Lap. Gibur SD Des 2020

REKAPITULASI PENEMUAN DAN PENANGANAN KASUS GIZI BURUK KABUPATEN LO
TAHUN 2020
KABUPATEN /KOTA : LOMBOK TIMUR
PROVINSI : NUSA TENGGARA BARAT
BULAN : JANUARI 2020
SAAT DITEMUKAN GIZI BURUK PENANGAN
NO NAMA KASUS NAMA ORANG TUA L/P ALAMAT PUSKESMAS TANGGAL LAHIR PUSKESMAS
UMUR PB atau BB
TGL/BLN (bln) TB (Cm) (Kg) KLINIS PENYAKIT PENYERTA
RJ
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Lekonong Lima - Mtg

1 Amika Nazia Suharti - Apriana P Betok Montong Betok 1/20/2019 1/12/2020 11 62.1 5.3 M ISPA v
2 Fani Ashar Azizah M. Ali - Hernawati P Marang Utara - Kotaraja 4/6/2018 1/21/2020 21 67.5 6.4 M Pnemonia v
Kotaraja
Tanak Malit Utara -
3 Rika Saputri Rosdiana P Masbagik Selatan Masbagik 12/26/2017 1/13/2020 25 74 7 - - v
4 M. Rasyid Al Mubarok Sandi L Karang Majelo - Masbagik Baru 8/15/2018 12/17/2019 16 64 4.7 M - v
Masbagik Utara
5 M. Zayyan Al Farizi Mahni L Rabak - Lando Rarang 4/6/2018 1/6/2020 21 76 7.6 .- - v
6 M. Hasan Akbar Rukayah L Menyer - Terara Terara 6/14/2018 1/2/2020 18 68.4 7.5 M Panas, batuk, pilek v
7 Aulia Novita Willy Murniatun P Terara Barat Terara 11/16/2017 1/2/2020 25 70 7.4 M Panas, batuk, pilek v
8 Nadila Atiya Assasaki Mila P Terara Timur Terara 6/29/2018 1/2/2020 18 64.5 6 M Panas, batuk, pilek v
9 Salman Al Farizi Musmuliadi L Midang - Suradadi Terara 9/26/2018 1/2/2020 15 71.5 6.6 M Panas, batuk, pilek v
Mengetahui, 0 0 0 0
Kepala Bidang Kesga
S U A R D I, SKM., MPH
NIP. 19721231 199503 1 007
AN KASUS GIZI BURUK KABUPATEN LOMBOK TIMUR
HUN 2020
PENANGANAN HASIL PENANGANAN SISA KASUS

PUSKESMAS MEMBAIK MENINGGAL Klinis Audit
Non
BLM RSU Jml
RI KURUS NORMAL TGL PENYEBAB TEMPAT M K MK Klinis
15 16 17 18 19 20 21 22 23 24 25
2/12/2020 Diare Rumah
sudah
Selong, Februari 2020

Kepala Seksi Gizi
Hj. HERNI WIDIYANTI, S.ST., M.Gz.

NIP. 19710518 199203 2 010
REKAPITULASI PENEMUAN DAN PENANGANAN KASUS GIZI BURUK TINGKAT PUSKES
KABUPATEN / KOTA : LOMBOK TIMUR
BULAN : JANUARI
TAHUN : 2020
JUMLAH KASUS GIZI BURUK HASIL PENANGANAN
DITEMUKAN DITANGANI SUMBER DANA KONDISI SAAT INI
NO PUSKESMAS RAWAT RAWAT A B J P SEDANG SELESAI TETAP

BLN INI KOMUL Tim
Lain- KURUS NORMAL
INAP JALAN P
O K
N
Gibur TANGANI TANGANI BURUK
B P lain
K N Kab
L P ∑ L P ∑ PMT (-) PMT (-) D M L P ∑ L P ∑ L P
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 KERUAK 0 0 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 SUKARAJA 0 0 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 JEROWARU 0 0 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 SAKRA 0 0 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 RENSING 0 0 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 LEPAK 0 0 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 TERARA 2 2 4 2 2 4 0 0 4 0 0 0 4 0 0 0 4 0 2 2 4 0 0 0 0 0
8 RARANG 1 0 1 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 0
9 MONTONG BETOK 0 1 1 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0
10 SIKUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KOTARAJA 0 1 1 0 1 1 0 0 1 0 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0
12 MASBAGIK 0 1 1 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0
13 MASBAGIK BARU 1 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0
14 LENDANG NANGKA 0 0 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 PRINGGASELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 DASAN LEKONG 0 0 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 KERONGKONG 0 0 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 SURALAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 DENGGEN 0 0 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 SELONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 LABUHAN HAJI 0 0 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 KORLEKO 0 0 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 BATUYANG 0 0 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 LABUHAN LOMBOK 0 0 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 SUELA 0 0 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 LENEK 0 0 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 AIKMEL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 AIKMEL UTARA 0 0 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 KALIJAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 WANASABA 0 0 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 KARANG BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 SEMBALUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 SAMBELIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 BELANTING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 5 9 4 5 9 0 0 9 0 1 3 4 0 0 1 9 0 4 5 9 0 0 0 0 0
10 #REF! 10 10
Mengetahui, 10 17 20
Kepala Bidang Kesga
S U A R D I, SKM., MPH Hj. Herni

NIP. 19721231 199503 1 007
N KASUS GIZI BURUK TINGKAT PUSKESMAS
HASIL PENANGANAN / SISA KASUS

KONDISI SAAT INI
Klinis
MENINGGAL Non Jlh
NORMAL Klinis
BLN INI KUMLTF M K MK
∑ L P ∑ L P ∑
29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 0 0 4
0 0 0 0 0 0 0 0 0 0 1 1
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 0 0 0 1
0 0 0 0 0 0 0 0 0 0 1 1
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 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 0 0 2 9
Selong, Februari 2020

Kepala Seksi Gizi
Hj. Herni Widiyanti, S.ST., M.Gz.

NIP. 19710518 199203 2 010
REKAPITULASI PENEMUAN DAN PENANGANAN KASUS GIZI BURUK KABUPATEN LOMBOK TIMUR
TAHUN 2020
BULAN : FEBRUARI 2020
SAAT DITEMUKAN GIZI BURUK PENANGANAN HASIL PENANGANAN SISA KASUS
NO NAMA KASUS NAMA ORANG TUA L/P ALAMAT PUSKESMAS TANGGAL LAHIR PUSKESMAS MEMBAIK MENINGGAL Klinis Audit
TGL/BLN UMUR PB atau BB KLINIS PENYAKIT BLM RSU Non Jml
(bln) TB (Cm) (Kg) PENYERTA RJ RI KURUS NORMAL TGL PENYEBAB TEMPAT M K MK Klinis
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
Selagik Tengah -
1 M. Alfarizi Suriani L Selagik Rarang 11/24/2017 2/3/2020 26 82 8.4 - - v sudah
Koko Lauq 2 - Kelayu
2 M. Haikal Faozi Ahyar Faozi L Selatan Selong 8/28/2018 2/27/2020 17 75 7.1 M - v
3 Dera Subaer Lemah / Rahman L Penalet - Wakan Sukaraja 3/13/2016 2/21/2020 47 90.6 9.6 M Katarak v
Mengetahui, 0 0 0 0 Selong, 16 Maret 2020

Kepala Bidang Kesga Kepala Seksi Gizi
Dr. Hj. Shofiyati Jamila, M.Kes. Hj. HERNI WIDIYANTI, S.ST., M.Gz.
NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
REKAPITULASI PENEMUAN DAN PENANGANAN KASUS GIZI BURUK TINGKAT PUSKESMAS
BULAN : FEBRUARI
TAHUN : 2020
JUMLAH KASUS GIZI BURUK HASIL PENANGANAN / SISA KASUS
Klinis
Jml Jml Jml MENINGGAL Non
NO PUSKESMAS RAWAT RAWAT A B J P SEDANG SELESAI TETAP Klinis
Jlh
BLN INI KOMUL Tim
Lain- KURUS NORMAL Jml
INAP JALAN P
O K
N
Gibur TANGANI TANGANI BURUK BLN INI KUMLTF M K MK
B P
K N Kab lain
L P ∑ L P ∑ PMT (-) PMT (-) D M L P ∑ L P ∑ L P ∑ L P ∑ L P ∑
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 34 35 36 37 38 39 40
1 KERUAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUKARAJA 1 0 1 1 0 1 0 0 1 0 1 0 1 0 0 0 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1
3 JEROWARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SAKRA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 RENSING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 LEPAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 TERARA 0 0 0 2 2 4 0 0 4 0 4 0 0 4 0 0 0 4 4 0 4 1 0 1 1 2 3 0 0 0 0 0 0 0 0 0 4 1 0 0 0 1
8 RARANG 1 0 1 2 0 2 0 0 2 0 2 0 2 0 0 0 0 2 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 2
9 MONTONG BETOK 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 0 0 1 1 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1
10 SIKUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KOTARAJA 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 0 0 1 1 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1
12 MASBAGIK 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 0 0 1 1 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1
13 MASBAGIK BARU 0 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1
14 LENDANG NANGKA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 PRINGGASELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 DASAN LEKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KERONGKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SURALAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 DENGGEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SELONG 1 0 1 1 0 1 0 0 1 0 1 0 0 1 0 0 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1
21 LABUHAN HAJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KORLEKO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 BATUYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 LABUHAN LOMBOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 LENEK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 AIKMEL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 AIKMEL UTARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KALIJAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 WANASABA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KARANG BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 SEMBALUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 SAMBELIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 BELANTING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 3 0 3 7 5 12 0 0 12 0 12 1 5 5 0 0 1 12 12 0 12 6 3 9 1 2 3 0 0 0 0 0 0 0 0 0 12 6 0 0 3 9
10 #REF! 10 10
Mengetahui, 10 17 10 20 Selong, Maret 2020
Dr. Hj. Shofiyati Jamila, M.Kes. Hj. Herni Widiyanti, S.ST., M.Gz.
NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
TAHUN 2020
BULAN : MARET 2020
NO NAMA KASUS NAMA ORANG TUA L/P ALAMAT PUSKESMAS TANGGAL LAHIR PUSKESMAS MEMBAIK MENINGGAL Klinis
TGL/BLN UMUR PB atau BB Non
(bln) TB (Cm) (Kg) KLINIS PENYAKIT PENYERTA RJ RI
BLM RSU
KURUS NORMAL TGL PENYEBAB TEMPAT M K MK Klinis
Jml
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
Otak Bangket, Bendung
1 Zumma Juliandi Mar'i - Jumakyah L Selatan - Kilang Montong Betok 7/26/2017 3/13/2020 31 78.1 8.3 M Typoid, diare kronis v
M. Muksin - Cindre
2 Riski Maulana Lestari L Kaliwangkok - Sukaraja Sukaraja 9/28/2019 3/28/2020 6 63.5 4.8 M Panas, batuk v
3 Aesyla Heri - Romiatun P Tangar - Wakan Sukaraja 6/30/2017 3/16/2020 31 85 7.5 M Diare v
4 Adam Maulana Rini Handayani L Cepak Daya - Aikmel Aikmel 12/16/2018 3/5/2020 15 73 6.8 M Candidiasis v
5 Ahmad Nugi Al Fatih Nindi Safitri L Selbar - Selaparang Suela 11/28/2017 3/10/2020 27 78.8 8.1 NK - v
6 Ziad Sakbani Bq. Wirsani L Serempakan - Lemor Suela 5/1/2018 3/10/2020 22 76.2 7.2 NK - v
7 Rindiya Herdiana P Otak Desa - Ketangga Suela 8/5/2018 3/10/2020 20 77 7.2 NK - v
Mengetahui, 0 0 0 0 Selong, 18 April 2020

NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
Audit
Sudah
Belum
Belum
Belum
Belum
Belum
Belum
BULAN : MARET
TAHUN : 2020
Klinis
MENINGGAL Non
Jlh
BLN INI KOMUL Tim
Lain- KURUS NORMAL
INAP JALAN P
O K
N
B P lain
K N Kab
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 34 35 36 37 38 39 40
1 KERUAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUKARAJA 1 1 2 2 1 3 0 0 3 0 0 2 1 0 0 0 3 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 3
3 JEROWARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SAKRA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 RENSING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 LEPAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 TERARA 0 0 0 2 2 4 0 0 4 0 0 0 4 0 0 0 4 0 1 0 1 1 2 3 0 0 0 0 0 0 0 0 0 1 0 0 0 1
8 RARANG 0 0 0 2 0 2 0 0 2 0 0 2 0 0 0 0 2 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2
9 MONTONG BETOK 1 0 1 1 1 2 0 0 2 0 0 2 0 0 0 0 2 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2
10 SIKUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KOTARAJA 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
12 MASBAGIK 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
13 MASBAGIK BARU 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
14 LENDANG NANGKA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 PRINGGASELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 DASAN LEKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KERONGKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SURALAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 DENGGEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SELONG 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
21 LABUHAN HAJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KORLEKO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 BATUYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 LABUHAN LOMBOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUELA 2 1 3 2 1 3 0 0 3 0 0 3 0 0 0 0 3 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
26 LENEK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 AIKMEL 1 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
28 AIKMEL UTARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KALIJAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 WANASABA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KARANG BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 SEMBALUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 SAMBELIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 BELANTING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 5 2 7 12 7 19 0 0 19 0 1 10 6 0 0 2 19 0 11 5 16 1 2 3 0 0 0 0 0 0 0 0 0 10 0 0 6 16
10 #REF! 10 10
Mengetahui, 10 17 20 Selong, April 2020
NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
TAHUN 2020
BULAN : April 2020
NO NAMA KASUS NAMA ORANG TUA L/P ALAMAT PUSKESMAS TANGGAL LAHIR PUSKESMAS MEMBAIK MENINGGAL Klinis
TGL/BLN UMUR PB atau BB PENYAKIT Non
(bln) TB (Cm) (Kg) KLINIS PENYERTA RJ RI
BLM RSU
Jml
Audit
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
1 Icha Alifa Suparman P Kr. Tembar - Lenek Lenek 2/6/2016 5/18/2020 52 94.7 10.5 M - v belum
2 M. Taqdir Mariaton L Midang - Suradadi Terara 6/15/2018 4/4/2020 21 75 7.2 M - v belum

3 Elsa Ramadani Muhadis P Uma Jaya - Sukadana Terara 6/20/2015 4/14/2020 57 88 9 MK Anemia v belum
4 Sahira Husna Siti Hadijah P Darul Ihsan - Toya Aikmel Utara 7/24/2017 4/12/2020 29 82.2 8.4 NK - v belum
5 Asaka Aditya Sukriah L Montor Lekong - Toya Aikmel Utara 10/23/2015 4/25/2020 54 91 10.4 NK - v belum
6 M. Rafif Nurjanah L Kr. Dalem - Kb. Kr. Daya Aikmel Utara 9/5/2015 4/4/2020 54 95.4 11 NK - v belum
7 Zahira Futriani Yulia Wilda P Kr Gelumpang - Kb Kr Aikmel Utara 6/16/2018 4/6/2020 21 7 7 NK - v belum
Daya
8 Indah Azalia Bq Julia P Lembak Lauk - Korleko Korleko 5/21/2017 3/17/2020 34 82.5 7.9 NK - v belum
Selatan
9 M. Dafi H. Murdi - Selamah L Senanti - Sukadamai Sukaraja 5/8/2019 4/11/2020 11 73 6.2 M - v belum
0 0 0 0 0
5
Mengetahui, 0 0 0 0 Selong, M e i 2020
NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
BULAN : APRIL
TAHUN : 2020
Klinis
MENINGGAL Non
Jlh
BLN INI KOMUL Tim
Lain- KURUS NORMAL
INAP JALAN P
O K
N
B P lain
K N Kab
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 34 35 36 37 38 39 40
1 KERUAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUKARAJA 1 0 1 3 1 4 0 0 4 0 0 2 2 0 0 0 4 0 1 1 2 2 0 2 0 0 0 0 0 0 0 0 0 1 1 0 0 2
3 JEROWARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SAKRA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 RENSING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 LEPAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 TERARA 1 1 2 3 3 6 1 0 5 0 1 0 4 0 0 1 3 3 2 1 3 0 0 0 1 2 3 0 0 0 0 0 0 2 0 1 0 3
8 RARANG 0 0 0 2 0 2 0 0 2 0 0 2 0 0 0 0 2 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2
9 MONTONG BETOK 0 0 0 1 1 2 0 0 2 0 0 2 0 0 0 0 2 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2
10 SIKUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KOTARAJA 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
12 MASBAGIK 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
13 MASBAGIK BARU 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
14 LENDANG NANGKA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 PRINGGASELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 DASAN LEKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KERONGKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SURALAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 DENGGEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SELONG 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
21 LABUHAN HAJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KORLEKO 0 1 1 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
23 BATUYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 LABUHAN LOMBOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUELA 0 0 0 2 1 3 0 0 3 0 0 3 0 0 0 0 3 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
26 LENEK 0 1 1 0 1 1 0 0 1 0 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
27 AIKMEL 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 AIKMEL UTARA 2 2 4 2 2 4 0 0 4 0 2 2 0 0 0 0 4 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4
29 KALIJAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 WANASABA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KARANG BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 SEMBALUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 SAMBELIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 BELANTING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 5 9 16 12 28 1 0 27 0 5 13 7 0 0 3 25 3 12 10 22 3 0 3 1 2 3 0 0 0 0 0 0 9 1 1 11 22
10 #REF! 10 10
Mengetahui, 10 17 20 Selong, Mei 2020
NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
TAHUN 2020
BULAN : Mei 2020
UMUR PB atau BB Non
TGL/BLN KLINIS PENYAKIT PENYERTA BLM RSU Jml
(bln) TB (Cm) (Kg) RJ RI KURUS NORMAL TGL PENYEBAB TEMPAT M K MK Klinis
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
1 Gibran Maulana Nurdin - Bq. Ida L Loyok Barat - Loyok Kotaraja 11/5/2019 5/22/2020 6 55 3.5 M Pnemonia v Sudah
Aprianti
2 Azhari Ramdani Lina L Sundi II - Mtg betok Montong Betok 5/28/2019 3/6/2020 10 68.8 6.2 - - v sudah
3 Yoga Pratama Yudi Setiadi L Kp Remaja - Aikmel Aaikamel 3/21/2017 5/12/2020 38 80.9 8.3 - - v belum
4 M. Al fatir Paoziah L Mt Pace - Kb Kerang Aaikamel 2/4/2019 5/12/2020 15 73 7.1 - - v sudah
5 Rifayatul Jannah Sehan P Mt Pace - Kb Kerang Aaikamel 8/4/2019 5/12/2020 9 70 5.3 - - v sudah
Pungkang Daya - Aikmel
6 Alfina K H. Muhammad P Aaikamel 1/31/2018 5/18/2020 27 76.8 7.4 - - v belum
Barat
Pungkang Daya - Aikmel
7 Abdul Zabbar Munisah L Aaikamel 1/8/2019 5/15/2020 16 78 7.7 - - v belum
Barat
8 Muhammad Azril H. A.Kurnain L Kp Karya Barat - Aikmel Aaikamel 3/4/2018 5/11/2020 26 78 8.3 - - v belum
9 M. Abidzar Zainuri M. Tohir - L Anjani Timur - Anjani Suralaga 9/14/2019 5/27/2020 8 52.5 3.2 M Panas, ISPA v sudah
Nurhasanah
10 M. Irhanul Hakim Hilman Jayadi L Banjar Kemuning Selong - Selong 7/10/2018 5/2/2020 21 75 7 - v belum
11 L. Ahmad Askariya Bq. Nuri L Sundak - Rarang Rarang 6/13/2018 5/5/2020 22 74.2 7.1 - v Sudah
0 0 0 0 0
Mengetahui, 0 0 0 0 Selong, Juni 2020

NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
BULAN : MEI
TAHUN : 2020
Klinis
MENINGGAL Non
Jlh
BLN INI KOMUL Tim
Lain- KURUS NORMAL
INAP JALAN P
O K
N
B P lain
K N Kab
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 34 35 36 37 38 39 40
1 KERUAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUKARAJA 0 0 0 3 1 4 0 0 4 0 0 2 2 0 0 0 2 2 2 0 2 1 1 2 0 0 0 0 0 0 0 0 0 2 0 0 0 2
3 JEROWARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SAKRA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 RENSING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 LEPAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 TERARA 0 0 0 3 3 6 1 0 5 0 1 0 4 0 0 1 3 3 2 1 3 0 0 0 1 2 3 0 0 0 0 0 0 2 0 1 0 3
8 RARANG 1 0 1 3 0 3 1 0 2 0 0 3 0 0 0 0 3 0 2 0 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 2
9 MONTONG BETOK 1 0 1 2 1 3 0 0 3 0 0 3 0 0 0 0 2 1 1 1 2 0 0 0 0 0 0 0 1 1 0 1 1 2 0 0 0 2
10 SIKUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KOTARAJA 1 0 1 1 1 2 0 0 2 0 1 1 0 0 0 0 2 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2
12 MASBAGIK 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
13 MASBAGIK BARU 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
14 LENDANG NANGKA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 PRINGGASELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 DASAN LEKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KERONGKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SURALAGA 1 0 1 1 0 1 0 0 1 0 1 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
19 DENGGEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SELONG 1 0 1 2 0 2 0 0 2 0 0 0 2 0 0 0 2 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2
21 LABUHAN HAJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KORLEKO 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
23 BATUYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 LABUHAN LOMBOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUELA 0 0 0 2 1 3 0 0 3 0 0 3 0 0 0 0 3 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
26 LENEK 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
27 AIKMEL 4 2 6 5 2 7 0 0 7 0 0 6 0 0 0 1 6 1 4 2 6 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 6 6
28 AIKMEL UTARA 0 0 0 2 2 4 0 0 4 0 2 2 0 0 0 0 4 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4
29 KALIJAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 WANASABA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KARANG BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 SEMBALUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 SAMBELIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 BELANTING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 9 2 11 25 14 39 2 0 37 0 6 22 8 0 0 3 32 7 20 11 31 3 1 4 1 2 3 0 1 1 0 1 1 12 0 1 18 31
10 #REF! 10 10
Mengetahui, 10 17 20 Selong, Juni 2020
NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
TAHUN 2020
BULAN : Juni 2020
TGL/BLN UMUR PB atau BB KLINIS PENYAKIT BLM RSU Non Jml
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 27
L. M. Angga Mahesa
1 Bq. Siti Aminah L Pemurah - Desa Sakra Sakra 5/29/2017 6/5/2020 36 86.8 8.5 NK - v Belum
Saputra
2 Alfian Akbar Ramdani Alan - Saianah L Gerisak - Gelanggang Lepak 2/21/2018 6/23/2020 16 74.7 7 NK - v Belum
3 Tiz Zakia Hendra Lidia P Keroya Tengah - Aikmel 11/2/2015 6/23/2020 55 98.5 10.4 NK ISPA v Belum
Keroya
4 M. Faisal Zaffan Aq. Baeni L Keroya Lauq - Keroya Aikmel 8/24/2018 6/25/2020 22 78 6.7 NK ISPA v Belum
5 Muh. Abizar Al Azrin Nasrin L Dsn Bagek Bawah - Aikmel 10/22/2019 6/18/2020 8 64 5 NK ISPA v Belum
Aikmel Timur
Kampung Karya -
6 Nur Azrina Rosyada Haerul Nasihin P Aikmel 10/6/2019 6/11/2020 8 60.5 4.5 NK ISPA v Belum
Aikmel
7 Muhammad Dafi Mahsar L Bagik Nyaka Timur - Aikmel 8/29/2016 6/24/2020 46 92 10.5 NK ISPA v Belum
Bagik Nyaka
Bagik Nyaka Barat -

8 Danis Kurniawan Didik Zul K. L Bagik Nyaka Aikmel 9/15/2019 6/27/2020 9 65 4.2 NK ISPA v Belum
Kebon Baru - Jeruk

9 Dinda Aprilia Efendi - Ernawati L Manis Kotaraja 4/21/2020 6/20/2020 2 48 2.1 M - v Sudah
10 M. Zaidi Al Arsam Zulyani H. L Al Muttaqin - Toya Aikmel Uatara 10/24/2018 6/15/2020 20 74 7 - - Belum
11 Marwa Salwa Atmarin Syamsul Hadi P Smban Sukaraja 3/1/2016 6/19/2020 51 92.7 10.9 - Panas, Batuk v Belum
Mengetahui, 10 Selong, Juli 2020

NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
BULAN : JUNI
TAHUN : 2020
Klinis
MENINGGAL Non
Jlh
BLN INI KOMUL Tim
Lain- KURUS NORMAL
INAP JALAN P
O K
N
B P
K N Kab lain
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 34 35 36 37 38 39 40
1 KERUAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUKARAJA 0 1 1 3 2 5 0 0 5 0 0 3 2 0 0 0 3 2 2 1 3 1 1 2 0 0 0 0 0 0 0 0 0 2 0 0 1 3
3 JEROWARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SAKRA 1 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
5 RENSING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 LEPAK 1 0 1 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
7 TERARA 0 0 0 3 3 6 1 0 5 0 1 0 4 0 0 1 3 3 2 1 3 0 0 0 1 2 3 0 0 0 0 0 0 2 0 1 0 3
8 RARANG 0 0 0 3 0 3 1 0 2 0 0 3 0 0 0 0 3 0 2 0 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 2
9 MONTONG BETOK 0 0 0 2 1 3 0 0 3 0 0 3 0 0 0 0 2 1 1 1 2 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2
10 SIKUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KOTARAJA 1 0 1 2 1 3 0 0 3 0 1 1 0 0 0 1 3 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 3
12 MASBAGIK 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
13 MASBAGIK BARU 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
14 LENDANG NANGKA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 PRINGGASELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 DASAN LEKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KERONGKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SURALAGA 0 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 DENGGEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SELONG 0 0 0 2 0 2 0 0 2 0 0 0 2 0 0 0 2 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2
21 LABUHAN HAJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KORLEKO 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
23 BATUYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 LABUHAN LOMBOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUELA 0 0 0 2 1 3 0 0 3 0 0 3 0 0 0 0 0 3 1 1 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 2
26 LENEK 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 AIKMEL 4 2 6 9 4 13 0 0 13 0 0 6 0 0 0 7 12 1 8 4 12 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 12 12
28 AIKMEL UTARA 1 0 1 3 2 5 0 0 5 0 2 2 0 0 0 1 5 0 1 1 2 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 2 2
29 KALIJAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 WANASABA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KARANG BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 SEMBALUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 SAMBELIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 BELANTING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 8 3 11 33 17 50 2 0 48 0 6 24 8 0 0 12 39 11 24 12 36 7 3 10 1 2 3 0 0 0 0 1 1 11 0 1 24 36
10 #REF! 10 10
Mengetahui, 10 17 20 Selong, Juli 2020
NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
TAHUN 2020
BULAN : Juli 2020
TGL/BLN UMUR PB atau BB PENYAKIT Non
(bln) TB (Cm) (Kg) KLINIS PENYERTA RJ RI
BLM RSU
Jml
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
1 Nauril Mahraeni Amisah P Dasan Pancor/Jenggik Rarang 5/9/2020 7/25/2020 2 52 2.6 - - v Blm
Muhammad Mujahid Aisah/H.
2 Alfatih Taharuddin L Repuk Asem Lepak Timur 5/4/2019 7/23/2020 14 69.7 6.5 M - v Blm
GEA
+Dehidrasi
3 M. Zainuddin Salim Muliani L Lauk Masjid II / Pancor Denggen 11/16/2019 7/13/2020 8 66 5.6 - Ringan- v Blm
Sedang
Tebaban
4 Siti Afifatun Hidayah Hidawati P Saung/Tebaban Kerongkong 2/25/2020 7/9/2020 6 59 3,4 M Susah BAB v Blm
Mengetahui, Selong, Agustus 2020

NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
BULAN : JULI
TAHUN : 2020
Klinis
MENINGGAL Non
Jlh
BLN INI KOMUL Tim
Lain- KURUS NORMAL
INAP JALAN P
O K
N
B P
K N Kab lain
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 34 35 36 37 38 39 40
1 KERUAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUKARAJA 0 0 0 3 2 5 0 0 5 0 0 3 2 0 0 0 3 2 2 1 3 1 1 2 0 0 0 0 0 0 0 0 0 2 0 0 1 3
3 JEROWARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SAKRA 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
5 RENSING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 LEPAK 1 0 1 2 0 2 0 0 2 0 0 2 0 0 0 0 2 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2
7 TERARA 0 0 0 3 3 6 1 0 5 0 1 0 4 0 0 1 3 3 2 1 3 0 0 0 1 2 3 0 0 0 0 0 0 2 0 1 0 3
8 RARANG 0 1 1 3 1 4 0 0 3 1 0 3 0 0 0 1 4 0 0 1 1 1 0 1 2 0 2 0 0 0 0 0 0 1 0 0 0 1
9 MONTONG BETOK 0 0 0 2 1 3 0 0 3 0 0 3 0 0 0 0 2 1 1 1 2 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2
10 SIKUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KOTARAJA 0 0 0 2 1 3 0 0 3 0 1 1 0 0 0 1 3 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 3
12 MASBAGIK 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
13 MASBAGIK BARU 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
14 LENDANG NANGKA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 PRINGGASELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 DASAN LEKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KERONGKONG 0 1 1 0 1 1 1 0 0 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
18 SURALAGA 0 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 DENGGEN 1 0 1 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
20 SELONG 0 0 0 2 0 2 0 0 2 0 0 0 2 0 0 0 2 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2
21 LABUHAN HAJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KORLEKO 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
23 BATUYANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 LABUHAN LOMBOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUELA 0 0 0 2 1 3 0 0 3 0 0 3 0 0 0 0 0 3 1 1 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 2
26 LENEK 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 AIKMEL 0 0 0 9 4 13 0 0 13 0 0 6 0 0 0 7 12 1 8 4 12 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 12 12
28 AIKMEL UTARA 0 0 0 3 2 5 0 0 5 0 2 2 0 0 0 1 5 0 1 1 2 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 2 2
29 KALIJAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 WANASABA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KARANG BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 SEMBALUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 SAMBELIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 BELANTING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 2 4 35 19 54 2 0 51 1 6 27 8 0 0 13 43 11 24 14 38 7 3 10 3 2 5 0 0 0 0 1 1 14 0 1 23 38
10 #REF! 10 10
Mengetahui, 10 17 20 Selong, Agustus 2020
NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
TAHUN 2020
BULAN : Agustus 2020

TANGGAL PUSKESMAS MEMBAIK MENINGGAL Klinis
NO NAMA KASUS NAMA ORANG TUA L/P ALAMAT PUSKESMAS
LAHIR
Audit
TGL/BLN UMUR PB atau BB Non
(bln) TB (Cm) (Kg) KLINIS PENYAKIT PENYERTA RJ RI
BLM RSU
Jml
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
1 Ulfa Aeni Kamariah P Sampang Tiga Terara 12/27/2017 8/15/2020 31 80.5 7 M -- Belum
2 Chika Hilhani Herliati P Lengkok Tengak Wanasaba 5/13/2017 8/26/2020 38 60 6.8 - Kejang Sudah
3 Zulfa Humairo Suaidah P Mt. Galeng Rensing 10/17/2019 8/14/2020 10 57 4 M Sudah
4 Yasma Yasa Baiq Wardini P Kecego Daya/Waringin Kerongkong 8/21/2019 8/14/2020 12 62 4.5 M Diare Belum
5 Izra Asyakina Safa Marwati P Kb. Kr Daya/Kb Kerang Aikmel Utara 9/10/2018 8/1/2020 23 88 7.7 K - v 1 1 Belum
6 Feeli Kireina Sundiah/Juwayani P Ds. Bagik Barat/Aikmel Aikmel 2/14/2017 8/19/2020 42 93 9.9 - ISPA v 1 1 Sudah
Timur
7 Teguh Rifki Rafasa Amir Mahmud/Siti L Ds. Bagik Timuk/Aikmel Aikmel 9/16/2017 9/18/2020 35 86.4 9.4 - ISPA v 1 1 Sudah
Megawati Timur
8 Abizar Al Gifari Athar/Fitriani L Anjani Timur 1/Anjani Suralaga 8/25/2019 8/1/2020 11 66.7 5.5 M - v 1 1 Sudah
9 Alea Kanaya Kartono P Benteng Batuyang 4/11/2019 8/3/2020 15 67 6.3 - Pnemonia Berat v 1 1 Belum
Mengetahui, Selong, September 2020

NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
BULAN : AGUSTUS
TAHUN : 2020
Klinis
MENINGGAL Non
Jlh
BLN INI KOMUL Tim
Lain- KURUS NORMAL
INAP JALAN P
O K
N
B P
K N Kab lain
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 34 35 36 37 38 39 40
1 KERUAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUKARAJA 0 0 0 3 2 5 0 0 5 0 0 3 2 0 0 0 3 2 2 1 3 1 1 2 0 0 0 0 0 0 0 0 0 2 0 0 1 3
3 JEROWARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SAKRA 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
5 RENSING 0 1 1 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
6 LEPAK 0 0 0 2 0 2 0 0 2 0 0 2 0 0 0 0 2 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2
7 TERARA 0 1 1 3 4 7 0 0 7 0 1 0 4 0 0 2 4 3 2 1 3 0 2 2 1 1 2 0 0 0 0 0 0 2 1 0 0 3
8 RARANG 0 0 0 3 1 4 0 0 3 1 0 3 0 0 0 1 4 0 0 1 1 1 0 1 2 0 2 0 0 0 0 0 0 1 0 0 0 1
9 MONTONG BETOK 0 0 0 2 1 3 0 0 3 0 0 3 0 0 0 0 2 1 1 1 2 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2
10 SIKUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KOTARAJA 0 0 0 2 1 3 0 0 3 0 1 1 0 0 0 1 3 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 3
12 MASBAGIK 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
13 MASBAGIK BARU 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
14 LENDANG NANGKA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 PRINGGASELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 DASAN LEKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KERONGKONG 0 1 1 0 2 2 1 0 1 0 0 2 0 0 0 0 1 1 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1
18 SURALAGA 1 0 1 2 0 2 0 0 2 0 0 2 0 0 0 0 2 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1
19 DENGGEN 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
20 SELONG 0 0 0 2 0 2 0 0 2 0 0 0 2 0 0 0 2 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2
21 LABUHAN HAJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KORLEKO 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
23 BATUYANG 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
24 LABUHAN LOMBOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUELA 0 0 0 2 1 3 0 0 3 0 0 3 0 0 0 0 0 3 1 1 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 2
26 LENEK 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
27 AIKMEL 1 1 2 10 5 15 0 0 15 0 0 6 0 0 0 9 2 13 1 1 2 5 3 8 5 0 5 0 0 0 0 0 0 0 0 0 2 2
28 AIKMEL UTARA 0 1 1 3 3 6 0 0 6 0 2 2 1 0 0 1 6 0 1 1 2 2 2 4 0 0 0 0 0 0 0 0 0 0 1 0 1 2
29 KALIJAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 WANASABA 0 1 1 0 1 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
31 KARANG BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 SEMBALUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 SAMBELIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 BELANTING 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 7 9 37 26 63 1 0 61 1 5 31 10 0 0 17 39 24 18 15 33 11 8 19 8 2 10 0 0 0 0 1 1 18 2 0 13 33
10 #REF! 10 10
Mengetahui, 10 17 20 Selong, September 2020
NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
TAHUN 2020
BULAN : SEPTEMBER 2020

LAHIR UMUR PB atau BB LILA PENYAKIT KOMPLI Non
TGL/BLN ODEMA KLINIS BLM RSU PENYEBA TEMPAT Jml
(bln) TB (Cm) (Kg) (cm) PENYERTA KASI MEDIS RJ RI KURUS NORMAL TGL M K MK Klinis
B
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
1 Furqpon Al Imran Mahendra L Tb Putik Timuk 1 Wanasaba 12/2/2016 8/20/2020 43 88 6.9 Tidak -
2 Azhar Febrian Hikmayati L Barat Lokok Wanasaba 2/25/2020 9/10/2020 6 61 4.8 Tidak -
Tantang - Rarang
3 Bq. Alif Siti Slen H. Suhaeli P Rarang 4/23/2020 7/14/2020 2 52 2.8
Tengah
Pungkasan / Kb Kerang
4 L. M. Nazri Bq. Pahriah L Aikmel Utara 3/21/2020 9/12/2020 5 4 59 M
Daya
5 Auliana Fitri Jalilah Lutfi P Banjarsari - Aikmel Aikmel 1/17/2020 9/19/2020 8 63.5 4.7 ISPA
Barat
6 Ranu Azzawajalla Jupri - Saunir L Dsn Baru - Bt Nampar Sukaraja 6/8/2016 5/21/2020 47 74.1 5.4 M
7 Daniel Aovan Junaidi P Tangar - Wakan Sukaraja 3/31/2017 7/16/2020 39 87 9.4 NK
8 Arsi Hanna Rafani Aq. Romli L Mt Sari - Sukaraja Sukaraja 9/2/2017 7/2/2020 34 85 8.5 NK
9 Amelia Putri Saldi Darmawan P Mt Kelak - Sukaraja Sukaraja 10/18/2018 7/6/2020 20 89.9 12.2 NK
10 Selvia Wulandari Usman P Bagek Krotok - Sukaraja Sukaraja 4/1/2018 7/8/2020 27 80.2 7.2 NK
11 M. Farid Hamzah Munansah P Longkang - Sukaraja Sukaraja 2/27/2017 7/13/2020 40 93.4 10.7 NK
12 Deri Saputra Idan L Longkang - Sukaraja Sukaraja 9/25/2018 7/13/2020 21 77.9 6.8 NK
13 Farel Arga Pratama M. Sedah L Kaliwangko / Sukaraja Sukaraja 9/11/2018 7/14/2020 21 75.7 6.9 NK
14 ZianZikurrahman Fasrah L Kaliwangko / Sukaraja Sukaraja 12/28/2018 7/14/2020 18 77.4 6 NK
15 Sarip Harti L Bagek Jepang - Wakan Sukaraja 5/23/2017 9/19/2020 40 90 10 NK
16 Karaya Zabrina Jaswa Jaswandi P Ulu - Wakan Sukaraja 7/25/2018 9/5/2020 25 77 6.2 NK
17 Ikbal Ramdani Ros L Tuping - Wakan Sukaraja 6/1/2018 9/7/2020 27 81.2 8 NK
18 Haikal Gibran Busran L Embung Kao - Wakan Sukaraja 1/19/2019 9/24/2020 20 81.2 8 NK
19 Diana Citra Lestari Johan P Tunjang sltn Masbagik 28/7/2018 8/8/2020 25 75 7.1 Tidak M
Mengetahui, Selong, Oktober 2020

NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
BULAN : SEPTEMBER
TAHUN : 2020
Klinis
MENINGGAL Non
Jlh
BLN INI KOMUL Tim
Lain- KURUS NORMAL
INAP JALAN P
O K
N
B P
K N Kab lain
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 34 35 36 37 38 39 40
1 KERUAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUKARAJA 9 4 13 12 6 18 0 0 18 0 2 6 2 0 0 8 12 6 8 5 13 4 1 5 0 0 0 0 0 0 0 0 0 1 0 0 12 13
3 JEROWARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SAKRA 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
5 RENSING 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
6 LEPAK 0 0 0 2 0 2 0 0 2 0 0 2 0 0 0 0 2 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2
7 TERARA 0 0 0 3 4 7 0 0 7 0 1 0 4 0 0 2 4 3 2 0 2 1 2 3 1 1 2 0 0 0 0 0 0 2 0 0 0 2
8 RARANG 0 1 1 3 2 5 1 0 3 1 0 3 1 0 0 1 2 3 0 1 1 2 0 2 2 0 2 0 0 0 0 0 0 1 0 0 0 1
9 MONTONG BETOK 0 0 0 2 1 3 0 0 3 0 0 3 0 0 0 0 2 1 1 1 2 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2
10 SIKUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KOTARAJA 0 0 0 2 1 3 0 0 3 0 1 1 0 0 0 1 3 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 3
12 MASBAGIK 0 1 1 0 2 2 0 0 2 0 0 2 0 0 0 0 2 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2
13 MASBAGIK BARU 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
14 LENDANG NANGKA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 PRINGGASELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 DASAN LEKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KERONGKONG 0 0 0 0 2 2 1 0 1 0 0 2 0 0 0 0 0 2 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0
18 SURALAGA 0 0 0 2 0 2 0 0 2 0 0 2 0 0 0 0 0 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 DENGGEN 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
20 SELONG 0 0 0 2 0 2 0 0 2 0 0 0 2 0 0 0 2 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2
21 LABUHAN HAJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KORLEKO 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
23 BATUYANG 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
24 LABUHAN LOMBOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUELA 0 0 0 2 1 3 0 0 3 0 0 3 0 0 0 0 1 2 0 1 1 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 1
26 LENEK 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
27 AIKMEL 0 1 1 10 6 16 0 0 16 0 0 7 0 0 0 9 3 13 1 2 3 5 3 8 5 0 5 0 0 0 0 0 0 0 0 0 3 3
28 AIKMEL UTARA 1 0 1 4 3 7 0 0 7 0 2 3 1 0 0 1 2 5 1 0 1 1 1 2 2 2 4 0 0 0 0 0 0 1 0 0 0 1
29 KALIJAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 WANASABA 2 0 2 2 1 3 0 0 3 0 0 0 3 0 0 0 3 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 3
31 KARANG BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 SEMBALUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 SAMBELIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 12 7 19 49 33 82 2 0 79 1 7 37 13 0 0 25 44 38 24 18 42 17 7 24 10 5 15 0 0 0 0 1 1 17 0 0 25 42
10 #REF! 10 10
Mengetahui, 10 17 20 Selong, September 2020
NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
TAHUN 2020
BULAN : OKTOBER 2020

LAHIR
Audit
UMUR PB atau BB PENYAKIT Non
TGL/BLN KLINIS BLM RSU Jml
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
1 Rizki Alfian Awaludin L Dsn Gunung Terara 5/8/2018 10/14/2020 29 68 6.4 M - v belum
2 Abdul Muzaffar Muhaiyah L Lb Kerang - Aikmel 3/23/2019 10/7/2020 19 80 8 - ISPA v belum
3 Unaes Al Rizal Rizal L Bagik Nyaka Aikmel 7/1/2017 10/22/2020 40 87 9.2 - ISPA v belum
Bagik Manis - Kb Kerang

4 Yusron Hanafi Sahini L
Daya
Aikmel Utara 1/2/2020 10/24/2020 9 53.8 3.7 M - v v belum
5 Adea Fatun Nuha Rosmiati P Solong Lauk - Mtg Betok 5/3/2019 10/23/2020 17 80.7 7.8 - - v belum
Pesanggrahan
6 Naela Zahra Partijah P Camek - Pesanggrahan Mtg Betok 10/22/2017 10/23/2020 36 70.8 6.6 - - v belum
Mengetahui, Selong, November 2020

Dr. Hj. Shofiyati Jamila, M.Kes. Hj. Herni Widiyanti, S.ST.,M.Gz.

NIP. 19671208 199803 2 006 NIP. 19710518 199203 2 010
BULAN : OKTOBER
TAHUN : 2020
Klinis
Jml Jml Jml MENINGGAL Non
Jlh
BLN INI KOMUL Tim
Lain- KURUS NORMAL Jml
INAP JALAN P
O K
N
B P
K N Kab lain
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 34 35 36 37 38 39 40
1 KERUAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUKARAJA 0 0 0 12 6 18 0 0 18 0 18 2 6 2 0 0 8 18 12 6 18 8 5 13 4 1 5 0 0 0 0 0 0 0 0 0 18 1 0 0 12 13
3 JEROWARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SAKRA 0 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1
5 RENSING 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 0 0 1 1 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1
6 LEPAK 0 0 0 2 0 2 0 0 2 0 2 0 2 0 0 0 0 2 0 2 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0
7 TERARA 1 0 1 4 4 8 0 0 8 0 8 1 0 4 0 0 3 8 4 4 8 2 2 4 1 0 1 1 2 3 0 0 0 0 0 0 8 4 0 0 0 4
8 RARANG 0 0 0 3 2 5 1 0 3 1 5 0 3 1 0 0 1 5 2 3 5 0 1 1 1 0 1 3 0 3 0 0 0 0 0 0 5 1 0 0 0 1
9 MONTONG BETOK 0 2 2 2 3 5 0 0 5 0 5 0 5 0 0 0 0 5 4 1 5 0 4 4 0 0 0 0 0 0 0 0 0 0 1 1 5 2 0 0 2 4
10 SIKUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KOTARAJA 0 0 0 2 1 3 0 0 3 0 3 1 1 0 0 0 1 3 3 0 3 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 0 1 3
12 MASBAGIK 0 0 0 0 2 2 0 0 2 0 2 0 2 0 0 0 0 2 2 0 2 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 1 2
13 MASBAGIK BARU 0 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1
14 LENDANG NANGKA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 PRINGGASELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 DASAN LEKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KERONGKONG 0 0 0 0 2 2 1 0 1 0 2 0 2 0 0 0 0 2 0 2 2 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 2 0 0 0 0 0
18 SURALAGA 0 0 0 2 0 2 0 0 2 0 2 0 2 0 0 0 0 2 0 2 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0
19 DENGGEN 0 0 0 1 0 1 0 0 1 0 1 0 1 0 0 0 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1
20 SELONG 0 0 0 2 0 2 0 0 2 0 2 0 0 2 0 0 0 2 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 1 2
21 LABUHAN HAJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KORLEKO 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 0 0 1 1 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1
23 BATUYANG 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 1 1 1 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1
24 LABUHAN LOMBOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUELA 0 0 0 2 1 3 0 0 3 0 3 0 3 0 0 0 0 3 1 2 3 0 1 1 2 0 2 0 0 0 0 0 0 0 0 0 3 0 0 0 1 1
26 LENEK 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 0 0 1 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1
27 AIKMEL 2 0 2 12 6 18 0 0 18 0 18 0 7 0 0 0 11 18 5 13 18 3 2 5 5 3 8 5 0 5 0 0 0 0 0 0 18 0 0 0 5 5
28 AIKMEL UTARA 1 0 1 5 3 8 0 0 8 0 8 2 3 1 0 0 2 8 2 6 8 2 0 2 1 1 2 2 2 4 0 0 0 0 0 0 8 2 0 0 0 2
29 KALIJAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 WANASABA 0 0 0 2 1 3 0 0 3 0 3 0 0 3 0 0 0 3 3 0 3 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 3 1 0 0 2 3
31 KARANG BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 SEMBALUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 SAMBELIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 2 6 53 35 88 2 0 85 1 88 7 39 13 0 0 29 88 46 42 88 24 23 47 18 5 23 11 6 17 0 0 0 0 1 1 88 19 0 0 28 47
10 #REF! 10 10
Mengetahui, 10 17 10 20 Selong, Oktober 2020
NIP. 19671208 199803 2 006 NIP. 19710518 199203 2 010
REKAPITULASI PENEMUAN DAN PENANGANAN KASUS GIZI BURUK KABUPATEN LOMBO
TAHUN 2020
BULAN : NOVEMBER 2020
SAAT DITEMUKAN GIZI BURUK PENANGANAN
UMUR PB atau BB PENYAKIT
TGL/BLN KLINIS BLM
(bln) TB (Cm) (Kg) PENYERTA RJ RI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Ahmad Khairon Al Wahyi Nur Muhammad Ali L Limbungan Timur-Perigi Suela 1/16/2020 11/16/2020 11 64.7 5.2 √
Labuhan
2 Hamdani Cindrawati L Brang Tapen 3/9/2020 11/11/2020 8 62.2 4.7 M √
Lombok
3 Paizi Sadi Sahrum L Ld. Manto Aikmel Utara 4/7/2018 11/9/2020 26 76.8 7.6 √
4 Sadira Asia Farel Bq. Elianti P Montong Kerarak Sakra 1/14/2019 11/12/2020 21 57 3.9 M
5 Ahmad Riandi Isniarni L Kampung Masjid Lendang Nangka 7/22/2020 11/19/2020 4 57.5 3.6 M
6 Hana Safitri Nur Aeni P Dsn Koak - Mekar sari Suela 3/9/2019 10/5/2020 20 69.1 6.2 - - v
7 M. Evan Alupandi Wardi L Gunung rawi-Perigi Suela 10/12/2019 10/8/2020 13 66 6 - - v - -
8 Rika Saputri Rosdiana P Tnk Mlt U I/Masbagik Masbagik 12/26/2017 10/6/2020 34 74.5 7.3 M - v
9 Raesya Putri Fitriani P Rakam Denggen 3/10/2019 10/12/2020 19 70 6.5 v
10 Eliza Aulia Ningsih Manisah P Karang Baru Rensing 2/6/2020 10/14/2020 9 64 4.5 M
Mengetahui,
Kepala Bidang Kesga
NIP. 19721231 199503 1 007
BUPATEN LOMBOK TIMUR
PENANGANAN HASIL PENANGANAN SISA KASUS

MEMBAIK MENINGGAL Klinis Audit
Non
RSU Jml
17 18 19 20 21 22 23 24 25 26
Blm
Blm
√ Blm
Blm
Tiba-tiba
lemas, Blm
tidak ada
tenaga
11/28/2020 dan belum rumah Blm
sempat di
v bawa ke Blm
pelayanan
kesehatan
Blm
v v Blm
sudah
Selong, Desember 2020

Kepala Seksi Gizi

NIP. 19710518 199203 2 010
BULAN : NOVEMBER
TAHUN : 2020
Klinis
SEDA MENINGGAL Non
NO PUSKESMAS RAWAT RAWAT A B J P NG SELESAI TETAP Klinis
Jlh
BLN INI KOMUL Tim
Lain- KURUS NORMAL
INAP JALAN P
O K
N
Gibur TANG TANGANI BURUK BLN INI KUMLTF M K MK
B P lain
K N Kab ANI
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 34 35 36 37 38 39 40
1 KERUAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUKARAJA 0 0 0 12 6 18 0 0 18 0 2 6 2 0 0 8 12 6 8 5 13 4 1 5 0 0 0 0 0 0 0 0 0 1 0 0 12 13
3 JEROWARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SAKRA 0 1 1 1 1 2 0 0 2 0 0 0 0 0 0 2 2 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2
5 RENSING 0 1 1 0 2 2 0 0 2 0 0 2 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 1
6 LEPAK 0 0 0 2 0 2 0 0 2 0 0 2 0 0 0 0 0 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 TERARA 0 0 0 4 4 8 0 0 8 0 1 0 4 0 0 3 3 5 2 1 3 0 1 1 2 2 4 0 0 0 0 0 0 3 0 0 0 3
8 RARANG 0 0 0 3 2 5 1 0 3 1 0 3 1 0 0 1 2 3 0 1 1 1 0 1 3 0 3 0 0 0 0 0 0 1 0 0 0 1
9 MONTONG BETOK 0 0 0 2 3 5 0 0 5 0 0 5 0 0 0 0 4 1 0 4 4 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 2 4
10 SIKUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KOTARAJA 0 0 0 2 1 3 0 0 3 0 1 1 0 0 0 1 3 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 3
12 MASBAGIK 0 1 1 0 3 3 0 0 3 0 0 3 0 0 0 0 1 2 0 1 1 0 2 2 0 0 0 0 0 0 0 0 0 1 0 0 0 1
13 MASBAGIK BARU 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
14 LENDANG NANGKA 1 0 1 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
15 PRINGGASELA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 DASAN LEKONG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KERONGKONG 0 0 0 0 2 2 1 0 1 0 0 2 0 0 0 0 0 2 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0
18 SURALAGA 0 0 0 2 0 2 0 0 2 0 0 2 0 0 0 0 0 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 DENGGEN 0 1 1 1 1 2 0 0 2 0 0 2 0 0 0 0 2 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2
20 SELONG 0 0 0 2 0 2 0 0 2 0 0 0 2 0 0 0 2 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2
21 LABUHAN HAJI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KORLEKO 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 BATUYANG 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
24 LABUHAN LOMBOK 1 0 1 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
25 SUELA 2 1 3 4 2 6 0 0 6 0 0 6 0 0 0 0 3 3 1 1 2 3 0 3 0 0 0 0 1 1 0 1 1 0 0 0 2 2
26 LENEK 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
27 AIKMEL 0 0 0 12 6 18 0 0 18 0 0 7 0 0 0 11 4 14 2 2 4 5 3 8 6 0 6 0 0 0 0 0 0 0 0 0 4 4
28 AIKMEL UTARA 1 0 1 6 3 9 0 0 9 0 2 4 1 0 0 2 3 6 3 0 3 1 1 2 2 2 4 0 0 0 0 0 0 3 0 0 0 3
29 KALIJAGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 WANASABA 0 0 0 2 1 3 0 0 3 0 0 0 3 0 0 0 3 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 3
31 KARANG BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 SEMBALUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 SAMBELIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 5 5 10 58 40 98 2 0 95 1 7 48 13 0 0 30 48 50 27 22 49 18 9 27 13 6 19 0 2 2 0 3 3 21 0 0 28 49
10 #REF! 10 10
Mengetahui, 10 17 20 Selong, November 2020
NIP. 19671208 199803 2 006 NIP. 19710518 199203 2 010
REKAPITULASI PENEMUAN DAN PENANGANAN KASUS GIZI BURUK KABUPATEN LOMBOK TIM
TAHUN 2020
BULAN : DESEMBER 2020
UMUR PB atau BB
TGL/BLN KLINIS PENYAKIT PENYERTA BLM RSU
(bln) TB (Cm) (Kg) RJ RI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Sangat
1 Muh. Fazil Endriana L Semaya Bat Sikur 8/22/2020 12/13/2020 3 55 2.3 Panas, Mencret v
Kurus
7 v
Mengetahui,
Kepala Bidang Kesga
NIP. 19721231 199503 1 007
NAN KASUS GIZI BURUK KABUPATEN LOMBOK TIMUR
TAHUN 2020
HASIL PENANGANAN SISA KASUS

MEMBAIK MENINGGAL Klinis
Non
Jml
18 19 20 21 22 23 24 25
Selong, Januari 2021

Kepala Seksi Gizi

NIP. 19710518 199203 2 010
REKAPITULASI KEMATIAN KASUS GIZI BURUK KABUPATEN LOMBOK TIMUR
BULAN : Januari - Mei 2020
NO NAMA KASUS NAMA ORANG TUA L/P ALAMAT PUSKESMAS TANGGAL LAHIR PUSKESMAS MENINGGAL
UMUR PB atau TB PENYAKIT
TGL/BLN BB (Kg) KLINIS BLM RSU
(bln) (Cm) PENYERTA RJ RI TGL PENYEBAB TEMPAT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 19 20 21
Lekong Lima - Mtg
1 Amika Nazia Suharti - Apriana P Betok Montong Betok 1/20/2019 1/12/2020 11 62.1 5.3 M ISPA v 2/12/2020 Diare Rumah
57 Zulfa Humairo Suaidah P Mt. Galeng Rensing 10/17/2019 8/14/2020 10 57 4 M Pnemonia v 11/21/2020 pnemonia, jantung rumah
Tiba-tiba lemas, tidak

Dsn Koak - Mekar
6 Hana Safitri Nur Aeni P sari Suela 3/9/2019 10/5/2020 20 69.1 6.2 - - v 11/28/2020 ada tenaga dan belum
sempat di bawa ke rumah
yankes
Mengetahui, Selong, November 2020

Dr. Hj. Shofiyati Jamila, M.Kes. Hj. Herni Widiyanti, S,ST.,M.Gz.

NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
Sudah
TAHUN 2020
BULAN : JANUARI - AGUSTUS 2020
SAAT DITEMUKAN GIZI BURUK PENANGANAN HASIL PENANGANAN
NO NAMA KASUS NAMA ORANG TUA L/P ALAMAT PUSKESMAS TANGGAL LAHIR PUSKESMAS MEMBAIK MENINGGAL Audit
UMUR PB atau BB PENYAKIT Kompli kasi
TGL/BLN ODEMA KLINIS BLM RSU
(bln) TB (Cm) (Kg) PENYERTA Medis RJ RI KURUS NORMAL TGL PENYEBAB TEMPAT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
1 Amika Nazia Suharti - Apriana P Lekonong Lima - Mtg Montong Betok 1/20/2019 1/12/2020 11 62.1 5.3 M ISPA v 2/12/2020 Diare Rumah Sudah
Betok
Marang Utara -
2 Fani Ashar Azizah M. Ali - Hernawati P Kotaraja Kotaraja 4/6/2018 1/21/2020 21 67.5 6.4 M Pnemonia / CP v
3 Rika Saputri Rosdiana P Tanak Malit Utara - Masbagik 12/26/2017 1/13/2020 25 74 7 - - v N

Masbagik Selatan
Karang Majelo -
4 M. Rasyid Al Mubarok Sandi L Masbagik Utara Masbagik Baru 8/15/2018 12/17/2019 16 64 4.7 M - v K sudah
5 M. Zayyan Al Farizi Mahni L Rabak - Lando Rarang 4/6/2018 1/6/2020 21 76 7.6 .- - v K sudah
Panas, batuk,
6 M. Hasan Akbar Rukayah L Menyer - Terara Terara 6/14/2018 1/2/2020 18 68.4 7.5 M pilek v N sudah
7 Aulia Novita Willy Murniatun P Terara Barat Terara 11/16/2017 1/2/2020 25 70 7.4 M Panas, batuk, v N sudah
pilek
Panas, batuk,
8 Nadila Atiya Assasaki Mila P Terara Timur Terara 6/29/2018 1/2/2020 18 64.5 6 M pilek v N sudah
9 Salman Al Farizi Musmuliadi L Midang - Suradadi Terara 9/26/2018 1/2/2020 15 71.5 6.6 M Panas, batuk, v sudah
pilek
10 M. Alfarizi Suriani L Selagik Tengah - Rarang 11/24/2017 2/3/2020 26 82 8.4 - - v K sudah
Selagik
11 M. Haikal Faozi Ahyar Faozi L Koko Lauq 2 - Kelayu Selong 8/28/2018 2/27/2020 17 75 7.1 M - v sudah
Selatan
12 Dera Subaer Lemah / Rahman L Penalet - Wakan Sukaraja 3/13/2016 2/21/2020 47 90.6 9.6 M Katarak v N sudah
Otak Bangket, Bendung Typoid, diare

13 Zumma Juliandi Mar'i - Jumakyah L Selatan - Kilang Montong Betok 7/26/2017 3/13/2020 31 78.1 8.3 M kronis v Sudah
M. Muksin - Cindre
14 Riski Maulana Lestari L Kaliwangkok - Sukaraja Sukaraja 9/28/2019 3/28/2020 6 63.5 4.8 M Panas, batuk v N sudah
15 Aesyla Heri - Romiatun P Tangar - Wakan Sukaraja 6/30/2017 3/16/2020 31 85 7.5 M Diare v K sudah
16 Adam Maulana Rini Handayani L Cepak Daya - Aikmel Aikmel 12/16/2018 3/5/2020 15 73 6.8 M Candidiasis v K Belum
17 Ahmad Nugi Al Fatih Nindi Safitri L Selbar - Selaparang Suela 11/28/2017 3/10/2020 27 78.8 8.1 NK - v K Belum
18 Ziad Sakbani Bq. Wirsani L Serempakan - Lemor Suela 5/1/2018 3/10/2020 22 76.2 7.2 NK - v K Belum
19 Rindiya Herdiana P Otak Desa - Ketangga Suela 8/5/2018 3/10/2020 20 77 7.2 NK - v K Belum
20 Icha Alifa Suparman P Kr. Tembar - Lenek Lenek 2/6/2016 5/18/2020 52 94.7 10.5 M - v belum
21 M. Taqdir Mariaton L Midang - Suradadi Terara 6/15/2018 4/4/2020 21 75 7.2 M - v Sudah

22 Elsa Ramadani Muhadis P Uma Jaya - Sukadana Terara 6/20/2015 4/14/2020 57 88 9 MK Anemia v Sudah
23 Sahira Husna Siti Hadijah P Darul Ihsan - Toya Aikmel Utara 7/24/2017 4/12/2020 29 82.2 8.4 NK - v N belum
24 Asaka Aditya Sukriah L Montor Lekong - Toya Aikmel Utara 10/23/2015 4/25/2020 54 91 10.4 NK - v N belum
Kr. Dalem - Kb. Kr.

25 M. Rafif Nurjanah L Aikmel Utara 9/5/2015 4/4/2020 54 95.4 11 NK - v N belum
Daya
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
26 Zahira Futriani Yulia Wilda P Kr Gelumpang - Kb Kr Aikmel Utara 6/16/2018 4/6/2020 21 7 7 NK - v K belum
Daya
27 Indah Azalia Bq Julia P Lembak Lauk - Korleko Korleko 5/21/2017 3/17/2020 34 82.5 7.9 NK - v K sudah
Selatan
28 M. Dafi H. Murdi - Selamah L Senanti - Sukadamai Sukaraja 5/8/2019 4/11/2020 11 73 6.2 M - v K belum
Nurdin - Bq. Ida

29 Gibran Maulana L Loyok Barat - Loyok Kotaraja 11/5/2019 5/22/2020 6 55 3.5 M Pnemonia v Sudah
Aprianti
30 Azhari Ramdani Lina L Sundi II - Mtg betok Montong Betok 5/28/2019 3/6/2020 10 68.8 6.2 - - v K sudah
31 Yoga Pratama Yudi Setiadi L Kp Remaja - Aikmel Aikmel 3/21/2017 5/12/2020 38 80.9 8.3 - - v K belum
32 M. Al fatir Paoziah L Mt Pace - Kb Kerang Aikmel 2/4/2019 5/12/2020 15 73 7.1 - - v K sudah
33 Rifayatul Jannah Sehan P Mt Pace - Kb Kerang Aikmel 8/4/2019 5/12/2020 9 70 5.3 - - v K sudah
34 Alfina K H. Muhammad P Pungkang Daya - Aikmel 1/31/2018 5/18/2020 27 76.8 7.4 - - v K belum
Aikmel Barat
Pungkang Daya -
35 Abdul Zabbar Munisah L Aikmel Barat Aikmel 1/8/2019 5/15/2020 16 78 7.7 - - v K belum
36 Muhammad Azril H. A. Kurnain L Kp Karya Barat - Aikmel Aikmel 3/4/2018 5/11/2020 26 78 8.3 - - v N belum
M. Tohir -
37 M. Abidzar Zainuri
Nurhasanah
L Anjani Timur - Anjani Suralaga 9/14/2019 5/27/2020 8 52.5 3.2 M Panas, ISPA v K sudah
38 M. Irhanul Hakim Hilman Jayadi L Banjar Kemuning Selong - Selong 7/10/2018 5/2/2020 21 75 7 - v sudah
39 L. Ahmad Askariya Bq. Nuri L Sundak - Rarang Rarang 6/13/2018 5/5/2020 22 74.2 7.1 - v K Sudah
40 L. M. Angga Mahesa Bq. Siti Aminah L Pemurah - Desa Sakra Sakra 5/29/2017 6/5/2020 36 86.8 8.5 NK - v Belum
Saputra
41 Alfian Akbar Ramdani Alan - Saianah L Gerisak - Gelanggang Lepak 2/21/2018 6/23/2020 16 74.7 7 NK - v K Belum
Keroya Tengah -
42 Tiz Zakia Hendra Lidia P Aikmel 11/2/2015 6/23/2020 55 98.5 10.4 NK ISPA v K Belum
Keroya
43 M. Faisal Zaffan Aq. Baeni L Keroya Lauq - Keroya Aikmel 8/24/2018 6/25/2020 22 78 6.7 NK ISPA v K Belum
44 Muh. Abizar Al Azrin Nasrin L Dsn Bagek Bawah - Aikmel 10/22/2019 6/18/2020 8 64 5 NK ISPA v N Belum
Aikmel Timur
45 Nur Azrina Rosyada Haerul Nasihin P Kampung Karya - Aikmel 10/6/2019 6/11/2020 8 60.5 4.5 NK ISPA v K Belum
Aikmel
Bagik Nyaka Timur -

46 Muhammad Dafi Mahsar L Bagik Nyaka Aikmel 8/29/2016 6/24/2020 46 92 10.5 NK ISPA v K Belum
47 Danis Kurniawan Didik Zul K. L Bagik Nyaka Barat - Aikmel 9/15/2019 6/27/2020 9 65 4.2 NK ISPA v K Belum
Bagik Nyaka
Kebon Baru - Jeruk

48 Dinda Aprilia Efendi - Ernawati L Kotaraja 4/21/2020 6/20/2020 2 48 2.1 M - v Sudah
Manis
49 M. Zaidi Al Arsam Zulyani H. L Al Muttaqin - Toya Aikmel Utara 10/24/2018 6/15/2020 20 74 7 - - N Belum
50 Marwa Salwa Atmarin Syamsul Hadi P Smban Sukaraja 3/1/2016 6/19/2020 51 92.7 10.9 - Panas, Batuk v K Belum
51 Nauril Mahraeni Amisah P Dasan Pancor/Jenggik Rarang 5/9/2020 7/25/2020 2 52 2.6 v Blm
Muhammad Mujahid Aisah/H. Repuk Asem Lepak
52 Alfatih Taharuddin L Timur Lepak 5/4/2019 7/23/2020 14 69.7 6.5 M v K Blm
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
GEA +Dehidrasi
53 M. Zainuddin Salim Muliani L Lauk Masjid II / Pancor Denggen 11/16/2019 7/13/2020 8 66 5.6 v Blm
Ringan-Sedang
54 Siti Afifatun Hidayah Hidawati P Tebaban Kerongkong 2/25/2020 7/9/2020 6 59 3,4 M Susah BAB v belum
Saung/Tebaban
55 Ulfa Aeni Kamariah P Sampang Tiga Terara 12/27/2017 8/15/2020 31 80.5 7 M -- Belum
56 Chika Hilhani Herliati P Lengkok Tengak Wanasaba 5/13/2017 8/26/2020 38 60 6.8 - Kejang Sudah
57 Zulfa Humairo Suaidah P Mt. Galeng Rensing 10/17/2019 8/14/2020 10 57 4 M 11/21/2020 pnemonia, jantung rumah Sudah
58 Yasma Yasa Baiq Wardini P Kecego Daya/Waringin Kerongkong 8/21/2019 8/14/2020 12 62 4.5 M Diare Belum
59 Izra Asyakina Safa Marwati P Kb. Kr Daya/Kb Kerang Aikmel Utara 9/10/2018 8/1/2020 23 88 7.7 K - v K Belum
60 Feeli Kireina Sundiah/Juwayani P Ds. Bagik Barat/Aikmel Aikmel 2/14/2017 8/19/2020 42 93 9.9 - ISPA v Sudah
Timur
Amir Mahmud/Siti Ds. Bagik Timuk/Aikmel

61 Teguh Rifki Rafasa L Aikmel 9/16/2017 9/18/2020 35 86.4 9.4 - ISPA v Sudah
Megawati Timur
62 Abizar Al Gifari Athar/Fitriani L Anjani Timur 1/Anjani Suralaga 8/25/2019 8/1/2020 11 66.7 5.5 M - v K Sudah
63 Alea Kanaya Kartono P Benteng Batuyang 4/11/2019 8/3/2020 15 67 6.3 - Pnemonia Berat v Belum
64 Furqpon Al Imran Mahendra L Tb Putik Timuk 1 Wanasaba 12/2/2016 8/20/2020 43 88 6.9 Tidak - belum
65 Azhar Febrian Hikmayati L Barat Lokok Wanasaba 2/25/2020 9/10/2020 6 61 4.8 Tidak - Sudah
Tantang - Rarang
66 Bq. Alif Siti Slen H. Suhaeli P Tengah Rarang 4/23/2020 7/14/2020 2 52 2.8 - belum
Pungkasan / Kb Kerang
67 L. M. Nazri Bq. Pahriah L Daya Aikmel Utara 3/21/2020 9/12/2020 5 4 59 M - belum
Banjarsari - Aikmel
68 Auliana Fitri Jalilah Lutfi P Aikmel 1/17/2020 9/19/2020 8 63.5 4.7 - ISPA sudah
Barat
69 Ranu Azzawajalla Jupri - Saunir L Dsn Baru - Bt Nampar Sukaraja 6/8/2016 5/21/2020 47 74.1 5.4 M - belum
70 Daniel Aovan Junaidi P Tangar - Wakan Sukaraja 3/31/2017 7/16/2020 39 87 9.4 NK - belum
71 Arsi Hanna Rafani Aq. Romli L Mt Sari - Sukaraja Sukaraja 9/2/2017 7/2/2020 34 85 8.5 NK - belum
72 Amelia Putri Saldi Darmawan P Mt Kelak - Sukaraja Sukaraja 10/18/2018 7/6/2020 20 89.9 12.2 NK - belum
73 Selvia Wulandari Usman P Bagek Krotok - Sukaraja 4/1/2018 7/8/2020 27 80.2 7.2 NK - belum
Sukaraja
74 M. Farid Hamzah Munansah P Longkang - Sukaraja Sukaraja 2/27/2017 7/13/2020 40 93.4 10.7 NK - belum
75 Deri Saputra Idan L Longkang - Sukaraja Sukaraja 9/25/2018 7/13/2020 21 77.9 6.8 NK - belum
76 Farel Arga Pratama M. Sedah L Kaliwangko / Sukaraja Sukaraja 9/11/2018 7/14/2020 21 75.7 6.9 NK - belum
77 ZianZikurrahman Fasrah L Kaliwangko / Sukaraja Sukaraja 12/28/2018 7/14/2020 18 77.4 6 NK - belum

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
78 Sarip Harti L Bagek Jepang - Wakan Sukaraja 5/23/2017 9/19/2020 40 90 10 NK - belum
79 Karaya Zabrina Jaswa Jaswandi P Ulu - Wakan Sukaraja 7/25/2018 9/5/2020 25 77 6.2 NK - belum
80 Ikbal Ramdani Ros L Tuping - Wakan Sukaraja 6/1/2018 9/7/2020 27 81.2 8 NK - belum
81 Haikal Gibran Busran L Embung Kao - Wakan Sukaraja 1/19/2019 9/24/2020 20 81.2 8 NK - belum
82 Diana Citra Lestari Johan P Tunjang sltn Masbagik 28/7/2018 8/8/2020 25 75 7.1 M Tidak belum
83 Rizki Alfian Awaludin L Dsn Gunung Terara 5/8/2018 10/14/2020 29 68 6.4 M - v Belum
84 Abdul Muzaffar Muhaiyah L Lb Kerang - Aikmel 3/23/2019 10/7/2020 19 80 8 - ISPA v Belum
85 Unaes Al Rizal Rizal L Bagik Nyaka Aikmel 7/1/2017 10/22/2020 40 87 9.2 - ISPA v Belum
Bagik Manis - Kb
86 Yusron Hanafi Sahini L Kerang Daya Aikmel Utara 1/2/2020 10/24/2020 9 53.8 3.7 M - v v Belum
87 Adea Fatun Nuha Rosmiati P Solong Lauk - Mtg Betok 5/3/2019 10/23/2020 17 80.7 7.8 - - v Belum
Pesanggrahan
88 Naela Zahra Partijah P Camek - Pesanggrahan Mtg Betok 10/22/2017 10/23/2020 36 70.8 6.6 - - v Belum
Limbungan Timur-
89 Ahmad Khairon Al WahyNur Muhammad Ali L Perigi Suela 1/16/2020 11/16/2020 11 64.7 5.2 √ Belum
90 Hamdani Cindrawati L Brang Tapen Labuhan Lombok 3/9/2020 11/11/2020 8 62.2 4.7 M √ Belum
91 Paizi Sadi Sahrum L Ld. Manto Aikmel Utara 4/7/2018 11/9/2020 26 76.8 7.6 √ √ Belum
92 Sadira Asia Farel Bq. Elianti P Montong Kerarak Sakra 1/14/2019 11/12/2020 21 57 3.9 M Belum
93 Ahmad Riandi Isniarni L Kampung Masjid Lendang Nangka 7/22/2020 11/19/2020 4 57.5 3.6 M Belum
Tiba-tiba lemas,
tidak ada tenaga
dan belum sempat
94 Hana Safitri Nur Aeni P Dsn Koak - Mekar sari Suela 3/9/2019 10/5/2020 20 69.1 6.2 - - v 11/28/2020 rumah Belum
di bawa ke
pelayanan
kesehatan
95 M. Evan Alupandi Wardi L Gunung rawi-Perigi Suela 10/12/2019 10/8/2020 13 66 6 - - v - - v Belum
96 Rika Saputri Rosdiana P Tnk Mlt U I/Masbagik Masbagik 12/26/2017 10/6/2020 34 74.5 7.3 M - v Belum
97 Raesya Putri Fitriani P Rakam Denggen 3/10/2019 10/12/2020 19 70 6.5 v v Belum
98 Eliza Aulia Ningsih Manisah P Karang Baru Rensing 2/6/2020 10/14/2020 9 64 4.5 M sudah
Mengetahui, 0 0 0 ### Selong, Desember 2020

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
NIP. 19671208 199803 2 006 NIP. 19710518 199203 2 010
REKAPITULASI PENEMUAN DAN PENANGANAN KASUS GIZI BURUK DENGAN KELAINAN KABUPATEN LOMBOK TIMUR
TAHUN 2020
BULAN : Januari - Desember 2020

NAMA ORANG TANGGAL PUSKESMAS PB MEMBAIK MENINGGAL
NO NAMA KASUS
TUA
L/P ALAMAT PUSKESMAS
LAHIR UMUR PB atau BB PENYAKIT KOMPLI KASI UMUR atau BB
(bln) TB (Cm) (Kg) PENYERTA MEDIS RJ RI (bln) TB (Kg) KURUS NORMAL TGL PENYEBAB TEMPAT
(Cm)
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
1 Habibi Yuliana L Gunung Urif - Sikur 5/5/2016 2/26/2020 45 85 7.5 M Hydrocepalus v
2 Ahmad Firdaus Sabri L Haqqul Yaqin - Kb Kr Aikmel Utara 5/27/2016 4/13/2020 46 86 9 NK Gangguan v
Daya perkembangan
Pungkasan - Kb Kr
3 Lisatul Aeni Inun Gini P Aikmel Utara 11/15/2016 4/17/2020 41 70.5 6.3 NK Microcepali v
Daya
Kilang Selatan I -
4 Dina Huswatul Rohimatul Aini P Mtg Betok 7/30/2018 2/10/2020 16 69.6 5.9 - Bocor Jantung v
Kilang
5 Ranu Azzawajalla Jupri - Saunir L Dsn Baru - Batu Sukaraja 6/8/2018 5/21/2020 47 74.1 5.4 M Dispneu + Susp v
Nampar Cebral
6 Theo Malvin Alfiani L Sandubaya Timur LB. Lombok 9/14/2019 8/22/2020 11 60.2 4.5 GB VSD (jantung) √ v - - - - - - - 1- - -
Kelainan
7 Aoliatuniza Husen P Dasan Sadar Pringgasela 4/5/2019 8/8/2020 16 73.6 6.7 - v
Tumbang
Dasan Tapen/L.
8 Siti Nurlaili Aenun P Lenek 3/13/2020 8/19/2020 5 52 3 M Hydrosepalus v v
Pesiraman
9 M. Ardian Saputra Faidaturrahmi L Kalijaga Kalijaga 4/6/2020 8/5/2020 4 52 3.2 - Kelainan v v

Jantung
Tunjang
Kelainan
10 Diana Citra Lestari Johan P Selatan/Paok Masbagik 7/28/2018 8/8/2020 24 75 7.2 M v v
Tumbang
Motong
11 Rizkia Amati Nurhayatti P Lengkok Embur Wanasaba 2/27/2018 11/16/2019 20 66 7.3 Gangguan v
motorik
12 Azlan Zaedan0 Fitriah L Dsn Gb Lauk - Sambalia 11/18/2018 10/3/2020 22 75 7.2 M Kelainan v
Sambalia mental
Sandubaya Timur -
13 Theo Malvin Alfiani L Lb Lombok 9/14/2019 9/14/2020 11 60.2 4.5 M VSD (Jantung) v
Lb Lombok
14 Yasna Malaika Kasri P Gegurun - Batuyang Batuyang 4/18/2017 10/8/2020 42 85 8.5 M Epilepsi, CP v
Gelumpang - Jantung
15 Dinda Syakbani Aeniah P Wanasaba 5/16/2017 11/13/2017 6 56 4.3 - v
Mamben Daye bawaan
Kelainan
16 M. Harifin Sakmah L Terara 2/2/2020 30 73 13.5 v v
jantung
17 M. Azka Putra Bq. Sarinah L Terara 2/2/2020 27 80.5 12.1 kelainan mata v v
Kelainan
18 Albi Yuda Maulani Mastum L Terara 2/2/2020 25 89.5 11.6
Jantung
v v
19 Adam Rika Risahni L Terara 2/2/2020 21 77 12.5 Asteria ani v v
Pungkasan - Kb Kr
20 L. M. Nazri Bq. Pahriah L Aikmel Utara 3/21/2020 9/12/2020 5 59 4 M Leukimia v v v
Daya
NO NAMA KASUS
TUA
LAHIR UMUR PB atau BB PENYAKIT KOMPLI KASI UMUR atau BB
(bln) TB (Cm) (Kg) PENYERTA MEDIS RJ RI (bln) TB (Kg) KURUS NORMAL TGL PENYEBAB TEMPAT
(Cm)
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
Radang Paru-
21 Izma Salsabiluna Nita Astuti P Dsn Lian Daya Aikmel Utara 5/18/2020 11/3/2020 5 51.5 2.5 M v v
Paru
JANTUNG
22 ZAYAN ABDILLAH A ARDIANSYAH L GENTER Dasan Lekong 27/10/2019 03/08/2020 9 65.8 5.1
BAWAAN
√
Mengetahui, Selong, September 2020

NIP. 19671208 199803 1 006 NIP. 19710518 199203 2 010
REKAPITULASI KEMATIAN KASUS GIZI BURUK KABUPATEN LOMBOK TIMUR
BULAN : Januari - September 2019
NO NAMA KASUS NAMA ORANG TUA L/P ALAMAT PUSKESMAS TANGGAL LAHIR PUSKESMAS MENINGGAL
UMUR PB atau TB PENYAKIT
TGL/BLN BB (Kg) KLINIS BLM RSU
(bln) (Cm) PENYERTA RJ RI TGL PENYEBAB TEMPAT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 19 20 21
Ujung Betok -
1 Indriyani Saibi P Pemongkong Jerowaru 9/2/2018 3/2/2019 6 59 3.4 M Sesak v 4/4/2019 Sesak RSUD Selong
Ujung -
2 Zira Apriani Anin P Pemongkong Jerowaru 1/14/2019 4/12/2019 2 50 2.5 M - v 4/21/2019 infeksi usus RSUD Selong
Pengatung - Panas, batuk,

3 Syarif Hidayat Maruni L Suradadi Terara 6/4/2018 5/2/2019 11 66.2 5.9 M pilek v 6/9/2019 Pnemonia RSUD Selong
Mt Gedeng -
4 Bq. Nur Alfanisa Bq. Harianti P Ketangga Suela 7/31/2018 1/18/2019 5 54.5 3.3 M - v 5/20/2019 Pnemonia Rumah
Sajang Daye - TB dan

5 Akil Al-Arsyad Hurun Aini L
Sajang
Sembalun 3/29/2018 3/25/2019 11 67 5.6 M v 9/9/2019 pembesaran RSUD KLU
hati
Mengetahui, Selong, Oktober 2019

S U A R D I, SKM., MPH Hj. HERNI WIDIYANTI, S.ST., M.Gz.

NIP. 19721231 199503 1 007 NIP. 19710518 199203 2 010
sudah
REKAPITULASI AUDIT PENEMUAN KASUS GIZI BURUK TAHUN 2018
BB lahir
L/P Usia (bln)
(KG)
No Nama Ortu Puskesmas
L P <12 >12 < 2,5 ≥2,5

97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
JUMLAH 0 0 0 0 0 0
TOTAL KASUS 0 0 0
PERSENTASE (YA) ### <12 ### Ya
PERSENTASE (TIDAK) ### >12 ### Tdk
MARASMUS : 81
KWASHIORKOR : 4
MAR-KWAS : 0
NON KLINIS : 66
Penyebab Langsung
Kepemilikan
Pengahsilan Orang Tua Gejala Klinis Penyebab asupan Gz
Kartu BPJS Asupan
Kurang
< 500 500 rb 1 jt s/d 2 jt s/d > 3

Ya Tidak M K MK NK Cukup Kurang 1 2 3
rb s/d 1 jt 2 jt 3 juta juta
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0
### ### ### ### krg ### ### ###
### ### ### ### ckp
1 = Anak tdk mau mkn

2 = Pola Asuh Tdk Memadai
3 = pola mkn tdk sesuai kebutuhan
4 = ketersediaan bahan pangan d kluarga tsb tdk
mencukupi kebtuhan
Penyebab Langsung Penyebab Tidak La
ebab asupan Gz Infeksi Jenis penyakit infeksi Pengasuh Sanitsi lingk. Status Status AE
Kurang oleh ortu Penimbangan
4 Ya Tdk 1 2 3 4 Y T Y T Y T Y T
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
### ### Ya ### ### ### ### ### Ya ### Ya ### Ya ### Ya
### Tdk ### Tdk ### Tdk ### Tdk ### Tdk
1= Kecacingan
2= Diare
3= Pneumonia
angan d kluarga tsb tdk 4= Panas, Batuk, Pilek, dll
Penyebab Tidak Langsung
Status imuninasi Ststus vit. A Status KB Status air minum Cuci Tangan Sebelum Pendidikan ibu
Makan
Tdk Tdk
Lengkap Y T Y T Dimasak Ya Tdk Kadang 1 2 3 4
Lengkap Dimasak
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
#DIV/0! Ya ### Ya ### Ya #DIV/0! ### ### #DIV/0! ### ### ### ###
#DIV/0! Tdk ### Tdk ### Tdk #DIV/0!
1 = TT SD
2 = Tamat SD/Sederajat
3 = TT SMP
4 = Tamat SMP/Sederajat
5 = TT SMA
6 = Tamat SMA/Sederajat
7 = PT
8 = TS
Status Orang Tua
Pendidikan ibu Pekerjaan ibu Pendidikan ayah
5 6 7 8 1 2 3 4 5 1 2 3 4 5 6 7 8
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0
### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
Keterangan :
1 = PNS
2 = Wiraswasta
P/Sederajat 3= Buruh/IRT
4 = Nelayan
A/Sederajat 5 = Lain-lain
Status Daerah Kantong Endemis
Kepemilikan penyakit yg diderita sblm
Perkawinan
Pekerjaan ayah KMS/Buku KIA gibur ya didaerah endemik
Orang Tua
1 2 3 4 5 Ya Tdk 1 2 3 4 5 Y T 1 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0
### #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! ### ### ### ### ### ### ###
Keterangan :
1 = PNS 1 = Punya KMS/KIA 1 = Mencret 1 = malaria
2 = Wiraswasta 2 = Tdk Punya 2 = Batuk 2 = TBC
3= Buruh 3 = Kecacingan 3 = morbili/campak
4 = Nelayan 4 = Panas, Batuk,Pilek 4 = GAKY
5 = Lain-lain 5 = Lain-lain
Daerah Kantong Endemis
ya didaerah endemik tdk
3 4 5
0 0 0
### ### ###
= morbili/campak
TAHUN 2019

NO NAMA KASUS
TUA
LAHIR UMUR PB atau BB PENYAKIT UMUR atau BB
TGL/BLN KLINIS BLM RSU
(bln) TB (Cm) (Kg) PENYERTA RJ RI (bln) TB (Kg) KURUS NORMAL TGL PENYEBAB TEMPAT
(Cm)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
1 Bayu Andika Pratama Rohyani L BB I - Suntalangu Suela 1/22/2018 1/5/2019 11 66.3 5.3 M Gangguan syaraf v
2 Abid Adila Pranaja Badrun - L Keselet Timur - Sakra 12/6/2016 1/12/2019 25 76.8 7.5 NK Epilepsi v
Rohmatullah Keselet
Suwangi Selatan - Pnemonia, hernia
3 Zaelani Rahuni P Sakra 7/11/2017 2/7/2019 18 69 6.4 NK v
Suwangi abdominal
Koko Lauq - Kelayu
4 Aqila Sapaatun Nisa Sapatul Qubro P Selong 7/30/2017 3/5/2019 19 69.3 5.3 M Kelainan Jantung v
Selatan
5 Nur Imani Aldi - Ropiani P Dsn Tembeng Lauk Kalijaga 2/19/2016 1/29/2019 35 76 7.5 M CP v
6 Ibnu Rafik Nurniawati L Spinate Batuyang 30/7/2016 25/1/2019 29 69.5 5.7 M Down Syndrom v
7 M. Paqi Azzikri Mahnun L Gn. Sesang - Lando Rarang 7/7/2017 3/11/2019 20 76.7 7.6 M Down Syndrom v
8 M. Soleh Rukyah L Dusun Bariro Sambalia 7/16/2017 4/6/2019 20 80 7.5 M Down Syndrom v
Suradadi Utara -
9 Albi Yuda Maulana Mastum L Terara 11/13/2017 6/16/2019 19 75 7.5 M Kelainan Paru v
Suradadi
10 M. Azka Putra Bq. Sarnah L Kalitemu - Kalianyar Terara 9/15/2017 6/25/2019 21 76.4 7.8 M Kelainan mata v
11 Bayu aArifin Kaharudin L Suela Lauq - Suela Suela 1/7/2019 7/9/2019 6 65.5 5 - Gagal Jantung v
12 Nisa Abqori Salman Alparizi P Karang Dalem - KKD Aikmel 9/11/2018 7/20/2019 10 64.7 5.3 M Post Op Bibir v
Sumbing
Karang Dalem - Kbg
13 Nisa Abqori Salman Alfarizi P Aikmel 9/11/2018 7/20/2019 10 64.7 5.3 M Post Op Bibir v
Kerang Dalam
Bagek Longgek Daya
14 Putri Vania Atabila Hisnadi P Batuyang 11/30/2016 9/7/2019 33 84.5 8.3 M Kelainan Tulang v
-
15 M. Ltfi Zaki Haidar Ahmad Muliadi - L Taman Sari - Batu Sukaraja 5/18/2019 9/10/2019 3 M Bibir Sumbing v
Suriani Nampar
16 Dilan Khumaira Iq. Era P Joga - Lenek Daya Lenek 7/14/2019 10/2/2019 3 59 3.7 M Jantung, bibir v
sumbing
L. Saenul Fahmi - Kelainan jantung sesak, kelainan
17 M. Darma Mulia Fahmi L Reriu - Bgk Payung Suralaga 10/18/2018 10/5/2019 11 66.5 5 - v v 11/10/2019 RSUP Mataram
Wahyu A. bawaan jantung bawaan
18 Zulaika Humairo Bq. Emi Juliana P Kp Karya Barat - Aikmel 6/8/2018 20/20/19 18 67 6.3 M
Aikmel
19 Desi Andini Muhaini P Selebung Keruak 12/5/2018 12/6/2019 12 68.7 6 - Jantung v
20 Marlaelatul Rohani PKayulian - Pr. Jurang Selatan

Mtg Betok 4/12/2018 8/8/2019 16 64 5.5 - Kelainan Syaraf v
Mengetahui, Selong, Januari 2020

NO NAMA KASUS
TUA
(Cm)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
S U A R D I, SKM., MPH Hj. HERNI WIDIYANTI, S.ST., M.Gz.

NIP. 19721231 199503 1 007 NIP. 19710518 199203 2 010
TAHUN 2018

NO NAMA KASUS
TUA
(Cm)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
1 April Zahra Andika P Gb. Lauk - Sikur Sikur 4/24/2015 1/16/2018 32 70.3 6 M Kelainan Jantung v
2 M. Refki Hamizan Rifai - Siti Aisah L Bagik Manis - Aikmel 11/12/2015 2/18/2018 27 75.6 7.3 M Gangguan Hati, K
Kembang Kerang Hepatoegali
Kali angkuk -
3 M. Rifki Febrian Iq. Sabila L Sukaraja 12/12/2016 2/16/2018 12 62.3 5 - Mikrocepalus
Sukaraja
Dasan Baru - Bt
4 Ranu Azaila Saumir L Sukaraja 8/5/2017 2/14/2018 19 69.9 5.4 - Kelainan Syaraf K
Nampar
5 Mozu Rafael Sumarniwati L Selagik - Selagik Rarang 4/17/2016 2/23/2018 22 72.1 6.2 - Down Syndrom v
6 Lisatul Aeni Inun / Aeni P Pungkasan - Kb Aikmel 11/15/2016 3/26/2018 16 64.9 5 - Mikrocepalus v
Kerang Daya
8 Galuh Anugrah Suhardi - Nurul L Gn Malang - Mtg Mtg Betok 2/3/2016 11/14/2017 20 69.5 6.8 - Syaraf Konginetal
Aeni Betok
Kr. Siswa - Masbagik Down Syndrom,
10 Abid Ziadul Khair Junaidi L Masbagik 8/21/2015 5/17/2018 35 81 6 M v 3/1/2019 Pneumonia berat rumah
Selatan Pnemounia
11 Riski Arya S. Anisah L Tb Borok - Sambalia Sambalia 7/31/2017 5/14/2018 9 57.8 4 M Hydrochepalus v
12 Dinda Syakbani Aeniah P Gelumpang - Wanasaba 5/16/2017 11/13/2017 6 56 4.3 - Jantung bawaan v
Mamben Daye
13 Muzammil Ihsan Iq. Masni L Bagek Kedok Daya - Batuyang 8/28/2017 5/17/2018 9 61.5 4.3 M Retradasi mental v
Batuyang
Dsn Baru - Lenek
14 Anaya Rahma Iq. Azka P Lenek 1/17/2017 6/26/2018 17 68.4 6 M Hydrocepalus v
Ramban Biak
Mtg Pace - Kembang Microcepali Suspec
15 Helwadi Putra Hamzan - Hadiati L Aikmel 11/9/2016 7/13/2018 20 72 6.5 - v K
Kerang ca lidah
17 Ridho Wardana Sriwati - Muhsan L Danger Utara II Lendang Nangka 10/29/2016 5/12/2018 18 67 5.7 M Kelainan tumbang v
18 Fahrizal F. Yulia L Danger Utara II Lendang Nangka 11/23/2015 5/12/2018 29 81.3 8 M Kelainan tumbang v
21 Akil Nabhan ihwal Iswandi L Rungkang (jenggik) Rarang 5/6/2018 9/4/2018 3 51 3.8 bibir sumbing v
22 Zapran Rizal Sainurah L Senanggalih Timur Sambalia 11/4/2017 4/9/2018 16 80.7 8.4 Hidrocepalus
24 Nurul Hidayah Iq. Asiah P Tb Putik Brt 1 - Wanasaba 9/27/2014 1/11/2016 45 71 4 M Kelainan Motorik v
Wanasaba Lauq
25 M. Januardi Akbar Rahman L Rungkang - Gelora Kotaraja 29/2/17 11/13/2018 20 77 7.5 M TB


NO NAMA KASUS
TUA
(Cm)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
Balu Ngadang -
26 Halifa Susmiati Zuhriah P Dsn Lekong 10/1/2014 10/18/2018 48 84.2 8.5 - TB Tulang N
Sukamulia
27 Arkan Akila Pratama Saparudin - SusianiL Dsn Pulur - Lb Sambalia 9/16/2015 35 77.1 7.9 M Kelainan tumbang
Pandan
Mengetahui, Selong, Januari 2019

S U A R D I, SKM., MPH I B R A H I M, SKM.

NIP. 19721231 199503 1 007 NIP. 19690205 199003 1 007

Lap. Gibur SD Des 2020

Diunggah oleh

Informasi Dokumen

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Lap. Gibur SD Des 2020

Diunggah oleh

Hak Cipta:

Format Tersedia

REKAPITULASI PENEMUAN DAN PENANGANAN KASUS GIZI BURUK KABUPATEN LO

SAAT DITEMUKAN GIZI BURUK PENANGAN

Lekonong Lima - Mtg

PENANGANAN HASIL PENANGANAN SISA KASUS

2/12/2020 Diare Rumah

Selong, Februari 2020

Hj. HERNI WIDIYANTI, S.ST., M.Gz.

NO PUSKESMAS RAWAT RAWAT A B J P SEDANG SELESAI TETAP

S U A R D I, SKM., MPH Hj. Herni

HASIL PENANGANAN / SISA KASUS

Selong, Februari 2020

Hj. Herni Widiyanti, S.ST., M.Gz.

SAAT DITEMUKAN GIZI BURUK PENANGANAN HASIL PENANGANAN SISA KASUS

Mengetahui, 0 0 0 0 Selong, 16 Maret 2020

SAAT DITEMUKAN GIZI BURUK PENANGANAN HASIL PENANGANAN SISA KASUS

7 Rindiya Herdiana P Otak Desa - Ketangga Suela 8/5/2018 3/10/2020 20 77 7.2 NK - v

Mengetahui, 0 0 0 0 Selong, 18 April 2020

SAAT DITEMUKAN GIZI BURUK PENANGANAN HASIL PENANGANAN SISA KASUS

2 M. Taqdir Mariaton L Midang - Suradadi Terara 6/15/2018 4/4/2020 21 75 7.2 M - v belum

SAAT DITEMUKAN GIZI BURUK PENANGANAN HASIL PENANGANAN SISA KASUS

Mengetahui, 0 0 0 0 Selong, Juni 2020

SAAT DITEMUKAN GIZI BURUK PENANGANAN HASIL PENANGANAN SISA KASUS

Bagik Nyaka Barat -

Kebon Baru - Jeruk

Mengetahui, 10 Selong, Juli 2020

SAAT DITEMUKAN GIZI BURUK PENANGANAN HASIL PENANGANAN SISA KASUS

Mengetahui, Selong, Agustus 2020

SAAT DITEMUKAN GIZI BURUK PENANGANAN HASIL PENANGANAN SISA KASUS

3 Zulfa Humairo Suaidah P Mt. Galeng Rensing 10/17/2019 8/14/2020 10 57 4 M Sudah

Mengetahui, Selong, September 2020

SAAT DITEMUKAN GIZI BURUK PENANGANAN HASIL PENANGANAN SISA KASUS

7 Daniel Aovan Junaidi P Tangar - Wakan Sukaraja 3/31/2017 7/16/2020 39 87 9.4 NK

14 ZianZikurrahman Fasrah L Kaliwangko / Sukaraja Sukaraja 12/28/2018 7/14/2020 18 77.4 6 NK

15 Sarip Harti L Bagek Jepang - Wakan Sukaraja 5/23/2017 9/19/2020 40 90 10 NK

17 Ikbal Ramdani Ros L Tuping - Wakan Sukaraja 6/1/2018 9/7/2020 27 81.2 8 NK

Mengetahui, Selong, Oktober 2020

SAAT DITEMUKAN GIZI BURUK PENANGANAN HASIL PENANGANAN SISA KASUS

2 Abdul Muzaffar Muhaiyah L Lb Kerang - Aikmel 3/23/2019 10/7/2020 19 80 8 - ISPA v belum

Bagik Manis - Kb Kerang

Mengetahui, Selong, November 2020

Dr. Hj. Shofiyati Jamila, M.Kes. Hj. Herni Widiyanti, S.ST.,M.Gz.

SAAT DITEMUKAN GIZI BURUK PENANGANAN

7 M. Evan Alupandi Wardi L Gunung rawi-Perigi Suela 10/12/2019 10/8/2020 13 66 6 - - v - -

9 Raesya Putri Fitriani P Rakam Denggen 3/10/2019 10/12/2020 19 70 6.5 v

PENANGANAN HASIL PENANGANAN SISA KASUS

Selong, Desember 2020

Hj. HERNI WIDIYANTI, S.ST., M.Gz.

SAAT DITEMUKAN GIZI BURUK PENANGANAN

HASIL PENANGANAN SISA KASUS

Selong, Januari 2021

Hj. HERNI WIDIYANTI, S.ST., M.Gz.

SAAT DITEMUKAN GIZI BURUK PENANGANAN

Tiba-tiba lemas, tidak

Mengetahui, Selong, November 2020

Dr. Hj. Shofiyati Jamila, M.Kes. Hj. Herni Widiyanti, S,ST.,M.Gz.

SAAT DITEMUKAN GIZI BURUK PENANGANAN HASIL PENANGANAN

3 Rika Saputri Rosdiana P Tanak Malit Utara - Masbagik 12/26/2017 1/13/2020 25 74 7 - - v N

Otak Bangket, Bendung Typoid, diare

21 M. Taqdir Mariaton L Midang - Suradadi Terara 6/15/2018 4/4/2020 21 75 7.2 M - v Sudah

Kr. Dalem - Kb. Kr.

Nurdin - Bq. Ida

Bagik Nyaka Timur -

Kebon Baru - Jeruk