PUSKESMAS : LEBAK
BULAN : JANUARI TAHUN : 2021
L P + L P + L P + L P + L P + L P + L P + L P + L
1 2 3 4 5 6 7 8 9 10 11
1 BANJARSARI 19 18 37 20 20 40 65 64 129 10 10 20 1 3 4 5.3 16.7 10.8 1 3 4 5.3 16.7 10.8 2
2 0 0 0 0 0 #DIV/0! 0 0 0 0.0 0.0 ###
3 0 0 0 0 0 #DIV/0! 0 0 0 0.0 0.0 ###
4 0 0 0 0 0 #DIV/0! 0 0 0 0.0 0.0 ###
5 0 0 0 0 0 #DIV/0! 0 0 0 0.0 0.0 ###
6 0 0 0 0 0 #DIV/0! 0 0 0 0.0 0.0 ###
7 0 0 0 0 0 #DIV/0! 0 0 0 0.0 0.0 ###
8 0 0 0 0 0 #DIV/0! 0 0 0 0.0 0.0 ###
9 0 0 0 0 0 #DIV/0! 0 0 0 0.0 0.0 ###
10 0 0 0 0 0 #DIV/0! 0 0 0 0.0 0.0 ###
11 0 0 0 0 0 #DIV/0! 0 0 0 0.0 0.0 ###
12 0 0 0 0 0 #DIV/0! 0 0 0 0.0 0.0 ###
13 0 0 0 0 0 #DIV/0! 0 0 0 0.0 0.0 ###
14 0 0 0 0 0 #DIV/0! 0 0 0 0.0 0.0 ###
JUMLAH 19 18 37 20 20 40 65 64 129 10 10 20 1 3 4 5.3 16.7 10.8 1 3 4 5.3 16.7 10.8 2
LUAR WILAYAH
Mengetahui,
Kepala Puskesmas …………..
NIP. …………..
PWS KESEHATAN ANAK
PELAYANAN KESEHATAN ANAK BALITA (USIA 12 - 23 BULAN) PELAYANAN KESEHATAN ANAK BALITA (USIA 24 - 59 BULAN)
P + L P + L P + L P + L P + L P + L P + L P +
11 12 13 14 15 16 17 18
2 4 10.0 10.0 10.0 2 2 4 10.0 10.0 10.0 5 5 10 7.7 7.8 7.8 5 5 10 7.7 7.8 7.8
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
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 4 10.0 10.0 10.0 2 2 4 10.0 10.0 10.0 5 5 10 7.7 7.8 7.8 5 5 10 7.7 7.8 7.8
FORM 2. PWS KESEHATAN ANAK
KABUPATEN : LEBAK
BULAN : FEBRUARI TAHUN : 2021
L P + L P + L P + L P + L P + L P + L P + L P + L
1 2 3 4 5 6 7 8 9 10 11
1 19 18 37 20 20 40 65 64 129 10 10 20 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8
2 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
3 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
4 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
5 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
6 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
7 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
8 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
9 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
10 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
11 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
12 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
13 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
14 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
JUMLAH 19 18 37 20 20 40 65 64 129 10 10 20 0 0 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8 0
LUAR WILAYAH
Mengetahui,
Kepala Puskesmas …………..
NIP. …………..
2. PWS KESEHATAN ANAK
.
PELAYANAN KESEHATAN ANAK BALITA (USIA 12 - 23 BULAN) PELAYANAN KESEHATAN ANAK BALITA (USIA 24 - 59 BULAN)
P + L P + L P + L P + L P + L P + L P + L P +
11 12 13 14 15 16 17 18
0 0.0 0.0 0.0 2 2 4 10.0 10.0 10.0 0 0.0 0.0 0.0 5 5 10 7.7 7.8 7.8
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
0 ### 0 0 0 ### 0 ### 0 0 0 ###
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 2 4 10.0 10.0 10.0 0 0 0 0.0 0.0 0.0 5 5 10 7.7 7.8 7.8
FORM 2. PWS KESEHATAN ANAK
KABUPATEN : LEBAK
BULAN : MARET TAHUN : 2021
L P + L P + L P + L P + L P + L P + L P + L P + L P
1 2 3 4 5 6 7 8 9 10 11
1 19 18 37 20 20 40 65 64 129 10 10 20 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8
2 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
3 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
4 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
5 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
6 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
7 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
8 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
9 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
10 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
11 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
12 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
13 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
14 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
JUMLAH 19 18 37 20 20 40 65 64 129 10 10 20 0 0 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8 0 0
LUAR WILAYAH
Mengetahui,
Kepala Puskesmas …………..
NIP. …………..
PWS KESEHATAN ANAK
PELAYANAN KESEHATAN ANAK BALITA (USIA 12 - 23 BULAN) PELAYANAN KESEHATAN ANAK BALITA (USIA 24 - 59 BULAN)
+ L P + L P + L P + L P + L P +
11 12 13 14 15 16
0 0.0 0.0 0.0 2 2 4 10.0 10.0 10.0 0 0.0 0.0 0.0
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 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 2 4 10.0 10.0 10.0 0 0 0 0.0 0.0 0.0
FORM 2. PWS KESEHATAN ANAK
KABUPATEN : LEBAK
BULAN : APRIL TAHUN : 2021
L P + L P + L P + L P + L P + L P + L P + L P + L P
1 2 3 4 5 6 7 8 9 10 11
1 19 18 37 20 20 40 65 64 129 10 10 20 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8
2 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
3 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
4 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
5 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
6 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
7 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
8 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
9 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
10 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
11 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
12 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
13 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
14 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
JUMLAH 19 18 37 20 20 40 65 64 129 10 10 20 0 0 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8 0 0
LUAR WILAYAH
Mengetahui,
Kepala Puskesmas …………..
NIP. …………..
PWS KESEHATAN ANAK
PELAYANAN KESEHATAN ANAK BALITA (USIA 12 - 23 BULAN) PELAYANAN KESEHATAN ANAK BALITA (USIA 24 - 59 BULAN)
+ L P + L P + L P + L P + L P +
11 12 13 14 15 16
0 0.0 0.0 0.0 2 2 4 10.0 10.0 10.0 0 0.0 0.0 0.0
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 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 2 4 10.0 10.0 10.0 0 0 0 0.0 0.0 0.0
FORM 2. PWS KESEHATAN ANAK
KABUPATEN : LEBAK
BULAN : MEI TAHUN : 2021
L P + L P + L P + L P + L P + L P + L P + L P + L P
1 2 3 4 5 6 7 8 9 10 11
1 19 18 37 20 20 40 65 64 129 10 10 20 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8
2 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
3 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
4 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
5 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
6 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
7 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
8 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
9 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
10 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
11 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
12 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
13 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
14 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
JUMLAH 19 18 37 20 20 40 65 64 129 10 10 20 0 0 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8 0 0
LUAR WILAYAH
Mengetahui,
Kepala Puskesmas …………..
NIP. …………..
PWS KESEHATAN ANAK
PELAYANAN KESEHATAN ANAK BALITA (USIA 12 - 23 BULAN) PELAYANAN KESEHATAN ANAK BALITA (USIA 24 - 59 BULAN)
+ L P + L P + L P + L P + L P +
11 12 13 14 15 16
0 0.0 0.0 0.0 2 2 4 10.0 10.0 10.0 0 0.0 0.0 0.0
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 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 2 4 10.0 10.0 10.0 0 0 0 0.0 0.0 0.0
FORM 2. PWS KESEHATAN ANAK
KABUPATEN : LEBAK
BULAN : JUNI TAHUN : 2021
L P + L P + L P + L P + L P + L P + L P + L P + L P
1 2 3 4 5 6 7 8 9 10 11
1 19 18 37 20 20 40 65 64 129 10 10 20 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8
2 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
3 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
4 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
5 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
6 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
7 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
8 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
9 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
10 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
11 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
12 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
13 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
14 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
JUMLAH 19 18 37 20 20 40 65 64 129 10 10 20 0 0 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8 0 0
LUAR WILAYAH
Mengetahui,
Kepala Puskesmas …………..
NIP. …………..
PWS KESEHATAN ANAK
PELAYANAN KESEHATAN ANAK BALITA (USIA 12 - 23 BULAN) PELAYANAN KESEHATAN ANAK BALITA (USIA 24 - 59 BULAN)
+ L P + L P + L P + L P + L P +
11 12 13 14 15 16
0 0.0 0.0 0.0 2 2 4 10.0 10.0 10.0 0 0.0 0.0 0.0
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 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 2 4 10.0 10.0 10.0 0 0 0 0.0 0.0 0.0
FORM 2. PWS KESEHATAN ANAK
KABUPATEN : LEBAK
BULAN : JULI TAHUN : 2021
L P + L P + L P + L P + L P + L P + L P + L P + L P
1 2 3 4 5 6 7 8 9 10 11
1 19 18 37 20 20 40 65 64 129 10 10 20 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8
2 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
3 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
4 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
5 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
6 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
7 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
8 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
9 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
10 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
11 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
12 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
13 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
14 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
JUMLAH 19 18 37 20 20 40 65 64 129 10 10 20 0 0 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8 0 0
LUAR WILAYAH
Mengetahui,
Kepala Puskesmas …………..
NIP. …………..
PWS KESEHATAN ANAK
PELAYANAN KESEHATAN ANAK BALITA (USIA 12 - 23 BULAN) PELAYANAN KESEHATAN ANAK BALITA (USIA 24 - 59 BULAN)
+ L P + L P + L P + L P + L P +
11 12 13 14 15 16
0 0.0 0.0 0.0 2 2 4 10.0 10.0 10.0 0 0.0 0.0 0.0
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 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 2 4 10.0 10.0 10.0 0 0 0 0.0 0.0 0.0
FORM 2. PWS KESEHATAN ANAK
KABUPATEN : LEBAK
BULAN : AGUSTUS TAHUN : 2021
L P + L P + L P + L P + L P + L P + L P + L P + L P
1 2 3 4 5 6 7 8 9 10 11
1 19 18 37 20 20 40 65 64 129 10 10 20 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8
2 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
3 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
4 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
5 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
6 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
7 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
8 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
9 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
10 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
11 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
12 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
13 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
14 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
JUMLAH 19 18 37 20 20 40 65 64 129 10 10 20 0 0 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8 0 0
LUAR WILAYAH
Mengetahui,
Kepala Puskesmas …………..
NIP. …………..
PWS KESEHATAN ANAK
PELAYANAN KESEHATAN ANAK BALITA (USIA 12 - 23 BULAN) PELAYANAN KESEHATAN ANAK BALITA (USIA 24 - 59 BULAN)
+ L P + L P + L P + L P + L P +
11 12 13 14 15 16
0 0.0 0.0 0.0 2 2 4 10.0 10.0 10.0 0 0.0 0.0 0.0
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 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 2 4 10.0 10.0 10.0 0 0 0 0.0 0.0 0.0
FORM 2. PWS KESEHATAN ANAK
KABUPATEN : LEBAK
BULAN : SEPTEMBER TAHUN : 2021
L P + L P + L P + L P + L P + L P + L P + L P + L P
1 2 3 4 5 6 7 8 9 10 11
1 19 18 37 20 20 40 65 64 129 10 10 20 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8
2 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
3 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
4 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
5 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
6 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
7 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
8 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
9 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
10 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
11 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
12 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
13 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
14 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
JUMLAH 19 18 37 20 20 40 65 64 129 10 10 20 0 0 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8 0 0
LUAR WILAYAH
Mengetahui,
Kepala Puskesmas …………..
NIP. …………..
PWS KESEHATAN ANAK
PELAYANAN KESEHATAN ANAK BALITA (USIA 12 - 23 BULAN) PELAYANAN KESEHATAN ANAK BALITA (USIA 24 - 59 BULAN)
+ L P + L P + L P + L P + L P +
11 12 13 14 15 16
0 0.0 0.0 0.0 2 2 4 10.0 10.0 10.0 0 0.0 0.0 0.0
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 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 2 4 10.0 10.0 10.0 0 0 0 0.0 0.0 0.0
FORM 2. PWS KESEHATAN ANAK
KABUPATEN : LEBAK
BULAN : OKTOBER TAHUN : 2021
L P + L P + L P + L P + L P + L P + L P + L P + L P
1 2 3 4 5 6 7 8 9 10 11
1 19 18 37 20 20 40 65 64 129 10 10 20 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8
2 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
3 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
4 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
5 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
6 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
7 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
8 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
9 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
10 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
11 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
12 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
13 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
14 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
JUMLAH 19 18 37 20 20 40 65 64 129 10 10 20 0 0 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8 0 0
LUAR WILAYAH
Mengetahui,
Kepala Puskesmas …………..
NIP. …………..
PWS KESEHATAN ANAK
PELAYANAN KESEHATAN ANAK BALITA (USIA 12 - 23 BULAN) PELAYANAN KESEHATAN ANAK BALITA (USIA 24 - 59 BULAN)
+ L P + L P + L P + L P + L P +
11 12 13 14 15 16
0 0.0 0.0 0.0 2 2 4 10.0 10.0 10.0 0 0.0 0.0 0.0
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 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 2 4 10.0 10.0 10.0 0 0 0 0.0 0.0 0.0
FORM 2. PWS KESEHATAN ANAK
KABUPATEN : LEBAK
BULAN : NOVEMBER TAHUN : 2021
L P + L P + L P + L P + L P + L P + L P + L P + L P
1 2 3 4 5 6 7 8 9 10 11
1 19 18 37 20 20 40 65 64 129 10 10 20 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8
2 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
3 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
4 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
5 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
6 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
7 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
8 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
9 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
10 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
11 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
12 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
13 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
14 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
JUMLAH 19 18 37 20 20 40 65 64 129 10 10 20 0 0 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8 0 0
LUAR WILAYAH
Mengetahui,
Kepala Puskesmas …………..
NIP. …………..
PWS KESEHATAN ANAK
PELAYANAN KESEHATAN ANAK BALITA (USIA 12 - 23 BULAN) PELAYANAN KESEHATAN ANAK BALITA (USIA 24 - 59 BULAN)
+ L P + L P + L P + L P + L P +
11 12 13 14 15 16
0 0.0 0.0 0.0 2 2 4 10.0 10.0 10.0 0 0.0 0.0 0.0
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 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 2 4 10.0 10.0 10.0 0 0 0 0.0 0.0 0.0
FORM 2. PWS KESEHATAN ANAK
KABUPATEN : LEBAK
BULAN : DESEMBER TAHUN : 2021
L P + L P + L P + L P + L P + L P + L P + L P + L P
1 2 3 4 5 6 7 8 9 10 11
1 19 18 37 20 20 40 65 64 129 10 10 20 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8
2 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
3 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
4 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
5 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
6 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
7 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
8 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
9 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
10 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
11 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
12 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
13 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
14 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0.0 0.0 ###
JUMLAH 19 18 37 20 20 40 65 64 129 10 10 20 0 0 0 0.0 0.0 0.0 1 3 4 5.3 16.7 10.8 0 0
LUAR WILAYAH
Mengetahui,
Kepala Puskesmas …………..
NIP. …………..
PWS KESEHATAN ANAK
PELAYANAN KESEHATAN ANAK BALITA (USIA 12 - 23 BULAN) PELAYANAN KESEHATAN ANAK BALITA (USIA 24 - 59 BULAN)
+ L P + L P + L P + L P + L P +
11 12 13 14 15 16
0 0.0 0.0 0.0 2 2 4 10.0 10.0 10.0 0 0.0 0.0 0.0
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 0 ### 0 ###
0 ### 0 0 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 2 4 10.0 10.0 10.0 0 0 0 0.0 0.0 0.0