LAPORAN HASIL BULAN IMUNISASI ANAK S

WILAYAH KERJA PUSKESMA

JUMLAH SASARAN
NO NAMA SEKOLAH KLS 1 KLS 2
JMH JMH
L P L P
1 SDN Kayumanis I 58 33 91 57 55 112
2 SDN Kayumanis II 21 20 41 22 16 38
3 MI Nurul Huda 22 19 41 27 17 44
4 MI Sirojudin 3 3 6 1 5 6
5 MI Tarbiyatus S 26 22 48 21 21 42
6 MI Al Hidayah 16 17 33 15 19 34
7 SDIT Usmanil Hakim 19 19 38 22 23 45
8 SDN Kukupu I 21 36 57 37 19 56
9 SDN Kukupu II 44 37 81 43 40 83
10 SDN Kukupu III 33 26 59 29 28 57
11 SDN Cibadak 35 33 68 18 24 42
12 MI Raudlatul Muta'allimin 22 13 35 12 13 25
13 MI Mathla'ul Anwar 35 19 54 37 35 72
14 MI Alma Arif 2 2 4 0 1 1
15 SD Tunas Pertiwi 3 2 5 0 2 2
16 SD Sinar Indonesia 10 0 10 7 6 13
17 SDN Kencana II 59 47 106 44 40 84
18 MI Manbaul Islam 59 52 111 62 60 122
19 MI Bahrul Huda 5 12 17 8 10 18
20 MI Nurul Amal 87 93 180 85 80 165
21 MI Nurul Huda 3 21 19 40 21 15 36
22 MI Nurul Yaqim 9 8 17 8 6 14
23 SDIT Al Akhyar 5 4 9 5 4 9
24 SDIT Bina Anak Indonesia 4 2 6 4 2 6
619 538 1157 585 541 1126
ULAN IMUNISASI ANAK SEKOLAH ( BIAS ) TAHUN 2021
LAYAH KERJA PUSKESMAS KAYUMANIS

ARAN JUMLAH SASAR

KLS 5 MR KELAS 1 DT KELAS 1
JMH
L P L P JMH % L P
52 61 113 40 27 67 73.6% 40 27
21 23 44 18 17 35 85.4% 18 17
23 21 44 18 18 36 87.8% 18 18
4 4 8 3 3 6 100.0% 3 3
21 26 47 20 20 40 83.3% 20 20
8 14 22 9 11 20 60.6% 9 11
21 12 33 11 9 20 52.6% 11 9
53 44 97 18 32 50 87.7% 18 32
56 33 89 31 30 61 75.3% 31 30
29 24 53 27 22 49 83.1% 27 22
31 19 50 17 16 33 48.5% 17 16
22 9 31 13 10 23 65.7% 13 10
27 27 54 19 14 33 61.1% 19 14
5 1 6 2 2 4 100.0% 2 2
1 1 2 3 2 5 100.0% 3 2
9 5 14 10 0 10 100.0% 10 0
28 34 62 51 43 94 88.7% 51 43
56 63 119 61 42 103 92.8% 61 42
12 12 24 5 8 13 76.5% 5 8
67 67 134 61 67 128 71.1% 61 67
21 19 40 11 6 17 42.5% 11 6
7 7 14 7 4 11 64.7% 7 4
4 5 9 4 2 6 66.7% 4 2
2 4 6 1 1 2 33.3% 1 1
580 535 1115 460 406 866 74.8% 460 406
 JUMLAH SASARAN YANG DISUNTIK
DT KELAS 1 Td KLS 2 Td KLS 5
JMH % L P JMH % L P JMH
67 73.6% 35 46 81 72.3% 41 51 92
35 85.4% 18 18 36 94.7% 21 22 43
36 87.8% 18 15 33 75.0% 18 15 33
6 100.0% 1 2 3 50.0% 4 3 7
40 83.3% 18 16 34 81.0% 16 25 41
20 60.6% 9 18 27 79.4% 2 7 9
20 52.6% 5 6 11 24.4% 9 9 18
50 87.7% 21 17 38 67.9% 48 38 86
61 75.3% 27 31 58 69.9% 43 29 72
49 83.1% 20 27 47 82.5% 26 23 49
33 48.5% 15 24 39 92.9% 31 19 50
23 65.7% 11 10 21 84.0% 22 6 28
33 61.1% 30 28 58 80.6% 25 18 43
4 100.0% 0 1 1 100.0% 4 1 5
5 100.0% 0 1 1 50.0% 1 0 1
10 100.0% 4 5 9 69.2% 0 0 0
94 88.7% 26 29 55 65.5% 20 34 54
103 92.8% 49 49 98 80.3% 47 59 106
13 76.5% 7 6 13 72.2% 6 7 13
128 71.1% 68 52 120 72.7% 55 54 109
17 42.5% 11 11 22 61.1% 15 15 30
11 64.7% 8 6 14 100.0% 7 6 13
6 66.7% 4 2 6 66.7% 2 4 6
2 33.3% 2 2 4 66.7% 1 2 3
866 74.8% 407 422 829 73.6% 464 447 911
 JUMLAH LOGISTIK YANG TERPAKAI
d KLS 5
MR DT Td Pelarut ADS 0,5 ADS 5 ml Savety
% ml Box
81.4%
97.7%
75.0%
87.5%
87.2%
40.9%
54.5%
88.7%
80.9%
92.5%
100.0%
90.3%
79.6%
83.3%
50.0%
0.0%
87.1%
89.1%
54.2%
81.3%
75.0%
92.9%
66.7%
50.0%
81.7%
 LAPORAN HASIL BULAN IMUNISASI ANAK SEKOLAH ( BIAS ) TAHUN 2021
WILAYAH KERJA PUSKESMAS KAYUMANIS

JUMLAH SASARAN JUMLAH SASARAN YANG DISUNTIK JUMLAH LOGISTIK YANG TERPAKAI
NO NAMA SEKOLAH KLS 1 KLS 2 KLS 5 MR KELAS 1 DT KELAS 1 Td KLS 2 Td KLS 5 ADS 0,5 Savety
JMH JMH JMH MR DT Td Pelarut ml ADS 5 ml Box
L P L P L P L P JMH % L P JMH % L P JMH % L P JMH %

1 SDN Kayumanis I 58 33 91 57 55 112 52 61 113 40 29 69 75.80% 40 29 69 75.80% 35 46 81 72.30% 46 51 97 85.80% 7 7 10 7 316 7 3

2 SDN Kayumanis II 21 20 41 22 16 38 21 23 44 18 17 35 85.40% 18 17 35 85.40% 18 18 36 94.70% 21 22 43 97.70% 4 4 8 4 149 4 1

3 MI Nurul Huda 22 19 41 27 17 44 23 21 44 18 18 36 87.80% 18 18 36 87.80% 18 15 33 75.00% 18 15 33 75.00% 4 4 7 4 138 4 1
4 MI Sirojudin 3 3 6 1 5 6 4 4 8 3 3 6 100.00% 3 3 6 100.00% 3 2 5 83.30% 4 3 7 87.50% 1 1 2 1 24 1 1
5 MI Tarbiyatus S 26 22 48 21 21 42 21 26 47 20 20 40 83.30% 20 20 40 83.30% 18 16 34 81.00% 16 25 41 87.20% 4 4 8 4 155 4 1
6 MI Al Hidayah 16 17 33 15 19 34 8 14 22 12 14 26 78.80% 12 14 26 78.80% 9 18 27 79.40% 6 14 20 90.90% 3 3 5 3 99 3 1
SDIT Usmanil
7 Hakim 19 19 38 22 23 45 21 12 33 14 16 30 78.90% 14 16 30 78.90% 19 17 36 80.00% 17 10 27 81.80% 3 3 7 3 123 3 1
8 SDN Kukupu I 21 36 57 37 19 56 53 44 97 18 32 50 87.70% 18 32 50 87.70% 28 15 43 76.80% 48 39 87 89.70% 5 5 13 5 230 5 2
9 SDN Kukupu II 44 37 81 43 40 83 56 33 89 31 30 61 75.30% 31 30 61 75.30% 30 32 62 74.70% 43 29 72 80.90% 6 6 14 6 256 6 2
10 SDN Kukupu III 33 26 59 29 28 57 29 24 53 29 22 51 86.40% 29 22 51 86.40% 20 27 47 82.50% 26 23 49 92.50% 6 6 10 6 198 6 2
11 SDN Cibadak 35 33 68 18 24 42 34 20 54 22 28 50 73.50% 22 28 50 73.50% 15 24 39 92.90% 34 20 54 100.00% 5 5 10 5 193 5 2
MI Raudlatul
12 Muta'allimin 22 13 35 12 13 25 22 9 31 16 12 28 80.00% 16 12 28 80.00% 11 10 21 84.00% 22 6 28 90.30% 3 3 5 3 105 3 1
MI Mathla'ul
13 Anwar 35 19 54 37 35 72 27 27 54 25 17 42 77.80% 25 17 42 77.80% 30 28 58 80.60% 25 22 47 87.00% 5 5 11 5 189 5 2
14 MI Alma Arif 2 2 4 0 1 1 5 1 6 2 2 4 100.00% 2 2 4 100.00% 0 1 1 100.00% 4 1 5 83.30% 1 1 1 1 14 1 1

15 SD Tunas Pertiwi 3 2 5 0 2 2 1 1 2 3 2 5 100.00% 3 2 5 100.00% 0 2 2 100.00% 1 1 2 100.00% 1 1 1 1 14 1 1

SD Sinar
16 Indonesia 10 0 10 7 6 13 9 5 14 10 0 10 100.00% 10 0 10 100.00% 6 5 11 84.60% 8 4 12 85.70% 1 1 3 1 43 1 1
17 SDN Kencana II 59 47 106 44 40 84 28 34 62 53 44 97 91.50% 53 44 97 91.50% 34 31 65 77.40% 20 35 55 88.70% 10 10 12 10 314 10 2
MI Manbaul
18 Islam 59 52 111 62 60 122 56 63 119 61 42 103 92.80% 61 42 103 92.80% 50 49 99 81.10% 47 59 106 89.10% 11 11 21 11 321 11 2
19 MI Bahrul Huda 5 12 17 8 10 18 12 12 24 5 10 15 88.20% 5 10 15 88.20% 7 8 15 83.30% 6 7 13 54.20% 2 2 3 2 58 2 1
20 MI Nurul Amal 87 93 180 85 80 165 67 67 134 71 72 143 79.40% 71 72 143 79.40% 73 60 133 80.60% 55 54 109 81.30% 15 15 25 15 528 15 5

21 MI Nurul Huda 3 21 19 40 21 15 36 21 19 40 15 16 31 77.50% 15 16 31 77.50% 15 14 29 80.60% 15 15 30 75.00% 4 4 6 4 90 4 1

22 MI Nurul Yaqim 9 8 17 8 6 14 7 7 14 7 6 13 76.50% 7 6 13 76.50% 8 6 14 100.00% 7 6 13 92.90% 2 2 3 2 53 2 1
 LAPORAN HASIL BULAN IMUNISASI ANAK SEKOLAH ( BIAS ) TAHUN 2021
WILAYAH KERJA PUSKESMAS KAYUMANIS
23 SDIT Al Akhyar 5 4 9 5 4 9 4 5 9 4 3 7 77.80% 4 3 7 77.80% 4 3 7 77.80% 4 4 8 88.90% 1 1 2 1 29 0 1
SDIT Bina Anak
24 Indonesia 4 2 6 4 2 6 2 4 6 3 2 5 83.30% 3 2 5 83.30% 3 2 5 83.30% 2 3 5 83.30% 1 1 1 1 20 1 1
TOTAL PKM
KAYUMANIS 619 538 1157 585 541 1126 583 536 1119 500 457 957 82.70% 500 457 957 82.70% 454 449 903 80.20% 495 468 963 86.10% 105 105 188 105 3659 104 37
 LAPORAN HASIL BULAN IMUNISASI ANAK SEKOLAH ( BIAS ) TAHUN 2021
WILAYAH KERJA PUSKESMAS KAYUMANIS

JUMLAH SASARAN JUMLAH SASARA

NO NAMA SEKOLAH KLS 1 KLS 2 KLS 5 MR KELAS 1 DT KELAS 1
JMH JMH JMH
L P L P L P L P JMH % L P

1 SDN Kayumanis I 58 33 91 57 55 112 52 61 113 40 29 69 75.80% 40 29

2 SDN Kayumanis II 21 20 41 22 16 38 21 23 44 18 17 35 85.40% 18 17

3 MI Nurul Huda 22 19 41 27 17 44 23 21 44 18 18 36 87.80% 18 18
4 MI Sirojudin 3 3 6 1 5 6 4 4 8 3 3 6 100.00% 3 3
5 MI Tarbiyatus S 26 22 48 21 21 42 21 26 47 20 20 40 83.30% 20 20
6 MI Al Hidayah 16 17 33 15 19 34 8 14 22 12 14 26 78.80% 12 14
SDIT Usmanil
7 Hakim 19 19 38 22 23 45 21 12 33 14 16 30 78.90% 14 16
8 SDN Kukupu I 21 36 57 37 19 56 53 44 97 18 32 50 87.70% 18 32
9 SDN Kukupu II 44 37 81 43 40 83 56 33 89 31 30 61 75.30% 31 30
10 SDN Kukupu III 33 26 59 29 28 57 29 24 53 29 22 51 86.40% 29 22
11 SDN Cibadak 35 33 68 18 24 42 34 20 54 22 28 50 73.50% 22 28
MI Raudlatul
12 Muta'allimin 22 13 35 12 13 25 22 9 31 16 12 28 80.00% 16 12
MI Mathla'ul
13 Anwar 35 19 54 37 35 72 27 27 54 25 17 42 77.80% 25 17
14 MI Alma Arif 2 2 4 0 1 1 5 1 6 2 2 4 100.00% 2 2

15 SD Tunas Pertiwi 3 2 5 0 2 2 1 1 2 3 2 5 100.00% 3 2

SD Sinar
16 Indonesia 10 0 10 7 6 13 9 5 14 10 0 10 100.00% 10 0
17 SDN Kencana II 59 47 106 44 40 84 28 34 62 53 44 97 91.50% 53 44
MI Manbaul
18 Islam 59 52 111 62 60 122 56 63 119 61 42 103 92.80% 61 42
19 MI Bahrul Huda 5 12 17 8 10 18 12 12 24 5 10 15 88.20% 5 10
20 MI Nurul Amal 87 93 180 85 80 165 67 67 134 71 72 143 79.40% 71 72

21 MI Nurul Huda 3 21 19 40 21 15 36 21 19 40 15 16 31 77.50% 15 16

22 MI Nurul Yaqim 9 8 17 8 6 14 7 7 14 7 6 13 76.50% 7 6
23 SDIT Al Akhyar 5 4 9 5 4 9 4 5 9 4 3 7 77.80% 4 3
SDIT Bina Anak
24 Indonesia 4 2 6 4 2 6 2 4 6 3 2 5 83.30% 3 2
TOTAL PKM
KAYUMANIS 619 538 1157 585 541 1126 583 536 1119 500 457 957 82.70% 500 457
HUN 2021

JUMLAH SASARAN YANG DISUNTIK JUMLAH LOGISTIK YANG TERPAKAI

DT KELAS 1 Td KLS 2 Td KLS 5 ADS 0,5
MR DT Td Pelarut ml
JMH % L P JMH % L P JMH %

69 75.80% 35 46 81 72.30% 46 51 97 85.80% 7 7 10 7 316

35 85.40% 18 18 36 94.70% 21 22 43 97.70% 4 4 8 4 149

36 87.80% 18 15 33 75.00% 18 15 33 75.00% 4 4 7 4 138
6 100.00% 3 2 5 83.30% 4 3 7 87.50% 1 1 2 1 24
40 83.30% 18 16 34 81.00% 16 25 41 87.20% 4 4 8 4 155
26 78.80% 9 18 27 79.40% 6 14 20 90.90% 3 3 5 3 99

30 78.90% 19 17 36 80.00% 17 10 27 81.80% 3 3 7 3 123

50 87.70% 28 15 43 76.80% 48 39 87 89.70% 5 5 13 5 230
61 75.30% 30 32 62 74.70% 43 29 72 80.90% 6 6 14 6 256
51 86.40% 20 27 47 82.50% 26 23 49 92.50% 6 6 10 6 198
50 73.50% 15 24 39 92.90% 34 20 54 100.00% 5 5 10 5 193

28 80.00% 11 10 21 84.00% 22 6 28 90.30% 3 3 5 3 105

42 77.80% 30 28 58 80.60% 25 22 47 87.00% 5 5 11 5 189

4 100.00% 0 1 1 100.00% 4 1 5 83.30% 1 1 1 1 14

5 100.00% 0 2 2 100.00% 1 1 2 100.00% 1 1 1 1 14

10 100.00% 6 5 11 84.60% 8 4 12 85.70% 1 1 3 1 43

97 91.50% 34 31 65 77.40% 20 35 55 88.70% 10 10 12 10 314

103 92.80% 50 49 99 81.10% 47 59 106 89.10% 11 11 21 11 321

15 88.20% 7 8 15 83.30% 6 7 13 54.20% 2 2 3 2 58
143 79.40% 73 60 133 80.60% 55 54 109 81.30% 15 15 25 15 528

31 77.50% 15 14 29 80.60% 15 15 30 75.00% 4 4 6 4 90

13 76.50% 8 6 14 100.00% 7 6 13 92.90% 2 2 3 2 53
7 77.80% 4 3 7 77.80% 4 4 8 88.90% 1 1 2 1 29

5 83.30% 3 2 5 83.30% 2 3 5 83.30% 1 1 1 1 20

957 82.70% 454 449 903 80.20% 495 468 963 86.10% 105 105 188 105 3659
ISTIK YANG TERPAKAI
Savety
ADS 5 ml Box

7 3

4 1
4 1
1 1
4 1
3 1

3 1
5 2
6 2
6 2
5 2

3 1

5 2
1 1

1 1

1 1
10 2

11 2
2 1
15 5

4 1
2 1
0 1

1 1
104 37
 LAPORAN HASIL BULAN IMUNISASI ANAK SEKOLAH ( BIAS ) TAHUN 2021
WILAYAH KERJA PUSKESMAS KAYUMANIS

JUMLAH SASARAN JUMLAH SASARA

NO NAMA SEKOLAH KLS 1 KLS 2 KLS 5 MR KELAS 1 DT KELAS 1
JMH JMH JMH
L P L P L P L P JMH % L P
8 SDN Kukupu I 21 36 57 37 19 56 53 44 97 18 32 50 87.70% 18 32
9 SDN Kukupu II 44 37 81 43 40 83 56 33 89 31 30 61 75.30% 31 30
10 SDN Kukupu III 33 26 59 29 28 57 29 24 53 29 22 51 86.40% 29 22
11 SDN Cibadak 35 33 68 18 24 42 34 20 54 22 28 50 73.50% 22 28
MI Raudlatul
12 Muta'allimin 22 13 35 12 13 25 22 9 31 16 12 28 80.00% 16 12
MI Mathla'ul
13 Anwar 35 19 54 37 35 72 27 27 54 25 17 42 77.80% 25 17
14 MI Alma Arif 2 2 4 0 1 1 5 1 6 2 2 4 100.00% 2 2

15 SD Tunas Pertiwi 3 2 5 0 2 2 1 1 2 3 2 5 100.00% 3 2

SD Sinar
16 Indonesia 10 0 10 7 6 13 9 5 14 10 0 10 100.00% 10 0
TOTAL PKM
KAYUMANIS 619 538 1157 585 541 1126 583 536 1119 500 457 957 82.70% 500 457
HUN 2021

JUMLAH SASARAN YANG DISUNTIK JUMLAH LOGISTIK YANG TERPAKAI

DT KELAS 1 Td KLS 2 Td KLS 5 ADS 0,5
MR DT Td Pelarut ml
JMH % L P JMH % L P JMH %
50 87.70% 28 15 43 76.80% 48 39 87 89.70% 5 5 13 5 230
61 75.30% 30 32 62 74.70% 43 29 72 80.90% 6 6 14 6 256
51 86.40% 20 27 47 82.50% 26 23 49 92.50% 6 6 10 6 198
50 73.50% 15 24 39 92.90% 34 20 54 100.00% 5 5 10 5 193

28 80.00% 11 10 21 84.00% 22 6 28 90.30% 3 3 5 3 105

42 77.80% 30 28 58 80.60% 25 22 47 87.00% 5 5 11 5 189

4 100.00% 0 1 1 100.00% 4 1 5 83.30% 1 1 1 1 14

5 100.00% 0 2 2 100.00% 1 1 2 100.00% 1 1 1 1 14

10 100.00% 6 5 11 84.60% 8 4 12 85.70% 1 1 3 1 43

957 82.70% 454 449 903 80.20% 495 468 963 86.10% 105 105 188 105 3659
ISTIK YANG TERPAKAI
Savety
ADS 5 ml Box
5 2
6 2
6 2
5 2

3 1

5 2
1 1

1 1

1 1

104 37
 LAPORAN HASIL BULAN IMUNISASI ANAK SEKOLAH ( BIAS ) TAHUN 2021
WILAYAH KERJA PUSKESMAS KAYUMANIS

JUMLAH SASARAN JUMLAH SASARA

NO NAMA SEKOLAH KLS 1 KLS 2 KLS 5 MR KELAS 1 DT KELAS 1
JMH JMH JMH
L P L P L P L P JMH % L P
17 SDN Kencana II 59 47 106 44 40 84 28 34 62 53 44 97 91.50% 53 44
MI Manbaul
18 Islam 59 52 111 62 60 122 56 63 119 61 42 103 92.80% 61 42
19 MI Bahrul Huda 5 12 17 8 10 18 12 12 24 5 10 15 88.20% 5 10
20 MI Nurul Amal 87 93 180 85 80 165 67 67 134 71 72 143 79.40% 71 72

21 MI Nurul Huda 3 21 19 40 21 15 36 21 19 40 15 16 31 77.50% 15 16

22 MI Nurul Yaqim 9 8 17 8 6 14 7 7 14 7 6 13 76.50% 7 6
23 SDIT Al Akhyar 5 4 9 5 4 9 4 5 9 4 3 7 77.80% 4 3
SDIT Bina Anak
24 Indonesia 4 2 6 4 2 6 2 4 6 3 2 5 83.30% 3 2
TOTAL PKM
KAYUMANIS 619 538 1157 585 541 1126 583 536 1119 500 457 957 82.70% 500 457
HUN 2021

JUMLAH SASARAN YANG DISUNTIK JUMLAH LOGISTIK YANG TERPAKAI

DT KELAS 1 Td KLS 2 Td KLS 5 ADS 0,5
MR DT Td Pelarut ml
JMH % L P JMH % L P JMH %
97 91.50% 34 31 65 77.40% 20 35 55 88.70% 10 10 12 10 314

103 92.80% 50 49 99 81.10% 47 59 106 89.10% 11 11 21 11 321

15 88.20% 7 8 15 83.30% 6 7 13 54.20% 2 2 3 2 58
143 79.40% 73 60 133 80.60% 55 54 109 81.30% 15 15 25 15 528

31 77.50% 15 14 29 80.60% 15 15 30 75.00% 4 4 6 4 90

13 76.50% 8 6 14 100.00% 7 6 13 92.90% 2 2 3 2 53
7 77.80% 4 3 7 77.80% 4 4 8 88.90% 1 1 2 1 29

5 83.30% 3 2 5 83.30% 2 3 5 83.30% 1 1 1 1 20

957 82.70% 454 449 903 80.20% 495 468 963 86.10% 105 105 188 105 3659
ISTIK YANG TERPAKAI
Savety
ADS 5 ml Box
10 2

11 2
2 1
15 5

4 1
2 1
0 1

1 1

104 37