DATA DASAR PELAKSANAAN SUB PIN POLIO

Puskesmas : UPTD PUSKESMAS NISAM ANTARA

Kabupaten/ Kota : ACEH UTARA
Provinsi : ACEH

(Mohon isi pada kolom yang berwarna kuning)

SASARAN VAKSIN DAN DROPPER
No Nama Pos Pelayanan Desa/Kelurahan SASARAN PER KELOMPOK UMUR STOK AWAL STOK AWAL
Total Sasaran VAKSIN (VIAL) DROPPER
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn
a b b c d e f g h
1 Posyandu Anyelir 1 Seumirah 98 98 2 2
2 Posyandu Anyelir 2 Seumirah 70 70 2 2
3 posyandu Anyelir 3 Seumirah 69 69 2 2
4 Posyandu Anyelir 4 Seumirah 45 45 1 1
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 -
31 -
32 -
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 -
63 -
64
65
66 -
67 -
68 -
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
99
100 -
101
102
103 -
104 -
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 -
135
136
137 -
138
139
140 -
141 -
142 -
143 -
144 -
145 -
146 -
147 -
148 -
149 -
150 -
151 -
152 -
153 -
154 -
155 -
156 -
157 -
158 -
159 -
160 - 7
Total 282 - - 282 7
 LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-1)

Puskesmas : UPTD PUSKESMAS NISAM ANTARA

Kabupaten/ Kota : ACEH UTARA
Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak
Jumlah sasaran Absolut %
sasaran Absolut % Absolut % sasaran Absolut %
a b b c d e f g h i j k l m n o p q q
1 Posyandu Anyelir 1 Seumirah 98 73 74.5% - 0.0% - 0.0% 98 73 74.5% 2 2 0 0
2 Posyandu Anyelir 2 Seumirah 70 55 78.6% - 0.0% - 0.0% 70 55 78.6% 2 2 0
3 posyandu Anyelir 3 Seumirah 69 56 81.2% - 0.0% - 0.0% 69 56 81.2% 2 2 0
4 Posyandu Anyelir 4 Seumirah 45 38 84.4% - 0.0% - 0.0% 45 38 84.4% 1 1 0
5 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
6 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
7 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
8 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
9 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
10 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
11 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
12 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
13 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
14 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
15 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
18 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 0 - 0.0% - 0.0% - 0.0% - 0.0% 0
35 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
51 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
52 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
53 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
54 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
55 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
56 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
57 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
58 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
59 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
60 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
61 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
62 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
63 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
64 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
65 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
66 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
67 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
68 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
69 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
70 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
71 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
72 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
73 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
74 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
75 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
76 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
77 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
78 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
79 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
80 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
81 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
82 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
83 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
84 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
85 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
86 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
87 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
88 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
89 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
90 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
91 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
92 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
93 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
94 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
95 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
96 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
97 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
98 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
99 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
100 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
101 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
102 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
103 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
104 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
105 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
106 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
107 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
108 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
109 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
110 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
111 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
112 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
113 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
114 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
115 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
116 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
117 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
118 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
119 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
120 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
121 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
122 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
123 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
124 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
125 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
126 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
127 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
128 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
129 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
130 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
131 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
132 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
133 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
134 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
135 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
136 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
137 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
138 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
139 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
140 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
141 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
142 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
143 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
144 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
145 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
146 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
147 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
148 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
149 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
150 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
151 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
152 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
153 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
154 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
155 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
156 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
157 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
158 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
159 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
160 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 282 222 78.7% - - 0.0% - - 0.0% 282 222 78.7% 7 7 - -
Jumlah dropper
terpakai

r
2
2
2
1
7
 LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-2)

Puskesmas : UPTD PUSKESMAS NISAM ANTARA

Kabupaten/ Kota : ACEH UTARA
Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak
Jumlah sasaran Absolut %
sasaran Absolut % Absolut % sasaran Absolut %
a b b c d e f g h i j k l m n o p q q
1 Posyandu Anyelir 1 Seumirah 98 50 51.0% - 0.0% - 0.0% 98 50 51.0% 4 4 0 0
2 Posyandu Anyelir 2 Seumirah 70 0.0% - 0.0% - 0.0% 70 - 0.0% 0
3 posyandu Anyelir 3 Seumirah 69 0.0% - 0.0% - 0.0% 69 - 0.0% 0
4 Posyandu Anyelir 4 Seumirah 45 0.0% - 0.0% - 0.0% 45 - 0.0% 0
5 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
6 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
7 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
8 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
9 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
10 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
11 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
12 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
13 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
14 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
15 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
18 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 0 - 0.0% - 0.0% - 0.0% - 0.0% 0
35 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
51 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
52 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
53 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
54 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
55 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
56 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
57 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
58 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
59 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
60 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
61 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
62 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
63 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
64 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
65 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
66 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
67 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
68 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
69 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
70 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
71 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
72 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
73 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
74 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
75 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
76 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
77 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
78 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
79 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
80 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
81 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
82 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
83 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
84 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
85 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
86 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
87 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
88 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
89 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
90 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
91 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
92 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
93 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
94 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
95 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
96 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
97 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
98 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
99 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
100 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
101 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
102 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
103 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
104 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
105 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
106 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
107 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
108 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
109 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
110 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
111 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
112 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
113 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
114 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
115 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
116 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
117 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
118 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
119 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
120 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
121 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
122 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
123 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
124 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
125 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
126 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
127 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
128 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
129 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
130 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
131 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
132 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
133 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
134 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
135 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
136 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
137 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
138 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
139 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
140 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
141 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
142 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
143 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
144 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
145 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
146 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
147 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
148 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
149 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
150 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
151 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
152 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
153 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
154 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
155 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
156 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
157 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
158 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
159 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
160 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 282 50 17.7% - - 0.0% - - 0.0% 282 50 17.7% 4 4 - -
Jumlah dropper
terpakai

r
-
 LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-3)

Puskesmas : UPTD PUSKESMAS NISAM ANTARA

Kabupaten/ Kota : ACEH UTARA
Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak
Jumlah sasaran Absolut %
sasaran Absolut % Absolut % sasaran Absolut %
a b b c d e f g h i j k l m n o p q q
1 Posyandu Anyelir 1 Seumirah 98 50 51.0% - 0.0% - 0.0% 98 50 51.0% 4 4 0 0
2 Posyandu Anyelir 2 Seumirah 70 0.0% - 0.0% - 0.0% 70 - 0.0% 0
3 posyandu Anyelir 3 Seumirah 69 0.0% - 0.0% - 0.0% 69 - 0.0% 0
4 Posyandu Anyelir 4 Seumirah 45 0.0% - 0.0% - 0.0% 45 - 0.0% 0
5 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
6 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
7 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
8 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
9 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
10 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
11 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
12 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
13 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
14 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
15 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
18 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 0 - 0.0% - 0.0% - 0.0% - 0.0% 0
35 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
51 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
52 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
53 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
54 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
55 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
56 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
57 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
58 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
59 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
60 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
61 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
62 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
63 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
64 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
65 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
66 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
67 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
68 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
69 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
70 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
71 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
72 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
73 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
74 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
75 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
76 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
77 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
78 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
79 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
80 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
81 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
82 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
83 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
84 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
85 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
86 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
87 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
88 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
89 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
90 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
91 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
92 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
93 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
94 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
95 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
96 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
97 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
98 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
99 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
100 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
101 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
102 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
103 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
104 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
105 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
106 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
107 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
108 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
109 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
110 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
111 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
112 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
113 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
114 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
115 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
116 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
117 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
118 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
119 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
120 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
121 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
122 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
123 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
124 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
125 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
126 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
127 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
128 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
129 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
130 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
131 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
132 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
133 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
134 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
135 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
136 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
137 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
138 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
139 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
140 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
141 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
142 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
143 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
144 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
145 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
146 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
147 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
148 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
149 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
150 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
151 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
152 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
153 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
154 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
155 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
156 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
157 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
158 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
159 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
160 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 282 50 17.7% - - 0.0% - - 0.0% 282 50 17.7% 4 4 - -
Jumlah dropper
terpakai

r
-
 LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-4)

Puskesmas : UPTD PUSKESMAS NISAM ANTARA

Kabupaten/ Kota : ACEH UTARA
Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak
Jumlah sasaran Absolut %
sasaran Absolut % Absolut % sasaran Absolut %
a b b c d e f g h i j k l m n o p q q
1 Posyandu Anyelir 1 Seumirah 98 50 51.0% - 0.0% - 0.0% 98 50 51.0% 4 4 0 0
2 Posyandu Anyelir 2 Seumirah 70 0.0% - 0.0% - 0.0% 70 - 0.0% 0
3 posyandu Anyelir 3 Seumirah 69 0.0% - 0.0% - 0.0% 69 - 0.0% 0
4 Posyandu Anyelir 4 Seumirah 45 0.0% - 0.0% - 0.0% 45 - 0.0% 0
5 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
6 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
7 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
8 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
9 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
10 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
11 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
12 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
13 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
14 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
15 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
18 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 0 - 0.0% - 0.0% - 0.0% - 0.0% 0
35 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
51 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
52 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
53 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
54 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
55 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
56 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
57 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
58 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
59 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
60 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
61 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
62 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
63 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
64 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
65 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
66 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
67 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
68 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
69 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
70 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
71 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
72 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
73 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
74 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
75 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
76 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
77 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
78 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
79 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
80 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
81 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
82 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
83 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
84 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
85 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
86 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
87 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
88 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
89 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
90 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
91 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
92 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
93 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
94 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
95 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
96 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
97 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
98 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
99 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
100 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
101 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
102 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
103 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
104 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
105 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
106 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
107 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
108 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
109 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
110 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
111 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
112 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
113 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
114 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
115 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
116 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
117 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
118 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
119 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
120 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
121 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
122 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
123 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
124 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
125 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
126 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
127 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
128 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
129 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
130 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
131 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
132 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
133 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
134 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
135 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
136 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
137 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
138 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
139 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
140 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
141 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
142 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
143 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
144 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
145 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
146 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
147 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
148 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
149 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
150 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
151 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
152 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
153 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
154 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
155 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
156 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
157 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
158 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
159 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
160 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 282 50 17.7% - - 0.0% - - 0.0% 282 50 17.7% 4 4 - -
Jumlah dropper
terpakai

r
-
 LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-5)

Puskesmas : UPTD PUSKESMAS NISAM ANTARA

Kabupaten/ Kota : ACEH UTARA
Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak
Jumlah sasaran Absolut %
sasaran Absolut % Absolut % sasaran Absolut %
a b b c d e f g h i j k l m n o p q q
1 Posyandu Anyelir 1 Seumirah 98 50 51.0% - 0.0% - 0.0% 98 50 51.0% 4 4 0 0
2 Posyandu Anyelir 2 Seumirah 70 0.0% - 0.0% - 0.0% 70 - 0.0% 0
3 posyandu Anyelir 3 Seumirah 69 0.0% - 0.0% - 0.0% 69 - 0.0% 0
4 Posyandu Anyelir 4 Seumirah 45 0.0% - 0.0% - 0.0% 45 - 0.0% 0
5 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
6 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
7 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
8 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
9 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
10 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
11 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
12 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
13 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
14 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
15 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
18 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 0 - 0.0% - 0.0% - 0.0% - 0.0% 0
35 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
51 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
52 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
53 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
54 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
55 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
56 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
57 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
58 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
59 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
60 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
61 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
62 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
63 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
64 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
65 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
66 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
67 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
68 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
69 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
70 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
71 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
72 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
73 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
74 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
75 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
76 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
77 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
78 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
79 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
80 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
81 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
82 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
83 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
84 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
85 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
86 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
87 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
88 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
89 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
90 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
91 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
92 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
93 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
94 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
95 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
96 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
97 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
98 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
99 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
100 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
101 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
102 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
103 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
104 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
105 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
106 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
107 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
108 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
109 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
110 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
111 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
112 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
113 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
114 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
115 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
116 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
117 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
118 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
119 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
120 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
121 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
122 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
123 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
124 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
125 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
126 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
127 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
128 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
129 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
130 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
131 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
132 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
133 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
134 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
135 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
136 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
137 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
138 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
139 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
140 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
141 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
142 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
143 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
144 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
145 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
146 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
147 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
148 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
149 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
150 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
151 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
152 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
153 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
154 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
155 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
156 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
157 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
158 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
159 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
160 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 282 50 17.7% - - 0.0% - - 0.0% 282 50 17.7% 4 4 - -
Jumlah dropper
terpakai

r
-
 LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-6)

Puskesmas : UPTD PUSKESMAS NISAM ANTARA

Kabupaten/ Kota : ACEH UTARA
Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak
Jumlah sasaran Absolut %
sasaran Absolut % Absolut % sasaran Absolut %
a b b c d e f g h i j k l m n o p q q
1 Posyandu Anyelir 1 Seumirah 98 50 51.0% - 0.0% - 0.0% 98 50 51.0% 4 4 0 0
2 Posyandu Anyelir 2 Seumirah 70 0.0% - 0.0% - 0.0% 70 - 0.0% 0
3 posyandu Anyelir 3 Seumirah 69 0.0% - 0.0% - 0.0% 69 - 0.0% 0
4 Posyandu Anyelir 4 Seumirah 45 0.0% - 0.0% - 0.0% 45 - 0.0% 0
5 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
6 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
7 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
8 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
9 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
10 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
11 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
12 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
13 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
14 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
15 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
18 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 0 - 0.0% - 0.0% - 0.0% - 0.0% 0
35 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
51 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
52 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
53 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
54 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
55 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
56 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
57 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
58 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
59 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
60 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
61 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
62 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
63 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
64 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
65 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
66 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
67 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
68 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
69 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
70 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
71 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
72 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
73 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
74 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
75 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
76 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
77 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
78 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
79 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
80 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
81 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
82 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
83 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
84 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
85 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
86 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
87 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
88 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
89 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
90 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
91 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
92 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
93 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
94 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
95 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
96 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
97 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
98 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
99 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
100 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
101 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
102 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
103 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
104 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
105 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
106 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
107 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
108 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
109 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
110 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
111 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
112 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
113 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
114 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
115 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
116 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
117 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
118 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
119 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
120 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
121 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
122 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
123 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
124 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
125 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
126 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
127 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
128 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
129 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
130 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
131 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
132 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
133 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
134 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
135 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
136 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
137 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
138 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
139 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
140 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
141 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
142 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
143 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
144 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
145 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
146 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
147 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
148 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
149 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
150 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
151 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
152 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
153 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
154 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
155 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
156 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
157 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
158 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
159 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
160 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 282 50 17.7% - - 0.0% - - 0.0% 282 50 17.7% 4 4 - -
Jumlah dropper
terpakai

r
-
 LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-7)

Puskesmas : UPTD PUSKESMAS NISAM ANTARA

Kabupaten/ Kota : ACEH UTARA
Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak
Jumlah sasaran Absolut %
sasaran Absolut % Absolut % sasaran Absolut %
a b b c d e f g h i j k l m n o p q q
1 Posyandu Anyelir 1 Seumirah 98 50 51.0% - 0.0% - 0.0% 98 50 51.0% 4 4 0 0
2 Posyandu Anyelir 2 Seumirah 70 0.0% - 0.0% - 0.0% 70 - 0.0% 0
3 posyandu Anyelir 3 Seumirah 69 0.0% - 0.0% - 0.0% 69 - 0.0% 0
4 Posyandu Anyelir 4 Seumirah 45 0.0% - 0.0% - 0.0% 45 - 0.0% 0
5 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
6 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
7 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
8 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
9 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
10 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
11 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
12 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
13 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
14 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
15 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
18 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 0 - 0.0% - 0.0% - 0.0% - 0.0% 0
35 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
51 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
52 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
53 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
54 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
55 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
56 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
57 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
58 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
59 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
60 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
61 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
62 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
63 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
64 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
65 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
66 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
67 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
68 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
69 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
70 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
71 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
72 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
73 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
74 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
75 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
76 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
77 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
78 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
79 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
80 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
81 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
82 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
83 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
84 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
85 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
86 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
87 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
88 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
89 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
90 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
91 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
92 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
93 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
94 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
95 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
96 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
97 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
98 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
99 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
100 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
101 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
102 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
103 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
104 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
105 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
106 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
107 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
108 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
109 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
110 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
111 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
112 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
113 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
114 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
115 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
116 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
117 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
118 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
119 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
120 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
121 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
122 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
123 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
124 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
125 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
126 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
127 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
128 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
129 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
130 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
131 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
132 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
133 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
134 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
135 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
136 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
137 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
138 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
139 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
140 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
141 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
142 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
143 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
144 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
145 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
146 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
147 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
148 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
149 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
150 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
151 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
152 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
153 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
154 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
155 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
156 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
157 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
158 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
159 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
160 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 282 50 17.7% - - 0.0% - - 0.0% 282 50 17.7% 4 4 - -
Jumlah dropper
terpakai

r
-
 LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-1)

Puskesmas : UPTD PUSKESMAS NISAM ANTARA

Kabupaten/ Kota : ACEH UTARA
Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak
Jumlah sasaran Absolut %
sasaran Absolut % Absolut % sasaran Absolut %
a b b c d e f g h i j k l m n o p q q
1 Posyandu Anyelir 1 Seumirah 98 50 51.0% - 0.0% - 0.0% 98 50 51.0% 4 4 0 0
2 Posyandu Anyelir 2 Seumirah 70 0.0% - 0.0% - 0.0% 70 - 0.0% 0
3 posyandu Anyelir 3 Seumirah 69 0.0% - 0.0% - 0.0% 69 - 0.0% 0
4 Posyandu Anyelir 4 Seumirah 45 0.0% - 0.0% - 0.0% 45 - 0.0% 0
5 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
6 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
7 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
8 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
9 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
10 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
11 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
12 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
13 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
14 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
15 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
18 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 0 - 0.0% - 0.0% - 0.0% - 0.0% 0
35 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
51 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
52 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
53 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
54 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
55 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
56 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
57 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
58 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
59 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
60 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
61 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
62 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
63 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
64 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
65 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
66 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
67 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
68 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
69 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
70 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
71 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
72 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
73 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
74 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
75 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
76 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
77 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
78 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
79 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
80 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
81 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
82 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
83 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
84 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
85 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
86 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
87 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
88 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
89 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
90 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
91 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
92 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
93 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
94 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
95 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
96 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
97 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
98 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
99 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
100 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
101 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
102 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
103 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
104 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
105 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
106 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
107 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
108 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
109 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
110 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
111 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
112 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
113 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
114 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
115 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
116 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
117 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
118 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
119 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
120 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
121 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
122 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
123 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
124 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
125 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
126 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
127 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
128 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
129 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
130 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
131 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
132 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
133 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
134 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
135 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
136 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
137 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
138 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
139 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
140 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
141 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
142 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
143 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
144 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
145 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
146 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
147 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
148 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
149 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
150 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
151 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
152 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
153 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
154 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
155 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
156 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
157 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
158 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
159 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
160 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 282 50 17.7% - - 0.0% - - 0.0% 282 50 17.7% 4 4 - -
Jumlah dropper
terpakai

r
-
 LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-2)

Puskesmas : UPTD PUSKESMAS NISAM ANTARA

Kabupaten/ Kota : ACEH UTARA
Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak
Jumlah sasaran Absolut %
sasaran Absolut % Absolut % sasaran Absolut %
a b b c d e f g h i j k l m n o p q q
1 Posyandu Anyelir 1 Seumirah 98 50 51.0% - 0.0% - 0.0% 98 50 51.0% 4 4 0 0
2 Posyandu Anyelir 2 Seumirah 70 0.0% - 0.0% - 0.0% 70 - 0.0% 0
3 posyandu Anyelir 3 Seumirah 69 0.0% - 0.0% - 0.0% 69 - 0.0% 0
4 Posyandu Anyelir 4 Seumirah 45 0.0% - 0.0% - 0.0% 45 - 0.0% 0
5 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
6 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
7 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
8 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
9 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
10 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
11 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
12 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
13 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
14 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
15 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
18 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 0 - 0.0% - 0.0% - 0.0% - 0.0% 0
35 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
51 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
52 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
53 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
54 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
55 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
56 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
57 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
58 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
59 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
60 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
61 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
62 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
63 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
64 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
65 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
66 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
67 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
68 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
69 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
70 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
71 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
72 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
73 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
74 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
75 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
76 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
77 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
78 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
79 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
80 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
81 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
82 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
83 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
84 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
85 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
86 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
87 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
88 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
89 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
90 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
91 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
92 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
93 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
94 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
95 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
96 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
97 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
98 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
99 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
100 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
101 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
102 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
103 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
104 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
105 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
106 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
107 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
108 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
109 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
110 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
111 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
112 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
113 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
114 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
115 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
116 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
117 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
118 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
119 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
120 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
121 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
122 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
123 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
124 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
125 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
126 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
127 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
128 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
129 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
130 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
131 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
132 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
133 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
134 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
135 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
136 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
137 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
138 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
139 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
140 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
141 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
142 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
143 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
144 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
145 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
146 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
147 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
148 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
149 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
150 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
151 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
152 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
153 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
154 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
155 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
156 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
157 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
158 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
159 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
160 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 282 50 17.7% - - 0.0% - - 0.0% 282 50 17.7% 4 4 - -
Jumlah dropper
terpakai

r
-
 LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-3)

Puskesmas : UPTD PUSKESMAS NISAM ANTARA

Kabupaten/ Kota : ACEH UTARA
Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak
Jumlah sasaran Absolut %
sasaran Absolut % Absolut % sasaran Absolut %
a b b c d e f g h i j k l m n o p q q
1 Posyandu Anyelir 1 Seumirah 98 50 51.0% - 0.0% - 0.0% 98 50 51.0% 4 4 0 0
2 Posyandu Anyelir 2 Seumirah 70 0.0% - 0.0% - 0.0% 70 - 0.0% 0
3 posyandu Anyelir 3 Seumirah 69 0.0% - 0.0% - 0.0% 69 - 0.0% 0
4 Posyandu Anyelir 4 Seumirah 45 0.0% - 0.0% - 0.0% 45 - 0.0% 0
5 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
6 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
7 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
8 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
9 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
10 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
11 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
12 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
13 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
14 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
15 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
18 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 0 - 0.0% - 0.0% - 0.0% - 0.0% 0
35 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
51 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
52 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
53 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
54 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
55 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
56 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
57 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
58 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
59 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
60 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
61 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
62 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
63 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
64 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
65 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
66 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
67 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
68 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
69 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
70 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
71 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
72 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
73 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
74 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
75 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
76 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
77 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
78 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
79 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
80 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
81 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
82 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
83 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
84 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
85 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
86 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
87 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
88 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
89 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
90 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
91 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
92 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
93 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
94 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
95 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
96 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
97 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
98 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
99 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
100 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
101 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
102 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
103 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
104 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
105 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
106 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
107 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
108 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
109 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
110 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
111 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
112 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
113 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
114 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
115 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
116 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
117 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
118 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
119 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
120 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
121 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
122 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
123 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
124 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
125 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
126 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
127 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
128 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
129 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
130 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
131 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
132 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
133 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
134 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
135 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
136 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
137 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
138 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
139 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
140 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
141 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
142 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
143 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
144 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
145 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
146 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
147 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
148 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
149 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
150 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
151 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
152 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
153 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
154 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
155 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
156 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
157 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
158 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
159 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
160 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 282 50 17.7% - - 0.0% - - 0.0% 282 50 17.7% 4 4 - -
Jumlah dropper
terpakai

r
-
 LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-4)

Puskesmas : UPTD PUSKESMAS NISAM ANTARA

Kabupaten/ Kota : ACEH UTARA
Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak
Jumlah sasaran Absolut %
sasaran Absolut % Absolut % sasaran Absolut %
a b b c d e f g h i j k l m n o p q q
1 Posyandu Anyelir 1 Seumirah 98 50 51.0% - 0.0% - 0.0% 98 50 51.0% 4 4 0 0
2 Posyandu Anyelir 2 Seumirah 70 0.0% - 0.0% - 0.0% 70 - 0.0% 0
3 posyandu Anyelir 3 Seumirah 69 0.0% - 0.0% - 0.0% 69 - 0.0% 0
4 Posyandu Anyelir 4 Seumirah 45 0.0% - 0.0% - 0.0% 45 - 0.0% 0
5 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
6 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
7 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
8 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
9 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
10 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
11 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
12 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
13 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
14 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
15 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
18 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 0 - 0.0% - 0.0% - 0.0% - 0.0% 0
35 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
51 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
52 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
53 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
54 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
55 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
56 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
57 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
58 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
59 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
60 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
61 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
62 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
63 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
64 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
65 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
66 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
67 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
68 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
69 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
70 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
71 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
72 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
73 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
74 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
75 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
76 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
77 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
78 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
79 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
80 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
81 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
82 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
83 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
84 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
85 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
86 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
87 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
88 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
89 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
90 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
91 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
92 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
93 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
94 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
95 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
96 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
97 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
98 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
99 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
100 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
101 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
102 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
103 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
104 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
105 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
106 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
107 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
108 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
109 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
110 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
111 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
112 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
113 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
114 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
115 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
116 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
117 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
118 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
119 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
120 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
121 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
122 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
123 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
124 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
125 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
126 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
127 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
128 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
129 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
130 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
131 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
132 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
133 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
134 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
135 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
136 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
137 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
138 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
139 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
140 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
141 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
142 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
143 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
144 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
145 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
146 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
147 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
148 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
149 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
150 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
151 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
152 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
153 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
154 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
155 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
156 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
157 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
158 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
159 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
160 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 282 50 17.7% - - 0.0% - - 0.0% 282 50 17.7% 4 4 - -
Jumlah dropper
terpakai

r
-
 LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-5 SWEEPING )

Puskesmas : UPTD PUSKESMAS NISAM ANTARA

Kabupaten/ Kota : ACEH UTARA
Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak
Jumlah sasaran Absolut %
sasaran Absolut % Absolut % sasaran Absolut %
a b b c d e f g h i j k l m n o p q q
1 Posyandu Anyelir 1 Seumirah 98 50 51.0% - 0.0% - 0.0% 98 50 51.0% 4 4 0 0
2 Posyandu Anyelir 2 Seumirah 70 0.0% - 0.0% - 0.0% 70 - 0.0% 0
3 posyandu Anyelir 3 Seumirah 69 0.0% - 0.0% - 0.0% 69 - 0.0% 0
4 Posyandu Anyelir 4 Seumirah 45 0.0% - 0.0% - 0.0% 45 - 0.0% 0
5 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
6 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
7 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
8 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
9 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
10 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
11 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
12 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
13 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
14 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
15 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
18 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 0 - 0.0% - 0.0% - 0.0% - 0.0% 0
35 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
51 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
52 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
53 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
54 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
55 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
56 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
57 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
58 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
59 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
60 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
61 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
62 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
63 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
64 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
65 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
66 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
67 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
68 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
69 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
70 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
71 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
72 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
73 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
74 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
75 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
76 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
77 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
78 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
79 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
80 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
81 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
82 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
83 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
84 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
85 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
86 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
87 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
88 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
89 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
90 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
91 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
92 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
93 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
94 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
95 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
96 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
97 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
98 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
99 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
100 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
101 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
102 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
103 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
104 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
105 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
106 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
107 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
108 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
109 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
110 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
111 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
112 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
113 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
114 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
115 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
116 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
117 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
118 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
119 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
120 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
121 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
122 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
123 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
124 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
125 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
126 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
127 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
128 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
129 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
130 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
131 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
132 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
133 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
134 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
135 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
136 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
137 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
138 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
139 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
140 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
141 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
142 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
143 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
144 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
145 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
146 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
147 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
148 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
149 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
150 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
151 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
152 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
153 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
154 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
155 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
156 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
157 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
158 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
159 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
160 0 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 282 50 17.7% - - 0.0% - - 0.0% 282 50 17.7% 4 4 - -
Jumlah dropper
terpakai

r
4
4
 LAPORAN KUMULATIF PELAKSANAAN SUB PIN POLIO

Puskesmas : UPTD PUSKESMAS NISAM ANTARA

Kabupaten/ Kota : ACEH UTARA
Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Kumulatif Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial
Jumlah Cakupan Kumulatif Cakupan Kumulatif Jumlah Cakupan Kumulatif Total Sasaran
Jumlah sasaran Absolut %
sasaran Absolut % Absolut % sasaran Absolut %
a b b c d e f g h i j k l m n o p q q
1 Posyandu Anyelir 1 Seumirah 98 623 635.7% - - 0.0% - - 0.0% 98 623 635.7% 46 46 0 0
2 Posyandu Anyelir 2 Seumirah 70 55 78.6% - - 0.0% - - 0.0% 70 55 78.6% 2 2 0 0
3 posyandu Anyelir 3 Seumirah 69 56 81.2% - - 0.0% - - 0.0% 69 56 81.2% 2 2 0 0
4 Posyandu Anyelir 4 Seumirah 45 38 84.4% - - 0.0% - - 0.0% 45 38 84.4% 1 1 0 0
5 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
6 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
7 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
8 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
9 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
10 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
11 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
12 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
13 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
14 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
15 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
16 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
17 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
18 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
19 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
21 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
22 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
23 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
24 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
25 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
26 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
27 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
28 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
29 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
30 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
31 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
32 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
33 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
34 0 0 - - 0.0% - - 0.0% - - 0.0% - 0.0% 0 0 0 0
35 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
36 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
37 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
38 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
39 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
40 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
41 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
42 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
43 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
44 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
45 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
46 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
47 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
48 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
49 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
50 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
51 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
52 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
53 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
54 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
55 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
56 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
57 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
58 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
59 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
60 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
61 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
62 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
63 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
64 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
65 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
66 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
67 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
68 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
69 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
70 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
71 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
72 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
73 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
74 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
75 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
76 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
77 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
78 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
79 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
80 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
81 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
82 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
83 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
84 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
85 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
86 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
87 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
88 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
89 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
90 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
91 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
92 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
93 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
94 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
95 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
96 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
97 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
98 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
99 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
100 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
101 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
102 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
103 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
104 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
105 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
106 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
107 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
108 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
109 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
111 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
112 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
113 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
114 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
115 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
116 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
117 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
119 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
120 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
121 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
122 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
123 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
124 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
125 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
126 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
127 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
128 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
129 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
130 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
131 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
132 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
133 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
134 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
135 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
136 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
137 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
138 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
139 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
140 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
141 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
142 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
143 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
144 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
145 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
146 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
147 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
148 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
149 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
150 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
151 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
152 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
153 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
154 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
155 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
156 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
157 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
158 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
159 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
160 0 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0
Total 282 772 273.8% - - 0.0% - - 0.0% 282 772 273.8% 51 51 - -
Jumlah stok awal Jumlah dropper Jumlah sisa
dropper terpakai dropper

r s t
2 6 -4
2 2 0
2 2 0
Err:509 1 Err:509
1 0 1
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
Err:509