<table width="100%" cellpadding="2" cellspacing="0" border="0" style="font-

family:Trebuchet MS;font-size:18px;">
<tr>
<th align="left" valign="top" style="font-size:20px;" colspan="6">
LINE LIST KIPI
</th>
</tr>
<tr>
<th align="left" valign="top" width="72" colspan="2">Provinsi</th>
<th align="left" valign="top" width="5">:</th>
<td align="left" valign="top">RIAU</td>
</tr>
<tr>
<th align="left" valign="top" width="72"
colspan="2">Kabupaten/Kota</th>
<th align="left" valign="top" width="5">:</th>
<td align="left" valign="top">KABUPATEN INDRAGIRI HULU</td>
</tr>
<tr>
<th align="left" valign="top" width="72" colspan="2">Kecamatan</th>
<th align="left" valign="top" width="5">:</th>
<td align="left" valign="top">Semua</td>
</tr>
<tr>
<th align="left" valign="top" width="72"
colspan="2">Desa/Kelurahan</th>
<th align="left" valign="top" width="5">:</th>
<td align="left" valign="top">Semua</td>
</tr>
<tr>
<th align="left" valign="top" width="72" colspan="2">Puskesmas</th>
<th align="left" valign="top" width="5">:</th>
<td align="left" valign="top">Semua</td>
</tr>
<tr>
<th align="left" valign="top" width="72" colspan="2">Bulan Laporan</th>
<th align="left" valign="top" width="5">:</th>
<td align="left" valign="top">2024-04</td>
</tr>
<tr>
<th align="left" valign="top" width="72" colspan="2">Jenis</th>
<th align="left" valign="top" width="5">:</th>
<td align="left" valign="top">SEMUA</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</table>
<br />
<table width="100%" cellpadding="4" cellspacing="0" border="1" style="border:1px
solid #000000; border-collapse:collapse; font-family:Trebuchet MS;font-size:15px;">
<thead>
<tr>
<th>No</th>
<th>Jenis KIPI</th>
<th>Nama Pelapor</th>
 <th>Tanggal Dilaporkan</th>
<th>Provinsi</th>
<th>Kabupaten/Kota</th>
<th>Kecamatan</th>
<th>Desa/Kelurahan</th>
<th>Puskesmas</th>
<th>No. Laporan</th>
<th>NIK</th>
<th>Nama</th>
<th>Umur</th>
<th>Jenis Kelamin</th>
<th>Tanggal Imunisasi</th>
<th>Fasyankes Imunisasi</th>
<th>Pemberi Imunisasi</th>
<th>Jenis Vaksin</th>
<th>No. Batch</th>
<th>Manufaktur</th>
<!-- MANIFESTASI 1 -->
<th>Waktu Gejala Timbul</th>
<th>Onset(Menit)</th>
<th>Onset(Jam)</th>
<th>Onset(Hari)</th>
<th>Keluhan/Gejala 1</th>
<th>Perawatan/Tindakan</th>
<th>Informasi Kesehatan Lainnya(Alergi, Kelainan Kongenital, Dalam
Terapi Obat-obatan Tertentu, Komorbid)</th>
<th>Diagnosa</th>
<th>Kondisi Saat Laporan</th>
<th>Kondisi Saat Investigasi</th>
<th>Kajian Lapangan</th>
<th>Kajian Kasualitas</th>

</tr>
</thead>
<tbody>
<tr>
<td>1 </td>
<td>
NON SERIUS </td>
<td>
Nurhidayanti </td>
<td>
06/04/2024 </td>
<td>
RIAU </td>
<td>
KABUPATEN INDRAGIRI HULU </td>
<td>
PASIR PENYU </td>
<td>
AIR MOLEK I </td>
<td>
AIR MOLEK </td>
<td>
KN.14.1402.2404160959.001 </td>
<td>
'1402041810230001 </td>
<td>
Gentala Daksa Revano </td>
 <td>
5 Bulan 19 Hari </td>
<td>
Laki-laki </td>
<td>
05/04/2024 </td>
<td>
Posyandu </td>
<td>
Bidan </td>
<td>
DPT/HB/Hib 2 </td>
<td>
'E5V103183 </td>
<td>
Panacea Biotec </td>
<td> </td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Demam (Dibawah 39 Derajat)</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>2 </td>
<td>
NON SERIUS </td>
<td>
Noviana Hestika </td>
<td>
05/04/2024 </td>
<td>
RIAU </td>
<td>
KABUPATEN INDRAGIRI HULU </td>
<td>
BATANG GANSAL </td>
<td>
USUL </td>
<td>
BATANG GANGSAL </td>
<td>
KN.14.1402.2404221438.009 </td>
<td>
</td>
<td>
Oktavian pratama </td>
<td>
5 Bulan 4 Hari </td>
<td>
Laki-laki </td>
<td>
05/04/2024 </td>
 <td>
Posyandu </td>
<td>
Bidan </td>
<td>
DPT/HB/Hib 1 </td>
<td>
'2863X022B </td>
<td>
Biofarma </td>
<td> </td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Demam (Dibawah 39 Derajat)</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>