Jenis Keluarga
Jenis Keluarga
PUSKESMAS CIMAREME
KK 01 KK 02 KK 03 KK 04 KK 05 KK 06 KK 07
DANI
CEPI HERMAWA ADE SUSRIYAN DEDI
NAMA KK TAJUDIN SOPIAN ELI N NURASA TO SOPANDI
JUMLAH AK 5 4 5 4 2 4 4
DATA KELUARGA
PERTANYAAN
Jenis Keluarga
Inti 1 1 1 1 1 1
Besar 1
PERTANYAAN
Data pekerjaan Individu
terbaru
Buruh 2 1 2 1 1 2
Tani
Guru
Swasta 1
Pelajar 2 2 2 1 1
IRT 1 1 1
wiraswasta 1 1
belum bekerja 1 2 2
Pensiunan
PNS
Memiliki JKN 4 0 0 3 2 0 4
Yang Merokok 0 1 2 1 1 0 1
BAB di jamban 5 0 4 4 2 4 4
Menggunakan air bersih 5 0 4 4 2 4 4
Penderita TBC 0 0 0 0 0 0 0
Pengobatan TBC 6 Bulan 0 0 0 0 0 0 0
1 1 1 1 1 1 1 1 1 1
3 2 2 2 3 2 3 3 1 3
1 1
1 1 1
1
2 2 1 2 1 1
1 0 3 1
0 2 2 2 2
0
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 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
1 1 0 0 0 0 0 0 1
0 0 0 0 0 0
1 1 2 2 1
1 1 2 1
1 1 1 1 1 1 1
1
1 1 1 1
0
3 0 3 0 3 4 4
1 0 0 1 1 1 0
3 2 3 3 3 4 1 4
3 2 3 3 3 4 3 1 4
0 0 0 0 0 0 3
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
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
KK18 KK 19 KK 20 KK 21
ITA YAYA
RUHITA UMBARA INDRI RIO
4 3 3 3
1 1 1 1
4 3 2 2
1 1
2 2
2 1
1 2 2
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
0 0 0 0
0 0 0 0
0 0 0 0
1 1
2 1
1
1
1 1
0 3 3 3
1 1 0 1
4 3 3 3
4 3 3 3
0 0 0 0
0 0 0 0
0 0 0 1
0 0 0 0
0 0 0 0
0
Rekapan PKL
NO PERTANYAAN
Jenis Keluarga
Inti 1 1 1 1 1
Besar 1
Anggota Keluarga >15
tahun 2 2 2 2 4 2
Anggota Keluarga 12-59
bulan (1-5th) 1 1
Anggota Keluarga 6-14
Tahun 1 1 1
Anggota keluarga 0-11
bulan
Pendidikan
BELUM SEKOLAH 1 1
BLM TMT SD 1 2 1
TAMAT SD 2 3 2
TAMAT SLTP
TAMAT SLTA 2 2 2
D3/S1
MENDERITA GANGGUAN
JIWA BERAT 0 0 0 0 0 0
GANGGUAN JIWA
BEROBAT SECARA
TERATUR 0 0 0 0 0 0
3 3 2 3 4 5 2 3 2 3
1 1 1 1 1 1 1 1 1 1
2 3 2 2 3 3 2 3 2 2
1 1 2 1
1 1 1 1
2 2 2 2 1 1 2 2 2
1 1 1 1 1 1
2 2
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 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
1 1 1 1 1 1
1 1 1 1 1
1 2 2
1 1 1 1 1 1 1 1 1
1 1
1 2
0 3 2 3 4 0 0 3 2 3
1 1 0 1 2 0 1 2 1 0
3 3 2 3 4 5 2 0 2 3
3 3 2 3 4 5 2 0 2 3
0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0
1 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
KK 17 KK18 KK 19 KK 20 KK 21 KK 22 KK 23 KK 24 KK 25 KK 26
3 2 5 4 3 2 1 3 3 4
1 1 1 1 1 1 1 1 1 1
2 2 4 2 2 2 1 2 3 3
1 1
1 2 1 1
1
1 1 1 2
1 2 1 2 1 1 1
1 1 2 1 2 1 1 1
1 2 1 1
1 1 1 1 0 1 1 0 1
1 1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 0 1
1 1 1 1 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
1 1 1
1
2
1 3 2 1 1 2
1 1 1 1 1 1 1 1
1 1
1 1 1
1
0 0 4 0 3 2 1 3 3 0
1 0 3 1 1 1 0 1 0 1
3 2 4 4 3 2 1 3 3 4
3 2 4 4 3 2 1 3 3 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
1 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
1 0 1 0 0 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
kk 27 KK 28 KK29 KK30 KK 31 KK 32 KK 33 KK 34 KK 35 KK 36
3 3 4 2 4 2 2 3 7 4
1 1 1 1 1 1 1 1 1 1
2 2 2 2 3 1 2 2 6 2
1 1 1
1 1 1 1 1
1 2 1 1
1 1 1
2 1 2 2
1 2 3 1 2 1
1 1 2 2 2
1 2 1 1
1
1 2
1 1 1 5 2
1 1 1 1 1 1 1 1
1 1
1 2 1 1
0 0 4 2 1 2 2 3 7 4
1 1 1 0 1 0 1 1 0 1
3 3 4 2 4 2 2 3 7 4
3 3 4 2 4 2 2 3 7 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 1 0 1 0 0 0 0 0 1
0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
0 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
KK 37 KK 38 KK 39 KK 40 KK 41 KK 42
3 4 5 3 3 4
1 1 1 1 1 1
2 3 4 3 2 2
1 1 1
1 1 1
1 1
2
3 1
1 1 2 1 1
1 1 1 1 2
2
0
1 1 1
1 1
2 3 1 2
1 1 1 1 1 1
1 1
1
0 4 5 3 3 4
1 1 4 1 0 1
3 4 5 3 3 4
3 4 5 3 3 4
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 2 0 1 0 1
0 0 0 1 0 0
0 0 0 0 0 0
0 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 0 0 0
Rekapan PKL
DATA KELUARGA
NO PERTANYAAN
Jenis Keluarga
Inti 1 1 1 1 1
Besar 1
Anggota Keluarga >15
tahun 4 3 2 2 2 2
Anggota Keluarga 12-59
bulan (1-5th) 1
Anggota Keluarga 6-14
Tahun 1 1 2
Anggota keluarga 0-11
bulan 1
Pendidikan
BELUM SEKOLAH 1 1
BLM TMT SD 1 2 2
TAMAT SD 1 1 1
TAMAT SLTP 4 1
TAMAT SLTA 2 2 1
D3/S1 1
MENDERITA GANGGUAN
JIWA BERAT 0 0 0 0 0 0
GANGGUAN JIWA
BEROBAT SECARA
TERATUR 0 0 0 0 0 0
3 4 3 4 6 4 1 4 4 4
1 1 1 1 1 1 1 1 1 1
2 2 3 2 5 2 1 3 2 3
1 1
1 2 1 1 1 1 1 1
1 1 1 1 2 2 1
1 1 2 1 1 2 1
1 1 2
2 2 2 4 2 1 2
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 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
1 1 1 1
1 1 2 1 1
2 1 3 2 2 1 2
1 1 1 1 1 1 1
1 1
1 1 1 4 1
1
3 4 3 4 6 1 1 4 4 4
1 1 0 1 2 4 1 0 1 1
3 4 3 4 6 4 1 4 4 4
3 4 3 4 6 4 1 4 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 0 0
0 0 1 0 0 1 0 0 0 2
0 0 1 0 0 1 0 0 0 2
0 0 0 0 0 0 0 0 0 0
1 1 0 1 1 1 0 0 1 0
0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 1 0
KK 17 KK18 KK 19 KK 20 KK 21 KK 22 KK 23 KK 24 KK 25
3 2 4 5 4 3 5 3 5
1 1 1 1 1 1 1
1 1
3 2 4 5 4 3 2 3 3
2 1
1 1
2 1
3 1 2 2 3 2
1 1 2
3 3 2 3 1
2
1 1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 0 1
1 1 1 1 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
1 1 1 2 1
1 3 1
1 2 1 1
1 1 1 1 1
1 2
1 2 1 3 2
1
3 2 4 0 4 0 5 3 5
0 0 2 1 0 1 1 0 2
3 2 4 4 4 3 5 3 5
3 2 4 4 4 3 5 3 5
3 0 0 0 0 0 0 0 0
0 0 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 0 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 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 1
0 0 0 0 0 0 0 0 1
PENDATAAN KS
PUSKESMAS CIMAREME
KK 01 KK 02 KK 03 KK 04 KK 05 KK 06 KK 07
NAMA KK
JUMLAH AK 3 3 7 2
DATA KELUARGA
PERTANYAAN
Jenis Keluarga
Inti 1 1 1 1 1 1
Besar 1
Anggota Keluarga >15
tahun 3 2 2 2 2 4 2
Anggota Keluarga 12-59
bulan (1-5th) 0 1 0 1 0 1
Anggota Keluarga 6-14
Tahun 2 1 0 0 1 2
Anggota keluarga 0-11
bulan 0 0 0 0 0 0
Pendidikan
BELUM SEKOLAH
BLM TMT SD 1 1 3
TAMAT SD 3 1 0 0 2 1 2
TAMAT SLTP 0 3 0 0 0 2
TAMAT SLTA 1 0 2 2 0 1
D3/S1 0 0 0 0 0 0
MENDERITA GANGGUAN
JIWA BERAT 0 0 0 0 0 0 0
GANGGUAN JIWA
BEROBAT SECARA
TERATUR 0 0 0 0 0 0 0
PERTANYAAN
Data pekerjaan Individu
terbaru
Buruh 1 1 1 1
Tani 1
Guru
Swasta 1 2 2
Pelajar 2 2 1 4
IRT 1 1
wiraswasta 2
belum bekerja 1
PNS
Memiliki JKN 4 4 1 0 0 1 0
Yang Merokok 1 4 1 1 0 3 2
BAB di jamban 4 4 2 1 2 7 2
5 7 2 3 3 4 4 2 2 2
1 1 1 1 1 1 1 1 1
1
5 4 2 2 2 4 2 2 2 2
0 1 1
0 2 1 1
1 1 2 1
1 2 1
3 1 2 3 2
1 1 2
1 2 2 2 2 2
1 1
1 1
1 1
1 1
0 0
0 0
0 0
1 1 2 1 1 1
1 1 2 2
1 3 1 1
1 1 1 1 1 1
1
1 2 2 1 1 1
0 7 2 3 3 4 4 2 2 0
3 0 1 1 1 2 1 1 1 2
5 7 2 3 3 4 4 2 2 2
5 7 2 3 3 4 4 2 2 2
0 0 0 0 1 0 0 0 0 2
0 0 0 0 1 0 0 0 0 0
2 0 0 0 0 0 0 0 0 1
2 1 0 0 0 0 0 2 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 0 0 1 0 0 0
0 0 0 1 0 0 1 0 0 0
0 0 0 1 0 0 1 0 0 0
0 0 0 1 0 0 1 0 0 0
0 0 0
0
2 12 4 3 4 3 4 3 5 4
1 1 1 1 1 1 1 1 1
1
2 5 3 2 2 3 3 2 4 3
4 1 1 1 1 1 1 1
5 1 1 1
4 1 1
2 1 1 2 3 2 1
2 2 3
2 1 2 2 1 1 2
0
1 1 1
1 1 1 1 1
10 2 1 1 2 2 2
1 1 1 1 1 1 1 1 1
1 3
1 1 1
2 0 0 0 4 0 0 3 0 0
0 1 1 1 1 0 1 1 1 1
2 12 4 3 4 3 4 3 5 4
2 12 4 3 4 3 4 3 5 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 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 1 1 1 0 0 1 0 0
0 0 0 0 1 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0
0 0 0 0 1 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
3 2 3 5 2 4 3 2 5 1
1 1 1 1 1 1 1 1 1 1
2 2 2 4 2 2 2 2 3 1
1 1 1
1 1 1 2
2 1 1
1 1 1 2
2 2 2
1 1 1
2 2 2 1 1 1 3
2 2 1
1 2 1 1
1 1 2 1 3
1 1 1 1 1 1 1
1 1 1
1 1
3 0 3 4 2 4 0 2 5 0
1 1 1 2 1 1 0 0 1 1
3 2 3 5 2 4 3 2 5 1
3 2 3 5 2 4 3 2 5 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 1 2 0 0 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 0 0 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
3 4 3 3 4 5 5 5 4 4
1 1 1 1 1 1 1 1 1 1
3 2 3 3 3 4 3 2 2 2
1 1 2 1
1 1 1 1 1 1 1
2 1 1 2 2 1
1 1
1 3 2 1
1 1 2 1 2 2
2 2 1 1 3 2 2
1 1 1 1
2 1 1 1 1 1 1
1 1 1 1 2 1 3 1
1 1 1 1 1 1 1 1
2 1 2 2 1
1
3 4 3 3 0 5 5 4 4 0
1 0 1 0 1 0 1 0 1 1
3 4 3 3 3 5 5 5 4 4
3 4 3 3 3 5 5 5 4 4
0 0 0 0 0 0 0 0 4 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 0 1 1 1 0 0
0 0 1 0 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0
1 1 0 0 1 0 1 1 1 1
0 1 0 0 0 0 0 0 1 0
0 1 0 0 0 0 1 0 1 0
0 1 0 0 0 0 1 0 1 0
0 0 0 0 0 0 1 0 1 0
0 0 0 0 0 0 0
0 0 0 0
4 3 4 6 5 5 5 2 6
1 1 1 1 1 1 1
1 1
2 3 3 5 5 4 4 2 4
1 1 1
1 1 1 1 1
1 1 1 1
1 1
1 2 2 4 2 2 2 4
2 1 1 1
1 3 1 4 1
1 1 4 2
1 1 1 1
1 1 3 3 3
1 1 1 1 1 1 1 1 1
1
1 1 1 4
4 3 4 0 4 5 5 2 0
0 2 1 1 2 1 3 1 1
4 3 4 6 5 5 5 2 6
4 3 4 6 5 5 5 2 6
0 0 0 0 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 0 0 1 0
0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0
1 0 1 0 0 1 0 0 1
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 1
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0