Null

PENCATATAN HASIL IMUNISASI RUTIN BAYI/ BATITA DI DESA
KECAMATAN : Muara Wahau

NAMA DESA :
UPT PUSKESMAS : Muara Wahau I
TAHUN : 2016 s/d 2019
TANGGAL IMUNISASI
N0. URUT
L TANGGAL NAMA ORANG IMUNIS DPT-HB-Hib

NAMA BAYI/BATITA / ALAMAT RT/RW
LAHIR TUA HBO BCG POLIO 1 DPT-HB- POLIO 2 DPT-HB- POLIO 3 DPT-HB- POLIO 4 IPV CAMPAK
ASI
(4)
CAMPAK
P Hib (1) Hib (2) Hib (3) LENGKA LANJUTAN LANJUTAN
P
1 2 3 4 5 6 0-7 h 1-2 bln 2 bln 3 bln 4 bln 9-11 bln 18-36 bln 24-36 bln
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
LAPORAN HASIL IMUNISASI RUTIN BAYI UNTUK LUAR WILAYAH PUSKESMAS
Puskesmas: Muara Wahau I
Kabupaten/Kota: Kutim MENU
Provinsi: Kaltim UTAMA
Bulan: Januari
Tahun: 2016 s/d 2019
Tanggal Pemberian Imunisasi
Laki/ Tanggal Alamat Lengkap (Desa/Dusun/RW/RT/Kelurahan/ HB0 DPT-

NO Nama Bayi Nama Orang tua DPT-HB- POLIO DPT-HB- POLIO CAMPA
Wnt Lahir Bayi Puskesmas) BCG POLIO1 HB-Hib POLIO2 IPV
(0<7 Hib (2) 3 Hib (3) 4 K STATUS DPT -HB-
(1) IMUNISASI Hib CAMPAK
HR) LENGKAP L ENJUTAN LANJUTAN
1 2 3 4 5 6 7 10 11 12 13 14 15 16 17 18 19 20 21
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Total 0 0 0 0 0 0 0 0 0 0
……………………., Tanggal……...……….……
Kepala Puskemas/Dinas Kesehatan

(Nama) dan (NIP)
PUSKESMAS MUARA WAHAU I
NAMA POSYANDU : PROPINSI : Kaltim
DESA : TAHUN : 2017
KABUPATEN : Kutai timur
HAMIL TT WUS IBU HAMIL TT WUS CATIN

NO NAMA WUS/IBU NAMA SUAMI TTL/UMUR ALAMAT
KE
KET/Hp
I II III IV V I II III IV V
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
P
LAPOARAN HASIL IMUNISASI RUTIN
BULAN/TAHUN : Januari 2020
JUMLAH BAYI/ BATITA DI IMUNISASI/ABSOLUT TT BUMIL & WUS
HBO ( 0-7 DPT-HB-Hib DPT-HB-Hib DPT-HB-Hib IMUNISASI DPT-HB-Hib CAMPAK
NO POSYANDU HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
LENGKAP LANJUTAN LANJUTAN
BUMIL WUS
L P L P L P L P L P L P L P L P L P L P L P L P L P L P I II III IV V I II III IV V 2+
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
1 Melati I 2 1 3 2 3 2 1 1 2 1 2 1 2 1 1 2 0 1 1 1 0 2 0 2 2 1 0 2 0 0 0 0 0 0 0 0 0 0 0
2 Melati II 5 4 8 9 8 9 6 7 6 7 9 9 9 9 9 6 9 6 0 0 6 10 6 10 6 11 10 13 1 1 3 2 4 0 0 0 0 0 10
3 Melati III 3 3 8 4 8 4 0 4 0 4 5 5 5 5 4 2 4 2 0 0 4 0 4 0 5 1 7 5 1 2 3 1 0 0 0 0 0 7
4 Cempaka 0 0 3 1 3 1 0 2 0 2 5 3 5 3 1 1 1 1 1 0 2 1 1 1 2 3 2 2 0 0 0 0 0 0 0 0 0 0 0
5 Dahlia 0 0 1 1 1 1 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Rambutan 2 1 0 1 0 1 0 0 0 0 0 2 0 2 0 1 0 1 0 1 1 2 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Matahari 1 0 0 1 0 1 0 1 0 1 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0
8 Bina Lestari 1 3 0 0 0 2 3 0 3 0 1 0 1 0 1 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Jeruk 0 1 0 1 1 1 1 0 0 0 1 1 1 0 0 1 0 1 0 0 2 0 2 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0
10 Tunas Harapan 1 1 1 1 1 1 0 0 0 0 0 3 0 3 1 0 1 0 0 1 0 0 0 0 1 1 1 0 0 0 0 1 0 0 0 0 0 0 1
11 Mawar Hijau 3 3 0 1 0 1 0 1 0 1 1 1 1 1 0 1 0 1 0 0 0 0 0 0 1 0 2 1 0 0 0 2 0 0 0 0 0 0 2
12 Anggerek 0 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0 1 0 1 0 2 1 2 0 1 3 0 0 0 0 0 0 0 4
13 Permata Bunda 0 0 1 1 1 1 3 0 3 0 3 0 3 0 1 0 1 0 0 0 2 1 2 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0
14 Beringin 3 2 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 2 0 2 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0
SUB TOTAL 21 19 26 23 28 25 17 17 16 17 27 26 27 25 19 17 18 16 2 3 18 21 16 19 19 22 28 28 1 3 8 8 5 0 0 0 0 0 24
TOTAL 40 49 53 34 33 53 52 36 34 5 39 35 41 56 25 0
Sub Komulatif 21 19 26 23 28 25 17 17 16 17 27 26 27 25 19 17 18 16 2 3 18 21 16 19 19 22 28 28 1 3 8 8 5 0 0 0 0 0 24
KOMULATIF 40 49 53 34 33 53 52 36 34 5 39 35 41 56 25 0 24
Mengetahui, Muara Wahau, 26 Januari 2020
KUPT PKM Muara Wahau I Jurim
dr. ADIANTO Idris,A.Md.Kep

NIP.19780905 200604 1 008 Nip.19680502 198911 1 001
BULAN/TAHUN : Februari 2020
NO POSYANDU HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IVP CAMPAK
BUMIL WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
1 Melati I 2 0 2 2 2 2 2 2 2 2 0 1 2 2 3 1 2 0 0 0 2 1 2 1 1 1 2 1 0 0 0 0 0 0 0 0 0 0 0
2 Melati II 5 3 8 3 8 3 10 11 10 11 7 13 7 13 8 10 8 10 0 0 2 5 2 5 4 6 3 1 2 2 4 3 6 0 0 0 0 0 15
3 Melati III 2 1 2 1 2 1 5 5 5 5 0 5 0 5 5 3 5 3 0 0 6 6 6 6 3 4 1 4 0 0 0 0 0 0 0 0 0 0 0
4 Cempaka 0 0 1 1 1 1 3 2 3 2 0 2 0 2 3 4 3 4 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 3 0 0 0
5 Dahlia 1 0 0 0 0 0 0 1 0 1 1 0 2 0 1 0 0 0 0 0 4 0 4 0 1 1 1 0 0 0 1 0 1 0 0 0 0 1 2
6 Rambutan 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
7 Matahari 0 2 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 2 3 2 3 1 1 1 0 0 0 0 0 3 0 0 0 0 0 3
8 Bina Lestari 2 2 3 4 3 4 0 3 0 3 3 1 3 1 3 1 2 0 0 0 2 0 2 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1
9 Jeruk 0 0 0 0 0 1 0 1 1 2 1 0 0 0 1 1 1 0 0 0 2 1 2 1 1 0 1 0 0 0 0 0 0 0 1 1 0 0
10 Tunas Harapan 1 1 2 1 2 1 2 1 1 1 0 0 0 0 1 3 1 3 0 0 0 0 0 0 1 1 0 0 0 0 2 0 1 0 0 0 0 0 3
11 Mawar Hijau 0 0 2 0 2 0 0 1 0 1 0 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 2
12 Anggerek 0 1 2 0 2 0 2 1 1 1 0 1 0 1 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Permata Bunda 0 0 4 2 4 1 2 1 2 1 3 1 3 1 4 1 4 1 0 0 0 0 0 0 5 1 0 0 0 2 0 1 2 0 0 0 0 0 5
14 Beringin 1 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 2
SUB TOTAL 0 0 14 11 27 15 27 15 26 30 26 31 17 26 18 27 30 27 27 24 0 0 20 16 20 16 20 15 9 6 3 4 8 6 15 0 0 4 1 1 33
TOTAL 0 25 42 42 56 57 43 45 57 51 0 36 36 35 15 36 6
Sub Komulatif 21 19 26 23 28 25 17 17 16 17 27 26 27 25 19 17 18 16 2 3 18 21 16 19 19 22 28 28 1 3 8 8 5 0 0 0 0 0 33
KOMULATIF 40 49 53 34 33 53 52 36 34 5 39 35 41 56 25 0 33
Mengetahui, Muara Wahau, 26 Februari 2020
dr. ADIANTO IDRIS, A.Md.Kep

NIP.19780905 200604 1 008 Nip.19680502 198911 1 001
BULAN/TAHUN : Maret 2020
NO POSYANDU HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IVP CAMPAK
BUMIL WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
1 Melati I 1 1 1 1 1 1 3 2 3 2 2 1 2 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
2 Melati II 6 4 0
3 Melati III 0 0 0
4 Cempaka 1 0 2 0 2 0 1 1 1 1 3 3 3 3 0 1 0 1 0 0 0 0 0 0 3 1 0 0 0 1 0 0 0 0 0 0 0 1
5 Dahlia 1 0 1 0 1 0 0 0 0 0 1 1 1 1 1 0 2 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1
6 Rambutan 1 1 1 1 1 1 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Matahari 3 0 2 0 2 0 0 0 0 0 0 0 0 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
8 Bina Lestari 3 2 3 2 3 2 3 4 3 4 0 1 0 1 5 1 5 1 0 0 0 0 0 0 2 0 0 0 0 0 0 2 1 0 0 0 1 0 2
9 Jeruk 0 3 0 3 0 3 0 1 0 1 0 2 0 2 0 0 0 0 0 0 0 1 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0
10 Tunas Harapan 1 0 1 2 1 2 1 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Mawar Hijau 1 0 1 0 1 0 2 0 2 0 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0
12 Anggrek 1 0 0 0 0 1 0 0 1 2 1 1 1 0 0 0 0 0 0 2 1 2 1 0 0 1 1 0 0 0 1 0 0 0 0 0 0 1
13 Permata Bunda 1 3 2 3 2 3 2 3 2 1 2 1 2 4 1 4 1 0 0 7 4 7 4 0 2 2 2 1 1 1 0 0 0 0 0 0 0 2
14 Beringin 2 1 0 0 0 0 0 1 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0
SUB TOTAL 19 14 13 13 13 13 15 11 14 12 10 13 9 13 12 5 13 5 0 0 10 6 10 6 12 6 3 5 1 1 3 3 2 0 0 0 1 0 7
TOTAL 33 26 26 26 26 23 22 17 18 0 16 16 18 8 10 1
Sub Komulatif 40 33 39 36 41 38 32 28 30 29 37 39 36 38 31 22 31 21 2 3 28 27 26 25 31 28 31 33 2 4 11 11 7 0 0 0 1 0 40
KOMULATIF 73 75 79 60 59 76 74 53 52 5 55 51 59 64 35 1 40
Mengetahui, Muara Wahau, 26 Maret 2020
dr. ADIANTO LEBANG IDRIS, A.Md.Kep

NIP.19780905 200604 1 008 Nip.19680502 198911 1 001
BULAN/TAHUN : April 2020
NO POSYANDU SI HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IVP CAMPAK
BUMIL WUS
L P L P L P L P L P L P L P L P L P L P L P L P L P P L I II III IV V I II III IV V 2+
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
32 33 34 35 36 37 38 39 40 41 42 43
1 Melati I 0
2 Melati II 0
3 Melati III 0
4 Cempaka 0
5 Dahlia 0
6 Rambutan 0
7 Matahari 0
8 Bina Lestari 0
9 Jeruk 0
10 Tunas Harapan 0
11 Mawar Hijau 0
12 Anggerek 0
13 Permata Bunda 0
14 Beringin 0
SUB TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Komulatif 40 33 39 36 41 38 32 28 30 29 37 39 36 38 31 22 31 21 2 3 28 27 26 25 31 28 31 33 2 4 11 11 7 0 0 0 1 0 40
KOMULATIF 73 75 79 60 59 76 74 53 52 5 55 51 59 64 35 1 40
Mengetahui, Muara Wahau, 26 April 2020

NIP.19780905 200604 1 008 Nip.19680502 198911 1 001
BULAN/TAHUN : Mei 2020
NO POSYANDU SI HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
BUMIL WUS
L P L P L P L P L P L P L P L P L P L P L P L P L P P L I II III IV V I II III IV V 2+
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
32 33 34 35 36 37 38 39 40 41 42 43
1 Melati I 0 0
2 Melati II 0 0
3 Melati III 0 0
4 Cempaka 0 0
5 Dahlia 0 0
6 Rambutan 0 0
7 Matahari 0 0
8 Bina Lestari 0 0
9 Jeruk 0 0
10 Tunas Harapan 0 0
11 Mawar Hijau 0 0
12 Anggrek 0 0
13 Permata Bunda 0 0
14 Beringin 0 0
Sub Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Komulatif 40 33 39 36 41 38 32 28 30 29 37 39 36 38 31 22 31 21 2 3 28 27 26 25 31 28 31 33 2 4 11 11 7 0 0 0 1 0 40
KOMULATIF 73 75 79 60 59 76 74 53 52 5 55 51 59 64 35 1 40
Mengetahui, Muara Wahau, 26 Mei 2020

NIP.19780905 200604 1 008 Nip.19680502 198911 1 001
BULAN/TAHUN : Juni 2020
NO POSYANDU HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
BUMIL WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
1 Melati I 2 2 7 5 7 5 5 1 1 1 2 4 2 3 1 1 1 1 0 0 4 0 4 0 0 0 0 0 0
2 Melati II 3 1 0 0 1 2 4 4 4 1 7 2 6 6 5 4 4 4 0 0 7 9 7 9 3 4 3 3 0
3 Melati III 0 0 0 0 0 0 1 3 2 1 3 2 3 3 2 2 2 3 0 0 3 5 3 5 1 1 0 1 0
4 Cempaka 0 2 5 11 5 11 4 0 3 0 1 0 1 0 2 1 2 1 0 0 5 3 5 3 0 0 0 0 1 1 1 2
5 Dahlia 0 3 3 2 3 2 2 1 0 0 1 0 1 0 0 1 0 1 0 0 2 0 2 0 0 0 0 0 0
6 Rambutan 0 1 1 2 1 2 1 0 1 0 1 0 1 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0
7 Matahari 2 2 4 1 4 1 3 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0
8 Bina Lestari 2 3 4 8 2 8 3 9 2 2 0 4 0 4 0 1 0 1 0 0 4 3 4 3 0 0 0 0 1 0 2 2 1 4
9 Jeruk 0 0 0 3 0 2 0 2 0 1 0 1 0 1 0 1 0 2 0 0 0 2 0 2 0 0 0 0 1 0
10 Tunas Harapan 2 1 4 2 4 2 6 2 3 2 1 0 1 0 1 1 1 0 0 0 3 5 6 5 0 0 0 0 0
11 Mawar Hijau 0 1 2 2 2 1 2 1 0 0 2 0 2 0 0 0 0 0 0 0 1 3 1 3 0 0 0 0 0
12 Anggrek 1 0 0 1 0 1 0 0 0 0 1 1 1 1 1 0 1 0 0 0 1 2 1 2 0 0 0 0 0
13 Permata Bunda 0
14 Beringin 0 1 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 3 1 3 0 0 0 0 0
15 Luar Wilayah 3 0
Sub Total 12 17 31 38 29 38 31 24 16 9 19 15 18 19 12 13 11 14 0 0 33 37 36 37 4 5 3 4 1 1 2 3 2 0 0 0 1 0 6
TOTAL 29 69 67 55 25 34 37 25 25 0 70 73 9 7 9 1
Sub Komulatif 52 50 70 74 70 76 63 52 46 38 56 54 54 57 43 35 42 35 2 3 61 64 62 62 35 33 34 37 3 5 13 14 9 0 0 0 2 0 46
KOMULATIF 102 144 146 115 84 110 111 78 77 5 125 124 68 71 44 2 46
Mengetahui, Muara Wahau, 25 Juni 2020

NIP.19780905 200604 1 008 Nip.19680502 198911 1 001
BULAN/TAHUN : Juli 2019
NO POSYANDU HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
BUMIL WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
1 Melati I 0 1 0 2 0 2 3 3 6 5 4 2 1 2 2 5 2 5 0 0 3 1 2 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
2 Melati II 1 8 18 16 15 17 13 15 11 9 6 10 8 10 7 8 7 8 0 0 26 23 26 23 20 20 16 20 3 10 11 14 3 0 0 0 0 0 35
3 Melati III 1 1 18 8 13 7 8 5 1 1 4 5 4 3 2 4 6 7 0 0 19 10 19 10 6 2 7 6 2 1 3 3 6 0 0 0 0 0 7
4 Cempaka 1 0 3 5 3 5 1 5 4 8 3 0 3 0 2 2 2 2 0 0 3 3 3 3 2 2 0 0 0 2 1 1 0 0 0 0 0 0 4
5 Dahlia 0 0 0 2 0 2 0 1 2 2 2 1 0 0 0 0 0 0 0 0 2 0 2 0 1 2 1 1 0 0 0 0 0 0 0 0 0 0 0
6 Rambutan 0 0 1 0 1 0 1 2 1 2 1 0 1 0 1 0 1 0 0 0 2 1 2 1 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0
7 Matahari 1 0 2 1 2 1 3 2 3 1 2 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
8 Bina Lestari 0 0 0 0 0 0 0 0 1 7 3 9 2 2 0 4 0 4 0 0 3 1 3 1 4 0 1 1 0 0 0 0 0 0 0 0 0 0 0
9 Jeruk 0 0 0 0 0 0 0 1 0 3 0 3 0 1 0 1 0 1 0 0 1 0 1 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 3
10 Tunas Harapan 0 1 0 1 0 1 0 3 3 2 5 2 2 2 2 1 2 1 0 0 1 1 1 1 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0
11 Mawar Hijau 2 0 0 0 0 0 0 0 2 1 2 1 0 0 2 0 2 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Anggrek 1 0 0 0 0 2 0 2 1 1 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Permata Bunda 0 0 9 6 9 6 5 4 3 4 4 2 4 3 3 1 2 1 0 0 4 3 4 3 5 1 2 2 0 0 0 0 0 0 0 0 0 0 0
14 Beringin 1 0 2 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 8 11 53 42 45 44 34 43 38 46 36 36 25 24 21 27 24 30 0 0 64 45 63 45 42 34 31 30 5 14 16 19 9 0 1 1 0 0 49
TOTAL 19 95 89 77 84 72 49 48 54 0 109 108 76 61 63 2
Sub Komulatif 60 61 123 116 115 120 97 95 84 84 92 90 79 81 64 62 66 65 2 3 125 109 125 107 77 67 65 67 8 19 29 33 18 0 1 1 2 0 49
KOMULATIF 121 239 235 192 168 182 160 126 131 5 234 232 144 132 107 4 49
Mengetahui, Muara Wahai, 25 Juli 2019

NIP.19780905 200604 1 008 Nip.19680502 198911 1 001
BULAN/TAHUN : Agustus 2019
NO POSYANDU HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
BUMIL WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
1 Melati I 1 2 1 2 1 2 0 5 1 5 4 3 6 4 4 2 1 2 0 0 1 1 1 1 3 1 0 2 0 0 0 0 0 0 0 0 0 0 0
2 Melati II 8 5 11 11 11 11 9 10 9 10 13 16 13 16 10 6 10 6 0 0 10 14 10 14 11 9 14 11 1 5 4 3 2 0 0 0 0 0 12
3 Melati III 0 0 10 6 10 6 10 11 10 11 6 7 6 7 7 4 7 4 0 0 4 8 4 8 3 6 3 4 0 2 2 2 0 0 0 0 0 0 6
4 Cempaka 2 0 3 0 3 0 2 4 2 5 6 7 5 6 3 0 3 0 0 0 0 2 0 2 1 0 2 2 0 1 0 0 0 0 0 0 0 0 1
5 Dahlia 1 0 0 1 0 1 0 1 1 2 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1
6 Rambutan 1 1 0 0 0 0 1 0 1 0 2 2 2 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Matahari 1 0 1 0 1 0 2 0 3 1 2 2 2 2 2 1 0 1 0 0 0 1 0 1 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Bina Lestari 2 2 2 0 2 0 3 1 1 1 0 0 1 7 2 8 1 2 0 0 2 1 2 1 0 2 3 0 0 0 1 0 0 0 0 0 0 0 1
9 Jeruk 2 0 2 0 2 0 0 0 0 1 0 2 0 3 0 3 0 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 1
10 Tunas Harapan 0 2 0 0 0 0 1 0 1 0 0 2 1 2 3 2 2 2 0 0 0 0 0 0 0 1 4 3 0 0 0 0 0 0 0 0 0 0 0
11 Mawar Hijau 0 1 0 0 0 1 0 1 1 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0
12 Anggrek 2 1 2 1 2 1 0 1 0 2 0 2 0 1 0 1 0 1 0 0 0 2 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Permata Bunda 0 0 0 1 0 1 6 5 7 5 6 4 6 4 3 2 3 2 0 0 1 1 1 1 8 3 11 1 0 0 0 0 0 0 0 1 0 0 0
14 Beringin 0 3 0 1 0 1 2 2 2 2 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 20 17 32 23 32 24 36 41 39 45 42 48 44 54 36 29 29 21 0 0 19 30 18 30 30 25 39 24 2 9 7 6 2 0 0 1 0 0 22
TOTAL 37 55 56 77 84 90 98 65 50 0 49 48 55 63 26 1
Sub Komulatif 80 78 155 139 147 144 133 136 123 129 134 138 123 135 100 91 95 86 2 3 144 139 143 137 107 92 104 91 10 28 36 39 20 0 1 2 2 0 22
KOMULATIF 158 294 291 269 252 272 258 191 181 5 283 280 199 195 133 5 22
Mengetahui, Muara Wahau, 25 Agustus 2019

NIP.19780905 200604 1 008 Nip.19680502 198911 1 001
BULAN/TAHUN : September 2019
NO POSYANDU HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
BUMIL WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
1 Melati I 1 2 1 2 1 2 1 2 1 2 0 3 0 3 4 3 6 4 0 0 2 2 2 2 3 2 2 2 0 0 0 0 0 0 0 0 0 0 0
2 Melati II 9 8 11 15 11 15 9 13 9 13 7 8 7 8 12 13 12 13 0 0 13 9 13 9 6 10 7 9 2 3 3 4 4 0 0 0 0 0 10
3 Melati III 1 2 3 4 3 4 2 4 2 4 12 4 12 4 9 4 9 4 0 0 4 4 4 4 0 2 2 3 2 3 1 0 0 0 0 0 0 0 4
4 Cempaka 2 0 2 0 2 0 1 1 1 1 1 5 2 3 3 8 3 8 0 0 3 2 3 2 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
5 Dahlia 0 1 0 1 0 1 0 0 0 0 0 2 0 2 0 1 2 2 0 0 1 1 1 1 0 1 2 1 0 0 0 0 2 0 0 0 0 0 0
6 Rambutan 0 0 1 0 1 0 1 0 0 0 1 0 1 0 2 2 2 2 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Matahari 1 2 1 2 1 2 1 3 1 3 2 0 3 0 2 2 3 1 0 0 1 1 1 1 0 2 3 2 1 0 0 0 0 0 0 0 0 0 0
8 Bina Lestari 2 2 2 1 2 1 2 0 3 0 2 1 1 1 1 1 1 8 0 0 1 1 1 1 0 1 2 2 0 0 2 1 0 0 0 0 0 0 3
9 Jeruk 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Tunas Harapan 3 2 3 2 3 2 1 0 0 0 0 0 0 0 0 1 3 1 0 0 0 1 0 1 2 2 0 1 0 0 1 0 0 0 0 0 0 0 1
11 Mawar Hijau 0 1 0 1 0 1 0 0 0 1 0 1 0 1 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Anggrek 0 1 0 1 0 1 1 0 1 0 0 1 0 2 0 2 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1
13 Permata Bunda 1 2 4 3 4 4 3 1 3 1 7 3 8 3 3 5 2 5 0 0 2 2 2 2 4 2 0 1 0 0 0 0 0 0 0 0 0 0 0
14 Beringin 2 1 0 0 0 0 0 1 0 1 1 2 1 2 0 1 0 1 0 0 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
Sub Total 22 24 28 32 28 33 23 25 22 26 33 31 35 30 36 45 43 52 0 0 29 27 29 27 15 23 19 22 5 6 7 6 7 0 0 0 0 0 19
TOTAL 46 60 61 48 48 64 65 81 95 0 56 56 38 41 31 0
Sub Komulatif 102 102 183 171 175 177 156 161 145 155 167 169 158 165 136 136 138 138 2 3 173 166 172 164 122 115 123 113 15 34 43 45 27 0 1 2 2 0 19
KOMULATIF 204 354 352 317 300 336 323 272 276 5 339 336 237 236 164 5 19
Mengetahui, Muara Wahau, 25 September 2019

NIP.19780905 200604 1 008 Nip.19680502 198911 1 001
BULAN/TAHUN : Oktober 2019
NO POSYANDU HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
BUMIL WUS
L P L P L P L P L P L P L P L P L P L P L P L P L P PL I II III IV V I II III IV V 2+
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
32 33 34 35 36 37 38 39 40 41 42 43
1 Melati I 2 1 0
2 Melati II 5 3 15 6 15 6 4 9 4 9 3 12 3 12 10 9 10 9 0 0 8 6 8 6 10 6 9 15 3 3 3 1 1 0 0 0 0 0 7
3 Melati III 1 1 4 2 4 2 7 3 7 3 8 5 8 5 2 4 2 4 0 0 1 2 1 2 5 2 4 4 1 0 2 0 0 0 0 0 0 0 2
4 Cempaka 1 1 3 3 3 3 1 0 1 0 2 1 2 1 3 2 3 2 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0
5 Dahlia 1 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Rambutan 2 1 1 1 1 1 1 1 1 2 1 2 1 1 3 1 0
7 Matahari 0 1 0 1 0 1 0 2 1 2 1 1 2 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1
8 Bina Lestari 1 2 3 2 3 2 1 3 1 3 0 3 0 2 1 1 1 0 0 0 6 0 6 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
9 Jeruk 1 1 0 1 0 0 0 0 0 2 0 2 0 1 1 0 1 1 0 3 1 1
10 Tunas Harapan 1 2 2 3 3 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0
11 Mawar Hijau 2 2 1 1 0 1 1 1 0 0 2 2 0 0 0 1 0 0
12 Anggrek 1 1 0 00 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0
13 Permata Bunda 2 2 47 4 72 2 3 7 3 2 2 1 7 1 0 0 6 4 6 4 1 2 4 2 0
14 Beringin 1 1 0 0 00 0 01 1 0 0 0 1 1 2 0 2 0 0 0 0 0 0 0 1 2 1 0 0 0 0 0 0 0 0 0 0 0
Sub Total 14 9 31 31 25
18 20 25
23 22 2327 24 23 23 23 27 22 0 0 20 21 20 21 18 18 20 30 4 3 7 1 1 0 0 0 0 0 11
TOTAL 23 56 56 41 44 46 45 50 49 0 41 41 36 50 16 0
Sub Komulatif 116 111 214 196 206 202 174 184 165 179 190 192 180 188 163 159 165 160 2 3 193 187 192 185 140 133 143 143 19 37 50 46 28 0 1 2 2 0 11
KOMULATIF 227 410 408 358 344 382 368 322 325 5 380 377 273 286 180 5 11
Mengetahui, Muara Wahau, 25 Oktober 2019

NIP.19780905 200604 1 008 Nip.19680502 198911 1 001
BULAN/TAHUN : Nopember 2020
NO POSYANDU HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
BUMIL WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
1 Melati I 2 2 3 2 3 2 1 1 1 1 1 1 1 1 1 3 1 3 0 0 3 2 3 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
2 Melati II 4 5 7 9 9 9 12 6 12 6 10 6 11 6 9 8 8 8 9 12 3 5 3 5 4 6 5 7 0 2 1 1 0 0 0 0 0 0 4
3 Melati III 2 2 4 4 4 4 1 0 1 0 0 2 0 2 1 2 1 2 4 3 0 0 0 0 1 1 1 0 3 2 0 0 0 0 0 0 0 2 2
4 Cempaka 1 0 1 1 1 1 1 4 1 4 1 1 1 1 2 1 2 1 0 1 3 0 3 0 3 3 1 0 0 0 0 0 0 0 0 0 0 1 0
5 Dahlia 1 1 1 1 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 4 0 0 1 0 0 0 0 0 0 0 0 0 0 0
6 Rambutan 0 0 2 0 2 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1 2 0 0 0 0 0 0 0 0 0 0 0
7 Matahari 1 0 2 1 2 1 1 1 2 1 0 0 0 2 1 2 1 1 0 0 0 2 0 2 2 1 0 2 0 0 0 0 0 0 0 0 0 0 0
8 Bina Lestari 3 1 3 1 3 1 1 2 1 2 2 1 2 1 2 1 2 1 0 0 1 1 1 1 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0
9 Jeruk 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0 3 0 2 0 2 2 0 2 1 0 0 0 0 0 0 0 0 0 0 0
10 Tunas Harapan 1 1 1 0 1 0 2 2 2 2 1 2 1 2 1 0 1 0 4 5 1 2 1 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
11 Mawar Hijau 0 0 1 0 1 0 1 2 0 2 0 1 0 1 0 0 0 1 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Anggrek 1 0 2 1 2 1 1 1 1 1 1 1 1 1 1 2 1 2 2 4 0 0 0 0 0 2 1 2 0 0 0 0 0 0 0 0 0 0 0
13 Permata Bunda 0 0 3 1 3 1 4 4 4 4 4 5 4 5 2 3 2 3 2 0 0 0 0 0 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0
14 Beringin 0 2 0 1 0 1 0 0 0 0 0 0 0 0 1 2 1 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0
Sub Total 16 14 30 22 32 22 27 24 27 24 20 21 21 23 23 24 22 24 25 32 12 14 12 14 22 16 15 16 3 4 1 1 0 0 0 0 0 3 6
TOTAL 30 52 54 51 51 41 44 47 46 57 26 26 38 31 9 3
Sub Komulatif 132 125 244 218 238 224 201 208 192 203 210 213 201 211 186 183 187 184 27 35 205 201 204 199 162 149 158 159 22 41 51 47 28 0 1 2 2 3 6
KOMULATIF 257 462 462 409 395 423 412 369 371 62 406 403 311 317 189 8 6
Mengetahui, Muara Wahau, 25 Nopember 2019
IDRIS, A.Md.Kep
dr. ADIANTO Nip.19680502 198911 1 001
NIP.19780905 200604 1 008
BULAN/TAHUN : Desember 2019
NO POSYANDU HARI ) BCG POLIO 1 (1) POLIO 2 (2) POLIO 3 (3) POLIO 4 IPV CAMPAK LENGKAP LANJUTAN LANJUTAN BUMIL WUS
L P L P L P L P L P L P L P L P L P L P L P L P L P
P L
I II III IV V I II III IV V 2+
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
32 33 34 35 36 37 38 39 40 41 42 43
1 Melati I 0
2 Melati II 0
3 Melati III 0
4 Cempaka 0
5 Dahlia 0
6 Rambutan 0
7 Matahari 0
8 Bina Lestari 0
9 Jeruk 0
10 Tunas Harapan 0
11 Mawar Hijau 0
12 Anggrek 0
13 Permata Bunda 0
14 Beringin 0
Sub Total 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Komulatif 132 125 244 218 238 224 201 208 192 203 210 213 201 211 186 183 187 184 27 35 205 201 204 199 162 149 158 159 22 41 51 47 28 0 1 2 2 3 0
KOMULATIF 257 462 462 409 395 423 412 369 371 62 406 403 311 317 189 8 0
Mengetahui, Muara Wahau, 25 Desember 2019

NIP.19780905 200604 1 008 Nip.19680502 198911 1 001
JUMLAH BAYI / BATITA DI IMUNISASI / ABSOLUT TT BUMIL & WUS

HBO ( 0-7 DPT-HB-Hib DPT-HB-Hib DPT-HB-Hib DPT-HB-Hib CAMPAK
NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IVP CAMPAK IDL
LANJUTAN LANJUTAN BUMIL WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
1 Muara Wahau 10 8 22 16 22 16 7 14 8 14 21 18 21 18 15 11 14 10 2 1 12 13 11 13 15 16 19 22 1 2 5 5 5 0 0 0 0 0 17 89 75
2 Nehesliah Bing 2 5 1 2 2 4 4 0 3 0 2 4 2 3 2 1 2 1 0 1 2 1 2 0 2 2 2 1 0 0 0 1 0 0 0 0 0 0 1 46 41
3 Dabeq 0 0 1 1 1 1 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 8 5
4 Diaklay 2 1 0 1 0 1 0 0 0 0 0 2 0 2 0 1 0 1 0 1 1 2 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5
5 Benhes 1 0 0 1 0 1 0 1 0 1 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 9 9
6 Jakluay 3 3 2 2 2 2 3 2 3 2 4 2 4 2 1 2 1 2 0 0 2 2 2 2 1 2 4 4 0 1 3 2 0 0 0 0 0 0 6 15 13
7 Long Wehea 3 2 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 2 0 2 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 20 16
Sub Total 21 19 26 23 28 25 17 17 16 17 27 26 27 25 19 17 18 16 2 3 18 21 16 19 19 22 28 28 1 3 8 8 5 0 0 0 0 0 24
TOTAL 40 49 53 34 33 53 52 36 34 5 39 35 41 56 25 0
Sub Komulatif 21 19 26 23 28 25 17 17 16 17 27 26 27 25 19 17 18 16 2 3 18 21 16 19 19 22 28 28 1 3 8 8 5 0 0 0 0 0 24
KOMULATIF 40 49 53 34 33 53 52 36 34 5 39 35 41 56 25 0
Muara Wahau, 26 Januari 2020

KUPT PKM Muara Wahau I
dr. ADIANTO
NIP.19780905 200604 1 008
BULAN/TAHUN : Pebruari 2020

NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IVP CAMPAK
LENGKAP LANJUTAN LANJUTAN BUMIL WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
Muara Wahau 9 4 13 7 13 7 20 20 20 20 7 21 9 22 19 18 18 17 0 0 10 12 10 12 9 11 6 6 2 2 4 3 6 0 0 3 0 0 15
2 Nehesliah Bing 3 3 5 5 5 6 2 5 2 6 4 1 3 1 5 5 4 3 0 0 4 1 4 1 3 1 1 0 0 0 3 0 1 0 0 1 1 0 4
3 Dabeq 1 0 0 0 0 0 0 1 0 1 1 0 2 0 1 0 0 0 0 0 4 0 4 0 1 1 1 0 0 0 1 0 1 0 0 0 0 1 2
4 Diaklay 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
5 Benhes 0 2 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 2 3 2 3 1 1 1 0 0 0 0 0 3 0 0 0 0 0 3
6 Jakluay 0 1 8 2 8 1 4 3 3 3 3 3 3 3 5 3 5 3 0 0 0 0 0 0 6 1 0 0 0 2 0 2 3 0 0 0 0 0 7
7 Long Wehea 1 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 2
Sub Total 14 11 27 15 27 15 26 30 26 31 17 26 18 27 30 27 27 24 0 0 20 16 20 16 20 15 9 6 3 4 8 6 15 0 0 4 1 1 18
TOTAL 25 42 42 56 57 43 45 57 51 0 36 36 35 15 36 6
Sub Komulatif 35 30 53 38 55 40 43 47 42 48 44 52 45 52 49 44 45 40 2 3 38 37 36 35 39 37 37 34 4 7 16 14 20 0 0 4 1 1 37
KOMULATIF 65 91 95 90 90 96 97 93 85 5 75 71 76 71 61 6
Muara Wahau, 26 Februari 2019

dr. ADIANTO
NIP.19780905 200604 1 008

BULAN/TAHUN : Maret 2020
NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IVP CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
1 Muara Wahau 8 5 3 1 3 1 4 3 4 3 5 4 5 4 0 1 0 1 0 0 0 0 0 0 3 1 0 0 0 0 1 0 0 0 0 0 0 0 1
2 Nehesliah Bing 4 5 4 7 4 7 4 5 4 5 1 3 1 3 5 1 5 1 0 0 0 1 0 1 4 2 0 1 0 0 0 2 1 0 0 0 1 0 2
3 Dabeq 1 0 1 0 1 0 0 0 0 0 1 1 1 1 1 0 2 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0
4 Diaklay 0 1 1 1 1 1 1 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Benhes 3 0 0 2 0 2 0 0 0 0 0 0 0 0 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
6 Jakluay 1 2 4 2 4 2 6 2 5 3 3 4 2 4 4 2 4 2 0 0 10 5 10 5 1 3 3 4 1 1 1 1 0 0 0 0 0 0 3
7 Long Wehea 2 1 0 0 0 0 0 1 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0
8 luar Wilayah
Sub Total 19 14 13 13 13 13 15 11 14 12 10 13 9 13 12 5 13 5 0 0 10 6 10 6 12 6 3 5 1 1 3 3 2 0 0 0 1 0 9
TOTAL 33 26 26 26 26 23 22 17 18 0 16 16 18 8 10 1
Sub Komulatif 54 44 66 51 68 53 58 58 56 60 54 65 54 65 61 49 58 45 2 3 48 43 46 41 51 43 40 39 5 8 19 17 22 0 0 4 2 1 46
KOMULATIF 98 117 121 116 116 119 119 110 103 5 91 87 94 79 71 7 46
Muara Wahau, 26 Maret 2020

Ka.BLUT UPT PKM Muara Wahau I
dr. ADIANTO
NIP.19780905 200604 1 008

NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IVP CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
1 Muara Wahau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Nehesliah Bing 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Dabeq 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diaklay 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Benhes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Jakluay 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Long Wehea 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Komulatif 54 44 66 51 68 53 58 58 56 60 54 65 54 65 61 49 58 45 2 3 48 43 46 41 51 43 40 39 5 8 19 17 22 0 0 4 2 1 46
KOMULATIF 98 117 121 116 116 119 119 110 103 5 91 87 94 79 71 7 46
Muara Wahau, 25 April 2019

dr. ADIANTO
NIP.19780905 200604 1 008
UPT PUSKESMAS : Muara Wahau
BULAN/TAHUN : Mei 2019

NO DESA HARI ) BCG POLIO 1 (1) POLIO 2 (2) POLIO 3 (3) POLIO 4 IVP CAMPAK LENGKAP LANJUTAN LANJUTAN BUMIL WUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
1 Muara Wahau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Nehesliah Bing 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Dabeq 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diaklay 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Benhes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Jakluay 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Long Wehea 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Komulatif 54 44 66 51 68 53 58 58 56 60 54 65 54 65 61 49 58 45 2 3 48 43 46 41 51 43 40 39 5 8 19 17 22 0 0 4 2 1 46
KOMULATIF 98 117 121 116 116 119 119 110 103 5 91 87 94 79 71 7 46
Muara Wahai, 25 Mei 2019

dr. ADIANTO
NIP.19780905 200604 1 008
BULAN/TAHUN : Juni 2019

NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IVP CAMPAK
L P L P L P L P L P L P L P L P L P L P L P L P L P I II III IV V I II III IV V 2+
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
1 Muara Wahau 5 5 12 16 13 18 14 8 10 3 13 8 12 12 10 8 9 9 0 0 19 17 19 17 4 5 3 4 0 1 0 1 1 0 0 0 0 0 8
2 Nehesliah Bing 4 4 8 13 6 12 9 13 5 5 1 5 1 5 1 3 1 3 0 0 7 10 10 10 0 0 0 0 1 0 2 2 1 0 0 0 1 0 4
3 Dabeq 0 3 3 2 3 2 2 1 0 0 1 0 1 0 0 1 0 1 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diaklay 0 1 1 2 1 2 1 0 1 0 1 0 1 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Benhes 2 2 4 1 4 1 3 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Jakluay 1 1 2 3 2 2 2 1 0 0 3 1 3 1 1 0 1 0 0 0 2 5 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Long Wehea 0 1 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 3 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Luar Wilayah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 12 17 31 38 29 38 31 24 16 9 19 15 18 19 12 13 11 14 0 0 33 37 36 37 4 5 3 4 1 1 2 3 2 0 0 0 1 0 12
TOTAL 29 69 67 55 25 34 37 25 25 0 70 73 9 7 9 1
Sub Komulatif 66 61 97 89 97 91 89 82 72 69 73 80 72 84 73 62 69 59 2 3 81 80 82 78 55 48 43 43 6 9 21 20 24 0 0 4 3 1 50
KOMULATIF 127 186 188 171 141 153 156 135 128 5 161 160 103 86 80 8 50
Muara Wahau, 25 Juni 2019

Ka.UPT PKM Muara Wahau I
dr. ADIANTO
NIP.19780905 200604 1 008
BULAN/TAHUN : Juli 2019

NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
1 Muara Wahau 3 10 39 31 31 31 25 28 22 23 17 17 16 15 13 19 17 22 0 0 51 37 50 37 28 25 24 26 5 13 15 18 9 0 0 0 0 0 46
2 Nehesliah Bing 0 1 0 1 0 1 0 4 4 12 8 14 4 5 2 6 2 6 0 0 5 2 5 2 6 2 2 1 0 1 1 1 0 0 0 0 0 0 3
3 Dabeq 0 0 0 2 0 2 0 1 2 2 2 1 0 0 0 0 0 0 0 0 2 0 2 0 1 2 1 1 0 0 0 0 0 0 0 0 0 0 0
4 Diaklay 0 0 1 0 1 0 1 2 1 2 1 0 1 0 1 0 1 0 0 0 2 1 2 1 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0
5 Benhes 1 0 2 1 2 1 3 2 3 1 2 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
6 Jakluay 3 0 9 6 9 8 5 6 6 6 6 3 4 3 5 2 4 2 0 0 4 4 4 4 5 4 2 2 0 0 0 0 0 0 0 0 0 0 0
7 Long Wehea 1 0 2 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 8 11 53 42 45 44 34 43 38 46 36 36 25 24 21 27 24 30 0 0 64 45 63 45 42 34 31 30 5 14 16 19 9 0 1 1 0 0 49
TOTAL 19 95 89 77 84 72 49 48 54 0 109 108 76 61 63 2
Sub Komulatif 74 72 150 131 142 135 123 125 110 115 109 116 97 108 94 89 93 89 2 3 145 125 145 123 97 82 74 73 11 23 37 39 33 0 1 5 3 1 49
KOMULATIF 146 281 277 248 225 225 205 183 182 5 270 268 179 147 143 10 49
Muara Wahau, 25 Juli 2019

dr. ADIANTO
NIP.19780905 200604 1 008

NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
1 Muara Wahau 11 7 25 19 25 19 21 30 22 31 29 33 30 33 24 12 21 12 0 0 15 25 15 25 18 16 19 19 1 8 6 5 2 0 0 0 0 0 19
2 Nehesliah Bing 4 4 4 0 4 0 4 1 2 2 0 4 2 12 5 13 3 5 0 0 2 1 2 1 0 4 7 3 1 1 1 0 0 0 0 0 0 0 2
3 Dabeq 1 0 0 1 0 1 0 1 1 2 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1
4 Diaklay 1 1 0 0 0 0 1 0 1 0 2 2 2 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Benhes 1 0 1 0 1 0 2 0 3 1 2 2 2 2 2 1 0 1 0 0 0 1 0 1 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Jakluay 2 2 2 2 2 3 6 7 8 7 7 6 7 5 4 3 3 3 0 0 1 3 1 3 9 4 13 2 0 0 0 0 0 0 0 1 0 0 0
7 Long Wehea 0 3 0 1 0 1 2 2 2 2 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 20 17 32 23 32 24 36 41 39 45 42 48 44 54 36 29 29 21 0 0 19 30 18 30 30 26 39 24 2 9 7 6 2 0 0 1 0 0 22
TOTAL 37 55 56 77 84 90 98 65 50 0 49 48 56 63 26 1
Sub Komulatif 94 89 182 154 174 159 159 166 149 160 151 164 141 162 130 118 122 110 2 3 164 155 163 153 127 108 113 97 13 32 44 45 35 0 1 6 3 1 22
KOMULATIF 183 336 333 325 309 315 303 248 232 5 319 316 235 210 169 11 22
Muara Wahau, 25 Agustus 2019

dr. ADIANTO
NIP.19780905 200604 1 008
BULAN/TAHUN : September 2019

NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
1 Muara Wahau 9 9 15 16 17 16 15 11 15 11 12 10 13 10 13 14 12 14 13 16 9 7 9 7 8 10 8 7 3 4 1 1 0 0 0 0 0 3 6
2 Nehesliah Bing 4 2 4 1 4 1 4 4 4 4 3 3 3 3 5 1 5 1 4 8 2 5 2 5 2 2 4 1 0 0 0 0 0 0 0 0 0 0 0
3 Dabeq 1 1 1 1 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 4 0 0 1 0 0 0 0 0 0 0 0 0 0 0
4 Diaklay 0 0 2 0 2 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1 2 0 0 0 0 0 0 0 0 0 0 0
5 Benhes 1 0 2 1 2 1 1 1 2 1 0 0 0 2 1 2 1 1 0 0 0 2 0 2 2 1 0 2 0 0 0 0 0 0 0 0 0 0 0
6 Jakluay 1 0 6 2 6 2 6 7 5 7 5 7 5 7 3 5 3 6 8 8 0 0 0 0 5 2 2 2 0 0 0 0 0 0 0 0 0 0 0
7 Long Wehea 0 2 0 1 0 1 0 0 0 0 0 0 0 0 1 2 1 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0
Sub Total 16 14 30 22 32 22 27 24 27 24 20 21 21 23 23 24 22 24 25 32 12 14 12 14 22 16 15 16 3 4 1 1 0 0 0 0 0 3 6
TOTAL 30 52 54 51 51 41 44 47 46 57 26 26 38 31 9 3
Sub Komulatif 110 103 212 176 206 181 186 190 176 184 171 185 162 185 153 142 144 134 27 35 176 169 175 167 149 124 128 113 16 36 45 46 35 0 1 6 3 4 6
KOMULATIF 213 388 387 376 360 356 347 295 278 62 345 342 273 241 178 14 6
Muara Wahau, 25 September 2019

dr. ADIANTO
NIP.19780905 200604 1 008

NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
1 Muara Wahau 9 6 22 11 22 11 12 12 12 12 13 18 13 18 15 15 15 15 0 0 9 9 9 9 16 9 13 20 4 3 5 1 1 0 0 0 0 0 9
2 Nehesliah Bing 2 1 5 3 5 3 2 4 3 4 5 0 5 0 2 2 1 2 0 0 1 7 1 7 0 1 1 4 0 0 1 0 0 0 0 0 0 0 1
3 Dabeq 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diaklay 2 0 1 1 1 1 0 0 1 0 1 0 0 0 1 0 1 0 0 0 2 1 2 1 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0
5 Benhes 0 0 0 1 0 1 0 1 0 2 1 2 1 1 2 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1
6 Jakluay 0 0 3 9 3 9 4 5 4 5 2 2 2 3 7 2 8 1 0 0 8 4 8 4 1 3 4 4 0 0 0 0 0 0 0 0 0 0 0
7 Long Wehea 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 2 0 2 0 0 0 0 0 0 0 1 2 1 0 0 0 0 0 0 0 0 0 0 0
Sub Total 14 9 31 25 31 25 18 23 20 24 23 23 22 23 27 23 27 22 0 0 20 21 20 21 18 18 20 30 4 3 7 1 1 0 0 0 0 0 11
TOTAL 23 56 56 41 44 46 45 50 49 0 41 41 36 50 16 0
Sub Komulatif 124 112 243 201 237 206 204 213 196 208 194 208 184 208 180 165 171 156 27 35 196 190 195 188 167 142 148 143 20 39 52 47 36 0 1 6 3 4 138
KOMULATIF 236 444 443 417 404 402 392 345 327 62 386 383 309 291 194 14 138
Muara Wahau, 26 oktober 2020

dr. ADIANTO
NIP.19780905 200604 1 008

NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
1 Muara Wahau 9 9 15 16 17 16 15 11 15 11 12 10 13 10 13 14 12 14 13 16 9 7 9 7 8 10 8 7 3 4 1 1 0 0 0 0 0 3 6
2 Nehesliah Bing 4 2 4 1 4 1 4 4 4 4 3 3 3 3 5 1 5 1 4 8 2 5 2 5 2 2 4 1 0 0 0 0 0 0 0 0 0 0 0
3 Dabeq 1 1 1 1 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 4 0 0 1 0 0 0 0 0 0 0 0 0 0 0
4 Diaklay 0 0 2 0 2 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1 2 0 0 0 0 0 0 0 0 0 0 0
5 Benhes 1 0 2 1 2 1 1 1 2 1 0 0 0 2 1 2 1 1 0 0 0 2 0 2 2 1 0 2 0 0 0 0 0 0 0 0 0 0 0
6 Jakluay 1 0 6 2 6 2 6 7 5 7 5 7 5 7 3 5 3 6 8 8 0 0 0 0 5 2 2 2 0 0 0 0 0 0 0 0 0 0 0
7 Long Wehea 0 2 0 1 0 1 0 0 0 0 0 0 0 0 1 2 1 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0
Sub Total 16 14 30 22 32 22 27 24 27 24 20 21 21 23 23 24 22 24 25 32 12 14 12 14 22 16 15 16 3 4 1 1 0 0 0 0 0 3 6
TOTAL 30 52 54 51 51 41 44 47 46 57 26 26 38 31 9 3
b Komulatif 140 126 273 223 269 228 231 237 223 232 214 229 205 231 203 189 193 180 52 67 208 204 207 202 189 158 163 159 23 43 53 48 36 0 1 6 3 7 6
OMULATIF 266 496 497 468 455 443 436 392 373 119 412 409 347 322 203 17 6
Muara Wahau, 26 Nopember 2020

dr. ADIANTO
NIP.19780905 200604 1 008
BULAN/TAHUN : Desember 2020

NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
L P L P L P
P L P L L P L P L P L P L P L P L P L P L P I II III IV V I II III IV V 2+
1 2 3 4 5 6 7 8
10 11 129 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
1 Muara Wahau 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 Nehesliah Bing 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Dabeq 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Diaklay 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Benhes 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Jakluay 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Long Wehea 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0
Sub Komulatif 140 126 273 223 269 228 231 237 223 232 214 229 205 231 203 189 193 180 52 67 208 204 209 202 189 158 163 159 23 43 53 48 36 0 1 6 3 7 0
KOMULATIF 266 496 497 468 455 443 436 392 373 119 412 411 347 322 203 17 0
Muara Wahau, 26 Desember 2020

dr. ADIANTO
NIP.19780905 200604 1 008
164
87
13
10
18
28
36
Sasaran
PENCAPAIAN
Bumil
NO DESA HBO ( 0-7
BCG POLIO 1
DPT-HB-Hib
POLIO 2
DPT-HB-Hib
POLIO 3
DPT-HB-Hib
POLIO 4 IVP CAMPAK
IMUNISASI Absol Desa
DPT-HB-Hib CAMPAK
BUMIL WUS
HARI ) (1) (2) (3) LENGKAP LANJUTAN LANJUTAN
Abs % Abs % ut % UCI
L P L P L P L P L P L P L P L P L P L P P P L P L P Total L P L P I II III IV V I II III IV V 2+
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
1 Muara Wahau 89 75 164 10 8 22 16 22 16 7 14 8 14 21 18 21 18 15 11 14 10 2 1 12 13 11 13 11 12.36 13 17.33 24 14.6341 Uci 15 16 19 22 153 1 2 5 5 5 0 0 0 0 0 17
2 Nehesliah Bing 46 41 87 2 5 1 2 2 4 4 0 3 0 2 4 2 3 2 1 2 1 0 1 2 1 2 0 2 4.348 0 0 2 2.29885 2 2 2 1 79 0 0 0 1 0 0 0 0 0 0 1
3 Dabeq 8 5 13 0 0 1 1 1 1 2 0 2 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 12 0 0 0 0 0 0 0 0 0 0 0
4 Diaklay 5 5 10 2 1 0 1 0 1 0 0 0 0 0 2 0 2 0 1 0 1 0 1 1 2 1 2 1 20 2 40 3 30 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0
5 Benhes 9 9 18 1 0 0 1 0 1 0 1 0 1 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 2 0 16 0 0 0 0 0 0 0 0 0 0 0
6 Jakluay 15 13 28 3 3 2 2 2 2 3 2 3 2 4 2 4 2 1 2 1 2 0 0 2 2 2 2 2 13.33 2 15.38 4 14.2857 Uci 1 2 4 4 24 0 1 3 2 0 0 0 0 0 0 6
7 Long Wehea 20 16 36 3 2 0 0 28 0 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 2 0 2 0 0 2 12.5 2 5.55556 1 1 1 1 35 0 0 0 0 0 0, 0 0 0 0
Sub Total 192 164 356 21 19 26 23 55 25 17 17 16 17 27 26 27 25 19 17 18 16 2 3 18 21 16 19 16 8.333 19 11.59 35 9.83146 19 22 28 28 328 1 3 8 8 5 0 0 0 0 0 24
TOTAL 40 49 80 34 33 53 52 36 34 5 39 35 41 56 25 0
Sub Komulatif 21 19 26 23 55 25 17 17 16 17 27 26 27 25 19 17 18 16 2 3 18 21 16 19 19 22 28 28 1 3 8 8 5 0 0 0 0 0 24
KOMULATIF 40 49 80 34 33 53 52 36 34 5 39 35 7.9 41 56 25 0
Muara Wahau, 26 Januari 2019

dr. ADIANTO
NIP.19780905 200604 1 008
BULAN/TAHUN : Pebruari 2019
SI HBO ( 0-7 DPT-HB-Hib DPT-HB-Hib DPT-HB-Hib IMUNISASI PENCAPAIAN
Absol DPT-HB-Hib CAMPAK
NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IVP CAMPAK
LENGKAP Desa LANJUTAN LANJUTAN BUMIL WUS
L P Total L P L P L P L P L P L P L P L P L P L P P P L P L P Total L P L P I II III IV V I II III IV V 2+
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
1 Muara Wahau 89 75 164 19 12 35 23 35 23 27 34 28 34 28 39 30 40 34 29 32 27 2 1 22 25 21 25 21 23.6 25 33.33 46 28.05 Uci 24 27 25 28 153 3 4 9 8 11 0 0 3 0 0 32
2 Nehesliah Bing 46 41 87 5 8 6 7 7 10 6 5 5 6 6 5 5 4 7 6 6 4 0 1 6 2 6 1 6 13.04 1 2.439 7 8.05 5 3 3 1 79 1 0 0 2 1 0 4 0 0 0 2
3 Dabeq 8 5 13 1 0 1 1 1 1 2 1 2 1 1 0 2 0 1 0 0 0 0 0 4 0 4 0 4 50 0 0 4 30.77 Uci 1 2 1 0 12 0 0 1 0 1 0 0 0 0 1 1
4 Diaklay 5 5 10 2 1 1 1 1 1 0 1 0 1 0 2 0 2 0 2 0 2 0 1 1 2 1 2 1 20 2 40 3 30.00 Uci 0 0 0 0 9 1 0 0 0 0 0 0 0 0 0 0
5 Benhes 9 9 18 1 2 0 1 0 1 0 1 0 1 1 1 1 1 0 1 0 1 0 0 3 4 2 3 2 22.22 3 33.33 5 27.78 Uci 1 1 3 0 16 0 0 0 0 3 0 0 0 0 0 0
6 Jakluay 15 13 28 3 4 10 4 10 3 7 5 6 5 7 5 7 5 6 5 6 5 0 0 2 2 2 2 2 13.33 2 15.38 4 14.29 7 3 4 4 24 0 3 3 4 3 0 0 0 0 0 10
7 Long Wehea 20 16 36 4 3 0 1 28 1 1 0 1 0 1 0 0 0 1 1 1 1 0 0 0 2 0 2 0 0 2 12.5 2 5.56 1 1 1 1 35 1 0 0 0 0 0 0 0 0 0 0
Sub Total 192 164 356 35 30 53 38 82 40 43 47 42 48 44 52 45 52 49 44 45 40 2 3 38 37 36 35 36 18.75 35 21.34 71 19.9438 39 37 37 34 328 6 7 13 14 19 0 4 4 0 0 34
TOTAL 356 356 65 91 122 90 90 96 97 93 85 5 75 71 76 71 59 8
Sub Komulatif 192 164 356 35 53 53 38 82 40 43 47 42 48 44 52 45 52 49 44 45 40 2 3 38 37 36 35 39 37 37 34 6 7 13 14 19 0 4 4 0 0 34
KOMULATIF 356 65 91 122 90 90 96 97 93 85 5 75 71 15.8 76 71 59 8
Muara Wahai, 26 Februari 2019

dr. ADIANTO
NIP.19780905 200604 1 008

BULAN/TAHUN : Januari s/d Maret 2019
NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IVP CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
1 Muara Wahau 89 75 164 27 17 38 24 38 24 31 37 32 37 33 43 35 44 34 30 32 28 2 1 22 25 21 25 36 40.45 33 44.00 46 28.05 Uci 27 28 25 28 153 3 4 10 8 11 0 0 3 0 0 22
2 Nehesliah Bing 46 41 87 9 13 10 14 11 17 10 10 9 11 7 8 6 7 12 7 11 5 0 1 6 3 6 2 7 15.22 5 12.20 8 9.20 9 5 3 2 79 1 0 0 4 2 0 4 0 1 0 4
3 Dabeq 8 5 13 2 0 2 1 2 1 2 1 2 1 2 1 3 1 2 0 2 0 0 0 4 0 4 0 2 25.00 0 0.00 4 30.77 Uci 2 2 1 0 12 0 0 2 0 1 0 0 0 0 1 0
4 Diaklay 5 5 10 2 2 2 2 2 2 1 1 1 1 0 3 0 3 0 2 0 2 0 1 1 2 1 2 0 0.00 2 40.00 3 30.00 Uci 2 0 0 0 9 1 0 0 0 0 0 0 0 0 0 0
5 Benhes 9 9 18 4 2 0 3 0 3 0 1 0 1 1 1 1 1 1 2 1 2 0 0 3 4 2 3 2 22.22 1 11.11 5 27.78 Uci 1 1 3 0 16 0 0 0 0 3 0 0 0 0 0 0
6 Jakluay 15 13 28 4 6 14 6 14 5 13 7 11 8 10 9 9 9 10 7 10 7 0 0 12 7 12 7 5 33.33 8 61.54 19 67.86 Uci 8 6 7 8 24 1 4 4 5 3 0 0 0 0 0 13
7 Long Wehea 20 16 36 6 4 0 1 28 1 1 1 1 1 1 0 0 0 2 1 2 1 0 0 0 2 0 2 1 5.00 0 0.00 2 5.56 2 1 1 1 35 1 0 0 0 1 0 0 0 0 0 0
Sub Komulatif 192 164 356 54 44 66 51 95 53 58 58 56 60 54 65 54 65 61 49 58 45 2 3 48 43 46 41 53 27.6 49 29.88 87 53.05 51 43 40 39 328 7 8 16 17 21 0 4 3 1 1 39
TOTAL 356 356 98 117 148 116 116 119 119 110 103 5 91 87 94 79 69 9
Sub Komulatif 192 164 54 44 66 51 68 53 58 58 56 60 54 65 54 65 61 49 58 45 2 3 48 43 46 41 51 43 40 39 5 8 19 17 22 0 0 4 2 1 73
KOMULATIF 356 98 117 148 116 116 119 119 110 103 5 91 87 23.7 94 79 71 7 73
Muara Wahau, 26 Maret 2019

dr. ADIANTO
NIP.19780905 200604 1 008
NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IVP CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
1 Muara Wahau 89 75 164 27 17 38 24 38 24 31 37 32 37 33 43 35 44 34 30 32 28 2 1 22 25 21 25 21 23.6 25 33.33 46 28.05 Uci 27 28 25 28 153 3 4 10 8 11 0 0 3 0 0 22
2 Nehesliah Bing 46 41 87 9 13 10 14 11 17 10 10 9 11 7 8 6 7 12 7 11 5 0 1 6 3 6 2 6 13.04 2 4.878 8 9.20 9 5 3 2 79 1 0 0 4 2 0 4 0 1 0 4
3 Dabeq 8 5 13 2 0 2 1 2 1 2 1 2 1 2 1 3 1 2 0 2 0 0 0 4 0 4 0 4 50 0 0 4 30.77 Uci 2 2 1 0 12 0 0 2 0 1 0 0 0 0 1 2
4 Diaklay 5 5 10 2 2 2 2 2 2 1 1 1 1 0 3 0 3 0 2 0 2 0 1 1 2 1 2 1 20 2 40 3 30.00 2 0 0 0 9 1 0 0 0 0 0 0 0 0 0 0
5 Benhes 9 9 18 4 2 0 3 0 3 0 1 0 1 1 1 1 1 1 2 1 2 0 0 3 4 2 3 2 22.22 3 33.33 5 27.78 1 1 3 0 16 0 0 0 0 3 0 0 0 0 0 0
6 Jakluay 15 13 28 4 6 14 6 14 5 13 7 11 8 10 9 9 9 10 7 10 7 0 0 12 7 12 7 12 80 7 53.85 19 67.86 Uci 8 6 7 8 24 1 4 4 5 3 0 0 0 0 0 13
7 Long Wehea 20 16 36 6 4 0 1 28 1 1 1 1 1 1 0 0 0 2 1 2 1 0 0 0 2 0 2 0 0 2 12.5 2 5.56 2 1 1 1 35 1 0 0 0 1 0 0 0 0 0 0
Sub Total 192 164 356 54 44 66 51 95 53 58 58 56 60 54 65 54 65 61 49 58 45 2 3 48 43 46 41 46 23.96 41 25 87 24.44 51 43 40 39 328 7 8 16 17 21 0 4 3 1 1 41
TOTAL 356 356 98 117 148 116 116 119 119 110 103 91 87 94 79 69 9
Sub Komulatif 192 164 356 54 44 66 51 68 53 58 58 56 60 54 65 54 65 61 49 58 45 2 3 48 43 46 41 51 43 40 39 5 8 19 17 22 0 0 4 2 1 114
KOMULATIF 356 98 117 148 116 116 119 119 110 103 5 91 87 31.6 94 79 71 7 114
Muara Wahau, 25 April 2019

dr. ADIANTO
NIP.19780905 200604 1 008
UPT PUSKESMAS : Muara Wahau
BULAN/TAHUN : Januari s/d Mei 2019
NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IVP CAMPAK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
1 Muara Wahau 89 75 164 27 17 38 24 38 24 31 37 32 37 33 43 35 44 34 30 32 28 2 1 22 25 21 25 21 23.6 25 33.33 46 28.05 Uci 27 28 25 28 153 3 4 10 8 11 0 0 3 0 0 22
2 Nehesliah Bing 46 41 87 9 13 10 14 11 17 10 10 9 11 7 8 6 7 12 7 11 5 0 1 6 3 6 2 6 13.0 2 4.878 8 9.20 9 5 3 2 79 1 0 0 4 2 0 4 0 1 0 4
3 Dabeq 8 5 13 2 0 2 1 2 1 2 1 2 1 2 1 3 1 2 0 2 0 0 0 4 0 4 0 4 50.0 0 0 4 30.77 2 2 1 0 12 0 0 2 0 1 0 0 0 0 1 2
4 Diaklay 5 5 10 2 2 2 2 2 2 1 1 1 1 0 3 0 3 0 2 0 2 0 1 1 2 1 2 1 20.0 2 40 3 30.00 2 0 0 0 9 1 0 0 0 0 0 0 0 0 0 0
5 Benhes 9 9 18 4 2 0 3 0 3 0 1 0 1 1 1 1 1 1 2 1 2 0 0 3 4 2 3 2 22.2 3 33.33 5 27.78 1 1 3 0 16 0 0 0 0 3 0 0 0 0 0 0
6 Jakluay 15 13 28 4 6 14 6 14 5 13 7 11 8 10 9 9 9 10 7 10 7 0 0 12 7 12 7 12 80.0 7 53.85 19 67.86 Uci 8 6 7 8 24 1 4 4 5 3 0 0 0 0 0 13
7 Long Wehea 20 16 36 6 4 0 1 28 1 1 1 1 1 1 0 1 0 2 1 2 1 0 0 0 2 0 2 0 0.0 2 2 5.56 2 1 1 1 35 1 0 0 0 1 0 0 0 0 0 0
Sub Total 192 164 356 54 44 66 51 95 53 58 58 56 60 54 65 55 65 61 49 58 45 2 3 48 43 46 41 46 24.0 41 25 87 24.44 51 43 40 39 328 7 8 16 17 21 0 4 3 1 1 41
TOTAL 356 98 117 148 116 116 119 120 110 103 5 91 87 94 79 69 9
Sub Komulatif 54 44 66 51 68 53 58 58 56 60 54 65 54 65 61 49 58 45 2 3 48 43 46 41 51 43 40 39 5 8 19 17 22 0 0 4 2 1 155
KOMULATIF 98 117 148 116 116 119 119 110 103 5 91 87 39.6 94 79 71 7 155
Muara Wahai, 25 Mei 2019

dr. ADIANTO
NIP.19780905 200604 1 008
BULAN/TAHUN : Januari s/d Juni 2019
Absso DPT-HB-Hib CAMPAK
NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IVP CAMPAK
Abs % Abs % lut % UCI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
1 Muara Wahau 89 75 164 32 22 50 40 51 42 45 45 42 40 46 51 47 56 44 38 41 37 2 1 41 42 40 42 40 44.9 42 56 82 50.00 Uci 31 33 28 32 153 3 5 10 9 12 0 0 3 0 0 30
2 Nehesliah Bing 46 41 87 13 17 18 27 17 29 19 23 14 16 8 13 7 12 13 10 12 8 0 1 13 13 16 12 16 34.8 12 29.27 28 32.1839 9 5 3 2 79 2 0 2 6 3 0 4 0 2 0 8
3 Dabeq 8 5 13 2 3 5 3 5 3 4 2 2 1 3 1 4 1 2 1 2 1 0 0 6 0 6 0 6 75.0 0 0 6 46.1538 2 2 1 0 12 0 0 2 0 1 0 0 0 0 1 2
4 Diaklay 5 5 10 2 3 3 4 3 4 2 1 2 1 1 3 1 3 0 3 0 3 0 1 2 3 2 3 2 40.0 3 60 5 50.00 2 0 0 0 9 1 0 0 0 0 0 0 0 0 0 0
5 Benhes 9 9 18 6 4 4 4 4 4 3 2 0 2 1 1 1 1 1 2 1 2 0 0 4 5 3 4 3 33.3 4 44.44 7 38.8889 1 1 3 0 16 0 0 0 0 3 0 0 0 0 0 0
6 Jakluay 15 13 28 5 7 16 9 16 7 15 8 11 8 13 10 12 10 11 7 11 7 0 0 14 12 14 12 14 93.3 12 92.31 26 92.8571 Uci 8 6 7 8 24 1 4 4 5 3 0 0 0 0 0 13
7 Long Wehea 20 16 36 6 5 1 2 28 2 1 1 1 1 1 1 1 1 2 1 2 1 0 0 1 5 1 5 1 5.0 5 31.25 6 16.6667 2 1 1 1 35 1 0 0 0 1 0 0 0 0 0 0
Sub Total 192 164 356 66 61 97 89 124 91 89 82 72 69 73 80 73 84 73 62 69 59 2 3 81 80 82 78 82 42.71 78 47.56 160 44.9438 Uci 55 48 43 43 328 8 9 18 20 23 0 4 3 2 1 53
TOTAL 356 356 127 186 215 171 141 153 157 135 128 5 161 160 103 86 78 10
Sub Komulatif 66 61 97 89 97 91 89 82 72 69 73 80 72 84 73 62 69 59 2 3 81 80 82 78 55 48 43 43 6 9 21 20 24 0 0 4 3 1 50
KOMULATIF 127 186 215 171 141 153 156 135 128 5 161 160 47 103 86 80 8 50
Muara Wahau, 25 Juni 2019

dr. ADIANTO
NIP.19780905 200604 1 008
BULAN/TAHUN : Januari s/d Juli 2019
NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
L P Total L P L P L P L P L P L P L P L P L P L P L P L P L P Total L P L P I II III IV V I II III IV V 2+
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
1 Muara Wahau 89 75 164 35 32 89 71 82 73 70 73 64 63 63 68 63 71 57 57 58 59 2 1 92 79 90 79 90 101.1 79 105.3 169 103.05 UCI 59 58 52 58 153 8 18 25 27 21 0 0 3 0 0 76
2 Nehesliah Bing 46 41 87 13 18 18 28 17 30 19 27 18 28 16 27 11 17 15 16 14 14 0 1 18 15 21 14 21 45.7 14 34.15 35 40.2299 15 7 5 3 79 2 1 3 7 3 0 4 0 2 0 11
3 Dabeq 8 5 13 2 3 5 5 5 5 4 3 4 3 5 2 4 1 2 1 2 1 0 0 8 0 8 0 8 100.0 0 0 8 61.5385 3 4 2 1 12 0 0 2 0 1 0 0 0 0 1 2
4 Diaklay 5 5 10 2 3 4 4 4 4 3 3 3 3 2 3 2 3 1 3 1 3 0 1 4 4 4 4 4 80.0 4 80 8 80.00 4 0 2 0 9 1 0 0 0 0 0 0 0 0 0 0
5 Benhes 9 9 18 7 4 6 5 6 5 6 4 3 3 3 2 1 2 1 2 1 2 0 0 4 6 3 5 3 33.3 5 55.56 8 44.4444 1 1 3 0 16 0 0 0 0 3 0 1 1 0 0 0
6 Jakluay 15 13 28 8 7 25 15 25 15 20 14 17 14 19 13 16 13 16 9 15 9 0 0 18 16 18 16 18 120.0 16 123.1 34 121.429 Uci 13 10 9 10 24 1 4 4 5 3 0 0 0 0 0 13
7 Long Wehea 20 16 36 7 5 3 3 30 3 1 1 1 1 1 1 1 1 2 1 2 1 0 0 1 5 1 5 1 5.0 5 31.25 6 16.6667 2 2 1 1 35 1 0 0 0 1 0 0 0 0 0 0
Sub Total 192 164 356 74 72 150 131 169 135 123 125 110 115 109 116 98 108 94 89 93 89 2 3 145 125 145 123 145 75.52 123 75 268 75.2809 Uci 97 82 74 73 328 13 23 34 39 32 0 5 4 2 1 102
TOTAL 356 146 281 304 248 225 225 206 183 182 5 270 268 179 147 141 12
Sub Komulatif 35 72 150 131 142 135 123 125 110 115 109 116 97 108 94 89 93 89 2 3 145 125 145 123 97 82 74 73 11 23 37 39 33 0 1 5 3 1 99
KOMULATIF 107 281 277 248 225 225 205 183 182 5 270 268 55,3 179 147 143 10 99
Muara Wahau, 25 Juli 2019

dr. ADIANTO
NIP.19780905 200604 1 008
SI HBO ( 0-7 DPT-HB-Hib DPT-HB-Hib DPT-HB-Hib IMUNISASI PENCAPAIAN DPT-HB-Hib CAMPAK
NO DESA HARI )
BCG POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
LENGKAP ABS DESA LANJUTAN LANJUTAN BUMIL WUS
% ABS % ABS %
UCI
L P Total L P L P L P L P L P L P L P L P L P L P L P L P L P TOTAL L P L P I II III IV V I II
III IV V 2+
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 4849 50 51 52
1 Muara Wahau 89 75 164 46 39 114 90 107 92 91 103 86 94 92 101 93 104 81 69 79 71 2 1 107 104 105 104 105 118.0 104 138.7 209 127.439 Uci 77 74 71 77 153 9 26 31 32 23 0 03 0 0 89
2 Nehesliah Bing 46 41 87 17 22 22 28 21 30 23 28 20 30 16 31 13 29 20 29 17 19 0 1 20 16 23 15 23 50.0 15 36.59 38 43.6782 15 11 12 6 79 3 2 4 7 3 0 40 2 0 13
3 Dabeq 8 5 13 3 3 5 6 5 6 4 4 5 5 7 3 5 1 2 1 2 1 0 0 8 0 8 0 8 100.0 0 0 8 61.5385 3 4 2 1 12 0 0 2 1 1 0 00 0 1 3
4 Diaklay 5 5 10 3 4 4 4 4 4 4 3 4 3 4 5 4 5 2 3 2 3 0 1 4 4 4 4 4 80.0 4 80 8 80 Uci 4 0 2 0 9 1 0 0 0 0 0 00 0 0 0
5 Benhes 9 9 18 8 4 7 5 7 5 8 4 6 4 5 4 3 4 3 3 1 3 0 0 4 7 3 6 3 33.3 6 66.67 9 50 4 2 3 0 16 0 0 0 0 3 0 11 0 0 0
6 Jakluay 15 13 28 10 9 27 17 27 18 26 21 25 21 26 19 23 18 20 12 18 12 0 0 19 19 19 19 19 126.7 19 146.2 38 135.714 Uci 22 14 22 12 24 1 4 4 5 3 0 01 0 0 13
7 Long Wehea 20 16 36 7 8 3 4 30 4 3 3 3 3 1 1 1 1 2 1 3 1 0 0 2 5 1 5 1 5.0 5 31.25 6 16.6667 2 3 1 1 35 1 0 0 0 1 0 00 0 0 0
Sub Total 192 164 356 94 89 182 154 201 159 159 166 149 160 151 164 142 162 130 118 122 110 2 3 164 155 163 153 163 84.9 153 93.29 316 88.764 Uci 127 108 113 97 328 15 32 41 45 34 0 55 2 1 118
TOTAL 356 356 183 336 360 325 309 315 304 248 232 5 319 316 235 210 167 13
Sub Komulatif 55 89 182 154 174 159 159 166 149 160 151 164 141 162 130 118 122 110 2 3 164 155 163 153 127 108 113 97 13 32 44 45 35 0 1 6 3 1 118
KOMULATIF 144 336 333 325 309 315 303 248 232 5 319 316 63,2 235 210 169 11 118
Muara Wahau, 25 Agustus 2019

dr. ADIANTO
NIP.19780905 200604 1 008
LAPORAN KOMULTIF HASIL PELAKSANAAN IMUNISASI RUTIN
BULAN/TAHUN : Januari s/d September 2019
SI HBO ( 0-7 BCG DPT-HB-Hib DPT-HB-Hib DPT-HB-Hib IMUNISASI PENCAPAIAN DPT-HB-Hib CAMPAK
NO DESA HARI )
POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
% ABS % ABS %
UCI
L P Total L P L P L P L P L P L P L P L P L P L P L P L P L P TOTAL L P L P I II III IV V I II III IV V 2+
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
1 Muara Wahau 89 75 164 55 48 129 106 124 108 106 114 101 105 104 111 106 114 94 83 91 85 15 17 116 111 114 111 114 128.1 111 148 225 137.195 Uci 85 84 79 84 153 12 30 32 33 23 0 0 3 0 3 95
2 Nehesliah Bing 46 41 87 21 24 26 29 25 31 27 32 24 34 19 34 16 32 25 30 22 20 4 9 22 21 25 20 25 54.35 20 48.78 45 51.7241 17 13 16 7 79 3 2 4 7 3 0 4 0 2 0 13
3 Dabeq 8 5 13 4 4 6 7 6 7 4 4 5 5 7 4 5 2 2 1 2 1 0 0 8 0 8 0 8 100 0 0 8 61.5385 7 4 2 2 12 0 0 2 1 1 0 0 0 0 1 3
4 Diaklay 5 5 10 3 4 6 4 6 4 5 4 5 4 4 5 4 5 2 3 2 3 0 1 5 4 5 4 5 100 4 80 9 90.00 Uci 5 0 3 2 9 1 0 0 0 0 0 0 0 0 0 0
5 Benhes 9 9 18 9 4 9 6 9 6 9 5 8 5 5 4 3 6 4 5 2 4 0 0 4 9 3 8 3 33.33 8 88.89 11 61.1111 6 3 3 2 16 0 0 0 0 3 0 1 1 0 0 0
6 Jakluay 15 13 28 11 9 33 19 33 20 32 28 30 28 31 26 28 25 23 17 21 18 8 8 19 19 19 19 19 126.7 19 146.2 38 135.714 Uci 27 16 24 14 24 1 4 4 5 3 0 0 1 0 0 13
7 Long Wehea 20 16 36 7 10 3 5 30 5 3 3 3 3 1 1 1 1 3 3 4 3 0 0 2 5 1 5 1 5 5 31.25 6 16.6667 2 4 1 2 35 1 0 0 0 1 0 0 0 0 0 0
Sub Total 192 164 356 110 103 212 176 233 181 186 190 176 184 171 185 163 185 153 142 144 134 27 35 176 169 175 167 175 91.1 167 101.8 342 96.0674 Uci 149 124 128 113 328 18 36 42 46 34 0 5 5 2 4 124
TOTAL 356 356 213 388 414 376 360 356 348 295 278 62 345 342 273 241 176 16
Sub Komulatif 110 103 212 176 206 181 186 190 176 184 171 185 162 185 153 142 144 134 27 35 176 169 175 167 149 124 128 113 16 36 45 46 35 0 1 6 3 4 124
KOMULATIF 213 388 387 376 360 356 347 295 278 62 345 342 71,1 273 241 178 14 124
Muara Wahau, 25 September 2019

dr. ADIANTO
NIP.19780905 200604 1 008
NO DESA HARI )
POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
% ABS % ABS %
UCI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
1 Muara Wahau 89 75 164 64 54 151 117 146 119 118 126 113 117 117 129 119 132 109 98 106 100 15 17 125 120 123 120 123 138.2 120 160 243 148.171 Uci 101 93 92 104 153 16 33 37 34 24 0 0 3 0 3 104
2 Nehesliah Bing 46 41 87 23 25 31 32 30 34 29 36 27 38 24 34 21 32 27 32 23 22 4 9 23 28 26 27 26 56.52 27 65.85 53 60.9195 17 14 17 11 79 3 2 5 7 3 0 4 0 2 0 14
3 Dabeq 8 5 13 4 5 6 7 6 7 4 5 5 6 7 4 5 2 2 3 2 3 0 0 8 0 8 0 8 100 0 0 8 61.5385 uci 7 4 2 2 12 0 0 2 1 1 0 0 0 0 1 3
4 Diaklay 5 5 10 5 4 7 5 7 5 5 4 6 4 5 5 4 5 3 3 3 3 0 1 7 5 7 5 7 140 5 100 12 120 Uci 6 3 3 3 9 1 0 0 0 0 0 0 0 0 0 0
5 Benhes 9 9 18 9 4 9 7 9 7 9 6 8 7 6 6 4 7 6 5 4 4 0 0 4 9 3 8 3 33.33 8 88.89 11 61.1111 Uci 6 4 3 2 16 0 0 1 0 3 0 1 1 0 0 1
6 Jakluay 15 13 28 11 9 36 28 36 29 36 33 34 33 33 28 30 28 30 19 29 19 8 8 27 23 27 23 27 180 23 176.9 50 178.571 Uci 28 19 28 18 24 1 4 4 5 3 0 0 1 0 0 13
7 Long Wehea 20 16 36 8 11 3 5 30 5 3 3 3 3 2 2 2 2 3 5 4 5 0 0 2 5 1 5 1 5 5 31.25 6 16.6667 2 5 3 3 35 1 0 0 0 1 0 0 0 0 0 0
Sub Total 192 164 356 124 112 243 168 264 206 204 213 196 208 194 208 185 208 180 165 171 156 27 35 196 190 195 188 195 101.6 188 114.6 383 107.584 Uci 167 142 148 143 328 22 39 49 47 35 0 5 5 2 4 135
TOTAL 356 356 236 411 470 417 404 402 393 345 327 62 386 383 309 291 192 16
Sub Komulatif 299 124 112 243 201 237 206 204 213 196 208 194 208 184 208 180 165 171 156 27 35 196 190 195 188 167 142 148 143 20 39 52 47 36 0 1 6 3 4 138
KOMULATIF 236 444 443 417 404 402 392 345 327 62 386 383 79.00 309 291 194 16 138
Muara Wahau, 26 Oktober 2019

dr. ADIANTO
NIP.19780905 200604 1 008
NO DESA HARI )
POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
% ABS % ABS %
UCI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
1 Muara Wahau 89 75 164 73 63 166 133 163 135 133 137 128 128 129 139 132 142 122 112 118 114 28 33 134 127 132 127 132 148.3 127 169.3 259 157.9 Uci 109 103 100 111 153 19 37 38 35 24 0 0 3 0 6 110
2 Nehesliah Bing 46 41 87 27 27 35 33 34 35 33 40 31 42 27 37 24 35 32 33 28 23 8 17 25 33 28 32 28 60.9 32 78.0 60 69.0 19 16 21 12 79 3 2 5 7 3 0 4 0 2 0 14
3 Dabeq 8 5 13 5 6 7 8 7 8 4 5 5 6 7 5 5 3 2 3 2 3 0 0 8 0 8 0 8 100.0 0 0.0 8 61.5 Uci 11 4 2 3 12 0 0 2 1 1 0 0 0 0 1 3
4 Diaklay 5 5 10 5 4 9 5 9 5 6 5 7 5 5 5 4 5 3 3 3 3 0 1 8 5 8 5 8 160.0 5 100.0 13 130.0 Uci 7 3 4 5 9 1 0 0 0 0 0 0 0 0 0 0
5 Benhes 9 9 18 10 4 11 8 11 8 10 7 10 8 6 6 4 9 7 7 5 5 0 0 4 11 3 10 3 33.3 10 111.1 13 72.2 Uci 8 5 3 4 16 0 0 1 0 3 0 1 1 0 0 1
6 Jakluay 15 13 28 12 9 42 30 42 31 42 40 39 40 38 35 35 35 33 24 32 25 16 16 27 23 27 23 27 180.0 23 176.9 50 178.6 Uci 33 21 30 20 24 1 4 4 5 3 0 0 1 0 0 13
7 Long Wehea 20 16 36 8 13 3 6 30 6 3 3 3 3 2 2 2 2 4 7 5 7 0 0 2 5 1 5 1 5.0 5 31.3 6 16.7 2 6 3 4 35 1 0 0 0 1 0 0 0 0 0 0
Sub Total 192 164 356 140 126 273 187 296 228 231 237 223 232 214 229 206 231 203 189 193 180 52 67 208 204 207 202 207 107.8 202 123.2 409 249.39 Uci 189 158 163 159 328 25 43 50 48 35 0 5 5 2 7 141
TOTAL 356 356 266 460 524 468 455 443 437 392 373 119 412 409 Uci 347 322 201 19
Sub Komulatif 265 140 126 273 223 269 228 231 237 223 232 214 229 205 231 203 189 193 180 52 67 208 204 207 202 Uci 189 158 163 159 23 43 53 48 36 0 1 6 3 7 6
KOMULATIF 265 266 496 497 468 455 443 436 392 373 119 412 409 86.9 347 322 203 17 6
Muara Wahau, 25 Nopember 2019

dr. ADIANTO
NIP.19780905 200604 1 008
BULAN/TAHUN : Januari s/d Desember 2019
NO DESA HARI )
POLIO 1
(1)
POLIO 2
(2)
POLIO 3
(3)
POLIO 4 IPV CAMPAK
% ABS % ABS %
UCI
L P Total L P L P L P L P L P L P L P L P L P L P L P L P L P TOTAL L P L P I II III IV V I II
III IV V 2+
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 4849 50 51 52
1 Muara Wahau 89 75 164 73 63 166 133 163 135 133 137 128 128 129 139 132 142 122 112 118 114 28 33 134 127 132 127 132 148.3 127 169.3 259 157.927 Uci 109 103 100 111 153 19 37 38 35 24 0 03 0 6 110
2 Nehesliah Bing 46 41 87 27 27 35 33 34 35 33 40 31 42 27 37 24 35 32 33 28 23 8 17 25 33 30 32 30 65.22 32 78.05 62 71.2644 19 16 21 12 79 3 2 5 7 3 0 40 2 0 14
3 Dabeq 8 5 13 5 6 7 8 7 8 4 5 5 6 7 5 5 3 2 3 2 3 0 0 8 0 8 0 8 100 0 0 8 61.5385 Uci 11 4 2 3 12 0 0 2 1 1 0 00 0 1 3
4 Diaklay 5 5 10 5 4 9 5 9 5 6 5 7 5 5 5 4 5 3 3 3 3 0 1 8 5 8 5 8 160 5 100 13 130 Uci 7 3 4 5 9 1 0 0 0 0 0 00 0 0 0
5 Benhes 9 9 18 10 4 11 8 11 8 10 7 10 8 6 6 4 9 7 7 5 5 0 0 4 11 3 10 3 33.33 10 111.1 13 72.2222 8 5 3 4 16 0 0 1 0 3 0 11 0 0 1
6 Jakluay 15 13 28 12 9 42 30 42 31 42 40 39 40 38 35 35 35 33 24 32 25 16 16 27 23 27 23 27 180 23 176.9 50 178.571 Uci 33 21 30 20 24 1 4 4 5 3 0 01 0 0 13
7 Long Wehea 20 16 36 8 13 3 6 30 6 3 3 3 3 2 2 2 2 4 7 5 7 0 0 2 5 1 5 1 5 5 31.25 6 16.6667 2 6 3 4 35 1 0 0 0 1 0 00 0 0 0
Sub Total 192 164 356 140 126 273 223 296 228 231 237 223 232 214 229 206 231 203 189 193 180 52 67 208 204 209 202 209 108.9 202 123.2 411 250.61 Uci 189 158 163 159 328 25 43 50 48 35 0 55 2 7 141
TOTAL 356 356 266 496 524 468 455 443 437 392 373 119 412 411 Uci 347 322 201 19
Sub Komulatif 140 126 273 223 269 228 231 237 223 232 214 229 205 231 203 189 193 180 52 67 208 204 209 202 Uci 189 158 163 159 23 43 53 48 36 0 1 6 3 7 0
KOMULATIF 266 496 497 468 455 443 436 392 373 119 412 411 94.8 347 322 203 17 0
Muara Wahau, 28 Desember 2019

dr. ADIANTO
NIP.19780905 200604 1 008
55.3
63.2
71.1
LAPORAN PENGGUNAAN LOGISTIK PUSKESMAS
UPT PUSKESMAS : MUARA WAHAU I
KEBUPATEN/KOTA SANGATTA BULAN : 25 JANUARI 2020
STOK
STOK AWAL TOTAL
N0 JENIS LOGISTIK PENERIMAAN No.Batch Tgl ED AKHIR PEMAKAIAN IP VAKSIN KETERANGAN/Permintaan vacsin
BLN CAKUPAN
BULAN
1 2 3 4 5 6 7 8 9 10 11
A VAKSIN
1 HB UNIJECT 4 40 3652118 31/01/21 4 40 40 1 40 dosis
2 BCG + Pelarut 10 dosis 24 10 037G1105 31/10/20 20 14 49 4 10 vials
3 POILIO + Pipet 24 20 2051419 30/06/21 21 23 172 7 20 vials
4 IVP 1 0 IPQ018A18 20-Sep 0 1 5 5 30 vials
5 DPT-HB-Hib 35 20 5043318 20-Jul 19 36 164 5 30 vials
6 MR + Pelarut 14 8 0128W0580Z 20-Mar 8 14 95 7 30 vials
7 Td 17 10 0414917 Nop/20 22 5 25 5
8 DT Bias 4 0 4 0 #DIV/0!
11 Rabies 12 0 2 10 0 0 8 dosis
12 SABU 0 0 0 0 1 vials
B ADS/PUIT
1 0,05 ml 111 62 49 200 fc
2 0,5 ml 850 561 289 600 fc
3 5 ml 249 230 19
C SAFETY BOX
1 0,25 L 34 34
2 5L 10 10
Mengetahui, KOORDINATOR IMUNISASI
dr. ADIANTO ( IDRIS )

NIP.19780905 200604 1 008 NIP. 19680502 198911 1 001
PUSKESMAS : MUARA WAHAU I
KEBUPATEN/KOTA SANGATTA BULAN : 26 PEBRUARI 2020
STOK
STOK AWAL TOTAL
BLN CAKUPAN
BULAN
1 2 3 4 5 6 7 8 9 10 11
A VAKSIN
1 HB UNIJECT 4 40 19 25 25 1 40 dosis
2 BCG + Pelarut 10 dosis 20 10 18 12 42 4 20 ampls
3 POILIO + Pipet 21 20 19 22 195 9 30 vials
4 IVP 0 0 0 0 0 #DIV/0! 30vials
5 DPT-HB-Hib 19 30 9 40 191 5 50 vials
6 MR + Pelarut 8 7 5 10 51 5 40 vials
7 Td 22 17 5 42 8 10 vials
8 DT 4 4 0 0 #DIV/0!
9 Rabies 2 2 0 0 #DIV/0!
10 SABU 0 0 0 0 #DIV/0!
B ADS/PUIT
1 0,05 ml 62 17 45 0 300 fc
2 0,5 ml 561 310 251 0 600 fc
3 5 ml 230 208 22 0 0
C SAFETY BOX
1 0,25 L 34 28 6
2 5L 10 10

NIP.19780905 200604 1 008 Nip. 19680502 198911 1 001

KEBUPATEN/KOTA SANGATTA BULAN : 26 MARET 2020
STOK
STOK AWAL TOTAL
BLN CAKUPAN
BULAN
1 2 3 4 5 6 7 8 9 10 11
A VAKSIN
1 HB UNIJECT 19 30 3650519 1/4/2021 24 25 33 1
2 BCG + Pelarut 10 dosis 18 20 0378G161 1/1/2021 28 10 26 3
3 POILIO + Pipet 19 30 2053319 1/7/2021 38 11 92 8
4 IVP 0 0 0 0 0 #DIV/0!
5 DPT-HB-Hib 35 40 5044218 1/1/2020 49 26 84 3
6 MR + Pelarut 12 30 0129N057 1/8/2021 35 7 24 3
7 Td 17 13 4 11 3
8 DT 4 4 0 0 #DIV/0!
9 Rabies 12 12 0 0 #DIV/0!
10 SABU 0 0 0 0 #DIV/0!
B ADS/PUIT
1 0,05 ml 111 200 18005 1/10/2023 280 31 0
2 0,5 ml 310 600 1808408 1/3/2023 778 132 0
3 5 ml 249 231 18 0
C SAFETY BOX
1 0,25 L 28 27 1 0
2 5L 10 6 4 0
Ka.BLUT UPT PKM Muara Wahau I

NIP.19780905 200604 1 008 Nip. 19680502 198911 1 001

KEBUPATEN/KOTA SANGATTA BULAN : 25 APRIL 2020
STOK
STOK AWAL TOTAL
BLN CAKUPAN
BULAN
1 2 3 4 5 6 7 8 9 10 11
A VAKSIN
1 HB UNIJECT 24 9 15 15 1 40 dosis
2 BCG + Pelarut 10 dosis 28 28 0 #DIV/0! 10 ampls
3 POILIO + Pipet 38 38 10 Vials
4 IVP 0 0 0 #DIV/0! 30 Vials
5 DPT-HB-Hib 49 49 0 #DIV/0! 30 Vals
6 MR + Pelarut 35 35 0 #DIV/0! 10 Vials
7 Td 13 13 0 #DIV/0! 10 Vials
8 DT 4 4
9 Rabies 12 12 0 #DIV/0!
10 SABU 0 0 0 #DIV/0!
B ADS/PUIT
1 0,05 ml 280 280
2 0,5 ml 778 778
3 5 ml 231 231 0
C SAFETY BOX
1 0,25 L 27 27
2 5L 6 6
Mengetahui,
KUPT PKM Muara Wahau I KOORDINATOR IMUNISASI

NIP.19780905 200604 1 008 Nip. 19680502 198911 1 001

KEBUPATEN/KOTA SANGATTA BULAN : 26 MEI 2020
STOK
STOK AWAL TOTAL
BLN CAKUPAN
BULAN
1 2 3 4 5 6 7 8 9 10 11
A VAKSIN
1 HB UNIJECT 9 0 9 0
0 BCG + Pelarut 10 dosis 28 28 #DIV/0!
3 POILIO + Pipet 38 38 #DIV/0!
4 IVP 0 0 #DIV/0!
5 DPT-HB-Hib 49 49 #DIV/0!
6 MR + Pelarut 35 35 #DIV/0!
7 Td 13 13 #DIV/0!
8 DT 4 4 #DIV/0!
9 Rabies 12 12 #DIV/0!
10 SABU 0 0 #DIV/0!
B ADS/PUIT
1 0,05 ml 111 111
2 0,5 ml 778 778
3 5 ml 231 231
C SAFETY BOX
1 0,25 L 27 27
2 5L 6 6
Mengetahui,

NIP.19780905 200604 1 008 Nip. 19680502 198911 1 001

KEBUPATEN/KOTA SANGATTA BULAN : 25 JUNI 2020
STOK
STOK AWAL TOTAL
BLN CAKUPAN
BULAN
1 2 3 4 5 6 7 8 9 10 11
A VAKSIN
1 HB UNIJECT 0 40 11 29 2 0 30 dosis
2 BCG + Pelarut 10 dosis 28 10 24 14 69 5 10 ampuls
4 IVP 0 0 0 0 0 #DIV/0! 30 vials
5 DPT-HB-Hib 49 30 44 35 123 4 60vials
6 MR + Pelarut 35 10 24 21 77 4 30 vials
7 Td 13 10 20 3 10 3 10 vials
8 DT 4 4 0 0 #DIV/0!
9 Rabies 12 12 0 #DIV/0!
10 SABU 0 0 #DIV/0! 2 vials
0 0
B ADS/PUIT 0 0
1 0,05 ml 111 111 300 fc
2 0,5 ml 778 463 315 18000fc
3 5 ml 231 231 100 fc
0 0
C SAFETY BOX 0 0
1 0,25 L 27 27
2 5L 6 6 25 fc
Mengetahui,

NIP.19780905 200604 1 008 Nip. 19680502 198911 1 001

KEBUPATEN/KOTA SANGATTA BULAN : 25 JULI 2020
STOK
STOK AWAL TOTAL
BLN CAKUPAN
BULAN
1 2 3 4 5 6 7 8 9 10 11
A VAKSIN
1 HB UNIJECT 11 10 3650519 Apr-21 0 21 21 1 50
2 BCG + Pelarut 10 dosis 24 10 0378G161 Jul-21 19 15 95 6 20
3 POILIO + Pipet 28 20 2053319 Jul-21 23 25 247 10 20
4 IVP 0 0 0 0 0 #DIV/0! 30
5 DPT-HB-Hib 44 40 5044218 12/1/2020 30 54 270 5 80
6 MR + Pelarut 24 30 0129N057 Aug-21 30 24 164 7 20
7 Td 20 10 04113918 8/1/2021 17 13 65 5 10
8 DT 4 0 4 0 0 #DIV/0!
9 Rabies 12 0 12 0 0 #DIV/0!
10 SABU 0 0 0 0 0 #DIV/0!
B ADS/PUIT
1 0,05 ml 111 100 1005 10/1/2023 72 139 200
2 0,5 ml 463 1800 1808408 Mar-23 1717 546
3 5 ml 231 100 1804401 Mar-23 295 36
C SAFETY BOX
1 0,25 L 27 0 25 2
2 5L 6 25 23 8
Mengetahui,

NIP.19780905 200604 1 008 Nip. 19680502 198911 1 001

KEBUPATEN/KOTA SANGATTA BULAN : 25 AGUSTUS 2020
STOK
STOK AWAL TOTAL
N0 JENIS LOGISTIK PENERIMAAN NO.Batch Tgl ED AKHIR PEMAKAIAN IP VAKSIN KETERANGAN/Permintaan vacsin
BLN CAKUPAN
BULAN
1 2 3 4 5 6 7 8 9 10
A VAKSIN
1 HB UNIJECT 0 50 13 37 37 1 50
2 BCG + Pelarut 10 dosis 19 20 22 17 55 3
3 POILIO + Pipet 23 20 10 33 288 9
4 IVP 0 0 0 0 0 #DIV/0!
5 DPT-HB-Hib 30 80 44 66 288 4
6 MR + Pelarut 30 20 29 21 112 5
7 Td 17 10 21 6 27 5
8 DT BIAS 4 70 0400918 May-21 74 0 0 #DIV/0! 69 Vials
9 MR BIAS + Pelarut 70 0129N256 May-22 0 0 #DIV/0! 69 Vials
10 Rabies 12 12 0 0 #DIV/0!
11 SABU 0 0 0 0 #DIV/0!
B ADS/PUIT
1 0,05 ml 72 100 117 55
2 0,5 ml 1717 1262 455 1200 fc
3 5 ml 295 295
C SAFETY BOX
1 0,25 L 25 24 1
2 5L 23 20 3
Mengetahui,

NIP.19780905 200604 1 008 Nip. 19680502 198911 1 001

KEBUPATEN/KOTA : SANGATTA BULAN : 25 SEPTEMBER 2020
STOK
N0 JENIS LOGISTIK STOK AWAL PENERIMAAN No.Batch Tgl ED AKHIR PEMAKAIAN TOTAL IP VAKSIN KETERANGAN/Permintaan vacsin
BLN CAKUPAN
BULAN
1 2 3 4 5 6 7 8 9 10 11
A VAKSIN
1 HB UNIJECT 13 40 23 30 30 1 50 dosis
2 BCG + Pelarut 10 dosis 22 30 35 17 52 3 30 vials
4 IVP 0 0 0 0 57 #DIV/0! 30 vials
5 DPT-HB-Hib 44 80 77 47 177 4 80 vials
6 MR + Pelarut 29 30 39 20 57 3 30 vials
7 MR + Pelarut Bias 70 0129N056 0 70 575 8
8 Td Bias 21 21 12 #DIV/0! 150 vials
9 DT 74 74 #DIV/0!
10 Rabies 12 12 0 #DIV/0!
11 SABU 0 0 57 #DIV/0!
0 0 0 #DIV/0!
B ADS/PUIT 0 0 0 #DIV/0!
1 0,05 ml 117 117 0 #DIV/0!
2 0,5 ml 1262 1200 1488 974 0 1200 fc
3 5 ml 295 295 #DIV/0!
0 0 0 #DIV/0!
C SAFETY BOX 0 0 0
1 0,25 L 24 24
2 5L 20 15 5
Mengetahui,

NIP.19780905 200604 1 008 Nip. 19680502 198911 1 001

KEBUPATEN/KOTA : : SANGATTA BULAN : 27 OKTOBER 2020
STOK
STOK AWAL TOTAL
N0 JENIS LOGISTIK BLN PENERIMAAN No.Batch Tgl ED AKHIR PEMAKAIAN CAKUPAN IP VAKSIN KETERANGAN/Permintaan vacsin
BULAN
1 2 3 4 5 6 7 8 9 10 11
A VAKSIN
1 HB UNIJECT 23 50 50 23 23 1 50 dosis
2 BCG + Pelarut 10 dosis 35 30 50 15 56 4 30 vials
4 IVP 0 30 30 0 0 #DIV/0! 50 vials
5 DPT-HB-Hib 77 70 109 38 173 5 70 vials
6 MR + Pelarut 39 20 46 13 91 7 20 vials
7 Td Bias 21 150 166 5 16 3 150 vials
8 DT 74 74 0 0 #DIV/0!
9 Rabies 12 5 7 0 0
10 SABU 0 0 0 0 #DIV/0!
B ADS/PUIT
1 0,05 ml 117 200 317 0 #DIV/0! 200 fc
2 0,5 ml 1488 600 2088 0 #DIV/0! 600 fc
3 5 ml 295 295 0 #DIV/0!
C SAFETY BOX
1 0,25 L 24 24
2 5L 15 15
Mengetahui,

NIP.19780905 200604 1 008 Nip. 19680502 198911 1 001
PUSKESMAS
KEBUPATEN/KOTA : MUARA WAHAU I BULAN : 30 NOPEMBER 2020
STOK
N0 JENIS LOGISTIK STOK AWAL PENERIMAAN No.Batch Tgl ED AKHIR PEMAKAIAN TOTAL IP VAKSIN KETERANGAN/Permintaan vacsin
BLN CAKUPAN
BULAN
1 2 3 4 5 6 7 8 9 10 11
A VAKSIN
1 HB UNIJECT 50 13 37 37 1
2 BCG + Pelarut 10 dosis 50 34 16 60 4
3 POILIO + Pipet 42 14 28 195 7
4 IVP 30 16 14 57 4
5 DPT-HB-Hib 109 71 38 177 5
6 MR + Pelarut 46 31 15 57 4
7 Td 166 41 125 1004 8
8 DT 74 9 65 452 7
9 Rabies 5 1 4 4 1
10 SABU 0 0 0 0 #DIV/0!
#DIV/0!
B ADS/PUIT #DIV/0!
1 0,05 ml 317 274 43 0
2 0,5 ml 2088 339 1749 0
3 5 ml 295 266 29 0
#DIV/0!
C SAFETY BOX #DIV/0!
1 0,25 L 24 21 3 0
2 5L 15 8 7 0
Mengetahui,

NIP.19780905 200604 1 008 Nip. 19680502 198911 1 001

PUSKESMAS
KEBUPATEN/KOTA : MUARA WAHAU I BULAN : 27 DESEMBER 2020
STOK
STOK AWAL TOTAL
BLN CAKUPAN
BULAN
1 2 3 4 5 6 7 8 9 10 11
A VAKSIN
1 HB UNIJECT 13 13 #DIV/0!
2 BCG + Pelarut 10 dosis 34 34 0 #DIV/0!
3 POILIO + Pipet 14 14 0 #DIV/0!
4 IVP 16 16 #DIV/0!
5 DPT-HB-Hib 71 71 0 #DIV/0!
6 MR + Pelarut 31 31 0 #DIV/0!
7 Td 41 41 0 #DIV/0!
8 DT 9 9 0 #DIV/0!
9 Rabies 1 1 0 #DIV/0!
10 SABU 0 1 0 #DIV/0!
B ADS/PUIT
1 0,05 ml 274 274 0
2 0,5 ml 339 339 0
3 5 ml 266 266 0
C SAFETY BOX
1 0,25 L 21 0
2 5L 8 8 0
Mengetahui,

NIP.19780905 200604 1 008 Nip. 19680502 198911 1 001
KEBUPATEN/KOTA SANGATTA BULAN : 26 PEBRUARI 2020
STOK
N0 JENIS STOK PENERIMA No.Batch Tgl ED AKHIR PEMAKAIA TOTAL
LOGISTIK AWAL BLN AN N CAKUPAN
BULAN
1 2 3 4 5 6 7 8 9
A VAKSIN
HB #REF! 40 #REF! 0 0
1 UNIJECT
BCG + #REF! 10 #REF! 12 0
2 Pelarut 10
dosis
POILIO + #REF! 20 #REF! 22 0

3 Pipet
4 IVP #REF! 0 #REF! 0 0
DPT-HB- #REF! 30 #REF! 40 0
5 Hib
MR + #REF! 7 #REF! 10 0
6 Pelarut
7 Td #REF! #REF! 5 0
8 DT #REF! #REF! 0 0
9 Rabies #REF! #REF! 0 0
10 SABU #REF! #REF! 0 0
B ADS/PUIT
1 0,05 ml #REF! #REF! 45
2 0,5 ml #REF! #REF! 251
3 5 ml #REF! #REF! 22
SAFETY
C BOX
1 0,25 L #REF! #REF! 6
2 5L #REF! #REF!

NIP.19780905 200604 1 008 Nip. 19680502 198911 1 001
KETERANG
IP VAKSIN AN/
Permintaa
10 n vacsin
11
#DIV/0! 40 dosis
0 20 ampls
0 30 vials
#DIV/0! 30vials
0 50 vials
0 40 vials
0 10 vials
#DIV/0!
#DIV/0!
#DIV/0!
0 300 fc
0 600 fc
0 0
DINATOR IMUNISASI
( IDRIS )
680502 198911 1 001
A VAKSIN
1 HB #REF! #REF! : Pebruari : Pebruari
UNIJECT
BCG + #REF! #REF! 2020
15 2020
0
2 Pelarut 10
dosis
POILIO + #REF! #REF! 20 0

3 Pipet
4 IVP #REF! #REF! 0 0
DPT-HB- #REF! #REF! 38 0
5 Hib
MR + #REF! #REF! 13 0
6 Pelarut
7 Td Bias #REF! #REF! 5 0
8 DT #REF! #REF! 0 0
9 Rabies #REF! #REF! 7 0
10 SABU #REF! #REF! 0 0
B ADS/PUIT
1 0,05 ml #REF! #REF! 0
2 0,5 ml #REF! #REF! 0
3 5 ml #REF! #REF! 0
SAFETY
C BOX
1 0,25 L #REF! #REF!
2 5L #REF! #REF!
Mengetahui,

NIP.19780905 200604 1 008 Nip. 19680502 198911 1 001
#VALUE! 50 dosis
0 30 vials
0 40 vials
#DIV/0! 50 vials
0 70 vials
0 20 vials
0 150 vials
#DIV/0!
0
#DIV/0!
#DIV/0! 200 fc
#DIV/0! 600 fc
#DIV/0!
KOORDINATOR IMUNISASI
( IDRIS )
Nip. 19680502 198911 1 001

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PENCATATAN HASIL IMUNISASI RUTIN BAYI/ BATITA DI DESA

KECAMATAN : Muara Wahau

L TANGGAL NAMA ORANG IMUNIS DPT-HB-Hib

Laki/ Tanggal Alamat Lengkap (Desa/Dusun/RW/RT/Kelurahan/ HB0 DPT-

Kepala Puskemas/Dinas Kesehatan

HAMIL TT WUS IBU HAMIL TT WUS CATIN

dr. ADIANTO Idris,A.Md.Kep

dr. ADIANTO IDRIS, A.Md.Kep

dr. ADIANTO LEBANG IDRIS, A.Md.Kep

dr. ADIANTO IDRIS, A.Md.Kep

dr. ADIANTO IDRIS, A.Md.Kep

dr. ADIANTO LEBANG IDRIS, A.Md.Kep

dr. ADIANTO LEBANG IDRIS, A.Md.Kep

dr. ADIANTO IDRIS, A.Md.Kep

dr. ADIANTO IDRIS, A.Md.Kep

dr. ADIANTO IDRIS, A.Md.Kep

dr. ADIANTO IDRIS, A.Md.Kep

JUMLAH BAYI / BATITA DI IMUNISASI / ABSOLUT TT BUMIL & WUS

Muara Wahau, 26 Januari 2020

JUMLAH BAYI / BATITA DI IMUNISASI / ABSOLUT TT BUMIL & WUS

Muara Wahau, 26 Februari 2019

KECAMATAN : Muara Wahau

Muara Wahau, 26 Maret 2020

JUMLAH BAYI / BATITA DI IMUNISASI / ABSOLUT TT BUMIL & WUS

Muara Wahau, 25 April 2019

JUMLAH BAYI / BATITA DI IMUNISASI / ABSOLUT TT BUMIL & WUS

Muara Wahai, 25 Mei 2019

JUMLAH BAYI / BATITA DI IMUNISASI / ABSOLUT TT BUMIL & WUS

Muara Wahau, 25 Juni 2019

JUMLAH BAYI / BATITA DI IMUNISASI / ABSOLUT TT BUMIL & WUS

Muara Wahau, 25 Juli 2019

JUMLAH BAYI / BATITA DI IMUNISASI / ABSOLUT TT BUMIL & WUS

Muara Wahau, 25 Agustus 2019

JUMLAH BAYI / BATITA DI IMUNISASI / ABSOLUT TT BUMIL & WUS

Muara Wahau, 25 September 2019

JUMLAH BAYI / BATITA DI IMUNISASI / ABSOLUT TT BUMIL & WUS

Muara Wahau, 26 oktober 2020

JUMLAH BAYI / BATITA DI IMUNISASI / ABSOLUT TT BUMIL & WUS

Muara Wahau, 26 Nopember 2020

JUMLAH BAYI / BATITA DI IMUNISASI / ABSOLUT TT BUMIL & WUS

Muara Wahau, 26 Desember 2020

Muara Wahau, 26 Januari 2019

Muara Wahai, 26 Februari 2019

KECAMATAN : Muara Wahau

Muara Wahau, 26 Maret 2019

Muara Wahau, 25 April 2019

Muara Wahai, 25 Mei 2019

Muara Wahau, 25 Juni 2019

Muara Wahau, 25 Juli 2019

Muara Wahau, 25 Agustus 2019

Muara Wahau, 25 September 2019

Muara Wahau, 26 Oktober 2019

Muara Wahau, 25 Nopember 2019

Muara Wahau, 28 Desember 2019

dr. ADIANTO ( IDRIS )

dr. ADIANTO ( IDRIS )

PUSKESMAS : MUARA WAHAU I

dr. ADIANTO ( IDRIS )

PUSKESMAS : MUARA WAHAU I

dr. ADIANTO ( IDRIS )

PUSKESMAS : MUARA WAHAU I

dr. ADIANTO ( IDRIS )

PUSKESMAS : MUARA WAHAU I