Format Laporan Logistik Puskesmas

LAPORAN PEMAKAIAN VAKSIN DAN LOGISTIK PUSKESMAS
KABUPATEN : BULELENG
BULAN/TAHUN : Januari 2018
PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

TOTAL
NO VAKSIN STOK STOK STOK STOK STOK STOK IP RIIL KETERANGAN
PEMAKAIAN PENGELUARAN CAKUPAN
AWAL PENERIMAAN DI POSYANDU KE BPM/RS dll AKHIR AWAL PENERIMAAN PEMAKAIAN AKHIR AWAL PENERIMAAN PEMAKAIAN AKHIR
BULAN BULAN BULAN BULAN BULAN BULAN
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 29 50 - 48 31 5 48 27 27 58 50 27 58 56 56.0
2 BCG 24 40 14 32 18 4 32 24 9 27 40 38 27 50 2.1
3 POLIO 30 60 32 32 26 2 32 22 10 36 60 54 36 204 9.3
4 Pentabio 11 60 36 19 16 6 19 14 8 24 60 50 24 202 14.4
5 DPT/HB - - - - - - - #DIV/0!
6 IPV 16 4 5 7 5 5 1 5 12 - 5 12 17 17.0
7 CAMPAK RUTIN 19 50 29 22 18 8 22 20 14 32 50 49 32 101 5.1
8 CAMPAK RUBELLA - - - - - - - #DIV/0!
9 CAMPAK BIAS - - - - - - - #DIV/0!
10 JE - - - - - - - #DIV/0!
11 DT - - - - - - - 0.0
12 Td 17 10 2 5 7 2 2 5 10 - 12 18 0.0
13 TT - - - - - - - #DIV/0!
14 PELARUT BCG 24 40 14 32 18 7 32 18 9 27 40 32 27
15 PELARUT CAMPAK 19 50 29 22 18 33 22 16 14 32 50 45 32
B ADS
1 0,05 ml 86 200 50 236 - 2 (2) 86 200 - 234
2 0,5 ml 725 5,400 392 5,733 50 100 150 - 5,400 32 5,733
a. Bayi 350 150 2
b. Bumil & WUS 42 2
c. BIAS 2
3 5 ml 70 200 80 20 190 30 20 10 40 100 200 90 210
a. Bayi 80 10 2
b. BIAS 2
C SAFETY BOX 2.5 ml 29 100 7 122 - - 100 100
D SAFETY BOX 5 ml - - - - -
RASIO PENYUNTIKAN
D*) YANG AMAN ADS 0,5 ML -
Mengetahui : Singaraja, tgl,3-2-2018

Kepala puskesmas Buleleng III Yang membuat laporan,
dr. Dewa Putu Merta Suteja, M.A.P Ni Komang Sumartini
Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : JANUARI 2017

TOTAL
NO VAKSIN STOK STOK STOK STOK STOK STOK IP RIIL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0
A VAKSIN
1 HB-UNIJECT 42 25 17 25 25 - 17 - 25 17 0.0
2 BCG 16 30 2 25 19 25 25 - 19 30 27 19 0.0
3 POLIO 15 8 7 - 7 7 - - - 15 - 0.0
4 Pentabio 14 50 37 21 6 21 21 - 6 50 58 6 0.0
5 DPT/HB - - - - - - #DIV/0!
6 IPV 16 2 4 10 4 4 - 10 - 6 10 0.0
7 CAMPAK RUTIN 10 30 15 16 9 16 16 - 9 30 31 9 0.0
8 CAMPAK RUBELLA - - - - - - #DIV/0!
9 CAMPAK BIAS - - - - - - #DIV/0!
10 JE - - - - - - #DIV/0!
11 DT - - - - - - 0.0
12 Td - - - - - - 0.0
13 TT 4 20 10 4 10 4 4 14 20 10 14 #DIV/0!
14 PELARUT BCG 16 30 2 25 19 25 25 44 30 2 44
15 PELARUT CAMPAK 10 30 15 16 9 16 16 25 30 15 25
B ADS 5
1 0,05 ml 20 15 2 5 33 5 5 2 8 25 15 10 41
2 0,5 ml 60 15 30 5 45 30 5 25 10 90 15 2 55
a. Bayi 10 5 10 2
b. Bumil & WUS 10 5 10 2
c. BIAS 10 5 5 2
3 5 ml 20 15 10 5 25 30 5 2 33 50 15 12 53
a. Bayi 5 5 1 2
b. BIAS 5 5 1 2
C SAFETY BOX 2.5 ml 20 5 5 20 30 - 2 28 50 5 7 48
D SAFETY BOX 5 ml 20 5 5 20 30 - 2 28 50 5 7 48
RASIO PENYUNTIKAN
Mengetahui : ……………tgl,………...
Kepala puskesmas…………. Yang membuat laporan,
…………………………………… ………………………………..
NIP…………………………….. NIP……………………………………………
AIAN VAKSIN DAN LOGISTIK PUSKESMAS
KETERANGAN
13
BULAN/TAHUN : September 2017

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 53 6 45 2 45 39 6 8 - 45 8 53 53.0
2 BCG 60 18 20 22 20 18 7 29 - 36 29 52 2.9
3 POLIO 84 42 15 27 5 15 9 11 38 - 51 38 220 24.4
4 Pentabio 79 46 18 15 3 21 24 5 20 - 70 20 164 6.8
5 DPT/HB - - - - - - #DIV/0!
6 IPV 24 6 4 14 4 4 2 16 - 10 16 28 7.0
7 CAMPAK RUTIN 46 30 6 10 16 16 10 - 46 10 51 3.2
9 CAMPAK BIAS 95 92 3 - 3 - 92 3 711 #DIV/0!
10 JE - - - - - - #DIV/0!
11 DT - - - - - - 0.0
12 Td - - - - - - 0.0
13 TT 5 2 3 - - - - 2 - #DIV/0!
14 PELARUT BCG 60 18 20 22 20 18 7 29 - 36 29
15 PELARUT CAMPAK 46 30 6 10 16 16 - 10 - 46 10
B ADS 5
1 0,05 ml 78 52 20 26 20 2 18 78 - 2 44
2 0,5 ml 5,436 1,344 4,092 200 200 - 5,436 - 128 4,092
a. Bayi 549 200 150 2
b. Bumil & WUS 25 50 2
c. BIAS 770 2
3 5 ml 230 160 20 70 30 20 2 48 260 - 162 98
a. Bayi 50 1 2
b. BIAS 110 1 2
C SAFETY BOX 2.5 ml 44 15 29 - - 44 - 15 29
RASIO PENYUNTIKAN
…………………………………… ………………………………..
NIP…………………………….. NIP……………………………………………
BULAN/TAHUN : Oktober 2017

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 2 100 10 57 35 6 45 28 6 41 100 38 41 48 48.0
2 BCG 22 50 17 24 31 7 20 16 7 38 50 33 38 48 3.0
3 POLIO 27 50 36 14 27 11 15 15 11 38 50 51 38 194 12.9
4 Pentabio 15 70 49 19 17 5 21 3 5 22 70 52 22 199 66.3
5 DPT/HB - - - - - - #DIV/0!
6 IPV 14 29 2 5 36 2 4 8 2 38 29 10 38 17 2.1
7 CAMPAK RUTIN 50 23 12 15 16 16 15 50 39 15 95 5.9
9 CAMPAK BIAS - - - - - - #DIV/0!
10 JE - - - - - - #DIV/0!
11 DT - - - - - - 0.0
12 Td 20 1 5 14 5 5 2 8 22 20 3 22 0.0
13 TT 2 3 (5) - (5) - 2 (5) #DIV/0!
14 PELARUT BCG 31 50 18 20 43 20 18 7 50 50 36 50
15 PELARUT CAMPAK 9 50 30 6 23 16 16 - 23 50 46 23
B ADS 5
1 0,05 ml 26 20 6 - 2 (2) 26 - 2 4
2 0,5 ml 4,092 942 3,150 400 400 - 4,092 - 36 3,150
a. Bayi 917 350 2
b. Bumil & WUS 25 50 2
c. BIAS 2
3 5 ml 70 50 20 20 30 20 10 40 100 - 60 40
a. Bayi 50 10 2
b. BIAS 2
C SAFETY BOX 2.5 ml 29 3 - - - -
RASIO PENYUNTIKAN

Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : Nopember 2017

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 35 26 9 11 26 26 11 20 - 26 20 51 51.0
2 BCG 31 30 14 19 28 11 14 22 3 31 30 36 31 55 2.5
3 POLIO 27 50 36 27 14 6 27 15 9 23 50 51 23 214 14.3
4 Pentabio 17 60 38 24 15 4 24 28 - 15 60 66 15 211 7.5
5 DPT/HB - - - - - - #DIV/0!
6 IPV 36 5 5 26 4 5 8 1 27 - 13 27 33 4.1
7 CAMPAK RUTIN 15 50 27 19 19 2 19 15 6 25 50 42 25 110 7.3
9 CAMPAK BIAS - - - - - - #DIV/0!
10 JE - - - - - - #DIV/0!
11 DT - - - - - - 0.0
12 Td 14 6 3 5 8 5 2 11 16 - 8 18 0.0
13 TT - - - - - - #DIV/0!
14 PELARUT BCG 31 30 18 20 23 20 18 7 30 30 36 30
15 PELARUT CAMPAK 15 50 30 6 29 16 16 - 29 50 46 29
B ADS 5
1 0,05 ml 6 200 20 186 - 2 (2) 6 200 - 184
2 0,5 ml 3,150 1,900 1,250 200 200 - 3,150 - 36 1,250
a. Bayi 20 385 150 2
b. Bumil & WUS 20 25 50 2
c. BIAS 20 1,490 2
3 5 ml 20 200 50 20 170 30 20 10 40 50 200 60 190
a. Bayi 20 50 10 2
b. BIAS 20 2
C SAFETY BOX 2.5 ml 29 3 - - - -
RASIO PENYUNTIKAN

Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : Desember 2017

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 9 55 3 32 29 11 32 27 5 34 55 30 34 58 58.0
2 BCG 28 30 9 25 24 3 25 24 4 28 30 33 28 56 2.3
3 POLIO 14 60 29 15 30 9 15 22 2 32 60 51 32 291 13.2
4 Pentabio 15 60 44 20 11 20 14 6 17 60 58 17 239 17.1
5 DPT/HB - - - - - - #DIV/0!
6 IPV 26 5 5 16 1 5 1 5 21 - 6 21 32 32.0
7 CAMPAK RUTIN 19 50 28 22 19 6 22 20 8 27 50 48 27 119 6.0
9 CAMPAK BIAS - - - - - - #DIV/0!
10 JE - - - - - - #DIV/0!
11 DT - - - - - - 0.0
12 Td 5 20 3 5 17 5 2 3 20 20 5 18 0.0
13 TT - - - - - - #DIV/0!
14 PELARUT BCG 28 30 9 25 24 20 18 7 31 30 27 31
15 PELARUT CAMPAK 19 50 28 22 19 16 16 - 19 50 44 19
B ADS
1 0,05 ml 186 50 136 - 2 (2) 186 - - 134
2 0,5 ml 1,250 525 725 50 100 100 50 - 27 775
a. Bayi 475 100 2
b. Bumil & WUS 50 2
c. BIAS 2
3 5 ml 150 80 20 70 30 20 10 40 180 - 90 90
a. Bayi 80 10 2
b. BIAS 2
C SAFETY BOX 2.5 ml 29 7 - - - -
RASIO PENYUNTIKAN

Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : Maret 2018

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 8 45 10 22 21 19 22 25 16 27 45 35 37 56 56.0
2 BCG 23 40 11 20 32 8 20 15 13 31 40 26 45 50 3.3
3 POLIO 30 60 26 22 42 5 22 17 10 35 60 43 52 204 12.0
4 Pentabio 19 60 30 19 30 5 19 20 4 24 60 50 34 202 10.1
5 DPT/HB #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! - - #VALUE! #DIV/0!
6 IPV 2 4 1 (3) 2 1 3 - 4 - 7 (3) 17 5.7
7 CAMPAK RUTIN 26 60 18 25 43 13 25 25 13 39 60 43 56 101 4.0
8 CAMPAK RUBELLA #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! - - #VALUE! #DIV/0!
9 CAMPAK BIAS #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! - - #VALUE! #DIV/0!
10 JE #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! - - #VALUE! #DIV/0!
11 DT - - - - - - - 0.0
12 Td 14 20 7 4 23 4 4 5 3 18 20 12 18 0.0
13 TT #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! - - #VALUE! #DIV/0!
14 PELARUT BCG 23 40 11 20 32 8 20 15 13 31 40 26 45
15 PELARUT CAMPAK 26 60 18 25 43 13 25 25 13 39 60 43 56
B ADS
1 0,05 ml 185 51 134 - 2 (2) 185 - - 132
2 0,5 ml 5,347 473 4,874 50 100 150 - - 26 4,874
a. Bayi 450 100 150 2
b. Bumil & WUS 23 2
c. BIAS 2
3 5 ml 50 200 101 50 149 30 20 10 40 80 200 111 169
a. Bayi 101 10 2
b. BIAS 2
C SAFETY BOX 2.5 ml 7 75 8 74 - - 7.00 75 82
D SAFETY BOX 5 ml - - - -
RASIO PENYUNTIKAN

Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : juni 2018

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 120 8 60 52 60 44 16 120 - 52 68 53 53.0
2 BCG 15 50 25 15 25 10 15 20 5 25 50 45 30 54 2.7
3 POLIO 71 20 40 20 31 13 20 7 26 84 20 47 57 218 31.1
4 Pentabio - 40 35 - 5 6 - 6 6 40 35 11 168 #DIV/0!
6 IPV 40 10 4 26 5 4 1 8 45 - 11 34 28 28.0
7 CAMPAK RUTIN 78 20 28 15 55 11 15 20 6 89 20 48 61 15 0.8
11 DT - - - - - - - 0.0
12 Td 21 7 2 12 5 2 2 5 26 - 9 18 27 0.0
14 PELARUT BCG 15 50 25 15 25 11 15 20 6 26 50 45 31
15 PELARUT CAMPAK 78 20 28 15 55 11 15 20 6 89 20 48 61
B ADS
1 0,05 ml 132 71 61 - 2 (2) 132 - - 59
2 0,5 ml 4,332 386 3,946 60 100 95 65 - 45 4,011
a. Bayi 355 100 95 2
b. Bumil & WUS 31 2
c. BIAS 2
3 5 ml 95 55 50 40 40 50 35 55 135 - 90 45
a. Bayi 55 35 2
b. BIAS 2
C SAFETY BOX 2.5 ml 69 - 5 64 - - 69.00 - 69
RASIO PENYUNTIKAN

Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : juli 2018

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 52 30 5 25 52 52 70 65 57 104 30 70 109 53 53.0
2 BCG 25 50 30 15 30 5 15 18 2 30 50 48 32 54 3.0
3 POLIO 31 50 38 20 23 26 10 18 18 57 50 56 41 218 12.1
4 Pentabio 5 50 35 10 10 6 10 16 - 11 50 51 10 168 10.5
6 IPV 26 10 - 16 8 - 3 5 34 - 13 21 28 9.3
7 CAMPAK RUTIN 55 25 10 20 6 10 12 4 61 - 37 24 15 1.3
11 DT - - - - - - - 0.0
12 Td 12 20 10 10 12 5 2 2 5 17 20 12 18 27 0.0
14 PELARUT BCG 25 50 30 15 30 5 15 18 2 30 50 48 32
15 PELARUT CAMPAK 55 25 10 20 6 10 12 4 61 - 37 24
B ADS
1 0,05 ml 61 300 41 320 - 2 (2) 61 300 - 318
2 0,5 ml 4,332 452 3,880 65 100 85 80 - 48 3,960
a. Bayi 422 100 85 2
b. Bumil & WUS 30 2
c. BIAS 2
3 5 ml 50 200 130 50 120 55 50 30 75 105 200 160 145
a. Bayi 130 30 2
b. BIAS 2
C SAFETY BOX 2.5 ml 64 - 6 58 - - 64.00 - 64
RASIO PENYUNTIKAN

Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : Desember 2018

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT #VALUE! 30 14 40 #VALUE! #VALUE! 40 50 #VALUE! #VALUE! 30 64 #VALUE! 14 14.0
2 BCG #VALUE! 10 24 10 #VALUE! #VALUE! 10 9 #VALUE! #VALUE! 10 33 #VALUE! 47 5.2
3 POLIO #VALUE! 40 29 15 #VALUE! #VALUE! 15 15 #VALUE! #VALUE! 40 44 #VALUE! 203 13.5
4 Pentabio #VALUE! 35 30 13 #VALUE! #VALUE! 10 10 #VALUE! #VALUE! 35 40 #VALUE! 141 14.1
5 penetes polio 17 40 29 15 13 31 31 48 40 29 44 #DIV/0!
6 IPV #VALUE! 2 #VALUE! #VALUE! 4 4 #VALUE! #VALUE! - 6 #VALUE! 40 10.0
7 CAMPAK RUTIN #VALUE! 30 28 10 #VALUE! #VALUE! #VALUE! #VALUE! 30 28 #VALUE! 34 #DIV/0!
8 CAMPAK RUBELLA 1 50 38 10 3 45 45 46 50 38 48 #DIV/0!
9 pelarut MR 1 50 38 10 3 45 45 46 50 38 48 #DIV/0!
10 JE 20 20 16 10 14 12 12 32 20 16 26 #DIV/0!
11 DT #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! - - #VALUE! 0.0
12 Td #VALUE! #VALUE! #VALUE! 3 3 #VALUE! #VALUE! - 3 18 27 0.0
13 pelarut JE 20 20 16 10 14 12 12 32 20 16 26 #DIV/0!
14 PELARUT BCG #VALUE! 10 24 10 #VALUE! #VALUE! 7 9 #VALUE! #VALUE! 10 33 #VALUE!
15 PELARUT CAMPAK #VALUE! 30 28 10 #VALUE! #VALUE! #VALUE! #VALUE! 30 28 #VALUE!
B ADS
1 0,05 ml #VALUE! 40 #VALUE! #VALUE! 25 20 #VALUE! #VALUE! - 54 #VALUE!
2 0,5 ml #VALUE! 430 #VALUE! #VALUE! 50 20 #VALUE! - 71 #VALUE!
a. Bayi 400 100 50 2
b. Bumil & WUS 30 2
c. BIAS 2
3 5 ml #VALUE! 200 80 50 #VALUE! #VALUE! 25 #VALUE! #VALUE! 200 105 #VALUE!
a. Bayi 80 25 2
b. BIAS 2
C SAFETY BOX 2.5 ml #VALUE! - 5 #VALUE! #VALUE! - #VALUE! #VALUE! - #VALUE!
RASIO PENYUNTIKAN

Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : november 2018

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 68 19 49 45 30 50 25 113 - 69 74 66 66.0
2 BCG 26 20 11 35 2 7 9 - 28 20 20 35 41 4.6
3 POLIO 26 40 26 10 30 18 3 15 6 44 40 41 36 200 13.3
4 Pentabio 22 40 35 10 17 10 10 - 22 40 45 17 201 20.1
6 IPV 15 5 10 5 2 4 3 20 - 9 13 28 7.0
7 CAMPAK RUTIN 18 10 3 5 - 18 - 10 5 15 #DIV/0!
11 DT - - - - - - - 0.0
12 Td 12 7 5 5 3 3 5 17 - 10 18 27 0.0
14 PELARUT BCG 26 20 11 35 2 7 9 - 28 20 20 35
15 PELARUT CAMPAK 18 10 3 5 - 18 - 10 5
B ADS
1 0,05 ml 170 50 120 50 15 35 170 - - 155
2 0,5 ml 2,849 447 2,402 95 100 85 110 - 20 2,512
a. Bayi 416 100 85 2
b. Bumil & WUS 31 2
c. BIAS 2
3 5 ml 150 50 50 100 80 25 55 230 - 75 155
a. Bayi 50 25 2
b. BIAS 2
C SAFETY BOX 2.5 ml 64 - 6 58 - - 64.00 - 64
RASIO PENYUNTIKAN

Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : Oktober 2018

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 24 50 6 68 45 30 50 25 69 50 56 93 66 66.0
2 BCG 13 50 16 10 37 2 7 9 - 15 50 25 37 41 4.6
3 POLIO 9 60 11 15 43 18 3 15 6 27 60 26 49 200 13.3
4 Pentabio 42 30 35 15 22 10 10 - 42 30 45 22 201 20.1
6 IPV - 25 10 15 5 2 4 3 5 25 14 18 28 7.0
7 CAMPAK RUTIN 30 9 3 18 - - 30 9 18 15 #DIV/0!
11 DT - - - - - - - 0.0
12 Td 4 10 2 12 5 3 3 5 9 10 5 18 27 0.0
14 PELARUT BCG 13 50 16 10 37 2 7 9 - 15 50 25 37
15 PELARUT CAMPAK 30 9 3 18 - - 30 9 18
B ADS
1 0,05 ml 170 55 115 50 15 35 170 - - 150
2 0,5 ml 3,239 390 2,849 70 100 75 95 - 25 2,944
a. Bayi 356 100 75 2
b. Bumil & WUS 34 2
c. BIAS 2
3 5 ml 200 50 50 150 55 50 25 80 255 - 75 180
a. Bayi 50 25 2
b. BIAS 2
C SAFETY BOX 2.5 ml 64 - 6 58 - - 64.00 - 64
RASIO PENYUNTIKAN

Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : September 2018

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 62 8 30 24 45 30 50 25 107 - 58 49 66 66.0
2 BCG 35 15 7 13 2 7 9 - 37 - 24 13 41 4.6
3 POLIO 23 11 3 9 18 3 15 6 41 - 26 15 200 13.3
4 Pentabio 5 75 28 10 42 10 10 - 5 75 38 42 201 20.1
6 IPV 6 8 2 (4) 5 2 4 3 11 - 12 (1) 28 7.0
7 CAMPAK RUTIN - - - - - - 15 #DIV/0!
11 DT - - - - - - - 0.0
12 Td 12 5 3 4 5 3 3 5 17 - 8 18 27 0.0
14 PELARUT BCG 35 15 7 13 2 7 9 - 37 - 24 13
15 PELARUT CAMPAK - - - - - -
B ADS
1 0,05 ml 170 46 124 50 15 35 170 - - 159
2 0,5 ml 3,427 188 3,239 65 100 95 70 - 24 3,309
a. Bayi 150 100 95 2
b. Bumil & WUS 38 2
c. BIAS 2
3 5 ml 50 200 50 50 200 40 50 35 55 90 200 85 205
a. Bayi 50 35 2
b. BIAS 2
C SAFETY BOX 2.5 ml 64 - 6 58 - - 64.00 - 64
RASIO PENYUNTIKAN

Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : Agustus 2018

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 52 50 10 30 62 65 30 50 45 117 50 60 107 66 66.0
2 BCG 30 40 25 10 35 5 15 18 2 35 40 43 37 41 2.3
3 POLIO 23 50 30 20 23 26 10 18 18 49 50 48 41 200 11.1
4 Pentabio 10 60 40 25 5 6 10 16 - 16 60 56 5 201 12.6
6 IPV 16 8 2 6 8 - 3 5 24 - 11 11 28 9.3
7 CAMPAK RUTIN 20 30 33 17 - 6 10 16 - 26 30 49 - 15 0.9
11 DT - - - - - - - 0.0
12 Td 12 10 7 3 12 5 3 2 6 17 10 9 18 27 0.0
14 PELARUT BCG 30 40 25 10 35 5 15 18 2 35 40 43 37
15 PELARUT CAMPAK 20 30 33 17 - 6 10 12 4 26 30 45 4
B ADS
1 0,05 ml 320 50 270 - 2 (2) 320 - - 268
2 0,5 ml 3,946 519 3,427 60 100 95 65 - 43 3,492
a. Bayi 487 100 95 2
b. Bumil & WUS 32 2
c. BIAS 2
3 5 ml 95 80 50 15 40 50 35 55 135 - 115 20
a. Bayi 80 35 2
b. BIAS 2
C SAFETY BOX 2.5 ml 64 - 6 58 - - 64.00 - 64
RASIO PENYUNTIKAN

Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : mei 2018

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 12 130 22 120 10 22 32 - 22 130 32 120 53 53.0
2 BCG 3 50 23 15 15 10 15 20 5 13 50 43 20 54 2.7
3 POLIO 12 100 31 10 71 10 10 7 13 22 100 38 84 218 31.1
4 Pentabio 14 - 14 - - 6 - 6 - 20 - 20 - 168 28.0
6 IPV Err:522 50 5 5 40 4 5 4 5 Err:522 50 9 45 28 7.0
7 CAMPAK RUTIN 33 90 35 10 78 10 10 9 11 43 90 44 89 15 1.7
11 DT - - - - - - - 0.0
12 Td 13 10 2 - 21 2 5 2 5 15 10 4 18 27 0.0
14 PELARUT BCG 3 50 23 15 15 13 17 20 10 16 50 43 25
15 PELARUT CAMPAK 33 90 35 10 78 13 20 23 10 46 90 58 88
B ADS
1 0,05 ml 132 71 61 - 2 (2) 132 - - 59
2 0,5 ml 4,617 285 4,332 50 100 90 60 - 43 4,392
a. Bayi 250 100 90 2
b. Bumil & WUS 35 2
c. BIAS 2
3 5 ml 180 85 50 95 30 50 40 40 210 - 125 85
a. Bayi 85 40 2
b. BIAS 2
C SAFETY BOX 2.5 ml 72 - 3 69 - - 72.00 - 72
RASIO PENYUNTIKAN

Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : april 2018

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 21 30 39 12 16 39 45 10 37 30 45 22 53 53.0
2 BCG 32 10 22 17 3 13 17 20 10 45 10 42 13 54 2.7
3 POLIO 42 20 35 15 12 10 15 15 10 52 20 50 22 218 14.5
4 Pentabio 30 30 26 20 14 4 20 18 6 34 30 44 20 168 9.3
6 IPV 4 3 1 - 1 1 - 4 - 4 - 28 28.0
7 CAMPAK RUTIN 43 10 - 20 33 13 20 23 10 56 10 23 43 15 0.7
11 DT - - - - - - - 0.0
12 Td 19 4 2 13 3 2 3 2 22 - 7 18 27 0.0
14 PELARUT BCG 32 10 22 17 3 13 17 20 10 45 10 42 13
15 PELARUT CAMPAK 43 10 20 33 13 20 23 10 56 10 23 43
B ADS
1 0,05 ml 185 53 132 - 2 (2) 185 - - 130
2 0,5 ml 4,874 257 4,617 50 100 100 50 - 42 4,667
a. Bayi 230 100 100 2
b. Bumil & WUS 27 2
c. BIAS 2
3 5 ml 50 200 70 50 180 30 50 50 30 80 200 120 160
a. Bayi 70 50 2
b. BIAS 2
C SAFETY BOX 2.5 ml 7 75 10 72 - - 7.00 75 82
RASIO PENYUNTIKAN

Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : Februari 2018

TOTAL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0 13
A VAKSIN
1 HB-UNIJECT 31 1 22 8 27 22 30 19 27 - 31 27 56 56.0
2 BCG 18 40 12 23 23 9 23 24 8 31 40 36 31 50 2.1
3 POLIO 26 50 28 18 30 2 18 15 5 35 50 43 35 204 13.6
4 Pentabio 16 60 44 13 19 8 13 16 5 24 60 60 24 202 12.6
6 IPV 7 4 1 2 5 4 7 2 4 - 11 4 17 2.4
7 CAMPAK RUTIN 18 50 29 13 26 14 29 30 13 39 50 59 39 101 3.4
11 DT - - - - - - - 0.0
12 Td 5 20 7 4 14 2 5 3 4 18 20 10 18 0.0
14 PELARUT BCG 18 40 12 23 23 9 23 24 8 31 40 36 31
15 PELARUT CAMPAK 18 50 29 13 26 14 29 30 13 39 50 59 39
B ADS
1 0,05 ml 236 51 185 - 2 (2) 236 - - 183
2 0,5 ml 5,733 386 5,347 50 100 150 - - 36 5,347
a. Bayi 365 100 150 2
b. Bumil & WUS 21 2
c. BIAS 2
3 5 ml 20 200 88 50 132 30 20 10 40 50 200 98 152
a. Bayi 88 10 2
b. BIAS 2
C SAFETY BOX 2.5 ml 122 7 115 - - - -
RASIO PENYUNTIKAN

Nip. 197102262000121001 NIP. 198903212011012007
BULAN/TAHUN : JANUARI 2017

TOTAL
NO VAKSIN STOK STOK STOK STOK STOK STOK IP RIIL
1 2 3 4 5 6 7 8 9 10 3 4 5 6 11 12.0
A VAKSIN
1 HB-UNIJECT 20 15 10 5 20 5 5 1 9 29 15 11 29 0.0
2 BCG 20 15 10 5 20 5 5 1 9 29 15 11 29 0.0
3 POLIO 20 15 10 5 20 5 5 1 9 29 15 11 29 0.0
4 Pentabio 20 15 10 5 20 5 5 1 9 29 15 11 29 0.0
5 DPT/HB 20 15 10 5 20 5 5 1 9 29 15 11 29 0.0
6 IPV 20 15 10 5 20 5 5 1 9 29 15 11 29 0.0
7 CAMPAK RUTIN 20 15 10 5 20 5 5 1 9 29 15 11 29 0.0
8 CAMPAK RUBELLA 20 15 10 5 20 5 5 1 9 29 15 11 29 0.0
9 CAMPAK BIAS 20 15 10 5 20 5 5 1 9 29 15 11 29 0.0
10 JE 20 15 10 5 20 5 5 1 9 29 15 11 29 0.0
11 DT 20 15 10 5 20 5 5 1 9 29 15 11 29 0.0
12 Td 20 15 10 5 20 5 5 1 9 29 15 11 29 0.0
13 TT 20 15 10 5 20 5 5 1 9 29 15 11 29 0.0
14 PELARUT BCG 20 15 10 5 20 5 5 1 9 29 15 11 29
15 PELARUT CAMPAK 20 15 10 5 20 5 5 1 9 29 15 11 29
B ADS 5
1 0,05 ml 20 15 2 5 33 5 5 2 8 25 15 22 41
2 0,5 ml 60 15 30 5 45 30 5 25 10 90 15 22 55
a. Bayi 10 5 10 2
b. Bumil & WUS 10 5 10 2
c. BIAS 10 5 5 2
3 5 ml 20 15 10 5 25 30 5 2 33 50 15 12 53
a. Bayi 5 5 1 2
b. BIAS 5 5 1 2
C SAFETY BOX 2.5 ml 20 5 5 20 30 - 2 28 50 5 7 48
D SAFETY BOX 5 ml 20 5 5 20 30 - 2 28 50 5 7 48
RASIO PENYUNTIKAN
…………………………………… ………………………………..
NIP…………………………….. NIP……………………………………………
AIAN VAKSIN DAN LOGISTIK PUSKESMAS
KETERANGAN
13

Format Laporan Logistik Puskesmas

Diunggah oleh

Informasi Dokumen

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Format Laporan Logistik Puskesmas

Diunggah oleh

Hak Cipta:

Format Tersedia

LAPORAN PEMAKAIAN VAKSIN DAN LOGISTIK PUSKESMAS

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,3-2-2018

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,3-11-2017

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,5-12-2017

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,3-1-2018

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,4-4-2018

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,7-7-2018

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,7-8-2018

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,6-1-2019

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,6-12-2018

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,7-11-2018

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,7-9-2018

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,7-9-2018

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,7-6-2018

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,4-5-2018

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Mengetahui : Singaraja, tgl,3-3-2018

PUSKESMAS PUSTU/BPM/KLINIK dll PUSKESMAS TOTAL

Anda mungkin juga menyukai