SDN 3 Ketapang Pencatatan Hasil Bias Unit Pelayanan

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PENCATATAN BULAN IMUNISASI ANAK SE

DI UNIT PELAYANAN

KABUPATEN KOTA : KOTAWARINGIN TIMUR


PUSKESMAS : KETAPANG 2
SEKOLAH : SDN 3 KETAPANG
TAHUN : 2023

TANGGAL
NO NAMA NIK
LAHIR/UMUR

1 Abidzar Faras Raufa


2 Adila Shakila Ardani 6202066808160001 8/28/2016
3 Aditya Rifqy Hammizan 6202062902160001 2/29/2016
4 Ahmad Habibi
5 Ahmad Jairullah 6202061603160004 3/16/2015
6 Alfianur Dwi Putra 6202062804160001 4/28/2016
7 Anindita Keisha Zahra 6202064612150001 12/6/2015
8 Bintang Habibi Aqilla Ahmad 6202061010150002 10/10/2015
9 Ida Laila Shofa 6202064112150005 12/1/2015
10 Keyla Ramadani
11 Malikha Azkiya 6202064609160001 9/6/2016
12 Marlina 6202055810150001 10/18/2015
13 Muhammad Abidzar Al Ghifari 332310102170001 2/1/2017
14 Muhammad Azhar 6202050205160001 5/2/2016
15 Muhammad Baim Abizar 6202060202170002 2/2/2017
16 Muhammad Haikal Maulana 6202062012160002 12/20/2016
17 Muhammad Ibra Wiradinata 7/19/2016
18 Muhammad Ilham 6202060912160001 12/9/2016
19 Muhammad Tobias Al Rafif 6202061608160001 8/16/2016
20 Nabila Puspita Sari 6202064311150003 11/3/2015
21 Nadhira Azzahra 6202064202160002 2/6/2016
22 Nazwa Orlina 6202064510150005 10/5/2015
23 Radit Pratama 3202381503160005 3/15/2016
24 Raisa 6202065011160001 11/10/2016
25 Ranviargiawan 6202062103160002 3/21/2016
26 Revan Al Fatih
27 Riski Fazril 6207042312150001 12/23/2015
28 Setyo Darmawan
29 Siti Lisna Wati 6202066102170003 2/21/2017
30 Syarifah Ramadhani
31 Wardatul Gina 6202067110160001 10/31/2016
32 Wulan Hijriyah 6202065409150005 9/14/2015
33 Afia Balqies Adzmi
34 Akifa Naila 6202057006160005 6/30/2016
35 Alfareza Raihan Uwais 6202061410160002 10/14/2016
36 Andika Saputra 6202062505160001 5/25/2016
37 Aqila Mysha Shafana 6202065812160001 12/18/2016
38 Arsyila Humaira Wibowo 6202066202170001 2/22/2017
39 Bilqis Nurliani 6202064106160003 6/1/2016
40 Bintang Pratama 6202081808160001 8/18/2016
41 Driean Azzka Mahesta 6202042411160004 11/24/2016
42 Kamsiatun Nur Aini 6202065901160002 1/19/2017
43 Meisya Aqila 6202066408160001 8/24/2016
44 Muhammad Dzikri Ginanjar 6202060510160003 10/5/2016
45 Muhammad Ripki
46 Nafisha Rhamadani 6202065706160004 6/17/2016
47 Norhalimah
48 Nur Rasyi Marwa 6207034112160002 12/1/2016
49 Nur Riska Qoriza
50 Raqil Al Fattah 6202062101160002 1/21/2016
51 Ratu Bilqis
52 Septy Amelia 6202066019160003 9/22/2016
53 Shilsy Setiana 6202066106160001 6/21/2016
54 Siti Mudhalifah
55 Viona Putri
56 Zainul Ihsan Ramdani 6202060112160002 12/1/2016

Mengetahui
Kepala Sekolah

( )
N BULAN IMUNISASI ANAK SEKOLAH (BIAS)
DI UNIT PELAYANAN

TANGGAL IMUNISASI
NAMA ORANG TUA CAMPAK DT Td Td HPV1
RUBELLA (KELAS 1) (KELAS 2) (KELAS 5) (KELAS 5)
(KELAS 1)
8/4/2023
Rahmadani/Fitria 8/4/2023
Saipul Jamil/Nely Marlina 8/4/2023
8/4/2023
Toto/Heriwati 8/4/2023
Hari Yadi/Maria Ulfah 8/4/2023
Rafi Yanur/Fitriani 8/4/2023
Mahwan/Nur Hamimah Sael 8/4/2023
Sugiatman/Hadriah 8/4/2023
8/4/2023
Bahrul Fikri/Yayu 8/4/2023
Yahya/Laila 8/4/2023
Nur Ihwan/Hariyanti 8/4/2023
Eko Rahman/Nurul Hidayah 8/4/2023
Riyadi/Srinengsih 8/4/2023
Suhairil/Masliannor 8/4/2023
Aditia Rizki/Yuliana 8/4/2023
Mat Dullah/Rohmah 8/4/2023
Muhammad Jhoni/Henny Suhartati 8/4/2023
Agus/Mega Mustika 8/4/2023
Suhardi/Norhayati 8/4/2023
Syamsudin Noor/Karlina 8/4/2023
Kemal/Dewi Triani 8/4/2023
Rony Mulyanto/Linda 8/4/2023
Makki/Nor Maya Sarah 8/4/2023
8/4/2023
Jumayudi Al Banjari 8/4/2023
8/4/2023
Akhmad Khairiyanur/Salmah 8/4/2023
8/4/2023
Karliansyah/Siti Aisyah 8/4/2023
Heryanto/Hairita 8/4/2023
8/4/2023
Agusdi/Irma Safitri R 8/4/2023
Apif Ambrullah/Yuliani 8/4/2023
Syamsul/Isnawati 8/4/2023
Anang Kustar/Rusdiana 8/4/2023
Wahyudi/Sadinem 8/4/2023
Anita 8/4/2023
Edy/Isnaniah 8/4/2023
Helmi Indrianto 8/4/2023
M. Bardi/Marni 8/4/2023
Syahrudin/Nuriah 8/4/2023
Said Rahmadi/Sri Handayani 8/4/2023
8/4/2023
Januari Ady/Sri Ati 8/4/2023
8/4/2023
Syahroni/Rahimah 8/4/2023
8/4/2023
Saipul/Mira Wardani 8/4/2023
8/4/2023
Masrun/Juliyana 8/4/2023
Husni/Yana 8/4/2023
8/4/2023
8/4/2023
Muhammad Ramdani/Fifin Minawati 8/4/2023

Sampit,

Petugas Pelaksana

( )
I
HPV2
(KELAS 6)
ruangan
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB
IB

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