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<table width="100%">
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<td align="center" colspan="11"><h1>LAPORAN BULANAN PPIA
HEPATITIS B</h1></td>
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<td align="left" colspan="3"><h3>&nbsp;</h3></td>
<td align="left" colspan="3" ><h3>Tahun : 2022</h3></td>
<td align="left"><h3>&nbsp;</h3></td>
<td align="left" colspan="3"><h3>Propinsi : Jawa Barat -
32</h3></td>
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<td align="left" colspan="3"><h3>&nbsp;</h3></td>
<td align="left" colspan="3"><h3>Bulan : September</h3></td>
<td align="left"><h3>&nbsp;</h3></td>

<td align="left" colspan="3"><h3>Kabupaten : Kota Bandung -


3273</h3></td>
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<td align="left" colspan="3">&nbsp;</td>
<td align="left" colspan="3">&nbsp;</td>
<td align="left">&nbsp;</td>
<td align="left" colspan="3"><h3>Fasyankes : Puskesmas Upt
Tamblong - P3273170201</h3></td>
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<table class="content_table">
<tr class="content_header">

<td class="head-one" rowspan="4" valign="middle">No</td>


<td class="head-one" rowspan="4"
valign="middle">Desa / Kelurahan</td>
<td class="head-one" rowspan="4"
valign="middle">Estimasi Jumlah Bumil</td>
<td class="head-one" colspan="3" valign="middle">Jumlah Bumil
diperiksa</td>
<td class="head-one" rowspan="4" style="width:100px"
valign="middle">% BUMIL DIPERIKSA (T=100%)</td>
<td class="head-one" rowspan="4" style="width:100px"
valign="middle">% BUMIL REAKTIF</td>
<td class="head-one" rowspan="4" style="width:100px"
valign="middle">∑ BUMIL REAKTIF<br/> DIRUJUK</td>
<td class="head-one" rowspan="4" style="width:100px"
valign="middle">% BUMIL REAKTIF <br/>DIRUJUK ( T = 100%)</td>
<td class="head-one" rowspan="4" valign="middle">∑ BAYI LAHIR
<br/>(HIDUP)</td>
<td class="head-one" colspan="4" valign="middle">∑ BAYI LAHIR
BULAN INI DARI IBU YG HBSAg Reaktif</td>
<td class="head-one" colspan="4" valign="middle">TOTAL BAYI dapat
HB0 BULAN INI <24 Jam </td>
<td class="head-one" colspan="8" valign="middle">TOTAL BAYI dapat
HBIG BULAN INI</td>
<td class="head-one" colspan="18" valign="middle">PEMANTAUAN BAYI
USIA 9 - 12 BULAN DARI IBU HBSAG REAKTIF</td>
<td class="head-one" rowspan="4" valign="middle">Keterangan</td>

</tr>
<tr class="content_header">
<td class="head-two" rowspan="3"valign="middle">R</td>
<td class="head-two" rowspan="3"valign="middle">NR</td>
<td class="head-two" rowspan="3"valign="middle">Total</td>
<td class="head-two" colspan="2" valign="middle">Dari ibu yang
DDHB</td>
<td class="head-two" rowspan="3" valign="middle">Jumlah</td>
<td class="head-two" rowspan="3" valign="middle">% BAYI LAHIR
DARI IBU HBSAG REAKTIF</td>
<td class="head-two" colspan="2" valign="middle">Dari ibu yang
DDHB</td>
<td class="head-two" rowspan="3" valign="middle">Jumlah</td>

<td class="head-two" rowspan="3" valign="middle">% BAYI


DIIMUNISASI HB0 < 24 JAM</td>

<td class="head-two" colspan="3" valign="middle">HBIg<24 Jam</td>

<td class="head-two" colspan="3" valign="middle">HBIg ≥ 24


Jam</td>
<td class="head-two" rowspan="3" valign="middle">total bayi dapat
HBIg</td>
<td class="head-two" rowspan="3" valign="middle">% BAYI MENDAPAT
HBIG < 24 JAM</td>
<td class="head-two" colspan="4" valign="middle">Jumlah Bayi usia
9-12 Bulan dari ibu HBsAg + yang melaksanakan DDHB</td>
<td class="head-two" colspan="14" valign="middle">HASIL
PEMERIKSAAN BAYI USIA 9-12 BULAN</td>
</tr>
<tr class="content_header">
<td class="head-two" valign="middle">Tahun</td>
<td class="head-two" valign="middle">Tahun</td>
<td class="head-two" rowspan="2" valign="middle">Tahun<br/> N -
1</td>
<td class="head-two" rowspan="2" valign="middle">Tahun<br/>
N</td>
<td class="head-two" colspan="3" valign="middle">Dari ibu yang
DDHB</td><td class="head-two" colspan="3" valign="middle">Dari ibu yang DDHB</td>
<td class="head-two" rowspan="2" valign="middle">Tahun<br/> N -
2</td>
<td class="head-two" rowspan="2" valign="middle">Tahun<br/> N -
1</td>
<td class="head-two" rowspan="2" valign="middle">Tahun<br/>
Ini</td>
<td class="head-two" rowspan="2" valign="middle">Jumlah</td>

<td class="head-two" colspan="3" valign="middle">Tahun N-2</td>

<td class="head-two" colspan="3" valign="middle">Tahun N-1</td>

<td class="head-two" colspan="3" valign="middle">Tahun Ini</td>


<td class="head-two" colspan="3" valign="middle">Total</td>

<td class="head-two" rowspan="2" valign="middle">% BAYI DARI IBU


HBSAG REAKTIF USIA 9 - 12 BULAN YANG DIPERIKSA</td>
<td class="head-two" rowspan="2" valign="middle">% REAKTIF</td>

</tr>
<tr class="content_header">
<td class="head-two" valign="middle">N - 1</td>
<td class="head-two" valign="middle">N</td>

<td class="head-two" valign="middle">Tahun N - 1</td>

<td class="head-two" valign="middle">Tahun N</td>

<td class="head-two" valign="middle">Jumlah</td>


<td class="head-two" valign="middle">Tahun N - 1</td>

<td class="head-two" valign="middle">Tahun N</td>

<td class="head-two" valign="middle">Jumlah</td>


<td class="head-two" valign="middle">Reaktif</td>

<td class="head-two" valign="middle">Non Reaktif</td>

<td class="head-two" valign="middle">Jumlah</td>


<td class="head-two" valign="middle">Reaktif</td>

<td class="head-two" valign="middle">Non Reaktif</td>

<td class="head-two" valign="middle">Jumlah</td>


<td class="head-two" valign="middle">Reaktif</td>

<td class="head-two" valign="middle">Non Reaktif</td>

<td class="head-two" valign="middle">Jumlah</td>


<td class="head-two" valign="middle">Reaktif</td>

<td class="head-two" valign="middle">Non Reaktif</td>

<td class="head-two" valign="middle">Jumlah</td>

</tr>
<tr class="content_info">
<td>1</td>

<td>2</td>

<td>3</td>

<td>4</td>

<td>5</td>
<td>6</td>

<td>7</td>

<td>8</td>

<td>9</td>

<td>10</td>

<td>11</td>

<td>12</td>

<td>13</td>

<td>14</td>

<td>15</td>

<td>16</td>

<td>17</td>

<td>18</td>

<td>19</td>

<td>20</td>

<td>21</td>

<td>22</td>

<td>23</td>

<td>24</td>

<td>25</td>
<td>26</td>

<td>27</td>

<td>28</td>

<td>29</td>

<td>30</td>

<td>31</td>

<td>32</td>

<td>33</td>

<td>34</td>

<td>35</td>

<td>36</td>

<td>37</td>

<td>38</td>

<td>39</td>

<td>40</td>

<td>41</td>

<td>42</td>

<td>43</td>

<td>44</td>

<td>45</td>
<td>46</td>

</tr>

<tbody>
<tr align="right">
<td>1</td>
<td nowrap style="text-align:left !important">BRAGA</td>
<td>92</td>
<td>0</td>
<td>6</td>
<td>6</td>
<td>6.52</td>
<td>0.00</td>

<td>0</td>

<td>0</td>

<td>90</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0.00</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td> 0 </td>
<td>0</td>
<td>-</td>
</tr>
<tr align="right">
<td>2</td>
<td nowrap style="text-align:left !important">MERDEKA</td>
<td>179</td>
<td>1</td>
<td>1</td>
<td>2</td>
<td>1.12</td>
<td>50.00</td>

<td>0</td>

<td>0.00</td>

<td>163</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0.00</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td> 0 </td>
<td>0</td>
<td>-</td>
</tr>
<tr align="right">
<td>3</td>
<td nowrap style="text-align:left !important">KEBON PISANG</td>
<td>196</td>
<td>0</td>
<td>6</td>
<td>6</td>
<td>3.06</td>
<td>0.00</td>

<td>0</td>

<td>0</td>

<td>182</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0.00</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td> 0 </td>
<td>0</td>
<td>-</td>
</tr>
</tbody>
<tfoot>
<tr style="font-weight:bold;text-
transform:uppercase;text-align:right">
<td colspan="2" style="text-align:left !important">Wilayah
Kerja</td>
<td>467</td>
<td>1</td>
<td>13</td>
<td>14</td>

<td>3.00</td>

<td>7.14</td>

<td>0</td>

<td>0.00</td>

<td>435</td>

<td>0</td>
<td>0</td>
<td>0</td>
<td>0.00</td>

<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>

<td>0</td>

<td>0</td>

<td>0</td>
<td>0</td>

<td>0</td>

<td>0</td>

<td>0</td>
<td>0 </td>
<td>0</td>

<td>-</td>
</tr>

<tr style="font-weight:bold;text-transform:uppercase;text-
align:right;">
<td colspan="2" style="text-align:left !important">Luar
Wilayah</td>
<td></td>

<td>0</td>
<td>3</td>
<td>3</td>
<td>0</td>
<td>0.00</td>
<td>0</td>
<td>0</td>
<td></td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>

<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>

<td>0</td>

<td>0</td>

<td>0</td>

<td>0</td>

<td>0</td>
<td>0 </td>
<td>0</td>

<td>-</td>
</tr>
<tr style="font-weight:bold;text-
transform:uppercase;text-align:right;">
<td colspan="2" style="text-align:left !important">Total</td>

<td>467</td>

<td>1</td>

<td>16</td>

<td>17</td>

<td>3.64</td>

<td>5.88</td>

<td>0</td>

<td>0.00</td>
<td>435</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0.00</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>

<td>0</td>

<td>0</td>
<td>0</td>

<td>0</td>

<td>0</td>

<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>

<td>0</td>

<td>0</td>

<td>0</td>

<td>0</td>
<td>0</td>

<td>0</td>
<td>0</td>
<td>0 </td>
<td>0</td>

<td>-</td>
</tr>
</tfoot>

</table>
</body>

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