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FO

Desa/kelurahan :
Puskesmas : Kelam Tengah
Isilah pada kolom yang berwarna

Sasaran dan Cakupan Imunisasi Kejar


Usia 12 - 59 bulan
Posyandu/Pos layanan BIAN OPV IPV
NO
lainnya Jumlah Jumlah
Jumlah Jumlah
diimunis % diimunis
sasaran sasaran
asi asi
a b c d e f g
1 SDN 6 KAUR 0.0%
2 SDN 70 KAUR 0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
Total 0.0%
FORMAT REKAPITULASI HASIL PELAYANAN BULAN IMUNISASI ANAK NASIONAL

ng berwarna

upan Imunisasi Kejar Sasaran dan cakupan imunisasi camp


2 - 59 bulan Usia 9-59 bulan Usia 5 - <7 thn
IPV DPT-HB-Hib Campak Rubella Campak Rubela
Jumlah Jumlah Jumlah
Jumlah Jumlah Jumlah
% diimunis % diimunis % diimunis %
sasaran sasaran sasaran
asi asi asi
h i j k l m n o p q
0.0% 0.0% #DIV/0! %
0.0% 0.0% #DIV/0! %
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% #DIV/0! 0.0%
0.0% 0.0% 0.0% 0.0%
AL
Periode :
Nama Petugas : Ns.Insanil Akbar, S,Kep

n cakupan imunisasi campak rubela


Usia 7-<12 thn Usia 12 -<15 thn
(bagi 5 Prov.) Total
Campak Rubela Campak Rubela Total
dimunisa
Sasaran Total
Jumlah Jumlah si
Jumlah Jumlah Campak Cakupan
diimunis % diimunis % Campak
sasaran sasaran Rubella
asi asi Rubella

r s t u v w x = l+o+r /yl+o+r+u
= m+p+s / m+p+s+v
139 112 80,5% 0.0% 139 112 80,5%
51 40 78,4% 0.0% 51 40 78,4%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0 0.0%
0.0% 0.0% 0 0.0%
sanil Akbar, S,Kep

Jumlah Logistik Yang Digunakan

Campak
Pelarut ADS 5 ML Safety Box ADS 0,5 ML
Rubella

12 12 12 2 112
4 4 4 2 40

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