Integrasi Gizi Kia

REKAPITULASI HASIL PELAYANAN KIA
PUSKESMAS CIBITUNG
BULAN / TAHUN DESEMBER / 2016
NO DATA
CIKADU CIKALONG CIKIRUH CITELUKKIARA JANGKUNG
1 2 3 4 5 6 7
1 Jumlah Kunjungan Balita 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
Jumlah Kunjungan Balita sakit 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
2 Jumlah Kunjungan Balita yang ditangani
dengan MTBS 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
3 Jumlah Balita mempunyai buku KIA 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
4 Jumlah Balita yang mendapat
0 0 42 155 0
Pemantauan Pertumbuhan min 8x/ th
laki-laki 0 0 42 155 0
perempuan 0 0 0 0 0
0 1 42 0 0
Pemantauan Perkembangan min 2x/ th
laki-laki 0 1 42 0 0
perempuan 0 0 0 0 0
6 Jumlah Balita yang mendapat Vitamin A
0 0 333 0 0
2x/ th
laki-laki 0 0 333 0 0
perempuan 0 0 0 0 0
7 Jumlah Kematian Balita 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
a. Infeksi Saluran Nafas (Pneumonia) 0 0 0 0 0
b. Diare
0 0 0 0 0
c. Malaria
0 0 0 0 0
d. Campak 0 0 0 0 0
425299463.xlsx BALITA12 1
e. DBD 0 0 0 0 0
f. Meningitis/Ensephalitis 0 0 0 0 0
g. Kelainan Bawaan 0 0 0 0 0
h. Sepsis 0 0 0 0 0
i. Lain-lain 0 0 0 0 0
8 Jumlah Kematian Balita diaudit 0 0 0 0 0
Mengetahui,
Kepala Puskesmas ………………………
…………………………………………
(NIP : )
L PELAYANAN KIA ANAK BALITA
POSYANDU
KIARA PAYUNG KUTA KARANG MALANG NENGAH MANGLID SINDANG KERTA 0 0
8 9 10 11 12 13 14
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
……………………., ………………………… 2012
Pengelola Program
………………………………………………………
(NIP : )
0 0 0 JUMLAH
15 16 17 18
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 197
0 0 0 197
0 0 0 0
0 0 0 43
0 0 0 43
0 0 0 0
0 0 0 333
0 0 0 333
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 CIBITUNG
BULAN / TAHUN NOPEMBER / 2016
NO DATA
1 2 3 4 5 6 7
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
0 0 42 155 0
laki-laki 0 0 42 155 0
perempuan 0 0 0 0 0
0 1 42 0 0
perempuan 0 0 0 0 0
0 0 333 0 0
2x/ th
laki-laki 0 0 333 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
b. Diare
0 0 0 0 0
c. Malaria
0 0 0 0 0
d. Campak 0 0 0 0 0
e. DBD 0 0 0 0 0
h. Sepsis 0 0 0 0 0
Mengetahui,
…………………………………………
(NIP : )
POSYANDU
8 9 10 11 12 13 14
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 147 0
0 0 0 0 0 147 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
……………………., ………………………… 2012
Pengelola Program
………………………………………………………
(NIP : )
425299463.xlsx BALITA11 10
0 0 0 JUMLAH
15 16 17 18
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 344
0 0 0 344
0 0 0 0
0 0 0 43
0 0 0 43
0 0 0 0
0 0 0 333
0 0 0 333
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
425299463.xlsx BALITA11 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
425299463.xlsx BALITA11 12
PUSKESMAS CIBITUNG
BULAN / TAHUN OKTOBER / 2016
NO DATA
1 2 3 4 5 6 7
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
0 0 42 155 0
laki-laki 0 0 42 155 0
perempuan 0 0 0 0 0
0 1 42 0 0
perempuan 0 0 0 0 0
0 0 333 0 0
2x/ th
laki-laki 0 0 333 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
b. Diare
0 0 0 0 0
c. Malaria
0 0 0 0 0
d. Campak 0 0 0 0 0
425299463.xlsx BALITA10 13
e. DBD 0 0 0 0 0
h. Sepsis 0 0 0 0 0
Mengetahui,
…………………………………………
(NIP : )
425299463.xlsx BALITA10 14
POSYANDU
8 9 10 11 12 13 14
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 147 0
0 0 0 0 0 147 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
425299463.xlsx BALITA10 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
……………………., ………………………… 2012
Pengelola Program
………………………………………………………
(NIP : )
425299463.xlsx BALITA10 16
0 0 0 JUMLAH
15 16 17 18
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 344
0 0 0 344
0 0 0 0
0 0 0 43
0 0 0 43
0 0 0 0
0 0 0 333
0 0 0 333
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
425299463.xlsx BALITA10 17
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
425299463.xlsx BALITA10 18
PUSKESMAS CIBITUNG
BULAN / TAHUN SEPTEMBER / 2016
NO DATA
1 2 3 4 5 6 7
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
0 0 42 155 0
laki-laki 0 0 42 155 0
perempuan 0 0 0 0 0
0 1 42 0 0
perempuan 0 0 0 0 0
0 0 333 0 0
2x/ th
laki-laki 0 0 333 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
b. Diare
0 0 0 0 0
c. Malaria
0 0 0 0 0
d. Campak 0 0 0 0 0
e. DBD 0 0 0 0 0
h. Sepsis 0 0 0 0 0
Mengetahui,
…………………………………………
(NIP : )
POSYANDU
8 9 10 11 12 13 14
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 147 0
0 0 0 0 0 147 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
……………………., ………………………… 2012
Pengelola Program
………………………………………………………
(NIP : )
0 0 0 JUMLAH
15 16 17 18
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 344
0 0 0 344
0 0 0 0
0 0 0 43
0 0 0 43
0 0 0 0
0 0 0 333
0 0 0 333
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 CIBITUNG
BULAN / TAHUN AGUSTUS / 2016
NO DATA
1 2 3 4 5 6 7
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
0 0 42 155 0
laki-laki 0 0 42 155 0
perempuan 0 0 0 0 0
0 1 42 0 0
perempuan 0 0 0 0 0
0 0 333 0 0
2x/ th
laki-laki 0 0 333 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
b. Diare
0 0 0 0 0
c. Malaria
0 0 0 0 0
d. Campak 0 0 0 0 0
e. DBD 0 0 0 0 0
h. Sepsis 0 0 0 0 0
Mengetahui,
…………………………………………
(NIP : )
POSYANDU
8 9 10 11 12 13 14
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 147 0
0 0 0 0 0 147 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
……………………., ………………………… 2012
Pengelola Program
………………………………………………………
(NIP : )
0 0 0 JUMLAH
15 16 17 18
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 344
0 0 0 344
0 0 0 0
0 0 0 43
0 0 0 43
0 0 0 0
0 0 0 333
0 0 0 333
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 CIBITUNG
BULAN / TAHUN JULI / 2016
NO DATA
1 2 3 4 5 6 7
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
0 0 42 155 0
laki-laki 0 0 42 155 0
perempuan 0 0 0 0 0
0 1 42 0 0
perempuan 0 0 0 0 0
0 0 333 0 0
2x/ th
laki-laki 0 0 333 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
b. Diare
0 0 0 0 0
c. Malaria
0 0 0 0 0
d. Campak 0 0 0 0 0
e. DBD 0 0 0 0 0
h. Sepsis 0 0 0 0 0
Mengetahui,
…………………………………………
(NIP : )
POSYANDU
8 9 10 11 12 13 14
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 147 0
0 0 0 0 0 147 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
……………………., ………………………… 2012
Pengelola Program
………………………………………………………
(NIP : )
0 0 0 JUMLAH
15 16 17 18
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 344
0 0 0 344
0 0 0 0
0 0 0 43
0 0 0 43
0 0 0 0
0 0 0 333
0 0 0 333
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 CIBITUNG
BULAN / TAHUN JUNI / 2016
NO DATA
1 2 3 4 5 6 7
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
0 0 42 155 0
laki-laki 0 0 42 155 0
perempuan 0 0 0 0 0
0 1 42 0 0
perempuan 0 0 0 0 0
0 0 333 0 0
2x/ th
laki-laki 0 0 333 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
b. Diare
0 0 0 0 0
c. Malaria
0 0 0 0 0
d. Campak 0 0 0 0 0
e. DBD 0 0 0 0 0
h. Sepsis 0 0 0 0 0
Mengetahui,
…………………………………………
(NIP : )
POSYANDU
8 9 10 11 12 13 14
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 147 0
0 0 0 0 0 147 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
……………………., ………………………… 2012
Pengelola Program
………………………………………………………
(NIP : )
0 0 0 JUMLAH
15 16 17 18
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 344
0 0 0 344
0 0 0 0
0 0 0 43
0 0 0 43
0 0 0 0
0 0 0 333
0 0 0 333
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 CIBITUNG
BULAN / TAHUN MEI / 2016
NO DATA
1 2 3 4 5 6 7
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
0 0 42 155 0
laki-laki 0 0 42 155 0
perempuan 0 0 0 0 0
0 0 42 0 0
perempuan 0 0 0 0 0
0 0 333 0 0
2x/ th
laki-laki 0 0 333 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
b. Diare
0 0 0 0 0
c. Malaria
0 0 0 0 0
d. Campak 0 0 0 0 0
e. DBD 0 0 0 0 0
h. Sepsis 0 0 0 0 0
Mengetahui,
…………………………………………
(NIP : )
POSYANDU
8 9 10 11 12 13 14
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 147 0
0 0 0 0 0 147 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
……………………., ………………………… 2012
Pengelola Program
………………………………………………………
(NIP : )
0 0 0 JUMLAH
15 16 17 18
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 344
0 0 0 344
0 0 0 0
0 0 0 42
0 0 0 42
0 0 0 0
0 0 0 333
0 0 0 333
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 CIBITUNG
BULAN / TAHUN APRIL / 2016
NO DATA
1 2 3 4 5 6 7
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
0 0 42 155 0
laki-laki 0 0 42 155 0
perempuan 0 0 0 0 0
0 1 42 0 0
perempuan 0 0 0 0 0
0 0 333 0 0
2x/ th
laki-laki 0 0 333 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
b. Diare
0 0 0 0 0
c. Malaria
0 0 0 0 0
d. Campak 0 0 0 0 0
e. DBD 0 0 0 0 0
h. Sepsis 0 0 0 0 0
Mengetahui,
…………………………………………
(NIP : )
POSYANDU
8 9 10 11 12 13 14
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 147 0
0 0 0 0 0 147 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
……………………., ………………………… 2012
Pengelola Program
………………………………………………………
(NIP : )
0 0 0 JUMLAH
15 16 17 18
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 344
0 0 0 344
0 0 0 0
0 0 0 43
0 0 0 43
0 0 0 0
0 0 0 333
0 0 0 333
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 CIBITUNG
BULAN / TAHUN MARET / 2016
NO DATA
1 2 3 4 5 6 7
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
0 0 42 155 0
laki-laki 0 0 42 155 0
perempuan 0 0 0 0 0
0 1 42 0 0
perempuan 0 0 0 0 0
0 0 333 0 0
2x/ th
laki-laki 0 0 333 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
b. Diare
0 0 0 0 0
c. Malaria
0 0 0 0 0
d. Campak 0 0 0 0 0
e. DBD 0 0 0 0 0
h. Sepsis 0 0 0 0 0
Mengetahui,
…………………………………………
(NIP : )
POSYANDU
8 9 10 11 12 13 14
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 147 0
0 0 0 0 0 147 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
……………………., ………………………… 2012
Pengelola Program
………………………………………………………
(NIP : )
0 0 0 JUMLAH
15 16 17 18
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 344
0 0 0 344
0 0 0 0
0 0 0 43
0 0 0 43
0 0 0 0
0 0 0 333
0 0 0 333
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 CIBITUNG
BULAN / TAHUN FEBRUARI / 2016
NO DATA
1 2 3 4 5 6 7
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
0 1 0 0 0
laki-laki 0 1 0 0 0
perempuan 0 0 0 0 0
0 0 0 0 0
2x/ th
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
b. Diare
0 0 0 0 0
c. Malaria
0 0 0 0 0
d. Campak 0 0 0 0 0
e. DBD 0 0 0 0 0
h. Sepsis 0 0 0 0 0
Mengetahui,
…………………………………………
(NIP : )
POSYANDU
8 9 10 11 12 13 14
0 0 0 0 0 147 0
0 0 0 0 0 147 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 147 0
0 0 0 0 0 147 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
……………………., ………………………… 2012
Pengelola Program
………………………………………………………
(NIP : )
0 0 0 JUMLAH
15 16 17 18
0 0 0 147
0 0 0 147
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 147
0 0 0 147
0 0 0 0
0 0 0 1
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
PUSKESMAS CIBITUNG
BULAN / TAHUN JANUARI / 2016
NO DATA
1 2 3 4 5 6 7
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
0 0 42 155 0
laki-laki 0 0 42 155 0
perempuan 0 0 0 0 0
0 1 42 0 0
perempuan 0 0 0 0 0
0 0 333 0 0
2x/ th
laki-laki 0 0 333 0 0
perempuan 0 0 0 0 0
laki-laki 0 0 0 0 0
perempuan 0 0 0 0 0
b. Diare
0 0 0 0 0
c. Malaria
0 0 0 0 0
d. Campak 0 0 0 0 0
e. DBD 0 0 0 0 0
h. Sepsis 0 0 0 0 0
Mengetahui,
…………………………………………
(NIP : )
POSYANDU
8 9 10 11 12 13 14
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 147 0
0 0 0 0 0 147 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
……………………., ………………………… 2012
Pengelola Program
………………………………………………………
(NIP : )
0 0 0 JUMLAH
15 16 17 18
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 344
0 0 0 344
0 0 0 0
0 0 0 43
0 0 0 43
0 0 0 0
0 0 0 333
0 0 0 333
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
REKAPITULASI HAS
PUSKESMAS CIBITUNG
JUMLAH BUFAS Kunjungan Nifas Pelayanan

PMTCT
Pemeriksaan
Catat di Buku KIA
Vit. A Ibu
NO DESA / KELURAHAN WAKTU
HAMIL KF
tablet)
BULAN
DAPAT KF1 KF2 KF3 LENGK
INI AP
Fe 90
TAB
CD4
(2
1 CIBALIUNG 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS12 73
PUSKESMAS
BULAN / TAHUN
Integrasi Program
TB
Malaria
Foto Thorax
Kelambu Berinsektisida
Obat Anti TB
NO DESA / KELURAHAN
Anti Malaria
Diperiksa
Malaria +
TB +
1 CIBALIUNG 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0
10 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0
425299463.xlsx BUFAS12 74
PUSKESMAS
BULAN / TAHUN
Pelayanan KB Komplikasi Penanganan Komplikas
NO DESA / KELURAHAN
Lain-lain
Kondom
Infeksi
Infeksi
Suntik
AKDR
MOW
MOP
HDK
MAL
PPP
PPP
Pil
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS12 75
PUSKESMAS
BULAN / TAHUN
Keadaan
Penanganan Komplikasi Dirujuk Ke
Tiba Pulang
NO DESA / KELURAHAN
Puskesmas
RSIA / RSB
R. Bersalin
Meninggal
Meninggal
Lain-lain
Lain-lain
Hidup
Hidup
HDK
RS
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS12 76
REKAPITULASI HAS
PUSKESMAS CIBITUNG

PMTCT
Pemeriksaan
Catat di Buku KIA
Vit. A Ibu
HAMIL KF
tablet)
BULAN
INI AP
Fe 90
TAB
CD4
(2
1 CIBALIUNG 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS11 77
PUSKESMAS
BULAN / TAHUN
Integrasi Program
TB
Malaria
Foto Thorax
Obat Anti TB
NO DESA / KELURAHAN
Anti Malaria
Diperiksa
Malaria +
TB +
1 CIBALIUNG 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0
10 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0
425299463.xlsx BUFAS11 78
PUSKESMAS
BULAN / TAHUN
NO DESA / KELURAHAN
Lain-lain
Kondom
Infeksi
Infeksi
Suntik
AKDR
MOW
MOP
HDK
MAL
PPP
PPP
Pil
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS11 79
PUSKESMAS
BULAN / TAHUN
Keadaan
Tiba Pulang
NO DESA / KELURAHAN
Puskesmas
RSIA / RSB
R. Bersalin
Meninggal
Meninggal
Lain-lain
Lain-lain
Hidup
Hidup
HDK
RS
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS11 80
REKAPITULASI HAS
PUSKESMAS CIBITUNG

PMTCT
Pemeriksaan
Catat di Buku KIA
Vit. A Ibu
HAMIL KF
tablet)
BULAN
INI AP
Fe 90
TAB
CD4
(2
1 CIBALIUNG 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS10 81
PUSKESMAS
BULAN / TAHUN
Integrasi Program
TB
Malaria
Foto Thorax
Obat Anti TB
NO DESA / KELURAHAN
Anti Malaria
Diperiksa
Malaria +
TB +
1 CIBALIUNG 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0
10 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0
425299463.xlsx BUFAS10 82
PUSKESMAS
BULAN / TAHUN
NO DESA / KELURAHAN
Lain-lain
Kondom
Infeksi
Infeksi
Suntik
AKDR
MOW
MOP
HDK
MAL
PPP
PPP
Pil
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS10 83
PUSKESMAS
BULAN / TAHUN
Keadaan
Tiba Pulang
NO DESA / KELURAHAN
Puskesmas
RSIA / RSB
R. Bersalin
Meninggal
Meninggal
Lain-lain
Lain-lain
Hidup
Hidup
HDK
RS
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS10 84
REKAPITULASI HAS
PUSKESMAS CIBITUNG

PMTCT
Pemeriksaan
Catat di Buku KIA
Vit. A Ibu
HAMIL KF
tablet)
BULAN
INI AP
Fe 90
TAB
CD4
(2
1 CIBALIUNG 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS9 85
PUSKESMAS
BULAN / TAHUN
Integrasi Program
TB
Malaria
Foto Thorax
Obat Anti TB
NO DESA / KELURAHAN
Anti Malaria
Diperiksa
Malaria +
TB +
1 CIBALIUNG 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0
10 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0
425299463.xlsx BUFAS9 86
PUSKESMAS
BULAN / TAHUN
NO DESA / KELURAHAN
Lain-lain
Kondom
Infeksi
Infeksi
Suntik
AKDR
MOW
MOP
HDK
MAL
PPP
PPP
Pil
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS9 87
PUSKESMAS
BULAN / TAHUN
Keadaan
Tiba Pulang
NO DESA / KELURAHAN
Puskesmas
RSIA / RSB
R. Bersalin
Meninggal
Meninggal
Lain-lain
Lain-lain
Hidup
Hidup
HDK
RS
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS9 88
REKAPITULASI HAS
PUSKESMAS CIBITUNG

PMTCT
Pemeriksaan
Catat di Buku KIA
Vit. A Ibu
HAMIL KF
tablet)
BULAN
INI AP
Fe 90
TAB
CD4
(2
1 CIBALIUNG 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS8 89
PUSKESMAS
BULAN / TAHUN
Integrasi Program
TB
Malaria
Foto Thorax
Obat Anti TB
NO DESA / KELURAHAN
Anti Malaria
Diperiksa
Malaria +
TB +
1 CIBALIUNG 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0
10 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0
425299463.xlsx BUFAS8 90
PUSKESMAS
BULAN / TAHUN
NO DESA / KELURAHAN
Lain-lain
Kondom
Infeksi
Infeksi
Suntik
AKDR
MOW
MOP
HDK
MAL
PPP
PPP
Pil
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS8 91
PUSKESMAS
BULAN / TAHUN
Keadaan
Tiba Pulang
NO DESA / KELURAHAN
Puskesmas
RSIA / RSB
R. Bersalin
Meninggal
Meninggal
Lain-lain
Lain-lain
Hidup
Hidup
HDK
RS
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS8 92
REKAPITULASI HAS
PUSKESMAS CIBITUNG

PMTCT
Pemeriksaan
Catat di Buku KIA
Vit. A Ibu
HAMIL KF
tablet)
BULAN
INI AP
Fe 90
TAB
CD4
(2
1 CIBALIUNG 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS7 93
PUSKESMAS
BULAN / TAHUN
Integrasi Program
TB
Malaria
Foto Thorax
Obat Anti TB
NO DESA / KELURAHAN
Anti Malaria
Diperiksa
Malaria +
TB +
1 CIBALIUNG 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0
10 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0
425299463.xlsx BUFAS7 94
PUSKESMAS
BULAN / TAHUN
NO DESA / KELURAHAN
Lain-lain
Kondom
Infeksi
Infeksi
Suntik
AKDR
MOW
MOP
HDK
MAL
PPP
PPP
Pil
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS7 95
PUSKESMAS
BULAN / TAHUN
Keadaan
Tiba Pulang
NO DESA / KELURAHAN
Puskesmas
RSIA / RSB
R. Bersalin
Meninggal
Meninggal
Lain-lain
Lain-lain
Hidup
Hidup
HDK
RS
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS7 96
REKAPITULASI HAS
PUSKESMAS CIBITUNG

PMTCT
Pemeriksaan
Catat di Buku KIA
Vit. A Ibu
HAMIL KF
tablet)
BULAN
INI AP
Fe 90
TAB
CD4
(2
1 CIBALIUNG 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS6 97
PUSKESMAS
BULAN / TAHUN
Integrasi Program
TB
Malaria
Foto Thorax
Obat Anti TB
NO DESA / KELURAHAN
Anti Malaria
Diperiksa
Malaria +
TB +
1 CIBALIUNG 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0
10 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0
425299463.xlsx BUFAS6 98
PUSKESMAS
BULAN / TAHUN
NO DESA / KELURAHAN
Lain-lain
Kondom
Infeksi
Infeksi
Suntik
AKDR
MOW
MOP
HDK
MAL
PPP
PPP
Pil
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS6 99
PUSKESMAS
BULAN / TAHUN
Keadaan
Tiba Pulang
NO DESA / KELURAHAN
Puskesmas
RSIA / RSB
R. Bersalin
Meninggal
Meninggal
Lain-lain
Lain-lain
Hidup
Hidup
HDK
RS
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS6 100

REKAPITULASI HAS
PUSKESMAS CIBITUNG

PMTCT
Pemeriksaan
Catat di Buku KIA
Vit. A Ibu
HAMIL KF
tablet)
BULAN
INI AP
Fe 90
TAB
CD4
(2
1 CIBALIUNG 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS5 101

PUSKESMAS
BULAN / TAHUN
Integrasi Program
TB
Malaria
Foto Thorax
Obat Anti TB
NO DESA / KELURAHAN
Anti Malaria
Diperiksa
Malaria +
TB +
1 CIBALIUNG 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0
10 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0
425299463.xlsx BUFAS5 102

PUSKESMAS
BULAN / TAHUN
NO DESA / KELURAHAN
Lain-lain
Kondom
Infeksi
Infeksi
Suntik
AKDR
MOW
MOP
HDK
MAL
PPP
PPP
Pil
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS5 103

PUSKESMAS
BULAN / TAHUN
Keadaan
Tiba Pulang
NO DESA / KELURAHAN
Puskesmas
RSIA / RSB
R. Bersalin
Meninggal
Meninggal
Lain-lain
Lain-lain
Hidup
Hidup
HDK
RS
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS5 104

REKAPITULASI HAS
PUSKESMAS CIBITUNG

PMTCT
Pemeriksaan
Catat di Buku KIA
Vit. A Ibu
HAMIL KF
tablet)
BULAN
INI AP
Fe 90
TAB
CD4
(2
1 CIBALIUNG 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS4 105

PUSKESMAS
BULAN / TAHUN
Integrasi Program
TB
Malaria
Foto Thorax
Obat Anti TB
NO DESA / KELURAHAN
Anti Malaria
Diperiksa
Malaria +
TB +
1 CIBALIUNG 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0
10 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0
425299463.xlsx BUFAS4 106

PUSKESMAS
BULAN / TAHUN
NO DESA / KELURAHAN
Lain-lain
Kondom
Infeksi
Infeksi
Suntik
AKDR
MOW
MOP
HDK
MAL
PPP
PPP
Pil
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS4 107

PUSKESMAS
BULAN / TAHUN
Keadaan
Tiba Pulang
NO DESA / KELURAHAN
Puskesmas
RSIA / RSB
R. Bersalin
Meninggal
Meninggal
Lain-lain
Lain-lain
Hidup
Hidup
HDK
RS
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS4 108

REKAPITULASI HAS
PUSKESMAS CIBITUNG

PMTCT
Pemeriksaan
Catat di Buku KIA
Vit. A Ibu
HAMIL KF
tablet)
BULAN
INI AP
Fe 90
TAB
CD4
(2
1 CIBALIUNG 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS3 109

PUSKESMAS
BULAN / TAHUN
Integrasi Program
TB
Malaria
Foto Thorax
Obat Anti TB
NO DESA / KELURAHAN
Anti Malaria
Diperiksa
Malaria +
TB +
1 CIBALIUNG 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0
10 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0
425299463.xlsx BUFAS3 110

PUSKESMAS
BULAN / TAHUN
NO DESA / KELURAHAN
Lain-lain
Kondom
Infeksi
Infeksi
Suntik
AKDR
MOW
MOP
HDK
MAL
PPP
PPP
Pil
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS3 111

PUSKESMAS
BULAN / TAHUN
Keadaan
Tiba Pulang
NO DESA / KELURAHAN
Puskesmas
RSIA / RSB
R. Bersalin
Meninggal
Meninggal
Lain-lain
Lain-lain
Hidup
Hidup
HDK
RS
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS3 112

REKAPITULASI HAS
PUSKESMAS CIBITUNG

PMTCT
Pemeriksaan
Catat di Buku KIA
Vit. A Ibu
HAMIL KF
tablet)
BULAN
INI AP
Fe 90
TAB
CD4
(2
1 CIBALIUNG 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS2 113

PUSKESMAS
BULAN / TAHUN
Integrasi Program
TB
Malaria
Foto Thorax
Obat Anti TB
NO DESA / KELURAHAN
Anti Malaria
Diperiksa
Malaria +
TB +
1 CIBALIUNG 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0
10 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0
425299463.xlsx BUFAS2 114

PUSKESMAS
BULAN / TAHUN
NO DESA / KELURAHAN
Lain-lain
Kondom
Infeksi
Infeksi
Suntik
AKDR
MOW
MOP
HDK
MAL
PPP
PPP
Pil
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS2 115

PUSKESMAS
BULAN / TAHUN
Keadaan
Tiba Pulang
NO DESA / KELURAHAN
Puskesmas
RSIA / RSB
R. Bersalin
Meninggal
Meninggal
Lain-lain
Lain-lain
Hidup
Hidup
HDK
RS
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS2 116

REKAPITULASI HAS
PUSKESMAS CIBITUNG

PMTCT
Pemeriksaan
Catat di Buku KIA
Vit. A Ibu
HAMIL KF
tablet)
BULAN
INI AP
Fe 90
TAB
CD4
(2
1 CIBALIUNG 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS1 117

PUSKESMAS
BULAN / TAHUN
Integrasi Program
TB
Malaria
Foto Thorax
Obat Anti TB
NO DESA / KELURAHAN
Anti Malaria
Diperiksa
Malaria +
TB +
1 CIBALIUNG 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0
10 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0
425299463.xlsx BUFAS1 118

PUSKESMAS
BULAN / TAHUN
NO DESA / KELURAHAN
Lain-lain
Kondom
Infeksi
Infeksi
Suntik
AKDR
MOW
MOP
HDK
MAL
PPP
PPP
Pil
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS1 119

PUSKESMAS
BULAN / TAHUN
Keadaan
Tiba Pulang
NO DESA / KELURAHAN
Puskesmas
RSIA / RSB
R. Bersalin
Meninggal
Meninggal
Lain-lain
Lain-lain
Hidup
Hidup
HDK
RS
1 CIBALIUNG 0 0 0 0 0 0 0 0 0 0 0
2 CIBINGBIN 0 0 0 0 0 0 0 0 0 0 0
3 CIHANJUANG 0 0 0 0 0 0 0 0 0 0 0
4 CURUG 0 0 0 0 0 0 0 0 0 0 0
5 MAHENDRA 0 0 0 0 0 0 0 0 0 0 0
6 MENDUNG 0 0 0 0 0 0 0 0 0 0 0
7 SORONGAN 0 0 0 0 0 0 0 0 0 0 0
8 SUDIMANIK 0 0 0 0 0 0 0 0 0 0 0
9 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUFAS1 120

ESTIMASI PENDUDUK CIBITUNG KEMBALI
TAHUN 2016 2,1
JUMLAH BAYI BUMIL BULIN BUTEKI BUFAS WUS
NO DESA
PENDUDUK 1% 1,1% 1.05% 1.05% 1.05% 26%
1 CIKADU 10.6 3322 70 69 #VALUE! #VALUE! 66 864
2 CIKALONG 13.1 1852 39 37 #VALUE! #VALUE! 36 482
3 CIKIRUH 7.5 2295 48 47 #VALUE! #VALUE! 45 597
4 CITELUK 6.5 1974 ### 40 #VALUE! #VALUE! 39 513
5 KIARA JANGKUNG 7.2 1614 ### 32 #VALUE! #VALUE! 31 420
6 KIARA PAYUNG 12.9 2162 ### 45 #VALUE! #VALUE! 43 562
7 KUTA KARANG 7.8 3138 ### 65 #VALUE! #VALUE! 62 816
8 MALANG NENGAH 10.2 1635 ### 33 #VALUE! #VALUE! 32 425
9 MANGLID 12.9 3062 ### 62 #VALUE! #VALUE! 59 796
10 SINDANG KERTA 6.5 1457 ### 29 #VALUE! #VALUE! 28 379
### #VALUE! #VALUE! #VALUE! 0
JUMLAH 95.2 22511 473 459 #VALUE! #VALUE! 441 5853

22511 473 #VALUE! #VALUE! #VALUE! 441 5853
425299463.xlsx ESTIMASI 121

7.14% 5.714%
PUS BATITA BALITA 0-5 Thn bayi Risti BUMIL RISTI ANAK REMAJA
BAYI 6-11
19% 8.25% 2.25% 11.50% 15.00% 20% 5-9 Th 10-14 Th
618 274 75 419 10 14 35 616 493
344 153 42 233 6 7 19 761 609
427 189 52 289 7 9 24 436 349
367 163 44 #VALUE! #VALUE! 8 #VALUE! 378 302
0 0 0 #VALUE! #VALUE! #VALUE! #VALUE! 0 0
4187 1857 506 2836 71 92 236 5809 4647

4187 1857 506 2364 #VALUE! #VALUE! #VALUE! 5530 4424

11% 7%
K REMAJA LANSIA
15-19 Th 50-70 Thn 1-5 Th Sumur Cimanggu Cibaliung Cibitung Cikeusik Cigeulis
452 287 384 1 CIGORON BATUHIDE CIBALIUNGCIKADU CIKADONGBANYUASI
558 355 214 2 KERTAJAYACIBADAK CIBINGBINCIKALONGCIKEUSIK CIGEULIS
320 203 265 3 KERTAMUKCIBURIAL CIHANJUA CIKIRUH CIKIRUH WCISEUREU
277 176 #VALUE! 4 SUMBERJACIJARALANCURUG CITELUK CURUG CI KARANG B
307 195 #VALUE! 5 TAMANJAYCIMANGG MAHENDRKIARA JA LEUWI BA KARYABUA
550 350 #VALUE! 6 TUNGGALJKRAMATJAMENDUNGKIARA PAY NANGGAL KATUMBIRI
332 211 #VALUE! 7 UJUNGJAY MANGKUASORONGA KUTA KAR PARUNG KSINAR JAYA
435 277 #VALUE! 8- PADASUKASUDIMANIMALANG NRANCA SE TARUMAN
550 350 #VALUE! 9- RANCAPINSUKAJADI MANGLID SUKA MULWARINGIN
277 176 #VALUE! 10 - TANGKILSA- SINDANG KSUKA SEN -
0 0 #VALUE! 11 - TUGU - - SUKA WARI-
0 0 12 - WARINGIN- - SUMUR BA-
0 0 13 - - - - TANJUNGA-
0 0 14 - - - - UMBULAN-
0 0 15 - - - - - -
4260 2711 2600

4056 2581 #VALUE!

PanimbangSobang Munjul Angsana SindangresPicung Bojong Saket Cisata Pagelaran Pata
CITEUREUPBOJEN CIBITUNG ANGSANA BOJONGMA BUNGURC BANYUMACIANDUR CIBARANI BAMA BABAKANK
GOMBONGBOJENWETCURUGLANCIKAYAS CAMPAKA CIHERANGBOJONG GIRIJAYA CIHERANGJBULAGOR CIAWI
MEKARJAYCIMANIS GUNUNGBCIPINANG CIODENG CILILITAN CAHAYAMEKADUDAMP CISEREH HARAPANKCIMOYAN
MEKARSARKERTARAHKOTADUKUKADUBADAKADUMALA GANGGAE CIJAKAN LANGENSAKADURONYKARTASANIDAMAN
PANIMBANKUTAMEKALEBAK KARANGSAPASIRDUR KADUBERACITUMEN MAJAU KONDANGJMARGAGIRPASIRGAD
TANJUNGJ PANGKALAMUNJUL KRAMATMA PASIRLANCKADUPANDGEREDUG MEDALSARKUBANGK MARGASAPATIA
- SOBANG PANACARAPADAHERAPASIRLOA KOLELET MANGGUNG MEKARWAPALEMBANMONTOR RAHAYU
- TELUKLAD PASANGGRPADAMULYPASIRTENJPASIRPANJMEKARSARPARIGI PASIREURIPAGELARASIMPANGT
- - SUKASABASUMURLA SINDANGRPASIRSED - SAKETI RAWASARISENANGSASURIANEU
- - - - - - - SINDANGH- SINDANGLTURUS
- - - - - - - SODONG - SUKADAM-
- - - - - - - SUKALANG- SURAKART-
- - - - - - - TALAGASAR- TEGALPAP -
- - - - - - - WANAGIRI- - -
- - - - - - - - - - -

Perdana Labuan Carita Jiput Cikedal Menes Pulosari MandalawaCimanuk CipeucangBanjar
CIBUNGURBANYUBIRBANJARMABABADSARBABAKAN ALASWANGBANJARNECIKONENGBATUBANTBATURANJBANDUNG
CIKUYA BANYUMECARITA BANYURESBANGKUY CIGANDENBANJARWACIKUMBUECIMANUK CIKADUEUBANJAR
KARYASARICARINGIN CINOYONGCITAMAN CENING CILABANB CILENTUN CURUGLE DALEMBALCURUGBA CIBEUREU
KUBANGKACIGONDANKAWOYANJANAKA CIPICUNG KADUPAYUKADUHEJOGIRIPAWA GUNUNGCKADUGAD CIBODAS
PASIRKAD KALANGANPEJAMBENJAYAMEKADAHU KANANGA KARYAWANGUNUNGSA GUNUNGDKALANGG CITALAHAB
PERDANA LABUAN SINDANGLJIPUT KARYA SARMENES KORANJI KURUNG KKADUBUNKONCANG GUNUNGPU
SEUSEUPARANCATEUSUKAJADI PAMARAYAKARYA UT MURUY SANGHIANMANDALASKADUDODPALANYAR KADUBALE
SIDAMUKTSUKAMAJUSUKANAGASALAPRAYAMEKARJAYPURWARAJSUKARAJAMANDALAKADUMADPARUMAS KADULIMU
SUKARESMTELUK SUKARAMESAMPANGBPADAHAYURAMAYA SUKASARI NEMBOL KUPAHANDPASIREURIKADUMAN
WERU - TEMBONGSIKULAN TEGAL SINDANGK- PANDAT ROCEK PASIRMAEMOGANA
- - - SUKACAI - SUKAMAN- PANJANGJASEKONG - PASIRAWI
- - - SUKAMAN- TEGALWAN- PARI - - -
- - - TENJOLAH- - - RAMEA - - -
- - - - - - - SINAR JAYA- - -
- - - - - - - SIRNAGALI- - -

MekarjayaKaduhejo PandeglanCikole Majasari Cadasari PagadungaBangkonol
KADUBELABANJARSARBABAKAN KABAYAN SUKARATUCADASARI CIGADUNGAWILEGA
KADUJANGBAYUMUNKADOMASPANDEGLAKARATON CIINJUK JUHUT BANGKONOL
MEDONG CAMPAKA - - CILAJA CIKENTRU KADUMERGERENDONG
MEKARJAYCIPUTRI - - SARUNI KADUELA PAGADUN KARANGSETRA
PAREANG KADUGEM- - PAGERBAT KADUENG - KORONCONG
RANCABUGMANDALAS- - - KAUNGCA - PAKULURAN
SUKAMULYPALURAHA- - - KORANJI - PANIIS
WIRASINGSANINTEN- - - KURUNGD- PASIRJAKSA
- SUKAMAN- - - PASIRPEUT- PASIRKARAG
- SUKASARI - - - TANAGARA- SETRAJAYA
- - - - - TAPOS - SUKAJAYA
- - - - - - - TEGALLONGOK
- - - - - - - -
- - - - - - - -
- - - - - - - -

REKAP
GIZI ESTIMASI DATA DASAR
425299463.xlsx DEPAN 127

CIBITUNG
EKAP
FORMAT
DATA DASAR KIA
425299463.xlsx DEPAN 128

ESTIMASI PENDUDUK JANUARI /
PUSKESMAS : CIBITUNG FEBRUARI /
KODE : P3601031201 MARET /
KABUPATEN : PANDEGLANG APRIL /
TAHUN : 2016 KEMBALI MEI /
KEPALA PUSKESMAS = Iyat Supriyatna JUNI /
NIP. = 19720208199303100 JULI /
BIDAN KOORDINATOR = Hj. Tet Herawat AGUSTUS /
NIP. = 19750417200312200 SEPTEMBER /
TENAGA PELAKSANA GIZI = Dewi Lestari OKTOBER /
NIP. = TKS NOPEMBER /
DESEMBER /
TARGET TARGET
K1 = 80 D/S = 80
K4 = 100 K/S = 100
LINAKES = 35 N/S = 35
N/D = 35 N/D = 35
BGM = 30 BGM = 30
GIZI BURUK = 15 GIZI BURUK = 15
GIZI KURANG = 15 GIZI KURANG = 15
ASI EKSLUSIF = 80 ASI EKSLUSIF = 80
Fe-1 = 80 Fe-1 = 80
Fe-3 = 60 Fe-3 = 90
425299463.xlsx DATADASAR 129

NO DESA NAMA POSYANDU
1 CIKADU 1 DURIAN 1
2 DURIAN 2
3 DURIAN 3
4 DURIAN 4
5 DURIAN 5
6
7
8
9
10
11
12
13
14
15
2 CIKALONG 1 FLAMBOYAN 1
2 FLAMBOYAN 2
3 FLAMBOYAN 3
4
5
6
7
8
9
10
11
12
13
14
15
3 CIKIRUH 1 BERINGIN 1
2 BERINGIN 2
3 BERINGIN 3
4 BERINGIN 4
5
6
7
8
9
10
11
12

13
14
15
4 CITELUK 1 TITIRAN 1
2 TITIRAN 2
3 TITIRAN 3
4 TITIRAN 4
5
6
7
8
9
10
11
12
13
14
15
5 KIARA JANGKUNG 1 KIARA 1
2 KIARA 2
3 KIARA 3
4
5
6
7
8
9
10
11
12
13
14
15
6 KIARA PAYUNG 1 PERKUTUT 1
2 PERKUTUT 2
3 PERKUTUT 3
4 PERKUTUT 4
5
6
7
8
9
10
11
12

13
14
15
7 KUTA KARANG 1 GEBANG 1
2 GEBANG 2
3 GEBANG 3
4 GEBANG 4
5
6
7
8
9
10
11
12
13
14
15
8 MALANG NENGAH 1 JATI 1
2 JATI 2
3 JATI 3
4
5
6
7
8
9
10
11
12
13
14
15
9 MANGLID 1 RAMBUTAN 1
2 RAMBUTAN 2
3 RAMBUTAN 3
4
5
6
7
8
9
10
11
12

13
14
15
10 SINDANG KERTA 1 GLATIK 1
2 GLATIK 2
3
4
5
6
7
8
9
10
11
12
13
14
15
11 0 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
12 0 1
2
3
4
5
6
7
8
9
10
11
12

13
14
15
13 0 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
14 0 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
15 0 1
2
3
4
5
6
7
8
9
10
11
12

13
14
15

REKAPITULASI HASIL PEL
PUSKESMAS CIBITUNG
K-1 Hemoglobin KEK
KepemilikanBuku
Jumlah
Jumlah Bumil K-
Diperiksa LILA
Stiker P4K
KIA
Buku KIA
Diperiksa
NO DESA / KELURAHAN Bumil saat yang K1 1(<19 K4
Anemia
KEK
ini (B + L) diperiksa TH)
bulan ini
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL1 136

PUSKESMAS
BULAN / TAHUN
TT PMTCT
Protein Urin Gula Darah Fe
Status TT Lab
> 140 mg/dl (+)
Injeksi TT
Diperiksa
Diperiksa
Diperiksa
NO DESA / KELURAHAN
VCT
+ Fe 1 Fe3 T0 T1 T2 T3 T4 T5
1 2 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL1 137

PUSKESMAS
BULAN / TAHUN
PMTCT Malaria Tuberkulosis Sifilis
Lab Lab Lab Lab
ARV Profilaksis
Diberikan Obat
Diberikan Obat
Diberikan Obat
Berinsektisida
Kelambu
Serologis +
Diperiksa
Diperiksa
Malaria +
NO DESA / KELURAHAN
Sphilis +
Diperiksa
Sputum
BTA +
1 2 30 31 32 33 34 35 36 37 38 39 40 41
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL1 138

PUSKESMAS
BULAN / TAHUN
Deteksi Risiko/
Komplikasi
Non Nakes
NO DESA / KELURAHAN
Nakes
1 2 42 43
1 CADASARI 0 0
2 CIINJUK 0 0
3 CIKENTRUNG 0 0
4 KADUELA 0 0
5 KADUENGANG 0 0
6 KAUNGCAANG 0 0
7 KORANJI 0 0
8 KURUNGDAHU 0 0
9 PASIRPEUTEUY 0 0
10 TANAGARA 0 0
11 TAPOS 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
JUMLAH DESA 1 0 0
425299463.xlsx BUMIL1 139

PUSKESMAS
BULAN / TAHUN
Komplikasi PENANGANAN KOMPLIKASI
Fasilitas
Perdarahan
Perdarahan
Puskesmas
NO DESA / KELURAHAN
Lain-lain
Lain-lain
Abortus
Abortus
Infeksi
Infeksi
HDK
HDK
KPD
KPD
1 2 44 45 46 47 48 49 50 51 52 53 54 55 56
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL1 140

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Keadaan
Fasilitas Kesehatan KeadaanTiba
Pulang
Meninggal
Meninggal
RSIA/ RSB
NO DESA / KELURAHAN
Lain-lain
Hidup
Hidup
RB
RS
1 2 57 58 59 60 61 62 63 64
1 CADASARI 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL1 141

REKAPITULASI HASIL PEL
PUSKESMAS CIBITUNG
K-1 Hemoglobin KEK
KepemilikanBuku
Jumlah
Jumlah Bumil K-
Diperiksa LILA
Stiker P4K
KIA
Buku KIA
Diperiksa
Anemia
KEK
bulan ini
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL2 142

PUSKESMAS
BULAN / TAHUN
TT PMTCT
Status TT Lab
> 140 mg/dl (+)
Injeksi TT
Diperiksa
Diperiksa
Diperiksa
NO DESA / KELURAHAN
VCT
+ Fe 1 Fe3 T0 T1 T2 T3 T4 T5
1 2 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL2 143

PUSKESMAS
BULAN / TAHUN
Lab Lab Lab Lab
ARV Profilaksis
Diberikan Obat
Diberikan Obat
Diberikan Obat
Berinsektisida
Kelambu
Serologis +
Diperiksa
Diperiksa
Malaria +
NO DESA / KELURAHAN
Sphilis +
Diperiksa
Sputum
BTA +
1 2 30 31 32 33 34 35 36 37 38 39 40 41
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL2 144

PUSKESMAS
BULAN / TAHUN
Deteksi Risiko/
Komplikasi
Non Nakes
NO DESA / KELURAHAN
Nakes
1 2 42 43
1 CADASARI 0 0
2 CIINJUK 0 0
3 CIKENTRUNG 0 0
4 KADUELA 0 0
5 KADUENGANG 0 0
6 KAUNGCAANG 0 0
7 KORANJI 0 0
8 KURUNGDAHU 0 0
9 PASIRPEUTEUY 0 0
10 TANAGARA 0 0
11 TAPOS 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
JUMLAH DESA 1 0 0
425299463.xlsx BUMIL2 145

PUSKESMAS
BULAN / TAHUN
Perdarahan
Perdarahan
NO DESA / KELURAHAN
Lain-lain
Lain-lain
Abortus
Abortus
Infeksi
Infeksi
HDK
HDK
KPD
KPD
1 2 44 45 46 47 48 49 50 51 52 53 54 55
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL2 146

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Fasilitas Kesehatan KeadaanTiba Keadaan Pulang
Puskesmas
Meninggal
Meninggal
RSIA/ RSB
NO DESA / KELURAHAN
Lain-lain
Hidup
Hidup
RB
RS
1 2 56 57 58 59 60 61 62 63 64
1 CADASARI 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL2 147

REKAPITULASI HASIL PE
PUSKESMAS CIBITUNG
K-1 Hemoglobin KEK
KepemilikanBuku
Jumlah
Jumlah Bumil K-
Diperiksa LILA
Stiker P4K
KIA
Buku KIA
Diperiksa
Anemia
KEK
bulan ini
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL3 148

PUSKESMAS
BULAN / TAHUN
TT PMTCT
Status TT
> 140 mg/dl (+)
Injeksi TT
Diperiksa
Diperiksa
NO DESA / KELURAHAN
VCT
+ Fe 1 Fe3 T0 T1 T2 T3 T4 T5
1 2 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL3 149

PUSKESMAS
BULAN / TAHUN
Lab Lab Lab Lab
ARV Profilaksis
Diberikan Obat
Diberikan Obat
Diberikan Obat
Berinsektisida
Kelambu
Serologis +
Diperiksa
Diperiksa
Diperiksa
Malaria +
NO DESA / KELURAHAN
Sphilis +
Diperiksa
Sputum
BTA +
1 2 29 30 31 32 33 34 35 36 37 38 39 40 41
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL3 150

PUSKESMAS
BULAN / TAHUN
Deteksi Risiko/
Komplikasi
Non Nakes
NO DESA / KELURAHAN
Nakes
1 2 42 43
1 CADASARI 0 0
2 CIINJUK 0 0
3 CIKENTRUNG 0 0
4 KADUELA 0 0
5 KADUENGANG 0 0
6 KAUNGCAANG 0 0
7 KORANJI 0 0
8 KURUNGDAHU 0 0
9 PASIRPEUTEUY 0 0
10 TANAGARA 0 0
11 TAPOS 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
JUMLAH DESA 1 0 0
425299463.xlsx BUMIL3 151

PUSKESMAS
BULAN / TAHUN
Perdarahan
Perdarahan
NO DESA / KELURAHAN
Lain-lain
Lain-lain
Abortus
Abortus
Infeksi
Infeksi
HDK
HDK
KPD
KPD
1 2 44 45 46 47 48 49 50 51 52 53 54 55
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL3 152

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Puskesmas
Meninggal
Meninggal
RSIA/ RSB
NO DESA / KELURAHAN
Lain-lain
Hidup
Hidup
RB
RS
1 2 56 57 58 59 60 61 62 63 64
1 CADASARI 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL3 153

PUSKESMAS CIBITUNG
K-1 Hemoglobin KEK
KepemilikanBuku
Jumlah
Jumlah Bumil K-
Diperiksa LILA
Stiker P4K
KIA
Buku KIA
Diperiksa
Anemia
KEK
bulan ini
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL4 154

PUSKESMAS
BULAN / TAHUN
TT PMTCT
Status TT
> 140 mg/dl (+)
Injeksi TT
Diperiksa
Diperiksa
NO DESA / KELURAHAN
VCT
+ Fe 1 Fe3 T0 T1 T2 T3 T4 T5
1 2 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL4 155

PUSKESMAS
BULAN / TAHUN
Lab Lab Lab Lab
ARV Profilaksis
Diberikan Obat
Diberikan Obat
Diberikan Obat
Berinsektisida
Kelambu
Serologis +
Diperiksa
Diperiksa
Diperiksa
Malaria +
NO DESA / KELURAHAN
Sphilis +
Diperiksa
Sputum
BTA +
1 2 29 30 31 32 33 34 35 36 37 38 39 40 41
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL4 156

PUSKESMAS
BULAN / TAHUN
Deteksi Risiko/
Komplikasi
Non Nakes
NO DESA / KELURAHAN
Nakes
1 2 42 43
1 CADASARI 0 0
2 CIINJUK 0 0
3 CIKENTRUNG 0 0
4 KADUELA 0 0
5 KADUENGANG 0 0
6 KAUNGCAANG 0 0
7 KORANJI 0 0
8 KURUNGDAHU 0 0
9 PASIRPEUTEUY 0 0
10 TANAGARA 0 0
11 TAPOS 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
JUMLAH DESA 1 0 0
425299463.xlsx BUMIL4 157

PUSKESMAS
BULAN / TAHUN
Perdarahan
Perdarahan
NO DESA / KELURAHAN
Lain-lain
Lain-lain
Abortus
Abortus
Infeksi
Infeksi
HDK
HDK
KPD
KPD
1 2 44 45 46 47 48 49 50 51 52 53 54 55
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL4 158

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Puskesmas
Meninggal
Meninggal
RSIA/ RSB
NO DESA / KELURAHAN
Lain-lain
Hidup
Hidup
RB
RS
1 2 56 57 58 59 60 61 62 63 64
1 CADASARI 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL4 159

PUSKESMAS CIBITUNG
K-1 Hemoglobin KEK
KepemilikanBuku
Jumlah
Jumlah Bumil K-
Diperiksa LILA
Stiker P4K
KIA
Buku KIA
Diperiksa
Anemia
KEK
bulan ini
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL5 160

PUSKESMAS
BULAN / TAHUN
TT PMTCT
Status TT
> 140 mg/dl (+)
Injeksi TT
Diperiksa
Diperiksa
NO DESA / KELURAHAN
VCT
+ Fe 1 Fe3 T0 T1 T2 T3 T4 T5
1 2 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL5 161

PUSKESMAS
BULAN / TAHUN
Lab Lab Lab Lab
ARV Profilaksis
Diberikan Obat
Diberikan Obat
Diberikan Obat
Berinsektisida
Kelambu
Serologis +
Diperiksa
Diperiksa
Diperiksa
Malaria +
NO DESA / KELURAHAN
Sphilis +
Diperiksa
Sputum
BTA +
1 2 29 30 31 32 33 34 35 36 37 38 39 40 41
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL5 162

PUSKESMAS
BULAN / TAHUN
Deteksi Risiko/
Komplikasi
Non Nakes
NO DESA / KELURAHAN
Nakes
1 2 42 43
1 CADASARI 0 0
2 CIINJUK 0 0
3 CIKENTRUNG 0 0
4 KADUELA 0 0
5 KADUENGANG 0 0
6 KAUNGCAANG 0 0
7 KORANJI 0 0
8 KURUNGDAHU 0 0
9 PASIRPEUTEUY 0 0
10 TANAGARA 0 0
11 TAPOS 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
JUMLAH DESA 1 0 0
425299463.xlsx BUMIL5 163

PUSKESMAS
BULAN / TAHUN
Perdarahan
Perdarahan
NO DESA / KELURAHAN
Lain-lain
Lain-lain
Abortus
Abortus
Infeksi
Infeksi
HDK
HDK
KPD
KPD
1 2 44 45 46 47 48 49 50 51 52 53 54 55
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL5 164

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Puskesmas
Meninggal
Meninggal
RSIA/ RSB
NO DESA / KELURAHAN
Lain-lain
Hidup
Hidup
RB
RS
1 2 56 57 58 59 60 61 62 63 64
1 CADASARI 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL5 165

PUSKESMAS CIBITUNG
K-1 Hemoglobin KEK
KepemilikanBuku
Jumlah
Jumlah Bumil K-
Diperiksa LILA
Stiker P4K
KIA
Buku KIA
Diperiksa
Anemia
KEK
bulan ini
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL6 166

PUSKESMAS
BULAN / TAHUN
TT PMTCT
Status TT
> 140 mg/dl (+)
Injeksi TT
Diperiksa
Diperiksa
NO DESA / KELURAHAN
VCT
+ Fe 1 Fe3 T0 T1 T2 T3 T4 T5
1 2 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL6 167

PUSKESMAS
BULAN / TAHUN
Lab Lab Lab Lab
ARV Profilaksis
Diberikan Obat
Diberikan Obat
Diberikan Obat
Berinsektisida
Kelambu
Serologis +
Diperiksa
Diperiksa
Diperiksa
Malaria +
NO DESA / KELURAHAN
Sphilis +
Diperiksa
Sputum
BTA +
1 2 29 30 31 32 33 34 35 36 37 38 39 40 41
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL6 168

PUSKESMAS
BULAN / TAHUN
Deteksi Risiko/
Komplikasi
Non Nakes
NO DESA / KELURAHAN
Nakes
1 2 42 43
1 CADASARI 0 0
2 CIINJUK 0 0
3 CIKENTRUNG 0 0
4 KADUELA 0 0
5 KADUENGANG 0 0
6 KAUNGCAANG 0 0
7 KORANJI 0 0
8 KURUNGDAHU 0 0
9 PASIRPEUTEUY 0 0
10 TANAGARA 0 0
11 TAPOS 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
JUMLAH DESA 1 0 0
425299463.xlsx BUMIL6 169

PUSKESMAS
BULAN / TAHUN
Perdarahan
Perdarahan
NO DESA / KELURAHAN
Lain-lain
Lain-lain
Abortus
Abortus
Infeksi
Infeksi
HDK
HDK
KPD
KPD
1 2 44 45 46 47 48 49 50 51 52 53 54 55
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL6 170

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Puskesmas
Meninggal
Meninggal
RSIA/ RSB
NO DESA / KELURAHAN
Lain-lain
Hidup
Hidup
RB
RS
1 2 56 57 58 59 60 61 62 63 64
1 CADASARI 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL6 171

PUSKESMAS CIBITUNG
K-1 Hemoglobin KEK
KepemilikanBuku
Jumlah
Jumlah Bumil K-
Diperiksa LILA
Stiker P4K
KIA
Buku KIA
Diperiksa
Anemia
KEK
bulan ini
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL7 172

PUSKESMAS
BULAN / TAHUN
TT PMTCT
Status TT
> 140 mg/dl (+)
Injeksi TT
Diperiksa
Diperiksa
NO DESA / KELURAHAN
VCT
+ Fe 1 Fe3 T0 T1 T2 T3 T4 T5
1 2 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL7 173

PUSKESMAS
BULAN / TAHUN
Lab Lab Lab Lab
ARV Profilaksis
Diberikan Obat
Diberikan Obat
Diberikan Obat
Berinsektisida
Kelambu
Serologis +
Diperiksa
Diperiksa
Diperiksa
Malaria +
NO DESA / KELURAHAN
Sphilis +
Diperiksa
Sputum
BTA +
1 2 29 30 31 32 33 34 35 36 37 38 39 40 41
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL7 174

PUSKESMAS
BULAN / TAHUN
Deteksi Risiko/
Komplikasi
Non Nakes
NO DESA / KELURAHAN
Nakes
1 2 42 43
1 CADASARI 0 0
2 CIINJUK 0 0
3 CIKENTRUNG 0 0
4 KADUELA 0 0
5 KADUENGANG 0 0
6 KAUNGCAANG 0 0
7 KORANJI 0 0
8 KURUNGDAHU 0 0
9 PASIRPEUTEUY 0 0
10 TANAGARA 0 0
11 TAPOS 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
JUMLAH DESA 1 0 0
425299463.xlsx BUMIL7 175

PUSKESMAS
BULAN / TAHUN
Perdarahan
Perdarahan
NO DESA / KELURAHAN
Lain-lain
Lain-lain
Abortus
Abortus
Infeksi
Infeksi
HDK
HDK
KPD
KPD
1 2 44 45 46 47 48 49 50 51 52 53 54 55
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL7 176

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Puskesmas
Meninggal
Meninggal
RSIA/ RSB
NO DESA / KELURAHAN
Lain-lain
Hidup
Hidup
RB
RS
1 2 56 57 58 59 60 61 62 63 64
1 CADASARI 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL7 177

PUSKESMAS CIBITUNG
K-1 Hemoglobin KEK
KepemilikanBuku
Jumlah
Jumlah Bumil K-
Diperiksa LILA
Stiker P4K
KIA
Buku KIA
Diperiksa
Anemia
KEK
bulan ini
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL8 178

PUSKESMAS
BULAN / TAHUN
TT PMTCT
Status TT
> 140 mg/dl (+)
Injeksi TT
Diperiksa
Diperiksa
NO DESA / KELURAHAN
VCT
+ Fe 1 Fe3 T0 T1 T2 T3 T4 T5
1 2 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL8 179

PUSKESMAS
BULAN / TAHUN
Lab Lab Lab Lab
ARV Profilaksis
Diberikan Obat
Diberikan Obat
Diberikan Obat
Berinsektisida
Kelambu
Serologis +
Diperiksa
Diperiksa
Diperiksa
Malaria +
NO DESA / KELURAHAN
Sphilis +
Diperiksa
Sputum
BTA +
1 2 29 30 31 32 33 34 35 36 37 38 39 40 41
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL8 180

PUSKESMAS
BULAN / TAHUN
Deteksi Risiko/
Komplikasi
Non Nakes
NO DESA / KELURAHAN
Nakes
1 2 42 43
1 CADASARI 0 0
2 CIINJUK 0 0
3 CIKENTRUNG 0 0
4 KADUELA 0 0
5 KADUENGANG 0 0
6 KAUNGCAANG 0 0
7 KORANJI 0 0
8 KURUNGDAHU 0 0
9 PASIRPEUTEUY 0 0
10 TANAGARA 0 0
11 TAPOS 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
JUMLAH DESA 1 0 0
425299463.xlsx BUMIL8 181

PUSKESMAS
BULAN / TAHUN
Fasilitas
Perdarahan
Perdarahan
Puskesmas
NO DESA / KELURAHAN
Lain-lain
Lain-lain
Abortus
Abortus
Infeksi
Infeksi
HDK
HDK
KPD
KPD
1 2 44 45 46 47 48 49 50 51 52 53 54 55 56
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL8 182

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Keadaan
Fasilitas Kesehatan KeadaanTiba
Pulang
Meninggal
Meninggal
RSIA/ RSB
NO DESA / KELURAHAN
Lain-lain
Hidup
Hidup
RB
RS
1 2 57 58 59 60 61 62 63 64
1 CADASARI 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL8 183

PUSKESMAS CIBITUNG
K-1 Hemoglobin KEK
KepemilikanBuku
Jumlah
Jumlah Bumil K-
Diperiksa LILA
Stiker P4K
KIA
Buku KIA
Diperiksa
Anemia
KEK
bulan ini
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL9 184

PUSKESMAS
BULAN / TAHUN
TT PMTCT
Status TT
> 140 mg/dl (+)
Injeksi TT
Diperiksa
Diperiksa
NO DESA / KELURAHAN
VCT
+ Fe 1 Fe3 T0 T1 T2 T3 T4 T5
1 2 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL9 185

PUSKESMAS
BULAN / TAHUN
Lab Lab Lab Lab
ARV Profilaksis
Diberikan Obat
Diberikan Obat
Diberikan Obat
Berinsektisida
Kelambu
Serologis +
Diperiksa
Diperiksa
Diperiksa
Malaria +
NO DESA / KELURAHAN
Sphilis +
Diperiksa
Sputum
BTA +
1 2 29 30 31 32 33 34 35 36 37 38 39 40 41
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL9 186

PUSKESMAS
BULAN / TAHUN
Deteksi Risiko/
Komplikasi
Non Nakes
NO DESA / KELURAHAN
Nakes
1 2 42 43
1 CADASARI 0 0
2 CIINJUK 0 0
3 CIKENTRUNG 0 0
4 KADUELA 0 0
5 KADUENGANG 0 0
6 KAUNGCAANG 0 0
7 KORANJI 0 0
8 KURUNGDAHU 0 0
9 PASIRPEUTEUY 0 0
10 TANAGARA 0 0
11 TAPOS 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
JUMLAH DESA 1 0 0
425299463.xlsx BUMIL9 187

PUSKESMAS
BULAN / TAHUN
Perdarahan
Perdarahan
NO DESA / KELURAHAN
Lain-lain
Lain-lain
Abortus
Abortus
Infeksi
Infeksi
HDK
HDK
KPD
KPD
1 2 44 45 46 47 48 49 50 51 52 53 54 55
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL9 188

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Puskesmas
Meninggal
Meninggal
RSIA/ RSB
NO DESA / KELURAHAN
Lain-lain
Hidup
Hidup
RB
RS
1 2 56 57 58 59 60 61 62 63 64
1 CADASARI 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL9 189

PUSKESMAS CIBITUNG
K-1 Hemoglobin KEK
KepemilikanBuku
Jumlah
Jumlah Bumil K-
Diperiksa LILA
Stiker P4K
KIA
Buku KIA
Diperiksa
Anemia
KEK
bulan ini
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL10 190

PUSKESMAS
BULAN / TAHUN
TT PMTCT
Status TT
> 140 mg/dl (+)
Injeksi TT
Diperiksa
Diperiksa
NO DESA / KELURAHAN
VCT
+ Fe 1 Fe3 T0 T1 T2 T3 T4 T5
1 2 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL10 191

PUSKESMAS
BULAN / TAHUN
Lab Lab Lab Lab
ARV Profilaksis
Diberikan Obat
Diberikan Obat
Diberikan Obat
Berinsektisida
Kelambu
Serologis +
Diperiksa
Diperiksa
Diperiksa
Malaria +
NO DESA / KELURAHAN
Sphilis +
Diperiksa
Sputum
BTA +
1 2 29 30 31 32 33 34 35 36 37 38 39 40 41
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL10 192

PUSKESMAS
BULAN / TAHUN
Deteksi Risiko/
Komplikasi
Non Nakes
NO DESA / KELURAHAN
Nakes
1 2 42 43
1 CADASARI 0 0
2 CIINJUK 0 0
3 CIKENTRUNG 0 0
4 KADUELA 0 0
5 KADUENGANG 0 0
6 KAUNGCAANG 0 0
7 KORANJI 0 0
8 KURUNGDAHU 0 0
9 PASIRPEUTEUY 0 0
10 TANAGARA 0 0
11 TAPOS 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
JUMLAH DESA 1 0 0
425299463.xlsx BUMIL10 193

PUSKESMAS
BULAN / TAHUN
Perdarahan
Perdarahan
NO DESA / KELURAHAN
Lain-lain
Lain-lain
Abortus
Abortus
Infeksi
Infeksi
HDK
HDK
KPD
KPD
1 2 44 45 46 47 48 49 50 51 52 53 54 55
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL10 194

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Puskesmas
Meninggal
Meninggal
RSIA/ RSB
NO DESA / KELURAHAN
Lain-lain
Hidup
Hidup
RB
RS
1 2 56 57 58 59 60 61 62 63 64
1 CADASARI 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL10 195

PUSKESMAS CIBITUNG
K-1 Hemoglobin KEK
KepemilikanBuku
Jumlah
Jumlah Bumil K-
Diperiksa LILA
Stiker P4K
KIA
Buku KIA
Diperiksa
Anemia
KEK
bulan ini
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL11 196

PUSKESMAS
BULAN / TAHUN
TT PMTCT
Status TT
> 140 mg/dl (+)
Injeksi TT
Diperiksa
Diperiksa
NO DESA / KELURAHAN
VCT
+ Fe 1 Fe3 T0 T1 T2 T3 T4 T5
1 2 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL11 197

PUSKESMAS
BULAN / TAHUN
Lab Lab Lab Lab
ARV Profilaksis
Diberikan Obat
Diberikan Obat
Diberikan Obat
Berinsektisida
Kelambu
Serologis +
Diperiksa
Diperiksa
Diperiksa
Malaria +
NO DESA / KELURAHAN
Sphilis +
Diperiksa
Sputum
BTA +
1 2 29 30 31 32 33 34 35 36 37 38 39 40 41
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL11 198

PUSKESMAS
BULAN / TAHUN
Deteksi Risiko/
Komplikasi
Non Nakes
NO DESA / KELURAHAN
Nakes
1 2 42 43
1 CADASARI 0 0
2 CIINJUK 0 0
3 CIKENTRUNG 0 0
4 KADUELA 0 0
5 KADUENGANG 0 0
6 KAUNGCAANG 0 0
7 KORANJI 0 0
8 KURUNGDAHU 0 0
9 PASIRPEUTEUY 0 0
10 TANAGARA 0 0
11 TAPOS 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
JUMLAH DESA 1 0 0
425299463.xlsx BUMIL11 199

PUSKESMAS
BULAN / TAHUN
Perdarahan
Perdarahan
NO DESA / KELURAHAN
Lain-lain
Lain-lain
Abortus
Abortus
Infeksi
Infeksi
HDK
HDK
KPD
KPD
1 2 44 45 46 47 48 49 50 51 52 53 54 55
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL11 200

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Puskesmas
Meninggal
Meninggal
RSIA/ RSB
NO DESA / KELURAHAN
Lain-lain
Hidup
Hidup
RB
RS
1 2 56 57 58 59 60 61 62 63 64
1 CADASARI 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL11 201

PUSKESMAS CIBITUNG
K-1 Hemoglobin KEK
KepemilikanBuku
Jumlah
Jumlah Bumil K-
Diperiksa LILA
Stiker P4K
KIA
Buku KIA
Diperiksa
Anemia
KEK
bulan ini
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL12 202

PUSKESMAS
BULAN / TAHUN
TT PMTCT
Status TT
> 140 mg/dl (+)
Injeksi TT
Diperiksa
Diperiksa
NO DESA / KELURAHAN
VCT
+ Fe 1 Fe3 T0 T1 T2 T3 T4 T5
1 2 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL12 203

PUSKESMAS
BULAN / TAHUN
Lab Lab Lab Lab
ARV Profilaksis
Diberikan Obat
Diberikan Obat
Diberikan Obat
Berinsektisida
Kelambu
Serologis +
Diperiksa
Diperiksa
Diperiksa
Malaria +
NO DESA / KELURAHAN
Sphilis +
Diperiksa
Sputum
BTA +
1 2 29 30 31 32 33 34 35 36 37 38 39 40 41
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL12 204

PUSKESMAS
BULAN / TAHUN
Deteksi Risiko/
Komplikasi
Non Nakes
NO DESA / KELURAHAN
Nakes
1 2 42 43
1 CADASARI 0 0
2 CIINJUK 0 0
3 CIKENTRUNG 0 0
4 KADUELA 0 0
5 KADUENGANG 0 0
6 KAUNGCAANG 0 0
7 KORANJI 0 0
8 KURUNGDAHU 0 0
9 PASIRPEUTEUY 0 0
10 TANAGARA 0 0
11 TAPOS 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
JUMLAH DESA 1 0 0
425299463.xlsx BUMIL12 205

PUSKESMAS
BULAN / TAHUN
Perdarahan
Perdarahan
NO DESA / KELURAHAN
Lain-lain
Lain-lain
Abortus
Abortus
Infeksi
Infeksi
HDK
HDK
KPD
KPD
1 2 44 45 46 47 48 49 50 51 52 53 54 55
1 CADASARI 0 0 0 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL12 206

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Puskesmas
Meninggal
Meninggal
RSIA/ RSB
NO DESA / KELURAHAN
Lain-lain
Hidup
Hidup
RB
RS
1 2 56 57 58 59 60 61 62 63 64
1 CADASARI 0 0 0 0 0 0 0 0 0
2 CIINJUK 0 0 0 0 0 0 0 0 0
3 CIKENTRUNG 0 0 0 0 0 0 0 0 0
4 KADUELA 0 0 0 0 0 0 0 0 0
5 KADUENGANG 0 0 0 0 0 0 0 0 0
6 KAUNGCAANG 0 0 0 0 0 0 0 0 0
7 KORANJI 0 0 0 0 0 0 0 0 0
8 KURUNGDAHU 0 0 0 0 0 0 0 0 0
9 PASIRPEUTEUY 0 0 0 0 0 0 0 0 0
10 TANAGARA 0 0 0 0 0 0 0 0 0
11 TAPOS 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
JUMLAH DESA 1 0 0 0 0 0 0 0 0 0
425299463.xlsx BUMIL12 207

: REKAPITULASI HASIL PELAYANAN KIA
PUSKESMAS CIBITUNG
Cara Persalinan Presentasi
Jumlah
Jumlah
Belakang kepala
Ekstraksi Vakum
Seksio Sesarea
Bulin(< 19 Pn
Puncak kepala
NO POSYANDU Bulin
th)Bulan (Linakes)
Ekstraksi
Forseps
Bulan ini
Normal
ini
Dahi
1 2 3 4 5 6 7 8 9 10 11 12
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN1 208

PUSKESMAS
BULAN / TAHUN
Tempat
Presentasi Penolong
Persalinan
Non Fasilitas
NO POSYANDU
Lain-lain
Perawat
Fasilitas
Bokong
Lintang
Dokter
Dukun
SpOG
Bidan
Muka
Kaki
1 2 13 14 15 16 17 18 19 20 21 22 23 24
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
0
0
425299463.xlsx BULIN1 209

PUSKESMAS
BULAN / TAHUN
Pelayanan Keadaan
Usia Kehamilan Manajemen AktifKala III
IMD Ibu
MenggunakanParto
Catat di Buku KIA

Pusat Terkendali
Injeksi Oksitosin
Peregangan Tali
Masase Fundus
NO POSYANDU
< 36 minggu
> 36 minggu
Meninggal
< 1 jam
> 1 jam
graf
Hidup
Uteri
1 2 25 26 27 28 29 30 31 32 33 35 36
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN1 210

PUSKESMAS
BULAN / TAHUN
Keadaan Integrasi Program
Komplikasi
Bayi PMTCT Malaria TB
ARV Profilaksis
Berinsektisida
NO POSYANDU
Anti malaria
Meninggal
Malaria +
Kelambu
Distosia
Anti TB
Hidup
HIV +
TB +
HDK
PPP
1 2 37 38 39 40 41 42 43 44 45 46 47 48
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN1 211

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Komplikasi Penanganan Komplikasi Keadaan
Fasilitas Kesehatan
Tiba
NO POSYANDU
Puskesmas
R. Bersalin
RSIA/RSB
Meninggal
Lain-lain
Lain-lain
Lain-lain
Distosia
Infeksi
Infeksi
Hidup
HDK
PPP
RS
1 2 49 50 46 47 48 49 50 51 52 53 54 55 56 57
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN1 212

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan Kemitraan
Keadaan Bidan
Pulang -Dukun
NO POSYANDU
Meninggal
Bermitra
Dukun
Hidup
1 2 58 59 60 61
1 BANJARMASIN 0 0 0 0
2 CARITA 0 0 0 0
3 CINOYONG 0 0 0 0
4 KAWOYANG 0 0 0 0
5 PEJAMBEN 0 0 0 0
6 SINDANGLAUT 0 0 0 0
7 SUKAJADI 0 0 0 0
8 SUKANAGARA 0 0 0 0
9 SUKARAME 0 0 0 0
10 TEMBONG 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
JUMLAH 0 0 0 0
425299463.xlsx BULIN1 213

PUSKESMAS CIBITUNG
Jumlah
Jumlah
Belakang kepala
Ekstraksi Vakum
Seksio Sesarea
Bulin(< 19 Pn
Puncak kepala
NO POSYANDU Bulin
th)Bulan (Linakes)
Ekstraksi
Forseps
Bulan ini
Normal
ini
Dahi
1 2 3 4 5 6 7 8 9 10 11 12
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN2 214

PUSKESMAS
BULAN / TAHUN
Tempat
Presentasi Penolong
Persalinan
Non Fasilitas
NO POSYANDU
Lain-lain
Perawat
Fasilitas
Bokong
Lintang
Dokter
Dukun
SpOG
Bidan
Muka
Kaki
1 2 13 14 15 16 17 18 19 20 21 22 23 24
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN2 215

PUSKESMAS
BULAN / TAHUN
Pelayanan Keadaan
IMD Ibu
MenggunakanParto
Catat di Buku KIA

Pusat Terkendali
Injeksi Oksitosin
Peregangan Tali
Masase Fundus
NO POSYANDU
< 36 minggu
> 36 minggu
Meninggal
< 1 jam
> 1 jam
graf
Hidup
Uteri
1 2 25 26 27 28 29 30 31 32 33 35 36
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN2 216

PUSKESMAS
BULAN / TAHUN
Komplikasi
ARV Profilaksis
Berinsektisida
NO POSYANDU
Anti malaria
Meninggal
Malaria +
Kelambu
Distosia
Anti TB
Hidup
HIV +
TB +
HDK
PPP
1 2 37 38 39 40 41 42 43 44 45 46 47 48
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN2 217

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Fasilitas Kesehatan
Tiba
NO POSYANDU
Puskesmas
R. Bersalin
RSIA/RSB
Meninggal
Lain-lain
Lain-lain
Lain-lain
Distosia
Infeksi
Infeksi
Hidup
HDK
PPP
RS
1 2 49 50 46 47 48 49 50 51 52 53 54 55 56 57
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN2 218

PUSKESMAS
BULAN / TAHUN
Keadaan Bidan
Pulang -Dukun
NO POSYANDU
Meninggal
Bermitra
Dukun
Hidup
1 2 58 59 60 61
2 CARITA 0 0 0 0
3 CINOYONG 0 0 0 0
4 KAWOYANG 0 0 0 0
5 PEJAMBEN 0 0 0 0
7 SUKAJADI 0 0 0 0
9 SUKARAME 0 0 0 0
10 TEMBONG 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
JUMLAH 0 0 0 0
425299463.xlsx BULIN2 219

PUSKESMAS CIBITUNG
Jumlah
Jumlah
Belakang kepala
Ekstraksi Vakum
Seksio Sesarea
Bulin(< 19 Pn
Puncak kepala
NO POSYANDU Bulin
th)Bulan (Linakes)
Ekstraksi
Forseps
Bulan ini
Normal
ini
Dahi
1 2 3 4 5 6 7 8 9 10 11 12
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN3 220

PUSKESMAS
BULAN / TAHUN
Tempat
Presentasi Penolong
Persalinan
Non Fasilitas
NO POSYANDU
Lain-lain
Perawat
Fasilitas
Bokong
Lintang
Dokter
Dukun
SpOG
Bidan
Muka
Kaki
1 2 13 14 15 16 17 18 19 20 21 22 23 24
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN3 221

PUSKESMAS
BULAN / TAHUN
Pelayanan Keadaan
IMD Ibu
MenggunakanParto
Catat di Buku KIA

Pusat Terkendali
Injeksi Oksitosin
Peregangan Tali
Masase Fundus
NO POSYANDU
< 36 minggu
> 36 minggu
Meninggal
< 1 jam
> 1 jam
graf
Hidup
Uteri
1 2 25 26 27 28 29 30 31 32 33 35 36
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN3 222

PUSKESMAS
BULAN / TAHUN
Komplikasi
ARV Profilaksis
Berinsektisida
NO POSYANDU
Anti malaria
Meninggal
Malaria +
Kelambu
Distosia
Anti TB
Hidup
HIV +
TB +
HDK
PPP
1 2 37 38 39 40 41 42 43 44 45 46 47 48
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN3 223

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Fasilitas Kesehatan
Tiba
NO POSYANDU
Puskesmas
R. Bersalin
RSIA/RSB
Meninggal
Lain-lain
Lain-lain
Lain-lain
Distosia
Infeksi
Infeksi
Hidup
HDK
PPP
RS
1 2 49 50 46 47 48 49 50 51 52 53 54 55 56 57
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN3 224

PUSKESMAS
BULAN / TAHUN
Keadaan Bidan
Pulang -Dukun
NO POSYANDU
Meninggal
Bermitra
Dukun
Hidup
1 2 58 59 60 61
2 CARITA 0 0 0 0
3 CINOYONG 0 0 0 0
4 KAWOYANG 0 0 0 0
5 PEJAMBEN 0 0 0 0
7 SUKAJADI 0 0 0 0
9 SUKARAME 0 0 0 0
10 TEMBONG 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
JUMLAH 0 0 0 0
425299463.xlsx BULIN3 225

PUSKESMAS CIBITUNG
Jumlah
Jumlah
Belakang kepala
Ekstraksi Vakum
Seksio Sesarea
Bulin(< 19 Pn
Puncak kepala
NO POSYANDU Bulin
th)Bulan (Linakes)
Ekstraksi
Forseps
Bulan ini
Normal
ini
Dahi
1 2 3 4 5 6 7 8 9 10 11 12
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN4 226

PUSKESMAS
BULAN / TAHUN
Tempat
Presentasi Penolong
Persalinan
Non Fasilitas
NO POSYANDU
Lain-lain
Perawat
Fasilitas
Bokong
Lintang
Dokter
Dukun
SpOG
Bidan
Muka
Kaki
1 2 13 14 15 16 17 18 19 20 21 22 23 24
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN4 227

PUSKESMAS
BULAN / TAHUN
Pelayanan Keadaan
IMD Ibu
MenggunakanParto
Catat di Buku KIA

Pusat Terkendali
Injeksi Oksitosin
Peregangan Tali
Masase Fundus
NO POSYANDU
< 36 minggu
> 36 minggu
Meninggal
< 1 jam
> 1 jam
graf
Hidup
Uteri
1 2 25 26 27 28 29 30 31 32 33 35 36
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN4 228

PUSKESMAS
BULAN / TAHUN
Komplikasi
ARV Profilaksis
Berinsektisida
NO POSYANDU
Anti malaria
Meninggal
Malaria +
Kelambu
Distosia
Anti TB
Hidup
HIV +
TB +
HDK
PPP
1 2 37 38 39 40 41 42 43 44 45 46 47 48
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN4 229

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Fasilitas Kesehatan
Tiba
NO POSYANDU
Puskesmas
R. Bersalin
RSIA/RSB
Meninggal
Lain-lain
Lain-lain
Lain-lain
Distosia
Infeksi
Infeksi
Hidup
HDK
PPP
RS
1 2 49 50 46 47 48 49 50 51 52 53 54 55 56 57
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN4 230

PUSKESMAS
BULAN / TAHUN
Keadaan Bidan
Pulang -Dukun
NO POSYANDU
Meninggal
Bermitra
Dukun
Hidup
1 2 58 59 60 61
2 CARITA 0 0 0 0
3 CINOYONG 0 0 0 0
4 KAWOYANG 0 0 0 0
5 PEJAMBEN 0 0 0 0
7 SUKAJADI 0 0 0 0
9 SUKARAME 0 0 0 0
10 TEMBONG 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
JUMLAH 0 0 0 0
425299463.xlsx BULIN4 231

PUSKESMAS CIBITUNG
Jumlah
Jumlah
Belakang kepala
Ekstraksi Vakum
Seksio Sesarea
Bulin(< 19 Pn
Puncak kepala
NO POSYANDU Bulin
th)Bulan (Linakes)
Ekstraksi
Forseps
Bulan ini
Normal
ini
Dahi
1 2 3 4 5 6 7 8 9 10 11 12
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN5 232

PUSKESMAS
BULAN / TAHUN
Tempat
Presentasi Penolong
Persalinan
Non Fasilitas
NO POSYANDU
Lain-lain
Perawat
Fasilitas
Bokong
Lintang
Dokter
Dukun
SpOG
Bidan
Muka
Kaki
1 2 13 14 15 16 17 18 19 20 21 22 23 24
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN5 233

PUSKESMAS
BULAN / TAHUN
Pelayanan Keadaan
IMD Ibu
MenggunakanParto
Catat di Buku KIA

Pusat Terkendali
Injeksi Oksitosin
Peregangan Tali
Masase Fundus
NO POSYANDU
< 36 minggu
> 36 minggu
Meninggal
< 1 jam
> 1 jam
graf
Hidup
Uteri
1 2 25 26 27 28 29 30 31 32 33 35 36
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN5 234

PUSKESMAS
BULAN / TAHUN
Komplikasi
ARV Profilaksis
Berinsektisida
NO POSYANDU
Anti malaria
Meninggal
Malaria +
Kelambu
Distosia
Anti TB
Hidup
HIV +
TB +
HDK
PPP
1 2 37 38 39 40 41 42 43 44 45 46 47 48
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN5 235

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Fasilitas Kesehatan
Tiba
NO POSYANDU
Puskesmas
R. Bersalin
RSIA/RSB
Meninggal
Lain-lain
Lain-lain
Lain-lain
Distosia
Infeksi
Infeksi
Hidup
HDK
PPP
RS
1 2 49 50 46 47 48 49 50 51 52 53 54 55 56 57
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN5 236

PUSKESMAS
BULAN / TAHUN
Keadaan Bidan
Pulang -Dukun
NO POSYANDU
Meninggal
Bermitra
Dukun
Hidup
1 2 58 59 60 61
2 CARITA 0 0 0 0
3 CINOYONG 0 0 0 0
4 KAWOYANG 0 0 0 0
5 PEJAMBEN 0 0 0 0
7 SUKAJADI 0 0 0 0
9 SUKARAME 0 0 0 0
10 TEMBONG 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
JUMLAH 0 0 0 0
425299463.xlsx BULIN5 237

PUSKESMAS CIBITUNG
Jumlah
Jumlah
Belakang kepala
Ekstraksi Vakum
Seksio Sesarea
Bulin(< 19 Pn
Puncak kepala
NO POSYANDU Bulin
th)Bulan (Linakes)
Ekstraksi
Forseps
Bulan ini
Normal
ini
Dahi
1 2 3 4 5 6 7 8 9 10 11 12
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN6 238

PUSKESMAS
BULAN / TAHUN
Tempat
Presentasi Penolong
Persalinan
Non Fasilitas
NO POSYANDU
Lain-lain
Perawat
Fasilitas
Bokong
Lintang
Dokter
Dukun
SpOG
Bidan
Muka
Kaki
1 2 13 14 15 16 17 18 19 20 21 22 23 24
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN6 239

PUSKESMAS
BULAN / TAHUN
Pelayanan Keadaan
IMD Ibu
MenggunakanParto
Catat di Buku KIA

Pusat Terkendali
Injeksi Oksitosin
Peregangan Tali
Masase Fundus
NO POSYANDU
< 36 minggu
> 36 minggu
Meninggal
< 1 jam
> 1 jam
graf
Hidup
Uteri
1 2 25 26 27 28 29 30 31 32 33 35 36
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN6 240

PUSKESMAS
BULAN / TAHUN
Komplikasi
ARV Profilaksis
Berinsektisida
NO POSYANDU
Anti malaria
Meninggal
Malaria +
Kelambu
Distosia
Anti TB
Hidup
HIV +
TB +
HDK
PPP
1 2 37 38 39 40 41 42 43 44 45 46 47 48
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN6 241

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Fasilitas Kesehatan
Tiba
NO POSYANDU
Puskesmas
R. Bersalin
RSIA/RSB
Meninggal
Lain-lain
Lain-lain
Lain-lain
Distosia
Infeksi
Infeksi
Hidup
HDK
PPP
RS
1 2 49 50 46 47 48 49 50 51 52 53 54 55 56 57
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN6 242

PUSKESMAS
BULAN / TAHUN
Keadaan Bidan
Pulang -Dukun
NO POSYANDU
Meninggal
Bermitra
Dukun
Hidup
1 2 58 59 60 61
2 CARITA 0 0 0 0
3 CINOYONG 0 0 0 0
4 KAWOYANG 0 0 0 0
5 PEJAMBEN 0 0 0 0
7 SUKAJADI 0 0 0 0
9 SUKARAME 0 0 0 0
10 TEMBONG 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
JUMLAH 0 0 0 0
425299463.xlsx BULIN6 243

PUSKESMAS CIBITUNG
Jumlah
Jumlah
Belakang kepala
Ekstraksi Vakum
Seksio Sesarea
Bulin(< 19 Pn
Puncak kepala
NO POSYANDU Bulin
th)Bulan (Linakes)
Ekstraksi
Forseps
Bulan ini
Normal
ini
Dahi
1 2 3 4 5 6 7 8 9 10 11 12
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN7 244

PUSKESMAS
BULAN / TAHUN
Tempat
Presentasi Penolong
Persalinan
Non Fasilitas
NO POSYANDU
Lain-lain
Perawat
Fasilitas
Bokong
Lintang
Dokter
Dukun
SpOG
Bidan
Muka
Kaki
1 2 13 14 15 16 17 18 19 20 21 22 23 24
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN7 245

PUSKESMAS
BULAN / TAHUN
Pelayanan Keadaan
IMD Ibu
MenggunakanParto
Catat di Buku KIA

Pusat Terkendali
Injeksi Oksitosin
Peregangan Tali
Masase Fundus
NO POSYANDU
< 36 minggu
> 36 minggu
Meninggal
< 1 jam
> 1 jam
graf
Hidup
Uteri
1 2 25 26 27 28 29 30 31 32 33 35 36
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN7 246

PUSKESMAS
BULAN / TAHUN
Komplikasi
ARV Profilaksis
Berinsektisida
NO POSYANDU
Anti malaria
Meninggal
Malaria +
Kelambu
Distosia
Anti TB
Hidup
HIV +
TB +
HDK
PPP
1 2 37 38 39 40 41 42 43 44 45 46 47 48
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN7 247

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Fasilitas Kesehatan
Tiba
NO POSYANDU
Puskesmas
R. Bersalin
RSIA/RSB
Meninggal
Lain-lain
Lain-lain
Lain-lain
Distosia
Infeksi
Infeksi
Hidup
HDK
PPP
RS
1 2 49 50 46 47 48 49 50 51 52 53 54 55 56 57
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN7 248

PUSKESMAS
BULAN / TAHUN
Keadaan Bidan
Pulang -Dukun
NO POSYANDU
Meninggal
Bermitra
Dukun
Hidup
1 2 58 59 60 61
2 CARITA 0 0 0 0
3 CINOYONG 0 0 0 0
4 KAWOYANG 0 0 0 0
5 PEJAMBEN 0 0 0 0
7 SUKAJADI 0 0 0 0
9 SUKARAME 0 0 0 0
10 TEMBONG 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
JUMLAH 0 0 0 0
425299463.xlsx BULIN7 249

PUSKESMAS CIBITUNG
Jumlah
Jumlah
Belakang kepala
Ekstraksi Vakum
Seksio Sesarea
Bulin(< 19 Pn
Puncak kepala
NO POSYANDU Bulin
th)Bulan (Linakes)
Ekstraksi
Forseps
Bulan ini
Normal
ini
Dahi
1 2 3 4 5 6 7 8 9 10 11 12
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN8 250

PUSKESMAS
BULAN / TAHUN
Tempat
Presentasi Penolong
Persalinan
Non Fasilitas
NO POSYANDU
Lain-lain
Perawat
Fasilitas
Bokong
Lintang
Dokter
Dukun
SpOG
Bidan
Muka
Kaki
1 2 13 14 15 16 17 18 19 20 21 22 23 24
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN8 251

PUSKESMAS
BULAN / TAHUN
Pelayanan Keadaan
IMD Ibu
MenggunakanParto
Catat di Buku KIA

Pusat Terkendali
Injeksi Oksitosin
Peregangan Tali
Masase Fundus
NO POSYANDU
< 36 minggu
> 36 minggu
Meninggal
< 1 jam
> 1 jam
graf
Hidup
Uteri
1 2 25 26 27 28 29 30 31 32 33 35 36
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN8 252

PUSKESMAS
BULAN / TAHUN
Komplikasi
ARV Profilaksis
Berinsektisida
NO POSYANDU
Anti malaria
Meninggal
Malaria +
Kelambu
Distosia
Anti TB
Hidup
HIV +
TB +
HDK
PPP
1 2 37 38 39 40 41 42 43 44 45 46 47 48
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN8 253

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Fasilitas Kesehatan
Tiba
NO POSYANDU
Puskesmas
R. Bersalin
RSIA/RSB
Meninggal
Lain-lain
Lain-lain
Lain-lain
Distosia
Infeksi
Infeksi
Hidup
HDK
PPP
RS
1 2 49 50 46 47 48 49 50 51 52 53 54 55 56 57
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN8 254

PUSKESMAS
BULAN / TAHUN
Keadaan Bidan
Pulang -Dukun
NO POSYANDU
Meninggal
Bermitra
Dukun
Hidup
1 2 58 59 60 61
2 CARITA 0 0 0 0
3 CINOYONG 0 0 0 0
4 KAWOYANG 0 0 0 0
5 PEJAMBEN 0 0 0 0
7 SUKAJADI 0 0 0 0
9 SUKARAME 0 0 0 0
10 TEMBONG 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
JUMLAH 0 0 0 0
425299463.xlsx BULIN8 255

PUSKESMAS CIBITUNG
Jumlah
Jumlah
Belakang kepala
Ekstraksi Vakum
Seksio Sesarea
Bulin(< 19 Pn
Puncak kepala
NO POSYANDU Bulin
th)Bulan (Linakes)
Ekstraksi
Forseps
Bulan ini
Normal
ini
Dahi
1 2 3 4 5 6 7 8 9 10 11 12
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN9 256

PUSKESMAS
BULAN / TAHUN
Tempat
Presentasi Penolong
Persalinan
Non Fasilitas
NO POSYANDU
Lain-lain
Perawat
Fasilitas
Bokong
Lintang
Dokter
Dukun
SpOG
Bidan
Muka
Kaki
1 2 13 14 15 16 17 18 19 20 21 22 23 24
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN9 257

PUSKESMAS
BULAN / TAHUN
Pelayanan Keadaan
IMD Ibu
MenggunakanParto
Catat di Buku KIA

Pusat Terkendali
Injeksi Oksitosin
Peregangan Tali
Masase Fundus
NO POSYANDU
< 36 minggu
> 36 minggu
Meninggal
< 1 jam
> 1 jam
graf
Hidup
Uteri
1 2 25 26 27 28 29 30 31 32 33 35 36
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN9 258

PUSKESMAS
BULAN / TAHUN
Komplikasi
ARV Profilaksis
Berinsektisida
NO POSYANDU
Anti malaria
Meninggal
Malaria +
Kelambu
Distosia
Anti TB
Hidup
HIV +
TB +
HDK
PPP
1 2 37 38 39 40 41 42 43 44 45 46 47 48
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN9 259

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Fasilitas Kesehatan
Tiba
NO POSYANDU
Puskesmas
R. Bersalin
RSIA/RSB
Meninggal
Lain-lain
Lain-lain
Lain-lain
Distosia
Infeksi
Infeksi
Hidup
HDK
PPP
RS
1 2 49 50 46 47 48 49 50 51 52 53 54 55 56 57
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN9 260

PUSKESMAS
BULAN / TAHUN
Keadaan Bidan
Pulang -Dukun
NO POSYANDU
Meninggal
Bermitra
Dukun
Hidup
1 2 58 59 60 61
2 CARITA 0 0 0 0
3 CINOYONG 0 0 0 0
4 KAWOYANG 0 0 0 0
5 PEJAMBEN 0 0 0 0
7 SUKAJADI 0 0 0 0
9 SUKARAME 0 0 0 0
10 TEMBONG 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
JUMLAH 0 0 0 0
425299463.xlsx BULIN9 261

PUSKESMAS CIBITUNG
Jumlah
Jumlah
Belakang kepala
Ekstraksi Vakum
Seksio Sesarea
Bulin(< 19 Pn
Puncak kepala
NO POSYANDU Bulin
th)Bulan (Linakes)
Ekstraksi
Forseps
Bulan ini
Normal
ini
Dahi
1 2 3 4 5 6 7 8 9 10 11 12
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN10 262

PUSKESMAS
BULAN / TAHUN
Tempat
Presentasi Penolong
Persalinan
Non Fasilitas
NO POSYANDU
Lain-lain
Perawat
Fasilitas
Bokong
Lintang
Dokter
Dukun
SpOG
Bidan
Muka
Kaki
1 2 13 14 15 16 17 18 19 20 21 22 23 24
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN10 263

PUSKESMAS
BULAN / TAHUN
Pelayanan Keadaan
IMD Ibu
MenggunakanParto
Catat di Buku KIA

Pusat Terkendali
Injeksi Oksitosin
Peregangan Tali
Masase Fundus
NO POSYANDU
< 36 minggu
> 36 minggu
Meninggal
< 1 jam
> 1 jam
graf
Hidup
Uteri
1 2 25 26 27 28 29 30 31 32 33 35 36
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN10 264

PUSKESMAS
BULAN / TAHUN
Komplikasi
ARV Profilaksis
Berinsektisida
NO POSYANDU
Anti malaria
Meninggal
Malaria +
Kelambu
Distosia
Anti TB
Hidup
HIV +
TB +
HDK
PPP
1 2 37 38 39 40 41 42 43 44 45 46 47 48
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN10 265

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Fasilitas Kesehatan
Tiba
NO POSYANDU
Puskesmas
R. Bersalin
RSIA/RSB
Meninggal
Lain-lain
Lain-lain
Lain-lain
Distosia
Infeksi
Infeksi
Hidup
HDK
PPP
RS
1 2 49 50 46 47 48 49 50 51 52 53 54 55 56 57
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN10 266

PUSKESMAS
BULAN / TAHUN
Keadaan Bidan
Pulang -Dukun
NO POSYANDU
Meninggal
Bermitra
Dukun
Hidup
1 2 58 59 60 61
2 CARITA 0 0 0 0
3 CINOYONG 0 0 0 0
4 KAWOYANG 0 0 0 0
5 PEJAMBEN 0 0 0 0
7 SUKAJADI 0 0 0 0
9 SUKARAME 0 0 0 0
10 TEMBONG 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
JUMLAH 0 0 0 0
425299463.xlsx BULIN10 267

PUSKESMAS CIBITUNG
Jumlah
Jumlah
Belakang kepala
Ekstraksi Vakum
Seksio Sesarea
Bulin(< 19 Pn
Puncak kepala
NO POSYANDU Bulin
th)Bulan (Linakes)
Ekstraksi
Forseps
Bulan ini
Normal
ini
Dahi
1 2 3 4 5 6 7 8 9 10 11 12
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN11 268

PUSKESMAS
BULAN / TAHUN
Tempat
Presentasi Penolong
Persalinan
Non Fasilitas
NO POSYANDU
Lain-lain
Perawat
Fasilitas
Bokong
Lintang
Dokter
Dukun
SpOG
Bidan
Muka
Kaki
1 2 13 14 15 16 17 18 19 20 21 22 23 24
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN11 269

PUSKESMAS
BULAN / TAHUN
Pelayanan Keadaan
IMD Ibu
MenggunakanParto
Catat di Buku KIA

Pusat Terkendali
Injeksi Oksitosin
Peregangan Tali
Masase Fundus
NO POSYANDU
< 36 minggu
> 36 minggu
Meninggal
< 1 jam
> 1 jam
graf
Hidup
Uteri
1 2 25 26 27 28 29 30 31 32 33 35 36
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN11 270

PUSKESMAS
BULAN / TAHUN
Komplikasi
ARV Profilaksis
Berinsektisida
NO POSYANDU
Anti malaria
Meninggal
Malaria +
Kelambu
Distosia
Anti TB
Hidup
HIV +
TB +
HDK
PPP
1 2 37 38 39 40 41 42 43 44 45 46 47 48
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN11 271

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Fasilitas Kesehatan
Tiba
NO POSYANDU
Puskesmas
R. Bersalin
RSIA/RSB
Meninggal
Lain-lain
Lain-lain
Lain-lain
Distosia
Infeksi
Infeksi
Hidup
HDK
PPP
RS
1 2 49 50 46 47 48 49 50 51 52 53 54 55 56 57
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN11 272

PUSKESMAS
BULAN / TAHUN
Keadaan Bidan
Pulang -Dukun
NO POSYANDU
Meninggal
Bermitra
Dukun
Hidup
1 2 58 59 60 61
2 CARITA 0 0 0 0
3 CINOYONG 0 0 0 0
4 KAWOYANG 0 0 0 0
5 PEJAMBEN 0 0 0 0
7 SUKAJADI 0 0 0 0
9 SUKARAME 0 0 0 0
10 TEMBONG 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
JUMLAH 0 0 0 0
425299463.xlsx BULIN11 273

PUSKESMAS CIBITUNG
Jumlah
Jumlah
Belakang kepala
Ekstraksi Vakum
Seksio Sesarea
Bulin(< 19 Pn
Puncak kepala
NO POSYANDU Bulin
th)Bulan (Linakes)
Ekstraksi
Forseps
Bulan ini
Normal
ini
Dahi
1 2 3 4 5 6 7 8 9 10 11 12
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN12 274

PUSKESMAS
BULAN / TAHUN
Tempat
Presentasi Penolong
Persalinan
Non Fasilitas
NO POSYANDU
Lain-lain
Perawat
Fasilitas
Bokong
Lintang
Dokter
Dukun
SpOG
Bidan
Muka
Kaki
1 2 13 14 15 16 17 18 19 20 21 22 23 24
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN12 275

PUSKESMAS
BULAN / TAHUN
Pelayanan Keadaan
IMD Ibu
MenggunakanParto
Catat di Buku KIA

Pusat Terkendali
Injeksi Oksitosin
Peregangan Tali
Masase Fundus
NO POSYANDU
< 36 minggu
> 36 minggu
Meninggal
< 1 jam
> 1 jam
graf
Hidup
Uteri
1 2 25 26 27 28 29 30 31 32 33 35 36
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN12 276

PUSKESMAS
BULAN / TAHUN
Komplikasi
ARV Profilaksis
Berinsektisida
NO POSYANDU
Anti malaria
Meninggal
Malaria +
Kelambu
Distosia
Anti TB
Hidup
HIV +
TB +
HDK
PPP
1 2 37 38 39 40 41 42 43 44 45 46 47 48
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN12 277

PUSKESMAS
BULAN / TAHUN
Kegiatan Rujukan
Fasilitas Kesehatan
Tiba
NO POSYANDU
Puskesmas
R. Bersalin
RSIA/RSB
Meninggal
Lain-lain
Lain-lain
Lain-lain
Distosia
Infeksi
Infeksi
Hidup
HDK
PPP
RS
1 2 49 50 46 47 48 49 50 51 52 53 54 55 56 57
1 BANJARMASIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CARITA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CINOYONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KAWOYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PEJAMBEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 SINDANGLAUT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 SUKAJADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 SUKANAGARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 SUKARAME 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TEMBONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx BULIN12 278

PUSKESMAS
BULAN / TAHUN
Keadaan Bidan
Pulang -Dukun
NO POSYANDU
Meninggal
Bermitra
Dukun
Hidup
1 2 58 59 60 61
2 CARITA 0 0 0 0
3 CINOYONG 0 0 0 0
4 KAWOYANG 0 0 0 0
5 PEJAMBEN 0 0 0 0
7 SUKAJADI 0 0 0 0
9 SUKARAME 0 0 0 0
10 TEMBONG 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
JUMLAH 0 0 0 0
425299463.xlsx BULIN12 279

REKAPITULASI HASIL PELAYAN
PUSKESMAS : ……………………………. CIBITUNG
BULAN / TAHUN : ……………………………. DESEMBER / 2016
JUMLAH SELURUH SASARAN BAYI DALAM SATU TAHUN
NO DATA
CIKADU CIKALONG CIKIRUH
1 2 3 4 5
1 Jumlah bayi lahir hidup 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
2 Jumlah bayi lahir mati 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
3 Jumlah bayi lahir prematur < 37 minggu (259 hari) 0 0 0
4 Jumlah bayi berat lahir rendah < 2500 gram 0 0 0
5 Jumlah bayi mempunyai buku KIA 0 0 0
6 Jumlah bayi mendapat vitamin K1 0 0 0
7 Jumlah bayi melaksanakan Inisiasi Menyusu Dini 0 0 0
8 Jumlah kunjungan neonatal I (6 - 48 jam) 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
9 Jumlah kunjungan neonatal II 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
10 Jumlah kunjungan neonatal Lengkap 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
11 Jumlah neonatus (0-28 hari) dengan komplikasi 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
Jumlah neonatus (0-28 hari) dengan komplikasi
0 0 0
DITANGANI
laki-laki 0 0 0
perempuan 0 0 0
Jumlah neonatus (0-28 hari) dengan komplikasi yang
12 0 0 0
dirujuk
laki-laki 0 0 0
perempuan 0 0 0
13 Jumlah kunjungan bayi (meliputi I, II, III dan IV) 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
14 Jumlah kematian Perinatal (28 Minggu Kehamilan 0 0 0

- 7 hari)
laki-laki 0 0 0
perempuan 0 0 0
15 Kematian Neonatal 0-28 hari 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
a. Trauma Lahir 0 0 0
425299463.xlsx BAYI12 280

b. Asfiksia 0 0 0
c. BBLR<2500 gram 0 0 0
d. Prematur < 37 minggu (259 hari) 0 0 0
d. Infeksi 0 0 0
e.Tetanus Neonatorum 0 0 0
f. Ikterus/ kelainan darah 0 0 0
g. Kelainan Bawaan 0 0 0
h. ……….. 0 0 0
16 Kematian Bayi 29 hari - 11 bulan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
a. Diare 0 0 0
b. Pneumonia 0 0 0
c. Meningitis/Encephalitis 0 0 0
d. Sepsis 0 0 0
e. Kelainan Jantung 0 0 0
f. Kelainan pencernaan 0 0 0
g. Ikterus 0 0 0
h. Kelainan Bawaan 0 0 0
i. Demam Berdarah Dengue 0 0 0
j. ............................... 0 0 0
17 Jumlah Kematian Bayi diaudit 0 0 0
18 IMUNISASI 0 0 0
a Jumlah bayi (0-7 hari) yang divaksinasi HB-0 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
b Jumlah bayi (0-11 bulan) yang divaksinasi BCG 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
c Jumlah bayi (0-11 bulan) yang divaksinasi POLIO 1 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
d Jumlah bayi (0-11 bulan) yang divaksinasi POLIO 2 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
e Jumlah bayi (0-11 bulan) yang divaksinasi POLIO 3 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
f Jumlah bayi (0-11 bulan) yang divaksinasi POLIO 4 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
g Jumlah bayi (2-11 bulan) yang divaksinasi DPT-HB 1
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
h Jumlah bayi (2-11 bulan) yang divaksinasi DPT-HB 2
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
i Jumlah bayi (2-11 bulan) yang divaksinasi DPT-HB 3
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI12 281

0 0 0
j Jumlah bayi (9-11 bulan) yang divaksinasi CAMPAK
laki-laki 0 0 0
perempuan 0 0 0
k Jumlah Bumil (kehamilan 0-8 bulan) diimunisasi TT 1 0 0 0
l Jumlah Bumil (kehamilan 0-8 bulan) diimunisasi TT 2 0 0 0
m Jumlah Bumil (kehamilan 0-8 bulan) diimunisasi TT 3 0 0 0
n Jumlah Bumil (kehamilan 0-8 bulan) diimunisasi TT 4 0 0 0
o Jumlah Bumil (kehamilan 0-8 bulan) diimunisasi TT 5 0 0 0
p Jumlah WUS tidak hamil diimunisasi TT 1 0 0 0
q Jumlah WUS tidak hamil diimunisasi TT 2 0 0 0
r Jumlah WUS tidak hamil diimunisasi TT 3 0 0 0
s Jumlah WUS tidak hamil diimunisasi TT 4 0 0 0
t Jumlah WUS tidak hamil diimunisasi TT 5 0 0 0
Mengetahui,
Kepala Puskesmas ……………………………….
………………………………………………………
(NIP : )
425299463.xlsx BAYI12 282

IL PELAYANAN KIA
DESA
CITELUK KIARA JANGKUNG KIARA PAYUNG KUTA KARANG MALANG NENGAH MANGLID
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
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI12 283

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI12 284

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI12 285

SINDANG KERTA 0 0 0 0 0
12 13 14 15 16 17
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI12 286

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI12 287

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI12 288

JUMLAH
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI12 289

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI12 290

0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI12 291

BULAN / TAHUN : ……………………………. NOPEMBER / 2016
NO DATA
1 2 3 4 5
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
DITANGANI
laki-laki 0 0 0
perempuan 0 0 0
12 0 0 0
dirujuk
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0

- 7 hari)
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI11 292

b. Asfiksia 0 0 0
c. BBLR<2500 gram 0 0 0
d. Infeksi 0 0 0
h. ……….. 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
a. Diare 0 0 0
b. Pneumonia 0 0 0
d. Sepsis 0 0 0
g. Ikterus 0 0 0
j. ............................... 0 0 0
18 IMUNISASI 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI11 293

0 0 0
laki-laki 0 0 0
perempuan 0 0 0
Mengetahui,
………………………………………………………
(NIP : )
425299463.xlsx BAYI11 294

IL PELAYANAN KIA
DESA
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
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI11 295

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI11 296

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI11 297

12 13 14 15 16 17
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI11 298

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI11 299

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI11 300

JUMLAH
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI11 301

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI11 302

0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI11 303

BULAN / TAHUN : ……………………………. OKTOBER / 2016
NO DATA
1 2 3 4 5
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
DITANGANI
laki-laki 0 0 0
perempuan 0 0 0
12 0 0 0
dirujuk
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0

- 7 hari)
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI10 304

b. Asfiksia 0 0 0
c. BBLR<2500 gram 0 0 0
d. Infeksi 0 0 0
h. ……….. 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
a. Diare 0 0 0
b. Pneumonia 0 0 0
d. Sepsis 0 0 0
g. Ikterus 0 0 0
j. ............................... 0 0 0
18 IMUNISASI 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI10 305

0 0 0
laki-laki 0 0 0
perempuan 0 0 0
Mengetahui,
………………………………………………………
(NIP : )
425299463.xlsx BAYI10 306

IL PELAYANAN KIA
DESA
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
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI10 307

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI10 308

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI10 309

12 13 14 15 16 17
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI10 310

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI10 311

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI10 312

JUMLAH
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI10 313

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI10 314

0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI10 315

BULAN / TAHUN : ……………………………. SEPTEMBER / 2016
NO DATA
1 2 3 4 5
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
DITANGANI
laki-laki 0 0 0
perempuan 0 0 0
12 0 0 0
dirujuk
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0

- 7 hari)
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI9 316

b. Asfiksia 0 0 0
c. BBLR<2500 gram 0 0 0
d. Infeksi 0 0 0
h. ……….. 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
a. Diare 0 0 0
b. Pneumonia 0 0 0
d. Sepsis 0 0 0
g. Ikterus 0 0 0
j. ............................... 0 0 0
18 IMUNISASI 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI9 317

0 0 0
laki-laki 0 0 0
perempuan 0 0 0
Mengetahui,
………………………………………………………
(NIP : )
425299463.xlsx BAYI9 318

IL PELAYANAN KIA
DESA
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
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI9 319

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI9 320

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI9 321

12 13 14 15 16 17
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI9 322

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI9 323

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI9 324

JUMLAH
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI9 325

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI9 326

0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI9 327

BULAN / TAHUN : ……………………………. AGUSTUS / 2016
NO DATA
1 2 3 4 5
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
DITANGANI
laki-laki 0 0 0
perempuan 0 0 0
12 0 0 0
dirujuk
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0

- 7 hari)
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI8 328

b. Asfiksia 0 0 0
c. BBLR<2500 gram 0 0 0
d. Infeksi 0 0 0
h. ……….. 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
a. Diare 0 0 0
b. Pneumonia 0 0 0
d. Sepsis 0 0 0
g. Ikterus 0 0 0
j. ............................... 0 0 0
18 IMUNISASI 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI8 329

0 0 0
laki-laki 0 0 0
perempuan 0 0 0
Mengetahui,
………………………………………………………
(NIP : )
425299463.xlsx BAYI8 330

IL PELAYANAN KIA
DESA
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
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI8 331

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI8 332

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI8 333

12 13 14 15 16 17
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI8 334

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI8 335

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI8 336

JUMLAH
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI8 337

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI8 338

0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI8 339

BULAN / TAHUN : ……………………………. JULI / 2016
NO DATA
1 2 3 4 5
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
DITANGANI
laki-laki 0 0 0
perempuan 0 0 0
12 0 0 0
dirujuk
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0

- 7 hari)
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI7 340

b. Asfiksia 0 0 0
c. BBLR<2500 gram 0 0 0
d. Infeksi 0 0 0
h. ……….. 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
a. Diare 0 0 0
b. Pneumonia 0 0 0
d. Sepsis 0 0 0
g. Ikterus 0 0 0
j. ............................... 0 0 0
18 IMUNISASI 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI7 341

0 0 0
laki-laki 0 0 0
perempuan 0 0 0
Mengetahui,
………………………………………………………
(NIP : )
425299463.xlsx BAYI7 342

IL PELAYANAN KIA
DESA
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
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI7 343

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI7 344

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI7 345

12 13 14 15 16 17
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI7 346

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI7 347

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI7 348

JUMLAH
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI7 349

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI7 350

0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI7 351

BULAN / TAHUN : ……………………………. JUNI / 2016
NO DATA
1 2 3 4 5
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
DITANGANI
laki-laki 0 0 0
perempuan 0 0 0
12 0 0 0
dirujuk
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0

- 7 hari)
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI6 352

b. Asfiksia 0 0 0
c. BBLR<2500 gram 0 0 0
d. Infeksi 0 0 0
h. ……….. 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
a. Diare 0 0 0
b. Pneumonia 0 0 0
d. Sepsis 0 0 0
g. Ikterus 0 0 0
j. ............................... 0 0 0
18 IMUNISASI 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI6 353

0 0 0
laki-laki 0 0 0
perempuan 0 0 0
Mengetahui,
………………………………………………………
(NIP : )
425299463.xlsx BAYI6 354

IL PELAYANAN KIA
DESA
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
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI6 355

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI6 356

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI6 357

12 13 14 15 16 17
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI6 358

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI6 359

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI6 360

JUMLAH
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI6 361

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI6 362

0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI6 363

BULAN / TAHUN : ……………………………. MEI / 2016
NO DATA
1 2 3 4 5
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
DITANGANI
laki-laki 0 0 0
perempuan 0 0 0
12 0 0 0
dirujuk
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0

- 7 hari)
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI5 364

b. Asfiksia 0 0 0
c. BBLR<2500 gram 0 0 0
d. Infeksi 0 0 0
h. ……….. 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
a. Diare 0 0 0
b. Pneumonia 0 0 0
d. Sepsis 0 0 0
g. Ikterus 0 0 0
j. ............................... 0 0 0
18 IMUNISASI 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI5 365

0 0 0
laki-laki 0 0 0
perempuan 0 0 0
Mengetahui,
………………………………………………………
(NIP : )
425299463.xlsx BAYI5 366

IL PELAYANAN KIA
DESA
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
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI5 367

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI5 368

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI5 369

12 13 14 15 16 17
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI5 370

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI5 371

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI5 372

JUMLAH
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI5 373

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI5 374

0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI5 375

BULAN / TAHUN : ……………………………. APRIL / 2016
NO DATA
1 2 3 4 5
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
DITANGANI
laki-laki 0 0 0
perempuan 0 0 0
12 0 0 0
dirujuk
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0

- 7 hari)
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI4 376

b. Asfiksia 0 0 0
c. BBLR<2500 gram 0 0 0
d. Infeksi 0 0 0
h. ……….. 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
a. Diare 0 0 0
b. Pneumonia 0 0 0
d. Sepsis 0 0 0
g. Ikterus 0 0 0
j. ............................... 0 0 0
18 IMUNISASI 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI4 377

0 0 0
laki-laki 0 0 0
perempuan 0 0 0
Mengetahui,
………………………………………………………
(NIP : )
425299463.xlsx BAYI4 378

IL PELAYANAN KIA
DESA
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
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI4 379

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI4 380

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI4 381

12 13 14 15 16 17
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI4 382

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI4 383

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI4 384

JUMLAH
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI4 385

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI4 386

0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI4 387

BULAN / TAHUN : ……………………………. MARET / 2016
NO DATA
1 2 3 4 5
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
DITANGANI
laki-laki 0 0 0
perempuan 0 0 0
12 0 0 0
dirujuk
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0

- 7 hari)
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI3 388

b. Asfiksia 0 0 0
c. BBLR<2500 gram 0 0 0
d. Infeksi 0 0 0
h. ……….. 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
a. Diare 0 0 0
b. Pneumonia 0 0 0
d. Sepsis 0 0 0
g. Ikterus 0 0 0
j. ............................... 0 0 0
18 IMUNISASI 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI3 389

0 0 0
laki-laki 0 0 0
perempuan 0 0 0
Mengetahui,
………………………………………………………
(NIP : )
425299463.xlsx BAYI3 390

IL PELAYANAN KIA
DESA
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
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI3 391

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI3 392

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI3 393

12 13 14 15 16 17
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI3 394

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI3 395

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI3 396

JUMLAH
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI3 397

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI3 398

0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI3 399

BULAN / TAHUN : ……………………………. FEBRUARI / 2016
NO DATA
1 2 3 4 5
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
DITANGANI
laki-laki 0 0 0
perempuan 0 0 0
12 0 0 0
dirujuk
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0

- 7 hari)
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI2 400

b. Asfiksia 0 0 0
c. BBLR<2500 gram 0 0 0
d. Infeksi 0 0 0
h. ……….. 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
a. Diare 0 0 0
b. Pneumonia 0 0 0
d. Sepsis 0 0 0
g. Ikterus 0 0 0
j. ............................... 0 0 0
18 IMUNISASI 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
425299463.xlsx BAYI2 401

0 0 0
laki-laki 0 0 0
perempuan 0 0 0
Mengetahui,
………………………………………………………
(NIP : )
425299463.xlsx BAYI2 402

IL PELAYANAN KIA
DESA
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
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI2 403

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI2 404

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI2 405

12 13 14 15 16 17
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI2 406

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI2 407

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI2 408

JUMLAH
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI2 409

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI2 410

0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI2 411

BULAN / TAHUN : ……………………………. JANUARI / 2016
NO DATA
1 2 3 4 5
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
DITANGANI
laki-laki 0 0 0
perempuan 0 0 0
12 0 0 0
dirujuk
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0

- 7 hari)
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
b. Asfiksia 0 0 0
425299463.xlsx BAYI1 412

c. BBLR<2500 gram 0 0 0
d. Infeksi 0 0 0
h. ……….. 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
a. Diare 0 0 0
b. Pneumonia 0 0 0
d. Sepsis 0 0 0
g. Ikterus 0 0 0
j. ............................... 0 0 0
18 IMUNISASI 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
laki-laki 0 0 0
perempuan 0 0 0
0 0 0
425299463.xlsx BAYI1 413

laki-laki 0 0 0
perempuan 0 0 0
Mengetahui,
………………………………………………………
(NIP : )
425299463.xlsx BAYI1 414

IL PELAYANAN KIA
DESA
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
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI1 415

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI1 416

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI1 417

12 13 14 15 16 17
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI1 418

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI1 419

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
425299463.xlsx BAYI1 420

JUMLAH
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI1 421

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI1 422

0
0
0
0
0
0
0
0
0
0
0
0
425299463.xlsx BAYI1 423

BUMIL BULIN BUFAS BAYI
JANUARI JANUARI JANUARI JANUARI
FEBRUARI FEBRUARI FEBRUARI FEBRUARI
MARET MARET MARET MARET
APRIL APRIL APRIL APRIL
MEI MEI MEI MEI
JUNI JUNI JUNI JUNI
JULI JULI JULI JULI
AGUSTUS AGUSTUS AGUSTUS AGUSTUS
SEPTEMBER SEPTEMBER SEPTEMBER SEPTEMBER
OKTOBER OKTOBER OKTOBER OKTOBER
NOPEMBER NOPEMBER NOPEMBER NOPEMBER
DESEMBER DESEMBER DESEMBER DESEMBER
425299463.xlsx REKAP 424

BAYI BALITA KB, KDRT
JANUARI JANUARI JANUARI
FEBRUARI FEBRUARI FEBRUARI
MARET MARET MARET
APRIL APRIL APRIL
MEI MEI MEI
JUNI JUNI JUNI
JULI JULI JULI
AGUSTUS AGUSTUS AGUSTUS
SEPTEMBER SEPTEMBER SEPTEMBER
OKTOBER OKTOBER OKTOBER
NOPEMBER NOPEMBER NOPEMBER
DESEMBER DESEMBER DESEMBER
425299463.xlsx REKAP 425

DESA / KELURAHAN: REKAPITULASI HASIL PELAYANAN KIA
PUSKESMAS :
BULAN / TAHUN :
Sasaran Pelayanan Keluarga Berencana Pemantauan
Penerimaan
PUS Miskin ber KB
PUS 4T Ber KB
Komplikasi
Kegagalan
Drop-out
KB Aktf
NO POSYANDU
Jumlah PUS Jumlah PUS Jumlah PUS
Kondom
Implan
Suntk
AKDR
Miskin 4T
Pil
1 2 3 4 5 6 8 10 12 14 16 17 18 19 20
1 CIKONENG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIKUMBUEUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CURUGLEMO 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GIRIPAWANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 GUNUNGSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KURUNG KAMBING 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDALASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDALAWANGI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 NEMBOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 PANDAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 PANJANGJAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 RAMEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 SINAR JAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SIRNAGALIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB1 426

Pemantauan Persediaan Alat Kontrasepsi Jenis Kekerasan Terha
Penggunaan Sisa Mental Fisik
Kondom
Kondom
Implan
Implan
Suntk
Suntk
AKDR
AKDR
15-44 45-60 >60 15-44 45-60
Pil
Pil
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB1 427

Jenis Kekerasan Terhadap Perempuan Penanganan
Fisik Emosional Penelantaran
Puskesmas Dirujuk Lain-lain

>60 15-44 45-60 >60 15-44 45-60 >60 / RS
36 37 38 39 40 41 42 43 44 45
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB1 428

∑ Kekerasan Seksual ∑ Kekerasan Fisik
∑ Jejaring
∑ Fasilitator LSM,
KTA Organisasi
Profesi 0-11 bln 1-4 thn 5-9 thn 10-14 thn 15-18 thn 0-11 bln 1-4 thn 5-9 thn
46 47 48 49 50 51 52 53 54 55
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB1 429

Cakupan KTA
Jenis Kekerasan
kerasan Fisik ∑ Kekerasan Emosional ∑ Kekerasan Penelantaran
10-14 thn 15-18 thn 0-11 bln 1-4 thn 5-9 thn 10-14 thn 15-18 thn 0-11 bln 1-4 thn 5-9 thn
56 57 58 59 60 61 62 63 64 65
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB1 430

an Penelantaran ∑ Kekerasan Trafiking
10-14 thn 15-18 thn 0-11 bln 1-4 thn 5-9 thn 10-14 thn 15-18 thn
66 67 68 69 70 71 72
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
425299463.xlsx KB1 431

PUSKESMAS :
BULAN / TAHUN :
Penerimaan
PUS Miskin ber KB
PUS 4T Ber KB
Komplikasi
Kegagalan
Drop-out
KB Aktf
NO POSYANDU
Kondom
Implan
Suntk
AKDR
Miskin 4T
Pil
1 2 3 4 5 6 8 10 12 14 16 17 18 19 20
1 CIKONENG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIKUMBUEUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CURUGLEMO 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GIRIPAWANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 GUNUNGSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KURUNG KAMBING 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDALASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDALAWANGI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 NEMBOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 PANDAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 PANJANGJAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 RAMEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 SINAR JAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SIRNAGALIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB2 432

Kondom
Kondom
Implan
Implan
Suntk
Suntk
AKDR
AKDR
15-44 45-60 >60 15-44 45-60
Pil
Pil
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB2 433


>60 15-44 45-60 >60 15-44 45-60 >60 / RS
36 37 38 39 40 41 42 43 44 45
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB2 434

∑ Jejaring
KTA Organisasi
46 47 48 49 50 51 52 53 54 55
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB2 435

Cakupan KTA
Jenis Kekerasan
56 57 58 59 60 61 62 63 64 65
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB2 436

66 67 68 69 70 71 72
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
425299463.xlsx KB2 437

PUSKESMAS :
BULAN / TAHUN :
Penerimaan
PUS Miskin ber KB
PUS 4T Ber KB
Komplikasi
Kegagalan
Drop-out
KB Aktf
NO POSYANDU
Kondom
Implan
Suntk
AKDR
Miskin 4T
Pil
1 2 3 4 5 6 8 10 12 14 16 17 18 19 20
1 CIKONENG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIKUMBUEUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CURUGLEMO 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GIRIPAWANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 GUNUNGSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KURUNG KAMBING 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDALASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDALAWANGI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 NEMBOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 PANDAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 PANJANGJAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 RAMEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 SINAR JAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SIRNAGALIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB3 438

Kondom
Kondom
Implan
Implan
Suntk
Suntk
AKDR
AKDR
15-44 45-60 >60 15-44 45-60
Pil
Pil
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB3 439


>60 15-44 45-60 >60 15-44 45-60 >60 / RS
36 37 38 39 40 41 42 43 44 45
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB3 440

∑ Jejaring
KTA Organisasi
46 47 48 49 50 51 52 53 54 55
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB3 441

Cakupan KTA
Jenis Kekerasan
56 57 58 59 60 61 62 63 64 65
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB3 442

66 67 68 69 70 71 72
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
425299463.xlsx KB3 443

PUSKESMAS :
BULAN / TAHUN :
Penerimaan
PUS Miskin ber KB
PUS 4T Ber KB
Komplikasi
Kegagalan
Drop-out
KB Aktf
NO POSYANDU
Kondom
Implan
Suntk
AKDR
Miskin 4T
Pil
1 2 3 4 5 6 8 10 12 14 16 17 18 19 20
1 CIKONENG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIKUMBUEUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CURUGLEMO 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GIRIPAWANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 GUNUNGSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KURUNG KAMBING 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDALASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDALAWANGI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 NEMBOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 PANDAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 PANJANGJAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 RAMEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 SINAR JAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SIRNAGALIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB4 444

Kondom
Kondom
Implan
Implan
Suntk
Suntk
AKDR
AKDR
15-44 45-60 >60 15-44 45-60
Pil
Pil
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB4 445


>60 15-44 45-60 >60 15-44 45-60 >60 / RS
36 37 38 39 40 41 42 43 44 45
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB4 446

∑ Jejaring
KTA Organisasi
46 47 48 49 50 51 52 53 54 55
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB4 447

Cakupan KTA
Jenis Kekerasan
56 57 58 59 60 61 62 63 64 65
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB4 448

66 67 68 69 70 71 72
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
425299463.xlsx KB4 449

PUSKESMAS :
BULAN / TAHUN :
Penerimaan
PUS Miskin ber KB
PUS 4T Ber KB
Komplikasi
Kegagalan
Drop-out
KB Aktf
NO POSYANDU
Kondom
Implan
Suntk
AKDR
Miskin 4T
Pil
1 2 3 4 5 6 8 10 12 14 16 17 18 19 20
1 CIKONENG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIKUMBUEUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CURUGLEMO 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GIRIPAWANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 GUNUNGSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KURUNG KAMBING 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDALASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDALAWANGI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 NEMBOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 PANDAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 PANJANGJAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 RAMEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 SINAR JAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SIRNAGALIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB5 450

Kondom
Kondom
Implan
Implan
Suntk
Suntk
AKDR
AKDR
15-44 45-60 >60 15-44 45-60
Pil
Pil
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB5 451


>60 15-44 45-60 >60 15-44 45-60 >60 / RS
36 37 38 39 40 41 42 43 44 45
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB5 452

∑ Jejaring
KTA Organisasi
46 47 48 49 50 51 52 53 54 55
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB5 453

Cakupan KTA
Jenis Kekerasan
56 57 58 59 60 61 62 63 64 65
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB5 454

66 67 68 69 70 71 72
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
425299463.xlsx KB5 455

PUSKESMAS :
BULAN / TAHUN :
Penerimaan
PUS Miskin ber KB
PUS 4T Ber KB
Komplikasi
Kegagalan
Drop-out
KB Aktf
NO POSYANDU
Kondom
Implan
Suntk
AKDR
Miskin 4T
Pil
1 2 3 4 5 6 8 10 12 14 16 17 18 19 20
1 CIKONENG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIKUMBUEUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CURUGLEMO 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GIRIPAWANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 GUNUNGSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KURUNG KAMBING 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDALASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDALAWANGI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 NEMBOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 PANDAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 PANJANGJAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 RAMEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 SINAR JAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SIRNAGALIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB6 456

Kondom
Kondom
Implan
Implan
Suntk
Suntk
AKDR
AKDR
15-44 45-60 >60 15-44 45-60
Pil
Pil
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB6 457


>60 15-44 45-60 >60 15-44 45-60 >60 / RS
36 37 38 39 40 41 42 43 44 45
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB6 458

∑ Jejaring
KTA Organisasi
46 47 48 49 50 51 52 53 54 55
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB6 459

Cakupan KTA
Jenis Kekerasan
56 57 58 59 60 61 62 63 64 65
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB6 460

66 67 68 69 70 71 72
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
425299463.xlsx KB6 461

PUSKESMAS :
BULAN / TAHUN :
Penerimaan
PUS Miskin ber KB
PUS 4T Ber KB
Komplikasi
Kegagalan
Drop-out
KB Aktf
NO POSYANDU
Kondom
Implan
Suntk
AKDR
Miskin 4T
Pil
1 2 3 4 5 6 8 10 12 14 16 17 18 19 20
1 CIKONENG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIKUMBUEUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CURUGLEMO 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GIRIPAWANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 GUNUNGSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KURUNG KAMBING 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDALASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDALAWANGI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 NEMBOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 PANDAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 PANJANGJAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 RAMEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 SINAR JAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SIRNAGALIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB7 462

Kondom
Kondom
Implan
Implan
Suntk
Suntk
AKDR
AKDR
15-44 45-60 >60 15-44 45-60
Pil
Pil
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB7 463


>60 15-44 45-60 >60 15-44 45-60 >60 / RS
36 37 38 39 40 41 42 43 44 45
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB7 464

∑ Jejaring
KTA Organisasi
46 47 48 49 50 51 52 53 54 55
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB7 465

Cakupan KTA
Jenis Kekerasan
56 57 58 59 60 61 62 63 64 65
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB7 466

66 67 68 69 70 71 72
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
425299463.xlsx KB7 467

PUSKESMAS :
BULAN / TAHUN :
Penerimaan
PUS Miskin ber KB
PUS 4T Ber KB
Komplikasi
Kegagalan
Drop-out
KB Aktf
NO POSYANDU
Kondom
Implan
Suntk
AKDR
Miskin 4T
Pil
1 2 3 4 5 6 8 10 12 14 16 17 18 19 20
1 CIKONENG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIKUMBUEUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CURUGLEMO 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GIRIPAWANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 GUNUNGSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KURUNG KAMBING 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDALASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDALAWANGI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 NEMBOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 PANDAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 PANJANGJAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 RAMEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 SINAR JAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SIRNAGALIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB8 468

Kondom
Kondom
Implan
Implan
Suntk
Suntk
AKDR
AKDR
15-44 45-60 >60 15-44 45-60
Pil
Pil
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB8 469


>60 15-44 45-60 >60 15-44 45-60 >60 / RS
36 37 38 39 40 41 42 43 44 45
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB8 470

∑ Jejaring
KTA Organisasi
46 47 48 49 50 51 52 53 54 55
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB8 471

Cakupan KTA
Jenis Kekerasan
56 57 58 59 60 61 62 63 64 65
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB8 472

66 67 68 69 70 71 72
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
425299463.xlsx KB8 473

PUSKESMAS :
BULAN / TAHUN :
Penerimaan
PUS Miskin ber KB
PUS 4T Ber KB
Komplikasi
Kegagalan
Drop-out
KB Aktf
NO POSYANDU
Kondom
Implan
Suntk
AKDR
Miskin 4T
Pil
1 2 3 4 5 6 8 10 12 14 16 17 18 19 20
1 CIKONENG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIKUMBUEUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CURUGLEMO 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GIRIPAWANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 GUNUNGSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KURUNG KAMBING 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDALASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDALAWANGI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 NEMBOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 PANDAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 PANJANGJAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 RAMEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 SINAR JAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SIRNAGALIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB9 474

Kondom
Kondom
Implan
Implan
Suntk
Suntk
AKDR
AKDR
15-44 45-60 >60 15-44 45-60
Pil
Pil
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB9 475


>60 15-44 45-60 >60 15-44 45-60 >60 / RS
36 37 38 39 40 41 42 43 44 45
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB9 476

∑ Jejaring
KTA Organisasi
46 47 48 49 50 51 52 53 54 55
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB9 477

Cakupan KTA
Jenis Kekerasan
56 57 58 59 60 61 62 63 64 65
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB9 478

66 67 68 69 70 71 72
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
425299463.xlsx KB9 479

PUSKESMAS :
BULAN / TAHUN :
Penerimaan
PUS Miskin ber KB
PUS 4T Ber KB
Komplikasi
Kegagalan
Drop-out
KB Aktf
NO POSYANDU
Kondom
Implan
Suntk
AKDR
Miskin 4T
Pil
1 2 3 4 5 6 8 10 12 14 16 17 18 19 20
1 CIKONENG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIKUMBUEUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CURUGLEMO 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GIRIPAWANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 GUNUNGSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KURUNG KAMBING 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDALASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDALAWANGI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 NEMBOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 PANDAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 PANJANGJAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 RAMEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 SINAR JAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SIRNAGALIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB10 480

Kondom
Kondom
Implan
Implan
Suntk
Suntk
AKDR
AKDR
15-44 45-60 >60 15-44 45-60
Pil
Pil
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB10 481


>60 15-44 45-60 >60 15-44 45-60 >60 / RS
36 37 38 39 40 41 42 43 44 45
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB10 482

∑ Jejaring
KTA Organisasi
46 47 48 49 50 51 52 53 54 55
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB10 483

Cakupan KTA
Jenis Kekerasan
56 57 58 59 60 61 62 63 64 65
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB10 484

66 67 68 69 70 71 72
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
425299463.xlsx KB10 485

PUSKESMAS :
BULAN / TAHUN :
Penerimaan
PUS Miskin ber KB
PUS 4T Ber KB
Komplikasi
Kegagalan
Drop-out
KB Aktf
NO POSYANDU
Kondom
Implan
Suntk
AKDR
Miskin 4T
Pil
1 2 3 4 5 6 8 10 12 14 16 17 18 19 20
1 CIKONENG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIKUMBUEUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CURUGLEMO 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GIRIPAWANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 GUNUNGSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KURUNG KAMBING 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDALASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDALAWANGI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 NEMBOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 PANDAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 PANJANGJAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 RAMEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 SINAR JAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SIRNAGALIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB11 486

Kondom
Kondom
Implan
Implan
Suntk
Suntk
AKDR
AKDR
15-44 45-60 >60 15-44 45-60
Pil
Pil
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB11 487


>60 15-44 45-60 >60 15-44 45-60 >60 / RS
36 37 38 39 40 41 42 43 44 45
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB11 488

∑ Jejaring
KTA Organisasi
46 47 48 49 50 51 52 53 54 55
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB11 489

Cakupan KTA
Jenis Kekerasan
56 57 58 59 60 61 62 63 64 65
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB11 490

66 67 68 69 70 71 72
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
425299463.xlsx KB11 491

PUSKESMAS :
BULAN / TAHUN :
Penerimaan
PUS Miskin ber KB
PUS 4T Ber KB
Komplikasi
Kegagalan
Drop-out
KB Aktf
NO POSYANDU
Kondom
Implan
Suntk
AKDR
Miskin 4T
Pil
1 2 3 4 5 6 8 10 12 14 16 17 18 19 20
1 CIKONENG 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 CIKUMBUEUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 CURUGLEMO 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GIRIPAWANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 GUNUNGSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KURUNG KAMBING 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDALASARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDALAWANGI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 NEMBOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 PANDAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 PANJANGJAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 RAMEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 SINAR JAYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SIRNAGALIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB12 492

Kondom
Kondom
Implan
Implan
Suntk
Suntk
AKDR
AKDR
15-44 45-60 >60 15-44 45-60
Pil
Pil
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB12 493


>60 15-44 45-60 >60 15-44 45-60 >60 / RS
36 37 38 39 40 41 42 43 44 45
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB12 494

∑ Jejaring
KTA Organisasi
46 47 48 49 50 51 52 53 54 55
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB12 495

Cakupan KTA
Jenis Kekerasan
56 57 58 59 60 61 62 63 64 65
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
425299463.xlsx KB12 496

66 67 68 69 70 71 72
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
425299463.xlsx KB12 497

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REKAPITULASI HASIL PELAYANAN KIA

Kepala Puskesmas ………………………

……………………., ………………………… 2012

Kepala Puskesmas ………………………

……………………., ………………………… 2012

Kepala Puskesmas ………………………

……………………., ………………………… 2012

Kepala Puskesmas ………………………

……………………., ………………………… 2012

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JUMLAH BUFAS Kunjungan Nifas Pelayanan

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JUMLAH BUFAS Kunjungan Nifas Pelayanan

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JUMLAH BUFAS Kunjungan Nifas Pelayanan

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Pelayanan KB Komplikasi Penanganan Komplikas

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JUMLAH BUFAS Kunjungan Nifas Pelayanan

425299463.xlsx BUFAS4 105

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Pelayanan KB Komplikasi Penanganan Komplikas

425299463.xlsx BUFAS4 107

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JUMLAH BUFAS Kunjungan Nifas Pelayanan

425299463.xlsx BUFAS3 109

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Pelayanan KB Komplikasi Penanganan Komplikas

425299463.xlsx BUFAS3 111

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425299463.xlsx BUFAS2 113

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425299463.xlsx BUFAS2 115

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