LB Master Sleman TH 2021

TABEL 58
PERSENTASE RUMAH SEHAT MENURUT KECAMATAN DAN PUSKESMAS

KABUPATEN : SLEMAN
TAHUN : 2021
JUMLAH RUMAH MEMENUHI SYA

NO KECAMATAN PUSKESMAS DESA SELURUH (RUMAH SEHAT)
RUMAH
JUMLAH
1 2 3 4 5
1 Moyudan Moyudan Sumbersari 0 0
2 Sumberarum 0 0
3 Sumberagung 0 0
4 Sumberrahayu 0 0
5 Minggir Minggir Sendangmulyo 0 0
6 Sendangarum 0 0
7 Sendangrejo 0 0
8 Sendangsari 0 0
9 Sendangagung 0 0
10 Seyegan Seyegan Margoluwih 0 0
11 Margodadi 0 0
12 Margomulyo 0 0
13 Margoagung 0 0
14 Margokaton 0 0
15 Godean Godean I Sidomoyo 0 0
16 Godean I Sidoluhur 0 0
17 Godean I Sidomulyo 0 0
18 Godean I Sidoagung 0 0
19 Godean II Sidokarto 0 0
20 Godean II Sidoarum 0 0
21 Godean II Sidorejo 0 0
22 Gamping Gamping I Balecatur 0 0
23 Gamping I Ambarketawang 0 0
24 Gamping II Banyuraden 0 0
25 Gamping II Nogotirto 0 0
26 Gamping II Trihanggo 0 0
27 Mlati Mlati I Sendangadi 0 0
28 Mlati I Sinduadi 0 0
29 Mlati II Tirtoadi 0 0
30 Mlati II Sumberadi 0 0
31 Mlati II Tlogoadi 0 0
32 Depok Depok I Maguwoharjo 0 0
33 Depok II Condongcatur 0 0
34 Depok III Caturtunggal 0 0
35 Berbah Berbah Sendangtirto 0 0
36 Berbah Tegaltirto 0 0
37 Berbah Jogotirto 0 0
38 Berbah Kalitirto 0 0
39 Prambanan Prambanan Sumberharjo 0 0
40 Wukirharjo 0 0
41 Gayamharjo 0 0
42 Sambirejo 0 0
43 Madurejo 0 0
44 Bokoharjo 0 0
45 Kalasan Kalasan Purwomartani 0 0
46 Tirtomartani 0 0
47 Tamanmartani 0 0
48 Selomartani 0 0
49 Ngemplak Ngemplak I Umbulmartani 0 0
50 Ngemplak I Bimomartani 0 0
51 Ngemplak I Sindumartani 0 0
52 Ngemplak II Wedomartani 0 0
53 Ngemplak II Widodomartani 0 0
54 Ngaglik Ngaglik I Sinduharjo 0 0
55 Ngaglik I Minomartani 0 0
56 Ngaglik I Sardonoharjo 0 0
57 Ngaglik II Sariharjo 0 0
58 Ngaglik II Donoharjo 0 0
59 Ngaglik II Sukoharjo 0 0
60 Sleman Sleman Caturharjo 0 0
61 Triharjo 0 0
62 Tridadi 0 0
63 Pandowoharjo 0 0
64 Trimulyo 0 0
65 Tempel Tempel I Mororejo 0 0
66 Tempel I Margorejo 0 0
67 Tempel I Lumbungrejo 0 0
68 Tempel I Merdikorejo 0 0
69 Tempel II Banyurejo 0 0
70 Tempel II Tambakrejo 0 0
71 Tempel II Sumberrejo 0 0
72 Tempel II Pondokrejo 0 0
73 Turi Turi Bangunkerto 0 0
74 Donokerto 0 0
75 Wonokerto 0 0
76 Girikerto 0 0
77 Pakem Pakem Purwobinangun 0 0
78 Candibinangun 0 0
79 Harjobinangun 0 0
80 Pakembinangun 0 0
81 Hargobinangun 0 0
82 Cangkringan Cangkringan Wukirsari 0 0
83 Argomulyo 0 0
84 Glagahrjo 0 0
85 Kepuhharjo 0 0
86 Umbulharjo 0 0
TABEL 58
PERSENTASE RUMAH SEHAT MENURUT KECAMATAN DAN PUSKESMAS

KABUPATEN : SLEMAN
TAHUN : 2021
JUMLAH RUMAH MEMENUHI SYA

NO KECAMATAN PUSKESMAS DESA SELURUH (RUMAH SEHAT)
RUMAH
JUMLAH
1 2 3 4 5
1 Moyudan Moyudan 8,549 0
2 Minggir Minggir 8,711 0
3 Seyegan Seyegan 10,971 0
4 Godean Godean I 7,772 0
5 Godean Godean II 8,468 0
6 Gamping Gamping I 11,068 0
7 Gamping Gamping II 17,526 0
8 Mlati Mlati I 12,805 0
9 Mlati Mlati II 6,628 0
10 Depok Depok I 9,075 0
11 Depok Depok II 11,833 0
12 Depok Depok III 20,129 0
13 Berbah Berbah 15,147 0
14 Prambanan Prambanan 16,929 0
15 Kalasan Kalasan 22,509 0
16 Ngemplak Ngemplak I 6,007 0
17 Ngemplak Ngemplak II 11,132 0
18 Ngaglik Ngaglik I 14,280 0
19 Ngaglik Ngaglik II 9,112 0
20 Sleman Sleman 16,893 0
21 Tempel Tempel I 8,604 0
22 Tempel Tempel II 7,380 0
23 Turi Turi 7,815 0
24 Pakem Pakem 10,464 0
25 Cangkringan Cangkringan 9,149 0
KABUPATEN 288,956 0
AH MEMENUHI SYARAT JUMLAH RUMAH DIBINA MEMENUHI
RUMAH YANG RUMAH DIBINA
(RUMAH SEHAT) SYARAT
BELUM
MEMENUHI
% SYARAT JUMLAH % JUMLAH
6 7 8 9 10
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! 0 0 #DIV/0! 0
AH MEMENUHI SYARAT JUMLAH RUMAH DIBINA MEMENUHI

RUMAH YANG RUMAH DIBINA
(RUMAH SEHAT) SYARAT
BELUM
MEMENUHI
% SYARAT JUMLAH % JUMLAH
6 7 8 9 10
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
0 0 0 #DIV/0! 0
AH DIBINA MEMENUHI RUMAH MEMENUHI SYARAT
SYARAT (RUMAH SEHAT)
% JUMLAH %
11 12 13
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
#DIV/0! 0 #DIV/0!
AH DIBINA MEMENUHI RUMAH MEMENUHI SYARAT

SYARAT (RUMAH SEHAT)
% JUMLAH %
11 12 13
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
#DIV/0! 0 0
TABEL 59
PENDUDUK DENGAN AKSES BERKELANJUTAN TERHADAP AIR MINUM BERKUALITAS (LAYAK) ME

KABUPATEN : SLEMAN
TAHUN : 2021
SUMUR GALI TE
NO KECAMATAN PUSKESMAS DESA PENDUDUK
JUMLAH
SARANA
1 2 3 4 5
2 Moyudan Moyudan Sumberarum 0 0
3 Moyudan Moyudan Sumberagung 0 0
4 Moyudan Moyudan Sumberrahayu 0 0
6 Minggir Minggir Sendangarum 0 0
7 Minggir Minggir Sendangrejo 0 0
8 Minggir Minggir Sendangsari 0 0
9 Minggir Minggir Sendangagung 0 0
11 Seyegan Seyegan Margodadi 0 0
12 Seyegan Seyegan Margomulyo 0 0
13 Seyegan Seyegan Margoagung 0 0
14 Seyegan Seyegan Margokaton 0 0
16 Godean Godean I Sidoluhur 0 0
17 Godean Godean I Sidomulyo 0 0
18 Godean Godean I Sidoagung 0 0
19 Godean Godean II Sidokarto 0 0
20 Godean Godean II Sidoarum 0 0
21 Godean Godean II Sidorejo 0 0
23 Gamping Gamping I Ambarketawang 0 0
24 Gamping Gamping II Banyuraden 0 0
25 Gamping Gamping II Nogotirto 0 0
26 Gamping Gamping II Trihanggo 0 0
28 Mlati Mlati I Sinduadi 0 0
29 Mlati Mlati II Tirtoadi 0 0
30 Mlati Mlati II Sumberadi 0 0
31 Mlati Mlati II Tlogoadi 0 0
33 Depok Depok II Condongcatur 0 0
34 Depok Depok III Caturtunggal 0 0
36 Berbah Berbah Tegaltirto 0 0
37 Berbah Berbah Jogotirto 0 0
38 Berbah Berbah Kalitirto 0 0
40 Prambanan Prambanan Wukirharjo 0 0
41 Prambanan Prambanan Gayamharjo 0 0
42 Prambanan Prambanan Sambirejo 0 0
43 Prambanan Prambanan Madurejo 0 0
44 Prambanan Prambanan Bokoharjo 0 0
46 Kalasan Kalasan Tirtomartani 0 0
47 Kalasan Kalasan Tamanmartani 0 0
48 Kalasan Kalasan Selomartani 0 0
49 Nemplak Ngemplak I Umbulmartani 0 0
50 Nemplak Ngemplak I Bimomartani 0 0
51 Nemplak Ngemplak I Sindumartani 0 0
52 Nemplak Ngemplak II Wedomartani 0 0
53 Nemplak Ngemplak II Widodomartani 0 0
55 Ngaglik Ngaglik I Minomartani 0 0
56 Ngaglik Ngaglik I Sardonoharjo 0 0
57 Ngaglik Ngaglik II Sariharjo 0 0
58 Ngaglik Ngaglik II Donoharjo 0 0
59 Ngaglik Ngaglik II Sukoharjo 0 0
61 Sleman Sleman Triharjo 0 0
62 Sleman Sleman Tridadi 0 0
63 Sleman Sleman Pandowoharjo 0 0
64 Sleman Sleman Trimulyo 0 0
66 Tempel Tempel I Margorejo 0 0
67 Tempel Tempel I Lumbungrejo 0 0
68 Tempel Tempel I Merdikorejo 0 0
69 Tempel Tempel II Banyurejo 0 0
70 Tempel Tempel II Tambakrejo 0 0
71 Tempel Tempel II Sumberrejo 0 0
72 Tempel Tempel II Pondokrejo 0 0
74 Turi Turi Donokerto 0 0
75 Turi Turi Wonokerto 0 0
76 Turi Turi Girikerto 0 0
78 Pakem Pakem Candibinangun 0 0
79 Pakem Pakem Harjobinangun 0 0
80 Pakem Pakem Pakembinangun 0 0
81 Pakem Pakem Hargobinangun 0 0
83 Cangkringan Cangkringan Argomulyo 0 0
84 Cangkringan Cangkringan Glagahrjo 0 0
85 Cangkringan Cangkringan Kepuhharjo 0 0
86 Cangkringan Cangkringan Umbulharjo 0 0
TABEL 59
PENDUDUK DENGAN AKSES BERKELANJUTAN TERHADAP AIR MINUM BERKUALITAS (LAYAK) ME

KABUPATEN : 2021
TAHUN : 0
SUMUR GALI TE
NO KECAMATAN PUSKESMAS DESA PENDUDUK
JUMLAH
SARANA
1 2 3 4 5
1 Moyudan Moyudan 0 0
2 Minggir Minggir 0 0
3 Seyegan Seyegan 0 0
4 Godean Godean I 0 0
5 Godean Godean II 0 0
6 Gamping Gamping I 0 0
7 Gamping Gamping II 0 0
8 Mlati Mlati I 0 0
9 Mlati Mlati II 0 0
10 Depok Depok I 0 0
11 Depok Depok II 0 0
12 Depok Depok III 0 0
13 Berbah Berbah 0 0
14 Prambanan Prambanan 0 0
15 Kalasan Kalasan 0 0
16 Ngemplak Ngemplak I 0 0
17 Ngemplak Ngemplak II 0 0
18 Ngaglik Ngaglik I 0 0
19 Ngaglik Ngaglik II 0 0
20 Sleman Sleman 0 0
21 Tempel Tempel I 0 0
22 Tempel Tempel II 0 0
23 Turi Turi 0 0
24 Pakem Pakem 0 0
25 Cangkringan Cangkringan 0 0
KABUPATEN 0 0
AKSES PENDUDUK TERHADAP AIR MINUM MEMENUHI SYARAT PER

SLEMAN TANUN 2018
10
9
8
7
6
5
4
3
2
1
0
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u da ngg ega ean ean ping ing lati lati pok pok ok rba ana lasa plak lak glik glik ema pe pel Tu ak
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M G G G r g
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P Ca
UALITAS (LAYAK) MENURUT KECAMATAN DAN PUSKESMAS
BUKAN JARINGAN PERP
SUMUR GALI TERLINDUNG SUMUR GALI DENGAN POMPA SUMUR BOR DENGAN POMPA
MEMENUHI
MEMENUHI SYARAT MEMENUHI SYARAT
SYARAT
JUMLAH JUMLAH JUMLAH
PENDUDU PENDUD JUMLAH PENDUD
JUMLAH JUMLAH
K JUMLAH UK PENDUDU SARANA UK
SARANA
PENGGUN JUMLAH PENDUDUK PENGGU JUMLAH K PENGGU JUMLAH
A SARANA NA SARANA NA SARANA
PENGGUNA PENGGUN
A
6 8 9 10 11 13 14 15 16 17
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
UALITAS (LAYAK) MENURUT KECAMATAN DAN PUSKESMAS
BUKAN JARINGAN PERP
SUMUR GALI TERLINDUNG SUMUR GALI DENGAN POMPA SUMUR BOR DENGAN POMPA
MEMENUHI
SYARAT
PENDUDU PENDUD JUMLAH PENDUD
JUMLAH JUMLAH
K JUMLAH UK PENDUDU SARANA UK
SARANA
PENGGUN JUMLAH PENDUDUK PENGGU JUMLAH
K PENGGU JUMLAH
A SARANA NA SARANA NA SARANA
PENGGUNA PENGGUN
A
6 8 9 10 11 13 14 15 16 17
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
UHI SYARAT PER PUSKESMAS DI
I II n I II ri n N
glik glik ma pel pel Tu kem nga TE
a ga Sle em m P a r i PA
T Te k U
N
ang AB
C K
BUKAN JARINGAN PERPIPAAN
DENGAN POMPA TERMINAL AIR MATA AIR TERLINDUNG PENAMPUNGAN AIR HUJA
MEMENUHI MEMENUHI MEMENUHI

SYARAT SYARAT SYARAT
JUMLAH JUMLAH PENDUD JUMLAH JUMLAH PENDUD JUMLAH JUMLAH PENDUD
PENDUD SARANA UK PENDUD SARANA UK PENDUD SARANA UK
PENGGU JUMLAH PENGGU JUMLAH PENGGU
UK UK UK
NA SARANA NA SARANA NA
PENGGU PENGGU PENGGU
NA NA NA
18 19 20 21 22 23 24 25 26 27 28
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
DENGAN POMPA TERMINAL AIR MATA AIR TERLINDUNG PENAMPUNGAN AIR HUJA
MEMENUHI MEMENUHI MEMENUHI

SYARAT SYARAT SYARAT
JUMLAH JUMLAH PENDUD JUMLAH JUMLAH PENDUD JUMLAH JUMLAH PENDUD
PENDUD SARANA UK PENDUD SARANA UK PENDUD SARANA UK
PENGGU JUMLAH PENGGU JUMLAH PENGGU
UK UK UK
NA SARANA NA SARANA NA
NA NA NA
18 19 20 21 22 23 24 25 26 27 28
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
PENDUDUK YANG
PERPIPAAN (PDAM,BPSPAM) MEMILIKI AKSES
NAMPUNGAN AIR HUJAN AIR MINUM
MEMENUHI MEMENUHI
SYARAT SYARAT
JUMLAH
JUMLAH JUMLAH PENDUD JUMLAH
PENDUD SARANA UK PENDUD JUMLAH %
JUMLAH PENGGU JUMLAH
UK UK
SARANA NA SARANA
PENGGU PENGGU
NA NA
29 30 31 32 33 34 35 36
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
PENDUDUK YANG
NAMPUNGAN AIR HUJAN AIR MINUM
MEMENUHI MEMENUHI
SYARAT SYARAT
JUMLAH
JUMLAH JUMLAH PENDUD JUMLAH
PENDUD SARANA UK PENDUD JUMLAH %
JUMLAH PENGGU JUMLAH
UK UK
SARANA NA SARANA
PENGGU PENGGU
NA NA
29 30 31 32 33 34 35 36
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0
#DIV/0!
TABEL 60
PERSENTASE KUALITAS AIR MINUM DI PENYELENGGARA AIR MINUM YANG MEMENUHI SYARAT
KABUPATEN : SLEMAN
TAHUN : 2021
NO KECAMATAN PUSKESMAS DESA
1 2 3
1 Moyudan Moyudan Sumbersari
2 Moyudan Moyudan Sumberarum
3 Moyudan Moyudan Sumberagung
4 Moyudan Moyudan Sumberrahayu
5 Minggir Minggir Sendangmulyo
6 Minggir Minggir Sendangarum
7 Minggir Minggir Sendangrejo
8 Minggir Minggir Sendangsari
9 Minggir Minggir Sendangagung
10 Seyegan Seyegan Margoluwih
11 Seyegan Seyegan Margodadi
12 Seyegan Seyegan Margomulyo
13 Seyegan Seyegan Margoagung
14 Seyegan Seyegan Margokaton
15 Godean Godean I Sidomoyo
16 Godean Godean I Sidoluhur
17 Godean Godean I Sidomulyo
18 Godean Godean I Sidoagung
19 Godean Godean II Sidokarto
20 Godean Godean II Sidoarum
21 Godean Godean II Sidorejo
22 Gamping Gamping I Balecatur
23 Gamping Gamping I Ambarketawang
24 Gamping Gamping II Banyuraden
25 Gamping Gamping II Nogotirto
26 Gamping Gamping II Trihanggo
27 Mlati Mlati I Sendangadi
28 Mlati Mlati I Sinduadi
29 Mlati Mlati II Tirtoadi
30 Mlati Mlati II Sumberadi
31 Mlati Mlati II Tlogoadi
32 Depok Depok I Maguwoharjo
33 Depok Depok II Condongcatur
34 Depok Depok III Caturtunggal
35 Berbah Berbah Sendangtirto
36 Berbah Berbah Tegaltirto
37 Berbah Berbah Jogotirto
38 Berbah Berbah Kalitirto
39 Prambanan Prambanan Sumberharjo
40 Prambanan Prambanan Wukirharjo
41 Prambanan Prambanan Gayamharjo
42 Prambanan Prambanan Sambirejo
43 Prambanan Prambanan Madurejo
44 Prambanan Prambanan Bokoharjo
45 Kalasan Kalasan Purwomartani
46 Kalasan Kalasan Tirtomartani
47 Kalasan Kalasan Tamanmartani
48 Kalasan Kalasan Selomartani
49 Nemplak Ngemplak I Umbulmartani
50 Nemplak Ngemplak I Bimomartani
51 Nemplak Ngemplak I Sindumartani
52 Nemplak Ngemplak II Wedomartani
53 Nemplak Ngemplak II Widodomartani
54 Ngaglik Ngaglik I Sinduharjo
55 Ngaglik Ngaglik I Minomartani
56 Ngaglik Ngaglik I Sardonoharjo
57 Ngaglik Ngaglik II Sariharjo
58 Ngaglik Ngaglik II Donoharjo
59 Ngaglik Ngaglik II Sukoharjo
60 Sleman Sleman Caturharjo
61 Sleman Sleman Triharjo
62 Sleman Sleman Tridadi
63 Sleman Sleman Pandowoharjo
64 Sleman Sleman Trimulyo
65 Tempel Tempel I Mororejo
66 Tempel Tempel I Margorejo
67 Tempel Tempel I Lumbungrejo
68 Tempel Tempel I Merdikorejo
69 Tempel Tempel II Banyurejo
70 Tempel Tempel II Tambakrejo
71 Tempel Tempel II Sumberrejo
72 Tempel Tempel II Pondokrejo
73 Turi Turi Bangunkerto
74 Turi Turi Donokerto
75 Turi Turi Wonokerto
76 Turi Turi Girikerto
77 Pakem Pakem Purwobinangun
78 Pakem Pakem Candibinangun
79 Pakem Pakem Harjobinangun
80 Pakem Pakem Pakembinangun
81 Pakem Pakem Hargobinangun
82 Cangkringan Cangkringan Wukirsari
83 Cangkringan Cangkringan Argomulyo
84 Cangkringan Cangkringan Glagahrjo
85 Cangkringan Cangkringan Kepuhharjo
86 Cangkringan Cangkringan Umbulharjo
TABEL 60
PERSENTASE KUALITAS AIR MINUM DI PENYELENGGARA AIR MINUM YANG MEMENUHI SYARAT
KABUPATEN : 2021
TAHUN : 0
NO KECAMATAN PUSKESMAS DESA
1 2 3
1 Moyudan Moyudan
2 Minggir Minggir
3 Seyegan Seyegan
4 Godean Godean I
5 Godean Godean II
6 Gamping Gamping I
7 Gamping Gamping II
8 Mlati Mlati I
9 Mlati Mlati II
10 Depok Depok I
11 Depok Depok II
12 Depok Depok III
13 Berbah Berbah
14 Prambanan Prambanan
15 Kalasan Kalasan
16 Ngemplak Ngemplak I
17 Ngemplak Ngemplak II
18 Ngaglik Ngaglik I
19 Ngaglik Ngaglik II
20 Sleman Sleman
21 Tempel Tempel I
22 Tempel Tempel II
23 Turi Turi
24 Pakem Pakem
25 Cangkringan Cangkringan
KABUPATEN
PROSENTASE SAMPEL AIR MINUM MEMENUHI SYARAT PER PUSKESM

2018
10
9
8
7
6
5
4
3
2
1
0
n ir n I II I II I II I II III h n n I II I II n lI II
u da ngg ega ean ean ping ing lati lati pok pok ok rba ana lasa plak lak glik glik ema pe pel
i b Ka m mp ga ga Sl em em
oy M Sey God od am amp M M De e ep Be
D D am e e N N T T
M G G G r Ng Ng
P
INUM YANG MEMENUHI SYARAT KESEHATAN
JUMLAH MEMENUHI SYARAT

JUMLAH SAMPEL DIPERIKSA
PENYELENGGARA (FISIK, BAKTERIOLOGI, DAN KIMI
AIR MINUM JUMLAH % JUMLAH
4 5 6 7
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
INUM YANG MEMENUHI SYARAT KESEHATAN
JUMLAH MEMENUHI SYARAT

JUMLAH SAMPEL DIPERIKSA
PENYELENGGARA (FISIK, BAKTERIOLOGI, DAN KIMI
AIR MINUM JUMLAH % JUMLAH
4 5 6 7
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
0 0 #DIV/0! 0
UHI SYARAT PER PUSKESMAS DI SLEMAN TAHUN
I I I I I I i
ah nan san lak ak I lik lik I an pel el I Tur kem gan TEN
a l g m p
a l
b Ka mp mp ga gag Sle em em Pa krin UPA
am e
Ng Ng
e N N T T ng B
Ca KA
MEMENUHI SYARAT
AKTERIOLOGI, DAN KIMIA)
%
8
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
MEMENUHI SYARAT
AKTERIOLOGI, DAN KIMIA)
%
8
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
TABEL 61
PENDUDUK DENGAN AKSES TERHADAP FASILITAS SANITASI YANG LAYAK (JAMBAN SEHAT) MEN
KABUPATEN : SLEMAN
TAHUN : 2021
KOMUNAL
JUMLAH
NO KECAMATAN PUSKESMAS DESA PENDUDU JUMLAH
K JUMLAH PENDUDUK
SARANA PENGGUN
A
1 2 3 4 5 6
1 Moyudan Moyudan Sumbersari 0 0 0
2 Moyudan Moyudan Sumberarum 0 0 0
3 Moyudan Moyudan Sumberagung 0 0 0
4 Moyudan Moyudan Sumberrahayu 0 0 0
5 Minggir Minggir Sendangmulyo 0 0 0
6 Minggir Minggir Sendangarum 0 0 0
7 Minggir Minggir Sendangrejo 0 0 0
8 Minggir Minggir Sendangsari 0 0 0
9 Minggir Minggir Sendangagung 0 0 0
10 Seyegan Seyegan Margoluwih 0 0 0
11 Seyegan Seyegan Margodadi 0 0 0
12 Seyegan Seyegan Margomulyo 0 0 0
13 Seyegan Seyegan Margoagung 0 0 0
14 Seyegan Seyegan Margokaton 0 0 0
15 Godean Godean I Sidomoyo 0 0 0
16 Godean Godean I Sidoluhur 0 0 0
17 Godean Godean I Sidomulyo 0 0 0
18 Godean Godean I Sidoagung 0 0 0
19 Godean Godean II Sidokarto 0 0 0
20 Godean Godean II Sidoarum 0 0 0
21 Godean Godean II Sidorejo 0 0 0
22 Gamping Gamping I Balecatur 0 0 0
23 Gamping Gamping I Ambarketawang 0 0 0
24 Gamping Gamping II Banyuraden 0 0 0
25 Gamping Gamping II Nogotirto 0 0 0
26 Gamping Gamping II Trihanggo 0 0 0
27 Mlati Mlati I Sendangadi 0 0 0
28 Mlati Mlati I Sinduadi 0 0 0
29 Mlati Mlati II Tirtoadi 0 0 0
30 Mlati Mlati II Sumberadi 0 0 0
31 Mlati Mlati II Tlogoadi 0 0 0
32 Depok Depok I Maguwoharjo 0 0 0
33 Depok Depok II Condongcatur 0 0 0
34 Depok Depok III Caturtunggal 0 0 0
35 Berbah Berbah Sendangtirto 0 0 0
36 Berbah Berbah Tegaltirto 0 0 0
37 Berbah Berbah Jogotirto 0 0 0
38 Berbah Berbah Kalitirto 0 0 0
39 Prambanan Prambanan Sumberharjo 0 0 0
40 Prambanan Prambanan Wukirharjo 0 0 0
41 Prambanan Prambanan Gayamharjo 0 0 0
42 Prambanan Prambanan Sambirejo 0 0 0
43 Prambanan Prambanan Madurejo 0 0 0
44 Prambanan Prambanan Bokoharjo 0 0 0
45 Kalasan Kalasan Purwomartani 0 0 0
46 Kalasan Kalasan Tirtomartani 0 0 0
47 Kalasan Kalasan Tamanmartani 0 0 0
48 Kalasan Kalasan Selomartani 0 0 0
49 Nemplak Ngemplak I Umbulmartani 0 0 0
50 Nemplak Ngemplak I Bimomartani 0 0 0
51 Nemplak Ngemplak I Sindumartani 0 0 0
52 Nemplak Ngemplak II Wedomartani 0 0 0
53 Nemplak Ngemplak II Widodomartani 0 0 0
54 Ngaglik Ngaglik I Sinduharjo 0 0 0
55 Ngaglik Ngaglik I Minomartani 0 0 0
56 Ngaglik Ngaglik I Sardonoharjo 0 0 0
57 Ngaglik Ngaglik II Sariharjo 0 0 0
58 Ngaglik Ngaglik II Donoharjo 0 0 0
59 Ngaglik Ngaglik II Sukoharjo 0 0 0
60 Sleman Sleman Caturharjo 0 0 0
61 Sleman Sleman Triharjo 0 0 0
62 Sleman Sleman Tridadi 0 0 0
63 Sleman Sleman Pandowoharjo 0 0 0
64 Sleman Sleman Trimulyo 0 0 0
65 Tempel Tempel I Mororejo 0 0 0
66 Tempel Tempel I Margorejo 0 0 0
67 Tempel Tempel I Lumbungrejo 0 0 0
68 Tempel Tempel I Merdikorejo 0 0 0
69 Tempel Tempel II Banyurejo 0 0 0
70 Tempel Tempel II Tambakrejo 0 0 0
71 Tempel Tempel II Sumberrejo 0 0 0
72 Tempel Tempel II Pondokrejo 0 0 0
73 Turi Turi Bangunkerto 0 0 0
74 Turi Turi Donokerto 0 0 0
75 Turi Turi Wonokerto 0 0 0
76 Turi Turi Girikerto 0 0 0
77 Pakem Pakem Purwobinangun 0 0 0
78 Pakem Pakem Candibinangun 0 0 0
79 Pakem Pakem Harjobinangun 0 0 0
80 Pakem Pakem Pakembinangun 0 0 0
81 Pakem Pakem Hargobinangun 0 0 0
82 Cangkringan Cangkringan Wukirsari 0 0 0
83 Cangkringan Cangkringan Argomulyo 0 0 0
84 Cangkringan Cangkringan Glagahrjo 0 0 0
85 Cangkringan Cangkringan Kepuhharjo 0 0 0
86 Cangkringan Cangkringan Umbulharjo 0 0 0
TABEL 61
PENDUDUK DENGAN AKSES TERHADAP FASILITAS SANITASI YANG LAYAK (JAMBAN SEHAT) MEN
KABUPATEN : 0
TAHUN : 0
KOMUNAL
JUMLAH
NO KECAMATAN PUSKESMAS DESA PENDUDU JUMLAH
K JUMLAH PENDUDUK
SARANA PENGGUN
A
1 2 3 4 5 6
1 Moyudan Moyudan 0 0 0
2 Minggir Minggir 0 0 0
3 Seyegan Seyegan 0 0 0
4 Godean Godean I 0 0 0
5 Godean Godean II 0 0 0
6 Gamping Gamping I 0 0 0
7 Gamping Gamping II 0 0 0
8 Mlati Mlati I 0 0 0
9 Mlati Mlati II 0 0 0
10 Depok Depok I 0 0 0
11 Depok Depok II 0 0 0
12 Depok Depok III 0 0 0
13 Berbah Berbah 0 0 0
14 Prambanan Prambanan 0 0 0
15 Kalasan Kalasan 0 0 0
16 Ngemplak Ngemplak I 0 0 0
17 Ngemplak Ngemplak II 0 0 0
18 Ngaglik Ngaglik I 0 0 0
19 Ngaglik Ngaglik II 0 0 0
20 Sleman Sleman 0 0 0
21 Tempel Tempel I 0 0 0
22 Tempel Tempel II 0 0 0
23 Turi Turi 0 0 0
24 Pakem Pakem 0 0 0
25 Cangkringan Cangkringan 0 0 0
KABUPATEN 0 0 0
AKSES PENDUDUK TERHADAP SARANA SANITASI MEMENUHI SYARA

SLEMAN TAHUN 2018
10
9
8
7
6
5
4
3
2
1
0
n ir n I II I II I II I II III h n n I II I II n lI I
uda ngg ega ean ean ping ing lati lati pok pok ok rba ana lasa plak lak glik glik ema pe pel
i
oy M Sey God od am amp M M De e ep Be b Ka m mp ga ga Sl em em
G G G D D am e e N N T T
M
Pr Ng Ng
AMBAN SEHAT) MENURUT JENIS JAMBAN, KECAMATAN, DAN PUSKESMAS
JENIS SARANA JAMBAN

KOMUNAL LEHER ANGSA PLENGSENG
JUMLAH % JUMLAH %
JUMLAH PENDUD PENDUD JUMLAH JUMLAH PENDU JUMLAH
PENDUDUK JUMLAH
SARAN UK UK SARANA PENDUDUK DUK SARANA
PENGGUNA SARANA
A PENGG PENGGU PENGGUNA PENGG
UNA NA UNA
7 8 9 10 11 12 13 14 15
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
AMBAN SEHAT) MENURUT JENIS JAMBAN, KECAMATAN, DAN PUSKESMAS
JENIS SARANA JAMBAN

KOMUNAL LEHER ANGSA PLENGSENG
JUMLAH % JUMLAH %
JUMLAH PENDUD PENDUD JUMLAH JUMLAH PENDU JUMLAH
PENDUDUK JUMLAH
SARAN UK UK SARANA PENDUDUK DUK SARANA
PENGGUNA SARANA
A PENGG PENGGU PENGGUNA PENGG
UNA NA UNA
7 8 9 10 11 12 13 14 15
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
0 0 #DIV/0! 0 0 0 0 #DIV/0! 0
MENUHI SYARAT PER PUSKESMAS DI
II I II n lI II ri m n N
lak aglik glik ema pe pel Tu ake inga ATE
p g ga Sl em m P r P
N N T Te n gk BU
Ca K A
NA JAMBAN
PLENGSENGAN CEMPLUNG

JUMLAH JUMLAH
PENDUD JUMLAH % PENDUDU JUMLAH %
UK JUMLAH PENDUDU PENDUD JUMLAH K PENDUDU PENDUDU
SARANA JUMLAH
PENGGU SARAN K UK PENGGU SARANA K K
NA A PENGGUN PENGGU NA PENGGUN PENGGU
A NA A NA
16 17 18 19 20 21 22 23 24
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
NA JAMBAN

JUMLAH JUMLAH
PENDUD JUMLAH % PENDUDU JUMLAH %
UK JUMLAH PENDUDU PENDUD JUMLAH K PENDUDU PENDUDU
SARANA JUMLAH
PENGGU SARAN K UK PENGGU SARANA K K
NA A PENGGUN PENGGU NA PENGGUN PENGGU
A NA A NA
16 17 18 19 20 21 22 23 24
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
0 0 0 #DIV/0! 0 0 0 0 #DIV/0!
PENDUDUK DENGAN
AKSES SANITASI
LAYAK
JUMLAH %
25 26
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
PENDUDUK DENGAN
AKSES SANITASI
LAYAK
JUMLAH %
25 26
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
0 #DIV/0! 0
TABEL 62
DESA YANG MELAKSANAKAN SANITASI TOTAL BERBASIS MASYARAKAT

KABUPATEN : SLEMAN
TAHUN : 2021
SANITASI
NO KECAMATAN PUSKESMAS DESA DESA MELAKSANAKAN

STBM
JUMLAH
1 2 3 4 5
1 Moyudan Moyudan Sumbersari 0
2 Moyudan Moyudan Sumberarum 0
3 Moyudan Moyudan Sumberagung 0
4 Moyudan Moyudan Sumberrahayu 0
5 Minggir Minggir Sendangmulyo 0
6 Minggir Minggir Sendangarum 0
7 Minggir Minggir Sendangrejo 0
8 Minggir Minggir Sendangsari 0
9 Minggir Minggir Sendangagung 0
10 Seyegan Seyegan Margoluwih 0
11 Seyegan Seyegan Margodadi 0
12 Seyegan Seyegan Margomulyo 0
13 Seyegan Seyegan Margoagung 0
14 Seyegan Seyegan Margokaton 0
15 Godean Godean I Sidomoyo 0
16 Godean Godean I Sidoluhur 0
17 Godean Godean I Sidomulyo 0
18 Godean Godean I Sidoagung 0
19 Godean Godean II Sidokarto 0
20 Godean Godean II Sidoarum 0
21 Godean Godean II Sidorejo 0
22 Gamping Gamping I Balecatur 0
23 Gamping Gamping I Ambarketawang 0
24 Gamping Gamping II Banyuraden 0
25 Gamping Gamping II Nogotirto 0
26 Gamping Gamping II Trihanggo 0
27 Mlati Mlati I Sendangadi 0
28 Mlati Mlati I Sinduadi 0
29 Mlati Mlati II Tirtoadi 0
30 Mlati Mlati II Sumberadi 0
31 Mlati Mlati II Tlogoadi 0
32 Depok Depok I Maguwoharjo 0
33 Depok Depok II Condongcatur 0
34 Depok Depok III Caturtunggal 0
35 Berbah Berbah Sendangtirto 0
36 Berbah Berbah Tegaltirto 0
37 Berbah Berbah Jogotirto 0
38 Berbah Berbah Kalitirto 0
39 Prambanan Prambanan Sumberharjo 0
40 Prambanan Prambanan Wukirharjo 0
41 Prambanan Prambanan Gayamharjo 0
42 Prambanan Prambanan Sambirejo 0
43 Prambanan Prambanan Madurejo 0
44 Prambanan Prambanan Bokoharjo 0
45 Kalasan Kalasan Purwomartani 0
46 Kalasan Kalasan Tirtomartani 0
47 Kalasan Kalasan Tamanmartani 0
48 Kalasan Kalasan Selomartani 0
49 Nemplak Ngemplak I Umbulmartani 0
50 Nemplak Ngemplak I Bimomartani 0
51 Nemplak Ngemplak I Sindumartani 0
52 Nemplak Ngemplak II Wedomartani 0
53 Nemplak Ngemplak II Widodomartani 0
54 Ngaglik Ngaglik I Sinduharjo 0
55 Ngaglik Ngaglik I Minomartani 0
56 Ngaglik Ngaglik I Sardonoharjo 0
57 Ngaglik Ngaglik II Sariharjo 0
58 Ngaglik Ngaglik II Donoharjo 0
59 Ngaglik Ngaglik II Sukoharjo 0
60 Sleman Sleman Caturharjo 0
61 Sleman Sleman Triharjo 0
62 Sleman Sleman Tridadi 0
63 Sleman Sleman Pandowoharjo 0
64 Sleman Sleman Trimulyo 0
65 Tempel Tempel I Mororejo 0
66 Tempel Tempel I Margorejo 0
67 Tempel Tempel I Lumbungrejo 0
68 Tempel Tempel I Merdikorejo 0
69 Tempel Tempel II Banyurejo 0
70 Tempel Tempel II Tambakrejo 0
71 Tempel Tempel II Sumberrejo 0
72 Tempel Tempel II Pondokrejo 0
73 Turi Turi Bangunkerto 0
74 Turi Turi Donokerto 0
75 Turi Turi Wonokerto 0
76 Turi Turi Girikerto 0
77 Pakem Pakem Purwobinangun 0
78 Pakem Pakem Candibinangun 0
79 Pakem Pakem Harjobinangun 0
80 Pakem Pakem Pakembinangun 0
81 Pakem Pakem Hargobinangun 0
82 Cangkringan Cangkringan Wukirsari 0
83 Cangkringan Cangkringan Argomulyo 0
84 Cangkringan Cangkringan Glagahrjo 0
85 Cangkringan Cangkringan Kepuhharjo 0
86 Cangkringan Cangkringan Umbulharjo 0
TABEL 62
DESA YANG MELAKSANAKAN SANITASI TOTAL BERBASIS MASYARAKAT

KABUPATEN : SLEMAN
TAHUN : 2021
SANITASI
NO KECAMATAN PUSKESMAS JML DESA DESA MELAKSANAKAN

STBM
JUMLAH
1 2 3 4 5
8 Mlati Mlati I 2 0
23 Turi Turi 4 0
24 Pakem Pakem 5 0
KABUPATEN 86 0
JUMLAH DESA STBM PER PUSKESMAS DI SLEMAN TAH

1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
n ir n I II I II I II I II III h n n I II I II n lI
uda ngg ega ean ean ping ing lati lati pok pok ok rba ana lasa plak lak glik glik ema pe
i p Be a
oy M Sey God od am amp M M De
De De am
b Ka p
em gem Ng Ng
a Sl Tem Te
M G G G r Ng
P N
SANITASI TOTAL BERBASIS MASYARAKAT (STBM)
ESA MELAKSANAKAN DESA STOP BABS
DESA STBM
STBM (SBS)
% JUMLAH % JUMLAH %
6 7 8 9 10
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 #NAME? #NAME? 0 0
0 #NAME? #NAME? 0 0
0 #NAME? #NAME? 0 0
0 #NAME? #NAME? 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 #NAME? #NAME? 0 0
0 #NAME? #NAME? 0 0
0 #NAME? #NAME? 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 #NAME? #NAME? 0 0
0 #NAME? #NAME? 0 0
0 #NAME? #NAME? 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
SANITASI TOTAL BERBASIS MASYARAKAT (STBM)

ESA MELAKSANAKAN DESA STOP BABS
DESA STBM
STBM (SBS)
% JUMLAH % JUMLAH %
6 7 8 9 10
0 0 0 0 0
0 #NAME? #NAME? 0 0
0 #NAME? #NAME? 0 0
0 #NAME? #NAME? 0 0
0 0 0 0 0
0 #NAME? #NAME? 0 0
0 #NAME? #NAME? 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 #NAME? #NAME? 0 0
DI SLEMAN TAHUN 2021
kI II I II n lI
ak aglik glik ema pe pel
II ri m
Tu ake inga ATE
n N
pl
m Ng Nga Sl Tem Tem P kr UP
ge ang A B
C K
TABEL 63
PERSENTASE TEMPAT-TEMPAT UMUM MEMENUHI SYARAT KESEHATAN MENURUT KECAMAT

KABUPATEN : SLEMAN
TAHUN : 2021
NO KECAMATAN PUSKESMAS DESA SARANA PENDIDIKAN
SD
1 2 3 4 5
1 Moyudan Moyudan Sumbersari 0
2 Moyudan Moyudan Sumberarum 0
3 Moyudan Moyudan Sumberagung 0
4 Moyudan Moyudan Sumberrahayu 0
5 Minggir Minggir Sendangmulyo 0
6 Minggir Minggir Sendangarum 0
7 Minggir Minggir Sendangrejo 0
8 Minggir Minggir Sendangsari 0
9 Minggir Minggir Sendangagung 0
10 Seyegan Seyegan Margoluwih 0
11 Seyegan Seyegan Margodadi 0
12 Seyegan Seyegan Margomulyo 0
13 Seyegan Seyegan Margoagung 0
14 Seyegan Seyegan Margokaton 0
15 Godean Godean I Sidomoyo 0
16 Godean Godean I Sidoluhur 0
17 Godean Godean I Sidomulyo 0
18 Godean Godean I Sidoagung 0
19 Godean Godean II Sidokarto 0
20 Godean Godean II Sidoarum 0
21 Godean Godean II Sidorejo 0
22 Gamping Gamping I Balecatur 0
23 Gamping Gamping I Ambarketawang 0
24 Gamping Gamping II Banyuraden 0
25 Gamping Gamping II Nogotirto 0
26 Gamping Gamping II Trihanggo 0
27 Mlati Mlati I Sendangadi 0
28 Mlati Mlati I Sinduadi 0
29 Mlati Mlati II Tirtoadi 0
30 Mlati Mlati II Sumberadi 0
31 Mlati Mlati II Tlogoadi 0
32 Depok Depok I Maguwoharjo 0
33 Depok Depok II Condongcatur 0
34 Depok Depok III Caturtunggal 0
35 Berbah Berbah Sendangtirto 0
36 Berbah Berbah Tegaltirto 0
37 Berbah Berbah Jogotirto 0
38 Berbah Berbah Kalitirto 0
39 Prambanan Prambanan Sumberharjo 0
40 Prambanan Prambanan Wukirharjo 0
41 Prambanan Prambanan Gayamharjo 0
42 Prambanan Prambanan Sambirejo 0
43 Prambanan Prambanan Madurejo 0
44 Prambanan Prambanan Bokoharjo 0
45 Kalasan Kalasan Purwomartani 0
46 Kalasan Kalasan Tirtomartani 0
47 Kalasan Kalasan Tamanmartani 0
48 Kalasan Kalasan Selomartani 0
49 Nemplak Ngemplak I Umbulmartani 0
50 Nemplak Ngemplak I Bimomartani 0
51 Nemplak Ngemplak I Sindumartani 0
52 Nemplak Ngemplak II Wedomartani 0
53 Nemplak Ngemplak II Widodomartani 0
54 Ngaglik Ngaglik I Sinduharjo 0
55 Ngaglik Ngaglik I Minomartani 0
56 Ngaglik Ngaglik I Sardonoharjo 0
57 Ngaglik Ngaglik II Sariharjo 0
58 Ngaglik Ngaglik II Donoharjo 0
59 Ngaglik Ngaglik II Sukoharjo 0
60 Sleman Sleman Caturharjo 0
61 Sleman Sleman Triharjo 0
62 Sleman Sleman Tridadi 0
63 Sleman Sleman Pandowoharjo 0
64 Sleman Sleman Trimulyo 0
65 Tempel Tempel I Mororejo 0
66 Tempel Tempel I Margorejo 0
67 Tempel Tempel I Lumbungrejo 0
68 Tempel Tempel I Merdikorejo 0
69 Tempel Tempel II Banyurejo 0
70 Tempel Tempel II Tambakrejo 0
71 Tempel Tempel II Sumberrejo 0
72 Tempel Tempel II Pondokrejo 0
73 Turi Turi Bangunkerto 0
74 Turi Turi Donokerto 0
75 Turi Turi Wonokerto 0
76 Turi Turi Girikerto 0
77 Pakem Pakem Purwobinangun 0
78 Pakem Pakem Candibinangun 0
79 Pakem Pakem Harjobinangun 0
80 Pakem Pakem Pakembinangun 0
81 Pakem Pakem Hargobinangun 0
82 Cangkringan Cangkringan Wukirsari 0
83 Cangkringan Cangkringan Argomulyo 0
84 Cangkringan Cangkringan Glagahrjo 0
85 Cangkringan Cangkringan Kepuhharjo 0
86 Cangkringan Cangkringan Umbulharjo 0
TABEL 63
PERSENTASE TEMPAT-TEMPAT UMUM MEMENUHI SYARAT KESEHATAN MENURUT KECAMAT

KABUPATEN : SLEMAN
TAHUN : 2021
NO KECAMATAN PUSKESMAS DESA SARANA PENDIDIKAN
SD
1 2 3 4 5
1 Moyudan Moyudan 0
2 Minggir Minggir 0
3 Seyegan Seyegan 0
4 Godean Godean I 0
5 Godean Godean II 0
6 Gamping Gamping I 0
7 Gamping Gamping II 0
8 Mlati Mlati I 0
9 Mlati Mlati II 0
10 Depok Depok I 0
11 Depok Depok II 0
12 Depok Depok III 0
13 Berbah Berbah 0
14 Prambanan Prambanan 0
15 Kalasan Kalasan 0
16 Ngemplak Ngemplak I 0
17 Ngemplak Ngemplak II 0
18 Ngaglik Ngaglik I 0
19 Ngaglik Ngaglik II 0
20 Sleman Sleman 0
21 Tempel Tempel I 0
22 Tempel Tempel II 0
23 Turi Turi 0
24 Pakem Pakem 0
25 Cangkringan Cangkringan 0
KABUPATEN 0
PROSENTASE TTU MEMENUHI SYARAT PER PUSKESMAS DI SL

10
9
8
7
6
5
4
3
2
1
0
n ir n I II I II I II kI II III h n n kI II kI II n
uda ngg ega ean ean ping ing lati lati po pok ok erba ana lasa pla plak agli glik ema
i y d p M e p l
oy M Se Go God am am M D De De B
am
b Ka em em Ng Ng
a S
M G G Pr Ng Ng
ATAN MENURUT KECAMATAN DAN PUSKESMAS
YANG ADA
S
SARANA PENDIDIKAN SARANA KESEHATAN HOTEL
JUMLAH SD
PASAR
TTU
PUSKESM RUMAH NON
SLTP SLTA BINTANG JUMLAH
AS SAKIT BINTANG
6 7 8 9 10 11 12 13 14
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
ATAN MENURUT KECAMATAN DAN PUSKESMAS
YANG ADA
S
SARANA PENDIDIKAN SARANA KESEHATAN HOTEL
JUMLAH SD
PASAR
TTU
PUSKESM RUMAH NON
SLTP SLTA BINTANG JUMLAH
AS SAKIT BINTANG
6 7 8 9 10 11 12 13 14
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
ER PUSKESMAS DI SLEMAN TAHUN 2021
an an k I k II ik I k II an el
I l II ri m
Tu ake inga ATE
n N
an alas pla pla agl agli lem mp mpe
K em em Ng Ng S Te Te P kr UP
Ng Ng ang AB
C K
TEMPAT-TEMPAT UMUM
MEMENUHI SYARAT KESEHATAN
SARANA PENDIDIKAN SARANA KESEHATAN
SD SLTP SLTA PUSKESMAS RUMAH SAKIT
% JUMLAH % JUMLAH % JUMLAH % JUMLAH %
15 16 17 18 19 20 21 22 23
#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
TEMPAT-TEMPAT UMUM
MEMENUHI SYARAT KESEHATAN
SARANA PENDIDIKAN SARANA KESEHATAN
SD SLTP SLTA PUSKESMAS RUMAH SAKIT
% JUMLAH % JUMLAH % JUMLAH % JUMLAH %
15 16 17 18 19 20 21 22 23
RAT KESEHATAN
HOTEL TEMPAT-TEMPAT
PASAR
UMUM
BINTANG NON BINTANG
JUMLAH % JUMLAH % JUMLAH % JUMLAH %
24 25 26 27 28 29 30 31
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
RAT KESEHATAN
HOTEL TEMPAT-TEMPAT
PASAR
UMUM
BINTANG NON BINTANG
JUMLAH % JUMLAH % JUMLAH % JUMLAH %
24 25 26 27 28 29 30 31
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
TABEL 64
TEMPAT PENGELOLAAN MAKAN (TPM) MENURUT STATUS HIGIENE SANITASI

KABUPATEN : SLEMAN
TAHUN : 2021
TP
JUMLAH
NO KECAMATAN PUSKESMAS DESA TPM
JASA BOGA
1 2 3 4 5 6
2 Moyudan Moyudan Sumberarum 0 0
3 Moyudan Moyudan Sumberagung 0 0
4 Moyudan Moyudan Sumberrahayu 0 0
6 Minggir Minggir Sendangarum 0 0
7 Minggir Minggir Sendangrejo 0 0
8 Minggir Minggir Sendangsari 0 0
9 Minggir Minggir Sendangagung 0 0
11 Seyegan Seyegan Margodadi 0 0
12 Seyegan Seyegan Margomulyo 0 0
13 Seyegan Seyegan Margoagung 0 0
14 Seyegan Seyegan Margokaton 0 0
16 Godean Godean I Sidoluhur 0 0
17 Godean Godean I Sidomulyo 0 0
18 Godean Godean I Sidoagung 0 0
19 Godean Godean II Sidokarto 0 0
20 Godean Godean II Sidoarum 0 0
21 Godean Godean II Sidorejo 0 0
23 Gamping Gamping I Ambarketawang 0 0
24 Gamping Gamping II Banyuraden 0 0
25 Gamping Gamping II Nogotirto 0 0
26 Gamping Gamping II Trihanggo 0 0
28 Mlati Mlati I Sinduadi 0 0
29 Mlati Mlati II Tirtoadi 0 0
30 Mlati Mlati II Sumberadi 0 0
31 Mlati Mlati II Tlogoadi 0 0
33 Depok Depok II Condongcatur 0 0
34 Depok Depok III Caturtunggal 0 0
36 Berbah Berbah Tegaltirto 0 0
37 Berbah Berbah Jogotirto 0 0
38 Berbah Berbah Kalitirto 0 0
40 Prambanan Prambanan Wukirharjo 0 0
41 Prambanan Prambanan Gayamharjo 0 0
42 Prambanan Prambanan Sambirejo 0 0
43 Prambanan Prambanan Madurejo 0 0
44 Prambanan Prambanan Bokoharjo 0 0
46 Kalasan Kalasan Tirtomartani 0 0
47 Kalasan Kalasan Tamanmartani 0 0
48 Kalasan Kalasan Selomartani 0 0
49 Nemplak Ngemplak I Umbulmartani 0 0
50 Nemplak Ngemplak I Bimomartani 0 0
51 Nemplak Ngemplak I Sindumartani 0 0
52 Nemplak Ngemplak II Wedomartani 0 0
53 Nemplak Ngemplak II Widodomartani 0 0
55 Ngaglik Ngaglik I Minomartani 0 0
56 Ngaglik Ngaglik I Sardonoharjo 0 0
57 Ngaglik Ngaglik II Sariharjo 0 0
58 Ngaglik Ngaglik II Donoharjo 0 0
59 Ngaglik Ngaglik II Sukoharjo 0 0
61 Sleman Sleman Triharjo 0 0
62 Sleman Sleman Tridadi 0 0
63 Sleman Sleman Pandowoharjo 0 0
64 Sleman Sleman Trimulyo 0 0
66 Tempel Tempel I Margorejo 0 0
67 Tempel Tempel I Lumbungrejo 0 0
68 Tempel Tempel I Merdikorejo 0 0
69 Tempel Tempel II Banyurejo 0 0
70 Tempel Tempel II Tambakrejo 0 0
71 Tempel Tempel II Sumberrejo 0 0
72 Tempel Tempel II Pondokrejo 0 0
74 Turi Turi Donokerto 0 0
75 Turi Turi Wonokerto 0 0
76 Turi Turi Girikerto 0 0
78 Pakem Pakem Candibinangun 0 0
79 Pakem Pakem Harjobinangun 0 0
80 Pakem Pakem Pakembinangun 0 0
81 Pakem Pakem Hargobinangun 0 0
83 Cangkringan Cangkringan Argomulyo 0 0
84 Cangkringan Cangkringan Glagahrjo 0 0
85 Cangkringan Cangkringan Kepuhharjo 0 0
86 Cangkringan Cangkringan Umbulharjo 0 0
TABEL 64
TEMPAT PENGELOLAAN MAKAN (TPM) MENURUT STATUS HIGIENE SANITASI

KABUPATEN : SLEMAN
TAHUN : 2021
TP
JUMLAH
NO KECAMATAN PUSKESMAS DESA TPM
JASA BOGA
1 2 3 4 5 6
8 Mlati Mlati I 0 0
23 Turi Turi 0 0
24 Pakem Pakem 0 0
KABUPATEN 0 0
PROSENTASE TPM MEMENUHI SYARAT PER PUSKESMAS DI SLEM

10.00
9.00
8.00
7.00
6.00
5.00
4.00
3.00
2.00
1.00
0.00
n ir n I II I
da ngg ega ean ean ping ing
II I II kI II III h n n kI II kI II n
u i y lati lati po pok ok erba ana lasa pla plak agli glik ema p
oy d p M e p b Ka em em a l m
M
M Se Go God am am M D De De B
am g Ng Ng S Te
G G Pr N Ng
TPM MEMENUHI SYARAT HIGIENE SANITASI TPM TIDAK
RUMAH DEPOT AIR

MAKANAN KANTIN
MAKAN/ MINUM
JAJANAN SEKOLAH
TOTAL % JASA BOGA
RESTORAN (DAM)
7 8 9 10 11 12 13
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
TPM MEMENUHI SYARAT HIGIENE SANITASI TPM TIDAK
RUMAH DEPOT AIR

MAKANAN KANTIN
MAKAN/ MINUM TOTAL % JASA BOGA
JAJANAN SEKOLAH
RESTORAN (DAM)
7 8 9 10 11 12 13
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 #DIV/0! 0
ESMAS DI SLEMAN TAHUN 2018
II ik I k II an el
I II ri m n N
ak l li el Tu ake inga ATE
pl gag gag Slem emp mp P kr
em N T Te UP
N
ang A B
C K
TPM TIDAK MEMENUHI SYARAT HIGIENE SANITASI
RUMAH DEPOT AIR

MAKANAN KANTIN
MAKAN/ MINUM
JAJANAN SEKOLAH
TOTAL %
RESTORAN (DAM)
14 15 16 17 18 19
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
TPM TIDAK MEMENUHI SYARAT HIGIENE SANITASI
RUMAH DEPOT AIR

MAKANAN KANTIN
MAKAN/ MINUM TOTAL %
JAJANAN SEKOLAH
RESTORAN (DAM)
14 15 16 17 18 19
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
TABEL 65
TEMPAT PENGELOLAAN MAKANAN DIBINA DAN DIUJI PETIK

KABUPATEN : SLEMAN
TAHUN : 2021
JUMLAH TP
JUMLAH
TPM TIDAK RUMAH
NO KECAMATAN PUSKESMAS DESA MEMENUHI JASA MAKAN/
SYARAT BOGA RESTORA
N
1 2 3 4 5 6 7
1 Moyudan Moyudan Sumbersari 0 0 0
2 Moyudan Moyudan Sumberarum 0 0 0
3 Moyudan Moyudan Sumberagung 0 0 0
4 Moyudan Moyudan Sumberrahayu 0 0 0
5 Minggir Minggir Sendangmulyo 0 0 0
6 Minggir Minggir Sendangarum 0 0 0
7 Minggir Minggir Sendangrejo 0 0 0
8 Minggir Minggir Sendangsari 0 0 0
9 Minggir Minggir Sendangagung 0 0 0
10 Seyegan Seyegan Margoluwih 0 0 0
11 Seyegan Seyegan Margodadi 0 0 0
12 Seyegan Seyegan Margomulyo 0 0 0
13 Seyegan Seyegan Margoagung 0 0 0
14 Seyegan Seyegan Margokaton 0 0 0
15 Godean Godean I Sidomoyo 0 0 0
16 Godean Godean I Sidoluhur 0 0 0
17 Godean Godean I Sidomulyo 0 0 0
18 Godean Godean I Sidoagung 0 0 0
19 Godean Godean II Sidokarto 0 0 0
20 Godean Godean II Sidoarum 0 0 0
21 Godean Godean II Sidorejo 0 0 0
22 Gamping Gamping I Balecatur 0 0 0
23 Gamping Gamping I Ambarketawang 0 0 0
24 Gamping Gamping II Banyuraden 0 0 0
25 Gamping Gamping II Nogotirto 0 0 0
26 Gamping Gamping II Trihanggo 0 0 0
27 Mlati Mlati I Sendangadi 0 0 0
28 Mlati Mlati I Sinduadi 0 0 0
29 Mlati Mlati II Tirtoadi 0 0 0
30 Mlati Mlati II Sumberadi 0 0 0
31 Mlati Mlati II Tlogoadi 0 0 0
32 Depok Depok I Maguwoharjo 0 0 0
33 Depok Depok II Condongcatur 0 0 0
34 Depok Depok III Caturtunggal 0 0 0
35 Berbah Berbah Sendangtirto 0 0 0
36 Berbah Berbah Tegaltirto 0 0 0
37 Berbah Berbah Jogotirto 0 0 0
38 Berbah Berbah Kalitirto 0 0 0
39 Prambanan Prambanan Sumberharjo 0 0 0
40 Prambanan Prambanan Wukirharjo 0 0 0
41 Prambanan Prambanan Gayamharjo 0 0 0
42 Prambanan Prambanan Sambirejo 0 0 0
43 Prambanan Prambanan Madurejo 0 0 0
44 Prambanan Prambanan Bokoharjo 0 0 0
45 Kalasan Kalasan Purwomartani 0 0 0
46 Kalasan Kalasan Tirtomartani 0 0 0
47 Kalasan Kalasan Tamanmartani 0 0 0
48 Kalasan Kalasan Selomartani 0 0 0
49 Nemplak Ngemplak I Umbulmartani 0 0 0
50 Nemplak Ngemplak I Bimomartani 0 0 0
51 Nemplak Ngemplak I Sindumartani 0 0 0
52 Nemplak Ngemplak II Wedomartani 0 0 0
53 Nemplak Ngemplak II Widodomartani 0 0 0
54 Ngaglik Ngaglik I Sinduharjo 0 0 0
55 Ngaglik Ngaglik I Minomartani 0 0 0
56 Ngaglik Ngaglik I Sardonoharjo 0 0 0
57 Ngaglik Ngaglik II Sariharjo 0 0 0
58 Ngaglik Ngaglik II Donoharjo 0 0 0
59 Ngaglik Ngaglik II Sukoharjo 0 0 0
60 Sleman Sleman Caturharjo 0 0 0
61 Sleman Sleman Triharjo 0 0 0
62 Sleman Sleman Tridadi 0 0 0
63 Sleman Sleman Pandowoharjo 0 0 0
64 Sleman Sleman Trimulyo 0 0 0
65 Tempel Tempel I Mororejo 0 0 0
66 Tempel Tempel I Margorejo 0 0 0
67 Tempel Tempel I Lumbungrejo 0 0 0
68 Tempel Tempel I Merdikorejo 0 0 0
69 Tempel Tempel II Banyurejo 0 0 0
70 Tempel Tempel II Tambakrejo 0 0 0
71 Tempel Tempel II Sumberrejo 0 0 0
72 Tempel Tempel II Pondokrejo 0 0 0
73 Turi Turi Bangunkerto 0 0 0
74 Turi Turi Donokerto 0 0 0
75 Turi Turi Wonokerto 0 0 0
76 Turi Turi Girikerto 0 0 0
77 Pakem Pakem Purwobinangun 0 0 0
78 Pakem Pakem Candibinangun 0 0 0
79 Pakem Pakem Harjobinangun 0 0 0
80 Pakem Pakem Pakembinangun 0 0 0
81 Pakem Pakem Hargobinangun 0 0 0
82 Cangkringan Cangkringan Wukirsari 0 0 0
83 Cangkringan Cangkringan Argomulyo 0 0 0
84 Cangkringan Cangkringan Glagahrjo 0 0 0
85 Cangkringan Cangkringan Kepuhharjo 0 0 0
86 Cangkringan Cangkringan Umbulharjo 0 0 0
TABEL 65
TEMPAT PENGELOLAAN MAKANAN DIBINA DAN DIUJI PETIK

KABUPATEN : SLEMAN
TAHUN : 2021
JUMLAH TP
JUMLAH
TPM TIDAK RUMAH
NO KECAMATAN PUSKESMAS DESA MEMENUHI JASA MAKAN/
SYARAT BOGA RESTORA
N
1 2 3 4 5 6 7
1 Moyudan Moyudan 0 0 0
2 Minggir Minggir 0 0 0
3 Seyegan Seyegan 0 0 0
4 Godean Godean I 0 0 0
5 Godean Godean II 0 0 0
6 Gamping Gamping I 0 0 0
7 Gamping Gamping II 0 0 0
8 Mlati Mlati I 0 0 0
9 Mlati Mlati II 0 0 0
10 Depok Depok I 0 0 0
11 Depok Depok II 0 0 0
12 Depok Depok III 0 0 0
13 Berbah Berbah 0 0 0
14 Prambanan Prambanan 0 0 0
15 Kalasan Kalasan 0 0 0
16 Ngemplak Ngemplak I 0 0 0
17 Ngemplak Ngemplak II 0 0 0
18 Ngaglik Ngaglik I 0 0 0
19 Ngaglik Ngaglik II 0 0 0
20 Sleman Sleman 0 0 0
21 Tempel Tempel I 0 0 0
22 Tempel Tempel II 0 0 0
23 Turi Turi 0 0 0
24 Pakem Pakem 0 0 0
25 Cangkringan Cangkringan 0 0 0
KABUPATEN 0 0 0
JUMLAH TPM DIBINA JUMLAH TP
JUMLAH
TPM
% TPM MEMENUHI
DEPOT AIR DIBINA SYARAT
MAKANAN KANTIN JASA
MINUM TOTAL HIGIENE
JAJANAN SEKOLAH BOGA
(DAM) SANITASI
8 9 10 11 12 13 14
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
JUMLAH TPM DIBINA JUMLAH TP

JUMLAH
TPM
% TPM MEMENUHI
DEPOT AIR DIBINA SYARAT
MAKANAN JASA
MINUM TOTAL HIGIENE
JAJANAN BOGA
(DAM) SANITASI
8 9 10 11 12 13 14
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
0 0 0 0 #DIV/0! 0 0
JUMLAH TPM DIUJI PETIK
% TPM
RUMAH DIUJI
DEPOT AIR
MAKAN/ MAKANAN KANTIN PETIK
MINUM TOTAL
RESTORA JAJANAN SEKOLAH
(DAM)
N
15 16 17 18 19 20
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
JUMLAH TPM DIUJI PETIK
% TPM
RUMAH DIUJI
DEPOT AIR
MAKAN/ MAKANAN PETIK
MINUM TOTAL
RESTORA JAJANAN
(DAM)
N
15 16 17 18 19 20
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
0 0 0 0 0 #DIV/0!
REKAPITULASI HASIL PENGAWAS
Nama/Alamat/P Jml Pdd

No Jenis Sarana Status Sarana Puskesmas
emilik Sarana Pengguna
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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
763
764
765
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
787
788
789
790
791
792
793
794
795
796
797
798
799
800
801
802
803
804
805
806
807
808
809
810
811
812
813
814
815
816
817
818
819
820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
855
856
857
858
859
860
861
862
863
864
865
866
867
868
869
870
871
872
873
874
875
876
877
878
879
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
898
899
900
901
902
903
904
905
906
907
908
909
910
911
912
913
914
915
916
917
918
919
920
921
922
923
924
925
926
927
928
929
930
931
932
933
934
935
936
937
938
939
940
941
942
943
944
945
946
947
948
949
950
951
952
953
954
955
956
957
958
959
960
961
962
963
964
965
966
967
968
969
970
971
972
973
974
975
976
977
978
979
980
981
982
983
984
985
986
987
988
989
990
991
992
993
994
995
996
997
998
999
1000
1001
1002
1003
1004
1005
1006
1007
1008
1009
1010
1011
1012
1013
1014
1015
1016
1017
1018
1019
1020
1021
1022
1023
1024
1025
1026
1027
1028
1029
1030
1031
1032
1033
1034
1035
1036
1037
1038
1039
1040
1041
1042
1043
1044
1045
1046
1047
1048
1049
1050
1051
1052
1053
1054
1055
1056
1057
1058
1059
1060
1061
1062
1063
1064
1065
1066
1067
1068
1069
1070
1071
1072
1073
1074
1075
1076
1077
1078
1079
1080
1081
1082
1083
1084
1085
1086
1087
1088
1089
1090
1091
1092
1093
1094
1095
1096
1097
1098
1099
1100
1101
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
1116
1117
1118
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
1135
1136
1137
1138
1139
1140
1141
1142
1143
1144
1145
1146
1147
1148
1149
1150
1151
1152
1153
1154
1155
1156
1157
1158
1159
1160
1161
1162
1163
1164
1165
1166
1167
1168
1169
1170
1171
1172
1173
1174
1175
1176
1177
1178
1179
1180
1181
1182
1183
1184
1185
1186
1187
1188
1189
1190
1191
1192
1193
1194
1195
1196
1197
1198
1199
1200
1201
1202
1203
1204
1205
1206
1207
1208
1209
1210
1211
1212
1213
1214
1215
1216
1217
1218
1219
1220
1221
1222
1223
1224
1225
1226
1227
1228
1229
1230
1231
1232
1233
1234
1235
1236
1237
1238
1239
1240
1241
1242
1243
1244
1245
1246
1247
1248
1249
1250
1251
1252
1253
1254
1255
1256
1257
1258
1259
1260
1261
1262
1263
1264
1265
1266
1267
1268
1269
1270
1271
1272
1273
1274
1275
1276
1277
1278
1279
1280
1281
1282
1283
1284
1285
1286
1287
1288
1289
1290
1291
1292
1293
1294
1295
1296
1297
1298
1299
1300
1301
1302
1303
1304
1305
1306
1307
1308
1309
1310
1311
1312
1313
1314
1315
1316
1317
1318
1319
1320
1321
1322
1323
1324
1325
1326
1327
1328
1329
1330
1331
1332
1333
1334
1335
1336
1337
1338
1339
1340
1341
1342
1343
1344
1345
1346
1347
1348
1349
1350
1351
1352
1353
1354
1355
1356
1357
1358
1359
1360
1361
1362
1363
1364
1365
1366
1367
1368
1369
1370
1371
1372
1373
1374
1375
1376
1377
1378
1379
1380
1381
1382
1383
1384
1385
1386
1387
1388
1389
1390
1391
1392
1393
1394
1395
1396
1397
1398
1399
1400
1401
1402
1403
1404
1405
1406
1407
1408
1409
1410
1411
1412
1413
1414
1415
1416
1417
1418
1419
1420
1421
1422
1423
1424
1425
1426
1427
1428
1429
1430
1431
1432
1433
1434
1435
1436
1437
1438
1439
1440
1441
1442
1443
1444
1445
1446
1447
1448
1449
1450
1451
1452
1453
1454
1455
1456
1457
1458
1459
1460
1461
1462
1463
1464
1465
1466
1467
1468
1469
1470
1471
1472
1473
1474
1475
1476
1477
1478
1479
1480
1481
1482
1483
1484
1485
1486
1487
1488
1489
1490
1491
1492
1493
1494
1495
1496
1497
1498
1499
1500
1501
1502
1503
1504
1505
1506
1507
1508
1509
1510
1511
1512
1513
1514
1515
1516
1517
1518
1519
1520
1521
1522
1523
1524
1525
1526
1527
1528
1529
1530
1531
1532
1533
1534
1535
1536
1537
1538
1539
1540
1541
1542
1543
1544
1545
1546
1547
1548
1549
1550
1551
1552
1553
1554
1555
1556
1557
1558
1559
1560
1561
1562
1563
1564
1565
1566
1567
1568
1569
1570
1571
1572
1573
1574
1575
1576
1577
1578
1579
1580
1581
1582
1583
1584
1585
1586
1587
1588
1589
1590
1591
1592
1593
1594
1595
1596
1597
1598
1599
1600
1601
1602
1603
1604
1605
1606
1607
1608
1609
1610
1611
1612
1613
1614
1615
1616
1617
1618
1619
1620
1621
1622
1623
1624
1625
1626
1627
1628
1629
1630
1631
1632
1633
1634
1635
1636
1637
1638
1639
1640
1641
1642
1643
1644
1645
1646
1647
1648
1649
1650
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REKAPITULASI HASIL PENGAWASAN KUALITAS AIR
Jml KK
Tgl IKL Petugas IKL Hasil IKL Titik IKL Tgl Uji Lab
Pengguna
Lab Penguji Hasil
SD SMP SMA PASAR RS PUSK
NO DESA
MS TMS MS TMS MS TMS MS TMS MS TMS MS TMS
1 Sumbersari 0 0 0 0 0 0 0 0 0 0 0 0
2 Sumberarum 0 0 0 0 0 0 0 0 0 0 0 0
3 Sumberagung 0 0 0 0 0 0 0 0 0 0 0 0
4 Sumberrahayu 0 0 0 0 0 0 0 0 0 0 0 0
5 #NAME? ### ### ### ### ### ### ### ### ### ### ### ###
6 #NAME? ### ### ### ### ### ### ### ### ### ### ### ###
7 #NAME? ### ### ### ### ### ### ### ### ### ### ### ###
8 #NAME? ### ### ### ### ### ### ### ### ### ### ### ###
9 Sendangmulyo 0 0 0 0 0 0 0 0 0 0 0 0
10 Sendangarum 0 0 0 0 0 0 0 0 0 0 0 0
11 Sendangrejo 0 0 0 0 0 0 0 0 0 0 0 0
12 Sendangsari 0 0 0 0 0 0 0 0 0 0 0 0
13 Sendangagung 0 0 0 0 0 0 0 0 0 0 0 0
14 #NAME? ### ### ### ### ### ### ### ### ### ### ### ###
15 #NAME? ### ### ### ### ### ### ### ### ### ### ### ###
16 #NAME? ### ### ### ### ### ### ### ### ### ### ### ###
17 Margoluwih 0 0 0 0 0 0 0 0 0 0 0 0
18 Margodadi 0 0 0 0 0 0 0 0 0 0 0 0
19 Margomulyo 0 0 0 0 0 0 0 0 0 0 0 0
20 Margoagung 0 0 0 0 0 0 0 0 0 0 0 0
21 Margokaton 0 0 0 0 0 0 0 0 0 0 0 0
22 #NAME? ### ### ### ### ### ### ### ### ### ### ### ###
23 #NAME? ### ### ### ### ### ### ### ### ### ### ### ###
24 #NAME? ### ### ### ### ### ### ### ### ### ### ### ###
25 Sidomoyo 0 0 0 0 0 0 0 0 0 0 0 0
26 Sidoluhur 0 0 0 0 0 0 0 0 0 0 0 0
27 Sidomulyo 0 0 0 0 0 0 0 0 0 0 0 0
28 Sidoagung 0 0 0 0 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0 0 0 0 0
31 0 0 0 0 0 0 0 0 0 0 0 0 0
32 0 0 0 0 0 0 0 0 1 0 0 0 0
33 Sidokarto 0 0 0 0 0 0 0 0 0 0 0 0
34 Sidoarum 0 0 0 0 0 0 0 0 0 0 0 0
35 Sidorejo 0 0 0 0 0 0 0 0 0 0 0 0
36 0 0 0 0 0 0 0 0 0 0 0 0 0
37 0 0 0 0 0 0 0 0 0 0 0 0 0
38 0 0 0 0 0 0 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0 0 0 0 0 0 0
40 0 0 0 0 0 0 0 0 1 0 0 0 0
41 Balecatur 0 0 0 0 0 0 0 0 0 0 0 0
42 Ambarketawang 0 0 0 0 0 0 0 0 0 0 0 0
43 0 0 0 0 0 0 0 0 0 0 0 0 0
44 0 0 0 0 0 0 0 0 0 0 0 0 0
45 0 0 0 0 0 0 0 0 0 0 0 0 0
46 0 0 0 0 0 0 0 0 0 0 0 0 0
47 0 0 0 0 0 0 0 0 0 0 0 0 0
48 0 0 0 0 0 0 0 0 1 0 0 0 0
49 Banyuraden 0 0 0 0 0 0 0 0 0 0 0 0
50 Nogotirto 0 0 0 0 0 0 0 0 0 0 0 0
51 Trihanggo 0 0 0 0 0 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0 0 0 0 0 0 0
53 0 0 0 0 0 0 0 0 0 0 0 0 0
54 0 0 0 0 0 0 0 0 0 0 0 0 0
55 0 0 0 0 0 0 0 0 0 0 0 0 0
56 0 0 0 0 0 0 0 0 1 0 0 0 0
57 Sendangadi 0 0 0 0 0 0 0 0 0 0 0 0
58 Sinduadi 0 0 0 0 0 0 0 0 0 0 0 0
59 0 0 0 0 0 0 0 0 0 0 0 0 0
60 0 0 0 0 0 0 0 0 0 0 0 0 0
61 0 0 0 0 0 0 0 0 0 0 0 0 0
62 0 0 0 0 0 0 0 0 0 0 0 0 0
63 0 0 0 0 0 0 0 0 0 0 0 0 0
64 0 0 0 0 0 0 0 0 1 0 0 0 0
65 Tirtoadi 0 0 0 0 0 0 0 0 0 0 0 0
66 Sumberadi 0 0 0 0 0 0 0 0 0 0 0 0
67 Tlogoadi 0 0 0 0 0 0 0 0 0 0 0 0
68 0 0 0 0 0 0 0 0 0 0 0 0 0
69 0 0 0 0 0 0 0 0 0 0 0 0 0
70 0 0 0 0 0 0 0 0 0 0 0 0 0
71 0 0 0 0 0 0 0 0 0 0 0 0 0
72 0 0 0 0 0 0 0 0 1 0 0 0 0
73 Maguwoharjo 0 0 0 0 0 0 0 0 0 0 0 0
74 0 0 0 0 0 0 0 0 0 0 0 0 0
75 0 0 0 0 0 0 0 0 0 0 0 0 0
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BUKAN JARIN
SUMUR GALI SUMUR GALI SUMUR BOR
SAM MEMENU
TERLINDUNG MEMENU
DENGAN POMPA DENGAN POMPA
SAMPEL
RUMAH HI HI
SYARAT SYARAT
JUM JUM
LAH JUM LAH JUM
PENDUDU JUM PEN LAH JUM PEN LAH JUM
RMH PASI K JUM PEN JUM PEN
RMH KLIE
BEBA EN N KS LAH DUD LAH DUD LAH
MS TMS MS TMS PJB SAR UK LAH DUD SAR UK LAH DUD SAR
S KS
ANA PEN SAR UK ANA PEN SAR UK ANA
GGU ANA PEN GGU ANA PEN
NA GGU NA GGU
NA NA
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### ### ### ### ### ### ### ### #REF!
### ### ### ### ### ### ### ### #REF!
### ### ### ### ### ### ### ### #REF!
### ### ### ### ### ### ### ### #REF!
### ### ### ### ### ### ### ### #REF!
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BUKAN JARINGAN PERPIPAAN PERPIPAAN
SUMUR BOR MATA AIR PENAMPUNGAN AIR (PDAM,BPSPAM)
MEMENU TERMINAL AIR
MEMENU MEMENU MEMENU MEMENU
DENGAN POMPA TERLINDUNG HUJAN
HI HI HI HI HI
SYARAT SYARAT SYARAT SYARAT SYARAT
JUM JUM JUM JUM JUM
LAH JUM LAH JUM LAH JUM LAH JUM LAH JUM
PEN LAH JUM PEN LAH JUM PEN LAH JUM PEN LAH JUM PEN LAH
DUD JUM PEN LAH DUD JUM PEN LAH DUD JUM PEN LAH DUD JUM PEN LAH DUD JUM PEN
UK LAH DUD SAR UK LAH DUD SAR UK LAH DUD SAR UK LAH DUD SAR UK LAH DUD
PEN SAR UK ANA PEN SAR UK ANA PEN SAR UK ANA PEN SAR UK ANA PEN SAR UK
GGU ANA PEN GGU ANA PEN GGU ANA PEN GGU ANA PEN GGU ANA PEN
NA GGU NA GGU NA GGU NA GGU NA GGU
NA NA NA NA NA
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K YANG
MEMILIKI JENIS SARANA JAMBAN
AKSES KOMUNAL LEHER ANGSA PLENGSENGAN CEMPLUNG
AIR
MEMENUHI SYARAT MEMENUHI SYARAT MEMENUHI SYARAT
JUM JUM JUM

LAH JUM LAH JUM LAH JUM
% % %
JUM PEN LAH JUM PEN LAH JUM PEN LAH JUM
PEN PEN PEN
JUM LAH DUD JUM PEN LAH DUD JUM PEN LAH DUD JUM PEN LAH
% DUD DUD DUD
LAH SAR UK LAH DUD SAR UK LAH DUD SAR UK LAH DUD SAR
UK UK UK
ANA PEN SAR UK ANA PEN SAR UK ANA PEN SAR UK ANA
PEN PEN PEN
GGU ANA PEN GGU ANA PEN GGU ANA PEN
GGU GGU GGU
NA GGU NA GGU NA GGU
NA NA NA
NA NA NA
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
UK RU
DENGAN MA
CEMPLUNG
AKSES JU H
MEMENUHI SYARAT
SANITASI ML ME
JUM AH ME
LAH JUM SEL NU
%
PEN LAH
PEN UR HI
DUD JUM PEN
DUD UH SYA
UK LAH DUD
UKJUMLAH%
PEN SAR UK RU RAT
PEN
GGU ANA PEN
GGU MA TAH
NA GGU H UN
NA
NA
LAL
U
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
LAPORAN BULANAN KEGIATAN TTU dan TPM
PUSKESMAS : BULAN :
ALAMAT KOORDINAT
PENGELOL
NO NAMA A TGL IKL
DESA/KELURA
LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
10
11
12
13
14
15
SLTA / SMK
6
7
10
PASAR
5
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
1
10
HOTEL NON BINTANG

1
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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
1
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
RESTORAN
2
3
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM
4
5
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
6
7
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
MAKANAN JAJANAN
3
4
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
41
42
43
44
45
46
47
48
49
50
Mengetahui Seleman, ..................
Kepala Puskesmas Petugak Kesling Puskesmas
NIP NIP.
LAPORAN BULANAN KEGIATAN KESEHATAN LINGKUNGAN
PUSKESMAS : 0 BULAN : JANUARI
NO HASIL KEGIATAN
1 Desa STBM
2 Sarana Air Minum dilakukan IKL
a Sumur Gali
b Sumur Gali dengan Pompa
c Sumur Bor dengan Pompa
d Terminal Air
e PMA
f PAH
g Perpipaan
3 Sarana Air Minum dilakukan penegambilan sampel
4 Rumah Tidak Sehat dibina
5 Jumlah rumah diperiksa jentik
6 Jumlah rumag bebas jentik
7 Jumlah pasien ke klinik sanitasi
8 Jumlah klien ke klinik sanitasi

NIP NIP.
PUSKESMAS : 0 BULAN : FEBRUARI
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.
PUSKESMAS : 0 BULAN : MARET
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.
PUSKESMAS : 0 BULAN : APRIL
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.
PUSKESMAS : 0 BULAN : MEI
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
NIP NIP.
PUSKESMAS : 0 BULAN : JUNI
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
NIP NIP.
PUSKESMAS : 0 BULAN : JULI
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
NIP NIP.
PUSKESMAS : 0 BULAN : AGUSTUS
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
NIP NIP.
PUSKESMAS : 0 BULAN : SEPTEMBER
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
NIP NIP.
PUSKESMAS : 0 BULAN : OKTOBER
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
NIP NIP.
PUSKESMAS : 0 BULAN : NOVEMBER
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
NIP NIP.
PUSKESMAS : 0 BULAN : DESEMBER
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
NIP NIP.
PUSKESMAS : BULAN : TOTAL
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Sumberaru Sumberagu Sumberrah

Sumbersari
m ng ayu
PTGS IKL
MS TMS MS TMS MS TMS MS TMS
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021

Sumbersari
m ng ayu
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

Sumbersari m ng ayu
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sumbersari Sumberaru Sumberagu Sumberrah

m ng ayu
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

Sumbersari m ng ayu
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

Sumbersari
m ng ayu
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

Sumbersari
m ng ayu
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sumbersari Sumberaru Sumberagu Sumberrah

m ng ayu
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

Sumbersari
m ng ayu
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

Sumbersari
m ng ayu
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

Sumbersari
m ng ayu
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

Sumbersari
m ng ayu
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

Sumbersari
m ng ayu
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

Sumbersari
m ng ayu
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0
SD SMP SMA PASAR RS PUSK HB
DESA
MS TMS MS TMS MS TMS MS TMS MS TMS MS TMS MS TMS
Sumbersari 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sumberaru 0 0 0 0 0 0 0 0 0 0 0 0 0 0
m
Sumberagun
0 0 0 0 0 0 0 0 0 0 0 0 0 0
g
Sumberraha
0 0 0 0 0 0 0 0 0 0 0 0 0 0
yu
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0
HNB JB REST DAM KS MJ SAM IKL SAM SAMPEL
STBM
MS TMS MS TMS MS TMS MS TMS MS TMS MS TMS MS TMS MS
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SAM SAMPEL RUMAH
RMH
RMH PJB PASIEN KS KLIEN KS
BEBAS
TMS MS TMS
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
SUMUR GALI TERLINDUNG SUMUR GALI DENGAN POMPA
DESA PENDUDUK JUMLAH MEMENUHI SYARAT JUMLAH

PENDUD PENDUD
UK UK
SARANA SARANA
PENGGU JUMLAH PENDUD PENGGU
NA UK NA
SARANA
PENGGU
NA
Sumbersari
Sumberarum
Sumberagung
Sumberrahayu
0
0
0
0
UR GALI DENGAN POMPA SUMUR BOR DENGAN POMPA TERMINAL AIR
MEMENUHI SYARAT JUMLAH MEMENUHI SYARAT JUMLAH MEMENUHI SYARAT

PENDUD PENDUD
JUMLAH JUMLAH JUMLAH JUMLAH JUMLAH
UK UK
PENDUD SARANA SARANA
JUMLAH PENGGU JUMLAH PENDUD PENGGU JUMLAH PENDUD
UK NA UK NA UK
SARANA SARANA SARANA
NA NA NA
PERPIPAAN (PDAM,BPSPA
MATA AIR TERLINDUNG PENAMPUNGAN AIR HUJAN
JUMLAH MEMENUHI SYARAT JUMLAH MEMENUHI SYARAT JUMLAH

PENDUD PENDUD PENDUD
JUMLAH JUMLAH JUMLAH JUMLAH JUMLAH
UK UK UK
PENGGU JUMLAH PENDUD PENGGU JUMLAH PENDUD PENGGU
NA UK NA UK NA
SARANA SARANA
PENGGU PENGGU
NA NA
PENDUDUK YANG
RPIPAAN (PDAM,BPSPAM) MEMILIKI AKSES
AIR MINUM KOMUNAL
MEMENUHI SYARAT JUMLAH MEMENUHI SYARAT

PENDUD
JUMLAH JUMLAH JUMLAH %
JUMLAH % UK
PENDUD SARANA
JUMLAH PENGGU JUMLAH PENDUD PENDUD
UK NA UK UK
SARANA SARANA
NA NA NA
JENIS SARANA JAMBAN
LEHER ANGSA PLENGSENGAN
JUMLAH MEMENUHI SYARAT JUMLAH MEMENUHI SYARAT

PENDUD PENDUD
JUMLAH JUMLAH % JUMLAH JUMLAH %
UK UK
SARANA SARANA
PENGGU JUMLAH PENDUD PENDUD PENGGU JUMLAH PENDUD PENDUD
NA UK UK NA UK UK
SARANA SARANA
PENGGU PENGGU PENGGU PENGGU
NA NA NA NA
CEMPLUNG PENDUDUK RUMAH
DENGAN AKSES JUMLAH MEMEN
SANITASI LAYAK
JUMLAH MEMENUHI SYARAT SELUR UHI
PENDUD UH SYARAT
JUMLAH JUMLAH % RUMAH TAHUN
UK
SARANA
PENGGU JUMLAH PENDUD PENDUD LALU
NA SARANA
UK UK JUMLAH %
PENGGU PENGGU
NA NA
JUMLAH
JUMLAH JUMLAH Tempat
SPAL TPS Ibadah
Diperiksa
PUSKESMAS : BULAN :
ALAMAT KOORDINAT
PENGELOL
NO NAMA
A
DESA/KELURA
LENGKAP PUSKESMAS
HAN
SD / MI
1 SD SENDANGHARJO Padon Kec. Minggir Sendangrejo
SD NEGERI
2 Sidorejo Kec. Minggir Sendangrejo
BALANGAN I
SD NEGERI
3 DALANGAN 2 Senden Kec. Minggir Sendangsari
Sutan
Sendangsari
4 SD NEGERI SUTAN Kec. Minggir Sendangsari
Minggir
Sleman
SD NEGERI
5 DALANGAN 1 Parakan Kulon Kec. Minggir Sendangsari
MINGGIR
6 SD NEGERI Nyangkringan Kec. Minggir Sendangrejo

BALANGAN 2
7 SD KANISIUS JETIS Jetis Depok Kec. Minggir Sendangsari

DEPOK
Pojok
SD NEGERI Sendangagung
8 Kec. Minggir Sendangagung
KEBONAGUNG Minggir
Sleman
SD NEGERI
9 Nanggulan Kec. Minggir Sendangagung
SENDANGAGUNG
SD NEGERI Jonggrangan,
10 JONGGRANGAN RT 01/ RW 15 Kec. Minggir Sendangmulyo
SD NEGERI
11 KWAYUHAN KWAYUHAN Kec. Minggir Sendangmulyo
SD NEGERI
12 DARATAN DARATAN 3 Kec. Minggir Sendangarum
SD NEGERI
13 NGLENGKING Nglengking Kec. Minggir Sendangrejo
14 SD KANISIUS KLEPU Klepu Kec. Minggir Sendangmulyo
SD
15 MUHAMMADIYAH Sunten Kec. Minggir Sendangrejo
SUNTEN
16 SD KANISIUS JETIS Jetis Depok Kec. Minggir Sendangsari

DEPOK
SD
17 MUHAMMADIYAH Soronandan Kec. Minggir Sendangrejo
SURONANDAN
SD MUHAMADIYAH
18 Plembon Kec. Minggir Sendangsari
PLEMBON
19 SD BOPKRI MINGGIR Minggir 2 Kec. Minggir Sendangagung
SD
20 MUHAMMADIYAH Klepu Kec. Minggir Sendangmulyo
KLEPU
SD
21 MUHAMMADIYAH Prapak Kec. Minggir Sendangsari
NGIJON 3
SD
22 MUHAMMADIYAH Tengahan Kec. Minggir Sendangagung
TENGAHAN
SD
23 MUHAMMADIYAH Sragan Kec. Minggir Sendangmulyo
SRAGAN
SD KANISIUS
24 MINGGIR Minggir Kec. Minggir Sendangagung
SD
25 MUHAMMADIYAH Cerbonan Kec. Minggir Sendangmulyo
NGIJON 4
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
SLTP / MTS
Prayan,
SMP NEGERI 1 Sendangsari,
1 Kec. Minggir Sendangsari
MINGGIR Minggir,
Sleman
SMP
2 MUHAMMADIYAH 2 Parakan Kec. Minggir Sendangsari
MINGGIR
SMP BUDI MULIA
3 Padon Kec. Minggir Sendangsari
MINGGIR
Gedongan,sen
SMP
4 MUHAMMADIYAH 1 dang Arum, Kec. Minggir Sendangarum
Minggir,
MINGGIR
Sleman
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
SMAN 1 MINGGIR JL. PAKERAN,

1 SENDANGMUL Minggir Sendangmulyo
SLEMAN
YO
SMK
Padon,
2 MUHAMMADYAH Minggir Sendangrejo
Sendangrejo
MINGGIR
3
4
5
6
7
8
9
10
PASAR
Kebonagung
Dinperind
1 Kebonagung Sendangagung Minggir Sendangagung
ag
Minggir
Disperinda Jln
2 Balangan Minggir Sendangrejo
g Kebonagung
3
4
5
RUMAH SAKIT
Klepu,
RSU Panti Sendangmulyo
1 Minggir Sendangmulyo
Baktiningsih , Minggir,
Sleman
2
3
4
5
PUSKESMAS
dr. Trisni
1 Puskemas Minggir
NA Minggir II Minggir Sendangagung
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
1 Arista Aris Watugajah Minggir Sendangagung
Chusriatun
2 Dhea Catering Ngijon Minggir Sendangarum
/ Nuna
3 Lestari Yunani Bandan Minggir Sendangsari
4 Nana Wulan Pojok V Minggir Sendangagung
5 BU Yeti Yeti Cerbonan Minggir Sendangmulyo
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
RESTORAN
Pak
1 Mang Engking Tobayan Minggir Sendangrejo
Engking
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
DESA
Tahun : 2021
Sendangmu Sendangaru Sendangrej Sendangsar Sendangag

lyo m o i ung
TGL IKL PTGS IKL
MS TMS MS TMS MS TMS MS TMS MS TMS
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Seleman, ..................
Petugak Kesling Puskesmas
Tahun : 2021

lyo m o i ung
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

lyo m o i ung
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

lyo m o i ung
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

lyo m o i ung
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

lyo m o i ung
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

lyo m o i ung
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

lyo m o i ung
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

lyo m o i ung
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

lyo m o i ung
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

lyo m o i ung
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

lyo m o i ung
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

lyo m o i ung
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

lyo m o i ung
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0
DAMIU 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0
SD SMP SMA PASAR RS PUSK HB

DESA
MS TMS MS TMS MS TMS MS TMS MS TMS MS TMS MS
Sendangmul
0 0 0 0 0 0 0 0 0 0 0 0 0
yo
Sendangaru
0 0 0 0 0 0 0 0 0 0 0 0 0
m
Sendangrejo 0 0 0 0 0 0 0 0 0 0 0 0 0
Sendangsari 0 0 0 0 0 0 0 0 0 0 0 0 0
Sendangagu
0 0 0 0 0 0 0 0 0 0 0 0 0
ng
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 0 0
0 0 0

STBM
TMS MS TMS MS TMS MS TMS MS TMS MS TMS MS TMS MS TMS
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SAM SAMPEL RUMAH RMH
MS TMS MS TMS BEBAS
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
PENDUD SUMUR GALI TERLINDUNG SUMUR GALI DENGAN POMPA
DESA JUMLAH JUMLAH
UK
PENDUD MEMENUHIJUMLAH
SYARAT PENDUD MEMENUHI SYARAT
JUMLAH PENDUD JUMLAH
UK JUMLAH UK JUMLAH
SARANA SARANA
PENGGU SARANA UK PENGGU SARANA
Sendangm NA PENGGU NA
ulyo NA
Sendangar
um
Sendangre
jo
Sendangsa
ri
Sendanga
gung
0
0
ENGAN POMPA SUMUR BOR DENGAN POMPA TERMINAL AIR

JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT PENDUD MEMENUHIJUMLAH
SYARAT
PENDUD JUMLAH UK PENDUD JUMLAH UK PENDUD
SARANA JUMLAH SARANA JUMLAH
UK PENGGU SARANA UK PENGGU SARANA UK
PENGGU NA PENGGU NA PENGGU
NA NA NA
PERPIPAAN (PDAM,BP
MATA AIR TERLINDUNG PENAMPUNGAN AIR HUJAN
JUMLAH JUMLAH
SYARAT
JUMLAH PENDUD JUMLAH PENDUD JUMLAH
UK JUMLAH UK JUMLAH
PENGGU SARANA UK PENGGU SARANA UK
NA PENGGU NA PENGGU
NA NA
PENDUDUK YANG
AIR MINUM KOMUNAL
JUMLAH JUMLAH
SYARAT PENDUD MEMENUHI SYARAT
PENDUD JUMLAH JUMLAH
UK JUMLAH % UK JUMLAH
SARANA
PENGGU SARANA UK PENGGU SARANA
NA PENGGU NA
NA
JENIS SARANA JAMBAN
KOMUNAL LEHER ANGSA PLENGSENGAN
JUMLAH JUMLAH
JUMLAH
MEMENUHI SYARAT% PENDUD JUMLAH
MEMENUHI SYARAT% PENDUD
PENDUD PENDUD JUMLAH UK PENDUD PENDUD JUMLAH UK
SARANA JUMLAH SARANA
UK UK PENGGU SARANA UK UK PENGGU
PENGGU PENGGU NA PENGGU PENGGU NA
NA NA NA NA
BAN
PENDUDUK
PLENGSENGAN CEMPLUNG DENGAN AKSES
JUMLAH SANITASI LAYAK
JUMLAH
MEMENUHI SYARAT%
PENDUD PENDUD JUMLAH UK PENDUD PENDUD
JUMLAH SARANA JUMLAH
SARANA
UK UK PENGGU SARANA UK UK JUMLAH
PENGGU PENGGU NA PENGGU PENGGU
NA NA NA NA
PENDUDUK RUMAH
DENGAN AKSES JUMLAH MEMENUHI JUMLAH
SANITASI LAYAK SELURUH SYARAT JUMLAH JUMLAH Tempat Ibadah
RUMAH TAHUN SPAL TPS
Diperiksa
LALU
% Diperiksa
PUSKESMAS : BULAN :
PENGELOL ALAMAT KOORDINAT

NO NAMA
A DESA/KELURA
LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
DESA
Tahun : 2021
Margoluwi Margomuly Margoagun Margokato

Margodadi
TGL IKL PTGS IKL h o g n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Seleman, ..................
Tahun : 2021
Margoluwi Margodadi Margomuly Margoagun Margokato

h o g n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021
Margodadi
h o g n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

h o g n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

Margodadi
h o g n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

Margodadi
h o g n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

Margodadi
h o g n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

h o g n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

h o g n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

Margodadi
h o g n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

Margodadi
h o g n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

Margodadi
h o g n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

h o g n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 ABJ
Seleman, ..................
Tahun : 2021

h o g n
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0
DAMIU 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0
SD SMP SMA PASAR RS PUSK
DESA
Margoluwih 0 0 0 0 0 0 0 0 0 0 0 0
Margodadi 0 0 0 0 0 0 0 0 0 0 0 0
Margomulyo 0 0 0 0 0 0 0 0 0 0 0 0
Margoagung 0 0 0 0 0 0 0 0 0 0 0 0
Margokaton 0 0 0 0 0 0 0 0 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 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SAM IKL SAM SAMPEL RUMAH
RMH
TMS MS TMS MS TMS BEBAS
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
SUMUR GALI TERLINDUNG SUMUR GALI DENGAN POMPA
PENDUD MEMENUHI SYARAT

DESA JUMLAH JUMLAH
UK PENDUD JUMLAH PENDUD
JUMLAH PENDUD JUMLAH
UK JUMLAH UK
SARANA SARANA
PENGGU SARANA UK PENGGU
NA PENGGU NA
NA
Margoluwi
h
Margodad
i
Margomul
yo
Margoagu
ng
Margokat
on
0
0
UR GALI DENGAN POMPA SUMUR BOR DENGAN POMPA TERMINAL AIR

JUMLAH JUMLAH
JUMLAH PENDUD JUMLAH PENDUD
PENDUD JUMLAH PENDUD JUMLAH
JUMLAH UK JUMLAH UK JUMLAH
UK SARANA SARANA
SARANA PENGGU SARANA UK PENGGU SARANA
PENGGU NA PENGGU NA
NA NA
NAL AIR MATA AIR TERLINDUNG PENAMPUNGAN AIR HUJAN

JUMLAH JUMLAH
PENDUD JUMLAH PENDUD JUMLAH PENDUD
UK JUMLAH UK JUMLAH
UK SARANA UK SARANA
PENGGU SARANA PENGGU SARANA UK
NA NA NA
PENDUDUK YANG
AIR MINUM KOMUNAL
MEMENUHI SYARAT
JUMLAH JUMLAH
PENDUD JUMLAH PENDUDU
JUMLAH PENDUD JUMLAH JUMLAH
UK JUMLAH % SARANA
K
SARANA
PENGGU SARANA UK PENGGUN
NA PENGGU A
NA
JENIS SARANA JAMBAN
KOMUNAL LEHER ANGSA PLENGSEN

JUMLAH
JUMLAH % PENDUDU JUMLAH %
JUMLAH JUMLAH
PENDUDU PENDUDU K PENDUDU PENDUDU
JUMLAH SARANA JUMLAH SARANA
K K PENGGUN K K
SARANA SARANA
PENGGUN PENGGUN A PENGGUN PENGGUN
A A A A
ANA JAMBAN

JUMLAH JUMLAH
PENDUDU JUMLAH % PENDUDU JUMLAH
JUMLAH
K PENDUDU PENDUDU K PENDUDU %
JUMLAH SARANA JUMLAH
PENGGUN K K PENGGUN K PENDUDUK
SARANA SARANA
A PENGGUN PENGGUN A PENGGUN PENGGUNA
A A A
PENDUDUK DENGAN JUMLAH
AKSES SANITASI
LAYAK RUMAH
JUMLAH JUMLAH Tempat
JUMLAH MEMENUH SPAL TPS Ibadah
SELURUH I SYARAT Diperiksa
RUMAH TAHUN
LALU
JUMLAH % Diperiksa
PUSKESMAS : BULAN :

NO NAMA DESA/KELURA TGL IKL
A LENGKAP PUSKESMAS
HAN
SD / MI
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15 www
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Sidomoyo Sidoluhur Sidomulyo Sidoagung

PTGS IKL
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SD SMP SMA PASAR RS PUSK HB HNB

DESA
Sidomoyo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sidoluhur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sidomulyo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sidoagung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
TMS MS TMS MS TMS MS TMS MS TMS MS TMS MS TMS MS
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
0 0 0 0 0 0 0 Sidomoyo
0 0 0 0 0 0 0 Sidoluhur
0 0 0 0 0 0 0 Sidomulyo
0 0 0 0 0 0 0 Sidoagung
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
PENDUD SUMUR GALI TERLINDUNG SUMUR GALI DENGAN POMPA SUMUR BOR DE
JUMLAH JUMLAH
UK
SYARAT
UK JUMLAH UK JUMLAH
NA PENGGU NA PENGGU
NA NA
SUMUR BOR DENGAN POMPA TERMINAL AIR MATA AIR TERLINDUNG

SYARAT PENDUD JUMLAH
MEMENUHI SYARAT JUMLAH PENDUD MEMENUHI SYARAT
UK PENDUD JUMLAH UK PENDUD UK
JUMLAH SARANA JUMLAH SARANA JUMLAH
PENGGU SARANA UK PENGGU SARANA UK PENGGU SARANA
NA PENGGU NA PENGGU NA
NA NA
PENDUDUK YANG
ERLINDUNG PENAMPUNGAN AIR HUJAN AIR MINUM
JUMLAH JUMLAH
JUMLAH
MEMENUHI SYARAT JUMLAH PENDUD JUMLAH
MEMENUHI SYARAT JUMLAH PENDUD MEMENUHIJUMLAH
SYARAT
PENDUD UK PENDUD UK PENDUD JUMLAH
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
AIR MINUM KOMUNAL LEHER ANGSA
JUMLAH JUMLAH
PENDUD JUMLAH
MEMENUHI SYARAT% PENDUD MEMENUHI SYA
JUMLAH PENDUD PENDUD JUMLAH
% UK JUMLAH UK JUMLAH
SARANA UK UK SARANA
PENGGU SARANA PENGGU SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
EHER ANGSA PLENGSENGAN CEMPLUNG
JUMLAH JUMLAH
JUMLAH
UK UK PENGGU SARANA UK UK PENGGU SARANA
NA NA NA NA
RUMAH
PENDUDUK JUMLAH MEMEN JUMLAH
CEMPLUNG DENGAN AKSES SELUR UHI JUMLAH JUMLAH Tempat
SANITASI LAYAK UH SYARAT SPAL TPS Ibadah
JUMLAH
MEMENUHI SYARAT%
PENDUD PENDUD RUMAH TAHUN Diperiksa
UK UK JUMLAH % LALU Diperiksa
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Sidokarto Sidoarum Sidorejo

PTGS IKL
MS TMS MS TMS MS TMS
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0
0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0
0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0
0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0
0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0
0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0
0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0
0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0
0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0
0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0
0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0
0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0
0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0
0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Sidokarto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sidoarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sidorejo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
0 0 0 0 0 0 0 Sidokarto
0 0 0 0 0 0 0 Sidoarum
0 0 0 0 0 0 0 Sidorejo
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 JUMLAH
UK
SYARAT
UK JUMLAH UK JUMLAH
NA PENGGU NA PENGGU
NA NA

SYARAT PENDUD JUMLAH
MEMENUHI SYARAT JUMLAH PENDUD MEMENUHI SYARAT
UK PENDUD JUMLAH UK PENDUD UK
NA NA
PENDUDUK YANG
JUMLAH JUMLAH
JUMLAH
MEMENUHI SYARAT JUMLAH PENDUD JUMLAH
MEMENUHI SYARAT JUMLAH PENDUD MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :
PENGEL ALAMAT KOORDINAT

NO NAMA PUSKESMA DESA/KELU TGL IKL
OLA LENGKAP
S RAHAN
SD / MI
1 SD NEGERI
BALECATUR 2 Pasekan Gamping 1 Balecatur
2 Mejing Lor RT Ambarketawa

SD NEGERI MEJING 1 01 RW 02 Gamping 1 ng
3 Ambarketawa
SD NEGERI MEJING 2 Patukan Gamping 1 ng
4 SD NEGERI
BALECATUR 1 Gejawan Gamping 1 Balecatur
5 SD NEGERI Ambarketawa
MANCASAN Mancasan Gamping 1 ng
6 SD NEGERI
JATISAWIT Jatisawit Gamping 1 Balecatur
7 SD NEGERI
NYAMPLUNG Nyamplung Gamping 1 Balecatur
SD NEGERI
8 KEMBANGJITENGAN
2 Sembung Gamping 1 Balecatur
SD
9 MUHAMMADIYAH
BALECATUR Sumber Gamping 1 Balecatur
SD
10 MUHAMMADIYAH
AMBARKETAWANG Ambarketawa
1 Bodeh Gamping 1 ng
11 Ambarketawa
SD IT JABAL NUR Gamping Lor Gamping 1 ng
SD
12 MUHAMMADIYAH
2 Kalimanjung Gamping 1 ng
SD
13 MUHAMMADIYAH
3 Gamping Kidul Gamping 1 ng
14 SD KANISIUS Gamping Ambarketawa

GAMPING Tengah Gamping 1 ng
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
41
42
43
44
SLTP / MTS
1 SMP NEGERI 1 Jln Wates Km

GAMPING 7 Gamping 1 Balectur
2 SMP NEGERI 4 Ambarketawa

GAMPING Kalimanjung Gamping 1 ng
SMP
3 MUHAMMADIYAH 1 Jl. Wates Km. Ambarketawa
GAMPING 6 Yk Gamping 1 ng
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1 Jl Wates Km 5
Ambarketawa Ambarketawa
Gamping ng Gamping Gamping 1 ng
2
3
4
5
RUMAH SAKIT
Jln. Wates Km.

1 4,5,
RS PKU Ambarketawa
Muhammadiyah YK ng, Gamping, Ambarketawa
Unit II Sleman Gamping 1 ng
Jl. Wates Km 9
2 Balecatur
Gamping
RSU MItra Sehat Sleman Gamping 1 Balecatur
3
4
5
PUSKESMAS
1 drg Ratih Ambarketawa

Gamping 1 Susila Delingsari Gamping1 ng
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG
JL.WATESKM8,
1 GAMOLBALEC
BALE CATUR INN ATUR Gamping 1 Balecatur
2 JL. RAYA
WATES KM. 9
QUEENSTAR PERANGDAWE Gamping 1 Balecatur
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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
1
Fitra Sri Hartati Pr Baleasri Gamping 1 Balecatur
2 Ambarketawa
Metori Gamping K 18 Gamping 1 ng
3 Tri Ambarketawa
Annaba Indaryanti Gamping Lor Gamping 1 ng
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
RESTORAN
1 Suhatmok Ambarketawa
RM Ambarketawang o Jl Wates KM 6 Gamping 1 ng
2 JL Wates KM Ambarketawa
RM Paradise 5.5 Gamping 1 ng
3 RM Padang Murah Ambarketawa

Meriah JL Wates KM 5 Gamping 1 ng
4 Heni Ambarketawa
Soto Slamet Ma"rifati Mejing Kidul Gamping 1 ng
5 Ambarketawa
RM Padang Minang Delingsari Gamping 1 ng
6 Ambarketawa
Rocket chiken Delingsari Gamping 1 ng
7 Ambarketawa
kedai susu nyoya Delingsari Gamping 1 ng
Ambarketawa
8 Ayam Geprek Sa'i Delingsari Gamping 1 ng
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM
1 Mancasan RT Ambarketawa
DPA Dimas Tirta Eni 4 RW 4 Gamping 1 ng
2 Jl Wates KM 9
DPA Eko/ E Water Eko Balecatur Gamping 1 Balecatur
3 Jatisawit RT 03
DPA Yuliana DAMIU Kliwon RW 26 Gamping 1 Balecatur
4 Jl. Wates KM 9
DPA Nopa Fresh Balecatur Gamping 1 Balecatur
5
DPA Damiu Amanda Ana Jatisawit Gamping 1 Balecatur
Jl. Wates KM
6 7,5 No 7A
Pasar
Aquadis Yudianto Balecatur Gamping 1 Balecatur
7 Joko Delingsari Ambarketawa

DPA Prima Qu Gunawan 02/14 Gamping 1 ng
8 Gamping Kidul Ambarketawa

DPA Tirta Mulia Eko RT 01 RW 18 Gamping 1 ng
9 Agatha Tri Ambarketawa

JP Fresh Water Sasongko Tlogo Gamping 1 ng
10 Gamping Kidul Ambarketawa
DPA Tirta Mefian Sofyan 02/19 Gamping 1 ng
11
Tirta Ayu Pereng dawe Gamping 1 Balecatur
12 Gamping K RW Ambarketawa
Puure Suwasono 18 Gamping 1 ng
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
1 Ambarketwan
SD IT Jabal Nur Gamping Lor Gamping 1 g
2 Ambarketwan
SMK ypkk Indri Mejing Kidul Gamping 1 g
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
MAKANAN JAJANAN
1 Ambarketawa
Sate Depok Depok Gamping 1 ng
2 Ambarketawa
rm Rata Rata Patukan Gamping 1 ng
3 Ambarketawa
WARUNG PADANG Patukan Gamping 1 ng
4 Ambarketawa
WARUNG Soto Monjali Patukan Gamping 1 ng
5 Ambarketawa
RM mahkota Patukan Gamping 1 ng
6 Ambarketawa
Warung Bakso ,lotek DMI Patukan Gamping 1 ng
7 Ambarketawa
Warung Soto Mbah Atemo Patukan Gamping 1 ng
8 Ambarketawa
Warung Soto Lenthok Patukan Gamping 1 ng
9 Ambarketawa
Soto Depok Depok Gamping 1 ng
10 Gamping Ambarketawa
Thollabi Tengah Gamping 1 ng
11
SOTO MBAH SALEH Pasekan Kidul Gamping 1 Balecatur
12
Bebek Goreng H. Dargo Pasekan Kidul Gamping 1 Balecatur
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Balecatur
Ambarketawang
PTGS IKL
MS TMS MS TMS
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
an, ..................
ak Kesling Puskesmas
Tahun : 2021
Ambarketa
Balecatur
wang
MS TMS MS TMS
0 0 0 0
0 0 0
0 0 0 ABJ
an, ..................
Tahun : 2021
Ambarketa
Balecatur
wang
MS TMS MS TMS
0 0 0 0
0 0 0
0 0 0 ABJ
an, ..................
Tahun : 2021
Ambarketa
Balecatur
wang
MS TMS MS TMS
0 0 0 0
0 0 0
0 0 0 ABJ
an, ..................
Tahun : 2021
Ambarketa
Balecatur
wang
MS TMS MS TMS
0 0 0 0
0 0 0
0 0 0 ABJ
an, ..................
Tahun : 2021
Ambarketa
Balecatur
wang
MS TMS MS TMS
0 0 0 0
0 0 0
0 0 0 ABJ
an, ..................
Tahun : 2021
Ambarketa
Balecatur
wang
MS TMS MS TMS
0 0 0 0
0 0 0
0 0 0 ABJ
an, ..................
Tahun : 2021
Ambarketa
Balecatur
wang
MS TMS MS TMS
0 0 0 0
0 0 0
0 0 0 ABJ
an, ..................
Tahun : 2021
Ambarketa
Balecatur
wang
MS TMS MS TMS
0 0 0 0
0 0 0
0 0 0 ABJ
an, ..................
Tahun : 2021
Ambarketa
Balecatur
wang
MS TMS MS TMS
0 0 0 0
0 0 0
0 0 0 ABJ
an, ..................
Tahun : 2021
Ambarketa
Balecatur
wang
MS TMS MS TMS
0 0 0 0
0 0 0
0 0 0 ABJ
an, ..................
Tahun : 2021
Ambarketa
Balecatur
wang
MS TMS MS TMS
0 0 0 0
0 0 0
0 0 0 ABJ
an, ..................
Tahun : 2021
Ambarketa
Balecatur
wang
MS TMS MS TMS
0 0 0 0
0 0 0
0 0 0 ABJ
an, ..................
Tahun : 2021
Ambarketa
Balecatur
wang
MS TMS MS TMS
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
0 0 0 0
0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Balecatur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ambarketa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
wang
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
SAM SAMPEL RUMAH RMH PASIEN KLIEN
RMH PJB
TMS MS TMS BEBAS KS KS
0 0 0 0 0 0 0 Balecatur
Ambarket
0 0 0 0 0 0 0 awang
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 JUMLAH
UK
SYARAT
UK JUMLAH UK JUMLAH
NA PENGGU NA PENGGU
NA NA

SYARAT JUMLAH PENDUD MEMENUHIJUMLAH
SYARAT JUMLAH PENDUD MEMENUHI SYARAT
UK PENDUD UK PENDUD UK
NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Banyuraden Nogotirto Trihanggo

PTGS IKL
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021
Banyurade Nogotirto Trihanggo

n
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Banyurade
Nogotirto Trihanggo
n
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Banyurade
Nogotirto Trihanggo
n
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Banyurade
Nogotirto Trihanggo
n
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Banyurade
Nogotirto Trihanggo
n
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Banyurade
Nogotirto Trihanggo
n
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

n
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Banyurade
Nogotirto Trihanggo
n
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

n
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

n
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Banyurade
Nogotirto Trihanggo
n
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Banyurade
Nogotirto Trihanggo
n
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

n
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0
0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Banyuraden 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nogotirto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Trihanggo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
Banyurade
0 0 0 0 0 0 0
n
0 0 0 0 0 0 0 Nogotirto
0 0 0 0 0 0 0 Trihanggo
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 JUMLAH
UK PENDUD MEMENUHIJUMLAH PENDUD MEMENUHIJUMLAH
JUMLAH SYARAT SYARAT
UK PENDUD JUMLAH UK PENDUD JUMLAH
SARANA JUMLAH SARANA JUMLAH SARANA
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Sendangadi Sinduadi
PTGS IKL
MS TMS MS TMS
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sendangadi Sinduadi
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sendangadi Sinduadi
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sendangadi Sinduadi
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sendangadi Sinduadi
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sendangadi Sinduadi
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sendangadi Sinduadi
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sendangadi Sinduadi
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sendangadi Sinduadi
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sendangadi Sinduadi
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sendangadi Sinduadi
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sendangadi Sinduadi
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sendangadi Sinduadi
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sendangadi Sinduadi
MS TMS MS TMS
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
0 0 0 0
0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Sendangadi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sinduadi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
Sendanga
0 0 0 0 0 0 0
di
0 0 0 0 0 0 0 Sinduadi
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Tirtoadi Sumberadi Tlogoadi

PTGS IKL
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0
0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Tirtoadi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sumberadi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tlogoadi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
0 0 0 0 0 0 0 Tirtoadi
0 0 0 0 0 0 0 Sumberadi
0 0 0 0 0 0 0 Tlogoadi
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Maguwoharjo
PTGS IKL
MS TMS
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021
Maguwoharjo
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Maguwoharjo
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Maguwoharjo
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Maguwoharjo
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Maguwoharjo
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Maguwoharjo
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Maguwoharjo
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Maguwoharjo
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Maguwoharjo
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Maguwoharjo
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Maguwoharjo
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Maguwoharjo
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Maguwoharjo
MS TMS
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0
0 0 0 ABJ
0 0
0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Maguwoharj
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
o
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
Maguwoh
0 0 0 0 0 0 0
arjo
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Condongca
PTGS IKL tur
MS TMS
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021
Condongca
tur
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Condongca
tur
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Condongca
tur
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Condongca
tur
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Condongca
tur
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Condongca
tur
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Condongca
tur
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Condongca
tur
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Condongca
tur
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Condongca
tur
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Condongca
tur
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Condongca
tur
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Condongca
tur
MS TMS
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0
0 0 0 ABJ
0 0
0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Condongcat
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ur
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
Condongc
0 0 0 0 0 0 0
atur
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Caturtungg
PTGS IKL al
MS TMS
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021
Caturtungg
al
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Caturtungg
al
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Caturtungg
al
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Caturtungg
al
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Caturtungg
al
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Caturtungg
al
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Caturtungg
al
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Caturtungg
al
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Caturtungg
al
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Caturtungg
al
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Caturtungg
al
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Caturtungg
al
MS TMS
0 0
0 0 0
0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Caturtungg
al
MS TMS
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0
0 0 0 ABJ
0 0
0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Caturtunggal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
Caturtung
0 0 0 0 0 0 0
gal
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :
PENGEL ALAMAT KOORDINAT

NO NAMA PUSKESMA DESA/KELU TGL IKL
OLA LENGKAP
S RAHAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Sendangtirto Tegaltirto Jogotirto Kalitirto

PTGS IKL
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
an, ..................
Tahun : 2021
Sendangtir
Tegaltirto Jogotirto Kalitirto
to
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
Tahun : 2021
Sendangtir
to
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
Tahun : 2021
Sendangtir
to
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
Tahun : 2021
Sendangtir
to
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
Tahun : 2021
Sendangtir
to
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
Tahun : 2021
Sendangtir
to
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
Tahun : 2021
Sendangtir
to
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
Tahun : 2021
Sendangtir
to
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
Tahun : 2021
Sendangtir
to
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
Tahun : 2021
Sendangtir
to
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
Tahun : 2021
Sendangtir
to
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
Tahun : 2021
Sendangtir
to
0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
Tahun : 2021
Sendangtir
to
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Sendangtirt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
o
Tegaltirto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jogotirto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kalitirto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
SAM SAMPEL RUMAH RMH PASIEN KLIEN
RMH PJB
TMS MS TMS BEBAS KS KS
Sendangtir
0 0 0 0 0 0 0 to
0 0 0 0 0 0 0 Tegaltirto
0 0 0 0 0 0 0 Jogotirto
0 0 0 0 0 0 0 Kalitirto
0 0 0 0 0 0 0 0
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 JUMLAH
UK
SYARAT
UK JUMLAH UK JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
SumberharjoWukirharjo GayamharjoSambirejo Madurejo Bokoharjo

PTGS IKL
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sumberharj Wukirharjo Gayamharj Sambirejo Madurejo Bokoharjo

o o
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sumberharj Gayamharj
Wukirharjo Sambirejo Madurejo Bokoharjo
o o
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
o o
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
o o
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
o o
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
o o
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

o o
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
o o
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

o o
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

o o
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
o o
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
o o
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

o o
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Sumberharjo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Wukirharjo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gayamharjo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sambirejo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Madurejo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bokoharjo 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
Sumberha
0 0 0 0 0 0 0
rjo
Wukirharj
0 0 0 0 0 0 0
o
Gayamhar
0 0 0 0 0 0 0
jo
0 0 0 0 0 0 0 Sambirejo
0 0 0 0 0 0 0 Madurejo
0 0 0 0 0 0 0 Bokoharjo
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
JUMLAH JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :
ALAMAT KOORDINAT
PENGELOL
A LENGKAP PUSKESMAS
HAN
SD / MI
1 SD NEGERI BOGEM 2 Bogem Kalasan Tamanmartani
SD NEGERI
2 Tegalrejo Kalasan Tamanmartani
TAMANAN 3
SD NEGERI
3 KLEDOKAN Tunjungan Kalasan Selomartani
SD NEGERI
4 SAMBIROTO 2 Sidokerto Kalasan Purwomartani
SD NEGERI KALASAN
5 Krajan Kalasan Tirtomartani
1
6 SD NEGERI Karangnongko Kalasan Tirtomartani

KARANGNONGKO 1
SD NEGERI
7 KOWANG Kalasan Tamanmartani
KOWANGBINANGUN
8 SD NEGERI Sorogenen 1 Kalasan Purwomartani

SOROGENEN 2 Rt 04 Rw 01
9 SD NEGERI Senden Kalasan Selomartani

TUNJUNGSARI 2
10 SD NEGERI Kledokan Kalasan Selomartani

TUNJUNGSARI I
11 SD NEGERI Sembur, Kalasan Tirtomartani

BENDUNGAN Bendungan
SD NEGERI Dalangan-
12 KARANGNONGKO 2 Kalimati Kalasan Tirtomartani
13 SD NEGERI PUCUNG Pucung Kalasan Tamanmartani
SD NEGERI SALAKAN
14 LOR Salakan Kalasan Selomartani
15 SD NEGERI PAKEM Pakem Kalasan Tamanmartani
16 SD NEGERI BOGEM I Kepatihan Kalasan Tamanmartani
SD NEGERI Purwobinangu
17 Kalasan Purwomartani
PURWOBINANGUN n_Juwangen
SD NEGERI
18 KEBON Kalasan Tamanmartani
TAMANAN 2
19 SD NEGERI Temanggal 2 Kalasan Purwomartani

TEMANGGAL
SD NEGERI KALASAN
20 Glondong Kalasan Tirtomartani
BARU
SD NEGERI
21 TAMANAN Kalasan Tamanmartani
TAMANAN 1
22 SD NEGERI Babadan Kalasan Purwomartani

SAMBIROTO I
Demangan
23 SD NEGERI SIDOREJO Kalasan Selomartani
-Sidorejo
SD NEGERI Jl Solo Km10
24 SOROGENEN 1 Sorogenen I Kalasan Purwomartani
SD NEGERI Kertirejo_Sam
25 KERTIREJO birejo Kalasan Selomartani
SD NEGERI
26 PURWOMARTANI Karangmojo Kalasan Purwomartani
SD IDEA Jl Solo Km 12
27 YOGYAKARTA Kalasan Purwomartani
Cupuwatu
SD
28 MUHAMMADIYAH Bayen Kalasan Purwomartani
BAYEN
Kadirojo,
29 SD KANISIUS Purwomartani, Kalasan Purwomartani
KADIROJO Kalasan
SD IT UKHUWAH
30 Kadirojo Kalasan Purwomartani
ISLAMIYAH
SD
31 MUHAMMADIYAH Sambisari Kalasan Purwomartani
SAMBISARI
SD
32 MUHAMMADIYAH Kadisoka Kalasan Purwomartani
KADISOKA
SD KANISIUS
33 KALASAN Kringinan Kalasan Tirtomartani
SD
34 MUHAMMADIYAH Dhuri Kalasan Tirtomartani
DHURI
35
36
37
38
39
40
41
42
43
44
SLTP / MTS
SMP NEGERI 4
1 Jongkangan Kec. Kalasan Tamanmartani
KALASAN
SMP NEGERI 3 Sidokerto,

2 Kec. Kalasan Purwomartani
KALASAN Purwomartani
SMP NEGERI 1 Jalan Jogja-

3 Solo Km 14,5 Kec. Kalasan Tirtomartani
KALASAN
Glondong
SMP NEGERI 2
4 KALASAN Kledokan Kec. Kalasan Selomartani
SMP
5 MUHAMMADIYAH 2 Bayen Kec. Kalasan Purwomartani
KALASAN
SMP
Glondong,
6 MUHAMMADIYAH 1 Kec. Kalasan Tirtomartani
Tirtomartani
KALASAN
SMP KANISIUS
7 Krajan Kec. Kalasan Tirtomartani
KALASAN
8 MTs RAUDHATUL Sambisari Kec. Kalasan Purwomartani

MUTTAQIEN
9
10
11
12
13
14
15
SLTA / SMK
JL. BOGEM
1 SMAN 1 KALASAN Kec. Kalasan Tamanmartani
KALASAN
SMAS JL. DHURI

2 MUHAMMADIYAH TIRTOMARTA Kec. Kalasan Tirtomartani
KALASAN NI, KALASAN
Kepatihan, JL.
3 SMAS IMMANUEL SOLO KM. 15, Kec. Kalasan Tamanmartani
KALASAN
KALASAN
RANDUGUNTI
4 SMKN 1 KALASAN Kec. Kalasan Tamanmartani
NG
SMKS
5 MUHAMMADIYAH 1 NGAJEG Kec. Kalasan Tirtomartani
KALASAN
SOLO KM 16
SMKS MUDA PATRIA
6 Kepatihan POS Kec. Kalasan Tamanmartani
SLEMAN
KALASAN
7
8
9
10
PASAR
Jl Yogya Solo
1 Kalasan Km 13, 5 Kalasan Tirtomartani
Kalasan
2 Tulung Tulung Kalasan Tamanmartani
Sidorejo_Dem
3 Sidorejo angan Kalasan Selomartani
4 Sorogenen Sorogenen 2 Kalasan Purwomartani
RUMAH SAKIT
Jln. Solo Km.

13,2, Krajan,
1 RS Panti Rini Tirtomartani, Kalasan Tirtomartani
Kalasan,
Sleman
Jl. Solo Km.

12,5,
RS Islam Yogyakarta Cupuwatu,
2 PDHI
Purwomartani, Kalasan
Purwomartani
Kalasan,
Sleman
Jl. Solo Km. 14,

Glondong,
3 RS Bhayangkara Tirtomartani, Kalasan Tirtomartani
Kalasan,
Sleman
4
5
PUSKESMAS
dr. Dini
1 Puskesmas Kalasan Threes Sidokerto Kalasan Purwomartani
Harjanti
2
HOTEL BINTANG
KLURAK,TAMA
POERI DEVATA TAMANMART
1 NMARTANI, KALASAN
RESORT HOTEL ANI
KALASAN
GLONDONG,
TIRTOMARTA
2 COLOMBO IN TIRTOMARTA KALASAN
NI
NI, KALASAN
3
4
5
6
7
8
9
10
HOTEL NON BINTANG
JL.SOLOKM10, PURWOMART
1 KALASAN INN KALASAN
6SOROGENEN ANI
JL. SOLO KM
PURWOMART
2 PERMATA 10,5 KALASAN
ANI
SOROGENEN
GLONDONG,TI TIRTOMARTA
3 SRIKANDI
RTOMARTANI KALASAN NI
BOGEM
TAMANMART
4 EDOTEL TAMANMART KALASAN
ANI
ANI
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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
KENAJI,
AYAM GORENG ULFATURR TAMANMART
1 ULFA
OSIDAH TAMANMART KALASAN ANI
ANI, KALASAN
KARANGMOJO
2 AYAM GORENG SAMSINI , KALASAN TAMANMART
SAMSINI TAMANMART ANI
ANI, KALASAN
ARI TULUNG,
AYAM GORENG TAMANMART
3 KURNIANT TAMANMART KALASAN
KURNIANTO ANI
O ANI, KALASAN
BOGEM,
AYAM GORENG SUDARSO TAMANMART
4 TAMANMART KALASAN
SUDARSONO NO ANI
ANI, KALASAN
BOGEM,
AYAM GORENG TAMANMART
5 JAWARNI JAWARNI TAMANMART KALASAN
ANI
ANI, KALASAN
KOWANG,
AYAM GORENG TRI TRI TAMANMART
6 MOHYANI MOHYANI TAMANMART KALASAN ANI
ANI, KALASAN
KARANGMOJO
AYAM GORENG , TAMANMART
7 WIDODO KALASAN
WIDODO TAMANMART ANI
ANI, KALASAN
KARANGMOJO
8 KARMINI KALASAN
KARMINI TAMANMART ANI
ANI, KALASAN
RANDUGUNTI
AYAM GORENG HENNIS NG, TAMANMART
9 KALASAN
HENNIS PRADITA TAMANMART ANI
ANI, KALASAN
RANDUGUNTI
AYAM GORENG NG, TAMANMART
10 WIWIK KALASAN
WIWIK TAMANMART ANI
ANI, KALASAN
KARANGMOJO
11 AYAM GORENG SRI SRI , KALASAN TAMANMART
HARTANTI HARTANTI TAMANMART ANI
ANI, KALASAN
KARANGMOJO
12 MARYATI KALASAN
MARYATI TAMANMART ANI
ANI, KALASAN
KARANGMOJO
13 SULIYEM SULIYEM TAMANMART KALASAN ANI
ANI, KALASAN
BENDAN,
TIRTOMARTA
14 AYAM GORENG YULI YULI TIRTOMARTA KALASAN
NI
NI, KALASAN
BENDAN,
AYAM GORENG TIRTOMARTA
15 WIDODO WIDODO TIRTOMARTA KALASAN NI
NI, KALASAN
BENDAN,
16 AYAM GORENG PAK WIYONO TIRTOMARTA KALASAN TIRTOMARTA
WIYONO NI
NI, KALASAN
BENDAN,
AYAM GORENG PAK ISHARTON TIRTOMARTA
17 TIRTOMARTA KALASAN
ISHARTONO O NI
NI, KALASAN
BENDAN,
AYAM GORENG PAK TIRTOMARTA
18 SUKARNO TIRTOMARTA KALASAN
KARNO NI
NI, KALASAN
BENDAN,
AYAM GORENG BU TIRTOMARTA
19 MUR MURYATI TIRTOMARTA KALASAN
NI
NI, KALASAN
BENDAN,
20 PANDOYO PANDOYO TIRTOMARTA KALASAN
NI
NI, KALASAN
PONDOK,
21 INDRA CATERING INDRA SELOMARTANI KALASAN SELOMARTANI
, KALASAN
TEGALREJO,
22 SARAH CATERING TAMANMART KALASAN TAMANMART
ANI ANI
BOGEM,
SETIA TAMANMART
23 INDI CATERING TAMANMART KALASAN
BUDI ANI, KALASAN ANI
KHOIRUNNISA KHOIRUNI PERUM GRIYA PURWOMART

24 KALASAN
CATERING SA PURWA ASRI ANI
BENDAN,
AYAM GORENG BU TIRTOMARTA
25 SUHARTI SUHARTI TIRTOMARTA KALASAN
NI
NI, KALASAN
BENDAN,
26 SUTINAH SUTINAH TIRTOMARTA KALASAN NI
NI, KALASAN
BENDAN,
27 AYAM GORENG EFA EFA
TIRTOMARTA
TIRTOMARTA KALASAN
FITRIANI FITRIANI NI
NI, KALASAN
TEMANGGAL,
PURWOMART
28 X ONE CATERING WAWAN TIRTOMARTA KALASAN
NI, KALASAN ANI
29
30
31
32
RESTORAN
PURWOMART
1 CUPUWATU RESTO CUPUWATU 1 KALASAN ANI
BALE BENGONG
KARANGKALAS TIRTOMARTA
2 FAMILY KALASAN
AN NI
RESTAURANT
LEMAH LEDOK KARANGKALAS TIRTOMARTA
3 GARDEN RESTO KALASAN
AN NI
BENDAN,
TIRTOMARTA
4 SENDANG AYU TIRTOMARTA KALASAN NI
NI, KALASAN
RUMAH MAKAN BENDAN,

5 AYAM GORENG TIRTOMARTA KALASAN TIRTOMARTA
MBOK BEREK NI, KALASAN NI
BENDAN,
6 AYAM GORENG
TIRTOMARTA
TIRTOMARTA KALASAN
CANDISARI NI, KALASAN NI
KEPATIHAN,
TAMANMART
7 GRAFIKA RESTORAN TAMANMART KALASAN
ANI
ANI, KALASAN
TAMANAN,
KEMBANG SAWAH TAMANMART
8 RESTO TAMANMART KALASAN
ANI
ANI, KALASAN
TEMANGGAL,
9 MBOK GAYENG GER-
PURWOMART
PURWOMART KALASAN
GER AN ANI
ANI, KALASAN
PURWOMART
10 JIWANGGA RESTO BROMONILAN KALASAN
ANI
SOP DJADOEL PURWOMART
11 SAMBISARI KALASAN
SAMBISARI ANI
TEMANGGAL,
PURWOMART
12 GRIYA RESTO PURWOMART KALASAN
ANI
ANI, KALASAN
13 AYAM TRANCAM SAMBISARI KALASAN PURWOMART

KANG MIN ANI
RAMA SHINTA TAMANMART
14 BOGEM KALASAN
GARDEN RESTO ANI
PRAMBANAN TAMANMART
15 GALERY RESTO KLURAK KALASAN ANI
RUMAH MAKAN
TIRTOMARTA
16 AYAM GANTUNG KRINGINAN KALASAN
NI
JOGJA
17
18
19
20
DEPOT AIR MINUM

PURWOMART
1 MARSIHONO BROMONILAN KALASAN
ANI
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
AMBARW TIRTOMARTA
1 SMP 1 KALASAN GLONDONG KALASAN
ATI NI
2 SD KALASAN 1 KRAJAN KALASAN TIRTOMARTA

NI
SD KANISIUS PURWOMART
3 KADIROJO KALASAN
KADIROJO ANI
PURWOMART
4 YPTI UTARA SOMODARAN KALASAN
ANI
5 YPTI SELATAN SOMODARAN KALASAN PURWOMART

ANI
6 SMP 2 KALASAN KLEDOKAN KALASAN SELOMARTANI
TAMANMART
7 SMP 3 KALASAN JONGKANGAN KALASAN ANI
TAMANMART
8 SMA N I KALASAN KEPATIHAN KALASAN ANI
TAMANMART
9 SMK N I KALASAN KEPATIHAN KALASAN
ANI
10 SD N TUNJUNGSARI I KLEDOKAN KALASAN SELOMARTANI
SD MUHAMADIYAH PURWOMART
11 KADISOKA KALASAN
KADISOKA ANI
12
13
14
15
16
17
18
19
20
21
22
23
24
25
MAKANAN JAJANAN
1 RM. PADANG RATA-

PURWOMART
SOROGENEN KALASAN
RATA MURAH ANI
2 WARUNG MAKAN
TIRTOMARTA
KRINGINAN KALASAN
TARUNOJOYO NI
RM. PADANG MILIK PURWOMART
3 CUPUWATU KALASAN
KITA ANI
4 WARUNG MAKAN CUPUWATU KALASAN PURWOMART

SOTO MEKARJAYA ANI
TAMANMART
5 SOTO PAK MARTO KEPATIHAN KALASAN
ANI
KARANGKALAS TIRTOMARTA
6 WM. KEN AROK KALASAN
AN NI
7 SABAR MENANTI BOGEM KALASAN TAMANMART

ANI
TIRTOMARTA
8 GUDEG JOGJA YUNUS GLONDONG KALASAN
NI
GUDEG JOGJA TIRTOMARTA
9 SUKOWATI GLONDONG KALASAN NI
BAKSO RUSUK
PURWOMART
10 SALAD SOLO JUWANGEN KALASAN
ANI
SAMSON
BRINTIKAN,
TIRTOMARTA
11 SEGO WIWIT TIRTOMARTA KALASAN
NI
NI, KALASAN
KADIROJO 2,
PONDOK SAMBAL PURWOMART
12 PURWOMART KALASAN
MIROSO ECO ANI
ANI, KALASAN
13 SOTO KADIPIRO KRINGINAN KALASAN TIRTOMARTA

NI
PURWOMART
14 SOTO SHOLEH JUWANGEN KALASAN
ANI
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Purwomart Tirtomarta Tamanmart Selomartan

ani ni ani i
PTGS IKL
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ani i
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ani i
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ani i
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ani i
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ani i
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ani i
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ani i
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ani i
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ani i
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ani i
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ani i
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ani i
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ani i
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Purwomarta
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ni
Tirtomartani 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tamanmarta
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ni
Selomartani 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
Purwomar
0 0 0 0 0 0 0
tani
Tirtomarta
0 0 0 0 0 0 0
ni
Tamanmar
0 0 0 0 0 0 0
tani
Selomarta
0 0 0 0 0 0 0
ni
0 0 0 0 0 0 0 0
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
UmbulmartaBimomartaniSindumartan
PTGS IKL
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021
Umbulmart Bimomarta Sindumarta

ani ni ni
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ni
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ni
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ni
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ni
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ni
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ni
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ni
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ni
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ni
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ni
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ni
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ani ni ni
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0
0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Umbulmarta
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ni
Bimomartan
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i
Sindumartan
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
Umbulmar
0 0 0 0 0 0 0
tani
Bimomart
0 0 0 0 0 0 0
ani
Sindumart
0 0 0 0 0 0 0
ani
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
WedomartanWidodomart
PTGS IKL
MS TMS MS TMS
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021
Wedomart Widodomar
ani tani
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Wedomart Widodomar
ani tani
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Wedomart Widodomar
ani tani
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Wedomart Widodomar
ani tani
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Wedomart Widodomar
ani tani
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Wedomart Widodomar
ani tani
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Wedomart Widodomar
ani tani
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Wedomart Widodomar
ani tani
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Wedomart Widodomar
ani tani
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Wedomart Widodomar
ani tani
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Wedomart Widodomar
ani tani
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Wedomart Widodomar
ani tani
MS TMS MS TMS
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Wedomart Widodomar
ani tani
MS TMS MS TMS
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0 ABJ
0 0 0 0
0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Wedomarta
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ni
Widodomart
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ani
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
Wedomart
0 0 0 0 0 0 0
ani
Widodom
0 0 0 0 0 0 0
artani
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Sinduharjo MinomartaniSardonoharj
PTGS IKL
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sinduharjo Minomarta Sardonohar

ni jo
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Minomarta Sardonohar
Sinduharjo
ni jo
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sinduharjo
ni jo
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sinduharjo
ni jo
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sinduharjo
ni jo
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sinduharjo
ni jo
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ni jo
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sinduharjo
ni jo
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ni jo
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ni jo
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sinduharjo
ni jo
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Sinduharjo
ni jo
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

ni jo
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0
0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Sinduharjo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Minomartan
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i
Sardonoharj
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
o
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
0 0 0 0 0 0 0 Sinduharjo
Minomart
0 0 0 0 0 0 0
ani
Sardonoha
0 0 0 0 0 0 0
rjo
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Sariharjo Donoharjo Sukoharjo

PTGS IKL
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0
0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Sariharjo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Donoharjo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sukoharjo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
0 0 0 0 0 0 0 Sariharjo
0 0 0 0 0 0 0 Donoharjo
0 0 0 0 0 0 0 Sukoharjo
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Caturharjo Triharjo Tridadi PandowoharTrimulyo

PTGS IKL
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021
Caturharjo Triharjo Tridadi Pandowoha Trimulyo

rjo
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Pandowoha
Caturharjo Triharjo Tridadi Trimulyo
rjo
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Pandowoha
rjo
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Pandowoha
rjo
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Pandowoha
rjo
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Pandowoha
rjo
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

rjo
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Pandowoha
rjo
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

rjo
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

rjo
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Pandowoha
rjo
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Pandowoha
rjo
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

rjo
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Caturharjo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Triharjo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tridadi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pandowohar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
jo
Trimulyo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
0 0 0 0 0 0 0 Caturharjo
0 0 0 0 0 0 0 Triharjo
0 0 0 0 0 0 0 Tridadi
0 0 0 0 0 0 0 Pandowoh
arjo
0 0 0 0 0 0 0 Trimulyo
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Mororejo Margorejo Lumbungrej Merdikorejo

PTGS IKL
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021
Mororejo Margorejo Lumbungre Merdikorej

jo o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Lumbungre Merdikorej
Mororejo Margorejo
jo o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Mororejo Margorejo
jo o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Mororejo Margorejo
jo o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Mororejo Margorejo
jo o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Mororejo Margorejo
jo o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

jo o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Mororejo Margorejo
jo o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

jo o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

jo o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Mororejo Margorejo
jo o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Mororejo Margorejo
jo o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

jo o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Mororejo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Margorejo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lumbungrej
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
o
Merdikorejo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
0 0 0 0 0 0 0 Mororejo
0 0 0 0 0 0 0 Margorejo
Lumbungr
0 0 0 0 0 0 0
ejo
0 0 0 0 0 0 0 Merdikore
jo
0 0 0 0 0 0 0 0
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Banyurejo Tambakrejo Sumberrejo Pondokrejo

PTGS IKL
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Banyurejo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tambakrejo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sumberrejo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pondokrejo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
0 0 0 0 0 0 0 Banyurejo
Tambakrej
0 0 0 0 0 0 0
o
Sumberrej
0 0 0 0 0 0 0
o
0 0 0 0 0 0 0 Pondokrej
o
0 0 0 0 0 0 0 0
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
1 SD NEGERI
KLOPOSAWIT Kloposawit Kec. Turi Girikerto
2 SD NEGERI
BANYUURIP 1 Jambusari Kec. Turi Wonokerto
3 SD NEGERI
DONOKERTO Gondang Kec. Turi Girikerto
4 SD NEGERI
LEDOKNONGKO Ledoknongko Kec. Turi Bangunkerto
5 SD NEGERI
WONOSARI 1 Plosokuning Kec. Turi Bangunkerto
6 SD NEGERI
KARANGANYAR Pulihrejo Kec. Turi
7 SD NEGERI
BANGUNKERTO Selobonggo Kec. Turi Bangunkerto
8
SD NEGERI TURI 3 Gading Kulon Kec. Turi Donokerto
9 SD NEGERI
BANYUURIP 2 Kembang Kec. Turi Wonokerto
10 SD NEGERI
SUKOREJO Sukorejo Kec. Turi Girikerto
11 SD NEGERI
SOPRAYAN Soprayan Kec. Turi Girikerto
12 SD NEGERI TURI I Turi Kec. Turi Donokerto
13 SD NEGERI
NGANGGRUNG Nganggrung Kec. Turi Wonokerto
14 SD NEGERI
WONOSARI 2 Rejodadi Kec. Turi Bangunkerto
15
SD NEGERI TURI 2 Kembangarum Kec. Turi Donokerto
16 SD NEGERI
SOMOITAN Daleman Kec. Turi Girikerto
17
SD NEGERI NGABLAK Ngablak Kec. Turi Bangunkerto
18 SD TARAKANITA
NGEMBESAN Ngembesan Kec. Turi Wonokerto
SD
19 MUHAMMADIYAH
BALERANTE Sempu Kec. Turi Wonokerto
SD
20 MUHAMMADIYAH
GIRIKERTO Sidorejo Kec. Turi Girikerto
21 SD IT BINA INSAN
KAMIL Lungguhrejo Kec. Turi Wonokerto
SD
22 MUHAMMADIYAH
DADAPAN Dadapan Kec. Turi Wonokerto
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
SLTP / MTS
1 Ngablak
SMP NEGERI 2 TURI Bangunkerto Kec. Turi Bangunkerto
2 Soprayan
SMP NEGERI 3 TURI Girikerto
Turi Kec. Turi Girikerto
3 SMP NEGERI 1 TURI Donokerto Kec. Turi Donokertto
4 Turi,
Donokerto,
SMP SANTO Turi, Sleman,
ALOYSIUS TURI Yogyakarta Kec. Turi Donokertto
Keringan
5 SMP Wonokerto
MUHAMMADIYAH Turi Sleman
TURI Yogyakarta Kec. Turi Wonokerto
SMP INSAN Turi,

6 CENDEKIA Donokerto,
YOGYAKARTA Turi, Sleman Kec. Turi Donokertto
7
8
9
10
11
12
13
14
15
SLTA / SMK
GUNUNG
1 ANYAR,
SMAN 1 TURI DONOKERTO Kec. Turi Donokerto
SMKS JL.TURI
2 MUHAMMADIYAH 2 TEMPEL 3,5
TURI NGABLAK Kec. Turi Bangunkerto
SMKS
3 MUHAMMADIYAH 1
TURI Keringan Kec. Turi Wonokerto
TURI,
4 DONOKERTO,
TURI,
SMKS INSAN SLEMAN,
CENDEKIA YOGYKARTA Kec. Turi Donokerto
5
6
7
8
9
10
PASAR
Ngablak
1 Dinas Bangunkerto
Ngablak Pasar Turi Turi Bangunkerto
Jl Turi
2 Dinas Donokerto
Turi Pasar Turi Turi Donokerto
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
1 Gina Catering Sukarmin Randusongo Turi Donoketo
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM
1 Nur Abadi
Damiu Tirta Mulya Nunianto Lungguhrejo Turi Wonokerto
2 Yulianto,S
Damiu Safanmart T Kembangarum Turi Donokerto
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
1 KANTIN SD NEGERI
KLOPOSAWIT Kloposawit Kec. Turi Girikerto
2 KANTIN SD NEGERI
BANYUURIP 1 Jambusari Kec. Turi Wonokerto
3 Kantin SD NEGERI
DONOKERTO Gondang Kec. Turi Girikerto
4 KANTIN SD NEGERI
LEDOKNONGKO Ledoknongko Kec. Turi Bangunkerto
5 KANTIN SD NEGERI
WONOSARI 1 Plosokuning Kec. Turi Bangunkerto
6 KANTIN SD NEGERI
KARANGANYAR Pulihrejo Kec. Turi
7 KANTIN SD NEGERI
BANGUNKERTO Selobonggo Kec. Turi Bangunkerto
8 KANTIN SD NEGERI
TURI 3 Gading Kulon Kec. Turi Donokerto
9 KANTIN SD NEGERI
BANYUURIP 2 Kembang Kec. Turi Wonokerto
10 KANTIN SD NEGERI
SUKOREJO Sukorejo Kec. Turi Girikerto
11 KANTIN SD NEGERI
SOPRAYAN Soprayan Kec. Turi Girikerto
12 KANTIN SD NEGERI
TURI I Turi Kec. Turi Donokerto
13 KANTIN SD NEGERI
NGANGGRUNG Nganggrung Kec. Turi Wonokerto
14 KANTIN SD NEGERI
WONOSARI 2 Rejodadi Kec. Turi Bangunkerto
15 KANTIN SD NEGERI
TURI 2 Kembangarum Kec. Turi Donokerto
16 KANTIN SD NEGERI
SOMOITAN Daleman Kec. Turi Girikerto
17 KANTIN SD NEGERI
NGABLAK Ngablak Kec. Turi Bangunkerto
KANTIN SD
18 TARAKANITA
NGEMBESAN Ngembesan Kec. Turi Wonokerto
KANTIN SD
19 MUHAMMADIYAH
GIRIKERTO Sidorejo Kec. Turi Girikerto
20 Ngablak
SMP NEGERI 2 TURI Bangunkerto Kec. Turi Bangunkerto
21 Soprayan
SMP NEGERI 3 TURI Girikerto Kec. Turi Girikerto
22 Turi,
Donokerto,
SMP SANTO Turi, Sleman,
ALOYSIUS TURI Yogyakarta Kec. Turi Donokertto
GUNUNG
23 ANYAR,
SMAN 1 TURI DONOKERTO Kec. Turi Donokerto
24
25
MAKANAN JAJANAN
1
Sate Bu Timan Pak Timan Turi Turi Donokerto
2 Sate Bu Hadi Turi Turi Donokerto
3 warung makan
padang Sahabat Turi Turi Donokerto
4 Gudeg Bu
Djuminten Turi Turi Donokerto
5
Entok Slenget Kang Tanir Pules Lor Turi Donokerto
6 Warung Makan
Mutiara Minang Keringan Turi Wonokerto
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
41
42
43
44
45
46
47
48
49
50
NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.
NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
BangunkertoDonokerto Wonokerto Girikerto

PTGS IKL
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021
Bangunkert
Donokerto Wonokerto Girikerto
o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Bangunkert
o Donokerto Wonokerto Girikerto
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Bangunkert
o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Bangunkert
o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Bangunkert
o Donokerto Wonokerto Girikerto
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Bangunkert
o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Bangunkert
o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Bangunkert Donokerto Wonokerto Girikerto

o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Bangunkert
o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Bangunkert
o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Bangunkert Donokerto Wonokerto Girikerto

o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Bangunkert
o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021
Bangunkert
o
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Bangunkerto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Donokerto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Wonokerto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Girikerto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
Bangunker
0 0 0 0 0 0 0
to
0 0 0 0 0 0 0 Donokerto
0 0 0 0 0 0 0 Wonokert
o
0 0 0 0 0 0 0 Girikerto
0 0 0 0 0 0 0 0
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

Kepala Puskesmas Petugas Kesling Puskesmas
NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Purwobinan CandibinangHarjobinangPakembinanHargobinang
PTGS IKL
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021
Purwobina Candibinan Harjobinan Pakembina Hargobinan

ngun gun gun ngun gun
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
s Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Purwobinan
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
gun
Candibinang
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
un
Harjobinang
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
un
Pakembinan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
gun
Hargobinang
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
un
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
Purwobina
0 0 0 0 0 0 0
ngun
Candibina
0 0 0 0 0 0 0
ngun
Harjobina
0 0 0 0 0 0 0
ngun
0 0 0 0 0 0 0 Pakembin
angun
Hargobina
0 0 0 0 0 0 0
ngun
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 JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
PUSKESMAS : BULAN :

A LENGKAP PUSKESMAS
HAN
SD / MI
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
41
42
43
44
SLTP / MTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SLTA / SMK
1
2
3
4
5
6
7
8
9
10
PASAR
1
2
3
4
5
RUMAH SAKIT
1
2
3
4
5
PUSKESMAS
1
2
HOTEL BINTANG
1
2
3
4
5
6
7
8
9
10
HOTEL NON BINTANG

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
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JASA BOGA
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
RESTORAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPOT AIR MINUM

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
KANTIN SEKOLAH
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
MAKANAN JAJANAN
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
41
42
43
44
45
46
47
48
49
50

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan

NIP NIP.

NO HASIL KEGIATAN
1 Desa STBM
a Sumur Gali
d Terminal Air
e PMA
f PAH
g Perpipaan
SD / MI
SLTP
SLTA
PASAR
RUMAH SAKIT
PUSKESMAS
HOTEL BINTANG
HOTEL NON BIN
JASA BOGA
RESTORAN
DAMIU
KANTIN SEKOLAH
MAKANAN JAJANAN
DESA
Tahun : 2021
Wukirsari Argomulyo Glagahrjo Kepuhharjo Umbulharjo

PTGS IKL
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0 100
50 0 0 0 0 0 0 0 0 0 50 ABJ
an, ..................
k Kesling Puskesmas
Tahun : 2021

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0 100
50 0 0 0 0 0 0 0 0 0 50 ABJ
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
SD / MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTP 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SLTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUMAH SAKIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL BINTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HOTEL NON BIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JASA BOGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RESTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANTIN SEKOLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKANAN JAJANAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DESA
Wukirsari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Argomulyo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Glagahrjo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kepuhharjo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Umbulharjo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

STBM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DESA
TMS MS TMS BEBAS
0 0 0 100 50 0 0 Wukirsari
Argomuly
0 0 0 0 0 0 0
o
0 0 0 0 0 0 0 Glagahrjo
0 0 0 0 0 0 0 Kepuhharj
o
Umbulharj
0 0 0 0 0 0 0
o
0 0 0 100 50 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
JUMLAH JUMLAH
NA PENGGU NA PENGGU
NA NA

NA NA
PENDUDUK YANG
JUMLAH JUMLAH
MEMENUHIJUMLAH
SYARAT
NA NA NA
PENDUDUK YANG JEN
MEMILIKI AKSES
JUMLAH JUMLAH
PENDUD JUMLAH
SARANA UK UK SARANA
NA PENGGU PENGGU NA
NA NA
JENIS SARANA JAMBAN
JUMLAH JUMLAH
JUMLAH
NA NA NA NA
RUMAH
JUMLAH
MEMENUHI SYARAT%
PENGGU PENGGU
NA NA
REKAPITULASI ABJ PUSKESMAS PER BULAN TAHUN 2021
Jumlah Januari Februari Maret April

No PUSKESMAS Rumah Diperiksa Jml ABJ Diperiksa Jml ABJ Diperiksa Jml ABJ Diperiksa Jml ABJ
Seluruhnya Bebas % Bebas % Bebas % Bebas %
01 Moyudan 8,549 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
02 Minggir 8,711 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
03 Seyegan 10,971 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
04 Godean I 7,772 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
05 Godean II 8,468 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
06 Gamping I 11,068 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
07 Gamping II 17,526 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
08 Mlati I 12,805 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
09 Mlati II 6,628 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
10 Depok I 9,075 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
11 Depok II 11,833 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
12 Depok III 20,129 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
13 Berbah 15,147 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
14 Prambanan 16,929 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
15 Kalasan 22,509 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
16 Ngemplak I 6,007 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
17 Ngemplak II 11,132 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
18 Ngaglik I 14,280 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
19 Ngaglik II 9,112 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
20 Sleman 16,893 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
21 Tempel I 8,604 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
22 Tempel II 7,380 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
23 Turi 7,815 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
24 Pakem 10,464 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
25 Cangkringan 9,149 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
JUMLAH 288,956 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
Mei Juni Juli Agustus September
Diperiksa Jml ABJ Diperiksa Jml ABJ Diperiksa Jml ABJ Diperiksa Jml ABJ Diperiksa Jml ABJ
Bebas % Bebas % Bebas % Bebas % Bebas %
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
Oktober November Desember
Diperiksa Jml ABJ Diperiksa Jml ABJ Diperiksa Jml ABJ
Bebas % Bebas % Bebas %
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0!
0 0 #DIV/0! 0 0 #DIV/0! 100 50 50
0 0 #DIV/0! 0 0 #DIV/0! 100 50 50

LB Master Sleman TH 2021

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TABEL 58

PERSENTASE RUMAH SEHAT MENURUT KECAMATAN DAN PUSKESMAS

JUMLAH RUMAH MEMENUHI SYA

PERSENTASE RUMAH SEHAT MENURUT KECAMATAN DAN PUSKESMAS

JUMLAH RUMAH MEMENUHI SYA

AH MEMENUHI SYARAT JUMLAH RUMAH DIBINA MEMENUHI

AH DIBINA MEMENUHI RUMAH MEMENUHI SYARAT

PENDUDUK DENGAN AKSES BERKELANJUTAN TERHADAP AIR MINUM BERKUALITAS (LAYAK) ME

NO KECAMATAN PUSKESMAS DESA PENDUDUK

PENDUDUK DENGAN AKSES BERKELANJUTAN TERHADAP AIR MINUM BERKUALITAS (LAYAK) ME

NO KECAMATAN PUSKESMAS DESA PENDUDUK

AKSES PENDUDUK TERHADAP AIR MINUM MEMENUHI SYARAT PER

BUKAN JARINGAN PERP

UALITAS (LAYAK) MENURUT KECAMATAN DAN PUSKESMAS

BUKAN JARINGAN PERP

UHI SYARAT PER PUSKESMAS DI

MEMENUHI MEMENUHI MEMENUHI

BUKAN JARINGAN PERPIPAAN

MEMENUHI MEMENUHI MEMENUHI

NO KECAMATAN PUSKESMAS DESA

NO KECAMATAN PUSKESMAS DESA

PROSENTASE SAMPEL AIR MINUM MEMENUHI SYARAT PER PUSKESM

JUMLAH MEMENUHI SYARAT

INUM YANG MEMENUHI SYARAT KESEHATAN

JUMLAH MEMENUHI SYARAT

UHI SYARAT PER PUSKESMAS DI SLEMAN TAHUN

AKSES PENDUDUK TERHADAP SARANA SANITASI MEMENUHI SYARA

JENIS SARANA JAMBAN

MEMENUHI SYARAT MEMENUHI SYARAT

AMBAN SEHAT) MENURUT JENIS JAMBAN, KECAMATAN, DAN PUSKESMAS

JENIS SARANA JAMBAN

MEMENUHI SYARAT MEMENUHI SYARAT

MENUHI SYARAT PER PUSKESMAS DI

MEMENUHI SYARAT MEMENUHI SYARAT

MEMENUHI SYARAT MEMENUHI SYARAT

DESA YANG MELAKSANAKAN SANITASI TOTAL BERBASIS MASYARAKAT

NO KECAMATAN PUSKESMAS DESA DESA MELAKSANAKAN

DESA YANG MELAKSANAKAN SANITASI TOTAL BERBASIS MASYARAKAT

NO KECAMATAN PUSKESMAS JML DESA DESA MELAKSANAKAN

JUMLAH DESA STBM PER PUSKESMAS DI SLEMAN TAH

SANITASI TOTAL BERBASIS MASYARAKAT (STBM)

DI SLEMAN TAHUN 2021

PERSENTASE TEMPAT-TEMPAT UMUM MEMENUHI SYARAT KESEHATAN MENURUT KECAMAT

NO KECAMATAN PUSKESMAS DESA SARANA PENDIDIKAN

PERSENTASE TEMPAT-TEMPAT UMUM MEMENUHI SYARAT KESEHATAN MENURUT KECAMAT

NO KECAMATAN PUSKESMAS DESA SARANA PENDIDIKAN

PROSENTASE TTU MEMENUHI SYARAT PER PUSKESMAS DI SL

ATAN MENURUT KECAMATAN DAN PUSKESMAS

ER PUSKESMAS DI SLEMAN TAHUN 2021

% JUMLAH % JUMLAH % JUMLAH % JUMLAH %

% JUMLAH % JUMLAH % JUMLAH % JUMLAH %

JUMLAH % JUMLAH % JUMLAH % JUMLAH %

JUMLAH % JUMLAH % JUMLAH % JUMLAH %

TEMPAT PENGELOLAAN MAKAN (TPM) MENURUT STATUS HIGIENE SANITASI

TEMPAT PENGELOLAAN MAKAN (TPM) MENURUT STATUS HIGIENE SANITASI

PROSENTASE TPM MEMENUHI SYARAT PER PUSKESMAS DI SLEM

RUMAH DEPOT AIR

TPM MEMENUHI SYARAT HIGIENE SANITASI TPM TIDAK

RUMAH DEPOT AIR

ESMAS DI SLEMAN TAHUN 2018

RUMAH DEPOT AIR

TPM TIDAK MEMENUHI SYARAT HIGIENE SANITASI

RUMAH DEPOT AIR