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DATA DASAR PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat

(Mohon isi pada kolom yang berwarna kuning)


SASARAN VAKSIN DAN DROPPER
No Nama Pos Pelayanan Desa/Kelurahan STOK AWAL STOK AWAL
Usia 0-59 bulan VAKSIN (VIAL) DROPPER
a b b c g h
1 Dahlia Tambaksari 48 1
2 Anggrek Tambaksari 32 1
3 Cempaka Tambaksari 34 1
4 Gurame Tambaksari 50 2
5 Kenanga Tambaksari 53 1
6 Mawar Tambaksari 49 1
7 Melati Tambaksari 59 1
8 Teratai Tambaksari 35 1
9 Edelwis Tambaksari 40 1
10 Anggrek Karanganyar 55 1
11 Cempaka Karanganyar 31 1
12 Dahlia Karanganyar 22 1
13 Kenanga Karanganyar 46 1
14 Lavender Karanganyar 49 2
15 Mawar Karanganyar 31 1
16 Melati Karanganyar 41 1
17 Teratai Karanganyar 29 1
18 Tulip Karanganyar 32 1
19 Merpati 1 Karangsari 45 1
20 Merpati 2 Karangsari 27 1
21 Merpati 3 Karangsari 21 1
22 Merpati 4 Karangsari 35 1
23 Merpati 5 Karangsari 54 2
24 Merpati 6 Karangsari 45 1
25 Merpati 7 Karangsari 45 1
26 Merpati 8 Karangsari 13 1
27 Akik Dungusiku 39 1
28 Berlian Dungusiku 63 1
29 Intan Dungusiku 39 1
30 Kecubung Dungusiku 20 1
31 Merah Delima Dungusiku 26 1
32 Mutiara Dungusiku 22 1
33 Safir Dungusiku 34 1
34 Zadge Dungusiku 38 1
35 Zamrud Dungusiku 22 1
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
Total 1,324 38 -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari Karangsari


Kabupaten/ Kota : Garut Garut
Provinsi : Jawa Barat Jawa Barat
Laporan tanggal : 3-Apr
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah
dropper rusak
Cakupan Harian
Jumlah sasaran
Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0 0
2 Anggrek Tambaksari 32 0.0% 0 0 0
3 Cempaka Tambaksari 34 0.0% 0 0 0
4 Gurame Tambaksari 50 0.0% 0 0 0
5 Kenanga Tambaksari 53 0.0% 0 0 0
6 Mawar Tambaksari 49 0.0% 0 0 0
7 Melati Tambaksari 59 0.0% 0 0 0
8 Teratai Tambaksari 35 0.0% 0 0 0
9 Edelwis Tambaksari 40 0.0% 0 0 0
10 Anggrek Karanganyar 55 0.0% 0 0 0
11 Cempaka Karanganyar 31 0.0% 0 0 0
12 Dahlia Karanganyar 22 0.0% 0 0 0
13 Kenanga Karanganyar 46 0.0% 0 0 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 45 100.0% 2 1 0 1 1 0
20 Merpati 2 Karangsari 27 32 118.5% 1 1 0 0 1 0
21 Merpati 3 Karangsari 21 21 100.0% 1 1 0 0 1 0
22 Merpati 4 Karangsari 35 37 105.7% 2 1 0 1 1 0
23 Merpati 5 Karangsari 54 55 101.9% 3 1 0 2 1 0
24 Merpati 6 Karangsari 45 36 80.0% 1 1 0 0 1 0
25 Merpati 7 Karangsari 45 49 108.9% 2 1 0 1 1 0
26 Merpati 8 Karangsari 13 13 100.0% 1 0 0 1 0 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 288 21.8% 13 7 - 6 7
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari Karangsari

Kabupaten/ Kota : Garut Garut

Provinsi : Jawa Barat Jawabarat

Laporan tanggal : 4-Apr


(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 54 112.5% 2 1 0 1 1 0
2 Anggrek Tambaksari 32 33 103.1% 1 1 0 0 1 0
3 Cempaka Tambaksari 34 32 94.1% 3 1 0 2 1 0
4 Gurame Tambaksari 50 55 110.0% 1 1 0 0 1 0
5 Kenanga Tambaksari 53 54 101.9% 2 2 0 0 2 0
6 Mawar Tambaksari 49 49 100.0% 2 1 0 1 1 0
7 Melati Tambaksari 59 60 101.7% 2 2 0 0 2 0
8 Teratai Tambaksari 35 34 97.1% 1 1 0 0 1 0
9 Edelwis Tambaksari 40 40 100.0% 1 1 0 0 1 0
10 Anggrek Karanganyar 55 - 0.0% 0 0 0 0 0 0
11 Cempaka Karanganyar 31 - 0.0% 0 0 0 0 0 0
12 Dahlia Karanganyar 22 - 0.0% 0 0 0 0 0 0
13 Kenanga Karanganyar 46 - 0.0% 0 0 0 0 0 0
14 Lavender Karanganyar 49 0.0% 0 0 0
15 Mawar Karanganyar 31 0.0% 0 0 0
16 Melati Karanganyar 41 0.0% 0 0 0
17 Teratai Karanganyar 29 0.0% 0 0 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 411 31.0% 15 11 - 4 11
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal : 5-Apr
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0
2 Anggrek Tambaksari 32 0.0%
3 Cempaka Tambaksari 34 0.0%
4 Gurame Tambaksari 50 0.0%
5 Kenanga Tambaksari 53 0.0%
6 Mawar Tambaksari 49 0.0%
7 Melati Tambaksari 59 0.0%
8 Teratai Tambaksari 35 0.0%
9 Edelwis Tambaksari 40 0.0%
10 Anggrek Karanganyar 55 67 121.8% 2 1 0 1 1 0
11 Cempaka Karanganyar 31 28 90.3% 1 1 0 0 1 0
12 Dahlia Karanganyar 22 25 113.6% 1 1 0 0 1 0
13 Kenanga Karanganyar 46 46 100.0% 2 1 0 1 1 0
14 Lavender Karanganyar 49 52 106.1% 2 1 0 1 1 0
15 Mawar Karanganyar 31 31 100.0% 1 1 0 0 1 0
16 Melati Karanganyar 41 28 68.3% 2 1 0 1 1 0
17 Teratai Karanganyar 29 29 100.0% 2 1 0 1 1 0
18 Tulip Karanganyar 32 26 81.3% 1 1 0 0 1 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0%
25 Merpati 7 Karangsari 45 0.0%
26 Merpati 8 Karangsari 13 0.0%
27 Akik Dungusiku 39 0.0%
28 Berlian Dungusiku 63 0.0%
29 Intan Dungusiku 39 0.0%
30 Kecubung Dungusiku 20 0.0%
31 Merah Delima Dungusiku 26 0.0%
32 Mutiara Dungusiku 22 0.0%
33 Safir Dungusiku 34 0.0%
34 Zadge Dungusiku 38 0.0%
35 Zamrud Dungusiku 22 0.0%
36 0 0 - 0.0%
37 0 0 - 0.0%
38 0 0 - 0.0%
39 0 0 - 0.0%
40 0 0 - 0.0%
41 0 0 - 0.0%
42 0 0 - 0.0%
43 0 0 - 0.0%
44 0 0 - 0.0%
45 0 0 - 0.0%
46 0 0 - 0.0%
47 0 0 - 0.0%
48 0 0 - 0.0%
49 0 0 - 0.0%
50 0 0 - 0.0%
51 0 0 - 0.0%
52 0 0 - 0.0%
53 0 0 - 0.0%
54 0 0 - 0.0%
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 332 25.1% 14 9 - 5 9
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 - 0.0% - - - 0 - -
2 Anggrek Tambaksari 32 - 0.0% - - - 0 - -
3 Cempaka Tambaksari 34 - 0.0% - - - 0 - -
4 Gurame Tambaksari 50 - 0.0% - - - 0 - -
5 Kenanga Tambaksari 53 - 0.0% - - - 0 - -
6 Mawar Tambaksari 49 - 0.0% - - - 0 - -
7 Melati Tambaksari 59 - 0.0% - - - 0 - -
8 Teratai Tambaksari 35 - 0.0% - - - 0 - -
9 Edelwis Tambaksari 40 - 0.0% - - - 0 - -
10 Anggrek Karanganyar 55 - 0.0% - - - 0 - -
11 Cempaka Karanganyar 31 - 0.0% - - - 0 - -
12 Dahlia Karanganyar 22 - 0.0% - - - 0 - -
13 Kenanga Karanganyar 46 - 0.0% - - - 0 - -
14 Lavender Karanganyar 49 - 0.0% - - - 0 - -
15 Mawar Karanganyar 31 - 0.0% - - - 0 - -
16 Melati Karanganyar 41 - 0.0% - - - 0 - -
17 Teratai Karanganyar 29 - 0.0% - - - 0 - -
18 Tulip Karanganyar 32 - 0.0% - - - 0 - -
19 Merpati 1 Karangsari 45 - 0.0% - - - 0 - -
20 Merpati 2 Karangsari 27 - 0.0% - - - 0 - -
21 Merpati 3 Karangsari 21 - 0.0% - - - 0 - -
22 Merpati 4 Karangsari 35 - 0.0% - - - 0 - -
23 Merpati 5 Karangsari 54 - 0.0% - - - 0 - -
24 Merpati 6 Karangsari 45 0.0% 0 0
25 Merpati 7 Karangsari 45 0.0% 0 0
26 Merpati 8 Karangsari 13 0.0% 0 0
27 Akik Dungusiku 39 46 117.9% 2 1 0 1 1 0
28 Berlian Dungusiku 63 73 115.9% 2 2 0 0 2 0
29 Intan Dungusiku 39 34 87.2% 1 1 0 0 1 0
30 Kecubung Dungusiku 20 21 105.0% 0 0 0
31 Merah Delima Dungusiku 26 29 111.5% 1 1 0 0 1 0
32 Mutiara Dungusiku 22 24 109.1% 1 1 0 0 1 0
33 Safir Dungusiku 34 44 129.4% 1 1 0 0 1 0
34 Zadge Dungusiku 38 36 94.7% 1 1 0 0 1 0
35 Zamrud Dungusiku 22 24 109.1% 2 0 0 2 0 0
36 0 0 - 0.0% 0 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 331 25.0% 11 8 - 3 8
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 - 0.0% - - - 0 - -
2 Anggrek Tambaksari 32 - 0.0% - - - 0 - -
3 Cempaka Tambaksari 34 - 0.0% - - - 0 - -
4 Gurame Tambaksari 50 - 0.0% - - - 0 - -
5 Kenanga Tambaksari 53 - 0.0% - - - 0 - -
6 Mawar Tambaksari 49 - 0.0% - - - 0 - -
7 Melati Tambaksari 59 - 0.0% - - - 0 - -
8 Teratai Tambaksari 35 - 0.0% - - - 0 - -
9 Edelwis Tambaksari 40 - 0.0% - - - 0 - -
10 Anggrek Karanganyar 55 - 0.0% - - - 0 - -
11 Cempaka Karanganyar 31 - 0.0% - - - 0 - -
12 Dahlia Karanganyar 22 - 0.0% - - - 0 - -
13 Kenanga Karanganyar 46 - 0.0% - - - 0 - -
14 Lavender Karanganyar 49 - 0.0% - - - 0 - -
15 Mawar Karanganyar 31 - 0.0% - - - 0 - -
16 Melati Karanganyar 41 - 0.0% - - - 0 - -
17 Teratai Karanganyar 29 - 0.0% - - - 0 - -
18 Tulip Karanganyar 32 - 0.0% - - - 0 - -
19 Merpati 1 Karangsari 45 - 0.0% - - - 0 - -
20 Merpati 2 Karangsari 27 - 0.0% - - - 0 - -
21 Merpati 3 Karangsari 21 - 0.0% - - - 0 - -
22 Merpati 4 Karangsari 35 - 0.0% - - - 0 - -
23 Merpati 5 Karangsari 54 - 0.0% - - - 0 - -
24 Merpati 6 Karangsari 45 - 0.0% - - - 0 - -
25 Merpati 7 Karangsari 45 - 0.0% - - - 0 - -
26 Merpati 8 Karangsari 13 - 0.0% - - - 0 - -
27 Akik Dungusiku 39 - 0.0% - - - 0 - -
28 Berlian Dungusiku 63 - 0.0% - - - 0 - -
29 Intan Dungusiku 39 - 0.0% - - - 0 - -
30 Kecubung Dungusiku 20 - 0.0% - - - 0 - -
31 Merah Delima Dungusiku 26 - 0.0% - - - 0 - -
32 Mutiara Dungusiku 22 - 0.0% - - - 0 - -
33 Safir Dungusiku 34 - 0.0% - - - 0 - -
34 Zadge Dungusiku 38 - 0.0% - - - 0 - -
35 Zamrud Dungusiku 22 - 0.0% - - - 0 - -
36 0 0 - - 0.0% - - - 0 - -
37 0 0 - - 0.0% - - - 0 - -
38 0 0 - - 0.0% - - - 0 - -
39 0 0 - - 0.0% - - - 0 - -
40 0 0 - - 0.0% - - - 0 - -
41 0 0 - - 0.0% - - - 0 - -
42 0 0 - - 0.0% - - - 0 - -
43 0 0 - - 0.0% - - - 0 - -
44 0 0 - - 0.0% - - - 0 - -
45 0 0 - - 0.0% - - - 0 - -
46 0 0 - - 0.0% - - - 0 - -
47 0 0 - - 0.0% - - - 0 - -
48 0 0 - - 0.0% - - - 0 - -
49 0 0 - - 0.0% - - - 0 - -
50 0 0 - - 0.0% - - - 0 - -
51 0 0 - - 0.0% - - - 0 - -
52 0 0 - - 0.0% - - - 0 - -
53 0 0 - - 0.0% - - - 0 - -
54 0 0 - - 0.0% - - - 0 - -
55 0 0 - - 0.0% - - - 0 - -
56 0 0 - - 0.0% - - - 0 - -
57 0 0 - - 0.0% - - - 0 - -
58 0 0 - - 0.0% - - - 0 - -
59 0 0 - - 0.0% - - - 0 - -
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0 0 0 0 0
2 Anggrek Tambaksari 32 0.0% 0 0 0 0 0 0
3 Cempaka Tambaksari 34 0.0% 0 0 0 0 0 0
4 Gurame Tambaksari 50 0.0% 0 0 0 0 0 0
5 Kenanga Tambaksari 53 0.0% 0 0 0 0 0 0
6 Mawar Tambaksari 49 0.0% 0 0 0 0 0 0
7 Melati Tambaksari 59 0.0% 0 0 0 0 0 0
8 Teratai Tambaksari 35 0.0% 0 0 0 0 0 0
9 Edelwis Tambaksari 40 0.0% 0 0 0 0 0 0
10 Anggrek Karanganyar 55 0.0% 0 0 0 0 0 0
11 Cempaka Karanganyar 31 0.0% 0 0 0 0 0 0
12 Dahlia Karanganyar 22 0.0% 0 0 0 0 0 0
13 Kenanga Karanganyar 46 0.0% 0 0 0 0 0 0
14 Lavender Karanganyar 49 0.0% 0 0 0 0 0 0
15 Mawar Karanganyar 31 0.0% 0 0 0 0 0 0
16 Melati Karanganyar 41 0.0% 0 0 0 0 0 0
17 Teratai Karanganyar 29 0.0% 0 0 0 0 0 0
18 Tulip Karanganyar 32 0.0% 0 0 0 0 0 0
19 Merpati 1 Karangsari 45 0.0% 0 0 0 0 0 0
20 Merpati 2 Karangsari 27 0.0% 0 0 0 0 0 0
21 Merpati 3 Karangsari 21 0.0% 0 0 0 0 0 0
22 Merpati 4 Karangsari 35 0.0% 0 0 0 0 0 0
23 Merpati 5 Karangsari 54 0.0% 0 0 0 0 0 0
24 Merpati 6 Karangsari 45 0.0% 0 0 0 0 0 0
25 Merpati 7 Karangsari 45 0.0% 0 0 0 0 0 0
26 Merpati 8 Karangsari 13 0.0% 0 0 0 0 0 0
27 Akik Dungusiku 39 0.0% 0 0 0 0 0 0
28 Berlian Dungusiku 63 0.0% 0 0 0 0 0 0
29 Intan Dungusiku 39 0.0% 0 0 0 0 0 0
30 Kecubung Dungusiku 20 0.0% 0 0 0 0 0 0
31 Merah Delima Dungusiku 26 0.0% 0 0 0 0 0 0
32 Mutiara Dungusiku 22 0.0% 0 0 0 0 0 0
33 Safir Dungusiku 34 0.0% 0 0 0 0 0 0
34 Zadge Dungusiku 38 0.0% 0 0 0 0 0 0
35 Zamrud Dungusiku 22 0.0% 0 0 0 0 0 0
36 0 0 - 0.0% 0 0 0 0 0 0
37 0 0 - 0.0%
38 0 0 - 0.0%
39 0 0 - 0.0%
40 0 0 - 0.0%
41 0 0 - 0.0%
42 0 0 - 0.0%
43 0 0 - 0.0%
44 0 0 - 0.0%
45 0 0 - 0.0%
46 0 0 - 0.0%
47 0 0 - 0.0%
48 0 0 - 0.0%
49 0 0 - 0.0%
50 0 0 - 0.0%
51 0 0 - 0.0%
52 0 0 - 0.0%
53 0 0 - 0.0%
54 0 0 - 0.0%
55 0 0 - 0.0%
56 0 0 - 0.0%
57 0 0 - 0.0%
58 0 0 - 0.0%
59 0 0 - 0.0%
60 0 0 - 0.0%
61 0 0 - 0.0%
62 0 0 - 0.0%
63 0 0 - 0.0%
64 0 0 - 0.0%
65 0 0 - 0.0%
66 0 0 - 0.0%
67 0 0 - 0.0%
68 0 0 - 0.0%
69 0 0 - 0.0%
70 0 0 - 0.0%
71 0 0 - 0.0%
72 0 0 - 0.0%
73 0 0 - 0.0%
74 0 0 - 0.0%
75 0 0 - 0.0%
76 0 0 - 0.0%
77 0 0 - 0.0%
78 0 0 - 0.0%
79 0 0 - 0.0%
80 0 0 - 0.0%
81 0 0 - 0.0%
82 0 0 - 0.0%
83 0 0 - 0.0%
84 0 0 - 0.0%
85 0 0 - 0.0%
86 0 0 - 0.0%
87 0 0 - 0.0%
88 0 0 - 0.0%
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0 0 0 0 0
2 Anggrek Tambaksari 32 0.0% 0 0 0 0 0 0
3 Cempaka Tambaksari 34 0.0% 0 0 0 0 0 0
4 Gurame Tambaksari 50 0.0% 0 0 0 0 0 0
5 Kenanga Tambaksari 53 0.0% 0 0 0 0 0 0
6 Mawar Tambaksari 49 0.0% 0 0 0 0 0 0
7 Melati Tambaksari 59 0.0% 0 0 0 0 0 0
8 Teratai Tambaksari 35 0.0% 0 0 0 0 0 0
9 Edelwis Tambaksari 40 0.0% 0 0 0 0 0 0
10 Anggrek Karanganyar 55 0.0% 0 0 0 0 0 0
11 Cempaka Karanganyar 31 0.0% 0 0 0 0 0 0
12 Dahlia Karanganyar 22 0.0% 0 0 0 0 0 0
13 Kenanga Karanganyar 46 0.0% 0 0 0 0 0 0
14 Lavender Karanganyar 49 0.0% 0 0 0 0 0 0
15 Mawar Karanganyar 31 0.0% 0 0 0 0 0 0
16 Melati Karanganyar 41 0.0% 0 0 0 0 0 0
17 Teratai Karanganyar 29 0.0% 0 0 0 0 0 0
18 Tulip Karanganyar 32 0.0% 0 0 0 0 0 0
19 Merpati 1 Karangsari 45 0.0% 0 0 0 0 0 0
20 Merpati 2 Karangsari 27 0.0% 0 0 0 0 0 0
21 Merpati 3 Karangsari 21 0.0% 0 0 0 0 0 0
22 Merpati 4 Karangsari 35 0.0% 0 0 0 0 0 0
23 Merpati 5 Karangsari 54 0.0% 0 0 0 0 0 0
24 Merpati 6 Karangsari 45 0.0% 0 0 0 0 0 0
25 Merpati 7 Karangsari 45 0.0% 0 0 0 0 0 0
26 Merpati 8 Karangsari 13 0.0% 0 0 0 0 0 0
27 Akik Dungusiku 39 0.0% 0 0 0 0 0 0
28 Berlian Dungusiku 63 0.0% 0 0 0 0 0 0
29 Intan Dungusiku 39 0.0% 0 0 0 0 0 0
30 Kecubung Dungusiku 20 0.0% 0 0 0 0 0 0
31 Merah Delima Dungusiku 26 0.0% 0 0 0 0 0 0
32 Mutiara Dungusiku 22 0.0% 0 0 0 0 0 0
33 Safir Dungusiku 34 0.0% 0 0 0 0 0 0
34 Zadge Dungusiku 38 0.0% 0 0 0 0 0 0
35 Zamrud Dungusiku 22 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%
48 0 0 - 0.0%
49 0 0 - 0.0%
50 0 0 - 0.0%
51 0 0 - 0.0%
52 0 0 - 0.0%
53 0 0 - 0.0%
54 0 0 - 0.0%
55 0 0 - 0.0%
56 0 0 - 0.0%
57 0 0 - 0.0%
58 0 0 - 0.0%
59 0 0 - 0.0%
60 0 0 - 0.0%
61 0 0 - 0.0%
62 0 0 - 0.0%
63 0 0 - 0.0%
64 0 0 - 0.0%
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
Jumlah sasaran
Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0 0 0 0 0
2 Anggrek Tambaksari 32 0.0% 0 0 0 0 0 0
3 Cempaka Tambaksari 34 0.0% 0 0 0 0 0 0
4 Gurame Tambaksari 50 0.0% 0 0 0 0 0 0
5 Kenanga Tambaksari 53 0.0% 0 0 0 0 0 0
6 Mawar Tambaksari 49 0.0% 0 0 0 0 0 0
7 Melati Tambaksari 59 0.0% 0 0 0 0 0 0
8 Teratai Tambaksari 35 0.0% 0 0 0 0 0 0
9 Edelwis Tambaksari 40 0.0% 0 0 0 0 0 0
10 Anggrek Karanganyar 55 0.0% 0 0 0 0 0 0
11 Cempaka Karanganyar 31 0.0% 0 0 0 0 0 0
12 Dahlia Karanganyar 22 0.0% 0 0 0 0 0 0
13 Kenanga Karanganyar 46 0.0% 0 0 0 0 0 0
14 Lavender Karanganyar 49 0.0% 0 0 0 0 0 0
15 Mawar Karanganyar 31 0.0% 0 0 0 0 0 0
16 Melati Karanganyar 41 0.0% 0 0 0 0 0 0
17 Teratai Karanganyar 29 0.0% 0 0 0 0 0 0
18 Tulip Karanganyar 32 0.0% 0 0 0 0 0 0
19 Merpati 1 Karangsari 45 0.0% 1 1 0 0 1 0
20 Merpati 2 Karangsari 27 0.0% 0 0 0 0 0 0
21 Merpati 3 Karangsari 21 0.0% 0 0 0 0 0 0
22 Merpati 4 Karangsari 35 0.0% 0 0 0 0 0 0
23 Merpati 5 Karangsari 54 0.0% 0 0 0 0 0 0
24 Merpati 6 Karangsari 45 0.0% 0 0 0 0 0 0
25 Merpati 7 Karangsari 45 0.0% 0 0 0 0 0 0
26 Merpati 8 Karangsari 13 0.0% 0 0 0 0 0 0
27 Akik Dungusiku 39 0.0% 0 0 0 0 0 0
28 Berlian Dungusiku 63 0.0% 0 0 0 0 0 0
29 Intan Dungusiku 39 0.0% 0 0 0 0 0 0
30 Kecubung Dungusiku 20 0.0% 0 0 0 0 0 0
31 Merah Delima Dungusiku 26 0.0% 0 0 0 0 0 0
32 Mutiara Dungusiku 22 0.0% 0 0 0 0 0 0
33 Safir Dungusiku 34 0.0% 0 0 0 0 0 0
34 Zadge Dungusiku 38 0.0% 0 0 0 0 0 0
35 Zamrud Dungusiku 22 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
51 0 0 - 0.0% 0 0 0
52 0 0 - 0.0% 0 0 0
53 0 0 - 0.0% 0 0 0
54 0 0 - 0.0% 0 0 0
55 0 0 - 0.0% 0 0 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% 1 1 - - 1
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0 0 0 0 0
2 Anggrek Tambaksari 32 0.0% 0 0 0 0 0 0
3 Cempaka Tambaksari 34 0.0% 0 0 0 0 0 0
4 Gurame Tambaksari 50 0.0% 0 0 0 0 0 0
5 Kenanga Tambaksari 53 0.0% 0 0 0 0 0 0
6 Mawar Tambaksari 49 0.0% 0 0 0 0 0 0
7 Melati Tambaksari 59 0.0% 0 0 0 0 0 0
8 Teratai Tambaksari 35 0.0% 0 0 0 0 0 0
9 Edelwis Tambaksari 40 0.0% 0 0 0 0 0 0
10 Anggrek Karanganyar 55 0.0% 0 0 0 0 0 0
11 Cempaka Karanganyar 31 0.0% 0 0 0 0 0 0
12 Dahlia Karanganyar 22 0.0% 0 0 0 0 0 0
13 Kenanga Karanganyar 46 0.0% 0 0 0 0 0 0
14 Lavender Karanganyar 49 0.0% 0 0 0 0 0 0
15 Mawar Karanganyar 31 0.0% 0 0 0 0 0 0
16 Melati Karanganyar 41 0.0% 0 0 0 0 0 0
17 Teratai Karanganyar 29 0.0% 0 0 0 0 0 0
18 Tulip Karanganyar 32 0.0% 0 0 0 0 0 0
19 Merpati 1 Karangsari 45 0.0% 0 0 0 0 0 0
20 Merpati 2 Karangsari 27 0.0% 0 0 0 0 0 0
21 Merpati 3 Karangsari 21 0.0% 0 0 0 0 0 0
22 Merpati 4 Karangsari 35 0.0% 0 0 0 0 0 0
23 Merpati 5 Karangsari 54 0.0% 0 0 0 0 0 0
24 Merpati 6 Karangsari 45 0.0% 0 0 0 0 0 0
25 Merpati 7 Karangsari 45 0.0% 0 0 0 0 0 0
26 Merpati 8 Karangsari 13 0.0% 0 0 0 0 0 0
27 Akik Dungusiku 39 0.0% 0 0 0 0 0 0
28 Berlian Dungusiku 63 0.0% 0 0 0 0 0 0
29 Intan Dungusiku 39 0.0% 0 0 0 0 0 0
30 Kecubung Dungusiku 20 0.0% 0 0 0 0 0 0
31 Merah Delima Dungusiku 26 0.0% 0 0 0 0 0 0
32 Mutiara Dungusiku 22 0.0% 0 0 0 0 0 0
33 Safir Dungusiku 34 0.0% 0 0 0 0 0 0
34 Zadge Dungusiku 38 0.0% 0 0 0 0 0 0
35 Zamrud Dungusiku 22 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
51 0 0 - 0.0% 0 0 0 0 0 0
52 0 0 - 0.0% 0 0 0 0 0 0
53 0 0 - 0.0% 0 0 0 0 0 0
54 0 0 - 0.0% 0 0 0 0 0 0
55 0 0 - 0.0% 0 0 0 0 0 0
56 0 0 - 0.0%
57 0 0 - 0.0%
58 0 0 - 0.0%
59 0 0 - 0.0%
60 0 0 - 0.0%
61 0 0 - 0.0%
62 0 0 - 0.0%
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0 0 0 0 0
2 Anggrek Tambaksari 32 0.0% 0 0 0 0 0 0
3 Cempaka Tambaksari 34 0.0% 0 0 0 0 0 0
4 Gurame Tambaksari 50 0.0% 0 0 0 0 0 0
5 Kenanga Tambaksari 53 0.0% 0 0 0 0 0 0
6 Mawar Tambaksari 49 0.0% 0 0 0 0 0 0
7 Melati Tambaksari 59 0.0% 0 0 0 0 0 0
8 Teratai Tambaksari 35 0.0% 0 0 0 0 0 0
9 Edelwis Tambaksari 40 0.0% 0 0 0 0 0 0
10 Anggrek Karanganyar 55 0.0% 0 0 0 0 0 0
11 Cempaka Karanganyar 31 0.0% 0 0 0 0 0 0
12 Dahlia Karanganyar 22 0.0% 0 0 0 0 0 0
13 Kenanga Karanganyar 46 0.0% 0 0 0 0 0 0
14 Lavender Karanganyar 49 0.0% 0 0 0 0 0 0
15 Mawar Karanganyar 31 0.0% 0 0 0 0 0 0
16 Melati Karanganyar 41 0.0% 1 1 0 0 1 0
17 Teratai Karanganyar 29 0.0% 0 0 0 0 0 0
18 Tulip Karanganyar 32 0.0% 0 0 0 0 0 0
19 Merpati 1 Karangsari 45 0.0% 0 0 0 0 0 0
20 Merpati 2 Karangsari 27 0.0% 0 0 0 0 0 0
21 Merpati 3 Karangsari 21 0.0% 0 0 0 0 0 0
22 Merpati 4 Karangsari 35 0.0% 0 0 0 0 0 0
23 Merpati 5 Karangsari 54 0.0% 0 0 0 0 0 0
24 Merpati 6 Karangsari 45 0.0% 0 0 0 0 0 0
25 Merpati 7 Karangsari 45 0.0% 0 0 0 0 0 0
26 Merpati 8 Karangsari 13 0.0% 0 0 0 0 0 0
27 Akik Dungusiku 39 0.0% 0 0 0 0 0 0
28 Berlian Dungusiku 63 0.0% 0 0 0 0 0 0
29 Intan Dungusiku 39 0.0% 0 0 0 0 0 0
30 Kecubung Dungusiku 20 0.0% 0 0 0 0 0 0
31 Merah Delima Dungusiku 26 0.0% 0 0 0 0 0 0
32 Mutiara Dungusiku 22 0.0% 0 0 0 0 0 0
33 Safir Dungusiku 34 0.0% 0 0 0 0 0 0
34 Zadge Dungusiku 38 0.0% 0 0 0 0 0 0
35 Zamrud Dungusiku 22 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
51 0 0 - 0.0% 0 0 0 0 0 0
52 0 0 - 0.0% 0 0 0 0 0 0
53 0 0 - 0.0%
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% 1 1 - - 1
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah
dropper rusak
Cakupan Harian
Jumlah sasaran
Absolut %
a b b c d e o p q q r s
1 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,276 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
Jumlah sasaran
Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial
No Nama Pos Pelayanan Desa/Kelurahan dibawa terbuka/terpakai vaksin rusak Jumlah sisa vial Jumlah dropper
terpakai
Jumlah
dropper rusak
Cakupan Harian
Jumlah sasaran
Absolut %
a b b c d e o p q q r s
1 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,276 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106 -
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106 -
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0 -
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
Jumlah sasaran
Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
Total 1,324 - 0.0% - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - - -
LAPORAN HARIAN PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI
Usia 0-59 bulan Jumlah vial vaksin Jumlah vial vaksin Jumlah vial Jumlah dropper Jumlah
No Nama Pos Pelayanan Desa/Kelurahan Jumlah sisa vial
Jumlah Cakupan Harian dibawa terbuka/terpakai vaksin rusak terpakai dropper rusak
sasaran Absolut %
a b b c d e o p q q r s
1 Dahlia Tambaksari 48 0.0% 0
2 Anggrek Tambaksari 32 0.0% 0
3 Cempaka Tambaksari 34 0.0% 0
4 Gurame Tambaksari 50 0.0% 0
5 Kenanga Tambaksari 53 0.0% 0
6 Mawar Tambaksari 49 0.0% 0
7 Melati Tambaksari 59 0.0% 0
8 Teratai Tambaksari 35 0.0% 0
9 Edelwis Tambaksari 40 0.0% 0
10 Anggrek Karanganyar 55 0.0% 0
11 Cempaka Karanganyar 31 0.0% 0
12 Dahlia Karanganyar 22 0.0% 0
13 Kenanga Karanganyar 46 0.0% 0
14 Lavender Karanganyar 49 0.0% 0
15 Mawar Karanganyar 31 0.0% 0
16 Melati Karanganyar 41 0.0% 0
17 Teratai Karanganyar 29 0.0% 0
18 Tulip Karanganyar 32 0.0% 0
19 Merpati 1 Karangsari 45 0.0% 0
20 Merpati 2 Karangsari 27 0.0% 0
21 Merpati 3 Karangsari 21 0.0% 0
22 Merpati 4 Karangsari 35 0.0% 0
23 Merpati 5 Karangsari 54 0.0% 0
24 Merpati 6 Karangsari 45 0.0% 0
25 Merpati 7 Karangsari 45 0.0% 0
26 Merpati 8 Karangsari 13 0.0% 0
27 Akik Dungusiku 39 0.0% 0
28 Berlian Dungusiku 63 0.0% 0
29 Intan Dungusiku 39 0.0% 0
30 Kecubung Dungusiku 20 0.0% 0
31 Merah Delima Dungusiku 26 0.0% 0
32 Mutiara Dungusiku 22 0.0% 0
33 Safir Dungusiku 34 0.0% 0
34 Zadge Dungusiku 38 0.0% 0
35 Zamrud Dungusiku 22 0.0% 0
36 0 0 - 0.0% 0
37 0 0 - 0.0% 0
38 0 0 - 0.0% 0
39 0 0 - 0.0% 0
40 0 0 - 0.0% 0
41 0 0 - 0.0% 0
42 0 0 - 0.0% 0
43 0 0 - 0.0% 0
44 0 0 - 0.0% 0
45 0 0 - 0.0% 0
46 0 0 - 0.0% 0
47 0 0 - 0.0% 0
48 0 0 - 0.0% 0
49 0 0 - 0.0% 0
50 0 0 - 0.0% 0
51 0 0 - 0.0% 0
52 0 0 - 0.0% 0
53 0 0 - 0.0% 0
54 0 0 - 0.0% 0
55 0 0 - 0.0% 0
56 0 0 - 0.0% 0
57 0 0 - 0.0% 0
58 0 0 - 0.0% 0
59 0 0 - 0.0% 0
60 0 0 - 0.0% 0
61 0 0 - 0.0% 0
62 0 0 - 0.0% 0
63 0 0 - 0.0% 0
64 0 0 - 0.0% 0
65 0 0 - 0.0% 0
66 0 0 - 0.0% 0
67 0 0 - 0.0% 0
68 0 0 - 0.0% 0
69 0 0 - 0.0% 0
70 0 0 - 0.0% 0
71 0 0 - 0.0% 0
72 0 0 - 0.0% 0
73 0 0 - 0.0% 0
74 0 0 - 0.0% 0
75 0 0 - 0.0% 0
76 0 0 - 0.0% 0
77 0 0 - 0.0% 0
78 0 0 - 0.0% 0
79 0 0 - 0.0% 0
80 0 0 - 0.0% 0
81 0 0 - 0.0% 0
82 0 0 - 0.0% 0
83 0 0 - 0.0% 0
84 0 0 - 0.0% 0
85 0 0 - 0.0% 0
86 0 0 - 0.0% 0
87 0 0 - 0.0% 0
88 0 0 - 0.0% 0
89 0 0 - 0.0% 0
90 0 0 - 0.0% 0
91 0 0 - 0.0% 0
92 0 0 - 0.0% 0
93 0 0 - 0.0% 0
94 0 0 - 0.0% 0
95 0 0 - 0.0% 0
96 0 0 - 0.0% 0
97 0 0 - 0.0% 0
98 0 0 - 0.0% 0
99 0 0 - 0.0% 0
100 0 0 - 0.0% 0
101 0 0 - 0.0% 0
102 0 0 - 0.0% 0
103 0 0 - 0.0% 0
104 0 0 - 0.0% 0
105 0 0 - 0.0% 0
106 0 0 - 0.0% 0
107 0 0 - 0.0% 0
108 0 0 - 0.0% 0
109 0 0 - 0.0% 0
110 0 0 - 0.0% 0
111 0 0 - 0.0% 0
112 0 0 - 0.0% 0
113 0 0 - 0.0% 0
114 0 0 - 0.0% 0
115 0 0 - 0.0% 0
116 0 0 - 0.0% 0
117 0 0 - 0.0% 0
118 0 0 - 0.0% 0
119 0 0 - 0.0% 0
120 0 0 - 0.0% 0
121 0 0 - 0.0% 0
122 0 0 - 0.0% 0
123 0 0 - 0.0% 0
124 0 0 - 0.0% 0
125 0 0 - 0.0% 0
126 0 0 - 0.0% 0
127 0 0 - 0.0% 0
128 0 0 - 0.0% 0
129 0 0 - 0.0% 0
130 0 0 - 0.0% 0
131 0 0 - 0.0% 0
132 0 0 - 0.0% 0
133 0 0 - 0.0% 0
134 0 0 - 0.0% 0
135 0 0 - 0.0% 0
136 0 0 - 0.0% 0
137 0 0 - 0.0% 0
138 0 0 - 0.0% 0
139 0 0 - 0.0% 0
140 0 0 - 0.0% 0
141 0 0 - 0.0% 0
142 0 0 - 0.0% 0
143 0 0 - 0.0% 0
144 0 0 - 0.0% 0
145 0 0 - 0.0% 0
146 0 0 - 0.0% 0
147 0 0 - 0.0% 0
148 0 0 - 0.0% 0
149 0 0 - 0.0% 0
150 0 0 - 0.0% 0
151 0 0 - 0.0% 0
152 0 0 - 0.0% 0
153 0 0 - 0.0% 0
154 0 0 - 0.0% 0
155 0 0 - 0.0% 0
156 0 0 - 0.0% 0
157 0 0 - 0.0% 0
158 0 0 - 0.0% 0
159 0 0 - 0.0% 0
160 0 0 - 0.0% 0
Total 1,324 - 0.0% - - - - - -
LAPORAN KUMULATIF PELAKSANAAN SUB PIN POLIO

Puskesmas : Karangsari
Kabupaten/ Kota : Garut
Provinsi : Jawa Barat
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
SASARAN DAN CAKUPAN IMUNISASI VAKSIN DAN DROPPER
Usia 0-59 bulan
Cakupan Kumulatif
No Nama Pos Pelayanan Desa/Kelurahan Jumlah vial vaksin Jumlah vial Jumlah stok awal Jumlah dropper Jumlah sisa
Jumlah Stok Awal Vial Jumlah sisa vial IP
terbuka/terpakai vaksin rusak dropper terpakai dropper
sasaran Absolut %

a b b c d e o p q r s t u v
1 Dahlia Tambaksari 48 54 112.5% 1 1 0 0 54 0 1 -1
2 Anggrek Tambaksari 32 33 103.1% 1 1 0 0 33 0 1 -1
3 Cempaka Tambaksari 34 32 94.1% 1 1 0 0 32 0 1 -1
4 Gurame Tambaksari 50 55 110.0% 2 1 0 1 55 0 1 -1
5 Kenanga Tambaksari 53 54 101.9% 1 2 0 -1 27 0 2 -2
6 Mawar Tambaksari 49 49 100.0% 1 1 0 0 49 0 1 -1
7 Melati Tambaksari 59 60 101.7% 1 2 0 -1 30 0 2 -2
8 Teratai Tambaksari 35 34 97.1% 1 1 0 0 34 0 1 -1
9 Edelwis Tambaksari 40 40 100.0% 1 1 0 0 40 0 1 -1
10 Anggrek Karanganyar 55 67 121.8% 1 1 0 0 67 0 1 -1
11 Cempaka Karanganyar 31 28 90.3% 1 1 0 0 28 0 1 -1
12 Dahlia Karanganyar 22 25 113.6% 1 1 0 0 25 0 1 -1
13 Kenanga Karanganyar 46 46 100.0% 1 1 0 0 46 0 1 -1
14 Lavender Karanganyar 49 52 106.1% 2 1 0 1 52 0 1 -1
15 Mawar Karanganyar 31 31 100.0% 1 1 0 0 31 0 1 -1
16 Melati Karanganyar 41 28 68.3% 1 2 0 -1 14 0 2 -2
17 Teratai Karanganyar 29 29 100.0% 1 1 0 0 29 0 1 -1
18 Tulip Karanganyar 32 26 81.3% 1 1 0 0 26 0 1 -1
19 Merpati 1 Karangsari 45 45 100.0% 1 2 0 -1 23 0 2 -2
20 Merpati 2 Karangsari 27 32 118.5% 1 1 0 0 32 0 1 -1
21 Merpati 3 Karangsari 21 21 100.0% 1 1 0 0 21 0 1 -1
22 Merpati 4 Karangsari 35 37 105.7% 1 1 0 0 37 0 1 -1
23 Merpati 5 Karangsari 54 55 101.9% 2 1 0 1 55 0 1 -1
24 Merpati 6 Karangsari 45 36 80.0% 1 1 0 0 36 0 1 -1
25 Merpati 7 Karangsari 45 49 108.9% 1 1 0 0 49 0 1 -1
26 Merpati 8 Karangsari 13 13 100.0% 1 - 0 1 #DIV/0! 0 0 0
27 Akik Dungusiku 39 46 117.9% 1 1 0 0 46 0 1 -1
28 Berlian Dungusiku 63 73 115.9% 1 2 0 -1 37 0 2 -2
29 Intan Dungusiku 39 34 87.2% 1 1 0 0 34 0 1 -1
30 Kecubung Dungusiku 20 21 105.0% 1 - 0 1 #DIV/0! 0 0 0
31 Merah Delima Dungusiku 26 29 111.5% 1 1 0 0 29 0 1 -1
32 Mutiara Dungusiku 22 24 109.1% 1 1 0 0 24 0 1 -1
33 Safir Dungusiku 34 44 129.4% 1 1 0 0 44 0 1 -1
34 Zadge Dungusiku 38 36 94.7% 1 1 0 0 36 0 1 -1
35 Zamrud Dungusiku 22 24 109.1% 1 - 0 1 #DIV/0! 0 0 0
36 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
37 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
38 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
39 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
40 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
41 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
42 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
43 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
44 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
45 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
46 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
47 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
48 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
49 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
50 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
51 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
52 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
53 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
54 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
55 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
56 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
57 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
58 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
59 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
60 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
61 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
62 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
63 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
64 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
65 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
66 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
67 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
68 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
69 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
70 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
71 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
72 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
73 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
74 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
75 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
76 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
77 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
78 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
79 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
80 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
81 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
82 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
83 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
84 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
85 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
86 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
87 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
88 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
89 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
90 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
91 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
92 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
93 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
94 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
95 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
96 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
97 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
98 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
99 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
100 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
101 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
102 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
103 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
104 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
105 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
106 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
107 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
108 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
109 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
110 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
111 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
112 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
113 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
114 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
115 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
116 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
117 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
118 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
119 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
120 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
121 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
122 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
123 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
124 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
125 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
126 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
127 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
128 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
129 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
130 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
131 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
132 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
133 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
134 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
135 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
136 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
137 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
138 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
139 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
140 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
141 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
142 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
143 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
144 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
145 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
146 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
147 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
148 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
149 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
150 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
151 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
152 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
153 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
154 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
155 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
156 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
157 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
158 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
159 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
160 0 0 - - 0.0% 0 - 0 0 #DIV/0! 0 0 0
Total 1,324 1,362 102.9% 38 37 - 1 37 - 37 (37)

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