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LAPORAN HASIL CAKUPAN IMUNISASI PUSKESMAS KALIKAJAR 1 BULAN JANUARI 2013

DPT - HB POLIO
JML H B < 7 hari BCG
Sasar
NO DESA 1 2 3 1 2 3
an
Bayi
L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L

1 Mangunrejo 41 4 2 6 14.6 1 2 3 7.3 3 3 6 14.6 2 2 4 9.8 1 2 3 7.3 1 2 3 7.3 3 3 6 14.6 2 2 4 9.8 1

2 Mungkung 24 2 2 4 16.7 2 0 2 8.3 1 0 1 4.2 0 0 0 0.0 1 0 1 4.2 2 0 2 8.3 1 0 1 4.2 0 0 0 0.0 1

3 Perboto 46 3 1 4 8.7 3 2 5 10.9 1 2 3 6.5 3 1 4 8.7 2 1 3 6.5 3 2 5 10.9 1 2 3 6.5 3 1 4 8.7 2

4 Kedalon 45 0 2 2 4.4 4 1 5 11.1 2 1 3 6.7 2 6 8 17.8 2 1 3 6.7 4 1 5 11.1 2 1 3 6.7 2 6 8 17.8 2

5 Rejosari 43 2 2 4 9.3 0 0 0 0.0 0 1 1 2.3 1 1 2 4.7 1 0 1 2.3 0 0 0 0.0 0 1 1 2.3 1 1 2 4.7 1

6 Kalikajar 80 3 6 9 11.3 6 5 11 13.8 6 4 10 12.5 5 2 7 8.8 4 2 6 7.5 6 5 11 13.8 6 4 10 32.0 5 2 7 8.8 4

7 Simbang 52 3 1 4 7.7 4 1 5 9.6 1 0 1 1.9 2 4 6 11.5 6 2 8 15.4 4 1 5 9.6 1 0 1 1.9 2 4 6 11.5 6

8 Karangduwur 36 5 2 7 19.4 1 0 1 2.8 2 3 5 13.9 3 2 5 13.9 4 2 6 16.7 1 0 1 2.8 2 3 5 13.9 3 2 5 13.9 4

9 Maduretno 90 2 0 2 2.2 2 2 4 4.4 2 2 4 4.4 2 0 2 2.2 1 3 4 4.4 2 2 4 4.4 2 2 4 4.4 2 0 2 2.2 1

JML BULAN INI 457 24 18 42 9.2 23 13 36 7.9 18 16 34 7.4 20 18 38 8.3 22 13 35 7.7 23 13 36 7.9 18 16 34 7.4 20 18 38 8.3 22

KOM. BULAN LALU

KOM. BULAN INI 457 24 18 42 9.2 23 13 36 7.9 18 16 34 7.4 20 18 38 8.3 22 13 35 7.7 23 13 36 7.9 18 16 34 7.4 20 18 38 8.3 22

PEMANTAUAN VAKSIN HB BCG DPTHB POLIO CAMPAK WONOSOBO,

SISA VAKSIN BLN LALU 50 20 20 40 30 KASUS KIPI MENGETAHUI : PETUGAS IMUNISASI

DITERIMA BULAN INI 50 20 40 40 30 KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR

DIPAKAI BULAN INI 42 9 25 25 7

JML HASIL VAKSIN BULAN INI 42 36 107 143 30

IP VAKSIN 1.0 4.0 4.3 5.7 4.3

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LAPORAN HASIL CAKUPAN IMUNISASI PUSKESMAS KALIKAJAR 1 BULAN PEBRUARI 2013

DPT - HB POLIO
JML H B < 7 hari BCG
Sasar
NO DESA 1 2 3 1 2 3
an
Bayi
L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L

1 Mangunrejo 41 0 0 0 0.0 3 2 5 12.2 3 1 4 9.8 2 3 5 12.2 2 3 5 12.2 3 3 6 14.6 3 1 4 9.8 2 3 5 12.2 2

2 Mungkung 24 1 2 3 12.5 1 2 3 12.5 1 3 4 16.7 2 1 3 12.5 1 0 1 4.2 1 2 3 12.5 1 3 4 16.7 2 1 3 12.5 1

3 Perboto 46 0 0 0 0.0 1 2 3 6.5 0 1 1 2.2 1 3 4 8.7 1 0 1 2.2 1 2 3 6.5 0 1 1 2.2 1 3 4 8.7 1

4 Kedalon 45 0 0 0 0.0 0 2 2 4.4 1 0 1 2.2 2 2 4 8.9 2 3 5 11.1 0 2 2 4.4 1 0 1 2.2 2 2 4 8.9 2

5 Rejosari 43 0 2 2 4.7 1 1 2 4.7 1 1 2 4.7 2 1 3 7.0 4 0 4 9.3 1 0 1 2.3 1 1 2 4.7 2 1 3 7.0 4

6 Kalikajar 80 2 3 5 6.3 4 7 11 13.8 6 6 12 15.0 3 5 8 10.0 2 3 5 6.3 3 6 9 11.3 4 8 12 15.0 3 5 8 10.0 2

7 Simbang 52 1 0 1 1.9 3 2 5 9.6 5 4 9 17.3 2 1 3 5.8 4 2 6 11.5 3 2 5 9.6 5 4 9 17.3 2 1 3 5.8 4

8 Karangduwur 36 3 0 3 8.3 1 0 1 2.8 0 1 1 2.8 3 2 5 13.9 2 2 4 11.1 1 0 1 2.8 0 1 1 2.8 3 2 5 13.9 2

9 Maduretno 90 1 1 2 2.2 4 2 6 6.7 6 3 9 10.0 3 3 6 6.7 5 2 7 7.8 4 2 6 6.7 6 3 9 10.0 3 3 6 6.7 5

JML BULAN INI 457 8 8 16 3.5 18 20 38 8.3 23 20 43 9.4 20 21 41 9.0 23 15 38 8.3 17 19 36 7.9 21 22 43 9.4 20 21 41 9.0 23

KOM. BULAN LALU 457 24 18 42 9.2 23 13 36 7.9 18 16 34 7.4 20 18 38 8.3 22 13 35 7.7 23 13 36 7.9 18 16 34 7.4 20 18 38 8.3 22

KOM. BULAN INI 457 32 26 58 12.7 41 33 74 16.2 41 36 77 16.8 40 39 79 17.3 45 28 73 16.0 40 32 72 15.8 39 38 77 16.8 40 39 79 17.3 45

PEMANTAUAN VAKSIN HB BCG DPTHB POLIO CAMPAK KASUS KIPI WONOSOBO,

SISA VAKSIN BLN LALU 8 11 35 55 53 MENGETAHUI : PETUGAS IMUNISASI

DITERIMA BULAN INI 50 20 40 30 30 KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR

DIPAKAI BULAN INI 16 10 31 40 7

JML HASIL VAKSIN BULAN INI 16 38 122 143 35

IP VAKSIN 1.0 3.8 3.9 3.6 5.0

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LAPORAN HASIL CAKUPAN IMUNISASI PUSKESMAS KALIKAJAR 1 BULAN MARET 2013

DPT - HB POLIO
JML H B < 7 hari BCG
Sasar
NO DESA 1 2 3 1 2 3
an
Bayi
L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L

1 Mangunrejo 41 0 0 0 0.0 2 0 2 4.9 0 3 3 7.3 2 1 3 7.3 4 3 7 17.1 2 0 2 4.9 0 2 2 4.9 2 1 3 7.3 4

2 Mungkung 24 0 2 2 8.3 0 1 1 4.2 2 1 3 12.5 2 0 2 8.3 2 1 3 12.5 1 0 1 4.2 2 1 3 12.5 1 0 1 4.2 2

3 Perboto 46 1 5 6 13.0 0 2 2 4.3 2 2 4 8.7 0 0 0 0.0 3 1 4 8.7 0 2 2 4.3 3 2 5 10.9 0 0 0 0.0 3

4 Kedalon 45 1 2 3 6.7 0 0 0 0.0 4 2 6 13.3 1 0 1 2.2 2 3 5 11.1 0 0 0 0.0 4 2 6 13.3 1 0 1 2.2 2

5 Rejosari 43 0 1 1 2.3 1 3 4 9.3 4 3 7 16.3 1 2 3 7.0 1 4 5 11.6 1 2 3 7.0 3 3 6 14.0 1 2 3 7.0 1

6 Kalikajar 80 2 3 5 6.3 1 4 5 6.3 2 5 7 8.8 6 5 11 13.8 5 5 10 12.5 1 5 6 7.5 2 5 7 8.8 6 5 11 13.8 5

7 Simbang 52 1 1 2 3.8 1 0 1 1.9 2 1 3 5.8 4 2 6 11.5 3 2 5 9.6 1 0 1 1.9 2 1 3 5.8 4 2 6 11.5 3

8 Karangduwur 36 1 2 3 8.3 3 0 3 8.3 3 1 4 11.1 0 1 1 2.8 4 0 4 11.1 3 0 3 8.3 3 1 4 11.1 0 1 1 2.8 4

9 Maduretno 90 6 5 11 12.2 1 2 3 3.3 4 0 4 4.4 2 2 4 4.4 3 2 5 5.6 1 2 3 3.3 4 0 4 4.4 2 1 3 3.3 1

JML BULAN INI 457 12 21 33 7.2 9 12 21 4.6 23 18 41 9.0 18 13 31 6.8 27 21 48 10.5 10 11 21 4.6 23 17 40 8.8 17 12 29 6.3 25

KOM. BULAN LALU 457 32 26 58 12.7 41 33 74 16.2 41 36 77 16.8 40 39 79 17.3 45 28 73 16.0 40 32 72 15.8 39 38 77 16.8 40 39 79 17.3 45

KOM. BULAN INI 457 44 47 91 19.9 50 45 95 20.8 64 54 118 25.8 58 52 110 24.1 72 49 121 26.5 50 43 93 20.4 62 55 117 25.6 57 51 108 23.6 70

PEMANTAUAN VAKSIN HB BCG DPTHB POLIO CAMPAK KASUS KIPI WONOSOBO,

SISA VAKSIN BLN LALU 58 11 35 55 53 MENGETAHUI : PETUGAS IMUNISASI

DITERIMA BULAN INI 50 20 0 40 20 KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR

DIPAKAI BULAN INI 33 10 31 55 10

JML HASIL VAKSIN BULAN INI 33 21 120 136 34

IP VAKSIN 1.0 2.1 3.9 2.5 3.4

...3 2 1 3 12..4 0 0 0 0.3 1 1 2 8.3 4 6 10 12...1 27 19 46 10. ... BULAN INI 457 60 75 135 29...1 0 0 0 0..5 1 3 4 8.6 17 13 30 6..4 83 66 149 32....0 2 4 Kedalon 45 2 2 4 8.2 0 3 3 7..2 4 2 6 13..0 3 1 4 11.92 97 PEMANTAUAN VAKSIN HB BCG DPTHB POLIO CAMPAK KASUS KIPI WONOSOBO..3 3 1 4 9..8 .0 2 1 3 6.5 7 7 Simbang 52 2 6 8 15.....3 2 1 3 12...3 2 3 5 5..7 3 1 4 9.9 3 1 4 8.....6 2 1 3 7....6 5 2 7 13.7 2 2 4 8.3 1 0 1 2.5 2 0 2 8.6 2 8 Karangduwur 36 1 3 4 11...39 81 74 155 33.. LAPORAN HASIL CAKUPAN IMUNISASI PUSKESMAS KALIKAJAR 1 BULAN APRIL 2013 DPT ..6 19 12 31 6.6 7 2 9 10...0 1 1 2 4...6 19 12 31 6.6 3 2 5 9..5 3 0 3 12..0 2 3 5 6..3 3 2 Mungkung 24 0 1 1 4....5 7 9 16 20..0 3 2 5 12.1 72 49 121 26..3 4 6 10 12...91 81 67 148 32.8 24 23 47 10..2 0 3 3 7.6 2 3 5 9...0 3 2 5 12.0 3..6 7 JML BULAN INI 457 16 28 44 9.5 4 1 5 9.8 24 22 46 10..6 57 51 108 23...1 3 4 7 19. ...9 1 2 3 6. BULAN LALU 457 44 47 91 19.4 5 2 7 13.3 1 1 2 8.7 0 1 1 2.7 1 2 3 6..7 1 2 3 6..0 2 3 5 6.7 3 0 3 3.7 3 0 3 3..2 4 2 6 13.4 1 9 Maduretno 90 3 4 7 7..6 3 2 5 9..4 62 55 117 25.0 1 1 2 4..3 2 3 5 6.HB POLIO JML H B < 7 hari BCG Sasar NO DESA 1 2 3 1 2 3 an Bayi L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L 1 Mangunrejo 41 0 1 1 2.1 3 4 7 19....1 99 68 167 36.9 50 45 95 20....9 1 5 Rejosari 43 5 3 8 18.5 4 1 5 9..0 3.0 4 2 6 6.3 2 1 3 7...2 1 3 4 8..6 82 74 156 34.3 1 6 Kalikajar 80 1 3 4 5.6 70 KOM....6 2..2 2 0 2 8...3 2 3 5 6..0 3 1 4 11....3 27 KOM..8 4 2 6 6.8 3.3 2 3 5 5.54 67 56 123 26.4 1 1 2 5..8 0 0 0 0..8 64 54 118 25. SISA VAKSIN BULAN LALU 75 11 4 40 43 MENGETAHUI : PETUGAS IMUNISASI DITERIMA BULAN INI 0 20 30 40 20 KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI 44 10 32 42 11 JML HASIL VAKSIN BULAN INI 44 30 123 153 31 IP VAKSIN 1.9 3 0 3 6.5 50 43 93 20.5 67 58 125 27.7 0 1 1 2..7 3 1 4 9.7 2 2 4 8..5 3 3 Perboto 46 2 5 7 15..8 58 52 110 24..1 17 13 30 6.....6 0 0 0 0...

.8 21 19 40 8..1 6 5 11 12. BULAN INI 457 82 101 183 40.....7 0 1 1 2..8 0 2 2 2.0 93 83 176 38.2 1 4 Kedalon 45 4 3 7 15..2 1 1 2 4..4 95 80 175 38.2 2 1 3 12.3 0 2 2 2..2 2 1 3 6.9 81 67 148 32.9 4 2 6 16.9 5 1 6 13.2 2 0 2 8.1 99 68 167 36.2 7 3 10 11.. .6 82 74 156 34.7 1 3 4 7..5 1 3 4 7.6 5 1 6 13..2 2 1 3 12.7 3 1 4 8..3 3 1 4 9.6 2 8 Karangduwur 36 1 4 5 13.......6 2 2 4 7...8 1 2 3 3.3 1 0 1 4.9 118 PEMANTAUAN VAKSIN HB BCG DPTHB POLIO CAMPAK KASUS KIPI WONOSOBO...5 1 0 1 4.0 2 6 Kalikajar 80 5 5 10 12...7 0 1 1 2......5 26 25 51 11..2 2 1 3 6...3 107 89 196 42....0 3 4 7 16.3 107 89 196 42.8 2 0 2 4..4 1 3 4 8..7 25 15 40 8....3 1 0 1 2..3 2 3 Perboto 46 2 3 5 10.7 1 0 1 1.7 1 0 1 1.0 21 KOM...5 1 1 2 8.8 25 23 48 10......0 2 4 6 14...9 3 2 5 12.9 26 15 41 9...5 3 4 7 8.5 0 2 2 2.....3 0 1 1 4.7 2 1 3 7...0 3 4 7 16....5 14 13 27 5...HB POLIO JML H B < 7 hari BCG Sasar NO DESA 1 2 3 1 2 3 an Bayi L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L 1 Mangunrejo 41 3 0 3 7.6 3 2 5 13.9 3 5 8 17..2 7 4 11 12.7 2 3 5 13....9 97 KOM.3 92 79 171 37.5 67 56 123 26..8 2 0 2 4..9 4 1 5 9.7 3 5 Rejosari 43 2 1 3 7.4 1 3 4 8... BULAN LALU 457 60 75 135 29..2 0 2 Mungkung 24 0 2 2 8...7 2 1 3 7..5 3 4 7 8.7 7 4 11 12... .. LAPORAN HASIL CAKUPAN IMUNISASI PUSKESMAS KALIKAJAR 1 BULAN MEI 2013 DPT .2 14 12 26 5.9 4 1 5 9.3 3 5 8 17.1 6 JML BULAN INI 457 22 26 48 10.9 120 87 207 45.9 0 2 2 5..5 97 78 175 38..3 0 2 2 4.8 1 7 Simbang 52 2 5 7 13.3 0 2 2 4...4 83 66 149 32...6 3 2 5 13..9 0 2 2 5.1 8 2 10 11..5 67 58 125 27...4 81 74 155 33... SISA VAKSIN BULAN LALU 31 21 2 38 52 MENGETAHUI : PETUGAS IMUNISASI DITERIMA BULAN INI 50 20 30 30 30 KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI 48 17 27 32 9 ....9 4 9 Maduretno 90 3 3 6 6.5 1 4 5 6.3 1 0 1 2.9 2 3 5 13.1 8 2 10 11...2 0 1 1 2..4 3 1 4 9.9 3 2 5 12..2 7 3 10 11.

3 4 4 8 22.7 5 5 10 11.5 23 31 54 11.4 1 4 5 11.7 4 4 8 18..0 0 2 2 2..6 5 1 6 11.9 3 0 3 7.1 0...7 4 6 Kalikajar 80 8 0 8 10....6 2 4 6 14..2 114 106 220 48..... SISA VAKSIN BULAN LALU 75 30 50 80 60 MENGETAHUI : PETUGAS IMUNISASI .1 0 2 2 4...3 4 4 8 22.....7 5 5 10 11.5 1 0 1 1.5 97 78 175 38....8 19 24 43 9....3 0 0 0 0.4 95 80 175 38..5 1 0 1 1....3 0 2 2 8.3 2 6 8 10.3 2 1 3 6...3 23 31 54 11.... ...1 0 2 2 4.2 ..7 0 1 1 4.1 2 5 7 7..HB POLIO JML H B < 7 hari BCG Sasar NO DESA 1 2 3 1 2 3 an Bayi L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L 1 Mangunrejo 41 1 3 4 9.6 3 3 6 6.9 2 0 2 3.5 1 4 5 10.8 14 16 30 6.6 115 110 225 49.6 5 1 6 11.8 0 2 2 4..0 0 2 2 4.3 107 89 196 42..1 0.9 120 87 207 45.9 3 0 3 7.9 4 8 12 33... BULAN LALU 457 82 101 183 40.4 1 1 2 4...4 14 18 32 7..3 92 79 171 37..0 7 6 13 16...8 19 26 45 9.7 0 2 2 4.9 118 KOM......7 4 2 6 6.3 116 102 218 47..5 5 7 Simbang 52 2 1 3 5.6 2 4 6 14.4 1 1 2 4........2 1 1 2 8...JML HASIL VAKSIN BULAN INI 48 51 106 156 41 IP VAKSIN 1 0..0 1 3 4 16. LAPORAN HASIL CAKUPAN IMUNISASI PUSKESMAS KALIKAJAR 1 BULAN JUNI 2013 DPT .7 4 2 6 6.....0 93 83 176 38.4 0 5 Rejosari 43 3 2 5 11.3 2 2 4 9.9 4 8 12 33.3 2 2 Mungkung 24 1 0 1 4.9 1 3 4 8.6 18 KOM.0 2 1 3 6.1 121 105 226 49...1 0.3 2 6 8 10.1 3 2 5 13.9 1 1 2 4.. BULAN INI 457 104 118 222 48.4 1 4 5 11.8 3 3 6 6..8 3 2 5 9......3 0 3 Perboto 46 4 2 6 13..2 2 2 4 11.4 1 1 2 4.0 20 18 38 8.1 2 JML BULAN INI 457 22 17 39 8...9 1 1 2 4.......9 1 3 4 8.0 0 2 2 2.2 2 2 4 11.5 6 1 7 8.....6 116 114 230 50..5 1 4 5 10.9 2 8 Karangduwur 36 1 4 5 13.0 0 2 2 4.9 140 105 245 53..3 1 1 2 8.0 2 4 6 14..3 107 89 196 42.1 3 9 Maduretno 90 2 3 5 5..8 3 2 5 9...2 1 1 2 8.5 136 PEMANTAUAN VAKSIN HB BCG DPTHB POLIO CAMPAK KASUS KIPI WONOSOBO...8 7 6 13 16..7 0 4 Kedalon 45 0 2 2 4.8 0 2 2 4..0 2 4 6 14.7 121 107 228 49.

...6 137 128 265 58..5 2 3 5 6.....7 3 1 4 8..3 0 5 5 6...8 3 4 7 7.3 0 7 Simbang 52 2 2 4 7....0 154 123 277 60.3 1 4 Kedalon 45 1 3 4 8.5 149 PEMANTAUAN VAKSIN HB BCG DPTHB POLIO CAMPAK KASUS KIPI WONOSOBO. .7 2 4 6 16.7 15 23 38 8.8 2 2 4 9.5 136 KOM.9 140 105 245 53..0 139 126 265 58...3 0 6 Kalikajar 80 1 3 4 5.2 3 1 4 8..8 4 2 6 6.6 116 114 230 50.6 115 110 225 49.9 1 1 2 4..0 4 5 9 11..8 1 0 1 2..7 2 4 6 16..4 5 1 6 11..7 121 107 228 49..7 1 1 2 5..7 3 5 8 15.7 1 5 6 16..1 20 25 45 9.8 1 0 1 2..4 4 2 Mungkung 24 3 1 4 16..5 2 8 Karangduwur 36 1 3 4 11.0 0 0 0 0.... ....4 1 0 1 2...4 1 1 2 4.3 0 3 Perboto 46 0 1 1 2.0 139 124 263 57.4 2 0 2 4...8 4 2 6 6...5 2 3 5 6....2 0 2 2 4..9 0 2 2 4.3 4 5 9 11... KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI 39 18 35 51 15 JML HASIL VAKSIN BULAN INI 39 54 113 167 43 IP VAKSIN 1 3. ..... LAPORAN HASIL CAKUPAN IMUNISASI PUSKESMAS KALIKAJAR 1 BULAN JULI 2013 DPT .0 3......4 5 1 6 11.3 134 131 265 58.6 2 2 4 9.0 2 4 6 14.3 1 2 3 12.9 0 2 2 4.9 0 2 2 4. ..0 19 27 46 10.. ....3 2 0 2 8...1 13 KOM.7 3 JML BULAN INI 457 16 19 35 7...8 1 3 4 7.1 1 5 6 16..2 114 106 220 48.7 3 5 8 15..7 0 2 2 8..7 5 2 7 15.3 1 1 2 8....2 131 137 268 58.6 1 5 6 16.3 21 26 47 10...4 1 0 1 2.DITERIMA BULAN INI .6 2 4 6 14.7 3 4 7 7.1 3 4 7 7.3 116 102 218 47...8 3 4 7 7.8 18 19 37 8..3 18 19 37 8.4 3 1 4 8..2 3..1 14 18 32 7. BULAN LALU 457 104 118 222 48.5 2 0 2 3...3 4 4 8 18.4 4 2 6 14...0 2 5 7 16..6 134 137 271 59..7 4 1 5 10.7 1 5 6 16..HB POLIO JML H B < 7 hari BCG Sasar NO DESA 1 2 3 1 2 3 an Bayi L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L 1 Mangunrejo 41 3 1 4 9.8 3 4 7 7..3 1 3 4 8..... BULAN INI 457 120 137 257 56.7 1 9 Maduretno 90 5 5 10 11.2 2.0 2 5 7 16.....3 2 0 2 8.3 2 4 6 7..3 2 4 6 7.3 1 1 2 8.4 2 5 Rejosari 43 0 0 0 0.7 1 3 4 7.. SISA VAKSIN BULAN LALU MENGETAHUI : PETUGAS IMUNISASI ..8 ...4 3 1 4 8.5 0 2 2 8.1 121 105 226 49.3 0 1 1 2..

.5 2 1 3 6..3 1 0 1 2...9 12 22 34 7....6 3 8 11 12.9 3 8 11 12. .4 1 5 6 13.3 2 2 4 16..3 1 2 3 7.9 0 3 3 8.. LAPORAN HASIL CAKUPAN IMUNISASI PUSKESMAS KALIKAJAR 1 BULAN AGUSTUS 2013 DPT .4 2 1 3 7..4 11 11 22 4...2 0 2 2 4.2 2 5 7 7.1 5 3 8 8...3 1 2 3 7.2 1 1 2 8....6 0 2 2 4..5 1 0 1 2..2 148 153 301 65......3 1 1 2 4..4 165 134 299 65.0 160 ...7 3 1 4 7.6 0 1 1 2.7 0 1 1 4..5 149 KOM.3 1 3 4 11.5 148 159 307 67..9 12 22 34 7.9 1 5 6 13. BULAN LALU 457 120 137 257 56.HB POLIO JML H B < 7 hari BCG Sasar NO DESA 1 2 3 1 2 3 an Bayi L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L 1 Mangunrejo 41 1 0 1 2..0 .6 134 137 271 59.3 1 4 5 11..8 3 5 8 15..8 17 22 39 8.7 1 0 1 2...5 0 2 2 2.0 0....4 4 8 Karangduwur 36 2 2 4 11...0 139 126 265 58..6 0 1 1 2.3 1 4 5 11..4 11 KOM.2 1 2 3 6.5 0 4 Kedalon 45 2 2 4 8..2 1 2 3 6.7 1 6 Kalikajar 80 3 4 7 8.3 1 3 4 11...8 3 1 4 5......0 154 123 277 60.6 3 1 4 7..0 0..5 3 1 4 5.5 0 0 0 0.3 1 0 1 4..7 1 2 3 5...3 134 131 265 58.8 3 7 10 11...9 0 3 3 8...3 1 1 2 4..0 1 0 1 2..0 2 2 4 5...1 0 2 2 5.....4 4 1 5 9.9 151 146 297 65... BULAN INI 457 134 156 290 63.2 2 5 7 7.2 17 22 39 8.....6 137 128 265 58.0 0..0 1 1 2 2....0 1 1 2 2.0 139 124 263 57.1 1 4 5 13.9 0 2 Mungkung 24 0 2 2 8.5 2 1 3 6.3 1 3 Perboto 46 0 3 3 6.5 11 25 36 7.3 3 4 7 15..DITERIMA BULAN INI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI JML HASIL VAKSIN BULAN INI IP VAKSIN 1 0....2 2 2 4 16..1 5 JML BULAN INI 457 14 19 33 7.8 3 7 10 11..4 2 1 3 7.8 145 156 301 65..1 0 9 Maduretno 90 1 4 5 5.4 151 159 310 67....9 151 148 299 65..2 131 137 268 58.6 0 2 2 4.3 3 4 7 15.2 1 1 2 8..0 2 2 4 5.0 1 0 1 2..7 1 2 3 5..2 0 5 Rejosari 43 2 1 3 7.....8 3 5 8 15.9 0 1 1 2...6 1 4 5 13.5 0 7 Simbang 52 3 1 4 7.5 11 25 36 7..7 0 1 1 4...

4 2 1 3 6... LAPORAN HASIL CAKUPAN IMUNISASI PUSKESMAS KALIKAJAR 1 BULAN SEPTEMBER 2013 DPT ..3 1 6 7 8..8 16 19 35 7.. BULAN LALU 457 134 156 290 63.5 0 4 4 8..3 2 2 4 8.7 1 0 1 4....6 2 3 5 5....4 5 5 10 22.7 0 4 4 8..7 1 3 4 11...4 151 159 310 67.8 2 3 5 9...8 3 7 Simbang 52 2 1 3 5.0 2 1 3 8....2 6 0 6 25.2 4 0 4 16.0 0.4 165 134 299 65.8 145 156 301 65..3 2 4 Kedalon 45 5 2 7 15.....8 4 3 7 8.0 0...4 5 5 10 22...3 2 4 6 14...7 1 1 2 4.2 148 153 301 65..5 1 0 1 4.3 2 5 7 8.9 3 0 3 7.8 2 2 Mungkung 24 1 2 3 12...0 0 1 1 4.6 3 3 6 11..6 2 4 6 6.7 0 1 1 4.3 0 2 2 4..0 3 1 4 9.7 1 1 2 4..6 3 0 3 7.8 1 1 2 3...PEMANTAUAN VAKSIN HB BCG DPTHB POLIO CAMPAK KASUS KIPI WONOSOBO.8 2 3 5 9..6 1 1 2 2..8 3 1 4 5.6 1 TOTAL 457 27 14 41 9.7 18 17 35 7..0 1 2 3 7.8 1 3 4 9.6 2 3 5 5.2 2 3 Perboto 46 2 1 3 6..7 1 1 2 4.0 4 3 7 8. ...7 2 3 5 5.....8 2 3 5 6..2 2 4 6 6.8 2 3 5 6..8 1 2 3 5.7 1 3 4 11..0 ..HB POLIO JML H B < 7 hari BCG Sasar NO DESA 1 2 3 1 2 3 an Bayi L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L 1 Mangunrejo 41 5 1 6 14.6 2 1 3 6.2 0 2 2 4..2 0 5 Rejosari 43 2 1 3 7..3 0 2 2 4.3 1 2 3 7..3 2 4 6 14.0 3 1 4 9..8 15 16 31 6.0 160 .0 13 27 40 8...2 2 2 4 16...7 2 3 5 5.0 0 4 4 9..5 148 159 307 67....9 151 146 297 65.0 2 9 Maduretno 90 3 2 5 5......8 1 2 3 5.1 0 0 0 0..9 151 148 299 65...3 2 4 6 16...6 3 8 Karangduwur 36 3 1 4 11.....7 14 26 40 8..5 1 1 2 3.0 16 19 35 7..0 0... SISA VAKSIN BULAN LALU MENGETAHUI : PETUGAS IMUNISASI DITERIMA BULAN INI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI JML HASIL VAKSIN BULAN INI IP VAKSIN 1 0..3 1 3 4 9.3 1 3 4 9.....1 2 4 6 16..8 2 0 2 4.0 0 6 Kalikajar 80 4 3 7 8.7 16 16 32 7..7 1 1 2 4.1 0 0 0 0...3 1 2 3 7.......8 15 KOM..

....0 0 0 0 0..0 0 0.....5 165 174 339 74..0 0 0.0 0 0.HB POLIO JML H B < 7 hari BCG Sasar NO DESA 1 2 3 1 2 3 an Bayi L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L 1 Mangunrejo 41 0 0. ...0 0 0.......0 4 Kedalon 45 0 0.0 0 0 0 0.0 0 0...0 0 0.0 0 0.0 0 0..0 0 0..0 0 0.0 0 0...0 0 0.0 0 0.0 0 0.0 0 0.9 164 173 337 73.2 167 178 345 75.1 .0 0 0..4 164 178 342 74.....0 0 0.5 161 172 333 72..0 0 0.0 0 0..0 0 0.0 0 0.....0 0 0.0 0 0... 10 50 40 30 KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI 41 35 35 29 15 JML HASIL VAKSIN BULAN INI 41 12 106 138 46 IP VAKSIN 1 0....0 0 0.. LAPORAN HASIL CAKUPAN IMUNISASI PUSKESMAS KALIKAJAR 1 BULAN OKTOBER 2013 DPT ..0 0 0...0 7 Simbang 52 0 0.5 165 174 339 74.0 0 0.5 161 172 333 72......0 0 0 0 0. BULAN INI 457 161 170 331 72....7 175 PEMANTAUAN VAKSIN HB BCG DPTHB POLIO CAMPAK KASUS KIPI WONOSOBO.8 166 170 336 73..4 164 178 342 74..0 0 0.0 0 0.8 166 170 336 73.0 0 0.KOM.2 167 178 345 75..0 0 0....0 0 0.0 0 0 0 0..2 180 150 330 72.0 0 0 0 0.0 0 0...9 164 173 337 73..0 0 KOM.0 0 0.0 0 0 0 0..0 0 0..0 0 0 0 0...0 0.5 165 174 339 74..0 0 0.0 0 0..0 0 0.0 0 0..0 0 0.....9 164 173 337 73.2 167 178 345 75..0 0 0.0 0 0...0 0 0..0 0 0.7 175 KOM..0 0 0.0 5 Rejosari 43 0 0.2 180 150 330 72.2 180 150 330 72...0 0 0.0 0 0.0 8 Karangduwur 36 0 0.0 3 Perboto 46 0 0.0 0 0. BULAN INI 457 161 170 331 72...0 0 0.0 0 0.0 0 0..0 0 0.0 0 0..2 0.....0 0 0..0 0 0.5 161 172 333 72..7 175 .0 0 0.0 JML BULAN INI 457 0 0 0 0.. SISA VAKSIN BULAN LALU MENGETAHUI : PETUGAS IMUNISASI DITERIMA BULAN INI .0 0 0..0 0 0.0 0 0..0 6 Kalikajar 80 0 0.4 164 178 342 74.0 0 0..8 166 170 336 73....0 9 Maduretno 90 0 0.0 0 0.0 0 0..0 0 0.0 2 Mungkung 24 0 0. BULAN LALU 457 161 170 331 72.0 0 0..

PEMANTAUAN VAKSIN HB BCG DPTHB POLIO CAMPAK KASUS KIPI WONOSOBO....0 0 0. SISA VAKSIN BULAN LALU MENGETAHUI : PETUGAS IMUNISASI DITERIMA BULAN INI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI JML HASIL VAKSIN BULAN INI IP VAKSIN 1 0.0 9 Maduretno 90 0 0.0 0 0..0 0 0..0 0 0...0 0 0..0 0 0....0 0..0 0 0..0 0 0..0 0 0..0 0 0..0 0 0..0 0 0 0 0.0 0 0 0 0.0 0 0..0 0 0 0 0..0 0 0...0 0 0.0 0 0....0 0 0.0 0 0....0 0 0..0 0 0.0 0 0..0 0 0..0 0 0.....0 0 0...0 0 0.0 0 0.. LAPORAN HASIL CAKUPAN IMUNISASI PUSKESMAS KALIKAJAR 1 BULAN NOPEMBER 2013 DPT .0 0 0..0 0 0..0 0 0......0 6 Kalikajar 80 0 0........0 0 0.0 5 Rejosari 43 0 0...0 0 0...0 0 0...0 0 0.0 0 0 0 0.0 0 0...0 0 0.0 0 0.0 0 0...0 0 0.0 0 0.0 0...0 7 Simbang 52 0 0...0 0 0..0 0.0 4 Kedalon 45 0 0.0 0 0.0 0 0.0 0 0 0 0.0 8 Karangduwur 36 0 0.0 0 0.0 .0 0 0..0 0 0..0 0 0..0 0 0.0 3 Perboto 46 0 0....0 0 0.0 0 0.0 JML BULAN INI 457 0 0 0 0.....0 0 0......0 0 0.0 0 0.......0 2 Mungkung 24 0 0.0 0 0..0 0 0..HB POLIO JML H B < 7 hari BCG Sasar NO DESA 1 2 3 1 2 3 an Bayi L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L 1 Mangunrejo 41 0 0...0 0 .0 0 0..0 0 0.0 0 0.0 0 0.... .0 0 0...0 0 0 0 0..0 0 0.0 0 0..0 0 0.0 0 0 0 0.0 0 0.0 0 0.

0 0 0 0 0......0 0 0...0 4 Kedalon 45 0 0.HB POLIO JML H B < 7 hari BCG Sasar NO DESA 1 2 3 1 2 3 an Bayi L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L 1 Mangunrejo 41 0 0...9 164 173 337 73.0 0 0..0 0 0.0 0 0..0 0 0..0 0 0.........0 0 0.0 0..2 167 178 345 75..0 0 0..5 161 172 333 72. .0 0 0...0 0 0...0 0 0.0 0 0.0 0 0 0 0...0 0 0.0 0 0.5 165 174 339 74.0 0 0...0 0..0 0 0..0 0 0...0 0 0..0 0 0.0 JML BULAN INI 457 0 0 0 0.0 0 0..0 0 0.0 0 0.0 0 0..0 0 0.0 0 0.....0 3 Perboto 46 0 0..0 0 0.0 0 0.0 0.0 0 0.0 0 0.0 0 0..0 0 0..8 166 170 336 73.2 167 178 345 75...... - IP VAKSIN 1 0. BULAN INI 457 161 170 331 72.0 0 0..0 0 0.0 0 0.0 7 Simbang 52 0 0.0 0 0.0 0 0..0 0 0.. BULAN LALU 457 161 170 331 72...0 0 0 0 0.0 0 0 0 0.0 0 0.0 0 0.0 0 0.0 0 0. LAPORAN HASIL CAKUPAN IMUNISASI PUSKESMAS KALIKAJAR 1 BULAN DESEMBER 2013 DPT ..0 9 Maduretno 90 0 0.2 180 150 330 72.0 5 Rejosari 43 0 0.9 164 173 337 73..0 0 0..0 6 Kalikajar 80 0 0..0 0 0.5 161 172 333 72...0 0 0. . ...0 0 0.0 0 0.0 0 0...0 0 0... SISA VAKSIN BULAN LALU MENGETAHUI : PETUGAS IMUNISASI DITERIMA BULAN INI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI JML HASIL VAKSIN BULAN INI ..0 0 0 0 0...0 0 0....0 0 0...7 175 PEMANTAUAN VAKSIN HB BCG DPTHB POLIO CAMPAK KASUS KIPI WONOSOBO.2 180 150 330 72...........0 0 0.8 166 170 336 73..0 0 0.4 164 178 342 74.KOM.0 .0 0 0.0 0 0..0 2 Mungkung 24 0 0.0 0 0..0 8 Karangduwur 36 0 0.5 165 174 339 74.0 0 0.0 0 0.. ..0 0 0 0 0.0 0 0...0 0 0.4 164 178 342 74..0 0 0....0 0 .7 175 KOM..0 0 0.0 0 0..0 0 0 0 0..0 0 0.

.......2 167 178 345 75.5 165 174 339 74.4 13 21 34 79..0 0.0 13 7 20 83..HB POLIO JML H B < 7 hari BCG Sasar NO DESA 1 2 3 1 2 3 an Bayi L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L P JML % L 1 Mangunrejo 41 17 8 25 61....8 27 ..7 16 18 34 75.5 10 8 18 75...4 164 178 342 74.5 14 21 35 81...0 16 10 26 63....2 18 2 Mungkung 24 8 14 22 91........4 14 17 31 72.2 167 178 345 75....3 15 17 32 71. BULAN INI 457 161 170 331 72.9 15 13 28 68..1 15 17 32 74......4 14 6 Kalikajar 80 29 30 59 73..........9 12 18 30 65. SISA VAKSIN BULAN LALU MENGETAHUI : PETUGAS IMUNISASI DITERIMA BULAN INI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI JML HASIL VAKSIN BULAN INI .....8 32 38 70 87..2 180 150 330 72...7 175 PEMANTAUAN VAKSIN HB BCG DPTHB POLIO CAMPAK KASUS KIPI WONOSOBO.8 25 34 59 73.2013 DPT ....1 13 19 32 74..5 161 172 333 72. - IP VAKSIN 1 0..7 10 6 16 66.. ......2 15 17 32 71.1 17 13 30 66.... BULAN LALU 457 161 170 331 72..0 11 15 26 56..4 11 15 26 60....2 180 150 330 72....2 18 15 33 80.4 164 178 342 74..8 26 33 59 73....0 14 20 34 73...0 12 10 22 91.8 28 30 58 72..5 12 11 23 50.KOM...0 0. ....7 10 8 18 75..5 30 36 66 82.9 164 173 337 73.7 16 19 35 77..4 15 15 30 73.......5 24 35 59 73...7 12 3 Perboto 46 14 21 35 76.2 11 15 26 56.0 14 7 21 87.9 12 17 29 63.5 16 11 27 65.9 164 173 337 73.. ..7 175 KOM....0 0.5 161 172 333 72.8 166 170 336 73.3 11 7 18 75.......2 15 15 30 73.6 13 15 28 62.1 14 20 34 73.5 12 4 Kedalon 45 15 18 33 73...3 15 15 30 73.0 .....1 17 13 30 66.. LAPORAN HASIL CAKUPAN IMUNISASI PUSKESMAS KALIKAJAR 1 BULAN JANUARI s/d .....8 166 170 336 73.. ....5 22 37 59 73.4 13 19 32 74.5 165 174 339 74.8 12 5 Rejosari 43 16 13 29 67.......

.7 22 15 37 71... ...2 167 178 345 75.............0 26 19 45 86...7 Simbang 52 18 18 36 69...3 15 24 39 108..0 26 19 45 86...9 164 173 337 73.2 23 16 39 75.3 14 23 37 102..1 31 27 58 64......7 33 22 55 61......4 164 178 342 74..4 33 27 60 66.7 175 WONOSOBO....5 28 15 43 82. .8 17 20 37 102......8 21 9 Maduretno 90 26 27 53 58...........8 166 170 336 73..7 33 22 55 61.. MENGETAHUI : PETUGAS IMUNISASI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR ..2 22 15 37 71........4 15 24 39 108.9 29 31 60 66.5 28 8 Karangduwur 36 18 21 39 108...7 29 31 60 66.......1 31 26 57 63...8 17 20 37 102..2 23 16 39 75.3 14 23 37 102.8 21 13 34 94.5 161 172 333 72.....3 31 JML TOTAL PUSK 457 161 170 331 72..............2 180 150 330 72.......5 165 174 339 74..

.......5 2 2 4 5....5 4 3 7 15.0 2 6 7.4 0 0 0 0..0 3 4 4.....7 19 11 30 6.7 0 1 1 2..7 19 11 30 6......2 1 3 6.......6 13 35 7.2 13 35 7..2 0 1 2.6 O.2 1 0 1 4..3 0 1 4. 2013 IMUNISASI AS KALIKAJAR 1 ...4 8 3 11 12. .0 2 8 15... CAMPAK 4 P JML % L P JML % 2 3 7..3 2 1 3 7.7 0 0 0 0..2 1 3 6...0 2 6 16.3 2 1 3 7.

..0 0 1 4..3 4 4 8 10..5 4 1 5 9.6 2 4 11..2 2 2 4 8.2 0 0 0 0.....2 O...7 3 5 11....1 2 0 2 5.0 2 6 11....3 3 5 6.7 0 1 2.....8 2 1 3 3.7 13 35 7. ..1 2 3 5 11.1 0 4 9...6 28 73 16...2 1 3.. CAMPAK 4 P JML % L P JML % 3 5 12..6 2 7 7...0 38 27 65 14....3 15 38 8...3 2 2 4 9..7 19 11 30 6. 2013 IMUNISASI AS KALIKAJAR 1 .0 4 16..3 19 16 35 7.

4 28 73 16. 2013 IMUNISASI AS KALIKAJAR 1 .1 17 17 34 7.2 49 119 26.7 1 0 1 2.9 4 5 11.6 0 4 11.5 1 4 8. CAMPAK 4 P JML % L P JML % 3 7 17.7 5 10 12.0 38 27 65 14.0 55 44 99 21.6 2 0 2 4.3 21 46 10.1 4 0 4 8.3 1 3 12.5 2 1 3 12.1 1 1 2 5.8 2 5 9.6 1 4 5 9.7 O.5 4 7 11 13.2 3 5 11.1 2 1 3 7.3 0 3 3 3.6 2 3 3.

3 2 9 10......4 0 1 2......8 20 11 31 6..3 1 0 1 2..89 75 55 130 28. CAMPAK 4 P JML % L P JML % 1 4 9.....0 4 5 9 11..2 0 3 12. 2013 IMUNISASI AS KALIKAJAR 1 ...2 1 3 6....5 0 1 1 2..9 18 45 9....0 8 0 8 8.3 9 16 20.6 1 0 1 1...6 2 1 3 8.4 1 1 2 4..3 3 5 9...4 O..5 0 1 1 4.2 1 2 4..8 49 119 26 55 44 99 21...7 67 164 35.8 3 2 5 12..9 1 2 5...

9 3 1 4 8.7 0 0 0 0...8 1 3 12...4 2 2 4 9.... 2013 IMUNISASI AS KALIKAJAR 1 .8 24 17 41 9.... CAMPAK 4 P JML % L P JML % 1 1 2...3 1 2 4.7 7 4 11 21.2 2 6 16....3 2 3 3.9 4 6 14..4 86 204 44.....0 5 11 12.2 4 5 9 10.....3 2 4 7.9 75 55 130 28..8 1 4 5 6...3 4 1 5 10...0 19 40 8.4 O.0 1 0 1 2...9 1 4 8.0 67 164 35....5 2 0 2 8.6 99 72 171 37.....

..6 5 7 7....8 2 1 3 5...5 0 2 3..8 2 0 2 2. CAMPAK 4 P JML % L P JML % 2 4 9..6 99 72 171 37......4 3 5 8 17.6 2 2 4 9....3 19 24 43 9.....9 0 2 2 5.8 2 5 13..3 2 2 4....0 118 96 214 46.8 6 9 15 16.8 2 3 5 12...2 1 1 4.4 86 204 44..4 106 242 53..3 2 7 8......8 O..8 4 8 18.2 1 1 2 8.3 1 1 2 4.... 2013 IMUNISASI .3 2 2 4.7 20 38 8.

.AS KALIKAJAR 1 ...4 106 242 53.3 5 5 6...2 18 31 6..4 1 1 2..4 1 1 2 4...8 1 1 2 2... 2013 IMUNISASI .0 118 96 214 46.3 2 5 7 16.8 0 0 0 0...5 0 3 3 12..8 17 17 34 7..5 2 3 6..5 0 2 3.8 124 273 59..2 0 2 4.3 3 3 6 7...5 0 1 1 2....6 2 2 4 9..8 3 3 12. CAMPAK 4 P JML % L P JML % 2 6 14.0 1 2 5.......6 8 1 9 25.....7 135 113 248 54..0 4 7 7....3 O.

....3 2 0 2 4...0 1 5 9...8 19 10 29 6.2 2 2 4.AS KALIKAJAR 1 ...3 124 273 59.6 0 1 4.2 1 0 1 4.4 5 1 6 14.3 135 295 64....6 ...2 0 0 0.......6 3 8 8.6 154 123 277 60.7 135 113 248 54.4 1 1 2 4.....4 0 1 2.6 0 2 2 5.7 11 22 4.6 5 0 5 9...6 2 2 5. CAMPAK 4 P JML % L P JML % 1 1 2......0 1 0 1 2...5 1 3 4 5....7 2 2 2.9 3 3 6 6.

..9 16 31 6..7 3 1 4 8.0 1 4 5.....3 3 0 3 7.9 2 4 16.1 135 295 64..4 3 2 5 11.6 154 123 277 60.O...7 3 0 3 12...5 2 4 8.......5 1 3 8...9 1 2 2.....3 3 2 5 13......1 4 4 9.9 0 2 2 4.7 2 2 4.0 5 4 9 11... CAMPAK 4 P JML % L P JML % 0 2 4..5 3 4 7 13.2 3 5 8 8..3 3 6 11..6 ..8 26 20 46 10... 2013 IMUNISASI AS KALIKAJAR 1 .

. 151 326 71.0 0 0.7 151 326 71...0 0 0..0 0 0.3 180 143 323 70....3 180 143 323 70.. CAMPAK 4 P JML % L P JML % 0 0.0 0 0...7 ..0 0 0.0 0 0..0 0 0.0 0 0.0 0 0....0 0 0.. 2013 IMUNISASI AS KALIKAJAR 1 ....0 0 0..3 180 143 323 70......0 0 0...0 0 0 0 0..0 0 0...0 151 326 71.0 0 0..0 0 0...7 O.0 0 0 0....0 0 0.0 0 0..

...0 0 0..0 0 0..0 0 0..0 0 0 0.0 0 0.......0 0 0.O....0 0 0.0 0 0.0 .0 0 0.... 2013 IMUNISASI AS KALIKAJAR 1 .0 0 0.0 0 0.......0 0 0..... CAMPAK 4 P JML % L P JML % 0 0..0 0 0......0 0 0 0 0..0 0 0.0 0 0..0 0 0.0 0 0.0 0 0..

.0 0 0..0 0 0..0 0 0...3 180 143 323 70.0 0 0.....0 0 0.0 0 0...0 0 0....0 0 0.... CAMPAK 4 P JML % L P JML % 0 0....7 151 326 71...0 0 0.0 0 0.7 O.0 0 0.0 0 0....0 0 0..0 0 0...3 180 143 323 70... 2013 IMUNISASI AS KALIKAJAR 1 .0 .0 0 0.. 151 326 71..0 0 0....0 0 0.0 0 0 0 0...0 0 0 0.

3 11 9 20 83...7 O.3 180 143 323 70....8 31 58 72....0 8 20 83... CAMPAK 4 P JML % L P JML % 15 33 80.3 10 22 47.1 17 10 27 62.....7 151 326 71... 151 326 71.5 ........3 17 31 72.......5 18 14 32 78..0 18 15 33 73. 2013 IMUNISASI AS KALIKAJAR 1 .3 180 143 323 70.5 26 32 58 72...8 16 10 26 56....5 15 27 60...

7 O. 15 43 82....2 13 34 94..3 180 143 323 70.4 35 30 65 72. 2013 IMUNISASI AS KALIKAJAR 1 .....2 151 326 71.4 27 58 64......7 23 14 37 71........................4 16 9 25 69.. .

.0 2 4.454 24..0 0 0......4 93 17.0 5 5.0 679 161 23.5 29 4 Kedalon 49 2 4...4 462 167 36..1 22 3 Perboto 50 1 2..0 324 95 29.......2 56 10.3 208 20.1 852 14. .0 2 2.T T 5 BUMIL STATUS T T 1 .0 589 152 25..5 1 1...1 0 0.0 2 3.T T 5 W U S JML JML NO DESA Sasaran TT 1 TT 2 TT 3 TT 4 TT 5 sasaran TT 1 TT 2 TT 3 TT 4 BUMIL WUS JML % JML % JML % JML % JML % JML % JML % JML % JML 1 Mangunrejo 46 3 6...959 1.0 35 5 Rejosari 48 0 0.1 0 0........8 0 0....0 0 0.0 1 2..0 2 2. SISA VAKSIN BULAN LALU 30 MENGETAHUI : PETUGAS IMUNISASI DITERIMA BULAN INI 50 KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI 17 JML HASIL VAKSIN BULAN INI 133 IP VAKSIN .0 566 130 23.2 31 6.9 57 8 Karangduwur 41 0 0.3 424 PEMANTAUAN VAKSIN TT WONOSOBO..3 0 0.0 7 17.9 37 9 Maduretno 98 0 0....1 131 28.4 43 2 Mungkung 27 0 0...4 958 16..5 2 4....3 53 16....4 55 9..0 10 10..167 228 19.....7 0 0..0 1. LAPORAN CAKUPAN IMUNISASI T T PUSKESMAS KALIKAJAR 1 BULAN JANUARI 2013 STATUS T T 1 .2 0 0.3 68 11..9 115 16.....0 3 6.7 108 15.....0 0 0..7 49 6 Kalikajar 87 0 0.0 2 4. ...4 92 19...3 145 12.0 0 0...5 97 8.4 1 2......1 5 12.4 1 3.....7 0 0.8 1 1..034 210 20..0 0 0.1 208 20.4 108 18....4 71 JUMLAH TOTAL 503 6 1.2 3 3..0 598 152 25.0 76 13....4 5.3 540 159 29.0 7 1.3 2 2...1 48 8..0 0 0..2 18 3.3 1.0 0 0...1 1 2..0 5 10..2 1 2..8 84 14...1 81 7 Simbang 57 0 0..4 65 20..0 2 7.6 5 1.

............0 1 2...5 7 8.959 1...1 20 20.6 17 19..1 131 28..2 56 10.1 4 8...4 14 14.7 540 159 29...7 1 2..3 4 8.0 1.3 68 11....3 208 20..0 2 4.0 598 152 25...0 589 152 25.9 115 16..2 0 0....0 7 14...5 2 3...9 17 3.9 65 12..2 5..9 1 2.4 93 17...0 35 5 Rejosari 48 4 8..0 15 36..T T 5 BUMIL STATUS T T 1 ...9 37 9 Maduretno 98 3 3...9 1.0 0 0..4 958 16...4 462 167 36...4 4 14.5 29 4 Kedalon 49 5 10..034 210 20...7 49 6 Kalikajar 87 1 1...T T 5 W U S JML JML NO DESA Sasaran TT 1 TT 2 TT 3 TT 4 TT 5 sasaran TT 1 TT 2 TT 3 TT 4 BUMIL WUS JML % JML % JML % JML % JML % JML % JML % JML % JML 1 Mangunrejo 46 7 15..6 60 11.4 108 18.....0 0 0..2 4 8.0 13 14.5 0 0..0 76 13.4 43 2 Mungkung 27 2 7. SISA VAKSIN BULAN LALU 63 MENGETAHUI : PETUGAS IMUNISASI DITERIMA BULAN INI 0 KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI 35 JML HASIL VAKSIN BULAN INI 138 IP VAKSIN .0 2 4.1 0 0. .7 108 15.0 0 0.9 57 8 Karangduwur 41 0 0.1 208 20... .5 97 8.0 679 161 23.0 4 7..1 4 4.3 424 PEMANTAUAN VAKSIN TT WONOSOBO.....6 16 39....4 21 4.3 145 12...3 53 16..1 2 2...454 24.077 852 14.8 84 14.3 4 4.8 3 11.4 65 20..4 92 19...2 3 6.167 228 19...0 4 8.4 71 JUMLAH TOTAL 503 23 4.1 0 0....0 2 3.4 55 9....0 2 4.0 324 95 29..1 48 8...2 0 0..1 22 3 Perboto 50 1 2.. LAPORAN CAKUPAN IMUNISASI T T PUSKESMAS KALIKAJAR 1 BULAN PEBRUARI 2013 STATUS T T 1 .0 566 130 23..3 1 2...1 81 7 Simbang 57 0 0...

8 84 14. ....5 26 5.....2 1 2.0 2 4.1 24 24.034 210 20........4 3 6.5 16 16....4 462 167 36..1 35 5 Rejosari 48 5 10..3 9 10..0 589 152 25......4 76 13.4 37 9 Maduretno 98 3 3.0 1....08 424 PEMANTAUAN VAKSIN TT WONOSOBO....4 10 20..7 108 15.9 17 19.0 2 4.0 2 4... ..0 1.4 958 16. SISA VAKSIN BULAN LALU 43 MENGETAHUI : PETUGAS IMUNISASI DITERIMA BULAN INI 30 KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI 35 JML HASIL VAKSIN BULAN INI 191 IP VAKSIN ....3 5 10..1 0 0.7 4 14..1 81 7 Simbang 57 0 0..3 6 6.0 4 8..3 0 0...2 6 12..3 29 4 Kedalon 49 7 14.0 7 14.4 49 6 Kalikajar 87 6 6.4 95 18.4 131 28.0 679 161 23..5 1 3.4 93 17..8 5 18.9 540 159 29..1 108 18.4 5..1 2 2.1 208 20...0 0 0.4 22 3 Perboto 50 3 6........0 0 0 566 130 23.....9 68 13...3 53 16.T T 5 BUMIL STATUS T T 1 .....5 2 4.077 958 16..9 1 2..9 108 15.3 7 8.4 108 18.0 324 95 29.0 15 36.5 97 8.T T 5 W U S JML JML NO DESA Sasaran TT 1 TT 2 TT 3 TT 4 TT 5 sasaran TT 1 TT 2 TT 3 TT 4 BUMIL WUS JML % JML % JML % JML % JML % JML % JML % JML % JML 1 Mangunrejo 46 2 4.....3 97 8.3 208 20...0 9 15...3 4 8...3 84 14.5 9 10.8 3 5...6 16 39..2 93 17..2 43 2 Mungkung 27 1 3.08 598 152 25..4 53 16.2 17 3..1 131 28...0 76 13.8 1 2.8 5 8.9 57 8 Karangduwur 41 0 0..3 71 JUMLAH TOTAL 503 27 5.... LAPORAN CAKUPAN IMUNISASI T T PUSKESMAS KALIKAJAR 1 BULAN MARET 2013 STATUS T T 1 ....167 228 19..3 8 17...959 1454 24..7 0 0..

1 59 6 Kalikajar 87 7 8.0 2 4. LAPORAN CAKUPAN IMUNISASI T T PUSKESMAS KALIKAJAR 1 BULAN APRIL 2013 STATUS T T 1 .0 3 6.0 0 0.9 540 159 29.5 5 10.0 6 6. SISA VAKSIN BULAN LALU 38 MENGETAHUI : PETUGAS IMUNISASI DITERIMA BULAN INI 40 KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI 57 JML HASIL VAKSIN BULAN INI 228 IP VAKSIN 4.0 2 4.9 12 13.031 17.0 4 14.7 70 5 Rejosari 48 2 4.4 93 17.8 5 18.9 1 2.1 24 24.4 144 31.0 679 161 23.2 50 9 Maduretno 98 3 3.8 16 18.1 2 2.959 1.9 57 8 Karangduwur 41 0 0.0 79 14.0 5 10.2 12 25.0 566 130 23.7 108 15.7 3 6.8 231 22.4 124 20.0 0 0.2 0 0.3 84 14.8 5 8.0 97 17.6 116 19.T T 5 W U S JML JML NO DESA Sasaran TT 1 TT 2 TT 3 TT 4 TT 5 sasaran TT 1 TT 2 TT 3 TT 4 BUMIL WUS JML % JML % JML % JML % JML % JML % JML % JML % JML 1 Mangunrejo 46 6 13.2 97 19.0 .6 215 20.6 981 16.0 16 34.3 6 6.2 1 2.3 0 0.0 1.8 84 14.5 37 7.3 97 8.5 97 8.4 7 8.0 2 4.0 7 14.4 22 3 Perboto 50 5 10.0 324 95 29.T T 5 BUMIL STATUS T T 1 .0 15 36.6 136 29.6 16 39.466 24.0 589 152 25.3 53 16.034 213 20.2 43 2 Mungkung 27 0 0.3 102 7 Simbang 57 0 0.3 29 4 Kedalon 49 8 16.8 3 5.2 6 12.8 0 0.9 108 15.8 4 8.5 1.0 9 15.4 18 3.2 93 17.4 53 16.5 16 16.167 228 19.3 73 14.1 598 159 26.3 6 12.5 4 14.3 503 PEMANTAUAN VAKSIN TT WONOSOBO.4 462 169 36.0 1.6 5.3 71 JUMLAH TOTAL 503 31 6.

..0 0 0..1 59 6 Kalikajar 87 1 1.0 79 14.0 3 6.1 36 7......4 22 3 Perboto 50 6 12.3 97 8.0 15 36.4 12 25......4 93 17..3 5 18.0 31 31.0 1.0 2 4.6 981 16.7 9 33...4 124 20.....0 8 16..0 540 159 29....0 11 23..0 1 3..7 108 15......0 3 6..8 231 22....9 57 8 Karangduwur 41 0 0.0 2 4.7 12 13.4 144 31.0 3 6.5 7 14.8 0 0.0 10 17. LAPORAN CAKUPAN IMUNISASI T T PUSKESMAS KALIKAJAR 1 BULAN MEI 2013 STATUS T T 1 .3 6 13...5 7 12....6 16 39.....167 228 19..3 102 7 Simbang 57 0 0.6 215 20........1 5 5.3 53 16.034 213 20.......1 598 159 26...8 13 14....6 136 29..3 0 0.0 13 26.0 97 17.2 93 17...2 43 2 Mungkung 27 0 0.3 503 PEMANTAUAN VAKSIN TT WONOSOBO.9 4 8...1 2 2...3 1 2.7 2 4.3 29 4 Kedalon 49 1 2.1 81 16.3 84 14...3 71 JUMLAH TOTAL 503 21 4..6 20 20.0 589 152 25.......0 0 0.T T 5 BUMIL STATUS T T 1 . SISA VAKSIN BULAN LALU 21 MENGETAHUI : PETUGAS IMUNISASI DITERIMA BULAN INI 30 KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI 33 JML HASIL VAKSIN BULAN INI 163 .2 50 9 Maduretno 98 2 2.0 5..0 566 130 23.5 0 0.4 6 6.0 679 161 23..0 324 95 29.9 1.....9 108 15.....8 84 14.4 462 169 36. .7 70 5 Rejosari 48 5 10..2 106 21.T T 5 W U S JML JML NO DESA Sasaran TT 1 TT 2 TT 3 TT 4 TT 5 sasaran TT 1 TT 2 TT 3 TT 4 BUMIL WUS JML % JML % JML % JML % JML % JML % JML % JML % JML 1 Mangunrejo 46 6 13.....5 1031 17.9 13 14..6 116 19...959 1466 24.9 1 2...2 25 5.4 53 16. .3 5 8..5 97 8.

SISA VAKSIN BULAN LALU 60 MENGETAHUI : PETUGAS IMUNISASI DITERIMA BULAN INI ...2 43 2 Mungkung 27 0 0..6 136 29.5 324 95 29....T T 5 BUMIL STATUS T T 1 .... LAPORAN CAKUPAN IMUNISASI T T PUSKESMAS KALIKAJAR 1 BULAN JUNI 2013 STATUS T T 1 .......3 97 8... ....4 144 31.6 215 20..7 6 14.5 6 12..959 1466 24...0 2 4.0 117 23..1 6 6.2 5.0 97 17...2 93 17...3 71 JUMLAH TOTAL 503 10 2...2 6 12.8 84 14..5 97 8.........T T 5 W U S JML JML NO DESA Sasaran TT 1 TT 2 TT 3 TT 4 TT 5 sasaran TT 1 TT 2 TT 3 TT 4 BUMIL WUS JML % JML % JML % JML % JML % JML % JML % JML % JML 1 Mangunrejo 46 4 8.4 93 17.9 13 14.0 0 0.....0 27 65.6 2 4..9 57 8 Karangduwur 41 0 0.0 7 12..167 228 19.9 108 15.3 5 8.0 35 35..7 14 30.5 1031 17.8 13 14.0 6 6.0 11 19..0 589 152 25......0 566 130 23. KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR ...3 6 22.034 213 20.3 29 4 Kedalon 49 0 0.0 7 14...4 22 3 Perboto 50 2 4.0 2 4.......3 84 14.3 8 14.3 53 16.7 108 15.5 0 0.2 5 18.7 1 2.9 46 9...6 981 16..3 102 7 Simbang 57 0 0.......0 9 33.4 4 8...8 231 22.4 124 20...9 540 159 29..IP VAKSIN .7 23 23.3 4 8.6 116 19......9 12 13...3 503 PEMANTAUAN VAKSIN TT WONOSOBO...9 13 31...5 7 7....2 5 10..9 462 169 36.1 59 6 Kalikajar 87 0 0.3 90 17.4 53 16.2 50 9 Maduretno 98 2 2..9 1.7 70 5 Rejosari 48 2 4..1 1.2 3 6.0 79 14.1 41 8.1 598 159 26.8 679 161 23...0 14 28.6 8 16....0 0 0..0 4 8.

4 22 3 Perboto 50 13 26.4 8 17.0 97 17.8 231 22...0 566 130 23.6 136 29... .2 93 17..6 215 20...5 14 30..7 5 18.167 228 19..2 3 6.8 84 14..0 14 24..4 124 20....0 9 15.T T 5 BUMIL STATUS T T 1 .4 144 31.0 36 36.8 5 8.7 108 15.3 503 PEMANTAUAN VAKSIN TT WONOSOBO....8 11 40.0 14 28..5 7 7.5 1031 17...1 59 6 Kalikajar 87 0 0..0 29 70...5 97 8....4 53 16....3 71 JUMLAH TOTAL 503 25 5..3 84 14..9 12 13....0 17 34. SISA VAKSIN BULAN LALU MENGETAHUI : PETUGAS IMUNISASI .6 2 4....3 97 8.9 57 8 Karangduwur 41 0 0.T T 5 W U S JML JML NO DESA Sasaran TT 1 TT 2 TT 3 TT 4 TT 5 sasaran TT 1 TT 2 TT 3 TT 4 BUMIL WUS JML % JML % JML % JML % JML % JML % JML % JML % JML 1 Mangunrejo 46 3 6.4 4 8..0 79 14.4 101 20......7 24 24.8 679 161 23...1 5..4 93 17....6 6 14......6 116 19..034 213 20.7 15 36..0 589 152 25.2 50 9 Maduretno 98 2 2....7 70 5 Rejosari 48 3 6..0 2 4..DIPAKAI BULAN INI 32 JML HASIL VAKSIN BULAN INI 259 IP VAKSIN ..6 8 14.5 46 9.9 13 14..6 981 16.5 0 0....6 6 12.....0 138 27.. LAPORAN CAKUPAN IMUNISASI T T PUSKESMAS KALIKAJAR 1 BULAN JULI 2013 STATUS T T 1 ..1 1...3 29 4 Kedalon 49 4 8.5 324 95 29.3 53 16...3 7 14.1 6 6.....3 102 7 Simbang 57 0 0.959 1466 24.1 53 10...7 540 159 29....4 1 2..0 0 0..0 0 0.9 108 15.....2 15 30.8 13 14.2 10 21..2 43 2 Mungkung 27 0 0.6 10 20...9 1.....1 598 159 26.9 462 169 36.0 2 4.0 4 14...0 6 6.

4 124 20.2 13 14..0 12 26..0 17 34.3 503 PEMANTAUAN VAKSIN TT WONOSOBO..0 0 0..2 93 17...8 0 0.1 2 4.0 97 17...9 57 8 Karangduwur 41 0 0.6 7 17...5 97 8.7 5 18. LAPORAN CAKUPAN IMUNISASI T T PUSKESMAS KALIKAJAR 1 BULAN AGUSTUS 2013 STATUS T T 1 ...7 14 16..5 11 40.9 462 169 36....4 85 16..6 116 19..1 598 159 26.0 14 28.9 1.1 39 39...2 50 9 Maduretno 98 4 4..6 981 16..8 84 14.3 84 14.5 1...0 2 4.3 29 4 Kedalon 49 1 2.4 144 31......2 12 26... .....5 7 7.0 14 28..3 102 7 Simbang 57 0 0..9 9 18...2 15 36....T T 5 W U S JML JML NO DESA Sasaran TT 1 TT 2 TT 3 TT 4 TT 5 sasaran TT 1 TT 2 TT 3 TT 4 BUMIL WUS JML % JML % JML % JML % JML % JML % JML % JML % JML 1 Mangunrejo 46 5 10.1 1.. .5 324 95 29..8 679 161 23.T T 5 BUMIL STATUS T T 1 ..9 17 37.....0 30 73.9 12 24.3 5 8.9 48 9....7 70 5 Rejosari 48 3 6...0 566 130 23...1 59 6 Kalikajar 87 5 5..8 8 14.4 53 16.2 43 2 Mungkung 27 0 0.3 71 JUMLAH TOTAL 503 18 3.8 24 24..1 6 6.0 589 152 25.9 28 32..4 5 18.....1 540 159 29..6 215 20...6 136 29.9 108 15.0 11 19.0 17 29...0 22 44.4 93 17...5 6 12.034 213 20.....2 3 6..3 11 22..167 228 19.6 166 33...1 1 2.....031 17.1 26 29...466 24..959 1.5 5.3 97 8.7 108 15.8 231 22....0 79 14.0 128 25.3 53 16..........DITERIMA BULAN INI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI JML HASIL VAKSIN BULAN INI IP VAKSIN ..4 22 3 Perboto 50 0 0..0 2 7..

SISA VAKSIN BULAN LALU MENGETAHUI : PETUGAS IMUNISASI

DITERIMA BULAN INI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR

DIPAKAI BULAN INI

JML HASIL VAKSIN BULAN INI

IP VAKSIN

.......................................................... ............................................

LAPORAN CAKUPAN IMUNISASI T T PUSKESMAS KALIKAJAR 1 BULAN SEPTEMBER 2013

STATUS T T 1 - T T 5 BUMIL STATUS T T 1 - T T 5 W U S
JML JML
NO DESA Sasaran TT 1 TT 2 TT 3 TT 4 TT 5 sasaran TT 1 TT 2 TT 3 TT 4
BUMIL WUS
JML % JML % JML % JML % JML % JML % JML % JML % JML

1 Mangunrejo 46 5 10.9 17 37.0 12 26.1 1 2.2 12 26.1 540 159 29.4 93 17.2 93 17.2 43

2 Mungkung 27 0 0.0 2 7.4 5 18.5 11 40.7 5 18.5 324 95 29.3 53 16.4 53 16.4 22

3 Perboto 50 0 0.0 14 28.0 17 34.0 14 28.0 2 4.0 589 152 25.8 84 14.3 84 14.3 29

4 Kedalon 49 1 2.0 22 44.9 12 24.5 6 12.2 3 6.1 598 159 26.6 116 19.4 124 20.7 70

5 Rejosari 48 3 6.3 11 22.9 9 18.8 0 0.0 0 0.0 566 130 23.0 79 14.0 97 17.1 59

6 Kalikajar 87 5 5.7 14 16.1 26 29.9 28 32.2 13 14.9 1,034 213 20.6 215 20.8 231 22.3 102

7 Simbang 57 0 0.0 17 29.8 8 14.0 11 19.3 5 8.8 679 161 23.7 108 15.9 108 15.9 57

8 Karangduwur 41 0 0.0 30 73.2 15 36.6 7 17.1 2 4.9 462 169 36.6 136 29.4 144 31.2 50

9 Maduretno 98 4 4.1 39 39.8 24 24.5 7 7.1 6 6.1 1,167 228 19.5 97 8.3 97 8.3 71

JUMLAH TOTAL 503 18 3.6 166 33.0 128 25.4 85 16.9 48 9.5 5,959 1,466 24.6 981 16.5 1,031 17.3 503

PEMANTAUAN VAKSIN TT WONOSOBO,

SISA VAKSIN BULAN LALU MENGETAHUI : PETUGAS IMUNISASI

DITERIMA BULAN INI 40 KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR

DIPAKAI BULAN INI 38

JML HASIL VAKSIN BULAN INI 227

IP VAKSIN

.......................................................... ............................................

LAPORAN CAKUPAN IMUNISASI T T PUSKESMAS KALIKAJAR 1 BULAN OKTOBER 2013

STATUS T T 1 - T T 5 BUMIL STATUS T T 1 - T T 5 W U S
JML JML
NO DESA Sasaran TT 1 TT 2 TT 3 TT 4 TT 5 sasaran TT 1 TT 2 TT 3 TT 4
BUMIL WUS
JML % JML % JML % JML % JML % JML % JML % JML % JML

1 Mangunrejo 46 - - - - - 540 - - -

2 Mungkung 27 - - - - - 324 - - -

3 Perboto 50 - - - - - 589 - - -

4 Kedalon 49 - - - - - 598 - - -

5 Rejosari 48 - - - - - 566 - - -

6 Kalikajar 87 - - - - - 1,034 - - -

7 Simbang 57 - - - - - 679 - - -

8 Karangduwur 41 - - - - - 462 - - -

9 Maduretno 98 - - - - - 1,167 - - -

JUMLAH TOTAL 503 0 - 0 - 0 - 0 - 0 - 5,959 0 - 0 - 0 - 0

PEMANTAUAN VAKSIN TT WONOSOBO,

SISA VAKSIN BULAN LALU MENGETAHUI : PETUGAS IMUNISASI

DITERIMA BULAN INI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR

DIPAKAI BULAN INI

JML HASIL VAKSIN BULAN INI

IP VAKSIN

.......................................................... ............................................

LAPORAN CAKUPAN IMUNISASI T T PUSKESMAS KALIKAJAR 1 BULAN NOPEMBER 2013

STATUS T T 1 - T T 5 BUMIL STATUS T T 1 - T T 5 W U S
JML JML
NO DESA Sasaran TT 1 TT 2 TT 3 TT 4 TT 5 sasaran TT 1 TT 2 TT 3 TT 4
BUMIL WUS
JML % JML % JML % JML % JML % JML % JML % JML % JML

1 Mangunrejo 46 0.0 0.0 0.0 0.0 0.0 540 - - -

2 Mungkung 27 0.0 0.0 0.0 0.0 0.0 324 - - -

3 Perboto 50 0.0 0.0 0.0 0.0 0.0 589 - - -

4 Kedalon 49 0.0 0.0 0.0 0.0 0.0 598 - - -

5 Rejosari 48 0.0 0.0 0.0 0.0 0.0 566 - - -

6 Kalikajar 87 0.0 0.0 0.0 0.0 0.0 1,034 - - -

7 Simbang 57 0.0 0.0 0.0 0.0 0.0 679 - - -

8 Karangduwur 41 0.0 0.0 0.0 0.0 0.0 462 - - -

9 Maduretno 98 0.0 0.0 0.0 0.0 0.0 1,167 - - -

JUMLAH TOTAL 503 0 - 0 - 0 - 0 - 0 - 5,959 - - - - - - -

. .. SISA VAKSIN BULAN LALU MENGETAHUI : PETUGAS IMUNISASI DITERIMA BULAN INI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DIPAKAI BULAN INI JML HASIL VAKSIN BULAN INI IP VAKSIN .. . ... ..... .T T 5 BUMIL STATUS T T 1 ... LAPORAN CAKUPAN IMUNISASI T T PUSKESMAS KALIKAJAR 1 BULAN DESEMBER 2013 STATUS T T 1 . ... .. . 462 . . - 4 Kedalon 49 . - 7 Simbang 57 ... - 5 Rejosari 48 . ...... . 1.... ... . ... .. .... 540 .... ......T T 5 W U S JML JML NO DESA Sasaran TT 1 TT 2 TT 3 TT 4 TT 5 sasaran TT 1 TT 2 TT 3 TT 4 BUMIL WUS JML % JML % JML % JML % JML % JML % JML % JML % JML 1 Mangunrejo 46 . .. 598 . . . .... - 2 Mungkung 27 ... .. . .... ... ..... ... 566 .....034 ...... 679 ... .. - . .... 589 .. .PEMANTAUAN VAKSIN TT WONOSOBO.......... . 324 . .. . ... .. - 8 Karangduwur 41 .. .. - 3 Perboto 50 ... . - 6 Kalikajar 87 .. .... .. . .....

........... PEMANTAUAN VAKSIN TT MENGETAHUI : PETUGAS IMUNISASI SISA VAKSIN BULAN LALU KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR DITERIMA BULAN INI DIPAKAI BULAN INI JML HASIL VAKSIN BULAN INI IP VAKSIN .......... - JUMLAH TOTAL 503 0 ..... ...........959 0 .........167 .. ... 0 . ..... .. 0 .9 Maduretno 98 ..... 0 ........ 1..... 0 WONOSOBO.. . 0 .. .. ... 5... 0 ......... 0 .....................

.0 28 5.0 18 3.0 8..8 11 3..0 8...........3 7.....TT5 WUS TT 4 TT 5 % JML % 8.9 40 6..... .. 2013 MAS KALIKAJAR 1 .4 4.9 6.0 7.....1 200 3.7 17 3...9 11 1....2 6....4 OBO..4 27 4.8 21 2.7 8..1 27 2....9 5.

..TT5 WUS TT 4 TT 5 % JML % 8...4 246 76 4..356 3. 2013 MAS KALIKAJAR 1 ...115 200 3.7 17 3...9 445 96 6.4 27 4.....888 65 OBO......0 327 58 7....2 379 70 6.0 28 5..8 11 3.. .0 18 3...0 728 70 8.....9 11 1..0 468 69 8..9 344 58 5...9 40 6.3 568 49 7....1 27 2.8 21 2....7 383 64 8.

3 520 7.0 348 7.8 21 2..1 27 2.....2 416 6...9 11 1.7 443 8.994 OBO.......0 18 3....TT5 WUS TT 4 TT 5 % JML % 8..9 360 5...0 728 8.115 200 3.9 40 6.......0 461 8.356 3.. ......7 17 3..4 27 4.. 2013 MAS KALIKAJAR 1 .....8 11 3.0 28 5...9 484 6.4 234 4.

TT5 WUS TT 4 TT 5 % JML % 8.0 10.3 8.4 27 4.4 4.9 32 3.8 25 5. 2013 MAS KALIKAJAR 1 .8 11 3.0 28 5.2 OBO.9 9.2 6.9 11.9 11 1.7 66 11.4 249 4.1 27 2.0 10.4 6.4 22 3.1 8.

.0 10.2 OBO....2 6.8 11 3....1 27 2....4 249 4.4 22 3...4 6. TT5 WUS TT 4 TT 5 % JML % 8......0 28 5.3 8.9 11......4 27 4.1 8... 2013 MAS KALIKAJAR 1 .4 4....9 9..9 32 3.0 10...7 66 11........8 25 5....9 11 1.

.9 11.0 10.4 4.7 66 11....9 11 1...4 6........ 2013 MAS KALIKAJAR 1 ....4 249 4..4 27 4..8 11 3....3 8..1 8..0 10..2 OBO.......2 6...8 25 5.1 27 2...9 32 3..0 28 5..4 22 3..9 9.. TT5 WUS TT 4 TT 5 % JML % 8...

..9 11 1.8 25 5..9 9..9 11... TT5 WUS TT 4 TT 5 % JML % 8.....2 OBO....0 10.2 6..........9 32 3...4 4..4 6.1 27 2...4 22 3....3 8...1 8..4 249 4.. 2013 .7 66 11.8 11 3.4 27 4......0 28 5.0 10..

9 11 1..1 27 2....MAS KALIKAJAR 1 .1 8.0 10.....0 10......4 6. 2013 ..7 66 11.9 32 3.8 25 5..... TT5 WUS TT 4 TT 5 % JML % 8.9 11..0 28 5.2 6.9 9.....4 27 4..4 249 4.3 8.2 OBO........4 22 3....8 11 3.4 4......

..4 27 4......9 32 3..2 .3 8....8 11 3...9 11 1....7 66 11.....1 8.. TT5 WUS TT 4 TT 5 % JML % 8...8 25 5.9 11.4 6.....0 10..9 9....4 4.4 22 3.4 249 4..0 10..MAS KALIKAJAR 1 ..2 6.1 27 2....0 28 5...

- .. - . - .... - ...... - .... - ..... 0 - .............. - .. TT5 WUS TT 4 TT 5 % JML % ..... - .OBO... - .... 2013 MAS KALIKAJAR 1 .

. - ...... - ........... - . 2013 MAS KALIKAJAR 1 . TT5 WUS TT 4 TT 5 % JML % . - ....OBO... - ... - ........ - .... - . - ....... - . .

. - ......... - ... 2013 MAS KALIKAJAR 1 .........OBO.. - .... - .. - . - ..... TT5 WUS TT 4 TT 5 % JML % ..... - ........ - .

. 0 - OBO....... ............ - ...... 2013 MAS KALIKAJAR 1 . .................

### .. ### ### Jumlah . .. ### . ### ### 6 Kalikajar .... .. . . ### . . . . .. . ### . ... ### . . ### ### 2 Mungkung .. ... .... .. . ### ### 7 Simbang .... .. . . . . . ..... ### ### 8 Karangduwur . . ### ... . . .. . . .. ... ### . .. .. ### .... . ..... . ...... ... . . . . . ### .. .. . . . ### . ..... . ... .. ### ### Keterangan : BR = Baru WONOSOBO. ### ### 4 Kedalon . LAPORAN HASIL BIAS DT DAN Td DI PUSKESMAS KALIKAJAR 1 TAHUN 2013 JUMLAH MURID / ANAK JML JUMLAH ANAK YANG VAKSIN N O JML KELAS I KELAS II KELAS III SASARAN DIIMUNISASI TDK DIIMUN DI PAKAI IP DESA SKH BR TK BR TK BR TK DT % Td % DT Td DT Td DT Td DT Td L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML 1 Mangunrejo . ### .. . . . . . ### .... ... . .. . 2013 : TK = Tinggal Kelas MENGETAHUI : PETUGAS IMUNISASI Sasaran DT : Murid baru kelas I KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 Sasaran Td : Murid kelas I tinggal kelas + kelas II + kelas III baru . .. . ### ........... ### ### 9 Maduretno ... ### ### 5 Rejosari ... . . . .. . ### . . .. . . . ### ..... . . . ### . ### . ... .. . ### .. . ### . .. . . .. . . . . .... . ### ### 3 Perboto ... . .. .. . . . . .. . .. ### .. . ...... . . . . . . . . . ..... .....

. ...... ... .....8 5 Rejosari 2 2 18 12 30 3 2 5 35 18 12 30 100..0 ..1 4 Kedalon 2 2 13 21 34 8 3 11 45 13 21 34 100..0 ... 33 15 18 33 100.. .0 . 0... .0 2 Mungkung 1 1 2 15 18 33 . 0.. .......... ..0 11 100 5 6..0 5 100 5 14....... ### 10 7. 0.0 Jumlah 18 3 21 228 215 443 21 8 29 472 228 215 443 100. 0. 0. .. . ..0 .0 .......0 ..... LAPORAN HASIL BULAN IMUNISASI ANAK SEKOLAH (BIAS) CAMPAK DI PUSKESMAS KALIKAJAR 1 TAHUN 2013 HASIL BIAS CAMPAK VAKSIN JML SKH JML JUMLAH MURID KELAS I N DIIMUNISASI TIDAK DIIMUNISASI DESA TO DIPA O BR TK JML BR % BR IP SD MI TAL % TK % KAI L P JML L P JML TOTAL L P JML L P JML 1 Mangunrejo 2 2 19 29 48 1 . 2013 : TK Tinggal Kelas MENGETAHUI : PETUGAS IMUNISASI : L Laki-laki KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 : P Perempuan :JML Jumlah . 0.... ..0 5 100 4 7..... .9 Keterangan : BR Baru WONOSOBO.0 3 100 5 7.... 0.8 9 Maduretno 2 2 36 34 70 4 1 5 75 36 34 70 100...0 ..4 8 Karangduwur 2 1 3 27 12 39 2 1 3 42 27 12 39 100. .... .. .0 ...... . 73 32 41 73 100.. 1 49 19 29 48 100...3 7 Simbang 2 2 33 26 59 2 1 3 62 33 26 59 100..0 3 100 8 7.0 ...0 . ...5 6 Kalikajar 3 1 4 32 41 73 ... 0......... ...0 .0 1 100 6 8...0 29 100 56 7....... 0.. .. . .0 . 0.6 3 Perboto 2 2 35 22 57 1 1 58 35 22 57 100..... ### 5 6......0 1 100 8 7. .

6 107 7.5 6 SUKOHARJO I 311 971.355 7131.177 2270.1 32 8.6 75 9.2 65 7.2 8 KERTEK I 769 2848.6 169 8.6 9 KERTEK II 704 1955.0 2 WONOSOBO II 210 1400.4 Jumlah 5.6 659 7.9 41 7.9 43 7. Hasil BIAS Campak 2008 No Puskesmas Anak % IP Vaksin 1 WONOSOBO I 1.0 26 8.9 .2 7 SUKOHARJO II 295 893.1 3 SELOMERTO 787 2248.3 5 LEKSONO II 272 1511.4 4 LEKSONO I 474 3646.1 101 7.

- 8 Karangduwur . - 9 Maduretno 8 3 11 JUMLAH 19 11 30 WONOSOBO. LAPORAN JML BAYI MENDAPATKAN IMUNISASI LENGKAP PUSKESMAS KALIKAJAR 1 BULAN JANUARI 2013 NO DESA L P JML 1 Mangunrejo 2 1 3 2 Mungkung 1 . 1 1 5 Rejosari 2 1 3 6 Kalikajar 2 2 4 7 Simbang . . . 1 3 Perboto 4 3 7 4 Kedalon . 2013 KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 .

LAPORAN JML BAYI MENDAPATKAN IMUNISASI LENGKAP PUSKESMAS KALIKAJAR 1 BULAN PEBRUARI 2013 NO DESA L P JML 1 Mangunrejo . . 0 2 Mungkung 1 3 4 3 Perboto 2 2 4 4 Kedalon 2 3 5 5 Rejosari 2 2 4 6 Kalikajar 4 4 8 .

...... LAPORAN JML BAYI MENDAPATKAN IMUNISASI LENGKAP PUSKESMAS KALIKAJAR 1 BULAN MARET 2013 NO DESA L P JML ............................................. ....................... 2 9 Maduretno 2 1 3 JUMLAH 19 16 35 WONOSOBO...7 Simbang 4 1 5 8 Karangduwur 2 ........ 2013 MENGETAHUI : PETUGAS IMUNISASI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 ....

3 3 JUMLAH 17 17 34 WONOSOBO.........1 Mangunrejo 2 1 3 2 Mungkung 2 1 3 3 Perboto 1 ........ ..... 2 6 Kalikajar 4 7 11 7 Simbang 1 4 5 8 Karangduwur 1 1 2 9 Maduretno ... 4 5 Rejosari 2 ............................. 2013 MENGETAHUI : PETUGAS IMUNISASI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 ....... ............ 1 4 Kedalon 4 ...................

1 1 3 Perboto . LAPORAN JML BAYI MENDAPATKAN IMUNISASI LENGKAP PUSKESMAS KALIKAJAR 1 BULAN APRIL 2013 NO DESA L P JML 1 Mangunrejo 3 2 5 2 Mungkung . 1 6 Kalikajar 4 5 9 7 Simbang 1 . 1 1 4 Kedalon 1 1 2 5 Rejosari 1 . 1 8 Karangduwur 2 1 3 9 Maduretno 8 . 8 JUMLAH 20 11 31 WONOSOBO. 2013 .

.. MENGETAHUI : PETUGAS IMUNISASI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 .. ................................ LAPORAN JML BAYI MENDAPATKAN IMUNISASI LENGKAP PUSKESMAS KALIKAJAR 1 BULAN MEI 2013 NO DESA L P JML 1 Mangunrejo 2 2 4 2 Mungkung 2 ....... 1 .............................. 2 3 Perboto 4 1 5 4 Kedalon 3 1 4 5 Rejosari 1 ................

.... 2013 MENGETAHUI : PETUGAS IMUNISASI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 ..... .... LAPORAN JML BAYI MENDAPATKAN IMUNISASI LENGKAP PUSKESMAS KALIKAJAR 1 BULAN JUNI 2013 ....................... .. - 9 Maduretno 4 5 9 JUMLAH 24 17 41 WONOSOBO..........................................6 Kalikajar 1 4 5 7 Simbang 7 4 11 8 Karangduwur ..........

....... .NO DESA L P JML 1 Mangunrejo 2 3 5 2 Mungkung 1 1 2 3 Perboto 1 1 2 4 Kedalon 3 5 8 5 Rejosari 2 2 4 6 Kalikajar 2 . .... 2 2 9 Maduretno 6 9 15 JUMLAH 19 24 43 WONOSOBO........................... 2013 MENGETAHUI : PETUGAS IMUNISASI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 .................. 2 7 Simbang 2 1 3 8 Karangduwur ................................

- 8 Karangduwur 8 1 9 9 Maduretno 1 1 2 . . LAPORAN JML BAYI MENDAPATKAN IMUNISASI LENGKAP PUSKESMAS KALIKAJAR 1 BULAN JULI 2013 NO DESA L P JML 1 Mangunrejo 2 2 4 2 Mungkung . 1 1 4 Kedalon 1 1 2 5 Rejosari 2 5 7 6 Kalikajar 3 3 6 7 Simbang . 3 3 3 Perboto .

......... JUMLAH 17 17 34 WONOSOBO... 1 ............ . 2013 MENGETAHUI : PETUGAS IMUNISASI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 ............................. LAPORAN JML BAYI MENDAPATKAN IMUNISASI LENGKAP PUSKESMAS KALIKAJAR 1 BULAN AGUSTUS 2013 NO DESA L P JML 1 Mangunrejo 5 1 6 2 Mungkung 1 ...................................

. 2013 MENGETAHUI : PETUGAS IMUNISASI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 ...........3 Perboto 1 .... 1 4 Kedalon 1 1 2 5 Rejosari 2 .. ............ .......................... 5 8 Karangduwur .... 2 2 9 Maduretno 3 3 6 JUMLAH 19 10 29 WONOSOBO......................... 2 6 Kalikajar 1 3 4 7 Simbang 5 .......

LAPORAN JML BAYI MENDAPATKAN IMUNISASI LENGKAP PUSKESMAS KALIKAJAR 1 BULAN SEPTEMBER 2013 NO DESA L P JML 1 Mangunrejo . 3 6 Kalikajar 5 4 9 7 Simbang 3 4 7 8 Karangduwur 3 2 5 9 Maduretno 3 5 8 JUMLAH 26 20 46 WONOSOBO. 2 2 2 Mungkung 3 . 2013 MENGETAHUI : PETUGAS IMUNISASI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 . 3 3 Perboto 3 1 4 4 Kedalon 3 2 5 5 Rejosari 3 .

...... .................................... ........................ LAPORAN JML BAYI MENDAPATKAN IMUNISASI LENGKAP PUSKESMAS KALIKAJAR 1 BULAN OKTOBER 2013 NO DESA L P JML 1 Mangunrejo 0 2 Mungkung - 3 Perboto - 4 Kedalon - 5 Rejosari - 6 Kalikajar - .....................

..... ... - WONOSOBO..........7 Simbang - 8 Karangduwur - 9 Maduretno - JUMLAH .................... LAPORAN JML BAYI MENDAPATKAN IMUNISASI LENGKAP PUSKESMAS KALIKAJAR 1 BULAN NOPEMBER 2013 ....... . 2013 MENGETAHUI : PETUGAS IMUNISASI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 ............................................

. ....... 2013 MENGETAHUI : PETUGAS IMUNISASI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 .NO DESA L P JML 1 Mangunrejo 0 2 Mungkung - 3 Perboto - 4 Kedalon - 5 Rejosari - 6 Kalikajar - 7 Simbang - 8 Karangduwur - 9 Maduretno - JUMLAH ......................................... ......... - WONOSOBO......................... ......

. - . LAPORAN JML BAYI MENDAPATKAN IMUNISASI LENGKAP PUSKESMAS KALIKAJAR 1 BULAN DESEMBER 2013 NO DESA L P JML 1 Mangunrejo 0 2 Mungkung - 3 Perboto - 4 Kedalon - 5 Rejosari - 6 Kalikajar - 7 Simbang - 8 Karangduwur - 9 Maduretno - JUMLAH .

................ 2013 NO DESA L P JML 1 Mangunrejo 18 14 32 2 Mungkung 11 9 20 3 Perboto 16 10 26 ........ LAPORAN JML BAYI MENDAPATKAN IMUNISASI LENGKAP PUSKESMAS KALIKAJAR 1 BULAN JANUARI s/d ........... 2013 MENGETAHUI : PETUGAS IMUNISASI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 ...................... WONOSOBO..................... ............................

..... .............. ...............................4 Kedalon 18 15 33 5 Rejosari 17 10 27 6 Kalikajar 26 32 58 7 Simbang 23 14 37 8 Karangduwur 16 9 25 9 Maduretno 35 30 65 JUMLAH 180 143 323 WONOSOBO................ 2013 MENGETAHUI : PETUGAS IMUNISASI KEPALA PUSKESMAS KALIKAJAR 1 PUSKESMAS KALIKAJAR 1 ......................