09 NOVEMBER 2021 New - Form Pencatatan Manual Faskes Dan Laporan Rekapitulasi Vaksina

FORMAT REKAPITUL
TINGKAT PUSK
Nama Puskesmas/Fasyankes/Pos : UPTD PUSKESMAS RAWAT INAP KETAPAN
Kabupaten/Kota : LAMPUNG UTARA
Provinsi : LAMPUNG
Sasaran
Tahap 1 Tahap 2
Tanggal/ Bulan Pelaksanaan

SDM Kesehatan Lansia Pelayan Publik
2-Mar-21 5 0 0
3-Mar-21 3 0 0
4-Mar-21 3 0 0
5-Mar-21 1 0 0
9-Mar-21 1 0 0
12-Mar-21 5 0 0
26-Mar-21 10 0 1
5-Apr-21 0 0 11
6-Apr-21 0 0 33
7-Apr-21 0 0 34
21-Apr-21 0 0 32
22-Apr-21 0 0 30
23-Apr-21 4 0 10
28-Apr-21 0 0 35
25-May-21 0 0 33
10-Jun-21 0 0 20
17-Jun-21 0 0 20
21-Jun-21 0 8 22
22-Jun-21 0 4 16
23-Jun-21 0 1 16
6/26/2021 POLRI 0 0 0
6/28/2021 POLRI 0 0 0
6/28/2021 0 14 26
6/29/2021 0 10 80
6/30/2021 0 10 41
7/8/2021 0 0 30
9/7/2021 0 0 10
7/14/2021 0 3 18
15/07/2021 0 5 26
16/07/2021 0 0 5
24/07/2021 POLRI 0 0 0
26/07/2021 POLRI 0 0 0
26/07/2021 0 10 31
27/07/2021 0 9 61
28/07/2021 0 5 45
29/07/2021 0 10 90
30/07/2021 0 0 30
04/08/2021 0 0 20
13/08/2021 POLRI 0 0 0
13/08/2021 0 1 9
18/08/2021 0 9 96
24/08/2021 (MODERNA)NAKES 14 0 0
25/08/2021 (MODERNA)NAKES 14 0 0
25/08/2021 POLRI 0 0 0
25/08/2021 0 0 20
26/08/2021 0 7 73
27/08/2021 (MODERNA)NAKES 14 0 0
27/08/2021 0 2 38
30/08/2021 (TNI) 0 3 24
31/08/2021 0 4 66
1/9/2021 (POLRI) 0 0 0
1/9/2021 0 4 57
2/9/2021 0 8 82
3/9/2021 0 2 8
3/9/2021 MODERNA 13 0 0
6/9/2021 0 5 145
8/9/2021 0 1 9
08/09/2021 (TNI) 0 2 140
10/09/2021 (TNI) 0 0 8
9/13/2021 0 6 116
14/09/2019 (IBU HAMIL) 0 0 25/ BUMIL
15/09/2021 0 11 83
16/09/2021 (TNI) 0 3 74
16/09/2021 0 0 37
17/09/2021 (SINOVAC) 0 7 35
17/09/2021 (MODERNA) 2 8 142
20/09-2021 0 25 190
21/09-2021 0 11 260
22/09-2021 0 14 177
23/09/2021 0 10 86
23/09/2021 0 19 180
24/09/2021 0 13 187
27/09/2021 0 5 113
28/09/2021 0 1 7
28/09/2021 0 3 33
29/09/2021 0 4 2
30/09/2021 0 20 4
1/10/2021 0 13 203
4/10/2021 0 4 5
4/10/2021 0 4 2
5/10/2021 0 8 0
5/10/2021 0 1 0
6/10/2021 0 3 3
6/10/2021 0 3 4
10/7/2021 0 15 0
10/8/2021 0 0 1
10/9/2021 0 2 110
10/11/2021 KODIM 0 4 0
10/12/2021 KODIM 0 0 0
10/12/2021 0 1 0
10/13/2021 KODIM 0 4 5
10/14/2021 KODIM 0 3 0
10/14/2021 0 7 0
10/15/2021 moderna 0 5 0
10/15/2021 0 14 0
10/18/2021 0 23 214
18/10/2021 (MODERNA) 0 2 0
10/18/2021 POLRI 0 6 0
10/19/2021 KODIM 0 5 0
10/19/2021 AZTRAZANECA 0 2 0
20/10/2021 Astra Zeneca 0 4 0
21/10/2021 Astra Zeneca 0 3 0
21/10/2021 KODIM 0 24 0
22/10/2021 0 2 0
22/10/2021 0 1 0
25/10/2021 ASTRA 0 6 0
27/10/2021 ASTRA 0 4 0
28/10/2021 ASTRA 0 5 0
29/10/2021 ASTRA 0 0 0
29/10/2021 ASTRA 0 9 0
01/11/2021 ASTRA 0 4 0
01/11/2021 SINOVAC 0 21 0
02/11/2021 SINOVAC 0 5 0
09/11/2021 MODERNA 2 0 0
9/11/2021 SINOVAC 0 6 0
9/11/2021 SINOVAC POLRES 0 4 0
10/11/2021 SINOVAC ASTRA 0 2 0
10/11/2021 SINOVAC POLRES 0 8 0
TOTAL 89 3874
MAT REKAPITULASI PELAKSANAAN VAKSINASI COVID-19
TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI
AWAT INAP KETAPAN:
:
:
Sasaran Penerima Vaksin Do

Total Dosis
Tahap 3 Tahap 4 Tahap 5 I Tahap 1 Tahap 2
(Semua
Tahapan) SDM
Lansia
Kesehatan
Total Sasaran
UMUM RENTAN REMAJA
# % # % # %
0 0 5 0 0 0 0 0 0
0 0 3 0 0 0 0 0 0
0 0 3 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0
0 0 5 4 80 4 80 0 0
0 0 11 8 72.7 7 70 0 0
0 0 11 9 81.8 0 0 0 0
0 0 33 31 93.9 0 0 0 0
0 0 34 32 94.1 0 0 0 0
0 0 32 0 0 0 0 0 0
0 0 30 0 0 0 0 0 0
0 0 14 0 0 0 0 0 0
0 0 35 33 94.29 0 0 0 0
0 0 33 0 0.00 0 0 0 0
0 0 20 20 100 0 0 0 0
0 0 20 20 100 0 0 0 0
0 0 30 30 100 0 0 8 27%
0 0 20 20 100 0 0 4 20%
0 0 17 17 100 0 0 1 5%
36 14 50 50 100 0 0 0 0
33 17 50 50 100 0 0 0 0
0 0 40 40 100 0 0 14 35%
0 0 90 90 100 0 0 10 11%
0 0 51 51 100 0 0 10 20%
0 0 30 0 0 0 0 0 0%
0 0 10 0 0 0 0 0 0%
0 0 21 0 0 0 0 0 0%
0 0 31 0 0 0 0 0 0%
0 0 5 0 0 0 0 0 0%
31 9 40 0 100 0 0 0 0%
20 10 30 0 100 0 0 0 0%
0 0 41 0 100 0 0 0 0%
0 0 70 0 0 0 0 0 0%
0 0 50 0 0 0 0 0 0%
0 0 100 100 100 0 0 10 100%
0 0 30 30 100 0 0 0 0%
0 0 20 19 100 0 0 0 0%
4 2 6 0 0 0 0 0 0%
0 0 10 0 0 0 0 0 0%
0 0 105 105 100 0 0 9 100%
0 0 14 14 100 14 100 0 0%
0 0 14 14 100 14 100 0 0%
8 2 10 0 0 0 0 0 0%
0 0 20 20 100 0 0 0 0%
0 0 80 0 0 0 0 0 0%
0 0 14 14 100 14 100 0 0%
0 0 40 0 0 0 0 0 0%
103 0 130 130 100 0 0 3 100%
0 0 70 70 100 0 0 4 100%
7 3 10 10 100 0 0 0 0%
0 0 61 40 100 0 0 3 100%
0 0 90 90 100 0 0 8 100%
0 0 10 10 100 0 0 2 100%
0 0 13 13 100 13 100 0 0%
0 0 150 150 100 0 0 5 100%

0 0 10 10 100 0 0 1 100%
0 0 142 142 100 0 0 2 100%
0 0 8 8 100 0 0 0 0%
0 0 122 122 100 0 0 6 100%
1 0 26 26 100 0 0 0 0%
0 0 94 0 0 0 0 0 0%
1 BUMIL 0 78 78 100 0 0 3 100%
1 BUMIL 0 0 38 38 100 0 0 0 0%
0 0 0 42 42 100 0 0 0 100%
2 BUMIL 0 0 154 154 100 2 0 8 100%
0 5 BUMIL 0 220 220 100 0 0 25 100%
9 0 0 280 280 100 0 0 11 100%
8 1 bumil 0 200 180 100 0 0 14 100%
3 1 bumil 0 100 100 100 0 0 10 100%
1 0 0 200 200 100 0 0 19 100%
0 0 0 200 200 100 0 0 13 100%
0 0 0 118 0 0 0 0 0 0%
4 0 0 12 0 0 0 0 0 0%
16 0 0 52 0 0 0 0 0 0%
56 0 0 62 0 0 0 0 0 0%
181 0 67 272 173 100 0 0 10 100%
0 3 43 262 262 100 0 0 13 100%
119 0 6 134 0 0 0 0 0 0%
30 0 6 42 42 100 0 0 4 100%
134 4 8 154 154 100 0 0 8 100%
3 0 0 4 0 0 0 0 0 0%
69 0 7 82 82 100 0 0 3 100%
117 0 0 124 0 0 0 0 0 0%
272 1 8 296 296 100 0 0 15 100%
3 0 112 116 116 100 0 0 0 0%
0 0 2 114 114 100 0 0 2 100%
100 0 6 110 0 0 0 0 0 0%
4 3 BUMIL 121 128 122 100 0 0 0 0%
26 4 BUMIL 67 98 92 100 0 0 1 100%
33 0 197 242 242 100 0 0 4 100%
97 2 BUMIL 0 102 0 0 0 0 0 0%
58 0 1 66 66 100 0 0 7 100%
122 0 0 127 0 0 0 0 0 0%
256 0 4 274 207 0 0 0 7 100%
0 0 23 260 0 0 0 0 0 0%
11 0 0 13 0 0 0 0 0 0%
34 0 14 54 32 100 0 0 5 100%
170 0 5 180 180 100 0 0 5 100%
78 0 0 80 80 100 0 0 2 100%
66 0 0 70 70 100 0 0 4 100%
67 0 0 70 70 100 0 0 3 100%
369 2 BUMIL 5 400 400 100 0 0 0 0%
74 0 4 80 0 0 0 0 0 0%
49 0 0 50 50 100 0 0 1 100%
58 0 0 64 64 100 0 0 6 100%
44 0 0 48 48 100 0 0 4 100%
85 0 0 90 90 100 0 0 5 100%
30 0 0 30 30 100 0 0 0 0%
111 0 0 120 120 100 0 0 9 100%
36 0 0 40 40 100 0 0 4 100%
193 2 24 240 0 0 0 0 0 0%
34 0 111 150 150 100 0 0 5 100%
9 0 0 11 0 0 0 0 0 0%
232 2 60 300 0 0 0 0 0 0%
95 1 10 110 28 100 0 0 3 100%
58 0 80 140 0 0 0 0 0 0%
72 0 0 80 80 100 0 0 8 100%
2257 65 697 7456 3307 68 550 200

OVID-19
SI
Penerima Vaksin Dosis 1 Tunda Vaksin Dos

Total Tunda
Tahap 2 Tahap 3 Tahap 4 Tahap 5 Dosis I Tahap 1 Tahap 2
(Semua SDM
Tahapan) Pelayan
Pelayan Publik UMUM RENTAN REMAJA Kesehata Lansia
Publik
n
# % # % # % # % # % # % # % #
0 0 0 0 0 0 0 0.0 0 0 0 0 0
0 0 0 0 0 0 0 0.0 0 0 0 0 0
0 0 0 0 0 0 0 0.0 0 0 0 0 0
0 0 0 0 0 0 0 0.0 0 0 0 0 0
0 0 0 0 0 0 0 0.0 0 0 0 0 0
0 0 0 0 0 0 0 0.0 0 0 0 0 0
1 100 0 0 0 0 0 0.0 0 0 0 0 0
9 81.8 0 0 0 0 2 18.2 0 0 0 0 2
31 93.9 0 0 0 0 2 6.1 0 0 0 0 2
33 97.1 0 0 0 0 2 5.9 0 0 0 0 2
0 0 0 0 0 0 0 0.0 0 0 0 0 0
0 0 0 0 0 0 0 0.0 0 0 0 0 0
0 0 0 0 0 0 0 0.0 0 0 0 0 0
33 94.29 0 0 0 0 2 5.7 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
22 73% 0 0 0 0 0 0 0 0 0 0 0
14 70% 0 0 0 0 0 0 0 0 0 0 0
16 80% 0 0 0 0 0 0 0 0 0 0 0
0 0% 36 72% 14 28% 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
26 65 0 0 0 0 0 0 0 0 0 0 0
80 89% 0 0 0 0 0 0 0 0 0 0 0
41 80% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
90 100% 0 0 0 0 0 0 0 0 0 0 0
30 100% 0 0 0 0 0 0 0 0 0 0 0
19 100% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
96 100% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
20 100% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
24 100% 103 100 0 0 0 0 0 0 0 0 0
66 100% 0 0 0 0 0 0 0 0 0 0 0
0 0% 7 100 3 100 0 0 0 0 0 0 0
37 100% 0 0 0 0 0 0 0 0 0 0 0
82 100% 0 0 0 0 0 0 0 0 0 0 0
8 100% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
145 100% 0 0 0 0 0 0 0 0 0 0 0
9 100% 0 0 0 0 0 0 0 0 0 0 0
140 100% 0 0 0 0 0 0 0 0 0 0 0
8 100% 0 0 0 0 0 0 0 0 0 0 0
116 100% 0 0 0 0 0 0 0 0 0 0 0
26 100% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
74 100% 1 BUMIL 100 0 0 0 0 0 0 0 0 0
37 100% 1 BUMIL 100 0 0 0 0 0 0 0 0 0
35 100% 0 0 0 0 0 0 0 0 0 0 0
142 100% 2 BUMIL 0 0 0 0 0 0 0 0 0 0
190 100% 0 0 5 BUMIL 100 0 0 0 0 0 0 0
260 100% 9 100 0 0 0 0 0 0 0 0 0
156 100% 8 100 1 100 0 0 0 0 0 0 0
86 100% 3 100 1 100 0 0 0 0 0 0 0
180 100% 1 100 0 0 0 0 0 0 0 0 0
187 100% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
2 100% 90 100 0 0 67 100 0 0 0 0 0 0 0
203 100% 0 0 3 100 43 100 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
2 100% 30 100 0 0 6 100 0 0 0 0 0 0 0
0 0% 134 100 4 100 8 100 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
3 100% 69 100 0 0 7 100 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0% 272 100 1 100 8 100 0 0 0 0 0 0 0
1 100% 3 100 0 0 112 100 0 0 0 0 0 0 0
110 100% 0 0 0 0 2 100 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0% 1 100 0 0 121 100 0 0 0 0 0 0 0
0 0% 25 100 0 0 66 100 0 0 0 0 0 0 0
5 100% 33 100 0 0 197 100 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0% 58 0 0 0 1 100 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0% 196 100 0 0 4 100 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0% 19 0 0 0 8 100 0 0 0 0 0 0 0
0 0% 170 100 0 0 5 100 0 0 0 0 0 0 0
0 0% 77 100 0 0 0 0 0 0 0 0 0 0 0
0 0% 66 100 0 0 0 0 0 0 0 0 0 0 0
0 0% 67 100 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0% 49 100 0 0 0 0 0 0 0 0 0 0 0
0 0% 58 100 0 0 0 0 0 0 0 0 0 0 0
0 0% 44 100 0 0 0 0 0 0 0 0 0 0 0
0 0% 85 100 0 0 0 0 0 0 0 0 0 0 0
0 0% 30 100 0 0 0 0 0 0 0 0 0 0 0
0 0% 111 100 0 0 0 0 0 0 0 0 0 0 0
0 0% 36 100 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0% 34 100 0 0 111 100 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0% 21 100 1 100 3 100 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0% 72 100 0 0 0 0 0 0 0 0 0 0 0
2571 257 19 67 100 8 0 0 0 0 8

Tunda Vaksin Dosis 1 Batal Vaksin Dosis
Total Batal Dosis
Tahap 2 Tahap 3 Tahap 4 I Tahap 1 Tahap 2
(Semua
Pelayan Tahapan)
UMUM RENTAN SDM Kesehatan Lansia
Publik
% # % # % # % # % # %
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
18.2 0 0 0 0 0 0.0 0 0 0 0
6.1 0 0 0 0 0 0.0 0 0 0 0
5.9 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
5.7 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0.0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Batal Vaksin Dosis 1 Pe
Total Dosis 2
Tahap 2 Tahap 3 Tahap 4 (Semua Tahap 1
Tahapan)
Pelayan Publik UMUM RENTAN SDM Kesehatan
# % # % # % # % # %
0 0 0 0 0 0 5 100 5 100
0 0 0 0 0 3 100 3 100
0 0 0 0 0 3 100 3 100
0 0 0 0 0 1 100 1 100
0 0 0 0 0 1 100 1 100
0 0 0 0 0 0 1 20 1 20
0 0 0 0 0 3 27 3 30
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 32 100 0 0
0 0 0 0 0 30 30 0 0
0 0 0 0 0 14 100 4 100
0 0 0 0 0 0 0 0 0
0 0 0 0 0 33 100 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 30 100% 0 0
0 0 0 0 0 0 10 100% 0 0
0 0 0 0 0 0 21 100% 0 0
0 0 0 0 0 0 31 100% 0 0
0 0 0 0 0 0 5 100% 0 0
0 0 0 0 0 0 40 100% 0 0
0 0 0 0 0 0 30 100% 0 0
0 0 0 0 0 0 41 100% 0 0
0 0 0 0 0 0 70 100% 0 0
0 0 0 0 0 0 50 100% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 6 100% 0 0
0 0 0 0 0 0 10 100% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 80 100% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 94 100% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 20 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 118 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 56 0% 0 0
0 0 0 0 0 0 99 0% 0 0
0 0 0 0 0 0 4 2% 0 0
0 0 0 0 0 0 134 100% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 4 100% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 110 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 6 100% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 127 100% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 264 0% 0 0
0 0 0 0 0 0 13 100% 0 0
0 0 0 0 0 0 22 100% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 400 100% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 240 100% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 0 0% 2 100
0 0 0 0 0 0 300 100% 0 100
0 0 0 0 0 0 82 100% 0 0
0 0 0 0 0 0 140 0% 0 0
0 0 0 0 0 0 0 0% 0 0
0 0 0 0 0 0 937 21 650
Penerima Vaksin Dosis 2
Tahap 2 Tahap 3 Tahap 4 TAHAP 5
Lansia Pelayan Publik UMUM RENTAN REMAJA
# % # % # % # % # %
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 32 100 0 0 0 0
0 0 30 30 0 0 0 0
0 0 10 100 0 0 0 0
0 0 0 0 0 0 0 0
0 0 32 97 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 30 100 0 0 0 0
0 0 7 70 0 0 0 0
3 100 18 100 0 0 0 0
5 100% 26 100 0 0 0 0
0 0% 0 5 0 0 0 0
0 0% 0 0 31 100 9 100
0 0% 0 0 20 100 10 100
10 100% 31 100 0 0 0 0
9 100% 61 100 0 0 0 0
5 100% 45 100 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 1 100 0 0 0 0
0 0% 0 0 4 100 2 100
1 100% 9 100 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 8 0 2 0
0 0% 0 0 0 0 0 0
7 100% 73 100 0 0 0 0
0 0% 0 0 0 0 0 0
2 100% 38 100 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
1 100% 20 100 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
11 100% 83 100 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 21 100 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
5 0% 113 0 0 0 0 0
1 100% 7 100 4 100 0 0
3 100% 33 100 16 100 0 0
4 100% 2 100 56 100 0 0
10 0% 2 100 91 100 0 0
0 0% 0 0 4 2 0 0
4 100% 5 100% 119 100 0 0 6 100
0 0% 0 0 0 0 0 0
0 0% 0 0 0 0 0 0
1 100% 0 0 3 100 0 0
0 0% 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0
4 100% 0 0 100 100 0 0 6 100
0 0% 0 0 3 0 3 100 0 0
0 0% 0 0 1 100 4 100 1 100
0 0% 0 0 0 0 0 0 0 0
3 100% 0 0 97 100 2 100 0 0
0 0% 0 0 0 0 0 0 0 0
5 100% 0 0 122 100 0 0 0 0
7 100% 0 0 60 100 0 0 0 0
23 100% 214 100 0 0 0 0 23 100
2 100% 0 0 11 100 0 0 0 0
1 100% 0 0 15 100 0 0 6 100
5 100% 0 0 170 100 0 0 5 100
0 0% 0 0 1 100 0 0 0 0
0 0% 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0
24 100% 0 0 369 100 2 BUMIL 100 5 100
2 100% 0 0 74 100 0 0 4 100
0 0% 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0
0 0% 0 0 0 0 0 0 0 0
21 100% 0 0 193 100 2 100 24 100

0 0% 0 0 0 0 0 0 0 0
0 0% 0 0 9 100 0 0 0 0
6 100% 0 0 232 100 2 100 60 100
1 100% 0 0 74 100 0 0 7 100
2 100% 0 0 58 100 0 0 80 100
0 0% 0 0 0 0 0 0 0 0
77 12 724 2102 230 700 23 300
272
Tunda Vaksin Dosis 2
Total Tunda Dosis
2 Tahap 1 Tahap 2 Tahap 3
(Semua Tahapan)
SDM Kesehatan Lansia Pelayan Publik UMUM
# % # % # % # % # %
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
1 3.3 0 0 0 0 1 3.3 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
0 0.0 0 0 0 0 0 0 0 0
1 3.3 0 0 0 0 1 3.3 0 0
Batal Vaksin Dosis 2
Tahap 4 Total Batal Dosis 2 Tahap 1 Tahap 2
(Semua Tahapan)
RENTAN SDM Kesehatan Lansia Pelayan Publik
# % # % # % # % # %
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 1 3.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
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 3.0 0 0 0 0 3 3
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 124 100.0 0 0 3 100 4 0

0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
0 0 0 0.0 0 0 0 0 0 0
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 6 0 0 0 0 3 3
Dosis 2 Indeks Pemakaian Vaksin Berdasarkan Merek
Tahap 3 Tahap 4
Coronavac Vaksin Covid-19 BF
UMUM RENTAN (Single Dose Vial) (Multi Dose Vial)
Jmlh Vial Jmlh Jmlh Vial Jmlh

# % # % IP
Terpakai Diimunisasi Terpakai Diimunisasi
0 0 0 0 5 5 1.0 0 0
0 0 0 0 3 3 1.0 0 0
0 0 0 0 3 3 1.0 0 0
0 0 0 0 1 1 1.0 0 0
0 0 0 0 1 1 1.0 0 0
0 0 0 0 5 5 1.0 0 0
0 0 0 0 11 11 1.0 0 0
0 0 0 0 0 0 0.0 1 9
0 0 0 0 0 0 0.0 3 31
0 0 0 0 0 0 0.0 3 32
0 0 0 0 0 0 0.0 3 32
0 0 0 0 0 0 0.0 3 29
0 0 0 0 4 4 4.0 1 10
0 0 0 0 0 0 0.0 3 33
0 0 0 0 0 0 0 3 32
0 0 0 0 0 0 0 2 20
0 0 0 0 0 0 0 2 20
0 0 0 0 0 0 0 3 30
0 0 0 0 0 0 0 2 20
0 0 0 0 0 0 0 2 17
0 0 0 0 0 0 0 5 50
0 0 0 0 0 0 0 5 50
0 0 0 0 0 0 0 4 40
0 0 0 0 0 0 0 9 90
0 0 0 0 0 0 0 5 51
0 0 0 0 0 0 0 3 30
0 0 0 0 0 0 0 1 7
0 0 0 0 0 0 0 2 21
0 0 0 0 0 0 0 3 31
0 0 0 0 0 0 0 1 5
0 0 0 0 0 0 0 4 40
0 0 0 0 0 0 0 3 30
0 0 0 0 0 0 0 4 41
0 0 0 0 0 0 0 7 70
0 0 0 0 0 0 0 5 50
0 0 0 0 0 0 0 10 100
0 0 0 0 0 0 0 3 30
0 0 0 0 0 0 0 2 20
0 0 0 0 0 0 0 1 6
0 0 0 0 0 0 0 1 10
0 0 0 0 0 0 0 10 105
0 0 0 0 0 0 0 1 14
0 0 0 0 0 0 0 1 14
0 0 0 0 0 0 0 1 10
0 0 0 0 0 0 0 2 20
0 0 0 0 0 0 0 8 80
0 0 0 0 0 0 0 1 14
0 0 0 0 0 0 0 4 40
0 0 0 0 0 0 0 65 130
0 0 0 0 0 0 0 7 70
0 0 0 0 0 0 0 1 10
0 0 0 0 0 0 0 6 61
0 0 0 0 0 0 0 9 90
0 0 0 0 0 0 0 1 10
0 0 0 0 0 0 0 1 13
0 0 0 0 0 0 0 75 150
0 0 0 0 0 0 0 1 10
0 0 0 0 0 0 0 71 142
0 0 0 0 0 0 0 4 8
0 0 0 0 0 0 0 61 122
0 0 0 0 0 0 0 13 26
0 0 0 0 0 0 0 47 94
0 0 0 0 0 0 0 39 78
0 0 0 0 0 0 0 19 38
0 0 0 0 0 0 0 21 42
0 0 0 0 0 0 0 11 154
0 0 0 0 0 0 0 110 VIAL 220
0 0 0 0 0 0 0 140 VIAL 280
0 0 0 0 0 0 0 100 VIAL 200
0 0 0 0 0 0 0 50 VIAL 100
0 0 0 0 0 0 0 100 VIAL 200
0 0 0 0 0 0 0 100 VIAL 200
0 0 0 0 0 0 0 59 VIAL 118
0 0 0 0 0 0 0 6 VIAL 12
0 0 0 0 0 0 26 VIAL 52
0 0 0 0 0 0 0 31 VIAL 62
0 0 0 0 0 0 0 136 VIAL 272
0 0 0 0 0 0 0 133 VIAL 266
0 0 0 0 0 0 0 67 VIAL 134
0 0 0 0 0 0 0 21 VIAL 42
0 0 0 0 0 0 0 77 VIAL 154
0 0 0 0 0 0 0 2 VIAL 4
0 0 0 0 0 0 0 41 VIAL 82
117 100 0 0 0 0 0 62 124

0 0 0 0 0 0 0 148 VIAL 296
0 0 0 0 0 0 0 58 VIAL 116
0 0 0 0 0 0 0 57 vial 114
0 0 0 0 0 0 0 55 VIAL 110
0 0 0 0 0 0 0 64 VIAL 128
0 0 0 0 0 0 0 49 VIAL 98
0 0 0 0 0 0 0 121 VIAL 242
0 0 0 0 0 0 0 51 VIAL 102
0 0 0 0 0 0 0 33 VIAL 66
0 0 0 0 0 0 0 9 VIAL 127
0 0 0 0 0 0 0 137 VIAL 274
0 0 0 0 0 0 0 130 VIAL 260
0 0 0 0 0 0 0 1 VIAL 13
0 0 0 0 0 0 0 16 vial 32
0 0 0 0 0 0 0 90 VIAL 180
0 0 0 0 0 0 0 8 VIAL 80
0 0 0 0 0 0 0 7 Vial 70
0 0 0 0 0 0 0 7 Vial 70
0 0 0 0 0 0 0 200 vial 400
0 0 0 0 0 0 0 40 VIAL 80
0 0 0 0 0 0 0 5 VIAL 50
0 0 0 0 0 0 0 8 VIAL 64
0 0 0 0 0 0 0 6 VIAL 48
0 0 0 0 0 0 0 11 VIAL 90
0 0 0 0 0 0 0 3 VIAL 30
0 0 0 0 0 0 0 15 VIAL 120
0 0 0 0 0 0 0 4 VIAL 40
0 0 0 0 0 0 0 24 VIAL 240
0 0 0 0 0 0 0 15 Vial 150
0 0 0 0 0 0 0 1 VIAL 11
0 0 0 0 0 0 0 30 VIAL 300
0 0 0 0 0 0 0 55 VIAL 110
0 0 0 0 0 0 0 70 VIAL 140
0 0 0 0 0 0 0 8 VIAL 80
0 0 0 0 33 33 11 589 4348
n Merek
Covid-19 BF
Dose Vial)
IP
0.0
0.0
0.0
0.0
0.0
0.0
0.0
9.0
10.3
10.7
10.2
9.7
10.0
11.0
11.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
10.0
14.0
14.0
10.0
10.0
10.0
14.0
10.0
10.0
10.0
10.0
10.0 0
10.0
10.0
14.0
2.0
2.0
10.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
14.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
2.0
14.0
2.0
2.0
14.0
2.0
2.0
10.0
10.0
10.0
2.0
2.0
1.0
8.0
8.0
8.0 / 10
10.0
8.0
10.0
10.0
10,0
14.0
10.0
2.0
2.0
10.0
Nama Puskesmas/Fasyankes/Pos
Kabupaten/Kota
Provinsi
Hari, Tanggal
No No. Tiket
1 N-661E58E7
2 N-B3E3AD87
3 N-OF2243C9
4 N-2CEE9D42
5 N-26B49D25
6 N-2BB02A48
7 N-7CB9D2F0
8 N-7C96DE35
9 N-472D2780
10 W-C49EC7B1
11 W-6C1238FF
12 N-A3B9B8A2
13 N-7EF6AA98
14 P-9CL3DAXM
15 P-86UHP4VZ
16 P-9C6NN7GL
17 P-9FP98ZLA
18 N-0AE86BD6
19 S-9DEDD47F
20 N-45B5582D
21 N-1BB214C7
22 P-HOYAKUVF
23 N-3BE777E0
24 N-DED382B2
25 N-6371E94A
26 N-F969FB44
27 S-CB5D178B
28 S-E848FF93
29 S-E46980C3
30 S-48E45793
31 S-7540B3FC
32 S-7FAA3D8D
33 P-P6IAGW5U
34 S-52DE2EF1
35 S-C1BA39D2
36 P-P6YPRF86
37 P-PGJE1NMT
38 S-7F829817
39 S-5C65135A
40 S-150EF0E6
S-2ADB8EB2
41
S-C3BB7F7F
42
S-4B5C6487
43
S-69D1819C
44
S-295074C1
45
S-D0309FF7
46
S-4C6346B2
47
P-PZSX9NXS
48
S-0A823888
49
P-Q1OFPIFN
50
P-Q06JQHOV
51
S-F1BD26CB
52
S-1544EE86
53
S-4DBC635E
54
S-3BD9A961
55
S-72A29242
56
S-FF663542
57
S-49777BB2
58
S-7822156A
59
S-D63AE1E9
60
S-46E01764
61
S-3164E767
62
P-QE8104VE
63
P-QEH40UXK
64
65 S-2B61B555
66 P-QB9MYKWH
67 S-754E1379
68 S-494BCA8F
69 S-2696CDA6
70 S-1399C9FF
71 S-56AE1976
72 S-FBED7291
73 S-49C64966
74 S-71897C84
75 S-DB6A8B6F
76 S-644C6CAF
77 S-2CBCFDB8
78 S-E8439664
79 S-795BD303
80 S-242942E5
81 S-A9BE76E3
82 S-5C78128A
83 S-CEE8341B
84 S-34F363FC
85 P-QTGVDFTM
86 S-17B6C85A
87 S-7F64DF81
88 S-9C6A2AD0
89 S-77FFF388
90 S-5D53A8D4
91 S-0F6799E4
92 S-76D2CCC0
93 S-21860AF9
94 S-D76BAFF0
95 P-QZAGUVXQ
96 S-B690E2EC
97 S-28D3B92D
98 S-6A1CEEFE
99 S-611A8730
100 P-R56D56HA
101 P-R6EM8OGL
102 P-R880LA4S
103 P-R9B67MTL
104 S-3A3CD73B
105 Y-000011IQ
106 S-4BCAADDF
107 S-CD139A32
108 S-82E6E8D5
109 S-C8E9B11A
110 S-C5F5521B
111 S-189453B4
112 P-3MB8BWKA
113 S-FBA385F4
114 S-86091DD8
115 S-262EF6E4
116 S-976C7228
117 P-5KUFPOO9
118 S-153EB901
119 S-352F1690
120 P-6GFNUJJV
121 P-6HMPEGNI
122 S-9ED14E0D
123 S-1E16B808
124 S-F3487D9A
125 S-FCCB2ED6
126 S-F9F985E7
127 P-6N0IITU6
128 S-FCEB228F
129 S-A8023871
130 S-FA8B18B0
131 S-39FB4389
132 S-D33D539C
133 S-C9A64E6D
134 S-85228660
135 S-069EF549
136 S-E215502E
137 S-77DF4C1B
138 P-6XONYFDO
Keterangan
* Pekerjaan dikelompokkan menjadi:
A = Petugas Medis dan Non Medis di Fasilitas Pelayanan Kesehatan
B = Petugas pelayanan publik yang berhadapan langsung dengan masyarakat
C = Administrator Pemerintahan
D = Lainnya
E = Tidak Bekerja
NIK
1803034101930001
1812016708860001
1803034602780001
1803035701890003
1808064908900006
1803094902940002
1803214912920001
1803034312950002
1803036404750000
1803034107950010
1803104111830000
1803026606860001
1803034201940003
1803036310930001
1803025812940002
1803095411970003
1803085107960002
1812016708860001
1803090511660002
1803172410970003
1803036805870001
1803030911940004
1803094809920001
1803025009880002
1803106105820004
1803037005730002
1803035108610003
1803034211700001
1803034606710002
1803034809680003
1803035501680001
1803036102650001
1803095905650002
1803091304890003
1803030807650006
1803166404990003
180309110590002
1803034902850003
1803036806940002
1803104610870008
1803090110820004
1803024406770001
1803104505790010
1803035010860011
1871015504880003
1803061507680001
1808041407680003
1803032303870003
1803085511850003
1803030806870002
1803030903840003
1803106205710005
1803035706920002
1803095412750001
1803104307730004
1803215010920003
1803187009770002
1803025511780003
1803026012770005
1803091612720001
1803036703750001
1807040809870003
1803031603690001
1803030609620001
1803032204850001
1803034107590004
1803030503660004
1803090708700003
1803032707730004
1871020605660006
1803031503750003
1803031109720003
1803021607680005
1803094805680005
1803094808620003
1803030304620004
1803035008850004
1803034506760001
1803104502860006
1803035810740001
1803034708820002
1803095610670002
1803075404840005
1803104904850001
1803034302860005
1803035112820003
1803035008620001
1803094106620001
1803095905690001
1803034311720002
1803104105630004
1803036210740001
1803035807770001
1803095307890003
1803036711830001
1803103108930005
1803096901970004
1803096712930001
1803033008830001
1803036411770001
1803031602730002
1803032707890001
1803036110720001
1803036812660001
1803030201780002
1803035111890002
1803034304660003
1803036206660001
1803036802740001
1803036801720001
1803034411830001
1803086510730001
1803035203670001
1803031011800008
1803034110640001
1803024204820001
1803036303800003
1803086010800003
1803034708840006
1803035302670001
1803031009670001
1803085905770003
1803034802620001
18036036303700002
1803037007870003
1803036504870002
1803034906700001
1803035001640002
1803034205680003
1803091107650002
1803036404850001
1803035506700001
1803035003660001
1803036505780001
1803036003880001
1803035506650003
1803034409720001
1803035904970002
litas Pelayanan Kesehatan
dapan langsung dengan masyarakat
Kelompok Umur:
18-30
31-45
46-59
≥ 60 tahun
Total
Pekerjaan:
A
B
C
D
E
Total
:
:
:
:
Jenis
Nama Penerima Vaksin Pekerjaan*
Kelamin
RIKA ARIYANI P A
RARAS WILIS THEODORI K.N P A
FITRI YANI P A
INDAH SOFIA TRIJAYANTI P A
RENY WULAN PRATAMA P A
dr. HASNA MUJAHIDAL P A
DEVITA SULASTRI P A
RITA DEVIKA P A
YAYUK INDRIYANI P A
DANIYATI P A
EKA SULIS P A
MIRANTI MAYA SARI P A
KARMILA YESI P A
RANA YUSRIA P A
YUNITA LESTARI P A
AMALIA ANGGRAENI P A
VERA PUJIATI P A
SRI RASMITA SARAGIH P A
SISWOKO L B
JEFRI L A
FITRI HANZALA P A
NUR MUHAMMAD ISKANDAR L B
dr. NIDA CHOERUNNISA P A
DEA SELVIANA P A
RIA MARGARETA P A
NURMAWATI P A
HERNAWATI p B
HODIJAH P B
ANI RATNA DEWI P B
ROSWANI P B
DAROJATIN P B
HANDAYATI P B
N.ADE PURWANTI P B
DARMA IDAU PURWANEGARA L B
WAGIMAN L B
VOVI APRIDA ERSA DIANA P B
SAMSUL HIDAYAH P B
YULIANA P B
INE HURYATI HOLIS P B
VINA CHAIRUNNISA IRAWAN

P B
ARFANDI HASAN
L B
NIKEN WULANDARI
P B
MERI FITRIA SARI

P B
IIN SYAVITRI
P B
YUYUN SINAYA AS
P B
SUBROTO
L B
MUJIYONO
L B
RANGGA SAPUTRA
L B
NOVITA SALMI
P B
ALWAN RONI
L B
MUHAMMAD RIZAL
L B
MEIRINASARI
P B
MUTHIA INDAH CAHARANI

P B
RATIH SITI MASITHAH

P B
ETIKA WAHYULI
P B
DIANA PUTRI
P B
RAHMAWATI SEPTIANI
P B
RUKIYAH
P B
MERI SUSANTI
P B
WIDODO
L B
DWI LESTARININGSIH
P B
JOHARI P B
REFLITANTO
L D
EYIN MUHIDIN L B
HERY ANDI SAPUTRA L D
KORYA P B
HIPPNI HASIM L B
SUMEDI L B
SUHENDAR PUTRA L B
HAIKAL L B
BUDI SUSANTO L B
IQBAL EDYSON L B
SUTIONO L B
SRI RATNANINGDYAH P B
SUCI HATI P B
SUPARNO L B
LIZA YUNADA P B
DIAN AZMIYATI P B
YUSTINA PRIHATIN NINGSIH P B
FITRI KESUMAWATY P B
NETI RIYANA P B
SINTA YUNI NURAINI P B
NURHIKMAH P B
INA ASTRI P B
NINA MERLINA P B
YULIYANTI P B
TUGINEM P B
FARIDA YUSMINI P B
DINA LESTARI P B
ZAKIYAH ROMDIYANI P B
HASTUTY P B
ERDAMULYA P B
MARYA MERI P B
SHINTA KURNIA P B
SELVI ROSANITA P B
WANDA DWI AGUSTA L B
SHOUMY AULIA PRATIWI P B
SETYA SRI WAHYUNI P B
HERU AGUS PURNOMO L B
SRI HASTUTI P D
IBNU HAIDIR L B
WELI WIBOWO L D
WIWIK SUNDARI P D
ROMYATUN P D
FURKON DEDI L D
ANISAH P D
ELIYATI P D
RUSNI P D
FIRDALINA P D
SUSLINA P D
HAYANA P D
ELVI SULASTRI P D
MAHA WANITA P D
NOMA ANOPHA L D
MALA PERTIWI P D
APRIYANTI P D
ENDANG SULASTRI P D
TINA MULINDA P D
DIA YUNANI P D
MURNAWATI P D
SURLINA P D
YUNIDA P D
RESMANILA P D
MARYANI P D
ADE DWI JULIA ASTUTI P D
RIA WIDIANINGSIH P D
SURYATI P D
ROHANI P D
LANJAR P D
MOH PRAYITMO L D
SITI KOMARIAH P D
YUSMULIA P D
nilaNILA WATI P D
MAIDAWATI P D
SUHARYATI P D
SUNDARI P D
DAHLIA P D
EKA SUNDARI P D
***Merek Vaksin
A = Sinovac
B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes)
elompok Umur: Kepesertaan BPJS

22 BPJS PBI
55 BPJS Non PBI
61 Non Anggota
0
138 Total
Pekerjaan: Pemberian Dosis
0 Dosis 1
0 Dosis 2
0 Total
0
0
0
FORMAT PENCATAT
TINGKAT PUSK
Umur
Tanggal Lahir Kelompok Umur
(18 sd ≥ 60 tahun)
1/1/1993 28 18-30
15/12/1988 33 31-45
2/6/1978 43 31-45
1/17/1989 32 31-45
8/9/1990 31 31-45
2/9/1994 27 18-30
12/9/1992 28 18-30
12/3/1995 25 18-30
24/04/1975 46 46-59
7/1/1995 26 18-30
11/1/1983 38 31-45
26/061986 35 31-45
02/01/1994 27 18-30
10/23/1994 27 18-30
12/18/1994 26 18-30
11/14/1997 24 18-30
7/11/1996 25 18-30
8/12/1967 54 46-59
05/11/1966 55 46-59
24/10/1997 24 18-30
5/28/1987 34 31-45
11/9/1994 27 18-30
9/8/1992 29 18-30
9/10/1988 33 31-45
5/21/1982 39 31-45
5/30/1973 48 46-59
8/11/1961 59 46-59
11/2/1970 51 46-59
6/6/1971 50 46-59
9/8/1968 53 46-59
1/15/1968 53 46-59
2/21/1965 56 46-59
6/19/1962 59 46-59
4/13/1989 32 31-45
7/8/1965 56 46-59
4/24/1999 22 18-30
5/11/1990 30 18-30
2/9/1985 36 31-45
6/28/1994 27 18-30
10/6/1987 33 31-45
10/1/1982 37 31-45
04-06-1977
44 31-45
05-05-1979
41 31-45
10-10-1986
34 31-45
15-04-1988
33 31-45
15-07-1968
54 46-59
14-07-1968
52 46-59
23-03-1987
34 31-45
15-11-1985
35 31-45
08-06-1987
33 31-45
09-03-1984
37 31-45
22-05-1971
50 46-59
17-06-1992
28 18-30
14-12-1975
45 31-45
03-07-1973
47 46-59
10-10-1992
28 18-30
30-09-1977
44 31-45
15-11-1978
42 31-45
20-12-1977
43 31-45
16-12-1972
48 46-59
27-03-1975
46 46-59
08-09-1987
33 31-45
16-03-1969
52 46-59
9/6/1962 58 46-59
4/22/1985 36 31-45
2/19/1966 55 46-59
3/5/1966 55 46-59
8/7/1970 50 46-59
7/27/1973 47 46-59
5/6/1966 55 46-59
3/15/1975 46 46-59
9/11/1972 49 46-59
7/16/1968 53 46-59
5/8/1968 53 46-59
8/8/1962 59 46-59
4/3/1962 59 46-59
8/10/1985 36 31-45
6/5/1976 45 31-45
2/5/1986 35 31-45
10/18/1974 47 46-59
8/7/1982 39 31-45
10/16/1967 54 46-59
4/14/1984 37 31-45
4/9/1985 36 31-45
10/10/1986 32 31-45
12/11/1982 39 31-45
8/10/1962 59 46-59
6/15/1962 59 46-59
5/19/1969 52 46-59
11/3/1972 49 46-59
5/1/1963 58 46-59
10/22/1974 47 46-59
7/18/1977 44 31-45
7/13/1989 32 31-45
11/27/1983 38 31-45
8/31/1993 28 18-30
1/29/1997 24 18-30
12/27/1993 27 18-30
8/30/1983 37 31-45
11/24/1977 43 31-45
2/16/1973 49 46-59
7/27/1989 32 31-45
10/21/1971 50 46-59
12/28/1966 55 46-59
1/2/1978 43 31-45
11/11/1989 32 31-45
4/3/1966 55 46-59
6/22/1966 55 46-59
2/28/1974 47 46-59
11/20/1972 49 46-59
11/4/1983 38 31-45
10/25/1973 48 46-59
3/12/1967 54 46-59
11/10/1980 41 31-45
10/1/1964 57 46-59
4/2/1982 39 31-45
3/23/1980 41 31-45
10/20/1980 41 31-45
8/7/1984 37 31-45
2/13/1967 54 46-59
9/10/1967 54 46-59
5/19/1977 44 31-45
2/8/1962 59 46-59
3/23/1970 51 46-59
30/07/01987 34 31-45
4/25/1987 34 31-45
6/9/1970 51 46-59
1/10/1964 57 46-59
0305/1968 53 46-59
7/11/1965 56 46-59
4/24/1985 36 31-45
15/06/19/70 51 46-59
3/10/1966 55 46-59
5/20/1978 43 31-45
3/20/1988 33 31-45
6/15/1965 56 46-59
9/4/1972 49 46-59
4/19/1997 24 18-30
19
107
12
138
125
77
FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID
TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI
Alamat
BUMI RATU
KETAPANG
KOTA AGUNG
LABUAHAN RATU PASAR
SIDODADI
SAWOJAJAR
KETAPANG
GEDUNG KETAPANG
KETAPANG
KETAPANG
KETAPANG
REJOSARI
KETAPANG
BUMI RATU
GEDUNG KETAPANG
SAWOJAJAR
KOTA AGUNG
SAWOJAJAR
SAWOJAJAR
IBUL JAYA
GEDUNG KETAPANG
KETAPANG
SAWOJAJAR
KETAPANG
KOTABUMI
KETAPANG
LABUHAN RATU KAMPUNG
KOTA AGUNG
KETAPANG
KETAPANG
KETAPANG
KETAPANG
TANJJUNG SARI
TANJJUNG SARI
BANJAR KETAPANG
NEGARA TULANG BAWANG
KETAPANG
KETAPANG
KETAPANG
KETAPANG
KOTABUMI
KOTABUMI
KOTABUMI
KETAPANG
KETAPANG
BARADATU WAY KANAN
KETAPANG
KETAPANG
KETAPANG
KETAPANG
KOTABUMI
KETAPANG
WONOMARTO
KOTABUMI
TANJUNG JAYA SUNGKAI BARAT
BUMI ASRI SUNGKAI TENGAH
REJOSARI
KOTABUMI
TANJUNG SARI SAWOJAJAR
KETAPANG
SIDODADI
KETAPANG
KETAPANG
GEDUNG KETAPANG
KETAPANG
KETAPANG
KETAPANG
KETAPANG
KETAPANG
KETAPANG
keTAPANG
GEDUNG KETAPANG
WONOMARTO
SAWOJAJAR
KETAPANG
MESIR ILIR
KETAPANG
MARGODADI
KETAPANG
KETAPANG
SAWOJAJAR
SINDANG SARI
KOTA ALAM
GEDUNG KETAPANG
KETAPANG
GEDUNG KETAPANG
MADUKORO
MADUKORO
GEDUNG KETAPANG
KOTA ALAM
KETAPANG
SIRNA GALIH
MADUKORO
KETAPANG
TANJUNG HARAPAN
SAWOJAJAR
MADUKORO
KETAPANG
KETAPANG
KETAPANG
DONOMULYO
KETAPANG
LABUHAN RATU PASAR
KETAPANG
KETAPANG
LABUHAN RATU PASAR
KOTA AGUNG
GEDUNG KETAPANG
GEDUNG KETAPANG
GEDUNG KETAPANG
NEGARA RATU
GEDUNG KETAPANG
KETAPANG
GEDUNG KETAPANG
KETAPANG
KETAPANG
BATUN RAJA
GEDUNG KETAPANG
GEDUNG KETAPANG
GEDUNG KETAPANG
NEGERI RATU
GEDUNG KETAPANG
GEDUNG KETAPANG
KETAPANG
SIDODADI
LABUHAN RATU KAMPUNG
GEDUNG KETAPANG
KETAPANG
SAWOJAJAR
SIDODADI
KOTA AGUNG
GEDUNG KETAPANG
GEDUNG KETAPANG
SIRNAGALIH
KOTA AGUNG
KETAPANG
SIDODADI
Pekerjaan
A
B
C
D
E
Total
LAKSANAAN VAKSINASI COVID-19
/FASYANKES/POS VAKSINASI
Kepesertaan BPJS (tulis 'Ya' pada kolom yang sesuai)
No. Hp
BPJS PBI BPJS Non PBI
085269997235
081379208234 YA
081279002129 YA
082186850526 YA
0822212569980 YA
082183958748 YA
082181117006 YA
081394076406 YA
082375801525 YA
082280003622 YA
081367579938 YA
082379654371 YA
082215858816 YA
085838517431 YA
081373327440 YA
082177861711 YA
085346877129
082269026722 YA
082177346669 YA
082371542293 YA
081272162260 YA
081214288340 YA
081274385862 YA
081369918733 YA
08117979979 YA
08127956161 YA
081541491957 YA
081368021899 YA
082269069881 YA
082326612345 YA
082176797691 YA
081369420190 YA
082373178814 YA
087894742716
082328118703 YA
081274792805
082279867474
085279209294 YA
082186983472 YA
085279194607 YA
82285198292 YA
85269003328 YA
85279783166 YA
82179966524 YA
85368353778 YA
85269588445 YA
85381229345 YA
81377794646 YA
085267825886 YA
085279650009 YA
081379683683 YA
081379213456 YA
081368582080 YA
081369713215 YA
085368858853 YA
081271521162 YA
085384329138 YA
082371575988 YA
085368402153 YA
082280776518 YA
085269195326 YA
085839488087 YA
85369031089 YA
82183256340 YA
081279997810 YA
085269253888 YA
081279231133 YA
081379315074 YA
085383108833 YA
082371823126 YA
085279684555 YA
081369606916 YA
085279787511 YA
082244827755 YA
082363506494 YA
082278155850 YA
082279369494 YA
082282012485 YA
082312257775 YA
08117911018 YA
081369266344 YA
081369126524 YA
082280012343 YA
085366002200 YA
082279697723 YA
081369056682 YA
082281645161 YA
081369282586 YA
081369223165 YA
081274591470 YA
081369312067 YA
081271721392 YA
081369938893 YA
085279331171 YA
082282735585 YA
085366199992
085369978789
087898522140
085832280620 YA
081369215669 YA
085384214445
085357679570 YA
081273848274 YA
081279264860 YA
085369601177 YA
081373300331 YA
081379565440 YA
081369905406 YA
085378048793 YA
082183391214 YA
082175265040 YA
081379844414 YA
081279900375 YA
081369902945 YA
085269113362 YA
082178574032 YA
085279260692
085269449834 YA
085369070884 YA
081273509536 YA
082283259820 YA
082280790944 YA
081373819341 YA
085369693074 YA
082269119797 YA
082375798930
081317103077
085267476992 YA
082278738761 YA
085369797687 YA
082246279049 YA
085290404589 YA
085357482982 YA
085267910341 YA
085215900852 YA
081369464009 YA
085269238620 YA
081373320153 YA
aan
0
0
0
0
0
0
a' pada kolom yang sesuai)
Tanggal Screening Nama/Jenis/Merek Vaksin***
Non Anggota
YA 2/2/2021 A
2/2/2021 A
2/2/2021 A
2/2/2021 A
2/2/2021 A
3/3/2021 A
3/3/2021 A
3/3/2021 A
3/4/2021 A
3/4/2021 A
3/4/2021 A
3/5/2021 A
3/9/2019 A
3/12/2021 A
3/12/2021 A
3/12/2021 A
YA 3/12/2021 A
3/12/2021 A
3/26/2021 A
3/26/2021 A
3/26/2021 A
3/26/2021 A
3/26/2021 A
3/26/2021 A
3/26/2021 A
3/26/2021 A
4/5/2001 A
4/5/2001 A
4/5/2001 A
4/5/2001 A
4/7/2021 A
4/5/2001 A
4/5/2001 A
YA 4/5/2001 A
4/5/2001 A
YA 4/5/2001 A
YA 4/5/2001 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/6/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
4/7/2021 A
YA 4/7/2021 A
YA 4/7/2021 A
YA 4/7/2021 A
4/7/2021 A
4/7/2021 A
YA 4/7/2021 A
4/7/2021 A
4/7/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
YA 4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
YA 4/28/2021 A
YA 4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
4/28/2021 A
Dosis I
Tanggal Pemberian
No. Batch No. Serial
Vaksinasi
3/12/2021 202011044
3/12/2021 202011044
3/12/2021 202011044
3/12/2021 202011044
3/12/2021 202011044
3/26/2021 202011044
3/26/2021 202011044
3/26/2021 202011044
3/26/2021 202011044
3/26/2021 202011044
3/26/2021 202011044
3/26/2021 202011044
3/26/2021 202011044
4/5/2021 24001421
4/5/2021 24001421
4/5/2021 24001421
4/5/2021 24001421
4/7/2021 24001421
4/5/2001 24001421
4/5/2021 24001421
4/5/2021 24001421
4/5/2021 24001421
4/5/2021 24001421
4/5/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
4/6/2021 24001421
TUNDA TUNDA
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
A A
4/7/2021 24001421
A A
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/7/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
4/28/2021 24001421
Dosis 2
Tanggal Pemberian
No. Batch No. Serial
Vaksinasi
3/2/2021 202011044
3/2/2021 202011044
3/2/2021 202011044
3/2/2021 202011044
3/2/2021 202011044
3/3/2021 202011044
3/3/2021 202011044
3/3/2021 202011044
3/4/2021 202011044
3/4/2021 202011044
3/4/2021 202011044
3/5/2021 202011044
3/9/2019 202011044
3/26/2021 202011044
3/26/2021 202011044
3/26/2021 202011044
3/12/2021 202011044
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/22/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/22/2021 24001421
4/21/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/21/2021 24001421
4/21/2021
4/22/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/21/2021 24001421
4/22/2021 24001421
4/21/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
4/22/2021 24001421
Keterangan
(Ditunda/Tidak Diberikan/Lanjut)
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
TUNDA
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
KURTIKARIA SETELAH VAKSINASI PERTAMA
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
LANJUT
SELESAI
SELESAI
TUNDA
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
TUNDA
LANJUT
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI
LANJUT
LANJUT
LANJUT
SELESAI
LANJUT
LANJUT
SELESAI
LANJUT
SELESAI
TUNDA
LANJUT
TUNDA
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI
SELESAI
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
FORMAT REKAPITULASI HARIAN PELAKSANAA
TINGKAT KABUPATEN/KO
Kabupaten/Kota :
Provinsi :
Hari, Tanggal :
Sasaran
Tahap 1 Tahap 2
Puskesmas/Fasyankes/P
NO
os Vaksinasi
SDM Kesehatan Lansia
TOTAL 0 0
3 18
15/07/202 0 5 26
RIAN PELAKSANAAN VAKSINASI COVID-19
T KABUPATEN/KOTA
Sasaran Penerima Vaksin Dosis

Tahap 2 Total Dosis I Tahap 1 Ta
(Semua Tahapan)
Total Sasaran
Pelayan Publik
# % # % #
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! 0 #DIV/0! 0
0 0 0 0 0 0 0%
enerima Vaksin Dosis 1 Tunda Vaksin Dosis 1
Total Tunda Dosis
Tahap 2 I Tahap 1 Tahap 2
(Semua Tahapan)
Lansia Pelayan Publik SDM Kesehatan Lansia
% # % # % # % #
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!

#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0
0 0% 0 0 0 0 0 0
nda Vaksin Dosis 1 Batal Vaksin Dosis 1
Tahap 2 Total Batal Dosis I Tahap 1 Tahap 2
(Semua Tahapan)
% # % # % # % # %
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 0 0 0 0 0 0 0 0
sin Dosis 1 Penerima Vaksin Dosis 2
Tahap 2 Total Dosis 2 Tahap 1 Tahap 2
(Semua Tahapan)
Pelayan Publik SDM Kesehatan Lansia Pelayan Publik
# % # % # % # % # %
#DIV/0! 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 0 100% 0 0 5 100% 26 100 0
Total Tunda Dosis
Tahap 1 Tahap 2 Total Batal Dosis 2
2
(Semua Tahapan)
(Semua Tahapan)
# % # % # % # % # %
0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0
Batal Vaksin Dosis 2 Indeks Pemakaian Vaksin Berdasarka
Tahap 1 Tahap 2
Coronavac
SDM Kesehatan Lansia Pelayan Publik (Single Dose Vial)
Jmlh Vial Jmlh

# % # % # % IP
Terpakai Diimunisasi
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 0 #DIV/0!
0 0 0 0 0 0 0 0 3
kaian Vaksin Berdasarkan Merek
Vaksin Covid-19 BF
(Multi Dose Vial)
Jmlh Vial Jmlh

IP
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 0 #DIV/0!
31 10
FORMAT REKAPITULASI HARIAN
TINGKAT
Kabupaten :
Hari, Tanggal :
Sasaran
Tahap 1 Tahap 2
NO Tanggal
01 Maret 2021
02 Maret 2021
03 Maret 2021
04 Maret 2021
05 Maret 2021
06 Maret 2021
07 Maret 2021
08 Maret 2021
09 Maret 2021
10 Maret 2021
11 Maret 2021
12 Maret 2021
13 Maret 2021
14 Maret 2021
15 Maret 2021
16 Maret 2021
17 Maret 2021
18 Maret 2021
19 Maret 2021
20 Maret 2021
21 Maret 2021
22 Maret 2021
23 Maret 2021
24 Maret 2021
25 Maret 2021
26 Maret 2021
27 Maret 2021
28 Maret 2021
29 Maret 2021
30 Maret 2021
31 Maret 2021
TOTAL 0 0
APITULASI HARIAN PELAKSANAAN VAKSINASI COVID-19
TINGKAT PROVINSI
Sasaran Penerima Vaksin Dos

Tahap 2 Total Dosis I Tahap 1
(Semua Tahapan)
SDM Kesehatan
Total Sasaran
Pelayan Publik
# % # %
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! 0 #DIV/0!
SI COVID-19

Total Tunda Dosis
Tahap 2 I Tahap 1
(Semua Tahapan)
Lansia Pelayan Publik SDM Kesehatan
# % # % # % # %
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!

#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Tunda Vaksin Dosis 1 Batal Vaksin Dosis 1
(Semua Tahapan)
# % # % # % # % # %

(Semua Tahapan)
# % # % # % # % # %

Total Tunda Dosis
2
(Semua Tahapan)
(Semua Tahapan)
# % # % # % # % # %

Tahap 1 Tahap 2
Coronavac
Jmlh Vial Jmlh

# % # % # % IP
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 0 #DIV/0!
Vaksin Covid-19 BF
(Multi Dose Vial)
Jmlh Vial Jmlh

IP
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 0 #DIV/0!
FORMAT REKAPITULASI HARIAN
TINGKAT
Provinsi
Hari, Tanggal
Sasaran
Tahap 1 Tahap 2
NO Kabupaten/Kota
TOTAL 0 0
APITULASI HARIAN PELAKSANAAN VAKSINASI COVID-19
TINGKAT PROVINSI
Sasaran Penerima Vaksin Dos

Tahap 2 Total Dosis I Tahap 1
(Semua Tahapan)
SDM Kesehatan
Total Sasaran
Pelayan Publik
# % # %
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! 0 #DIV/0!
SI COVID-19

Total Tunda Dosis
Tahap 2 I Tahap 1
(Semua Tahapan)
Lansia Pelayan Publik SDM Kesehatan
# % # % # % # %
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!

#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Tunda Vaksin Dosis 1 Batal Vaksin Dosis 1
(Semua Tahapan)
# % # % # % # % # %

(Semua Tahapan)
# % # % # % # % # %

Total Tunda Dosis
2
(Semua Tahapan)
(Semua Tahapan)
# % # % # % # % # %

Tahap 1 Tahap 2
Coronavac
Jmlh Vial Jmlh

# % # % # % IP
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 0 #DIV/0!
Vaksin Covid-19 BF
(Multi Dose Vial)
Jmlh Vial Jmlh

IP
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 0 #DIV/0!

09 NOVEMBER 2021 New - Form Pencatatan Manual Faskes Dan Laporan Rekapitulasi Vaksina

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09 NOVEMBER 2021 New - Form Pencatatan Manual Faskes Dan Laporan Rekapitulasi Vaksina

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FORMAT REKAPITUL

Tanggal/ Bulan Pelaksanaan

08/09/2021 (TNI) 0 2 140

14/09/2019 (IBU HAMIL) 0 0 25/ BUMIL

17/09/2021 (MODERNA) 2 8 142

20/10/2021 Astra Zeneca 0 4 0

21/10/2021 Astra Zeneca 0 3 0

9/11/2021 SINOVAC POLRES 0 4 0

10/11/2021 SINOVAC ASTRA 0 2 0

10/11/2021 SINOVAC POLRES 0 8 0

Sasaran Penerima Vaksin Do

0 0 100 100 100 0 0 10 100%

0 0 105 105 100 0 0 9 100%

103 0 130 130 100 0 0 3 100%

0 0 150 150 100 0 0 5 100%

0 0 142 142 100 0 0 2 100%

0 0 122 122 100 0 0 6 100%

1 BUMIL 0 78 78 100 0 0 3 100%

2 BUMIL 0 0 154 154 100 2 0 8 100%

0 5 BUMIL 0 220 220 100 0 0 25 100%

9 0 0 280 280 100 0 0 11 100%

8 1 bumil 0 200 180 100 0 0 14 100%

3 1 bumil 0 100 100 100 0 0 10 100%

1 0 0 200 200 100 0 0 19 100%

0 0 0 200 200 100 0 0 13 100%

181 0 67 272 173 100 0 0 10 100%

0 3 43 262 262 100 0 0 13 100%

134 4 8 154 154 100 0 0 8 100%

3 0 112 116 116 100 0 0 0 0%

0 0 2 114 114 100 0 0 2 100%

4 3 BUMIL 121 128 122 100 0 0 0 0%

26 4 BUMIL 67 98 92 100 0 0 1 100%

33 0 197 242 242 100 0 0 4 100%

256 0 4 274 207 0 0 0 7 100%

170 0 5 180 180 100 0 0 5 100%

369 2 BUMIL 5 400 400 100 0 0 0 0%

111 0 0 120 120 100 0 0 9 100%

95 1 10 110 28 100 0 0 3 100%

2257 65 697 7456 3307 68 550 200

Penerima Vaksin Dosis 1 Tunda Vaksin Dos

24 100% 103 100 0 0 0 0 0 0 0 0 0

74 100% 1 BUMIL 100 0 0 0 0 0 0 0 0 0

37 100% 1 BUMIL 100 0 0 0 0 0 0 0 0 0

142 100% 2 BUMIL 0 0 0 0 0 0 0 0 0 0

190 100% 0 0 5 BUMIL 100 0 0 0 0 0 0 0

260 100% 9 100 0 0 0 0 0 0 0 0 0

156 100% 8 100 1 100 0 0 0 0 0 0 0

86 100% 3 100 1 100 0 0 0 0 0 0 0

180 100% 1 100 0 0 0 0 0 0 0 0 0

2 100% 90 100 0 0 67 100 0 0 0 0 0 0 0

203 100% 0 0 3 100 43 100 0 0 0 0 0 0 0

2 100% 30 100 0 0 6 100 0 0 0 0 0 0 0

0 0% 134 100 4 100 8 100 0 0 0 0 0 0 0

3 100% 69 100 0 0 7 100 0 0 0 0 0 0 0

1 100% 3 100 0 0 112 100 0 0 0 0 0 0 0

110 100% 0 0 0 0 2 100 0 0 0 0 0 0 0

0 0% 1 100 0 0 121 100 0 0 0 0 0 0 0

5 100% 33 100 0 0 197 100 0 0 0 0 0 0 0

0 0% 196 100 0 0 4 100 0 0 0 0 0 0 0

0 0% 170 100 0 0 5 100 0 0 0 0 0 0 0

0 0% 21 100 1 100 3 100 0 0 0 0 0 0 0

2571 257 19 67 100 8 0 0 0 0 8

0 0 0 0 0 0 300 100% 0 100