II Umur 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 - 15 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0
2 > 15 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
IV Status Imunisasi Polio : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Lengkap 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tidak lengkap 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Belum imunisasi 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
V Pengambilan Spesimen : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Spesimen I positif 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Spesimen II positif 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Spesimen follow up 60 hr 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Rujukan : 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rumah sakit 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Faskes lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui Lenang,31-07-2023
Kepala UPTD Puskesmas Lenang Pengelola SIKDA