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LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB.

KUTIM TAHUN 2013


Sasaran HB.0-7 DTP/HB POLIO CAM TT CATIN TT BUMIL
BCG
NO Tanggal Nama Posyandu Desa Bayi Bu Hri I II III I II III IV PAK
I II III IV V I II III IV V
L P mil L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 1/1/2013 MELATI I 0 0 0 0 1 0 2 0 1 0 0 0 0 0 2 0 1 0 1 0 0 0 0 0 0
2 ### MELATI II MUARA 0 0 4 1 1 4 4 4 5 3 3 4 5 7 4 4 2 1 6 10 1 4 0 7 7
139 153
3 ### MELATI III WAHAU 1 0 2 1 2 3 1 3 3 3 2 0 2 4 4 4 1 3 4 1 0 3 0 0 0
4 1/7/2013 CEMPAKA 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0
5 1/2/2013 DAHLIA DABEQ 8 9 0 0 1 0 0 0 0 2 0 0 1 0 0 0 0 0 0 2 0 0 0 0 1 0 0
6 1/2/2013 RAMBUTAN DIAKLAY 11 12 0 0 1 1 3 1 0 1 0 1 2 0 2 1 0 1 0 1 0 2 1 0 0 0 0
7 1/3/2013 MATAHARI BENHES 20 22 0 0 1 1 0 1 0 0 0 1 1 1 0 1 0 0 0 1 1 0 0 2 0 1 0
8 1/5/2013 BINA LESTARI 0 0 2 1 3 3 0 1 2 0 2 0 4 3 2 0 3 1 0 0 0 0 0 0 0
NEHESLIAH 73 80
9 1/7/2013 JERUK BING 0 0 1 1 0 1 2 0 1 0 1 1 0 1 2 0 1 0 0 0 0 0 0 0 0
10 ### TUNAS HARAPAN 0 0 1 1 1 1 2 0 2 1 1 1 2 0 2 0 1 1 0 0 0 0 0 0 0
11 1/6/2013 MAWAR HIJAU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 1/8/2013 ANGGREK JAKLUAY 21 23 0 0 0 2 2 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0
13 1/8/2013 PERMATA BUNDA 0 0 1 3 3 0 1 0 1 0 4 0 3 0 0 0 1 1 1 0 0 0 0 0 0
14 1/6/2013 BERINGIN LONG WEHEA 30 33 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 250 332 2 0 16 12 16 14 12 11 15 9 20 7 19 17 16 9 10 11 13 14 0 0 0 0 0 2 10 1 8 7
1 DESA MUARA WAHAU 139 153 1 0 7 2 4 7 7 7 9 6 6 4 7 11 10 8 4 4 11 11 0 0 0 0 0 1 8 0 7 7
2 DESA DABEQ 8 9 0 0 1 0 0 0 0 2 0 0 1 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 1 0 0
3 DESA DIAKLAY 11 12 0 0 1 1 3 1 0 1 0 1 2 0 2 1 0 1 0 1 0 2 0 0 0 0 0 1 0 0 0 0
4 DESA BENHES 20 22 0 0 1 1 0 1 0 0 0 1 1 1 0 1 0 0 0 1 1 0 0 0 0 0 0 0 2 0 1 0
5 DESA NEHESLIAH BING 73 80 0 0 4 3 4 5 4 1 5 1 4 2 6 4 6 0 5 2 0 0 0 0 0 0 0 0 0 0 0 0
6 DESA JAKLUAY 21 23 0 0 1 5 5 0 1 0 1 0 5 0 4 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0
7 DESA LONG WEHEA 30 33 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 302 332 2 0 16 12 16 14 12 11 15 9 20 7 19 17 16 9 10 11 13 14 0 0 0 0 0 2 10 1 8 7
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 JANUARI 2013
PIMPINAN PKM MUARA WAHAU I 2 28 77 109 27 JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2013
Sasaran HB.0-7 DTP/HB POLIO CAM TT CATIN TT BUMIL
BCG
NO Tanggal Nama Posyandu Desa Bayi Bu Hri I II III I II III IV PAK
I II III IV V I II III IV V
L P mil L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 2/1/2013 MELATI I
2 ### MELATI II MUARA 139 153
3 ### MELATI III WAHAU
4 2/7/2013 CEMPAKA
5 2/2/2013 DAHLIA DABEQ 8 9
6 2/2/2013 RAMBUTAN DIAKLAY 11 12
7 2/3/2013 MATAHARI BENHES 20 22
8 2/5/2013 BINA LESTARI
NEHESLIAH 73 80
9 2/7/2013 JERUK BING
10 ### TUNAS HARAPAN
11 2/6/2013 MAWAR HIJAU
12 2/8/2013 ANGGREK JAKLUAY 21 23
13 2/8/2013 PERMATA BUNDA
14 2/6/2013 BERINGIN LONG WEHEA 30 33
TOTAL 250 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 DESA MUARA WAHAU 139 153 2 3 6 7 8 5 6 5 4 5 6 7 8 5 6 5 4 5 3 4
2 DESA DABEQ 8 9 0 0 1 0 1 1 0 0 1 0 1 0 1 1 0 0 1 0 0 1
3 DESA DIAKLAY 11 12 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0
4 DESA BENHES 20 22 0 1 1 1 2 1 2 2 1 1 1 1 2 1 2 2 1 1 1 0
5 DESA NEHESLIAH BING 73 80 1 1 4 2 3 3 4 3 4 3 4 2 3 3 4 3 4 3 7 6
6 DESA JAKLUAY 21 23 0 0 1 0 0 0 2 1 1 1 1 0 0 0 2 1 1 1 1 0
7 DESA LONG WEHEA 30 33 1 0 2 3 3 2 2 2 2 2 2 3 3 2 2 2 2 2 2 1
TOTAL 302 332 4 5 15 13 17 12 17 13 13 13 15 13 17 12 17 13 13 13 14 12 0 0 0 0 0 0 0 0 0 0
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 PEBRUARI 2013
PIMPINAN PKM MUARA WAHAU I 9 28 85 113 26 JURIM PKM MW I
dr.ADIANTO LEBANG IDRIS,A.Md.Kep
NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2013
Sasaran HB.0-7 DTP/HB POLIO CAM TT CATIN TT BUMIL
BCG
NO Tanggal Nama Posyandu Desa Bayi Bu Hri I II III I II III IV PAK
I II III IV V I II III IV V
L P mil L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 3/1/2013 MELATI I
2 ### MELATI II MUARA 139 153
3 ### MELATI III WAHAU
4 3/7/2013 CEMPAKA
5 3/2/2013 DAHLIA DABEQ 8 9
6 3/2/2013 RAMBUTAN DIAKLAY 11 12
7 3/3/2013 MATAHARI BENHES 20 22
8 3/5/2013 BINA LESTARI
NEHESLIAH
9 3/7/2013 JERUK 73 80
BING
10 ### TUNAS HARAPAN
11 3/6/2013 MAWAR HIJAU
12 3/8/2013 ANGGREK JAKLUAY 21 23
13 3/8/2013 PERMATA BUNDA
14 3/6/2013 BERINGIN LONG WEHEA 30 33
TOTAL 250 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 DESA MUARA WAHAU 139 153 3 1 5 7 4 5 4 6 4 7 5 7 4 5 4 6 4 7 5 6
2 DESA DABEQ 8 9 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0
3 DESA DIAKLAY 11 12 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 1
4 DESA BENHES 20 22 0 1 0 0 0 1 1 0 1 1 0 0 0 1 1 0 1 1 2 1
5 DESA NEHESLIAH BING 73 80 1 1 3 4 2 3 4 5 5 5 3 4 2 3 4 5 5 5 6 4
6 DESA JAKLUAY 21 23 0 0 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 2
7 DESA LONG WEHEA 30 33 0 1 2 2 1 2 1 2 1 2 2 2 1 2 1 2 1 2 2 2
TOTAL 302 332 5 5 10 13 8 12 11 15 13 17 10 13 8 12 11 15 13 17 17 16 0 0 0 0 0 0 0 0 0 0
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 MARET 2013
PIMPINAN PKM MUARA WAHAU I 10 23 76 99 33 JURIM PKM MW I
dr.ADIANTO LEBANG IDRIS,A.Md.Kep
NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2013
Sasaran HB.0-7 DTP/HB POLIO CAM TT CATIN TT BUMIL
BCG
NO Tanggal Nama Posyandu Desa Bayi Bu Hri I II III I II III IV PAK
I II III IV V I II III IV V
L P mil L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 4/1/2013 MELATI I
2 ### MELATI II MUARA 139 153
3 ### MELATI III WAHAU
4 4/7/2013 CEMPAKA
5 4/2/2013 DAHLIA DABEQ 8 9
6 4/2/2013 RAMBUTAN DIAKLAY 11 12
7 4/3/2013 MATAHARI BENHES 20 22
8 4/5/2013 BINA LESTARI
NEHESLIAH
9 4/7/2013 JERUK 73 80
BING
10 ### TUNAS HARAPAN
11 4/6/2013 MAWAR HIJAU
12 4/8/2013 ANGGREK JAKLUAY 21 23
13 4/8/2013 PERMATA BUNDA
14 4/6/2013 BERINGIN LONG WEHEA 30 33
TOTAL 250 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 DESA MUARA WAHAU 139 153
2 DESA DABEQ 8 9
3 DESA DIAKLAY 11 12
4 DESA BENHES 20 22
5 DESA NEHESLIAH BING 73 80
6 DESA JAKLUAY 21 23
7 DESA LONG WEHEA 30 33
TOTAL 302 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 APRIL 2013
PIMPINAN PKM MUARA WAHAU I JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2013
Sasaran HB.0-7 DTP/HB POLIO CAM TT CATIN TT BUMIL
BCG
NO Tanggal Nama Posyandu Desa Bayi Bu Hri I II III I II III IV PAK
I II III IV V I II III IV V
L P mil L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 5/1/2013 MELATI I
2 ### MELATI II MUARA 139 153
3 ### MELATI III WAHAU
4 5/7/2013 CEMPAKA
5 5/2/2013 DAHLIA DABEQ 8 9
6 5/2/2013 RAMBUTAN DIAKLAY 11 12
7 5/3/2013 MATAHARI BENHES 20 22
8 5/5/2013 BINA LESTARI
NEHESLIAH
9 5/7/2013 JERUK 73 80
BING
10 ### TUNAS HARAPAN
11 5/6/2013 MAWAR HIJAU
12 5/8/2013 ANGGREK JAKLUAY 21 23
13 5/8/2013 PERMATA BUNDA
14 5/6/2013 BERINGIN LONG WEHEA 30 33
TOTAL 250 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 DESA MUARA WAHAU 139 153
2 DESA DABEQ 8 9
3 DESA DIAKLAY 11 12
4 DESA BENHES 20 22
5 DESA NEHESLIAH BING 73 80
6 DESA JAKLUAY 21 23
7 DESA LONG WEHEA 30 33
TOTAL 302 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 MEI 2013
PIMPINAN PKM MUARA WAHAU I JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2013
Sasaran HB.0-7 DTP/HB POLIO CAM TT CATIN TT BUMIL
BCG
NO Tanggal Nama Posyandu Desa Bayi Bu Hri I II III I II III IV PAK
I II III IV V I II III IV V
L P mil L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 6/1/2013 MELATI I
2 ### MELATI II MUARA 139 153
3 ### MELATI III WAHAU
4 6/7/2013 CEMPAKA
5 6/2/2013 DAHLIA DABEQ 8 9
6 6/2/2013 RAMBUTAN DIAKLAY 11 12
7 6/3/2013 MATAHARI BENHES 20 22
8 6/5/2013 BINA LESTARI
NEHESLIAH
9 6/7/2013 JERUK 73 80
BING
10 ### TUNAS HARAPAN
11 6/6/2013 MAWAR HIJAU
12 6/8/2013 ANGGREK JAKLUAY 21 23
13 6/8/2013 PERMATA BUNDA
14 6/6/2013 BERINGIN LONG WEHEA 30 33
TOTAL 250 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 DESA MUARA WAHAU 139 153
2 DESA DABEQ 8 9
3 DESA DIAKLAY 11 12
4 DESA BENHES 20 22
5 DESA NEHESLIAH BING 73 80
6 DESA JAKLUAY 21 23
7 DESA LONG WEHEA 30 33
TOTAL 302 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 JUNI 2013
PIMPINAN PKM MUARA WAHAU I JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2013
Sasaran HB.0-7 DTP/HB POLIO CAM TT CATIN TT BUMIL
BCG
NO Tanggal Nama Posyandu Desa Bayi Bu Hri I II III I II III IV PAK
I II III IV V I II III IV V
L P mil L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 7/1/2013 MELATI I 0 0 0 0 1 0 2 0 1 0 0 0 0 0 2 0 1 0 1 0 0 0 0 0 0
2 ### MELATI II MUARA 0 0 4 1 1 4 4 4 5 3 3 4 5 7 4 4 2 1 6 10 1 4 0 7 7
139 153
3 ### MELATI III WAHAU 1 0 2 1 2 3 1 3 3 3 2 0 2 4 4 4 1 3 4 1 0 3 0 0 0
4 7/7/2013 CEMPAKA 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0
5 7/2/2013 DAHLIA DABEQ 8 9 0 0 1 0 0 0 0 2 0 0 1 0 0 0 0 0 0 2 0 0 0 0 1 0 0
6 7/2/2013 RAMBUTAN DIAKLAY 11 12 0 0 1 1 3 1 0 1 0 1 2 0 2 1 0 1 0 1 0 2 1 0 0 0 0
7 7/3/2013 MATAHARI BENHES 20 22 0 0 1 1 0 1 0 0 0 1 1 1 0 1 0 0 0 1 1 0 0 2 0 1 0
8 7/5/2013 BINA LESTARI 0 0 2 1 3 3 0 1 2 0 2 0 4 3 2 0 3 1 0 0 0 0 0 0 0
NEHESLIAH 73 80
9 7/7/2013 JERUK BING 0 0 1 1 0 1 2 0 1 0 1 1 0 1 2 0 1 0 0 0 0 0 0 0 0
10 10-07-213 TUNAS HARAPAN 0 0 1 1 1 1 2 0 2 1 1 1 2 0 2 0 1 1 0 0 0 0 0 0 0
11 7/6/2013 MAWAR HIJAU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 7/8/2013 ANGGREK JAKLUAY 21 23 0 0 0 2 2 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0
13 7/8/2013 PERMATA BUNDA 0 0 1 3 3 0 1 0 1 0 4 0 3 0 0 0 1 1 1 0 0 0 0 0 0
14 7/6/2013 BERINGIN LONG WEHEA 30 33 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 250 332 2 0 16 12 16 14 12 11 15 9 20 7 19 17 16 9 10 11 13 14 0 0 0 0 0 2 10 1 8 7
1 DESA MUARA WAHAU 139 153 1 0 7 2 4 7 7 7 9 6 6 4 7 11 10 8 4 4 11 11 0 0 0 0 0 1 8 0 7 7
2 DESA DABEQ 8 9 0 0 1 0 0 0 0 2 0 0 1 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 1 0 0
3 DESA DIAKLAY 11 12 0 0 1 1 3 1 0 1 0 1 2 0 2 1 0 1 0 1 0 2 0 0 0 0 0 1 0 0 0 0
4 DESA BENHES 20 22 0 0 1 1 0 1 0 0 0 1 1 1 0 1 0 0 0 1 1 0 0 0 0 0 0 0 2 0 1 0
5 DESA NEHESLIAH BING 73 80 0 0 4 3 4 5 4 1 5 1 4 2 6 4 6 0 5 2 0 0 0 0 0 0 0 0 0 0 0 0
6 DESA JAKLUAY 21 23 0 0 1 5 5 0 1 0 1 0 5 0 4 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0
7 DESA LONG WEHEA 30 33 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 302 332 2 0 16 12 16 14 12 11 15 9 20 7 19 17 16 9 10 11 13 14 0 0 0 0 0 2 10 1 8 7
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 JULI 2013
PIMPINAN PKM MUARA WAHAU I 2 28 77 109 27 JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2013
Sasaran HB.0-7 DTP/HB POLIO CAM TT CATIN TT BUMIL
BCG
NO Tanggal Nama Posyandu Desa Bayi Bu Hri I II III I II III IV PAK
I II III IV V I II III IV V
L P mil L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 8/1/2013 MELATI I
2 ### MELATI II MUARA 139 153
3 ### MELATI III WAHAU
4 8/7/2013 CEMPAKA
5 8/2/2013 DAHLIA DABEQ 8 9
6 8/2/2013 RAMBUTAN DIAKLAY 11 12
7 8/3/2013 MATAHARI BENHES 20 22
8 8/5/2013 BINA LESTARI
NEHESLIAH
9 8/7/2013 JERUK 73 80
BING
10 ### TUNAS HARAPAN
11 8/6/2013 MAWAR HIJAU
12 8/8/2013 ANGGREK JAKLUAY 21 23
13 8/8/2013 PERMATA BUNDA
14 8/6/2013 BERINGIN LONG WEHEA 30 33
TOTAL 250 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 DESA MUARA WAHAU 139 153 2 3 6 7 8 5 6 5 4 5 6 7 8 5 6 5 4 5 3 4
2 DESA DABEQ 8 9 0 0 1 0 1 1 0 0 1 0 1 0 1 1 0 0 1 0 0 1
3 DESA DIAKLAY 11 12 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0
4 DESA BENHES 20 22 0 1 1 1 2 1 2 2 1 1 1 1 2 1 2 2 1 1 1 0
5 DESA NEHESLIAH BING 73 80 1 1 4 2 3 3 4 3 4 3 4 2 3 3 4 3 4 3 7 6
6 DESA JAKLUAY 21 23 0 0 1 0 0 0 2 1 1 1 1 0 0 0 2 1 1 1 1 0
7 DESA LONG WEHEA 30 33 1 0 2 3 3 2 2 2 2 2 2 3 3 2 2 2 2 2 2 1
TOTAL 302 332 4 5 15 13 17 12 17 13 13 13 15 13 17 12 17 13 13 13 14 12 0 0 0 0 0 0 0 0 0 0
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 AGUSTUS 2013
PIMPINAN PKM MUARA WAHAU I 9 28 85 113 26 JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2013
Sasaran HB.0-7 DTP/HB POLIO CAM TT CATIN TT BUMIL
BCG
NO Tanggal Nama Posyandu Desa Bayi Bu Hri I II III I II III IV PAK
I II III IV V I II III IV V
L P mil L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 9/1/2013 MELATI I
2 ### MELATI II MUARA 139 153
3 ### MELATI III WAHAU
4 9/7/2013 CEMPAKA
5 9/2/2013 DAHLIA DABEQ 8 9 1
6 9/2/2013 RAMBUTAN DIAKLAY 11 12
7 9/3/2013 MATAHARI BENHES 20 22
8 9/5/2013 BINA LESTARI
NEHESLIAH
9 9/7/2013 JERUK 73 80
BING
10 ### TUNAS HARAPAN
11 9/6/2013 MAWAR HIJAU
12 9/8/2013 ANGGREK JAKLUAY 21 23
13 9/8/2013 PERMATA BUNDA
14 9/6/2013 BERINGIN LONG WEHEA 30 33
TOTAL 250 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
1 DESA MUARA WAHAU 139 153 3 1 5 7 4 5 4 6 4 7 5 7 4 5 4 6 4 7 5 6 0 0 1 0 0
2 DESA DABEQ 8 9 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0
3 DESA DIAKLAY 11 12 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0
4 DESA BENHES 20 22 0 1 0 0 0 1 1 0 1 1 0 0 0 1 1 0 1 1 2 1 0 0 0 0 0
5 DESA NEHESLIAH BING 73 80 1 1 3 4 2 3 4 5 5 5 3 4 2 3 4 5 5 5 6 4 0 3 4 1 1
6 DESA JAKLUAY 21 23 0 0 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 2 2 0 1 2 1
7 DESA LONG WEHEA 30 33 0 1 2 2 1 2 1 2 1 2 2 2 1 2 1 2 1 2 2 2 0 0 0 0 0
TOTAL 302 332 5 5 10 13 8 12 11 15 13 17 10 13 8 12 11 15 13 17 17 16 0 0 0 0 0 2 3 7 3 2
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 SEPTEMBER 2013
PIMPINAN PKM MUARA WAHAU I 10 23 76 99 33 JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2013
Sasaran HB.0-7 DTP/HB POLIO CAM TT CATIN TT BUMIL
BCG
NO Tanggal Nama Posyandu Desa Bayi Bu Hri I II III I II III IV PAK
I II III IV V I II III IV V
L P mil L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 ### MELATI I 2 2 2 2 2 1 4 1 2 2 2 2 2 1 4 1 1 2 1 2 1
2 ### MELATI II MUARA 1 2 3 2 2 3 2 3 1 2 3 2 2 3 2 3 2 1 1 7 3 5 3 1
139 153
3 ### MELATI III WAHAU 1 2 3 2 3 5 4 1 4 2 3 2 3 5 4 1 4 2 2 1 2
4 ### CEMPAKA 1 1 2 1 1 1 2 1 1 1 3 1 2
5 ### DAHLIA DABEQ 8 9 1 1 1 1 1 1 1 1 1 1 1
6 ### RAMBUTAN DIAKLAY 11 12 1 1
7 ### MATAHARI BENHES 20 22 1 2 2 1 1 1 2 2 1 1 1 1
8 ### BINA LESTARI 1 2 2 1 2 2 1 1 1
NEHESLIAH 73 80
9 ### JERUK BING 2
10 ### TUNAS HARAPAN 1 1 1 1 1 1 1 1 3 1 1
11 ### MAWAR HIJAU 1 1
12 ### ANGGREK JAKLUAY 21 23 1 1 1
13 ### PERMATA BUNDA 1 1 1 2 2 2 1 2 1 1 2 2 2 1 2 1 1 3 1 2
14 ### BERINGIN LONG WEHEA 30 33 1 1
TOTAL 250 332 2 2 9 12 12 11 17 13 12 13 9 12 12 11 17 13 12 13 11 7 1 0 1 0 0 17 10 13 3 2
1 DESA MUARA WAHAU 139 153 1 1 5 8 9 7 9 8 8 9 5 8 9 7 9 8 8 9 5 4 1 0 0 0 0 13 7 10 3 1
2 DESA DABEQ 8 9 0 0 1 0 1 0 1 1 0 0 1 0 1 0 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0
3 DESA DIAKLAY 11 12 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DESA BENHES 20 22 0 0 1 2 0 0 2 1 1 0 1 2 0 0 2 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0
5 DESA NEHESLIAH BING 73 80 0 0 1 0 1 2 2 0 1 2 1 0 1 2 2 0 1 2 4 1 0 0 0 0 0 1 2 1 0 1
6 DESA JAKLUAY 21 23 1 1 1 2 1 2 2 2 1 2 1 2 1 2 2 2 1 2 1 1 0 0 0 0 0 3 1 2 0 0
7 DESA LONG WEHEA 30 33 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 302 332 2 2 9 12 12 11 17 13 12 13 9 12 12 11 17 13 12 13 11 7 1 0 1 0 0 17 10 13 3 2
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 OKTOBER 2013
PIMPINAN PKM MUARA WAHAU I 4 21 78 99 18 JURIM PKM MW I 47

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2013
Sasaran HB.0-7 DTP/HB POLIO CAM TT CATIN TT BUMIL
BCG
NO Tanggal Nama Posyandu Desa Bayi Bu Hri I II III I II III IV PAK
I II III IV V I II III IV V
L P mil L P L P L P L PL P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 ### MELATI I 2 1 1 2 2 1 1 1 1 2 1 1 1 1 1 1
2 ### MELATI II MUARA 1 1 3 3 4 23 2 1 1 2 2 2 1 4 5 3 3 1 9 7 3 3
139 153
3 ### MELATI III WAHAU 4 2 3 2 2 12 2 3 2 2 1 1 3 1 2 3 2 1
4 ### CEMPAKA 1 1 2 0 1 1 1 2 1 1 1 2 1 1
5 ### DAHLIA DABEQ 8 9 1 0 0 1 0 1 1 00 0 0 1 0 1 1 0 0 0 1 0 1 1
6 ### RAMBUTAN DIAKLAY 11 12 0 1 1 0 0 0 1 00 0 1 0 0 0 1 0 0 0 1 0
7 ### MATAHARI BENHES 20 22 1 0 1 0 1 1 0 01 0 1 0 1 1 0 0 1 0 0 1
8 ### BINA LESTARI 1 3 1 2 1 2 12 3 3 1 2 1 2 0 2 2 1 2
NEHESLIAH 73 80
9 ### JERUK BING 1 1 1 1 1 00 1 1 1 1 1 1 1 1 2
10 ### TUNAS HARAPAN 1 1 1 1 2 1 1 11 2 1 1 2 1 1 1 1 2 1 2
11 ### MAWAR HIJAU 0 0 0 0 0 0 0 00 1 0 0 0 0 0 0 0 0 0 0 0 0
12 ### ANGGREK JAKLUAY 21 23 1 1 1
13 ### PERMATA BUNDA 1 1 1 1
14 ### BERINGIN LONG WEHEA 30 33 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1
TOTAL 250 332 8 6 17 10 16 12 15 6 12 13 16 10 13 8 12 5 14 16 13 15 0 0 2 1 0 2 11 7 5 3
1 DESA MUARA WAHAU 139 153 3 2 8 5 9 6 8 3 7 4 7 5 6 2 5 2 9 7 8 6 2 11 7 5 3
2 DESA DABEQ 8 9 1 0 0 1 0 1 1 0 0 0 0 1 0 1 1 0 0 0 1 0 1 1
3 DESA DIAKLAY 11 12 0 1 1 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 1 0
4 DESA BENHES 20 22 1 0 1 0 1 1 0 0 1 0 1 0 1 1 0 0 1 0 0 1
5 DESA NEHESLIAH BING 73 80 2 0 5 3 5 3 4 2 3 5 5 3 5 3 4 2 3 5 2 5
6 DESA JAKLUAY 21 23 0 1 1 0 0 0 0 0 0 2 1 0 0 0 0 0 0 2 0 1
7 DESA LONG WEHEA 30 33 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 2 1 2
TOTAL 302 332 8 5 17 10 16 12 15 6 12 13 16 10 13 8 12 5 14 16 13 15 0 0 1 1 0 2 11 7 5 3
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 NOPEMBER 2013
PIMPINAN PKM MUARA WAHAU I 13 27 74 94 28 JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2013
Sasaran HB.0-7 DTP/HB POLIO CAM TT CATIN TT BUMIL
BCG
NO Tanggal Nama Posyandu Desa
Bayi Bu Hri I II III I II III IV PAK
I II III IV V I II III IV V
L P mil L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 ### MELATI I 1 1 2 1 0 1 0 1 1 0 2 1 0 1 0 1 1 0 1 1 1 1
2 ### MELATI II MUARA 0 0 2 2 2 2 3 1 2 2 2 2 2 2 3 1 3 2 1 2 2
139 153
3 ### MELATI III WAHAU 0 0 2 1 2 1 2 1 1 1 2 1 2 1 2 1 2 1 2 0 1 2
4 ### CEMPAKA 1 1 1 1 0 1 0 0 1 0 1 1 0 1 0 0 1 0 1 1 1
5 ### DAHLIA DABEQ 8 9 0 0 0 1 1 0 1 0 1 0 0 1 1 0 1 0 1 0 1 0
6 ### RAMBUTAN DIAKLAY 11 12 0 0 1 0 0 1 0 0 0 1 1 0 2 0 0 0 0 1 1 0 1
7 ### MATAHARI BENHES 20 22 1 0 0 0 2 0 0 2 2 0 0 0 2 0 0 2 2 0 0 1 2 1
8 ### BINA LESTARI 1 0 2 2 2 1 2 1 2 1 2 2 1 1 1 1 2 1 1 2 1 2
NEHESLIAH 73 80
9 ### JERUK BING 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
10 ### TUNAS HARAPAN 1 0 2 0 1 1 1 0 0 1 2 0 1 1 1 0 0 1 1 0 1
11 ### MAWAR HIJAU 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0
12 ### ANGGREK JAKLUAY 21 23 0 1 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 1
13 ### PERMATA BUNDA 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 1 1
14 ### BERINGIN LONG WEHEA 30 33 0 0 1 4 1 3 0 2 1 3 1 4 1 3 0 2 1 3 1 3 1
TOTAL 250 332 5 3 15 12 12 12 11 8 12 10 15 13 14 11 10 8 14 10 10 12 0 0 0 0 0 1 1 6 8 4
1 DESA MUARA WAHAU 139 153 2 2 7 5 4 5 5 3 5 3 7 5 4 5 5 3 7 3 5 4 3 2 3
2 DESA DABEQ 8 9 0 0 0 1 1 0 1 0 1 0 0 1 1 0 1 0 1 0 1 0 1
3 DESA DIAKLAY 11 12 0 0 1 0 0 1 0 0 0 1 1 0 2 0 0 0 0 1 1 0 1
4 DESA BENHES 20 22 1 0 0 0 2 0 0 2 2 0 0 0 2 0 0 2 2 0 0 1 2 1
5 DESA NEHESLIAH BING 73 80 2 0 5 2 4 2 4 1 3 2 5 2 3 2 3 1 3 2 2 3 1 1 1 2
6 DESA JAKLUAY 21 23 0 1 1 0 0 1 1 0 0 1 1 1 1 1 1 0 0 1 0 1 1 1
7 DESA LONG WEHEA 30 33 0 0 1 4 1 3 0 2 1 3 1 4 1 3 0 2 1 3 1 3 1
TOTAL 302 332 5 3 15 12 12 12 11 8 12 10 15 13 14 11 10 8 14 10 10 12 0 0 0 0 0 1 1 7 8 4
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 DESEMBER 2013
PIMPINAN PKM MUARA WAHAU I 8 27 65 95 22 JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
28
28
21
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN UPT PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2014
Sasaran HB.0-7 POLIO DTP+HB POLIO DTP+HB POLIO DTP+HB POLIO TT CATIN TT BUMIL
BCG CAM PAK
NO Tanggal Nama Posyandu Desa Bayi Bum Hri I I II II III III IV
I II III IV V I II III IV V
L P il L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 1/4/2014 MELATI I 0 0 1 1 1 1 1 2 1 2 1 3 1 3 2 0 2 0 1 0 1 0 0 0 0 1 0 0 0 0
2 1/16/2014 MELATI II MUARA 0 0 8 8 7 9 5 4 4 7 3 7 4 7 4 7 6 9 9 1 0 0 0 0 0 7 11 4 4 0
139 153
3 1/17/2014 MELATI III WAHAU 2 0 1 2 1 2 4 3 0 5 4 2 9 3 4 10 2 9 3 0 1 0 0 0 0 0 7 3 2 2
4 1/7/2014 CEMPAKA 0 0 2 2 2 2 2 0 2 0 2 0 2 0 4 1 4 1 3 2 0 0 0 0 0 1 0 0 1 0
5 1/2/2014 DAHLIA DABEQ 8 9 0 0 1 1 1 1 1 0 1 0 0 0 0 0 1 0 1 0 1 1 0 0 0 0 0 1 0 0 0 0
6 1/2/2014 RAMBUTAN DIAKLAY 11 12 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0 2 0 2 1 0 0 0 0 0 0 0 0 0 0 0
7 1/3/2014 MATAHARI BENHES 20 22 0 0 0 3 0 3 1 2 1 2 1 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
8 1/5/2014 BINA LESTARI 0 0 4 0 4 0 1 1 1 1 2 0 2 0 0 0 0 0 3 0 0 0 0 0 0 0 1 1 0 0
NEHESLIAH 73 80
9 1/7/2014 JERUK BING 0 0 0 1 0 1 0 0 0 0 2 0 2 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0
10 1/10/2014 TUNAS HARAPAN 1 0 1 0 1 0 0 1 0 1 0 2 0 2 0 0 0 0 3 0 0 0 0 0 0 0 0 0 1 1
11 1/6/2014 MAWAR HIJAU 0 0 0 0 0 0 0 1 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
12 1/8/2014 ANGGREK JAKLUAY 21 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0
13 1/15/2014 PERMATA BUNDA 0 0 1 2 1 2 0 0 0 0 2 1 2 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0
14 1/6/2014 BERINGIN LONG WEHEA 30 33 0 0 0 0 0 0 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 250 332 3 0 20 20 19 21 15 14 10 19 19 16 25 17 18 23 18 24 24 4 2 0 0 0 0 11 21 9 8 3
1 DESA MUARA WAHAU 139 153 2 0 12 13 11 14 12 9 7 14 10 12 16 13 14 18 14 19 16 3 2 0 0 0 0 9 18 7 7 2
2 DESA DABEQ 8 9 0 0 1 1 1 1 1 0 1 0 0 0 0 0 1 0 1 0 1 1 0 0 0 0 0 1 0 0 0 0
3 DESA DIAKLAY 11 12 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0 2 0 2 1 0 0 0 0 0 0 0 0 0 0 0
4 DESA BENHES 20 22 0 0 0 3 0 3 1 2 1 2 1 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
5 DESA NEHESLIAH BING 73 80 1 0 5 1 5 1 1 2 1 2 4 2 4 0 0 2 0 2 6 0 0 0 0 0 0 0 1 1 1 1
6 DESA JAKLUAY 21 23 0 0 1 2 1 2 0 1 0 1 2 2 2 0 2 1 2 1 0 0 0 0 0 0 0 1 1 0 0 0
7 DESA LONG WEHEA 30 33 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 302 332 3 0 20 20 19 21 15 14 10 19 19 16 25 1 18 23 18 24 24 4 2 0 0 0 0 11 21 9 8 3
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 JANUARI 2014
PIMPINAN PKM MUARA WAHAU I 3 40 105 137 28 JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN UPT PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2014
Sasaran HB.0-7 POLIO DTP+HB POLIO DTP+HB POLIO DTP+HB POLIO TT CATIN TT BUMIL
BCG CAM PAK
NO Tanggal Nama Posyandu Desa Bayi Bum Hri I I II II III III IV
I II III IV V I II III IV V
L P il L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 2/4/2014 MELATI I 0 0 2 3 2 3 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 0 0 0 0 0 1 0 0 1
2 2/16/2014 MELATI II MUARA 0 0 5 7 5 7 12 2 7 7 8 5 5 9 5 9 8 7 3 0 0 0 0 0 0 0 6 3 3 1
139 153
3 2/17/2014 MELATI III WAHAU 0 2 5 2 6 3 1 3 1 3 4 3 4 3 4 2 4 2 4 3 0 0 0 0 0 1 4 0 0 0
4 2/7/2014 CEMPAKA 0 0 1 0 1 0 3 0 3 0 3 0 3 0 5 0 5 0 2 2 0 0 0 0 0 0 0 0 0 0
5 2/2/2014 DAHLIA DABEQ 8 9 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
6 2/2/2014 RAMBUTAN DIAKLAY 11 12 0 1 1 0 1 0 3 0 3 0 0 0 0 0 3 0 3 0 1 1 0 0 0 0 0 0 0 0 0 0
7 2/3/2014 MATAHARI BENHES 20 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0
8 2/5/2014 BINA LESTARI 0 0 0 0 0 0 6 0 6 0 1 1 1 1 1 1 1 1 2 2 0 0 0 0 0 0 0 0 1 1
NEHESLIAH 73 80
9 2/7/2014 JERUK BING 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 2/10/2014 TUNAS HARAPAN 0 0 2 0 2 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1
11 2/6/2014 MAWAR HIJAU 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 2/8/2014 ANGGREK JAKLUAY 21 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 3 0 0 0 0 0 0 0 0 0 0 0
13 2/15/2014 PERMATA BUNDA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 2/6/2014 BERINGIN LONG WEHEA 30 33 0 0 2 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0
TOTAL 250 332 1 3 20 13 21 14 25 6 20 11 17 11 14 15 18 13 21 11 19 13 0 0 0 0 0 1 12 4 5 4
1 DESA MUARA WAHAU 139 153 0 2 13 12 14 13 16 5 11 10 15 8 12 12 14 11 17 9 12 7 0 0 0 0 0 1 11 3 3 2
2 DESA DABEQ 8 9 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
3 DESA DIAKLAY 11 12 0 1 1 0 1 0 3 0 3 0 0 0 0 0 3 0 3 0 1 1 0 0 0 0 0 0 0 0 0 0
4 DESA BENHES 20 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0
5 DESA NEHESLIAH BING 73 80 0 0 2 0 2 0 6 1 6 1 2 2 2 2 1 1 1 1 3 2 0 0 0 0 0 0 0 0 1 2
6 DESA JAKLUAY 21 23 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 1 0 1 3 0 0 0 0 0 0 0 0 0 0 0
7 DESA LONG WEHEA 30 33 0 0 2 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0
TOTAL 302 332 1 3 20 13 21 14 25 6 20 11 17 11 14 15 18 13 21 11 19 13 0 0 0 0 0 1 12 4 5 4
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 PEBRUARI 2014
PIMPINAN PKM MUARA WAHAU I 4 33 90 120 32 JURIM PKM MW I
dr.ADIANTO LEBANG IDRIS,A.Md.Kep
NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN UPT PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2014
Sasaran HB.0-7 POLIO DTP+HB POLIO DTP+HB POLIO DTP+HB POLIO TT CATIN TT BUMIL
BCG CAM PAK
NO Tanggal Nama Posyandu Desa Bayi Bum Hri I I II II III III IV
I II III IV V I II III IV V
L P il L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 3/4/2014 MELATI I 0 0 0 0 1 0 1 2 1 1 1 2 1 3 2 1 2 1 0 2 0 0 0 1 0 0 0 1 1 0
2 3/16/2014 MELATI II MUARA 0 0 5 4 6 4 5 6 7 6 9 5 12 6 9 7 2 8 0 8 0 0 0 0 0 1 2 1 1 1
139 153
3 3/17/2014 MELATI III WAHAU 1 3 1 0 1 1 1 1 3 1 1 4 0 2 1 4 0 4 0 1 0 0 0 0 0 0 1 1 0 0
4 3/7/2014 CEMPAKA 0 0 3 1 3 1 2 3 2 3 5 2 5 2 3 1 3 1 1 1 0 1 1 0 0 0 0 0 0 0
5 3/3/2014 DAHLIA DABEQ 8 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0
6 3/3/2014 RAMBUTAN DIAKLAY 11 12 0 0 0 1 0 1 1 0 1 0 2 0 2 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0
7 3/4/2014 MATAHARI BENHES 20 22 0 0 0 0 0 0 0 0 0 0 0 4 0 4 3 2 3 2 1 0 0 0 0 0 0 0 0 0 0 0
8 3/5/2014 BINA LESTARI 0 0 0 2 0 2 1 0 1 0 2 1 3 1 2 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0
NEHESLIAH 73 80
9 3/7/2014 JERUK BING 0 0 0 1 0 1 0 1 0 0 1 2 0 1 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0
10 3/10/2014 TUNAS HARAPAN 0 0 2 0 1 0 3 0 4 0 0 1 0 0 0 2 0 1 0 0 0 0 0 0 1 0 0 0 0 0
11 3/6/2014 MAWAR HIJAU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 3/8/2014 ANGGREK JAKLUAY 21 23 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0
13 3/11/2014 PERMATA BUNDA 0 1 3 6 3 8 1 4 2 1 2 1 3 2 2 4 1 5 5 3 0 0 0 0 0 2 4 0 1 0
14 3/6/2014 BERINGIN LONG WEHEA 30 33 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
TOTAL 250 332 1 4 15 15 16 18 16 18 22 13 23 22 26 21 23 22 14 24 12 20 0 1 1 1 2 3 7 3 3 1
1 DESA MUARA WAHAU 139 153 1 3 9 5 11 6 9 12 13 11 16 13 18 13 15 13 7 14 1 12 0 1 1 1 0 1 3 3 2 1
2 DESA DABEQ 8 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0
3 DESA DIAKLAY 11 12 0 0 0 1 0 1 1 0 1 0 2 0 2 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0
4 DESA BENHES 20 22 0 0 0 0 0 0 0 0 0 0 0 4 0 4 3 2 3 2 1 0 0 0 0 0 0 0 0 0 0 0
5 DESA NEHESLIAH BING 73 80 0 0 2 3 1 3 4 1 5 0 3 4 3 2 2 3 1 2 0 2 0 0 0 0 2 0 0 0 0 0
6 DESA JAKLUAY 21 23 0 1 4 6 4 8 1 4 2 1 2 1 3 2 3 4 1 6 5 5 0 0 0 0 0 2 4 0 1 0
7 DESA LONG WEHEA 30 33 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
TOTAL 302 332 1 4 15 15 16 18 16 18 22 13 23 22 26 21 23 22 14 24 12 20 0 1 1 1 2 3 7 3 3 1
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 MARET 2014
PIMPINAN PKM MUARA WAHAU I 5 30 124 154 32 JURIM PKM MW I
dr.ADIANTO LEBANG IDRIS,A.Md.Kep
NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN UPT PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2014
Sasaran HB.0-7 POLIO DTP+HB POLIO DTP+HB POLIO DTP+HB POLIO TT CATIN TT BUMIL
BCG CAM PAK
NO Tanggal Nama Posyandu Desa Bayi Bum Hri I I II II III III IV
I II III IV V I II III IV V
L P il L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 4/1/2014 MELATI I 0 0 0 0 1 0 1 1 1 1 2 1 2 2 2 3 1 2 2 1 0 1 0 0 0 0 0 0 0 0
2 4/16/2014 MELATI II MUARA 0 0 6 4 1 1 5 6 2 0 6 6 0 2 6 8 2 1 7 3 0 0 1 0 0 2 1 7 3 0
139 153
3 4/17/2014 MELATI III WAHAU 0 0 2 2 2 0 0 0 0 1 0 0 0 1 0 0 1 2 0 2 0 0 0 0 0 4 1 2 0 0
4 4/7/2014 CEMPAKA 0 0 1 3 0 2 3 1 3 2 3 3 1 5 3 4 3 2 2 1 0 0 1 0 0 0 0 0 0 0
5 4/2/2014 DAHLIA DABEQ 8 9 0 0 1 1 1 1 1 0 1 0 1 0 2 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
6 4/2/2014 RAMBUTAN DIAKLAY 11 12 0 0 0 0 0 0 0 1 0 1 1 0 1 0 1 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0
7 4/3/2014 MATAHARI BENHES 20 22 1 0 1 0 1 0 0 2 0 0 2 1 0 0 0 2 0 3 1 0 0 0 0 0 0 0 0 0 0 0
8 4/5/2014 BINA LESTARI 0 0 0 0 0 0 0 0 0 0 2 0 2 0 3 0 3 1 2 0 0 0 0 1 0 0 0 0 0 0
NEHESLIAH 73 80
9 4/7/2014 JERUK BING 0 0 1 0 1 1 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0
10 4/10/2014 TUNAS HARAPAN 0 0 1 1 1 1 1 0 0 0 3 0 4 0 0 1 0 1 1 3 0 0 0 0 0 0 0 0 0 0
11 4/6/2014 MAWAR HIJAU 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
12 4/8/2014 ANGGREK JAKLUAY 21 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 2
13 4/8/2014 PERMATA BUNDA 0 0 0 3 0 2 1 5 1 6 1 2 1 2 2 3 2 3 2 3 0 0 0 0 0 0 0 0 0 0
14 4/6/2014 BERINGIN LONG WEHEA 30 33 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 250 332 1 0 13 14 8 8 13 17 9 11 22 15 14 14 19 23 14 16 22 13 0 1 2 1 0 6 3 9 3 2
1 DESA MUARA WAHAU 139 153 0 0 9 9 4 3 9 8 6 4 11 10 3 10 11 15 7 7 11 7 0 1 2 0 0 6 2 9 3 0
2 DESA DABEQ 8 9 0 0 1 1 1 1 1 0 1 0 1 0 2 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
3 DESA DIAKLAY 11 12 0 0 0 0 0 0 0 1 0 1 1 0 1 0 1 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0
4 DESA BENHES 20 22 1 0 1 0 1 0 0 2 0 0 2 1 0 0 0 2 0 3 1 0 0 0 0 0 0 0 0 0 0 0
5 DESA NEHESLIAH BING 73 80 0 0 2 1 2 2 1 0 0 0 5 1 6 1 4 2 3 3 4 3 0 0 0 1 0 0 0 0 0 0
6 DESA JAKLUAY 21 23 0 0 0 3 0 2 2 5 2 6 1 2 1 2 2 3 2 3 4 3 0 0 0 0 0 0 1 0 0 2
7 DESA LONG WEHEA 30 33 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 302 332 1 0 13 14 8 8 13 17 9 11 22 15 14 14 19 23 14 16 22 13 0 1 2 1 0 6 3 9 3 2
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 APRIL 2014
PIMPINAN PKM MUARA WAHAU I 1 27 109 94 35 JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN UPT PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2014
Sasaran HB.0-7 POLIO DTP+HB POLIO DTP+HB POLIO DTP+HB POLIO TT CATIN TT BUMIL
BCG CAM PAK
NO Tanggal Nama Posyandu Desa Bayi Bum Hri I I II II III III IV
I II III IV V I II III IV V
L P il L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 5/1/2014 MELATI I 0 0 1 0 1 0 1 0 1 0 0 0 0 0 1 0 1 0 1 2 0 0 0 0 0 0 0 1 0 0
2 5/16/2014 MELATI II MUARA 0 0 5 6 12 11 5 7 1 7 0 3 3 4 7 8 9 7 6 7 0 0 0 0 0 9 2 4 0 1
139 153
3 5/17/2014 MELATI III WAHAU 0 0 1 5 3 6 3 5 2 3 3 2 4 2 1 2 1 0 5 3 0 0 0 0 0 1 3 1 0 0
4 5/7/2014 CEMPAKA 0 0 2 1 2 1 2 2 2 2 3 2 3 2 1 2 1 2 2 1 0 0 0 0 0 0 0 0 0 0
5 5/2/2014 DAHLIA DABEQ 8 9 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 5/2/2014 RAMBUTAN DIAKLAY 11 12 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 2 1 0 0 0 0 0 0 0 0 0 0
7 5/3/2014 MATAHARI BENHES 20 22 0 0 1 0 1 0 1 0 1 0 0 0 0 1 1 2 1 1 0 1 0 0 0 0 0 0 0 0 0 0
8 5/5/2014 BINA LESTARI 0 0 0 0 0 0 0 1 0 1 0 0 0 0 2 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0
NEHESLIAH 73 80
9 5/7/2014 JERUK BING 0 1 0 1 1 1 1 2 1 2 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 5/10/2014 TUNAS HARAPAN 0 0 1 1 1 1 2 1 2 1 1 0 0 0 1 0 2 0 1 0 0 0 0 0 0 0 0 1 1 1
11 5/6/2014 MAWAR HIJAU 0 0 0 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 5/8/2014 ANGGREK JAKLUAY 21 23 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0
13 5/8/2014 PERMATA BUNDA 0 0 1 2 1 2 2 1 1 2 3 6 3 3 1 3 1 2 1 4 0 0 0 0 0 0 3 2 1 0
14 5/6/2014 BERINGIN LONG WEHEA 30 33 0 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 250 332 0 1 12 16 23 23 0 21 13 19 11 15 14 16 16 20 19 13 18 23 0 0 0 0 0 10 8 9 2 2
1 DESA MUARA WAHAU 139 153 0 0 9 12 18 18 1 14 6 12 6 7 10 8 10 12 12 9 14 13 0 0 0 0 0 10 5 6 0 1
2 DESA DABEQ 8 9 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 DESA DIAKLAY 11 12 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 2 1 0 0 0 0 0 0 0 0 0 0
4 DESA BENHES 20 22 0 0 1 0 1 0 1 0 1 0 0 0 0 1 1 2 1 1 0 1 0 0 0 0 0 0 0 0 0 0
5 DESA NEHESLIAH BING 73 80 0 1 1 2 2 2 3 4 3 4 1 0 0 3 3 3 4 0 1 1 0 0 0 0 0 0 0 1 1 1
6 DESA JAKLUAY 21 23 0 0 1 2 1 3 3 2 2 2 4 6 4 3 1 3 1 2 1 7 0 0 0 0 0 0 3 2 1 0
7 DESA LONG WEHEA 30 33 0 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 302 332 0 1 12 16 23 23 10 21 13 19 11 15 14 16 16 20 19 13 18 23 0 0 0 0 0 10 8 9 2 2
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 26 MEI 2014
PIMPINAN PKM MUARA WAHAU I 1 28 93 140 41 JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN UPT PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2014
Sasaran HB.0-7 POLIO DTP+HB POLIO DTP+HB POLIO DTP+HB POLIO TT CATIN TT BUMIL
BCG CAM PAK
NO Tanggal Nama Posyandu Desa Bayi Bum Hri I I II II III III IV
I II III IV V I II III IV V
L P il L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 6/1/2014 MELATI I 0 0 0 2 0 2 1 0 1 0 2 0 2 0 1 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0
2 6/16/2014 MELATI II MUARA 1 0 2 5 3 3 5 2 5 2 6 5 5 4 3 2 5 2 5 4 0 0 0 0 0 0 0 3 4 2
139 153
3 6/17/2014 MELATI III WAHAU 0 1 4 1 4 6 3 6 3 2 1 2 1 5 4
4 6/7/2014 CEMPAKA 0 0 0 0 0 0 2 0 2 0 2 2 2 0 5 4 6 3 3 2 0 0 0 0 0 0 0 2 0 0
5 6/2/2014 DAHLIA DABEQ 8 9 0 0 0 2 0 2 2 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 6/2/2014 RAMBUTAN DIAKLAY 11 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0
7 6/3/2014 MATAHARI BENHES 20 22 0 0 0 2 1 2 1 1 0 1 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 3
8 6/5/2014 BINA LESTARI 1
NEHESLIAH 73 80
9 6/7/2014 JERUK BING 0 0 0 0 0 0 0 0 0 0 1 3 0 3 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
10 6/10/2014 TUNAS HARAPAN 0 0 1 0 1 0 1 0 1 0 0 1 0 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
11 6/6/2014 MAWAR HIJAU 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
12 6/8/2014 ANGGREK JAKLUAY 21 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 6/8/2014 PERMATA BUNDA 1 1 0 0 0 0 1 1 1 1 0 1 0 1 1 1 0 1 1 2 0 0 0 0 0 2 1 0 0 0
14 6/6/2014 BERINGIN LONG WEHEA 30 33 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 250 332 2 1 3 11 5 9 14 10 13 11 20 15 17 13 17 9 18 7 16 14 0 0 0 0 0 3 1 5 5 5
1 DESA MUARA WAHAU 139 153 1 0 2 7 3 5 9 6 9 6 16 10 15 7 11 7 14 6 14 10 0 0 0 0 0 1 0 5 4 2
2 DESA DABEQ 8 9 0 0 0 2 0 2 2 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 DESA DIAKLAY 11 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0
4 DESA BENHES 20 22 0 0 0 2 1 2 1 1 0 1 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 3
5 DESA NEHESLIAH BING 73 80 0 0 1 0 1 0 1 0 1 0 1 4 0 4 3 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0
6 DESA JAKLUAY 21 23 1 1 0 0 0 0 1 1 1 2 1 1 0 1 2 1 1 1 1 2 0 0 0 0 0 2 1 0 0 0
7 DESA LONG WEHEA 30 33 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 302 332 2 1 3 11 5 9 14 10 13 11 20 15 17 13 17 9 18 7 16 14 0 0 0 0 0 3 1 5 5 5
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 JUNI 2014
PIMPINAN PKM MUARA WAHAU I 3 14 85 93 30 JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN UPT PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2014
Sasaran HB.0-7 POLIO DTP+HB POLIO DTP+HB POLIO DTP+HB POLIO TT CATIN TT BUMIL
BCG CAM PAK
NO Tanggal Nama Posyandu Desa Bayi Bum Hri I I II II III III IV
I II III IV V I II III IV V
L P il L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 7/1/2014 MELATI I 0 0 4 1 3 1 0 0 1 0 1 0 1 0 1 0 1 1 0 2 0 0 0 0 0 0 0 0 0 0
2 7/16/2014 MELATI II MUARA 0 1 3 2 3 3 6 6 4 5 4 3 5 5 3 6 4 5 2 4 1 0 0 0 0 1 4 0 1 0
139 153
3 7/17/2014 MELATI III WAHAU 1 0 4 3 8 5 2 6 4 3 1 4 3 2 4 0 2 0 4 1 0 0 0 0 0 0 4 2 3 0
4 7/7/2014 CEMPAKA 0 0 4 4 4 4 1 0 1 0 0 0 0 2 2 0 2 0 1 1 0 0 0 0 0 0 0 0 0 0
5 7/2/2014 DAHLIA DABEQ 8 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0
6 7/2/2014 RAMBUTAN DIAKLAY 11 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 7/3/2014 MATAHARI BENHES 20 22 0 0 0 1 0 1 0 1 0 1 0 2 0 2 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0
8 7/5/2014 BINA LESTARI 0 1 4 2 4 3 0 1 0 1 0 0 0 0 0 1 0 1 4 0 0 0 0 0 0 0 0 0 1 1
NEHESLIAH 73 80
9 7/7/2014 JERUK BING 0 0 1 4 1 4 0 1 0 1 0 0 0 0 0 3 0 4 1 0 0 0 0 0 0 0 0 0 0 0
10 7/10/2014 TUNAS HARAPAN 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0
11 7/6/2014 MAWAR HIJAU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
12 7/8/2014 ANGGREK JAKLUAY 21 23 0 0 0 0 0 1 0 1 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
13 7/8/2014 PERMATA BUNDA 1 0 4 4 4 4 0 2 2 2 2 1 2 1 3 3 3 3 3 3 0 0 0 0 0 2 0 0 0 0
14 7/6/2014 BERINGIN LONG WEHEA 30 33 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0
TOTAL 250 332 2 2 24 21 27 26 9 18 12 13 10 12 13 14 16 15 15 16 18 12 1 0 0 0 0 3 8 3 7 1
1 DESA MUARA WAHAU 139 153 1 1 15 10 18 13 9 12 10 8 6 7 9 9 10 6 9 6 7 8 1 0 0 0 0 1 8 2 4 0
2 DESA DABEQ 8 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0
3 DESA DIAKLAY 11 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 DESA BENHES 20 22 0 0 0 1 0 1 0 1 0 1 0 2 0 2 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0
5 DESA NEHESLIAH BING 73 80 0 1 5 6 5 7 0 2 0 2 0 1 0 1 1 5 1 6 5 0 0 0 0 0 0 0 0 0 1 1
6 DESA JAKLUAY 21 23 1 0 4 4 4 5 0 3 2 2 4 1 4 1 3 3 3 3 3 3 0 0 0 0 0 2 0 1 1 0
7 DESA LONG WEHEA 30 33 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0
TOTAL 302 332 2 2 24 21 27 26 9 18 12 13 10 12 13 14 16 15 15 16 18 12 1 0 0 0 0 3 8 3 7 1
MENGETAHUI, Pemakaian vaksin 53 25 27 31 136 MUARA WAHAU, 25 JULI 2014
PIMPINAN PKM MUARA WAHAU I 4 45 27 22 31 80 30 JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN UPT PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2014
Sasaran HB.0-7 POLIO DTP+HB POLIO DTP+HB POLIO DTP+HB POLIO TT CATIN TT BUMIL
BCG CAM PAK
NO Tanggal Nama Posyandu Desa Bayi Bum Hri I I II II III III IV
I II III IV V I II III IV V
L P il L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 8/1/2014 MELATI I 0 0 0 0 0 0 2 2 2 2 0 2 0 0 1 0 1 0 2 2 0 0 0 0 0 0 0 0 0 0
2 8/16/2014 MELATI II MUARA 0 0 4 3 0 0 5 5 0 1 6 5 0 0 0 3 0 0 2 5 0 2 0 0 0 2 4 6 6 3
139 153
3 8/17/2014 MELATI III WAHAU 0 0 5 4 0 0 5 6 0 0 6 6 0 0 0 4 0 0 3 8 0 0 0 0 0 0 1 1 1 4
4 8/7/2014 CEMPAKA 0 0 0 0 0 0 2 3 2 3 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 3 2 2 0 0
5 8/2/2014 DAHLIA DABEQ 8 9 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 8/2/2014 RAMBUTAN DIAKLAY 11 12 0 0 2 0 2 0 0 0 0 0 2 2 1 2 1 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0
7 8/3/2014 MATAHARI BENHES 20 22 0 0 2 0 2 0 0 0 2 1 0 0 2 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0
8 8/5/2014 BINA LESTARI 0 0 4 4 4 4 2 5 4 5 5 3 5 4 4 1 5 0 3 6 0 0 0 0 0 0 0 0 0 0
NEHESLIAH 73 80
9 8/7/2014 JERUK BING 1 1 0 1 0 1 1 2 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
10 8/10/2014 TUNAS HARAPAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 1 0 0 0 0 0 0 0 1 0 0
11 8/6/2014 MAWAR HIJAU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 8/8/2014 ANGGREK JAKLUAY 21 23 0 0 1 0 1 0 0 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
13 8/8/2014 PERMATA BUNDA 0 0 4 3 4 3 4 3 4 4 0 3 0 2 2 0 1 0 1 2 0 0 0 0 0 0 2 0 0 0
14 8/6/2014 BERINGIN LONG WEHEA 30 33 0 0 5 5 4 5 4 3 5 3 4 3 4 1 4 3 4 3 5 4 0 0 0 0 0 0 0 0 0 0
TOTAL 250 332 1 2 27 20 17 13 25 29 20 21 23 26 13 10 14 16 12 9 18 28 0 2 0 0 0 6 9 10 7 7
1 DESA MUARA WAHAU 139 153 0 0 9 7 0 0 14 16 4 6 12 13 0 0 1 9 1 2 7 15 0 2 0 0 0 5 7 9 7 7
2 DESA DABEQ 8 9 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 DESA DIAKLAY 11 12 0 0 2 0 2 0 0 0 0 0 2 2 1 2 1 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0
4 DESA BENHES 20 22 0 0 2 0 2 0 0 0 2 1 0 0 2 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0
5 DESA NEHESLIAH BING 73 80 0 0 5 3 5 3 4 3 4 5 0 4 0 2 3 0 2 0 1 2 0 0 0 0 0 0 2 0 0 0
6 DESA JAKLUAY 21 23 0 0 5 3 5 3 4 3 4 5 0 4 0 2 3 0 2 0 1 2 0 0 0 0 0 0 2 0 0 0
7 DESA LONG WEHEA 30 33 0 0 5 5 4 5 4 3 5 3 4 3 4 1 4 3 4 3 5 4 0 0 0 0 0 0 0 0 0 0
TOTAL 302 332 0 1 28 18 18 11 26 25 19 20 18 26 7 7 12 13 9 7 16 23 0 2 0 0 0 5 11 9 7 7
MENGETAHUI, Pemakaian vaksin 29 39 14 16 98 MUARA WAHAU, 25 AGUSTUS 2014
PIMPINAN PKM MUARA WAHAU I 1 46 51 44 25 120 39 JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2014
Sasaran HB.0-7 POLIO DTP+HB POLIO DTP+HB POLIO DTP+HB POLIO TT CATIN TT BUMIL
BCG CAM PAK
NO Tanggal Nama Posyandu Desa Bayi Bum Hri I I II II III III IV
I II III IV V I II III IV V
L P il L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 9/4/2014 MELATI I 0 0 1 3 0 0 1 1 0 0 1 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1
2 9/16/2014 MELATI II MUARA 0 0 0 2 0 2 1 1 2 3 1 6 2 5 2 1 5 2 4 3 0 0 0 0 0 2 0 6 0 1
139 153
3 9/17/2014 MELATI III WAHAU 0 0 0 0 2 6 4 2 4 6 3 7 4 8 3 1 3 3 3 3 0 0 0 0 0 4 0 1 0 1
4 9/8/2014 CEMPAKA 0 0 0 2 0 0 1 2 0 0 3 3 0 0 1 1 0 0 2 1 0 0 0 0 0 0 0 0 0 0
5 9/2/2014 DAHLIA DABEQ 8 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 9/2/2014 RAMBUTAN DIAKLAY 11 12 0 1 1 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 1 1 0
7 9/3/2014 MATAHARI BENHES 20 22 0 0 1 4 0 0 0 2 0 0 0 0 0 0 1 1 0 0 0 2 0 0 0 0 0 0 1 0 0 0
8 9/5/2014 BINA LESTARI 0 0 1 0 1 0 4 3 0 0 1 1 0 0 0 0 0 0 1 2 0 0 0 0 0 0 1 0 0 0
NEHESLIAH 73 80
9 9/8/2014 JERUK BING 0 0 1 3 0 0 0 3 0 0 1 2 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0
10 9/10/2014 TUNAS HARAPAN 1 0 0 0 1 4 0 2 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0
11 9/6/2014 MAWAR HIJAU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 9/9/2014 ANGGREK JAKLUAY 21 23 0 2 0 0 0 0 1 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 9/9/2014 PERMATA BUNDA 0 1 0 0 0 3 2 1 3 1 2 1 3 2 0 1 0 0 1 3 0 1 0 0 0 0 1 0 1 1
14 9/6/2014 BERINGIN LONG WEHEA 30 33 0 0 2 1 2 1 2 1 2 2 2 2 2 2 1 2 1 2 2 2 0 0 0 0 0 0 0 0 0 0
TOTAL 250 332 1 4 7 15 6 16 17 21 12 13 15 23 13 18 9 10 10 7 16 18 0 1 0 0 1 6 3 8 3 4
1 DESA MUARA WAHAU 139 153 0 0 1 7 2 8 7 6 6 9 8 17 7 13 7 3 9 5 9 7 0 0 0 0 0 6 0 7 1 3
2 DESA DABEQ 8 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 DESA DIAKLAY 11 12 0 0 1 4 0 0 0 2 0 0 0 0 0 0 1 1 0 0 0 2 0 0 0 0 0 0 1 0 0 0
4 DESA BENHES 20 22 0 0 1 4 0 0 0 2 0 0 0 0 0 0 1 1 0 0 0 2 0 0 0 0 0 0 1 0 0 0
5 DESA NEHESLIAH BING 73 80 1 0 2 3 2 4 4 8 0 1 3 3 1 0 0 1 0 0 1 4 0 0 0 0 1 0 1 0 0 0
6 DESA JAKLUAY 21 23 0 3 0 0 0 3 3 1 4 1 2 1 3 3 0 2 0 0 1 3 0 1 0 0 0 0 1 0 1 1
7 DESA LONG WEHEA 30 33 0 0 2 1 2 1 2 1 2 2 2 2 2 2 1 2 1 2 2 2 0 0 0 0 0 0 0 0 0 0
TOTAL 302 332 1 3 7 19 6 16 16 20 12 13 15 23 13 18 10 11 10 7 13 20 0 1 0 0 1 6 4 7 2 4
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 SEPTEMBER 2014
PIMPINAN PKM MUARA WAHAU I 4 26 95 95 20 JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2014
Sasaran HB.0-7 POLIO DTP+HB POLIO DTP+HB POLIO DTP+HB POLIO TT CATIN TT BUMIL
BCG CAM PAK
NO Tanggal Nama Posyandu Desa Bayi Bum Hri I I II II III III IV
I II III IV V I II III IV V
L P il L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 10/1/2014 MELATI I 1 0 0 4 0 4 1 1 1 0 1 1 2 2 2 2 0 1 1 0 0 0 0 1 0 0 0 0 0 0
2 10/16/2014 MELATI II MUARA 0 0 3 2 2 3 2 5 2 5 4 4 1 5 1 4 1 2 5 4 0 0 0 0 0 0 3 3 1 0
139 153
3 10/17/2014 MELATI III WAHAU 0 0 3 4 2 3 2 3 2 1 3 1 5 5 2 3 1 5 3 1 0 0 0 0 0 0 0 0 1 0
4 10/7/2014 CEMPAKA 0 0 0 1 0 2 0 2 1 2 1 2 2 2 3 3 0 1 2 3 0 0 0 0 0 1 0 0 0 0
5 10/2/2014 DAHLIA DABEQ 8 9 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0
6 10/2/2014 RAMBUTAN DIAKLAY 11 12 0 0 0 2 0 2 0 0 1 2 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
7 10/3/2014 MATAHARI BENHES 20 22 0 0 0 2 1 6 2 1 2 2 1 1 0 0 0 0 1 3 0 1 0 0 0 0 0 0 1 1 3 0
8 10/5/2014 BINA LESTARI 0 0 2 0 2 0 1 0 3 2 4 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
NEHESLIAH 73 80
9 10/7/2014 JERUK BING 0 0 0 0 0 0 0 0 0 2 0 1 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 10/10/2014 TUNAS HARAPAN 0 0 2 3 2 3 0 0 0 0 0 1 0 1 1 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0
11 10/6/2014 MAWAR HIJAU 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
12 10/8/2014 ANGGREK JAKLUAY 21 23 0 0 2 2 2 2 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0
13 10/8/2014 PERMATA BUNDA 0 0 0 3 0 1 3 3 2 2 3 2 2 1 3 2 3 2 2 0 0 0 0 0 0 0 1 2 0 0
14 10/6/2014 BERINGIN LONG WEHEA 30 33 0 0 1 2 1 2 2 2 0 0 1 2 0 0 1 0 1 1 2 1 0 0 0 0 0 0 0 1 1 0
TOTAL 250 332 2 0 13 25 12 28 13 18 14 19 20 18 14 18 13 17 8 17 19 10 0 0 0 1 0 2 6 9 6 0
1 DESA MUARA WAHAU 139 153 1 0 6 11 4 12 5 11 6 8 9 8 10 14 8 12 2 9 11 8 0 0 0 1 0 1 3 3 2 0
2 DESA DABEQ 8 9 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0
3 DESA DIAKLAY 11 12 0 0 0 2 0 2 0 0 1 2 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
4 DESA BENHES 20 22 0 0 0 2 1 6 2 1 2 2 1 1 0 0 0 0 1 3 0 1 0 0 0 0 0 0 1 1 3 0
5 DESA NEHESLIAH BING 73 80 0 0 4 3 4 3 1 0 3 4 4 3 1 3 1 3 1 1 3 0 0 0 0 0 0 0 0 0 0 0
6 DESA JAKLUAY 21 23 1 0 2 5 2 3 3 3 2 2 4 2 3 1 3 2 3 3 2 0 0 0 0 0 0 0 2 3 0 0
7 DESA LONG WEHEA 30 33 0 0 1 2 1 2 2 2 0 0 1 2 0 0 1 0 1 1 2 1 0 0 0 0 0 0 0 1 1 0
TOTAL 302 332 2 0 13 25 12 28 13 18 14 19 20 18 14 18 13 17 8 17 19 10 0 0 0 1 0 2 6 9 6 0
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 OKTOBER 2014
PIMPINAN PKM MUARA WAHAU I JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2014
Sasaran HB.0-7 POLIO DTP+HB POLIO DTP+HB POLIO DTP+HB POLIO TT CATIN TT BUMIL
BCG CAM PAK
NO Tanggal Nama Posyandu Desa Bayi Bum Hri I I II II III III IV
I II III IV V I II III IV V
L P il L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 11/1/2014 MELATI I
2 11/16/2014 MELATI II MUARA 139 153
3 11/17/2014 MELATI III WAHAU
4 11/7/2014 CEMPAKA
5 11/2/2014 DAHLIA DABEQ 8 9
6 11/2/2014 RAMBUTAN DIAKLAY 11 12
7 11/3/2014 MATAHARI BENHES 20 22
8 11/5/2014 BINA LESTARI
NEHESLIAH 73 80
9 11/7/2014 JERUK BING
10 11/10/2014 TUNAS HARAPAN
11 11/6/2014 MAWAR HIJAU
12 11/8/2014 ANGGREK JAKLUAY 21 23
13 11/8/2014 PERMATA BUNDA
14 11/6/2014 BERINGIN LONG WEHEA 30 33
TOTAL 250 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 DESA MUARA WAHAU 139 153
2 DESA DABEQ 8 9
3 DESA DIAKLAY 11 12
4 DESA BENHES 20 22
5 DESA NEHESLIAH BING 73 80
6 DESA JAKLUAY 21 23
7 DESA LONG WEHEA 30 33
TOTAL 302 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 NOPEMBER 2014
PIMPINAN PKM MUARA WAHAU I JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
LAPORAN HASIL KEGIATAN IMUNISASI DASAR / RUTIN PUSKESMAS MUARA WAHAU I KEC.MUARA WAHAU KAB. KUTIM TAHUN 2014
Sasaran HB.0-7 POLIO DTP+HB POLIO DTP+HB POLIO DTP+HB POLIO TT CATIN TT BUMIL
BCG CAM PAK
NO Tanggal Nama Posyandu Desa Bayi Bum Hri I I II II III III IV
I II III IV V I II III IV V
L P il L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 12/1/2014 MELATI I
2 12/16/2014 MELATI II MUARA 139 153
3 12/17/2014 MELATI III WAHAU
4 12/7/2014 CEMPAKA
5 12/2/2014 DAHLIA DABEQ 8 9
6 12/2/2014 RAMBUTAN DIAKLAY 11 12
7 12/3/2014 MATAHARI BENHES 20 22
8 12/5/2014 BINA LESTARI
NEHESLIAH 73 80
9 12/7/2014 JERUK BING
10 12/10/2014 TUNAS HARAPAN
11 12/6/2014 MAWAR HIJAU
12 12/8/2014 ANGGREK JAKLUAY 21 23
13 12/8/2014 PERMATA BUNDA
14 12/6/2014 BERINGIN LONG WEHEA 30 33
TOTAL 250 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 DESA MUARA WAHAU 139 153
2 DESA DABEQ 8 9
3 DESA DIAKLAY 11 12
4 DESA BENHES 20 22
5 DESA NEHESLIAH BING 73 80
6 DESA JAKLUAY 21 23
7 DESA LONG WEHEA 30 33
TOTAL 302 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MENGETAHUI, Pemakaian vaksin MUARA WAHAU, 25 DESEMBER 2014
PIMPINAN PKM MUARA WAHAU I JURIM PKM MW I

dr.ADIANTO LEBANG IDRIS,A.Md.Kep


NIP. 19780905 200604 1 008 NIP.19680502 198911 1 001
Sasaran HB.0-7 POLIO DTP+HB POLIO DTP+HB POLIO DTP+HB POLIO TT CATIN TT BUMIL
BCG CAM PAK
NO Tanggal Nama Posyandu Desa Bayi Bum Hri I I II II III III IV
I II III IV V I II III IV V
L P il L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 DESA MUARA WAHAU 139 153
2 DESA DABEQ 8 9
3 DESA DIAKLAY 11 12
4 DESA BENHES 20 22
5 DESA NEHESLIAH BING 73 80
6 DESA JAKLUAY 21 23
7 DESA LONG WEHEA 30 33
TOTAL 302 332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54
26
22
27
31

1.58

LAKI2 PEREMPUAN
1.58 3810 6020 1.58 3160 4993 14174
268 423 208 329 960
277 438 252 398 1088
484 765 462 730 1957
2107 3329 1893 2991 8213
530 837 476 752 2065
787 1243 625 988 2856
13056 11180 24236

19
23
41
25

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