满足此项填“√”，不满足此项填“X”，补种填“1”，预约填“2”
附表4：
北京市学龄前流动儿童强化查漏补种人数汇总表
北京市_____区（县）_____乡（镇、街道）________村（居委会） 填表人_______________ 填表日期__________________
统计分类
| 儿童在本村居住的累计时间
| 调查人数
| 接种卡
| 接种证
| 脊灰疫苗
| 麻风疫苗
| 麻风腮疫苗
| 流脑
零剂次
| 白百破
| 乙脑
零剂次
| 乙肝
零剂次
|
零剂次
|
无卡
| 补卡
| 无证
| 补证
| 漏种
| 实 补种
| 应接种
| 实接种
| 应补种
| 实补种
| 应接种
| 实接种
| 应补种
| 实补种
| 应
补 种
| 实 补种
| 应补 种
| 实 补种
| 应补 种
| 预约/ 补种
| 应补 种
| 预约/ 补种
|
零剂次
| 非零剂次
|
出生年份
| 2012
| ＜2月
|
|
|
|
|
|
| -
|
| -
| -
| -
| -
| -
| -
| -
| -
| -
| -
| -
| -
| -
| -
|
|
|
≥2月
|
|
|
|
|
|
| -
|
| -
| -
| -
| -
| -
| -
| -
| -
| -
| -
| -
| -
| -
| -
|
|
|
2011
| ＜2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
≥2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2010
| ＜2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
≥2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2009
| ＜2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
≥2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2008
| ＜2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
≥2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2007
| ＜2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
≥2月
|
|
|
|
|
|
|
|
|
|
|
|
| | | | |
|
|
|
|
|
|
|
|
2006
| ＜2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
≥2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2005
| ＜2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
≥2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
合计
| ＜2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
≥2月
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
