REKAP HASIL PENJARINGAN ANAK SEKOLAH TAHUN 2018

NAMA PUSKESMAS SAJIRA

JUMLAH SEKOLAH YANG ADA 42

NO NAMA SEKOLAH
JUMLAH ANAK DIPERIKSA
JUMLAH MURID STATUS GIZI INDIKATOR IMT/ U TB/U
KESEHATAN
HASIL PEME
SANGAT GEMUK GEMUK > 2SD NORMAL KURUS < -2 SANGAT SANGAT
> 3 SD SD KURUS - 3 SD TINGGI NORMALPENDEK PENDEK

PEREMPUAN

PEREMPUAN
LAKI- LAKI

LAKI- LAKI
NORMAL

TOTAL

TOTAL
%

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%

%
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1 SDN 1 MARAYA 20 10 30 20 10 30 100 0 0 0 0 27 90 3 10 0 0 0 0 30 100 0 0 0 0 30
2 SDN 2 MARAYA 16 13 29 16 13 29 100 0 0 0 0 26 89.655 3 10.345 0 0 0 0 29 100 0 0 0 0 29
3 SDN 2 MARGALUYU 22 16 38 22 16 38 100 0 0 0 0 32 84.211 6 15.789 0 0 0 0 38 100 0 0 0 0 38
4 MTS RAUDATUL AULAD 9 9 18 9 9 18 100 0 0 2 11.111 12 66.667 4 22.222 0 0 0 0 18 100 0 0 0 0 18
5 SMP AL MUBASYIRIN 6 12 18 6 12 18 100 0 0 0 0 0 0 0 0 0 0 0 0 18 100 0 0 0 0 18
6 SMA AL MUBASYIRIN 8 10 18 8 10 18 100 0 0 0 0 0 0 0 0 0 0 0 0 18 100 0 0 0 0 18
7 MI SAJIRA MEKAR 9 8 17 9 8 17 100 0 0 0 0 0 0 0 0 0 0 0 0 17 100 0 0 0 0 17
8 SDN 1 SAJIRA MEKAR 17 13 30 17 13 30 100 0 0 0 0 0 0 0 0 0 0 0 0 30 100 0 0 0 0 30
9 SDN 1 SAJIRA MEKAR 22 24 46 22 24 46 100 0 0 0 0 31 67.391 4 8.6957 0 0 0 0 46 100 0 0 0 0 46
10 SDN 2 SAJIRA 4 14 18 4 14 18 100 0 0 0 0 3 16.667 7 0 0 0 0 18 100 0 0 0 0 18
11 SDN 3 SAJIRA 13 17 30 13 17 30 100 0 0 0 0 8 26.667 15 50 7 23.333 0 0 30 100 0 0 0 0 30
12 MTS SAJIRA 7 7 14 7 7 14 100 0 0 1 7.1429 10 71.429 3 21.429 0 0 0 0 14 100 0 0 0 0 14
13 MA SAJIRA 9 4 13 9 4 13 100 0 0 0 0 13 100 0 0 0 0 0 0 13 100 0 0 0 0 13
14 MTS ALINGGA 8 15 23 8 15 23 100 0 0 0 0 23 100 0 0 1 4.3478 0 0 18 78 3 13 0 0 23
15 SMK ALINGGA 8 6 14 8 6 14 100 0 0 0 0 11 78.571 3 21.429 0 0 0 0 17 121 1 7.14 0 0 14
16 MA AL-HASANAH 15 21 36 15 21 36 100 0 0 0 0 25 69.444 7 19.444 4 11.111 0 0 16 44 2 5.56 0 0 36
17 MTS AL-HASANAH 15 5 20 15 5 20 100 0 0 1 5 16 80 1 5 0 0 0 0 18 90 0 0 0 0 18
18 SMPN 1 SAJIRA 14 22 36 14 22 36 100 0 0 0 0 20 55.556 14 38.889 2 5.5556 0 0 32 89 0 0 0 0 36
19 SDN 1 SINDANGSARI 19 14 33 19 14 33 100 0 0 2 11.11 29 87.879 0 0 0 0 0 0 32 97 1 3 0 0 33
20 SDN 1 SINDANGSARI 18 18 36 18 18 36 100 0 0 2 5.5556 28 77.778 6 16.667 0 0 0 0 33 92 6 17 0 0 36
21 SDN 1 MARGALUYU 6 9 15 6 9 15 100 0 0 0 0 0 0 0 0 0 0 0 0 15 100 0 0 0 0 29
22 SDN 3 MARGALUYU 10 19 29 10 19 29 100 0 0 0 0 28 96.552 0 0 0 0 0 0 29 100 0 0 0 0 29
23 MTS AL-HIDAYAH 23 24 47 23 24 47 100 0 0 0 0 44 93.617 0 0 0 0 0 0 44 94 3 6.38 0 0 44
24 MTS AL-MUAWANAH 2 9 11 2 9 11 100 0 0 0 0 10 90.909 1 9.0909 0 0 0 0 11 100 0 0 0 0 10
25 SDN SUKAJAYA 1 7 11 18 7 11 18 100 0 0 0 0 0 0 0 0 0 0 0 0 15 83 3 17 0 0 18
26 SMK FATHULBARIYAH 3 14 17 3 14 17 100 0 0 0 0 0 0 0 0 0 0 0 0 14 82 3 18 0 0 17
27 MTS FATHUL BARIYAH 5 8 13 5 8 13 100 0 0 0 0 0 0 0 0 0 0 0 0 13 100 0 0 0 0 13
28 MI FATHULBARIYAH 3 8 11 3 8 11 100 0 0 0 0 0 0 0 0 0 0 0 0 11 100 0 0 0 0 11
29 SD SUKAJAYA 2 9 9 18 9 9 18 100 0 0 0 0 0 0 0 0 0 0 0 0 18 100 0 0 0 0 18
30 SDN 1 SUKARAME 8 7 15 8 7 15 100 0 0 0 0 15 100 0 0 0 0 0 0 15 100 0 0 0 0 15
31 SDN 3 SUKARAME 9 6 15 9 6 15 100 0 0 0 0 15 100 0 0 0 0 0 0 15 100 0 0 0 0 15
32 SMK AT-TUMANINAH 5 6 11 5 6 11 100 0 0 0 0 11 100 0 0 0 0 0 0 11 100 0 0 0 0 11
33 MTS AT-TUMANINAH 15 10 25 15 10 25 100 0 0 0 0 25 100 0 0 0 0 0 0 25 100 0 0 0 0 25
34 SDN 2 SUKARAME 27 16 43 27 16 43 100 0 0 0 0 38 88.372 0 0 0 0 0 0 38 88 0 0 0 0 43
35 SMPN SATU ATAP SAJIRA 21 21 42 21 21 42 100 0 0 0 0 0 0 0 0 0 0 0 0 21 100 0 0 0 0 42
36 SMA IBNU SINA 11 7 18 11 7 18 100 0 0 0 0 18 100 0 0 0 0 0 0 18 100 0 0 0 0 18
37 MI AL-HIDAYAH ISLAMIYAH 9 18 27 9 18 27 100 0 0 0 0 27 100 0 0 0 0 0 0 27 100 0 0 0 0 27
38 MA AL-HIDAYAH 19 12 31 19 12 31 100 0 0 0 0 31 100 0 0 0 0 0 0 31 100 0 0 0 0 31
39 SDN 2 SUKAJAYA 7 9 16 7 9 16 100 0 0 0 0 13 81.25 3 18.75 0 0 0 0 16 100 0 0 0 0 31
40 SDN 3 SUKAMAJA 8 9 17 8 9 17 100 0 0 0 0 25 147.06 3 17.647 0 0 0 0 27 159 0 0 0 0 27
41 SDN 1 SUKAMAJA 8 12 20 8 12 20 100 0 0 0 0 15 75 5 25 0 0 0 0 20 100 0 0 0 0 20
42 SMPN 3 SAJIRA 29 28 57 29 28 57 100 0 0 0 0 57 100 0 0 0 0 0 0 57 100 0 0 0 0 57
43 ### #DIV/0! ### ### ### ### ### ### ### ###
44 0 0 ### #DIV/0! ### ### ### ### ### ### ### ###
45 0 0 ### #DIV/0! ### ### ### ### ### ### ### ###
46 0 0 ### #DIV/0! ### ### ### ### ### ### ### ###
47 0 0 ### #DIV/0! ### ### ### ### ### ### ### ###
48 0 0 ### #DIV/0! ### ### ### ### ### ### ### ###
49 0 0 ### #DIV/0! ### ### ### ### ### ### ### ###
50 0 0 ### #DIV/0! ### ### ### ### ### ### ### ###
JUMLAH 503 530 1033 503 530 1033 100 0 0 8 0.7744 686 66.409 0 0 0 0 0 0

MENGETAHUI
KEPALA PUSKESMAS…………………………..

NIP
 TEKANAN DARAH 0 KESEHATAN MATA TELINGA/ PENDENGARAN RISIKO BERHUB DG
HASIL PEMERIKSAAN HB
TENSI GIGI GANGGU
LUKA GUSI KARANG KELAINAN PENGLIHAT KACAM INFEKSI
SUDUT SARIAWA LIDAH BERLUBA MUDAH AN SARPAN
MATA AN SERUMEN PENDENG
N KOTOR NG/ GIGI ATA TELINGA PAGI
ANEMI ANEMI ANEMI HYPER HYPOTEN MULUT CARIES BERDARAH LUAR NORMAL ARAN
NORMAL RINGAN SEDANG BERAT TENSI SI
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%

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29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6.6667 30 100 0 0 10 33 0 0 30 100 0 0 0 0 23 76.67 0 0 30 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 89.7 0 0 8 28 0 0 29 100 0 0 0 0 23 79.31 0 0 29 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 71.1 0 0 9 24 0 0 38 100 0 0 0 0 14 36.84 0 0 38 100
100 0 0 0 0 0 0 0 0 18 100 0 0 0 0 0 0 0 0 5 27.8 0 0 6 33 0 0 17 94.44 1 5.56 0 0 6 33.33 0 0 18 100
100 0 0 0 0 0 0 0 0 18 100 0 0 0 0 5 27.8 5 27.778 3 16.7 0 0 1 5.56 0 0 18 100 0 0 0 0 10 55.56 0 0 18 100
100 0 0 0 0 0 0 0 0 18 100 0 0 0 0 3 16.7 3 16.667 3 16.7 0 0 3 17 0 0 16 88.89 2 11 0 0 4 22.22 0 0 11 61.11
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5.88 2 11.765 9 52.9 0 0 2 12 0 0 17 100 0 0 2 11.76 6 35.29 0 0 8 47.06
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3.33 1 3.3333 17 56.7 0 0 3 10 0 0 30 100 0 0 0 0 2 6.667 0 0 16 53.33
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2.17 2 4.3478 17 37 0 0 0 0 0 0 46 100 0 0 0 0 7 15.22 0 0 46 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 11.1 1 5.5556 10 55.6 0 0 0 0 0 0 18 100 0 0 0 0 8 44.44 0 0 18 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 10 2 6.6667 26 86.7 0 0 0 0 0 0 30 100 0 0 0 0 5 16.67 0 0 30 100
100 0 0 0 0 0 0 0 0 14 100 0 0 0 0 5 35.7 4 28.571 7 50 0 0 3 21 0 0 14 100 0 0 0 0 4 28.57 0 0 14 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 46.2 2 15.385 5 38.5 0 0 7 54 0 0 13 100 0 0 0 0 3 23.08 0 0 13 100
100 0 0 0 0 0 0 0 0 23 100 0 0 0 0 4 17.4 1 4.3478 8 34.8 0 0 6 26 0 0 23 100 0 0 0 0 7 30.43 0 0 23 100
100 0 0 0 0 0 0 0 0 15 107 0 0 0 0 3 21.4 1 7.1429 4 28.6 0 0 3 21 0 0 14 100 0 0 0 0 2 14.29 0 0 14 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 5.56 2 5.5556 12 33.3 0 0 11 31 0 0 36 100 0 0 0 0 1 2.778 0 0 36 100
 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 30 1 5 9 45 0 0 0 0 0 0 20 100 0 0 0 0 6 30 0 0 20 100
100 0 0 0 0 0 0 0 0 32 89 0 0 0 0 3 8.33 4 11.111 16 44.4 0 0 0 0 0 0 36 100 0 0 0 0 7 19.44 0 0 36 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6.06 1 3.0303 12 36.4 0 0 0 0 0 0 33 100 0 0 0 0 2 6.061 0 0 3 9.091
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2.78 4 11.111 10 27.8 0 0 1 2.78 0 0 36 100 0 0 0 0 2 5.556 0 0 24 66.67
193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 20 4 26.667 5 33.3 0 0 0 0 0 0 15 100 0 0 0 0 2 13.33 0 0 15 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6.9 5 17.241 18 62.1 0 0 3 10 0 0 29 100 0 0 0 0 3 10.34 0 0 29 100
93.62 0 0 0 0 0 0 0 0 44 94 0 0 0 0 2 4.26 6 12.766 17 36.2 0 0 15 32 0 0 47 100 0 0 0 0 4 8.511 0 0 44 93.62
90.91 0 0 0 0 0 0 0 0 10 91 0 0 0 0 2 18.2 3 27.273 2 18.2 0 0 0 0 0 0 11 100 0 0 0 0 5 45.45 0 0 5 45.45
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 16.7 1 5.5556 2 11.1 0 0 4 22 0 0 18 100 0 0 0 0 1 5.556 0 0 18 100
100 0 0 0 0 0 0 0 0 17 100 0 0 0 0 1 5.88 1 5.8824 6 35.3 0 0 0 0 0 0 15 88.24 2 12 0 0 2 11.76 0 0 17 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7.69 2 15.385 7 53.8 0 0 0 0 0 0 13 100 0 0 0 0 1 7.692 0 0 13 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9.09 0 0 6 54.5 0 0 2 18 0 0 11 100 0 0 0 0 5 45.45 0 0 11 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 27.8 0 0 1 5.56 3 16.67 0 0 0 0 18 100 0 0 0 0 2 11.11 0 0 18 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 13.3 3 20 9 60 0 0 0 0 0 0 15 100 0 0 0 0 1 6.667 0 0 15 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6.67 2 13.333 6 40 0 0 0 0 0 0 15 100 0 0 0 0 6 40 0 0 15 100
100 0 0 0 0 0 0 0 0 11 100 0 0 0 0 4 36.4 6 54.545 3 27.3 0 0 1 9.09 0 0 11 100 0 0 0 0 3 27.27 0 0 11 100
100 0 0 0 0 0 0 0 0 25 100 0 0 0 0 3 12 5 20 12 48 0 0 6 24 0 0 25 100 0 0 0 0 5 20 0 0 24 96
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4.65 6 13.953 25 58.1 0 0 0 0 0 43 100 0 0 0 0 1 2.326 0 0 40 93.02
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4.76 2 4.7619 6 14.3 0 0 0 0 0 42 100 0 0 0 0 1 2.381 0 0 42 100
100 0 0 0 0 0 0 0 0 18 100 0 0 0 0 4 22.2 7 38.889 4 22.2 0 0 5 28 0 0 18 100 0 0 0 0 6 33.33 0 0 18 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 18.5 1 3.7037 10 37 0 0 8 30 0 0 27 100 0 0 0 0 3 11.11 0 0 27 100
100 0 0 0 0 0 0 0 0 31 100 0 0 0 0 2 6.45 5 16.129 4 12.9 0 0 14 45 0 0 31 100 0 0 0 0 4 12.9 0 0 30 96.77
194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 37.5 3 18.75 7 43.8 0 0 0 0 0 0 16 100 0 0 0 0 2 12.5 0 0 14 87.5
159 0 0 0 0 0 0 0 0 27 159 0 0 0 0 4 23.5 2 11.765 3 17.6 0 0 0 0 0 0 17 100 0 0 0 0 3 17.65 0 0 17 100
100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 15 4 20 6 30 0 0 0 0 0 0 20 100 0 0 0 0 6 30 0 0 18 90
100 0 0 0 0 0 0 0 0 57 100 0 0 0 0 3 5.26 3 5.2632 4 7.02 0 0 0 0 0 0 57 100 0 0 0 0 4 7.018 0 0 53 92.98
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RISIKO BERHUB DG GAYA HIDUP KESEHATAN MENTAL EMOSIONAL
GANGGUAN
KES GEJALA EMOSIONAL ( E ) MASALAH PERILAKU ( C ) HYPER AKTIVITAS ( H ) MASALAH TEMAN SEBAYA (P) PERILAKU PROSOSIAL (PR)
MINUM REPRODUKS
RESIKO BERALKOHO
JAJAN I
MEROKOK L/NAPZA
BORDERLINE ABNORMAL NORMAL BORDERLINE ABNORM ABNORM NORMAL BORDERL ABNORM NORMAL BORDERL ABNORM
NORMAL
NORMAL NORMAL
AL AL INE AL INE AL
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%

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68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105
30 100 0 0 0 0 0 0 30 100 0 0 0 0 30 100 0 0 0 0 30 100 0 0 0 0 30 100 0 0 0 0 30 100 0 0 0 0
29 100 0 0 0 0 0 0 29 100 0 0 0 0 29 100 0 0 0 0 29 100 0 0 0 0 29 100 0 0 0 0 29 100 0 0 0 0
38 100 0 0 0 0 0 0 38 100 0 0 0 0 38 100 0 0 0 0 38 100 0 0 0 0 38 100 0 0 0 0 38 100 0 0 0 0
18 100 0 0 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0
17 94.44 0 0 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0
7 38.89 0 0 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0
9 52.94 0 0 0 0 0 0 17 100 0 0 0 0 15 88.2 0 0 0 0 17 100 0 0 0 0 17 100 0 0 0 0 17 100 0 0 0 0
14 46.67 0 0 0 0 0 0 30 100 0 0 0 0 30 100 0 0 0 0 30 100 0 0 0 0 30 100 0 0 0 0 30 100 0 0 0 0
42 91.3 0 0 0 0 0 0 46 100 0 0 0 0 46 100 0 0 0 0 46 100 0 0 0 0 46 100 0 0 0 0 46 100 0 0 0 0
17 94.44 0 0 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0
30 100 0 0 0 0 0 0 30 100 0 0 0 0 30 100 0 0 0 0 30 100 0 0 0 0 30 100 0 0 0 0 30 100 0 0 0 0
10 71.43 0 0 0 0 0 0 14 100 0 0 0 0 14 100 0 0 0 0 14 100 0 0 0 0 14 100 0 0 0 0 14 100 0 0 0 0
12 92.31 0 0 0 0 0 0 13 100 0 0 0 0 13 100 0 0 0 0 13 100 0 0 0 0 13 100 0 0 0 0 13 100 0 0 0 0
22 95.65 0 0 0 0 0 0 23 100 0 0 0 0 23 100 0 0 0 0 23 100 0 0 0 0 23 100 0 0 0 0 23 100 0 0 0 0
14 100 0 0 0 0 0 0 14 100 0 0 0 0 14 100 0 0 0 0 14 100 0 0 0 0 14 100 0 0 0 0 14 100 0 0 0 0
29 80.56 0 0 0 0 0 0 36 100 0 0 0 0 36 100 0 0 0 0 36 100 0 0 0 0 36 100 0 0 0 0 36 100 0 0 0 0
18 90 0 0 0 0 0 0 20 100 0 0 0 0 20 100 0 0 0 0 20 100 0 0 0 0 20 100 0 0 0 0 20 100 0 0 0 0
35 97.22 0 0 0 0 0 0 36 100 0 0 0 0 36 100 0 0 0 0 36 100 0 0 0 0 36 100 0 0 0 0 36 100 0 0 0 0
31 93.94 0 0 0 0 0 0 33 100 0 0 0 0 32 97 0 0 0 0 33 100 0 0 0 0 33 100 0 0 0 0 33 100 0 0 0 0
12 33.33 0 0 0 0 0 0 36 100 0 0 0 0 36 100 0 0 0 0 36 100 0 0 0 0 36 100 0 0 0 0 36 100 0 0 0 0
14 93.33 0 0 0 0 0 0 15 100 0 0 0 0 15 100 0 0 0 0 15 100 0 0 0 0 15 100 0 0 0 0 15 100 0 0 0 0
28 96.55 0 0 0 0 0 0 29 100 0 0 0 0 29 100 0 0 0 0 29 100 0 0 0 0 29 100 0 0 0 0 29 100 0 0 0 0
43 91.49 0 0 0 0 0 0 47 100 0 0 0 0 47 100 0 0 0 0 47 100 0 0 0 0 47 100 0 0 0 0 44 93.6 0 0 0 0
6 54.55 0 0 0 0 0 0 11 100 0 0 0 0 11 100 0 0 0 0 11 100 0 0 0 0 11 100 0 0 0 0 11 100 0 0 0 0
18 100 0 0 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0
17 100 0 0 0 0 0 0 17 100 0 0 0 0 17 100 0 0 0 0 17 100 0 0 0 0 17 100 0 0 0 0 17 100 0 0 0 0
13 100 0 0 0 0 0 0 13 100 0 0 0 0 13 100 0 0 0 0 13 100 0 0 0 0 13 100 0 0 0 0 13 100 0 0 0 0
11 100 0 0 0 0 0 0 11 100 0 0 0 0 11 100 0 0 0 0 11 100 0 0 0 0 11 100 0 0 0 0 11 100 0 0 0 0
18 100 0 0 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0
13 86.67 0 0 0 0 0 0 15 100 0 0 0 0 15 100 0 0 0 0 15 100 0 0 0 0 15 100 0 0 0 0 15 100 0 0 0 0
13 86.67 0 0 0 0 0 0 15 100 0 0 0 0 15 100 0 0 0 0 15 100 0 0 0 0 15 100 0 0 0 0 15 100 0 0 0 0
11 100 0 0 0 0 0 0 11 100 0 0 0 0 11 100 0 0 0 0 11 100 0 0 0 0 11 100 0 0 0 0 11 100 0 0 0 0
23 92 0 0 0 0 0 0 25 100 0 0 0 0 25 100 0 0 0 0 25 100 0 0 0 0 25 100 0 0 0 0 25 100 0 0 0 0
39 90.7 0 0 0 0 0 0 43 100 0 0 0 0 43 100 0 0 0 0 43 100 0 0 0 0 43 100 0 0 0 0 43 100 0 0 0 0
39 92.86 0 0 0 0 0 0 42 100 0 0 0 0 42 100 0 0 0 0 42 100 0 0 0 0 42 100 0 0 0 0 42 100 0 0 0 0
16 88.89 0 0 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0
26 96.3 0 0 0 0 0 0 27 100 0 0 0 0 27 100 0 0 0 0 27 100 0 0 0 0 27 100 0 0 0 0 27 100 0 0 0 0
28 90.32 0 0 0 0 0 0 30 96.8 0 0 0 0 31 100 0 0 0 0 31 100 0 0 0 0 31 100 0 0 0 32 31 100 0 0 0 0
12 75 0 0 0 0 0 0 16 100 0 0 0 0 16 100 0 0 0 0 16 100 0 0 0 0 16 100 0 0 0 0 16 100 0 0 0 0
24 141.2 0 0 0 0 0 0 17 100 0 0 0 0 17 100 0 0 0 0 17 100 0 0 0 0 17 100 0 0 0 0 17 100 0 0 0 0
16 80 0 0 0 0 0 0 20 100 0 0 0 0 20 100 0 0 0 0 20 100 0 0 0 0 20 100 0 0 0 0 20 100 0 0 0 0
50 87.72 0 0 0 0 0 0 57 100 0 0 0 0 57 100 0 0 0 0 57 100 0 0 0 0 57 100 0 0 0 0 57 100 0 0 0 0
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 KEBUGARAN JASMANI HASIL PELAYANAN JML YANG
PENGGU MEMPUNYAI
NAAN DIRUJUK KIE RAPORT
ALAT
BANTU KESEHATAN
PEMBERIAN KU
BAIK BAIK CUKUP KURANG IMUNISASI PEMBERIAN OBAT BORDERLINE
SEKALI TTD CACING
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%

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106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127
0 0 0 0 30 100 0 0 0 0 30 100 0 0 30 100 0 0 0 0 0 0
0 0 0 0 29 100 0 0 0 0 29 100 0 0 29 100 0 0 0 0 0 0
0 0 0 0 38 100 0 0 0 0 38 100 0 0 38 100 0 0 0 0 0 0
0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 16 94.1 0 0 2 11.8 17 100 0 0 17 100 0 0 0 0 0 0
0 0 0 0 30 100 0 0 0 0 30 100 0 0 30 100 0 0 0 0 30 100
0 0 0 0 46 100 0 0 0 0 18 39.13 0 0 46 100 0 0 0 0 46 100
0 0 0 0 18 100 0 0 0 0 11 61.11 0 0 18 100 0 0 0 0 0 0
0 0 0 0 30 100 0 0 0 0 30 100 0 0 30 100 0 0 0 0 0 0
0 0 0 0 14 100 0 0 0 0 14 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 13 100 0 0 0 0 13 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 23 100 0 0 0 0 23 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 14 100 0 0 0 0 14 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 36 100 0 0 0 0 36 100 0 0 0 0 0 0 0 0 36 100
0 0 0 0 20 100 0 0 0 0 20 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 36 100 0 0 0 0 36 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 33 100 0 0 0 0 33 100 0 0 25 75.758 0 0 0 0 33 100
0 0 0 0 36 100 0 0 0 0 36 100 0 0 36 100 0 0 0 0 0 0
0 0 0 0 15 100 0 0 0 0 15 100 0 0 15 100 0 0 0 0 0 0
0 0 0 0 29 100 0 0 0 0 29 100 0 0 29 100 0 0 0 0 0 0
0 0 0 0 47 100 0 0 0 0 47 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 11 100 0 0 0 0 11 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 18 100 0 0 0 0 18 100 0 0 18 100 0 0 0 0 0 0
0 0 0 0 17 100 0 0 0 0 17 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 11 84.6 3 23 0 0 13 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 11 100 0 0 0 0 11 100 0 0 11 100 0 0 0 0 0 0
0 0 0 0 18 100 0 0 0 0 18 100 0 0 18 100 0 0 0 0 0 0
0 0 0 0 15 100 0 0 0 0 15 100 0 0 15 100 0 0 0 0 0 0
0 0 0 0 15 100 0 0 0 0 15 100 0 0 15 100 0 0 0 0 0 0
0 0 0 0 11 100 0 0 0 0 11 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 25 100 0 0 0 0 25 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 43 100 0 0 0 0 43 100 0 0 43 100 0 0 0 0 43 100
0 0 0 0 42 100 0 0 0 0 42 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 18 100 0 0 0 0 18 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 27 100 0 0 0 0 27 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 31 100 0 0 0 0 31 100 0 0 0 0 0 0 0 0 0 0
0 0 0 0 16 100 0 0 0 0 16 100 0 0 16 100 0 0 0 0 0 0
0 0 0 0 17 100 0 0 0 0 17 100 0 0 17 100 0 0 0 4 0 0
0 0 0 0 20 100 0 0 0 0 20 100 0 0 20 100 0 0 0 0 0 0
0 0 0 0 57 100 0 0 0 0 56 98.25 0 0 0 0 0 0 0 0 0 0
### ### ### ### ### ### ### #DIV/0! ### ### ###
### ### ### ### ### ### ### #DIV/0! ### ### ###
### ### ### ### ### ### ### #DIV/0! ### ### ###
### ### ### ### ### ### ### #DIV/0! ### ### ###
### ### ### ### ### ### ### #DIV/0! ### ### ###
### ### ### ### ### ### ### #DIV/0! ### ### ###
### ### ### ### ### ### ### #DIV/0! ### ### ###
### ### ### ### ### ### ### #DIV/0! ### ### ###
0 0 0 0 0 0 0 0 0 0 0

PELAKSANA PROGRAM

NIP.
FORMAT F I PENJARINGAN
Nama SEKOLAH :
PUSKESMAS PEMBINA :
TANGGAL PENJARINGAN :

HASIL PENJARINGAN KESEHATAN

JENIS PENGUKURAN BB & PEMERIKSAAN GIGI DAN
UMR PENILAIAN STAUS GIZI PEMERIKSAAN HB TEK. DARAH
KELAMIN TB MULUT
IMT/ U TB/U ANEMI TENSI

GIGI BERLUBANG/ CARIES

GUSI MUDAH BERDARAH

SANGAT GEMUK > 3 SD

LUKA SUDUT MULUT

SANGAT KURUS - 3 SD

ANEMI SEDANG

LIDAH KOTOR
SANGAT PENDEK
PEREMPUAN

HYPER TENSI
ANEMI RINGAN
NO NAMA ANAK TANGGAL

KURUS < -2 SD

SARIAWAN
GEMUK > 2SD

ANEMI BERAT
LAKI-LAKI

NORMAL
% GR/DL

HYPOTENSI
BB ( KG)
LAHIR

TB ( M)
TAHUN

Mm Hg
BULAN

NORMAL

NORMAL

NORMAL
PENDEK
IMT

TINGGI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33
 JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

MENGETAHUI
KEPALA PUSKESMAS SAJIRA

dr. Robert Telaumbanua

NIP. 19700312 200604 1008
 MULUT
SAAN GIGI DAN
KARANG GIGI

34 35
RABU JAUH

36
BUTA DEKAT

37
BUTA WARNA

MATA/
PENGLIHATAN

38
KACAMATA

INFEKSI

39 40
SERUMEN
AN
TELINGA/

41
GANGGUAN PENDENGARAN
PENDENGAR

42
SARPAN PAGI

43
JAJAN

44
RESIKO MEROKOK
GAYA HIDUP

45
MINUM BERALKOHOL/NAPZA
RISIKO BERHUB DG

46

GANGGUAN KES REPRODUKSI

47

NORMAL
48

BORDERLINE
(E)
GEJALA
EMOSIONAL

49

ABNORMAL

NORMAL
50 51

BORDERLINE
(C)
MASALAH

52

ABNORMAL
53

NORMAL
54

BORDERLINE
PERILAKU AKTIVITAS
HYPER

55

ABNORMAL

NORMAL
56 57

BORDERLINE
KESEHATAN MENTAL EMOSIONAL

( H ) SEBAYA
TEMAN
MASALAH

(P)

58

ABNORMAL

NORMAL
59 60

BORDERLINE
(PR)
PERILAKU
PROSOSIAL

61

ABNORMAL
HASIL PENJARINGAN KESEHATAN

61

PENGGUNAAN ALAT BANTU

HASIL M/MENIT
BAIK SEKALI
BAIK
62 63 64 65

CUKUP
66

KURANG
KEBUGARAN JASMANI

67

IMUNISASI
68

PEMBERIAN TTD
HASIL
PELAYANAN

69

PEMBERIAN OBAT CACING

70

DIRUJUK
71

KIE
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0

PELAKSANA PROGRAM

Rusmiati Hutapea, AMKL

NIP. 19851012 201001 2003
 JML YANG MEMPUNYAI RAPORT

72
KESEHATAN KU
0