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Des 2018
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LAPORAN BULANAN KUNJUNGAN PUSKESMAS
KEGIATAN DALAM GEDUNG
UPTD PUSKESMAS : WIDASARI
BULAN : DESEMBER 2018
JUMLAH KUNJUNGAN ( Orang )
NO KEGIATAN
JKN UMUM KASEP TOTAL
A. PUSKESMAS INDUK
1 Kunjungan Rawat Jalan BP UMUM Puskesmas Induk 669 805 1474
( termasuk juga dari UGD,MTBS,Lansia,Remaja )
2 Kunjungan Rawat Jalan KIA (Ibu dan Bayi/Imunisasi) 88 167 255
3 Kunjungan Rawat Jalan KB 32 33 65
4 Kunjungan Rawat Jalan BP Gigi 55 175 230
5 Kunjungan Lain-Lain ( Laboratorium, Konseling, KIR 25 33 58
Sehat, dll )
JUMLAH DI PUSKESMAS INDUK 869 1213 2082
B. PUSKESMAS PEMBANTU ( PUSTU )
1 Kunjungan Rawat Jalan BP Umum 82 457 539
2 Kunjungan Rawat Jalan KIA (Ibu dan Bayi/Imunisasi) 0 0 0
3 Kunjungan Rawat Jalan KB 0 0 0
4 Kunjungan Rawat Jalan BP Gigi 0 0 0
JUMLAH di PUSTU 82 457 539
JUMLAH TOTAL ( INDUK + PUSTU ) 951 1670 2621
1 Jumlah Persalinan di Puskesmas 18 16 34
2 Jumlah Persalinan di BPM Jaringan Puskesmas 0 0 0
JUMLAH PERSALINAN 18 16 34
1 Jumlah Pasien Rawat Inap ( Puskesmas DTP ) 16 22 38
1 Jumlah Rujukan 116 0 116
Indramayu, 1 Desember 2018
Kepala UPTD Puskesmas Widasari Ka Subbag TU
Widasari
HJ. Juhariah, S.ST Hilman Setia Permana, SE
NIP.19710206 198903 2 001 NIP. 19830606 200501 1 005
LAPORAN BULANAN PROGRAM JKN
KEPESERTAAN DAN PEMANFAATAN PELAYANAN KESEHATAN
DI PUSKESMAS (DALAM GEDUNG)
==================================================================================
PUSKESMAS : WIDASARI
BULAN : DESEMBER 2018
JUMLAH
UTILITY
NO VARIABEL KUNJUNGAN KET.
PESERTA RATE
DALAM GEDUNG
1 2 3 4 5 6
A. KEPESERTAAN
1 PBI (EKS JAMKESMAS) 22649 814 3.6%
2 ASKES PNS 68
3 TNI
4 POLRI
5 JAMSOSTEK 0
6 MANDIRI 126
JUMLAH 22649 1008 4.5%
B. PEMANFAATAN
KUNJUNGAN BP UMUM
1 669
( MTBS,Lansia,UGD,Remaja)
2 KUNJUNGAN BP GIGI 55
KUNJUNGAN
3 2
LABORATORIUM
4 KUNJUNGAN KIA
- ANC 88
- PNC
- PARTUS
- NIFAS
- NEONATUS
- BAYI
- KB 32
KUNJUNGAN LAIN-LAIN
5 23
(Konseling,KIR Sehat)
6 KUNJUNGAN PUSTU 82
JUMLAH TOTAL
7 18
PERSALINAN
JUMLAH PASIEN RAWAT
8 16
INAP
9 RUJUKAN 116
JUMLAH 1101
Indramayu, 1 Desember 2018
Kepala UPTD Puskesmas
Ka Subbag TU
Widasari
Widasari
HJ. Juhariah, S.ST Hilman Setia Permana, SE
NIP.19710206 198903 2 001 NIP. 19830606 200501 1 005
Pasien (kunjungan)
RawatJalan RawatInap Persalinan
Tahun JKN/BPJ JKN/BPJ JKN/BPJ
2018 S KK/KTP Jumlah S KK/KTP Jumlah S KK/KTP Jumlah
Januari 777 1443 2220 19 30 49 24 19 43
Februari 738 1229 1967 13 21 34 30 20 50
Maret 866 1467 2333 28 51 79 20 16 36
April 799 1420 2219 14 33 47 21 19 40
Mei 665 1331 1996 24 0 24 12 24 36
Juni 398 776 1174 20 28 48 15 20 35
Juli 809 1669 2478 20 28 48 15 20 35
Agustus 871 1852 2723 14 24 38 14 9 23
Septemb
er 805 1232 2037 28 11 39 23 16 39
Oktober 809 1450 2259 20 17 37 15 24 39
Nopemb
er 786 1228 2014 21 21 42 14 13 27
Desemb
er 896 1900 2796 16 22 38 18 16 34
Jumlah 9219 16997 26216 237 286 523 221 216 437
Pasien Gigi
JKN/BPJ
S KK/KTP Jumlah
76 182 258
68 162 230
54 106 160
56 102 158
44 102 146
30 81 111
48 164 212
64 116 180
64 124 188
76 114 190
45 130 175
55 175 230
680 1558 2238
LAPORAN REKAP BULANAN SURAT KETERANGAN SEHAT
PUSKESMAS WIDASARI TAHUN 2018
BULAN : DESEMBER 2018
STATUS (Orang) TUJUAN KIR SEHAT (Orang)
NO TANGGAL
JKN UMUM KASEP SEKOLAH NON SEKOLAH
1 01-12-2018 2 2
2 02-12-2018
3 03-12-2018
4 04-12-2018 1 1
5 05-12-2018 7 1 4 4
6 06-12-2018 4 3 1
7 07-12-2018 4 4
8 08-12-2018
9 09-12-2018
10 10-12-2018
11 11-12-2018 4 1 3
12 12-12-2018 2 2
13 13-12-2018 2 5 1 6
14 14-12-2018
15 15-12-2018
16 16-12-2018
17 17-12-2018 1 5 6
18 18-12-2018 1 1 2
19 19-12-2018 2 2
20 20-12-2018 2 1 3
21 21-12-2018 3 3
22 22-12-2018 2 1 3
23 23-12-2018
24 24-12-2018
25 25-12-2018
26 26-12-2018 1 1
27 27-12-2018 1 2 3
28 28-12-2018
29 29-12-2018 2 3 5
30 30-12-3018
31 31-12-2018
JUMLAH 25 35 0 10 50
BP UMUM UGD MTBS
NO BPJS UMUM BPJS UMUM BPJS
TANGGAL
URUT LM BR LM BR LM BR LM BR LM
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
1 01-12-2018 27 28 1 3
2 02-12-2018 21 2 9 5 5 18 2 8 4 4 0 0 0 0 6 1 3 1 1 0 0
3 03-12-2018 23 3 10 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1
4 04-12-2018 20 2 9 4 4 0 0 0 0 0 4 0 2 1 1 0 0 0 0 3 0 1
5 05-12-2018 22 2 10 5 5 0 0 0 0 0 1 0 0 0 0 0 0 0 0 2 0 1
6 06-12-2018 21 2 9 5 5 13 1 6 3 3 0 0 0 0 3 0 1 1 1 0 0
7 07-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 08-12-2018 30 3 13 7 7 40 4 18 9 9 1 0 0 0 0 2 0 1 0 0 3 0 1
9 09-12-2018 17 2 8 4 4 13 1 6 3 3 0 0 0 0 2 0 1 0 0 2 0 1
10 10-12-2018 14 2 6 3 3 18 2 8 4 4 1 0 0 0 0 2 0 1 0 0 1 0 0
11 11-12-2018 25 3 11 6 6 16 2 7 4 4 1 0 0 0 0 0 0 0 0 1 0 0
12 12-12-2018 16 2 7 4 4 15 2 7 3 3 0 0 0 0 0 0 0 0 0 0
13 13-12-2018 9 1 4 2 2 22 2 10 5 5 0 0 0 0 0 0 0 0 0 0
14 14-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 15-12-2018 28 3 12 6 6 25 3 11 6 6 2 0 1 0 0 0 0 0 0 0 0
16 16-12-2018 26 3 12 6 6 19 2 8 4 4 1 0 0 0 0 1 0 0 0 0 0 0
17 17-12-2018 15 2 7 3 3 20 2 9 4 4 1 0 0 0 0 0 0 0 0 0 0
18 18-12-2018 15 2 7 3 3 12 1 5 3 3 1 0 0 0 0 1 0 0 0 0 2 0 1
19 13-12-2018 16 2 7 4 4 26 3 12 6 6 1 0 0 0 0 0 0 0 0 0 0
20 14-12-2018 15 2 7 3 3 17 2 8 4 4 0 0 0 0 1 0 0 0 0 1 0 0
21 15-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 16-12-2018 35 4 16 8 8 22 2 10 5 5 1 0 0 0 0 1 0 0 0 0 1 0 0
23 17-12-2018 25 3 11 6 6 29 3 13 6 6 0 0 0 0 0 0 0 0 1 0 0
24 18-12-2018 27 3 12 6 6 34 4 15 8 8 0 0 0 0 0 0 0 0 0 0
25 19-12-2018 17 2 8 4 4 17 2 8 4 4 0 0 0 0 1 0 0 0 0 1 0 0
26 20-12-2018 13 1 6 3 3 15 2 7 3 3 0 0 0 0 0 0 0 0 0 0
27 21-12-2018 17 2 8 4 4 20 2 9 4 4 0 0 0 0 0 0 0 0 0 0
28 22-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 23-12-2018 29 3 13 6 6 26 3 12 6 6 0 0 0 0 1 0 0 0 0 0 0
30 24-12-2018 39 4 17 9 9 14 2 6 3 3 1 0 0 0 0 2 0 1 0 0 1 0 0
31 25-12-2018 15 2 7 3 3 17 2 8 4 4 0 0 0 0 1 0 0 0 0 2 0 1
JUMLAH 535 59 238 119 119 451 50 200 100 100 16 2 7 4 4 23 3 10 5 5 21 2 9
535 451
LAPORAN KUNJUNGAN HARIAN
PUSKESMAS WIDASARI
BULAN DESEMBER TAHUN 2018
MTBS LANSIA REMAJA BP GIGI
BPJS UMUM BPJS UMUM BPJS UMUM BPJS
BR LM BR LM BR LM BR LM BR LM BR LM BR
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
12 12
0 0 11 1 5 2 2 1 0 0 0 0
0 0 0 0 0 0 2 0 1 0 0
1 1 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 2 0 1 0 0
0 0 9 1 4 2 2 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 1 7 1 3 2 2 8 1 4 2 2
0 0 11 1 5 2 2 6 1 3 1 1
0 0 1 0 0 0 0 2 0 1 0 0
0 0 7 1 3 2 2 5 1 2 1 1
0 0 4 0 2 1 1 0 0 0 0
0 0 4 0 2 1 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 6 1 3 1 1 1 0 0 0 0
0 0 6 1 3 1 1 5 1 2 1 1
0 0 5 1 2 1 1 2 0 1 0 0
0 0 6 1 3 1 1 4 0 2 1 1
0 0 5 1 2 1 1 1 0 0 0 0
0 0 4 0 2 1 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 4 0 2 1 1 7 1 3 2 2
0 0 6 1 3 1 1 1 2 0 1 0 0
0 0 0 0 0 0 5 1 2 1 1
0 0 5 1 2 1 1 2 0 1 0 0
0 0 8 1 4 2 2 1 0 0 0 0
0 0 2 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 10 1 4 2 2 1 0 0 0 0
0 0 10 1 4 2 2 2 0 1 0 0
0 0 3 0 1 1 1 4 0 2 1 1
5 5 131 15 58 29 29 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 7 27 13 13
60
HARIAN
ARI
UN 2018
BP GIGI KIA KB LAB
UMUM BPJS UMUM BPJS UMUM BPJS UMUM
LM BR LM BR LM BR LM BR LM BR LM BR LM
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
12 19 15 1
7 1 3 2 2 2 0 1 0 0 4 0 2 1 1 4 0 2 1 1 3 0 1 1 1
0 0 0 0 2 0 1 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0
0 0 0 0 2 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
0 0 0 0 4 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0
3 0 1 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 1 3 2 2 11 1 5 2 2 0 0 0 0 0 0 0 0 0 0 0 0
5 1 2 1 1 2 0 1 0 0 1 0 0 0 0 4 0 2 1 1 2 0 1 0 0
6 1 3 1 1 2 0 1 0 0 3 0 1 1 1 1 0 0 0 0 1 0 0 0 0
7 1 3 2 2 3 0 1 1 1 2 0 1 0 0 1 0 0 0 0 1 0 0 0 0
0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 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
9 1 4 2 2 10 1 4 2 2 18 2 8 4 4 0 0 0 0 0 0 0 0
5 1 2 1 1 2 0 1 0 0 1 0 0 0 0 3 0 1 1 1 1 0 0 0 0
5 1 2 1 1 2 0 1 0 0 4 0 2 1 1 1 0 0 0 0 0 0 0 0
11 1 5 2 2 1 0 0 0 0 7 1 3 2 2 0 0 0 0 0 0 0 0
2 0 1 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 1 4 2 2 9 1 4 2 2 20 2 9 4 4 0 0 0 0 0 0 0 0
6 1 3 1 1 0 0 0 0 3 0 1 1 1 2 0 1 0 0 2 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0
7 1 3 2 2 1 0 0 0 0 3 0 1 1 1 1 0 0 0 0 0 0 0 0
2 0 1 0 0 4 0 2 1 1 3 0 1 1 1 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 0 2 1 1 4 0 2 1 1 13 1 6 3 3 0 0 0 0 0 0 0 0
4 0 2 1 1 6 1 3 1 1 6 1 3 1 1 0 0 0 0 1 0 0 0 0
2 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
100 11 44 22 22 73 8 32 16 16 92 10 41 20 20 23 3 10 5 5 12 1 5 3 3 0 0 0 0 0 0 0
100 73 92 23 12
LAB KONSELING KIR SEHAT
UMUM BPJS UMUM BPJS UMUM
BR LM BR LM BR LM BR LM BR
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
1
0 0 0 0 4 0 2 1 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
0 0 0 0 4 0 2 1 1
0 0 0 0 0 0 0 0
3 0 1 1 1 3 0 1 1 1
1 0 0 0 0 4 0 2 1 1
0 0 0 0 1 0 0 0 0
0 0 0 0 4 0 2 1 1
0 0 0 0 2 0 1 0 0
0 0 0 0 7 1 3 2 2
0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0
0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 3 0 1 1 1
0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0
2 0 1 0 0 5 1 2 1 1
2 0 1 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0
0 0 0 0 2 0 1 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 2 0 1 0 0
1 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 10 1 4 2 2 46 5 20 10 10
46
LAPORAN KUNJUNGAN
PUSKESMAS WIDA
BULAN DESEMBER TAH
BP UMUM UGD MTBS LANSIA REMAJA
NO BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM
TANGGAL
URUT LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
1 01-11-2018
2 02-11-2018 2 9 5 5 2 8 4 4 0 0 0 0 1 3 1 1 0 0 0 0 1 5 2 2
3 03-11-2018 3 10 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
4 04-11-2018 2 9 4 4 0 0 0 0 0 2 1 1 0 0 0 0 0 1 1 1 0 0 0 0
5 05-11-2018 2 10 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
6 06-11-2018 2 9 5 5 1 6 3 3 0 0 0 0 0 1 1 1 0 0 0 0 1 4 2 2
7 07-11-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 08-11-2018 3 13 7 7 4 18 9 9 0 0 0 0 0 1 0 0 0 1 1 1 1 3 2 2
9 09-11-2018 2 8 4 4 1 6 3 3 0 0 0 0 0 1 0 0 0 1 0 0 1 5 2 2
10 10-11-2018 2 6 3 3 2 8 4 4 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
11 11-11-2018 3 11 6 6 2 7 4 4 0 0 0 0 0 0 0 0 0 0 0 0 1 3 2 2
12 12-11-2018 2 7 4 4 2 7 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1
13 13-11-2018 1 4 2 2 2 10 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1
14 14-11-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 15-11-2018 3 12 6 6 3 11 6 6 0 1 0 0 0 0 0 0 0 0 0 0 1 3 1 1
16 16-11-2018 3 12 6 6 2 8 4 4 0 0 0 0 0 0 0 0 0 0 0 0 1 3 1 1
17 17-11-2018 2 7 3 3 2 9 4 4 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 1
18 18-11-2018 2 7 3 3 1 5 3 3 0 0 0 0 0 0 0 0 0 1 0 0 1 3 1 1
19 19-11-2018 2 7 4 4 3 12 6 6 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 1
20 20-11-2018 2 7 3 3 2 8 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1
21 21-22-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 22-11-2018 4 16 8 8 2 10 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1
23 23-11-2018 3 11 6 6 3 13 6 6 0 0 0 0 0 0 0 0 0 0 0 0 1 3 1 1
24 24-11-2018 3 12 6 6 4 15 8 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 25-11-2018 2 8 4 4 2 8 4 4 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 1
26 26-11-2018 1 6 3 3 2 7 3 3 0 0 0 0 0 0 0 0 0 0 0 0 1 4 2 2
27 27-11-2018 2 8 4 4 2 9 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
28 28-11-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 29-11-2018 3 13 6 6 3 12 6 6 0 0 0 0 0 0 0 0 0 0 0 0 1 4 2 2
30 30-11-2018 4 17 9 9 2 6 3 3 0 0 0 0 0 1 0 0 0 0 0 0 1 4 2 2
JUMLAH 59 238 119 119 50 200 100 100 2 7 4 4 3 10 5 5 2 9 5 5 15 58 29 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN KUNJUNGAN HARIAN
PUSKESMAS WIDASARI
BULAN DESEMBER TAHUN 2018
REMAJA BP GIGI KIA KB LAB KONSELING KIR SEHAT
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS
BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK
0 0 0 0 1 3 2 2 0 1 0 0 0 2 1 1 0 2 1 1 0 1 1 1 0 0 0
0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 4 2 2 1 3 2 2 1 5 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
1 3 1 1 1 2 1 1 0 1 0 0 0 0 0 0 0 2 1 1 0 1 0 0 0 0 0
0 1 0 0 1 3 1 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0
1 2 1 1 1 3 2 2 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 4 2 2 1 4 2 2 2 8 4 4 0 0 0 0 0 0 0 0 0 0 0
1 2 1 1 1 2 1 1 0 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0
0 1 0 0 1 2 1 1 0 1 0 0 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0
0 2 1 1 1 5 2 2 0 0 0 0 1 3 2 2 0 0 0 0 0 0 0 0 0 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 0 0 0
1 3 2 2 1 4 2 2 1 4 2 2 2 9 4 4 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 1 3 1 1 0 0 0 0 0 1 1 1 0 1 0 0 0 1 0 0 0 1 0
1 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0
0 1 0 0 1 3 2 2 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 2 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 1 1 0 2 1 1 1 6 3 3 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 2 1 1 1 3 1 1 1 3 1 1 0 0 0 0 0 0 0 0 0 0 0
0 0 7 27 13 13 11 44 22 22 8 32 16 16 10 41 20 20 3 10 5 5 1 5 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 2
KIR SEHAT
BPJS UMUM
BR LM BR
PR LK PR LK PR
0 0 2 1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 2 1 1
0 0 0 0 0
1 0 1 1 1
0 0 2 1 1
0 0 0 0 0
0 0 2 1 1
0 0 1 0 0
0 1 3 2 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 1 1
0 0 0 0 0
0 0 0 0 0
0 1 2 1 1
0 0 0 0 0
0 0 0 0 0
0 0 1 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 0 0
0 0 0 0 0
2 5 20 10 10
LAPORAN KUNJUNGAN
PUSKESMAS WIDA
BULAN DESEMBER TAH
BP UMUM UGD MTBS LANSIA REMAJA
NO BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM
TANGGAL
URUT LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
1 01-10-2018 3 12 6 6 3 12 6 6 0 0 0 0 0 1 1 1 0 0 0 0 1 5 3 3
2 02-10-2018 2 9 5 5 2 8 4 4 0 0 0 0 1 3 1 1 0 0 0 0 1 5 2 2
3 03-10-2018 3 10 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
4 04-10-2018 2 9 4 4 0 0 0 0 0 2 1 1 0 0 0 0 0 1 1 1 0 0 0 0
5 05-10-2018 2 10 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
6 06-10-2018 2 9 5 5 1 6 3 3 0 0 0 0 0 1 1 1 0 0 0 0 1 4 2 2
7 07-10-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 08-10-2018 3 13 7 7 4 18 9 9 0 0 0 0 0 1 0 0 0 1 1 1 1 3 2 2
9 09-10-2018 2 8 4 4 1 6 3 3 0 0 0 0 0 1 0 0 0 1 0 0 1 5 2 2
10 10-10-2018 2 6 3 3 2 8 4 4 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
11 11-10-2018 3 11 6 6 2 7 4 4 0 0 0 0 0 0 0 0 0 0 0 0 1 3 2 2
12 12-10-2018 2 7 4 4 2 7 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1
13 13-10-2018 1 4 2 2 2 10 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1
14 14-10-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 15-10-2018 3 12 6 6 3 11 6 6 0 1 0 0 0 0 0 0 0 0 0 0 1 3 1 1
16 16-10-2018 3 12 6 6 2 8 4 4 0 0 0 0 0 0 0 0 0 0 0 0 1 3 1 1
17 17-10-2018 2 7 3 3 2 9 4 4 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 1
18 18-10-2018 2 7 3 3 1 5 3 3 0 0 0 0 0 0 0 0 0 1 0 0 1 3 1 1
19 19-10-2018 2 7 4 4 3 12 6 6 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 1
20 20-10-2018 2 7 3 3 2 8 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1
21 21-10-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 22-10-2018 4 16 8 8 2 10 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1
23 23-10-2018 3 11 6 6 3 13 6 6 0 0 0 0 0 0 0 0 0 0 0 0 1 3 1 1
24 24-10-2018 3 12 6 6 4 15 8 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 25-10-2018 2 8 4 4 2 8 4 4 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 1
26 26-10-2018 1 6 3 3 2 7 3 3 0 0 0 0 0 0 0 0 0 0 0 0 1 4 2 2
27 27-10-2018 2 8 4 4 2 9 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
28 28-10-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 29-10-2018 3 13 6 6 3 12 6 6 0 0 0 0 0 0 0 0 0 0 0 0 1 4 2 2
30 30-10-2018 4 17 9 9 2 6 3 3 0 0 0 0 0 1 0 0 0 0 0 0 1 4 2 2
31 31-10-2018 2 7 3 3 2 8 4 4 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1
JUMLAH 59 238 119 119 50 200 100 100 2 7 4 4 3 10 5 5 2 9 5 5 15 58 29 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN KUNJUNGAN HARIAN
PUSKESMAS WIDASARI
BULAN DESEMBER TAHUN 2018
REMAJA BP GIGI
UMUM BPJS UMUM
BR LM BR LM BR
LK PR LK PR LK PR LK PR LK PR
1 5 3 3 1 5 3 3
0 0 0 0 1 3 2 2
0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0
0 0 0 0 0 1 1 1
0 0 0 0 0 0 0 0
1 4 2 2 1 3 2 2
1 3 1 1 1 2 1 1
0 1 0 0 1 3 1 1
1 2 1 1 1 3 2 2
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 1 4 2 2
1 2 1 1 1 2 1 1
0 1 0 0 1 2 1 1
0 2 1 1 1 5 2 2
0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 3 2 2 1 4 2 2
0 1 0 0 1 3 1 1
1 2 1 1 0 0 0 0
0 1 0 0 1 3 2 2
0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 2 1 1
0 1 0 0 0 2 1 1
0 2 1 1 0 1 0 0
0 0 7 27 13 13 11 44 22 22
KIA KB LAB KONSELING KIR SEHAT
BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM
LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
2 8 4 4 2 7 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 1 0 0 0 2 1 1 0 2 1 1 0 1 1 1 0 0 0 0 0 2 1 1
0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 5 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1
0 1 0 0 0 0 0 0 0 2 1 1 0 1 0 0 0 0 0 0 0 2 1 1
0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 2 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 4 2 2 2 8 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 3 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 4 2 2 2 9 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1 0 1 0 0 0 1 0 0 0 1 0 0 1 2 1 1
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 1 1 1 6 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
1 3 1 1 1 3 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 32 16 16 10 41 20 20 3 10 5 5 1 5 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 2 2 5 20 10 10
No DALAM GEDUNG JKN UMUM
1 KUNJUNGAN INDUK 869 1670
2 PUSTU 82 457
3 PONED 18 16
4 RAWAT INAP 16 22
985 2165 3150
No LUAR GEDUNG JKN UMUM
1 PUSLING 167 126
2 POSYANDU 2169
3 POSBINDU 23 72
4 PROLANIS 120
5 KUNJUNGAN RUMAH 5
6 UKGMD 0 0
2484 198 2682
3469 2363 5832
REKAP BULANAN PENDAFTARAN
PUSKESMAS WIDASARI
BULAN : DESEMBER 2018
PENGUNJUNG KUNJUNGAN TUJUAN (JUMLAH)
JUMLAH PASIEN (JUMLAH) (JUMLAH)
NO TANGGAL BP
UMUM LAMA BARU LAMA BARU UGD MTBS LANSIA REMAJA BP GIGI
UMUM
1 01-12-2018 20 13 7 13 7 16 2
2 02-12-2018 0 0 0 0
3 03-12-2018 54 41 13 41 13 25 6 4
4 04-12-2018 54 22 32 22 32 27 1 8 10
5 05-12-2018 36 18 18 18 18 19 6 4
6 06-12-2018 47 31 16 31 16 21 3 10 2
7 07-12-2018 28 23 5 23 5 14 6 2
8 08-12-2018 17 11 6 11 6 9 1 5
9 09-12-2018 0 0 0 0
10 10-12-2018 76 48 28 48 28 23 13 15
11 11-12-2018 41 23 18 23 18 18 6 4
12 12-12-2018 28 18 10 18 10 13 1 6 6
13 13-12-2018 38 20 18 20 18 27 4 4
14 14-12-2018 21 14 7 14 7 14 4 3
15 15-12-2018 17 10 7 10 7 9 1 2
16 16-12-2018 0 0 0 0
17 17-12-2018 81 53 28 53 28 35 9 12
18 18-12-2018 50 33 17 33 17 14 1 3 13
19 19-12-2018 37 22 15 22 15 15 1 9 5
20 20-12-2018 37 24 13 24 13 16 1 10 8
21 21-12-2018 77 67 10 67 10 39 1 14 15
22 22-12-2018 55 46 9 46 9 27 2 11 1 8
23 23-12-2018 0 0 0 0
24 24-12-2018 0 0 0 0
25 25-12-2018 0 0 0 0
26 26-12-2018 112 93 19 93 19 58 2 12 23
27 27-12-2018 119 107 12 107 12 62 23 14
28 28-12-2018 38 29 9 29 9 14 2 8 9
29 29-12-2018 84 76 8 76 8 50 15 2 7
30 30-12-3018 0 0 0 0
31 31-12-2018 49 31 18 31 18 21 10 7
JUMLAH 1216 873 343 873 343 586 17 202 3 0 175
TUJUAN (JUMLAH)
KIR
KIA KB LAB KONSELING SEHAT
19
7 1
4 1 2
3 8
3 1 1 1
1 1
21 4
2 7 4
1 1
1 1 1
2 3
24 1
15 4
4 1 2
2
4 4
2 3 1
12 4 1
18 2
3 1 1
7 2 1
10 1
167 33 0 1 32
REKAP BULANAN PENDAFTARAN
PUSKESMAS WIDASARI - JKN
BULAN DESEMBER 2018
PENGUNJUNG KUNJUNGAN
STATUS JKN (Jumlah) TUJUAN ( Jumlah )
JUMLAH TOTAL (JUMLAH) (Jumlah)
NO TANGGAL JKN BP
A B C D E LAMA BARU LAMA BARU UMUM UGD MTBS LANSIA REMAJA BP GIGI
1 01-12-2018 31 2 8 41 25 16 25 16 20 19
2 02-12-2018 0 0 0 0 0
3 03-12-2018 49 3 6 58 44 14 44 14 32 2 3
4 04-12-2018 27 7 34 31 3 31 3 21 1 2 3
5 05-12-2018 34 3 7 44 37 7 37 7 29 2 4
6 06-12-2018 20 5 6 31 23 8 23 8 23 1 2
7 07-12-2018 15 1 16 14 2 14 2 11 2
8 08-12-2018 19 1 1 21 19 2 19 2 19
9 09-12-2018 0 0 0 0 0
10 10-12-2018 48 2 6 56 40 16 40 16 34 2 6
11 11-12-2018 29 8 8 45 33 12 33 12 34 2
12 12-12-2018 26 3 5 34 18 16 18 16 25 1 4
13 13-12-2018 23 3 26 18 8 18 8 19 1 1
14 14-12-2018 15 2 3 20 15 5 15 5 14 1 1
15 15-12-2018 34 3 6 43 9 34 9 34 18 1 20
16 16-12-2018 0 0 0 0 0
17 17-12-2018 38 3 13 54 41 13 41 13 27 2 1 5
18 18-12-2018 32 5 5 42 37 5 37 5 30 1 2
19 19-12-2018 16 3 3 22 20 2 20 2 16 1 2
20 20-12-2018 26 1 4 31 19 12 19 12 23 1
21 21-12-2018 19 2 6 27 21 6 21 6 18 2 4
22 22-12-2018 34 2 7 43 40 3 40 3 9 1 31
23 23-12-2018 0 0 0 0 0
24 24-12-2018 0 0 0 0 0
25 25-12-2018 0 0 0 0 0
26 26-12-2018 34 2 6 42 34 8 34 8 34 4 1
27 27-12-2018 31 4 13 48 38 10 38 10 40 2 2
28 28-12-2018 31 3 5 39 29 10 29 10 25 3 7
29 29-12-2018 41 1 5 47 41 6 41 6 19 2 24
30 30-12-3018 0 0 0 0 0
31 31-12-2018 26 2 28 17 11 17 11 28 2 3
JUMLAH 698 68 0 0 126 864 663 218 646 218 540 5 30 94 0 55
ULANAN PENDAFTARAN
MAS WIDASARI - JKN
N DESEMBER 2018
TUJUAN ( Jumlah )
LAB KONSEL KIR
KIA KB ING SEHAT
1 1
21
4 2 1
2 1 6
2 3
1 2
2
14
1 8
3 1
1 2 2
3 1
1 3
16 3
3 5 1
2 1
3 1 3
1 2
2
3
3 1
4
1 1
3
88 32 2 0 23
REGISTER BULANAN PUSTU
PUSTU : BUNDER BULAN : DESEMBER 2018
STATUS (JUMLAH) KUNJUNGAN
PENGUNJUNG (JUMLAH)
JKN (JUMLAH)
NO TANGGAL
UMUM KASEP
A B C D E LAMA BARU LAMA BARU UMUM BP GIGI KIA KB
1 01-12-2018 5 20 25 25 0 25
2 02-12-2018 0 0 0 0
3 03-12-2018 2 25 27 27 0 27
4 04-12-2018 2 25 27 27 0 27
5 05-12-2018 4 13 17 17 0 17
6 06-12-2018 5 18 23 23 0 23
7 07-12-2018 4 20 24 24 0 24
8 08-12-2018 6 16 22 22 0 22
9 09-12-2018 0 0 0 0
10 10-12-2018 5 21 26 26 0 26
11 11-12-2018 2 15 17 17 0 17
12 12-12-2018 5 21 26 26 0 26
13 13-12-2018 1 17 18 18 0 18
14 14-12-2018 4 20 24 24 0 24
15 15-12-2018 4 17 21 21 0 21
16 16-12-2018 0 0 0 0
17 17-12-2018 2 13 15 15 0 15
18 18-12-2018 6 11 17 17 0 17
19 19-12-2018 1 14 15 15 0 15
20 20-12-2018 1 18 19 19 0 19
21 21-12-2018 1 15 16 16 0 16
22 22-12-2018 2 16 18 18 0 18
23 23-12-2018 0 0 0 0
24 24-12-2018 2 18 20 20 0 20
25 25-12-2018 0 0 0 0
26 26-12-2018 4 20 24 24 0 24
27 27-12-2018 8 9 17 17 0 17
28 28-12-2018 4 23 27 27 0 27
29 29-12-2018 1 26 27 27 0 27
30 30-12-3018 0 0 0 0
31 31-12-2018 1 26 27 27 0 27
JUMLAH 82 0 0 0 0 457 0 512 0 512 0 512 0 0 0
REGISTER BULANAN RAWAT INAP DAN PONED
PUSTU : BUNDER
RAWAT INAP KUNJUNGAN
(JUMLAH) JUMLAH
NO TANGGAL JKN
UMUM KUNJUNGAN
A B C D E LAMA BARU
1 01-12-2018
2 02-12-2018
3 03-12-2018
4 04-12-2018
5 05-12-2018
6 06-12-2018
7 07-12-2018
8 08-12-2018
9 09-12-2018
10 10-12-2018
11 11-12-2018
12 12-12-2018
13 13-12-2018
14 14-12-2018
15 15-12-2018
16 16-12-2018
17 17-12-2018
18 18-12-2018
19 19-12-2018
20 20-12-2018
21 21-12-2018
22 22-12-2018
23 23-12-2018
24 24-12-2018
25 25-12-2018
26 26-12-2018
27 27-12-2018
28 28-12-2018
29 29-12-2018
30 30-12-3018
31-12-2018
JUMLAH 16 22
P DAN PONED
BULAN : DESEMBER 2018
PONED KUNJUNGAN
(JUMLAH) JUMLAH
JKN
UMUM KUNJUNGAN
A B C D E LAMA BARU
18 16
BPJS Kesehatan
Badan Penyelenggara Jaminan Sosial
REKAP BULANAN LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA ( RJTP )
BULAN DESEMBER TAHUN 2018
Faskes : Puskemas Widasari
Alamat : Jl. Raya Ujung Jaya - Widasari
PESERTA JKN FASKES DI RUJUK
NO TANGGAL
A B C D E LUAR DALAM YA TIDAK
1 01-12-2018 31 2 8 41 5 36
2 02-12-2018 0 0 0
3 03-12-2018 49 3 6 58 6 52
4 04-12-2018 27 7 34 4 30
5 05-12-2018 34 3 7 44 8 36
6 06-12-2018 20 5 6 31 6 25
7 07-12-2018 15 1 16 1 15
8 08-12-2018 19 1 1 21 0 21
9 09-12-2018 0 0 0
10 10-12-2018 48 2 6 56 11 45
11 11-12-2018 29 8 8 45 10 35
12 12-12-2018 26 3 5 34 5 29
13 13-12-2018 23 3 26 2 24
14 14-12-2018 15 2 3 20 5 15
15 15-12-2018 34 3 6 43 4 39
16 16-12-2018 0 0 0
17 17-12-2018 38 3 13 54 6 48
18 18-12-2018 32 5 5 42 9 33
19 19-12-2018 16 3 3 22 4 18
20 20-12-2018 26 1 4 31 2 29
21 21-12-2018 19 2 6 27 0 27
22 22-12-2018 34 2 7 43 1 42
23 23-12-2018 0 0 0
24 24-12-2018 0 0 0
25 25-12-2018 0 0 0
26 26-12-2018 34 2 6 42 12 30
27 27-12-2018 31 4 13 48 11 37
28 28-12-2018 31 3 5 39 4 35
29 29-12-2018 41 1 5 47 47
30 30-12-3018 0 0
31 31-12-2018 0 0
JUMLAH 672 66 0 0 126 0 864 116 748
Total Peserta Yang Berkunjung : 864
Total Peserta Yang di Rujuk : 116
Total Peserta Faskes Luar :-
Total Peserta Faskes Dalam : 864
JUMLAH
TOTAL
41
0
58
34
44
31
16
21
0
56
45
34
26
20
43
0
54
42
22
31
27
43
0
0
0
42
48
39
47
0
0
864
KEMBALI
AWAL
41 41 41 41 35 5 41
0 0 0 0 37 2 0
58 58 58 58 19 2 58
34 34 34 34 0 1 34
44 44 44 44 0 0 44
31 31 31 31 21 1 31
16 16 16 16 0 3 16
21 21 21 21 47 3 21
0 0 0 0 36 2 0
56 56 56 56 30 1 56
45 45 45 45 45 27 3 45
34 34 34 34 34 22 2 34
26 26 26 26 26 21 3 26
20 20 20 20 20 0 3 20
43 43 43 43 43 53 5 43
0 0 0 0 0 36 0 0
54 54 54 54 54 26 5 54
42 42 42 42 42 20 1 42
22 22 22 22 22 32 0 22
31 31 31 31 31 9 0 31
27 27 27 27 27 27
43 43 43 43 43 39 0 43
0 0 0 0 0 27 0 0
0 0 0 0 0 25 1 0
0 0 0 0 0 20 2 0
42 42 42 42 42 19 1 42
48 48 48 48 48 15 0 48
39 39 39 39 39 0 0 39
47 47 47
0 0
0 0
864 864 864 864 864
864
864
864
41 163
0 39
58 195
34 103
44 132
31 115
16 51
21 113
0 38
56 199
45 165
34 126
26 102
20 63
43 187
0 36
54 193
42 147
22 98
31 102
27 81
43 168
0 27
0 26
0 22
42 146
48 159
39 117
LAPORAN BULANAN KUNJUNGAN PUSKESMAS
KEGIATAN LUAR GEDUNG
UPTD PUSKESMAS : WIDASARI
BULAN : DESEMBER 2018
JUMLAH KUNJUNGAN ( Orang )
NO KEGIATAN
JKN UMUM KASEP TOTAL
A. PUSLING
1 Pengobatan Umum 167 126 293
2 Pengobatan Gigi (Oleh Drg/Perawat Gigi)
JUMLAH KUNJUNGAN DI PUSLING 167 126 0 293
B. POSYANDU
1 KIA 2169 0 2169
2 KB 0 0 0
JUMLAH KUNJUNGAN DI POSYANDU 2169 0 2169
C. POSBINDU LANSIA
1 Pembinaan Lansia di Posbindu 23 72 0 95
JUMLAH KUNJUNGAN DI POSBINDU 23 72 0 95
D. UKGMD
1 Pembinaan Pasien di UKGMD (Oleh Drg/Perawat Gigi) 0 0 0 0
JUMLAH KUNJUNGAN DI UKGMD 0 0 0 0
E. KLUB PROLANIS
1 Pembinaan Pasien di Klub Prolanis 120 120
JUMLAH KUNJUNGAN DI KLUB PROLANIS 120 120
F. KUNJUNGAN RUMAH
1 Jumlah Seluruh Kunjungan Rumah ( Kali ) 5 5
JUMLAH TOTAL KUNJUNGAN RUMAH
G. PROMOTIF-PREVENTIF LAINNYA
1 Penyuluhan pada Kelompok Penyakit (selain Prolanis)
Indramayu, 2 Januari 2019
Mengetahui
Kepala UPTD Puskesmas Widasari Ka Subbag TU
HJ. Juhariah, S.ST Hilman Setia Permana, SE
NIP.19710206 198903 2 001 NIP. 19830606 200501 1 005
KEMBALI
AWAL
22 300
1125 846
3044 80
200 1226
452 327 98 229
4843
499
222 349 551
721 40 61
389 12
19
442
846
80
2011
2259
BPJS Kesehatan
Badan Penyelenggara Jaminan Sosial
REKAP BULANAN LAPORAN PELAYANAN
KUNJUNGAN JKN KEGIATAN LUAR GEDUNG
BULAN DESEMBER TAHUN 2018
Faskes : PUSKESMAS WIDASARI
Kegiatan : POSBINDU
PESERTA JKN JUMLAH TOTAL PESERTA
NO NAMA UKBM TANGGAL
A B C D E JKN UMUM KASEP
1 POSBINDU UJUNGARIS 01-12-2018 6 6 22
2 POSBINDU LEUWIGEDE 03-12-2018 17 17 4
3 POSBINDU BANGKALOA 05-12-2018 9 9 14
4 POSBINDU KASMARAN 06-12-2018 5 5 18
5 POSBINDU UJUNGPENDOK JAYA 07-12-2018 4 4 14
JUMLAH 23 0 0 0 0 23 72
KETERANGAN
A. PBI/Ex Jamkesmas
B. Ex Askes
C. Ex TNI & Polri
D. Ex. Jamsostek
E. JKN Mandiri
REGISTER BULANAN PUSLING
BULAN : DESEMBER 2018
JUMLAH PASIEN PENGOBATAN UMUM
JUMLAH
NO TANGGAL DESA JKN TOTAL
TOTAL JKN UMUM KASEP PASIEN
A B C D E
1 04-12-2018 KASMARAN 16 16 15 31
2 05-12-2018 LEUWIGEDE 21 21 15 36
3 06-12-2018 UJUNGPENDOK 19 19 10 29
4 11-12-2018 UJUNGJAYA 15 15 11 26
5 12-12-2018 UJUNGARIS 18 18 10 28
6 13-12-2018 KONGSIJAYA 21 21 13 34
7 16-12-2018 WIDASARI 16 16 14 30
8 19-12-2018 BANGKALOA 15 15 19 34
9 20-12-2018 KALENSARI 12 12 12 24
10 26-12-2018 BUNDER 14 14 7 21
JUMLAH 167 167 126 293
BPJS Kesehatan
Badan Penyelenggara Jaminan Sosial
REKAP BULANAN LAPORAN PELAYANAN
KUNJUNGAN JKN KEGIATAN LUAR GEDUNG
BULAN DESEMBER TAHUN 2018
Faskes : PUSKESMAS WIDASARI
Kegiatan : POSYANDU
PESERTA JKN JUMLAH TOTAL PESERTA
NO NAMA UKBM TANGGAL
A B C D E JKN UMUM KASEP
POSYANDU DESA KASMARAN
1 NAKULA 1 11-12-2018 15 15
2 NAKULA 2 12-12-2018 18 18
3 NAKULA 3 13-12-2018 12 12
4 SADEWA 1 18-12-2018 20 20
5 SADEWA 2 19-12-2018 13 13
6 SADEWA 3 20-12-2018 20 20
JUMLAH 98 98
POSYANDU DESA BANGKALOA
1 MAWAR 2 09-12-2018 31 31
2 DAHLIA 1 10-12-2018 29 29
3 KAMBOJA 12-12-2018 29
4 MELATI 13-12-2018 31 31
5 DAHLIA 2 14-12-2018 34 34
JUMLAH 154 154
POSYANDU DESA KALENSARI 0
1 MAWAR 10-12-2018 23 23
2 MELATI 11-12-2018 34 34
3 DAHLIA 17-12-2018 25 25
4 ANGGREK 18-12-2018 17 17
JUMLAH 99 99
POSYANDU DESA LEUWIGEDE
1 MELATI 10-12-2018 34 34
2 MAWAR 12-12-2018 34 34
3 KENANGA 13-12-2018 28 28
4 CEMPAKA 15-12-2018 30 30
5 ANGGREK 2 17-12-2018 27 27
6 ANGGREK 1 18-12-2018 13 13
7 TERATAI 1 20-12-2018 33 33
8 TERATAI 2 21-12-2018 23 23
JUMLAH 222 222
POSYANDU UJUNG ARIS
1 MANGGA 1 11-12-2018 30 30
2 MANGGA 2 12-12-2018 34 34
3 MANGGA 3 13-12-2018 25 25
4 MANGGA 4 14-12-2018 25 25
5 MANGGA 5 18-12-2018 30 30
6 MANGGA 6 19-12-2019 30 30
7 MANGGA 7 20-12-2018 30 30
8 MANGGA 8 21-12-2018 30 30
JUMLAH 234 234
POSYANDU DESA UJUNG JAYA 0
1 MAWAR 1 10-12-2018 66 66
2 MAWAR 2 11-12-2018 66 66
3 CEMPAKA 1 12-12-2018 66 66
4 ANGGREK 1 13-12-2018 66 66
5 ANGGREK 2 14-12-2018 65 65
6 MELATI 1 17-12-2018 33 33
7 MELATI 2 18-12-2018 66 66
8 CEMPAKA 2 19-12-2018 66 66
JUMLAH 494 494
POSYANDU DESA BUNDER
1 SEKAR PADI 1 09-12-2018 34 34
2 SEKAR PADI 2 10-12-2018 34 34
3 SEKAR PADI 3 11-12-2018 34 34
4 SEKAR PADI 4 12-12-2018 34 34
5 SEKAR BERINGIN 1 16-12-2018 34 34
7 SEKAR BERINGIN 2 17-12-2018 34 34
8 SEKAR BERINGIN 3 18-12-2018 34 34
9 SEKAR BERINGIN 4 19-12-2018 34 34
JUMLAH 272 272
POSYANDU DESA WIDASARI
1 PEPAYA 1 10-12-2018 34 34
2 PEPAYA 2 11-12-2018 34 34
3 BHAKTI HUSADA 12-12-2018 34 34
4 DELIMA 14-12-2018 34 34
5 WIJAYA KUSUMA 1 17-12-2018 34 34
6 WIJAYA KUSUMA 2 18-12-2018 34 34
7 WIJAYA KUSUMA 3 19-12-2018 34 34
8 WIJAYA KUSUMA 4 21-12-2018 34 34
JUMLAH 272 272
POSYANDU DESA UJUNG PENDOK
1 MAWAR 1 10-12-2018 10 10
2 MAWAR 2 11-12-2018 10 10
3 MAWAR 3 12-12-2018 15 15
4 MAWAR 4 13-12-2018 13 13
5 MAWAR 5 14-12-2018 9 9
JUMLAH 57 57
POSYANDU DESA KONGSI JAYA
1 MAWAR 12-12-2018 34 34
2 FLAMBOYAN 2 13-12-2018 71
3 TERATAI 1 14-12-2018 28 28
4 TERATAI 2 19-12-2018 52 52
5 MELATI 20-12-2018 34 34
6 FLAMBOYAN 1 21-12-2018 48 48
JUMLAH 267 196
JUMLAH TOTAL 2169 2098
BPJS Kesehatan
Badan Penyelenggara Jaminan Sosial
REKAP BULANAN LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA ( RJTP )
KEGIATAN LUAR GEDUNG
BULAN DESEMBER TAHUN 2018
Faskes : Puskemas Widasari
Alamat : Jl. Raya Ujung Jaya - Widasari
PESERTA JKN FASKES DI RUJUK
NO TANGGAL
A B C D E LUAR DALAM YA
1 01-12-2018 6 0 6
2 02-12-2018 0 0 0
3 03-12-2018 17 0 17
4 04-12-2018 16 0 16
5 05-12-2018 30 0 30
6 06-12-2018 24 0 24
7 07-12-2018 4 0 4
8 08-12-2018 0 0 0
9 09-12-2018 65 0 65
10 10-12-2018 230 0 230
11 11-12-2018 238 0 238
12 12-12-2018 316 0 316
13 13-12-2018 267 0 267
14 14-12-2018 195 0 195
15 15-12-2018 30 0 30
16 16-12-2018 50 0 50
17 17-12-2018 153 0 153
18 18-12-2018 214 0 214
19 19-12-2018 244 0 244
20 20-12-2018 129 0 129
21 21-12-2018 135 0 135
22 22-12-2018 0 0 0
23 23-12-2018 0 0 0
24 24-12-2018 0 0 0
25 25-12-2018 0 0 0
26 26-12-2018 14 0 14
27 27-12-2018 0 0 0
28 28-12-2018 0 0 0
29 29-12-2018 0 0 0
30 30-12-3018 0 0 0
31 31-12-2018 0 0 0
JUMLAH 2377 0 2377
Total Peserta Yang Berkunjung : 2377
Total Peserta Yang di Rujuk :0
Total Peserta Faskes Luar :0
Total Peserta Faskes Dalam : 2377
NAN
JTP )
DI RUJUK JUMLAH
TIDAK TOTAL
6 6
0 0
17 17
16 16
30 30
24 24
4 4
0 0
65 65
230 230
238 238
316 316
267 267
195 195
30 30
50 50
153 153
214 214
244 244
129 129
135 135
0 0
0 0
0 0
0 0
14 14
0 0
0 0
0 0
0 0
0 0
2377 2377
6
17
16
9 21
5 19
4
31 34
29 23 34 66 34
15 15 34 30 66 34
18 18 29 34 34 66 34
21 12 31 28 25 66
34 25 65
30
16 34
25 27 33 34
20 17 13 30 66 34
15 13 30 66 34
12 20 33 30
23 30
14
34 10
34 10
34 15 34
13 71
34 9 28
34
34
34 52
34
34 48
REKAP BULANAN PENDAFTARAN
PUSKESMAS WIDASARI - JKN
BULAN DESEMBER 2018
PENGUNJUNG KUNJUNGAN
STATUS JKN (Jumlah)
JUMLAH TOTAL (JUMLAH) (Jumlah)
NO TANGGAL JKN
A B C D E LAMA BARU LAMA BARU
1 01-12-2018 31 2 8 41 25 16 25 16
2 02-12-2018 0 0 0 0
3 03-12-2018 49 3 6 58 44 14 44 14
4 04-12-2018 27 7 34 31 3 31 3
5 05-12-2018 34 3 7 44 37 7 37 7
6 06-12-2018 20 5 6 31 23 8 23 8
7 07-12-2018 15 1 16 14 2 14 2
8 08-12-2018 19 1 1 21 19 2 19 2
9 09-12-2018 0 0 0 0
10 10-12-2018 48 2 6 56 40 16 40 16
11 11-12-2018 29 8 8 45 33 12 33 12
12 12-12-2018 26 3 5 34 18 16 18 16
13 13-12-2018 23 3 26 18 8 18 8
14 14-12-2018 15 2 3 20 15 5 15 5
15 15-12-2018 34 3 6 43 9 34 9 34
16 16-12-2018 0 0 0 0
17 17-12-2018 38 3 13 54 41 13 41 13
18 18-12-2018 32 5 5 42 37 5 37 5
19 19-12-2018 16 3 3 22 20 2 20 2
20 20-12-2018 26 1 4 31 19 12 19 12
21 21-12-2018 19 2 6 27 21 6 21 6
22 22-12-2018 34 2 7 43 40 3 40 3
23 23-12-2018 0 0 0 0
24 24-12-2018 0 0 0 0
25 25-12-2018 0 0 0 0
26 26-12-2018 34 2 6 42 34 8 34 8
27 27-12-2018 31 4 13 48 38 10 38 10
28 28-12-2018 31 3 5 39 29 10 29 10
29 29-12-2018 41 1 5 47 41 6 41 6
30 30-12-3018 0 0 0 0
31 31-12-2018 26 2 28 17 11 17 11
JUMLAH 698 68 0 0 126 864 663 218 646 218
PENDAFTARAN
IDASARI - JKN
MBER 2018
TUJUAN ( Jumlah )
BP LAB KONSEL KIR
UMUM UGD MTBS LANSIA REMAJA BP GIGI KIA KB ING SEHAT
20 19 1 1 21
0 0
32 2 3 21 26
21 1 2 3 4 2 1 13
29 2 4 2 1 6 15
23 1 2 2 3 8
11 2 1 2 5
19 2 2
0 0
34 2 6 14 22
34 2 1 8 11
25 1 4 3 1 9
19 1 1 1 2 2 7
14 1 1 3 1 6
18 1 20 1 3 25
0 0
27 2 1 5 16 3 27
30 1 2 3 5 1 12
16 1 2 2 1 6
23 1 3 1 3 8
18 2 4 1 2 9
9 1 31 2 34
0 0
0 0
0 0
34 4 1 3 8
40 2 2 3 1 8
25 3 7 4 14
19 2 24 1 1 28
0
28 2 3 3
540 5 30 94 0 55 88 32 2 0 23
669
KEMBA
LI
AWAL
41 41
0 0
58 58
34 34
44 44
31 31
16 16
21 21
0 0
56 56
45 45
34 34
26 26
20 20
43 43
0 0
54 54
42 42
22 22
31 31
27 27
43 43
0 0
0 0
0 0
42 42
48 48
39 39 575
47 47
864 864
23
BP UMUM UGD MTBS
NO BPJS UMUM BPJS UMUM BPJS
TANGGAL
URUT LM BR LM BR LM BR LM BR LM BR
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
1 01-12-2018 20 2 9 4 4 16 2 7 4 4 0 0 0 0 0 0 0 0 0 0 0 0
2 02-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 03-12-2018 32 4 14 7 7 25 3 11 6 6 0 0 0 0 0 0 0 0 2 0 1 1 0
4 04-12-2018 21 2 9 5 5 27 3 12 6 6 1 0 1 0 0 1 0 1 0 0 2 0 1 1 0
5 05-12-2018 29 3 13 6 6 19 2 8 4 4 0 0 0 0 0 0 0 0 2 0 1 1 0
6 06-12-2018 23 3 10 5 5 21 2 9 5 5 1 0 1 0 0 3 0 1 1 1 0 0 0 0
7 07-12-2018 11 1 5 2 2 14 2 6 3 3 0 0 0 0 0 0 0 0 0 0 0 0
8 08-12-2018 19 2 8 4 4 9 1 4 2 2 0 0 0 0 1 0 1 0 0 0 0 0 0
9 09-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 10-12-2018 34 4 15 8 8 23 3 10 5 5 0 0 0 0 0 0 0 0 2 0 1 1 0
11 11-12-2018 34 4 15 8 8 18 2 8 4 4 0 0 0 0 0 0 0 0 0 0 0 0
12 12-12-2018 25 3 11 6 6 13 1 6 3 3 0 0 0 0 1 0 1 0 0 1 0 1 0 0
13 13-12-2018 19 2 8 4 4 27 3 12 6 6 0 0 0 0 0 0 0 0 1 0 1 0 0
14 14-12-2018 14 2 6 3 3 14 2 6 3 3 0 0 0 0 0 0 0 0 1 0 1 0 0
15 15-12-2018 18 2 8 4 4 9 1 4 2 2 1 0 1 0 0 1 0 1 0 0 0 0 0 0
16 16-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 17-12-2018 27 3 12 6 6 35 4 16 8 8 2 0 1 1 0 0 0 0 0 1 0 0 1 0
18 18-12-2018 30 3 13 7 7 14 2 6 3 3 0 0 0 0 1 0 1 0 0 1 0 1 0 0
19 19-12-2018 16 2 7 4 4 15 2 7 3 3 0 0 0 0 1 0 0 1 0 1 0 1 0 0
20 20-12-2018 23 3 10 5 5 16 2 7 4 4 0 0 0 0 1 0 1 0 0 0 0 0 0
21 21-12-2018 18 2 8 4 4 39 4 17 9 9 0 0 0 0 1 0 0 1 0 2 0 1 1 0
22 22-12-2018 9 1 4 2 2 27 3 12 6 6 0 0 0 0 2 0 1 0 0 1 0 1 0
23 23-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 24-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 25-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 26-12-2018 34 4 15 8 8 58 6 26 13 13 0 0 0 0 2 0 1 1 0 4 0 2 1 1
27 27-12-2018 40 4 18 9 9 62 7 28 14 14 0 0 0 0 0 0 0 0 2 0 1 1 0
28 28-12-2018 25 3 11 6 6 14 2 6 3 3 0 0 0 0 2 0 1 1 0 3 0 1 1 1
29 29-12-2018 19 2 8 4 4 50 6 22 11 11 0 0 0 0 0 0 0 0 2 0 1 1 0
30 30-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 31-12-2018 28 3 12 6 6 21 2 9 5 5 0 0 0 0 0 0 0 0 2 0 1 1 0
JUMLAH 520 58 231 116 116 549 61 244 122 122 5 1 4 0 1 17 2 11 3 4 28 3 16 8 6
520 549
LAPORAN KUNJUNGAN HARIAN
PUSKESMAS WIDASARI
BULAN DESEMBER TAHUN 2018
MTBS LANSIA REMAJA BP GIGI
UMUM BPJS UMUM BPJS UMUM BPJS UMUM
LM BR LM BR LM BR LM BR LM BR LM BR LM
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
2 0 1 1 0 19 2 8 4 4 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 1 3 1 1 0 0 0 0 0 0 0 0 3 0 1 1 1 4 0 2
8 1 4 2 2 0 0 0 0 0 0 0 0 3 0 1 1 1 10 1 4
6 1 3 1 1 0 0 0 0 0 0 0 0 4 0 2 1 1 4 0 2
10 1 4 2 2 0 0 0 0 0 0 0 0 2 0 1 1 0 2 0 1
6 1 3 1 1 0 0 0 0 0 0 0 0 2 0 1 0 1 2 0 1
5 1 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 1 6 3 3 0 0 0 0 0 0 0 0 6 1 3 1 1 15 2 7
6 1 3 1 1 0 0 0 0 0 0 0 0 2 0 1 0 0 4 0 2
6 1 3 1 1 0 0 0 0 0 0 0 0 4 0 2 1 1 6 1 3
4 0 2 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 4 0 2
4 0 2 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 3 0 1
2 0 1 1 0 20 2 9 4 4 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 1 4 2 2 0 0 0 0 0 0 0 0 5 1 2 1 1 12 1 5
3 0 1 1 1 0 0 0 0 0 0 0 0 2 0 1 1 0 13 1 6
9 1 4 2 2 0 0 0 0 0 0 0 0 2 0 1 0 1 5 1 2
10 1 4 2 2 0 0 0 0 0 0 0 0 1 0 1 0 0 8 1 4
14 2 6 3 3 0 0 0 0 0 0 0 0 4 0 2 1 1 15 2 7
11 1 5 2 2 31 3 14 7 7 1 0 1 0 0 0 0 0 0 8 1 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 1 5 3 3 0 0 0 0 0 0 0 0 1 0 1 0 0 23 3 10
23 3 10 5 5 0 0 0 0 0 0 0 0 2 0 1 1 0 14 2 6
8 1 4 2 2 0 0 0 0 0 0 0 0 7 1 3 2 2 9 1 4
15 2 7 3 3 24 3 11 5 5 2 0 1 1 0 0 0 0 0 7 1 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 1 4 2 2 0 0 0 0 0 0 0 0 3 0 1 1 1 7 1 3
190 21 84 43 42 75 8 33 17 17 0 2 1 1 0 0 0 0 0 0 0 0 52 6 25 11 13 168 19 75
54 169
IGI KIA KB LAB KONSEL
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS
BR LM BR LM BR LM BR LM BR LM BR LM BR LM
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 1 0 1 0 0 2 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 21 2 9 5 5 19 2 8 4 4 0 0 0 0 0 0 0 0 0 0 0 0
2 2 4 0 2 1 1 7 1 3 2 2 2 0 1 1 0 1 0 1 0 0 0 0 0 0
1 1 2 0 1 0 0 4 0 2 1 1 1 0 0 0 0 1 0 0 1 0 0 0 0 0
1 0 2 0 1 0 0 3 0 1 1 1 3 0 1 1 1 0 0 0 0 0 0 0 0
0 1 1 0 1 0 0 3 0 1 1 1 2 0 1 0 1 1 0 1 0 0 0 0 0 0
0 0 2 0 1 1 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 14 2 6 3 3 21 2 9 5 5 0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 0 1 0 0 2 0 1 1 0 8 1 4 2 2 7 1 3 2 2 0 0 0 0
1 1 3 0 1 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 0 0 1 0 1 0 1 0 0 2 0 1 0 0 1 0 1 0 0 2 0 1 1 0
1 1 3 0 1 1 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0
0 0 1 0 1 0 0 2 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
3 3 16 2 7 4 4 24 3 11 5 5 0 0 0 0 0 0 0 0 0 0 0 0
3 3 3 0 1 1 1 15 2 7 3 3 5 1 2 1 1 4 0 2 1 1 0 0 0 0
1 1 2 0 1 1 0 4 0 2 1 1 1 0 1 0 0 1 0 1 0 0 0 0 0 0
2 2 3 0 1 1 1 2 0 1 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0
3 3 1 0 1 0 0 4 0 2 1 1 0 0 0 0 4 0 2 1 1 0 0 0 0
2 2 0 0 0 0 2 0 1 0 0 0 0 0 0 3 0 1 1 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 5 0 0 0 0 12 1 5 3 3 3 0 1 1 1 4 0 2 1 1 0 0 0 0
3 3 3 0 1 1 1 18 2 8 4 4 1 0 0 1 0 2 0 1 1 0 0 0 0 0
2 2 4 0 2 1 1 3 0 1 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0
2 2 0 0 0 0 7 1 3 2 2 1 0 1 0 0 2 0 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 2 3 0 1 1 1 10 1 4 2 2 0 0 0 0 0 0 0 0 0 0 0 0
37 38 87 10 41 19 19 155 17 70 35 34 31 3 15 8 7 33 4 18 6 7 0 1 1 0 0 0 0 0 0 0
89 ### 34 35
KONSELING KIR SEHAT
BPJS UMUM BPJS UMUM
BR LM BR LM BR LM BR
LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 1 0 0 0 0 0 0
0 0 0 0 6 1 3 1 1 2 0 1 1 0
0 0 0 0 0 0 0 0 8 1 4 2 2
1 0 1 0 0 0 0 0 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 4 0 2 1 1
0 0 0 0 0 0 0 0 4 0 2 1 1
0 0 0 0 1 0 1 0 0 1 0 1 0 0
0 0 0 0 0 0 0 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 3 0 1 1 1 3 0 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 3 0 1 1 1 1 0 1 0 0
0 0 0 0 1 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2 0 1 1 0
0 0 0 0 3 0 1 1 1 0 0 0 0
0 0 0 0 2 0 1 1 0 0 0 0 0
0 0 0 0 2 0 1 1 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 1 0 0
0 0 0 0 1 0 1 0 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 1 0 0
0 0 0 1 0 0 23 3 12 4 5 31 3 18 4 7
32
LAPORAN KUNJUNGAN
PUSKESMAS WIDA
BULAN DESEMBER TAH
BP UMUM UGD MTBS LANSIA REMAJA
NO BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM
TANGGAL
URUT LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
1 01-12-2018 2 9 4 4 2 7 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 2 8 4 4 0 0 0 0
2 02-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 03-12-2018 4 14 7 7 3 11 6 6 0 0 0 0 0 0 0 0 0 1 1 0 1 3 1 1 0 0 0 0 0 0 0 0
4 04-12-2018 2 9 5 5 3 12 6 6 0 1 0 0 0 1 0 0 0 1 1 0 1 4 2 2 0 0 0 0 0 0 0 0
5 05-12-2018 3 13 6 6 2 8 4 4 0 0 0 0 0 0 0 0 0 1 1 0 1 3 1 1 0 0 0 0 0 0 0 0
6 06-12-2018 3 10 5 5 2 9 5 5 0 1 0 0 0 1 1 1 0 0 0 0 1 4 2 2 0 0 0 0 0 0 0 0
7 07-12-2018 1 5 2 2 2 6 3 3 0 0 0 0 0 0 0 0 0 0 0 0 1 3 1 1 0 0 0 0 0 0 0 0
8 08-12-2018 2 8 4 4 1 4 2 2 0 0 0 0 0 1 0 0 0 0 0 0 1 2 1 1 0 0 0 0 0 0 0 0
9 09-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 10-12-2018 4 15 8 8 3 10 5 5 0 0 0 0 0 0 0 0 0 1 1 0 1 6 3 3 0 0 0 0 0 0 0 0
11 11-12-2018 4 15 8 8 2 8 4 4 0 0 0 0 0 0 0 0 0 0 0 0 1 3 1 1 0 0 0 0 0 0 0 0
12 12-12-2018 3 11 6 6 1 6 3 3 0 0 0 0 0 1 0 0 0 1 0 0 1 3 1 1 0 0 0 0 0 0 0 0
13 13-12-2018 2 8 4 4 3 12 6 6 0 0 0 0 0 0 0 0 0 1 0 0 0 2 1 1 0 0 0 0 0 0 0 0
14 14-12-2018 2 6 3 3 2 6 3 3 0 0 0 0 0 0 0 0 0 1 0 0 0 2 1 1 0 0 0 0 0 0 0 0
15 15-12-2018 2 8 4 4 1 4 2 2 0 1 0 0 0 1 0 0 0 0 0 0 0 1 1 0 2 9 4 4 0 0 0 0
16 16-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 17-12-2018 3 12 6 6 4 16 8 8 0 1 1 0 0 0 0 0 0 0 1 0 1 4 2 2 0 0 0 0 0 0 0 0
18 18-12-2018 3 13 7 7 2 6 3 3 0 0 0 0 0 1 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0
19 19-12-2018 2 7 4 4 2 7 3 3 0 0 0 0 0 0 1 0 0 1 0 0 1 4 2 2 0 0 0 0 0 0 0 0
20 20-12-2018 3 10 5 5 2 7 4 4 0 0 0 0 0 1 0 0 0 0 0 0 1 4 2 2 0 0 0 0 0 0 0 0
21 21-12-2018 2 8 4 4 4 17 9 9 0 0 0 0 0 0 1 0 0 1 1 0 2 6 3 3 0 0 0 0 0 0 0 0
22 22-12-2018 1 4 2 2 3 12 6 6 0 0 0 0 0 1 0 0 0 1 0 1 5 2 2 3 14 7 7 0 1 0 0
23 23-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 24-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 25-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 26-12-2018 4 15 8 8 6 26 13 13 0 0 0 0 0 1 1 0 0 2 1 1 1 5 3 3 0 0 0 0 0 0 0 0
27 27-12-2018 4 18 9 9 7 28 14 14 0 0 0 0 0 0 0 0 0 1 1 0 3 10 5 5 0 0 0 0 0 0 0 0
28 28-12-2018 3 11 6 6 2 6 3 3 0 0 0 0 0 1 1 0 0 1 1 1 1 4 2 2 0 0 0 0 0 0 0 0
29 29-12-2018 2 8 4 4 6 22 11 11 0 0 0 0 0 0 0 0 0 1 1 0 2 7 3 3 3 11 5 5 0 1 1 0
30 30-12-2018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 31-12-2018 3 12 6 6 2 9 5 5 0 0 0 0 0 0 0 0 0 1 1 0 1 4 2 2 0 0 0 0 0 0 0 0
JUMLAH 58 231 116 116 61 244 122 122 1 4 0 1 2 11 3 4 3 16 8 6 21 84 43 42 8 33 17 17 0 2 1 1 0 0 0 0 0 0
LAPORAN KUNJUNGAN HARIAN
PUSKESMAS WIDASARI
BULAN DESEMBER TAHUN 2018
REMAJA BP GIGI
UMUM BPJS UMUM
BR LM BR LM BR
LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1 1 1 0 2 1 1
0 1 1 1 1 4 2 2
0 2 1 1 0 2 1 1
0 1 1 0 0 1 1 0
0 1 0 1 0 1 0 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 3 1 1 2 7 3 3
0 1 0 0 0 2 1 1
0 2 1 1 1 3 1 1
0 1 0 0 0 2 1 1
0 0 1 0 0 1 1 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 2 1 1 1 5 3 3
0 1 1 0 1 6 3 3
0 1 0 1 1 2 1 1
0 1 0 0 1 4 2 2
0 2 1 1 2 7 3 3
0 0 0 0 1 4 2 2
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1 0 0 3 10 5 5
0 1 1 0 2 6 3 3
1 3 2 2 1 4 2 2
0 0 0 0 1 3 2 2
0 0 0 0 0 0 0 0
0 1 1 1 1 3 2 2
0 0 6 25 11 13 19 75 37 38
KIA KB LAB KONSELING KIR SEHAT
BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM
LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 1 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 9 5 5 2 8 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 1 1 1 3 2 2 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 1 0 0 0 2 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 3 1 1 0 1 1 0
0 1 0 0 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 2 2
0 1 0 0 0 1 1 1 0 1 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0
0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 3 3 2 9 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1
0 1 0 0 0 1 1 0 1 4 2 2 1 3 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1
0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0
0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 7 4 4 3 11 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0
0 1 1 1 2 7 3 3 1 2 1 1 0 2 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 1 1 0 0 2 1 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0
0 1 1 1 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0
0 1 0 0 0 2 1 1 0 0 0 0 0 2 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0
0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 5 3 3 0 1 1 1 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 1 1 1 2 8 4 4 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 1 1 0 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 1 3 2 2 0 1 0 0 0 1 1 0 0 0 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 1 1 1 1 4 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
10 41 19 19 17 70 35 34 3 15 8 7 4 18 6 7 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 3 12 4 5 3 18 4 7
REKAP BULANAN PENDAFTARAN
PUSKESMAS WIDASARI
BULAN : DESEMBER 2018
PENGUNJUNG KUNJUNGAN TU
JUMLAH PASIEN (JUMLAH) (JUMLAH)
NO TANGGAL BP
UMUM LAMA BARU LAMA BARU UGD MTBS
UMUM
1 01-12-2018 20 13 7 13 7 16 2
2 02-12-2018 0 0 0 0
3 03-12-2018 54 41 13 41 13 25 6
4 04-12-2018 54 22 32 22 32 27 1 8
5 05-12-2018 36 18 18 18 18 19 6
6 06-12-2018 47 31 16 31 16 21 3 10
7 07-12-2018 28 23 5 23 5 14 6
8 08-12-2018 17 11 6 11 6 9 1 5
9 09-12-2018 0 0 0 0
10 10-12-2018 76 48 28 48 28 23 13
11 11-12-2018 41 23 18 23 18 18 6
12 12-12-2018 28 18 10 18 10 13 1 6
13 13-12-2018 38 20 18 20 18 27 4
14 14-12-2018 21 14 7 14 7 14 4
15 15-12-2018 17 10 7 10 7 9 1 2
16 16-12-2018 0 0 0 0
17 17-12-2018 81 53 28 53 28 35 9
18 18-12-2018 50 33 17 33 17 14 1 3
19 19-12-2018 37 22 15 22 15 15 1 9
20 20-12-2018 37 24 13 24 13 16 1 10
21 21-12-2018 77 67 10 67 10 39 1 14
22 22-12-2018 55 46 9 46 9 27 2 11
23 23-12-2018 0 0 0 0
24 24-12-2018 0 0 0 0
25 25-12-2018 0 0 0 0
26 26-12-2018 112 93 19 93 19 58 2 12
27 27-12-2018 119 107 12 107 12 62 23
28 28-12-2018 38 29 9 29 9 14 2 8
29 29-12-2018 84 76 8 76 8 50 15
30 30-12-3018 0 0 0 0
31 31-12-2018 49 31 18 31 18 21 10
JUMLAH 1216 873 343 873 343 586 17 202
NDAFTARAN
DASARI
TUJUAN (JUMLAH) KEMBALI
KIR AWAL
LANSIA REMAJA BP GIGI KIA KB LAB KONSELING SEHAT
2 20 4 20 20
0 0 0 0
4 19 54 29 54 0
10 7 1 54 27 54 0
4 4 1 2 36 17 36 36
2 3 8 47 26 47 47
2 3 1 1 1 28 14 28 28
1 1 17 8 17 17
0 0 0 0
15 21 4 76 53 76 76
4 2 7 4 41 23 41 41
6 1 1 28 15 28 28
4 1 1 1 38 11 38 38
3 21 7 21 21
2 3 17 8 17 17
0 0 0 0
12 24 1 81 46 81 81
13 15 4 50 36 50 50
5 4 1 2 37 22 37 37
8 2 37 21 37 37
15 4 4 77 38 77 77
1 8 2 3 1 55 28 55 55
0 0 0 0
0 0 0 0
0 0 0 0
23 12 4 1 112 54 112 112
14 18 2 119 57 119 119
9 3 1 1 38 24 38 38
2 7 7 2 1 84 34 84 84
0 0 0 0
7 10 1 49 28 49 49
3 0 175 167 33 0 1 32 1167 603
1216
603
KEMBALI
AWAL
20
0
0
0
36
47
28
17
0
76
41
28
38
21
17
0
81
50
37 1216
37
77
55
0
0
0
112
119 0
38
84 0
0
49
805 805
LAPORAN KUNJUNGAN HARIAN
PUSKESMAS WIDASARI
BULAN DESEMBER TAHUN 2018
BP UMUM UGD MTBS LANSIA REMAJA
NO BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM
TANGGAL
URUT LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK
1 2 6 3 3 6 23 11 11 0 1 1 0 0 0 0 0 1 0 0 0 1 4 2 2
2 2 8 4 3 6 22 11 11 0 1 0 0 0 0 0 0 1 0 0 0 1 3 2 2
3 2 10 5 5 3 13 7 7 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1
4 1 3 2 1 3 12 6 6 0 0 0 0 1 0 0 0 0 0 0 0 0 2 1 1
5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 4 15 8 7 7 27 13 13 0 0 0 0 1 1 1 1 0 1 1 1 0 0 0 0
7 3 12 6 6 4 17 9 9 0 0 0 0 1 0 0 0 1 0 0 0 1 5 2 2
8 3 12 6 5 5 21 11 10 0 0 0 0 0 2 1 1 0 0 0 0 1 4 2 2
9 3 12 6 5 5 20 10 10 0 0 0 0 0 0 0 0 0 0 0 0 1 4 2 2
10 1 6 3 3 4 16 8 8 0 0 0 0 0 0 0 0 1 0 0 0 1 4 2 2
11 3 11 5 5 4 18 9 9 0 1 1 1 1 0 0 0 1 0 0 0 0 1 1 1
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 3 11 5 5 5 21 11 11 0 0 0 0 1 0 0 0 1 0 0 0 1 4 2 2
14 4 16 8 7 7 26 13 13 0 0 0 0 0 0 0 0 1 0 0 0 0 2 1 1
15 4 14 7 7 5 19 9 10 0 0 0 0 1 0 0 0 0 0 0 0 1 5 2 2
16 4 18 9 9 5 21 11 11 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
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
18 3 11 6 5 3 14 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 2 10 5 5 6 23 11 11 1 0 0 0 1 0 0 0 0 0 0 0 1 3 2 2
21 3 13 6 7 6 22 11 11 1 0 0 0 1 0 0 0 0 0 0 0 1 3 1 1
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 4 16 8 9 3 12 6 6 1 1 0 0 1 2 1 1 0 1 1 1 1 4 2 2
24 2 7 4 3 2 8 4 4 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1
25 3 10 5 5 3 14 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1
26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 3 12 6 6 4 14 7 7 0 0 0 0 0 1 0 0 1 1 0 0 1 3 2 2
28 4 17 8 9 6 23 11 12 1 1 0 0 0 0 0 0 0 0 0 0 1 4 2 2
29 3 14 7 7 6 24 12 12 0 1 1 1 0 1 1 1 0 0 0 0 1 2 1 1
30 2 6 3 3 3 14 7 7 0 0 0 0 0 2 1 1 0 0 0 0 0 2 1 1
31 3 14 7 7 4 14 7 7 1 0 0 0 1 0 0 0 1 0 0 0 1 4 2 2
JUMLAH 71 282 142 139 115 458 230 229 6 11 6 5 11 13 7 7 10 7 4 4 18 67 34 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
EMAJA BP GIGI
UMUM BPJS
BR LM BR
PR LK PR LK PR
0 1 1 1
0 2 1 1
0 2 1 1
0 0 0 0
0 0 0 0
0 0 0 0
1 3 1 1
0 2 1 1
0 1 0 0
0 1 0 0
0 0 0 0
0 0 0 0
1 2 1 1
1 3 1 1
0 1 1 1
0 1 1 1
0 0 0 0
1 1 0 0
0 0 0 0
0 2 1 1
0 1 0 0
0 0 0 0
1 2 1 1
0 0 0 0
1 0 0 0
0 0 0 0
0 1 0 0
1 2 1 1
1 0 0 0
1 0 0 0
1 0 0 0
0 10 30 14 14
LAPORAN KUNJUNGAN HARIAN
PUSKESMAS WIDASARI
BULAN AGUSTUS TAHUN 2018
BP GIGI KIA KB LAB KONSELING KIR SEHAT
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM
LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR LM BR
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
1 6 3 3 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 1 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1
1 3 1 1 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1
0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 1 2 7 3 3 3 11 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 1 1 1 1 3 1 1 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0
1 4 2 2 1 3 1 1 1 3 2 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
1 3 1 1 0 0 0 0 1 3 2 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
1 3 1 1 1 1 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0
0 0 0 0 1 3 1 1 1 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 4 2 2 1 4 2 2 3 10 5 5 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0
0 2 1 1 1 4 2 2 1 4 2 2 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0
1 3 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0
0 2 1 1 1 1 0 0 1 2 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
1 3 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 1 5 3 3 2 8 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 1 1 1 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 2 1 1 1 2 1 1 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 2 1 1
0 1 0 0 1 0 0 0 1 4 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 4 2 2 2 8 4 4 1 4 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 2 1 1
1 4 2 2 0 2 1 1 1 4 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 4 2 2 0 1 1 1 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 2 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1
12 55 27 27 17 51 27 25 19 72 36 36 1 5 3 3 2 4 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 5 2 2 5 19 9 9
LAPORAN BULANAN PROGRAM JKN
KEPESERTAAN DAN PEMANFAATAN PELAYANAN KESEHATAN
DILUAR GEDUNG PUSKESMAS
==================================================================================
PUSKESMAS : WIDASARI
BULAN : DESEMBER 2018
JUMLAH
UTILITY
NO VARIABEL KUNJUNGAN LUAR KET.
PESERTA RATE
GEDUNG
1 2 3 4 5 6
A. KEPESERTAAN
1 PBI (EKS JAMKESMAS) 22649 2484 11.0%
2 ASKES PNS
3 TNI
4 POLRI
5 JAMSOSTEK
6 MANDIRI
JUMLAH 22649 2484 11.0%
B. PEMANFAATAN
1 KUNJUNGAN PUSLING 167
2 KUNJUNGAN POSYANDU 2169
KUNJUNGAN POSBINDU
3 23
LANSIA
4 KUNJUNGAN UKGMD
KUNJUNGAN KLUB
5 120
PROLANIS
6 KUNJUNGAN RUMAH 5
KUNJUNGAN KEGIATAN
7 PROMOTIF-PREVENTIF
LAINNYA
JUMLAH 2484
Indramayu, 1 Desember 2018
Mengetahui
Kepala UPTD Puskesmas
Ka Subbag TU
Widasari
Widasari
HJ. Juhariah, S.ST Hilman Setia Permana, SE
NIP.19710206 198903 2 001 NIP. 19720229 199503 2 003
114 10 2 442 926
12 57
327 120
187
334 50 384 2488
2 1 3 2276
13 4 17 1685 212
576 803
1373 2488
27
fg 1976
69 80
513
17
60
436
482 482
#REF!
1368
149
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