2 YAYASAN 696 731 1427 349 19 19 38 2 10.5 1 5.3 3 7.9 2 10.5 4 21.1 6 15.8 0 - 0 - 0 0.0 1 5.3 3 15.8 4 10.5 1 5.3 0 0.0 1 2.6 0 0.0 0 0.0 0 0.0 2 YAYASAN
3 GOTALAMO 1071 1007 2078 560 43 42 85 2 4.7 2 4.8 4 4.7 1 2.3 2 4.8 3 3.5 4 9.3 3 7.1 7 8.2 3 7.0 1 2.4 4 4.7 1 2.3 2 2.4 3 3.5 0 0.0 0 0.0 0 0.0 3 GOTALAMO
4 MUHAJIRIN 599 611 1210 319 14 14 28 0 - 1 7.1 1 3.6 0 - 1 7.1 1 3.6 3 21.4 1 7.1 4 14.3 2 14.3 1 7.1 3 10.7 0 - 2 7.1 2 7.1 0 0.0 0 0.0 0 0.0 4 MUHAJIRIN
5 DARAME 1005 971 1976 619 23 22 45 1 4.3 3 13.6 4 8.9 2 8.7 1 4.5 3 6.7 0 - 0 - 0 0.0 0 - 1 4.5 1 2.2 0 - 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 5 DARAME
6 PANDANGA 592 587 1179 333 15 14 29 0 - 0 - 0 0.0 2 13.3 2 14.3 4 13.8 3 20.0 3 21.4 6 20.7 5 33.3 1 7.1 6 20.7 0 - 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 6 PANDANGA
7 JUANGA 610 602 1212 340 10 9 19 1 10.0 0 - 1 5.2 0 - 0 - 0 0.0 1 10.0 2 22.1 3 15.7 0 - 0 - 0 0.0 1 10.0 2 10.5 3 15.7 0 0.0 0 0.0 0 0.0 7 JUANGA
8 WAWAMA 776 882 1658 462 22 22 44 2 9.1 0 - 2 4.5 2 9.1 1 4.5 3 6.8 0 - 2 9.1 2 4.5 1 4.5 3 13.6 4 9.1 2 9.1 0 0.0 2 4.5 0 0.0 0 0.0 0 0.0 8 WAWAMA
9 GALO-GALO 274 323 597 150 7 7 14 0 - 0 - 0 0.0 0 - 0 - 0 0.0 1 14.3 0 - 1 7.1 0 - 0 - 0 0.0 1 14.3 3 21.4 4 28.6 0 0.0 0 0.0 0 0.0 9 GALO-GALO
10 KOLORAY 291 277 568 151 6 6 12 0 - 1 16.7 1 8.3 0 - 0 - 0 0.0 0 - 0 - 0 0.0 0 - 0 - 0 0.0 0 - 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 10 KOLORAY
JLH 6917 7033 13950 3,793 184 179 363 9 4.9 12 6.7 21 5.8 11 6.0 16 8.9 27 7.4 12 6.5 12 6.7 24 6.6 13 7.1 10 5.6 23 6.3 7 3.8 11 6.1 18 5.0 0 0.0 0 0.0 0 0.0 JLH
Luar Wilayah
Luar Wilayah
Bulan sebelumnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Bulan sebelumny
696 731 1427 349 19 19 38 2 10.5 4 21.1 6 15.8 0 - 0 - 0 0.0 1 5.3 3 15.8 4 10.5 1 5.3 0 0.0 1 2.6 1 5.3 1 5.3 2 5.3 1 5.3 1 5.3 2 5.3
1071 1007 2078 560 43 42 85 1 2.3 2 4.8 3 3.5 4 9.3 3 7.1 7 8.2 3 7.0 1 2.4 4 4.7 1 2.3 2 2.4 3 3.5 0 - 2 4.8 2 2.4 0 - 2 4.8 2 2.4
599 611 1210 319 14 14 28 0 - 1 7.1 1 3.6 3 21.4 1 7.1 4 14.3 2 14.3 1 7.1 3 10.7 0 - 2 7.1 2 7.1 0 - 1 7.1 1 3.6 0 - 1 7.1 1 3.6
1005 971 1976 619 23 22 45 2 8.7 1 4.5 3 6.7 0 - 0 - 0 0.0 0 - 1 4.5 1 2.2 0 - 0 0.0 0 0.0 2 8.7 1 4.5 3 6.7 2 8.7 1 4.5 3 6.7
592 587 1179 333 15 14 29 2 13.3 2 14.3 4 13.8 3 20.0 3 21.4 6 20.7 5 33.3 1 7.1 6 20.7 0 - 0 0.0 0 0.0 0 - 0 - 0 0.0 0 - 0 - 0 0.0
610 602 1212 340 10 9 19 0 - 0 - 0 0.0 1 10.0 2 22.1 3 15.7 0 - 0 - 0 0.0 1 10.0 2 10.5 3 15.7 0 - 1 11.0 1 5.2 0 - 1 11.0 1 5.2
776 882 1658 462 22 22 44 2 9.1 1 4.5 3 6.8 0 - 2 9.1 2 4.5 1 4.5 3 13.6 4 9.1 2 9.1 0 0.0 2 4.5 4 18.2 1 4.5 5 11.4 4 18.2 1 4.5 5 11.4
274 323 597 150 7 7 14 0 - 0 - 0 0.0 1 14.3 0 - 1 7.1 0 - 0 - 0 0.0 1 14.3 3 21.4 4 28.6 0 - 0 - 0 0.0 0 - 0 - 0 0.0
291 277 568 151 6 6 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 0.0
6917 7033 13950 3,793 184 179 363 11 6.0 16 8.9 27 7.4 12 6.5 12 6.7 24 6.6 13 7.1 10 5.6 23 6.3 7 3.8 11 6.1 18 5.0 7 3.8 7 3.9 14 3.9 7 3.8 7 3.9 14 3.9
Total Komulatif 11 6 16 9 27 7 12 7 12 7 24 7 13 7 10 6 23 6 7 4 11 6 18 5 7 4 7 4 14 4 7 4 7 4 14 4
Luar Wilayah
Bulan sebelumnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PEMERINTAH KABUPATEN PULAU MOROTAI
DINAS KESEHATAN
PUSKESMAS DARUBA KEC. MOROTAI SELATAN
Laporan Bulanan Imunisasi TT, WUS dan BUMIL
Bulan : Januari
Tahun : 2022 KODE POS.97771
WUS DI IMUNISASI BUMIL DI IMUNISASI
Sasaran Sasaran
No Desa Jlh Pddk TT 1 TT 2 TT 3 TT 4 TT 5 TT 1 TT 2 TT 3 TT 4 TT 5 KET
WUS Bumil
abs % abs % abs % abs % abs % abs % abs % abs % abs % abs %
1 DARUBA 2045 532 0 0 0 0 0 0 0 0 0 0 58 6 10 0 0 0 0 0 0 0 0
2 YAYASAN 1427 371 0 0 0 0 0 0 0 0 0 0 41 3 7 5 12 0 0 0 0 0 0
3 GOTALAMO 2078 540 0 0 0 0 0 0 0 0 0 0 59 4 7 0 0 0 0 0 0 0 0
4 MUHAJIRIN 1210 315 0 0 0 0 0 0 0 0 0 0 35 0 0 2 6 0 0 0 0 0 0
5 DARAME 1976 514 0 0 0 0 0 0 0 0 0 0 57 4 7 4 7 0 0 0 0 0 0
6 PANDANGA 1179 307 0 0 0 0 0 0 0 0 0 0 34 5 15 0 0 0 0 0 0 0 0
7 JUANGA 1212 315 0 0 0 0 0 0 0 0 0 0 35 1 3 2 6 0 0 0 0 0 0
8 WAWAMA 1658 421 0 0 0 0 0 0 0 0 0 0 46 7 15 2 4 0 0 0 0 0 0
9 GALO-GALO 597 155 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0
10 KOLORAY 568 147 0 0 0 0 0 0 0 0 0 0 16 1 6 1 6 0 0 0 0 0 0
Jumlah 13950 3617 0 0 0 0 0 0 0 0 0 0 398 31 8 16 4 0 0 0 0 0
Total Bln ini 31 8 16 4
Total Kumulatif 31 8 16 4
Bulan/Tahun: Januari
Jumlah Ket
No Jenis Logistik Jlh diterima Satuan No Bacth Tgl Expire
Pemakaian Satuan Sisa Stok Satuan
1 Hb0 Sacc Sacc Sacc Sacc
2 BCG Ampul flacon flacon flacon
3 Polio 40 flacon 20515119 40 flacon flacon flacon
4 Campak flacon flacon flacon flacon
6 VAR PCS PCS PCS
7 Td Vial flacon flacon flacon
8 Pelarut BCG Ampul Ampul Ampul Ampul
9 Pelarut Campak Ampul Ampul Ampul Ampul
10 Dyspo 0,05 cc PCS PCS PCS
11 Dyspo 0,5 cc PCS PCS PCS PCS
12 Pipet Polio 40 Buah 40 Buah Buah Buah
13 Safety Box Buah Buah Buah Buah
14 Pentabio Vial vial vial vial
14 IPV Vial vial vial vial
Mengetahui, Daruba, 30 Januari 2022
Kepala Puskesmas Pengelolah Imunisasi
PKM : DARUBA
Bulan : Januari
Tanggal Pemberian Antigen
No Nama Anak Tgl Lahir Nama Orang Tua Alamat Ket
BCG DPT/HB-1 DPT/HB-2 DPT/HB-3 Polio-1 Polio-2 Polio-3 Polio-4 Campak
1 Daruba
2 Daruba
3 Daruba
4 Daruba
5 Daruba
6 Daruba
7 Daruba
8 Daruba
9 Daruba
10 Daruba
11 Daruba
12 Yayasan
13 Gotalamo
13 Gotalamo
14 Gotalamo
15 Gotalamo
16 Gotalamo
17 Gotalamo
18 Gotalamo
19 Gotalamo
20 Gotalamo
21 Gotalamo
22 Gotalamo
Darame
Darame
Darame
Darame
Darame
Darame
Juanga
Wawama
Wawama
Wawama
Wawama
Wawama
PEMERINTAH KABUPATEN PULAU MOROTAI
DINAS KESEHATAN & KELUARGA BERENCANA
PUSKESMAS DARUBA KEC. MOROTAI SELATAN
Laporan Bulanan Imunisasi Rutin
Bulan : Februari Lembar : 01
Tahun : 2022
Jlh Penduduk SI IMR Bayi Riil JENIS IMUNISASI
No Nama Desa Jlh KK HB<7Hr BCG DPT/HB hib 1 DPT/HB hib 2 DPT/HB hib 3 IPV No Nama Desa
L P Jlh L P Jlh L P Jlh L P JLH
L % P % Jlh % L % P % Jlh % L % P % Jlh % L % P % Jlh % L % P % Jlh % L % P % Jlh %
1 DARUBA 1003 1042 2045 510 25 24 49 3 12.0 4 16.7 7 14.3 0 - 7 29.2 7 14.3 2 8.0 5 20.8 7 14.3 2 8.0 1 4.2 3 6.1 2 8.0 1 2.0 3 6.1 0 0.0 0 0.0 0 0.0 1 DARUBA
2 YAYASAN 696 731 1427 349 19 19 38 2 10.5 1 5.3 3 7.9 0 - 1 5.3 1 2.6 2 10.5 3 15.8 5 13.2 0 - 1 5.3 1 2.6 1 5.3 1 2.6 2 5.3 0 0.0 0 0.0 0 0.0 2 YAYASAN
3 GOTALAMO 1071 1007 2078 560 43 42 85 1 2.3 7 16.7 8 9.4 7 16.3 4 9.5 11 12.9 2 4.7 4 9.5 6 7.1 5 11.6 3 7.1 8 9.4 1 2.3 5 5.9 6 7.1 0 0.0 0 0.0 0 0.0 3 GOTALAMO
4 MUHAJIRIN 599 611 1210 319 14 14 28 1 7.1 0 - 1 3.6 0 - 0 - 0 0.0 2 14.3 1 7.1 3 10.7 2 14.3 0 - 2 7.1 1 7.1 0 0.0 1 3.6 0 0.0 0 0.0 0 0.0 4 MUHAJIRIN
5 DARAME 1005 971 1976 619 23 22 45 2 8.7 3 13.6 5 11.1 2 8.7 4 18.2 6 13.3 4 17.4 1 4.5 5 11.1 2 8.7 1 4.5 3 6.7 1 4.3 0 0.0 1 2.2 0 0.0 0 0.0 0 0.0 5 DARAME
6 PANDANGA 592 587 1179 333 15 14 29 3 20.0 4 28.6 7 24.1 0 - 0 - 0 0.0 3 20.0 4 28.6 7 24.1 3 20.0 5 35.7 8 27.6 2 13.3 1 3.4 3 10.3 0 0.0 0 0.0 0 0.0 6 PANDANGA
7 JUANGA 610 602 1212 340 10 9 19 0 - 3 33.1 3 15.7 0 - 0 - 0 0.0 0 - 0 - 0 0.0 2 20.0 1 11.0 3 15.7 0 - 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 7 JUANGA
8 WAWAMA 776 882 1658 462 22 22 44 2 9.1 0 - 2 4.5 0 - 0 - 0 0.0 0 - 2 9.1 2 4.5 0 - 0 - 0 0.0 0 - 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 8 WAWAMA
9 GALO-GALO 274 323 597 150 7 7 14 0 - 0 - 0 0.0 1 14.3 2 28.6 3 21.4 1 14.3 0 - 1 7.1 1 14.3 0 - 1 7.1 0 - 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 9 GALO-GALO
10 KOLORAY 291 277 568 151 6 6 12 0 - 1 16.7 1 8.3 0 - 0 - 0 0.0 0 - 0 - 0 0.0 0 - 0 - 0 0.0 0 - 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 10 KOLORAY
JLH 6917 7033 13950 3,793 184 179 363 14 7.6 23 12.8 37 10.2 10 5.4 18 10.1 28 7.7 16 8.7 20 11.2 36 9.9 17 9.2 12 6.7 29 8.0 8 4.3 8 4.5 16 4.4 0 0.0 0 0.0 0 0.0 JLH
Luar Wilayah
Luar Wilayah
Bulan sebelumnya 9 5 12 7 21 6 11 6 16 9 27 7 12 7 12 7 24 7 13 7 10 6 23 6 7 4 11 6 18 5 0 0 0 0 0 0 Bulan sebelumny
696 731 1427 349 19 19 38 0 - 1 5.3 1 2.6 2 10.5 3 15.8 5 13.2 0 - 1 5.3 1 2.6 1 5.3 1 2.6 2 5.3 2 10.5 1 5.3 3 7.9 2 10.5 1 5.3 3 7.9
1071 1007 2078 560 43 42 85 7 16.3 4 9.5 11 12.9 2 4.7 4 9.5 6 7.1 5 11.6 3 7.1 8 9.4 1 2.3 5 5.9 6 7.1 2 4.7 2 4.8 4 4.7 2 4.7 2 4.8 4 4.7
599 611 1210 319 14 14 28 0 - 0 - 0 0.0 2 14.3 1 7.1 3 10.7 2 14.3 0 - 2 7.1 1 7.1 0 0.0 1 3.6 0 - 1 7.1 1 3.6 0 - 1 7.1 1 3.6
1005 971 1976 619 23 22 45 2 8.7 4 18.2 6 13.3 4 17.4 1 4.5 5 11.1 2 8.7 1 4.5 3 6.7 1 4.3 0 0.0 1 2.2 2 8.7 2 9.1 4 8.9 2 8.7 2 9.1 4 8.9
592 587 1179 333 15 14 29 0 - 0 - 0 0.0 3 20.0 4 28.6 7 24.1 3 20.0 5 35.7 8 27.6 2 13.3 1 3.4 3 10.3 0 - 2 14.3 2 6.9 0 - 2 14.3 2 6.9
610 602 1212 340 10 9 19 0 - 0 - 0 0.0 0 - 0 - 0 0.0 2 20.0 1 11.0 3 15.7 0 - 0 0.0 0 0.0 0 - 0 - 0 0.0 0 - 0 - 0 0.0
776 882 1658 462 22 22 44 0 - 0 - 0 0.0 0 - 2 9.1 2 4.5 0 - 0 - 0 0.0 0 - 0 0.0 0 0.0 0 - 0 - 0 0.0 0 - 0 - 0 0.0
274 323 597 150 7 7 14 1 14.3 2 28.6 3 21.4 1 14.3 0 - 1 7.1 1 14.3 0 - 1 7.1 0 - 0 0.0 0 0.0 1 14.3 2 28.6 3 21.4 1 14.3 2 28.6 3 21.4
291 277 568 151 6 6 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 0.0
6917 7033 13950 3,793 184 179 363 10 5.4 18 10.1 28 7.7 16 8.7 20 11.2 36 9.9 17 9.2 12 6.7 29 8.0 8 4.3 8 4.5 16 4.4 7 3.8 10 5.6 17 4.7 7 3.8 10 5.6 17 4.7
Total Komulatif 21 11 34 19 55 15 28 15 32 18 60 17 30 16 22 12 52 14 15 8 19 11 34 9 14 8 17 9 31 9 14 8 17 9 31 9
Luar Wilayah
Bulan sebelumnya 11 6 16 9 27 7 12 7 12 7 24 7 13 7 10 6 23 6 7 4 11 6 18 5 7 4 7 4 14 4 7 4 7 4 14 4
PEMERINTAH KABUPATEN PULAU MOROTAI
DINAS KESEHATAN
PUSKESMAS DARUBA KEC. MOROTAI SELATAN
Laporan Bulanan Imunisasi TT, WUS dan BUMIL
Bulan Februari
Tahun : 2022 KODE POS.97771
WUS DI IMUNISASI BUMIL DI IMUNISASI
Sasaran Sasaran
No Desa Jlh Pddk TT 1 TT 2 TT 3 TT 4 TT 5 TT 1 TT 2 TT 3 TT 4 TT 5 KET
WUS Bumil
abs % abs % abs % abs % abs % abs % abs % abs % abs % abs %
1 DARUBA 2045 532 0 0 0 0 0 0 0 0 0 0 58 5 9 6 10 0 0 0 0 0 0
2 YAYASAN 1427 371 0 0 0 0 0 0 0 0 0 0 41 3 7 3 7 0 0 0 0 0 0
3 GOTALAMO 2078 540 0 0 0 0 0 0 0 0 0 0 59 7 12 4 7 0 0 0 0 0 0
4 MUHAJIRIN 1210 315 0 0 0 0 0 0 0 0 0 0 35 1 3 0 0 0 0 0 0 0 0
5 DARAME 1976 514 0 0 0 0 0 0 0 0 0 0 57 4 7 4 7 0 0 0 0 0 0
6 PANDANGA 1179 307 0 0 0 0 0 0 0 0 0 0 34 3 9 5 15 0 0 0 0 0 0
7 JUANGA 1212 315 0 0 0 0 0 0 0 0 0 0 35 1 3 1 3 0 0 0 0 0 0
8 WAWAMA 1658 421 0 0 0 0 0 0 0 0 0 0 46 2 4 7 15 0 0 0 0 0 0
9 GALO-GALO 597 155 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0
10 KOLORAY 568 147 0 0 0 0 0 0 0 0 0 0 16 0 0 1 6 0 0 0 0 0 0
Jumlah 13950 3617 0 0 0 0 0 0 0 0 0 0 398 26 7 31 8 0 0 0 0 0
Total Bln ini 63 #DIV/0! 158 #DIV/0!
Bulan/Tahun: Februari
Jumlah Ket
No Jenis Logistik Jlh diterima Satuan No Bacth Tgl Expire
Pemakaian Satuan Sisa Stok Satuan
1 Hb0 Sacc Sacc Sacc Sacc
2 BCG Ampul flacon flacon flacon
3 Polio 40 flacon 20515119 40 flacon flacon flacon
4 Campak flacon flacon flacon flacon
6 VAR PCS PCS PCS
7 Td Vial flacon flacon flacon
8 Pelarut BCG Ampul Ampul Ampul Ampul
9 Pelarut Campak Ampul Ampul Ampul Ampul
10 Dyspo 0,05 cc PCS PCS PCS
11 Dyspo 0,5 cc PCS PCS PCS PCS
12 Pipet Polio 40 Buah 40 Buah Buah Buah
13 Safety Box Buah Buah Buah Buah
14 Pentabio Vial vial vial vial
14 IPV Vial vial vial vial
Mengetahui, Daruba, 28 Februari 2022
Kepala Puskesmas Pengelolah Imunisasi
2 YAYASAN 696 731 1427 349 19 19 38 2 10.5 1 5.3 3 7.9 0 - 0 - 0 0.0 0 - 3 15.8 3 7.9 3 15.8 1 5.3 4 10.5 1 5.3 2 5.3 3 7.9 0 0.0 0 0.0 0 0.0 2 YAYASAN
3 GOTALAMO 1071 1007 2078 560 43 42 85 5 11.6 4 9.5 9 10.6 2 4.7 1 2.4 3 3.5 4 9.3 1 2.4 5 5.9 1 2.3 3 7.1 4 4.7 1 2.3 1 1.2 2 2.4 0 0.0 0 0.0 0 0.0 3 GOTALAMO
4 MUHAJIRIN 599 611 1210 319 14 14 28 2 14.3 1 7.1 3 10.7 3 21.4 0 - 3 10.7 1 7.1 1 7.1 2 7.1 3 21.4 1 7.1 4 14.3 2 14.3 0 0.0 2 7.1 0 0.0 0 0.0 0 0.0 4 MUHAJIRIN
5 DARAME 1005 971 1976 619 23 22 45 2 8.7 1 4.5 3 6.7 4 17.4 2 9.1 6 13.3 0 - 0 - 0 0.0 1 4.3 0 - 1 2.2 0 - 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 5 DARAME
6 PANDANGA 592 587 1179 333 15 14 29 0 - 0 - 0 0.0 0 - 0 - 0 0.0 1 6.7 1 7.1 2 6.9 2 13.3 0 - 2 6.9 2 13.3 2 6.9 4 13.8 0 0.0 0 0.0 0 0.0 6 PANDANGA
7 JUANGA 610 602 1212 340 10 9 19 1 10.0 2 22.1 3 15.7 2 20.0 2 22.1 4 21.0 0 - 0 - 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 JUANGA
8 WAWAMA 776 882 1658 462 22 22 44 0 - 0 - 0 0.0 1 4.5 1 4.5 2 4.5 1 4.5 0 - 1 2.3 0 - 0 - 0 0.0 1 4.5 1 2.3 2 4.5 0 0.0 0 0.0 0 0.0 8 WAWAMA
9 GALO-GALO 274 323 597 150 7 7 14 0 - 0 - 0 0.0 0 - 1 14.3 1 7.1 3 42.9 1 14.3 4 28.6 0 - 0 - 0 0.0 0 - 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 9 GALO-GALO
10 KOLORAY 291 277 568 151 6 6 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 0 0.0 0 0.0 10 KOLORAY
JLH 6917 7033 13950 3,793 184 179 363 15 8.2 12 6.7 27 7.4 12 6.5 8 4.5 20 5.5 11 6.0 9 5.0 20 5.5 12 6.5 9 5.0 21 5.8 8 4.3 6 3.4 14 3.9 0 0.0 0 0.0 0 0.0 JLH
Luar Wilayah
Luar Wilayah
Bulan sebelumnya 23 13 35 20 58 16 21 11 34 19 55 15 28 15 32 18 60 17 30 16 22 12 52 14 15 8 19 11 34 9 0 0 0 0 0 0 Bulan sebelumny
696 731 1427 349 19 19 38 0 - 0 - 0 0.0 0 - 3 15.8 3 7.9 3 15.8 1 5.3 4 10.5 1 5.3 2 5.3 3 7.9 0 - 0 - 0 0.0 0 - 0 - 0 0.0
1071 1007 2078 560 43 42 85 2 4.7 1 2.4 3 3.5 4 9.3 1 2.4 5 5.9 1 2.3 3 7.1 4 4.7 1 2.3 1 1.2 2 2.4 1 2.3 0 - 1 1.2 1 2.3 0 - 1 1.2
599 611 1210 319 14 14 28 3 21.4 0 - 3 10.7 1 7.1 1 7.1 2 7.1 3 21.4 1 7.1 4 14.3 2 14.3 0 0.0 2 7.1 0 - 3 21.4 3 10.7 0 - 3 21.4 3 10.7
1005 971 1976 619 23 22 45 4 17.4 2 9.1 6 13.3 0 - 0 - 0 0.0 1 4.3 0 - 1 2.2 0 - 0 0.0 0 0.0 0 - 0 - 0 0.0 0 - 0 - 0 0.0
592 587 1179 333 15 14 29 0 - 0 - 0 0.0 1 6.7 1 7.1 2 6.9 2 13.3 0 - 2 6.9 2 13.3 2 6.9 4 13.8 0 - 0 - 0 0.0 0 - 0 - 0 0.0
610 602 1212 340 10 9 19 2 20.0 2 22.1 4 21.0 0 - 0 - 0 0.0 0 - 0 - 0 0.0 0 - 0 0.0 0 0.0 2 20.0 0 - 2 10.5 2 20.0 0 - 2 10.5
776 882 1658 462 22 22 44 1 4.5 1 4.5 2 4.5 1 4.5 0 - 1 2.3 0 - 0 - 0 0.0 1 4.5 1 2.3 2 4.5 2 9.1 1 4.5 3 6.8 2 9.1 1 4.5 3 6.8
274 323 597 150 7 7 14 0 - 1 14.3 1 7.1 3 42.9 1 14.3 4 28.6 0 - 0 - 0 0.0 0 - 0 0.0 0 0.0 0 - 0 - 0 0.0 0 - 0 - 0 0.0
291 277 568 151 6 6 12 0 - 0 - 0 0.0 0 - 0 - 0 0.0 0 - 0 - 0 0.0 0 - 0 0.0 0 0.0 1 16.7 0 - 1 8.3 1 16.7 0 - 1 8.3
6917 7033 13950 3,793 184 179 363 12 6.5 8 4.5 20 5.5 11 6.0 9 5.0 20 5.5 12 6.5 9 5.0 21 5.8 8 4.3 6 3.4 14 3.9 6 3.3 4 2.2 10 2.8 6 3.3 4 2.2 10 2.8
Total Komulatif 33 18 42 23 75 21 39 21 41 23 80 22 42 23 31 17 73 20 23 13 25 14 48 13 20 11 21 12 41 11 20 11 21 12 41 11
Luar Wilayah
Bulan sebelumnya 21 11 34 19 55 15 28 15 32 18 60 17 30 16 22 12 52 14 15 8 19 11 34 9 14 8 17 9 31 9 14 8 17 9 31 9
PEMERINTAH KABUPATEN PULAU MOROTAI
DINAS KESEHATAN
PUSKESMAS DARUBA KEC. MOROTAI SELATAN
Laporan Bulanan Imunisasi TT, WUS dan BUMIL
Bulan Maret
Tahun : 2022 KODE POS.97771
WUS DI IMUNISASI BUMIL DI IMUNISASI
Sasaran Sasaran
No Desa Jlh Pddk TT 1 TT 2 TT 3 TT 4 TT 5 TT 1 TT 2 TT 3 TT 4 TT 5 KET
WUS Bumil
abs % abs % abs % abs % abs % abs % abs % abs % abs % abs %
1 DARUBA 2045 532 0 0 0 0 0 0 0 0 0 0 58 6 10 6 10 0 0 0 0 0 0
2 YAYASAN 1427 371 0 0 0 0 0 0 0 0 0 0 41 3 7 3 7 0 0 0 0 0 0
3 GOTALAMO 2078 540 0 0 0 0 0 0 0 0 0 0 59 8 14 10 17 0 0 0 0 0 0
4 MUHAJIRIN 1210 315 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0
5 DARAME 1976 514 0 0 0 0 0 0 0 0 0 0 57 4 7 3 5 0 0 0 0 0 0
6 PANDANGA 1179 307 0 0 0 0 0 0 0 0 0 0 34 2 6 2 6 0 0 0 0 0 0
7 JUANGA 1212 315 0 0 0 0 0 0 0 0 0 0 35 1 3 2 6 0 0 0 0 0 0
8 WAWAMA 1658 421 0 0 0 0 0 0 0 0 0 0 46 3 7 1 2 0 0 0 0 0 0
9 GALO-GALO 597 155 0 0 0 0 0 0 0 0 0 0 17 1 6 3 18 0 0 0 0 0 0
10 KOLORAY 568 147 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0
Jumlah 13950 3617 0 0 0 0 0 0 0 0 0 0 398 28 7 30 8 0 0 0 0 0
Total Bln ini 28 7 61 15
Total Kumulatif 28 7 92 23
Bulan/Tahun: Maret
Jumlah Ket
No Jenis Logistik Jlh diterima Satuan No Bacth Tgl Expire
Pemakaian Satuan Sisa Stok Satuan
1 Hb0 Sacc Sacc Sacc Sacc
2 BCG Ampul flacon flacon flacon
3 Polio 40 flacon 20515119 40 flacon flacon flacon
4 Campak flacon flacon flacon flacon
6 VAR PCS PCS PCS
7 Td Vial flacon flacon flacon
8 Pelarut BCG Ampul Ampul Ampul Ampul
9 Pelarut Campak Ampul Ampul Ampul Ampul
10 Dyspo 0,05 cc PCS PCS PCS
11 Dyspo 0,5 cc PCS PCS PCS PCS
12 Pipet Polio 40 Buah 40 Buah Buah Buah
13 Safety Box Buah Buah Buah Buah
14 Pentabio Vial vial vial vial
14 IPV Vial vial vial vial
Mengetahui, Daruba, 31 Maret 2022
Kepala Puskesmas Pengelolah Imunisasi
2 YAYASAN 696 731 1427 349 19 19 38 0 - 0 - 0 0.0 1 5.3 0 - 1 2.6 0 - 0 - 0 0.0 0 - 3 15.8 3 7.9 1 5.3 0 0.0 1 2.6 0 0.0 0 0.0 0 0.0 2 YAYASAN
3 GOTALAMO 1071 1007 2078 560 43 42 85 2 4.7 5 11.9 7 8.2 0 - 3 7.1 3 3.5 3 7.0 1 2.4 4 4.7 3 7.0 6 14.3 9 10.6 4 9.3 1 1.2 5 5.9 0 0.0 0 0.0 0 0.0 3 GOTALAMO
4 MUHAJIRIN 599 611 1210 319 14 14 28 0 - 1 7.1 1 3.6 0 - 1 7.1 1 3.6 1 7.1 0 - 1 3.6 0 - 1 7.1 1 3.6 1 7.1 0 0.0 1 3.6 0 0.0 0 0.0 0 0.0 4 MUHAJIRIN
5 DARAME 1005 971 1976 619 23 22 45 2 8.7 2 9.1 4 8.9 1 4.3 1 4.5 2 4.4 4 17.4 5 22.7 9 20.0 2 8.7 0 - 2 4.4 2 8.7 1 2.2 3 6.7 0 0.0 0 0.0 0 0.0 5 DARAME
6 PANDANGA 592 587 1179 333 15 14 29 0 - 3 21.4 3 10.3 3 20.0 3 21.4 6 20.7 0 - 0 - 0 0.0 0 - 0 - 0 0.0 3 20.0 0 0.0 3 10.3 0 0.0 0 0.0 0 0.0 6 PANDANGA
7 JUANGA 610 602 1212 340 10 9 19 2 20.0 0 - 2 10.5 2 20.0 2 22.1 4 21.0 1 10.0 2 22.1 3 15.7 0 - 0 - 0 0.0 1 10.0 0 0.0 1 5.2 0 0.0 0 0.0 0 0.0 7 JUANGA
8 WAWAMA 776 882 1658 462 22 22 44 2 9.1 0 - 2 4.5 1 4.5 1 4.5 2 4.5 0 - 1 4.5 1 2.3 2 9.1 1 4.5 3 6.8 0 - 1 2.3 1 2.3 0 0.0 0 0.0 0 0.0 8 WAWAMA
9 GALO-GALO 274 323 597 150 7 7 14 0 - 1 14.3 1 7.1 0 - 0 - 0 0.0 0 - 1 14.3 1 7.1 4 57.1 0 - 4 28.6 0 - 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 9 GALO-GALO
10 KOLORAY 291 277 568 151 6 6 12 1 16.7 0 - 1 8.3 0 - 0 - 0 0.0 0 - 0 - 0 0.0 0 - 0 - 0 0.0 0 - 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 10 KOLORAY
JLH 6917 7033 13950 3,793 184 179 363 12 6.5 14 7.8 26 7.2 10 5.4 18 10.1 28 7.7 11 6.0 15 8.4 26 7.2 13 7.1 13 7.3 26 7.2 13 7.1 5 2.8 18 5.0 0 0.0 0 0.0 0 0.0 JLH
Luar Wilayah
Luar Wilayah
Bulan sebelumnya 38 21 47 26 85 23 33 18 42 23 75 21 39 21 41 23 80 22 42 23 31 17 73 20 23 13 25 14 48 13 0 0 0 0 0 0 Bulan sebelumny
696 731 1427 349 19 19 38 1 5.3 0 - 1 2.6 0 - 0 - 0 0.0 0 - 3 15.8 3 7.9 1 5.3 0 0.0 1 2.6 3 15.8 1 5.3 4 10.5 3 15.8 1 5.3 4 10.5
1071 1007 2078 560 43 42 85 0 - 3 7.1 3 3.5 3 7.0 1 2.4 4 4.7 3 7.0 6 14.3 9 10.6 4 9.3 1 1.2 5 5.9 1 2.3 2 4.8 3 3.5 1 2.3 2 4.8 3 3.5
599 611 1210 319 14 14 28 0 - 1 7.1 1 3.6 1 7.1 0 - 1 3.6 0 - 1 7.1 1 3.6 1 7.1 0 0.0 1 3.6 0 - 1 7.1 1 3.6 0 - 1 7.1 1 3.6
1005 971 1976 619 23 22 45 1 4.3 1 4.5 2 4.4 4 17.4 5 22.7 9 20.0 2 8.7 0 - 2 4.4 2 8.7 1 2.2 3 6.7 0 - 0 - 0 0.0 0 - 0 - 0 0.0
592 587 1179 333 15 14 29 3 20.0 3 21.4 6 20.7 0 - 0 - 0 0.0 0 - 0 - 0 0.0 3 20.0 0 0.0 3 10.3 2 13.3 1 7.1 3 10.3 2 13.3 1 7.1 3 10.3
610 602 1212 340 10 9 19 2 20.0 2 22.1 4 21.0 1 10.0 2 22.1 3 15.7 0 - 0 - 0 0.0 1 10.0 0 0.0 1 5.2 0 - 0 - 0 0.0 0 - 0 - 0 0.0
776 882 1658 462 22 22 44 1 4.5 1 4.5 2 4.5 0 - 1 4.5 1 2.3 2 9.1 1 4.5 3 6.8 0 - 1 2.3 1 2.3 1 4.5 1 4.5 2 4.5 1 4.5 1 4.5 2 4.5
274 323 597 150 7 7 14 0 - 0 - 0 0.0 0 - 1 14.3 1 7.1 4 57.1 0 - 4 28.6 0 - 0 0.0 0 0.0 0 - 0 - 0 0.0 0 - 0 - 0 0.0
291 277 568 151 6 6 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 0.0
6917 7033 13950 3,793 184 179 363 10 5.4 18 10.1 28 7.7 11 6.0 15 8.4 26 7.2 13 7.1 13 7.3 26 7.2 13 7.1 5 2.8 18 5.0 7 3.8 6 3.4 13 3.6 7 3.8 6 3.4 13 3.6
Luar Wilayah
Bulan sebelumnya 33 18 42 23 75 21 39 21 41 23 80 22 42 23 31 17 73 20 23 13 25 14 48 13 20 11 21 12 41 11 20 11 21 12 41 11
PEMERINTAH KABUPATEN PULAU MOROTAI
DINAS KESEHATAN
PUSKESMAS DARUBA KEC. MOROTAI SELATAN
Laporan Bulanan Imunisasi TT, WUS dan BUMIL
Bulan : April
Tahun : 2022 KODE POS.97771
WUS DI IMUNISASI BUMIL DI IMUNISASI
Sasaran Sasaran
No Desa Jlh Pddk TT 1 TT 2 TT 3 TT 4 TT 5 TT 1 TT 2 TT 3 TT 4 TT 5 KET
WUS Bumil
abs % abs % abs % abs % abs % abs % abs % abs % abs % abs %
1 DARUBA 2045 532 0 0 0 0 0 0 0 0 0 0 58 5 9 6 10 0 0 0 0 0 0
2 YAYASAN 1427 371 0 0 0 0 0 0 0 0 0 0 41 2 5 1 2 0 0 0 0 0 0
3 GOTALAMO 2078 540 0 0 0 0 0 0 0 0 0 0 59 7 12 8 14 0 0 0 0 0 0
4 MUHAJIRIN 1210 315 0 0 0 0 0 0 0 0 0 0 35 1 3 1 3 0 0 0 0 0 0
5 DARAME 1976 514 0 0 0 0 0 0 0 0 0 0 57 4 7 4 7 0 0 0 0 0 0
6 PANDANGA 1179 307 0 0 0 0 0 0 0 0 0 0 34 4 12 2 6 0 0 0 0 0 0
7 JUANGA 1212 315 0 0 0 0 0 0 0 0 0 0 35 0 0 1 3 0 0 0 0 0 0
8 WAWAMA 1658 421 0 0 0 0 0 0 0 0 0 0 46 3 7 3 7 0 0 0 0 0 0
9 GALO-GALO 597 155 0 0 0 0 0 0 0 0 0 0 17 2 12 2 12 0 0 0 0 0 0
10 KOLORAY 568 147 0 0 0 0 0 0 0 0 0 0 16 1 6 1 6 0 0 0 0 0 0
Jumlah 13950 3617 0 0 0 0 0 0 0 0 0 0 398 29 7 29 7 0 0 0 0 0
Total Bln ini 86 22 ### 45
Bulan/Tahun: April
Jumlah Ket
No Jenis Logistik Jlh diterima Satuan No Bacth Tgl Expire
Pemakaian Satuan Sisa Stok Satuan
1 Hb0 Sacc Sacc Sacc Sacc
2 BCG Ampul flacon flacon flacon
3 Polio 40 flacon 20515119 40 flacon flacon flacon
4 Campak flacon flacon flacon flacon
6 VAR PCS PCS PCS
7 Td Vial flacon flacon flacon
8 Pelarut BCG Ampul Ampul Ampul Ampul
9 Pelarut Campak Ampul Ampul Ampul Ampul
10 Dyspo 0,05 cc PCS PCS PCS
11 Dyspo 0,5 cc PCS PCS PCS PCS
12 Pipet Polio 40 Buah 40 Buah Buah Buah
13 Safety Box Buah Buah Buah Buah
14 Pentabio Vial vial vial vial
14 IPV Vial vial vial vial
Mengetahui, Daruba, 30 April 2022
Kepala Puskesmas Pengelolah Imunisasi
2 YAYASAN 696 731 1427 349 19 19 38 0 - 1 5.3 1 2.6 1 5.3 0 - 1 2.6 1 5.3 0 - 1 2.6 0 - 0 - 0 0.0 1 5.3 1 2.6 2 5.3 0 0.0 0 0.0 0 0.0 2 YAYASAN
3 GOTALAMO 1071 1007 2078 560 43 42 85 2 4.7 1 2.4 3 3.5 1 2.3 2 4.8 3 3.5 2 4.7 4 9.5 6 7.1 3 7.0 1 2.4 4 4.7 1 2.3 2 2.4 3 3.5 0 0.0 0 0.0 0 0.0 3 GOTALAMO
4 MUHAJIRIN 599 611 1210 319 14 14 28 1 7.1 3 21.4 4 14.3 0 - 0 - 0 0.0 0 - 2 14.3 2 7.1 1 7.1 0 - 1 3.6 1 7.1 0 0.0 1 3.6 0 0.0 0 0.0 0 0.0 4 MUHAJIRIN
5 DARAME 1005 971 1976 619 23 22 45 1 4.3 3 13.6 4 8.9 0 - 0 - 0 0.0 1 4.3 1 4.5 2 4.4 3 13.0 4 18.2 7 15.6 1 4.3 1 2.2 2 4.4 0 0.0 0 0.0 0 0.0 5 DARAME
6 PANDANGA 592 587 1179 333 15 14 29 0 - 2 14.3 2 6.9 0 - 3 21.4 3 10.3 2 13.3 1 7.1 3 10.3 1 6.7 0 - 1 3.4 1 6.7 0 0.0 1 3.4 0 0.0 0 0.0 0 0.0 6 PANDANGA
7 JUANGA 610 602 1212 340 10 9 19 1 10.0 1 11.0 2 10.5 2 20.0 2 22.1 4 21.0 1 10.0 2 22.1 3 15.7 0 - 0 - 0 0.0 1 10.0 0 0.0 1 5.2 0 0.0 0 0.0 0 0.0 7 JUANGA
8 WAWAMA 776 882 1658 462 22 22 44 2 9.1 1 4.5 3 6.8 0 - 1 4.5 1 2.3 1 4.5 1 4.5 2 4.5 0 - 2 9.1 2 4.5 1 4.5 0 0.0 1 2.3 0 0.0 0 0.0 0 0.0 8 WAWAMA
9 GALO-GALO 274 323 597 150 7 7 14 1 14.3 2 28.6 3 21.4 0 - 0 - 0 0.0 0 - 0 - 0 0.0 0 - 1 14.3 1 7.1 2 28.6 0 0.0 2 14.3 0 0.0 0 0.0 0 0.0 9 GALO-GALO
10 KOLORAY 291 277 568 151 6 6 12 1 16.7 0 - 1 8.3 0 - 0 - 0 0.0 0 - 0 - 0 0.0 0 - 0 - 0 0.0 0 - 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 10 KOLORAY
JLH 6917 7033 13950 3,793 184 179 363 10 5.4 19 10.6 29 8.0 5 2.7 10 5.6 15 4.1 11 6.0 15 8.4 26 7.2 10 5.4 14 7.8 24 6.6 12 6.5 5 2.8 17 4.7 0 0.0 0 0.0 0 0.0 JLH
Luar Wilayah
Luar Wilayah
Bulan sebelumnya 50 27 61 34 111 31 43 23 60 34 103 28 50 27 56 31 106 29 55 30 44 25 99 27 36 20 30 17 66 18 0 0 0 0 0 0 Bulan sebelumny
696 731 1427 349 19 19 38 1 5.3 0 - 1 2.6 1 5.3 0 - 1 2.6 0 - 0 - 0 0.0 1 5.3 1 2.6 2 5.3 0 - 0 - 0 0.0 0 - 0 - 0 0.0
1071 1007 2078 560 43 42 85 1 2.3 2 4.8 3 3.5 2 4.7 4 9.5 6 7.1 3 7.0 1 2.4 4 4.7 1 2.3 2 2.4 3 3.5 0 - 0 - 0 0.0 0 - 0 - 0 0.0
599 611 1210 319 14 14 28 0 - 0 - 0 0.0 0 - 2 14.3 2 7.1 1 7.1 0 - 1 3.6 1 7.1 0 0.0 1 3.6 1 7.1 2 14.3 3 10.7 1 7.1 2 14.3 3 10.7
1005 971 1976 619 23 22 45 0 - 0 - 0 0.0 1 4.3 1 4.5 2 4.4 3 13.0 4 18.2 7 15.6 1 4.3 1 2.2 2 4.4 0 - 0 - 0 0.0 0 - 0 - 0 0.0
592 587 1179 333 15 14 29 0 - 3 21.4 3 10.3 2 13.3 1 7.1 3 10.3 1 6.7 0 - 1 3.4 1 6.7 0 0.0 1 3.4 1 6.7 3 21.4 4 13.8 1 6.7 3 21.4 4 13.8
610 602 1212 340 10 9 19 2 20.0 2 22.1 4 21.0 1 10.0 2 22.1 3 15.7 0 - 0 - 0 0.0 1 10.0 0 0.0 1 5.2 0 - 0 - 0 0.0 0 - 0 - 0 0.0
776 882 1658 462 22 22 44 0 - 1 4.5 1 2.3 1 4.5 1 4.5 2 4.5 0 - 2 9.1 2 4.5 1 4.5 0 0.0 1 2.3 1 4.5 2 9.1 3 6.8 1 4.5 2 9.1 3 6.8
274 323 597 150 7 7 14 0 - 0 - 0 0.0 0 - 0 - 0 0.0 0 - 1 14.3 1 7.1 2 28.6 0 0.0 2 14.3 0 - 0 - 0 0.0 0 - 0 - 0 0.0
291 277 568 151 6 6 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 0.0
6917 7033 13950 3,793 184 179 363 5 2.7 10 5.6 15 4.1 11 6.0 15 8.4 26 7.2 10 5.4 14 7.8 24 6.6 12 6.5 5 2.8 17 4.7 4 2.2 8 4.5 12 3.3 4 2.2 8 4.5 12 3.3
Luar Wilayah
Bulan sebelumnya 43 23 60 34 103 28 50 27 56 31 106 29 55 30 44 25 99 27 36 20 30 17 66 18 27 15 27 15 54 15 27 15 27 15 54 15
PEMERINTAH KABUPATEN PULAU MOROTAI
DINAS KESEHATAN
PUSKESMAS DARUBA KEC. MOROTAI SELATAN
Laporan Bulanan Imunisasi TT, WUS dan BUMIL
Bulan : Mei
Tahun : 2022 KODE POS.97771
WUS DI IMUNISASI BUMIL DI IMUNISASI
Sasaran Sasaran
No Desa Jlh Pddk TT 1 TT 2 TT 3 TT 4 TT 5 TT 1 TT 2 TT 3 TT 4 TT 5 KET
WUS Bumil
abs % abs % abs % abs % abs % abs % abs % abs % abs % abs %
1 DARUBA 2045 532 0 0 0 0 0 0 0 0 0 0 58 5 9 5 9 0 0 0 0 0 0
2 YAYASAN 1427 371 0 0 0 0 0 0 0 0 0 0 41 3 7 2 5 0 0 0 0 0 0
3 GOTALAMO 2078 540 0 0 0 0 0 0 0 0 0 0 59 5 8 7 12 0 0 0 0 0 0
4 MUHAJIRIN 1210 315 0 0 0 0 0 0 0 0 0 0 35 2 6 1 3 0 0 0 0 0 0
5 DARAME 1976 514 0 0 0 0 0 0 0 0 0 0 57 4 7 4 7 0 0 0 0 0 0
6 PANDANGA 1179 307 0 0 0 0 0 0 0 0 0 0 34 2 6 4 12 0 0 0 0 0 0
7 JUANGA 1212 315 0 0 0 0 0 0 0 0 0 0 35 2 6 0 0 0 0 0 0 0 0
8 WAWAMA 1658 421 0 0 0 0 0 0 0 0 0 0 46 6 13 3 7 0 0 0 0 0 0
9 GALO-GALO 597 155 0 0 0 0 0 0 0 0 0 0 17 0 0 2 12 0 0 0 0 0 0
10 KOLORAY 568 147 0 0 0 0 0 0 0 0 0 0 16 0 0 1 6 0 0 0 0 0 0
Jumlah 13950 3617 0 0 0 0 0 0 0 0 0 0 398 29 7 29 7 0 0 0 0 0
Total Bln ini 58 15 89 22
Bulan/Tahun: Mei
Jumlah Ket
No Jenis Logistik Jlh diterima Satuan No Bacth Tgl Expire
Pemakaian Satuan Sisa Stok Satuan
1 Hb0 Sacc Sacc Sacc Sacc
2 BCG Ampul flacon flacon flacon
3 Polio 40 flacon 20515119 40 flacon flacon flacon
4 Campak flacon flacon flacon flacon
6 VAR PCS PCS PCS
7 Td Vial flacon flacon flacon
8 Pelarut BCG Ampul Ampul Ampul Ampul
9 Pelarut Campak Ampul Ampul Ampul Ampul
10 Dyspo 0,05 cc PCS PCS PCS
11 Dyspo 0,5 cc PCS PCS PCS PCS
12 Pipet Polio 40 Buah 40 Buah Buah Buah
13 Safety Box Buah Buah Buah Buah
14 Pentabio Vial vial vial vial
14 IPV Vial vial vial vial
Mengetahui, Daruba, 30 Mei 2022
Kepala Puskesmas Pengelolah Imunisasi
2 YAYASAN 696 731 1427 349 19 19 38 0 - 4 21.1 4 10.5 1 5.3 0 - 1 2.6 1 5.3 0 - 1 2.6 1 5.3 0 - 1 2.6 0 - 1 2.6 1 2.6 0 0.0 0 0.0 0 0.0 2 YAYASAN
3 GOTALAMO 1071 1007 2078 560 43 42 85 4 9.3 1 2.4 5 5.9 1 2.3 6 14.3 7 8.2 1 2.3 2 4.8 3 3.5 3 7.0 2 4.8 5 5.9 5 11.6 1 1.2 6 7.1 0 0.0 0 0.0 0 0.0 3 GOTALAMO
4 MUHAJIRIN 599 611 1210 319 14 14 28 0 - 3 21.4 3 10.7 1 7.1 3 21.4 4 14.3 0 - 1 7.1 1 3.6 0 - 1 7.1 1 3.6 0 - 1 3.6 1 3.6 0 0.0 0 0.0 0 0.0 4 MUHAJIRIN
5 DARAME 1005 971 1976 619 23 22 45 1 4.3 0 - 1 2.2 5 21.7 5 22.7 10 22.2 0 - 0 - 0 0.0 2 8.7 2 9.1 4 8.9 4 17.4 3 6.7 7 15.6 0 0.0 0 0.0 0 0.0 5 DARAME
6 PANDANGA 592 587 1179 333 15 14 29 3 20.0 0 - 3 10.3 0 - 1 7.1 1 3.4 1 6.7 3 21.4 4 13.8 0 - 1 7.1 1 3.4 2 13.3 0 0.0 2 6.9 0 0.0 0 0.0 0 0.0 6 PANDANGA
7 JUANGA 610 602 1212 340 10 9 19 1 10.0 2 22.1 3 15.7 0 - 2 22.1 2 10.5 1 10.0 1 11.0 2 10.5 0 - 1 11.0 1 5.2 0 - 1 5.2 1 5.2 0 0.0 0 0.0 0 0.0 7 JUANGA
8 WAWAMA 776 882 1658 462 22 22 44 0 - 0 - 0 0.0 0 - 3 13.6 3 6.8 1 4.5 2 9.1 3 6.8 1 4.5 0 - 1 2.3 3 13.6 1 2.3 4 9.1 0 0.0 0 0.0 0 0.0 8 WAWAMA
9 GALO-GALO 274 323 597 150 7 7 14 0 - 0 - 0 0.0 1 14.3 1 14.3 2 14.3 0 - 0 - 0 0.0 0 - 1 14.3 1 7.1 2 28.6 2 14.3 4 28.6 0 0.0 0 0.0 0 0.0 9 GALO-GALO
10 KOLORAY 291 277 568 151 6 6 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 0 0.0 0 0.0 10 KOLORAY
JLH 6917 7033 13950 3,793 184 179 363 11 6.0 12 6.7 23 6.3 12 6.5 22 12.3 34 9.4 6 3.3 9 5.0 15 4.1 7 3.8 11 6.1 18 5.0 17 9.2 12 6.7 29 8.0 0 0.0 0 0.0 0 0.0 JLH
Luar Wilayah
Luar Wilayah
Bulan sebelumnya 60 33 80 45 140 39 48 26 70 39 118 33 61 33 71 40 132 36 65 35 58 32 123 34 48 26 35 20 83 23 0 0 0 0 0 0 Bulan sebelumny
696 731 1427 349 19 19 38 1 5.3 0 - 1 2.6 1 5.3 0 - 1 2.6 1 5.3 0 - 1 2.6 0 - 1 2.6 1 2.6 2 10.5 2 10.5 4 10.5 2 10.5 2 10.5 4 10.5
1071 1007 2078 560 43 42 85 1 2.3 6 14.3 7 8.2 1 2.3 2 4.8 3 3.5 3 7.0 2 4.8 5 5.9 5 11.6 1 1.2 6 7.1 1 2.3 1 2.4 2 2.4 1 2.3 1 2.4 2 2.4
599 611 1210 319 14 14 28 1 7.1 3 21.4 4 14.3 0 - 1 7.1 1 3.6 0 - 1 7.1 1 3.6 0 - 1 3.6 1 3.6 0 - 0 - 0 0.0 0 - 0 - 0 0.0
1005 971 1976 619 23 22 45 5 21.7 5 22.7 10 22.2 0 - 0 - 0 0.0 2 8.7 2 9.1 4 8.9 4 17.4 3 6.7 7 15.6 4 17.4 1 4.5 5 11.1 4 17.4 1 4.5 5 11.1
592 587 1179 333 15 14 29 0 - 1 7.1 1 3.4 1 6.7 3 21.4 4 13.8 0 - 1 7.1 1 3.4 2 13.3 0 0.0 2 6.9 2 13.3 0 - 2 6.9 2 13.3 0 - 2 6.9
610 602 1212 340 10 9 19 0 - 2 22.1 2 10.5 1 10.0 1 11.0 2 10.5 0 - 1 11.0 1 5.2 0 - 1 5.2 1 5.2 0 - 0 - 0 0.0 0 - 0 - 0 0.0
776 882 1658 462 22 22 44 0 - 3 13.6 3 6.8 1 4.5 2 9.1 3 6.8 1 4.5 0 - 1 2.3 3 13.6 1 2.3 4 9.1 0 - 1 4.5 1 2.3 0 - 1 4.5 1 2.3
274 323 597 150 7 7 14 1 14.3 1 14.3 2 14.3 0 - 0 - 0 0.0 0 - 1 14.3 1 7.1 2 28.6 2 14.3 4 28.6 1 14.3 0 - 1 7.1 1 14.3 0 - 1 7.1
291 277 568 151 6 6 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 0.0
6917 7033 13950 3,793 184 179 363 12 6.5 22 12.3 34 9.4 6 3.3 9 5.0 15 4.1 7 3.8 11 6.1 18 5.0 17 9.2 12 6.7 29 8.0 13 7.1 7 3.9 20 5.5 13 7.1 7 3.9 20 5.5
Luar Wilayah
Bulan sebelumnya 48 26 70 39 118 33 61 33 71 40 132 36 65 35 58 32 123 34 48 26 35 20 83 23 31 17 35 20 66 18 31 17 35 20 66 18
PEMERINTAH KABUPATEN PULAU MOROTAI
DINAS KESEHATAN
PUSKESMAS DARUBA KEC. MOROTAI SELATAN
Laporan Bulanan Imunisasi TT, WUS dan BUMIL
Bulan : Juni
Tahun : 2022 KODE POS.97771
WUS DI IMUNISASI BUMIL DI IMUNISASI
Sasaran Sasaran
No Desa Jlh Pddk TT 1 TT 2 TT 3 TT 4 TT 5 TT 1 TT 2 TT 3 TT 4 TT 5 KET
WUS Bumil
abs % abs % abs % abs % abs % abs % abs % abs % abs % abs %
1 DARUBA 2045 532 0 0 0 0 0 0 0 0 0 0 58 8 14 5 9 0 0 0 0 0 0
2 YAYASAN 1427 371 0 0 0 0 0 0 0 0 0 0 41 4 10 3 7 0 0 0 0 0 0
3 GOTALAMO 2078 540 0 0 0 0 0 0 0 0 0 0 59 9 15 5 8 0 0 0 0 0 0
4 MUHAJIRIN 1210 315 0 0 0 0 0 0 0 0 0 0 35 2 6 2 6 0 0 0 0 0 0
5 DARAME 1976 514 0 0 0 0 0 0 0 0 0 0 57 3 5 4 7 0 0 0 0 0 0
6 PANDANGA 1179 307 0 0 0 0 0 0 0 0 0 0 34 1 3 2 6 0 0 0 0 0 0
7 JUANGA 1212 315 0 0 0 0 0 0 0 0 0 0 35 6 17 2 6 0 0 0 0 0 0
8 WAWAMA 1658 421 0 0 0 0 0 0 0 0 0 0 46 9 20 6 13 0 0 0 0 0 0
9 GALO-GALO 597 155 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0
10 KOLORAY 568 147 0 0 0 0 0 0 0 0 0 0 16 1 6 0 0 0 0 0 0 0 0
Jumlah 13950 3617 0 0 0 0 0 0 0 0 0 0 398 43 11 29 7 0 0 0 0 0
Total Bln ini 101 25 118 30
Bulan/Tahun: Juni
Jumlah Ket
No Jenis Logistik Jlh diterima Satuan No Bacth Tgl Expire
Pemakaian Satuan Sisa Stok Satuan
1 Hb0 Sacc Sacc Sacc Sacc
2 BCG Ampul flacon flacon flacon
3 Polio 40 flacon 20515119 40 flacon flacon flacon
4 Campak flacon flacon flacon flacon
6 VAR PCS PCS PCS
7 Td Vial flacon flacon flacon
8 Pelarut BCG Ampul Ampul Ampul Ampul
9 Pelarut Campak Ampul Ampul Ampul Ampul
10 Dyspo 0,05 cc PCS PCS PCS
11 Dyspo 0,5 cc PCS PCS PCS PCS
12 Pipet Polio 40 Buah 40 Buah Buah Buah
13 Safety Box Buah Buah Buah Buah
14 Pentabio Vial vial vial vial
14 IPV Vial vial vial vial
Mengetahui, Daruba, 30 Juni 2022
Kepala Puskesmas Pengelolah Imunisasi