INFORMASI DASAR LAPORAN SKRINING PENYAKIT TIDAK MENULAR (PTM)

TAHUN PELAPORAN : 2022

PUSKESMAS PELAPOR : UPTD PUSKESMAS SUSUKANLEBAK
JUMLAH SELURUH POSBINDU : 9 DESA

NO DESA/ KELURAHAN JUMLAH PENDUDUK

USIA 15 - 59 TAHUN
1 SUSUKANLEBAK 1606
2 SUSUKANTONGGOH 1479
3 SUSUKANAGUNG 2393
4 KARANGMANGU 2930
5 KALIGAWE WETAN 2093
6 WILULANG 670
7 SAMPIH 2252
8 CURUG 1926
9 curug wetan 2460
10
11
12
13
14
15 Luar Wilayah
JUMLAH 17809

NAMA KOORDINATOR PROGRAM P2PTM : LILI AMALIA

NIP :
NOMOR KONTAK KOORDINATOR PROGRAM P2PTM : 82315260604

NAMA KEPALA UPTD PUSKESMAS : H.CARITA S.KEP.NERS

NIP :
 BULAN : JANUARI 2022
JUMLAH SELURUH POSBINDU : 9 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING : 8 DESA
PROSENTASE POSBINDU AKTIF SKRINING : #VALUE!

JMLH PENDUDUK JML YG

NO DESA BAIK (18,5 - 22,9 Kg/m 2)
USIA 15 -59 DATANG

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13

1 SUSUKANLEBAK 1,606 145

2 SUSUKANTONGGOH 1,479 78
3 SUSUKANAGUNG 2,393 0
4 KARANGMANGU 2,930 256
5 KALIGAWE WETAN 2,093 0
6 WILULANG 670 65
7 SAMPIH 2,252 166
8 CURUG 1,926 0
9 curug wetan 2,460 0
10 0 0 0
11 0 0 223
12 0 0 345
13 0 0 0
14 0 0
15 Luar Wilayah 0

JUMLAH 17,809 1278 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
0
 INDEKS MASSA TUBUH (IMT)

8,5 - 22,9 Kg/m 2) SEDANG (23,0 - 24,0 Kg/m 2)

60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P L P TOT L P L P L P L P L P L P L P TOT
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

USUKANLEBAK

RS
 BURUK (≥ 25 Kg/m2) TOTAL BAIK (P ≤

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

L P L P L P L P L P L P L P TOT L P TOT L P L P
35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LINGKAR PERUT

BAIK (P ≤ 90cm, W ≤ 80cm ) BURUK (P > 90cm, W > 80cm )

45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70
L P L P L P L P L P TOT L P L P L P L P L P L
57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
> 80cm ) TOTAL BAIK ( ≤130/80mmHg )

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P TOT L P TOT L P L P L P L P L P L P L P TOT
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TEKANAN DARAH

SEDANG ( 130-139/80-90mmHg ) BURUK ( ≥140/90mmH

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59
L P L P L P L P L P L P L P TOT L P L P L P L
101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENGUKURAN

BURUK ( ≥140/90mmHg ) TOTAL BAIK (80-144 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70

P L P L P L P TOT L P TOT L P L P L P L P L P L
123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 GLUKOSA DARAH SEWAKTU

g/dL) SEDANG (145-199 mg/dL) B

≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44

P L P TOT L P L P L P L P L P L P L P TOT L P L
145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 BURUK (≥200 mg/dL) TOTAL BAIK (< 150 mg/dL)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59

P L P L P L P L P L P TOT L P TOT L P L P L P L
167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 REKAPAN SKRINING PENYAKIT TIDAK MENULAR (PTM)
UPTD PUSKESMAS SUSUKANLEBAK

KOLESTEROL DARAH TOTAL

BAIK (< 150 mg/dL) SEDANG (150 -189 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P L P TOT L P L P L P L P L P L P L P
189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TM)

TAL

BURUK (≥ 190 mg/dL) TOTAL BAIK (N

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 ARUS PUNCAK EKSPIRASI

BAIK (NILAI APE > NILAI PREDIKSI) BURUK (NILAI APE = NILAI PREDIKSI)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MERO

= NILAI PREDIKSI) TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MEROKOK

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MAKAN SAYUR DAN BUAH < 5 PORSI SEHARI

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 WAWANCARA
KURANG AKTIFITAS FISIK (3 x SEMINGGU SELAMA 5

AK TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 x SEMINGGU SELAMA 50 MENIT ATAU 5 x SEMINGGU SELAMA 30 MENIT)

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 KONSUMSI MINUMAN BERALKOHOL

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinato
UPTD PUSKESM

LILI
 JUMLAH
AK TOTAL

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinator Program PTM

UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 BULAN : FEBRUARI 2022
JUMLAH SELURUH POSBINDU : 9 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING :
PROSENTASE POSBINDU AKTIF SKRINING : #VALUE!

JMLH PENDUDUK JML YG

NO DESA BAIK (18,5 - 22,9 Kg/m 2)
USIA 15 -59 DATANG

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13

1 SUSUKANLEBAK 1,606
2 SUSUKANTONGGOH 1,479
3 SUSUKANAGUNG 2,393
4 KARANGMANGU 2,930
5 KALIGAWE WETAN 2,093
6 WILULANG 670
7 SAMPIH 2,252
8 CURUG 1,926
9 curug wetan 2,460
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 Luar Wilayah 0

JUMLAH 17,809 0 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
0
 INDEKS MASSA TUBUH (IMT)

8,5 - 22,9 Kg/m 2) SEDANG (23,0 - 24,0 Kg/m 2)

60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P L P TOT L P L P L P L P L P L P L P TOT
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

USUKANLEBAK

RS
 BURUK (≥ 25 Kg/m2) TOTAL BAIK (P ≤

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

L P L P L P L P L P L P L P TOT L P TOT L P L P
35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LINGKAR PERUT

BAIK (P ≤ 90cm, W ≤ 80cm ) BURUK (P > 90cm, W > 80cm )

45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70
L P L P L P L P L P TOT L P L P L P L P L P L
57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
> 80cm ) TOTAL BAIK ( ≤130/80mmHg )

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P TOT L P TOT L P L P L P L P L P L P L P TOT
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TEKANAN DARAH

SEDANG ( 130-139/80-90mmHg ) BURUK ( ≥140/90mmH

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59
L P L P L P L P L P L P L P TOT L P L P L P L
101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENGUKURAN

BURUK ( ≥140/90mmHg ) TOTAL BAIK (80-144 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70

P L P L P L P TOT L P TOT L P L P L P L P L P L
123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 GLUKOSA DARAH SEWAKTU

g/dL) SEDANG (145-199 mg/dL) B

≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44

P L P TOT L P L P L P L P L P L P L P TOT L P L
145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 BURUK (≥200 mg/dL) TOTAL BAIK (< 150 mg/dL)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59

P L P L P L P L P L P TOT L P TOT L P L P L P L
167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 REKAPAN SKRINING PENYAKIT TIDAK MENULAR (PTM)
UPTD PUSKESMAS SUSUKANLEBAK

KOLESTEROL DARAH TOTAL

BAIK (< 150 mg/dL) SEDANG (150 -189 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P L P TOT L P L P L P L P L P L P L P
189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TM)

TAL

BURUK (≥ 190 mg/dL) TOTAL BAIK (N

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 ARUS PUNCAK EKSPIRASI

BAIK (NILAI APE > NILAI PREDIKSI) BURUK (NILAI APE = NILAI PREDIKSI)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MERO

= NILAI PREDIKSI) TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MEROKOK

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MAKAN SAYUR DAN BUAH < 5 PORSI SEHARI

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 WAWANCARA
KURANG AKTIFITAS FISIK (3 x SEMINGGU SELAMA 5

AK TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 x SEMINGGU SELAMA 50 MENIT ATAU 5 x SEMINGGU SELAMA 30 MENIT)

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 KONSUMSI MINUMAN BERALKOHOL

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinato
UPTD PUSKESM

LILI
 JUMLAH
AK TOTAL

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinator Program PTM

UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 BULAN : MARET 2022
JUMLAH SELURUH POSBINDU : 9 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING :
PROSENTASE POSBINDU AKTIF SKRINING : #VALUE!

JMLH PENDUDUK JML YG

NO DESA BAIK (18,5 - 22,9 Kg/m 2)
USIA 15 -59 DATANG

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13

1 SUSUKANLEBAK 1,606
2 SUSUKANTONGGOH 1,479
3 SUSUKANAGUNG 2,393
4 KARANGMANGU 2,930
5 KALIGAWE WETAN 2,093
6 WILULANG 670
7 SAMPIH 2,252
8 CURUG 1,926
9 curug wetan 2,460
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 Luar Wilayah 0

JUMLAH 17,809 0 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
0
 INDEKS MASSA TUBUH (IMT)

8,5 - 22,9 Kg/m 2) SEDANG (23,0 - 24,0 Kg/m 2)

60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P L P TOT L P L P L P L P L P L P L P TOT
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

USUKANLEBAK

RS
 BURUK (≥ 25 Kg/m2) TOTAL BAIK (P ≤

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

L P L P L P L P L P L P L P TOT L P TOT L P L P
35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LINGKAR PERUT

BAIK (P ≤ 90cm, W ≤ 80cm ) BURUK (P > 90cm, W > 80cm )

45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70
L P L P L P L P L P TOT L P L P L P L P L P L
57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
> 80cm ) TOTAL BAIK ( ≤130/80mmHg )

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P TOT L P TOT L P L P L P L P L P L P L P TOT
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TEKANAN DARAH

SEDANG ( 130-139/80-90mmHg ) BURUK ( ≥140/90mmH

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59
L P L P L P L P L P L P L P TOT L P L P L P L
101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENGUKURAN

BURUK ( ≥140/90mmHg ) TOTAL BAIK (80-144 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70

P L P L P L P TOT L P TOT L P L P L P L P L P L
123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 GLUKOSA DARAH SEWAKTU

g/dL) SEDANG (145-199 mg/dL) B

≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44

P L P TOT L P L P L P L P L P L P L P TOT L P L
145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 BURUK (≥200 mg/dL) TOTAL BAIK (< 150 mg/dL)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59

P L P L P L P L P L P TOT L P TOT L P L P L P L
167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 REKAPAN SKRINING PENYAKIT TIDAK MENULAR (PTM)
UPTD PUSKESMAS SUSUKANLEBAK

KOLESTEROL DARAH TOTAL

BAIK (< 150 mg/dL) SEDANG (150 -189 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P L P TOT L P L P L P L P L P L P L P
189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TM)

TAL

BURUK (≥ 190 mg/dL) TOTAL BAIK (N

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 ARUS PUNCAK EKSPIRASI

BAIK (NILAI APE > NILAI PREDIKSI) BURUK (NILAI APE = NILAI PREDIKSI)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MERO

= NILAI PREDIKSI) TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MEROKOK

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MAKAN SAYUR DAN BUAH < 5 PORSI SEHARI

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 WAWANCARA
KURANG AKTIFITAS FISIK (3 x SEMINGGU SELAMA 5

AK TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 x SEMINGGU SELAMA 50 MENIT ATAU 5 x SEMINGGU SELAMA 30 MENIT)

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 KONSUMSI MINUMAN BERALKOHOL

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinato
UPTD PUSKESM

LILI
 JUMLAH
AK TOTAL

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinator Program PTM

UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 BULAN : APRIL 2022
JUMLAH SELURUH POSBINDU : 9 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING :
PROSENTASE POSBINDU AKTIF SKRINING : #VALUE!

JMLH PENDUDUK JML YG

NO DESA BAIK (18,5 - 22,9 Kg/m 2)
USIA 15 -59 DATANG

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13

1 SUSUKANLEBAK 1,606 247 8 9 15 7 9 10 7 11 16

2 SUSUKANTONGGOH 1,479 241 6 11 17 8 12 16 11 10 9
3 SUSUKANAGUNG 2,393 219 11 7 14 9 5 10 8 9 7
4 KARANGMANGU 2,930 193 9 8 13 8 9 7 12 11 16
5 KALIGAWE WETAN 2,093 183 7 10 11 12 15 11 14 16 13
6 WILULANG 670 130 5 6 7 10 7 9 11 8 11
7 SAMPIH 2,252 146 7 9 10 7 6 8 7 9 7
8 CURUG 1,926 191 5 8 11 7 9 14 15 17 11
9 curug wetan 2,460 174 9 11 9 11 12 14 16 11 9
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 Luar Wilayah 0

JUMLAH 17,809 1724 67 79 107 79 84 99 101 102 99

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
0
 INDEKS MASSA TUBUH (IMT)

8,5 - 22,9 Kg/m 2) SEDANG (23,0 - 24,0 Kg/m 2)

60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P L P TOT L P L P L P L P L P L P L P TOT
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

12 17 19 72 68 140 1 4 8 11 9 8 14 9 10 11 8 14 50 57 107
11 16 9 71 65 136 2 6 7 9 11 8 11 16 11 8 9 7 51 54 105
15 9 8 54 58 112 3 5 6 8 10 7 12 16 14 10 7 9 52 55 107
14 8 5 67 53 120 1 3 7 9 11 14 15 2 5 3 2 1 41 32 73
10 8 9 68 68 136 1 2 5 4 3 7 8 9 3 1 3 1 23 24 47
9 7 2 48 44 92 2 1 3 2 5 2 4 1 2 4 5 7 21 17 38
8 9 4 46 45 91 1 3 2 4 6 3 6 8 7 9 2 4 24 31 55
8 10 8 61 62 123 2 5 8 9 7 6 9 5 8 4 3 2 37 31 68
7 5 9 60 63 123 2 4 8 4 7 6 2 4 5 2 5 2 29 22 51
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
94 89 73 547 526 1073 15 33 54 60 69 61 81 70 65 52 44 47 328 323 651

USUKANLEBAK

RS
 BURUK (≥ 25 Kg/m2) TOTAL BAIK (P ≤

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

L P L P L P L P L P L P L P TOT L P TOT L P L P
35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56

0 0 0 0 0 0 8 9 15 7
0 0 0 0 0 0 6 11 17 8
0 0 0 0 0 0 11 7 14 9
0 0 0 0 0 0 9 8 13 8
0 0 0 0 0 0 7 10 11 12
0 0 0 0 0 0 5 6 7 10
0 0 0 0 0 0 7 9 10 7
0 0 0 0 0 0 5 8 11 7
0 0 0 0 0 0 9 11 9 11
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 79 107 79
 LINGKAR PERUT

BAIK (P ≤ 90cm, W ≤ 80cm ) BURUK (P > 90cm, W > 80cm )

45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70
L P L P L P L P L P TOT L P L P L P L P L P L
57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

9 10 7 11 16 12 17 19 72 68 140
12 16 11 10 9 11 16 9 71 65 136
5 10 8 9 7 15 9 8 54 58 112
9 7 12 11 16 14 8 5 67 53 120
15 11 14 16 13 10 8 9 68 68 136
7 9 11 8 11 9 7 2 48 44 92
6 8 7 9 7 8 9 4 46 45 91
9 14 15 17 11 8 10 8 61 62 123
12 14 16 11 9 7 5 9 60 63 123
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
84 99 101 102 99 94 89 73 547 526 1073 0 0 0 0 0 0 0 0 0 0 0
> 80cm ) TOTAL BAIK ( ≤130/80mmHg )

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P TOT L P TOT L P L P L P L P L P L P L P TOT
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

0 0 0 72 68 140 0 0 0
0 0 0 71 65 136 0 0 0
0 0 0 54 58 112 0 0 0
0 0 0 67 53 120 0 0 0
0 0 0 68 68 136 0 0 0
0 0 0 48 44 92 0 0 0
0 0 0 46 45 91 0 0 0
0 0 0 61 62 123 0 0 0
0 0 0 60 63 123 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 547 526 1073 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TEKANAN DARAH

SEDANG ( 130-139/80-90mmHg ) BURUK ( ≥140/90mmH

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59
L P L P L P L P L P L P L P TOT L P L P L P L
101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122

0 0 0 0 0 0 1 2 1 1
0 0 0 0 0 2 0 0 1 0
0 0 0 0 0 0 0 0 1 2
0 0 0 0 0 0 0 1 1 1
0 0 0 0 0 0 0 2 1 1
0 0 0 0 0 1 1 0 1 1
0 0 0 0 0 0 0 2 1 2
0 0 0 0 0 1 0 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 0 0 0 0 0 0 0 0 0 0 0 0 4 2 8 7 9
 PENGUKURAN

BURUK ( ≥140/90mmHg ) TOTAL BAIK (80-144 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70

P L P L P L P TOT L P TOT L P L P L P L P L P L
123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144

1 1 1 0 1 4 5 9 4 5 9
1 1 2 1 1 4 5 9 4 5 9
1 0 1 1 1 3 4 7 3 4 7
1 1 1 1 1 4 4 8 4 4 8
2 1 1 0 1 4 5 9 4 5 9
1 1 2 1 1 4 6 10 4 6 10
1 1 1 1 1 6 4 10 6 4 10
1 1 1 1 1 5 3 8 5 3 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
9 7 10 6 8 34 36 70 34 36 70 0 0 0 0 0 0 0 0 0 0 0
 GLUKOSA DARAH SEWAKTU

g/dL) SEDANG (145-199 mg/dL) B

≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44

P L P TOT L P L P L P L P L P L P L P TOT L P L
145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 BURUK (≥200 mg/dL) TOTAL BAIK (< 150 mg/dL)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59

P L P L P L P L P L P TOT L P TOT L P L P L P L
167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188

1 0 0 1 0 1 0 0 1 2 2 4 2 2 4
0 1 0 0 1 0 0 1 0 2 1 3 2 1 3
0 0 1 0 0 0 0 0 0 0 1 1 0 1 1
0 0 0 1 0 2 0 1 1 4 1 5 4 1 5
0 0 1 1 1 0 1 0 0 1 3 4 1 3 4
0 0 1 0 0 1 0 0 1 1 2 3 1 2 3
0 0 0 0 1 0 0 1 0 1 1 2 1 1 2
0 0 1 0 0 0 0 0 0 0 1 1 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 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 1 4 3 3 4 1 3 3 11 12 23 11 12 23 0 0 0 0 0 0 0
 REKAPAN SKRINING PENYAKIT TIDAK MENULAR (PTM)
UPTD PUSKESMAS SUSUKANLEBAK

KOLESTEROL DARAH TOTAL

BAIK (< 150 mg/dL) SEDANG (150 -189 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P L P TOT L P L P L P L P L P L P L P
189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TM)

TAL

BURUK (≥ 190 mg/dL) TOTAL BAIK (N

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 ARUS PUNCAK EKSPIRASI

BAIK (NILAI APE > NILAI PREDIKSI) BURUK (NILAI APE = NILAI PREDIKSI)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MERO

= NILAI PREDIKSI) TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276

0 0 0 0 0 0 8 9 15 7 9 10 7 11 16 12 17 19 72 68
0 0 0 0 0 0 6 11 17 8 12 16 11 10 9 11 16 9 71 65
0 0 0 0 0 0 11 7 14 9 5 10 8 9 7 15 9 8 54 58
0 0 0 0 0 0 9 8 13 8 9 7 12 11 16 14 8 5 67 53
0 0 0 0 0 0 7 10 11 12 15 11 14 16 13 10 8 9 68 68
0 0 0 0 0 0 5 6 7 10 7 9 11 8 11 9 7 2 48 44
0 0 0 0 0 0 7 9 10 7 6 8 7 9 7 8 9 4 46 45
0 0 0 0 0 0 5 8 11 7 9 14 15 17 11 8 10 8 61 62
0 0 0 0 0 0 9 11 9 11 12 14 16 11 9 7 5 9 60 63
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 67 79 107 79 84 99 101 102 99 94 89 73 547 526
 MEROKOK

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298

140 1 4 8 11 9 8 14 9 10 11 8 14 50 57 107 122 125 247

136 2 6 7 9 11 8 11 16 11 8 9 7 51 54 105 122 119 241
112 3 5 6 8 10 7 12 16 14 10 7 9 52 55 107 106 113 219
120 1 3 7 9 11 14 15 2 5 3 2 1 41 32 73 108 85 193
136 1 2 5 4 3 7 8 9 3 1 3 1 23 24 47 91 92 183
92 2 1 3 2 5 2 4 1 2 4 5 7 21 17 38 69 61 130
91 1 3 2 4 6 3 6 8 7 9 2 4 24 31 55 70 76 146
123 2 5 8 9 7 6 9 5 8 4 3 2 37 31 68 98 93 191
123 2 4 8 4 7 6 2 4 5 2 5 2 29 22 51 89 85 174
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1073 15 33 54 60 69 61 81 70 65 52 44 47 328 323 651 875 849 1724 0 0 0
 MAKAN SAYUR DAN BUAH < 5 PORSI SEHARI

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 WAWANCARA
KURANG AKTIFITAS FISIK (3 x SEMINGGU SELAMA 5

AK TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 x SEMINGGU SELAMA 50 MENIT ATAU 5 x SEMINGGU SELAMA 30 MENIT)

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 KONSUMSI MINUMAN BERALKOHOL

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinato
UPTD PUSKESM

LILI
 JUMLAH
AK TOTAL

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408

0 0 0 0 0 0 0 0 0 1 2 1 1 1 1 1 0 1 4 5
0 0 0 0 0 0 0 0 2 0 0 1 0 1 1 2 1 1 4 5
0 0 0 0 0 0 0 0 0 0 0 1 2 1 0 1 1 1 3 4
0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 4 4
0 0 0 0 0 0 0 0 0 0 2 1 1 2 1 1 0 1 4 5
0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 2 1 1 4 6
0 0 0 0 0 0 0 0 0 0 2 1 2 1 1 1 1 1 6 4
0 0 0 0 0 0 0 0 1 0 1 0 1 1 1 1 1 1 5 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 2 8 7 9 9 7 10 6 8 34 36

Koordinator Program PTM

UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

9
9
7
8
9
10
10
8
0
0
0
0
0
0
0
70
 BULAN : MEI 2022
JUMLAH SELURUH POSBINDU : 9 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING : 9
PROSENTASE POSBINDU AKTIF SKRINING : #VALUE!

JMLH PENDUDUK JML YG

NO DESA BAIK (18,5 - 22,9 Kg/m 2)
USIA 15 -59 DATANG

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13

1 SUSUKANLEBAK 1,606 161 0 1 2 8 13 17 18 17 18

2 SUSUKANTONGGOH 1,479 144 0 2 6 11 14 16 11 17 18
3 SUSUKANAGUNG 2,393 174 0 5 11 16 14 18 19 11 10
4 KARANGMANGU 2,930 174 0 7 12 16 11 10 18 19 22
5 KALIGAWE WETAN 2,093 149 0 3 11 16 13 11 9 7 12
6 WILULANG 670 106 0 8 7 14 10 8 6 5 11
7 SAMPIH 2,252 152 0 8 10 11 17 11 14 16 9
8 CURUG 1,926 146 0 4 8 12 16 11 16 13 15
9 curug wetan 2,460 144 0 3 9 10 13 15 11 16 17
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 Luar Wilayah 0

JUMLAH 17,809 1350 0 41 76 114 121 117 122 121 132

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
0
 INDEKS MASSA TUBUH (IMT)

8,5 - 22,9 Kg/m 2) SEDANG (23,0 - 24,0 Kg/m 2)

60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P L P TOT L P L P L P L P L P L P L P TOT
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

15 19 9 70 67 137 0 0 3 2 3 2 3 2 1 1 1 1 11 8 19
10 7 8 56 64 120 0 0 3 5 2 3 1 2 2 1 1 1 9 12 21
16 16 18 70 84 154 0 0 2 1 2 1 2 3 1 1 2 1 9 7 16
18 11 7 74 77 151 0 0 6 2 1 2 2 1 3 1 1 1 13 7 20
16 14 16 59 69 128 0 0 2 4 2 1 3 2 2 1 2 0 11 8 19
7 4 5 38 47 85 0 0 3 1 2 2 2 2 1 1 1 0 9 6 15
10 14 11 64 67 131 0 0 4 1 3 3 1 1 2 2 2 0 12 7 19
16 11 9 66 65 131 0 0 1 1 1 1 2 2 1 1 2 0 7 5 12
10 9 11 59 65 124 0 0 2 1 2 3 1 2 1 3 2 0 8 9 17
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
118 105 94 556 605 1161 0 0 26 18 18 18 17 17 14 12 14 4 89 69 158

USUKANLEBAK

RS
 BURUK (≥ 25 Kg/m2) TOTAL BAIK (P ≤

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

L P L P L P L P L P L P L P TOT L P TOT L P L P
35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56

2 4 4 2 6 85 77 162 0 1 2 8
3 0 3 3 65 79 144 0 2 6 11
1 3 4 0 4 83 91 174 0 5 11 16
3 3 0 3 90 84 174 0 7 12 16
2 0 2 2 70 79 149 0 3 11 16
2 4 6 0 6 53 53 106 0 8 7 14
2 2 0 2 78 74 152 0 8 10 11
2 1 2 1 3 75 71 146 0 4 8 12
3 0 3 3 67 77 144 0 3 9 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 5 0 7 5 2 6 7 0 0 0 21 11 32 666 685 1351 0 41 76 114
 LINGKAR PERUT

BAIK (P ≤ 90cm, W ≤ 80cm ) BURUK (P > 90cm, W > 80cm )

45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70
L P L P L P L P L P TOT L P L P L P L P L P L
57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

13 17 18 17 18 15 19 9 70 67 137 0 0 3 2 3 4 3 2 5 1 1
14 16 11 17 18 10 7 8 56 64 120 0 0 3 5 2 3 1 5 2 1 1
14 18 19 11 10 16 16 18 70 84 154 0 0 3 1 5 1 2 3 1 1 2
11 10 18 19 22 18 11 7 74 77 151 0 0 6 2 1 2 2 1 7 1 1
13 11 9 7 12 16 14 16 59 69 128 0 0 2 4 2 3 3 2 2 1 2
10 8 6 5 11 7 4 5 38 47 85 0 0 5 1 6 2 2 2 1 1 1
17 11 14 16 9 10 14 11 64 67 131 0 0 4 1 3 3 3 1 2 2 2
16 11 16 13 15 16 11 9 66 65 131 0 0 3 1 1 2 2 2 1 1 2
13 15 11 16 17 10 9 11 59 65 124 0 0 2 1 2 3 1 5 1 3 2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
121 117 122 121 132 118 105 94 556 605 1161 0 0 31 18 25 23 19 23 22 12 14
> 80cm ) TOTAL BAIK ( ≤130/80mmHg )

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P TOT L P TOT L P L P L P L P L P L P L P TOT
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

1 15 10 25 85 77 162 0 0 0 0 0 2 0 0 4 0 0 0 4 2 6
1 9 15 24 65 79 144 0 0 0 0 0 0 0 3 0 0 0 0 0 3 3
1 13 7 20 83 91 174 0 0 1 0 3 0 0 0 0 0 0 0 4 0 4
1 17 7 24 91 84 175 0 0 0 0 0 0 0 0 3 0 0 0 3 0 3
0 11 10 21 70 79 149 0 0 0 0 0 2 0 0 0 0 0 0 0 2 2
0 15 6 21 53 53 106 0 0 2 0 4 0 0 0 0 0 0 0 6 0 6
0 14 7 21 78 74 152 0 0 0 0 0 0 2 0 0 0 0 0 2 0 2
0 9 6 15 75 71 146 0 0 2 0 0 1 0 0 0 0 0 0 2 1 3
0 8 12 20 67 77 144 0 0 0 0 0 0 0 3 0 0 0 0 0 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
4 111 80 191 667 685 1352 0 0 5 0 7 5 2 6 7 0 0 0 21 11 32
 TEKANAN DARAH

SEDANG ( 130-139/80-90mmHg ) BURUK ( ≥140/90mmH

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59
L P L P L P L P L P L P L P TOT L P L P L P L
101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122

0 0 2 5 4 5 3 8 6 7 6 7 21 32 53 0 0 8 6 2 2 1
0 0 1 6 9 5 6 5 4 8 5 4 25 28 53 0 0 2 5 4 3 2
0 0 3 5 7 6 5 5 7 6 6 5 28 27 55 0 0 6 6 9 7 9
0 0 4 8 2 8 5 5 5 7 5 5 21 33 54 0 0 7 8 6 6 5
0 0 5 6 7 9 4 5 3 5 6 2 25 27 52 0 0 5 2 3 2 8
0 0 5 2 3 3 5 4 6 2 4 3 23 14 37 0 0 3 5 2 3 4
0 0 7 5 7 5 4 3 4 5 3 6 25 24 49 0 0 6 5 8 6 8
0 0 8 4 5 5 4 4 3 5 3 5 23 23 46 0 0 6 4 7 6 7
0 0 6 7 6 7 8 6 5 3 5 3 30 26 56 0 0 4 3 3 2 3
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 41 48 50 53 44 45 43 48 43 40 221 234 455 0 0 47 44 44 37 47
 PENGUKURAN

BURUK ( ≥140/90mmHg ) TOTAL BAIK (80-144 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70

P L P L P L P TOT L P TOT L P L P L P L P L P L
123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144

5 4 3 2 1 17 17 34 42 51 93 0 1 2 8 11 17 11 10 18 15 19
4 4 4 3 1 15 17 32 40 48 88 0 2 6 11 14 16 11 13 12 10 7
7 5 5 2 1 31 26 57 63 53 116 0 5 11 16 10 10 13 11 10 16 16
9 7 5 5 1 30 29 59 54 62 116 0 7 12 16 11 8 11 10 12 12 11
7 5 6 5 4 26 21 47 51 50 101 0 3 11 11 11 9 7 7 12 12 14
2 3 2 1 1 13 13 26 42 27 69 0 8 7 7 6 8 6 5 11 7 4
6 6 3 2 2 30 22 52 57 46 103 0 8 10 9 11 8 12 11 9 10 14
5 8 6 1 1 29 22 51 54 46 100 0 4 8 12 11 11 16 12 11 16 11
3 4 5 1 1 15 14 29 45 43 88 0 3 9 10 8 6 11 7 6 10 9
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
48 46 39 22 13 206 181 387 448 426 874 0 41 76 100 93 93 98 86 101 108 105
 GLUKOSA DARAH SEWAKTU

g/dL) SEDANG (145-199 mg/dL) B

≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44

P L P TOT L P L P L P L P L P L P L P TOT L P L
145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166

9 61 60 121 0 0 3 2 3 4 3 2 5 1 1 1 15 10 25 0 0 1
8 50 60 110 0 0 3 5 2 3 1 5 2 1 1 1 9 15 24 0 0 1
18 60 76 136 0 0 3 1 5 1 2 3 1 1 2 1 13 7 20 0 1 2
7 57 60 117 0 0 6 2 1 2 2 1 7 1 1 1 17 7 24 0 1 3
16 55 58 113 0 0 2 4 2 3 3 2 2 1 2 0 11 10 21 0 1 2
5 34 40 74 0 0 5 1 6 2 2 2 1 1 1 0 15 6 21 0 1 1
11 56 57 113 0 0 4 1 3 3 3 1 2 2 2 0 14 7 21 0 2 4
9 57 64 121 0 0 3 1 1 2 2 2 1 1 2 0 9 6 15 0 1 1
11 43 47 90 0 0 2 1 2 3 1 5 1 3 2 0 8 12 20 0 1 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
94 473 522 995 0 0 31 18 25 23 19 23 22 12 14 4 111 80 191 0 8 18
 BURUK (≥200 mg/dL) TOTAL BAIK (< 150 mg/dL)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59

P L P L P L P L P L P TOT L P TOT L P L P L P L
167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188

3 4 1 1 2 1 1 2 0 9 7 16 85 77 162
2 2 1 1 1 1 1 0 0 5 5 10 64 80 144
2 2 2 4 2 2 1 1 1 11 9 20 84 92 176
4 6 7 3 2 3 1 1 1 16 16 32 90 83 173
2 2 1 2 1 2 1 1 0 9 6 15 75 74 149
1 1 1 1 1 2 1 1 0 6 5 11 55 51 106
2 2 3 2 1 2 2 0 0 10 10 20 80 74 154
1 2 1 2 2 0 0 0 0 5 5 10 71 75 146
5 3 4 5 6 2 2 2 1 15 19 34 66 78 144
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
22 24 21 21 18 15 10 8 3 86 82 168 670 684 1354 0 0 0 0 0 0 0
 REKAPAN SKRINING PENYAKIT TIDAK MENULAR (PTM)
UPTD PUSKESMAS SUSUKANLEBAK

KOLESTEROL DARAH TOTAL

BAIK (< 150 mg/dL) SEDANG (150 -189 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P L P TOT L P L P L P L P L P L P L P
189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TM)

TAL

BURUK (≥ 190 mg/dL) TOTAL BAIK (N

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 ARUS PUNCAK EKSPIRASI

BAIK (NILAI APE > NILAI PREDIKSI) BURUK (NILAI APE = NILAI PREDIKSI)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MERO

= NILAI PREDIKSI) TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276

0 0 0 0 0 0 0 1 2 8 13 17 18 17 18 15 19 9 70 67
0 0 0 0 0 0 0 2 6 11 14 16 11 17 18 10 7 8 56 64
0 0 0 0 0 0 0 5 11 16 14 18 19 11 10 16 16 18 70 84
0 0 0 0 0 0 0 7 12 16 11 10 18 19 22 18 11 7 74 77
0 0 0 0 0 0 0 3 11 16 13 11 9 7 12 16 14 16 59 69
0 0 0 0 0 0 0 8 7 14 10 8 6 5 11 7 4 5 38 47
0 0 0 0 0 0 0 8 10 11 17 11 14 16 9 10 14 11 64 67
0 0 0 0 0 0 0 4 8 12 16 11 16 13 15 16 11 9 66 65
0 0 0 0 0 0 0 3 9 10 13 15 11 16 17 10 9 11 59 65
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 41 76 114 121 117 122 121 132 118 105 94 556 605
 MEROKOK

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298

137 0 0 3 2 3 2 3 2 1 1 1 1 11 8 19 81 75 156 0 1 2
120 0 0 3 5 2 3 1 2 2 1 1 1 9 12 21 65 76 141 0 2 6
154 0 0 2 1 2 1 2 3 1 1 2 1 9 7 16 79 91 170 0 5 11
151 0 0 6 2 1 2 2 1 3 1 1 1 13 7 20 87 84 171 0 7 12
128 0 0 2 4 2 1 3 2 2 1 2 0 11 8 19 70 77 147 0 3 11
85 0 0 3 1 2 2 2 2 1 1 1 0 9 6 15 47 53 100 0 8 7
131 0 0 4 1 3 3 1 1 2 2 2 0 12 7 19 76 74 150 0 8 10
131 0 0 1 1 1 1 2 2 1 1 2 0 7 5 12 73 70 143 0 4 8
124 0 0 2 1 2 3 1 2 1 3 2 0 8 9 17 67 74 141 0 3 9
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1161 0 0 26 18 18 18 17 17 14 12 14 4 89 69 158 645 674 1319 0 41 76
 MAKAN SAYUR DAN BUAH < 5 PORSI SEHARI

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320

8 13 17 18 17 18 15 19 9 70 67 137 0 0 3 2 3 2 3 2 1 1
11 14 16 11 17 18 10 7 8 56 64 120 0 0 3 5 2 3 1 2 2 1
16 14 18 19 11 10 16 16 18 70 84 154 0 0 2 1 2 1 2 3 1 1
16 11 10 18 19 22 18 11 7 74 77 151 0 0 6 2 1 2 2 1 3 1
16 13 11 9 7 12 16 14 16 59 69 128 0 0 2 4 2 1 3 2 2 1
14 10 8 6 5 11 7 4 5 38 47 85 0 0 3 1 2 2 2 2 1 1
11 17 11 14 16 9 10 14 11 64 67 131 0 0 4 1 3 3 1 1 2 2
12 16 11 16 13 15 16 11 9 66 65 131 0 0 1 1 1 1 2 2 1 1
10 13 15 11 16 17 10 9 11 59 65 124 0 0 2 1 2 3 1 2 1 3
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
114 121 117 122 121 132 118 105 94 556 605 1161 0 0 26 18 18 18 17 17 14 12
 WAWANCARA
KURANG AKTIFITAS FISIK (3 x SEMINGGU SELAMA 5

AK TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342

1 1 11 8 19 81 75 156 0 0
1 1 9 12 21 65 76 141 0 0
2 1 9 7 16 79 91 170 0 0
1 1 13 7 20 87 84 171 0 0
2 0 11 8 19 70 77 147 0 0
1 0 9 6 15 47 53 100 0 0
2 0 12 7 19 76 74 150 0 0
2 0 7 5 12 73 70 143 0 0
2 0 8 9 17 67 74 141 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
14 4 89 69 158 645 674 1319 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 x SEMINGGU SELAMA 50 MENIT ATAU 5 x SEMINGGU SELAMA 30 MENIT)

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 KONSUMSI MINUMAN BERALKOHOL

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinato
UPTD PUSKESM

LILI
 JUMLAH
AK TOTAL

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408

0 0 0 0 0 0 0 0 10 11 6 9 4 13 14 10 8 8 42 51
0 0 0 0 0 0 0 0 3 11 13 8 8 12 8 12 8 5 40 48
0 0 0 0 0 0 0 0 10 11 19 13 14 12 12 11 8 6 63 53
0 0 0 0 0 0 0 0 11 16 8 14 10 14 15 12 10 6 54 62
0 0 0 0 0 0 0 0 10 8 10 13 12 12 8 11 11 6 51 50
0 0 0 0 0 0 0 0 10 7 9 6 9 6 9 4 5 4 42 27
0 0 0 0 0 0 0 0 13 10 15 11 14 9 10 8 5 8 57 46
0 0 0 0 0 0 0 0 16 8 12 12 11 9 11 11 4 6 54 46
0 0 0 0 0 0 0 0 10 10 9 9 11 12 9 8 6 4 45 43
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 93 92 101 95 93 99 96 87 65 53 448 426

Koordinator Program PTM

UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

93
88
116
116
101
69
103
100
88
0
0
0
0
0
0
874
 BULAN : JUNI 2022
JUMLAH SELURUH POSBINDU : 9 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING :
PROSENTASE POSBINDU AKTIF SKRINING : #VALUE!

JMLH PENDUDUK JML YG

NO DESA BAIK (18,5 - 22,9 Kg/m 2)
USIA 15 -59 DATANG

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13

1 SUSUKANLEBAK 1,606
2 SUSUKANTONGGOH 1,479
3 SUSUKANAGUNG 2,393
4 KARANGMANGU 2,930
5 KALIGAWE WETAN 2,093
6 WILULANG 670
7 SAMPIH 2,252
8 CURUG 1,926
9 curug wetan 2,460
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 Luar Wilayah 0

JUMLAH 17,809 0 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
0
 INDEKS MASSA TUBUH (IMT)

8,5 - 22,9 Kg/m 2) SEDANG (23,0 - 24,0 Kg/m 2)

60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P L P TOT L P L P L P L P L P L P L P TOT
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

USUKANLEBAK

RS
 BURUK (≥ 25 Kg/m2) TOTAL BAIK (P ≤

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

L P L P L P L P L P L P L P TOT L P TOT L P L P
35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LINGKAR PERUT

BAIK (P ≤ 90cm, W ≤ 80cm ) BURUK (P > 90cm, W > 80cm )

45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70
L P L P L P L P L P TOT L P L P L P L P L P L
57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
> 80cm ) TOTAL BAIK ( ≤130/80mmHg )

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P TOT L P TOT L P L P L P L P L P L P L P TOT
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TEKANAN DARAH

SEDANG ( 130-139/80-90mmHg ) BURUK ( ≥140/90mmH

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59
L P L P L P L P L P L P L P TOT L P L P L P L
101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENGUKURAN

BURUK ( ≥140/90mmHg ) TOTAL BAIK (80-144 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70

P L P L P L P TOT L P TOT L P L P L P L P L P L
123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 GLUKOSA DARAH SEWAKTU

g/dL) SEDANG (145-199 mg/dL) B

≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44

P L P TOT L P L P L P L P L P L P L P TOT L P L
145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 BURUK (≥200 mg/dL) TOTAL BAIK (< 150 mg/dL)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59

P L P L P L P L P L P TOT L P TOT L P L P L P L
167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 REKAPAN SKRINING PENYAKIT TIDAK MENULAR (PTM)
UPTD PUSKESMAS SUSUKANLEBAK

KOLESTEROL DARAH TOTAL

BAIK (< 150 mg/dL) SEDANG (150 -189 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P L P TOT L P L P L P L P L P L P L P
189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TM)

TAL

BURUK (≥ 190 mg/dL) TOTAL BAIK (N

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 ARUS PUNCAK EKSPIRASI

BAIK (NILAI APE > NILAI PREDIKSI) BURUK (NILAI APE = NILAI PREDIKSI)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MERO

= NILAI PREDIKSI) TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MEROKOK

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MAKAN SAYUR DAN BUAH < 5 PORSI SEHARI

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 WAWANCARA
KURANG AKTIFITAS FISIK (3 x SEMINGGU SELAMA 5

AK TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 x SEMINGGU SELAMA 50 MENIT ATAU 5 x SEMINGGU SELAMA 30 MENIT)

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 KONSUMSI MINUMAN BERALKOHOL

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinato
UPTD PUSKESM

LILI
 JUMLAH
AK TOTAL

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinator Program PTM

UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 BULAN : JULI 2022
JUMLAH SELURUH POSBINDU : 9 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING :
PROSENTASE POSBINDU AKTIF SKRINING : #VALUE!

JMLH PENDUDUK JML YG

NO DESA BAIK (18,5 - 22,9 Kg/m 2)
USIA 15 -59 DATANG

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13

1 SUSUKANLEBAK 1,606
2 SUSUKANTONGGOH 1,479
3 SUSUKANAGUNG 2,393
4 KARANGMANGU 2,930
5 KALIGAWE WETAN 2,093
6 WILULANG 670
7 SAMPIH 2,252
8 CURUG 1,926
9 curug wetan 2,460
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 Luar Wilayah 0

JUMLAH 17,809 0 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
0
 INDEKS MASSA TUBUH (IMT)

8,5 - 22,9 Kg/m 2) SEDANG (23,0 - 24,0 Kg/m 2)

60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P L P TOT L P L P L P L P L P L P L P TOT
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

USUKANLEBAK

RS
 BURUK (≥ 25 Kg/m2) TOTAL BAIK (P ≤

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

L P L P L P L P L P L P L P TOT L P TOT L P L P
35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LINGKAR PERUT

BAIK (P ≤ 90cm, W ≤ 80cm ) BURUK (P > 90cm, W > 80cm )

45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70
L P L P L P L P L P TOT L P L P L P L P L P L
57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
> 80cm ) TOTAL BAIK ( ≤130/80mmHg )

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P TOT L P TOT L P L P L P L P L P L P L P TOT
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TEKANAN DARAH

SEDANG ( 130-139/80-90mmHg ) BURUK ( ≥140/90mmH

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59
L P L P L P L P L P L P L P TOT L P L P L P L
101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENGUKURAN

BURUK ( ≥140/90mmHg ) TOTAL BAIK (80-144 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70

P L P L P L P TOT L P TOT L P L P L P L P L P L
123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 GLUKOSA DARAH SEWAKTU

g/dL) SEDANG (145-199 mg/dL) B

≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44

P L P TOT L P L P L P L P L P L P L P TOT L P L
145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 BURUK (≥200 mg/dL) TOTAL BAIK (< 150 mg/dL)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59

P L P L P L P L P L P TOT L P TOT L P L P L P L
167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 REKAPAN SKRINING PENYAKIT TIDAK MENULAR (PTM)
UPTD PUSKESMAS SUSUKANLEBAK

KOLESTEROL DARAH TOTAL

BAIK (< 150 mg/dL) SEDANG (150 -189 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P L P TOT L P L P L P L P L P L P L P
189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TM)

TAL

BURUK (≥ 190 mg/dL) TOTAL BAIK (N

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 ARUS PUNCAK EKSPIRASI

BAIK (NILAI APE > NILAI PREDIKSI) BURUK (NILAI APE = NILAI PREDIKSI)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MERO

= NILAI PREDIKSI) TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MEROKOK

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MAKAN SAYUR DAN BUAH < 5 PORSI SEHARI

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 WAWANCARA
KURANG AKTIFITAS FISIK (3 x SEMINGGU SELAMA 5

AK TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 x SEMINGGU SELAMA 50 MENIT ATAU 5 x SEMINGGU SELAMA 30 MENIT)

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 KONSUMSI MINUMAN BERALKOHOL

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinato
UPTD PUSKESM

LILI
 JUMLAH
AK TOTAL

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinator Program PTM

UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 BULAN : AGUSTUS 2022
JUMLAH SELURUH POSBINDU : 9 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING :
PROSENTASE POSBINDU AKTIF SKRINING : #VALUE!

JMLH PENDUDUK JML YG

NO DESA BAIK (18,5 - 22,9 Kg/m 2)
USIA 15 -59 DATANG

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13

1 SUSUKANLEBAK 1,606
2 SUSUKANTONGGOH 1,479
3 SUSUKANAGUNG 2,393
4 KARANGMANGU 2,930
5 KALIGAWE WETAN 2,093
6 WILULANG 670
7 SAMPIH 2,252
8 CURUG 1,926
9 curug wetan 2,460
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 Luar Wilayah 0

JUMLAH 17,809 0 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
0
 INDEKS MASSA TUBUH (IMT)

8,5 - 22,9 Kg/m 2) SEDANG (23,0 - 24,0 Kg/m 2)

60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P L P TOT L P L P L P L P L P L P L P TOT
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

USUKANLEBAK

RS
 BURUK (≥ 25 Kg/m2) TOTAL BAIK (P ≤

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

L P L P L P L P L P L P L P TOT L P TOT L P L P
35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LINGKAR PERUT

BAIK (P ≤ 90cm, W ≤ 80cm ) BURUK (P > 90cm, W > 80cm )

45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70
L P L P L P L P L P TOT L P L P L P L P L P L
57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
> 80cm ) TOTAL BAIK ( ≤130/80mmHg )

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P TOT L P TOT L P L P L P L P L P L P L P TOT
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TEKANAN DARAH

SEDANG ( 130-139/80-90mmHg ) BURUK ( ≥140/90mmH

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59
L P L P L P L P L P L P L P TOT L P L P L P L
101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENGUKURAN

BURUK ( ≥140/90mmHg ) TOTAL BAIK (80-144 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70

P L P L P L P TOT L P TOT L P L P L P L P L P L
123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 GLUKOSA DARAH SEWAKTU

g/dL) SEDANG (145-199 mg/dL) B

≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44

P L P TOT L P L P L P L P L P L P L P TOT L P L
145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 BURUK (≥200 mg/dL) TOTAL BAIK (< 150 mg/dL)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59

P L P L P L P L P L P TOT L P TOT L P L P L P L
167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 REKAPAN SKRINING PENYAKIT TIDAK MENULAR (PTM)
UPTD PUSKESMAS SUSUKANLEBAK

KOLESTEROL DARAH TOTAL

BAIK (< 150 mg/dL) SEDANG (150 -189 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P L P TOT L P L P L P L P L P L P L P
189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TM)

TAL

BURUK (≥ 190 mg/dL) TOTAL BAIK (N

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 ARUS PUNCAK EKSPIRASI

BAIK (NILAI APE > NILAI PREDIKSI) BURUK (NILAI APE = NILAI PREDIKSI)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MERO

= NILAI PREDIKSI) TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MEROKOK

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MAKAN SAYUR DAN BUAH < 5 PORSI SEHARI

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 WAWANCARA
KURANG AKTIFITAS FISIK (3 x SEMINGGU SELAMA 5

AK TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 x SEMINGGU SELAMA 50 MENIT ATAU 5 x SEMINGGU SELAMA 30 MENIT)

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 KONSUMSI MINUMAN BERALKOHOL

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinato
UPTD PUSKESM

LILI
 JUMLAH
AK TOTAL

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinator Program PTM

UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 BULAN : SEPTEMBER 2022
JUMLAH SELURUH POSBINDU : 9 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING :
PROSENTASE POSBINDU AKTIF SKRINING : #VALUE!

JMLH PENDUDUK JML YG

NO DESA BAIK (18,5 - 22,9 Kg/m 2)
USIA 15 -59 DATANG

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13

1 SUSUKANLEBAK 1,606
2 SUSUKANTONGGOH 1,479
3 SUSUKANAGUNG 2,393
4 KARANGMANGU 2,930
5 KALIGAWE WETAN 2,093
6 WILULANG 670
7 SAMPIH 2,252
8 CURUG 1,926
9 curug wetan 2,460
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 Luar Wilayah 0

JUMLAH 17,809 0 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
0
 INDEKS MASSA TUBUH (IMT)

8,5 - 22,9 Kg/m 2) SEDANG (23,0 - 24,0 Kg/m 2)

60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P L P TOT L P L P L P L P L P L P L P TOT
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

USUKANLEBAK

RS
 BURUK (≥ 25 Kg/m2) TOTAL BAIK (P ≤

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

L P L P L P L P L P L P L P TOT L P TOT L P L P
35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LINGKAR PERUT

BAIK (P ≤ 90cm, W ≤ 80cm ) BURUK (P > 90cm, W > 80cm )

45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70
L P L P L P L P L P TOT L P L P L P L P L P L
57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
> 80cm ) TOTAL BAIK ( ≤130/80mmHg )

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P TOT L P TOT L P L P L P L P L P L P L P TOT
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TEKANAN DARAH

SEDANG ( 130-139/80-90mmHg ) BURUK ( ≥140/90mmH

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59
L P L P L P L P L P L P L P TOT L P L P L P L
101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENGUKURAN

BURUK ( ≥140/90mmHg ) TOTAL BAIK (80-144 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70

P L P L P L P TOT L P TOT L P L P L P L P L P L
123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 GLUKOSA DARAH SEWAKTU

g/dL) SEDANG (145-199 mg/dL) B

≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44

P L P TOT L P L P L P L P L P L P L P TOT L P L
145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 BURUK (≥200 mg/dL) TOTAL BAIK (< 150 mg/dL)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59

P L P L P L P L P L P TOT L P TOT L P L P L P L
167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 REKAPAN SKRINING PENYAKIT TIDAK MENULAR (PTM)
UPTD PUSKESMAS SUSUKANLEBAK

KOLESTEROL DARAH TOTAL

BAIK (< 150 mg/dL) SEDANG (150 -189 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P L P TOT L P L P L P L P L P L P L P
189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TM)

TAL

BURUK (≥ 190 mg/dL) TOTAL BAIK (N

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 ARUS PUNCAK EKSPIRASI

BAIK (NILAI APE > NILAI PREDIKSI) BURUK (NILAI APE = NILAI PREDIKSI)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MERO

= NILAI PREDIKSI) TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MEROKOK

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MAKAN SAYUR DAN BUAH < 5 PORSI SEHARI

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 WAWANCARA
KURANG AKTIFITAS FISIK (3 x SEMINGGU SELAMA 5

AK TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 x SEMINGGU SELAMA 50 MENIT ATAU 5 x SEMINGGU SELAMA 30 MENIT)

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 KONSUMSI MINUMAN BERALKOHOL

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinato
UPTD PUSKESM

LILI
 JUMLAH
AK TOTAL

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinator Program PTM

UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 BULAN : OKTOBER 2022
JUMLAH SELURUH POSBINDU : 9 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING :
PROSENTASE POSBINDU AKTIF SKRINING : #VALUE!

JMLH PENDUDUK JML YG

NO DESA BAIK (18,5 - 22,9 Kg/m 2)
USIA 15 -59 DATANG

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13

1 SUSUKANLEBAK 1,606
2 SUSUKANTONGGOH 1,479
3 SUSUKANAGUNG 2,393
4 KARANGMANGU 2,930
5 KALIGAWE WETAN 2,093
6 WILULANG 670
7 SAMPIH 2,252
8 CURUG 1,926
9 curug wetan 2,460
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 Luar Wilayah 0

JUMLAH 17,809 0 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
0
 INDEKS MASSA TUBUH (IMT)

8,5 - 22,9 Kg/m 2) SEDANG (23,0 - 24,0 Kg/m 2)

60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P L P TOT L P L P L P L P L P L P L P TOT
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

USUKANLEBAK

RS
 BURUK (≥ 25 Kg/m2) TOTAL BAIK (P ≤

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

L P L P L P L P L P L P L P TOT L P TOT L P L P
35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LINGKAR PERUT

BAIK (P ≤ 90cm, W ≤ 80cm ) BURUK (P > 90cm, W > 80cm )

45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70
L P L P L P L P L P TOT L P L P L P L P L P L
57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
> 80cm ) TOTAL BAIK ( ≤130/80mmHg )

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P TOT L P TOT L P L P L P L P L P L P L P TOT
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TEKANAN DARAH

SEDANG ( 130-139/80-90mmHg ) BURUK ( ≥140/90mmH

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59
L P L P L P L P L P L P L P TOT L P L P L P L
101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENGUKURAN

BURUK ( ≥140/90mmHg ) TOTAL BAIK (80-144 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70

P L P L P L P TOT L P TOT L P L P L P L P L P L
123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 GLUKOSA DARAH SEWAKTU

g/dL) SEDANG (145-199 mg/dL) B

≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44

P L P TOT L P L P L P L P L P L P L P TOT L P L
145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 BURUK (≥200 mg/dL) TOTAL BAIK (< 150 mg/dL)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59

P L P L P L P L P L P TOT L P TOT L P L P L P L
167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 REKAPAN SKRINING PENYAKIT TIDAK MENULAR (PTM)
UPTD PUSKESMAS SUSUKANLEBAK

KOLESTEROL DARAH TOTAL

BAIK (< 150 mg/dL) SEDANG (150 -189 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P L P TOT L P L P L P L P L P L P L P
189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TM)

TAL

BURUK (≥ 190 mg/dL) TOTAL BAIK (N

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 ARUS PUNCAK EKSPIRASI

BAIK (NILAI APE > NILAI PREDIKSI) BURUK (NILAI APE = NILAI PREDIKSI)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MERO

= NILAI PREDIKSI) TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MEROKOK

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MAKAN SAYUR DAN BUAH < 5 PORSI SEHARI

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 WAWANCARA
KURANG AKTIFITAS FISIK (3 x SEMINGGU SELAMA 5

AK TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 x SEMINGGU SELAMA 50 MENIT ATAU 5 x SEMINGGU SELAMA 30 MENIT)

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 KONSUMSI MINUMAN BERALKOHOL

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinato
UPTD PUSKESM

LILI
 JUMLAH
AK TOTAL

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinator Program PTM

UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 BULAN : NOVEMBER 2022
JUMLAH SELURUH POSBINDU : 9 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING :
PROSENTASE POSBINDU AKTIF SKRINING : #VALUE!

JMLH PENDUDUK JML YG

NO DESA BAIK (18,5 - 22,9 Kg/m 2)
USIA 15 -59 DATANG

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13

1 SUSUKANLEBAK 1,606
2 SUSUKANTONGGOH 1,479
3 SUSUKANAGUNG 2,393
4 KARANGMANGU 2,930
5 KALIGAWE WETAN 2,093
6 WILULANG 670
7 SAMPIH 2,252
8 CURUG 1,926
9 curug wetan 2,460
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 Luar Wilayah 0

JUMLAH 17,809 0 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
0
 INDEKS MASSA TUBUH (IMT)

8,5 - 22,9 Kg/m 2) SEDANG (23,0 - 24,0 Kg/m 2)

60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P L P TOT L P L P L P L P L P L P L P TOT
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

USUKANLEBAK

RS
 BURUK (≥ 25 Kg/m2) TOTAL BAIK (P ≤

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

L P L P L P L P L P L P L P TOT L P TOT L P L P
35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LINGKAR PERUT

BAIK (P ≤ 90cm, W ≤ 80cm ) BURUK (P > 90cm, W > 80cm )

45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70
L P L P L P L P L P TOT L P L P L P L P L P L
57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
> 80cm ) TOTAL BAIK ( ≤130/80mmHg )

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P TOT L P TOT L P L P L P L P L P L P L P TOT
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TEKANAN DARAH

SEDANG ( 130-139/80-90mmHg ) BURUK ( ≥140/90mmH

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59
L P L P L P L P L P L P L P TOT L P L P L P L
101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENGUKURAN

BURUK ( ≥140/90mmHg ) TOTAL BAIK (80-144 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70

P L P L P L P TOT L P TOT L P L P L P L P L P L
123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 GLUKOSA DARAH SEWAKTU

g/dL) SEDANG (145-199 mg/dL) B

≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44

P L P TOT L P L P L P L P L P L P L P TOT L P L
145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 BURUK (≥200 mg/dL) TOTAL BAIK (< 150 mg/dL)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59

P L P L P L P L P L P TOT L P TOT L P L P L P L
167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 REKAPAN SKRINING PENYAKIT TIDAK MENULAR (PTM)
UPTD PUSKESMAS SUSUKANLEBAK

KOLESTEROL DARAH TOTAL

BAIK (< 150 mg/dL) SEDANG (150 -189 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P L P TOT L P L P L P L P L P L P L P
189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TM)

TAL

BURUK (≥ 190 mg/dL) TOTAL BAIK (N

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 ARUS PUNCAK EKSPIRASI

BAIK (NILAI APE > NILAI PREDIKSI) BURUK (NILAI APE = NILAI PREDIKSI)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MERO

= NILAI PREDIKSI) TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MEROKOK

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MAKAN SAYUR DAN BUAH < 5 PORSI SEHARI

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 WAWANCARA
KURANG AKTIFITAS FISIK (3 x SEMINGGU SELAMA 5

AK TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 x SEMINGGU SELAMA 50 MENIT ATAU 5 x SEMINGGU SELAMA 30 MENIT)

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 KONSUMSI MINUMAN BERALKOHOL

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinato
UPTD PUSKESM

LILI
 JUMLAH
AK TOTAL

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinator Program PTM

UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 BULAN : DESEMBER 2022
JUMLAH SELURUH POSBINDU : 9 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING :
PROSENTASE POSBINDU AKTIF SKRINING : #VALUE!

JMLH PENDUDUK JML YG

NO DESA BAIK (18,5 - 22,9 Kg/m 2)
USIA 15 -59 DATANG

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13

1 SUSUKANLEBAK 1,606
2 SUSUKANTONGGOH 1,479
3 SUSUKANAGUNG 2,393
4 KARANGMANGU 2,930
5 KALIGAWE WETAN 2,093
6 WILULANG 670
7 SAMPIH 2,252
8 CURUG 1,926
9 curug wetan 2,460
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 Luar Wilayah 0

JUMLAH 17,809 0 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
0
 INDEKS MASSA TUBUH (IMT)

8,5 - 22,9 Kg/m 2) SEDANG (23,0 - 24,0 Kg/m 2)

60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P L P TOT L P L P L P L P L P L P L P TOT
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

USUKANLEBAK

RS
 BURUK (≥ 25 Kg/m2) TOTAL BAIK (P ≤

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

L P L P L P L P L P L P L P TOT L P TOT L P L P
35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LINGKAR PERUT

BAIK (P ≤ 90cm, W ≤ 80cm ) BURUK (P > 90cm, W > 80cm )

45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70
L P L P L P L P L P TOT L P L P L P L P L P L
57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
> 80cm ) TOTAL BAIK ( ≤130/80mmHg )

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML

P L P TOT L P TOT L P L P L P L P L P L P L P TOT
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TEKANAN DARAH

SEDANG ( 130-139/80-90mmHg ) BURUK ( ≥140/90mmH

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59
L P L P L P L P L P L P L P TOT L P L P L P L
101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 PENGUKURAN

BURUK ( ≥140/90mmHg ) TOTAL BAIK (80-144 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70

P L P L P L P TOT L P TOT L P L P L P L P L P L
123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 GLUKOSA DARAH SEWAKTU

g/dL) SEDANG (145-199 mg/dL) B

≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44

P L P TOT L P L P L P L P L P L P L P TOT L P L
145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 BURUK (≥200 mg/dL) TOTAL BAIK (< 150 mg/dL)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59

P L P L P L P L P L P TOT L P TOT L P L P L P L
167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 REKAPAN SKRINING PENYAKIT TIDAK MENULAR (PTM)
UPTD PUSKESMAS SUSUKANLEBAK

KOLESTEROL DARAH TOTAL

BAIK (< 150 mg/dL) SEDANG (150 -189 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P L P TOT L P L P L P L P L P L P L P
189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TM)

TAL

BURUK (≥ 190 mg/dL) TOTAL BAIK (N

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 ARUS PUNCAK EKSPIRASI

BAIK (NILAI APE > NILAI PREDIKSI) BURUK (NILAI APE = NILAI PREDIKSI)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MERO

= NILAI PREDIKSI) TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MEROKOK

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 MAKAN SAYUR DAN BUAH < 5 PORSI SEHARI

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 WAWANCARA
KURANG AKTIFITAS FISIK (3 x SEMINGGU SELAMA 5

AK TOTAL YA

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 x SEMINGGU SELAMA 50 MENIT ATAU 5 x SEMINGGU SELAMA 30 MENIT)

TIDAK TOTAL

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 KONSUMSI MINUMAN BERALKOHOL

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinato
UPTD PUSKESM

LILI
 JUMLAH
AK TOTAL

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koordinator Program PTM

UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 BULAN : JAN S/D DES 2022
JUMLAH SELURUH POSBINDU : 9 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING :
PROSENTASE POSBINDU AKTIF SKRINING : #VALUE!

%
JMLH PENDUDUK JML YG
NO DESA CAKUPAN BAIK (18,5 - 22,9 Kg/m2
USIA 15 -59 DATANG
SKRINING

15 - 19 20 - 44 45 - 54 55 - 59
L P L P L P L
1 2 3 4 5 6 7 8 9 10 11

1 SUSUKANLEBAK 1,606 553 34.4% 8 10 17 15 22 27 25

2 SUSUKANTONGGOH 1,479 463 31.3% 6 13 23 19 26 32 22
3 SUSUKANAGUNG 2,393 393 16.4% 11 12 25 25 19 28 27
4 KARANGMANGU 2,930 623 21.3% 9 15 25 24 20 17 30
5 KALIGAWE WETAN 2,093 332 15.9% 7 13 22 28 28 22 23
6 WILULANG 670 301 44.9% 5 14 14 24 17 17 17
7 SAMPIH 2,252 464 20.6% 7 17 20 18 23 19 21
8 CURUG 1,926 337 17.5% 5 12 19 19 25 25 31
9 curug wetan 2,460 318 12.9% 9 14 18 21 25 29 27
10 0 0 0 #DIV/0! 0 0 0 0 0 0 0
11 0 0 223 #DIV/0! 0 0 0 0 0 0 0
12 0 0 345 #DIV/0! 0 0 0 0 0 0 0
13 0 0 0 #DIV/0! 0 0 0 0 0 0 0
14 0 0 0 #DIV/0! 0 0 0 0 0 0 0
15 Luar Wilayah 0 0 #DIV/0! 0 0 0 0 0 0 0

JUMLAH 17,809 4352 24.4% 67 120 183 193 205 216 223

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
0
 INDEKS MASSA TUBUH (IMT)

BAIK (18,5 - 22,9 Kg/m 2) SEDANG (23,0 - 24,0 Kg/m 2)

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P L P TOT L P L P L P L P L P L P L P
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

28 34 27 36 28 142 135 277 1 4 11 13 12 10 17 11 11 12 9 15 61 65

27 27 21 23 17 127 129 256 2 6 10 14 13 11 12 18 13 9 10 8 60 66
20 17 31 25 26 124 142 266 3 5 8 9 12 8 14 19 15 11 9 10 61 62
30 38 32 19 12 141 130 271 1 3 13 11 12 16 17 3 8 4 3 2 54 39
23 25 26 22 25 127 137 264 1 2 7 8 5 8 11 11 5 2 5 1 34 32
13 22 16 11 7 86 91 177 2 1 6 3 7 4 6 3 3 5 6 7 30 23
25 16 18 23 15 110 112 222 1 3 6 5 9 6 7 9 9 11 4 4 36 38
30 26 24 21 17 127 127 254 2 5 9 10 8 7 11 7 9 5 5 2 44 36
27 26 17 14 20 119 128 247 2 4 10 5 9 9 3 6 6 5 7 2 37 31
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 231 212 194 167 1103 1131 2234 15 33 80 78 87 79 98 87 79 64 58 51 417 392

getahui,
KESMAS SUSUKANLEBAK

S.KEP.NERS
0
MT)

BURUK (≥ 25 Kg/m2) TOTAL BAIK

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44

TOT L P L P L P L P L P L P L P TOT L P TOT L P L
34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55

126 0 0 0 0 0 2 0 0 4 0 0 0 4 2 6 207 202 409 8 10 17

126 0 0 0 0 0 0 0 3 0 0 0 0 0 3 3 187 198 385 6 13 23
123 0 0 1 0 3 0 0 0 0 0 0 0 4 0 4 189 204 393 11 12 25
93 0 0 0 0 0 0 0 0 3 0 0 0 3 0 3 198 169 367 9 15 25
66 0 0 0 0 0 2 0 0 0 0 0 0 0 2 2 161 171 332 7 13 22
53 0 0 2 0 4 0 0 0 0 0 0 0 6 0 6 122 114 236 5 14 14
74 0 0 0 0 0 0 2 0 0 0 0 0 2 0 2 148 150 298 7 17 20
80 0 0 2 0 0 1 0 0 0 0 0 0 2 1 3 173 164 337 5 12 19
68 0 0 0 0 0 0 0 3 0 0 0 0 0 3 3 156 162 318 9 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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
809 0 0 5 0 7 5 2 6 7 0 0 0 21 11 32 1541 1534 3075 67 120 183
 LINGKAR PERUT

BAIK (P ≤ 90cm, W ≤ 80cm ) BURUK (P > 90cm, W > 80cm )

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
P L P L P L P L P L P TOT L P L P L P L P L P
56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77

15 22 27 25 28 34 27 36 28 142 135 277 0 0 3 2 3 4 3 2 5 1

19 26 32 22 27 27 21 23 17 127 129 256 0 0 3 5 2 3 1 5 2 1
25 19 28 27 20 17 31 25 26 124 142 266 0 0 3 1 5 1 2 3 1 1
24 20 17 30 30 38 32 19 12 141 130 271 0 0 6 2 1 2 2 1 7 1
28 28 22 23 23 25 26 22 25 127 137 264 0 0 2 4 2 3 3 2 2 1
24 17 17 17 13 22 16 11 7 86 91 177 0 0 5 1 6 2 2 2 1 1
18 23 19 21 25 16 18 23 15 110 112 222 0 0 4 1 3 3 3 1 2 2
19 25 25 31 30 26 24 21 17 127 127 254 0 0 3 1 1 2 2 2 1 1
21 25 29 27 27 26 17 14 20 119 128 247 0 0 2 1 2 3 1 5 1 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 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
193 205 216 223 223 231 212 194 167 1103 1131 2234 0 0 31 18 25 23 19 23 22 12
m, W > 80cm ) TOTAL BAIK ( ≤130/80mmHg )

≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P TOT L P TOT L P L P L P L P L P L P L P
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

1 1 15 10 25 157 145 302 0 0 0 0 0 2 0 0 4 0 0 0 4 2

1 1 9 15 24 136 144 280 0 0 0 0 0 0 0 3 0 0 0 0 0 3
2 1 13 7 20 137 149 286 0 0 1 0 3 0 0 0 0 0 0 0 4 0
1 1 17 7 24 158 137 295 0 0 0 0 0 0 0 0 3 0 0 0 3 0
2 0 11 10 21 138 147 285 0 0 0 0 0 2 0 0 0 0 0 0 0 2
1 0 15 6 21 101 97 198 0 0 2 0 4 0 0 0 0 0 0 0 6 0
2 0 14 7 21 124 119 243 0 0 0 0 0 0 2 0 0 0 0 0 2 0
2 0 9 6 15 136 133 269 0 0 2 0 0 1 0 0 0 0 0 0 2 1
2 0 8 12 20 127 140 267 0 0 0 0 0 0 0 3 0 0 0 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 4 111 80 191 1214 1211 2425 0 0 5 0 7 5 2 6 7 0 0 0 21 11
 TEKANAN DARAH

SEDANG ( 130-139/80-90mmHg ) BURUK ( ≥140/90

JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54

TOT L P L P L P L P L P L P L P TOT L P L P L P
100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121

6 0 0 2 5 4 5 3 8 6 7 6 7 21 32 53 0 0 8 7 4 3
3 0 0 1 6 9 5 6 5 4 8 5 4 25 28 53 0 0 4 5 4 4
4 0 0 3 5 7 6 5 5 7 6 6 5 28 27 55 0 0 6 6 9 8
3 0 0 4 8 2 8 5 5 5 7 5 5 21 33 54 0 0 7 8 7 7
2 0 0 5 6 7 9 4 5 3 5 6 2 25 27 52 0 0 5 2 5 3
6 0 0 5 2 3 3 5 4 6 2 4 3 23 14 37 0 0 4 6 2 4
2 0 0 7 5 7 5 4 3 4 5 3 6 25 24 49 0 0 6 5 10 7
3 0 0 8 4 5 5 4 4 3 5 3 5 23 23 46 0 0 7 4 8 6
3 0 0 6 7 6 7 8 6 5 3 5 3 30 26 56 0 0 4 3 3 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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 0 0 41 48 50 53 44 45 43 48 43 40 221 234 455 0 0 51 46 52 44
 PENGUKURAN

BURUK ( ≥140/90mmHg ) TOTAL BAIK (80-144 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69

L P L P L P L P TOT L P TOT L P L P L P L P L P
122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143

2 6 5 4 2 2 21 22 43 46 56 102 0 1 2 8 11 17 11 10 18 15
2 5 5 6 4 2 19 22 41 44 53 97 0 2 6 11 14 16 11 13 12 10
11 8 5 6 3 2 34 30 64 66 57 123 0 5 11 16 10 10 13 11 10 16
6 10 8 6 6 2 34 33 67 58 66 124 0 7 12 16 11 8 11 10 12 12
9 9 6 7 5 5 30 26 56 55 55 110 0 3 11 11 11 9 7 7 12 12
5 3 4 4 2 2 17 19 36 46 33 79 0 8 7 7 6 8 6 5 11 7
10 7 7 4 3 3 36 26 62 63 50 113 0 8 10 9 11 8 12 11 9 10
8 6 9 7 2 2 34 25 59 59 49 108 0 4 8 12 11 11 16 12 11 16
3 3 4 5 1 1 15 14 29 45 43 88 0 3 9 10 8 6 11 7 6 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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 57 53 49 28 21 240 217 457 482 462 944 0 41 76 100 93 93 98 86 101 108
 GLUKOSA DARAH SEWAKTU

4 mg/dL) SEDANG (145-199 mg/dL)

≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19

L P L P TOT L P L P L P L P L P L P L P TOT L P
144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165

19 9 61 60 121 0 0 3 2 3 4 3 2 5 1 1 1 15 10 25 0 0
7 8 50 60 110 0 0 3 5 2 3 1 5 2 1 1 1 9 15 24 0 0
16 18 60 76 136 0 0 3 1 5 1 2 3 1 1 2 1 13 7 20 0 1
11 7 57 60 117 0 0 6 2 1 2 2 1 7 1 1 1 17 7 24 0 1
14 16 55 58 113 0 0 2 4 2 3 3 2 2 1 2 0 11 10 21 0 1
4 5 34 40 74 0 0 5 1 6 2 2 2 1 1 1 0 15 6 21 0 1
14 11 56 57 113 0 0 4 1 3 3 3 1 2 2 2 0 14 7 21 0 2
11 9 57 64 121 0 0 3 1 1 2 2 2 1 1 2 0 9 6 15 0 1
9 11 43 47 90 0 0 2 1 2 3 1 5 1 3 2 0 8 12 20 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 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
105 94 473 522 995 0 0 31 18 25 23 19 23 22 12 14 4 111 80 191 0 8
 BURUK (≥200 mg/dL) TOTAL BAIK (< 150 m

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54

L P L P L P L P L P L P TOT L P TOT L P L P L P
166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187

1 4 4 1 2 2 2 1 2 1 11 9 20 87 79 166 0 0 0 0 0 0
1 2 3 1 1 2 1 1 1 0 7 6 13 66 81 147 0 0 0 0 0 0
2 2 2 3 4 2 2 1 1 1 11 10 21 84 93 177 0 0 0 0 0 0
3 4 6 7 4 2 5 1 2 2 20 17 37 94 84 178 0 0 0 0 0 0
2 2 2 2 3 2 2 2 1 0 10 9 19 76 77 153 0 0 0 0 0 0
1 1 1 2 1 1 3 1 1 1 7 7 14 56 53 109 0 0 0 0 0 0
4 2 2 3 2 2 2 2 1 0 11 11 22 81 75 156 0 0 0 0 0 0
1 1 2 2 2 2 0 0 0 0 5 6 11 71 76 147 0 0 0 0 0 0
3 5 3 4 5 6 2 2 2 1 15 19 34 66 78 144 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 23 25 25 24 21 19 11 11 6 97 94 191 681 696 1377 0 0 0 0 0 0
 REKAPAN SKRINING PENYAKIT TIDAK MENULAR (PTM)
UPTD PUSKESMAS SUSUKANLEBAK

KOLESTEROL DARAH TOTAL

BAIK (< 150 mg/dL) SEDANG (150 -189 mg/dL)

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

L P L P L P L P TOT L P L P L P L P L P L P L
188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TM)

TOTAL

BURUK (≥ 190 mg/dL) TOTAL BAI

JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19

P TOT L P L P L P L P L P L P L P TOT L P TOT L P
210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 ARUS PUNCAK EKSPIRASI

BAIK (NILAI APE > NILAI PREDIKSI) BURUK (NILAI APE = NILAI PREDIKSI)

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L P L P TOT L P L P L P L P L
232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
APE = NILAI PREDIKSI) TOTAL YA

60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P TOT L P TOT L P L P L P L P L P L P L
254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275

0 0 0 0 0 0 0 0 0 8 10 17 15 22 27 25 28 34 27 36 28 142
0 0 0 0 0 0 0 0 0 6 13 23 19 26 32 22 27 27 21 23 17 127
0 0 0 0 0 0 0 0 0 11 12 25 25 19 28 27 20 17 31 25 26 124
0 0 0 0 0 0 0 0 0 9 15 25 24 20 17 30 30 38 32 19 12 141
0 0 0 0 0 0 0 0 0 7 13 22 28 28 22 23 23 25 26 22 25 127
0 0 0 0 0 0 0 0 0 5 14 14 24 17 17 17 13 22 16 11 7 86
0 0 0 0 0 0 0 0 0 7 17 20 18 23 19 21 25 16 18 23 15 110
0 0 0 0 0 0 0 0 0 5 12 19 19 25 25 31 30 26 24 21 17 127
0 0 0 0 0 0 0 0 0 9 14 18 21 25 29 27 27 26 17 14 20 119
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 67 120 183 193 205 216 223 223 231 212 194 167 1103
 MEROKOK

TIDAK TOTAL

JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19

P TOT L P L P L P L P L P L P L P TOT L P TOT L P
276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297

135 277 1 4 11 13 12 10 17 11 11 12 9 15 61 65 126 203 200 403 0 1

129 256 2 6 10 14 13 11 12 18 13 9 10 8 60 66 126 187 195 382 0 2
142 266 3 5 8 9 12 8 14 19 15 11 9 10 61 62 123 185 204 389 0 5
130 271 1 3 13 11 12 16 17 3 8 4 3 2 54 39 93 195 169 364 0 7
137 264 1 2 7 8 5 8 11 11 5 2 5 1 34 32 66 161 169 330 0 3
91 177 2 1 6 3 7 4 6 3 3 5 6 7 30 23 53 116 114 230 0 8
112 222 1 3 6 5 9 6 7 9 9 11 4 4 36 38 74 146 150 296 0 8
127 254 2 5 9 10 8 7 11 7 9 5 5 2 44 36 80 171 163 334 0 4
128 247 2 4 10 5 9 9 3 6 6 5 7 2 37 31 68 156 159 315 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1131 2234 15 33 80 78 87 79 98 87 79 64 58 51 417 392 809 1520 1523 3043 0 41
 MAKAN SAYUR DAN BUAH < 5 PORSI SEHARI

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L P L P TOT L P L P L P L P L
298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319

2 8 13 17 18 17 18 15 19 9 70 67 137 0 0 3 2 3 2 3 2 1
6 11 14 16 11 17 18 10 7 8 56 64 120 0 0 3 5 2 3 1 2 2
11 16 14 18 19 11 10 16 16 18 70 84 154 0 0 2 1 2 1 2 3 1
12 16 11 10 18 19 22 18 11 7 74 77 151 0 0 6 2 1 2 2 1 3
11 16 13 11 9 7 12 16 14 16 59 69 128 0 0 2 4 2 1 3 2 2
7 14 10 8 6 5 11 7 4 5 38 47 85 0 0 3 1 2 2 2 2 1
10 11 17 11 14 16 9 10 14 11 64 67 131 0 0 4 1 3 3 1 1 2
8 12 16 11 16 13 15 16 11 9 66 65 131 0 0 1 1 1 1 2 2 1
9 10 13 15 11 16 17 10 9 11 59 65 124 0 0 2 1 2 3 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
76 114 121 117 122 121 132 118 105 94 556 605 1161 0 0 26 18 18 18 17 17 14
 WAWANCARA
KURANG AKTIFITAS FISIK (3 x SEMINGGU SELA

TIDAK TOTAL YA

60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P TOT L P TOT L P L P L P L P L P L P L
320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341

1 1 1 11 8 19 81 75 156 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 9 12 21 65 76 141 0 0 0 0 0 0 0 0 0 0 0 0 0
1 2 1 9 7 16 79 91 170 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 13 7 20 87 84 171 0 0 0 0 0 0 0 0 0 0 0 0 0
1 2 0 11 8 19 70 77 147 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 0 9 6 15 47 53 100 0 0 0 0 0 0 0 0 0 0 0 0 0
2 2 0 12 7 19 76 74 150 0 0 0 0 0 0 0 0 0 0 0 0 0
1 2 0 7 5 12 73 70 143 0 0 0 0 0 0 0 0 0 0 0 0 0
3 2 0 8 9 17 67 74 141 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 14 4 89 69 158 645 674 1319 0 0 0 0 0 0 0 0 0 0 0 0 0
SIK (3 x SEMINGGU SELAMA 50 MENIT ATAU 5 x SEMINGGU SELAMA 30 MENIT)

TIDAK TOTAL

JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML JML JML 15 - 19

P TOT L P L P L P L P L P L P L P TOT L P TOT L P
342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 KONSUMSI MINUMAN BERALKOHOL

YA TIDAK

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69
L P L P L P L P L P L P TOT L P L P L P L P L
364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koord
UPTD PUS
 JUMLAH
TIDAK TOTAL

60 - 69 ≥ 70 JML JML JML JML 15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML

P L P L P TOT L P TOT L P L P L P L P L P L P L
386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407

0 0 0 0 0 0 0 0 0 0 0 10 12 8 10 5 14 15 11 8 9 46
0 0 0 0 0 0 0 0 0 0 0 5 11 13 9 8 13 9 14 9 6 44
0 0 0 0 0 0 0 0 0 0 0 10 11 19 14 16 13 12 12 9 7 66
0 0 0 0 0 0 0 0 0 0 0 11 16 9 15 11 15 16 13 11 7 58
0 0 0 0 0 0 0 0 0 0 0 10 8 12 14 13 14 9 12 11 7 55
0 0 0 0 0 0 0 0 0 0 0 11 8 9 7 10 7 10 6 6 5 46
0 0 0 0 0 0 0 0 0 0 0 13 10 17 12 16 10 11 9 6 9 63
0 0 0 0 0 0 0 0 0 0 0 17 8 13 12 12 10 12 12 5 7 59
0 0 0 0 0 0 0 0 0 0 0 10 10 9 9 11 12 9 8 6 4 45
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 97 94 109 102 102 108 103 97 71 61 482

Koordinator Program PTM

UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML JML
P TOT
408 424

56 102
53 97
57 123
66 124
55 110
33 79
50 113
49 108
43 88
0 0
0 0
0 0
0 0
0 0
0 0
462 944
 % CAKUPAN SKRINING
FAKTOR RISIKO PENYAKIT TIDAK MENULAR
50

45

40

35

30

25

20

15

10

0
AK H G GU AN NG PI
H
UG an 0 0 0 0 0
ya
h
BA
K
EB GO UN AN ET LA M R et i la
L NG AG SA CU w LE
AN GM
W I LU ru
g rW AN
UK TO AN E W cu a UK
S N UK AN AW Lu S
SU KA S R IG SU
U SU KA L
S US KA AS
E SM
SK
PU
TD
UP

% CAKUPAN SKRINING