INDUK Edit

LAPORAN BUL
REKAPITULASI INDUK DI PUSKES

KAB. ALO
Pusk Alor Pusk Pusk Pusk Pusk Pusk Pusk Pusk

Pusk Apui Pusk Buraga Pusk Kalunan Pusk Kayang Pusk Kabir Pusk Kokar Pusk Lantoka Pusk Lembur
No Elemen Data Kecil Bakalang Baranusa Bukapiting Kenarilang Lawahing Limarahing Maritaing
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 L P L P
I Total Pengunjung Baru
:
1 Bulan ini 8 23 54 91 17 19 0 0 96 223 4 3 56 92 163 264 6 2 349 1021 2 4 174 251 7 10 38 58 109 175 24 38
2 Kumulatif s.d. bulan lalu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II Umur : 8 23 54 91 14 19 3 25 96 223 4 3 57 91 163 264 6 2 349 1021 2 4 174 251 7 10 38 58 109 204 24 38
1 0-7 hari 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
2 8-28 hari 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 29 - < 1 tahun 1 2 0 0 3 0 3 2 7 5 4 3 4 1 8 8 0 0 36 17 0 0 6 9 4 1 0 0 9 3 2 2
4 1 – 4 tahun 2 5 0 0 2 2 0 0 6 12 0 0 7 11 23 19 0 0 69 58 0 0 34 18 0 0 4 1 14 13 2 6
5 5 – 9 tahun 1 3 8 6 1 1 0 0 4 6 0 0 3 1 18 8 0 0 36 36 0 0 18 13 0 2 5 4 6 7 0 1
6 10 – 14 tahun 1 3 1 5 0 0 0 0 5 6 0 0 3 2 7 9 0 0 17 22 0 0 17 12 0 1 3 6 18 16 2 2
7 15 – 19 tahun 2 1 5 6 0 1 0 8 4 14 0 0 2 5 1 9 0 0 28 35 0 0 10 17 1 1 1 3 2 16 0 2
8 20 – 44 tahun 0 6 17 51 4 11 0 15 29 126 0 0 21 61 47 148 6 2 86 751 2 2 49 150 2 5 8 24 22 95 14 22
9 45 – 54 tahun 0 1 11 19 4 4 0 0 12 30 0 0 6 5 17 25 0 0 33 51 0 2 20 10 0 0 3 9 14 26 2 1
10 55 – 59 tahun 0 0 3 1 0 0 0 0 8 5 0 0 3 4 11 17 0 0 13 22 0 0 2 6 0 0 7 3 6 10 1 1
11 60 – 69 tahun 1 1 5 3 0 0 0 0 10 16 0 0 7 1 16 14 0 0 16 25 0 0 12 11 0 0 7 6 12 14 1 0
12 > 70 tahun 0 0 4 0 0 0 0 0 10 3 0 0 0 0 15 7 0 0 15 4 0 0 6 5 0 0 0 1 5 4 0 1
III Domisili : 8 23 0 0 17 19 3 25 96 223 4 3 106 230 56 123 6 2 349 1021 2 4 174 251 7 10 38 58 17 42 24 38
1 Dalam wilayah 6 15 0 0 16 19 3 25 93 216 4 3 103 230 56 123 6 2 349 1021 2 4 167 238 7 10 36 56 17 42 24 38
2 Luar wilayah 2 8 0 0 1 0 0 0 3 7 0 0 3 0 0 0 0 0 0 0 0 0 7 13 0 0 2 2 0 0 0 0
IV Kategori Penduduk : 6 15 0 0 17 19 3 25 96 223 0 0 59 89 56 123 6 2 349 1021 2 4 0 0 9 8 38 58 17 42 24 38
1 Keluarga miskin 1 0 0 0 2 6 3 25 72 187 0 0 32 58 56 123 6 2 166 663 2 4 0 0 3 6 38 56 17 42 14 21
2 Bukan keluarga miskin 5 15 0 0 15 13 0 0 24 36 0 0 27 31 0 0 0 0 183 358 0 0 0 0 6 2 0 2 0 0 10 17
V Cara Pembayaran : 6 15 54 91 2 6 3 25 96 223 0 0 59 89 56 123 6 2 349 1021 2 4 174 251 9 8 37 56 17 42 24 38
1 BPJS 5 15 51 65 2 6 3 25 72 187 0 0 32 58 42 111 6 2 166 663 2 4 103 153 3 6 37 53 17 42 10 21
2 Non BPJS 1 0 3 26 0 0 0 0 24 36 0 0 27 31 14 12 0 0 183 358 0 0 71 98 6 2 0 3 0 0 14 17
Mengetahui
Kasubag Pelaporan
LAPORAN BULANAN
REKAPITULASI INDUK DI PUSKESMAS DAN JEJARINGNYA
KAB. ALOR
Pusk
Pusk Pusk Pusk Pusk Pusk Pusk Taman
Pusk Maliang Pusk Moru Padang Pusk Probur TOTAL TOTAL
Mademang Mainang Mebung Tamalabang Ternate Mataru
Alang 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 0 183 275 64 142 235 382 428 902 9 9 51 147 40 45 80 89 9 4 2206 4269 6475
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 183 275 64 142 235 368 428 900 9 9 51 147 39 46 80 89 9 4 2206 4307 6513
0 0 0 0 0 0 1 5 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9
0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4
0 0 3 8 6 4 19 10 23 27 7 2 1 3 2 1 0 0 7 4 155 112 267
0 0 24 20 12 20 44 33 72 65 0 1 7 5 4 3 11 7 1 0 338 299 637
0 0 22 27 9 5 38 44 32 41 2 1 4 4 4 3 12 8 0 0 223 221 444
0 0 15 15 2 4 21 25 3 31 0 0 1 1 4 4 17 24 0 0 137 188 325
0 0 11 70 1 2 17 20 12 40 0 2 1 3 0 1 15 15 1 0 114 271 385
0 0 56 74 9 85 37 156 156 496 0 2 29 121 15 24 25 35 0 0 634 2462 3096
0 0 27 31 11 10 22 30 55 89 0 1 1 6 4 5 0 0 0 0 242 355 597
0 0 6 11 7 5 11 22 13 33 0 0 5 2 0 2 0 0 0 0 96 144 240
0 0 12 12 7 5 15 16 41 47 0 0 1 1 5 2 0 0 0 0 168 174 342
0 0 7 7 0 2 8 7 21 31 0 0 1 1 1 1 0 0 0 0 93 74 167
0 0 183 275 64 142 282 643 428 902 9 9 51 147 40 45 80 89 9 4 2053 4328 6381
0 0 179 264 64 142 242 587 428 902 9 9 51 147 39 45 80 89 9 4 1990 4231 6221
0 0 4 11 0 0 40 56 0 0 0 0 0 0 1 0 0 0 0 0 63 97 160
0 0 183 275 64 142 0 0 462 924 9 9 51 143 40 45 0 0 9 4 1500 3209 4709

0 0 183 246 64 142 0 0 425 898 9 9 32 138 40 45 0 0 9 4 1174 2675 3849
0 0 0 29 0 0 0 0 37 26 0 0 19 5 0 0 0 0 0 0 326 534 860
0 0 183 275 64 142 282 643 460 605 0 0 56 170 40 45 0 0 0 0 1979 3874 5853
0 0 179 264 15 41 136 330 425 579 0 0 32 138 40 45 0 0 0 0 1378 2808 4186
0 0 4 11 49 101 146 313 35 26 0 0 24 32 0 0 0 0 0 0 601 1066 1667
LAPORAN BULANAN
KAB/PUSK………

I Total Pengunjung Baru
:
1 Bulan ini 8 9 0 0 14 20 0 16 101 223 5 5 28 68 108 209 26 23 282 974 1 1 122 168 6 8 14 22 78 117 28 25
II Umur : 8 11 0 0 14 20 0 16 99 222 5 5 28 68 108 209 26 23 282 974 1 1 120 174 6 8 14 22 130 229 28 25
1 0-7 hari 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 2 2 3
2 8-28 hari 0 0 0 0 0 0 0 1 0 0 1 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 2 0 0
3 29 - < 1 tahun 0 1 0 0 0 1 0 0 7 5 4 3 2 3 2 3 2 2 33 21 0 1 3 5 2 1 0 2 6 7 7 0
4 1 – 4 tahun 0 2 0 0 0 4 0 0 15 19 0 0 3 12 12 10 4 0 59 33 0 0 11 10 0 1 4 3 10 9 5 1
5 5 – 9 tahun 1 1 0 0 0 0 0 0 8 10 0 0 0 8 8 9 8 4 26 15 0 0 11 5 1 1 2 1 8 6 0 4
6 10 – 14 tahun 2 1 0 0 1 2 0 0 10 7 0 0 3 7 7 6 3 4 17 11 0 0 2 1 0 0 1 1 8 7 2 2
7 15 – 19 tahun 2 2 0 0 0 1 0 0 5 11 0 0 1 11 1 5 5 3 15 23 0 0 1 2 1 1 1 3 11 5 0 0
8 20 – 44 tahun 1 2 0 0 9 5 0 14 14 115 0 0 12 25 33 128 4 10 62 786 0 0 44 113 2 4 4 8 42 115 9 14
9 45 – 54 tahun 0 1 0 0 2 5 0 0 11 32 0 0 2 0 18 28 0 0 28 42 0 0 16 18 0 0 0 2 16 33 3 1
10 55 – 59 tahun 0 0 0 0 1 1 0 0 12 7 0 0 1 1 10 6 0 0 13 14 0 0 6 5 0 0 1 0 10 16 0 0
11 60 – 69 tahun 0 1 0 0 1 0 0 0 10 9 0 0 4 0 8 11 0 0 19 20 0 0 19 10 0 0 0 1 13 17 0 0
12 > 70 tahun 2 0 0 0 0 0 0 0 7 7 0 0 0 0 9 3 0 0 10 9 0 0 7 5 0 0 1 0 3 10 0 0
III Domisili : 8 9 0 0 14 20 0 16 3 13 5 5 60 36 108 209 26 23 282 974 1 1 0 0 6 8 14 22 78 117 28 25
1 Dalam wilayah 8 9 0 0 11 16 0 14 3 13 5 5 52 27 108 209 21 14 282 974 1 1 0 0 6 8 13 19 69 106 28 25
2 Luar wilayah 0 0 0 0 3 4 0 2 0 0 0 0 8 9 0 0 5 9 0 0 0 0 0 0 0 0 1 3 9 11 0 0
1 Keluarga miskin 0 1 0 0 5 6 0 0 70 160 5 5 52 27 91 188 26 23 148 705 1 1 0 0 3 6 12 13 78 117 23 18
1 BPJS 8 10 0 0 4 5 0 13 70 160 5 5 52 27 91 188 21 14 148 705 0 0 0 0 3 6 12 13 50 158 17 14
2 Non BPJS 0 1 0 0 10 15 0 3 31 63 0 0 8 9 17 21 5 9 134 269 1 1 0 0 3 2 2 9 28 31 11 11
Mengetahui
Kasubag Pelaporan
APORAN BULANAN
UK DI PUSKESMAS DAN JEJARINGNYA
KAB/PUSK………
Pusk
Pusk Pusk Pusk Pusk Pusk
Pusk Maliang Pusk Moru Padang Pusk Probur Pusk Mataru TOTAL TOTAL
Mademang Mainang Mebung Tamalabang Ternate
Alang L+P
0 0 125 190 18 11 144 229 373 600 31 29 156 282 50 59 28 50 9 8 1755 3346 5101
0 0 0 0 269 318 0 0 428 902 0 0 0 0 90 104 0 0 0 0 1910 3758 5668

0
0 0 125 190 18 10 144 229 373 600 31 29 156 279 51 59 23 43 9 8 1799 3454 5253
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 9 14
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 4 8 1 0 7 14 21
0 0 1 1 2 3 13 15 17 21 1 0 8 14 1 3 6 13 4 4 121 129 250
0 0 6 7 4 1 19 19 36 57 1 1 17 13 0 1 3 4 4 2 213 209 422
0 0 20 8 1 2 17 18 37 48 4 0 17 13 8 7 1 1 0 2 178 163 341
0 0 5 14 4 0 13 15 36 35 4 4 10 19 5 4 7 13 0 0 140 153 293
0 0 6 6 0 0 11 20 23 29 2 1 15 15 1 2 0 0 0 0 101 140 241
0 0 38 84 3 1 22 77 124 299 7 15 50 152 21 28 1 3 0 0 502 1998 2500
0 0 20 40 3 3 14 25 26 55 5 4 18 28 6 6 0 0 0 0 188 323 511
0 0 13 11 0 0 12 19 20 27 1 0 2 6 7 2 1 1 0 0 110 116 226
0 0 10 13 1 0 13 12 30 22 5 4 8 10 2 4 0 0 0 0 143 134 277
0 0 6 5 0 0 10 9 24 7 1 0 11 9 0 2 0 0 0 0 91 66 157
0
0 0 125 190 18 11 282 643 373 600 31 29 156 296 50 59 20 49 9 8 1697 3363 5060
0 0 125 190 18 11 242 587 373 600 31 29 156 296 50 59 20 49 9 8 1631 3269 4900
0 0 0 0 0 0 40 56 0 0 0 0 0 0 0 0 0 0 0 0 66 94 160
0 0
0 0 125 190 18 11 0 0 378 587 31 29 156 296 50 59 20 49 9 8 1518 2903 4421
0 0 125 190 18 11 0 0 354 555 31 29 156 296 50 59 20 49 9 8 1277 2467 3744
0 0 0 0 0 0 0 0 24 32 0 0 0 0 0 0 0 0 0 0 241 436 677
0 0
0 0 125 190 18 11 282 643 378 587 31 29 156 296 50 59 20 49 9 8 1800 3634 5434
0 0 125 190 18 11 136 330 354 555 31 29 156 296 50 59 20 49 9 8 1380 2845 4225
0 0 0 0 0 0 146 313 24 32 0 0 0 0 0 0 0 0 0 0 420 789 1209
LAPORAN BULANAN
KAB/PUSK………

I Total Pengunjung Baru 6 11 - -
:
1 Bulan ini 16 11 17 33 31 36 4 4 142 215 2 3 21 37 235 385 6 5 318 1046 0 0 253 421 13 10 34 78 108 222 15 29
II Umur : 16 11 17 33 31 36 4 4 142 215 2 3 21 37 235 385 6 5 318 1046 0 0 254 422 13 10 34 78 108 222 15 29
1 0-7 hari 0 0 0 0 7 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
2 8-28 hari 0 0 0 0 0 2 0 0 0 0 0 0 0 0 3 6 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0
3 29 - < 1 tahun 4 1 0 0 1 1 2 2 5 6 2 3 1 0 10 2 0 0 33 15 0 0 20 32 3 2 0 0 4 4 1 2
4 1 – 4 tahun 2 0 0 0 7 4 0 0 20 8 0 0 3 4 24 12 0 0 70 50 0 0 26 28 0 1 1 3 6 6 2 0
5 5 – 9 tahun 0 3 0 0 2 2 2 1 18 18 0 0 3 4 27 12 0 0 46 39 0 0 25 13 1 1 0 6 9 5 0 1
6 10 – 14 tahun 0 2 0 0 1 0 0 0 16 16 0 0 0 2 15 13 0 0 19 27 0 0 16 12 2 1 6 4 11 7 0 0
7 15 – 19 tahun 2 0 0 0 1 1 0 1 5 7 0 0 2 1 2 5 0 0 23 114 0 0 14 21 1 0 1 1 7 9 0 5
8 20 – 44 tahun 3 1 9 17 9 18 0 0 29 104 0 0 8 18 58 189 6 5 70 696 0 0 79 225 4 4 10 30 27 116 10 21
9 45 – 54 tahun 2 1 4 13 1 4 0 0 20 24 0 0 2 7 22 67 0 0 19 46 0 0 25 39 2 1 4 19 17 35 0 0
10 55 – 59 tahun 1 0 0 2 0 1 0 0 9 9 0 0 1 0 16 25 0 0 11 18 0 0 11 20 0 0 3 4 10 17 1 0
11 60 – 69 tahun 2 1 4 1 1 0 0 0 16 14 0 0 1 1 26 31 0 0 14 33 0 0 20 18 0 0 7 11 12 14 0 0
12 > 70 tahun 0 2 0 0 1 0 0 0 4 9 0 0 0 0 32 23 0 0 13 8 0 0 18 14 0 0 2 0 3 9 1 0
III Domisili : 15 10 17 33 31 36 4 4 142 215 2 3 21 37 235 385 6 5 318 1046 0 0 253 421 13 10 34 78 108 222 15 29
1 Dalam wilayah 11 7 17 33 28 34 4 4 136 210 2 3 20 37 235 385 4 3 318 1046 0 0 242 413 13 10 32 78 108 222 15 29
2 Luar wilayah 4 3 0 0 3 2 0 0 6 5 0 0 1 0 0 0 2 2 0 0 0 0 11 8 0 0 2 0 0 0 0 0
1 Keluarga miskin 2 1 17 33 10 10 4 4 142 215 0 0 12 25 129 184 6 5 171 734 0 0 0 0 12 7 27 70 108 222 8 21
1 BPJS 14 10 11 23 10 10 0 0 94 137 0 0 12 25 129 184 6 5 171 734 0 0 195 295 12 7 27 70 89 190 6 21
2 Non BPJS 2 1 6 10 21 25 0 0 48 78 0 0 9 12 106 201 0 0 147 312 0 0 58 126 1 3 7 8 19 32 9 8
Mengetahui
Kasubag Pelaporan
ORAN BULANAN
DI PUSKESMAS DAN JEJARINGNYA
AB/PUSK………
Pusk
Pusk Pusk Pusk Pusk Pusk Pusk
Pusk Maliang Pusk Moru Padang Pusk Ternate TOTAL TOTAL
Mademang Mainang Mebung Tamalabang Probur Mataru
Alang L+P
33 59 133 229 51 51 126 175 376 649 6 9 144 292 88 178 13 29 4 10 2189 4216 6405
84 104 0 0 269 318 0 0 0 0 31 29 0 0 0 0 39 75 0 0 3085 5687 8772
29 53 133 229 54 51 126 175 376 649 13 15 144 292 88 178 16 25 6 4 2201 4207 6408
0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 7 6 13
0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 6 9 15
1 0 2 3 3 8 9 9 18 19 0 0 12 9 1 2 1 0 5 2 138 122 260
4 4 7 4 8 6 14 14 39 49 2 1 13 18 7 10 3 7 1 2 259 231 490
1 2 18 17 8 3 14 17 51 46 2 3 12 23 2 5 2 2 0 0 243 223 466
2 0 7 11 5 2 12 13 49 56 1 1 8 10 1 3 2 2 0 0 173 182 355
3 4 1 5 0 0 12 15 21 37 3 4 18 27 1 5 7 9 0 0 124 271 395
9 42 50 98 10 22 18 52 125 315 4 3 48 148 24 101 1 5 0 0 611 2230 2841
3 1 25 48 13 8 15 20 31 57 0 0 15 31 26 20 0 0 0 0 246 441 687
2 0 12 10 6 2 14 17 6 13 0 0 2 7 3 10 0 0 0 0 108 155 263
2 0 11 19 1 0 10 10 18 37 1 3 8 10 10 15 0 0 0 0 164 218 382
2 0 0 13 0 0 8 8 17 17 0 0 8 9 13 7 0 0 0 0 122 119 241
33 59 133 229 51 51 126 175 376 649 13 15 144 292 88 178 13 29 6 4 2197 4215 6412
31 59 133 229 51 51 119 161 376 649 13 15 144 292 88 178 13 29 6 4 2159 4181 6340
2 0 0 0 0 0 7 14 0 0 0 0 0 0 0 0 0 0 0 0 38 34 72
33 59 133 229 0 0 0 0 446 508 13 15 144 292 88 178 13 29 6 4 1836 3424 5260
33 59 102 192 0 0 0 0 427 486 13 15 144 292 88 178 13 29 6 4 1474 2786 4260
0 0 31 37 0 0 0 0 19 22 0 0 0 0 0 0 0 0 0 0 362 638 1000
33 59 133 229 51 51 126 175 446 508 13 13 144 292 88 178 14 29 6 4 2263 4065 6328
22 31 102 192 51 51 73 97 427 486 13 13 30 95 62 138 13 29 6 4 1575 2847 4422
11 28 31 37 0 0 53 78 19 22 0 0 114 197 26 40 1 0 0 0 688 1218 1906
LAPORAN BULANAN
KAB/PUSK………

L P L P L P L P L P P L P L P L P L P L P L P L P L P L P L P
I Total Pengunjung Baru :
1 Bulan ini 14 13 19 52 24 23 0 0 68 130 3 8 31 37 0 0 0 0 250 1133 22 14 28 31 15 11 10 12 86 142 3 27
II Umur :
14 13 19 52 20 23 0 0 66 127 3 8 31 37 219 340 0 0 250 1133 22 14 26 40 15 11 10 12 95 143 3 27
1 0 0 0 0 7 3 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0-7 hari
2 0 0 0 1 2 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0
8-28 hari
3 29 - < 1 tahun 2 4 1 0 3 1 0 0 1 5 3 7 3 0 10 14 0 0 17 21 2 0 4 6 1 2 2 2 7 5 0 2
4 1 – 4 tahun 1 0 4 4 2 1 0 0 10 13 0 0 5 2 31 27 0 0 25 126 6 5 2 4 4 0 0 0 7 6 1 0
5 5 – 9 tahun 0 2 1 3 0 0 0 0 9 6 0 0 3 3 23 16 0 0 21 61 4 3 4 5 1 2 1 0 4 5 2 1
6 10 – 14 tahun 0 0 0 9 0 1 0 0 3 16 0 0 1 5 25 20 0 0 13 36 4 2 2 1 1 0 1 1 7 9 0 1
7 15 – 19 tahun 0 0 1 2 0 1 0 0 0 6 0 0 0 2 6 11 0 0 15 28 2 2 1 0 0 1 1 1 10 2 0 4
8 20 – 44 tahun 7 5 7 23 3 10 0 0 16 53 0 0 10 15 62 140 0 0 119 726 3 1 9 18 6 5 2 6 28 70 0 19
9 45 – 54 tahun 1 1 0 10 0 2 0 0 13 10 0 0 6 3 30 52 0 0 17 55 1 0 2 4 1 1 2 2 12 23 0 0
10 55 – 59 tahun 0 0 3 0 0 0 0 0 5 3 0 0 0 0 10 15 0 0 6 21 0 1 1 1 0 0 0 0 4 11 0 0
11 60 – 69 tahun 0 1 2 0 1 1 0 0 4 11 0 0 0 4 9 27 0 0 10 39 0 0 1 1 0 0 1 0 8 10 0 0
12 > 70 tahun 3 0 0 0 2 2 0 0 5 4 0 0 2 1 13 18 0 0 7 20 0 0 0 0 1 0 0 0 6 1 0 0
III Domisili :
14 23 19 52 24 23 0 0 68 130 3 8 31 37 0 0 0 0 250 1133 22 14 28 31 15 11 10 12 86 143 3 27
1 Dalam wilayah 12 19 19 51 24 23 0 0 64 128 3 8 31 37 0 0 0 0 250 1133 22 14 24 24 10 11 10 12 86 143 3 27
2 Luar wilayah 2 4 0 1 0 0 0 0 4 2 0 0 0 0 0 0 0 0 0 0 0 0 4 7 5 0 0 0 0 0 0 0
IV Kategori Penduduk :
14 13 0 0 23 26 0 0 72 89 0 0 31 37 219 340 0 0 250 1133 22 14 0 0 15 11 10 12 87 142 3 27
1 Keluarga miskin 3 2 0 0 4 14 0 0 68 87 0 0 27 29 143 267 0 0 111 711 0 0 0 0 9 11 6 7 64 128 3 18
V Cara Pembayaran :
14 13 19 52 6 3 0 0 68 130 0 0 31 37 219 340 0 0 250 1133 56 91 28 35 15 11 10 12 87 142 3 27
1 BPJS 11 11 17 39 1 0 0 0 42 85 0 0 27 29 143 267 0 0 111 711 15 10 13 19 9 11 6 9 64 128 3 22
2 Non BPJS 3 2 2 13 5 3 0 0 26 45 0 0 4 8 76 73 0 0 139 422 7 4 15 16 6 0 4 3 23 14 0 5
Mengetahui
Kasubag Pelaporan
LAPORAN BULANAN
SI INDUK DI PUSKESMAS DAN JEJARINGNYA
KAB/PUSK………
Pusk
Alang L+P
12 24 202 102 31 26 119 165 317 465 15 4 280 577 81 165 21 43 3 3 1654 3207 4861
130 295 0 0 320 369 0 0 1033 1725 59 78 0 0 0 0 60 118 0 0 3290 6955 10245
12 24 202 102 36 30 119 165 317 465 15 4 280 577 81 165 28 32 3 3 1886 3547 5433
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 5 13
0 0 0 0 0 0 1 0 0 2 0 0 0 0 0 0 0 0 0 1 5 7 12
1 2 5 0 1 0 6 10 20 13 1 0 10 13 2 0 4 6 2 2 108 115 223
4 2 18 2 1 0 11 13 44 26 3 1 25 17 9 5 5 8 1 0 219 262 481
1 2 24 0 0 0 12 13 36 38 6 1 18 19 3 8 3 0 0 0 176 188 364
1 1 24 0 6 1 12 13 37 34 2 0 22 15 1 6 4 6 0 0 166 177 343
0 3 15 0 0 0 15 17 17 38 0 1 25 22 1 1 0 1 0 0 109 143 252
4 11 59 62 14 16 20 47 85 217 1 1 87 359 25 102 8 4 0 0 575 1910 2485
0 0 23 14 13 8 13 19 20 42 1 0 42 60 14 25 4 1 0 0 215 332 547
0 0 12 10 0 5 11 15 10 9 0 0 14 23 1 8 0 0 0 0 77 122 199
1 3 15 10 1 0 10 10 29 28 1 0 24 38 13 6 0 4 0 0 130 193 323
0 0 7 4 0 0 8 8 19 18 0 0 13 11 12 4 0 2 0 0 98 93 191
12 24 202 102 31 26 119 165 317 465 15 4 280 577 81 165 21 43 3 3 1654 3218 4872
12 24 202 102 31 26 119 161 300 453 15 4 280 577 81 165 21 43 3 3 1622 3188 4810
0 0 0 0 0 0 0 4 17 12 0 0 0 0 0 0 0 0 0 0 32 30 62
12 24 202 102 31 26 0 0 310 456 15 4 280 577 81 165 0 0 3 3 1680 3201 4881
2 13 184 102 31 26 0 0 278 444 15 4 280 577 81 165 0 0 3 3 1312 2608 3920
10 11 18 0 0 0 0 0 32 12 0 0 0 0 0 0 0 0 0 0 368 593 961
12 24 202 102 31 26 119 167 282 395 10 9 445 593 81 165 24 150 3 3 2015 3660 5675
2 13 184 102 31 26 64 71 241 346 5 3 245 491 71 150 19 146 3 3 1327 2692 4019
10 11 18 0 0 0 55 96 41 49 5 6 200 102 10 15 5 4 0 0 654 891 1545
LAPORAN BULANAN
REKAPITULASI INDUK DI PUSKESMAS DAN
KAB/PUSK………

- -
1 Bulan ini 11 23 17 14 32 31 0 0 27 66 1 0 17 16 104 151 3 5 358 1253 16 18 34 45 9 16 25 21 91 162 10 29
II Umur :
7 9 17 14 32 31 1 9 27 65 1 0 17 16 104 151 3 5 355 1253 16 18 32 45 9 16 25 21 94 157 10 29
1 0 0 0 0 5 2 0 0 0 1 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
0-7 hari
2 0 0 0 1 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
8-28 hari
3 29 - < 1 tahun 2 2 2 3 3 6 1 2 4 1 1 0 0 0 2 1 0 0 36 42 0 0 0 2 1 2 7 2 3 5 0 2
4 1 – 4 tahun 3 0 4 0 5 5 0 0 3 6 0 0 2 4 7 8 0 0 77 69 2 0 5 7 1 0 3 6 6 3 8 3
5 5 – 9 tahun 0 0 0 1 1 1 0 0 2 1 0 0 2 2 2 7 0 0 37 41 1 3 1 1 1 0 1 0 2 7 0 0
6 10 – 14 tahun 0 0 2 0 1 0 0 0 6 3 0 0 0 0 9 5 0 0 21 24 3 3 4 0 0 0 0 0 2 9 0 0
7 15 – 19 tahun 1 1 1 2 2 0 0 0 0 2 0 0 1 1 3 2 0 0 32 38 3 3 1 3 0 1 0 1 7 4 0 1
8 20 – 44 tahun 0 4 8 6 8 15 0 7 6 36 0 0 6 4 38 85 3 5 77 905 5 3 14 19 4 4 13 11 28 81 1 22
9 45 – 54 tahun 0 0 0 1 4 2 0 0 4 11 0 0 3 1 20 20 0 0 34 61 2 3 5 9 1 3 0 0 12 28 1 0
10 55 – 59 tahun 0 0 0 0 2 0 0 0 0 0 0 0 1 0 6 7 0 0 5 24 0 2 0 1 0 1 1 0 7 6 0 0
11 60 – 69 tahun 1 2 0 0 0 0 0 0 1 3 0 0 1 1 12 11 0 0 20 33 0 1 2 1 1 2 0 0 24 11 0 0
12 > 70 tahun 0 0 0 0 1 0 0 0 1 1 0 0 0 0 5 5 0 0 16 16 0 0 0 1 0 3 0 0 3 3 0 0
III Domisili :
7 12 18 16 37 30 0 0 27 66 1 0 17 16 104 151 3 5 358 1253 16 18 34 45 9 16 25 21 91 162 10 29
1 Dalam wilayah 7 12 17 14 33 27 0 0 24 60 1 0 17 16 104 151 3 5 358 1253 16 17 28 36 7 15 23 19 87 157 10 29
2 Luar wilayah 0 0 1 2 4 3 0 0 3 6 0 0 0 0 0 0 0 0 0 0 0 1 6 9 2 1 2 2 4 5 0 0
7 15 0 0 33 31 0 0 27 66 0 0 17 16 44 46 3 5 358 1253 16 18 0 0 9 15 25 21 29 54 10 29
1 Keluarga miskin 0 3 0 0 12 8 0 0 20 46 0 0 12 11 9 8 3 5 203 685 0 0 0 0 8 14 21 17 29 54 9 22
V Cara Pembayaran :
7 15 17 14 32 32 0 0 27 66 0 0 17 16 104 151 3 5 358 1253 16 18 34 44 9 19 25 21 91 162 10 29
1 BPJS 7 12 11 6 9 8 0 0 15 37 0 0 12 11 97 140 3 5 203 685 16 18 15 26 8 14 21 18 83 151 8 26
2 Non BPJS 0 3 6 8 23 24 0 0 12 29 0 0 5 5 7 11 0 0 155 568 0 0 19 18 1 5 4 3 8 11 2 3
Mengetahui
Kasubag Pelaporan
LAPORAN BULANAN
ULASI INDUK DI PUSKESMAS DAN JEJARINGNYA
KAB/PUSK………
Pusk
Pusk Maliang Pusk Moru Padang Pusk Probur Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds……
Alang
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 L P L P L P L P
72 161 104 226 40 29 244 467 240 407 12 11 41 171 109 216 60 53 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
150 222 0 0 320 369 0 0 2113 1905 0 0 0 0 0 0 120 171 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 161 104 231 40 27 215 467 240 407 12 11 41 171 109 211 60 52 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 2 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
1 0 0 0 0 2 0 1 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
1 3 15 2 9 1 4 14 19 23 3 1 1 4 3 2 12 8 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 9 5 5 4 3 47 22 27 35 2 1 2 7 5 5 7 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 6 4 0 0 20 32 29 24 3 1 1 3 10 3 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 4 4 9 2 4 11 8 16 24 1 2 3 2 3 9 3 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 7 11 26 0 0 17 33 12 27 0 1 1 1 8 6 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 77 23 139 21 11 51 272 76 192 2 4 19 139 33 132 16 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 21 15 18 1 2 15 42 22 41 1 1 8 9 13 22 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 7 13 12 1 4 16 15 6 5 0 0 3 4 8 12 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 14 9 12 1 0 24 22 20 27 0 0 2 1 18 17 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 13 3 4 0 0 8 5 13 6 0 0 1 1 8 3 6 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 161 104 231 40 29 0 0 240 407 12 11 41 171 109 216 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

72 161 104 230 40 29 0 0 240 407 12 11 41 171 109 216 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 104 231 40 29 0 0 249 404 12 11 41 171 109 216 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 95 203 40 29 0 0 227 366 12 11 41 171 109 216 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 28 0 0 0 0 22 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 161 104 231 40 0 254 495 227 366 8 15 41 171 109 216 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 92 95 203 40 0 115 258 191 315 3 6 41 171 87 197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 69 9 28 0 0 139 237 36 51 5 9 0 0 22 19 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pusk/Ds…… TOTAL TOTAL
L+P
L P L P
0 0 1681 3592 5273
0 0 4913 8558 13471
0 0 1647 3578 5225

0 0 9 10 19
0 0 1 7 8
0 0 133 128 261
0 0 232 204 436
0 0 125 142 267
0 0 97 108 205
0 0 104 163 267
0 0 471 2189 2660
0 0 181 298 479
0 0 75 103 178
0 0 150 161 311
0 0 69 65 134
0 0 1379 3067 4446

0 0 1357 3037 4394
0 0 22 30 52
0 0 1137 2632 3769

0 0 854 1870 2724
0 0 283 762 1045
0 0 1609 3501 5110

0 0 1120 2399 3519
0 0 489 1102 1591
LAPORAN BULANAN
KAB/PUSK………

- -
1 Bulan ini 12 14 0 0 21 73 0 0 35 42 3 1 12 24 162 327 5 5 429 1198 21 43 96 225 20 18 2 1 64 76 6 13
II Umur :
12 13 0 0 21 73 5 8 33 42 3 1 13 24 162 327 5 5 452 1258 21 43 92 224 17 17 2 1 65 76 6 13
1 0 0 0 0 3 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0
0-7 hari
2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
8-28 hari
3 29 - < 1 tahun 0 0 0 0 7 8 2 5 1 2 3 1 0 0 3 0 0 0 26 29 0 1 6 8 4 1 1 0 3 1 0 1
4 1 – 4 tahun 3 1 0 0 1 10 0 0 9 4 0 0 1 1 15 9 0 0 86 67 2 4 13 13 1 1 0 0 7 4 0 2
5 5 – 9 tahun 0 0 0 0 1 3 0 0 1 4 0 0 2 0 11 8 0 0 37 54 5 4 5 4 1 3 0 0 4 4 0 0
6 10 – 14 tahun 0 2 0 0 1 1 0 0 5 1 0 0 0 0 9 15 0 0 19 17 4 5 1 3 4 1 0 0 3 4 0 1
7 15 – 19 tahun 0 2 0 0 2 1 0 0 0 4 0 0 2 2 8 4 0 0 34 48 5 7 5 2 3 8 0 0 3 1 0 3
8 20 – 44 tahun 8 5 0 0 6 20 3 3 10 20 0 0 4 10 48 212 5 5 123 899 2 10 29 142 2 1 0 0 17 30 2 4
9 45 – 54 tahun 0 1 0 0 0 10 0 0 2 4 0 0 0 4 25 34 0 0 46 52 2 7 7 27 0 0 1 0 10 16 3 0
10 55 – 59 tahun 0 1 0 0 0 2 0 0 0 0 0 0 1 2 17 16 0 0 16 36 1 3 10 8 2 2 0 0 4 4 0 0
11 60 – 69 tahun 1 1 0 0 0 13 0 0 3 1 0 0 1 3 12 21 0 0 45 31 0 2 10 13 0 0 0 0 8 9 0 0
12 > 70 tahun 0 0 0 0 0 3 0 0 2 1 0 0 2 0 14 8 0 0 20 25 0 0 6 4 0 0 0 0 3 2 1 2
III Domisili :
12 14 0 0 21 73 5 8 35 42 3 1 0 0 162 327 5 5 420 1184 21 43 5 28 10 5 2 1 62 71 6 13
1 Dalam wilayah 10 10 0 0 20 72 5 8 34 38 3 1 0 0 162 327 5 5 420 1184 21 43 5 28 10 5 1 0 62 71 6 13
2 Luar wilayah 2 4 0 0 1 1 0 0 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0
12 14 0 0 21 73 5 8 35 38 0 0 0 0 161 328 5 5 460 1273 21 43 0 0 20 18 2 1 43 32 6 13
1 Keluarga miskin 0 0 0 0 8 51 5 8 24 24 0 0 0 0 77 164 5 5 272 780 0 0 0 0 14 15 2 0 43 32 4 11
V Cara Pembayaran :
12 14 0 0 21 73 5 8 35 42 0 0 26 23 161 328 5 5 460 1273 21 43 86 233 20 18 2 1 59 70 6 13
1 BPJS 12 14 0 0 8 51 2 0 23 23 0 0 22 18 77 164 0 0 272 780 4 14 53 128 14 15 2 0 59 70 5 1
2 Non BPJS 0 0 0 0 13 22 3 8 12 19 0 0 4 5 84 164 5 5 188 493 17 29 33 105 6 3 0 1 0 0 1 12
Mengetahui
Kasubag Pelaporan
LAPORAN BULANAN
SI INDUK DI PUSKESMAS DAN JEJARINGNYA
KAB/PUSK………
Pusk
Alang L+P
72 161 90 216 59 62 244 467 0 0 34 60 91 200 100 186 21 43 17 3 1616 3458 5074
150 222 0 0 320 369 0 0 0 0 0 0 0 0 0 0 60 118 0 0 3353 8301 11654
72 161 90 216 59 62 207 447 0 0 30 58 91 200 108 188 22 42 17 3 1605 3502 5107
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 4 10
1 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6
1 3 2 0 10 11 4 13 0 0 0 1 2 4 1 2 4 5 9 0 89 96 185
7 9 3 7 13 8 38 31 0 0 0 0 10 11 7 4 5 8 8 0 229 194 423
2 6 2 8 2 3 22 20 0 0 5 2 9 5 6 1 0 3 0 0 115 132 247
6 4 9 7 5 8 10 15 0 0 3 6 2 5 1 3 4 6 0 3 86 107 193
2 7 3 29 0 0 23 37 0 0 3 2 5 6 5 0 0 1 0 0 103 164 267
19 77 16 113 24 23 38 247 0 0 14 32 41 118 37 108 8 9 0 0 456 2088 2544
17 21 28 25 2 3 23 34 0 0 4 5 8 20 7 32 1 4 0 0 186 299 485
3 7 9 12 2 4 10 16 0 0 0 1 4 7 6 9 0 0 0 0 85 130 215
10 14 17 5 1 0 19 27 0 0 1 6 5 19 22 18 0 4 0 0 155 187 342
4 13 1 10 0 0 20 7 0 0 0 3 5 5 16 11 0 2 0 0 94 96 190
72 161 90 216 59 62 0 0 0 0 34 60 91 200 100 186 21 43 17 3 1253 2746 3999

72 161 90 216 59 62 0 0 0 0 34 60 91 200 100 186 21 43 17 3 1248 2736 3984
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 10 15
0 0 90 216 59 62 0 0 0 0 34 60 91 200 100 186 0 0 17 3 1182 2573 3755

0 0 78 190 59 62 0 0 0 0 34 60 91 200 100 186 0 0 17 3 833 1791 2624
0 0 12 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 782 1131
72 161 90 216 59 62 289 491 0 0 34 60 0 0 100 186 0 0 0 0 1563 3320 4883

40 92 78 190 59 62 150 254 0 0 30 51 0 0 82 155 0 0 0 0 992 2082 3074
32 69 12 26 0 0 139 237 0 0 4 9 0 0 18 31 0 0 0 0 571 1238 1809
LAPORAN BULANAN
KAB/PUSK………

- -
1 Bulan ini 5 10 12 28 18 28 0 0 42 77 0 0 0 0 162 278 1 1 292 929 10 24 0 0 13 13 19 26 59 90 9 10
II Umur :
5 10 12 28 18 28 0 0 40 72 2 3 20 22 162 278 1 1 416 1277 10 24 0 0 13 13 19 26 49 102 9 10
1 0 0 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 1 0 1
0-7 hari
2 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 5 2 0 0 0
8-28 hari
3 29 - < 1 tahun 2 1 1 3 1 0 0 0 5 4 2 2 0 0 5 3 0 0 19 13 0 0 0 0 2 1 1 1 0 1 1 1
4 1 – 4 tahun 0 0 1 0 2 4 0 0 4 3 0 0 1 0 14 11 0 0 47 51 2 1 0 0 0 0 2 3 5 12 2 1
5 5 – 9 tahun 0 0 1 1 0 1 0 0 2 6 0 0 1 0 11 10 0 0 41 34 0 2 0 0 2 0 0 3 4 4 1 0
6 10 – 14 tahun 0 0 1 1 0 2 0 0 0 3 0 0 4 1 14 10 0 0 22 30 0 2 0 0 1 0 0 0 1 4 1 0
7 15 – 19 tahun 1 0 0 3 2 5 0 0 2 3 0 0 2 3 6 7 0 0 59 92 1 0 0 0 2 3 0 0 5 18 1 0
8 20 – 44 tahun 0 6 4 19 8 10 0 0 13 43 0 0 7 10 40 139 1 1 127 881 6 15 0 0 3 8 2 5 13 35 0 6
9 45 – 54 tahun 1 2 4 1 0 1 0 0 6 8 0 0 2 4 31 36 0 0 38 85 0 2 0 0 2 0 0 0 10 14 2 0
10 55 – 59 tahun 1 0 0 0 1 2 0 0 3 1 0 0 0 2 14 19 0 0 22 36 0 1 0 0 0 1 2 2 5 6 0 0
11 60 – 69 tahun 0 1 0 0 0 2 0 0 5 1 0 0 2 2 15 25 0 0 23 31 0 1 0 0 0 0 4 2 2 6 0 1
12 > 70 tahun 0 0 0 0 0 0 0 0 0 0 0 0 1 0 12 18 0 0 18 24 1 0 0 0 1 0 2 3 0 1 1 0
III Domisili :
5 10 12 28 18 28 0 0 40 76 0 0 20 22 162 278 1 1 410 1268 10 24 0 0 13 13 19 26 59 90 9 10
1 Dalam wilayah 4 9 12 28 16 25 0 0 37 74 0 0 20 22 162 278 1 0 410 1268 10 24 0 0 13 13 19 26 58 90 9 10
2 Luar wilayah 1 1 0 0 2 3 0 0 3 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0
5 10 12 28 18 28 0 0 40 58 0 0 20 22 162 278 1 1 412 1279 10 24 0 0 13 13 19 26 18 54 9 10
1 Keluarga miskin 0 0 12 26 8 14 0 0 25 35 0 0 20 22 134 240 1 1 182 714 9 23 0 0 9 6 9 6 18 52 9 10
9
V Cara Pembayaran :
5 10 12 28 18 28 0 0 37 74 0 0 20 22 162 278 1 1 412 1279 10 24 0 0 13 13 19 26 16 25 9 10
1 BPJS 5 10 12 26 8 12 0 0 24 53 0 0 14 19 134 240 0 0 182 714 9 22 0 0 9 6 9 7 2 8 0 0
2 Non BPJS 0 0 0 2 10 16 0 0 13 21 0 0 6 3 28 38 1 1 230 565 1 2 0 0 4 7 10 19 14 17 0 0
Mengetahui
Kasubag Pelaporan
LAPORAN BULANAN
KAB/PUSK………
Pusk
Pusk Pusk Pusk Pusk Pusk Pusk Taman Puskesmas
Pusk Maliang Pusk Moru Padang Pusk Probur Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds……
Mademang Mainang Mebung Tamalabang Ternate Mataru Lotas
Alang
0 0 114 320 59 62 165 302 153 229 19 16 153 277 112 282 88 48 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 320 369 0 0 2593 2719 33 0 0 0 0 0 208 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 114 319 59 62 160 304 153 229 19 16 153 277 112 282 88 96 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 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 0 1 0 10 11 4 13 11 15 0 0 5 4 1 1 6 7 8 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 14 13 8 28 24 0 1 2 0 8 13 5 15 7 9 6 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 6 8 2 3 9 9 0 0 3 4 7 10 4 4 13 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 5 5 8 7 3 0 0 4 0 7 8 4 5 10 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 15 0 0 8 21 18 23 1 1 10 12 3 12 31 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 31 195 24 23 46 183 67 134 5 8 65 159 29 158 8 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 21 36 2 3 22 26 29 23 3 1 20 35 26 40 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 15 19 2 4 9 9 7 9 0 1 8 16 9 12 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 17 15 1 0 19 14 10 18 0 1 12 15 23 26 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 6 12 0 0 7 0 11 6 1 0 11 5 8 9 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 114 319 59 62 0 0 222 286 19 16 153 277 112 282 0 0 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 106 317 59 62 0 0 222 286 19 16 153 277 112 282 0 0 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 8 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 0 0 0
0 0 114 310 59 62 0 0 237 261 19 16 153 254 112 282 0 0 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 90 244 59 62 0 0 232 253 19 16 134 249 112 282 0 0 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 24 66 0 0 0 0 5 8 0 0 19 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 114 310 76 76 214 429 177 257 19 16 146 331 112 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 90 244 59 62 75 192 164 236 18 16 134 249 98 259 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 24 66 17 14 139 237 13 21 1 0 12 82 14 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas
TOTAL TOTAL
Hauhasi
L+P
L P L P
0 0 1519 3057 4576
0 0 6604 12491 19095
0 0 1648 3486 5134

0 0 9 5 14
0 0 6 10 16
0 0 85 83 168
0 0 156 175 331
0 0 107 113 220
0 0 84 94 178
0 0 159 244 403
0 0 499 2051 2550
0 0 223 322 545
0 0 103 145 248
0 0 136 164 300
0 0 81 80 161
0 0 1471 3123 4594

0 0 1456 3114 4570
0 0 15 9 24
0 0 1447 3023 4470

0 0 1096 2262 3358
0 0 351 761 1112
0 0 1592 3519 5111

0 0 1046 2375 3421
0 0 537 1134 1671
LAPORAN BULANAN
KAB/PUSK………

- -
1 Bulan ini 24 28 5 4 16 26 0 0 18 21 1 4 32 72 136 305 3 2 280 907 34 37 0 0 7 6 37 92 36 45 0 0
II Umur :
24 28 5 4 16 26 0 0 18 21 1 4 36 71 136 305 3 2 293 967 34 37 0 0 7 6 37 92 36 44 0 0
1 0 0 0 0 6 2 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
0-7 hari
2 0 0 0 0 0 3 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
8-28 hari
3 29 - < 1 tahun 2 0 0 1 1 0 0 0 2 0 0 3 0 1 5 3 0 0 28 25 3 3 0 0 1 0 0 1 2 2 0 0
4 1 – 4 tahun 2 1 1 0 1 2 0 0 4 1 0 0 4 3 28 16 0 0 39 33 4 6 0 0 0 0 4 10 7 6 0 0
5 5 – 9 tahun 3 3 1 0 2 0 0 0 4 3 0 0 2 2 17 7 0 0 16 16 4 7 0 0 1 0 2 4 0 0 0 0
6 10 – 14 tahun 0 0 0 0 1 1 0 0 0 0 0 0 5 2 6 6 0 0 19 20 7 4 0 0 1 1 2 3 7 2 0 0
7 15 – 19 tahun 0 0 1 0 0 1 0 0 0 0 0 0 4 5 1 5 0 0 23 30 6 4 0 0 0 1 2 8 2 2 0 0
8 20 – 44 tahun 9 10 2 3 4 17 0 0 6 8 0 0 7 41 29 170 3 2 71 718 6 10 0 0 2 2 9 30 5 17 0 0
9 45 – 54 tahun 1 6 0 0 0 0 0 0 1 6 0 0 7 12 17 43 0 0 36 61 4 1 0 0 0 1 4 9 7 6 0 0
10 55 – 59 tahun 3 3 0 0 1 0 0 0 0 1 0 0 3 3 8 9 0 0 16 23 0 0 0 0 1 0 4 3 2 3 0 0
11 60 – 69 tahun 3 2 0 0 0 0 0 0 0 2 0 0 4 2 10 29 0 0 25 19 0 1 0 0 1 0 5 9 3 4 0 0
12 > 70 tahun 1 3 0 0 0 0 0 0 1 0 0 0 0 0 15 17 0 0 20 22 0 1 0 0 0 1 5 15 0 1 0 0
III Domisili :
24 28 5 4 16 26 0 0 18 21 1 4 32 72 136 305 3 2 280 907 34 37 0 0 7 6 37 92 57 42 0 0
1 Dalam wilayah 21 24 5 4 15 25 0 0 15 20 1 4 32 72 136 305 3 2 255 863 34 37 0 0 7 6 37 91 34 42 0 0
2 Luar wilayah 3 4 0 0 1 1 0 0 3 1 0 0 0 0 0 0 0 0 25 44 0 0 0 0 0 0 0 1 23 0 0 0
22 31 0 0 16 26 0 0 18 21 1 4 0 0 136 305 3 2 292 961 34 37 0 0 7 6 37 92 24 22 0 0
1 Keluarga miskin 2 0 0 0 5 9 0 0 10 15 1 4 0 0 136 305 3 2 127 524 28 29 0 0 5 4 15 63 22 19 0 0
V Cara Pembayaran :
22 31 5 4 16 26 0 0 18 21 1 4 32 72 136 305 3 2 292 961 34 37 0 0 7 6 37 92 24 22 0 0
1 BPJS 20 31 2 2 5 9 0 0 8 14 1 4 29 63 136 305 3 2 127 524 28 29 0 0 5 4 15 63 18 17 0 0
2 Non BPJS 2 0 3 2 11 17 0 0 10 7 0 0 3 9 0 0 0 0 165 437 6 8 0 0 2 2 22 29 6 5 0 0
Mengetahui
Kasubag Pelaporan
LAPORAN BULANAN
KAB/PUSK………
Pusk
Alang
0 0 123 212 0 0 115 208 0 0 5 12 98 216 129 244 32 52 3 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 61 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 123 212 0 0 109 208 0 0 5 12 98 216 130 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 2 0 0 4 7 0 0 1 1 3 4 0 5 2 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 10 0 0 17 8 0 0 2 2 13 15 4 4 5 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 12 0 0 11 19 0 0 0 1 0 3 6 6 10 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 10 11 0 0 8 8 0 0 0 1 3 6 11 9 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 15 37 0 0 10 20 0 0 0 0 3 8 9 9 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 30 67 0 0 24 109 0 0 2 1 41 141 53 141 1 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 22 37 0 0 14 16 0 0 0 2 13 16 14 39 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 8 21 0 0 8 10 0 0 0 0 4 9 10 15 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 17 7 0 0 9 9 0 0 0 1 13 10 14 14 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 4 8 0 0 2 1 0 0 0 3 5 4 9 2 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 123 212 0 0 0 0 0 0 5 12 98 216 129 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 123 212 0 0 0 0 0 0 5 12 98 216 129 244 34 50 3 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 0 124 211 0 0 0 0 0 0 19 16 98 112 129 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 103 181 0 0 0 0 0 0 19 16 50 109 129 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 21 30 0 0 0 0 0 0 0 0 48 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 124 211 0 0 115 208 0 0 5 12 66 403 129 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 103 181 0 0 51 78 0 0 4 11 50 109 98 208 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 21 30 0 0 64 130 0 0 1 1 16 294 31 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas
TOTAL TOTAL
Hauhasi
L+P
L P L P
0 0 1134 2496 3630
0 0 3924 10372 14296
0 0 1148 2552 3700

0 0 9 3 12
0 0 1 6 7
0 0 57 62 119
0 0 143 121 264
0 0 88 96 184
0 0 82 82 164
0 0 80 132 212
0 0 304 1494 1798
0 0 142 263 405
0 0 70 102 172
0 0 107 110 217
0 0 65 81 146
0 0 1042 2283 3325

0 0 987 2232 3219
0 0 55 51 106
0 0 997 2143 3140

0 0 692 1577 2269
0 0 305 566 871
0 0 1103 2714 3817

0 0 740 1707 2447
0 0 363 1007 1370
LAPORAN BULANAN
KAB/PUSK………

- -
1 Bulan ini 11 23 17 14 32 31 2 2 42 77 0 0 0 0 162 278 1 1 292 929 10 24 0 0 13 13 19 26 24 35 10 29
II Umur :
7 9 17 14 32 31 3 5 40 72 2 3 20 22 162 278 1 1 416 1277 10 24 0 0 13 13 19 26 21 39 10 29
1 0 0 0 0 5 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1
0-7 hari
2 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 5 0 0 0 0
8-28 hari
3 29 - < 1 tahun 2 2 2 3 3 6 0 0 5 4 2 2 0 0 5 3 0 0 19 13 0 0 0 0 2 1 1 1 1 2 0 2
4 1 – 4 tahun 3 0 4 0 5 5 1 2 4 3 0 0 1 0 14 11 0 0 47 51 2 1 0 0 0 0 2 3 4 6 8 3
5 5 – 9 tahun 0 0 0 1 1 1 0 0 2 6 0 0 1 0 11 10 0 0 41 34 0 2 0 0 2 0 0 3 1 0 0 0
6 10 – 14 tahun 0 0 2 0 1 0 0 0 0 3 0 0 4 1 14 10 0 0 22 30 0 2 0 0 1 0 0 0 3 2 0 0
7 15 – 19 tahun 1 1 1 2 2 0 0 0 2 3 0 0 2 3 6 7 0 0 59 92 1 0 0 0 2 3 0 0 2 0 0 1
8 20 – 44 tahun 0 4 8 6 8 15 2 3 13 43 0 0 7 10 40 139 1 1 127 881 6 15 0 0 3 8 2 5 10 24 1 22
9 45 – 54 tahun 0 0 0 1 4 2 0 0 6 8 0 0 2 4 31 36 0 0 38 85 0 2 0 0 2 0 0 0 0 2 1 0
10 55 – 59 tahun 0 0 0 0 2 0 0 0 3 1 0 0 0 2 14 19 0 0 22 36 0 1 0 0 0 1 2 2 0 1 0 0
11 60 – 69 tahun 1 2 0 0 0 0 0 0 5 1 0 0 2 2 15 25 0 0 23 31 0 1 0 0 0 0 4 2 0 1 0 0
12 > 70 tahun 0 0 0 0 1 0 0 0 0 0 0 0 1 0 12 18 0 0 18 24 1 0 0 0 1 0 2 3 0 1 0 0
III Domisili :
7 12 18 16 37 30 0 0 40 76 0 0 20 22 162 278 1 1 410 1268 10 24 0 0 13 13 19 26 24 35 10 29
1 Dalam wilayah 7 12 17 14 33 27 0 0 37 74 0 0 20 22 162 278 1 0 410 1268 10 24 0 0 13 13 19 26 21 34 10 29
2 Luar wilayah 0 0 1 2 4 3 0 0 3 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 3 1 0 0
7 15 0 0 33 31 0 0 40 58 0 0 20 22 162 278 1 1 412 1279 10 24 0 0 13 13 19 26 24 35 10 29
1 Keluarga miskin 0 3 0 0 12 8 0 0 25 35 0 0 20 22 134 240 1 1 182 714 9 23 0 0 9 6 9 6 24 35 9 22
9
V Cara Pembayaran :
7 15 17 14 32 32 2 3 37 74 0 0 20 22 162 278 1 1 412 1279 10 24 0 0 13 13 19 26 19 32 10 29
1 BPJS 7 12 11 6 9 8 1 2 24 53 0 0 14 19 134 240 0 0 182 714 9 22 0 0 9 6 9 7 3 11 8 26
2 Non BPJS 0 3 6 8 23 24 1 1 13 21 0 0 6 3 28 38 1 1 230 565 1 2 0 0 4 7 10 19 16 21 2 3
Mengetahui
Kasubag Pelaporan
LAPORAN BULANAN
KAB/PUSK………
Pusk
Alang
72 161 104 226 40 29 244 467 138 199 19 16 153 277 112 282 88 48 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
150 222 0 0 320 369 0 0 2893 3179 33 0 0 0 0 0 208 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 161 104 231 40 27 215 467 138 199 19 16 153 277 112 282 88 96 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 2 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
1 0 0 0 0 2 0 1 17 16 0 0 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 3 15 2 9 1 4 14 15 21 0 0 5 4 1 1 6 7 8 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 9 5 5 4 3 47 22 12 13 2 0 8 13 5 15 7 9 6 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 6 4 0 0 20 32 10 5 3 4 7 10 4 4 13 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 4 4 9 2 4 11 8 13 11 4 0 7 8 4 5 10 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 7 11 26 0 0 17 33 41 95 1 1 10 12 3 12 31 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 77 23 139 21 11 51 272 21 25 5 8 65 159 29 158 8 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 21 15 18 1 2 15 42 4 3 3 1 20 35 26 40 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 7 13 12 1 4 16 15 4 5 0 1 8 16 9 12 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 14 9 12 1 0 24 22 1 5 0 1 12 15 23 26 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 13 3 4 0 0 8 5 0 0 1 0 11 5 8 9 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 161 104 231 40 29 0 0 138 199 19 16 153 277 112 282 0 0 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

72 161 104 230 40 29 0 0 138 199 19 16 153 277 112 282 0 0 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 104 231 40 29 0 0 119 206 19 16 153 254 112 282 0 0 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 95 203 40 29 0 0 102 188 19 16 134 249 112 282 0 0 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 28 0 0 0 0 17 18 0 0 19 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 161 104 231 40 0 254 495 102 188 19 16 146 331 112 282 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 92 95 203 40 0 115 258 92 171 18 16 134 249 98 259 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 69 9 28 0 0 139 237 10 17 1 0 12 82 14 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas
TOTAL TOTAL
Hauhasi
L+P
L P L P
0 0 1619 3194 4813
0 0 7036 13112 20148
0 0 1728 3606 5334

0 0 10 6 16
0 0 22 26 48
0 0 106 94 200
0 0 198 179 377
0 0 124 136 260
0 0 108 109 217
0 0 194 324 518
0 0 470 2038 2508
0 0 189 307 496
0 0 102 140 242
0 0 133 163 296
0 0 72 84 156
0 0 1423 3032 4455

0 0 1412 3022 4434
0 0 11 10 21
0 0 1312 2836 4148

0 0 950 2089 3039
0 0 362 747 1109
0 0 1610 3546 5156

0 0 1052 2374 3426
0 0 558 1172 1730
LAPORAN BULANAN
KAB/PUSK………

- -
1 Bulan ini 14 13 19 52 24 23 0 0 68 130 3 8 31 37 0 0 0 0 250 1133 22 14 28 31 15 11 10 12 86 142 3 27
II Umur :
14 13 19 52 20 23 0 0 66 127 3 8 31 37 219 340 0 0 250 1133 22 14 26 40 15 11 10 12 95 143 3 27
1 0 0 0 0 7 3 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0-7 hari
2 0 0 0 1 2 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0
8-28 hari
3 29 - < 1 tahun 2 4 1 0 3 1 0 0 1 5 3 7 3 0 10 14 0 0 17 21 2 0 4 6 1 2 2 2 7 5 0 2
4 1 – 4 tahun 1 0 4 4 2 1 0 0 10 13 0 0 5 2 31 27 0 0 25 126 6 5 2 4 4 0 0 0 7 6 1 0
5 5 – 9 tahun 0 2 1 3 0 0 0 0 9 6 0 0 3 3 23 16 0 0 21 61 4 3 4 5 1 2 1 0 4 5 2 1
6 10 – 14 tahun 0 0 0 9 0 1 0 0 3 16 0 0 1 5 25 20 0 0 13 36 4 2 2 1 1 0 1 1 7 9 0 1
7 15 – 19 tahun 0 0 1 2 0 1 0 0 0 6 0 0 0 2 6 11 0 0 15 28 2 2 1 0 0 1 1 1 10 2 0 4
8 20 – 44 tahun 7 5 7 23 3 10 0 0 16 53 0 0 10 15 62 140 0 0 119 726 3 1 9 18 6 5 2 6 28 70 0 19
9 45 – 54 tahun 1 1 0 10 0 2 0 0 13 10 0 0 6 3 30 52 0 0 17 55 1 0 2 4 1 1 2 2 12 23 0 0
10 55 – 59 tahun 0 0 3 0 0 0 0 0 5 3 0 0 0 0 10 15 0 0 6 21 0 1 1 1 0 0 0 0 4 11 0 0
11 60 – 69 tahun 0 1 2 0 1 1 0 0 4 11 0 0 0 4 9 27 0 0 10 39 0 0 1 1 0 0 1 0 8 10 0 0
12 > 70 tahun 3 0 0 0 2 2 0 0 5 4 0 0 2 1 13 18 0 0 7 20 0 0 0 0 1 0 0 0 6 1 0 0
III Domisili :
14 23 19 52 24 23 0 0 68 130 3 8 31 37 0 0 0 0 250 1133 22 14 28 31 15 11 10 12 86 143 3 27
1 Dalam wilayah 12 19 19 51 24 23 0 0 64 128 3 8 31 37 0 0 0 0 250 1133 22 14 24 24 10 11 10 12 86 143 3 27
2 Luar wilayah 2 4 0 1 0 0 0 0 4 2 0 0 0 0 0 0 0 0 0 0 0 0 4 7 5 0 0 0 0 0 0 0
14 13 0 0 23 26 0 0 72 89 0 0 31 37 219 340 0 0 250 1133 22 14 0 0 15 11 10 12 87 142 3 27
1 Keluarga miskin 3 2 0 0 4 14 0 0 68 87 0 0 27 29 143 267 0 0 111 711 0 0 0 0 9 11 6 7 64 128 3 18
V Cara Pembayaran :
14 13 19 52 6 3 0 0 68 130 0 0 31 37 219 340 0 0 250 1133 56 91 28 35 15 11 10 12 87 142 3 27
1 BPJS 11 11 17 39 1 0 0 0 42 85 0 0 27 29 143 267 0 0 111 711 15 10 13 19 9 11 6 9 64 128 3 22
2 Non BPJS 3 2 2 13 5 3 0 0 26 45 0 0 4 8 76 73 0 0 139 422 7 4 15 16 6 0 4 3 23 14 0 5
Mengetahui
Kasubag Pelaporan
LAPORAN BULANAN
KAB/PUSK………
Pusk
Alang
12 24 202 102 0 0 115 208 0 0 5 12 98 216 129 244 32 52 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 295 0 0 0 0 0 0 0 0 61 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 24 202 102 0 0 109 208 0 0 5 12 98 216 130 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 2 5 0 0 0 4 7 0 0 1 1 3 4 0 5 2 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 2 18 2 0 0 17 8 0 0 2 2 13 15 4 4 5 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 2 24 0 0 0 11 19 0 0 0 1 0 3 6 6 10 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 24 0 0 0 8 8 0 0 0 1 3 6 11 9 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 3 15 0 0 0 10 20 0 0 0 0 3 8 9 9 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 11 59 62 0 0 24 109 0 0 2 1 41 141 53 141 1 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 23 14 0 0 14 16 0 0 0 2 13 16 14 39 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 10 0 0 8 10 0 0 0 0 4 9 10 15 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 3 15 10 0 0 9 9 0 0 0 1 13 10 14 14 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 7 4 0 0 2 1 0 0 0 3 5 4 9 2 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 24 202 102 0 0 0 0 0 0 5 12 98 216 129 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 24 202 102 0 0 0 0 0 0 5 12 98 216 129 244 34 50 3 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
12 24 202 102 0 0 0 0 0 0 19 16 98 112 129 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 13 184 102 0 0 0 0 0 0 19 16 50 109 129 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 11 18 0 0 0 0 0 0 0 0 0 48 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 24 202 102 0 0 115 208 0 0 5 12 66 403 129 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 13 184 102 0 0 51 78 0 0 4 11 50 109 98 208 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 11 18 0 0 0 64 130 0 0 1 1 16 294 31 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas
TOTAL TOTAL
Hauhasi
L+P
L P L P
0 0 1169 2494 3663
0 0 1879 4681 6560
0 0 1386 2839 4225

0 0 10 6 16
0 0 4 5 9
0 0 74 92 166
0 0 162 225 387
0 0 125 151 276
0 0 106 134 240
0 0 77 102 179
0 0 456 1563 2019
0 0 151 258 409
0 0 65 98 163
0 0 91 142 233
0 0 65 63 128
0 0 1056 2295 3351

0 0 1041 2281 3322
0 0 15 14 29
0 0 1243 2395 3638

0 0 859 1811 2670
0 0 384 584 968
0 0 1372 3072 4444

0 0 888 1915 2803
0 0 450 1080 1530
LAPORAN BULANAN
KAB/PUSK………

- -
1 Bulan ini 11 23 17 14 14 18 0 0 68 130 3 8 31 37 0 0 0 0 292 929 10 24 0 0 13 16 19 26 24 35 10 29
II Umur :
7 9 17 14 14 18 0 0 66 127 3 8 31 37 219 340 0 0 416 1277 10 24 0 0 13 16 19 26 21 39 10 29
1 0 0 0 0 4 1 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1
0-7 hari
2 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 5 0 0 0 0
8-28 hari
3 29 - < 1 tahun 2 2 2 3 3 1 0 0 1 5 3 7 3 0 10 14 0 0 19 13 0 0 0 0 5 1 1 1 1 2 0 2
4 1 – 4 tahun 3 0 4 0 0 3 0 0 10 13 0 0 5 2 31 27 0 0 47 51 2 1 0 0 1 1 2 3 4 6 8 3
5 5 – 9 tahun 0 0 0 1 1 0 0 0 9 6 0 0 3 3 23 16 0 0 41 34 0 2 0 0 0 3 0 3 1 0 0 0
6 10 – 14 tahun 0 0 2 0 0 0 0 0 3 16 0 0 1 5 25 20 0 0 22 30 0 2 0 0 0 0 0 0 3 2 0 0
7 15 – 19 tahun 1 1 1 2 0 1 0 0 0 6 0 0 0 2 6 11 0 0 59 92 1 0 0 0 1 1 0 0 2 0 0 1
8 20 – 44 tahun 0 4 8 6 3 8 0 0 16 53 0 0 10 15 62 140 0 0 127 881 6 15 0 0 4 8 2 5 10 24 1 22
9 45 – 54 tahun 0 0 0 1 2 1 0 0 13 10 0 0 6 3 30 52 0 0 38 85 0 2 0 0 1 2 0 0 0 2 1 0
10 55 – 59 tahun 0 0 0 0 0 0 0 0 5 3 0 0 0 0 10 15 0 0 22 36 0 1 0 0 0 0 2 2 0 1 0 0
11 60 – 69 tahun 1 2 0 0 1 3 0 0 4 11 0 0 0 4 9 27 0 0 23 31 0 1 0 0 1 0 4 2 0 1 0 0
12 > 70 tahun 0 0 0 0 0 0 0 0 5 4 0 0 2 1 13 18 0 0 18 24 1 0 0 0 0 0 2 3 0 1 0 0
III Domisili :
7 12 18 16 14 18 0 0 68 130 3 8 31 37 0 0 0 0 410 1268 10 24 0 0 13 16 19 26 24 35 10 29
1 Dalam wilayah 7 12 17 14 14 18 0 0 64 128 3 8 31 37 0 0 0 0 410 1268 10 24 0 0 13 16 19 26 21 34 10 29
2 Luar wilayah 0 0 1 2 0 0 0 0 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 0 0
7 15 0 0 14 18 0 0 72 89 0 0 31 37 219 340 0 0 412 1279 10 24 0 0 13 14 19 26 24 35 10 29
1 Keluarga miskin 0 3 0 0 5 10 0 0 68 87 0 0 27 29 143 267 0 0 182 714 9 23 0 0 7 8 9 6 24 35 9 22
9
V Cara Pembayaran :
7 15 17 14 14 18 0 0 68 130 0 0 31 37 219 340 0 0 412 1279 10 24 0 0 13 14 19 26 19 32 10 29
1 BPJS 7 12 11 6 5 10 0 0 42 85 0 0 27 29 143 267 0 0 182 714 9 22 0 0 7 8 9 7 3 11 8 26
2 Non BPJS 0 3 6 8 9 8 0 0 26 45 0 0 4 8 76 73 0 0 230 565 1 2 0 0 6 6 10 19 16 21 2 3
Mengetahui
Kasubag Pelaporan
LAPORAN BULANAN
KAB/PUSK………
Pusk
Alang
72 161 104 226 75 79 0 0 223 285 5 12 0 0 45 58 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
150 222 0 0 320 425 0 0 3157 3510 61 16 0 0 175 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 161 104 231 75 79 0 0 223 285 5 12 0 0 45 58 0 0 3 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 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 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 3 15 2 2 3 0 0 18 14 1 1 0 0 2 4 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 9 5 5 9 5 0 0 22 19 2 2 0 0 11 15 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 6 4 6 6 0 0 28 21 0 1 0 0 1 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 4 4 9 6 12 0 0 33 20 0 1 0 0 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 7 11 26 0 0 0 0 20 19 0 0 0 0 3 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 77 23 139 40 42 0 0 56 135 2 1 0 0 15 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 21 15 18 6 5 0 0 21 22 0 2 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 7 13 12 5 5 0 0 3 5 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 14 9 12 1 1 0 0 15 16 0 1 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 13 3 4 0 0 0 0 5 12 0 3 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 161 104 231 75 79 0 0 223 285 5 12 0 0 45 58 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

72 161 104 230 75 79 0 0 223 285 5 12 0 0 45 58 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 104 231 75 79 0 0 147 148 19 16 0 0 45 58 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 95 203 75 79 0 0 126 133 19 16 0 0 45 58 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 28 0 0 0 0 21 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 161 104 231 75 79 0 0 136 122 5 12 0 0 35 58 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

40 92 95 203 58 72 0 0 114 104 4 11 0 0 23 28 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 69 9 28 17 7 0 0 22 18 1 1 0 0 12 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas
TOTAL TOTAL
Hauhasi
L+P
L P L P
0 0 1038 2111 3149
0 0 6760 12786 19546
0 0 1373 2791 4164

0 0 8 7 15
0 0 6 8 14
0 0 91 79 170
0 0 174 165 339
0 0 121 114 235
0 0 109 125 234
0 0 107 174 281
0 0 404 1592 1996
0 0 153 227 380
0 0 64 89 153
0 0 80 128 208
0 0 56 83 139
0 0 1154 2446 3600

0 0 1146 2440 3586
0 0 8 6 14
0 0 1224 2439 3663

0 0 846 1694 2540
0 0 378 745 1123
0 0 1269 2622 3891

0 0 790 1708 2498
0 0 479 914 1393
LAPORAN BULANAN
KAB/PUSK………

- -
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II Umur :
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0-7 hari
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 0 0 0
8-28 hari
3 29 - < 1 tahun 0 0 0 0 0 0 0 0 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 – 4 tahun 0 0 0 0 0 0 0 0 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 5 – 9 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 10 – 14 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 15 – 19 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 20 – 44 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 45 – 54 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 55 – 59 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 60 – 69 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 > 70 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
III Domisili :
0 0 0 0 0 0 0 0 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 Dalam wilayah 0 0 0 0 0 0 0 0 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 Luar wilayah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 Keluarga miskin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
V Cara Pembayaran :
0 0 0 0 0 0 0 0 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 BPJS 0 0 0 0 0 0 0 0 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 Non BPJS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui
Kasubag Pelaporan
LAPORAN BULANAN
KAB/PUSK………
Pusk
Alang
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas
TOTAL TOTAL
Hauhasi
L+P
L P L P
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
LAPORAN BULANAN
KAB/PUSK………
Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds……
No Elemen Data
1 Bulan ini 134 190 177 302 243 328 6 22 707 1334 25 40 259 420 1232 2197 51 44 3392 11452 148 203 735 1172 131 132 227 374 765 1241 118 256
II Umur :
122 149 177 302 232 328 16 67 693 1313 29 46 305 462 1889 3217 51 44 3797 12616 148 203 724 1196 128 131 227 374 823 1398 118 256
1 0 0 0 0 48 20 0 1 0 1 0 0 5 12 0 0 0 0 0 0 0 0 0 0 0 0 6 9 10 3 2 7
0-7 hari
2 0 1 0 5 4 7 0 1 1 1 2 8 0 0 3 6 0 0 0 0 1 0 0 1 0 0 12 16 8 6 0 0
8-28 hari
3 29 - < 1 tahun 19 19 9 13 28 25 8 11 39 42 27 38 16 5 70 65 2 2 283 230 7 5 43 68 26 14 15 12 43 37 11 16
4 1 – 4 tahun 20 9 22 8 27 41 1 2 95 95 0 0 37 41 230 177 4 0 591 715 26 23 93 84 11 4 22 32 77 77 37 19
5 5 – 9 tahun 5 14 12 16 9 9 2 1 68 72 0 0 23 26 174 119 8 4 363 425 18 26 68 46 11 14 12 24 43 43 5 8
6 10 – 14 tahun 3 8 8 24 6 8 0 0 51 87 0 0 22 30 156 134 3 4 204 283 22 22 44 30 11 4 14 16 70 71 5 7
7 15 – 19 tahun 10 8 11 19 9 13 0 9 18 62 0 0 16 37 46 77 5 3 362 620 21 18 33 45 11 21 7 18 61 59 1 21
8 20 – 44 tahun 35 52 70 154 65 139 5 42 168 654 0 0 102 224 519 1630 29 31 1108 8850 39 72 233 685 38 54 54 130 230 677 38 171
9 45 – 54 tahun 6 14 19 56 17 33 0 0 101 153 0 0 42 46 271 445 0 0 344 678 10 19 77 111 10 9 16 43 110 208 13 2
10 55 – 59 tahun 5 4 9 3 7 6 0 0 50 33 0 0 10 14 126 163 0 0 152 287 1 10 31 42 3 5 22 16 52 86 2 1
11 60 – 69 tahun 10 15 13 4 5 20 0 0 62 80 0 0 22 24 141 248 0 0 228 332 0 7 65 55 3 2 33 33 90 97 1 1
12 > 70 tahun 9 5 4 0 7 7 0 0 40 33 0 0 10 3 153 153 0 0 162 196 3 1 37 29 4 4 14 25 29 34 3 3
III Domisili :
121 176 126 217 253 326 12 53 605 1122 25 40 369 546 1125 2056 51 44 3737 12455 148 203 522 807 121 119 227 374 692 1102 118 256
1 Dalam wilayah 105 148 123 209 234 309 12 51 571 1089 25 40 357 537 1125 2056 44 31 3712 12411 148 202 490 763 109 118 219 365 649 1084 118 256
2 Luar wilayah 16 28 3 8 19 17 0 2 34 33 0 0 12 9 0 0 7 13 25 44 0 1 32 44 12 1 8 9 43 18 0 0
118 163 29 61 243 333 12 37 715 1169 6 9 290 333 1721 2972 51 44 3795 12631 148 203 0 0 133 127 227 374 539 897 118 256
1 Keluarga miskin 11 15 29 59 75 150 12 37 592 978 6 9 229 252 1195 2253 51 44 1855 7655 58 103 0 0 88 94 154 251 491 864 91 183
V Cara Pembayaran :
118 163 177 302 192 276 10 52 697 1328 6 9 348 428 1781 3077 51 44 3795 12631 148 203 603 1019 133 131 226 372 605 1080 109 246
1 BPJS 107 148 143 212 62 119 6 40 456 919 6 9 268 327 1269 2373 39 28 1855 7655 107 151 392 640 88 94 153 256 452 914 68 179
2 Non BPJS 11 15 34 90 130 157 4 12 241 409 0 0 80 101 512 704 12 16 1940 4976 41 52 211 379 45 37 73 116 153 166 41 67
Mengetahui
Kasubag Pelaporan
LAPORAN BULANAN
KAB/PUSK………
Puskesmas
Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds…… Pusk/Ds……
Lotas
345 751 1484 2324 437 491 1751 3070 2248 3736 160 190 1265 2655 995 1959 463 507 69 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
341 745 1484 2338 445 490 1639 3038 2248 3734 163 194 1265 2652 1005 1957 473 575 70 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 0 10 9 1 5 0 0 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 0 0 2 0 8 3 4 19 21 0 0 0 0 0 0 4 8 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 16 65 20 52 42 71 112 141 153 15 7 50 63 14 26 43 50 44 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 44 105 81 68 54 282 194 252 265 18 11 116 127 61 81 58 65 25 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 30 143 92 28 22 174 223 223 223 28 19 75 93 54 55 68 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 18 109 90 37 43 113 116 187 211 19 16 66 80 49 61 61 93 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 38 106 240 1 2 140 236 164 308 10 13 91 114 43 62 94 85 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
93 372 408 1172 166 234 331 1524 710 1813 44 76 486 1637 334 1110 77 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 85 234 299 52 44 167 270 208 332 17 19 158 256 153 269 20 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 28 126 140 24 33 115 148 69 106 1 3 54 99 64 99 18 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 62 141 127 15 6 152 151 164 200 8 18 98 129 146 144 16 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 52 47 75 0 2 81 51 110 97 3 12 71 54 87 50 14 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 0 0 0 0 0 0 0 0 0
345 751 1484 2338 437 491 809 1626 2317 3793 167 196 1265 2669 995 1959 223 353 70 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
343 751 1472 2322 437 491 722 1496 2300 3781 167 196 1265 2669 994 1959 223 353 70 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 12 16 0 0 87 130 17 12 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
57 107 1485 2328 386 440 0 0 2348 3494 209 208 1265 2411 995 1959 101 178 70 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 85 1334 2056 386 440 0 0 2171 3323 209 208 1112 2390 995 1959 101 178 70 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 22 151 272 0 0 0 0 177 171 0 0 153 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
345 751 1485 2328 454 447 2050 3954 2208 3028 149 194 1266 2990 985 1959 126 328 16 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
186 425 1330 2074 371 325 966 1946 2008 2792 130 167 872 1907 807 1706 120 324 12 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
159 326 155 254 83 122 1084 2008 200 236 19 27 394 1083 178 253 6 4 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Puskesmas
TOTAL TOTAL
Hauhasi
L+P
L P L P
0 0 17567 35422 52989
0 0 0 0 0
0 0 18612 37857 56469

0 0 84 67 151
0 0 61 98 159
0 0 1148 1106 2254
0 0 2318 2260 4578
0 0 1625 1677 3302
0 0 1288 1459 2747
0 0 1272 2128 3400
0 0 5382 21615 26997
0 0 2116 3425 5541
0 0 955 1344 2299
0 0 1457 1774 3231
0 0 906 904 1810
0 0
0 0 16364 34104 50468
0 0 16034 33719 49753
0 0 330 385 715
0 0
0 0 15061 30766 45827
0 0 11352 23618 34970
0 0 3709 7148 10857
0 0
0 0 18083 37351 55434
0 0 12273 25740 38013
0 0 5810 11611 17421

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LAPORAN BUL

REKAPITULASI INDUK DI PUSKES

Pusk Alor Pusk Pusk Pusk Pusk Pusk Pusk Pusk

2 Kumulatif s.d. bulan lalu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 183 275 64 142 0 0 462 924 9 9 51 143 40 45 0 0 9 4 1500 3209 4709

Pusk Alor Pusk Pusk Pusk Pusk Pusk Pusk Pusk

0 0 0 0 269 318 0 0 428 902 0 0 0 0 90 104 0 0 0 0 1910 3758 5668

Pusk Alor Pusk Pusk Pusk Pusk Pusk Pusk Pusk

84 104 0 0 269 318 0 0 0 0 31 29 0 0 0 0 39 75 0 0 3085 5687 8772

Pusk Alor Pusk Pusk Pusk Pusk Pusk Pusk Pusk

Pusk Alor Pusk Pusk Pusk Pusk Pusk Pusk Pusk

150 222 0 0 320 369 0 0 2113 1905 0 0 0 0 0 0 120 171 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

72 161 104 231 40 29 0 0 240 407 12 11 41 171 109 216 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 104 231 40 29 0 0 249 404 12 11 41 171 109 216 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 1681 3592 5273

0 0 4913 8558 13471

0 0 1647 3578 5225

0 0 1379 3067 4446

0 0 1137 2632 3769

0 0 1609 3501 5110

Pusk Alor Pusk Pusk Pusk Pusk Pusk Pusk Pusk

150 222 0 0 320 369 0 0 0 0 0 0 0 0 0 0 60 118 0 0 3353 8301 11654

72 161 90 216 59 62 0 0 0 0 34 60 91 200 100 186 21 43 17 3 1253 2746 3999

0 0 90 216 59 62 0 0 0 0 34 60 91 200 100 186 0 0 17 3 1182 2573 3755

72 161 90 216 59 62 289 491 0 0 34 60 0 0 100 186 0 0 0 0 1563 3320 4883

Pusk Alor Pusk Pusk Pusk Pusk Pusk Pusk Pusk

0 0 0 0 320 369 0 0 2593 2719 33 0 0 0 0 0 208 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 114 319 59 62 0 0 222 286 19 16 153 277 112 282 0 0 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 114 310 59 62 0 0 237 261 19 16 153 254 112 282 0 0 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 1519 3057 4576

0 0 6604 12491 19095

0 0 1648 3486 5134

0 0 1471 3123 4594

0 0 1447 3023 4470

0 0 1592 3519 5111

Pusk Alor Pusk Pusk Pusk Pusk Pusk Pusk Pusk

0 0 123 212 0 0 115 208 0 0 5 12 98 216 129 244 32 52 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 123 212 0 0 109 208 0 0 5 12 98 216 130 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 123 212 0 0 0 0 0 0 5 12 98 216 129 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 124 211 0 0 0 0 0 0 19 16 98 112 129 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 124 211 0 0 115 208 0 0 5 12 66 403 129 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 1134 2496 3630

0 0 3924 10372 14296

0 0 1148 2552 3700

0 0 1042 2283 3325

0 0 997 2143 3140

0 0 1103 2714 3817

Pusk Alor Pusk Pusk Pusk Pusk Pusk Pusk Pusk

150 222 0 0 320 369 0 0 2893 3179 33 0 0 0 0 0 208 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

72 161 104 231 40 29 0 0 138 199 19 16 153 277 112 282 0 0 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 104 231 40 29 0 0 119 206 19 16 153 254 112 282 0 0 14 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 1619 3194 4813

0 0 7036 13112 20148

0 0 1728 3606 5334

0 0 1423 3032 4455

0 0 1312 2836 4148

0 0 1610 3546 5156

Pusk Alor Pusk Pusk Pusk Pusk Pusk Pusk Pusk

12 24 202 102 0 0 115 208 0 0 5 12 98 216 129 244 32 52 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 24 202 102 0 0 109 208 0 0 5 12 98 216 130 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 24 202 102 0 0 0 0 0 0 5 12 98 216 129 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 24 202 102 0 0 0 0 0 0 19 16 98 112 129 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 24 202 102 0 0 115 208 0 0 5 12 66 403 129 244 34 50 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0