HASIL CAKUPAN IMUNISASI BULAN MARET 2023

Tanggal Imunisasi
Tanggal Lahir
No No RM Nama Anak Nama Orang Tua Alamat HB 0 bln DPT-HB-COMBO POLIO Cam Keterangan
BCG
L P ( < 7 hr ) 1 2 3 1 2 3 4 pak Puskesmas
1 325373 By.Ny. Serlyana 25/02/2023 Ny. Serlyana/Tn.Rohmat Lumbir 4/2 26/02/2023 26/02/2023 Lumbir
2 325326 By.Ny. Afifah 26/02/2023 Ny.Afifah/Tn. Aris Pondok Gebang Sari 26/02/2023 26/02/2023 Luar BMS
3 325371 By.Ny. Wiranti 26/02/2023 Ny. Wiranti/ Tn. Fathur Pernasidi 7/6 26/02/2023 26/02/2023 Cilongok I
4 325372 By.Ny. Siska Dwi 25/02/2023 Ny. Siska/Tn. Indra Lumbir 7/5 26/02/2023 26/02/2023 Lumbir
5 325385 By.Ny. Siti Nur Oktaviani 26/02/2023 Ny. Siti Nur/Tn. Yogi Darmakeradenan 5/8 26/02/2023 27/02/2023 Ajibarang I
6 325383 By.Ny. Apriyani Eka 26/02/2023 Ny. Apriyani/Tn. Karsono Pengadegan 4/9 26/02/2023 27/02/2023 Wangon I
7 325382 By.Ny. Diani Nur 26/02/2023 Ny. Diani/Tn. Darsono Besuki 5/1 26/02/2023 28/02/2023 Lumbir
8 325388 By.Ny. Faizatun 26/02/2023 Ny. Faizatun/ Tn. Tohirin Banteran 8/4 26/02/2023 27/02/2023 Wangon I
9 325394 By.Ny. Dewi m 26/02/2023 Ny. Dewi/Tn. Rozakul Panembangan 3/2 26/02/2023 27/02/2023 Cilongok I
10 325400 By.Ny. Dian Indriyani 26/02/2023 Ny. Dian/Tn.- Karanggayam 1/2 27/02/2023 27/02/2023 Lumbir
11 325455 By. Ny Tri Rositi 26/02/2023 Ny. Tri Rositi/Tn.Elson Dermaji 3/6 27/02/2023 28/02/2023 Lumbir
12 325458 By.Ny. Devi a 27/02/2023 Ny. Devi/ Tn. Taswan Gumelar 1/7 27/02/2023 28/02/2023 Gumelar
13 325439 By. Ny. Rastini 27/02/2023 Ny. Rastini/Tn. Taharso Banjarsari 5/6 27/02/2023 28/02/2023 .Ajibarang II
14 325409 By.Ny. Mastnaa 27/02/2023 Ny. Mastnaa/Tn. Tri Ilham Ajibarang Kulon 1/8 27/02/2023 28/02/2023 Ajibarang I
15 325407 By.Ny. Hafizah 27/02/2023 Ny. Hafizah/Tn. Fajar Cirahab 6/1 28/02/2023 28/02/2023 Lumbir
16 325482 By.Ny. Tarmini 27/02/2023 Ny.Tarmini/Tn. Sohirin Paningkaban 4/2 27/02/2023 28/02/2023 Gumelar
17 325489 By.Ny. Deviana 27/02/2023 Ny. Deviana/ Tn. Anggih Wangon 5/15 28/02/2023 28/02/2023 Wangon I
18 325524 By.Ny. Sulistiani 28/02/2023 Ny. Sulistiani/Tn. Yuliantoro Banjarsari 3/4 28/02/2023 29/02/2023 .Ajibarang II
19 325521 By.Ny. Sari Dewi 28/02/2023 Ny. Sari Dewi/Tn. Imrochman Karangtengah 6/4 28/02/2023 29/02/2023 Cilongok I
20 325494 By. Ny. Siti Umiati 28/02/2023 Ny. Siti Umiati/Tn. - Cilongok 6/3 28/02/2023 29/02/2023 Cilongok I
21 325549 By.Ny. Yuliati 28/02/2023 Ny. Yuliati/Tn.mustofa Klapagading Kulon 3/12 29/02/2023 29/02/2023 Wangon I
22 325585 By.Ny. Ruyani 01/03/2023 Ny. Ruyani/Tn. Lukman Banjarsari 9/7 01/03/2023 02/03/2023 .Ajibarang II
23 325553 By.Ny. Mira 01/03/2023 Ny.Mira/Tn. Siswanto Kalitapen 01/03/2023 02/03/2023 Purwojati
24 325551 By.Ny. Mujiati 01/03/2023 Ny.Mujiati/Tn. Munjimin Tegalsari 6/1 01/03/2023 02/03/2023 Luar BMS
25 325572 By.Ny. Yanti 01/03/203 Ny.Yanti/Tn. Kuswo Cikakak 1/2 Wangon 01/02/2023 02/03/2023 Wangon II
26 325579 By.Ny. Anisa 01/03/2023 Ny. Anisa/Tn. Riski Klapagading Kulon 1/4 01/03/2023 02/03/2023 Wangon I
27 325613 By.Ny. Nuroh 01/03/2023 Ny. Nuroh/Tn. - Mernek 5/8 Maos 01/03/2023 02/03/2023 Luar BMS
28 325614 By.Ny. Septianti 02/03/2023 Ny. Septianti/Tn. Massah Jambu 1/6 02/03/2023 03/03/2023 Wangon II
29 325668 By.Ny. Dewi Suryati 02/03/2023 Ny. Dewi S/Tn. A. Ridito 02/03/2023 03/03/2023
30 325669 By.Ny. Kursiyah 02/03/2023 Ny.Kursiyah/Tn. Yulianto Jingkang 6/2 02/03/2023 03/03/2023 .Ajibarang II
31 325683 By.Ny. Kusmini 02/03/2023 Ny.Kusmini/Tn. Ali Tafrihan Wangon 6/16 02/03/2023 03/03/2023 Wangon I
32 325679 By.Ny. Dani lestari 02/03/2023 Ny. Dani Lestari/Tn. - Bekasi 02/03/2023 03/03/2023 Luar BMS
33 325710 By.Ny. Wahyuni 03/03/2023 Ny. Wahyuni/Tn. Cartiman Banjarsari 05/04 03/03/2023 04/03/2023 .Ajibarang II
34 325747 By.Ny. Turaipah 03/03/2023 Ny. Turaipah/Tn. Nurhanto Dermaji 05/05 03/03/2023 04/03/2023 Lumbir
35 325715 By.Ny. Sri Wahyuni 03/03/2023 Ny. Sri Wahyuni/Tn.- Krajan 01/03 03/03/2023 04/03/2023 Pekuncen
36 325748 By.Ny. Eka Yulianti 03/03/2023 Ny. Eka Yulianti/Tn. S.Arifin Sidamulya 03/01 03/03/2023 04/03/2023 Kemranjen
37 325714 By.Ny. Kiki Aprilia 03/03/2023 Ny. Kiki Aprilia/Tn. Nurhanto Dermaji 05/05 03/03/2023 04/03/2023 Lumbir
38 325719 By.Ny. Martini 03/03/2023 Ny. Martini/Tn.Rohmat Ciberung 05/04 03/03/2023 04/03/2023 Ajibarang I
39 325791 By.Ny. Tuti rinawati 04/03/2023 Ny. Tuti Rinawati/Tn. Darwanto Pengadegan 01/04 04/03/2023 05/03/2023 Wangon I
40 325799 By.Ny. Pratama 04/03/2023 Ny. Pratama/Tn. - banteran 03/01 04/03/2023 05/03/2023 ### Wangon I
41 325782 By.Ny. Desy 04/03/2023 Ny. Desy/Tn. Aji Batuanten 1/2 04/03/2023 05/03/2023 Luar BMS
42 325825 By.Ny. Lina 05/03/2023 Ny.Lina Marlina/Tn. Nur Klapagading kulon 01/07 05/03/2023 06/03/2023 Wangon I
43 325823 By.Ny. Maria 05/03/2023 Ny. Maria/Tn.Trismono samudra Kulon 6/5 05/03/2023 06/03/2023 Gumelar
44 325824 By.Ny. Lusi M 05/03/2023 Ny. Lusi/Tn.- Windunegara 1/5 05/03/2023 06/03/2023 Wangon II
45 325834 By.Ny. Ulva 05/03/2023 Ny. Ulva/Tn. Dea Karanf Kemiri 3/3 05/03/2023 06/03/2023 Pekuncen
46 325984 By.Ny. Sayyidati 06/03/2023 Ny. Syyidati/Tn. Hisbul pancasan 4/4 06/03/2023 07/03/2023 .Ajibarang II
47 325890 By.Ny. Sri Mulyani 07/03/2023 Ny. Sri Mulyani/ Tn.Ilham Krajan 3/1 07/03/2023 08/03/2023 Pekuncen
48 325974 By.Ny. Sumiyati 07/03/2023 Ny. Sumiyati/Tn. Anjur Candinegara 3/6 07/03/2023 08/03/2023 Pekuncen
49 325978 By.Ny.Rizqi 07/03/2023 Ny. Rizqi/Tn.Suseno Ajibarang Kulon 1/8 07/03/2023 08/03/2023 Ajibarang I
50 325980 By.Ny. Dwi lestari 07/03/2023 Ny. Dwi Lestari/Tn. Faul Jamil Cilongok 2/3 07/03/2023 08/03/2023 Cilongok I
51 325919 By.Ny. Fajar 07/03/2023 Ny. Fajar/Tn. Ruly Banjaranyar 4/7 07/03/2023 08/03/2023 Pekuncen
52 325976 By.Ny. Mutmainah 07/03/2023 Ny.Mutmainah/Tn. Widiarto Gancang 5/1 07/03/2023 08/03/2023 Gumelar
53 325990 By.Ny. Yuni Agustin 07/03/2023 Ny.Yuni Agustin/Tn. - Karanggayam 01/06 07/03/2023 08/03/2023 Lumbir
54 325989 By.Ny. Nely 07/03/2023 Ny.Nely/Tn. Imam Kedungurang 1/8 07/08/2023 08/03/2023 Gumelar
55 325992 By.Ny. Enny 07/03/2023 Ny. Enny/Tn. Agus Wangon 1/4 07/03/2023 08/03/2023 Wangon I
56 325996 By.Ny. Puji Astuti 07/03/2023 Ny.Puji Astuti/Tn. Karyoto Cipete 2/3 07/03/2023 08/03/2023 Cilongok II
57 326004 By.Ny. Asih Mulyani 08/03/2023 Ny. Asih Mulyani/Tn. Arif Windunegara 1/5 08/03/2023 09/03/2023 Wangon II
59 326055 By.Ny. Khusnul Khotimah 08/03/2023 Ny. Khusnul K/Tn. Agung Beji 1/6 Kedung Banteng 08/03/2023 09/03/2023 Kedungbanteng
60 325990 By.Ny.Ainu Rohmah 08/03/2023 Ny. Ainu/ Tn. M. Sholahudin Randegan 02/01 Wangon 08/03/2023 10/03/2023 Wangon I
61 326062 By.Ny. Ernawati 08/03/2023 Ny. Ernawati/Tn.kusno Klapagading 2/16 08/03/2023 09/03/2023 Wangon I
62 326053 By.Ny. Istikharoh I 08/03/2023 Ny. Istikharoh/Tn. Daryani Sokawera 1/7 08/03/2023 09/03/2023 Cilongok I
63 326054 By.Ny. Istikharoh II 08/03/2023 Ny. Istikharoh/Tn. Daryani Sokawera 1/7 08/03/2023 09/03/2023 Cilongok II
64 326069 By.Ny. Mei Nur 08/03/2023 Ny. Mei Nur/Tn. Syaifudin Gumelar 5/5 08/03/2023 09/03/2023 Gumelar
65 325974 By.Ny. Susmiyati 08/03/2023 Ny. Susmiyati/Tn. Anjni Candinegara 3/6 08/03/2023 09/03/2023 Pekuncen
66 325978 By.Ny. Rizqi Amalia 08/03/2023 Ny. Rizqi Amalia/ Tn. Suseno Ajibarang Kulon 1/8 08/03/2023 09/03/2023 Ajibarang I
67 326005 By.Ny. Wahyuni 08/03/2023 Ny. Wahyuni/Tn. Tugiman Wlahar 6/6 08/03/2023 09/03/2023 Wangon II
68 326044 By.Ny. Sunarti 08/03/2023 Ny. Sunarti/ Tn. Sunarto Kaliwangi 3/3 08/03/2023 09/03/2023 Purwojati
69 325990 By.Ny. Ainu Rahmah 08/03/2023 Ny. Aiun Rahma/Tn.- 08/03/2023
70 326062 By.Ny. Ike 08/03/2023 Ny. Ike Nur/Tn.Kusno Klapagading 2/16 09/03/2023 09/03/2023 Wangon I
71 326118 By.Ny. Fitria 09/03/2023 Ny. Fitria/ Tn. Teguh Ajibarang Kulon 3/10 09/03/2023 10/03/2023 Ajibarang I
72 326081 By.Ny. Triana 09/03/2023 Ny. Triana/ Tn. Firdaus Tlaga 4/3 09/03/2023 10/03/2023 Gumelar
73 326083 By.Ny. Miratu 09/03/2023 Ny.Miratu/ Tn.Fatih Cikawung 3/7 10/03/2023 11/03/2023 Pekuncen
74 326105 By.Ny. Anggani 09/03/2023 Ny. Anggani/Tn. Imam Tangerang 09/03/2023 10/03/2023 Luar BMS
75 326129 By.Ny. Novita 09/03/2023 Ny. Novita/ Tn. M.Kharis Banjarsari 03/07 09/03/2023 10/03/2023 .Ajibarang II
76 326188 By.Ny. Tri Aksiah 10/03/2023 Ny. Tri Aksiah/Tn. Sugeng Jambu 3/3 10/03/2023 11/03/2023 Wangon II
77 326196 By.Ny. Suharni 10/03/2023 Ny. Suharni/Tn. Teguh Kedungurang 1/2 10/03/2023 11/03/2023 Gumelar
 78 326189 By.Ny. Ayu Kusuma 10/03/2023 Ny. Ayu Kusuma/Tn. Amin Klapagading 5/10 10/03/2023 11/03/2023 Wangon I
79 326187 By.Ny. Rasitri 10/03/2023 Ny. Rasitri/Tn. Diki Pancasan 3/2 10/03/2023 11/03/2023 Ajibarang I
80 326191 By.Ny. Nur Fiqhiyatun 10/03/2023 Ny. Nur Fiqhiyatun/Tn.M. Ali Jambu 3/8 10/03/2023 11/03/2023 Wangon II
81 326144 By.Ny. Anggita 10/03/2023 Ny. Anggita/Tn. Kholidin Cibangkong 04/08 10/03/2023 11/03/2023 Pekuncen
82 326200 By.Ny. Istna 10/03/2023 Ny. Istna/Tn. Saeful Lumbir 02/01 10/03/2023 11/03/2023 Lumbir
83 326224 By.Ny. Putria 11/03/2023 Ny. Putria/Tn. Wahyu Klapagading 3/II 11/03/2023 11/03/2023 Wangon I
84 326247 By.Ny. Titi Hidayatullah 11/03/2023 Ny. Titi H/Tn. Teguh Lumbir 8/8 11/03/2023 12/03/2023 Lumbir
85 326248 By.Ny. Nur Azizah 11/03/2023 Ny. Nur Azizah/Tn. Ratam Karangmangu 3/1 11/03/2023 12/03/2023 Purwojati
86 326249 By.Ny. Sumairoh 11/03/2023 Ny. Sumairoh/Tn. Moh. Amar Pekuncen 1/6 11/03/2023 12/03/2023 Pekuncen
87 326250 By.Ny. Nur Hidayati 11/03/2023 Ny. Nur Hidayati/Tn. - Jingkang 5/1 11/03/2023 12/03/2023 .Ajibarang II
88 326274 By.Ny. Mujiyati 11/03/2023 Ny. Mujiyati/Tn. Rohmah Ciberung 01/04 11/03/2023 12/03/2023 Ajibarang I
89 326269 By.Ny. Agus Yugo 11/03/2023 Ny. Agus/ Tn Mutaqin Kalitapen 05/03 11/03/2023 12/03/2023 Purwojati
90 326375 By.Ny. Lili S 13/03/2023 Ny. Lili/ Tn. Fuadz Jatisaba 8/4 13/03/2023 14/03/2023 Cilongok II
91 326377 By.Ny. Suyatmi 13/03/2023 Ny. Suyatmi/Tn. Ari Ashari Sawangan 1/1 13/03/2023 14/03/2023 .Ajibarang II
92 326427 By.Ny. Siti Nurjanah 14/03/2023 Ny. Siti Nurjanah/Tn. Saeful Kaliurip 4/2 14/03/2023 15/03/2023 Purwojati
93 326435 By.Ny. Nifa Aprilianti 14/03/2023 Ny. Nifa Aprilianti/Tn. Angga kedungurang 7/6 14/03/2023 15/03/2023 Gumelar
94 326436 By.Ny. Yuliani 14/03/2023 Ny. Yuliani/Tn. Machdum Karangkemiri 6/1 14/03/2023 15/03/2023 Pekuncen
95 326305 By.Ny. Verawati 15/03/2023 Ny. Verawati/ Tn. Gunawan Ajibarang Kulon 7/9 15/03/2023 16/03/2023 Ajibarang I
96 326520 By.Ny. Eka Susanti I 15/03/2023 Ny. Eka Susanti /Tn. Henggar Rawaheng 1/2 15/03/2023 16/03/2023 Wangon I
97 326521 By.Ny. Eka Susanti II 15/03/2023 Ny. Eka Susanti /Tn. Henggar Rawaheng 1/2 15/03/2023 16/03/2023 Wangon I
98 326490 By.Ny. Ika Yuni 15/03/2023 Ny. Ika Yuni/Tn. Kuat Pancasan 3/2 15/03/2023 16/03/2023 .Ajibarang II
99 326523 By.Ny. Ajiati 15/03/2023 Ny. Ajiati/Tn. Agus Randegan 1/1 15/03/2023 16/03/2023 Wangon I
100 Jatilawang
101 Wangon I
102 Wangon I
103 Lumbir
104 Cilongok I
105 Wangon I
106 Luar BMS
107 luar BMS
108 Luar BMS
109 Luar BMS
110 Pekuncen
111 Pekuncen
112 Luar BMS
113 Cilongok I
114 .Wangon II
115 Lumbir
116 Lumbir
117 Purwojati
118 Wangon I
119 .Cilongok 2
120 .Ajibarang II
121 Lumbir
122 Ajibarang I
123 Pekuncen
124 Gumelar
125 Pekuncen
126 .Wangon II
127 Pekuncen
128 Pekuncen
129 Purwojati
130 Cilongok I
131 Ajibarang I
132 Wangon I
133 .Wangon II
134 .Ajibarang II
135 Pekuncen
136 Luar BMS
137 Gumelar
138 .Ajibarang II
139 Pekuncen
140 Lumbir
141 Rawalo
142 .Ajibarang II
143 Wangon I
144 Cilongok I
145 Jatilawang
146 .Wangon II
147 Wangon I
148 Purwojati
149 Pekuncen
150 Wangon I
151 .Cilongok 2
152 Ajibarang I
153 Gumelar
154 Ajibarang I
155 .Wangon II
156 Wangon I
157 Pekuncen
158 .Ajibarang II
159 Gumelar
160 Ajibarang I
161 Gumelar
162 Gumelar
163 Pekuncen
164 Pekuncen
165 Ajibarang I
166 Pekuncen
167 Lumbir
168 Wangon I
169 Wangon I
170 Cilongok I
171 .Ajibarang II
172 Wangon I
173 Pekuncen
174 luar BMS
175 Gumelar
176 Wangon I
177 Purwojati
178 Ajibarang I
179 Wangon I
180 Wangon I
181 Wangon I
182 Gumelar
183 Wangon I
184 .Ajibarang II
185 Lumbir
186 Pekuncen
187 Cilongok I
188 Cilongok I
189 Wangon I
190 Cilongok I
191 Pekuncen
192 Gumelar
193 Cilongok I
194 Luar BMS
195 .Ajibarang II
196 Gumelar
197 Cilongok I
198 Gumelar
199 Gumelar
200 Luar BMS
201 .Ajibarang II
202 Lumbir
203 Gumelar
204 Ajibarang I
205 Lumbir
206 Cilongok I
207 Pekuncen
208 .Ajibarang II
209 Wangon I
210 Pekuncen
211 Gumelar
212 Luar BMS
213 Pekuncen

Kabid. Pelayanan dan

Keperawatan
Penanggung Jawab Imunisasi

dr. Ahmad Hermanto, MM

NIP. 19790707 200903 1 007 Rosana Nurwulandari,S.Kep.,Ns
NIP.19860406 200903 2 010