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DATA DASAR PELAKSANAAN SUB PIN POLIO

Kabupaten/ Kota : ACEH BARAT DAYA


Provinsi : ACEH

(Mohon isi pada kolom yang berwarna kuning)


SASARAN VAKSIN DAN DROPPER
No Nama 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 LEMBAH SABIL 1,476 79 915 2,470 40 40
2 MANGGENG 1,229 430 1659 3,318 21 21
3 BINEH KRUENG 320 109 316 745 15 15
4 TANGAN-TANGAN 745 188 1080 2,013 26 26
5 LHANG 656 223 715 1,594 31 31
6 BLANGPIDIE 1,277 710 2680 4,667 62 62
7 SUSOH 1,230 520 1646 3,396 62 62
8 SANGKALAN 549 138 648 1,335 26 26
9 ALUE SUNGAI PINANG 963 513 1024 2,500 32 32
10 ALUE PISANG 788 286 707 1,781 32 32
11 KUALA BATEE 1,232 480 1291 3,003 51 51
12 BABAHROT 1,637 341 1468 3,446
13 IE MIRAH 512 329 759 1,600 17 17
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 -
Total 12,614 4,346 14,908 31,868 415 415
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-1)

Kabupaten/ Kota : ACEH BARAT DAYA


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 sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 300 18.1% 3,318 300 9.0% 6 6 0 0 6
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 18 9.6% 1,080 132 12.2% 2,013 150 7.5% 3 3 0 0 3
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 18 0.4% 14,908 432 2.9% 31,868 450 1.4% 9 9 - - 9
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-2)

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 - 0.0% 430 - 0.0% 1,659 50 3.0% 3,318 50 1.5% 1 1 0 0 1
3 BINEH KRUENG 320 - 0.0% 109 - 0.0% 316 98 31.0% 745 98 13.2% 2 2 0 0 2
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 200 18.5% 2,013 200 9.9% 4 4 0 0 4
5 LHANG 656 0.0% 223 9 4.0% 715 291 40.7% 1,594 300 18.8% 6 6 0 0 6
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 9 0.2% 14,908 639 4.3% 31,868 648 2.0% 13 13 - - 13
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-3)

Kabupaten/ Kota : ACEH BARAT DAYA


Provinsi : ACEH
Laporan tanggal : 1 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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 - 0.0% 79 - 0.0% 915 - 0.0% 2,470 - 0.0% 0 0 0 0 0
2 MANGGENG 1,229 - 0.0% 430 - 0.0% 1,659 550 33.2% 3,318 550 16.6% 11 11 0 0 11
3 BINEH KRUENG 320 - 0.0% 109 - 0.0% 316 150 47.5% 745 150 20.1% 3 3 0 0 3
4 TANGAN-TANGAN 745 - 0.0% 188 - 0.0% 1,080 250 23.1% 2,013 250 12.4% 5 5 0 0 5
5 LHANG 656 21 3.2% 223 - 0.0% 715 129 18.0% 1,594 150 9.4% 3 3 0 0 3
6 BLANGPIDIE 1,277 - 0.0% 710 - 0.0% 2,680 247 9.2% 4,667 247 5.3% 5 5 0 0 5
7 SUSOH 1,230 19 1.5% 520 - 0.0% 1,646 481 29.2% 3,396 500 14.7% 10 10 0 0 10
8 SANGKALAN 549 15 2.7% 138 1 0.7% 648 134 20.7% 1,335 150 11.2% 3 3 0 0 3
9 ALUE SUNGAI PINANG 963 - 0.0% 513 - 0.0% 1,024 600 58.6% 2,500 600 24.0% 12 12 0 0 12
10 ALUE PISANG 788 - 0.0% 286 - 0.0% 707 280 39.6% 1,781 280 15.7% 6 6 0 0 6
11 KUALA BATEE 1,232 55 4.5% 480 120 25.0% 1,291 125 9.7% 3,003 300 10.0% 6 6 0 0 6
12 BABAHROT 1,637 - 0.0% 341 - 0.0% 1,468 - 0.0% 3,446 - 0.0% 0 0 0 0 0
13 IE MIRAH 512 - 0.0% 329 - 0.0% 759 - 0.0% 1,600 - 0.0% 0 0 0 0 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 110 0.9% 4,346 121 2.8% 14,908 2,946 19.8% 31,868 3,177 10.0% 64 64 - - 64
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-4)

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-5)

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-6)

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-7)

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-1)

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-2)

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-3)

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (SWEEPING HARI KE-4)

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-5 SWEEPING )

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-6 SWEEPING )

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-7 SWEEPING )

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-8 SWEEPING )

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-9 SWEEPING )

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-10 SWEEPING )

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-11 SWEEPING )

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-12 SWEEPING )

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (HARI KE-13 SWEEPING )

Kabupaten/ Kota : ACEH BARAT DAYA


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
Jumlah sisa vial Jumlah
dropper
No Nama Pos Pelayanan
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak terpakai
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 LEMBAH SABIL 1,476 0.0% 79 0.0% 915 0.0% 2,470 - 0.0% 0
2 MANGGENG 1,229 0.0% 430 0.0% 1,659 0.0% 3,318 - 0.0% 0
3 BINEH KRUENG 320 0.0% 109 0.0% 316 0.0% 745 - 0.0% 0
4 TANGAN-TANGAN 745 0.0% 188 0.0% 1,080 0.0% 2,013 - 0.0% 0
5 LHANG 656 0.0% 223 0.0% 715 0.0% 1,594 - 0.0% 0
6 BLANGPIDIE 1,277 0.0% 710 0.0% 2,680 0.0% 4,667 - 0.0% 0
7 SUSOH 1,230 0.0% 520 0.0% 1,646 0.0% 3,396 - 0.0% 0
8 SANGKALAN 549 0.0% 138 0.0% 648 0.0% 1,335 - 0.0% 0
9 ALUE SUNGAI PINANG 963 0.0% 513 0.0% 1,024 0.0% 2,500 - 0.0% 0
10 ALUE PISANG 788 0.0% 286 0.0% 707 0.0% 1,781 - 0.0% 0
11 KUALA BATEE 1,232 0.0% 480 0.0% 1,291 0.0% 3,003 - 0.0% 0
12 BABAHROT 1,637 0.0% 341 0.0% 1,468 0.0% 3,446 - 0.0% 0
13 IE MIRAH 512 0.0% 329 0.0% 759 0.0% 1,600 - 0.0% 0
14 0 - 0.0% - 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
18 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
19 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
20 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
21 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
22 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
23 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
24 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
25 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
26 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
27 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
28 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
29 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
30 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
31 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
32 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
33 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
34 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
35 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
36 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
37 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
38 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
39 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
40 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
41 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
42 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
43 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
44 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
45 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
46 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
47 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
48 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
49 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
50 0 - 0.0% - 0.0% - 0.0% - - 0.0% 0
Total 12,614 - 0.0% 4,346 - 0.0% 14,908 - 0.0% 31,868 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO (S.D HARI KE-13 SWEEPING )

Kabupaten/ Kota : ACEH BARAT DAYA


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 Jumlah Stok
No Nama Pos Pelayanan Jumlah sisa vial
Jumlah Cakupan Harian Cakupan Harian Jumlah Cakupan Harian Total Sasaran dibawa terbuka/terpakai vaksin rusak Awal Dropper
sasaran Jumlah sasaran sasaran Absolut %
Absolut % Absolut % Absolut %
a b d e f g h i j k l m n o p q r s t
1 LEMBAH SABIL 1,476 - 0.0% 79 - 0.0% 915 - 0.0% 2,470 - 0.0% - - - 0 40
2 MANGGENG 1,229 - 0.0% 430 - 0.0% 1,659 900 54.2% 3,318 900 27.1% 18 18 - 0 21
3 BINEH KRUENG 320 - 0.0% 109 - 0.0% 316 248 78.5% 745 248 33.3% 5 5 - 0 15
4 TANGAN-TANGAN 745 - 0.0% 188 18 9.6% 1,080 582 53.9% 2,013 600 29.8% 12 12 - 0 26
5 LHANG 656 21 3.2% 223 9 4.0% 715 420 58.7% 1,594 450 28.2% 9 9 - 0 31
6 BLANGPIDIE 1,277 - 0.0% 710 - 0.0% 2,680 247 9.2% 4,667 247 5.3% 5 5 - 0 62
7 SUSOH 1,230 19 1.5% 520 - 0.0% 1,646 481 29.2% 3,396 500 14.7% 10 10 - 0 62
8 SANGKALAN 549 15 2.7% 138 1 0.7% 648 134 20.7% 1,335 150 11.2% 3 3 - 0 26
9 ALUE SUNGAI PINANG 963 - 0.0% 513 - 0.0% 1,024 600 58.6% 2,500 600 24.0% 12 12 - 0 32
10 ALUE PISANG 788 - 0.0% 286 - 0.0% 707 280 39.6% 1,781 280 15.7% 6 6 - 0 32
11 KUALA BATEE 1,232 55 4.5% 480 120 25.0% 1,291 125 9.7% 3,003 300 10.0% 6 6 - 0 51
12 BABAHROT 1,637 - 0.0% 341 - 0.0% 1,468 - 0.0% 3,446 - 0.0% - - - 0 0
13 IE MIRAH 512 - 0.0% 329 - 0.0% 759 - 0.0% 1,600 - 0.0% - - - 0 17
14 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
15 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
16 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
17 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
18 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
19 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
20 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
21 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
22 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
23 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
24 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
25 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
26 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
27 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
28 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
29 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
30 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
31 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
32 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
33 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
34 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
35 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
36 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
37 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
38 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
39 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
40 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
41 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
42 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
43 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
44 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
45 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
46 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
47 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
48 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
49 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
50 0 - - 0.0% - - 0.0% - - 0.0% - - 0.0% - - - 0 0
Total 12,614 110 0.9% 4,346 148 3.4% 14,908 4,017 26.9% 31,868 4,275 13.4% 86 86 - - 415
Jumlah Dropper Jumlah Sisa
Terpakai Dropper

u v
0 40
18 3
5 10
12 14
9 22
5 57
10 52
3 23
12 20
6 26
6 45
0 0
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
86 329

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