FORMAT PENDATAAN POSYANDU SASARAN BIAN

SASARAN IMUNISASI TAMBAHAN CAMPAK RUBELA ADALAH 9-59 BULAN DAN SASARAN IMUNISASI KEJAR
PELAKSANAAN : AGUSTUS 2022 01 Agustus 2022
Provinsi : Jawa Barat Desa/Kelurahan
Kabupaten : Bandung Barat Posyandu
Puskesmas : Batujajar
Isilah kolom yang berwarna PUTIH!

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

MELATI VI
1 KHAIRUNNISA NUR ARKADEWI P 06 Agustus 2021 3217095410840023
2 AZLAN MUHAMMAD MAHREZ L 06 November 2021 3217090611210003
3 NADIRA ALMAIRA P 21 Mei 2021 3217096105210001
4 ARRASYA L 18 Januari 2021 3217091801210002
5 ASYIFA DWI AFIFAH P 06 Februari 2019 3217094602190001
6 NAZIRA SYAHIRA ALIYANI P 25 Oktober 2018 3217096510180001
7 IRSAL AL RIZKY L 16 Juni 2019 3217091607190004
8 ARSYILLA YUMNA AZZAHRA P 17 November 2017 3217095711170003
9 NURA AINA AZZAHRA P 15 Oktober 2019 3217095510190002
10 HAFIZHAN RAFFASYA AL RABBANI L 09 September 2020 3217090909200002
11 BILQIS MAULIDZA SAEPULOH P 09 November 2018 3217094911180003
12 ALESHA FIKRIA RABBANI P 24 Oktober 2018 321709491180003
13 ZAVIERA ZALFA AUFADEWI P 13 Juni 2020 3217095510190002
14 MUHARRIK SYAHID GAFFAR SYAHRL 20 September 2017 3217095510190002
15 HASNA HUMAIRA P 08 Oktober 2019 3217095510190002
16 NUHA FITRI AFIYA P 31 Mei 2019 3217095510190002
17 SOPIAN MUHAMAD FAZRIL L 04 Januari 2018 3217095510190002
18 KHANSA AULIA PUTRI P 18 Juli 2020 3217095510190002
19 SUNDORO L 26 September 2018 3217092609180002
20 APIPAH ALPATUNISA P 03 Desember 2018 3217094312180005
21 RAVANIA ZAIDA ASSYIFA P 17 Mei 2019 3217095705190002
22 QONITAH DZAKIYYAH P 30 Juni 2019 3217097006190004
23 DHIAURAHMA AISH HAIBA P 06 Februari 2020 3217094602200002
24 ALETA QUENBY ELVINA P 25 Mei 2020 3217096505200001
25 MELVIANO REZVAN FATUR ROHMA L 14 April 2020 3217091404200002
26 GHANIA P 07 Maret 2020 3217094703200001
27 MUHAMMAD ABIL ZAFRAN MAULANL 05 Oktober 2020 3217090510200001
28 HAWA AIRA HANINDITA P 28 November 2021 3217096811210003
29 RAFQI AULIAN L 18 Maret 2019 3217091803190002
30 SOBAH L 15 Oktober 2019 3217091202100001
31 MUTIA P 01 Juli 2020 3217094107200036
32 HASNA HUMAIRA P 08 Oktober 2019 3217094810190003
33 ZIVANIA P 06 Juli 2020 3217094607200002
34 YAZAN L 23 Maret 2019 3217092303190004
35 SYAUQI L 24 Januari 2020 3217092401200001
36 MUHAMMAD AZZAM MUJTABA L 08 Juni 2020 3217090806200004
37 GANI L 13 Mei 2018 3217091305180001
38 NATHAN L 11 Oktober 2018 3217091110180003
39 FAISHA P 18 Juli 2020 3217095807200002
40 FAIS L 18 Juli 2020 3217095807200003
41 AHSAN L 22 Maret 2021 3217092203210001
42 ARSYIL P 15 Agustus 2017 3217091580170003
43 ARBANI L 22 November 2017 3217092211170001
44 MAHESA L 30 Desember 2017 3217093012170001
45 M HASBI L 02 Agustus 2018 3217090508180003
46 ASYIRA YUMNA P 04 Agustus 2018 3217094408180004
47
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116
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159
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202
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288
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331
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374
375
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417
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448
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460
461
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490
491
492
493
494
495
496
497
498
499

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 3217095510190002
RAN IMUNISASI KEJAR ADALAH 12-59 BULAN
(Disesuaikan dengan tgl pelaksanaan di masing-masing Posyandu)
: Selacau
: 1. Posyandu Melati VI

Apakah anak *) Jumlah Dosis Vaksin yang

mendapatkan ORI pernah didapat
Nama Orang Tua (IBU) Alamat Campak Rubela sejak
Januari 2022
(Ya =1, Tidak=0)
OPV IPV DPT-HB-Hib

DEDE JUHARI RT 002 RW 006 0 2 1 1

BAMBANG JUSUF HIDAJAT RT 001 RW 006 0 4 1 3
RIDWAN HAMIDIN RT 001 RW 006 0 4 0 4
ADITYA RT 001 RW 006 0 4 1 4
ENTIS SUTISNA RT 001 RW 006 0 4 1 4
CEP WAHYU RT 001 RW 006 0 4 1 4
RUSTONO RT 001 RW 006 0 4 0 4
IMAM SOBARI RT 001 RW 006 0 4 1 4
HAN HAN SUKMANA RT 001 RW 006 0 4 0 3
DIAN RAMDANI RT 001 RW 006 0 4 1 3
KANIA OKTAVIANI JUWITA RT 002 RW 006 0 4 1 3
ATEP SUPARMAN RT 001 RW 006 0 4 1 4
RENDI AGUSTIAN RT 001 RW 006 0 4 1 4
MERLAN SAHRIAL RT 001 RW 006 0 4 1 3
SUPRIATNA RT 002 RW 006 0 4 0 3
YANDI RT 001 RW 006 0 4 1 4
YUHANA RT 002 RW 006 0 4 1 4
UJANG SUHIYATNA RT 001 RW 006 0 4 0 3
RIKI RT 001 RW 006 0 4 1 4
ASEP HIDAYAT RT 002 RW 006 0 4 1 3
AGUS RUSTANDI RT 002 RW 006 0 4 1 3
MUHIDIN RT 001 RW 006 0 4 0 3
IAN SOPIAN RT 001 RW 006 0 3 0 2
TENDRI AGUSTIAN RT 001 RW 006 0 4 1 4
MALDINI FATUR ROHMANA RT 001 RW 006 0 4 0 3
ADI 0 4 0 3
MAULANA FAJAR RT 002 RW 006 0 4 1 3
PEBRI ANDIKA RT 001 RW 006 0 4 1 3
KOMARUDIN RT 001 RW 006 0 4 1 4
IMAM RT 001 RW 006 0 4 1 4
AGUS RT 001 RW 006 0 4 1 3
MAMAT RT 001 RW 006 0 4 0 3
YAYAN RT 001 RW 006 0 4 1 3
HIKMAT RT 001 RW 006 0 4 1 3
AGUS WARI RT 001 RW 006 0 4 1 4
M JAMIL RT 001 RW 006 0 4 1 3
FRANGKY RT 001 RW 006 0 4 1 4
RAMDAN RT 001 RW 006 0 4 1 4
WIAN RT 001 RW 006 0 4 1 4
WIAN RT 001 RW 006 0 4 1 4
RAHMAT RT 001 RW 006 0 4 1 4
RENALDI RT 001 RW 006 0 4 1 3
ASEP RT 002 RW 006 0 4 1 3
PIAN RT 002 RW 006 0 4 1 4
ACEP RT 001 RW 006 0 4 1 4
SODIKIN RT 002 RW 006 0 4 1 4
0
bahan Campak Rubela sejak Januari 2022

4 dan Campak rubella 2) maka tetap masuk dalam Sasaran Imunisasi Kejar
pak Rubela sejak Januari 2022)/IP vaksin

an Agust 2021
an Oktober 2021
 Apakah anak merupakan Apakah anak sasaran Imunisasi Kejar Apakah Anak
sasaran Imunisasi (Ya = 1, Tidak = 0) merupakan sasaran
Umur (bulan) Tambahan
Campak Rubella (Ya=1,
imunisasi KEJAR
Tidak = 0) (Ya = 1 , Tidak = 0)
OPV IPV DPT-HB-Hib

1471 0 0 0 0 0
11 1 0 0 0 0
8 0 0 0 0 0
14 1 0 1 0 1
18 1 0 0 0 0
41 1 0 0 0 0
45 1 0 0 0 0
37 1 0 1 0 1
56 1 0 0 0 0
33 1 0 1 1 1
22 1 0 0 1 1
44 1 0 0 1 1
45 1 0 0 0 0
25 1 0 0 0 0
58 1 0 0 1 1
33 1 0 1 1 1
38 1 0 0 0 0
54 1 0 0 0 0
24 1 0 1 1 1
46 1 0 0 0 0
43 1 0 0 1 1
38 1 0 0 1 1
37 1 0 1 1 1
29 1 1 1 1 1
26 1 0 0 0 0
27 1 0 1 1 1
28 1 0 1 1 1
21 1 0 0 1 1
8 0 0 0 0 0
40 1 0 0 0 0
 33 1 0 0 0 0
25 1 0 0 1 1
33 1 0 1 1 1
24 1 0 0 1 1
40 1 0 0 1 1
30 1 0 0 0 0
25 1 0 0 1 1
50 1 0 0 0 0
45 1 0 0 0 0
24 1 0 0 0 0
24 1 0 0 0 0
16 1 0 0 0 0
59 1 0 0 1 1
56 1 0 0 1 1
55 1 0 0 0 0
47 1 0 0 0 0
47 1 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0
1471 0 0 0 0 0

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

44 1 10 20 22

TOTAL VIAL VAKSIN (Jumlah Vial = Jum

Jumlah dosis yang dibutuhkan untuk Rencana Pemberian Dosis Sasaran
melengkapi status imunisasi Imunisasi Kejar & CR Pada Bulan Agustus

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

0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 1 -1 0 1 0 1
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AL VAKSIN (Jumlah Vial = Jumlah Total Sasaran/IP Vaksin) 1 3 5 6

 Diisi pada saat pelayanan imunisasi Kejar & CR bulan Agustus (termasuk Sweeping pada
Sasaran Apakah anak September) 2022
Suntikan sasaran BIAN (JIKA DIIMUNISASI, ISI TANGGAL PELAYANAN)
Bulan Agustus (Agustus)
OPV IPV DPT-HB-Hib

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ELAYANAN) (JIKA DIIMUNISASI, ISI TANGGAL PELAYANAN)

CR OPV IPV DPT-HB-Hib

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