februari
KABUPATEN GARUT
NO :
PUSKESMAS pasundan
kota kulon 701 1090 645 845 288 305 1644 2740 110 106 50 45 32 30 102 181 2 11 360 2 371 21 338 14 373 0 0 0 16 357 4 46 323
49 303 21
pustu 0 0 0 0 0 0 0 0 7 8 5 3 2 2 14 13 0 0 27 0 27 5 19 3 27 0 0 0 0 27 0 0 27
11 14 2
pustu 0 0 0 0 0 0 0 0 4 3 5 3 2 0 11 6 0 0 17 0 17 3 12 2 17 0 0 0 0 17 0 0 17
5 10 2
pustu 0 0 0 0 0 0 0 0 3 4 2 3 2 1 6 8 0 0 14 0 14 3 9 2 14 0 0 0 0 14 0 0 14
3 8 3
luar wilayah 0 0 0 0 0 0 0 0 3 4 5 2 2 2 11 8 0 0 19 2 17 6 9 4 6 9 4 19 0 0 0 0 17 2 6 9
J U M LA H 1,424 2,124 1,104 1,475 534 628 3,077 4,217 146 147 85 68 47 41 278 256 2 11 521 4 530 88 403 43 51 449 34 534 0 0 0 23 511 6 66 462
............................................................................. .............................................................................
NIP. NIP.
PENCATATAN HASIL
Puskesmas pasundan
Kabupaten : Garut
Jumlah Kelompok Lansia yang ada/ yang dibina : ....................................................
Jumlah Sasaran Pra Lansia/ Lansia di wilayah kerja : ....................................................
Baru Lama P L P L P L A B
1 2 3 4 5 6 7 8 9
posbindu kel.kota kulon
2 posbindu anyelir 0 21 11 6 2 1 1 0 0 0
4 posbindu ros 0 11 4 2 1 2 1 1 0 0
JUMLAH 122 40 27 25 12 13 5 0 0
Mengetahui
Kepala Puskesmas .........................................
.....................................................
NIP .....................................................
PENCATATAN HASIL KEGIATAN KESEHATAN LANSIA DI POSBINDU
Gangguan Status
Kemandirian IMT Tensi Kencing Gangguan
Mental Anemia
Manis Ginjal
C Ada Tidak L N K T N R
10 11 12 13 14 15 16 17 18 19
70 0 70 11 54 5 15 54 1 2 2 0
21 0 21 4 15 2 6 15 0 0 0 0
20 0 20 4 12 4 4 16 0 0 0 0
11 0 11 3 5 3 3 6 2 0 0 0
122 0 122 22 86 14 24 91 3 2 2 0
NO :
0 1 69 0 0 0 19 0 0
0 0 21 0 0 0 6 0 0
0 0 20 0 0 0 4 0 0
0 0 11 0 0 0 11 0 0
0 1 121 0 0 0 40 0 0
Garut, .........................................
Pengelola Program Kesehatan Lansia
.........................................................
NIP ...............................................
LAPORAN DATA KESAKITAN
Puskesmas PASUNDAN: ....................................................
Bulan Feb-17
KOTA KULON 39 42 1 1 7 0 62 50 2 1 51 36 0 0 7 0 29 30 0 0
MARGAWATI 6 18 0 0 1 0 26 18 0 0 5 2 0 0 0 0 6 7 0 0
SUKANEGLA 4 6 0 0 0 0 5 10 0 0 21 13 0 0 1 0 0 19 0 0
CIMUNCANG 9 13 0 0 0 0 25 7 0 0 4 5 0 0 0 0 0 3 0 0
LUAR WILAYAH 3 3 0 0 0 0 5 9 0 0 3 4 0 0 0 0 4 7 0 0
JUMLAH 61 82 1 1 8 0 123 94 2 1 84 60 0 0 8 0 39 59 0 0
Strata Posbindu
No Nama Posbindu
Pratama Madya Purnama Mandiri
1 tunas harapan
2 cempaka putih
3 anyelir
4 melati suci
5 ros
Jumlah