaira 2010-01-26 12 P Nofriandi
27 Rhido Kurniawan 2009-12-02 12 L Masrial
28 RAHMAD ALVIN WAHYUDI 2009-12-23 12 L REKI INDRA
29 DAFFA SYAHAD 2008-10-26 14 L Maryentoni
30 Edwil Yoga Saputra 2012-03-01 10 L Dewi Sumarti
31 Daffa Arya Ghossan 2012-11-17 10 L Abdul Raus
32 Asyifa Putri Rahmadhani 2012-07-25 10 P Awal Yanto
33 Naura Nazhifa 2014-09-19 8 P Suardiman
34 Azzam Hamid 2013-02-04 9 L Henky Pribadi
35 Alby Sudazha 2013-09-01 9 L Suherman
36 Fathan Al Maisan 2013-02-11 9 L Muhammad Fajri
37 Revan Ramado 2010-04-24 12 L Rahmat Doni
38 Maysa Hanifah Syafroni 2010-05-16 12 L Roni Syafrizal Putra
39 Zhafif Ahmad 2012-04-02 10 L Indra Ahmad
40 Mina Anisa 2010-03-08 12 L Erni Warnita
41 Cila Nofita Sari 2010-11-09 12 P Nofri
42 Gio Ramadhan 2014-07-03 8 L Dani gauri
43 Muhammad edo saputra 04-07-2011 L 11 Styafrianto
44 MUhammad Aqeel Tsaniy 2013-12-19 8 L Dwi Pana Mardika
45 Ariefandi 2010-04-07 12 L Redi Saputra
46 Hazimah Hamidah 2014-10-20 8 P Syamsuwir
47 Hidayatul falah 2015-01-28 7 p Afrika saputra
48 Avril Falah 2013-04-27 9 L Afrika Saputra
49 Syarif Hidayatullah 2012-11-30 9 L Rexi Sanjaya
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TATAN HASIL PELAYANAN BIAN TAHUN 2022
Nama petugas penanggungjawab : NOFRIA SARI
Puskesmas : GUNUNG
Kabupaten : PADANG PANJANG
Campak Imunisasi Kejar
Alamat No.Hp NIK Rubela (Ya = 1, Tidak=0)
(Ya=1, OPV IPV DPT-HB-Hib
Tidak=0)
g h i k l m
RT 7 E. Lubuk 082386825059 1374015106100001 1
Batipuh 082288923494 1304021007110001 1
RT 7 E. Lubuk 082386825059 1374016512130002 1
RT 5 E. Lubuk 081363234565 1374016707090001 1
RT 5 E. Lubuk 081363234565 1374014606120001 1
RT 7 E. Lubuk 082392312157 1374012910090002 1
RT 7 E. Lubuk 082392312157 1374016801150001
RT 6 E. Lubuk 085263608095 1374016108090001
RT 6 E. Lubuk 085263608095 1374016305110001
RT 8 Sigando 081387729973 3201070905130003
RT 6 E. Lubuk 083818535265 1374011005100001
RT 13 E. Lubuk 082172122086 1374014210120001
RT 13 E. Lubuk 082387456312 1374012306110002
RT 8 Sigando 082386240442 1374016101120001
RT 13 E. Lubuk 082386792617 137401630 5130001
Batipuh 082321270028 1304025309100001
RT 10 Sigando 085271204160 1374012810110001
RT 10 Sigando 083180551154 1405034907120001
RT 6 E. Lubuk 082287311484 1374013110090001
Batipuh 083139872402 1374012206090001
Batipuh 083139872402 1374010310100004
Batipuh 085363357122 1304020503090001
RT 9 E. Lubuk 082347684191 1374012103100001
RT 6 E. Lubuk 085274885073 1374011306090001
RT 7 Sigando 083182936432 1374015109090001
Batipuh 081374606873 1304026601100001
RT 6 E. Lubuk 085265326765 1374010212090001
1374012312090001
RT 8 E. Lubuk 081261530484
1374012610080002
RT 6 E. Lubuk 082299357857
RT 6 E. Lubuk 081261807960 1374010103120001
RT 6 E. Lubuk 085374120326 1374117111200001
Batipuh 081364433014 1304026507120001
1374015909140001
RT 8 Sigando 081266015851
Batipuh 085274229670 1304020402130001
RT.10 Sigando 082171260643 1374010109130001
RT 12 E. Lubuk 082170803360 1374011102130001
RT 8 Sigando 081363333823 1374012404100003
1374025605100001
RT 11 E. Lubuk 081363912114
1374010204120001
RT 8 Sigando 082386621181
 1374014803100001
RT 11 E. Lubuk 083170188079
RT 6 E. Lubuk 081270653997 1374014911100002
RT 11 E. Lubuk 083167821352 1374010307140002
Batipuh 081365978233 1304020407110002
RT 8 Sigando 082170882388 1374011912130001
Batipuh 082170069835 1304020704100001
RT 13 E. Lubuk 1374016010140001

Rt.09 ekor lubuk081275676527 1374016801150001

RT 9 E. Lubuk 081275676527 1374012704130001
081277084142 1304023011120001
Batipuh
OPV/Penta
saat BIAN,
maka tetap
dicatat
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