NO NAMA RW S K
POSYANDU 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
S D/S
L P L P L P L P l p L P L P L P L
B. SURVEILANS
BULAN = FEBRUARI
ALAMAT LAHIR UMUR
NAMA (Bulan)
ORANG TUA
ALAMAT LAHIR UMUR
NAMA (Bulan)
NO NAMA BALITA ORANG TUA
POSYANDU RW RT Tgl Bln Thn
16
17
18
19
20
21
22
23
24
25
26
27
28
POSYANDU RW RT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
C. KIA I. KUNJUNGAN KIA
BULAN = FEBRUARI
NAMA UMUR
ALAMAT UMUR KEHAMILA
N0 BUMIL HAMIL
KE (Bln)
SUAMI ISTRI (Thn)
POSYANDU RW RT
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
NAMA
N0 POSYANDU RW DPT JUMLAH BAYI YANG DI IMUNISASI
POLIO
I II III I II III IV
BCG
L P L P L P L P L P L P L P L P CAMPAK
L
1 PARKIT .001 0 1 1 2 0 0 1 0 0 1 1 2 0 0 1 0 2
2 CAMAR .002 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
3 GELATIK A .003 1 1 5 4 0 2 2 1 1 1 5 4 0 2 2 1 1
4 GELATIK B .003 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
5 ELANG .004 3 1 0 1 1 1 1 1 3 1 0 1 1 1 1 1 1
6 MERPATI .005 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0
7 GARUDA .006 0 0 0 1 1 0 0 0 0 0 0 1 1 o 0 0 0
8 CENDRAWASIH .007 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0
9 ANGSA .008 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 KIJANG .009 0 0 0 0 0 0 0 0 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
12 PANDA A .012 1 1 0 0 2 0 0 4 1 1 0 0 2 0 0 4 1
13 PANDA B .012 1 1 0 1 1 0 1 0 1 1 0 1 1 0 1 0 1
14 RUSA .013 1 0 2 0 0 0 0 2 1 0 2 0 0 0 0 2 1
15 MURAI .014 0 4 0 1 1 0 0 0 0 4 0 1 1 0 0 0 1
16 MERAK .015 0 0 0 0 0 0 1 2 0 0 0 0 0 0 1 2 0
17 KANCIL .016 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0
18 KELINCI .017 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1
19 CAMAR B .018 0 0 1 1 1 0 0 1 0 0 1 1 1 0 1 0 0
20 KANGURU A .019 0 0 0 0 2 1 0 1 0 0 0 0 2 1 0 1 1
21 KANGURU B .019 1 1 2 2 0 0 1 0 1 1 2 2 0 0 1 0 1
22 NURI .020 2 0 3 3 1 0 0 0 2 0 3 3 3 0 0 2 1
23 BANGAU .023 0 0 1 0 1 1 1 0 1 0 1 0 1 1 1 0 0
JUMLAH 13 11 16 16 11 6 9 13 13 11 16 16 13 6 9 15 12
DATA HASIL KEGIATAN POSYANDU
BULAN FEBRUARI TAHUN 2021
format 7
JML
IBU JUMLAH AKSEPTOR KB
D F
JML I E
NAMA IBU P M
E T E K I S D
N0 POSYANDU RW R A N O P M
M M
U A JML JML BALITA
I B Y N P I N N
I O O U BALITA YG MEMILIKI
K L U D L T L
L P W KMS
HAMIL
S E S O A D I A
A T U M N K I (S) (K)
I N L P L
1 PARKIT .001 5 5 5 96 0 41 0 0 0 7 52 0 71 74 72
2 CAMAR .002 5 5 5 43 10 12 0 0 0 0 31 0 37 47 37
3 GELATIK A .003 15 15 15 93 2 30 13 0 6 11 48 0 98 116 98
4 GELATIK B .003 1 1 1 34 2 15 10 0 2 0 15 0 46 46 46
5 ELANG .004 11 11 11 42 5 8 1 0 0 0 33 0 65 53 65
6 MERPATI .005 0 0 0 21 9 11 0 0 0 28 38 0 20 30 20
7 GARUDA .006 0 0 0 16 3 2 2 0 1 7 5 0 17 27 17
8 CENDRAWASIH .007 4 4 4 20 51 11 3 0 1 11 35 0 38 37 38
9 ANGSA .008 3 3 3 20 0 18 2 0 1 0 25 0 31 29 31
10 KIJANG .009 0 0 0 11 5 5 7 0 0 0 19 0 15 18 15
11 KUTILANG .011 2 2 2 15 8 12 2 0 0 8 6 0 15 14 15
12 PANDA A .012 12 12 12 78 0 10 4 0 0 0 90 0 101 72 101
13 PANDA B .012 6 6 6 53 0 1 4 0 2 2 22 0 120 78 120
14 RUSA .013 11 11 11 109 0 66 2 0 6 2 85 0 105 96 105
15 MURAI .014 2 2 2 35 2 30 3 0 3 0 25 0 35 42 35
16 MERAK .015 9 9 9 28 10 25 3 0 0 0 25 0 46 46 46
17 KANCIL .016 3 3 3 33 0 23 3 0 3 0 27 0 29 37 29
18 KELINCI .017 4 4 4 63 7 25 7 2 11 11 73 0 91 69 91
19 CAMAR B .018 7 7 7 31 0 10 0 0 0 0 30 0 32 35 32
20 KANGURU A .019 9 9 9 91 5 80 1 0 3 0 100 0 108 90 108
21 KANGURU B .019 7 7 7 66 8 10 10 0 5 0 50 0 99 98 99
22 NURI .020 13 13 13 101 8 10 10 0 5 0 50 0 110 77 110
23 BANGAU .023 0 0 0 25 0 19 0 0 0 2 18 0 29 25 29
JUMLAH 129 129 129 1124 0 135 474 87 2 49 89 902 0 1358 1256 1359
LAPORAN BULANAN POSYANDU
Nama posyandu : PKK KELURAHAN DEPOK Tanggal penimbangan : FEBRUARI
RW / Kelurahan : DEPOK Petugas yang membina :
A. SKDN D. IMUNISASI
S K N T O B D = N+T+O+B NO JENIS
UMUR L P L P L P L P L P L P L P IMUNISASI
BALITA
0 - 5 Bulan 87 97 87 96 67 70 2 1 0 0 16 21 87 98 1 BCG
6 - 11 Bulan 166 150 167 150 142 150 15 12 2 0 1 1 164 165 2 DPT 1
JUMLAH 253 247 254 246 209 220 17 13 2 0 17 22 251 263 3 DPT 2
12 - 24 Bulan 326 278 326 278 270 223 55 59 2 2 3 0 337 287 4 DPT 3
25 - 59 Bulan 779 731 779 731 563 557 140 128 10 7 2 6 730 712 5 POLIO 1
JUMLAH 1105 1009 1105 1009 833 780 195 187 12 9 5 6 1067 999 6 POLIO 2
TOTAL 1 + 2 1358 1256 1359 1255 1042 1000 212 200 14 9 22 28 1318 1262 7 POLIO 3
JUMLAH PENGUNJUNG
BALITA IBU
N0 BULAN 0 - 11 BULAN 12 - 24 BULAN 25 - 60 BULAN WUS
HAMIL
BUSUI
BARU LAMA BARU LAMA BARU LAMA PUS
L P L P L P L P L P L P
1 JANUARI 17 22 233 233 3 0 327 284 2 6 713 692 3088 2696 129 1124
2 FEBRUARI 17 22 233 233 3 0 327 284 2 6 713 692 3088 2696 129 1124
3
4
5
6
7
8
9
10
11
12
J UM L A H 34 44 466 466 6 0 654 568 4 12 1426 1384 6176 5392 258 2248
JML
D F IBU JUMLAH AKSEPTOR KB
I E
JML P M
IBU E T E K I S D
R A N O M U A
P M M
N0 BULAN I B Y N I P
O O
I N N JML JML BALITA
K L U D L U T L
L P W BALITA YG MEMILIKI
HAMIL
S E S O A D I A
A T U M N K I KMS
I N (S) (K)
L P L
1 JANUARI 129 129 129 1124 135 474 87 2 49 89 902 0 1358 1256 1359
2 FEBRUARI 129 129 129 1124 135 474 87 2 49 89 902 0 1358 1256 1359
3
4
5
6
7
8
9
10
J UM L A H 0 258 258 2248 0 270 948 174 4 98 178 1804 0 2716 2512 2718
2 FEBRUARI
10
11
12
JUMLAH 13 11 16 16 11 6 9 13 13 11 16 16 13 6 9 15 12
N T O
BLN 6 - 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
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
3 18 17 17 19 20 22 0 0 2 3 3 3 2 2 0 0 2 0 1 1 1 0 0 2 0
2 2 9 14 10 16 21 0 0 0 0 2 1 1 3 0 0 0 0 0 0 0 0 0 0 0
5 8 12 15 13 29 42 0 0 0 1 15 10 23 30 0 0 0 0 0 0 0 0 3 3 0
1 4 3 9 4 29 34 0 0 0 0 0 0 2 3 0 0 0 0 0 0 0 0 1 1 0
7 3 7 10 9 28 15 0 0 0 0 1 5 20 10 0 0 0 0 0 0 0 0 0 0 0
1 1 1 3 7 7 8 0 0 0 1 2 3 5 9 0 0 0 0 0 0 0 0 0 0 0
1 0 2 2 6 6 13 0 0 0 0 2 1 4 5 0 0 0 0 0 0 0 0 0 0 0
0 3 2 6 5 19 25 0 0 1 0 1 1 7 4 0 0 0 0 0 0 0 0 0 0 0
0 3 4 3 7 13 10 0 0 0 0 0 0 10 8 0 0 0 0 0 0 0 1 0 0
2 2 0 2 3 5 10 0 0 0 0 1 0 4 3 0 0 0 0 0 0 0 0 0 0 0
1 2 2 2 2 6 4 0 0 0 0 2 3 2 2 0 0 0 0 0 0 0 0 0 0 0
6 15 20 20 10 25 35 0 0 0 0 4 8 10 8 0 0 0 0 0 0 0 0 1 1 0
3 13 10 19 10 51 41 0 0 0 0 2 1 7 3 0 0 0 0 0 0 5 3 1 1 0
6 17 15 31 30 48 43 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0
2 6 4 5 8 15 12 0 0 0 0 2 3 6 9 0 0 0 0 0 0 0 0 0 4 0
1 1 4 6 4 25 23 0 0 2 0 0 5 8 6 0 0 0 0 0 0 1 0 0 2 0
2 1 3 12 5 6 9 0 0 0 0 0 2 3 3 0 0 0 0 1 1 3 4 0 0 1
3 6 8 25 8 43 45 0 0 0 0 5 2 7 2 0 0 0 0 0 0 0 0 1 1 0
5 3 2 2 4 9 7 0 0 2 1 5 6 10 10 0 0 0 0 0 0 0 0 0 0 0
9 16 9 23 11 50 50 0 0 4 3 3 2 4 3 0 0 0 0 0 0 0 0 3 3 0
3 3 3 18 19 53 62 2 1 3 2 4 3 5 4 0 0 0 0 0 0 0 0 2 1 0
7 15 13 26 29 60 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0
6 3 1 5 3 10 9 0 0 1 1 2 2 5 5 0 0 0 0 0 0 0 0 0 0 0
70 142 150 270 223 563 557 2 1 15 12 55 59 140 128 0 0 2 0 2 2 10 7 16 21 1
N T
6 - 12 BLN 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 L P
21 22 23 24 25 26 27 28 29 30 31 32 33 34
18 17 17 19 20 22 0 0 2 3 L 3 2 2
2 9 14 10 16 21 0 0 0 0 2 1 1 3
8 12 15 13 29 42 0 0 0 1 15 10 23 30
4 3 9 4 29 34 0 0 0 0 0 0 2 3
3 7 10 9 28 15 0 0 0 0 1 5 20 10
1 1 3 7 7 8 0 0 0 1 2 3 5 9
0 2 2 6 6 13 0 0 0 0 2 1 4 5
3 2 6 5 19 25 0 0 1 0 1 1 7 4
3 4 3 7 13 10 0 0 0 0 0 0 10 8
2 0 2 3 5 10 0 0 0 0 1 0 4 3
2 2 2 2 6 4 0 0 0 0 2 3 2 2
15 20 20 10 25 35 0 0 0 0 4 8 10 8
13 10 19 10 51 41 0 0 0 0 2 1 7 3
17 15 31 30 48 43 0 0 1 1 1 0 0 1
6 4 5 8 15 12 0 0 0 0 2 3 6 9
1 4 6 4 25 23 0 0 2 0 0 5 8 6
1 3 12 5 6 9 0 0 0 0 0 2 3 3
6 8 25 8 43 45 0 0 0 0 5 2 7 2
3 2 2 4 9 7 0 0 2 1 5 6 10 10
16 9 23 11 50 50 0 0 4 3 3 2 4 3
3 3 18 19 53 62 2 1 3 2 4 3 5 4
15 13 26 29 60 26 0 0 0 0 0 0 0 0
3 1 5 3 10 9 0 0 1 1 2 2 5 5
142 150 270 223 563 557 2 1 15 12 55 59 140 128
HUN 2021
D PETUGAS YG HADIR
6 - 12 BLN 12-24 BLN 25-59 BLN PKK PLKB MEDIS KETERANGAN
L P L P L P L P L P
53 54 55 56 57 58 59 60 61 62 63 64
22 20 21 23 24 25 10 0 0 0 0 0
2 9 17 11 17 25 10 0 0 0 4 0
8 13 30 23 52 72 10 0 0 0 5 0
4 3 9 4 31 37 12 0 0 0 4 0
3 7 11 14 48 25 15 0 0 0 4 0
1 2 5 10 12 17 10 0 0 0 3 0
0 3 4 7 10 18 15 0 1 0 6 0
4 2 7 6 26 29 11 0 0 0 5 0
3 4 3 7 23 18 6 0 0 0 2 0
2 0 3 3 9 13 6 0 0 0 0 0
2 2 4 5 8 6 6 0 0 0 2 0
15 20 24 18 35 43 10 0 0 0 5 0
13 10 21 11 63 47 10 0 0 0 5 0
18 16 32 30 48 44 10 0 0 0 5 0
6 4 7 11 21 21 10 0 0 0 5 0
3 4 6 9 34 30 8 0 0 0 2 0
2 3 15 8 13 19 10 0 0 0 4 0
6 8 30 10 50 47 10 0 0 0 5 0
5 3 7 10 19 17 10 0 0 0 4 0
20 12 26 13 54 53 10 0 0 0 5 0
6 5 22 22 58 66 10 0 0 0 5 0
15 13 26 29 60 26 10 0 0 0 4 0
4 2 7 3 15 14 8 0 0 2 3 0
164 165 337 287 730 712 227 0 1 2 87 -
H.P. DIARE
JML. BALITA DIARE
YANG
HIPATITIS CAMPAK TT JUMLAH MENDAPAT
ORALIT
II III I II
L P L P L P L P L P L P L P
21 22 23 24 25 26 27 28 29 30 31 32 33 34
0 0 1 0 2 2 0 0 0 2 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 2 2 1 1 3 0 8 0 7 0 1 1 2
0 0 0 0 0 2 0 0 0 1 0 0 0 1
1 1 1 1 1 0 0 4 0 6 0 0 1 0
0 0 0 0 0 0 0 0 0 0 1 1 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 3 0 0 0 0
0 0 1 1 0 0 0 0 0 3 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 4 1 1 0 3 0 8 1 0 1 0
1 0 1 0 1 1 0 1 0 5 0 0 0 0
0 0 0 2 1 1 0 1 0 8 1 0 1 0
0 1 0 0 1 1 0 1 0 1 1 0 0 1
0 0 2 1 0 1 0 3 0 4 0 0 0 0
0 1 0 1 0 2 0 1 0 1 0 0 0 0
1 0 1 2 1 0 0 0 0 3 0 1 0 1
1 0 0 1 0 0 0 2 0 3 0 0 0 0
0 1 0 1 1 1 0 1 0 5 0 2 0 2
0 0 1 0 1 1 0 2 0 6 0 0 0 0
1 0 0 0 1 0 0 2 0 5 1 0 1 0
1 1 1 0 0 1 0 0 0 0 0 0 0 0
11 7 12 15 12 17 0 29 0 71 5 5 5 7
MENDPT VIT.A
0 - 5 BLN 6 Bln pd 6 Bln pd
SASARAN
AKSLUSIF
Bln ini Bln ini
12-59 BLN 12-59 BLN 0 - 5 Bln
L P L P L P L P L P L P
21 22 23 24 25 26 27 28 29 30 31 32 33 34
23 20 45 49 3 6 4 5 0 1 4 4 0 1
2 9 34 36 1 2 1 2 1 1 1 2 1 1
9 9 52 72 2 4 8 8 1 1 8 8 1 1
4 3 31 37 0 0 2 2 2 2 2 2 2 2
3 7 59 39 1 2 3 7 0 1 3 7 0 1
1 1 17 27 0 0 2 1 0 0 2 1 0 0
1 2 14 25 0 0 1 1 0 0 1 1 0 0
4 2 33 35 0 0 1 0 0 0 1 0 0 0
3 4 26 25 0 0 2 0 0 0 2 0 0 0
2 0 12 16 0 0 1 2 0 0 1 2 0 0
2 2 8 6 0 0 1 1 0 0 1 1 0 0
15 20 59 61 2 4 4 7 0 0 4 7 0 0
13 10 64 58 2 4 4 4 1 2 4 4 2 1
18 16 80 74 1 2 7 6 1 1 7 6 1 1
6 4 28 32 4 8 1 6 0 0 1 6 0 0
3 4 40 39 0 0 3 3 0 0 3 3 0 0
2 3 28 37 0 0 3 2 0 2 3 2 0 2
6 8 80 57 2 4 5 4 2 1 5 4 2 1
5 3 26 27 0 0 1 5 0 1 1 5 0 1
20 12 80 66 0 0 8 12 8 2 8 12 8 2
6 11 85 98 1 2 1 5 1 0 1 5 1 0
15 13 86 55 4 8 9 9 0 0 9 9 0 0
4 2 22 17 0 0 3 6 0 0 3 6 0 0
167 165 1009 988 23 46 75 98 17 15 75 97 18 14
SIA
AN JML YG HADIR KETERANGAN
UMUR
> 70 Thn 45-59 Thn 60-69 Thn > 70 Thn
P L P L P L P L P
12 13 14 15 16 17 18 19 20 21
22 13 10 45 35 7 4 2 2 -
48 10 30 20 25 5 5 0 0 -
50 15 12 25 50 6 10 4 7 -
39 14 10 0 0 0 0 0 0 -
39 10 15 25 30 6 20 0 4 -
8 3 5 2 0 0 7 0 5 -
13 13 21 2 3 3 3 2 5 -
57 21 28 0 0 0 0 0 0 -
45 19 21 0 0 0 0 0 0 -
89 55 68 0 0 0 0 0 0 -
22 1 12 20 25 18 20 0 6 -
20 5 4 5 20 2 5 2 5 -
20 1 10 11 20 6 15 1 10 -
75 35 42 10 48 18 31 1 22 -
75 1 55 2 87 1 55 0 30 -
0 0 0 0 0 0 0 0 0 0
38 3 5 4 27 1 10 0 3 -
35 4 6 0 0 0 0 0 0 -
23 13 10 2 8 0 1 0 5 -
12 2 5 10 33 4 6 1 2 -
30 5 8 5 10 3 10 0 2 -
37 10 20 10 20 10 15 3 7 -
8 3 2 0 0 0 0 0 0 0
805 256 399 198 441 90 217 16 115 -
JUMLAH PETUGAS
YANG HADIR JUMLAH BAYI
BUSUI KADER PLKB MEDIS LAHIR MENINGGAL
L P L P L P L P L P
96 - 10 0 0 0 0 1 2 0 0
43 - 10 0 0 0 4 0 1 0 0
93 - 10 0 0 0 5 1 1 0 0
34 - 12 0 0 0 4 0 0 0 0
42 - 15 0 0 0 4 0 1 0 0
21 0 10 0 0 0 3 0 0 0 0
16 - 15 0 1 0 6 0 0 0 0
20 - 11 0 0 0 5 0 0 0 0
20 - 6 0 0 0 2 0 0 0 0
11 - 6 0 0 0 0 0 0 0 0
15 - 6 0 0 0 2 0 0 0 0
78 - 10 0 0 0 5 1 1 0 0
53 - 10 0 0 0 5 1 1 0 0
109 - 10 0 0 0 5 1 0 0 0
35 - 10 0 0 0 5 0 4 0 0
28 - 8 0 0 0 2 0 0 0 0
33 - 10 0 0 0 4 0 0 0 0
63 - 10 0 0 0 5 2 0 0 0
31 - 10 0 0 0 4 0 0 0 0
91 - 10 0 0 0 5 0 0 0 0
66 - 10 0 0 0 5 1 0 0 0
101 - 10 0 0 0 4 2 2 0 0
25 - 8 0 0 2 3 1 0 0 0
1124 - 227 0 1 2 87 11 13 0 0
021
BALITA YANG
MENDERITA DIARE
HEPATITIS B Mendapat
I II III ORALIT
CAMPAK P L P L P L P JUMLAH
L P L P
2 1 2 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
3 5 4 2 2 2 1 0 1 1 2
2 2 0 0 0 0 0 0 0 0 1
0 0 1 1 1 1 1 0 0 1 0
0 1 0 0 0 0 0 1 1 0 0
0 0 1 1 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
1 0 0 2 0 0 4 1 0 1 0
1 0 1 1 0 1 0 0 0 0 0
1 2 0 0 0 0 2 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1
1 0 0 0 0 2 1 0 0 0 0
2 0 0 0 1 0 1 0 0 0 0
0 1 0 1 0 1 2 0 1 0 1
0 1 1 1 0 0 1 0 0 0 0
1 0 0 0 1 0 1 0 2 0 2
1 2 2 0 0 1 0 0 0 0 0
0 3 3 1 0 0 0 1 0 1 0
1 1 0 1 1 1 0 0 0 0 0
16 18 15 10 6 11 15 5 5 5 7
IMUNISASI
PENIMBANGAN BALITA TT IBU
L BALITA JML YG JML YG JML YG JML YG HAMIL
MEMILIKI DITIMBANG NAIK (N) MENDAPAT MENDAPAT
KMS
(D) (N) VIT A PMT
P L P L P L P L P I II
73 71 73 59 61 68 69 71 73 0 2
47 37 47 33 42 36 45 37 47 0 0
116 98 116 57 72 61 81 98 116 8 7
46 46 46 43 42 35 40 46 46 0 1
53 65 53 44 38 62 46 65 53 4 6
30 20 30 13 17 18 28 20 30 0 0
27 15 29 9 22 15 27 15 29 0 0
37 38 37 29 32 37 37 38 37 0 3
29 31 29 21 21 29 29 31 29 0 3
18 15 18 10 15 14 16 15 18 0 0
14 15 14 11 9 10 8 15 14 0 0
72 78 88 63 71 74 81 78 88 3 8
78 101 72 86 64 77 68 101 72 1 5
96 105 96 102 94 98 90 105 96 1 8
42 35 42 27 26 34 36 35 42 1 1
46 46 46 35 32 43 43 46 46 3 4
37 33 32 22 19 30 40 33 32 1 1
69 91 69 78 64 86 65 91 69 0 3
35 32 35 15 18 31 30 32 35 2 3
90 108 90 94 79 100 78 108 90 1 5
98 99 98 83 87 91 109 99 98 2 6
77 110 77 108 75 101 68 110 77 2 5
25 29 25 21 19 26 19 29 25 0 0
1255 1318 1262 1063 1019 1176 1153 1318 1262 29 71
E. LANSIA
JUMLAH NO JENIS JUMLAH JUMLAH JUMLAH
L P IMUNISASI L P UMUR SASARAN YANG HADIR
13 11 8 POLIO 4 10 15 L P L P
17 16 9 HEPATITIS 1 19 15 45-60 Tahun 1664 1923 198 441
12 7 10 HEPATITIS 2 11 7 60-69 Tahun 785 805 90 217
10 13 11 HEPATITIS 3 12 15 > 70 Tahun 256 399 16 115
14 11 12 CAMPAK 12 17
17 16 13 TT I 0 29 F. KPPASI
14 7 14 TT 2 0 71 PESERTA JML
SASARAN YG HADIR
I EKSLUSIF BUMIL 129 129
SASARAN MASIH ASI E BUSUI 0-6 BLN 203 205
L P L P BUSUI 7-24 BLN 888 888
75 98 75 97
SASARAN LULUS ASI E J. VITAMIN
L P L P SASARAN Jml.VIT A yg
17 15 18 14 UMUR diberikan
L P L P
6 - 11 bulan 166 166 167 165
12 - 59 bulan 1009 988 1009 988
Bufas - 23 - 46
Depok, . . . . . . . . . . . . . . . .
Ketua Pokja 4
( ...................)
JUMLAH PETUGAS
YANG HADIR JUMLAH BAYI
L P L P L P L P L P
- 227 0 1 2 87 11 13 0 0
- 227 0 1 2 87 11 13 0 0
0 454 0 2 4 174 22 26 0 0
0 2510 2636 2524 2126 2038 2352 2306 2636 2524 58 142
BALITA YANG
MENDERITA DIARE
CAMPAK
HEPATITIS B JUMLAH
Mendapat
I II III ORALIT
P L P L P L P L P L P
16 18 15 10 6 11 15 5 5 5 7
16 18 15 10 6 11 15 5 5 5 7
0 0
D. IMUNISASI
0 0 0 1 1 4 5 22 20 21 23 24 25 144 10 0 0 0 0 - 0 1 1 2 0 0 1 0 0 1
0 1 0 0 1 1 2 2 9 17 11 17 25 84 10 0 0 0 40 0 1 0 0 0 0 0 0 0 1
0 0 0 0 0 8 8 8 13 30 23 52 72 214 10 0 0 0 50 1 1 5 4 0 2 2 1 1 1
0 0 0 0 0 2 2 4 3 9 4 31 37 92 12 0 0 0 40 2 0 0 0 0 0 0 0 2 0
0 0 0 0 0 3 7 3 7 11 14 48 25 118 15 0 0 0 40 3 1 0 1 1 1 1 1 3 1
0 0 0 0 0 2 1 1 2 5 10 12 17 50 10 0 0 0 30 0 0 1 0 0 1 0 0 0 0
1 0 0 0 0 1 1 0 3 4 7 10 18 44 15 0 1 0 60 0 0 0 1 1 0 0 0 0 0
0 0 0 0 0 1 0 4 2 7 6 26 29 75 11 0 0 0 50 0 0 0 0 0 0 1 0 0 0
0 0 0 0 2 0 3 4 3 7 23 18 60 6 0 0 0 20 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 2 2 0 3 3 9 13 33 6 0 0 0 00 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 2 2 4 5 8 6 29 6 0 0 0 20 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 4 7 15 20 24 18 35 43 166 10 0 0 0 50 1 1 0 0 2 0 0 4 1 1
0 0 0 0 0 4 4 13 10 21 11 63 47 173 10 0 0 0 50 1 1 0 1 1 0 1 0 1 1
0 0 0 0 0 7 6 18 16 32 30 48 44 201 10 0 0 0 50 1 0 2 0 0 0 0 2 1 0
0 0 0 0 0 1 6 6 4 7 11 21 21 77 10 0 0 0 50 0 4 0 1 1 0 0 0 0 4
0 0 0 0 1 3 3 3 4 6 9 34 30 92 8 0 0 0 20 0 0 0 0 0 0 1 2 0 0
0 2 0 1 3 3 2 2 3 15 8 13 19 65 10 0 0 0 40 0 0 0 0 0 1 0 1 0 0
0 0 0 0 0 5 4 6 8 30 10 50 47 160 10 0 0 0 50 1 0 1 0 1 0 1 0 1 0
0 0 0 0 0 1 5 5 3 7 10 19 17 67 10 0 0 0 40 0 0 1 1 1 0 0 1 0 0
0 0 0 0 0 8 12 20 12 26 13 54 53 198 10 0 0 0 50 0 0 0 0 2 1 0 1 0 0
0 0 0 0 0 13 5 6 5 22 22 58 66 197 10 0 0 0 50 1 1 2 2 0 0 1 0 1 1
0 0 0 0 0 9 9 15 13 26 29 60 26 187 10 0 0 0 40 2 0 3 3 1 0 0 0 2 0
0 0 0 0 0 3 6 4 2 7 3 15 14 54 8 0 0 2 30 0 0 1 0 1 1 1 0 1 0
1 3 0 2 6 87 98 164 165 337 287 730 712 227 0 1 2 87 - 13 11 17 16 12 7 10 13 14 11
H.P. DIARE G. KB
1 2 0 0 1 0 1 2 0 0 1 0 2 2 0 0 0 2 0 0 0 0 14 7 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 4 0 2 2 1 5 4 2 2 2 1 1 3 0 8 0 7 0 1 1 2 23 11 2 4 0 0 9 4
0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 0 1 0 0 0 1 3 0 2 0 0 0 10 0
0 1 1 1 1 1 0 1 1 1 1 1 1 0 0 4 0 6 0 0 1 0 4 0 0 0 0 0 1 0
1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 2 28 0 0 0 0 0 0
0 1 1 o 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 1 0 0 0 0 2
0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 3 0 0 0 0 8 11 0 1 0 0 1 2
0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 3 0 0 0 0 3 0 1 0 0 0 2 0
0 0 0 0 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 3
0 0 0 0 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
0 0 2 0 0 4 0 0 2 0 0 4 1 1 0 3 0 8 1 0 1 0 5 0 0 0 0 0 4 0
0 1 1 0 1 0 0 1 1 0 1 0 1 1 0 1 0 5 0 0 0 0 0 2 0 2 0 0 0 4
2 0 0 0 0 2 2 0 0 0 0 2 1 1 0 1 0 8 1 0 1 0 3 2 3 3 0 0 1 1
0 1 1 0 0 0 0 0 0 1 0 0 1 1 0 1 0 1 1 0 0 1 5 0 3 0 0 0 3 0
0 0 0 0 1 2 0 0 0 0 2 1 0 1 0 3 0 4 0 0 0 0 5 0 0 0 0 0 3 0
0 0 0 1 0 1 0 0 0 1 0 1 0 2 0 1 0 1 0 0 0 0 3 0 3 0 0 0 3 0
1 0 1 0 0 1 1 0 1 0 1 2 1 0 0 0 0 3 0 1 0 1 0 11 0 11 0 2 0 7
1 1 1 0 1 0 1 1 1 0 0 1 0 0 0 2 0 3 0 0 0 0 2 0 0 0 0 0 0 0
0 0 2 1 0 1 0 0 0 1 0 1 1 1 0 1 0 5 0 2 0 2 10 0 3 0 0 0 1 0
2 2 0 0 1 0 2 2 0 0 1 0 1 1 0 2 0 6 0 0 0 0 10 0 5 0 0 0 10 0
3 3 3 0 0 2 3 3 1 0 0 0 1 0 0 2 0 5 1 0 1 0 10 0 5 0 0 0 10 0
1 0 1 1 1 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0
17 16 14 7 10 15 19 15 11 7 12 15 12 17 0 29 0 71 5 5 5 7 111 89 28 21 0 2 64 23
J. VITAMIN A K. ASI EKSLUSIF F. KPPASI
SASARAN
MENDPT
SUNTIK PIL KONDOM 0 - 5 BLN MASIH ASI 6 Bln pd BUSUI
PSI BU- BU-
JML SASARAN
VIT. A
SERTA 6 - 11 BLN 12 - 59 BLN 6JML
- 11YG
BLNDIBERI
12VIT.
- 59ABLN 6 Bln pd 0 - 5 Bln Bln ini MIL 0-6 7 - 24 MIL
Bln ini
P S P S P S L P L P L P L P L P L P L P L P Bln Bln
34 18 39 2 0 0 22 20 45 49 23 20 45 49 3 6 4 5 0 1 4 4 0 1 5 10 86
0 31 0 12 10 0 2 9 34 36 2 9 34 36 1 2 1 2 1 1 1 2 1 1 5 5 36
34 14 15 15 1 1 9 9 52 72 9 9 52 72 2 4 8 8 1 1 8 8 1 1 15 18 62
15 0 15 0 2 0 4 3 31 37 4 3 31 37 0 0 2 2 2 2 2 2 2 2 1 8 26
30 3 1 7 0 5 3 7 59 39 3 7 59 39 1 2 3 7 0 1 3 7 0 1 11 8 34
3 35 0 11 0 9 1 2 17 27 1 1 17 27 0 0 2 1 0 0 2 1 0 0 0 3 18
0 5 0 2 0 3 1 2 14 25 1 2 14 25 0 0 1 1 0 0 1 1 0 0 0 2 14
20 15 3 8 23 28 4 2 33 35 4 2 33 35 0 0 1 0 0 0 1 0 0 0 4 1 19
25 0 18 0 0 0 3 4 26 25 3 4 26 25 0 0 2 0 0 0 2 0 0 0 3 3 17
15 4 2 3 0 5 2 0 12 16 2 0 12 16 0 0 1 2 0 0 1 2 0 0 0 3 8
6 0 0 12 0 8 2 2 8 6 2 2 8 6 0 0 1 1 0 0 1 1 0 0 2 2 13
90 0 0 10 0 0 15 20 59 61 15 20 59 61 2 4 4 7 0 0 4 7 0 0 12 11 67
1 21 0 1 0 0 13 10 64 58 13 10 64 58 2 4 4 4 1 2 4 4 2 1 6 11 42
55 30 40 26 0 0 18 16 80 74 18 16 80 74 1 2 7 6 1 1 7 6 1 1 11 15 94
25 0 30 0 2 0 6 4 28 32 6 4 28 32 4 8 1 6 0 0 1 6 0 0 2 7 28
0 25 0 25 10 0 3 4 40 39 3 4 40 39 0 0 3 3 0 0 3 3 0 0 9 6 22
27 0 23 0 0 0 2 3 28 37 2 3 28 37 0 0 3 2 0 2 3 2 0 2 3 7 26
42 31 0 25 0 7 6 8 80 57 6 8 80 57 2 4 5 4 2 1 5 4 2 1 4 12 51
30 0 0 10 0 0 5 3 26 27 5 3 26 27 0 0 1 5 0 1 1 5 0 1 7 7 24
20 80 5 75 5 0 20 12 80 66 20 12 80 66 0 0 8 12 8 2 8 12 8 2 9 30 61
50 0 10 0 8 0 6 11 85 98 6 11 85 98 1 2 1 5 1 0 1 5 1 0 7 7 59
50 0 10 0 8 0 15 13 86 55 15 13 86 55 4 8 9 9 0 0 9 9 0 0 13 18 83
3 15 0 19 0 0 4 2 22 17 4 2 22 17 0 0 3 6 0 0 3 6 0 0 0 9 16
575 327 211 263 69 66 166 166 1009 988 167 165 1009 988 23 46 75 98 17 15 75 97 18 14 129 203 906
E. LANSIA