IMUNDASKAP Des 2019

TARGET SASARAN IMUNISASI DASAR LENGKAP (IDL) Th.
2019
TARGET ANTIGEN PER BLN
BAYI BARU LAHIR SURVIVING INFANT PENTA 1,2,3. POLIO
DESA/KEL HB, BCG, POLIO 1 2,3,4. IPV. CAMPAK
L P ∑ L P ∑ L P ∑ L
SISIR 170 168 338 167 164 331 14 14 28 14
TEMAS 121 120 241 119 117 236 10 10 20 10
SIDOMULYO 64 64 128 63 62 125 5 5 10 5
PUSKESMAS 355 352 707 349 343 692 29 29 58 29
TARGET SASARAN IMUNISASILANJUTAN BADUTA (BOSTER) Th.2019

SASARAN BATITA DPT-HB-Hib CAMPAK RUBELLA
DESA/KEL
L P ∑ L P ∑ L P
SISIR 148 143 291 12 12 24 12 12
TEMAS 135 134 269 11 11 22 11 11
SIDOMULYO 62 54 116 5 5 10 5 5
PUSKESMAS 345 331 676 29 28 56 29 28

(IDL) Th.2019
NTIGEN PER BLN
TARGET
PENTA 1,2,3. POLIO PROSENTASE
2,3,4. IPV. CAMPAK BULANAN
P ∑
14 28
10 20
8,33%
5 10
29 58
ER) Th.2019
PAK RUBELLA
∑
24
22
10
56
LAPORAN BULANAN HASIL IMUN ISASI RUTIN BAYI PUSKESMAS
Puskesmas : SISIR
Kabupaten/Kota : BATU
Provinsi : JAWA TIMUR BULAN : JANUARI 2019
DESA / HB0 (0<7 HARI) BCG
BAYI BARU LAHIRSURVIVING INFANT
NO KELURAHA BLN JANUARI S/D BLN JANUARI BLN JANUARI S/D BLN JANUARI
N L P JUMLAH L P JUMLAH # L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P %
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1 SISIR 170 168 338 167 164 331 12 7.1 7 4.2 19 5.6 12 7.1 7 4.2 19 5.6 12 7.1 8 4.8 20 5.9 12 7.1 8 4.8
2 TEMAS 121 120 241 119 117 236 8 6.6 16 13.3 24 10.0 8 6.6 16 13.3 24 10.0 15 12.4 12 10.0 27 11.2 15 12.4 12 10.0
3 SIDOMULYO 64 64 128 63 62 125 5 7.8 6 9.4 11 8.6 5 7.8 6 9.4 11 8.6 4 6.3 5 7.8 9 7.0 4 6.3 5 7.8
PUSKESMAS 355 352 707 349 343 692 25 7.0 29 8.2 54 7.6 25 7.0 29 8.2 54 7.6 31 8.7 25 7.1 56 7.9 31 8.7 25 7.1
POLIO1 DPT/HB (1) POLIO2
BLN JANUARI S/D BLN JANUARI BLN JANUARI S/D BLN JANUARI BLN JANUARI
#L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML %
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62
13 7.8 10 6.1 23 6.9 13 7.6 10 6.0 23 6.8 15 9.0 9 5.5 24 7.3 15 9.0 9 5.5 24 7.3 15 9.0 9 5.5 24 7.3
15 12.6 12 10.3 27 11.4 15 12.4 12 10.0 27 11.2 13 10.9 7 6.0 20 8.5 13 10.9 7 6.0 20 8.5 13 10.9 7 6.0 20 8.5
4 6.3 5 8.1 9 7.2 4 6.3 5 7.8 9 7.0 2 3.2 8 12.9 10 8.0 2 3.2 8 12.9 10 8.0 2 3.2 8 12.9 10 8.0
32 9.2 27 7.9 59 8.5 32 9.0 27 7.7 59 8.3 30 8.6 24 7.0 54 7.8 30 8.6 24 7.0 54 7.8 30 8.6 24 7.0 54 7.8
DPT/HB (2) POLIO3 DPT/HB (3)
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98
12 7.2 8 4.9 20 6.0 12 7.2 8 4.9 20 6.0 12 7.2 9 5.5 21 6.3 12 7.2 9 5.5 21 6.3 10 6.0 13 7.9 23 6.9
14 11.8 10 8.5 24 10.2 14 11.8 10 8.5 24 10.2 14 11.8 10 8.5 24 10.2 14 11.8 10 8.5 24 10.2 10 8.4 11 9.4 21 8.9
4 6.3 5 8.1 9 7.2 4 6.3 5 8.1 9 7.2 4 6.3 5 8.1 9 7.2 4 6.3 5 8.1 9 7.2 6 9.5 6 9.7 12 9.6
30 8.6 23 6.7 53 7.7 30 8.6 23 6.7 53 7.7 30 8.6 24 7.0 54 7.8 30 8.6 24 7.0 54 7.8 26 7.4 30 8.7 56 8.1
POLIO4 CAMPAK IMUNISASI LENGKAP
105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134
9 5.4 12 7.3 21 6.3 9 5.4 12 7.3 21 6.3 12 7.2 13 7.9 25 7.6 12 7.2 13 7.9 25 7.6 7 4.2 12 7.3 19 5.7
10 8.4 11 9.4 21 8.9 10 8.4 11 9.4 21 8.9 12 10.1 11 9.4 23 9.7 12 10.1 11 9.4 23 9.7 14 11.8 12 10.3 26 11.0
6 9.5 6 9.7 12 9.6 6 9.5 6 9.7 12 9.6 7 11.1 1 1.6 8 6.4 7 11.1 1 1.6 8 6.4 4 6.3 4 6.5 8 6.4
25 7.2 29 8.5 54 7.8 25 7.2 29 8.5 54 7.8 31 8.9 25 7.3 56 8.1 31 8.9 25 7.3 56 8.1 25 7.2 28 8.2 53 7.7
Mengetahui
Kepala Puskesmas Sisir
dr. Jongky Orris, S.M

NIP. 19750505 201001 1 024
BCG
S/D BLN JANUARI
# JML %
31 32
20 5.9
27 11.2
9 7.0
56 7.9
POLIO2
S/D BLN JANUARI
#L % #P % # JML %
63 64 65 66 67 68
15 9.0 9 5.5 24 7.3
13 10.9 7 6.0 20 8.5
2 3.2 8
0 12.9 10 8.0
30 8.6 24 7.0 54 7.8
DPT/HB (3)
S/D BLN JANUARI
#L % #P % # JML %
99 100 101 102 103 104
10 6.0 13 7.9 23 6.9
10 8.4 11 9.4 21 8.9
6 9.5 6 9.7 12 9.6
26 7.4 30 8.7 56 8.1
IMUNISASI LENGKAP
S/D BLN JANUARI
#L % #P % # JML %
135 136 137 138 139 140
7 4.2 12 7.3 19 5.7
14 11.8 12 10.3 26 11.0
4 6.3 4 6.5 8 6.4
25 7.2 28 8.2 53 7.7
Batu, 4 FEBRUARI 2019
Koordinator Imunisasi
YULI KARTIKA SARI, Amd.Kep

NIP.19870701 201001 2 011
Puskesmas : SISIR
Provinsi : JAWA TIMUR BULAN : FEBRUARI 2019
NO KELURAHA BLN FEBRUARI S/D BLN FEBRUARI BLN FEBRUARI S/D BLN FEBRUARI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1 SISIR 170 168 338 167 164 331 12 7.1 9 5.4 21 6.2 24 14.1 16 9.5 40 11.8 12 7.1 8 4.8 20 5.9 24 14.1 16 9.5
2 TEMAS 121 120 241 119 117 236 10 8.3 14 11.7 24 10.0 18 14.9 30 25.0 48 19.9 8 6.6 16 13.3 24 10.0 23 19.0 28 23.3
3 SIDOMULYO 64 64 128 63 62 125 5 7.8 7 10.9 12 9.4 10
0 15.6 13
0 20.3 23
0 18.0 6 9.4 4 6.3 10 7.8 10
0 15.6 9
0 14.1
PUSKESMAS 355 352 707 349 343 692 27 7.6 30 8.5 57 8.1 52 14.6 59 16.8 111 15.7 26 7.3 28 8.0 54 7.6 57 16.1 53 15.1
BLN FEBRUARI S/D BLN FEBRUARI BLN FEBRUARI S/D BLN FEBRUARI BLN FEBRUARI
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62
10 5.9 8 4.8 18 5.3 23 13.5 18 10.7 41 12.1 16 9.6 15 9.1 31 9.4 31 18.6 24 14.6 55 16.6 16 9.6 16 9.8 32 9.7
8 6.6 16 13.3 24 10.0 23 19.0 28 23.3 51 21.2 11 9.2 11 9.4 22 9.3 24 20.2 18 15.4 42 17.8 11 9.2 11 9.4 22 9.3
6 9.4 3 4.7 9 7.0 10
0 15.6 8
0 12.5 18
0 14.1 4 6.3 5 8.1 9 7.2 6
0 9.5 13
0 21.0 19
0 15.2 4 6.3 5 8.1 9 7.2
24 6.8 27 7.7 51 7.2 56 15.8 54 15.3 110 15.6 31 8.9 31 9.0 62 9.0 61 17.5 55 16.0 116 16.8 31 8.9 32 9.3 63 9.1
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98
20 12.0 14 8.5 34 10.3 32 19.2 22 13.4 54 16.3 20 12.0 14 8.5 34 10.3 32 19.2 23 14.0 55 16.6 15 9.0 20 12.2 35 10.6
12 10.1 7 6.0 19 8.1 26 21.8 17 14.5 43 18.2 12 10.1 7 6.0 19 8.1 26 21.8 17 14.5 43 18.2 14 11.8 10 8.5 24 10.2
5 7.9 5 8.1 10 8.0 9
0 14.3 10
0 16.1 19
0 15.2 5 7.9 5 8.1 10 8.0 9
0 14.3 10
0 16.1 19
0 15.2 6 9.5 3 4.8 9 7.2
37 10.6 26 7.6 63 9.1 67 19.2 49 14.3 116 16.8 37 10.6 26 7.6 63 9.1 67 19.2 50 14.6 117 16.9 35 10.0 33 9.6 68 9.8
105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134
15 9.0 19 11.6 34 10.3 24 14.4 31 18.9 55 16.6 16 9.6 10 6.1 26 7.9 28 16.8 23 14.0 51 15.4 15 9.0 10 6.1 25 7.6
14 11.8 10 8.5 24 10.2 24 20.2 21 17.9 45 19.1 12 10.1 11 9.4 23 9.7 24 20.2 22 18.8 46 19.5 9 7.6 6 5.1 15 6.4
6 9.5 3 4.8 9 7.2 12
0 19.0 9
0 14.5 21
0 16.8 7 11.1 7 11.3 14 11.2 14
0 22.2 8
0 12.9 22
0 17.6 3 4.8 3 4.8 6 4.8
35 10.0 32 9.3 67 9.7 60 17.2 61 17.8 121 17.5 35 10.0 28 8.2 63 9.1 66 18.9 53 15.5 119 17.2 27 7.7 19 5.5 46 6.6
Mengetahui

NIP. 19750505 201001 1 024
100 12 8.333
100 12 8.333 16.67
100 12 8.333 25
100 12 8.333 33.33
100 12 8.333 41.67
100 12 8.333 50
100 12 8.333 58.33
100 12 8.333 66.67
100 12 8.333 75
100 12 8.333 83.33
100 12 8.333 91.67
100 12 8.333 100
BCG
S/D BLN FEBRUARI
# JML %
31 32
40 11.8
51 21.2
19
0 14.8
110 15.6
POLIO2
S/D BLN FEBRUARI
#L % #P % # JML %
63 64 65 66 67 68
31 18.6 25 15.2 56 16.9
24 20.2 18 15.4 42 17.8
6
0 9.5 13
0 21.0 19
0 15.2
61 17.5 56 16.3 117 16.9
DPT/HB (3)
S/D BLN FEBRUARI
#L % #P % # JML %
99 100 101 102 103 104
25 15.0 33 20.1 58 17.5
24 20.2 21 17.9 45 19.1
12
0 19.0 9
0 14.5 21
0 16.8
61 17.5 63 18.4 124 17.9
IMUNISASI LENGKAP
S/D BLN FEBRUARI
#L % #P % # JML %
135 136 137 138 139 140
22 13.2 22 13.4 44 13.3
23 19.3 18 15.4 41 17.4
7
0 11.1 7
0 11.3 14
0 11.2
52 14.9 47 13.7 99 14.3
Batu, 4 MARET 2019

NIP.19870701 201001 2 011
Puskesmas : SISIR
Provinsi : JAWA TIMUR BULAN : MARET 2019
NO KELURAHA BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1 SISIR 170 168 338 167 164 331 14 8.2 12 7.1 26 7.7 38 22.4 28 16.7 66 19.5 13 7.6 11 6.5 24 7.1 37 21.8 27 16.1
2 TEMAS 121 120 241 119 117 236 10 8.3 12 10.0 22 9.1 28 23.1 42 35.0 70 29.0 8 6.6 11 9.2 19 7.9 31 25.6 39 32.5
3 SIDOMULYO 64 64 128 63 62 125 6 9.4 4 6.3 10 7.8 16
0 25.0 17
0 26.6 33
0 25.8 4 6.3 6 9.4 10 7.8 14
0 21.9 15
0 23.4
PUSKESMAS 355 352 707 349 343 692 30 8.5 28 8.0 58 8.2 82 23.1 87 24.7 169 23.9 25 7.0 28 8.0 53 7.5 82 23.1 81 23.0
BLN MARET S/D BLN MARET BLN MARET S/D BLN MARET BLN MARET
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62
14 8.2 10 6.0 24 7.1 37 21.8 28 16.7 65 19.2 13 7.8 18 11.0 31 9.4 44 26.3 42 25.6 86 26.0 14 8.4 8 4.9 22 6.6
8 6.6 11 9.2 19 7.9 31 25.6 39 32.5 70 29.0 9 7.6 12 10.3 21 8.9 33 27.7 30 25.6 63 26.7 9 7.6 12 10.3 21 8.9
4 6.3 6 9.4 10 7.8 14
0 21.9 14
0 21.9 28
0 21.9 5 7.9 7 11.3 12 9.6 11
0 17.5 20
0 32.3 31
0 24.8 5 7.9 7 11.3 12 9.6
26 7.3 27 7.7 53 7.5 82 23.1 81 23.0 163 23.1 27 7.7 37 10.8 64 9.2 88 25.2 92 26.8 180 26.0 28 8.0 27 7.9 55 7.9
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98
15 9.0 11 6.7 26 7.9 47 28.1 33 20.1 80 24.2 15 9.0 11 6.7 26 7.9 47 28.1 34 20.7 81 24.5 13 7.8 10 6.1 23 6.9
11 9.2 11 9.4 22 9.3 37 31.1 28 23.9 65 27.5 11 9.2 11 9.4 22 9.3 37 31.1 28 23.9 65 27.5 10 8.4 11 9.4 21 8.9
3 4.8 7 11.3 10 8.0 12
0 19.0 17
0 27.4 29
0 23.2 3 4.8 7 11.3 10 8.0 12
0 19.0 17
0 27.4 29
0 23.2 6 9.5 4 6.5 10 8.0
29 8.3 29 8.5 58 8.4 96 27.5 78 22.7 174 25.1 29 8.3 29 8.5 58 8.4 96 27.5 79 23.0 175 25.3 29 8.3 25 7.3 54 7.8
105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134
13 7.8 10 6.1 23 6.9 37 22.2 41 25.0 78 23.6 13 7.8 10 6.1 23 6.9 41 24.6 33 20.1 74 22.4 11 6.6 10 6.1 21 6.3
10 8.4 11 9.4 21 8.9 34 28.6 32 27.4 66 28.0 11 9.2 7 6.0 18 7.6 35 29.4 29 24.8 64 27.1 18 15.1 7 6.0 25 10.6
6 9.5 4 6.5 10 8.0 18
0 28.6 13
0 21.0 31
0 24.8 2 3.2 7 11.3 9 7.2 16
0 25.4 15
0 24.2 31
0 24.8 7 11.1 1 1.6 8 6.4
29 8.3 25 7.3 54 7.8 89 25.5 86 25.1 175 25.3 26 7.4 24 7.0 50 7.2 92 26.4 77 22.4 169 24.4 36 10.3 18 5.2 54 7.8
Mengetahui

NIP. 19750505 201001 1 024
BCG
S/D BLN MARET
# JML %
31 32
64 18.9
70 29.0
29
0 22.7
163 23.1
POLIO2
S/D BLN MARET
#L % #P % # JML %
63 64 65 66 67 68
45 26.9 33 20.1 78 23.6
33 27.7 30 25.6 63 26.7
11
0 17.5 20
0 32.3 31
0 24.8
89 25.5 83 24.2 172 24.9
DPT/HB (3)
S/D BLN MARET
#L % #P % # JML %
99 100 101 102 103 104
38 22.8 43 26.2 81 24.5
34 28.6 32 27.4 66 28.0
18
0 28.6 13
0 21.0 31
0 24.8
90 25.8 88 25.7 178 25.7
IMUNISASI LENGKAP
S/D BLN MARET
#L % #P % # JML %
135 136 137 138 139 140
33 19.8 32 19.5 65 19.6
41 34.5 25 21.4 66 28.0
14
0 22.2 8 12.9
0 22
0 17.6
88 25.2 65 19.0 153 22.1
Batu, 8 APRIL 2019

NIP.19870701 201001 2 011
Puskesmas : SISIR
Provinsi : JAWA TIMUR BULAN : APRIL 2019
NO KELURAHA BLN APRIL S/D BLN APRIL BLN APRIL S/D BLN APRIL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1 SISIR 170 168 338 167 164 331 16 9.4 17 10.1 33 9.8 54 31.8 45 26.8 99 29.3 10 5.9 5 3.0 15 4.4 47 27.6 32 19.0
2 TEMAS 121 120 241 119 117 236 10 8.3 10 8.3 20 8.3 38 31.4 52 43.3 90 37.3 10 8.3 10 8.3 20 8.3 41 33.9 49 40.8
3 SIDOMULYO 64 64 128 63 62 125 5 7.8 7 10.9 12 9.4 21
0 32.8 24
0 37.5 45
0 35.2 3 4.7 6 9.4 9 7.0 17
0 26.6 21
0 32.8
PUSKESMAS 355 352 707 349 343 692 31 8.7 34 9.7 65 9.2 113 31.8 121 34.4 234 33.1 23 6.5 21 6.0 44 6.2 105 29.6 102 29.0
BLN APRIL S/D BLN APRIL BLN APRIL S/D BLN APRIL BLN APRIL
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62
4 2.4 13 7.7 17 5.0 41 24.1 41 24.4 82 24.3 6 3.6 4 2.4 10 3.0 50 29.9 46 28.0 96 29.0 5 3.0 4 2.4 9 2.7
5 4.1 4 3.3 9 3.7 36 29.8 43 35.8 79 32.8 8 6.7 9 7.7 17 7.2 41 34.5 39 33.3 80 33.9 5 4.2 7 6.0 12 5.1
1 1.6 2 3.1 3 2.3 15
0 23.4 16
0 25.0 31
0 24.2 7 11.1 4 6.5 11 8.8 18
0 28.6 24
0 38.7 42
0 33.6 1 1.6 1 1.6 2 1.6
10 2.8 19 5.4 29 4.1 92 25.9 100 28.4 192 27.2 21 6.0 17 5.0 38 5.5 109 31.2 109 31.8 218 31.5 11 3.2 12 3.5 23 3.3
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98
11 6.6 11 6.7 22 6.6 58 34.7 44 26.8 102 30.8 8 4.8 8 4.9 16 4.8 55 32.9 42 25.6 97 29.3 15 9.0 8 4.9 23 6.9
10 8.4 11 9.4 21 8.9 47 39.5 39 33.3 86 36.4 5 4.2 2 1.7 7 3.0 42 35.3 30 25.6 72 30.5 11 9.2 9 7.7 20 8.5
3 4.8 6 9.7 9 7.2 15
0 23.8 23
0 37.1 38
0 30.4 0 0.0 2 3.2 2 1.6 12
0 19.0 19
0 30.6 31
0 24.8 3 4.8 9 14.5 12 9.6
24 6.9 28 8.2 52 7.5 120 34.4 106 30.9 226 32.7 13 3.7 12 3.5 25 3.6 109 31.2 91 26.5 200 28.9 29 8.3 26 7.6 55 7.9
105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134
14 8.4 7 4.3 21 6.3 51 30.5 48 29.3 99 29.9 20 12.0 17 10.4 37 11.2 61 36.5 50 30.5 111 33.5 13 7.8 15 9.1 28 8.5
5 4.2 4 3.4 9 3.8 39 32.8 36 30.8 75 31.8 11 9.2 11 9.4 22 9.3 46 38.7 40 34.2 86 36.4 9 7.6 12 10.3 21 8.9
0 0.0 0 0.0 0 0.0 18
0 28.6 13
0 21.0 31
0 24.8 6 9.5 4 6.5 10 8.0 22
0 34.9 19
0 30.6 41
0 32.8 6 9.5 3 4.8 9 7.2
19 5.4 11 3.2 30 4.3 108 30.9 97 28.3 205 29.6 37 10.6 32 9.3 69 10.0 129 37.0 109 31.8 238 34.4 28 8.0 30 8.7 58 8.4
Mengetahui

NIP. 19750505 201001 1 024
BCG
S/D BLN APRIL
# JML %
31 32
79 23.4
90 37.3
38
0 29.7
207 29.3
POLIO2
S/D BLN APRIL
#L % #P % # JML %
63 64 65 66 67 68
50 29.9 37 22.6 87 26.3
38 31.9 37 31.6 75 31.8
12
0 19.0 21
0 33.9 33
0 26.4
100 28.7 95 27.7 195 28.2
DPT/HB (3)
S/D BLN APRIL
#L % #P % # JML %
99 100 101 102 103 104
53 31.7 51 31.1 104 31.4
45 37.8 41 35.0 86 36.4
21
0 33.3 22
0 35.5 43
0 34.4
119 34.1 114 33.2 233 33.7
IMUNISASI LENGKAP
S/D BLN APRIL
#L % #P % # JML %
135 136 137 138 139 140
46 27.5 47 28.7 93 28.1
50 42.0 37 31.6 87 36.9
20
0 31.7 11
0 17.7 31
0 24.8
116 33.2 95 27.7 211 30.5
Batu, 6 MEI 2019

NIP.19870701 201001 2 011
Puskesmas : SISIR
Provinsi : JAWA TIMUR BULAN : MEI 2019
NO KELURAHA BLN MEI S/D BLN MEI BLN MEI S/D BLN MEI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1 SISIR 170 168 338 167 164 331 10 5.9 18 10.7 28 8.3 64 37.6 63 37.5 127 37.6 8 4.7 13 7.7 21 6.2 55 32.4 45 26.8
2 TEMAS 121 120 241 119 117 236 10 8.3 10 8.3 20 8.3 48 39.7 62 51.7 110 45.6 9 7.4 11 9.2 20 8.3 50 41.3 60 50.0
3 SIDOMULYO 64 64 128 63 62 125 4 6.3 7 10.9 11 8.6 25
0 39.1 31
0 48.4 56
0 43.8 5 7.8 6 9.4 11 8.6 22
0 34.4 27
0 42.2
PUSKESMAS 355 352 707 349 343 692 24 6.8 35 9.9 59 8.3 137 38.6 156 44.3 293 41.4 22 6.2 30 8.5 52 7.4 127 35.8 132 37.5
BLN MEI S/D BLN MEI BLN MEI S/D BLN MEI BLN MEI
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62
12 7.1 11 6.5 23 6.8 53 31.2 52 31.0 105 31.1 8 4.8 8 4.9 16 4.8 58 34.7 54 32.9 112 33.8 6 3.6 8 4.9 14 4.2
14 11.6 16 13.3 30 12.4 50 41.3 59 49.2 109 45.2 7 5.9 8 6.8 15 6.4 48 40.3 47 40.2 95 40.3 7 5.9 5 4.3 12 5.1
7 10.9 8 12.5 15 11.7 22
0 34.4 24
0 37.5 46
0 35.9 5 7.9 4 6.5 9 7.2 23
0 36.5 28
0 45.2 51
0 40.8 10 15.9 7 11.3 17 13.6
33 9.3 35 9.9 68 9.6 125 35.2 135 38.4 260 36.8 20 5.7 20 5.8 40 5.8 129 37.0 129 37.6 258 37.3 23 6.6 20 5.8 43 6.2
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98
8 4.8 4 2.4 12 3.6 66 39.5 48 29.3 114 34.4 9 5.4 5 3.0 14 4.2 64 38.3 47 28.7 111 33.5 13 7.8 11 6.7 24 7.3
7 5.9 5 4.3 12 5.1 54 45.4 44 37.6 98 41.5 8 6.7 9 7.7 17 7.2 50 42.0 39 33.3 89 37.7 8 6.7 9 7.7 17 7.2
8 12.7 2 3.2 10 8.0 23
0 36.5 25
0 40.3 48
0 38.4 11 17.5 5 8.1 16 12.8 23
0 36.5 24
0 38.7 47
0 37.6 4 6.3 5 8.1 9 7.2
23 6.6 11 3.2 34 4.9 143 41.0 117 34.1 260 37.6 28 8.0 19 5.5 47 6.8 137 39.3 110 32.1 247 35.7 25 7.2 25 7.3 50 7.2
105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134
13 7.8 12 7.3 25 7.6 64 38.3 60 36.6 124 37.5 15 9.0 13 7.9 28 8.5 76 45.5 63 38.4 139 42.0 15 9.0 14 8.5 29 8.8
10 8.4 5 4.3 15 6.4 49 41.2 41 35.0 90 38.1 9 7.6 9 7.7 18 7.6 55 46.2 49 41.9 104 44.1 15 12.6 12 10.3 27 11.4
6 9.5 12 19.4 18 14.4 24
0 38.1 25
0 40.3 49
0 39.2 7 11.1 7 11.3 14 11.2 29
0 46.0 26
0 41.9 55
0 44.0 5 7.9 7 11.3 12 9.6
29 8.3 29 8.5 58 8.4 137 39.3 126 36.7 263 38.0 31 8.9 29 8.5 60 8.7 160 45.8 138 40.2 298 43.1 35 10.0 33 9.6 68 9.8
Mengetahui

NIP. 19750505 201001 1 024
BCG
S/D BLN MEI
# JML %
31 32
100 29.6
110 45.6
49
0 38.3
259 36.6
POLIO2
S/D BLN MEI
#L % #P % # JML %
63 64 65 66 67 68
56 33.5 45 27.4 101 30.5
45 37.8 42 35.9 87 36.9
22
0 34.9 28
0 45.2 50
0 40.0
123 35.2 115 33.5 238 34.4
DPT/HB (3)
S/D BLN MEI
#L % #P % # JML %
99 100 101 102 103 104
66 39.5 62 37.8 128 38.7
53 44.5 50 42.7 103 43.6
25
0 39.7 27
0 43.5 52
0 41.6
144 41.3 139 40.5 283 40.9
IMUNISASI LENGKAP
S/D BLN MEI
#L % #P % # JML %
135 136 137 138 139 140
61 36.5 61 37.2 122 36.9
65 54.6 49 41.9 114 48.3
25
0 39.7 18
0 29.0 43
0 34.4
151 43.3 128 37.3 279 40.3
Batu,18 April 2019

NIP.19870701 201001 2 011
Puskesmas : SISIR
Provinsi : JAWA TIMUR BULAN : Juni 2019
NO KELURAHA BLN JUNI S/D BLN JUNI BLN JUNI S/D BLN JUNI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1 SISIR 170 168 338 167 164 331 13 7.6 18 10.7 31 9.2 77 45.3 81 48.2 158 46.7 6 3.5 14 8.3 20 5.9 61 35.9 59 35.1
2 TEMAS 121 120 241 119 117 236 9 7.4 11 9.2 20 8.3 57 47.1 73 60.8 130 53.9 10 8.3 10 8.3 20 8.3 60 49.6 70 58.3
3 SIDOMULYO 64 64 128 63 62 125 9 14.1 2 3.1 11 8.6 34
0 53.1 33
0 51.6 67
0 52.3 9 14.1 7 10.9 16 12.5 31
0 48.4 34
0 53.1
PUSKESMAS 355 352 707 349 343 692 31 8.7 31 8.8 62 8.8 168 47.3 187 53.1 355 50.2 25 7.0 31 8.8 56 7.9 152 42.8 163 46.3
BLN JUNI S/D BLN JUNI BLN JUNI S/D BLN JUNI BLN JUNI
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62
6 3.5 14 8.3 20 5.9 59 34.7 66 39.3 125 37.0 11 6.6 15 9.1 26 7.9 69 41.3 69 42.1 138 41.7 13 7.8 15 9.1 28 8.5
11 9.1 11 9.2 22 9.1 61 50.4 70 58.3 131 54.4 9 7.6 11 9.4 20 8.5 57 47.9 58 49.6 115 48.7 11 9.2 15 12.8 26 11.0
11 17.2 9 14.1 20 15.6 33
0 51.6 33
0 51.6 66
0 51.6 4 6.3 8 12.9 12 9.6 27
0 42.9 36
0 58.1 63
0 50.4 5 7.9 8 12.9 13 10.4
28 7.9 34 9.7 62 8.8 153 43.1 169 48.0 322 45.5 24 6.9 34 9.9 58 8.4 153 43.8 163 47.5 316 45.7 29 8.3 38 11.1 67 9.7
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98
11 6.6 17 10.4 28 8.5 77 46.1 65 39.6 142 42.9 9 5.4 18 11.0 27 8.2 73 43.7 65 39.6 138 41.7 14 8.4 9 5.5 23 6.9
8 6.7 11 9.4 19 8.1 62 52.1 55 47.0 117 49.6 8 6.7 9 7.7 17 7.2 58 48.7 48 41.0 106 44.9 7 5.9 7 6.0 14 5.9
8 12.7 7 11.3 15 12.0 31
0 49.2 32
0 51.6 63
0 50.4 9 14.3 6 9.7 15 12.0 32
0 50.8 30
0 48.4 62
0 49.6 8 12.7 2 3.2 10 8.0
27 7.7 35 10.2 62 9.0 170 48.7 152 44.3 322 46.5 26 7.4 33 9.6 59 8.5 163 46.7 143 41.7 306 44.2 29 8.3 18 5.2 47 6.8
105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134
13 7.8 8 4.9 21 6.3 77 46.1 68 41.5 145 43.8 13 7.8 7 4.3 20 6.0 89 53.3 70 42.7 159 48.0 17 10.2 12 7.3 29 8.8
9 7.6 9 7.7 18 7.6 58 48.7 50 42.7 108 45.8 11 9.2 10 8.5 21 8.9 66 55.5 59 50.4 125 53.0 8 6.7 16 13.7 24 10.2
8 12.7 2 3.2 10 8.0 32
0 50.8 27
0 43.5 59
0 47.2 3 4.8 6 9.7 9 7.2 32
0 50.8 32
0 51.6 64
0 51.2 5 7.9 6 9.7 11 8.8
30 8.6 19 5.5 49 7.1 167 47.9 145 42.3 312 45.1 27 7.7 23 6.7 50 7.2 187 53.6 161 46.9 348 50.3 30 8.6 34 9.9 64 9.2
Mengetahui

NIP. 19750505 201001 1 024
REVISI
BCG
S/D BLN JUNI
# JML %
31 32
120 35.5
130 53.9
65
0 50.8
315 44.6
POLIO2
S/D BLN JUNI
#L % #P % # JML %
63 64 65 66 67 68
69 41.3 60 36.6 129 39.0
56 47.1 57 48.7 113 47.9
27
0 42.9 36
0 58.1 63
0 50.4
152 43.6 153 44.6 305 44.1
DPT/HB (3)
S/D BLN JUNI
#L % #P % # JML %
99 100 101 102 103 104
80 47.9 71 43.3 151 45.6
60 50.4 57 48.7 117 49.6
33
0 52.4 29
0 46.8 62
0 49.6
173 49.6 157 45.8 330 47.7
IMUNISASI LENGKAP
S/D BLN JUNI
#L % #P % # JML %
135 136 137 138 139 140
78 46.7 73 44.5 151 45.6
73 61.3 65 55.6 138 58.5
30
0 47.6 24
0 38.7 54
0 43.2
181 51.9 162 47.2 343 49.6
Batu,5 Juli 2019

NIP.19870701 201001 2 011
LAPORAN BULANAN HASIL IMUN ISASI RUTIN BAYI PUSKESMAS REVISI
Puskesmas : SISIR
Provinsi : JAWA TIMUR BULAN : Juli 2019
NO KELURAHA BLN JULI S/D BLN JULI BLN JULI S/D BLN JULI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1 SISIR 170 168 338 167 164 331 17 10.0 19 11.3 36 10.7 94 55.3 100 59.5 194 57.4 7 4.1 14 8.3 21 6.2 68 40.0 73 43.5
2 TEMAS 121 120 241 119 117 236 11 9.1 10 8.3 21 8.7 68 56.2 83 69.2 151 62.7 12 9.9 12 10.0 24 10.0 72 59.5 82 68.3
3 SIDOMULYO 64 64 128 63 62 125 5 7.8 6 9.4 11 8.6 39
0 60.9 39
0 60.9 78
0 60.9 5 7.8 14 21.9 19 14.8 36
0 56.3 48
0 75.0
PUSKESMAS 355 352 707 349 343 692 33 9.3 35 9.9 68 9.6 201 56.6 222 63.1 423 59.8 24 6.8 40 11.4 64 9.1 176 49.6 203 57.7
BLN JULI S/D BLN JULI BLN JULI S/D BLN JULI BLN JULI
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62
8 4.7 10 6.0 18 5.3 67 39.4 76 45.2 143 42.3 7 4.2 11 6.7 18 5.4 76 45.5 80 48.8 156 47.1 7 4.2 11 6.7 18 5.4
12 9.9 12 10.0 24 10.0 73 60.3 82 68.3 155 64.3 10 8.4 10 8.5 20 8.5 67 56.3 68 58.1 135 57.2 10 8.4 10 8.5 20 8.5
5 7.8 14 21.9 19 14.8 38
0 59.4 47
0 73.4 85
0 66.4 10 15.9 10 16.1 20 16.0 37
0 58.7 46
0 74.2 83
0 66.4 10 15.9 10 16.1 20 16.0
25 7.0 36 10.2 61 8.6 178 50.1 205 58.2 383 54.2 27 7.7 31 9.0 58 8.4 180 51.6 194 56.6 374 54.0 27 7.7 31 9.0 58 8.4
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98
10 6.0 7 4.3 17 5.1 87 52.1 72 43.9 159 48.0 13 7.8 7 4.3 20 6.0 86 51.5 72 43.9 158 47.7 7 4.2 5 3.0 12 3.6
9 7.6 10 8.5 19 8.1 71 59.7 65 55.6 136 57.6 11 9.2 15 12.8 26 11.0 69 58.0 63 53.8 132 55.9 10 8.4 12 10.3 22 9.3
5 7.9 2 3.2 7 5.6 36
0 57.1 34
0 54.8 70
0 56.0 5 7.9 2 3.2 7 5.6 37
0 58.7 32
0 51.6 69
0 55.2 6 9.5 8 12.9 14 11.2
24 6.9 19 5.5 43 6.2 194 55.6 171 49.9 365 52.7 29 8.3 24 7.0 53 7.7 192 55.0 167 48.7 359 51.9 23 6.6 25 7.3 48 6.9
105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134
5 3.0 6 3.7 11 3.3 82 49.1 74 45.1 156 47.1 9 5.4 8 4.9 17 5.1 98 58.7 78 47.6 176 53.2 8 4.8 16 9.8 24 7.3
12 10.1 10 8.5 22 9.3 70 58.8 60 51.3 130 55.1 14 11.8 11 9.4 25 10.6 80 67.2 70 59.8 150 63.6 15 12.6 12 10.3 27 11.4
6 9.5 8 12.9 14 11.2 38
0 60.3 35
0 56.5 73
0 58.4 5 7.9 4 6.5 9 7.2 37
0 58.7 36
0 58.1 73
0 58.4 8 12.7 5 8.1 13 10.4
23 6.6 24 7.0 47 6.8 190 54.4 169 49.3 359 51.9 28 8.0 23 6.7 51 7.4 215 61.6 184 53.6 399 57.7 31 8.9 33 9.6 64 9.2
Mengetahui

NIP. 19750505 201001 1 024
BCG
S/D BLN JULI
# JML %
31 32
141 41.7
154 63.9
84
0 65.6
379 53.6
POLIO2
S/D BLN JULI
#L % #P % # JML %
63 64 65 66 67 68
76 45.5 71 43.3 147 44.4
66 55.5 67 57.3 133 56.4
37
0 58.7 46
0 74.2 83
0 66.4
179 51.3 184 53.6 363 52.5
DPT/HB (3)
S/D BLN JULI
#L % #P % # JML %
99 100 101 102 103 104
87 52.1 76 46.3 163 49.2
70 58.8 69 59.0 139 58.9
39
0 61.9 37
0 59.7 76
0 60.8
196 56.2 182 53.1 378 54.6
IMUNISASI LENGKAP
S/D BLN JULI
#L % #P % # JML %
135 136 137 138 139 140
86 51.5 89 54.3 175 52.9
88 73.9 77 65.8 165 69.9
38
0 60.3 29
0 46.8 67
0 53.6
212 60.7 195 56.9 407 58.8
Batu, 01 Agustus 2019

NIP.19870701 201001 2 011
LAPORAN BULANAN HASIL IMUN ISASI RUTIN BAYI PUSKESMAS REVISI
Puskesmas : SISIR
Provinsi : JAWA TIMUR BULAN : Agustus 2019
NO KELURAHA BLN AGUSTUS S/D BLN AGUSTUS BLN AGUSTUS S/D BLN AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1 SISIR 170 168 338 167 164 331 18 10.6 15 8.9 33 9.8 112 65.9 115 68.5 227 67.2 20 11.8 9 5.4 29 8.6 88 51.8 82 48.8
2 TEMAS 121 120 241 119 117 236 13 10.7 11 9.2 24 10.0 81 66.9 94 78.3 175 72.6 19 15.7 7 5.8 26 10.8 91 75.2 89 74.2
3 SIDOMULYO 64 64 128 63 62 125 7 10.9 4 6.3 11 8.6 46
0 71.9 43
0 67.2 89
0 69.5 3 4.7 3 4.7 6 4.7 39
0 60.9 51
0 79.7
PUSKESMAS 355 352 707 349 343 692 38 10.7 30 8.5 68 9.6 239 67.3 252 71.6 491 69.4 42 11.8 19 5.4 61 8.6 218 61.4 222 63.1
BLN AGUSTUS S/D BLN AGUSTUS BLN AGUSTUS S/D BLN AGUSTUS BLN AGUSTUS
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62
20 11.8 9 5.4 29 8.6 87 51.2 85 50.6 172 50.9 25 15.0 21 12.8 46 13.9 101 60.5 101 61.6 202 61.0 26 15.6 21 12.8 47 14.2
19 15.7 7 5.8 26 10.8 92 76.0 89 74.2 181 75.1 10 8.4 8 6.8 18 7.6 77 64.7 76 65.0 153 64.8 10 8.4 8 6.8 18 7.6
3 4.7 3 4.7 6 4.7 41
0 64.1 50
0 78.1 91
0 71.1 7 11.1 11 17.7 18 14.4 44
0 69.8 57
0 91.9 101
0 80.8 7 11.1 11 17.7 18 14.4
42 11.8 19 5.4 61 8.6 220 62.0 224 63.6 444 62.8 42 12.0 40 11.7 82 11.8 222 63.6 234 68.2 456 65.9 43 12.3 40 11.7 83 12.0
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98
12 7.2 20 12.2 32 9.7 99 59.3 92 56.1 191 57.7 12 7.2 20 12.2 32 9.7 98 58.7 92 56.1 190 57.4 9 5.4 11 6.7 20 6.0
8 6.7 8 6.8 16 6.8 79 66.4 73 62.4 152 64.4 8 6.7 8 6.8 16 6.8 77 64.7 71 60.7 148 62.7 10 8.4 10 8.5 20 8.5
8 12.7 12 19.4 20 16.0 44
0 69.8 46
0 74.2 90
0 72.0 8 12.7 12 19.4 20 16.0 45
0 71.4 44
0 71.0 89
0 71.2 2 3.2 3 4.8 5 4.0
28 8.0 40 11.7 68 9.8 222 63.6 211 61.5 433 62.6 28 8.0 40 11.7 68 9.8 220 63.0 207 60.3 427 61.7 21 6.0 24 7.0 45 6.5
105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134
9 5.4 11 6.7 20 6.0 91 54.5 85 51.8 176 53.2 17 10.2 17 10.4 34 10.3 115 68.9 95 57.9 210 63.4 15 9.0 13 7.9 28 8.5
12 10.1 12 10.3 24 10.2 82 68.9 72 61.5 154 65.3 12 10.1 10 8.5 22 9.3 92 77.3 80 68.4 172 72.9 14 11.8 9 7.7 23 9.7
3 4.8 5 8.1 8 6.4 41
0 65.1 40
0 64.5 81
0 64.8 4 6.3 10 16.1 14 11.2 41
0 65.1 46
0 74.2 87
0 69.6 8 12.7 6 9.7 14 11.2
24 6.9 28 8.2 52 7.5 214 61.3 197 57.4 411 59.4 33 9.5 37 10.8 70 10.1 248 71.1 221 64.4 469 67.8 37 10.6 28 8.2 65 9.4
Mengetahui

NIP. 19750505 201001 1 024
BCG
S/D BLN AGUSTUS
# JML %
31 32
170 50.3
180 74.7
90
0 70.3
440 62.2
POLIO2
S/D BLN AGUSTUS
#L % #P % # JML %
63 64 65 66 67 68
102 61.1 92 56.1 194 58.6
76 63.9 75 64.1 151 64.0
44
0 69.8 57
0 91.9 101
0 80.8
222 63.6 224 65.3 446 64.5
DPT/HB (3)
S/D BLN AGUSTUS
#L % #P % # JML %
99 100 101 102 103 104
96 57.5 87 53.0 183 55.3
80 67.2 79 67.5 159 67.4
41
0 65.1 40
0 64.5 81
0 64.8
217 62.2 206 60.1 423 61.1
IMUNISASI LENGKAP
S/D BLN AGUSTUS
#L % #P % # JML %
135 136 137 138 139 140
101 60.5 102 62.2 203 61.3
102 85.7 86 73.5 188 79.7
46
0 73.0 35
0 56.5 81
0 64.8
249 71.3 223 65.0 472 68.2
Batu, 04 SEPTEMBER 2019

NIP.19870701 201001 2 011
Puskesmas : SISIR
Provinsi : JAWA TIMUR BULAN : September 2019
NO KELURAHA BLN SEPTEMBER BLN SEPTEMBER BLN SEPTEMBER BLN SEPTEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1 SISIR 170 168 338 167 164 331 13 7.6 17 10.1 30 8.9 125 73.5 132 78.6 257 76.0 28 16.5 21 12.5 49 14.5 116 68.2 103 61.3
2 TEMAS 121 120 241 119 117 236 9 7.4 13 10.8 22 9.1 90 74.4 107 89.2 197 81.7 11 9.1 13 10.8 24 10.0 102 84.3 102 85.0
3 SIDOMULYO 64 64 128 63 62 125 6 9.4 8 12.5 14 10.9 52
0 81.3 51
0 79.7 103
0 80.5 4 6.3 6 9.4 10 7.8 43
0 67.2 57
0 89.1
PUSKESMAS 355 352 707 349 343 692 28 7.9 38 10.8 66 9.3 267 75.2 290 82.4 557 78.8 43 12.1 40 11.4 83 11.7 261 73.5 262 74.4
BLN SEPTEMBER BLN SEPTEMBER BLN SEPTEMBER BLN SEPTEMBER BLN SEPTEMBER
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62
27 15.9 23 13.7 50 14.8 114 67.1 108 64.3 222 65.7 14 8.4 16 9.8 30 9.1 115 68.9 117 71.3 232 70.1 15 9.0 16 9.8 31 9.4
11 9.1 13 10.8 24 10.0 103 85.1 102 85.0 205 85.1 10 8.4 9 7.7 19 8.1 87 73.1 85 72.6 172 72.9 10 8.4 9 7.7 19 8.1
4 6.3 6 9.4 10 7.8 45
0 70.3 56
0 87.5 101
0 78.9 7 11.1 6 9.7 13 10.4 51
0 81.0 63
0 101.6 114
0 91.2 7 11.1 6 9.7 13 10.4
42 11.8 42 11.9 84 11.9 262 73.8 266 75.6 528 74.7 31 8.9 31 9.0 62 9.0 253 72.5 265 77.3 518 74.9 32 9.2 31 9.0 63 9.1
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98
17 10.2 15 9.1 32 9.7 116 69.5 107 65.2 223 67.4 17 10.2 15 9.1 32 9.7 115 68.9 107 65.2 222 67.1 14 8.4 12 7.3 26 7.9
10 8.4 7 6.0 17 7.2 89 74.8 80 68.4 169 71.6 9 7.6 7 6.0 16 6.8 86 72.3 78 66.7 164 69.5 9 7.6 10 8.5 19 8.1
5 7.9 7 11.3 12 9.6 49
0 77.8 53
0 85.5 102
0 81.6 5 7.9 7 11.3 12 9.6 50
0 79.4 51
0 82.3 101
0 80.8 8 12.7 7 11.3 15 12.0
32 9.2 29 8.5 61 8.8 254 72.8 240 70.0 494 71.4 31 8.9 29 8.5 60 8.7 251 71.9 236 68.8 487 70.4 31 8.9 29 8.5 60 8.7
105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134
15 9.0 11 6.7 26 7.9 106 63.5 96 58.5 202 61.0 12 7.2 9 5.5 21 6.3 127 76.0 104 63.4 231 69.8 13 7.8 10 6.1 23 6.9
9 7.6 9 7.7 18 7.6 91 76.5 81 69.2 172 72.9 10 8.4 8 6.8 18 7.6 102 85.7 88 75.2 190 80.5 11 9.2 8 6.8 19 8.1
8 12.7 7 11.3 15 12.0 49
0 77.8 47
0 75.8 96
0 76.8 6 9.5 4 6.5 10 8.0 47
0 74.6 50
0 80.6 97
0 77.6 2 3.2 5 8.1 7 5.6
32 9.2 27 7.9 59 8.5 246 70.5 224 65.3 470 67.9 28 8.0 21 6.1 49 7.1 276 79.1 242 70.6 518 74.9 26 7.4 23 6.7 49 7.1
Mengetahui

NIP. 19750505 201001 1 024
BCG
BLN SEPTEMBER
# JML %
31 32
219 64.8
204 84.6
100
0 78.1
523 74.0
POLIO2
BLN SEPTEMBER
#L % #P % # JML %
63 64 65 66 67 68
117 70.1 108 65.9 225 68.0
86 72.3 84 71.8 170 72.0
51
0 81.0 63
0 101.6 114
0 91.2
254 72.8 255 74.3 509 73.6
DPT/HB (3)
BLN SEPTEMBER
#L % #P % # JML %
99 100 101 102 103 104
110 65.9 99 60.4 209 63.1
89 74.8 89 76.1 178 75.4
49
0 77.8 47
0 75.8 96
0 76.8
248 71.1 235 68.5 483 69.8
IMUNISASI LENGKAP
BLN SEPTEMBER
#L % #P % # JML %
135 136 137 138 139 140
114 68.3 112 68.3 226 68.3
113 95.0 94 80.3 207 87.7
48
0 76.2 40
0 64.5 88
0 70.4
275 78.8 246 71.7 521 75.3
Batu, 04 OKTOBER 2019

NIP.19870701 201001 2 011
Puskesmas : SISIR
Provinsi : JAWA TIMUR BULAN : Oktober 2019
NO KELURAHA BLN OKTOBERR S/D BLN OKTOBER BLN OKTOBERR S/D BLN OKTOBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1 SISIR 170 168 338 167 164 331 16 9.4 18 10.7 34 10.1 141 82.9 150 89.3 291 86.1 12 7.1 15 8.9 27 8.0 128 75.3 118 70.2
2 TEMAS 121 120 241 119 117 236 11 9.1 11 9.2 22 9.1 101 83.5 118 98.3 219 90.9 10 8.3 14 11.7 24 10.0 112 92.6 116 96.7
3 SIDOMULYO 64 64 128 63 62 125 6 9.4 8 12.5 14 10.9 58
0 90.6 59
0 92.2 117
0 91.4 7 10.9 5 7.8 12 9.4 50
0 78.1 62
0 96.9
PUSKESMAS 355 352 707 349 343 692 33 9.3 37 10.5 70 9.9 300 84.5 327 92.9 627 88.7 29 8.2 34 9.7 63 8.9 290 81.7 296 84.1
BLN OKTOBERR S/D BLN OKTOBER BLN OKTOBERR S/D BLN OKTOBER BLN OKTOBERR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62
12 7.1 13 7.7 25 7.4 126 74.1 121 72.0 247 73.1 12 7.2 7 4.3 19 5.7 127 76.0 124 75.6 251 75.8 12 7.2 7 4.3 19 5.7
10 8.3 14 11.7 24 10.0 113 93.4 116 96.7 229 95.0 11 9.2 12 10.3 23 9.7 98 82.4 97 82.9 195 82.6 11 9.2 12 10.3 23 9.7
7 10.9 5 7.8 12 9.4 52
0 81.3 61
0 95.3 113
0 88.3 5 7.9 7 11.3 12 9.6 56
0 88.9 70
0 112.9 126
0 100.8 5 7.9 7 11.3 12 9.6
29 8.2 32 9.1 61 8.6 291 82.0 298 84.7 589 83.3 28 8.0 26 7.6 54 7.8 281 80.5 291 84.8 572 82.7 28 8.0 26 7.6 54 7.8
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98
6 3.6 10 6.1 16 4.8 122 73.1 117 71.3 239 72.2 6 3.6 10 6.1 16 4.8 121 72.5 117 71.3 238 71.9 21 12.6 16 9.8 37 11.2
12 10.1 12 10.3 24 10.2 101 84.9 92 78.6 193 81.8 12 10.1 13 11.1 25 10.6 98 82.4 91 77.8 189 80.1 10 8.4 10 8.5 20 8.5
7 11.1 10 16.1 17 13.6 56
0 88.9 63
0 101.6 119
0 95.2 7 11.1 10 16.1 17 13.6 57
0 90.5 61
0 98.4 118
0 94.4 7 11.1 10 16.1 17 13.6
25 7.2 32 9.3 57 8.2 279 79.9 272 79.3 551 79.6 25 7.2 33 9.6 58 8.4 276 79.1 269 78.4 545 78.8 38 10.9 36 10.5 74 10.7
105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134
22 13.2 15 9.1 37 11.2 128 76.6 111 67.7 239 72.2 16 9.6 21 12.8 37 11.2 143 85.6 125 76.2 268 81.0 17 10.2 13 7.9 30 9.1
10 8.4 9 7.7 19 8.1 101 84.9 90 76.9 191 80.9 13 10.9 12 10.3 25 10.6 115 96.6 100 85.5 215 91.1 14 11.8 11 9.4 25 10.6
7 11.1 10 16.1 17 13.6 56
0 88.9 57
0 91.9 113
0 90.4 4 6.3 5 8.1 9 7.2 51
0 81.0 55
0 88.7 106
0 84.8 5 7.9 6 9.7 11 8.8
39 11.2 34 9.9 73 10.5 285 81.7 258 75.2 543 78.5 33 9.5 38 11.1 71 10.3 309 88.5 280 81.6 589 85.1 36 10.3 30 8.7 66 9.5
Mengetahui

NIP. 19750505 201001 1 024
BCG
S/D BLN OKTOBER
# JML %
31 32
246 72.8
228 94.6
112
0 87.5
586 82.9
POLIO2
S/D BLN OKTOBER
#L % #P % # JML %
63 64 65 66 67 68
129 77.2 115 70.1 244 73.7
97 81.5 96 82.1 193 81.8
56
0 88.9 70
0 112.9 126
0 100.8
282 80.8 281 81.9 563 81.4
DPT/HB (3)
S/D BLN OKTOBER
#L % #P % # JML %
99 100 101 102 103 104
131 78.4 115 70.1 246 74.3
99 83.2 99 84.6 198 83.9
56
0 88.9 57
0 91.9 113
0 90.4
286 81.9 271 79.0 557 80.5
IMUNISASI LENGKAP
S/D BLN OKTOBER
#L % #P % # JML %
135 136 137 138 139 140
131 78.4 125 76.2 256 77.3
127 106.7 105 89.7 232 98.3
53
0 84.1 46
0 74.2 99
0 79.2
311 89.1 276 80.5 587 84.8
Batu, 07 NOVEMBER 2019

NIP.19870701 201001 2 011
Puskesmas : SISIR
Provinsi : JAWA TIMUR BULAN : November 2019
NO KELURAHA BLN NOVEMBER S/D BLN NOVEMBER BLN NOVEMBER S/D BLN NOVEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1 SISIR 170 168 338 167 164 331 16 9.4 18 10.7 34 10.1 157 92.4 168 100.0 325 96.2 16 9.4 5 3.0 21 6.2 144 84.7 123 73.2
2 TEMAS 121 120 241 119 117 236 10 8.3 11 9.2 21 8.7 111 91.7 129 107.5 240 99.6 9 7.4 12 10.0 21 8.7 121 100.0 128 106.7
3 SIDOMULYO 64 64 128 63 62 125 4 6.3 5 7.8 9 7.0 62
0 96.9 64
0 100.0 126
0 98.4 9 14.1 5 7.8 14 10.9 59
0 92.2 67
0 104.7
PUSKESMAS 355 352 707 349 343 692 30 8.5 34 9.7 64 9.1 330 93.0 361 102.6 691 97.7 34 9.6 22 6.3 56 7.9 324 91.3 318 90.3
BLN NOVEMBER S/D BLN NOVEMBER BLN NOVEMBER S/D BLN NOVEMBER BLN NOVEMBER
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62
16 9.4 5 3.0 21 6.2 142 83.5 126 75.0 268 79.3 16 9.6 11 6.7 27 8.2 143 85.6 135 82.3 278 84.0 16 9.6 11 6.7 27 8.2
9 7.4 12 10.0 21 8.7 122 100.8 128 106.7 250 103.7 10 8.4 10 8.5 20 8.5 108 90.8 107 91.5 215 91.1 10 8.4 10 8.5 20 8.5
9 14.1 5 7.8 14 10.9 61
0 95.3 66
0 103.1 127
0 99.2 6 9.5 1 1.6 7 5.6 62
0 98.4 71
0 114.5 133
0 106.4 6 9.5 1 1.6 7 5.6
34 9.6 22 6.3 56 7.9 325 91.5 320 90.9 645 91.2 32 9.2 22 6.4 54 7.8 313 89.7 313 91.3 626 90.5 32 9.2 22 6.4 54 7.8
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98
22 13.2 13 7.9 35 10.6 144 86.2 130 79.3 274 82.8 22 13.2 13 7.9 35 10.6 143 85.6 130 79.3 273 82.5 11 6.6 10 6.1 21 6.3
10 8.4 9 7.7 19 8.1 111 93.3 101 86.3 212 89.8 11 9.2 11 9.4 22 9.3 109 91.6 102 87.2 211 89.4 12 10.1 10 8.5 22 9.3
3 4.8 4 6.5 7 5.6 59
0 93.7 67
0 108.1 126
0 100.8 3 4.8 4 6.5 7 5.6 60
0 95.2 65
0 104.8 125
0 100.0 5 7.9 5 8.1 10 8.0
35 10.0 26 7.6 61 8.8 314 90.0 298 86.9 612 88.4 36 10.3 28 8.2 64 9.2 312 89.4 297 86.6 609 88.0 28 8.0 25 7.3 53 7.7
105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134
11 6.6 10 6.1 21 6.3 139 83.2 121 73.8 260 78.5 7 4.2 5 3.0 12 3.6 150 89.8 130 79.3 280 84.6 8 4.8 12 7.3 20 6.0
11 9.2 8 6.8 19 8.1 112 94.1 98 83.8 210 89.0 13 10.9 10 8.5 23 9.7 128 107.6 110 94.0 238 100.8 13 10.9 12 10.3 25 10.6
5 7.9 5 8.1 10 8.0 61
0 96.8 62
0 100.0 123
0 98.4 3 4.8 6 9.7 9 7.2 54
0 85.7 61
0 98.4 115
0 92.0 7 11.1 7 11.3 14 11.2
27 7.7 23 6.7 50 7.2 312 89.4 281 81.9 593 85.7 23 6.6 21 6.1 44 6.4 332 95.1 301 87.8 633 91.5 28 8.0 31 9.0 59 8.5
Mengetahui

NIP. 19750505 201001 1 024
BCG
S/D BLN NOVEMBER
# JML %
31 32
267 79.0
249 103.3
126
0 98.4
642 90.8
POLIO2
S/D BLN NOVEMBER
#L % #P % # JML %
63 64 65 66 67 68
145 86.8 126 76.8 271 81.9
107 89.9 106 90.6 213 90.3
62
0 98.4 71
0 114.5 133
0 106.4
314 90.0 303 88.3 617 89.2
DPT/HB (3)
S/D BLN NOVEMBER
#L % #P % # JML %
99 100 101 102 103 104
142 85.0 125 76.2 267 80.7
111 93.3 109 93.2 220 93.2
61
0 96.8 62
0 100.0 123
0 98.4
314 90.0 296 86.3 610 88.2
IMUNISASI LENGKAP
S/D BLN NOVEMBER
#L % #P % # JML %
135 136 137 138 139 140
139 83.2 137 83.5 276 83.4
140 117.6 117 100.0 257 108.9
60
0 95.2 53
0 85.5 113
0 90.4
339 97.1 307 89.5 646 93.4
Batu, 07 Desember 2019

NIP.19870701 201001 2 011
Puskesmas : SISIR
Provinsi : JAWA TIMUR BULAN : Desember 2019
NO KELURAHA BLN DESEMBER S/D BLN DESEMBER BLN DESEMBER S/D BLN DESEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1 SISIR 170 168 338 167 164 331 13 7.6 14 8.3 27 8.0 170 100.0 182 108.3 352 104.1 28 16.5 26 15.5 54 16.0 172 101.2 149 88.7
2 TEMAS 121 120 241 119 117 236 7 5.8 8 6.7 15 6.2 118 97.5 137 114.2 255 105.8 10 8.3 11 9.2 21 8.7 131 108.3 139 115.8
3 SIDOMULYO 64 64 128 63 62 125 3 4.7 3 4.7 6 4.7 65
0 101.6 67
0 104.7 132
0 103.1 2 3.1 1 1.6 3 2.3 61
0 95.3 68
0 106.3
PUSKESMAS 355 352 707 349 343 692 23 6.5 25 7.1 48 6.8 353 99.4 386 109.7 739 104.5 40 11.3 38 10.8 78 11.0 364 102.5 356 101.1
BLN DESEMBER S/D BLN DESEMBER BLN DESEMBER S/D BLN DESEMBER BLN DESEMBER
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62
28 16.5 26 15.5 54 16.0 170 100.0 152 90.5 322 95.3 20 12.0 24 14.6 44 13.3 163 97.6 159 97.0 322 97.3 20 12.0 24 14.6 44 13.3
10 8.3 11 9.2 21 8.7 132 109.1 139 115.8 271 112.4 9 7.6 12 10.3 21 8.9 117 98.3 119 101.7 236 100.0 9 7.6 12 10.3 21 8.9
2 3.1 3 4.7 5 3.9 63
0 98.4 69
0 107.8 132
0 103.1 1 1.6 2 3.2 3 2.4 63
0 100.0 73
0 117.7 136
0 108.8 1 1.6 2 3.2 3 2.4
40 11.3 40 11.4 80 11.3 365 102.8 360 102.3 725 102.5 30 8.6 38 11.1 68 9.8 343 98.3 351 102.3 694 100.3 30 8.6 38 11.1 68 9.8
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98
25 15.0 23 14.0 48 14.5 169 101.2 153 93.3 322 97.3 25 15.0 24 14.6 49 14.8 168 100.6 154 93.9 322 97.3 30 18.0 21 12.8 51 15.4
13 10.9 14 12.0 27 11.4 124 104.2 115 98.3 239 101.3 13 10.9 15 12.8 28 11.9 122 102.5 117 100.0 239 101.3 11 9.2 11 9.4 22 9.3
1 1.6 1 1.6 2 1.6 60
0 95.2 68
0 109.7 128
0 102.4 0 0.0 0 0.0 0 0.0 60
0 95.2 65
0 104.8 125
0 100.0 2 3.2 2 3.2 4 3.2
39 11.2 38 11.1 77 11.1 353 101.1 336 98.0 689 99.6 38 10.9 39 11.4 77 11.1 350 100.3 336 98.0 686 99.1 43 12.3 34 9.9 77 11.1
105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134
33 19.8 23 14.0 56 16.9 172 103.0 144 87.8 316 95.5 21 12.6 26 15.9 47 14.2 171 102.4 156 95.1 327 98.8 9 5.4 11 6.7 20 6.0
11 9.2 13 11.1 24 10.2 123 103.4 111 94.9 234 99.2 11 9.2 10 8.5 21 8.9 139 116.8 120 102.6 259 109.7 10 8.4 12 10.3 22 9.3
2 3.2 2 3.2 4 3.2 63
0 100.0 64
0 103.2 127
0 101.6 0 0.0 3 4.8 3 2.4 54
0 85.7 64
0 103.2 118
0 94.4 4 6.3 3 4.8 7 5.6
46 13.2 38 11.1 84 12.1 358 102.6 319 93.0 677 97.8 32 9.2 39 11.4 71 10.3 364 104.3 340 99.1 704 101.7 23 6.6 26 7.6 49 7.1
Mengetahui

NIP. 19750505 201001 1 024
BCG
S/D BLN DESEMBER
# JML %
31 32
321 95.0
270 112.0
129
0 100.8
720 101.8
POLIO2
S/D BLN DESEMBER
#L % #P % # JML %
63 64 65 66 67 68
165 98.8 150 91.5 315 95.2
116 97.5 118 100.9 234 99.2
63
0 100.0 73
0 117.7 136
0 108.8
344 98.6 341 99.4 685 99.0
DPT/HB (3)
S/D BLN DESEMBER
#L % #P % # JML %
99 100 101 102 103 104
172 103.0 146 89.0 318 96.1
122 102.5 120 102.6 242 102.5
63
0 100.0 64
0 103.2 127
0 101.6
357 102.3 330 96.2 687 99.3
IMUNISASI LENGKAP
S/D BLN DESEMBER
#L % #P % # JML %
135 136 137 138 139 140
148 88.6 148 90.2 296 89.4
150 126.1 129 110.3 279 118.2
64
0 101.6 56
0 90.3 120
0 96.0
362 103.7 333 97.1 695 100.4
Batu, 07 JANUARI 2020

NIP.19870701 201001 2 011

IMUNDASKAP Des 2019

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TARGET SASARAN IMUNISASI DASAR LENGKAP (IDL) Th.

TEMAS 121 120 241 119 117 236 10 10 20 10

SIDOMULYO 64 64 128 63 62 125 5 5 10 5

PUSKESMAS 355 352 707 349 343 692 29 29 58 29

TARGET SASARAN IMUNISASILANJUTAN BADUTA (BOSTER) Th.2019

TEMAS 135 134 269 11 11 22 11 11

PUSKESMAS 345 331 676 29 28 56 29 28

dr. Jongky Orris, S.M

YULI KARTIKA SARI, Amd.Kep

dr. Jongky Orris, S.M

YULI KARTIKA SARI, Amd.Kep

dr. Jongky Orris, S.M

YULI KARTIKA SARI, Amd.Kep

dr. Jongky Orris, S.M

YULI KARTIKA SARI, Amd.Kep

dr. Jongky Orris, S.M

YULI KARTIKA SARI, Amd.Kep

dr. Jongky Orris, S.M

YULI KARTIKA SARI, Amd.Kep

dr. Jongky Orris, S.M

YULI KARTIKA SARI, Amd.Kep

dr. Jongky Orris, S.M

YULI KARTIKA SARI, Amd.Kep

dr. Jongky Orris, S.M

YULI KARTIKA SARI, Amd.Kep

dr. Jongky Orris, S.M

YULI KARTIKA SARI, Amd.Kep

dr. Jongky Orris, S.M

YULI KARTIKA SARI, Amd.Kep

dr. Jongky Orris, S.M

YULI KARTIKA SARI, Amd.Kep

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