LAPORAN HARIAN POSKO

HARI RAYA IDUL FITRI 1442H

TAHUN 2021

Tanggal : __________________________
Puskesmas/Posko/RS : __________________________

LAPORAN KECELAKAAN
- Jumlah Lakalantas : __________________________
Luka Ringan : __________________________
Luka Berat : __________________________
Meninggal : __________________________
Meninggal diTempat : __________________________
Meninggal diPerjalanan : __________________________
Meninggal di RS : __________________________
Meninggal di Poskes : __________________________
Meninggal di PKM : __________________________
Meninggal di RS : __________________________

LAPORAN SURVEILENS PENYAKIT

- Diare : __________________________
(<5 thn): __________________________ (>5 thn): __________________________
- ISPA : __________________________
(<5 thn): __________________________ (>5 thn): __________________________
- Gangguan Pencernaan : _____________
(<5 thn): __________________________ (>5 thn): __________________________
- Hipertensi : __________________________
(<5 thn): __________________________ (>5 thn): __________________________
- Kardiovaskuler : __________________________
(<5 thn): __________________________ (>5 thn): __________________________
- Keracunan : __________________________
(<5 thn): __________________________ (>5 thn): __________________________
- Lain-Lain : __________________________
(<5 thn): __________________________ (>5 thn): __________________________