REKAPITULASI KEGIATAN POSYANDU PUSKESMAS PAAL X

BULAN :

NO. URAIAN 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 NO.

IMUNISASI

1 HEPATITIS 0 - 7 HARI 1

2 BCG 2

3 DPT HB 1 3

4 DPT HB 2 4

5 DPT HB 3 5

6 DPT HB BOSTER 6

7 POLIO 1 7

8 POLIO 2 8

9 POLIO 3 9

10 POLIO 4 10

11 CAMPAK 11

12 CAMPAK BOSTER 12

13 T1 BUMIL 13
14 T2 BUMIL 14

NO. URAIAN 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 NO.

KB

1 IMPLAN 1

2 PIL 2

3 SUNTIK 3
KIA

1 BUMIL DIPERIKSA 1

2 DAPAT FE 2

3 ANEMIA 3

4 KEK 4

5 BULIN 5
BUFAS

1 DAPAT FE 1

2 DAPAT VIT.A 2
 URAIAN 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 JUMLAH

IMUNISASI

HEPATITIS 0 - 7 HARI

BCG

DPT HB 1

DPT HB 2

DPT HB 3

DPT HB BOSTER

POLIO 1

POLIO 2

POLIO 3

POLIO 4

CAMPAK

CAMPAK BOSTER

T1 BUMIL
T2 BUMIL

URAIAN 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 JUMLAH

KB

IMPLAN

PIL

SUNTIK
KIA

BUMIL DIPERIKSA

DAPAT FE

ANEMIA

KEK

BULIN
BUFAS

DAPAT FE

DAPAT VIT.A
 I. PENCATATAN MASTER DATA POSYANDU
KECAMATAN :
PUSKESMAS :
TAHUN :
BULAN :

Alamat Posyandu
STRATA PROGRAM TERINTEGRASI
Kelurahan

Posyandu
NO

POSKESTREN
POS MALKEL

DANA SEHAT
POSKESDES
Purnama
Pratama

POSBINDU

KOPERASI
POLINDES
Mandiri

DASOLIN
Madya

UKGMD

POS TB
USILA
TOGA
PAUD

UPKK
BKB

POD

DLL
GSI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 29

1 KENALI ASAM ATAS 1 SARI MELATI

2 KENANGA

3 KEMUNING

4 KENCANA

5 KENARI

Sub Total

Jambi,
Kepala Pustu Penanggung Jawab

_____________________________ _____________________________
NIP. NIP.
 II. PENCATATAN DATA UMUM POSYANDU
KECAMATAN :
PUSKESMAS :
TAHUN :
BULAN :
JUMLAH PENGUNJUNG JLH KEMATIAN

BALITA
BAYI DAN BALITA IBU BUFAS IBU

BAYI
KELURAHAN

JUMLAH KK
POSYANDU
NO

Baduta 13-24 Bl

Bayi Baru Lahir

Balita 25-59 Bl
Bayi 0-12 Bl

Perempuan

Kurang Gizi

Ibu Hamil
Diperiksa
Dpt Vit A

Dapat Fe

Dpt Vit A
Dpt PMT
Dpt KMS
Dpt Fe II
Laki-laki

Dpt Fe I

Anemia
BUMIL

Dpt FE

Balita
Busui

Nifas
Bulin

Bulin

Bayi
KEK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 KENALI ASAM ATAS 1 SARI MELATI

2 KENANGA

3 KEMUNING

4 KENCANA

5 KENARI

Sub Total

Jambi,
Kepala Pustu Penanggung Jawab

_____________________________ _____________________________
NIP. NIP.
 III. PENCATATAN KEGIATAN POSYANDU
KECAMATAN :
PUSKESMAS :
TAHUN :
BULAN :
JLH AKSEPTOR KB PENIMBANGAN BALITA IMUNISASI BALITA SOSIALISASI
PETUGAS
BGM DPT-HB POLIO TT BUMIL

JUMLAH WUS

JUMLAH PUS

HEPATITIS 0-7 HR
Kelurahan

DAPAT ORALIT
Posyandu

PENYULUHAN
KONDOM

CAMPAK
Kader Posyandu

BOSTER
NO

SUNTIK
Petugas Medis

DIARE
BCG
S K D N

BGM (Lk2)
PIL
Paramedis

BGM( Pr)

BOSTER
PLKB
I II III I II III IV I II

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35

1 KENALI ASAM ATAS SARI MELATI

KENANGA

KEMUNING

KENCANA

KENARI

Sub Total

Jambi,
Kepala Pustu Penanggung Jawab

_____________________________ _____________________________
NIP. NIP.
 I. PENCATATAN MASTER DATA POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : JANUARI
STRATA PROGRAM TERINTEGRASI

Alamat Posyandu
Kelurahan

POSKESTREN
Posyandu

POS MALKEL

DANA SEHAT
POSKESDES
POSBINDU

KOPERASI
POLINDES

DASOLIN
Purnama
Pratama

UKGMD

POS TB
Mandiri
NO

Madya

USILA
TOGA
PAUD

UPKK
BKB

POD

DLL
GSI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 29
1 KENALI ASAM BAWAH 1 Beringin RT.06 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tapak Dara RT.08 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mutiara Hijau RT.24 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0
4 Sakura RT.16 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Mawar Kuning RT.40 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0
6 Asoka RT.11 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Cempaka RT.37 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Alamanda RT.04 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bougenville RT.17 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Anggrek Bulan RT.25 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Rosella RT.36 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
12 Bambu Kuning RT.07 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dahlia RT.33 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 3 7 3 3 1 0 6 2 1 1 0 0 1 0 0 0 0 0 0 0 0
2 KENALI ASAM ATAS 1 Sari Melati RT.23 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kenanga RT.20 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kemuning RT.14 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kencana RT.06 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0
5 Kenari RT.04 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 0 4 1 1 1 0 3 1 0 1 0 0 0 0 0 0 0 0 0 0 0
Jambi, Februari 2016

Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY. AM.F

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 II. PENCATATAN DATA UMUM POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : JANUARI
JUMLAH PENGUNJUNG JLH KEMATIAN

BALITA

BAYI
BAYI DAN BALITA IBU BUFAS IBU
KELURAHAN

JUMLAH KK
POSYANDU
NO

Baduta 13-24 Bl

Bayi Baru Lahir

Balita 25-59 Bl
Bayi 0-12 Bl

Kurang Gizi
Perempuan

Ibu Hamil
Diperiksa

Dapat Fe
Dpt KMS

Dpt PMT
Dpt Vit A

Dpt Vit A
Dpt Fe II
Laki-laki

Dpt Fe I

Anemia

Dpt FE
BUMIL

Balita
Busui

Nifas
Bulin

Bulin

Bayi
KEK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 KENALI ASAM BAWAH 1 Beringin 326 8 20 16 20 24 0 0 0 0 0 0 0 2 2 2 0 0 0 34 0 0 0 0 0 0 0

2 Tapak Dara 369 6 18 24 19 15 1 0 0 0 0 0 0 12 12 12 0 0 0 14 1 1 0 0 0 0 0
3 Mutiara Hijau 194 8 16 19 20 23 0 0 0 0 0 0 0 2 2 2 0 0 0 22 0 0 0 0 0 0 0
4 Sakura 119 4 11 6 11 10 0 0 0 0 0 0 0 1 1 1 0 0 0 7 0 0 0 0 0 0 0
5 Mawar Kuning 617 8 10 13 11 20 1 0 0 0 0 1 0 6 6 6 0 0 0 30 1 1 0 0 0 0 0
6 Asoka 347 9 27 21 35 22 0 0 0 0 0 0 0 7 7 7 0 0 0 37 0 0 0 0 0 0 0
7 Cempaka 65 8 10 11 14 15 0 0 0 0 0 0 0 2 2 2 0 0 0 25 0 0 0 0 0 0 0
8 Alamanda 200 9 18 13 17 18 1 0 0 0 0 0 0 2 2 2 0 0 0 27 1 1 0 0 0 0 0
9 Bougenville 290 8 24 20 28 24 0 0 0 0 0 0 0 5 5 5 0 0 0 37 0 0 0 0 0 0 0
10 Anggrek Bulan 349 5 8 6 14 15 0 0 0 0 0 0 0 4 4 4 0 0 0 35 0 0 0 0 0 0 0
11 Rosella 348 9 20 20 24 25 1 0 0 0 0 1 0 6 6 6 0 0 0 43 1 1 0 0 0 0 0
12 Bambu Kuning 606 8 24 18 17 27 1 0 0 0 0 0 0 12 12 12 0 0 0 32 1 1 0 0 0 0 0
13 Dahlia 248 10 24 16 25 25 1 0 0 0 0 0 0 3 3 3 0 0 0 33 1 1 0 0 0 0 0
Sub Total 4078 100 230 203 255 263 6 0 0 0 0 2 0 64 64 64 0 0 0 376 6 6 0 0 0 0 0
2 KENALI ASAM ATAS 1 Sari Melati 468 40 29 58 61 66 5 0 0 0 0 0 0 7 7 7 0 0 5 69 5 5 0 0 0 0 0
2 Kenanga 368 32 21 32 43 42 3 0 0 0 0 0 0 4 4 4 0 0 3 53 3 3 0 0 0 0 0
3 Kemuning 447 26 20 29 35 40 3 0 0 0 0 0 0 6 6 6 0 0 3 46 3 3 0 0 0 0 0
4 Kencana 256 23 17 30 34 36 4 0 0 0 0 0 0 3 3 3 0 0 4 40 4 4 0 0 0 0 0
5 Kenari 348 19 16 33 32 36 3 0 0 0 0 0 0 4 4 4 0 0 3 35 3 3 0 0 0 0 0
Sub Total 1887 140 103 182 205 220 18 0 0 0 0 0 0 24 24 24 0 0 18 243 18 18 0 0 0 0 0
Jambi, Februari 2016
Kepala Puskesmas Koordinator Promkes
 drg. GUFRINALDI ANSAR SRI HARTATY.AM.F
NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : JANUARI
JLH AKSEPTOR KB PENIMBANGAN BALITA IMUNISASI BALITA SOSIALISASI
PETUGAS
BGM DPT-HB POLIO TT BUMIL

JUMLAH WUS

JUMLAH PUS

HEPATITIS 0-7 HR
Kelurahan

DAPAT ORALIT
Posyandu

PENYULUHAN
Kader Posyandu
Petugas Medis

KONDOM

CAMPAK

BOSTER
NO

SUNTIK

BGM (Lk2)
Paramedis

DIARE
BGM( Pr)

BCG

BOSTER
S K D N

PIL
PLKB
I II III I II III IV I II

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
1 KENALI ASAM BAWAH Beringin 1 1 5 1 235 220 0 0 7 63 63 44 34 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 0 0 0
Tapak Dara 1 1 5 0 282 269 0 2 6 65 65 34 22 0 0 0 2 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0
Mutiara Hijau 1 1 5 0 142 138 0 1 2 56 56 43 21 0 0 0 1 0 1 0 1 0 0 0 1 1 0 0 0 0 0 0
Sakura 1 1 5 0 101 88 0 0 1 31 31 21 8 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0
Mawar Kuning 1 1 5 0 331 322 0 2 4 74 74 31 14 0 0 0 1 1 1 0 0 0 1 1 0 0 0 0 1 0 0 0
Asoka 1 1 5 1 256 248 0 1 3 90 90 57 50 0 0 0 0 0 1 1 0 1 0 0 0 1 0 0 0 0 0 1
Cempaka 1 1 5 1 70 61 0 0 1 37 37 29 22 0 0 0 1 0 1 1 1 1 0 1 1 0 0 0 0 0 0 0
Alamanda 1 1 5 0 156 143 0 0 1 38 38 35 25 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0
Bougenville 1 1 5 0 225 210 0 2 2 70 70 52 31 0 0 0 1 1 2 1 1 1 1 1 2 0 0 1 0 0 0 0
Anggrek Bulan 1 1 5 0 262 249 0 1 2 34 34 19 10 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0
Rosella 1 1 5 1 306 291 0 1 5 111 111 49 35 0 0 0 1 1 1 1 0 1 1 1 0 0 0 0 0 0 0 1
Bambu Kuning 1 1 5 1 448 437 0 1 10 84 84 44 34 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1
Dahlia 1 1 5 0 220 208 0 1 0 75 75 50 30 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0
Sub Total 13 13 65 5 3034 2884 0 12 44 828 828 508 336 0 0 0 9 5 10 7 5 6 8 6 4 3 0 2 3 0 0 3
2 KENALI ASAM ATAS Sari Melati 1 1 5 1 141 106 6 10 50 168 168 127 124 0 0 0 4 3 3 3 3 3 3 3 3 4 1 0 0 0 0 1
Kenanga 1 1 5 0 89 81 4 7 39 117 117 85 79 0 0 0 3 2 2 2 2 2 2 2 2 2 2 0 0 0 0 0
Kemuning 1 1 5 1 79 74 6 8 36 119 119 75 65 0 0 0 2 2 2 2 2 2 2 2 2 4 2 0 0 0 0 1
Kencana 1 1 5 0 76 71 5 6 33 99 99 70 62 0 0 0 3 1 2 2 2 1 2 2 2 2 2 0 0 0 0 0
Kenari 1 1 5 0 69 66 4 6 32 100 100 68 57 0 0 0 3 1 1 2 2 1 2 2 2 4 3 0 0 0 0 0
Sub Total 5 5 25 2 454 398 25 37 190 603 603 425 387 0 0 0 15 9 10 11 11 9 11 11 11 16 10 0 0 0 0 2

Jambi, Februari 2016

Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 I. PENCATATAN MASTER DATA POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : FEBRUARI

STRATA PROGRAM TERINTEGRASI

Alamat Posyandu
Kelurahan

Posyandu

POSKESTREN
POS MALKEL

DANA SEHAT
POSKESDES
POSBINDU

KOPERASI
POLINDES
NO

DASOLIN
Purnama
Pratama

UKGMD

POS TB
Mandiri
Madya

USILA
TOGA
PAUD

UPKK
BKB

POD

DLL
GSI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 29
1 KENALI ASAM BAWAH 1 Beringin RT.06 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tapak Dara RT.08 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mutiara Hijau RT.24 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0
4 Sakura RT.16 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Mawar Kuning RT.40 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0
6 Asoka RT.11 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Cempaka RT.37 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Alamanda RT.04 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bougenville RT.17 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Anggrek Bulan RT.25 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Rosella RT.36 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
12 Bambu Kuning RT.07 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dahlia RT.33 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 3 7 3 3 1 0 6 2 1 1 0 0 1 0 0 0 0 0 0 0 0
2 KENALI ASAM ATAS 1 Sari Melati RT.23 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kenanga RT.20 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kemuning RT.14 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kencana RT.06 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0
5 Kenari RT.04 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 0 4 1 1 1 0 3 1 0 1 0 0 0 0 0 0 0 0 0 0 0
Jambi, Maret 2016

Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY. AM.F

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 II. PENCATATAN DATA UMUM POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : FEBRUARI
JUMLAH PENGUNJUNG JLH KEMATIAN

BALITA

BAYI
BAYI DAN BALITA IBU BUFAS IBU
KELURAHAN

JUMLAH KK
POSYANDU
NO

Baduta 13-24 Bl

Bayi Baru Lahir

Balita 25-59 Bl
Bayi 0-12 Bl

Kurang Gizi
Perempuan

Ibu Hamil
Diperiksa

Dapat Fe
Dpt KMS
Dpt Vit A

Dpt Vit A
Dpt PMT
Dpt Fe II
Laki-laki

Dpt Fe I

Anemia

Dpt FE
BUMIL

Busui

Balita
Nifas
Bulin

Bulin

Bayi
KEK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 KENALI ASAM BAWAH 1 Beringin 326 7 15 28 24 26 0 0 0 0 0 0 0 3 3 3 0 0 0 22 0 0 0 0 0 0 0

2 Tapak Dara 369 8 21 20 20 29 1 0 0 0 0 0 0 3 3 3 0 0 1 29 1 1 0 0 0 0 0
3 Mutiara Hijau 194 9 26 26 30 31 0 0 0 0 0 0 0 3 3 3 0 0 0 35 0 0 0 0 0 0 0
4 Sakura 119 5 10 5 9 11 0 0 0 0 0 0 0 1 1 1 0 0 0 15 0 0 0 0 0 0 0
5 Mawar Kuning 617 5 11 8 13 11 1 0 0 0 0 1 0 3 3 3 0 0 1 16 1 1 0 0 0 0 0
6 Asoka 347 7 22 20 22 27 0 0 0 0 0 0 0 2 2 2 0 0 0 29 0 0 0 0 0 0 0
7 Cempaka 65 5 8 10 10 13 0 0 0 0 0 0 0 2 2 2 0 0 0 13 0 0 0 0 0 0 0
8 Alamanda 200 6 12 3 11 10 1 0 0 0 0 0 0 2 2 2 0 0 1 18 1 1 0 0 0 0 0
9 Bougenville 290 12 34 27 33 40 0 0 0 0 0 0 0 2 2 2 0 0 0 46 0 0 0 0 0 0 0
10 Anggrek Bulan 349 4 8 5 9 8 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0
11 Rosella 348 8 19 25 25 27 1 0 0 0 0 1 0 2 2 2 0 0 1 27 1 1 0 0 0 0 0
12 Bambu Kuning 606 9 23 19 30 31 1 0 0 0 0 0 0 5 5 5 0 0 1 32 1 1 0 0 0 0 0
13 Dahlia 248 5 15 20 19 21 1 0 0 0 0 0 0 2 2 2 0 0 1 20 1 1 0 0 0 0 0
Sub Total 4078 90 224 216 255 285 6 0 0 0 0 2 0 30 30 30 0 0 6 314 6 6 0 0 0 0 0
2 KENALI ASAM ATAS 1 Sari Melati 468 27 59 49 60 75 3 0 0 0 0 0 0 6 6 6 0 0 3 61 3 3 0 0 0 0 0
2 Kenanga 368 20 32 48 43 57 2 0 0 0 0 0 0 3 3 3 0 0 2 34 2 2 0 0 0 0 0
3 Kemuning 447 26 28 37 40 51 3 0 0 0 0 0 0 4 4 4 0 0 3 34 3 3 0 0 0 0 0
4 Kencana 256 23 27 39 49 40 2 0 0 0 0 0 0 6 6 6 0 0 2 32 2 2 0 0 0 0 0
5 Kenari 348 21 26 36 37 46 1 0 0 0 0 0 0 4 4 4 0 0 1 31 1 1 0 0 0 0 0
Sub Total 1887 117 172 209 229 269 11 0 0 0 0 0 0 23 23 23 0 0 11 192 11 11 0 0 0 0 0
Jambi, Maret 2016
Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY.AM.F

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 III. PENCATATAN KEGIATAN POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : FEBRUARI
JLH AKSEPTOR KB PENIMBANGAN BALITA IMUNISASI BALITA SOSIALISASI
PETUGAS
BGM DPT-HB POLIO TT BUMIL

JUMLAH WUS

JUMLAH PUS

HEPATITIS 0-7 HR
Kelurahan

DAPAT ORALIT
Posyandu

PENYULUHAN
Kader Posyandu
Petugas Medis

KONDOM

CAMPAK

BOSTER
NO

SUNTIK

BGM (Lk2)
Paramedis

DIARE
BGM( Pr)

BCG

BOSTER
S K D N

PIL
PLKB
I II III I II III IV I II

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
1 KENALI ASAM BAWAH Beringin 1 1 5 0 235 220 0 3 5 72 72 50 25 0 0 0 0 2 2 1 2 1 2 1 1 1 2 0 0 0 0 0
Tapak Dara 1 1 5 1 282 269 0 4 8 95 95 49 17 0 0 0 1 1 1 2 0 2 1 2 0 1 0 0 1 0 0 1
Mutiara Hijau 1 1 5 1 142 138 0 1 3 76 76 61 27 0 0 0 0 0 1 2 1 0 1 2 0 1 1 0 0 0 0 0
Sakura 1 1 5 0 101 88 0 1 0 34 34 20 8 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0
Mawar Kuning 1 1 5 0 331 322 0 3 3 89 89 24 10 0 0 0 1 1 1 0 0 0 1 1 0 0 0 1 0 0 0 1
Asoka 1 1 5 0 256 248 0 2 4 79 79 49 15 0 0 0 0 1 2 1 1 1 2 1 1 1 1 0 0 0 0 0
Cempaka 1 1 5 0 70 61 0 1 0 43 43 23 9 0 0 0 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 0
Alamanda 1 1 5 0 156 143 0 2 3 53 53 21 15 0 0 0 1 2 0 0 1 1 1 2 0 0 1 0 0 0 0 1
Bougenville 1 1 5 1 225 210 0 0 3 81 81 73 36 0 0 0 2 2 2 1 1 2 2 1 2 0 0 0 1 0 0 0
Anggrek Bulan 1 1 5 0 262 249 0 0 1 75 75 17 6 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 1
Rosella 1 1 5 0 306 291 0 2 6 117 117 52 24 0 0 0 1 2 2 1 0 1 2 2 1 0 0 0 0 0 0 0
Bambu Kuning 1 1 5 0 448 437 0 2 8 96 96 61 16 0 0 0 1 2 3 1 0 0 2 3 2 0 0 1 0 0 0 0
Dahlia 1 1 5 0 220 208 0 0 0 80 80 40 30 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 0 0 0 1
Sub Total 13 13 65 3 3034 2884 0 21 44 990 990 540 238 0 0 0 7 16 17 10 7 9 18 17 7 5 6 3 2 0 0 5
2 KENALI ASAM ATAS Sari Melati 1 1 5 1 141 106 8 16 53 194 194 135 120 0 0 0 5 3 4 4 4 2 2 1 1 4 3 0 0 0 0 0
Kenanga 1 1 5 0 89 81 5 8 41 127 127 100 90 0 0 0 4 2 3 3 3 1 1 2 2 2 2 0 0 0 0 0
Kemuning 1 1 5 1 79 74 6 10 39 126 126 91 82 0 0 0 3 2 3 4 5 2 2 2 1 2 3 0 0 0 0 0
Kencana 1 1 5 0 76 71 7 9 38 120 120 89 79 0 0 0 3 2 3 3 3 2 2 1 1 1 2 0 0 0 0 1
Kenari 1 1 5 0 69 66 4 7 35 116 116 83 75 0 0 0 3 3 2 2 4 1 1 2 2 3 2 0 0 0 0 0
Sub Total 5 5 25 2 454 398 30 50 206 683 683 498 446 0 0 0 18 12 15 16 19 8 8 8 7 12 12 0 0 0 0 1

Jambi, Maret 2016

Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 I. PENCATATAN MASTER DATA POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : MARET

STRATA PROGRAM TERINTEGRASI

Alamat Posyandu
Kelurahan

Posyandu

POSKESTREN
POS MALKEL

DANA SEHAT
POSKESDES
POSBINDU

KOPERASI
POLINDES
NO

DASOLIN
Purnama
Pratama

UKGMD

POS TB
Mandiri
Madya

USILA
TOGA
PAUD

UPKK
BKB

POD

DLL
GSI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 29
1 KENALI ASAM BAWAH 1 Beringin RT.06 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tapak Dara RT.08 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mutiara Hijau RT.24 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0
4 Sakura RT.16 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Mawar Kuning RT.40 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0
6 Asoka RT.11 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Cempaka RT.37 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Alamanda RT.04 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bougenville RT.17 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Anggrek Bulan RT.25 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Rosella RT.36 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
12 Bambu Kuning RT.07 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dahlia RT.33 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 3 7 3 3 1 0 6 2 1 1 0 0 1 0 0 0 0 0 0 0 0
2 KENALI ASAM ATAS 1 Sari Melati RT.23 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kenanga RT.20 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kemuning RT.14 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kencana RT.06 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0
5 Kenari RT.04 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 0 4 1 1 1 0 3 1 0 1 0 0 0 0 0 0 0 0 0 0 0
Jambi, April 2016

Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY. AM.F

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 II. PENCATATAN DATA UMUM POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : MARET
JUMLAH PENGUNJUNG JLH KEMATIAN

BALITA

BAYI
BAYI DAN BALITA IBU BUFAS IBU
KELURAHAN

JUMLAH KK
NO POSYANDU

Baduta 13-24 Bl

Bayi Baru Lahir

Balita 25-59 Bl
Bayi 0-12 Bl

Kurang Gizi
Perempuan

Ibu Hamil
Diperiksa

Dapat Fe
Dpt KMS
Dpt Vit A

Dpt PMT

Dpt Vit A
Dpt Fe II
Laki-laki

Dpt Fe I

Anemia

Dpt FE
BUMIL

Busui

Balita
Nifas
Bulin

Bulin

Bayi
KEK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 KENALI ASAM BAWAH 1 Beringin 326 7 15 28 24 26 1 0 0 0 0 0 0 3 3 2 0 0 1 22 0 0 0 0 0 0 0

2 Tapak Dara 369 8 21 20 20 29 0 0 0 0 0 0 0 3 3 2 0 0 0 29 1 1 0 0 0 0 0
3 Mutiara Hijau 194 9 26 26 30 31 1 0 0 0 0 0 0 3 3 1 0 0 1 35 0 0 0 0 0 0 0
4 Sakura 119 5 10 5 9 11 0 0 0 0 0 0 0 1 1 0 0 0 0 15 0 0 0 0 0 0 0
5 Mawar Kuning 617 5 11 8 13 11 1 0 0 0 0 1 0 3 3 2 0 0 1 16 1 1 0 0 0 0 0
6 Asoka 347 7 22 20 22 27 2 0 0 0 0 0 0 2 2 2 0 0 2 29 0 0 0 0 0 0 0
7 Cempaka 65 5 8 10 10 13 0 0 0 0 0 0 0 2 2 2 0 0 0 13 0 0 0 0 0 0 0
8 Alamanda 200 6 12 3 11 10 0 0 0 0 0 0 0 2 2 2 0 0 0 18 1 1 0 0 0 0 0
9 Bougenville 290 12 34 27 33 40 1 0 0 0 0 0 0 2 2 2 0 0 1 46 0 0 0 0 0 0 0
10 Anggrek Bulan 349 4 8 5 9 8 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0
11 Rosella 348 8 19 25 25 27 2 0 0 0 0 1 0 2 2 1 0 0 2 27 1 1 0 0 0 0 0
12 Bambu Kuning 606 9 23 19 30 31 1 0 0 0 0 0 0 5 5 2 0 0 1 32 1 1 0 0 0 0 0
13 Dahlia 248 5 15 20 19 21 1 0 0 0 0 0 0 2 2 1 0 0 1 20 1 1 0 0 0 0 0
Sub Total 4078 90 224 216 255 285 10 0 0 0 0 2 0 30 30 19 0 0 10 314 6 6 0 0 0 0 0
2 KENALI ASAM ATAS 1 Sari Melati 468 63 50 73 91 95 4 0 0 0 0 0 0 10 6 10 0 0 4 84 4 4 0 0 0 0 0
2 Kenanga 368 44 37 43 61 63 2 0 0 0 0 0 0 6 4 6 0 0 2 44 2 2 0 0 0 0 0
3 Kemuning 447 23 17 35 39 36 2 0 0 0 0 0 0 5 2 5 0 0 2 36 2 2 0 0 0 0 0
4 Kencana 256 23 20 40 49 34 2 0 0 0 0 0 0 4 3 4 0 0 2 34 2 2 0 0 0 0 0
5 Kenari 348 22 16 25 38 25 3 0 0 0 0 0 0 5 3 5 0 0 3 33 3 3 0 0 0 0 0
Sub Total 1887 175 140 216 278 253 13 0 0 0 0 0 0 30 18 30 0 0 13 231 13 13 0 0 0 0 0
Jambi, April 2016
Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY.AM.F

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 III. PENCATATAN KEGIATAN POSYAN
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : FEBRUARI
JLH AKSEPTOR KB PENIMBANGAN BALITA
PETUGAS

JUMLAH WUS

JUMLAH PUS
Kelurahan

Posyandu

Kader Posyandu
Petugas Medis

KONDOM
NO

SUNTIK
Paramedis
S K D

PIL
PLKB
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 KENALI ASAM BAWAH Beringin 1 1 5 0 235 220 0 3 5 72 72 50
Tapak Dara 1 1 5 1 282 269 0 4 8 95 95 49
Mutiara Hijau 1 1 5 1 142 138 0 1 3 76 76 61
Sakura 1 1 5 0 101 88 0 1 0 34 34 20
Mawar Kuning 1 1 5 0 331 322 0 3 3 89 89 24
Asoka 1 1 5 0 256 248 0 2 4 79 79 49
Cempaka 1 1 5 0 70 61 0 1 0 43 43 23
Alamanda 1 1 5 0 156 143 0 2 3 53 53 21
Bougenville 1 1 5 1 225 210 0 0 3 81 81 73
Anggrek Bulan 1 1 5 0 262 249 0 0 1 75 75 17
Rosella 1 1 5 0 306 291 0 2 6 117 117 52
Bambu Kuning 1 1 5 0 448 437 0 2 8 96 96 61
Dahlia 1 1 5 0 220 208 0 0 0 80 80 40
Sub Total 13 13 65 3 3034 2884 0 21 44 990 990 540
2 KENALI ASAM ATAS Sari Melati 1 1 5 1 209 194 11 18 64 195 195 186
Kenanga 1 1 5 0 145 137 6 8 43 137 137 124
Kemuning 1 1 5 0 96 80 4 10 41 79 79 75
Kencana 1 1 5 0 105 94 7 10 39 93 93 83
Kenari 1 1 5 0 96 78 4 8 36 74 74 63
Sub Total 5 5 25 1 651 583 32 54 223 578 578 531

Kepala Puskesmas

drg. GUFRINALDI ANSAR

NIP. 19700830 200112 2 002
N KEGIATAN POSYANDU

PENIMBANGAN BALITA IMUNISASI BALITA SOSIALISASI

BGM DPT-HB POLIO TT BUMIL
HEPATITIS 0-7 HR

DAPAT ORALIT

PENYULUHAN
CAMPAK

BOSTER
BGM (Lk2)

DIARE
BGM( Pr)

BCG

BOSTER
N
I II III I II III IV I II

16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
25 0 0 0 0 2 2 1 2 1 2 1 1 1 2 0 0 0 0 0
17 0 0 0 1 1 1 2 0 2 1 2 0 1 0 0 1 0 0 1
27 0 0 0 0 0 1 2 1 0 1 2 0 1 1 0 0 0 0 0
8 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0
10 0 0 0 1 1 1 0 0 0 1 1 0 0 0 1 0 0 0 1
15 0 0 0 0 1 2 1 1 1 2 1 1 1 1 0 0 0 0 0
9 0 0 0 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 0
15 0 0 0 1 2 0 0 1 1 1 2 0 0 1 0 0 0 0 1
36 0 0 0 2 2 2 1 1 2 2 1 2 0 0 0 1 0 0 0
6 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 1
24 0 0 0 1 2 2 1 0 1 2 2 1 0 0 0 0 0 0 0
16 0 0 0 1 2 3 1 0 0 2 3 2 0 0 1 0 0 0 0
30 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 0 0 0 1
238 0 0 0 7 16 17 10 7 9 18 17 7 5 6 3 2 0 0 5
175 0 0 0 3 2 2 2 2 2 2 2 2 3 5 0 0 0 0 1
117 0 0 0 3 1 1 2 1 1 1 1 2 2 2 0 0 0 0 0
66 0 0 0 2 2 1 1 1 2 2 1 1 4 2 0 0 0 0 0
80 0 0 0 3 1 2 2 2 2 1 1 2 2 2 0 0 0 0 0
62 0 0 0 2 1 1 1 2 1 1 1 1 1 2 0 0 0 0 0
500 0 0 0 13 7 7 8 8 8 7 6 8 12 13 0 0 0 0 1

Jambi, April 2016

Koordinator Promkes

SRI HARTATY
NIP. 19820825 200502 2001
 I. PENCATATAN MASTER DATA POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : SEPTEMBER

STRATA PROGRAM TERINTEGRASI

Alamat Posyandu
Kelurahan

Posyandu

POSKESTREN
POS MALKEL

DANA SEHAT
POSKESDES
POSBINDU

KOPERASI
POLINDES
NO

DASOLIN
Purnama
Pratama

UKGMD

POS TB
Mandiri
Madya

USILA
TOGA
PAUD

UPKK
BKB

POD

DLL
GSI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 29
1 KENALI ASAM BAWAH 1 Beringin RT.06 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tapak Dara RT.08 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mutiara Hijau RT.24 0 0 1 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0
4 Sakura RT.16 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Mawar Kuning RT.40 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0
6 Asoka RT.11 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Cempaka RT.37 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Alamanda RT.04 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bougenville RT.17 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Anggrek Bulan RT.25 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Rosella RT.36 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
12 Bambu Kuning RT.07 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dahlia RT.33 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 3 7 3 3 1 0 6 2 2 1 0 0 1 0 0 0 0 0 0 0 0
2 KENALI ASAM ATAS 1 Sari Melati RT.23 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kenanga RT.20 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kemuning RT.14 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kencana RT.06 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0
5 Kenari RT.04 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 0 4 1 1 1 0 3 1 0 1 0 0 0 0 0 0 0 0 0 0 0
Jambi, Oktober 2016

Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 II. PENCATATAN DATA UMUM POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : SEPTEMBER
JUMLAH PENGUNJUNG JLH KEMATIAN

BALITA
BAYI DAN BALITA IBU BUFAS IBU

BAYI
KELURAHAN

JUMLAH KK
POSYANDU

Baduta 13-24 Bl
NO

Bayi Baru Lahir

Balita 25-59 Bl
Bayi 0-12 Bl

Kurang Gizi
Perempuan

Ibu Hamil
Diperiksa

Dapat Fe
Dpt KMS
Dpt Vit A

Dpt Vit A
Dpt PMT
Dpt Fe II
Laki-laki

Dpt Fe I

Anemia

Dpt FE
BUMIL

Balita
Busui

Nifas
Bulin

Bulin

Bayi
KEK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 KENALI ASAM BAWAH 1 Beringin 326 9 25 32 25 41 1 0 0 0 0 1 0 3 3 1 0 1 1 34 1 1 0 0 0 0 0
2 Tapak Dara 369 5 9 16 17 13 3 0 0 0 0 0 0 19 19 4 1 1 3 14 3 3 0 0 0 0 0
3 Mutiara Hijau 194 6 16 15 17 20 0 0 0 0 0 0 0 1 1 0 0 0 0 22 7 0 0 0 0 0 0
4 Sakura 119 3 4 15 12 10 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0
5 Mawar Kuning 617 11 19 22 25 27 0 0 0 0 0 0 0 7 7 6 0 0 0 30 0 0 0 0 0 0 0
6 Asoka 347 10 27 29 36 30 0 0 0 0 0 1 0 8 8 4 0 0 0 37 0 0 0 0 0 0 0
7 Cempaka 65 10 15 11 14 22 0 0 0 0 0 0 0 2 2 0 0 0 0 25 0 0 0 0 0 0 0
8 Alamanda 200 9 18 13 22 18 0 0 0 0 0 0 0 1 1 1 0 0 0 27 0 0 0 0 0 0 0
9 Bougenville 290 8 29 20 29 28 0 0 0 0 0 0 0 9 9 5 0 0 0 37 0 0 0 0 0 0 0
10 Anggrek Bulan 349 10 25 25 33 27 1 0 0 0 0 0 0 5 5 0 0 0 1 35 1 1 0 0 0 0 0
11 Rosella 348 15 28 30 35 38 2 0 0 0 0 1 0 8 8 2 0 0 2 43 2 2 0 0 0 0 0
12 Bambu Kuning 606 10 22 20 22 30 5 0 0 0 0 0 0 14 14 6 1 1 5 32 5 5 0 0 0 0 0
13 Dahlia 248 8 25 20 26 27 1 0 0 0 0 0 0 4 4 3 0 0 1 33 1 1 0 0 0 0 0
Sub Total 4078 114 262 268 313 331 13 0 0 0 0 3 0 81 81 32 2 3 13 376 20 13 0 0 0 0 0
2 KENALI ASAM ATAS 1 Sari Melati 468 46 32 46 48 76 1 0 0 0 0 0 0 7 5 7 0 0 1 54 1 1 0 0 0 0 0
2 Kenanga 368 32 17 37 40 46 2 0 0 0 0 1 0 4 4 4 0 0 2 39 2 2 0 0 0 0 0
3 Kemuning 447 16 13 23 23 29 4 0 0 0 0 0 0 3 3 3 0 0 4 36 4 4 0 0 0 0 0
4 Kencana 256 22 16 29 34 33 0 0 0 0 0 0 0 2 2 2 0 0 0 24 0 0 0 0 0 0 0
5 Kenari 348 15 14 25 25 29 1 0 0 0 0 0 0 2 2 2 0 0 1 27 1 1 0 0 0 0 0
Sub Total 1887 131 92 160 170 213 8 0 0 0 0 1 0 18 16 18 0 0 8 180 8 8 0 0 0 0 0
Jambi, Oktober 2016
Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 III. PENCATATAN KEGIATAN POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : SEPTEMBER
JLH AKSEPTOR KB PENIMBANGAN BALITA IMUNISASI BALITA SOSIALISASI
PETUGAS
BGM DPT-HB POLIO TT BUMIL

JUMLAH WUS

JUMLAH PUS

HEPATITIS 0-7 HR
Kelurahan

DAPAT ORALIT
Posyandu

PENYULUHAN
Kader Posyandu

KONDOM

CAMPAK
Petugas Medis

BOSTER
NO

SUNTIK

DIARE
BGM (Lk2)
Paramedis

BCG
S K D N

BGM( Pr)
PIL

BOSTER
PLKB
I II III I II III IV I II

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
1 KENALI ASAM BAWAH Beringin 1 1 5 1 235 220 0 0 5 99 99 66 44 0 0 0 0 2 0 2 0 0 2 0 2 0 0 0 1 0 0 0
Tapak Dara 1 1 5 1 282 269 0 0 7 97 97 30 19 0 0 0 0 3 4 2 0 1 3 3 2 0 0 0 1 0 0 0
Mutiara Hijau 1 1 5 0 142 138 0 0 3 60 60 37 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sakura 1 1 5 0 101 88 0 0 0 36 36 22 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mawar Kuning 1 1 5 0 331 322 0 2 6 86 86 52 26 0 0 0 0 1 4 2 0 0 1 4 2 2 0 0 0 0 0 0
Asoka 1 1 5 1 256 248 0 0 5 109 109 66 30 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1
Cempaka 1 1 5 0 70 61 0 0 0 59 59 36 25 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0
Alamanda 1 1 5 0 156 143 0 0 1 51 51 40 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bougenville 1 1 5 0 225 210 0 1 2 90 90 57 27 0 0 0 2 0 2 0 0 1 0 2 0 0 0 0 0 0 0 0
Anggrek Bulan 1 1 5 0 262 249 0 0 4 99 99 60 40 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0
Rosella 1 1 5 1 306 291 0 0 5 121 121 73 35 0 0 0 1 1 2 2 0 1 1 2 3 2 0 1 0 0 0 1
Bambu Kuning 1 1 5 1 448 437 0 1 14 85 85 52 22 0 0 0 1 2 1 1 0 1 1 1 1 1 0 1 0 0 0 1
Dahlia 1 1 5 0 220 208 0 0 1 88 88 53 29 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
Sub Total 13 13 65 5 3034 2884 0 4 53 1080 1080 644 357 0 0 0 6 10 13 10 0 5 9 12 11 7 0 2 2 0 0 3
2 KENALI ASAM ATAS Sari Melati 1 1 5 1 131 106 10 16 54 201 201 124 118 0 0 8 3 2 2 1 2 2 2 3 3 4 7 0 0 0 0 1
Kenanga 1 1 5 0 96 81 6 8 39 113 113 86 77 0 0 5 1 2 1 1 1 2 2 1 1 4 5 0 0 0 0 0
Kemuning 1 1 5 1 61 41 5 6 33 91 91 52 46 0 0 5 2 1 1 2 1 2 1 2 2 6 4 0 0 0 0 1
Kencana 1 1 5 0 78 54 5 6 31 92 92 67 62 0 0 8 2 1 1 1 1 2 1 1 2 2 3 0 0 0 0 0
Kenari 1 1 5 0 63 47 4 6 31 86 86 54 49 0 0 0 3 1 1 2 1 2 2 2 2 4 3 0 0 0 0 0
Sub Total 5 5 25 2 429 329 30 42 188 583 583 383 352 0 0 26 11 7 6 7 6 10 8 9 10 20 22 0 0 0 0 2

Jambi, Oktober 2016

Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 I. PENCATATAN MASTER DATA POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : OKTOBER

STRATA PROGRAM TERINTEGRASI

Alamat Posyandu
Kelurahan

Posyandu

POSKESTREN
POS MALKEL

DANA SEHAT
POSKESDES
POSBINDU

KOPERASI
POLINDES
NO

DASOLIN
Purnama
Pratama

UKGMD

POS TB
Mandiri
Madya

USILA
TOGA
PAUD

UPKK
BKB

POD

DLL
GSI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 29
1 KENALI ASAM BAWAH 1 Beringin RT.06 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tapak Dara RT.08 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mutiara Hijau RT.24 0 0 1 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0
4 Sakura RT.16 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Mawar Kuning RT.40 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0
6 Asoka RT.11 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Cempaka RT.37 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Alamanda RT.04 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bougenville RT.17 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Anggrek Bulan RT.25 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Rosella RT.36 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
12 Bambu Kuning RT.07 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dahlia RT.33 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 3 7 3 3 1 0 6 2 2 1 0 0 1 0 0 0 0 0 0 0 0
2 KENALI ASAM ATAS 1 Sari Melati RT.23 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kenanga RT.20 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kemuning RT.14 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kencana RT.06 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0
5 Kenari RT.04 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 0 4 1 1 1 0 4 1 0 1 0 0 0 0 0 0 0 0 0 0 0
Jambi, November 2016

Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY. AM.F

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 II. PENCATATAN DATA UMUM POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : OKTOBER
JUMLAH PENGUNJUNG JLH KEMATIAN

BALITA
BAYI DAN BALITA IBU BUFAS IBU

BAYI
KELURAHAN

JUMLAH KK
POSYANDU
NO

Baduta 13-24 Bl

Bayi Baru Lahir

Balita 25-59 Bl
Bayi 0-12 Bl

Kurang Gizi
Perempuan

Ibu Hamil
Diperiksa

Dapat Fe
Dpt KMS
Dpt Vit A

Dpt Vit A
Dpt PMT
Dpt Fe II
Laki-laki

Dpt Fe I

Anemia

Dpt FE
BUMIL

Busui

Balita
Nifas
Bulin

Bulin

Bayi
KEK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 KENALI ASAM BAWAH 1 Beringin 326 13 32 23 31 37 2 0 0 0 0 1 0 8 8 0 1 0 2 35 0 1 0 0 0 0 0

2 Tapak Dara 369 6 10 19 20 15 1 0 0 0 0 0 0 19 19 0 0 0 1 16 0 1 0 0 0 0 0
3 Mutiara Hijau 194 5 14 14 17 16 0 0 0 0 0 0 0 3 3 0 0 1 0 19 0 0 0 0 0 0 0
4 Sakura 119 1 10 7 13 5 0 0 0 0 0 0 0 4 4 0 0 0 0 11 0 0 0 0 0 0 0
5 Mawar Kuning 617 5 10 10 13 12 0 0 0 0 0 0 0 13 13 0 0 0 0 15 0 0 0 0 0 0 0
6 Asoka 347 8 22 37 35 32 1 0 0 0 0 0 0 6 6 0 1 1 1 30 0 1 0 0 0 0 0
7 Cempaka 65 7 8 15 11 19 0 0 0 0 0 0 0 3 3 0 0 0 0 15 0 0 0 0 0 0 0
8 Alamanda 200 6 21 15 21 21 0 0 0 0 0 0 0 1 1 0 1 0 0 25 0 0 0 0 0 0 0
9 Bougenville 290 8 8 33 17 32 1 0 0 0 0 1 0 10 10 0 1 0 1 15 0 1 0 0 0 0 0
10 Anggrek Bulan 349 5 20 24 18 21 1 0 0 0 0 0 0 6 6 0 1 0 1 23 0 1 0 0 0 0 0
11 Rosella 348 10 30 30 35 35 0 0 0 0 0 0 0 13 13 0 0 2 0 36 0 0 0 0 0 0 0
12 Bambu Kuning 606 11 20 23 24 30 1 0 0 0 0 1 0 18 18 0 0 0 1 31 0 1 0 0 0 0 0
13 Dahlia 248 9 22 19 22 28 0 0 0 0 0 0 0 9 9 0 0 0 0 28 0 0 0 0 0 0 0
Sub Total 4078 94 227 269 277 303 7 0 0 0 0 3 0 113 113 0 5 4 7 299 0 6 0 0 0 0 0
2 KENALI ASAM ATAS 1 Sari Melati 468 39 24 60 48 76 2 0 0 0 0 3 0 8 3 8 0 0 2 49 2 2 0 0 0 0 0
2 Kenanga 368 32 17 37 40 46 3 0 0 0 0 2 0 6 4 6 0 0 3 38 3 3 0 0 0 0 0
3 Kemuning 447 16 13 23 23 29 1 0 0 0 0 1 0 5 3 5 0 0 1 32 1 1 0 0 0 0 0
4 Kencana 256 22 16 29 34 33 2 0 0 0 0 1 0 6 4 6 0 0 2 25 2 2 0 0 0 0 0
5 Kenari 348 15 14 25 25 29 2 0 0 0 0 1 0 10 6 10 0 0 2 26 2 2 0 0 0 0 0
Sub Total 1887 124 84 174 170 213 10 0 0 0 0 8 0 35 20 35 0 0 10 170 10 10 0 0 0 0 0
Jambi, November 2016
Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY. AM.F

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 III. PENCATATAN KEGIATAN POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : OKTOBER
JLH AKSEPTOR KB PENIMBANGAN BALITA IMUNISASI BALITA SOSIALISASI
PETUGAS
BGM DPT-HB POLIO TT BUMIL

JUMLAH WUS

JUMLAH PUS

HEPATITIS 0-7 HR
Kelurahan

DAPAT ORALIT
Posyandu

PENYULUHAN
Kader Posyandu
Petugas Medis

KONDOM

CAMPAK

BOSTER
NO

SUNTIK

BGM (Lk2)
Paramedis

DIARE
BGM( Pr)

BCG

BOSTER
S K D N

PIL
PLKB
I II III I II III IV I II

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
1 KENALI ASAM BAWAH Beringin 1 1 5 1 233 221 0 0 2 122 122 68 20 0 0 0 1 0 2 2 1 1 0 2 2 1 0 0 2 0 0 1
Tapak Dara 1 1 5 0 282 265 0 3 12 97 97 35 20 0 0 0 4 1 4 5 0 3 1 4 7 2 1 0 2 0 0 0
Mutiara Hijau 1 1 5 1 141 136 0 0 1 60 60 33 19 0 0 0 1 1 0 0 0 2 1 0 0 0 0 0 0 0 0 0
Sakura 1 1 5 0 100 86 0 0 0 36 36 18 10 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0
Mawar Kuning 1 1 5 0 332 324 0 4 9 86 86 25 14 0 0 0 1 2 2 4 1 0 2 2 2 0 0 0 0 0 0 0
Asoka 1 1 5 1 256 248 0 0 2 109 109 67 19 0 0 0 0 2 0 0 0 0 2 0 2 0 0 1 0 0 0 1
Cempaka 1 1 5 1 68 61 0 0 0 59 59 30 18 0 0 0 0 2 0 0 0 0 2 0 0 0 0 0 0 0 0 0
Alamanda 1 1 5 0 154 143 0 0 1 52 52 42 24 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 2 0 0 0
Bougenville 1 1 5 1 225 210 0 1 1 90 90 49 27 0 0 0 0 2 0 6 0 0 2 0 6 0 0 0 0 0 0 0
Anggrek Bulan 1 1 5 0 260 245 0 0 5 99 99 39 7 0 0 0 0 1 0 2 0 0 1 0 1 0 0 0 0 0 0 0
Rosella 1 1 5 0 306 291 0 1 11 121 121 70 30 0 0 0 0 1 1 2 1 0 1 1 2 1 0 1 0 0 0 1
Bambu Kuning 1 1 5 1 450 437 0 0 18 86 86 54 13 0 0 0 0 2 2 0 0 0 1 2 0 1 0 0 0 0 0 0
Dahlia 1 1 5 0 219 208 0 0 1 88 88 50 30 0 0 0 2 0 0 0 0 2 0 0 1 2 0 1 2 0 0 1
Sub Total 13 13 65 6 3026 2875 0 9 63 1105 1105 580 251 0 0 0 9 15 11 21 3 9 13 11 23 8 1 4 8 0 0 4
2 KENALI ASAM ATAS Sari Melati 1 1 5 1 138 121 10 15 54 201 201 123 108 0 0 2 2 2 2 3 4 2 2 2 3 5 6 0 0 0 0 1
Kenanga 1 1 5 0 85 64 6 8 39 109 109 80 72 0 0 2 3 2 3 2 4 2 3 3 2 3 5 0 0 0 0 0
Kemuning 1 1 5 0 68 47 5 6 30 81 81 55 51 0 0 3 1 1 2 2 2 2 2 1 1 3 4 0 0 0 0 0
Kencana 1 1 5 0 69 51 5 8 32 96 96 67 59 0 0 3 2 1 1 2 4 1 1 2 2 2 4 0 0 0 0 1
Kenari 1 1 5 0 61 47 5 7 31 86 86 54 49 0 0 2 1 1 1 1 2 1 1 1 1 1 2 0 0 0 0 0
Sub Total 5 5 25 1 421 330 31 44 186 573 573 379 339 0 0 12 9 7 9 10 16 8 9 9 9 14 21 0 0 0 0 2

Jambi, November 2016

Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY. AM.F

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 I. PENCATATAN MASTER DATA POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : NOVEMBER

STRATA PROGRAM TERINTEGRASI

Alamat Posyandu
Kelurahan

Posyandu

POSKESTREN
POS MALKEL

DANA SEHAT
POSKESDES
POSBINDU

KOPERASI
POLINDES
NO

DASOLIN
Purnama
Pratama

UKGMD

POS TB
Mandiri
Madya

USILA
TOGA
PAUD

UPKK
BKB

POD

DLL
GSI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 29
1 KENALI ASAM BAWAH 1 Beringin RT.06 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tapak Dara RT.08 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mutiara Hijau RT.24 0 0 1 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0
4 Sakura RT.16 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Mawar Kuning RT.40 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0
6 Asoka RT.11 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Cempaka RT.37 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Alamanda RT.04 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bougenville RT.17 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Anggrek Bulan RT.25 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Rosella RT.36 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
12 Bambu Kuning RT.07 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dahlia RT.33 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 3 7 3 3 1 0 6 2 2 1 0 0 1 0 0 0 0 0 0 0 0
2 KENALI ASAM ATAS 1 Sari Melati RT.23 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kenanga RT.20 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kemuning RT.14 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kencana RT.06 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0
5 Kenari RT.04 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 0 4 1 1 1 0 5 1 0 1 0 0 0 0 0 0 0 0 0 0 0
Jambi, Desember 2016

Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY. AM.F

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 II. PENCATATAN DATA UMUM POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : NOVEMBER

JUMLAH PENGUNJUNG JLH KEMATIAN

BALITA
BAYI DAN BALITA IBU BUFAS IBU

BAYI
KELURAHAN

JUMLAH KK
POSYANDU
NO

Baduta 13-24 Bl

Bayi Baru Lahir

Balita 25-59 Bl
Bayi 0-12 Bl

Kurang Gizi
Perempuan

Ibu Hamil
Diperiksa

Dapat Fe
Dpt KMS

Dpt PMT
Dpt Vit A

Dpt Vit A
Dpt Fe II
Laki-laki

Dpt Fe I

Anemia

Dpt FE
BUMIL

Busui

Balita
Nifas
Bulin

Bulin

Bayi
KEK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 KENALI ASAM BAWAH 1 Beringin 326 10 25 20 31 24 1 0 0 0 0 1 0 7 7 7 0 1 1 45 1 1 0 0 0 0 0
2 Tapak Dara 369 7 16 20 23 20 3 0 0 0 0 3 0 17 17 17 1 0 3 16 3 3 0 0 0 0 0
3 Mutiara Hijau 194 6 12 20 19 19 0 0 0 0 0 0 0 10 10 10 0 0 0 19 0 0 0 0 0 0 0
4 Sakura 119 3 10 7 9 11 0 0 0 0 0 0 0 4 4 4 0 0 0 11 0 0 0 0 0 0 0
5 Mawar Kuning 617 6 13 10 14 15 0 0 0 0 0 0 0 11 11 11 1 0 0 15 0 0 0 0 0 0 0
6 Asoka 347 9 21 35 30 35 0 0 0 0 0 0 0 11 11 11 0 0 0 30 0 0 0 0 0 0 0
7 Cempaka 65 5 6 10 11 10 0 0 0 0 0 0 0 2 2 2 0 0 0 11 0 0 0 0 0 0 0
8 Alamanda 200 7 16 17 13 27 0 0 0 0 0 0 0 1 1 1 0 0 0 23 0 0 0 0 0 0 0
9 Bougenville 290 7 13 25 20 25 1 0 0 0 0 1 0 16 16 16 0 0 1 20 1 1 0 0 0 0 0
10 Anggrek Bulan 349 6 19 10 15 20 1 0 0 0 0 1 0 4 4 4 0 0 1 25 1 1 0 0 0 0 0
11 Rosella 348 9 20 19 28 30 1 0 0 0 0 1 0 18 18 18 0 1 1 40 1 1 0 0 0 0 0
12 Bambu Kuning 606 8 17 10 16 19 2 0 0 0 0 2 0 21 21 21 1 0 2 25 2 2 0 0 0 0 0
13 Dahlia 248 8 17 20 23 22 0 0 0 0 0 0 0 5 5 5 0 0 0 31 0 0 0 0 0 0 0
Sub Total 4078 91 205 223 252 277 9 0 0 0 0 9 0 127 127 127 3 2 9 311 9 9 0 0 0 0 0
2 KENALI ASAM ATAS 1 Sari Melati 468 41 28 45 68 46 3 0 0 0 0 3 0 8 6 6 0 0 3 59 3 3 0 0 0 0 0
2 Kenanga 368 32 21 31 47 37 2 0 0 0 0 2 0 9 7 7 0 0 2 40 2 2 0 0 0 0 0
3 Kemuning 447 18 16 29 36 27 3 0 0 0 0 3 0 7 6 6 0 0 3 38 3 3 0 0 0 0 0
4 Kencana 256 25 19 30 34 40 1 0 0 0 0 1 0 6 5 5 0 0 1 29 1 1 0 0 0 0 0
5 Kenari 348 19 17 33 33 36 1 0 0 0 0 1 0 12 8 8 0 0 1 31 1 1 0 0 0 0 0
Sub Total 1887 135 101 168 218 186 10 0 0 0 0 10 0 42 32 32 0 0 10 197 10 10 0 0 0 0 0
Jambi, Desember 2016
Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY. AM.F

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 III. PENCATATAN KEGIATAN POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : NOVEMBER
JLH AKSEPTOR KB PENIMBANGAN BALITA IMUNISASI BALITA SOSIALISASI
PETUGAS
BGM DPT-HB POLIO TT BUMIL

JUMLAH WUS

JUMLAH PUS

HEPATITIS 0-7 HR
Kelurahan

DAPAT ORALIT
Posyandu

PENYULUHAN
Kader Posyandu
Petugas Medis

KONDOM

CAMPAK

BOSTER
NO

SUNTIK

BGM (Lk2)
Paramedis

DIARE
BGM( Pr)

BCG

BOSTER
S K D N

PIL
PLKB
I II III I II III IV I II

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
1 KENALI ASAM BAWAH Beringin 1 1 5 0 233 220 0 1 4 117 117 55 34 0 0 0 0 2 0 1 0 0 2 0 2 0 0 1 1 0 0 0
Tapak Dara 1 1 5 1 282 260 0 1 6 92 92 43 25 0 0 1 2 3 0 1 0 2 2 0 1 0 0 3 2 0 0 0
Mutiara Hijau 1 1 5 1 141 135 0 0 0 60 60 38 16 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 1
Sakura 1 1 5 0 100 88 0 0 0 36 36 20 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mawar Kuning 1 1 5 1 332 325 0 0 7 85 85 29 17 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 0 0 0
Asoka 1 1 5 1 256 250 0 0 3 110 110 65 26 0 0 1 2 1 0 0 0 1 2 0 0 0 0 0 2 0 0 1
Cempaka 1 1 5 0 70 62 0 0 0 59 59 21 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Alamanda 1 1 5 0 155 140 0 0 1 55 55 40 17 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0
Bougenville 1 1 5 1 225 210 0 0 1 90 90 45 24 0 0 0 1 0 1 0 0 1 0 1 0 0 0 0 2 0 0 0
Anggrek Bulan 1 1 5 0 260 245 0 0 3 95 95 35 22 0 0 0 1 0 4 0 1 0 0 4 0 0 0 1 0 0 0 0
Rosella 1 1 5 1 306 291 0 0 10 120 120 58 31 0 0 0 0 0 1 1 0 0 0 0 1 0 0 1 0 0 0 1
Bambu Kuning 1 1 5 1 450 437 0 1 16 88 88 35 16 0 0 1 1 2 2 0 0 1 1 2 0 0 0 0 0 0 0 0
Dahlia 1 1 5 0 219 208 0 0 2 88 88 45 28 0 0 0 0 3 0 0 0 0 2 1 0 0 0 0 0 0 0 0
Sub Total 13 13 65 7 3029 2871 0 3 53 1095 1095 529 279 0 0 3 7 11 10 3 1 5 9 11 4 0 0 7 10 0 0 3
2 KENALI ASAM ATAS Sari Melati 1 1 5 1 128 92 18 14 54 185 185 114 105 0 0 0 3 2 2 3 5 2 3 2 3 5 4 0 0 0 0 0
Kenanga 1 1 5 0 92 75 6 9 38 114 114 84 72 0 0 0 2 1 2 2 8 2 2 1 2 3 4 0 0 0 0 0
Kemuning 1 1 5 1 71 58 4 7 31 86 86 63 57 0 0 0 2 1 1 2 4 2 2 1 1 3 2 0 0 0 0 1
Kencana 1 1 5 0 82 65 5 8 33 101 101 74 65 0 0 0 3 2 2 2 5 2 3 2 2 3 3 0 0 0 0 1
Kenari 1 1 5 0 76 54 6 7 32 96 96 69 64 0 0 0 2 1 2 1 5 2 2 1 1 2 3 0 0 0 0 0
Sub Total 5 5 25 2 449 344 39 45 188 582 582 404 363 0 0 0 12 7 9 10 27 10 12 7 9 16 16 0 0 0 0 2

Jambi, Desember 2016

Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY. AM.F

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 I. PENCATATAN MASTER DATA POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : DESEMBER

STRATA PROGRAM TERINTEGRASI

Alamat Posyandu
Kelurahan

Posyandu

POSKESTREN
POS MALKEL

DANA SEHAT
POSKESDES
POSBINDU

KOPERASI
POLINDES
NO

DASOLIN
Purnama
Pratama

UKGMD

POS TB
Mandiri
Madya

USILA
TOGA
PAUD

UPKK
BKB

POD

DLL
GSI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 29
1 KENALI ASAM BAWAH 1 Beringin RT.06 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tapak Dara RT.08 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mutiara Hijau RT.24 0 0 1 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0
4 Sakura RT.16 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Mawar Kuning RT.40 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0
6 Asoka RT.11 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Cempaka RT.37 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Alamanda RT.04 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Bougenville RT.17 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Anggrek Bulan RT.25 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Rosella RT.36 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
12 Bambu Kuning RT.07 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dahlia RT.33 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 3 7 3 3 1 0 6 2 2 1 0 0 1 0 0 0 0 0 0 0 0
2 KENALI ASAM ATAS 1 Sari Melati RT.23 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kenanga RT.20 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kemuning RT.14 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kencana RT.06 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0
5 Kenari RT.04 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sub Total 0 0 4 1 1 1 0 5 1 0 1 0 0 0 0 0 0 0 0 0 0 0
Jambi, Januari 2017
Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY. AM.F

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 II. PENCATATAN DATA UMUM POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : DESEMBER

JUMLAH PENGUNJUNG JLH KEMATIAN

BALITA
BAYI DAN BALITA IBU BUFAS IBU

BAYI
KELURAHAN

JUMLAH KK
POSYANDU
NO

Baduta 13-24 Bl

Bayi Baru Lahir

Balita 25-59 Bl
Bayi 0-12 Bl

Kurang Gizi
Perempuan

Ibu Hamil
Diperiksa

Dapat Fe
Dpt KMS

Dpt PMT
Dpt Vit A

Dpt Vit A
Dpt Fe II
Laki-laki

Dpt Fe I

Anemia

Dpt FE
BUMIL

Busui

Balita
Nifas
Bulin

Bulin

Bayi
KEK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 KENALI ASAM BAWAH 1 Beringin 326 9 25 27 30 31 0 0 0 0 0 0 0 12 12 12 1 0 0 34 0 0 0 0 0 0 0

2 Tapak Dara 369 6 15 20 20 25 0 0 0 0 0 0 0 14 14 14 0 0 0 21 0 0 0 0 0 0 0
3 Mutiara Hijau 194 7 13 22 21 21 0 0 0 0 0 0 0 2 2 2 0 0 0 20 0 0 0 0 0 0 0
4 Sakura 119 4 7 10 11 10 0 0 0 0 0 0 0 1 1 1 0 0 0 11 0 0 0 0 0 0 0
5 Mawar Kuning 617 7 14 14 15 20 0 0 0 0 0 0 0 7 7 7 0 0 0 21 0 0 0 0 0 0 0
6 Asoka 347 8 10 18 13 23 1 0 0 0 0 1 0 7 7 7 0 0 1 18 1 1 0 0 0 0 0
7 Cempaka 65 3 10 12 8 17 1 0 0 0 0 1 0 0 0 0 0 0 1 13 1 1 0 0 0 0 0
8 Alamanda 200 6 17 12 18 17 1 0 0 0 0 1 0 5 5 5 0 0 1 23 1 1 0 0 0 0 0
9 Bougenville 290 8 22 22 25 27 0 0 0 0 0 0 0 5 5 5 0 0 0 30 0 0 0 0 0 0 0
10 Anggrek Bulan 349 7 11 18 16 20 0 0 0 0 0 0 0 13 13 13 0 0 0 18 0 0 0 0 0 0 0
11 Rosella 348 10 20 25 23 22 0 0 0 0 0 0 0 11 11 11 0 0 0 40 0 0 0 0 0 0 0
12 Bambu Kuning 606 6 10 13 16 13 2 0 0 0 0 2 0 15 15 15 0 0 2 16 2 2 0 0 0 0 0
13 Dahlia 248 7 15 21 18 25 0 0 0 0 0 0 0 3 3 3 0 0 0 22 0 0 0 0 0 0 0
Sub Total 4078 88 189 234 234 271 5 0 0 0 0 5 0 95 95 95 1 0 5 287 5 5 0 0 0 0 0
2 KENALI ASAM ATAS 1 Sari Melati 468 37 27 54 52 66 3 0 0 0 0 3 0 8 8 8 0 1 3 62 3 3 0 0 0 0 0
2 Kenanga 368 32 16 32 37 43 1 0 0 0 0 1 0 5 5 5 0 0 1 45 1 1 0 0 0 0 0
3 Kemuning 447 16 15 32 29 34 1 0 0 0 0 1 0 4 4 4 0 0 1 40 1 1 0 0 0 0 0
4 Kencana 256 26 17 33 36 40 3 0 0 0 0 3 0 4 4 4 0 0 3 31 3 3 0 0 0 0 0
5 Kenari 348 21 15 32 31 37 1 0 0 0 0 1 0 9 9 9 0 0 1 34 1 1 0 0 0 0 0
Sub Total 1887 132 90 183 185 220 9 0 0 0 0 9 0 30 30 30 0 1 9 212 9 9 0 0 0 0 0
Jambi, Januari 2017
Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY. AM.F

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001
 III. PENCATATAN KEGIATAN POSYANDU
KECAMATAN : KOTA BARU
PUSKESMAS : PAAL X
TAHUN : 2016
BULAN : DESEMBER
JLH AKSEPTOR KB PENIMBANGAN BALITA IMUNISASI BALITA SOSIALISASI
PETUGAS
BGM DPT-HB POLIO TT BUMIL

JUMLAH WUS

JUMLAH PUS

HEPATITIS 0-7 HR
Kelurahan

DAPAT ORALIT
Posyandu

PENYULUHAN
Kader Posyandu
Petugas Medis

KONDOM

CAMPAK

BOSTER
NO

SUNTIK

BGM (Lk2)
Paramedis

DIARE
BGM( Pr)

BCG

BOSTER
S K D N

PIL
PLKB
I II III I II III IV I II

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
1 KENALI ASAM BAWAH Beringin 1 1 5 0 232 220 0 0 6 120 120 61 30 0 0 0 0 1 1 0 1 0 2 1 0 1 0 0 1 0 0 1
Tapak Dara 1 1 5 1 282 260 0 0 5 92 92 41 21 0 0 0 4 3 0 0 2 4 2 1 0 1 0 0 1 0 0 0
Mutiara Hijau 1 1 5 1 140 133 0 0 0 61 61 42 21 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0
Sakura 1 1 5 0 100 83 0 0 0 36 36 21 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mawar Kuning 1 1 5 1 332 325 0 1 5 83 83 35 17 0 0 0 0 0 0 4 1 0 0 0 3 0 0 0 0 0 0 0
Asoka 1 1 5 1 256 250 0 0 2 110 110 36 22 0 0 0 2 0 1 0 0 1 0 1 0 0 0 0 0 0 0 1
Cempaka 1 1 5 0 70 65 0 0 1 59 59 25 11 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
Alamanda 1 1 5 0 155 142 0 0 0 52 52 35 23 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
Bougenville 1 1 5 1 225 210 0 0 0 90 90 52 29 0 0 0 2 1 0 1 0 2 1 0 1 1 0 1 0 0 0 1
Anggrek Bulan 1 1 5 0 260 245 0 0 3 93 93 36 19 0 0 0 2 0 0 1 1 2 0 0 1 0 0 0 0 0 0 0
Rosella 1 1 5 1 305 289 0 1 6 118 118 55 29 0 0 0 0 0 0 1 0 0 2 0 1 1 0 0 1 0 0 0
Bambu Kuning 1 1 5 1 445 435 0 1 17 91 91 29 14 0 0 0 1 2 4 1 0 1 2 3 1 0 0 1 0 0 0 0
Dahlia 1 1 5 0 219 208 0 0 1 88 88 43 22 0 0 0 3 2 2 0 0 3 1 2 0 0 0 0 2 0 0 1
Sub Total 13 13 65 7 3021 2865 0 3 46 1093 1093 511 271 0 0 0 15 9 8 9 7 14 10 8 8 4 0 3 5 0 0 4
2 KENALI ASAM ATAS Sari Melati 1 1 5 1 121 101 18 14 55 188 188 118 111 0 0 7 3 2 2 2 3 3 3 3 3 11 2 0 0 0 0 0
Kenanga 1 1 5 0 94 72 6 9 39 114 114 80 72 0 0 7 3 1 1 1 1 2 2 1 2 5 3 0 0 0 0 0
Kemuning 1 1 5 1 73 58 6 8 31 91 91 63 56 0 0 6 1 1 1 2 1 1 2 2 1 7 4 0 0 0 0 1
Kencana 1 1 5 0 86 64 6 8 36 102 102 76 68 0 0 8 22 1 2 1 1 2 1 2 2 6 3 0 0 0 0 0
Kenari 1 1 5 0 78 57 6 9 33 99 99 68 62 0 0 5 2 1 1 1 2 2 2 2 1 4 3 0 0 0 0 0
Sub Total 5 5 25 2 452 352 42 48 194 594 594 405 369 0 0 33 31 6 7 7 8 10 10 10 9 33 15 0 0 0 0 1

Jambi, Januari 2017

Kepala Puskesmas Koordinator Promkes

drg. GUFRINALDI ANSAR SRI HARTATY. AM.F

NIP. 19700830 200112 2 002 NIP. 19820825 200502 2001