LAPORAN HASIL KEGIATAN

I. Hari/TGL : Senin, 11 Mei 2015

II. Tempat : Posyandu Sangglung Desa Depeha
III. Tujuan Kunjungan : Pemantauan Kesehatan balita

IV. Hasil Kegiatan:

a. Jumlah sasaran Balita : .................................. org
b. Jumlah Balita yg datang ke Posyandu : ...................................org
c. Jumlah Balita yg naik BB : ..................................org
d. Jumlah Balita yg tetap/turun BB : ...................................org
e. Jumlah Balita yg BB turun 2x berturit-turut(2T) : .....................................org
f. Jumlah Balita yg Gizi buruk : .....................................org
g. Jumlah Balita yg Gizi kurang : .....................................org
h. Jumlah Balita yg mendapat Vitamin A Merah = ....................... org
i. Jumlah Balita 18 bulan yg mendapat Pentabio Boster : ..............org
j. Jumlah Balita 24 bulan yg mendapat Campak Boster : ..............org

V. Permasalahan :
.....................................................................................................................
……….... ..........................................................................................................
VI. Saran :
...............................................................................................................................
...................................................................................................................

.....................,.................................
Mengetahui, Petugas,
Plh. Kepala Puskesmas Kubutambahan I

1. .......................................................
Drg. I Nengah Supaya 2..........................................................
NIP. 196312312000031059 3. ......................................................
4..........................................................

Mengetahui,
Kepala Dusun/Desa………………………..

(………………………………………………………...)
 LAPORAN HASIL KEGIATAN

VII. Hari/TGL : Jumat, 15 Mei 2015

VIII. Tempat : Posyandu Bingin Desa Depeha
IX. Tujuan Kunjungan : Pemantauan Kesehatan balita

X. Hasil Kegiatan:
a. Jumlah sasaran Balita : .................................. org
b. Jumlah Balita yg datang ke Posyandu : ...................................org
c. Jumlah Balita yg naik BB : ..................................org
d. Jumlah Balita yg tetap/turun BB : ...................................org
e. Jumlah Balita yg BB turun 2x berturit-turut(2T) : .....................................org
f. Jumlah Balita yg Gizi buruk : .....................................org
g. Jumlah Balita yg Gizi kurang : .....................................org
h. Jumlah Balita yg mendapat Vitamin A Merah = ....................... org
i. Jumlah Balita 18 bulan yg mendapat Pentabio Boster : ..............org
j. Jumlah Balita 24 bulan yg mendapat Campak Boster : ..............org

XI. Permasalahan :
.....................................................................................................................
……….... ..........................................................................................................
XII. Saran :
...............................................................................................................................
...................................................................................................................

.....................,.................................
Mengetahui, Petugas,
Plh. Kepala Puskesmas Kubutambahan I

1. .......................................................
Drg. I Nengah Supaya 2..........................................................
NIP. 196312312000031059 3. ......................................................
4..........................................................

Mengetahui,
Kepala Dusun/Desa………………………..

(………………………………………………………...)
 LAPORAN HASIL KEGIATAN

XIII. Hari/TGL : Senin, 18 Mei 2015

XIV. Tempat : Posyandu Dangin Pura Desa Depeha
XV. Tujuan Kunjungan : Pemantauan Kesehatan balita

XVI. Hasil Kegiatan:

a. Jumlah sasaran Balita : .................................. org
b. Jumlah Balita yg datang ke Posyandu : ...................................org
c. Jumlah Balita yg naik BB : ..................................org
d. Jumlah Balita yg tetap/turun BB : ...................................org
e. Jumlah Balita yg BB turun 2x berturit-turut(2T) : .....................................org
f. Jumlah Balita yg Gizi buruk : .....................................org
g. Jumlah Balita yg Gizi kurang : .....................................org
h. Jumlah Balita yg mendapat Vitamin A Merah = ....................... org
i. Jumlah Balita 18 bulan yg mendapat Pentabio Boster : ..............org
j. Jumlah Balita 24 bulan yg mendapat Campak Boster : ..............org

XVII. Permasalahan :
.....................................................................................................................
……….... ..........................................................................................................
XVIII. Saran :
...............................................................................................................................
...................................................................................................................

.....................,.................................
Mengetahui, Petugas,
Plh. Kepala Puskesmas Kubutambahan I

1. .......................................................
Drg. I Nengah Supaya 2..........................................................
NIP. 196312312000031059 3. ......................................................
4..........................................................

Mengetahui,
Kepala Dusun/Desa………………………..

(………………………………………………………...)
 LAPORAN HASIL KEGIATAN

XIX. Hari/TGL : Sabtu, 23 Mei 2015

XX. Tempat : Posyandu Seganti Desa Depeha
XXI. Tujuan Kunjungan : Pemantauan Kesehatan balita

XXII. Hasil Kegiatan:

a. Jumlah sasaran Balita : .................................. org
b. Jumlah Balita yg datang ke Posyandu : ...................................org
c. Jumlah Balita yg naik BB : ..................................org
d. Jumlah Balita yg tetap/turun BB : ...................................org
e. Jumlah Balita yg BB turun 2x berturit-turut(2T) : .....................................org
f. Jumlah Balita yg Gizi buruk : .....................................org
g. Jumlah Balita yg Gizi kurang : .....................................org
h. Jumlah Balita yg mendapat Vitamin A Merah = ....................... org
i. Jumlah Balita 18 bulan yg mendapat Pentabio Boster : ..............org
j. Jumlah Balita 24 bulan yg mendapat Campak Boster : ..............org

XXIII. Permasalahan :
.....................................................................................................................
……….... ..........................................................................................................
XXIV. Saran :
...............................................................................................................................
...................................................................................................................

.....................,.................................
Mengetahui, Petugas,
Plh. Kepala Puskesmas Kubutambahan I

1. .......................................................
Drg. I Nengah Supaya 2..........................................................
NIP. 196312312000031059 3. ......................................................
4..........................................................

Mengetahui,
Kepala Dusun/Desa………………………..

(………………………………………………………...)
 LAPORAN HASIL KEGIATAN

XXV. Hari/TGL : Senin, 25 Mei 2015

XXVI. Tempat : Posyandu Dauh Pura Desa Depeha
XXVII. Tujuan Kunjungan : Pemantauan Kesehatan balita

XXVIII. Hasil Kegiatan:

a. Jumlah sasaran Balita : .................................. org
b. Jumlah Balita yg datang ke Posyandu : ...................................org
c. Jumlah Balita yg naik BB : ..................................org
d. Jumlah Balita yg tetap/turun BB : ...................................org
e. Jumlah Balita yg BB turun 2x berturit-turut(2T) : .....................................org
f. Jumlah Balita yg Gizi buruk : .....................................org
g. Jumlah Balita yg Gizi kurang : .....................................org
h. Jumlah Balita yg mendapat Vitamin A Merah = ....................... org
i. Jumlah Balita 18 bulan yg mendapat Pentabio Boster : ..............org
j. Jumlah Balita 24 bulan yg mendapat Campak Boster : ..............org

XXIX. Permasalahan :
.....................................................................................................................
……….... ..........................................................................................................
XXX. Saran :
...............................................................................................................................
...................................................................................................................

.....................,.................................
Mengetahui, Petugas,
Plh. Kepala Puskesmas Kubutambahan I

1. .......................................................
Drg. I Nengah Supaya 2..........................................................
NIP. 196312312000031059 3. ......................................................
4..........................................................

Mengetahui,
Kepala Dusun/Desa………………………..

(………………………………………………………...)
 LAPORAN HASIL KEGIATAN

XXXI. Hari/TGL : Selasa, 26 Mei 2015

XXXII. Tempat : Posyandu Pengubugan Desa Depeha
XXXIII. Tujuan Kunjungan : Pemantauan Kesehatan balita

XXXIV. Hasil Kegiatan:

a. Jumlah sasaran Balita : .................................. org
b. Jumlah Balita yg datang ke Posyandu : ...................................org
c. Jumlah Balita yg naik BB : ..................................org
d. Jumlah Balita yg tetap/turun BB : ...................................org
e. Jumlah Balita yg BB turun 2x berturit-turut(2T) : .....................................org
f. Jumlah Balita yg Gizi buruk : .....................................org
g. Jumlah Balita yg Gizi kurang : .....................................org
h. Jumlah Balita yg mendapat Vitamin A Merah = ....................... org
i. Jumlah Balita 18 bulan yg mendapat Pentabio Boster : ..............org
j. Jumlah Balita 24 bulan yg mendapat Campak Boster : ..............org

XXXV. Permasalahan :
.....................................................................................................................
……….... ..........................................................................................................
XXXVI. Saran :
...............................................................................................................................
...................................................................................................................

.....................,.................................
Mengetahui, Petugas,
Plh. Kepala Puskesmas Kubutambahan I

1. .......................................................
Drg. I Nengah Supaya 2..........................................................
NIP. 196312312000031059 3. ......................................................
4..........................................................

Mengetahui,
Kepala Dusun/Desa………………………..

(………………………………………………………...)