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DATA DASAR PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA

(Mohon isi pada kolom yang berwarna kuning)


SASARAN VAKSIN DAN DROPPER
No Nama Pos Pelayanan Desa/Kelurahan STOK AWAL STOK AWAL
Usia 0-59 bulan VAKSIN (VIAL) DROPPER
a b b c g h
1 Posyandu Bawal Panc.Pinang 100
2 Posyandu Kakap Panc.Pinang 100
3 Posyandu Aso-aso Panc.Pinang 100
4 Posyandu Hiu Panc.Pinang 100
5 Posyandu Gambolo Panc.Pinang 100
6
7 POSYANDU PINUS PANC.KERAMBIL 50
8 POSYANDU JATI PANC.KERAMBIL 50
9 POSYANDU MERANTI PANC.KERAMBIL 50
10
11 POSYANDU PADI PANC.DEWA 100
12 POSYANDU JAGUNG PANC.DEWA 100
13 POSYANDU PISANG PANC.DEWA 100
14 POSYANDU JERUK PANC.DEWA 100
15 POSYANDU NENAS PANC.DEWA 100
16
17 POSYANDU KEMUNING 50
18 POSYANDU TERATAI 100
19 POSYANDU KENARI 50
20 POSYANDU GAMBOLO 100
21 POSYANDU ANGGREK 100
22 POSYANDU TETER 100
23 POSYANDU TONGKOL 150
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
Total 1,800 - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SA
PELABUHAN SAMBAS

Kabupaten/ Kota : SIBOLGA SIBOLGA

Provinsi : SUMATERA UTASUMATERA UTARA


Laporan tanggal : 15-5-2023
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial Jumlah dropper
Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
Jumlah sasaran
Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 50 50.0% 1 1 0 0 1
2 Posyandu Kakap Panc.Pinang 100 50 50.0% 1 1 0 1
3 Posyandu Aso-aso Panc.Pinang 100 50 50.0% 1 1 0 1
4 Posyandu Hiu Panc.Pinang 100 50 50.0% 1 1 0 1
5 Posyandu Gambolo Panc.Pinang 100 50 50.0% 1 1 0 1
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 250 13.9% 5 5 - - 5
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 50 100.0% 1 1 0 1
18 POSYANDU TERATAI 0 100 50 50.0% 1 1 0 1
19 POSYANDU KENARI 0 50 50 100.0% 1 1 0 1
20 POSYANDU GAMBOLO 0 100 50 50.0% 1 1 0 1
21 POSYANDU ANGGREK 0 100 50 50.0% 1 1 0 1
22 POSYANDU TETER 0 100 50 50.0% 1 1 0 1
23 POSYANDU TONGKOL 0 150 50 33.3% 1 1 0 1
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 350 19.4% 7 7 - - 7
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 0.0% 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 50 50.0% 1 1 0 1
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 50 100.0% 1 1 0 1
8 POSYANDU JATI PANC.KERAMBIL 50 50 100.0% 1 1 0 1
9 POSYANDU MERANTI PANC.KERAMBIL 50 50 100.0% 1 1 0 1
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,700 200 11.8% 4 4 - - 4
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 50 50.0% 1 1 0 1
12 POSYANDU JAGUNG PANC.DEWA 100 50 50.0% 1 1 0 1
13 POSYANDU PISANG PANC.DEWA 100 50 50.0% 1 1 0 1
14 POSYANDU JERUK PANC.DEWA 100 50 50.0% 1 1 0 1
15 POSYANDU NENAS PANC.DEWA 100 50 50.0% 1 1 0 1
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 50 50.0% 1 1 0 1
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 300 16.7% 6 6 - - 6
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 50 50.0% 1 1 0 0 1
2 Posyandu Kakap Panc.Pinang 100 50 50.0% 1 1 0 1
3 Posyandu Aso-aso Panc.Pinang 100 50 50.0% 1 1 0 1
4 Posyandu Hiu Panc.Pinang 100 50 50.0% 1 1 0 1
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 50 50.0% 1 1 0 1
12 POSYANDU JAGUNG PANC.DEWA 100 50 50.0% 1 1 0 1
13 POSYANDU PISANG PANC.DEWA 100 50 50.0% 1 1 1
14 POSYANDU JERUK PANC.DEWA 100 50 50.0% 1 1 1
15 POSYANDU NENAS PANC.DEWA 100 50 50.0% 1 1 1
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 50 50.0% 1 1 0 1
21 POSYANDU ANGGREK 0 100 50 50.0% 1 1 0 1
22 POSYANDU TETER 0 100 50 50.0% 1 1 0 1
23 POSYANDU TONGKOL 0 150 100 66.7% 2 2 0 2
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 700 38.9% 14 14 - - 14
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
Jumlah sasaran
Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial Jumlah dropper
Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
Jumlah sasaran
Absolut %
a b b c d e o p q q r
1 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,700 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
Jumlah sasaran
Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial Jumlah dropper
Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
Jumlah sasaran
Absolut %
a b b c d e o p q q r
1 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,700 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
Jumlah sasaran
Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai
sasaran Absolut %
a b b c d e o p q q r
1 Posyandu Bawal Panc.Pinang 100 0.0% 0 0
2 Posyandu Kakap Panc.Pinang 100 0.0% 0
3 Posyandu Aso-aso Panc.Pinang 100 0.0% 0
4 Posyandu Hiu Panc.Pinang 100 0.0% 0
5 Posyandu Gambolo Panc.Pinang 100 0.0% 0
6 0 0 - 0.0% 0
7 POSYANDU PINUS PANC.KERAMBIL 50 0.0% 0
8 POSYANDU JATI PANC.KERAMBIL 50 0.0% 0
9 POSYANDU MERANTI PANC.KERAMBIL 50 0.0% 0
10 0 0 - 0.0% 0
11 POSYANDU PADI PANC.DEWA 100 0.0% 0
12 POSYANDU JAGUNG PANC.DEWA 100 0.0% 0
13 POSYANDU PISANG PANC.DEWA 100 0.0% 0
14 POSYANDU JERUK PANC.DEWA 100 0.0% 0
15 POSYANDU NENAS PANC.DEWA 100 0.0% 0
16 0 0 - 0.0% 0
17 POSYANDU KEMUNING 0 50 0.0% 0
18 POSYANDU TERATAI 0 100 0.0% 0
19 POSYANDU KENARI 0 50 0.0% 0
20 POSYANDU GAMBOLO 0 100 0.0% 0
21 POSYANDU ANGGREK 0 100 0.0% 0
22 POSYANDU TETER 0 100 0.0% 0
23 POSYANDU TONGKOL 0 150 0.0% 0
24 0 0 - 0.0% 0
25 0 0 - 0.0% 0
26 0 0 - 0.0% 0
27 0 0 - 0.0% 0
28 0 0 - 0.0% 0
29 0 0 - 0.0% 0
30 0 0 - 0.0% 0
31 0 0 - 0.0% 0
32 0 0 - 0.0% 0
33 0 0 - 0.0% 0
34 0 0 - 0.0% 0
35 0 0 - 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,800 - 0.0% - - - - -
LAPORAN KUMULATIF PELAKSANAAN SUB PIN POLIO

Puskesmas : PELABUHAN SAMBAS


Kabupaten/ Kota : SIBOLGA
Provinsi : SUMATERA UTARA
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI VAKSIN DAN DROPPER
Usia 0-59 bulan
Cakupan Kumulatif
No Nama Pos Pelayanan Desa/Kelurahan Jumlah vial vaksin Jumlah vial Jumlah stok awal Jumlah dropper Jumlah sisa
Jumlah Stok Awal Vial Jumlah sisa vial IP
terbuka/terpakai vaksin rusak dropper terpakai dropper
sasaran Absolut %

a b b c d e o p q r s t u v
1 Posyandu Bawal Panc.Pinang 100 100 100.0% 0 2 0 -2 50 0 2 -2
2 Posyandu Kakap Panc.Pinang 100 100 100.0% 0 2 0 -2 50 0 2 -2
3 Posyandu Aso-aso Panc.Pinang 100 100 100.0% 0 2 0 -2 50 0 2 -2
4 Posyandu Hiu Panc.Pinang 100 100 100.0% 0 2 0 -2 50 0 2 -2
5 Posyandu Gambolo Panc.Pinang 100 100 100.0% 0 2 0 -2 50 0 2 -2
6 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
7 POSYANDU PINUS PANC.KERAMBIL 50 50 100.0% 0 1 0 -1 50 0 1 -1
8 POSYANDU JATI PANC.KERAMBIL 50 50 100.0% 0 1 0 -1 50 0 1 -1
9 POSYANDU MERANTI PANC.KERAMBIL 50 50 100.0% 0 1 0 -1 50 0 1 -1
10 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
11 POSYANDU PADI PANC.DEWA 100 100 100.0% 0 2 0 -2 50 0 2 -2
12 POSYANDU JAGUNG PANC.DEWA 100 100 100.0% 0 2 0 -2 50 0 2 -2
13 POSYANDU PISANG PANC.DEWA 100 100 100.0% 0 2 0 -2 50 0 2 -2
14 POSYANDU JERUK PANC.DEWA 100 100 100.0% 0 2 0 -2 50 0 2 -2
15 POSYANDU NENAS PANC.DEWA 100 100 100.0% 0 2 0 -2 50 0 2 -2
16 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
17 POSYANDU KEMUNING 0 50 50 100.0% 0 1 0 -1 50 0 1 -1
18 POSYANDU TERATAI 0 100 100 100.0% 0 2 0 -2 50 0 2 -2
19 POSYANDU KENARI 0 50 50 100.0% 0 1 0 -1 50 0 1 -1
20 POSYANDU GAMBOLO 0 100 100 100.0% 0 2 0 -2 50 0 2 -2
21 POSYANDU ANGGREK 0 100 100 100.0% 0 2 0 -2 50 0 2 -2
22 POSYANDU TETER 0 100 100 100.0% 0 2 0 -2 50 0 2 -2
23 POSYANDU TONGKOL 0 150 150 100.0% 0 3 0 -3 50 0 3 -3
24 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
25 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
26 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
27 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
28 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
29 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
30 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
31 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
32 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
33 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
34 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
35 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
36 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
37 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
38 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
39 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
40 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
41 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
42 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
43 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
44 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
45 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
46 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
47 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
48 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
49 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
50 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
51 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
52 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
53 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
54 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
55 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
56 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
57 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
58 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
59 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
60 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
61 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
62 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
63 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
64 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
65 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
66 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
67 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
68 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
69 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
70 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
71 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
72 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
73 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
74 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
75 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
76 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
77 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
78 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
79 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
80 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
81 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
82 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
83 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
84 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
85 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
86 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
87 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
88 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
89 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
90 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
91 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
92 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
93 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
94 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
95 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
96 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
97 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
98 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
99 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
100 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
101 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
102 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
103 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
104 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
105 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
106 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
107 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
108 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
109 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
110 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
111 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
112 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
113 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
114 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
115 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
116 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
117 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
118 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
119 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
120 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
121 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
122 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
123 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
124 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
125 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
126 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
127 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
128 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
129 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
130 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
131 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
132 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
133 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
134 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
135 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
136 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
137 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
138 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
139 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
140 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
141 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
142 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
143 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
144 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
145 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
146 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
147 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
148 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
149 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
150 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
151 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
152 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
153 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
154 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
155 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
156 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
157 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
158 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
159 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
160 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
Total 1,800 1,800 100.0% - 36 - (36) 50 - 36 (36)

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