BLANKO STATUS IMUNISASI New

HASIL KEGIATAN PELAYANAN IMUNISASI DASAR PUSKESMAS MANGLI
POSYANDU : Aster 45 PUSKESMAS : Mangli

DESA/KELURAHAN : Mangli TANGGAL : 2016
Orang Tua Jenis Imunisasi IDL Imunisasi Lanjutan
No. Nama Bayi Tgl Lahir Penta KET
Ayah Ibu HB0 BCG Penta1 Penta2 Penta3 Polio1 Polio2 Polio3 Polio4 IPV MR Boster MR Boster
1 Maheswari 05/01/16 Joko Anita 05/01/16 21/01/16 05/01/16 Pindah Ambulu
2 Syafa Dayu 25/01/16 M. Fendi Hartatik 25/01/16 19/03/16 04/05/16 06/06/16 11/07/16 19/03/16 04/05/16 06/06/16 11/07/16 19/11/16 06/03/18
3x 28/01/16 Sofyan Reni Winarti 28/01/16 Pindah Bali
4 Ilham Anugrah 22/02/16 Abd. Muin Sri Mulat 22/02/16 19/03/16 04/05/16 06/06/16 11/07/16 19/03/16 04/05/16 06/06/16 11/07/16 21/01/17 06/12/16 05/10/17 21/02/18
5 Adinda 18/04/16 Mukti Widya 18/04/16 19/04/16 11/07/16 06/09/16 20/10/16 19/04/16 11/07/16 06/09/16 20/10/16 21/02/17 06/03/18
6 M. Jafar 01/05/16 M. Safari Amirin 01/05/16 21/05/16 11/07/16 06/09/16 05/11/16 21/05/16 11/07/16 06/09/16 05/11/16 21/03/17 06/03/18
7 Gayatri Raja 04/05/16 Bima Fajar Harini 04/05/16 21/05/16 11/07/16 06/09/16 05/11/16 21/05/16 11/07/16 06/09/16 05/11/16 21/02/17 06/03/18
8 M. Fadli 24/07/16 Sugianto Ika P. 24/07/16 08/08/16 05/10/16 05/11/16 06/12/16 08/08/16 05/10/16 05/11/16 06/12/16 19/12/16 09/06/17 06/03/18
9 Reynand 09/08/16 Iswandana Eka 09/08/16 20/08/16 05/11/16 06/12/16 21/01/17 20/08/16 05/11/16 06/12/16 21/01/17 25/07/17 14/06/17 06/03/18 20/04/18
10 Lhasira Naseeka 02/09/16 Sigit Inaning 02/09/16 07/09/16 05/11/16 06/12/16 05/02/17 07/09/16 05/11/16 06/12/16 05/02/17 21/02/17 19/06/17 06/03/18
11 Aidar Tsakif 08/09/16 Hendrik Winarti 08/09/16 20/09/16 06/12/16 05/02/17 06/03/17 20/09/16 06/12/16 05/02/17 06/03/17 18/05/17 19/06/17 06/03/18
12 Akbar 15/09/16 M. Ilham Devi 15/09/16 Pindah BWI
13 M. Abimanyu 29/10/16 Sultan Umi 29/10/16 19/12/16 05/02/17 06/03/17 05/04/17 19/12/16 05/02/17 06/03/17 05/04/17 25/07/17 Pindah
14 Shifania 14/11/16 Ari Umi Nur 14/11/16 19/12/16 05/02/17 06/03/17 05/04/17 19/12/16 05/02/17 06/03/17 05/04/17 19/06/17 22/09/17
15 M. Nabil 18/12/16 Muftasimbiah Afifatul 18/12/16 21/01/17 06/03/17 05/04/17 04/05/17 21/01/17 06/03/17 05/04/17 04/05/17 18/05/17 22/09/17

No. Nama Bayi Tgl Lahir Penta MR KET
Ayah Ibu HB0 BCG Penta1 Penta2 Penta3 Polio1 Polio2 Polio3 Polio4 IPV MR Boster Boster
1 M. Aflah Zaidan 18/01/17 M. Zaenal Sri Wahyuning 18/01/17 21/01/17 05/04/17 04/05/17 05/06/17 21/01/17 05/04/17 04/05/17 05/06/17 19/06/17 19/12/17
2 Viona Marisa 21/01/17 Jumari Holifatus 21/01/17 21/02/17 05/04/17 04/05/17 05/06/17 21/02/17 05/04/17 04/05/17 05/06/17 25/07/17 21/10/17
3 M. Rizky F 18/02/17 Dodik Rifatun 18/02/17 21/03/17 05/06/17 05/07/17 22/09/17 21/03/17 05/06/17 05/07/17 22/09/17 21/10/17 21/11/17
4 Natha 16/03/17 M. Aris Riska 16/03/17 18/05/17 10/07/17 05/09/17 06/11/17 18/05/17 10/07/17 05/09/17 06/11/17 19/12/17 19/12/17
5 Accazia Orlin 07/04/17 Fiki Ika Nur Febri 07/04/17 18/05/17 18/05/17 Pindah
6 Maziyah 04/05/17 Hatta Rushotun N 04/05/17 18/05/17 10/07/17 05/09/17 04/10/17 18/05/17 10/07/17 05/09/17 04/10/17 21/02/18 21/02/18
7 Qnandra Asyfa 28/05/17 Hendra Nurisma 28/05/17 25/07/17 05/09/17 04/10/17 06/11/17 25/07/17 05/09/17 04/10/17 06/11/17 19/12/17 20/03/18 Pindah BWI
8 Abizar Rizki 29/05/17 Muhyi Jannatul Fird 29/05/17 13/06/17 11/09/17 06/11/17 05/12/17 03/06/17 11/09/17 06/11/17 05/12/17 21/02/18 20/04/18
9 Kaivan Arkananta 08/06/17 Syaiful Mirantika 08/06/17 13/07/17 05/09/17 21/10/17 19/12/17 13/07/17 05/09/17 21/10/17 19/12/17 22/01/18 20/03/18
10 Asyam Rabbani 15/06/17 Rudi Nurfadhila 15/06/17 22/07/17 22/09/17 06/11/17 05/12/17 22/07/17 22/09/17 06/11/17 05/12/17 21/02/18 20/03/18
11 Indah 16/09/17 Busari Lilik 16/09/17 Meninggal
12 Azka Zibran 20/10/17 Subaeri Siti Rohmah 20/10/17 21/11/17 06/01/18 06/02/18 06/03/18 21/11/17 06/01/18 06/02/18 06/03/18 Meninggal
13 Zea Saquina 23/11/17 Lukman Rose 23/11/17 10/01/18 06/02/18 06/03/18 05/04/18 10/01/18 06/02/18 06/03/18 05/04/18 21/05/18

1 Alya Asyalina 18/01/18 Roni Avifatur 18/01/18 21/02/18 05/04/18 07/05/18 21/02/18 05/04/18 07/05/18
2 Elena 30/01/18 Ernawati 30/01/18 21/02/18 05/04/18 07/05/18 21/02/18 05/04/18 07/05/18
3 Raziq 06/02/18 Hari Elok 06/02/18 20/03/18 07/05/18 20/03/18 07/05/18
4 Azkia Vinda 06/02/18 Arifin Herlinda 06/02/18 20/03/18 07/05/18 20/03/18 07/05/18
5 M. Rafka 07/02/18 Yoyok Dwi Indah 07/02/18 21/02/18 05/04/18 07/05/18 21/02/18 05/04/18 07/05/18
6 M. Rizky Alfiansya 06/03/18 Alfan Nur Dian Ariani 1 06/03/18 20/04/18 20/04/18
7 Karla Rizky 06/03/18 Alfan Nur Dian Ariani 2 06/03/18 20/04/18 20/04/18
8 M. Irsyad Alfaizi 20/04/18 Roni Maulida Syari 20/04/18 21/05/18

1 M.Alfa Riski 29/01/16 Iswanto Dian Susanti 29/01/16 19/04/16 20/06/16 09/09/16 02/11/16 19/04/16 20/06/16 09/09/16 02/11/16 19/12/16 03/03/18
2 Caesar Jepta 01/02/16 Anang Yati O 01/02/16 20/02/16 03/05/16 01/07/16 12/08/16 20/02/16 03/05/16 01/07/16 12/08/16 21/01/17 09/11/16 04/09/17 21/02/18
3 Kaisya 01/02/16 Saiful Tanti 01/02/16 20/02/16 03/05/16 01/07/16 12/08/16 20/02/16 03/05/16 01/07/16 12/08/16 19/12/16 03/03/18 Pindah Gebang
4 Evane 02/03/16 Waskito Anggraini 02/03/16 Pindah Solo
5 Kesya 08/05/16 Bambang Arum 09/05/16 11/07/16 12/08/16 12/08/16 Pindah Bali
6 Almira F 21/06/16 Santoso Sri Mukminatu 21/06/16 26/07/16 09/09/16 02/11/16 03/12/16 26/07/16 09/09/16 02/11/16 03/12/16 19/12/16 21/03/17 03/03/18
7 Ainun 06/07/16 Yazid Ninik 20/08/16 03/10/16 02/11/16 03/12/16 20/08/16 03/10/16 02/11/16 03/12/16 19/12/16 20/04/17 03/03/18 21/05/18 BBLR
8 Anindya Kirana 03/11/16 Firmansyah Beta 03/11/16 03/01/17 02/02/17 11/05/17 12/06/17 04/11/16 02/02/17 11/05/17 12/06/17 19/06/17 21/10/17 05/03/18 21/05/18
9 Anisa 15/11/16 Herdi Afriyani 15/11/16 10/12/16 14/01/17 18/02/17 29/03/17 10/12/16 14/01/17 02/03/17 03/04/17 19/06/17 21/10/17
10 Yuwan Redinata 25/12/16 Awan Ayu Oktavia 25/12/16 21/01/17 02/03/17 03/04/17 03/05/17 21/01/17 02/03/17 03/04/17 03/05/17 25/07/17 21/11/17

1 Azzam Khalif 19/02/17 Mahendra Venny 19/02/17 16/03/17 08/06/17 06/08/17 03/10/17 20/04/17 08/06/17 06/08/17 03/10/17 19/12/17 Pindah
2 Kalila Putri 21/04/17 Agus Lisa 21/04/17 29/04/17 28/07/17 28/08/17 28/09/17 29/04/17 28/07/17 28/08/17 28/09/17 21/10/17 22/01/18
3 M. Rokhyz Ramad 28/05/17 Sueb Fadilah 28/05/17 25/07/17 04/09/17 03/10/17 02/11/17 28/05/17 25/07/17 04/09/17 03/10/17 19/12/17 20/04/18
4 Gavin Welly 12/07/17 Okky Welly 12/07/17 22/09/17 02/11/17 03/01/18 20/03/18 22/09/17 02/11/17 03/01/18 20/03/18 20/04/18 20/04/18
5 Aradya 23/09/17 Candra Zaitunia 23/09/17 28/10/17 25/11/17 27/12/17 28/10/17 25/11/17 27/12/17
6x 01/12/17 Abd.Salam Siti Qomala 01/12/17 Pindah Jateng
7 Sabella 14/12/17 M.Zaka Siti Hariyatul 14/12/17 22/01/18 03/03/18 03/04/18 03/05/18 22/01/18 03/03/18 03/04/18 03/05/18
8 Aisyah 31/12/17 Udin Fitri 31/12/17 23/01/18 23/01/18 Pindah

1 Muh. Khairy 07/03/18 Sugiono Ashavita 08/03/18 23/03/18 11/05/18 23/03/18 11/05/18
2 Inara Ayudya 22/04/18 Febri Isna 22/04/18

DESA/KELURAHAN : Mangli TAHUN : 2016
1 Kenzie Varicel 18/01/16 Geofani Haty 18/01/16 20/02/16 07/04/16 09/05/16 20/06/16 20/02/16 07/04/16 09/05/16 20/06/16 19/12/16 07/09/17 21/02/18
2 M. Cleint 21/01/16 Taufan Yerit 21/01/16 20/02/16 09/05/16 20/07/16 20/10/16 20/02/16 09/05/16 20/07/16 20/10/16 19/12/16 07/09/17 21/05/18
3x 29/01/16 Feri maria Ulfa Pindah Kaliwates
4 Ahmad Syadidul 02/05/16 Haerul Wiwid Eka 02/05/16 21/05/16 26/07/16 07/09/16 07/11/16 21/05/16 26/07/16 07/09/16 07/11/16 21/02/17 08/01/18
5 Deva Meirisa 03/05/16 Catur Erlin 03/05/16 21/05/16 20/07/16 07/09/16 20/10/16 21/05/16 20/07/16 07/09/16 20/10/16 21/01/17 21/02/17 07/03/18 Pindah Ajung
6 Arsila Ismi Afiqoh 06/05/16 Idrus Siti Aisyah 06/05/16 21/05/16 20/07/16 07/09/16 19/11/16 21/05/16 20/07/16 07/09/16 19/11/16 21/02/17 19/12/17
7 Zezha Andara Wiyoto 06/05/16 Parwiyoto Nina 06/05/16 21/05/16 26/07/16 20/09/16 07/11/16 21/05/16 26/07/16 20/09/16 07/11/16 21/01/17 21/02/17 07/03/18 Pindah Malang
8 Anisa Talita 11/05/16 Septian Titi A. Lintang 11/05/16 20/06/16 20/07/16 07/09/16 07/12/16 20/06/16 20/07/16 07/09/16 07/12/16 21/01/17 21/02/17 07/03/18
9 Alexandria Queen 24/06/16 Usman Furi 24/06/16 12/08/16 23/09/16 22/10/16 07/12/16 30/06/16 12/08/16 23/09/16 22/10/16 20/04/17 18/05/17 07/03/18
10 Winda Nur A 01/07/16 Budi Sarwo 01/07/16 20/10/16 07/12/16 07/01/17 07/02/17 01/07/16 07/11/16 07/12/16 07/01/17 18/05/17 18/05/17 08/03/18
11 M. Rausyan 04/07/16 Sultan Evi 06/07/16 25/08/16 03/10/16 02/11/16 12/12/16 25/08/16 03/10/16 02/11/16 12/12/16 19/12/16 20/04/17 08/01/18
12 Sifa Kinara M 21/07/16 Sugeng Puji A. 21/07/16 26/07/16 07/10/16 07/11/16 07/12/16 26/07/16 07/10/16 07/11/16 07/12/16 21/01/17 20/04/17 07/03/18 Pindah Rambi
13 Kiara 30/07/16 Taufik Windi 30/07/16 20/08/16 20/08/16 Pindah
14 Alan Prasetio 01/08/16 Lestari 01/08/16 19/11/16 19/11/16 Pindah
15 Mimbar Cakra 05/08/16 Mimbar Erlin 05/08/16 20/08/16 06/10/16 07/11/16 07/12/16 20/08/16 06/10/16 07/11/16 07/12/16 18/05/17 19/05/17 07/03/18
16 Raska Abad 10/08/16 Arif Siti A 10/08/16 20/09/16 07/11/16 07/12/16 07/01/17 10/08/16 07/11/16 07/12/16 07/01/17 20/04/17 18/05/17 07/03/18 21/05/18
17 Raisa Anandita 10/08/16 ahmad Raju Deva 10/08/16 20/09/16 07/11/16 07/12/16 07/01/17 20/09/16 07/11/16 07/12/16 07/01/17 18/05/17 18/05/17 07/03/18
18 Gailan Aska 18/08/16 Ririk Wulan 18/08/16 20/09/16 07/11/16 07/12/16 07/01/17 20/09/16 07/11/16 07/12/16 07/01/17 18/05/17 18/05/17 07/03/18
19 Clearesta Nasifal 26/08/16 Yudhi Titik 31/08/16 07/09/16 07/09/16 Pindah
20 Aqila A 12/09/16 Nasrip Heny 12/09/16 20/10/16 07/12/16 07/01/17 07/02/17 20/10/16 07/12/16 07/01/17 07/02/17 20/04/17 25/07/17 07/03/18 Pindah Bali
21 Nadhira Azra 07/10/16 Roni Silvia 07/10/16 19/11/16 07/01/17 07/02/17 07/03/17 19/11/16 07/01/17 07/02/17 07/03/17 20/04/17 25/07/17 07/03/18 21/05/18
22 Naura Hasna 03/11/16 Didik Ina 03/11/16 19/11/16 07/01/17 07/02/17 07/03/17 19/11/16 07/01/17 07/02/17 07/03/17 20/04/17 22/09/17
23 Jasmine Nur 16/11/16 Kukuh Kartika 16/11/16 21/01/17 07/02/17 07/03/17 06/04/17 21/01/17 07/03/17 06/04/17 08/05/17 20/04/17 21/10/17 pindahan
24 Alvredo 19/11/16 Ragil Vita 19/11/16 19/12/16 21/01/17 07/03/17 06/04/17 19/12/16 21/01/17 07/03/17 06/04/17 20/04/17 22/09/17
25 Andromeda 08/12/16 Norma Elly 08/12/16 21/01/17 07/03/17 06/04/17 08/05/17 21/01/17 07/03/17 06/04/17 08/05/17 22/09/17 22/09/17
26 Mikaila 08/12/16 Rahmat Lidya 08/12/16 04/01/17 04/02/17 15/04/17 19/06/17 08/12/16 04/02/17 15/04/17 19/06/17 21/10/17 21/10/17 Pindah

1 Adyasta Reynand 14/01/17 Fery Maria Ulfa 14/01/17 21/02/17 06/04/17 08/05/17 07/06/17 21/02/17 06/04/17 08/05/17 07/06/17 19/06/17 21/10/17 Pindah Ast 45
2x 02/02/17 Iksan Khusnul 02/02/17 Pindah
3 Ailen Mikayla 18/02/17 Eko Herawati 18/02/17 21/02/17 08/05/17 07/06/17 11/07/17 21/02/17 08/05/17 07/06/17 11/07/17 25/07/17 Pindah Rambipuji
4 Prada S 21/02/17 Priyadi Setyowati 21/02/17 20/04/17 07/06/17 11/07/17 07/09/17 20/04/17 07/06/17 11/07/17 07/09/17 22/01/18 22/01/18
5 Prisa Alena 12/03/17 Bambang Vidia 12/03/17 Pindah Panti
6 Adirasta Bima 21/03/17 Galih Shela 21/03/17 20/04/17 07/06/17 11/07/17 21/08/17 21/03/17 20/04/17 07/06/17 11/07/17 21/08/17 22/01/18
7 Kenzo 23/04/17 Riyan Retty 23/04/17 09/05/17 11/07/17 12/10/17 07/12/17 09/05/17 11/07/17 12/10/17 07/12/17 19/12/17 21/02/18 Pindahan
8 Arka Adam 24/04/17 Teliardra Mayusa Eva 24/04/17 19/06/17 11/07/17 22/09/17 21/10/17 19/06/17 02/08/17 22/09/17 21/10/17 19/12/17 22/01/18
9 Alisya Afra 12/05/17 Afandi Anita 12/05/17 12/06/17 02/08/17 06/09/17 07/10/17 12/06/17 02/08/17 06/09/17 07/10/17 21/02/18 21/02/18 Pindahan
10 M. Azka 16/05/17 Zainul Arifin Ika Sari 16/05/17 19/06/17 07/09/17 21/10/17 07/12/17 19/06/17 07/09/17 21/10/17 07/12/17 21/02/18 20/03/18
11 Almira Adila 03/06/17 Ach. Toharudin Uul Fathur 03/06/17 25/07/17 22/09/17 22/10/17 07/12/17 25/07/17 22/09/17 22/10/17 07/12/17 22/01/18 20/03/18
12 M. Faqih Lukman 27/06/17 M. Harun Indah Yuli 27/06/17 09/08/17 18/09/17 26/10/17 27/11/17 09/08/17 18/09/17 26/10/17 27/11/17 21/02/18 19/04/18
13 Nakula Pramudita 30/06/17 Baldowi Anik 2 30/06/17 25/07/17 07/09/17 21/10/17 21/11/17 25/07/17 07/09/17 21/10/17 21/11/17 19/12/17 20/04/18
14 Sadewa Pramudita 30/06/17 Baldowi Anik 1 25/07/17 25/07/17 Pindah Surabaya
15 Azka Maulana 15/07/17 Angga Yola 15/07/17 21/08/17 07/11/17 19/12/17 22/01/18 21/08/17 07/11/17 19/12/17 22/01/18 21/02/18 20/04/18
16 Abbas 25/07/17 Ardiansyah Aminah 25/07/17 21/08/17 07/12/17 07/01/18 07/02/18 21/08/17 07/12/17 07/01/18 07/02/18 20/03/18 21/05/18
17 Wildan 02/08/17 Yopi Dewik 02/08/17 22/09/17 21/11/17 22/01/18 21/02/18 22/09/17 21/11/17 22/01/18 21/02/18 21/05/18 21/05/18
18 Ziyan 07/08/17 Erfan Fitriya 07/08/17 22/09/17 21/11/17 08/01/18 07/02/18 22/09/17 21/11/17 08/01/18 07/02/18 21/05/18 21/05/18
19 Qirani Nur 30/08/17 Gigih Dwi Andriyani 30/08/17 22/09/17 21/11/17 08/01/18 07/02/18 22/09/17 21/11/17 08/01/18 07/02/18
20 Arsya 13/09/17 Data Pulung Sely 13/09/17 21/10/17 21/11/17 08/01/18 07/02/18 21/10/17 21/11/17 08/01/18 07/02/18
21 Senja Naira 20/09/17 Safirotul Wakila 20/09/17 20/10/17 07/12/17 08/01/18 07/02/18 20/10/17 07/12/17 08/01/18 07/02/18
22 M. Azril 29/09/17 Akh. Bakhaqi Upik 29/09/17 09/11/17 14/12/17 18/01/18 22/02/18 09/11/17 14/12/17 18/01/18 22/02/18 20/04/18 Pindahan BWI
23 Keysa Anandita 30/09/17 Khoirul Eva Mborowati 30/09/17 19/12/17 20/02/18 20/03/18 20/04/18 19/12/17 20/02/18 20/03/18 20/04/18
24 Ahmad Azam 13/11/17 Yuriansyah Dewi 13/11/17 19/12/17 07/02/18 07/03/18 07/04/18 19/12/17 07/02/18 07/03/18 07/04/18 21/05/18
25 Sylvester Kevin 15/11/17 Maurid Poppy 15/11/17 19/12/17 07/02/18 07/03/18 07/04/18 19/12/17 07/02/18 07/03/18 07/04/18
26 Ayesha Araselly 20/12/17 Bayu Ajeng 20/12/17 22/01/18 07/03/18 07/04/18 08/05/18 22/01/18 07/03/18 07/04/18 08/05/18

1 Alesha Afsheen 21/01/18 M. Taufan Yeriet 21/01/18 21/02/18 08/05/18 21/02/18 08/05/18
2x 30/01/18 Sulistio Ernawati 30/01/18 30/01/18 30/01/18 Pindah
3 Vanesa Mahira 14/02/18 Sutoyo Wike 14/02/18 21/02/18 20/04/18 21/02/18 20/04/18
4 Aqueency Friska 17/02/18 Haris Diovany 17/02/18 20/04/18 08/05/18 20/04/18
5 Alula Elzyra 08/04/18 M. Arif Siti Mashuda 08/04/18
6 Raisya Putri K 22/04/18 Imam Indah 22/04/18 21/05/18
7 Meysa Naura 11/05/18 Joni Anggraini 11/05/18
8 Alfi Syahri Ramadahan 27/05/18 M. Hudi Sri Handayani 27/05/18
9 Sakala Tierta Nabiyu 30/05/18 Toni Willy Yanie 30/05/18

1x 06/01/16 Panggi Fatmawati 06/01/16 Pindah
2 Natasya Friska 02/02/16 Ahmad Fawaid Siti R 02/02/16 20/02/16 06/04/16 07/05/16 26/07/16 20/02/16 06/04/16 07/05/16 26/07/16 19/12/16 07/11/17
3 Fatimah Najla 11/02/16 Ashar Wiwin 11/02/16 12/03/16 19/04/16 07/06/16 12/07/16 12/03/16 19/04/16 07/06/16 12/07/16 19/12/16 07/02/18 Pindahan Malang
4 Tania 25/02/16 M. Buhari Siti Amina 25/02/16 21/05/16 07/06/16 12/07/16 06/10/16 21/05/16 12/07/16 06/10/16 07/11/16 19/12/16 07/11/17
5 Dihyah 28/02/16 Khoidud Agnes 28/02/16 19/04/16 21/05/16 12/07/16 07/09/16 19/04/16 21/05/16 12/07/16 07/09/16 19/12/16 07/11/17
6 Rifki 18/03/16 Karim Imamah 18/03/16 19/04/16 12/07/16 07/11/16 07/12/16 19/04/16 12/07/16 07/11/16 07/12/16 21/01/17 07/03/18
7 Ananda Putra 20/04/16 Dodik Sindi 20/04/16 21/05/16 12/07/16 07/09/16 07/11/16 21/05/16 12/07/16 07/09/16 07/11/16 21/02/17 07/11/17 20/04/18
8 M. Tri Romadoni 08/06/16 Ryan Wati 08/06/16 20/06/16 06/08/16 07/09/16 07/11/16 20/06/16 06/08/16 07/09/16 07/11/16 20/04/17 07/03/18
9 Syahril Pratama 14/07/16 Supandi Dyah 14/07/16 20/08/16 06/10/16 07/11/16 07/12/16 20/08/16 06/10/16 07/11/16 07/12/16 19/12/16 20/04/17 07/03/18 20/04/18
10 Kayla Putri 25/08/16 Taufik Lilik 25/08/16 20/09/16 07/11/16 07/12/16 05/01/17 20/09/16 07/11/16 07/12/16 05/01/17 21/01/17 25/07/17 07/03/18 20/04/18
11 x 14/09/16 Samsul Rumiana 14/09/16 Pindah BWI
12 Ahmad Alif Maulana 25/10/16 A. Maimun Iik Holifatus 25/10/16 19/11/16 05/01/17 07/02/17 07/03/17 19/11/16 05/01/17 07/02/17 07/03/17 20/04/17 22/09/17 20/04/18
13 Rayhan 05/12/16 Nusa RamadhaniNuraini 05/12/16 21/02/17 07/03/17 06/04/17 06/05/17 21/02/17 06/04/17 06/05/17 06/06/17 20/04/17 22/09/17

1 Elzira 01/01/17 Andik Buana 01/01/17 21/01/17 07/03/17 06/04/17 06/05/17 21/01/17 07/03/17 06/04/17 06/05/17 19/06/17 21/11/17
2x 18/02/17 Lukman Arini 18/02/17 Pindah
3 Difta Bagus 06/04/17 Jumari Erna 06/04/17 20/04/17 06/06/17 11/07/17 06/09/17 20/04/17 06/06/17 11/07/17 06/09/17 21/11/17 22/01/18
4 Nazril Arvino 18/04/17 Agus Nuriyatul 18/04/17 18/05/17 19/06/17 05/10/17 07/11/17 18/05/17 19/06/17 05/10/17 07/11/17 19/12/17 21/02/18
5 Ahmad Dwi 26/04/17 A. Rosyid Murniati 26/04/17 18/05/17 11/07/17 06/09/17 05/10/17 18/05/17 11/07/17 06/09/17 05/10/17 21/10/17 22/01/18
6 Adiba 20/06/17 Sulaiman Mar'atul 20/06/17 25/07/17 25/07/17 Pindah
7 Siti Sahma 22/08/17 Alm. Taufan Misnati 22/08/17 22/09/17 07/11/17 06/12/17 08/01/18 22/09/17 07/11/17 06/12/17 08/01/18 20/04/18
8x 08/10/17 Hendrik Nunia 08/10/17 Pindah
9 M. Izam 09/10/17 Hendrik Martha 09/10/17 21/11/17 08/01/18 07/02/18 07/03/18 21/11/17 08/01/18 07/02/18 07/03/18
10 Fariz Zaki 04/12/17 Ridwan Maria 04/12/17 19/12/17 07/02/18 07/03/18 07/04/18 19/12/17 07/02/18 07/03/18 07/04/18

1 Abidah Firza 28/01/18 M. Nurfandi Indra 28/01/18
2x 02/02/18 A. Rohman Yuli Astutik 02/02/18 Meninggal
3 Johan Malik 06/02/18 Agus Mega 06/02/18 20/03/18 07/04/18 11/05/18 20/03/18 11/05/18
4 M. Zafran Bahri 04/04/18 Syaiful Nining 04/04/18 Pindah Ast 66
5 Roghis Tamam 30/04/18 Nurul Ruskika 30/04/18 21/05/18 21/05/18
6 Bilqis Mayadita 02/05/18 A. Atim Yuliani 02/05/18 21/05/18
POSYANDU : Aster PUSKESMAS : Mangli

DESA/KELURAHAN : TAHUN : 20…..

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HASIL KEGIATAN PELAYANAN IMUNISASI DASAR PUSKESMAS MANGLI

POSYANDU : Aster 45 PUSKESMAS : Mangli

POSYANDU : Aster 45 PUSKESMAS : Mangli

POSYANDU : Aster 45 PUSKESMAS : Mangli

POSYANDU : Aster 46 PUSKESMAS : Mangli

POSYANDU : Aster 46 PUSKESMAS : Mangli

POSYANDU : Aster 46 PUSKESMAS : Mangli

POSYANDU : Aster 48 PUSKESMAS : Mangli

POSYANDU : Aster 48 PUSKESMAS : Mangli

POSYANDU : Aster 48 PUSKESMAS : Mangli

POSYANDU : Aster 54 PUSKESMAS : Mangli

POSYANDU : Aster 54 PUSKESMAS : Mangli

POSYANDU : Aster 54 PUSKESMAS : Mangli

POSYANDU : Aster PUSKESMAS : Mangli

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