Mingguan Wabah

LAPORAN MINGGUAN WABAH MINGGU KE * 01 TAHUN 2021 W2.
KPu
PUSKESMAS : PABUARAN Jml Desa : 6 Jml Lapor : 6 Jml Balita Ditimbang : 0 Jml Persalinan : 5 Jml Kelahiran Hidup : 5
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th
P/M P/M P/M P/M P/M P/M P/M P/M P/M P/M P/M P/M P/M P/M P/M
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 01 0 1 0 0 0 N 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0
2 SALAMJAYA 01 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 01 1 2 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 01 0 2 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 01 0 0 0 0 0 L 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
6 BALE BANDUNG 01 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 6 0 0 0 - 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut
* Minggu Pengiriman Laporan Plt Kepala Puskesmas Pabuaran Petugas Surveilans
** Diisi Minggu Kejadian
*** Isi Potensial KLB Lainya
Kolom 4 - 18 kasus kematian (Misal kasus 10 kematian 5 diisi 10/5) kematian termasuk kasus
Analisa penyakit / Status Gizi atau kematian yg menunjukan bermakna sebutkan : …………………….
Desa yang menunjukan kenaikan : …………………………………………………………………………….. H.PULUNG,S.Kep.Ns Roddrick Goworizki, A.Md.Kes
Kasus kelompok Umur : ……………………………………………………………………………………… NIP.19711215 199403 1 001 800.270.2021.04
Tindak lanjut yang telah/akan diambil : ………………………………………………………………………
W2.KPu
LAPORAN MINGGUAN WABAH MINGGU KE * 02 TAHUN 2021
PUSKESMAS : PABUARAN Jml Desa : 6 Jml Lapor : 6 Jml Balita Ditimbang : Jml Persalinan : 4 Jml Kelahiran Hidup : 4
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 PABUARAN 02 1 1 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 02 2 1 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
3 SILUMAN 02 3 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 02 0 0 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
5 KADAWUNG 02 1 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 02 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 7 3 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 3 2 2 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 3 1 1 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
3 SILUMAN 3 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 3 0 0 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
5 KADAWUNG 3 0 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 3 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 3 5 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0
LAPORAN MINGGUAN WABAH MINGGU KE * 04 TAHUN 2021 W2.KPu
PUSKESMAS : PABUARAN Jml Desa : 6 Jml Lapor : 6 Jml Balita Ditimbang : 2.809 Jml Persalinan : 5 Jml Kelahiran Hidup : 5
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 4 1 0 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 4 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 4 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 4 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 4 1 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 4 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 05 0 0 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 05 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 05 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 05 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 05 1 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 05 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 3 2 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 6 0 0 0 0 0 N 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
2 SALAMJAYA 6 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 6 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 6 0 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 6 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 6 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 1 0 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Plt Kepala Puskesmas Pabuaran Petugas Surveilans
* Minggu Pengiriman Laporan
Analisa penyakit / Status Gizi atau kematian yg menunjukan bermakna sebutkan : ……………………. H.PULUNG,S.Kep.Ns Roddrick Goworizki, A.Md.Kes
Desa yang menunjukan kenaikan : …………………………………………………………………………….. NIP.19711215 199403 1 001 800.270.2021.04
Kasus kelompok Umur : ………………………………………………………………………………………
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
GIZI BURUK
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 7 0 0 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 7 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 7 1 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 7 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 7 0 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 7 0 1 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 2 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Desa yang menunjukan kenaikan : ………………………………………………………………………….. H.PULUNG,S.Kep.Ns Roddrick Goworizki, A.Md.Kes
Tindak lanjut yang telah/akan diambil : ……………………………………………………………………
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
GIZI BURUK
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 8 1 0 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 8 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 8 0 0 0 0 0 H 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
4 CIHAMBULU 8 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 8 2 0 0 0 0 L 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
6 BALE BANDUNG 8 0 1 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 2 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
GIZI BURUK
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 9 2 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 9 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 9 1 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 9 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 9 0 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 9 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 3 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
GIZI BURUK
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 10 0 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 10 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 10 0 2 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 10 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 10 0 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 10 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 4 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
GIZI BURUK
NO DESA
<5Th >5Th <2Th >2Th

P/M P/M P/M P/M P/M P/M P/M P/M P/M P/M P/M P/M P/M P/M P/M P/M
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 11 0 3 0 0 0 N 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
2 SALAMJAYA 11 0 0 0 0 0 I 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0
3 SILUMAN 11 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 11 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 11 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 11 0 1 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 4 0 0 0 - 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
GIZI BURUK
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 12 0 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 12 0 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 12 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 12 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 12 0 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 12 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 3 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 13 1 2 0 0 0 N 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
2 SALAMJAYA 13 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 13 1 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 13 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 13 2 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 13 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 2 0 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
W2.KPu
PUSKESMAS
PUSKESMAS :: PABUARAN
PABUARAN Jml
JmlDesa
Desa :: 76 Jml
JmlLapor
Lapor :: 76 Jml
JmlBalita
BalitaDitimbang
Ditimbang :: 0 Jml
Jml
Persalinan
Persalinan
: 7: 4JmlJml
Kelahiran
Kelahiran
Hidup
Hidup
:7 :4
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 14 0 3 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 14 0 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 14 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 14 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 14 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 14 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 5 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
PUSKESMAS: :PABUARAN
PUSKESMAS PABUARAN Jml
JmlDesa
Desa: :6 7 Jml
JmlLapor
Lapor: :67 Jml
JmlBalita
BalitaDitimbang
Ditimbang: :0 JmlJml
Persalinan : 11: 6Jml
Persalinan JmlKelahiran
KelahiranHidup
Hidup: 11
:6
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 15 1 0 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 15 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 15 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 15 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 15 0 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 15 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 1 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
PUSKESMAS
PUSKESMAS :: PABUARAN
PABUARAN Jml
Jml Desa
Desa :: 76 Jml
Jml Lapor
Lapor :: 76 Jml
Jml Balita
Balita Ditimbang
Ditimbang :: 0 Jml
JmlPersalinan
Persalinan: 10
: 5 Jml
JmlKelahiran
KelahiranHidup
Hidup: :10
5
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 16 1 2 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 16 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 16 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 16 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 16 0 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 16 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 4 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
PUSKESMAS
PUSKESMAS: PABUARAN
: PABUARANJml
JmlDesa
Desa: : 76 Jml
JmlLapor
Lapor : 67 Jml
Jml Balita
BalitaDitimbang
Ditimbang: 2.082
: JmlJml
Persalinan
Persalinan
: 12
: 3 Jml
Jml Kelahiran
Kelahiran Hidup
Hidup: 3: 12
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 17 0 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 17 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 17 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 17 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 17 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 17 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 1 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
PUSKESMAS
PUSKESMAS : : PABUARAN
PABUARAN Jml
JmlDesa
Desa : : 76 Jml
Jml Lapor
Lapor :: 76 Jml
Jml Balita
Balita Ditimbang
Ditimbang :: 0 Jml
JmlPersalinan
Persalinan: :124 Jml
Jml Kelahiran
Kelahiran Hidup
Hidup :: 12
4
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 18 2 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 18 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 18 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 18 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 18 1 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 18 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 2 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 19 0 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 19 1 2 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 19 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 19 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 19 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 19 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 3 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 20 0 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 20 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 20 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 20 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 20 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 20 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 1 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 21 1 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 21 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 21 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 21 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 21 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 21 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 1 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 22 0 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 22 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 22 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 22 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 22 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 22 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 2 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 23 1 0 0 0 0 N 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
2 SALAMJAYA 23 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 23 0 1 0 0 0 H 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
4 CIHAMBULU 23 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 23 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 BALE BANDUNG 23 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 1 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0
W2.KPu
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 24 1 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 24 1 0 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
3 SILUMAN 24 1 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 24 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 24 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 24 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 3 1 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
.K Pu
W2
Pu
LAPORAN MINGGUAN WABAH MINGGU KE * 25 TAHUN 2021 W2
.K
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
<5Th >5Th
NO DESA <2Th >2Th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 25 1 1 0 0 0 N 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
2 SALAMJAYA 25 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 25 0 0 0 0 0 H 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
4 CIHAMBULU 25 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 25 0 0 0 0 0 L 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
6 BALE BANDUNG 25 0 0 0 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
JUMLAH 1 1 0 0 0 - 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
<5Th >5Th
NO DESA <2Th >2Th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 26 0 3 0 0 0 N 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0
2 SALAMJAYA 26 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 26 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 26 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 26 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 26 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 3 0 0 0 - 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 PABUARAN 28 0 2 0 0 0 N 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0
2 SALAMJAYA 28 1 0 0 0 0 I 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 28 0 0 0 0 0 H 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 28 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 28 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 28 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 4 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 04 Juli 2021
Desa yang menunjukan kenaikan : …………………………………………………………………………….. H.PULUNG,S.Kep.Ns Endah Rahmawati,S.Kep.Ners
Kasus kelompok Umur : ……………………………………………………………………………………… NIP.19711215 199403 1 001 NIP:19821218 201411 2 003
PUSKESMAS
PUSKESMAS
: PABUARAN
: PABUARANJmlJml
Desa
Desa
: 7: 6JmlJml
Lapor
Lapor: :7 6 Jml
JmlBalita
BalitaDitimbang
Ditimbang :: Jml
Jml Persalinan
JmlKelahiran
KelahiranHidup
Hidup
: 4 : 12
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 PABUARAN 27 0 3 0 0 0 N 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
2 SALAMJAYA 27 0 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 27 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 27 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 27 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 27 1 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 4 0 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
Kasus kelompok Umur : ……………………………………………………………………………………… NIP.19711215 199403 1 001 NIP.19821218 201411 2 003
PUSKESMAS
PUSKESMAS
: PABUARAN
: PABUARANJmlJml
Desa
Desa
: 7: 6JmlJml
Lapor
Lapor: :7 6 Jml
JmlBalita
BalitaDitimbang
Ditimbang :: Jml
JmlPersalinan
Persalinan: :7 10 Jml
JmlKelahiran
KelahiranHidup
Hidup
: 7 : 10
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 PABUARAN 29 0 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 29 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 29 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 29 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 29 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 29 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 2 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kasus kelompok Umur : ……………………………………………………………………………………… NIP.19711215 199403 1 001 NIP.19821218 2014 11 2 003
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
HIV/AIDS
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 30 1 1 0 0 0 N 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
2 SALAMJAYA 30 0 2 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
3 SILUMAN 30 1 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 30 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 30 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 30 1 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 3 3 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
Kasus kelompok Umur : ……………………………………………………………………………………… NIP.19711215 199403 1 001 NIP.19821218 2014 11 2 003
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 31 1 0 0 0 0 N 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
2 SALAMJAYA 31 0 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 31 0 0 0 0 0 H 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
4 CIHAMBULU 31 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 31 2 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 31 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 3 2 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 1 Agustus 2021
Kasus kelompok Umur : ……………………………………………………………………………………… NIP. 19711215 199403 1 001 NIP.19821218 201411 2 003
LAPORTAN MINGGUAN WABAH MINGGU KE* 32 TAHUN 2021 W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 32 1 0 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 32 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 32 0 1 0 1 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 32 0 0 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
5 KADAWUNG 32 0 0 0 0 0 L 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
6 BALE BANDUNG 32 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 1 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
Desa yang menunjukan kenaikan : …………………………………………………………………………….. H. PULUNG,S.Kep.Ns Endah Rahmawati,S.Kep.Ners
Kasus kelompok Umur : ………………………………………………………………………………………NIP.19711215 199403 1 001 NIP.19821218 201411 2 003
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 7 1 3 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 7 0 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 7 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 7 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 7 0 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 7 0 1 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 6 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Desa yang menunjukan kenaikan : …………………………………………………………………………….. H. PULUNG,S.Kep.Ns Endah Rahmawati,S.Kep.Ners
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 8 0 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 8 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 8 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 8 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 8 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 8 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 2 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Desa yang menunjukan kenaikan : …………………………………………………………………………….. H. PULUNG,S.Kep.Ns Endah Rahmawati,S.kep.Ners
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 9 1 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 9 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 9 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 9 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 9 1 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 BALE BANDUNG 9 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 3 2 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Analisa penyakit / Status Gizi atau kematian yg menunjukan bermakna sebutkan : ……………
Desa yang menunjukan kenaikan : ………………………………………… H. PULUNG,S.Kep.Ns Endah Rahmawati,S.Kep.Ners
Kasus kelompok Umur : ……………………………………………………………… NIP.19711215 199403 1 001 NIP.19821218 201411 2 003
Tindak lanjut yang telah/akan diambil : ……………………………………………………
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 10 0 1 0 0 0 N 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
2 SALAMJAYA 10 0 0 0 0 0 I 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 10 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 10 0 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 10 1 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 BALE BANDUNG 10 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 3 0 0 0 - 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 05 September 2021
Desa yang menunjukan kenaikan : …………………………………………………………………………….. H.PULUNG,S.Kep.Ns Endah Rahmawati,S.Kep,Ners
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 11 0 4 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 11 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 11 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 11 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 11 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 BALE BANDUNG 11 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 5 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Desa yang menunjukan kenaikan : …………………………………………………………………………….. H.PULUNG,S.Kep.Ns Endah Rahmawati,S,Kep,Ners
Kasus kelompok Umur : ……………………………………………………………………………………… NIP.19711215 199403 1001 NIP.19821218 201411 2 003
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 12 0 3 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 12 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 12 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 12 0 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 12 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 BALE BANDUNG 12 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 5 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 13 0 1 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 13 1 1 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 13 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 13 0 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
5 KADAWUNG 13 0 2 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 BALE BANDUNG 13 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 4 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
Desa yang menunjukan kenaikan : …………………………………………… H.PULUNG,S.Kep.Ns Endah Rahmawati,S.Kep.Ners
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 40 1 0 0 0 0 N 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
2 SALAMJAYA 40 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 40 1 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 40 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 40 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 40 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 3 2 0 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 3 Oktober 2021
* Minggu Pengiriman Laporan Plt.Kepala Puskesmas Pabuaran Petugas Surveilans
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 41 0 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 41 1 1 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
3 SILUMAN 41 0 1 0 0 0 H 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
4 CIHAMBULU 41 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 41 1 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 41 1 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 3 3 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
Desa yang menunjukan kenaikan : …………………………………………………………………………….. H.PULUNG,S.Kep.Ners Endah Rahmawati,S.Kep.Ners
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
*
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 42 2 1 0 0 0 N 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
2 SALAMJAYA 42 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 42 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 42 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 42 0 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 42 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 3 4 0 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 43 2 0 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 43 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 43 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 43 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 43 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 43 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 1 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
HIV
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 44 0 2 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 44 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 44 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 44 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 44 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 44 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 3 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Balita Gizi Buruk

NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 45 2 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 45 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 45 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 45 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 45 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 45 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 3 3 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 7 November 2021
Desa yang menunjukan kenaikan : …………………………………………………………………………….. H.PULUNG,S.Kep,Ns Endah Rahmawati,S.Kep,Ners
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 46 2 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 46 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 46 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 46 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 46 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 46 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 2 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran,14 November 2021
W2.KPu
W2.KPu
PUSKESMAS : PABUARAN
PUSKESMAS : PABUARAN Jml
JmlDesa
Desa: :7 6 Jml
JmlLapor
Lapor :: 76 Jml BalitaDitimbang
Jml Balita Ditimbang: 0: 0 JmlJml
Persalinan
Persalinan: 8: 5 Jml KelahiranHidup
Jml Kelahiran Hidup: 5: 8
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 47 1 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 47 4 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 47 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 47 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 47 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 47 1 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 6 2 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
W2.KPu
PUSKESMAS
PUSKESMAS: PABUARAN
: PABUARAN Jml
JmlDesa
Desa: : 76 Jml
JmlLapor
Lapor :: 67 Jml
Jml Balita
BalitaDitimbang
Ditimbang: :2.849
0 Jml Persalinan
Jml Persalinan: :87 Jml
Jml Kelahiran Hidup: 7: 8
Kelahiran Hidup
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 48 0 2 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 48 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 48 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 48 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 48 1 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 48 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 3 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
W2.KPu
PUSKESMAS
PUSKESMAS
: PABUARAN
: PABUARAN
Jml Desa
Jml Desa
: 7 : Jml
6 Jml
Lapor
Lapor
: 7 : 6JmlJml
Balita
Balita
Ditimbang
Ditimbang: :0 0 Jml
JmlPersalinan
Persalinan :: 10
4 Jml
JmlKelahiran
KelahiranHidup
Hidup
: 4 : 10
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 49 0 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 49 3 2 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 49 2 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 49 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 49 2 2 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 49 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 7 5 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 05 Desember 2021
Desa yang menunjukan kenaikan : …………………………………………………………………………….. H.PULUNG,S.Kep.Ners Endah Rahmawati,S.Kep,Ners
W2.KPu
W2.KPu
PUSKESMAS
PUSKESMAS
: PABUARAN
: PABUARAN
JmlJml
Desa
Desa
: 7: 6JmlJml
Lapor
Lapor: 7: 6 Jml
JmlBalita
BalitaDitimbang
Ditimbang :: 0 JmlJml
Persalinan
JmlKelahiran
KelahiranHidup
Hidup
: 6 : 11
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 50 0 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 50 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 50 1 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 50 0 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 50 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 50 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 3 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
W2.KPu
PUSKESMAS: :PABUARAN
PUSKESMAS PABUARAN Jml
Jml Desa
Desa :: 76 Jml Lapor
Lapor : : 67 Jml
JmlBalita
BalitaDitimbang
Ditimbang: 2.836
: 0 Jml
JmlPersalinan
Persalinan: 4: 10
JmlJml
Kelahiran Hidup
Kelahiran :4 :
Hidup
MARAS & KWASH

Minggu ke **
DIARE
KHOLERA
CAMPAK
KEMATIAN BAYI
PNEMONIE < 5Th
KEMATIAN NEO
KWASHIORKOR
ANEMIA BUMIL
KEMATIAN IBU
TETANUS NEO
LAHIR MATI
MARASMUS
POLIO/AFP
DIFTERI
BBLR
BGM
DBD
PES
Hiv
TB
NO DESA <5Th >5Th <2Th >2Th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 51 1 1 0 0 0 N 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0
2 SALAMJAYA 51 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 51 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 51 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 51 1 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 51 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 3 0 0 0 - 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0
Kasus kelompok Umur : ……………………………………………………………………………………… NIP. 140 075 778 NIP.140313760
W2.KPu
CAMPAK
PUSKESMAS : PABUARAN Desa : 7 Jml Lapor : 7 Jml Balita Ditimbang : 0 Jml Persalinan : 11 Jml Kelahiran Hidup : 11
DIARE
Minggu ke **
MARAS & KWASH
KEMATIAN BAYI
PNEMONIE < 5Th
KEMATIAN NEO
KWASHIORKOR
ANEMIA BUMIL
KEMATIAN IBU
TETANUS NEO
LAHIR MATI
MARASMUS
POLIO/AFP
KHOLERA
DIFTERI
BBLR
BGM
DBD
PES
Hiv
TB
NO DESA <5Th >5Th <2Th >2Th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 52 0 0 0 0 0 N 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
2 SALAMJAYA 52 1 1 0 0 0 I 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
3 SILUMAN 52 0 0 0 0 0 H 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
4 CIHAMBULU 52 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 52 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 52 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 1 0 0 0 - 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 01 1 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 01 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 01 1 1 0 1 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 01 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 01 1 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 01 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 3 0 1 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 10 Januari 2011
* Minggu Pengiriman Laporan Kepala Puskesmas Pabuaran Petugas Surveilans
Desa yang menunjukan kenaikan : …………………………………………………………………………….. Jajang Abdul Holik Mohamad Ambara, SKM
Kasus kelompok Umur : ……………………………………………………………………………………… NIP.197504071994031002 NIP.197203151994031005
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 PABUARAN 02 2 2 0 3 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 02 1 2 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 02 2 1 0 1 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 02 0 2 0 1 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 02 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 02 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 5 7 0 5 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 17 Jan 2011
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 3 4 0 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 3 5 6 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 3 1 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 3 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 3 1 2 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 3 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 11 9 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 4 0 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 4 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 4 1 2 0 0 0 H 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 4 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 4 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 4 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 4 0 0 0 - 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS : PABUARAN Jml Desa : 6 Jml Lapor : 6 Jml Balita Ditimbang : 0 Jml Persalinan : 8 Jml Kelahiran Hidup : 8 PUSKESMAS : PABUARA
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 05 4 2 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 05 2 0 0 0 0 I 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 05 0 1 0 1 0 H 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 05 2 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 05 0 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 05 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 8 5 0 1 0 - 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 07 Februari 2011
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 6 3 3 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 6 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 6 2 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 6 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 6 1 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 6 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 7 6 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 14 Pebruari 2011
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
GIZI BURUK
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 7 1 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 7 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 7 1 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 7 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 7 2 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 7 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 6 3 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 21 Februari 2011
Desa yang menunjukan kenaikan : ………………………………………………………………………….. Jajang Abdul Holik Mohamad Ambara, SKM
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
GIZI BURUK
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 8 1 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 8 2 2 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 8 1 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 8 0 0 0 0 0 I 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 8 0 0 0 0 0 L 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 8 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 4 0 0 0 - 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 28 Pebruari 2011
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
GIZI BURUK
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 9 2 1 0 6 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 9 1 2 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 9 2 2 0 0 0 H 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
4 CIHAMBULU 9 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 9 0 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 9 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 6 7 0 6 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 07 Maret 2011
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
GIZI BURUK
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 10 2 1 0 1 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 10 2 2 0 1 0 I 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 10 1 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 10 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 10 1 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 10 1 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 8 5 0 2 0 - 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
W2.KPu
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
GIZI BURUK
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 11 2 1 0 1 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 11 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 11 1 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 11 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 11 1 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 11 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 5 3 0 1 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
GIZI BURUK
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 12 2 1 0 0 0 N 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
2 SALAMJAYA 12 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 12 1 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 12 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 12 1 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 12 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 5 3 0 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 13 2 3 0 1 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 13 2 2 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 13 0 0 0 0 0 H 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
4 CIHAMBULU 13 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 13 1 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 13 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 6 5 0 1 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 04 April 2011
PUSKESMAS : PABUARAN Jml Desa : 6

7 Jml Lapor : 6
7 Jml Balita Ditimbang : Jml Persalinan : 7 Jml Kelahiran Hidup : 7
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 14 1 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 14 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 14 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 14 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 14 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 14 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 2 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS : PABUARAN Jml Desa : 6

7 Jml Lapor : 6
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 15 1 0 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 15 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 15 1 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 15 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 15 0 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 15 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 3 1 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS : PABUARAN Jml Desa : 67 Jml Lapor : 6

Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 16 1 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 16 0 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 16 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 16 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 16 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 16 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 3 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PUSKESMAS
PUSKESMAS
: PABUARAN
: PABUARANJmlJml
Desa
Desa
: 7: 6 Jml
Jml
Lapor
Lapor: :76 Jml
JmlBalita
Balita Ditimbang
Ditimbang :: Jml
JmlPersalinan
Persalinan: 12
: 12 Jml
Jml
Kelahiran
Kelahiran
Hidup
Hidup
: 12 : 12
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 17 1 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 17 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 17 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 17 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 17 1 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 17 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 2 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 02 Mei 2011
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 18 1 2 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 18 1 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 18 2 2 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 18 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 18 1 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 18 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 5 5 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 19 4 2 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 19 2 2 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 19 2 2 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 19 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 19 1 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 BALE BANDUNG 19 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 9 7 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 20 1 3 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 20 2 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 20 1 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 20 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 20 2 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 BALE BANDUNG 20 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 6 5 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 21 1 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 21 2 2 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 21 2 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 21 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 21 0 0 0 1 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 BALE BANDUNG 21 1 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 7 3 0 1 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 22 1 1 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 22 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 22 1 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 22 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 22 0 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 22 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 1 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 06 Juni 2011
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 23 1 1 0 0 0 N 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0
2 SALAMJAYA 23 0 0 0 0 0 I 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0
3 SILUMAN 23 0 0 0 0 0 H 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0
4 CIHAMBULU 23 0 1 0 0 0 I 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0
5 KADAWUNG 23 1 3 0 0 0 L 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0
7 BALE BANDUNG 23 0 0 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0
JUMLAH 2 5 0 0 0 - 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 24 5 2 0 0 N 0 0 0 1 0 0 0 0 5 0 0 0 0 0 0 0
2 SALAMJAYA 24 3 4 0 0 I 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0
3 SILUMAN 24 0 1 0 0 H 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0
4 CIHAMBULU 24 2 0 0 0 I 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0
5 KADAWUNG 24 1 2 0 0 L 0 0 0 2 0 0 0 0 2 0 0 0 0 0 0 0
6 BALE BANDUNG 24 0 0 0 0 - 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0
JUMLAH 11 9 0 0 - 0 0 0 3 0 0 0 0 23 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 25 1 2 0 0 0 N 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0
2 SALAMJAYA 25 1 0 0 0 0 I 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0
3 SILUMAN 25 0 0 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 25 0 0 0 0 0 I 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0
5 KADAWUNG 25 2 0 0 0 0 L 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0
6 BALE BANDUNG 25 0 1 0 0 0 - 0 0 0 1 0 0 0 0 3 0 0 0 0 0 0 0
JUMLAH 4 3 0 0 0 - 0 0 0 1 0 0 0 0 25 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 26 1 1 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 26 2 2 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 26 1 1 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 26 1 1 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 26 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 26 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 5 5 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 PABUARAN 27 2 2 0 0 0 N 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0
2 SALAMJAYA 27 2 2 0 0 0 I 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
3 SILUMAN 27 0 1 0 0 0 H 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0
4 CIHAMBULU 27 1 0 0 0 0 I 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
5 KADAWUNG 27 1 3 0 0 0 L 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
6 BALE BANDUNG 27 0 0 0 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
JUMLAH 6 8 0 0 0 - 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0
PUSKESMAS
PUSKESMAS
: PABUARAN
: PABUARANJmlJml
Desa
Desa
: 7: 6Jml
Jml
Lapor
Lapor: :76 Jml
JmlBalita
Balita Ditimbang
Ditimbang :: Jml
JmlPersalinan
Persalinan: 11
: 12Jml
Jml
Kelahiran
Kelahiran
Hidup
Hidup
: 11 : 12
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 PABUARAN 28 2 1 0 0 0 N 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0
2 SALAMJAYA 28 0 3 0 0 0 I 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
3 SILUMAN 28 2 4 0 0 0 H 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
4 CIHAMBULU 28 1 1 0 0 0 I 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
5 KADAWUNG 28 2 3 0 0 0 - 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
6 BALE BANDUNG 28 0 0 0 0 0 - 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
JUMLAH 7 12 0 0 0 - 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0
PUSKESMAS
PUSKESMAS
: PABUARAN
: PABUARAN
Jml Desa
Jml Desa
: 7 : Jml
6 Jml
Lapor
Lapor
: 7: 6Jml
Jml
Balita
Balita
Ditimbang
Ditimbang: : Jml
Jml Persalinan
Persalinan : :810Jml
Jml
Kelahiran
Kelahiran
Hidup
Hidup
: 8 : 10
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 PABUARAN 29 3 2 0 0 0 N 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0
2 SALAMJAYA 29 2 1 0 0 0 I 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
3 SILUMAN 29 0 1 0 0 0 H 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0
4 CIHAMBULU 29 0 1 0 0 0 I 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
5 KADAWUNG 29 0 0 0 0 0 L 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
6 BALE BANDUNG 29 0 0 0 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
JUMLAH 5 5 0 0 0 - 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
HIV/AIDS
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 30 1 4 0 0 0 N 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 2
2 SALAMJAYA 30 0 1 0 0 0 I 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
3 SILUMAN 30 1 1 0 0 0 H 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
4 CIHAMBULU 30 0 0 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
5 KADAWUNG 30 0 1 0 0 0 L 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
6 BALE BANDUNG 30 0 0 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
JUMLAH 2 7 0 0 0 - 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 2
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 31 1 0 0 0 0 N 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0
2 SALAMJAYA 31 0 0 0 0 0 I 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0
3 SILUMAN 31 0 1 0 0 0 H 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0
4 CIHAMBULU 31 0 0 0 0 0 I 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0
5 KADAWUNG 31 1 2 0 0 0 L 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
6 BALE BANDUNG 31 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 2 3 0 0 0 - 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 32 4 0 0 0 0 N 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0
2 SALAMJAYA 32 1 2 0 0 0 I 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
3 SILUMAN 32 2 1 0 0 0 H 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
4 CIHAMBULU 32 0 0 0 0 0 I 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
5 KADAWUNG 32 0 0 0 0 0 L 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
6 BALE BANDUNG 32 0 0 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
JUMLAH 7 3 0 0 0 - 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 33 1 3 0 0 0 N 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0
2 SALAMJAYA 33 1 1 0 0 0 I 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0
3 SILUMAN 33 0 0 0 0 0 H 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0
4 CIHAMBULU 33 0 0 0 0 0 I 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0
5 KADAWUNG 33 0 2 0 0 0 L 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
6 BALE BANDUNG 33 0 0 0 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
JUMLAH 2 6 0 0 0 - 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
***
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 34 1 1 0 0 0 N 0 0 0 1 0 0 0 0 10 0 0 0 0 0 0 0 0
2 SALAMJAYA 34 3 0 0 0 0 I 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
3 SILUMAN 34 1 0 0 0 0 H 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0
4 CIHAMBULU 34 0 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 34 0 2 0 0 0 L 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
6 BALE BANDUNG 34 0 0 0 0 0 - 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
JUMLAH 5 4 0 0 0 - 0 0 0 1 0 0 0 0 21 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 34 1 2 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 34 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 34 1 1 0 2 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 34 0 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 34 1 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 BALE BANDUNG 34 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 5 0 2 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran 5 september 2011
Desa yang menunjukan kenaikan : …………………………………………………………………………….. Jajang Abdul Holik Sri Warsito
Kasus kelompok Umur : ……………………………………………………………………………………… NIP.197504071994031002 NIP. 197702022008011006
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 36 3 6 0 0 0 N 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0
2 SALAMJAYA 36 0 1 0 0 0 I 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0
3 SILUMAN 36 2 1 0 0 0 H 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0
4 CIHAMBULU 36 1 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 36 0 1 0 0 0 L 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
7 BALE BANDUNG 36 0 0 0 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
JUMLAH 6 9 0 0 0 - 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 12 september 2011
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 37 0 2 0 0 0 N 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0
2 SALAMJAYA 37 1 2 0 0 0 I 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0
3 SILUMAN 37 1 1 0 0 0 H 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0
4 CIHAMBULU 37 1 0 0 0 0 I 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0
5 KADAWUNG 37 0 2 0 0 0 L 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
7 BALE BANDUNG 37 0 0 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
JUMLAH 3 7 0 0 0 - 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 17 september 2011
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 38 4 4 0 0 N 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0
2 SALAMJAYA 38 2 0 0 0 I 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0
3 SILUMAN 38 0 4 0 0 H 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0
4 CIHAMBULU 38 0 2 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 38 0 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 BALE BANDUNG 38 0 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
JUMLAH 6 10 0 0 - 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0
Desa yang menunjukan kenaikan : …………………………………………………………………………….. Jajang Abdul Holik, S.kep Sri Warsito, S.kep
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 39 2 2 0 0 N 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
2 SALAMJAYA 39 2 2 0 0 I 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0
3 SILUMAN 39 0 1 0 0 H 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0
4 CIHAMBULU 39 0 1 0 0 I 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
5 KADAWUNG 39 0 3 0 0 L 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
7 BALE BANDUNG 39 0 1 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 10 0 0 - 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 40 0 3 0 0 N 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0
2 SALAMJAYA 40 0 2 0 0 I 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0
3 SILUMAN 40 1 0 0 0 H 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0
4 CIHAMBULU 40 0 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
5 KADAWUNG 40 0 0 0 0 L 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
6 BALE BANDUNG 40 1 2 0 0 - 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0
JUMLAH 2 7 0 0 - 0 0 1 0 0 0 0 0 42 0 0 0 0 0 0 0 0
Desa yang menunjukan kenaikan : …………………………………………………………………………….. Jajang Abdul Holik, S.kep. Sri Warsito, S.kep
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 41 2 2 0 0 0 N 0 1 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0
2 SALAMJAYA 41 0 2 0 0 0 I 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0
3 SILUMAN 41 0 1 0 0 0 H 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
4 CIHAMBULU 41 2 0 0 0 0 I 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0
5 KADAWUNG 41 3 0 0 0 0 L 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 41 0 0 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
JUMLAH 7 5 0 0 0 - 0 2 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
*
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 42 3 3 0 0 0 N 0 0 2 0 0 0 0 0 18 0 0 0 0 0 0 0 0
2 SALAMJAYA 42 1 0 0 0 0 I 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0
3 SILUMAN 42 1 0 0 0 0 H 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0
4 CIHAMBULU 42 0 0 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
5 KADAWUNG 42 1 0 0 0 0 L 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
6 BALE BANDUNG 42 0 0 0 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
JUMLAH 6 3 0 0 0 - 0 0 2 0 0 0 0 0 35 0 0 0 0 0 0 0 0
Desa yang menunjukan kenaikan : …………………………………………………………………………….. Jajang Abdul Holik,S.kep Sri Warsito, S.kep
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 43 0 0 0 0 0 N 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
2 SALAMJAYA 43 0 0 0 0 0 I 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
3 SILUMAN 43 0 0 0 0 0 H 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
4 CIHAMBULU 43 0 0 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
5 KADAWUNG 43 0 0 0 0 0 L 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 43 0 0 0 0 0 - 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 - 0 0 1 0 0 0 0 0 10 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 44 0 2 0 0 0 N 0 0 0 1 0 0 0 0 11 0 0 0 0 0 0 0 0
2 SALAMJAYA 44 1 0 0 1 0 I 0 0 0 1 0 0 0 0 13 0 0 0 0 0 0 0 0
3 SILUMAN 44 0 1 0 0 0 H 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0
4 CIHAMBULU 44 0 0 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
5 KADAWUNG 44 1 0 0 0 0 L 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
6 BALE BANDUNG 44 0 0 0 0 0 - 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
JUMLAH 2 3 0 1 0 - 0 0 0 2 0 0 0 0 36 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 05 Nopember 2011
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Balita Gizi Buruk

NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 45 1 1 0 0 0 N 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0
2 SALAMJAYA 45 0 0 0 0 0 I 0 1 0 1 0 0 0 0 4 0 0 0 0 0 0 0 0
3 SILUMAN 45 0 0 0 0 0 H 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
4 CIHAMBULU 45 0 0 0 0 0 I 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
5 KADAWUNG 45 0 1 0 0 0 L 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
6 BALE BANDUNG 45 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 1 2 0 0 0 - 0 1 0 1 0 0 0 0 26 0 0 0 0 0 0 0 0
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 46 3 2 0 0 0 N 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0
2 SALAMJAYA 46 4 1 0 0 0 I 0 1 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0
3 SILUMAN 46 2 1 0 0 0 H 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0
4 CIHAMBULU 46 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 46 0 0 0 0 0 L 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0
6 BALE BANDUNG 46 1 0 0 0 0 - 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
JUMLAH 10 4 0 0 0 - 0 1 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0
PUSKESMAS
PUSKESMAS
: PABUARAN
: PABUARANJmlJml
Desa
Desa
: 7: 6JmlJml
Lapor
Lapor: :7 6 Jml
JmlBalita
BalitaDitimbang
Ditimbang :: 0 Jml
Jml Persalinan
Persalinan: :5 8 Jml
JmlKelahiran
KelahiranHidup
Hidup
:5:8
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 47 4 1 0 0 0 N 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0
2 SALAMJAYA 47 5 1 0 0 0 I 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0
3 SILUMAN 47 0 0 0 0 0 H 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0
4 CIHAMBULU 47 1 1 0 0 0 I 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
5 KADAWUNG 47 1 0 0 0 0 L 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0
6 BALE BANDUNG 47 5 1 0 0 0 - 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0
JUMLAH 16 4 0 0 0 - 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0
PUSKESMAS
PUSKESMAS
: PABUARAN
: PABUARANJmlJml
Desa
Desa
: 7: 6Jml
Jml
Lapor
Lapor: :7 6 Jml
JmlBalita
BalitaDitimbang
Ditimbang : 0 Jml
JmlPersalinan
Persalinan: 7: 8 Jml
JmlKelahiran
KelahiranHidup
Hidup
:7 :8
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 48 2 2 0 0 0 N 0 1 1 0 0 0 0 0 12 0 0 0 0 0 0 0 0
2 SALAMJAYA 48 1 2 0 0 0 I 0 1 2 0 0 0 0 0 11 0 0 0 0 0 0 0 0
3 SILUMAN 48 0 2 0 0 0 H 0 0 1 0 0 0 0 0 10 0 0 0 0 0 0 0 0
4 CIHAMBULU 48 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 48 1 2 0 0 0 L 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0
6 BALE BANDUNG 48 0 0 0 0 0 - 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
JUMLAH 4 8 0 0 0 - 0 2 4 0 0 0 0 0 40 0 0 0 0 0 0 0 0
Desa yang menunjukan kenaikan : …………………………………………………………………………….. Jajang Abdul Holik,S. kep Sri Warsito, S.kep
PUSKESMAS
PUSKESMAS
: PABUARAN
: PABUARAN
Jml Desa
Jml Desa
: 7 : Jml
6 Jml
Lapor
Lapor
: 7: 6Jml
Jml
Balita
Balita
Ditimbang
Ditimbang: : 00 Jml
JmlPersalinan
Persalinan :: 610 Jml
JmlKelahiran
KelahiranHidup
Hidup
: 6 : 10
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 49 4 3 0 1 0 N 0 3 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0
2 SALAMJAYA 49 1 1 0 0 0 I 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0
3 SILUMAN 49 0 0 0 0 0 H 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0
4 CIHAMBULU 49 0 0 0 0 0 I 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0
5 KADAWUNG 49 1 0 0 0 0 L 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
6 BALE BANDUNG 49 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 6 4 0 1 0 - 0 3 0 1 0 0 0 0 29 0 0 0 0 0 0 0 0
KET Jenis Potensial KLB diisi sampai KLB Nihil selama 2 Minggu berturut-turut Pabuaran, 10 Desemberr 2011
PUSKESMAS
PUSKESMAS
: PABUARAN
: PABUARAN
JmlJml
Desa
Desa
: 7: 6JmlJml
Lapor
Lapor: 7: 6 Jml
JmlBalita
BalitaDitimbang
Ditimbang :: 0 Jml
JmlPersalinan
Persalinan : 11
7 Jml
JmlKelahiran
KelahiranHidup
Hidup
: 7 : 11
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
NO DESA
<5Th >5Th <2Th >2Th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 50 2 4 0 0 0 N 0 2 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0
2 SALAMJAYA 50 0 1 0 0 0 I 0 1 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0
3 SILUMAN 50 0 1 0 0 0 H 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0
4 CIHAMBULU 50 0 0 0 0 0 I 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
5 KADAWUNG 50 1 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 50 0 0 0 0 0 L 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
JUMLAH 3 7 0 0 0 - 0 3 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0
PUSKESMAS : PABUARAN Jml Desa : 7 Jml Lapor : 7 Jml Balita Ditimbang : 0 Jml Persalinan : 10 Jml Kelahiran Hidup :
Minggu ke **
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
<5Th >5Th
NO DESA <2Th >2Th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 46 1 0 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 46 2 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 46 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 46 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 46 1 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 46 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 3 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Desa yang menunjukan kenaikan : …………………………………………………………………………….. Jajang Abdul Holik Sri Warsito, S.kep
Kasus kelompok Umur : ……………………………………………………………………………………… NIP. 140 075 778 NIP.140313760
W2.KPu
PUSKESMAS : PABUARAN
Minggu ke ** Jml Desa : 7 Jml Lapor : 7 Jml Balita Ditimbang : 0 Jml Persalinan : 11 Jml Kelahiran Hidup : 11
DIARE
KHOLERA
DBD
PES
POLIO/AFP
DIFTERI
CAMPAK
PNEMONIE < 5Th
TETANUS NEO
MARASMUS
KWASHIORKOR
MARAS & KWASH
TB
KEMATIAN IBU
LAHIR MATI
KEMATIAN BAYI
KEMATIAN NEO
BBLR
BGM
ANEMIA BUMIL
Hiv
<5Th >5Th
NO DESA <2Th >2Th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 PABUARAN 46 1 0 0 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 SALAMJAYA 46 2 1 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 SILUMAN 46 0 1 0 0 0 H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 CIHAMBULU 46 0 0 0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 KADAWUNG 46 1 1 0 0 0 L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BALE BANDUNG 46 0 0 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 3 0 0 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Desa yang menunjukan kenaikan : …………………………………………………………………………….. Jajang Abdul Holik Sri Warsito, S.kep

Mingguan Wabah

Diunggah oleh

Informasi Dokumen

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Mingguan Wabah

Diunggah oleh

Hak Cipta:

Format Tersedia

LAPORAN MINGGUAN WABAH MINGGU KE * 01 TAHUN 2021 W2.

PNEMONIE < 5Th

MARAS & KWASH

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th

MARAS & KWASH

<5Th >5Th <2Th >2Th

PNEMONIE < 5Th