FORMAT PENDATAAN POSYANDU SASARAN BIAN

SASARAN IMUNISASI TAMBAHAN CAM

Provinsi : Kalimantan Tengah

Kabupaten : Murung Raya
Puskesmas : Puruk Cahu Seberang
Isilah kolom yang tidak berwarna!

No. Nama Anak Tanggal Lahir Umur (bulan)

1 HAIFA AVRIL FIDELYA  4/6/2021 15

2 MUHAMMAD AIDIL AL FIKRI  4/13/2021 14
3 AHMAD SAMUDRA  3/25/2021 15
4 AYU DISA GAYATRI  3/24/2021 15
5 MUHAMMAD ALIF  3/24/2021 15
6 ALVINO ROSHA APARISKI  3/4/2021 16
7 RAFATAN  3/4/2021 16
8 MALZIL HAYAMALIK  2/11/2021 16
9 DION REFALDI  3/9/2021 15
10 ELIZA RHADA CAIRA  5/19/2021 13
11 AZAHRA RADYA A R  5/5/2021 14
12 REZQIANO R  5/1/2021 14
13 M. ABDURRAHIM  5/2/2021 14
14 REZKIANO R  5/1/2021 14
15 NURHAYATI  5/1/2021 14
16 ASMA AQILATUNNISA  4/23/2021 14
17 FATIMAH ASWATUN  4/16/2021 14
18 NABILA  5/13/2021 13
19 ELISIA ANGGINI SABINA  5/5/2021 14
20 SABIRA ALMAHIRA  2/15/2021 16
21 RISELLA P.H  2/16/2021 16
22 MUHAMMAD RAFAEL  1/4/2021 18
23 M. GARA AL HANIF  1/15/2020 29
24 A. DAFFA IBNU HAFIZ  12/29/2020 18
25 JATMIKO  2/20/2021 16
26 SHANUM ASYEVA RAJIKIN  1/11/2021 17
27 APRILIA INTAN  4/4/2020 27
28 MUHAMMAD FAUZAN  3/23/2020 27
29 DAFFA DZULHAIRI A  3/23/2020 27
30 AL NAURA PUTRI  4/20/2020 26
31 ARIA  4/3/2020 27
32 ALIFAH  2/29/2020 28
33 ASWADI NOR  3/10/2020 28
34 M. KHOIRUL BAHRI  2/18/2020 28
35 BARAK NAIL RISKA  11/30/2020 19
36 DELVI ANATHA  11/30/2020 19
37 SYIFA IZZATUNNISA  11/26/2020 19
38 ALENNA ARSYILA ZAHRA  10/22/2020 20
39 ALESSA CALISTA ZAHRA  10/22/2020 20
40 WINDA OKTAVIA  10/3/2020 21
41 SRI WAHYUNI  9/28/2020 21
42 MUHAMMAD JORDI SETIAWAN  10/14/2020 20
43 TAMARA FATIMAH  9/11/2020 21
44 VENI AULIA RAHMAN  10/5/2020 21
45 PIMALA RAHAYU  8/27/2020 22
46 M. MIRZA ASIDIK  8/17/2020 22
47 M. AGUSTIAN. S  8/17/2020 22
48 LEONATAN VINLI  8/16/2020 22
49 MUHAMMAD HASAN  8/22/2020 22
50 NAZIA MISAEL AEEFA  8/12/2020 22
51 M. ADAM AL-FATIH  9/4/2020 22
52 M ALFATIH  9/4/2020 22
53 AKMAL  7/24/2020 23
54 RASKA RAID HIBATILAH  7/21/2020 23
55 ABDUL AZIZ  7/3/2020 24
56 ADRIAN A.G  6/27/2020 24
57 RUNI  6/12/2020 24
58 FITRI ANJAYA.S  7/9/2020 24
59 JUWITA KRISTIANI  7/10/2020 24
60 NABILA RUMAISA  6/15/2020 24
61 RAMADHAN KHAIRUL AZAM  5/8/2020 26
62 AMMARA AFFATAHUNISA  5/2/2020 26
63 M. RIKO  4/22/2020 26
64 AHMAD ADNAN KHIAR  4/18/2020 26
65 HAIKAL ANSORI  5/14/2020 25
66 AZZAM AKHTAR WIJAYA  5/8/2020 26
67 TASYA ASKIA KAMILA  1/13/2020 30
68 ALIYA SALMA KHALISA  1/17/2020 29
69 SOFIA DESTY .R  12/31/2019 30
70 M. GIBRAN AL GIFARI  3/23/2019 39
71 M. FADLAN KHALY  3/19/2019 40
72 MONDI  3/17/2019 40
73 ADRIANA HAURA  4/12/2019 39
74 DIANA ARAFAH PUTRI  2/19/2019 40
75 M. ROGHIB SUYUTI  3/8/2019 40
76 DESWITA SELMIRA  12/12/2019 31
77 FATIMAH AZZAHRA  12/1/2019 31
78 AHMAD IZZAN  11/27/2019 31
79 AKMAL AL PAZRI  12/9/2019 31
80 MUAMAR NIZAM  10/30/2019 32
81 MUHAMAD ADLAN NURFAKIH  11/15/2019 31
82 RAFI  11/3/2019 32
83 AHMAD MIRZA .O  10/5/2019 33
84 AZZAHRATUN ANNISA  10/1/2019 33
85 MELODI CINTA NUSANTARA  9/21/2019 33
86 KHADIJAH KESWORO  9/18/2019 33
87 YASMINE AURA QINANTA  10/11/2019 33
88 SITI SOLEHAH  9/5/2019 34
89 MUHAMAD RAPEB  9/9/2019 34
90 NIPA ANSARI  9/14/2019 34
91 ROBIATUL ADAWIYAH  7/29/2019 35
92 RAMI ALMAIRA AHMAD  8/8/2019 35
93 MISHARI MIRSHAD  7/4/2019 36
94 JULIANA  7/11/2019 36
95 KAILA NOR AULIA  5/26/2019 37
96 FATHAN RAMADAN  5/26/2019 37
97 ADZKYA ATTHAYA .M  5/24/2019 37
98 NAPIS RAMADHAN  5/15/2019 38
99 AISYA AILA ZAHRA  2/6/2019 41
100 AHMAD RIFAL  2/3/2019 41
101 REVAN DWI PARJAN  2/8/2019 41
102 ALYA SAHIRA  1/4/2019 42
103 AHMAD NUR HAKIM  2/19/2018 53
104 FADHILA AZKIYA R N  1/7/2019 42
105 ASYILA HUMAIRA  3/31/2018 51
106 ANGGINA PUTRI  3/23/2018 52
107 ALVERO ADITIYA  3/3/2018 52
108 MUHAMMAD KHOERUL ANWAR  11/7/2018 44
109 RAZVAN
MUHAMMAD ABGQRI 
NAZRIL ILHAM 10/4/2018 45
110 PRATAMA  9/25/2018 45
111 ALTO VONISA  9/22/2018 45
112 M. AKBAR  10/9/2018 45
113 ASKA BIMA HATTA  9/1/2018 46
114 RAFA FAUZAN KAMIL  8/27/2018 46
115 ZIA INKA .A  8/17/2018 47
116 RASYID AL NUR RAHMAN  8/14/2018 47
117 AQILA DZIKIRIA  7/29/2018 47
118 ADIBA NURYAQUB  7/24/2018 47
119 M FEBRI  7/2/2018 48
120 ALFI ZAKIATUL  6/23/2018 48
121 AQMAR NADHIF.R  6/23/2018 48
122 MUHAMMAD LUTHFI HAKIM  7/13/2018 48
123 WULANDARI  5/29/2018 49
124 WINDI RAMADANI  6/4/2018 49
125 SIFA  5/17/2018 50
126 MUHAMMAD AKBAR  6/9/2018 49
127 MUHAMMAD FAJAR  5/5/2018 50
128 AHMAD VERREL ANDANA  4/20/2018 51
129 ASKA  4/15/2018 51
130 ADEVA SALSABILA  1/31/2018 53
131 SALASIAH  2/10/2018 53
132 ADAWIYAH MUHAIROH  12/28/2018 42
133 IQBAL MAUZA.T  4/16/2017 63
134 AHMAD INDRA SADIK  4/3/2017 63
135 AL AZIZ  3/24/2017 64
136 MARTINUS SUMARDI  4/9/2017 63
137 TANGGUH GITA R.P  3/5/2017 64
138 MAESEL KEVIN  12/13/2017 55
139 ARTA NABIL  12/12/2017 55
140 MAULIDAN  12/6/2017 55
141 AYATUL NAIMA UFAIRA  11/7/2017 56
142 SAHWA  11/5/2017 56
143 ARSIA KORJA  10/20/2017 57
144 ARISKA PUTRI  10/16/2017 57
145 NAILA  11/5/2017 56
146 NIKIA  9/20/2017 58
147 TIEN LATIFAH  10/7/2017 57
148 NOR RISMA AURA KASIH  9/6/2017 58
149 JOHANA KEISHA  8/25/2017 59
150 ASIFA RAHMAH  8/20/2017 59
151 MUHAMMAD RAFASYA  8/10/2017 59
152 NAISYA HASRA SOFIA  7/17/2017 60
153 ALFAZIB  7/8/2017 60
154 AGIA SAHWAL  7/10/2017 60
155 PUTRA  6/6/2017 61
156 MUHAMMAD SAID  5/19/2017 62
157 NUR KAILA  5/20/2017 62
TOTAL
TOTAL VIAL VAKSIN (Jumlah Vial = Jumlah Total Sasaran/IP Vaksin)
IP Vaksin: Rekapitulasi tabel
MR = 8 Sasaran imunisasi Campak Rubela = 3
OPV = 8 Sasaran imunisasi kejar OPV =2
IPV = 4 Sasaran imunisasi kejar IPV = 2
DPT-HB-Hib = 4 Sasaran imunisasi kejar DPT-HB-Hib = 3
Cakupan
CR = 3 = 100% Penta = 1 = 1/3 = 30%
OPV = 2 = 100%
Catatan: IPV = 1 = 1/2 50%
Anak yang sudah mendapatkan ORI Campak Rubela, tidak perlu mendapatkan imunisasi tambahan Campak Rubela s
Total kebutuhan vial yang dibutuhkan yang mengacu pada perhitungan baris total vial vaksin
Anak usia 18-24 bulan yang pada saat bersamaan mendapatkan imunisasi rutin (DPT-HB-Hib4 dan Campak rubella 2)
Kebutuhan Vaksin Khusus Campak Rubela = (Total Sasaran - Sudah Mendapatkan ORI Campak Rubela sejak Januar
 SASARAN IMUNISASI TAMBAHAN CAMPAK RUBELA ADALAH 9-59 BULAN DAN SASARAN IMUNISASI KEJAR ADALAH 12-59

Desa/Kelurahan : KEL.PCS, DANAU USUNG,BAHITOM,UPT.BAHITOM,SEMPANGO, MU

Posyandu : ABDI JAYA,KENANGA,KASIH IBU,MATAHARI,ANYELIR,TUNAS MEL

lom yang tidak berwarna!

Apakah anak merupakan

NIK Nama Orang Tua Alamat sasaran Imunisasi
Tambahan
SURYANING RETNO Campak Rubella (Ya=1,
HIDAYATUN / SUS Tidak = 0)
6212014604210001   HANDOKO  UPT BAHITOM  1
6213201304214617   ERNA  MUARA SUMPOI  1
6213202503211394   TIARA/ALPI  MUARA SUMPOI  1
6213204403212296   AHMAD SHODIQ  JL.CENDRAWASIH 
PURUK CAHU 1
6212012403210000   BERKAT/ ERNAWATI  SEBERANG  1
6213200403215276   PITRIA  MUARA SUMPOI  1
6213200403211198   KOMARIAH/PENDI  MUARA SUMPOI  1
6213201102211729   BAHITOM 
PURUK CAHU 1
6212011003210001   RISNA  SEBERANG  1
6212015905210000   PCS  1
6212014505211111   WIWIN  PCS  1
6213200105214157   D. USUNG  1
6213200205218401   EKO  DANAU USUNG  1
6212010105210000   NOPALDO  TRANS BAHITOM   1
4105211259   NURAIYATI 
SILATURAHMI/ UPT BAHITOM  1
6212016304210002   NORMALISA  BAHITOM  1
6212015604210000   SHOLIHIN  DANAU USUNG  1
6213205205218476   SILVA SARI 
SUBAHAN/ESI PCS  1
6212014505210000   SUSANTI  BAHITOM  1
6213206206215514   SYAMSIAH  JL.CENDRAWASIH  1
6213205602212591   MUARA SUMPOI  1
6212012401210000   ELVA DWI ANDANI  TRANS BAHITOM  1
6213205501215425   GANDI/LENI  BAHITOM  1
6213202912203583   NORPATAHUDIN  DANAU USUNG  1
6212011001210002   ABUNG/ETIK M  UPT.
PURUKBAHITOM 
CAHU 1
6213205101219788   NORMALA SARI  SEBERANG  1
6213204404204816   JULIANUS/TILA  JL.CENDRAWASIH  1
6212012603200000   MAI KANI / MELDA  BAHITOM  1
6213202303205071   WAHYU/BARKIAH  DANAU USUNG  1
6213205004204614   JL.BHAYANGKARI   1
6212010304200001   ARBANI/MASTUAH  BAHITOM  1
6213206902205896   SAMPANGO  1
6213200803209458   JUMANI  DANAU USUNG  1
6212011802200001   HERPINA  UPT BAHITOM  1
6213203011207911   PCS 
PURUK CAHU 1
6213207011206570   ENDANG  SEBERANG  1
6213206611201495   SUPARNI  UPT. BAHITOM  1
6212011611020001   EVI YULIA DEWI  TRANS BAHITOM  1
6212016110200002   EVI YULIA DEWI  TRANS BAHITOM  1
4310201467   A. YUNANI S  MUARA SUMPOI  1
6212016809200002   YULIAWATI  TRANS BAHITOM  1
6213201410209551   RIYANTI  TRANS BAHITOM  1
6213205109206093   DIDIK/NURLINAWATI  BAHITOM  1
6212014510200000   PERI RAHMAN / YUNI  BAHITOM  1
6213206708201228   TRANS BAHITOM  1
6212011708201111   TUWEIN / ITA  BAHITOM  1
6213201708209782   RAYHAN  DANAU USUNG  1
6213201608207355   ADE SAPUTRA  D.USUNG  1
6213202210203143   SUNDARI  M. SUMPOI  1
6213205208201702   BAHITOM  1
6213200409208616   BAHAGIA  BAHITOM   1
6213200409203757   BAHITOM  1
6213202407207597   RATNA  JL.CENDRAWASIH  1
2107206327   BAGUS/RINA  JL.CENDRAWASIH   1
6212016407180001   MARDYANA  DESA TRANS BAHITOM  1
6213202706204569   MUARA SUMPOI  1
5206203768   BAHITOM  1
6213204907205790   DADI  DANAU USUNG  1
621201500720001   ELWI MEHE  TRANS BAHITOM  1
6212015506200001   SOBIYATUN  TRANS BAHITOM  1
6213200705205902   JUMADI/IPAT  JL CENDRAWASIH  1
6213204205205974   BOBY  DANAU USUNG  1
6213202204203903   NURUL  JL.CENDRAWASIH  1
6212011804200001   TRIS BINARTI  TRANS BAHITOM  1
6213201405203525   VELA  JL.CENDRAWASIH  1
6212010805200002   PUTRI DESI H  TRANS BAHITOM  1
6213207101203843   jl.cendrawasih  1
6212015701200001   NOVIYANTI  UPT BAHITOM  1
6213207112192171   RAHMANTO  DANAU USUNG  1
6213202303192314   RAHMILAWATI  MUARA SUMPOI  1
6213201903197395   TRIYANTO  DANAU USUNG  1
6212011703190000   SEMPANGO 
PURUK CAHU 1
6213205204195891   UPIK  SEBERANG  1
5902192515   BAHITOM  1
 HASYIM ASYARI / HENI
6212010803191111   PUJI ASTUTI  BAHITOM  1
6213205212198739   RAMBO  D.USUNG  1
6212014112190000   TASRIP / SILAWATI BAHITOM  1
6213202711194344   MULIADI  DANAU USUNG  1
6213200912193729   BAHITOM  1
6212013010190000   HATINI  M. SUMPOI  1
6212011511190000   DIHASBI/LILIS  M. SUMPOI  1
6212010311190000   NASKO / HERIANA  BAHITOM  1
6213200510194713   RAHIMAH 
HADI MUARA SUMPOI  1
6213204110198095   SANTOSO/RUKAYAH  BAHITOM  1
6213206109196419   JL.BHAYANGKARI  1
6212015809190002   RUDI KESWORO  DANAU USUNG  1
6212015110190001   LENI  MUARA SUMPOI  1
6212015709190002   MAYSAROH  UPT BAHITOM  1
6213200909198550   BAHITOM  1
6216015409190000   ZAMAN/LINDA  M. SUMPOI  1
6212016907190000   IRUS  JL.BHAYANGKARA  1
6213204808198003   BAHITOM  1
6213200407193968   MITRA VERONIKA  JL.CENDRAWASIH  1
6213205107193095   JAMAL  D.USUNG   1
6212016605190001   HIKMAH 
JALI RAHMAN/NY. MUARA SUMPOI  1
6216012605190000   DEWI  MUARA SUMPOI  1
6216016405190000   RAHMADI/RABIATUL  M. SUMPOI  1
6212011505190000   YUDI  DANAU USUNG  1
6213204602197672   INDRA YANI  JL. CENDRAWASIH  1
6212010302190002   ENDANG  UPT BAHITOM  1
6213200802192665   JL.CENDRAWASIH  1
6213204401197276   JL.CENDRAWASIH  1
6212011912180001   MUJIATIK  UPT BAHITOM  1
6212014701190001   ERNI MAYANI  UPT BAHITOM  1
6213207103184546   VIRA  JL.CENDRAWASIH  1
6212016303180000   BAHITOM  1
6213201203182468   RAHMADI  JL CENDRAWASIH  1
6212010711180001   SITI MUHAYATI  UPT
PURUKBAHITOM 
CAHU 1
6213200410183782   SEBERANG  1
6213202509196441   WAHYUDIN  DANAU USUNG  1
6213206209183384   RISMA  JL. CENDRAWASIH  1
6213200910182226   DIANA  PCS   1
6212010109180001   ARUM MAYANG SARI  TRANS BAHITOM  1
6212012708180001   META OKTAVIANA  UPT BAHITOM  1
6212015708180002   KARNILA  TRANS BAHITOM  1
6212011408180001   ABDI/NURUL  JL.BHAYANGKARA 
PURUK CAHU 1
6212016907180000   LINDA ASTUTI  SEBERANG  1
 6213202407187553   ARLIN  UPT BAHITOM  1
6213200207189276   BAHITOM  1
6212016306180001   SITI ROKHIMAH  TRANS BAHITOM  1
6212020123618001   RATNA.N  TRANS BAHITOM  1
6212011307180002   NURUL  P.CAHU SEBERANG   1
6905188171   PIRIDA  SAMPANGO  1
6212014406180000   MARDIAH  M. SUMPOI  1
6213205705186955   BAHITOM 
PURUK CAHU 1
6212010906180000   DIANA  SEBERANG 
PURUK CAHU 1
6212011505180002   FIRMANSYAH  SEBERANG  1
6213202004183918   SAPRUDIN  D.USUNG  1
6213201504188049   WISLAWATI  BAHITOM 
PURUK CAHU 1
6213207110181697   HENDRI/SISKA  SEBERANG  1
6213201002184301   SEMPANGO  1
6212016812170002   DEDI/RINI  DANAU USUNG  1
6212011604170002   SOLIATUN  TRANS BAHITOM  1
6213200304179002   SONI/HETI 
RAHMAD/ JL.CENDRAWASIH  1
6212012404170000   DARMATASIAH  BAHITOM  1
6212010904170002   MARIA MAGDALENA  UPT BAHITOM  1
6212014503170001   SRI AMINI  TRANS BAHITOM  1
6212011312170002   SARIYANTI  TRANS
PURUK BAHITOM 
CAHU 1
6213201212172285   SEBERANG  1
6213200612176549   MUARA SUMPOI  1
6213204711177890   SOFIA RANTI  JL.CENDRAWASIH  1
6213204511176672   YUNI  JL. CENDRAWASIH  1
6213206010174368   KORSEN  DANAU USUNG  1
6212015610170001   MIRA SANTIKA  JL.BHAYANGKARA  1
6212014511170000   NETA  SEMPANGO  1
6212016009170000   SAMSU  DANAU USUNG  1
6212014710170002   KANTINI  TRANS
PURUK BAHITOM 
CAHU 1
6213204609179666   BARKAT/ERNA  SEBERANG  1
6213206708170000   JHON  DANAU USUNG  1
6212016008170002   ANI RAHMAH  MUARA SUMPOI  1
6213201809178348   ROBY/HARIATI  CENDRAWASIH 
PURUK CAHU 1
6213205707177499   MALIKUL/RATNA  SEBERANG  1
6212010708170000   SEMPANGO 
PURUK CAHU 1
6213201007171426   BENI IRAWAN/SERI  SEBERANG  1
6213200606175585   MARBAWI  DANAU USUNG  1
6213202605170000   MULIADI  DANAU USUNG  1
6213206005176244   RISKA  SEMPANGO  1
TOTAL 157
mlah Vial = Jumlah Total Sasaran/IP Vaksin) 20
 Pemberian jenis vaksin suntikan berbeda dapat dilakukan bersamaan atau sesuai ketentuan yaitu
LV - LV = jarak minimal 4 mgg
LV - non LV = tidak ada jarak minimal

1 = 1/3 = 30%

patkan imunisasi tambahan Campak Rubela sejak Januari 2022

baris total vial vaksin
asi rutin (DPT-HB-Hib4 dan Campak rubella 2) maka tetap masuk dalam Sasaran Imunisasi Kejar
endapatkan ORI Campak Rubela sejak Januari 2022)/IP vaksin
IMUNISASI KEJAR ADALAH 12-59 BULAN

M,UPT.BAHITOM,SEMPANGO, MUARA SUMPOI

MATAHARI,ANYELIR,TUNAS MELATI,MEGA DAHLIA

Jumlah dosis yang dibutuhkan untuk

Apakah anak Apakah anak sasaran Imunisasi Kejar melengkapi status imunisasi
mendapatkan ORI (Ya = 1, Tidak = 0)
Campak Rubela sejak
Januari 2022
(Ya =1, Tidak=0) OPV IPV DPT-HB-Hib OPV IPV DPT-HB-Hib

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
20 0 0 0
1120 1277
 FORMAT PENDATAAN SASARAN IMUNISASI CAMPAK RUBELL

Provinsi : Kalimantan Tengah

Kabupaten : Murung Raya
Puskemas : Puruk Cahu Seberang

Isilah kolom yang tidak berwarna!

No. Nama Anak Nama Orang Tua Alamat /SD

1 Aerlita Arsyifa Salsabila Rika SDN PCS-1

2 AHMAD DHIKA PRAYOGA TESTIY AWATI SDN PCS-1
3 AHMAD NOR AFIP SITI NURJANAH SDN PCS-1
4 AHMAD RAFA ANANDA NOPI TRI RAHMAH SDN PCS-1
5 AHMAD SYAUQI ALFHAREZK ADE SUSAN OKTAVERA SDN PCS-1
6 AL PATDLAN GHAZALI PATHOL JANAH SDN PCS-1
7 ALIF AL AZAM DERITA WATI SDN PCS-1
8 ANDIRA HUMAIRA RAPIKAH DEWI SDN PCS-1
9 ANGGIKA BILKIS ERNI LAWATI SDN PCS-1
10 ARYA DIVA SAPUTRA RATNAWATI SDN PCS-1
11 ASHILA SALMA MASLIANTI SDN PCS-1
12 CIKHA APRILIA NORHALINAH SDN PCS-1
13 DEDE AKHMAD PAHRUL WIWI RUSIDAH SDN PCS-1
14 FARISH ADITYA EFFENDI WIWID WIDAYANTI SDN PCS-1
15 FATHAN GHALIBIE NUGRAHA NURUL QOMARIYAH SDN PCS-1
16 FAUZAN HANIF LINDA ASTUTI SDN PCS-1
17 HUMAIRAH TAQWA RAMADHANI FLORIDAYANI SDN PCS-1
18 MAURA ANJELINA PUTRI JUMADIAH SDN PCS-1
19 MUFIDA SALSABILA SERI YATI SDN PCS-1
20 MUHAMMAD FAIZ AFQORY IRA DAMAYANTI SDN PCS-1
21 MUHAMMAD HAKIKI HADIYATI SDN PCS-1
22 Nathanael fernando Lambung Rista Aprianti SDN PCS-1
23 NAZILAH SHAFA SISFANI YULIKA SDN PCS-1
24 NOR ASYIFA MISNAWATI SDN PCS-1
25 NOR HIDAYAH KARINA SDN PCS-1
26 SA'ADAH RITA SDN PCS-1
27 SUFIA YULANDARI FILA WATI SDN PCS-1
28 ALVIN NOR SIYAH SDN PCS-1
29 ANDHIKA PUTRA MARLEN SDN PCS-1
30 AZNII KASMIRA RAMANIIYA MISKA SDN PCS-1
31 DHABIT AQILLA PRANAJA IRMA YAKIN SDN PCS-1
32 ELVIYA RATUN ISNAWATI SDN PCS-1
33 FIRDA LIDIA RAHMA LAILIMAH SDN PCS-1
34 HASYIM ALE ERSA WINARTI SDN PCS-1
35 HILYATUL AULIYA RISKI AMANDA SDN PCS-1
36 KHAIRUL AKBAR ALMANIAH ULPAH SDN PCS-1
37 KHOYRIL AMAN NOVITA ASARI SDN PCS-1
38 MUHAMMAD APDHAL JABAR PITRIYANI SDN PCS-1
39 MUHAMMAD AZHID AL RAJAFI ISLAMIAH SDN PCS-1
40 MUHAMMAD RIZQAN NUR RAIHAN SRI HERLINA SDN PCS-1
41 NAILA RIZKIA PUTRI SINDRA SDN PCS-1
42 NAJILA ADIBA PUTRI NOOR MALAWATI SDN PCS-1
43 NAURA QANITA PRAPITA YOLANDA SDN PCS-1
44 NAZWA OLYVIA SATIVA ROLLY JUMIATI SDN PCS-1
45 NOOR HIDAYAT NOORHAYA SDN PCS-1
46 RA'UF HARRY WIRYAWAN ANSORINAWATI SDN PCS-1
47 RAFA RIANTI PUTRI RINA SDN PCS-1
48 SHEIRA HUMAIRA MITRA VERONIKA SDN PCS-1
49 SILFANI EKA FITRI SRI ANGELA LIANI SDN PCS-1
50 SYIFA AQILA HIDAYAH SRI NORHIDAYATI SDN PCS-1
51 SYIFA SAUQIYA NANIE AFRIDA SDN PCS-1
52 TASYA KAMILA AZZAHRA SRI RAUDAH SDN PCS-1
53 VANIA RAMADANI MAWARTI SDN PCS-1
54 ZAINAL HAKIM HAIRIAH SDN PCS-1
55 AHMAD ARDI SAPUTRA SERI WATI SDN PCS-1
56 ANGELICA DESYIMA ASYIFAURRAHMAH MARLINA WATI SDN PCS-1
57 ASY SYIFA AZ ZAHRA DERITA WATI SDN PCS-1
58 DEWI SINTA MASLANKARA SDN PCS-1
59 FAISAL RAHMAN LENI MARLINA SDN PCS-1
60 HAFIZ AL-MUHAZIR HENY ATRIANI SDN PCS-1
61 HUSNA AL-FARIDAH ARBAINAH SDN PCS-1
62 INAYA AZMI ATHIFA NOORDIYATI SDN PCS-1
63 MARSYA AYUMI SITI UMRAH SDN PCS-1
64 MUHAMMAD ALWI ANSHORI ASRIANI SDN PCS-1
65 MUHAMMAD FAIQ MAFAZAN ENDANG MAWARNI SDN PCS-1
66 MUHAMMAD NAZRIL NORHAYATI SDN PCS-1
67 Muhammad Rafif Al Azmy Arini Rafikasari SDN PCS-1
68 NAJMI JARIS MUZAKKI IRMA YAKIN SDN PCS-1
69 NAZARRUL KAMIL NOORHALILA SARI SDN PCS-1
70 NUR ASYIFALIA PUTRI EMALIA SDN PCS-1
71 RIZKY ADITYA SRI HERLINDA SDN PCS-1
72 SIFA AULYA DEWI MAFIZA SDN PCS-1
73 SULTAN ABDURRAHMAN VIA MONIKA SDN PCS-1
74 SYASKIA REFALINA LATIPAH SDN PCS-1
75 ZAHIRA SUHENDRA INDAH LESTARI SDN PCS-1
76 ZAHRA RISNAWATI SDN PCS-1
77 AHMAD SAUKY ISMAN NOR JANAH SDN PCS-1
78 AISYA SA'RA MASLIANTI SDN PCS-1
79 AKHMAD HILMY RAIHAN MUJIATI SDN PCS-1
80 AMIRATUL ANIQAH NORPILA WATI SDN PCS-1
81 AMMAR MUZHAFFAR SERI YATI SDN PCS-1
82 ARIZKY ANWAR BISMIWATI SDN PCS-1
83 ATSIL AZIZAH DETI KRISNAWATI SDN PCS-1
84 DONITA FINKAN SALASIAH SDN PCS-1
85 GOVIN ERLANGGA SAPUTRA OLVIANA SDN PCS-1
86 IKHSANOR HUDA NORLIYANA SDN PCS-1
87 MARIYATUL SADIYAH NORDIATI SDN PCS-1
88 MUHAMAD FAJRI NOORHAYA SDN PCS-1
89 MUHAMAD RENJANI JUM'ATI SDN PCS-1
90 MUHAMMAD RAFQY RAMADHAN PANIGFAT PERAWATY SDN PCS-1
91 MUHAMMAD RIDHO RAHMAN SRI HERLINA SDN PCS-1
92 MUHAMMAD SYARIF AGIL NURRAHMAN RITA AYANI SDN PCS-1
93 MUHAMMAD YUSUF BAIHAQI AKBAR WELY NURZAYATI SDN PCS-1
94 NADILA SAZKIA PUTRI FITRIANI SDN PCS-1
95 NOR AZKIA AZZAHRA KHUSNUL KHATIMAH SDN PCS-1
96 NURMALA PUTRI JUMAIDAH SDN PCS-1
97 PARMA YUDA Liyah SDN PCS-1
98 RISKA AMELIA SITI BAHRAH SDN PCS-1
99 RIYANA MAULIDA NOOR ANDINI NURHAYATI SDN PCS-1
100 SYAHRUL ASYADIL MUBARAK SISKA PERAWATI SDN PCS-1
101 TRIAS QOLBI MUSTAQIM SETIAWATI SDN PCS-1
102 WINDA SAPUTRI ASRIAH SDN PCS-1
103 ADELIA FUTRI ASLIANI SDN PCS-1
104 ADLI PADILLAH YUSUF LAILIMAH SDN PCS-1
105 AHMAD GAAJALI NORDIATI SDN PCS-1
106 AL-FARIZAL RAHMAN SRI RAHMAWATI SDN PCS-1
107 ALYA SYAFIRA LIDIA SDN PCS-1
108 CELSI OLIVIA FUTRI NURMI YANI SDN PCS-1
109 DHEA SILVIA ALENA SAPUTRI YUSMIRA SDN PCS-1
110 ELLA REVIANA IDA ROYANI SDN PCS-1
111 HUSNA HISANAH ASLIATI SDN PCS-1
112 IKHWANNUL MUSLIMIN DEWI LESTARI SDN PCS-1
113 ISMAIL ANDHIKA JANNAH SDN PCS-1
114 ISNAN ALFARISHI ARBAINAH SDN PCS-1
115 KEYSHA KHAIRA AZZAHRA ERLA LATIFAH SDN PCS-1
116 KHAIRIL AKBAR SUPIATI SDN PCS-1
117 KHAIRUL AZZAM NORJANAH SDN PCS-1
118 KHOIRUL NIZAM IDA NORMIYANI SDN PCS-1
119 MAULIDATUL QAIDAH MUSTIKA SDN PCS-1
120 MONALISA RAHMAH SDN PCS-1
121 MUHAMAD ANWAR ELFIKRI PUJI HAYATI SDN PCS-1
122 MUHAMMAD ALFIANOOR ERLIANI SDN PCS-1
123 MUHAMMAD IQBAL SITI KOMARIAH SDN PCS-1
124 MUHAMMAD PANJI SYAIFULLAH SITI MASPOLEN SDN PCS-1
125 NADILA ANANDA PUTRI MARIANI SDN PCS-1
126 NAHLA AINI AZIZA SANTI OCTAVIA SDN PCS-1
127 NOURIN NAJWA ASHARI NOVI ARIANTI SDN PCS-1
128 NUR ZAHIRA ASYIFA NOOR ASIAH JAMIL SDN PCS-1
129 RAFFA FRATAMA SAPUTRA MELDA WULANDARI SDN PCS-1
130 RIDHONI ERSA WINARTI SDN PCS-1
131 SAZKIA NORSABILA ANNISA SDN PCS-1
132 SITI NADIA MUZALIPAH SDN PCS-1
133 SYAHREZHA EVI ANDRIANI SDN PCS-1
134 SYAKINA ANISA BALQIS ALITA YUANA SDN PCS-1
135 ZUBARKAN AL-MAHDI SURIYATI SDN PCS-1
136 AHMAD ANSORI RAHMAN YENI FITRIANI SDN PCS-1
137 AHMAD NAFIS IDA SATRIANI SDN PCS-1
138 AHMAD RIZKY SERI WATI SDN PCS-1
139 ANNISA AZAHRATUL ANNASRO ANTI SDN PCS-1
140 ARDHY AZHAR SRILIATI SDN PCS-1
141 AYATUL HUSNA MISRAWATI SDN PCS-1
142 CHIKA NAJLAA AGTICIA PUTRI TESTIYAWATI SDN PCS-1
143 DINISA NURUL IZZATI RAFIKAH DEWI SDN PCS-1
144 ISYA MAESAROH IRMA RIYANTI SDN PCS-1
145 MUHAMAD YUSUF GHOFARY EVI RISNAWATI SDN PCS-1
146 MUHAMMAD BAIM FADILAH SANTY SDN PCS-1
147 Muhammad Kayyis Ibadurrahman Indah Lestari SDN PCS-1
148 NAUPAL HILMI ARIANI SDN PCS-1
149 NOOR MELATI RUSMIANI SDN PCS-1
150 RENDY WATI SDN PCS-1
151 SAFIA NOVA SARI HAIRIAH SDN PCS-1
152 WIDIYA FITRIYANI WIWI RUSIDAH SDN PCS-1
153 YULIA RAHMA PIANTI HELDARIANI SDN PCS-1
154 Ropiyanti Ismaniah SDN PCS-2
155 Aura Napia Demi Yati SDN PCS-2
156 Azra Pathorani Aluh SDN PCS-2
157 Assyabiya Naura Rafifa Rusidawati SDN PCS-2
158 Allando Zahdan Saputra Hema Tuniah SDN PCS-2
159 Amalia Azzahra Arbayah SDN PCS-2
160 Azriel Haikal Normah Yanti SDN PCS-2
161 Azra Oqeela Jujia Risdawati SDN PCS-2
162 Difa Khairul Azam Fatmawati SDN PCS-2
163 Leonaora Selomita Noni Ayu Pratika SDN PCS-2
164 Muhammad Riky Nurul Jannah SDN PCS-2
165 Muhammad Akmal Afandi Norhidayah SDN PCS-2
166 Rafasya Azka Sidqi Pahmi SDN PCS-2
167 Raditya Sumanti SDN PCS-2
168 Sabila Ely SDN PCS-2
169 David Khairul Yahya Mitahul Zanah SDN PCS-2
170 Detra Rafael Irmawati SDN PCS-2
171 Muhamad Pahrizal Misah SDN PCS-2
172 Aiman Akmal Sumiati SDN PCS-2
173 Ahmad Yoka Renaldy Rusmanila SDN PCS-2
174 Alifa Olifia Hibatillah Rina Mariana SDN PCS-2
175 Alya Safitri Triantoro Elly Triana SDN PCS-2
176 Najla Putri Dahliani SDN PCS-2
177 Selvia Nabilla Siti Maspah SDN PCS-2
178 Siti Askia Maulida Ariyanti Nurul.H SDN PCS-2
179 Tsuwaibah Zaahira Rula Anugerah SDN PCS-2
180 Muhammad Difa Dahlia SDN PCS-2
181 Akbar Saputra Srimegawati SDN PCS-2
182 Alfarid Ramadhan Sri Cahaya Wati SDN PCS-2
183 Arifin Jidan Sabililah Fransiska SDN PCS-2
184 Aufar Ansharil Norhalifah SDN PCS-2
185 Delpin Pratama Devi .P.Sari SDN PCS-2
186 Farel Aditya Ar-Rizky Maunah SDN PCS-2
187 Ika Puspitasari Sanainah SDN PCS-2
188 Jihan Barokah Kristina Ariyanti SDN PCS-2
189 Muhammad Aidil Ilham Norhayati SDN PCS-2
190 Nur Elga Eri Murniasih SDN PCS-2
191 Nurul Aini Siti Rukiyah SDN PCS-2
192 Sahrul Ramadani Reni SDN PCS-2
193 Muhamad Zailani Syafrudin Mislawati SDN PCS-2
194 Ghosan Ahnaf Ghailan Widi Astuty,S.Pd SDN PCS-2
195 Andika Kalmiah SDN PCS-2
196 Pitriani Kalmiah SDN PCS-2
197 Asmarudin Islamiah SDN PCS-2
198 Ahmad Daffa Ramadhan Fitriani SDN PCS-2
199 Diki Akbar Sumiati SDN PCS-2
200 Ezza Aditya Dina Mariana SDN PCS-2
201 Ikbal Herni SDN PCS-2
202 Ikbal Saputra Talina SDN PCS-2
203 Jumiatul Akbar Suka Wati SDN PCS-2
204 Muhammad Ghaffur IndraYani SDN PCS-2
205 Muhamad Sirojul Huda Herlina SDN PCS-2
206 Miftahul Rizky Arbayah SDN PCS-2
207 Nurja Putra Pratama Susi SDN PCS-2
208 Fahrul Roji Isra SDN PCS-2
209 Yusup Lisda Yanti SDN PCS-2
210 Nabila Az Zahra Wilda Hukum SDN PCS-2
211 Derbi Sanainah SDN PCS-2
212 Nor,Aini Risma Wati SDN PCS-2
213 Fahma Umrina Santri Salmiah SDN PCS-2
214 Salsa Olivia Helmiah SDN PCS-2
215 Sinta Misah SDN PCS-2
216 Marwah Oktavia Ahmat Mami Susanti SDN PCS-2
217 Ahmad Hairul Azam Maya Normila SDN PCS-2
218 Farel Fahriza Siska Nurjanah SDN PCS-2
219 Riana Damayanti Masrupah SDN PCS-2
220 Jumiatul Isma Reni SDN PCS-2
221 Ripka Susanti Erliyanti SDN PCS-2
222 Maulana Akbar Norhidayah SDN PCS-2
223 Siti Noor Hafizah Ratnawati SDN PCS-2
224 Indah Ayu Putri Ira SDN PCS-2
225 Marisa Susanti Lia Wulan Dari SDN PCS-2
226 Anisa Azra Azizi Pahmi SDN PCS-2
227 Siti Fatimah Az-Zahra Maria Ulpah (alm) SDN PCS-2
228 Sindy Eka Putri Mawarni Indah SDN PCS-2
229 Rapli Martini SDN PCS-2
230 Rizkiyatul Saputra Nurlela SDN PCS-2
231 Hairul Ajam Mariani SDN PCS-2
232 M.Hoiril Vadil Sri Wahyuni SDN PCS-2
233 M.Fadhil Abdur Rahman Delisa Putri SDN PCS-2
234 ABDURRAHMAN HAARISANTO WIWIK INDRIANI SDN PCS-3
235 ACHMAD REZA ROSDIANA SDN PCS-3
236 ACHMADI NEJAD SUDARMAN CRISTINA RETNO SDN PCS-3
ADELIA SAPUTRI WAHYUNI
HELMA
237 SDN PCS-3
238 Adeliya Muliyah SDN PCS-3
239 AGNIA FEBRIANISA RURI PINGIT WAHYU SDN PCS-3
Ahmad Akbar Soleh PURWANING
Lilis Sunarti TIAS
240 SDN PCS-3
241 AHMAD BIO RISA SDN PCS-3
242 AHMAD LUTFI FRANATA SALIAH SDN PCS-3
243 Ahmad Sulpi Irukiah SDN PCS-3
244 AHMAD YAHYA SITI RAHMAH SDN PCS-3
245 AHMAD ZAKI NOR AISAH SDN PCS-3
246 AHMAT AL MUDASIR ERNAWATI SDN PCS-3
247 Ahmat Rehan Arsih SDN PCS-3
248 AINUN ALZAHRA TRISNAWATI SDN PCS-3
249 Aji Sanjaya Marbiyah SDN PCS-3
250 AKDAMUL AFAN YUSUF ERWINATUN SDN PCS-3
Akhmad Qomarul KHASANAH
Arbainah
251 SDN PCS-3
252 ALIEF FITRYA HELDAYANTI SDN PCS-3
253 ALIFA QIRANIA IMANI ANI SDN PCS-3
254 ALISHA HAIRANA WILDA LENA YUNIARTI SDN PCS-3
255 ANDERI INURHIDAYAH SDN PCS-3
256 Anisa Simbu Riyani SDN PCS-3
257 ANWARI AL FATH SAMSIAH SDN PCS-3
258 ATIKA AYU SAPUTRI MARBIYAH SDN PCS-3
259 AYU LESTARI MISRAH SDN PCS-3
260 Azumiyatul Fitri Lina SDN PCS-3
261 Bintang Safitri SDN PCS-3
262 BUNGA CITRA LESTARI RAHMANI SDN PCS-3
263 DELPIN ALVARO KIDING ALLO HERANITA SDN PCS-3
264 Dijral Dayah SDN PCS-3
265 DIKY SAPUTRA HELMA SDN PCS-3
266 DZAHWAN FITRIA HELDAYANTI SDN PCS-3
267 EKA ERLINA ANDRI SATRIA LIANA SDN PCS-3
268 FAJAR AL BUKHARI RICA RAHIM SDN PCS-3
269 Galang Jumiati SDN PCS-3
270 Gryf filiko sandya edsel solekah SDN PCS-3
271 HAYATUN NUFUS IDA SDN PCS-3
272 INDAH FAJARIAH SARINEM SDN PCS-3
273 Juhaina Eka Vebianti Endang Kusmiati SDN PCS-3
274 Kaila Rahmah SDN PCS-3
275 KAMELIA SALASIAH SDN PCS-3
276 LELY OKTAVIA DAHLIA SDN PCS-3
277 Lesta Ranty SDN PCS-3
278 MAHENDRA PRATAMA HATMAH SDN PCS-3
279 MELKIAN SAPUTRA MISDA SDN PCS-3
280 MISNA MAHMUDAH SDN PCS-3
281 MUHAMMAD ABIDZAR SITI NUR SUSANTI SDN PCS-3
282 Muhammad Dhanu Al Fajar Wiwit Sugih Arti SDN PCS-3
283 Muhammad Farhan Alhabsyi Asyi Norhalida SDN PCS-3
284 Muhammad Haris Al-Fatih Wiwin Supartini SDN PCS-3
285 Muhammad Rafa Santi SDN PCS-3
286 MUHAMMAD RAJIB PUADI ENDANG SUSILAWATI SDN PCS-3
287 MUHAMMAD RIZKI LISDA YATI SDN PCS-3
288 Muhammad Syahrozi Windy Prastika SDN PCS-3
289 NASAR SAPUTRA KULIAH SDN PCS-3
290 NOR ALIA PUTRI LILIS SURYANI SDN PCS-3
291 NOR AZIZAH PINA SDN PCS-3
292 Norbachdim Norlela SDN PCS-3
293 NORHADIJAH NORHALIDA SDN PCS-3
294 NORZILA NORHALIAH SDN PCS-3
295 NOVA SAFITRI RENA SDN PCS-3
296 NOVIA MAWARDAH SITI HASANAH SDN PCS-3
297 Pebri Zuliansah Hatmah SDN PCS-3
298 PUTRI ADILA RENY MARIATI SDN PCS-3
299 RAMA SAPUTRA RAHMAWATI SDN PCS-3
300 RESTU ANGGARA SAPUTRA DEWI NOVITA SARI SDN PCS-3
301 REVAN SAPUTRA SITI SHALEHAH SDN PCS-3
302 RIADI JUBAIDAH SDN PCS-3
303 RIFA'I RAHIMAH SDN PCS-3
304 RINA ANJELITA MISDA WATI SDN PCS-3
305 ROHID DAHLIANA SDN PCS-3
306 SALMA ZAKIA MURNIYANTI SDN PCS-3
307 Satrio Santiyah SDN PCS-3
308 SILVA NURMA DANA NURHALIMAH SDN PCS-3
309 SITI AMELIYA ARSIH SDN PCS-3
310 Siti Hajar DIAH SDN PCS-3
311 Siti Khadijah Anissa Putri Noor Janah SDN PCS-3
312 SITI NAZWA TIMAH SDN PCS-3
313 SONIA SITI KAMARIAH SDN PCS-3
314 Sultan Adam Arruyyan Rima Melati SDN PCS-3
315 SUNIYA YASENA MARHAYATI SDN PCS-3
316 SYIFA NABILAH MUJIONO CHUSNUL CHOTIMAH SDN PCS-3
317 TIARA DAMAYA TUTI SDN PCS-3
318 ULFA FEBRI ANDINI HENI LANITA SDN PCS-3
319 Wafi Rahman Anjarni Wahidah Purnama Sari SDN PCS-3
320 WAHYUDI NOORASIAH SDN PCS-3
321 Yuka Fersila Kablina SDN PCS-3
322 YULIA MISBAH SDN PCS-3
323 YULIA ARIATI SDN PCS-3
324 YUNITA FUTRI ARTIKA SDN PCS-3
325 Yusuf Faridah SDN PCS-3
326 Zahratun Nisa Timah SDN PCS-3
327 ZAKIA SALSABILA RAHMAWATI SDN PCS-3
328 Zfira Ramadania Liana SDN PCS-3
329 ACHMAD REZA ALFAUZI SALAMAH SDN DANAU USUNG -1
330 ADITYA FIKRI ABDILLAH IKA RISNA SARI SDN DANAU USUNG -1
331 AHMAD FAUZAN FAUZIS TUTY SDN DANAU USUNG -1
332 AHMAD RAGIL LISNA SDN DANAU USUNG -1
333 AKHMAD SHAHEER MAULANA WAHIDAH SDN DANAU USUNG -1
334 ALDIANSYAH MISNAWATI HERNITA SARI SDN DANAU USUNG -1
335 CELSHI OLIVIA SUSINA SUSANTI SDN DANAU USUNG -1
336 FADILAH AL ZIKRI HELDAWATI SDN DANAU USUNG -1
337 FAHMI RAZIKIN ASMARITA SDN DANAU USUNG -1
338 FAREL AHMAD AUPAR RIZKI RAUDAH NAILUL ALVIAN SDN DANAU USUNG -1
339 FITRIYA MAHARANI ATUN SDN DANAU USUNG -1
340 FRISKI FIADI PERKASA SUSANTO YULIANA SDN DANAU USUNG -1
341 ICA SITI RAHMAH SDN DANAU USUNG -1
342 INJI NEMI SDN DANAU USUNG -1
343 JOHAN BUDI YENI LISNA WATI SDN DANAU USUNG -1
344 JULIEA RAHMAWATI PURYATI SDN DANAU USUNG -1
345 MEYRA AZAHRA PUTRI MISBAR SDN DANAU USUNG -1
346 MIFTAH FARID SITI AISYAH SDN DANAU USUNG -1
347 MOHAMAD MAULANA FERDIAN DARMIASIH SDN DANAU USUNG -1
348 MUHAMAD ALFIANUR HUSEIN WIJI SDN DANAU USUNG -1
349 MUHAMAD ALJABIR PAHRUDIN MISLAWATI SDN DANAU USUNG -1
350 MUHAMMAD AFRI ALPARI NORDIATI SDN DANAU USUNG -1
351 MUHAMMAD AZRIL MAULANA SITI ADRIANI SDN DANAU USUNG -1
352 MUHAMMAD RIDWAN ELSATIARNA SDN DANAU USUNG -1
353 MUNA JUBAIDAH SDN DANAU USUNG -1
354 MUTIARA SUPIYANTI SDN DANAU USUNG -1
355 NEILA AUTHARINA NORLAILI SDN DANAU USUNG -1
356 NONI LIPSIN SDN DANAU USUNG -1
357 NOOR PAUZIAH RIATI SDN DANAU USUNG -1
358 NOVIANTI MURFIDA AULIA TASMIYATI SDN DANAU USUNG -1
359 RAFAEL WINDA WULANDARI SDN DANAU USUNG -1
360 RAJWA AQILAH MISNAWATI SDN DANAU USUNG -1
361 RANGGA ARBAINAH SDN DANAU USUNG -1
362 REYSHA AMORAA WINDA WULANDARI SDN DANAU USUNG -1
363 SHAFA AL FAREL SURIANSYAH ELLA AFRIKA SDN DANAU USUNG -1
364 SITI AFRILIYA DESI RATNASARI SDN DANAU USUNG -1
365 SITI FATIMAH ZAHRA KAMSIAH SDN DANAU USUNG -1
366 Ahmad Sayuti Annisa SDN DANAU USUNG -1
367 Anda Lalista Rahmadani Lisnawati SDN DANAU USUNG -1
368 Andika Titi SDN DANAU USUNG -1
369 Aulia Rusnia SDN DANAU USUNG -1
370 Bilby Aqila Firdynia Cici Liani SDN DANAU USUNG -1
371 Ilvi Irma SDN DANAU USUNG -1
372 Indi Saputra Suriati SDN DANAU USUNG -1
373 Jordi Estiawan Seni SDN DANAU USUNG -1
374 Junita Triyena Saputri Sanawati SDN DANAU USUNG -1
375 Muhammad Al Fajri Sumiati SDN DANAU USUNG -1
376 Mohamad Demion Darmiasih SDN DANAU USUNG -1
377 Muhammad Depis Nani Sulastri SDN DANAU USUNG -1
378 Muhammad Fuzianor Mirani SDN DANAU USUNG -1
379 Mutiara Titin SDN DANAU USUNG -1
380 Nazila Mutiara Wulan SDN DANAU USUNG -1
381 Nisfa Norhidayah Siti Khalifah SDN DANAU USUNG -1
382 Nurjanah Putri Anggun Wahyuni SDN DANAU USUNG -1
383 Nur Khaliza Norpianda SDN DANAU USUNG -1
384 Nova Soneta SDN DANAU USUNG -1
385 Putri Sopia Anggraini jati SDN DANAU USUNG -1
386 Radit Raudah SDN DANAU USUNG -1
387 Rama Ahmad Renawati SDN DANAU USUNG -1
388 Repa Limah SDN DANAU USUNG -1
389 Risky Lisa SDN DANAU USUNG -1
390 Salsabila Melani Putri Masdiana SDN DANAU USUNG -1
391 Sinta Ardila Misdawati SDN DANAU USUNG -1
392 Taufik Rahmanudin Nani Sulastri SDN DANAU USUNG -1
393 ADITYA ELVIANA WATI SDN DANAU USUNG -1
394 AHKMAD PADILAH SURIYATI SDN DANAU USUNG -1
395 AHMAD NABIL SUSANTI SDN DANAU USUNG -1
396 AHMAD RAFAEL MISLIANA SDN DANAU USUNG -1
397 AULIA EMA LESTARI SDN DANAU USUNG -1
398 AULIA KASIH MINDALA SDN DANAU USUNG -1
399 FIKRI ALPIANDA PUTRA SALAMAH SDN DANAU USUNG -1
400 GITA PERMATA SARI KARTINI SDN DANAU USUNG -1
401 JOSIA NATHANDLY JOSSUF FRISKILA WATY SDN DANAU USUNG -1
402 JUL JUNAN KOLBI ANTI SDN DANAU USUNG -1
403 MAULIDA PUZHA LESTARI PAJAR SDN DANAU USUNG -1
404 Muhamad Al-Fauzhan HELDAWATI SDN DANAU USUNG -1
405 MUHAMAD ILHAM IWI YULIA SDN DANAU USUNG -1
406 MUHAMMAD FAHRI RAMADHAN IWI SUSANTI SDN DANAU USUNG -1
407 MUHAMMAD KHOIRUL AZAM UMI FARIDHA SDN DANAU USUNG -1
408 NADYA REZKY HASANAH INDAH SDN DANAU USUNG -1
409 NUR RAHMADHANI SERIATI SDN DANAU USUNG -1
410 NURIL SHIFA HAYATI SALOME SDN DANAU USUNG -1
411 RAKA AHMAD RENA WATI SDN DANAU USUNG -1
412 SANDIAGA SANTRI SDN DANAU USUNG -1
413 SINDI KARIYA SDN DANAU USUNG -1
414 TEGUH FIRMANSYAH TURIPAH BT RASWAD SDN DANAU USUNG -1
415 TIARA LELA ASMARA SDN DANAU USUNG -1
416 WIKE WIDIA ARSITA ROSIDAH SDN DANAU USUNG -1
417 ZAHIRA FISTA SUCITA SDN DANAU USUNG -1
418 ZAINAL ABIDIN HERNA ISYANTI SDN DANAU USUNG -1
419 AFRILIA KORJA JAM"AH SDN DANAU USUNG -1
420 AHMAD FADILLAH MAHRITA SDN DANAU USUNG -1
421 AHMAD AKMAL KHOLQI NURMALIA KARMELTA SDN DANAU USUNG -1
422 ALDO AHMAD FIRDAUS MAWAR SDN DANAU USUNG -1
423 AULIA TITI SDN DANAU USUNG -1
424 ABDULLAH AINA SDN DANAU USUNG -1
425 DELPIA PUTRI KARDILA SDN DANAU USUNG -1
426 DENTA ANDIKA YANTA P.F LILIS SURYANI SDN DANAU USUNG -1
427 INTAN AULIA NIRMA NOVIANI SDN DANAU USUNG -1
428 JEPRI IMIWATI SDN DANAU USUNG -1
429 JUINA PRISKA NONO WARISMAN SDN DANAU USUNG -1
430 JULQIPLI NURLAILA SDN DANAU USUNG -1
431 MARSA NOVITA NOVITA SARI DAMAYANTI SDN DANAU USUNG -1
432 MISKA RUKMIATUL SDN DANAU USUNG -1
433 MISNI MASLIAH SDN DANAU USUNG -1
434 MUHAMAD ANDIKA SAPUTRA AGUSMIATI SDN DANAU USUNG -1
435 MUHAMMAD FADILLAH MARIANI SDN DANAU USUNG -1
436 NOOR CHILWA AZZAHRA SINTIA SDN DANAU USUNG -1
437 NUR ANISA FITRIANI SDN DANAU USUNG -1
438 NURUL MUSTAFA HADI SITI RAHMAH SDN DANAU USUNG -1
439 PUTRA SURYA MASTUAH SDN DANAU USUNG -1
440 RAFI WAHYU WIJAYA KARTINI SDN DANAU USUNG -1
441 RAHMAD AIDIL ARMULIANTI SDN DANAU USUNG -1
442 REPAN SAPUTRA SILOWATI SDN DANAU USUNG -1
443 RIZKY ANANDA HATNAU WATI SDN DANAU USUNG -1
444 SANJU NARA PAIJA PAUZIS TUTI SDN DANAU USUNG -1
445 TSURYA JANETA ABDUL ZABAR MARIANA SDN DANAU USUNG -1
446 VICKY ALFAREZA MISBAR SDN DANAU USUNG -1
447 VICKY RAHMA ADITYA SUSI SDN DANAU USUNG -1
448 VIRDA SRI YANI ARBASIAH SDN DANAU USUNG -1
449 NARENDRA DELFIN RAMADANI YATI OCTAFIA S SDN DANAU USUNG -1
450 ADITIA ALPA ROBY FITRIYANI SDN DANAU USUNG -1
451 Adnan Gunawan Ibing SDN DANAU USUNG -1
452 Ahmad Durahman SDN DANAU USUNG -1
453 Ahmad Badali Koncoro Ida Leni SDN DANAU USUNG -1
454 AHMAD IKHSAN FAHREZA IKA RISNA SARI SDN DANAU USUNG -1
455 ALHAFUN NISA BANJIRIANTI SDN DANAU USUNG -1
456 ALLAMIN PUTRA NURBATI SDN DANAU USUNG -1
457 Alvina Khairun Nisa Makiah SDN DANAU USUNG -1
458 Amelia Lestari Noraida SDN DANAU USUNG -1
459 Anida Yulia Nurlatifah SDN DANAU USUNG -1
460 DIAN ADITIYA RUSMAYANI SDN DANAU USUNG -1
461 EFA SELPIA SRI ANI SDN DANAU USUNG -1
462 Ervina Norhayati SDN DANAU USUNG -1
463 FEBY FRENCISTA SAPIAH SDN DANAU USUNG -1
464 Fitriyany Safrah SDN DANAU USUNG -1
465 Indra Lesmana Misdawati SDN DANAU USUNG -1
466 Jiatul Rahman Mahati SDN DANAU USUNG -1
467 Moh. Refan Saputra Ma'niah SDN DANAU USUNG -1
468 Muhamad Nopal Alwi Rosidah SDN DANAU USUNG -1
469 Muhamad Yahya Al Ridhoani Kariawati SDN DANAU USUNG -1
470 Muhammad Akram Salawati SDN DANAU USUNG -1
471 Muhammad Nor Ridho Bawi SDN DANAU USUNG -1
472 Muhammad Rizky Wahyuni SDN DANAU USUNG -1
473 Nasa Malia Akbar Nurmalia Karmelta SDN DANAU USUNG -1
474 Nur Anita Fitriani SDN DANAU USUNG -1
475 Nur Aulia Herly Damayanti SDN DANAU USUNG -1
476 PUTRI WULANDARI LELA ASMARA SDN DANAU USUNG -1
477 Rahmad Naufal Endang Permatasari SDN DANAU USUNG -1
478 RASA MASIANI SDN DANAU USUNG -1
479 Refhan Nur Alifha Lisa Karmila SDN DANAU USUNG -1
480 Siboi Pety Pera SDN DANAU USUNG -1
481 Silfa Olifvia Nor Halimah SDN DANAU USUNG -1
482 Yuanita Endang Lestari SDN DANAU USUNG -1
483 Ahmad Ramadhany - SDN DANAU USUNG -1
484 Alexandra - SDN DANAU USUNG -1
485 Bella Al Dhama - SDN DANAU USUNG -1
486 DELA PUSPITA - SDN DANAU USUNG -1
487 FINA AMALIA KHALY - SDN DANAU USUNG -1
488 Galuh Rahadhini - SDN DANAU USUNG -1
489 Ifa Yolanda - SDN DANAU USUNG -1
490 Lucky Restu Raharjo - SDN DANAU USUNG -1
491 Luna. S - SDN DANAU USUNG -1
492 Madinatul Munawarah - SDN DANAU USUNG -1
493 Mura Caesarea - SDN DANAU USUNG -1
494 Nazilla Putri Murfilla - SDN DANAU USUNG -1
495 Norhayati - SDN DANAU USUNG -1
496 NORRIYAH - SDN DANAU USUNG -1
497 Ratih - SDN DANAU USUNG -1
498 Refa Selvia - SDN DANAU USUNG -1
499 RIEL NAIRA - SDN DANAU USUNG -1
500 Wansah - SDN DANAU USUNG -1
501 Winda - SDN DANAU USUNG -1
502 MELISA ROSDIANA SDN BAHITOM-2
503 MAJIDAN IKROMAN SITI KHOTIMAH SDN BAHITOM-2
504 UTIYA AJIMA ANSARI ARAM MAYANG SARI SDN BAHITOM-2
505 MEI SULASTRI SADINEM SDN BAHITOM-2
506 RAYA ADITYA F NUR AJIJAH SDN BAHITOM-2
507 AMHAD DASTAN NOVIT MARTINA SDN BAHITOM-2
508 ANGGUN KALISTRA MARDIANA SDN BAHITOM-2
509 AQILA AURA JASMIN DEWI ANGGUN SDN BAHITOM-2
510 DELON YEHEKIEL MBOE SUHENA SDN BAHITOM-2
511 KHAIRUL BARKAH HERPINA SDN BAHITOM-2
512 NABILA DWI APRILIA VITRI ROKHIYAH SDN BAHITOM-2
513 NAJWA AROFAH SITI ALINAH SDN BAHITOM-2
514 NUR RISKA NAIMAH SITI MASARONAH SDN BAHITOM-2
515 RESTU SURYA ADIWINATA DWI ASRI RETNO NINGSIH SDN BAHITOM-2
516 YUNATRISA PESPARANI RIANSI SDN BAHITOM-2
517 ARYA SAMPURNA SITI ALPIAH SDN BAHITOM-2
518 RAFA ROFINO SITI FATIMAH SDN BAHITOM-2
519 AHMAD BAROKAH NENI SDN BAHITOM-2
520 AULIA IJJATUNISA TRIS BINARTI SDN BAHITOM-2
521 RIFQIA PUTRA MURJA DESI MARIA NINGRUM SDN BAHITOM-2
522 NAVILA HERMAWATI SDN BAHITOM-2
523 MILAN LOPEZ SELVINA SDN BAHITOM-2
524 AHMAD NAFI MUYAMUN NENENG SDN BAHITOM-2
525 PUTRI LESTARI I'IM SDN BAHITOM-2
526 ULFA KHAIRUNISA NETI WERDANI SDN BAHITOM-2
527 FAJA ALFAIJAN HERLINA SDN BAHITOM-2
528 ANA FATIMAH JAHRA SITI MUHAYATI SDN BAHITOM-2
529 RIFKI AJI SAPUTRA - SDN BAHITOM-2
530 FAREL PRATAMA ERNI MAYANI SDN BAHITOM-2
531 EKO BUDI PRASETIO PURYANTI SDN BAHITOM-2
532 SINSIR RODIANA SDN BAHITOM-2
533 EKA YULIANA BAROKAH VITRI ROKHIYAH SDN BAHITOM-2
534 ALPAN HABIBULAH SITI ROKHIMAH SDN BAHITOM-2
535 NENAH NURFIANASARI SITI ROMLAH SDN BAHITOM-2
536 NURMAN PRATAMA SUMIYAH SDN BAHITOM-2
537 SITI RAHMAH PARYANTI SDN BAHITOM-2
538 TUGAS SAPUTRA I'IM SDN BAHITOM-2
539 RIJKI ADITYA SARIYANTI SDN BAHITOM-2
540 HELSA KRISTIANI SANTI NINAWATI SDN BAHITOM-2
541 MIFROFIL AULIA FAJRIN SITI SARMINAH SDN BAHITOM-2
542 FEBRIANSYAH MARYANI SDN BAHITOM-2
543 WIULAN APRILIA CITRA HARYANTI SDN BAHITOM-2
544 RIDHO PUTRA TENTEREM SDN BAHITOM-2
545 DAVID BECKHAM ENDANG SDN BAHITOM-2
546 ALIF SUHARTA SANTI RINAWATI SDN BAHITOM-2
547 M. HASAN PRIYANTO BARWATI SDN BAHITOM-2
548 ASHARI MAULIDAN MISRAWATI SDN BAHITOM-2
549 JOVITA ANINDIA PUTRI - SDN BAHITOM-2
550 ELISA TINI SDN BAHITOM-2
551 DIAJIT IMANUEL EMELIA MAYANG SDN BAHITOM-2
552 BRIAN ADI PUTRA DAMAYANTI SDN BAHITOM-2
553 ANUGRAH ALVIN MALELAK AGUSTIN MALELAK SDN BAHITOM-2
554 ALTASYA SITI ALPIAH SDN BAHITOM-2
555 ADHARUL RAMSI ATI NORYANTI SDN BAHITOM-1
556 AIRIN KARTINA SDN BAHITOM-1
557 AL RAHIM SARTANIAH SDN BAHITOM-1
558 CHAIRUNNISA SALSABILA PUTRI MUJALIMAH SDN BAHITOM-1
559 CITRA AULIA MARLIDA SDN BAHITOM-1
560 DELLA RIAH SDN BAHITOM-1
561 FIKRI RHAMADHAN PARIDAH SDN BAHITOM-1
562 GERRY ALBUGHARI BAWIATI SDN BAHITOM-1
563 INDAH KARNILASARI SDN BAHITOM-1
564 JAKA SAPUTRA MISLIA SDN BAHITOM-1
565 KAFKA NAFISA RAMADHANI MURSIDA SDN BAHITOM-1
566 MAHESYA ADIJAYA RATNA KUMALA SDN BAHITOM-1
567 MAURA MUSDIVA MUSTIKA SDN BAHITOM-1
568 MUHAMAD FITRI RAMADHAN MILYANA SDN BAHITOM-1
569 MUTIARANI ADELIA NOR NOVELI JE PUTR IRAWAN KERTI KENI SDN BAHITOM-1
570 NIKO SAPUTRA BANIAH SDN BAHITOM-1
571 RARA FAHDIANA DINA MARIANA SDN BAHITOM-1
572 RENDY ALIANSYAH SITI JULEHA SDN BAHITOM-1
573 RONA RAMADANI HARTATI SDN BAHITOM-1
574 VITA BAWI SDN BAHITOM-1
575 WIDIA CANDRA KIRANA HIKMAH SDN BAHITOM-1
576 Abdillah Aida Royani SDN BAHITOM-1
577 Ahmad Haikal Salmiyati SDN BAHITOM-1
578 AHMAD RIVALDY LISA SUSANTI SDN BAHITOM-1
579 Akhmad Wandy Saputra Khatna Kumala Sari SDN BAHITOM-1
580 ALIKA ANGGRIANI MISDAWATI SDN BAHITOM-1
581 APRILIA IRA ARISKA SDN BAHITOM-1
582 Ardiansyah Sita SDN BAHITOM-1
583 Arjuna Asliah SDN BAHITOM-1
584 Dicky Saputra Srimawarni SDN BAHITOM-1
585 Diki Cici Karmila SDN BAHITOM-1
586 ELKY NURUL PUSPITA SDN BAHITOM-1
587 Erlangga Megah Indah Pratama Tuniah SDN BAHITOM-1
588 Khairunnisa Pajariah SDN BAHITOM-1
589 MUHAMAD JAKARIA NORMI SDN BAHITOM-1
590 Muhamad Zaid Arlinah SDN BAHITOM-1
591 Muhammad Adryan Sanayati SDN BAHITOM-1
592 Muhammad Fahri Santi SDN BAHITOM-1
593 MUHAMMAD NAFIZ ABDILLAH PARIDAH YULIANTI SDN BAHITOM-1
594 Norkamilah Iwin SDN BAHITOM-1
595 RAHEL PRATAMA PUTRA ERTA KUMALA SARI SDN BAHITOM-1
596 RAISAFA RITA SURYATI SDN BAHITOM-1
597 RIFANDI ALDITYA SITI WAHIDAH SDN BAHITOM-1
598 RIYANTI Rayati SDN BAHITOM-1
599 Rokky Mariana SDN BAHITOM-1
600 SARIPAH MUPIDAH LISA MANDASARI SDN BAHITOM-1
601 SEPTONER BOSEM Semi SDN BAHITOM-1
602 Siti Rahmadita Rahimah SDN BAHITOM-1
603 YASMIEN ALINDA WIJAYA NURHAJANNAH SDN BAHITOM-1
604 Yoga Pratama Siska SDN BAHITOM-1
605 ZASKIA RATNASARI SDN BAHITOM-1
606 Ahmad Irawan Siti Aminah SDN BAHITOM-1
607 Akhmad Novanda Ulnawati SDN BAHITOM-1
608 Alif Prananta Mislawati SDN BAHITOM-1
609 Alvin Saputra Siti Juleha SDN BAHITOM-1
610 Ananda Juveko Mistiana SDN BAHITOM-1
611 Anugrah Anita SDN BAHITOM-1
612 Asifa Milyana SDN BAHITOM-1
613 Dimas Yunita SDN BAHITOM-1
614 Dira Mustatika Renawati SDN BAHITOM-1
615 Eka Ariyanti Dewi Yanti SDN BAHITOM-1
616 Fatimah Azahra Erma Yanti SDN BAHITOM-1
617 Ikbal Hakim Lili Asmiah SDN BAHITOM-1
618 Ikbal M Jumiati SDN BAHITOM-1
619 Jepa Rianto Marlika SDN BAHITOM-1
620 Jera Irawan Ida Ruyani SDN BAHITOM-1
621 Julia Ramadhani Liani SDN BAHITOM-1
622 Marsya Hadizah SDN BAHITOM-1
623 Monika Nila Susanti SDN BAHITOM-1
624 Muhamad Abdul Gani Mely Normilah SDN BAHITOM-1
625 Muhammad Faizal Maiyah SDN BAHITOM-1
626 Vhina Morenna (Pindah) Mariana SDN BAHITOM-1
627 Muhamat Irfansyah (Pindah) Dila SDN BAHITOM-1
628 Muhammad Arkaan Saputra Leta Puspita SDN BAHITOM-1
629 Muhammad Fahri Rafael Lidawati SDN BAHITOM-1
630 Muhammad Zulham Pondong SDN BAHITOM-1
631 Nikiy Safutra Jaitun SDN BAHITOM-1
632 Nor Rahmi Riani SDN BAHITOM-1
633 NUR AS SYIFA Ernawati SDN BAHITOM-1
634 Nur Azizah Rusmiati SDN BAHITOM-1
635 Olivia Kumala Sari Eka Wahyu Dariyanti SDN BAHITOM-1
636 Rachmad Norfadilah Kardila SDN BAHITOM-1
637 Riandi Sita SDN BAHITOM-1
638 Riani Rayati SDN BAHITOM-1
639 Riskhan Al Diva Putri Sri Wahyuni SDN BAHITOM-1
640 Sahriny Maisha Olvia Rusitah SDN BAHITOM-1
641 Salfha Ladjubba Harmika SDN BAHITOM-1
642 Sera Idah SDN BAHITOM-1
643 Siti Rahmah Saimah SDN BAHITOM-1
644 Sylfa Azzahra Siti Raudah SDN BAHITOM-1
645 Vicki Tovia SDN BAHITOM-1
646 Virna Tovia SDN BAHITOM-1
647 Achmad Nizam Ramadhani Kanawati SDN BAHITOM-1
648 Afrizza Haikal Husna Isnawati SDN BAHITOM-1
649 Ahmad Paldiannor Salmiyati SDN BAHITOM-1
650 AMANDA LESTARI Eni SDN BAHITOM-1
651 Andika Dwi Sutrisno Yenny Astrin SDN BAHITOM-1
652 Anita Siti Aminah SDN BAHITOM-1
653 Apiah Dahlia SDN BAHITOM-1
654 Desy Herni SDN BAHITOM-1
655 Farhan Noor Lena SDN BAHITOM-1
656 Febiani Al Muzara Ana Mariana SDN BAHITOM-1
657 Hairunnisa Udai SDN BAHITOM-1
658 Irama Tama Kumala Nurmasitah SDN BAHITOM-1
659 Ismail Siti SDN BAHITOM-1
660 KIPLI HERMI SDN BAHITOM-1
661 Mica Olivia Mariana SDN BAHITOM-1
662 Muliani Hartati SDN BAHITOM-1
663 Nazril Ilham Rina SDN BAHITOM-1
664 Nova Akira Noor Aen SDN BAHITOM-1
665 Nurhadijah Sapdayati SDN BAHITOM-1
666 Nuriyadi Kolmaliah SDN BAHITOM-1
667 Ola Nuryati SDN BAHITOM-1
668 Pito Saputra Kardila SDN BAHITOM-1
669 Puteri Aisyah Ernawati SDN BAHITOM-1
670 Rahmad Gemilang Iwin SDN BAHITOM-1
671 Ramadhani Nur Akbar Fahrida SDN BAHITOM-1
672 Randi Heriana SDN BAHITOM-1
673 Rehan Indra Lesmana Normiati SDN BAHITOM-1
674 Repan Saputra Iyah SDN BAHITOM-1
675 Rico Rifandy Pratama Nur Cahaya SDN BAHITOM-1
676 Ridho Yatim Norkamah SDN BAHITOM-1
677 Roki Andrianto Imau SDN BAHITOM-1
678 SAUFA ANNOR RAHIM MISRAWATI SDN BAHITOM-1
679 Tiara Ani SDN BAHITOM-1
680 Yahya Lisana SDN BAHITOM-1
681 Yoka Alisa Islamiyah SDN BAHITOM-1
682 Aidil Tuniah SDN BAHITOM-1
683 Aliya Milyana SDN BAHITOM-1
684 Alpandi Delima SDN BAHITOM-1
685 Arif Saputra Silawati SDN BAHITOM-1
686 Arina Salsabila Heni Puji Astuti SDN BAHITOM-1
687 Chelsi Olivia Ati Noryanti SDN BAHITOM-1
688 FITRIANI Isnawati SDN BAHITOM-1
689 Helky Birrohman Elva Cahyani SDN BAHITOM-1
690 Ibnu Zaid Ramadani Sumanti SDN BAHITOM-1
691 Leo Akbar Sri Wahyuni SDN BAHITOM-1
692 Muhamad Ridho Rina Hartati SDN BAHITOM-1
693 Muhammad Azzaki Noordiati SDN BAHITOM-1
694 Nabila Prasasti Arbayati SDN BAHITOM-1
695 NIKO RENALDI HADIAH SDN BAHITOM-1
696 Norhalizah Mahfuzah SDN BAHITOM-1
697 Nur Rahmah Marsona SDN BAHITOM-1
698 NUR SILA SUSIROMANTI SDN BAHITOM-1
699 Olivia April Riyanti Lilis Karlina SDN BAHITOM-1
700 RACHMAD TUL HIDAYAT LATIPAH SDN BAHITOM-1
701 RAFFI AKHMAD Mariana SDN BAHITOM-1
702 Rehan Saputra Saurah SDN BAHITOM-1
703 Reja Pahlepi Rumiyati SDN BAHITOM-1
704 Repan Marseli SDN BAHITOM-1
705 Risky Aditya Heriana SDN BAHITOM-1
706 Shabilly As Siddique SALASIAH SDN BAHITOM-1
707 Sonita Rika SDN BAHITOM-1
708 Taufik Rahmadi Kumalasari SDN BAHITOM-1
709 Tri Handayani Kasmah SDN BAHITOM-1
710 Yogi Kurniawan Asmiah Trisnawati SDN BAHITOM-1
711 Yulianto Febryanda Saputra Yuli Yunata SDN BAHITOM-1
712 Ahmad Aldo Saputra Kulmah SDN BAHITOM-1
713 AHMAD JUMADI ILHAM Misrukiah SDN BAHITOM-1
714 Ahmad Pebri Siti Rahayu SDN BAHITOM-1
715 Amira Ardila Ulfah SDN BAHITOM-1
716 ARUL ALUTRIANI SDN BAHITOM-1
717 Doni Ependi Jaitun SDN BAHITOM-1
718 Faiz Satiawan Misdaniah SDN BAHITOM-1
719 Fitri Lestari Sanah SDN BAHITOM-1
720 Iqlima Mursida SDN BAHITOM-1
721 Jumadil Akbar Ariani SDN BAHITOM-1
722 Livia Pitriah SDN BAHITOM-1
723 Maulana Akbar Uti SDN BAHITOM-1
724 Maulia Mislia SDN BAHITOM-1
725 Melda Rahmaniah SDN BAHITOM-1
726 Mirna Misnawati SDN BAHITOM-1
727 Muhamad Hafizi Ema Susanti SDN BAHITOM-1
728 Muhamad Iksal Arbasiah SDN BAHITOM-1
729 Muhammad Alfa Paridah Yulianti SDN BAHITOM-1
730 Nadila Tasmjah SDN BAHITOM-1
731 Norhikmah Norsidah SDN BAHITOM-1
732 Olipia Sapitri Hatmah SDN BAHITOM-1
733 Parnipan Dahlia SDN BAHITOM-1
734 Rehan Mariana SDN BAHITOM-1
735 Rifdafi Arya Risqa Siti Wahidah SDN BAHITOM-1
736 Sahril Ramadan Kariya SDN BAHITOM-1
737 Sindi Aulia Fatma MIMI ERPIDA SDN BAHITOM-1
738 Sulisma Depi Yunita SDN BAHITOM-1
739 Viona Mariana SDN BAHITOM-1
740 LIA NURLAILA FITIRIA IKA NURAINI SDN MUARA SUMPOI-1
741 ADELIA PUTRI ARIMBI ARI WICAKSONO SDN MUARA SUMPOI-1
742 MAISYA ZIDNA ILMA SUPRIANSYAH SDN MUARA SUMPOI-1
743 LETTY ANNA EKA PUTRI RINA SARI SDN MUARA SUMPOI-1
744 AHMAD RAFI KURSALIN JUNAYAH SDN MUARA SUMPOI-1
745 PRILI MEISIA MIKERANDA YULIANA SDN MUARA SUMPOI-1
746 AHCMAD ROBY SURATMAN SDN MUARA SUMPOI-1
747 NUR AZIZAH MASRIANI SDN MUARA SUMPOI-1
748 FADHILA KABSYA KASIYA HELMIYADI SDN MUARA SUMPOI-1
749 MUHAMAD REZKY RAYATI SDN MUARA SUMPOI-1
750 HUSNUL KHOTIMAH LATIFAH SDN MUARA SUMPOI-1
751 SAFIRA RAMDHANTI LINA SDN MUARA SUMPOI-1
752 AHMAD ZAKY AL MUNAIM SDN MUARA SUMPOI-1
753 LAILATUS SA'DIYAH JAMILAH SDN MUARA SUMPOI-1
754 AHMAD ARPANDI SAHNIAH SDN MUARA SUMPOI-1
755 MEDINA IRAWAN MARDIAH SDN MUARA SUMPOI-1
756 PUTRI YOLANDA UCI ARIANI SDN MUARA SUMPOI-1
757 TRIANA NOR ABDILA HELMI SDN MUARA SUMPOI-1
758 BAHRIYANSYAH RUSDIANA SDN MUARA SUMPOI-1
759 MUHAMMAD SYAMUN ALGOZY AHMAD GAPORI SDN MUARA SUMPOI-1
760 AHMAD NOVAL FAUZAN SITI RAUDAH SDN MUARA SUMPOI-1
761 RAYHAN ANANDA LIDAWATI SDN MUARA SUMPOI-1
762 NORYAKIN HENDRA SDN MUARA SUMPOI-1
763 ANGGUN PERMATA HADRIN SDN MUARA SUMPOI-1
764 NORHADIPA MARDIANA SUWAILI SDN MUARA SUMPOI-1
765 NUR ASY SYIFA BARSUNI SDN MUARA SUMPOI-1
766 IMAM MUSTAFA NANI FARIDAH SDN MUARA SUMPOI-1
767 MUHAMAD HAJIRIL SUA'NI SDN MUARA SUMPOI-1
768 RADIT BARLIN SDN MUARA SUMPOI-1
769 MUHAMDA ZAID RUSMITA SDN MUARA SUMPOI-1
770 DELVIA Dewi Yanti SDN MUARA SUMPOI-1
771 MUHAMDA LEO REVALDO NORAINI SDN MUARA SUMPOI-1
772 RINI WULANDARI PARIDAH SDN MUARA SUMPOI-1
773 FANDY RAUDAH SDN MUARA SUMPOI-1
774 KRISMANUDIN SUSILAWATI SDN MUARA SUMPOI-1
775 DISTIA WULANDARI DINA SDN MUARA SUMPOI-1
776 OLIVIA PUTRI RAHIMAH SDN MUARA SUMPOI-1
777 NOR MALA SALMAH SDN MUARA SUMPOI-1
778 HAFIYA LABIBAH BARKIAH SDN MUARA SUMPOI-1
779 AULYA NINGSIH NORMA YUNITA SDN MUARA SUMPOI-1
780 EVANDI SAPUTRA ALWI SDN MUARA SUMPOI-1
781 MUHAMMAD LUFI KUMARIAH SDN MUARA SUMPOI-1
782 MUHAMMDA KHAIRUL AZZAM RABIATUL ADAWIYAH SDN MUARA SUMPOI-1
783 ALI CANDRA MARIAM SDN MUARA SUMPOI-1
784 MUHAMMDA MUNAWIR ABDILAH SITI KOMARIAH SDN MUARA SUMPOI-1
785 MUHAMAD FAID ACIMO NATALIA SDN MUARA SUMPOI-1
786 GILANG ADITYA SUPIAN SDN MUARA SUMPOI-1
787 NAZWA SALSABILA WAHIDAH SDN MUARA SUMPOI-1
788 MUHAMMAD NAZRIL ILHAM NOR CAHAYA SDN MUARA SUMPOI-1
789 YUDA YULIANTONI AZAM R WAHYUDI SDN MUARA SUMPOI-1
790 NASILA HABIBAH SAIPUL MAHDI SDN MUARA SUMPOI-1
791 IBNU PADIL NORMAYUNITA SDN MUARA SUMPOI-1
792 MUHAMMAD ABDI PRATAMA ARI BIJAKSONO SDN MUARA SUMPOI-1
793 AMELIA SOLEHAH EKO SULASTIA SDN MUARA SUMPOI-1
794 ADLI SAPUTRA NAZLA FUTRI SYAHTIPA LILIS MARIANI SDN MUARA SUMPOI-1
795 NAZLA FUTRI SYAHTIFA SAHWAN SDN MUARA SUMPOI-1
796 RIADI HADRIN SDN MUARA SUMPOI-1
797 NOR KOMALIA SISANTO SDN MUARA SUMPOI-1
798 NAILA ANDINI FUTRI ASRUDIN SDN MUARA SUMPOI-1
799 LASTI SANDIO RIFA SUPRIADI SDN MUARA SUMPOI-1
800 RANTI MUHAMDA PATLI SDN MUARA SUMPOI-1
801 KHAIRUNISA ISAH SDN MUARA SUMPOI-1
802 UNISYA IRPANDI SDN MUARA SUMPOI-1
803 IMELDA BUDI HARTONO SDN MUARA SUMPOI-1
804 REPANSYAH IRIANSYAH SDN MUARA SUMPOI-1
805 REHAN GUNAWAN IPANSYAH SDN MUARA SUMPOI-1
806 MUHAMAD FADILAH SAMSURI SDN MUARA SUMPOI-1
807 PIKA NATALIA SINAH SDN MUARA SUMPOI-1
808 INDAH AULIA RAHMADAN IMANUDIN SDN MUARA SUMPOI-1
809 PUPUT SALPIANI SURATMAN SDN MUARA SUMPOI-1
810 RAPIKA DEDY SUGIANTO SDN MUARA SUMPOI-1
811 JUMIYATUL MUNAWARAH RAPI'I SDN MUARA SUMPOI-1
812 NOPITA ARBIANTI ARDIANI SDN MUARA SUMPOI-1
813 WINDA RUSIADI SDN MUARA SUMPOI-1
814 SANTIKA USMAN SDN MUARA SUMPOI-1
815 AMELIA INDRA GUNAWAN SDN MUARA SUMPOI-1
816 SARI RAMADANI SURIANSYAH SDN MUARA SUMPOI-1
817 AKBAR IBNU-AS WISNO BAGA SYRIONO SDN MUARA SUMPOI-1
818 NORLAILA RAHIMI ARSIAN SDN MUARA SUMPOI-1
819 AHMAD AMANDA RISLIANI SDN MUARA SUMPOI-1
820 ODELIA RAMADANI HERMAN SDN MUARA SUMPOI-1
821 ASTY SELYA PUTRI I'AS SDN MUARA SUMPOI-1
822 KHAIRUNISA ISAH SDN MUARA SUMPOI-1
823 UNISYA IRPANDI SDN MUARA SUMPOI-1
824 IMELDA BUDI HARTONO SDN MUARA SUMPOI-1
825 REPANSYAH IRIANSYAH SDN MUARA SUMPOI-1
826 REHAN GUNAWAN IRIANSYAH SDN MUARA SUMPOI-1
827 MUHAMMDA FADILAH SAMSURI SDN MUARA SUMPOI-1
828 PIKA NATALIA SINAH SDN MUARA SUMPOI-1
829 INDAH AULIA RAHMADAN IMANUDIN SDN MUARA SUMPOI-1
830 PUPUT SALPIANI SURATMAN SDN MUARA SUMPOI-1
831 RAPIKA DEDY SUGIANTO SDN MUARA SUMPOI-1
832 JUMIYATUL MUNAWARAH RAPI'I SDN MUARA SUMPOI-1
833 NOPITA ARBIANTI ARDIANI SDN MUARA SUMPOI-1
834 WINDA RUSIADI SDN MUARA SUMPOI-1
835 SANTIKA USMAN SDN MUARA SUMPOI-1
836 AMELIA INDRA GUNAWAN SDN MUARA SUMPOI-1
837 SARI RAMADANI SURIANSYAH SDN MUARA SUMPOI-1
838 AKBAR IBNU-AS WISNO BAGA SYRIONO SDN MUARA SUMPOI-1
839 NOR LAILA RAHIMI ARSIAN SDN MUARA SUMPOI-1
840 AHMAD AMANDA RUSLIANI SDN MUARA SUMPOI-1
841 ODELIA RAMADANI HERMAN SDN MUARA SUMPOI-1
842 ASTY SELYA PUTRI I'AS SDN MUARA SUMPOI-1
843 AHMAD ALVIN DESI RUSMINI SDN BAHITOM-3
844 GRESIA KASIHNI KRISMILA HETY SDN BAHITOM-3
845 IKHSAN NOR PARIDA SDN BAHITOM-3
846 MUHAMAD RENO IRAWANSYAH RENAWATI SDN BAHITOM-3
847 YUDIA KARTIKA IYA SDN BAHITOM-3
848 SEHAT MARLANI SDN BAHITOM-3
849 NOVIA MARJIMAN MADALENA MANTAN SDN BAHITOM-3
850 KAMELIA HERNI SDN BAHITOM-3
851 THASYA ESTERIA SUSI SDN BAHITOM-3
852 AHMAD AVANSA HATIAH SDN BAHITOM-3
853 ARIPIN MULIA SARI SDN BAHITOM-3
854 ARLIYADI SITI ROHMANIYAH SDN BAHITOM-3
855 KARMILA KARTASIAH SDN BAHITOM-3
856 RICA NINI SDN BAHITOM-3
857 RIDO EVI SDN BAHITOM-3
858 SERA - SDN BAHITOM-3
859 NINDI MULYANI ROSITA SDN BAHITOM-3
860 PIKO PEBRIAN FATRIANA SDN BAHITOM-3
861 ARDAN MOLANI SITI NORMANIYAH SDN BAHITOM-3
862 NORLITA SAHMIDA SDN BAHITOM-3
863 MUHAMMAD ZIDAN ALVARO Melda MIS BAHITOM
864 RACHELIFNA CHUMAIRO ACHMAD Sunarti MIS BAHITOM
865 ENI ADELIA Saripah Irma Kumalasari MIS BAHITOM
866 RADITYA NUR ALIFKY Restu Triyana MIS BAHITOM
867 ASRI NOR HAFIVAH Norhik,ah MIS BAHITOM
868 AILA NURIA RAHMATIANI Misda MIS BAHITOM
869 CITRA NORHIDAYAH Maria Ulfah MIS BAHITOM
870 EPRILLIA Agus Yenimunapiah MIS BAHITOM
871 DICKY ARIANDO Yarianti MIS BAHITOM
872 PUTRI AULIA Rati Wiherni MIS BAHITOM
873 FITRIA WULANDARI Elka Ariska MIS BAHITOM
874 AWALIA AZMINA FANJU Jayanti MIS BAHITOM
875 MUHAMAT SULTAN Arianti MIS BAHITOM
876 AMIRATUN KISMAH Asmiah MIS BAHITOM
877 NAZWA ADELIA KORLIA MIS BAHITOM
878 ALMA NABILA RUSDIANA MIS BAHITOM
879 AFWANDA AYU TRADIPA KORLIA MIS BAHITOM
880 ALVA DIANO APRILIO DENI SUSANTI MIS BAHITOM
881 TAUFIK LINDA MIS BAHITOM
882 MUHAMMAD RAFASHA ELPIDA ROYANI MIS BAHITOM
883 ALIP HERMAWAN ERNA MIS BAHITOM
884 DARA RUKMIATI MIS BAHITOM
885 PRAYOGA FAJAR AFGANISTAN SRI WAHYUNA MIS BAHITOM
886 RENDRA SAPUTRA INA MIS BAHITOM
887 MUHAMMAD ABIEZAR MUAMAR PARIDAH MIS BAHITOM
888 AHMAD NORPAUJI NURHAYATI MIS BAHITOM
889 NIA RAMADHANI RUSMEGAWATI MIS BAHITOM
890 MELATI PUSPITA SARI KAMELIA MIS BAHITOM
891 FAREL FRAYOGA MISBAH MIS BAHITOM
892 NISSA BARITO JAYANTI FATMAWATI MIS BAHITOM
893 MUHAMMAD CAHAYA MISPI MIS BAHITOM
894 RINA HERLIANA SANTI MISYATI MIS BAHITOM
895 DANDI ALUSIAH MIS BAHITOM
896 AHMAD DIJAR JUWIKA SAPUTRA PURMANIKA MIS BAHITOM
897 INDRA REJEKI MULIYATI MIS BAHITOM
898 RANISA RUKMIATUN MIS BAHITOM
899 FATAN MISBAH MIS BAHITOM
900 WENGKI PAHRIJA SANTI MIS BAHITOM
901 RIPALDI SUMINA MIS BAHITOM
902 SAID MUHAMMAD RIFKAN IMILDA MIS BAHITOM
903 AHMAD DANIL SRIANI MIS BAHITOM
904 DZAKIRATUL AZKIA NORMALATI MIS BAHITOM
905 ROSA DWI LESTARI MARLINA MIS BAHITOM
906 WULAN RAMADHANI - MIS BAHITOM
907 SYARIFAH LIANA FAUZIAH - MIS BAHITOM
908 RAPI RUKMIATUN MIS BAHITOM
909 MUHAMMAD SYAHBANA FIRLI HAIRANI MIS BAHITOM
910 FEBRIANUS EKASAPUTRA MISLIANA MIS BAHITOM
911 RAPA RUKMIATUN MIS BAHITOM
912 RINALDI SILAWATI MIS BAHITOM
913 EKA AZAHRA KHUMAYRA MUSRIDA MIS BAHITOM
914 UCHI LINDA MIS BAHITOM
915 AMIRA NURYATI MIS BAHITOM
916 LIYANA FAUJIAH RUSMINI MIS BAHITOM
917 MUHAMMAD AULVAR SITI JAMILAH MIS BAHITOM
918 PARIS KURSIDAH MIS BAHITOM
919 AHMAD PADIL SRIANI MIS BAHITOM
920 ALIA RAMADANI LIDA MIS BAHITOM
921 VIA RAMADHANI NURHIDAYANTI MIS BAHITOM
922 YELSI AULIA ARBAINAH MIS BAHITOM
923 AHMAD ALFANDY LASIYAH MIS BAHITOM
924 AHMAD SYUHADA AGUS YENI MUNAPIAH MIS BAHITOM
925 RIZQI DHEPASHA YARIANTI MIS BAHITOM
926 ISTIKHOMAH NURALIYAH MIS BAHITOM
927 AHMAD RIPALDO KAMELIA MIS BAHITOM
928 UCHA LINDA MIS BAHITOM
929 SAYYID MUHAMMAD MAULANA SARIFAH HATMANIAH MIS BAHITOM
930 SAYYID MUHAMMAD ILHAM SARIFAH HATMANIAH MIS BAHITOM
931 FAKHRI SAPUTRA NOVI MAYA SARI MIS BAHITOM
932 NIA RAMADHANI SITI JAMILAH MIS BAHITOM
933 RAFLI RENI MARSELA MIS BAHITOM
934 RANA NURUL HASANAH LILI DEMIYANTI MIS BAHITOM
935 ADELIA RAHMI NOORAINA MIS BAHITOM
936 SRIE HATIMAH ARIANTI MIS BAHITOM
937 MELATI SALASIAH MIS BAHITOM
938 RANI NURUL HIDAYAH LILI DEMIYANTI MIS BAHITOM
939 HAIKAL MAULIDI NORMALATI MIS BAHITOM
940 CHOKY MARISKAL MASFUAH MIS BAHITOM
941 ANDRA SAMUDRA MARIA ULFAH MIS BAHITOM
942 AMELINDA FITRIANI MIS BAHITOM
943 MUHAMAD AMBRI MAISARAH MIS BAHITOM
944 MUHAMMAD FIQRY RAMADHAN Barlian MIS BAHITOM
945 ACILA DONA MARISA TK ABA 4 PCS
946 ADAM FAIZ A TRISNANINASY TK ABA 4 PCS
947 AFDAL GILANG A INDAH LESTARI TK ABA 4 PCS
948 AHMAD KINAR IYAH TK ABA 4 PCS
949 AINIA SYASKILA FATHOL J TK ABA 4 PCS
950 AKHMAD HANIF R GUSNA MELDA TK ABA 4 PCS
951 AKIFA NAYLA ASLIATI TK ABA 4 PCS
952 ALCHIA CLAUDIA I ERLA NOOR S TK ABA 4 PCS
953 ALIF AKHMAD S FATMAWATI TK ABA 4 PCS
954 ANGGA SUSI TK ABA 4 PCS
955 ANITA SAFITRI TALINA TK ABA 4 PCS
956 AZKA ALDRIK MISRAWATI TK ABA 4 PCS
957 AZKA ANINDYA DETI K TK ABA 4 PCS
958 BAHRI EFENDI ARI YANTI TK ABA 4 PCS
959 FATHIR ERLANGGA WILDA HAKIM TK ABA 4 PCS
960 FATIMATUZ ZAHRA KRISTINA A TK ABA 4 PCS
961 FATMA NIRMALA S JUM'ATI TK ABA 4 PCS
962 FITRIATUL M IQLIMAH TK ABA 4 PCS
963 HANANIA HANUM H NOORDIYATI TK ABA 4 PCS
964 HARIS JUM'ATUL R ERLI Y TK ABA 4 PCS
965 KHAIRIL AL GIBRAN LIDIA TK ABA 4 PCS
966 MA'ARUF SULAIMAN MAUNAH TK ABA 4 PCS
967 MAULANA NOR B IDA M TK ABA 4 PCS
968 M ABHIZAR DELISA PUTRI TK ABA 4 PCS
969 M AMMAR R SISKA N TK ABA 4 PCS
970 M FAUZI SITI BAHRAH TK ABA 4 PCS
971 M MAHSIL M NORYANI TK ABA 4 PCS
972 M MUADZ EL HAQQ ENDANG M TK ABA 4 PCS
973 M RIZKI F SRI RAUDAH TK ABA 4 PCS
974 M ZAINAL ABIDIN MARHANATI TK ABA 4 PCS
975 M ZAKI FIRDAUS ARIANI TK ABA 4 PCS
976 MULTAZAM SYAUFI SALAWATI TK ABA 4 PCS
977 NOVA AWALIA P NORHALIMAH TK ABA 4 PCS
978 NUR JIHAN MAKAILAH F MEGAWATI TK ABA 4 PCS
979 NURSHILA JAYA NORYANI TK ABA 4 PCS
980 NURTIA ARYANI ANNISAWATI TK ABA 4 PCS
981 FEBY TANIA ANUL DIANA TK ABA 4 PCS
982 QAMIRA NUR S ARIYANTI TK ABA 4 PCS
983 RAHELDA PERSONALIA TK ABA 4 PCS
984 RAIMA OCTAVIONA IRMAWATI TK ABA 4 PCS
985 RAISYA AZZAHRA NURLELAWATI TK ABA 4 PCS
986 RAMADANI SENJAYA VIA MONIKA TK ABA 4 PCS
987 RAYSA MARWAH KARYAWATI TK ABA 4 PCS
988 RERE ADITRIA MARIAM B TK ABA 4 PCS
989 SAID NURRASYID LINDA ASTUTI TK ABA 4 PCS
990 SALSABILA BILQIS ANALIA TK ABA 4 PCS
991 SARIF HIDAYATULLAH MARIANI TK ABA 4 PCS
992 TIARA AZHIRA BALQIS WARNI S TK ABA 4 PCS
993 ABID AQILA RAJENDRA MISKA TK MELATI PCS
994 ADRIAN PRATAMA MARIANI TK MELATI PCS
995 ALVIN SYAHRIN LENI MARLINA TK MELATI PCS
996 ALYA DEWINA MARYAM NINA ZIANI TK MELATI PCS
997 ANNISA SOLEHAH KASIM SAMUDRA KARMILA SARI TK MELATI PCS
998 ARTIKA SRI MULYANI RUSMINI TK MELATI PCS
999 AYUDYA SUCI ASLIANI TK MELATI PCS
1000 AZIZAH KHOLIDA ZIA TK MELATI PCS
1001 AZZAM ASSEGAF JUMINARTI TK MELATI PCS
1002 HAFIZ ANSORI ARLINA TK MELATI PCS
1003 ILHAM GUNAWAN SILVIANA SARI TK MELATI PCS
1004 KAILA AZAHRA NURMIANI TK MELATI PCS
1005 KHUSNUL KHATIMAH LALIK PIATMIATUN TK MELATI PCS
1006 MUHAMMAD AFIF IDA SATRIANI TK MELATI PCS
1007 MUHAMMAD AL IHSAN MUSTIKA TK MELATI PCS
1008 MUHAMMAD NUR FADILLAH MAISURAH TK MELATI PCS
1009 RISKA APRILIA SRI NORNANINGSIH TK MELATI PCS
1010 SALSABILA SAFITRI SANTY TK MELATI PCS
1011 NORMA SARI FEBRIANA - TK AL FALAH 2 PCS
1012 ALMEERA AZZAHRA A AYADIH TK AL FALAH 2 PCS
1013 NAIRA APRILIANI JURAIS TK AL FALAH 2 PCS
1014 ANDRIAN SYUKRON P TAUFIK SUSANTI TK AL FALAH 2 PCS
1015 M.DAFA AL FATIH AHMAD NASIR TK AL FALAH 2 PCS
1016 NAILUL ASMIATI BAHAGIANOR TK AL FALAH 2 PCS
1017 M.AFDHAL DZIKRI ABDUL RIVAN TK AL FALAH 2 PCS
1018 A.MAIMUN ZUBAIR KHALIDI TK AL FALAH 2 PCS
1019 JUMAR PUTRA ISHAK ARIS NUGROHO TK AL FALAH 2 PCS
1020 SUTTAM FAEZA LUBIS ISMAIL LUBIS TK AL FALAH 2 PCS
1021 AMANDA CLARA Y REKI INDIKA S. TK AL FALAH 2 PCS
1022 JUMIATI MISRANUDIN TK AL FALAH 2 PCS
1023 FITRI IEUM TK AL FALAH 2 PCS
1024 RAKA ATHALA Y.A GIRIANTO TK AL FALAH 2 PCS
1025 M.FAHRIZAL BELNI TK AL FALAH 2 PCS
1026 AHMAD BINO AGUS TK AL FALAH 2 PCS
1027 ESA EKO TK AL FALAH 2 PCS
1028 JUDINI ANJELINA AL NURHAN TK AL FALAH 2 PCS
1029 FIRLY ALFARO MIFTAH BIAN TK AL FALAH 2 PCS
1030 NOVALIA AKHMAD KHAMRUK TK AL FALAH 2 PCS
1031 AHMAD AZZAM NUR SANDI IRAWAN TK AL FALAH 2 PCS
1032 AHMAD RAFA EL RUDI TERIANTO TK AL FALAH 2 PCS
1033 DZAKIAH SALWA NABILA DILAH TK AL FALAH 2 PCS
1034 SAFI SALBILA SUWITO TK AL FALAH 2 PCS
1035 REYHAN KHAIRUL RAHMAN ABDI RAHMAN TK AL FALAH 2 PCS
1036 APRILIA WULANDARI JOKO WARDOYO TK AL FALAH 2 PCS
1037 CHIKA AULIA NOVANTRI TK AL FALAH 2 PCS
1038 MUHAMMAD ADITIA SUADI TK AL FALAH 2 PCS
1039 ZAMI AJNA KHAIRIAH SLAMET TK AL FALAH 2 PCS
1040 MUHAMMAD REVAL SAIFUL ERWANDA TK AL FALAH 2 PCS
1041 VAESYA AZZAHRA Y NOR HARIYANTO TK AL FALAH 2 PCS
1042 NAURA ATHIRAH AINUL YAKIN TK AL FALAH 2 PCS
1043 AHMAD REJA SAPUTRA SABRIN TOGUT TK AL FALAH 2 PCS
1044 AIDIL FIKRI RIAN TK AL FALAH 2 PCS
1045 AFIFAH FITRI RIAN TK AL FALAH 2 PCS
1046 RIVAL AHMAD DAUS HARTOMI TK AL FALAH 2 PCS
1047 FAHRUJI - TK AL FALAH 2 PCS
1048 AHMAD RISKI RAHMAN TK AL FALAH 2 PCS
1049 ACIA FIRDAYANI FITRIANI TK AN NIDA 8 M.SUMPOI
1050 AHMAD GOFFAR MELA ANGGREANI TK AN NIDA 8 M.SUMPOI
1051 AHMAD RAMLI ARBAINAH TK AN NIDA 8 M.SUMPOI
1052 AHMAD TARA JUNAYAH TK AN NIDA 8 M.SUMPOI
1053 ALI ZIDDAN KAMELIA TK AN NIDA 8 M.SUMPOI
1054 APRILIA NAGITA PUTRI MEGA MUSTIKA TK AN NIDA 8 M.SUMPOI
1055 AQILLA RAMADHINI DAHRIANI TK AN NIDA 8 M.SUMPOI
1056 ELFIRA SRI AFLINA HIDAYATUL RAHMAH TK AN NIDA 8 M.SUMPOI
1057 GIBRANSYAH NORHIDAYAH TK AN NIDA 8 M.SUMPOI
1058 GIO PRASTYO SRI WAHYUNINGSIH TK AN NIDA 8 M.SUMPOI
1059 GOPAR MELA TK AN NIDA 8 M.SUMPOI
1060 HOLA LITA ERVIANA RINA SARI TK AN NIDA 8 M.SUMPOI
1061 ILZA RAMADAHANI DEWI PURNAMA SARI TK AN NIDA 8 M.SUMPOI
1062 IMAM MAHDI ARSIAH TK AN NIDA 8 M.SUMPOI
1063 JULI ROMADANI LISA LASTARI TK AN NIDA 8 M.SUMPOI
1064 MARWA RAFANDA NORMILAWATI TK AN NIDA 8 M.SUMPOI
1065 MUHAMMAD ABYAN NANDANA SORAYA WAHYUNI TK AN NIDA 8 M.SUMPOI
1066 MUHAMMAD ARIFIN YATIMIL WAHDAH TK AN NIDA 8 M.SUMPOI
1067 MUHAMMAD RAUFA RAFIF NOOR INAYAH TK AN NIDA 8 M.SUMPOI
1068 MUHAMMAD SALMAN KHALIF MISLAWATI TK AN NIDA 8 M.SUMPOI
1069 NADIA FIRDAYANI FITRIANI TK AN NIDA 8 M.SUMPOI
1070 NOPA AULIA PUTRI RUSMIYA TK AN NIDA 8 M.SUMPOI
1071 OLIVIA SAFITRI DEWI HENDRIANI TK AN NIDA 8 M.SUMPOI
1072 PRAJA SYAHED HETTY NORMAWATI TK AN NIDA 8 M.SUMPOI
1073 REZA REZQIANOR ROYYAN KUMARIAH TK AN NIDA 8 M.SUMPOI
1074 RIRIN APRILIA NOOR HALIMAH TK AN NIDA 8 M.SUMPOI
1075 SALSABILA CAHAYA MINA TK AN NIDA 8 M.SUMPOI
1076 TANAKA CICI ARIANI TK AN NIDA 8 M.SUMPOI
1077 UPIKA RAHMAN MADALIYAH TK AN NIDA 8 M.SUMPOI
1078 WINDY HAMIDAH RABIATUL ADAWIYAH TK AN NIDA 8 M.SUMPOI
1079 ZAHRA AULIA ELDAWATI TK AN NIDA 8 M.SUMPOI
1080 IRPAN ABDILAH PRATAMA ARTINA YAKUB TK HARAPAN BUNDA UPT BAHITOM
1081 N RIYAN RAHMANTO KURNIASIH TK HARAPAN BUNDA UPT BAHITOM
1082 TANGGUH GITA RAHMAPUTRI SRI AMINI TK HARAPAN BUNDA UPT BAHITOM
1083 NOR ALIFAH RAHMADANI SUMIYAH TK HARAPAN BUNDA UPT BAHITOM
1084 AJKA EKA PRATAMA IKE DWI L TK HARAPAN BUNDA UPT BAHITOM
1085 M.KHOERUL ANWAR SITIMUHAYATI TK HARAPAN BUNDA UPT BAHITOM
1086 MAESEL KEVEN SARI YANTI TK HARAPAN BUNDA UPT BAHITOM
1087 ADIBA NUR YAKUB ARLINA YAKUB TK HARAPAN BUNDA UPT BAHITOM
1088 ARIF MUHHAMMAD AKBAR - TK AL-IKHLAS BERSAMA BAHITOM
1089 AL VARIDHO WIJAYA - TK AL-IKHLAS BERSAMA BAHITOM
1090 AL FATIH KHOLIQ PURWANTO - TK AL-IKHLAS BERSAMA BAHITOM
1091 ADIBA SYAKILA RAFNI - TK AL-IKHLAS BERSAMA BAHITOM
1092 AL AZIZ RIVALDI SALMAN - TK AL-IKHLAS BERSAMA BAHITOM
1093 ANGGA SAPUTRA - TK AL-IKHLAS BERSAMA BAHITOM
1094 ALYA PUTRI RAMADHANI - TK AL-IKHLAS BERSAMA BAHITOM
1095 ALPIAN NOR - TK AL-IKHLAS BERSAMA BAHITOM
1096 ELSA RAHMANIAH - TK AL-IKHLAS BERSAMA BAHITOM
1097 ELBY NURRAHMAN - TK AL-IKHLAS BERSAMA BAHITOM
1098 HAJIZAH SETIANA AULIA - TK AL-IKHLAS BERSAMA BAHITOM
1099 HILLIA RAISHA PAZA - TK AL-IKHLAS BERSAMA BAHITOM
1100 JEPIN - TK AL-IKHLAS BERSAMA BAHITOM
1101 KAYLA RASYA - TK AL-IKHLAS BERSAMA BAHITOM
1102 LEA ELSA ZAFAYLA - TK AL-IKHLAS BERSAMA BAHITOM
1103 LAILATUL FITRI - TK AL-IKHLAS BERSAMA BAHITOM
1104 LAILA INTAN SARI - TK AL-IKHLAS BERSAMA BAHITOM
1105 MUHAMMAD PASHA - TK AL-IKHLAS BERSAMA BAHITOM
1106 RAISA - TK AL-IKHLAS BERSAMA BAHITOM
1107 STEVIA SHANDRA - TK AL-IKHLAS BERSAMA BAHITOM
1108 TASYA RAMADHANI - TK AL-IKHLAS BERSAMA BAHITOM
1109 VIRA - TK AL-IKHLAS BERSAMA BAHITOM
1110 WIDIYA FITRI - TK AL-IKHLAS BERSAMA BAHITOM
1111 WIDYA NUR ASIFA - TK AL-IKHLAS BERSAMA BAHITOM
1112 RAFLI - TK AL-IKHLAS BERSAMA BAHITOM
1113 MUHAMAD JIMIATUL - TK AL-IKHLAS BERSAMA BAHITOM
1114 MUHAMMAD ARSYAD - TK AL-IKHLAS BERSAMA BAHITOM
1115 MUHAMMADKHAIRUL - TK AL-IKHLAS BERSAMA BAHITOM
1116 MEYRA AZAHRA PUTRI - TK AL-IKHLAS BERSAMA BAHITOM
1117 NUR PUJI ASTUTI - TK AL-IKHLAS BERSAMA BAHITOM
1118 NADIYA - TK AL-IKHLAS BERSAMA BAHITOM
1119 RESTY AUDIAH - TK AL-IKHLAS BERSAMA BAHITOM
1120 RAUDATUL KHASANAH - TK AL-IKHLAS BERSAMA BAHITOM
1121 RIZKI PEBRIAN - TK AL-IKHLAS BERSAMA BAHITOM
1122 RIZAL SAPUTRA - TK AL-IKHLAS BERSAMA BAHITOM
1123 ANNISA MEDATRANIA - TK HARAPAN BERSAMA BAHITOM
1124 ALIA INTAN SARI - TK HARAPAN BERSAMA BAHITOM
1125 AULIA NABILA - TK HARAPAN BERSAMA BAHITOM
1126 BILY APRILIANUR - TK HARAPAN BERSAMA BAHITOM
1127 CHAIRUNISA SALSABILA - TK HARAPAN BERSAMA BAHITOM
1128 DEWA BOY - TK HARAPAN BERSAMA BAHITOM
1129 DAFA IBNU HAFIZ - TK HARAPAN BERSAMA BAHITOM
1130 KHOFIFAH INDAH - TK HARAPAN BERSAMA BAHITOM
1131 MUHAMDA REZEKI - TK HARAPAN BERSAMA BAHITOM
1132 MONDY SAPUTRA - TK HARAPAN BERSAMA BAHITOM
1133 MUHAMAD NOOR SAPUTRA - TK HARAPAN BERSAMA BAHITOM
1134 MUHAMAD IRFAN - TK HARAPAN BERSAMA BAHITOM
1135 RITA - TK HARAPAN BERSAMA BAHITOM
1136 RAYSA BELA - TK HARAPAN BERSAMA BAHITOM
1137 RISKA SAPUTRI - TK HARAPAN BERSAMA BAHITOM
1138 REPA SUSANTI - TK HARAPAN BERSAMA BAHITOM
1139 SAID MUHAMMAD - TK HARAPAN BERSAMA BAHITOM
1140 SHOVIA SYIFA - TK HARAPAN BERSAMA BAHITOM
1141 SAID BAIM - TK HARAPAN BERSAMA BAHITOM
1142 APRIADI HAIKAL - TK HARAPAN BERSAMA BAHITOM
1143 AHMAD SAYYIDINA - TK HARAPAN BERSAMA BAHITOM
1144 AHMAD AL FAZAR - TK HARAPAN BERSAMA BAHITOM
1145 PEBY TANIA - TK HARAPAN BERSAMA BAHITOM
1146 AHMAD NOOR HAKIM - TK HARAPAN BERSAMA BAHITOM
1147 DZAKY - TK HARAPAN BERSAMA BAHITOM
1148 ABID AQILA PRANAJA ARIANTI TK TUNAS HARATI DANAU USUNG
1149 AHMAD BILLY WENY TK TUNAS HARATI DANAU USUNG
1150 AHMAD RAFA MAHRITA TK TUNAS HARATI DANAU USUNG
1151 AHMAD RAFATHAR MISNAWATI TK TUNAS HARATI DANAU USUNG
1152 AISYA ISABELLA NIA HUJANAH TK TUNAS HARATI DANAU USUNG
1153 ALYA MAGHFIRA HERNIATI TK TUNAS HARATI DANAU USUNG
1154 ARJUNA IRAWAN KULYATI TK TUNAS HARATI DANAU USUNG
1155 ARKAN DZAI ATTAHIRI WAHDANIAH TK TUNAS HARATI DANAU USUNG
1156 AZZKRANI ANINDA TK TUNAS HARATI DANAU USUNG
1157 BILKA NOVITA BULAN CICI LIANI TK TUNAS HARATI DANAU USUNG
1158 EKA YATI DINA TK TUNAS HARATI DANAU USUNG
1159 HALIFAH LIMAH TK TUNAS HARATI DANAU USUNG
1160 KIRANI DEWI TK TUNAS HARATI DANAU USUNG
1161 LUBNA ASSYIFA MIRA SANTIKA TK TUNAS HARATI DANAU USUNG
1162 MIFTAHUL KHAIR IRA TK TUNAS HARATI DANAU USUNG
1163 MUHAMMAD SYAUQIRRAHMAN NORTIVIAH TK TUNAS HARATI DANAU USUNG
1164 MUTIARA SILVI ILA WATI TK TUNAS HARATI DANAU USUNG
1165 NAURIL AL BIANOR NORHAYATI TK TUNAS HARATI DANAU USUNG
1166 NI DHRAMA GISANDYA KASMAWATI TK TUNAS HARATI DANAU USUNG
1167 NUR MESA NUR JATI TK TUNAS HARATI DANAU USUNG
1168 RAAFHI AYYUBI NUR AUFAA LISA KARMILA TK TUNAS HARATI DANAU USUNG
1169 RAFA ABIJAR MAULANA ETY YULI SERYANI TK TUNAS HARATI DANAU USUNG
1170 RAJWA AQILAH MISNAWATI TK TUNAS HARATI DANAU USUNG
1171 RATIH AMALLIA SUMARTI TK TUNAS HARATI DANAU USUNG
1172 RIEF ANAQIE PRANAZA BELLA PRAMUDIA ANGGRAINI TK TUNAS HARATI DANAU USUNG
1173 RIKI NORAIDA TK TUNAS HARATI DANAU USUNG
1174 SABILA PUTRI ALORA SUSANTI TK TUNAS HARATI DANAU USUNG
1175 SALIM IRAWAN MISDAU WATI TK TUNAS HARATI DANAU USUNG
1176 WANDA ILMI HIDAYAH HANI TK TUNAS HARATI DANAU USUNG
1177 WILDIE.F IBING TK TUNAS HARATI DANAU USUNG
1178 YAMIN MAHATI TK TUNAS HARATI DANAU USUNG
1179 YOGI PIRNANDO SAPUTRA DIAMAH TK TUNAS HARATI DANAU USUNG
1180 YULIA PUTRI HATMAH TK TUNAS HARATI DANAU USUNG
1181 ZULFA SHAFA LUTHFIA NURLAILA TK TUNAS HARATI DANAU USUNG

TOTAL
TOTAL VIAL VAKSIN (Jumlah Vial = Jumlah Total Sasaran/IP Vaksin)
AN IMUNISASI CAMPAK RUBELLA USIA 5 - 15 TAHUN

Desa/Kelurahan : KEL.PCS, DANAU USUNG,BAHITOM,UPT.BAHITOM,SEMPANGO, MUARA SUMPOI

Nama Sekolah :SDN PCS-1, SDN PCS-2,SDN PCS-3, SDN DANAU USUNG-1, SDN BAHITOM-1,SDN BAHITOM-2,SDN BAHITOM-3
SDN M.SUMPOI-1 MIS BAHITOM

Apakah anak Apakah anak merupakan sasaran Imunisasi Tambahan

Campak Rubella (Ya=1, Tidak = 0)
mendapatkan ORI
Tanggal Lahir Umur (tahun) Campak Rubela
sejak Januari 2022 Usia 5 - <7 thn Usia 7-<12 thn Usia 12 -<15 thn
(Ya =1, Tidak=0) (Ya=1, Tidak=0) (Ya=1, Tidak=0) (bagi 5 Prov.)
(Ya=1, Tidak=0)
07/04/2015 7 0 0 1 0
09/04/2015 7 0 0 1 0
13/01/2015 #VALUE! 0 0 1 0
28/04/2014 #VALUE! 0 0 1 0
14/03/2015 #VALUE! 0 0 1 0
15/06/2015 #VALUE! 0 0 1 0
07/12/2014 8 0 0 1 0
11/11/2014 8 0 0 1 0
20/02/2014 #VALUE! 0 0 1 0
16/04/2015 #VALUE! 0 0 1 0
12/04/2015 7 0 0 1 0
23/04/2014 #VALUE! 0 0 1 0
16/02/2015 #VALUE! 0 0 1 0
09/02/2015 7 0 0 1 0
17/04/2014 #VALUE! 0 0 1 0
06/05/2014 8 0 0 1 0
16/07/2015 #VALUE! 0 0 1 0
16/11/2013 #VALUE! 0 0 1 0
13/09/2014 #VALUE! 0 0 1 0
27/09/2014 #VALUE! 0 0 1 0
29/03/2014 #VALUE! 0 0 1 0
26/06/2014 #VALUE! 0 0 1 0
17/09/2014 #VALUE! 0 0 1 0
09/11/2013 9 0 0 1 0
17/03/2014 #VALUE! 0 0 1 0
07/04/2015 7 0 0 1 0
22/12/2014 #VALUE! 0 0 1 0
06/03/2013 9 0 0 1 0
06/08/2014 8 0 0 1 0
28/01/2014 #VALUE! 0 0 1 0
25/10/2013 #VALUE! 0 0 1 0
03/12/2013 9 0 0 1 0
03/02/2013 9 0 0 1 0
19/06/2013 #VALUE! 0 0 1 0
14/03/2013 #VALUE! 0 0 1 0
10/02/2014 8 0 0 1 0
03/02/2014 8 0 0 1 0
03/12/2013 9 0 0 1 0
10/05/2013 9 0 0 1 0
16/11/2013 #VALUE! 0 0 1 0
19/03/2014 #VALUE! 0 0 1 0
29/05/2013 #VALUE! 0 0 1 0
25/12/2013 #VALUE! 0 0 1 0
26/05/2013 #VALUE! 0 0 1 0
06/06/2012 10 0 0 1 0
18/12/2013 #VALUE! 0 0 1 0
07/08/2013 9 0 0 1 0
04/07/2014 8 0 0 1 0
17/07/2013 #VALUE! 0 0 1 0
17/08/2013 #VALUE! 0 0 1 0
28/05/2013 #VALUE! 0 0 1 0
11/06/2013 9 0 0 1 0
30/06/2014 #VALUE! 0 0 1 0
23/06/2013 #VALUE! 0 0 1 0
15/06/2013 #VALUE! 0 0 1 0
09/12/2012 10 0 0 1 0
26/12/2012 #VALUE! 0 0 1 0
25/02/2012 #VALUE! 0 0 1 0
14/11/2011 #VALUE! 0 0 1 0
09/06/2013 9 0 0 1 0
13/10/2012 #VALUE! 0 0 1 0
09/09/2012 10 0 0 1 0
04/01/2013 9 0 0 1 0
01/09/2013 9 0 0 1 0
08/12/2012 10 0 0 1 0
25/11/2012 #VALUE! 0 0 1 0
07/03/2013 9 0 0 1 0
05/08/2012 10 0 0 1 0
22/12/2012 #VALUE! 0 0 1 0
19/08/2013 #VALUE! 0 0 1 0
01/10/2012 10 0 0 1 0
10/06/2013 9 0 0 1 0
18/11/2012 #VALUE! 0 0 1 0
21/08/2012 #VALUE! 0 0 1 0
15/01/2013 #VALUE! 0 0 1 0
03/03/2013 9 0 0 1 0
30/03/2012 #VALUE! 0 0 1 0
25/03/2012 #VALUE! 0 0 1 0
19/06/2012 #VALUE! 0 0 1 0
21/06/2011 #VALUE! 0 0 1 0
05/05/2012 10 0 0 1 0
04/05/2012 10 0 0 1 0
22/04/2012 #VALUE! 0 0 1 0
30/04/2012 #VALUE! 0 0 1 0
20/06/2011 #VALUE! 0 0 1 0
23/03/2012 #VALUE! 0 0 1 0
07/06/2011 11 0 0 1 0
30/12/2011 #VALUE! 0 0 1 0
06/01/2012 10 0 0 1 0
24/07/2012 #VALUE! 0 0 1 0
16/09/2011 #VALUE! 0 0 1 0
12/01/2012 10 0 0 1 0
23/09/2011 #VALUE! 0 0 1 0
11/02/2012 10 0 0 1 0
27/11/2011 #VALUE! 0 0 1 0
27/05/2011 #VALUE! 0 0 1 0
08/10/2010 12 0 0 1 0
12/10/2011 11 0 0 1 0
29/01/2012 #VALUE! 0 0 1 0
08/06/2012 10 0 0 1 0
11/03/2012 10 0 0 1 0
04/09/2011 11 0 0 1 0
24/05/2011 #VALUE! 0 0 1 0
04/05/2011 11 0 0 1 0
15/03/2010 #VALUE! 0 0 1 0
11/02/2011 11 0 0 1 0
29/01/2011 #VALUE! 0 0 1 0
21/06/2010 #VALUE! 0 0 1 0
18/11/2011 #VALUE! 0 0 1 0
15/01/2011 #VALUE! 0 0 1 0
10/04/2011 11 0 0 1 0
27/11/2010 #VALUE! 0 0 1 0
17/11/2010 #VALUE! 0 0 1 0
18/03/2011 #VALUE! 0 0 1 0
06/06/2011 11 0 0 1 0
19/03/2010 #VALUE! 0 0 1 0
10/10/2010 12 0 0 1 0
03/03/2011 11 0 0 1 0
03/11/2010 12 0 0 1 0
03/01/2010 12 0 0 1 0
12/03/2011 11 0 0 1 0
26/01/2011 #VALUE! 0 0 1 0
13/02/2011 #VALUE! 0 0 1 0
18/04/2011 #VALUE! 0 0 1 0
24/12/2010 #VALUE! 0 0 1 0
04/09/2011 11 0 0 1 0
19/11/2011 #VALUE! 0 0 1 0
16/07/2011 #VALUE! 0 0 1 0
20/05/2011 #VALUE! 0 0 1 0
29/04/2010 #VALUE! 0 0 1 0
01/04/2011 11 0 0 1 0
12/03/2011 11 0 0 1 0
16/08/2010 #VALUE! 0 0 1 0
10/12/2011 11 0 0 1 0
15/01/2010 #VALUE! 0 0 1 0
26/11/2009 #VALUE! 0 0 1 0
25/08/2010 #VALUE! 0 0 1 0
26/07/2010 #VALUE! 0 0 1 0
17/01/2010 #VALUE! 0 0 1 0
21/04/2010 #VALUE! 0 0 1 0
22/09/2010 #VALUE! 0 0 1 0
28/05/2010 #VALUE! 0 0 1 0
14/01/2010 #VALUE! 0 0 1 0
19/02/2010 #VALUE! 0 0 1 0
04/11/2010 12 0 0 1 0
09/06/2010 12 0 0 1 0
12/12/2009 13 0 0 1 0
19/04/2010 #VALUE! 0 0 1 0
15/11/2010 #VALUE! 0 0 1 0
18/06/2010 #VALUE! 0 0 1 0
01/01/2010 12 0 0 1 0
04/10/2010 12 0 0 1 0
05/05/2010 12 0 0 1 0
2/22/2013 9 0 0 1 0
9/9/2013 9 0 0 1 0
11/10/2014 8 0 0 1 0
11/18/2014 8 0 0 1 0
11/11/2014 8 0 0 1 0
4/21/2015 7 0 0 1 0
2/3/2015 7 0 0 1 0
3/6/2015 7 0 0 1 0
5/15/2014 8 0 0 1 0
7/25/2015 7 0 0 1 0
12/18/2014 7 0 0 1 0
1/25/2015 7 0 0 1 0
1/28/2015 7 0 0 1 0
3/21/2015 7 0 0 1 0
7/22/2014 8 0 0 1 0
1/28/2013 9 0 0 1 0
11/7/2011 11 0 0 1 0
7/1/2013 9 0 0 1 0
1/8/2014 8 0 0 1 0
3/18/2014 8 0 0 1 0
9/12/2014 8 0 0 1 0
7/21/2014 8 0 0 1 0
3/11/2014 8 0 0 1 0
8/23/2014 8 0 0 1 0
2/27/2014 8 0 0 1 0
8/30/2014 8 0 0 1 0
6/23/2011 11 0 0 1 0
4/18/2012 10 0 0 1 0
7/31/2012 10 0 0 1 0
5/30/2013 9 0 0 1 0
12/18/2012 9 0 0 1 0
4/29/2013 9 0 0 1 0
3/17/2013 9 0 0 1 0
6/9/2013 9 0 0 1 0
5/15/2013 9 0 0 1 0
10/21/2012 10 0 0 1 0
12/5/2012 10 0 0 1 0
9/22/2012 10 0 0 1 0
9/8/2012 10 0 0 1 0
8/11/2010 12 0 0 1 0
8/26/2013 9 0 0 1 0
6/10/2011 11 0 0 1 0
2/5/2013 9 0 0 1 0
2/16/2013 9 0 0 1 0
8/5/2011 11 0 0 1 0
9/16/2011 11 0 0 1 0
3/25/2012 10 0 0 1 0
10/6/2011 11 0 0 1 0
2/10/2012 10 0 0 1 0
6/8/2012 10 0 0 1 0
8/15/2012 10 0 0 1 0
12/3/2011 11 0 0 1 0
10/27/2011 11 0 0 1 0
6/14/2012 10 0 0 1 0
1/21/2012 10 0 0 1 0
3/9/2012 10 0 0 1 0
12/4/2010 12 0 0 1 0
5/19/2010 12 0 0 1 0
10/19/2010 12 0 0 1 0
5/25/2011 11 0 0 1 0
10/5/2010 12 0 0 1 0
6/15/2010 12 0 0 1 0
11/17/2010 12 0 0 1 0
11/17/2010 12 0 0 1 0
2/13/2011 11 0 0 1 0
3/20/2010 12 0 0 1 0
11/27/2009 13 0 0 1 0
12/29/2009 12 0 0 1 0
1/1/2010 12 0 0 1 0
1/9/2010 12 0 0 1 0
1/4/2010 12 0 0 1 0
1/29/2010 12 0 0 1 0
2/10/2010 12 0 0 1 0
2/18/2010 12 0 0 1 0
3/1/2010 12 0 0 1 0
3/22/2010 12 0 0 1 0
4/8/2010 12 0 0 1 0
1/1/2010 12 0 0 1 0
10/27/2010 12 0 0 1 0
10/30/2010 12 0 0 1 0
15/01/2011 #VALUE! 0 0 1 0
08/05/2010 12 0 0 1 0
18/02/2011 #VALUE! 0 0 1 0
07/01/2012 10 0 0 1 0
12/02/2014 8 0 0 1 0
09/02/2013 9 0 0 1 0
31/10/2014 #VALUE! 0 0 1 0
01/04/2014 8 0 0 1 0
24/10/2014 #VALUE! 0 0 1 0
10/11/2011 11 0 0 1 0
24/04/2012 #VALUE! 0 0 1 0
13/01/2010 #VALUE! 0 0 1 0
07/01/2011 11 0 0 1 0
27/02/2015 #VALUE! 0 0 1 0
07/02/2013 9 0 0 1 0
03/03/2013 9 0 0 1 0
11/10/2011 11 0 0 1 0
06/12/2012 10 0 0 1 0
06/04/2010 12 0 0 1 0
28/08/2012 #VALUE! 0 0 1 0
23/03/2012 #VALUE! 0 0 1 0
10/12/2010 12 0 0 1 0
15/12/2013 #VALUE! 0 0 1 0
10/01/2012 10 0 0 1 0
02/02/2010 12 0 0 1 0
07/01/2011 11 0 0 1 0
29/06/2015 #VALUE! 0 0 1 0
08/07/2014 8 0 0 1 0
16/02/2014 #VALUE! 0 0 1 0
12/01/2013 9 0 0 1 0
20/10/2013 #VALUE! 0 0 1 0
09/02/2010 12 0 0 1 0
30/01/2013 #VALUE! 0 0 1 0
08/09/2010 12 0 0 1 0
12/03/2012 10 0 0 1 0
11/07/2011 11 0 0 1 0
18/08/2011 #VALUE! 0 0 1 0
15/09/2010 #VALUE! 0 0 1 0
27/10/2013 #VALUE! 0 0 1 0
01/06/2014 8 0 0 1 0
13/08/2014 #VALUE! 0 0 1 0
06/08/2011 11 0 0 1 0
06/09/2011 11 0 0 1 0
04/05/2015 7 0 0 1 0
23/02/2013 #VALUE! 0 0 1 0
26/12/2012 #VALUE! 0 0 1 0
05/07/2012 10 0 0 1 0
03/08/2013 9 0 0 1 0
16/07/2012 #VALUE! 0 0 1 0
10/01/2015 7 0 0 1 0
02/10/2014 8 0 0 1 0
24/07/2014 #VALUE! 0 0 1 0
21/06/2010 #VALUE! 0 0 1 0
29/05/2013 #VALUE! 0 0 1 0
11/05/2014 8 0 0 1 0
27/09/2012 #VALUE! 0 0 1 0
16/01/2012 #VALUE! 0 0 1 0
30/05/2012 #VALUE! 0 0 1 0
23/08/2011 #VALUE! 0 0 1 0
01/11/2011 11 0 0 1 0
14/09/2014 #VALUE! 0 0 1 0
25/11/2011 #VALUE! 0 0 1 0
04/10/2011 11 0 0 1 0
16/02/2015 #VALUE! 0 0 1 0
19/09/2011 #VALUE! 0 0 1 0
27/12/2012 #VALUE! 0 0 1 0
29/02/2012 #VALUE! 0 0 1 0
19/06/2015 #VALUE! 0 0 1 0
27/07/2011 #VALUE! 0 0 1 0
12/10/2010 12 0 0 1 0
18/02/2010 #VALUE! 0 0 1 0
22/03/2011 #VALUE! 0 0 1 0
03/05/2010 12 0 0 1 0
01/02/2013 9 0 0 1 0
10/08/2011 11 0 0 1 0
30/09/2010 #VALUE! 0 0 1 0
02/11/2010 12 0 0 1 0
29/08/2014 #VALUE! 0 0 1 0
21/08/2010 #VALUE! 0 0 1 0
04/08/2012 10 0 0 1 0
08/10/2014 8 0 0 1 0
10/07/2012 10 0 0 1 0
10/09/2012 10 0 0 1 0
17/03/2011 #VALUE! 0 0 1 0
03/01/2012 10 0 0 1 0
30/08/2014 #VALUE! 0 0 1 0
01/02/2011 11 0 0 1 0
29/07/2014 #VALUE! 0 0 1 0
03/06/2010 12 0 0 1 0
25/06/2011 #VALUE! 0 0 1 0
07/08/2012 10 0 0 1 0
01/02/2013 9 0 0 1 0
16/10/2014 #VALUE! 0 0 1 0
13/02/2013 #VALUE! 0 0 1 0
19/07/2014 #VALUE! 0 0 1 0
03/04/2014 8 0 0 1 0
02/10/2015 7 0 0 1 0
14/04/2013 #VALUE! 0 0 1 0
13/03/2014 #VALUE! 0 0 1 0
19/04/2015 #VALUE! 0 0 1 0
05/06/2015 7 0 0 1 0
05/12/2012 10 0 0 1 0
07/03/2013 9 0 0 1 0
04/07/2014 8 0 0 1 0
03/02/2014 8 0 0 1 0
24/12/2014 #VALUE! 0 0 1 0
10/10/2014 8 0 0 1 0
24/04/2014 #VALUE! 0 0 1 0
13/07/2014 #VALUE! 0 0 1 0
24/06/2014 #VALUE! 0 0 1 0
25/08/2014 #VALUE! 0 0 1 0
05/10/2014 8 0 0 1 0
05/06/2014 8 0 0 1 0
28/10/2015 #VALUE! 0 0 1 0
08/05/2015 7 0 0 1 0
03/04/2014 8 0 0 1 0
03/02/2015 7 0 0 1 0
27/08/2014 #VALUE! 0 0 1 0
12/04/2013 9 0 0 1 0
30/10/2014 #VALUE! 0 0 1 0
01/12/2014 8 0 0 1 0
13/02/2015 #VALUE! 0 0 1 0
01/06/2014 8 0 0 1 0
11/05/2014 8 0 0 1 0
11/03/2014 8 0 0 1 0
15/12/2013 #VALUE! 0 0 1 0
20/03/2015 #VALUE! 0 0 1 0
08/04/2015 7 0 0 1 0
20/10/2014 #VALUE! 0 0 1 0
12/10/2014 8 0 0 1 0
04/10/2014 8 0 0 1 0
18/02/2015 #VALUE! 0 0 1 0
23/05/2013 #VALUE! 0 0 1 0
17/07/2013 #VALUE! 0 0 1 0
15/10/2013 #VALUE! 0 0 1 0
05/04/2013 9 0 0 1 0
27/04/2014 #VALUE! 0 0 1 0
10/11/2013 9 0 0 1 0
25/01/2014 #VALUE! 0 0 1 0
21/05/2014 #VALUE! 0 0 1 0
11/06/2014 8 0 0 1 0
13/01/2014 #VALUE! 0 0 1 0
15/12/2013 #VALUE! 0 0 1 0
6/20/2012 10 0 0 1 0
28/05/2014 #VALUE! 0 0 1 0
10/09/2013 9 0 0 1 0
01/10/2014 8 0 0 1 0
14/06/2014 #VALUE! 0 0 1 0
24/05/2014 #VALUE! 0 0 1 0
09/06/2014 8 0 0 1 0
05/12/2012 10 0 0 1 0
24/06/2014 #VALUE! 0 0 1 0
08/05/2013 9 0 0 1 0
24/05/2014 #VALUE! 0 0 1 0
13/12/2013 #VALUE! 0 0 1 0
09/01/2014 8 0 0 1 0
18/08/2013 #VALUE! 0 0 1 0
20/12/2013 #VALUE! 0 0 1 0
20/06/2012 #VALUE! 0 0 1 0
22/01/2012 #VALUE! 0 0 1 0
04/04/2013 9 0 0 1 0
25/01/2013 #VALUE! 0 0 1 0
02/09/2013 9 0 0 1 0
07/07/2012 10 0 0 1 0
06/01/2013 9 0 0 1 0
09/03/2012 10 0 0 1 0
20/01/2013 #VALUE! 0 0 1 0
26/06/2013 #VALUE! 0 0 1 0
07/02/2013 9 0 0 1 0
05/02/2012 10 0 0 1 0
03/10/2011 11 0 0 1 0
01/09/2013 9 0 0 1 0
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10/17/2015 7 0 0 1 0
4/16/2016 6 0 1 0 0
6/25/2017 5 0 1 0 0
5/12/2016 6 0 1 0 0
10/18/2016 6 0 1 0 0
8/27/2015 7 0 0 1 0
5/15/2016 6 0 1 0 0
5/11/2016 6 0 1 0 0
6/5/2016 6 0 1 0 0
1/5/2015 7 0 0 1 0
7/10/2015 7 0 0 1 0
9/9/2016 6 0 1 0 0
5/26/2016 6 0 1 0 0
1/11/2016 6 0 1 0 0
4/27/2017 5 0 1 0 0
5/6/2017 5 0 1 0 0
3/16/2015 7 0 0 1 0
11/10/2015 7 0 0 1 0
4/11/2016 6 0 1 0 0
11/3/2015 7 0 0 1 0
7/23/2015 7 0 0 1 0
4/27/2016 6 0 1 0 0
2/12/2017 5 0 1 0 0
5/28/2016 6 0 1 0 0
5/8/2015 7 0 0 1 0
6/23/2016 6 0 1 0 0
11/8/2016 6 0 1 0 0
5/20/2016 6 0 1 0 0
8/9/2015 7 0 0 1 0
3/5/2017 5 0 1 0 0
6/16/2016 6 0 1 0 0
3/22/2018 4 0 1 0 0
11/7/2018 4 0 1 0 0
12/13/2017 5 0 1 0 0
7/24/2018 4 0 1 0 0
12/20/2016 5 0 1 0 0
4/24/2016 6 0 1 0 0
2/12/2017 5 0 1 0 0
6/27/2017 5 0 1 0 0
3/24/2017 5 0 1 0 0
4/17/2016 6 0 1 0 0
6/15/2016 6 0 1 0 0
2/2/2017 5 0 1 0 0
6/23/2016 6 0 1 0 0
9/18/2016 6 0 1 0 0
9/18/2016 6 0 1 0 0
2/16/2017 5 0 1 0 0
11/3/2016 6 0 1 0 0
7/20/2016 6 0 1 0 0
1/8/2017 5 0 1 0 0
7/7/2016 6 0 1 0 0
9/25/2016 6 0 1 0 0
10/7/2016 6 0 1 0 0
2/26/2017 5 0 1 0 0
9/5/2016 6 0 1 0 0
6/8/2017 5 0 1 0 0
5/19/2017 5 0 1 0 0
7/7/2016 6 0 1 0 0
2/28/2017 5 0 1 0 0
11/15/2015 7 0 0 1 0
11/7/2015 7 0 0 1 0
12/23/2016 5 0 1 0 0
12/9/2015 7 0 1 0 0
5/9/2016 6 0 1 0 0
6/20/2016 6 0 1 0 0
10/20/2016 6 0 1 0 0
9/19/2016 6 0 1 0 0
5/10/2017 5 0 1 0 0
11/22/2016 6 0 1 0 0
10/31/2016 6 0 1 0 0
10/6/2015 7 0 0 1 0
5/11/2015 7 0 0 1 0
3/2/2016 6 0 1 0 0
4/1/2016 6 0 1 0 0
11/10/2015 7 0 0 1 0
6/29/2015 7 0 0 1 0
123 0 0 1 0
5/8/2016 6 0 1 0 0
7/29/2015 7 0 0 1 0
3/27/2016 6 0 1 0 0
8/24/2015 7 0 0 1 0
11/8/2016 6 0 1 0 0
5/16/2015 7 0 0 1 0
2/25/2016 6 0 1 0 0
9/23/2016 6 0 1 0 0
3/11/2016 6 0 1 0 0
9/8/2015 7 0 0 1 0
5/30/2016 6 0 1 0 0
5/20/2015 7 0 0 1 0
3/11/2016 6 0 1 0 0
1/25/2016 6 0 1 0 0
3/13/2014 8 0 0 1 0
5/20/2016 6 0 1 0 0
10/23/2015 7 0 0 1 0
1/1/2016 6 0 1 0 0
11/06/2016 6 0 1 0 0
01/11/2015 7 0 0 1 0
15/12/2016 #VALUE! 0 1 0 0
27/11/2016 #VALUE! 0 1 0 0
30/08/2016 #VALUE! 0 1 0 0
24/04/2017 #VALUE! 0 1 0 0
19/10/2015 #VALUE! 0 0 1 0
28/03/2016 #VALUE! 0 1 0 0
04/10/2016 6 0 1 0 0
01/11/2015 7 0 0 1 0
01/07/2016 6 0 1 0 0
06/05/2017 5 0 1 0 0
08/11/2016 6 0 1 0 0
26/05/2016 #VALUE! 0 1 0 0
01/09/2016 6 0 1 0 0
14/05/2016 #VALUE! 0 1 0 0
25/08/2016 #VALUE! 0 1 0 0
05/09/2015 7 0 0 1 0
25/03/2015 #VALUE! 0 0 1 0
02/05/2016 6 0 1 0 0
04/10/2015 7 0 0 1 0
20/11/2015 #VALUE! 0 1 0 0
20/03/2015 #VALUE! 0 0 1 0
05/08/2016 6 0 1 0 0
02/12/2015 7 0 1 0 0
21/11/2016 #VALUE! 0 1 0 0
06/02/2017 5 0 1 0 0
23/02/2016 #VALUE! 0 1 0 0
13/06/2015 #VALUE! 0 0 1 0
11/11/2015 7 0 0 1 0
31/05/2015 #VALUE! 0 0 1 0
17/06/2015 #VALUE! 0 0 1 0
22/07/2016 #VALUE! 0 1 0 0
29/11/2016 #VALUE! 0 1 0 0

0 156 962 62
148

1118
157
1275
DN BAHITOM-2,SDN BAHITOM-3
FORMAT PENDATAAN KEBUTUHAN TENAGA DAN JADWAL PELAKSANAAN BULAN IMUNISASI ANAK NASIONAL
Provinsi : Kalimantan Tengah
Kabupaten : Murung Raya

No. Nama Puskesmas Nama Kelurahan Nama Tempat Pelaksanaan Imunisasi

1 Puruk Cahu Seberang PCS Posyandu Anyelir

SDN PCS-1
SDN PCS-2
SDN PCS-3
TK ABA 4
TK AL-FALAH 2
TK MELATI

BAHITOM Posyandu Abdi Jaya

SDN Bahitom-1
MIS Bahitom
TK HARAPAN BERSAMA
TK IKHLAS BERSAMA

DANAU USUNG Posyandu Kenanga

SDN Danau Usung-1
TK TUNAS HARATI
TK HARAPAN BANGSA

MUARA SUMPOI Posyandu Tunas Melati

SDN M.Sumpoi-1
TK AN NIDA 8

UPT.BAHITOM Posyandu Kasih Ibu

SDN Bahitom-2
TK HARAPAN BUNDA
SEMPANGO Posyandu Matahari
SDN Bahitom-3
TOTAL
UNISASI ANAK NASIONAL
Puskesmas : Puruk Cahu Seberang

Jumlah Sasaran Imunisasi Kejar Jumlah Sasaran Tambahan Campak Rubela

(Usia 12-59 bulan)

Usia 12 -<15 thn

OPV IPV DPT-HB-Hib Usia 9-59 bln Usia 5 - <7 thn Usia 7-<12 thn
(bagi 5 Prov.)
44 1
0 0 0 153
0 0 0 80
0 0 0 95
0 0 0 31 17
0 0 0 1 22 14
0 0 0 5 13

25 1
0 0 0 174
0 0 0 79
0 0 0 14 11
0 0 0 33 2

23 2
0 0 0 173
0 0 0 23 11
5

20
0 0 0 59
0 0 0 21 10

31 3
0 0 0 53
0 0 0 7 1
0 0 0 6 1
0 0 0 16
0 0 0 150 169 961 0
 Jumlah Kebutuhan Tenaga
Jumlah Total Daftar Nama Tim
Sasaran Pelaksana
Vaksinator Nakes lainnya Guru/Kader Supervisor

45 2 2 3 1 Belum
153 2 2 3 1 Belum
80 2 2 3 1 Belum
95 2 2 3 1 Belum
48 2 2 3 1 Belum
37 2 2 3 1 Belum
18 2 2 Belum

26 2 2 3 1 Belum
174 2 2 3 1 Belum
79 2 2 3 1 Belum
25 2 2 3 1 Belum
35 2 2 3 1 Belum

25 2 2 3 1 Belum
173 2 2 3 1 Belum
34 2 2 3 1 Belum
5 2 2 3 1 Belum

20 2 2 3 1 Belum
59 2 2 3 1 Belum
31 2 2 3 1 Belum

34 2 2 3 1 Belum
53 2 2 3 1 Belum
8 2 2 3 1 Belum
 7 2 2 3 1 Belum
16 2 2 3 1 Belum
1280
 Tanggal
Pelaksanaan
Layanan
KEBUTUHAN VIAL CAMPAK/MR
Belum 4.5 5
Belum 15.3 16
Belum 8 8
Belum 9.5 10
Belum 4.8 5
Belum 3.7 4
Belum 1.8 2

Belum 2.6 3
Belum 17.4 18
Belum 7.9 8
Belum 2.5 3
Belum 3.5 4

Belum 2.5 3
Belum 17.3 18
Belum 3.4 4
Belum 0.5 1

Belum 2 2
Belum 5.9 6
Belum 3.1 4

Belum 3.4 4
Belum 5.3 6
Belum 0.8 1
Belum 0.7 1
Belum 1.6 2
FORMAT PENDATAAN KEBUTUHAN LOGISTIK DAN COLD CHAIN

Nama Provinsi : Kalimantan Tengah

Nama Kabupaten : Murung Raya
Nama Puskesmas : Puruk Cahu Seberang

Nama Jumlah Kebutuhan Vaksin (Vial)

No. Nama Pos Pelayanan
Desa/Kelurahan
OPV IPV DPT-HB-Hib
PCS Posyandu Anyelir
SDN PCS-1 0 0 0
SDN PCS-2 0 0 0
SDN PCS-3 0 0 0
TK ABA 4 0 0 0
TK AL-FALAH 2 0 0 0
TK MELATI 0 0 0

BAHITOM Posyandu Abdi Jaya

SDN Bahitom-1 0 0 0
MIS Bahitom 0 0 0
TK HARAPAN BERSAMA 0 0 0
TK IKHLAS BERSAMA 0 0 0

DANAU USUNG Posyandu Kenanga

SDN Danau Usung-1 0 0 0
TK TUNAS HARATI 0 0 0
TK HARAPAN BANGSA 0 0 0

MUARA SUMPOI Posyandu Tunas Melati

SDN M.Sumpoi-1 0 0 0
TK AN NIDA 8 0 0 0

UPT.BAHITOM Posyandu Kasih Ibu

SDN Bahitom-2 0 0 0
TK HARAPAN BUNDA 0 0 0

SEMPANGO Posyandu Matahari

SDN Bahitom-3 0 0 0
TOTAL 0 0 0
tuhan Vaksin (Vial) Jumlah Kebutuhan Logistik

Campak Rubela Dropper Pelarut MR ADS 5 ml ADS 0.5 ml Safety box Pen Marker
5 5 6 46 1 1
16 0 16 17 155 1 1
8 0 8 9 81 1 1
10 0 10 11 96 1 1
5 0 5 6 49 1 1
4 0 4 5 38 1 1
2 0 2 3 19 1 1

3 3 4 27 1 1
18 0 18 19 176 1 1
8 0 8 9 80 1 1
3 0 3 4 26 1 1
4 0 4 5 36 1 1

3 3 4 26 1 1
18 0 18 19 175 1 1
4 0 4 5 35 1 1
1 0 1 2 6 1 1

2 2 3 21 1 1
6 0 6 7 60 1 1
4 0 4 5 32 1 1

4 4 5 35 1 1
6 0 6 7 54 1 1
1 0 1 2 9 1 1

1 1 2 8 1 1
2 0 2 3 17 1 1
138 0 138 162 1307 24 24
Jumlah Cold Chain Tersedia dan Berfungsi Jumlah Kebutuhan
Vaccine Carrier
Refrigerator Vaccine Carrier

1 3
4

2
 FORMAT JADWAL KEGIATAN PENDUKUNG PELAKSANAAN BIAN

Nama Waktu
No Nama Puskesmas Kegiatan yang Akan Dilaksanakan
Desa/Kelurahan Pelaksanaan

Pertemuan Kooridnasi dengan Kepala Sekolah May-22

Pertemuan dengan Kepala Desa, Kader May-22
Ds.Bahitom Orientasi Petugas Kesehatan May-22
Monitoring kebutuhan logistik May-22
Evaluasi Pelaksanaan BIAN May-22

Pertemuan Kooridnasi dengan Kepala Sekolah May-22

Pertemuan dengan Kepala Desa, Kader May-22
Ds.Danau Usung Orientasi Petugas Kesehatan May-22
Monitoring kebutuhan logistik May-22
Evaluasi Pelaksanaan BIAN May-22

Pertemuan Kooridnasi dengan Kepala Sekolah May-22

Pertemuan dengan Kepala Desa, Kader May-22
Ds.Muara Sumpoi Orientasi Petugas Kesehatan May-22
UPT.Puskesmas Puruk Cahu Seberang Monitoring kebutuhan logistik May-22
Evaluasi Pelaksanaan BIAN May-22

Pertemuan Kooridnasi dengan Kepala Sekolah May-22

Pertemuan dengan Kepala Desa, Kader May-22
Kel.PCS
Orientasi Petugas Kesehatan May-22
Monitoring kebutuhan logistik May-22
 Kel.PCS

Evaluasi Pelaksanaan BIAN May-22

Pertemuan Kooridnasi dengan Kepala Sekolah May-22

Pertemuan dengan Kepala Desa, Kader May-22
UPT. Bahitom Orientasi Petugas Kesehatan May-22
Monitoring kebutuhan logistik May-22
Evaluasi Pelaksanaan BIAN May-22

Pertemuan Kooridnasi dengan Kepala Sekolah May-22

Pertemuan dengan Kepala Desa, Kader May-22
Sempango Orientasi Petugas Kesehatan May-22
Monitoring kebutuhan logistik May-22
Evaluasi Pelaksanaan BIAN May-22
KUNG PELAKSANAAN BIAN

Tempat Pelaksanaan Sasaran Kegiatan Sumber Dana Penanggung Jawab Keg

Gedung Sekolah Kepala Sekolah/Guru

Kantor Kelurahan / Desa Kades/Kader
Gedung Puskesmas Nakes Belum ada YUHADI EFFENDI, S.Kep., Ns
Puskesmas Logistik
Puskesmas

Gedung Sekolah Kepala Sekolah/Guru

Kantor Kelurahan / Desa Kades/Kader
Gedung Puskesmas Nakes Belum ada YUHADI EFFENDI, S.Kep., Ns

Puskesmas Logistik
Puskesmas

Gedung Sekolah Kepala Sekolah/Guru

Kantor Kelurahan / Desa Kades/Kader
Gedung Puskesmas Nakes Belum ada YUHADI EFFENDI, S.Kep., Ns

Puskesmas Logistik
Puskesmas

Gedung Sekolah Kepala Sekolah/Guru

Kantor Kelurahan / Desa Lurah/Kader
Belum ada YUHADI EFFENDI, S.Kep., Ns
Gedung Puskesmas Nakes
Puskesmas Logistik
 Belum ada YUHADI EFFENDI, S.Kep., Ns

Puskesmas

Gedung Sekolah Kepala Sekolah/Guru

Kantor Kelurahan / Desa Kades/Kader
Gedung Puskesmas Nakes Belum ada YUHADI EFFENDI, S.Kep., Ns
Puskesmas Logistik
Puskesmas

Gedung Sekolah Kepala Sekolah/Guru

Kantor Kelurahan / Desa Kades/Kader
Gedung Puskesmas Nakes Belum ada YUHADI EFFENDI, S.Kep., Ns
Puskesmas Logistik
Puskesmas