Aru Lansia 2019

NAMA PUSKESMAS : DASUK
TINGKATAN SEKOLAH : SD/MI/SLB /
Jumlah Peserta Didik di sekolah
No Nama Sekolah Jml sasaran Yang di jaring
L P JML L P Jml
1 2 3 4 5 6 7 8
1 SDN KECER 1
2 SDN KECER 2
3 SDN BATES
4 SDN BATUBELAH TIMUR
5 SDN BATUBELAH BARAT
6 SDN SEMAAN
7 SDN SLOPENG 1
8 SDN SLOPENG 2
9 SDN KERTA BARAT
10 SDN DASUK BARAT
11 SDN DASUK TIMUR
12 SDN KERTA TIMUR
13 SDN NYAPAR 1
14 SDN NYAPAR2
15 SDN JELBUDAN
16 SDN BRINGIN 1
17 SDN DASUK LAOK 2
18 SDN DASUK LAOK 3
19 SDN MANTAJUN 1
20 SDN MANTAJUN 2
21 SDI SEMAAN
22 MI NURUL HIKMAH
23 MI ATTARBYAH
24 MI NAHDATUN NASYI'IN
25 MI RAUDLATUD THOLIBIN
26 MI NURUL ULUM
27 MI NURULHIDAYAH
28 MI NURUL ISLAM
29 MI AL ISLAH
30 MI BUSTANUL ATFAL
31 MI ALHIKMAH
32 MI NURUL HUDA
33 MI THOLABUL ILMI
34 MTS DARUL ULUM
35 MTS NURUL HIKMAH
36 MTS RAUDHATUL AMIN
37 MTS AL ISLAH
38 MTS NURUL HUDA KERTA TIMUR
39 MTS NURUL HUDA BRINGIN
40 SMP NURUS SHOBAH
41 SMPI DARUL ULUM

42 SMPI SEMAAN
43 SMPN 1 DASUK
44 MA DARUL ULUM
45 MA NURUL HIKMAH
46 MA AL ISLAH
47 SMAI IKHWANUL KARIM
48 MA NURUL HUDA KERTA TIMUR
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
TOTAL 0
KAB/KOTA : SUMENEP
SMP/MTS/SLB /
Penilaian Status Gizi
Imunisasi Risiko Ane mia HIPERTENSI

TB/U
N SK K G O
(Stunting)
L P
9 10 11 12 13 14 15 16 17
PROVINSI :JAWA TIMUR TAHU
SMA/SMK/MA/SLB *
Mata /penglihatan Telinga / Pendengaran

GANGGUAN Risiko berhub
Karies
KULIT Kelainan Gang guan dg gaya hidup
Low Vision Buta warna Kaca mata Infeksi Seru men
Refraksi Pen dengaran
18 21 23 24 25 26 27 28 29 31
TAHUN AJARAN :2019
Modalitas Belajar Dominasi otak

Gangguan Mental Emosional
Audio Visual Kines tetik Otak Kanan Otak Kiri

E C H P Pr
32 33 34 35 36 37 38 39 40 41
Dominasi otak
jumlah Peserta
Kebu garan Jasmani Pemberian
Penggunaan didik memiliki
Dirujuk Imunisasi Pemberian TTD Obat Cacing KIE
Otak Kiri - Alat Bantu buku rapor
daerah tertentu
Kanan kesehatan
Baik Kurang
42 43 44 45 46 47 48 49 50 51
0 64
0 6
0 9
0 25
0 9
0 15
0 14
0 19
0 19
0 10
0 15
0 15
0 27
0 1
0 4
0 6
0 16
0 11
0 9
0 12
0 1
0 7
0 10
0 13
0 2
0 7
0 3
0 20
0 10
0 8
0 10
0 8
0 9
0 35
0 22
0 4
0 39
0 20
0 20
0 7
0 17
0 6
0 64
0 28
0 24
0 10
0 6
0 34
Strata UKS
52
LAPORAN PROGRAM REMAJA TAHUN 2019
PUSKESMAS : DASUK
BULAN :JANUARI
REMAJA SELURUHNYA
NO URAIAN 10 - 14 TH 15 - 18 TH
L P L P
1 SASARAN REMAJA 956 936 784 780
2 JUMLAH KONSELOR SEBAYA
REMAJA DI SEKOLAH
NO URAIAN 10 - 14 TH 15 - 18 TH
L P L P
A INDIKATOR
1 KONSELING 15 6 4 1
2 KIE 0 0 0 0
3 PELAYANAN MEDIS 55 16 19 10
B KASUS-KASUS YG DI KONSELING
Pertumbuhan dan perkembangan
- Gizi kurang / lebih
1 - Postur Pendek
- Masalah Pubertas
- Anemia
Kesehatan Reproduksi
- Masalah Menstruasi 4
2
- Masalah Kehamilan
- Infeksi Menular Seksual
Genetalia
3 - Masalah kulit luar penis
- Masalah Scrotum
Infeksi
- HIV
4
- Malaria
- Tuberkulosis
Kesehatan Jiwa
- Masalah Kekerasan
- Masalah Mental Emosional
- Masalah rokok, alkohol, narkoba
5 - Rokok 8 4
- Alkohol
- Narkotika
- Psikotropika
- Lain lain sebutkan……..
Kesehatan Indera
- Masalah Penglihatan
6 - Masalah Telinga
6
- Masalah Hidung dan Tenggorokan
- Masalah Kulit 4 2 1
Lain-lain
- Nyeri Kepala 3
- Nyeri Perut Non Menstruasi
7 - Asma
- Diabetus Militus
- Hypertensi
- Keganasan
Rujukan
8 - Masuk
- Keluar
………………..., Tgl
Mengetahui
Kepala Puskesmas …………………… Programer Remaja Pu
N 2019 LAPORAN PROGRAM R
PUSKESMAS
BULAN :PEB
NO URAIAN
1 SASARAN REMAJA
2 JUMLAH KONSELOR SEBAYA
REMAJA TIDAK SEKOLAH

10 - 14 TH 15 - 18 TH NO URAIAN
L P L P
A INDIKATOR
2 1 3 1 1 KONSELING
0 0 0 0 2 KIE
5 8 4 6 3 PELAYANAN MEDIS
B KASUS-KASUS YG DI KONSELING
Pertumbuhan dan perkembangan
- Gizi kurang / lebih
1 - Postur Pendek
- Masalah Pubertas
- Anemia
Kesehatan Reproduksi
1 - Masalah Menstruasi
2
- Masalah Kehamilan
- Infeksi Menular Seksual
Genetalia
3 - Masalah kulit luar penis
- Masalah Scrotum
Infeksi
- HIV
4
- Malaria
- Tuberkulosis
Kesehatan Jiwa
- Masalah Kekerasan
- Masalah Mental Emosional
- Masalah rokok, alkohol, narkoba
4 3 5 - Rokok
- Alkohol
- Narkotika
- Psikotropika
- Lain lain sebutkan……..
Kesehatan Indera
- Masalah Penglihatan
6 - Masalah Telinga
6
- Masalah Hidung dan Tenggorokan
1 1 - Masalah Kulit
Lain-lain
- Nyeri Kepala
- Nyeri Perut Non Menstruasi
7 - Asma
- Diabetus Militus
- Hypertensi
- Keganasan
Rujukan
8 - Masuk
- Keluar
………………..., Tgl
Mengetahui
Programer Remaja Pusk…………. Kepala Puskesmas ……………………
PORAN PROGRAM REMAJA TAHUN 2019
PUSKESMAS : DASUK
BULAN :PEBRUARI
REMAJA SELURUHNYA
10 - 14 TH 15 - 18 TH
L P L P
956 936 784 780
REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH

10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
L P L P L P L P
10 5 5 2 1 1 2 1
0 0 0 0 0 0 0 0
60 25 15 10 5 4 4 2
4 1
8 3 1 2
1
1
2 2 1 1
………………..., Tgl
Programer Remaja Pusk………….

DATA LAPORAN PROGRAM PELAYANAN KESEHATAN LANJUT USIA
PUSKESMAS DASUK
TAHUN 2018
BULAN JANUARI
SASARAN
Jumplah Lansia
JUMLAH Jumlah Pra lansia
NO NAMA DESA DESA (45-59 Tahun) ≥ 60 Tahun ≥ 70 Tahun
L P L P L P
1 2 3 4 5 6
1. DASUK LAOK 3 270 298 116 128 61 67
2. DASUK BARAT 1 119 131 51 56 27 30
3. DASUK TIMUR 2 153 173 66 75 34 39
4. NYAPAR 4 245 296 106 127 55 67
5. KERTA TIMUR 2 153 173 66 75 34 39
6. KERTA BARAT 1 168 296 72 76 38 40
7. SEMA'AN 3 206 173 89 98 47 52
8. SLOPENG 3 227 178 98 108 51 57
9. BATU BELAH BARAT 3 179 229 77 82 40 43
10. BATU BELAH TIMUR 2 164 252 70 81 37 42
11. BATES 3 154 192 66 83 35 43
12. KECER 3 248 274 106 118 56 62
13. JELBUDAN 4 361 400 155 172 81 90
14. BERINGIN 5 424 521 182 234 96 117
15. MANTAJUN 3 364 385 156 165 82 87
TOTAL 42 3435 3971 1476 1678 774 875
MENGETAHUI
Kepala Puskesmas Dasuk
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
Jumplah Pra Lansia / Lansia Yang
45-59 tahun ≥ 60
Absolut absolut
%
Bulan lalu bulan ini Total Bulan lalu
L P L P L P L P L P
7 8 9 10 11
0 0 16 30 16 30 5.93 10.07 0 0
0 0 1 2 1 2 0.84 1.53 0 0
0 0 2 3 2 3 1.31 1.73 0 0
0 0 46 48 46 48 18.78 16.22 0 0
0 0 5 6 5 6 3.27 3.47 0 0
0 0 3 2 3 2 1.79 0.68 0 0
0 0 29 31 29 31 14.08 17.92 0 0
0 0 20 30 20 30 8.81 16.85 0 0
0 0 7 8 7 8 3.91 3.49 0 0
0 0 10 12 10 12 6.10 4.76 0 0
0 0 7 6 7 6 4.55 3.13 0 0
0 0 12 22 12 22 4.84 8.03 0 0
0 0 15 31 15 31 4.16 7.75 0 0
0 0 15 24 15 24 3.54 4.61 0 0
0 0 17 18 17 18 4.67 4.68 0 0
0 0 205 273 205 273 5.97 6.87 0 0
mplah Pra Lansia / Lansia Yang di Bina / Yang mendapat pelayanan
≥ 60 tahun ≥ 70 tahun
absolut absolut
%
bulan ini Total Bulan lalu Bulan ini
L P L P L P L P L P
12 13 14 15 16
5 13 5 13 31.25 10.16 0 0 3 7
1 0 1 0 100.00 0.00 0 0 0 0
4 3 4 3 200.00 4.00 0 0 2 1
12 22 12 22 26.09 17.32 0 0 18 19
5 14 5 14 100.00 18.67 0 0 0 0
2 3 2 3 66.67 3.95 0 0 1 1
10 15 10 15 34.48 15.31 0 0 6 13
18 30 18 30 90.00 27.78 0 0 6 8
5 5 5 5 71.43 6.10 0 0 0 0
5 6 5 6 50.00 7.41 0 0 3 4
4 4 4 4 57.14 4.82 0 0 3 3
32 15 32 15 266.67 12.71 0 0 0 12
17 16 17 16 113.33 9.30 0 0 11 7
9 16 9 16 60.00 6.84 0 0 2 2
6 8 6 8 35.29 4.85 0 0 2 3
135 170 135 170 65.85 10.13 0 0 57 80
PELAYANAN KESEHATAN
≥ 70 tahun Tingkat kemandirian A

solut Absolut
%
Total Bulan lalu Bulan ini Total
L P L P L P L P L p
17 18 19 20 21
3 7 11.48 10.45 0 0 24 50 24 50
0 0 0.00 0.00 0 0 2 2 2 2
2 1 2.94 2.56 0 0 8 7 8 7
18 19 34.55 28.36 0 0 76 89 76 89
0 0 0.00 0.00 0 0 10 20 10 20
1 1 2.63 2.50 0 0 6 6 6 6
6 13 27.66 25.00 0 0 45 59 45 59
6 8 15.69 14.04 0 0 44 68 44 68
0 0 0.00 0.00 0 0 12 13 12 13
3 4 10.81 9.52 0 0 18 22 18 22
3 3 8.57 6.98 0 0 14 13 14 13
0 12 21.43 19.35 0 0 44 49 44 49
11 7 8.64 7.78 0 0 43 54 43 54
2 2 2.08 1.71 0 0 26 42 26 42
2 3 3.66 3.45 0 0 25 29 25 29
57 80 10.34 9.14 0 0 397 523 397 523
Jumplah Lansia Dengan Tingkat Kemandirian
A Tingkat kemandirian B
Abosolut
% %
Bulan lalu Bulan ini Total
L P L P L P L P L P
22 23 24 25 26
5.3 10.1 0 0 0 0 0 0 0 0
1 0.9 0 0 0 0 0 0 0 0
3.1 2.4 0 0 0 0 0 0 0 0
18.7 18.1 0 0 0 0 0 0 0 0
30 6.9 0 0 0 0 0 0 0 0
3.5 1.4 0 0 0 0 0 0 0 0
1.7 18.2 0 0 0 0 0 0 0 0
13.4 19.8 0 0 0 0 0 0 0 0
4 3.6 0 0 0 0 0 0 0 0
6.6 5.8 0 0 0 0 0 0 0 0
5.4 4 0 0 0 0 0 0 0 0
10.7 10.7 0 0 0 0 0 0 0 0
7.2 8.1 0 0 0 0 0 0 0 0
3.7 4.8 0 0 0 0 0 0 0 0
4.1 4.5 0 0 0 0 0 0 0 0
6.98 8.01 0 0 0 0 0 0 0 0
JUMLAH LANSIA Y
Tingkat kemandirian C
Absolut Absolut
Bulan lalu Bulan ini Total % Bulan lalu
L P L P L P L P L P
27 28 29 30 31
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH LANSIA YANG DI SCREANING Jumlah Lansia Yang di Berdayakan
Absolut Absolut
Bulan ini Total % Bulan lalu Bulan ini
L P L P L P L P L P
32 33 34 35 36
24 50 24 50 5.3 10.1 0 0 24 50
2 2 2 2 1 0.9 0 0 2 2
8 7 8 7 3.1 2.4 0 0 8 7
76 89 76 89 18.7 18.1 0 0 76 89
10 20 10 20 30 6.9 0 0 10 20
6 6 6 6 3.5 1.4 0 0 6 6
45 59 45 59 1.7 18.2 0 0 45 59
44 68 44 68 13.4 19.8 0 0 44 68
12 13 12 13 4 3.6 0 0 12 13
18 22 18 22 6.6 5.8 0 0 18 22
14 13 14 13 5.4 4 0 0 14 13
44 49 44 49 10.7 10.7 0 0 44 49
43 54 43 54 7.2 8.1 0 0 43 54
26 42 26 42 3.7 4.8 0 0 26 42
25 29 25 29 4.1 4.5 0 0 25 29
397 523 397 523 6.98 8.01 0 0 397 523
SARANA DAN PRASARA
PUSK
h Lansia Yang di Berdayakan Jumlah Posbindu / Posyandu Lansia Yang aktif
Puskesmas Yang
solut Absolut Melaksanakan
% Pelayanan
Total % ada Aktif Kesehatan
L P L P Santun Lansia
37 38 39 40 41 42
24 50 5.3 10.1 3 3 100 0
2 2 1 0.9 1 1 100 0
8 7 3.1 2.4 1 1 100 1
76 89 18.7 18.1 4 4 100 0
10 20 30 6.9 2 2 100 0
6 6 3.5 1.4 1 1 100 1
45 59 1.7 18.2 3 3 100 0
44 68 13.4 19.8 3 3 100 0
12 13 4 3.6 3 3 100 0
18 22 6.6 5.8 2 2 100 1
14 13 5.4 4 3 3 100 0
44 49 10.7 10.7 3 3 100 0
43 54 7.2 8.1 4 4 100 0
26 42 3.7 4.8 5 5 100 1
25 29 4.1 4.5 3 3 100 0
397 523 6.98 8.01 41 41 100 4
SARANA DAN PRASARANA
PUSKESMAS
Jumplah Panti werda yang di bina
Puskesmas Dengan absolut
Posyandu Lansia Puskesmas Yang
Akttif Melaksanakan Home Yang di %
care / Long Term care Yang Ada bina
43 44 45 46 47
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
1 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
1 0 0 0 0
0 0 0 0 0
4 0 0 0 0
Dasuk, 30 Januari 2018

Penanggung Jawab Program Lansia
Mahmudah
NIP. 19680719 1991 03 2007
DATA LAPORAN MORBIDITAS PRA LANSIA DAN LANSIA
PUSKESMA: DASUK
TAHUN : 2018
BULAN : JANUARI
NO NAMA DESA IMT

Ggn ME Hipertensial
Lebih Kurang
L P L P L P L
1 2 3 4 5 6
1. DASUK LAOK 0 0 0 0 0 0 5
2. DASUK BARAT 0 0 0 0 0 0 1
3. DASUK TIMUR 0 0 0 0 0 0 2
4. NYAPAR 0 0 0 0 0 0 3
5. KERTA TIMUR 0 0 0 0 0 0 1
6. KERTA BARAT 0 0 0 0 0 0 3
7. SEMA'AN 0 0 0 0 0 0 2
8. SLOPENG 0 0 0 0 0 0 2
9. BATU BELAH BARAT 0 0 0 0 0 0 0
10. BATU BELAH TIMUR 0 0 0 0 0 0 2
11. BATES 0 0 0 0 0 0 1
12. KECER 0 0 0 0 0 0 2
13. JELBUDAN 0 0 0 0 0 0 2
14. BERINGIN 0 0 0 0 0 0 2
15. MANTAJUN 0 0 0 0 0 0 4
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
Pra Lansia (Umur 45-59 Tahun)
Hipertensial Kolesterol Tinggi DM Asam Urat Tinggi Ggn Ginjal Ggn kognitif
P L P L P L P L P L
6 7 8 9 10 11
6 0 0 1 2 1 2 0 0 0
2 0 0 0 2 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
4 0 0 2 1 1 1 0 0 0
3 0 0 0 0 0 0 0 0 0
2 0 0 1 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
3 0 0 2 1 2 1 0 0 0
2 0 0 0 0 0 0 0 0 0
4 0 0 1 1 0 0 0 0 0
3 0 0 1 2 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
7 0 0 1 2 2 1 0 0 0
IMT
Ggn kognitif Ggn Penglihatan Ggn Pendengaran Lai-lain (sebutkan)* Ggn ME
Lebih
P L P L P L P L P L
11 12 13 14 15 16
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 0
0 0 0 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
0 2 1 3 2 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 2 2 2 2 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 2 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Lansia (Umur ≥ 60 tahun)
IMT
Hipertensi Kolesterol Tinggi DM Asam urat Tinggi
Lebih Kurang
P L P L P L P L P L
16 17 18 19 20 21
0 0 0 1 3 0 0 2 1 0
0 0 0 1 2 1 2 1 1 0
0 0 0 2 3 2 1 0 0 0
0 0 0 1 2 0 0 1 1 0
0 0 0 1 3 0 0 0 0 0
0 0 0 2 1 2 0 0 0 0
2 0 0 1 3 0 0 0 2 0
0 0 0 1 1 0 0 0 0 0
0 0 0 2 2 0 0 1 1 0
0 0 0 2 3 2 3 2 1 2
0 0 0 2 1 0 0 0 0 0
0 0 0 2 1 0 0 0 1 0
0 0 0 2 2 0 0 0 1 0
0 0 0 2 0 0 0 0 0 0
0 0 0 1 2 1 2 0 0 2
ur ≥ 60 tahun)
Asam urat Tinggi Ggn Ginjal Ggn Kognitif Ggn Penglihatan Ggn Pendengaran Lain-lain (sebutkan)*
P L P L P L P L P L
21 22 23 24 25 26
2 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 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 0 2 1 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 1 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0
3 0 0 0 0 2 1 1 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 2 1 0
0 0 0 0 0 1 1 1 1 0
0 0 0 0 0 2 1 0 0 0
1 0 0 0 0 0 0 0 0 0

Mahmudah
NIP. 19680719 1991 03 2007
Lain-lain (sebutkan)*
P
26
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS
TAHUN : 2018
BULAN : JANUARI
PENYAKIT TERBANYAK PADA LANSIA
JUMLAH
NO JENIS PENYAKIT
L P TOTAL
1 Penyakit Darah Tinggi / Hipertensi 90 49 139
2 Penyakit Artritis 217 215 431
3 Penyakit Stroke 0 0 0
4 PPOK 0 0 0
5 Diabetes melitus 2 3 5
6 Kanker 0 0 0
7 Penyakit Pernafasan : ISPA 46 90 136
8 Penyakit saluran cerna 47 50 97
9 Kesehatan Gigi /Mulut 7 6 13
10 Penyakit telinga 0 0 0
11 Penyakit kulit 20 28 48
12 Mata / Cunjunctitivis / Katarak 3 2 5
13 TB Paru 0 0 0
14 Asma 2 1 3
15 lain lain 50 42 92
Penanggung Jawab Program
Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS : DASUK
TAHUN : 2018
BULAN : JANUARI
SASARAN
JUMLAH JUMLAH
PANTI Jumlah Pra lansia
NO NAMA DESA ≥ 60 Tahun ≥ 70 Tahun
POSYANDU WERDA (45-59 Tahun)
L P L P L
1 2 3 4 5 6
1. DASUK LAOK 3 0 270 298 116 128 61
2. DASUK BARAT 1 0 119 131 51 56 27
3. DASUK TIMUR 2 0 153 173 66 75 34
4. NYAPAR 4 0 245 296 106 127 55
5. KERTA TIMUR 2 0 153 173 66 75 34
6. KERTA BARAT 1 0 168 296 72 76 38
7. SEMA'AN 3 0 206 173 89 98 47
8. SLOPENG 3 0 227 178 98 108 51
9. BATU BELAH BARAT 3 0 179 229 77 82 40
10. BATU BELAH TIMUR 2 0 164 252 70 81 37
11. BATES 3 0 154 192 66 83 35
12. KECER 3 0 248 274 106 118 56
13. JELBUDAN 4 0 361 400 155 172 81
14. BERINGIN 5 0 424 521 182 234 96
15. MANTAJUN 3 0 364 385 156 165 82
TOTAL 42 0 3435 3971 1476 1678 774
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
KUNJUNGAN LANSIA KEGIATAN LANSIA
KEMANDIRIAN
Jumlah Pra lansia
≥ 70 Tahun ≥ 60 Tahun ≥ 70 Tahun
(45-59 Tahun)
A B C
P B L B L B L
6 7 8 9
67 16 30 5 13 3 7 0 0 0
30 1 2 1 0 0 0 0 0 0
39 2 3 4 3 2 1 0 0 0
67 46 48 12 22 18 19 0 0 0
39 5 6 5 14 0 0 0 0 0
40 3 2 2 3 1 1 0 0 0
52 29 31 10 15 6 13 0 0 0
57 20 30 18 30 6 8 0 0 0
43 7 8 5 5 0 0 0 0 0
42 10 12 5 6 3 4 0 0 0
43 7 6 4 4 3 3 0 0 0
62 12 22 32 15 0 12 0 0 0
90 15 31 17 16 11 7 0 0 0
117 15 24 9 16 2 2 0 0 0
87 17 18 6 8 2 3 0 0 0
875 205 273 135 170 57 80 0 0 0
JUMLAH LAN
IMT TEK.DARAH
GG ME HB KURANG KOLESTROL TINGGI
L N K T R
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH LANSIA DENGAN KELAINAN
DM ASAM URAT TINGGI GGN GINJAL GGN KOGNITIF GGN PENGLIHATAN
L P L P L P L P L P
0 0 0 0 0 0 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 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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
1 1 0 0 0 0 0 0 0 0
2 3 0 0 0 0 0 0 0 0
PENGOBATAN KONSELING
JUMLAH LANSIA
GGN DENGAN KELAINAN
LAIN-LAIN
PENDENGARAN DIOBATI DIRUJUK B L
L P L P L P
0 0 1 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 0 5 6 0 0 0 0 0 0
0 0 2 3 0 0 0 0 0 0
0 0 4 2 0 0 0 0 0 0
1 0 3 4 0 0 0 0 0 0
0 0 4 6 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0
1 1 5 6 0 0 0 0 0 0
3 2 0 0 0 0 0 0
0 0 1 4 0 0 0 0 0 0
1 0 3 5 0 0 0 0 0 0
0 0 5 4 0 0 0 0 0 0
1 0 6 5 0 0 0 0 0 0
4 1 43 49 0 0 0 0 0 0
KONSELING
JUMLAH JUMLAH
PENYULU PEBERDAY PANTI KUNJUNG
AAN KET
S HAN WERDA AN
LANSIA DIBINA RUMAH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

Mahmudah
NIP. 19680719 1991 03 2007
/ yang mendapat pelayanan (umur ≥ 60 tah
Sasaran Lansia ≥
No Nama Triwulan1 Triwulan2 Triwulan3
60 tahun
Abs % Abs % Abs
1 PRAGAAN 5,508 0.0% 0.0%
2 BLUTO 3,996 0.0% 0.0%
3 SARONGGI 3,723 0.0% 0.0%
4 GILIGENTING 2,713 0.0% 0.0%
5 TALANGO 4,797 0.0% 0.0%
6 KALIANGET 3,159 0.0% 0.0%
7 PANDIAN 2,566 0.0% 0.0%
8 PAMOLOKAN 2,613 0.0% 0.0%
9 BATUAN 1,045 0.0% 0.0%
10 LENTENG 4,085 0.0% 0.0%
11 MONCEK T 1,745 0.0% 0.0%
12 GANDING 3,822 0.0% 0.0%
13 GULUK2 4,514 0.0% 0.0%
14 PASONGSONGAN 3,422 0.0% 0.0%
15 AMBUNTEN 4,105 0.0% 0.0%
16 RUBARU 3,451 0.0% 0.0%
17 DASUK 3,081 0.0% 0.0%
18 MANDING 2,603 0.0% 0.0%
19 BATUPUTIH 4,699 0.0% 0.0%
20 GAPURA 4,007 0.0% 0.0%
21 BATANG2 3,588 0.0% 0.0%
22 LEGUNG T 1,633 0.0% 0.0%
23 DUNGKEK 4,300 0.0% 0.0%
24 NONGGUNONG 1,872 0.0% 0.0%
25 GAYAM 4,553 0.0% 0.0%
26 RAAS 2,523 0.0% 0.0%
27 SAPEKEN 2,164 0.0% 0.0%
28 ARJASA 4,387 0.0% 0.0%
29 KAYUARO 1,150 0.0% 0.0%
30 MASALEMBU 1,686 0.0% 0.0%
yanan (umur ≥ 60 tahun)
Triwulan3 Triwulan4
% Abs %
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
0.0% 0%
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 DASUK
TAHUN 2018
BULAN FEBRUARI
SASARAN
Jumplah Lansia
L P L P L P
1 2 3 4 5 6
1. DASUK LAOK 3 270 298 116 128 61 67
2. DASUK BARAT 1 119 131 51 56 27 30
3. DASUK TIMUR 2 153 173 66 75 34 39
4. NYAPAR 4 245 296 106 127 55 67
5. KERTA TIMUR 2 153 173 66 75 34 39
6. KERTA BARAT 1 168 296 72 76 38 40
7. SEMA'AN 3 206 173 89 98 47 52
8. SLOPENG 3 227 178 98 108 51 57
9. BATU BELAH BARAT 3 179 229 77 82 40 43
10. BATU BELAH TIMUR 2 164 252 70 81 37 42
11. BATES 3 154 192 66 83 35 43
12. KECER 3 248 274 106 118 56 62
13. JELBUDAN 4 361 400 155 172 81 90
14. BERINGIN 5 424 521 182 234 96 117
15. MANTAJUN 3 364 385 156 165 82 87
TOTAL 42 3435 3971 1476 1678 774 875
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
Jumlah Pra Lansia / Lansia Yang d
45-59 tahun ≥ 60
Absolut absolut
%
L P L P L P L P L P
7 8 9 10 11
16 30 9 24 25 54 9.26 18.12 5 13
1 2 2 3 3 5 2.52 3.82 1 0
2 3 0 0 2 3 1.31 1.73 4 3
46 48 20 14 66 62 26.94 20.95 12 22
5 6 8 10 13 16 8.50 9.25 5 14
3 2 5 5 8 7 4.76 2.36 2 3
29 31 24 28 53 59 25.73 34.10 10 15
20 30 15 17 35 47 15.42 26.40 18 30
7 8 9 10 16 18 8.94 7.86 5 5
10 12 9 12 19 24 11.59 9.52 5 6
7 6 14 12 21 18 13.64 9.38 4 4
12 22 7 12 19 34 7.66 12.41 32 15
15 31 18 29 33 60 9.14 15.00 17 16
15 24 16 19 31 43 7.31 8.25 9 16
17 18 10 8 27 26 7.42 6.75 6 8
205 273 166 203 371 476 10.80 11.99 135 170
umlah Pra Lansia / Lansia Yang di Bina / Yang mendapat pelayanan
absolut absolut
%
L P L P L P L P L P
12 13 14 15 16
4 10 9 23 7.76 17.97 3 7 6 8
3 2 4 2 7.84 3.57 0 0 0 0
0 0 4 3 6.06 4.00 2 1 0 1
8 10 20 32 18.87 25.20 18 19 8 13
7 12 12 26 18.18 34.67 0 0 0 2
5 5 7 8 9.72 10.53 1 1 0 1
11 12 21 27 23.60 27.55 6 13 9 16
6 7 24 37 24.49 34.26 6 8 0 0
6 7 11 12 14.29 14.63 0 0 0 1
4 4 9 10 12.86 12.35 3 4 2 4
9 7 13 11 19.70 13.25 3 3 6 12
7 6 39 21 36.79 17.80 0 12 4 4
5 22 22 38 14.19 22.09 11 7 8 15
11 13 20 29 10.99 12.39 2 2 0 0
4 5 10 13 6.41 7.88 2 3 1 2
90 122 225 292 15.24 17.40 57 80 44 79
PELAYANAN KESEHATAN

solut Absolut
%
L P L P L P L P L p
17 18 19 20 21
9 15 14.75 22.39 24 50 19 42 43 92
0 0 0.00 0.00 2 2 5 5 7 7
2 2 5.88 5.13 8 7 0 1 8 8
26 32 47.27 47.76 76 89 36 37 112 126
0 2 0.00 5.13 10 20 15 24 25 44
1 2 2.63 5.00 6 6 10 11 16 17
15 29 31.91 55.77 45 59 44 56 89 115
6 8 11.76 14.04 44 68 21 24 65 92
0 1 0.00 2.33 12 13 15 18 27 31
5 8 13.51 19.05 18 22 15 20 33 42
9 15 25.71 34.88 14 13 29 31 43 44
4 16 7.14 25.81 44 49 18 22 62 71
19 22 23.46 24.44 43 54 31 66 74 120
2 2 2.08 1.71 26 42 27 32 53 74
3 5 3.66 5.75 25 29 15 15 40 44
101 159 13.05 18.17 397 523 300 404 697 927
Abosolut
% %
L P L P L P L P L P
22 23 24 25 26
9.6 18.6 0 0 0 0 0 0 0 0
3.5 3.2 0 0 0 0 0 0 0 0
3.1 2.7 0 0 0 0 0 0 0 0
27.5 25.7 0 0 0 0 0 0 0 0
9.8 15.3 0 0 0 0 0 0 0 0
5.7 4.1 0 0 0 0 0 0 0 0
32 35.6 0 0 0 0 0 0 0 0
22 32.6 0 0 0 0 0 0 0 0
9.1 8.7 0 0 0 0 0 0 0 0
12.1 11.2 0 0 0 0 0 0 0 0
16.8 13.8 0 0 0 0 0 0 0 0
15.1 15.6 0 0 0 0 0 0 0 0
12.3 3 0 0 0 0 0 0 0 0
7.5 8.4 0 0 0 0 0 0 0 0
6.6 6.9 0 0 0 0 0 0 0 0
12.3 14.5 0 0 0 0 0 0 0 0
JUMLAH LANSIA Y
Absolut Absolut
L P L P L P L P L P
27 28 29 30 31
0 0 0 0 0 0 0 0 24 50
0 0 0 0 0 0 0 0 2 2
0 0 0 0 0 0 0 0 8 7
0 0 0 0 0 0 0 0 76 89
0 0 0 0 0 0 0 0 10 20
0 0 0 0 0 0 0 0 6 6
0 0 0 0 0 0 0 0 45 59
0 0 0 0 0 0 0 0 44 68
0 0 0 0 0 0 0 0 12 13
0 0 0 0 0 0 0 0 18 22
0 0 0 0 0 0 0 0 14 13
0 0 0 0 0 0 0 0 44 49
0 0 0 0 0 0 0 0 43 54
0 0 0 0 0 0 0 0 26 42
0 0 0 0 0 0 0 0 25 29
0 0 0 0 0 0 0 0 397 523
Absolut Absolut
L P L P L P L P L P
32 33 34 35 36
19 42 43 92 9.6 18.6 24 50 19 42
5 5 7 7 3.5 3.2 2 2 5 5
0 1 8 8 3.1 2.7 8 7 0 1
36 37 112 126 27.5 25.7 76 89 36 37
15 24 25 44 9.8 15.3 10 20 15 24
10 11 16 17 5.7 4.1 6 6 10 11
44 56 89 115 32 35.6 45 59 44 56
21 24 65 92 22 32.6 44 68 21 24
15 18 27 31 9.1 8.7 12 13 15 18
15 20 33 42 12.1 11.2 18 22 15 20
29 31 43 44 16.8 13.8 14 13 29 31
18 22 62 71 15.1 15.6 44 49 18 22
31 66 74 120 12.3 3 43 54 31 66
27 32 53 74 7.5 8.4 26 42 27 32
15 15 40 44 6.6 6.9 25 29 15 15
300 404 697 927 12.3 14.5 397 523 300 404
PUSKESMAS
h Lansia Yang di Berdayakan Jumlah Posbindu / Posyandu Lansia Yang aktif Yang
Puskesma
Melaksana
solut Absolut s Dengan
kan
% Posyandu
Total % ada Aktif Pelayanan Lansia
Kesehatan Akttif
L P L P Santun
37 38 39 40 41 42 43
43 92 9.6 18.6 3 3 100 0 0
7 7 3.5 3.2 1 1 100 0 0
8 8 3.1 2.7 1 1 100 1 1
112 126 27.5 25.7 4 4 100 0 0
25 44 9.8 15.3 2 2 100 0 0
16 17 5.7 4.1 1 1 100 1 1
89 115 32 35.6 3 3 100 0 0
65 92 22 32.6 3 3 100 0 0
27 31 9.1 8.7 3 3 100 0 0
33 42 12.1 11.2 2 2 100 1 1
43 44 16.8 13.8 3 3 100 0 0
62 71 15.1 15.6 3 3 100 0 0
74 120 12.3 3 4 4 100 0 0
53 74 7.5 8.4 5 5 100 1 1
40 44 6.6 6.9 3 3 100 0 0
697 927 12.3 14.5 41 41 100 4 4
Dasuk, 28 Februari 2018

Penanggung Jawab Program Lan
Mahmudah
NIP. 19680719 1991 03 2007
N PRASARANA
PUSKESMASMelaksan
akan
Home absolut
care /
Long Yang di %
Term care Yang Ada bina
44 45 46 47
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

Mahmudah
P. 19680719 1991 03 2007
PUSKESMAS DASUK
TAHUN 2018
BULAN FEBRUARI
NO NAMA DESA IMT

Ggn ME
Lebih Kurang
L P L P L P
1 2 3 4 5
1. DASUK LAOK 0 0 0 0 0 0
2. DASUK BARAT 0 0 0 0 0 0
3. DASUK TIMUR 0 0 0 0 0 0
4. NYAPAR 0 0 0 0 0 0
5. KERTA TIMUR 0 0 0 0 0 0
6. KERTA BARAT 0 0 0 0 0 0
7. SEMA'AN 0 0 0 0 0 0
8. SLOPENG 0 0 0 0 0 0
9. BATU BELAH BARAT 0 0 0 0 0 0
10. BATU BELAH TIMUR 0 0 0 0 0 0
11. BATES 0 0 0 0 0 0
12. KECER 0 0 0 0 0 0
13. JELBUDAN 0 0 0 0 0 0
14. BERINGIN 0 0 0 0 0 0
15. MANTAJUN 0 0 0 0 0 0
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
Hipertensial Kolesterol Tinggi DM Asam Urat Tinggi Ggn Ginjal
L P L P L P L P L P
6 7 8 9 10
2 3 0 0 1 0 0 0 0 0
1 2 1 0 0 0 0 0 0 0
3 1 1 2 0 0 0 0 0 0
3 2 0 0 0 0 0 0 0 0
2 4 3 2 0 0 0 0 0 0
2 0 0 0 1 0 1 1 0 0
3 2 0 0 0 0 0 0 0 0
2 2 0 0 1 0 0 0 0 0
1 2 0 0 0 0 0 0 0 0
5 3 2 3 1 0 1 2 0 0
1 3 2 1 0 0 0 0 0 0
3 4 0 0 1 0 0 0 0 0
8 7 0 0 0 2 0 0 0 0
6 8 0 0 0 0 0 0 0 0
9 8 3 4 1 0 2 3 0 0
L P L P L P L P L P
11 12 13 14 15
0 0 0 0 0 0 1 3 0 0
0 0 0 0 0 0 2 2 0 0
0 0 0 0 0 0 2 2 0 0
0 0 0 0 0 0 2 2 0 0
0 0 0 0 0 0 2 3 0 0
0 0 1 1 0 1 2 3 0 0
0 0 0 0 1 1 2 2 0 0
0 0 1 1 0 0 2 1 0 0
0 0 0 0 0 0 2 2 0 0
0 0 1 1 1 1 1 2 0 0
0 0 0 0 0 0 3 1 0 0
0 0 2 2 1 1 1 3 0 0
0 0 0 0 0 0 1 1 3 4
0 0 1 1 0 0 2 2 0 0
0 0 0 0 1 1 1 2 0 0
IMT
Hipertensi Kolesterol Tinggi DM
Lebih Kurang
L P L P L P L P L P
16 17 18 19 20
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
3 1 0 0 0 3 0 0 0 0
0 0 0 0 2 3 0 0 0 0
0 0 0 0 0 2 0 0 0 0
0 2 0 0 1 0 0 0 0 0
0 0 0 0 0 1 0 0 0 0
0 0 0 0 2 0 0 0 0 0
0 0 1 2 0 0 0 0 0 0
0 0 0 0 2 1 0 0 0 0
0 0 0 0 0 1 0 0 0 0
2 2 2 0 2 1 0 0 0 0
0 0 0 0 1 0 0 0 0 0
0 0 0 0 1 2 0 0 0 0
ansia (Umur ≥ 60 tahun)
Asam urat Tinggi Ggn Ginjal Ggn Kognitif Ggn Penglihatan Ggn Pendengaran
L P L P L P L P L P
21 22 23 24 25
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 2 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 1 0 0
0 0 0 0 0 0 2 1 2 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 1 2 0
0 0 0 0 0 0 1 1 2 1
0 0 0 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0 0 0

Mahmudah
NIP. 19680719 1991 03 2007
L P
26
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 3
0 0
0 0
0 0
0 0
0 0

Mahmudah
P. 19680719 1991 03 2007
PUSKESMAS : DASUK
TAHUN : 2018
BULAN : FEBRUARI
JUMLAH
NO JENIS PENYAKIT
L P TOTAL
4 PPOK 0 0 0
6 Kanker 0 0 0
13 TB Paru 0 0 0
14 Asma 1 3 4
15 lain lain 20 37 57
Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS : DASUK
TAHUN : 2018
BULAN : FEBRUARI
SASARAN

JUMLAH
NO NAMA DESA PANTI ≥ 60 Tahun ≥ 70 Tahun
POSYANDU (45-59 Tahun)
WERDA
L P L P L
1 2 3 4 5 6
1. DASUK LAOK 3 0 270 298 116 128 61
2. DASUK BARAT 1 0 119 131 51 56 27
3. DASUK TIMUR 2 0 153 173 66 75 34
4. NYAPAR 4 0 245 296 106 127 55
5. KERTA TIMUR 2 0 153 173 66 75 34
6. KERTA BARAT 1 0 168 296 72 76 38
7. SEMA'AN 3 0 206 173 89 98 47
8. SLOPENG 3 0 227 178 98 108 51
9. BATU BELAH BARAT 3 0 179 229 77 82 40
10. BATU BELAH TIMUR 2 0 164 252 70 81 37
11. BATES 3 0 154 192 66 83 35
12. KECER 3 0 248 274 106 118 56
13. JELBUDAN 4 0 361 400 155 172 81
14. BERINGIN 5 0 424 521 182 234 96
15. MANTAJUN 3 0 364 385 156 165 82
TOTAL 42 0 3435 3971 1476 1678 774
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
KEATIAN
Jumlah Pra lansia
(45-59 Tahun)
A B C
P B L B L B L
6 7 8 9
67 9 24 4 10 6 8 0 0 0
30 2 3 3 2 0 0 0 0 0
39 0 0 0 0 0 1 0 0 0
67 20 14 8 10 8 13 0 0 0
39 8 10 7 12 0 2 0 0 0
40 5 5 5 5 0 1 0 0 0
52 24 28 11 12 9 16 0 0 0
57 15 17 13 27 0 0 0 0 0
43 9 10 6 7 0 1 0 0 0
42 9 12 4 4 2 4 0 0 0
43 14 12 9 7 6 12 0 0 0
62 7 12 7 6 4 4 0 0 0
90 18 29 5 22 8 15 0 0 0
117 16 19 11 13 0 0 0 0 0
87 10 8 4 5 1 2 0 0 0
875 166 203 97 142 44 79 0 0 0
JUMLAH LANSIA D
IMT TEK.DARAH
L N K T R
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH LANSIA
GGN DENGAN KELAINAN
LAIN-LAIN
L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
KONSELING
JUMLAH JUMLAH
AAN KET
S HAN WERDA AN
LANSIA DIBINA RUMAH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS DASUK
TAHUN 2018
BULAN MARET
SASARAN
Jumplah Lansia
L P L P L P
1 2 3 4 5 6
1. DASUK LAOK 3 270 298 116 128 61 67
2. DASUK BARAT 1 119 131 51 56 27 30
3. DASUK TIMUR 2 153 173 66 75 34 39
4. NYAPAR 4 245 296 106 127 55 67
5. KERTA TIMUR 2 153 173 66 75 34 39
6. KERTA BARAT 1 168 296 72 76 38 40
7. SEMA'AN 3 206 173 89 98 47 52
8. SLOPENG 3 227 178 98 108 51 57
9. BATU BELAH BARAT 3 179 229 77 82 40 43
10. BATU BELAH TIMUR 2 164 252 70 81 37 42
11. BATES 3 154 192 66 83 35 43
12. KECER 3 248 274 106 118 56 62
13. JELBUDAN 4 361 400 155 172 81 90
14. BERINGIN 5 424 521 182 234 96 117
15. MANTAJUN 3 364 385 156 165 82 87
TOTAL 42 3435 3971 1476 1678 774 875
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
45-59 tahun ≥ 60
Absolut absolut
%
L P L P L P L P L P
7 8 9 10 11
25 54 11 24 36 78 13.33 26.17 9 23
3 5 2 1 5 6 4.20 4.58 4 2
2 3 3 3 5 6 3.27 3.47 4 3
66 62 15 20 81 82 33.06 27.70 30 32
13 16 4 5 17 21 11.11 12.14 12 26
8 7 10 12 18 19 10.71 6.42 7 8
53 59 15 10 68 69 33.01 39.88 21 27
35 47 18 20 53 67 23.35 37.64 24 37
16 18 10 12 26 30 14.53 13.10 11 12
19 24 9 11 28 35 17.07 13.89 9 10
21 18 18 14 39 32 25.32 16.67 13 11
19 34 12 10 31 44 12.50 16.06 19 21
33 60 18 30 51 90 14.13 22.50 22 38
31 39 13 10 44 49 10.38 9.40 20 29
27 26 18 20 45 46 12.36 11.95 10 13
371 472 176 202 547 674 15.92 16.97 222 312
absolut absolut
%
L P L P L P L P L P
12 13 14 15 16
6 15 15 38 12.93 29.69 5 13 2 7
3 5 7 7 13.73 12.50 0 0 1 1
2 3 6 6 9.09 8.00 3 1 0 0
10 22 40 54 37.74 42.52 23 27 3 15
3 6 15 32 22.73 42.67 2 0 2 4
10 20 17 28 23.61 36.84 2 1 0 1
10 18 31 45 34.83 45.92 13 22 1 7
15 20 39 57 39.80 52.78 6 8 2 3
7 15 18 27 23.38 32.93 1 0 1 1
4 8 13 18 18.57 22.22 5 6 2 5
10 18 23 29 34.85 34.94 9 9 7 14
6 10 25 31 23.58 26.27 0 16 0 11
10 26 32 64 20.65 37.21 18 15 10 22
10 21 30 50 16.48 21.37 2 2 0 0
8 18 18 31 11.54 18.79 3 4 6 11
119 250 341 562 23.10 33.49 92 124 37 102
PELAYANAN KESEHATAN

solut Absolut
%
L P L P L P L P L p
17 18 19 20 21
7 20 11.48 29.85 43 96 19 46 62 142
1 1 3.70 3.33 8 9 6 7 14 16
3 1 8.82 2.56 13 13 5 6 18 19
26 42 47.27 62.69 104 146 28 57 132 203
4 4 11.76 10.26 19 35 9 15 28 50
2 2 5.26 5.00 26 39 20 33 46 72
14 29 29.79 55.77 71 94 26 35 97 129
8 11 15.69 19.30 84 136 35 43 119 179
2 1 5.00 2.33 30 41 18 28 48 69
7 11 18.92 26.19 33 46 15 24 48 70
16 23 45.71 53.49 49 59 35 46 84 105
0 27 0.00 43.55 62 80 18 31 80 111
28 37 34.57 41.11 81 132 38 78 119 210
2 2 2.08 1.71 49 73 23 31 72 104
9 15 10.98 17.24 57 78 32 49 89 127
129 226 16.67 25.83 729 1077 332 554 1061 1631
Abosolut
% %
L P L P L P L P L P
22 23 24 25 26
13 28.8 0 0 0 0 0 0 0 0
7.1 7.3 0 0 0 0 0 0 0 0
7.1 6.6 0 0 0 0 0 0 0 0
32.5 70.7 0 0 0 0 0 0 0 0
11 10.2 0 0 0 0 0 0 0 0
18.8 17.4 0 0 0 0 0 0 0 0
28.3 39.9 0 0 0 0 0 0 0 0
37.9 59.4 0 0 0 0 0 0 0 0
16.2 19.4 0 0 0 0 0 0 0 0
17.7 18.6 0 0 0 0 0 0 0 0
32.9 33 0 0 0 0 0 0 0 0
19.5 24.4 0 0 0 0 0 0 0 0
19.9 31.7 0 0 0 0 0 0 0 0
10.2 11.9 0 0 0 0 0 0 0 0
14.7 19.9 0 0 0 0 0 0 0 0
18.6 25 0 0 0 0 0 0 0 0
JUMLAH LAN
Absolut Absolut
L P L P L P L P L P
27 28 29 30 31
0 0 0 0 0 0 0 0 43 96
0 0 0 0 0 0 0 0 8 9
0 0 0 0 0 0 0 0 13 13
0 0 0 0 0 0 0 0 104 146
0 0 0 0 0 0 0 0 19 35
0 0 0 0 0 0 0 0 26 39
0 0 0 0 0 0 0 0 71 94
0 0 0 0 0 0 0 0 84 136
0 0 0 0 0 0 0 0 30 41
0 0 0 0 0 0 0 0 33 46
0 0 0 0 0 0 0 0 49 59
0 0 0 0 0 0 0 0 62 80
0 0 0 0 0 0 0 0 81 132
0 0 0 0 0 0 0 0 49 73
0 0 0 0 0 0 0 0 57 78
0 0 0 0 0 0 0 0 729 1077
JUMLAH LANSIA YANG DI SCREANING Jumlah Lansia Yang di Be
Absolut Absolut
L P L P L P L P L
32 33 34 35 36
19 46 62 142 13 28.8 43 96 19
6 7 14 16 7.1 7.3 8 9 6
5 6 18 19 7.1 6.6 13 13 5
28 57 132 203 32.5 70.7 104 146 28
9 15 28 50 11 10.2 19 35 9
20 33 46 72 18.8 17.4 26 39 20
26 35 97 129 28.3 39.9 71 94 26
35 43 119 179 37.9 59.4 84 136 35
18 28 48 69 16.2 19.4 30 41 18
15 24 48 70 17.7 18.6 33 46 15
35 46 84 105 32.9 33 49 59 35
18 31 80 111 19.5 24.4 62 80 18
38 78 119 210 19.9 31.7 81 132 38
23 31 72 104 10.2 11.9 49 73 23
32 49 89 127 14.7 19.9 57 78 32
332 554 1061 1631 18.6 25 729 1077 332
PUSKESMAS
Jumlah Lansia Yang di Berdayakan Jumlah Posbindu / Posyandu Lansia Yang aktif Yang
Melaksana
Absolut Absolut kan
%
Bulan ini Total % ada Aktif Pelayanan
Kesehatan
P L P L P Santun
36 37 38 39 40 41 42
46 62 142 13 28.8 3 3 100 0
7 14 16 7.1 7.3 1 1 100 0
6 18 19 7.1 6.6 1 1 100 1
57 132 203 32.5 70.7 4 4 100 0
15 28 50 11 10.2 2 2 100 0
33 46 72 18.8 17.4 1 1 100 1
35 97 129 28.3 39.9 3 3 100 0
43 119 179 37.9 59.4 3 3 100 0
28 48 69 16.2 19.4 3 3 100 0
24 48 70 17.7 18.6 2 2 100 1
46 84 105 32.9 33 3 3 100 0
31 80 111 19.5 24.4 3 3 100 0
78 119 210 19.9 31.7 4 4 100 0
31 72 104 10.2 11.9 5 5 100 1
49 89 127 14.7 19.9 3 3 100 0
554 1061 1631 18.6 25 41 41 100 4
ARANA DAN PRASARANA
PUSKESMASMelaksan
Puskesma akan
s Dengan Home absolut
Posyandu care /
Lansia Long Yang di %
Akttif Term care Yang Ada bina
43 44 45 46 47
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
1 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
1 0 0 0 0
0 0 0 0 0
4 0 0 0 0
Dasuk, 31 Maret 2018

Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS DASUK
TAHUN 2018
BULAN MARET
NO NAMA DESA IMT

Ggn ME
Lebih Kurang
L P L P L P
1 2 3 4 5
1. DASUK LAOK 0 0 0 0 0 0
2. DASUK BARAT 0 0 0 0 0 0
3. DASUK TIMUR 0 0 0 0 0 0
4. NYAPAR 0 0 0 0 0 0
5. KERTA TIMUR 0 0 0 0 0 0
6. KERTA BARAT 0 0 0 0 0 0
7. SEMA'AN 0 0 0 0 0 0
8. SLOPENG 0 0 0 0 0 0
11. BATES 0 0 0 0 0 0
12. KECER 0 0 0 0 0 0
13. JELBUDAN 0 0 0 0 0 0
14. BERINGIN 0 0 0 0 0 0
15. MANTAJUN 0 0 0 0 0 0
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
L P L P L P L P L P
6 7 8 9 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
L P L P L P L P L P
11 12 13 14 15
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
IMT
Lebih Kurang
L P L P L P L P L P
16 17 18 19 20
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
L P L P L P L P L P
21 22 23 24 25
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0

Mahmudah
NIP. 19680719 1991 03 2007
L P
26
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Mahmudah
P. 19680719 1991 03 2007
PUSKESM: DASUK
TAHUN : 2018
BULAN : MARET
JUMLAH
NO JENIS PENYAKIT
L P TOTAL
4 PPOK 0 0 0
6 Kanker 0 0 0
13 TB Paru 0 0 0
14 Asma 1 1 2
15 lain lain 12 15 27
Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS : DASUK
TAHUN : 2018
BULAN : MARET
SASARAN
JUMLAH JUMLAH
POSYAND PANTI Jumlah Pra lansia
(45-59 Tahun)
U WERDA
L P L P L
1 2 3 4 5 6
1. DASUK LAOK 3 0 270 298 116 128 61
2. DASUK BARAT 1 0 119 131 51 56 27
3. DASUK TIMUR 2 0 153 173 66 75 34
4. NYAPAR 4 0 245 296 106 127 55
5. KERTA TIMUR 2 0 153 173 66 75 34
6. KERTA BARAT 1 0 168 296 72 76 38
7. SEMA'AN 3 0 206 173 89 98 47
8. SLOPENG 3 0 227 178 98 108 51
9. BATU BELAH BARAT 3 0 179 229 77 82 40
10. BATU BELAH TIMUR 2 0 164 252 70 81 37
11. BATES 3 0 154 192 66 83 35
12. KECER 3 0 248 274 106 118 56
13. JELBUDAN 4 0 361 400 155 172 81
14. BERINGIN 5 0 424 521 182 234 96
15. MANTAJUN 3 0 364 385 156 165 82
TOTAL 42 0 3435 3971 1476 1678 774
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
KEATIAN
Jumlah Pra lansia
(45-59 Tahun)
A B C
P B L B L B L
6 7 8 9
67 11 24 6 15 2 7 0 0 0
30 2 1 3 5 1 1 0 0 0
39 3 3 2 3 0 0 0 0 0
67 15 20 10 22 3 15 0 0 0
39 4 5 3 6 2 4 0 0 0
40 10 12 10 20 0 1 0 0 0
52 15 10 10 18 1 7 0 0 0
57 18 20 20 45 2 3 0 0 0
43 10 12 7 15 1 1 0 0 0
42 9 11 4 8 2 5 0 0 0
43 18 14 10 18 7 14 0 0 0
62 12 10 6 10 0 11 0 0 0
90 18 30 10 26 10 22 0 0 0
117 13 10 10 21 0 0 0 0 0
87 18 20 8 18 6 11 0 0 0
875 176 202 119 250 37 102 0 0 0
JUMLAH LANSIA D
IMT TEK.DARAH
L N K T R
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH LANSIA
GGN DENGAN KELAINAN
LAIN-LAIN
L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
KONSELING
JUMLAH JUMLAH
AAN KET
S HAN WERDA AN
LANSIA DIBINA RUMAH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS DASUK
TAHUN 2018
BULAN April
SASARAN
Jumplah Lansia
L P L P L P
1 2 3 4 5 6
1. DASUK LAOK 3 270 298 116 128 61 67
2. DASUK BARAT 1 119 131 51 56 27 30
3. DASUK TIMUR 2 153 173 66 75 34 39
4. NYAPAR 4 245 296 106 127 55 67
5. KERTA TIMUR 2 153 173 66 75 34 39
6. KERTA BARAT 1 168 296 72 76 38 40
7. SEMA'AN 3 206 173 89 98 47 52
8. SLOPENG 3 227 178 98 108 51 57
9. BATU BELAH BARAT 3 179 229 77 82 40 43
10. BATU BELAH TIMUR 2 164 252 70 81 37 42
11. BATES 3 154 192 66 83 35 43
12. KECER 3 248 274 106 118 56 62
13. JELBUDAN 4 361 400 155 172 81 90
14. BERINGIN 5 424 521 182 234 96 117
15. MANTAJUN 3 364 385 156 165 82 87
TOTAL 42 3435 3971 1476 1678 774 875
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
45-59 tahun ≥ 60
Absolut absolut
%
L P L P L P L P L P
7 8 9 10 11
36 78 22 25 58 103 21.48 34.56 15 38
5 6 5 3 10 9 8.40 6.87 7 7
5 6 9 10 14 16 9.15 9.25 6 6
81 82 10 15 91 97 37.14 32.77 40 54
17 21 9 10 26 31 16.99 17.92 15 32
18 19 11 11 29 30 17.26 10.14 17 28
68 69 15 11 83 80 40.29 46.24 31 45
53 67 17 20 70 87 30.84 48.88 39 57
26 30 5 6 31 36 17.32 15.72 18 27
28 35 14 16 42 51 25.61 20.24 13 18
39 32 23 20 62 52 40.26 27.08 23 29
31 43 13 28 44 71 17.74 25.91 25 31
51 69 30 36 81 105 22.44 26.25 32 64
44 57 45 53 89 110 20.99 21.11 30 50
45 63 32 31 77 94 21.15 24.42 18 31
547 202 260 295 807 497 23.49 12.52 341 562
absolut absolut
%
L P L P L P L P L P
12 13 14 15 16
10 11 25 49 21.55 38.28 7 20 5 6
3 4 10 11 19.61 19.64 1 1 5 4
5 6 11 12 16.67 16.00 3 1 3 3
15 9 55 63 51.89 49.61 26 42 3 6
5 6 20 38 30.30 50.67 4 4 3 3
5 8 22 36 30.56 47.37 2 2 1 2
6 9 37 54 41.57 55.10 14 29 3 4
15 17 54 74 55.10 68.52 8 11 4 3
3 2 21 29 27.27 35.37 2 1 2 1
10 10 23 28 32.86 34.57 7 11 5 5
19 25 42 54 63.64 65.06 16 23 5 4
9 16 34 47 32.08 39.83 0 27 0 10
13 15 45 79 29.03 45.93 28 37 8 10
28 18 58 68 31.87 29.06 2 2 2 2
14 15 32 46 20.51 27.88 9 15 14 15
160 171 501 733 33.94 43.68 129 226 63 78
PELAYANAN KESEHATAN

solut Absolut
%
L P L P L P L P L p
17 18 19 20 21
12 26 19.67 38.81 62 142 37 52 99 194
6 5 22.22 16.67 14 16 6 5 20 21
6 4 17.65 10.26 18 19 14 14 32 33
29 48 52.73 71.64 132 203 28 30 160 233
7 7 20.59 17.95 28 50 17 19 45 69
3 4 7.89 10.00 46 72 1 1 47 73
17 33 36.17 63.46 97 129 23 23 120 152
12 14 23.53 24.56 124 204 36 40 160 244
4 2 10.00 4.65 48 69 5 6 53 75
12 16 32.43 38.10 48 70 29 31 77 101
21 27 60.00 62.79 84 105 52 60 136 165
0 37 0.00 59.68 80 111 22 50 102 161
36 47 44.44 52.22 119 210 82 86 201 296
4 4 4.17 3.42 72 104 73 71 145 175
23 30 28.05 34.48 89 127 60 61 149 188
192 304 24.81 34.74 1061 1631 485 549 1546 2180
Abosolut
% %
L P L P L P L P L P
22 23 24 25 26
22.1 39.3 0 0 0 0 0 0 0 0
10.1 9.6 0 0 0 0 0 0 0 0
12.6 11.4 0 0 0 0 0 0 0 0
39.4 47.5 1 2 0 0 1 2 0 0
17.7 24 0 0 1 1 1 1 0 0
16.9 17.7 0 0 0 0 0 0 0 0
35 47 0 2 1 1 1 3 0.29 0.79
48.9 71.1 0 0 0 0 0 0 0 0
17.9 21.1 0 0 0 0 0 0 0 0
28.4 26.9 0 0 0 0 0 0 0 0
53.5 51.8 0 0 0 0 0 0 0 0
24.8 35.4 0 4 0 2 0 6 0 1.3
33.6 44.7 2 1 1 1 3 2 0.5 0.78
20.3 20 0 0 0 0 0 0 0 0
24.7 29.5 0 0 1 2 1 2 0.2 0.3
27.1 33.4 3 9 4 7 7 16 0.99 3.17
JUMLAH LANSIA Y
Absolut Absolut
L P L P L P L P L P
27 28 29 30 31
0 0 0 0 0 0 0 0 62 142
0 0 0 0 0 0 0 0 14 16
0 0 0 0 0 0 0 0 18 19
0 0 0 0 0 0 0 0 132 203
0 0 0 0 0 0 0 0 28 50
0 0 0 0 0 0 0 0 46 72
0 0 0 0 0 0 0 0 97 129
0 0 0 0 0 0 0 0 124 204
0 0 0 0 0 0 0 0 48 69
0 0 0 0 0 0 0 0 48 70
0 0 0 0 0 0 0 0 84 105
0 4 0 2 0 6 0 1.3 80 111
0 0 0 0 0 0 0 0 119 210
0 0 0 0 0 0 0 0 72 104
0 0 0 0 0 0 0 0 89 127
0 4 0 2 0 6 0 1.3 1061 1631
Absolut Absolut
L P L P L P L P L P
32 33 34 35 36
37 52 99 194 22.1 39.3 62 142 37 52
6 5 20 21 10.1 9.6 14 16 6 5
14 14 32 33 12.6 11.4 18 19 14 14
28 30 160 233 39.4 47.5 132 203 28 30
17 19 45 69 17.7 24 28 50 17 19
1 1 47 73 16.9 17.7 46 72 1 1
23 23 120 152 35 47 97 129 23 23
36 40 160 244 48.9 71.1 124 204 36 40
5 6 53 75 17.9 21.1 48 69 5 6
29 31 77 101 28.4 26.9 48 70 29 31
52 60 136 165 53.5 51.8 84 105 52 60
22 50 102 161 24.8 35.4 80 111 22 50
82 86 201 296 33.6 44.7 119 210 82 86
73 71 145 175 20.3 20 72 104 73 71
60 61 149 188 24.7 29.5 89 127 60 61
485 549 1546 2180 27.1 33.4 1061 1631 485 549
PUSKESMAS
Puskesma
Melaksana
kan
% Posyandu
Kesehatan Akttif
L P L P Santun
37 38 39 40 41 42 43
99 194 22.1 39.3 3 3 100 0 3
20 21 10.1 9.6 1 1 100 0 1
32 33 12.6 11.4 1 1 100 1 1
160 233 39.4 47.5 4 4 100 0 4
45 69 17.7 24 2 2 100 0 2
47 73 16.9 17.7 1 1 100 0 1
120 152 35 47 3 3 100 0 3
160 244 48.9 71.1 3 3 100 0 3
53 75 17.9 21.1 3 3 100 0 2
77 101 28.4 26.9 2 2 100 1 2
136 165 53.5 51.8 3 3 100 0 3
102 161 24.8 35.4 3 3 100 0 3
201 296 33.6 44.7 4 4 100 0 4
145 175 20.3 20 5 5 100 1 5
149 188 24.7 29.5 3 3 100 0 3
1546 2180 27.1 33.4 41 41 100 3 40
N PRASARANA
PUSKESMASMelaksan
akan
Home absolut
care /
Long Yang di %
44 45 46 47
5 0 0 0
3 0 0 0
1 0 0 0
3 0 0 0
2 0 0 0
0 0 0 0
5 0 0 0
3 0 0 0
0 0 0 0
1 0 0 0
5 0 0 0
3 0 0 0
3 0 0 0
0 0 0 0
2 0 0 0
36 0 0 0
Dasuk, 30 April 2018

Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMADASUK
TAHUN 2018
BULAN April
NO NAMA DESA IMT

Ggn ME Hipertensial
Lebih Kurang
L P L P L P L
1 2 3 4 5 6
1. DASUK LAOK 0 0 0 0 0 0 0
2. DASUK BARAT 0 0 0 0 0 0 0
3. DASUK TIMUR 0 0 0 0 0 0 0
4. NYAPAR 0 0 0 0 0 0 0
5. KERTA TIMUR 0 0 0 0 0 0 0
6. KERTA BARAT 0 0 0 0 0 0 0
7. SEMA'AN 0 0 0 0 0 0 0
8. SLOPENG 0 0 0 0 0 0 0
11. BATES 0 0 0 0 0 0 0
12. KECER 0 0 0 0 0 0 0
13. JELBUDAN 0 0 0 0 0 0 0
14. BERINGIN 0 0 0 0 0 0 0
15. MANTAJUN 0 0 0 0 0 0 0
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
P L P L P L P L P L
6 7 8 9 10 11
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
IMT
Lebih
P L P L P L P L P L
11 12 13 14 15 16
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
IMT
Lebih Kurang
P L P L P L P L P L
16 17 18 19 20 21
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
ur ≥ 60 tahun)
P L P L P L P L P L
21 22 23 24 25 26
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0

Mahmudah
NIP. 19680719 1991 03 2007
P
26
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
k, 30 April 2018
g Jawab Program Lansia
mudah
19 1991 03 2007
JUMLAH
NO JENIS PENYAKIT
L P TOTAL
4 PPOK 0 0 0
6 Kanker 0 0 0
13 TB Paru 0 0 0
14 Asma 1 1 2
15 lain lain 7 8 15
Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS : DASUK
TAHUN : 2018
BULAN : April
SASARAN
JUMLAH JUMLAH
(45-59 Tahun)
U WERDA
L P L P L
1 2 3 4 5 6
1. DASUK LAOK 3 0 270 298 116 128 61
2. DASUK BARAT 1 0 119 131 51 56 27
3. DASUK TIMUR 2 0 153 173 66 75 34
4. NYAPAR 4 0 245 296 106 127 55
5. KERTA TIMUR 2 0 153 173 66 75 34
6. KERTA BARAT 1 0 168 296 72 76 38
7. SEMA'AN 3 0 206 173 89 98 47
8. SLOPENG 3 0 227 178 98 108 51
9. BATU BELAH BARAT 3 0 179 229 77 82 40
10. BATU BELAH TIMUR 2 0 164 252 70 81 37
11. BATES 3 0 154 192 66 83 35
12. KECER 3 0 248 274 106 118 56
13. JELBUDAN 4 0 361 400 155 172 81
14. BERINGIN 5 0 424 521 182 234 96
15. MANTAJUN 3 0 364 385 156 165 82
TOTAL 42 0 3435 3971 1476 1678 774
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
KEMANDIRIAN
Jumlah Pra lansia
(45-59 Tahun)
A B C
P B L B L B L
6 7 8 9
67 22 25 10 11 5 6 293 0 0
30 5 3 3 4 5 4 41 0 0
39 9 10 5 6 3 3 55 0 0
67 10 15 15 9 3 6 393 3 0
39 9 10 5 6 3 3 114 2 0
40 11 11 5 8 1 2 120 0 0
52 15 11 6 9 3 4 172 4 0
57 17 20 15 17 4 3 404 0 0
43 5 6 3 2 2 1 128 0 0
42 14 16 10 10 5 5 178 0 0
43 23 20 19 25 10 15 301 0 0
62 13 28 9 16 0 10 263 6 6
90 30 36 13 15 8 10 497 5 0
117 45 53 28 18 2 2 320 0 0
87 32 31 14 15 14 15 337 3 0
875 260 295 160 171 68 89 3726 23 6
JUMLAH LANSIA D
IMT TEK.DARAH
L N K T R
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH LANSIA
GGN DENGAN KELAINAN
LAIN-LAIN
L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
KONSELING
JUMLAH JUMLAH
AAN KET
S HAN WERDA AN
LANSIA DIBINA RUMAH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS DASUK
TAHUN 2018
BULAN Mei
SASARAN
Jumplah Lansia
L P L P L P
1 2 3 4 5 6
1. DASUK LAOK 3 270 298 116 128 61 67
2. DASUK BARAT 1 119 131 51 56 27 30
3. DASUK TIMUR 2 153 173 66 75 34 39
4. NYAPAR 4 245 296 106 127 55 67
5. KERTA TIMUR 2 153 173 66 75 34 39
6. KERTA BARAT 1 168 296 72 76 38 40
7. SEMA'AN 3 206 173 89 98 47 52
8. SLOPENG 3 227 178 98 108 51 57
9. BATU BELAH BARAT 3 179 229 77 82 40 43
10. BATU BELAH TIMUR 2 164 252 70 81 37 42
11. BATES 3 154 192 66 83 35 43
12. KECER 3 248 274 106 118 56 62
13. JELBUDAN 4 361 400 155 172 81 90
14. BERINGIN 5 424 521 182 234 96 117
15. MANTAJUN 3 364 385 156 165 82 87
TOTAL 42 3435 3971 1476 1678 774 875
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
45-59 tahun ≥ 60
Absolut absolut
%
L P L P L P L P L P
7 8 9 10 11
58 103 22 25 80 128 29.63 42.95 25 49
10 9 5 3 15 12 12.61 9.16 10 11
14 16 9 10 23 26 15.03 15.03 11 12
91 97 10 15 101 112 41.22 37.84 55 63
26 31 9 10 35 41 22.88 23.70 20 38
29 30 11 11 40 41 23.81 13.85 22 36
83 80 15 11 98 91 47.57 52.60 37 54
70 87 17 20 87 107 38.33 60.11 54 74
31 36 5 6 36 42 20.11 18.34 21 29
42 51 14 16 56 67 34.15 26.59 23 28
62 52 23 20 85 72 55.19 37.50 42 54
44 71 13 28 57 99 22.98 36.13 34 47
81 105 30 36 111 141 30.75 35.25 45 79
89 110 45 53 134 163 31.60 31.29 58 68
77 94 32 31 109 125 29.95 32.47 32 46
807 497 260 295 1067 792 31.06 19.94 501 733
absolut absolut
%
L P L P L P L P L P
12 13 14 15 16
10 11 35 60 30.17 46.88 12 20 5 6
3 4 13 15 25.49 26.79 6 1 5 4
5 6 16 18 24.24 24.00 6 1 3 3
15 9 70 72 66.04 56.69 29 42 3 6
5 6 25 44 37.88 58.67 7 4 3 3
5 8 27 44 37.50 57.89 3 2 1 2
6 9 43 63 48.31 64.29 17 29 3 4
9 0 63 74 64.29 68.52 12 11 4 3
3 2 24 31 31.17 37.80 4 1 2 1
10 10 33 38 47.14 46.91 12 11 5 5
2 4 44 58 66.67 69.88 21 23 2 4
9 16 43 63 40.57 53.39 0 27 0 10
13 15 58 94 37.42 54.65 36 37 8 10
28 18 86 86 47.25 36.75 4 2 2 2
14 15 46 61 29.49 36.97 23 15 14 15
137 133 638 866 43.22 51.61 192 226 60 78
PELAYANAN KESEHATAN

solut Absolut
%
L P L P L P L P L p
17 18 19 20 21
17 26 27.87 38.81 99 194 37 52 136 214
11 5 40.74 16.67 20 21 6 5 26 58
9 4 26.47 10.26 32 33 14 14 46 39
32 48 58.18 71.64 160 233 28 30 188 247
10 7 29.41 17.95 45 69 17 19 62 97
4 4 10.53 10.00 47 73 1 1 48 90
20 33 42.55 63.46 120 152 23 23 143 153
16 14 31.37 24.56 160 244 36 40 196 267
6 2 15.00 4.65 53 75 5 6 58 111
17 16 45.95 38.10 77 101 29 31 106 106
23 27 65.71 62.79 136 165 52 60 188 194
0 37 0.00 59.68 102 161 22 50 124 213
44 47 54.32 52.22 201 296 82 86 283 318
6 4 6.25 3.42 145 175 73 71 218 257
37 30 45.12 34.48 149 188 60 61 209 261
252 304 32.56 34.74 1546 2180 485 549 2031 2240
Abosolut
% %
L P L P L P L P L P
22 23 24 25 26
30.4 43.4 0 0 0 0 0 0 0 0
13.1 26.7 0 0 0 0 0 0 0 0
18.1 13.5 0 0 0 0 0 0 0 0
46.3 49.5 1 2 0 0 1 2 0 0
24.5 33.7 0 0 1 1 1 1 0 0
17.2 21.8 0 0 0 0 0 0 0 0
41.8 47.3 0 2 1 1 1 3 0.29 0.79
59.9 75.4 0 0 0 0 0 0 0 0
19.5 31.3 0 0 0 0 0 0 0 0
39.1 28.2 0 0 0 0 0 0 0 0
73.7 61 0 0 0 0 0 0 0 0
30.2 46.9 0 4 0 2 0 6 0 1.3
47.4 48 2 1 1 1 3 2 0.5 0.78
31 29.4 0 0 0 0 0 0 0 0
34.7 40.9 0 0 1 2 1 2 0.2 0.3
35.7 34.3 3 9 4 7 7 16 0.99 3.17
JUMLAH LANSIA Y
Absolut Absolut
L P L P L P L P L P
27 28 29 30 31
0 0 0 0 0 0 0 0 99 194
0 0 0 0 0 0 0 0 20 21
0 0 0 0 0 0 0 0 32 33
0 0 0 0 0 0 0 0 160 233
0 0 0 0 0 0 0 0 45 69
0 0 0 0 0 0 0 0 47 73
0 0 0 0 0 0 0 0 120 152
0 0 0 0 0 0 0 0 160 244
0 0 0 0 0 0 0 0 53 75
0 0 0 0 0 0 0 0 77 101
0 0 0 0 0 0 0 0 136 165
0 4 0 2 0 6 0 1.3 102 161
0 0 0 0 0 0 0 0 201 296
0 0 0 0 0 0 0 0 145 175
0 0 0 0 0 0 0 0 149 188
0 4 0 2 0 6 0 1.3 1546 2180
Absolut Absolut
L P L P L P L P L P
32 33 34 35 36
37 52 136 226 30.4 43.4 99 194 37 52
6 5 26 58 13.1 26.7 20 21 6 5
14 14 46 39 18.1 13.5 32 33 14 14
28 30 188 247 46.3 49.5 160 233 28 30
17 19 62 97 24.5 33.7 45 69 17 19
1 1 48 90 17.2 21.8 47 73 1 1
23 23 143 153 41.8 47.3 120 152 23 23
36 40 196 267 59.9 75.4 160 244 36 40
5 6 58 111 19.5 31.3 53 75 5 6
29 31 106 106 39.1 28.2 77 101 29 31
52 60 188 194 73.7 61 136 165 52 60
22 50 124 213 30.2 46.9 102 161 22 50
82 86 283 318 47.4 48 201 296 82 86
73 71 218 257 31 29.4 145 175 73 71
60 61 209 261 34.7 40.9 149 188 60 61
485 549 2031 2240 35.7 34.3 1546 2180 485 549
PUSKESMAS
Puskesma
Melaksana
kan
% Posyandu
Kesehatan Akttif
L P L P Santun
37 38 39 40 41 42 43
136 230 30.4 43.4 3 3 100 0 3
26 58 13.1 26.7 1 1 100 0 1
46 39 18.1 13.5 1 1 100 1 1
188 247 46.3 49.5 4 4 100 0 4
62 97 24.5 33.7 2 2 100 0 2
48 90 17.2 21.8 1 1 100 0 1
143 153 41.8 47.3 3 3 100 0 3
196 267 59.9 75.4 3 3 100 0 3
58 111 19.5 31.3 3 3 100 0 2
106 106 39.1 28.2 2 2 100 1 2
188 194 73.7 61 3 3 100 0 3
124 213 30.2 46.9 3 3 100 0 3
283 318 47.4 48 4 4 100 0 4
218 257 31 29.4 5 5 100 1 5
209 261 34.7 40.9 3 3 100 0 3
2031 2240 35.7 34.3 41 41 100 3 40
N PRASARANA
PUSKESMASMelaksan
akan
Home absolut
care /
Long Yang di %
44 45 46 47
5 0 0 0
3 0 0 0
1 0 0 0
3 0 0 0
2 0 0 0
0 0 0 0
5 0 0 0
3 0 0 0
0 0 0 0
1 0 0 0
5 0 0 0
3 0 0 0
3 0 0 0
0 0 0 0
2 0 0 0
36 0 0 0
Dasuk, 30 Mei 2018

Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMADASUK
TAHUN 2018
BULAN MEI
NO NAMA DESA IMT

Ggn ME Hipertensial
Lebih Kurang
L P L P L P L
1 2 3 4 5 6
1. DASUK LAOK 0 0 0 0 0 0 8
2. DASUK BARAT 0 0 0 0 0 0 2
3. DASUK TIMUR 0 0 0 0 0 0 1
4. NYAPAR 0 0 1 5 4 8 4
5. KERTA TIMUR 0 0 0 0 0 0 2
6. KERTA BARAT 0 0 0 0 0 0 10
7. SEMA'AN 0 0 0 0 0 0 2
8. SLOPENG 0 0 0 0 0 0 2
11. BATES 0 0 0 0 0 0 2
12. KECER 0 0 0 0 0 0 3
13. JELBUDAN 0 0 1 4 8 14 9
14. BERINGIN 0 0 0 0 0 0 7
15. MANTAJUN 0 0 0 0 0 0 20
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
P L P L P L P L P L
6 7 8 9 10 11
10 0 0 3 6 1 4 0 0 0
3 1 12 1 2 0 0 0 0 0
2 1 3 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0
3 4 2 0 0 0 0 0 0 0
12 0 0 1 2 1 1 0 0 0
3 0 0 0 0 0 0 0 0 0
2 0 0 1 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
3 4 6 3 3 5 6 0 0 0
3 2 1 0 0 0 0 0 0 0
7 0 0 1 1 0 0 0 0 0
11 0 0 1 2 0 0 0 0 0
9 0 0 0 0 0 0 0 0 0
21 5 7 8 8 17 20 0 0 0
IMT
Lebih
P L P L P L P L P L
11 12 13 14 15 16
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 6
0 0 0 0 0 0 0 0 0 0
0 1 1 0 2 0 0 0 0 0
0 0 0 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
0 2 3 5 5 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 2 2 2 2 0 0 0 0 0
0 0 0 0 0 0 0 3 4 2
0 2 3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
IMT
Lebih Kurang
P L P L P L P L P L
16 17 18 19 20 21
0 0 0 6 7 0 0 2 4 3
0 0 0 1 2 2 4 1 1 0
0 0 0 4 3 2 4 0 0 0
10 10 14 6 3 0 0 2 1 0
0 25 43 2 3 0 0 0 0 0
0 0 0 4 2 2 0 0 0 0
2 3 8 1 10 0 0 0 2 0
0 0 0 1 1 0 0 0 0 0
0 0 0 2 2 0 0 1 1 0
0 1 2 7 5 10 20 2 2 5
0 0 0 2 4 0 0 0 0 0
0 0 0 6 9 0 0 0 1 0
2 2 12 7 10 0 0 0 1 0
0 0 0 2 0 0 0 0 0 0
0 0 0 5 6 3 4 0 0 10
ur ≥ 60 tahun)
P L P L P L P L P L
21 22 23 24 25 26
4 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 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 0 5 3 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 1 2 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 1 0 0 0
10 0 0 0 0 2 1 2 2 4
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 1 2 2 0
0 0 0 0 0 1 1 2 1 0
0 0 0 0 0 2 3 0 0 0
12 0 0 0 0 0 0 0 0 0
Dasuk, 30 Mei 2018

Mahmudah
NIP. 19680719 1991 03 2007
P
26
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
k, 30 Mei 2018
mudah
19 1991 03 2007
JUMLAH
NO JENIS PENYAKIT
L P TOTAL
4 PPOK 0 0 0
6 Kanker 0 0 0
13 TB Paru 0 0 0
14 Asma 1 1 2
15 lain lain 0 0 0
Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS : DASUK
TAHUN : 2018
BULAN : Mei
SASARAN
JUMLAH JUMLAH Jumlah Pra lansia

NO NAMA DESA POSYAND PANTI ≥ 60 Tahun ≥ 70 Tahun
(45-59 Tahun)
U WERDA
L P L P L
1 2 3 4 5 6
1. DASUK LAOK 3 0 270 298 116 128 61
2. DASUK BARAT 1 0 119 131 51 56 27
3. DASUK TIMUR 2 0 153 173 66 75 34
4. NYAPAR 4 0 245 296 106 127 55
5. KERTA TIMUR 2 0 153 173 66 75 34
6. KERTA BARAT 1 0 168 296 72 76 38
7. SEMA'AN 3 0 206 173 89 98 47
8. SLOPENG 3 0 227 178 98 108 51
9. BATU BELAH BARAT 3 0 179 229 77 82 40
10. BATU BELAH TIMUR 2 0 164 252 70 81 37
11. BATES 3 0 154 192 66 83 35
12. KECER 3 0 248 274 106 118 56
13. JELBUDAN 4 0 361 400 155 172 81
14. BERINGIN 5 0 424 521 182 234 96
15. MANTAJUN 3 0 364 385 156 165 82
TOTAL 42 0 3435 3971 1476 1678 774
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
KEMANDIRIAN
Jumlah Pra lansia
(45-59 Tahun)
A B C
P B L B L B L
6 7 8 9
67 22 25 10 11 5 6 89 0 0
30 5 3 3 4 5 4 15 5 0
39 9 10 5 6 3 3 28 0 0
67 10 15 15 9 3 6 188 4 4
39 9 10 5 6 3 3 42 4 0
40 11 11 5 8 1 2 105 5 0
52 15 11 6 9 3 4 95 4 0
57 17 20 9 0 4 3 45 0 0
43 5 6 3 2 2 1 28 0 0
42 14 16 10 10 5 5 81 0 0
43 23 20 2 4 2 4 112 0 0
62 13 28 9 16 0 10 79 10 6
90 30 36 13 15 8 10 134 9 0
117 45 53 28 18 2 2 164 0 0
87 32 31 14 15 14 15 71 8 0
875 260 295 137 133 60 78 1265 49 4
JUMLAH LANSIA D
IMT TEK.DARAH
L N K T R
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH LANSIA
GGN DENGAN KELAINAN
LAIN-LAIN
L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
KONSELING
JUMLAH JUMLAH
AAN KET
S HAN WERDA AN
LANSIA DIBINA RUMAH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Dasuk, 30 Mei 2018

Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS DASUK
TAHUN 2018
BULAN Juni
SASARAN
Jumplah Lansia
L P L P L P
1 2 3 4 5 6
1. DASUK LAOK 3 270 298 116 128 61 67
2. DASUK BARAT 1 119 131 51 56 27 30
3. DASUK TIMUR 2 153 173 66 75 34 39
4. NYAPAR 4 245 296 106 127 55 67
5. KERTA TIMUR 2 153 173 66 75 34 39
6. KERTA BARAT 1 168 296 72 76 38 40
7. SEMA'AN 3 206 173 89 98 47 52
8. SLOPENG 3 227 178 98 108 51 57
9. BATU BELAH BARAT 3 179 229 77 82 40 43
10. BATU BELAH TIMUR 2 164 252 70 81 37 42
11. BATES 3 154 192 66 83 35 43
12. KECER 3 248 274 106 118 56 62
13. JELBUDAN 4 361 400 155 172 81 90
14. BERINGIN 5 424 521 182 234 96 117
15. MANTAJUN 3 364 385 156 165 82 87
TOTAL 42 3435 3971 1476 1678 774 875
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
45-59 tahun ≥ 60
Absolut absolut
%
L P L P L P L P L P
7 8 9 10 11
80 128 9 18 89 146 32.96 48.99 35 60
15 12 6 8 21 20 17.65 15.27 13 15
23 26 7 8 30 34 19.61 19.65 16 18
101 112 48 48 149 160 60.82 54.05 70 72
35 41 11 12 46 53 30.07 30.64 25 44
40 41 11 11 51 52 30.36 17.57 27 44
98 91 10 18 108 109 52.43 63.01 43 63
87 107 10 13 97 120 42.73 67.42 63 74
36 42 20 21 56 63 31.28 27.51 24 31
56 67 15 19 71 86 43.29 34.13 33 38
85 72 30 36 115 108 74.68 56.25 44 58
57 99 15 15 72 114 29.03 41.61 43 63
111 149 30 34 141 183 39.06 45.75 58 94
134 163 30 39 164 202 38.68 38.77 86 86
109 125 35 38 144 163 39.56 42.34 46 61
1067 792 287 338 1354 1130 39.42 28.46 638 866
absolut absolut
%
L P L P L P L P L P
12 13 14 15 16
10 20 45 80 38.79 62.50 17 26 2 5
3 2 16 17 31.37 30.36 11 5 2 3
2 4 18 22 27.27 29.33 9 4 3 2
13 17 83 89 78.30 70.08 32 48 7 4
5 6 30 50 45.45 66.67 10 7 3 3
7 6 34 50 47.22 65.79 4 4 3 2
6 7 49 70 55.06 71.43 20 33 2 2
3 5 66 79 67.35 73.15 16 14 2 3
7 8 31 39 40.26 47.56 6 2 5 6
7 8 40 46 57.14 56.79 17 16 4 4
5 7 49 65 74.24 78.31 23 27 4 4
10 7 53 70 50.00 59.32 0 37 7 5
13 18 71 112 45.81 65.12 44 47 8 9
25 30 111 116 60.99 49.57 6 4 2 3
15 18 61 79 39.10 47.88 37 38 9 9
131 163 769 1029 52.10 61.32 298 304 63 64
PELAYANAN KESEHATAN

solut Absolut
%
L P L P L P L P L p
17 18 19 20 21
19 31 31.15 46.27 136 214 21 43 157 257
13 8 48.15 26.67 26 58 9 12 35 70
12 6 35.29 15.38 46 39 12 14 58 53
39 52 70.91 77.61 188 247 85 83 273 330
13 10 38.24 25.64 62 97 19 20 81 117
7 6 18.42 15.00 48 90 49 46 97 136
22 35 46.81 67.31 143 153 18 27 161 180
18 17 35.29 29.82 196 267 15 0 211 267
11 8 27.50 18.60 58 111 32 35 90 146
21 20 56.76 47.62 106 106 26 31 132 137
27 31 77.14 72.09 188 194 12 10 200 204
7 42 12.50 67.74 124 213 30 23 154 236
52 56 64.20 62.22 283 318 50 59 333 377
8 7 8.33 5.98 218 257 57 72 275 329
46 47 56.10 54.02 209 261 35 38 244 299
361 368 46.64 42.06 2031 2240 470 513 2501 2753
Abosolut
% %
L P L P L P L P L P
22 23 24 25 26
35.1 52.1 0 0 0 0 0 0 0 0
17.7 32.2 2 3 0 1 2 4 1 1.8
22.9 18.4 0 0 0 0 0 0 0 0
67.2 67.3 1 2 0 2 1 4 0.24 1.05
32 40.7 2 2 1 1 3 3 1.18 1.04
34.8 33.6 0 0 0 0 0 0 0 0
47 55.7 0 0 0 0 0 0 0 0
64.5 61.5 0 0 0 0 0 0 0 0
30.4 41.2 0 0 0 0 0 0 0 0
48.7 36.5 0 0 0 0 0 0 0 0
78.4 64.1 0 3 2 2 2 5 0.83 0.6
37.5 51.9 2 8 1 2 3 10 0.73 2.2
55.7 56.9 5 4 1 2 6 6 1 0.9
39.1 37.7 0 0 0 0 0 0 0 0
40.5 46.9 3 5 2 2 5 7 1.4 1.8
43.9 42.1 15 27 7 12 22 39 6.38 9.39
JUMLAH LANSIA Y
Absolut Absolut
L P L P L P L P L P
27 28 29 30 31
0 0 0 0 0 0 0 0 136 214
0 0 0 0 0 0 0 0 26 58
0 0 0 0 0 0 0 0 46 39
0 1 1 1 1 2 0.24 0.52 188 247
0 0 0 0 0 0 0 0 62 97
0 0 0 0 0 0 0 0 48 90
0 0 0 0 0 0 0 0 143 153
0 0 0 0 0 0 0 0 196 267
0 0 0 0 0 0 0 0 58 111
0 0 0 0 0 0 0 0 106 106
0 0 0 0 0 0 0 0 188 194
1 8 1 2 2 10 0.49 2.2 124 213
0 0 0 0 0 0 0 0 283 318
0 0 0 0 0 0 0 0 218 257
0 0 0 0 0 0 0 0 209 261
1 9 2 3 3 12 0.73 2.72 2031 2240
Absolut Absolut
L P L P L P L P L P
32 33 34 35 36
21 43 157 257 35.1 52.1 136 214 21 43
9 12 35 70 17.7 32.2 26 58 9 12
12 14 58 53 22.9 18.4 46 39 12 14
85 83 273 330 67.2 67.3 188 247 85 83
19 20 81 117 32 40.7 62 97 19 20
49 46 97 136 34.8 33.6 48 90 49 46
18 27 161 180 47 55.7 143 153 18 27
15 0 211 267 64.5 61.5 196 267 15 0
32 35 90 146 30.4 41.2 58 111 32 35
26 31 132 137 48.7 36.5 106 106 26 31
12 10 200 204 78.4 64.1 188 194 12 10
30 23 154 236 37.5 51.9 124 213 30 23
50 59 333 377 55.7 56.9 283 318 50 59
57 72 275 329 39.1 37.7 218 257 57 72
35 38 244 299 40.5 46.9 209 261 35 38
470 513 2501 2753 43.9 42.1 2031 2240 470 513
PUSKESMAS
Puskesma
Melaksana
kan
% Posyandu
Kesehatan Akttif
L P L P Santun
37 38 39 40 41 42 43
157 257 35.1 52.1 3 3 100 0 3
35 70 17.7 32.2 1 1 100 0 0
58 53 22.9 18.4 1 1 100 0 0
273 330 67.2 67.3 4 4 100 0 0
81 117 32 40.7 2 2 100 0 0
97 136 34.8 33.6 1 1 100 0 0
161 180 47 55.7 3 3 100 0 3
211 267 64.5 61.5 3 3 100 0 0
90 146 30.4 41.2 3 3 100 0 2
132 137 48.7 36.5 2 2 100 1 2
200 204 78.4 64.1 3 3 100 0 4
154 236 37.5 51.9 3 3 100 0 0
333 377 55.7 56.9 4 4 100 0 0
275 329 39.1 37.7 5 5 100 0 0
244 299 40.5 46.9 3 3 100 0 3
2501 2753 43.9 42.1 41 41 100 1 17
N PRASARANA
PUSKESMASMelaksan
akan
Home absolut
care /
Long Yang di %
44 45 46 47
5 0 0 0
0 0 0 0
0 0 0 0
6 0 0 0
0 0 0 0
0 0 0 0
1 0 0 0
0 0 0 0
0 0 0 0
1 0 0 0
5 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
2 0 0 0
20 0 0 0
Dasuk, 30 Juni 2018

Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMADASUK
TAHUN 2018
BULAN Juni
NO NAMA DESA IMT

Ggn ME Hipertensial
Lebih Kurang
L P L P L P L
1 2 3 4 5 6
1. DASUK LAOK 0 0 0 0 0 0 5
2. DASUK BARAT 0 0 0 2 2 1 3
3. DASUK TIMUR 0 0 0 0 0 0 2
4. NYAPAR 0 0 1 4 3 6 9
5. KERTA TIMUR 0 0 1 0 0 0 2
6. KERTA BARAT 0 0 0 0 0 0 9
7. SEMA'AN 0 0 0 0 1 1 0
8. SLOPENG 0 0 0 0 0 0 3
11. BATES 0 0 0 0 2 1 0
12. KECER 0 0 0 0 0 0 6
13. JELBUDAN 0 0 1 2 10 16 1
14. BERINGIN 0 0 0 0 0 0 7
15. MANTAJUN 0 0 0 0 0 0 22
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
P L P L P L P L P L
6 7 8 9 10 11
6 0 1 2 4 1 6 0 0 0
3 3 2 0 2 0 1 0 0 0
4 0 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0
11 0 0 1 1 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
4 0 0 1 0 0 0 0 0 0
1 1 1 0 1 2 2 0 0 0
0 8 10 4 6 7 10 0 0 0
0 0 0 0 0 0 0 0 0 0
8 0 0 1 2 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
11 0 0 0 3 0 0 0 0 0
21 5 6 9 7 19 17 0 0 0
IMT
Lebih
P L P L P L P L P L
11 12 13 14 15 16
0 0 0 0 0 1 1 0 0 0
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 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 7 9 8 8 0 0 0 0 0
0 2 1 0 0 0 0 0 0 0
0 2 2 2 2 8 5 0 0 0
0 0 1 0 0 0 0 1 3 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
IMT
Lebih Kurang
P L P L P L P L P L
16 17 18 19 20 21
0 0 0 4 5 0 0 3 3 4
0 0 0 0 2 1 1 0 1 0
0 0 0 2 4 0 0 0 0 0
0 0 0 1 2 0 0 0 0 0
0 2 4 2 4 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
1 2 4 4 4 0 0 0 2 0
0 0 0 2 3 0 2 0 0 0
0 0 0 2 2 1 1 1 1 2
0 1 1 7 10 4 5 2 2 4
0 0 0 1 1 0 0 0 0 0
0 0 0 2 4 0 0 0 0 0
3 1 11 0 4 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 11 11 5 4 2 3 12
ur ≥ 60 tahun)
P L P L P L P L P L
21 22 23 24 25 26
0 0 0 0 0 0 0 0 0 4
1 0 0 0 0 0 1 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 1 2 0
0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
6 0 0 0 0 2 3 4 3 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1 2 15
0 0 0 0 0 1 0 1 1 0
0 0 0 0 0 2 3 2 3 0
9 0 0 0 0 0 0 0 0 0
Dasuk, 30 Juni 2018

Mahmudah
NIP. 19680719 1991 03 2007
P
26
6
0
0
0
0
0
0
0
0
0
0
8
0
0
0
2018
ogram Lansia
JUMLAH
NO JENIS PENYAKIT
L P TOTAL
4 PPOK 0 0 0
6 Kanker 0 0 0
13 TB Paru 0 0 0
14 Asma 1 0 1
15 lain lain 19 7 26
Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS : DASUK
TAHUN : 2018
BULAN : Juni
SASARAN
JUMLAH JUMLAH
(45-59 Tahun)
U WERDA
L P L P L
1 2 3 4 5 6
1. DASUK LAOK 3 0 270 298 116 128 61
2. DASUK BARAT 1 0 119 131 51 56 27
3. DASUK TIMUR 2 0 153 173 66 75 34
4. NYAPAR 4 0 245 296 106 127 55
5. KERTA TIMUR 2 0 153 173 66 75 34
6. KERTA BARAT 1 0 168 296 72 76 38
7. SEMA'AN 3 0 206 173 89 98 47
8. SLOPENG 3 0 227 178 98 108 51
9. BATU BELAH BARAT 3 0 179 229 77 82 40
10. BATU BELAH TIMUR 2 0 164 252 70 81 37
11. BATES 3 0 154 192 66 83 35
12. KECER 3 0 248 274 106 118 56
13. JELBUDAN 4 0 361 400 155 172 81
14. BERINGIN 5 0 424 521 182 234 96
15. MANTAJUN 3 0 364 385 156 165 82
TOTAL 42 0 3435 3971 1476 1678 774
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
KEMANDIRIAN
Jumlah Pra lansia
(45-59 Tahun)
A B C
P B L B L B L
6 7 8 9
67 9 18 10 20 2 5 64 0 0
30 6 8 3 2 2 3 21 1 0
39 7 8 2 4 3 2 26 0 0
67 48 48 13 17 7 4 168 2 0
39 11 12 5 6 3 3 39 2 2
40 11 11 7 6 3 2 95 0 0
52 10 18 6 7 2 2 45 0 0
57 10 13 3 5 2 3 36 0 0
43 20 21 7 8 5 6 67 0 0
42 15 19 7 8 4 4 57 0 0
43 30 36 5 7 4 4 134 4 0
62 15 15 10 7 7 5 53 3 3
90 30 34 13 18 8 9 109 3 0
117 30 39 25 30 2 3 129 0 0
87 35 38 15 18 9 9 73 4 0
875 287 338 131 163 63 64 2802 19 5
JUMLAH LANSIA D
IMT TEK.DARAH
L N K T R
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH LANSIA
GGN DENGAN KELAINAN
LAIN-LAIN
L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
KONSELING
JUMLAH JUMLAH
AAN KET
S HAN WERDA AN
LANSIA DIBINA RUMAH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Dasuk, 30 Juni 2018

Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMADASUK
TAHUN 2018
BULAN Juli
SASARAN
Jumplah Lansia
NAMA DESAJUMLAH Jumlah Pra lansia
NO DESA (45-59 Tahun) ≥ 60 Tahun ≥ 70 Tahun Abs
Bulan lalu
L P L P L P L
1 2 3 4 5 6 7
1. DASUK LA 3 270 298 116 128 61 67 89
2. DASUK BA 1 119 131 51 56 27 30 21
3. DASUK TI 2 153 173 66 75 34 39 30
4. NYAPAR 4 245 296 106 127 55 67 149
5. KERTA TI 2 153 173 66 75 34 39 46
6. KERTA BAR 1 168 296 72 76 38 40 51
7. SEMA'AN 3 206 173 89 98 47 52 108
8. SLOPENG 3 227 178 98 108 51 57 97
9. BATU BELA 3 179 229 77 82 40 43 56
10. BATU BEL 2 164 252 70 81 37 42 71
11. BATES 3 154 192 66 83 35 43 115
12. KECER 3 248 274 106 118 56 62 72
13. JELBUDAN 4 361 400 155 172 81 90 141
14. BERINGIN 5 424 521 182 234 96 117 164
15. MANTAJU 3 364 385 156 165 82 87 144
TOTAL 42 3435 3971 1476 1678 774 875 1354
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
Jumlah Pra Lansia / Lansia Yang di Bina / Ya
45-59 tahun ≥ 60 tahun
Absolut absolut
%
Bulan lalu bulan ini Total Bulan lalu bulan ini
P L P L P L P L P L
7 8 9 10 11 12
146 4 12 93 158 34.44 53.02 45 80 8
20 4 7 25 27 21.01 20.61 16 17 3
34 8 7 38 41 24.84 23.70 18 22 3
160 42 55 191 215 77.96 72.64 83 89 0
53 10 13 56 66 36.60 38.15 30 50 5
52 15 17 66 69 39.29 23.31 34 50 7
109 8 15 116 124 56.31 71.68 49 70 5
120 8 15 105 135 46.26 75.84 66 79 4
63 20 20 76 83 42.46 36.24 31 39 8
86 16 15 87 101 53.05 40.08 40 46 5
108 5 15 120 123 77.92 64.06 49 65 2
114 17 29 89 143 35.89 52.19 53 70 7
183 29 35 170 218 47.09 54.50 71 112 12
202 33 32 197 234 46.46 44.91 111 116 30
163 46 43 190 206 52.20 53.51 61 79 17
1130 265 330 1619 1460 47.13 36.77 769 1029 116
P
Lansia / Lansia Yang di Bina / Yang mendapat pelayanan
absolut absolut
%
bulan ini Total Bulan lalu Bulan ini Total
P L P L P L P L P L
12 13 14 15 16 17
10 53 90 45.69 70.31 19 31 1 4 20
5 19 22 37.25 39.29 13 8 1 2 14
4 21 26 31.82 34.67 12 6 3 3 15
8 83 97 78.30 76.38 39 52 3 0 42
5 35 55 53.03 73.33 13 10 3 3 16
9 41 59 56.94 77.63 7 6 3 5 10
7 54 77 60.67 78.57 22 35 3 3 25
7 70 86 71.43 79.63 18 17 4 5 22
9 39 48 50.65 58.54 11 8 6 6 17
7 45 53 64.29 65.43 21 20 3 4 24
0 51 65 77.27 78.31 27 31 0 3 27
17 60 87 56.60 73.73 7 42 2 3 9
16 83 128 53.55 74.42 52 56 8 14 60
25 141 141 77.47 60.26 8 7 4 6 12
19 78 98 50.00 59.39 46 47 7 8 53
148 885 1177 59.96 70.14 361 68 51 69 412
PELAYANAN KESEHATAN
tahun Tingkat kemandirian A

Absolut
% %
P L P L P L P L p L
17 18 19 20 21 22
35 32.79 52.24 157 257 13 26 170 283 38
10 51.85 33.33 35 70 7 12 42 82 21.3
9 44.12 23.08 58 53 14 14 72 67 28.4
52 76.36 77.61 273 330 30 32 303 362 74.6
13 47.06 33.33 81 117 18 21 99 138 39.1
11 26.32 27.50 97 136 25 31 122 167 43.8
38 53.19 73.08 161 180 16 25 177 205 51.7
22 43.14 38.60 211 267 16 0 227 267 69.4
14 42.50 32.56 90 146 34 35 124 181 41.8
24 64.86 57.14 132 137 24 26 156 163 57.5
34 77.14 79.07 200 204 1 4 201 208 78.8
45 16.07 72.58 154 236 24 58 178 294 43.4
70 74.07 77.78 330 377 48 64 378 441 63.3
13 12.50 11.11 275 329 66 64 341 393 48.5
55 64.63 63.22 244 299 46 43 290 342 48.1
137 53.23 15.66 2501 2753 382 455 2883 3208 50.7
Tingkat kemandirian B
Abosolut Abs
% %
Bulan lalu Bulan ini Total Bulan lalu
P L P L P L P L P L
22 23 24 25 26 27
57.4 0 0 0 0 0 0 0 0 0
37.7 0 1 1 2 3 6 1.5 2.7 0
23.3 0 0 0 0 0 0 0 0 0
73.8 0 2 0 2 0 4 0 0.8 1
45.9 3 3 1 1 4 4 1.79 1.46 0
40.5 0 0 0 0 0 0 0 0 0
63.4 1 3 0 0 1 3 0.29 0.79 0
77.8 0 0 0 0 0 0 0 0 0
51.1 0 0 0 0 0 0 0 0 0
43.4 0 0 0 0 0 0 0 0 0
65.4 5 3 4 4 9 7 2.1 1.5 0
64.7 3 10 1 1 4 11 0.97 2.4 2
66.6 6 6 1 1 7 7 1.17 1.05 0
45 0 0 0 0 0 0 0 0 0
53.6 5 7 3 4 8 11 5.1 6.7 0
49.1 23 35 11 15 36 53 12.92 17.4 3
JUMLAH LANSIA YANG DI SC
Absolut Absolut
Bulan lalu Bulan ini Total % Bulan lalu Bulan ini
P L P L P L P L P L
27 28 29 30 31 32
0 0 0 0 0 0 0 157 257 13
0 0 0 0 0 0 0 35 70 7
0 0 0 0 0 0 0 58 53 14
1 0 1 1 2 0.2 0.5 273 330 30
0 0 0 0 0 0 0 81 117 18
0 0 0 0 0 0 0 97 136 25
0 0 0 0 0 0 0 161 180 16
0 0 0 0 0 0 0 211 267 16
0 0 0 0 0 0 0 90 146 34
0 0 0 0 0 0 0 132 137 24
0 0 0 0 0 0 0 200 204 1
1 0 0 2 1 0.4 2.2 154 236 24
0 0 0 0 0 0 0 330 377 48
0 0 0 0 0 0 0 275 329 66
0 0 0 0 0 0 0 244 299 46
2 0 1 3 3 0.6 2.7 2501 2753 382
Absolut Absolut
Bulan ini Total % Bulan lalu Bulan ini Total
P L P L P L P L P L
32 33 34 35 36 37
26 170 283 38 57.4 157 257 13 26 170
12 42 82 21.3 37.7 35 70 7 12 42
14 72 67 28.4 23.3 58 53 14 14 72
32 303 362 74.6 73.8 273 330 30 32 303
21 99 138 39.1 45.9 81 117 18 21 99
31 122 167 43.8 40.5 97 136 25 31 122
25 177 205 51.7 63.4 161 180 16 25 177
0 227 267 69.4 77.8 211 267 16 0 227
35 124 181 41.8 51.1 90 146 34 35 124
26 156 163 57.5 43.4 132 137 24 26 156
4 201 208 78.8 65.4 200 204 1 4 201
58 178 294 43.4 64.7 154 236 24 58 178
64 378 441 63.3 66.6 330 377 48 64 378
64 341 393 48.5 45 275 329 66 64 341
43 290 342 48.1 53.6 244 299 46 43 290
455 2883 3208 50.7 49.1 2501 2753 382 455 2883
PUSKESMASMelaksan
ang di Berdayakan Jumlah Posbindu / Posyandu Lansia Yang aktif Yang
Puskesma akan
Melaksana
Absolut s Dengan Home
kan
% Posyandu care /
Kesehatan Akttif Long
P L P Santun Term care
37 38 39 40 41 42 43 44
283 38 57.4 3 3 100 0 0 0
82 21.3 37.7 1 1 100 0 0 0
67 28.4 23.3 1 1 100 0 0 0
362 74.6 73.8 4 4 100 0 0 0
138 39.1 45.9 2 2 100 0 2 2
167 43.8 40.5 1 1 100 0 0 0
205 51.7 63.4 3 3 100 0 3 1
267 69.4 77.8 3 3 100 0 0 3
181 41.8 51.1 3 3 100 0 2 0
163 57.5 43.4 2 2 100 1 2 1
208 78.8 65.4 3 3 100 0 0 5
294 43.4 64.7 3 3 100 0 0 0
441 63.3 66.6 4 4 100 0 4 7
393 48.5 45 5 5 100 0 0 0
342 48.1 53.6 3 3 100 0 3 2
3208 50.7 49.1 41 41 100 1 16 21
Dasuk, 30 Juli 2
Penanggung Jawab Pr
Mahmudah
NIP. 19680719 1991 03
ANA
absolut
Yang di %
Yang Ada bina
45 46 47
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
Dasuk, 30 Juli 2018

Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMADASUK
TAHUN 2018
BULAN Juli
NO NAMA DESA IMT

Ggn ME Hipertensial
Lebih Kurang
L P L P L P L
1 2 3 4 5 6
1. DASUK LAOK 0 0 0 0 0 0 5
2. DASUK BARAT 0 0 0 0 1 2 1
3. DASUK TIMUR 0 0 0 0 0 0 1
4. NYAPAR 0 0 4 7 3 2 5
5. KERTA TIMUR 0 0 11 0 0 0 5
6. KERTA BARAT 0 0 1 1 1 2 4
7. SEMA'AN 0 0 1 1 3 5 3
8. SLOPENG 0 0 0 0 0 0 3
11. BATES 0 0 0 0 0 0 9
12. KECER 0 0 0 0 0 0 4
13. JELBUDAN 0 0 0 3 8 18 1
14. BERINGIN 0 0 0 0 0 0 5
15. MANTAJUN 0 0 0 0 0 0 25
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
P L P L P L P L P L
6 7 8 9 10 11
4 0 1 2 4 2 8 0 0 0
2 1 1 2 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 0
5 0 0 1 2 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0
5 2 2 1 2 1 0 0 0 0
4 0 0 2 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0
1 1 0 1 0 2 2 0 0 0
0 10 11 3 2 7 8 0 0 0
2 0 0 1 3 0 0 0 0 0
5 0 0 0 1 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
6 2 4 0 1 0 2 0 0 0
22 7 8 8 8 18 18 0 0 0
IMT
Lebih
P L P L P L P L P L
11 12 13 14 15 16
0 0 0 0 0 0 0 0 0 0
0 0 1 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 2
0 0 0 0 0 0 0 0 0 0
0 0 0 1 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 0 0 0 0 0 0 0 0
0 3 4 4 5 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 2 3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 2 2 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
IMT
Lebih Kurang
P L P L P L P L P L
16 17 18 19 20 21
0 0 0 3 2 0 0 2 2 1
0 0 0 3 2 0 1 0 2 0
0 0 0 0 1 0 0 0 0 0
1 3 1 6 7 0 0 1 1 0
0 0 0 1 1 0 0 0 0 0
0 1 0 1 1 1 0 0 1 0
1 4 5 1 4 0 0 1 1 0
0 0 0 1 0 0 0 0 0 0
0 0 0 1 1 1 1 0 0 1
0 0 0 3 4 5 7 2 2 5
0 0 0 0 1 0 0 0 0 0
0 0 0 2 8 0 0 0 0 0
2 5 14 2 5 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 12 10 5 5 2 3 13
ur ≥ 60 tahun)
P L P L P L P L P L
21 22 23 24 25 26
1 0 0 0 0 0 0 0 0 0
1 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 1 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
7 0 0 0 0 3 4 2 2 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 1 1 1 0
0 0 0 0 0 1 0 2 1 0
0 0 0 0 0 2 5 2 1 0
12 0 0 0 0 0 0 0 0 0
Dasuk, 30 Juli 2018

Mahmudah
NIP. 19680719 1991 03 2007
P
26
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
k, 30 Juli 2018
mudah
19 1991 03 2007
JUMLAH
NO JENIS PENYAKIT
L P TOTAL
4 PPOK 0 0 0
6 Kanker 0 0 0
13 TB Paru 0 0 0
14 Asma 1 1 2
15 lain lain 8 11 19
Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMA: DASUK
TAHUN : 2018
BULAN : JULI
SASARAN
JUMLAH JUMLAH
NAMA DESAPOSYAND PANTI Jumlah Pra lansia
NO ≥ 60 Tahun ≥ 70 Tahun
(45-59 Tahun)
U WERDA
L P L P L P
1 2 3 4 5 6
1. DASUK LA 3 0 270 298 116 128 61 67
2. DASUK BA 1 0 119 131 51 56 27 30
3. DASUK TI 2 0 153 173 66 75 34 39
4. NYAPAR 4 0 245 296 106 127 55 67
5. KERTA TI 2 0 153 173 66 75 34 39
6. KERTA BAR 1 0 168 296 72 76 38 40
7. SEMA'AN 3 0 206 173 89 98 47 52
8. SLOPENG 3 0 227 178 98 108 51 57
9. BATU BELA 3 0 179 229 77 82 40 43
10. BATU BEL 2 0 164 252 70 81 37 42
11. BATES 3 0 154 192 66 83 35 43
12. KECER 3 0 248 274 106 118 56 62
13. JELBUDAN 4 0 361 400 155 172 81 90
14. BERINGIN 5 0 424 521 182 234 96 117
15. MANTAJU 3 0 364 385 156 165 82 87
TOTAL 42 0 3435 3971 1476 1678 774 875
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
KEMANDIRIAN
Jumlah Pra lansia ≥ 60 Tahun ≥ 70 Tahun GG ME
(45-59 Tahun)
A B C
B L B L B L L
7 8 9
4 12 8 10 1 4 39 0 0 0
4 7 3 5 1 2 23 3 0 0
8 7 3 4 3 3 28 0 0 0
42 55 0 8 3 0 184 2 1 0
10 13 5 5 3 3 39 1 0 0
15 17 7 9 3 5 56 0 0 0
8 15 5 7 3 3 41 0 0 0
8 15 4 7 4 5 43 0 0 0
20 20 8 9 6 6 69 0 0 0
16 15 5 7 3 4 50 0 0 0
5 15 2 0 0 3 136 8 0 0
17 29 7 17 2 3 82 2 0 0
29 35 12 16 8 14 112 2 0 0
33 32 30 25 4 6 130 0 0 0
46 43 17 19 7 8 89 7 0 0
265 330 116 148 51 69 1117 26 1 0
JUMLAH LANSIA DENGAN KE
IMT TEK.DARAH
HB KURANG KOLESTROL TINGGI DM
L N K T R
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
GGN
DM ASAM URAT TINGGI GGN GINJAL GGN KOGNITIF GGN PENGLIHATAN PENDENGARAN
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH LANSIA
GGN DENGAN KELAINAN
LAIN-LAIN
PENDENGARAN DIOBATI DIRUJUK B L S
P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH JUMLAH
AAN KET
HAN WERDA AN
LANSIA DIBINA RUMAH
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Dasuk, 30 Juli 2018

Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS DASUK
TAHUN 2018
BULAN Agustus
SASARAN
Jumplah Lansia
L P L P L P
1 2 3 4 5 6
1. DASUK LAOK 3 270 298 116 128 61 67
2. DASUK BARAT 1 119 131 51 56 27 30
3. DASUK TIMUR 2 153 173 66 75 34 39
4. NYAPAR 4 245 296 106 127 55 67
5. KERTA TIMUR 2 153 173 66 75 34 39
6. KERTA BARAT 1 168 296 72 76 38 40
7. SEMA'AN 3 206 173 89 98 47 52
8. SLOPENG 3 227 178 98 108 51 57
9. BATU BELAH BARAT 3 179 229 77 82 40 43
10. BATU BELAH TIMUR 2 164 252 70 81 37 42
11. BATES 3 154 192 66 83 35 43
12. KECER 3 248 274 106 118 56 62
13. JELBUDAN 4 361 400 155 172 81 90
14. BERINGIN 5 424 521 182 234 96 117
15. MANTAJUN 3 364 385 156 165 82 87
TOTAL 42 3435 3971 1476 1678 774 875
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
45-59 tahun ≥ 60
Absolut absolut
%
L P L P L P L P L P
7 8 9 10 11
93 158 6 17 99 175 36.67 58.72 53 90
25 27 12 18 37 45 31.09 34.35 19 22
38 41 7 8 45 49 29.41 28.32 21 26
191 215 3 4 194 219 79.18 73.99 83 97
56 66 12 12 68 78 44.44 45.09 35 55
66 69 14 15 80 84 47.62 28.38 41 59
116 124 12 10 128 134 62.14 77.46 54 77
105 135 10 3 115 138 50.66 77.53 70 86
76 83 19 18 95 101 53.07 44.10 39 48
87 101 11 13 98 114 59.76 45.24 45 53
120 123 0 22 120 145 77.92 75.52 51 65
89 143 11 10 100 153 40.32 55.84 60 87
170 218 25 44 195 262 54.02 65.50 83 128
197 234 30 37 227 271 53.54 52.02 141 141
190 206 50 48 240 254 65.93 65.97 78 98
1619 1460 222 279 1841 1739 53.60 43.79 885 1177
absolut absolut
%
L P L P L P L P L P
12 13 14 15 16
3 6 56 96 48.28 75.00 20 35 4 5
8 11 27 33 52.94 58.93 14 10 4 6
4 3 25 29 37.88 38.67 15 9 3 3
0 3 83 100 78.30 78.74 42 52 1 1
4 2 39 57 59.09 76.00 16 13 2 3
6 1 47 60 65.28 78.95 10 11 2 3
8 1 62 78 69.66 79.59 25 38 4 3
6 0 76 86 77.55 79.63 22 22 5 6
7 8 46 56 59.74 68.29 17 14 6 5
5 5 50 58 71.43 71.60 24 24 2 3
0 1 51 66 77.27 79.52 27 34 0 0
7 7 67 94 63.21 79.66 9 45 1 0
14 5 97 133 62.58 77.33 60 70 4 1
4 27 145 168 79.67 71.79 12 13 5 10
18 20 96 118 61.54 71.52 53 55 10 11
94 100 979 1277 66.33 76.10 412 137 53 60
PELAYANAN KESEHATAN

solut Absolut
%
L P L P L P L P L p
17 18 19 20 21
24 40 39.34 59.70 170 311 10 31 180 342
18 16 66.67 53.33 42 93 21 23 63 116
18 12 52.94 30.77 72 81 13 13 85 94
43 53 78.18 79.10 303 447 133 133 436 580
18 16 52.94 41.03 99 158 18 21 117 179
12 14 31.58 35.00 122 184 7 8 129 192
29 41 61.70 78.85 177 223 36 25 213 248
27 28 52.94 49.12 227 295 18 29 245 324
23 19 57.50 44.19 124 212 34 34 158 246
26 27 70.27 64.29 156 184 23 27 179 211
27 34 77.14 79.07 201 271 35 64 236 335
10 45 17.86 72.58 178 311 20 30 198 341
64 71 79.01 78.89 378 512 45 51 423 563
17 23 17.71 19.66 341 467 45 72 386 539
63 66 76.83 75.86 290 358 15 16 305 374
465 197 60.08 22.51 3300 3722 473 577 3773 4299
Abosolut
% %
L P L P L P L P L P
22 23 24 25 26
40.9 63.6 0 0 0 0 0 0 0 0
27.9 42.8 0 0 0 0 0 0 0 0
33.9 28.2 0 0 0 0 0 0 0 0
96.7 91.2 0 2 0 1 0 3 0 0.6
46.2 55.6 2 2 1 1 3 3 1.18 1.04
49.2 44.6 2 2 1 2 3 4 1.07 0.97
58.7 69 1 3 0 1 1 4 0.29 1.23
75.8 86 0 0 0 0 0 0 0 0
52.7 59.8 0 0 0 0 0 0 0 0
64.2 49 0 0 0 0 0 0 0 0
92.1 85.2 1 1 1 1 2 2 0.78 0.62
47.8 68.5 2 2 1 0 3 2 0.5 0.44
70.1 77.3 3 1 2 1 5 2 0.83 0.3
55.6 53.5 0 0 0 0 0 0 0 0
50.8 56.2 2 2 1 0 3 2 0.49 0.31
58 57 13 15 7 7 20 22 0.35 0.33
JUMLAH LANSIA Y
Absolut Absolut
L P L P L P L P L P
27 28 29 30 31
0 0 0 0 0 0 0 0 170 283
0 0 0 0 0 0 0 0 42 82
0 0 0 0 0 0 0 0 72 67
0 0 0 0 0 0 0 0 303 362
0 0 0 0 0 0 0 0 99 138
0 0 0 0 0 0 0 0 122 167
0 0 0 0 0 0 0 0 177 205
0 0 0 0 0 0 0 0 227 267
0 0 0 0 0 0 0 0 124 181
0 0 0 0 0 0 0 0 156 163
0 0 0 0 0 0 0 0 201 208
0 0 0 0 0 0 0 0 178 294
0 0 0 0 0 0 0 0 378 441
0 0 0 0 0 0 0 0 341 393
0 0 0 0 0 0 0 0 290 342
0 0 0 0 0 0 0 0 2883 3208
Absolut Absolut
L P L P L P L P L P
32 33 34 35 36
13 28 183 311 40.9 63.6 170 283 13 28
13 11 55 93 27.9 42.8 42 82 13 11
14 14 86 81 33.9 28.2 72 67 14 14
90 85 393 447 96.7 91.2 303 362 90 85
18 20 117 158 46.2 55.6 99 138 18 20
15 17 137 184 49.2 44.6 122 167 15 17
24 18 201 223 58.7 69 177 205 24 18
21 28 248 295 75.8 86 227 267 21 28
32 31 156 212 52.7 59.8 124 181 32 31
18 21 174 184 64.2 49 156 163 18 21
34 63 235 271 92.1 85.2 201 208 34 63
18 17 196 311 47.8 68.5 178 294 18 17
41 71 419 512 70.1 77.3 378 441 41 71
50 74 391 467 55.6 53.5 341 393 50 74
16 16 306 358 50.8 56.2 290 342 16 16
417 514 3300 3722 58 57 2883 3208 417 514
PUSKESMAS
Puskesma
Melaksana
kan
% Posyandu
Kesehatan Akttif
L P L P Santun
37 38 39 40 41 42 43
183 311 40.9 63.6 3 3 100 0 3
55 93 27.9 42.8 1 1 100 0 0
86 81 33.9 28.2 1 1 100 0 0
393 447 96.7 91.2 4 4 100 0 0
117 158 46.2 55.6 2 2 100 0 0
137 184 49.2 44.6 1 1 100 0 0
201 223 58.7 69 3 3 100 0 0
248 295 75.8 86 3 3 100 0 3
156 212 52.7 59.8 3 3 100 0 2
174 184 64.2 49 2 2 100 0 2
235 271 92.1 85.2 3 3 100 0 3
196 311 47.8 68.5 3 3 100 0 0
419 512 70.1 77.3 4 4 100 0 4
391 467 55.6 53.5 5 5 100 0 0
306 358 50.8 56.2 3 3 100 0 3
3300 3722 58 57 41 41 100 0 20
N PRASARANA
PUSKESMASMelaksan
akan
Home absolut
care /
Long Yang di %
44 45 46 47
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
3 0 0 0
0 0 0 0
1 0 0 0
4 0 0 0
0 0 0 0
12 0 0 0
0 0 0 0
2 0 0 0
26 0 0 0
Dasuk, 30 Agustus 2018

Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS DASUK
TAHUN 2018
BULAN AGUSTUS
NO NAMA DESA IMT

Ggn ME
Lebih Kurang
L P L P L P
1 2 3 4 5
1. DASUK LAOK 0 0 0 0 0 0
2. DASUK BARAT 0 0 0 2 1 2
3. DASUK TIMUR 0 0 0 0 0 0
4. NYAPAR 0 0 0 0 0 0
5. KERTA TIMUR 0 0 11 5 0 0
6. KERTA BARAT 0 0 0 0 1 1
7. SEMA'AN 0 0 0 0 2 4
8. SLOPENG 0 0 0 0 2 1
11. BATES 0 0 3 2 4 2
12. KECER 0 0 0 0 0 0
13. JELBUDAN 0 0 1 5 7 16
14. BERINGIN 0 0 0 0 0 0
15. MANTAJUN 0 0 0 0 0 0
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
L P L P L P L P L P
6 7 8 9 10
0 1 1 0 3 4 2 7 0 0
5 4 5 7 3 3 1 1 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
2 4 1 3 3 4 2 2 0 0
3 2 0 0 0 0 0 0 0 0
0 0 2 2 0 0 0 0 0 0
3 3 1 1 0 1 2 2 0 0
0 1 8 8 1 1 6 8 0 0
2 1 0 0 0 0 0 0 0 0
0 2 0 0 0 1 0 0 0 0
3 6 0 0 1 0 0 0 0 0
3 2 2 0 1 3 0 0 0 0
11 11 7 6 2 1 2 1 0 0
L P L P L P L P L P
11 12 13 14 15
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 2 2 2 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 2 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
IMT
Lebih Kurang
L P L P L P L P L P
16 17 18 19 20
0 0 0 0 2 6 0 0 2 3
0 1 1 0 2 4 5 5 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 5 5 0 0 0 0
0 0 0 0 2 2 1 0 0 1
0 0 0 2 4 5 0 0 1 1
0 0 0 1 1 1 0 0 0 0
0 0 0 0 1 1 1 1 0 0
0 0 0 0 4 3 8 10 2 3
2 4 7 12 4 7 0 0 1 4
0 0 0 0 0 1 0 0 0 0
1 5 6 19 3 4 0 0 0 2
0 0 0 0 1 11 1 0 0 0
0 0 0 0 3 2 4 5 2 1
L P L P L P L P L P
21 22 23 24 25
2 4 0 0 0 0 0 0 0 0
2 2 0 0 0 0 1 2 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 15 30 0 0
0 0 0 0 0 0 1 2 2 2
0 0 0 0 0 0 1 2 0 1
0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0 0
6 9 1 0 0 0 2 2 2 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 1 1 1
0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 3 6 2 4
10 10 0 0 0 0 0 0 0 0
Dasuk, 30 Agusrus 2018

Mahmudah
NIP. 19680719 1991 03 2007
L P
26
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Dasuk, 30 Agusrus 2018

Mahmudah
P. 19680719 1991 03 2007
JUMLAH
NO JENIS PENYAKIT
L P TOTAL
4 PPOK 0 0 0
6 Kanker 0 0 0
13 TB Paru 0 0 0
14 Asma 1 0 1
15 lain lain 27 28 55
Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS : DASUK
TAHUN : 2018
BULAN : Agustus
SASARAN
JUMLAH JUMLAH
(45-59 Tahun)
U WERDA
L P L P L
1 2 3 4 5 6
1. DASUK LAOK 3 0 270 298 116 128 61
2. DASUK BARAT 1 0 119 131 51 56 27
3. DASUK TIMUR 2 0 153 173 66 75 34
4. NYAPAR 4 0 245 296 106 127 55
5. KERTA TIMUR 2 0 153 173 66 75 34
6. KERTA BARAT 1 0 168 296 72 76 38
7. SEMA'AN 3 0 206 173 89 98 47
8. SLOPENG 3 0 227 178 98 108 51
9. BATU BELAH BARAT 3 0 179 229 77 82 40
10. BATU BELAH TIMUR 2 0 164 252 70 81 37
11. BATES 3 0 154 192 66 83 35
12. KECER 3 0 248 274 106 118 56
13. JELBUDAN 4 0 361 400 155 172 81
14. BERINGIN 5 0 424 521 182 234 96
15. MANTAJUN 3 0 364 385 156 165 82
TOTAL 42 0 3435 3971 1476 1678 774
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
KEMANDIRIAN
Jumlah Pra lansia
(45-59 Tahun)
A B C
P B L B L B L
6 7 8 9
67 6 17 3 6 4 5 39 0 0
30 12 18 8 11 4 6 19 0 0
39 7 8 4 3 3 3 28 0 0
67 3 4 0 3 1 1 184 3 0
39 12 12 4 2 2 3 39 6 0
40 14 15 6 1 2 3 56 7 0
52 12 10 8 1 4 3 41 5 0
57 10 3 6 0 5 6 43 0 0
43 19 18 7 8 6 5 69 0 0
42 11 13 5 5 2 3 50 0 0
43 0 22 0 1 0 0 136 4 0
62 11 10 7 7 1 0 82 5 0
90 25 44 14 5 4 1 112 7 0
117 30 37 4 27 5 10 130 0 0
87 50 48 18 20 10 11 89 5 0
875 222 279 94 100 53 60 3317 62 0
JUMLAH LANSIA D
IMT TEK.DARAH
L N K T R
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH LANSIA
GGN DENGAN KELAINAN
LAIN-LAIN
L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
KONSELING
JUMLAH JUMLAH
AAN KET
S HAN WERDA AN
LANSIA DIBINA RUMAH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Dasuk, 30 Agustus 2018

Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS DASUK
TAHUN 2018
BULAN September
SASARAN
Jumplah Lansia
L P L P L P
1 2 3 4 5 6
1. DASUK LAOK 3 270 298 116 128 61 67
2. DASUK BARAT 1 119 131 51 56 27 30
3. DASUK TIMUR 2 153 173 66 75 34 39
4. NYAPAR 4 245 296 106 127 55 67
5. KERTA TIMUR 2 153 173 66 75 34 39
6. KERTA BARAT 1 168 296 72 76 38 40
7. SEMA'AN 3 206 173 89 98 47 52
8. SLOPENG 3 227 178 98 108 51 57
9. BATU BELAH BARAT 3 179 229 77 82 40 43
10. BATU BELAH TIMUR 2 164 252 70 81 37 42
11. BATES 3 154 192 66 83 35 43
12. KECER 3 248 274 106 118 56 62
13. JELBUDAN 4 361 400 155 172 81 90
14. BERINGIN 5 424 521 182 234 96 117
15. MANTAJUN 3 364 385 156 165 82 87
TOTAL 42 3435 3971 1476 1678 774 875
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
45-59 tahun ≥ 60
Absolut absolut
%
L P L P L P L P L P
7 8 9 10 11
99 175 5 25 104 200 38.52 67.11 56 96
37 45 17 21 54 66 45.38 50.38 27 33
45 49 8 7 53 56 34.64 32.37 25 29
194 219 20 15 214 234 87.35 79.05 83 100
68 78 11 12 79 90 51.63 52.02 39 57
80 84 15 17 95 101 56.55 34.12 47 60
128 134 21 18 149 152 72.33 87.86 62 78
115 138 9 16 124 154 54.63 86.52 76 86
95 101 20 19 115 120 64.25 52.40 46 56
98 114 14 17 112 131 68.29 51.98 50 58
120 145 7 23 127 168 82.47 87.50 51 66
100 153 5 5 105 158 42.34 57.66 67 94
195 262 22 32 217 294 60.11 73.50 97 133
227 271 29 33 256 304 60.38 58.35 145 168
240 254 35 40 275 294 75.55 76.36 96 118
1841 1739 238 300 2079 2039 60.52 51.35 979 1277
absolut absolut
%
L P L P L P L P L P
12 13 14 15 16
1 3 57 99 49.14 77.34 24 40 4 3
10 12 37 45 72.55 80.36 18 16 4 8
3 4 28 33 42.42 44.00 18 12 2 2
10 10 93 110 87.74 86.61 43 53 5 5
5 6 44 63 66.67 84.00 18 16 2 3
10 5 57 65 79.17 85.53 18 14 4 7
8 5 70 83 78.65 84.69 29 41 8 2
5 9 81 95 82.65 87.96 27 28 4 4
8 9 54 65 70.13 79.27 23 19 6 6
6 7 56 65 80.00 80.25 26 27 3 3
7 5 58 71 87.88 85.54 27 34 3 4
5 5 72 99 67.92 83.90 10 45 2 0
13 14 110 147 70.97 85.47 64 71 5 7
14 28 159 196 87.36 83.76 17 23 4 9
20 22 116 140 74.36 84.85 53 66 8 8
125 144 1104 1421 74.80 84.68 465 197 64 71
PELAYANAN KESEHATAN

solut Absolut
%
L P L P L P L P L p
17 18 19 20 21
28 43 45.90 64.18 183 283 13 28 196 311
22 24 81.48 80.00 55 82 13 11 68 93
20 14 58.82 35.90 86 67 14 14 100 81
48 58 87.27 86.57 393 362 0 85 393 447
20 19 58.82 48.72 117 138 18 20 135 158
22 21 57.89 52.50 137 167 15 17 152 184
37 43 78.72 82.69 201 205 24 18 225 223
31 32 60.78 56.14 248 267 21 28 269 295
29 25 72.50 58.14 156 181 32 31 188 212
29 30 78.38 71.43 174 163 18 21 192 184
30 38 85.71 88.37 235 208 10 5 245 213
12 45 21.43 72.58 196 294 18 17 214 311
69 78 85.19 86.67 419 441 41 71 460 512
21 32 21.88 27.35 391 393 50 74 441 467
61 74 74.39 85.06 306 342 16 16 322 358
529 268 68.35 30.63 3300 3208 303 456 3773 4299
Abosolut
% %
L P L P L P L P L P
22 23 24 25 26
43.8 63 0 0 0 0 0 0 0 0
34.5 42.8 0 0 0 0 0 0 0 0
39.5 28.2 0 0 0 0 0 0 0 0
96.7 91.2 0 2 0 1 0 3 0 0.6
53.3 55 5 5 1 1 6 6 2.37 2.09
54.6 46.6 0 0 0 0 0 0 0 0
65.7 69 1 4 1 0 2 4 0.58 1.05
82.2 86 0 0 0 0 0 0 0 0
63.5 59.8 0 0 0 0 0 0 0 0
70.8 49 0 0 0 0 0 0 0 0
96 66.9 0 0 0 0 0 0 0 0
51.7 68.5 8 15 0 0 8 15 1.95 3.3
77 77.3 9 8 1 2 10 10 1.67 1.51
62.8 53.5 0 0 0 0 0 0 0 0
53.4 56.2 0 0 0 0 0 0 0 0
66.3 65.8 23 34 3 4 26 38 0.47 0.6
JUMLAH LANSIA Y
Absolut Absolut
L P L P L P L P L P
27 28 29 30 31
0 0 0 0 0 0 0 0 183 283
0 0 0 0 0 0 0 0 55 82
0 0 0 0 0 0 0 0 86 67
0 0 0 0 0 0 0 0 393 362
0 0 0 0 0 0 0 0 117 138
0 0 0 0 0 0 0 0 137 167
0 0 0 0 0 0 0 0 201 205
0 0 0 0 0 0 0 0 248 267
0 0 0 0 0 0 0 0 156 181
0 0 0 0 0 0 0 0 174 163
0 0 0 0 0 0 0 0 235 208
0 0 0 0 0 0 0 0 196 294
0 0 0 0 0 0 0 0 419 441
0 0 0 0 0 0 0 0 391 393
0 0 0 0 0 0 0 0 306 342
0 0 0 0 0 0 0 0 3300 3208
Absolut Absolut
L P L P L P L P L P
32 33 34 35 36
13 28 196 311 43.8 63 183 283 13 28
13 11 68 93 34.5 42.8 55 82 13 11
14 14 100 81 39.5 28.2 86 67 14 14
0 85 393 447 96.7 91.2 393 362 0 85
18 20 135 158 53.3 55 117 138 18 20
15 17 152 184 54.6 46.6 137 167 15 17
24 18 225 223 65.7 69 201 205 24 18
21 28 269 295 82.2 86 248 267 21 28
32 31 188 212 63.5 59.8 156 181 32 31
18 21 192 184 70.8 49 174 163 18 21
10 5 245 213 96 66.9 235 208 10 5
18 17 214 311 51.7 68.5 196 294 18 17
41 71 460 512 77 77.3 419 441 41 71
50 74 441 467 62.8 53.5 391 393 50 74
16 16 322 358 53.4 56.2 306 342 16 16
303 456 3773 4299 66.3 65.8 3300 3208 303 456
PUSKESMAS
Puskesma
Melaksana
kan
% Posyandu
Kesehatan Akttif
L P L P Santun
37 38 39 40 41 42 43
196 311 43.8 63 3 3 100 0 0
68 93 34.5 42.8 1 1 100 0 0
100 81 39.5 28.2 1 1 100 0 0
393 447 96.7 91.2 4 4 100 0 0
135 158 53.3 55 2 2 100 0 0
152 184 54.6 46.6 1 1 100 0 0
225 223 65.7 69 3 3 100 0 0
269 295 82.2 86 3 3 100 0 0
188 212 63.5 59.8 3 3 100 0 0
192 184 70.8 49 2 2 100 0 2
245 213 96 66.9 3 3 100 0 0
214 311 51.7 68.5 3 3 100 0 0
460 512 77 77.3 4 4 100 0 0
441 467 62.8 53.5 5 5 100 0 0
322 358 53.4 56.2 3 3 100 0 0
3773 4299 66.3 65.8 41 41 100 0 2
N PRASARANA
PUSKESMASMelaksan
akan
Home absolut
care /
Long Yang di %
44 45 46 47
4 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
3 0 0 0
0 0 0 0
1 0 0 0
4 0 0 0
0 0 0 0
8 0 0 0
0 0 0 0
2 0 0 0
23 0 0 0
Dasuk, 29 September 2018

Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMADASUK
TAHUN 2018
BULAN SEPTEMBER
NO NAMA DESA IMT

Ggn ME Hipertensial
Lebih Kurang
L P L P L P L
1 2 3 4 5 6
1. DASUK LAOK 0 0 0 0 0 0 2
2. DASUK BARAT 0 0 0 0 2 1 3
3. DASUK TIMUR 0 0 0 0 0 0 1
4. NYAPAR 0 0 0 1 0 0 2
5. KERTA TIMUR 0 0 11 5 0 0 0
6. KERTA BARAT 0 0 0 0 0 0 4
7. SEMA'AN 0 0 0 0 0 0 6
8. SLOPENG 0 0 0 0 0 0 6
11. BATES 0 0 0 0 5 3 3
12. KECER 0 0 0 0 0 0 0
13. JELBUDAN 0 0 1 2 11 15 0
14. BERINGIN 0 0 0 1 0 0 2
15. MANTAJUN 0 0 0 0 0 0 13
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
P L P L P L P L P L
6 7 8 9 10 11
1 0 0 1 4 1 2 0 0 0
2 0 0 0 0 0 0 0 0 1
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
4 0 0 1 2 0 0 0 0 0
6 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0
3 0 0 0 0 2 2 0 0 0
1 4 4 2 2 3 5 0 0 0
2 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
13 0 0 2 2 2 3 0 0 0
IMT
Lebih
P L P L P L P L P L
11 12 13 14 15 16
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 2 2 2 3 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 2 3 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
0 0 0 0 0 0 0 0 0 0
IMT
Lebih Kurang
P L P L P L P L P L
16 17 18 19 20 21
0 0 0 1 2 0 0 1 2 1
0 0 0 4 4 2 1 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 1 4 0 0 0 0 0
0 2 3 4 5 0 0 0 0 0
0 0 0 4 4 0 0 1 2 0
0 1 3 4 6 0 0 0 2 0
0 0 0 3 5 0 0 0 0 0
0 0 0 1 1 1 1 0 0 1
0 0 0 2 3 5 6 2 3 5
0 0 0 5 8 0 0 2 5 0
0 0 0 0 1 0 0 0 0 0
0 0 0 2 3 0 0 0 2 0
0 0 0 1 4 0 0 0 0 0
0 0 0 2 3 5 5 2 2 3
ur ≥ 60 tahun)
P L P L P L P L P L
21 22 23 24 25 26
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 0 0
0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 1 3 0 0 0
0 0 0 0 0 0 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
7 0 0 0 0 3 4 4 2 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0

Mahmudah
NIP. 19680719 1991 03 2007
P
26
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
k, 29 September 2018
mudah
19 1991 03 2007
JUMLAH
NO JENIS PENYAKIT
L P TOTAL
4 PPOK 0 0 0
6 Kanker 0 0 0
13 TB Paru 0 0 0
14 Asma 1 1 2
15 lain lain 19 17 36
Mahmudah
NIP. 19680719 1991 03 2007
PUSKESMAS : DASUK
TAHUN : 2018
BULAN September
SASARAN
JUMLAH JUMLAH
(45-59 Tahun)
U WERDA
L P L P L
1 2 3 4 5 6
1. DASUK LAOK 3 0 270 298 116 128 61
2. DASUK BARAT 1 0 119 131 51 56 27
3. DASUK TIMUR 2 0 153 173 66 75 34
4. NYAPAR 4 0 245 296 106 127 55
5. KERTA TIMUR 2 0 153 173 66 75 34
6. KERTA BARAT 1 0 168 296 72 76 38
7. SEMA'AN 3 0 206 173 89 98 47
8. SLOPENG 3 0 227 178 98 108 51
9. BATU BELAH BARAT 3 0 179 229 77 82 40
10. BATU BELAH TIMUR 2 0 164 252 70 81 37
11. BATES 3 0 154 192 66 83 35
12. KECER 3 0 248 274 106 118 56
13. JELBUDAN 4 0 361 400 155 172 81
14. BERINGIN 5 0 424 521 182 234 96
15. MANTAJUN 3 0 364 385 156 165 82
TOTAL 42 0 3435 3971 1476 1678 774
MENGETAHUI
dr. Zulfa Ulinnuha

NIP. 19710815 2002 12 2006
KEMANDIRIAN
Jumlah Pra lansia
(45-59 Tahun)
A B C
P B L B L B L
6 7 8 9
67 5 25 1 3 4 3 41 0 0
30 17 21 10 12 4 8 24 0 0
39 8 7 3 4 2 2 28 0 0
67 20 15 10 10 5 5 85 2 0
39 11 12 5 6 2 3 38 2 0
40 15 17 10 5 4 7 32 0 0
52 21 18 8 5 8 2 42 1 0
57 9 16 5 9 4 4 49 0 0
43 20 19 8 9 6 6 63 0 0
42 14 17 6 7 3 3 39 0 0
43 7 23 7 5 3 4 15 0 0
62 5 5 5 5 2 0 35 0 0
90 22 32 13 14 5 7 112 3 0
117 29 33 14 28 4 9 124 0 0
87 35 40 20 22 8 8 32 0 0
875 238 300 125 144 64 71 759 10 0
JUMLAH LANSIA D
IMT TEK.DARAH
L N K T R
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH LANSIA
GGN DENGAN KELAINAN
LAIN-LAIN
L P L P L P
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
KONSELING
JUMLAH JUMLAH
AAN KET
S HAN WERDA AN
LANSIA DIBINA RUMAH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

Mahmudah
NIP. 19680719 1991 03 2007

Aru Lansia 2019

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NAMA PUSKESMAS : DASUK

TINGKATAN SEKOLAH : SD/MI/SLB /

Jumlah Peserta Didik di sekolah

No Nama Sekolah Jml sasaran Yang di jaring

4 SDN BATUBELAH TIMUR

5 SDN BATUBELAH BARAT

9 SDN KERTA BARAT

10 SDN DASUK BARAT

11 SDN DASUK TIMUR

12 SDN KERTA TIMUR

17 SDN DASUK LAOK 2

18 SDN DASUK LAOK 3

34 MTS DARUL ULUM

35 MTS NURUL HIKMAH

36 MTS RAUDHATUL AMIN

38 MTS NURUL HUDA KERTA TIMUR

39 MTS NURUL HUDA BRINGIN

40 SMP NURUS SHOBAH

41 SMPI DARUL ULUM

47 SMAI IKHWANUL KARIM

48 MA NURUL HUDA KERTA TIMUR

Penilaian Status Gizi

Imunisasi Risiko Ane mia HIPERTENSI

Mata /penglihatan Telinga / Pendengaran

Modalitas Belajar Dominasi otak

Audio Visual Kines tetik Otak Kanan Otak Kiri

REMAJA TIDAK SEKOLAH

REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH

Programer Remaja Pusk………….

dr. Zulfa Ulinnuha

≥ 70 tahun Tingkat kemandirian A

Dasuk, 30 Januari 2018

NO NAMA DESA IMT

dr. Zulfa Ulinnuha

Dasuk, 30 Januari 2018

Penanggung Jawab Program

dr. Zulfa Ulinnuha

DM ASAM URAT TINGGI GGN GINJAL GGN KOGNITIF GGN PENGLIHATAN

Dasuk, 30 Januari 2018

dr. Zulfa Ulinnuha

≥ 70 tahun Tingkat kemandirian A

Dasuk, 28 Februari 2018

Dasuk, 28 Februari 2018

NO NAMA DESA IMT

dr. Zulfa Ulinnuha

Hipertensial Kolesterol Tinggi DM Asam Urat Tinggi Ggn Ginjal

Dasuk, 28 Februari 2018

Dasuk, 28 Februari 2018

Penanggung Jawab Program

JUMLAH Jumlah Pra lansia

dr. Zulfa Ulinnuha

DM ASAM URAT TINGGI GGN GINJAL GGN KOGNITIF GGN PENGLIHATAN

Dasuk, 28 Februari 2018

dr. Zulfa Ulinnuha

≥ 70 tahun Tingkat kemandirian A

Dasuk, 31 Maret 2018

NO NAMA DESA IMT

dr. Zulfa Ulinnuha

Hipertensial Kolesterol Tinggi DM Asam Urat Tinggi Ggn Ginjal

Dasuk, 31 Maret 2018

Dasuk, 31 Maret 2018

Penanggung Jawab Program

dr. Zulfa Ulinnuha