FEBRUARI TAHUN 2021

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 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 4 5 22 20 21 24 24 25 4 4 23 20 21 24 24 25 4 3 18
2 CAMAR .002 1 2 2 9 17 11 17 25 1 2 2 9 17 11 17 25 1 2 2
3 GELATIK A .003 8 8 8 13 30 23 52 72 8 8 8 13 30 23 52 72 5 5 8
4 GELATIK B .003 2 2 4 3 9 4 31 37 2 2 4 3 9 4 31 37 1 1 4
5 ELANG .004 3 7 3 7 11 14 48 25 3 7 3 7 11 14 48 25 3 7 3
6 MERPATI .005 2 1 1 2 5 10 12 17 2 1 1 2 5 10 12 17 2 1 1
7 GARUDA .006 1 1 2 1 4 7 10 18 1 1 2 1 4 7 10 18 1 1 0
8 CENDRAWASIH .007 1 0 4 2 7 6 26 29 1 0 4 2 7 6 26 29 1 0 3
9 ANGSA .008 2 0 3 4 3 7 23 18 2 0 3 4 3 7 23 18 2 0 3
1 KIJANG .009 1 2 2 0 3 3 9 13 1 2 2 0 3 3 9 13 1 2 2
11 KUTILANG .011 1 1 2 2 4 5 8 6 1 1 2 2 4 5 8 6 1 1 2
12 PANDA A .012 4 4 13 10 21 11 63 47 4 4 13 10 21 11 63 47 3 6 15
13 PANDA B .012 4 4 15 9 16 8 85 57 4 4 15 9 16 8 85 57 3 3 13
14 RUSA 013 7 6 18 16 32 30 48 44 7 6 18 16 32 30 48 44 6 6 17
15 MURAI .014 1 6 6 4 7 11 21 21 1 6 6 4 7 11 21 21 1 2 6
16 MERAK .015 3 3 3 4 6 9 34 30 3 3 3 4 6 9 34 30 3 1 1
17 KANCIL 016 3 4 2 1 12 8 12 24 3 4 2 1 12 8 12 24 3 2 1
18 KELINCI 017 5 4 6 8 30 10 50 47 5 4 6 8 30 10 50 47 4 3 6
19 CAMAR B .018 1 5 5 3 7 10 19 17 1 5 5 3 7 10 19 17 1 5 3
20 KANGURU A .019 8 12 20 12 26 13 54 53 8 12 20 12 26 13 54 53 5 9 16
21 KANGURU B .019 13 5 6 5 22 22 58 66 13 5 6 5 22 22 58 66 9 3 3
22 NURI 20 9 9 15 13 26 29 60 26 9 9 15 13 26 29 60 26 7 7 15
23 BANGAU .023 3 6 4 2 7 3 15 14 3 6 4 2 7 3 15 14 3 6 3
JUMLAH 87 97 166 150 326 278 779 731 87 96 167 150 326 278 779 731 67 70 142

B. SURVEILANS
BULAN = FEBRUARI
ALAMAT LAHIR UMUR
NAMA (Bulan)
ORANG TUA
 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

C. KIA I. KUNJUNGAN KIA

 C. KIA I. KUNJUNGAN KIA
BULAN = FEBRUARI
UMUR
NAMA ALAMAT UMUR KEHAMILAN
BUMIL HAMIL
(Bln)
N0 SUAMI ISTRI (Thn) KE

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 KEHAMILAN
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

LAPORAN BULANAN POSYANDU

KELURAHAN DEPOK KECAMATAN PANCORAN MAS DEPOK
BULAN FEBRUARI 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 4 5 22 20 21 24 24 25 4 4 23 20 21 24 24 25 4 3 18 17
2 CAMAR 1 2 2 9 17 11 17 25 1 2 2 9 17 11 17 25 1 2 2 9
3 GELATIK A 8 8 8 13 30 23 52 72 8 8 8 13 30 23 52 72 5 5 8 12
GELATIK B 2 2 4 3 9 4 31 37 2 2 4 3 9 4 31 37 1 1 4 3
4 ELANG 3 7 3 7 11 14 48 25 3 7 3 7 11 14 48 25 3 7 3 7
5 MERPATI 2 1 1 2 5 10 12 17 2 1 1 2 5 10 12 17 2 1 1 1
6 GARUDA 1 1 2 1 4 7 10 18 1 1 2 1 4 7 10 18 1 1 0 2
7 CENDRAWASIH 1 0 4 2 7 6 26 29 1 0 4 2 7 6 26 29 1 0 3 2
8 ANGSA 2 0 3 4 3 7 23 18 2 0 3 4 3 7 23 18 2 0 3 4
9 KIJANG 1 2 2 0 3 3 9 13 1 2 2 0 3 3 9 13 1 2 2 0
11 KUTILANG 1 1 2 2 4 5 8 6 1 1 2 2 4 5 8 6 1 1 2 2
12 PANDA A 4 4 13 10 21 11 63 47 4 4 13 10 21 11 63 47 3 6 15 20
PANDA B 4 4 15 9 16 8 85 57 4 4 15 9 16 8 85 57 3 3 13 10
13 RUSA 7 6 18 16 32 30 48 44 7 6 18 16 32 30 48 44 6 6 17 15
14 MURAI 1 6 6 4 7 11 21 21 1 6 6 4 7 11 21 21 1 2 6 4
15 MERAK 3 3 3 4 6 9 34 30 3 3 3 4 6 9 34 30 3 1 1 4
16 KANCIL 3 4 2 1 12 8 12 24 3 4 2 1 12 8 12 24 3 2 1 3
17 KELINCI 5 4 6 8 30 10 50 47 5 4 6 8 30 10 50 47 4 3 6 8
18 CAMAR B 1 5 5 3 7 10 19 17 1 5 5 3 7 10 19 17 1 5 3 2
19 KANGURU A 8 12 20 12 26 13 54 53 8 12 20 12 26 13 54 53 5 9 16 9
KANGURU B 13 5 6 5 22 22 58 66 13 5 6 5 22 22 58 66 9 3 3 3
20 NURI 9 9 15 13 26 29 60 26 9 9 15 13 26 29 60 26 7 7 15 13
21 BANGAU 3 6 4 2 7 3 15 14 3 6 4 2 7 3 15 14 3 6 3 1
JUMLAH 87 97 166 150 326 278 779 731 87 96 167 150 326 278 779 731 67 70 142 150
LAPORAN BULANAN POSYANDU
KELURAHAN DEPOK KECAMATAN PANCORAN MAS DEPOK
BULAN FEBRUARI 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 2 0 1 1 1 0 0 2 0 0 0 0 1 1 3 5 22 20
2 CAMAR 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 2 2 9
3 GELATIK A 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 8 8 8 13
GELATIK B 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 2 2 4 3
4 ELANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 7 3 7
5 MERPATI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 2
6 GARUDA 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 3
7 CENDRAWASIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 4 2
8 ANGSA 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 3 0 3 4
9 KIJANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2 0
11 KUTILANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 2
12 PANDA A 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 4 7 15 20
PANDA B 0 0 0 0 0 0 5 3 1 1 0 0 0 0 0 0 4 4 13 10
13 RUSA 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 7 6 18 16
14 MURAI 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 1 6 6 4
15 MERAK 0 0 0 0 0 0 1 0 0 2 0 0 0 0 0 1 3 3 3 4
16 KANCIL 0 0 0 0 1 1 3 4 0 0 1 0 2 0 1 3 3 2 2 3
17 KELINCI 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 5 4 6 8
18 CAMAR B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 5 3
19 KANGURU A 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 8 12 20 12
KANGURU B 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 13 5 6 5
20 NURI 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 9 9 15 13
21 BANGAU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 6 4 2
JUMLAH 0 0 2 0 2 2 10 7 16 21 1 1 3 0 2 6 88 98 164 165
FEBRUARI TAHUN 2021 D. IMUNISASI
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 1 1 2 0 0 1 0 0 1 1 2 0 0 1 0 1 2 0 0
2 CAMAR 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
3 GELATIK A 1 1 5 4 0 2 2 1 1 1 5 4 0 2 2 1 5 4 2 2
GELATIK B 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 0 0
4 ELANG 3 1 0 1 1 1 1 1 3 1 0 1 1 1 1 1 0 1 1 1
5 MERPATI 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 0
6 GARUDA 0 0 0 1 1 0 0 0 0 0 0 1 1 o 0 0 0 1 1 0
7 CENDRAWASIH 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0
8 ANGSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 KIJANG 0 0 0 0 0 0 0 0 0 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 1 0 0 2 0 0 4 1 1 0 0 2 0 0 4 0 0 2 0
PANDA B 1 1 0 1 1 0 1 0 1 1 0 1 1 0 1 0 0 1 1 0
13 RUSA 1 0 2 0 0 0 0 2 1 0 2 0 0 0 0 2 2 0 0 0
14 MURAI 0 4 0 1 1 0 0 0 0 4 0 1 1 0 0 0 0 0 0 1
15 MERAK 0 0 0 0 0 0 1 2 0 0 0 0 0 0 1 2 0 0 0 0
16 KANCIL 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 1
17 KELINCI 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0 1 0
18 CAMAR B 0 0 1 1 1 0 0 1 0 0 1 1 1 0 1 0 1 1 1 0
19 KANGURU A 0 0 0 0 2 1 0 1 0 0 0 0 2 1 0 1 0 0 0 1
 KANGURU B 1 1 2 2 0 0 1 0 1 1 2 2 0 0 1 0 2 2 0 0
20 NURI 2 0 3 3 1 0 0 0 2 0 3 3 3 0 0 2 3 3 1 0
21 BANGAU 0 0 1 0 1 1 1 0 1 0 1 0 1 1 1 0 1 0 1 1
JUMLAH 13 11 17 16 12 7 10 13 14 11 17 16 14 7 10 15 19 15 11 7

FEBRUARI TAHUN 2021 G. KB J. VITAMIN A

ALAT KONTRASEPSI JML YG DIBERI VIT A
JML SASARAN
RW NAMA IUD MOW MOP IMPLANT SUNTIK PIL KONDOM
POSYANDU JUMLAH PESERTA 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 22 20 45 49 23 20
2 CAMAR 0 0 0 0 0 0 0 0 0 31 0 12 10 0 2 9 34 36 2 9
3 GELATIK A 23 11 2 4 0 0 9 4 34 14 15 15 1 1 9 9 52 72 9 9
GELATIK B 3 0 2 0 0 0 10 0 15 0 15 0 2 0 4 3 31 37 4 3
4 ELANG 4 0 0 0 0 0 1 0 30 3 1 7 0 5 3 7 59 39 3 7
5 MERPATI 2 28 0 0 0 0 0 0 3 35 0 11 0 9 1 2 17 27 1 1
6 GARUDA 0 7 1 0 0 0 0 2 0 5 0 2 0 3 1 2 14 25 1 2
7 CENDRAWASIH 8 11 0 1 0 0 1 2 20 15 3 8 23 28 4 2 33 35 4 2
8 ANGSA 3 0 1 0 0 0 2 0 25 0 18 0 0 0 3 4 26 25 3 4
9 KIJANG 0 0 0 0 0 0 4 3 15 4 2 3 0 5 2 0 12 16 2 0
11 KUTILANG 0 8 0 0 0 0 2 0 6 0 0 12 0 8 2 2 8 6 2 2
12 PANDA A 5 0 0 0 0 0 4 0 90 0 0 10 0 0 15 20 59 61 15 20
PANDA B 0 2 0 2 0 0 0 4 1 21 0 1 0 0 13 10 64 58 13 10
13 RUSA 3 2 3 3 0 0 1 1 55 30 40 26 0 0 18 16 80 74 18 16
14 MURAI 5 0 3 0 0 0 3 0 25 0 30 0 2 0 6 4 28 32 6 4
15 MERAK 5 0 0 0 0 0 3 0 0 25 0 25 10 0 3 4 40 39 3 4
16 KANCIL 3 0 3 0 0 0 3 0 27 0 23 0 0 0 2 3 28 37 2 3
17 KELINCI 0 11 0 11 0 2 0 7 42 31 0 25 0 7 6 8 80 57 6 8
18 CAMAR B 2 0 0 0 0 0 0 0 30 0 0 10 0 0 5 3 26 27 5 3
 19 KANGURU A 10 0 3 0 0 0 1 0 20 80 5 75 5 0 20 12 80 66 20 12
KANGURU B 10 0 5 0 0 0 10 0 50 0 10 0 8 0 6 11 85 98 6 11
20 NURI 10 0 5 0 0 0 10 0 50 0 10 0 8 0 15 13 86 55 15 13
21 BANGAU 1 2 0 0 0 0 0 0 3 15 0 19 0 0 4 2 22 17 4 2
JUMLAH 111 89 28 21 0 2 64 23 575 327 211 263 69 66 166 166 1009 988 167 165

FEBRUARI TAHUN 2021

F. KPPASI E. LANSIA
NO NAMA JML SASARAN JML YG HADIR JUMLAH SASARAN
POSYANDU BUSUI BUSUI UMUR
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 5 10 86 5 10 86 100 125 20 22
2 CAMAR 5 5 36 5 7 36 50 50 40 48
3 GELATIK A 15 18 62 15 18 75 130 140 42 50
GELATIK B 1 8 26 1 8 26 141 140 32 39
4 ELANG 11 8 34 11 8 34 107 116 35 39
5 MERPATI 0 3 18 0 3 18 20 30 5 8
6 GARUDA 0 2 14 0 2 14 26 26 29 13
7 CENDRAWASIH 4 1 19 4 1 19 130 125 68 57
8 ANGSA 3 3 17 3 3 17 125 143 42 45
9 KIJANG 0 3 8 0 3 8 88 101 75 89
11 KUTILANG 2 2 13 2 2 13 30 37 20 22
12 PANDA A 12 11 67 12 11 67 20 32 10 20
PANDA B 6 11 42 6 11 42 75 100 15 20
13 RUSA 11 15 94 11 15 94 79 132 100 75
14 MURAI 2 7 28 2 7 28 125 125 75 75
15 MERAK 9 6 22 9 6 22 0 0 0 0
16 KANCIL 3 7 26 3 7 26 50 70 39 38
17 KELINCI 4 12 51 4 12 51 120 149 31 35
 18 CAMAR B 7 7 24 7 7 24 20 21 20 23
19 KANGURU A 9 30 61 9 30 61 30 33 10 12
KANGURU B 7 7 59 7 7 59 120 157 30 30
20 NURI 13 18 83 13 18 83 50 50 38 37
21 BANGAU 0 9 16 0 9 16 28 21 9 8
JUMLAH 129 203 906 129 205 919 1664 1923 785 805
JUMLAH PENGUNJUNG / JUMLAH PETUGAS POSYANDU
JUMLAH BAYI LAHIR / MENINGGAL
BULAN FEBRUARI 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 2 25 23 0 0 21 23 1 1 23 24 164 154 5 96
2 CAMAR .002 0 0 3 11 1 0 16 25 0 1 17 24 88 76 5 43
3 GELATIK A .003 3 3 13 18 0 0 30 23 0 0 52 72 185 180 15 93
4 GELATIK B .003 1 1 5 4 0 0 9 4 0 0 31 37 227 209 1 34
5 ELANG .004 0 0 6 14 0 0 11 14 0 0 48 25 135 120 11 42
6 MERPATI .005 0 0 3 3 0 0 5 10 0 0 12 17 78 66 0 21
7 GARUDA .006 0 1 1 3 0 0 4 7 0 0 10 18 72 62 0 16
8 CENDRAWASIH .007 0 0 5 2 0 0 7 6 0 0 26 29 90 80 4 20
9 ANGSA .008 1 0 5 4 0 0 3 7 0 0 23 18 128 110 3 20
10 KIJANG .009 0 0 3 2 0 0 3 3 0 0 9 13 68 56 0 11
11 KUTILANG .011 0 0 3 3 0 0 4 5 0 0 8 6 58 46 2 15
12 PANDA A .012 1 1 18 26 0 0 24 18 0 0 35 43 158 150 12 78
13 PANDA B .012 1 1 16 13 0 0 21 11 0 0 63 47 125 116 6 53
14 RUSA .013 1 0 24 22 0 0 32 30 0 0 48 44 190 175 11 109
15 MURAI .014 0 4 7 6 0 0 7 11 0 0 21 21 84 80 2 35
16 MERAK .015 0 2 6 5 0 0 6 9 0 1 34 29 115 105 9 28
 17 KANCIL .016 1 0 4 5 2 0 13 8 1 3 12 16 65 58 3 33
18 KELINCI .017 1 1 10 11 0 0 30 10 0 0 50 47 215 185 4 63
19 CAMAR B .018 0 0 6 8 0 0 7 10 0 0 19 17 115 101 7 31
20 KANGURU A .019 3 3 25 21 0 0 26 13 0 0 54 53 210 200 9 91
21 KANGURU B .019 2 1 17 9 0 0 22 22 0 0 58 66 275 140 7 66
22 NURI .020 2 2 22 20 0 0 26 29 0 0 60 26 188 178 13 101
23 BANGAU .023 0 0 7 8 0 0 7 5 0 0 15 14 55 49 0 25
JUMLAH 17 22 234 233 3 0 327 298 2 6 713 692 3088 2696 129 1124
DATA HASIL KEGIATAN POSYANDU
BULAN FEBRUARI TAHUN 2021
format 7

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 P
1 PARKIT .001 0 1 1 2 0 0 1 0 0 1 1 2 0 0 1 0 2 2
2 CAMAR .002 0 1 0 0 0 0 0 0 0 1 0 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 3
4 GELATIK B .003 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 2
5 ELANG .004 3 1 0 1 1 1 1 1 3 1 0 1 1 1 1 1 1 0
6 MERPATI .005 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0
7 GARUDA .006 0 0 0 1 1 0 0 0 0 0 0 1 1 o 0 0 0 0
8 CENDRAWASIH .007 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0
9 ANGSA .008 0 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 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 1 0 0 2 0 0 4 1 1 0 0 2 0 0 4 1 1
13 PANDA B .012 1 1 0 1 1 0 1 0 1 1 0 1 1 0 1 0 1 1
14 RUSA .013 1 0 2 0 0 0 0 2 1 0 2 0 0 0 0 2 1 1
15 MURAI .014 0 4 0 1 1 0 0 0 0 4 0 1 1 0 0 0 1 1
16 MERAK .015 0 0 0 0 0 0 1 2 0 0 0 0 0 0 1 2 0 1
 17 KANCIL .016 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 2
18 KELINCI .017 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 1 0
19 CAMAR B .018 0 0 1 1 1 0 0 1 0 0 1 1 1 0 1 0 0 0
20 KANGURU A .019 0 0 0 0 2 1 0 1 0 0 0 0 2 1 0 1 1 1
21 KANGURU B .019 1 1 2 2 0 0 1 0 1 1 2 2 0 0 1 0 1 1
22 NURI .020 2 0 3 3 1 0 0 0 2 0 3 3 3 0 0 2 1 0
23 BANGAU .023 0 0 1 0 1 1 1 0 1 0 1 0 1 1 1 0 0 1
JUMLAH 13 11 16 16 11 6 9 13 13 11 16 16 13 6 9 15 12 16
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 P

1 PARKIT .001 5 5 5 96 0 41 0 0 0 7 52 0 71 74 72 73
2 CAMAR .002 5 5 5 43 10 12 0 0 0 0 31 0 37 47 37 47
3 GELATIK A .003 15 15 15 93 2 30 13 0 6 11 48 0 98 116 98 116
4 GELATIK B .003 1 1 1 34 2 15 10 0 2 0 15 0 46 46 46 46
5 ELANG .004 11 11 11 42 5 8 1 0 0 0 33 0 65 53 65 53
6 MERPATI .005 0 0 0 21 9 11 0 0 0 28 38 0 20 30 20 30
7 GARUDA .006 0 0 0 16 3 2 2 0 1 7 5 0 17 27 17 27
8 CENDRAWASIH .007 4 4 4 20 51 11 3 0 1 11 35 0 38 37 38 37
9 ANGSA .008 3 3 3 20 0 18 2 0 1 0 25 0 31 29 31 29
10 KIJANG .009 0 0 0 11 5 5 7 0 0 0 19 0 15 18 15 18
11 KUTILANG .011 2 2 2 15 8 12 2 0 0 8 6 0 15 14 15 14
12 PANDA A .012 12 12 12 78 0 10 4 0 0 0 90 0 101 72 101 72
13 PANDA B .012 6 6 6 53 0 1 4 0 2 2 22 0 120 78 120 78
 14 RUSA .013 11 11 11 109 0 66 2 0 6 2 85 0 105 96 105 96
15 MURAI .014 2 2 2 35 2 30 3 0 3 0 25 0 35 42 35 42
16 MERAK .015 9 9 9 28 10 25 3 0 0 0 25 0 46 46 46 46
17 KANCIL .016 3 3 3 33 0 23 3 0 3 0 27 0 29 37 29 37
18 KELINCI .017 4 4 4 63 7 25 7 2 11 11 73 0 91 69 91 69
19 CAMAR B .018 7 7 7 31 0 10 0 0 0 0 30 0 32 35 32 35
20 KANGURU A .019 9 9 9 91 5 80 1 0 3 0 100 0 108 90 108 90
21 KANGURU B .019 7 7 7 66 8 10 10 0 5 0 50 0 99 98 99 98
22 NURI .020 13 13 13 101 8 10 10 0 5 0 50 0 110 77 110 77
23 BANGAU .023 0 0 0 25 0 19 0 0 0 2 18 0 29 25 29 25
JUMLAH 129 129 129 1124 0 135 474 87 2 49 89 902 0 1358 1256 1359 1255
LAPORAN BULANAN POSYANDU
Nama posyandu : PKK KELURAHAN DEPOK Tanggal penimbangan : FEBRUARI 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
UMUR L P L P L P L P L P L P L P IMUNISASI L P
BALITA
0 - 5 Bulan 87 97 87 96 67 70 2 1 0 0 16 21 88 98 1 BCG 13 11
6 - 11 Bulan 166 150 167 150 142 150 15 12 2 0 1 1 164 165 2 DPT 1 17 16
JUMLAH 253 247 254 246 209 220 17 13 2 0 17 22 252 263 3 DPT 2 12 7
12 - 24 Bulan 326 278 326 278 270 223 55 59 2 2 3 0 337 303 4 DPT 3 10 13
25 - 59 Bulan 779 731 779 731 563 557 140 128 10 7 2 6 730 712 5 POLIO 1 14 11
JUMLAH 1105 1009 1105 1009 833 780 195 187 12 9 5 6 1067 1015 6 POLIO 2 17 16
TOTAL 1 + 2 1358 1256 1359 1255 1042 1000 212 200 14 9 22 28 1319 1278 7 POLIO 3 14 7

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 111 89 DIARE YANG 1 K1 0 - 5 bulan 75
2 MOW 28 21 L P DIBERIKAN 2 K4 6 bulan SASARAN
3 MOP 0 2 3 N2 pada L
4 IMPLANT 64 23 4 LINAKES bulan ini 17
JUMLAH 203 135
 5 SUNTIK 575 327
6 PIL 211 263
7 KONDOM 69 66
JUMLAH 855 656
TOTAL 1058 791 Mengetahui
Pembina Wilayah Posyandu
Hal yang perlu dilaporkan :
PUS = 2696
WUS = 3088
BUSUI = 1124 ( ...................)

JUMLAH PENGUNJUNG / JUMLAH PETUGAS POSYANDU

JUMLAH BAYI LAHIR / MENINGGAL
TAHUN 2021

JUMLAH PENGUNJUNG
JUMLAH P
BALITA IBU YANG H
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 17 22 234 233 3 0 327 298 2 6 713 692 3088 2696 129 1124 - 227

2 FEBRUARI 17 22 234 233 3 0 327 298 2 6 713 692 3088 2696 129 1124 - 227

3
4
5
6
7
8
9
10
11
12
J UM L A H 34 44 468 466 6 0 654 596 4 12 1426 1384 6176 5392 258 2248 0 454

DATA HASIL KEGIATAN POSYANDU

TAHUN 2021

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 P
1 JANUARI 129 129 129 1124 135 474 87 2 49 89 902 0 1358 1256 1359 1255
2 FEBRUARI 129 129 129 1124 135 474 87 2 49 89 902 0 1358 1256 1359 1255

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 0 2510

DATA HASIL KEGIATAN POSYANDU

TAHUN 2021

JUMLAH BAYI YANG DI IMUNISASI

N0 BULAN BCG
DPT POLIO
CAMPAK
I II III I II III IV
L P L P L P L P L P L P L P L P L P
1 JANUARI 13 11 16 16 11 6 9 13 13 11 16 16 13 6 9 15 12 16

2 FEBRUARI

10

11

12
JUMLAH 13 11 16 16 11 6 9 13 13 11 16 16 13 6 9 15 12 16
 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

17 17 19 20 22 0 0 2 3 3 3 2 2 0 0 2 0 1 1 1 0 0 2 0 0 0 0
9 14 10 16 21 0 0 0 0 2 1 1 3 0 0 0 0 0 0 0 0 0 0 0 0 1 0
12 15 13 29 42 0 0 0 1 15 10 23 30 0 0 0 0 0 0 0 0 3 3 0 0 0 0
3 9 4 29 34 0 0 0 0 0 0 2 3 0 0 0 0 0 0 0 0 1 1 0 0 0 0
7 10 9 28 15 0 0 0 0 1 5 20 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 3 7 7 8 0 0 0 1 2 3 5 9 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0
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 0 0
4 3 7 13 10 0 0 0 0 0 0 10 8 0 0 0 0 0 0 0 1 0 0 0 0
0 2 3 5 10 0 0 0 0 1 0 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 2 2 6 4 0 0 0 0 2 3 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 20 10 25 35 0 0 0 0 4 8 10 8 0 0 0 0 0 0 0 0 1 1 0 0 0 0
10 19 10 51 41 0 0 0 0 2 1 7 3 0 0 0 0 0 0 5 3 1 1 0 0 0 0
15 31 30 48 43 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0
4 5 8 15 12 0 0 0 0 2 3 6 9 0 0 0 0 0 0 0 0 0 4 0 0 0 0
4 6 4 25 23 0 0 2 0 0 5 8 6 0 0 0 0 0 0 1 0 0 2 0 0 0 0
3 12 5 6 9 0 0 0 0 0 2 3 3 0 0 0 0 1 1 3 4 0 0 1 0 2 0
8 25 8 43 45 0 0 0 0 5 2 7 2 0 0 0 0 0 0 0 0 1 1 0 0 0 0
2 2 4 9 7 0 0 2 1 5 6 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 23 11 50 50 0 0 4 3 3 2 4 3 0 0 0 0 0 0 0 0 3 3 0 0 0 0
3 18 19 53 62 2 1 3 2 4 3 5 4 0 0 0 0 0 0 0 0 2 1 0 0 0 0
13 26 29 60 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0
1 5 3 10 9 0 0 1 1 2 2 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
150 270 223 563 557 2 1 15 12 55 59 140 128 0 0 2 0 2 2 10 7 16 21 1 1 3 0

BGM 2T GAKIN/
BB TB NON
(Kg) (Cm) GAKIN
 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
GAKIN/ JUMLAH KUNJUNGAN
NON
GAKIN UNRAIAN
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
17 19 20 22 0 0 2 3 L 3 2 2
14 10 16 21 0 0 0 0 2 1 1 3
15 13 29 42 0 0 0 1 15 10 23 30
9 4 29 34 0 0 0 0 0 0 2 3
10 9 28 15 0 0 0 0 1 5 20 10
3 7 7 8 0 0 0 1 2 3 5 9
2 6 6 13 0 0 0 0 2 1 4 5
6 5 19 25 0 0 1 0 1 1 7 4
3 7 13 10 0 0 0 0 0 0 10 8
2 3 5 10 0 0 0 0 1 0 4 3
2 2 6 4 0 0 0 0 2 3 2 2
20 10 25 35 0 0 0 0 4 8 10 8
19 10 51 41 0 0 0 0 2 1 7 3
31 30 48 43 0 0 1 1 1 0 0 1
5 8 15 12 0 0 0 0 2 3 6 9
6 4 25 23 0 0 2 0 0 5 8 6
12 5 6 9 0 0 0 0 0 2 3 3
25 8 43 45 0 0 0 0 5 2 7 2
2 4 9 7 0 0 2 1 5 6 10 10
23 11 50 50 0 0 4 3 3 2 4 3
18 19 53 62 2 1 3 2 4 3 5 4
26 29 60 26 0 0 0 0 0 0 0 0
5 3 10 9 0 0 1 1 2 2 5 5
270 223 563 557 2 1 15 12 55 59 140 128

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
21 23 24 25 10 0 0 0 0 0
17 25 17 25 10 0 0 0 4 0
30 23 52 72 10 0 0 0 5 0
9 4 31 37 12 0 0 0 4 0
11 14 48 25 15 0 0 0 4 0
5 10 12 17 10 0 0 0 3 0
4 7 10 18 15 0 1 0 6 0
7 6 26 29 11 0 0 0 5 0
3 7 23 18 6 0 0 0 2 0
3 3 9 13 6 0 0 0 0 0
4 5 8 6 6 0 0 0 2 0
24 18 35 43 10 0 0 0 5 0
21 11 63 47 10 0 0 0 5 0
32 30 48 44 10 0 0 0 5 0
7 11 21 21 10 0 0 0 5 0
6 9 34 30 8 0 0 0 2 0
15 8 13 19 10 0 0 0 4 0
30 10 50 47 10 0 0 0 5 0
7 10 19 17 10 0 0 0 4 0
26 13 54 53 10 0 0 0 5 0
22 22 58 66 10 0 0 0 5 0
26 29 60 26 10 0 0 0 4 0
7 5 15 14 8 0 0 2 3 0
337 303 730 712 227 0 1 2 87 -
 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 2 2 0 0 0 2 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
2 1 1 3 0 8 0 7 0 1 1 2
0 0 0 2 0 0 0 1 0 0 0 1
1 1 1 0 0 4 0 6 0 0 1 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
1 0 0 0 0 0 0 3 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 4 1 1 0 3 0 8 1 0 1 0
1 0 1 1 0 1 0 5 0 0 0 0
0 2 1 1 0 1 0 8 1 0 1 0
0 0 1 1 0 1 0 1 1 0 0 1
2 1 0 1 0 3 0 4 0 0 0 0
0 1 0 2 0 1 0 1 0 0 0 0
1 2 1 0 0 0 0 3 0 1 0 1
0 1 0 0 0 2 0 3 0 0 0 0
0 1 1 1 0 1 0 5 0 2 0 2
 1 0 1 1 0 2 0 6 0 0 0 0
0 0 1 0 0 2 0 5 1 0 1 0
1 0 0 1 0 0 0 0 0 0 0 0
12 15 12 17 0 29 0 71 5 5 5 7

K. ASI EKSLUSIF
BUFAS JML SASARAN MASIH LULUS ASI
RI VIT A ASI

MENDPT VIT.A
0 - 5 BLN 6 Bln pd 6 Bln pd
SASARAN

AKSLUSIF
Bln ini Bln ini
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
45 49 3 6 4 5 0 1 4 4 0 1
34 36 1 2 1 2 1 1 1 2 1 1
52 72 2 4 8 8 1 1 8 8 1 1
31 37 0 0 2 2 2 2 2 2 2 2
59 39 1 2 3 7 0 1 3 7 0 1
17 27 0 0 2 1 0 0 2 1 0 0
14 25 0 0 1 1 0 0 1 1 0 0
33 35 0 0 1 0 0 0 1 0 0 0
26 25 0 0 2 0 0 0 2 0 0 0
12 16 0 0 1 2 0 0 1 2 0 0
8 6 0 0 1 1 0 0 1 1 0 0
59 61 2 4 4 7 0 0 4 7 0 0
64 58 2 4 4 4 1 2 4 4 2 1
80 74 1 2 7 6 1 1 7 6 1 1
28 32 4 8 1 6 0 0 1 6 0 0
40 39 0 0 3 3 0 0 3 3 0 0
28 37 0 0 3 2 0 2 3 2 0 2
80 57 2 4 5 4 2 1 5 4 2 1
26 27 0 0 1 5 0 1 1 5 0 1
 80 66 0 0 8 12 8 2 8 12 8 2
85 98 1 2 1 5 1 0 1 5 1 0
86 55 4 8 9 9 0 0 9 9 0 0
22 17 0 0 3 6 0 0 3 6 0 0
1009 988 23 46 75 98 17 15 75 97 18 14

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 0 0 0 1 2 0 0
- 10 0 0 0 4 0 1 0 0
- 10 0 0 0 5 1 1 0 0
- 12 0 0 0 4 0 0 0 0
- 15 0 0 0 4 0 1 0 0
0 10 0 0 0 3 0 0 0 0
- 15 0 1 0 6 0 0 0 0
- 11 0 0 0 5 0 0 0 0
- 6 0 0 0 2 0 0 0 0
- 6 0 0 0 0 0 0 0 0
- 6 0 0 0 2 0 0 0 0
- 10 0 0 0 5 1 1 0 0
- 10 0 0 0 5 1 1 0 0
- 10 0 0 0 5 1 0 0 0
- 10 0 0 0 5 0 4 0 0
- 8 0 0 0 2 0 0 0 0
- 10 0 0 0 4 0 0 0 0
- 10 0 0 0 5 2 0 0 0
- 10 0 0 0 4 0 0 0 0
- 10 0 0 0 5 0 0 0 0
- 10 0 0 0 5 1 0 0 0
- 10 0 0 0 4 2 2 0 0
- 8 0 0 2 3 1 0 0 0
- 227 0 1 2 87 11 13 0 0

BALITA YANG
MENDERITA DIARE
HEPATITIS B Mendapat
I II III ORALIT
L P L P L P JUMLAH
L P L P
1 2 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
5 4 2 2 2 1 0 1 1 2
2 0 0 0 0 0 0 0 0 1
0 1 1 1 1 1 0 0 1 0
1 0 0 0 0 0 1 1 0 0
0 1 1 0 0 0 0 0 0 0
0 0 0 0 1 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 2 0 0 4 1 0 1 0
0 1 1 0 1 0 0 0 0 0
2 0 0 0 0 2 1 0 1 0
0 0 0 1 0 0 1 0 0 1
0 0 0 0 2 1 0 0 0 0
 0 0 0 1 0 1 0 0 0 0
1 0 1 0 1 2 0 1 0 1
1 1 1 0 0 1 0 0 0 0
0 0 0 1 0 1 0 2 0 2
2 2 0 0 1 0 0 0 0 0
3 3 1 0 0 0 1 0 1 0
1 0 1 1 1 0 0 0 0 0
18 15 10 6 11 15 5 5 5 7

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

71 73 59 61 68 69 71 73 0 2
37 61 33 42 36 45 37 61 0 0
98 116 57 72 61 81 98 116 8 7
46 46 43 42 35 40 46 46 0 1
65 53 44 38 62 46 65 53 4 6
20 30 13 17 18 28 20 30 0 0
15 29 9 22 15 27 15 29 0 0
38 37 29 32 37 37 38 37 0 3
32 29 21 21 29 29 32 29 0 3
15 18 10 15 14 16 15 18 0 0
15 14 11 9 10 8 15 14 0 0
78 88 63 71 74 81 78 88 3 8
101 72 86 64 77 68 101 72 1 5
 105 96 102 94 98 90 105 96 1 8
35 42 27 26 34 36 35 42 1 1
46 46 35 32 43 43 46 46 3 4
33 32 22 19 30 40 33 32 1 1
91 69 78 64 86 65 91 69 0 3
32 35 15 18 31 30 32 35 2 3
108 90 94 79 100 78 108 90 1 5
99 98 83 87 91 109 99 98 2 6
110 77 108 75 101 68 110 77 2 5
29 27 21 19 26 19 29 27 0 0
1319 1278 1063 1019 1176 1153 1319 1278 29 71

ORANG MEDIS = 87 ORANG

227 ORANG

E. LANSIA
NO JENIS JUMLAH JUMLAH JUMLAH
IMUNISASI L P UMUR SASARAN YANG HADIR
8 POLIO 4 10 15 L P L P
9 HEPATITIS 1 19 15 45-60 Tahun 1664 1923 198 441
10 HEPATITIS 2 11 7 60-69 Tahun 785 805 90 217
11 HEPATITIS 3 12 15 > 70 Tahun 256 399 16 115
12 CAMPAK 12 17
13 TT I 0 29 F. KPPASI
14 TT 2 0 71 PESERTA JML
SASARAN YG HADIR
BUMIL 129 129
ASARAN MASIH ASI E BUSUI 0-6 BLN 203 205
P L P BUSUI 7-24 BLN 888 888
98 75 97
SARAN LULUS ASI E J. VITAMIN
P L P SASARAN Jml.VIT A yg
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

PLKB MEDIS LAHIR MENINGGAL

L P L P L P L P

0 1 2 87 11 13 0 0

0 1 2 87 11 13 0 0
 0 2 4 174 22 26 0 0

PENIMBANGAN BALITA IMUNISASI

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

1319 1278 1063 1019 1176 1153 1319 1278 29 71

1319 1278 1063 1019 1176 1153 1319 1278 29 71

2638 2556 2126 2038 2352 2306 2638 2556 58 142

BALITA YANG
MENDERITA DIARE
HEPATITIS B JUMLAH
Mendapat
I II III ORALIT
L P L P L P L P L P
18 15 10 6 11 15 5 5 5 7

18 15 10 6 11 15 5 5 5 7
 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

1 1 4 5 22 20 21 23 24 25 10 0 0 0 0 - 0 1 1 2 0 0 1 0 0 1 1 2 0 0
0 1 1 2 2 9 17 25 17 25 10 0 0 0 40 0 1 0 0 0 0 0 0 0 1 0 0 0 0
0 0 8 8 8 13 30 23 52 72 10 0 0 0 50 1 1 5 4 0 2 2 1 1 1 5 4 0 2
0 0 2 2 4 3 9 4 31 37 12 0 0 0 40 2 0 0 0 0 0 0 0 2 0 0 0 0 0
0 0 3 7 3 7 11 14 48 25 15 0 0 0 40 3 1 0 1 1 1 1 1 3 1 0 1 1 1
0 0 2 1 1 2 5 10 12 17 10 0 0 0 30 0 0 1 0 0 1 0 0 0 0 1 0 0 1
0 0 1 1 0 3 4 7 10 18 15 0 1 0 60 0 0 0 1 1 0 0 0 0 0 0 1 1 o
0 0 1 0 4 2 7 6 26 29 11 0 0 0 50 0 0 0 0 0 0 1 0 0 0 0 0 0 0
0 0 3 0 3 4 3 7 23 18 6 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 2 2 0 3 3 9 13 6 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 1 2 2 4 5 8 6 6 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 4 7 15 20 24 18 35 43 10 0 0 0 50 1 1 0 0 2 0 0 4 1 1 0 0 2 0
0 0 4 4 13 10 21 11 63 47 10 0 0 0 50 1 1 0 1 1 0 1 0 1 1 0 1 1 0
0 0 7 6 18 16 32 30 48 44 10 0 0 0 50 1 0 2 0 0 0 0 2 1 0 2 0 0 0
0 0 1 6 6 4 7 11 21 21 10 0 0 0 50 0 4 0 1 1 0 0 0 0 4 0 1 1 0
0 1 3 3 3 4 6 9 34 30 8 0 0 0 20 0 0 0 0 0 0 1 2 0 0 0 0 0 0
1 3 3 2 2 3 15 8 13 19 10 0 0 0 40 0 0 0 0 0 1 0 1 0 0 0 0 0 1
0 0 5 4 6 8 30 10 50 47 10 0 0 0 50 1 0 1 0 1 0 1 0 1 0 1 0 1 0
0 0 1 5 5 3 7 10 19 17 10 0 0 0 40 0 0 1 1 1 0 0 1 0 0 1 1 1 0
0 0 8 12 20 12 26 13 54 53 10 0 0 0 50 0 0 0 0 2 1 0 1 0 0 0 0 2 1
0 0 13 5 6 5 22 22 58 66 10 0 0 0 50 1 1 2 2 0 0 1 0 1 1 2 2 0 0
0 0 9 9 15 13 26 29 60 26 10 0 0 0 40 2 0 3 3 1 0 0 0 2 0 3 3 3 0
0 0 3 6 4 2 7 5 15 14 8 0 0 2 30 0 0 1 0 1 1 1 0 1 0 1 0 1 1
2 6 88 98 164 165 337 303 730 712 227 0 1 2 87 - 13 11 17 16 12 7 10 13 14 11 17 16 14 7
 H.P. DIARE G. KB

HIPATITIS CAMPAK TT JUMLAH

YG DAPAT IUD MOW MOP IMPLANT
ALAT KONTRASEPSI 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 1 2 0 0 1 0 2 2 0 0 0 2 0 0 0 0 14 7 0 0 0 0 0 0 34 18 39 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 31 0 12
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 34 14 15 15
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 15 0 15 0
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 30 3 1 7
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 3 35 0 11
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 5 0 2
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 20 15 3 8
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 25 0 18 0
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 15 4 2 3
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 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 90 0 0 10
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 1 21 0 1
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 55 30 40 26
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 25 0 30 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 25 0 25
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 27 0 23 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 42 31 0 25
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 30 0 0 10
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 20 80 5 75
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 50 0 10 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 50 0 10 0
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 3 15 0 19
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 23 575 327 211 263
 J. VITAMIN A K. ASI EKSLUSIF F. KPPASI

SASARAN

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

VIT. A
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 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 22 20 45 49 23 20 45 49 3 6 4 5 0 1 4 4 0 1 5 10 86 5 10 86 100
10 0 2 9 34 36 2 9 34 36 1 2 1 2 1 1 1 2 1 1 5 5 36 5 7 36 50
1 1 9 9 52 72 9 9 52 72 2 4 8 8 1 1 8 8 1 1 15 18 62 15 18 75 130
2 0 4 3 31 37 4 3 31 37 0 0 2 2 2 2 2 2 2 2 1 8 26 1 8 26 141
0 5 3 7 59 39 3 7 59 39 1 2 3 7 0 1 3 7 0 1 11 8 34 11 8 34 107
0 9 1 2 17 27 1 1 17 27 0 0 2 1 0 0 2 1 0 0 0 3 18 0 3 18 20
0 3 1 2 14 25 1 2 14 25 0 0 1 1 0 0 1 1 0 0 0 2 14 0 2 14 26
23 28 4 2 33 35 4 2 33 35 0 0 1 0 0 0 1 0 0 0 4 1 19 4 1 19 130
0 0 3 4 26 25 3 4 26 25 0 0 2 0 0 0 2 0 0 0 3 3 17 3 3 17 125
0 5 2 0 12 16 2 0 12 16 0 0 1 2 0 0 1 2 0 0 0 3 8 0 3 8 88
0 8 2 2 8 6 2 2 8 6 0 0 1 1 0 0 1 1 0 0 2 2 13 2 2 13 30
0 0 15 20 59 61 15 20 59 61 2 4 4 7 0 0 4 7 0 0 12 11 67 12 11 67 20
0 0 13 10 64 58 13 10 64 58 2 4 4 4 1 2 4 4 2 1 6 11 42 6 11 42 75
0 0 18 16 80 74 18 16 80 74 1 2 7 6 1 1 7 6 1 1 11 15 94 11 15 94 79
2 0 6 4 28 32 6 4 28 32 4 8 1 6 0 0 1 6 0 0 2 7 28 2 7 28 125
10 0 3 4 40 39 3 4 40 39 0 0 3 3 0 0 3 3 0 0 9 6 22 9 6 22 0
0 0 2 3 28 37 2 3 28 37 0 0 3 2 0 2 3 2 0 2 3 7 26 3 7 26 50
0 7 6 8 80 57 6 8 80 57 2 4 5 4 2 1 5 4 2 1 4 12 51 4 12 51 120
0 0 5 3 26 27 5 3 26 27 0 0 1 5 0 1 1 5 0 1 7 7 24 7 7 24 20
5 0 20 12 80 66 20 12 80 66 0 0 8 12 8 2 8 12 8 2 9 30 61 9 30 61 30
8 0 6 11 85 98 6 11 85 98 1 2 1 5 1 0 1 5 1 0 7 7 59 7 7 59 120
8 0 15 13 86 55 15 13 86 55 4 8 9 9 0 0 9 9 0 0 13 18 83 13 18 83 50
0 0 4 2 22 17 4 2 22 17 0 0 3 6 0 0 3 6 0 0 0 9 16 0 9 16 28
69 66 166 166 1009 988 167 165 1009 988 23 46 75 98 17 15 75 97 18 14 129 203 906 129 205 919 1664
 E. LANSIA

JUMLAH SASARAN JML YG HADIR KETERANGAN WUS PUS

UMUR UMUR 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 2 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 1 1 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 1 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 0 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 1 0 0
100 15 20 1 10 11 20 6 15 1 10 - 125 116 1 1 0 0
132 100 75 35 42 10 48 18 31 1 22 - 190 175 1 0 0 0
125 75 75 1 55 2 87 1 55 0 30 - 84 80 0 4 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 0 0 0 0
149 31 35 4 6 0 0 0 0 0 0- 215 185 2 0 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 0 0 0 0
157 30 30 5 8 5 10 3 10 0 2- 275 140 1 0 0 0
50 38 37 10 20 10 20 10 15 3 7- 188 178 2 2 0 0
21 9 8 3 2 0 0 0 0 0 0 55 49 1 0 0 0
1923 785 805 256 399 198 441 90 217 16 115 - 3088 2696 11 13 0 0