LAPORAN BULANAN PROGRAM P2 ISPA

KABUPATEN TANAH DATAR

UPT PUSKESMAS WILAYAH KERJA LIMA KAUM I
BULAN Mei
TAHUN : 2015
JUMLAH KEMATIA
REALISASI PENEMUAN PENDERITA BALITA KARENA
TARGET
JUMLAH JLM. PDDK PENEMUAN PNEUMONIA PNEUMONIA
PNEUMONIA JUMLAH BATUK BUKAN
PENDUDUK USIA BALITA PENDERITA BERAT
No. JORONG PNEUMONIA
< 1Th 1-4 YH < 1Th 1-4Th < 1Th 1-4Th TOTAL % < 1Th 1-4Th JML < 1Th 1-4Th
(10%Pddk) BALITA
(10% Balita)
LK PR Laki PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
1 Balai Labuah Ateh 1222 122 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 1 2 1 2 2 4 0 0 0
2 Balai Batu 779 78 8 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0% 2 0 5 2 7 2 0 0 0
3 Balai Labuah Bawah 1415 142 14 0 1 0 0 0 0 0 0 0 1 0 0 0 1 7% 0 0 1 1 1 1 0 0 0
4 Koto Gadis 594 59 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0 0 1 1 1 1 0 0 0
5 Dusun Tuo 1506 151 15 0 0 0 1 0 0 0 0 0 0 0 1 0 1 7% 1 3 0 0 1 3 0 0 0
6 Piliang 2723 272 27 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0% 5 1 3 3 8 4 0 0 0
7 Kuburajo 4302 430 43 0 0 0 1 0 0 0 0 0 0 0 1 0 1 2% 1 0 3 1 4 1 0 0 0
8 Tigo Tumpuak 467 47 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0 2 3 6 3 8 0 0 0
9 Baringin 2684 268 27 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0% 5 0 4 3 9 3 0 0 0
10 Lantai Batu 2848 285 28 0 0 0 1 0 0 0 0 0 0 0 1 0 1 4% 1 0 8 1 9 1 0 0 0
11 Sigarunggung 527 53 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0 0 0 0 0 0 0 0 0
12 Pasar 202 20 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0 0 0 3 0 3 0 0 0
13 Kampung Sudut 243 24 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0 0 2 0 2 0 0 0 0
14 Diponegoro 311 31 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0 2 0 0 0 2 0 0 0
15 Belakang Pajak 344 34 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 2 0 0 0 2 0 0 0 0
16 Parak Juar 1356 136 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0 1 0 4 0 5 0 0 0
17 Malana Ponco 2374 237 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0 0 1 0 1 0 0 0 0
18 Kampung Baru 1206 121 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0 1 2 1 2 2 0 0 0
19 Bukit Gombak 2235 224 22 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0% 0 4 1 12 1 16 0 0 0
20 Jalan Minang 488 49 5 0 0 1 1 0 0 0 0 0 0 1 1 1 1 20% 0 0 1 0 1 0 0 0 0
21 Jati 950 95 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0 0 1 1 1 1 0 0 0
JUMLAH 28776 2878 288 0 1 5 4 0 0 0 0 0 1 5 4 5 5 2% 18 16 40 41 58 57 0 0 0
Ket :
Kolom 13 = Total (Kolom 12) Diketahui oleh :
Target ( Kolom 5 ) Ka.UPT Puskesmas Wil.Kerja Lima Kaum I
 Dr.Hj.Susi Julianti
NIP. 19710719200312 2 001
NAN PROGRAM P2 ISPA
TEN TANAH DATAR
WILAYAH KERJA LIMA KAUM I

JUMLAH KEMATIAN ISPA

BALITA KARENA ( > 5 Tahun )
PNEUMONIA
BUKAN
PNEUMONIA
1-4Th JML PNEUMONIA

PR LK PR LK PR JML LK PR JML

30 31 32 33 34 35 36 37 38
0 0 0 5 9 14 0 0 0
0 0 0 5 11 16 0 0 0
0 0 0 9 8 17 0 0 0
0 0 0 18 16 34 0 0 0
0 0 0 9 3 12 0 0 0
0 0 0 19 9 28 0 0 0
0 0 0 27 26 53 0 0 0
0 0 0 17 15 32 0 0 0
0 0 0 16 31 47 0 0 0
0 0 0 3 10 13 0 0 0
0 0 0 4 4 8 0 0 0
0 0 0 7 2 9 0 0 0
0 0 0 2 2 4 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 1 2 3 0 0 0
0 0 0 7 1 8 0 0 0
0 0 0 14 13 27 0 0 0
0 0 0 13 11 24 0 0 0
0 0 0 32 27 59 0 0 0
0 0 0 1 4 5 0 0 0
0 0 0 5 4 9 0 0 0
0 0 0 214 217 431 0 0 0

Lima kaum, 30 mei 2015

Petugas ISPA
Syri Sandra Fuspaliza,AMK
NIP. 19810116 200604 2 012