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    Laporan Kejadian Ikutan Pasca Imunisasi (Kipi) Kabupaten

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    luluk setiawan
    This document lists 35 infants in Dharmasraya, West Sumatra who received post-immunization monitoring in April 2016. It includes each infant's name, date of birth, gender, parents' names, address, immunizations received, any symptoms reported after immunization like fever, medical treatment if needed, and the infant's condition. All infants were reported to be in good condition after being monitored at various health centers in the region. The document was signed by the head of the immunization program, verifying the report.

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    Laporan Kejadian Ikutan Pasca Imunisasi (Kipi) Kabupaten

    Uploaded by

    luluk setiawan
    16 views10 pages
    This document lists 35 infants in Dharmasraya, West Sumatra who received post-immunization monitoring in April 2016. It includes each infant's name, date of birth, gender, parents' names, address, immunizations received, any symptoms reported after immunization like fever, medical treatment if needed, and the infant's condition. All infants were reported to be in good condition after being monitored at various health centers in the region. The document was signed by the head of the immunization program, verifying the report.

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    Original Title

    LAPORAN KIPI

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    This document lists 35 infants in Dharmasraya, West Sumatra who received post-immunization monitoring in April 2016. It includes each infant's name, date of birth, gender, parents' names, address, immunizations received, any symptoms reported after immunization like fever, medical treatment if needed, and the infant's condition. All infants were reported to be in good condition after being monitored at various health centers in the region. The document was signed by the head of the immunization program, verifying the report.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    16 views10 pages

    Laporan Kejadian Ikutan Pasca Imunisasi (Kipi) Kabupaten

    Uploaded by

    luluk setiawan
    This document lists 35 infants in Dharmasraya, West Sumatra who received post-immunization monitoring in April 2016. It includes each infant's name, date of birth, gender, parents' names, address, immunizations received, any symptoms reported after immunization like fever, medical treatment if needed, and the infant's condition. All infants were reported to be in good condition after being monitored at various health centers in the region. The document was signed by the head of the immunization program, verifying the report.

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    of 10

    KABUPATEN

    : DHARMASRAYA

    BULAN/TAHUN

    : April 2016

    No

    NAMA PENDERITA

    TANGGAL LAHIR

    1 M.Faiz

    10/20/2015 L

    2 Ainuha Suratya Ahmad

    11/28/2015 P

    3 Gilang Aditya

    12/3/2015 L

    4 Balqis

    12/16/2015 P

    5 Fathan

    10/29/2015 L

    6 Ghanni

    10/23/2015 L

    7 Raniza R.E

    11/13/2015 P

    8 Kevin Oktajulian

    10/22/2015 L

    9 Revano Tri A

    12/31/2015 L

    10 Destra Falah

    12/9/2015 L

    11 Muhamad Irfan

    12/14/2015 L

    12 Fatan Albana

    11/23/2015 L

    13 Deevkan Andrean

    12/4/2015 L

    14 Daniel

    9/16/2015 L

    15 M. Sajad

    10/2/2015 L

    16 M. Sajid

    10/2/2015 L

    17 By. Ilut

    11/24/2015 P

    18 By.Yudhi

    10/25/2015 P

    19 Alvaro

    10/20/2015 L

    20 Bunda

    10/1/2015 P

    21 M. Habib
    22 Naili

    10/14/2015 L
    9/2/2015 P

    23 Aji

    10/7/2015 L

    24 Shidiq

    10/7/2015 L

    25 Cahya

    1/18/2016 P

    26 Bhariq

    11/17/2015 L

    27 Gherar

    12/20/2015 L

    JENIS KELAMIN

    28 Anin Dita

    10/27/2015 P

    29 Alvaro

    10/25/2015 L

    30 Shinta

    12/19/2015 P

    31 Andika

    10/25/2013 L

    32 Aksel

    12/8/2015 L

    33 Difo

    10/17/2015 L

    34 Alditio

    12/16/2015 L

    35 Farhan

    12/27/2015 L

    LAPORAN KEJADIAN IKUTAN PASC

    NAMA ORANG TUA

    ALAMAT RT/RW
    DESA/PUSK

    Yosafni

    Lambau

    Sofia

    Lambau

    Darmi

    Kampus

    Ullya Putri

    Lb. Bulang

    Rika S

    Lb. Bulang

    Neli Desnita

    Lb. Bulang

    Efrinelti

    Lb. Bulang

    Musda Yeni

    Lb. Bulang

    Aprianis

    M. Momong

    Riska

    M. Momong

    Tun Yan

    Kampus

    Fauziah

    Kampus

    Sri

    Kampus

    Ana

    Lgn Jaya II

    Shinta

    Lgn Jaya II

    Shinta

    Lgn Jaya II

    Ilut

    Kober I

    Yudhi

    Kober I

    Gitri

    Kober II

    Dewi

    Kohil I

    Yeni

    Kohil I

    Era

    Banjar Makmur

    Tianur

    BKN. 2

    Hesti

    BKN. 2

    Suwarni

    T.. Sikai

    Tri

    T.. Sikai

    Meri

    K. Daulat

    Hbo (0-7hari)

    BCG

    POLIO1

    Darsi

    P. Sealatan

    Sri

    P. Sealatan

    Rafni

    P. Sidondang

    Robiah

    P. Sidondang

    Ismu

    P. Sidondang

    Neni

    Sitiung

    Wiji

    P. Sidondang

    Umi

    P. Sidondang

    ADIAN IKUTAN PASCA IMUNISASI (KIPI) KABUPATEN

    JENIS IMUNISASI
    DPT/HB(1)

    POLIO2

    DPT/HB(2)

    POLIO3

    DPT/HB(3)

    3/8/2016
    3/8/2016
    3/8/2016
    3/10/2016
    3/10/2016
    3/10/2016
    3/10/2016
    3/10/2016
    3/10/2016
    3/10/2016
    3/15/2016
    3/15/2016
    3/15/2016
    v
    v
    v
    v

    v
    v
    v

    v
    v
    v

    v
    v

    v
    v
    v

    v
    v

    POLIO4

    CAMPAK

    DPT/Hib Boster

    GEJALA

    PERAWATAN (RI/RJ)

    Demam
    Demam
    Demam
    Demam
    Demam
    Demam
    Demam
    Demam
    Demam
    Demam
    Demam
    Demam
    Demam
    v

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Demam

    RJ

    Pulau Punjung, April 2016


    Mengetahui
    Kabid P2P

    dr. Dewi Susanti Febri


    NIP. 19760220 200501 2 007

    KONDISI BAYI
    Puskesmas
    Sialang
    Sialang
    Sialang
    Sialang
    Sialang
    Sialang
    Sialang
    Sialang
    Sialang
    Sialang
    Sialang
    Sialang
    Sialang
    Baik

    Tiumang

    Baik

    Tiumang

    Baik

    Tiumang

    Baik

    Tiumang

    Baik

    Tiumang

    Baik

    Tiumang

    Baik

    Tiumang

    Baik

    Tiumang

    Baik

    Tiumang

    Baik

    Sitiung I

    Baik

    Sitiung I

    Baik

    Sitiung I

    Baik

    Sitiung I

    Baik

    Sitiung I

    Baik

    Sitiung I

    Baik

    Sitiung I

    Baik

    Sitiung I

    Baik

    Sitiung I

    Baik

    Sitiung I

    Baik

    Sitiung I

    Baik

    Sitiung I

    Baik

    Sitiung I

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