PUSKESMAS : DASUK
TAHUN : 2018
BULAN : MEI
1 2 3 4
1. DASUK LAOK 0 0 0
2. DASUK BARAT 0 0 0
3. DASUK TIMUR 0 0 0
4. NYAPAR 0 0 1
5. KERTA TIMUR 0 0 0
6. KERTA BARAT 0 0 0
7. SEMA'AN 0 0 0
8. SLOPENG 0 0 0
12. KECER 0 0 0
13. JELBUDAN 0 0 1
14. BERINGIN 0 0 0
15. MANTAJUN 0 0 0
Pra Lansia
IMT
Hipertensial Kolesterol Tinggi DM
Lebih Kurang
P L P L P L P L
4 5 6 7 8
0 0 0 8 10 0 0 3
0 0 0 2 3 1 12 1
0 0 0 1 2 1 3 0
5 4 8 4 4 0 0 0
0 0 0 2 3 4 2 0
0 0 0 10 12 0 0 1
0 0 0 2 3 0 0 0
0 0 0 2 2 0 0 1
0 0 0 0 2 0 0 0
5 3 4 4 3 4 6 3
0 0 0 2 3 2 1 0
0 0 0 3 7 0 0 1
4 8 14 9 11 0 0 1
0 0 0 7 9 0 0 0
0 0 0 20 21 5 7 8
Pra Lansia (Umur 45-59 Tahun)
Asam Urat
DM Ggn Ginjal Ggn kognitif
Tinggi
P L P L P L P
8 9 10 11
6 1 4 0 0 0 0
2 0 0 0 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 1 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
3 5 6 0 0 0 0
0 0 0 0 0 0 0
1 0 0 0 0 0 0
2 0 0 0 0 0 0
0 0 0 0 0 0 0
8 17 20 0 0 0 0
Ggn Penglihatan Ggn Pendengaran Lain-lain (sebutkan)*
L P L P L P
12 13 14
0 0 0 0 0 0
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 1 0 2 0 0
0 0 1 1 0 0
0 0 0 0 0 0
0 0 0 0 0 0
2 3 5 5 0 0
0 0 0 0 0 0
2 2 2 2 0 0
0 0 0 0 0 0
2 3 0 0 0 0
0 0 0 0 0 0
Ggn ME
Lebih
L P L
15 16
0 0 0
0 0 0
0 0 0
0 0 6
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3 4 2
0 0 0
0 0 0
MENGETAHUI
Kepala Puskesmas Dasu
Lebih Kurang
P L P
16 17
0 0 0
0 0 0
0 0 0
10 10 14
0 25 43
0 0 0
2 3 8
0 0 0
0 0 0
0 1 2
0 0 0
0 0 0
2 2 12
0 0 0
0 0 0
NGETAHUI
skesmas Dasuk
fa Ulinnuha
815 2002 12 2006
Lansia (Umur ≥
18 19
6 7 0
1 2 2
4 3 2
6 3 0
2 3 0
4 2 2
1 10 0
1 1 0
2 2 0
7 5 10
2 4 0
6 9 0
7 10 0
2 0 0
5 6 3
ia (Umur ≥ 60 tahun)
19 20 21
0 2 4 3
4 1 1 0
4 0 0 0
0 2 1 0
0 0 0 0
0 0 0 0
0 0 2 0
0 0 0 0
0 1 1 0
20 2 2 5
0 0 0 0
0 0 1 0
0 0 1 0
0 0 0 0
4 0 0 10
urat Tinggi Ggn Ginjal Ggn Kognitif
P L P L P
21 22 23
4 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
10 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
12 0 0 0 0
Ggn
Ggn Penglihatan Pendengaran Lain-lain (sebutkan
L P L P L
24 25 26
0 0 0 0 0
0 1 1 1 0
0 0 0 0 0
0 0 0 0 0
5 3 0 0 0
0 0 0 0 0
0 2 1 2 0
0 0 0 0 0
2 1 0 0 0
2 1 2 2 4
0 0 0 0 0
2 1 2 2 0
1 1 2 1 0
2 3 0 0 0
0 0 0 0 0
Dasuk, 04 Juni 2018
Penanggung Jawab Program Lansia
Mahmudah
NIP. 19680719 1991 03 2007
n (sebutkan)*
P
26
0
0
0
0
0
0
0
8
m Lansia
2007