LAPORAN BULANAN HASIL IMUNISASI RUTIN BAYI PUSKESMAS

Puskesmas: OMBEN
Kabupaten/Kota: Sampang
Provinsi: Jawa Timur
Bulan : Agustus 2019

BAYI BARU LAHIR SURVIVING INFANT HB0 (< 24 JAM) HB0

NO DESA / KELURAHAN
L P JUMLAH L P JUMLAH #L #P # JML #% #L
1 2 3 4 5 6 7 8 9 10 11 12 13
1 Gersempal 39 42 81 37 36 73 3 5 8 9.2 0
2 Meteng 42 44 86 40 39 79 3 2 5 5.3 0
3 Madulang 50 52 102 47 46 93 2 9 11 10.8 0
4 Kamondung 51 54 105 48 47 95 3 5 8 7.8 0
5 Tambak 74 77 151 70 68 138 2 7 9 6.6 0
6 Temoran 36 38 74 34 33 67 7 0 7 7.0 0
7 Omben 46 49 95 44 43 87 5 2 7 7.1 0
8 Rapalaok 30 31 61 28 27 55 7 4 11 13.6 0
9 Rapadaya 18 19 37 17 17 34 1 3 4 9.1 0
10 Kr. Gayam 37 39 76 35 34 69 6 5 11 12.6 0
PUSKESMAS 423 445 868 400 390 790 39 42 81 8.9 0

Mengetahui
Kepala UPTD Puskesmas Omben

dr. Lilik Suryani

NIP.19820319 201001 2 005
 KEMBALI

HB0 (1-7 HARI) BCG POLIO1 DPT/HB-Hib (1)

#P # JML #% #L #P # JML #% #L #P # JML #% #L #P # JML
14 15 16 17 18 19 20 21 22 23 24 25 26 27
0 0 0.0 5 4 9 12.3 6 5 11 15.1 2 4 6
0 0 0.0 4 2 6 7.6 4 2 6 7.6 4 5 9
0 0 0.0 7 3 10 10.8 7 3 10 10.8 3 2 5
0 0 0.0 1 2 3 3.2 2 3 5 5.3 2 6 8
0 0 0.0 10 5 15 10.9 10 5 15 10.9 8 7 15
0 0 0.0 4 3 7 10.4 4 3 7 10.4 7 4 11
0 0 0.0 3 6 9 10.3 8 11 19 21.8 4 10 14
0 0 0.0 1 4 5 9.1 3 5 8 14.5 1 3 4
0 0 0.0 2 0 2 5.9 2 0 2 5.9 3 1 4
0 0 0.0 3 5 8 11.6 1 2 3 4.3 3 5 8
0 0 0.0 40 34 74 9.2 47 39 86 10.7 37 47 84

Pelaksana Imunisasi

Hendra Wijaya Kusuma

NIP. -
 HASIL IMUNISASI BAYI
Hib (1) POLIO2 DPT/HB-Hib (2) POLIO3 DPT/HB-Hi
#% #L #P # JML #% #L #P # JML #% #L #P # JML #% #L
28 29 30 31 32 33 34 35 36 37 38 39 40 41
8.2 3 5 8 11.0 2 6 8 11.0 3 6 9 12.3 4
11.4 4 6 10 12.7 5 5 10 12.7 5 5 10 12.7 4
5.4 3 2 5 5.4 1 1 2 2.2 2 2 4 4.3 1
8.4 3 8 11 11.6 6 2 8 8.4 8 3 11 11.6 4
10.9 8 7 15 10.9 8 9 17 12.3 8 9 17 12.3 5
16.4 7 4 11 16.4 8 6 14 20.9 8 6 14 20.9 5
16.1 5 12 17 19.5 4 6 10 11.5 16 7 23 26.4 4
7.3 3 5 8 14.5 6 4 10 18.2 7 6 13 23.6 8
11.8 4 1 5 14.7 1 1 2 5.9 1 2 3 8.8 2
11.6 5 3 8 11.6 3 5 8 11.6 1 2 3 4.3 3
10.7 45 53 98 12.8 44 45 89 11.5 59 48 107 13.7 40
DPT/HB-Hib (3) POLIO4 IPV MR
#P # JML #% #L #P # JML #% #L #P # JML #% #L #P # JML
42 43 44 45 46 47 48 49 50 51 52 53 54 55
5 9 12.3 5 5 10 13.7 3 1 4 5.5 4 4 8
4 8 10.1 8 6 14 17.7 6 4 10 12.7 1 4 5
3 4 4.3 3 6 9 9.7 1 1 2 2.2 4 9 13
3 7 7.4 4 3 7 7.4 3 1 4 4.2 3 5 8
8 13 9.4 5 8 13 9.4 3 5 8 5.8 3 7 10
5 10 14.9 5 5 10 14.9 3 1 4 6.0 6 5 11
12 16 18.4 9 12 21 24.1 7 7 14 16.1 5 3 8
8 16 29.1 11 12 23 41.8 5 6 11 20.0 5 6 11
1 3 8.8 4 3 7 20.6 2 1 3 8.8 1 0 1
5 8 11.6 0 5 3 4.3 1 0 1 1.4 1 1 2
54 94 12.6 54 65 117 16.4 34 27 61 8.3 33 44 77
 HASIL IMUNISASI BATITA
R IMUNISASI DASAR LENGKAP SASARAN BATITA DPT/HB/Hib MR
#% #L #P # JML #% L P JUMLAH #L #P # JML #% #L #P
56 57 58 59 60 61 62 63 64 65 66 67 68 69
11.0 4 4 8 11.0 37 36 73 4 3 7 9.6 2 4
6.3 1 4 5 6.3 40 39 79 8 0 8 10.1 0 1
14.0 4 9 13 14.0 47 46 93 2 1 3 3.2 1 3
8.4 3 5 8 8.4 48 47 95 4 4 8 8.4 4 4
7.2 3 7 10 7.2 70 68 138 3 4 7 5.1 3 3
16.4 4 7 11 16.4 34 33 67 2 1 3 4.5 1 1
9.2 5 3 8 9.2 44 43 87 3 3 6 6.9 6 7
20.0 5 6 11 20.0 28 27 55 3 4 7 12.7 1 2
2.9 2 1 3 8.8 17 18 35 1 2 3 8.6 0 4
2.9 1 1 2 2.9 35 34 69 3 4 7 10.1 3 5
9.8 32 47 79 10.4 400 391 791 33 26 59 7.9 21 34
HASIL IMUNISASI BATITA
MR
# JML #%
70 71
6 8.2
1 1.3
4 4.3
8 8.4
6 4.3
2 3.0
13 14.9
3 5.5
4 11.4
8 11.6
55 7.3
 REKAPITULASI TT BULAN AGUSTUS 2019
No Desa BUMIL NON BUMIL
TT1 TT2 TT3 TT4 TT5 TT1 TT2 TT3 TT4 TT5

1 Gersempal 6 7 0 0 0 0 0 0 0 0
2 Meteng 5 8 4 1 0 0 0 0 0 0
3 Madulang 9 2 4 0 0 0 0 0 0 0
4 Kamondung 6 4 2 2 2 1 1 0 0 0
5 Tambak 4 7 3 0 0 0 0 0 0 0
6 Temoran 2 3 3 2 0 0 0 0 0 0
7 Omben 2 2 5 2 0 0 0 0 0 0
8 Rapalaok 5 3 0 0 0 0 0 0 0 0
9 Rapadaya 0 0 3 2 2 0 0 0 0 0
10 Kr. Gayam 5 0 3 0 1 0 0 0 0 0
TOTAL 44 36 27 9 5 1 1 0 0 0
 JANUARI FEBRUARI MARET APRIL MEI JUNI
BAYI PARIPURNA DW LW DW LW DW LW DW LW DW LW DW
L P L P L P L P L P L P L P L P L P L P L P
1 Gersempal 3 3 0 0 2 3 0 0 6 4 0 0 1 4 0 0 2 5 0 0 4 5
2 Meteng 2 0 0 0 6 0 0 0 2 2 0 0 2 5 0 0 5 3 0 0 4 1
3 Madulang 3 3 0 0 1 0 0 0 7 4 0 0 1 4 0 0 4 1 0 0 3 4
4 Kamondung 6 7 0 0 1 2 0 0 0 3 0 0 4 4 0 0 2 5 0 0 5 3
5 Tambak 4 0 0 0 4 5 0 0 7 6 0 0 6 3 0 0 3 7 0 0 3 2
6 Temoran 2 0 0 0 5 3 0 0 4 3 0 0 1 2 0 0 4 3 0 0 2 3
7 Omben 3 1 0 0 3 2 0 0 2 2 0 0 4 1 0 0 1 6 0 0 4 4
8 Rapa laok 3 4 0 0 1 1 0 0 4 3 0 0 1 2 0 0 5 6 0 0 5 2
9 Rapa daya 2 1 0 0 1 2 0 0 0 2 0 0 2 2 0 0 0 0 0 0 0 1
10 Kr. Gayam 5 8 0 0 2 5 0 0 4 6 0 0 7 4 0 0 2 2 0 0 3 2
TOTAL 33 27 0 0 26 23 0 0 36 35 0 0 29 31 0 0 28 38 0 0 33 27
JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOVEMBER DESEMBER
LW DW LW DW LW DW LW DW LW DW LW DW LW DW
L P L P L P L P L P L P L P L P L P L P L P L P L P L
0 0 5 5 0 0 5 2 0 0 28
0 0 4 1 0 0 2 4 0 0 27
0 0 3 3 0 0 6 3 0 0 28
0 0 6 6 0 0 8 5 0 0 32
0 0 4 9 0 0 6 6 0 0 37
0 0 6 8 0 0 6 5 0 0 30
0 0 6 1 0 0 3 0 0 0 26
0 0 1 2 0 0 2 3 0 0 22
0 0 1 5 0 0 2 1 0 0 8
0 0 3 3 0 0 5 6 0 0 31
0 0 39 43 0 0 45 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 269
 TOTAL
DW LW
P L P
31 0 0
16 0 0
22 0 0
35 0 0
38 0 0
27 0 0
17 0 0
23 0 0
14 0 0
36 0 0
259 0 0