Catatan Imunisasi

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NAMA

NO NAMA ANAK NAMA ORANG TUA L/P


POSYANDU

1 KENANGA 1 M.gyandra Ai.Badriah/Yana L

Fadilah Melina/yogi L

siti Hasna.N Siti Nurmala/Dadun P

Nazma khumairah Risma/Rian P

2 Bugenvil 1 Elmara Siti otaviani/Saripudin P

Azdkira Asti Rahmawati/Riki KoswaraP

Tibnah Fathina Tri astuti/Toni P

3 TERATAI Nendi Santi/Nahwan P

Ziyad L

Aqila syafana p

4 BUGENVIL 2 Adi saputra Siti Maryamah/Sasmita L

Sopia Nurazizah Susila/Ridwan p

M.Irsyad Siska/Cecep L

Ezra Yeti/Hevi p
Bilqis Razbani ina Sarina Atep p

PESANTREN Sahlan nasrullah Reni/Sugilar L

Kavil Paridah/Zenal L
DAFTAR IMUNISASI

TGL LAHIR ALAMAT BBL BBS PENOLONG PERSALINAN

7/12/2021 Panyaweuyan 1/ 3,8 5,5 Nakes

23/05/2021 Panyaweuyan 3,9 7,8 Nakes

13/11 2021 panyaweuyan 3,7 5,9 Nakes

18/02/2021 Panyaweuyan 3,1 6,9 Nakes

14/12/2021 Panyaweuyan 1/1 3 3,6 Nakes

23/11/2021 Panyaweuyan 2/1 2,8 4,2 Nakes

26/05/2021 Panyaweuyan 5/1 2,7 6,5 Nakes

Buniaga 3/6

Buniaga 3/1 5,4 Nakes

Buniaga 3/2 3,3 8,3 Nakes

31/10/3021 Panyaweuyan 5/1 3,1 6 NAKES

14/8/2021 Panyaweuyan 4/1 3,2 7,7 NAKES

22/12/2021 Panyaweuyan 3/1 3,1 3,9 NAKES

24/9/2021 Panyaweuyan 5/1 3,2 6,9 NAKES


1/3/2021 Panyaweuyan 4/1 3,5 8,4 NAKES

30/08/2021

27/10/2021 BUNIAGA 1/6 3,6 5 NAKES


IMUNISASI
HB BCG DPT1 DPT2 DPT3 CMP DPT CMP

O P1 P2 P3 P4 9BLN 18BLN 124BLN

4/1/2022

4/1/2022

4/1/2022

7/1/2022

7/1/2022

7/1/2022

10/1/2022

10/1/2022

7/12/2021 11/1/2021

11/1/2022

11/1/2022

6/12/2022 11/1/2022
4/3/2021 30/4/2021 5/6/2021

12/1/2021
KETERANGAN
BULAN JANUARI 2022

NAMA POSYANDU NO NAMA SUAMI & ISTRI UMUR

KENANGA 1 1 Yuni/Jepri 20/

2 Sri Ayu/Wana.G 24/

3 Yanti Irma/Rudiansyah 35/42

4 Irmawati Solihin 35/

5 Eneng.N/Mamat 42/

6 Siti Rokoyah/Iing 35/

7 Latifa.F/Andi Asril

8 Euis Masitoh/Deri Rifki

9 Lutfiah/Ilyas 26/

10 Reni Apriani/Supriatna 26/

BUGENVIL 1 1 Dede/Deni 26/38

2 Iis Nurhasanah/Ade,R 26/38

3 Lilis Rohilah/M.Ridwan

TERATAI 1 Siti nuralis/luay 35/37


2 sindi/feri 17/23

3 sinta saepuloh 24/27

4 siti ahadiah/tandi mukarom 21/23

5 titin/hendri 28/30

6 Aizmal/mumin 27 37

7 yayan/hendar 20/28

8 Noviani/Ridwan Anwar 32/36

BUGENVIL 2 1 Tika/Ari 25/27

2 Iin/Pupud 30/43

3 Asri/ Darus 28/31

4 Tini/Asikin 37/

5 Neng/Mulyani

PESANTREN 1 Siti nurherliah/Inal 30/32

2 Dewi/Suherman 36/32

3 Juju Juariah 33/40

4 Dede Rodipah/Ismatullah 29/31

5 Ita Rosita/Encep 27/42

6 Lian/Ruslan 29/32

7 Diana/Misbah 30/36

8 Kalina/Walim 24/29

9 Dede situ julaeha/Irsadi 25/28


DAFTAR IBU HAMIL

ALAMAT GRAVIDAUMUR KEHAMILAN BB TD TB

Panyweuyan 3/4 32 minggu

Panyaweuyan 3/4 32 minggu

Panyaweuyan 1/4 24 minggu 54kg 120/80 150 cm

Panyweuyan 1/4 24 minggu

Panyweuyan 1/4 20 minggu

Panyweuyan 1/4 28 minggu

Panyweuyan 1/4 16 minggu

Panyweuyan 1/4 16 minggu

Panyweuyan 1/4

Panyweuyan 1/4 20 minggu 62kg

Panyweuyan 2/1 15 minggu 72kg 80/70 141cm

Panyweuyan 2/1 G2P1A0 16 minggu 70kg 120/80 155cm

Panyweuyan 2/1 16 minggu

BUNIAGA 3/6 G7P6A0 20 minggu 41kg 90/80 145cm


BUNIAGA 3/6 G1P0A0 12 minggu 44kg 100/70 157cm

BUNIAGA 3/6 G2P1A0 21 minggu 46kg 110/70 150cm

BUNIAGA 4/6 G2P1A0 16 minggu 46kg 110/70 147cm

BUNIAGA 4/6 G3P2A0 16 minggu 51kg 110/70 150cm

BUNIAGA 3/6 G1P0A0 7 minggu 47kg 100/90 154,5cm

BUNIAGA 3/6 G1P0A0 8 minggu 59kg 120/70 154cm

BUNIAGA 4/6 G3P2A0 20 minggu

PANYAWEUYAN

PANYAWEUYAN 5/1 G5P3A1 27 minggu 56kg 120/80 145cm

PANYAWEUYAN

PANYAWEUYAN 3/1 G3P3A0 12 minggu 57kg 100/80 150cm

PANYWEUYAN 5/1 G4P3A0 14 minggu 63kg 110/80 143cm

BUNIAGA 1/6 G1P0A0 20 minggu 42kg 100/70 147cm

BUNIAGA 1/6 G5P2A2 24 minggu 57kg 120/70 143cm

BUNIAGA 1/6 G4P3A0 28 mnggu 55kg 110/70 146cm

BUNIAGA 2/6 G2P1A0 28 minggu 70kg 110/70 151cm

BUNIAGA 1/6 G2P1A0 20 minggu 65k 120/80 150cm

BUNIAGA 1/6 G2P1A0 20 minggu

BUNIAGA 1/6 G3P2A0 20 minggu

BUNIAGA 1/9 G2P1A0 16 minggu

BUNIAGA 1/10 G1P0A0 20 minggu


IMUNISASI
LILA TFU TT1 TT2 HPHT HTP KETERANGAN

27cm 16/7/2021 23/4/2023 3203106012850014

15/8/2021 22/5/2023

29cm

33,5cm 25/9/2021 2/7/2022

29cm 22/9/2021 29/6/2023 3203106103960015 / 08251670859

16/8/2021 23/5/2023

24cm 22cm 20/8/2021 27/5 2022


23cm 2/10/2021 9/7/2022

24cm 10/1/²² 22/5/2021 15/8/2022

23,5cm 1/9/2021 4/6/2022

24cm 10/9/2021 17/7/2022

22cm 20/11/2021 27/9/2022

24cm 10/11/2021 17/8/2022

23cm 5/7/29021 18/4/2022 083837311784

26cm 25/10/2021 2/8/2022 087722560967

30cm 11/10/2021 20/7/2021 081545955246

20,1cm 28cm 8/6/2021 15/3/2022 320310430201002/083821398718

27cm 22cm 13/10/²¹ 12/1/²¹ 13/7/2021 20/4/2022

23cm 21cn 29/10/²¹ 12/1/²² 7/7/2021 14/4/2022

31cm 28cm 8/9/² 10/11/²¹ 8/6/2021 15/3/2022 087717248615

29cm 16cm 10/11/²¹ 8/12/²² 21/8/2021 28/5/2022


251670859
NO BERI KARTU SUAMI ISTRI USIA L
PEMBINAAN KB
TGL BULAN PEMBINAA

P UAT ALAMAT JAN FEB MAR APRIL MEI


TGL BULAN PEMBINAAN

JUNI JULI AGUS SEPT OKT NOP NOP DES


KELAHIRAN
NAMA USIA
NO NAMA ANAK LP TGL LAHIR Ayah & IBU ayah&Ibu
GAKIN
ANAK KE ALAMAT YA TDK BBL TBL
PESERTA KB BARU
NAMA JUMLAH ANAK ALAT KONTRASEPSI
NO ISTRI USIA SUAMI L p UAT IUD OP MOW IMP
BARU
KONTRASEPSI
STK PIL K ALAMAT KETERANGAN

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