Rekap 15

PEMERINTAH KABUPATEN KEDIRI
DINAS KESEHATAN
PUSKESMAS SAMBI
JL. SURYA No. 42 SAMBI - RINGINREJO
18 4 8 8 8 1
REKAPITULASI HASIL CAKUPAN IMUNISASI BULAN : JANUARI 2015
32 154 114 150 107 45 LAPANGAN
HB 0 ( 0 - 7 HR) BCG POLIO 1 DPT / HB 1 POLIO 2 DPT / HB 2 POLIO 3 DPT / HB 3 POLIO 4 CAMPAK IMUN LENGKAP
B D O C HB T DESA
L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML
1 7 7 1 6 0 RR 2 4 6 3 4 7 3 4 7 3 2 5 3 2 5 2 3 5 2 3 5 3 2 5 3 2 5 2 3 5 2 3 5
1 10 10 2 3 1 BTA 1 2 3 5 2 7 5 2 7 5 2 7 5 2 7 3 4 7 3 4 7 4 4 8 4 4 8 3 6 9 3 6 9
2 11 12 3 9 1 DYG 2 7 9 4 6 10 4 6 10 3 5 8 3 5 8 7 4 11 7 4 11 4 3 7 4 3 7 4 9 13 4 9 13
1 7 8 3 5 2 DWG 3 2 5 3 4 7 3 4 7 3 3 6 3 3 6 2 4 6 2 4 6 1 4 5 1 4 5 8 7 15 8 7 15
1 9 9 1 5 1 PWD 2 3 5 3 4 7 3 4 7 4 4 8 4 4 8 3 3 6 3 3 6 4 3 7 4 3 7 3 3 6 3 3 6
1 2 3 0 3 1 SBI 1 2 3 2 3 5 2 3 5 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 1 3 4 1 0 1 1 0 1
1 6 7 1 7 1 SSB 4 3 7 5 2 7 5 2 7 3 3 6 3 3 6 1 2 3 1 2 3 2 2 4 2 2 4 2 2 4 2 2 4
2 14 13 2 7 3 SLD 3 4 7 4 4 8 4 4 8 3 9 12 3 9 12 5 5 10 5 5 10 3 7 10 3 7 10 5 4 9 5 4 9
1 3 4 1 2 1 NBK 2 0 2 4 0 4 4 0 4 0 0 0 0 0 0 0 1 1 0 1 1 4 1 5 5 1 6 4 0 4 4 0 4
0 6 5 0 2 1 SKT 2 0 2 1 1 2 1 1 2 0 4 4 0 4 4 4 1 5 4 1 5 0 4 4 0 4 4 1 1 2 1 1 2
1 9 9 1 7 1 JMK 4 3 7 4 3 7 4 3 7 4 4 8 4 4 8 6 1 7 6 1 7 4 2 6 4 2 6 4 0 4 4 0 4
12 84 87 15 56 13 JUML 26 30 56 38 33 71 38 33 71 28 36 64 28 36 64 33 28 61 33 28 61 30 35 65 31 35 66 37 35 72 37 35 72
2 6 2 2 0 7
5
18 64 25 128 51 25 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI

32 154 114 150 107 45 STATIS
B D O C HB T DESA
0 1 0 1 0 1 RR 0 1 1 0 0 0 1 1 1 1 0 0 2 2 2 2
0 0 0 0 0 0 BTA 0 1 1 1 1 0 0 0 0 0 0 0 0
1 1 0 0 0 1 DYG 0 1 1 1 1 0 0 0 0 1 1 1 1 0 0
0 0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 PWD 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 1 SBI 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 1 0 0 SSB 0 0 0 0 0 0 0 0 0 2 2 2 2
1 1 1 0 0 1 SLD 0 1 1 0 2 2 1 2 3 0 0 0 0 1 1 1 1
0 0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 1 SKT 0 1 1 1 1 0 0 1 1 1 1 0 0 0 0
0 1 1 0 0 1 JMK 0 0 1 1 0 1 1 1 1 1 1 0 0 0 0
2 6 2 2 0 7 JUML 0 0 0 2 3 5 1 3 4 0 2 2 1 3 4 2 2 4 2 2 4 1 1 2 1 1 2 6 0 6 6 0 6
30 148 112 149 107 38 TOTAL

DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
32 154 114 150 107 45 LAPANGAN DAN STATIS
B D O C HB T DESA
RR 2 4 6 3 5 8 3 4 7 3 2 5 3 2 5 3 3 6 3 3 6 3 2 5 3 2 5 4 3 7 4 3 7
BTA 1 2 3 6 2 8 6 2 8 5 2 7 5 2 7 3 4 7 3 4 7 4 4 8 4 4 8 3 6 9 3 6 9
DYG 2 7 9 4 7 11 4 7 11 3 5 8 3 5 8 7 4 11 7 4 11 5 3 8 5 3 8 4 9 13 4 9 13
DWG 3 2 5 3 4 7 3 4 7 3 3 6 3 3 6 2 4 6 2 4 6 1 4 5 1 4 5 8 7 15 8 7 15
PWD 2 3 5 3 4 7 3 4 7 4 4 8 4 4 8 3 3 6 3 3 6 4 3 7 4 3 7 3 3 6 3 3 6
SBI 1 2 3 2 3 5 2 3 5 0 0 0 0 0 0 1 0 1 1 0 1 1 4 5 1 4 5 2 0 2 2 0 2
SSB 4 3 7 5 2 7 5 2 7 3 3 6 3 3 6 1 2 3 1 2 3 2 2 4 2 2 4 4 2 6 4 2 6
SLD 3 4 7 5 4 9 4 4 8 3 11 14 4 11 15 5 5 10 5 5 10 3 7 10 3 7 10 6 4 10 6 4 10
NBK 2 0 2 4 0 4 4 0 4 0 0 0 0 0 0 0 1 1 0 1 1 4 1 5 5 1 6 4 0 4 4 0 4
SKT 2 0 2 1 2 3 1 2 3 0 4 4 0 4 4 4 2 6 4 2 6 0 4 4 0 4 4 1 1 2 1 1 2
JMK 4 3 7 4 3 7 4 4 8 4 4 8 4 5 9 6 2 8 6 2 8 4 2 6 4 2 6 4 0 4 4 0 4
12 84 87 15 56 13 JUML 26 30 56 40 36 76 39 36 75 28 38 66 29 39 68 35 30 65 35 30 65 31 36 67 32 36 68 43 35 78 43 35 78
2 6 2 2 0 7
5
18 64 24 128 51 25 TOTAL
PEMAKAIAN VAKSIN BULAN JANUARI 2015
NO JENIS VAKSIN SISA BULAN LALU TERIMA BULAN INI DIPAKAI BULAN INI SISA IP
1 BCG 12 20 14 18 5.4
2 DPT - HB 154 0 90 64 2.2
3 POLIO 114 0 89 25 3.1
4 CAMPAK 40 110 22 128 3.5
5 HB UNIJECT 107 0 56 51 1.0
6 TD 45 0 20 25 2.8
7 PENTAVALEN 60 200 48 212
8 DT 0 0 0 0
KEADAAN LEMARI ES
PUSKESMAS / LISTRIK / SUHU SATU BULAN TERAKHIR ( HARI ) KEADAAN L E

NO TYPE
PUSTU MINYAK 2C 2-8C 8C BAIK RUSAK
RCW 42 EK LISTRIK 0 25 0 v
1 SAMBI
FCW 20 EK LISTRIK 0 0 0 v
2 BATUAJI RCW 42 EK LISTRIK 0 0 0 v
Mengetahui : Sambi, 31 Januari 2015

Kepala UPTD Puskesmas Sambi Kordinator Imunisasi
drg. ANNA MINARTI HERI MAHMUDIANTO

Pembina Penata Muda Tk. I
NIP. 19601124 198911 2 001 NIP.19620916 198703 1 010
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
REKAPITULASI HASIL CAKUPAN IMUNISASI BULAN : FEBRUARI 2015
38 64 95 168 101 65 LAPANGAN
B D O C HB T DESA
1 5 5 3 7 0 RR 3 4 7 2 4 6 2 4 6 3 4 7 3 4 7 3 2 5 3 2 5 2 3 5 2 3 5 5 3 8 5 3 8
1 7 5 3 8 0 BTA 5 3 8 2 2 4 1 1 2 3 5 8 3 5 8 4 5 9 4 5 9 3 3 6 3 2 5 6 4 10 6 4 10
2 9 8 4 6 2 DYG 5 1 6 2 7 9 2 7 9 4 6 10 4 6 10 3 5 8 3 5 8 9 4 13 9 4 13 6 6 12 6 6 12
1 5 5 3 10 1 DWG 4 6 10 3 2 5 3 2 5 3 4 7 3 4 7 3 3 6 3 3 6 2 4 6 2 4 6 4 5 9 4 5 9
1 6 5 2 5 1 PWD 3 2 5 3 3 6 3 3 6 3 4 7 3 4 7 2 4 6 2 4 6 3 5 8 3 5 8 3 3 6 3 3 6
1 2 2 1 4 1 SBI 2 2 4 0 3 3 0 3 3 1 1 2 1 1 2 1 0 1 1 0 1 1 2 3 1 2 3 1 1 2 1 1 2
1 5 5 2 6 0 SSB 3 3 6 4 3 7 4 3 7 5 2 7 5 2 7 3 3 6 3 3 6 1 2 3 1 2 3 4 3 7 4 3 7
2 9 8 3 8 0 SLD 3 5 8 4 4 8 4 4 8 3 9 12 3 9 12 5 5 10 5 5 10 3 7 10 3 7 10 5 4 9 5 4 9
1 3 3 1 3 1 NBK 1 2 3 1 2 3 1 2 3 3 1 4 3 1 4 1 3 4 1 2 3 1 2 3 1 2 3 1 3 4 1 3 4
0 3 2 1 4 0 SKT 3 1 4 0 0 0 0 0 0 0 4 4 0 4 4 0 1 1 0 1 1 1 4 5 1 4 5 2 1 3 2 1 3
1 6 5 1 6 0 JMK 4 2 6 4 2 6 4 2 6 4 2 6 4 2 6 4 4 8 4 4 8 6 1 7 6 1 7 2 2 4 2 2 4
12 60 53 24 67 6 JUML 36 31 67 25 32 57 24 31 55 32 42 74 32 42 74 29 35 64 29 34 63 32 37 69 32 36 68 39 35 74 39 35 74
2 4 3 2 0 4
35
24 0 39 107 34 55 TOTAL
30 0 60 130 50 70
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
38 64 95 168 101 65 STATIS
B D O C HB T DESA
0 1 0 1 0 1 RR 0 1 1 2 0 1 1 2 2 1 1 0 0 0 1 1 2 1 1 2
0 0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 DYG 0 0 0 1 1 1 1 0 0 0 0 0 0
1 0 1 0 0 1 DWG 0 1 1 2 1 1 2 0 0 0 0 1 1 1 1 0 0
0 0 0 0 0 1 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 1 1 1 0 0 SLD 0 1 1 1 1 0 0 1 1 2 1 1 2 0 0 1 1 2 1 1 2
0 0 0 0 0 1 NBK 0 0 0 0 0 0 0 0 0 0 0
1 1 1 0 0 0 SKT 0 0 0 2 2 2 2 0 0 1 1 1 1 0 0
0 0 0 0 0 0 JMK 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1
2 4 3 2 0 4 JUML 0 0 0 2 3 5 1 2 3 0 4 4 0 5 5 2 2 4 2 1 3 1 1 2 1 1 2 2 3 5 2 3 5
36 60 92 166 101 61 TOTAL

DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
B D O C HB T DESA
RR 3 4 7 3 5 8 2 4 6 3 5 8 3 6 9 3 3 6 3 2 5 2 3 5 2 3 5 6 4 10 6 4 10
BTA 5 3 8 2 2 4 1 1 2 3 5 8 3 5 8 4 5 9 4 5 9 3 3 6 3 2 5 6 4 10 6 4 10
DYG 5 1 6 2 7 9 2 7 9 4 7 11 4 7 11 3 5 8 3 5 8 9 4 13 9 4 13 6 6 12 6 6 12
DWG 4 6 10 4 3 7 4 3 7 3 4 7 3 4 7 3 3 6 3 3 6 3 4 7 3 4 7 4 5 9 4 5 9
PWD 3 2 5 3 3 6 3 3 6 3 4 7 3 4 7 2 4 6 2 4 6 3 5 8 3 5 8 3 3 6 3 3 6
SBI 2 2 4 0 3 3 0 3 3 1 1 2 1 1 2 1 0 1 1 0 1 1 2 3 1 2 3 1 1 2 1 1 2
SSB 3 3 6 4 3 7 4 3 7 5 2 7 5 2 7 3 3 6 3 3 6 1 2 3 1 2 3 4 3 7 4 3 7
SLD 3 5 8 4 5 9 4 5 9 3 9 12 3 9 12 6 6 12 6 6 12 3 7 10 3 7 10 6 5 11 6 5 11
NBK 1 2 3 1 2 3 1 2 3 3 1 4 3 1 4 1 3 4 1 2 3 1 2 3 1 2 3 1 3 4 1 3 4
SKT 3 1 4 0 0 0 0 0 0 0 6 6 0 6 6 0 1 1 0 1 1 1 5 6 1 5 6 2 1 3 2 1 3
JMK 4 2 6 4 2 6 4 2 6 4 2 6 4 2 6 5 4 9 5 4 9 6 1 7 6 1 7 2 3 5 2 3 5
12 60 53 24 67 6 JUML 36 31 67 27 35 62 25 33 58 32 46 78 32 47 79 31 37 68 31 35 66 33 38 71 33 37 70 41 38 79 41 38 79
2 4 3 2 0 4
35
24 0 39 107 34 55 TOTAL
38 64 95 168 101 65 285

PEMAKAIAN VAKSIN BULAN FEBRUARI 2015
1 BCG 18 20 14 24 4.4
2 DPT - HB 64 0 64 0 3.4
3 POLIO 25 70 56 39 4.9
4 CAMPAK 128 40 26 35 107 3.0
5 HB UNIJECT 51 50 67 34 1.0
6 TD 25 40 10 55
7 PENTAVALEN 212 73 245 40
8 DT 0 0 0 0
KET : VAKSIN CAMPAK YANG 35 VIAL DIPERGUNAKAN UNTUK IMUNISASI BATITA.
KEADAAN LEMARI ES

NO TYPE
1 SAMBI
Mengetahui : Sambi, 02 Maret 2015


NIP. 19601124 198911 2 001 NIP.19620916 198703 1 010
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
REKAPITULASI HASIL CAKUPAN IMUNISASI BULAN : MARET 2015
LAPANGAN
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
0 0 0 0 0 0 STATIS
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
B D O C HB T DESA
RR 0 0 0 0 0 0 0 0 0 0 0
BTA 0 0 0 0 0 0 0 0 0 0 0
DYG 0 0 0 0 0 0 0 0 0 0 0
DWG 0 0 0 0 0 0 0 0 0 0 0
PWD 0 0 0 0 0 0 0 0 0 0 0
SBI 0 0 0 0 0 0 0 0 0 0 0
SSB 0 0 0 0 0 0 0 0 0 0 0
SLD 0 0 0 0 0 0 0 0 0 0 0
NBK 0 0 0 0 0 0 0 0 0 0 0
SKT 0 0 0 0 0 0 0 0 0 0 0
JMK 0 0 0 0 0 0 0 0 0 0 0
JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
PEMAKAIAN VAKSIN BULAN MARET 2015
1 BCG 0 #DIV/0!
2 DPT - HB 0 #DIV/0!
3 POLIO 0 #DIV/0!
4 CAMPAK 0 #DIV/0!
5 HB UNIJECT 0 #DIV/0!
6 TD 0 #DIV/0!
7 PENTAVALEN 0
8 DT 0
KEADAAN LEMARI ES

NO TYPE
1 SAMBI
Mengetahui : Sambi, 31 Maret 2015


NIP. 19601124 198911 2 001 NIP.19620916 198703 1 010
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
REKAPITULASI HASIL CAKUPAN IMUNISASI BULAN : APRIL 2015
LAPANGAN
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
0 0 0 0 0 0 STATIS
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
B D O C HB T DESA
RR 0 0 0 0 0 0 0 0 0 0 0
BTA 0 0 0 0 0 0 0 0 0 0 0
DYG 0 0 0 0 0 0 0 0 0 0 0
DWG 0 0 0 0 0 0 0 0 0 0 0
PWD 0 0 0 0 0 0 0 0 0 0 0
SBI 0 0 0 0 0 0 0 0 0 0 0
SSB 0 0 0 0 0 0 0 0 0 0 0
SLD 0 0 0 0 0 0 0 0 0 0 0
NBK 0 0 0 0 0 0 0 0 0 0 0
SKT 0 0 0 0 0 0 0 0 0 0 0
JMK 0 0 0 0 0 0 0 0 0 0 0
JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
B D O C HB T
PEMAKAIAN VAKSIN BULAN APRIL 2015
1 BCG 0 #DIV/0!
3 POLIO 0 #DIV/0!
4 CAMPAK 0 #DIV/0!
6 TD 0 #DIV/0!
7 PENTAVALEN 0
8 DT 0
KEADAAN LEMARI ES

NO TYPE
1 SAMBI
Mengetahui : Sambi, 31 April 2015


NIP. 19601124 198911 2 001 NIP.19620916 198703 1 010
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
REKAPITULASI HASIL CAKUPAN IMUNISASI BULAN : MEI 2015
LAPANGAN
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
STATIS
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
LAPANGAN DAN STATIS
B D O C HB T DESA
RR 0 0 0 0 0 0 0 0 0 0 0
BTA 0 0 0 0 0 0 0 0 0 0 0
DYG 0 0 0 0 0 0 0 0 0 0 0
DWG 0 0 0 0 0 0 0 0 0 0 0
PWD 0 0 0 0 0 0 0 0 0 0 0
SBI 0 0 0 0 0 0 0 0 0 0 0
SSB 0 0 0 0 0 0 0 0 0 0 0
SLD 0 0 0 0 0 0 0 0 0 0 0
NBK 0 0 0 0 0 0 0 0 0 0 0
SKT 0 0 0 0 0 0 0 0 0 0 0
JMK 0 0 0 0 0 0 0 0 0 0 0
JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
B D O C HB T
PEMAKAIAN VAKSIN BULAN MEI 2015
1 BCG 0 #DIV/0!
3 POLIO 0 #DIV/0!
4 CAMPAK 0 #DIV/0!
6 TD 0 #DIV/0!
7 PENTAVALEN 0
8 DT 0
KEADAAN LEMARI ES

NO TYPE
1 SAMBI
Mengetahui : Sambi, 31 Mei 2015


NIP. 19601124 198911 2 001 NIP.19620916 198703 1 010
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
REKAPITULASI HASIL CAKUPAN IMUNISASI BULAN : JUNI 2015
LAPANGAN
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
STATIS
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
LAPANGAN DAN STATIS
B D O C HB T DESA
RR 0 0 0 0 0 0 0 0 0 0 0
BTA 0 0 0 0 0 0 0 0 0 0 0
DYG 0 0 0 0 0 0 0 0 0 0 0
DWG 0 0 0 0 0 0 0 0 0 0 0
PWD 0 0 0 0 0 0 0 0 0 0 0
SBI 0 0 0 0 0 0 0 0 0 0 0
SSB 0 0 0 0 0 0 0 0 0 0 0
SLD 0 0 0 0 0 0 0 0 0 0 0
NBK 0 0 0 0 0 0 0 0 0 0 0
SKT 0 0 0 0 0 0 0 0 0 0 0
JMK 0 0 0 0 0 0 0 0 0 0 0
JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
B D O C HB T
PEMAKAIAN VAKSIN BULAN JUNI 2015
1 BCG 0 #DIV/0!
3 POLIO 0 #DIV/0!
4 CAMPAK 0 #DIV/0!
6 TD 0 #DIV/0!
7 PENTAVALEN 0
8 DT 0
KEADAAN LEMARI ES

NO TYPE
1 SAMBI
Mengetahui : Sambi, 30 Mei 2015


NIP. 19601124 198911 2 001 NIP.19620916 198703 1 010
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
REKAPITULASI HASIL CAKUPAN IMUNISASI BULAN : JULI 2015
LAPANGAN
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
STATIS
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
LAPANGAN DAN STATIS
B D O C HB T DESA
RR 0 0 0 0 0 0 0 0 0 0 0
BTA 0 0 0 0 0 0 0 0 0 0 0
DYG 0 0 0 0 0 0 0 0 0 0 0
DWG 0 0 0 0 0 0 0 0 0 0 0
PWD 0 0 0 0 0 0 0 0 0 0 0
SBI 0 0 0 0 0 0 0 0 0 0 0
SSB 0 0 0 0 0 0 0 0 0 0 0
SLD 0 0 0 0 0 0 0 0 0 0 0
NBK 0 0 0 0 0 0 0 0 0 0 0
SKT 0 0 0 0 0 0 0 0 0 0 0
JMK 0 0 0 0 0 0 0 0 0 0 0
JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
B D O C HB T
PEMAKAIAN VAKSIN BULAN JULI 2015
1 BCG 0 #DIV/0!
3 POLIO 0 #DIV/0!
4 CAMPAK 0 #DIV/0!
6 TD 0 #DIV/0!
7 PENTAVALEN 0
8 DT 0
KEADAAN LEMARI ES

NO TYPE
1 SAMBI
Mengetahui : Sambi, 31 April 2015


NIP. 19601124 198911 2 001 NIP.19620916 198703 1 010
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
REKAPITULASI HASIL CAKUPAN IMUNISASI BULAN : AGUSTUS 2015
LAPANGAN
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
STATIS
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
LAPANGAN DAN STATIS
B D O C HB T DESA
RR 0 0 0 0 0 0 0 0 0 0 0
BTA 0 0 0 0 0 0 0 0 0 0 0
DYG 0 0 0 0 0 0 0 0 0 0 0
DWG 0 0 0 0 0 0 0 0 0 0 0
PWD 0 0 0 0 0 0 0 0 0 0 0
SBI 0 0 0 0 0 0 0 0 0 0 0
SSB 0 0 0 0 0 0 0 0 0 0 0
SLD 0 0 0 0 0 0 0 0 0 0 0
NBK 0 0 0 0 0 0 0 0 0 0 0
SKT 0 0 0 0 0 0 0 0 0 0 0
JMK 0 0 0 0 0 0 0 0 0 0 0
JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
B D O C HB T
PEMAKAIAN VAKSIN BULAN AGUSTUS 2015
1 BCG 0 #DIV/0!
3 POLIO 0 #DIV/0!
4 CAMPAK 0 #DIV/0!
6 TD 0 #DIV/0!
7 PENTAVALEN 0
8 DT 0
KEADAAN LEMARI ES

NO TYPE
1 SAMBI
Mengetahui : Sambi, 30 Agustus 2015


NIP. 19601124 198911 2 001 NIP.19620916 198703 1 010
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
REKAPITULASI HASIL CAKUPAN IMUNISASI BULAN : SEPTEMBER 2015
LAPANGAN
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
STATIS
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
LAPANGAN DAN STATIS
B D O C HB T DESA
RR 0 0 0 0 0 0 0 0 0 0 0
BTA 0 0 0 0 0 0 0 0 0 0 0
DYG 0 0 0 0 0 0 0 0 0 0 0
DWG 0 0 0 0 0 0 0 0 0 0 0
PWD 0 0 0 0 0 0 0 0 0 0 0
SBI 0 0 0 0 0 0 0 0 0 0 0
SSB 0 0 0 0 0 0 0 0 0 0 0
SLD 0 0 0 0 0 0 0 0 0 0 0
NBK 0 0 0 0 0 0 0 0 0 0 0
SKT 0 0 0 0 0 0 0 0 0 0 0
JMK 0 0 0 0 0 0 0 0 0 0 0
JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
B D O C HB T
PEMAKAIAN VAKSIN BULAN SEPTEMBER 2015
1 BCG 0 #DIV/0!
3 POLIO 0 #DIV/0!
4 CAMPAK 0 #DIV/0!
6 TD 0 #DIV/0!
7 PENTAVALEN 0
8 DT 0
KEADAAN LEMARI ES

NO TYPE
1 SAMBI
Mengetahui : Sambi, 30 September 2015


NIP. 19601124 198911 2 001 NIP.19620916 198703 1 010
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
REKAPITULASI HASIL CAKUPAN IMUNISASI BULAN : OKTOBER 2015
LAPANGAN
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
STATIS
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
LAPANGAN DAN STATIS
B D O C HB T DESA
RR 0 0 0 0 0 0 0 0 0 0 0
BTA 0 0 0 0 0 0 0 0 0 0 0
DYG 0 0 0 0 0 0 0 0 0 0 0
DWG 0 0 0 0 0 0 0 0 0 0 0
PWD 0 0 0 0 0 0 0 0 0 0 0
SBI 0 0 0 0 0 0 0 0 0 0 0
SSB 0 0 0 0 0 0 0 0 0 0 0
SLD 0 0 0 0 0 0 0 0 0 0 0
NBK 0 0 0 0 0 0 0 0 0 0 0
SKT 0 0 0 0 0 0 0 0 0 0 0
JMK 0 0 0 0 0 0 0 0 0 0 0
JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
B D O C T HB
PEMAKAIAN VAKSIN BULAN OKTOBER 2015
1 BCG 0 #DIV/0!
3 POLIO 0 #DIV/0!
4 CAMPAK 0 0 0 #DIV/0!
6 TD 0 #DIV/0!
7 PENTAVALEN 0
8 DT 0
KET : VAKSIN CAMPAK YANG 113 VIAL DIPERGUNAKAN UNTUK BIAS
KEADAAN LEMARI ES

NO TYPE
1 SAMBI
Mengetahui : Sambi, 31 Oktober 2015


NIP. 19601124 198911 2 001 NIP.19620916 198703 1 010
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
REKAPITULASI HASIL CAKUPAN IMUNISASI BULAN : NOPEMBER 2015
LAPANGAN
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
STATIS
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
LAPANGAN DAN STATIS
B D O C HB T DESA
RR 0 0 0 0 0 0 0 0 0 0 0
BTA 0 0 0 0 0 0 0 0 0 0 0
DYG 0 0 0 0 0 0 0 0 0 0 0
DWG 0 0 0 0 0 0 0 0 0 0 0
PWD 0 0 0 0 0 0 0 0 0 0 0
SBI 0 0 0 0 0 0 0 0 0 0 0
SSB 0 0 0 0 0 0 0 0 0 0 0
SLD 0 0 0 0 0 0 0 0 0 0 0
NBK 0 0 0 0 0 0 0 0 0 0 0
SKT 0 0 0 0 0 0 0 0 0 0 0
JMK 0 0 0 0 0 0 0 0 0 0 0
JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
B D O C HB T
PEMAKAIAN VAKSIN BULAN NOPEMBER 2015
1 BCG 0 #DIV/0!
3 POLIO 0 #DIV/0!
4 CAMPAK 0 #DIV/0!
6 TD 0 #DIV/0!
7 PENTAVALEN 0
8 DT 0
KEADAAN LEMARI ES

NO TYPE
1 SAMBI
Mengetahui : Sambi, 29 Nopember 2015


NIP. 19601124 198911 2 001 NIP.19620916 198703 1 010
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
REKAPITULASI HASIL CAKUPAN IMUNISASI BULAN : DESEMBER 2015
LAPANGAN
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
STATIS
B D O C HB T DESA
0 0 0 0 0 RR 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 BTA 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DYG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 DWG 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SSB 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SLD 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 SKT 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 JMK 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 3 0 JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 -1 -3 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
LAPANGAN DAN STATIS
B D O C HB T DESA
RR 0 0 0 0 0 0 0 0 0 0 0
BTA 0 0 0 0 0 0 0 0 0 0 0
DYG 0 0 0 0 0 0 0 0 0 0 0
DWG 0 0 0 0 0 0 0 0 0 0 0
PWD 0 0 0 0 0 0 0 0 0 0 0
SBI 0 0 0 0 0 0 0 0 0 0 0
SSB 0 0 0 0 0 0 0 0 0 0 0
SLD 0 0 0 0 0 0 0 0 0 0 0
NBK 0 0 0 0 0 0 0 0 0 0 0
SKT 0 0 0 0 0 0 0 0 0 0 0
JMK 0 0 0 0 0 0 0 0 0 0 0
JUML 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 TOTAL
B D O C HB T
PEMAKAIAN VAKSIN BULAN DESEMBER 2015
1 BCG 0 #DIV/0!
3 POLIO 0 #DIV/0!
4 CAMPAK 0 #DIV/0!
6 TD 0 0 0 #DIV/0!
7 PENTAVALEN 0
8 DT 0
KET : VAKSIN TD YANG 275 VIAL DIPERGUNAKAN UNTUK BIAS
KEADAAN LEMARI ES

NO TYPE
1 SAMBI
Mengetahui : Sambi, 31 Desember 2015


NIP. 19601124 198911 2 001 NIP.19620916 198703 1 010
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
HASIL CAKUPAN KOMULATIF JANUARI S/D DESEMBER 2015
LAPANGAN
B D O C HB T DESA
3 8 8 3 13 RR 5 8 13 5 8 13 5 8 13 6 6 12 6 6 12 5 5 10 5 5 10 5 5 10 5 5 10 7 6 13 7 6 13
2 12 9 5 11 BTA 6 5 11 7 4 11 6 3 9 8 7 15 8 7 15 7 9 16 7 9 16 7 7 14 7 6 13 9 10 19 9 10 19
4 15 13 6 15 DYG 7 8 15 6 13 19 6 13 19 7 11 18 7 11 18 10 9 19 10 9 19 13 7 20 13 7 20 10 15 25 10 15 25
2 9 8 6 15 DWG 7 8 15 6 6 12 6 6 12 6 7 13 6 7 13 5 7 12 5 7 12 3 8 11 3 8 11 12 12 24 12 12 24
3 11 9 3 10 PWD 5 5 10 6 7 13 6 7 13 7 8 15 7 8 15 5 7 12 5 7 12 7 8 15 7 8 15 6 6 12 6 6 12
2 3 3 1 7 SBI 3 4 7 2 6 8 2 6 8 1 1 2 1 1 2 1 0 1 1 0 1 2 5 7 2 5 7 2 1 3 2 1 3
3 7 7 3 13 SSB 7 6 13 9 5 14 9 5 14 8 5 13 8 5 13 4 5 9 4 5 9 3 4 7 3 4 7 6 5 11 6 5 11
3 16 13 5 15 SLD 6 9 15 8 8 16 8 8 16 6 18 24 6 18 24 10 10 20 10 10 20 6 14 20 6 14 20 10 8 18 10 8 18
1 4 4 2 5 NBK 3 2 5 5 2 7 5 2 7 3 1 4 3 1 4 1 4 5 1 3 4 5 3 8 6 3 9 5 3 8 5 3 8
0 6 4 1 6 SKT 5 1 6 1 1 2 1 1 2 0 8 8 0 8 8 4 2 6 4 2 6 1 8 9 1 8 9 3 2 5 3 2 5
3 11 9 2 13 JMK 8 5 13 8 5 13 8 5 13 8 6 14 8 6 14 10 5 15 10 5 15 10 3 13 10 3 13 6 2 8 6 2 8
26 102 87 37 123 0 JUML 62 61 123 63 65 128 62 64 126 60 78 138 60 78 138 62 63 125 62 62 124 62 72 134 63 71 134 76 70 146 76 70 146
-26 -102 -87 -37 -123 0 TOTAL

DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
STATIS
B D O C HB T DESA
1 1 1 1 0 RR 0 0 0 1 2 3 0 0 0 0 1 1 0 2 2 1 1 2 1 0 1 0 0 0 0 0 0 3 1 4 3 1 4
0 0 0 0 0 BTA 0 0 0 1 0 1 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 1 1 0 0 DYG 0 0 0 0 1 1 0 1 1 0 1 1 0 1 1 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0 0 0
0 0 1 0 0 DWG 0 0 0 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0 0 0
0 0 0 0 0 PWD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 SBI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 1 1 0 1 1 1 0 1 1 0 1
0 0 0 1 0 SSB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 2 0 2
0 1 1 1 0 SLD 0 0 0 1 1 2 0 1 1 0 2 2 1 2 3 1 1 2 1 1 2 0 0 0 0 0 0 2 1 3 2 1 3
0 0 0 0 0 NBK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 SKT 0 0 0 0 1 1 0 1 1 0 2 2 0 2 2 0 1 1 0 1 1 0 1 1 0 1 1 0 0 0 0 0 0
0 1 1 0 0 JMK 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 2 1 1 2 0 0 0 0 0 0 0 1 1 0 1 1
2 5 5 1 3 0 JUML 0 0 0 4 6 10 2 5 7 0 6 6 1 8 9 4 4 8 4 3 7 2 2 4 2 2 4 8 3 11 8 3 11
-2 -5 -5 -1 -3 0 TOTAL
DINAS KESEHATAN
PUSKESMAS SAMBI
18 4 8 8 8 1
LAPANGAN DAN STATIS
B D O C HB T DESA
RR 5 8 13 6 10 16 5 8 13 6 7 13 6 8 14 6 6 12 6 5 11 5 5 10 5 5 10 10 7 17 10 7 17
BTA 6 5 11 8 4 12 7 3 10 8 7 15 8 7 15 7 9 16 7 9 16 7 7 14 7 6 13 9 10 19 9 10 19
DYG 7 8 15 6 14 20 6 14 20 7 12 19 7 12 19 10 9 19 10 9 19 14 7 21 14 7 21 10 15 25 10 15 25
DWG 7 8 15 7 7 14 7 7 14 6 7 13 6 7 13 5 7 12 5 7 12 4 8 12 4 8 12 12 12 24 12 12 24
PWD 5 5 10 6 7 13 6 7 13 7 8 15 7 8 15 5 7 12 5 7 12 7 8 15 7 8 15 6 6 12 6 6 12
SBI 3 4 7 2 6 8 2 6 8 1 1 2 1 1 2 2 0 2 2 0 2 2 6 8 2 6 8 3 1 4 3 1 4
SSB 7 6 13 9 5 14 9 5 14 8 5 13 8 5 13 4 5 9 4 5 9 3 4 7 3 4 7 8 5 13 8 5 13
SLD 6 9 15 9 9 18 8 9 17 6 20 26 7 20 27 11 11 22 11 11 22 6 14 20 6 14 20 12 9 21 12 9 21
NBK 3 2 5 5 2 7 5 2 7 3 1 4 3 1 4 1 4 5 1 3 4 5 3 8 6 3 9 5 3 8 5 3 8
SKT 5 1 6 1 2 3 1 2 3 0 10 10 0 10 10 4 3 7 4 3 7 1 9 10 1 9 10 3 2 5 3 2 5
JMK 8 5 13 8 5 13 8 6 14 8 6 14 8 7 15 11 6 17 11 6 17 10 3 13 10 3 13 6 3 9 6 3 9
JUML 62 61 123 67 71 138 64 69 133 60 84 144 61 86 147 66 67 133 66 65 131 64 74 138 65 73 138 84 73 157 84 73 157
0 0 0 0 0 0 TOTAL
1
2
3
3
1
0
1
2
1
0
1
15
190
1.233766
B D O C HB T PENT
20 87 26 138 38 203 RIEL
32 154 114 150 107 45 260 STOK

`
128
0
285
233
4
4
9
4
5
3
5
10
3
3
6
56
0
0
0
3
3
4
3
2
1
2
3
1
1
1
24
8
9
8
11
5
10
6
6
4
6
8
81
5
9
7
5
5
3
4
9
4
5
0
56
1
1
1
1
1
1
1
1
1
1
1
11
314
0
1
2
1
16
24
DINAS KESEHATAN
PUSKESMAS SAMBI
HASIL IMUNISASI BATITA BULAN : JANUARI 2015
JUMLAH HASIL CAKUPAN % CAKUPAN

SASARAN BATITA
VAKSIN DIPAKAI NO DESA DPT-HB-Hib KE 4 CAMPAK KE 2 DPT-HB-Hib KE 4 CAMPAK 2
L P L P L P L P L P
PENTA CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12
2 0 1 RINGINREJO 131 135 3 2 0 0 2.3 1.5 0.0 0.0
4 0 2 BATUAJI 133 131 9 2 0 0 6.8 1.5 0.0 0.0
11 0 3 DEYENG 184 179 14 18 0 0 7.6 10.1 0.0 0.0
0 0 4 DAWUNG 136 125 0 0 0 0 0.0 0.0 0.0 0.0
17 0 5 PURWODADI 123 115 25 26 0 0 20.3 22.6 0.0 0.0
3 0 6 SAMBI 105 103 7 3 0 0 6.7 2.9 0.0 0.0
0 0 7 SUSUHBANGO 97 98 0 0 0 0 0.0 0.0 0.0 0.0
0 0 8 SELODONO 179 170 0 0 0 0 0.0 0.0 0.0 0.0
5 0 9 NAMBAKAN 70 69 7 9 0 0 10.0 13.0 0.0 0.0
6 0 10 SRIKATON 95 93 8 9 0 0 8.4 9.7 0.0 0.0
0 5 11 JEMEKAN 144 147 0 0 7 9 0.0 0.0 4.9 6.1
48 5 JUMLAH 1397 1365 73 69 7 9 5.2 5.1 0.5 0.7

DINAS KESEHATAN
PUSKESMAS SAMBI
HASIL IMUNISASI BATITA BULAN : PEBRUARI 2015

SASARAN BATITA
L P L P L P L P L P
PENTA CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12
20 1 1 RINGINREJO 131 135 40 29 5 2 30.5 21.5 3.8 1.5
39 0 2 BATUAJI 133 131 69 68 0 0 51.9 51.9 0.0 0.0
38 13 3 DEYENG 184 179 61 71 43 47 33.2 39.7 23.4 26.3
24 11 4 DAWUNG 136 125 50 33 35 42 36.8 26.4 25.7 33.6
21 5 5 PURWODADI 123 115 27 46 17 16 22.0 40.0 13.8 13.9
21 0 6 SAMBI 105 103 42 33 0 0 40.0 32.0 0.0 0.0
26 0 7 SUSUHBANGO 97 98 39 51 0 0 40.2 52.0 0.0 0.0
18 0 8 SELODONO 179 170 36 27 0 0 20.1 15.9 0.0 0.0
8 4 9 NAMBAKAN 70 69 11 17 11 18 15.7 24.6 15.7 26.1
11 1 10 SRIKATON 95 93 23 17 4 2 24.2 18.3 4.2 2.2
20 0 11 JEMEKAN 144 147 43 26 0 0 29.9 17.7 0.0 0.0
245 35 JUMLAH 1397 1365 441 418 115 127 31.6 30.6 8.2 9.3
DINAS KESEHATAN
PUSKESMAS SAMBI
HASIL IMUNISASI BATITA BULAN : MARET 2015

SASARAN BATITA
L P L P L P L P L P
PENTA CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12
0 0 1 RINGINREJO 131 135 0.0 0.0 0.0 0.0
0 0 2 BATUAJI 133 131 0.0 0.0 0.0 0.0
0 0 3 DEYENG 184 179 0.0 0.0 0.0 0.0
0 0 4 DAWUNG 136 125 0.0 0.0 0.0 0.0
0 0 5 PURWODADI 123 115 0.0 0.0 0.0 0.0
0 0 6 SAMBI 105 103 0.0 0.0 0.0 0.0
0 0 7 SUSUHBANGO 97 98 0.0 0.0 0.0 0.0
0 0 8 SELODONO 179 170 0.0 0.0 0.0 0.0
0 0 9 NAMBAKAN 70 69 0.0 0.0 0.0 0.0
0 0 10 SRIKATON 95 93 0.0 0.0 0.0 0.0
0 0 11 JEMEKAN 144 147 0.0 0.0 0.0 0.0
0 0 JUMLAH 1397 1365 0 0 0 0 0.0 0.0 0.0 0.0
DINAS KESEHATAN
PUSKESMAS SAMBI
HASIL IMUNISASI BATITA BULAN : APRIL 2015

SASARAN BATITA
L P L P L P L P L P
PENTA CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12
0 0 1 RINGINREJO 131 135 0.0 0.0 0.0 0.0
0 0 2 BATUAJI 133 131 0.0 0.0 0.0 0.0
0 0 3 DEYENG 184 179 0.0 0.0 0.0 0.0
0 0 4 DAWUNG 136 125 0.0 0.0 0.0 0.0
0 0 5 PURWODADI 123 115 0.0 0.0 0.0 0.0
0 0 6 SAMBI 105 103 0.0 0.0 0.0 0.0
0 0 7 SUSUHBANGO 97 98 0.0 0.0 0.0 0.0
0 0 8 SELODONO 179 170 0.0 0.0 0.0 0.0
0 0 9 NAMBAKAN 70 69 0.0 0.0 0.0 0.0
0 0 10 SRIKATON 95 93 0.0 0.0 0.0 0.0
0 0 11 JEMEKAN 144 147 0.0 0.0 0.0 0.0
0 0 JUMLAH 1397 1365 0 0 0 0 0.0 0.0 0.0 0.0

DINAS KESEHATAN
PUSKESMAS SAMBI
HASIL IMUNISASI BATITA BULAN : MEI 2015

SASARAN BATITA
L P L P L P L P L P
PENTA CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12
0 0 1 RINGINREJO 131 135 0.0 0.0 0.0 0.0
0 0 2 BATUAJI 133 131 0.0 0.0 0.0 0.0
0 0 3 DEYENG 184 179 0.0 0.0 0.0 0.0
0 0 4 DAWUNG 136 125 0.0 0.0 0.0 0.0
0 0 5 PURWODADI 123 115 0.0 0.0 0.0 0.0
0 0 6 SAMBI 105 103 0.0 0.0 0.0 0.0
0 0 7 SUSUHBANGO 97 98 0.0 0.0 0.0 0.0
0 0 8 SELODONO 179 170 0.0 0.0 0.0 0.0
0 0 9 NAMBAKAN 70 69 0.0 0.0 0.0 0.0
0 0 10 SRIKATON 95 93 0.0 0.0 0.0 0.0
0 0 11 JEMEKAN 144 147 0.0 0.0 0.0 0.0
0 0 JUMLAH 1397 1365 0 0 0 0 0.0 0.0 0.0 0.0

DINAS KESEHATAN
PUSKESMAS SAMBI
HASIL IMUNISASI BATITA BULAN : JUNI 2015

SASARAN BATITA
L P L P L P L P L P
PENTA CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12
0 0 1 RINGINREJO 131 135 0.0 0.0 0.0 0.0
0 0 2 BATUAJI 133 131 0.0 0.0 0.0 0.0
0 0 3 DEYENG 184 179 0.0 0.0 0.0 0.0
0 0 4 DAWUNG 136 125 0.0 0.0 0.0 0.0
0 0 5 PURWODADI 123 115 0.0 0.0 0.0 0.0
0 0 6 SAMBI 105 103 0.0 0.0 0.0 0.0
0 0 7 SUSUHBANGO 97 98 0.0 0.0 0.0 0.0
0 0 8 SELODONO 179 170 0.0 0.0 0.0 0.0
0 0 9 NAMBAKAN 70 69 0.0 0.0 0.0 0.0
0 0 10 SRIKATON 95 93 0.0 0.0 0.0 0.0
0 0 11 JEMEKAN 144 147 0.0 0.0 0.0 0.0
0 0 JUMLAH 1397 1365 0 0 0 0 0.0 0.0 0.0 0.0

DINAS KESEHATAN
PUSKESMAS SAMBI
HASIL IMUNISASI BATITA BULAN : JULI 2015

SASARAN BATITA
SASARAN BATITA
L P L P L P L P L P
PENTA CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12
0 0 1 RINGINREJO 131 135 0.0 0.0 0.0 0.0
0 0 2 BATUAJI 133 131 0.0 0.0 0.0 0.0
0 0 3 DEYENG 184 179 0.0 0.0 0.0 0.0
0 0 4 DAWUNG 136 125 0.0 0.0 0.0 0.0
0 0 5 PURWODADI 123 115 0.0 0.0 0.0 0.0
0 0 6 SAMBI 105 103 0.0 0.0 0.0 0.0
0 0 7 SUSUHBANGO 97 98 0.0 0.0 0.0 0.0
0 0 8 SELODONO 179 170 0.0 0.0 0.0 0.0
0 0 9 NAMBAKAN 70 69 0.0 0.0 0.0 0.0
0 0 10 SRIKATON 95 93 0.0 0.0 0.0 0.0
0 0 11 JEMEKAN 144 147 0.0 0.0 0.0 0.0
0 0 JUMLAH 1397 1365 0 0 0 0 0.0 0.0 0.0 0.0

DINAS KESEHATAN
PUSKESMAS SAMBI
HASIL IMUNISASI BATITA BULAN : AGUSTUS 2015

SASARAN BATITA
L P L P L P L P L P
PENTA CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12
0 0 1 RINGINREJO 131 135 0.0 0.0 0.0 0.0
0 0 2 BATUAJI 133 131 0.0 0.0 0.0 0.0
0 0 3 DEYENG 184 179 0.0 0.0 0.0 0.0
0 0 4 DAWUNG 136 125 0.0 0.0 0.0 0.0
0 0 5 PURWODADI 123 115 0.0 0.0 0.0 0.0
0 0 6 SAMBI 105 103 0.0 0.0 0.0 0.0
0 0 7 SUSUHBANGO 97 98 0.0 0.0 0.0 0.0
0 0 8 SELODONO 179 170 0.0 0.0 0.0 0.0
0 0 9 NAMBAKAN 70 69 0.0 0.0 0.0 0.0
0 0 10 SRIKATON 95 93 0.0 0.0 0.0 0.0
0 0 11 JEMEKAN 144 147 0.0 0.0 0.0 0.0
0 0 JUMLAH 1397 1365 0 0 0 0 0.0 0.0 0.0 0.0

DINAS KESEHATAN
PUSKESMAS SAMBI
HASIL IMUNISASI BATITA BULAN : SEPTEMBER 2015

SASARAN BATITA
L P L P L P L P L P
PENTA CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12
0 0 1 RINGINREJO 131 135 0.0 0.0 0.0 0.0
0 0 2 BATUAJI 133 131 0.0 0.0 0.0 0.0
0 0 3 DEYENG 184 179 0.0 0.0 0.0 0.0
0 0 4 DAWUNG 136 125 0.0 0.0 0.0 0.0
0 0 5 PURWODADI 123 115 0.0 0.0 0.0 0.0
0 0 6 SAMBI 105 103 0.0 0.0 0.0 0.0
0 0 7 SUSUHBANGO 97 98 0.0 0.0 0.0 0.0
0 0 8 SELODONO 179 170 0.0 0.0 0.0 0.0
0 0 9 NAMBAKAN 70 69 0.0 0.0 0.0 0.0
0 0 10 SRIKATON 95 93 0.0 0.0 0.0 0.0
0 0 11 JEMEKAN 144 147 0.0 0.0 0.0 0.0
0 0 JUMLAH 1397 1365 0 0 0 0 0.0 0.0 0.0 0.0

DINAS KESEHATAN
PUSKESMAS SAMBI
HASIL IMUNISASI BATITA BULAN : OKTOBER 2015

SASARAN BATITA
L P L P L P L P L P
PENTA CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12
0 0 1 RINGINREJO 131 135 0.0 0.0 0.0 0.0
0 0 2 BATUAJI 133 131 0.0 0.0 0.0 0.0
0 0 3 DEYENG 184 179 0.0 0.0 0.0 0.0
0 0 4 DAWUNG 136 125 0.0 0.0 0.0 0.0
0 0 5 PURWODADI 123 115 0.0 0.0 0.0 0.0
0 0 6 SAMBI 105 103 0.0 0.0 0.0 0.0
0 0 7 SUSUHBANGO 97 98 0.0 0.0 0.0 0.0
0 0 8 SELODONO 179 170 0.0 0.0 0.0 0.0
0 0 9 NAMBAKAN 70 69 0.0 0.0 0.0 0.0
0 0 10 SRIKATON 95 93 0.0 0.0 0.0 0.0
0 0 11 JEMEKAN 144 147 0.0 0.0 0.0 0.0
0 0 JUMLAH 1397 1365 0 0 0 0 0.0 0.0 0.0 0.0

DINAS KESEHATAN
PUSKESMAS SAMBI
HASIL IMUNISASI BATITA BULAN : NOVEMBER 2015

SASARAN BATITA
L P L P L P L P L P
PENTA CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12
0 0 1 RINGINREJO 131 135 0.0 0.0 0.0 0.0
0 0 2 BATUAJI 133 131 0.0 0.0 0.0 0.0
0 0 3 DEYENG 184 179 0.0 0.0 0.0 0.0
0 0 4 DAWUNG 136 125 0.0 0.0 0.0 0.0
0 0 5 PURWODADI 123 115 0.0 0.0 0.0 0.0
0 0 6 SAMBI 105 103 0.0 0.0 0.0 0.0
0 0 7 SUSUHBANGO 97 98 0.0 0.0 0.0 0.0
0 0 8 SELODONO 179 170 0.0 0.0 0.0 0.0
0 0 9 NAMBAKAN 70 69 0.0 0.0 0.0 0.0
0 0 10 SRIKATON 95 93 0.0 0.0 0.0 0.0
0 0 11 JEMEKAN 144 147 0.0 0.0 0.0 0.0
0 0 JUMLAH 1397 1365 0 0 0 0 0.0 0.0 0.0 0.0

DINAS KESEHATAN
PUSKESMAS SAMBI
HASIL IMUNISASI BATITA BULAN : DESEMBER 2015

SASARAN BATITA
L P L P L P L P L P
PENTA CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12
0 0 1 RINGINREJO 131 135 0.0 0.0 0.0 0.0
0 0 2 BATUAJI 133 131 0.0 0.0 0.0 0.0
0 0 3 DEYENG 184 179 0.0 0.0 0.0 0.0
0 0 4 DAWUNG 136 125 0.0 0.0 0.0 0.0
0 0 5 PURWODADI 123 115 0.0 0.0 0.0 0.0
0 0 6 SAMBI 105 103 0.0 0.0 0.0 0.0
0 0 7 SUSUHBANGO 97 98 0.0 0.0 0.0 0.0
0 0 8 SELODONO 179 170 0.0 0.0 0.0 0.0
0 0 9 NAMBAKAN 70 69 0.0 0.0 0.0 0.0
0 0 10 SRIKATON 95 93 0.0 0.0 0.0 0.0
0 0 11 JEMEKAN 144 147 0.0 0.0 0.0 0.0
0 0 JUMLAH 1397 1365 0 0 0 0 0.0 0.0 0.0 0.0
DINAS KESEHATAN
PUSKESMAS SAMBI
HASIL IMUNISASI KOMULATIF : JANUARI S/D DESEMBER 2015

SASARAN BATITA
L P L P L P L P L P
PENTA CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12
25 2 1 RINGINREJO 131 135 43 31 5 2 32.8 23.0 3.8 1.5
49 0 2 BATUAJI 133 131 78 70 0 0 58.6 53.4 0.0 0.0
55 30 3 DEYENG 184 179 75 89 43 47 40.8 49.7 23.4 26.3
28 26 4 DAWUNG 136 125 50 33 35 42 36.8 26.4 25.7 33.6
41 11 5 PURWODADI 123 115 52 72 17 16 42.3 62.6 13.8 13.9
28 0 6 SAMBI 105 103 49 36 0 0 46.7 35.0 0.0 0.0
30 0 7 SUSUHBANGO 97 98 39 51 0 0 40.2 52.0 0.0 0.0
21 0 8 SELODONO 179 170 36 27 0 0 20.1 15.9 0.0 0.0
15 10 9 NAMBAKAN 70 69 18 26 11 18 25.7 37.7 15.7 26.1
19 2 10 SRIKATON 95 93 31 26 4 2 32.6 28.0 4.2 2.2
23 5 11 JEMEKAN 144 147 43 26 7 9 29.9 17.7 4.9 6.1
334 86 JUMLAH 1397 1365 514 487 122 136 36.8 35.7 8.7 10.0
285
245
40
DINAS KESEHATAN
PUSKESMAS SAMBI
REKAPITULASI HASIL CAKUPAN IMUNISASI TT BULAN : JANUARI 2015

LAPANGAN
JML JML STATUS WUS S/D BULAN INI
NON HAMIL HAMIL
VAK TT DESA SASARAN SASARAN T2 PLUS BUMIL T5
WUS BUMIL T1 T2 T3 T4 T5 T1 T2 T3 T4 T5 KUM % KUM %
0 RR 105
1 BTA 105 1 4
1 DYG 122 3 3
2 DWG 104 5 6
1 PWD 93 3 2
1 SBI 70 3
1 SSB 75 1 2 2
3 SLD 117 5 2 2 3 1
1 NBK 47 4
1 SKT 61 2 1 2 1
1 JMK 102 4
13 1001 0 7 2 4 0 0 5 10 18 16 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

STATIS
NON HAMIL HAMIL
1 RR 105 3 1 2
0 BTA 105
1 DYG 122 1 5 1
0 DWG 104 2
1 PWD 93 1 3
1 SBI 70 3 1
0 SSB 75 1
1 SLD 117 1 2
0 NBK 47
1 SKT 61 1 3
1 JMK 102 2 1
7 1001 8 3 21 2 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

LAP DAN STATIS
NON HAMIL HAMIL
RR 105 3 1 2 0 0 0 0 0 0 0
BTA 105 0 0 0 0 0 0 0 0 1 4
DYG 122 1 0 5 1 0 0 0 0 3 3
DWG 104 0 0 2 0 0 0 0 0 5 6
PWD 93 0 1 3 0 0 0 3 2 0 0
SBI 70 3 0 1 3 0 0 0 0 0 0
SSB 75 0 0 1 0 0 0 0 1 2 2
SLD 117 1 5 4 0 0 0 2 3 1 0
NBK 47 0 0 0 0 0 0 0 4 0 0
SKT 61 0 3 3 1 0 0 0 0 2 1
JMK 102 0 0 2 1 0 0 0 0 4 0
1001 8 10 23 6 0 0 5 10 18 16 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI
REKAPITULASI HASIL CAKUPAN IMUNISASI TT BULAN : FEBRUARI 2015

LAPANGAN
NON HAMIL HAMIL
0 RR 105
0 BTA 105
2 DYG 122 5 3
1 DWG 104 2 4
1 PWD 93 2 3
1 SBI 70 1 1 1
0 SSB 75
0 SLD 117
1 NBK 47 5 1 1
0 SKT 61 1 1
0 JMK 102
6 1001 1 0 0 1 6 0 1 6 8 8
DINAS KESEHATAN
PUSKESMAS SAMBI

STATIS
NON HAMIL HAMIL
1 RR 105 1 3
0 BTA 105
0 DYG 122 1 1
1 DWG 104 1 2
1 PWD 93 3
0 SBI 70 1
0 SSB 75 1 1
0 SLD 117 1
1 NBK 47 2
0 SKT 61 1
0 JMK 102
4 1001 4 1 14 0 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

LAP DAN STATIS
NON HAMIL HAMIL
1 RR 105 1 0 3 0 0 0 0 0 0 0
0 BTA 105 0 0 0 0 0 0 0 0 0 0
2 DYG 122 0 1 1 0 0 0 0 5 3 0
2 DWG 104 1 0 2 0 0 0 0 0 2 4
2 PWD 93 0 0 3 0 0 0 0 0 2 3
1 SBI 70 1 0 0 1 1 0 0 0 0 1
0 SSB 75 1 0 1 0 0 0 0 0 0 0
0 SLD 117 0 0 1 0 0 0 0 0 0 0
2 NBK 47 0 0 2 0 5 0 0 1 1 0
1 SKT 61 1 0 1 0 0 0 1 0 0 0
0 JMK 102 0 0 0 0 0 0 0 0 0 0
10 1001 5 1 14 1 6 0 1 6 8 8
DINAS KESEHATAN
PUSKESMAS SAMBI
REKAPITULASI HASIL CAKUPAN IMUNISASI TT BULAN : MARET 2015

LAPANGAN
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

LAP DAN STATIS
NON HAMIL HAMIL
RR 105
BTA 105
DYG 122
DWG 104
PWD 93
SBI 70
SSB 75
SLD 117
NBK 47
SKT 61
JMK 102
13 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI
REKAPITULASI HASIL CAKUPAN IMUNISASI TT BULAN : APRIL 2015

LAPANGAN
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
12 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

LAP DAN STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI
REKAPITULASI HASIL CAKUPAN IMUNISASI TT BULAN : MEI 2015

LAPANGAN
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

LAP DAN STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI
REKAPITULASI HASIL CAKUPAN IMUNISASI TT BULAN : JUNI 2015

LAPANGAN
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
5 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

LAP DAN STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI
REKAPITULASI HASIL CAKUPAN IMUNISASI TT BULAN : JULI 2015

LAPANGAN
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

LAP DAN STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI
REKAPITULASI HASIL CAKUPAN IMUNISASI TT BULAN : AGUSTUS 2015

LAPANGAN
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
10 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

STATIS
NON HAMIL HAMIL
1 RR 105
0 BTA 105
1 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
2 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

LAP DAN STATIS
NON HAMIL HAMIL
1 RR 105
0 BTA 105
2 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
3 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI
REKAPITULASI HASIL CAKUPAN IMUNISASI TT BULAN : SEPTEMBER 2015

LAPANGAN
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

LAP DAN STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI
REKAPITULASI HASIL CAKUPAN IMUNISASI TT BULAN : OKTOBER 2015

LAPANGAN
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

LAP DAN STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI
REKAPITULASI HASIL CAKUPAN IMUNISASI TT BULAN : NOVEMBER 2015

LAPANGAN
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
3 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

LAP DAN STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI
REKAPITULASI HASIL CAKUPAN IMUNISASI TT BULAN : DESEMBER 2015

LAPANGAN
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
9 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
3 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

LAP DAN STATIS
NON HAMIL HAMIL
0 RR 105
0 BTA 105
0 DYG 122
0 DWG 104
0 PWD 93
0 SBI 70
0 SSB 75
0 SLD 117
0 NBK 47
0 SKT 61
0 JMK 102
0 1001 0 0 0 0 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI
HASIL CAKUPAN IMUNISASI TT KOMULATIF : JANUARI S/D DESEMBER 2015

LAPANGAN
NON HAMIL HAMIL
0 RR 105 0 0 0 0 0 0 0 0 0 0
1 BTA 105 0 0 0 0 0 0 0 0 1 4
3 DYG 122 0 0 0 0 0 0 0 5 6 3
3 DWG 104 0 0 0 0 0 0 0 0 7 10
2 PWD 93 0 0 0 0 0 0 3 2 2 3
1 SBI 70 0 0 0 4 1 0 0 0 0 1
1 SSB 75 0 0 0 0 0 0 0 1 2 2
3 SLD 117 0 5 2 0 0 0 2 3 1 0
2 NBK 47 0 0 0 0 5 0 0 5 1 0
2 SKT 61 1 2 0 1 0 0 1 0 2 1
1 JMK 102 0 0 0 0 0 0 0 0 4 0
19 1001 1 7 2 5 6 0 6 16 26 24
DINAS KESEHATAN
PUSKESMAS SAMBI

STATIS
NON HAMIL HAMIL
2 RR 105 4 1 5 0 0 0 0 0 0 0
0 BTA 105 0 0 0 0 0 0 0 0 0 0
2 DYG 122 1 1 6 1 0 0 0 0 0 0
1 DWG 104 1 0 4 0 0 0 0 0 0 0
1 PWD 93 0 1 6 0 0 0 0 0 0 0
1 SBI 70 4 0 1 0 0 0 0 0 0 0
1 SSB 75 1 0 2 0 0 0 0 0 0 0
1 SLD 117 1 0 3 0 0 0 0 0 0 0
0 NBK 47 0 0 2 0 0 0 0 0 0 0
1 SKT 61 0 1 4 0 0 0 0 0 0 0
1 JMK 102 0 0 2 1 0 0 0 0 0 0
11 1001 12 4 35 2 0 0 0 0 0 0
DINAS KESEHATAN
PUSKESMAS SAMBI

LAP DAN STATIS
NON HAMIL HAMIL
2 RR 105 4 1 5 0 0 0 0 0 0 0
1 BTA 105 0 0 0 0 0 0 0 0 1 4
5 DYG 122 1 1 6 1 0 0 0 5 6 3
4 DWG 104 1 0 4 0 0 0 0 0 7 10
3 PWD 93 0 1 6 0 0 0 3 2 2 3
2 SBI 70 4 0 1 4 1 0 0 0 0 1
2 SSB 75 1 0 2 0 0 0 0 1 2 2
3 SLD 117 1 5 5 0 0 0 2 3 1 0
3 NBK 47 0 0 2 0 5 0 0 5 1 0
3 SKT 61 1 3 4 1 0 0 1 0 2 1
1 JMK 102 0 0 2 1 0 0 0 0 4 0
29 1001 13 11 37 7 6 0 6 16 26 24
LAPORAN KEJADIAN IKUTAN PASCA IMUNISASI (KIPI)
Form KIPI Non Serius
BULAN : JANUARI 2015
IDENTITAS GEJALA YANG DIALAMI

TEMPAT
No Batch / No Batch /
JENIS JENIS JENIS PEMBERI PELAYANA TANGGAL LAIN-LAIN
NO NAMA TANGGAL NAMA Exp Date Exp Date DEMAM BENGKAK MERAH MUNTAH
KELAMIN UMUR ALAMAT VAKSIN 1 VAKSIN 2 IMUNISASI N IMUNISASI (SEBUTKA
ANAK LAHIR ORTU Vaksin 1 Vaksin 2
IMUNISASI N)
L/P Jika ya di tandai ü
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
BULAN : PEBRUARI 2015

TEMPAT
IMUNISASI N)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
BULAN : MARET 2015

TEMPAT
IMUNISASI N)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
BULAN : APRIL 2015

TEMPAT
IMUNISASI N)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
BULAN : MEI 2015

TEMPAT
IMUNISASI N)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
BULAN : JUNI 2015

TEMPAT
IMUNISASI N)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
BULAN : JULI 2015

TEMPAT
IMUNISASI N)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
BULAN : AGUSTUS 2015

TEMPAT
IMUNISASI N)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
BULAN : SEPTEMBER 2015

TEMPAT
IMUNISASI N)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
BULAN : OKTOBER 2015

TEMPAT
IMUNISASI N)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
BULAN : NOVEMBER 2015

TEMPAT
IMUNISASI N)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
BULAN : DESEMBER 2015

TEMPAT
IMUNISASI N)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

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PEMERINTAH KABUPATEN KEDIRI

REKAPITULASI HASIL CAKUPAN IMUNISASI BULAN : JANUARI 2015

30 148 112 149 107 38 TOTAL

PUSKESMAS / LISTRIK / SUHU SATU BULAN TERAKHIR ( HARI ) KEADAAN L E

2 BATUAJI RCW 42 EK LISTRIK 0 0 0 v

Mengetahui : Sambi, 31 Januari 2015

drg. ANNA MINARTI HERI MAHMUDIANTO

36 60 92 166 101 61 TOTAL

38 64 95 168 101 65 285

KET : VAKSIN CAMPAK YANG 35 VIAL DIPERGUNAKAN UNTUK IMUNISASI BATITA.

PUSKESMAS / LISTRIK / SUHU SATU BULAN TERAKHIR ( HARI ) KEADAAN L E

2 BATUAJI RCW 42 EK LISTRIK 0 0 0 v

Mengetahui : Sambi, 02 Maret 2015

drg. ANNA MINARTI HERI MAHMUDIANTO

PUSKESMAS / LISTRIK / SUHU SATU BULAN TERAKHIR ( HARI ) KEADAAN L E

2 BATUAJI RCW 42 EK LISTRIK 0 0 0 v

Mengetahui : Sambi, 31 Maret 2015

drg. ANNA MINARTI HERI MAHMUDIANTO

PUSKESMAS / LISTRIK / SUHU SATU BULAN TERAKHIR ( HARI ) KEADAAN L E

2 BATUAJI RCW 42 EK LISTRIK 0 0 0 v

Mengetahui : Sambi, 31 April 2015

drg. ANNA MINARTI HERI MAHMUDIANTO

PUSKESMAS / LISTRIK / SUHU SATU BULAN TERAKHIR ( HARI ) KEADAAN L E

2 BATUAJI RCW 42 EK LISTRIK 0 0 0 v

Mengetahui : Sambi, 31 Mei 2015

drg. ANNA MINARTI HERI MAHMUDIANTO

PUSKESMAS / LISTRIK / SUHU SATU BULAN TERAKHIR ( HARI ) KEADAAN L E

2 BATUAJI RCW 42 EK LISTRIK 0 0 0 v

Mengetahui : Sambi, 30 Mei 2015

drg. ANNA MINARTI HERI MAHMUDIANTO

PUSKESMAS / LISTRIK / SUHU SATU BULAN TERAKHIR ( HARI ) KEADAAN L E

2 BATUAJI RCW 42 EK LISTRIK 0 0 0 v

Mengetahui : Sambi, 31 April 2015

drg. ANNA MINARTI HERI MAHMUDIANTO

PUSKESMAS / LISTRIK / SUHU SATU BULAN TERAKHIR ( HARI ) KEADAAN L E

2 BATUAJI RCW 42 EK LISTRIK 0 0 0 v

Mengetahui : Sambi, 30 Agustus 2015

drg. ANNA MINARTI HERI MAHMUDIANTO

PUSKESMAS / LISTRIK / SUHU SATU BULAN TERAKHIR ( HARI ) KEADAAN L E

2 BATUAJI RCW 42 EK LISTRIK 0 0 0 v

Mengetahui : Sambi, 30 September 2015

drg. ANNA MINARTI HERI MAHMUDIANTO

KET : VAKSIN CAMPAK YANG 113 VIAL DIPERGUNAKAN UNTUK BIAS

PUSKESMAS / LISTRIK / SUHU SATU BULAN TERAKHIR ( HARI ) KEADAAN L E

2 BATUAJI RCW 42 EK LISTRIK 0 0 0 v

Mengetahui : Sambi, 31 Oktober 2015

drg. ANNA MINARTI HERI MAHMUDIANTO

PUSKESMAS / LISTRIK / SUHU SATU BULAN TERAKHIR ( HARI ) KEADAAN L E

2 BATUAJI RCW 42 EK LISTRIK 0 0 0 v

Mengetahui : Sambi, 29 Nopember 2015

drg. ANNA MINARTI HERI MAHMUDIANTO

KET : VAKSIN TD YANG 275 VIAL DIPERGUNAKAN UNTUK BIAS

PUSKESMAS / LISTRIK / SUHU SATU BULAN TERAKHIR ( HARI ) KEADAAN L E

2 BATUAJI RCW 42 EK LISTRIK 0 0 0 v

Mengetahui : Sambi, 31 Desember 2015

drg. ANNA MINARTI HERI MAHMUDIANTO

-26 -102 -87 -37 -123 0 TOTAL

32 154 114 150 107 45 260 STOK

HASIL IMUNISASI BATITA BULAN : JANUARI 2015

JUMLAH HASIL CAKUPAN % CAKUPAN

4 0 2 BATUAJI 133 131 9 2 0 0 6.8 1.5 0.0 0.0

11 0 3 DEYENG 184 179 14 18 0 0 7.6 10.1 0.0 0.0

0 0 4 DAWUNG 136 125 0 0 0 0 0.0 0.0 0.0 0.0