REGISTER IMUNISASI HEPATITIS B UNTUK TENAGA MEDIS DAN

NAMA FASKES : UPT PUSKESMAS SEBANGAR

ALAMAT FASKES : JL JAMBU KM 19
PENANGGUNGJAWAB WILAYAH LAYANAN :
KABUPATEN/KOTA : BENGKALIS
PROVINSI : RIAU

JENIS KELAMIN
NO NAMA TANGGAL LAHIR
L P
1 RISSA ZULIA ULFA P 3/16/1983
2 NANCI IKA D HUTAGALUNG P 2/13/1981
3 SHINTA DWI YANI P 2/26/1989
4 SRI WAHYUNI P 12/16/1981
5 FATMAWATI KARTIKA SARI P 7/16/1991
6 WIDYANA LIES SUSANTI P 1/17/1989
7 LIHAYATI P 6/13/1978
8 NURYASNI P 11/21/1969
9 SEPTIA WAHYUNI HARAHAP P 9/6/1992
10 APRILIA DESI RAPIKA P 4/30/1995
11 NURUL RAHMI P 8/11/1993
12 ROSYIDAH MUNAWAROH P 2/28/1985
13 ITA ALEMINA SEBAYANG P 1/13/1983
14 DEZY MELLISA P 11/26/1984
15 RIRIS BERLIANA PANJAITAN P 9/20/1979
16 SYARIFAHAINI PURBA P 6/13/1982
17 WIDYA NOVELLA P 11/12/1984
18 NOVI NURMAYANTY P 11/4/1983
19 DESSY FLORIDA P 4/29/1977
20 NURLENA P 4/9/1979
21 RINDA JAYUSTIN SASTRA P 3/29/1992
22 NIAR HARYANI P 7/5/1986
23 VERA HELENA SYAFRUL P 3/9/1978
24 SUSI YANTI P 4/4/1976
25 NURKAYAH P 3/17/1987
26 BUKTINARIA P 10/13/1986
27 MUTIA RADITA ULFA P 10/24/1995
28 SUGIATI P 3/13/1974
29 MASNA HERAWATI P 11/20/1983
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TITIS B UNTUK TENAGA MEDIS DAN TENAGA KESEHATAN

TANGGAL IMUNISASI HEPATITIS B

NIK ASAL INSTANSI
DOSIS 1 DOSIS 2 DOSIS 3
1403095603830007 UPT PKM SEBANGAR 2/3/2024
1403135302818945 UPT PKM SEBANGAR 2/3/2024
1403126602891316 UPT PKM SEBANGAR 2/3/2024
1403095612810002 UPT PKM SEBANGAR 2/3/2024
1403095607910001 UPT PKM SEBANGAR 2/3/2024
1403055701899131 UPT PKM SEBANGAR 2/3/2024
1403095306780010 UPT PKM SEBANGAR 2/3/2024
1403096111699565 UPT PKM SEBANGAR 2/3/2024
1403094609922696 UPT PKM SEBANGAR 2/3/2024
1403097004950003 UPT PKM SEBANGAR 2/3/2024
1403095108936367 UPT PKM SEBANGAR 2/3/2024
1403096802853795 UPT PKM SEBANGAR 2/3/2024
1403095301830005 UPT PKM SEBANGAR 2/3/2024
1403096611841883 UPT PKM SEBANGAR 2/3/2024
1403096009792352 UPT PKM SEBANGAR 2/3/2024
1208025306820001 UPT PKM SEBANGAR 2/3/2024
1403095211848825 UPT PKM SEBANGAR 2/3/2024
1403094411837620 UPT PKM SEBANGAR 2/3/2024
1403096904780002 UPT PKM SEBANGAR 2/3/2024
1403094904790004 UPT PKM SEBANGAR 2/6/2024
1403096903921001 UPT PKM SEBANGAR 2/6/2024
1407054507860001 UPT PKM SEBANGAR 2/6/2024
1406034903780001 UPT PKM SEBANGAR 2/6/2024
1403094707760014 UPT PKM SEBANGAR 2/6/2024
1223015703870006 UPT PKM SEBANGAR 2/6/2024
1403095310860011 UPT PKM SEBANGAR 2/6/2024
1403096410950001 UPT PKM SEBANGAR 2/6/2024
1403135303746790 UPT PKM SEBANGAR 2/6/2024
1403096511830005 UPT PKM SEBANGAR 2/6/2024
 LAPORAN HARIAN IMUNISASI HEPATITIS B UNTU

TANGGAL/BULAN/TAHUN : 3-2-2024
NAMA FASYANKES : UPT PKM SEBANGAR
ALAMAT FASYANKES : JL JAMBU KM 19
PENANGGUNGJAWAB WILAYAH LAYANAN :
KABUPATEN/KOTA : BENGKALIS
PROVINSI : RIAU
Isilah pada kolom yang berwarna

JUMLAH SASARAN
NO DESA/KELURAHAN CAPAIAN DOSIS 1
L P TOTAL
L %
1 UPT PKM SEBANGAR 2 39 41 0 0%
2 0 0%
3 0 0%
4 0 0%
5 0 0%
6 0 0%
7 0 0%
8 0 0%
9 0 0%
10 0 0%
JUMLAH 2 39 41 0 0%
NISASI HEPATITIS B UNTUK TENAGA MEDIS DAN TENAGA KESEHATAN TINGKAT FASYANKES

CAKUPAN IMUNISASI HEPATITIS B

CAPAIAN DOSIS 1 CAPAIAN DOSIS 2
P % TOTAL % L % P % TOTAL %
19 49% 19 46% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
19 49% 19 46% 0 0% 0 0% 0 0%
ASYANKES

CAPAIAN DOSIS 3
L % P % TOTAL %
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0 0% 0 0% 0 0%

SEBANGAR, 3 FEB 2024

Kepala Fasyankes

( VERA HELENA SYAFRUL S Tr Keb )

 LAPORAN HARIAN IMUNISASI HEPATITIS B UNTU

TANGGAL/BULAN/TAHUN : 6 -2-2024
NAMA FASYANKES : UPT PKM SEBANGAR
ALAMAT FASYANKES : JL JAMBU KM 19
PENANGGUNGJAWAB WILAYAH LAYANAN :
KABUPATEN/KOTA : BENGKALIS
PROVINSI : RIAU
Isilah pada kolom yang berwarna

JUMLAH SASARAN
NO DESA/KELURAHAN CAPAIAN DOSIS 1
L P TOTAL
L %
1 UPT PKM SEBANGAR 2 39 41 0 0%
2 0 0%
3 0 0%
4 0 0%
5 0 0%
6 0 0%
7 0 0%
8 0 0%
9 0 0%
10 0 0%
JUMLAH 2 39 41 0 0%
NISASI HEPATITIS B UNTUK TENAGA MEDIS DAN TENAGA KESEHATAN TINGKAT FASYANKES

CAKUPAN IMUNISASI HEPATITIS B

CAPAIAN DOSIS 1 CAPAIAN DOSIS 2
P % TOTAL % L % P % TOTAL %
10 26% 10 24% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
10 26% 10 24% 0 0% 0 0% 0 0%
ASYANKES

CAPAIAN DOSIS 3
L % P % TOTAL %
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0 0% 0 0% 0 0%

SEBANGAR, 6 FEB 2024

Kepala Fasyankes

( VERA HELENA SYAFRUL S Tr Keb )

 LAPORAN HARIAN IMUNISASI HEPATITIS B UNTU

TANGGAL/BULAN/TAHUN : REKAPITULASI
NAMA FASYANKES : UPT PKM SEBANGAR
ALAMAT FASYANKES : JL JAMBU KM 19
PENANGGUNGJAWAB WILAYAH LAYANAN :
KABUPATEN/KOTA : BENGKALIS
PROVINSI : RIAU
Isilah pada kolom yang berwarna

JUMLAH SASARAN
NO DESA/KELURAHAN CAPAIAN DOSIS 1
L P TOTAL
L %
1 UPT PKM SEBANGAR 2 39 41 0 0%
2 0 0%
3 0 0%
4 0 0%
5 0 0%
6 0 0%
7 0 0%
8 0 0%
9 0 0%
10 0 0%
JUMLAH 2 39 41 0 0%
NISASI HEPATITIS B UNTUK TENAGA MEDIS DAN TENAGA KESEHATAN TINGKAT FASYANKES

CAKUPAN IMUNISASI HEPATITIS B

CAPAIAN DOSIS 1 CAPAIAN DOSIS 2
P % TOTAL % L % P % TOTAL %
29 74% 29 71% 0 0% 0 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
0% 0 0% 0% 0% 0 0%
29 74% 29 71% 0 0% 0 0% 0 0%
ASYANKES

CAPAIAN DOSIS 3
L % P % TOTAL %
0 0% 0 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0% 0% 0 0%
0 0% 0 0% 0 0%

SEBANGAR, 6 FEB 2024

Kepala Fasyankes

( VERA HELENA SYAFRUL S Tr Keb )