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DATA DASAR PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV
Sasaran Sasaran
No Nama Pos Pelayanan Desa/Kelurahan
Usia 0-59 bulan Usia 4-59 bulan
a b c d e
1 Dahlia 1 Tabek Panjang 400 340
2 Dahlia 2 Tabek Panjang
3 Dahlia 3 Tabek Panjang
4 Dahlia 4 Tabek Panjang
5 Dahlia 5 Tabek Panjang
6 Dahlia 6 Tabek Panjang
7 Bougenville 1 Tabek Panjang
8 Bougenville 2 Tabek Panjang
9 Bougenville 3 Tabek Panjang
10 Bougenville 4 Tabek Panjang
11 Ros Merah 1 Tabek Panjang
12 Ros Merah 2 Tabek Panjang
13 Cemara 1 Sungai Cubadak
14 Cemara 2 Sungai Cubadak
15 Cemara 3 Sungai Cubadak
16 Cemara 4 Sungai Cubadak
17 Cemara 5 Sungai Cubadak
18 Cemara 6 Sungai Cubadak
19 Flamboyan 1 Koto Tinggi
20 Flamboyan 2 Koto Tinggi
21 Flamboyan 3 Koto Tinggi
22 Flamboyan 4
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
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
Total 400 340
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO

Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial terpakai Jumlah dropper Jumlah vial terpakai Jumlah ADS 0.5 ml
Cakupan Harian terpakai Cakupan Harian terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l
1 Dahlia 1 Tabek Panjang 0 0.0% 340 0.0%
2 Dahlia 2 Tabek Panjang - 0.0% - 0.0%
3 Dahlia 3 Tabek Panjang - 0.0% - 0.0%
4 Dahlia 4 Tabek Panjang - 0.0% - 0.0%
5 Dahlia 5 Tabek Panjang - 0.0% - 0.0%
6 Dahlia 6 Tabek Panjang - 0.0% - 0.0%
7 Bougenville 1 Tabek Panjang - 0.0% - 0.0%
8 Bougenville 2 Tabek Panjang - 0.0% - 0.0%
9 Bougenville 3 Tabek Panjang - 0.0% - 0.0%
10 Bougenville 4 Tabek Panjang - 0.0% - 0.0%
11 Ros Merah 1 Tabek Panjang - 0.0% - 0.0%
12 Ros Merah 2 Tabek Panjang - 0.0% - 0.0%
13 Cemara 1 Sungai Cubadak - 0.0% - 0.0%
14 Cemara 2 Sungai Cubadak - 0.0% - 0.0%
15 Cemara 3 Sungai Cubadak - 0.0% - 0.0%
16 Cemara 4 Sungai Cubadak - 0.0% - 0.0%
17 Cemara 5 Sungai Cubadak - 0.0% - 0.0%
18 Cemara 6 Sungai Cubadak - 0.0% - 0.0%
19 Flamboyan 1 Koto Tinggi - 0.0% - 0.0%
20 Flamboyan 2 Koto Tinggi - 0.0% - 0.0%
21 Flamboyan 3 Koto Tinggi - 0.0% - 0.0%
22 Flamboyan 4 0 - 0.0% - 0.0%
23 0 0 - 0.0% - 0.0%
24 0 0 - 0.0% - 0.0%
25 0 0 - 0.0% - 0.0%
26 0 0 - 0.0% - 0.0%
27 0 0 - 0.0% - 0.0%
28 0 0 - 0.0% - 0.0%
29 0 0 - 0.0% - 0.0%
30 0 0 - 0.0% - 0.0%
31 0 0 - 0.0% - 0.0%
32 0 0 - 0.0% - 0.0%
33 0 0 - 0.0% - 0.0%
34 0 0 - 0.0% - 0.0%
35 0 0 - 0.0% - 0.0%
36 0 0 - 0.0% - 0.0%
37 0 0 - 0.0% - 0.0%
38 0 0 - 0.0% - 0.0%
39 0 0 - 0.0% - 0.0%
40 0 0 - 0.0% - 0.0%
41 0 0 - 0.0% - 0.0%
42 0 0 - 0.0% - 0.0%
43 0 0 - 0.0% - 0.0%
44 0 0 - 0.0% - 0.0%
45 0 0 - 0.0% - 0.0%
46 0 0 - 0.0% - 0.0%
47 0 0 - 0.0% - 0.0%
48 0 0 - 0.0% - 0.0%
49 0 0 - 0.0% - 0.0%
50 0 0 - 0.0% - 0.0%
51 0 0 - 0.0% - 0.0%
52 0 0 - 0.0% - 0.0%
53 0 0 - 0.0% - 0.0%
54 0 0 - 0.0% - 0.0%
55 0 0 - 0.0% - 0.0%
56 0 0 - 0.0% - 0.0%
57 0 0 - 0.0% - 0.0%
58 0 0 - 0.0% - 0.0%
59 0 0 - 0.0% - 0.0%
60 0 0 - 0.0% - 0.0%
61 0 0 - 0.0% - 0.0%
62 0 0 - 0.0% - 0.0%
63 0 0 - 0.0% - 0.0%
64 0 0 - 0.0% - 0.0%
65 0 0 - 0.0% - 0.0%
66 0 0 - 0.0% - 0.0%
67 0 0 - 0.0% - 0.0%
68 0 0 - 0.0% - 0.0%
69 0 0 - 0.0% - 0.0%
70 0 0 - 0.0% - 0.0%
71 0 0 - 0.0% - 0.0%
72 0 0 - 0.0% - 0.0%
73 0 0 - 0.0% - 0.0%
74 0 0 - 0.0% - 0.0%
75 0 0 - 0.0% - 0.0%
76 0 0 - 0.0% - 0.0%
77 0 0 - 0.0% - 0.0%
78 0 0 - 0.0% - 0.0%
79 0 0 - 0.0% - 0.0%
80 0 0 - 0.0% - 0.0%
81 0 0 - 0.0% - 0.0%
82 0 0 - 0.0% - 0.0%
83 0 0 - 0.0% - 0.0%
84 0 0 - 0.0% - 0.0%
85 0 0 - 0.0% - 0.0%
86 0 0 - 0.0% - 0.0%
87 0 0 - 0.0% - 0.0%
88 0 0 - 0.0% - 0.0%
89 0 0 - 0.0% - 0.0%
90 0 0 - 0.0% - 0.0%
91 0 0 - 0.0% - 0.0%
92 0 0 - 0.0% - 0.0%
93 0 0 - 0.0% - 0.0%
94 0 0 - 0.0% - 0.0%
95 0 0 - 0.0% - 0.0%
96 0 0 - 0.0% - 0.0%
97 0 0 - 0.0% - 0.0%
98 0 0 - 0.0% - 0.0%
99 0 0 - 0.0% - 0.0%
100 0 0 - 0.0% - 0.0%
Total - - 0.0% - - 340 - 0.0% - -
REKAPITULASI LAPORAN HARIAN PELAKSANAAN CRASH PROGRAM IMUNISASI POLIO
Puskesmas : BASO
Kabupaten/ Kota : AGAM
Provinsi : SUMATERA BARAT
Laporan tanggal :
(Mohon isi pada kolom yang berwarna kuning yaitu tanggal laporan, penggunaan total safety box & pen marker, data column lainnya akan muncul otomatis)
bOPV IPV

No Nama Pos Pelayanan Desa/Kelurahan Usia 0-59 bulan Usia 4-59 bulan
Jumlah vial vaksin Jumlah dropper Jumlah vial vaksin Jumlah ADS 0.5 ml Jumlah safety box Jumlah pen marker
Cakupan Kumulatif terpakai IP terpakai Cakupan Kumulatif terbuka/terpakai IP terpakai terpakai terpakai
Jumlah sasaran Jumlah sasaran
Absolut % Absolut %
a b b c d e f g h i j k l m n o p
1 Dahlia 1 Tabek Panjang 400 - 0.0% - #DIV/0! - 340 - 0.0% - #DIV/0! -
2 Dahlia 2 Tabek Panjang - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
3 Dahlia 3 Tabek Panjang - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
4 Dahlia 4 Tabek Panjang - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
5 Dahlia 5 Tabek Panjang - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
6 Dahlia 6 Tabek Panjang - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
7 Bougenville 1 Tabek Panjang - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
8 Bougenville 2 Tabek Panjang - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
9 Bougenville 3 Tabek Panjang - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
10 Bougenville 4 Tabek Panjang - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
11 Ros Merah 1 Tabek Panjang - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
12 Ros Merah 2 Tabek Panjang - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
13 Cemara 1 Sungai Cubadak - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
14 Cemara 2 Sungai Cubadak - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
15 Cemara 3 Sungai Cubadak - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
16 Cemara 4 Sungai Cubadak - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
17 Cemara 5 Sungai Cubadak - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
18 Cemara 6 Sungai Cubadak - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
19 Flamboyan 1 Koto Tinggi - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
20 Flamboyan 2 Koto Tinggi - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
21 Flamboyan 3 Koto Tinggi - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
22 Flamboyan 4 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
23 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
24 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
25 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
26 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
27 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
28 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
29 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
30 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
31 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
32 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
33 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
34 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
35 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
36 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
37 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
38 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
39 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
40 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
41 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
42 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
43 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
44 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
45 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
46 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
47 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
48 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
49 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
50 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
51 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
52 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
53 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
54 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
55 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
56 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
57 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
58 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
59 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
60 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
61 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
62 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
63 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
64 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
65 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
66 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
67 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
68 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
69 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
70 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
71 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
72 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
73 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
74 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
75 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
76 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
77 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
78 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
79 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
80 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
81 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
82 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
83 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
84 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
85 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
86 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
87 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
88 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
89 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
90 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
91 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
92 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
93 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
94 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
95 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
96 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
97 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
98 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
99 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
100 0 0 - - 0.0% - #DIV/0! - - - 0.0% - #DIV/0! -
Total 400 - 0.0% - #DIV/0! - 340 - 0.0% - #DIV/0! -

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