Lap Cakp Bias 2015

LAPORAN CAKUPAN BULAN IMUNISASI ANAK SEKOLAH ( BIAS ) CAMPAK
PUSKESMAS : TAMAN BACAAN

KECAMATAN : SU II PALEMBANG
TAHUN : 2012
JUMLAH SASARAN CAKUPAN JLH IP

DESA /
PERKELAS CAMPAK Vaksin Vaksin
NO NAMA SEKOLAH
Kelas 1 Kelas 2 Kelas 3 Jlh Murid Kls (2+3) Jlh Mrd Kls (1s/d3) KELAS 1 Campak
KLRHN Campak
L P JLH L P JLH L P JLH L P JLH L P JLH L P JLH % Dipkai
1 2 3 4 5 6 7 8 9 10=(9/4) 11 12=(9/11)
1 Tg Takat 1. SD N 100 24 26 50 25 17 42 29 26 55 54 43 97 78 69 147

2. SD N 101 65 58 123 66 51 117 72 70 142 138 121 259 203 179 382
3. SD N 105 21 21 42 22 15 37 28 14 42 50 29 79 71 50 121
4. MI ASSEGAF 13 13 26 9 12 21 8 8 16 17 20 37 30 33 63
5. SD Islm.T.Auladi 38 35 73 34 35 69 27 22 49 61 57 118 99 92 191
161 153 314 156 130 286 164 140 304 320 270 590 481 423 904
2 16 Ulu 6. SD N 102 25 18 43 19 11 30 10 12 22 29 23 52 54 41 95
7. SD N 103 46 35 81 41 38 79 45 42 87 86 80 166 132 115 247
8. SD N 104 29 25 54 22 20 42 26 30 109 48 50 98 77 75 152
9. SD N 106 46 35 81 41 33 74 48 42 90 89 75 164 135 110 245
10. SD N 107 44 33 77 37 31 68 47 36 83 84 67 151 128 100 228
11. MI ALFIRDAUS 14 14 28 22 16 38 15 12 173 37 28 65 51 42 93
12. MI Assanadiyah 15 12 27 12 12 24 14 11 25 26 23 49 41 35 76
219 172 391 194 161 355 205 185 390 399 346 745 618 518 1136
3 Sentosa 13. SD N 108 18 18 36 11 14 25 22 17 39 33 31 64 51 49 100

14. SD N 109 39 30 69 20 19 39 32 34 66 52 53 105 91 83 174
15. SD N 110 38 31 69 29 19 48 21 12 33 50 31 81 88 62 150
16. MI NUSANTARA 15 12 27 13 17 30 17 11 28 30 28 58 45 40 85
17. SD MUHD 17 21 13 34 15 9 24 17 14 31 32 23 55 53 36 89
131 104 235 88 78 166 109 88 197 197 166 363 328 270 598
JUMLAH 511 429 940 438 369 807 478 413 891 916 782 1698 1427 1211 2638
Mengetahui Palembang, September 2012

Pimpinan Puskesmas Taman Bacaan Pengelola Program Imunisasi
Drg. ERMINDA NITA ARTATI. SKM

NIP. 196312091992032003 NIP. 196712291991022001

TAHUN : 2013

DESA /
NO NAMA SEKOLAH
KLRHN Campak
1 2 3 4 5 6 7 8 9 10=(9/4) 11 12=(9/11)
1 Tg Takat 1. SD N 100 30 30 60 16 26 42 23 19 42 39 45 84 69 75 144

2. SD N 101 75 51 126 59 58 117 71 50 121 130 108 238 205 159 364
3. SD N 105 16 21 37 17 16 33 18 18 36 35 34 69 51 55 106
4. MI ASSEGAF 10 11 21 13 13 26 9 12 21 22 25 47 32 36 68
5. SD Islm.T.Auladi 17 18 35 19 15 34 15 17 32 34 32 66 51 50 101
148 131 279 124 128 252 136 116 252 260 244 504 408 375 783
2 16 Ulu 6. SD N 102 21 20 41 19 18 37 16 15 31 35 33 68 56 53 109

7. SD N 103 47 35 82 45 34 79 38 33 71 83 67 150 130 102 232
8. SD N 104 30 17 47 27 21 48 23 18 41 50 39 89 80 56 136
9. SD N 106 41 56 97 49 31 80 45 33 78 94 64 158 135 120 255
10. SD N 107 42 38 80 34 30 64 44 34 78 78 64 142 120 102 222
11. MI ALFIRDAUS 20 14 34 13 19 32 17 17 34 30 36 66 50 50 100
12. MI Assanadiyah 6 13 19 13 6 19 11 4 15 24 10 34 30 23 53
207 193 400 200 159 359 194 154 348 394 313 707 601 506 1107
3 Sentosa 13. SD N 108 16 16 32 15 16 31 12 14 26 27 30 57 43 46 89

14. SD N 109 29 28 57 33 28 61 22 21 43 55 49 104 84 77 161
15. SD N 110 18 22 40 30 28 58 26 23 49 56 51 107 74 73 147
16. MI NUSANTARA 18 23 41 13 11 24 14 19 33 27 30 57 45 53 98
17. SD MUHD 17 11 16 27 22 14 36 17 9 26 39 23 62 50 39 89
92 105 197 113 97 210 91 86 177 204 183 387 296 288 584
JUMLAH 447 429 876 437 384 821 421 356 777 858 740 1598 1305 1169 2474
Mengetahui Palembang, September 2013


NIP. 196312091992032003 NIP. 196712291991022001

TAHUN : 2014

DESA /
NO NAMA SEKOLAH
KLRHN Campak
1 2 3 4 5 6 7 8 9 10=(9/4) 11 12=(9/11)
1 Tg Takat 1. SD N 100 29 31 60 32 30 62 10 24 34 42 54 96 71 85 156 29 31 60 7

2. SD N 101 57 44 101 63 49 112 61 59 120 124 108 232 181 152 333 57 44 101 12
3. SD N 105 14 23 37 17 14 31 16 14 30 33 28 61 47 51 98 14 23 37 5
4. MI ASSEGAF 13 15 28 8 12 20 13 10 23 21 22 43 34 37 71 13 15 28 4
5. SD Islm.T.Auladi 20 17 37 17 18 35 19 15 34 36 33 69 56 50 106 15 17 32 4
133 130 263 137 123 260 119 122 241 256 245 501 389 375 764 128 130 258 98.1 32 8.1
2 16 Ulu 6. SD N 102 26 25 51 18 19 37 18 15 33 36 34 70 62 59 121 26 25 51 7

7. SD N 103 49 34 83 46 36 82 43 32 75 89 68 157 138 102 240 48 34 82 10
8. SD N 104 15 18 33 20 23 43 25 18 108 45 41 86 60 59 119 16 17 33 4
9. SD N 106 47 57 104 37 56 93 50 32 82 87 88 175 134 145 279 49 57 106 13
10. SD N 107 40 40 80 39 41 80 38 25 63 77 66 143 117 106 223 39 40 79 10
11. MI ALFIRDAUS 15 13 28 15 5 20 17 13 145 32 18 50 47 31 78 13 15 28 4
12. MI Assanadiyah 11 9 20 11 7 18 11 9 20 22 16 38 33 25 58 11 8 19 2
203 196 399 186 187 373 202 144 346 388 331 719 591 527 1118 202 196 398 99.75 50 8.0
3 Sentosa 13. SD N 108 23 17 40 14 15 29 10 15 25 24 30 54 47 47 94 22 18 40 5

14. SD N 109 33 37 70 30 26 56 31 26 57 61 52 113 94 89 183 31 37 68 8
15. SD N 110 30 33 63 18 19 37 28 27 55 46 46 92 76 79 155 30 32 62 8
16. MI NUSANTARA 23 12 35 22 19 41 14 11 25 36 30 66 59 42 101 25 11 36 4
17. SD MUHD 17 17 18 35 16 17 33 16 12 28 32 29 61 49 47 96 17 20 37 5
126 117 243 100 96 196 99 91 190 199 187 386 325 304 629 125 118 243 100 30 8.1
JUMLAH 462 443 905 423 406 829 420 357 777 843 763 1606 1305 1206 2511 455 444 899 99.34 112 8.0
1365 1332 2697
Mengetahui Palembang, 5 September 2014
Drg. Erminda Nita Artati. Skm
NIP. 196312091992032003 NIP. 196712291991022001

TAHUN : 2015

DESA /
NO NAMA SEKOLAH
KLRHN Campak
1 2 3 4 5 6 7 8 9 10=(9/4) 11 12=(9/11)
1 Tg Takat 1. SD N 100 40 27 67 25 31 56 29 27 56 54 58 112 94 85 179 41 27 68

2. SD N 101 54 50 104 64 50 114 59 57 116 123 107 230 177 157 334 53 50 103
3. SD N 105 21 19 40 15 16 31 13 16 29 28 32 60 49 51 100 20 19 39
4. MI ASSEGAF 6 7 13 8 13 21 10 11 21 18 24 42 24 31 55 6 7 13
5. SD Islm.T.Auladi 19 17 36 20 17 37 17 18 35 37 35 72 56 52 108 19 17 36
140 120 260 132 127 259 128 129 257 260 256 516 400 376 776 139 120 259 99.6 32 8
2 16 Ulu 6. SD N 102 23 25 48 27 27 54 19 16 35 46 43 89 69 68 137 23 25 48

7. SD N 103 54 48 102 41 32 73 53 35 88 94 67 161 148 115 263 54 48 102
8. SD N 104 18 12 30 12 16 28 29 16 45 41 32 73 59 44 103 18 12 30
9. SD N 106 43 42 85 38 57 95 43 58 101 81 115 196 124 157 281 43 42 85
10. SD N 107 56 39 95 39 33 72 41 39 80 80 72 152 136 111 247 55 39 94
11. MI ALFIRDAUS 15 12 27 20 13 33 21 10 31 41 23 64 56 35 91 15 12 27
12. MI Assanadiyah 17 3 20 17 7 24 13 9 22 30 16 46 47 19 66 17 3 20
226 181 407 194 185 379 219 183 402 413 368 781 639 549 1188 225 181 406 99.8 51 7.96
3 Sentosa 13. SD N 108 21 18 39 18 18 36 14 13 27 32 31 63 53 49 102 21 18 39

14. SD N 109 38 30 68 28 35 63 28 28 56 56 63 119 94 93 187 38 29 67
15. SD N 110 28 24 52 31 31 62 18 18 36 49 49 98 77 73 150 28 24 52
16. MI NUSANTARA 19 17 36 23 12 35 16 24 40 39 36 75 58 53 111 19 17 36
17. SD MUHD 17 11 15 26 19 19 38 14 17 31 33 36 69 44 51 95 11 15 26
117 104 221 119 115 234 90 100 190 209 215 424 326 319 645 117 103 220 99.5 28 7.9
JUMLAH 483 405 888 445 427 872 437 412 849 882 839 1721 1365 1244 2609 481 404 885 99.7 111 7.97
Mengetahui Palembang, 07 September 2015

Drg. Erminda Nita Artati. Skm
NIP. 196312091992032003 NIP. 196712291991022001

TAHUN : 2016

DESA /
NO NAMA SEKOLAH
KLRHN Campak
1 2 3 4 5 6 7 8 9 10=(9/4) 11 12=(9/11)
1 Tg Takat 1. SD N 100 26 24 50 33 25 58 29 31 60 62 56 118 88 80 168 24 24 48 96.0 5

2. SD N 101 61 42 103 55 52 107 64 53 117 119 105 224 180 147 327 60 41 101 98.1 10
3. SD N 105 11 14 25 19 20 39 12 16 177 31 36 67 42 50 92 10 14 24 96.0 3
4. MI ASSEGAF 10 6 16 7 8 15 11 12 23 18 20 38 28 26 54 10 6 16 100.0 2
5. SD Islm.T.Auladi 18 17 35 19 17 36 20 17 37 39 34 73 57 51 108 21 17 38 108.6 4
126 103 229 133 122 255 136 129 265 269 251 520 395 354 749 125 102 227 99.1 24 9.46
2 16 Ulu 6. SD N 102 15 22 37 25 25 50 25 28 53 50 53 103 65 75 140 15 22 37 100.0 4

7. SD N 103 65 32 97 45 48 93 39 27 66 84 75 159 149 107 256 64 32 96 99.0 10
8. SD N 104 16 16 32 23 12 35 14 17 119 37 29 66 53 45 98 16 16 32 100.0 3
9. SD N 106 39 27 66 36 39 75 43 63 106 79 102 181 118 129 247 38 26 64 97.0 7
10. SD N 107 50 33 83 51 35 86 38 38 76 89 73 162 139 106 245 50 33 83 100.0 9
11. MI ALFIRDAUS 16 12 28 13 17 30 16 8 182 29 25 54 45 37 82 16 12 28 100.0 3
12. MI Assanadiyah 10 6 16 12 12 24 8 7 15 20 19 39 30 25 55 10 6 16 100.0 2
211 148 359 205 188 393 183 188 371 388 376 764 599 524 1123 209 147 356 99.2 38 9.40
3 Sentosa 13. SD N 108 40 24 64 19 18 37 18 18 36 37 36 73 77 60 137 41 24 65 101.6 6

14. SD N 109 30 31 61 35 29 64 34 40 74 69 69 138 99 100 199 31 30 61 100.0 6
15. SD N 110 34 18 52 28 22 50 27 32 110 55 54 109 89 72 161 34 20 54 103.8 5
16.MI NUSANTARA 18 15 33 17 20 37 24 13 37 41 33 74 59 48 107 20 15 35 106.1 4
17.SD MUHD 17 10 10 20 14 9 23 14 17 31 28 26 54 38 36 74 12 10 22 110.0 3
18.Mi Mutiara Sunnah 22 20 42 15 14 29 15 16 68 30 30 60 52 50 102 15 18 33 78.6 4
154 118 272 128 112 240 132 136 268 260 248 508 414 366 780 153 117 270 99.3 28 9.60
JUMLAH 491 369 860 466 422 888 451 453 904 917 875 1792 1408 1244 2652 487 366 853 99.2 90 9.50
Mengetahui Palembang,13 September 2016

Plt Kepala Puskesmas Taman Bacaan Pengelola Program Imunisasi
Drg. Erminda Leli Oktalina

NIP. 196312091992032003 NIP. 198810232011012004
DAFTAR HADIR ORIENTASI GURU
DALAM RANGKA BULAN IMUNISASI ANAK SEKOLAH ( BIAS ) DT / TT
PUSKESMAS : TAMAN BACAAN PALEMBANG

TAHUN : 2015
NO NAMA ASALSEKOLAH TANDA TANGAN

1 2 3 4
1 SD N 100 1
2 SD N 101 2
3 SD N 102 3
4 SD N 103 4
5 SD N 104 5
6 SD N 105 6
7 SD N 106 7
8 SD N 107 8
9 SD N 108 9
10 SD N 109 10
11 SD N 110 11
12 MI Assegaf 12
13 SD Muhd 17 13
14 MI Nusantara 14
15 MI Alfirdaus 15
16 MI Assanadiyah 16
17 SD Islam Terpd Auladi

17
Mengetahui, Palembang, Nopember 2015

Drg. Erminda Hj. Nita Artati, SKM

Nip. 196312091992032003 NIP.196712291991022001
DALAM RANGKA BULAN IMUNISASI ANAK SEKOLAH ( BIAS ) CAMPAK

TAHUN : 2016

1 2 3 4
1 SD N 100 1
2 SD N 101 2
3 SD N 102 3
4 SD N 103 4
5 SD N 104 5
6 SD N 105 6
7 SD N 106 7
8 SD N 107 8
9 SD N 108 9
10 SD N 109 10
11 SD N 110 11
12 MI Assegaf 12
13 SD Muhd 17 13
14 MI Nusantara 14
15 MI Alfirdaus 15
17 MI Mutiara Sunah 17
18 SD Islam Terpd Auladi 18
Mengetahui, Palembang, Agustus 2016

Drg. Erminda Leli Oktalina, Am. Keb

Pembina
Nip. 196312091992032003 Nip. 198810232011012004
DALAM RANGKA BULAN IMUNISASI ANAK SEKOLAH ( BIAS ) DT / TD

TAHUN : 2014
1 2 3 4
1 SD N 100 1
2 SD N 101 2
3 SD N 102 3
4 SD N 103 4
5 SD N 104 5
6 SD N 105 6
7 SD N 106 7
8 SD N 107 8
9 SD N 108 9
10 SD N 109 10
11 SD N 110 11
12 MI Assegaf 12
13 SD Muhd 17 13
14 MI Nusantara 14
15 MI Alfirdaus 15
17 SD Islam Terpd Auladi 17
Mengetahui, Palembang, 2014

Drg. Erminda Hj. Nita Artati, SKM

Nip. 196312091992032003 NIP.196712291991022001
DAFTAR TANDA TERIMA TRANSPORT ORIENTASI GURU

TAHUN : 2015
JUMLAH
NO NAMA ASALSEKOLAH DITERIMA TANDA TANGAN
Rp
1 2 3 4
1 SD N 100 30,000 1
2 SD N 101 30,000 2
3 SD N 102 30,000 3
4 SD N 103 30,000 4
5 SD N 104 30,000 5
6 SD N 105 30,000 6
7 SD N 106 30,000 7
8 SD N 107 30,000 8
9 SD N 108 30,000 9
10 SD N 109 30,000 10
11 SD N 110 30,000 11
12 MI Assegaf 30,000 12
13 SD Muhd 17 30,000 13
14 MI Nusantara 30,000 14
15 MI Alfirdaus 30,000 15
16 MI Assanadiyah 30,000 16
17 SD Islam Terpd Auladi 30,000 17
JUMLAH 510,000
Terbilang : Lima Ratus Sepuluh Ribu Rupiah
Palembang, Nopember 2015

Setuju dibayar Yang membayarkan
Plt Kepala Puskesmas Taman Bacaan Bendahara BOK
Drg. Erminda Darmila, Skp

Nip. 196312091992032003 Nip. 198404072006042009

TAHUN : 2016
JUMLAH
NO NAMA ASALSEKOLAH DITERIMA TANDA TANGAN
Rp
1 2 3 4
1 SD N 100 40,000 1
2 SD N 101 40,000 2
3 SD N 102 40,000 3
4 SD N 103 40,000 4
5 SD N 104 40,000 5
6 SD N 105 40,000 6
7 SD N 106 40,000 7
8 SD N 107 40,000 8
9 SD N 108 40,000 9
10 SD N 109 40,000 10
11 SD N 110 40,000 11
12 MI Assegaf 40,000 12
13 SD Muhd 17 40,000 13
17 MI Mutiara Sunah 40,000 17
JUMLAH 720,000
Terbilang : Tujuh Ratus Dua Puluh Ribu Rupiah
Palembang, Agustus 2016

Drg. Erminda Leli Oktalina, Am. Keb

Pembina
Nip. 196312091992032003 Nip. 198810232011012004

TAHUN : 2014
JUMLAH

DITERIMA
Rp
1 2 3 4
1 SD N 100 15,000 1
2 SD N 101 15,000 2
3 SD N 102 15,000 3
4 SD N 103 15,000 4
5 SD N 104 15,000 5
6 SD N 105 15,000 6
7 SD N 106 15,000 7
8 SD N 107 15,000 8
9 SD N 108 15,000 9
10 SD N 109 15,000 10
11 SD N 110 15,000 11
12 MI Assegaf 15,000 12
13 SD Muhd 17 15,000 13

JUMLAH 255,000
Terbilang : Dua Ratus Lima Puluh Lima Ribu Rupiah
Palembang, 2014
Pimpinan Puskesmas Taman Bacaan Bendahara BOK
Drg. Erminda Darmila, Skp
Nip. 196312091992032003 Nip. 198404072006042009
DAFTAR TANDA TERIMA TRANSPORT PETUGAS

TAHUN : 2011
No Nama Rincian Kegiatan Jumlah Diterima ( Rp ) Tanda Tangan

1 2 3 4 5
1 NITA ARTATI, Skm 17 Skh X Rp 23,000 391.000 1
2 RITA ARINA S, Skm 17 Skh X Rp 23,000 391.000 2
3 ROSANI 17 Skh X Rp 23,000 391.000 3
4 R. YOSEPHIN,Skm 17 Skh X Rp 23,000 391.000 4
JUMLAH 1.564.000
Terbilang :Satu Juta Lima Ratus Enam Puluh Empat Ribu Rupiah
Palembang, 2011
Mengetahui
Pimpinan Puskesmas Taman Bacaan Yang membayarkan
Drg. Erminda Nita Artati,Skm

Nip. 196312091992032003 Nip. 196712291991022001
Mengetahui / Menyetujui : Lunas dibayar

Kepala Dinas Kesehatan Bendahara Pengeluaran
Kota Palembang Dinas Kesehatan Kota Palembang
Selaku Pengguna Anggaran
Dr.Hj.Gema Asiani, M.Kes Ratna Djuwita

Nip 196209041989102001 Nip 195602011979042002
DAFTAR TANDA TERIMA TRANSPORT PETUGAS

TAHUN : 2012
No Nama Rincian Kegiatan Jumlah Diterima ( Rp ) Tanda Tangan
4 5
1 2 3
1 Nita Artati, Skm 17 Skh X Rp 23,000 391.000 1
2 Rusdah,BSc 17 Skh X Rp 23,000 391.000 2
3 Rosani 17 Skh X Rp 23,000 391.000 3
4 R. Yosephin,Skm 17 Skh X Rp 23,000 391.000 4
JUMLAH 1.564.000
Terbilang :Satu Juta Lima Ratus Enam Puluh Empat Ribu Rupiah
Palembang, 2012
Pimpinan Puskesmas Taman Bacaan Bendaharawan
Drg. Erminda Nita Artati,Skm

Nip. 196312091992032003 Nip. 196712291991022001
JADWAL KUNJUNGAN KEGIATAN BULAN IMUNISASI ANAK SEKOLAH TAHUN 2016
DI WILAYAH KERJA PUSKESMAS TAMAN BACAAN KEC.SU.II PALEMBANG
NAMA SD/MI JUMLAH MURID (KELAS)

NO HARI TANGGAL JAM I II III Jlh Kls PTGS IMUNISASI
BARU LAMA
L P JLH L P JLH L P JLH 1 s/d 3
1 Selasa 16-Aug-16 8.30 WIB 102 397 15 22 37 25 25 50 25 28 53 140 Nita , Rosani, Rusdah
100 389+390 26 24 50 33 25 58 29 31 60 168 Leli , Darmila, Ayu
2 Kamis 18-Aug-16 8.30 WIB 106 220 + 221 39 27 66 36 39 75 43 63 106 247 Leli , Darmila, Rusdah
107 226+534+120 50 33 83 51 35 86 38 38 76 245 Nita , Rosani , Ana
3 Sabtu 20-Aug-16 8.30 WIB 105 402 11 14 25 19 20 39 12 16 28 92 Nita , Rosani

104 118 16 16 32 23 12 35 14 17 31 98 Leli , Rusdah, Rosita
4 Senin 22-Aug-16 8.30 WIB 101 30+35 61 42 103 55 52 107 64 53 117 327 Nita , Rosani, Dewi
103 161 + 369 65 32 97 45 48 93 39 27 66 256 Leli , Darmila , Rusdah
5 Selasa 23-Aug-16 8.30 WIB MI Alfirdaus 16 12 28 13 17 30 16 8 24 82 Darmila , Ali

MI Assanadiyah 10 6 16 12 12 24 8 7 15 55 Leli , Nita
6 Rabu 24-Aug-16 8.30 WIB MI Nusantara 18 15 33 17 20 37 24 13 37 107 Leli , Darmila

Muhd 17 10 10 20 14 9 23 14 17 31 74 Nita , Rosani
7 Kamis 25-Aug-16 8.30 WIB MI Assegaf 10 6 16 7 8 15 11 12 23 54 Nita , Rosani

108 219 40 24 64 19 18 37 18 18 36 137 Leli , Darmila , Rusdah
8 Jum,at 26-Aug-16 8.30 WIB 109 225+90 30 31 61 35 29 64 34 40 74 199 Nita , Darmila

110 517+217 34 18 52 28 22 50 27 32 59 161 Leli , Rosani , Rusdah
9 Sabtu 27-Aug-16 8.30 WIB Mi Mutiara Sunnah 22 20 42 15 14 29 15 16 31 102 Dr Tri Budi , Nita, Rosani
- Agust-16 8.30 WIB SDI Terpadu Auladi Dr Tri, Leli, Darmila , Rosita

Plt Kepala Puskesmas Taman Bacaan
Drg. ERMINDA
NIP. 196312091992032003

BARU LAMA
1 Jum'at 14-Aug-15 8.30 WIB 102 397 23 25 48 27 27 54 19 16 35 137 Rosdah, Rosita

100 389+390 40 27 67 25 31 56 29 27 56 179 Nita ,Rosani .ayu
2 Sabtu 15-Aug-15 8.30 WIB 101 30+35 54 50 104 64 50 114 59 57 116 334 Nita Rosani, Ayu
3 Selasa 18-Aug-15 8.30 WIB 106 220 + 221 43 42 85 38 57 95 43 58 101 281 Nita, Rosani
107 226+534+120 56 39 95 39 33 72 41 39 80 247 Rosdah Ayu,Rosita
4 Rabu 19-Aug-15 8.30 WIB 103 161 + 369 54 48 102 41 32 73 53 35 88 263 Rosdah,Darmila,Ayu
108 219 21 18 39 18 18 36 14 13 27 102 Rosani, Nita
5 Kamis 20-Aug-15 8.30 WIB MI Alfirdaus 15 12 27 20 13 33 21 10 31 91 Darmila, ayu

MI Assanadiyah 17 3 20 17 7 24 13 9 22 66 Rosani, Nita
6 Jum'at 21-Aug-15 8.30 WIB 109 225+90 38 30 68 28 35 63 28 28 56 187 Rosdah, Rosita

110 517+217 28 24 52 31 31 62 18 18 36 150 Rosani, Nita
7 Senin 24-Aug-15 8.30 WIB 105 402 21 19 40 15 16 31 13 16 29 100 Rosani, Ayu

104 118 18 12 30 12 16 28 29 16 45 103 Darmila, Nita
8 Selasa 25-Aug-15 8.30 WIB MI Assegaf 6 7 13 8 13 21 10 11 21 55 Rosani, Nita

Muhd 17 11 15 26 19 19 38 14 17 31 95 Rosdah, Rosita
9 Rabu 26-Aug-15 8.30 WIB MI Nusantara 19 17 36 23 12 35 16 24 40 111 Nita, Darmila
8.30 WIB SDITerpdu Auladi 19 17 36 20 17 37 17 18 35 108 Dr Widia ,Darmila, Nita
483 405 888 445 427 872 437 412 849 2609

Pimpinan Puskesmas Taman Bacaan
Drg. ERMINDA
NIP. 196312091992032003


BARU LAMA
1 Kamis 12-Nov-15 8.30 WIB 101 30+35 54 50 104 64 50 114 59 57 116 334 Nita ,Yosephin, Mila, Ani
2 Jum'at 13-Nov-15 8.30 WIB 102 397 23 25 48 27 27 54 19 16 35 137 Rosdah, Mila, Rosita
100 389+390 40 27 67 25 31 56 29 27 56 179 Nita, Rosani, Ayu
3 Senin 16-Nov-15 8.30 WIB 103 161 + 369 54 48 102 41 32 73 53 35 88 263 Nita, Ani, Yosephin, Rosita
108 219 21 18 39 18 18 36 14 13 27 102 Rosdah, Mila, Ana
4 Selasa 17-Nov-15 8.30 WIB MI Alfirdaus 15 12 27 20 13 33 21 10 31 91 Rita, Darmila

MI Assanadiyah 17 3 20 17 7 24 13 9 22 66 Nita , Rosani
5 Rabu 18-Nov-15 8.30 WIB 106 220 + 221 43 42 85 38 57 95 43 58 101 281 Nita , Rosani , Rosdah
107 226+534+120 56 39 95 39 33 72 41 39 80 247 Yosephin, Mila, Ayu
6 Kamis 19-Nov-15 8.30 WIB 105 402 21 19 40 15 16 31 13 16 29 100 Rosani , Mila , Nita
104 118 18 12 30 12 16 28 29 16 45 103 Rosdah , Ayu , Rosita
7 Jum'at 20-Nov-15 8.30 WIB MI Assegaf 6 7 13 8 13 21 10 11 21 55 Darmila , Ana

Muhd 17 11 15 26 19 19 38 14 17 31 95 Nita , Rosani
8 Senin 23-Nov-15 8.30 WIB 109 225+90 38 30 68 28 35 63 28 28 56 187 Nita , Darmila

110 517+217 28 24 52 31 31 62 18 18 36 150 Rosdah , Ana , Rosita
9 Selasa 24-Nov-15 8.30 WIB MI Nusantara 19 17 36 23 12 35 16 24 40 111 Nita, Darmila
10 - Nop - 15 8.30 WIB SDI Terpdu Auladi 19 17 36 20 17 37 17 18 35 108 Dr Mieta,Nita Darmila,Rosita

Palembang, Nopember 2015
Pimpinan Puskesmas Taman Bacaan
Drg. ERMINDA
NIP. 196312091992032003
LAPORAN CAKUPAN BULAN IMUNISASI ANAK SEKOLAH ( BIAS ) DT /Td
PUSKESMA: TAMAN BACAAN PALEMBANG

KECAMATA : SU II PALEMBANG
TAHUN : 2012 Halaman 1
JUMLAH SASARAN
DESA /
PERKELAS
NO NAMA SEKOLAH
Kelas 1 Kelas 2 Kelas 3 Jlh Murid Kls (2+3) Jh Mrd Kl (1s/d3)
KEL
L P JLH L P JLH L P JLH L P JLH L P JLH
1 2 3 4 5 6 7 8
1 TgTakat 1. SD N 100 24 26 50 25 17 42 29 26 55 54 43 97 78 69 147

2. SD N 101 65 58 123 66 51 117 72 70 142 138 121 259 203 179 382
3. SD N 105 21 21 42 22 15 37 28 14 42 50 29 79 71 50 121
4. MI Assegaf 13 13 26 9 12 21 8 8 16 17 20 37 30 33 63
5. SD I T.Auladi 38 35 73 34 35 69 27 22 49 61 57 118 99 92 191
161 153 314 156 130 286 164 140 304 320 270 590 481 423 904
2 16 Ulu 6. SD N 102 25 18 43 19 11 30 10 12 22 29 23 52 54 41 95
7. SD N 103 46 35 81 41 38 79 45 42 87 86 80 166 132 115 247
8. SD N 104 29 25 54 22 20 42 26 30 56 48 50 98 77 75 152
9. SD N 106 46 35 81 41 33 74 48 42 90 89 75 164 135 110 245
10. SD N 107 44 33 77 37 31 68 47 36 83 84 67 151 128 100 228
11. MI Alfirdaus 14 14 28 22 16 38 15 12 27 37 28 65 51 42 93
12. MI Assanadiyah 15 12 27 12 12 24 14 11 25 26 23 49 41 35 76
219 172 391 194 161 355 205 185 390 399 346 745 618 518 1136
3 Sentosa 13. SD N 108 18 18 36 11 14 25 22 17 39 33 31 64 51 49 100

14. SD N 109 39 30 69 20 19 39 32 34 66 52 53 105 91 83 174
15. SD N 110 38 31 69 29 19 48 21 12 33 50 31 81 88 62 150
16. MI Nusantara 15 12 27 13 17 30 17 11 28 30 28 58 45 40 85
17. SD Muhd 17 21 13 34 15 9 24 17 14 31 32 23 55 53 36 89
131 104 235 88 78 166 109 88 197 197 166 363 328 270 598
TOTAL JUMLAH 511 429 940 438 369 807 478 413 891 916 782 1698 1427 1211 2638

JUMLAH SASARAN
DESA /
PERKELAS
NO NAMA SEKOLAH
KEL Kelas 1 Kelas 2 Kelas 3 Jlh Murid Kls (2+3) Jh Mrd Kls (1+2+3)
1 2 3 4 5 6 7 8
1 TgTakat 1. SD N 100 30 30 60 16 26 42 23 19 42 39 45 84 69 75 144

2. SD N 101 75 51 126 59 58 117 71 50 121 130 108 238 205 159 364
3. SD N 105 16 21 37 17 16 33 18 18 36 35 34 69 51 55 106
4. MI Assegaf 10 11 21 13 13 26 9 12 21 22 25 47 32 36 68
5. SD I T.Auladi 17 18 35 19 15 34 15 17 32 34 32 66 51 50 101
148 131 279 124 128 252 136 116 252 260 244 504 408 375 783
2 16 Ulu 6. SD N 102 21 20 41 19 18 37 16 15 31 35 33 68 56 53 109

7. SD N 103 47 35 82 45 34 79 38 33 71 83 67 150 130 102 232
8. SD N 104 30 17 47 27 21 48 23 18 41 50 39 89 80 56 136
9. SD N 106 41 56 97 49 31 80 45 33 78 94 64 158 135 120 255
10. SD N 107 42 38 80 34 30 64 44 34 78 78 64 142 120 102 222
11. MI Alfirdaus 20 14 34 13 19 32 17 17 34 30 36 66 50 50 100
12. MI Assanadiyah 6 13 19 13 6 19 11 4 15 24 10 34 30 23 53
207 193 400 200 159 359 194 154 348 394 313 707 601 506 1107
3 Sentosa 13. SD N 108 16 16 32 15 16 31 12 14 26 27 30 57 43 46 89

14. SD N 109 29 28 57 33 28 61 22 21 43 55 49 104 84 77 161
15. SD N 110 18 22 40 30 28 58 26 23 49 56 51 107 74 73 147
16. MI Nusantara 18 23 41 13 11 24 14 19 33 27 30 57 45 53 98
17. SD Muhd 17 11 16 27 22 14 36 17 9 26 39 23 62 50 39 89
92 105 197 113 97 210 91 86 177 204 183 387 296 288 584
TOTAL JUMLAH 447 429 876 437 384 821 421 356 777 858 740 1598 1305 1169 2474

JUMLAH SASARAN
DESA /
PERKELAS
NO NAMA SEKOLAH
Kelas 1 Kelas 2 Kelas 3 Jlh Murid Kls (2+3) Jh Mrd Kls (1+2+3)
KEL
1 2 3 4 5 6 7 8
1 TgTakat 1. SD N 100 29 31 60 32 30 62 10 24 34 42 54 96 71 85 156

2. SD N 101 57 44 101 63 49 112 61 59 120 124 108 232 181 152 333
3. SD N 105 14 23 37 17 14 31 16 14 30 33 28 61 47 51 98
4. MI ASSEGAF 13 15 28 8 12 20 13 10 23 21 22 43 34 37 71
5. SD I T.Auladi 20 17 37 17 18 35 19 15 34 36 33 69 56 50 106
133 130 263 137 123 260 119 122 241 256 245 501 389 375 764
2 16 Ulu 6. SD N 102 26 25 51 18 19 37 18 15 33 36 34 70 62 59 121

7. SD N 103 49 34 83 46 36 82 43 32 75 89 68 157 138 102 240
8. SD N 104 15 18 33 20 23 43 25 18 43 45 41 86 60 59 119
9. SD N 106 47 57 104 37 56 93 50 32 82 87 88 175 134 145 279
10. SD N 107 40 40 80 39 41 80 38 25 63 77 66 143 117 106 223
11. MI Alfirdaus 15 13 28 15 5 20 17 13 30 32 18 50 47 31 78
12. MI Assanadiyah 11 9 20 11 7 18 11 9 20 22 16 38 33 25 58
203 196 399 186 187 373 202 144 346 388 331 719 591 527 1118
3 Sentosa 13. SD N 108 23 17 40 14 15 29 10 15 25 24 30 54 47 47 94

14. SD N 109 33 37 70 30 26 56 31 26 57 61 52 113 94 89 183
15. SD N 110 30 33 63 18 19 37 28 27 55 46 46 92 76 79 155
16. MI Nusantara 23 12 35 22 19 41 14 11 25 36 30 66 59 42 101
17. SD MUHD 17 17 18 35 16 17 33 16 12 28 32 29 61 49 47 96
126 117 243 100 96 196 99 91 190 199 187 386 325 304 629
TOTAL JUMLAH 462 443 905 423 406 829 420 357 777 843 763 1606 1305 1206 2511

JUMLAH SASARAN
DESA /
PERKELAS
NO NAMA SEKOLAH
Kelas 1 Kelas 2 Kelas 3 Jlh Murid Kls (2+3) Jh Mrd Kls (1+2+3)
KEL
1 2 3 4 5 6 7 8
1 Tg Takat 1. SD N 100 40 27 67 25 31 56 29 27 56 54 58 112 94 85 179

2. SD N 101 54 50 104 64 50 114 59 57 116 123 107 230 177 157 334
3. SD N 105 21 19 40 15 16 31 13 16 29 28 32 60 49 51 100
4. MI ASSEGAF 6 7 13 8 13 21 10 11 21 18 24 42 24 31 55
5. SD Islm.T.Auladi 19 17 36 20 17 37 17 18 35 37 35 72 56 52 108
140 120 260 132 127 259 128 129 257 260 256 516 400 376 776
2 16 Ulu 6. SD N 102 23 25 48 27 27 54 19 16 35 46 43 89 69 68 137

7. SD N 103 54 48 102 41 32 73 53 35 88 94 67 161 148 115 263
8. SD N 104 18 12 30 12 16 28 29 16 45 41 32 73 59 44 103
9. SD N 106 43 42 85 38 57 95 43 58 101 81 115 196 124 157 281
10. SD N 107 56 39 95 39 33 72 41 39 80 80 72 152 136 111 247
11. MI ALFIRDAUS 15 12 27 20 13 33 21 10 31 41 23 64 56 35 91
12. MI Assanadiyah 17 3 20 17 7 24 13 9 22 30 16 46 47 19 66
226 181 407 194 185 379 219 183 402 413 368 781 639 549 1188
3 Sentosa 13. SD N 108 21 18 39 18 18 36 14 13 27 32 31 63 53 49 102

14. SD N 109 38 30 68 28 35 63 28 28 56 56 63 119 94 93 187
15. SD N 110 28 24 52 31 31 62 18 18 36 49 49 98 77 73 150
16. MI NUSANTARA 19 17 36 23 12 35 16 24 40 39 36 75 58 53 111
17. SD MUHD 17 11 15 26 19 19 38 14 17 31 33 36 69 44 51 95
117 104 221 119 115 234 90 100 190 209 215 424 326 319 645
JUMLAH 483 405 888 445 427 872 437 412 849 882 839 1721 1365 1244 2609

KECAMATA: SU II PALEMBANG
JUMLAH PENCAPAIAN JUMLAH

DESA / Ip Vaksin
PERKELAS Vksn Dipkai
NO NAMA SEKOLAH
Kelas 1 Kelas 2 Kelas 3 Jlh Murid Kls (2+3) Jlh Mrd Kls (1+2+3)
KEL Dt Td Dt Td
L P JLH % L P JLH % L P JLH % L P JLH % L P JLH %
1 2 3 9 10 11 12 13 14 15 16 17
1 TgTakat 1. SD N 100 28 29 57 24 18 42 29 26 55 53 44 97 81 73 154

2. SD N 101 66 66 132 66 51 117 72 70 142 138 121 259 204 187 391
3. SD N 105 23 22 45 22 15 37 28 14 42 50 29 79 73 51 124
4. MI ASSEGAF 16 15 31 9 12 21 8 8 16 17 20 37 33 35 68
5. SD I.T.Auladi 26 20 46 32 33 65 26 20 46 58 53 111 84 73 157
159 152 311 99 153 129 282 98.6 163 138 301 99 316 267 583 99 475 419 894 99 43 69 7.2 8.4
2 16 Ulu 6. SD N 102 25 18 43 19 11 30 10 12 22 29 23 52 54 41 95
7. SD N 103 46 35 81 41 38 79 45 42 87 86 80 166 132 115 247
8. SD N 104 29 24 53 22 20 42 26 30 56 48 50 98 77 74 151
9. SD N 106 46 35 81 42 33 75 48 42 90 90 75 165 136 110 246
10. SD N 107 43 34 77 36 30 66 46 36 82 82 66 148 125 100 225
11. MI Alfirdaus 14 15 29 22 16 38 15 12 27 37 28 65 51 43 94
12. MI Assanadiya 15 10 25 12 12 24 14 11 25 26 23 49 41 33 74
218 171 389 99.5 194 160 354 99.7 204 185 389 99.7 398 345 743 99.7 616 516 1132 99.7 54 88 7.2 8.4
3 Sentosa 13. SD N 108 18 18 36 11 14 25 22 17 39 33 31 64 51 49 100

14. SD N 109 39 30 69 20 19 39 32 34 66 52 53 105 91 83 174
15. SD N 110 38 30 68 29 19 48 21 11 32 50 30 80 88 60 148
16. MI Nusantara 14 12 26 13 16 29 17 11 28 30 27 57 44 39 83
17. SD MUHD 17 21 14 35 15 9 24 17 14 31 32 23 55 53 37 90
130 104 234 99.6 88 77 165 99.4 109 87 196 99.5 197 164 361 99.5 327 268 595 99.5 33 43 7.2 8.4
TOTAL JUMLAH 507 427 934 99.4 435 366 801 99.3 476 410 886 99.4 911 776 1687 99.4 1418 1203 2621 99.4 130 200 7.2 8.4
Mengetahui Palembang, 7 Desember 2012

Pimpinan Puskesmas Taman Bacaan Koordinator Imunisasi

NIP. 196312091992032003 NIP. 196712291991022001

JUMLAH
DESA / CAKUPAN IMUNISASI DT /Td Ip Vaksin
Vaksn dipakai
NO NAMA SEKOLAH
Kelas 1(DT) Kelas 2 ( Td ) Kelas 3 ( Td ) Jlh Murid Kls (2+3) Jlh Mrd Kls (1+2+3)
KEL Dt Td Dt Td
1 2 3 9 10 11 12 13 14 15 16 17
1 TgTakat 1. SD N 100 34 28 62 19 25 44 24 22 46 43 47 90 77 75 152 8 11 7.8 8

2. SD N 101 70 51 121 58 58 116 71 51 122 129 109 238 199 160 359 15 30 8 7.9
3. SD N 105 16 21 37 17 16 33 18 18 36 35 34 69 51 55 106 5 9 7.4 7.7
4. MI ASSEGAF 11 13 24 13 12 25 11 12 23 24 24 48 35 37 72 3 6 8 8
5. SD I.T.Auladi 16 10 26 15 17 32 9 12 21 24 29 53 40 39 79 4 7 6.5 7.6
147 123 270 97 122 128 250 99.2 133 115 248 98.4 255 243 498 98.8 402 366 768 98.1 35 63 7.7 7.9
2 16 Ulu 6. SD N 102 21 20 41 19 18 37 16 15 31 35 33 68 56 53 109 5 9 8.2 7.6

7. SD N 103 46 34 80 45 34 79 38 32 70 83 66 149 129 100 229 10 19 8 7.8
8. SD N 104 30 17 47 27 21 48 23 20 43 50 41 91 80 58 138 6 11 7.8 8.3
9. SD N 106 41 55 96 47 31 78 44 33 77 91 64 155 132 119 251 12 20 8 7.8
10. SD N 107 42 39 81 34 30 64 43 34 77 77 64 141 119 103 222 10 17 8.1 8
11. MI Alfirdaus 19 13 32 13 18 31 17 16 33 30 34 64 49 47 96 4 8 8 8
12. MI Assanadiya 10 12 22 13 6 19 11 4 15 24 10 34 34 22 56 3 5 7.3 6.8
209 190 399 99.8 198 158 356 99.2 192 154 346 99.4 390 312 702 99.3 599 502 1101 99.5 50 89 7.98 7.9
3 Sentosa 13. SD N 108 17 16 33 15 17 32 12 14 26 27 31 58 44 47 91 4 8 8.3 4

14. SD N 109 29 28 57 34 28 62 23 21 44 57 49 106 86 77 163 7 13 8 8
15. SD N 110 18 21 39 30 27 57 28 21 49 58 48 106 76 69 145 5 13 7.8 8
16. MI Nusantara 17 23 40 13 11 24 14 18 32 27 29 56 44 52 96 5 7 8 8
17. SD MUHD 17 12 16 28 19 14 33 15 10 25 34 24 58 46 40 86 4 7 7 8.3
93 104 197 100 111 97 208 99 92 84 176 99.4 203 181 384 99.2 296 285 581 99.5 25 48 7.9 8
TOTAL JUMLAH 449 417 866 98.9 431 383 814 99.1 417 353 770 99.1 848 736 1584 99.1 1297 1153 2450 99 110 200 7.9 7.9

Pimpinan Puskesmas Taman Bacaan Koordinator Imunisasi
NIP. 196312091992032003 NIP. 196712291991022001
JUMLAH
Vaksn dipakai
NO NAMA SEKOLAH
KEL Dt Td Dt Td
1 2 3 9 10 11 12 13 14 15 16 17
1 TgTakat 1. SD N 100 29 31 60 35 27 62 18 26 44 53 53 106 82 84 166

2. SD N 101 57 44 101 63 49 112 57 56 113 120 105 225 177 149 326
3. SD N 105 14 23 37 17 16 33 16 15 31 33 31 64 47 54 101
4. MI ASSEGAF 13 15 28 8 11 19 13 11 24 21 22 43 34 37 71
5. SD I.T.Auladi 15 17 32 15 15 30 13 13 26 28 28 56 43 45 88
128 130 258 98.1 138 118 256 98.5 117 121 238 98.8 255 239 494 98.6 383 369 752 98.4 31 62 8.3 8
2 16 Ulu 6. SD N 102 26 25 51 18 17 35 18 15 33 36 32 68 62 57 119

7. SD N 103 48 33 81 46 36 82 42 32 74 88 68 156 136 101 237
8. SD N 104 14 18 32 20 22 42 25 18 43 45 40 85 59 58 117
9. SD N 106 47 57 104 37 56 93 50 30 80 87 86 173 134 143 277
10. SD N 107 39 40 79 41 40 81 37 29 66 78 69 147 117 109 226
11. MI Alfirdaus 17 15 32 13 9 22 17 13 30 30 22 52 47 37 84
12. MI Assanadiya 11 8 19 11 7 18 11 9 20 22 16 38 33 24 57
202 196 398 99.7 186 187 373 100 200 146 346 100 386 333 719 100 588 529 1117 99.9 49 90 8.1 8
3 Sentosa 13. SD N 108 22 18 40 14 16 30 10 15 25 24 31 55 46 49 95

14. SD N 109 31 37 68 31 25 56 31 26 57 62 51 113 93 88 181
15. SD N 110 30 32 62 18 18 36 28 27 55 46 45 91 76 77 153
16. MI Nusantara 25 12 37 21 20 41 14 11 25 35 31 66 60 43 103
17. SD MUHD 17 18 18 36 16 17 33 16 12 28 32 29 61 50 47 97
126 117 243 100 100 96 196 100 99 91 190 100 199 187 386 100 325 304 629 100 30 48 8.1 8
TOTAL JUMLAH 456 443 899 99.3 424 401 825 99.5 416 358 774 99.6 840 759 1599 99.6 1296 1202 2498 99.5 110 200 8.2 8

Plt Kepala Puskesmas Taman Bacaan Koordinator Imunisasi
NIP. 196312091992032003 NIP. 196712291991022001

JUMLAH
Vaksn dipakai
NO NAMA SEKOLAH
KEL Dt Td Dt Td
1 2 3 9 10 11 12 13 14 15 16 17
1 TgTakat 1. SD N 100 40 27 67 25 31 56 29 27 56 54 58 112 94 85 179

2. SD N 101 54 50 104 63 49 112 59 57 116 122 106 228 176 156 332
3. SD N 105 21 19 40 15 16 31 13 16 29 28 32 60 49 51 100
4. MI ASSEGAF 6 7 13 8 13 21 10 11 21 18 24 42 24 31 55
5. SD I.T.Auladi 18 16 34 20 17 37 16 17 33 36 34 70 54 50 104
139 119 258 99.2 131 126 257 99.2 127 128 255 99.2 258 254 512 99.2 397 373 770 99.2 32 64 8 8
2 16 Ulu 6. SD N 102 22 25 47 27 27 54 19 16 35 46 43 89 68 68 136

7. SD N 103 54 48 102 41 32 73 53 35 88 94 67 161 148 115 263
8. SD N 104 18 12 30 12 16 28 29 16 45 41 32 73 59 44 103
9. SD N 106 43 42 85 38 57 95 43 58 101 81 115 196 124 157 281
10. SD N 107 56 39 95 39 33 72 41 39 80 80 72 152 136 111 247
11. MI Alfirdaus 15 12 27 19 13 32 20 10 30 39 23 62 54 35 89
12. MI Assanadiya 17 3 20 17 7 24 13 9 22 30 16 46 47 19 66
225 181 406 99.8 193 185 378 99.7 218 183 401 99.8 411 368 779 99.7 636 549 1185 99.7 51 98 7.96 7.94
3 Sentosa 13. SD N 108 21 18 39 18 18 36 14 13 27 32 31 63 53 49 102

14. SD N 109 38 30 68 28 35 63 28 28 56 56 63 119 94 93 187
15. SD N 110 28 24 52 31 31 62 18 18 36 49 49 98 77 73 150
16. MI Nusantara 18 17 35 22 12 34 16 24 40 38 36 74 56 53 109
17. SD MUHD 17 11 15 26 19 19 38 14 17 31 33 36 69 44 51 95
116 104 220 99.6 118 115 233 99.6 90 100 190 208 215 423 99.8 324 319 643 99.7 28 53 7.9 7.98
TOTAL JUMLAH 480 404 884 99.5 442 426 868 99.5 435 411 846 99.6 877 837 1714 99.6 1357 1241 2598 99.6 111 215 8 8
Mengetahui Palembang,11 Desember 2015

Plt Kepala Puskesmas Taman Bacaan Koordinator Imunisasi
NIP. 196312091992032003 NIP. 196712291991022001

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LAPORAN CAKUPAN BULAN IMUNISASI ANAK SEKOLAH ( BIAS ) CAMPAK

PUSKESMAS : TAMAN BACAAN

JUMLAH SASARAN CAKUPAN JLH IP

1 Tg Takat 1. SD N 100 24 26 50 25 17 42 29 26 55 54 43 97 78 69 147

3 Sentosa 13. SD N 108 18 18 36 11 14 25 22 17 39 33 31 64 51 49 100

Mengetahui Palembang, September 2012

Drg. ERMINDA NITA ARTATI. SKM

PUSKESMAS : TAMAN BACAAN

JUMLAH SASARAN CAKUPAN JLH IP

1 Tg Takat 1. SD N 100 30 30 60 16 26 42 23 19 42 39 45 84 69 75 144

2 16 Ulu 6. SD N 102 21 20 41 19 18 37 16 15 31 35 33 68 56 53 109

3 Sentosa 13. SD N 108 16 16 32 15 16 31 12 14 26 27 30 57 43 46 89

Mengetahui Palembang, September 2013

Drg. ERMINDA NITA ARTATI. SKM

LAPORAN CAKUPAN BULAN IMUNISASI ANAK SEKOLAH ( BIAS ) CAMPAK

PUSKESMAS : TAMAN BACAAN

JUMLAH SASARAN CAKUPAN JLH IP

1 Tg Takat 1. SD N 100 29 31 60 32 30 62 10 24 34 42 54 96 71 85 156 29 31 60 7

2 16 Ulu 6. SD N 102 26 25 51 18 19 37 18 15 33 36 34 70 62 59 121 26 25 51 7

3 Sentosa 13. SD N 108 23 17 40 14 15 29 10 15 25 24 30 54 47 47 94 22 18 40 5

PUSKESMAS : TAMAN BACAAN

JUMLAH SASARAN CAKUPAN JLH IP

1 Tg Takat 1. SD N 100 40 27 67 25 31 56 29 27 56 54 58 112 94 85 179 41 27 68

2 16 Ulu 6. SD N 102 23 25 48 27 27 54 19 16 35 46 43 89 69 68 137 23 25 48

3 Sentosa 13. SD N 108 21 18 39 18 18 36 14 13 27 32 31 63 53 49 102 21 18 39

Mengetahui Palembang, 07 September 2015

PUSKESMAS : TAMAN BACAAN

JUMLAH SASARAN CAKUPAN JLH IP

1 Tg Takat 1. SD N 100 26 24 50 33 25 58 29 31 60 62 56 118 88 80 168 24 24 48 96.0 5

2 16 Ulu 6. SD N 102 15 22 37 25 25 50 25 28 53 50 53 103 65 75 140 15 22 37 100.0 4

3 Sentosa 13. SD N 108 40 24 64 19 18 37 18 18 36 37 36 73 77 60 137 41 24 65 101.6 6

Mengetahui Palembang,13 September 2016

Drg. Erminda Leli Oktalina

PUSKESMAS : TAMAN BACAAN PALEMBANG

NO NAMA ASALSEKOLAH TANDA TANGAN

17 SD Islam Terpd Auladi

Mengetahui, Palembang, Nopember 2015

Drg. Erminda Hj. Nita Artati, SKM

PUSKESMAS : TAMAN BACAAN PALEMBANG

NO NAMA ASALSEKOLAH TANDA TANGAN

18 SD Islam Terpd Auladi 18

Mengetahui, Palembang, Agustus 2016

Drg. Erminda Leli Oktalina, Am. Keb

PUSKESMAS : TAMAN BACAAN PALEMBANG

NO NAMA ASALSEKOLAH TANDA TANGAN

17 SD Islam Terpd Auladi 17

Mengetahui, Palembang, 2014

Drg. Erminda Hj. Nita Artati, SKM

PUSKESMAS : TAMAN BACAAN PALEMBANG

17 SD Islam Terpd Auladi 30,000 17

Terbilang : Lima Ratus Sepuluh Ribu Rupiah

Palembang, Nopember 2015

Drg. Erminda Darmila, Skp

PUSKESMAS : TAMAN BACAAN PALEMBANG

17 MI Mutiara Sunah 40,000 17

18 SD Islam Terpd Auladi 40,000 18

Palembang, Agustus 2016

Drg. Erminda Leli Oktalina, Am. Keb