APORAN REKAPITULASWI HASIL PELAKSANAAN CATH-UP CAMPAIGN MEASILES RUBELLA (MR)

PUSKESMAS :............
KABUPATEN :............
Sasaran Cakupan Sasaran Cakupan Sasaran Cakupan Sasaran Cakupan PEMAKAIAN VAKSIN DAN LOGISTIK
NO DESA/PAUD/TK/SD/SMP/SMA/SMK 5-59bln JML 5-59bln 5-6Thn JML 5-6Thn 7-12Thn JML 7-12Thn 13-15Thn JML Sasaran Vaksin MR Pelarut MR Alat Suntik 0,5 ml Alat Suntik 5 ml Safety Box
L P L P JML % L P L P JML % L P L P JML % L P L P JML % Diterima Dipakai Sisa Diterima Dipakai Sisa Diterima Dipakai Sisa Diterima Dipakai Sisa Diterima Dipakai Sisa
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
TOTAL

Malang,............................................2017
KEPALA UPTD PUSKESMAS LAWANG

dr. Nur Syamsu Dhuha

NIP. 19771202 201001 1 002