Lap - Anak 2015

DATA DASAR KESEHATAN ANAK
BULAN : JANUARI 2012

PUSKESMAS : PEUREULAK
KABUPATEN : ACEH TIMUR
DATA CAKUPAN PROGRAM
CAKUPAN KN
CAKUPAN NEONATAL KOMPLIKASI CAKUPAN ANAK PRASEKOLAH (60-71
NO NAMA DESA CAKUPAN KUNJUNGAN BAYI CAKUPAN PELAYANAN ANAK BALITA JUMLAH BALITA (0-59
KN I KN LENGKAP YANG DITANGANI BULAN)DILAYANI SDIDTK MIN 2 KALI/THN
BULAN) YANG
JUMLAH BULAN JUMLAH BULAN JUMLAH BULAN JUMLAH BULAN JUMLAH BULAN MEMPUNYAI BUKU KIA JUMLAH BULAN
CAKUPAN ( % ) CAKUPAN ( % ) CAKUPAN ( % ) CAKUPAN ( % ) CAKUPAN ( % ) CAKUPAN ( % )
INI INI INI INI INI INI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Alue II Py.Gajah 0 0 41
2 Alue Nibong 4 1 1
3 Alue Rambong 0 0 70
4 Bale Buya 3 2 15
5 Bandrong 3 2 43
6 Bangka Rimung 1 1 5 51
7 Beusa Meurano 3 2 59
8 Blang Balok 0 0
9 Blang Bitra 1 1 2 4 57
10 Buket Pala 1 1 33
11 Blang Simpo 1 1 36
12 Blang Bate 6 3 2 15
13 Cot Muda Itam 1 1 32
14 Cek Embon 5 2 21
15 Cot Keh PSP 2 2 39
16 Cot Gelumpang 3 2 3 3 78
17 Dama Tutong 2 1 5 2 42
18 Kemuning 0 0 23
19 K e u d e 0 0 39
CAKUPAN KN
BULAN) YANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
20 Kw.Bugak 1 1 20
21 Kw.Leuge 3 3 35
22 Leuge 3 2 58
23 Lhok Dalam 7 4 44
24 Lbk.Pempeng 5 2 30
25 Mtg.Gleum 1 1 1 36
26 Matang Plawi 0 0 53
27 Pasir Putih 1 1 7 18 42
28 Pasir Putih Krung 2 1 44
29 Paya Lipah 6 3 79
30 P u n t i 1 1 48
31 Paya Kalui 1 1 29
32 Paya Meligo 1 1 109
33 Smt.Muda Itam 1 1 64
34 Snb.Aceh 5 3 59
35 Snb.Peusangan 5 4 1
36 Snb.Pidie 7 3 1 30
37 Tanah Rata 1 1 2 37
38 Tualang 2 2 30
39 Uteun Dama 0 0 19
Puskesmas 89 0 57 0 0 0 21 0 34 0 1562 0 0
Mengetahui: Pengelola Program KIA

Ka.UPT Pelayanan Kesehatan
Masyarakat Peureulak
Hj ZURAIDA HANUM,.Am.Keb ( MUANNAS Amd.Keb)
NIP:196507241986032002 NIP:19670105 199012 2 001
BULAN : FEBRUARI 2012
CAKUPAN KN CAKUPAN NEONATAL KOMPLIKASI CAKUPAN ANAK PRASEKOLAH (60-71

BULAN) YANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Alue II Py.Gajah 41
2 Alue Nibong 4 2 5 3 1
3 Alue Rambong 70
4 Bale Buya 1 1 15
5 Bandrong 4 2 43
6 Bangka Rimung 1 1 3 51
7 Beusa Meurano 2 1 5 59
8 Blang Balok 5 3 23
9 Blang Bitra 3 2 2 2 57
10 Buket Pala 1 1 4 1 33
11 Blang Simpo 36
12 Blang Bate 4 15
13 Cot Muda Itam 32
14 Cek Embon 1 1 21
15 Cot Keh PSP 39
16 Cot Gelumpang 3 78
17 Dama Tutong 5 3 42
18 Kemuning 2 1 23
19 K e u d e 2 2 2 39
CAKUPAN KN
BULAN) YANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
20 Kw.Bugak 1 1 2 4 20
21 Kw.Leuge 3 2 10 4 35
22 Leuge 3 1 3 2 58
23 Lhok Dalam 44
25 Mtg.Gleum 2 1 36
26 Matang Plawi 4 3 5 6 53
27 Pasir Putih 3 2 20 42
28 Pasir Putih Krung 44
29 Paya Lipah 4 2 2 79
30 P u n t i 1 1 48
31 Paya Kalui 29
32 Paya Meligo 2 2 7 5 109
34 Snb.Aceh 12 59
35 Snb.Peusangan 1 1 36
36 Snb.Pidie 5 3 30
37 Tanah Rata 37
38 Tualang 3 3 1 30
39 Uteun Dama 1 19
Puskesmas 66 0 45 0 0 0 58 0 63 0 1620 0 0

NIP:196507241986032002 NIP:19670105 199012 2 001

BULAN : MARET 2012
CAKUPAN KN CAKUPAN NEONATAL KOMPLIKASI CAKUPAN ANAK PRASEKOLAH (60-71

BULAN) YANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Alue II Py.Gajah 41
2 Alue Nibong 2 1
3 Alue Rambong 5 1 70
4 Bale Buya 1 15
5 Bandrong 3 2 43
6 Bangka Rimung 1 51
7 Beusa Meurano 1 59
8 Blang Balok 3 3 23
9 Blang Bitra 3 1 57
10 Buket Pala 2 1 33
11 Blang Simpo 1 1 36
12 Blang Bate 15
13 Cot Muda Itam 1 32
14 Cek Embon 6 2 21
15 Cot Keh PSP 39
16 Cot Gelumpang 4 2 78
17 Dama Tutong 1 2 42
18 Kemuning 2 23
19 K e u d e 39
CAKUPAN KN
BULAN) YANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
20 Kw.Bugak 2 20
21 Kw.Leuge 35
22 Leuge 3 1 58
23 Lhok Dalam 5 3 44
25 Mtg.Gleum 2 1 36
26 Matang Plawi 53
27 Pasir Putih 1 3 42
28 Pasir Putih Krung 3 44
29 Paya Lipah 6 2 79
30 P u n t i 1 48
31 Paya Kalui 3 1 29
32 Paya Meligo 4 1 109
34 Snb.Aceh 59
35 Snb.Peusangan 1 36
36 Snb.Pidie 1 30
37 Tanah Rata 37
38 Tualang 2 30
39 Uteun Dama 19
Puskesmas 67 0 35 0 1 0 0 0 0 0 1620 0 0

NIP:196507241986032002 NIP:19670105 199012 2 001

BULAN : JANUARI S/D 2012
CAKUPAN KN
BULAN) YANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Alue II Py.Gajah 0 0 0 0 0 123 0
2 Alue Nibong 10 3 0 5 3 3 0
3 Alue Rambong 5 1 0 0 0 210 0
4 Bale Buya 4 4 0 0 0 45 0
5 Bandrong 10 6 0 0 0 129 0
6 Bangka Rimung 2 3 0 0 8 153 0
7 Beusa Meurano 5 4 0 5 0 177 0
8 Blang Balok 8 6 0 0 0 46 0
9 Blang Bitra 7 4 0 4 6 171 0
10 Buket Pala 4 3 0 4 1 99 0
11 Blang Simpo 1 2 1 0 0 108 0
12 Blang Bate 6 3 0 6 0 45 0
13 Cot Muda Itam 1 2 0 0 0 96 0
14 Cek Embon 12 5 0 0 0 63 0
15 Cot Keh PSP 2 2 0 0 0 117 0
16 Cot Gelumpang 7 4 0 6 3 234 0
17 Dama Tutong 8 6 0 5 2 126 0
18 Kemuning 4 1 0 0 0 69 0
19 K e u d e 2 2 0 2 0 117 0
CAKUPAN KN
BULAN) YANG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
20 Kw.Bugak 4 2 0 2 4 60 0
21 Kw.Leuge 6 5 0 10 4 105 0
22 Leuge 9 4 0 3 2 174 0
23 Lhok Dalam 12 7 0 0 0 132 0
24 Lbk.Pempeng 9 7 0 0 0 90 0
25 Mtg.Gleum 3 2 0 2 2 108 0
26 Matang Plawi 4 3 0 5 6 159 0
27 Pasir Putih 5 6 0 7 38 126 0
28 Pasir Putih Krung 5 1 0 0 0 132 0
29 Paya Lipah 16 7 0 2 0 237 0
30 P u n t i 3 2 0 0 0 144 0
31 Paya Kalui 4 2 0 0 0 87 0
32 Paya Meligo 7 4 0 7 5 327 0
33 Smt.Muda Itam 4 4 0 0 0 192 0
34 Snb.Aceh 5 3 0 0 12 177 0
35 Snb.Peusangan 7 5 0 0 0 73 0
36 Snb.Pidie 13 6 0 0 1 90 0
37 Tanah Rata 1 1 0 2 0 111 0
38 Tualang 7 5 0 1 0 90 0
39 Uteun Dama 0 0 0 1 0 57 0
Puskesmas 222 0 137 0 1 0 79 0 97 0 4802 0 0


NIP:196507241986032002 NIP:19670105 199012 2 001
BULAN
PUSKESMAS
KABUPATEN
DATA SARANA
JMLH SARANA RUJUKAN

KEKERASAN TERHADAP ANAK JMLH PUSKESMAS
(KIA)
NO NAMA DESA MELAKSANAKAN SDIDTK

RS MELAYANI
TUMBUH KEMBANG
MAMPU
PKT/PRT DI MELAKSANAKA
P2TP2A LAKSANAKAN
RSUD N MTBS < 50 % DARI 50 - 75 % DARI > 75 % DARI
PKPR
JUMLAH JUMLAH JUMLAH
SASARAN SASARAN SASARAN
BALITA BALITA BALITA
1 Alue II Py Gajah
2 Alue Nibong
3 Alue Rambong
4 Bale Buya
5 Bandrong
6 Bangka Rimung
7 Beusa Meurano
8 Blang Balok
9 Blang Bitra
10 Buket Pala
11 Blang Simpo
12 Blang Bate
13 Cot Muda Itam
14 Cek Embon
15 Cot Keh PSP
16 Cot Gelumpang
17 Dama Tutong
18 Kemuning
19 K e u d e
DATA SARANA
JMLH SARANA RUJUKAN

KEKERASAN TERHADAP ANAK JMLH PUSKESMAS
(KIA)
NO NAMA DESA
RS MELAYANI
TUMBUH KEMBANG MELAKSANAKAN SDIDTK
MAMPU
PKT/PRT DI MELAKSANAKA < 50 % DARI 50 - 75 % DARI > 75 % DARI
P2TP2A LAKSANAKAN
RSUD N MTBS JUMLAH JUMLAH JUMLAH
PKPR
SASARAN SASARAN SASARAN
BALITA BALITA BALITA
20 Kw.Bugak
21 Kw.Leuge
22 Leuge
23 Lhok Dalam
24 Lbk.Pempeng
25 Mtg.Gleum
26 Matang Plawi
27 Pasir Putih
28 Pasir Putih Krung
29 Paya Lipah
30 P u n t i
31 Paya Kalui
32 Paya Meligo
33 Smt.Muda Itam
34 Snb.Aceh
35 Snb.Peusangan
36 Snb.Pidie
37 Tanah Rata
38 Tualang
39 Uteun Dama
Puskesmas
Mengetahui:
Hj ZURAIDA HANUM,.Am.Keb
NIP:196507241986032002
HATAN ANAK
DATA SARANA
JUMLAH SEKOLAH YANG MELAKSANAKAN UKS
SD/MI SMP/MTs SMA/SMK
MAMPU
LAKSANAKAN
KASUS KIA
JUMLAH JUMLAH JUMLAH
CAKUPAN (%) CAKUPAN (%) CAKUPAN (%)
ABSOLUT ABSOLUT ABSOLUT
DATA SARANA
JUMLAH SEKOLAH YANG MELAKSANAKAN UKS
SD/MI SMP/MTs SMA/SMK

MAMPU
LAKSANAKAN JUMLAH JUMLAH JUMLAH
KASUS KIA CAKUPAN (%) CAKUPAN (%) CAKUPAN (%)
ABSOLUT ABSOLUT ABSOLUT
Peureulak,.2011
Pengelola Program KIA
( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001
BULAN
PUSKESMAS
KABUPATEN
JMLH PUSKESMAS MEMILIKI

JMLH TENAGA PUSKESMAS TERLATIH ASPHYXIA JMLH TENAGA PUSKESMAS TERLATIH BBLR
TENAGA TERLATIH MTBS
NO NAMA DESA
TETANUS
DOKTER BIDAN PERAWAT ASPHYXIA SEPSIS <6% >6%
NEONATURUM
1 2 3 4 5 6 7 8 9 10
1 Alue II Py Gajah
2 Alue Nibong
3 Alue Rambong
4 Bale Buya
5 Bandrong
6 Bangka Rimung
7 Beusa Meurano
8 Blang Balok
9 Blang Bitra
10 Buket Pala
11 Blang Simpo
12 Blang Bate
13 Cot Muda Itam
14 Cek Embon
15 Cot Keh PSP
16 Cot Gelumpang
17 Dama Tutong
18 Kemuning
19 K e u d e
JMLH PUSKESMAS MEMILIKI

JMLH TENAGA PUSKESMAS TERLATIH ASPHYXIA JMLH TENAGA PUSKESMAS TERLATIH BBLR
TENAGA TERLATIH MTBS
NO NAMA DESA
TETANUS
DOKTER BIDAN PERAWAT ASPHYXIA SEPSIS <6% >6%
NEONATURUM
20 Kw.Bugak
21 Kw.Leuge
22 Leuge
23 Lhok Dalam
24 Lbk.Pempeng
25 Mtg.Gleum
26 Matang Plawi
27 Pasir Putih
28 Pasir Putih Krung
29 Paya Lipah
30 P u n t i
31 Paya Kalui
32 Paya Meligo
33 Smt.Muda Itam
34 Snb.Aceh
35 Snb.Peusangan
36 Snb.Pidie
37 Tanah Rata
38 Tualang
39 Uteun Dama
Puskesmas
Mengetahui:
NIP:196507241986032002
AN ANAK
JMLH TENAGA PUSKESMAS TERLATIH JMLH TENAGA TERLATIH

SDIDTK TATALAKSANA KASUS KIA
JMLH TENAGA
PUSKESMAS
TERLATIH PUSKESMAS
DOKTER BIDAN PERAWAT PKPR
DOKTER/DOKT PERAWAT/BIDA
ER GIGI N
11 12 13 14 15 16
JMLH TENAGA PUSKESMAS TERLATIH JMLH TENAGA TERLATIH

SDIDTK JMLH TENAGA TATALAKSANA KASUS KIA
PUSKESMAS
TERLATIH PUSKESMAS
DOKTER BIDAN PERAWAT PKPR DOKTER/DOKT PERAWAT/BIDA
ER GIGI N
Peureulak,.2011
( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001
KEMATIAN DAN PENYEBAB NYA
KEMATIAN NEONATAL SEBAB KEMATIAN NEONATAL SEBABA KEMATIAN BAYI SEBAB KEMATIAN ANAK BALITA
JMLH JMLH
NO NAMA DESA JMLH KELAINA
JMLH JMLH TETANUS KELAINAN KEMATIAN KELAINA KEMATIAN DEMAM
LAHIR ASPHY LAIN-
KEMATIAN KEMATIAN BBLR NEONATU SEPSIS KONGENITA IKTERUS BAYI (29 HR- PHEUNO DIARE N TETANU
N LAIN-LAIN ANAK BALITA ISPA DIARE MALARIA CAMPAK BERDARAH LAIN-LAIN
MATI XIA LAIN MONIA SALURAN S
0-6 HR 7-28 HR RUM L 11 BLN) SYARAF 12-59 BLN) DENGUE
CERNA
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
1 Alue II Py.Gajah
2 Alue Nibong
3 Alue Rambong
4 Bale Buya
5 Bandrong
6 Bangka Rimung
7 Beusa Meurano
8 Blang Balok
9 Blang Bitra
10 Buket Pala 1
11 Blang Simpo
12 Blang Bate
13 Cot Muda Itam
14 Cek Embon
15 Cot Keh PSP
16 Cot Gelumpang
17 Dama Tutong
18 Kemuning
19 K e u d e
JMLH JMLH
LAHIR ASPHY LAIN-
CERNA
20 Kw.Bugak
21 Kw.Leuge
22 Leuge
23 Lhok Dalam
Lhok Dalam 1 Febris+Step

24 Lbk.Pempeng
25 Mtg.Gleum
26 Matang Plawi
27 Pasir Putih
Pasir Putih Krung
28 Paya Lipah
29 P u n t i 1
30 Paya Kalui
31 Paya Meligo
32 Smt.Muda Itam
33 Snb.Aceh
34 Snb.Peusangan
35 Snb.Pidie
36 Tanah Rata
37 Tualang
38 Uteun Dama
Puskesmas 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui: Peureulak 31 Januari 2015

PJS.Ka. UPT Pelayanan Kesehatan Pengelola Program KIA
Peureulak
(Muhammad Jamil,SE)
NIP:19671231 198803 1 345 ( MUANNAS Amd.Keb)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

JMLH JMLH
NO NAMA DESA JMLH
KEMATIAN KELAINA KEMATIAN
LAHIR JMLH JMLH TETANUS KELAINAN KELAINA DEMAM
ASPHY LAIN- BAYI (29 HR- PHEUNO DIARE N TETANU ANAK BALITA ISPA DIARE MALARIA CAMPAK BERDARAH LAIN-LAIN
MATI KEMATIAN KEMATIAN BBLR NEONATU SEPSIS KONGENITA IKTERUS N LAIN-LAIN
XIA LAIN 11 BLN) MONIA SALURAN S 12-59 BLN)
0-6 HR 7-28 HR RUM L SYARAF DENGUE
CERNA
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
1 Alue II Py.Gajah
2 Alue Nibong
3 Alue Rambong
4 Bale Buya
5 Bandrong
6 Bangka Rimung
7 Beusa Meurano
8 Blang Balok
9 Blang Bitra
10 Buket Pala 1 Hernia + Sesak
11 Blang Simpo
12 Blang Bate
13 Cot Muda Itam
14 Cek Embon
15 Cot Keh PSP
16 Cot Gelumpang
17 Dama Tutong
18 Kemuning
19 K e u d e
JMLH JMLH
NO NAMA DESA JMLH
CERNA
20 Kw.Bugak
21 Kw.Leuge
22 Leuge
23 Lhok Dalam
Lhok Dalam
24 Lbk.Pempeng
25 Mtg.Gleum
26 Matang Plawi
27 Pasir Putih
Pasir Putih Krung
28 Paya Lipah
29 P u n t i
30 Paya Kalui
31 Paya Meligo
32 Smt.Muda Itam
33 Snb.Aceh
34 Snb.Peusangan 1 1
35 Snb.Pidie
36 Tanah Rata
37 Tualang
38 Uteun Dama
Puskesmas 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0
Mengetahui: Peureulak 28 Februari 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : MARET 2015
JMLH JMLH
NO NAMA DESA JMLH
CERNA
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
1 Alue II Py.Gajah
2 Alue Nibong
3 Alue Rambong
4 Bale Buya
5 Bandrong
6 Bangka Rimung
7 Beusa Meurano
8 Blang Balok
9 Blang Bitra
10 Buket Pala
11 Blang Simpo
12 Blang Bate
13 Cot Muda Itam
14 Cek Embon
15 Cot Keh PSP
16 Cot Gelumpang
17 Dama Tutong
18 Kemuning
19 K e u d e
JMLH JMLH
NO NAMA DESA JMLH
CERNA
20 Kw.Bugak
21 Kw.Leuge
22 Leuge 1 V
23 Lhok Dalam
Lhok Dalam
24 Lbk.Pempeng
25 Mtg.Gleum
26 Matang Plawi
27 Pasir Putih
Pasir Putih Krung
28 Paya Lipah
29 P u n t i
30 Paya Kalui
31 Paya Meligo
32 Smt.Muda Itam
33 Snb.Aceh 1 Kelainan Jantung
34 Snb.Peusangan
35 Snb.Pidie
36 Tanah Rata
37 Tualang
38 Uteun Dama
Puskesmas 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0
Mengetahui: Peureulak 31 Maret 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : APRIL 2015
JMLH JMLH
NO NAMA DESA JMLH
CERNA
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
1 Alue II Py.Gajah
2 Alue Nibong
3 Alue Rambong
4 Bale Buya
5 Bandrong
6 Bangka Rimung
7 Beusa Meurano
8 Blang Balok
9 Blang Bitra
10 Buket Pala
11 Blang Simpo
12 Blang Bate
13 Cot Muda Itam
14 Cek Embon
15 Cot Keh PSP
16 Cot Gelumpang
17 Dama Tutong
18 Kemuning
19 K e u d e
JMLH JMLH
NO NAMA DESA JMLH
CERNA
20 Kw.Bugak
21 Kw.Leuge
22 Leuge
23 Lhok Dalam
Lhok Dalam
24 Lbk.Pempeng
25 Mtg.Gleum
26 Matang Plawi
27 Pasir Putih
Pasir Putih Krung
28 Paya Lipah
29 P u n t i
30 Paya Kalui
31 Paya Meligo
32 Smt.Muda Itam
33 Snb.Aceh 1
34 Snb.Peusangan
35 Snb.Pidie
36 Tanah Rata
37 Tualang 1 1
38 Uteun Dama
Puskesmas 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui: Peureulak 30 April 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : MAI 2015
JMLH JMLH
LAHIR ASPHY LAIN-
CERNA
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
1 Alue II Py.Gajah
2 Alue Nibong
3 Alue Rambong
4 Bale Buya
5 Bandrong
6 Bangka Rimung
7 Beusa Meurano
8 Blang Balok
9 Blang Bitra
10 Buket Pala
11 Blang Simpo
12 Blang Bate
13 Cot Muda Itam
14 Cek Embon
15 Cot Keh PSP
16 Cot Gelumpang
17 Dama Tutong
18 Kemuning
19 K e u d e
JMLH JMLH
NO NAMA DESA JMLH
CERNA
20 Kw.Bugak
21 Kw.Leuge
22 Leuge
23 Lhok Dalam
Lhok Dalam
24 Lbk.Pempeng
25 Mtg.Gleum
26 Matang Plawi
27 Pasir Putih
Pasir Putih Krung
28 Paya Lipah
29 P u n t i
30 Paya Kalui
31 Paya Meligo
32 Smt.Muda Itam
33 Snb.Aceh
34 Snb.Peusangan
35 Snb.Pidie
36 Tanah Rata
37 Tualang
38 Uteun Dama
Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui: Peureulak 31 MAI 2015
Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : JUNI 2015
JMLH JMLH
NO NAMA DESA JMLH
CERNA
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
1 Alue II Py.Gajah
2 Alue Nibong
3 Alue Rambong
4 Bale Buya
5 Bandrong
6 Bangka Rimung
7 Beusa Meurano
8 Blang Balok
9 Blang Bitra
10 Buket Pala
11 Blang Simpo
12 Blang Bate
13 Cot Muda Itam
14 Cek Embon
15 Cot Keh PSP

16 Cot Gelumpang
17 Dama Tutong
18 Kemuning
19 K e u d e
JMLH JMLH
NO NAMA DESA JMLH
CERNA
20 Kw.Bugak
21 Kw.Leuge
22 Leuge
23 Lhok Dalam
Lhok Dalam
24 Lbk.Pempeng
25 Mtg.Gleum
26 Matang Plawi
27 Pasir Putih
Pasir Putih Krung
28 Paya Lipah
29 P u n t i
30 Paya Kalui
31 Paya Meligo
32 Smt.Muda Itam
33 Snb.Aceh
34 Snb.Peusangan
35 Snb.Pidie 1 1
36 Tanah Rata
37 Tualang
38 Uteun Dama
Puskesmas 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui: Peureulak 30 JUNI 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : JULI 2015
JMLH JMLH
NO NAMA DESA JMLH
CERNA
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
1 Alue II Py.Gajah
2 Alue Nibong
3 Alue Rambong
4 Bale Buya
5 Bandrong
6 Bangka Rimung
7 Beusa Meurano
8 Blang Balok
9 Blang Bitra 1 Gangguan di Paru-paru
10 Buket Pala
11 Blang Simpo
12 Blang Bate 1 Kelainan Fungsi Hati
13 Cot Muda Itam
14 Cek Embon
15 Cot Keh PSP
16 Cot Gelumpang
17 Dama Tutong
18 Kemuning
19 K e u d e 1 Febris
JMLH JMLH
NO NAMA DESA JMLH
CERNA
20 Kw.Bugak
21 Kw.Leuge
22 Leuge
23 Lhok Dalam
Lhok Dalam
24 Lbk.Pempeng
25 Mtg.Gleum
26 Matang Plawi
27 Pasir Putih
Pasir Putih Krung
28 Paya Lipah
29 P u n t i
30 Paya Kalui
31 Paya Meligo
32 Smt.Muda Itam
33 Snb.Aceh
34 Snb.Peusangan
35 Snb.Pidie
36 Tanah Rata
37 Tualang
38 Uteun Dama
Puskesmas 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0
Mengetahui: Peureulak 30 JULI 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : AGUSTUS 2015
JMLH JMLH
NO NAMA DESA JMLH
CERNA
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
1 Alue II Py.Gajah
2 Alue Nibong 1
3 Alue Rambong
4 Bale Buya
5 Bandrong
6 Bangka Rimung
7 Beusa Meurano
8 Blang Balok
9 Blang Bitra 1 1
10 Buket Pala
11 Blang Simpo
12 Blang Bate
13 Cot Muda Itam

14 Cek Embon
15 Cot Keh PSP
16 Cot Gelumpang
17 Dama Tutong
18 Kemuning
19 K e u d e
JMLH JMLH
NO NAMA DESA JMLH
CERNA
20 Kw.Bugak
21 Kw.Leuge
22 Leuge
23 Lhok Dalam
Lhok Dalam
24 Lbk.Pempeng
25 Mtg.Gleum
26 Matang Plawi
27 Pasir Putih
Pasir Putih Krung
28 Paya Lipah
29 P u n t i
30 Paya Kalui
31 Paya Meligo
32 Smt.Muda Itam
33 Snb.Aceh
34 Snb.Peusangan
35 Snb.Pidie
36 Tanah Rata
37 Tualang
38 Uteun Dama
Puskesmas 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : SEPTEMBER 2015
JMLH JMLH
LAHIR ASPHY LAIN-
11 BLN) 12-59 BLN)
CERNA
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
1 Alue II Py.Gajah
2 Alue Nibong
3 Alue Rambong
4 Bale Buya
5 Bandrong
6 Bangka Rimung
7 Beusa Meurano 1
8 Blang Balok
9 Blang Bitra
10 Buket Pala
11 Blang Simpo
12 Blang Bate
13 Cot Muda Itam
14 Cek Embon
15 Cot Keh PSP
16 Cot Gelumpang
17 Dama Tutong
18 Kemuning
19 K e u d e
JMLH JMLH
NO NAMA DESA JMLH
CERNA
20 Kw.Bugak
21 Kw.Leuge
22 Leuge
23 Lhok Dalam
Lhok Dalam
24 Lbk.Pempeng
25 Mtg.Gleum
26 Matang Plawi
27 Pasir Putih
Pasir Putih Krung
28 Paya Lipah
29 P u n t i
30 Paya Kalui
31 Paya Meligo
32 Smt.Muda Itam
33 Snb.Aceh 1 1
34 Snb.Peusangan
35 Snb.Pidie
36 Tanah Rata
37 Tualang
38 Uteun Dama
Puskesmas 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui: Peureulak 30 September 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : OKTOBER 2015
JMLH JMLH
NO NAMA DESA JMLH
CERNA
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
1 Alue II Py.Gajah
2 Alue Nibong
3 Alue Rambong
4 Bale Buya
5 Bandrong 1 1
6 Bangka Rimung
7 Beusa Meurano
8 Blang Balok
9 Blang Bitra
10 Buket Pala
11 Blang Simpo
12 Blang Bate
13 Cot Muda Itam
14 Cek Embon
15 Cot Keh PSP
16 Cot Gelumpang
17 Dama Tutong
18 Kemuning
19 K e u d e
JMLH JMLH
NO NAMA DESA JMLH
CERNA
20 Kw.Bugak
21 Kw.Leuge
22 Leuge
23 Lhok Dalam
Lhok Dalam
24 Lbk.Pempeng
25 Mtg.Gleum
26 Matang Plawi
27 Pasir Putih
Pasir Putih Krung
28 Paya Lipah
29 P u n t i
30 Paya Kalui
31 Paya Meligo
32 Smt.Muda Itam
33 Snb.Aceh
34 Snb.Peusangan
35 Snb.Pidie
36 Tanah Rata
37 Tualang
38 Uteun Dama
Puskesmas 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui: Peureulak 31 Oktober 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : NOVEMBER 2015
JMLH JMLH
NO NAMA DESA JMLH
CERNA
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
1 Alue II Py.Gajah
2 Alue Nibong
3 Alue Rambong
4 Bale Buya
5 Bandrong
6 Bangka Rimung
Hydroce
7 Beusa Meurano 1 phalus
8 Blang Balok
9 Blang Bitra
10 Buket Pala
11 Blang Simpo
12 Blang Bate
13 Cot Muda Itam
14 Cek Embon
15 Cot Keh PSP
16 Cot Gelumpang
17 Dama Tutong
18 Kemuning
19 K e u d e
JMLH JMLH
NO NAMA DESA JMLH
CERNA
20 Kw.Bugak
21 Kw.Leuge
22 Leuge
23 Lhok Dalam
Lhok Dalam
24 Lbk.Pempeng
25 Mtg.Gleum
26 Matang Plawi
27 Pasir Putih
Pasir Putih Krung
28 Paya Lipah
29 P u n t i 1
30 Paya Kalui
31 Paya Meligo
32 Smt.Muda Itam
33 Snb.Aceh
34 Snb.Peusangan
35 Snb.Pidie
36 Tanah Rata
37 Tualang
38 Uteun Dama
Puskesmas 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui: Peureulak 30 November 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : DESEMBER 2015
JMLH JMLH
LAHIR ASPHY LAIN-
CERNA
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
1 Alue II Py.Gajah
2 Alue Nibong
3 Alue Rambong
4 Bale Buya
5 Bandrong
6 Bangka Rimung
7 Beusa Meurano
8 Blang Balok
9 Blang Bitra
10 Buket Pala
11 Blang Simpo
12 Blang Bate
13 Cot Muda Itam
14 Cek Embon
15 Cot Keh PSP
16 Cot Gelumpang
17 Dama Tutong
18 Kemuning
19 K e u d e
JMLH JMLH
NO NAMA DESA JMLH
CERNA
20 Kw.Bugak
21 Kw.Leuge
22 Leuge
23 Lhok Dalam 2 Apnoe Of Prematuritas+NKB+SMK
Lhok Dalam
24 Lbk.Pempeng
25 Mtg.Gleum
26 Matang Plawi
27 Pasir Putih
Pasir Putih Krung
28 Paya Lipah 1 CyanoticCHD+BBLR

29 P u n t i
30 Paya Kalui
31 Paya Meligo
32 Smt.Muda Itam
33 Snb.Aceh
34 Snb.Peusangan
35 Snb.Pidie
36 Tanah Rata
37 Tualang
38 Uteun Dama
Puskesmas 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : JANUARI S/D AGUSTUS 2015
JMLH JMLH
NO NAMA DESA JMLH
CERNA
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
1 Alue II Py.Gajah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Alue Nibong 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alue Rambong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bale Buya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Bandrong 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bangka Rimung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Beusa Meurano 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 ### 0 0 0 0 0 0 0
8 Blang Balok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gangguan
9 Blang Bitra 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 di Paru
Hernia+
10 Buket Pala 1 0 1 0 0 0 0 0 0 sesak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Blang Simpo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kelainan
12 Blang Bate 0 0 1 0 0 0 0 0 0 fgs hati 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Cot Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Cek Embon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cot Keh PSP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Cot Gelumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dama Tutong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Kemuning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 K e u d e 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Febris 0 0 0 0 0 0 0
JMLH JMLH
NO NAMA DESA JMLH
CERNA
20 Kw.Bugak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kw.Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Leuge 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0
23 Lhok Dalam 0 2 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Febris+
Lhok Dalam 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Step 0 0 0 0 0 0 0
24 Lbk.Pempeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Mtg.Gleum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Matang Plawi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Pasir Putih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pasir Putih Krung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Paya Lipah 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 ### 0 0 0 0 0 0 0

29 P u n t i 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Paya Kalui 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Paya Meligo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Smt.Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kelainan
33 Snb.Aceh 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Jantung
34 Snb.Peusangan 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0
35 Snb.Pidie 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Tanah Rata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Tualang 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Uteun Dama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 6 7 2 0 5 0 0 0 0 ### 6 0 0 1 0 0 ### 2 0 0 0 0 0 0

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001
Kelainan Jantung
Gangguan di Paru-paru
JENIS KEKERASAN
NO NAMA DESA
JUMLAH KEKERASAN SEKSUAL JUMLAH KEKERASAN FISIK JUMLAH KEKERASAN EMOSIONAL JUMLAH KEKERASAN PENELAN
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
BLN THN THN THN THN BLN THN THN THN THN BLN THN THN THN THN BLN
1 2 3 4 5
1 Alue II Py.Gajah 2 2
2 Alue Nibong 1 1
3 Alue Rambong 1 1
4 Bale Buya
5 Bandrong
6 Bangka Rimung 2 2
7 Beusa Meurano
8 Blang Balok
9 Blang Bitra 1 1
10 Buket Pala 4 4
11 Blang Simpo 1 1
12 Blang Bate 1 1
13 Cot Muda Itam
14 Cek Embon
15 Cot Keh PSP 1 1
16 Cot Gelumpang
17 Dama Tutong
18 Kemuning 3 3
19 K e u d e
JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5
20 Kw.Bugak
21 Kw.Leuge 2 2
22 Leuge 2 2
23 Lhok Dalam 3 3
24 Lbk.Pempeng 1 1
25 Mtg.Gleum
26 Matang Plawi 1 1
27 Pasir Putih 1 1
28 Pasir Putih Krung 1 1
29 Paya Lipah 2
30 P u n t i
31 Paya Kalui
32 Paya Meligo 2 2
33 Smt.Muda Itam 3 3
34 Snb.Aceh 2 2
35 Snb.Peusangan
36 Snb.Pidie 3 3
37 Tanah Rata 1 1
38 Tualang 2 2
39 Uteun Dama
Puskesmas 43 41
Mengetahui:
NIP:196507241986032002

JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Alue II Py.Gajah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Alue Nibong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alue Rambong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bale Buya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Bandrong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bangka Rimung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Beusa Meurano 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Blang Balok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Blang Bitra 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Buket Pala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Blang Simpo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Blang Bate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Cot Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Cek Embon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cot Keh PSP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Cot Gelumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dama Tutong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Kemuning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 K e u d e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
20 Kw.Bugak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kw.Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Lhok Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Lbk.Pempeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Mtg.Gleum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Matang Plawi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Pasir Putih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Pasir Putih Krung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Paya Lipah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 P u n t i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Paya Kalui 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Paya Meligo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Smt.Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Snb.Aceh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Snb.Peusangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Snb.Pidie 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Tanah Rata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Tualang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Uteun Dama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui:
NIP:196507241986032002

BULAN : MARET 2011
JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Alue II Py.Gajah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Alue Nibong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alue Rambong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bale Buya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Bandrong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bangka Rimung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Beusa Meurano 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Blang Balok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Blang Bitra 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Buket Pala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Blang Simpo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Blang Bate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Cot Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Cek Embon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cot Keh PSP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Cot Gelumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dama Tutong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Kemuning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 K e u d e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
20 Kw.Bugak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kw.Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Lhok Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Lbk.Pempeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Mtg.Gleum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Matang Plawi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Pasir Putih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Paya Lipah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 P u n t i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Paya Kalui 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Paya Meligo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Smt.Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Snb.Aceh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Snb.Peusangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Snb.Pidie 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Tanah Rata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Tualang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Uteun Dama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui:
NIP:196507241986032002

BULAN : APRIL 2011
JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Alue II Py.Gajah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Alue Nibong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alue Rambong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bale Buya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Bandrong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bangka Rimung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Beusa Meurano 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Blang Balok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Blang Bitra 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Buket Pala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Blang Simpo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Blang Bate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Cot Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Cek Embon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cot Keh PSP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Cot Gelumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dama Tutong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Kemuning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 K e u d e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
20 Kw.Bugak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kw.Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Lhok Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Lbk.Pempeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Mtg.Gleum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Matang Plawi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Pasir Putih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Paya Lipah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 P u n t i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Paya Kalui 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Paya Meligo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Smt.Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Snb.Aceh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Snb.Peusangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Snb.Pidie 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Tanah Rata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Tualang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Uteun Dama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui:
Ka.Subbag Tata Usaha
(Muhammad Jamil.SE)
NIP:19671231 198803 1 345
BULAN : JUNI 2011
JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Alue II Py.Gajah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Alue Nibong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alue Rambong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bale Buya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Bandrong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bangka Rimung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Beusa Meurano 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Blang Balok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Blang Bitra 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Buket Pala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Blang Simpo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Blang Bate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Cot Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 Cek Embon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cot Keh PSP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Cot Gelumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dama Tutong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Kemuning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 K e u d e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
20 Kw.Bugak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kw.Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Lhok Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Lbk.Pempeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Mtg.Gleum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Matang Plawi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Pasir Putih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Paya Lipah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 P u n t i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Paya Kalui 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Paya Meligo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Smt.Muda Itam 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
34 Snb.Aceh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Snb.Peusangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Snb.Pidie 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Tanah Rata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Tualang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Uteun Dama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui:
NIP:196507241986032002

BULAN : JULI 2011
JENIS KEKERASAN
NO NAMA DESA JUMLAH KEKERASAN SEKSUAL JUMLAH KEKERASAN FISIK JUMLAH KEKERASAN EMOSIONAL JUMLAH KEKERASAN PENELAN
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Alue II Py.Gajah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Alue Nibong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alue Rambong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bale Buya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Bandrong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bangka Rimung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Beusa Meurano 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Blang Balok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Blang Bitra 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Buket Pala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Blang Simpo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Blang Bate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Cot Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Cek Embon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cot Keh PSP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Cot Gelumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dama Tutong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Kemuning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 K e u d e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
20 Kw.Bugak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kw.Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Lhok Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Lbk.Pempeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Mtg.Gleum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Matang Plawi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Pasir Putih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Paya Lipah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 P u n t i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Paya Kalui 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Paya Meligo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Smt.Muda Itam 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
34 Snb.Aceh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Snb.Peusangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Snb.Pidie 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Tanah Rata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Tualang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Uteun Dama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui:
NIP:196507241986032002

JENIS KEKERASAN
NO NAMA DESA
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Alue II Py.Gajah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Alue Nibong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alue Rambong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bale Buya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Bandrong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bangka Rimung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Beusa Meurano 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Blang Balok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Blang Bitra 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Buket Pala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Blang Simpo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Blang Bate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Cot Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Cek Embon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cot Keh PSP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Cot Gelumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dama Tutong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Kemuning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 K e u d e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
20 Kw.Bugak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kw.Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Lhok Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Lbk.Pempeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Mtg.Gleum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Matang Plawi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Pasir Putih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

29 Paya Lipah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 P u n t i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Paya Kalui 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Paya Meligo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Smt.Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Snb.Aceh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Snb.Peusangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Snb.Pidie 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Tanah Rata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Tualang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Uteun Dama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui:
NIP:196507241986032002

JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Alue II Py.Gajah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Alue Nibong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alue Rambong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bale Buya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Bandrong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bangka Rimung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Beusa Meurano 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Blang Balok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Blang Bitra 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Buket Pala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Blang Simpo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Blang Bate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Cot Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Cek Embon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cot Keh PSP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Cot Gelumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dama Tutong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Kemuning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 K e u d e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
20 Kw.Bugak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kw.Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Lhok Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Lbk.Pempeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Mtg.Gleum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Matang Plawi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Pasir Putih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Paya Lipah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 P u n t i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Paya Kalui 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Paya Meligo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Smt.Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Snb.Aceh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Snb.Peusangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Snb.Pidie 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Tanah Rata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Tualang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Uteun Dama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui:
NIP:196507241986032002

JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Alue II Py.Gajah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Alue Nibong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alue Rambong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bale Buya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Bandrong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bangka Rimung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Beusa Meurano 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Blang Balok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Blang Bitra 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Buket Pala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Blang Simpo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Blang Bate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Cot Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Cek Embon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cot Keh PSP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Cot Gelumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dama Tutong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Kemuning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 K e u d e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
20 Kw.Bugak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kw.Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Lhok Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Lbk.Pempeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Mtg.Gleum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Matang Plawi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Pasir Putih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Paya Lipah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 P u n t i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Paya Kalui 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Paya Meligo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Smt.Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Snb.Aceh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Snb.Peusangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Snb.Pidie 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Tanah Rata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Tualang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Uteun Dama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui:
NIP:196507241986032002

JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Alue II Py.Gajah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Alue Nibong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alue Rambong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bale Buya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Bandrong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bangka Rimung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Beusa Meurano 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Blang Balok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Blang Bitra 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Buket Pala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Blang Simpo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Blang Bate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Cot Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Cek Embon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cot Keh PSP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Cot Gelumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dama Tutong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Kemuning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 K e u d e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
20 Kw.Bugak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kw.Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Lhok Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Lbk.Pempeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Mtg.Gleum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Matang Plawi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Pasir Putih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Paya Lipah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 P u n t i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Paya Kalui 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Paya Meligo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Smt.Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Snb.Aceh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Snb.Peusangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Snb.Pidie 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Tanah Rata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Tualang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Uteun Dama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui:
NIP:196507241986032002

JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Alue II Py.Gajah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Alue Nibong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alue Rambong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bale Buya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Bandrong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bangka Rimung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Beusa Meurano 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Blang Balok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Blang Bitra 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Buket Pala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Blang Simpo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Blang Bate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Cot Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Cek Embon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Cot Keh PSP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 Cot Gelumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Dama Tutong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Kemuning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 K e u d e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JENIS KEKERASAN
NO NAMA DESA
0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 0-11
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
20 Kw.Bugak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kw.Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Leuge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Lhok Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Lbk.Pempeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Mtg.Gleum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Matang Plawi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Pasir Putih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Paya Lipah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 P u n t i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Paya Kalui 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Paya Meligo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Smt.Muda Itam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Snb.Aceh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Snb.Peusangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Snb.Pidie 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Tanah Rata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Tualang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Uteun Dama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui:
NIP:196507241986032002
ESEHATAN ANAK
JMLH
JMLH
JUMLAH KEKERASAN PENELANTARAN JUMLAH KEKERASAN TRAFIKING JMLH SLB LAPAS/RUTAN
LAPAS/RUTAN
YANG DIBINA ANAK YANG
YANG DIBINA
DIBINA
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18
THN THN THN THN BLN THN THN THN THN
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
6 7 9 15
13
15
26
10
14
20
6
61
10
15
7
3
321
Peureulak,.2011
( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001
ESEHATAN ANAK
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
Peureulak,28 Februari 2011
( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001
ESEHATAN ANAK
JMLH
JMLH
LAPAS/RUTAN
YANG DIBINA
DIBINA
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
Peureulak,31 Maret 2011

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001
ESEHATAN ANAK
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
Peureulak,31 Maret 2011

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001
ESEHATAN ANAK
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
Peureulak,30 Juni 2011
( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001
ESEHATAN ANAK
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
Peureulak,30 Juli 2011

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001
ESEHATAN ANAK
JMLH
JMLH
JMLH SLB LAPAS/RUTAN
LAPAS/RUTAN
YANG DIBINA
DIBINA
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
Peureulak,07 September 2011

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001
ESEHATAN ANAK
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0
Peureulak,30 September 2011

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001
ESEHATAN ANAK
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0
Peureulak,30 Oktober 2011

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001
ESEHATAN ANAK
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0
Peureulak,30 November 2011

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001
ESEHATAN ANAK
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
JMLH
JMLH
LAPAS/RUTAN
1-4 5-9 10-14 16-18 0-11 1-4 5-9 10-14 16-18 YANG DIBINA
DIBINA
19 20 21 22 23 24 25 26 27 28 29 30
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0
Peureulak,31 Desemberr 2011

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001
CAKUPAN KUNJUNGAN NEONATAL
CAKUPAN PERSENTASI KAB/KOTA YANG PERSENTASI KAB/KOTA YANG

SD / MIN MELAKSANAKAN MEMILIKI MINIMAL 4 MEMILIKI MINIMAL 2
CAKUPAN PENANGANAN NEONATAL JUMLAH ANAK BALITA CAKUPAN PELAYANAN KESEHATAN ANAK PUSKESMAS MAMPU PUSKESMAS MAMPU
CAKUPAN PELAYANAN KESEHATAN BAYI JLH PENJARINGAN
NO NAMA DESA JUMLAH SASARAN BAYI KOMPLIKASI (12 - 29 ) BULAN BALITA LAKSANA PELAYANAN TERLAKSANA KASUS
KN I KN LENGKAP SD KESEHATAN SISWA KESEHATAN PEDULI REMAJA KEKERASAN TERHADAP ANAK
( 0 - 11 ) BULAN
/ KELAS I SD/MIN (PKPR) (KTA)
MIN
JUMLAH ABSOLUT CAKUPAN JUMLAH ABSOLUT CAKUPAN JUMLAH ABSOLUT CAKUPAN JUMLAH ABSOLUT CAKUPAN JUMLAH ABSOLUT CAKUPAN CAKUPAN CAKUPAN CAKUPAN
LK PR JUMLAH JLH ABSOLUT JLH ABSOLUT JLH ABSOLUT
LK PR JUMLAH LK PR JUMLAH ( %) LK PR JUMLAH ( %) LK PR JUMLAH ( %) LK PR JUMLAH ( %) LK PR JUMLAH ( %) (% ) (% ) (% )
1 2 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 30 31 32 33 34 35 36
1 Alue II Py Gajah 3 3 6 0 0.0 0 0.0 0 0.0 0 0.0 22 25 47 0 0.0
2 Alue Nibong 15 13 28 3 1 4 14.3 2 2 7.1 0 0.0 2 2 4 14.3 98 67 165 7 7 14 8.5
3 Alue Rambong 18 12 30 0 0.0 0 0.0 0 0.0 0 0.0 110 115 225 16 20 36 16.0 1
4 Bale Buya 5 8 13 0 0.0 0 0.0 0 0.0 0 0.0 32 41 73 3 4 7 9.6 2
5 Bandrong 16 10 26 1 1 3.8 0 0.0 0 0.0 2 1 3 11.5 61 51 112 31 26 57 50.9
6 Bangka Rimung 12 9 21 1 1 4.8 1 1 4.8 0 0.0 0 0.0 52 36 88 23 23 46 52.3
7 Beusa Meurano 19 22 41 1 1 2.4 1 1 2.4 0 0.0 0 0.0 78 90 168 0 0.0
8 Blang Balok 25 18 43 4 2 6 14.0 4 2 6 14.0 0 0.0 1 1 2.3 98 80 178 7 5 12 6.7
9 Blang Bitra 5 9 14 0 0.0 1 1 7.1 0 0.0 1 1 7.1 36 28 64 4 2 6 9.4
10 Buket Pala 17 17 34 4 4 11.8 4 4 11.8 1 1 2.9 0 0.0 81 79 160 0 0.0
11 Blang Simpo 9 12 21 0 0.0 0 0.0 0 0.0 0 0.0 44 47 91 5 4 9 9.9 1
12 Blang Bate 18 22 40 1 2 3 7.5 2 2 4 10.0 0 0.0 0 0.0 72 84 156 5 2 7 4.5 1
13 Cot Muda Itam 13 5 18 1 1 5.6 1 1 5.6 0 0.0 1 1 5.6 30 25 55 4 4 8 14.5
14 Cek Embon 24 19 43 1 1 2.3 1 1 2 4.7 0 0.0 4 4 9.3 96 115 211 0 0.0 1
15 Cot Keh PSP 12 12 24 3 1 4 16.7 3 1 4 16.7 0 0.0 3 2 5 20.8 44 58 102 3 1 4 3.9 1
16 Cot Gelumpang 10 11 21 1 3 4 19.0 1 2 3 14.3 0 0.0 2 2 9.5 52 50 102 7 13 20 19.6 1
17 Dama Tutong 8 14 22 3 2 5 22.7 3 2 5 22.7 0 0.0 0 0.0 63 71 134 3 3 6 4.5
18 Kemuning 9 6 15 1 1 6.7 1 1 6.7 0 0.0 0 0.0 33 24 57 4 2 6 10.5 1
19 K e u d e 7 7 14 0 0.0 0 0.0 0 0.0 1 1 7.1 35 42 77 2 3 5 6.5

JUMLAH SASARAN BAYI CAKUPAN PELAYANAN KESEHATAN BAYI PENJARINGAN
KN I KN LENGKAP KOMPLIKASI (12 - 29 ) BULAN BALITA JLH LAKSANA PELAYANAN TERLAKSANA KASUS
NO NAMA DESA ( 0 - 11 ) BULAN KESEHATAN SISWA KESEHATAN PEDULI REMAJA KEKERASAN TERHADAP ANAK
SD KELAS I SD/MIN (PKPR) (KTA)
/
MIN
JUMLAH ABSOLUT JUMLAH ABSOLUT JUMLAH ABSOLUT JUMLAH ABSOLUT JUMLAH ABSOLUT
CAKUPAN CAKUPAN CAKUPAN CAKUPAN CAKUPAN CAKUPAN CAKUPAN CAKUPAN
20 Kw.Bugak 7 8 15 3 3 20.0 1 1 6.7 0 0.0 1 1 2 13.3 30 41 71 4 7 11 15.5 1
21 Kw.Leuge 8 15 23 1 1 4.3 0 0.0 0 0.0 2 2 8.7 60 73 133 6 5 11 8.3 1
22 Leuge 13 15 28 3 1 4 14.3 3 1 4 14.3 0 0.0 0 0.0 63 62 125 2 5 7 5.6 2
23 Lhok Dalam (T) 12 6 18 4 4 22.2 4 4 22.2 0 0.0 0 0.0 78 83 161 0 0.0 3
Lhok Dalam (M) 27 20 47 1 1 2.1 1 1 2.1 0 0.0 0 0.0 146 109 255 17 9 26 10.2
24 Lbk.Pempeng 15 21 36 1 1 2 5.6 1 1 2 5.6 0 0.0 0 0.0 74 102 176 0 0.0 1
25 Mtg.Gleum 10 2 12 0 0.0 0 0.0 0 0.0 2 2 16.7 39 34 73 5 3 8 11.0
26 Matang Plawi 7 8 15 1 1 6.7 1 1 6.7 0 0.0 0 0.0 59 64 123 7 4 11 8.9
27 Pasir Putih 13 19 32 1 1 3.1 1 1 3.1 0 0.0 0 0.0 51 73 124 3 2 5 4.0 1
Pasir Putih Krung 11 18 29 2 2 6.9 2 2 6.9 0 0.0 0 0.0 60 75 135 3 4 7 5.2
28 Paya Lipah 19 16 35 2 1 3 8.6 2 1 3 8.6 0 0.0 1 1 2.9 132 103 235 5 6 11 4.7 2
29 P u n t i 11 12 23 1 1 2 8.7 1 1 2 8.7 1 1 4.3 1 1 4.3 42 45 87 3 4 7 8.0
30 Paya Kalui 3 6 9 0 0.0 0 0.0 0 0.0 0 0.0 15 19 34 4 4 8 23.5 1
31 Paya Meligo 10 16 26 1 1 2 7.7 1 1 2 7.7 0 0.0 1 1 3.8 68 55 123 4 3 7 5.7 1
32 Smt.Muda Itam 8 10 18 3 3 16.7 3 3 16.7 0 0.0 0 0.0 36 31 67 2 2 4 6.0
33 Snb.Aceh 25 13 38 2 2 5.3 2 2 5.3 0 0.0 1 1 2 5.3 62 56 118 31 34 65 55.1
34 Snb.Peusangan 26 18 44 2 1 3 6.8 2 1 3 6.8 0 0.0 0 0.0 101 84 185 7 6 13 7.0 1
35 Snb.Pidie 21 41 62 2 1 3 4.8 2 1 3 4.8 0 0.0 0 0.0 105 148 253 0 0.0 1
36 Tanah Rata 4 4 8 1 1 12.5 1 1 12.5 0 0.0 0 0.0 25 35 60 0 0.0 1
37 Tualang 12 7 19 2 2 10.5 2 2 10.5 1 1 5.3 0 0.0 63 57 120 1 2 3 2.5
38 Uteun Dama 12 12 24 1 1 4.2 1 1 4.2 0 0.0 0 0.0 50 46 96 12 10 22 22.9 1
Puskesmas 519 516 1035 49 28 77 7.4 45 28 73 7.1 1 2 3 0.3 16 17 33 3.2 2496 2523 5019 240 229 469 9.3 26 0
Mengetahui: Peureulak 31 Januari 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001


JUMLAH SASARAN BAYI CAKUPAN PELAYANAN KESEHATAN BAYI JLH PENJARINGAN
NO NAMA DESA KN I KN LENGKAP KOMPLIKASI (12 - 29 ) BULAN BALITA LAKSANA PELAYANAN TERLAKSANA KASUS
( 0 - 11 ) BULAN SD KESEHATAN SISWA KESEHATAN PEDULI REMAJA KEKERASAN TERHADAP ANAK
MIN
1 2 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 30 31 32 33 34 35 36
1 Alue II Py Gajah 3 3 6 0 0.0 0 0.0 0 0.0 0 0.0 22 25 47 0 0.0
2 Alue Nibong 15 13 28 1 1 2 7.1 2 2 4 14.3 1 1 3.6 1 1 3.6 98 67 165 7 4 11 6.7
3 Alue Rambong 18 12 30 0 0.0 0 0.0 0 0.0 0 0.0 110 115 225 0 0.0 1
4 Bale Buya 5 8 13 1 2 3 23.1 1 1 2 15.4 0 0.0 0 0.0 32 41 73 5 4 9 12.3 2
5 Bandrong 16 10 26 1 1 3.8 1 1 2 7.7 0 0.0 0 0.0 61 51 112 0 0.0
6 Bangka Rimung 12 9 21 2 2 9.5 2 2 9.5 0 0.0 1 1 2 9.5 52 36 88 3 6 9 10.2
7 Beusa Meurano 19 22 41 4 4 9.8 4 4 9.8 0 0.0 1 1 2.4 78 90 168 9 10 19 11.3
8 Blang Balok 25 18 43 0 0.0 0 0.0 0 0.0 0 0.0 98 80 178 1 4 5 2.8
9 Blang Bitra 5 9 14 1 1 7.1 1 1 7.1 0 0.0 2 2 14.3 36 28 64 4 4 6.3
10 Buket Pala 17 17 34 4 4 11.8 4 4 11.8 1 1 2.9 0 0.0 81 79 160 10 8 18 11.3
11 Blang Simpo 9 12 21 1 1 4.8 1 1 4.8 0 0.0 0 0.0 44 47 91 4 2 6 6.6 1
12 Blang Bate 18 22 40 2 4 6 15.0 2 2 4 10.0 0 0.0 0 0.0 72 84 156 7 7 14 9.0 1
13 Cot Muda Itam 13 5 18 0 0.0 0 0.0 0 0.0 1 1 5.6 30 25 55 3 4 7 12.7
14 Cek Embon 24 19 43 1 1 2 4.7 1 1 2 4.7 0 0.0 0 0.0 96 115 211 2 4 6 2.8 1
15 Cot Keh PSP 12 12 24 0 0.0 0 0.0 0 0.0 1 1 4.2 44 58 102 3 3 6 5.9 1
16 Cot Gelumpang 10 11 21 0 0.0 0 0.0 0 0.0 1 1 2 9.5 52 50 102 1 4 5 4.9 1
17 Dama Tutong 8 14 22 2 2 4 18.2 2 2 4 18.2 0 0.0 2 2 4 18.2 63 71 134 4 2 6 4.5
18 Kemuning 9 6 15 2 1 3 20.0 2 1 3 20.0 0 0.0 0 0.0 33 24 57 4 7 11 19.3 1
19 K e u d e 7 7 14 0 0.0 0 0.0 0 0.0 0 0.0 35 42 77 1 2 3 3.9

/
MIN
Kw.Bugak 7 8 15 0 0.0 2 2 13.3 0 0.0 0 0.0 30 41 71 4 2 6 8.5 1
21 Kw.Leuge 8 15 23 1 1 2 8.7 1 1 2 8.7 0 0.0 0 0.0 60 73 133 0 0.0 1
22 Leuge 13 15 28 1 2 3 10.7 1 2 3 10.7 0 0.0 2 2 7.1 63 62 125 2 3 5 4.0 2
23 Lhok Dalam (T) 12 6 18 2 2 11.1 2 2 11.1 0 0.0 0 0.0 78 83 161 0 0.0 3
Lhok Dalam (M) 27 20 47 1 1 2 4.3 1 1 2 4.3 0 0.0 5 5 10.6 146 109 255 9 5 14 5.5
24 Lbk.Pempeng 15 21 36 2 2 5.6 2 2 5.6 0 0.0 0 0.0 74 102 176 2 5 7 4.0 1
25 Mtg.Gleum 10 2 12 1 1 8.3 1 1 8.3 0 0.0 0 0.0 39 34 73 1 3 4 5.5
26 Matang Plawi 7 8 15 0 0.0 0 0.0 0 0.0 0 0.0 59 64 123 7 3 10 8.1
27 Pasir Putih 13 19 32 0 0.0 1 1 3.1 0 0.0 0 0.0 51 73 124 3 3 6 4.8 1
Pasir Putih Krung 11 18 29 1 1 3.4 0 0.0 0 0.0 2 1 3 10.3 60 75 135 1 4 5 3.7
28 Paya Lipah 19 16 35 2 1 3 8.6 2 1 3 8.6 0 0.0 0 0.0 132 103 235 7 3 10 4.3 2
29 P u n t i 11 12 23 2 1 3 13.0 2 1 3 13.0 0 0.0 0 0.0 42 45 87 4 4 8 9.2
30 Paya Kalui 3 6 9 0 0.0 0 0.0 0 0.0 0 0.0 15 19 34 1 2 3 8.8 1
31 Paya Meligo 10 16 26 1 1 3.8 0 0.0 0 0.0 0 0.0 68 55 123 9 6 15 12.2 1
32 Smt.Muda Itam 8 10 18 2 2 11.1 1 1 5.6 0 0.0 0 0.0 36 31 67 0 0.0
33 Snb.Aceh 25 13 38 1 1 2.6 0 0.0 0 0.0 2 1 3 7.9 62 56 118 5 6 11 9.3
34 Snb.Peusangan 26 18 44 1 1 2 4.5 1 1 2 4.5 0 0.0 1 1 2 4.5 101 84 185 9 7 16 8.6 1
35 Snb.Pidie 21 41 62 3 3 6 9.7 2 3 5 8.1 0 0.0 3 3 4.8 105 148 253 13 11 24 9.5 1
36 Tanah Rata 4 4 8 0 0.0 0 0.0 0 0.0 0 0.0 25 35 60 5 9 14 23.3 1
37 Tualang 12 7 19 1 1 5.3 1 1 5.3 0 0.0 0 0.0 63 57 120 1 2 3 2.5
38 Uteun Dama 12 12 24 1 1 4.2 0 0.0 0 0.0 0 0.0 50 46 96 3 4 7 7.3 1
Puskesmas 519 516 1035 37 29 66 6.4 35 28 63 6.1 1 1 2 0.2 20 12 32 3.1 2496 2523 5019 150 157 307 6.1 26 0 0
Mengetahui: Peureulak 28 Februari 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : MARET 2015

MIN
1 2 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 30 31 32 33 34 35 36
1 Alue II Py Gajah 3 3 6 0 0.0 0 0.0 0 0.0 0 0.0 22 25 47 0 0.0
2 Alue Nibong 15 13 28 1 1 3.6 1 1 3.6 0 0.0 1 1 2 7.1 98 67 165 5 3 8 4.8
3 Alue Rambong 18 12 30 0 0.0 0 0.0 0 0.0 0 0.0 110 115 225 9 10 19 8.4 1
4 Bale Buya 5 8 13 1 1 7.7 1 1 7.7 0 0.0 1 3 4 30.8 32 41 73 9 9 18 24.7 2
5 Bandrong 16 10 26 1 1 3.8 0 0.0 0 0.0 1 1 3.8 61 51 112 5 4 9 8.0
6 Bangka Rimung 12 9 21 1 1 4.8 0 0.0 0 0.0 1 1 4.8 52 36 88 5 3 8 9.1
7 Beusa Meurano 19 22 41 1 1 2.4 1 1 2.4 0 0.0 1 1 2.4 78 90 168 8 7 15 8.9
8 Blang Balok 25 18 43 1 3 4 9.3 1 3 4 9.3 0 0.0 2 1 3 7.0 98 80 178 2 4 6 3.4
9 Blang Bitra 5 9 14 0 0.0 0 0.0 0 0.0 1 1 7.1 36 28 64 0 0.0
10 Buket Pala 17 17 34 1 1 2.9 1 1 2.9 0 0.0 0 0.0 81 79 160 10 8 18 11.3
11 Blang Simpo 9 12 21 0 0.0 0 0.0 0 0.0 0 0.0 44 47 91 4 3 7 7.7 1
12 Blang Bate 18 22 40 0 0.0 2 1 3 7.5 0 0.0 1 1 2 5.0 72 84 156 3 10 13 8.3 1
13 Cot Muda Itam 13 5 18 0 0.0 0 0.0 0 0.0 2 2 11.1 30 25 55 4 4 8 14.5
14 Cek Embon 24 19 43 0 0.0 0 0.0 0 0.0 1 1 2.3 96 115 211 2 5 7 3.3 1
15 Cot Keh 12 12 24 0 0.0 0 0.0 0 0.0 0 0.0 44 58 102 2 6 8 7.8 1
16 Cot Gelumpang 10 11 21 2 1 3 14.3 2 1 3 14.3 0 0.0 2 2 9.5 52 50 102 2 2 4 3.9 1
17 Dama Tutong 8 14 22 1 2 3 13.6 1 1 4.5 0 0.0 4 4 18.2 63 71 134 4 2 6 4.5
18 Kemuning 9 6 15 1 1 6.7 1 1 6.7 0 0.0 1 1 2 13.3 33 24 57 3 3 6 10.5 1
19 K e u d e 7 7 14 1 1 2 14.3 1 1 7.1 0 0.0 0 0.0 35 42 77 2 1 3 3.9

/
MIN
20 Kw.Bugak 7 8 15 1 1 6.7 1 1 6.7 0 0.0 0 0.0 30 41 71 2 1 3 4.2 1
21 Kw.Leuge 8 15 23 1 1 4.3 1 1 4.3 0 0.0 1 1 4.3 60 73 133 4 4 3.0 1
22 Leuge 13 15 28 1 1 3.6 0 0.0 0 0.0 1 1 3.6 63 62 125 3 3 6 4.8 2
23 Lhok Dalam (T) 12 6 18 1 1 5.6 1 1 5.6 0 0.0 2 2 11.1 78 83 161 9 8 17 10.6 3
Lhok Dalam (M) 27 20 47 1 1 2 4.3 1 1 2 4.3 0 0.0 4 1 5 10.6 146 109 255 4 4 8 3.1
24 Lbk.Pempeng 15 21 36 1 1 2 5.6 0 0.0 0 0.0 0 0.0 74 102 176 5 4 9 5.1 1
25 Mtg.Gleum 10 2 12 1 1 8.3 1 1 8.3 0 0.0 0 0.0 39 34 73 3 3 6 8.2
26 Matang Plawi 7 8 15 0 0.0 0 0.0 0 0.0 1 1 6.7 59 64 123 5 7 12 9.8
27 Pasir Putih 13 19 32 0 0.0 0 0.0 0 0.0 2 2 6.3 51 73 124 2 7 9 7.3 1
Pasir Putih Krung 11 18 29 1 1 3.4 2 2 6.9 0 0.0 1 1 3.4 60 75 135 4 2 6 4.4
28 Paya Lipah 19 16 35 2 1 3 8.6 0 0.0 0 0.0 1 1 2.9 132 103 235 0 0.0 2
29 P u n t i 11 12 23 3 3 13.0 3 3 13.0 0 0.0 1 1 4.3 42 45 87 4 4 8 9.2
30 Paya Kalui 3 6 9 0 0.0 0 0.0 0 0.0 0 0.0 15 19 34 1 1 2 5.9 1
31 Paya Meligo 10 16 26 0 0.0 1 1 3.8 0 0.0 2 2 7.7 68 55 123 8 1 9 7.3 1
32 Smt.Muda Itam 8 10 18 0 0.0 0 0.0 0 0.0 2 2 11.1 36 31 67 3 4 7 10.4
33 Snb.Aceh 25 13 38 1 2 3 7.9 2 3 5 13.2 2 2 5.3 1 1 2 5.3 62 56 118 0 0.0
34 Snb.Peusangan 26 18 44 2 1 3 6.8 2 1 3 6.8 0 0.0 0 0.0 101 84 185 8 9 17 9.2 1
35 Snb.Pidie 21 41 62 1 2 3 4.8 1 1 2 3.2 0 0.0 1 1 1.6 105 148 253 11 7 18 7.1 1
36 Tanah Rata 4 4 8 0 0.0 0 0.0 0 0.0 0 0.0 25 35 60 7 8 15 25.0 1
37 Tualang 12 7 19 2 1 3 15.8 0 0.0 0 0.0 0 0.0 63 57 120 1 3 4 3.3
38 Uteun Dama 12 12 24 1 1 4.2 1 1 4.2 0 0.0 0 0.0 50 46 96 4 3 7 7.3 1
Puskesmas 519 516 1035 20 28 48 4.6 18 22 40 3.9 0 2 2 0.2 30 18 48 4.6 2496 2523 5019 163 167 330 6.6 26 0 0
Mengetahui: Peureulak 31 Maret 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : APRIL 2015

NO NAMA DESA KOMPLIKASI (12 - 29 ) BULAN BALITA LAKSANA PELAYANAN TERLAKSANA KASUS
( 0 - 11 ) BULAN
MIN
1 2 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 30 31 32 33 34 35 36
1 Alue II Py Gajah 3 3 6 0 0.0 0 0.0 0 0.0 0 0.0 22 25 47 0 0.0
2 Alue Nibong 15 13 28 1 2 3 10.7 1 2 3 10.7 0 0.0 2 2 7.1 98 67 165 8 11 19 11.5
3 Alue Rambong 18 12 30 1 1 2 6.7 1 1 3.3 0 0.0 0 0.0 110 115 225 0 0.0 1
4 Bale Buya 5 8 13 1 1 7.7 1 1 2 15.4 0 0.0 1 1 7.7 32 41 73 7 8 15 20.5 2
5 Bandrong 16 10 26 2 2 7.7 0 0.0 0 0.0 1 1 2 7.7 61 51 112 7 6 13 11.6
6 Bangka Rimung 12 9 21 1 1 4.8 1 1 2 9.5 0 0.0 1 2 3 14.3 52 36 88 5 7 12 13.6
7 Beusa Meurano 19 22 41 1 1 2 4.9 1 1 2 4.9 0 0.0 1 1 2.4 78 90 168 8 7 15 8.9
8 Blang Balok 25 18 43 1 1 2.3 1 1 2.3 0 0.0 1 2 3 7.0 98 80 178 6 1 7 3.9
9 Blang Bitra 5 9 14 1 1 7.1 1 1 7.1 0 0.0 1 1 2 14.3 36 28 64 1 2 3 4.7
10 Buket Pala 17 17 34 2 2 5.9 2 2 5.9 0 0.0 0 0.0 81 79 160 10 10 20 12.5
11 Blang Simpo 9 12 21 1 1 4.8 1 1 4.8 0 0.0 4 4 19.0 44 47 91 5 4 9 9.9 1
12 Blang Bate 18 22 40 1 1 2.5 0 0.0 1 1 2.5 2 2 4 10.0 72 84 156 8 10 18 11.5 1
13 Cot Muda Itam 13 5 18 1 1 5.6 1 1 5.6 0 0.0 0 0.0 30 25 55 6 2 8 14.5
14 Cek Embon 24 19 43 1 1 2 4.7 1 1 2 4.7 0 0.0 3 3 7.0 96 115 211 7 4 11 5.2 1
15 Cot Keh 12 12 24 1 1 4.2 1 1 4.2 0 0.0 1 1 4.2 44 58 102 3 4 7 6.9 1
16 Cot Gelumpang 10 11 21 1 1 4.8 1 1 4.8 0 0.0 2 2 9.5 52 50 102 3 3 6 5.9 1
17 Dama Tutong 8 14 22 4 4 18.2 4 2 6 27.3 0 0.0 1 1 4.5 63 71 134 6 3 9 6.7
18 Kemuning 9 6 15 0 0.0 0 0.0 0 0.0 0 0.0 33 24 57 3 4 7 12.3 1
19 K e u d e 7 7 14 0 0.0 0 0.0 0 0.0 2 1 3 21.4 35 42 77 2 1 3 3.9

/
MIN
20 Kw.Bugak 7 8 15 0 0.0 0 0.0 0 0.0 1 1 6.7 30 41 71 7 1 8 11.3 1
21 Kw.Leuge 8 15 23 1 1 2 8.7 1 1 2 8.7 0 0.0 2 1 3 13.0 60 73 133 4 4 3.0 1
22 Leuge 13 15 28 1 1 3.6 1 1 3.6 0 0.0 1 1 2 7.1 63 62 125 2 4 6 4.8 2
23 Lhok Dalam (T) 12 6 18 1 1 2 11.1 1 1 2 11.1 0 0.0 1 1 2 11.1 78 83 161 4 3 7 4.3 3
Lhok Dalam (M) 27 20 47 1 1 2.1 1 1 2.1 0 0.0 1 1 2.1 146 109 255 2 6 8 3.1
24 Lbk.Pempeng 15 21 36 3 3 8.3 3 3 8.3 0 0.0 1 3 4 11.1 74 102 176 4 3 7 4.0 1
25 Mtg.Gleum 10 2 12 1 1 8.3 1 1 8.3 0 0.0 0 0.0 39 34 73 5 5 6.8
26 Matang Plawi 7 8 15 2 2 13.3 2 2 13.3 0 0.0 1 1 2 13.3 59 64 123 5 4 9 7.3
27 Pasir Putih 13 19 32 0 0.0 0 0.0 0 0.0 2 2 6.3 51 73 124 5 4 9 7.3 1
Pasir Putih Krung 11 18 29 2 2 6.9 0 0.0 0 0.0 3 2 5 17.2 60 75 135 1 2 3 2.2
28 Paya Lipah 19 16 35 1 1 2.9 2 1 3 8.6 0 0.0 1 1 2.9 132 103 235 7 5 12 5.1 2
29 P u n t i 11 12 23 1 1 4.3 1 1 4.3 0 0.0 0 0.0 42 45 87 5 3 8 9.2
30 Paya Kalui 3 6 9 0 0.0 0 0.0 0 0.0 1 1 11.1 15 19 34 2 1 3 8.8 1
31 Paya Meligo 10 16 26 3 3 11.5 1 1 3.8 0 0.0 1 1 3.8 68 55 123 6 1 7 5.7 1
32 Smt.Muda Itam 8 10 18 1 1 5.6 1 1 5.6 0 0.0 0 0.0 36 31 67 2 3 5 7.5
33 Snb.Aceh 25 13 38 2 3 5 13.2 2 3 5 13.2 1 1 2.6 1 3 4 10.5 62 56 118 10 7 17 14.4
34 Snb.Peusangan 26 18 44 3 3 6.8 1 3 4 9.1 0 0.0 3 3 6.8 101 84 185 8 9 17 9.2 1
35 Snb.Pidie 21 41 62 1 2 3 4.8 1 2 3 4.8 1 1 1.6 1 1 1.6 105 148 253 0 0.0 1
36 Tanah Rata 4 4 8 1 3 4 50.0 1 2 3 37.5 0 0.0 0 0.0 25 35 60 9 9 18 30.0 1
37 Tualang 12 7 19 1 1 2 10.5 0 0.0 1 1 5.3 0 0.0 63 57 120 5 3 8 6.7
38 Uteun Dama 12 12 24 1 1 4.2 1 1 4.2 0 0.0 0 0.0 50 46 96 4 4 8 8.3 1
Puskesmas 519 516 1035 30 34 64 6.2 31 29 60 5.8 3 1 4 0.4 38 27 65 6.3 2496 2523 5019 183 168 351 7.0 26 0 0
Mengetahui: Peureulak 30 April 2015
Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : MAI 2015

MIN
1 2 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 30 31 32 33 34 35 36
1 Alue II Py Gajah 3 3 6 0 0.0 0 0.0 0 0.0 0 0.0 22 25 47 0 0.0
2 Alue Nibong 15 13 28 2 2 7.1 2 2 7.1 0 0.0 2 3 5 17.9 98 67 165 4 5 9 5.5
3 Alue Rambong 18 12 30 1 1 3.3 2 2 6.7 0 0.0 4 4 13.3 110 115 225 4 6 10 4.4 1
4 Bale Buya 5 8 13 0 0.0 0 0.0 0 0.0 1 1 7.7 32 41 73 5 8 13 17.8 2
5 Bandrong 16 10 26 2 2 7.7 2 2 7.7 0 0.0 1 1 3.8 61 51 112 0 0.0
6 Bangka Rimung 12 9 21 0 0.0 0 0.0 0 0.0 0 0.0 52 36 88 0 0.0
7 Beusa Meurano 19 22 41 1 1 2 4.9 1 1 2 4.9 0 0.0 1 1 2.4 78 90 168 8 5 13 7.7
8 Blang Balok 25 18 43 3 1 4 9.3 3 1 4 9.3 0 0.0 2 4 6 14.0 98 80 178 7 2 9 5.1
9 Blang Bitra 5 9 14 1 1 7.1 1 1 7.1 0 0.0 1 1 7.1 36 28 64 2 2 4 6.3
10 Buket Pala 17 17 34 2 2 5.9 2 2 5.9 0 0.0 1 1 2.9 81 79 160 0 0.0
11 Blang Simpo 9 12 21 1 1 4.8 1 1 4.8 0 0.0 1 1 2 9.5 44 47 91 3 3 6 6.6 1
12 Blang Bate 18 22 40 1 1 2.5 1 1 2.5 0 0.0 3 1 4 10.0 72 84 156 8 9 17 10.9 1
13 Cot Muda Itam 13 5 18 1 1 2 11.1 1 1 5.6 0 0.0 1 1 5.6 30 25 55 3 3 5.5
14 Cek Embon 24 19 43 1 1 2 4.7 1 1 2 4.7 0 0.0 1 1 2 4.7 96 115 211 1 5 6 2.8 1
15 Cot Keh 12 12 24 1 1 2 8.3 1 1 2 8.3 0 0.0 3 3 12.5 44 58 102 5 2 7 6.9 1
16 Cot Gelumpang 10 11 21 1 1 2 9.5 1 1 4.8 0 0.0 2 2 9.5 52 50 102 1 1 2 2.0 1
17 Dama Tutong 8 14 22 2 2 9.1 2 2 9.1 0 0.0 1 1 4.5 63 71 134 5 4 9 6.7
18 Kemuning 9 6 15 0 0.0 0 0.0 0 0.0 3 1 4 26.7 33 24 57 2 2 4 7.0 1

19 K e u d e 7 7 14 1 1 7.1 1 1 2 14.3 0 0.0 1 1 7.1 35 42 77 6 6 7.8

/
MIN
20 Kw.Bugak 7 8 15 3 3 20.0 1 1 6.7 0 0.0 1 1 2 13.3 30 41 71 1 1 2 2.8 1
21 Kw.Leuge 8 15 23 1 1 4.3 0 0.0 0 0.0 1 1 4.3 60 73 133 1 3 4 3.0 1
22 Leuge 13 15 28 1 1 2 7.1 1 1 3.6 0 0.0 1 1 2 7.1 63 62 125 6 5 11 8.8 2
23 Lhok Dalam (T) 12 6 18 5 1 6 33.3 5 1 6 33.3 0 0.0 1 1 5.6 78 83 161 4 3 7 4.3 3
Lhok Dalam (M) 27 20 47 0 0.0 0 0.0 0 0.0 1 1 2.1 146 109 255 3 3 6 2.4
24 Lbk.Pempeng 15 21 36 1 1 2 5.6 1 1 2 5.6 0 0.0 1 1 2.8 74 102 176 3 2 5 2.8 1
25 Mtg.Gleum 10 2 12 0 0.0 0 0.0 0 0.0 0 0.0 39 34 73 4 4 5.5
26 Matang Plawi 7 8 15 0 0.0 0 0.0 0 0.0 1 1 2 13.3 59 64 123 4 3 7 5.7
27 Pasir Putih 13 19 32 1 1 3.1 1 1 3.1 0 0.0 3 1 4 12.5 51 73 124 3 5 8 6.5 1
Pasir Putih Krung 11 18 29 1 1 2 6.9 1 3 4 13.8 0 0.0 2 1 3 10.3 60 75 135 2 2 4 3.0
28 Paya Lipah 19 16 35 3 1 4 11.4 1 1 2.9 0 0.0 3 3 8.6 132 103 235 8 4 12 5.1 2
29 P u n t i 11 12 23 1 1 4.3 1 1 4.3 0 0.0 2 2 8.7 42 45 87 3 3 6 6.9
30 Paya Kalui 3 6 9 1 1 2 22.2 1 1 2 22.2 0 0.0 0 0.0 15 19 34 1 2 3 8.8 1
31 Paya Meligo 10 16 26 3 3 11.5 3 2 5 19.2 0 0.0 1 3 4 15.4 68 55 123 4 1 5 4.1 1
32 Smt.Muda Itam 8 10 18 0 0.0 0 0.0 0 0.0 0 0.0 36 31 67 4 1 5 7.5
33 Snb.Aceh 25 13 38 3 3 7.9 3 3 7.9 0 0.0 1 1 2 5.3 62 56 118 4 4 8 6.8
34 Snb.Peusangan 26 18 44 1 1 2.3 1 1 2.3 0 0.0 2 2 4 9.1 101 84 185 9 10 19 10.3 1
35 Snb.Pidie 21 41 62 1 1 1.6 1 1 1.6 0 0.0 1 2 3 4.8 105 148 253 6 10 16 6.3 1
36 Tanah Rata 4 4 8 0 0.0 1 1 12.5 0 0.0 0 0.0 25 35 60 0 0.0 1
37 Tualang 12 7 19 1 1 2 10.5 1 2 3 15.8 0 0.0 2 2 10.5 63 57 120 2 6 8 6.7
38 Uteun Dama 12 12 24 3 3 12.5 2 2 8.3 0 0.0 2 2 8.3 50 46 96 4 4 8 8.3 1

Puskesmas 519 516 1035 44 20 64 6.2 35 27 62 6.0 0 0 0 0.0 44 35 79 7.6 2496 2523 5019 130 136 266 5.3 26 0 0
Mengetahui: Peureulak 31 Mai 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : JUNI 2015

( 0 - 11 ) BULAN
MIN
1 2 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 30 31 32 33 34 35 36
1 Alue II Py Gajah 3 3 6 0 0.0 0 0.0 0 0.0 0 0.0 22 25 47 0 0.0
2 Alue Nibong 15 13 28 2 2 7.1 2 2 7.1 0 0.0 3 3 10.7 98 67 165 4 5 9 5.5
3 Alue Rambong 18 12 30 2 2 6.7 2 2 6.7 0 0.0 1 1 3.3 110 115 225 4 3 7 3.1 1
4 Bale Buya 5 8 13 0 0.0 0 0.0 0 0.0 0 0.0 32 41 73 7 5 12 16.4 2
5 Bandrong 16 10 26 4 2 6 23.1 2 2 4 15.4 0 0.0 1 1 3.8 61 51 112 7 6 13 11.6
6 Bangka Rimung 12 9 21 2 2 4 19.0 2 1 3 14.3 0 0.0 0 0.0 52 36 88 5 5 10 11.4
7 Beusa Meurano 19 22 41 4 1 5 12.2 4 4 9.8 0 0.0 1 1 2 4.9 78 90 168 8 6 14 8.3
8 Blang Balok 25 18 43 2 2 4.7 2 2 4.7 1 1 2.3 1 4 5 11.6 98 80 178 4 4 8 4.5
9 Blang Bitra 5 9 14 0 0.0 0 0.0 0 0.0 1 1 7.1 36 28 64 3 2 5 7.8
10 Buket Pala 17 17 34 1 3 4 11.8 1 3 4 11.8 0 0.0 0 0.0 81 79 160 0 0.0
11 Blang Simpo 9 12 21 3 1 4 19.0 3 1 4 19.0 0 0.0 2 1 3 14.3 44 47 91 5 5 10 11.0 1
12 Blang Bate 18 22 40 2 2 5.0 3 3 7.5 0 0.0 2 2 5.0 72 84 156 7 7 14 9.0 1
13 Cot Muda Itam 13 5 18 1 1 5.6 1 1 5.6 0 0.0 2 2 11.1 30 25 55 2 3 5 9.1
14 Cek Embon 24 19 43 2 1 3 7.0 2 1 3 7.0 0 0.0 4 4 9.3 96 115 211 3 4 7 3.3 1
15 Cot Keh 12 12 24 1 1 4.2 0 0.0 0 0.0 2 2 8.3 44 58 102 4 3 7 6.9 1
16 Cot Gelumpang 10 11 21 2 2 9.5 2 2 9.5 0 0.0 1 1 2 9.5 52 50 102 1 1 2 2.0 1

17 Dama Tutong 8 14 22 1 1 4.5 1 1 4.5 0 0.0 1 1 4.5 63 71 134 5 4 9 6.7
18 Kemuning 9 6 15 0 0.0 0 0.0 0 0.0 1 1 6.7 33 24 57 3 3 6 10.5 1
19 K e u d e 7 7 14 1 1 7.1 1 1 7.1 0 0.0 1 1 7.1 35 42 77 8 8 10.4

/
MIN
20 Kw.Bugak 7 8 15 0 0.0 2 2 13.3 0 0.0 0 0.0 30 41 71 3 2 5 7.0 1
21 Kw.Leuge 8 15 23 0 0.0 0 0.0 0 0.0 3 3 13.0 60 73 133 2 4 6 4.5 1
22 Leuge 13 15 28 2 2 7.1 2 1 3 10.7 0 0.0 1 1 3.6 63 62 125 4 4 8 6.4 2
23 Lhok Dalam (T) 12 6 18 2 1 3 16.7 2 1 3 16.7 0 0.0 2 2 11.1 78 83 161 4 1 5 3.1 3
Lhok Dalam (M) 27 20 47 2 2 4.3 2 2 4.3 0 0.0 2 2 4 8.5 146 109 255 5 3 8 3.1
24 Lbk.Pempeng 15 21 36 1 1 2.8 0 0.0 0 0.0 1 3 4 11.1 74 102 176 3 1 4 2.3 1
25 Mtg.Gleum 10 2 12 2 2 16.7 2 2 16.7 0 0.0 1 1 8.3 39 34 73 1 1 1.4
26 Matang Plawi 7 8 15 2 1 3 20.0 2 1 3 20.0 0 0.0 2 2 13.3 59 64 123 4 3 7 5.7
27 Pasir Putih 13 19 32 3 3 9.4 3 3 9.4 0 0.0 0 0.0 51 73 124 2 7 9 7.3 1
Pasir Putih Krung 11 18 29 2 2 4 13.8 2 1 3 10.3 0 0.0 1 1 3.4 60 75 135 3 1 4 3.0
28 Paya Lipah 19 16 35 3 2 5 14.3 4 3 7 20.0 0 0.0 2 2 5.7 132 103 235 7 8 15 6.4 2
29 P u n t i 11 12 23 2 2 8.7 1 1 4.3 0 0.0 1 1 4.3 42 45 87 3 3 6 6.9
30 Paya Kalui 3 6 9 1 1 11.1 1 1 11.1 0 0.0 2 2 22.2 15 19 34 1 2 3 8.8 1
31 Paya Meligo 10 16 26 1 1 3.8 1 1 3.8 0 0.0 1 2 3 11.5 68 55 123 3 2 5 4.1 1
32 Smt.Muda Itam 8 10 18 3 3 16.7 3 3 16.7 0 0.0 1 1 5.6 36 31 67 1 4 5 7.5
33 Snb.Aceh 25 13 38 2 1 3 7.9 1 1 2 5.3 0 0.0 2 2 5.3 62 56 118 0 0.0
34 Snb.Peusangan 26 18 44 0 0.0 0 0.0 0 0.0 1 2 3 6.8 101 84 185 8 3 11 5.9 1
35 Snb.Pidie 21 41 62 2 1 3 4.8 2 1 3 4.8 1 1 1.6 2 2 3.2 105 148 253 10 12 22 8.7 1
36 Tanah Rata 4 4 8 1 1 12.5 0 0.0 0 0.0 1 1 12.5 25 35 60 0 0.0 1

37 Tualang 12 7 19 0 0.0 0 0.0 0 0.0 1 1 5.3 63 57 120 6 3 9 7.5
38 Uteun Dama 12 12 24 1 1 4.2 1 1 4.2 0 0.0 1 1 4.2 50 46 96 5 3 8 8.3 1
Puskesmas 519 516 1035 54 26 80 7.7 53 23 76 7.3 1 1 2 0.2 33 35 68 6.6 2496 2523 5019 154 133 287 5.7 26 0 0
Mengetahui: Peureulak 31 Mai 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001

BULAN : JULI 2015

KN I KN LENGKAP KESEHATAN SISWA KESEHATAN PEDULI REMAJA KEKERASAN TERHADAP ANAK
( 0 - 11 ) BULAN SD
MIN
1 2 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 30 31 32 33 34 35 36
1 Alue II Py Gajah 3 3 6 2 2 33.3 0 0.0 0 0.0 0 0.0 22 25 47 0 0.0
2 Alue Nibong 15 13 28 1 1 3.6 1 1 2 7.1 0 0.0 1 1 2 7.1 98 67 165 5 4 9 5.5
3 Alue Rambong 18 12 30 3 3 10.0 3 3 10.0 0 0.0 1 1 2 6.7 110 115 225 3 3 1.3 1
4 Bale Buya 5 8 13 1 1 2 15.4 0 0.0 0 0.0 0 0.0 32 41 73 6 5 11 15.1 2
5 Bandrong 16 10 26 0 0.0 3 3 11.5 0 0.0 0 0.0 61 51 112 5 6 11 9.8
6 Bangka Rimung 12 9 21 1 1 4.8 1 1 4.8 0 0.0 2 1 3 14.3 52 36 88 4 4 8 9.1
7 Beusa Meurano 19 22 41 1 1 2.4 1 1 2 4.9 0 0.0 2 1 3 7.3 78 90 168 8 6 14 8.3
8 Blang Balok 25 18 43 2 1 3 7.0 2 1 3 7.0 0 0.0 2 3 5 11.6 98 80 178 5 1 6 3.4
9 Blang Bitra 5 9 14 0 0.0 0 0.0 0 0.0 2 2 14.3 36 28 64 2 1 3 4.7
10 Buket Pala 17 17 34 2 2 5.9 2 2 5.9 0 0.0 1 1 2.9 81 79 160 18 15 33 20.6
11 Blang Simpo 9 12 21 0 0.0 0 0.0 0 0.0 2 2 9.5 44 47 91 3 4 7 7.7 1
12 Blang Bate 18 22 40 3 2 5 12.5 3 2 5 12.5 1 1 2.5 2 2 5.0 72 84 156 9 7 16 10.3 1
13 Cot Muda Itam 13 5 18 1 1 2 11.1 1 1 2 11.1 0 0.0 1 2 3 16.7 30 25 55 2 2 3.6
14 Cek Embon 24 19 43 2 2 4 9.3 2 2 4 9.3 0 0.0 1 2 3 7.0 96 115 211 6 6 2.8 1

15 Cot Keh 12 12 24 1 1 4.2 1 1 4.2 0 0.0 1 1 2 8.3 44 58 102 3 4 7 6.9 1
16 Cot Gelumpang 10 11 21 0 0.0 0 0.0 0 0.0 0 0.0 52 50 102 0 0.0 1
17 Dama Tutong 8 14 22 1 1 2 9.1 2 1 3 13.6 0 0.0 3 3 13.6 63 71 134 0 0.0
18 Kemuning 9 6 15 1 1 6.7 1 1 6.7 0 0.0 0 0.0 33 24 57 4 2 6 10.5 1
19 K e u d e 7 7 14 0 0.0 0 0.0 0 0.0 1 1 7.1 35 42 77 2 2 2.6

/
MIN
20 Kw.Bugak 7 8 15 1 1 6.7 1 1 6.7 0 0.0 1 1 6.7 30 41 71 1 3 4 5.6 1
21 Kw.Leuge 8 15 23 2 2 4 17.4 2 2 4 17.4 0 0.0 1 1 2 8.7 60 73 133 2 4 6 4.5 1
22 Leuge 13 15 28 5 1 6 21.4 5 1 6 21.4 0 0.0 4 4 14.3 63 62 125 2 4 6 4.8 2
23 Lhok Dalam (T) 12 6 18 0 0.0 0 0.0 0 0.0 1 1 5.6 78 83 161 0 0.0 3
Lhok Dalam (M) 27 20 47 1 1 2 4.3 1 1 2 4.3 0 0.0 1 2 3 6.4 146 109 255 3 4 7 2.7
24 Lbk.Pempeng 15 21 36 0 0.0 1 1 2.8 0 0.0 1 2 3 8.3 74 102 176 3 3 1.7 1
25 Mtg.Gleum 10 2 12 1 1 8.3 1 1 8.3 0 0.0 1 1 8.3 39 34 73 3 1 4 5.5
26 Matang Plawi 7 8 15 0 0.0 2 2 13.3 0 0.0 5 5 33.3 59 64 123 4 5 9 7.3
27 Pasir Putih 13 19 32 0 0.0 0 0.0 0 0.0 0 0.0 51 73 124 1 3 4 3.2 1
Pasir Putih Krung 11 18 29 4 2 6 20.7 4 2 6 20.7 0 0.0 0 0.0 60 75 135 2 2 4 3.0
28 Paya Lipah 19 16 35 3 3 6 17.1 2 3 5 14.3 0 0.0 4 1 5 14.3 132 103 235 8 7 15 6.4 2
29 P u n t i 11 12 23 1 1 4.3 1 1 2 8.7 0 0.0 0 0.0 42 45 87 3 3 6 6.9
30 Paya Kalui 3 6 9 0 0.0 1 1 11.1 0 0.0 0 0.0 15 19 34 1 1 2 5.9 1
31 Paya Meligo 10 16 26 3 3 6 23.1 3 2 5 19.2 0 0.0 2 2 7.7 68 55 123 3 2 5 4.1 1
32 Smt.Muda Itam 8 10 18 1 1 5.6 1 1 5.6 0 0.0 2 2 11.1 36 31 67 2 2 4 6.0
33 Snb.Aceh 25 13 38 5 2 7 18.4 6 2 8 21.1 0 0.0 2 1 3 7.9 62 56 118 4 2 6 5.1
34 Snb.Peusangan 26 18 44 3 2 5 11.4 3 2 5 11.4 0 0.0 3 3 6.8 101 84 185 4 7 11 5.9 1

35 Snb.Pidie 21 41 62 5 2 7 11.3 5 2 7 11.3 0 0.0 3 2 5 8.1 105 148 253 18 14 32 12.6 1
36 Tanah Rata 4 4 8 1 1 12.5 2 2 25.0 0 0.0 1 1 2 25.0 25 35 60 0 0.0 1
37 Tualang 12 7 19 1 3 4 21.1 1 3 4 21.1 0 0.0 2 2 10.5 63 57 120 8 9 17 14.2
38 Uteun Dama 12 12 24 1 1 4.2 1 1 4.2 0 0.0 1 1 4.2 50 46 96 3 5 8 8.3 1
Puskesmas 519 516 1035 49 40 89 8.6 56 40 96 9.3 0 1 1 0.1 47 32 79 7.6 2496 2523 5019 147 150 297 5.9 26 0 0
Mengetahui: Peureulak 31 Juli 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001


MIN
1 2 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 30 31 32 33 34 35 36
1 Alue II Py Gajah 3 3 6 0 0.0 0 0.0 0 0.0 0 0.0 22 25 47 0 0.0
2 Alue Nibong 15 13 28 1 7 8 28.6 1 5 6 21.4 1 1 3.6 4 2 6 21.4 98 67 165 8 8 16 9.7
3 Alue Rambong 18 12 30 1 1 3.3 1 1 3.3 0 0.0 1 1 3.3 110 115 225 4 1 5 2.2 1
4 Bale Buya 5 8 13 0 0.0 1 1 2 15.4 0 0.0 0 0.0 32 41 73 5 6 11 15.1 2
5 Bandrong 16 10 26 1 1 2 7.7 1 1 2 7.7 0 0.0 1 1 2 7.7 61 51 112 8 4 12 10.7
6 Bangka Rimung 12 9 21 0 0.0 1 1 4.8 0 0.0 0 0.0 52 36 88 4 5 9 10.2
7 Beusa Meurano 19 22 41 1 1 2 4.9 1 1 2 4.9 0 0.0 0 0.0 78 90 168 7 8 15 8.9
8 Blang Balok 25 18 43 1 1 2 4.7 0 0.0 0 0.0 3 3 6 14.0 98 80 178 4 6 10 5.6
9 Blang Bitra 5 9 14 0 0.0 0 0.0 0 0.0 1 1 7.1 36 28 64 2 2 3.1
10 Buket Pala 17 17 34 6 6 17.6 6 6 17.6 0 0.0 2 1 3 8.8 81 79 160 13 13 26 16.3
11 Blang Simpo 9 12 21 1 1 2 9.5 1 1 2 9.5 0 0.0 1 1 4.8 44 47 91 2 3 5 5.5 1
12 Blang Bate 18 22 40 2 1 3 7.5 2 2 5.0 1 1 2.5 3 2 5 12.5 72 84 156 9 7 16 10.3 1

13 Cot Muda Itam 13 5 18 2 2 11.1 2 2 11.1 0 0.0 1 1 5.6 30 25 55 2 3 5 9.1
14 Cek Embon 24 19 43 4 4 9.3 4 4 9.3 0 0.0 4 4 9.3 96 115 211 5 6 11 5.2 1
15 Cot Keh 12 12 24 0 0.0 1 1 4.2 0 0.0 1 1 4.2 44 58 102 6 3 9 8.8 1
16 Cot Gelumpang 10 11 21 0 0.0 0 0.0 0 0.0 0 0.0 52 50 102 0 0.0 1
17 Dama Tutong 8 14 22 4 1 5 22.7 3 1 4 18.2 0 0.0 1 1 4.5 63 71 134 4 3 7 5.2
18 Kemuning 9 6 15 0 0.0 0 0.0 0 0.0 1 1 6.7 33 24 57 10 8 18 31.6 1
19 K e u d e 7 7 14 0 0.0 0 0.0 0 0.0 0 0.0 35 42 77 4 5 9 11.7

CAKUPAN PELAYANAN KESEHATAN BAYI PENJARINGAN
JUMLAH SASARAN BAYI KOMPLIKASI (12 - 29 ) BULAN BALITA JLH LAKSANA PELAYANAN TERLAKSANA KASUS
NO NAMA DESA KN I KN LENGKAP KESEHATAN SISWA KESEHATAN PEDULI REMAJA KEKERASAN TERHADAP ANAK
( 0 - 11 ) BULAN SD KELAS I SD/MIN (PKPR) (KTA)
/
MIN
20 Kw.Bugak 7 8 15 1 1 6.7 0 0.0 0 0.0 1 1 1.0 30 41 71 4 6 10 14.1 1
21 Kw.Leuge 8 15 23 3 3 13.0 3 3 13.0 0 0.0 0 0.0 60 73 133 0 0.0 1
22 Leuge 13 15 28 0 0.0 0 0.0 0 0.0 0 0.0 63 62 125 4 2 6 4.8 2
23 Lhok Dalam (T) 12 6 18 1 1 2 11.1 1 1 2 11.1 0 0.0 1 1 2 11.1 78 83 161 4 4 8 5.0 3
Lhok Dalam (M) 27 20 47 1 1 2 4.3 1 1 2 4.3 0 0.0 1 1 2.1 146 109 255 2 5 7 2.7
24 Lbk.Pempeng 15 21 36 4 4 11.1 4 4 11.1 0 0.0 1 1 2 5.6 74 102 176 3 1 4 2.3 1
25 Mtg.Gleum 10 2 12 1 1 8.3 1 1 8.3 0 0.0 1 1 8.3 39 34 73 1 2 3 4.1
26 Matang Plawi 7 8 15 1 1 2 13.3 1 1 2 13.3 0 0.0 2 2 13.3 59 64 123 3 3 6 4.9
27 Pasir Putih 13 19 32 3 3 9.4 2 2 6.3 0 0.0 1 1 2 6.3 51 73 124 4 5 9 7.3 1
Pasir Putih Krung 11 18 29 0 0.0 0 0.0 0 0.0 1 1 2 6.9 60 75 135 2 1 3 2.2
28 Paya Lipah 19 16 35 1 3 4 11.4 1 3 4 11.4 0 0.0 1 3 4 11.4 132 103 235 6 4 10 4.3 2
29 P u n t i 11 12 23 0 0.0 0 0.0 0 0.0 1 1 4.3 42 45 87 5 3 8 9.2
30 Paya Kalui 3 6 9 1 1 11.1 0 0.0 0 0.0 1 1 11.1 15 19 34 3 3 8.8 1
31 Paya Meligo 10 16 26 0 0.0 1 1 3.8 0 0.0 2 2 7.7 68 55 123 3 7 10 8.1 1
32 Smt.Muda Itam 8 10 18 0 0.0 0 0.0 0 0.0 0 0.0 36 31 67 1 2 3 4.5

33 Snb.Aceh 25 13 38 4 2 6 15.8 3 1 4 10.5 0 0.0 1 1 2.6 62 56 118 3 8 11 9.3
34 Snb.Peusangan 26 18 44 1 4 5 11.4 1 4 5 11.4 0 0.0 1 1 2 4.5 101 84 185 8 5 13 7.0 1
35 Snb.Pidie 21 41 62 2 1 3 4.8 1 1 2 3.2 0 0.0 2 2 3.2 105 148 253 14 13 27 10.7 1
36 Tanah Rata 4 4 8 0 0.0 0 0.0 0 0.0 0 0.0 25 35 60 0 0.0 1
37 Tualang 12 7 19 1 1 2 10.5 2 4 6 31.6 0 0.0 2 1 3 15.8 63 57 120 8 7 15 12.5
38 Uteun Dama 12 12 24 1 1 4.2 1 1 4.2 0 0.0 0 0.0 50 46 96 6 4 10 10.4 1
Puskesmas 519 516 1035 43 34 77 7.4 41 33 74 7.1 1 1 2 0.2 39 23 62 6.0 2496 2523 5019 181 171 352 7.0 26 0 0
Mengetahui: Peureulak 31 Juli 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001


NO NAMA DESA KOMPLIKASI (12 - 29 ) BULAN BALITA LAKSANA PELAYANAN TERLAKSANA KASUS
( 0 - 11 ) BULAN
MIN
1 2 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 30 31 32 33 34 35 36
1 Alue II Py Gajah 3 3 6 0 0.0 0 0.0 0 0.0 0 0.0 22 25 47 0 0.0
2 Alue Nibong 15 13 28 2 2 4 14.3 2 2 4 14.3 0 0.0 2 4 6 21.4 98 67 165 8 8 16 9.7
3 Alue Rambong 18 12 30 1 1 3.3 1 1 3.3 0 0.0 1 1 3.3 110 115 225 1 2 3 1.3 1
4 Bale Buya 5 8 13 2 2 15.4 2 2 15.4 0 0.0 0 0.0 32 41 73 5 6 11 15.1 2
5 Bandrong 16 10 26 1 1 2 7.7 1 1 2 7.7 0 0.0 1 1 3.8 61 51 112 3 5 8 7.1
6 Bangka Rimung 12 9 21 2 2 9.5 0 0.0 0 0.0 0 0.0 52 36 88 4 4 8 9.1
7 Beusa Meurano 19 22 41 4 2 6 14.6 3 2 5 12.2 1 1 2.4 0 0.0 78 90 168 9 7 16 9.5
8 Blang Balok 25 18 43 1 1 2 4.7 2 2 4 9.3 0 0.0 3 3 6 14.0 98 80 178 5 4 9 5.1
9 Blang Bitra 5 9 14 3 3 21.4 3 3 21.4 0 0.0 1 1 7.1 36 28 64 2 2 3.1
10 Buket Pala 17 17 34 3 1 4 11.8 3 1 4 11.8 0 0.0 2 1 3 8.8 81 79 160 13 17 30 18.8

11 Blang Simpo 9 12 21 2 2 9.5 2 2 9.5 0 0.0 1 1 4.8 44 47 91 3 3 3.3 1
12 Blang Bate 18 22 40 2 2 5.0 1 1 2 5.0 0 0.0 3 2 5 12.5 72 84 156 9 10 19 12.2 1
13 Cot Muda Itam 13 5 18 1 1 5.6 1 1 5.6 0 0.0 1 1 5.6 30 25 55 1 1 1.8
14 Cek Embon 24 19 43 2 1 3 7.0 2 1 3 7.0 0 0.0 4 4 9.3 96 115 211 5 10 15 7.1 1
15 Cot Keh 12 12 24 1 1 2 8.3 1 1 2 8.3 0 0.0 1 1 4.2 44 58 102 6 2 8 7.8 1
16 Cot Gelumpang 10 11 21 0 0.0 0 0.0 0 0.0 0 0.0 52 50 102 0 0.0 1
17 Dama Tutong 8 14 22 1 2 3 13.6 2 2 4 18.2 0 0.0 1 1 4.5 63 71 134 3 5 8 6.0
18 Kemuning 9 6 15 1 2 3 20.0 1 2 3 20.0 0 0.0 1 1 6.7 33 24 57 5 7 12 21.1 1
19 K e u d e 7 7 14 0 0.0 0 0.0 0 0.0 0 0.0 35 42 77 1 5 6 7.8

JUMLAH SASARAN BAYI KOMPLIKASI (12 - 29 ) BULAN BALITA JLH LAKSANA PELAYANAN TERLAKSANA KASUS
NO NAMA DESA KN I KN LENGKAP KESEHATAN SISWA KESEHATAN PEDULI REMAJA KEKERASAN TERHADAP ANAK
( 0 - 11 ) BULAN SD KELAS I SD/MIN (PKPR) (KTA)
/
MIN
20 Kw.Bugak 7 8 15 1 1 6.7 1 1 2 13.3 0 0.0 1 1 1.0 30 41 71 3 4 7 9.9 1
21 Kw.Leuge 8 15 23 0 0.0 0 0.0 0 0.0 0 0.0 60 73 133 0 0.0 1
22 Leuge 13 15 28 1 1 3.6 1 1 3.6 0 0.0 0 0.0 63 62 125 4 2 6 4.8 2
23 Lhok Dalam (T) 12 6 18 2 2 11.1 2 2 11.1 0 0.0 1 1 2 11.1 78 83 161 4 5 9 5.6 3
Lhok Dalam (M) 27 20 47 2 1 3 6.4 2 2 4.3 0 0.0 2 2 4.3 146 109 255 2 4 6 2.4
24 Lbk.Pempeng 15 21 36 1 1 2.8 1 1 2.8 0 0.0 1 2 3 8.3 74 102 176 3 1 4 2.3 1
25 Mtg.Gleum 10 2 12 2 1 3 25.0 2 1 3 25.0 0 0.0 1 1 8.3 39 34 73 3 2 5 6.8
26 Matang Plawi 7 8 15 1 1 2 13.3 1 1 2 13.3 0 0.0 1 1 6.7 59 64 123 4 4 8 6.5
27 Pasir Putih 13 19 32 1 1 3.1 1 1 3.1 0 0.0 1 1 2 6.3 51 73 124 3 5 8 6.5 1
Pasir Putih Krung 11 18 29 1 1 3.4 1 1 3.4 0 0.0 1 1 2 6.9 60 75 135 2 2 4 3.0
28 Paya Lipah 19 16 35 1 1 2.9 1 1 2.9 0 0.0 1 1 2.9 132 103 235 6 7 13 5.5 2
29 P u n t i 11 12 23 0 0.0 0 0.0 0 0.0 1 1 4.3 42 45 87 5 1 6 6.9
30 Paya Kalui 3 6 9 1 1 11.1 1 1 11.1 0 0.0 1 1 11.1 15 19 34 2 2 4 11.8 1

31 Paya Meligo 10 16 26 2 2 4 15.4 2 1 3 11.5 0 0.0 2 2 7.7 68 55 123 9 5 14 11.4 1
32 Smt.Muda Itam 8 10 18 2 2 11.1 2 2 11.1 0 0.0 0 0.0 36 31 67 1 1 2 3.0
33 Snb.Aceh 25 13 38 2 4 6 15.8 1 4 5 13.2 2 2 5.3 1 1 2.6 62 56 118 3 4 7 5.9
34 Snb.Peusangan 26 18 44 1 2 3 6.8 1 2 3 6.8 0 0.0 1 1 2 4.5 101 84 185 8 8 16 8.6 1
35 Snb.Pidie 21 41 62 2 1 3 4.8 2 2 3.2 0 0.0 2 2 3.2 105 148 253 11 13 24 9.5 1
36 Tanah Rata 4 4 8 1 1 2 25.0 1 1 2 25.0 0 0.0 1 1 12.5 25 35 60 0 0.0 1
37 Tualang 12 7 19 2 2 4 21.1 2 1 3 15.8 0 0.0 0 0.0 63 57 120 0 0.0
38 Uteun Dama 12 12 24 0 0.0 0 0.0 0 0.0 0 0.0 50 46 96 6 4 10 10.4 1
Puskesmas 519 516 1035 48 35 83 8.0 45 34 79 7.6 1 2 3 0.3 35 22 57 5.5 2496 2523 5019 161 167 328 6.5 26 0 0
Mengetahui: Peureulak 30 September 2015

Peureulak
(Muhammad Jamil,SE)
SP.No.824.3/147.TGL/1 Sept 2014 NIP:19670105 199012 2 001


MIN
1 2 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 30 31 32 33 34 35 36
1 Alue II Py Gajah 3 3 6 0 0.0 0 0.0 0 0.0 0 0.0 22 22 44 0 0.0
2 Alue Nibong 18 12 30 2 5 7 23.3 2 5 7 23.3 0 0.0 0 0.0 99 61 160 0 0.0
3 Alue Rambong 8 6 14 1 1 7.1 1 1 7.1 0 0.0 1 1 7.1 50 61 111 4 4 3.6 1
4 Bale Buya 9 5 14 0 0.0 0 0.0 0 0.0 0 0.0 36 30 66 7 5 12 18.2 2
5 Bandrong 13 7 20 1 1 2 10.0 1 1 5.0 1 1 5.0 0 0.0 54 32 86 2 1 3 3.5
6 Bangka Rimung 18 17 35 2 2 5.7 1 1 2.9 0 0.0 1 1 2.9 36 24 60 3 6 9 15.0
7 Beusa Meurano 17 14 31 0 0.0 1 1 3.2 0 0.0 2 3 5 16.1 73 63 136 9 7 16 11.8
8 Blang Balok 14 10 24 1 1 4.2 1 1 4.2 0 0.0 2 2 8.3 66 54 120 7 3 10 8.3

9 Blang Bitra 8 9 17 1 1 2 11.8 1 1 2 11.8 0 0.0 1 1 5.9 47 23 70 4 4 5.7
10 Buket Pala 24 17 41 1 1 2.4 1 1 2.4 0 0.0 2 3 5 12.2 74 47 121 13 10 23 19.0
11 Blang Simpo 8 10 18 1 1 2 11.1 1 1 2 11.1 0 0.0 3 3 16.7 41 32 73 2 2 4 5.5 1
12 Blang Bate 10 15 25 1 5 6 24.0 2 4 6 24.0 0 0.0 3 3 12.0 79 53 132 11 11 22 16.7 1
13 Cot Muda Itam 7 4 11 0 0.0 0 0.0 0 0.0 1 1 2 18.2 36 22 58 2 1 3 5.2
14 Cek Embon 14 20 34 2 1 3 8.8 2 1 3 8.8 0 0.0 4 1 5 14.7 79 78 157 3 4 7 4.5 1
15 Cot Keh PSP 10 8 18 1 2 3 16.7 1 2 3 16.7 0 0.0 1 1 2 11.1 56 42 98 6 3 9 9.2 1
16 Cot Gelumpang 11 16 27 0 0.0 0 0.0 0 0.0 0 0.0 42 36 78 0 0.0 1
17 Dama Tutong 14 14 28 0 0.0 0 0.0 0 0.0 1 1 3.6 61 48 109 5 4 9 8.3
18 Kemuning 5 11 16 0 0.0 0 0.0 0 0.0 1 2 3 18.8 30 22 52 4 2 6 11.5 1
19 K e u d e 4 4 8 2 2 25.0 2 2 25.0 0 0.0 1 1 12.5 43 34 77 1 6 7 9.1

/
MIN
20 Kw.Bugak 6 7 13 1 1 7.7 1 1 7.7 0 0.0 1 1 7.7 26 27 53 1 1 1.9 1
21 Kw.Leuge 16 11 27 0 0.0 0 0.0 0 0.0 1 1 2 7.4 30 48 78 3 2 5 6.4 1
22 Leuge 24 12 36 1 2 3 8.3 1 2 3 8.3 0 0.0 6 2 8 22.2 51 54 105 2 4 6 5.7 2
23 Lhok Dalam (T) 25 25 50 2 2 4.0 2 2 4.0 0 0.0 1 1 2.0 75 69 144 4 3 7 4.9 3
Lhok Dalam (M) 27 29 56 2 2 3.6 2 2 3.6 0 0.0 1 1 1.8 120 109 229 0 0.0
24 Lbk.Pempeng 25 25 50 1 1 2.0 1 1 2.0 0 0.0 2 1 3 6.0 75 69 144 2 1 3 2.1 1
25 Mtg.Gleum 5 9 14 1 1 7.1 1 1 7.1 0 0.0 1 1 7.1 35 33 68 2 1 3 4.4
26 Matang Plawi 12 14 26 1 1 3.8 1 1 3.8 0 0.0 2 2 7.7 71 46 117 3 6 9 7.7
27 Pasir Putih 9 11 20 4 4 20.0 1 2 3 15.0 0 0.0 1 1 5.0 34 43 77 3 5 8 10.4 1
Pasir Putih Krung 13 9 22 1 1 2 9.1 1 1 4.5 0 0.0 1 1 2 9.1 49 44 93 2 3 5 5.4
28 Paya Lipah 18 14 32 1 1 2 6.3 1 1 2 6.3 1 1 3.1 0 0.0 99 83 182 6 5 11 6.0 2

29 P u n t i 12 9 21 1 1 4.8 1 1 4.8 0 0.0 1 1 4.8 31 34 65 2 4 6 9.2
30 Paya Kalui 5 4 9 2 2 22.2 3 3 33.3 0 0.0 1 1 11.1 14 14 28 0 0.0 1
31 Paya Meligo 14 9 23 2 2 8.7 1 1 2 8.7 0 0.0 1 2 3 13.0 55 42 97 4 2 6 6.2 1
32 Smt.Muda Itam 5 7 12 2 2 16.7 2 2 16.7 1 1 8.3 0 0.0 40 46 86 4 2 6 7.0
33 Snb.Aceh 18 15 33 2 2 6.1 1 1 3.0 0 0.0 2 2 6.1 84 84 168 0 0.0
34 Snb.Peusangan 25 15 40 2 1 3 7.5 2 1 3 7.5 0 0.0 1 3 4 10.0 73 63 136 8 6 14 10.3 1
35 Snb.Pidie 23 29 52 2 2 3.8 2 2 3.8 0 0.0 2 1 3 5.8 68 72 140 15 16 31 22.1 1
36 Tanah Rata 13 22 35 1 1 2 5.7 1 1 2 5.7 0 0.0 0 0.0 24 33 57 7 6 13 22.8 1
37 Tualang 11 18 29 3 2 5 17.2 3 2 5 17.2 0 0.0 1 1 2 6.9 68 81 149 0 0.0
38 Uteun Dama 15 15 30 2 1 3 10.0 2 1 3 10.0 0 0.0 1 1 2 6.7 35 31 66 5 5 10 15.2 1
Puskesmas 536 511 1047 37 38 75 7.2 38 34 72 6.9 1 2 3 0.3 42 33 75 7.2 2181 1909 4090 155 137 292 7.1 26 0 0
Mengetahui: Peureulak 31 Oktober 2014

Ka.TU.UPT.Pelayanan Kesehatan Masyarakat Pengelola Program KIA
Peureulak
( MUHAMMAD JAMIL,SE ) ( MUANNAS Amd.Keb)

NIP:19671231 198803 1 345 NIP:19670105 199012 2 001


( 0 - 11 ) BULAN
MIN
1 2 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 30 31 32 33 34 35 36
1 Alue II Py Gajah 3 3 6 0 0.0 0 0.0 0 0.0 0 0.0 22 22 44 0 0.0
2 Alue Nibong 18 12 30 4 4 13.3 4 4 13.3 1 1 3.3 3 1 4 13.3 99 61 160 11 8 19 11.9
3 Alue Rambong 8 6 14 0 0.0 0 0.0 0 0.0 1 1 2 14.3 50 61 111 1 1 2 1.8 1
4 Bale Buya 9 5 14 1 1 7.1 1 1 7.1 0 0.0 1 1 2 14.3 36 30 66 8 8 16 24.2 2
5 Bandrong 13 7 20 1 1 5.0 1 1 5.0 0 0.0 0 0.0 54 32 86 1 2 3 3.5
6 Bangka Rimung 18 17 35 1 2 3 8.6 2 2 4 11.4 0 0.0 2 2 5.7 36 24 60 6 3 9 15.0

7 Beusa Meurano 17 14 31 1 1 2 6.5 1 1 2 6.5 0 0.0 4 1 5 16.1 73 63 136 10 5 15 11.0
8 Blang Balok 14 10 24 5 5 20.8 5 5 20.8 0 0.0 2 2 8.3 66 54 120 4 4 8 6.7
9 Blang Bitra 8 9 17 2 2 11.8 0 0.0 0 0.0 0 0.0 47 23 70 6 6 8.6
10 Buket Pala 24 17 41 1 2 3 7.3 1 2 3 7.3 0 0.0 2 3 5 12.2 74 47 121 10 11 21 17.4
11 Blang Simpo 8 10 18 1 1 5.6 1 1 5.6 0 0.0 1 1 5.6 41 32 73 0 0.0 1
12 Blang Bate 10 15 25 1 2 3 12.0 2 3 5 20.0 0 0.0 2 1 3 12.0 79 53 132 7 7 14 10.6 1
13 Cot Muda Itam 7 4 11 0 0.0 0 0.0 0 0.0 0 0.0 36 22 58 4 1 5 8.6
14 Cek Embon 14 20 34 5 5 14.7 5 5 14.7 0 0.0 1 1 2.9 79 78 157 3 4 7 4.5 1
15 Cot Keh PSP 10 8 18 1 1 5.6 1 1 5.6 0 0.0 1 1 2 11.1 56 42 98 4 3 7 7.1 1
16 Cot Gelumpang 11 16 27 0 0.0 0 0.0 0 0.0 0 0.0 42 36 78 0 0.0 1
17 Dama Tutong 14 14 28 3 2 5 17.9 2 2 4 14.3 0 0.0 3 3 10.7 61 48 109 2 4 6 5.5
18 Kemuning 5 11 16 0 0.0 0 0.0 0 0.0 1 1 6.3 30 22 52 3 6 9 17.3 1
19 K e u d e 4 4 8 0 0.0 0 0.0 0 0.0 1 1 12.5 43 34 77 3 3 3.9

/
MIN
20 Kw.Bugak 6 7 13 1 1 7.7 1 1 7.7 0 0.0 1 1 2 15.4 26 27 53 1 2 3 5.7 1
21 Kw.Leuge 16 11 27 1 1 3.7 1 1 3.7 0 0.0 0 0.0 30 48 78 3 4 7 9.0 1
22 Leuge 24 12 36 1 2 3 8.3 1 2 3 8.3 0 0.0 1 1 2 5.6 51 54 105 2 3 5 4.8 2
23 Lhok Dalam (T) 25 25 50 2 3 5 10.0 2 2 4 8.0 0 0.0 2 2 4.0 75 69 144 0 0.0 3
Lhok Dalam (M) 27 29 56 2 2 3.6 2 2 3.6 0 0.0 2 2 3.6 120 109 229 0 0.0
24 Lbk.Pempeng 25 25 50 1 1 2.0 1 1 2.0 0 0.0 1 2 3 6.0 75 69 144 2 3 5 3.5 1
25 Mtg.Gleum 5 9 14 2 2 14.3 2 2 14.3 0 0.0 2 2 14.3 35 33 68 2 1 3 4.4
26 Matang Plawi 12 14 26 0 0.0 0 0.0 0 0.0 1 2 3 11.5 71 46 117 6 5 11 9.4
27 Pasir Putih 9 11 20 1 2 3 15.0 1 3 4 20.0 0 0.0 1 1 5.0 34 43 77 3 6 9 11.7 1

Pasir Putih Krung 13 9 22 1 1 4.5 2 2 9.1 0 0.0 1 1 2 9.1 49 44 93 2 5 7 7.5
28 Paya Lipah 18 14 32 2 1 3 9.4 2 1 3 9.4 0 0.0 1 2 3 9.4 99 83 182 6 6 12 6.6 2
29 P u n t i 12 9 21 2 1 3 14.3 2 1 3 14.3 1 1 4.8 1 1 4.8 31 34 65 0 0.0
30 Paya Kalui 5 4 9 1 1 11.1 1 1 11.1 0 0.0 0 0.0 14 14 28 1 2 3 10.7 1
31 Paya Meligo 14 9 23 0 0.0 1 1 4.3 0 0.0 1 1 2 8.7 55 42 97 3 6 9 9.3 1
32 Smt.Muda Itam 5 7 12 1 2 3 25.0 1 2 3 25.0 0 0.0 2 2 16.7 40 46 86 4 4 8 9.3
33 Snb.Aceh 18 15 33 1 3 4 12.1 1 2 3 9.1 0 0.0 5 5 15.2 84 84 168 4 4 2.4
34 Snb.Peusangan 25 15 40 2 2 5.0 2 2 5.0 0 0.0 3 1 4 10.0 73 63 136 6 8 14 10.3 1
35 Snb.Pidie 23 29 52 1 2 3 5.8 1 2 3 5.8 0 0.0 2 4 6 11.5 68 72 140 14 16 30 21.4 1
36 Tanah Rata 13 22 35 0 0.0 0 0.0 0 0.0 1 1 2.9 24 33 57 6 10 16 28.1 1
37 Tualang 11 18 29 2 3 5 17.2 2 3 5 17.2 0 0.0 4 1 5 17.2 68 81 149 0 0.0
38 Uteun Dama 15 15 30 0 0.0 0 0.0 0 0.0 0 0.0 35 31 66 5 6 11 16.7 1
Puskesmas 536 511 1047 31 48 79 7.5 33 47 80 7.6 0 2 2 0.2 49 33 82 7.8 2181 1909 4090 146 161 307 7.5 26 0 0
Mengetahui: Peureulak 30 November 2015

Peureulak

NIP:19671231 198803 1 345 NIP:19670105 199012 2 001

BULAN DESEMBER 2015

( 0 - 11 ) BULAN
MIN
1 2 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 30 31 32 33 34 35 36
1 Alue II Py Gajah 3 3 6 0 0.0 0 0.0 0 0.0 0 0.0 22 22 44 0 0.0
2 Alue Nibong 18 12 30 3 3 10.0 3 3 10.0 0 0.0 1 1 3.3 99 61 160 7 5 12 7.5
3 Alue Rambong 8 6 14 0 0.0 0 0.0 0 0.0 0 0.0 50 61 111 0 0.0 1
4 Bale Buya 9 5 14 1 1 7.1 0 0.0 0 0.0 1 1 7.1 36 30 66 7 9 16 24.2 2

5 Bandrong 13 7 20 2 2 10.0 0 0.0 0 0.0 0 0.0 54 32 86 0 0.0
6 Bangka Rimung 18 17 35 2 2 5.7 0 0.0 0 0.0 2 2 5.7 36 24 60 3 4 7 11.7
7 Beusa Meurano 17 14 31 1 3 4 12.9 1 3 4 12.9 0 0.0 1 1 3.2 73 63 136 8 9 17 12.5
8 Blang Balok 14 10 24 1 2 3 12.5 1 2 3 12.5 0 0.0 2 2 8.3 66 54 120 5 2 7 5.8
9 Blang Bitra 8 9 17 1 1 5.9 3 3 17.6 0 0.0 1 1 5.9 47 23 70 6 6 8.6
10 Buket Pala 24 17 41 1 2 3 7.3 1 2 3 7.3 0 0.0 4 4 9.8 74 47 121 7 1 8 6.6
11 Blang Simpo 8 10 18 2 2 11.1 2 2 11.1 0 0.0 2 1 3 16.7 41 32 73 1 1 2 2.7 1
12 Blang Bate 10 15 25 1 1 2 8.0 1 1 4.0 0 0.0 4 2 6 24.0 79 53 132 5 6 11 8.3 1
13 Cot Muda Itam 7 4 11 2 2 18.2 1 1 9.1 0 0.0 1 1 9.1 36 22 58 1 1 2 3.4
14 Cek Embon 14 20 34 2 2 5.9 2 2 5.9 0 0.0 1 1 2 5.9 79 78 157 2 4 6 3.8 1
15 Cot Keh PSP 10 8 18 2 2 11.1 2 2 11.1 0 0.0 1 1 5.6 56 42 98 2 2 4 4.1 1
16 Cot Gelumpang 11 16 27 0 0.0 0 0.0 0 0.0 0 0.0 42 36 78 0 0.0 1
17 Dama Tutong 14 14 28 0 0.0 1 1 3.6 0 0.0 2 2 7.1 61 48 109 7 5 12 11.0
18 Kemuning 5 11 16 1 2 3 18.8 1 1 6.3 0 0.0 1 1 6.3 30 22 52 7 4 11 21.2 1
19 K e u d e 4 4 8 2 2 25.0 2 2 25.0 0 0.0 0 0.0 43 34 77 1 5 6 7.8

/
MIN
20 Kw.Bugak 6 7 13 1 1 7.7 1 1 7.7 0 0.0 0 0.0 26 27 53 3 3 5.7 1
21 Kw.Leuge 16 11 27 0 0.0 0 0.0 0 0.0 3 3 11.1 30 48 78 10 4 14 17.9 1
22 Leuge 24 12 36 1 1 2.8 1 1 2.8 0 0.0 1 1 2.8 51 54 105 2 2 4 3.8 2
23 Lhok Dalam (T) 25 25 50 2 1 3 6.0 1 1 2.0 2 2 4.0 3 3 6.0 75 69 144 0 0.0 3
Lhok Dalam (M) 27 29 56 2 2 3.6 2 2 3.6 0 0.0 1 1 2 3.6 120 109 229 1 6 7 3.1
24 Lbk.Pempeng 25 25 50 2 2 4.0 2 2 4.0 0 0.0 0 0.0 75 69 144 5 1 6 4.2 1
25 Mtg.Gleum 5 9 14 0 0.0 0 0.0 0 0.0 1 1 7.1 35 33 68 1 1 1.5

26 Matang Plawi 12 14 26 1 1 3.8 1 1 3.8 0 0.0 0 0.0 71 46 117 5 2 7 6.0
27 Pasir Putih 9 11 20 0 0.0 0 0.0 0 0.0 0 0.0 34 43 77 0 0.0 1
Pasir Putih Krung 13 9 22 1 1 2 9.1 1 1 2 9.1 0 0.0 0 0.0 49 44 93 3 3 6 6.5
28 Paya Lipah 18 14 32 0 0.0 0 0.0 0 0.0 2 2 4 12.5 99 83 182 7 8 15 8.2 2
29 P u n t i 12 9 21 3 3 6 28.6 3 3 6 28.6 0 0.0 0 0.0 31 34 65 4 3 7 10.8
30 Paya Kalui 5 4 9 0 0.0 0 0.0 0 0.0 0 0.0 14 14 28 4 4 14.3 1
31 Paya Meligo 14 9 23 2 2 8.7 2 2 8.7 0 0.0 1 2 3 13.0 55 42 97 3 1 4 4.1 1
32 Smt.Muda Itam 5 7 12 1 1 8.3 1 1 8.3 0 0.0 3 3 25.0 40 46 86 8 5 13 15.1
33 Snb.Aceh 18 15 33 0 0.0 0 0.0 0 0.0 2 2 6.1 84 84 168 3 1 4 2.4
34 Snb.Peusangan 25 15 40 4 4 10.0 4 4 10.0 0 0.0 2 2 5.0 73 63 136 8 7 15 11.0 1
35 Snb.Pidie 23 29 52 4 3 7 13.5 4 3 7 13.5 0 0.0 4 3 7 13.5 68 72 140 18 16 34 24.3 1
36 Tanah Rata 13 22 35 1 1 2.9 0 0.0 0 0.0 1 1 2.9 24 33 57 9 7 16 28.1 1
37 Tualang 11 18 29 1 1 3.4 1 1 3.4 0 0.0 0 0.0 68 81 149 0 0.0
38 Uteun Dama 15 15 30 0 0.0 0 0.0 0 0.0 0 0.0 35 31 66 0 0.0 1
Puskesmas 536 511 1047 35 33 68 6.5 29 30 59 5.6 2 0 2 0.2 41 19 60 5.7 2181 1909 4090 162 125 287 7.0 26 0 0
Mengetahui: Peureulak 31 Desember 2015

Peureulak

NIP:19671231 198803 1 345 NIP:19670105 199012 2 001


KN I KN LENGKAP KESEHATAN SISWA KESEHATAN PEDULI REMAJA KEKERASAN TERHADAP ANAK
( 0 - 11 ) BULAN SD
MIN
1 2 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 30 31 32 33 34 35 36
1 Alue II Py Gajah 3 3 6 0 2 2 33.3 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 22 22 44 0 0 0 0.0
2 Alue Nibong 18 12 30 12 29 41 136.7 13 27 40 133.3 0 3 3 10.0 22 14 36 120.0 99 61 160 74 68 142 88.8

3 Alue Rambong 8 6 14 6 5 11 78.6 6 5 11 78.6 0 0 0 0.0 8 4 12 85.7 50 61 111 43 46 89 80.2 1
4 Bale Buya 9 5 14 4 7 11 78.6 3 7 10 71.4 0 0 0 0.0 3 6 9 64.3 36 30 66 74 77 151 228.8 2
5 Bandrong 13 7 20 12 10 22 110.0 9 8 17 85.0 0 1 1 5.0 4 7 11 55.0 54 32 86 69 60 129 150.0
6 Bangka Rimung 18 17 35 14 5 19 54.3 10 5 15 42.9 0 0 0 0.0 10 4 14 40.0 36 24 60 65 70 135 225.0
7 Beusa Meurano 17 14 31 16 14 30 96.8 16 14 30 96.8 1 0 1 3.2 11 9 20 64.5 73 63 136 92 77 169 124.3
8 Blang Balok 14 10 24 20 13 33 137.5 20 13 33 137.5 0 1 1 4.2 21 20 41 170.8 66 54 120 57 40 97 80.8
9 Blang Bitra 8 9 17 4 7 11 64.7 4 8 12 70.6 0 0 0 0.0 4 10 14 82.4 47 23 70 32 13 45 64.3
10 Buket Pala 24 17 41 23 13 36 87.8 23 13 36 87.8 2 0 2 4.9 13 9 22 53.7 74 47 121 104 93 197 162.8
11 Blang Simpo 8 10 18 12 4 16 88.9 12 4 16 88.9 0 0 0 0.0 17 3 20 111.1 41 32 73 37 31 68 93.2 1
12 Blang Bate 10 15 25 17 17 34 136.0 21 15 36 144.0 2 1 3 12.0 18 18 36 144.0 79 53 132 88 93 181 137.1 1
13 Cot Muda Itam 7 4 11 6 6 12 109.1 5 5 10 90.9 0 0 0 0.0 11 4 15 136.4 36 22 58 31 26 57 98.3
14 Cek Embon 14 20 34 16 15 31 91.2 16 16 32 94.1 0 0 0 0.0 22 11 33 97.1 79 78 157 33 56 89 56.7 1
15 Cot Keh PSP 10 8 18 9 8 17 94.4 10 7 17 94.4 0 0 0 0.0 15 6 21 116.7 56 42 98 47 36 83 84.7 1
16 Cot Gelumpang 11 16 27 7 5 12 44.4 7 3 10 37.0 0 0 0 0.0 6 6 12 44.4 42 36 78 15 24 39 50.0 1
17 Dama Tutong 14 14 28 20 14 34 121.4 21 14 35 125.0 0 0 0 0.0 11 11 22 78.6 61 48 109 48 39 87 79.8
18 Kemuning 5 11 16 6 6 12 75.0 6 4 10 62.5 0 0 0 0.0 8 6 14 87.5 30 22 52 52 50 102 196.2 1
19 K e u d e 4 4 8 5 3 8 100.0 5 3 8 100.0 0 0 0 0.0 5 4 9 112.5 43 34 77 22 39 61 79.2
3
36
69.23077
142 #DIV/0!

/
MIN
20 Kw.Bugak 6 7 13 10 3 13 100.0 10 3 13 100.0 0 0 0 0.0 8 3 11 84.6 26 27 53 33 30 63 118.9 1
21 Kw.Leuge 16 11 27 7 8 15 55.6 5 8 13 48.1 0 0 0 0.0 12 5 17 63.0 30 48 78 27 34 61 78.2 1
22 Leuge 24 12 36 16 11 27 75.0 15 11 26 72.2 0 0 0 0.0 14 9 23 63.9 51 54 105 35 41 76 72.4 2
23 Lhok Dalam (T) 25 25 50 17 15 32 64.0 15 14 29 58.0 2 0 2 4.0 9 8 17 34.0 75 69 144 33 27 60 41.7 3
Lhok Dalam (M) 27 29 56 11 10 21 37.5 11 9 20 35.7 0 0 0 0.0 16 8 24 42.9 120 109 229 48 49 97 42.4
24 Lbk.Pempeng 25 25 50 16 5 21 42.0 14 5 19 38.0 0 0 0 0.0 13 15 28 56.0 75 69 144 35 22 57 39.6 1
25 Mtg.Gleum 5 9 14 7 6 13 92.9 7 6 13 92.9 0 0 0 0.0 5 5 10 71.4 35 33 68 20 27 47 69.1
26 Matang Plawi 12 14 26 7 5 12 46.2 9 5 14 53.8 0 0 0 0.0 13 6 19 73.1 71 46 117 57 49 106 90.6
27 Pasir Putih 9 11 20 10 6 16 80.0 11 5 16 80.0 0 0 0 0.0 10 3 13 65.0 34 43 77 32 52 84 109.1 1
Pasir Putih Krung 13 9 22 10 14 24 109.1 9 14 23 104.5 0 0 0 0.0 13 9 22 100.0 49 44 93 27 31 58 62.4
28 Paya Lipah 18 14 32 19 16 35 109.4 16 16 32 100.0 0 1 1 3.1 14 11 25 78.1 99 83 182 73 63 136 74.7 2
29 P u n t i 12 9 21 11 12 23 109.5 11 12 23 109.5 0 2 2 9.5 7 2 9 42.9 31 34 65 41 35 76 116.9
30 Paya Kalui 5 4 9 5 3 8 88.9 6 3 9 100.0 0 0 0 0.0 2 5 7 77.8 14 14 28 21 17 38 135.7 1
31 Paya Meligo 14 9 23 13 11 24 104.3 14 10 24 104.3 0 0 0 0.0 10 13 23 100.0 55 42 97 59 37 96 99.0 1
32 Smt.Muda Itam 5 7 12 12 6 18 150.0 10 7 17 141.7 1 0 1 8.3 5 5 10 83.3 40 46 86 32 30 62 72.1
33 Snb.Aceh 18 15 33 25 17 42 127.3 22 16 38 115.2 1 2 3 9.1 20 9 29 87.9 84 84 168 63 70 133 79.2
34 Snb.Peusangan 25 15 40 19 15 34 85.0 20 15 35 87.5 0 2 2 5.0 19 12 31 77.5 73 63 136 91 85 176 129.4 1
35 Snb.Pidie 23 29 52 25 19 44 84.6 23 17 40 76.9 2 0 2 3.8 16 18 34 65.4 68 72 140 130 128 258 184.3 1
36 Tanah Rata 13 22 35 6 6 12 34.3 6 5 11 31.4 0 0 0 0.0 4 3 7 20.0 24 33 57 43 49 92 161.4 1
37 Tualang 11 18 29 14 17 31 106.9 12 18 30 103.4 0 2 2 6.9 11 4 15 51.7 68 81 149 32 35 67 45.0
38 Uteun Dama 15 15 30 8 5 13 43.3 6 5 11 36.7 0 0 0 0.0 4 2 6 20.0 35 31 66 57 52 109 165.2 1
Puskesmas 536 511 1047 477 393 870 83.1 459 375 834 79.7 11 15 26 2.5 434 310 741 70.8 2181 1909 4232 #DIV/0! 1901 3873 91.5 26 0 0
Mengetahui: Peureulak 30 AGUSTUS 2014

Peureulak

NIP:19671231 198803 1 345 NIP:19670105 199012 2 001
2
2
2
2
2
1
2
1
3
2
2
1
1
1
1
5
3
2
1
2
5
BBLR
BBLR
BBLR
BBLR
LAPORAN KUNJUNGAN BALITA
UPT.PELAYANAN KESEHATAN MASYARAKAT PEUREULAK TAHUN 2017
24 BULAN 36 BULAN 48 BULAN 60 BULAN

(2 TAHUN) ( 3 TAHUN ) ( 4 TAHUN ) ( 5 TAHUN )
NO BULAN
L P L P L P L P
1 JANUARI
2 FEBRUARI
3 MARET
4 APRIL
5 MAI
6 JUNI
7 JULI
8 AGUSTUS
9 SEPTEMBER
10 OKTOBER
11 NOVEMBER
12 DESEMBER
J U M LAH
DATA DASA
CAKUPAN PENANGANAN NEONATAL

JUMLAH SASARAN BAYI KOMPLIKASI
NO NAMA DESA KN I KN LENGKAP
( 0 - 11 ) BULAN
JUMLAH ABSOLUT JUMLAH ABSOLUT JUMLAH ABSOLUT

CAKUPAN CAKUPAN
LK PR JUMLAH LK PR JUMLAH ( %) LK PR JUMLAH ( %) LK PR
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Alue II Py Gajah 3 3 6 1 1 2 33.3 1 1 2 33.3
2 Alue Nibong 18 12 30 2 2 6.7 4 4 13.3
3 Alue Rambong 8 6 14 1 1 7.1 0 0.0
4 Bale Buya 9 5 14 1 1 7.1 1 1 7.1
5 Bandrong 13 7 20 3 3 15.0 3 3 15.0
6 Bangka Rimung 18 17 35 0 0.0 2 2 5.7
7 Beusa Meurano 17 14 31 0 0.0 0 0.0
8 Blang Balok 14 10 24 2 2 8.3 3 3 12.5
9 Blang Bitra 8 9 17 1 1 5.9 1 1 5.9
10 Buket Pala 24 17 41 0 0.0 0 0.0
11 Blang Simpo 8 10 18 0 0.0 0 0.0
12 Blang Bate 10 15 25 2 1 3 12.0 2 1 3 12.0
13 Cot Muda Itam 7 4 11 1 1 9.1 0 0.0
14 Cek Embon 14 20 34 3 3 8.8 3 3 8.8
15 Cot Keh PSP 10 8 18 3 2 5 27.8 3 3 16.7
16 Cot Gelumpang 11 16 27 2 2 7.4 2 2 7.4
17 Dama Tutong 14 14 28 2 2 7.1 2 2 7.1 1
18 Kemuning 5 11 16 0 0.0 0 0.0 1
19 K e u d e 4 4 8 1 1 12.5 1 1 12.5

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
20 Kw.Bugak 6 7 13 1 1 7.7 2 1 3 23.1
21 Kw.Leuge 16 11 27 1 1 3.7 1 1 3.7
22 Leuge 24 12 36 1 1 2.8 0 0.0
23 Lhok Dalam (T) 25 25 50 1 1 2.0 1 1 2.0
Lhok Dalam (M) 27 29 56 1 1 1.8 1 1 1.8
24 Lbk.Pempeng 25 25 50 0 0.0 0 0.0 1
25 Mtg.Gleum 5 9 14 1 1 7.1 1 1 7.1
26 Matang Plawi 12 14 26 0 0.0 0 0.0
27 Pasir Putih 9 11 20 1 1 5.0 1 1 5.0
Pasir Putih Krung 13 9 22 5 5 22.7 2 2 9.1
28 Paya Lipah 18 14 32 1 1 3.1 2 2 4 12.5 1
29 P u n t i 12 9 21 0 0.0 0 0.0
30 Paya Kalui 5 4 9 1 1 11.1 1 1 11.1
31 Paya Meligo 14 9 23 1 1 4.3 2 2 8.7
32 Smt.Muda Itam 5 7 12 0 0.0 0 0.0
33 Snb.Aceh 18 15 33 1 1 2 6.1 1 1 2 6.1
34 Snb.Peusangan 25 15 40 2 2 5.0 2 2 5.0
35 Snb.Pidie 23 29 52 2 1 3 5.8 0 0.0
36 Tanah Rata 13 22 35 0 0.0 0 0.0
37 Tualang 11 18 29 1 1 3.4 1 1 3.4
38 Uteun Dama 15 15 30 1 1 3.3 1 1 3.3
Puskesmas 536 511 1047 32 21 53 5.1 30 23 53 5.1 1 3
Mengetahui:
Kepala UPT.Pelkesmas Peureulak
( MURHABAN,SKM )
NIP:197806092003121003
DATA DASA

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Alue II Py Gajah 3 3 6 3 3 50.0 3 3 50.0
2 Alue Nibong 18 12 30 4 4 13.3 4 4 13.3 1
3 Alue Rambong 8 6 14 1 1 7.1 1 1 2 14.3
4 Bale Buya 9 5 14 0 0.0 0 0.0
5 Bandrong 13 7 20 1 1 2 10.0 1 1 2 10.0
6 Bangka Rimung 18 17 35 1 1 2 5.7 1 1 2.9
7 Beusa Meurano 17 14 31 0 0.0 0 0.0
8 Blang Balok 14 10 24 3 3 12.5 3 3 12.5
9 Blang Bitra 8 9 17 2 2 11.8 2 2 11.8
10 Buket Pala 24 17 41 5 2 7 17.1 5 2 7 17.1
11 Blang Simpo 8 10 18 0 0.0 0 0.0
12 Blang Bate 10 15 25 2 2 8.0 2 2 8.0
13 Cot Muda Itam 7 4 11 2 2 18.2 2 2 18.2
14 Cek Embon 14 20 34 3 3 8.8 3 3 8.8
15 Cot Keh PSP 10 8 18 1 1 5.6 1 1 5.6
16 Cot Gelumpang 11 16 27 1 1 2 7.4 1 1 2 7.4
17 Dama Tutong 14 14 28 1 1 3.6 1 1 3.6
18 Kemuning 5 11 16 1 1 6.3 1 1 6.3

19 K e u d e 4 4 8 0 0.0 0 0.0

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
20 Kw.Bugak 6 7 13 1 2 3 23.1 1 2 3 23.1
21 Kw.Leuge 16 11 27 1 1 3.7 1 1 3.7 2 4
22 Leuge 24 12 36 2 2 5.6 2 2 5.6 2 2
23 Lhok Dalam (T) 25 25 50 1 1 2.0 0 0.0
Lhok Dalam (M) 27 29 56 2 2 3.6 2 2 3.6
24 Lbk.Pempeng 25 25 50 1 1 2 4.0 1 1 2.0
25 Mtg.Gleum 5 9 14 0 0.0 0 0.0
26 Matang Plawi 12 14 26 2 2 7.7 2 2 7.7
27 Pasir Putih 9 11 20 0 0.0 0 0.0
Pasir Putih Krung 13 9 22 1 4 5 22.7 4 3 7 31.8
28 Paya Lipah 18 14 32 2 1 3 9.4 1 1 2 6.3
29 P u n t i 12 9 21 1 1 2 9.5 1 1 2 9.5
30 Paya Kalui 5 4 9 0 0.0 0 0.0
31 Paya Meligo 14 9 23 0 0.0 1 1 4.3
32 Smt.Muda Itam 5 7 12 0 0.0 0 0.0
33 Snb.Aceh 18 15 33 0 0.0 0 0.0
34 Snb.Peusangan 25 15 40 2 1 3 7.5 2 1 3 7.5
35 Snb.Pidie 23 29 52 2 2 3.8 2 2 3.8
36 Tanah Rata 13 22 35 0 0.0 0 0.0
37 Tualang 11 18 29 2 1 3 10.3 2 1 3 10.3

38 Uteun Dama 15 15 30 0 0.0 0 0.0
Puskesmas 536 511 1047 34 33 67 6.4 36 31 67 6.4 4 7
Mengetahui:
( MURHABAN,SKM )
NIP:197806092003121003
DATA DASA
BULAN : MARET 2014

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Alue II Py Gajah 3 3 6 1 1 16.7 1 1 16.7
2 Alue Nibong 18 12 30 2 2 6.7 2 2 6.7
3 Alue Rambong 8 6 14 0 0.0 0 0.0
4 Bale Buya 9 5 14 1 1 7.1 0 0.0
5 Bandrong 13 7 20 1 1 5.0 1 1 5.0
6 Bangka Rimung 18 17 35 2 2 5.7 2 1 3 8.6
7 Beusa Meurano 17 14 31 1 1 2 6.5 1 1 2 6.5 1 1
8 Blang Balok 14 10 24 2 1 3 12.5 2 1 3 12.5
9 Blang Bitra 8 9 17 1 1 5.9 1 1 5.9
10 Buket Pala 24 17 41 1 1 2.4 1 1 2.4
11 Blang Simpo 8 10 18 1 1 5.6 1 1 5.6
12 Blang Bate 10 15 25 1 1 2 8.0 1 1 2 8.0
13 Cot Muda Itam 7 4 11 3 3 27.3 4 4 36.4 1
14 Cek Embon 14 20 34 1 1 2.9 0 0.0

15 Cot Keh PSP 10 8 18 0 0.0 0 0.0
16 Cot Gelumpang 11 16 27 1 1 2 7.4 1 1 2 7.4
17 Dama Tutong 14 14 28 4 3 7 25.0 5 3 8 28.6 1
18 Kemuning 5 11 16 1 1 6.3 1 1 6.3
19 K e u d e 4 4 8 0 0.0 0 0.0

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
20 Kw.Bugak 6 7 13 1 1 7.7 2 2 15.4
21 Kw.Leuge 16 11 27 1 1 3.7 1 1 3.7
22 Leuge 24 12 36 0 0.0 0 0.0 1
23 Lhok Dalam (T) 25 25 50 1 1 2 4.0 1 1 2 4.0
Lhok Dalam (M) 27 29 56 5 5 8.9 5 5 8.9 2
24 Lbk.Pempeng 25 25 50 3 3 6.0 3 1 4 8.0
25 Mtg.Gleum 5 9 14 2 2 14.3 2 2 14.3
26 Matang Plawi 12 14 26 2 2 7.7 2 2 7.7
27 Pasir Putih 9 11 20 2 2 10.0 2 2 10.0
Pasir Putih Krung 13 9 22 1 1 2 9.1 2 1 3 13.6 1 1
28 Paya Lipah 18 14 32 1 1 3.1 2 2 6.3 1
29 P u n t i 12 9 21 1 1 2 9.5 1 1 2 9.5
30 Paya Kalui 5 4 9 0 0.0 0 0.0
31 Paya Meligo 14 9 23 1 1 4.3 1 1 4.3
32 Smt.Muda Itam 5 7 12 1 1 8.3 1 1 8.3
33 Snb.Aceh 18 15 33 4 1 5 15.2 3 1 4 12.1

34 Snb.Peusangan 25 15 40 1 1 2.5 1 1 2.5
35 Snb.Pidie 23 29 52 1 1 1.9 0 0.0
36 Tanah Rata 13 22 35 0 0.0 0 0.0
37 Tualang 11 18 29 0 0.0 0 0.0
38 Uteun Dama 15 15 30 1 1 3.3 1 1 3.3
Puskesmas 536 511 1047 40 24 64 6.1 43 24 67 6.4 7 3
Mengetahui:
( MURHABAN,SKM )
NIP:197806092003121003
DATA DASA
BULAN : APRIL 2014

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
( %) ( %)
LK PR JUMLAH LK PR JUMLAH LK PR JUMLAH LK PR
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Alue II Py Gajah 3 3 6 1 1 16.7 1 1 16.7
2 Alue Nibong 18 12 30 1 3 4 13.3 1 3 4 13.3
3 Alue Rambong 8 6 14 1 1 2 14.3 1 1 2 14.3
4 Bale Buya 9 5 14 1 1 7.1 1 1 2 14.3
5 Bandrong 13 7 20 1 1 5.0 1 1 5.0
6 Bangka Rimung 18 17 35 2 2 4 11.4 3 2 5 14.3
7 Beusa Meurano 17 14 31 1 2 3 9.7 1 2 3 9.7
8 Blang Balok 14 10 24 2 2 4 16.7 3 3 6 25.0
9 Blang Bitra 8 9 17 1 1 5.9 1 1 5.9
10 Buket Pala 24 17 41 0 0.0 0 0.0

11 Blang Simpo 8 10 18 2 1 3 16.7 2 1 3 16.7
12 Blang Bate 10 15 25 3 2 5 20.0 1 2 3 12.0
13 Cot Muda Itam 7 4 11 0 0.0 0 0.0
14 Cek Embon 14 20 34 3 3 8.8 3 1 4 11.8
15 Cot Keh PSP 10 8 18 1 1 5.6 0 0.0
16 Cot Gelumpang 11 16 27 2 2 7.4 0 0.0
17 Dama Tutong 14 14 28 1 1 3.6 1 1 2 7.1
18 Kemuning 5 11 16 0 0.0 0 0.0
19 K e u d e 4 4 8 0 0.0 0 0.0 1

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
( %) ( %)
20 Kw.Bugak 6 7 13 1 1 7.7 0 0.0
21 Kw.Leuge 16 11 27 2 3 5 18.5 0 0.0
22 Leuge 24 12 36 1 1 2.8 1 1 2.8
23 Lhok Dalam (T) 25 25 50 1 1 2.0 1 1 2.0
Lhok Dalam (M) 27 29 56 2 1 3 5.4 2 1 3 5.4
24 Lbk.Pempeng 25 25 50 1 1 2 4.0 1 1 2.0
25 Mtg.Gleum 5 9 14 0 0.0 0 0.0
26 Matang Plawi 12 14 26 1 2 3 11.5 1 2 3 11.5
27 Pasir Putih 9 11 20 3 3 15.0 3 3 15.0 1
Pasir Putih Krung 13 9 22 2 2 4 18.2 2 2 4 18.2 1
28 Paya Lipah 18 14 32 2 2 4 12.5 0 0.0
29 P u n t i 12 9 21 1 1 4.8 1 1 4.8
30 Paya Kalui 5 4 9 1 1 11.1 0 0.0
31 Paya Meligo 14 9 23 1 2 3 13.0 1 2 3 13.0
32 Smt.Muda Itam 5 7 12 2 2 16.7 2 2 16.7
33 Snb.Aceh 18 15 33 1 2 3 9.1 1 2 3 9.1
34 Snb.Peusangan 25 15 40 3 3 7.5 3 3 7.5
35 Snb.Pidie 23 29 52 2 1 3 5.8 0 0.0
36 Tanah Rata 13 22 35 0 0.0 0 0.0
37 Tualang 11 18 29 0 0.0 0 0.0
38 Uteun Dama 15 15 30 0 0.0 0 0.0
Puskesmas 536 511 1047 41 38 79 7.5 32 33 65 6.2 2 1
Mengetahui:
( MURHABAN,SKM )
NIP:197806092003121003
DATA DASA
BULAN : MAI 2014

( 0 - 11 ) BULAN
JUMLAH ABSOLUT CAKUPAN JUMLAH ABSOLUT CAKUPAN JUMLAH ABSOLUT

( %) ( %)
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Alue II Py Gajah 3 3 6 1 1 2 33.3 1 1 16.7
2 Alue Nibong 18 12 30 1 2 3 10.0 1 1 3.3
3 Alue Rambong 8 6 14 4 4 28.6 4 4 28.6
4 Bale Buya 9 5 14 1 1 7.1 0 0.0
5 Bandrong 13 7 20 2 1 3 15.0 2 2 10.0
6 Bangka Rimung 18 17 35 0 0.0 1 1 2.9

7 Beusa Meurano 17 14 31 1 1 3.2 1 1 3.2
8 Blang Balok 14 10 24 2 3 5 20.8 2 1 3 12.5
9 Blang Bitra 8 9 17 3 3 17.6 3 3 17.6
10 Buket Pala 24 17 41 1 1 2.4 1 1 2.4
11 Blang Simpo 8 10 18 1 1 5.6 0 0.0
12 Blang Bate 10 15 25 2 2 4 16.0 2 1 3 12.0
13 Cot Muda Itam 7 4 11 2 2 18.2 1 1 9.1
14 Cek Embon 14 20 34 1 1 2 5.9 1 1 2 5.9
15 Cot Keh PSP 10 8 18 1 1 5.6 1 1 5.6
16 Cot Gelumpang 11 16 27 2 2 7.4 2 2 4 14.8
17 Dama Tutong 14 14 28 1 1 3.6 0 0.0
18 Kemuning 5 11 16 2 2 12.5 2 2 12.5
19 K e u d e 4 4 8 0 0.0 0 0.0

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
( %) ( %)
20 Kw.Bugak 6 7 13 0 0.0 1 1 7.7
21 Kw.Leuge 16 11 27 0 0.0 0 0.0
22 Leuge 24 12 36 3 3 8.3 3 3 8.3
23 Lhok Dalam (T) 25 25 50 1 1 2 4.0 1 1 2 4.0
Lhok Dalam (M) 27 29 56 1 1 1.8 1 1 1.8
24 Lbk.Pempeng 25 25 50 0 0.0 0 0.0
25 Mtg.Gleum 5 9 14 0 0.0 0 0.0
26 Matang Plawi 12 14 26 0 0.0 0 0.0

27 Pasir Putih 9 11 20 3 3 15.0 3 3 15.0 1
Pasir Putih Krung 13 9 22 3 2 5 22.7 3 2 5 22.7 1
28 Paya Lipah 18 14 32 3 3 6 18.8 2 5 7 21.9
29 P u n t i 12 9 21 1 1 4.8 1 1 4.8
30 Paya Kalui 5 4 9 0 0.0 1 1 11.1
31 Paya Meligo 14 9 23 1 4 5 21.7 1 1 4.3
32 Smt.Muda Itam 5 7 12 1 1 8.3 1 1 8.3
33 Snb.Aceh 18 15 33 1 2 3 9.1 2 3 5 15.2
34 Snb.Peusangan 25 15 40 1 2 3 7.5 1 2 3 7.5 1
35 Snb.Pidie 23 29 52 1 1 2 3.8 1 1 2 3.8 1
36 Tanah Rata 13 22 35 0 0.0 0 0.0
37 Tualang 11 18 29 1 1 3.4 1 1 3.4
38 Uteun Dama 15 15 30 2 2 6.7 2 2 6.7
Puskesmas 536 511 1047 38 38 76 7.3 39 30 69 6.6 4 0
Mengetahui:
( MURHABAN,SKM )
NIP:197806092003121003
DATA DASA
BULAN : JUNI 2014

( 0 - 11 ) BULAN

( %) ( %)
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Alue II Py Gajah 3 3 6 0 0.0 1 1 16.7
2 Alue Nibong 18 12 30 4 4 13.3 4 1 5 16.7

3 Alue Rambong 8 6 14 1 1 7.1 1 1 7.1
4 Bale Buya 9 5 14 1 1 2 14.3 1 2 3 21.4
5 Bandrong 13 7 20 1 1 5.0 1 1 5.0
6 Bangka Rimung 18 17 35 0 0.0 0 0.0
7 Beusa Meurano 17 14 31 1 1 3.2 1 1 3.2
8 Blang Balok 14 10 24 4 4 16.7 5 5 20.8
9 Blang Bitra 8 9 17 0 0.0 0 0.0
10 Buket Pala 24 17 41 1 1 2.4 1 1 2.4
11 Blang Simpo 8 10 18 0 0.0 1 1 5.6
12 Blang Bate 10 15 25 1 1 2 8.0 1 3 4 16.0
13 Cot Muda Itam 7 4 11 2 2 18.2 1 1 2 18.2
14 Cek Embon 14 20 34 3 3 8.8 4 1 5 14.7
15 Cot Keh PSP 10 8 18 4 4 22.2 5 5 27.8
16 Cot Gelumpang 11 16 27 2 2 7.4 0.0
17 Dama Tutong 14 14 28 1 1 3.6 1 1 2 7.1
18 Kemuning 5 11 16 2 1 3 18.8 2 1 3 18.8
19 K e u d e 4 4 8 1 1 12.5 0 0.0

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
( %) ( %)
20 Kw.Bugak 6 7 13 1 1 2 15.4 1 1 2 15.4
21 Kw.Leuge 16 11 27 2 1 3 11.1 2 1 3 11.1
22 Leuge 24 12 36 0 0.0 0 0.0
23 Lhok Dalam (T) 25 25 50 0 0.0 0 0.0 1

Lhok Dalam (M) 27 29 56 2 1 3 5.4 2 1 3 5.4
24 Lbk.Pempeng 25 25 50 1 2 3 6.0 1 2 3 6.0 1
25 Mtg.Gleum 5 9 14 1 1 7.1 0 0.0
26 Matang Plawi 12 14 26 0 0.0 0 0.0
27 Pasir Putih 9 11 20 1 1 5.0 1 1 5.0
28 Paya Lipah 18 14 32 2 2 4 12.5 4 2 6 18.8
29 P u n t i 12 9 21 1 1 2 9.5 1 1 2 9.5
30 Paya Kalui 5 4 9 2 2 22.2 2 2 22.2
31 Paya Meligo 14 9 23 1 2 3 13.0 1 6 7 30.4
32 Smt.Muda Itam 5 7 12 1 1 8.3 1 1 8.3
33 Snb.Aceh 18 15 33 2 2 6.1 2 2 6.1
34 Snb.Peusangan 25 15 40 1 2 3 7.5 1 2 3 7.5
35 Snb.Pidie 23 29 52 1 2 3 5.8 1 2 3 5.8 1
36 Tanah Rata 13 22 35 1 1 2.9 0 0.0
37 Tualang 11 18 29 0 0.0 0 0.0
38 Uteun Dama 15 15 30 1 1 3.3 1 1 3.3
Puskesmas 536 511 1047 37 31 68 6.5 39 41 80 7.6 3 0
Mengetahui:
( MURHABAN,SKM )
NIP:197806092003121003
DATA DASA
BULAN : JULI 2014

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
( %) ( %)
NO NAMA DESA
CAKUPAN CAKUPAN
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Alue II Py Gajah 3 3 6 1 2 3 50.0 1 1 2 33.3
2 Alue Nibong 18 12 30 0 0.0 1 1 3.3
3 Alue Rambong 8 6 14 0 0.0 0 0.0
4 Bale Buya 9 5 14 0 0.0 0 0.0
5 Bandrong 13 7 20 2 2 10.0 2 2 10.0
6 Bangka Rimung 18 17 35 1 1 2.9 0 0.0
7 Beusa Meurano 17 14 31 2 1 3 9.7 2 1 3 9.7
8 Blang Balok 14 10 24 4 4 16.7 4 4 16.7
9 Blang Bitra 8 9 17 1 2 3 17.6 1 1 2 11.8
10 Buket Pala 24 17 41 1 1 2 4.9 1 1 2 4.9
11 Blang Simpo 8 10 18 2 1 3 16.7 2 1 3 16.7
12 Blang Bate 10 15 25 4 4 16.0 4 4 16.0
13 Cot Muda Itam 7 4 11 0 0.0 1 1 9.1
14 Cek Embon 14 20 34 1 3 4 11.8 2 3 5 14.7 1
15 Cot Keh PSP 10 8 18 1 1 5.6 0 0.0
16 Cot Gelumpang 11 16 27 1 1 3.7 1 0.0
17 Dama Tutong 14 14 28 3 3 10.7 3 3 10.7 1
18 Kemuning 5 11 16 0 0.0 0 0.0
19 K e u d e 4 4 8 1 1 12.5 1 1 2 25.0

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
20 Kw.Bugak 6 7 13 1 1 7.7 1 1 7.7

21 Kw.Leuge 16 11 27 2 1 3 11.1 0 0.0
22 Leuge 24 12 36 3 1 4 11.1 2 1 3 8.3
23 Lhok Dalam (T) 25 25 50 2 2 4.0 2 2 4.0
Lhok Dalam (M) 27 29 56 2 1 3 5.4 2 1 3 5.4
24 Lbk.Pempeng 25 25 50 3 3 6.0 2 2 4.0
25 Mtg.Gleum 5 9 14 1 1 7.1 2 2 14.3
26 Matang Plawi 12 14 26 0 0.0 0 0.0
27 Pasir Putih 9 11 20 4 4 20.0 4 4 20.0
Pasir Putih Krung 13 9 22 1 1 4.5 0 0.0 1
28 Paya Lipah 18 14 32 4 1 5 15.6 3 1 4 12.5
29 P u n t i 12 9 21 1 1 4.8 1 1 4.8
30 Paya Kalui 5 4 9 0 0.0 0 0.0
31 Paya Meligo 14 9 23 1 1 4.3 0 0.0
32 Smt.Muda Itam 5 7 12 1 2 3 25.0 1 1 2 16.7
33 Snb.Aceh 18 15 33 2 2 6.1 0 0.0
34 Snb.Peusangan 25 15 40 3 1 4 10.0 3 1 4 10.0 1
35 Snb.Pidie 23 29 52 2 2 4 7.7 1 2 3 5.8
36 Tanah Rata 13 22 35 1 1 2.9 0 0.0
37 Tualang 11 18 29 0 0.0 0 0.0
38 Uteun Dama 15 15 30 1 1 3.3 1 1 3.3
Puskesmas 536 511 1047 33 46 79 7.5 26 41 66 6.3 1 3
Mengetahui:
( MURHABAN,SKM )
NIP:197806092003121003
DATA DASA

NO NAMA DESA
( 0 - 11 ) BULAN
( 0 - 11 ) BULAN

( %) ( %)
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Alue II Py Gajah 3 3 6 1 1 16.7 1 1 2 33.3
2 Alue Nibong 18 12 30 3 2 5 16.7 3 2 5 16.7
3 Alue Rambong 8 6 14 0 0.0 0 0.0
4 Bale Buya 9 5 14 0 0.0 0 0.0
5 Bandrong 13 7 20 1 1 2 10.0 1 1 5.0
6 Bangka Rimung 18 17 35 0 0.0 1 1 2.9
7 Beusa Meurano 17 14 31 1 1 3.2 1 1 3.2
8 Blang Balok 14 10 24 4 4 8 33.3 3 3 6 25.0 1
9 Blang Bitra 8 9 17 1 1 5.9 1 1 5.9
10 Buket Pala 24 17 41 0 0.0 0 0.0
11 Blang Simpo 8 10 18 2 2 11.1 2 2 11.1
12 Blang Bate 10 15 25 3 1 4 16.0 3 2 5 20.0
13 Cot Muda Itam 7 4 11 2 2 4 36.4 2 2 4 36.4
14 Cek Embon 14 20 34 5 5 14.7 4 4 11.8
15 Cot Keh PSP 10 8 18 1 1 5.6 1 1 2 11.1
16 Cot Gelumpang 11 16 27 1 1 2 7.4 1 1 2 7.4 1
17 Dama Tutong 14 14 28 0 0.0 0 0.0
18 Kemuning 5 11 16 0 0.0 0 0.0
19 K e u d e 4 4 8 0 0.0 1 1 12.5

( 0 - 11 ) BULAN
( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
( %) ( %)
20 Kw.Bugak 6 7 13 1 1 7.7 1 1 7.7
21 Kw.Leuge 16 11 27 0 0.0 0 0.0
22 Leuge 24 12 36 1 1 2.8 1 1 2.8
23 Lhok Dalam (T) 25 25 50 1 1 2 4.0 1 1 2.0
Lhok Dalam (M) 27 29 56 2 2 3.6 1 1 1.8
24 Lbk.Pempeng 25 25 50 1 1 2 4.0 0 0.0
25 Mtg.Gleum 5 9 14 1 1 7.1 0 0.0
26 Matang Plawi 12 14 26 1 3 4 15.4 1 3 4 15.4
27 Pasir Putih 9 11 20 1 2 3 15.0 1 1 5.0
Pasir Putih Krung 13 9 22 1 1 4.5 0 0.0
28 Paya Lipah 18 14 32 5 3 8 25.0 5 3 8 25.0 1
29 P u n t i 12 9 21 0 0.0 0 0.0
30 Paya Kalui 5 4 9 0 0.0 0 0.0
31 Paya Meligo 14 9 23 1 1 2 8.7 1 2 3 13.0
32 Smt.Muda Itam 5 7 12 1 1 2 16.7 1 1 2 16.7
33 Snb.Aceh 18 15 33 0 0.0 0 0.0
34 Snb.Peusangan 25 15 40 1 1 2.5 1 1 2.5
35 Snb.Pidie 23 29 52 1 2 3 5.8 1 2 3 5.8
36 Tanah Rata 13 22 35 0 0.0 1 1 2.9
37 Tualang 11 18 29 0 0.0 0 0.0
38 Uteun Dama 15 15 30 0 0.0 0 0.0
Puskesmas 536 511 1047 40 29 69 6.6 39 25 64 6.1 1 2
Mengetahui:
Ka.TU.UPT.Pelayanan Kesehatan Masyarakat
Peureulak
( MUHAMMAD JAMIL,SE )
NIP:19671231 198803 1 345
DATA DASA

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Alue II Py Gajah 3 3 6 1 1 2 33.3 1 1 2 33.3
2 Alue Nibong 18 12 30 0 0.0 0 0.0
3 Alue Rambong 8 6 14 0 0.0 0 0.0
4 Bale Buya 9 5 14 0 0.0 0 0.0
5 Bandrong 13 7 20 0 0.0 0 0.0
6 Bangka Rimung 18 17 35 3 2 5 14.3 2 2 5.7
7 Beusa Meurano 17 14 31 1 1 3.2 1 1 3.2
8 Blang Balok 14 10 24 3 3 12.5 4 1 5 20.8
9 Blang Bitra 8 9 17 0 0.0 0 0.0
10 Buket Pala 24 17 41 3 3 6 14.6 3 3 6 14.6
11 Blang Simpo 8 10 18 1 1 5.6 1 1 5.6
12 Blang Bate 10 15 25 2 2 8.0 2 2 8.0
13 Cot Muda Itam 7 4 11 0 0.0 0 0.0
14 Cek Embon 14 20 34 3 3 8.8 2 2 5.9
15 Cot Keh PSP 10 8 18 1 1 5.6 1 1 5.6
16 Cot Gelumpang 11 16 27 1 1 3.7 1 1 3.7
17 Dama Tutong 14 14 28 1 1 3.6 1 1 3.6
18 Kemuning 5 11 16 1 1 6.3 1 1 6.3
19 K e u d e 4 4 8 0 0.0 0 0.0

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
20 Kw.Bugak 6 7 13 0 0.0 0 0.0
21 Kw.Leuge 16 11 27 0 0.0 0 0.0
22 Leuge 24 12 36 1 2 3 8.3 1 2 3 8.3
23 Lhok Dalam (T) 25 25 50 0 0.0 0 0.0
Lhok Dalam (M) 27 29 56 2 3 5 8.9 2 2 4 7.1
24 Lbk.Pempeng 25 25 50 2 2 4.0 1 1 2.0
25 Mtg.Gleum 5 9 14 1 1 7.1 1 1 2 14.3
26 Matang Plawi 12 14 26 0 0.0 0 0.0
27 Pasir Putih 9 11 20 0 0.0 1 2 3 15.0
28 Paya Lipah 18 14 32 1 1 3.1 1 1 3.1 1
29 P u n t i 12 9 21 2 2 9.5 2 2 9.5
30 Paya Kalui 5 4 9 1 1 2 22.2 1 1 2 22.2
31 Paya Meligo 14 9 23 1 1 2 8.7 1 1 2 8.7
32 Smt.Muda Itam 5 7 12 1 1 8.3 0 0.0
33 Snb.Aceh 18 15 33 3 2 5 15.2 3 2 5 15.2
34 Snb.Peusangan 25 15 40 1 1 2.5 1 1 2.5 1
35 Snb.Pidie 23 29 52 1 1 1.9 1 1 1.9
36 Tanah Rata 13 22 35 1 1 2.9 1 1 2.9
37 Tualang 11 18 29 1 1 3.4 1 1 3.4
38 Uteun Dama 15 15 30 1 1 3.3 1 1 3.3
Puskesmas 536 511 1047 34 25 59 5.6 32 26 58 5.5 2 0
Mengetahui:
PJS.Ka. UPT Pelayanan Kesehatan
Peureulak
(Muhammad Jamil,SE)
NIP:19671231 198803 1 345
SP.No.824.3/147.TGL/1 Sept 2014
DATA DASA

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
( %) ( %)
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Alue II Py Gajah 3 3 6 2 2 33.3 0 0.0 2
2 Alue Nibong 18 12 30 1 1 2 6.7 1 1 2 6.7
3 Alue Rambong 8 6 14 0 0.0 0 0.0
4 Bale Buya 9 5 14 0 0.0 0 0.0
5 Bandrong 13 7 20 1 2 3 15.0 1 2 3 15.0
6 Bangka Rimung 18 17 35 1 1 2.9 4 4 11.4
7 Beusa Meurano 17 14 31 1 2 3 9.7 1 2 3 9.7
8 Blang Balok 14 10 24 1 1 2 8.3 1 1 2 8.3
9 Blang Bitra 8 9 17 1 1 5.9 0 0.0
10 Buket Pala 24 17 41 1 1 2 4.9 1 1 2 4.9
11 Blang Simpo 8 10 18 2 1 3 16.7 2 2 11.1
12 Blang Bate 10 15 25 0 0.0 0 0.0 1
13 Cot Muda Itam 7 4 11 1 1 9.1 1 1 9.1
14 Cek Embon 14 20 34 3 2 5 14.7 3 2 5 14.7
15 Cot Keh PSP 10 8 18 2 1 3 16.7 2 1 3 16.7 1
16 Cot Gelumpang 11 16 27 0 0.0 0 0.0
17 Dama Tutong 14 14 28 1 1 3.6 0 0.0
18 Kemuning 5 11 16 2 2 12.5 2 2 12.5

19 K e u d e 4 4 8 2 2 25.0 2 2 25.0

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
20 Kw.Bugak 6 7 13 0 0.0 0 0.0
21 Kw.Leuge 16 11 27 1 1 3.7 1 1 3.7
22 Leuge 24 12 36 5 2 7 19.4 4 2 6 16.7
23 Lhok Dalam (T) 25 25 50 1 1 2 4.0 2 2 4.0
Lhok Dalam (M) 27 29 56 1 1 1.8 1 2 3 5.4
24 Lbk.Pempeng 25 25 50 1 2 3 6.0 1 2 3 6.0
25 Mtg.Gleum 5 9 14 1 1 2 14.3 1 1 2 14.3
26 Matang Plawi 12 14 26 0 0.0 0 0.0
27 Pasir Putih 9 11 20 1 1 5.0 0 0.0
28 Paya Lipah 18 14 32 2 2 6.3 1 1 3.1
29 P u n t i 12 9 21 1 1 4.8 1 1 4.8
30 Paya Kalui 5 4 9 0 0.0 0 0.0
31 Paya Meligo 14 9 23 2 1 3 13.0 2 1 3 13.0
32 Smt.Muda Itam 5 7 12 0 0.0 1 1 8.3
33 Snb.Aceh 18 15 33 2 2 6.1 2 2 6.1
34 Snb.Peusangan 25 15 40 1 1 2.5 1 1 2.5
35 Snb.Pidie 23 29 52 3 4 7 13.5 3 4 7 13.5
36 Tanah Rata 13 22 35 1 1 2.9 1 1 2.9
37 Tualang 11 18 29 3 3 10.3 3 3 10.3

38 Uteun Dama 15 15 30 1 1 2 6.7 1 1 2 6.7
Puskesmas 536 511 1047 32 41 73 7.0 34 38 72 6.9 1 3
Mengetahui:
Peureulak
NIP:19671231 198803 1 345
DATA DASA

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Alue II Py Gajah 3 3 6 0 0.0 2 2 33.3
2 Alue Nibong 18 12 30 1 2 3 10.0 1 1 2 6.7
3 Alue Rambong 8 6 14 1 1 2 14.3 1 1 2 14.3
4 Bale Buya 9 5 14 2 2 14.3 2 2 14.3
5 Bandrong 13 7 20 1 1 5.0 1 1 5.0
6 Bangka Rimung 18 17 35 2 2 5.7 2 2 5.7
7 Beusa Meurano 17 14 31 4 2 6 19.4 4 2 6 19.4
8 Blang Balok 14 10 24 1 1 4.2 1 1 4.2
9 Blang Bitra 8 9 17 0 0.0 1 1 5.9
10 Buket Pala 24 17 41 2 5 7 17.1 2 3 5 12.2
11 Blang Simpo 8 10 18 1 1 5.6 1 1 2 11.1
12 Blang Bate 10 15 25 2 2 4 16.0 2 2 4 16.0
13 Cot Muda Itam 7 4 11 1 1 9.1 1 1 9.1
14 Cek Embon 14 20 34 2 3 5 14.7 2 3 5 14.7

15 Cot Keh PSP 10 8 18 1 2 3 16.7 1 3 4 22.2
16 Cot Gelumpang 11 16 27 3 3 11.1 0 0.0
17 Dama Tutong 14 14 28 1 1 3.6 2 2 7.1
18 Kemuning 5 11 16 1 1 2 12.5 1 1 2 12.5
19 K e u d e 4 4 8 0 0.0 2 2 25.0

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
20 Kw.Bugak 6 7 13 1 2 3 23.1 1 2 3 23.1
21 Kw.Leuge 16 11 27 2 2 7.4 2 2 7.4
22 Leuge 24 12 36 2 2 4 11.1 2 2 4 11.1 1
23 Lhok Dalam (T) 25 25 50 4 2 6 12.0 4 2 6 12.0
Lhok Dalam (M) 27 29 56 0 0.0 0 0.0
24 Lbk.Pempeng 25 25 50 1 1 2 4.0 1 1 2 4.0
25 Mtg.Gleum 5 9 14 0 0.0 0 0.0
26 Matang Plawi 12 14 26 0 0.0 0 0.0
27 Pasir Putih 9 11 20 1 1 5.0 1 1 5.0
28 Paya Lipah 18 14 32 2 2 6.3 2 2 6.3
29 P u n t i 12 9 21 2 2 9.5 1 1 4.8
30 Paya Kalui 5 4 9 1 1 11.1 1 1 11.1
31 Paya Meligo 14 9 23 1 2 3 13.0 1 1 2 8.7
32 Smt.Muda Itam 5 7 12 1 1 8.3 1 1 8.3
33 Snb.Aceh 18 15 33 2 2 6.1 2 2 6.1

34 Snb.Peusangan 25 15 40 2 4 6 15.0 2 4 6 15.0
35 Snb.Pidie 23 29 52 1 1 1.9 1 1 1.9
36 Tanah Rata 13 22 35 1 1 2.9 0 0.0
37 Tualang 11 18 29 2 1 3 10.3 2 1 3 10.3
38 Uteun Dama 15 15 30 0 0.0 2 1 3 10.0
Puskesmas 536 511 1047 47 39 86 8.2 44 44 88 8.4 1 0
Mengetahui:
Peureulak
NIP:19671231 198803 1 345
DATA DASA

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
( %) ( %)
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Alue II Py Gajah 3 3 6 0 0.0 0 0.0
2 Alue Nibong 18 12 30 0 0.0 1 1 3.3
3 Alue Rambong 8 6 14 0 0.0 0 0.0
4 Bale Buya 9 5 14 1 1 7.1 1 1 7.1
5 Bandrong 13 7 20 0 0.0 0 0.0
6 Bangka Rimung 18 17 35 1 1 2.9 1 1 2.9
7 Beusa Meurano 17 14 31 2 1 3 9.7 2 1 3 9.7
8 Blang Balok 14 10 24 2 2 8.3 2 2 8.3
9 Blang Bitra 8 9 17 1 1 5.9 0 0.0
10 Buket Pala 24 17 41 3 2 5 12.2 3 2 5 12.2

11 Blang Simpo 8 10 18 2 1 3 16.7 2 1 3 16.7
12 Blang Bate 10 15 25 3 1 4 16.0 3 1 4 16.0 1
13 Cot Muda Itam 7 4 11 0 0.0 0 0.0
14 Cek Embon 14 20 34 1 1 2 5.9 1 1 2 5.9
15 Cot Keh PSP 10 8 18 0 0.0 0 0.0
16 Cot Gelumpang 11 16 27 2 1 3 11.1 1 1 3.7
17 Dama Tutong 14 14 28 2 3 5 17.9 2 3 5 17.9
18 Kemuning 5 11 16 0 0.0 0 0.0
19 K e u d e 4 4 8 2 2 25.0 2 2 25.0

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
( %) ( %)
20 Kw.Bugak 6 7 13 1 1 7.7 1 2 3 23.1
21 Kw.Leuge 16 11 27 2 1 3 11.1 2 1 3 11.1
22 Leuge 24 12 36 1 2 3 8.3 1 2 3 8.3
23 Lhok Dalam (T) 25 25 50 1 1 2.0 0 0.0
Lhok Dalam (M) 27 29 56 2 2 4 7.1 2 2 4 7.1
24 Lbk.Pempeng 25 25 50 1 1 2.0 1 1 2.0
25 Mtg.Gleum 5 9 14 3 3 21.4 3 3 21.4
26 Matang Plawi 12 14 26 1 1 3.8 1 1 3.8
27 Pasir Putih 9 11 20 1 2 3 15.0 2 2 10.0
28 Paya Lipah 18 14 32 3 3 6 18.8 3 3 9.4
29 P u n t i 12 9 21 0 0.0 1 1 4.8
30 Paya Kalui 5 4 9 0 0.0 0 0.0
31 Paya Meligo 14 9 23 1 1 2 8.7 1 1 2 8.7
32 Smt.Muda Itam 5 7 12 1 1 2 16.7 1 1 2 16.7
33 Snb.Aceh 18 15 33 4 4 12.1 4 4 12.1
34 Snb.Peusangan 25 15 40 2 2 5.0 2 2 5.0
35 Snb.Pidie 23 29 52 4 6 10 19.2 4 6 10 19.2 2
36 Tanah Rata 13 22 35 1 1 2.9 1 1 2 5.7
37 Tualang 11 18 29 2 1 3 10.3 2 1 3 10.3
38 Uteun Dama 15 15 30 0 0.0 0 0.0
Puskesmas 536 511 1047 44 39 83 7.9 41 39 80 7.6 3 0
Mengetahui:
Peureulak
NIP:19671231 198803 1 345
DATA DASA

( 0 - 11 ) BULAN

( %) ( %)
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Alue II Py Gajah 3 3 6 4 13 17 283.3 5 12 17 283.3 0 2
2 Alue Nibong 18 12 30 19 10 29 96.7 21 10 31 103.3 0 1
3 Alue Rambong 8 6 14 9 2 11 78.6 8 3 11 78.6 0 0
4 Bale Buya 9 5 14 2 7 9 64.3 2 7 9 64.3 0 0
5 Bandrong 13 7 20 10 9 19 95.0 10 7 17 85.0 0 0
6 Bangka Rimung 18 17 35 13 5 18 51.4 14 8 22 62.9 0 0

7 Beusa Meurano 17 14 31 14 10 24 77.4 14 10 24 77.4 1 1
8 Blang Balok 14 10 24 21 20 41 170.8 23 20 43 179.2 0 1
9 Blang Bitra 8 9 17 3 11 14 82.4 3 9 12 70.6 0 0
10 Buket Pala 24 17 41 16 16 32 78.0 16 14 30 73.2 0 0
11 Blang Simpo 8 10 18 13 5 18 100.0 13 5 18 100.0 0 0
12 Blang Bate 10 15 25 17 19 36 144.0 15 21 36 144.0 2 0
13 Cot Muda Itam 7 4 11 11 5 16 145.5 11 5 16 145.5 1 0
14 Cek Embon 14 20 34 22 17 39 114.7 22 18 40 117.6 0 1
15 Cot Keh PSP 10 8 18 14 7 21 116.7 14 6 20 111.1 0 1
16 Cot Gelumpang 11 16 27 10 12 22 81.5 5 10 15 55.6 0 1
17 Dama Tutong 14 14 28 8 16 24 85.7 9 17 26 92.9 2 1
18 Kemuning 5 11 16 6 6 12 75.0 6 6 12 75.0 1 0
19 K e u d e 4 4 8 1 6 7 87.5 2 8 10 125.0 1 0

( 0 - 11 ) BULAN

CAKUPAN CAKUPAN
( %) ( %)
20 Kw.Bugak 6 7 13 7 7 14 107.7 9 10 19 146.2 0 0
21 Kw.Leuge 16 11 27 11 9 20 74.1 7 5 12 44.4 2 4
22 Leuge 24 12 36 16 13 29 80.6 14 12 26 72.2 3 3
23 Lhok Dalam (T) 25 25 50 10 10 20 40.0 9 8 17 34.0 1 0
Lhok Dalam (M) 27 29 56 21 9 30 53.6 21 9 30 53.6 2 0
24 Lbk.Pempeng 25 25 50 9 14 23 46.0 7 11 18 36.0 1 1
25 Mtg.Gleum 5 9 14 7 5 12 85.7 7 5 12 85.7 0 0
26 Matang Plawi 12 14 26 2 10 12 46.2 2 10 12 46.2 0 0

27 Pasir Putih 9 11 20 13 9 22 110.0 11 10 21 105.0 2 0
Pasir Putih Krung 13 9 22 15 16 31 140.9 16 14 30 136.4 2 3
28 Paya Lipah 18 14 32 25 18 43 134.4 22 18 40 125.0 3 1
29 P u n t i 12 9 21 11 3 14 66.7 11 3 14 66.7 0 0
30 Paya Kalui 5 4 9 2 5 7 77.8 2 5 7 77.8 0 0
31 Paya Meligo 14 9 23 10 16 26 113.0 10 17 27 117.4 0 0
32 Smt.Muda Itam 5 7 12 7 7 14 116.7 7 6 13 108.3 0 0
33 Snb.Aceh 18 15 33 22 8 30 90.9 20 9 29 87.9 0 0
34 Snb.Peusangan 25 15 40 15 15 30 75.0 15 15 30 75.0 2 1
35 Snb.Pidie 23 29 52 20 20 40 76.9 15 17 32 61.5 4 0
36 Tanah Rata 13 22 35 3 3 6 17.1 2 3 5 14.3 0 0
37 Tualang 11 18 29 8 7 15 51.7 8 7 15 51.7 0 0
38 Uteun Dama 15 15 30 5 4 9 30.0 7 5 12 40.0 0 0
Puskesmas 536 511 1047 452 404 856 81.8 435 395 830 79.3 30 22
Mengetahui:
Peureulak
NIP:19671231 198803 1 345
CAKUPAN
SD / MIN MELAKSANAKAN
CAKUPAN PENANGANAN NEONATAL JUMLAH ANAK BALITA CAKUPAN PELAYANAN KESEHATAN ANAK
KOMPLIKASI (12 - 29 ) BULAN BALITA
SD KESEHATAN SISWA
/ KELAS I SD/MIN
MIN

CAKUPAN CAKUPAN CAKUPAN
LK PR JUMLAH JLH ABSOLUT
JUMLAH ( %) LK PR JUMLAH ( %) LK PR JUMLAH ( %)
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0 0.0 0 0.0 22 22 44 2 4 6 13.6
0 0.0 6 3 9 30.0 99 61 160 5 7 12 7.5
0 0.0 5 1 6 42.9 50 61 111 6 4 10 9.0 1
0 0.0 1 1 7.1 36 30 66 3 2 5 7.6 2
0 0.0 8 3 11 55.0 54 32 86 7 3 10 11.6
0 0.0 4 2 6 17.1 36 24 60 5 7 12 20.0
0 0.0 1 4 5 16.1 73 63 136 7 8 15 11.0
0 0.0 2 2 8.3 66 54 120 3 4 7 5.8
0 0.0 3 3 6 35.3 47 23 70 4 3 7 10.0
0 0.0 5 3 8 19.5 74 47 121 8 5 13 10.7
0 0.0 3 3 16.7 41 32 73 4 3 7 9.6 1
0 0.0 2 5 7 28.0 79 53 132 8 10 18 13.6 1
0 0.0 2 2 4 36.4 36 22 58 4 3 7 12.1
0 0.0 1 2 3 8.8 79 78 157 6 9 15 9.6 1
0 0.0 4 2 6 33.3 56 42 98 3 6 9 9.2 1
0 0.0 7 3 10 37.0 42 36 78 3 8 11 14.1 1
1 3.6 2 2 4 14.3 61 48 109 3 2 5 4.6
1 6.3 1 4 5 31.3 30 22 52 2 4 6 11.5 1
0 0.0 2 2 25.0 43 34 77 5 3 8 10.4

CAKUPAN
KOMPLIKASI (12 - 29 ) BULAN BALITA JLH KESEHATAN SISWA
SD KELAS I SD/MIN
/
MIN

0 0.0 3 2 5 38.5 26 27 53 3 5 8 15.1 1
0 0.0 3 2 5 18.5 30 48 78 7 8 15 19.2 1
0 0.0 10 1 11 30.6 51 54 105 12 6 18 17.1 2
0 0.0 2 2 4.0 75 69 144 8 4 12 8.3 3
0 0.0 1 3 4 7.1 120 109 229 6 9 15 6.6
1 2.0 1 1 2.0 75 69 144 3 5 8 5.6 1
0 0.0 1 4 5 35.7 35 33 68 2 1 3 4.4
0 0.0 4 5 9 34.6 71 46 117 6 7 13 11.1
0 0.0 2 4 6 30.0 34 43 77 8 12 20 26.0 1
0 0.0 3 3 13.6 49 44 93 8 9 17 18.3
1 3.1 5 7 12 37.5 99 83 182 12 10 22 12.1 2
0 0.0 2 2 9.5 31 34 65 3 4 7 10.8
0 0.0 1 1 2 22.2 14 14 28 2 2 4 14.3 1
0 0.0 3 2 5 21.7 55 42 97 5 8 13 13.4 1
0 0.0 1 2 3 25.0 40 46 86 3 6 9 10.5
0 0.0 4 7 11 33.3 84 84 168 7 12 19 11.3
0 0.0 5 8 13 32.5 73 63 136 6 9 15 11.0 1
0 0.0 1 2 3 5.8 68 72 140 13 10 23 16.4 1
0 0.0 5 5 14.3 24 33 57 6 3 9 15.8 1
0 0.0 4 5 9 31.0 68 81 149 14 5 19 12.8
0 0.0 1 4 5 16.7 35 31 66 4 3 7 10.6 1
4 0.4 109 110 219 20.9 2181 1909 4090 226 233 459 11.2 26
45 34 79 226 233 459

CAKUPAN
SD KESEHATAN SISWA
/ KELAS I SD/MIN
MIN

17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0 0.0 2 3 5 83.3 22 22 44 0 0.0
1 3.3 7 1 8 26.7 99 61 160 13 10 23 14.4
0 0.0 1 1 7.1 50 61 111 0 0.0 1
0 0.0 2 2 4 28.6 36 30 66 7 9 16 24.2 2
0 0.0 1 1 5.0 54 32 86 8 9 17 19.8
0 0.0 5 5 14.3 36 24 60 14 11 25 41.7
0 0.0 0 0.0 73 63 136 22 11 33 24.3
0 0.0 9 7 16 66.7 66 54 120 3 10 13 10.8
0 0.0 1 1 5.9 47 23 70 18 21 39 55.7
0 0.0 5 4 9 22.0 74 47 121 0 0.0
0 0.0 2 1 3 16.7 41 32 73 4 5 9 12.3 1
0 0.0 4 6 10 40.0 79 53 132 19 9 28 21.2 1
0 0.0 2 1 3 27.3 36 22 58 6 4 10 17.2
0 0.0 5 5 10 29.4 79 78 157 10 9 19 12.1 1
0 0.0 1 1 5.6 56 42 98 0 0.0 1
0 0.0 4 3 7 25.9 42 36 78 12 20 32 41.0 1
0 0.0 4 4 8 28.6 61 48 109 12 14 26 23.9
0 0.0 0 0.0 30 22 52 10 8 18 34.6 1

0 0.0 2 1 3 37.5 43 34 77 8 7 15 19.5
CAKUPAN
SD KELAS I SD/MIN
/
MIN

0 0.0 2 2 4 30.8 26 27 53 5 3 8 15.1 1
6 22.2 0 0.0 30 48 78 14 19 33 42.3 1
4 11.1 0 0.0 51 54 105 16 18 34 32.4 2
0 0.0 0 0.0 75 69 144 20 32 52 36.1 3
0 0.0 0 0.0 120 109 229 10 13 23 10.0
0 0.0 0 0.0 75 69 144 13 9 22 15.3 1
0 0.0 0 0.0 35 33 68 11 9 20 29.4
0 0.0 0 0.0 71 46 117 16 10 26 22.2
0 0.0 0 0.0 34 43 77 8 5 13 16.9 1
0 0.0 4 1 5 22.7 49 44 93 13 17 30 32.3
0 0.0 2 4 6 18.8 99 83 182 11 16 27 14.8 2
0 0.0 2 2 4 19.0 31 34 65 17 13 30 46.2
0 0.0 1 1 2 22.2 14 14 28 3 4 7 25.0 1
0 0.0 1 1 2 8.7 55 42 97 18 10 28 28.9 1
0 0.0 3 3 25.0 40 46 86 17 21 38 44.2
0 0.0 0 0.0 84 84 168 0 0.0
0 0.0 14 5 19 47.5 73 63 136 9 7 16 11.8 1
0 0.0 10 11 21 40.4 68 72 140 0 0.0 1
0 0.0 1 5 6 17.1 24 33 57 0 0.0 1
0 0.0 1 3 4 13.8 68 81 149 0 0.0

0 0.0 1 1 2 6.7 35 31 66 10 8 18 27.3 1
11 1.1 91 82 173 16.5 2181 1909 4090 377 371 748 18.3 26 0
34 32 66 377 371 748
CAKUPAN
SD KESEHATAN SISWA
/ KELAS I SD/MIN
MIN

17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0 0.0 0 0.0 22 22 44 0 0.0
0 0.0 3 2 5 16.7 99 61 160 7 5 12 7.5
0 0.0 4 1 5 35.7 50 61 111 21 18 39 35.1 1
0 0.0 3 3 21.4 36 30 66 6 4 10 15.2 2
0 0.0 4 5 9 45.0 54 32 86 0 0.0
0 0.0 0 0.0 36 24 60 0 0.0
2 6.5 0 0.0 73 63 136 9 11 20 14.7
0 0.0 0 0.0 66 54 120 0 0.0
0 0.0 0 0.0 47 23 70 0 0.0
0 0.0 3 4 7 17.1 74 47 121 16 12 28 23.1
0 0.0 2 5 7 38.9 41 32 73 0 0.0 1
0 0.0 3 8 11 44.0 79 53 132 11 9 20 15.2 1
1 9.1 3 3 27.3 36 22 58 13 17 30 51.7
0 0.0 1 3 4 11.8 79 78 157 0 0.0 1

0 0.0 0 0.0 56 42 98 0 0.0 1
0 0.0 2 3 5 18.5 42 36 78 10 17 27 34.6 1
1 3.6 2 3 5 17.9 61 48 109 0 0.0
0 0.0 1 1 6.3 30 22 52 3 2 5 9.6 1
0 0.0 0 0.0 43 34 77 4 5 9 11.7
CAKUPAN
SD KELAS I SD/MIN
/
MIN

0 0.0 2 2 15.4 26 27 53 4 5 9 17.0 1
0 0.0 4 3 7 25.9 30 48 78 11 17 28 35.9 1
1 2.8 1 2 3 8.3 51 54 105 10 15 25 23.8 2
0 0.0 0 0.0 75 69 144 0 0.0 3
2 3.6 1 4 5 8.9 120 109 229 12 15 27 11.8
0 0.0 2 5 7 14.0 75 69 144 0 0.0 1
0 0.0 2 3 5 35.7 35 33 68 7 5 12 17.6
0 0.0 3 5 8 30.8 71 46 117 12 8 20 17.1
0 0.0 0 0.0 34 43 77 0 0.0 1
2 9.1 1 1 2 9.1 49 44 93 0 0.0
1 3.1 7 1 8 25.0 99 83 182 18 12 30 16.5 2
0 0.0 0 0.0 31 34 65 6 4 10 15.4
0 0.0 1 1 11.1 14 14 28 1 2 3 10.7 1
0 0.0 3 4 7 30.4 55 42 97 15 12 27 27.8 1
0 0.0 1 3 4 33.3 40 46 86 0 0.0
0 0.0 6 3 9 27.3 84 84 168 0 0.0

0 0.0 2 7 9 22.5 73 63 136 7 5 12 8.8 1
0 0.0 0 0.0 68 72 140 0 0.0 1
0 0.0 3 4 7 20.0 24 33 57 0 0.0 1
0 0.0 0 0.0 68 81 149 0 0.0
0 0.0 1 2 3 10.0 35 31 66 12 10 22 33.3 1
10 1.0 65 87 152 14.5 2181 1909 4090 215 210 425 10.4 26 0
32 35 67 215 210 425
CAKUPAN
SD KESEHATAN SISWA
/ KELAS I SD/MIN
MIN

( %) ( %) ( %)
JUMLAH LK PR JUMLAH LK PR JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0 0.0 0 0.0 22 22 44 12 10 22 50.0
0 0.0 0 0.0 99 61 160 8 7 15 9.4
0 0.0 8 6 14 100.0 50 61 111 26 18 44 39.6 1
0 0.0 1 1 7.1 36 30 66 4 3 7 10.6 2
0 0.0 6 4 10 50.0 54 32 86 2 3 5 5.8
0 0.0 5 4 9 25.7 36 24 60 11 9 20 33.3
0 0.0 0 0.0 73 63 136 5 7 12 8.8
0 0.0 4 4 16.7 66 54 120 10 8 18 15.0
0 0.0 2 1 3 17.6 47 23 70 18 21 39 55.7
0 0.0 6 11 17 41.5 74 47 121 18 21 39 32.2

0 0.0 2 2 11.1 41 32 73 5 4 9 12.3 1
0 0.0 3 3 6 24.0 79 53 132 11 16 27 20.5 1
0 0.0 1 2 3 27.3 36 22 58 4 5 9 15.5
0 0.0 1 5 6 17.6 79 78 157 11 5 16 10.2 1
0 0.0 0 0.0 56 42 98 6 5 11 11.2 1
0 0.0 4 4 8 29.6 42 36 78 12 18 30 38.5 1
0 0.0 4 2 6 21.4 61 48 109 29 24 53 48.6
0 0.0 0 0.0 30 22 52 1 2 3 5.8 1
1 12.5 0 0.0 43 34 77 4 8 12 15.6
CAKUPAN
SD KELAS I SD/MIN
/
MIN

( %) ( %) ( %)
0 0.0 2 2 4 30.8 26 27 53 2 5 7 13.2 1
0 0.0 3 3 6 22.2 30 48 78 9 13 22 28.2 1
0 0.0 8 2 10 27.8 51 54 105 17 12 29 27.6 2
0 0.0 0 0.0 75 69 144 20 32 52 36.1 3
0 0.0 3 5 8 14.3 120 109 229 15 18 33 14.4
0 0.0 3 2 5 10.0 75 69 144 7 6 13 9.0 1
0 0.0 2 3 5 35.7 35 33 68 5 3 8 11.8
0 0.0 4 2 6 23.1 71 46 117 8 10 18 15.4
1 5.0 0 0.0 34 43 77 3 5 8 10.4 1
1 4.5 0 0.0 49 44 93 11 14 25 26.9
0 0.0 5 6 11 34.4 99 83 182 21 8 29 15.9 2
0 0.0 0 0.0 31 34 65 7 5 12 18.5

0 0.0 1 1 2 22.2 14 14 28 3 2 5 17.9 1
0 0.0 3 2 5 21.7 55 42 97 2 2 2.1 1
0 0.0 1 3 4 33.3 40 46 86 3 3 6 7.0
0 0.0 0 0.0 84 84 168 6 3 9 5.4
0 0.0 4 10 14 35.0 73 63 136 9 6 15 11.0 1
0 0.0 0 0.0 68 72 140 9 13 22 15.7 1
0 0.0 5 5 14.3 24 33 57 8 9 17 29.8 1
0 0.0 0 0.0 68 81 149 0 0.0
0 0.0 0 0.0 35 31 66 12 10 22 33.3 1
3 0.3 83 91 174 16.6 2181 1909 4090 374 371 745 18.2 26 0
33 21 54 374 371 745
CAKUPAN
SD KESEHATAN SISWA
/ KELAS I SD/MIN
MIN
JUMLAH ABSOLUT CAKUPAN JUMLAH ABSOLUT CAKUPAN JUMLAH ABSOLUT CAKUPAN

( %) ( %) ( %)
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0 0.0 0 0.0 22 22 44 19 16 35 79.5
0 0.0 0 0.0 99 61 160 5 6 11 6.9
0 0.0 1 2 3 21.4 50 61 111 12 10 22 19.8 1
0 0.0 2 2 14.3 36 30 66 2 4 6 9.1 2
0 0.0 4 4 20.0 54 32 86 5 4 9 10.5
0 0.0 0 0.0 36 24 60 14 11 25 41.7

0 0.0 2 7 9 29.0 73 63 136 4 3 7 5.1
0 0.0 7 5 12 50.0 66 54 120 8 1 9 7.5
0 0.0 1 1 5.9 47 23 70 20 15 35 50.0
0 0.0 3 2 5 12.2 74 47 121 14 20 34 28.1
0 0.0 1 1 2 11.1 41 32 73 4 3 7 9.6 1
0 0.0 4 9 13 52.0 79 53 132 9 9 18 13.6 1
0 0.0 5 1 6 54.5 36 22 58 0 0.0
0 0.0 3 5 8 23.5 79 78 157 5 7 12 7.6 1
0 0.0 2 2 4 22.2 56 42 98 3 6 9 9.2 1
0 0.0 1 1 2 7.4 42 36 78 10 16 26 33.3 1
0 0.0 1 2 3 10.7 61 48 109 2 1 3 2.8
0 0.0 0 0.0 30 22 52 4 2 6 11.5 1
0 0.0 2 1 3 37.5 43 34 77 2 1 3 3.9
CAKUPAN
SD KELAS I SD/MIN
/
MIN

( %) ( %) ( %)
0 0.0 1 3 4 30.8 26 27 53 5 5 10 18.9 1
0 0.0 2 5 7 25.9 30 48 78 4 7 11 14.1 1
0 0.0 4 4 8 22.2 51 54 105 12 10 22 21.0 2
0 0.0 0 0.0 75 69 144 0 0.0 3
0 0.0 0 0.0 120 109 229 13 17 30 13.1
0 0.0 0 0.0 75 69 144 6 4 10 6.9 1
0 0.0 2 2 14.3 35 33 68 4 3 7 10.3
0 0.0 2 3 5 19.2 71 46 117 6 12 18 15.4

1 5.0 0 0.0 34 43 77 5 1 6 7.8 1
1 4.5 1 1 4.5 49 44 93 15 12 27 29.0
0 0.0 3 5 8 25.0 99 83 182 18 7 25 13.7 2
0 0.0 3 1 4 19.0 31 34 65 4 4 8 12.3
0 0.0 0 0.0 14 14 28 0 0.0 1
0 0.0 2 3 5 21.7 55 42 97 20 18 38 39.2 1
0 0.0 3 2 5 41.7 40 46 86 1 3 4 4.7
0 0.0 5 6 11 33.3 84 84 168 3 6 9 5.4
1 2.5 11 6 17 42.5 73 63 136 6 7 13 9.6 1
1 1.9 0 0.0 68 72 140 0 0.0 1
0 0.0 3 3 8.6 24 33 57 13 15 28 49.1 1
0 0.0 0 0.0 68 81 149 0 0.0
0 0.0 0 0.0 35 31 66 15 12 27 40.9 1
4 0.4 77 80 157 15.0 2181 1909 4090 292 278 570 13.9 26 0
37 22 59 292 278 570
CAKUPAN
SD KESEHATAN SISWA
/ KELAS I SD/MIN
MIN

( %) ( %) ( %)
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0 0.0 2 3 5 83.3 22 22 44 23 20 43 97.7
0 0.0 6 1 7 23.3 99 61 160 8 6 14 8.8

0 0.0 3 1 4 28.6 50 61 111 17 13 30 27.0 1
0 0.0 1 1 7.1 36 30 66 7 5 12 18.2 2
0 0.0 4 1 5 25.0 54 32 86 0 0.0
0 0.0 5 6 11 31.4 36 24 60 9 8 17 28.3
0 0.0 0 0.0 73 63 136 6 9 15 11.0
0 0.0 0 0.0 66 54 120 13 6 19 15.8
0 0.0 1 1 2 11.8 47 23 70 21 18 39 55.7
0 0.0 2 2 4.9 74 47 121 8 12 20 16.5
0 0.0 0 0.0 41 32 73 3 3 6 8.2 1
0 0.0 3 7 10 40.0 79 53 132 12 7 19 14.4 1
0 0.0 2 2 18.2 36 22 58 0 0.0
0 0.0 6 7 13 38.2 79 78 157 3 4 7 4.5 1
0 0.0 0 0.0 56 42 98 6 5 11 11.2 1
0 0.0 2 3 5 18.5 42 36 78 10 21 31 39.7 1
0 0.0 4 4 8 28.6 61 48 109 1 3 4 3.7
0 0.0 3 3 18.8 30 22 52 1 3 4 7.7 1
0 0.0 0 0.0 43 34 77 5 6 11 14.3
CAKUPAN
SD KELAS I SD/MIN
/
MIN

( %) ( %) ( %)
0 0.0 2 2 4 30.8 26 27 53 3 6 9 17.0 1
0 0.0 4 5 9 33.3 30 48 78 3 1 4 5.1 1
0 0.0 2 2 5.6 51 54 105 8 10 18 17.1 2
1 2.0 0 0.0 75 69 144 15 20 35 24.3 3

0 0.0 9 5 14 25.0 120 109 229 18 20 38 16.6
1 2.0 8 5 13 26.0 75 69 144 6 5 11 7.6 1
0 0.0 3 3 6 42.9 35 33 68 8 7 15 22.1
0 0.0 0 0.0 71 46 117 0 0.0
0 0.0 2 2 4 20.0 34 43 77 3 4 7 9.1 1
0 0.0 1 1 4.5 49 44 93 9 11 20 21.5
0 0.0 6 6 12 37.5 99 83 182 4 7 11 6.0 2
0 0.0 1 3 4 19.0 31 34 65 5 6 11 16.9
0 0.0 1 1 11.1 14 14 28 1 1 2 7.1 1
0 0.0 0 0.0 55 42 97 0 0.0 1
0 0.0 1 7 8 66.7 40 46 86 1 1 1.2
0 0.0 1 3 4 12.1 84 84 168 2 2 4 2.4
0 0.0 1 6 7 17.5 73 63 136 7 7 14 10.3 1
1 1.9 6 3 9 17.3 68 72 140 10 5 15 10.7 1
0 0.0 3 1 4 11.4 24 33 57 16 21 37 64.9 1
0 0.0 0 0.0 68 81 149 0 0.0
0 0.0 4 5 9 30.0 35 31 66 16 12 28 42.4 1
3 0.3 90 99 189 18.1 2181 1909 4090 287 295 582 14.2 26 0
32 39 71 287 295 582
CAKUPAN
SD KESEHATAN SISWA
/ KELAS I SD/MIN
MIN

( %) ( %) ( %)
JLH
SD
/
MIN

17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0 0.0 1 2 3 50.0 22 22 44 21 18 39 88.6
0 0.0 4 5 9 30.0 99 61 160 5 6 11 6.9
0 0.0 10 7 17 121.4 50 61 111 16 11 27 24.3 1
0 0.0 3 3 21.4 36 30 66 5 4 9 13.6 2
0 0.0 10 4 14 70.0 54 32 86 6 3 9 10.5
0 0.0 1 1 2 5.7 36 24 60 10 9 19 31.7
0 0.0 0 0.0 73 63 136 4 6 10 7.4
0 0.0 5 2 7 29.2 66 54 120 1 5 6 5.0
0 0.0 1 3 4 23.5 47 23 70 20 10 30 42.9
0 0.0 1 1 2.4 74 47 121 21 26 47 38.8
0 0.0 0 0.0 41 32 73 4 5 9 12.3 1
0 0.0 5 9 14 56.0 79 53 132 10 9 19 14.4 1
0 0.0 1 3 4 36.4 36 22 58 0 0.0
1 2.9 6 7 13 38.2 79 78 157 5 11 16 10.2 1
0 0.0 0 0.0 56 42 98 4 5 9 9.2 1
0 0.0 5 5 10 37.0 42 36 78 10 20 30 38.5 1
1 3.6 3 2 5 17.9 61 48 109 2 2 4 3.7
0 0.0 0 0.0 30 22 52 4 2 6 11.5 1
0 0.0 0 0.0 43 34 77 6 5 11 14.3
CAKUPAN
SD KELAS I SD/MIN
/
MIN

0 0.0 3 2 5 38.5 26 27 53 4 3 7 13.2 1

0 0.0 2 2 4 14.8 30 48 78 6 4 10 12.8 1
0 0.0 1 5 6 16.7 51 54 105 7 9 16 15.2 2
0 0.0 0 0.0 75 69 144 19 21 40 27.8 3
0 0.0 0 0.0 120 109 229 20 22 42 18.3
0 0.0 4 4 8.0 75 69 144 10 1 11 7.6 1
0 0.0 0 0.0 35 33 68 6 4 10 14.7
0 0.0 0 0.0 71 46 117 0 0.0
0 0.0 5 5 25.0 34 43 77 5 3 8 10.4 1
1 4.5 3 3 13.6 49 44 93 7 10 17 18.3
0 0.0 5 6 11 34.4 99 83 182 5 8 13 7.1 2
0 0.0 0 0.0 31 34 65 0 0.0
0 0.0 1 1 11.1 14 14 28 2 2 4 14.3 1
0 0.0 2 1 3 13.0 55 42 97 12 8 20 20.6 1
0 0.0 1 3 4 33.3 40 46 86 2 1 3 3.5
0 0.0 0 0.0 84 84 168 0 0.0
1 2.5 4 8 12 30.0 73 63 136 8 7 15 11.0 1
0 0.0 4 3 7 13.5 68 72 140 9 13 22 15.7 1
0 0.0 5 5 14.3 24 33 57 22 16 38 66.7 1
0 0.0 0 0.0 68 81 149 0 0.0
0 0.0 1 1 3.3 35 31 66 16 10 26 39.4 1
4 0.4 83 94 177 16.9 2181 1909 4090 314 299 613 15.0 26 0
33 32 65 314 299 613
CAKUPAN
SD KESEHATAN SISWA
/ KELAS I SD/MIN
MIN
CAKUPAN
JUMLAH ANAK BALITA CAKUPAN PELAYANAN KESEHATAN ANAK
(12 - 29 ) BULAN BALITA
SD KESEHATAN SISWA
/ KELAS I SD/MIN
MIN

( %) ( %) ( %)
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0 0.0 0 0.0 22 22 44 21 18 39 88.6
0 0.0 6 1 7 23.3 99 61 160 17 16 33 20.6
0 0.0 0 0.0 50 61 111 0 0.0 1
0 0.0 1 1 7.1 36 30 66 6 4 10 15.2 2
0 0.0 3 3 6 30.0 54 32 86 5 4 9 10.5
0 0.0 1 3 4 11.4 36 24 60 7 5 12 20.0
0 0.0 0 0.0 73 63 136 12 9 21 15.4
1 4.2 8 5 13 54.2 66 54 120 5 7 12 10.0
0 0.0 2 4 6 35.3 47 23 70 18 21 39 55.7
0 0.0 1 1 2 4.9 74 47 121 12 9 21 17.4
0 0.0 1 3 4 22.2 41 32 73 8 7 15 20.5 1
0 0.0 5 14 19 76.0 79 53 132 10 5 15 11.4 1
0 0.0 4 1 5 45.5 36 22 58 0 0.0
0 0.0 12 8 20 58.8 79 78 157 7 12 19 12.1 1
0 0.0 2 2 11.1 56 42 98 5 4 9 9.2 1
1 3.7 3 4 7 25.9 42 36 78 12 16 28 35.9 1
0 0.0 1 1 3.6 61 48 109 2 3 5 4.6
0 0.0 2 2 12.5 30 22 52 8 9 17 32.7 1
0 0.0 0 0.0 43 34 77 8 7 15 19.5
CAKUPAN
SD KELAS I SD/MIN
/
MIN
CAKUPAN
JUMLAH ANAK BALITA CAKUPAN PELAYANAN KESEHATAN ANAK
(12 - 29 ) BULAN BALITA JLH KESEHATAN SISWA
SD KELAS I SD/MIN
/
MIN

( %) ( %) ( %)
0 0.0 2 5 7 53.8 26 27 53 6 5 11 20.8 1
0 0.0 2 3 5 18.5 30 48 78 3 5 8 10.3 1
0 0.0 1 3 4 11.1 51 54 105 10 8 18 17.1 2
0 0.0 2 2 4 8.0 75 69 144 52 45 97 67.4 3
0 0.0 6 2 8 14.3 120 109 229 25 32 57 24.9
0 0.0 4 4 8 16.0 75 69 144 6 4 10 6.9 1
0 0.0 2 1 3 21.4 35 33 68 0 0.0
0 0.0 0 0.0 71 46 117 0 0.0
0 0.0 3 2 5 25.0 34 43 77 6 2 8 10.4 1
0 0.0 2 1 3 13.6 49 44 93 9 11 20 21.5
1 3.1 5 1 6 18.8 99 83 182 12 10 22 12.1 2
0 0.0 2 1 3 14.3 31 34 65 4 5 9 13.8
0 0.0 1 1 2 22.2 14 14 28 2 3 5 17.9 1
0 0.0 3 1 4 17.4 55 42 97 8 6 14 14.4 1
0 0.0 4 4 8 66.7 40 46 86 2 2 4 4.7
0 0.0 4 2 6 18.2 84 84 168 0 0.0
0 0.0 9 5 14 35.0 73 63 136 7 6 13 9.6 1
0 0.0 5 1 6 11.5 68 72 140 16 13 29 20.7 1
0 0.0 1 4 5 14.3 24 33 57 3 1 4 7.0 1
0 0.0 0 0.0 68 81 149 0 0.0
0 0.0 0 0.0 35 31 66 0 0.0 1
3 0.3 107 93 200 19.1 2181 1909 4090 334 314 648 15.8 26 0
43 43 86 48 57 105
CAKUPAN
SD KESEHATAN SISWA
/ KELAS I SD/MIN
MIN

17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0 0.0 6 11 17 283.3 22 22 44 25 22 47 106.8
0 0.0 8 5 13 43.3 99 61 160 18 17 35 21.9
0 0.0 4 2 6 42.9 50 61 111 20 18 38 34.2 1
0 0.0 1 1 2 14.3 36 30 66 3 3 6 9.1 2
0 0.0 5 3 8 40.0 54 32 86 4 4 8 9.3
0 0.0 7 3 10 28.6 36 24 60 9 6 15 25.0
0 0.0 0 0.0 73 63 136 6 9 15 11.0
0 0.0 2 2 4 16.7 66 54 120 6 10 16 13.3
0 0.0 1 1 5.9 47 23 70 20 22 42 60.0
0 0.0 0 0.0 74 47 121 27 24 51 42.1
0 0.0 1 1 5.6 41 32 73 3 2 5 6.8 1
0 0.0 3 3 12.0 79 53 132 11 14 25 18.9 1
0 0.0 2 2 4 36.4 36 22 58 0 0.0
0 0.0 11 6 17 50.0 79 78 157 7 13 20 12.7 1
0 0.0 0 0.0 56 42 98 6 8 14 14.3 1
0 0.0 3 6 9 33.3 42 36 78 10 17 27 34.6 1
0 0.0 6 6 12 42.9 61 48 109 2 2 1.8
0 0.0 2 3 5 31.3 30 22 52 3 1 4 7.7 1
0 0.0 2 2 25.0 43 34 77 3 4 7 9.1

CAKUPAN
SD KELAS I SD/MIN
/
MIN

0 0.0 3 3 6 46.2 26 27 53 3 4 7 13.2 1
0 0.0 3 3 6 22.2 30 48 78 1 2 3 3.8 1
0 0.0 1 2 3 8.3 51 54 105 10 9 19 18.1 2
0 0.0 3 3 6 12.0 75 69 144 15 17 32 22.2 3
0 0.0 5 4 9 16.1 120 109 229 20 25 45 19.7
0 0.0 3 2 5 10.0 75 69 144 8 5 13 9.0 1
0 0.0 1 2 3 21.4 35 33 68 4 5 9 13.2
0 0.0 0 0.0 71 46 117 0 0.0
0 0.0 3 4 7 35.0 34 43 77 4 3 7 9.1 1
0 0.0 0 0.0 49 44 93 7 13 20 21.5
1 3.1 5 5 10 31.3 99 83 182 8 11 19 10.4 2
0 0.0 2 2 9.5 31 34 65 3 4 7 10.8
0 0.0 3 3 33.3 14 14 28 2 2 4 14.3 1
0 0.0 1 4 5 21.7 55 42 97 10 13 23 23.7 1
0 0.0 3 3 6 50.0 40 46 86 1 2 3 3.5
0 0.0 0 0.0 84 84 168 0 0.0
1 2.5 2 2 4 10.0 73 63 136 8 7 15 11.0 1
0 0.0 7 4 11 21.2 68 72 140 9 4 13 9.3 1
0 0.0 2 2 4 11.4 24 33 57 12 12 24 42.1 1
0 0.0 0 0.0 68 81 149 0 0.0
0 0.0 0 0.0 35 31 66 17 11 28 42.4 1
2 0.2 103 101 204 19.5 2181 1909 4090 323 345 668 16.3 26 0
33 51 84 323 345 668 Peureulak 30 SEPTE

CAKUPAN
SD KESEHATAN SISWA
/ KELAS I SD/MIN
MIN

( %) ( %) ( %)
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
2 33.3 1 1 16.7 22 22 44 12 13 25 56.8
0 0.0 8 4 12 40.0 99 61 160 16 15 31 19.4
0 0.0 11 8 19 135.7 50 61 111 12 17 29 26.1 1
0 0.0 1 4 5 35.7 36 30 66 5 6 11 16.7 2
0 0.0 1 1 5.0 54 32 86 4 3 7 8.1
0 0.0 2 1 3 8.6 36 24 60 8 5 13 21.7
0 0.0 0 0.0 73 63 136 0 0.0
0 0.0 10 7 17 70.8 66 54 120 8 2 10 8.3
0 0.0 1 1 5.9 47 23 70 16 14 30 42.9
0 0.0 1 1 2.4 74 47 121 10 11 21 17.4
0 0.0 6 1 7 38.9 41 32 73 4 3 7 9.6 1
1 4.0 3 5 8 32.0 79 53 132 7 11 18 13.6 1
0 0.0 2 2 4 36.4 36 22 58 11 18 29 50.0
0 0.0 13 7 20 58.8 79 78 157 15 7 22 14.0 1
1 5.6 4 3 7 38.9 56 42 98 0 0.0 1
0 0.0 0 0.0 42 36 78 0 0.0 1
0 0.0 1 1 2 7.1 61 48 109 1 1 2 1.8
0 0.0 0 0.0 30 22 52 4 1 5 9.6 1

0 0.0 1 1 12.5 43 34 77 4 3 7 9.1
CAKUPAN
SD KELAS I SD/MIN
/
MIN

0 0.0 3 2 5 38.5 26 27 53 2 3 5 9.4 1
0 0.0 2 2 7.4 30 48 78 4 2 6 7.7 1
0 0.0 5 5 10 27.8 51 54 105 7 10 17 16.2 2
0 0.0 3 3 6.0 75 69 144 14 10 24 16.7 3
0 0.0 0 0.0 120 109 229 25 30 55 24.0
0 0.0 3 4 7 14.0 75 69 144 5 6 11 7.6 1
0 0.0 1 1 7.1 35 33 68 0 0.0
0 0.0 0 0.0 71 46 117 0 0.0
0 0.0 8 2 10 50.0 34 43 77 3 5 8 10.4 1
0 0.0 3 1 4 18.2 49 44 93 9 10 19 20.4
0 0.0 9 4 13 40.6 99 83 182 11 12 23 12.6 2
0 0.0 1 2 3 14.3 31 34 65 3 3 6 9.2
0 0.0 0 0.0 14 14 28 3 3 6 21.4 1
0 0.0 1 1 2 8.7 55 42 97 13 9 22 22.7 1
0 0.0 1 1 2 16.7 40 46 86 1 1 2 2.3
0 0.0 10 8 18 54.5 84 84 168 0 0.0
0 0.0 5 4 9 22.5 73 63 136 6 6 12 8.8 1
0 0.0 4 3 7 13.5 68 72 140 8 5 13 9.3 1
0 0.0 2 2 5.7 24 33 57 16 12 28 49.1 1
0 0.0 0 0.0 68 81 149 0 0.0

0 0.0 6 7 13 43.3 35 31 66 15 16 31 47.0 1
4 0.4 128 92 220 21.0 2181 1909 4090 282 273 555 13.6 26 0
28 42 70 282 273 555
CAKUPAN
SD KESEHATAN SISWA
/ KELAS I SD/MIN
MIN

17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0 0.0 0 0.0 22 22 44 0 0.0
0 0.0 6 5 11 36.7 99 61 160 17 15 32 20.0
0 0.0 1 1 2 14.3 50 61 111 15 18 33 29.7 1
0 0.0 0 0.0 36 30 66 7 3 10 15.2 2
0 0.0 5 6 11 55.0 54 32 86 4 3 7 8.1
0 0.0 0 0.0 36 24 60 8 6 14 23.3
0 0.0 0 0.0 73 63 136 11 15 26 19.1
0 0.0 1 1 4.2 66 54 120 11 5 16 13.3
0 0.0 2 5 7 41.2 47 23 70 18 19 37 52.9
0 0.0 0 0.0 74 47 121 32 29 61 50.4
0 0.0 2 1 3 16.7 41 32 73 5 4 9 12.3 1
0 0.0 4 3 7 28.0 79 53 132 10 5 15 11.4 1
0 0.0 2 2 18.2 36 22 58 0 0.0
0 0.0 6 7 13 38.2 79 78 157 5 10 15 9.6 1

0 0.0 0 0.0 56 42 98 10 6 16 16.3 1
0 0.0 4 6 10 37.0 42 36 78 10 15 25 32.1 1
0 0.0 3 3 6 21.4 61 48 109 4 3 7 6.4
0 0.0 2 2 12.5 30 22 52 6 2 8 15.4 1
0 0.0 1 1 12.5 43 34 77 5 9 14 18.2
CAKUPAN
SD KELAS I SD/MIN
/
MIN

0 0.0 1 4 5 38.5 26 27 53 5 2 7 13.2 1
0 0.0 4 2 6 22.2 30 48 78 1 3 4 5.1 1
1 2.8 0 0.0 51 54 105 8 15 23 21.9 2
0 0.0 1 1 2.0 75 69 144 30 20 50 34.7 3
0 0.0 0 0.0 120 109 229 0 0.0
0 0.0 3 3 6 12.0 75 69 144 6 4 10 6.9 1
0 0.0 2 2 14.3 35 33 68 6 4 10 14.7
0 0.0 0 0.0 71 46 117 0 0.0
0 0.0 1 2 3 15.0 34 43 77 5 4 9 11.7 1
0 0.0 2 2 4 18.2 49 44 93 7 9 16 17.2
0 0.0 4 2 6 18.8 99 83 182 12 8 20 11.0 2
0 0.0 2 1 3 14.3 31 34 65 3 2 5 7.7
0 0.0 0 0.0 14 14 28 3 3 6 21.4 1
0 0.0 1 4 5 21.7 55 42 97 0 0.0 1
0 0.0 3 3 6 50.0 40 46 86 2 1 3 3.5
0 0.0 3 2 5 15.2 84 84 168 0 0.0

0 0.0 9 8 17 42.5 73 63 136 7 6 13 9.6 1
0 0.0 2 2 3.8 68 72 140 7 5 12 8.6 1
0 0.0 1 3 4 11.4 24 33 57 16 14 30 52.6 1
0 0.0 1 2 3 10.3 68 81 149 0 0.0
0 0.0 0 0.0 35 31 66 15 18 33 50.0 1
1 0.1 77 77 154 14.7 2181 1909 4090 311 285 596 14.6 26 0
33 33 66 311 285 596
CAKUPAN
SD KESEHATAN SISWA
/ KELAS I SD/MIN
MIN

( %) ( %) ( %)
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0 0.0 0 0.0 22 22 44 0 0.0
0 0.0 6 4 10 33.3 99 61 160 10 8 18 11.3
0 0.0 1 1 2 14.3 50 61 111 11 16 27 24.3 1
0 0.0 1 1 2 14.3 36 30 66 5 6 11 16.7 2
0 0.0 13 8 21 105.0 54 32 86 0 0.0
0 0.0 7 4 11 31.4 36 24 60 7 5 12 20.0
0 0.0 0 0.0 73 63 136 6 8 14 10.3
0 0.0 4 9 13 54.2 66 54 120 9 5 14 11.7
0 0.0 1 1 5.9 47 23 70 20 20 40 57.1
0 0.0 0 0.0 74 47 121 29 26 55 45.5

0 0.0 3 1 4 22.2 41 32 73 0 0.0 1
1 4.0 3 8 11 44.0 79 53 132 9 7 16 12.1 1
0 0.0 4 4 36.4 36 22 58 0 0.0
0 0.0 5 4 9 26.5 79 78 157 7 10 17 10.8 1
0 0.0 0 0.0 56 42 98 6 7 13 13.3 1
0 0.0 3 5 8 29.6 42 36 78 8 12 20 25.6 1
0 0.0 3 2 5 17.9 61 48 109 6 7 13 11.9
0 0.0 2 2 12.5 30 22 52 2 3 5 9.6 1
0 0.0 2 2 25.0 43 34 77 7 7 14 18.2
CAKUPAN
SD KELAS I SD/MIN
/
MIN

( %) ( %) ( %)
0 0.0 3 4 7 53.8 26 27 53 3 6 9 17.0 1
0 0.0 2 5 7 25.9 30 48 78 2 1 3 3.8 1
0 0.0 4 6 10 27.8 51 54 105 5 8 13 12.4 2
0 0.0 0 0.0 75 69 144 0 0.0 3
0 0.0 10 5 15 26.8 120 109 229 22 25 47 20.5
0 0.0 1 4 5 10.0 75 69 144 4 7 11 7.6 1
0 0.0 0 0.0 35 33 68 8 6 14 20.6
0 0.0 0 0.0 71 46 117 0 0.0
0 0.0 5 5 10 50.0 34 43 77 3 2 5 6.5 1
0 0.0 1 1 4.5 49 44 93 6 8 14 15.1
0 0.0 4 5 9 28.1 99 83 182 9 7 16 8.8 2
0 0.0 3 1 4 19.0 31 34 65 2 2 4 6.2

0 0.0 0 0.0 14 14 28 2 2 4 14.3 1
0 0.0 3 6 9 39.1 55 42 97 0 0.0 1
0 0.0 3 2 5 41.7 40 46 86 1 3 4 4.7
0 0.0 3 3 6 18.2 84 84 168 3 3 6 3.6
0 0.0 2 3 5 12.5 73 63 136 6 6 12 8.8 1
2 3.8 4 5 9 17.3 68 72 140 6 7 13 9.3 1
0 0.0 1 2 3 8.6 24 33 57 10 16 26 45.6 1
0 0.0 0 0.0 68 81 149 0 0.0
0 0.0 0 0.0 35 31 66 14 10 24 36.4 1
3 0.3 101 109 210 20.1 2181 1909 4090 248 266 514 12.6 26 0
30 39 69 248 266 514
CAKUPAN
SD KESEHATAN SISWA
/ KELAS I SD/MIN
MIN

( %) ( %) ( %)
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
2 33.3 11 20 31 516.7 22 22 44 135 121 256 581.8
1 3.3 60 31 91 303.3 99 61 160 129 118 247 154.4
0 0.0 48 31 79 564.3 50 61 111 156 143 299 269.4 1
0 0.0 7 18 25 178.6 36 30 66 60 53 113 171.2 2
0 0.0 63 38 101 505.0 54 32 86 45 36 81 94.2
0 0.0 32 29 61 174.3 36 24 60 102 82 184 306.7

2 6.5 3 11 14 45.2 73 63 136 92 96 188 138.2
1 4.2 52 37 89 370.8 66 54 120 77 63 140 116.7
0 0.0 13 20 33 194.1 47 23 70 193 184 377 538.6
0 0.0 24 28 52 126.8 74 47 121 195 195 390 322.3
0 0.0 18 18 36 200.0 41 32 73 44 39 83 113.7 1
2 8.0 39 80 119 476.0 79 53 132 127 111 238 180.3 1
1 9.1 30 14 44 400.0 36 22 58 38 47 85 146.6
1 2.9 70 66 136 400.0 79 78 157 81 97 178 113.4 1
1 5.6 12 8 20 111.1 56 42 98 49 52 101 103.1 1
1 3.7 38 43 81 300.0 42 36 78 107 180 287 367.9 1
3 10.7 34 31 65 232.1 61 48 109 62 62 124 113.8
1 6.3 5 15 20 125.0 30 22 52 48 39 87 167.3 1
1 12.5 5 9 14 175.0 43 34 77 61 65 126 163.6
CAKUPAN
SD KELAS I SD/MIN
/
MIN

( %) ( %) ( %)
0 0.0 25 33 58 446.2 26 27 53 45 52 97 183.0 1
6 22.2 31 33 64 237.0 30 48 78 65 82 147 188.5 1
6 16.7 35 32 67 186.1 51 54 105 122 130 252 240.0 2
1 2.0 10 6 16 32.0 75 69 144 193 201 394 273.6 3
2 3.6 35 28 63 112.5 120 109 229 186 226 412 179.9
2 4.0 27 34 61 122.0 75 69 144 74 56 130 90.3 1
0 0.0 15 17 32 228.6 35 33 68 61 47 108 158.8
0 0.0 13 15 28 107.7 71 46 117 48 47 95 81.2

2 10.0 29 21 50 250.0 34 43 77 53 46 99 128.6 1
5 22.7 19 8 27 122.7 49 44 93 101 124 225 241.9
4 12.5 60 52 112 350.0 99 83 182 141 116 257 141.2 2
0 0.0 18 11 29 138.1 31 34 65 57 52 109 167.7
0 0.0 7 7 14 155.6 14 14 28 24 26 50 178.6 1
0 0.0 23 29 52 226.1 55 42 97 103 84 187 192.8 1
0 0.0 25 33 58 483.3 40 46 86 33 44 77 89.5
0 0.0 36 34 70 212.1 84 84 168 21 26 47 28.0
3 7.5 68 72 140 350.0 73 63 136 86 79 165 121.3 1
4 7.7 43 32 75 144.2 68 72 140 87 75 162 115.7 1
0 0.0 12 41 53 151.4 24 33 57 122 119 241 422.8 1
0 0.0 6 10 16 55.2 68 81 149 14 5 19 12.8
0 0.0 13 20 33 110.0 35 31 66 146 120 266 403.0 1
52 5.0 1114 1115 2229 212.9 2181 1909 4090 3583 3540 7123 174.2 26 0
PUSKESMAS MAMPU PUSKESMAS MAMPU
PENJARINGAN LAKSANA PELAYANAN TERLAKSANA KASUS
KESEHATAN SISWA KESEHATAN PEDULI REMAJA KEKERASAN TERHADAP ANAK
KELAS I SD/MIN (PKPR) (KTA)

JLH ABSOLUT JLH ABSOLUT
(% ) (% ) (% )
32 33 34 35 36

(% ) (% ) (% )
Peureulak 31 Januari 2014

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001


(% ) (% ) (% )
32 33 34 35 36

(% ) (% ) (% )
0
Peureulak 28 Februari 2014

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001


(% ) (% ) (% )
32 33 34 35 36
BBLR

(% ) (% ) (% )
0
Peureulak 04 April 2014

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001


(% ) (% ) (% )
32 33 34 35 36
BBLR

(% ) (% ) (% )
0
Peureulak 30 April 2014

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001


(% ) (% ) (% )
32 33 34 35 36
BBLR


(% ) (% ) (% )
0
Peureulak 31 Mai 2014

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001


(% ) (% ) (% )
32 33 34 35 36
BBLR


(% ) (% ) (% )
0
Peureulak 30 Juni 2014

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001


(% ) (% ) (% )
(% ) (% ) (% )
32 33 34 35 36
BBLR


(% ) (% ) (% )
0
Peureulak 30 Juli 2014

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001


(% ) (% ) (% )
32 33 34 35 36
BBLR


(% ) (% ) (% )
Peureulak 30 AGUSTUS 2014

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001

(% ) (% ) (% )
32 33 34 35 36
BBLR

(% ) (% ) (% )
Peureulak 30 SEPTEMBER 2014

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001


(% ) (% ) (% )
32 33 34 35 36
BBLR

(% ) (% ) (% )
0
Peureulak 31 Oktober 2014

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001


(% ) (% ) (% )
32 33 34 35 36
BBLR

(% ) (% ) (% )
0
Peureulak 30 November 2014

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001


(% ) (% ) (% )
32 33 34 35 36
BBLR

(% ) (% ) (% )
0

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001


(% ) (% ) (% )
32 33 34 35 36
BBLR


(% ) (% ) (% )
0

( MUANNAS Amd.Keb)
NIP:19670105 199012 2 001
LAPORAN BAYI,ANAK BALITA DAN KUNJUNGAN K4 JANUARI S/D DESEMBER 2014
BULAN JANUARI FEBRUARI MARET APRIL MAI JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOVEMBER DESEMBER JUMLAH
KUNJUNGAN BAYI 79 66 67 54 59 71 65 86 84 70 66 69 836
KUNJUNGAN BALITA 459 748 425 745 570 582 613 105 668 555 596 514 6580
KUNJUNGAN BUMIL K4 65 62 67 65 61 64 58 77 67 80 71 73 810

Lap - Anak 2015

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DATA DASAR KESEHATAN ANAK

BULAN : JANUARI 2012

DATA CAKUPAN PROGRAM

13 Cot Muda Itam 1 1 32

15 Cot Keh PSP 2 2 39

28 Pasir Putih Krung 2 1 44

32 Paya Meligo 1 1 109

Mengetahui: Pengelola Program KIA

DATA CAKUPAN PROGRAM

CAKUPAN KN CAKUPAN NEONATAL KOMPLIKASI CAKUPAN ANAK PRASEKOLAH (60-71

13 Cot Muda Itam 32

15 Cot Keh PSP 39

28 Pasir Putih Krung 44

32 Paya Meligo 2 2 7 5 109

Mengetahui: Pengelola Program KIA

DATA DASAR KESEHATAN ANAK

DATA CAKUPAN PROGRAM

CAKUPAN KN CAKUPAN NEONATAL KOMPLIKASI CAKUPAN ANAK PRASEKOLAH (60-71

13 Cot Muda Itam 1 32

15 Cot Keh PSP 39

28 Pasir Putih Krung 3 44

32 Paya Meligo 4 1 109

Mengetahui: Pengelola Program KIA

DATA DASAR KESEHATAN ANAK

DATA CAKUPAN PROGRAM

1 Alue II Py.Gajah 0 0 0 0 0 123 0

3 Alue Rambong 5 1 0 0 0 210 0

6 Bangka Rimung 2 3 0 0 8 153 0

7 Beusa Meurano 5 4 0 5 0 177 0

9 Blang Bitra 7 4 0 4 6 171 0

11 Blang Simpo 1 2 1 0 0 108 0

13 Cot Muda Itam 1 2 0 0 0 96 0

15 Cot Keh PSP 2 2 0 0 0 117 0

16 Cot Gelumpang 7 4 0 6 3 234 0

17 Dama Tutong 8 6 0 5 2 126 0

23 Lhok Dalam 12 7 0 0 0 132 0

26 Matang Plawi 4 3 0 5 6 159 0

27 Pasir Putih 5 6 0 7 38 126 0

28 Pasir Putih Krung 5 1 0 0 0 132 0

29 Paya Lipah 16 7 0 2 0 237 0

32 Paya Meligo 7 4 0 7 5 327 0

33 Smt.Muda Itam 4 4 0 0 0 192 0

37 Tanah Rata 1 1 0 2 0 111 0

Puskesmas 222 0 137 0 1 0 79 0 97 0 4802 0 0

Mengetahui: Pengelola Program KIA

Hj ZURAIDA HANUM,.Am.Keb ( MUANNAS Amd.Keb)

JMLH SARANA RUJUKAN

NO NAMA DESA MELAKSANAKAN SDIDTK

JMLH SARANA RUJUKAN

JUMLAH SEKOLAH YANG MELAKSANAKAN UKS

SD/MI SMP/MTs SMA/SMK

JUMLAH SEKOLAH YANG MELAKSANAKAN UKS

SD/MI SMP/MTs SMA/SMK

JMLH PUSKESMAS MEMILIKI

13 Cot Muda Itam

15 Cot Keh PSP

JMLH PUSKESMAS MEMILIKI

28 Pasir Putih Krung

JMLH TENAGA PUSKESMAS TERLATIH JMLH TENAGA TERLATIH

JMLH TENAGA PUSKESMAS TERLATIH JMLH TENAGA TERLATIH

KEMATIAN DAN PENYEBAB NYA

13 Cot Muda Itam

15 Cot Keh PSP