Anda di halaman 1dari 255

INFORMASI DASAR LAPORAN SKRINING PENYAKIT TIDAK MENULAR (PTM)

TAHUN PELAPORAN : 2022


PUSKESMAS PELAPOR : UPTD PUSKESMAS SUSUKANLEBAK
JUMLAH SELURUH POSBINDU : 13 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 CURU WETAN 2460
10 CIAWIJAPURA 2567
11 KALIGAWE 2072
12 PASAWAHAN 1437
13 CIAWIASIH 3306
14
15 Luar Wilayah
JUMLAH 27191

NAMA KOORDINATOR PROGRAM P2PTM : LILI AMALIA


NIP :
NOMOR KONTAK KOORDINATOR PROGRAM P2PTM : 82315260604

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


NIP : 19660519 198902 1 001
BULAN : JANUARI 2022
JUMLAH SELURUH POSBINDU : 13 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 CURU WETAN 2,460 0
10 CIAWIJAPURA 2,567 0
11 KALIGAWE 2,072 223
12 PASAWAHAN 1,437 345
13 CIAWIASIH 3,306 0
14 0 0
15 Luar Wilayah 0

JUMLAH 27,191 1278 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
19660519 198902 1 001
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
001
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 : 13 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 CURU WETAN 2,460
10 CIAWIJAPURA 2,567
11 KALIGAWE 2,072
12 PASAWAHAN 1,437
13 CIAWIASIH 3,306
14 0 0
15 Luar Wilayah 0

JUMLAH 27,191 0 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
19660519 198902 1 001
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
001
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 : 13 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 CURU WETAN 2,460
10 CIAWIJAPURA 2,567
11 KALIGAWE 2,072
12 PASAWAHAN 1,437
13 CIAWIASIH 3,306
14 0 0
15 Luar Wilayah 0

JUMLAH 27,191 0 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
19660519 198902 1 001
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
001
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 : 13 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 CURU WETAN 2,460 174 9 11 9 11 12 14 16 11 9
10 CIAWIJAPURA 2,567
11 KALIGAWE 2,072
12 PASAWAHAN 1,437
13 CIAWIASIH 3,306
14 0 0
15 Luar Wilayah 0

JUMLAH 27,191 1724 67 79 107 79 84 99 101 102 99

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
19660519 198902 1 001
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
001
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 : 13 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING : 9
PROSENTASE POSBINDU AKTIF SKRINING : #VALUE!

INDEKS MASSA TUB

JMLH PENDUDUK JML YG


NO DESA BAIK (18,5 - 22,9 Kg/m2) SEDANG (23,0 - 24,0 Kg/m
USIA 15 -59 DATANG

15 - 19 20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 45 - 54
L P L P L P L P L P L P L P TOT L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

1 SUSUKANLEBAK 1,606 161 0 1 2 8 13 17 18 17 18 15 19 9 70 67 137 0 0 3 2 3 2


2 SUSUKANTONGGOH 1,479 144 0 2 6 11 14 16 11 17 18 10 7 8 56 64 120 0 0 3 5 2 3
3 SUSUKANAGUNG 2,393 174 0 5 11 16 14 18 19 11 10 16 16 18 70 84 154 0 0 2 1 2 1
4 KARANGMANGU 2,930 174 0 7 12 16 11 10 18 19 22 18 11 7 74 77 151 0 0 6 2 1 2
5 KALIGAWE WETAN 2,093 149 0 3 11 16 13 11 9 7 12 16 14 16 59 69 128 0 0 2 4 2 1
6 WILULANG 670 106 0 8 7 14 10 8 6 5 11 7 4 5 38 47 85 0 0 3 1 2 2
7 SAMPIH 2,252 152 0 8 10 11 17 11 14 16 9 10 14 11 64 67 131 0 0 4 1 3 3
8 CURUG 1,926 146 0 4 8 12 16 11 16 13 15 16 11 9 66 65 131 0 0 1 1 1 1
9 CURU WETAN 2,460 144 0 3 9 10 13 15 11 16 17 10 9 11 59 65 124 0 0 2 1 2 3
10 CIAWIJAPURA 2,567 0 0 0
11 KALIGAWE 2,072 0 0 0
12 PASAWAHAN 1,437 0 0 0
13 CIAWIASIH 3,306 0 0 0
14 0 0 0 0 0
15 Luar Wilayah 0 0 0 0

JUMLAH 27,191 1350 0 41 76 114 121 117 122 121 132 118 105 94 556 605 1161 0 0 26 18 18 18

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
19660519 198902 1 001
INDEKS MASSA TUBUH (IMT)

SEDANG (23,0 - 24,0 Kg/m2) BURUK (≥ 25 Kg/m2) TOTAL BAIK (P ≤ 90cm, W ≤ 80cm )

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


L P L P L P L P TOT L P L P L P L P L P L P L P TOT L P TOT L P L P L P L
26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59

3 2 1 1 1 1 11 8 19 2 4 4 2 6 85 77 162 0 1 2 8 13 17 18
1 2 2 1 1 1 9 12 21 3 0 3 3 65 79 144 0 2 6 11 14 16 11
2 3 1 1 2 1 9 7 16 1 3 4 0 4 83 91 174 0 5 11 16 14 18 19
2 1 3 1 1 1 13 7 20 3 3 0 3 90 84 174 0 7 12 16 11 10 18
3 2 2 1 2 0 11 8 19 2 0 2 2 70 79 149 0 3 11 16 13 11 9
2 2 1 1 1 0 9 6 15 2 4 6 0 6 53 53 106 0 8 7 14 10 8 6
1 1 2 2 2 0 12 7 19 2 2 0 2 78 74 152 0 8 10 11 17 11 14
2 2 1 1 2 0 7 5 12 2 1 2 1 3 75 71 146 0 4 8 12 16 11 16
1 2 1 3 2 0 8 9 17 3 0 3 3 67 77 144 0 3 9 10 13 15 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
17 17 14 12 14 4 89 69 158 0 0 5 0 7 5 2 6 7 0 0 0 21 11 32 666 685 1351 0 41 76 114 121 117 122
LINGKAR PERUT

BAIK (P ≤ 90cm, W ≤ 80cm ) BURUK (P > 90cm, W > 80cm ) TOTAL BAIK ( ≤130/80mmHg )

55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 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 TOT L P L P L P L P L P L P L P TOT L P TOT L P L P L P L P
60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93

17 18 15 19 9 70 67 137 0 0 3 2 3 4 3 2 5 1 1 1 15 10 25 85 77 162 0 0 0 0 0 2 0 0
17 18 10 7 8 56 64 120 0 0 3 5 2 3 1 5 2 1 1 1 9 15 24 65 79 144 0 0 0 0 0 0 0 3
11 10 16 16 18 70 84 154 0 0 3 1 5 1 2 3 1 1 2 1 13 7 20 83 91 174 0 0 1 0 3 0 0 0
19 22 18 11 7 74 77 151 0 0 6 2 1 2 2 1 7 1 1 1 17 7 24 91 84 175 0 0 0 0 0 0 0 0
7 12 16 14 16 59 69 128 0 0 2 4 2 3 3 2 2 1 2 0 11 10 21 70 79 149 0 0 0 0 0 2 0 0
5 11 7 4 5 38 47 85 0 0 5 1 6 2 2 2 1 1 1 0 15 6 21 53 53 106 0 0 2 0 4 0 0 0
16 9 10 14 11 64 67 131 0 0 4 1 3 3 3 1 2 2 2 0 14 7 21 78 74 152 0 0 0 0 0 0 2 0
13 15 16 11 9 66 65 131 0 0 3 1 1 2 2 2 1 1 2 0 9 6 15 75 71 146 0 0 2 0 0 1 0 0
16 17 10 9 11 59 65 124 0 0 2 1 2 3 1 5 1 3 2 0 8 12 20 67 77 144 0 0 0 0 0 0 0 3
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
121 132 118 105 94 556 605 1161 0 0 31 18 25 23 19 23 22 12 14 4 111 80 191 667 685 1352 0 0 5 0 7 5 2 6
TEKANAN DARAH

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

60 - 69 ≥ 70 JML JML 15 - 19 20 - 44 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 TOT L P L P L P L P L P L P L P TOT L P L P L P L P L P L P
94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127

4 0 0 0 4 2 6 0 0 2 5 4 5 3 8 6 7 6 7 21 32 53 0 0 8 6 2 2 1 5 4 3 2 1
0 0 0 0 0 3 3 0 0 1 6 9 5 6 5 4 8 5 4 25 28 53 0 0 2 5 4 3 2 4 4 4 3 1
0 0 0 0 4 0 4 0 0 3 5 7 6 5 5 7 6 6 5 28 27 55 0 0 6 6 9 7 9 7 5 5 2 1
3 0 0 0 3 0 3 0 0 4 8 2 8 5 5 5 7 5 5 21 33 54 0 0 7 8 6 6 5 9 7 5 5 1
0 0 0 0 0 2 2 0 0 5 6 7 9 4 5 3 5 6 2 25 27 52 0 0 5 2 3 2 8 7 5 6 5 4
0 0 0 0 6 0 6 0 0 5 2 3 3 5 4 6 2 4 3 23 14 37 0 0 3 5 2 3 4 2 3 2 1 1
0 0 0 0 2 0 2 0 0 7 5 7 5 4 3 4 5 3 6 25 24 49 0 0 6 5 8 6 8 6 6 3 2 2
0 0 0 0 2 1 3 0 0 8 4 5 5 4 4 3 5 3 5 23 23 46 0 0 6 4 7 6 7 5 8 6 1 1
0 0 0 0 0 3 3 0 0 6 7 6 7 8 6 5 3 5 3 30 26 56 0 0 4 3 3 2 3 3 4 5 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
7 0 0 0 21 11 32 0 0 41 48 50 53 44 45 43 48 43 40 221 234 455 0 0 47 44 44 37 47 48 46 39 22 13
PENGUKURAN
GLUKOSA DARAH SEWAKTU

mmHg ) TOTAL BAIK (80-144 mg/dL) SEDANG (145-199 mg/dL)

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


L P TOT L P TOT L P L P L P L P L P L P L P TOT L P L P L P L P L P L P L
128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161

17 17 34 42 51 93 0 1 2 8 11 17 11 10 18 15 19 9 61 60 121 0 0 3 2 3 4 3 2 5 1 1 1 15
15 17 32 40 48 88 0 2 6 11 14 16 11 13 12 10 7 8 50 60 110 0 0 3 5 2 3 1 5 2 1 1 1 9
31 26 57 63 53 116 0 5 11 16 10 10 13 11 10 16 16 18 60 76 136 0 0 3 1 5 1 2 3 1 1 2 1 13
30 29 59 54 62 116 0 7 12 16 11 8 11 10 12 12 11 7 57 60 117 0 0 6 2 1 2 2 1 7 1 1 1 17
26 21 47 51 50 101 0 3 11 11 11 9 7 7 12 12 14 16 55 58 113 0 0 2 4 2 3 3 2 2 1 2 0 11
13 13 26 42 27 69 0 8 7 7 6 8 6 5 11 7 4 5 34 40 74 0 0 5 1 6 2 2 2 1 1 1 0 15
30 22 52 57 46 103 0 8 10 9 11 8 12 11 9 10 14 11 56 57 113 0 0 4 1 3 3 3 1 2 2 2 0 14
29 22 51 54 46 100 0 4 8 12 11 11 16 12 11 16 11 9 57 64 121 0 0 3 1 1 2 2 2 1 1 2 0 9
15 14 29 45 43 88 0 3 9 10 8 6 11 7 6 10 9 11 43 47 90 0 0 2 1 2 3 1 5 1 3 2 0 8
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
206 181 387 448 426 874 0 41 76 100 93 93 98 86 101 108 105 94 473 522 995 0 0 31 18 25 23 19 23 22 12 14 4 111
REKAPAN SKRINING PE
UPTD PUSKE

H SEWAKTU

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

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


P TOT L P L P L P L P L P L P L P TOT L P TOT L P L P L P L P L P L P L P
162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195

10 25 0 0 1 3 4 1 1 2 1 1 2 0 9 7 16 85 77 162 0 0
15 24 0 0 1 2 2 1 1 1 1 1 0 0 5 5 10 64 80 144 0 0
7 20 0 1 2 2 2 2 4 2 2 1 1 1 11 9 20 84 92 176 0 0
7 24 0 1 3 4 6 7 3 2 3 1 1 1 16 16 32 90 83 173 0 0
10 21 0 1 2 2 2 1 2 1 2 1 1 0 9 6 15 75 74 149 0 0
6 21 0 1 1 1 1 1 1 1 2 1 1 0 6 5 11 55 51 106 0 0
7 21 0 2 4 2 2 3 2 1 2 2 0 0 10 10 20 80 74 154 0 0
6 15 0 1 1 1 2 1 2 2 0 0 0 0 5 5 10 71 75 146 0 0
12 20 0 1 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
80 191 0 8 18 22 24 21 21 18 15 10 8 3 86 82 168 670 684 1354 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

SEDANG (150 -189 mg/dL) BURUK (≥ 190 mg/dL) TOTAL

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


TOT L P L P L P L P L P L P L P TOT L P L P L P L P L P L P L P TOT L P TOT
196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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) TOTAL

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


L P L P L P L P L P L P L P TOT L P L P L P L P L P L P L P TOT L P TOT L
230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263

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

YA TIDAK TOTAL

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


P L P L P L P L P L P L P TOT L P L P L P L P L P L P L P TOT L P TOT L P
264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297

1 2 8 13 17 18 17 18 15 19 9 70 67 137 0 0 3 2 3 2 3 2 1 1 1 1 11 8 19 81 75 156 0 1
2 6 11 14 16 11 17 18 10 7 8 56 64 120 0 0 3 5 2 3 1 2 2 1 1 1 9 12 21 65 76 141 0 2
5 11 16 14 18 19 11 10 16 16 18 70 84 154 0 0 2 1 2 1 2 3 1 1 2 1 9 7 16 79 91 170 0 5
7 12 16 11 10 18 19 22 18 11 7 74 77 151 0 0 6 2 1 2 2 1 3 1 1 1 13 7 20 87 84 171 0 7
3 11 16 13 11 9 7 12 16 14 16 59 69 128 0 0 2 4 2 1 3 2 2 1 2 0 11 8 19 70 77 147 0 3
8 7 14 10 8 6 5 11 7 4 5 38 47 85 0 0 3 1 2 2 2 2 1 1 1 0 9 6 15 47 53 100 0 8
8 10 11 17 11 14 16 9 10 14 11 64 67 131 0 0 4 1 3 3 1 1 2 2 2 0 12 7 19 76 74 150 0 8
4 8 12 16 11 16 13 15 16 11 9 66 65 131 0 0 1 1 1 1 2 2 1 1 2 0 7 5 12 73 70 143 0 4
3 9 10 13 15 11 16 17 10 9 11 59 65 124 0 0 2 1 2 3 1 2 1 3 2 0 8 9 17 67 74 141 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
41 76 114 121 117 122 121 132 118 105 94 556 605 1161 0 0 26 18 18 18 17 17 14 12 14 4 89 69 158 645 674 1319 0 41
WAWANCARA
MAKAN SAYUR DAN BUAH < 5 PORSI SEHARI K

YA TIDAK TOTAL

20 - 44 45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 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 TOT L P L P L P L P L P L P L P TOT L P TOT L P L
298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331

2 8 13 17 18 17 18 15 19 9 70 67 137 0 0 3 2 3 2 3 2 1 1 1 1 11 8 19 81 75 156 0 1 2
6 11 14 16 11 17 18 10 7 8 56 64 120 0 0 3 5 2 3 1 2 2 1 1 1 9 12 21 65 76 141 0 2 6
11 16 14 18 19 11 10 16 16 18 70 84 154 0 0 2 1 2 1 2 3 1 1 2 1 9 7 16 79 91 170 0 5 11
12 16 11 10 18 19 22 18 11 7 74 77 151 0 0 6 2 1 2 2 1 3 1 1 1 13 7 20 87 84 171 0 7 12
11 16 13 11 9 7 12 16 14 16 59 69 128 0 0 2 4 2 1 3 2 2 1 2 0 11 8 19 70 77 147 0 3 11
7 14 10 8 6 5 11 7 4 5 38 47 85 0 0 3 1 2 2 2 2 1 1 1 0 9 6 15 47 53 100 0 8 7
10 11 17 11 14 16 9 10 14 11 64 67 131 0 0 4 1 3 3 1 1 2 2 2 0 12 7 19 76 74 150 0 8 10
8 12 16 11 16 13 15 16 11 9 66 65 131 0 0 1 1 1 1 2 2 1 1 2 0 7 5 12 73 70 143 0 4 8
9 10 13 15 11 16 17 10 9 11 59 65 124 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 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 12 14 4 89 69 158 645 674 1319 0 41 76
ANCARA
KURANG AKTIFITAS FISIK (3 x SEMINGGU SELAMA 50 MENIT ATAU 5 x SEMINGGU SELAMA 30 MENIT)

YA TIDAK TOTAL YA

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


P L P L P L P L P L P TOT L P L P L P L P L P L P L P TOT L P TOT L P L P
332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365

8 13 17 18 17 18 15 19 9 70 67 137 0 0 3 2 3 2 3 2 1 1 1 1 11 8 19 81 75 156
11 14 16 11 17 18 10 7 8 56 64 120 0 0 3 5 2 3 1 2 2 1 1 1 9 12 21 65 76 141
16 14 18 19 11 10 16 16 18 70 84 154 0 0 2 1 2 1 2 3 1 1 2 1 9 7 16 79 91 170
16 11 10 18 19 22 18 11 7 74 77 151 0 0 6 2 1 2 2 1 3 1 1 1 13 7 20 87 84 171
16 13 11 9 7 12 16 14 16 59 69 128 0 0 2 4 2 1 3 2 2 1 2 0 11 8 19 70 77 147
14 10 8 6 5 11 7 4 5 38 47 85 0 0 3 1 2 2 2 2 1 1 1 0 9 6 15 47 53 100
11 17 11 14 16 9 10 14 11 64 67 131 0 0 4 1 3 3 1 1 2 2 2 0 12 7 19 76 74 150
12 16 11 16 13 15 16 11 9 66 65 131 0 0 1 1 1 1 2 2 1 1 2 0 7 5 12 73 70 143
10 13 15 11 16 17 10 9 11 59 65 124 0 0 2 1 2 3 1 2 1 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
114 121 117 122 121 132 118 105 94 556 605 1161 0 0 26 18 18 18 17 17 14 12 14 4 89 69 158 645 674 1319 0 0 0 0
KONSUMSI MINUMAN BERALKOHOL
JUMLAH
YA TIDAK TOTAL

45 - 54 55 - 59 60 - 69 ≥ 70 JML JML 15 - 19 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 TOT L P L P L P L P L P L P L P TOT L P TOT L P L P L
366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399

0 0 0 0 0 0 0 0 0 0 0 10 11 6
0 0 0 0 0 0 0 0 0 0 0 3 11 13
0 0 0 0 0 0 0 0 0 0 0 10 11 19
0 0 0 0 0 0 0 0 0 0 0 11 16 8
0 0 0 0 0 0 0 0 0 0 0 10 8 10
0 0 0 0 0 0 0 0 0 0 0 10 7 9
0 0 0 0 0 0 0 0 0 0 0 13 10 15
0 0 0 0 0 0 0 0 0 0 0 16 8 12
0 0 0 0 0 0 0 0 0 0 0 10 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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

Koordinator Program PTM


UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JUMLAH

45 - 54 55 - 59 60 - 69 ≥ 70 JML JML
P L P L P L P L P TOT
400 401 402 403 404 405 406 407 408 424

9 4 13 14 10 8 8 42 51 93
8 8 12 8 12 8 5 40 48 88
13 14 12 12 11 8 6 63 53 116
14 10 14 15 12 10 6 54 62 116
13 12 12 8 11 11 6 51 50 101
6 9 6 9 4 5 4 42 27 69
11 14 9 10 8 5 8 57 46 103
12 11 9 11 11 4 6 54 46 100
9 11 12 9 8 6 4 45 43 88
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
95 93 99 96 87 65 53 448 426 874
BULAN : JUNI 2022
JUMLAH SELURUH POSBINDU : 13 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 1,606 279 2 3 12 22 13 21 24 32 21


2 SUSUKANTONGGOH 1,479 181 0 2 6 8 19 11 14 7 11
3 SUSUKANAGUNG 2,393 216 0 1 3 6 9 13 23 15 19
4 KARANGMANGU 2,930 208 1 2 4 8 11 16 18 15 15
5 KALIGAWE WETAN 2,093 179 1 3 8 15 16 19 12 12 14
6 WILULANG 670 155 1 2 7 8 11 15 10 11 15
7 SAMPIH 2,252 163 3 2 11 11 14 16 16 14 15
8 CURUG 1,926 187 2 3 11 20 11 8 12 11 14
9 CURU WETAN 2,460 218 2 1 13 15 17 18 15 14 11
10 CIAWIJAPURA 2,567
11 KALIGAWE 2,072
12 PASAWAHAN 1,437
13 CIAWIASIH 3,306
14 0 0
15 Luar Wilayah 0

JUMLAH 27,191 1786 12 19 75 113 121 137 144 131 135

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
19660519 198902 1 001
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

14 11 13 83 105 188 0 0 5 7 11 14 13 10 8 14 2 3 39 48 87
16 10 9 60 53 113 0 0 4 9 10 7 9 11 6 8 2 1 31 36 67
22 9 11 63 68 131 0 0 0 12 11 15 13 9 10 8 1 1 35 45 80
12 11 8 60 61 121 0 0 0 8 4 11 13 14 11 10 12 1 40 44 84
11 16 12 67 72 139 0 0 0 3 2 7 8 1 4 5 2 2 16 18 34
14 12 10 56 60 116 0 0 0 2 3 3 5 2 4 5 4 4 16 16 32
16 8 3 67 62 129 1 1 2 1 2 1 3 1 2 3 5 3 15 10 25
8 11 7 61 57 118 2 3 5 9 11 10 7 11 2 1 3 1 30 35 65
10 9 8 67 66 133 1 1 2 6 8 12 8 7 11 9 8 3 38 38 76
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
123 97 81 584 604 1188 4 5 18 57 62 80 79 66 58 63 39 19 260 290 550

USUKANLEBAK

RS
001
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 1 2 1 0 2 2 4 124 155 279 2 3 17 29


0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 91 90 181 0 2 10 17
0 0 0 0 0 0 0 2 1 1 1 0 2 3 5 100 116 216 0 1 3 18
0 0 0 0 0 0 0 1 1 0 0 1 1 2 3 101 107 208 1 2 4 16
0 0 0 0 0 0 0 1 1 2 1 1 2 4 6 85 94 179 1 3 8 18
0 0 0 0 0 0 1 1 2 1 1 1 4 3 7 76 79 155 1 2 7 10
0 0 0 0 0 1 2 1 1 2 1 1 4 5 9 86 77 163 4 3 13 12
0 0 0 0 0 1 0 1 1 0 1 0 2 2 4 93 94 187 4 6 16 29
0 0 0 0 2 1 1 1 2 1 1 1 6 4 10 111 108 219 3 2 15 21
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 2 3 4 8 10 10 7 5 23 26 49 867 920 1787 16 24 93 170
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

24 35 37 42 29 28 13 16 122 153 275 0 0 0 0 0 0 0 0 1 2 1


29 18 23 18 17 24 12 10 91 89 180 0 0 0 0 0 0 0 0 0 1 0
20 28 36 24 29 30 10 12 98 113 211 0 0 0 0 0 0 0 2 1 1 1
15 27 29 29 27 23 23 9 99 106 205 0 0 0 0 0 0 0 1 1 0 0
18 24 20 13 20 16 18 14 85 88 173 0 0 0 0 0 0 0 1 1 2 1
14 18 15 13 19 19 16 14 72 76 148 0 0 0 0 0 0 1 1 2 1 1
14 19 19 15 17 19 13 6 80 74 154 0 0 0 0 0 1 2 1 1 2 1
22 18 19 22 16 9 14 8 91 92 183 0 0 0 0 0 1 0 1 1 0 1
25 30 23 21 22 19 17 11 105 104 209 0 0 0 0 2 1 1 1 2 1 1
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
181 217 221 197 196 187 136 100 843 895 1738 0 0 0 0 2 3 4 8 10 10 7
> 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 2 2 4 124 155 279 2 3 12 22 13 21 24 32 21 14 11 13 83 105 188


0 0 1 1 91 90 181 0 2 6 8 19 11 14 7 11 16 10 9 60 53 113
0 2 3 5 100 116 216 0 1 3 6 9 13 23 15 19 22 9 11 63 68 131
1 1 2 3 100 108 208 1 2 4 8 11 10 14 15 14 12 11 8 55 55 110
1 2 4 6 87 92 179 1 3 8 15 10 11 12 12 6 8 14 12 51 61 112
1 4 3 7 76 79 155 1 2 7 8 5 6 10 7 4 6 7 10 34 39 73
1 4 5 9 84 79 163 3 2 11 6 14 5 11 8 10 9 8 3 57 33 90
0 2 2 4 93 94 187 2 3 7 9 6 8 10 11 7 8 6 7 38 46 84
1 6 4 10 111 108 219 2 1 12 7 11 12 13 9 11 10 9 8 58 47 105
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 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 23 26 49 866 921 1787 12 19 70 89 98 97 131 116 103 105 85 81 499 507 1006
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 5 7 4 5 3 6 3 4 2 3 17 25 42 0 0 3 2 5 5 9
0 0 3 2 3 4 6 5 3 5 2 1 17 17 34 0 0 1 4 4 4 3
0 0 0 4 6 5 7 5 6 8 1 1 20 23 43 0 0 0 3 6 1 6
0 0 0 5 4 5 7 5 6 7 7 1 24 23 47 0 0 0 4 5 6 4
0 0 0 3 2 3 2 1 4 3 2 2 10 12 22 0 0 3 7 6 3 5
0 0 0 2 3 3 5 2 4 5 4 4 16 16 32 0 0 2 6 4 7 4
1 1 2 1 3 3 3 1 4 3 5 3 18 12 30 0 0 5 4 6 4 6
2 3 5 5 6 10 7 7 5 1 3 1 28 27 55 0 0 5 5 7 5 6
1 1 4 6 8 7 6 6 5 5 5 3 29 28 57 0 0 5 8 4 5 6
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
4 5 19 35 39 45 46 38 40 41 31 19 179 183 362 0 0 24 43 47 40 49
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

4 7 5 6 3 30 19 49 130 149 279 2 3 12 22 13 21 24 32 21 14 11


2 5 3 2 6 15 19 34 92 89 181 0 2 6 8 19 11 14 7 7 10 10
5 6 5 3 7 21 21 42 104 112 216 0 1 3 6 9 13 23 15 19 22 9
7 6 7 5 7 20 31 51 99 109 208 1 2 4 8 11 10 14 15 14 12 11
6 3 5 4 3 21 24 45 82 97 179 1 3 8 15 10 11 12 12 6 8 14
5 7 4 6 5 23 27 50 73 82 155 1 2 7 8 5 6 10 7 4 6 7
4 3 2 5 4 25 18 43 100 63 163 3 2 11 6 14 5 11 8 10 9 8
2 5 7 4 2 27 21 48 93 94 187 2 3 7 9 6 8 10 11 7 8 6
5 6 5 7 6 28 29 57 115 104 219 2 1 12 7 11 12 13 9 11 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
40 48 43 42 43 210 209 419 888 899 1787 12 19 70 89 98 97 131 116 99 99 85
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

13 83 105 188 0 0 5 7 8 5 6 6 3 4 2 3 24 25 49 0 0 3
9 56 47 103 0 0 3 2 3 4 6 5 3 5 2 1 17 17 34 0 0 4
11 63 68 131 0 0 0 4 6 5 7 5 6 8 1 1 20 23 43 0 0 5
8 55 55 110 0 0 0 5 6 4 8 7 6 7 7 1 27 24 51 0 0 0
12 51 61 112 0 0 0 3 2 3 2 1 4 3 2 2 10 12 22 0 0 2
10 34 39 73 0 0 0 2 3 6 5 4 4 5 4 4 16 21 37 0 0 6
3 57 33 90 1 1 2 1 3 3 3 1 4 3 5 3 18 12 30 0 0 5
7 38 46 84 2 3 5 7 6 10 7 10 5 1 3 1 28 32 60 0 0 5
8 58 47 105 1 1 4 6 8 9 6 6 5 6 5 3 29 31 60 0 0 4
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
81 495 501 996 4 5 19 37 45 49 50 45 40 42 31 19 189 197 386 0 0 34
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

4 5 6 5 3 4 4 5 3 22 20 42 129 150 279 0 0 0 0 0 0 0


5 3 4 5 5 6 3 5 4 23 21 44 96 85 181 0 0 0 0 0 0 0
4 4 5 6 3 5 6 2 2 22 20 42 105 111 216 0 0 0 0 0 0 0
5 4 4 7 6 4 5 7 5 22 25 47 104 104 208 0 0 0 0 0 0 0
4 5 6 5 7 6 5 3 2 21 24 45 82 97 179 0 0 0 0 0 0 0
6 4 6 7 3 4 4 3 2 24 21 45 74 81 155 0 0 0 0 0 0 0
6 4 5 5 4 3 5 3 3 20 23 43 95 68 163 0 0 0 0 0 0 0
4 4 5 6 4 4 5 4 2 23 20 43 89 98 187 0 0 0 0 0 0 0
5 6 6 7 6 5 5 7 3 29 25 54 116 103 219 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
43 39 47 53 41 41 42 39 26 206 199 405 890 897 1787 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 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 14 0 15 0 11 0 17 0 16 0 73 0
0 0 0 0 0 0 0 0 0 0 6 0 3 0 4 0 3 0 4 0 20 0
0 0 0 0 0 0 0 0 0 0 18 0 19 0 11 0 15 0 14 0 77 0
0 0 0 0 0 0 0 0 0 0 17 0 11 0 10 0 11 0 15 0 64 0
0 0 0 0 0 0 0 0 0 0 5 0 11 0 17 0 10 0 11 0 54 0
0 0 0 0 0 0 0 0 0 0 3 0 5 0 4 0 4 0 6 0 22 0
0 0 0 0 0 0 0 0 0 0 4 0 4 0 3 0 6 0 5 0 22 0
0 0 0 0 0 0 0 0 0 0 3 0 3 0 2 0 5 0 6 0 19 0
0 0 0 0 0 0 0 0 0 0 2 0 5 0 5 0 4 0 4 0 20 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 72 0 76 0 67 0 75 0 81 0 371 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

73 2 8 16 22 17 21 24 32 21 19 11 13 91 115 206 164 115 279 2 6 18


20 0 8 9 11 19 11 14 18 18 18 17 18 77 84 161 97 84 181 0 2 10
77 0 2 4 6 10 13 22 15 19 22 15 11 70 69 139 147 69 216 0 1 5
64 1 3 7 16 17 18 14 15 16 12 17 8 72 72 144 136 72 208 1 2 6
54 1 3 10 15 19 11 12 12 8 8 14 12 64 61 125 118 61 179 1 3 8
22 1 4 9 11 10 15 11 18 11 18 15 10 57 76 133 79 76 155 1 2 7
22 0 0 17 18 19 14 19 14 15 12 10 3 80 61 141 102 61 163 4 3 13
19 2 6 16 19 17 16 17 19 17 13 18 8 87 81 168 106 81 187 4 6 16
20 2 8 18 16 13 17 16 11 17 18 19 12 85 82 167 105 82 187 3 2 15
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
371 9 42 106 134 141 136 149 154 142 140 136 95 683 701 1384 1054 701 1755 16 27 98
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

25 22 19 21 25 19 28 19 19 101 122 223 0 0 6 4 7 8 6 7 6 4


17 15 11 12 18 14 14 12 10 63 72 135 0 0 6 5 3 4 5 5 6 3
22 20 12 14 17 29 30 10 12 78 94 172 0 0 5 6 4 5 6 3 5 6
16 15 27 19 15 15 14 22 9 78 83 161 0 0 0 5 4 4 7 6 4 5
9 11 12 9 13 20 16 18 14 67 67 134 0 0 2 4 5 6 5 7 6 5
10 14 11 12 13 10 6 10 14 54 56 110 0 0 6 6 4 6 7 3 4 4
12 10 7 12 15 14 11 13 6 66 54 120 0 0 5 6 4 5 5 4 3 5
10 11 18 19 15 14 9 14 8 78 66 144 0 0 5 4 4 5 6 4 4 5
20 16 15 16 21 10 19 17 11 77 88 165 0 0 4 5 6 6 7 6 5 5
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
141 134 132 134 152 145 147 135 103 662 702 1364 0 0 39 45 41 49 54 45 43 42
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

5 3 30 26 56 131 148 279 0 0 6 4 7 8 6 7 6 4 5 3 30 26


5 4 25 21 46 88 93 181 0 0 6 5 3 4 5 5 6 3 5 4 25 21
2 2 22 22 44 100 116 216 0 0 5 6 4 5 6 3 5 6 2 2 22 22
7 5 22 25 47 100 108 208 0 0 0 5 4 4 7 6 4 5 7 5 22 25
3 2 21 24 45 88 91 179 0 0 2 4 5 6 5 7 6 5 3 2 21 24
3 2 24 21 45 78 77 155 0 0 6 6 4 6 7 3 4 4 3 2 24 21
3 3 20 23 43 86 77 163 0 0 5 6 4 5 5 4 3 5 3 3 20 23
4 2 23 20 43 101 86 187 0 0 5 4 4 5 6 4 4 5 4 2 23 20
7 3 29 25 54 106 113 219 0 0 4 5 6 6 7 6 5 5 7 3 29 25
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
39 26 216 207 423 878 909 1787 0 0 39 45 41 49 54 45 43 42 39 26 216 207
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

56 2 6 18 25 22 19 21 25 19 28 19 19 101 122 223 131 148 279 0 0 0


46 0 2 10 17 15 11 12 18 14 14 12 10 63 72 135 88 93 181 0 0 0
44 0 1 5 22 20 12 14 17 29 30 10 12 78 94 172 100 116 216 0 0 0
47 1 2 6 16 15 27 19 15 15 14 22 9 78 83 161 100 108 208 0 0 0
45 1 3 8 9 11 12 9 13 20 16 18 14 67 67 134 88 91 179 0 0 0
45 1 2 7 10 14 11 12 13 10 6 10 14 54 56 110 78 77 155 0 0 0
43 4 3 13 12 10 7 12 15 14 11 13 6 66 54 120 86 77 163 0 0 0
43 4 6 16 10 11 18 19 15 14 9 14 8 78 66 144 101 86 187 0 0 0
54 3 2 15 20 16 15 16 21 10 19 17 11 77 88 165 106 113 219 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
423 16 27 98 141 134 132 134 152 145 147 135 103 662 702 1364 878 909 1787 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 2 3 20 31 22 31 36 42 31 23 19 19 130 149
0 0 0 0 0 0 0 0 0 2 10 14 26 19 23 14 19 24 14 16 92 89
0 0 0 0 0 0 0 0 0 1 3 13 21 19 36 25 31 35 13 19 104 112
0 0 0 0 0 0 0 0 1 2 4 17 20 21 25 27 26 26 23 16 99 109
0 0 0 0 0 0 0 0 1 3 11 25 18 17 19 19 13 16 20 17 82 97
0 0 0 0 0 0 0 0 1 2 9 16 12 16 19 14 15 15 17 19 73 82
0 0 0 0 0 0 0 0 4 3 18 11 23 12 20 13 17 14 18 10 100 63
0 0 0 0 0 0 0 0 4 6 17 19 19 23 23 20 17 16 13 10 93 94
0 0 0 0 0 0 0 0 3 2 21 21 23 24 25 20 22 20 21 17 115 104
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 16 24 113 167 184 182 226 194 191 189 158 143 888 899

Koordinator Program PTM


UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

279
181
216
208
179
155
163
187
219
0
0
0
0
0
0
1787
BULAN : JULI 2022
JUMLAH SELURUH POSBINDU : 13 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 1,606 293 1 3 14 15 22 16 24 12 16


2 SUSUKANTONGGOH 1,479 244 0 0 5 6 11 15 8 19 22
3 SUSUKANAGUNG 2,393 193 1 1 13 13 15 19 14 16 10
4 KARANGMANGU 2,930 193 0 2 15 15 16 22 12 11 9
5 KALIGAWE WETAN 2,093 211 2 1 16 17 11 25 11 8 17
6 WILULANG 670 193 0 3 17 14 17 12 10 12 18
7 SAMPIH 2,252 194 3 4 11 11 14 17 9 17 19
8 CURUG 1,926 196 0 2 17 16 12 11 11 16 20
9 CURU WETAN 2,460 218 2 3 18 18 16 19 10 15 18
10 CIAWIJAPURA 2,567 193 1 4 11 17 18 10 8 11 10
11 KALIGAWE 2,072
12 PASAWAHAN 1,437
13 CIAWIASIH 3,306
14 0 0
15 Luar Wilayah 0

JUMLAH 27,191 2128 10 23 137 142 152 166 117 137 159

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
19660519 198902 1 001
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

24 12 3 89 73 162 0 0 8 11 14 15 16 18 16 11 4 7 58 62 120
19 10 4 56 63 119 0 0 7 14 22 18 15 11 17 3 11 3 72 49 121
11 17 5 70 65 135 0 1 9 8 6 3 3 3 7 6 4 1 29 22 51
14 11 4 63 68 131 0 1 8 11 4 5 4 7 6 7 5 2 27 33 60
13 18 3 75 67 142 0 2 11 9 7 4 6 8 8 6 4 1 36 30 66
14 13 3 75 58 133 0 1 9 10 8 7 5 5 6 4 3 1 31 28 59
16 11 2 67 67 134 1 0 6 11 5 6 3 8 7 6 1 2 23 33 56
7 15 3 75 55 130 1 1 7 15 6 4 5 9 4 7 2 1 25 37 62
11 16 2 80 68 148 0 0 8 19 7 7 6 7 6 5 1 2 28 40 68
17 10 2 58 61 119 0 0 9 18 3 8 4 10 8 4 3 1 27 41 68
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
146 133 31 708 645 1353 2 6 82 126 82 77 67 86 85 59 38 21 356 375 731

USUKANLEBAK

RS
001
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 1 1 0 1 0 1 2 1 3 1 6 5 11 153 140 293 0 3 22 26


0 0 1 1 0 0 0 0 1 0 0 1 2 2 4 130 114 244 0 0 20 24
0 0 1 2 0 1 0 1 1 1 0 0 2 5 7 101 92 193 1 2 16 18
0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 90 103 193 0 15 18 21
0 0 0 0 1 0 0 0 1 0 1 0 3 0 3 114 97 211 2 9 22 24
0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 107 86 193 0 8 18 23
0 0 1 0 0 1 0 1 0 1 0 0 1 3 4 91 103 194 4 7 18 14
0 0 0 1 0 0 1 0 1 0 0 1 2 2 4 102 94 196 1 8 23 18
0 0 0 0 1 0 0 0 0 1 0 0 1 1 2 109 109 218 0 9 18 22
0 0 0 1 0 1 0 1 1 1 1 0 2 4 6 87 106 193 0 8 16 22
0 0 0 0 0 0
0 0 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 7 2 4 1 5 7 5 6 3 20 24 44 1084 1044 2128 8 69 191 212
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

36 31 33 30 32 35 24 10 147 135 282 0 0 1 1 0 1 0 1 2 1 3


27 22 26 27 24 26 24 20 121 119 240 0 0 1 1 0 0 0 0 1 0 0
19 20 20 14 18 22 22 14 96 90 186 0 0 1 2 0 1 0 1 1 1 0
23 22 24 18 19 16 11 4 95 96 191 0 0 0 1 0 0 0 1 0 0 0
19 22 24 20 21 18 18 9 106 102 208 0 0 0 0 1 0 0 0 1 0 1
23 18 19 22 19 24 15 3 94 98 192 0 0 0 0 0 0 0 0 0 0 1
17 18 21 24 23 17 19 8 102 88 190 0 0 1 0 0 1 0 1 0 1 0
23 21 15 15 20 26 15 7 97 95 192 0 0 0 1 0 0 1 0 1 0 0
23 25 24 23 24 24 19 5 108 108 216 0 0 0 0 1 0 0 0 0 1 0
24 22 23 16 19 14 15 8 97 90 187 0 0 0 1 0 1 0 1 1 1 1
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
234 221 229 209 219 222 182 88 1063 1021 2084 0 0 4 7 2 4 1 5 7 5 6
> 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 6 5 11 153 140 293 0 3 22 11 10 18 16 17 15 18 24 10 87 77 164


1 2 2 4 123 121 244 0 0 20 11 14 12 19 11 12 9 10 11 75 54 129
0 2 5 7 98 95 193 1 2 16 18 19 18 11 14 7 10 8 14 62 76 138
0 0 2 2 95 98 193 0 10 11 12 10 11 12 13 12 16 11 5 56 67 123
0 3 0 3 109 102 211 2 9 22 10 15 10 12 13 21 9 10 9 82 60 142
0 1 0 1 95 98 193 0 8 18 15 10 14 13 12 10 11 13 3 64 63 127
0 1 3 4 103 91 194 4 7 18 14 12 8 10 10 9 11 19 8 72 58 130
1 2 2 4 99 97 196 1 8 5 12 14 12 15 12 15 14 11 9 61 67 128
0 1 1 2 109 109 218 0 9 11 10 11 15 11 13 13 11 19 12 65 70 135
0 2 4 6 99 94 193 0 8 11 9 11 14 23 11 12 14 12 8 69 64 133
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 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 20 24 44 1083 1045 2128 8 64 154 122 126 132 142 126 126 123 137 89 693 656 1349
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 8 13 14 15 16 18 16 11 4 7 58 64 122 0 0 1 2 0 1 0
0 0 7 14 10 18 15 11 17 3 11 3 60 49 109 0 0 0 1 0 2 0
0 1 9 8 6 3 3 3 7 6 4 1 29 22 51 0 0 0 1 0 1 0
0 1 8 11 4 5 4 7 6 7 5 2 27 33 60 0 0 0 2 1 1 0
0 2 11 9 7 4 6 8 8 6 4 1 36 30 66 0 0 0 0 0 2 0
0 1 9 10 8 7 5 5 6 4 3 1 31 28 59 0 0 0 2 0 1 1
1 0 6 11 5 6 3 8 7 6 1 2 23 33 56 0 0 0 1 1 1 0
1 1 7 15 6 4 5 9 4 7 2 1 25 37 62 0 0 0 2 0 2 0
0 0 8 19 7 12 10 7 6 5 1 2 32 45 77 0 0 0 1 0 1 0
0 0 9 5 4 8 4 7 8 4 3 1 28 25 53 0 0 0 1 0 1 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 6 82 115 71 82 71 83 85 59 38 21 349 366 715 0 0 1 13 2 13 1
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

2 0 1 0 0 1 6 7 146 147 293 0 3 22 11 10 18 16 17 15 18 24


0 1 1 0 1 1 5 6 136 108 244 0 0 20 11 14 12 19 11 12 9 10
1 0 0 1 0 1 3 4 92 101 193 1 2 16 18 19 18 11 14 7 10 8
2 1 2 0 1 2 8 10 85 108 193 0 10 11 12 10 11 12 13 12 16 11
0 0 1 0 0 0 3 3 118 93 211 2 9 22 10 15 10 12 13 21 9 10
0 1 1 0 1 2 5 7 97 96 193 0 8 18 15 10 14 13 12 10 11 13
1 0 3 0 1 1 7 8 96 98 194 4 7 18 14 12 8 10 10 9 11 19
0 1 1 0 0 1 5 6 87 109 196 1 8 5 12 14 12 15 12 15 14 11
1 0 1 1 1 1 5 6 98 120 218 0 9 11 10 11 15 11 13 13 11 19
1 1 2 0 1 1 6 7 98 95 193 0 8 11 9 11 14 23 11 12 14 12
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
8 5 13 2 6 11 53 64 1053 1075 2128 8 64 154 122 126 132 142 126 126 123 137
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

10 87 77 164 0 0 8 13 14 17 16 18 16 12 5 7 59 67 126 0 0 0
11 75 54 129 0 0 7 14 10 18 15 11 17 6 11 4 60 53 113 0 0 0
14 62 76 138 0 1 9 8 6 3 3 3 7 6 4 1 29 22 51 0 0 0
5 56 67 123 0 1 8 11 4 5 8 6 6 7 6 2 32 32 64 0 0 1
9 82 60 142 0 2 11 9 7 4 6 8 8 6 4 1 36 30 66 0 0 0
3 64 63 127 0 1 9 6 12 5 7 9 6 5 3 1 37 27 64 0 0 0
8 72 58 130 1 0 6 11 5 6 3 7 7 6 6 2 28 32 60 0 0 0
9 61 67 128 1 1 7 15 6 6 5 9 5 7 2 1 26 39 65 0 0 0
12 65 70 135 0 0 8 19 7 12 10 7 6 8 1 2 32 48 80 0 0 0
8 69 64 133 0 0 9 5 6 8 4 7 8 5 3 1 30 26 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
89 693 656 1349 2 6 82 111 77 84 77 85 86 68 45 22 369 376 745 0 0 1
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 1 0 1 0 1 0 0 0 3 3 146 147 293 0 0 0 0 0 0 0


1 0 0 0 0 0 0 1 0 1 1 2 136 108 244 0 0 0 0 0 0 0
1 0 1 0 0 1 1 0 0 1 3 4 92 101 193 0 0 0 0 0 0 0
2 0 0 1 0 0 1 0 1 2 4 6 90 103 193 0 0 0 0 0 0 0
1 0 1 0 0 0 0 1 0 1 2 3 119 92 211 0 0 0 0 0 0 0
1 0 0 0 0 1 0 0 0 1 1 2 102 91 193 0 0 0 0 0 0 0
0 1 1 0 0 0 1 1 0 2 2 4 102 92 194 0 0 0 0 0 0 0
1 0 0 1 0 0 1 0 0 1 2 3 88 108 196 0 0 0 0 0 0 0
1 0 1 0 0 0 1 0 0 0 3 3 97 121 218 0 0 0 0 0 0 0
0 0 1 0 1 0 1 1 0 1 3 4 100 93 193 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
8 1 6 2 2 2 7 4 1 10 24 34 1072 1056 2128 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 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 1 7 14 15 22 16 24 12 16 24 12 3 89 77
0 0 0 0 0 0 0 0 0 0 5 6 11 15 8 19 22 19 10 4 56 63
0 0 0 0 0 0 0 0 1 1 13 13 15 19 14 16 10 11 17 5 70 65
0 0 0 0 0 0 0 0 0 2 15 15 16 22 12 11 9 14 11 4 63 68
0 0 0 0 0 0 0 0 2 1 16 17 11 25 11 8 17 13 18 3 75 67
0 0 0 0 0 0 0 0 0 3 17 14 17 12 10 12 18 14 13 3 75 58
0 0 0 0 0 0 0 0 3 4 11 11 14 17 9 17 19 16 11 2 67 67
0 0 0 0 0 0 0 0 0 2 17 16 12 11 11 16 20 7 15 3 75 55
0 0 0 0 0 0 0 0 2 3 18 18 16 19 10 15 18 11 16 2 80 68
0 0 0 0 0 0 0 0 1 4 11 17 18 10 8 11 10 17 10 2 58 61
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 10 27 137 142 152 166 117 137 159 146 133 31 708 649
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

166 0 0 26 0 26 0 23 0 25 0 27 0 127 0 127 216 77 293 0 0 8


119 0 0 35 1 21 0 26 0 27 0 14 1 123 2 125 179 65 244 0 0 7
135 0 0 12 0 11 1 13 1 7 1 12 0 55 3 58 125 68 193 0 1 9
131 0 0 10 1 11 0 15 0 16 0 9 0 61 1 62 124 69 193 0 1 8
142 0 0 10 0 12 0 12 0 22 0 13 0 69 0 69 144 67 211 0 2 11
133 0 0 13 0 10 0 11 0 12 0 14 0 60 0 60 135 58 193 0 1 9
134 0 0 11 0 13 1 12 0 11 0 12 0 59 1 60 126 68 194 1 0 6
130 0 0 12 1 12 0 11 0 16 0 14 0 65 1 66 140 56 196 1 1 7
148 0 0 13 0 14 0 15 0 15 1 12 0 69 1 70 149 69 218 0 0 8
119 0 0 12 1 14 0 10 1 24 1 11 0 71 3 74 129 64 193 0 0 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
1357 0 0 154 4 144 2 148 2 175 3 138 1 759 12 771 1467 661 2128 2 6 82
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

11 14 15 16 18 16 11 4 7 58 62 120 1 7 14 17 22 21 24 12 16 24
14 22 18 15 11 17 3 11 3 72 49 121 0 0 5 6 11 15 12 19 22 19
8 6 3 3 3 7 6 4 1 29 22 51 1 1 15 13 20 19 14 16 10 11
11 4 5 4 7 6 7 5 2 27 33 60 0 2 15 15 14 22 12 11 13 14
9 7 4 6 8 8 6 4 1 36 30 66 0 5 16 17 11 25 11 9 17 13
10 8 7 5 5 6 4 3 1 31 28 59 0 3 17 14 17 12 11 12 18 14
11 5 6 3 8 7 6 1 2 23 33 56 3 4 11 11 14 17 12 17 19 16
15 6 4 5 9 4 7 2 1 25 37 62 0 2 17 16 12 14 11 16 20 8
19 7 7 6 7 6 5 1 2 28 40 68 0 6 18 18 16 19 10 15 18 11
18 3 8 4 10 8 4 3 1 27 41 68 0 7 11 17 18 13 10 11 10 16
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
126 82 77 67 86 85 59 38 21 356 375 731 5 37 139 144 155 177 127 138 163 146
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

12 3 89 84 173 147 146 293 0 0 8 11 14 15 16 18 16 11 4 7 58 62


10 4 60 63 123 132 112 244 0 0 7 14 22 18 15 11 17 3 11 3 72 49
17 5 77 65 142 106 87 193 0 1 9 8 6 3 3 3 7 6 4 1 29 22
11 4 65 68 133 92 101 193 0 1 8 11 4 5 4 7 6 7 5 2 27 33
18 3 73 72 145 109 102 211 0 2 11 9 7 4 6 8 8 6 4 1 36 30
13 3 76 58 134 107 86 193 0 1 9 10 8 7 5 5 6 4 3 1 31 28
11 3 70 68 138 93 101 194 1 0 6 11 5 6 3 8 7 6 1 2 23 33
15 3 75 59 134 100 96 196 1 1 7 15 6 4 5 9 4 7 2 1 25 37
16 3 78 72 150 106 112 218 0 0 8 19 7 7 6 7 6 5 1 2 28 40
10 2 59 66 125 86 107 193 0 0 9 18 3 8 4 10 8 4 3 1 27 41
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
133 33 722 675 1397 1078 1050 2128 2 6 82 126 82 77 67 86 85 59 38 21 356 375
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

120 1 9 14 18 22 16 24 13 16 24 12 4 89 84 173 147 146 293 0 0 0


121 0 0 8 10 11 15 8 19 19 19 10 4 56 67 123 128 116 244 0 0 0
51 1 1 13 15 14 19 18 16 12 11 17 5 75 67 142 104 89 193 0 0 0
60 0 2 15 15 16 22 12 13 9 14 11 4 63 70 133 90 103 193 0 0 0
66 2 1 16 17 11 25 11 9 17 13 18 5 75 70 145 111 100 211 0 0 0
59 0 3 17 14 16 12 13 12 15 14 13 5 74 60 134 105 88 193 0 0 0
56 3 4 13 11 14 17 10 17 19 16 11 3 70 68 138 93 101 194 0 0 0
62 0 5 17 16 12 10 11 16 20 9 15 3 75 59 134 100 96 196 0 0 0
68 2 3 18 18 16 19 10 15 18 11 16 4 80 70 150 108 110 218 0 0 0
68 0 6 18 17 15 10 10 11 10 16 10 2 63 62 125 90 103 193 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
731 9 34 149 151 147 165 127 141 155 147 133 39 720 677 1397 1076 1052 2128 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 8 24 26 36 31 33 34 32 35
0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 24 26 22 26 27 24 26
0 0 0 0 0 0 0 0 0 0 0 0 1 8 16 18 19 20 20 15 18 22
0 0 0 0 0 0 0 0 0 0 0 0 0 15 18 21 23 22 24 18 19 16
0 0 0 0 0 0 0 0 0 0 0 0 2 14 22 24 19 20 24 20 21 18
0 0 0 0 0 0 0 0 0 0 0 0 0 8 18 23 23 18 19 22 19 23
0 0 0 0 0 0 0 0 0 0 0 0 4 12 18 14 17 18 21 24 22 17
0 0 0 0 0 0 0 0 0 0 0 0 1 10 23 18 23 21 15 15 20 26
0 0 0 0 0 0 0 0 0 0 0 0 0 11 18 22 23 25 24 23 24 24
0 0 0 0 0 0 0 0 0 0 0 0 0 9 16 22 24 22 23 21 19 14
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 8 95 198 212 233 219 229 219 218 221

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

24 10 149 144 293 149 144 293 0 3 31 26 24 34 32 37 31 30 28 17 146 147


24 20 125 119 244 125 119 244 0 0 27 26 24 32 34 22 30 13 21 15 136 108
22 14 96 97 193 96 97 193 1 3 25 27 25 22 14 18 14 16 13 15 92 101
11 6 95 98 193 95 98 193 0 11 19 25 15 17 16 22 19 25 16 8 85 108
18 9 106 105 211 106 105 211 2 11 33 19 22 16 18 21 29 16 14 10 118 93
15 5 94 99 193 94 99 193 0 9 27 27 18 22 19 17 17 16 16 5 97 96
19 8 101 93 194 101 93 194 5 7 24 26 18 15 13 19 16 20 20 11 96 98
15 9 97 99 196 97 99 196 2 9 12 29 20 18 20 21 20 22 13 10 87 109
19 5 108 110 218 108 110 218 0 9 19 30 18 28 21 21 19 17 21 15 98 120
15 8 97 96 193 97 96 193 0 8 20 15 15 23 27 19 21 20 15 10 98 95
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
182 94 1068 1060 2128 1068 1060 2128 10 70 237 250 199 227 214 217 216 195 177 116 1053 1075

Koordinator Program PTM


UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

293
244
193
193
211
193
194
196
218
193
0
0
0
0
0
2128
BULAN : AGUSTUS 2022
JUMLAH SELURUH POSBINDU : 13 DESA
JUMLAH POSBINDU YANG MELAKUKAN SKRINING : 10
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 1,606 317 0 1 14 22 18 24 21 17 32


2 SUSUKANTONGGOH 1,479 237 0 0 12 24 11 23 21 18 16
3 SUSUKANAGUNG 2,393 223 0 0 11 16 24 17 14 19 11
4 KARANGMANGU 2,930 211 0 0 9 18 21 11 12 21 18
5 KALIGAWE WETAN 2,093 223 0 0 15 22 26 19 11 22 19
6 WILULANG 670 221 0 2 14 21 21 16 16 16 24
7 SAMPIH 2,252 219 0 1 16 18 18 14 15 18 22
8 CURUG 1,926 222 0 1 11 17 17 22 18 19 18
9 CURU WETAN 2,460 220 0 0 8 10 22 25 9 26 19
10 CIAWIJAPURA 2,567 175 0 0 10 8 12 21 10 24 11
11 KALIGAWE 2,072
12 PASAWAHAN 1,437
13 CIAWIASIH 3,306
14 0 0
15 Luar Wilayah 0

JUMLAH 27,191 2268 0 5 120 176 190 192 147 200 190

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
19660519 198902 1 001
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

24 13 10 98 98 196 0 0 15 11 15 11 17 19 8 7 6 4 61 52 113
12 11 7 71 84 155 0 0 10 9 8 9 11 10 7 5 4 3 40 36 76
15 9 6 69 73 142 0 0 11 8 6 19 11 6 4 6 5 2 37 41 78
14 10 5 70 69 139 0 0 13 11 4 7 5 9 9 5 4 2 35 34 69
11 11 4 82 78 160 0 0 9 10 5 5 9 4 6 3 3 3 32 25 57
10 9 6 84 71 155 0 0 10 8 8 6 7 7 3 5 5 4 33 30 63
13 10 5 81 69 150 0 0 11 9 8 9 9 7 5 2 2 5 35 32 67
15 11 3 75 77 152 0 0 14 11 5 7 4 9 6 3 5 2 34 32 66
14 14 6 72 81 153 0 0 13 8 11 8 6 6 2 4 3 5 35 31 66
8 8 5 51 66 117 0 0 8 6 6 7 5 4 4 6 6 3 29 26 55
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
136 106 57 753 766 1519 0 0 114 91 76 88 84 81 54 46 43 33 371 339 710

USUKANLEBAK

RS
001
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 2 1 1 2 1 1 4 4 8 163 154 317 0 1 16 28


0 0 0 0 2 0 0 0 1 1 2 0 5 1 6 116 121 237 0 0 18 24
0 0 0 0 0 0 0 0 1 1 0 1 1 2 3 107 116 223 0 0 22 17
0 0 0 0 1 0 0 0 0 1 1 0 2 1 3 107 104 211 0 0 15 22
0 0 0 1 0 0 0 2 0 2 0 1 0 6 6 114 109 223 0 0 16 22
0 0 0 0 0 0 0 0 1 1 1 0 2 1 3 119 102 221 0 2 14 21
0 0 0 0 0 0 0 0 0 2 0 0 0 2 2 116 103 219 0 1 18 18
0 0 0 0 0 0 0 0 1 1 1 1 2 2 4 111 111 222 0 1 16 17
0 0 0 0 0 0 0 0 0 1 0 1 0 2 2 107 114 221 0 0 16 10
0 0 0 0 0 0 0 0 1 1 1 0 2 1 3 82 93 175 0 0 10 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 1 3 0 2 3 6 13 7 5 18 22 40 1142 1127 2269 0 5 161 187
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

31 24 27 39 32 24 31 10 137 126 263 0 0 7 5 6 5 5 4 5 7 6


19 23 21 18 16 17 13 8 87 90 177 0 0 6 9 8 9 5 4 7 5 4
21 17 23 19 18 15 17 6 101 74 175 0 0 4 8 6 3 4 6 4 6 5
21 14 15 21 18 14 11 5 80 76 156 0 0 6 4 4 7 5 9 9 5 4
26 22 18 22 18 15 11 4 89 85 174 0 0 9 2 5 5 9 4 6 3 3
21 16 19 18 24 10 12 6 90 73 163 0 0 5 8 8 6 7 7 3 5 5
18 17 19 18 22 13 10 5 87 72 159 0 0 4 9 8 9 9 7 5 2 2
17 22 21 19 20 19 14 5 88 83 171 0 0 7 3 5 7 4 9 6 3 5
22 25 17 25 19 17 14 6 88 83 171 0 0 3 8 4 8 6 6 2 4 3
12 21 10 24 11 11 8 5 51 69 120 0 0 8 6 6 7 5 4 4 6 6
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
208 201 190 223 198 155 141 60 898 831 1729 0 0 59 62 60 66 59 60 51 46 43
> 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

4 29 25 54 166 151 317 0 1 14 22 18 24 21 17 32 24 13 10 98 98 196


3 30 30 60 117 120 237 0 0 12 24 11 23 21 18 16 6 5 7 65 78 143
2 23 25 48 124 99 223 0 0 11 16 24 17 14 19 11 15 9 6 69 73 142
2 28 27 55 108 103 211 0 0 9 18 21 11 12 15 14 14 10 5 66 63 129
3 32 17 49 121 102 223 0 0 15 22 26 19 11 10 10 11 11 4 73 66 139
4 28 30 58 118 103 221 0 2 14 16 15 12 9 4 5 10 9 6 52 50 102
5 28 32 60 115 104 219 0 1 7 11 8 10 11 9 11 13 10 5 47 49 96
2 27 24 51 115 107 222 0 1 11 17 17 11 10 11 14 15 11 3 63 58 121
5 18 31 49 106 114 220 0 0 8 10 13 11 9 9 7 14 14 6 51 50 101
3 29 26 55 80 95 175 0 0 10 8 12 12 10 8 10 8 8 5 50 41 91
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
33 272 267 539 1170 1098 2268 0 5 111 164 165 150 128 120 130 130 100 57 634 626 1260
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 7 8 6 8 6 7 8 7 6 4 33 34 67 0 0 7 5 6 5 5
0 0 3 4 5 4 4 3 7 5 4 3 23 19 42 0 0 6 5 4 9 5
0 0 4 8 6 5 4 6 4 6 5 2 23 27 50 0 0 4 3 2 4 2
0 0 2 4 4 7 5 9 9 5 4 2 24 27 51 0 0 2 2 3 3 5
0 0 9 4 5 5 9 4 6 3 3 3 32 19 51 0 0 2 2 3 3 4
0 0 3 4 8 8 9 11 4 5 5 4 29 32 61 0 0 5 8 8 6 7
0 0 11 9 8 9 9 7 5 2 2 5 35 32 67 0 0 4 9 8 5 9
0 0 14 11 5 7 6 9 6 3 5 2 36 32 68 0 0 2 3 5 3 4
0 0 13 9 11 10 6 6 4 4 3 5 37 34 71 0 0 3 7 4 8 6
0 0 8 6 6 7 5 4 4 6 6 3 29 26 55 0 0 2 4 2 2 5
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 74 67 64 70 63 66 57 46 43 33 301 282 583 0 0 37 48 45 48 52
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

4 5 7 6 4 29 25 54 160 157 317 0 1 14 22 18 24 21 17 32 24 13


4 7 5 4 3 26 26 52 114 123 237 0 0 12 24 11 23 21 18 16 10 11
3 4 2 5 2 17 14 31 109 114 223 0 0 11 16 11 10 14 19 11 15 9
4 3 3 4 2 17 14 31 107 104 211 0 0 9 18 9 10 12 15 14 14 10
4 6 3 3 3 18 15 33 123 100 223 0 0 15 22 11 12 14 15 10 11 11
7 3 5 5 4 28 30 58 109 112 221 0 2 14 16 15 12 15 11 8 10 9
7 5 2 2 5 28 28 56 110 109 219 0 1 7 11 14 10 15 12 11 13 10
4 3 2 5 2 19 14 33 118 104 222 0 1 11 17 17 11 10 11 14 15 11
6 2 4 3 5 18 30 48 106 114 220 0 0 8 10 13 15 15 14 11 14 15
4 4 2 3 1 16 13 29 95 80 175 0 0 10 8 12 14 11 10 11 8 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
47 42 35 40 31 216 209 425 1151 1117 2268 0 5 111 164 131 141 148 142 138 134 107
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

10 98 98 196 0 0 11 8 11 10 8 11 9 12 6 4 45 45 90 0 0 1
7 71 82 153 0 0 3 4 6 10 4 8 8 7 4 3 25 32 57 0 0 1
6 56 66 122 0 0 4 5 6 5 11 6 4 6 5 2 30 24 54 0 0 3
5 54 62 116 0 0 2 4 11 7 5 12 9 5 4 2 31 30 61 0 0 3
4 61 64 125 0 0 9 4 5 11 9 4 6 3 3 3 32 25 57 0 0 4
6 61 57 118 0 0 3 4 8 8 9 11 4 5 5 4 29 32 61 0 0 4
5 57 52 109 0 0 11 9 11 9 9 7 5 2 2 5 38 32 70 0 0 5
3 63 58 121 0 0 13 11 8 7 6 9 6 3 5 2 38 32 70 0 0 3
6 62 59 121 0 0 13 14 11 9 6 6 4 4 3 5 37 38 75 0 0 2
5 52 45 97 0 0 8 6 6 7 5 4 4 6 6 3 29 26 55 0 0 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
57 635 643 1278 0 0 77 69 83 83 72 78 59 53 43 33 334 316 650 0 0 27
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

2 4 3 4 3 5 3 4 2 18 13 31 161 156 317 0 0 0 0 0 0 0


4 3 2 3 4 3 2 3 2 13 14 27 109 128 237 0 0 0 0 0 0 0
6 5 6 4 5 7 4 3 4 22 25 47 108 115 223 0 0 0 0 0 0 0
5 4 5 2 3 3 2 2 5 14 20 34 99 112 211 0 0 0 0 0 0 0
5 4 3 3 4 6 3 5 4 22 19 41 115 108 223 0 0 0 0 0 0 0
6 4 5 3 5 3 4 5 3 19 23 42 109 112 221 0 0 0 0 0 0 0
2 4 7 4 6 5 4 2 1 20 20 40 115 104 219 0 0 0 0 0 0 0
2 3 2 3 5 4 3 4 2 17 14 31 118 104 222 0 0 0 0 0 0 0
3 1 2 2 4 2 5 2 1 9 15 24 108 112 220 0 0 0 0 0 0 0
1 2 3 4 5 3 1 1 2 11 12 23 92 83 175 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
36 34 38 32 44 41 31 31 26 165 175 340 1134 1134 2268 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 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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 22 0 11 0 23 0 19 0 16 0 91 0
0 0 0 0 0 0 0 0 0 0 24 0 14 0 21 0 22 0 23 0 104 0
0 0 0 0 0 0 0 0 0 0 18 0 11 0 25 0 21 0 11 0 86 0
0 0 0 0 0 0 0 0 0 0 15 0 14 0 22 0 23 0 14 0 88 0
0 0 0 0 0 0 0 0 0 0 24 0 19 0 21 0 21 0 12 0 97 0
0 0 0 0 0 0 0 0 0 0 26 0 12 0 16 0 25 0 16 0 95 0
0 0 0 0 0 0 0 0 0 0 21 0 15 0 22 0 21 0 18 0 97 0
0 0 0 0 0 0 0 0 0 0 26 0 12 0 24 0 22 0 19 0 103 0
0 0 0 0 0 0 0 0 0 0 27 0 10 0 20 0 23 0 22 0 102 0
0 0 0 0 0 0 0 0 0 0 21 0 7 0 12 0 21 0 15 0 76 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 224 0 125 0 206 0 218 0 166 0 939 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

91 0 1 18 22 24 25 21 19 32 24 21 10 116 101 217 207 101 308 0 1 14


104 0 0 12 12 11 23 13 18 16 10 11 7 63 70 133 167 70 237 0 0 12
86 0 0 11 16 11 16 14 19 15 19 10 6 61 76 137 147 76 223 0 0 15
88 0 0 13 18 10 10 14 15 14 14 10 5 61 62 123 149 62 211 0 0 9
97 0 0 15 20 13 12 14 16 10 11 11 4 63 63 126 160 63 223 0 0 15
95 0 2 15 14 15 16 13 11 15 10 9 6 67 59 126 162 59 221 0 2 14
97 0 1 10 11 15 17 13 12 11 13 14 5 63 59 122 160 59 219 0 1 16
103 0 1 11 15 17 11 10 11 14 15 11 3 63 56 119 166 56 222 0 1 11
102 0 0 8 12 13 14 11 14 11 14 15 6 58 60 118 160 60 220 0 0 8
76 0 0 10 8 12 14 11 10 11 10 8 5 52 47 99 128 47 175 0 0 10
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
939 0 5 123 148 141 158 134 145 149 140 120 57 667 653 1320 1606 653 2259 0 5 124
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

22 18 24 21 17 32 24 13 10 98 98 196 0 0 16 15 14 13 14 11 16 12
24 11 23 21 18 16 12 11 7 71 84 155 0 0 8 9 11 12 11 8 9 7
16 24 18 16 19 19 15 19 8 93 76 169 0 0 4 5 6 5 11 6 4 6
18 21 18 16 16 18 19 10 5 74 76 150 0 0 2 4 11 7 5 12 9 5
22 26 19 18 22 18 11 11 4 88 78 166 0 0 9 4 5 11 9 4 6 3
23 21 16 16 19 20 10 13 6 84 76 160 0 0 3 4 8 8 9 11 4 5
18 18 16 15 18 17 13 12 5 78 71 149 0 0 11 9 11 9 9 7 5 2
17 17 22 18 19 18 15 11 3 75 77 152 0 0 13 11 8 7 6 9 6 3
10 22 25 13 14 19 14 14 6 76 69 145 0 0 13 14 11 9 6 6 4 4
8 12 21 10 24 11 8 8 5 51 66 117 0 0 8 6 6 7 5 4 4 6
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
178 190 202 164 186 188 141 122 59 788 771 1559 0 0 87 81 91 88 85 78 67 53
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

6 4 66 55 121 164 153 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0


4 3 43 39 82 114 123 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 2 30 24 54 123 100 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 2 31 30 61 105 106 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 32 25 57 120 103 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 4 29 32 61 113 108 221 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 5 38 32 70 116 103 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 2 38 32 70 113 109 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 5 37 38 75 113 107 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 3 29 26 55 80 92 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
43 33 373 333 706 1161 1104 2265 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 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 1 32 32 31 33 32 39 32 32
0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 32 33 34 32 21 22 18
0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 24 21 26 27 28 29 20
0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 21 20 23 27 24 22 23
0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 24 26 27 24 28 27 25
0 0 0 0 0 0 0 0 0 0 0 0 0 2 16 25 23 25 26 21 24 23
0 0 0 0 0 0 0 0 0 0 0 0 0 1 23 22 25 26 24 28 22 22
0 0 0 0 0 0 0 0 0 0 0 0 0 1 21 23 22 25 27 23 26 19
0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 23 22 25 21 25 26 25
0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 20 23 21 25 24 12 14
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 5 224 246 246 265 265 261 242 221

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

31 22 158 159 317 158 159 317 0 1 28 35 30 37 32 28 45 38 25 18 160 157


13 8 124 113 237 124 113 237 0 0 21 33 20 36 30 25 30 16 13 13 114 123
20 6 119 104 223 119 104 223 0 0 19 27 32 26 20 28 19 23 19 10 109 114
24 5 115 96 211 115 96 211 0 0 13 24 28 21 22 28 26 22 18 9 107 104
16 4 115 108 223 115 108 223 0 0 26 28 34 27 24 18 22 17 17 10 123 100
24 12 113 108 221 113 108 221 0 2 22 28 31 26 25 22 12 20 19 14 109 112
21 5 115 104 219 115 104 219 0 1 22 29 24 24 29 23 21 17 14 15 110 109
21 14 117 105 222 117 105 222 0 1 27 31 27 21 20 24 23 20 21 7 118 104
23 11 111 109 220 111 109 220 0 0 24 26 28 29 21 21 13 22 20 16 106 114
8 5 91 84 175 91 84 175 0 0 20 18 20 21 20 16 18 16 17 9 95 80
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 92 1178 1090 2268 1178 1090 2268 0 5 222 279 274 268 243 233 229 211 183 121 1151 1117

Koordinator Program PTM


UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

317
237
223
211
223
221
219
222
220
175
0
0
0
0
0
2268
BULAN : SEPTEMBER 2022
JUMLAH SELURUH POSBINDU : 13 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 1,606 219 0 0 5 10 11 14 18 21 27


2 SUSUKANTONGGOH 1,479 202 0 0 8 14 12 13 13 11 15
3 SUSUKANAGUNG 2,393 195 0 0 3 12 15 12 16 16 12
4 KARANGMANGU 2,930 183 0 0 6 15 10 11 13 13 15
5 KALIGAWE WETAN 2,093 188 0 0 7 9 11 15 12 12 13
6 WILULANG 670 203 0 0 11 10 16 16 15 16 12
7 SAMPIH 2,252 223 0 0 14 8 13 14 16 15 15
8 CURUG 1,926 220 0 0 16 11 15 17 17 14 18
9 CURU WETAN 2,460 185 0 0 7 16 11 13 11 12 19
10 CIAWIJAPURA 2,567 195 0 0 8 14 14 13 18 12 11
11 KALIGAWE 2,072 191 0 0 7 13 19 10 9 16 15
12 PASAWAHAN 1,437 189 0 0 11 16 12 11 18 13 16
13 CIAWIASIH 3,306
14 0 0
15 Luar Wilayah 0

JUMLAH 27,191 2393 0 0 103 148 159 159 176 171 188

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
19660519 198902 1 001
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

17 14 8 75 70 145 0 0 7 12 7 4 6 5 4 4 4 6 28 31 59
16 11 6 59 60 119 0 0 11 11 10 5 5 6 5 5 5 5 36 32 68
19 9 6 55 65 120 0 0 9 6 8 4 6 5 4 5 8 6 35 26 61
11 8 4 52 54 106 0 0 10 5 11 3 8 4 7 6 6 4 42 22 64
14 7 8 50 58 108 0 0 9 7 9 7 6 5 6 4 5 6 35 29 64
12 11 4 65 58 123 0 0 11 4 11 6 5 6 7 3 7 5 41 24 65
14 14 6 72 57 129 0 0 17 5 14 5 7 5 6 6 6 4 50 25 75
16 10 5 76 63 139 0 0 11 7 12 5 5 5 5 4 5 6 38 27 65
11 7 8 55 60 115 0 0 9 4 14 7 4 4 4 4 5 4 36 23 59
10 5 6 56 55 111 0 0 8 8 7 6 7 6 7 3 8 7 37 30 67
12 9 5 59 56 115 0 0 6 6 8 5 8 5 6 8 5 5 33 29 62
15 8 4 65 59 124 0 0 10 4 6 4 5 4 5 8 4 3 30 23 53
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
167 113 70 739 715 1454 0 0 118 79 117 61 72 60 66 60 68 61 441 321 762

USUKANLEBAK

RS
001
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 1 2 2 1 2 2 2 1 1 1 8 7 15 111 108 219 0 0 14 21


0 0 1 2 3 2 2 1 1 1 1 1 8 7 15 103 99 202 0 0 15 18
0 0 1 1 2 2 1 1 1 2 2 1 7 7 14 97 98 195 0 0 11 14
0 0 2 2 2 1 1 1 1 1 1 1 7 6 13 101 82 183 0 0 6 15
0 0 1 3 1 2 2 1 2 1 1 2 7 9 16 92 96 188 0 0 16 25
0 0 2 2 2 1 2 1 2 2 1 0 9 6 15 115 88 203 0 0 16 19
0 0 2 3 2 2 1 2 2 1 2 1 9 9 18 131 91 222 0 0 19 23
0 0 2 2 3 2 2 1 1 1 1 1 9 7 16 123 97 220 0 0 21 23
0 0 2 1 1 1 1 1 2 1 1 0 7 4 11 98 87 185 0 0 14 18
0 0 2 1 3 1 2 2 1 2 2 1 10 7 17 103 92 195 0 0 15 15
0 0 2 2 2 2 1 1 2 1 1 0 8 6 14 100 91 191 0 0 17 23
0 0 1 3 1 2 1 1 1 1 1 0 5 7 12 100 89 189 0 0 16 15
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 19 24 24 19 18 15 18 15 15 9 94 82 176 1274 1118 2392 0 0 180 229
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

18 16 22 21 27 19 24 21 105 98 203 0 0 2 2 2 2 1 1 2 1 1
19 18 23 21 19 24 15 11 91 92 183 0 0 3 2 1 2 2 2 3 1 2
16 21 19 21 24 19 18 11 88 86 174 0 0 3 3 2 3 2 1 2 2 2
25 21 16 16 20 23 17 8 84 83 167 0 0 2 2 3 2 1 1 1 1 1
15 16 22 24 15 19 13 8 81 92 173 0 0 1 1 2 1 2 2 3 1 1
22 21 13 19 17 11 25 21 93 91 184 0 0 3 2 1 2 2 1 2 2 2
23 21 23 19 24 21 19 14 108 98 206 0 0 2 3 2 1 3 2 1 1 1
24 19 21 22 21 18 16 17 103 99 202 0 0 3 2 1 2 2 1 2 1 2
14 18 22 20 20 16 17 12 87 84 171 0 0 2 1 2 1 1 2 1 2 1
19 12 23 21 17 12 21 23 95 83 178 0 0 4 2 1 1 2 2 1 1 2
21 18 19 17 14 16 17 11 88 85 173 0 0 2 3 2 2 2 1 1 2 1
22 16 16 17 22 19 20 9 96 76 172 0 0 2 2 3 1 1 2 2 2 1
0 0 0
0 0 0
0 0 0
238 217 239 238 240 217 222 166 1119 1067 2186 0 0 29 25 22 20 21 18 21 17 17
> 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

2 8 8 16 113 106 219 0 0 5 10 11 14 18 21 27 17 14 8 75 70 145


1 11 8 19 102 100 202 0 0 8 14 12 13 13 11 15 16 11 6 59 60 119
1 11 10 21 99 96 195 0 0 3 12 15 12 16 16 12 19 9 6 55 65 120
2 8 8 16 92 91 183 0 0 6 15 10 11 13 13 15 11 8 4 52 54 106
1 9 6 15 90 98 188 0 0 7 9 11 15 12 12 13 14 7 8 50 58 108
2 10 9 19 103 100 203 0 0 11 10 16 16 15 16 12 12 11 4 65 58 123
1 9 8 17 117 106 223 0 0 14 8 13 14 16 15 15 14 14 6 72 57 129
2 10 8 18 113 107 220 0 0 16 11 15 17 17 14 18 16 10 5 76 63 139
1 7 7 14 94 91 185 0 0 7 16 11 13 11 12 19 11 7 8 55 60 115
1 10 7 17 105 90 195 0 0 8 14 14 13 18 12 11 10 5 6 56 55 111
2 8 10 18 96 95 191 0 0 7 13 19 10 9 16 15 12 9 5 59 56 115
1 9 8 17 105 84 189 0 0 11 16 12 11 18 13 16 15 8 4 65 59 124
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
17 110 97 207 1229 1164 2393 0 0 103 148 159 159 176 171 188 167 113 70 739 715 1454
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 2 2 2 1 1 2 1 1 2 8 8 16 0 0 6 7 6 6 5
0 0 3 2 1 2 2 2 3 1 2 1 11 8 19 0 0 7 8 4 7 9
0 0 3 3 2 3 2 1 2 2 2 1 11 10 21 0 0 9 7 8 9 6
0 0 2 2 3 2 1 1 1 1 1 2 8 8 16 0 0 7 5 6 4 5
0 0 1 1 2 1 2 2 3 1 1 1 9 6 15 0 0 6 7 6 8 6
0 0 3 2 1 2 2 1 2 2 2 2 10 9 19 0 0 6 7 6 7 6
0 0 2 3 2 1 3 2 1 1 1 1 9 8 17 0 0 9 12 11 8 6
0 0 3 2 1 2 2 1 2 1 2 2 10 8 18 0 0 6 6 9 7 6
0 0 2 1 2 1 1 2 1 2 1 1 7 7 14 0 0 6 4 8 7 6
0 0 4 2 1 1 2 2 1 1 2 1 10 7 17 0 0 8 6 5 6 7
0 0 2 3 2 2 2 1 1 2 1 2 8 10 18 0 0 6 5 4 6 8
0 0 2 2 3 1 1 2 2 2 1 1 9 8 17 0 0 4 5 6 5 6
0 0 0
0 0 0
0 0 0
0 0 29 25 22 20 21 18 21 17 17 17 110 97 207 0 0 80 79 79 80 76
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

6 5 7 6 4 28 30 58 111 108 219 0 0 5 10 11 14 18 21 27 17 14


7 5 6 5 6 30 34 64 100 102 202 0 0 8 14 12 13 13 11 15 16 11
6 5 2 2 1 30 25 55 96 100 196 0 0 3 12 15 12 16 16 12 19 9
7 7 6 8 6 33 28 61 93 90 183 0 0 6 15 10 11 13 13 15 11 8
7 7 7 6 5 31 34 65 90 98 188 0 0 7 9 11 15 12 12 13 14 7
7 6 5 6 5 30 31 61 105 98 203 0 0 11 10 16 16 15 16 12 12 11
9 8 4 6 4 40 37 77 121 102 223 0 0 14 8 13 14 16 15 15 14 14
7 5 6 6 5 32 31 63 118 102 220 0 0 16 11 15 17 17 14 18 16 10
4 4 7 6 4 30 26 56 92 93 185 0 0 7 16 11 13 11 12 19 11 7
8 7 8 7 5 34 33 67 100 95 195 0 0 8 14 14 13 18 12 11 10 5
6 5 6 5 7 28 30 58 95 96 191 0 0 7 13 19 10 9 16 15 12 9
5 4 5 4 4 24 24 48 98 91 189 0 0 11 16 12 11 18 13 16 15 8
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
79 68 69 67 56 370 363 733 1219 1175 2394 0 0 103 148 159 159 176 171 188 167 113
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

8 75 70 145 0 0 2 2 2 2 1 1 2 1 1 2 8 8 16 0 0 4
6 59 60 119 0 0 3 2 1 2 2 2 3 1 2 1 11 8 19 0 0 5
6 55 65 120 0 0 3 3 2 3 2 1 2 2 2 1 11 10 21 0 0 6
4 52 54 106 0 0 2 2 3 2 1 1 1 1 1 2 8 8 16 0 0 4
8 50 58 108 0 0 1 1 2 1 2 2 3 1 1 1 9 6 15 0 0 8
4 65 58 123 0 0 3 2 1 2 2 1 2 2 2 2 10 9 19 0 0 6
6 72 57 129 0 0 2 3 2 1 3 2 1 4 1 1 9 11 20 0 0 6
5 76 63 139 0 0 3 2 1 2 2 1 2 1 2 2 10 8 18 0 0 5
8 55 60 115 0 0 2 1 2 1 1 2 1 2 1 1 7 7 14 0 0 7
6 56 55 111 0 0 4 2 1 1 2 2 1 1 2 1 10 7 17 0 0 7
5 59 56 115 0 0 2 3 2 2 2 1 1 2 1 2 8 10 18 0 0 7
4 65 59 124 0 0 2 2 3 1 1 2 2 2 1 1 9 8 17 0 0 3
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
70 739 715 1454 0 0 29 25 22 20 21 18 21 20 17 17 110 100 210 0 0 68
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

6 5 6 8 7 6 6 7 3 30 28 58 113 106 219 0 0 0 0 0 0 0


8 9 8 10 5 6 5 4 4 34 30 64 104 98 202 0 0 0 0 0 0 0
5 6 5 6 5 7 6 6 2 31 23 54 97 98 195 0 0 0 0 0 0 0
5 6 6 6 8 7 6 8 5 31 30 61 91 92 183 0 0 0 0 0 0 0
7 7 6 7 6 7 6 7 4 36 29 65 95 93 188 0 0 0 0 0 0 0
5 6 7 6 7 8 7 6 3 32 29 61 107 96 203 0 0 0 0 0 0 0
7 7 9 8 9 7 9 8 4 36 38 74 117 106 223 0 0 0 0 0 0 0
6 6 8 9 6 5 6 6 6 31 32 63 117 103 220 0 0 0 0 0 0 0
8 7 6 7 6 5 4 5 1 31 25 56 93 92 185 0 0 0 0 0 0 0
8 9 7 6 5 8 6 6 5 36 31 67 102 93 195 0 0 0 0 0 0 0
5 7 5 7 6 7 6 5 3 33 25 58 100 91 191 0 0 0 0 0 0 0
7 6 5 8 3 5 5 4 2 26 22 48 100 89 189 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
77 81 78 88 73 78 72 72 42 387 342 729 1236 1157 2393 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 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 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 7 12 7 4 6 5 4 4 4 6 28 31
0 0 0 0 0 0 0 0 0 0 11 11 10 5 5 6 5 5 5 5 36 32
0 0 0 0 0 0 0 0 0 0 9 6 8 4 6 5 4 5 8 6 35 26
0 0 0 0 0 0 0 0 0 0 10 5 11 3 8 4 7 6 6 4 42 22
0 0 0 0 0 0 0 0 0 0 9 7 9 7 6 5 6 4 5 6 35 29
0 0 0 0 0 0 0 0 0 0 11 4 11 6 5 6 7 3 7 5 41 24
0 0 0 0 0 0 0 0 0 0 17 5 14 5 7 5 6 6 6 4 50 25
0 0 0 0 0 0 0 0 0 0 11 7 12 5 5 5 5 4 5 6 38 27
0 0 0 0 0 0 0 0 0 0 9 4 14 7 4 4 4 4 5 4 36 23
0 0 0 0 0 0 0 0 0 0 8 8 7 6 7 6 7 3 8 7 37 30
0 0 0 0 0 0 0 0 0 0 6 6 8 5 8 5 6 8 5 5 33 29
0 0 0 0 0 0 0 0 0 0 10 4 6 4 5 4 5 8 4 3 30 23
0 0 0 0 0 0 0 0
0 0 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 79 117 61 72 60 66 60 68 61 441 321
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

59 0 0 10 14 14 14 18 21 27 18 14 10 83 77 160 111 108 219 0 0 5


68 0 0 16 14 16 16 13 11 15 16 11 6 71 63 134 107 95 202 0 0 8
61 0 0 11 12 16 14 16 16 15 19 9 6 67 67 134 102 93 195 0 0 3
64 0 0 14 17 12 12 13 13 15 11 8 4 62 57 119 104 79 183 0 0 6
64 0 0 11 13 11 15 14 16 15 14 7 8 58 66 124 93 95 188 0 0 7
65 0 0 13 16 19 17 15 16 12 14 12 4 71 67 138 112 91 203 0 0 11
75 0 0 16 17 15 17 19 15 15 14 14 6 79 69 148 129 94 223 0 0 14
65 0 0 19 19 15 18 19 14 18 16 10 7 81 74 155 119 101 220 0 0 16
59 0 0 11 13 18 16 11 12 19 11 7 8 66 60 126 102 83 185 0 0 7
67 0 0 12 11 15 16 18 17 14 10 9 6 68 60 128 105 90 195 0 0 8
62 0 0 15 16 19 10 12 13 15 12 12 5 73 56 129 106 85 191 0 0 7
53 0 0 13 16 14 15 18 13 16 15 12 4 73 63 136 103 86 189 0 0 11
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
762 0 0 161 178 184 180 186 177 196 170 125 74 852 779 1631 1293 1100 2393 0 0 103
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

10 11 14 18 21 27 17 14 8 75 70 145 0 0 5 7 11 13 14 3 6 7
14 12 13 13 11 15 16 11 6 59 60 119 0 0 14 8 9 11 7 8 14 9
12 15 12 16 16 12 19 9 6 55 65 120 0 0 9 10 9 11 17 9 2 4
15 10 11 13 13 15 11 8 4 52 54 106 0 0 13 10 9 13 9 12 6 1
9 11 15 12 12 13 14 7 8 50 58 108 0 0 9 9 6 8 9 7 9 8
10 16 16 15 16 12 12 11 4 65 58 123 0 0 10 9 12 11 13 8 9 4
8 13 14 16 15 15 14 14 6 72 57 129 0 0 14 9 10 11 9 9 7 10
11 15 17 17 14 18 16 10 5 76 63 139 0 0 9 12 11 7 6 9 7 8
16 11 13 11 12 19 11 7 8 55 60 115 0 0 9 9 10 11 7 10 8 3
14 14 13 18 12 11 10 5 6 56 55 111 0 0 8 11 14 15 9 11 10 3
13 19 10 9 16 15 12 9 5 59 56 115 0 0 8 9 9 12 6 8 6 5
16 12 11 18 13 16 15 8 4 65 59 124 0 0 8 9 11 12 5 7 5 2
0 0 0
0 0 0
0 0 0
148 159 159 176 171 188 167 113 70 739 715 1454 0 0 116 112 121 135 111 101 89 64
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

6 2 42 32 74 117 102 219 0 0 2 2 2 2 1 1 2 1 1 2 8 8


2 1 46 37 83 105 97 202 0 0 3 6 5 4 4 6 3 1 2 1 17 18
2 2 39 36 75 94 101 195 0 0 4 3 6 9 4 7 9 6 6 5 29 30
2 2 39 38 77 91 92 183 0 0 6 8 6 8 7 8 6 7 6 2 31 33
9 6 42 38 80 92 96 188 0 0 4 3 5 3 4 3 3 3 4 3 20 15
2 2 46 34 80 111 92 203 0 0 3 2 3 4 5 7 6 4 2 2 19 19
8 7 48 46 94 120 103 223 0 0 2 3 2 3 3 2 3 4 4 1 14 13
6 6 39 42 81 115 105 220 0 0 3 2 3 4 2 3 2 1 2 2 12 12
2 1 36 34 70 91 94 185 0 0 2 2 2 3 4 2 3 2 2 1 13 10
2 1 43 41 84 99 96 195 0 0 4 2 4 5 2 2 3 3 2 2 15 14
8 5 37 39 76 96 95 191 0 0 5 6 7 4 5 4 5 2 3 2 25 18
4 2 33 32 65 98 91 189 0 0 2 2 3 3 3 2 3 2 2 1 13 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
53 37 490 449 939 1229 1164 2393 0 0 40 41 48 52 44 47 48 36 36 24 216 200
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

16 0 0 17 19 18 23 21 25 27 17 25 11 108 95 203 116 103 219 0 0 0


35 0 0 19 22 21 16 17 21 18 16 11 6 86 81 167 103 99 202 0 0 0
59 0 0 13 18 15 12 16 16 12 19 9 6 65 71 136 94 101 195 0 0 0
64 0 0 10 11 12 13 15 16 15 12 11 4 63 56 119 94 89 183 0 0 0
35 0 0 16 19 16 15 21 17 19 14 8 8 80 73 153 100 88 188 0 0 0
38 0 0 22 17 14 14 21 21 19 21 11 5 87 78 165 106 97 203 0 0 0
27 0 0 16 21 19 21 20 19 21 19 21 19 97 99 196 111 112 223 0 0 0
24 0 0 21 19 20 19 18 16 18 16 10 5 87 75 162 99 87 186 0 0 0
23 0 0 18 17 14 19 17 12 19 11 21 14 89 73 162 102 83 185 0 0 0
29 0 0 15 19 23 22 28 13 21 10 9 6 96 70 166 111 84 195 0 0 0
43 0 0 9 16 19 17 21 16 19 17 9 5 77 71 148 102 89 191 0 0 0
23 0 0 16 21 17 14 19 22 17 15 19 6 88 78 166 101 88 189 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
416 0 0 192 219 208 205 234 214 225 187 164 95 1023 920 1943 1239 1120 2359 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 23 22 21 23 24 24 18 21
0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 22 21 24 19 24 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 21 22 21 18 19 22 23
0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 22 24 18 20 24 20 21
0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 21 21 24 21 22 23 21
0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 24 22 23 22 21 20 21
0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 25 22 24 21 21 24 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 23 23 23 25 22 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 22 21 19 17 18 19 13
0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 21 24 21 17 19 21 19
0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 22 21 21 24 22 18 23
0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 21 15 24 21 22 19 17
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 256 266 257 265 249 258 246 245

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

25 18 111 108 219 111 108 219 0 0 13 19 19 22 24 28 34 25 21 14 111 108


19 9 101 101 202 101 101 202 0 0 18 24 17 22 24 20 23 23 18 13 100 102
19 11 100 95 195 100 95 195 0 0 15 22 25 24 24 23 19 23 13 8 96 100
11 5 93 90 183 93 90 183 0 0 15 22 19 17 19 21 23 18 17 12 93 90
8 8 92 96 188 92 96 188 0 0 14 17 19 24 20 21 23 22 14 14 90 98
11 17 97 106 203 97 106 203 0 0 20 19 23 25 23 24 20 19 19 11 105 98
21 19 112 111 223 112 111 223 0 0 25 23 26 23 25 26 24 19 21 11 121 102
23 17 113 107 220 113 107 220 0 0 25 19 25 26 25 22 25 23 18 12 118 102
21 14 99 86 185 99 86 185 0 0 15 21 21 21 18 18 24 20 14 13 92 93
24 6 109 86 195 109 86 195 0 0 20 22 20 20 27 22 19 19 14 12 100 95
11 6 97 94 191 97 94 191 0 0 15 21 25 18 19 23 21 20 15 14 95 96
19 9 96 93 189 96 93 189 0 0 17 23 21 17 25 20 22 22 13 9 98 91
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 139 1220 1173 2393 1220 1173 2393 0 0 212 252 260 259 273 268 277 253 197 143 1219 1175

Koordinator Program PTM


UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML
TOT
424

219
202
196
183
188
203
223
220
185
195
191
189
0
0
0
2394
BULAN : OKTOBER 2022
JUMLAH SELURUH POSBINDU : 13 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 CURU WETAN 2,460
10 CIAWIJAPURA 2,567
11 KALIGAWE 2,072
12 PASAWAHAN 1,437
13 CIAWIASIH 3,306
14 0 0
15 Luar Wilayah 0

JUMLAH 27,191 0 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
19660519 198902 1 001
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
001
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 : 13 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 CURU WETAN 2,460
10 CIAWIJAPURA 2,567
11 KALIGAWE 2,072
12 PASAWAHAN 1,437
13 CIAWIASIH 3,306
14 0 0
15 Luar Wilayah 0

JUMLAH 27,191 0 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
19660519 198902 1 001
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
001
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 : 13 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 CURU WETAN 2,460
10 CIAWIJAPURA 2,567
11 KALIGAWE 2,072
12 PASAWAHAN 1,437
13 CIAWIASIH 3,306
14 0 0
15 Luar Wilayah 0

JUMLAH 27,191 0 0 0 0 0 0 0 0 0 0

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
19660519 198902 1 001
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
001
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 : 13 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 1661 103.4% 11 17 62 84 86 102 112


2 SUSUKANTONGGOH 1,479 1327 89.7% 6 15 54 71 79 94 78
3 SUSUKANAGUNG 2,393 1220 51.0% 12 14 55 72 82 89 94
4 KARANGMANGU 2,930 1418 48.4% 10 19 59 80 78 77 85
5 KALIGAWE WETAN 2,093 1133 54.1% 10 17 68 91 92 100 69
6 WILULANG 670 1073 160.1% 6 21 63 77 82 76 68
7 SAMPIH 2,252 1263 56.1% 13 24 72 66 82 80 77
8 CURUG 1,926 1162 60.3% 7 18 74 83 80 83 89
9 CURU WETAN 2,460 1159 47.1% 13 18 64 80 91 104 72
10 CIAWIJAPURA 2,567 563 21.9% 1 4 29 39 44 44 36
11 KALIGAWE 2,072 414 20.0% 0 0 7 13 19 10 9
12 PASAWAHAN 1,437 534 37.2% 0 0 11 16 12 11 18
13 CIAWIASIH 3,306 0 0.0% 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 27,191 12927 47.5% 89 167 618 772 827 870 807

Mengetahui,
Kepala UPTD PUSKESMAS SUSUKANLEBAK

H.CARITA S.KEP.NERS
19660519 198902 1 001
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

110 130 106 86 62 487 481 968 1 4 46 54 59 54 69 63 47 48 25 35 247 258


82 91 84 65 43 373 389 762 2 6 42 57 63 50 52 56 48 30 32 20 239 219
86 69 98 69 54 381 413 794 3 6 37 43 43 49 47 42 40 36 27 20 197 196
90 95 83 59 33 386 382 768 1 4 44 46 35 42 47 37 41 32 30 11 198 172
77 88 75 74 52 401 412 813 1 4 36 37 28 31 40 29 29 20 19 13 153 134
68 91 66 56 30 366 338 704 2 2 36 27 37 26 28 23 23 22 25 21 151 121
89 87 77 66 31 397 367 764 3 4 42 31 38 27 29 30 29 28 18 18 159 138
90 96 70 68 35 414 379 793 5 9 46 52 42 33 32 41 26 20 20 12 171 167
94 93 63 60 44 393 403 796 3 5 42 42 49 43 27 30 29 27 24 16 174 163
47 32 35 23 13 165 182 347 0 0 25 32 16 21 16 20 19 13 17 11 93 97
16 15 12 9 5 59 56 115 0 0 6 6 8 5 8 5 6 8 5 5 33 29
13 16 15 8 4 65 59 124 0 0 10 4 6 4 5 4 5 8 4 3 30 23
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
862 903 784 643 406 3887 3861 7748 21 44 412 431 424 385 400 380 342 292 246 185 1845 1717

getahui,
KESMAS SUSUKANLEBAK

S.KEP.NERS
198902 1 001
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

505 0 0 2 3 2 4 4 4 10 6 6 3 24 20 44 758 759 1517 10 17 86


458 0 0 2 3 5 2 2 4 3 3 3 2 15 14 29 627 622 1249 6 15 86
393 0 0 3 3 5 3 1 4 4 5 3 2 16 17 33 594 626 1220 12 15 77
370 0 0 2 3 3 1 1 3 5 2 2 2 13 11 24 597 565 1162 10 32 68
287 0 0 1 4 2 4 2 4 4 5 3 4 12 21 33 566 567 1133 10 25 84
272 0 0 4 2 6 1 3 2 5 4 4 1 22 10 32 539 469 1008 6 26 69
297 0 0 3 3 2 4 5 4 3 6 3 2 16 19 35 572 524 1096 15 28 88
338 0 0 4 3 3 4 3 2 4 2 3 3 17 14 31 602 560 1162 10 27 95
337 0 0 2 1 4 2 2 5 4 4 2 2 14 14 28 581 580 1161 12 25 81
190 0 0 2 2 3 2 2 3 3 4 4 1 14 12 26 272 291 563 0 8 41
62 0 0 2 2 2 2 1 1 2 1 1 0 8 6 14 100 91 191 0 0 17
53 0 0 1 3 1 2 1 1 1 1 1 0 5 7 12 100 89 189 0 0 16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3562 0 0 28 32 38 31 27 37 48 43 35 22 176 165 341 5908 5743 ### 91 218 808
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

119 131 133 144 160 154 133 128 85 653 647 1300 0 0 13 10 11 12 9 8 15 12
102 120 113 115 111 103 112 87 66 517 519 1036 0 0 13 17 11 14 8 11 13 8
92 95 114 125 98 106 117 92 69 507 505 1012 0 0 11 14 13 8 8 13 9 11
98 104 101 114 114 122 108 81 38 499 491 990 0 0 14 9 8 11 8 13 18 7
117 106 106 107 102 99 94 82 60 488 504 992 0 0 12 7 10 9 14 9 13 7
97 97 90 83 85 101 80 79 51 435 429 864 0 0 13 11 15 10 12 11 8 9
85 95 94 103 101 102 88 84 48 487 444 931 0 0 11 13 13 15 17 12 9 8
106 111 105 107 108 103 96 80 54 506 496 1002 0 0 13 7 7 12 9 13 11 5
92 109 127 113 116 111 93 81 54 507 507 1014 0 0 7 10 11 13 9 14 6 11
45 55 55 56 61 47 37 44 36 243 242 485 0 0 12 9 7 9 7 7 6 8
23 21 18 19 17 14 16 17 11 88 85 173 0 0 2 3 2 2 2 1 1 2
15 22 16 16 17 22 19 20 9 96 76 172 0 0 2 2 3 1 1 2 2 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
991 1066 1072 1102 1090 1084 993 875 581 5026 4945 9971 0 0 123 112 111 116 104 114 111 90
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

12 8 60 50 110 713 697 1410 2 7 53 65 52 79 79 87 99 73 62 41 347 352


7 6 52 56 108 569 575 1144 0 2 46 57 56 59 67 50 54 47 36 33 259 248
10 4 51 50 101 558 555 1113 1 3 34 52 70 60 64 64 49 66 35 37 253 282
6 6 54 46 100 553 537 1090 1 12 30 53 52 43 51 56 58 53 40 22 232 239
8 5 57 37 94 545 541 1086 3 12 52 56 62 57 47 47 50 42 42 33 256 247
10 7 58 48 106 493 477 970 1 12 52 49 50 48 47 39 31 39 40 23 221 210
6 7 56 55 111 543 499 1042 7 10 50 39 47 37 50 42 45 47 51 22 250 197
10 5 50 42 92 556 538 1094 3 12 41 49 52 49 52 48 54 53 38 24 240 235
7 7 40 55 95 547 562 1109 2 10 38 43 46 51 44 46 50 46 49 34 229 230
9 4 41 37 78 284 279 563 0 8 29 31 37 39 51 31 33 32 25 19 175 160
1 2 8 10 18 96 95 191 0 0 7 13 19 10 9 16 15 12 9 5 59 56
1 1 9 8 17 105 84 189 0 0 11 16 12 11 18 13 16 15 8 4 65 59
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
87 62 536 494 1030 5562 5439 ### 20 88 443 523 555 543 579 539 554 525 435 297 2586 2515
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

699 0 0 24 35 30 35 29 40 35 30 19 23 137 163 300 0 0 25 23 21 20


507 0 0 17 28 28 33 33 26 34 22 24 12 136 121 257 0 0 18 23 16 26
535 0 1 19 28 27 22 21 20 26 28 18 10 111 109 220 0 0 19 20 25 23
471 0 1 16 30 17 27 22 27 27 27 22 12 104 124 228 0 0 16 21 22 21
503 0 2 26 23 23 22 23 20 24 18 16 9 112 94 206 0 0 16 18 20 19
431 0 1 20 20 23 23 26 23 22 18 18 14 109 99 208 0 0 17 29 20 25
447 2 1 28 29 25 24 22 21 21 17 12 17 110 109 219 0 0 24 31 36 25
475 3 4 37 37 23 28 24 30 20 17 15 11 122 127 249 0 0 20 20 29 23
459 1 1 33 42 34 37 31 27 21 19 15 14 135 140 275 0 0 18 23 19 23
335 0 0 21 13 11 16 11 13 13 11 11 5 67 58 125 0 0 10 11 7 9
115 0 0 2 3 2 2 2 1 1 2 1 2 8 10 18 0 0 6 5 4 6
124 0 0 2 2 3 1 1 2 2 2 1 1 9 8 17 0 0 4 5 6 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5101 6 11 245 290 246 270 245 250 246 211 172 130 1160 1162 2322 0 0 193 229 225 225
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

21 22 22 24 20 13 109 102 211 593 617 1210 2 8 55 73 63 94 90 97 113 88


19 18 23 21 15 18 91 106 197 486 475 961 0 4 52 68 70 75 78 60 62 55
25 23 20 15 14 12 103 93 196 467 484 951 1 8 44 68 64 63 77 75 59 82
20 30 25 24 23 18 106 114 220 442 477 919 1 19 42 69 51 50 62 66 67 65
24 26 22 23 18 16 100 102 202 468 443 911 3 15 63 67 58 57 57 59 62 54
23 22 21 19 19 17 100 112 212 430 421 851 1 20 57 56 52 56 59 51 45 46
31 28 23 15 16 17 130 116 246 490 422 912 7 18 60 48 64 45 64 56 54 57
24 19 23 23 17 11 113 96 209 475 458 933 3 16 47 61 63 59 68 60 65 69
21 19 16 22 18 17 92 104 196 456 474 930 2 13 47 53 54 61 61 55 60 56
12 13 12 12 10 7 51 52 103 293 270 563 0 8 29 31 37 41 52 33 34 32
8 6 5 6 5 7 28 30 58 95 96 191 0 0 7 13 19 10 9 16 15 12
6 5 4 5 4 4 24 24 48 98 91 189 0 0 11 16 12 11 18 13 16 15
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
234 231 216 209 179 157 1047 1051 2098 4793 4728 9521 20 129 514 623 607 622 695 641 652 631
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

81 50 404 410 814 0 0 29 32 38 38 34 38 35 30 15 17 151 155 306 0 0


49 41 311 303 614 0 0 19 27 22 37 28 31 33 20 20 10 122 125 247 0 0
51 55 296 351 647 0 1 19 21 25 17 25 18 20 23 14 6 103 86 189 0 1
51 29 274 298 572 0 1 18 24 25 20 24 27 29 21 19 8 115 101 216 0 1
56 49 299 301 600 0 2 23 21 18 22 22 17 23 14 12 7 98 83 181 0 1
44 28 258 257 515 0 1 20 15 30 23 25 27 17 18 15 11 107 95 202 0 1
65 33 314 257 571 2 1 25 25 24 22 21 18 19 17 16 11 107 94 201 0 2
49 33 295 298 593 3 4 31 36 22 27 22 31 19 13 14 6 111 117 228 0 1
59 45 283 283 566 1 1 29 41 30 34 24 26 17 23 12 11 113 136 249 0 1
25 19 177 164 341 0 0 21 13 13 16 11 13 13 12 11 5 69 59 128 0 0
9 5 59 56 115 0 0 2 3 2 2 2 1 1 2 1 2 8 10 18 0 0
8 4 65 59 124 0 0 2 2 3 1 1 2 2 2 1 1 9 8 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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
547 391 3035 3037 6072 6 11 238 260 252 259 239 249 228 195 150 95 1113 1069 2182 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

9 16 18 17 19 16 17 15 18 9 81 73 154 636 638 1274 0 0 0 0 0 0


11 20 18 15 19 16 16 11 14 10 78 72 150 511 500 1011 0 0 0 0 0 0
16 18 17 20 20 15 22 18 12 9 87 81 168 486 518 1004 0 0 0 0 0 0
11 21 20 22 20 19 19 15 19 18 89 96 185 478 495 973 0 0 0 0 0 0
16 19 18 18 18 19 21 16 17 10 90 83 173 487 467 954 0 0 0 0 0 0
17 19 15 20 17 16 19 16 15 9 83 81 164 448 433 881 0 0 0 0 0 0
20 17 18 25 19 21 17 21 15 8 89 94 183 510 445 955 0 0 0 0 0 0
14 14 15 17 21 17 13 15 14 10 77 74 151 483 489 972 0 0 0 0 0 0
16 22 17 19 21 22 14 17 16 6 84 87 171 480 506 986 0 0 0 0 0 0
8 9 11 11 10 11 11 8 8 7 48 46 94 294 269 563 0 0 0 0 0 0
7 5 7 5 7 6 7 6 5 3 33 25 58 100 91 191 0 0 0 0 0 0
3 7 6 5 8 3 5 5 4 2 26 22 48 100 89 189 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 187 180 194 199 181 181 163 157 101 865 834 1699 5013 4940 9953 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 9 17 74 42 77 47 89 45 90 55 84 37 423
0 0 0 0 0 0 0 0 0 6 13 69 36 64 52 60 52 79 45 65 26 343
0 0 0 0 0 0 0 0 0 12 13 83 44 72 51 83 41 67 47 75 37 392
0 0 0 0 0 0 0 0 0 9 17 82 44 72 42 82 45 88 52 65 20 398
0 0 0 0 0 0 0 0 0 9 14 76 52 78 54 78 36 79 43 68 34 388
0 0 0 0 0 0 0 0 0 5 17 71 42 62 35 52 31 76 33 53 15 319
0 0 0 0 0 0 0 0 0 10 21 73 34 70 41 62 47 68 40 63 21 346
0 0 0 0 0 0 0 0 0 5 14 76 42 64 41 73 51 78 35 66 26 362
0 0 0 0 0 0 0 0 0 11 17 74 43 70 55 66 46 75 32 61 26 357
0 0 0 0 0 0 0 0 0 1 4 40 25 32 16 27 17 38 20 33 9 171
0 0 0 0 0 0 0 0 0 0 0 6 6 8 5 8 5 6 8 5 5 33
0 0 0 0 0 0 0 0 0 0 0 10 4 6 4 5 4 5 8 4 3 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 77 147 734 414 675 443 685 420 749 418 642 259 3562
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

243 666 3 13 81 71 93 70 103 83 116 73 82 48 478 358 836 901 601 1502 2 8
224 567 2 14 82 52 80 61 78 65 89 53 63 40 394 285 679 737 509 1246 0 4
233 625 3 7 46 43 60 52 79 70 71 72 55 33 314 277 591 706 510 1216 0 7
220 618 2 6 57 63 62 56 73 46 69 41 47 19 310 231 541 708 451 1159 1 10
233 621 2 5 53 56 60 46 63 55 60 35 50 25 288 222 510 676 455 1131 1 8
173 492 3 7 56 44 61 52 56 48 53 47 56 27 285 225 510 604 398 1002 1 13
204 550 1 4 60 51 71 55 70 50 61 50 54 18 317 228 545 663 432 1095 5 12
209 571 4 12 67 64 69 52 68 51 74 49 58 20 340 248 588 702 457 1159 5 12
219 576 4 12 60 46 67 56 56 43 68 49 60 28 315 234 549 672 453 1125 3 5
91 262 0 0 34 20 41 30 39 28 49 21 28 11 191 110 301 362 201 563 0 0
29 62 0 0 15 16 19 10 12 13 15 12 12 5 73 56 129 106 85 191 0 0
23 53 0 0 13 16 14 15 18 13 16 15 12 4 73 63 136 103 86 189 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2101 5663 24 80 624 542 697 555 715 565 741 517 577 278 3378 2537 5915 6940 4638 ### 18 79
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

47 76 78 89 94 98 112 95 69 53 402 419 821 1 7 44 45 57 57 61 35 45


43 80 74 81 72 75 80 55 52 34 321 329 650 0 0 36 33 36 45 36 42 53
43 74 79 63 68 66 77 86 58 45 325 341 666 1 1 35 35 41 41 50 37 22
41 76 61 71 70 70 76 69 56 27 305 323 628 0 2 36 36 39 48 35 42 35
52 65 68 61 54 62 71 63 54 43 300 302 602 0 5 38 38 29 51 37 29 40
48 67 69 58 54 58 59 39 41 30 272 265 537 0 3 39 34 43 39 42 36 36
59 60 63 54 60 72 62 54 54 30 303 282 585 3 4 45 36 42 45 36 38 36
58 65 65 72 75 70 69 63 48 26 320 308 628 0 2 45 44 36 34 31 40 38
47 75 69 75 57 70 71 59 48 38 295 322 617 0 6 46 47 45 48 31 39 36
27 40 29 42 32 46 30 22 16 12 134 162 296 0 7 27 34 38 35 24 26 24
7 13 19 10 9 16 15 12 9 5 59 56 115 0 0 8 9 9 12 6 8 6
11 16 12 11 18 13 16 15 8 4 65 59 124 0 0 8 9 11 12 5 7 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
483 707 686 687 663 716 738 632 513 347 3101 3168 6269 5 37 407 400 426 467 394 379 376
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

48 30 13 238 205 443 640 624 1264 0 1 18 25 36 42 41 43 42 31 29 21 166


39 22 13 183 172 355 504 501 1005 0 2 22 36 44 42 35 39 44 17 25 16 170
28 28 12 177 154 331 502 495 997 0 6 29 33 30 35 32 24 31 34 28 26 150
26 25 14 170 168 338 475 491 966 0 8 26 40 25 27 36 40 38 37 29 16 154
30 35 14 179 167 346 479 469 948 0 5 28 32 30 24 24 25 29 30 25 22 136
28 24 11 184 151 335 456 416 872 0 9 25 32 25 25 23 20 27 19 12 10 112
35 26 18 188 176 364 491 458 949 1 8 23 31 28 25 25 30 22 25 22 17 121
25 32 13 182 158 340 502 466 968 1 5 23 33 29 24 29 29 25 29 19 14 126
26 30 12 188 178 366 483 500 983 0 3 23 36 28 31 28 31 31 22 19 17 129
25 18 6 131 133 264 265 295 560 0 0 13 20 7 13 6 12 11 7 5 3 42
5 8 5 37 39 76 96 95 191 0 0 5 6 7 4 5 4 5 2 3 2 25
2 4 2 33 32 65 98 91 189 0 0 2 2 3 3 3 2 3 2 2 1 13
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
317 282 133 1890 1733 3623 4991 4901 9892 2 47 237 326 292 295 287 299 308 255 218 165 1344
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

163 329 3 15 52 64 65 60 69 65 63 70 57 35 309 309 618 475 472 947 0 0


152 322 0 2 40 54 49 45 38 60 53 50 34 21 214 232 446 384 384 768 0 0
158 308 1 2 33 56 51 44 50 52 54 61 38 24 227 239 466 377 397 774 0 0
168 322 1 4 37 44 44 64 48 45 42 41 45 18 217 216 433 371 384 755 0 0
138 274 3 4 42 49 40 53 44 41 58 44 46 27 233 218 451 369 356 725 0 0
115 227 1 5 49 42 46 39 48 48 45 42 35 24 224 200 424 336 315 651 0 0
136 257 7 7 46 45 46 48 43 52 56 48 47 28 245 228 473 366 364 730 0 0
134 260 4 11 55 46 44 48 50 49 53 35 41 16 247 205 452 373 339 712 0 0
140 269 5 5 53 56 48 56 44 50 48 44 56 29 254 240 494 383 380 763 0 0
55 97 0 6 33 36 38 32 38 24 31 26 19 8 159 132 291 201 187 388 0 0
18 43 0 0 9 16 19 17 21 16 19 17 9 5 77 71 148 102 89 191 0 0
10 23 0 0 16 21 17 14 19 22 17 15 19 6 88 78 166 101 88 189 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1387 2731 25 61 465 529 507 520 512 524 539 493 446 241 2494 2368 4862 3838 3755 7593 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 9 79 80 88 87 89 97 82
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 78 80 80 77 72 67
0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 57 63 62 67 65 62 69
0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 58 64 67 63 71 66 61
0 0 0 0 0 0 0 0 0 0 0 0 0 2 14 63 69 66 71 69 70 71
0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 56 72 68 66 67 64 63
0 0 0 0 0 0 0 0 0 0 0 0 0 4 13 65 61 64 68 66 73 68
0 0 0 0 0 0 0 0 0 0 0 0 0 1 11 65 64 68 69 67 60 67
0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 58 67 66 69 62 66 69
0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 62 63 71 64 65 64 52
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 22 21 21 24 22 18
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 21 15 24 21 22 19
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 8 100 678 724 736 749 743 738 706

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

88 80 50 418 411 829 418 411 829 2 7 102 123 103 134 129 149 156 127 101 77 593
66 56 37 350 333 683 350 333 683 0 2 81 108 100 118 119 94 111 90 75 63 486
65 61 31 315 296 611 315 296 611 1 4 72 100 122 105 110 107 95 109 67 59 467
60 46 16 303 284 587 303 284 587 1 13 62 104 91 91 93 113 110 104 85 52 442
64 42 21 313 309 622 313 309 622 3 14 94 97 105 98 94 93 96 83 76 58 468
67 50 34 304 313 617 304 313 617 1 13 89 98 93 96 96 84 74 76 77 54 430
61 61 32 328 308 636 328 308 636 9 11 102 99 108 86 103 91 89 79 79 56 490
67 59 40 327 311 638 327 311 638 6 16 98 106 104 100 100 97 97 93 70 46 475
62 63 30 318 305 623 318 305 623 3 11 89 108 99 111 96 92 87 87 82 65 456
47 47 19 297 266 563 297 266 563 0 8 60 55 55 64 74 57 58 55 46 31 293
23 11 6 97 94 191 97 94 191 0 0 15 21 25 18 19 23 21 20 15 14 95
17 19 9 96 93 189 96 93 189 0 0 17 23 21 17 25 20 22 22 13 9 98
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
687 595 325 3466 3323 6789 3466 3323 6789 26 99 881 1042 1026 1038 1058 1020 1016 945 786 584 4793

Koordinator Program PTM


UPTD PUSKESMAS SUSUKANLEBAK

LILI AMALIA
0
JML JML
P TOT
408 424

617 1210
475 961
484 951
477 919
443 911
421 851
422 912
458 933
474 930
270 563
96 191
91 189
0 0
0 0
0 0
4728 9521
% CAKUPAN SKRINING
FAKTOR RISIKO PENYAKIT TIDAK MENULAR
180

160

140

120

100

80

60

40

20

0
AK H G GU AN NG PI
H
UG AN R A E
AN IH 0
ya
h
BA
K
EB GO UN AN ET LA M R ET PU AW AH IA
S
i la
L NG AG SA CU LIG LE
AN GM
W I LU W IJ A W AW rW AN
UK TO AN E W R U
AW KA SA CI a UK
S N UK AN AW CU CI PA Lu S
SU KA S R IG SU
U SU KA L
S US KA AS
E SM
SK
PU
TD
UP

% CAKUPAN SKRINING

Anda mungkin juga menyukai