Format Pendataan Ori
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PENCATATAN HASIL OUTBREAK RESPONSE IMUNIZATION (ORI) DIFTERI PUSKESMAS PUJON TAHUN 2018 TEMPAT/LOKASI IMUNISASI DESA/KELURAHAN TANGGAL PELAKSANAAN NO.
Jumlah pemakaian Vaksin
: : :
NAMA ANAK
L/P
:
TANGGAL LAHIR
NAMA ORANGTUA
ALAMAT
TANGGAL IMUNISASI
Pelarut ADS 0,5ml ADS 5ml Safety box
: : : :
KETERANGAN
HASIL PELAKSANAAN KAMPANYE IMUNISASI MEASLES - RUBELLA PUSKESMAS PUJON PERIODE AGUSTUS 2017 PUSKESMAS PUJON NO
DESA
POSYANDU/PAUD/TK/SD SASARAN /SMP/SMA/SMK
CAKUPAN
SASARAN
CAKUPAN
SASARAN
CAKUPAN
PEMAKAI VAKSIN MR
9bln-6th 1
Posyandu Gilang 01 Posyandu Gilang 02 Posyandu Gilang 03 Posyandu Gilang 04 Posyandu Gilang 05 Posyandu Gilang 06 Posyandu Gilang 07 PAUD PERMATA HATI TK RESTU PGRI 3 TK THORIQOTUS S SDN NGABAB 01 SDN NGABAB 02 SDN NGABAB 03 MI THORIQOTUS S MTs SUNAN BONANG SUB TOTAL NGABAB
2
NGABAB
TAWANGSARI Posyandu Seroja 01 Posyandu Seroja 02 Posyandu Seroja 03 Posyandu Seroja 04 Posyandu Seroja 05 Posyandu Seroja 06
JUMLAH
%
7-12th
JUMLAH
%
13-<15th JUMLAH
64 78 99 103 19 37 67
124 156 60 271
36 112 74 167 146 39
11 11 5 19 156
%
DITERIMA
DIPAKAI
PELARUT MR SISA
DITERIMA DIPAKAI
PAUD Permatasari 01 PAUD Permatasari 02 TK PGRI TK Miftahul Ulum TK Al-Mansyuriah TK Al-Asyiah SDN TAWANGSARI 01 SDN TAWANGSARI 02 MI Miftahul Ulum 01 MI Miftahul Ulum 02 MTs Miftahul Ulum SMPN 02 SUB TOTAL TAWANGSARI 3
MADIREDO
Posyandu Mawar 01 Posyandu Mawar 02 Posyandu Mawar 03 Posyandu Mawar 04 Posyandu Mawar 05 Posyandu Mawar 06 Posyandu Mawar 07 Posyandu Mawar 08 Posyandu Mawar 09 PAUD MAFDA PAUD RADEN PATAH TK MAFDA TK AL BAROROH TK RADEN PATAH TK AL ROHMAH SDN MADIREDO 01 SDN MADIREDO 02 SDN MADIREDO 03 MI RADEN PATAH
88 58 60 43 27 21 103 79 81
MI MAFDA SMP ISLAM MADIREDO MTs MAFDA SUB TOTAL MADIREDO 4 WIYUREJO
Posyandu Wiyu 01 Posyandu Wiyu 02 Posyandu Kalangan 01 Posyandu Kalangan 02 Posyandu Borah Posyandu Bagean PAUD Miftaqul Uquliyah PAUD Qurrota A'yun PAUD Al-Islah MI Al-Islah MI Miftaqul Uquliyah SDN Wiyurejo 01 SDN Wiyurejo 02 SUB TOTAL WIYUREJO 5 PANDESARI
Posyandu Lestari 01 Posyandu Lestari 02 Posyandu Lestari 03 Posyandu Lestari 04 Posyandu Lestari 05 Posyandu Lestari 06 Posyandu Lestari 07 Posyandu Lestari 08 Posyandu Lestari 09 Posyandu Lestari 10 Posyandu Lestari 11 Posyandu Lestari 12 RA Al Hikmah
98 87 133 68 16 60
59 77 67 45 21 60 40 69 55 56 91 92
RA PKK Sebaluh TK Kartini TK Jurangrejo TK Subulus Salam PAUD Melati SDN Pandesari 01 SDN Pandesari 02 SDN Pandesari 03 SDN Pandesari 04 SDN Pandesari 05 SMP Negeri 01 SUB TOTAL PANDESARI
6 PUJON LOR
Posyandu DELIMA 01 Posyandu DELIMA 02 Posyandu DELIMA 03 Posyandu DELIMA 04 Posyandu DELIMA 05 Posyandu DELIMA 06 Posyandu DELIMA 07 Posyandu DELIMA 08 PAUD SUNAN AMPEL RA SUNAN AMPEL PAUD MENTARI TK PGRI TK DHARMA WANITA SDN PUJON LOR 01 SDN PUJON LOR 02 SDN PUJON LOR 03 SDN PUJON LOR 04 TIDAK SEKOLAH SUB TOTAL PUJON LOR
41 34 101 33 69 120 43 28
469
0
0
0
0 #DIV/0!
0
0
0
0
0
0
#DIV/0!
481 7 NGROTO
Posyandu Melati 01 Posyandu Melati 02 Posyandu Melati 03 Posyandu Melati 04 Posyandu Melati 05 Posyandu Melati 06 Posyandu Melati 07 Posyandu Melati 08 PAUD TUNAS BANGSA PAUD Yaa Bunaya PAUD Maunah Sari RA Maunah Sari TK Dharma Wanita RA Khodijah TK IT Ya Bunaya SDN Ngroto 02 SDN Ngroto 03 SDN Ngroto 04 MI Mabruq Qur'an SDIT Ya Bunayya MTs TMI Pujon SMP Islam Pujon SMKS Nurul Haromain SMKN 01 Pujon SUB TOTAL NGROTO
65 56 37 55 36 42 39 30
8 PUJON KIDUL Posyandu Kartini 01 Posyandu Kartini 02 Posyandu Kartini 03 Posyandu Kartini 04
104 73 53 63
21 #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
360 360
#REF! #REF! #REF! #REF! #REF! #REF!
0
0
0
#REF!
0
0
0
0
0
0
#DIV/0!
Posyandu Kartini 05 TK Al Izzah TK Dharma Wanita TK Abba Mutiara Iman SDN Pujon Kidul 01 SDN Pujon Kidul 02 MI Al-Mujtabaa SMPN 03 SUB TOTAL PUJON KIDUL
9 BENDOSARI
Posyandu Restu 01 Posyandu Restu 02 Posyandu Restu 03 Posyandu Restu 04 Posyandu Restu 05 RA Miftaqul Huda TK PKK Anak Soleh TK Nur Hidayah SDN Bendosari 01 SDN Bendosari 02 SDN Bendosari 03 MI Hidayatul Fata SMPN 04 SUB TOTAL BENDOSARI
10 SUKOMULYO
Posyandu Rosalia 01 Posyandu Rosalia 02 Posyandu Rosalia 03 Posyandu Rosalia 04 Posyandu Rosalia 05 Posyandu Rosalia 06
27
#REF! #REF! #REF!
320 454 132 29 77 19 24
281 325 42 34 39 36 63 73
#REF! #REF!
0
0
0
#REF!
0
0
0
0
0
0
#DIV/0!
0
0
0
#REF!
0
0
0
0
0
0
#DIV/0!
#REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Posyandu Rosalia 07 Posyandu Rosalia 08 TK PKK Taman Harapan PAUD Mahardika PAUD Kedungrejo TK Kedungrejo TK PKK Kusuma Bangsa SDN Sukomulyo 01 SDN Sukomulyo 02 SDN Sukomulyo 03 SDN Sukomulyo 04 MI Bustanul Uqul SMP PGRI SUB TOTAL SUKOMULYO
TOTAL PUSKESMAS PUJON TOTAL PUSKESMAS PUJON
21 50
#REF! #REF! #REF! #REF!
358 407
#REF! #REF!
1788 2027
#REF! #REF!
0
0
0
0
0
0
#REF!
#REF!
0
0
0
0
0
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
PEMAKAIAN VAKSIN & LOGISTIK
ELARUT MR
ADS 0,5ML SISA
DITERIMA DIPAKAI
ADS 5ML SISA
DITERIMA DIPAKAI
SAFETY BOX SISA
DITERIMA DIPAKAI
SISA
0
0
0
0
0
0 #DIV/0!
12 12
9 9
21 21
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 #DIV/0!
0
0
0
0
0
0
#DIV/0!
0
0
0
0
0
72 72
0
97 97
0
169 169
0
0
0
0
0
0
0
0 #DIV/0!
62 62
66 66
128 128
0
0
0
0
0
0
0
0
0
9 1
1
10 1 1 69 81
0
0
0
0
0
0
0
0
0
34 44
1 35 37
0
72
0
97
0
169
0
0
0
0
49 49
0 #DIV/0!
0
0
167
38 38
150
87 87
317
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
0
0
0
0
0
0
0
0
0
Jumlah pemakaian Vaksin
: : :
NAMA ANAK
L/P
:
TANGGAL LAHIR
NAMA ORANGTUA
ALAMAT
TANGGAL IMUNISASI
Pelarut ADS 0,5ml ADS 5ml Safety box
: : : :
KETERANGAN
HASIL PELAKSANAAN KAMPANYE IMUNISASI MEASLES - RUBELLA PUSKESMAS PUJON PERIODE AGUSTUS 2017 PUSKESMAS PUJON NO
DESA
POSYANDU/PAUD/TK/SD SASARAN /SMP/SMA/SMK
CAKUPAN
SASARAN
CAKUPAN
SASARAN
CAKUPAN
PEMAKAI VAKSIN MR
9bln-6th 1
Posyandu Gilang 01 Posyandu Gilang 02 Posyandu Gilang 03 Posyandu Gilang 04 Posyandu Gilang 05 Posyandu Gilang 06 Posyandu Gilang 07 PAUD PERMATA HATI TK RESTU PGRI 3 TK THORIQOTUS S SDN NGABAB 01 SDN NGABAB 02 SDN NGABAB 03 MI THORIQOTUS S MTs SUNAN BONANG SUB TOTAL NGABAB
2
NGABAB
TAWANGSARI Posyandu Seroja 01 Posyandu Seroja 02 Posyandu Seroja 03 Posyandu Seroja 04 Posyandu Seroja 05 Posyandu Seroja 06
JUMLAH
%
7-12th
JUMLAH
%
13-<15th JUMLAH
64 78 99 103 19 37 67
124 156 60 271
36 112 74 167 146 39
11 11 5 19 156
%
DITERIMA
DIPAKAI
PELARUT MR SISA
DITERIMA DIPAKAI
PAUD Permatasari 01 PAUD Permatasari 02 TK PGRI TK Miftahul Ulum TK Al-Mansyuriah TK Al-Asyiah SDN TAWANGSARI 01 SDN TAWANGSARI 02 MI Miftahul Ulum 01 MI Miftahul Ulum 02 MTs Miftahul Ulum SMPN 02 SUB TOTAL TAWANGSARI 3
MADIREDO
Posyandu Mawar 01 Posyandu Mawar 02 Posyandu Mawar 03 Posyandu Mawar 04 Posyandu Mawar 05 Posyandu Mawar 06 Posyandu Mawar 07 Posyandu Mawar 08 Posyandu Mawar 09 PAUD MAFDA PAUD RADEN PATAH TK MAFDA TK AL BAROROH TK RADEN PATAH TK AL ROHMAH SDN MADIREDO 01 SDN MADIREDO 02 SDN MADIREDO 03 MI RADEN PATAH
88 58 60 43 27 21 103 79 81
MI MAFDA SMP ISLAM MADIREDO MTs MAFDA SUB TOTAL MADIREDO 4 WIYUREJO
Posyandu Wiyu 01 Posyandu Wiyu 02 Posyandu Kalangan 01 Posyandu Kalangan 02 Posyandu Borah Posyandu Bagean PAUD Miftaqul Uquliyah PAUD Qurrota A'yun PAUD Al-Islah MI Al-Islah MI Miftaqul Uquliyah SDN Wiyurejo 01 SDN Wiyurejo 02 SUB TOTAL WIYUREJO 5 PANDESARI
Posyandu Lestari 01 Posyandu Lestari 02 Posyandu Lestari 03 Posyandu Lestari 04 Posyandu Lestari 05 Posyandu Lestari 06 Posyandu Lestari 07 Posyandu Lestari 08 Posyandu Lestari 09 Posyandu Lestari 10 Posyandu Lestari 11 Posyandu Lestari 12 RA Al Hikmah
98 87 133 68 16 60
59 77 67 45 21 60 40 69 55 56 91 92
RA PKK Sebaluh TK Kartini TK Jurangrejo TK Subulus Salam PAUD Melati SDN Pandesari 01 SDN Pandesari 02 SDN Pandesari 03 SDN Pandesari 04 SDN Pandesari 05 SMP Negeri 01 SUB TOTAL PANDESARI
6 PUJON LOR
Posyandu DELIMA 01 Posyandu DELIMA 02 Posyandu DELIMA 03 Posyandu DELIMA 04 Posyandu DELIMA 05 Posyandu DELIMA 06 Posyandu DELIMA 07 Posyandu DELIMA 08 PAUD SUNAN AMPEL RA SUNAN AMPEL PAUD MENTARI TK PGRI TK DHARMA WANITA SDN PUJON LOR 01 SDN PUJON LOR 02 SDN PUJON LOR 03 SDN PUJON LOR 04 TIDAK SEKOLAH SUB TOTAL PUJON LOR
41 34 101 33 69 120 43 28
469
0
0
0
0 #DIV/0!
0
0
0
0
0
0
#DIV/0!
481 7 NGROTO
Posyandu Melati 01 Posyandu Melati 02 Posyandu Melati 03 Posyandu Melati 04 Posyandu Melati 05 Posyandu Melati 06 Posyandu Melati 07 Posyandu Melati 08 PAUD TUNAS BANGSA PAUD Yaa Bunaya PAUD Maunah Sari RA Maunah Sari TK Dharma Wanita RA Khodijah TK IT Ya Bunaya SDN Ngroto 02 SDN Ngroto 03 SDN Ngroto 04 MI Mabruq Qur'an SDIT Ya Bunayya MTs TMI Pujon SMP Islam Pujon SMKS Nurul Haromain SMKN 01 Pujon SUB TOTAL NGROTO
65 56 37 55 36 42 39 30
8 PUJON KIDUL Posyandu Kartini 01 Posyandu Kartini 02 Posyandu Kartini 03 Posyandu Kartini 04
104 73 53 63
21 #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
360 360
#REF! #REF! #REF! #REF! #REF! #REF!
0
0
0
#REF!
0
0
0
0
0
0
#DIV/0!
Posyandu Kartini 05 TK Al Izzah TK Dharma Wanita TK Abba Mutiara Iman SDN Pujon Kidul 01 SDN Pujon Kidul 02 MI Al-Mujtabaa SMPN 03 SUB TOTAL PUJON KIDUL
9 BENDOSARI
Posyandu Restu 01 Posyandu Restu 02 Posyandu Restu 03 Posyandu Restu 04 Posyandu Restu 05 RA Miftaqul Huda TK PKK Anak Soleh TK Nur Hidayah SDN Bendosari 01 SDN Bendosari 02 SDN Bendosari 03 MI Hidayatul Fata SMPN 04 SUB TOTAL BENDOSARI
10 SUKOMULYO
Posyandu Rosalia 01 Posyandu Rosalia 02 Posyandu Rosalia 03 Posyandu Rosalia 04 Posyandu Rosalia 05 Posyandu Rosalia 06
27
#REF! #REF! #REF!
320 454 132 29 77 19 24
281 325 42 34 39 36 63 73
#REF! #REF!
0
0
0
#REF!
0
0
0
0
0
0
#DIV/0!
0
0
0
#REF!
0
0
0
0
0
0
#DIV/0!
#REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Posyandu Rosalia 07 Posyandu Rosalia 08 TK PKK Taman Harapan PAUD Mahardika PAUD Kedungrejo TK Kedungrejo TK PKK Kusuma Bangsa SDN Sukomulyo 01 SDN Sukomulyo 02 SDN Sukomulyo 03 SDN Sukomulyo 04 MI Bustanul Uqul SMP PGRI SUB TOTAL SUKOMULYO
TOTAL PUSKESMAS PUJON TOTAL PUSKESMAS PUJON
21 50
#REF! #REF! #REF! #REF!
358 407
#REF! #REF!
1788 2027
#REF! #REF!
0
0
0
0
0
0
#REF!
#REF!
0
0
0
0
0
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
PEMAKAIAN VAKSIN & LOGISTIK
ELARUT MR
ADS 0,5ML SISA
DITERIMA DIPAKAI
ADS 5ML SISA
DITERIMA DIPAKAI
SAFETY BOX SISA
DITERIMA DIPAKAI
SISA
0
0
0
0
0
0 #DIV/0!
12 12
9 9
21 21
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 #DIV/0!
0
0
0
0
0
0
#DIV/0!
0
0
0
0
0
72 72
0
97 97
0
169 169
0
0
0
0
0
0
0
0 #DIV/0!
62 62
66 66
128 128
0
0
0
0
0
0
0
0
0
9 1
1
10 1 1 69 81
0
0
0
0
0
0
0
0
0
34 44
1 35 37
0
72
0
97
0
169
0
0
0
0
49 49
0 #DIV/0!
0
0
167
38 38
150
87 87
317
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
0
0
0
0
0
0
0
0
0
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