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DATA DASAR PELAKSANAAN SUB PIN POLIO PUTARAN I

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
SASARAN VAKSIN DAN DROPPER
No Puskesmas SASARAN PER KELOMPOK UMUR STOK AWAL STOK AWAL
Total Sasaran VAKSIN (VIAL) DROPPER
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn
a b c d e f g h
1 BEUTONG ATEUH 171 37 221 429
2 BEUTONG 913 303 1,428 2,644
3 UTEUN PULO 970 457 1,351 2,778
4 JEURAM 1,136 589 2,193 3,918
5 COT KUTA 694 283 864 1,841
6 UJONG FATIHAH 1,498 688 2,703 4,889
7 PADANG PANYANG 859 412 1,545 2,816
8 PADANG RUBEK 276 116 372 764
9 KUALA TADU 339 115 419 873
10 SIMPANG JAYA 894 255 1,541 2,690
11 LUENG KEUBEU JAGAD 674 292 1,034 2,000
12 ALUE BILLIE 860 311 1,561 2,732
13 SUKA MULIA 1,887 447 2,311 4,645
14 ALUE RAMBOT 806 324 1,675 2,805
15 -
16 -
17 -
Total 11,977 4,629 19,218 35,824 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-1) PUTARAN I TAMBAHAN

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal : 30 JANUARI 2023
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper
No Puskesmas Jumlah sisa vial
Cakupan Harian Cakupan Harian Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
Jumlah sasaran Jumlah sasaran Jumlah sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0
32 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33
Total
11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-2) TAMBAHAN

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal : 31 JANUARI 2023
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0
8 PADANG RUBEK 276 5 1.8% 116 - 0.0% 372 - 0.0% 764 5 0.7% 0 0 0 0 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0
14 ALUE RAMBOT 806 - 0.0% 324 16 4.9% 1,675 - 0.0% 2,805 16 0.6% 0 0 0 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 5 0.0% 4,629 16 0.3% 19,218 - 0.0% 35,824 21 0.1% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-3)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal : 01 FEBRUARI 2023
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0 0
2 BEUTONG 913 5 0.5% 303 - 0.0% 1,428 - 0.0% 2,644 5 0.2% 0 0 0 0 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 5 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 5 0.0% 0 0 0 0 0

0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-4)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-5)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-6)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0 0
5 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-7)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-1)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-2)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-3)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-4)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-5)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-6)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 - 0.0% 37 - 0.0% 221 - 0.0% 429 - 0.0% 0 0 0 0 0
2 BEUTONG 913 - 0.0% 303 - 0.0% 1,428 - 0.0% 2,644 - 0.0% 0 0 0 0 0
3 UTEUN PULO 970 - 0.0% 457 - 0.0% 1,351 - 0.0% 2,778 - 0.0% 0 0 0 0 0
4 JEURAM 1,136 - 0.0% 589 - 0.0% 2,193 - 0.0% 3,918 - 0.0% 0 0 0 0 0
5 COT KUTA 694 - 0.0% 283 - 0.0% 864 - 0.0% 1,841 - 0.0% 0 0 0 0 0
6 UJONG FATIHAH 1,498 - 0.0% 688 - 0.0% 2,703 - 0.0% 4,889 - 0.0% 0 0 0 0 0
7 PADANG PANYANG 859 - 0.0% 412 - 0.0% 1,545 - 0.0% 2,816 - 0.0% 0 0 0 0 0
8 PADANG RUBEK 276 - 0.0% 116 - 0.0% 372 - 0.0% 764 - 0.0% 0 0 0 0 0
9 KUALA TADU 339 - 0.0% 115 - 0.0% 419 - 0.0% 873 - 0.0% 0 0 0 0 0
10 SIMPANG JAYA 894 - 0.0% 255 - 0.0% 1,541 - 0.0% 2,690 - 0.0% 0 0 0 0 0
11 LUENG KEUBEU JAGAD 674 - 0.0% 292 - 0.0% 1,034 - 0.0% 2,000 - 0.0% 0 0 0 0 0
12 ALUE BILLIE 860 - 0.0% 311 - 0.0% 1,561 - 0.0% 2,732 - 0.0% 0 0 0 0 0
13 SUKA MULIA 1,887 - 0.0% 447 - 0.0% 2,311 - 0.0% 4,645 - 0.0% 0 0 0 0 0
14 ALUE RAMBOT 806 - 0.0% 324 - 0.0% 1,675 - 0.0% 2,805 - 0.0% 0 0 0 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-7)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 - 0.0% 37 - 0.0% 221 - 0.0% 429 - 0.0% 0 0 0 0 0
2 BEUTONG 913 - 0.0% 303 - 0.0% 1,428 - 0.0% 2,644 - 0.0% 0 0 0 0 0
3 UTEUN PULO 970 - 0.0% 457 - 0.0% 1,351 - 0.0% 2,778 - 0.0% 0 0 0 0 0
4 JEURAM 1,136 - 0.0% 589 - 0.0% 2,193 - 0.0% 3,918 - 0.0% 0 0 0 0 0
5 COT KUTA 694 - 0.0% 283 - 0.0% 864 - 0.0% 1,841 - 0.0% 0 0 0 0 0
6 UJONG FATIHAH 1,498 - 0.0% 688 - 0.0% 2,703 - 0.0% 4,889 - 0.0% 0 0 0 0 0
7 PADANG PANYANG 859 - 0.0% 412 - 0.0% 1,545 - 0.0% 2,816 - 0.0% 0 0 0 0 0
8 PADANG RUBEK 276 - 0.0% 116 - 0.0% 372 - 0.0% 764 - 0.0% 0 0 0 0 0
9 KUALA TADU 339 - 0.0% 115 - 0.0% 419 - 0.0% 873 - 0.0% 0 0 0 0 0
10 SIMPANG JAYA 894 - 0.0% 255 - 0.0% 1,541 - 0.0% 2,690 - 0.0% 0 0 0 0 0
11 LUENG KEUBEU JAGAD 674 - 0.0% 292 - 0.0% 1,034 - 0.0% 2,000 - 0.0% 0 0 0 0 0
12 ALUE BILLIE 860 - 0.0% 311 - 0.0% 1,561 - 0.0% 2,732 - 0.0% 0 0 0 0 0
13 SUKA MULIA 1,887 - 0.0% 447 - 0.0% 2,311 - 0.0% 4,645 - 0.0% 0 0 0 0 0
14 ALUE RAMBOT 806 - 0.0% 324 - 0.0% 1,675 - 0.0% 2,805 - 0.0% 0 0 0 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-8)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 - 0.0% 37 - 0.0% 221 - 0.0% 429 - 0.0% 0 0 0 0 0
2 BEUTONG 913 - 0.0% 303 - 0.0% 1,428 - 0.0% 2,644 - 0.0% 0 0 0 0 0
3 UTEUN PULO 970 - 0.0% 457 - 0.0% 1,351 - 0.0% 2,778 - 0.0% 0 0 0 0 0
4 JEURAM 1,136 - 0.0% 589 - 0.0% 2,193 - 0.0% 3,918 - 0.0% 0 0 0 0 0
5 COT KUTA 694 - 0.0% 283 - 0.0% 864 - 0.0% 1,841 - 0.0% 0 0 0 0 0
6 UJONG FATIHAH 1,498 - 0.0% 688 - 0.0% 2,703 - 0.0% 4,889 - 0.0% 0 0 0 0 0
7 PADANG PANYANG 859 - 0.0% 412 - 0.0% 1,545 - 0.0% 2,816 - 0.0% 0 0 0 0 0
8 PADANG RUBEK 276 - 0.0% 116 - 0.0% 372 - 0.0% 764 - 0.0% 0 0 0 0 0
9 KUALA TADU 339 - 0.0% 115 - 0.0% 419 - 0.0% 873 - 0.0% 0 0 0 0 0
10 SIMPANG JAYA 894 - 0.0% 255 - 0.0% 1,541 - 0.0% 2,690 - 0.0% 0 0 0 0 0
11 LUENG KEUBEU JAGAD 674 - 0.0% 292 - 0.0% 1,034 - 0.0% 2,000 - 0.0% 0 0 0 0 0
12 ALUE BILLIE 860 - 0.0% 311 - 0.0% 1,561 - 0.0% 2,732 - 0.0% 0 0 0 0 0
13 SUKA MULIA 1,887 - 0.0% 447 - 0.0% 2,311 - 0.0% 4,645 - 0.0% 0 0 0 0 0
14 ALUE RAMBOT 806 - 0.0% 324 - 0.0% 1,675 - 0.0% 2,805 - 0.0% 0 0 0 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-9)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 - 0.0% 37 - 0.0% 221 - 0.0% 429 - 0.0% 0 0 0 0 0
2 BEUTONG 913 - 0.0% 303 - 0.0% 1,428 - 0.0% 2,644 - 0.0% 0 0 0 0 0
3 UTEUN PULO 970 - 0.0% 457 - 0.0% 1,351 - 0.0% 2,778 - 0.0% 0 0 0 0 0
4 JEURAM 1,136 - 0.0% 589 - 0.0% 2,193 - 0.0% 3,918 - 0.0% 0 0 0 0 0
5 COT KUTA 694 - 0.0% 283 - 0.0% 864 - 0.0% 1,841 - 0.0% 0 0 0 0 0
6 UJONG FATIHAH 1,498 - 0.0% 688 - 0.0% 2,703 - 0.0% 4,889 - 0.0% 0 0 0 0 0
7 PADANG PANYANG 859 - 0.0% 412 - 0.0% 1,545 - 0.0% 2,816 - 0.0% 0 0 0 0 0
8 PADANG RUBEK 276 - 0.0% 116 - 0.0% 372 - 0.0% 764 - 0.0% 0 0 0 0 0
9 KUALA TADU 339 - 0.0% 115 - 0.0% 419 - 0.0% 873 - 0.0% 0 0 0 0 0
10 SIMPANG JAYA 894 - 0.0% 255 - 0.0% 1,541 - 0.0% 2,690 - 0.0% 0 0 0 0 0
11 LUENG KEUBEU JAGAD 674 - 0.0% 292 - 0.0% 1,034 - 0.0% 2,000 - 0.0% 0 0 0 0 0
12 ALUE BILLIE 860 - 0.0% 311 - 0.0% 1,561 - 0.0% 2,732 - 0.0% 0 0 0 0 0
13 SUKA MULIA 1,887 - 0.0% 447 - 0.0% 2,311 - 0.0% 4,645 - 0.0% 0 0 0 0 0
14 ALUE RAMBOT 806 - 0.0% 324 - 0.0% 1,675 - 0.0% 2,805 - 0.0% 0 0 0 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-10)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 - 0.0% 37 - 0.0% 221 - 0.0% 429 - 0.0% 0 0 0 0 0
2 BEUTONG 913 - 0.0% 303 - 0.0% 1,428 - 0.0% 2,644 - 0.0% 0 0 0 0 0
3 UTEUN PULO 970 - 0.0% 457 - 0.0% 1,351 - 0.0% 2,778 - 0.0% 0 0 0 0 0
4 JEURAM 1,136 - 0.0% 589 - 0.0% 2,193 - 0.0% 3,918 - 0.0% 0 0 0 0 0
5 COT KUTA 694 - 0.0% 283 - 0.0% 864 - 0.0% 1,841 - 0.0% 0 0 0 0 0
6 UJONG FATIHAH 1,498 - 0.0% 688 - 0.0% 2,703 - 0.0% 4,889 - 0.0% 0 0 0 0 0
7 PADANG PANYANG 859 - 0.0% 412 - 0.0% 1,545 - 0.0% 2,816 - 0.0% 0 0 0 0 0
8 PADANG RUBEK 276 - 0.0% 116 - 0.0% 372 - 0.0% 764 - 0.0% 0 0 0 0 0
9 KUALA TADU 339 - 0.0% 115 - 0.0% 419 - 0.0% 873 - 0.0% 0 0 0 0 0
10 SIMPANG JAYA 894 - 0.0% 255 - 0.0% 1,541 - 0.0% 2,690 - 0.0% 0 0 0 0 0
11 LUENG KEUBEU JAGAD 674 - 0.0% 292 - 0.0% 1,034 - 0.0% 2,000 - 0.0% 0 0 0 0 0
12 ALUE BILLIE 860 - 0.0% 311 - 0.0% 1,561 - 0.0% 2,732 - 0.0% 0 0 0 0 0
13 SUKA MULIA 1,887 - 0.0% 447 - 0.0% 2,311 - 0.0% 4,645 - 0.0% 0 0 0 0 0
14 ALUE RAMBOT 806 - 0.0% 324 - 0.0% 1,675 - 0.0% 2,805 - 0.0% 0 0 0 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-11)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 - 0.0% 37 - 0.0% 221 - 0.0% 429 - 0.0% 0 0 0 0 0
2 BEUTONG 913 - 0.0% 303 - 0.0% 1,428 - 0.0% 2,644 - 0.0% 0 0 0 0 0
3 UTEUN PULO 970 - 0.0% 457 - 0.0% 1,351 - 0.0% 2,778 - 0.0% 0 0 0 0 0
4 JEURAM 1,136 - 0.0% 589 - 0.0% 2,193 - 0.0% 3,918 - 0.0% 0 0 0 0 0
5 COT KUTA 694 - 0.0% 283 - 0.0% 864 - 0.0% 1,841 - 0.0% 0 0 0 0 0
6 UJONG FATIHAH 1,498 - 0.0% 688 - 0.0% 2,703 - 0.0% 4,889 - 0.0% 0 0 0 0 0
7 PADANG PANYANG 859 - 0.0% 412 - 0.0% 1,545 - 0.0% 2,816 - 0.0% 0 0 0 0 0
8 PADANG RUBEK 276 - 0.0% 116 - 0.0% 372 - 0.0% 764 - 0.0% 0 0 0 0 0
9 KUALA TADU 339 - 0.0% 115 - 0.0% 419 - 0.0% 873 - 0.0% 0 0 0 0 0
10 SIMPANG JAYA 894 - 0.0% 255 - 0.0% 1,541 - 0.0% 2,690 - 0.0% 0 0 0 0 0
11 LUENG KEUBEU JAGAD 674 - 0.0% 292 - 0.0% 1,034 - 0.0% 2,000 - 0.0% 0 0 0 0 0
12 ALUE BILLIE 860 - 0.0% 311 - 0.0% 1,561 - 0.0% 2,732 - 0.0% 0 0 0 0 0
13 SUKA MULIA 1,887 - 0.0% 447 - 0.0% 2,311 - 0.0% 4,645 - 0.0% 0 0 0 0 0
14 ALUE RAMBOT 806 - 0.0% 324 - 0.0% 1,675 - 0.0% 2,805 - 0.0% 0 0 0 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-12)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 - 0.0% 37 - 0.0% 221 - 0.0% 429 - 0.0% 0 0 0 0 0
2 BEUTONG 913 - 0.0% 303 - 0.0% 1,428 - 0.0% 2,644 - 0.0% 0 0 0 0 0
3 UTEUN PULO 970 - 0.0% 457 - 0.0% 1,351 - 0.0% 2,778 - 0.0% 0 0 0 0 0
4 JEURAM 1,136 - 0.0% 589 - 0.0% 2,193 - 0.0% 3,918 - 0.0% 0 0 0 0 0
5 COT KUTA 694 - 0.0% 283 - 0.0% 864 - 0.0% 1,841 - 0.0% 0 0 0 0 0
6 UJONG FATIHAH 1,498 - 0.0% 688 - 0.0% 2,703 - 0.0% 4,889 - 0.0% 0 0 0 0 0
7 PADANG PANYANG 859 - 0.0% 412 - 0.0% 1,545 - 0.0% 2,816 - 0.0% 0 0 0 0 0
8 PADANG RUBEK 276 - 0.0% 116 - 0.0% 372 - 0.0% 764 - 0.0% 0 0 0 0 0
9 KUALA TADU 339 - 0.0% 115 - 0.0% 419 - 0.0% 873 - 0.0% 0 0 0 0 0
10 SIMPANG JAYA 894 - 0.0% 255 - 0.0% 1,541 - 0.0% 2,690 - 0.0% 0 0 0 0 0
11 LUENG KEUBEU JAGAD 674 - 0.0% 292 - 0.0% 1,034 - 0.0% 2,000 - 0.0% 0 0 0 0 0
12 ALUE BILLIE 860 - 0.0% 311 - 0.0% 1,561 - 0.0% 2,732 - 0.0% 0 0 0 0 0
13 SUKA MULIA 1,887 - 0.0% 447 - 0.0% 2,311 - 0.0% 4,645 - 0.0% 0 0 0 0 0
14 ALUE RAMBOT 806 - 0.0% 324 - 0.0% 1,675 - 0.0% 2,805 - 0.0% 0 0 0 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-13)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 - 0.0% 37 - 0.0% 221 - 0.0% 429 - 0.0% 0 0 0 0 0
2 BEUTONG 913 - 0.0% 303 - 0.0% 1,428 - 0.0% 2,644 - 0.0% 0 0 0 0 0
3 UTEUN PULO 970 - 0.0% 457 - 0.0% 1,351 - 0.0% 2,778 - 0.0% 0 0 0 0 0
4 JEURAM 1,136 - 0.0% 589 - 0.0% 2,193 - 0.0% 3,918 - 0.0% 0 0 0 0 0
5 COT KUTA 694 - 0.0% 283 - 0.0% 864 - 0.0% 1,841 - 0.0% 0 0 0 0 0
6 UJONG FATIHAH 1,498 - 0.0% 688 - 0.0% 2,703 - 0.0% 4,889 - 0.0% 0 0 0 0 0
7 PADANG PANYANG 859 - 0.0% 412 - 0.0% 1,545 - 0.0% 2,816 - 0.0% 0 0 0 0 0
8 PADANG RUBEK 276 - 0.0% 116 - 0.0% 372 - 0.0% 764 - 0.0% 0 0 0 0 0
9 KUALA TADU 339 - 0.0% 115 - 0.0% 419 - 0.0% 873 - 0.0% 0 0 0 0 0
10 SIMPANG JAYA 894 - 0.0% 255 - 0.0% 1,541 - 0.0% 2,690 - 0.0% 0 0 0 0 0
11 LUENG KEUBEU JAGAD 674 - 0.0% 292 - 0.0% 1,034 - 0.0% 2,000 - 0.0% 0 0 0 0 0
12 ALUE BILLIE 860 - 0.0% 311 - 0.0% 1,561 - 0.0% 2,732 - 0.0% 0 0 0 0 0
13 SUKA MULIA 1,887 - 0.0% 447 - 0.0% 2,311 - 0.0% 4,645 - 0.0% 0 0 0 0 0
14 ALUE RAMBOT 806 - 0.0% 324 - 0.0% 1,675 - 0.0% 2,805 - 0.0% 0 0 0 0 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-14)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-15)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-16)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-17)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-18)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-19)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-20)

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Harian Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r
1 BEUTONG ATEUH 171 0.0% 37 0.0% 221 0.0% 429 - 0.0% 0
2 BEUTONG 913 0.0% 303 0.0% 1,428 0.0% 2,644 - 0.0% 0
3 UTEUN PULO 970 0.0% 457 0.0% 1,351 0.0% 2,778 - 0.0% 0
4 JEURAM 1,136 0.0% 589 0.0% 2,193 0.0% 3,918 - 0.0% 0
5 COT KUTA 694 0.0% 283 0.0% 864 0.0% 1,841 - 0.0% 0
6 UJONG FATIHAH 1,498 0.0% 688 0.0% 2,703 0.0% 4,889 - 0.0% 0
7 PADANG PANYANG 859 0.0% 412 0.0% 1,545 0.0% 2,816 - 0.0% 0
8 PADANG RUBEK 276 0.0% 116 0.0% 372 0.0% 764 - 0.0% 0
9 KUALA TADU 339 0.0% 115 0.0% 419 0.0% 873 - 0.0% 0
10 SIMPANG JAYA 894 0.0% 255 0.0% 1,541 0.0% 2,690 - 0.0% 0
11 LUENG KEUBEU JAGAD 674 0.0% 292 0.0% 1,034 0.0% 2,000 - 0.0% 0
12 ALUE BILLIE 860 0.0% 311 0.0% 1,561 0.0% 2,732 - 0.0% 0
13 SUKA MULIA 1,887 0.0% 447 0.0% 2,311 0.0% 4,645 - 0.0% 0
14 ALUE RAMBOT 806 0.0% 324 0.0% 1,675 0.0% 2,805 - 0.0% 0
15 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
16 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
17 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 11,977 - 0.0% 4,629 - 0.0% 19,218 - 0.0% 35,824 0 0.0% 0 0 0 0 0
LAPORAN KUMULATIF PELAKSANAAN SUB PIN POLIO PUTARAN II

Kabupaten/ Kota : NAGAN RAYA


Provinsi : ACEH
Laporan tanggal : s/d 30 JANUARI 2023
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Usia 5 - <7 thn Usia 7- 12 thn Total Cakupan Kumulatif Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Puskesmas dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper Jumlah dropper
awal terpakai
Jumlah sisa
dropper
Jumlah Cakupan Kumulatif Cakupan Kumulatif Jumlah Cakupan Kumulatif Total Sasaran
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b c d e f g h i j k l m n o p q q r r r
1 BEUTONG ATEUH 171 - 0.0% 37 - 0.0% 221 - 0.0% 429 - 0.0% 0 0 0 0 0 0 0
2 BEUTONG 913 5 0.5% 303 - 0.0% 1,428 - 0.0% 2,644 5 0.2% 0 0 0 0 0 0 0
3 UTEUN PULO 970 - 0.0% 457 - 0.0% 1,351 - 0.0% 2,778 - 0.0% 0 0 0 0 0 0 0
4 JEURAM 1,136 - 0.0% 589 - 0.0% 2,193 - 0.0% 3,918 - 0.0% 0 0 0 0 0 0 0
5 COT KUTA 694 - 0.0% 283 - 0.0% 864 - 0.0% 1,841 - 0.0% 0 0 0 0 0 0 0
6 UJONG FATIHAH 1,498 - 0.0% 688 - 0.0% 2,703 - 0.0% 4,889 - 0.0% 0 0 0 0 0 0 0
7 PADANG PANYANG 859 - 0.0% 412 - 0.0% 1,545 - 0.0% 2,816 - 0.0% 0 0 0 0 0 0 0
8 PADANG RUBEK 276 5 1.8% 116 - 0.0% 372 - 0.0% 764 5 0.7% 0 0 0 0 0 0 0
9 KUALA TADU 339 - 0.0% 115 - 0.0% 419 - 0.0% 873 - 0.0% 0 0 0 0 0 0 0
10 SIMPANG JAYA 894 - 0.0% 255 - 0.0% 1,541 - 0.0% 2,690 - 0.0% 0 0 0 0 0 0 0
11 LUENG KEUBEU JAGAD 674 - 0.0% 292 - 0.0% 1,034 - 0.0% 2,000 - 0.0% 0 0 0 0 0 0 0
12 ALUE BILLIE 860 - 0.0% 311 - 0.0% 1,561 - 0.0% 2,732 - 0.0% 0 0 0 0 0 0 0
13 SUKA MULIA 1,887 - 0.0% 447 - 0.0% 2,311 - 0.0% 4,645 - 0.0% 0 0 0 0 0 0 0
14 ALUE RAMBOT 806 - 0.0% 324 16 4.9% 1,675 - 0.0% 2,805 16 0.6% 0 0 0 0 0 0 0
15 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0 0 0 0
16 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0 0 0 0
17 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% 0 0 0 0 0 0 0
Total 11,977 10 0.1% 4,629 16 0.3% 19,218 - 0.0% 35,824 26 0.1% 0 0 0 0 0 0 0

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