Nov-21 TAHUN 2021

NO NAMA RW S K
POSYANDU 0-5 BLN 6-11 BLN 12 - 24 BLN 25 - 59 BLN 0-5 BLN 6-11 BLN 12 - 24 BLN 25 - 59 BLN 0 - 5 BLN 6 - 12 BLN
L P L P L P L P L P L P L P L P L P L
1 PARKIT .001 2 2 10 7 15 15 51 33 2 2 8
2 CAMAR .002 7 3 4 5 11 7 18 14 7 3 4 5 11 7 18 14 7 3 4
3 GELATIK A .003 9 2 4 8 23 25 62 57 9 2 4 8 23 25 62 57 8 2 4
4 GELATIK B .003 6 1 8 7 11 8 32 38 6 1 8 77 11 8 32 38 6 1 8
5 ELANG .004 5 2 8 7 6 9 39 33 5 2 8 7 6 9 39 33 5 2 4
6 MERPATI .005
7 GARUDA .006
8 CENDRAWASIH .007
2 ANGSA .008 0 0 5 5 4 4 21 20 0 0 5 5 4 4 21 20 0 0 5
1 KIJANG .009 3 0 0 0 1 2 11 13 3 0 0 0 1 2 11 13 2 0 0
11 KUTILANG .011
12 PANDA A .012
13 PANDA B .012
14 RUSA 013
15 MURAI .014
16 MERAK .015
KANCIL 016
18 KELINCI 017
CAMAR B .018
20 KANGURU A .019
21 KANGURU B .019
22 NURI 20
23 BANGAU 23
JUMLAH 32 10 39 39 71 70 234 208 30 8 29 102 56 55 183 175 30 10 33

B. SURVEILANS
BULAN = 44501
ALAMAT LAHIR UMUR
NAMA (Bulan)
NO NAMA BALITA ORANG TUA L
POSYANDU RW RT Tgl Bln Thn

16
17
18
19
20
21
22
23
24
25
26
27
28

BULAN = 44501 C. KIA I. KUNJUNGAN KIA

NAMA
UMUR
N0 ALAMAT UMUR KEHAMILAN
BUMIL HAMIL
KE (Bln)
SUAMI ISTRI POSYANDU RW RT (Thn)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18

BULAN = 44501 C. KIA I. KUNJUNGAN KIA

NAMA UMUR
ALAMAT UMUR KEHAMILAN
N0 BUMIL HAMIL
(Bln)
SUAMI ISTRI (Thn) KE
POSYANDU RW RT
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
 LAPORAN BULANAN POSYANDU
KELURAHAN DEPOK KECAMATAN PANCORAN MAS DEPOK
BULAN 44501 TAHUN 2021
A. SKDN
NAMA S K N
RW POSYANDU 0 - 5 BLN 6 - 12 BLN 12-24 BLN 25-59 BLN 0 - 5 BLN 6 - 12 BLN 12-24 BLN 25-59 BLN 0 - 5 BLN 6 - 12 BLN
L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
1 PARKIT 2 2 10 7 15 15 51 33 0 0 0 0 0 0 0 0 2 2 8 5
2 CAMAR 7 3 4 5 11 7 18 14 7 3 4 5 11 7 18 14 7 3 4 5
3 GELATIK A 9 2 4 8 23 25 62 57 9 2 4 8 23 25 62 57 8 2 4 8
GELATIK B 6 1 8 7 11 8 32 38 6 1 8 77 11 8 32 38 6 1 8 7
4 ELANG 5 2 8 7 6 9 39 33 5 2 8 7 6 9 39 33 5 2 4 5
5 MERPATI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 GARUDA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 CENDRAWASIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ANGSA 0 0 5 5 4 4 21 20 0 0 5 5 4 4 21 20 0 0 5 5
9 KIJANG 3 0 0 0 1 2 11 13 3 0 0 0 1 2 11 13 2 0 0 0
11 KUTILANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PANDA A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PANDA B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 RUSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 MURAI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 MERAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 KANCIL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 KELINCI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 CAMAR B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 KANGURU A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANGURU B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 NURI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 BANGAU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 32 10 39 39 71 70 234 208 30 8 29 102 56 55 183 175 30 10 33 35
LAPORAN BULANAN POSYANDU
KELURAHAN DEPOK KECAMATAN PANCORAN MAS DEPOK
 BULAN 44501 TAHUN 2021
NAMA O B D
RW POSYANDU 0 - 5 BLN 6 - 12 BLN 12-24 BLN 25-59 BLN 0 - 5 BLN 6 - 12 BLN 12-24 BLN 25-59 BLN 0 - 5 BLN 6 - 12 BLN
L P L P L P L P L P L P L P L P L P L P
1 2 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
1 PARKIT 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2 10 6
2 CAMAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 3 4 5
3 GELATIK A 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 8 2 4 8
GELATIK B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 1 8 7
4 ELANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 2 8 7
5 MERPATI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 GARUDA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 CENDRAWASIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0
8 ANGSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 5 5
9 KIJANG 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 3 0 0 0
11 KUTILANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PANDA A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PANDA B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 RUSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 MURAI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
15 MERAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 KANCIL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
17 KELINCI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 CAMAR B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 KANGURU A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANGURU B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 NURI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 BANGAU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 35 13 39 38
 D. IMUNISASI
### TAHUN 2021
JENIS IMUNISASI
NAMA DPT POLIO HIPATITIS
RW POSYANDU BCG
I II III I II III IV I II
L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
1 PARKIT 0 2 0 0 1 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0
2 CAMAR 0 3 2 0 1 0 4 0 0 3 2 0 1 0 4 0 1 0 0 0
3 GELATIK A 0 0 0 0 1 2 0 2 0 0 0 0 1 2 0 2 0 0 1 1
GELATIK B 1 0 1 0 2 1 1 1 1 0 1 0 2 1 1 1 0 0 2 1
4 ELANG 2 0 0 0 1 1 1 1 2 0 0 0 1 1 1 1 1 0 4 3
5 MERPATI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 GARUDA 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 0 0 0 0 0
7 CENDRAWASIH 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0
8 ANGSA 1 1 1 0 0 0 1 0 1 1 1 0 0 0 1 0 1 0 0 0
9 KIJANG 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0
11 KUTILANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PANDA A 1 0 2 0 2 0 0 0 1 0 2 0 0 2 0 0 0 0 2 0
PANDA B 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 0 0 0
13 RUSA 2 0 1 1 2 3 2 0 2 0 0 1 2 3 2 0 1 1 2 3
14 MURAI 0 0 0 2 0 1 0 0 0 0 0 2 0 1 0 0 0 0 0 0
15 MERAK 0 0 0 1 1 0 1 0 0 0 0 1 1 0 1 0 0 1 1 0
16 KANCIL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 KELINCI 0 1 2 1 2 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0
18 CAMAR B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 KANGURU A 0 0 2 2 3 0 1 1 0 0 2 2 3 0 1 1 1 0 0 0
KANGURU B 1 2 1 1 0 0 1 0 1 2 1 1 0 0 1 0 0 0 1 1
20 NURI 1 0 0 1 1 0 0 1 0 0 1 1 1 0 1 3 1 1 1 0
21 BANGAU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 12 9 13 9 17 8 12 8 10 9 13 8 12 10 14 10 7 3 14 9
G. KB J. VITAMIN A
### TAHUN 2021
ALAT KONTRASEPSI
JML SASARAN
JML YG DIBERI VIT A
RW NAMA IUD MOW MOP IMPLANT SUNTIK PIL KONDOM
JUMLAH PESERTA
POSYANDU 6 - 11 BLN 12-59 BLN 12-59 BLN
P S P S P S P S P S P S P S L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
1 PARKIT 14 7 0 0 0 0 0 0 34 18 39 2 0 0 0 0 0 0 0 0
2 CAMAR 0 2 0 0 0 0 0 1 0 20 0 5 10 0 0 0 0 0 0 0
3 GELATIK A 23 11 3 4 2 4 3 3 25 22 15 15 1 1 0 0 0 0 0 0
GELATIK B 2 0 0 0 0 0 0 0 15 0 20 0 3 0 0 0 0 0 0 0
4 ELANG 4 0 0 0 0 0 1 0 30 3 1 7 0 5 0 0 0 0 0 0
5 MERPATI 2 28 0 0 0 0 0 0 3 35 0 11 0 9 0 0 0 0 0 0
6 GARUDA 2 11 0 0 0 0 0 0 3 6 3 0 15 0 0 0 0 0 0 0
7 CENDRAWASIH 8 11 0 1 0 0 1 2 20 15 3 8 23 28 0 0 0 0 0 0
8 ANGSA 3 0 1 0 0 0 2 0 25 0 18 0 0 0 0 0 0 0 0 0
9 KIJANG 0 2 0 0 0 0 2 3 5 7 6 5 0 5 0 0 0 0 0 0
11 KUTILANG 0 8 0 0 0 0 2 0 6 0 0 12 0 8 0 0 0 0 2 0
12 PANDA A 5 0 0 0 0 0 4 0 90 0 0 10 0 0 0 0 0 0 0 0
PANDA B 1 0 0 0 0 0 0 0 13 21 9 7 1 0 0 0 0 0 0 0
13 RUSA 5 3 3 2 0 0 3 2 35 42 47 27 0 0 0 0 0 0 0 0
14 MURAI 1 0 0 2 0 0 1 0 15 0 20 0 3 0 0 0 0 0 0 0
15 MERAK 5 0 0 8 0 0 3 0 35 0 27 0 10 0 0 0 0 0 0 0
16 KANCIL 3 0 3 0 0 0 3 0 27 0 23 0 0 0 0 0 0 0 0 0
17 KELINCI 0 11 0 11 0 2 0 7 42 31 0 25 0 7 0 5 0 0 0 0
18 CAMAR B 2 0 0 0 0 0 0 0 30 0 0 10 0 0 0 0 0 0 0 0
19 KANGURU A 7 0 3 0 0 0 3 0 22 46 10 49 0 7 0 0 0 0 0 0
KANGURU B 10 0 5 0 0 0 10 0 50 0 10 0 8 0 0 0 0 0 0 0
20 NURI 10 0 5 0 0 0 10 0 50 0 10 0 8 0 0 0 0 0 0 0
21 BANGAU 1 2 0 0 0 0 0 0 3 15 0 19 0 0 0 0 0 0 0 0
JUMLAH 108 96 23 28 2 6 48 18 578 281 261 212 82 70 0 0 0 0 2 0

### TAHUN 2021 F. KPPASI E. LANSIA

NO NAMA JML SASARAN JML YG HADIR JUMLAH SASARAN
UMUR
POSYANDU BUSUI BUSUI
BUMIL 0 - 6 7 - 24 BUMIL 0 - 6 7 - 24 45 - 59 Thn 60 - 69 Thn
BULAN BULAN BULAN BULAN L P L P
1 2 3 4 5 6 7 8 9 10 11 12
1 PARKIT 6 3 45 6 3 45 100 125 20 22
2 CAMAR 2 10 37 2 10 37 50 50 40 48
3 GELATIK A 8 8 51 8 8 51 130 140 42 50
GELATIK B 12 7 34 12 7 34 141 140 32 39
4 ELANG 3 7 16 3 7 16 107 116 35 39
5 MERPATI 0 4 15 0 4 15 20 30 5 8
6 GARUDA 1 1 11 1 1 11 26 26 29 13
7 CENDRAWASIH 3 0 19 3 0 19 130 125 68 57
8 ANGSA 2 6 17 2 3 8 125 143 42 45
9 KIJANG 1 2 5 1 2 5 88 101 75 89
11 KUTILANG 1 2 13 2 1 13 30 37 20 22
12 PANDA A 10 14 63 10 14 63 20 32 10 20
PANDA B 6 5 41 6 5 41 75 100 15 20
 13 RUSA 8 16 96 8 16 96 79 132 100 75
14 MURAI 5 1 19 5 1 19 125 125 75 75
15 MERAK 9 7 20 9 7 20 0 0 0 0
16 KANCIL 6 3 33 6 3 33 50 70 39 38
17 KELINCI 6 9 44 6 9 44 120 149 31 35
18 CAMAR B 7 7 27 7 7 27 20 21 20 23
19 KANGURU A 9 0 43 10 13 72 30 33 10 12
KANGURU B 7 9 55 7 9 55 120 157 30 30
20 NURI 13 15 71 13 15 71 50 50 38 37
21 BANGAU 0 4 18 0 4 18 28 21 9 8
JUMLAH 125 140 793 127 149 813 1664 1923 785 805
JUMLAH PENGUNJUNG / JUMLAH PETUGAS POSYANDU
JUMLAH BAYI LAHIR / MENINGGAL
BULAN ### TAHUN 2021
format 6
JUMLAH PENGUNJUNG
NAMA BALITA IBU
N0 POSYANDU RW 0 - 11 BULAN 12 - 24 BULAN 25 - 60 BULAN WUS
BARU LAMA BARU LAMA BARU LAMA PUS HAMIL BUSUI
L P L P L P L P L P L P
1 PARKIT .001 0 0 10 8 1 0 13 14 0 0 51 32 164 154 6 48
2 CAMAR .002 0 0 11 8 0 0 11 7 0 0 18 14 88 76 2 47
3 GELATIK A .003 1 0 11 10 0 0 23 25 0 0 62 57 185 180 8 59
4 GELATIK B .003 0 0 14 8 0 0 11 8 0 0 32 38 227 209 12 41
5 ELANG .004 0 0 13 9 0 0 6 9 0 0 39 33 135 120 3 23
6 MERPATI .005 0 0 0 0 0 0 0 0 0 0 0 0 78 66 0 19
7 GARUDA .006 0 0 0 0 0 0 0 0 0 0 0 0 72 62 1 12
8 CENDRAWASIH .007 0 0 3 0 0 0 0 0 0 0 0 0 90 80 3 19
9 ANGSA .008 0 0 5 7 0 0 4 4 0 0 21 20 128 110 2 11
10 KIJANG .009 1 0 2 0 0 0 1 2 0 0 11 13 68 56 1 7
11 KUTILANG .011 0 0 0 0 0 0 0 0 0 0 0 0 58 46 2 14
 12 PANDA A .012 0 0 0 0 0 0 0 0 0 0 0 0 158 150 10 77
13 PANDA B .012 0 0 0 0 0 0 0 0 0 0 0 0 125 116 6 46
14 RUSA .013 0 0 0 0 0 0 0 0 0 0 0 0 190 175 8 112
15 MURAI .014 0 0 0 1 0 0 0 0 0 0 0 0 84 80 5 20
16 MERAK .015 0 0 0 0 0 0 0 0 0 0 0 0 115 105 9 27
17 KANCIL .016 0 0 1 0 0 0 0 0 0 0 0 0 65 58 6 36
18 KELINCI .017 0 0 0 0 0 0 0 0 0 0 0 0 215 185 6 53
19 CAMAR B .018 0 0 0 0 0 0 0 0 0 0 0 0 115 101 7 34
20 KANGURU A .019 0 0 0 0 0 0 0 0 0 0 0 0 210 200 10 85
21 KANGURU B .019 0 0 0 0 0 0 0 0 0 0 0 0 275 140 7 64
22 NURI .020 0 0 0 0 0 0 0 0 0 0 0 0 188 178 13 86
23 BANGAU .023 0 0 0 0 0 0 0 0 0 0 0 0 55 49 0 22
JUMLAH 2 0 70 51 1 0 69 69 0 0 234 207 3088 2696 127 962
DATA HASIL KEGIATAN POSYANDU
BULAN ### TAHUN 2021
format 7

NAMA
N0 POSYANDU RW DPT POLIO
I II III JUMLAH
I BAYI YANG
II DI IMUNISASI
III IV
L P L P L P L P L P L P L P L P L P
BCG CAMPAK
1 PARKIT .001 0 2 0 0 1 0 0 0 0 2 0 0 0 0 1 0 0 1
2 CAMAR .002 0 3 2 0 1 0 4 0 0 3 2 0 1 0 4 0 1 1
3 GELATIK A .003 0 0 0 0 1 2 0 2 0 0 0 0 1 2 0 2 1 3
4 GELATIK B .003 1 0 1 0 2 1 1 1 1 0 1 0 2 1 1 1 2 1
5 ELANG .004 2 0 0 0 1 1 1 1 2 0 0 0 1 1 1 1 2 1
6 MERPATI .005 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 GARUDA .006 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 0 0 0
8 CENDRAWASIH .007 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0
9 ANGSA .008 1 1 1 0 0 0 1 0 1 1 1 0 0 0 1 0 0 0
10 KIJANG .009 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0
11 KUTILANG .011 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 12 PANDA A .012 1 0 2 0 2 0 0 0 1 0 2 0 0 2 0 0 1 1
13 PANDA B .012 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 1 0
14 RUSA .013 2 0 1 1 2 3 2 0 2 0 0 1 2 3 2 0 1 1
15 MURAI .014 0 0 0 2 0 1 0 0 0 0 0 2 0 1 0 0 1 0
16 MERAK .015 0 0 0 1 1 0 1 0 0 0 0 1 1 0 1 0 0 1
17 KANCIL .016 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 KELINCI .017 0 1 2 1 2 0 0 0 0 1 2 0 0 0 0 0 0 0
19 CAMAR B .018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 KANGURU A .019 0 0 2 2 3 0 1 1 0 0 2 2 3 0 1 1 3 2
21 KANGURU B .019 1 2 1 1 0 0 1 0 1 2 1 1 0 0 1 0 2 0
22 NURI .020 1 0 0 1 1 0 0 1 0 0 1 1 1 0 1 3 0 1
23 BANGAU .023 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 12 9 13 9 17 8 12 8 10 9 13 8 12 10 14 10 16 13
DATA HASIL KEGIATAN POSYANDU
BULAN ### TAHUN 2021
format 7
JML
IBU JUMLAH AKSEPTOR KB
JML D F
I E
NAMA IBU P M
E T E K I S D
N0 POSYANDU RW R A N O P M U A JML JML BALITA
N P M M I N N
I B Y I O O BALITA YG MEMILIKI
K L D L U T L
U L P W KMS
HAMIL

S E O A D I A
S
A T U M N K I (S) (K)
I N L P L P

1 PARKIT .001 6 6 6 48 0 41 0 0 0 7 52 0 78 57 0 0
2 CAMAR .002 2 2 2 47 10 5 1 0 0 2 20 0 40 29 40 29
3 GELATIK A .003 8 8 8 59 2 30 6 6 7 11 47 0 98 92 98 92
4 GELATIK B .003 12 12 12 41 3 20 0 0 0 0 15 0 57 54 57 124
5 ELANG .004 3 3 3 23 5 8 1 0 0 0 33 0 58 51 58 51
6 MERPATI .005 0 0 0 19 9 11 0 0 0 28 38 0 0 0 0 0
7 GARUDA .006 1 1 1 12 15 3 0 0 0 11 9 0 0 0 0 0
 8 CENDRAWASIH .007 3 3 3 19 51 11 3 0 1 11 35 0 0 0 0 0
9 ANGSA .008 2 2 2 11 0 18 2 0 1 0 25 0 30 29 30 29
10 KIJANG .009 1 1 1 7 5 11 5 0 0 2 12 0 15 15 15 15
11 KUTILANG .011 1 2 2 14 8 12 2 0 0 8 6 0 0 0 0 0
12 PANDA A .012 10 10 10 77 0 10 4 0 0 0 90 0 0 0 0 0
13 PANDA B .012 6 6 6 46 1 16 0 0 0 0 34 0 0 0 0 0
14 RUSA .013 8 8 8 112 0 74 5 0 5 3 77 0 0 0 0 0
15 MURAI .014 5 5 5 20 3 20 1 0 2 0 15 0 0 0 0 0
16 MERAK .015 9 9 9 27 10 27 3 0 8 0 35 0 0 0 0 0
17 KANCIL .016 6 6 6 36 0 23 3 0 3 0 27 0 0 0 0 0
18 KELINCI .017 6 6 6 53 7 25 7 2 11 11 73 0 0 0 0 0
19 CAMAR B .018 7 7 7 34 0 10 0 0 0 0 30 0 0 0 0 0
20 KANGURU A .019 9 10 10 85 7 59 3 0 3 0 68 0 0 0 0 0
21 KANGURU B .019 7 7 7 64 8 10 10 0 5 0 50 0 0 0 0 0
22 NURI .020 13 13 13 86 8 10 10 0 5 0 50 0 0 0 0 0
23 BANGAU .023 0 0 0 22 0 19 0 0 0 2 18 0 0 0 0 0
JUMLAH 125 127 127 962 0 152 473 66 8 51 96 859 0 376 327 298 340
LAPORAN BULANAN POSYANDU
Nama posyandu : PKK KELURAHAN DEPOK Tanggal penimbangan : 44501 PLKB =
RW / Kelurahan : DEPOK Petugas yang membina : PKK =

A. SKDN D. IMUNISASI
S K N T O B D = N+T+O+B NO JENIS JUMLAH
L P L P L P L P L P L P L P IMUNISASI L P
UMUR
0 - 5 Bulan 32 10 30 8 30 10 0 0 0 0 2 0 35 13 1 BCG 12 9
BALITA
6 - 11 Bulan 39 39 29 102 33 35 6 3 0 0 0 0 39 38 2 DPT 1 13 9
JUMLAH 71 49 59 110 63 45 6 3 0 0 2 0 74 51 3 DPT 2 17 8
12 - 24 Bulan 71 70 56 55 51 53 18 16 0 0 1 0 70 69 4 DPT 3 12 8
25 - 59 Bulan 234 208 183 175 167 151 67 56 0 0 0 0 234 207 5 POLIO 1 10 9
JUMLAH 305 278 239 230 218 204 85 72 0 0 1 0 304 276 6 POLIO 2 13 8
TOTAL 1 + 2 376 327 298 340 281 249 91 75 0 0 3 0 378 327 7 POLIO 3 12 10

G. KB H. PENANGGULANGAN DIARE I. KUNJUNGAN KIA K. ASI EKSLUSIF

NO KONTRASEPSI JUMLAH PESERTA JML BALITA JUMLAH NO. URAIAN JUMLAH UMUR SASARAN
 PEMERINTAH SWASTA MENDERITA ORALIT KUNJUNGAN L
1 IUD 108 96 DIARE YANG 1 K1 0 - 5 bulan 84
2 MOW 23 28 L P DIBERIKAN 2 K4 6 bulan SASARAN
3 MOP 2 6 3 N2 pada L
4 IMPLANT 48 18 4 LINAKES bulan ini 13
JUMLAH 181 148
5 SUNTIK 578 281
6 PIL 261 212
7 KONDOM 82 70
JUMLAH 921 563
TOTAL 1102 711 Mengetahui
Pembina Wilayah Posyandu
Hal yang perlu dilaporkan :
PUS = 2696
WUS = 3088
BUSUI = 962 ( ...................)

JUMLAH PENGUNJUNG / JUMLAH PETUGAS POSYANDU

JUMLAH BAYI LAHIR / MENINGGAL
TAHUN 2021

JUMLAH PENGUNJUNG
BALITA IBU JUMLAH
YANG
N0 BULAN 0 - 11 BULAN 12 - 24 BULAN 25 - 60 BULAN WUS

HAMIL

BUSUI
BARU LAMA BARU LAMA BARU LAMA PUS KADER
L P L P L P L P L P L P L P
1 JANUARI 13 8 244 225 1 0 336 300 4 705 671 3088 2696 144 1142 227

2 FEBRUARI 17 22 234 233 3 0 327 298 2 0 713 692 3088 2696 129 1124 227

3 MARET 4 8 250 240 0 3 335 285 0 0 697 704 3088 2696 136 1124 225

4 APRIL 2 1 254 249 0 0 337 292 0 0 706 706 3088 2696 136 1183 225

5 MEI 0 0 255 249 0 0 336 289 0 0 704 712 3088 2696 132 1094 209

6 44501 2 0 70 51 1 0 69 69 0 0 234 207 3088 2696 127 962 220

7
8
9
10
11
12
J UM L A H 38 39 1307 1247 5 3 1740 1533 6 0 3759 3692 18528 16176 804 6629 0 1333

DATA HASIL KEGIATAN POSYANDU

TAHUN 2021

JML
IBU JUMLAH AKSEPTOR KB
JML D F
IBU I E
P M
K I S D
N0 BULAN E T E
O M U A JML JML BALITA
R A N P M M
I B N P I N N BALITA YG MEMILIKI
Y I O O U
K L U D L T L KMS
L P W
HAMIL

S E O A D I A
S
A T U M N K I
I N
 E
R A N O M U A
P M M I N
I B Y N I P N
D L O O U T L
K L U L P W

HAMIL
S E O A D I A
S (S) (K)
A T U M N K I
I N L P L P
1 JANUARI 144 144 144 1142 135 474 89 2 2 93 903 0 1324 1238 1324 1238

2 FEBRUARI 129 129 129 1124 129 474 87 2 49 89 902 0 1358 1256 1359 1255

3 MARET 136 136 136 1124 152 473 79 10 54 95 919 0 131 1276 1319 1276

4 APRIL 136 136 136 1183 152 473 79 10 54 95 919 0 1319 122 1319 1244

5 MEI 132 132 132 1094 152 473 79 10 54 95 919 0 1319 1276 1319 1276

6 44501 125 127 127 962 152 473 66 8 51 96 859 0 376 327 298 340

7
8
9
10

J UM L A H 0 804 804 6629 0 872 2840 479 42 264 563 5421 0 5827 5495 6938 0 6629

DATA HASIL KEGIATAN POSYANDU

TAHUN 2021

JUMLAH BAYI YANG DI IMUNISASI

N0 BULAN DPT POLIO
 BCG I II III I II III IV CAMPAK
L P L P L P L P L P L P L P L P L P

1 JANUARI 10 5 16 12 12 6 15 15 10 5 12 13 6 18 15 6 13

2 FEBRUARI 13 11 16 16 11 6 9 13 13 11 16 16 13 6 9 15 12 16

3 MARET 12 8 12 10 17 14 9 10 12 8 10 1 16 15 10 10 22 18

4 APRIL 2 1 12 9 13 5 18 16 2 2 12 9 13 7 18 16 11 11

5 MEI 0 1 12 6 12 10 16 17 3 1 11 9 13 7 17 16 12 12

6 44501 12 9 13 9 17 8 12 8 10 9 13 8 12 10 14 10 16 13

10

11

12
JUMLAH 49 35 81 62 82 49 79 79 50 36 62 55 80 51 86 82 79 83
 N T O B
12 BLN 12 - 24 BLN 25 - 59 BLN 0 - 5 BLN 6 - 11 BLN 12-24 BLN 25 - 59 BLN 0 - 5 BLN 6 - 12 BLN 12 - 24 BLN 25 - 59 BLN 0 - 5 BLN 6 - 12 BLN 12 - 24 BLN
P L P L P L P L P L P L P L P L P L P L P L P L P L P
5 11 13 45 28 0 0 2 1 2 1 6 4 0 0 0 0 0 0 0 0 0 0 0 0 1 0
5 10 6 16 12 0 0 0 0 1 1 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 12 14 30 30 0 0 0 0 11 11 32 27 0 0 0 0 0 0 0 0 1 0 0 0 0 0
7 10 7 30 36 0 0 0 0 1 1 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 4 8 19 19 0 0 4 2 2 1 20 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0

5 4 4 17 16 0 0 0 0 0 0 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 10 10 0 0 0 0 1 1 1 3 0 0 0 0 0 0 0 0 1 0 0 0 0 0
 35 51 53 167 151 0 0 6 3 18 16 67 56 0 0 0 0 0 0 0 0 2 0 0 0 1 0

BGM 2T GAKIN/
BB TB NON
P (Kg) (Cm) GAKIN
L B L B
V V
V V
V V
V VV
V V
V V
V V
V V
V V
V V
V V
V V
V V
 JUMLAH KUNJUNGAN
GAKIN/ UNRAIAN
NON
GAKIN K1 K4 N2 LINAKES
 JUMLAH KUNJUNGAN
GAKIN/
NON UNRAIAN
GAKIN
K1 K4 N2 LINAKES
N T
12-24 BLN 25-59 BLN 0 - 5 BLN 6 - 11 BLN 12-24 BLN 25-59 BLN
L P L P L P L P L P L P
23 24 25 26 27 28 29 30 31 32 33 34
11 13 45 28 0 0 2 1 L 1 6 4
10 6 16 12 0 0 0 0 1 1 2 2
12 14 30 30 0 0 0 0 11 11 32 27
10 7 30 36 0 0 0 0 1 1 2 2
4 8 19 19 0 0 4 2 2 1 20 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
4 4 17 16 0 0 0 0 0 0 4 4
0 1 10 10 0 0 0 0 1 1 1 3
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
51 53 167 151 0 0 6 3 18 16 67 56
D PETUGAS YG HADIR
12-24 BLN 25-59 BLN PKK PLKB MEDIS KETERANGAN
L P L P L P L P
55 56 57 58 59 60 61 62 63 64
14 14 51 32 10 0 1 0 0 0
11 7 18 14 10 0 1 0 2 0
23 25 62 57 10 0 0 0 3 0
11 8 32 38 12 0 2 0 3 0
6 9 39 33 15 0 0 0 3 0
0 0 0 0 10 0 0 0 3 0
0 0 0 0 10 0 1 0 3 0
0 0 0 0 11 0 0 0 3 0
4 4 21 20 6 0 0 0 2 0
1 2 11 13 6 0 0 0 0 0
0 0 0 0 6 0 0 0 2 0
0 0 0 0 10 0 1 0 3 0
0 0 0 0 10 0 0 0 3 0
0 0 0 0 10 0 0 0 2 0
0 0 0 0 10 0 0 0 2 0
0 0 0 0 8 0 0 0 2 0
0 0 0 0 10 0 0 0 2 0
0 0 0 0 10 0 1 0 2 0
0 0 0 0 10 0 0 0 1 0
0 0 0 0 10 0 1 0 2 0
0 0 0 0 10 0 1 0 2 0
0 0 0 0 10 0 0 0 2 0
0 0 0 0 6 0 0 2 0
70 69 234 207 220 0 9 2 47 -
 H.P. DIARE
JML. BALITA DIARE
YANG
CAMPAK TT JUMLAH MENDAPAT
ORALIT

III I II
L P L P L P L P L P L P
23 24 25 26 27 28 29 30 31 32 33 34
1 0 0 1 0 1 0 1 0 0 0 0
1 0 1 1 0 0 0 3 0 0 0 0
4 5 1 3 0 3 0 4 0 1 1 2
1 0 2 1 0 0 0 1 0 0 0 1
1 0 2 1 0 3 0 4 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 1 0 0 0 0 3 0 0 0 0
1 0 0 0 0 1 0 3 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 1 0 4 0 4 0 0 0 0
0 2 1 0 0 0 0 6 0 0 0 0
2 0 1 1 0 2 0 6 0 0 0 0
0 1 1 0 0 1 0 4 0 0 0 0
 1 0 0 1 0 2 0 5 0 0 0 0
0 0 0 0 0 1 0 2 0 0 0 0
0 0 0 0 0 0 0 8 0 0 0 0
0 0 0 0 0 0 0 7 0 0 0 0
1 0 3 2 0 3 0 5 0 0 0 0
0 0 2 0 0 1 0 3 1 0 1 0
1 3 0 1 0 2 0 4 1 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0
14 11 16 13 0 24 0 73 2 1 4 3
K. ASI EKSLUSIF
BUFAS JML SASARAN MASIH LULUS ASI
MENDPT VIT.A

RI VIT A 6 Bln pd ASI 6 Bln pd

SASARAN

Bln ini Bln ini

0 - 5 BLN AKSLUSIF
12-59 BLN 0 - 5 Bln
L P L P L P L P L P
23 24 25 26 27 28 29 30 31 32 33 34
0 0 2 4 3 0 0 0 3 0 0 0
0 0 1 2 7 3 3 0 3 3 3 0
0 0 0 0 9 2 2 1 9 2 2 1
0 0 0 4 5 2 0 1 5 2 0 0
0 0 0 0 5 2 1 0 5 2 1 0
0 0 0 0 3 1 0 0 3 1 0 0
0 0 0 0 0 1 0 0 0 1 0 0
0 0 0 0 1 0 0 0 1 0 0 0
0 0 0 0 4 2 0 0 4 2 0 0
0 0 2 4 1 0 0 0 2 0 0 0
0 0 0 0 1 1 0 0 1 1 0 0
0 0 1 2 5 7 1 1 5 7 1 1
0 0 1 2 1 2 2 0 1 2 2 0
0 0 2 4 8 6 1 1 8 6 1 1
0 0 0 0 0 1 0 0 0 1 0 0
0 0 0 0 4 3 0 0 4 3 0 0
0 0 1 2 0 2 0 1 0 2 0 1
0 0 3 6 2 4 1 1 2 4 1 1
0 0 0 0 2 5 0 0 2 5 0 0
0 0 2 4 7 4 0 0 5 6 0 0
0 0 2 4 7 1 2 0 7 1 2 0
0 0 0 0 7 8 0 0 7 8 0 0
0 0 0 0 2 2 0 0 2 2 0 0
0 0 17 38 84 59 13 6 79 61 13 5

JML YG HADIR KETERANGAN

UMUR
> 70 Thn 45-59 Thn 60-69 Thn > 70 Thn
L P L P L P L P
13 14 15 16 17 18 19 20 21
13 10 45 35 7 4 2 2 -
10 30 20 25 5 5 0 0 -
15 12 25 50 6 10 4 7 -
14 10 0 0 0 0 0 0 -
10 15 25 30 6 20 0 4 -
3 5 2 0 0 7 0 5 -
13 21 2 3 3 3 2 5 -
21 28 0 0 0 0 0 0 -
19 21 0 0 0 0 0 0 -
55 68 0 0 0 0 0 0 -
1 12 20 25 18 20 0 6 -
5 4 5 20 2 5 2 5 -
1 10 11 20 6 15 1 10 -
 35 42 10 48 18 31 1 22 -
1 55 2 87 1 55 0 30 -
0 0 0 0 0 0 0 0 0
3 5 4 27 1 10 0 3 -
4 6 0 0 0 0 0 0 -
13 10 2 8 0 1 0 5 -
2 5 10 33 4 6 1 2 -
5 8 5 10 3 10 0 2 -
10 20 10 20 10 15 3 7 -
3 2 0 0 0 0 0 0 0
256 399 198 441 90 217 16 115 -

JUMLAH PETUGAS
YANG HADIR JUMLAH BAYI
USUI KADER PLKB MEDIS LAHIR MENINGGAL
L P L P L P L P L P
- 10 0 1 0 0 1 1 0 0
- 10 0 1 0 2 0 1 0 0
- 10 0 0 0 3 0 0 0 0
- 12 0 2 0 3 0 0 0 0
- 15 0 0 0 3 0 0 0 0
0 10 0 0 0 3 0 0 0 0
- 10 0 1 0 3 0 0 0 0
- 11 0 0 0 3 0 0 0 0
- 6 0 0 0 2 0 0 0 0
- 6 0 0 0 0 2 0 0 0
- 6 0 0 0 2 0 0 0 0
- 10 0 1 0 3 1 0 0 0
- 10 0 0 0 3 1 0 0 0
- 10 0 0 0 2 1 1 0 0
- 10 0 0 0 2 0 0 0 0
- 8 0 0 0 2 0 0 0 0
- 10 0 0 0 2 1 0 0 0
- 10 0 1 0 2 2 1 0 0
- 10 0 0 0 1 0 0 0 0
- 10 0 1 0 2 1 1 0 0
- 10 0 1 0 2 1 1 0 0
- 10 0 0 0 2 0 0 0 0
- 6 0 0 2 0 0 0 0
- 220 0 9 2 47 11 6 0 0

BALITA YANG
MENDERITA DIARE
HEPATITIS B Mendapat
I II III ORALIT
L P L P L P L P L P
JUMLAH
0 0 0 0 1 0 0 0 0 0
1 0 0 0 1 0 0 0 0 0
0 0 1 1 4 5 0 1 1 2
0 0 2 1 1 0 0 0 0 1
1 0 4 3 1 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
1 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
 0 0 2 0 0 0 0 0 0 0
0 0 0 0 0 2 0 0 0 0
1 1 2 3 2 0 0 0 0 0
0 0 0 0 0 1 0 0 0 0
0 1 1 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 0 1 0 0 0 0 0
0 0 1 1 0 0 1 0 1 0
1 1 1 0 1 3 1 0 1 0
0 0 0 0 0 0 0 0 0 0
7 3 14 9 14 11 2 1 4 3

IMUNISASI
PENIMBANGAN BALITA TT IBU
JML YG JML YG JML YG JML YG HAMIL
DITIMBANG NAIK (N) MENDAPAT MENDAPAT

(D) (N) VIT A PMT

L P L P L P L P I II

77 54 66 48 0 0 77 54 1 1
40 29 37 26 0 0 40 29 0 3
97 92 54 54 0 0 97 92 3 4
57 54 54 51 0 0 57 54 0 1
58 51 32 34 0 0 58 51 3 4
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
 3 0 0 0 0 0 3 0 0 3
30 31 26 25 0 0 30 31 1 3
15 15 12 11 0 0 15 15 0 0
0 0 0 0 2 0 0 0 0 0
0 0 0 0 0 0 0 0 4 4
0 0 0 0 0 0 0 0 0 6
0 0 0 0 0 0 0 0 2 6
0 1 0 0 0 0 0 1 1 4
0 0 0 0 0 0 0 0 2 5
1 0 0 0 0 0 1 0 1 2
0 0 0 0 0 0 0 0 0 8
0 0 0 0 0 0 0 0 0 7
0 0 0 0 0 0 0 0 3 5
0 0 0 0 0 0 0 0 1 3
0 0 0 0 0 0 0 0 2 4
0 0 0 0 0 0 0 0 0 0
378 327 281 249 2 0 378 327 24 73

ORANG MEDIS = 47 ORANG

220 ORANG

E. LANSIA
NO JENIS JUMLAH JUMLAH JUMLAH
IMUNISASI L P UMUR SASARAN YANG HADIR
8 POLIO 4 14 10 L P L P
9 HEPATITIS 1 7 3 45-60 Tahun 1664 1923 198 441
10 HEPATITIS 2 14 9 60-69 Tahun 785 805 90 217
11 HEPATITIS 3 14 11 > 70 Tahun 256 399 16 115
12 CAMPAK 16 13
13 TT I 0 24 F. KPPASI
14 TT 2 0 73 PESERTA JML
SASARAN YG HADIR
BUMIL 125 127
ASARAN MASIH ASI E BUSUI 0-6 BLN 140 149
 P L P BUSUI 7-24 BLN 200 200
59 79 61
SARAN LULUS ASI E J. VITAMIN
P L P SASARAN Jml.VIT A yg
6 13 5 UMUR diberikan
L P L P
6 - 11 bulan 0 0 2 0
12 - 59 bulan 0 0 0 0
Bufas - 17 - 38

Depok, . . . . . . . . . . . . . . . .
Ketua Pokja 4

( ...................)

JUMLAH PETUGAS
YANG HADIR JUMLAH BAYI

PLKB MEDIS LAHIR MENINGGAL

L P L P L P L P
 0 0 2 87 0 7 0 0

0 1 2 87 11 13 0 0

0 1 2 84 13 5 0 0

0 0 2 19 2 1 0 0

0 1 2 53 0 0 0 0

0 9 2 47 11 6 0 0

0 12 12 377 37 32 0 0

IMUNISASI
PENIMBANGAN BALITA TT IBU
JML YG JML YG JML YG JML YG HAMIL
DITIMBANG NAIK (N) MENDAPAT MENDAPAT
(D) (N) VIT A PMT
L P L P L P L P I II

1324 1238 1104 1037 1324 1238 27 80

1319 1278 1063 1019 1176 1153 1319 1278 29 71

1306 1262 1066 1022 0 0 1306 1262 29 74

1323 1268 1083 1027 0 0 1323 1268 8 63

1319 1275 1222 1197 0 0 1319 1275 21 59

378 327 281 249 2 0 378 327 24 73

6969 6648 5819 5551 1178 1153 6969 6648 138 420

BALITA YANG
MENDERITA DIARE
HEPATITIS B Mendapat
 I II III JUMLAH ORALIT
L P L P L P L P L P

16 141 11 5 14 14 5 5 3 4

18 16 10 6 11 15 5 5 5 7

11 11 17 14 10 9 4 3 5 5

10 7 13 5 18 16 4 3 5 5

7 10 14 6 16 16 4 3 4 3

7 3 14 9 14 11 2 1 4 3

69 188 79 45 83 81 24 20 26 27
 0 0
D. IMUNISASI

D PETUGAS YANG HADIR BCG DPT POLIO

25 - 59 BLN 0 - 5 BLN 6 - 12 BLN 12 - 24 BLN 25 - 59 BLN PKK PLKB MEDIS KETERANGAN I II III I II III
L P L P L P L P L P L P L P L P L P L P L P L P L P L P
0 0 2 2 10 6 14 14 51 32 10 0 1 0 0 - 0 2 0 0 1 0 0 0 0 2 0 0 0 0
0 0 7 3 4 5 11 7 18 14 10 0 1 0 20 0 3 2 0 1 0 4 0 0 3 2 0 1 0
0 0 8 2 4 8 23 25 62 57 10 0 0 0 30 0 0 0 0 1 2 0 2 0 0 0 0 1 2
0 0 6 1 8 7 11 8 32 38 12 0 2 0 30 1 0 1 0 2 1 1 1 1 0 1 0 2 1
0 0 5 2 8 7 6 9 39 33 15 0 0 0 30 2 0 0 0 1 1 1 1 2 0 0 0 1 1
0 0 0 0 0 0 0 0 10 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 10 0 1 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 o
3 0 0 0 0 0 0 0 11 0 0 0 30 1 0 1 0 0 0 0 0 0 0 1 0 0 0
0 0 0 2 5 5 4 4 21 20 6 0 0 0 20 1 1 1 0 0 0 1 0 1 1 1 0 0 0
0 0 3 0 0 0 1 2 11 13 6 0 0 0 00 2 0 0 0 0 0 0 0 2 0 0 0 0 0
0 0 0 0 0 0 0 0 6 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 10 0 1 0 30 1 0 2 0 2 0 0 0 1 0 2 0 0 2
0 0 0 0 0 0 0 0 10 0 0 0 30 0 0 0 0 0 0 0 2 0 0 0 0 0 0
0 0 0 0 0 0 0 0 10 0 0 0 20 2 0 1 1 2 3 2 0 2 0 0 1 2 3
0 1 0 0 0 0 0 0 10 0 0 0 20 0 0 0 2 0 1 0 0 0 0 0 2 0 1
0 0 0 0 0 0 0 0 8 0 0 0 20 0 0 0 1 1 0 1 0 0 0 0 1 1 0
1 0 0 0 0 0 0 0 10 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 10 0 1 0 20 0 1 2 1 2 0 0 0 0 1 2 0 0 0
0 0 0 0 0 0 0 0 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 10 0 1 0 20 0 0 2 2 3 0 1 1 0 0 2 2 3 0
0 0 0 0 0 0 0 0 10 0 1 0 20 1 2 1 1 0 0 1 0 1 2 1 1 0 0
0 0 0 0 0 0 0 0 10 0 0 0 20 1 0 0 1 1 0 0 1 0 0 1 1 1 0
 0 0 0 0 0 0 0 0 6 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 35 13 39 38 70 69 234 207 220 0 9 2 47 - 12 9 13 9 17 8 12 8 10 9 13 8 12 10
 H.P. DIARE G. KB
ALAT KONTRASEPSI
HIPATITIS CAMPAK TT JUMLAH
YG DAPAT IUD MOW MOP IMPLANT SUNTIK PIL
ORALIT
IV I II III I II JUMLAH PESERTA
L P L P L P L P L P L P L P L P L P P S P S P S P S P S P S
1 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 14 7 0 0 0 0 0 0 34 18 39 2
4 0 1 0 0 0 1 0 1 1 0 0 0 3 0 0 0 0 0 2 0 0 0 0 0 1 0 20 0 5
0 2 0 0 1 1 4 5 1 3 0 3 0 4 0 1 1 2 23 11 3 4 2 4 3 3 25 22 15 15
1 1 0 0 2 1 1 0 2 1 0 0 0 1 0 0 0 1 2 0 0 0 0 0 0 0 15 0 20 0
1 1 1 0 4 3 1 0 2 1 0 3 0 4 0 0 1 0 4 0 0 0 0 0 1 0 30 3 1 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 28 0 0 0 0 0 0 3 35 0 11
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 11 0 0 0 0 0 0 3 6 3 0
0 0 1 0 0 0 0 0 1 0 0 0 0 3 0 0 0 0 8 11 0 1 0 0 1 2 20 15 3 8
1 0 1 0 0 0 1 0 0 0 0 1 0 3 0 0 0 0 3 0 1 0 0 0 2 0 25 0 18 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 2 3 5 7 6 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 2 0 6 0 0 12
0 0 0 0 2 0 0 0 1 1 0 4 0 4 0 0 0 0 5 0 0 0 0 0 4 0 90 0 0 10
0 2 0 0 0 0 0 2 1 0 0 0 0 6 0 0 0 0 1 0 0 0 0 0 0 0 13 21 9 7
2 0 1 1 2 3 2 0 1 1 0 2 0 6 0 0 0 0 5 3 3 2 0 0 3 2 35 42 47 27
0 0 0 0 0 0 0 1 1 0 0 1 0 4 0 0 0 0 1 0 0 2 0 0 1 0 15 0 20 0
1 0 0 1 1 0 1 0 0 1 0 2 0 5 0 0 0 0 5 0 0 8 0 0 3 0 35 0 27 0
0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 3 0 3 0 0 0 3 0 27 0 23 0
0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 11 0 11 0 2 0 7 42 31 0 25
0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 2 0 0 0 0 0 0 0 30 0 0 10
1 1 1 0 0 0 1 0 3 2 0 3 0 5 0 0 0 0 7 0 3 0 0 0 3 0 22 46 10 49
1 0 0 0 1 1 0 0 2 0 0 1 0 3 1 0 1 0 10 0 5 0 0 0 10 0 50 0 10 0
1 3 1 1 1 0 1 3 0 1 0 2 0 4 1 0 1 0 10 0 5 0 0 0 10 0 50 0 10 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 3 15 0 19
14 10 7 3 14 9 14 11 16 13 0 24 0 73 2 1 4 3 108 96 23 28 2 6 48 18 578 281 261 212
 J. VITAMIN A K. ASI EKSLUSIF F. KPPASI

JUMLAH

SASARAN

MENDPT
KONDOM 0 - 5 BLN MASIH ASI 6 Bln pd BUSUI BUSUI
BU- BU-
6JML
- 11 SASARAN

VIT. A
BLN 12 - 59 BLN JML
6 -YG DIBERI VIT.
11 BLN 12 - A
59 BLN 6 Bln pd 0 - 5 Bln Bln ini MIL 0-6 7 - 24MIL 0-6 7 - 24 45 - 59 Thn
Bln ini
P S L P L P L P L P L P L P L P L P Bln Bln Bln Bln L
0 0 0 0 0 0 0 0 0 0 2 4 3 0 0 0 3 0 0 0 6 3 45 6 3 45 100
10 0 0 0 0 0 0 0 0 0 1 2 7 3 3 0 3 3 3 0 2 10 37 2 10 37 50
1 1 0 0 0 0 0 0 0 0 0 0 9 2 2 1 9 2 2 1 8 8 51 8 8 51 130
3 0 0 0 0 0 0 0 0 0 0 4 5 2 0 1 5 2 0 0 12 7 34 12 7 34 141
0 5 0 0 0 0 0 0 0 0 0 0 5 2 1 0 5 2 1 0 3 7 16 3 7 16 107
0 9 0 0 0 0 0 0 0 0 0 0 3 1 0 0 3 1 0 0 0 4 15 0 4 15 20
15 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 1 11 1 1 11 26
23 28 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 3 0 19 3 0 19 130
0 0 0 0 0 0 0 0 0 0 0 0 4 2 0 0 4 2 0 0 2 6 17 2 3 8 125
0 5 0 0 0 0 0 0 0 0 2 4 1 0 0 0 2 0 0 0 1 2 5 1 2 5 88
0 8 0 0 0 0 2 0 0 0 0 0 1 1 0 0 1 1 0 0 1 2 13 2 1 13 30
0 0 0 0 0 0 0 0 0 0 1 2 5 7 1 1 5 7 1 1 10 14 63 10 14 63 20
1 0 0 0 0 0 0 0 0 0 1 2 1 2 2 0 1 2 2 0 6 5 41 6 5 41 75
0 0 0 0 0 0 0 0 0 0 2 4 8 6 1 1 8 6 1 1 8 16 96 8 16 96 79
3 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 5 1 19 5 1 19 125
10 0 0 0 0 0 0 0 0 0 0 0 4 3 0 0 4 3 0 0 9 7 20 9 7 20 0
0 0 0 0 0 0 0 0 0 0 1 2 0 2 0 1 0 2 0 1 6 3 33 6 3 33 50
0 7 0 5 0 0 0 0 0 0 3 6 2 4 1 1 2 4 1 1 6 9 44 6 9 44 120
0 0 0 0 0 0 0 0 0 0 0 0 2 5 0 0 2 5 0 0 7 7 27 7 7 27 20
0 7 0 0 0 0 0 0 0 0 2 4 7 4 0 0 5 6 0 0 9 0 43 10 13 72 30
8 0 0 0 0 0 0 0 0 0 2 4 7 1 2 0 7 1 2 0 7 9 55 7 9 55 120
8 0 0 0 0 0 0 0 0 0 0 0 7 8 0 0 7 8 0 0 13 15 71 13 15 71 50
0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 2 2 0 0 0 4 18 0 4 18 28
82 70 0 0 0 0 2 0 0 0 17 38 84 59 13 6 79 61 13 5 125 140 793 127 149 813 1664
 E. LANSIA
JUMLAH SASARAN UMUR JML YG HADIR HADIR KETERANGAN WUS PUS
JUMLAH BAYI
5 - 59 Thn 60 - 69 Thn > 70 Thn 45 - 59 Thn 60 - 69 Thn > 70 Thn LAHIR MENINGGAL
P L P L P L P L P L P L P L P
125 20 22 13 10 45 35 7 4 2 2- - - 164 154 1 1 0 0
50 40 48 10 30 20 25 5 5 0 0- 88 76 0 1 0 0
140 42 50 15 12 25 50 6 10 4 7- 185 180 0 0 0 0
140 32 39 14 10 0 0 0 0 0 0- 227 209 0 0 0 0
116 35 39 10 15 25 30 6 20 0 4- 135 120 0 0 0 0
30 5 8 3 5 2 0 0 7 0 5- 78 66 0 0 0 0
26 29 13 13 21 2 3 3 3 2 5- 72 62 0 0 0 0
125 68 57 21 28 0 0 0 0 0 0- 90 80 0 0 0 0
143 42 45 19 21 0 0 0 0 0 0- 128 110 0 0 0 0
101 75 89 55 68 0 0 0 0 0 0- 68 56 2 0 0 0
37 20 22 1 12 20 25 18 20 0 6- 58 46 0 0 0 0
32 10 20 5 4 5 20 2 5 2 5- 158 150 1 0 0 0
100 15 20 1 10 11 20 6 15 1 10 - 125 116 1 0 0 0
132 100 75 35 42 10 48 18 31 1 22 - 190 175 1 1 0 0
125 75 75 1 55 2 87 1 55 0 30 - 84 80 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 115 105 0 0 0 0
70 39 38 3 5 4 27 1 10 0 3- 65 58 1 0 0 0
149 31 35 4 6 0 0 0 0 0 0- 215 185 2 1 0 0
21 20 23 13 10 2 8 0 1 0 5- 115 101 0 0 0 0
33 10 12 2 5 10 33 4 6 1 2- 210 200 1 1 0 0
157 30 30 5 8 5 10 3 10 0 2- 275 140 1 1 0 0
50 38 37 10 20 10 20 10 15 3 7- 188 178 0 0 0 0
 21 9 8 3 2 0 0 0 0 0 0 55 49 0 0 0 0
1923 785 805 256 399 198 441 90 217 16 115 - 3088 2696 11 6 0 0