LAPORAN HASIL KEGIATAN

I. Hari/TGL : Sabtu, 11 Juli 2015

II. Tempat :Posyandu Sangglung Desa Depeha
III. Tujuan Kunjungan : Pemantauan kesehatan bayi

IV. Hasil Kegiatan:

1. Jumlah sasaran Bayi : ................................. org
2. Jumlah Bayi yg datang ke Posyandu : ...................................org
3. Jumlah Bayi yg naik BB : ...................................org
4. Jumlah Bayi yg tetap/turun BB : ....................................org
5. Jumlah Bayi yg BB turun 2x berturit-turut(2T) : ...................................org
6. Jumlah Bayi yg Gizi buruk : .....................................org
7. Jumlah Bayi yg Gizi kurang : .....................................org
8. Jumlah Bayi yg mendapat Vitamin A Biru = ...........................org
9. Jumlah Bayi ( 0-7 hari ) yg mendapat imunisasi Hb 0 – 7 hr : .....................org
10. Jumlah bayi umur 1 bulan yg mendapat BCG, Polio 1 : ............................org
11. Jumlah bayi umur 2 bulan yg mendapat DPT-Hib1, polio 2: ........................org
12. Jumlah bayi 2 bulan yg mendapat DPT-Hib1, polio 2 : ...............................org
13. Jumlah bayi 2 bulan yg mendapat DPT-Hib1, polio 2 : ................................org
14. Jumlah bayi 9 bulan yg mendapat Campak : .................................org

V. Permasalahan : .................................................................................................................
.........................................................................................................
VI. Saran : ..............................................................................................................
...............................................................................................................

.....................,....................................
Mengetahui, Petugas,
Plh. Kepala Puskesmas Kubutambahan I

1. .........................................................
Drg. I Nengah Supaya 2..........................................................
NIP. 196312312000031059 3. ......................................................
4..........................................................

Mengetahui,
Kepala Dusun/Desa………………………..

(………………………………………………………...)
 LAPORAN HASIL KEGIATAN

VII. Hari/TGL : 13 April 2015

VIII. Tempat : Posyandu Bingin Desa Depeha
IX. Tujuan Kunjungan : Pemantauan kesehatan bayi

X. Hasil Kegiatan:
1. Jumlah sasaran Bayi : ................................. org
2. Jumlah Bayi yg datang ke Posyandu : ...................................org
3. Jumlah Bayi yg naik BB : ...................................org
4. Jumlah Bayi yg tetap/turun BB : ....................................org
5. Jumlah Bayi yg BB turun 2x berturit-turut(2T) : ...................................org
6. Jumlah Bayi yg Gizi buruk : .....................................org
7. Jumlah Bayi yg Gizi kurang : .....................................org
8. Jumlah Bayi yg mendapat Vitamin A Biru = ...........................org
9. Jumlah Bayi ( 0-7 hari ) yg mendapat imunisasi Hb 0 – 7 hr : .....................org
10. Jumlah bayi umur 1 bulan yg mendapat BCG, Polio 1 : ............................org
11. Jumlah bayi umur 2 bulan yg mendapat DPT-Hib1, polio 2: ........................org
12. Jumlah bayi 2 bulan yg mendapat DPT-Hib1, polio 2 : ...............................org
13. Jumlah bayi 2 bulan yg mendapat DPT-Hib1, polio 2 : ................................org
14. Jumlah bayi 9 bulan yg mendapat Campak : .................................org

XI. Permasalahan : .................................................................................................................

.........................................................................................................
XII. Saran : ..............................................................................................................
...............................................................................................................

.....................,....................................
Mengetahui, Petugas,
Plh. Kepala Puskesmas Kubutambahan I

1. .........................................................
Drg. I Nengah Supaya 2..........................................................
NIP. 196312312000031059 3. ......................................................
4..........................................................

Mengetahui,
Kepala Dusun/Desa………………………..

(………………………………………………………...)
 LAPORAN HASIL KEGIATAN

XIII. Hari/TGL : Rabu, 22 Juli 2015

XIV. Tempat : Posyandu Dangi Pura Desa Depeha
XV. Tujuan Kunjungan : Pemantauan kesehatan bayi

XVI. Hasil Kegiatan:

1. Jumlah sasaran Bayi : ................................. org
2. Jumlah Bayi yg datang ke Posyandu : ...................................org
3. Jumlah Bayi yg naik BB : ...................................org
4. Jumlah Bayi yg tetap/turun BB : ....................................org
5. Jumlah Bayi yg BB turun 2x berturit-turut(2T) : ...................................org
6. Jumlah Bayi yg Gizi buruk : .....................................org
7. Jumlah Bayi yg Gizi kurang : .....................................org
8. Jumlah Bayi yg mendapat Vitamin A Biru = ...........................org
9. Jumlah Bayi ( 0-7 hari ) yg mendapat imunisasi Hb 0 – 7 hr : .....................org
10. Jumlah bayi umur 1 bulan yg mendapat BCG, Polio 1 : ............................org
11. Jumlah bayi umur 2 bulan yg mendapat DPT-Hib1, polio 2: ........................org
12. Jumlah bayi 2 bulan yg mendapat DPT-Hib1, polio 2 : ...............................org
13. Jumlah bayi 2 bulan yg mendapat DPT-Hib1, polio 2 : ................................org
14. Jumlah bayi 9 bulan yg mendapat Campak : .................................org

XVII. Permasalahan : .................................................................................................................

.........................................................................................................
XVIII. Saran : ..............................................................................................................
...............................................................................................................

.....................,....................................
Mengetahui, Petugas,
Plh. Kepala Puskesmas Kubutambahan I

1. .........................................................
Drg. I Nengah Supaya 2..........................................................
NIP. 196312312000031059 3. ......................................................
4..........................................................

Mengetahui,
Kepala Dusun/Desa………………………..

(………………………………………………………...)
 LAPORAN HASIL KEGIATAN

XIX. Hari/TGL : Kamis, 23 Juli 2015

XX. Tempat : Posyandu Seganti Desa Depeha
XXI. Tujuan Kunjungan : Pemantauan kesehatan bayi

XXII. Hasil Kegiatan:

1. Jumlah sasaran Bayi : ................................. org
2. Jumlah Bayi yg datang ke Posyandu : ...................................org
3. Jumlah Bayi yg naik BB : ...................................org
4. Jumlah Bayi yg tetap/turun BB : ....................................org
5. Jumlah Bayi yg BB turun 2x berturit-turut(2T) : ...................................org
6. Jumlah Bayi yg Gizi buruk : .....................................org
7. Jumlah Bayi yg Gizi kurang : .....................................org
8. Jumlah Bayi yg mendapat Vitamin A Biru = ...........................org
9. Jumlah Bayi ( 0-7 hari ) yg mendapat imunisasi Hb 0 – 7 hr : .....................org
10. Jumlah bayi umur 1 bulan yg mendapat BCG, Polio 1 : ............................org
11. Jumlah bayi umur 2 bulan yg mendapat DPT-Hib1, polio 2: ........................org
12. Jumlah bayi 2 bulan yg mendapat DPT-Hib1, polio 2 : ...............................org
13. Jumlah bayi 2 bulan yg mendapat DPT-Hib1, polio 2 : ................................org
14. Jumlah bayi 9 bulan yg mendapat Campak : .................................org

XXIII. Permasalahan : .................................................................................................................

.........................................................................................................
XXIV. Saran : ..............................................................................................................
...............................................................................................................

.....................,....................................
Mengetahui, Petugas,
Plh. Kepala Puskesmas Kubutambahan I

1. .........................................................
Drg. I Nengah Supaya 2..........................................................
NIP. 196312312000031059 3. ......................................................
4..........................................................

Mengetahui,
Kepala Dusun/Desa………………………..

(………………………………………………………...)
 LAPORAN HASIL KEGIATAN

XXV. Hari/TGL : Jumat, 24 Juli 2015

XXVI. Tempat :Posyandu Dauh Pura Desa Depeha
XXVII. Tujuan Kunjungan : Pemantauan kesehatan bayi

XXVIII. Hasil Kegiatan:

1. Jumlah sasaran Bayi : ................................. org
2. Jumlah Bayi yg datang ke Posyandu : ...................................org
3. Jumlah Bayi yg naik BB : ...................................org
4. Jumlah Bayi yg tetap/turun BB : ....................................org
5. Jumlah Bayi yg BB turun 2x berturit-turut(2T) : ...................................org
6. Jumlah Bayi yg Gizi buruk : .....................................org
7. Jumlah Bayi yg Gizi kurang : .....................................org
8. Jumlah Bayi yg mendapat Vitamin A Biru = ...........................org
9. Jumlah Bayi ( 0-7 hari ) yg mendapat imunisasi Hb 0 – 7 hr : .....................org
10. Jumlah bayi umur 1 bulan yg mendapat BCG, Polio 1 : ............................org
11. Jumlah bayi umur 2 bulan yg mendapat DPT-Hib1, polio 2: ........................org
12. Jumlah bayi 2 bulan yg mendapat DPT-Hib1, polio 2 : ...............................org
13. Jumlah bayi 2 bulan yg mendapat DPT-Hib1, polio 2 : ................................org
14. Jumlah bayi 9 bulan yg mendapat Campak : .................................org

XXIX. Permasalahan : .................................................................................................................

.........................................................................................................
XXX. Saran : ..............................................................................................................
...............................................................................................................

.....................,....................................
Mengetahui, Petugas,
Plh. Kepala Puskesmas Kubutambahan I

1. .........................................................
Drg. I Nengah Supaya 2..........................................................
NIP. 196312312000031059 3. ......................................................
4..........................................................

Mengetahui,
Kepala Dusun/Desa………………………..

(………………………………………………………...)
 LAPORAN HASIL KEGIATAN

XXXI. Hari/TGL : Senin, 27 Juli 2015

XXXII. Tempat : Posyandu Pengubugan Desa Depeha
XXXIII. Tujuan Kunjungan : Pemantauan kesehatan bayi

XXXIV. Hasil Kegiatan:

1. Jumlah sasaran Bayi : ................................. org
2. Jumlah Bayi yg datang ke Posyandu : ...................................org
3. Jumlah Bayi yg naik BB : ...................................org
4. Jumlah Bayi yg tetap/turun BB : ....................................org
5. Jumlah Bayi yg BB turun 2x berturit-turut(2T) : ...................................org
6. Jumlah Bayi yg Gizi buruk : .....................................org
7. Jumlah Bayi yg Gizi kurang : .....................................org
8. Jumlah Bayi yg mendapat Vitamin A Biru = ...........................org
9. Jumlah Bayi ( 0-7 hari ) yg mendapat imunisasi Hb 0 – 7 hr : .....................org
10. Jumlah bayi umur 1 bulan yg mendapat BCG, Polio 1 : ............................org
11. Jumlah bayi umur 2 bulan yg mendapat DPT-Hib1, polio 2: ........................org
12. Jumlah bayi 2 bulan yg mendapat DPT-Hib1, polio 2 : ...............................org
13. Jumlah bayi 2 bulan yg mendapat DPT-Hib1, polio 2 : ................................org
14. Jumlah bayi 9 bulan yg mendapat Campak : .................................org

XXXV. Permasalahan : .................................................................................................................

.........................................................................................................
XXXVI. Saran : ..............................................................................................................
...............................................................................................................

.....................,....................................
Mengetahui, Petugas,
Plh. Kepala Puskesmas Kubutambahan I

1. .........................................................
Drg. I Nengah Supaya 2..........................................................
NIP. 196312312000031059 3. ......................................................
4..........................................................

Mengetahui,
Kepala Dusun/Desa………………………..

(………………………………………………………...)