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LAPORAN BULANAN IMUNISASI DESA PAMEUTINGAN

BULAN NOVEMBER 2022

HB NEO DPT HB POLIO PCV


NO NAMA POSYANDU BCG IPV CAMPAK 1 (USIA 2
2-24 JAM 1-7 HARI 1 2 3 1 2 3 4
BL)

L P L P L P L P L P L P L P L P L P L P L P L P L P
1 LUMBA LUMBA 1 1 2
2 SIDAT 1 1 1
3 PEPETEK 1
4 KEPITING 2 1
5 NILA 1 1 1 1 1
6 BELUT 1
7
8
9
10
11
12
13
14
15
JUMLAH 4 2 1 1 1 1 1 1 1 2 2

Mengetahui,
Kepala Desa..............................

..................................................
AMEUTINGAN

PCV WUS (+ CATIN) PUS (+ BUMIL) BOOSTER


DPT HB CAMPAK
2 (USIA 3 (USIA
TT1 TT2 TT3 TT4 TT5 TT1 TT2 TT3 TT4 TT5 (18-24 (24-
3BL) 12BL)
BLN) 36 BLN)
L P L P P P P P P P P P P P L P L P
1
3
1 1 1

2 6 1 1

Cipatujah, ......................2022
Bidan Desa

...........................................
NIP.............................................

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