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FORMAT PENDATAAN POSYANDU SASARAN BIAN

SASARAN IMUNISASI TAMBAHAN CAMPAK RUBELA ADALAH 9-59 BULAN DAN SASARAN IMUNISASI KEJAR
PELAKSANAAN : AGUSTUS 2022
Provinsi : Jawa Barat
Kabupaten : Kuningan
Puskesmas : Ciawigebang
Isilah kolom yang berwarna PUTIH!

Tanggal Lahir
No. Nama Anak Jenis Kelamin (L/ P)

1 M. ARSYA L 29 September 2017


2 GAVIN L 24 November 2017
3 RAISYLA .K P 06 Desember 2017
4 M. FAIS L 01 April 2018
5 ALMAHIRA P 09 April 2018
6 AZKIA. N P 15 Mei 2018
7 HUSNA . H P 02 Juni 2018
8 GALIH .P L 15 Juni 2018
9 KHAIRA P 16 Juli 2018
10 NAURA ALMEERA P 13 September 2018
11 SALMA P 18 September 2018
12 LISTIA P 05 Oktober 2018
13 BADAWI L 21 Oktober 2018
14 GEMINTANG P 21 Oktober 2018
15 HARUN L 09 November 2018
16 NAURA .F P 10 Desember 2018
17 ELVAN L 28 Juni 2019
18 NIRMA L 30 Juli 2019
19 RAIZAH P 18 November 2019
20 HASBI L 26 November 2019
21 FATIMAH AZZAHRA P 03 Mei 2021
22 IRWANSYAH L 26 November 2019
23 ADIFA P 04 Desember 2019
24 NAYLA P 04 Desember 2019
25 M. NIZAM L 20 Desember 2019
26 M. IKBAL L 26 Desember 2019
27 NADIFA P 27 Desember 2019
28 NADIRA P 27 Desember 2019
29 QAILA NASYA . R P 05 Mei 2020
30 JALU ADI . S L 22 Juni 2020
31 AQILATUN P 23 Juni 2020
32 AURA P 08 Agustus 2020
33 M. ADITYA L 19 September 2020
34 CEMAL KAFI. A L 02 Desember 2020
35 M. DAFA MAULANA L 30 Desember 2020
36 NADIA NAURA P 09 Januari 2021
37 M. DAFFA N W L 25 Januari 2021
38 HAIDAR L 28 Februari 2021
39 SABRINA . K P 01 Juli 2021
40 ALYA PUTRI L P 20 Agustus 2021
41 RAY MUHAMMAD L 15 Agustus 2021
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
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72
73
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76
77
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79
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81
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90
91
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94
95
96
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104
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113
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117
118
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121
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125
126
127
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130
131
132
133
134
135
136
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138
139
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142
143
144
145
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148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
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169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
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292
293
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296
297
298
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300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449

450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
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475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500

TOTAL
IP Vaksin:
MR = 8
OPV = 8
IPV = 4
DPT-HB-Hib = 4
Catatan:
Anak yang sudah mendapatkan ORI Campak Rubela, tidak perlu mendapatkan imunisasi tambahan Campak Rubela s
Total kebutuhan vial yang dibutuhkan yang mengacu pada perhitungan baris total vial vaksin
Anak usia 18-24 bulan yang pada saat bersamaan mendapatkan imunisasi rutin (DPT-HB-Hib4 dan Campak rubella 2)
Kebutuhan Vaksin Khusus Campak Rubela = (Total Sasaran - Sudah Mendapatkan ORI Campak Rubela sejak Januar
SASARAN IMUNISASI BIAN:
Imunisasi Kejar : Lahir pada bulan Sept 2017 - bulan Agust 2021
Imunisasi CR : Lahir pada bulan Sept 2017 - bulan Oktober 2021

Kolom Tambahan:
*) Jumlah Dosis Vaksin yang pernah didapat
JENIS KELAMIN
L
P
59 BULAN DAN SASARAN IMUNISASI KEJAR ADALAH 12-59 BULAN
01 Agustus 2022 (Disesuaikan dengan tgl pelaksanaan di masing-masing Posyandu)
Desa/Kelurahan : Ciputat
Posyandu : MAWAR 2 (BLOK PAHING)

Apakah anak
mendapatkan ORI
NIK Nama Orang Tua (IBU) Alamat Campak Rubela sejak
Januari 2022
(Ya =1, Tidak=0)

ENJEN / LILIS RT 001/RW 002


JAI / IMA RT 002/RW 002
*3208104612170003 UGUN / SARTINI RT 001/RW 002
IIS / AAN RT 002/RW 002
HETI / IYAN RT 001/RW 002
*3208105505180001 RUDI / AIDA RT 001/RW 002
*3208104206180003 MASUDI/ EMAH RT 002/RW 002
ONIH / ADE RT 002/RW 002
*3208105606180005 DEDI/ AYU RT 002/RW 002
ASEP / VITA RT 002/RW 002
ADI / LINDA RT 001/RW 002
MAMUN / YULI RT 001/RW 002
*3208102110180001 ARIF / ENTIN RT 001/RW 002
ARIF / MELI RT 002/RW 002
WIWI / NANA RT 002/RW 002
*3208105012180002 SUKLAN / MIMIN RT 001/RW 002
*3208102806190001 ALI / WINDA RT 001/RW 002
*3208107007190002 ROBBY / LINDA RT 002/RW 002
HENDRIK / MAMAH RT 001/RW 002
*3208102611190003 UGUN / SARTINI RT 001/RW 002
*3208104305210002 MAMAT / LINDA RT 002/RW 002
*3208102611190002 HADI / YETI RT 001/RW 002
*3208104112190003 DEDE / ANGGUN RT 001/RW 002
ENTRIS / RIKA RT 001/RW 002
*3208102012190001 SUDANA / ETI RT 001/RW 002
*320810261290001 AAN / SARI RT 001/RW 002
*3208106712190002 WAWAN / IRNA RT 002/RW 002
*3208106712190001 WAWAN / IRNA RT 002/RW 002
*3208104505200002 MADNUR / NUNUNG RT 001/RW 002
*3208102206200004 IING / YATI RT 001/RW 002
EMAN / IIN RT 001/RW 002
*3208104808200003 BENI / MEGA RT 001/RW 002
*3208101909200001 ROCHMAN / WATI RT 002/RW 002
SURYADI / LARAS RT 001/RW 002
SADE / NINA RT 001/RW 002
NUROHIM/ SUMIATI RT 001/RW 002
*3208102501210002 DENI / AAT RT 001/RW 002
YANTO / SAROH RT 001/RW 002
*3208104107210073 RIAN / HANIFAH RT 002/RW 002
*3208106008210004 DEDE / SUMIATI RT 001/RW 002
*3208101508210002 IMAM / ELSA RT 001/RW 002
TOTAL 0
dapatkan imunisasi tambahan Campak Rubela sejak Januari 2022
baris total vial vaksin
sasi rutin (DPT-HB-Hib4 dan Campak rubella 2) maka tetap masuk dalam Sasaran Imunisasi Kejar
Mendapatkan ORI Campak Rubela sejak Januari 2022)/IP vaksin

bulan Sept 2017 - bulan Agust 2021


bulan Sept 2017 - bulan Oktober 2021
*) Jumlah Dosis Vaksin yang Apakah anak merupakan Apakah anak sasaran Imunisasi Kejar
pernah didapat sasaran Imunisasi (Ya = 1, Tidak = 0)
Umur (bulan) Tambahan
Campak Rubella (Ya=1,
Tidak = 0)
OPV IPV DPT-HB-Hib OPV IPV

4 1 4 58 1 0 0
4 1 4 56 1 0 0
4 1 4 55 1 0 0
4 1 4 52 1 0 0
4 1 4 51 1 0 0
4 1 4 50 1 0 0
4 1 4 49 1 0 0
4 1 4 49 1 0 0
4 1 4 48 1 0 0
4 1 4 46 1 0 0
4 1 4 46 1 0 0
4 1 4 45 1 0 0
4 1 4 45 1 0 0
4 1 4 45 1 0 0
4 1 4 44 1 0 0
4 1 4 43 1 0 0
4 1 4 37 1 0 0
4 1 4 36 1 0 0
4 1 4 32 1 0 0
4 1 4 32 1 0 0
4 1 3 14 1 0 0
4 1 4 32 1 0 0
4 1 4 31 1 0 0
4 1 4 31 1 0 0
4 1 4 31 1 0 0
4 1 4 31 1 0 0
4 1 4 31 1 0 0
4 1 4 31 1 0 0
4 1 4 26 1 0 0
4 1 4 25 1 0 0
4 1 4 25 1 0 0
4 1 4 23 1 0 0
4 1 4 22 1 0 0
4 1 4 19 1 0 0
4 1 4 19 1 0 0
4 1 3 18 1 0 0
4 1 3 18 1 0 0
4 1 3 17 1 0 0
4 1 3 13 1 0 0
4 1 3 11 1 0 0
4 1 3 11 1 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0

1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0
1471 0 0 0

41 0 0

TOTA
k sasaran Imunisasi Kejar Apakah Anak Jumlah dosis yang dibutuhkan untuk Rencana Pemberian Dosis Sasaran
a = 1, Tidak = 0) merupakan sasaran melengkapi status imunisasi Imunisasi Kejar & CR Pada Bulan Agu
imunisasi KEJAR
(Ya = 1 , Tidak = 0)
DPT-HB-Hib OPV IPV DPT-HB-Hib OPV IPV

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 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 1 0 0 1 0 0
1 1 0 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 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
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0 0 0 0 0 0 0
0 0 0 0 0 0 0
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
0 0 0 0 0 0 0
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0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
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0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
2 2 0 0 2 0 0

TOTAL VIAL VAKSIN (Jumlah Vial = Jumlah Total Sasaran/IP Vaksin) 0 0


Diisi pada saat pelayanan imunisasi Kejar & CR bulan Agustus (
ncana Pemberian Dosis Sasaran
Sasaran Apakah anak September) 2022
sasi Kejar & CR Pada Bulan Agustus (JIKA DIIMUNISASI, ISI TANGGAL PELAYAN
Suntikan sasaran BIAN
Bulan Agustus (Agustus)
DPT-HB-Hib CR OPV IPV

0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 1
1 1 2 1
1 1 2 1
0 1 1 1
0 1 1 1
0 1 1 1
0 1 1 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
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
2 41 43 41 0 0
1 6 0 0
asi Kejar & CR bulan Agustus (termasuk Sweeping pada Diisi pada saat pelayanan imunisasi Kejar pada September
September) 2022 2022
NISASI, ISI TANGGAL PELAYANAN) (JIKA DIIMUNISASI, ISI TANGGAL PELAYANAN)

DPT-HB-Hib CR OPV IPV DPT-HB-Hib


0 0 0 0 0
0 0 0 0 0
FORMAT PENDATAAN POSYANDU SASARAN
SASARAN IMUNISASI TAMBAHAN CAMPAK RUBELA ADALAH 9-59 BULAN DAN SASARAN IMUNISASI KEJAR
PELAKSANAAN : AGUSTUS 2022
Provinsi : Jawa Barat
Kabupaten : Kuningan
Puskesmas : Ciawigebang
Isilah kolom yang berwarna PUTIH!

Tanggal Lahir
No. Nama Anak Jenis Kelamin (L/ P)

1 DAFA RADITIA L 02 September 2017


2 M. IJAR L 05 September 2017
3 AZRIL HAIKAL L 02 November 2017
4 AEN NABIATUL P 19 Februari 2018
5 RAISA CAHYA P 06 Februari 2018
6 KHANSA ADELIA P 30 Maret 2018
7 RAFASYA PUTRA L 10 Maret 2018
8 FIKRI MUZAKI L 23 Maret 2018
9 APNAN L 18 April 2018
10 PUSPA P 19 Mei 2018
11 ADITIA R L 25 Mei 2018
12 M. HANAPI L 06 Mei 2018
13 YUMNA LATIFAH P 03 Juni 2018
14 SITI ALIKA P 19 Agustus 2018
15 ARSY ASIFA P 10 Oktober 2018
16 M SYAFIK HAFIDZ L 24 Oktober 2018
17 DAFA DZAKY L 25 November 2018
18 M PUTRA ALHUDA L 29 Desember 2018
19 M. SYIHABUDIN L 04 Desember 2018
20 SITI LATIFATUN NISA P 06 Desember 2018
21 SYIFA ZENATUL P 09 Januari 2019
22 FIKA DEWI P 12 Februari 2019
23 M. BAHARSYAH L 16 Maret 2018
24 AUREL SUCI R P 17 Mei 2019
25 M. NAJIPUDIN L 22 Mei 2019
26 RAISA ZOYA P 15 Juni 2019
27 SITI OLIVIA P 11 Juni 2019
28 M. NIZAM MAULANA L 11 Juni 2019
29 NIZAM ALRAFQI L 22 Juni 2019
30 DARRA P 13 Juli 2019
31 FATAN MAULANA L 29 September 2019
32 M. SYARIF BILAH L 28 September 2019
33 NAZWA SABRINA P 23 September 2019
34 PUTRI AISYAH P 03 Desember 2019
35 RAYYAN DZAKI L 20 Desember 2019
36 ZIA SHASFA P 13 Desember 2019
37 NAZDIR ARSYIDIN L 13 Februari 2020
38 M. AZRIL P L 06 Maret 2020
39 FITRIAH P 20 Maret 2020
40 NIZAM ALFARIZII L 12 Maret 2020
41 ESAH SYACHIRA P 17 Juni 2020
42 FATAH NURHAFIZ L 24 Juni 2020
43 M RIFAN L 28 Juni 2020
44 M REYYFAN L 13 Agustus 2020
45 AINA MARISA P 22 Agustus 2020
46 M FAKIH L 29 Agustus 2020
47 NAGITA SEPTIANI P 17 September 2020
48 AZIZAH MAULIDA P 15 November 2020
49 M RIZKY L 14 November 2020
50 HILYA NAFISAH P 13 November 2020
51 PUTRA NOVAL L 03 November 2020
52
53
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55
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57
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71
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122
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133
134
135
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143
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149
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153
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223
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231
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233
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236
237
238
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240
241
242
243
244
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246
247
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249
250
251
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253
254
255
256
257
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261
262
263
264
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272
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274
275
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321
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331
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333
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341
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343
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347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449

450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500

TOTAL
IP Vaksin:
MR = 8
OPV = 8
IPV = 4
DPT-HB-Hib = 4
Catatan:
Anak yang sudah mendapatkan ORI Campak Rubela, tidak perlu mendapatkan imunisasi tambahan Campak Rubela s
Total kebutuhan vial yang dibutuhkan yang mengacu pada perhitungan baris total vial vaksin
Anak usia 18-24 bulan yang pada saat bersamaan mendapatkan imunisasi rutin (DPT-HB-Hib4 dan Campak rubella 2)
Kebutuhan Vaksin Khusus Campak Rubela = (Total Sasaran - Sudah Mendapatkan ORI Campak Rubela sejak Januar
SASARAN IMUNISASI BIAN:
Imunisasi Kejar : Lahir pada bulan Sept 2017 - bulan Agust 2021
Imunisasi CR : Lahir pada bulan Sept 2017 - bulan Oktober 2021

Kolom Tambahan:
*) Jumlah Dosis Vaksin yang pernah didapat
JENIS KELAMIN
L
P
59 BULAN DAN SASARAN IMUNISASI KEJAR ADALAH 12-59 BULAN
01 Agustus 2022 (Disesuaikan dengan tgl pelaksanaan di masing-masing Posyandu)
Desa/Kelurahan : Ciputat
Posyandu : MAWAR 6 ( BLOK KLIW

Apakah anak *) Jumlah Dosis Vaksi


mendapatkan ORI pernah didapat
NIK Nama Orang Tua (IBU) Alamat Campak Rubela sejak
Januari 2022
(Ya =1, Tidak=0)
OPV

*3208100209170001 DODI / ENDAH DUSUN KLIWON 2/5 4


*3208100509170001 IYUD / YAYAH DUSUN KLIWON 1/5 4
*3208100211170001 ENJEN / IYUS DUSUN KLIWON 1/5 4
*3208105902180002 UDI / SUNIAH DUSUN KLIWON 3/5 4
*3208224602180001 TOTO / VERA DUSUN KLIWON 1/5 4
*3208107003180001 OPA / ETI DUSUN KLIWON 2/5 4
*3208101003180001 YAYAT / ADE IRMA DUSUN KLIWON 1/5 4
*3208102303180006 FURKON / IKOH DUSUN KLIWON 2/5 4
*3171040804180003 JAFAR / ERNA DUSUN KLIWON 2/5 4
*3208105905180002 AGUS / WINA DUSUN KLIWON 1/5 4
*3208102505180002 SUUD / ATI DUSUN KLIWON 2/5 4
*3208100605180001 NANA / WIDI DUSUN KLIWON 1/5 4
*3208104306180001 NURYAMAN / NENDAH DUSUN KLIWON 2/5 4
*3208105908180001 ABDUL K / IYAH DUSUN KLIWON 3/5 4
*3208105010180001 AMAT / POPON DUSUN KLIWON 2/5 4
*3208102410170001 UKA / DASMIRAH DUSUN KLIWON 1/5 4
*3208102509180001 OMAN / ASIH DUSUN KLIWON 2/5 4
*3208102912170001 UDIN / SITI DUSUN KLIWON 1/5 4
*3208100412180007 RONI / DIAH DUSUN KLIWON 1/5 4
*3208104612180004 YANTO / MAMAH DUSUN KLIWON 1/5 4
*3208104801190005 APUD / OMAH DUSUN KLIWON 3/5 4
*3208105202190001 DUDU / ENTIN DUSUN KLIWON 2/5 4
*3208101603190001 WAWAN / AAS DUSUN KLIWON 1/5 4
*3208105705190003 TARYANA/ IIN DUSUN KLIWON 1/5 4
*3208102205190001 KOMARUDIN / EMPAT DUSUN KLIWON 1/5 4
*3208105506190001 IWAN / AAM DUSUN KLIWON 2/5 4
*3208105106190001 KIRMAN / ODAH DUSUN KLIWON 1/5 4
*3208101106190002 TOTO / NENENG DUSUN KLIWON 1/5 4
*3208102206190001 ASEP / ECHA DUSUN KLIWON 1/5 4
*3208105307190002 ISHAK / - DUSUN KLIWON 1/5 4
*3208102909190003 DODI / ENDAH DUSUN KLIWON 2/5 4
*3208102809190003 ISMAIL / AAS DUSUN KLIWON 2/5 4
*3208106309190002 YUNUS / ANAH DUSUN KLIWON 3/5 4
*3208104312190004 DARWAN / IIM DUSUN KLIWON 2/5 4
*3208102012180004 CASTA / MARUNA DUSUN KLIWON 3/5 4
*3208105312190002 NANA / IYUS DUSUN KLIWON 3/5 4
*3208101302200001 AGUS / ENCUM DUSUN KLIWON 2/5 4
*3208100603200002 ASEP / YANI DUSUN KLIWON 2/5 4
*3208106003200002 RONI / DIAH DUSUN KLIWON 1/5 4
*3208102206190001 DANI / RIA DUSUN KLIWON 2/5 4
*3208105706200003 JEJEN / NURUL DUSUN KLIWON 2/5 4
*3208102406200004 HENDRA / LINA DUSUN KLIWON 3/5 4
*3208102806200002 SARIP / UTIN DUSUN KLIWON 3/5 4
*3208101308200002 ROJIUN / ANGGI DUSUN KLIWON 3/5 4
*3208106208200002 KARMAN / SAROH DUSUN KLIWON 3/5 4
SUGIANTO / SUSI DUSUN KLIWON 2/5 4
*3208105709200003 SAPEI / YANTI DUSUN KLIWON 2/5 4
*3208105511200003 TOHARIN / NURMANAH DUSUN KLIWON 3/5 4
*3208101411200004 MULYANA / MARNI DUSUN KLIWON 3/5 4
*3208102410170001 UKA / DASMIRAH DUSUN KLIWON 1/5 4
*3208100311200004 UDI / SUNIAH DUSUN KLIWON 3/5 4
TOTAL 0
dapatkan imunisasi tambahan Campak Rubela sejak Januari 2022
baris total vial vaksin
sasi rutin (DPT-HB-Hib4 dan Campak rubella 2) maka tetap masuk dalam Sasaran Imunisasi Kejar
Mendapatkan ORI Campak Rubela sejak Januari 2022)/IP vaksin

bulan Sept 2017 - bulan Agust 2021


bulan Sept 2017 - bulan Oktober 2021
*) Jumlah Dosis Vaksin yang Apakah anak merupakan Apakah anak sasaran Imunisasi Kejar
pernah didapat sasaran Imunisasi (Ya = 1, Tidak = 0)
Umur (bulan) Tambahan
Campak Rubella (Ya=1,
Tidak = 0)
IPV DPT-HB-Hib OPV IPV DPT-HB-Hib

1 4 58 1 0 0 0
1 4 58 1 0 0 0
1 4 56 1 0 0 0
1 4 53 1 0 0 0
1 4 53 1 0 0 0
1 4 52 1 0 0 0
1 4 52 1 0 0 0
1 4 52 1 0 0 0
1 4 51 1 0 0 0
1 4 50 1 0 0 0
1 4 50 1 0 0 0
1 4 50 1 0 0 0
1 4 49 1 0 0 0
1 4 47 1 0 0 0
1 4 45 1 0 0 0
1 4 45 1 0 0 0
1 4 44 1 0 0 0
1 4 43 1 0 0 0
1 4 43 1 0 0 0
1 4 43 1 0 0 0
1 4 42 1 0 0 0
1 4 41 1 0 0 0
1 4 52 1 0 0 0
1 4 38 1 0 0 0
1 4 38 1 0 0 0
1 4 37 1 0 0 0
1 4 37 1 0 0 0
1 4 37 1 0 0 0
1 4 37 1 0 0 0
1 4 36 1 0 0 0
1 4 34 1 0 0 0
1 4 34 1 0 0 0
1 4 34 1 0 0 0
1 4 31 1 0 0 0
1 4 31 1 0 0 0
1 4 31 1 0 0 0
1 4 29 1 0 0 0
1 4 28 1 0 0 0
1 4 28 1 0 0 0
1 4 28 1 0 0 0
1 4 25 1 0 0 0
1 4 25 1 0 0 0
1 4 25 1 0 0 0
1 4 23 1 0 0 0
1 4 23 1 0 0 0
1 4 23 1 0 0 0
1 4 22 1 0 0 0
1 4 20 1 0 0 0
1 4 20 1 0 0 0
1 4 20 1 0 0 0
1 4 20 1 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0

1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0

51 0 0 0

TOTAL VIAL VAK


Apakah Anak Jumlah dosis yang dibutuhkan untuk Rencana Pemberian Dosis Sasaran
merupakan sasaran melengkapi status imunisasi Imunisasi Kejar & CR Pada Bulan Agustus
imunisasi KEJAR
(Ya = 1 , Tidak = 0)
OPV IPV DPT-HB-Hib OPV IPV DPT-HB-Hib

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 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 VIAL VAKSIN (Jumlah Vial = Jumlah Total Sasaran/IP Vaksin) 0 0 0


Diisi pada saat pelayanan imunisasi Kejar & CR bulan Agustus (termasuk Swe
an Dosis Sasaran
Sasaran Apakah anak September) 2022
Pada Bulan Agustus (JIKA DIIMUNISASI, ISI TANGGAL PELAYANAN)
Suntikan sasaran BIAN
Bulan Agustus (Agustus)
CR OPV IPV

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
51 51 51 0 0
7 0 0
asi Kejar & CR bulan Agustus (termasuk Sweeping pada Diisi pada saat pelayanan imunisasi Kejar pada September
September) 2022 2022
NISASI, ISI TANGGAL PELAYANAN) (JIKA DIIMUNISASI, ISI TANGGAL PELAYANAN)

DPT-HB-Hib CR OPV IPV DPT-HB-Hib


0 0 0 0 0
0 0 0 0 0
FORMAT PENDATAAN POSYANDU SASARAN BIAN
SASARAN IMUNISASI TAMBAHAN CAMPAK RUBELA ADALAH 9-59 BULAN DAN SASARAN IMUNISASI KEJAR
PELAKSANAAN : AGUSTUS 2022
Provinsi : Jawa Barat
Kabupaten : Kuningan
Puskesmas : Ciawigebang
Isilah kolom yang berwarna PUTIH!

Tanggal Lahir
No. Nama Anak Jenis Kelamin (L/ P)

1 AZIZAH P 27 September 2017


2 M DZIKRIE L 29 September 2017
3 HUSNUL P 26 Desember 2017
4 AHDAPIAN L 08 Maret 2018
5 AZRIL RAHANDIKA L 09 April 2018
6 ANANG MAULANA L 24 Juni 2018
7 ALIKA NAILA PUTRI P 04 September 2018
8 NADIA P 07 Oktober 2018
9 ADIBA SYAKILA P 18 Maret 2019
10 M PAQIH L 14 Februari 2019
11 RIZKI ABUSOPYAN L 19 April 2019
12 PUTRI AULIA P 20 Februari 2019
13 RAFA L 26 Juli 2019
14 AFKAR L 27 Juli 2019
15 INTAN NURAENI P 17 September 2019
16 M FAHRI HAMZAH L 09 November 2019
17 ATIKAH FATMAH P 28 Desember 2019
18 AZKA HANIPATUL L 09 Desember 2019
19 M ALEQ MARQUES L 29 Februari 2020
20 M NAZRIEL ILHAM L 24 Maret 2020
21 M DIHYA RAMDANI P 19 Mei 2020
22 DINDA P 19 April 2020
23 FATIMAH ALMAHIRA P 30 Juni 2020
24 CASIOPIA P 12 Juni 2020
25 NAYLA P 16 November 2020
26 ROBIATUL ADAWIYAH P 14 Desember 2020
27 KEANU L 14 November 2020
28 KAINAN L 14 November 2020
29 ZALFA P 06 Maret 2021
30 RAISA P 16 Januari 2021
31 NAZWA KAILA P 12 Desember 2017
32 RARA P 16 Mei 2018
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449

450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500

TOTAL
IP Vaksin:
MR = 8
OPV = 8
IPV = 4
DPT-HB-Hib = 4
Catatan:
Anak yang sudah mendapatkan ORI Campak Rubela, tidak perlu mendapatkan imunisasi tambahan Campak Rubela s
Total kebutuhan vial yang dibutuhkan yang mengacu pada perhitungan baris total vial vaksin
Anak usia 18-24 bulan yang pada saat bersamaan mendapatkan imunisasi rutin (DPT-HB-Hib4 dan Campak rubella 2)
Kebutuhan Vaksin Khusus Campak Rubela = (Total Sasaran - Sudah Mendapatkan ORI Campak Rubela sejak Januar
SASARAN IMUNISASI BIAN:
Imunisasi Kejar : Lahir pada bulan Sept 2017 - bulan Agust 2021
Imunisasi CR : Lahir pada bulan Sept 2017 - bulan Oktober 2021

Kolom Tambahan:
*) Jumlah Dosis Vaksin yang pernah didapat
JENIS KELAMIN
L
P
59 BULAN DAN SASARAN IMUNISASI KEJAR ADALAH 12-59 BULAN
01 Agustus 2022 (Disesuaikan dengan tgl pelaksanaan di masing-masing Posyandu)
Desa/Kelurahan : Ciputat
Posyandu : MAWAR 4 ( BLOK WAGE)

Apakah anak *) Jumlah Dosis Vaks


mendapatkan ORI pernah didapa
NIK Nama Orang Tua (IBU) Alamat Campak Rubela sejak
Januari 2022
(Ya =1, Tidak=0)
OPV

AKIM/ TATI DUSUN WAGE 3/4 4


*3208102912170002 MAMAN / NENENG DUSUN WAGE 1/4 4
*3208106612170001 TARDI / JUJU DUSUN WAGE 2/4 4
*3208100803180002 JUDIN / EVA DUSUN WAGE 1/4 4
*3208100904180003 ANANG / MAMAN DUSUN WAGE 2/4 4
*3208102406170005 IBAD / MILA DUSUN WAGE 1/4 4
*3208104409180001 ARIS / ENUNG DUSUN WAGE 2/4 4
*3208074710180001 SOLIHIN / IYOP DUSUN WAGE 1/4 4
RUSDI / ROSTINI DUSUN WAGE 2/4 4
*3208101402190004 IMAN / AANG DUSUN WAGE 1/4 4
*3208101903190001 KARYUDI / NINING DUSUN WAGE 3/4 4
*3208106001190001 TOTO / JUJU DUSUN WAGE 2/4 4
*3208100807190001 ARIF / ELIN DUSUN WAGE 2/4 4
*3208105803190001 YUSUF / NIA R DUSUN WAGE 2/4 4
*3208105709190003 DEDI / IYAN DUSUN WAGE 3/4 4
*3208102911190005 IWAN / LELA DUSUN WAGE 2/4 4
ADE / CUCU DUSUN WAGE 2/4 4
ASEP / PITRI DUSUN WAGE 2/4 4
YANI / NENENG DUSUN WAGE 1/4 4
*3208102403200002 SUHERMAN / IDA DUSUN WAGE 1/4 4
*3208101905200003 IBAD / MILA DUSUN WAGE 1/4 4
3208001904205230 HARIS/ RIKA DUSUN WAGE 1/4 4
*3208107006200001 YUDI / MARIA DUSUN WAGE 1/4 4
3208005206202320 IYUD / INAYAH DUSUN WAGE 1/4 4
3208001611204930 AGUS / NOVI DUSUN WAGE 1/4 4
HENDRIK / SISKA DUSUN WAGE 1/4 4
3208001411207100 INDRA / NUR DUSUN WAGE 2/4 4
INDRA / NUR DUSUN WAGE 2/4 4
3208104603210004 TAUFIK / LITA DUSUN WAGE 2/4 4
3208105601210001 ANDI / ATIN DUSUN WAGE 2/4 4
AGUS / NOVI DUSUN WAGE 1/4 4
ODING / JUJU DUSUN WAGE 3/4 4
TOTAL 0
dapatkan imunisasi tambahan Campak Rubela sejak Januari 2022
baris total vial vaksin
sasi rutin (DPT-HB-Hib4 dan Campak rubella 2) maka tetap masuk dalam Sasaran Imunisasi Kejar
Mendapatkan ORI Campak Rubela sejak Januari 2022)/IP vaksin

bulan Sept 2017 - bulan Agust 2021


bulan Sept 2017 - bulan Oktober 2021
*) Jumlah Dosis Vaksin yang Apakah anak merupakan Apakah anak sasaran Imunisasi Kejar
pernah didapat sasaran Imunisasi (Ya = 1, Tidak = 0)
Umur (bulan) Tambahan
Campak Rubella (Ya=1,
Tidak = 0)
IPV DPT-HB-Hib OPV IPV DPT-HB-Hib

1 4 58 1 0 0 0
1 4 58 1 0 0 0
1 4 55 1 0 0 0
1 4 52 1 0 0 0
1 4 51 1 0 0 0
1 4 49 1 0 0 0
1 4 46 1 0 0 0
1 4 45 1 0 0 0
1 4 40 1 0 0 0
1 4 41 1 0 0 0
1 4 39 1 0 0 0
1 4 41 1 0 0 0
1 4 36 1 0 0 0
1 4 36 1 0 0 0
1 4 34 1 0 0 0
1 4 32 1 0 0 0
1 4 31 1 0 0 0
1 4 31 1 0 0 0
1 4 29 1 0 0 0
1 4 28 1 0 0 0
1 4 26 1 0 0 0
1 4 27 1 0 0 0
1 4 25 1 0 0 0
1 4 25 1 0 0 0
1 4 20 1 0 0 0
1 4 19 1 0 0 0
1 4 20 1 0 0 0
1 4 20 1 0 0 0
1 3 16 1 0 0 0
1 3 18 1 0 0 1
1 4 55 1 0 0 0
1 4 50 1 0 0 0
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1471 0 0 0 0
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1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0

1471 0 0 0 0
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1471 0 0 0 0
1471 0 0 0 0

32 0 0 1

TOTAL VIAL VAK


Apakah Anak Jumlah dosis yang dibutuhkan untuk Rencana Pemberian Dosis Sasaran
merupakan sasaran melengkapi status imunisasi Imunisasi Kejar & CR Pada Bulan Agustus
imunisasi KEJAR
(Ya = 1 , Tidak = 0)
OPV IPV DPT-HB-Hib OPV IPV DPT-HB-Hib

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 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 1 0 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
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 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 1 0 0 1

TOTAL VIAL VAKSIN (Jumlah Vial = Jumlah Total Sasaran/IP Vaksin) 0 0 1


Diisi pada saat pelayanan imunisasi Kejar & CR bulan Agustus (termasuk Swe
an Dosis Sasaran
Sasaran Apakah anak September) 2022
Pada Bulan Agustus (JIKA DIIMUNISASI, ISI TANGGAL PELAYANAN)
Suntikan sasaran BIAN
Bulan Agustus (Agustus)
CR OPV IPV

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 1
1 1 1
1 1 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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
32 33 32 0 0
4 0 0
asi Kejar & CR bulan Agustus (termasuk Sweeping pada Diisi pada saat pelayanan imunisasi Kejar pada September
September) 2022 2022
NISASI, ISI TANGGAL PELAYANAN) (JIKA DIIMUNISASI, ISI TANGGAL PELAYANAN)

DPT-HB-Hib CR OPV IPV DPT-HB-Hib


0 0 0 0 0
0 0 0 0 0
FORMAT PENDATAAN POSYANDU SASARAN BIAN
SASARAN IMUNISASI TAMBAHAN CAMPAK RUBELA ADALAH 9-59 BULAN DAN SASARAN IMUNISASI KEJAR
PELAKSANAAN : AGUSTUS 2022
Provinsi : Jawa Barat
Kabupaten : Kuningan
Puskesmas : Ciawigebang
Isilah kolom yang berwarna PUTIH!

Tanggal Lahir
No. Nama Anak Jenis Kelamin (L/ P)

1 JUNIAR L 27 Juni 2018


2 MALIKA P 27 Maret 2018
3 RANIA P 27 April 2018
4 RHIFAYA P 14 Mei 2018
5 SAKILA P 03 Januari 2018
6 RAFASYA L 30 Juli 2018
7 HILYA P 26 September 2018
8 FAIZ L 16 September 2018
9 NAWAL L 31 Oktober 2018
10 HALIMATUS S P 09 Oktober 2018
11 HISNA P 02 Maret 2018
12 AFIFA P 28 November 2018
13 DIMAS L 21 Oktober 2018
14 ZULAIKA P 21 Desember 2018
15 FAHRIL AYYAS L 08 Februari 2018
16 NADIA P 16 Februari 2018
17 M GALIH L 19 Juli 2018
18 AULIA P 09 Mei 2019
19 RAKA L 29 Mei 2019
20 FAIZAL L 28 Mei 2019
21 AURA P 05 Juli 2019
22 EVAN ZIGGY L 22 April 2019
23 ALYSA P 23 Agustus 2019
24 NABILA P 17 Juni 2019
25 NADIA P 15 Juli 2019
26 SINTIA P 29 November 2019
27 HANA P 30 November 2018
28 FAIZ L 21 Februari 2020
29 M FATHAN L 10 Maret 2020
30 DWI NUR F P 04 April 2020
31 RAIMA P 17 Juni 2020
32 FAHRIL L 17 Juni 2020
33 ADHANI C L 30 Januari 2020
34 M AL BARAQ L 24 Agustus 2020
35 JAIDA L 15 Oktober 2020
36 RAHEL P 27 Oktober 2020
37 AQIELA NAILA P 23 Maret 2020
38 AMELIA P 05 September 2020
39 HAFIZ L 15 Mei 2020
40 NAZRIL L 24 Maret 2020
41 ADIVA P 31 Januari 2021
42 SUCI P 14 Maret 2019
43 M RIZKI L 02 Januari 2019
44 AHMAD FAWAZ L 30 Januari 2021
45 AL MAIRA P 20 November 2020
46 SABIRA P 03 April 2021
47 M JABAR L 15 Februari 2021
48 ILHAM L 16 Januari 2021
49 AISHA NAZMA P 19 April 2021
50 RAISYA P 30 April 2021
51 NABILA P 21 Juni 2021
52 ARSYLA P 14 September 2021
53 M. RIFKI L 04 Oktober 2021
54 NIRMA P 16 September 2021
55 AKILA P 21 Juni 2021
56 SIDKI L 27 September 2021
57 NAZMI G R L 08 November 2021
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449

450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500

TOTAL
IP Vaksin:
MR = 8
OPV = 8
IPV = 4
DPT-HB-Hib = 4
Catatan:
Anak yang sudah mendapatkan ORI Campak Rubela, tidak perlu mendapatkan imunisasi tambahan Campak Rubela s
Total kebutuhan vial yang dibutuhkan yang mengacu pada perhitungan baris total vial vaksin
Anak usia 18-24 bulan yang pada saat bersamaan mendapatkan imunisasi rutin (DPT-HB-Hib4 dan Campak rubella 2)
Kebutuhan Vaksin Khusus Campak Rubela = (Total Sasaran - Sudah Mendapatkan ORI Campak Rubela sejak Januar
SASARAN IMUNISASI BIAN:
Imunisasi Kejar : Lahir pada bulan Sept 2017 - bulan Agust 2021
Imunisasi CR : Lahir pada bulan Sept 2017 - bulan Oktober 2021

Kolom Tambahan:
*) Jumlah Dosis Vaksin yang pernah didapat
JENIS KELAMIN
L
P
59 BULAN DAN SASARAN IMUNISASI KEJAR ADALAH 12-59 BULAN
01 Agustus 2022 (Disesuaikan dengan tgl pelaksanaan di masing-masing Posyandu)
Desa/Kelurahan : Ciputat
Posyandu : MAWAR 3 (BLOK PUHUN 1)

Apakah anak *) Jumlah Dosis Vak


mendapatkan ORI pernah didap
NIK Nama Orang Tua (IBU) Alamat Campak Rubela sejak
Januari 2022
(Ya =1, Tidak=0)
OPV

*3208076706180002 OOM / EMAN PUHUN 01/03 4


3208006703180000 NURJANAH / ASEP PUHUN 01/03 4
*3208106704180002 RIAN/ WAWAN PUHUN 01/03 4
*3208105405180004 NENI / INDRA PUHUN 01/03 4
3208104301180000 MIMIN / EDI PUHUN 01/03 4
3208003007185020 ITA / ROY PUHUN 01/03 4
"3208006609180000 LALA HANAFI PUHUN 01/03 4
3208101609180000 KOKOM / ATHO PUHUN 01/03 4
*3208107010180002 EVA / MASUDI PUHUN 02/03 4
3208004910186710 KIRANA / UCUP PUHUN 01/03 4
*3208104203180001 HILVI / ANDI PUHUN 02/03 4
*3208106811180001 WIWI / NAYO PUHUN 02/03 4
*3208102008180001 MISTI/ RIJAL PUHUN 02/03 4
3208106112180000 TITIN / EKO PUHUN 02/03 4
*3208100802190002 AWAT/ PARMAN PUHUN 01/03 4
*3208105602190002 YETI / NURDIN PUHUN 02/03 4
*3208101907180005 NANAY / TORY PUHUN 01/03 4
*3208104905190001 YENI / YUNUS PUHUN 01/03 4
*3208102905190007 ATIN / HENDRA PUHUN 02/03 4
*3208102805190002 JULEHA / DEDI PUHUN 01/03 4
*3208104507190001 AAT /AEP PUHUN 02/03 4
*3208102204190002 ATIKAH / JAJANG PUHUN 02/03 4
*3208106308190001 NOK LENI / YAYA PUHUN 02/03 4
*3208105706190004 ELA SLAMET PUHUN 02/03 4
*3208105507190003 IIM / RIYANTO PUHUN 01/03 4
3208006911198220 TIA / TOTONG PUHUN 02/03 4
3208210510150000 ELAH / LIHIN PUHUN 02/03 4
*3208102102200004 JUJU / HAKIM PUHUN 02/03 4
*3208101003200004 IMAS/ ILHAM PUHUN 02/03 4
*3208101003200004 ENUR / WAWAN PUHUN 02/03 4
*3208105706200002 RIKA / UDIN PUHUN 01/03 4
3208001706209330 NINING / DARMAWAN PUHUN 01/03 4
*3208107007200003 RISKA / ALFIAN PUHUN 02/03 4
*3208312408200001 DINI / ANTO PUHUN 01/03 4
*3208105510200002 DIKNA / JAJANG PUHUN 01/03 4
3208106710200000 LIA / ROSENO PUHUN 02/03 4
*3208106303200002 EVA / MASUDI PUHUN 02/03 4
*3208104509200002 ENUR / DEDI PUHUN 02/03 4
*3208101505200002 SITI / YUDI PUHUN 01/03 4
*3208102403200002 IDA / HERMAN PUHUN 02/03 4
*3208106901210004 YUYUN / IMAN PUHUN 01/03 4
*3208105403190006 ENTIN / ASEP PUHUN 02/03 4
*3208100201190002 SAROH / ANANG PUHUN 02/03 4
*3208103001210002 ATIK / APUD PUHUN 01/03 4
TUTI / NANA PUHUN 02/03 4
*3208104304210003 KIRANA / H. UCUP PUHUN 01/03 4
*3208101502210001 UUN / URI PUHUN 02/03 4
LULU / ROHIM PUHUN 02/03 4
*3208105904210002 DITA / SULEMAN PUHUN 01/03 4
*3208107004210002 CASTI / ARI PUHUN 02/03 4
*3208105206210006 SUSANTI / AMIR PUHUN 01/03 4
3208005409216320 WIWI / ROBI PUHUN 02/03 4
3208000410215490 YETI / NURDIN PUHUN 02/03 4
3208005609214370 DILA/ SIDIK PUHUN 02/03 4
*3208106106180006 NIA / YUDI PUHUN 01/03 4
*3208100103220002 ENUR / WAWAN PUHUN 02/03 4
3208000811214310 SUSI/IIS PUHUN 02/3 4
TOTAL 0
dapatkan imunisasi tambahan Campak Rubela sejak Januari 2022
baris total vial vaksin
sasi rutin (DPT-HB-Hib4 dan Campak rubella 2) maka tetap masuk dalam Sasaran Imunisasi Kejar
Mendapatkan ORI Campak Rubela sejak Januari 2022)/IP vaksin

bulan Sept 2017 - bulan Agust 2021


bulan Sept 2017 - bulan Oktober 2021
*) Jumlah Dosis Vaksin yang Apakah anak merupakan Apakah anak sasaran Imunisasi Kejar
pernah didapat sasaran Imunisasi (Ya = 1, Tidak = 0)
Umur (bulan) Tambahan
Campak Rubella (Ya=1,
Tidak = 0)
IPV DPT-HB-Hib OPV IPV DPT-HB-Hib

1 4 49 1 0 0 0
1 4 52 1 0 0 0
1 4 51 1 0 0 0
1 4 50 1 0 0 0
1 4 54 1 0 0 0
1 4 48 1 0 0 0
1 4 46 1 0 0 0
1 4 46 1 0 0 0
1 4 45 1 0 0 0
1 4 45 1 0 0 0
1 4 52 1 0 0 0
1 4 44 1 0 0 0
1 4 45 1 0 0 0
1 4 43 1 0 0 0
1 4 53 1 0 0 0
1 4 53 1 0 0 0
1 4 48 1 0 0 0
1 4 38 1 0 0 0
1 4 38 1 0 0 0
1 4 38 1 0 0 0
1 4 36 1 0 0 0
1 4 39 1 0 0 0
1 4 35 1 0 0 0
1 4 37 1 0 0 0
1 4 36 1 0 0 0
1 4 32 1 0 0 0
1 4 44 1 0 0 0
1 4 29 1 0 0 0
1 4 28 1 0 0 0
1 4 27 1 0 0 0
1 4 25 1 0 0 0
1 4 25 1 0 0 0
1 4 30 1 0 0 0
1 4 23 1 0 0 0
1 4 21 1 0 0 0
1 4 21 1 0 0 0
1 4 28 1 0 0 0
1 4 22 1 0 0 0
1 4 26 1 0 0 0
1 4 28 1 0 0 0
1 3 18 1 0 0 1
1 4 40 1 0 0 0
1 4 42 1 0 0 0
1 3 18 1 0 0 1
1 4 20 1 0 0 0
1 3 15 1 0 0 0
1 3 17 1 0 0 0
1 3 18 1 0 0 1
1 3 15 1 0 0 0
1 3 15 1 0 0 0
1 3 13 1 0 0 0
1 3 10 1 0 0 0
1 3 9 1 0 0 0
1 3 10 1 0 0 0
1 3 13 1 #REF! 0 0
1 3 10 1 0 0 0
1 3 8 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0

1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0

56 #REF! 0 3

TOTAL VIAL VAK


Apakah Anak Jumlah dosis yang dibutuhkan untuk Rencana Pemberian Dosis Sasaran
merupakan sasaran melengkapi status imunisasi Imunisasi Kejar & CR Pada Bulan Agustus
imunisasi KEJAR
(Ya = 1 , Tidak = 0)
OPV IPV DPT-HB-Hib OPV IPV DPT-HB-Hib

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 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 1 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 1 0 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 1 0 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
0 0 0 0 0 0 0
0 0 0 0 0 0 0
#REF! #REF! #REF! #REF! #REF! #REF! #REF!
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
#REF! #REF! #REF! #REF! #REF! #REF! #REF!

TOTAL VIAL VAKSIN (Jumlah Vial = Jumlah Total Sasaran/IP Vaksin) #REF! #REF! #REF!
Diisi pada saat pelayanan imunisasi Kejar & CR bulan Agustus (termasuk Swe
an Dosis Sasaran
Sasaran Apakah anak September) 2022
Pada Bulan Agustus (JIKA DIIMUNISASI, ISI TANGGAL PELAYANAN)
Suntikan sasaran BIAN
Bulan Agustus (Agustus)
CR OPV IPV

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 1
1 1 1
1 1 1
1 2 1
1 1 1
1 1 1
1 1 1
1 2 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 #REF! #REF!
1 1 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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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56 #REF! #REF! 0 0
7 0 0
asi Kejar & CR bulan Agustus (termasuk Sweeping pada Diisi pada saat pelayanan imunisasi Kejar pada September
September) 2022 2022
NISASI, ISI TANGGAL PELAYANAN) (JIKA DIIMUNISASI, ISI TANGGAL PELAYANAN)

DPT-HB-Hib CR OPV IPV DPT-HB-Hib


0 0 0 0 0
0 0 0 0 0
FORMAT PENDATAAN POSYANDU SASARAN BIAN
SASARAN IMUNISASI TAMBAHAN CAMPAK RUBELA ADALAH 9-59 BULAN DAN SASARAN IMUNISASI KEJAR
PELAKSANAAN : AGUSTUS 2022
Provinsi : Jawa Barat
Kabupaten : Kuningan
Puskesmas : Ciawigebang
Isilah kolom yang berwarna PUTIH!

Tanggal Lahir
No. Nama Anak Jenis Kelamin (L/ P)

1 ARSYANA P 25 September 2017


2 BAHARUDIN L 27 Desember 2017
3 AJENG P 17 November 2017
4 ANANDA AL L 28 Oktober 2017
5 RACHEL P 31 Januari 2018
6 M FADLAN L 22 Juni 2018
7 M FASYA L 12 Juli 2017
8 ANAYA P 15 Agustus 2018
9 NATUSYA P 16 September 2018
10 AISYAH NUR P 03 Oktober 2018
11 NIDA P 16 September 2018
12 GALANG L 11 September 2018
13 ALDIN L 24 Maret 2019
14 M MALIK IBROHIM L 09 November 2019
15 QEANA P 04 Oktober 2019
16 HASNA ADIBA P 19 Desember 2019
17 M YOGI P L 21 September 2019
18 AGNIA P 15 Juli 2019
19 AISYAH P 30 Agustus 2019
20 INDAH NUR P 20 Januari 2020
21 AISAH ARAHMAH P 08 Januari 2020
22 PUTRI S DEWI P 07 April 2020
23 RAMDANI L 21 Mei 2020
24 SATRIA L 04 Juni 2020
25 GHEA MOZZA P 04 Desember 2020
26 M NIZAM L 29 September 2020
27 ZIHAN A PUTRI P 08 Januari 2020
28 ANANDA GHIA L 11 Januari 2020
29 ANGGA ADITYA L 07 Desember 2020
30 QIANA P 24 Januari 2021
31 HUMAIRA AULIA P 08 Juli 2018
32 NAIMA P 01 November 2018
33 YASFI P 25 Februari 2021
34 DELILA P 12 Maret 2021
35 SAKHA A S L 12 April 2021
36 M RAFA KENZI L 25 Mei 2021
37 ALBIRUNI L 10 Maret 2021
38 SAQUEEL L
39 GIBRAN L 30 Oktober 2021
40 YUDISTIRA
41 NOVAL
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449

450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500

TOTAL
IP Vaksin:
MR = 8
OPV = 8
IPV = 4
DPT-HB-Hib = 4
Catatan:
Anak yang sudah mendapatkan ORI Campak Rubela, tidak perlu mendapatkan imunisasi tambahan Campak Rubela s
Total kebutuhan vial yang dibutuhkan yang mengacu pada perhitungan baris total vial vaksin
Anak usia 18-24 bulan yang pada saat bersamaan mendapatkan imunisasi rutin (DPT-HB-Hib4 dan Campak rubella 2)
Kebutuhan Vaksin Khusus Campak Rubela = (Total Sasaran - Sudah Mendapatkan ORI Campak Rubela sejak Januar
SASARAN IMUNISASI BIAN:
Imunisasi Kejar : Lahir pada bulan Sept 2017 - bulan Agust 2021
Imunisasi CR : Lahir pada bulan Sept 2017 - bulan Oktober 2021

Kolom Tambahan:
*) Jumlah Dosis Vaksin yang pernah didapat
JENIS KELAMIN
L
P
59 BULAN DAN SASARAN IMUNISASI KEJAR ADALAH 12-59 BULAN
01 Agustus 2022 (Disesuaikan dengan tgl pelaksanaan di masing-masing Posyandu)
Desa/Kelurahan : Ciputat
Posyandu : MAWAR 1 ( BLOK MANIS)

Apakah anak *) Jumlah Dosis Vak


mendapatkan ORI pernah didap
NIK Nama Orang Tua (IBU) Alamat Campak Rubela sejak
Januari 2022
(Ya =1, Tidak=0)
OPV

*3208100509170002 YEYEN / UJANG BLOK MANIS 4/1


*3208102712170004 DAOS / IIM BLOK MANIS 3/1
*3208105611170002 PATONI / INAH BLOK MANIS 4/1
*3208102810170004 TANTO / DEWI BLOK MANIS 4/1
*3208107101180002 IWAN / ROSY BLOK MANIS 4/1
*328082206100001 YAYAT / SANTI BLOK MANIS 3/1
*3208100807180005 ONI / ASIH BLOK MANIS 3/1
*3208105508180004 AMIR / YATI BLOK MANIS 2/1
*3208105609180005 WIRA / MILA BLOK MANIS 3/1
*3208104310180001 BAI / NUR BLOK MANIS 3/1
*3208105609180001 AMAN / NANI BLOK MANIS 3/1
AGUS / FITRI BLOK MANIS 4/1
*3208102403190003 NANA / DINI BLOK MANIS 3/1
*3208100911190002 BAMBANG / AAM BLOK MANIS 3/1
*3208104410190002 BADRUN / ANI BLOK MANIS 3/1
*3208115012190001 TAOPIK / WINDI BLOK MANIS 3/1
DODI / IMAS BLOK MANIS 4/1
ANGGA / NINING BLOK MANIS 3/1
*3208107008190002 ADING / TATI BLOK MANIS 3/1
FEI / ROS BLOK MANIS 3/1
*3208104801200002 JAJANG / ADE BLOK MANIS 3/1
JAJANG / NUR BLOK MANIS 3/1
DEDI / NINING BLOK MANIS 3/1
*3208102408200002 ANGGA / AISAH BLOK MANIS 1/1
JAMIL / MARTINI BLOK MANIS 1/1
DEDI / DEWI BLOK MANIS 3/1
HENDI / IKA BLOK MANIS 3/1
*3208105101200003 FUZI / ISAH BLOK MANIS 4/1
*3208210712200001 DIAN / DWI BLOK MANIS 3/1
WISNU/ LINA BLOK MANIS 4/1
*3208104807180001 ARIP / NIA BLOK MANIS 4/1
YAYAT / EVAH BLOK MANIS 3/1
*3208102502210005 KHOIRI / MIMIN BLOK MANIS 3/1
MADI / SUTIAH BLOK MANIS 4/1
WIRA / MILA BLOK MANIS 3/1
AHYADI / ARUM BLOK MANIS 3/1
AMIN / EUIS BLOK MANIS 3/1
REZA / ANI BLOK MANIS 4/1
KURNIA / HENI BLOK MANIS 4/1
TOTAL 0
dapatkan imunisasi tambahan Campak Rubela sejak Januari 2022
baris total vial vaksin
sasi rutin (DPT-HB-Hib4 dan Campak rubella 2) maka tetap masuk dalam Sasaran Imunisasi Kejar
Mendapatkan ORI Campak Rubela sejak Januari 2022)/IP vaksin

bulan Sept 2017 - bulan Agust 2021


bulan Sept 2017 - bulan Oktober 2021
*) Jumlah Dosis Vaksin yang Apakah anak merupakan Apakah anak sasaran Imunisasi Kejar
pernah didapat sasaran Imunisasi (Ya = 1, Tidak = 0)
Umur (bulan) Tambahan
Campak Rubella (Ya=1,
Tidak = 0)
IPV DPT-HB-Hib OPV IPV DPT-HB-Hib

58 1 1 1 1
55 1 1 1 1
56 1 1 1 1
57 1 1 1 1
54 1 1 1 1
49 1 1 1 1
60 0 0 0 0
47 1 1 1 1
46 1 1 1 1
45 1 1 1 1
46 1 1 1 1
46 1 1 1 1
40 1 1 1 1
32 1 1 1 1
33 1 1 1 1
31 1 1 1 1
34 1 1 1 1
36 1 1 1 1
35 1 1 1 1
30 1 1 1 1
30 1 1 1 1
27 1 1 1 1
26 1 1 1 1
25 1 1 1 1
19 1 1 1 1
22 1 1 1 1
30 1 1 1 1
30 1 1 1 1
19 1 1 1 1
18 1 1 1 1
48 1 1 1 1
45 1 1 1 1
17 1 1 1 1
16 1 1 1 1
15 1 1 1 1
14 1 1 1 1
16 1 1 1 1
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1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0

1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0

37 36 36 36

TOTAL VIAL VAK


Apakah Anak Jumlah dosis yang dibutuhkan untuk Rencana Pemberian Dosis Sasaran
merupakan sasaran melengkapi status imunisasi Imunisasi Kejar & CR Pada Bulan Agustus
imunisasi KEJAR
(Ya = 1 , Tidak = 0)
OPV IPV DPT-HB-Hib OPV IPV DPT-HB-Hib

1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
0 0 0 0 0 0 0
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 4 1 1 1
1 4 1 3 1 1 1
1 4 1 3 1 1 1
1 4 1 3 1 1 1
1 4 1 3 1 1 1
1 4 1 3 1 1 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
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
36 144 36 139 36 36 36

TOTAL VIAL VAKSIN (Jumlah Vial = Jumlah Total Sasaran/IP Vaksin) 5 9 9


Diisi pada saat pelayanan imunisasi Kejar & CR bulan Agustus (termasuk Swe
an Dosis Sasaran
Sasaran Apakah anak September) 2022
Pada Bulan Agustus (JIKA DIIMUNISASI, ISI TANGGAL PELAYANAN)
Suntikan sasaran BIAN
Bulan Agustus (Agustus)
CR OPV IPV

1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
0 0 0
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
1 3 1
0 0 0
1 1 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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
37 109 37 0 0
5 0 0
asi Kejar & CR bulan Agustus (termasuk Sweeping pada Diisi pada saat pelayanan imunisasi Kejar pada September
September) 2022 2022
NISASI, ISI TANGGAL PELAYANAN) (JIKA DIIMUNISASI, ISI TANGGAL PELAYANAN)

DPT-HB-Hib CR OPV IPV DPT-HB-Hib


0 0 0 0 0
0 0 0 0 0
FORMAT PENDATAAN POSYANDU SASARAN BIAN
SASARAN IMUNISASI TAMBAHAN CAMPAK RUBELA ADALAH 9-59 BULAN DAN SASARAN IMUNISASI KEJAR
PELAKSANAAN : AGUSTUS 2022
Provinsi : Jawa Barat
Kabupaten : Kuningan
Puskesmas : Ciawigebang
Isilah kolom yang berwarna PUTIH!

Tanggal Lahir
No. Nama Anak Jenis Kelamin (L/ P)

1 M DEVAN L 03 Februari 2018


2 ABID L 18 Maret 2018
3 RAYHAN L 20 Februari 2018
4 IBRAHIM L 23 Mei 2018
5 FATIH L 15 Oktober 2018
6 IJAD L 20 November 2018
7 M ZIKRY L 23 Desember 2018
8 NAUFAN L 25 April 2019
9 FARIS L 12 Juni 2019
10 HAZIQ L 04 Juli 2019
11 EVANO L 07 Agustus 2019
12 M ALFIAN L 13 November 2019
13 RAFA L 18 Desember 2019
14 M ABDUL BARY L 07 Oktober 2020
15 ARKANA L 22 Oktober 2020
16 M AZRIL L 25 Januari 2021
17 NABIL L 22 Oktober 2020
18 M FAHRY L 18 Agustus 2021
19 KHAIRIL L 29 Agustus 2021
20 ALFARIZH L 14 Oktober 2021
21 SALMA P 10 Juli 2017
22 ISMI P 14 April 2018
23 TIARA P 18 Juli 2018
24 DILA P 18 Februari 2019
25 AZKIA P 31 Juli 2019
26 NAURA P 19 September 2019
27 ZAHIRA P 25 Maret 2020
28 SITI KHALISA P 08 Oktober 2020
29 KHANSA P 05 Februari 2021
30 NAZIRA P 22 Oktober 2021
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449

450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500

TOTAL
IP Vaksin:
MR = 8
OPV = 8
IPV = 4
DPT-HB-Hib = 4
Catatan:
Anak yang sudah mendapatkan ORI Campak Rubela, tidak perlu mendapatkan imunisasi tambahan Campak Rubela s
Total kebutuhan vial yang dibutuhkan yang mengacu pada perhitungan baris total vial vaksin
Anak usia 18-24 bulan yang pada saat bersamaan mendapatkan imunisasi rutin (DPT-HB-Hib4 dan Campak rubella 2)
Kebutuhan Vaksin Khusus Campak Rubela = (Total Sasaran - Sudah Mendapatkan ORI Campak Rubela sejak Januar
SASARAN IMUNISASI BIAN:
Imunisasi Kejar : Lahir pada bulan Sept 2017 - bulan Agust 2021
Imunisasi CR : Lahir pada bulan Sept 2017 - bulan Oktober 2021

Kolom Tambahan:
*) Jumlah Dosis Vaksin yang pernah didapat
JENIS KELAMIN
L
P
59 BULAN DAN SASARAN IMUNISASI KEJAR ADALAH 12-59 BULAN
01 Agustus 2022 (Disesuaikan dengan tgl pelaksanaan di masing-masing Posyandu)
Desa/Kelurahan : Ciputat
Posyandu : MAWAR 4 (BLOK TAGOG)

Apakah anak *) Jumlah Dosis Vaks


mendapatkan ORI pernah didapa
NIK Nama Orang Tua (IBU) Alamat Campak Rubela sejak
Januari 2022
(Ya =1, Tidak=0)
OPV

*3208100302180003 NUNU / IIS PUHUN TAGOG 3/3 4


*3208101803180003 NANA / ENI PUHUN TAGOG 3/3 4
*3208102003180005 YAYAT PUHUN TAGOG 3/3 4
*3208002305180003 DIDIN / NENTI PUHUN TAGOG 3/3 4
*32081015101880001 IID / WINDA PUHUN TAGOG 3/3 4
*3208102011180003 NANI PUHUN TAGOG 3/3 4
*32081003111880004 AAN / WIWIN PUHUN TAGOG 3/3 4
NUNU / HANA PUHUN TAGOG 3/3 4
*3208001206196880 HERI / RINI PUHUN TAGOG 3/3 4
*3208000407192722 RIKI / IDAH PUHUN TAGOG 3/3 4
*3208100708190001 ROHMAN / IYUM PUHUN TAGOG 3/3 4
*3208101311190003 TAUFIK / SAROH PUHUN TAGOG 3/3 4
*3208101812190003 ROBI / IKAH PUHUN TAGOG 3/3 4
DIDI / EMAY PUHUN TAGOG 3/3 4
*3208102210200002 YADI / YANTI PUHUN TAGOG 3/3 4
IIS PUHUN TAGOG 3/3 4
*3208102602200002 ADAM / IIN PUHUN TAGOG 3/3 4
BAYU / FERA PUHUN TAGOG 3/3 4
GUGUN / IMA PUHUN TAGOG 3/3 4
JUHENO / EUIS PUHUN TAGOG 3/3 4
*3208105007170001 DANI / DIAN PUHUN TAGOG 3/3 4
*3208005404180002 RUDI / LASTRI PUHUN TAGOG 3/3 4
*3208005807180002 ARIF / IKA PUHUN TAGOG 3/3 4
*3208105802190003 AAN / ZULFAH PUHUN TAGOG 3/3 4
*3208007107193334 ASEP /DEWI PUHUN TAGOG 3/3 4
AMAN / ULFAH PUHUN TAGOG 3/3 4
*3208106503200002 WAWAN / DIAN PUHUN TAGOG 3/3 4
*3208104810200002 SIFA / KUSNI PUHUN TAGOG 3/3 4
*3208104502210004 SUHENDI / ENCUM PUHUN TAGOG 3/3 4
RIFKI / TATI PUHUN TAGOG 3/3 4
TOTAL 0
dapatkan imunisasi tambahan Campak Rubela sejak Januari 2022
baris total vial vaksin
sasi rutin (DPT-HB-Hib4 dan Campak rubella 2) maka tetap masuk dalam Sasaran Imunisasi Kejar
Mendapatkan ORI Campak Rubela sejak Januari 2022)/IP vaksin

bulan Sept 2017 - bulan Agust 2021


bulan Sept 2017 - bulan Oktober 2021
*) Jumlah Dosis Vaksin yang Apakah anak merupakan Apakah anak sasaran Imunisasi Kejar
pernah didapat sasaran Imunisasi (Ya = 1, Tidak = 0)
Umur (bulan) Tambahan
Campak Rubella (Ya=1,
Tidak = 0)
IPV DPT-HB-Hib OPV IPV DPT-HB-Hib

1 4 53 1 0 0 0
1 4 52 1 0 0 0
1 4 53 1 0 0 0
1 4 50 1 0 0 0
1 4 45 1 0 0 0
1 4 44 1 0 0 0
1 4 43 1 0 0 0
1 4 39 1 0 0 0
1 4 37 1 0 0 0
1 4 36 1 0 0 0
1 4 35 1 0 0 0
1 4 32 1 0 0 0
1 4 31 1 0 0 0
1 4 21 1 0 0 0
1 4 21 1 0 0 0
1 3 18 1 0 0 1
1 4 21 1 0 0 0
1 3 11 1 0 0 0
1 3 11 1 0 0 0
1 3 9 1 0 0 0
1 4 60 0 0 0 0
1 4 51 1 0 0 0
1 4 48 1 0 0 0
1 4 41 1 0 0 0
1 4 36 1 0 0 0
1 4 34 1 0 0 0
1 4 28 1 0 0 0
1 4 21 1 0 0 0
1 3 17 1 0 0 0
1 3 9 1 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0

1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0
1471 0 0 0 0

29 0 0 1

TOTAL VIAL VAK


Apakah Anak Jumlah dosis yang dibutuhkan untuk Rencana Pemberian Dosis Sasaran
merupakan sasaran melengkapi status imunisasi Imunisasi Kejar & CR Pada Bulan Agustus
imunisasi KEJAR
(Ya = 1 , Tidak = 0)
OPV IPV DPT-HB-Hib OPV IPV DPT-HB-Hib

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 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 1 0 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
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
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0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 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 1 0 0 1

TOTAL VIAL VAKSIN (Jumlah Vial = Jumlah Total Sasaran/IP Vaksin) 0 0 1


Diisi pada saat pelayanan imunisasi Kejar & CR bulan Agustus (termasuk Swe
an Dosis Sasaran
Sasaran Apakah anak September) 2022
Pada Bulan Agustus (JIKA DIIMUNISASI, ISI TANGGAL PELAYANAN)
Suntikan sasaran BIAN
Bulan Agustus (Agustus)
CR OPV IPV

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 1
1 1 1
1 1 1
1 1 1
1 1 1
0 0 0
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
29 30 29 0 0
4 0 0
asi Kejar & CR bulan Agustus (termasuk Sweeping pada Diisi pada saat pelayanan imunisasi Kejar pada September
September) 2022 2022
NISASI, ISI TANGGAL PELAYANAN) (JIKA DIIMUNISASI, ISI TANGGAL PELAYANAN)

DPT-HB-Hib CR OPV IPV DPT-HB-Hib


0 0 0 0 0
0 0 0 0 0

Anda mungkin juga menyukai