KABUPATEN : PIDIE

PUSKESMAS : SIMPANG TIGA

BULAN : Agustus
TAHUN : 2023

Jumlah Bayi Lahir

NO Nama Desa Hidup Jumlah Sasaran 0- HBO <24 Jam HBO (1-7 HR) BCG
11 Bulan
L P Jlh L P Jlh L P Jlh
1 2 3 4 5 6 7 8 10 11 12 13 14 15 16 17 18
1 RAYA PAYA 4 5 9 7 7 14 0 0 0 1 1 2 1 0 1

2 MESJID BUNGIE 3 3 6 4 5 9 1 0 1 0 1 1 0 0 0

3 LILIEP 2 2 4 3 3 7 0 0 0 0 0 0 0 0 0

4 UJUNG BAROH 3 3 7 5 5 10 0 0 0 1 1 2 0 0 0

5 SEUK CUKOK 3 3 6 5 5 9 0 0 0 1 0 1 0 0 0

6 PULO TO 2 2 5 4 3 7 0 0 0 0 0 0 0 0 0

7 PALOH TOK DUE 3 3 6 4 5 9 0 0 0 0 0 0 0 0 0

8 MEUNASAH JURONG 2 2 5 3 3 7 0 0 0 0 0 0 0 0 0

9 KAMPONG BLANG 8 9 18 12 13 26 0 0 0 0 2 2 0 1 1

10 KULAM BARO 7 7 14 10 10 20 0 0 0 0 0 0 0 0 0

11 LINGGONG SAGOE 7 8 15 10 11 21 0 0 0 0 0 0 0 1 1

12 BLANG LEUN 2 3 5 3 4 7 0 0 0 1 0 1 0 0 0

13 MESJID TUNGUE 3 4 7 5 6 10 0 0 0 0 0 0 0 0 0

14 ULEE BARAT 4 5 9 6 7 13 0 0 0 0 0 0 0 0 0

15 EMPEH 2 3 4 3 4 6 0 0 0 0 0 0 1 0 1

16 PADANG 5 6 11 8 8 16 0 0 0 1 0 1 0 0 0

17 DAYAH BLANG 4 4 8 6 6 12 0 0 0 0 0 0 0 0
 0
18 TEUNGOH MANGKI 2 2 3 2 3 5 0 0 0 0 0 0 0 0 0

19 DAYAH BLANG CUT 2 2 4 3 3 6 0 0 0 0 1 1 0 0 0

20 NIEN 4 5 9 6 6 13 0 0 0 1 0 1 0 0 0

21 CEURUCOK TIMUR 3 3 6 4 4 9 0 0 0 0 0 0 0 0 0

22 JAJA TUNONG 4 4 8 5 6 11 0 0 0 1 1 2 0 0 0

23 UJONG GAMPONG 3 3 6 4 5 9 0 0 0 0 0 0 0 0 0

24 LHEUE 2 2 3 2 2 5 0 0 0 0 0 0 0 0 0

25 JAJA BAROH 3 3 6 4 4 8 0 0 0 0 1 1 0 0 0

26 PULO RAYA 5 5 9 7 7 14 0 0 0 1 0 1 1 0 1

27 CEURUCOK BARAT 2 2 4 3 3 5 0 0 0 0 0 0 0 0 0

28 CEURECOK SAGOE 4 4 8 6 6 12 0 0 0 0 0 0 0 0 0

29 COT ARA 2 3 5 3 4 7 0 0 0 0 0 0 0 0 0

30 MADIKA 4 5 8 6 6 12 0 0 0 0 1 1 0 0 0

31 SAGOE 2 3 5 3 4 7 0 0 0 1 0 1 0 0 0

32 BUNIEN 4 5 9 6 7 13 0 0 0 2 0 2 0 0 0

33 COT PALEU 3 3 6 5 4 9 0 0 0 0 0 0 1 0 1

34 RAYA PALEU 4 4 8 6 6 12 0 0 0 1 0 1 0 0 0

35 PANTE 9 8 17 13 12 25 0 0 0 1 0 1 0 0 0

36 PULO BLANG 2 2 4 3 3 6 0 0 0 0 0 0 0 0 0

37 GONG 6 6 12 9 9 18 0 0 0 0 1 1 0 0 0

38 MESJID GIGIENG 4 5 9 6 7 13 0 0 0 1 0 1 0 0 0

39 COT JAJA 8 8 16 12 12 23 0 0 0 0 0 0 0 0 0
40 PEUKAN TUHA 5 5 10 8 7 15 0 0 0 1 0 1 0 0 0

41 PULO GAJAH MATE 5 5 10 8 7 15 0 0 0 0 1 1 0 0 0

42 MEUNASAH BLANG 3 3 6 4 4 8 0 0 0 0 0 0 0 0 0

43 MAMPLAM 6 6 12 9 9 18 0 0 0 1 0 1 0 0 0

44 LAMBIDENG 5 6 11 9 9 18 0 0 0 1 0 1 1 0 1

45 SEUKEE 3 3 6 4 4 9 0 0 0 0 0 0 0 0 0

46 MEUNASAH LHEE 8 9 18 13 13 26 0 0 0 0 0 0 0 0 0

47 MANTAK RAYA 5 5 10 7 7 14 0 0 0 0 1 1 0 0 0

48 DAYAH LAMPOH AWE 3 3 6 5 5 9 0 0 0 0 0 0 0 0 0

49 KUPULA 4 4 8 6 6 12 0 0 0 0 1 1 0 0 0

50 SUKON 4 4 8 6 6 12 0 0 0 0 0 0 0 1 1

51 CEBREK 5 6 12 8 9 17 0 0 0 0 1 1 0 0 0

52 PEUKAN SOT 5 5 10 8 7 15 0 0 0 1 0 1 0 1 1
1 0 1 18 14 32 5 4 9

Mengetahui
Kepala Puskesmas

EVA DORISTA, SKM

Nip : 19770101 200212 2 007
 LAPORAN BULANAN HASIL IMUNISASI BAYI PUSKESMAS SIMPANG TIGA KABUPATEN PIDIE

HASIL IMUNISASI KOMULATIF BULAN JULI 2023

BCG POLIO 1 DPT-HB-Hib 1 POLIO 2 DPT-HB-Hib 2 POLIO 3

% L P jlh % L P jlh % L P Jlh % L P Jlh % L P Jlh %

19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
7.14 1 0 1 7.14 0 0 0 0 1 0 1 7.14 0 0 0 0 0 1 1 7.14

0 0 1 1 11 0 0 0 0 0 0 0 0 1 1 2 22 0 0 0 0

0 0 1 1 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 1 0 1 11 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3.85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4.76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

17 0 0 0 0 0 0 0 0 0 1 1 17 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 8.33 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 1 1 11 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 1 0 1 9.09 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 1 0 1 12.5 0 1 1 12.5 0 1 1 12.5 0 0 0 0

7.14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 1 0 1 7.69 1 1 2 15 0 0 0 0

11 0 0 0 0 0 1 1 11 0 1 1 11 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 1 0 1 4 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7.69 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

5.56 0 1 1 5.56 0 1 1 5.56 1 0 1 5.56 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 1 0 1 11 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 1 1 7.14 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 8.33 0 0 0 0

8.33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 5.88 1 0 1 5.88

6.67 0 0 0 0 0 1 1 6.67 0 0 0 0 0 0 0 0 0 0 0 0
1 3 4 3 3 6 0 5 5 10 5 3 8 1 1 2
ABUPATEN PIDIE

MULATIF BULAN JULI 2023

DPT-HB-Hib 3 POLIO 4 CAMPAK DPT-HB-Hib 4 CAMPAK 2

L P Jlh % L P jlh % L P jlh % L p jlh % L P Jlh %

40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59
0 1 1 7.14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 1 1 11 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 1 1 2 15 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### 0 0 0 0 0 0

0 0 0 0 1 0 1 8.33 0 1 1 8.33 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 2 0 2 40 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 1 1 7.69 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

1 1 2 29 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 1 0 1 7.69 0 0 1 7.69 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

1 0 1 8.33 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 1 1 7.69 0 0 0 0 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 1 4.35 ### ### ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### 0 ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### 0 ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### 0 ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### 0 ### ### 0 0 0 0

0 1 1 5.56 0 0 0 0 0 0 0 0 ### 0 ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### 0 ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### 0 ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### 0 ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 11 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### 0 ### ### 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 ### 0 ### ### 0 0 0 0

0 1 1 5.88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 0 1 6.67 0 0 0 0 0 0 0 0 ### 0 ### ### 0 0 0 0

3 5 8 2 2 4 0 3 2 5 0 1 0 1 0 0 0 0
IMUNISASI LENGKAP

L p
52 53
0 KABUPATEN : PIDIE
PUSKESMAS : SIMPANG TIGA
BULAN : AGUS
TAHUN : 2023

Jumlah Bayi Lahir Jumlah Sasaran 0-

NO Nama Desa Hidup 11 Bulan HBO <24 Jam HBO (1-7 HR)
L P Jlh % L P
1 2 3 4 5 6 7 8 10 11 12 13 14
1 RAYA PAYA 4 5 9 7 7 14 0 0 0 0 0 0

2 MESJID BUNGIE 3 3 6 4 5 9 0 0 0 0 0 0

3 LILIEP 2 2 4 3 3 7 0 0 0 0 0 0

4 UJUNG BAROH 3 3 7 5 5 10 0 0 0 0 0 0

5 SEUK CUKOK 3 3 6 5 5 9 0 0 0 0 0 0

6 PULO TO 2 2 5 4 3 7 0 0 0 0 0 0

7 PALOH TOK DUE 3 3 6 4 5 9 0 0 0 0 0 0

8 MEUNASAH JURONG 2 2 5 3 3 7 0 0 0 0 0 0

9 KAMPONG BLANG 8 9 18 12 13 26 0 0 0 0 0 0

10 KULAM BARO 7 7 14 10 10 20 0 0 0 0 0 0

11 LINGGONG SAGOE 7 8 15 10 11 21 0 0 0 0 0 0

12 BLANG LEUN 2 3 5 3 4 7 0 0 0 0 0 0

13 MESJID TUNGUE 3 4 7 5 6 10 0 0 0 0 0 0

14 ULEE BARAT 4 5 9 6 7 13 0 0 0 0 0 0

15 EMPEH 2 3 4 3 4 6 0 0 0 0 0 0

16 PADANG 5 6 11 8 8 16 0 0 0 0 0 0

17 DAYAH BLANG 4 4 8 6 6 12 0 0 0 0 0 0
18 TEUNGOH MANGKI 2 2 3 2 3 5 0 0 0 0 0 0

19 DAYAH BLANG CUT 2 2 4 3 3 6 0 0 0 0 0 0

20 NIEN 4 5 9 6 6 13 0 0 0 0 0 0

21 CEURUCOK TIMUR 3 3 6 4 4 9 0 0 0 0 0 0

22 JAJA TUNONG 4 4 8 5 6 11 0 0 0 0 0 0

23 UJONG GAMPONG 3 3 6 4 5 9 0 0 0 0 0 0

24 LHEUE 2 2 3 2 2 5 0 0 0 0 0 0

25 JAJA BAROH 3 3 6 4 4 8 0 0 0 0 0 0

26 PULO RAYA 5 5 9 7 7 14 0 0 0 0 0 0

27 CEURUCOK BARAT 2 2 4 3 3 5 0 0 0 0 0 0

28 CEURECOK SAGOE 4 4 8 6 6 12 0 0 0 0 0 0

29 COT ARA 2 3 5 3 4 7 0 1 1 20 0 0

30 MADIKA 4 5 8 6 6 12 1 1 2 25 0 0

31 SAGOE 2 3 5 3 4 7 0 0 0 0 0 0

32 BUNIEN 4 5 9 6 7 13 0 0 0 0 0 0

33 COT PALEU 3 3 6 5 4 9 0 0 0 0 0 0

34 RAYA PALEU 4 4 8 6 6 12 1 0 1 12.5 0 0

35 PANTE 9 8 17 13 12 25 0 0 0 0 0 0

36 PULO BLANG 2 2 4 3 3 6 0 0 0 0 0 0

37 GONG 6 6 12 9 9 18 1 1 2 16.67 0 0

38 MESJID GIGIENG 4 5 9 6 7 13 0 0 0 0 0 0

39 COT JAJA 8 8 16 12 12 23 0 0 0 0 0 0
40 PEUKAN TUHA 5 5 10 8 7 15 1 1 2 20 0 0

41 PULO GAJAH MATE 5 5 10 8 7 15 0 1 1 10 0 0

42 MEUNASAH BLANG 3 3 6 4 4 8 0 1 1 16.67 0 0

43 MAMPLAM 6 6 12 9 9 18 0 0 0 0 0 0

44 LAMBIDENG 5 6 11 9 9 18 0 0 0 0 0 0

45 SEUKEE 3 3 6 4 4 9 0 0 0 0 0 0

46 MEUNASAH LHEE 8 9 18 13 13 26 0 1 1 5.556 0 0

47 MANTAK RAYA 5 5 10 7 7 14 0 1 1 10 0 0

48 DAYAH LAMPOH AWE 3 3 6 5 5 9 1 1 2 33.33 0 0

49 KUPULA 4 4 8 6 6 12 0 0 0 0 0 0

50 SUKON 4 4 8 6 6 12 1 0 1 12.5 0 0

51 CEBREK 5 6 12 8 9 17 0 1 1 8.333 0 0

52 PEUKAN SOT 5 5 10 8 7 15 0 0 0 0 0 0
6 10 16 ### 0 0

Mengetahui
Kepala Puskesmas

EVA DORISTA, SKM

Nip : 19770101 200212 2 007
 LAPORAN BULANAN HASIL IMUNISASI BAYI PUSKESMAS

HBO (1-7 HR) BCG POLIO 1 DPT-HB-Hib 1 POLIO 2

Jlh % L P Jlh % L P jlh % L P jlh % L P Jlh
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 1 0 1 5 0 0 0 0 0 0 0
0
0 0 0 0 0 0 1 0 1 4.762 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 1 1 2 15.38 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 1 0 1 8.333 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0
0 0 0 0 0 0 0 1 1 16.67 1 0 1 16.7 1 1 2
0
0 0 1 0 1 5.556 3 0 3 16.67 0 0 0 0 0 2 2
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2
0
0 0 1 0 1 6.667 0 0 0 0 0 0 0 0 0 1 1
0
0 0 1 1 2 13.33 0 1 1 6.667 0 0 0 0 0 0 0
0
0 0 0 1 1 12.5 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 2 2 11.11 0 0 0 0 0 1 1 5.56 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 1 0 1 3.846 1 1 2 7.692 0 0 0 0 2 0 2
0
0 0 1 1 2 14.29 1 0 1 7.143 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
0
0 0 0 0 0 0 0 0 0 0 0 1 1 8.33 0 1 1
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 5 5 10 9 4 13 0 1 2 3 7 8 15
UNISASI BAYI PUSKESMAS SIMPANG TIGA KABUPATEN PIDIE

HASIL IMUNISASI BAYI BULAN AGUST 2023

PCV 1 DPT-HB-Hib 2 POLIO 3 PCV 2 DPT-HB-Hib 3
% L P Jlh % L P Jlh % L P Jlh % L P JLH % L P
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 1 1 5 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
12.5 0 0 0 0 0 0 2 4 6 37.5 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
 0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 1
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 1 0 1 11.1 0 0
0 ###
0 0 0 0 0 0 0 0 1 1 20 0 0
0 ###
0 0 0 0 1 1 13 0 1 1 12.5 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 1 0 1 8.33 1 0
0 ###
14.3 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
4 0 0 0 0 0 0 1 1 2 8 0 0
0 ###
33.3 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
11.1 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
7.69 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
8.7 0 0 0 0 0 0 0 1 1 4.35 0 0
0 ###
6.67 0 0 0 0 0 0 0 1 1 6.67 0 0
0 ###
0 0 0 0 0 0 0 1 0 1 6.67 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 1 1 5.56 0 1 1 5.6 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
7.69 0 0 1 0 1 3.8 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
11.1 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
8.33 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
0 ###
0 0 0 0 0 0 0 0 0 0 0 0 0
1 ### 1 2 3 6 10 16 1 1
DPT-HB-Hib 3 POLIO 4 CAMPAK DPT-HB-Hib 4 CAMPAK 2 IMUNISASI LENGKA
Jlh % L P jlh % L P jlh % L p jlh % L P Jlh % L
46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64
0 0 0 1 1 7.14 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 1 0 1 14.3 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 1 1 6.25 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 16.67 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 1 1 11.1 0 0 0 0 0 0 0 0

0 0 0 1 1 20 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 1 0 1 7.143

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 8.333 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 1 7.69 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 2 2 8 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 1 4.35 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 1 1 2 13.3 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 1 6 7 0 1 0 1 1 0 1 0
IMUNISASI LENGKAP
p
65 66
 KABUPATEN : PIDIE
PUSKESMAS : SIMPANG TIGA
BULAN : SEPTEMBER
TAHUN : 2023

Jumlah Bayi Lahir Jumlah Sasaran 0-

NO Nama Desa Hidup 11 Bulan HBO <24 Jam HBO (1-7 HR)
L P Jlh % L P
1 2 3 4 5 6 7 8 10 11 12 13 14
1 RAYA PAYA 4 5 9 7 7 14 0 0 0 0 0 0

2 MESJID BUNGIE 3 3 6 4 5 9 0 0 0 0 0 0

3 LILIEP 2 2 4 3 3 7 0 0 0 0 0 0

4 UJUNG BAROH 3 3 7 5 5 10 1 0 1 14.29 0 0

5 SEUK CUKOK 3 3 6 5 5 9 0 1 1 16.67 0 0

6 PULO TO 2 2 5 4 3 7 0 0 0 0 0 0

7 PALOH TOK DUE 3 3 6 4 5 9 0 0 0 0 0 0

8 MEUNASAH JURONG 2 2 5 3 3 7 0 0 0 0 0 0

9 KAMPONG BLANG 8 9 18 12 13 26 0 0 0 0 0 0

10 KULAM BARO 7 7 14 10 10 20 0 0 0 0 0 0

11 LINGGONG SAGOE 7 8 15 10 11 21 0 0 0 0 0 0

12 BLANG LEUN 2 3 5 3 4 7 0 0 0 0 0 0

13 MESJID TUNGUE 3 4 7 5 6 10 0 1 1 14.29 0 0

14 ULEE BARAT 4 5 9 6 7 13 0 0 0 0 0 0

15 EMPEH 2 3 4 3 4 6 0 0 0 0 0 0

16 PADANG 5 6 11 8 8 16 0 0 0 0 0 0

17 DAYAH BLANG 4 4 8 6 6 12 2 0 2 25 0 0
18 TEUNGOH MANGKI 2 2 3 2 3 5 0 0 0 0 0 0

19 DAYAH BLANG CUT 2 2 4 3 3 6 0 0 0 0 0 0

20 NIEN 4 5 9 6 6 13 0 0 0 0 0 0

21 CEURUCOK TIMUR 3 3 6 4 4 9 0 0 0 0 0 0

22 JAJA TUNONG 4 4 8 5 6 11 0 0 0 0 0 0

23 UJONG GAMPONG 3 3 6 4 5 9 0 0 0 0 0 0

24 LHEUE 2 2 3 2 2 5 0 0 0 0 0 0

25 JAJA BAROH 3 3 6 4 4 8 2 0 0 0 0 0

26 PULO RAYA 5 5 9 7 7 14 0 2 2 22.22 0 0

27 CEURUCOK BARAT 2 2 4 3 3 5 0 1 1 25 0 0

28 CEURECOK SAGOE 4 4 8 6 6 12 1 0 1 12.5 0 0

29 COT ARA 2 3 5 3 4 7 0 0 0 0 0 0

30 MADIKA 4 5 8 6 6 12 0 0 0 0 0 0

31 SAGOE 2 3 5 3 4 7 0 0 0 0 0 0

32 BUNIEN 4 5 9 6 7 13 0 0 0 0 0 0

33 COT PALEU 3 3 6 5 4 9 0 0 0 0 0 0

34 RAYA PALEU 4 4 8 6 6 12 0 1 1 12.5 0 0

35 PANTE 9 8 17 13 12 25 1 0 1 5.882 0 0

36 PULO BLANG 2 2 4 3 3 6 1 0 1 25 0 0

37 GONG 6 6 12 9 9 18 1 0 1 8.333 0 0

38 MESJID GIGIENG 4 5 9 6 7 13 1 0 1 11.11 0 0

39 COT JAJA 8 8 16 12 12 23 1 0 1 6.25 0 0

40 PEUKAN TUHA 5 5 10 8 7 15 0 1 1 10 0 0

41 PULO GAJAH MATE 5 5 10 8 7 15 1 1 2 20 0 0

42 MEUNASAH BLANG 3 3 6 4 4 8 0 1 1 16.67 0 0

43 MAMPLAM 6 6 12 9 9 18 0 0 0 0 0 0

44 LAMBIDENG 5 6 11 9 9 18 1 0 1 9.091 0 0

45 SEUKEE 3 3 6 4 4 9 0 0 0 0 0 0

46 MEUNASAH LHEE 8 9 18 13 13 26 0 0 0 0 0 0

47 MANTAK RAYA 5 5 10 7 7 14 0 0 0 0 0 0

48 DAYAH LAMPOH AWE 3 3 6 5 5 9 2 0 2 33.33 0 0

49 KUPULA 4 4 8 6 6 12 2 0 2 25 0 0

50 SUKON 4 4 8 6 6 12 0 0 0 0 0 0

51 CEBREK 5 6 12 8 9 17 0 1 1 8.333 0 0

52 PEUKAN SOT 5 5 10 8 7 15 0 0 0 0 0 0
17 10 27 0 0 0

Mengetahui
Kepala Puskesmas

EVA DORISTA, SKM

Nip : 19770101 200212 2 007
 LAPORAN BULANAN HASIL IMUNISASI BAYI PUSKESMAS SIMPANG TIGA KABUP

HASIL IMUNISASI
HBO (1-7 HR) BCG POLIO 1 DPT-HB-Hib 1 POLIO 2
Jlh % L P Jlh % L P jlh % L P jlh % L P Jlh
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 1 1 3.846 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 1 1 2 28.57 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
 0
0 0 0 0 0 0 1 0 1 20 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 2 2 15.38 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 1 0 1 12.5 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 1 1 20 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 1 1 14.29 0 0 0 0 1 0 1
0
0 0 1 0 1 8.333 2 0 2 16.67 0 0 0 0 1 0 1
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 1 0 1 12.5 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 1 1 5.556 0 1 1 5.556 0 1 1 5.56 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 1 0 1 8.333 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 1 0 1 6.667 1 0 1 6.667 0 0 0 0 0 1 1
0 0 2 2 4 8 6 14 0 0 1 1 4 5 9
MAS SIMPANG TIGA KABUPATEN PIDIE

HASIL IMUNISASI BAYI BULAN AGUST 2023

DPT-HB-Hib 2 POLIO 3 DPT-HB-Hib 3 POLIO 4 CAMPAK
% L P Jlh % L P Jlh % L P Jlh % L P jlh % L P
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 1 1 11.1 0 0 0 0 0 1 1 11.1 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16.7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8.33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 1 1 2 40 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9.09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14.3 0 0 0 0 0 0 0 0 1 0 1 14.29 2 0 2 28.6 0 0

8.33 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 16.7 2 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

5.56 0 0 0 0 0 1 1 5.56 0 0 0 0 1 0 1 5.56 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 6.67 0 1

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3.85 0 0 0 0 1 0 1 3.85 0 0 0 0 0 0 0 0 1 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 1 0 1 8.333 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6.67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 2 0 2 0 5 1 6 0 0 0
CAMPAK DPT-HB-Hib 4 CAMPAK 2 IMUNISASI LENGKAP
jlh % L p jlh % L P Jlh % L p
50 51 52 53 54 55 56 57 58 59 52 53
0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

2 16.7 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0

1 6.67 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 1 1 0

0 0 0 0 0 0 0 0 0 0

1 3.85 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 1 1 0
0 KABUPATEN : PIDIE
PUSKESMAS : SIMPANG TIGA
BULAN : JAN - JULI
TAHUN : 2023

Jumlah Bayi Lahir Jumlah Sasaran 0-

Nama Desa Hidup 11 Bulan HBO <24 Jam HBO (1-7 HR)
L P Jlh % L P
NO 2 3 4 5 6 7 8 10 11 12 13 14
1 RAYA PAYA 4 5 9 7 7 14 2 0 2 22.22 0 0

2 MESJID BUNGIE 3 3 6 4 5 9 1 2 3 50 0 0

3 LILIEP 2 2 4 3 3 7 1 0 1 25 0 0

4 UJUNG BAROH 3 3 7 5 5 10 1 0 1 14.29 0 0

5 SEUK CUKOK 3 3 6 5 5 9 3 2 5 83.33 1 1

6 PULO TO 2 2 5 4 3 7 1 2 3 60 0 0

7 PALOH TOK DUE 3 3 6 4 5 9 0 1 1 16.67 0 0

8 MEUNASAH JURONG 2 2 5 3 3 7 0 1 1 20 0 0

9 KAMPONG BLANG 8 9 18 12 13 26 1 2 3 16.67 0 0

10 KULAM BARO 7 7 14 10 10 20 2 2 4 28.57 0 0

11 LINGGONG SAGOE 7 8 15 10 11 21 0 1 1 6.667 0 0

12 BLANG LEUN 2 3 5 3 4 7 3 0 3 60 0 0

13 MESJID TUNGUE 3 4 7 5 6 10 1 2 3 42.86 0 0

14 ULEE BARAT 4 5 9 6 7 13 0 1 1 11.11 0 1

15 EMPEH 2 3 4 3 4 6 0 1 1 25 0 0

16 PADANG 5 6 11 8 8 16 1 2 3 27.27 0 1

17 DAYAH BLANG 4 4 8 6 6 12 1 3 4 50 0 0
18 TEUNGOH MANGKI 2 2 3 2 3 5 1 0 1 33.33 0 0

19 DAYAH BLANG CUT 2 2 4 3 3 6 1 5 6 150 0 0

20 NIEN 4 5 9 6 6 13 0 1 1 11.11 0 0

21 CEURUCOK TIMUR 3 3 6 4 4 9 0 1 1 16.67 0 0

22 JAJA TUNONG 4 4 8 5 6 11 1 3 4 50 0 0

23 UJONG GAMPONG 3 3 6 4 5 9 3 6 9 0 0 0

24 LHEUE 2 2 3 2 2 5 2 1 3 0 0 0

25 JAJA BAROH 3 3 6 4 4 8 2 0 2 33.33 0 0

26 PULO RAYA 5 5 9 7 7 14 1 1 2 22.22 0 0

27 CEURUCOK BARAT 2 2 4 3 3 5 1 0 1 25 0 0

28 CEURECOK SAGOE 4 4 8 6 6 12 1 0 1 12.5 0 0

29 COT ARA 2 3 5 3 4 7 2 0 2 40 0 0

30 MADIKA 4 5 8 6 6 12 0 2 2 25 0 2

31 SAGOE 2 3 5 3 4 7 2 1 3 60 0 0

32 BUNIEN 4 5 9 6 7 13 1 0 1 11.11 0 0

33 COT PALEU 3 3 6 5 4 9 1 2 3 50 0 0

34 RAYA PALEU 4 4 8 6 6 12 1 5 6 75 1 0

35 PANTE 9 8 17 13 12 25 0 6 6 35.29 0 0

36 PULO BLANG 2 2 4 3 3 6 1 0 1 25 0 0

37 GONG 6 6 12 9 9 18 0 5 5 41.67 0 0

38 MESJID GIGIENG 4 5 9 6 7 13 1 3 4 44.44 0 0

39 COT JAJA 8 8 16 12 12 23 1 2 3 18.75 0 0

40 PEUKAN TUHA 5 5 10 8 7 15 2 2 4 40 0 0

41 PULO GAJAH MATE 5 5 10 8 7 15 0 9 9 90 0 0

42 MEUNASAH BLANG 3 3 6 4 4 8 2 2 4 66.67 0 0

43 MAMPLAM 6 6 12 9 9 18 2 2 4 33.33 0 0

44 LAMBIDENG 5 6 11 9 9 18 0 3 3 27.27 0 0

45 SEUKEE 3 3 6 4 4 9 2 1 3 50 0 0

46 MEUNASAH LHEE 8 9 18 13 13 26 5 2 7 38.89 0 0

47 MANTAK RAYA 5 5 10 7 7 14 2 0 2 20 0 0

48 DAYAH LAMPOH AWE 3 3 6 5 5 9 2 0 2 33.33 0 0

49 KUPULA 4 4 8 6 6 12 1 3 4 50 0 0

50 SUKON 4 4 8 6 6 12 0 1 1 12.5 0 0

51 CEBREK 5 6 12 8 9 17 2 3 5 41.67 0 0

52 PEUKAN SOT 5 5 10 8 7 15 1 2 3 30 0 0
62 96 158 ### 2 5

Mengetahui
Kepala Puskesmas

EVA DORISTA, SKM

Nip : 19770101 200212 2 007
 LAPORAN KUMULATIF HASIL IMUNISASI BAYI PUSKESMAS SIMPANG TIGA KABUPA

HASIL KUMULATIF IM
HBO (1-7 HR) BCG POLIO 1 DPT-HB-Hib 1 POLIO 2
Jlh % L P Jlh % L P jlh % L P jlh % L P Jlh
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
0 0 1 1 2 14.29 0 0 0 0 0 0 0 0 1 1 2
0
0 0 0 0 0 0 1 1 2 22.22 1 2 3 33.3 1 1 2
0
0 0 0 0 0 0 1 1 2 28.57 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 1 1 10 0 0 0 0 0 0 0
0
2 33.33 1 2 3 33.33 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0
0
0 0 2 1 3 33.33 2 1 3 33.33 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 1 1 2 7.692 0 0 0 0 0 0 0
0
0 0 0 0 0 0 2 0 2 10 0 1 1 5 0 1 1
0
0 0 1 1 2 9.524 2 0 2 9.524 0 0 0 0 0 1 1
0
0 0 0 0 0 0 1 0 1 14.29 1 0 1 14.3 1 0 1
0
0 0 0 0 0 0 1 0 1 10 1 0 1 10 1 0 1
0
1 11.11 0 0 0 0 1 0 1 7.692 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
1 9.091 0 1 1 6.25 2 3 5 31.25 0 0 0 0 2 2 4
0
0 0 1 1 2 16.67 1 1 2 16.67 0 1 1 8.33 2 2 4
 0
0 0 2 0 2 40 2 0 2 40 0 0 0 0 1 0 1
0
0 0 0 0 0 0 0 3 3 50 0 0 0 0 1 0 1
0
0 0 0 0 0 0 2 0 2 15.38 0 0 0 0 0 0 0
0
0 0 0 0 0 0 2 0 2 22.22 0 2 2 22.2 1 1 2
0
0 0 1 1 2 18.18 1 1 2 18.18 0 0 0 0 1 1 2
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 1 0 1 20 0 1 1 20 0 0 0
0
0 0 1 1 2 25 1 1 2 25 0 0 0 0 0 0 0
0
0 0 2 0 2 14.29 2 0 2 14.29 1 0 1 7.14 1 0 1
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 1 1 8.333 0 0 0 0 1 0 1 8.33 0 0 0
0
0 0 2 0 2 28.57 3 0 3 42.86 2 0 2 28.6 0 0 0
0
2 25 3 0 3 25 1 0 1 8.333 2 0 2 16.7 2 0 2
0
0 0 0 0 0 0 1 0 1 14.29 0 0 0 0 1 1 2
0
0 0 0 0 0 0 0 0 0 0 0 1 1 7.69 1 1 2
0
0 0 0 2 2 22.22 0 2 2 22.22 0 0 0 0 0 0 0
0
1 12.5 0 2 2 16.67 0 3 3 25 0 4 4 33.3 1 3 4
0
0 0 0 3 3 12 4 3 7 28 0 0 0 0 2 2 4
0
0 0 1 0 1 16.67 1 0 1 16.67 0 0 0 0 0 0 0
0
0 0 0 1 1 5.556 2 2 4 22.22 0 0 0 0 0 0 0
0
0 2 0 2 15.38 2 0 2 15.38 0 0 0 0 1 0 1
0
0 0 0 0 0 0 1 1 2 8.696 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 2 2 13.33 1 1 2 13.3 1 2 3
0
0 0 0 0 0 0 0 0 0 0 1 0 1 6.67 0 2 2
0
0 0 0 0 0 0 0 0 0 0 1 1 2 25 0 2 2
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
0
0 0 0 2 2 11.11 0 2 2 11.11 0 2 2 11.1 0 1 1
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
0 0 1 1 2 7.692 4 1 5 19.23 2 2 4 15.4 1 1 2
0
0 0 2 0 2 14.29 2 0 2 14.29 1 1 2 14.3 2 0 2
0
0 0 1 1 2 22.22 1 1 2 22.22 0 0 0 0 1 1 2
0
0 0 1 2 3 25 0 3 3 25 1 1 2 16.7 0 0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3
0
0 0 1 1 2 11.76 1 2 3 17.65 0 0 0 0 0 0 0
0
0 0 1 2 3 20 2 2 4 26.67 0 2 2 13.3 2 2 4
7 0 27 27 54 51 38 89 0 17 23 40 31 29 60
AS SIMPANG TIGA KABUPATEN PIDIE 2023

HASIL KUMULATIF IMUNISASI BAYI BULAN 2023

DPT-HB-Hib 2 POLIO 3 DPT-HB-Hib 3 POLIO 4 CAMPAK
% L P Jlh % L P Jlh % L P Jlh % L P jlh % L P
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
14.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

22.2 0 0 0 0 1 1 2 22.2 0 0 0 0 2 0 2 22.2 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 1 1 2 22 0 0 0 0 0 0 0 0 1 1 2 22.2 1 1

0 0 0 0 0 1 1 2 28.6 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 2 2 29 0 0 0 0 0 2 2 28.57 2 2 4 57.1 0 1

0 0 0 0 0 0 0 0 0 0 1 1 3.846 0 1 1 3.85 0 1

5 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 5 0 0

4.76 0 0 0 0 3 3 6 28.6 0 0 0 0 3 3 6 28.6 0 0

14.3 1 0 1 14 0 0 0 0 1 0 1 14.29 1 0 1 14.3 0 0

10 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 10 1 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 1 0 1 16.7 0 0 0 0 1 0 1 16.7 0 0

25 0 0 0 0 0 2 2 12.5 0 0 0 0 0 0 0 0 0 0

33.3 0 0 0 0 2 0 2 16.7 0 0 0 0 0 0 0 0 0 0
 20 0 1 1 20 2 0 2 40 2 0 2 40 1 1 2 40 0 2

16.7 0 0 0 0 1 0 1 16.7 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 2 2 15.38 1 1 2 15.4 0 0

22.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

18.2 1 1 2 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 20 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7.14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 1 0 1 20 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 1 0 1 8.33 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 1 1 14.29 1 0 1 14.3 0 0

16.7 2 0 2 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0

28.6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

15.4 0 0 0 0 1 1 2 15.4 0 0 0 0 0 0 1 7.69 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2

33.3 0 2 2 17 1 1 2 16.7 2 2 4 33.33 2 5 7 58.3 0 0

16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7.69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4.35 0 0
 20 1 2 3 20 0 0 0 0 0 0 0 0 0 2 2 13.3 1 0

13.3 0 0 0 0 0 2 2 13.3 0 0 0 0 1 2 3 20 0 0

25 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 37.5 0 0

5.56 0 2 2 11 0 0 0 0 0 2 2 11.11 0 0 0 0 0 0

5.56 0 1 1 5.6 0 0 0 0 0 1 1 5.556 0 2 2 11.1 0 2

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7.69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

22.2 0 0 0 0 0 1 1 11.1 0 0 0 0 0 1 1 11.1 0 1

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

25 1 1 2 17 0 4 4 33.3 0 0 0 0 0 0 0 0 1 3

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

26.7 1 1 2 13 0 0 0 0 1 1 2 13.33 0 2 2 13.3 4 5

8 14 22 15 16 31 6 12 18 0 9 18 27 0 1 0
CAMPAK DPT-HB-Hib 4 CAMPAK 2 IMUNISASI LENGKAP
jlh % L p jlh % L P Jlh % L p
50 51 52 53 54 55 56 57 58 59 52 53
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

2 22.2 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

1 14.3 0 0 0 0

1 3.85 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

1 10 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
2 40 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

2 22.2 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
1 6.67 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

2 11.1 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

1 11.1 1 0 1 11.11

0 0 0 0 0 0

4 33.3 0 0 0 0

0 0 1 1 2 11.76

9 60 0 0 0 0
1 2 1 3 0