Format Laporan Kesgimul 2019 PKM Cibalong 2019
Format Laporan Kesgimul 2019 PKM Cibalong 2019
NO PUSKESMAS
JANUARI FEBRUARI
I KUNJUNGAN PUSKESMAS
SASARAN CAPAIAN % SASARAN CAPAIAN %
a. Pratama 0 0 0 0 0 0
b. Madya 1 0 0 1 0 0
c. Purnama 3 0 0 3 0 0
d. Mandiri 0 0 0 0 0 0
5 Jumlah kunjungan petugas ke Posyandu 2 0 0 2 0 0
6 Jumlah masyarakat yang diperiksa 12 0 0 12 0 0
7 Jumlah penderita yang dirujuk ke Puskesmas 3 0 0 3 0 0
a. Dewasa 2 0 0 2 0 0
b. Anak Balita 1 0 0 1 0 0
VIII RUJUKAN GIGI
1 Jumlah TK Pemerintah/Negeri 5 0 0 5 0 0
2 Jumlah TK Swasta 0 0 0 0 0 0
Jumlah TK UKGM (Usaha Kesehatan Gigi &
3
Mulut) binaan 1 0 0 1 0 0
4 Jumlah SD/MI (SD UKS) Pemerintah/Negeri) 16 0 0 16 0 0
5 Jumlah SD/MI Swasta 0 0 0 0 0 0
6 Jumlah murid kelas I-VI 252 0 0 252 0 0
7 Jumlah murid kelas selektif:
a. Kelas I 41 0 0 41 0 0
b. Kelas III 40 0 0 40 0 0
c. Kelas V 41 0 0 41 0 0
8 Pelayanan asuhan pada SD/MI UKGS
1 Dokter Gigi 1 0 0 1 0 0
2 Perawat Gigi 1 0 0 1 0 0
XIII DATA SARANA
TAHUN 2019
86 0 0 86 0 0 86 0 0 86 15 17.44
16 0 0 16 0 0 16 0 0 16 14 87.5
2 0 0 2 0 0 2 0 0 2 0 0
2 0 0 2 0 0 2 0 0 2 3 150
2 0 0 2 0 0 2 0 0 2 3 150
44 0 0 44 0 0 44 0 0 44 256 581.82
2 0 0 2 0 0 2 0 0 2 3 150
2 0 0 2 0 0 2 0 0 2 2 100
4 0 0 4 0 0 4 0 0 4 1 25
3 0 0 0 0 0 3 0 0 3 3 100
1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 2 200
1 0 0 1 0 0 1 0 0 1 3 300
1 0 0 1 0 0 1 0 0 1 2 200
5 0 0 5 0 0 5 0 0 5 0 0
2 0 0 2 0 0 2 0 0 2 5 250
6 0 0 6 0 0 6 0 0 6 13 216.67
2 0 0 2 0 0 2 0 0 2 4 200
1 0 0 1 0 0 1 0 0 1 1 100
1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 1 100
1 0 0 1 0 0 1 0 0 1 0 0
12 0 0 12 0 0 12 0 0 12 7 58.33
2 0 0 2 0 0 2 0 0 2 0 0
2 0 0 2 0 0 2 0 0 2 2 100
1 0 0 1 0 0 1 0 0 1 3 300
1 0 0 1 0 0 1 0 0 1 1 100
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 2 0 0 2 0 0 2 2 100
2 0 0 2 0 0 2 0 0 2 2 100
2 0 0 2 0 0 2 0 0 2 2 100
1 0 0 1 0 0 1 0 0 1 3 300
1 0 0 1 0 0 1 0 0 1 2 200
1 0 0 1 0 0 1 0 0 1 2 200
0 0 0 0 0 0 0
1 0 0 1 0 0 1 0 0 1 2 200
0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 20 0 0 20 0 0 20 8 40
10 0 0 10 0 0 10 0 0 10 8 80
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 10 0 0 10 0 0 10 8 80
6 0 0 6 0 0 6 0 0 6 6 100
5 0 0 5 0 0 5 0 0 5 2 40
2 0 0 2 0 0 2 0 0 2 2 100
0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 0 1 0 0 1 1 100
3 0 0 3 0 0 3 0 0 3 3 100
0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 2 0 0 2 0 0 2 2 100
12 0 0 12 0 0 12 0 0 12 5 41.67
3 0 0 3 0 0 3 0 0 3 6 200
2 0 0 2 0 0 2 0 0 2 4 200
1 0 0 1 0 0 1 0 0 1 2 200
2 0 0 2 0 0 2 0 0 2 2 100
0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 5 0 0 5 0 0 5 0 0
0 0 0 0 0 0 0 0 0 0 6 0
1 0 0 1 0 0 1 0 0 1 0 0
16 0 0 16 0 0 16 0 0 16 16 100
0 0 0 0 0 0 0 0 0 0 0 0
252 0 0 252 0 0 252 0 0 252 58 23.02
41 0 0 41 0 0 41 0 0 41 23 56.10
40 0 0 40 0 0 40 0 0 40 20 50
41 0 0 41 0 0 41 0 0 41 15 36.59
0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 1 100
1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 1 100
TAHUN 2019
2 2 100 2 0 0 2 0 0 2 0
44 275 625 44 275 625 44 246 559.09 44 262
2 2 100 2 1 50 2 3 150 2 5
2 1 50 2 0 0 2 0 0 2 0
4 2 50 4 0 0 4 7 175 4 2
3 0 0 3 0 0 3 3 100 3 2
0 0 0 1 0 0 2 4 200 1 0
1 1 100 1 0 0 1 2 200 1 0
1 1 100 1 0 0 1 2 200 0 0
5 3 60 5 5 100 5 4 80 5 5
1 0 0 1 1 100 1 0 0 1 1
20 12 60 20 8 40 20 13 65 20 13
10 5 50 10 4 40 10 11 110 10 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 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 12 150 8 8 100 8 13 162.50 8 13
0 0 0 0 0 0 0 0 0 0 0
1 1 100 1 1 100 1 1 100 1 1
3 2 66.67 3 1 33.33 3 2 66.67 3 0
0 0 0 0 0 0 0 0 0 0 0
2 2 100 2 1 50 2 0 0 2 2
12 2 16.67 12 6 50 12 0 0 12 0
3 2 66.67 3 12 400 3 0 0 3 0
2 1 50 2 10 500 2 0 0 2 0
1 1 100 1 2 200 1 0 0 1 0
5 0 0 0 5 0 5 0 0 5 0
0 0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 0 1 0 0 1 0
16 16 100 16 16 100 16 16 100 16 16
0 0 0 0
252 102 40.48 252 105 41.67 252 138 54.76 252 146
41 45 109.76 41 67 163.41 41 63 153.66 41 36
40 32 80 40 23 57.50 40 45 112.50 40 65
41 25 60.98 41 15 36.59 41 30 73.17 41 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
1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0
2172 2175 100.14 2172 2175 100.14 2172 2175 100.14 2172 2172
6 6 100 6 6 100 6 6 100 6 6
4 4 100 4 4 100 4 4 100 4 4
0 0 0 0 0 0 0 0 0 0 0
4 4 100 4 4 100 4 4 100 4 4
5 5 100 5 5 100 5 5 100 5 5
1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0
1 1 100 1 1 100 1 1 100 1 1
0 2 0 0 2 2 100 24 7 29.17
595.45 44 285 647.73 44 288 654.55 539 1887 350.09
250 2 2 100 2 3 150 24 19 79.17
0 2 2 100 2 0 24 5 20.83
50 4 2 50 4 0 0 48 14 29.17
66.67 3 1 33.33 3 0 0 36 9 25
0 1 1 100 2 5 250 12 10 83.33
0 1 1 100 1 3 300 16 9 56.25
0 0 0 0 1 2 200 16 8 50
100 5 4 80 5 4 80 60 25 41.67
100 1 0 0 1 0 0 12 4 33.33
65 20 16 80 20 13 65 240 83 34.58
0 0 0 0 0 0 0 0 0 0
100 1 1 100 1 1 100 15 7 46.67
0 3 0 0 3 1 33.333 40 9 22.50
0 0 0 0 0 0 0 0 0 0
100 2 1 50 2 1 50 24 9 37.50
0 12 4 33.33 12 8 66.667 144 25 17.36
0 3 0 0 3 0 0 46 20 43.48
0 2 0 0 2 0 0 26 15 57.69
0 1 0 0 1 0 0 20 5 25.00
150 2 0 0 2 0 0 24 15 62.50
0 0 0 0 0 0 0 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 0 0 5 0 0 5 5 100
0 0 0 0 0 0 0 0 6 0
0 1 0 0 1 0 0 2 0 0
100 16 16 100 16 16 100 16 112 700
0 0 0 0 0 0 0 0
57.94 252 124 0 252 90 35.714 3033 763 25.16
87.80 41 67 163.41 41 50 121.95 497 351 70.62
162.50 40 45 112.50 40 25 62.5 486 255 52.47
109.76 41 12 29.27 41 15 36.585 502 157 31.27
0 0 0 0 0 0 0 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 0 0 12 0 0
0 1 0 0 1 0 0 1 1 100
0 1 0 0 1 0 1 0 0
100 1 1 100 1 1 1 1 100