Asasasasasasa

LAPORAN KUNJUNGAN PUSKESMAS DALAM DAN LUAR GEDUNG
PUSKESMAS : TALAWI
BULAN : JANUARI 2016
NO KEGIATAN STATUS BAYAR JENIS PELAYANAN

BP Gigi KIA UGD LAIN-LAIN B L Jumlah
BAYAR JPKM BPJS LAIN -LAIN JUMLAH
B L JML B L JML B L JML B L JML B L JML
A Kunjungan Dalam Gedung Puskesmas
termasuk Puskesmas Induk
1 Puskesmas Induk 459 528 619 4 1610 61 1025 1086 17 113 130 14 130 144 19 85 104 54 92 146 165 1445 1610
2 UGD DAN RAWATAN 128 94 101 0 323 0 0 0 0 0 0 0 0 0 194 129 323 0 0 0 194 129 323
3 Puskesmas Pembantu Bukit Gadang 2 17 25 0 44 0 40 40 0 0 0 0 4 4 0 0 0 0 0 0 0 44 44
4 Puskesmas Pembantu Batu Tanjung 8 30 20 0 58 0 52 52 0 2 2 0 4 4 0 0 0 0 0 0 0 58 58
5 Puskesmas Pembantu Kumbayau 5 1 11 0 17 2 12 14 0 2 2 0 1 1 0 0 0 0 0 0 2 15 17
6 Puskesmas Pembantu Tumpuk Tangah 17 34 49 0 100 3 80 83 0 4 4 0 13 13 0 0 0 0 0 0 3 97 100
7 Puskesmas Pembantu Salak 18 45 10 0 73 2 52 54 0 1 1 0 18 18 0 0 0 0 0 0 2 71 73
8 Puskesmas Pembantu Sikalang 56 99 53 0 208 3 155 158 0 15 15 0 32 32 0 0 0 0 3 3 3 205 208
9 Puskesmas Pembantu Kumanis Atas 12 14 28 2 56 4 45 49 0 0 0 0 7 7 0 0 0 0 0 0 4 52 56
10 Polindes Batu Tanjung 8 18 20 0 46 0 42 42 0 0 0 0 4 4 0 0 0 0 0 0 0 46 46
11 Polindes Kumbayau 18 31 14 2 65 2 52 54 0 0 0 1 8 9 0 0 0 0 2 2 3 62 65
12 Polindes Datar Mansiang 1 3 2 0 6 1 5 6 0 0 0 0 0 0 0 0 0 0 0 1 5 6
13 Polindes Rantih 7 53 36 0 96 1 86 87 1 5 6 0 3 3 0 0 0 0 0 0 2 94 96
Jumlah 3 s/d 13 152 345 268 4 769 18 621 639 1 29 30 1 94 95 0 0 0 0 5 5 20 749 769
Total 1 s/d 13 739 967 988 8 2702 79 1646 1725 18 142 160 15 224 239 213 214 427 54 97 151 379 2323 2702
B Kunjungan Rawat Jalan
1 Puskesmas Induk 61 1025 1086 17 113 130 14 130 144 19 85 104 111 1353 1464
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 194 129 323 194 129 323
3 Puskesmas Pembantu Bukit Gadang 0 40 40 0 0 0 0 4 4 0 0 0 0 44 44
4 Puskesmas Pembantu Batu Tanjung 0 52 52 0 2 2 0 4 4 0 0 0 0 58 58
5 Puskesmas Pembantu Kumbayau 2 12 14 0 2 2 0 1 1 0 0 0 2 15 17
6 Puskesmas Pembantu Tumpuk Tangah 3 80 83 0 4 4 0 13 13 0 0 0 3 97 100
7 Puskesmas Pembantu Salak 2 52 54 0 1 1 0 18 18 0 0 0 2 71 73
8 Puskesmas Pembantu Sikalang 3 155 158 0 15 15 0 32 32 0 0 0 3 202 205
9 Puskesmas Pembantu Kumanis Atas 4 45 49 0 0 0 0 7 7 0 0 0 4 52 56
10 Polindes Batu Tanjung 0 42 42 0 0 0 0 4 4 0 0 0 0 46 46
11 Polindes Kumbayau 2 52 54 0 0 0 1 8 9 0 0 0 3 60 63
12 Polindes Datar Mansiang 1 5 6 0 0 0 0 0 0 0 0 0 1 5 6
13 Polindes Rantih 1 86 87 1 5 6 0 3 3 0 0 0 2 94 96
Jumlah 3 s/d 13 18 621 639 1 29 30 1 94 95 0 0 0 20 744 764
Total 1 s/d 13 79 1646 1725 18 142 160 15 224 239 213 214 427 325 2226 2551
C Kunjungan Luar Gedung(Posyandu. 82 3060 3142
UKS,Perkesmas, UKGMD,dll)
Jumlah Seluruhnya (A+C) 461 5383 5844
Kepala Puskesmas Talawi Penanggung Jawab
dr. RANU VERRA MARDIANTI NENGSI JUITA, SKM

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
LAPORAN KUNJUNGAN P
PUSKESMAS : TALAWI
BULAN Jan-15
NO KEGIATAN STATUS BAYAR


1 Puskesmas Induk 337 521 506 0 1364
2 Puskesmas Pembantu Bukit Gadang 10 31 30 0 71
3 Puskesmas Pembantu Batu Tanjung 5 29 36 0 70
4 Puskesmas Pembantu Kumbayau 6 8 5 0 19
5 Puskesmas Pembantu Tumpuk Tangah 16 23 36 0 75
6 Puskesmas Pembantu Salak 20 38 11 0 69
7 Puskesmas Pembantu Sikalang 52 131 54 1 238
8 Puskesmas Pembantu Kumanis Atas 7 9 29 0 45
9 Polindes Batu Tanjung 8 26 27 0 61
10 Polindes Kumbayau 24 19 18 0 61
11 Polindes Datar Mansiang 4 7 9 0 20
12 Polindes Rantih 2 43 35 0 80
Jumlah 2 s/d 12 154 364 290 1 809
Total 1 s/d 12 491 885 796 1 2173
1 Puskesmas Induk
2 Puskesmas Pembantu Bukit Gadang
3 Puskesmas Pembantu Batu Tanjung
4 Puskesmas Pembantu Kumbayau
5 Puskesmas Pembantu Tumpuk Tangah
6 Puskesmas Pembantu Salak
7 Puskesmas Pembantu Sikalang
8 Puskesmas Pembantu Kumanis Atas
9 Polindes Batu Tanjung
10 Polindes Kumbayau
11 Polindes Datar Mansiang
12 Polindes Rantih
Jumlah 2 s/d 12
Total 1 s/d 12
C Kunjungan Luar Gedung(Posyandu.
Jumlah Seluruhnya (A+C)
Kepala Puskesmas Talawi
dr. RANU VERRA MARDIANTI

NIP 19830307 201001 2 029
KUNJUNGAN PUSKESMAS DALAM DAN LUAR GEDUNG
JENIS PELAYANAN
BP Gigi KIA
B L JML B L JML B L JML
106 964 1070 8 55 63 30 115 145

0 65 65 0 0 0 0 6 6
0 59 59 0 3 3 2 6 8
0 17 17 0 0 0 0 2 2
0 63 63 0 2 2 1 9 10
0 56 56 0 2 2 0 11 11
1 190 191 0 11 11 1 27 28
0 30 30 1 0 1 2 12 14
0 47 47 0 1 1 0 13 13
6 47 53 0 0 0 2 6 8
2 15 17 0 0 0 1 2 3
5 68 73 0 2 2 1 4 5
14 657 671 1 21 22 10 98 108
120 1621 1741 9 76 85 40 213 253
106 964 1070 8 55 63 30 115 145

0 65 65 0 0 0 0 6 6
0 59 59 0 3 3 2 6 8
0 17 17 0 0 0 0 2 2
0 63 63 0 2 2 1 9 10
0 56 56 0 2 2 0 11 11
1 190 191 0 11 11 1 27 28
0 30 30 1 0 1 2 12 14
0 47 47 0 1 1 0 13 13
6 47 53 0 0 0 2 6 8
2 15 17 0 0 0 1 2 3
5 68 73 0 2 2 1 4 5
14 657 671 1 21 22 10 98 108
120 1621 1741 9 76 85 40 213 253
G
LAIN -LAIN B L Jumlah

B L JML
20 66 86 164 1200 1364

0 0 0 0 71 71
0 0 0 2 68 70
0 0 0 0 19 19
0 0 0 1 74 75
0 0 0 0 69 69
0 8 8 2 236 238
0 0 0 3 42 45
0 0 0 0 61 61
0 0 0 8 53 61
0 0 0 3 17 20
0 0 0 6 74 80
0 8 8 25 784 809
20 74 94 189 1984 2173
144 1134 1278

0 71 71
2 68 70
0 19 19
1 74 75
0 69 69
2 228 230
3 42 45
0 61 61
8 53 61
3 17 20
6 74 80
25 776 801
169 1910 2079
252 2919 3171
441 4903 5344
Penanggung Jawab
NENGSI JUITA, Amd,PK

NIP 19830217 200604 2 007
LAPORAN KUNJUN
BULAN Jan-15
STATUS BAYAR
NO KEGIATAN BP
BAYAR JPKM BPJS LAIN -LAINJUMLAH
B L
1 pp. BG 10 31 30 0 71 0 65
2 pp. BT 5 29 36 0 70 0 59
3 pp. KBY 6 8 5 0 19 0 17
4 pp. TT 16 23 36 0 75 0 63
5 pp. Salak 20 38 11 0 69 0 56
6 PP. SKLG 52 131 54 1 238 1 190
7 pp. K Atas 7 9 29 0 45 0 30
8 pld. BT 8 26 27 0 61 0 47
9 pld.KBY 24 19 18 0 61 6 47
10 pld. DMS 4 7 9 0 20 2 15
11 Pld. RNTH 2 43 35 0 80 5 68
TOTAL 154 364 290 1 809 14 657
PORAN KUNJUNGAN PP/POLINDES
JENIS PELAYANAN
BP Gigi KIA LAIN-LAIN
JML B L JML B L JML B L JML
65 0 0 0 0 6 6 0 0 0
59 0 3 3 2 6 8 0 0 0
17 0 0 0 0 2 2 0 0 0
63 0 2 2 1 9 10 0 0 0
56 0 2 2 0 11 11 0 0 0
191 0 11 11 1 27 28 0 8 8
30 1 0 1 2 12 14 0 0 0
47 0 1 1 0 13 13 0 0 0
53 0 0 0 2 6 8 0 0 0
17 0 0 0 1 2 3 0 0 0
73 0 2 2 1 4 5 0 0 0
671 1 21 22 10 98 108 0 8 8
B L Jumlah
0 71 71
2 68 70
0 19 19
1 74 75
0 69 69
2 236 238
3 42 45
0 61 61
8 53 61
3 17 20
6 74 80
25 784 809
REKAPAN KUNJUNGAN PUSKESMAS TALAWI
BP KIA GIGI KB UGD IMUNISASI LAIN-LAIN
TANGGAL Bayar jpkm bpjs lain" jumlah BARU LAMA TOTAL
B L JML B L JML B L JML B L JML B L JML B L JML B L JML
1/2/2015 7 18 30 0 55 4 39 2 6 2 1 6 0 1 1 7 0 55
1/5/2015 10 22 33 0 65 4 49 2 6 5 0 3 0 2 2 8 0 65
1/6/2015 21 40 52 0 113 7 73 6 10 4 0 7 0 4 19 17 0 113
1/7/2015 13 16 25 0 54 4 39 1 7 3 0 4 0 1 5 0 54
1/8/2015 9 19 24 0 52 3 36 2 7 3 3 0 5 0 1 1 9 0 52
1/9/2015 6 26 14 0 46 4 33 0 3 1 6 3 0 0 1 5 0 46
1/10/2015 6 9 23 0 38 0 24 1 7 1 0 5 1 0 1 0 38
1/12/2015 12 23 29 0 64 2 38 7 6 0 6 1 2 6 4 0 64
1/13/2015 26 63 58 0 147 9 103 7 21 4 0 1 6 0 1 13 18 0 147
1/14/2015 13 14 18 0 45 2 27 2 2 7 0 3 3 3 4 0 45
1/15/2015 14 15 20 0 49 4 33 2 5 1 0 1 3 2 2 1 5 10 0 49
1/16/2015 7 18 23 0 48 1 38 1 2 0 3 1 3 3 4 0 48
1/17/2015 14 12 19 0 45 37 3 1 0 3 1 0 0 0 45
1/19/2015 21 26 12 0 59 2 32 2 10 7 1 4 3 2 4 0 59
1/20/2015 22 40 52 0 114 5 75 4 30 1 3 1 4 0 1 10 0 114
1/21/2015 13 23 8 0 44 22 3 3 0 9 3 3 4 3 0 44
1/22/2015 12 19 11 0 42 23 11 4 0 3 0 1 0 0 42
1/23/2015 6 18 22 0 46 1 40 1 4 1 1 0 1 0 0 3 0 46
1/24/2015 5 5 12 0 22 18 2 0 0 0 1 1 0 0 22
JUMLAH 237 426 485 0 1148 52 727 779 30 115 145 8 55 63 0 6 6 2 73 75 2 14 16 18 46 64 112 1036 1148
2 73 75 2 20 22
54 800 854 20 66 86
ugd +rawatan 100 95 21 0 216 52 164 216 52 164 216
total 337 521 506 0 1364 106 964 1070 164 1200 1364
1/2/2015 7 18 30 0 55 4 39 2 6 2 1 6 0 1 1 7 0 55
1/5/2015 10 22 33 0 65 4 49 2 6 5 0 3 0 2 2 8 0 65
1/6/2015 21 40 52 0 113 7 73 6 10 4 0 7 0 4 19 17 0 113
1/7/2015 13 16 25 0 54 4 39 1 7 3 0 4 0 1 5 0 54
1/8/2015 9 19 24 0 52 3 36 2 7 3 3 0 5 0 1 1 9 0 52
1/9/2015 6 26 14 0 46 4 33 0 3 1 6 3 0 0 1 5 0 46
1/10/2015 6 9 23 0 38 0 24 1 7 1 0 5 1 0 1 0 38
1/12/2015 12 23 29 0 64 2 38 7 6 0 6 1 2 6 4 0 64
1/13/2015 26 63 58 0 147 9 103 7 21 4 0 1 6 0 1 13 18 0 147
1/14/2015 13 14 18 0 45 2 27 2 2 7 0 3 3 3 4 0 45
1/15/2015 14 15 20 0 49 4 33 2 5 1 0 1 3 2 2 1 5 10 0 49
1/16/2015 7 18 23 0 48 1 38 1 2 0 3 1 3 3 4 0 48
1/17/2015 14 12 19 0 45 37 3 1 0 3 1 0 0 0 45
1/19/2015 21 26 12 0 59 2 32 2 10 7 1 4 3 2 4 0 59
1/20/2015 22 40 52 0 114 5 75 4 30 1 3 1 4 0 1 10 0 114
1/21/2015 13 23 8 0 44 22 3 3 0 9 3 3 4 3 0 44
1/22/2015 12 19 11 0 42 23 11 4 0 3 0 1 0 0 42
1/23/2015 6 18 22 0 46 1 40 1 4 1 1 0 1 0 0 3 0 46
1/24/2015 5 5 12 0 22 18 2 0 0 0 1 1 0 0 22
JUMLAH 237 426 485 0 1148 52 727 779 30 115 145 8 55 63 0 6 6 2 73 75 2 14 16 18 46 64 112 1036 1148
2 73 75 2 20 22
54 800 854 20 66 86
ugd +rawatan 100 95 21 0 216 52 164 216 52 164 216
total 337 521 506 0 1364 106 964 1070 164 1200 1364
PUSKESMAS : TALAWI
BULAN FEBRUARI 2015

BAYAR JPKM BPJS LAIN -LAIN JUMLAH BP Gigi KIA LAIN -LAIN B L Jumlah
B L JML B L JML B L JML B L JML
1 Puskesmas Induk 508 695 744 1 1948 244 1261 1505 30 154 184 8 93 101 34 124 158 316 1632 1948
2 Puskesmas Pembantu Bukit Gadang 13 31 37 0 81 0 67 67 0 0 0 0 14 14 0 0 0 0 81 81
3 Puskesmas Pembantu Batu Tanjung 8 44 41 0 93 0 81 81 3 0 3 0 9 9 0 0 0 3 90 93
4 Puskesmas Pembantu Kumbayau 3 5 2 0 10 0 7 7 0 0 0 0 3 3 0 0 0 0 10 10
5 Puskesmas Pembantu Tumpuk Tangah 26 60 67 0 153 0 121 121 0 8 8 2 22 24 0 0 0 2 151 153
6 Puskesmas Pembantu Salak 21 65 9 0 95 0 80 80 0 3 3 0 12 12 0 0 0 0 95 95
7 Puskesmas Pembantu Sikalang 67 163 54 0 284 7 215 222 2 16 18 0 38 38 1 5 6 10 274 284
8 Puskesmas Pembantu Kumanis Atas 11 17 24 4 56 0 28 28 0 2 2 2 24 26 0 0 0 2 54 56
9 Polindes Batu Tanjung 6 37 30 0 73 0 65 65 0 3 3 1 4 5 0 0 0 1 72 73
10 Polindes Kumbayau 23 45 18 1 87 0 73 73 0 0 0 1 12 13 0 1 1 1 86 87
11 Polindes Datar Mansiang 4 5 9 0 18 1 14 15 0 0 0 2 1 3 0 0 0 3 15 18
12 Polindes Rantih 6 48 36 0 90 1 72 73 0 5 5 1 11 12 0 0 0 2 88 90
Jumlah 2 s/d 12 188 520 327 5 1040 9 823 832 5 37 42 9 150 159 1 6 7 24 1016 1040
Total 1 s/d 12 696 1215 1071 6 2988 253 2084 2337 35 191 226 17 243 260 35 130 165 340 2648 2988
1 Puskesmas Induk 244 1261 1505 30 154 184 8 93 101 282 1508 1790
2 Puskesmas Pembantu Bukit Gadang 0 67 67 0 0 0 0 14 14 0 81 81
3 Puskesmas Pembantu Batu Tanjung 0 81 81 3 0 3 0 9 9 3 90 93
4 Puskesmas Pembantu Kumbayau 0 7 7 0 0 0 0 3 3 0 10 10
5 Puskesmas Pembantu Tumpuk Tangah 0 121 121 0 8 8 2 22 24 2 151 153
6 Puskesmas Pembantu Salak 0 80 80 0 3 3 0 12 12 0 95 95
7 Puskesmas Pembantu Sikalang 7 215 222 2 16 18 0 38 38 9 269 278
8 Puskesmas Pembantu Kumanis Atas 0 28 28 0 2 2 2 24 26 2 54 56
9 Polindes Batu Tanjung 0 65 65 0 3 3 1 4 5 1 72 73
10 Polindes Kumbayau 0 73 73 0 0 0 1 12 13 1 85 86
11 Polindes Datar Mansiang 1 14 15 0 0 0 2 1 3 3 15 18
12 Polindes Rantih 1 72 73 0 5 5 1 11 12 2 88 90
Jumlah 2 s/d 12 9 823 832 5 37 42 9 150 159 23 1010 1033
Total 1 s/d 12 253 2084 2337 35 191 226 17 243 260 305 2518 2823
UKS,Perkesmas, UKGMD,dll) 84 4446 4530
dr. RANU VERRA MARDIANTI NENGSI JUITA, Amd,PK

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
LAPORAN KUNJU
BULAN FEBRUARI 2015
STATUS BAYAR
NO KEGIATAN BP
B L
1 pp. BG 13 31 37 0 81 0 67
2 pp. BT 8 44 41 0 93 0 81
3 pp. KBY 3 5 2 0 10 0 7
4 pp. TT 26 60 67 0 153 0 121
5 pp. Salak 21 65 9 0 95 0 80
6 PP. SKLG 67 163 54 0 284 7 215
7 pp. K Atas 11 17 24 4 56 0 28
8 pld. BT 6 37 30 0 73 0 65
9 pld.KBY 23 45 18 1 87 0 73
10 pld. DMS 4 5 9 0 18 1 14
11 Pld. RNTH 6 48 36 0 90 1 72
TOTAL 188 520 327 5 1040 9 823
ORAN KUNJUNGAN PP/POLINDES
JENIS PELAYANAN
67 0 0 0 0 14 14 0 0 0
81 3 0 3 0 9 9 0 0 0
7 0 0 0 0 3 3 0 0 0
121 0 8 8 2 22 24 0 0 0
80 0 3 3 0 12 12 0 0 0
222 2 16 18 0 38 38 1 5 6
28 0 2 2 2 24 26 0 0 0
65 0 3 3 1 4 5 0 0 0
73 0 0 0 1 12 13 0 1 1
15 0 0 0 2 1 3 0 0 0
73 0 5 5 1 11 12 0 0 0
832 5 37 42 9 150 159 1 6 7
B L Jumlah
0 81 81
3 90 93
0 10 10
2 151 153
0 95 95
10 274 284
2 54 56
1 72 73
1 86 87
3 15 18
2 88 90
24 1016 1040
26/1/15 22 13 23 1 59 2 34 3 9 4 1 2 7 1 3 3 10 59
27/1/15 21 44 39 0 104 7 71 2 8 3 0 3 19 9 104
1/28/2015 14 24 21 0 59 7 35 9 2 9 0 1 1 0 1 5 11 59
1/29/2015 13 12 14 0 39 3 27 3 3 3 3 3 39
1/30/2015 11 23 16 0 50 2 42 3 2 3 3 5 50
1/31/2015 4 13 12 0 29 20 1 4 4 1 1 2 29
2/2/2015 16 24 17 0 57 4 41 6 4 3 1 3 5 57
2/3/2015 30 57 44 0 131 5 90 1 11 2 6 1 2 5 1 18 11 131
2/4/2015 19 13 19 0 51 3 33 1 6 3 1 2 7 7 12 51
2/5/2015 12 10 20 0 42 3 29 6 2 2 3 3 6 42
2/6/2015 12 35 22 0 69 2 54 8 3 1 3 1 3 69
2/7/2015 7 12 13 0 32 20 7 1 1 1 1 3 2 32
2/9/2015 16 21 30 0 67 7 47 1 8 6 1 4 2 9 67
2/10/2015 17 47 43 0 107 5 78 4 2 2 1 3 20 8 107
2/11/2015 13 10 14 0 37 5 24 5 1 5 1 3 7 37
2/12/2015 15 17 15 0 47 5 34 2 3 4 1 2 3 7 47
2/13/2015 15 25 31 0 71 6 52 6 6 1 6 6 71
2/14/2015 16 11 17 0 44 4 25 3 6 4 1 1 7 7 44
2/16/2015 15 16 27 0 58 8 45 5 3 5 8 58
2/17/2015 24 45 57 0 126 10 88 5 19 5 3 3 11 18 126
2/18/2015 14 10 14 0 38 8 20 3 6 3 1 4 4 4 15 38
2/20/2015 21 25 27 0 73 3 58 1 8 1 4 1 3 6 73
2/21/2015 10 19 16 0 45 2 27 2 9 3 1 3 1 2 5 45
2/23/2015 13 27 26 0 66 4 45 2 9 8 2 2 6 66
2/24/2015 24 52 45 0 121 5 91 1 8 1 5 1 3 5 17 16 121
2/25/2015 15 22 22 0 59 8 42 2 8 2 3 1 3 10 59
JUMLAH 409 627 644 1 1681 118 1054 1172 30 154 184 8 93 101 1 3 4 17 49 66 1 12 13 32 109 141 207 1474 1681
17 49 66 2 15 17
UGD+ RAWATAN 99 68 100 0 267 109 158 267 109 158 267
TOTALLL 508 695 744 1 1948 244 1261 1505 34 124 158 316 1632 1948
2
26/1/15 22 13 23 1 59 2 34 3 9 4 1 2 7 1 3 3 10 59
27/1/15 21 44 39 0 104 7 71 2 8 3 0 3 19 9 104
1/28/2015 14 24 21 0 59 7 35 9 2 9 0 1 1 0 1 5 11 59
1/29/2015 13 12 14 0 39 3 27 3 3 3 3 3 39
1/30/2015 11 23 16 0 50 2 42 3 2 3 3 5 50
1/31/2015 4 13 12 0 29 20 1 4 4 1 1 2 29
2/2/2015 16 24 17 0 57 4 41 6 4 3 1 3 5 57
2/3/2015 30 57 44 0 131 5 90 1 11 2 6 1 2 5 1 18 11 131
2/4/2015 19 13 19 0 51 3 33 1 6 3 1 2 7 7 12 51
2/5/2015 12 10 20 0 42 3 29 6 2 2 3 3 6 42
2/6/2015 12 35 22 0 69 2 54 8 3 1 3 1 3 69
2/7/2015 7 12 13 0 32 20 7 1 1 1 1 3 2 32
2/9/2015 16 21 30 0 67 7 47 1 8 6 1 4 2 9 67
2/10/2015 17 47 43 0 107 5 78 4 2 2 1 3 20 8 107
2/11/2015 13 10 14 0 37 5 24 5 1 5 1 3 7 37
2/12/2015 15 17 15 0 47 5 34 2 3 4 1 2 3 7 47
2/13/2015 15 25 31 0 71 6 52 6 6 1 6 6 71
2/14/2015 16 11 17 0 44 4 25 3 6 4 1 1 7 7 44
2/16/2015 15 16 27 0 58 8 45 5 3 5 8 58
2/17/2015 24 45 57 0 126 10 88 5 19 5 3 3 11 18 126
2/18/2015 14 10 14 0 38 8 20 3 6 3 1 4 4 4 15 38
2/20/2015 21 25 27 0 73 3 58 1 8 1 4 1 3 6 73
2/21/2015 10 19 16 0 45 2 27 2 9 3 1 3 1 2 5 45
2/23/2015 13 27 26 0 66 4 45 2 9 8 2 2 6 66
2/24/2015 24 52 45 0 121 5 91 1 8 1 5 1 3 5 17 16 121
2/25/2015 15 22 22 0 59 8 42 2 8 2 3 1 3 10 59
JUMLAH 409 627 644 1 1681 118 1054 1172 30 154 184 8 93 101 1 3 4 17 49 66 1 12 13 32 109 141 207 1474 1681
17 49 66 2 15 17
UGD+ RAWATAN 99 68 100 0 267 109 158 267 109 158 267
TOTALLL 508 695 744 1 1948 244 1261 1505 34 124 158 316 1632 1948
2
LAPORAN KUNJ
BULAN MARET 2015
STATUS BAYAR
NO KEGIATAN BP
B
1 pp. BG 11 32 34 0 77 0
2 pp. BT 5 16 22 0 43 0
3 pp. KBY 0 0 0 0 0 0
4 pp. TT 20 47 51 0 118 0
5 pp. Salak 27 51 4 1 83 0
6 PP. SKLG 71 133 54 0 258 3
7 pp. K Atas 10 10 29 2 51 0
8 pld. BT 7 31 30 0 68 0
9 pld.KBY 30 30 30 1 91 4
10 pld. DMS 0 0 0 0 0 0
11 Pld. RNTH 11 47 31 0 89 8
TOTAL 192 397 285 4 878 15
LAPORAN KUNJUNGAN PP/POLINDES
JENIS PELAYANAN
L JML B L JML B L JML B L
70 70 0 0 0 0 7 7 0 0
35 35 1 0 1 2 5 7 0 0
0 0 0 0 0 0 0 0 0 0
94 94 0 4 4 2 18 20 0 0
73 73 0 1 1 0 9 9 0 0
189 192 0 17 17 4 38 42 2 5
30 30 0 0 0 1 20 21 0 0
60 60 0 3 3 0 5 5 0 0
74 78 0 0 0 1 11 12 0 1
0 0 0 0 0 0 0 0 0 0
69 77 0 5 5 0 7 7 0 0
694 709 1 30 31 10 120 130 2 6
LAIN-LAIN B L Jumlah
JML
0 0 77 77
0 3 40 43
0 0 0 0
0 2 116 118
0 0 83 83
7 9 249 258
0 1 50 51
0 0 68 68
1 5 86 91
0 0 0 0
0 8 81 89
8 28 850 878
26/2/15 11 16 22 0 49 4 31 3 5 2 7 1 3 2 1 10 49
27/2/15 11 23 21 0 55 2 40 2 8 1 4 2 1 5 55
28/2/15 0 16 14 0 30 24 3 2 1 0 30
2/3/2015 14 22 20 0 56 4 35 6 2 4 0 2 6 2 5 10 56
3/3/2015 22 39 55 0 116 2 89 7 10 3 1 1 13 10 116
4/3/2015 14 15 26 0 55 8 40 5 6 2 1 1 8 55
5/3/2015 7 15 16 0 38 1 31 5 2 2 3 38
6/3/2015 14 24 22 0 60 1 46 3 6 1 1 1 1 2 3 5 60
7/3/2015 5 7 12 0 24 2 18 1 3 2 1 3 24
9/3/2015 9 18 18 1 46 4 31 1 5 2 3 1 1 4 6 46
10/3/2015 25 47 45 1 118 7 73 6 35 2 5 1 1 1 3 16 118
11/3/2015 8 15 21 1 45 33 4 1 6 1 2 2 45
12/3/2015 19 16 21 0 56 2 38 1 10 4 3 1 3 56
13/3/15 7 21 26 2 56 2 39 7 1 3 5 2 3 56
14/3/15 12 7 12 0 31 4 20 4 3 1 3 4 31
16/3/15 18 22 12 0 52 35 1 4 3 2 7 8 8 52
17/3/15 24 46 28 1 99 7 62 2 7 2 5 8 23 17 99
18/3/15 6 11 15 0 32 3 20 4 1 4 5 2 7 32
19/3/15 18 20 16 0 54 32 7 7 2 5 2 3 4 54
20/3/15 15 14 28 0 57 1 43 2 5 4 2 2 1 3 57
23/3/15 21 21 30 0 72 5 44 14 2 3 1 3 1 6 7 72
24/3/15 22 35 37 1 95 4 62 3 11 6 1 3 6 13 14 95
25/3/15 11 13 16 0 40 2 23 1 4 2 8 2 3 3 8 40
TOTALLL 313 483 533 7 1336 65 844 909 28 138 166 15 79 94 0 1 1 13 48 61 4 8 12 31 62 93 156 1180 1336
0 1 1
UGD+ RAWATAN 74 62 60 0 196 58 138 196 4 8 12 58 138 196
13 48 61
TOTAL 387 545 593 7 1532 136 1030 1166 35 71 106 214 1318 1532
26/2/15 11 16 22 0 49 4 31 3 5 2 7 1 3 2 1 10 49
27/2/15 11 23 21 0 55 2 40 2 8 1 4 2 1 5 55
28/2/15 0 16 14 0 30 24 3 2 1 0 30
2/3/2015 14 22 20 0 56 4 35 6 2 4 0 2 6 2 5 10 56
3/3/2015 22 39 55 0 116 2 89 7 10 3 1 1 13 10 116
4/3/2015 14 15 26 0 55 8 40 5 6 2 1 1 8 55
5/3/2015 7 15 16 0 38 1 31 5 2 2 3 38
6/3/2015 14 24 22 0 60 1 46 3 6 1 1 1 1 2 3 5 60
7/3/2015 5 7 12 0 24 2 18 1 3 2 1 3 24
9/3/2015 9 18 18 1 46 4 31 1 5 2 3 1 1 4 6 46
10/3/2015 25 47 45 1 118 7 73 6 35 2 5 1 1 1 3 16 118
11/3/2015 8 15 21 1 45 33 4 1 6 1 2 2 45
12/3/2015 19 16 21 0 56 2 38 1 10 4 3 1 3 56
13/3/15 7 21 26 2 56 2 39 7 1 3 5 2 3 56
14/3/15 12 7 12 0 31 4 20 4 3 1 3 4 31
16/3/15 18 22 12 0 52 35 1 4 3 2 7 8 8 52
17/3/15 24 46 28 1 99 7 62 2 7 2 5 8 23 17 99
18/3/15 6 11 15 0 32 3 20 4 1 4 5 2 7 32
19/3/15 18 20 16 0 54 32 7 7 2 5 2 3 4 54
20/3/15 15 14 28 0 57 1 43 2 5 4 2 2 1 3 57
23/3/15 21 21 30 0 72 5 44 14 2 3 1 3 1 6 7 72
24/3/15 22 35 37 1 95 4 62 3 11 6 1 3 6 13 14 95
25/3/15 11 13 16 0 40 2 23 1 4 2 8 2 3 3 8 40
TOTALLL 313 483 533 7 1336 65 844 909 28 138 166 15 79 94 0 1 1 13 48 61 4 8 12 31 62 93 156 1180 1336
0 1 1
UGD+ RAWATAN 74 62 60 0 196 58 138 196 4 8 12 58 138 196
13 48 61
TOTAL 387 545 593 7 1532 136 1030 1166 35 71 106 214 1318 1532
PUSKESMAS : TALAWI
BULAN MARET 2015

BAYAR JPKM BPJS LAIN -LAIN JUMLAH BP Gigi KIA LAIN -LAIN B L Jumlah
1 Puskesmas Induk 387 545 593 7 1532 136 1030 1166 15 79 94 28 138 166 35 71 106 214 1318 1532
2 Puskesmas Pembantu Bukit Gadang 11 32 34 0 77 0 70 70 0 0 0 0 7 7 0 0 0 0 77 77
3 Puskesmas Pembantu Batu Tanjung 5 16 22 0 43 0 35 35 1 0 1 2 5 7 0 0 0 3 40 43
4 Puskesmas Pembantu Kumbayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Puskesmas Pembantu Tumpuk Tangah 20 47 51 0 118 0 94 94 0 4 4 2 18 20 0 0 0 2 116 118
6 Puskesmas Pembantu Salak 27 51 4 1 83 0 73 73 0 1 1 0 9 9 0 0 0 0 83 83
7 Puskesmas Pembantu Sikalang 71 133 54 0 258 3 189 192 0 17 17 4 38 42 2 5 7 9 249 258
8 Puskesmas Pembantu Kumanis Atas 10 10 29 2 51 0 30 30 0 0 0 1 20 21 0 0 0 1 50 51
9 Polindes Batu Tanjung 7 31 30 0 68 0 60 60 0 3 3 0 5 5 0 0 0 0 68 68
10 Polindes Kumbayau 30 30 30 1 91 4 74 78 0 0 0 1 11 12 0 1 1 5 86 91
11 Polindes Datar Mansiang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Polindes Rantih 11 47 31 0 89 8 69 77 0 5 5 0 7 7 0 0 0 8 81 89
Jumlah 2 s/d 12 192 397 285 4 878 15 694 709 1 30 31 10 120 130 2 6 8 28 850 878
Total 1 s/d 12 579 942 878 11 2410 151 1724 1875 16 109 125 38 258 296 37 77 114 242 2168 2410
1 Puskesmas Induk 136 1030 1166 15 79 94 28 138 166 179 1247 1426
2 Puskesmas Pembantu Bukit Gadang 0 70 70 0 0 0 0 7 7 0 77 77
3 Puskesmas Pembantu Batu Tanjung 0 35 35 1 0 1 2 5 7 3 40 43
4 Puskesmas Pembantu Kumbayau 0 0 0 0 0 0 0 0 0 0 0 0
5 Puskesmas Pembantu Tumpuk Tangah 0 94 94 0 4 4 2 18 20 2 116 118
6 Puskesmas Pembantu Salak 0 73 73 0 1 1 0 9 9 0 83 83
7 Puskesmas Pembantu Sikalang 3 189 192 0 17 17 4 38 42 7 244 251
8 Puskesmas Pembantu Kumanis Atas 0 30 30 0 0 0 1 20 21 1 50 51
9 Polindes Batu Tanjung 0 60 60 0 3 3 0 5 5 0 68 68
10 Polindes Kumbayau 4 74 78 0 0 0 1 11 12 5 85 90
11 Polindes Datar Mansiang 0 0 0 0 0 0 0 0 0 0 0 0
12 Polindes Rantih 8 69 77 0 5 5 0 7 7 8 81 89
Jumlah 2 s/d 12 15 694 709 1 30 31 10 120 130 26 844 870
Total 1 s/d 12 151 1724 1875 16 109 125 38 258 296 205 2091 2296

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
LAPORAN KUNJ
BULAN APRIL 2015
STATUS BAYAR
NO KEGIATAN BP
B
1 pp. BG 14 40 21 0 75 0
2 pp. BT 0 1 2 0 3 0
3 pp. KBY 6 6 0 0 12 0
4 pp. TT 24 51 46 0 121 0
5 pp. Salak 25 67 7 1 100 0
6 PP. SKLG 101 140 56 1 298 2
7 pp. K Atas 19 7 25 5 56 0
8 pld. BT 4 30 34 0 68 0
9 pld.KBY 19 33 15 0 67 2
10 pld. DMS 5 4 8 0 17 2
11 Pld. RNTH 4 59 41 0 104 2
TOTAL 221 438 255 7 921 8
LAPORAN KUNJUNGAN PP/POLINDES
JENIS PELAYANAN
63 63 0 0 0 0 12 12 0 0
2 2 0 0 0 1 0 1 0 0
12 12 0 0 0 0 0 0 0 0
99 99 1 5 6 4 12 16 0 0
84 84 0 2 2 0 14 14 0 0
217 219 2 21 23 0 48 48 1 7
41 41 0 0 0 0 15 15 0 0
63 63 0 1 1 1 3 4 0 0
57 59 0 0 0 1 7 8 0 0
10 12 0 0 0 1 4 5 0 0
89 91 0 2 2 0 11 11 0 0
737 745 3 31 34 8 126 134 1 7
JML
0 0 75 75
0 1 2 3
0 0 12 12
0 5 116 121
0 0 100 100
8 5 293 298
0 0 56 56
0 1 67 68
0 3 64 67
0 3 14 17
0 2 102 104
8 20 901 921
26/3/2015 14 15 18 0 47 6 36 1 2 2 0 4 0 3 7 47
27/3/2015 12 19 19 0 50 1 33 8 6 1 1 2 2 4 50
28/3/2015 4 8 8 0 20 1 18 0 1 1 1 2 20
30/3/2015 22 22 28 0 72 3 48 1 8 2 4 0 2 5 7 8 72
31/3/2015 25 53 53 0 131 10 94 3 7 1 7 5 5 18 19 131
1/4/2015 17 14 14 1 46 2 23 1 8 0 3 0 1 1 4 0 0 1 7 5 46
2/4/2015 14 22 19 0 55 1 31 2 7 1 7 0 0 1 4 0 0 2 6 7 55
4/4/2015 18 11 18 2 49 3 33 1 5 0 3 0 0 0 2 0 0 5 6 9 49
6/4/2015 32 25 26 0 83 2 50 0 7 0 4 0 1 2 6 0 0 5 15 9 83
7/4/2015 24 51 51 0 126 5 82 0 7 3 9 0 0 0 2 0 0 5 26 13 126
8/4/2015 15 15 12 0 42 1 21 2 6 0 1 0 0 1 5 2 2 0 7 6 42
9/4/2015 6 9 18 0 33 1 20 1 4 0 4 0 0 0 1 0 0 3 4 5 33
10/4/2015 10 24 26 0 60 3 47 0 6 0 2 0 0 1 3 0 0 2 2 6 60
11/4/2015 9 10 19 0 38 2 27 0 4 0 0 0 0 2 3 0 0 1 4 5 38
13/4/2015 20 19 34 0 73 9 52 2 2 0 4 0 0 1 6 1 3 3 6 16 73
14/4/2015 23 44 36 1 104 3 74 0 0 0 6 0 0 0 2 0 0 8 22 11 104
15/4/2015 20 16 26 1 63 3 38 3 4 1 4 0 0 2 4 1 3 2 10 12 63
16/4/2015 30 19 41 0 90 4 52 0 1 0 7 0 1 0 4 0 0 11 25 15 90
17/4/2015 26 24 22 0 72 2 50 0 0 0 5 0 0 0 1 0 0 4 16 6 72
18/4/2015 14 15 19 0 48 1 34 0 6 2 5 0 0 1 2 0 0 0 1 4 48
20/4/2015 34 23 32 0 89 6 54 1 5 1 5 0 1 1 4 0 0 12 20 21 89
21/4/2015 21 58 43 1 123 2 88 1 10 0 6 0 1 0 3 0 0 0 15 3 123
22/4/2015 19 16 20 0 55 0 28 0 6 0 3 0 0 0 3 1 4 6 11 7 55
23/4/2015 7 17 13 0 37 4 22 2 3 0 2 0 0 1 5 0 0 1 5 8 37
24/4/2015 8 26 13 0 47 1 39 0 2 0 1 0 0 1 1 0 4 2 47
25/4/2015 9 3 15 0 27 2 23 1 2 0 0 0 0 0 1 0 0 0 1 3 27
JUMLAH 453 578 643 6 1680 78 1039 1117 22 98 120 11 89 100 0 5 5 17 63 80 6 8 14 79 165 244 213 1467 1680
UGD+RAWATAN 110 89 81 0 280 99 181 280 6 13 19 99 181 280
17 63 80
TOTAL 563 667 724 6 1960 194 1283 1477 85 178 263 312 1648 1960
26/3/2015 14 15 18 0 47 6 36 1 2 2 0 4 0 3 7 47
27/3/2015 12 19 19 0 50 1 33 8 6 1 1 2 2 4 50
28/3/2015 4 8 8 0 20 1 18 0 1 1 1 2 20
30/3/2015 22 22 28 0 72 3 48 1 8 2 4 0 2 5 7 8 72
31/3/2015 25 53 53 0 131 10 94 3 7 1 7 5 5 18 19 131
1/4/2015 17 14 14 1 46 2 23 1 8 0 3 0 1 1 4 0 0 1 7 5 46
2/4/2015 14 22 19 0 55 1 31 2 7 1 7 0 0 1 4 0 0 2 6 7 55
4/4/2015 18 11 18 2 49 3 33 1 5 0 3 0 0 0 2 0 0 5 6 9 49
6/4/2015 32 25 26 0 83 2 50 0 7 0 4 0 1 2 6 0 0 5 15 9 83
7/4/2015 24 51 51 0 126 5 82 0 7 3 9 0 0 0 2 0 0 5 26 13 126
8/4/2015 15 15 12 0 42 1 21 2 6 0 1 0 0 1 5 2 2 0 7 6 42
9/4/2015 6 9 18 0 33 1 20 1 4 0 4 0 0 0 1 0 0 3 4 5 33
10/4/2015 10 24 26 0 60 3 47 0 6 0 2 0 0 1 3 0 0 2 2 6 60
11/4/2015 9 10 19 0 38 2 27 0 4 0 0 0 0 2 3 0 0 1 4 5 38
13/4/2015 20 19 34 0 73 9 52 2 2 0 4 0 0 1 6 1 3 3 6 16 73
14/4/2015 23 44 36 1 104 3 74 0 0 0 6 0 0 0 2 0 0 8 22 11 104
15/4/2015 20 16 26 1 63 3 38 3 4 1 4 0 0 2 4 1 3 2 10 12 63
16/4/2015 30 19 41 0 90 4 52 0 1 0 7 0 1 0 4 0 0 11 25 15 90
17/4/2015 26 24 22 0 72 2 50 0 0 0 5 0 0 0 1 0 0 4 16 6 72
18/4/2015 14 15 19 0 48 1 34 0 6 2 5 0 0 1 2 0 0 0 1 4 48
20/4/2015 34 23 32 0 89 6 54 1 5 1 5 0 1 1 4 0 0 12 20 21 89
21/4/2015 21 58 43 1 123 2 88 1 10 0 6 0 1 0 3 0 0 0 15 3 123
22/4/2015 19 16 20 0 55 0 28 0 6 0 3 0 0 0 3 1 4 6 11 7 55
23/4/2015 7 17 13 0 37 4 22 2 3 0 2 0 0 1 5 0 0 1 5 8 37
24/4/2015 8 26 13 0 47 1 39 0 2 0 1 0 0 1 1 0 4 2 47
25/4/2015 9 3 15 0 27 2 23 1 2 0 0 0 0 0 1 0 0 0 1 3 27
JUMLAH 453 578 643 6 1680 78 1039 1117 22 98 120 11 89 100 0 5 5 17 63 80 6 8 14 79 165 244 213 1467 1680
UGD+RAWATAN 110 89 81 0 280 99 181 280 6 13 19 99 181 280
17 63 80
TOTAL 563 667 724 6 1960 194 1283 1477 85 178 263 312 1648 1960
PUSKESMAS : TALAWI
BULAN APRIL 2015

LAIN -
BAYAR JPKM BPJS LAIN JUMLAH BP Gigi KIA UGD LAIN-LAIN B L Jumlah
1 Puskesmas Induk 453 578 643 6 1680 78 1039 1117 11 89 100 22 98 120 17 63 80 85 178 263 213 1467 1680
2 UGD DAN RAWATAN 110 89 81 0 280 0 0 0 0 0 0 0 0 0 99 181 280 0 0 0 99 181 280
12 Polindes Datar Mansiang 5 4 8 0 17 2 10 12 0 0 0 1 4 5 0 0 0 0 0 0 3 14 17
13 Polindes Rantih 4 59 41 0 104 2 89 91 0 2 2 0 11 11 0 0 0 0 0 0 2 102 104
Jumlah 3 s/d 13 221 438 255 7 921 8 737 745 3 31 34 8 126 134 0 0 0 1 7 8 20 901 921
Total 1 s/d 13 784 1105 979 13 2881 86 1776 1862 14 120 134 30 224 254 116 244 360 86 185 271 332 2549 2881
1 Puskesmas Induk 78 1039 1117 11 89 100 22 98 120 17 63 80 128 1289 1417
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 0 0 0 99 181 280
13 Polindes Rantih 2 89 91 0 2 2 0 11 11 0 0 0 2 102 104
Jumlah 3 s/d 13 8 737 745 3 31 34 8 126 134 0 0 0 19 894 913
Total 1 s/d 13 86 1776 1862 14 120 134 30 224 254 17 63 80 246 2364 2610
UKS,Perkesmas, UKGMD,dll) 62 3638 3700

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
May-20
TANGGAL Bayar bpjs lain" TOTAL BARU LAMA
4/27/2020 7 36 0 43 1 35 36 0 5 5 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 3 40
4/28/2020 17 33 0 50 0 34 34 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 13 0 13 13 37
4/29/2020 8 22 0 30 1 18 19 3 3 6 1 0 1 0 0 0 0 0 0 2 0 2 1 1 2 8 22
4/30/2020 2 23 0 25 3 20 23 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 22
5/2/2020 3 20 0 23 0 20 20 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 22
5/4/2020 3 42 0 45 1 39 40 0 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 44
5/5/2020 10 32 0 42 1 36 37 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 40
5/6/2020 7 16 0 23 0 19 19 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 22
5/8/2020 2 30 0 32 0 30 30 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32
5/9/2020 1 17 0 18 2 14 16 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 16
5/11/2020 10 31 0 41 2 30 32 1 7 8 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 4 37
5/12/2020 5 29 0 34 1 27 28 0 5 5 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 2 32
5/13/2020 5 14 0 19 0 13 13 2 1 3 0 1 1 0 0 0 0 0 0 0 0 0 0 2 2 2 17
5/14/2020 1 24 0 25 1 21 22 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 24
5/15/2020 5 14 0 19 0 17 17 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 2 17
5/16/2020 1 17 0 18 1 16 17 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 16
5/18/2020 5 34 0 39 1 32 33 1 3 4 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 3 36
5/19/2020 5 30 0 35 2 28 30 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 4 31
5/20/2020 2 19 0 21 0 20 20 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 20
5/22/2020 1 13 0 14 0 12 12 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13
5/23/2020 0 6 0 6 0 3 3 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6
100 502 0 602 17 484 501 13 55 68 1 1 2 1 0 1 0 0 0 6 0 6 18 6 24 56 546
2 37 39 2 37 39
11 18 29 1 0 1
6 0 6
27 43 70 56 546
UGD 117 195 0 312
PERKESMAS B; 22 L; 7
LANSIA 0
PENYULUHAN 0
BALITA B; 18 T; 397
TOTAL
43
50
30
25
23
45
42
23
32
18
41
34
19
25
19
18
39
35
21
14
6
602
602
LAPORAN KUNJUN
BULAN MEI 2015
STATUS BAYAR
NO KEGIATAN BP
B L
1 pp. BG 8 43 23 0 74 0 65
2 pp. BT 0 2 0 0 2 0 1
3 pp. KBY 9 6 4 0 19 0 18
4 pp. TT 22 45 43 0 110 0 91
5 pp. Salak 17 45 5 1 68 0 60
6 PP. SKLG 56 115 36 0 207 4 144
7 pp. K Atas 10 15 18 6 49 0 32
8 pld. BT 6 32 24 0 62 0 56
9 pld.KBY 13 32 15 1 61 1 52
10 pld. DMS 4 6 5 0 15 2 9
11 Pld. RNTH 9 65 28 1 103 3 84
TOTAL 154 406 201 9 770 10 612
APORAN KUNJUNGAN PP/POLINDES
JENIS PELAYANAN
65 0 0 0 0 9 9 0 0 0
1 0 0 0 0 1 1 0 0 0
18 0 0 0 0 1 1 0 0 0
91 1 2 3 3 13 16 0 0 0
60 0 1 1 0 7 7 0 0 0
148 1 17 18 4 30 34 2 5 7
32 0 0 0 0 17 17 0 0 0
56 0 2 2 0 4 4 0 0 0
53 0 0 0 1 6 7 0 1 1
11 0 0 0 1 3 4 0 0 0
87 0 5 5 0 11 11 0 0 0
622 2 27 29 9 102 111 2 6 8
B L Jumlah
0 74 74
0 2 2
0 19 19
4 106 110
0 68 68
11 196 207
0 49 49
0 62 62
2 59 61
3 12 15
3 100 103
23 747 770
27/4/2015 17 25 16 0 58 3 41 1 6 4 0 1 2 1 3 4 8 58
28/482015 20 39 56 0 115 5 80 4 22 8 0 1 3 0 2 2 12 115
4/29/2015 20 16 24 0 60 3 34 4 8 2 6 0 1 4 0 8 8 18 60
30/4/2015 12 22 25 0 59 3 47 8 1 0 1 0 2 2 5 59
5/2/2015 4 10 20 1 35 2 26 0 2 0 2 0 2 5 4 35
5/4/2015 14 28 25 0 67 3 42 6 14 0 1 3 0 2 2 6 67
5/5/2015 30 51 41 0 122 7 92 5 19 1 11 0 0 0 0 13 122
4/6/2015 24 16 9 0 49 5 24 3 3 1 4 1 1 9 13 15 49
5/7/2015 16 31 21 0 68 3 45 8 1 6 0 6 1 1 1 2 6 68
5/8/2015 5 17 14 0 36 24 3 4 0 3 0 2 0 36
5/9/2015 5 7 19 1 32 1 23 1 1 0 1 1 4 0 2 3 5 32
5/11/2015 21 28 30 0 79 7 48 1 7 10 1 6 1 6 6 14 79
5/12/2015 21 63 50 1 135 9 97 25 4 1 4 0 4 4 13 135
5/13/2015 19 15 27 0 61 4 37 7 5 0 1 5 1 1 5 6 11 61
5/15/2015 17 27 31 0 75 2 50 7 1 1 4 0 9 12 11 75
5/18/2015 25 19 25 0 69 1 39 6 6 5 0 1 7 12 8 69
5/19/2015 24 43 38 0 105 8 71 5 21 6 1 1 1 0 5 5 19 105
5/20/2015 18 20 17 0 55 2 34 2 8 5 0 3 2 2 3 3 9 55
5/21/2015 21 29 28 0 78 7 65 5 1 5 1 1 0 1 1 9 78
5/22/2015 11 17 20 0 48 4 32 5 5 0 2 0 4 4 8 48
5/23/2015 10 10 6 0 26 14 2 2 0 2 4 2 0 26
5/25/2015 17 18 30 0 65 45 4 5 0 5 3 4 2 2 5 65
JUMLAH 371 551 572 3 1497 79 0 1010 23 0 181 5 0 113 1 0 12 6 0 65 8 0 16 77 0 100 199 0 1497
86 42 128
27/4/2015 17 25 16 0 58 3 41 1 6 4 0 1 2 1 3 4 8 58
28/482015 20 39 56 0 115 5 80 4 22 8 0 1 3 0 2 2 12 115
4/29/2015 20 16 24 0 60 3 34 4 8 2 6 0 1 4 0 8 8 18 60
30/4/2015 12 22 25 0 59 3 47 8 1 0 1 0 2 2 5 59
5/2/2015 4 10 20 1 35 2 26 0 2 0 2 0 2 5 4 35
5/4/2015 14 28 25 0 67 3 42 6 14 0 1 3 0 2 2 6 67
5/5/2015 30 51 41 0 122 7 92 5 19 1 11 0 0 0 0 13 122
4/6/2015 24 16 9 0 49 5 24 3 3 1 4 1 1 9 13 15 49
5/7/2015 16 31 21 0 68 3 45 8 1 6 0 6 1 1 1 2 6 68
5/8/2015 5 17 14 0 36 24 3 4 0 3 0 2 0 36
5/9/2015 5 7 19 1 32 1 23 1 1 0 1 1 4 0 2 3 5 32
5/11/2015 21 28 30 0 79 7 48 1 7 10 1 6 1 6 6 14 79
5/12/2015 21 63 50 1 135 9 97 25 4 1 4 0 4 4 13 135
5/13/2015 19 15 27 0 61 4 37 7 5 0 1 5 1 1 5 6 11 61
5/15/2015 17 27 31 0 75 2 50 7 1 1 4 0 9 12 11 75
5/18/2015 25 19 25 0 69 1 39 6 6 5 0 1 7 12 8 69
5/19/2015 24 43 38 0 105 8 71 5 21 6 1 1 1 0 5 5 19 105
5/20/2015 18 20 17 0 55 2 34 2 8 5 0 3 2 2 3 3 9 55
5/21/2015 21 29 28 0 78 7 65 5 1 5 1 1 0 1 1 9 78
5/22/2015 11 17 20 0 48 4 32 5 5 0 2 0 4 4 8 48
5/23/2015 10 10 6 0 26 14 2 2 0 2 4 2 0 26
5/25/2015 17 18 30 0 65 45 4 5 0 5 3 4 2 2 5 65
JUMLAH 371 551 572 3 1497 79 0 1010 23 0 181 5 0 113 1 0 12 6 0 65 8 0 16 77 0 100 199 0 1497
86 42 128
PUSKESMAS : TALAWI
BULAN MEI 2015

BAYAR JPKM BPJS LAIN -LAIN JUMLAH BP Gigi KIA UGD LAIN-LAIN B L Jumlah
1 Puskesmas Induk 371 551 572 3 1497 79 921 1010 5 108 113 23 158 181 6 59 65 86 42 128 199 1288 1497
2 UGD DAN RAWATAN 86 53 64 0 203 0 0 0 0 0 0 0 0 0 76 127 203 0 0 0 76 127 203
13 Polindes Rantih 9 65 28 1 103 3 84 87 0 5 5 0 11 11 0 0 0 0 0 0 3 100 103
Jumlah 3 s/d 13 154 406 201 9 770 10 612 622 2 27 29 9 102 111 0 0 0 2 6 8 23 747 770
Total 1 s/d 13 611 1010 837 12 2470 89 1533 1632 7 135 142 32 260 292 82 186 268 88 48 136 298 2162 2470
1 Puskesmas Induk 79 921 1010 5 108 113 23 158 181 6 59 65 113 1246 1369
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 76 127 203 76 127 203
13 Polindes Rantih 3 84 87 0 5 5 0 11 11 0 0 0 3 100 103
Jumlah 3 s/d 13 10 612 622 2 27 29 9 102 111 0 0 0 21 741 762
Total 1 s/d 13 89 1533 1632 7 135 142 32 260 292 82 186 268 210 2114 2334

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007

26-5-2015 29 48 35 112 3 76 79 4 16 20 1 5 6 0 0 0 3 2 5 0 0 0 0 2 2 11 101 112
27-5-2015 10 14 12 36 0 21 21 1 7 8 0 0 0 0 0 0 2 2 4 0 0 0 1 2 3 4 32 36
28-5-2015 17 35 29 3 84 2 56 58 1 6 7 1 9 10 0 0 0 2 5 7 0 0 0 2 0 2 8 76 84
29-5-2015 10 18 12 40 1 30 31 2 3 5 0 0 0 0 0 0 0 2 2 0 0 0 0 2 2 3 37 40
30-5-2015 6 9 14 29 0 22 22 0 3 3 0 0 0 0 0 0 2 0 2 0 0 0 1 1 2 3 26 29
1/6/2015 20 21 29 70 0 46 46 0 7 7 0 10 10 0 0 0 2 2 4 0 0 0 2 1 3 4 66 70
3/6/2015 22 15 21 58 2 38 40 6 5 11 0 3 3 0 0 0 0 1 1 0 1 1 1 1 2 9 49 58
4/6/2015 9 21 32 1 63 1 50 51 2 4 6 0 5 5 0 0 0 0 0 0 0 0 0 0 1 1 3 60 63
5/6/2015 11 11 22 44 4 35 39 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 5 39 44
6/6/2015 5 4 13 22 2 14 16 0 1 1 0 0 0 0 0 0 1 3 4 0 0 0 0 1 1 3 19 22
8/6/2015 25 20 26 71 8 46 54 1 4 5 0 2 2 0 1 1 0 2 2 0 1 1 5 1 6 14 57 71
9/6/2015 21 54 48 123 4 75 79 4 27 31 2 4 6 0 1 1 0 6 6 0 0 0 0 0 0 10 113 123
10/6/2015 12 9 15 36 2 20 22 1 4 5 1 2 3 0 0 0 2 3 5 0 0 0 0 1 1 6 30 36
11/6/2015 19 23 37 79 7 58 65 1 2 3 0 5 5 0 0 0 2 3 5 0 0 0 0 1 1 10 69 79
12/6/2015 7 9 7 23 2 9 11 4 3 7 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 7 16 23
13-6-2015 10 11 16 37 1 20 21 3 5 8 0 1 1 0 0 0 3 4 7 0 0 0 0 0 0 7 30 37
15-6-2015 5 13 16 34 0 25 25 0 3 3 0 3 3 0 0 0 0 1 1 0 1 1 1 0 1 1 33 34
16-6-2015 19 39 40 98 1 60 61 5 16 21 1 4 5 0 0 0 1 7 8 0 0 0 2 1 3 10 88 98
17-6-2015 10 13 15 38 1 21 22 1 4 5 0 1 1 0 1 1 5 3 8 0 1 1 0 0 0 7 31 38
18-6-2015 7 24 22 53 4 43 47 1 4 5 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 5 48 53
19-6-2015 8 17 16 41 2 27 29 4 3 7 1 0 1 0 0 0 0 4 4 0 0 0 0 0 0 7 34 41
20-6-2015 9 10 21 40 0 28 28 0 4 4 0 1 1 0 0 0 1 4 5 0 0 0 0 2 2 1 39 40
22-6-2015 18 16 28 1 63 4 42 46 1 7 8 0 3 3 0 0 0 0 1 1 0 3 3 2 0 2 7 56 63
23-6-2015 13 27 41 81 3 67 70 1 8 9 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 5 76 81
24-6-2015 5 8 19 32 2 23 25 1 3 4 0 2 2 0 0 0 0 1 1 0 0 0 0 0 0 3 29 32
25-6-2015 16 25 18 59 2 50 52 0 1 1 0 2 2 0 0 0 0 2 2 0 0 0 0 2 2 2 57 59
343 514 604 5 1466 58 1002 1060 44 151 195 7 66 73 0 3 3 28 60 88 0 7 7 18 22 40 155 1311 1466
ibu hamil 10- 69- 79- 10+ 69+ 79+
34 82 116 28 91 119
0 3 3
0 7 7
28 101 129

26-5-2015 29 48 35 112 3 76 79 4 16 20 1 5 6 0 0 0 3 2 5 0 0 0 0 2 2 11 101 112
27-5-2015 10 14 12 36 0 21 21 1 7 8 0 0 0 0 0 0 2 2 4 0 0 0 1 2 3 4 32 36
28-5-2015 17 35 29 3 84 2 56 58 1 6 7 1 9 10 0 0 0 2 5 7 0 0 0 2 0 2 8 76 84
29-5-2015 10 18 12 40 1 30 31 2 3 5 0 0 0 0 0 0 0 2 2 0 0 0 0 2 2 3 37 40
30-5-2015 6 9 14 29 0 22 22 0 3 3 0 0 0 0 0 0 2 0 2 0 0 0 1 1 2 3 26 29
1/6/2015 20 21 29 70 0 46 46 0 7 7 0 10 10 0 0 0 2 2 4 0 0 0 2 1 3 4 66 70
3/6/2015 22 15 21 58 2 38 40 6 5 11 0 3 3 0 0 0 0 1 1 0 1 1 1 1 2 9 49 58
4/6/2015 9 21 32 1 63 1 50 51 2 4 6 0 5 5 0 0 0 0 0 0 0 0 0 0 1 1 3 60 63
5/6/2015 11 11 22 44 4 35 39 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 5 39 44
6/6/2015 5 4 13 22 2 14 16 0 1 1 0 0 0 0 0 0 1 3 4 0 0 0 0 1 1 3 19 22
8/6/2015 25 20 26 71 8 46 54 1 4 5 0 2 2 0 1 1 0 2 2 0 1 1 5 1 6 14 57 71
9/6/2015 21 54 48 123 4 75 79 4 27 31 2 4 6 0 1 1 0 6 6 0 0 0 0 0 0 10 113 123
10/6/2015 12 9 15 36 2 20 22 1 4 5 1 2 3 0 0 0 2 3 5 0 0 0 0 1 1 6 30 36
11/6/2015 19 23 37 79 7 58 65 1 2 3 0 5 5 0 0 0 2 3 5 0 0 0 0 1 1 10 69 79
12/6/2015 7 9 7 23 2 9 11 4 3 7 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 7 16 23
13-6-2015 10 11 16 37 1 20 21 3 5 8 0 1 1 0 0 0 3 4 7 0 0 0 0 0 0 7 30 37
15-6-2015 5 13 16 34 0 25 25 0 3 3 0 3 3 0 0 0 0 1 1 0 1 1 1 0 1 1 33 34
16-6-2015 19 39 40 98 1 60 61 5 16 21 1 4 5 0 0 0 1 7 8 0 0 0 2 1 3 10 88 98
17-6-2015 10 13 15 38 1 21 22 1 4 5 0 1 1 0 1 1 5 3 8 0 1 1 0 0 0 7 31 38
18-6-2015 7 24 22 53 4 43 47 1 4 5 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 5 48 53
19-6-2015 8 17 16 41 2 27 29 4 3 7 1 0 1 0 0 0 0 4 4 0 0 0 0 0 0 7 34 41
20-6-2015 9 10 21 40 0 28 28 0 4 4 0 1 1 0 0 0 1 4 5 0 0 0 0 2 2 1 39 40
22-6-2015 18 16 28 1 63 4 42 46 1 7 8 0 3 3 0 0 0 0 1 1 0 3 3 2 0 2 7 56 63
23-6-2015 13 27 41 81 3 67 70 1 8 9 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 5 76 81
24-6-2015 5 8 19 32 2 23 25 1 3 4 0 2 2 0 0 0 0 1 1 0 0 0 0 0 0 3 29 32
25-6-2015 16 25 18 59 2 50 52 0 1 1 0 2 2 0 0 0 0 2 2 0 0 0 0 2 2 2 57 59
343 514 604 5 1466 58 1002 1060 44 151 195 7 66 73 0 3 3 28 60 88 0 7 7 18 22 40 155 1311 1466
ibu hamil 10- 69- 79- 10+ 69+ 79+
34 82 116 28 91 119
0 3 3
0 7 7
28 101 129
LAPORAN KUNJUN
BULAN juni 2015
STATUS BAYAR
NO KEGIATAN BP
B L
1 pp. BG 8 35 41 0 84 0 76
2 pp. BT 7 19 26 0 52 0 40
3 pp. KBY 10 10 4 0 24 0 24
4 pp. TT 8 22 27 0 57 0 49
5 pp. Salak 9 21 6 2 38 0 30
6 PP. SKLG 69 137 43 1 250 3 180
7 pp. K Atas 8 10 13 0 31 0 28
8 pld. BT 9 30 31 0 70 0 63
9 pld.KBY 23 40 17 0 80 1 72
10 pld. DMS 6 10 8 0 24 3 16
11 Pld. RNTH 5 70 41 0 116 0 101
TOTAL 162 404 257 3 826 7 679
APORAN KUNJUNGAN PP/POLINDES
JENIS PELAYANAN
76 0 0 0 0 8 8 0 0 0
40 0 3 3 1 8 9 0 0 0
24 0 0 0 0 0 0 0 0 0
49 0 2 2 1 5 6 0 0 0
30 0 1 1 0 7 7 0 0 0
183 2 26 28 3 28 31 0 8 8
28 0 0 0 0 3 3 0 0 0
63 0 5 5 1 1 2 0 0 0
73 0 0 0 2 5 7 0 0 0
19 1 0 1 1 3 4 0 0 0
101 1 1 2 1 12 13 0 0 0
686 4 38 42 10 80 90 0 8 8
B L Jumlah
0 84 84
1 51 52
0 24 24
1 56 57
0 38 38
8 242 250
0 31 31
1 69 70
3 77 80
5 19 24
2 114 116
21 805 826
PUSKESMAS : TALAWI
BULAN JUNI 2015

LAIN -
BAYAR JPKM BPJS LAIN JUMLAH BP Gigi KIA
B L JML B L JML B L
1 Puskesmas Induk 343 514 604 5 1466 58 1002 1060 7 66 73 34 82
2 UGD DAN RAWATAN 65 69 67 0 201 0 0 0 0 0 0 0 0
3 Puskesmas Pembantu Bukit Gadang 8 35 41 0 84 0 76 76 0 0 0 0 8
4 Puskesmas Pembantu Batu Tanjung 7 19 26 0 52 0 40 40 0 3 3 1 8
5 Puskesmas Pembantu Kumbayau 10 10 4 0 24 0 24 24 0 0 0 0 0
6 Puskesmas Pembantu Tumpuk Tangah 8 22 27 0 57 0 49 49 0 2 2 1 5
7 Puskesmas Pembantu Salak 9 21 6 2 38 0 30 30 0 1 1 0 7
8 Puskesmas Pembantu Sikalang 69 137 43 1 250 3 180 183 2 26 28 3 28
9 Puskesmas Pembantu Kumanis Atas 8 10 13 0 31 0 28 28 0 0 0 0 3
10 Polindes Batu Tanjung 9 30 31 0 70 0 63 63 0 5 5 1 1
11 Polindes Kumbayau 23 40 17 0 80 1 72 73 0 0 0 2 5
12 Polindes Datar Mansiang 6 10 8 0 24 3 16 19 1 0 1 1 3
13 Polindes Rantih 5 70 41 0 116 0 101 101 1 1 2 1 12
Jumlah 3 s/d 13 162 404 257 3 826 7 679 686 4 38 42 10 80
Total 1 s/d 13 570 987 928 8 2493 65 1681 1746 11 104 115 44 162
1 Puskesmas Induk 58 1002 1060 7 66 73 34 82
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0
3 Puskesmas Pembantu Bukit Gadang 0 76 76 0 0 0 0 8
4 Puskesmas Pembantu Batu Tanjung 0 40 40 0 3 3 1 8
5 Puskesmas Pembantu Kumbayau 0 24 24 0 0 0 0 0
6 Puskesmas Pembantu Tumpuk Tangah 0 49 49 0 2 2 1 5
7 Puskesmas Pembantu Salak 0 30 30 0 1 1 0 7
8 Puskesmas Pembantu Sikalang 3 180 183 2 26 28 3 28
9 Puskesmas Pembantu Kumanis Atas 0 28 28 0 0 0 0 3
10 Polindes Batu Tanjung 0 63 63 0 5 5 1 1
11 Polindes Kumbayau 1 72 73 0 0 0 2 5
12 Polindes Datar Mansiang 3 16 19 1 0 1 1 3
13 Polindes Rantih 0 101 101 1 1 2 1 12
Jumlah 3 s/d 13 7 679 686 4 38 42 10 80
Total 1 s/d 13 65 1681 1746 11 104 115 44 162

A/N. KASUBAG TU
EVRA QOMARIAH, SKM

NIP 19850526 200902 2 006
UAR GEDUNG
JENIS PELAYANAN
KIA UGD LAIN-LAIN B L Jumlah
JML B L JML B L JML
116 28 60 88 28 101 129 155 1311 1466

0 113 88 201 0 0 0 113 88 201
8 0 0 0 0 0 0 0 84 84
9 0 0 0 0 0 0 1 51 52
0 0 0 0 0 0 0 0 24 24
6 0 0 0 0 0 0 1 56 57
7 0 0 0 0 0 0 0 38 38
31 0 0 0 0 8 8 8 242 250
3 0 0 0 0 0 0 0 31 31
2 0 0 0 0 0 0 1 69 70
7 0 0 0 0 0 0 3 77 80
4 0 0 0 0 0 0 5 19 24
13 0 0 0 0 0 0 2 114 116
90 0 0 0 0 8 8 21 805 826
206 141 148 289 28 109 137 289 2204 2493
116 28 60 88 127 1210 1337

0 113 88 201 113 88 201
8 0 0 0 0 84 84
9 0 0 0 1 51 52
0 0 0 0 0 24 24
6 0 0 0 1 56 57
7 0 0 0 0 38 38
31 0 0 0 8 234 242
3 0 0 0 0 31 31
2 0 0 0 1 69 70
7 0 0 0 3 77 80
4 0 0 0 5 19 24
13 0 0 0 2 114 116
90 0 0 0 21 797 818
206 141 148 289 261 2095 2356
61 3444 3505
350 5648 5998
Penanggung Jawab

NIP 19830217 200604 2 007

26/6/2015 7 7 14 0 28 0 23 23 0 4 4 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 27 28
27/06/2015 4 11 9 0 24 0 15 15 0 3 3 1 3 4 0 0 0 1 1 2 0 0 0 0 0 0 2 22 24
6/29/2015 16 23 18 0 57 3 42 45 0 4 4 0 5 5 0 1 1 0 2 2 0 0 0 0 0 0 3 54 57
30/06/2015 11 26 37 1 75 1 51 52 4 12 16 0 3 3 0 0 0 0 3 3 0 1 1 0 0 0 5 70 75
7/1/2015 7 15 10 0 32 1 20 21 0 4 4 0 2 2 0 0 0 1 2 3 1 1 2 0 0 0 3 29 32
7/2/2015 6 23 26 1 56 0 38 38 0 9 9 0 2 2 0 0 0 4 3 7 0 0 0 0 0 0 4 52 56
7/3/2015 4 13 9 0 26 1 18 19 1 1 2 1 1 2 0 0 0 1 1 2 0 0 0 0 1 1 4 22 26
7/4/2015 9 10 24 0 43 1 25 26 0 2 2 0 6 6 0 0 0 0 5 5 0 2 2 2 0 2 3 40 43
7/6/2015 9 22 21 0 52 2 27 29 1 10 11 0 2 2 0 0 0 0 6 6 0 1 1 2 1 3 5 47 52
7/7/2015 15 38 37 1 91 5 62 67 4 14 18 1 1 2 0 0 0 1 2 3 0 0 0 0 1 1 11 80 91
7/8/2015 8 14 17 0 39 1 29 30 3 4 7 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 5 34 39
7/9/2015 13 30 16 0 59 6 36 42 0 4 4 1 4 5 0 1 1 1 4 5 1 1 2 0 0 0 9 50 59
7/10/2015 11 9 17 2 39 2 28 30 1 4 5 0 1 1 1 0 1 0 0 0 2 0 2 0 0 0 6 33 39
7/11/2015 5 11 15 0 31 2 25 27 0 1 1 0 1 1 1 0 1 0 1 1 0 0 0 0 0 0 3 28 31
7/13/2015 16 13 54 0 83 1 53 54 1 13 14 3 5 8 0 0 0 1 4 5 0 1 1 0 1 1 6 77 83
7/14/2015 19 19 9 0 47 1 30 31 3 7 10 0 1 1 0 0 0 0 4 4 0 1 1 0 0 0 4 43 47
7/15/2015 13 10 12 0 35 1 17 18 4 5 9 0 3 3 0 0 0 1 3 4 0 1 1 0 0 0 6 29 35
7/22/2015 31 33 26 1 91 5 56 61 2 9 11 2 3 5 0 2 2 3 0 3 3 1 4 3 2 5 18 73 91
7/23/2015 16 29 27 0 72 1 49 50 0 3 3 0 6 6 0 0 0 0 7 7 0 4 4 0 2 2 1 71 72
7/24/2015 21 19 25 0 65 6 38 44 2 6 8 0 7 7 0 0 0 1 2 3 0 1 1 0 2 2 9 56 65
7/25/2015 15 17 9 0 41 3 26 29 1 4 5 0 3 3 0 0 0 1 1 2 0 0 0 2 0 2 7 34 41
JUMLAH 256 392 432 6 1086 43 708 751 27 123 150 10 59 69 2 4 6 17 52 69 7 15 22 9 10 19 115 971 1086
-9 -41 -50 2 4 6
ugd,rawatan 122 120 67 0 309 18 82 100 128 181 309 7 15 22 128 181 309
378 512 499 6 1395 145 233 378 9 41 50 243 1152 1395
27 70 97

26/6/2015 7 7 14 0 28 0 23 23 0 4 4 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 27 28
27/06/2015 4 11 9 0 24 0 15 15 0 3 3 1 3 4 0 0 0 1 1 2 0 0 0 0 0 0 2 22 24
6/29/2015 16 23 18 0 57 3 42 45 0 4 4 0 5 5 0 1 1 0 2 2 0 0 0 0 0 0 3 54 57
30/06/2015 11 26 37 1 75 1 51 52 4 12 16 0 3 3 0 0 0 0 3 3 0 1 1 0 0 0 5 70 75
7/1/2015 7 15 10 0 32 1 20 21 0 4 4 0 2 2 0 0 0 1 2 3 1 1 2 0 0 0 3 29 32
7/2/2015 6 23 26 1 56 0 38 38 0 9 9 0 2 2 0 0 0 4 3 7 0 0 0 0 0 0 4 52 56
7/3/2015 4 13 9 0 26 1 18 19 1 1 2 1 1 2 0 0 0 1 1 2 0 0 0 0 1 1 4 22 26
7/4/2015 9 10 24 0 43 1 25 26 0 2 2 0 6 6 0 0 0 0 5 5 0 2 2 2 0 2 3 40 43
7/6/2015 9 22 21 0 52 2 27 29 1 10 11 0 2 2 0 0 0 0 6 6 0 1 1 2 1 3 5 47 52
7/7/2015 15 38 37 1 91 5 62 67 4 14 18 1 1 2 0 0 0 1 2 3 0 0 0 0 1 1 11 80 91
7/8/2015 8 14 17 0 39 1 29 30 3 4 7 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 5 34 39
7/9/2015 13 30 16 0 59 6 36 42 0 4 4 1 4 5 0 1 1 1 4 5 1 1 2 0 0 0 9 50 59
7/10/2015 11 9 17 2 39 2 28 30 1 4 5 0 1 1 1 0 1 0 0 0 2 0 2 0 0 0 6 33 39
7/11/2015 5 11 15 0 31 2 25 27 0 1 1 0 1 1 1 0 1 0 1 1 0 0 0 0 0 0 3 28 31
7/13/2015 16 13 54 0 83 1 53 54 1 13 14 3 5 8 0 0 0 1 4 5 0 1 1 0 1 1 6 77 83
7/14/2015 19 19 9 0 47 1 30 31 3 7 10 0 1 1 0 0 0 0 4 4 0 1 1 0 0 0 4 43 47
7/15/2015 13 10 12 0 35 1 17 18 4 5 9 0 3 3 0 0 0 1 3 4 0 1 1 0 0 0 6 29 35
7/22/2015 31 33 26 1 91 5 56 61 2 9 11 2 3 5 0 2 2 3 0 3 3 1 4 3 2 5 18 73 91
7/23/2015 16 29 27 0 72 1 49 50 0 3 3 0 6 6 0 0 0 0 7 7 0 4 4 0 2 2 1 71 72
7/24/2015 21 19 25 0 65 6 38 44 2 6 8 0 7 7 0 0 0 1 2 3 0 1 1 0 2 2 9 56 65
7/25/2015 15 17 9 0 41 3 26 29 1 4 5 0 3 3 0 0 0 1 1 2 0 0 0 2 0 2 7 34 41
JUMLAH 256 392 432 6 1086 43 708 751 27 123 150 10 59 69 2 4 6 17 52 69 7 15 22 9 10 19 115 971 1086
-9 -41 -50 2 4 6
ugd,rawatan 122 120 67 0 309 18 82 100 128 181 309 7 15 22 128 181 309
378 512 499 6 1395 145 233 378 9 41 50 243 1152 1395
27 70 97
LAPORAN KUNJUNG
BULAN JULI 2015
STATUS BAYAR
NO KEGIATAN BP
B L JML
1 pp. BG 21 29 19 0 69 0 54 54
2 pp. BT 1 7 6 0 14 0 13 13
3 pp. KBY 6 4 4 0 14 0 12 12
4 pp. TT 17 37 45 0 99 4 79 83
5 pp. Salak 4 27 1 2 34 0 28 28
6 PP. SKLG 43 93 33 0 169 3 131 134
7 pp. K Atas 6 11 12 1 30 0 25 25
8 pld. BT 1 32 22 0 55 0 51 51
9 pld.KBY 9 18 7 0 34 0 23 23
10 pld. DMS 3 4 4 0 11 2 7 9
11 Pld. RNTH 9 38 29 0 76 1 69 70
TOTAL 120 300 182 3 605 10 492 502
RAN KUNJUNGAN PP/POLINDES
JENIS PELAYANAN
Gigi KIA LAIN-LAIN B
0 0 0 0 15 15 0 0 0 0
0 0 0 0 1 1 0 0 0 0
0 0 0 0 2 2 0 0 0 0
1 0 1 4 11 15 0 0 0 9
0 1 1 0 5 5 0 0 0 0
0 3 3 3 21 24 2 6 8 8
0 0 0 0 5 5 0 0 0 0
0 2 2 0 2 2 0 0 0 0
0 0 0 0 11 11 0 0 0 0
0 0 0 0 2 2 0 0 0 2
0 0 0 0 6 6 0 0 0 1
1 6 7 7 81 88 2 6 8 20
L Jumlah
69 69
14 14
14 14
90 99
34 34
161 169
30 30
55 55
34 34
9 11
75 76
585 605
LAPORAN KUNJUNGAN
PUSKESMAS : TALAWI
BULAN JUNI 2015

LAIN -
BAYAR JPKM BPJS LAIN

1 Puskesmas Induk 256 392 432 6
2 UGD DAN RAWATAN 122 120 67 0
3 Puskesmas Pembantu Bukit Gadang 21 29 19 0
4 Puskesmas Pembantu Batu Tanjung 1 7 6 0
5 Puskesmas Pembantu Kumbayau 6 4 4 0
6 Puskesmas Pembantu Tumpuk Tangah 17 37 45 0
7 Puskesmas Pembantu Salak 4 27 1 2
8 Puskesmas Pembantu Sikalang 43 93 33 0
9 Puskesmas Pembantu Kumanis Atas 6 11 12 1
10 Polindes Batu Tanjung 1 32 22 0
11 Polindes Kumbayau 9 18 7 0
12 Polindes Datar Mansiang 3 4 4 0
13 Polindes Rantih 9 38 29 0
Jumlah 3 s/d 13 120 300 182 3
Total 1 s/d 13 498 812 681 9
Jumlah 3 s/d 13 120 300 182 3
Total 1 s/d 13 498 812 681 9

A/N. KASUBAG TU
EVRA QOMARIAH, SKM

NIP 19850526 200902 2 006
NJUNGAN PUSKESMAS DALAM DAN LUAR GEDUNG
YAR JENIS PELAYANAN
JUMLAH BP Gigi KIA

1086 43 708 751 10 59 69 18 82 100

309 0 0 0 0 0 0 0 0 0
69 0 54 54 0 0 0 0 15 15
14 0 13 13 0 0 0 0 1 1
14 0 12 12 0 0 0 0 2 2
99 4 79 83 1 0 1 4 11 15
34 0 28 28 0 1 1 0 5 5
169 3 131 134 0 3 3 3 21 24
30 0 25 25 0 0 0 0 5 5
55 0 51 51 0 2 2 0 2 2
34 0 23 23 0 0 0 0 11 11
11 2 7 9 0 0 0 0 2 2
76 1 69 70 0 0 0 0 6 6
605 10 492 502 1 6 7 7 81 88
2000 53 1200 1253 11 65 76 25 163 188
1086 43 708 751 10 59 69 18 82 100

309 0 0 0 0 0 0 0 0 0
69 0 54 54 0 0 0 0 15 15
14 0 13 13 0 0 0 0 1 1
14 0 12 12 0 0 0 0 2 2
99 4 79 83 1 0 1 4 11 15
34 0 28 28 0 1 1 0 5 5
169 3 131 134 0 3 3 3 21 24
30 0 25 25 0 0 0 0 5 5
55 0 51 51 0 2 2 0 2 2
34 0 23 23 0 0 0 0 11 11
11 2 7 9 0 0 0 0 2 2
76 1 69 70 0 0 0 0 6 6
605 10 492 502 1 6 7 7 81 88
2000 53 1200 1253 11 65 76 25 163 188
UNG
ANAN
UGD LAIN-LAIN B L Jumlah

B L JML B L JML
17 52 69 27 70 97 115 971 1086

128 181 309 0 0 0 128 181 309
0 0 0 0 0 0
0 0 0 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 6 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 2 6 8
145 233 378 29 76 105 243 1152 1395
17 52 69 88 901 989
128 181 309 128 181 309
0 0 0 0 69 69
0 0 0 0 14 14
0 0 0 0 14 14
0 0 0 9 90 99
0 0 0 0 34 34
0 0 0 6 155 161
0 0 0 0 30 30
0 0 0 0 55 55
0 0 0 0 34 34
0 0 0 2 9 11
0 0 0 1 75 76
0 0 0 18 579 597
145 233 378 234 1661 1895
Penanggung Jawab

NIP 19830217 200604 2 007
27-07-2015 24 25 29 0 78 3 53 56 2 4 6 0 3 3 0 1 1 1 1 2 0 1 1 8 1 9 14 64 78
28-7-2015 24 50 44 1 119 3 58 61 7 37 44 0 4 4 0 0 0 0 6 6 0 0 0 2 2 4 12 107 119
7/29/2015 14 12 17 0 43 1 27 28 1 1 2 3 4 7 0 0 0 0 0 0 0 1 1 1 4 5 6 37 43
30-7-2015 26 33 30 0 89 5 60 65 0 7 7 0 4 4 0 0 0 2 2 4 2 0 2 4 3 7 13 76 89
7/31/2015 19 11 12 0 42 0 24 24 0 4 4 0 2 2 0 0 0 0 2 2 0 0 0 6 4 10 6 36 42
8/1/2015 9 13 18 1 41 1 28 29 0 4 4 1 1 2 0 0 0 2 1 3 1 1 2 1 0 1 6 35 41
8/3/2015 12 36 34 0 82 3 54 57 1 8 9 0 4 4 0 0 0 0 7 7 1 0 1 3 1 4 8 74 82
8/4/2015 22 42 35 0 99 5 56 61 11 18 29 0 2 2 0 0 0 1 0 1 1 0 1 4 1 5 22 77 99
8/5/2015 8 11 21 0 40 5 23 28 0 4 4 0 2 2 0 1 1 0 2 2 2 0 2 0 1 1 7 33 40
6-8-20015 14 27 35 1 77 3 62 65 1 1 2 1 2 3 0 0 0 1 4 5 0 1 1 1 0 1 7 70 77
8/7/2015 11 16 13 0 40 7 29 36 1 1 2 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 8 32 40
8/8/2015 6 7 13 0 26 1 13 14 0 5 5 0 6 6 0 0 0 0 0 0 1 0 1 0 0 0 2 24 26
8/10/2015 15 23 24 0 62 1 53 54 0 4 4 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0 2 60 62
8/11/2015 19 42 33 2 96 5 62 67 6 13 19 1 0 1 0 0 0 0 3 3 0 0 0 1 5 6 13 83 96
8/12/2015 14 9 19 0 42 4 24 28 0 4 4 0 2 2 0 0 0 0 2 2 0 2 2 1 3 4 5 37 42
8/13/2015 12 17 26 0 55 3 34 37 0 9 9 0 4 4 0 0 0 0 3 3 0 0 0 1 1 2 4 51 55
8/14/2015 10 15 12 0 37 0 20 20 3 4 7 1 4 5 0 0 0 1 2 3 0 0 0 2 0 2 7 30 37
8/15/2015 8 10 7 0 25 2 15 17 1 3 4 0 0 0 0 1 1 0 0 0 0 1 1 0 2 2 3 22 25
8/18/2015 27 37 35 1 100 3 54 57 9 20 29 1 5 6 0 0 0 0 1 1 0 0 0 5 2 7 18 82 100
8/19/2015 20 13 27 0 60 4 31 35 2 6 8 0 8 8 0 1 1 1 1 2 1 1 2 1 3 4 9 51 60
8/20/2015 20 34 29 0 83 7 67 74 0 4 4 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 8 75 83
8/21/2015 5 14 8 0 27 0 17 17 1 5 6 0 3 3 0 0 0 1 0 1 0 0 0 0 0 0 2 25 27
8/22/2015 9 18 13 0 40 1 21 22 3 5 8 2 4 6 0 1 1 0 2 2 0 1 1 0 0 0 6 34 40
8/24/2015 24 25 29 1 79 4 49 53 4 6 10 1 0 1 0 3 3 2 2 4 0 1 1 7 0 7 18 61 79
8/25/2015 17 31 39 0 87 1 59 60 2 12 14 2 3 5 0 0 0 1 0 1 0 0 0 6 1 7 12 75 87
389 571 602 7 1569 72 993 1065 55 189 244 14 73 87 0 8 8 14 44 58 9 10 19 54 34 88 218 1351 1569
0 8 8
9 10 19
63 52 115
ugd,rawatan 70 64 67 0 201 95 106 201
27-07-2015 24 25 29 0 78 3 53 56 2 4 6 0 3 3 0 1 1 1 1 2 0 1 1 8 1 9 14 64 78
28-7-2015 24 50 44 1 119 3 58 61 7 37 44 0 4 4 0 0 0 0 6 6 0 0 0 2 2 4 12 107 119
7/29/2015 14 12 17 0 43 1 27 28 1 1 2 3 4 7 0 0 0 0 0 0 0 1 1 1 4 5 6 37 43
30-7-2015 26 33 30 0 89 5 60 65 0 7 7 0 4 4 0 0 0 2 2 4 2 0 2 4 3 7 13 76 89
7/31/2015 19 11 12 0 42 0 24 24 0 4 4 0 2 2 0 0 0 0 2 2 0 0 0 6 4 10 6 36 42
8/1/2015 9 13 18 1 41 1 28 29 0 4 4 1 1 2 0 0 0 2 1 3 1 1 2 1 0 1 6 35 41
8/3/2015 12 36 34 0 82 3 54 57 1 8 9 0 4 4 0 0 0 0 7 7 1 0 1 3 1 4 8 74 82
8/4/2015 22 42 35 0 99 5 56 61 11 18 29 0 2 2 0 0 0 1 0 1 1 0 1 4 1 5 22 77 99
8/5/2015 8 11 21 0 40 5 23 28 0 4 4 0 2 2 0 1 1 0 2 2 2 0 2 0 1 1 7 33 40
6-8-20015 14 27 35 1 77 3 62 65 1 1 2 1 2 3 0 0 0 1 4 5 0 1 1 1 0 1 7 70 77
8/7/2015 11 16 13 0 40 7 29 36 1 1 2 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 8 32 40
8/8/2015 6 7 13 0 26 1 13 14 0 5 5 0 6 6 0 0 0 0 0 0 1 0 1 0 0 0 2 24 26
8/10/2015 15 23 24 0 62 1 53 54 0 4 4 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0 2 60 62
8/11/2015 19 42 33 2 96 5 62 67 6 13 19 1 0 1 0 0 0 0 3 3 0 0 0 1 5 6 13 83 96
8/12/2015 14 9 19 0 42 4 24 28 0 4 4 0 2 2 0 0 0 0 2 2 0 2 2 1 3 4 5 37 42
8/13/2015 12 17 26 0 55 3 34 37 0 9 9 0 4 4 0 0 0 0 3 3 0 0 0 1 1 2 4 51 55
8/14/2015 10 15 12 0 37 0 20 20 3 4 7 1 4 5 0 0 0 1 2 3 0 0 0 2 0 2 7 30 37
8/15/2015 8 10 7 0 25 2 15 17 1 3 4 0 0 0 0 1 1 0 0 0 0 1 1 0 2 2 3 22 25
8/18/2015 27 37 35 1 100 3 54 57 9 20 29 1 5 6 0 0 0 0 1 1 0 0 0 5 2 7 18 82 100
8/19/2015 20 13 27 0 60 4 31 35 2 6 8 0 8 8 0 1 1 1 1 2 1 1 2 1 3 4 9 51 60
8/20/2015 20 34 29 0 83 7 67 74 0 4 4 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 8 75 83
8/21/2015 5 14 8 0 27 0 17 17 1 5 6 0 3 3 0 0 0 1 0 1 0 0 0 0 0 0 2 25 27
8/22/2015 9 18 13 0 40 1 21 22 3 5 8 2 4 6 0 1 1 0 2 2 0 1 1 0 0 0 6 34 40
8/24/2015 24 25 29 1 79 4 49 53 4 6 10 1 0 1 0 3 3 2 2 4 0 1 1 7 0 7 18 61 79
8/25/2015 17 31 39 0 87 1 59 60 2 12 14 2 3 5 0 0 0 1 0 1 0 0 0 6 1 7 12 75 87
389 571 602 7 1569 72 993 1065 55 189 244 14 73 87 0 8 8 14 44 58 9 10 19 54 34 88 218 1351 1569
0 8 8
9 10 19
63 52 115
ugd,rawatan 70 64 67 0 201 95 106 201
LAPORAN KUNJUNG
BULAN AGUSTUS 2015
STATUS BAYAR
NO KEGIATAN BP
B L JML
1 pp. BG 12 32 25 0 69 0 64 64
2 pp. BT 7 28 16 0 51 0 45 45
3 pp. KBY 10 3 6 0 19 0 19 19
4 pp. TT 19 41 48 0 108 5 85 90
5 pp. Salak 10 45 4 0 59 0 45 45
6 PP. SKLG 53 128 36 3 220 2 162 164
7 pp. K Atas 3 12 23 5 43 0 25 25
8 pld. BT 5 26 24 0 55 0 49 49
9 pld.KBY 14 39 8 4 65 0 49 49
5 pld. DMS 4 7 6 0 17 1 12 13
11 Pld. RNTH 11 55 42 0 108 2 91 93
TOTAL 148 416 238 12 814 10 646 656
JENIS PELAYANAN
0 0 0 0 5 5 0 0 0 0
0 1 1 0 5 5 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 2 2 4 12 16 0 0 0 9
0 1 1 0 13 13 0 0 0 0
0 17 17 3 30 33 1 5 6 6
0 3 3 1 14 15 0 0 0 1
0 3 3 1 2 3 0 0 0 1
0 0 0 1 11 12 0 4 4 1
1 0 1 1 2 3 0 0 0 3
1 2 3 2 10 12 0 0 0 5
2 29 31 13 104 117 1 9 10 26
L Jumlah
69 69
51 51
19 19
99 108
59 59
214 220
42 43
54 55
64 65
14 17
103 108
788 814
PUSKESMAS : TALAWI
BULAN : AGUSTUS 2015

LAIN -
B L JML B L JML B L
1 Puskesmas Induk 389 571 602 7 1569 72 993 1065 14 73 87 55 189
2 UGD DAN RAWATAN 70 64 67 0 201 0 0 0 0 0 0 0 0
3 Puskesmas Pembantu Bukit Gadang 12 32 25 0 69 0 64 64 0 0 0 0 5
4 Puskesmas Pembantu Batu Tanjung 7 28 16 0 51 0 45 45 0 1 1 0 5
5 Puskesmas Pembantu Kumbayau 10 3 6 0 19 0 19 19 0 0 0 0 0
6 Puskesmas Pembantu Tumpuk Tangah 19 41 48 0 108 5 85 90 0 2 2 4 12
7 Puskesmas Pembantu Salak 10 45 4 0 59 0 45 45 0 1 1 0 13
8 Puskesmas Pembantu Sikalang 53 128 36 3 220 2 162 164 0 17 17 3 30
9 Puskesmas Pembantu Kumanis Atas 3 12 23 5 43 0 25 25 0 3 3 1 14
10 Polindes Batu Tanjung 5 26 24 0 55 0 49 49 0 3 3 1 2
11 Polindes Kumbayau 14 39 8 4 65 0 49 49 0 0 0 1 11
12 Polindes Datar Mansiang 4 7 6 0 17 1 12 13 1 0 1 1 2
13 Polindes Rantih 11 55 42 0 108 2 91 93 1 2 3 2 10
Jumlah 3 s/d 13 148 416 238 12 814 10 646 656 2 29 31 13 104
Total 1 s/d 13 607 1051 907 19 2584 82 1639 1721 16 102 118 68 293
1 Puskesmas Induk 72 993 1065 14 73 87 55 189
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0
3 Puskesmas Pembantu Bukit Gadang 0 64 64 0 0 0 0 5
4 Puskesmas Pembantu Batu Tanjung 0 45 45 0 1 1 0 5
5 Puskesmas Pembantu Kumbayau 0 19 19 0 0 0 0 0
6 Puskesmas Pembantu Tumpuk Tangah 5 85 90 0 2 2 4 12
7 Puskesmas Pembantu Salak 0 45 45 0 1 1 0 13
8 Puskesmas Pembantu Sikalang 2 162 164 0 17 17 3 30
9 Puskesmas Pembantu Kumanis Atas 0 25 25 0 3 3 1 14
10 Polindes Batu Tanjung 0 49 49 0 3 3 1 2
11 Polindes Kumbayau 0 49 49 0 0 0 1 11
12 Polindes Datar Mansiang 1 12 13 1 0 1 1 2
13 Polindes Rantih 2 91 93 1 2 3 2 10
Jumlah 3 s/d 13 10 646 656 2 29 31 13 104
Total 1 s/d 13 82 1639 1721 16 102 118 68 293

NIP 19830307 201001 2 029
UAR GEDUNG
JENIS PELAYANAN
KIA UGD LAIN-LAIN B L Jumlah
JML B L JML B L JML
244 14 44 58 63 52 115 218 1351 1569

0 95 106 201 0 0 0 95 106 201
5 0 0 0 0 0 0 0 69 69
5 0 0 0 0 0 0 0 51 51
0 0 0 0 0 0 0 0 19 19
16 0 0 0 0 0 0 9 99 108
13 0 0 0 0 0 0 0 59 59
33 0 0 0 1 5 6 6 214 220
15 0 0 0 0 0 0 1 42 43
3 0 0 0 0 0 0 1 54 55
12 0 0 0 0 4 4 1 64 65
3 0 0 0 0 0 0 3 14 17
12 0 0 0 0 0 0 5 103 108
117 0 0 0 1 9 10 26 788 814
361 109 150 259 64 61 125 339 2245 2584
244 14 44 58 155 1299 1454

0 95 106 201 95 106 201
5 0 0 0 0 69 69
5 0 0 0 0 51 51
0 0 0 0 0 19 19
16 0 0 0 9 99 108
13 0 0 0 0 59 59
33 0 0 0 5 209 214
15 0 0 0 1 42 43
3 0 0 0 1 54 55
12 0 0 0 1 60 61
3 0 0 0 3 14 17
12 0 0 0 5 103 108
117 0 0 0 25 779 804
361 109 150 259 275 2184 2459
67 4275 4342
406 6520 6926
Penanggung Jawab

NIP 19830217 200604 2 007
8/26/2015 21 10 32 2 65 2 27 29 0 12 12 1 5 6 0 1 1 1 2 3 1 0 1 7 6 13 12 53 65
8/27/2015 18 33 31 6 88 7 55 62 0 2 2 3 11 14 0 0 0 0 5 5 0 1 1 2 2 4 12 76 88
8/28/2015 12 17 15 0 44 1 25 26 1 5 6 1 4 5 0 0 0 1 1 2 1 0 1 3 1 4 8 36 44
8/29/2015 10 7 19 0 36 0 21 21 0 4 4 1 4 5 0 0 0 2 3 5 0 0 0 1 0 1 4 32 36
8/31/2015 17 23 23 1 64 4 40 44 1 4 5 1 4 5 0 2 2 0 2 2 1 0 1 2 3 5 9 55 64
9/1/2015 21 31 44 0 96 3 43 46 4 35 39 2 2 4 0 0 0 4 2 6 0 0 0 0 1 1 13 83 96
9/2/2015 14 12 19 1 46 4 24 28 0 5 5 1 5 6 0 0 0 2 1 3 3 1 4 0 0 0 10 36 46
9/3/2015 14 31 29 1 75 5 53 58 2 11 13 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 10 65 75
9/4/2015 10 23 15 0 48 2 37 39 0 3 3 2 1 3 0 0 0 1 1 2 0 0 0 0 1 1 5 43 48
9/5/2015 17 10 14 0 41 2 20 22 1 11 12 0 1 1 0 0 0 3 2 5 0 1 1 0 0 0 6 35 41
9/7/2015 18 31 38 0 87 4 63 67 0 8 8 1 3 4 0 0 0 1 2 3 0 1 1 3 1 4 9 78 87
9/8/2015 22 30 42 0 94 1 48 49 14 15 29 1 9 10 0 0 0 1 2 3 0 0 0 3 0 3 20 74 94
9/9/2015 5 15 12 1 33 4 19 23 0 3 3 0 4 4 0 0 0 1 2 3 0 0 0 0 0 0 5 28 33
9/10/2015 16 32 42 0 90 2 62 64 5 3 8 0 11 11 0 0 0 2 5 7 0 0 0 0 0 0 9 81 90
9/11/2015 9 15 15 1 40 2 29 31 1 3 4 0 2 2 0 0 0 1 1 2 1 0 1 0 0 0 5 35 40
9/12/2015 9 9 15 2 35 2 19 21 0 6 6 0 2 2 0 0 0 0 3 3 0 0 0 3 0 3 5 30 35
9/14/2015 14 31 29 1 75 5 48 53 4 6 10 2 0 2 0 0 0 1 3 4 0 1 1 3 2 5 15 60 75
9/15/2015 20 24 34 2 80 5 39 44 6 20 26 2 5 7 0 0 0 0 1 1 0 0 0 2 0 2 15 65 80
9/16/2015 13 15 12 0 40 3 18 21 2 4 6 0 6 6 0 0 0 1 3 4 0 2 2 0 1 1 6 34 40
9/17/2015 12 26 32 0 70 3 55 58 1 4 5 1 1 2 0 0 0 0 1 1 0 3 3 1 0 1 6 64 70
9/18/2015 10 11 13 1 35 0 18 18 2 5 7 0 3 3 0 0 0 0 5 5 0 0 0 1 1 2 3 32 35
9/19/2015 11 6 12 1 30 1 17 18 3 3 6 0 2 2 0 0 0 2 2 4 0 0 0 0 0 0 6 24 30
9/21/2015 17 30 29 1 77 8 51 59 0 8 8 0 4 4 0 0 0 0 2 2 2 0 2 0 2 2 10 67 77
9/22/2015 18 37 29 3 87 2 52 54 6 19 25 1 5 6 0 0 0 0 0 0 0 0 0 0 2 2 9 78 87
9/23/2015 15 13 15 0 43 3 26 29 0 0 0 0 2 2 0 0 0 0 1 1 0 0 0 10 1 11 13 30 43
9/25/2015 13 19 18 0 50 3 36 39 2 1 3 0 3 3 0 0 0 0 3 3 0 0 0 2 0 2 7 43 50
376 541 628 24 1569 78 945 1023 55 200 255 20 99 119 0 3 3 25 56 81 9 10 19 45 24 69 232 1337 1569
0 3 3
9 10 19
54 37 91
ugd,rawatan 175 48 96 0 319 203 116 319 203 116 319
8/26/2015 21 10 32 2 65 2 27 29 0 12 12 1 5 6 0 1 1 1 2 3 1 0 1 7 6 13 12 53 65
8/27/2015 18 33 31 6 88 7 55 62 0 2 2 3 11 14 0 0 0 0 5 5 0 1 1 2 2 4 12 76 88
8/28/2015 12 17 15 0 44 1 25 26 1 5 6 1 4 5 0 0 0 1 1 2 1 0 1 3 1 4 8 36 44
8/29/2015 10 7 19 0 36 0 21 21 0 4 4 1 4 5 0 0 0 2 3 5 0 0 0 1 0 1 4 32 36
8/31/2015 17 23 23 1 64 4 40 44 1 4 5 1 4 5 0 2 2 0 2 2 1 0 1 2 3 5 9 55 64
9/1/2015 21 31 44 0 96 3 43 46 4 35 39 2 2 4 0 0 0 4 2 6 0 0 0 0 1 1 13 83 96
9/2/2015 14 12 19 1 46 4 24 28 0 5 5 1 5 6 0 0 0 2 1 3 3 1 4 0 0 0 10 36 46
9/3/2015 14 31 29 1 75 5 53 58 2 11 13 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 10 65 75
9/4/2015 10 23 15 0 48 2 37 39 0 3 3 2 1 3 0 0 0 1 1 2 0 0 0 0 1 1 5 43 48
9/5/2015 17 10 14 0 41 2 20 22 1 11 12 0 1 1 0 0 0 3 2 5 0 1 1 0 0 0 6 35 41
9/7/2015 18 31 38 0 87 4 63 67 0 8 8 1 3 4 0 0 0 1 2 3 0 1 1 3 1 4 9 78 87
9/8/2015 22 30 42 0 94 1 48 49 14 15 29 1 9 10 0 0 0 1 2 3 0 0 0 3 0 3 20 74 94
9/9/2015 5 15 12 1 33 4 19 23 0 3 3 0 4 4 0 0 0 1 2 3 0 0 0 0 0 0 5 28 33
9/10/2015 16 32 42 0 90 2 62 64 5 3 8 0 11 11 0 0 0 2 5 7 0 0 0 0 0 0 9 81 90
9/11/2015 9 15 15 1 40 2 29 31 1 3 4 0 2 2 0 0 0 1 1 2 1 0 1 0 0 0 5 35 40
9/12/2015 9 9 15 2 35 2 19 21 0 6 6 0 2 2 0 0 0 0 3 3 0 0 0 3 0 3 5 30 35
9/14/2015 14 31 29 1 75 5 48 53 4 6 10 2 0 2 0 0 0 1 3 4 0 1 1 3 2 5 15 60 75
9/15/2015 20 24 34 2 80 5 39 44 6 20 26 2 5 7 0 0 0 0 1 1 0 0 0 2 0 2 15 65 80
9/16/2015 13 15 12 0 40 3 18 21 2 4 6 0 6 6 0 0 0 1 3 4 0 2 2 0 1 1 6 34 40
9/17/2015 12 26 32 0 70 3 55 58 1 4 5 1 1 2 0 0 0 0 1 1 0 3 3 1 0 1 6 64 70
9/18/2015 10 11 13 1 35 0 18 18 2 5 7 0 3 3 0 0 0 0 5 5 0 0 0 1 1 2 3 32 35
9/19/2015 11 6 12 1 30 1 17 18 3 3 6 0 2 2 0 0 0 2 2 4 0 0 0 0 0 0 6 24 30
9/21/2015 17 30 29 1 77 8 51 59 0 8 8 0 4 4 0 0 0 0 2 2 2 0 2 0 2 2 10 67 77
9/22/2015 18 37 29 3 87 2 52 54 6 19 25 1 5 6 0 0 0 0 0 0 0 0 0 0 2 2 9 78 87
9/23/2015 15 13 15 0 43 3 26 29 0 0 0 0 2 2 0 0 0 0 1 1 0 0 0 10 1 11 13 30 43
9/25/2015 13 19 18 0 50 3 36 39 2 1 3 0 3 3 0 0 0 0 3 3 0 0 0 2 0 2 7 43 50
376 541 628 24 1569 78 945 1023 55 200 255 20 99 119 0 3 3 25 56 81 9 10 19 45 24 69 232 1337 1569
0 3 3
9 10 19
54 37 91
ugd,rawatan 175 48 96 0 319 203 116 319 203 116 319
LAPORAN KUNJUN
BULAN AGUSTUS 2015
STATUS BAYAR
NO KEGIATAN BP
B L
1 pp. BG 2 37 18 0 57 0 52
2 pp. BT 7 30 23 0 60 0 52
3 pp. KBY 4 2 1 0 7 0 3
4 pp. TT 24 52 53 0 129 10 101
5 pp. Salak 24 54 12 0 90 0 73
6 PP. SKLG 58 97 36 0 191 0 143
7 pp. K Atas 15 16 19 1 51 0 31
8 pld. BT 3 26 26 0 55 0 51
9 pld.KBY 15 16 21 2 54 1 45
5 pld. DMS 5 5 11 0 21 2 15
11 Pld. RNTH 13 53 30 0 96 2 81
TOTAL 170 388 250 3 811 15 647
JENIS PELAYANAN
52 0 0 0 0 5 5 0 0 0
52 0 2 2 0 6 6 0 0 0
3 0 0 0 0 4 4 0 0 0
111 0 4 4 4 10 14 0 0 0
73 0 5 5 0 12 12 0 0 0
143 4 20 24 2 22 24 0 0 0
31 0 0 0 0 20 20 0 0 0
51 0 3 3 1 0 1 0 0 0
46 0 0 0 2 4 6 1 1 2
17 0 0 0 1 3 4 0 0 0
83 0 3 3 0 10 10 0 0 0
662 4 37 41 10 96 106 1 1 2
B L Jumlah
0 57 57
0 60 60
0 7 7
14 115 129
0 90 90
6 185 191
0 51 51
1 54 55
4 50 54
3 18 21
2 94 96
30 781 811
LAPORAN KUNJUNGAN PU
PUSKESMAS : TALAWI

LAIN -
BAYAR JPKM BPJS LAIN JUMLAH

1 Puskesmas Induk 376 541 628 24 1569
2 UGD DAN RAWATAN 175 48 96 0 319
3 Puskesmas Pembantu Bukit Gadang 2 37 18 0 57
4 Puskesmas Pembantu Batu Tanjung 7 30 23 0 60
5 Puskesmas Pembantu Kumbayau 4 2 1 0 7
6 Puskesmas Pembantu Tumpuk Tangah 24 52 53 0 129
7 Puskesmas Pembantu Salak 24 54 12 0 90
8 Puskesmas Pembantu Sikalang 58 97 36 0 191
9 Puskesmas Pembantu Kumanis Atas 15 16 19 1 51
10 Polindes Batu Tanjung 3 26 26 0 55
11 Polindes Kumbayau 15 16 21 2 54
12 Polindes Datar Mansiang 5 5 11 0 21
13 Polindes Rantih 13 53 30 0 96
Jumlah 3 s/d 13 170 388 250 3 811
Total 1 s/d 13 721 977 974 27 2699
1 Puskesmas Induk
2 UGD DAN RAWATAN
3 Puskesmas Pembantu Bukit Gadang
4 Puskesmas Pembantu Batu Tanjung
5 Puskesmas Pembantu Kumbayau
6 Puskesmas Pembantu Tumpuk Tangah
7 Puskesmas Pembantu Salak
8 Puskesmas Pembantu Sikalang
9 Puskesmas Pembantu Kumanis Atas
10 Polindes Batu Tanjung
11 Polindes Kumbayau
12 Polindes Datar Mansiang
13 Polindes Rantih
Jumlah 3 s/d 13
Total 1 s/d 13

NIP 19830307 201001 2 029
JUNGAN PUSKESMAS DALAM DAN LUAR GEDUNG
JENIS PELAYANAN
BP Gigi KIA UGD

B L JML B L JML B L JML B
78 945 1023 20 99 119 55 200 255 25

0 0 0 0 0 0 0 0 0 203
0 52 52 0 0 0 0 5 5 0
0 52 52 0 2 2 0 6 6 0
0 3 3 0 0 0 0 4 4 0
10 101 111 0 4 4 4 10 14 0
0 73 73 0 5 5 0 12 12 0
0 143 143 4 20 24 2 22 24 0
0 31 31 0 0 0 0 20 20 0
0 51 51 0 3 3 1 0 1 0
1 45 46 0 0 0 2 4 6 0
2 15 17 0 0 0 1 3 4 0
2 81 83 0 3 3 0 10 10 0
15 647 662 4 37 41 10 96 106 0
93 1592 1685 24 136 160 65 296 361 228
78 945 1023 20 99 119 55 200 255 25

0 0 0 0 0 0 0 0 0 203
0 52 52 0 0 0 0 5 5 0
0 52 52 0 2 2 0 6 6 0
0 3 3 0 0 0 0 4 4 0
10 101 111 0 4 4 4 10 14 0
0 73 73 0 5 5 0 12 12 0
0 143 143 4 20 24 2 22 24 0
0 31 31 0 0 0 0 20 20 0
0 51 51 0 3 3 1 0 1 0
1 45 46 0 0 0 2 4 6 0
2 15 17 0 0 0 1 3 4 0
2 81 83 0 3 3 0 10 10 0
15 647 662 4 37 41 10 96 106 0
93 1592 1685 24 136 160 65 296 361 228
Penanggung Ja
NENGSI JUITA, Am
NIP 19830217 200604
L JML B L JML
56 81 54 37 91 232 1337 1569

116 319 0 0 0 203 116 319
0 0 0 0 0 0 57 57
0 0 0 0 0 0 60 60
0 0 0 0 0 0 7 7
0 0 0 0 0 14 115 129
0 0 0 0 0 0 90 90
0 0 0 0 0 6 185 191
0 0 0 0 0 0 51 51
0 0 0 0 0 1 54 55
0 0 1 1 2 4 50 54
0 0 0 0 0 3 18 21
0 0 0 0 0 2 94 96
0 0 1 1 2 30 781 811
172 400 55 38 93 465 2234 2699
56 81 178 1300 1478

116 319 203 116 319
0 0 0 57 57
0 0 0 60 60
0 0 0 7 7
0 0 14 115 129
0 0 0 90 90
0 0 6 185 191
0 0 0 51 51
0 0 1 54 55
0 0 3 49 52
0 0 3 18 21
0 0 2 94 96
0 0 29 780 809
172 400 410 2196 2606
Penanggung Jawab

NIP 19830217 200604 2 007
9/26/2015 20 13 12 2 47 5 21 26 1 4 5 2 1 3 0 0 0 1 1 2 0 0 0 11 0 11 20 27 47
9/28/2015 13 42 38 1 94 7 67 74 1 9 10 0 4 4 0 0 0 2 1 3 1 0 1 1 1 2 12 82 94
9/29/2015 18 23 34 1 76 4 44 48 5 13 18 1 1 2 0 0 0 0 3 3 0 0 0 2 3 5 12 64 76
9/30/2015 17 17 13 0 47 2 33 35 1 2 3 0 4 4 0 0 0 0 2 2 1 0 1 0 2 2 4 43 47
10/1/2015 11 28 29 0 68 7 49 56 0 4 4 0 1 1 0 0 0 2 4 6 0 0 0 1 0 1 10 58 68
10/2/2015 16 19 23 0 58 7 30 37 1 9 10 0 6 6 0 0 0 1 1 2 0 1 1 2 0 2 11 47 58
10/3/2015 16 15 15 1 47 2 23 25 1 6 7 0 4 4 0 0 0 0 2 2 0 0 0 1 8 9 4 43 47
10/5/2015 11 33 37 1 82 1 60 61 0 6 6 0 9 9 0 0 0 0 3 3 0 0 0 0 3 3 1 81 82
10/6/2015 24 49 37 1 111 5 59 64 0 30 30 0 8 8 0 0 0 2 4 6 0 0 0 0 3 3 7 104 111
10/7/2015 27 25 23 0 75 9 38 47 2 9 11 2 3 5 0 0 0 1 2 3 2 0 2 2 5 7 18 57 75
10/8/2015 22 20 24 0 66 2 42 44 2 2 4 0 1 1 0 1 1 0 4 4 0 1 1 2 9 11 6 60 66
10/9/2015 22 19 19 0 60 3 25 28 1 4 5 0 5 5 0 0 0 1 3 4 1 0 1 2 15 17 8 52 60
10/10/2015 11 7 21 0 39 0 27 27 1 4 5 0 3 3 0 0 0 1 2 3 0 0 0 0 1 1 2 37 39
10/12/2015 31 31 34 0 96 2 57 59 2 7 9 0 3 3 0 1 1 2 7 9 0 2 2 2 11 13 8 88 96
10/13/2015 33 23 34 2 92 5 57 62 1 11 12 1 2 3 0 0 0 0 4 4 0 0 0 4 7 11 11 81 92
10/15/2015 26 31 35 0 92 4 55 59 1 5 6 1 6 7 0 0 0 1 8 9 0 0 0 5 6 11 12 80 92
10/16/2015 12 24 16 0 52 0 33 33 1 2 3 0 5 5 0 0 0 0 3 3 0 1 1 0 7 7 1 51 52
10/17/2015 12 14 17 0 43 1 21 22 3 6 9 1 4 5 0 0 0 2 3 5 0 1 1 0 1 1 7 36 43
10/19/2015 15 37 41 1 94 1 63 64 1 7 8 0 6 6 0 0 0 1 5 6 1 1 2 6 2 8 10 84 94
10/20/2015 30 39 37 0 106 1 47 48 10 26 36 1 6 7 0 0 0 1 1 2 0 0 0 4 9 13 17 89 106
10/21/2015 33 26 24 1 84 6 37 43 5 4 9 1 7 8 0 0 0 3 5 8 1 1 2 0 14 14 16 68 84
10/22/2015 49 31 27 0 107 5 60 65 2 3 5 1 1 2 0 1 1 0 1 1 0 0 0 1 32 33 9 98 107
10/23/2015 39 15 19 0 73 4 24 28 1 11 12 0 4 4 0 1 1 2 2 4 0 1 1 7 16 23 14 59 73
10/24/2015 14 11 17 1 43 1 24 25 0 4 4 0 6 6 0 0 0 0 4 4 0 1 1 0 3 3 1 42 43
522 592 626 12 1752 84 996 1080 43 188 231 11 100 111 0 4 4 23 75 98 7 10 17 53 158 211 221 1531 1752
10 67 77 0 4 4
33 121 154 7 10 17
10 67 77
70 239 309 221 1531 1752
ugd,rawatan 140 98 97 0 335 170 165 335
9/26/2015 20 13 12 2 47 5 21 26 1 4 5 2 1 3 0 0 0 1 1 2 0 0 0 11 0 11 20 27 47
9/28/2015 13 42 38 1 94 7 67 74 1 9 10 0 4 4 0 0 0 2 1 3 1 0 1 1 1 2 12 82 94
9/29/2015 18 23 34 1 76 4 44 48 5 13 18 1 1 2 0 0 0 0 3 3 0 0 0 2 3 5 12 64 76
9/30/2015 17 17 13 0 47 2 33 35 1 2 3 0 4 4 0 0 0 0 2 2 1 0 1 0 2 2 4 43 47
10/1/2015 11 28 29 0 68 7 49 56 0 4 4 0 1 1 0 0 0 2 4 6 0 0 0 1 0 1 10 58 68
10/2/2015 16 19 23 0 58 7 30 37 1 9 10 0 6 6 0 0 0 1 1 2 0 1 1 2 0 2 11 47 58
10/3/2015 16 15 15 1 47 2 23 25 1 6 7 0 4 4 0 0 0 0 2 2 0 0 0 1 8 9 4 43 47
10/5/2015 11 33 37 1 82 1 60 61 0 6 6 0 9 9 0 0 0 0 3 3 0 0 0 0 3 3 1 81 82
10/6/2015 24 49 37 1 111 5 59 64 0 30 30 0 8 8 0 0 0 2 4 6 0 0 0 0 3 3 7 104 111
10/7/2015 27 25 23 0 75 9 38 47 2 9 11 2 3 5 0 0 0 1 2 3 2 0 2 2 5 7 18 57 75
10/8/2015 22 20 24 0 66 2 42 44 2 2 4 0 1 1 0 1 1 0 4 4 0 1 1 2 9 11 6 60 66
10/9/2015 22 19 19 0 60 3 25 28 1 4 5 0 5 5 0 0 0 1 3 4 1 0 1 2 15 17 8 52 60
10/10/2015 11 7 21 0 39 0 27 27 1 4 5 0 3 3 0 0 0 1 2 3 0 0 0 0 1 1 2 37 39
10/12/2015 31 31 34 0 96 2 57 59 2 7 9 0 3 3 0 1 1 2 7 9 0 2 2 2 11 13 8 88 96
10/13/2015 33 23 34 2 92 5 57 62 1 11 12 1 2 3 0 0 0 0 4 4 0 0 0 4 7 11 11 81 92
10/15/2015 26 31 35 0 92 4 55 59 1 5 6 1 6 7 0 0 0 1 8 9 0 0 0 5 6 11 12 80 92
10/16/2015 12 24 16 0 52 0 33 33 1 2 3 0 5 5 0 0 0 0 3 3 0 1 1 0 7 7 1 51 52
10/17/2015 12 14 17 0 43 1 21 22 3 6 9 1 4 5 0 0 0 2 3 5 0 1 1 0 1 1 7 36 43
10/19/2015 15 37 41 1 94 1 63 64 1 7 8 0 6 6 0 0 0 1 5 6 1 1 2 6 2 8 10 84 94
10/20/2015 30 39 37 0 106 1 47 48 10 26 36 1 6 7 0 0 0 1 1 2 0 0 0 4 9 13 17 89 106
10/21/2015 33 26 24 1 84 6 37 43 5 4 9 1 7 8 0 0 0 3 5 8 1 1 2 0 14 14 16 68 84
10/22/2015 49 31 27 0 107 5 60 65 2 3 5 1 1 2 0 1 1 0 1 1 0 0 0 1 32 33 9 98 107
10/23/2015 39 15 19 0 73 4 24 28 1 11 12 0 4 4 0 1 1 2 2 4 0 1 1 7 16 23 14 59 73
10/24/2015 14 11 17 1 43 1 24 25 0 4 4 0 6 6 0 0 0 0 4 4 0 1 1 0 3 3 1 42 43
522 592 626 12 1752 84 996 1080 43 188 231 11 100 111 0 4 4 23 75 98 7 10 17 53 158 211 221 1531 1752
10 67 77 0 4 4
33 121 154 7 10 17
10 67 77
70 239 309 221 1531 1752
ugd,rawatan 140 98 97 0 335 170 165 335
LAPORAN KUNJU
BULAN oktober 2015
STATUS BAYAR
NO KEGIATAN BP
B L
1 pp. BG 10 31 40 0 81 0 70
2 pp. BT 9 33 33 0 75 0 62
3 pp. KBY 0 0 0 0 0 0 0
4 pp. TT 18 41 43 1 103 15 70
5 pp. Salak 27 62 9 0 98 0 80
6 PP. SKLG 67 116 46 0 229 2 175
7 pp. K Atas 5 7 10 3 25 0 23
8 pld. BT 2 34 12 0 48 0 45
9 pld.KBY 9 12 15 0 36 0 31
5 pld. DMS 4 9 7 0 20 3 14
11 Pld. RNTH 4 49 38 0 91 0 77
TOTAL 155 394 253 4 806 20 647
JENIS PELAYANAN
JML B L JML B L JML B L
70 0 0 0 0 11 11 0 0
62 0 1 1 0 12 12 0 0
0 0 0 0 0 0 0 0 0
85 0 1 1 7 10 17 0 0
80 0 1 1 0 17 17 0 0
177 0 15 15 1 31 32 1 4
23 0 0 0 0 2 2 0 0
45 0 0 0 0 3 3 0 0
31 0 0 0 0 5 5 0 0
17 0 0 0 2 1 3 0 0
77 0 4 4 0 10 10 0 0
667 0 22 22 10 102 112 1 4
JML
0 0 81 81
0 0 75 75
0 0 0 0
0 22 81 103
0 0 98 98
5 4 225 229
0 0 25 25
0 0 48 48
0 0 36 36
0 5 15 20
0 0 91 91
5 31 775 806
PUSKESMAS : TALAWI
BULAN : OKTOBER 2015

LAIN -
1 Puskesmas Induk 522 592 626 12 1752 84 996 1080 11 100 111 33 121 154
2 UGD DAN RAWATAN 140 98 97 0 335 0 0 0 0 0 0 0 0 0
3 Puskesmas Pembantu Bukit Gadang 10 31 40 0 81 0 70 70 0 0 0 0 11 11
4 Puskesmas Pembantu Batu Tanjung 9 33 33 0 75 0 62 62 0 1 1 0 12 12
5 Puskesmas Pembantu Kumbayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Puskesmas Pembantu Tumpuk Tangah 18 41 43 1 103 15 70 85 0 1 1 7 10 17
7 Puskesmas Pembantu Salak 27 62 9 0 98 0 80 80 0 1 1 0 17 17
8 Puskesmas Pembantu Sikalang 67 116 46 0 229 2 175 177 0 15 15 1 31 32
9 Puskesmas Pembantu Kumanis Atas 5 7 10 3 25 0 23 23 0 0 0 0 2 2
10 Polindes Batu Tanjung 2 34 12 0 48 0 45 45 0 0 0 0 3 3
11 Polindes Kumbayau 9 12 15 0 36 0 31 31 0 0 0 0 5 5
12 Polindes Datar Mansiang 4 9 7 0 20 3 14 17 0 0 0 2 1 3
13 Polindes Rantih 4 49 38 0 91 0 77 77 0 4 4 0 10 10
Jumlah 3 s/d 13 155 394 253 4 806 20 647 667 0 22 22 10 102 112
Total 1 s/d 13 817 1084 976 16 2893 104 1643 1747 11 122 133 43 223 266
1 Puskesmas Induk 84 996 1080 11 100 111 33 121 154
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0
3 Puskesmas Pembantu Bukit Gadang 0 70 70 0 0 0 0 11 11
4 Puskesmas Pembantu Batu Tanjung 0 62 62 0 1 1 0 12 12
5 Puskesmas Pembantu Kumbayau 0 0 0 0 0 0 0 0 0
6 Puskesmas Pembantu Tumpuk Tangah 15 70 85 0 1 1 7 10 17
7 Puskesmas Pembantu Salak 0 80 80 0 1 1 0 17 17
8 Puskesmas Pembantu Sikalang 2 175 177 0 15 15 1 31 32
9 Puskesmas Pembantu Kumanis Atas 0 23 23 0 0 0 0 2 2
10 Polindes Batu Tanjung 0 45 45 0 0 0 0 3 3
11 Polindes Kumbayau 0 31 31 0 0 0 0 5 5
12 Polindes Datar Mansiang 3 14 17 0 0 0 2 1 3
13 Polindes Rantih 0 77 77 0 4 4 0 10 10
Jumlah 3 s/d 13 20 647 667 0 22 22 10 102 112
Total 1 s/d 13 104 1643 1747 11 122 133 43 223 266

NIP 19830307 201001 2 029
R GEDUNG
PELAYANAN

B L JML B L JML
23 75 98 70 239 309 221 1531 1752

170 165 335 0 0 0 170 165 335
0 0 0 0 0 0 0 81 81
0 0 0 0 0 0 0 75 75
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 22 81 103
0 0 0 0 0 0 0 98 98
0 0 0 1 4 5 4 225 229
0 0 0 0 0 0 0 25 25
0 0 0 0 0 0 0 48 48
0 0 0 0 0 0 0 36 36
0 0 0 0 0 0 5 15 20
0 0 0 0 0 0 0 91 91
0 0 0 1 4 5 31 775 806
193 240 433 71 243 314 422 2471 2893
23 75 98 151 1292 1443

170 165 335 170 165 335
0 0 0 0 81 81
0 0 0 0 75 75
0 0 0 0 0 0
0 0 0 22 81 103
0 0 0 0 98 98
0 0 0 3 221 224
0 0 0 0 25 25
0 0 0 0 48 48
0 0 0 0 36 36
0 0 0 5 15 20
0 0 0 0 91 91
0 0 0 30 771 801
193 240 433 351 2228 2579
66 6589 6655
488 9060 9548
Penanggung Jawab
NENGSI JUITA, SKM

NIP 19830217 200604 2 007
10/26/2015 16 35 42 0 93 3 63 66 1 7 8 3 0 3 0 0 0 1 8 9 1 1 2 0 5 5 9 84 93
10/27/2015 15 31 30 2 78 6 43 49 0 22 22 0 5 5 0 0 0 1 1 2 0 0 0 0 0 0 7 71 78
10/28/2015 5 14 35 1 55 4 37 41 0 5 5 0 5 5 1 1 2 0 2 2 0 0 0 0 0 0 5 50 55
10/29/2015 18 26 37 0 81 4 58 62 0 6 6 1 4 5 0 2 2 0 4 4 0 0 0 1 1 2 6 75 81
10/30/2015 19 16 19 0 54 0 31 31 2 3 5 4 2 6 0 0 0 2 2 4 0 0 0 1 7 8 9 45 54
10/31/2015 14 13 18 0 45 5 21 26 0 6 6 1 3 4 0 0 0 1 2 3 0 0 0 2 4 6 9 36 45
11/2/2015 21 21 23 0 65 3 34 37 4 4 8 0 4 4 0 0 0 0 3 3 0 0 0 3 10 13 10 55 65
11/3/2015 22 31 32 1 86 3 49 52 5 13 18 1 6 7 0 0 0 1 5 6 0 0 0 0 3 3 10 76 86
11/4/2015 18 29 29 0 76 1 56 57 0 3 3 1 6 7 0 0 0 3 2 5 0 0 0 1 3 4 6 70 76
11/5/2015 13 17 31 0 61 3 44 47 0 4 4 1 2 3 0 0 0 2 1 3 0 0 0 1 3 4 7 54 61
11/6/2015 7 9 22 0 38 1 25 26 1 2 3 1 2 3 0 0 0 2 2 4 0 1 1 0 1 1 5 33 38
11/7/2015 16 15 14 0 45 2 25 27 1 3 4 0 2 2 0 0 0 0 1 1 0 0 0 1 10 11 4 41 45
11/9/2015 27 29 25 0 81 6 49 55 2 9 11 0 3 3 0 0 0 3 1 4 0 0 0 3 5 8 14 67 81
11/10/2015 22 21 27 0 70 7 33 40 6 12 18 0 4 4 0 0 0 4 1 5 0 0 0 2 1 3 19 51 70
11/11/2015 17 11 23 0 51 3 20 23 4 12 16 2 2 4 0 0 0 1 1 2 0 3 3 2 1 3 12 39 51
11/12/2015 15 33 27 0 75 2 50 52 1 9 10 0 10 10 0 0 0 0 2 2 0 0 0 0 1 1 3 72 75
11/13/2015 10 13 17 0 40 1 24 25 1 3 4 0 2 2 0 0 0 1 3 4 0 2 2 3 0 3 6 34 40
11/14/2015 6 6 18 0 30 0 19 19 2 7 9 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 2 28 30
11/16/2015 16 32 43 0 91 6 62 68 5 8 13 0 6 6 0 0 0 2 1 3 0 0 0 1 0 1 14 77 91
11/17/2015 31 29 37 0 97 4 44 48 9 25 34 0 5 5 0 0 0 2 3 5 0 0 0 4 1 5 19 78 97
11/18/2015 7 7 25 0 39 0 22 22 1 4 5 1 1 2 1 0 1 2 5 7 0 1 1 0 1 1 5 34 39
11/19/2015 24 18 22 0 64 4 39 43 1 2 3 1 4 5 0 1 1 0 3 3 2 0 2 2 5 7 10 54 64
11/20/2015 7 21 17 1 46 0 29 29 1 4 5 1 6 7 0 0 0 0 5 5 0 0 0 0 0 0 2 44 46
11/21/2015 7 10 24 1 42 0 28 28 0 7 7 0 0 0 0 0 0 1 4 5 1 1 2 0 0 0 2 40 42
11/23/2015 9 28 39 0 76 1 49 50 3 6 9 1 10 11 0 0 0 1 2 3 0 2 2 0 1 1 6 70 76
11/24/2015 26 31 42 1 100 10 46 56 6 24 30 2 4 6 0 1 1 1 3 4 0 1 1 1 1 2 20 80 100
11/25/2015 7 16 19 1 43 2 31 33 0 0 0 0 5 5 0 0 0 1 4 5 0 0 0 0 0 0 3 40 43
415 562 737 8 1722 81 1031 1112 56 210 266 21 104 125 2 5 7 32 72 104 4 12 16 28 64 92 224 1498 1722
17 71 88 17 71 88
39 139 178 2 5 7
4 12 16
51 152 203 224 1498 1722
10/26/2015 16 35 42 0 93 3 63 66 1 7 8 3 0 3 0 0 0 1 8 9 1 1 2 0 5 5 9 84 93
10/27/2015 15 31 30 2 78 6 43 49 0 22 22 0 5 5 0 0 0 1 1 2 0 0 0 0 0 0 7 71 78
10/28/2015 5 14 35 1 55 4 37 41 0 5 5 0 5 5 1 1 2 0 2 2 0 0 0 0 0 0 5 50 55
10/29/2015 18 26 37 0 81 4 58 62 0 6 6 1 4 5 0 2 2 0 4 4 0 0 0 1 1 2 6 75 81
10/30/2015 19 16 19 0 54 0 31 31 2 3 5 4 2 6 0 0 0 2 2 4 0 0 0 1 7 8 9 45 54
10/31/2015 14 13 18 0 45 5 21 26 0 6 6 1 3 4 0 0 0 1 2 3 0 0 0 2 4 6 9 36 45
11/2/2015 21 21 23 0 65 3 34 37 4 4 8 0 4 4 0 0 0 0 3 3 0 0 0 3 10 13 10 55 65
11/3/2015 22 31 32 1 86 3 49 52 5 13 18 1 6 7 0 0 0 1 5 6 0 0 0 0 3 3 10 76 86
11/4/2015 18 29 29 0 76 1 56 57 0 3 3 1 6 7 0 0 0 3 2 5 0 0 0 1 3 4 6 70 76
11/5/2015 13 17 31 0 61 3 44 47 0 4 4 1 2 3 0 0 0 2 1 3 0 0 0 1 3 4 7 54 61
11/6/2015 7 9 22 0 38 1 25 26 1 2 3 1 2 3 0 0 0 2 2 4 0 1 1 0 1 1 5 33 38
11/7/2015 16 15 14 0 45 2 25 27 1 3 4 0 2 2 0 0 0 0 1 1 0 0 0 1 10 11 4 41 45
11/9/2015 27 29 25 0 81 6 49 55 2 9 11 0 3 3 0 0 0 3 1 4 0 0 0 3 5 8 14 67 81
11/10/2015 22 21 27 0 70 7 33 40 6 12 18 0 4 4 0 0 0 4 1 5 0 0 0 2 1 3 19 51 70
11/11/2015 17 11 23 0 51 3 20 23 4 12 16 2 2 4 0 0 0 1 1 2 0 3 3 2 1 3 12 39 51
11/12/2015 15 33 27 0 75 2 50 52 1 9 10 0 10 10 0 0 0 0 2 2 0 0 0 0 1 1 3 72 75
11/13/2015 10 13 17 0 40 1 24 25 1 3 4 0 2 2 0 0 0 1 3 4 0 2 2 3 0 3 6 34 40
11/14/2015 6 6 18 0 30 0 19 19 2 7 9 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 2 28 30
11/16/2015 16 32 43 0 91 6 62 68 5 8 13 0 6 6 0 0 0 2 1 3 0 0 0 1 0 1 14 77 91
11/17/2015 31 29 37 0 97 4 44 48 9 25 34 0 5 5 0 0 0 2 3 5 0 0 0 4 1 5 19 78 97
11/18/2015 7 7 25 0 39 0 22 22 1 4 5 1 1 2 1 0 1 2 5 7 0 1 1 0 1 1 5 34 39
11/19/2015 24 18 22 0 64 4 39 43 1 2 3 1 4 5 0 1 1 0 3 3 2 0 2 2 5 7 10 54 64
11/20/2015 7 21 17 1 46 0 29 29 1 4 5 1 6 7 0 0 0 0 5 5 0 0 0 0 0 0 2 44 46
11/21/2015 7 10 24 1 42 0 28 28 0 7 7 0 0 0 0 0 0 1 4 5 1 1 2 0 0 0 2 40 42
11/23/2015 9 28 39 0 76 1 49 50 3 6 9 1 10 11 0 0 0 1 2 3 0 2 2 0 1 1 6 70 76
11/24/2015 26 31 42 1 100 10 46 56 6 24 30 2 4 6 0 1 1 1 3 4 0 1 1 1 1 2 20 80 100
11/25/2015 7 16 19 1 43 2 31 33 0 0 0 0 5 5 0 0 0 1 4 5 0 0 0 0 0 0 3 40 43
415 562 737 8 1722 81 1031 1112 56 210 266 21 104 125 2 5 7 32 72 104 4 12 16 28 64 92 224 1498 1722
17 71 88 17 71 88
39 139 178 2 5 7
4 12 16
51 152 203 224 1498 1722
PUSKESMAS : TALAWI
BULAN : NOVEMBER 2015

LAIN -
1 Puskesmas Induk 415 562 737 8 1722 81 1031 1112 21 104 125 39 139 178 32 72 104 51 152 203 224 1498 1722
2 UGD DAN RAWATAN 130 80 92 0 302 0 0 0 0 0 0 0 0 0 101 201 302 0 0 0 101 201 302
13 Polindes Rantih 9 83 47 0 139 3 120 123 0 2 2 1 13 14 0 0 0 0 0 0 4 135 139
Jumlah 3 s/d 13 188 450 288 7 933 15 735 750 2 39 41 16 119 135 0 0 0 0 7 7 33 900 933
Total 1 s/d 13 733 1092 1117 15 2957 96 1766 1862 23 143 166 55 258 313 133 273 406 51 159 210 358 2599 2957
1 Puskesmas Induk 81 1031 1112 21 104 125 39 139 178 32 72 104 173 1346 1519
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 101 201 302 101 201 302
13 Polindes Rantih 3 120 123 0 2 2 1 13 14 0 0 0 4 135 139
Jumlah 3 s/d 13 15 735 750 2 39 41 16 119 135 0 0 0 33 893 926
Total 1 s/d 13 96 1766 1862 23 143 166 55 258 313 133 273 406 307 2440 2747
a/n. Kepala Puskesmas Talawi Penanggung Jawab
EVRA QOMARIA, SKM NENGSI JUITA, SKM

NIP 198505262009022006 NIP 19830217 200604 2 007
LAPORAN KUNJUN
BULAN NOVEMBER 2015
STATUS BAYAR
NO KEGIATAN BP
B L
1 pp. BG 11 32 42 0 85 0 78
2 pp. BT 5 44 27 1 77 0 65
3 pp. KBY 9 0 3 0 12 2 7
4 pp. TT 24 49 55 0 128 3 98
5 pp. Salak 24 63 10 0 97 0 75
6 PP. SKLG 61 115 46 0 222 1 164
7 pp. K Atas 10 10 21 3 44 2 27
8 pld. BT 8 23 13 0 44 2 36
9 pld.KBY 24 27 20 3 74 1 57
5 pld. DMS 3 4 4 0 11 1 8
11 Pld. RNTH 9 83 47 0 139 3 120
TOTAL 188 450 288 7 933 15 735
JENIS PELAYANAN
78 0 0 0 0 7 7 0 0 0
65 0 2 2 0 10 10 0 0 0
9 0 0 0 2 1 3 0 0 0
101 2 4 6 6 15 21 0 0 0
75 0 7 7 0 15 15 0 0 0
165 0 22 22 1 30 31 0 4 4
29 0 0 0 6 9 15 0 0 0
38 0 2 2 0 4 4 0 0 0
58 0 0 0 0 13 13 0 3 3
9 0 0 0 0 2 2 0 0 0
123 0 2 2 1 13 14 0 0 0
750 2 39 41 16 119 135 0 7 7
B L Jumlah
0 85 85
0 77 77
4 8 12
11 117 128
0 97 97
2 220 222
8 36 44
2 42 44
1 73 74
1 10 11
4 135 139
33 900 933
11/26/2015 16 37 42 0 95 9 71 80 0 5 5 2 3 5 0 0 0 1 4 5 0 0 0 0 0 0 12 83 95
11/27/2015 11 21 23 1 56 2 29 31 7 12 19 1 1 2 0 0 0 1 3 4 0 0 0 0 0 0 11 45 56
11/28/2015 9 18 16 0 43 2 24 26 2 4 6 0 0 0 0 0 0 4 4 8 0 1 1 0 2 2 8 35 43
11/30/2015 16 35 23 1 75 3 53 56 0 7 7 0 2 2 0 1 1 2 7 9 0 0 0 0 0 0 5 70 75
12/1/2015 15 27 21 0 63 5 32 37 2 9 11 1 7 8 0 0 0 0 5 5 0 0 0 0 2 2 8 55 63
12/2/2015 7 18 22 0 47 1 31 32 0 2 2 1 5 6 0 0 0 4 2 6 0 0 0 0 1 1 6 41 47
12/3/2015 15 35 34 0 84 6 54 60 1 6 7 0 6 6 0 0 0 2 5 7 0 0 0 2 2 4 11 73 84
12/4/2015 9 13 30 0 52 0 37 37 1 3 4 0 5 5 0 0 0 0 6 6 0 0 0 0 0 0 1 51 52
12/5/2015 5 16 15 0 36 0 23 23 1 6 7 0 1 1 0 0 0 0 5 5 0 0 0 0 0 0 1 35 36
12/7/2015 13 22 31 1 67 1 42 43 1 9 10 0 7 7 0 0 0 0 4 4 1 0 1 1 1 2 4 63 67
12/8/2015 24 35 30 1 90 5 51 56 7 16 23 0 2 2 0 0 0 0 5 5 0 0 0 4 0 4 16 74 90
12/10/2015 15 19 19 0 53 1 40 41 2 2 4 0 1 1 0 0 0 2 4 6 0 1 1 0 0 0 5 48 53
12/11/2015 11 11 15 0 37 3 23 26 0 1 1 0 3 3 0 0 0 2 1 3 0 0 0 3 1 4 8 29 37
12/12/2015 8 15 19 0 42 2 28 30 0 0 0 1 2 3 0 0 0 1 6 7 0 0 0 2 0 2 6 36 42
12/14/2015 17 23 50 1 91 1 66 67 4 7 11 0 3 3 0 0 0 0 8 8 0 0 0 2 0 2 7 84 91
12/15/2015 16 26 35 0 77 4 41 45 4 20 24 0 5 5 0 0 0 0 3 3 0 0 0 0 0 0 8 69 77
12/16/2015 14 28 19 0 61 1 36 37 1 7 8 1 5 6 0 3 3 1 4 5 0 1 1 0 1 1 4 57 61
12/17/2015 12 27 28 2 69 5 52 57 0 0 0 0 6 6 0 0 0 1 3 4 0 0 0 1 1 2 7 62 69
12/18/2015 15 11 20 0 46 2 26 28 2 7 9 0 3 3 0 0 0 3 2 5 0 1 1 0 0 0 7 39 46
12/19/2015 11 6 9 2 28 1 18 19 1 1 2 0 2 2 0 0 0 2 3 5 0 0 0 0 0 0 4 24 28
12/21/2015 6 19 34 0 59 2 42 44 0 6 6 0 2 2 0 0 0 2 5 7 0 0 0 0 0 0 4 55 59
12/22/2015 24 27 48 0 99 4 56 60 11 14 25 0 5 5 0 0 0 2 5 7 0 0 0 2 0 2 19 80 99
12/23/2015 12 13 23 1 49 1 30 31 2 2 4 0 4 4 0 0 0 3 6 9 0 1 1 0 0 0 6 43 49
301 502 606 10 1419 61 905 966 49 146 195 7 80 87 0 4 4 33 100 133 1 5 6 17 11 28 168 1251 1419
25 45 70 25 45 70
24 101 125 0 4 4
1 5 6
43 65 108 168 1251 1419
ugd,rawatan 152 117 119 0 388 281 107 388 281 107 388
11/26/2015 16 37 42 0 95 9 71 80 0 5 5 2 3 5 0 0 0 1 4 5 0 0 0 0 0 0 12 83 95
11/27/2015 11 21 23 1 56 2 29 31 7 12 19 1 1 2 0 0 0 1 3 4 0 0 0 0 0 0 11 45 56
11/28/2015 9 18 16 0 43 2 24 26 2 4 6 0 0 0 0 0 0 4 4 8 0 1 1 0 2 2 8 35 43
11/30/2015 16 35 23 1 75 3 53 56 0 7 7 0 2 2 0 1 1 2 7 9 0 0 0 0 0 0 5 70 75
12/1/2015 15 27 21 0 63 5 32 37 2 9 11 1 7 8 0 0 0 0 5 5 0 0 0 0 2 2 8 55 63
12/2/2015 7 18 22 0 47 1 31 32 0 2 2 1 5 6 0 0 0 4 2 6 0 0 0 0 1 1 6 41 47
12/3/2015 15 35 34 0 84 6 54 60 1 6 7 0 6 6 0 0 0 2 5 7 0 0 0 2 2 4 11 73 84
12/4/2015 9 13 30 0 52 0 37 37 1 3 4 0 5 5 0 0 0 0 6 6 0 0 0 0 0 0 1 51 52
12/5/2015 5 16 15 0 36 0 23 23 1 6 7 0 1 1 0 0 0 0 5 5 0 0 0 0 0 0 1 35 36
12/7/2015 13 22 31 1 67 1 42 43 1 9 10 0 7 7 0 0 0 0 4 4 1 0 1 1 1 2 4 63 67
12/8/2015 24 35 30 1 90 5 51 56 7 16 23 0 2 2 0 0 0 0 5 5 0 0 0 4 0 4 16 74 90
12/10/2015 15 19 19 0 53 1 40 41 2 2 4 0 1 1 0 0 0 2 4 6 0 1 1 0 0 0 5 48 53
12/11/2015 11 11 15 0 37 3 23 26 0 1 1 0 3 3 0 0 0 2 1 3 0 0 0 3 1 4 8 29 37
12/12/2015 8 15 19 0 42 2 28 30 0 0 0 1 2 3 0 0 0 1 6 7 0 0 0 2 0 2 6 36 42
12/14/2015 17 23 50 1 91 1 66 67 4 7 11 0 3 3 0 0 0 0 8 8 0 0 0 2 0 2 7 84 91
12/15/2015 16 26 35 0 77 4 41 45 4 20 24 0 5 5 0 0 0 0 3 3 0 0 0 0 0 0 8 69 77
12/16/2015 14 28 19 0 61 1 36 37 1 7 8 1 5 6 0 3 3 1 4 5 0 1 1 0 1 1 4 57 61
12/17/2015 12 27 28 2 69 5 52 57 0 0 0 0 6 6 0 0 0 1 3 4 0 0 0 1 1 2 7 62 69
12/18/2015 15 11 20 0 46 2 26 28 2 7 9 0 3 3 0 0 0 3 2 5 0 1 1 0 0 0 7 39 46
12/19/2015 11 6 9 2 28 1 18 19 1 1 2 0 2 2 0 0 0 2 3 5 0 0 0 0 0 0 4 24 28
12/21/2015 6 19 34 0 59 2 42 44 0 6 6 0 2 2 0 0 0 2 5 7 0 0 0 0 0 0 4 55 59
12/22/2015 24 27 48 0 99 4 56 60 11 14 25 0 5 5 0 0 0 2 5 7 0 0 0 2 0 2 19 80 99
12/23/2015 12 13 23 1 49 1 30 31 2 2 4 0 4 4 0 0 0 3 6 9 0 1 1 0 0 0 6 43 49
301 502 606 10 1419 61 905 966 49 146 195 7 80 87 0 4 4 33 100 133 1 5 6 17 11 28 168 1251 1419
25 45 70 25 45 70
24 101 125 0 4 4
1 5 6
43 65 108 168 1251 1419
ugd,rawatan 152 117 119 0 388 281 107 388 281 107 388
PUSKESMAS : TALAWI
BULAN : DESEMBER 2015

LAIN -
1 Puskesmas Induk 301 502 606 10 1419 61 905 966 7 80 87 24 101 125 33 100 133 43 65 108 168 1251 1419
2 UGD DAN RAWATAN 152 117 119 0 388 0 0 0 0 0 0 0 0 0 281 107 388 0 0 0 281 107 388
13 Polindes Rantih 8 60 30 0 98 5 81 86 0 1 1 0 11 11 0 0 0 0 0 0 5 93 98
Jumlah 3 s/d 13 147 374 250 1 772 10 649 659 0 14 14 10 88 98 0 0 0 0 1 1 20 752 772
Total 1 s/d 13 600 993 975 11 2579 71 1554 1625 7 94 101 34 189 223 314 207 521 43 66 109 469 2110 2579
1 Puskesmas Induk 61 905 966 7 80 87 24 101 125 33 100 133 125 1186 1311
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 281 107 388 281 107 388
13 Polindes Rantih 5 81 86 0 1 1 0 11 11 0 0 0 5 93 98
Jumlah 3 s/d 13 10 649 659 0 14 14 10 88 98 0 0 0 20 751 771
Total 1 s/d 13 71 1554 1625 7 94 101 34 189 223 314 207 521 426 2044 2470

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
LAPORAN KUNJUNG
BULAN NOVEMBER 2015
STATUS BAYAR
NO KEGIATAN BP
B L JML
1 pp. BG 9 29 28 0 66 0 61 61
2 pp. BT 6 36 27 0 69 0 59 59
3 pp. KBY 3 3 5 0 11 1 9 10
4 pp. TT 21 38 49 0 108 2 90 92
5 pp. Salak 17 55 18 0 90 0 78 78
6 PP. SKLG 47 93 43 0 183 0 148 148
7 pp. K Atas 8 11 15 0 34 0 26 26
8 pld. BT 6 22 17 0 45 0 40 40
9 pld.KBY 17 23 12 1 53 0 48 48
5 pld. DMS 5 4 6 0 15 2 9 11
11 Pld. RNTH 8 60 30 0 98 5 81 86
TOTAL 147 374 250 1 772 10 649 659
JENIS PELAYANAN
0 0 0 0 5 5 0 0 0 0
0 1 1 0 9 9 0 0 0 0
0 1 1 0 0 0 0 0 0 1
0 1 1 3 12 15 0 0 0 5
0 0 0 0 12 12 0 0 0 0
0 8 8 2 25 27 0 0 0 2
0 0 0 3 5 8 0 0 0 3
0 2 2 0 3 3 0 0 0 0
0 0 0 1 3 4 0 1 1 1
0 0 0 1 3 4 0 0 0 3
0 1 1 0 11 11 0 0 0 5
0 14 14 10 88 98 0 1 1 20
L Jumlah
66 66
69 69
10 11
103 108
90 90
181 183
31 34
45 45
52 53
12 15
93 98
752 772
LAPORAN KUNJUN
BULAN NOVEMBER 2015
STATUS BAYAR
NO KEGIATAN BP
B L
1 pp. BG 2 17 25 0 44 0 40
2 pp. BT 8 30 20 0 58 0 52
3 pp. KBY 5 1 11 0 17 2 12
4 pp. TT 17 34 49 0 100 3 80
5 pp. Salak 18 45 10 0 73 2 52
6 PP. SKLG 56 99 53 0 208 3 155
7 pp. K Atas 12 14 28 2 56 4 45
8 pld. BT 8 18 20 0 46 0 42
9 pld.KBY 18 31 14 2 65 2 52
5 pld. DMS 1 3 2 0 6 1 5
11 Pld. RNTH 7 53 36 0 96 1 86
TOTAL 152 345 268 4 769 18 621
JENIS PELAYANAN
40 0 0 0 0 4 4 0 0 0
52 0 2 2 0 4 4 0 0 0
14 0 2 2 0 1 1 0 0 0
83 0 4 4 0 13 13 0 0 0
54 0 1 1 0 18 18 0 0 0
158 0 15 15 0 32 32 0 3 3
49 0 0 0 0 7 7 0 0 0
42 0 0 0 0 4 4 0 0 0
54 0 0 0 1 8 9 0 2 2
6 0 0 0 0 0 0 0 0
87 1 5 6 0 3 3 0 0 0
639 1 29 30 1 94 95 0 5 5
B L Jumlah
0 44 44
0 58 58
2 15 17
3 97 100
2 71 73
3 205 208
4 52 56
0 46 46
3 62 65
1 5 6
2 94 96
20 749 769
Jan-16
BP
TANGGAL Bayar jpkm bpjs lain" jumlah
B L JML
12/26/2015 13 10 15 0 38 1 21 22
12/28/2015 27 37 41 0 105 2 73 75
12/29/2015 37 25 46 1 109 3 65 68
12/30/2015 14 15 21 0 50 2 30 32
12/31/2015 15 26 41 0 82 3 58 61
1/2/2016 9 16 19 1 45 3 27 30
1/4/2016 16 27 32 0 75 3 51 54
1/5/2016 14 28 40 0 82 1 53 54
1/6/2016 15 22 18 0 55 0 38 38
1/7/2016 8 8 12 0 28 0 17 17
1/8/2016 15 10 21 0 46 4 28 32
1/9/2016 7 15 15 0 37 1 26 27
1/11/2016 23 23 20 0 66 4 45 49
1/12/2016 44 31 29 1 105 6 51 57
1/13/2016 14 19 22 0 55 0 46 46
1/14/2016 33 21 21 0 75 4 40 44
1/15/2016 8 4 10 0 22 3 13 16
1/16/2016 20 17 14 0 51 5 28 33
1/18/2016 20 28 41 1 90 2 58 60
1/19/2016 17 28 27 0 72 4 45 49
1/20/2016 34 22 25 0 81 5 44 49
1/21/2016 12 25 22 0 59 3 42 45
1/22/2016 18 33 22 0 73 0 52 52
1/23/2016 11 13 19 0 43 2 26 28
1/25/2016 15 25 26 0 66 0 48 48
459 528 619 4 1610 61 1025 1086
UGD,RAWATAN 128 94 101 0 323

KIA GIGI KB
0 1 1 0 5 5 0 0 0
1 4 5 3 7 10 0 0 0
8 16 24 4 6 10 0 0 0
0 7 7 0 3 3 0 1 1
0 5 5 0 8 8 0 0 0
0 5 5 0 2 2 0 0 0
0 11 11 2 1 3 0 0 0
3 12 15 1 6 7 0 0 0
0 5 5 1 3 4 0 0 0
1 3 4 0 2 2 0 1 1
0 5 5 1 5 6 0 0 0
1 3 4 1 2 3 0 0 0
1 9 10 0 5 5 0 0 0
4 16 20 0 6 6 0 0 0
0 0 0 2 3 5 0 0 0
1 9 10 1 10 11 0 0 0
0 0 0 0 2 2 0 0 0
0 8 8 0 5 5 0 0 0
2 13 15 1 6 7 0 0 0
1 10 11 0 6 6 0 0 0
1 10 11 0 5 5 0 0 0
1 5 6 0 5 5 0 1 1
2 6 8 0 6 6 0 0 0
0 8 8 0 3 3 0 0 0
3 8 11 0 1 1 0 0 0
30 179 209 17 113 130 0 3 3
16 49 65
14 130 144
UGD IMUNISASI LAIN-LAIN
4 4 8 0 0 0 1 1 2
1 7 8 3 1 4 1 2 3
1 6 7 0 0 0 0 0 0
3 4 7 0 0 0 0 0 0
3 4 7 0 0 0 1 0 1
0 6 6 0 0 0 1 1 2
1 4 5 0 0 0 1 1 2
0 3 3 1 0 1 1 1 2
1 5 6 0 2 2 0 0 0
0 2 2 0 0 0 0 2 2
0 2 2 0 0 0 1 0 1
1 0 1 0 0 0 0 2 2
1 1 2 0 0 0 0 0 0
0 4 4 0 0 0 9 9 18
1 1 2 0 0 0 1 1 2
0 3 3 0 0 0 3 4 7
1 1 2 0 0 0 2 0 2
1 1 2 0 0 0 2 1 3
0 6 6 0 1 1 0 1 1
0 4 4 0 0 0 1 1 2
0 5 5 1 1 2 5 4 9
0 2 2 0 0 0 0 0 0
0 2 2 0 0 0 2 3 5
0 2 2 0 0 0 1 1 2
0 6 6 0 0 0 0 0 0
19 85 104 5 5 10 33 35 68
0 3 3
5 5 10
16 49 65
194 129 323 54 92 146
BARU LAMA TOTAL
6 32 38
11 94 105
16 93 109
5 45 50
7 75 82
4 41 45
7 68 75
7 75 82
2 53 55
1 27 28
6 40 46
4 33 37
6 60 66
19 86 105
4 51 55
9 66 75
6 16 22
8 43 51
5 85 90
6 66 72
12 69 81
4 55 59
4 69 73
3 40 43
3 63 66
165 1445 1610
165 1445 1610

PUSKESMAS : TALAWI

1 Puskesmas Induk 459 528 619 4 1610 61 1025 1086 17 113 130 14 130 144 19 85 104 54 92 146 165 1445 1610
2 UGD DAN RAWATAN 128 94 101 0 323 0 0 0 0 0 0 0 0 0 194 129 323 0 0 0 194 129 323
13 Polindes Rantih 7 53 36 0 96 1 86 87 1 5 6 0 3 3 0 0 0 0 0 0 2 94 96
Jumlah 3 s/d 13 152 345 268 4 769 18 621 639 1 29 30 1 94 95 0 0 0 0 5 5 20 749 769
Total 1 s/d 13 739 967 988 8 2702 79 1646 1725 18 142 160 15 224 239 213 214 427 54 97 151 379 2323 2702
1 Puskesmas Induk 61 1025 1086 17 113 130 14 130 144 19 85 104 111 1353 1464
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 194 129 323 194 129 323
13 Polindes Rantih 1 86 87 1 5 6 0 3 3 0 0 0 2 94 96
Jumlah 3 s/d 13 18 621 639 1 29 30 1 94 95 0 0 0 20 744 764
Total 1 s/d 13 79 1646 1725 18 142 160 15 224 239 213 214 427 325 2226 2551

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
LAPORAN KUNJUNGAN PP/POLINDES 2016
STATUS BAYAR JENIS PELAYANAN

NO BULAN BP Gigi KIA LAIN-LAIN B L Jumlah
BAYAR JPKM BPJS LAIN" JUMLAH
1 JAN
2 FEB
3 MAR
4 APRIL
5 MEI
6 JUNI
7 JULI
8 AGUS
9 SEP
5 OKT
11 NOV
12 DES
LAPORAN KUNJUNG
BULAfebruari 2016
STATUS BAYAR
NO KEGIATAN BP
B L JML
1 pp. BG 5 24 26 0 55 0 52 52
2 pp. BT 13 44 20 4 81 0 60 60
3 pp. KBY 5 0 5 0 10 2 6 8
4 pp. TT 21 46 57 0 124 4 101 105
5 pp. Salak 18 50 11 0 79 0 59 59
6 PP. SKLG 76 110 60 0 246 3 173 176
7 pp. K Atas 4 11 5 0 20 1 15 16
8 pld. BT 7 17 21 0 45 0 37 37
9 pld.KBY 14 34 26 3 77 2 60 62
5 pld. DMS 4 6 7 0 17 2 13 15
11 Pld. RNTH 10 62 35 0 107 1 90 91
TOTAL 177 404 273 7 861 15 666 681
AN KUNJUNGAN PP/POLINDES
JENIS PELAYANAN
0 0 0 1 2 3 0 0 0 1
0 0 0 1 15 16 0 5 5 1
0 1 1 0 1 1 0 0 0 2
0 4 4 2 13 15 0 0 0 6
0 3 3 0 17 17 0 0 0 0
0 31 31 1 32 33 3 3 6 7
0 1 1 0 3 3 0 0 0 1
0 2 2 0 6 6 0 0 0 0
0 0 0 4 9 13 0 2 2 6
0 0 0 0 2 2 0 0 0 2
0 3 3 1 12 13 0 0 0 2
0 45 45 10 112 122 3 10 13 28
L Jumlah
54 55
80 81
8 10
118 124
79 79
239 246
19 20
45 45
71 77
15 17
105 107
833 861
PUSKESMAS : TALAWI
BULAN : FEBRUARI 2016

1 Puskesmas Induk 425 631 694 5 1755 66 1151 1217 4 68 72 8 181 189 18 98 116 64 97 161 160 1595 1755
2 UGD DAN RAWATAN 134 111 142 0 387 0 0 0 0 0 0 0 0 0 240 147 387 0 0 0 240 147 387
13 Polindes Rantih 10 62 35 0 107 1 90 91 0 3 3 1 12 13 0 0 0 0 0 0 2 105 107
Jumlah 3 s/d 13 177 404 273 7 861 15 666 681 0 45 45 10 112 122 0 0 0 3 10 13 28 833 861
Total 1 s/d 13 736 1146 1109 12 3003 81 1817 1898 4 113 117 18 293 311 258 245 503 67 107 174 428 2575 3003
1 Puskesmas Induk 66 1151 1217 4 68 72 8 181 189 18 98 116 96 1498 1594
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 240 147 387 240 147 387
13 Polindes Rantih 1 90 91 0 3 3 1 12 13 0 0 0 2 105 107
Jumlah 3 s/d 13 15 666 681 0 45 45 10 112 122 0 0 0 25 823 848
Total 1 s/d 13 81 1817 1898 4 113 117 18 293 311 258 245 503 361 2468 2829
a/n Kepala Puskesmas Talawi Penanggung Jawab
EVRA QOMARIAH, SKM NENGSI JUITA, SKM

NIP 19850526 200902 2 006 NIP 19830217 200604 2 007
Feb-16
BP
B L JML
1/26/2016 16 26 28 0 70 1 47 48
1/27/2016 18 20 36 0 74 3 43 46
1/28/2016 12 12 14 0 38 4 20 24
1/29/2016 19 22 26 0 67 2 44 46
1/30/2016 12 12 22 0 46 4 28 32
2/1/2016 23 23 38 0 84 1 49 50
2/2/2016 27 39 38 0 104 1 69 70
2/3/2016 28 24 31 0 83 3 51 54
2/4/2016 24 24 28 0 76 6 49 55
2/5/2016 8 25 17 0 50 1 37 38
2/6/2016 14 25 22 0 61 3 37 40
2/9/2016 25 45 47 3 120 3 78 81
2/10/2016 14 41 23 1 79 3 47 50
2/11/2016 14 27 23 0 64 1 43 44
2/12/2016 13 32 28 0 73 1 52 53
2/13/2016 10 10 20 0 40 0 35 35
2/15/2016 20 30 20 0 70 1 47 48
2/16/2016 18 28 29 0 75 3 55 58
2/17/2016 14 21 19 0 54 3 33 36
2/18/2016 13 19 19 0 51 2 29 31
2/19/2016 13 21 20 0 54 5 33 38
2/20/2016 16 13 21 0 50 2 35 37
2/22/2016 19 29 33 1 82 4 54 58
2/23/2016 16 27 43 0 86 5 66 71
2/24/2016 9 21 24 0 54 2 37 39
2/25/2016 10 15 25 0 50 2 33 35
425 631 694 5 1755 66 1151 1217
ugd,rawatan 134 111 142 0 387

KIA GIGI KB
1 12 13 0 3 3 0 0 0
1 16 17 0 3 3 0 1 1
1 5 6 0 3 3 0 0 0
0 7 7 0 1 1 0 1 1
0 7 7 0 2 2 0 0 0
2 14 16 0 5 5 0 0 0
2 21 23 0 3 3 0 0 0
4 8 12 1 2 3 0 3 3
0 7 7 0 2 2 0 0 0
0 5 5 0 3 3 0 1 1
3 11 14 0 1 1 0 0 0
5 14 19 1 6 7 0 0 0
8 13 21 0 6 6 0 0 0
2 7 9 0 4 4 0 0 0
1 14 15 0 0 0 0 0 0
0 0 0 0 1 1 0 0 0
3 9 12 1 3 4 0 0 0
1 10 11 0 1 1 0 0 0
1 7 8 0 2 2 0 0 0
3 10 13 0 3 3 0 0 0
0 6 6 0 4 4 0 0 0
0 8 8 0 1 1 0 0 0
5 9 14 0 2 2 0 0 0
3 6 9 0 2 2 0 0 0
0 10 10 0 2 2 0 0 0
1 5 6 1 3 4 0 0 0
47 241 288 4 68 72 0 6 6
39 60 99
8 181 189
1 3 4 1 0 1 0 1 1
1 5 6 0 0 0 1 0 1
1 4 5 0 0 0 0 0 0
3 4 7 0 0 0 2 3 5
0 5 5 0 0 0 0 0 0
0 9 9 0 1 1 3 0 3
1 7 8 0 0 0 0 0 0
1 5 6 1 0 1 3 1 4
2 5 7 0 0 0 3 2 5
0 3 3 0 0 0 0 0 0
1 5 6 0 0 0 0 0 0
1 6 7 0 0 0 1 5 6
0 2 2 0 0 0 0 0 0
0 2 2 0 1 1 2 2 4
0 5 5 0 0 0 0 0 0
0 4 4 0 0 0 0 0 0
1 5 6 0 0 0 0 0 0
0 2 2 0 0 0 0 3 3
1 5 6 0 1 1 0 1 1
0 3 3 0 0 0 0 1 1
1 3 4 0 0 0 1 1 2
0 1 1 0 0 0 3 0 3
1 0 1 0 0 0 3 4 7
1 1 2 0 0 0 1 1 2
0 2 2 0 1 1 0 0 0
1 2 3 0 0 0 0 2 2
18 98 116 2 4 6 23 27 50
0 6 6
2 4 6
39 60 99
64 97 161
240 147 387

BARU LAMA TOTAL
4 66 70
6 68 74
6 32 38
7 60 67
4 42 46
6 78 84
4 100 104
13 70 83
11 65 76
1 49 50
7 54 61
11 109 120
11 68 79
5 59 64
2 71 73
0 40 40
6 64 70
4 71 75
5 49 54
5 46 51
7 47 54
5 45 50
13 69 82
10 76 86
2 52 54
5 45 50
160 1595 1755
160 1595 1755

LAPORAN KUNJUNG
BULAN mar 2016
STATUS BAYAR
NO KEGIATAN BP
B L JML
1 pp. BG 8 19 33 0 60 0 52 52
2 pp. BT 8 19 13 0 40 0 27 27
3 pp. KBY 3 0 3 0 6 0 4 4
4 pp. TT 18 43 59 0 120 10 90 100
5 pp. Salak 12 35 13 0 60 0 49 49
6 pp.sikalang 50 87 73 0 210 0 161 161
7 pp. K Atas 8 7 9 0 24 1 18 19
8 pld. BT 7 18 18 0 43 0 40 40
9 pld.KBY 17 26 25 3 71 0 62 62
5 pld. DMS 3 5 7 0 15 1 13 14
11 Pld. RNTH 14 45 24 0 83 0 73 73
TOTAL 148 304 277 3 732 12 589 601
AN KUNJUNGAN PP/POLINDES
JENIS PELAYANAN
0 0 0 0 8 8 0 0 0 0
0 3 3 1 7 8 0 2 2 1
0 0 0 1 1 2 0 0 0 1
3 3 6 2 12 14 0 0 0 15
0 3 3 0 8 8 0 0 0 0
0 24 24 1 24 25 0 0 0 1
0 1 1 0 4 4 0 0 0 1
0 2 2 0 1 1 0 0 0 0
0 0 0 0 6 6 0 3 3 0
0 0 0 0 1 1 0 0 0 1
0 2 2 0 8 8 0 0 0 0
3 38 41 5 80 85 0 5 5 20
L Jumlah
60 60
39 40
5 6
105 120
60 60
209 210
23 24
43 43
71 71
14 15
83 83
712 732
PUSKESMAS : TALAWI
BULAN : MARET 2016

1 Puskesmas Induk 376 473 590 2 1441 54 906 960 5 85 90 10 147 157 21 49 70 49 115 164 139 1302 1441
2 UGD DAN RAWATAN 171 119 114 0 404 0 0 0 0 0 0 0 0 0 254 150 404 0 0 0 254 150 404
13 Polindes Rantih 14 45 24 0 83 0 73 73 0 2 2 0 8 8 0 0 0 0 0 0 0 83 83
Jumlah 3 s/d 13 148 304 277 3 732 12 589 601 3 38 41 5 80 85 0 0 0 0 5 5 20 712 732
Total 1 s/d 13 695 896 981 5 2577 66 1495 1561 8 123 131 15 227 242 275 199 474 49 120 169 413 2164 2577
1 Puskesmas Induk 54 906 960 5 85 90 10 147 157 21 49 70 90 1187 1277
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 254 150 404 254 150 404
13 Polindes Rantih 0 73 73 0 2 2 0 8 8 0 0 0 0 83 83
Jumlah 3 s/d 13 12 589 601 3 38 41 5 80 85 0 0 0 20 707 727
Total 1 s/d 13 66 1495 1561 8 123 131 15 227 242 275 199 474 364 2044 2408

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
Mar-16
BP
B L JML
2/26/2016 15 12 23 0 50 3 25 28
2/27/2016 14 9 25 0 48 1 24 25
2/29/2016 17 35 39 0 91 2 58 60
3/1/2016 25 29 29 1 84 3 51 54
3/2/2016 15 12 22 0 49 2 31 33
3/3/2016 16 13 25 0 54 1 38 39
3/4/2016 14 23 28 0 65 2 42 44
3/5/2016 6 16 17 0 39 1 28 29
3/7/2016 16 28 27 0 71 3 45 48
3/8/2016 19 29 32 0 80 4 50 54
3/10/2016 9 29 22 0 60 3 42 45
3/11/2016 17 19 18 0 54 1 34 35
3/12/2016 10 14 16 0 40 1 23 24
3/14/2016 17 31 31 1 80 6 45 51
3/15/2016 26 38 30 0 94 6 67 73
3/16/2016 27 10 27 0 64 3 34 37
3/17/2016 16 22 23 0 61 0 48 48
3/18/2016 17 17 16 0 50 2 33 35
3/19/2016 10 14 24 0 48 2 29 31
3/21/2016 22 20 36 0 78 4 49 53
3/22/2016 20 28 43 0 91 1 50 51
3/23/2016 10 13 16 0 39 1 21 22
3/24/2016 18 12 21 0 51 2 39 41
376 473 590 2 1441 54 906 960
KIA GIGI KB
1 12 13 0 4 4 0 0 0
2 9 11 0 8 8 0 0 0
0 12 12 0 3 3 0 0 0
2 18 20 1 2 3 0 0 0
1 9 10 0 3 3 0 0 0
0 11 11 0 2 2 0 0 0
0 12 12 0 5 5 0 0 0
0 1 1 0 3 3 0 0 0
0 7 7 0 7 7 0 1 1
4 11 15 0 1 1 0 0 0
1 9 10 0 3 3 0 1 1
3 4 7 0 1 1 0 0 0
0 3 3 0 7 7 0 0 0
3 11 14 1 9 10 0 0 0
0 10 10 0 5 5 0 1 1
6 10 16 0 2 2 0 0 0
0 7 7 0 3 3 0 0 0
4 4 8 0 2 2 0 0 0
0 7 7 1 5 6 0 0 0
0 15 15 1 4 5 0 0 0
2 19 21 0 5 5 0 0 0
2 7 9 0 1 1 0 0 0
0 7 7 1 0 1 0 0 0
31 215 246 5 85 90 0 3 3
21 68 89
10 147 157
1 2 3 0 0 0 1 1 2
2 0 2 0 0 0 2 0 2
1 5 6 0 0 0 6 4 10
0 2 2 0 0 0 2 3 5
0 0 0 0 0 0 0 3 3
0 2 2 0 0 0 0 0 0
0 1 1 0 0 0 2 1 3
0 5 5 0 1 1 0 0 0
0 3 3 0 1 1 2 2 4
2 2 4 0 0 0 4 2 6
0 0 0 0 0 0 0 1 1
1 1 2 0 1 1 5 3 8
2 4 6 0 0 0 0 0 0
2 1 3 0 0 0 0 2 2
1 2 3 0 0 0 0 2 2
3 4 7 0 0 0 0 2 2
1 0 1 0 0 0 1 1 2
2 3 5 0 0 0 0 0 0
1 2 3 0 0 0 1 0 1
0 3 3 0 0 0 0 2 2
1 4 5 0 2 2 1 6 7
1 2 3 0 0 0 1 3 4
0 1 1 0 0 0 0 1 1
21 49 70 0 5 5 28 39 67
21 68 89
0 3 3
0 5 5
49 115 164
BARU LAMA TOTAL
6 44 50
7 41 48
9 82 91
8 76 84
3 46 49
1 53 54
4 61 65
1 38 39
5 66 71
14 66 80
4 56 60
10 44 54
3 37 40
12 68 80
7 87 94
12 52 64
2 59 61
8 42 50
5 43 48
5 73 78
5 86 91
5 34 39
3 48 51
139 1302 1441
139 1302 1441

Apr-16
BP
B L JML
3/26/2016 13 22 14 0 49 2 31 33
3/28/2016 20 23 23 0 66 4 46 50
3/29/2016 31 39 29 0 99 2 66 68
3/30/2016 26 25 27 0 78 2 46 48
3/31/2016 42 19 23 0 84 3 48 51
4/1/2016 19 21 19 0 59 0 39 39
4/2/2016 16 7 21 0 44 2 26 28
4/4/2016 28 26 30 0 84 6 48 54
4/5/2016 22 35 39 0 96 2 61 63
4/6/2016 19 17 26 0 62 5 31 36
4/7/2016 31 27 30 0 88 3 53 56
4/8/2016 41 14 21 0 76 0 32 32
4/9/2016 32 10 18 0 60 0 28 28
4/11/2016 43 21 31 0 95 1 53 54
4/12/2016 37 32 20 0 89 2 41 43
4/13/2016 22 21 20 0 63 3 31 34
4/14/2016 20 21 18 1 60 1 38 39
4/15/2016 17 16 19 0 52 3 29 32
4/16/2016 14 16 19 0 49 1 34 35
4/18/2016 19 37 37 0 93 7 59 66
4/19/2016 25 28 43 0 96 3 44 47
4/20/2016 27 14 24 0 65 1 37 38
4/21/2016 22 36 33 0 91 1 65 66
4/22/2016 14 10 12 0 36 0 23 23
4/23/2016 7 13 19 0 39 0 28 28
4/25/2016 21 21 24 0 66 0 43 43
628 571 639 1 1839 54 1080 1134
KIA GIGI KB
0 7 7 1 2 3 0 0 0
1 5 6 0 5 5 0 0 0
1 10 11 3 2 5 0 0 0
1 5 6 3 5 8 0 0 0
0 5 5 0 4 4 0 0 0
0 8 8 1 3 4 0 0 0
0 0 0 1 5 6 0 0 0
0 10 10 2 7 9 0 0 0
2 18 20 1 4 5 0 0 0
0 11 11 0 3 3 0 0 0
1 9 10 1 5 6 0 0 0
0 3 3 0 2 2 0 0 0
0 10 10 1 2 3 0 0 0
1 3 4 0 6 6 0 0 0
0 21 21 1 7 8 0 0 0
2 7 9 1 3 4 0 0 0
1 4 5 0 1 1 0 0 0
1 7 8 1 1 2 0 0 0
1 7 8 0 1 1 0 0 0
3 9 12 0 5 5 0 1 1
0 33 33 1 3 4 0 0 0
4 4 8 2 1 3 0 1 1
2 6 8 0 4 4 0 0 0
2 2 4 0 3 3 0 0 0
1 8 9 0 1 1 0 0 0
1 7 8 1 3 4 0 0 0
25 219 244 21 88 109 0 2 2
17 64 81
8 155 163
0 6 6 0 0 0 0 0 0
0 3 3 0 0 0 0 2 2
1 7 8 0 0 0 4 3 7
1 1 2 0 0 0 5 9 14
0 2 2 0 0 0 10 12 22
0 3 3 0 0 0 2 3 5
0 3 3 0 0 0 4 3 7
0 5 5 0 0 0 4 2 6
1 4 5 0 0 0 1 2 3
1 4 5 0 0 0 5 2 7
1 2 3 0 0 0 3 10 13
1 4 5 0 0 0 4 30 34
1 0 1 0 0 0 4 14 18
0 4 4 0 0 0 2 25 27
2 4 6 0 0 0 1 10 11
0 4 4 0 0 0 5 7 12
0 3 3 0 0 0 4 8 12
0 2 2 0 0 0 3 5 8
0 5 5 0 0 0 0 0 0
1 4 5 0 0 0 0 4 4
2 3 5 0 0 0 3 4 7
0 1 1 0 2 2 9 3 12
0 4 4 0 1 1 4 4 8
0 1 1 0 0 0 3 2 5
0 1 1 0 0 0 0 0 0
2 2 4 0 0 0 3 4 7
14 82 96 0 3 3 83 168 251
0 3 3
17 64 81
100 235 335
0 2 2
100 237 337
BARU LAMA TOTAL
3 46 49
5 61 66
11 88 99
12 66 78
13 71 84
3 56 59
7 37 44
12 72 84
7 89 96
11 51 62
9 79 88
5 71 76
6 54 60
4 91 95
6 83 89
11 52 63
6 54 60
8 44 52
2 47 49
11 82 93
9 87 96
16 49 65
7 84 91
5 31 36
1 38 39
7 59 66
197 1642 1839
197 1640 1837

LAPORAN KUNJUN
BULAN april 2016
STATUS BAYAR
NO KEGIATAN BP
B L
1 pp. BG
2 pp. BT
3 pp. KBY
4 pp. TT
5 pp. Salak
6 pp.sikalang
7 pp. K Atas
8 pld. BT
9 pld.KBY
5 pld. DMS
11 Pld. RNTH
TOTAL
JENIS PELAYANAN
B L Jumlah
PUSKESMAS : TALAWI
BULAN : APRIL 2016

1 Puskesmas Induk 628 571 639 1 1839 54 1080 1134 21 88 109 8 155 163 14 82 96 100 237 337 197 1642 1839
2 UGD DAN RAWATAN 183 98 111 0 392 0 0 0 0 0 0 0 0 0 244 148 392 0 0 0 244 148 392
13 Polindes Rantih 8 54 28 0 90 0 74 74 0 4 4 0 12 12 0 0 0 0 0 0 0 90 90
Jumlah 3 s/d 13 146 343 276 6 771 11 618 629 1 23 24 10 96 106 0 0 0 3 9 12 25 746 771
Total 1 s/d 13 957 1012 1026 7 3002 65 1698 1763 22 111 133 18 251 269 258 230 488 103 246 349 466 2536 3002
1 Puskesmas Induk 54 1080 1134 21 88 109 8 155 163 14 84 98 97 1407 1504
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 244 148 392 244 148 392
13 Polindes Rantih 0 74 74 0 4 4 0 12 12 0 0 0 0 90 90
Jumlah 3 s/d 13 11 618 629 1 23 24 10 96 106 0 0 0 22 737 759
Total 1 s/d 13 65 1698 1763 22 111 133 18 251 269 258 232 490 363 2292 2655

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
PUSKESMAS : TALAWI
BULAN : MEI 2016

1 Puskesmas Induk 438 488 664 1 1591 37 978 1015 1 90 91 8 181 189 14 64 78 77 141 218 137 1454 1591
2 UGD DAN RAWATAN 195 122 120 0 437 0 0 0 0 0 0 0 0 0 279 158 437 0 0 0 279 158 437
13 Polindes Rantih 6 82 22 0 110 2 102 104 0 2 2 0 4 4 0 0 0 0 0 0 2 108 110
Jumlah 3 s/d 13 173 349 254 8 784 15 647 662 3 19 22 7 86 93 0 0 0 0 7 7 25 759 784
Total 1 s/d 13 806 959 1038 9 2812 52 1625 1677 4 109 113 15 267 282 293 222 515 77 148 225 441 2371 2812
1 Puskesmas Induk 37 978 1015 1 90 91 8 181 189 14 64 78 60 1313 1373
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 279 158 437 279 158 437
13 Polindes Rantih 2 102 104 0 2 2 0 4 4 0 0 0 2 108 110
Jumlah 3 s/d 13 15 647 662 3 19 22 7 86 93 0 0 0 25 752 777
Total 1 s/d 13 52 1625 1677 4 109 113 15 267 282 293 222 515 364 2223 2587

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
May-16
BP
B L JML
4/26/2016 31 22 18 0 71 1 39 40
4/27/2016 11 17 26 0 54 0 34 34
4/28/2016 18 25 29 0 72 1 49 50
4/29/2016 18 12 26 0 56 3 31 34
4/30/2016 10 20 19 0 49 0 37 37
5/2/2016 25 32 42 0 99 3 51 54
5/3/2016 38 21 37 0 96 4 40 44
5/4/2016 14 28 31 0 73 1 48 49
5/7/2016 13 16 20 0 49 0 39 39
5/9/2016 19 27 40 0 86 0 57 57
5/10/2016 21 31 38 0 90 1 62 63
5/11/2016 26 13 29 0 68 2 34 36
5/12/2016 22 33 27 0 82 0 61 61
5/13/2016 29 14 13 0 56 0 23 23
5/14/2016 6 11 13 0 30 2 24 26
5/16/2016 15 21 39 0 75 2 50 52
5/17/2016 29 28 39 0 96 2 46 48
5/18/2016 12 17 26 0 55 0 30 30
5/19/2016 12 16 30 0 58 2 52 54
5/20/2016 7 12 16 0 35 1 26 27
5/21/2016 14 10 16 1 41 3 22 25
5/23/2016 13 19 37 0 69 2 46 48
5/24/2016 19 28 37 0 84 4 51 55
5/25/2016 16 15 16 0 47 3 26 29
438 488 664 1 1591 37 978 1015
ugd,rawatan 195 122 120 0 437

KIA GIGI KB
2 9 11 0 4 4 0 1 1
2 12 14 0 5 5 0 0 0
0 5 5 0 2 2 0 0 0
0 9 9 0 5 5 0 0 0
2 5 7 0 1 1 0 0 0
3 16 19 0 9 9 0 0 0
6 28 34 0 1 1 0 0 0
0 13 13 0 1 1 0 0 0
0 4 4 0 2 2 0 0 0
0 12 12 0 10 10 0 0 0
0 15 15 0 6 6 0 0 0
3 11 14 0 6 6 0 0 0
1 8 9 0 2 2 0 0 0
2 16 18 0 4 4 0 0 0
0 0 0 0 3 3 0 0 0
0 8 8 0 7 7 0 0 0
8 26 34 0 6 6 0 0 0
1 13 14 0 3 3 0 0 0
0 0 0 0 1 1 0 0 0
0 0 0 1 1 2 0 0 0
1 8 9 0 1 1 0 1 1
1 6 7 0 7 7 0 0 0
1 16 17 0 3 3 0 0 0
0 8 8 0 0 0 0 0 0
33 248 281 1 90 91 0 2 2
25 67 92
8 181 189
1 5 6 0 0 0 1 8 9
0 0 0 0 0 0 1 0 1
2 5 7 0 0 0 5 3 8
0 2 2 0 0 0 4 2 6
0 1 1 0 0 0 0 3 3
1 4 5 0 0 0 4 8 12
1 4 5 0 0 0 7 5 12
1 3 4 0 0 0 4 2 6
0 1 1 0 0 0 0 3 3
0 3 3 0 1 1 0 3 3
0 4 4 0 0 0 0 2 2
2 4 6 0 0 0 1 5 6
0 3 3 0 0 0 4 3 7
1 1 2 0 0 0 6 3 9
0 1 1 0 0 0 0 0 0
1 3 4 0 0 0 1 3 4
1 2 3 0 0 0 3 2 5
1 3 4 0 0 0 1 3 4
1 2 3 0 0 0 0 0 0
0 1 1 0 0 0 3 2 5
1 2 3 0 0 0 2 0 2
0 3 3 0 0 0 1 3 4
0 4 4 0 0 0 1 4 5
0 3 3 1 0 1 2 4 6
14 64 78 1 1 2 51 71 122
0 2 2
1 1 2
25 67 92
77 141 218
279 158 437
BARU LAMA TOTAL
5 66 71
3 51 54
8 64 72
7 49 56
2 47 49
11 88 99
18 78 96
6 67 73
0 49 49
0 86 86
1 89 90
8 60 68
5 77 82
9 47 56
2 28 30
4 71 75
14 82 96
3 52 55
3 55 58
5 30 35
7 34 41
4 65 69
6 78 84
6 41 47
137 1454 1591
137 1454 1591

PUSKESMAS : TALAWI
BULAN : JUNI 2016

1 Puskesmas Induk 467 520 662 2 1651 58 1040 1098 10 80 90 9 149 158 21 114 134 56 115 171 154 1498 1651
2 UGD DAN RAWATAN 44 202 112 0 358 0 0 0 0 0 0 0 0 0 194 164 358 0 0 0 194 164 358
13 Polindes Rantih 6 71 36 0 113 0 97 97 1 1 2 0 14 14 0 0 0 0 0 0 1 112 113
Jumlah 3 s/d 13 157 381 262 5 805 6 676 682 1 18 19 4 92 96 0 0 0 0 8 8 11 794 805
Total 1 s/d 13 668 1103 1036 7 2814 64 1716 1780 11 98 109 13 241 254 215 278 492 56 123 179 359 2456 2814
1 Puskesmas Induk 58 1040 1098 10 80 90 9 149 158 21 114 134 98 1383 1480
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 194 164 358 194 164 358
13 Polindes Rantih 0 97 97 1 1 2 0 14 14 0 0 0 1 112 113
Jumlah 3 s/d 13 6 676 682 1 18 19 4 92 96 0 0 0 11 786 797
Total 1 s/d 13 64 1716 1780 11 98 109 13 241 254 215 278 492 303 2333 2635
EVRA QOMARIA, SKM NENGSI JUITA, SKM

NIP 198505262009022006 NIP 19830217 200604 2 007
Jul-16
BP
B L JML
6/27/2016 19 45 35 0 99 1 71 72
6/28/2016 13 22 31 0 66 1 42 43
6/29/2016 7 14 21 0 42 1 34 35
6/30/2016 16 23 25 0 64 4 45 49
7/1/2016 7 9 21 0 37 2 22 24
7/2/2016 18 12 7 0 37 3 22 25
7/11/2016 29 22 41 0 92 0 65 65
7/12/2016 35 39 44 0 118 3 60 63
7/13/2016 25 18 26 0 69 3 33 36
7/14/2016 23 30 35 1 89 5 60 65
7/15/2016 2 6 12 0 20 0 11 11
7/16/2016 5 11 19 0 35 2 21 23
7/18/2016 17 18 40 0 75 2 56 58
7/19/2016 29 37 40 0 106 1 48 49
7/20/2016 25 13 29 0 67 2 31 33
7/21/2016 25 27 43 0 95 5 63 68
7/22/2016 20 11 22 0 53 4 28 32
7/23/2016 12 16 14 0 42 1 25 26
7/25/2016 19 22 31 0 72 2 52 54
346 395 536 1 1278 42 789 831
UGD,RWTAN 285 59 149 0 493

KIA GIGI KB
2 15 17 2 4 6 0 0 0
2 14 16 1 2 3 0 0 0
0 2 2 0 3 3 0 0 0
0 7 7 0 2 2 0 0 0
2 7 9 0 2 2 0 0 0
1 4 5 0 1 1 0 0 0
1 11 12 0 3 3 0 0 0
1 34 35 1 7 8 0 0 0
3 10 13 2 5 7 0 1 1
2 3 5 0 5 5 0 0 0
0 4 4 0 1 1 0 0 0
0 2 2 0 6 6 0 0 0
1 4 5 0 2 2 0 0 0
4 26 30 1 6 7 0 0 0
0 13 13 0 8 8 0 0 0
1 14 15 0 1 1 0 0 0
1 4 5 0 4 4 0 0 0
2 6 8 0 5 5 0 0 0
2 7 9 1 2 3 0 0 0
25 187 212 8 69 77 0 1 1
15 84 99
10 103 113
1 3 4 0 0 0 0 0 0
0 3 3 0 0 0 0 1 1
0 1 1 0 0 0 1 0 1
0 4 4 0 0 0 0 2 2
0 1 1 0 0 0 1 0 1
0 3 3 0 0 0 1 2 3
1 5 6 1 0 1 1 4 5
3 3 6 0 0 0 2 4 6
0 2 2 1 0 1 4 5 9
0 2 2 0 0 0 5 7 12
1 2 3 0 0 0 0 1 1
0 3 3 0 1 1 0 0 0
0 4 4 0 0 0 4 2 6
2 3 5 0 0 0 2 13 15
0 2 2 0 0 0 4 7 11
2 2 4 0 0 0 5 2 7
0 4 4 0 0 0 5 3 8
2 1 3 0 0 0 0 0 0
0 0 0 0 0 0 4 2 6
12 48 60 2 1 3 39 55 94
0 1 1
2 1 3
15 84 99
56 141 197
281 212 493

BARU LAMA TOTAL
6 93 99
4 62 66
2 40 42
4 60 64
5 32 37
5 32 37
4 88 92
10 108 118
13 56 69
12 77 89
1 19 20
2 33 35
7 68 75
10 96 106
6 61 67
13 82 95
10 43 53
5 37 42
9 63 72
128 1150 1278
128 1150 1278

Jun-16
BP
B L JML
5/26/2016 20 17 41 0 78 5 52 57
5/27/2016 9 6 18 0 33 2 19 21
5/28/2016 18 10 18 0 46 1 23 24
5/30/2016 22 24 40 0 86 5 53 58
5/31/2016 19 36 33 0 88 2 48 50
6/1/2016 16 24 20 0 60 1 29 30
6/2/2016 15 25 36 0 76 1 55 56
6/3/2016 16 9 21 0 46 2 27 29
6/4/2016 11 14 21 0 46 0 29 29
6/6/2016 16 18 22 0 56 3 31 34
6/7/2016 31 25 26 0 82 3 47 50
6/8/2016 20 17 17 0 54 1 35 36
6/9/2016 24 22 32 1 79 2 53 55
6/10/2016 7 13 20 0 40 1 28 29
6/11/2016 13 12 19 1 45 1 33 34
6/13/2016 19 28 38 0 85 4 59 63
6/14/2016 30 32 24 0 86 2 54 56
6/15/2016 30 13 17 0 60 1 27 28
6/16/2016 22 35 36 0 93 1 73 74
6/17/2016 6 13 11 0 30 0 16 16
6/18/2016 11 12 17 0 40 0 26 26
6/20/2016 21 24 31 0 76 3 52 55
6/21/2016 17 26 24 0 67 9 36 45
6/22/2016 18 11 17 0 46 2 28 30
6/23/2016 20 27 34 0 81 3 67 70
6/24/2016 6 13 12 0 31 2 22 24
6/25/2016 10 14 17 0 41 1 18 19
467 520 662 2 1651 58 1040 1098
ugd,rawatan 44 202 112 0 358

KIA GIGI KB
0 3 3 1 4 5 0 0 0
0 6 6 0 1 1 0 0 0
0 8 8 0 5 5 0 0 0
0 11 11 1 2 3 0 1 1
4 20 24 1 9 10 0 0 0
1 9 10 0 6 6 0 0 0
2 6 8 0 3 3 0 0 0
4 2 6 2 6 8 0 0 0
1 4 5 0 6 6 0 0 0
3 6 9 0 1 1 0 1 1
3 17 20 0 2 2 0 0 0
1 6 7 0 3 3 0 0 0
2 5 7 2 1 3 0 0 0
0 5 5 0 4 4 0 0 0
0 2 2 0 0 0 0 0 0
2 4 6 0 4 4 0 0 0
3 19 22 0 1 1 0 0 0
2 7 9 1 4 5 0 0 0
1 6 7 0 2 2 0 0 0
0 9 9 0 0 0 0 0 0
0 6 6 0 1 1 0 0 0
0 9 9 0 4 4 0 0 0
2 11 13 0 2 2 0 0 0
1 6 7 1 2 3 0 0 0
0 1 1 1 3 4 0 0 0
0 4 4 0 0 0 0 0 0
1 11 12 0 4 4 0 0 0
33 203 236 10 80 90 0 2 2
24 54 78
9 149 158
3 2 5 0 0 0 5 3 8
0 2 2 0 0 0 0 3 3
2 3 5 0 0 0 2 2 4
1 3 4 0 0 0 3 6 9
0 3 3 0 0 0 0 1 1
2 7 9 0 0 0 1 4 5
0 7 7 0 0 0 0 2 2
0 3 3 0 0 0 0 0 0
0 4 4 0 0 0 2 0 2
0 10 10 0 0 0 0 1 1
3 5 8 0 0 0 2 0 2
1 6 7 0 1 1 0 0 0
1 7 8 0 0 0 0 6 6
0 2 2 0 0 0 0 0 0
1 2 3 0 0 0 0 6 6
0 6 6 0 1 1 0 5 5
0 2 2 1 0 1 1 3 4
2 6 8 0 1 1 3 6 9
1 2 3 0 0 0 4 3 7
0 4 4 0 0 0 0 1 1
0 5 5 0 0 0 2 0 2
3 2 5 1 0 1 2 0 2
0 4 4 0 0 0 0 3 3
0 3 3 1 0 1 1 1 2
0 5 5 0 0 0 1 0 1
1 3 3 0 0 0 0 0 0
0 6 6 0 0 0 0 0 0
21 114 134 3 3 6 29 56 85
0 2 2
3 3 6
24 54 78
56 115 171
BARU LAMA TOTAL
14 64 78
2 31 33
5 41 46
10 76 86
7 81 88
5 55 60
3 73 76
8 38 46
3 43 46
6 50 56
11 71 82
3 51 54
7 72 79
1 39 40
2 43 45
6 79 85
7 79 86
9 51 60
7 86 93
0 30 30
2 38 40
9 67 76
11 56 67
6 40 46
5 76 81
3 29 31
2 39 41
154 1498 1651
154 1498 1651

Aug-16
BP
B L JML
7/26/2016 30 15 41 0 86 1 44 45
7/27/2016 13 10 26 0 49 0 30 30
7/28/2016 15 34 45 0 94 3 69 72
7/29/2016 15 12 20 0 47 0 25 25
7/30/2016 10 16 21 0 47 2 34 36
8/1/2016 32 27 38 0 97 4 62 66
8/2/2016 24 28 35 0 87 1 42 43
8/3/2016 15 20 20 0 55 5 31 36
8/4/2016 19 23 39 0 81 6 58 64
8/5/2016 15 14 18 0 47 2 25 27
8/6/2016 8 9 19 0 36 2 26 28
8/8/2016 20 17 49 0 86 1 61 62
8/9/2016 26 38 27 0 91 0 45 45
8/10/2016 22 9 29 0 60 2 31 33
8/11/2016 27 17 27 0 71 3 42 45
8/12/2016 9 13 12 0 34 4 23 27
8/13/2016 7 19 19 0 45 1 31 32
8/15/2016 45 28 43 0 116 3 67 70
8/16/2016 34 22 37 0 93 0 44 44
8/18/2016 26 38 34 0 98 1 71 72
8/19/2016 19 10 18 0 47 1 29 30
8/20/2016 19 18 24 0 61 1 33 34
8/22/2016 20 15 26 0 61 2 41 43
8/23/2016 22 21 23 0 66 2 31 33
8/24/2016 13 9 20 0 42 0 29 29
8/25/2016 24 11 22 0 57 2 33 35
529 493 732 0 1754 49 1057 1106
KIA GIGI KB
2 22 24 1 4 5 0 0 0
0 5 5 0 7 7 0 1 1
1 7 8 1 3 4 0 0 0
0 9 9 1 4 5 0 0 0
1 7 8 0 2 2 0 0 0
2 6 8 0 2 2 0 0 0
3 26 29 0 3 3 0 0 0
2 9 11 1 2 3 0 0 0
2 9 11 0 3 3 0 0 0
0 13 13 0 0 0 0 0 0
0 0 0 0 7 7 0 0 0
1 5 6 1 5 6 0 0 0
4 25 29 1 3 4 0 0 0
2 9 11 0 4 4 0 0 0
3 13 16 1 0 1 0 0 0
0 0 0 0 2 2 0 0 0
1 3 4 0 6 6 0 0 0
5 7 12 1 5 6 0 0 0
5 18 23 1 5 6 0 2 2
1 14 15 0 4 4 0 1 1
0 7 7 0 3 3 0 0 0
0 16 16 1 1 2 0 0 0
0 0 0 0 5 5 0 0 0
0 21 21 0 6 6 0 0 0
0 5 5 0 4 4 0 0 0
1 9 10 1 5 6 0 0 0
36 265 301 11 95 106 0 4 4
27 79 106
9 186 195
0 2 2 0 0 0 2 8 10
0 2 2 0 0 0 2 2 4
0 3 3 1 0 1 2 4 6
0 2 2 0 0 0 4 2 6
0 0 0 0 0 0 0 1 1
2 4 6 1 0 1 8 6 14
3 3 6 0 0 0 3 3 6
0 0 0 0 0 0 2 3 5
0 0 0 0 0 0 3 0 3
0 0 0 0 0 0 4 3 7
0 0 0 0 0 0 0 1 1
1 4 5 0 0 0 3 4 7
1 3 4 0 0 0 8 1 9
3 1 4 0 0 0 5 3 8
0 1 1 0 0 0 7 1 8
0 2 2 0 0 0 1 2 3
1 2 3 0 0 0 0 0 0
0 1 1 3 3 6 11 10 21
0 2 2 0 1 1 7 8 15
1 3 4 0 0 0 2 0 2
0 0 0 0 0 0 7 0 7
2 3 5 0 0 0 2 2 4
0 5 5 0 0 0 3 5 8
0 3 3 0 0 0 0 3 3
0 1 1 0 0 0 3 0 3
0 2 2 0 0 0 3 1 4
14 49 63 5 4 9 92 73 165
27 79 106
0 4 4
5 4 9
124 160 284
BARU LAMA TOTAL
6 80 86
2 47 49
8 86 94
5 42 47
3 44 47
17 80 97
10 77 87
10 45 55
11 70 81
6 41 47
2 34 36
7 79 86
14 77 91
12 48 60
14 57 71
5 29 34
3 42 45
23 93 116
13 80 93
5 93 98
8 39 47
6 55 61
5 56 61
2 64 66
3 39 42
7 50 57
207 1547 1754
207 1547 1754

PUSKESMAS : TALAWI
BULAN : JULI 2016

1 Puskesmas Induk 346 395 536 1 1278 42 789 831 8 69 77 10 103 113 12 48 60 56 141 197 128 1150 1278
2 UGD DAN RAWATAN 285 59 149 0 493 0 0 0 0 0 0 0 0 0 281 212 493 0 0 0 281 212 493
13 Polindes Rantih 11 51 27 0 89 0 79 79 0 3 3 0 7 7 0 0 0 0 0 0 0 89 89
Jumlah 3 s/d 13 143 284 227 11 665 7 558 565 1 17 18 5 67 72 0 0 0 1 9 10 14 651 665
Total 1 s/d 13 774 738 912 12 2436 49 1347 1396 9 86 95 15 170 185 293 260 553 57 150 207 423 2013 2436
1 Puskesmas Induk 42 789 831 8 69 77 10 103 113 12 48 60 72 1009 1081
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 281 212 493 281 212 493
13 Polindes Rantih 0 79 79 0 3 3 0 7 7 0 0 0 0 89 89
Jumlah 3 s/d 13 7 558 565 1 17 18 5 67 72 0 0 0 13 642 655
Total 1 s/d 13 49 1347 1396 9 86 95 15 170 185 293 260 553 366 1863 2229

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
PUSKESMAS : TALAWI
NO KEGIATAN US JENIS PELAYANAN

1 Puskesmas Induk 529 493 732 0 1754 49 1057 1106 11 95 106 9 186 195 14 49 63 124 160 284 207 1547 1754
2 UGD DAN RAWATAN 202 83 145 0 430 0 0 0 0 0 0 0 0 0 229 201 430 0 0 0 229 201 430
4 7 26 28 1 62 0 50 50 0 1 1 1 9 10 0 0 0 0 1 1 1 61 62
13 Polindes Rantih 13 54 35 0 102 0 91 91 0 1 1 0 10 10 0 0 0 0 0 0 0 102 102
Jumlah 3 s/d 13 158 365 332 10 865 18 713 731 0 12 12 12 104 116 0 0 0 2 4 6 32 833 865
Total 1 s/d 13 889 941 1209 10 3049 67 1770 1837 11 107 118 21 290 311 243 250 493 126 164 290 468 2581 3049
1 Puskesmas Induk 49 1057 1106 11 95 106 9 186 195 14 49 63 83 1387 1470
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 229 201 430 229 201 430
13 Polindes Rantih 0 91 91 0 1 1 0 10 10 0 0 0 0 102 102
Jumlah 3 s/d 13 18 713 731 0 12 12 12 104 116 0 0 0 30 829 859
Total 1 s/d 13 67 1770 1837 11 107 118 21 290 311 243 250 493 342 2417 2759

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
PUSKESMAS : TALAWI
BULAN : SEPTEMBER 2016

1 Puskesmas Induk 487 461 620 2 1570 49 958 1007 7 85 92 4 144 148 17 59 76 115 132 247 192 1378 1570
2 UGD DAN RAWATAN 203 105 136 0 444 0 0 0 0 0 0 0 0 0 240 204 444 0 0 0 240 204 444
13 Polindes Rantih 6 75 30 2 113 1 99 100 0 4 4 1 8 9 0 0 0 0 0 0 2 111 113
Jumlah 3 s/d 13 143 377 277 7 804 11 660 671 2 26 28 4 88 92 0 0 0 2 11 13 19 785 804
Total 1 s/d 13 833 943 1033 9 2818 60 1618 1678 9 111 120 8 232 240 257 263 520 117 143 260 451 2367 2818
1 Puskesmas Induk 49 958 1007 7 85 92 4 144 148 17 59 76 77 1246 1323
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 240 204 444 240 204 444
13 Polindes Rantih 1 99 100 0 4 4 1 8 9 0 0 0 2 111 113
Jumlah 3 s/d 13 11 660 671 2 26 28 4 88 92 0 0 0 17 774 791
Total 1 s/d 13 60 1618 1678 9 111 120 8 232 240 257 263 520 334 2224 2558

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
Sep-16
BP
B L JML
8/26/2016 8 14 14 0 36 0 19 19
8/27/2016 10 16 18 1 45 0 32 32
8/29/2016 19 19 32 0 70 3 48 51
8/30/2016 19 26 45 0 90 4 52 56
8/31/2016 39 15 12 0 66 1 21 22
9/1/2016 31 21 28 0 80 0 50 50
9/2/2016 15 20 15 0 50 1 36 37
9/3/2016 12 9 23 0 44 1 30 31
9/5/2016 23 25 39 0 87 6 61 67
9/6/2016 26 22 26 0 74 6 40 46
9/7/2016 11 17 29 0 57 1 36 37
9/8/2016 27 22 27 0 76 4 55 59
9/9/2016 22 12 15 0 49 0 33 33
9/10/2016 12 4 22 0 38 2 21 23
9/13/2016 27 30 34 0 91 1 48 49
9/14/2016 14 23 15 0 52 3 31 34
9/15/2016 18 25 29 0 72 0 53 53
9/16/2016 15 8 19 0 42 1 27 28
9/17/2016 9 21 20 0 50 0 27 27
9/19/2016 6 19 38 0 63 3 43 46
9/20/2016 46 24 36 1 107 6 46 52
9/21/2016 19 13 16 0 48 1 26 27
9/22/2016 17 36 32 0 85 1 71 72
9/23/2016 16 11 16 0 43 3 21 24
9/24/2016 26 9 20 0 55 1 31 32
487 461 620 2 1570 49 958 1007
KIA GIGI KB
2 9 11 0 3 3 0 0 0
0 6 6 0 2 2 0 0 0
1 3 4 0 8 8 0 2 2
2 20 22 0 6 6 0 1 1
1 6 7 0 1 1 0 0 0
4 7 11 1 4 5 0 0 0
0 0 0 0 4 4 0 0 0
0 5 5 0 3 3 0 0 0
1 2 3 0 5 5 0 0 0
1 14 15 0 4 4 0 0 0
1 13 14 0 2 2 0 0 0
0 8 8 1 2 3 0 0 0
0 3 3 1 2 3 0 0 0
1 5 6 0 3 3 0 0 0
0 17 17 2 4 6 0 0 0
0 5 5 0 3 3 0 0 0
1 7 8 0 0 0 0 0 0
2 4 6 1 1 2 0 0 0
2 8 10 0 5 5 0 0 0
1 7 8 0 3 3 0 0 0
2 16 18 1 9 10 0 0 0
0 7 7 0 4 4 0 0 0
0 5 5 0 1 1 0 0 0
0 2 2 0 3 3 0 0 0
0 8 8 0 3 3 0 0 0
22 187 209 7 85 92 0 3 3
18 43 61
4 144 148
1 2 3 0 0 0 0 0 0
0 1 1 1 1 2 1 1 2
0 1 1 0 0 0 2 2 4
0 1 1 0 0 0 2 2 4
3 3 6 0 0 0 30 0 30
0 3 3 0 0 0 10 1 11
1 3 4 0 0 0 3 2 5
0 0 0 1 0 1 2 2 4
2 3 5 0 0 0 4 3 7
0 1 1 0 0 0 4 4 8
0 2 2 0 0 0 1 1 2
1 0 1 0 2 2 1 2 3
1 1 2 0 0 0 0 8 8
1 2 3 1 0 1 1 1 2
0 3 3 0 0 0 5 11 16
0 4 4 0 0 0 4 2 6
1 5 6 0 1 1 1 3 4
0 2 2 0 0 0 3 1 4
1 5 6 0 0 0 0 2 2
0 4 4 0 0 0 2 0 2
2 4 6 0 0 0 10 11 21
0 2 2 0 1 1 3 4 7
2 2 4 0 0 0 1 2 3
1 2 3 0 0 0 3 8 11
0 3 3 0 0 0 1 8 9
17 59 76 3 5 8 94 81 175
0 3 3
3 5 8
18 43 61
115 132 247
BARU LAMA TOTAL
3 33 36
2 43 45
6 64 70
8 82 90
35 31 66
15 65 80
5 45 50
4 40 44
13 74 87
11 63 74
3 54 57
7 69 76
2 47 49
6 32 38
8 83 91
7 45 52
3 69 72
7 35 42
3 47 50
6 57 63
21 86 107
4 44 48
4 81 85
7 36 43
2 53 55
192 1378 1570
192 1378 1570

Oct-16
BP
B L JML
9/26/2016 23 33 30 2 88 1 55 56
9/27/2016 11 22 38 0 71 2 41 43
9/28/2016 29 16 17 0 62 1 24 25
9/29/2016 17 33 30 0 80 4 50 54
9/30/2016 29 8 10 0 47 2 16 18
10/1/2016 15 6 10 0 31 3 14 17
10/3/2016 25 24 37 0 86 3 54 57
10/4/2016 28 26 43 0 97 0 52 52
10/5/2016 23 14 30 1 68 5 38 43
10/6/2016 22 46 56 0 124 3 91 94
10/7/2016 16 9 16 0 41 0 17 17
10/8/2016 9 9 28 0 46 0 31 31
10/10/2016 23 34 24 0 81 0 59 59
10/11/2016 32 18 47 0 97 1 46 47
10/12/2016 18 16 24 0 58 0 32 32
10/13/2016 18 33 44 0 95 3 81 84
10/14/2016 14 11 11 0 36 2 17 19
10/15/2016 8 14 16 0 38 3 22 25
10/17/2016 16 27 40 0 83 3 57 60
10/18/2016 24 26 25 0 75 0 39 39
10/19/2016 13 15 24 0 52 2 23 25
10/20/2016 27 23 29 0 79 13 50 63
10/21/2016 23 8 14 0 45 6 26 32
10/22/2016 12 19 21 0 52 1 34 35
10/24/2016 8 30 26 3 67 1 49 50
10/25/2016 30 25 35 0 90 2 54 56
513 545 725 6 1789 61 1072 1133
KIA GIGI KB
1 11 12 0 4 4 0 1 1
0 16 16 1 5 6 0 0 0
1 8 9 1 3 4 0 1 1
0 0 0 1 5 6 0 0 0
0 4 4 1 1 2 0 0 0
0 5 5 0 3 3 0 0 0
0 15 15 0 2 2 0 1 1
0 27 27 1 4 5 0 0 0
0 10 10 0 1 1 0 0 0
1 6 7 0 10 10 0 0 0
0 6 6 0 6 6 0 0 0
1 7 8 0 2 2 0 0 0
0 8 8 0 5 5 0 1 1
7 23 30 0 13 13 0 2 2
2 8 10 0 7 7 0 0 0
0 3 3 0 6 6 1 1 2
0 3 3 0 7 7 0 0 0
4 6 10 0 2 2 0 0 0
1 9 10 0 6 6 0 1 1
4 17 21 1 9 10 0 1 1
0 15 15 0 4 4 0 0 0
0 10 10 1 5 6 0 0 0
1 5 6 1 2 3 0 0 0
2 6 8 1 2 3 0 0 0
2 8 10 1 4 5 0 0 0
2 28 30 1 2 3 0 0 0
29 264 293 11 120 131 1 9 10
14 78 92
15 186 201
0 8 8 0 0 0 0 7 7
0 6 6 0 0 0 0 0 0
0 5 5 1 0 1 5 12 17
0 11 11 0 0 0 7 2 9
0 1 1 0 0 0 5 17 22
1 2 3 0 0 0 2 1 3
1 2 3 0 0 0 1 7 8
0 4 4 0 0 0 0 9 9
0 3 3 0 0 0 1 10 11
0 7 7 0 0 0 1 5 6
0 5 5 0 0 0 2 5 7
0 4 4 0 1 1 0 0 0
0 5 5 0 0 0 1 2 3
0 2 2 0 0 0 2 1 3
0 4 4 0 1 1 0 4 4
0 0 0 0 0 0 0 0 0
1 6 7 0 0 0 0 0 0
0 0 0 0 0 0 0 1 1
0 3 3 0 1 1 1 1 2
0 4 4 0 0 0 0 0 0
1 5 6 0 2 2 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 2 4
1 5 6 0 0 0 0 0 0
0 2 2 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0
5 95 100 1 5 6 30 86 116
1 9 10
1 5 6
14 78 92
46 178 224
BARU LAMA TOTAL
2 86 88
3 68 71
9 53 62
12 68 80
8 39 47
6 25 31
5 81 86
1 96 97
6 62 68
5 119 124
2 39 41
1 45 46
1 80 81
10 87 97
2 56 58
4 91 95
3 33 36
7 31 38
5 78 83
5 70 75
3 49 52
14 65 79
10 35 45
5 47 52
4 63 67
5 85 90
138 1651 1789
138 1651 1789

PUSKESMAS : TALAWI

1 Puskesmas Induk 513 545 725 6 1789 61 1072 1133 11 120 131 15 186 201 5 95 100 46 178 224 138 1651 1789
2 UGD DAN RAWATAN 235 17 130 0 382 0 0 0 0 0 0 0 0 0 223 159 382 0 0 0 223 159 382
13 Polindes Rantih 8 59 24 2 93 1 78 79 0 0 0 0 14 14 0 0 0 0 0 0 1 92 93
Jumlah 3 s/d 13 152 347 301 14 814 21 626 647 0 27 27 11 116 127 0 0 0 1 12 13 33 781 814
Total 1 s/d 13 900 909 1156 20 2985 82 1698 1780 11 147 158 26 302 328 228 254 482 47 190 237 394 2591 2985
1 Puskesmas Induk 61 1072 1133 11 120 131 15 186 201 5 95 100 92 1473 1565
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 223 159 382 223 159 382
13 Polindes Rantih 1 78 79 0 0 0 0 14 14 0 0 0 1 92 93
Jumlah 3 s/d 13 21 626 647 0 27 27 11 116 127 0 0 0 32 769 801
Total 1 s/d 13 82 1698 1780 11 147 158 26 302 328 228 254 482 347 2401 2748

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
Nov-16
BP
B L JML
10/26/2016 21 15 15 0 51 1 21 22
10/27/2016 35 21 45 0 101 3 91 94
10/28/2016 19 12 17 0 48 6 23 29
10/29/2016 11 12 23 0 46 1 27 28
10/31/2016 22 25 46 0 93 5 60 65
11/1/2016 32 23 54 1 110 7 65 72
11/2/2016 12 6 24 0 42 0 25 25
11/3/2016 27 27 47 0 101 3 81 84
11/4/2016 26 10 12 0 48 2 22 24
11/5/2016 15 12 20 0 47 1 31 32
11/7/2016 23 22 58 0 103 2 78 80
11/8/2016 31 26 37 0 94 6 40 46
11/9/2016 19 20 14 0 53 4 29 33
11/10/2016 17 29 39 0 85 3 70 73
11/11/2016 12 17 23 0 52 2 37 39
11/12/2016 13 17 24 0 54 4 31 35
11/14/2016 19 28 49 1 97 2 72 74
11/15/2016 28 21 41 0 90 7 44 51
11/16/2016 12 15 21 0 48 6 28 34
11/17/2016 24 32 31 0 87 4 65 69
11/18/2016 19 18 16 0 53 1 30 31
11/19/2016 15 16 28 0 59 3 38 41
11/21/2016 15 20 49 0 84 4 67 71
11/22/2016 28 18 42 0 88 5 38 43
11/23/2016 27 11 23 0 61 7 28 35
11/24/2016 17 44 43 0 104 0 65 65
11/25/2016 21 7 10 0 38 4 22 26
560 524 851 2 1937 93 1228 1321
KIA GIGI KB
1 5 6 1 6 7 0 0 0
0 0 0 0 5 5 0 0 0
0 5 5 0 1 1 0 0 0
1 8 9 0 1 1 0 0 0
3 7 10 0 6 6 0 0 0
3 19 22 0 6 6 0 0 0
2 9 11 0 2 2 0 0 0
0 5 5 0 6 6 0 0 0
0 1 1 0 0 0 0 0 0
2 5 7 2 1 3 0 0 0
0 10 10 0 4 4 0 0 0
4 32 36 0 5 5 0 0 0
1 8 9 0 6 6 0 0 0
3 4 7 0 1 1 0 0 0
1 10 11 0 1 1 0 1 1
0 7 7 0 5 5 0 0 0
2 13 15 0 6 6 0 0 0
3 22 25 0 4 4 0 0 0
0 3 3 0 4 4 0 0 0
0 7 7 0 3 3 0 0 0
3 2 5 1 4 5 0 2 2
0 6 6 1 6 7 0 0 0
0 3 3 0 4 4 0 0 0
2 34 36 0 4 4 0 0 0
5 11 16 0 0 0 0 0 0
7 20 27 1 7 8 0 0 0
0 1 1 0 3 3 0 0 0
43 257 300 6 101 107 0 3 3
15 61 76
28 196 224
1 6 7 0 0 0 0 9 9
0 2 2 0 0 0 0 0 0
0 5 5 0 0 0 0 8 8
1 4 5 1 0 1 0 2 2
1 5 6 0 0 0 4 2 6
1 3 4 0 0 0 4 2 6
1 2 3 0 0 0 0 1 1
1 4 5 0 0 0 0 1 1
1 5 6 0 2 2 8 7 15
1 3 4 0 0 0 0 1 1
0 3 3 1 0 1 3 2 5
0 1 1 0 0 0 1 5 6
0 0 0 0 0 0 4 1 5
0 3 3 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0
1 4 5 0 1 1 0 1 1
1 0 1 0 0 0 0 1 1
0 4 4 0 2 2 2 2 4
0 4 4 1 1 2 0 1 1
1 1 2 1 1 2 2 2 4
0 2 2 0 0 0 2 6 8
0 4 4 1 0 1 0 0 0
0 3 3 0 0 0 2 1 3
1 3 4 0 0 0 0 1 1
1 6 7 0 0 0 0 3 3
1 3 4 0 0 0 0 0 0
0 5 5 0 0 0 0 3 3
14 85 99 5 8 13 32 62 94
15 61 76
0 3 3
5 8 13
52 134 186
BARU LAMA TOTAL
4 47 51
3 98 101
6 42 48
4 42 46
13 80 93
15 95 110
3 39 42
4 97 101
11 37 48
6 41 47
6 97 103
11 83 94
9 44 53
6 79 85
3 49 52
5 49 54
5 92 97
12 78 90
7 41 48
8 79 87
7 46 53
5 54 59
6 78 84
8 80 88
13 48 61
9 95 104
4 34 38
193 1744 1937
193 1744 1937

PUSKESMAS : TALAWI

1 Puskesmas Induk 560 524 851 2 1937 93 1228 1321 6 101 107 28 196 224 14 85 99 52 134 186 193 1744 1937
2 UGD DAN RAWATAN 36 167 128 0 331 0 0 0 0 0 0 0 0 0 174 157 331 0 0 0 174 157 331
13 Polindes Rantih 2 29 12 0 43 0 35 35 0 0 0 0 8 8 0 0 0 0 0 0 0 43 43
Jumlah 3 s/d 13 129 290 305 3 727 3 612 615 1 24 25 4 80 84 0 0 0 0 3 3 8 719 727
Total 1 s/d 13 725 981 1284 5 2995 96 1840 1936 7 125 132 32 276 308 188 242 430 52 137 189 375 2620 2995
1 Puskesmas Induk 93 1228 1321 6 101 107 28 196 224 14 85 99 141 1610 1751
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 174 157 331 174 157 331
13 Polindes Rantih 0 35 35 0 0 0 0 8 8 0 0 0 0 43 43
Jumlah 3 s/d 13 3 612 615 1 24 25 4 80 84 0 0 0 8 716 724
Total 1 s/d 13 96 1840 1936 7 125 132 32 276 308 188 242 430 323 2483 2806

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
Dec-16
BP
B L JML
11/26/2016 9 5 24 0 38 4 21 25
11/28/2016 22 29 33 0 84 6 59 65
11/29/2016 35 33 33 0 101 7 62 69
11/30/2016 13 8 27 0 48 6 23 29
12/1/2016 29 6 13 0 48 2 30 32
12/2/2016 27 18 25 0 70 1 37 38
12/3/2016 23 10 13 0 46 11 22 33
12/5/2016 16 34 38 0 88 1 60 61
12/6/2016 28 26 40 0 94 6 50 56
12/7/2016 22 15 16 0 53 3 30 33
12/8/2016 19 39 35 0 93 3 57 60
12/9/2016 20 12 16 0 48 3 30 33
12/10/2016 10 7 18 0 35 1 18 19
12/13/2016 38 31 42 0 111 6 59 65
12/14/2016 19 21 29 0 69 2 47 49
12/15/2016 23 42 52 0 117 7 91 98
12/16/2016 12 11 18 0 41 3 25 28
12/17/2016 14 18 16 0 48 2 32 34
12/19/2016 23 37 52 0 112 6 85 91
12/20/2016 33 23 45 0 101 3 57 60
12/21/2016 23 14 17 0 54 2 34 36
12/22/2016 26 29 47 0 102 9 78 87
12/23/2016 11 18 13 0 42 1 31 32
12/24/2016 11 7 16 0 34 2 23 25
506 493 678 0 1677 97 1061 1158
KIA GIGI KB
0 2 2 0 4 4 0 0 0
2 9 11 0 2 2 0 0 0
0 22 22 0 4 4 0 0 0
0 8 8 0 2 2 0 0 0
0 2 2 0 3 3 0 0 0
3 15 18 0 2 2 0 0 0
0 2 2 0 3 3 0 0 0
1 10 11 0 3 3 0 0 0
5 20 25 0 5 5 1 0 1
1 11 12 1 1 2 0 0 0
4 7 11 1 1 2 0 0 0
0 5 5 1 4 5 0 0 0
1 9 10 0 1 1 0 0 0
3 29 32 0 8 8 0 0 0
0 11 11 0 2 2 0 0 0
0 9 9 0 3 3 0 0 0
0 6 6 0 2 2 0 0 0
1 3 4 0 2 2 0 0 0
0 7 7 0 3 3 0 0 0
0 26 26 0 4 4 0 0 0
2 5 7 0 1 1 0 0 0
1 3 4 0 4 4 0 0 0
0 4 4 0 1 1 0 0 0
0 2 2 0 1 1 0 0 0
24 227 251 3 66 69 1 0 1
11 69 80
13 158 171
0 6 6 1 0 1 0 0 0
2 2 4 0 0 0 1 1 2
0 2 2 0 0 0 0 4 4
0 3 3 0 1 1 2 3 5
1 1 2 0 0 0 2 7 9
0 2 2 0 0 0 2 8 10
0 2 2 0 0 0 3 3 6
0 11 11 0 0 0 1 1 2
0 1 1 0 0 0 0 6 6
0 2 2 0 0 0 3 1 4
1 2 3 0 1 1 0 16 16
1 4 5 0 0 0 0 0 0
0 2 2 0 1 1 0 2 2
0 2 2 0 0 0 3 1 4
0 4 4 0 0 0 1 2 3
0 2 2 0 2 2 2 1 3
0 3 3 0 0 0 2 0 2
0 5 5 0 2 2 0 1 1
2 5 7 0 1 1 0 3 3
0 0 0 0 0 0 1 10 11
2 1 3 1 3 4 2 1 3
1 2 3 0 0 0 0 4 4
1 2 3 0 0 0 1 1 2
0 4 4 0 1 1 0 1 1
11 70 81 2 12 14 26 77 103
1 0 1
2 12 14
11 69 80
40 158 198
BARU LAMA TOTAL
5 33 38
11 73 84
7 94 101
8 40 48
5 43 48
6 64 70
14 32 46
3 85 88
12 82 94
8 45 53
9 84 93
5 43 48
2 33 35
12 99 111
3 66 69
9 108 117
5 36 41
3 45 48
8 104 112
4 97 101
9 45 54
11 91 102
3 39 42
2 32 34
164 1513 1677
164 1513 1677

PUSKESMAS : TALAWI

1 Puskesmas Induk 506 493 678 0 1677 97 1061 1158 3 66 69 13 158 171 11 70 81 40 158 198 164 1513 1677
2 UGD DAN RAWATAN 199 68 109 0 376 0 0 0 0 0 0 0 0 0 205 171 376 0 0 0 205 171 376
13 Polindes Rantih 10 49 34 1 94 2 69 71 0 3 3 1 19 20 0 0 0 0 0 3 91 94
Jumlah 3 s/d 13 160 290 306 7 763 11 601 612 1 25 26 9 111 120 0 0 0 0 5 5 21 742 763
Total 1 s/d 13 865 851 1093 7 2816 108 1662 1770 4 91 95 22 269 291 216 241 457 40 163 203 390 2426 2816
1 Puskesmas Induk 97 1061 1158 3 66 69 13 158 171 11 70 81 124 1355 1479
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 205 171 376 205 171 376
13 Polindes Rantih 2 69 71 0 3 3 1 19 20 0 0 0 3 91 94
Jumlah 3 s/d 13 11 601 612 1 25 26 9 111 120 0 0 0 21 737 758
Total 1 s/d 13 108 1662 1770 4 91 95 22 269 291 216 241 457 350 2263 2613
a/n Kepala Puskesmas Talawi Penanggung Jawab
ADRIANOF, S.SiT NENGSI JUITA, SKM

NIP 19720912 200604 1 004 NIP 19830217 200604 2 007
PUSKESMAS : TALAWI

1 Puskesmas Induk 507 492 957 1 1957 100 1325 1425 22 85 107 27 118 145 22 81 103 53 124 177 224 1733 1957
2 UGD DAN RAWATAN 223 114 216 0 553 0 0 0 0 0 0 0 0 0 300 253 553 0 0 0 300 253 553
13 Polindes Rantih 15 77 46 0 138 2 121 123 0 3 3 0 12 12 0 0 0 0 0 0 2 136 138
Jumlah 3 s/d 13 142 324 350 3 819 12 705 717 1 16 17 4 78 82 0 0 0 0 3 3 17 802 819
Total 1 s/d 13 872 930 1523 4 3329 112 2030 2142 23 101 124 31 196 227 322 334 656 53 127 180 541 2788 3329
1 Puskesmas Induk 100 1325 1425 22 85 107 27 118 145 22 81 103 171 1609 1780
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 300 253 553 300 253 553
13 Polindes Rantih 2 121 123 0 3 3 0 12 12 0 0 0 2 136 138
Jumlah 3 s/d 13 12 705 717 1 16 17 4 78 82 0 0 0 17 799 816
Total 1 s/d 13 112 2030 2142 23 101 124 31 196 227 322 334 656 488 2661 3149

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
LAPORAN KUNJUNGAN PUSKESMAS TALAWI
PP/POLINDES :
NO BULAN STATUS BAYAR JENIS PELAYANAN

BP Gigi KIA LAIN-LAIN B L Jumlah
A TAHUN 2017
1 JANUARI
2 FEBRUARI
3 MARET
4 APRIL
5 MEI
6 JUNI
7 JULI
8 AGUSTUS
9 SEPTEMBER
10 OKTOBER
11 NOVEMBER
12 DESEMBER
TOTAL
B TAHUN 2018
1 JANUARI
2 FEBRUARI
3 MARET
4 APRIL
5 MEI
6 JUNI
7 JULI
8 AGUSTUS
9 SEPTEMBER
10 OKTOBER
11 NOVEMBER
12 DESEMBER
TOTAL
1
Jan-17
12/27/2017 42 37 66 0 145 7 91 98 4 14 18 3 7 10 0 0 0 5 10 15 0 0 0 3 1 4 22 123 145
12/28/2017 18 18 33 0 69 4 45 49 4 5 9 1 4 5 0 0 0 0 2 2 1 0 1 3 0 3 13 56 69
12/29/2017 21 27 47 0 95 2 78 80 0 2 2 1 4 5 0 0 0 1 4 5 0 0 0 2 1 3 6 89 95
12/30/2017 11 9 29 0 49 2 32 34 1 5 6 1 2 3 0 0 0 1 2 3 0 0 0 2 1 3 7 42 49
12/31/2017 13 8 23 0 44 1 36 37 0 1 1 1 2 3 0 0 0 0 3 3 0 0 0 0 0 0 2 42 44
1/3/2018 26 26 45 0 97 3 55 58 5 20 25 0 4 4 0 0 0 0 5 5 0 0 0 2 3 5 10 87 97
1/4/2018 22 16 30 0 68 1 46 47 3 4 7 1 1 2 0 1 1 0 2 2 0 0 0 3 6 9 8 60 68
1/5/2018 26 28 47 0 101 3 77 80 0 5 5 3 1 4 0 1 1 1 2 3 0 0 0 3 5 8 10 91 101
1/6/2018 7 8 12 0 27 1 16 17 0 2 2 0 2 2 0 0 0 2 2 4 0 0 0 2 0 2 5 22 27
1/7/2018 15 11 22 0 48 3 26 29 1 10 11 1 3 4 0 0 0 1 0 1 1 0 1 0 2 2 7 41 48
1/9/2018 20 22 36 0 78 8 56 64 1 3 4 2 2 4 0 1 1 2 3 5 0 0 0 0 0 0 13 65 78
1/10/2018 36 33 55 0 124 5 74 79 4 33 37 0 1 1 0 0 0 1 1 2 0 2 2 2 1 3 12 112 124
1/11/2018 16 15 23 0 54 5 38 43 2 3 5 1 1 2 0 0 0 0 2 2 0 0 0 1 1 2 9 45 54
1/12/2018 28 28 39 0 95 10 70 80 2 4 6 1 3 4 0 0 0 1 3 4 0 0 0 1 0 1 15 80 95
1/13/2018 7 18 30 0 55 2 42 44 0 6 6 0 2 2 0 0 0 0 3 3 0 0 0 0 0 0 2 53 55
1/14/2018 10 13 24 0 47 7 28 35 2 4 6 0 3 3 0 0 0 0 1 1 0 2 2 0 0 0 9 38 47
1/16/2018 24 21 46 0 91 9 63 72 3 6 9 0 4 4 0 0 0 0 3 3 1 1 2 0 1 1 13 78 91
1/17/2018 24 18 45 0 87 3 52 55 0 18 18 1 8 9 0 0 0 0 2 2 0 1 1 2 0 2 6 81 87
1/18/2018 15 21 40 0 76 3 53 56 0 7 7 1 7 8 0 0 0 0 3 3 1 0 1 0 1 1 5 71 76
1/19/2018 22 31 62 0 115 4 89 93 1 8 9 1 2 3 0 0 0 1 7 8 0 0 0 0 2 2 7 108 115
1/20/2018 16 10 35 0 61 3 36 39 1 9 10 0 5 5 0 1 1 0 4 4 0 1 1 0 1 1 4 57 61
1/21/2018 9 9 29 0 47 2 34 36 0 2 2 0 3 3 0 0 0 3 1 4 0 0 0 0 2 2 5 42 47
1/23/2018 25 24 51 0 100 4 69 73 0 8 8 1 4 5 0 0 0 1 5 6 1 1 2 6 0 6 13 87 100
1/24/2018 30 21 36 0 87 6 53 59 1 11 12 0 9 9 0 0 0 2 1 3 0 0 0 4 0 4 13 74 87
1/25/2018 24 20 52 1 97 2 66 68 4 10 14 2 1 3 0 1 1 0 10 10 0 0 0 0 1 1 8 89 97
507 492 957 1 1957 100 1325 1425 39 200 239 22 85 107 0 5 5 22 81 103 5 8 13 36 29 65 224 1733 1957
12 82 94 0 5 5
27 118 145 5 8 13
12 82 94
53 124 177 224 1733 1957
PUSKESMAS : TALAWI

1 Puskesmas Induk 623 542 1058 15 2238 112 1343 1455 11 92 103 14 239 253 18 90 108 112 207 319 267 1971 2238
2 UGD DAN RAWATAN 218 83 197 0 498 0 0 0 0 0 0 0 0 0 240 258 498 0 0 0 240 258 498
13 Polindes Rantih 10 43 26 0 79 4 64 68 0 0 0 0 11 11 0 0 0 0 0 0 4 75 79
Jumlah 3 s/d 13 142 251 389 5 787 12 661 673 0 30 30 4 77 81 0 0 0 0 3 3 16 771 787
Total 1 s/d 13 983 876 1644 20 3523 124 2004 2128 11 122 133 18 316 334 258 348 606 112 210 322 523 3000 3523
1 Puskesmas Induk 112 1343 1455 11 92 103 14 239 253 18 90 108 155 1764 1919
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 240 258 498 240 258 498
13 Polindes Rantih 4 64 68 0 0 0 0 11 11 0 0 0 4 75 79
Jumlah 3 s/d 13 12 661 673 0 30 30 4 77 81 0 0 0 16 768 784
Total 1 s/d 13 124 2004 2128 11 122 133 18 316 334 258 348 606 411 2790 3201

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
Feb-17
1/26/2016 25 25 59 0 109 2 74 76 3 13 16 0 8 8 0 0 0 1 6 7 0 0 0 1 1 2 7 102 109
1/27/2016 16 24 26 0 66 3 43 46 0 9 9 0 4 4 0 0 0 0 5 5 0 0 0 1 1 2 4 62 66
1/30/2016 20 15 59 0 94 9 58 67 3 8 11 1 3 4 0 0 0 3 7 10 1 0 1 0 1 1 17 77 94
1/31/2016 19 25 61 0 105 6 66 72 3 18 21 0 5 5 0 0 0 0 5 5 0 0 0 0 2 2 9 96 105
2/1/2016 12 12 50 0 74 3 57 60 0 0 0 0 5 5 0 0 0 1 3 4 0 0 0 3 2 5 7 67 74
2/2/2016 26 42 65 0 133 9 94 103 4 9 13 0 6 6 0 0 0 0 4 4 0 0 0 7 0 7 20 113 133
2/3/2016 14 15 32 0 61 2 40 42 0 9 9 1 4 5 0 0 0 0 3 3 0 0 0 2 0 2 5 56 61
2/4/2016 16 14 31 0 61 3 35 38 2 5 7 0 3 3 0 0 0 2 6 8 0 0 0 4 1 5 11 50 61
2/6/2016 19 21 48 0 88 8 61 69 1 8 9 1 2 3 0 0 0 0 3 3 0 0 0 3 1 4 13 75 88
2/7/2016 40 20 57 0 117 4 58 62 3 23 26 1 6 7 0 0 0 0 3 3 0 0 0 7 12 19 15 102 117
2/8/2016 50 13 27 0 90 4 33 37 0 6 6 0 4 4 0 0 0 2 3 5 0 0 0 9 29 38 15 75 90
2/9/2016 59 41 49 0 149 6 79 85 0 7 7 0 6 6 0 0 0 0 3 3 0 0 0 14 34 48 20 129 149
2/10/2016 38 15 25 0 78 8 32 40 0 6 6 1 3 4 0 0 0 0 4 4 0 0 0 7 17 24 16 62 78
2/11/2016 16 4 27 0 47 1 28 29 0 5 5 0 2 2 0 0 0 1 4 5 0 0 0 0 6 6 2 45 47
2/13/2016 37 20 43 0 100 4 60 64 3 3 6 0 5 5 0 0 0 4 3 7 1 0 1 6 11 17 18 82 100
2/14/2016 27 26 40 0 93 6 54 60 3 20 23 0 1 1 0 0 0 0 3 3 0 0 0 1 5 6 10 83 93
2/16/2016 24 42 85 7 158 2 99 101 2 37 39 1 1 2 0 0 0 0 9 9 0 0 0 1 6 7 6 152 158
2/17/2016 21 31 23 0 75 6 40 46 0 12 12 1 0 1 0 1 1 0 3 3 0 1 1 3 8 11 10 65 75
2/18/2016 22 18 22 0 62 4 28 32 0 10 10 1 2 3 0 0 0 0 5 5 3 0 3 4 5 9 12 50 62
2/20/2016 25 30 43 0 98 5 63 68 2 9 11 0 6 6 0 0 0 0 1 1 0 2 2 2 8 10 9 89 98
2/21/2016 33 17 48 0 98 6 64 70 1 12 13 1 1 2 0 0 0 0 1 1 0 0 0 6 6 12 14 84 98
2/22/2016 20 23 37 8 88 4 40 44 1 29 30 1 8 9 0 0 0 1 2 3 0 0 0 2 0 2 9 79 88
2/23/2016 14 25 54 0 93 4 73 77 0 7 7 0 3 3 0 1 1 0 3 3 0 0 0 1 1 2 5 88 93
2/24/2016 15 11 22 0 48 3 33 36 0 5 5 1 1 2 0 1 1 0 0 0 0 0 0 1 3 4 5 43 48
2/25/2016 15 13 25 0 53 0 31 31 0 8 8 0 3 3 0 0 0 3 1 4 2 0 2 3 2 5 8 45 53
623 542 1058 15 2238 112 1343 1455 31 278 309 11 92 103 0 3 3 18 90 108 7 3 10 88 162 250 267 1971 2238
17 39 56 0 3 3
14 239 253 7 3 10
17 39 56
112 207 319 267 1971 2238
PUSKESMAS : TALAWI
BULAN : MARET 2017

1 Puskesmas Induk 430 388 889 4 1711 56 1096 1152 7 92 99 16 150 166 13 73 86 85 123 208 177 1534 1711
2 UGD DAN RAWATAN 138 74 186 0 398 0 0 0 0 0 0 0 0 0 138 260 398 0 0 0 138 260 398
13 Polindes Rantih 10 38 28 1 77 1 63 64 0 2 2 2 9 11 0 0 0 0 0 0 3 74 77
Jumlah 3 s/d 13 141 246 389 6 782 12 640 652 1 18 19 5 104 109 0 0 0 0 2 2 18 764 782
Total 1 s/d 13 709 708 1464 10 2891 68 1736 1804 8 110 118 21 254 275 151 333 484 85 125 210 333 2558 2891
1 Puskesmas Induk 56 1096 1152 7 92 99 16 150 166 13 73 86 92 1411 1503
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 138 260 398 138 260 398
13 Polindes Rantih 1 63 64 0 2 2 2 9 11 0 0 0 3 74 77
Jumlah 3 s/d 13 12 640 652 1 18 19 5 104 109 0 0 0 18 762 780
Total 1 s/d 13 68 1736 1804 8 110 118 21 254 275 151 333 484 248 2433 2681

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
Mar-17
2/27/2017 18 13 49 1 81 5 47 52 1 10 11 0 7 7 0 0 0 1 5 6 0 0 0 2 3 5 9 72 81
2/28/2017 16 8 29 0 53 4 34 38 0 7 7 0 3 3 0 0 0 0 2 2 0 0 0 3 0 3 7 46 53
3/1/2017 14 12 42 0 68 1 48 49 0 5 5 0 2 2 0 0 0 1 3 4 0 1 1 3 4 7 5 63 68
3/2/2017 19 21 52 0 92 2 62 64 3 7 10 1 5 6 0 0 0 0 3 3 0 1 1 6 2 8 12 80 92
3/3/2017 1 4 7 0 12 0 8 8 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 0 0 0 0 12 12
3/4/2017 24 12 26 2 64 5 37 42 0 7 7 0 2 2 0 1 1 0 2 2 0 1 1 4 5 9 9 55 64
3/6/2017 20 24 35 0 79 8 51 59 2 10 12 0 2 2 0 0 0 0 2 2 0 1 1 1 2 3 11 68 79
3/7/2017 25 19 40 0 84 2 48 50 2 18 20 0 2 2 0 0 0 0 0 0 0 0 0 8 4 12 12 72 84
3/8/2017 25 9 36 0 70 1 42 43 2 9 11 0 5 5 0 0 0 0 3 3 1 0 1 1 6 7 5 65 70
3/9/2017 15 31 60 0 106 0 84 84 2 6 8 1 3 4 0 0 0 3 5 8 0 0 0 2 0 2 8 98 106
3/10/2017 16 15 28 0 59 2 42 44 1 5 6 0 2 2 0 0 0 1 3 4 0 0 0 0 3 3 4 55 59
3/11/2017 13 11 36 1 61 3 41 44 0 5 5 0 7 7 0 0 0 0 3 3 0 0 0 2 0 2 5 56 61
3/13/2017 18 18 31 0 67 3 47 50 1 6 7 0 1 1 0 0 0 1 1 2 0 1 1 2 4 6 7 60 67
3/14/2017 20 17 45 0 82 4 53 57 1 10 11 0 5 5 0 0 0 0 2 2 0 2 2 4 1 5 9 73 82
3/15/2017 19 18 36 0 73 1 41 42 1 14 15 0 6 6 0 0 0 2 4 6 1 0 1 0 3 3 5 68 73
3/16/2017 21 33 56 0 110 2 83 85 2 9 11 1 3 4 0 2 2 1 5 6 1 0 1 1 0 1 8 102 110
3/17/2017 17 8 27 0 52 1 30 31 2 6 8 0 3 3 0 0 0 0 4 4 0 0 0 6 0 6 9 43 52
3/18/2017 11 5 30 0 46 0 24 24 2 10 12 1 6 7 0 1 1 0 2 2 0 0 0 0 0 0 3 43 46
3/20/2017 20 18 56 0 94 4 56 60 1 11 12 1 10 11 0 0 0 0 7 7 0 0 0 3 1 4 9 85 94
3/21/2017 25 15 42 0 82 1 48 49 0 6 6 2 8 10 0 1 1 2 1 3 2 0 2 7 4 11 14 68 82
3/22/2017 25 18 27 0 70 1 33 34 3 10 13 0 2 2 0 0 0 0 4 4 0 1 1 5 11 16 9 61 70
3/23/2017 25 32 58 0 115 3 71 74 1 22 23 0 6 6 0 0 0 0 7 7 2 0 2 3 0 3 9 106 115
3/24/2017 11 9 17 0 37 0 29 29 0 3 3 0 0 0 0 0 0 0 1 1 0 0 0 2 2 4 2 35 37
3/25/2017 12 18 24 0 54 3 37 40 1 9 10 0 2 2 0 0 0 1 0 1 0 0 0 1 0 1 6 48 54
430 388 889 4 1711 56 1096 1152 28 205 233 7 92 99 0 5 5 13 73 86 7 8 15 66 55 121 177 1534 1711
12 55 67 0 5 5
16 150 166 7 8 15
12 55 67
85 123 208 177 1534 1711
PUSKESMAS : TALAWI
BULAN : APRIL 2017

1 Puskesmas Induk 469 384 927 2 1782 60 1132 1192 7 98 105 18 151 169 13 68 81 89 146 235 187 1595 1782
2 UGD DAN RAWATAN 199 83 238 0 520 0 0 0 0 0 0 0 0 0 502 18 520 0 0 0 502 18 520
13 Polindes Rantih 10 48 30 0 88 3 79 82 0 0 0 1 5 6 0 0 0 0 0 0 4 84 88
Jumlah 3 s/d 13 141 288 383 3 815 17 683 700 0 8 8 5 95 100 0 0 0 0 7 7 22 793 815
Total 1 s/d 13 809 755 1548 5 3117 77 1815 1892 7 106 113 23 246 269 515 86 601 89 153 242 711 2406 3117
1 Puskesmas Induk 60 1132 1192 7 98 105 18 151 169 13 68 81 98 1449 1547
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 502 18 520 502 18 520
13 Polindes Rantih 3 79 82 0 0 0 1 5 6 0 0 0 4 84 88
Jumlah 3 s/d 13 17 683 700 0 8 8 5 95 100 0 0 0 22 786 808
Total 1 s/d 13 77 1815 1892 7 106 113 23 246 269 515 86 601 622 2253 2875
a/n. Kepala Puskesmas Talawi Penanggung Jawab

Kasubag TU
ADRIANOF, S.Si.T NENGSI JUITA, SKM

NIP 197209122006041004 NIP 19830217 200604 2 007
Apr-17
TANGGAL Bayar jpkm bpjs lain"jumlah BARU LAMA TOTAL
3/27/2017 18 21 50 0 89 5 53 58 2 15 17 0 8 8 0 0 0 0 3 3 0 0 0 3 0 3 10 79 89
3/29/2017 19 18 46 0 83 4 55 59 3 10 13 1 4 5 0 0 0 2 3 5 0 0 0 0 1 1 10 73 83
3/30/2017 21 26 67 0 114 4 88 92 0 10 10 0 7 7 0 1 1 0 2 2 0 0 0 0 2 2 4 110 114
3/31/2017 12 19 38 0 69 3 46 49 0 6 6 0 7 7 0 2 2 0 3 3 0 0 0 1 1 2 4 65 69
4/1/2017 12 5 31 0 48 0 35 35 0 2 2 0 1 1 0 1 1 0 4 4 0 0 0 5 0 5 5 43 48
4/3/2017 19 14 53 0 86 2 51 53 1 8 9 1 8 9 0 0 0 3 6 9 0 0 0 4 2 6 11 75 86
4/4/2017 17 18 33 0 68 3 47 50 5 7 12 0 2 2 0 0 0 1 1 2 1 0 1 0 1 1 10 58 68
4/5/2017 19 10 27 0 56 2 36 38 1 8 9 0 3 3 0 2 2 0 3 3 1 0 1 0 0 0 4 52 56
4/6/2017 14 22 46 0 82 7 56 63 3 6 9 0 6 6 0 0 0 0 1 1 0 0 0 0 3 3 10 72 82
4/7/2017 8 7 27 1 43 0 26 26 1 2 3 0 6 6 0 1 1 0 5 5 0 0 0 2 0 2 3 40 43
4/8/2017 10 11 17 0 38 0 27 27 1 4 5 0 1 1 0 0 0 0 3 3 0 0 0 0 2 2 1 37 38
4/10/2017 20 19 52 0 91 2 62 64 0 18 18 0 0 0 0 0 0 0 3 3 0 0 0 1 5 6 3 88 91
4/11/2017 29 18 33 0 80 2 47 49 3 13 16 1 2 3 0 0 0 1 0 1 0 0 0 6 5 11 13 67 80
4/12/2017 20 10 22 0 52 2 28 30 3 9 12 0 1 1 0 2 2 0 0 0 0 0 0 4 3 7 9 43 52
4/13/2017 41 26 66 0 133 6 83 89 3 18 21 0 3 3 0 0 0 1 3 4 0 0 0 10 6 16 20 113 133
4/15/2017 16 14 29 0 59 1 40 41 0 4 4 0 3 3 0 1 1 1 4 5 0 1 1 0 4 4 2 57 59
4/17/2017 36 28 52 0 116 2 72 74 3 14 17 0 5 5 0 0 0 1 4 5 0 0 0 6 9 15 12 104 116
4/18/2017 30 14 55 0 99 2 54 56 4 20 24 1 8 9 0 0 0 1 3 4 0 0 0 0 6 6 8 91 99
4/19/2017 27 8 23 0 58 4 24 28 0 5 5 0 7 7 0 0 0 1 3 4 0 0 0 9 5 14 14 44 58
4/20/2017 24 31 66 0 121 4 88 92 1 4 5 0 5 5 0 1 1 0 1 1 0 0 0 8 9 17 13 108 121
4/21/2017 22 14 18 0 54 2 26 28 0 8 8 0 4 4 0 0 0 0 3 3 0 0 0 7 4 11 9 45 54
4/22/2017 14 6 22 0 42 2 27 29 0 5 5 0 2 2 0 0 0 0 5 5 0 0 0 0 1 1 2 40 42
4/25/2017 21 25 54 1 101 1 61 62 1 17 18 3 5 8 0 0 0 1 5 6 0 0 0 4 3 7 10 91 101
469 384 927 2 1782 60 1132 1192 35 213 248 7 98 105 0 11 11 13 68 81 2 1 3 70 72 142 187 1595 1782
17 62 79 17 62 79
18 151 169 0 11 11
2 1 3
89 146 235 187 1595 1782
ugd,rwtan 199 83 238 0 520 502 18 520

PUSKESMAS : TALAWI
BULAN : MEI 2017

1 Puskesmas Induk 468 353 840 1 1662 65 1004 1069 15 96 111 14 146 160 15 82 97 76 149 225 185 1477 1662
2 UGD DAN RAWATAN 162 69 173 0 404 0 0 0 0 0 0 0 0 0 176 228 404 0 0 0 176 228 404
13 Polindes Rantih 7 47 43 2 99 3 77 80 0 3 3 0 16 16 0 0 0 0 0 0 3 96 99
Jumlah 3 s/d 13 135 229 362 5 731 6 595 601 0 24 24 3 98 101 0 0 0 0 5 5 9 722 731
Total 1 s/d 13 765 651 1375 6 2797 71 1599 1670 15 120 135 17 244 261 191 310 501 76 154 230 370 2427 2797
1 Puskesmas Induk 65 1004 1069 15 96 111 14 146 160 15 82 97 109 1328 1437
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 176 228 404 176 228 404
13 Polindes Rantih 3 77 80 0 3 3 0 16 16 0 0 0 3 96 99
Jumlah 3 s/d 13 6 595 601 0 24 24 3 98 101 0 0 0 9 717 726
Total 1 s/d 13 71 1599 1670 15 120 135 17 244 261 191 310 501 294 2273 2567
Talawi, 31 Mei 2017

Kepala Puskesmas Talawi Penanggungjawab RM & Pendaftaran
NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
May-17
TANGGAL Bayar jpkm bpjslain"jumlah BP KIA GIGI KB UGD IMUNISASI LAIN-LAIN BARU LAMA TOTAL
4/26/2017 19 7 32 0 58 6 30 36 1 7 8 2 4 6 0 0 0 0 1 1 0 2 2 0 5 5 9 49 58
4/27/2017 19 23 52 0 94 1 67 68 1 5 6 0 3 3 0 0 0 1 9 10 0 0 0 5 2 7 8 86 94
4/28/2017 14 5 30 0 49 3 28 31 1 11 12 0 1 1 0 0 0 0 2 2 0 0 0 2 1 3 6 43 49
4/29/2017 10 18 14 0 42 1 31 32 1 3 4 0 2 2 0 0 0 0 4 4 0 0 0 0 0 0 2 40 42
5/2/2017 26 24 47 0 97 6 43 49 4 16 20 1 9 10 0 0 0 1 7 8 0 0 0 5 5 10 17 80 97
5/3/2017 28 13 40 0 81 6 44 50 1 12 13 2 6 8 0 0 0 1 2 3 1 0 1 3 3 6 14 67 81
5/4/2017 26 29 59 0 114 2 86 88 1 4 5 2 9 11 0 0 0 0 2 2 0 0 0 4 4 8 9 105 114
5/5/2017 12 11 24 0 47 1 30 31 0 6 6 1 2 3 0 0 0 0 3 3 0 0 0 1 3 4 3 44 47
5/6/2017 13 4 22 0 39 0 29 29 0 3 3 0 2 2 0 0 0 0 3 3 0 0 0 1 1 2 1 38 39
5/8/2017 24 24 37 0 85 4 48 52 0 18 18 0 2 2 0 0 0 4 4 8 0 0 0 2 3 5 10 75 85
5/9/2017 17 14 42 0 73 2 47 49 1 5 6 0 5 5 0 1 1 0 4 4 0 1 1 3 4 7 6 67 73
5/10/2017 29 16 31 0 76 1 44 45 0 9 9 1 3 4 0 0 0 0 5 5 3 2 5 5 3 8 10 66 76
5/12/2017 23 20 39 0 82 2 48 50 3 10 13 0 5 5 0 0 0 3 2 5 0 2 2 3 4 7 11 71 82
5/13/2017 13 11 27 0 51 1 36 37 2 6 8 0 2 2 0 0 0 0 1 1 0 0 0 2 1 3 5 46 51
5/15/2017 12 21 49 0 82 1 51 52 2 15 17 0 5 5 0 0 0 0 6 6 0 0 0 2 0 2 5 77 82
5/16/2017 19 10 40 0 69 5 40 45 1 13 14 0 1 1 0 0 0 1 2 3 1 1 2 2 2 4 10 59 69
5/17/2017 18 17 32 0 67 2 31 33 1 15 16 0 4 4 0 0 0 0 5 5 1 0 1 7 1 8 11 56 67
5/18/2017 34 26 56 0 116 10 83 93 1 8 9 0 2 2 0 0 0 1 4 5 0 0 0 2 5 7 14 102 116
5/19/2017 9 9 24 0 42 1 24 25 0 6 6 0 3 3 0 0 0 0 2 2 0 0 0 1 5 6 2 40 42
5/20/2017 12 6 20 1 39 1 27 28 0 2 2 2 1 3 0 1 1 1 2 3 0 0 0 1 1 2 5 34 39
5/22/2017 27 15 49 0 91 4 52 56 2 8 10 2 9 11 0 1 1 1 3 4 1 0 1 1 7 8 11 80 91
5/23/2017 37 21 45 103 3 67 70 3 12 15 0 5 5 0 0 0 1 0 1 0 0 0 2 10 12 9 94 103
5/24/2017 27 9 29 0 65 2 18 20 1 8 9 2 11 13 0 0 0 0 9 9 0 0 0 2 12 14 7 58 65
468 353 840 1 1662 65 1004 1069 27 202 229 15 96 111 0 3 3 15 82 97 7 8 15 56 82 138 185 1477 1662
13 56 69 13 56 69
14 146 160 0 3 3
7 8 15
76 149 225 185 1477 1662
PUSKESMAS : TALAWI
BULAN : JUNI 2017

1 Puskesmas Induk 401 382 816 1 1600 72 1032 1104 9 50 59 25 130 155 12 91 103 45 134 179 163 1437 1600
2 UGD DAN RAWATAN 313 135 214 0 662 0 0 0 0 0 0 0 0 0 462 200 662 0 0 0 462 200 662
13 Polindes Rantih 11 47 33 1 92 5 71 76 0 5 5 2 9 11 0 0 0 0 0 0 7 85 92
Jumlah 3 s/d 13 112 179 259 8 558 6 470 476 0 12 12 3 65 68 0 0 0 0 2 2 9 549 558
Total 1 s/d 13 826 696 1289 9 2820 78 1502 1580 9 62 71 28 195 223 474 291 765 45 136 181 634 2186 2820
1 Puskesmas Induk 72 1032 1104 9 50 59 25 130 155 12 91 103 118 1303 1421
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 462 200 662 462 200 662
13 Polindes Rantih 5 71 76 0 5 5 2 9 11 0 0 0 7 85 92
Jumlah 3 s/d 13 6 470 476 0 12 12 3 65 68 0 0 0 9 547 556
Total 1 s/d 13 78 1502 1580 9 62 71 28 195 223 474 291 765 589 2050 2639
Talawi, 30 JUNI 2017

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
Jun-17
TANGGAL Bayar jpkm bpjs lain"jumlah BP KIA GIGI KB UGD IMUNISASI LAIN-LAIN BARU LAMA TOTAL
5/26/2017 22 18 36 0 76 1 41 42 2 11 13 1 8 9 0 1 1 0 5 5 0 0 0 3 3 6 7 69 76
5/27/2017 8 8 18 0 34 1 17 18 3 4 7 0 1 1 0 0 0 0 5 5 0 0 0 1 2 3 5 29 34
5/29/2017 27 17 41 0 85 8 49 57 5 9 14 1 1 2 1 0 1 1 5 6 0 0 0 3 2 5 19 66 85
5/30/2017 21 19 48 0 88 0 55 55 4 14 18 2 5 7 0 1 1 2 2 4 0 0 0 0 3 3 8 80 88
5/31/2017 5 3 19 0 27 2 15 17 2 3 5 0 1 1 0 0 0 0 3 3 0 0 0 0 1 1 4 23 27
6/2/2017 13 23 41 0 77 7 47 54 1 13 14 1 2 3 0 1 1 1 1 2 0 0 0 1 2 3 11 66 77
6/3/2017 12 15 34 0 61 3 36 39 0 15 15 0 2 2 0 0 0 0 1 1 0 0 0 3 1 4 6 55 61
6/5/2017 21 8 34 0 63 3 35 38 2 10 12 0 2 2 0 0 0 1 4 5 2 0 2 0 4 4 8 55 63
6/6/2017 19 20 31 0 70 3 56 59 3 3 6 0 0 0 0 0 0 0 3 3 0 0 0 1 1 2 7 63 70
6/7/2017 16 18 34 0 68 5 43 48 2 6 8 0 1 1 0 0 0 0 5 5 1 0 1 1 4 5 9 59 68
6/8/2017 27 23 61 0 111 6 80 86 2 6 8 0 4 4 0 0 0 0 3 3 0 1 1 1 8 9 9 102 111
6/9/2017 13 18 26 0 57 1 30 31 0 12 12 1 1 2 0 1 1 3 4 7 0 0 0 1 3 4 6 51 57
6/10/2017 20 10 30 0 60 7 30 37 2 12 14 0 2 2 0 0 0 0 7 7 0 0 0 0 0 0 9 51 60
6/12/2017 18 16 44 0 78 2 53 55 0 10 10 1 4 5 0 0 0 0 7 7 1 0 1 0 0 0 4 74 78
6/13/2017 22 23 42 0 87 2 58 60 1 16 17 0 1 1 0 0 0 0 4 4 0 0 0 1 4 5 4 83 87
6/14/2017 13 16 19 0 48 1 28 29 2 8 10 0 0 0 0 0 0 1 7 8 0 0 0 1 0 1 5 43 48
6/15/2017 27 23 62 0 112 7 86 93 2 7 9 1 2 3 0 2 2 1 3 4 0 1 1 0 0 0 11 101 112
6/16/2017 11 30 2 0 43 1 30 31 1 7 8 2 2 0 0 0 1 0 1 1 0 1 0 0 0 4 39 43
6/17/2017 7 9 24 0 40 1 23 24 1 9 10 0 3 3 0 0 0 0 3 3 0 0 0 0 0 0 2 38 40
6/19/2017 18 16 46 0 80 5 55 60 2 4 6 0 2 2 1 1 2 1 6 7 0 1 1 1 1 2 10 70 80
6/20/2017 26 17 38 0 81 2 56 58 2 10 12 0 1 1 0 0 0 0 3 3 1 0 1 2 4 6 7 74 81
6/21/2017 11 10 42 0 63 1 43 44 0 5 5 0 4 4 0 1 1 0 6 6 0 2 2 1 0 1 2 61 63
6/22/2017 24 22 44 1 91 3 66 69 2 9 11 1 1 2 0 2 2 0 4 4 0 0 0 0 3 3 6 85 91
401 382 816 1 1600 72 1032 1104 41 203 244 9 50 59 2 10 12 12 91 103 6 5 11 21 46 67 163 1437 1600
16 73 89 16 73 89
25 130 155 2 10 12
6 5 11
45 134 179 163 1437 1600
Jul-17
TANGGALBayar jpkm bpjs lain"jumlah BARU LAMA TOTAL
### 14 5 18 0 37 4 23 27 1 2 3 0 2 2 0 0 0 1 3 4 0 0 0 0 1 1 6 31 37
### 24 16 51 0 91 1 70 71 1 7 8 0 3 3 0 0 0 0 4 4 0 0 0 3 2 5 5 86 91
### 36 15 64 0 115 4 67 71 2 8 10 0 7 7 0 0 0 1 12 13 0 0 0 6 8 14 13 102 115
### 15 15 59 0 89 4 58 62 1 13 14 1 4 5 0 1 1 4 2 6 0 0 0 0 1 1 10 79 89
### 25 21 68 0 114 4 81 85 1 9 10 0 8 8 0 1 1 1 5 6 0 0 0 2 2 4 8 106 114
### 17 18 36 0 71 1 43 44 0 8 8 1 4 5 0 3 3 0 7 7 0 0 0 0 4 4 2 69 71
### 20 14 31 0 65 3 34 37 1 9 10 0 2 2 0 0 0 1 9 10 0 1 1 3 2 5 8 57 65
### 16 11 50 0 77 1 55 56 2 5 7 1 4 5 0 0 0 0 5 5 0 0 0 3 1 4 7 70 77
### 17 11 40 0 68 3 43 46 0 7 7 0 2 2 0 1 1 0 8 8 0 1 1 1 2 3 4 64 68
### 54 15 16 0 85 1 23 24 0 12 12 0 3 3 0 0 0 0 2 2 2 2 4 32 8 40 35 50 85
### 23 23 79 0 125 4 91 95 0 17 17 1 4 5 0 1 1 1 5 6 0 0 0 0 1 1 6 119 125
### 11 13 24 0 48 1 28 29 1 11 12 0 3 3 0 0 0 1 2 3 0 0 0 0 1 1 3 45 48
### 14 14 33 0 61 0 41 41 1 9 10 0 1 1 0 0 0 2 3 5 2 0 2 1 1 2 6 55 61
### 31 15 36 0 82 3 39 42 1 14 15 0 5 5 0 0 0 1 3 4 1 1 2 10 4 14 16 66 82
### 11 18 45 0 74 4 57 61 0 4 4 0 2 2 0 2 2 0 3 3 0 0 0 2 0 2 6 68 74
### 26 14 32 0 72 1 41 42 0 17 17 1 1 2 0 1 1 0 3 3 3 2 5 0 2 2 5 67 72
### 17 21 43 0 81 3 63 66 0 7 7 2 1 3 0 0 0 0 3 3 0 0 0 1 1 2 6 75 81
### 16 10 25 0 51 0 28 28 0 8 8 0 5 5 0 0 0 0 5 5 0 0 0 3 2 5 3 48 51
### 3 9 24 0 36 2 25 27 0 2 2 0 3 3 0 0 0 0 3 3 0 1 1 0 0 0 2 34 36
### 12 12 30 0 54 2 32 34 0 10 10 0 2 2 0 0 0 0 1 1 0 2 2 0 5 5 2 52 54
### 16 18 35 0 69 0 54 54 1 9 10 0 2 2 0 0 0 0 1 1 0 0 0 1 1 2 2 67 69
418 308 839 0 1565 46 996 1042 13 188 201 7 68 75 0 10 10 13 89 102 8 10 18 68 49 117 155 1410 1565
9 69 78 9 69 78
4 119 123 0 10 10
8 10 18
85 138 223 155 1410 1565
PUSKESMAS : TALAWI
BULAN : JULI 2017

1 Puskesmas Induk 418 308 839 0 1565 46 996 1042 7 68 75 4 119 123 13 89 102 85 138 223 155 1410 1565
2 UGD DAN RAWATAN 252 94 279 0 625 0 0 0 0 0 0 0 0 0 366 259 625 0 0 0 366 259 625
13 Polindes Rantih 18 35 32 3 88 1 75 76 0 2 2 2 8 10 0 0 0 0 0 0 3 85 88
Jumlah 3 s/d 13 141 178 323 7 649 5 545 550 0 11 11 10 74 84 0 0 0 1 3 4 16 633 649
Total 1 s/d 13 811 580 1441 7 2839 51 1541 1592 7 79 86 14 193 207 379 348 727 86 141 227 537 2302 2839
1 Puskesmas Induk 46 996 1042 7 68 75 4 119 123 13 89 102 70 1272 1342
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 366 259 625 366 259 625
13 Polindes Rantih 1 75 76 0 2 2 2 8 10 0 0 0 3 85 88
Jumlah 3 s/d 13 5 545 550 0 11 11 10 74 84 0 0 0 15 630 645
Total 1 s/d 13 51 1541 1592 7 79 86 14 193 207 379 348 727 451 2161 2612
Talawi, 31 JULI 2017

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
PUSKESMAS : TALAWI
BULAN : Agustus 2017

1 Puskesmas Induk 583 370 939 3 1895 79 1159 1238 11 65 76 8 159 167 24 77 101 115 198 313 237 1658 1895
2 UGD DAN RAWATAN 199 76 192 0 467 0 0 0 0 0 0 0 0 0 339 128 467 0 0 0 339 128 467
3 Puskesmas Pembantu Bukit Gadang 4 23 64 91 0 78 78 0 0 0 0 13 13 0 0 0 0 0 0 0 91 91
13 Polindes Rantih 5 37 32 1 75 0 61 61 0 2 2 1 11 12 0 0 0 0 0 0 1 74 75
Jumlah 3 s/d 13 103 219 401 5 728 1 608 609 0 18 18 3 97 100 0 0 0 0 1 1 4 724 728
Total 1 s/d 13 885 665 1532 8 3090 80 1767 1847 11 83 94 11 256 267 363 205 568 115 199 314 580 2510 3090
1 Puskesmas Induk 79 1159 1238 11 65 76 8 159 167 24 77 101 122 1460 1582
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 339 128 467 339 128 467
13 Polindes Rantih 0 61 61 0 2 2 1 11 12 0 0 0 1 74 75
Jumlah 3 s/d 13 1 608 609 0 18 18 3 97 100 0 0 0 4 723 727
Total 1 s/d 13 80 1767 1847 11 83 94 11 256 267 363 205 568 465 2311 2776
Talawi, 31 AGUSTUS 2017

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
Aug-17
TANGGAL Bayar jpkm bpjs lain"jumlah BP KIA GIGI KB UGD IMUNISASI LAIN-LAIN BARU LAMA TOTAL
7/26/2017 16 9 29 0 54 0 29 29 0 8 8 1 2 3 0 1 1 2 2 4 1 2 3 1 5 6 5 49 54
7/27/2017 30 28 60 1 119 7 95 102 0 8 8 0 1 1 0 0 0 2 4 6 0 0 0 0 2 2 9 110 119
7/28/2017 15 8 18 0 41 1 25 26 0 5 5 0 2 2 0 0 0 1 0 1 0 0 0 1 6 7 3 38 41
7/29/2017 13 10 20 0 43 1 30 31 1 4 5 0 0 0 0 0 0 1 4 5 1 0 1 0 1 1 4 39 43
7/31/2017 39 22 51 0 112 5 63 68 1 16 17 0 4 4 0 0 0 0 9 9 1 0 1 10 3 13 17 95 112
8/1/2017 24 18 47 0 89 4 58 62 0 15 15 0 5 5 0 0 0 2 4 6 0 0 0 0 1 1 6 83 89
8/2/2017 20 9 25 0 54 3 26 29 0 6 6 2 3 5 0 0 0 0 6 6 0 0 0 3 5 8 8 46 54
8/3/2017 34 21 62 0 117 12 74 86 2 4 6 0 5 5 0 1 1 2 2 4 0 1 1 6 8 14 22 95 117
8/4/2017 14 10 33 0 57 0 34 34 2 13 15 0 1 1 0 0 0 0 2 2 0 0 0 2 3 5 4 53 57
8/5/2017 9 8 26 0 43 0 23 23 1 8 9 0 2 2 0 0 0 0 2 2 0 0 0 6 1 7 7 36 43
8/7/2017 23 12 35 0 70 3 38 41 0 8 8 0 5 5 0 0 0 2 7 9 0 0 0 6 1 7 11 59 70
8/8/2017 27 13 39 0 79 1 50 51 2 13 15 1 4 5 0 0 0 1 1 2 0 0 0 0 6 6 5 74 79
8/9/2017 21 11 25 0 57 2 36 38 2 6 8 1 2 3 0 0 0 0 1 1 0 0 0 1 6 7 6 51 57
8/10/2017 13 19 40 0 72 6 54 60 0 8 8 0 1 1 0 0 0 0 3 3 0 0 0 0 0 0 6 66 72
8/11/2017 13 10 30 0 53 0 34 34 2 8 10 1 1 2 0 0 0 0 3 3 0 0 0 0 4 4 3 50 53
8/12/2017 17 9 33 0 59 2 41 43 2 5 7 0 4 4 0 0 0 0 3 3 0 0 0 0 2 2 4 55 59
8/14/2017 18 23 38 0 79 1 49 50 1 9 10 0 3 3 0 0 0 2 5 7 0 0 0 5 4 9 9 70 79
8/15/2017 21 18 59 0 98 6 72 78 2 8 10 0 3 3 0 0 0 0 1 1 1 0 1 3 2 5 12 86 98
8/16/2017 21 15 27 0 63 2 33 35 2 12 14 0 4 4 0 0 0 0 1 1 3 0 3 4 2 6 11 52 63
8/18/2017 14 9 30 0 53 2 30 32 2 12 14 0 1 1 0 0 0 1 2 3 0 0 0 1 2 3 6 47 53
8/19/2017 15 7 22 1 45 4 24 28 0 7 7 1 0 1 0 0 0 1 1 2 0 0 0 2 5 7 8 37 45
8/21/2017 32 19 39 0 90 2 45 47 0 15 15 1 0 1 0 0 0 3 5 8 0 0 0 8 11 19 14 76 90
8/22/2017 32 15 32 0 79 6 49 55 0 10 10 1 2 3 0 0 0 1 0 1 0 0 0 6 4 10 14 65 79
8/23/2017 49 7 29 0 85 0 29 29 1 15 16 2 4 6 0 0 0 2 2 4 1 1 2 9 19 28 15 70 85
8/24/2017 28 27 62 1 118 7 88 95 0 6 6 0 2 2 0 0 0 1 3 4 0 0 0 6 5 11 14 104 118
8/25/2017 25 13 28 0 66 2 30 32 2 9 11 0 4 4 0 0 0 0 4 4 1 0 1 9 5 14 14 52 66
583 370 939 3 1895 79 1159 1238 25 238 263 11 65 76 0 2 2 24 77 101 9 4 13 89 113 202 237 1658 1895
17 79 96 17 79 96
8 159 167 0 2 2
9 4 13
115 198 313 237 1658 1895
K.IBU total 96B 17
ugd 24491-1233-B 363-24=339

### 76 192 0 467
Sep-17
TANGGAL Bayarjpkm bpjs lain"jumlah BP KIA GIGI KB UGD IMUNISASI LAIN-LAIN BARU LAMA TOTAL
8/26/2017 7 8 31 0 46 2 29 31 0 3 3 1 8 9 0 0 0 0 2 2 0 0 0 0 1 1 3 43 46
8/28/2017 25 15 48 1 89 4 53 57 1 17 18 0 6 6 0 0 0 0 3 3 0 1 1 4 0 4 9 80 89
8/29/2017 10 12 28 0 50 4 31 35 1 6 7 0 3 3 0 0 0 0 3 3 1 0 1 0 1 1 6 44 50
8/30/2017 18 19 22 0 59 3 28 31 4 14 18 0 4 4 0 0 0 0 3 3 0 1 1 0 2 2 7 52 59
8/31/2017 13 23 50 0 86 3 65 68 0 7 7 0 6 6 0 0 0 1 2 3 0 0 0 1 1 2 5 81 86
9/2/2017 11 8 19 0 38 3 21 24 0 1 1 0 5 5 0 0 0 0 3 3 0 0 0 4 1 5 7 31 38
9/4/2017 20 13 64 0 97 1 59 60 2 14 16 0 10 10 0 0 0 0 1 1 1 0 1 7 2 9 11 86 97
9/5/2017 20 10 49 0 79 2 54 56 2 12 14 0 6 6 0 0 0 0 2 2 0 0 0 1 0 1 5 74 79
9/6/2017 15 8 27 0 50 2 32 34 0 6 6 1 3 4 0 0 0 0 2 2 0 0 0 3 1 4 6 44 50
9/7/2017 25 14 72 0 111 2 95 97 1 6 7 0 0 0 0 0 0 0 3 3 1 0 1 1 2 3 5 106 111
9/8/2017 10 10 20 0 40 1 25 26 1 6 7 0 2 2 0 1 1 1 2 3 0 0 0 1 0 1 4 36 40
9/9/2017 11 9 37 0 57 1 37 38 1 12 13 0 2 2 0 2 2 0 1 1 0 0 0 0 1 1 2 55 57
9/11/2017 13 23 46 0 82 0 62 62 0 7 7 0 6 6 0 1 1 0 2 2 1 0 1 0 3 3 1 81 82
9/12/2017 17 18 62 0 97 6 54 60 4 14 18 1 5 6 0 0 0 1 7 8 0 0 0 1 4 5 13 84 97
9/13/2017 22 13 30 0 65 1 40 41 2 4 6 0 8 8 0 2 2 1 3 4 1 0 1 1 2 3 6 59 65
9/14/2017 18 22 67 0 107 1 88 89 4 3 7 0 2 2 0 0 0 1 4 5 0 0 0 1 3 4 7 100 107
9/15/2017 18 15 30 0 63 1 37 38 1 11 12 0 2 2 0 2 2 1 2 3 0 0 0 2 4 6 5 58 63
9/16/2017 18 7 22 1 48 4 24 28 3 8 11 0 0 0 0 0 0 0 4 4 0 0 0 3 2 5 10 38 48
9/18/2017 17 19 38 0 74 2 46 48 2 10 12 0 6 6 0 0 0 0 2 2 0 0 0 0 6 6 4 70 74
9/19/2017 30 32 46 0 108 3 67 70 6 23 29 0 1 1 0 1 1 1 2 3 0 0 0 1 3 4 11 97 108
9/20/2017 19 16 31 0 66 0 40 40 3 9 12 1 5 6 0 0 0 0 1 1 3 2 5 0 2 2 7 59 66
9/22/2017 14 14 26 0 54 2 39 41 0 6 6 0 2 2 0 0 0 0 3 3 1 1 2 0 0 0 3 51 54
9/23/2017 8 7 39 0 54 3 35 38 0 10 10 0 2 2 0 0 0 1 2 3 0 1 1 0 0 0 4 50 54
9/25/2017 18 15 53 0 86 5 51 56 2 16 18 0 3 3 0 0 0 1 3 4 0 1 1 0 4 4 8 78 86
397 350 957 2 1706 56 1112 1168 40 225 265 4 97 101 0 9 9 9 62 71 9 7 16 31 45 76 149 1557 1706
9 71 80 9 71 80
31 154 185 0 9 9
9 7 16
49 132 181 149 1557 1706
ugd,rawat 208 72 233 2 515 314 201 515 314 201 515
463 1758 2221
PUSKESMAS : TALAWI

1 Puskesmas Induk 397 350 957 2 1706 56 1112 1168 4 97 101 31 154 185 9 62 71 49 132 181 149 1557 1706
2 UGD DAN RAWATAN 208 72 233 2 515 0 0 0 0 0 0 0 0 0 314 201 515 0 0 0 314 201 515
13 Polindes Rantih 9 47 34 1 91 0 75 75 0 4 4 2 10 12 0 0 0 0 0 0 2 89 91
Jumlah 3 s/d 13 107 204 353 5 669 11 542 553 0 25 25 6 77 83 0 0 0 0 8 8 17 652 669
Total 1 s/d 13 712 626 1543 9 2890 67 1654 1721 4 122 126 37 231 268 323 263 586 49 140 189 480 2410 2890
1 Puskesmas Induk 56 1112 1168 4 97 101 31 154 185 9 62 71 100 1425 1525
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 314 201 515 314 201 515
13 Polindes Rantih 0 75 75 0 4 4 2 10 12 0 0 0 2 89 91
Jumlah 3 s/d 13 11 542 553 0 25 25 6 77 83 0 0 0 17 644 661
Total 1 s/d 13 67 1654 1721 4 122 126 37 231 268 323 263 586 431 2270 2701
Talawi, 30 SEPTEMBER 2017

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
Oct-17
TANGGAL Bayar jpkm bpjs lain" jumlah BP KIA GIGI KB UGD IMUNISASI LAIN-LAIN BARU LAMA TOTAL
9/26/2017 34 12 36 0 82 4 46 50 3 15 18 0 4 4 0 0 0 1 3 4 0 0 0 2 4 6 10 72 82
9/27/2017 17 18 30 0 65 1 39 40 3 13 16 0 3 3 0 2 2 2 1 3 0 0 0 0 1 1 6 59 65
9/28/2017 18 33 71 0 122 5 90 95 3 12 15 0 8 8 0 1 1 1 1 2 0 0 0 0 1 1 9 113 122
9/29/2017 10 12 22 0 44 6 31 37 1 3 4 0 2 2 0 0 0 0 0 0 0 0 0 0 1 1 7 37 44
9/30/2017 22 7 25 0 54 1 32 33 2 9 11 0 6 6 0 0 0 0 1 1 0 0 0 1 2 3 4 50 54
10/2/2017 21 14 58 0 93 3 63 66 0 18 18 0 3 3 0 0 0 1 0 1 1 0 1 1 3 4 6 87 93
10/3/2017 14 17 49 0 80 0 57 57 0 16 16 2 2 4 0 0 0 0 1 1 0 0 0 1 1 2 3 77 80
10/4/2017 19 12 30 0 61 1 38 39 1 13 14 0 1 1 0 0 0 0 1 1 2 1 3 0 3 3 4 57 61
10/5/2017 25 24 73 0 122 3 98 101 1 9 10 1 3 4 0 0 0 0 3 3 0 0 0 3 1 4 8 114 122
10/6/2017 17 8 24 0 49 4 28 32 1 4 5 0 3 3 0 0 0 1 3 4 1 0 1 3 1 4 10 39 49
10/7/2017 11 16 30 0 57 1 43 44 0 8 8 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 2 55 57
10/9/2017 9 10 38 0 57 0 40 40 2 12 14 0 2 2 0 0 0 0 0 0 0 0 0 0 1 1 2 55 57
10/10/2017 15 12 41 0 68 5 41 46 1 12 13 0 3 3 0 0 0 0 2 2 0 0 0 3 1 4 9 59 68
10/11/2017 20 10 35 0 65 2 39 41 1 10 11 1 4 5 0 0 0 0 2 2 0 1 1 2 3 5 6 59 65
10/12/2017 26 25 62 0 113 5 87 92 3 8 11 0 4 4 0 0 0 1 3 4 0 0 0 1 1 2 10 103 113
10/13/2017 24 6 19 0 49 5 21 26 0 4 4 0 5 5 0 0 0 2 5 7 0 0 0 1 6 7 8 41 49
10/14/2017 8 8 24 0 40 0 25 25 1 7 8 2 3 5 0 0 0 1 1 2 0 0 0 0 0 0 4 36 40
10/16/2017 19 11 47 0 77 0 48 48 0 8 8 0 10 10 0 0 0 0 6 6 0 0 0 0 5 5 0 77 77
10/17/2017 19 12 45 0 76 0 45 45 1 12 13 0 7 7 0 0 0 0 3 3 0 1 1 1 6 7 2 74 76
10/18/2017 38 14 26 0 78 3 38 41 0 6 6 0 3 3 0 1 1 0 2 2 0 2 2 3 20 23 6 72 78
10/19/2017 44 28 71 0 143 4 100 104 1 9 10 0 2 2 0 0 0 0 2 2 0 0 0 5 20 25 10 133 143
10/20/2017 48 18 28 0 94 1 42 43 2 12 14 0 3 3 0 0 0 0 2 2 0 0 0 13 19 32 16 78 94
10/21/2017 17 15 24 0 56 0 35 35 1 0 1 0 7 7 0 0 0 0 2 2 0 2 2 2 7 9 3 53 56
10/23/2017 25 11 31 0 67 0 34 34 2 10 12 0 2 2 0 0 0 0 3 3 0 0 0 7 9 16 9 58 67
10/24/2017 25 14 38 0 77 2 47 49 0 9 9 0 5 5 0 0 0 1 1 2 0 1 1 2 9 11 5 72 77
10/25/2017 62 8 38 0 108 3 38 41 3 12 15 0 4 4 0 0 0 0 0 0 0 1 1 30 17 47 36 72 108
607 375 1015 0 1997 59 1245 1304 33 251 284 6 101 107 0 4 4 12 50 62 4 9 13 81 142 223 195 1802 1997
19 72 91 19 72 91
14 179 193 0 4 4
4 9 13
104 227 331 195 1802 1997
ugd,rawatan 209 58 203 0 470 365 105 470
PUSKESMAS : TALAWI

1 Puskesmas Induk 607 375 1015 0 1997 59 1245 1304 6 101 107 14 179 193 12 50 62 104 227 331 195 1802 1997
2 UGD DAN RAWATAN 209 58 203 0 470 0 0 0 0 0 0 0 0 0 365 105 470 0 0 0 365 105 470
13 Polindes Rantih 12 32 26 2 72 1 58 59 1 3 4 1 8 9 0 0 0 0 0 0 3 69 72
Jumlah 3 s/d 13 91 216 353 2 662 5 557 562 1 25 26 6 65 71 0 0 0 0 3 3 12 650 662
Total 1 s/d 13 907 649 1571 2 3129 64 1802 1866 7 126 133 20 244 264 377 155 532 104 230 334 572 2557 3129
1 Puskesmas Induk 59 1245 1304 6 101 107 14 179 193 12 50 62 91 1575 1666
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 365 105 470 365 105 470
13 Polindes Rantih 1 58 59 1 3 4 1 8 9 0 0 0 3 69 72
Jumlah 3 s/d 13 5 557 562 1 25 26 6 65 71 0 0 0 12 647 659
Total 1 s/d 13 64 1802 1866 7 126 133 20 244 264 377 155 532 468 2327 2795
Talawi, 31 OKTOBER 2017

Plh. Kepala Puskesmas Talawi Penanggungjawab RM & Pendaftaran
drg. FERI DESLI INDAH SARI NENGSI JUITA, SKM
NIP 19821207 201412 2 001 NIP 19830217 200604 2 007
Nov-17
TANGGAL Bayar jpkm bpjs lain" jumlah B L JML B L JML B L JML B L JML B L JML B L JML B L JML BARU LAMATOTAL
10/26/2017 34 29 57 0 120 4 84 88 1 11 12 0 0 0 0 0 0 0 1 1 0 0 0 5 14 19 10 110 120
10/27/2017 10 12 19 0 41 0 20 20 1 9 10 1 3 4 0 0 0 0 2 2 0 1 1 1 3 4 3 38 41
10/28/2017 17 14 23 0 54 0 33 33 0 7 7 0 4 4 0 0 0 0 2 2 0 0 0 3 5 8 3 51 54
10/30/2017 19 16 39 0 74 5 47 52 3 8 11 0 6 6 0 0 0 0 0 0 0 1 1 3 1 4 11 63 74
10/31/2017 14 17 42 0 73 1 46 47 2 10 12 2 5 7 0 0 0 1 4 5 0 0 0 0 2 2 6 67 73
11/1/2017 12 14 25 1 52 1 32 33 1 13 14 0 1 1 0 0 0 1 1 2 0 1 1 1 0 1 4 48 52
11/2/2017 31 29 66 1 127 4 98 102 2 9 11 0 5 5 0 0 0 0 2 2 1 0 1 0 6 6 7 120 127
11/3/2017 4 5 16 0 25 0 18 18 0 2 2 0 1 1 0 1 1 0 3 3 0 0 0 0 0 0 0 25 25
11/4/2017 8 9 22 0 39 0 29 29 0 3 3 0 1 1 0 0 0 0 5 5 1 0 1 0 0 0 1 38 39
11/6/2017 20 18 39 0 77 5 52 57 0 13 13 0 2 2 0 0 0 0 2 2 0 0 0 2 1 3 7 70 77
11/7/2017 24 23 45 0 92 2 57 59 1 12 13 1 7 8 0 1 1 0 5 5 0 0 0 4 2 6 8 84 92
11/8/2017 18 10 31 0 59 0 30 30 0 10 10 0 8 8 0 0 0 0 2 2 1 1 2 5 2 7 6 53 59
11/9/2017 19 24 48 0 91 4 67 71 2 10 12 0 1 1 0 0 0 0 2 2 0 0 0 3 2 5 9 82 91
11/10/2017 20 9 31 0 60 3 32 35 1 11 12 0 3 3 0 0 0 0 3 3 1 0 1 2 4 6 7 53 60
11/11/2017 11 6 28 1 46 3 26 29 0 6 6 0 6 6 0 0 0 0 1 1 0 0 0 1 3 4 4 42 46
11/13/2017 32 17 42 0 91 5 57 62 1 10 11 1 1 2 0 0 0 1 3 4 0 0 0 2 10 12 10 81 91
11/14/2017 20 17 49 0 86 3 52 55 0 16 16 0 5 5 0 0 0 0 5 5 0 0 0 2 3 5 5 81 86
11/15/2017 15 13 50 1 79 2 55 57 3 6 9 0 6 6 0 0 0 0 1 1 1 1 2 2 2 4 8 71 79
11/16/2017 22 29 69 0 120 8 91 99 0 6 6 0 3 3 0 2 2 2 6 8 1 0 1 0 1 1 11 109 120
11/17/2017 14 15 29 0 58 1 29 30 3 8 11 0 9 9 0 0 0 1 3 4 0 0 0 0 4 4 5 53 58
11/18/2017 13 10 25 0 48 1 34 35 0 3 3 0 3 3 0 0 0 0 4 4 0 0 0 1 2 3 2 46 48
11/20/2017 21 15 53 0 89 0 59 59 5 12 17 0 3 3 0 1 1 1 2 3 0 2 2 1 3 4 7 82 89
11/21/2017 25 15 42 0 82 1 58 59 0 6 6 0 2 2 0 0 0 0 6 6 0 1 1 3 5 8 4 78 82
11/22/2017 13 11 53 0 77 1 53 54 0 4 4 0 9 9 0 1 1 0 3 3 2 0 2 3 1 4 6 71 77
11/23/2017 21 28 51 0 100 0 75 75 1 8 9 1 4 5 0 1 1 0 3 3 0 0 0 3 4 7 5 95 100
11/24/2017 7 9 28 0 44 0 29 29 1 5 6 0 1 1 0 1 1 0 3 3 0 1 1 3 0 3 4 40 44
11/25/2017 16 16 24 1 57 3 40 43 0 6 6 1 3 4 0 0 0 1 2 3 1 0 1 0 0 0 6 51 57
480 430 1046 5 1961 57 1303 1360 28 224 252 7 102 109 0 8 8 8 76 84 9 9 18 50 80 130 159 1802 1961
19 60 79 19 60 79
9 164 173 0 8 8
9 9 18
78 157 235 159 1802 1961
UGD,RWTAN 178 61 207 1 447

PUSKESMAS : TALAWI

1 Puskesmas Induk 480 430 1046 5 1961 57 1303 1360 7 102 109 9 164 173 8 76 84 78 157 235 159 1802 1961
2 UGD DAN RAWATAN 178 61 207 1 447 0 0 0 0 0 0 0 0 0 255 192 447 0 0 0 255 192 447
13 Polindes Rantih 8 36 34 0 78 3 68 71 1 2 3 0 4 4 0 0 0 0 0 0 4 74 78
Jumlah 3 s/d 13 96 181 352 2 631 10 549 559 1 11 12 5 55 60 0 0 0 0 0 0 16 615 631
Total 1 s/d 13 754 672 1605 8 3039 67 1852 1919 8 113 121 14 219 233 263 268 531 78 157 235 430 2609 3039
1 Puskesmas Induk 57 1303 1360 7 102 109 9 164 173 8 76 84 81 1645 1726
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 255 192 447 255 192 447
13 Polindes Rantih 3 68 71 1 2 3 0 4 4 0 0 0 4 74 78
Jumlah 3 s/d 13 10 549 559 1 11 12 5 55 60 0 0 0 16 615 631
Total 1 s/d 13 67 1852 1919 8 113 121 14 219 233 263 268 531 352 2452 2804
Talawi, 30 NOVEMBER 2017

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
Dec-17
TANGGAL Bayar jpkm bpjs lain"jumlah BARU LAMA TOTAL
11/27/2017 19 16 52 0 87 2 49 51 1 12 13 0 4 4 0 2 2 3 6 9 0 0 0 2 6 8 8 79 87
11/28/2017 26 9 30 0 65 5 43 48 0 3 3 0 2 2 0 0 0 2 2 4 0 0 0 3 5 8 10 55 65
11/29/2017 20 13 43 0 76 4 46 50 0 9 9 1 6 7 0 0 0 0 3 3 0 0 0 1 6 7 6 70 76
11/30/2017 21 22 53 0 96 2 74 76 0 8 8 0 7 7 0 0 0 1 3 4 0 0 0 0 1 1 3 93 96
12/2/2017 14 9 35 0 58 1 38 39 0 11 11 0 2 2 0 1 1 0 3 3 0 0 0 1 1 2 2 56 58
12/4/2017 18 20 44 0 82 2 52 54 3 10 13 0 4 4 0 0 0 2 8 10 0 0 0 0 1 1 7 75 82
12/5/2017 23 15 52 0 90 0 55 55 0 19 19 0 3 3 0 2 2 0 6 6 0 0 0 2 3 5 2 88 90
12/6/2017 21 11 30 0 62 1 33 34 0 14 14 2 2 4 0 1 1 2 4 6 0 0 0 1 2 3 6 56 62
12/7/2017 36 25 57 0 118 3 71 74 2 13 15 0 5 5 0 1 1 0 5 5 0 0 0 13 5 18 18 100 118
12/8/2017 15 8 24 0 47 1 33 34 1 3 4 0 3 3 0 2 2 0 2 2 0 0 0 0 2 2 2 45 47
12/9/2017 11 11 18 0 40 2 24 26 0 7 7 0 4 4 0 0 0 1 2 3 0 0 0 0 0 0 3 37 40
12/11/2017 21 16 44 0 81 4 49 53 0 12 12 0 1 1 0 0 0 2 2 4 0 1 1 7 3 10 13 68 81
12/12/2017 24 30 33 0 87 4 58 62 0 10 10 0 6 6 0 0 0 2 6 8 0 0 0 0 1 1 6 81 87
12/13/2017 28 9 37 0 74 1 32 33 0 12 12 0 5 5 0 1 1 1 6 7 0 1 1 7 8 15 9 65 74
12/14/2017 27 25 63 0 115 5 80 85 5 9 14 2 4 6 0 0 0 1 3 4 1 1 2 0 4 4 14 101 115
12/15/2017 13 11 27 0 51 4 30 34 0 8 8 0 3 3 0 1 1 0 2 2 1 1 2 0 1 1 5 46 51
12/16/2017 12 11 28 0 51 2 33 35 0 7 7 1 2 3 0 0 0 1 5 6 0 0 0 0 0 0 4 47 51
12/18/2017 17 19 49 0 85 3 54 57 4 7 11 1 6 7 0 0 0 3 4 7 0 0 0 3 0 3 14 71 85
12/19/2017 12 17 41 0 70 2 45 47 1 16 17 0 4 4 0 1 1 0 0 0 0 0 0 0 1 1 3 67 70
12/20/2017 16 9 49 0 74 3 42 45 2 9 11 0 7 7 0 0 0 0 4 4 1 3 4 3 0 3 9 65 74
12/21/2017 25 25 65 0 115 1 86 87 0 9 9 1 5 6 0 0 0 2 4 6 0 0 0 5 2 7 9 106 115
12/22/2017 12 12 25 0 49 0 24 24 0 8 8 0 2 2 0 0 0 1 6 7 0 2 2 3 3 6 4 45 49
12/23/2017 13 5 27 0 45 5 26 31 0 4 4 0 2 2 0 1 1 0 6 6 0 1 1 0 0 0 5 40 45
19 220 239 8 89 97 0 13 13 24 92 116 3 10 13 51 55 106 162 1556 1718
11 73 84 11 73 84
8 147 155 0 13 13
3 10 13
65 151 216 162 1556 1718
UGD,RWTA 209 54 175 0 438

PUSKESMAS : TALAWI

1 Puskesmas Induk 444 348 926 0 1718 57 1077 1134 8 89 97 8 147 155 24 92 116 65 151 216 162 1556 1718
2 UGD DAN RAWATAN 209 54 175 0 438 0 0 0 0 0 0 0 0 0 285 153 438 0 0 0 285 153 438
13 Polindes Rantih 16 21 18 0 55 3 48 51 0 0 0 0 4 4 0 0 0 0 0 0 3 52 55
Jumlah 3 s/d 13 98 152 310 8 568 7 482 489 1 13 14 4 61 65 0 0 0 0 0 0 12 556 568
Total 1 s/d 13 751 554 1411 8 2724 64 1559 1623 9 102 111 12 208 220 309 245 554 65 151 216 459 2265 2724
1 Puskesmas Induk 57 1077 1134 8 89 97 8 147 155 24 92 116 97 1405 1502
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 285 153 438 285 153 438
13 Polindes Rantih 3 48 51 0 0 0 0 4 4 0 0 0 3 52 55
Jumlah 3 s/d 13 7 482 489 1 13 14 4 61 65 0 0 0 12 556 568
Total 1 s/d 13 64 1559 1623 9 102 111 12 208 220 309 245 554 394 2114 2508
Talawi, 31 DESEMBER 2017

a/n Kepala Puskesmas Talawi Penanggungjawab RM & Pendaftaran
Kasubag TU
SRI SUASTI, S.Kep NENGSI JUITA, SKM
NIP 19770502 200501 2 009 NIP 19830217 200604 2 007
Dec-17
TANGGAL Bayar jpkm bpjs lain"jumlah BARU LAMA
12/27/2017 31 16 68 0 115 6 55 61 2 13 15 3 10 13 0 1 1 0 8 8 0 1 1 8 8 16 19 96
12/28/2017 35 24 66 0 125 8 85 93 3 7 10 0 2 2 0 0 0 2 5 7 1 0 1 7 5 12 21 104
12/29/2017 15 10 23 0 48 2 22 24 2 4 6 1 5 6 0 1 1 0 2 2 0 0 0 4 5 9 9 39
12/30/2017 15 10 21 0 46 0 23 23 0 5 5 0 2 2 0 0 0 2 11 13 0 1 1 1 1 2 3 43
1/2/2018 46 20 67 1 134 5 79 84 1 11 12 1 10 11 0 0 0 0 7 7 0 0 0 4 16 20 11 123
1/3/2018 15 15 33 0 63 0 41 41 0 5 5 1 6 7 0 1 1 2 0 2 2 1 3 2 2 4 7 56
1/4/2018 24 22 64 0 110 5 81 86 1 9 10 0 1 1 0 1 1 0 1 1 0 0 0 5 6 11 11 99
1/5/2018 19 10 35 0 64 2 32 34 2 10 12 0 3 3 0 0 0 3 2 5 1 0 1 4 5 9 12 52
1/6/2018 8 9 30 1 48 1 30 31 1 11 12 1 1 2 0 1 1 1 0 1 0 0 0 0 1 1 4 44
1/8/2018 20 19 39 0 78 1 41 42 2 14 16 1 4 5 0 0 0 1 3 4 0 2 2 1 8 9 6 72
1/9/2018 36 21 35 0 92 0 56 56 2 12 14 0 3 3 0 0 0 2 5 7 0 0 0 7 5 12 11 81
1/10/2018 24 7 24 0 55 3 32 35 2 6 8 1 4 5 0 0 0 0 1 1 0 0 0 0 6 6 6 49
1/11/2018 31 23 69 1 124 6 84 90 3 8 11 0 8 8 0 0 0 2 4 6 2 0 2 3 4 7 16 108
1/12/2018 21 8 19 0 48 1 25 26 1 3 4 0 4 4 0 1 1 0 1 1 0 0 0 9 3 12 11 37
1/13/2018 8 6 21 0 35 1 26 27 0 3 3 1 1 2 0 0 0 1 0 1 0 0 0 0 2 2 3 32
1/15/2018 27 19 42 1 89 4 55 59 0 8 8 0 6 6 0 0 0 0 5 5 1 1 2 6 3 9 11 78
1/16/2018 29 12 39 0 80 5 49 54 1 5 6 0 3 3 0 0 0 1 3 4 0 0 0 8 5 13 15 65
1/17/2018 16 7 35 0 58 2 43 45 1 9 10 0 1 1 0 0 0 0 1 1 0 0 0 0 1 1 3 55
1/18/2018 23 14 58 0 95 4 70 74 0 6 6 1 6 7 0 0 0 1 2 3 0 0 0 3 2 5 9 86
1/19/2018 18 7 22 0 47 4 30 34 1 3 4 0 5 5 0 0 0 0 0 0 0 0 0 1 3 4 6 41
1/20/2018 12 4 19 0 35 1 21 22 0 1 1 0 2 2 0 0 0 0 3 3 0 0 0 2 5 7 3 32
1/22/2018 24 15 57 0 96 6 59 65 3 12 15 0 7 7 0 0 0 1 3 4 0 0 0 0 5 5 10 86
1/23/2018 23 15 52 0 90 6 54 60 1 15 16 2 6 8 0 0 0 0 1 1 0 0 0 2 3 5 11 79
1/24/2018 17 11 26 1 55 0 33 33 3 8 11 0 5 5 0 0 0 0 2 2 0 0 0 1 3 4 4 51
1/25/2018 23 21 66 0 110 0 87 87 1 4 5 1 2 3 0 0 0 0 4 4 0 2 2 7 2 9 9 101
560 345 1030 5 1940 73 1213 1286 33 192 225 14 107 121 0 6 6 19 74 93 7 8 15 85 109 194 231 1709
14 73 87 14 73 87
19 119 138 0 6 6
7 8 15
106 196 302 231 1709
ugd 248 85 273 0 606 354 252 606

TOTAL
115
125
48
46
134
63
110
64
48
78
92
55
124
48
35
89
80
58
95
47
35
96
90
55
110
1940
1940
PUSKESMAS : TALAWI

1 Puskesmas Induk 560 345 1030 5 1940 73 1213 1286 14 107 121 19 119 138 19 74 93 106 196 302 231 1709 1940
2 UGD DAN RAWATAN 248 85 273 0 606 0 0 0 0 0 0 0 0 0 354 252 606 0 0 0 354 252 606
13 Polindes Rantih 11 26 29 0 66 1 56 57 0 0 0 0 9 9 0 0 0 0 0 0 1 65 66
Jumlah 3 s/d 13 91 149 330 4 574 10 482 492 1 6 7 7 68 75 0 0 0 0 0 0 18 556 574
Total 1 s/d 13 899 579 1633 9 3120 83 1695 1778 15 113 128 26 187 213 373 326 699 106 196 302 603 2517 3120
1 Puskesmas Induk 73 1213 1286 14 107 121 19 119 138 19 74 93 125 1513 1638
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 354 252 606 354 252 606
13 Polindes Rantih 1 56 57 0 0 0 0 9 9 0 0 0 1 65 66
Jumlah 3 s/d 13 10 482 492 1 6 7 7 68 75 0 0 0 18 556 574
Total 1 s/d 13 83 1695 1778 15 113 128 26 187 213 373 326 699 497 2321 2818
Talawi, 31 Januari 2018

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
Feb-18
1/26/2018 9 10 27 0 46 1 21 22 3 5 8 0 9 9 0 1 1 0 5 5 0 0 0 0 1 1 4 42
1/27/2018 15 10 34 1 60 1 33 34 1 7 8 1 6 7 0 1 1 1 4 5 0 1 1 0 4 4 4 56
1/29/2018 21 18 41 0 80 3 43 46 2 13 15 0 6 6 0 0 0 2 5 7 0 0 0 5 1 6 12 68
1/30/2018 18 10 51 1 80 4 46 50 0 13 13 1 7 8 0 0 0 0 3 3 1 0 1 2 3 5 8 72
1/31/2018 13 11 35 0 59 3 30 33 0 13 13 1 6 7 0 0 0 0 2 2 0 0 0 2 2 4 6 53
2/1/2018 25 15 63 0 103 7 86 93 0 5 5 0 0 0 0 0 0 1 3 4 0 0 0 0 1 1 8 95
2/2/2018 20 3 24 0 47 1 20 21 2 7 9 0 0 0 0 0 0 2 4 6 0 0 0 6 5 11 11 36
2/3/2018 14 10 33 0 57 1 37 38 0 5 5 1 7 8 0 0 0 1 2 3 0 0 0 0 3 3 3 54
2/5/2018 22 9 39 0 70 1 38 39 2 11 13 0 4 4 0 1 1 0 6 6 0 1 1 2 4 6 5 65
2/6/2018 25 12 52 0 89 7 48 55 2 16 18 0 8 8 0 0 0 0 2 2 1 0 1 1 4 5 11 78
2/7/2018 14 6 28 0 48 3 22 25 0 4 4 0 7 7 0 0 0 1 3 4 1 0 1 5 2 7 10 38
2/8/2018 16 23 62 0 101 4 76 80 1 8 9 0 6 6 0 1 1 1 0 1 0 1 1 0 3 3 6 95
2/9/2018 11 6 25 0 42 1 22 23 2 7 9 0 0 0 0 1 1 1 1 2 0 0 0 5 2 7 9 33
2/10/2018 13 10 23 0 46 0 23 23 1 8 9 0 5 5 0 0 0 1 2 3 0 2 2 1 3 4 3 43
2/12/2018 27 15 37 0 79 1 42 43 0 7 7 1 2 3 0 1 1 0 6 6 0 0 0 12 7 19 14 65
2/13/2018 37 11 40 2 90 1 49 50 2 14 16 2 7 9 0 0 0 2 1 3 0 0 0 3 9 12 10 80
2/14/2018 26 12 30 0 68 0 41 41 0 2 2 0 5 5 0 1 1 0 1 1 2 0 2 1 15 16 3 65
2/15/2018 40 28 86 0 154 6 110 116 1 8 9 0 2 2 0 2 2 1 3 4 0 0 0 4 17 21 12 142
2/17/2018 35 12 43 0 90 2 46 48 1 5 6 0 8 8 0 2 2 4 4 8 1 1 2 2 14 16 10 80
2/19/2018 48 23 56 0 127 5 57 62 3 17 20 2 4 6 0 2 2 0 5 5 0 0 0 16 16 32 26 101
2/20/2018 30 19 49 0 98 3 54 57 2 14 16 1 7 8 0 1 1 2 2 4 0 3 3 4 5 9 12 86
2/21/2018 9 11 30 0 50 3 32 35 0 5 5 0 5 5 0 0 0 1 3 4 0 0 0 0 1 1 4 46
2/22/2018 21 27 76 0 124 6 104 110 1 4 5 0 4 4 0 0 0 1 4 5 0 0 0 0 0 0 8 116
2/23/2018 11 7 30 0 48 1 30 31 1 3 4 0 5 5 0 0 0 1 3 4 0 0 0 2 2 4 5 43
2/24/2018 13 7 28 0 48 2 27 29 2 7 9 0 2 2 1 1 2 1 2 3 1 0 1 1 1 2 8 40
533 325 1042 4 1904 67 1137 1204 29 208 237 10 122 132 1 15 16 24 76 100 7 9 16 74 125 199 212 1692
17 83 100 17 83 100
12 125 137 1 15 16
7 9 16
99 232 331 212 1692
ugd,rwtan 189 55 254 0 498

TOTAL
46
60
80
80
59
103
47
57
70
89
48
101
42
46
79
90
68
154
90
127
98
50
124
48
48
1904
1904
PUSKESMAS : TALAWI

1 Puskesmas Induk 533 325 1042 4 1904 67 1137 1204 10 122 132 12 125 137 24 76 100 99 232 331 212 1692 1904
2 UGD DAN RAWATAN 189 55 254 0 498 0 0 0 0 0 0 0 0 0 300 198 498 0 0 0 300 198 498
13 Polindes Rantih 9 31 38 0 78 0 63 63 0 1 1 0 14 14 0 0 0 0 0 0 0 78 78
Jumlah 3 s/d 13 110 169 350 3 632 22 490 512 0 18 18 9 92 101 0 0 0 0 1 1 31 601 632
Total 1 s/d 13 832 549 1646 7 3034 89 1627 1716 10 140 150 21 217 238 324 274 598 99 233 332 543 2491 3034
1 Puskesmas Induk 67 1137 1204 10 122 132 12 125 137 24 76 100 113 1460 1573
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 300 198 498 300 198 498
13 Polindes Rantih 0 63 63 0 1 1 0 14 14 0 0 0 0 78 78
Jumlah 3 s/d 13 22 490 512 0 18 18 9 92 101 0 0 0 31 600 631
Total 1 s/d 13 89 1627 1716 10 140 150 21 217 238 324 274 598 444 2258 2702
Talawi, 31 Januari 2018

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
PUSKESMAS : TALAWI
BULAN : MARET 2018

1 Puskesmas Induk 599 301 1045 9 1954 55 1159 1214 5 68 73 9 134 143 6 111 117 160 247 407 235 1719 1954
2 UGD DAN RAWATAN 178 59 180 0 417 0 0 0 0 0 0 0 0 0 236 181 417 0 0 0 236 181 417
13 Polindes Rantih 11 26 45 0 82 1 69 70 0 2 2 1 9 10 0 0 0 0 0 2 80 82
Jumlah 3 s/d 13 114 149 413 9 685 14 555 569 1 12 13 9 89 98 0 0 0 0 5 5 24 661 685
Total 1 s/d 13 891 509 1638 18 3056 69 1714 1783 6 80 86 18 223 241 242 292 534 160 252 412 495 2561 3056
1 Puskesmas Induk 55 1159 1214 5 68 73 9 134 143 6 111 117 75 1472 1547
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 236 181 417 236 181 417
13 Polindes Rantih 1 69 70 0 2 2 1 9 10 0 0 0 2 80 82
Jumlah 3 s/d 13 14 555 569 1 12 13 9 89 98 0 0 0 24 656 680
Total 1 s/d 13 69 1714 1783 6 80 86 18 223 241 242 292 534 335 2309 2644
Talawi, 31 MARET 2018

Kasubag TU
NIP 19770502 200501 2 009 NIP 19830217 200604 2 007
Mar-18
2/26/2018 18 12 43 1 74 1 47 48 4 4 8 0 3 3 0 0 0 1 5 6 0 0 0 6 3 9 12 62
2/27/2018 20 11 47 0 78 5 47 52 1 11 12 0 4 4 0 0 0 0 4 4 0 1 1 2 3 5 8 70
2/28/2018 33 9 28 0 70 9 39 48 0 4 4 0 2 2 0 0 0 0 10 10 0 0 0 3 3 6 12 58
3/1/2018 37 27 81 0 145 5 108 113 2 12 14 1 4 5 0 1 1 1 4 5 0 1 1 2 4 6 11 134
3/2/2018 17 11 38 0 66 0 36 36 2 17 19 1 1 2 0 2 2 0 4 4 0 0 0 2 1 3 5 61
3/3/2018 13 9 38 2 62 6 32 38 0 11 11 0 3 3 0 0 0 2 5 7 1 0 1 1 1 2 10 52
3/5/2018 21 18 46 0 85 2 51 53 1 13 14 1 1 2 0 3 3 0 4 4 1 1 2 2 5 7 7 78
3/6/2018 24 16 59 0 99 5 54 59 2 14 16 0 6 6 0 0 0 0 7 7 0 0 0 5 6 11 12 87
3/7/2018 10 10 35 0 55 0 33 33 1 4 5 1 5 6 0 3 3 0 5 5 0 2 2 0 1 1 2 53
3/8/2018 42 24 79 0 145 5 107 112 0 13 13 0 3 3 0 0 0 0 5 5 1 1 2 4 6 10 10 135
3/9/2018 10 9 17 2 38 1 22 23 0 7 7 0 1 1 0 0 0 0 4 4 1 1 2 1 0 1 3 35
3/10/2018 8 11 31 0 50 0 30 30 0 10 10 0 1 1 0 0 0 1 5 6 0 0 0 1 2 3 2 48
3/12/2018 27 11 62 0 100 2 62 64 2 10 12 0 4 4 0 1 1 0 4 4 0 0 0 10 5 15 14 86
3/13/2018 39 8 34 0 81 1 37 38 1 16 17 0 5 5 0 1 1 0 4 4 0 0 0 8 8 16 10 71
3/14/2018 35 5 32 0 72 2 28 30 0 17 17 0 6 6 0 0 0 0 3 3 0 1 1 6 9 15 8 64
3/15/2018 64 22 85 0 171 2 102 104 2 15 17 0 6 6 0 0 0 0 8 8 0 1 1 17 18 35 21 150
3/16/2018 16 11 32 0 59 1 35 36 0 9 9 0 0 0 0 0 0 0 5 5 0 2 2 0 7 7 1 58
3/19/2018 44 19 56 1 120 0 60 60 2 13 15 1 1 2 0 0 0 0 9 9 0 0 0 20 14 34 23 97
3/20/2018 34 8 37 2 81 0 39 39 1 5 6 0 4 4 0 0 0 0 4 4 0 0 0 20 8 28 21 60
3/21/2018 40 13 39 0 92 2 40 42 0 14 14 0 3 3 0 0 0 0 5 5 1 0 1 13 14 27 16 76
3/22/2018 30 24 81 0 135 4 103 107 4 7 11 0 2 2 0 0 0 1 3 4 1 0 1 8 2 10 18 117
3/23/2018 12 5 27 0 44 2 25 27 3 8 11 0 2 2 0 0 0 0 2 2 0 0 0 2 0 2 7 37
3/24/2018 5 8 18 1 32 0 22 22 0 3 3 0 1 1 0 1 1 0 2 2 0 1 1 2 0 2 2 30
599 301 1045 9 1954 55 1159 1214 28 237 265 5 68 73 0 12 12 6 111 117 6 12 18 135 120 255 235 1719
19 103 122 19 103 122
9 134 143 0 12 12
6 12 18
160 247 407 235 1719
ugd,rwtan 178 59 180 0 417 236 181 417 236 181

TOTAL
74
78
70
145
66
62
85
99
55
145
38
50
100
81
72
171
59
120
81
92
135
44
32
1954
1954
417
PUSKESMAS : TALAWI
BULAN : APRIL 2018

1 Puskesmas Induk 523 326 1052 6 1907 47 1112 1159 7 88 95 9 155 164 11 93 104 128 257 385 202 1705 1907
2 UGD DAN RAWATAN 187 59 286 0 532 0 0 0 0 0 0 0 0 0 312 220 532 0 0 0 312 220 532
13 Polindes Rantih 12 35 33 2 82 2 68 70 0 0 0 1 11 12 0 0 0 0 0 0 3 79 82
Jumlah 3 s/d 13 133 195 363 11 702 13 580 593 1 22 23 4 80 84 0 0 0 0 2 2 18 684 702
Total 1 s/d 13 843 580 1701 17 3141 60 1692 1752 8 110 118 13 235 248 323 313 636 128 259 387 532 2609 3141
1 Puskesmas Induk 47 1112 1159 7 88 95 9 155 164 11 93 104 74 1448 1522
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 312 220 532 312 220 532
13 Polindes Rantih 2 68 70 0 0 0 1 11 12 0 0 0 3 79 82
Jumlah 3 s/d 13 13 580 593 1 22 23 4 80 84 0 0 0 18 682 700
Total 1 s/d 13 60 1692 1752 8 110 118 13 235 248 323 313 636 404 2350 2754
Talawi, 30 APRIL 2018

Kasubag TU
NIP 19770502 200501 2 009 NIP 19830217 200604 2 007
Apr-18
3/26/2018 23 19 41 0 83 0 51 51 3 6 9 0 5 5 0 2 2 0 6 6 0 0 0 2 8 10 5 78
3/27/2018 20 8 46 0 74 0 48 48 3 10 13 1 7 8 0 0 0 0 3 3 0 0 0 0 2 2 4 70
3/28/2018 11 13 27 0 51 3 31 34 0 6 6 0 1 1 0 1 1 0 6 6 0 0 0 2 1 3 5 46
3/29/2018 25 29 64 0 118 4 79 83 0 14 14 0 1 1 0 0 0 0 6 6 0 0 0 9 5 14 13 105
3/31/2018 19 12 38 0 69 3 40 43 0 14 14 0 2 2 0 0 0 1 3 4 0 1 1 2 3 5 6 63
4/2/2018 22 19 62 1 104 0 63 63 3 21 24 0 2 2 0 0 0 1 4 5 1 0 1 2 7 9 7 97
4/3/2018 27 14 48 0 89 3 43 46 1 15 16 0 5 5 0 0 0 0 4 4 0 0 0 8 10 18 12 77
4/4/2018 19 13 26 0 58 0 27 27 1 13 14 0 4 4 0 0 0 0 5 5 1 1 2 2 4 6 4 54
4/5/2018 23 12 47 0 82 3 48 51 0 9 9 0 4 4 0 1 1 1 7 8 0 0 0 4 5 9 8 74
4/6/2018 11 10 39 0 60 2 37 39 1 9 10 0 2 2 0 0 0 0 3 3 0 1 1 4 1 5 7 53
4/7/2018 18 10 25 0 53 1 32 33 0 8 8 0 1 1 0 0 0 0 2 2 0 0 0 4 5 9 5 48
4/9/2018 30 13 55 1 99 1 54 55 1 15 16 1 5 6 0 1 1 1 5 6 0 1 1 6 8 14 10 89
4/10/2018 18 13 52 1 84 3 56 59 0 10 10 0 4 4 0 1 1 0 2 2 0 0 0 6 2 8 9 75
4/11/2018 28 11 44 0 83 2 41 43 0 11 11 0 7 7 0 2 2 0 4 4 1 1 2 7 7 14 10 73
4/12/2018 19 21 36 0 76 2 52 54 0 7 7 1 0 1 0 2 2 0 3 3 0 0 0 7 2 9 10 66
4/13/2018 17 4 23 0 44 1 15 16 0 11 11 0 4 4 0 0 0 0 3 3 1 1 2 7 1 8 9 35
4/16/2018 18 16 54 0 88 2 53 55 0 17 17 0 7 7 0 0 0 1 5 6 0 1 1 2 0 2 5 83
4/17/2018 25 9 52 0 86 1 42 43 1 15 16 1 7 8 0 1 1 0 3 3 0 0 0 7 8 15 10 76
4/18/2018 42 13 30 0 85 4 33 37 1 12 13 0 3 3 0 0 0 2 4 6 0 0 0 12 14 26 19 66
4/19/2018 20 13 53 0 86 2 52 54 1 10 11 0 3 3 0 0 0 1 2 3 0 1 1 12 2 14 16 70
4/20/2018 14 2 21 0 37 1 16 17 0 7 7 2 3 5 0 1 1 2 2 4 0 0 0 2 1 3 7 30
4/21/2018 12 9 25 0 46 3 28 31 0 10 10 0 0 0 0 1 1 0 2 2 0 1 1 0 1 1 3 43
4/23/2018 19 13 48 2 82 5 52 57 0 8 8 0 4 4 1 0 1 0 4 4 0 2 2 1 5 6 7 75
4/24/2018 28 19 54 1 102 0 68 68 0 11 11 1 5 6 0 1 1 0 5 5 0 0 0 7 4 11 8 94
4/25/2018 15 11 42 0 68 1 51 52 0 8 8 0 2 2 0 0 0 1 0 1 0 0 0 1 4 5 3 65
523 326 1052 6 1907 47 1112 1159 16 277 293 7 88 95 1 14 15 11 93 104 4 11 15 116 110 226 202 1705
7 122 129 7 122 129
9 155 164 1 14 15
4 11 15
128 257 385 202 1705
UGD,RWT 187 59 286 0 532 312 220

TOTAL
83
74
51
118
69
104
89
58
82
60
53
99
84
83
76
44
88
86
85
86
37
46
82
102
68
1907
1907
532
PUSKESMAS : TALAWI
BULAN : MEI 2018

1 Puskesmas Induk 681 225 988 1 1895 53 985 1038 5 83 88 11 134 145 7 93 100 136 388 524 212 1683 1895
2 UGD DAN RAWATAN 189 50 240 0 479 0 0 0 0 0 0 0 0 0 322 157 479 0 0 0 322 157 479
13 Polindes Rantih 12 35 40 0 87 3 66 69 0 1 1 1 16 17 0 0 0 0 0 0 4 83 87
Jumlah 3 s/d 13 103 198 427 4 732 35 581 616 2 19 21 8 84 92 0 0 0 0 3 3 45 687 732
Total 1 s/d 13 973 473 1655 5 3106 88 1566 1654 7 102 109 19 218 237 329 250 579 136 391 527 579 2527 3106
1 Puskesmas Induk 53 985 1038 5 83 88 11 134 145 7 93 100 76 1295 1371
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 322 157 479 322 157 479
13 Polindes Rantih 3 66 69 0 1 1 1 16 17 0 0 0 4 83 87
Jumlah 3 s/d 13 35 581 616 2 19 21 8 84 92 0 0 0 45 684 729
Total 1 s/d 13 88 1566 1654 7 102 109 19 218 237 329 250 579 443 2136 2579
Talawi, 31 MEI 2018

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
May-18
4/26/2018 21 7 41 1 70 3 48 51 1 11 12 0 2 2 0 0 0 0 1 1 0 1 1 0 3 3 4 66
4/27/2018 13 9 33 0 55 1 32 33 1 7 8 2 2 4 0 0 0 0 7 7 0 0 0 0 3 3 4 51
4/28/2018 8 8 24 0 40 1 27 28 0 2 2 0 3 3 0 0 0 1 1 2 0 0 0 3 2 5 5 35
4/30/2018 20 12 48 0 80 3 47 50 2 15 17 0 1 1 0 1 1 1 2 3 0 0 0 0 8 8 6 74
5/2/2018 17 14 48 0 79 2 37 39 2 16 18 0 12 12 0 0 0 0 2 2 2 0 2 1 5 6 7 72
5/3/2018 19 7 34 0 60 2 30 32 3 9 12 0 3 3 0 0 0 1 4 5 0 1 1 5 2 7 11 49
5/4/2018 14 6 40 0 60 4 47 51 0 1 1 0 2 2 0 0 0 0 2 2 0 0 0 1 3 4 5 55
5/5/2018 9 6 19 0 34 1 19 20 0 5 5 0 0 0 0 1 1 0 5 5 1 0 1 2 0 2 4 30
5/7/2018 22 10 61 0 93 1 60 61 1 10 11 1 6 7 0 0 0 1 7 8 0 0 0 2 4 6 6 87
5/8/2018 21 6 47 0 74 1 39 40 1 15 16 0 4 4 0 2 2 0 4 4 0 0 0 5 3 8 7 67
5/9/2018 20 10 40 0 70 7 36 43 0 8 8 O 6 6 0 1 1 0 2 2 0 1 1 4 5 9 11 59
5/11/2018 22 11 60 0 93 0 61 61 1 13 14 0 5 5 0 0 0 0 5 5 0 0 0 1 7 8 2 91
5/12/2018 19 4 33 0 56 1 28 29 2 2 4 0 4 4 0 2 2 0 5 5 0 1 1 1 10 11 4 52
5/14/2018 90 21 53 0 164 5 63 68 3 13 16 0 7 7 0 0 0 0 1 1 0 2 2 15 55 70 23 141
5/15/2018 99 25 61 185 4 77 81 4 11 15 0 7 7 0 0 0 0 7 7 0 1 1 15 59 74 23 162
5/16/2018 113 8 35 0 156 1 33 34 3 6 9 1 2 3 0 2 2 0 5 5 1 0 1 23 79 102 29 127
5/17/2018 18 7 23 0 48 2 22 24 6 6 12 0 2 2 0 0 0 0 3 3 1 0 1 2 4 6 11 37
5/18/2018 20 6 39 0 65 3 38 41 1 8 9 0 3 3 0 0 0 0 2 2 0 0 0 2 8 10 6 59
5/19/2018 19 4 43 0 66 4 33 37 1 9 10 0 1 1 0 1 1 2 4 6 0 0 0 4 7 11 11 55
5/21/2018 29 10 65 0 104 3 61 64 4 13 17 1 3 4 0 1 1 0 6 6 0 0 0 6 6 12 14 90
5/22/2018 23 8 49 0 80 1 49 50 1 8 9 0 3 3 0 1 1 0 5 5 0 1 1 5 6 11 7 73
5/23/2018 14 8 29 0 51 1 28 29 1 5 6 0 0 0 0 1 1 0 5 5 0 2 2 3 5 8 5 46
5/24/2018 17 8 34 0 59 2 37 39 0 5 5 0 3 3 0 0 0 0 5 5 0 0 0 3 4 7 5 54
5/25/2018 14 10 29 0 53 0 33 33 1 8 9 0 2 2 0 1 1 1 3 4 0 0 0 0 4 4 2 51
681 225 988 1 1895 53 985 1038 39 206 245 5 83 88 0 14 14 7 93 100 5 10 15 103 292 395 212 1683
28 72 100 28 72 100
11 134 145 0 14 14
5 10 15
136 388 524 212 1683
UGD,RWT 189 50 240 0 479 322 157

TOTAL
70
55
40
80
79
60
60
34
93
74
70
93
56
164
185
156
48
65
66
104
80
51
59
53
1895
1895
479
PUSKESMAS : TALAWI
BULAN : JUNI 2018

1 Puskesmas Induk 289 157 658 0 1104 31 651 682 5 68 73 8 96 104 4 46 50 66 129 195 114 990 1104
2 UGD DAN RAWATAN 293 103 491 0 887 0 0 0 0 0 0 0 0 0 654 233 887 0 0 0 654 233 887
13 Polindes Rantih 13 20 36 0 69 4 58 62 0 1 1 0 6 6 0 0 0 0 0 4 65 69
Jumlah 3 s/d 13 69 112 315 2 498 53 360 413 1 6 7 1 75 76 0 0 0 0 2 2 55 443 498
Total 1 s/d 13 651 372 1464 2 2489 84 1011 1095 6 74 80 9 171 180 658 279 937 66 131 197 823 1666 2489
1 Puskesmas Induk 31 651 682 5 68 73 8 96 104 4 46 50 48 861 909
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 654 233 887 654 233 887
13 Polindes Rantih 4 58 62 0 1 1 0 6 6 0 0 0 4 65 69
Jumlah 3 s/d 13 53 360 413 1 6 7 1 75 76 0 0 0 55 441 496
Total 1 s/d 13 84 1011 1095 6 74 80 9 171 180 658 279 937 757 1535 2292
Talawi, 30 JUNI 2018

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
Jun-18
5/26/2018 9 10 29 0 48 0 31 31 1 7 8 0 0 0 0 1 1 1 4 5 1 0 1 1 1 2 4 44
5/28/2018 17 13 40 0 70 3 42 45 2 14 16 0 2 2 0 0 0 0 2 2 1 0 1 1 3 4 7 63
5/30/2018 18 14 49 0 81 2 54 56 1 11 12 0 1 1 0 1 1 0 3 3 0 0 0 3 5 8 6 75
5/31/2018 15 7 36 0 58 4 29 33 1 9 10 0 3 3 0 0 0 0 3 3 0 0 0 4 5 9 9 49
6/2/2018 6 11 51 0 68 1 48 49 1 11 12 1 3 4 0 0 0 0 1 1 0 0 0 2 0 2 5 63
6/4/2018 11 7 46 0 64 0 45 45 1 8 9 0 4 4 0 0 0 0 4 4 0 0 0 0 2 2 1 63
6/5/2018 16 22 41 0 79 4 44 48 2 11 13 2 5 7 0 0 0 0 8 8 0 0 0 3 0 3 11 68
6/6/2018 20 7 35 0 62 2 45 47 0 5 5 0 1 1 1 0 1 0 2 2 0 2 2 2 2 4 5 57
6/7/2018 20 9 43 0 72 2 41 43 1 9 10 0 3 3 0 0 0 1 4 5 2 0 2 0 9 9 6 66
6/8/2018 16 6 40 0 62 3 25 28 3 10 13 0 11 11 0 0 0 0 5 5 0 0 0 3 2 5 9 53
6/9/2018 20 7 30 0 57 3 29 32 2 11 13 0 4 4 0 0 0 1 5 6 0 0 0 2 0 2 8 49
6/21/2018 28 13 76 0 117 4 76 80 1 20 21 1 7 8 0 0 0 0 0 0 0 2 2 4 2 6 10 107
6/22/2018 31 12 40 0 83 1 42 43 0 10 10 0 12 12 0 0 0 1 0 1 0 0 0 8 9 17 10 73
6/23/2018 19 3 39 0 61 1 32 33 1 9 10 0 3 3 0 0 0 0 3 3 0 0 0 6 6 12 8 53
6/25/2018 43 16 63 0 122 1 68 69 1 19 20 1 9 10 0 1 1 0 2 2 1 2 3 11 6 17 15 107
289 157 658 0 1104 31 651 682 18 164 182 5 68 73 1 3 4 4 46 50 5 6 11 50 52 102 114 990
10 68 78 10 68 78
8 96 104 1 3 4
5 6 11
66 129 195 114 990
UGD 293 103 491 0 887 654 233

TOTAL
48
70
81
58
68
64
79
62
72
62
57
117
83
61
122
1104
1104
887
PUSKESMAS : TALAWI
BULAN : JULI 2018

1 Puskesmas Induk 473 248 1228 0 1949 58 1214 1272 4 104 108 15 177 192 15 90 105 60 212 272 152 1797 1949
2 UGD DAN RAWATAN 260 48 285 0 593 0 0 0 0 0 0 0 0 0 476 117 593 0 0 0 476 117 593
13 Polindes Rantih 13 20 36 0 69 4 58 62 0 1 1 0 6 6 0 0 0 0 0 0 4 65 69
Jumlah 3 s/d 13 108 163 486 2 759 69 601 670 1 5 6 5 78 83 0 0 0 0 0 0 75 684 759
Total 1 s/d 13 841 459 1999 2 3301 127 1815 1942 5 109 114 20 255 275 491 207 698 60 212 272 703 2598 3301
1 Puskesmas Induk 58 1214 1272 4 104 108 15 177 192 15 90 105 92 1585 1677
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 476 117 593 476 117 593
13 Polindes Rantih 4 58 62 0 1 1 0 6 6 0 0 0 4 65 69
Jumlah 3 s/d 13 69 601 670 1 5 6 5 78 83 0 0 0 75 684 759
Total 1 s/d 13 127 1815 1942 5 109 114 20 255 275 491 207 698 643 2386 3029
Talawi, 31 JULI 2018

dr. ARI SEKARTINI NENGSI JUITA, SKM
NIP 19860329 201412 2 002 NIP 19830217 200604 2 007
Jul-18
6/26/2018 37 12 82 0 131 2 86 88 7 14 21 0 6 6 0 0 0 2 3 5 0 1 1 3 7 10 14 117
6/28/2018 26 13 79 0 118 2 65 67 0 22 22 0 10 10 1 1 2 1 10 11 0 0 0 3 3 6 7 111
6/29/2018 20 10 28 0 58 3 34 37 1 8 9 0 2 2 0 0 0 0 6 6 0 0 0 2 2 4 6 52
6/30/2018 18 6 41 0 65 2 42 44 2 9 11 0 0 0 0 1 1 0 5 5 0 0 0 1 3 4 5 60
7/2/2018 22 13 78 0 113 3 76 79 0 14 14 0 7 7 0 0 0 1 8 9 0 0 0 1 3 4 5 108
7/3/2018 23 21 77 0 121 3 85 88 2 15 17 0 9 9 0 1 1 0 3 3 0 1 1 0 2 2 5 116
7/4/2018 13 12 64 0 89 0 53 53 2 19 21 1 5 6 0 0 0 1 5 6 0 0 0 2 1 3 6 83
7/5/2018 23 14 42 0 79 1 46 47 3 10 13 1 6 7 0 2 2 2 4 6 1 0 1 1 2 3 9 70
7/6/2018 16 10 31 0 57 0 39 39 2 7 9 0 2 2 0 1 1 0 2 2 0 0 0 1 3 4 3 54
7/7/2018 9 4 35 0 48 3 30 33 1 4 5 0 5 5 0 1 1 0 3 3 0 0 0 0 1 1 4 44
7/9/2018 20 11 38 0 69 2 40 42 1 15 16 0 2 2 0 0 0 1 1 2 0 2 2 3 2 5 7 62
7/10/2018 18 5 48 0 71 3 45 48 0 11 11 2 2 4 0 0 0 0 5 5 0 0 0 0 3 3 5 66
7/11/2018 11 8 45 0 64 1 37 38 0 12 12 0 3 3 0 0 0 0 5 5 0 1 1 0 5 5 1 63
7/12/2018 15 5 33 0 53 3 34 37 1 4 5 0 4 4 0 0 0 0 3 3 0 0 0 0 4 4 4 49
7/13/2018 14 10 29 0 53 0 32 32 1 7 8 0 4 4 0 0 0 0 3 3 0 0 0 3 3 6 4 49
7/14/2018 14 5 37 0 56 1 30 31 0 12 12 0 2 2 0 0 0 2 4 6 0 0 0 3 2 5 6 50
7/16/2018 14 16 59 0 89 3 62 65 0 18 18 0 2 2 0 0 0 1 1 2 0 0 0 1 1 2 5 84
7/17/2018 12 9 53 0 74 2 49 51 1 12 13 0 6 6 0 0 0 0 2 2 0 0 0 2 0 2 5 69
7/18/2018 14 12 42 0 68 2 39 41 2 11 13 0 4 4 0 1 1 0 3 3 0 2 2 0 4 4 4 64
7/19/2018 21 2 32 0 55 6 31 37 2 4 6 0 1 1 0 1 1 0 1 1 0 0 0 3 6 9 11 44
7/20/2018 17 6 41 0 64 1 39 40 2 11 13 0 3 3 0 0 0 1 1 2 0 0 0 0 6 6 4 60
7/21/2018 14 3 48 0 65 2 39 41 1 14 15 0 3 3 0 0 0 0 2 2 0 1 1 0 3 3 3 62
7/23/2018 24 15 72 0 111 3 73 76 2 19 21 0 5 5 0 0 0 0 1 1 0 0 0 3 5 8 8 103
7/24/2018 32 21 48 101 7 65 72 1 12 13 0 5 5 0 0 0 2 2 4 0 0 0 3 4 7 13 88
7/25/2018 26 5 46 0 77 3 43 46 0 7 7 0 6 6 0 0 0 1 7 8 0 3 3 4 3 7 8 69
473 248 1228 0 1949 58 1214 1272 34 291 325 4 104 108 1 9 10 15 90 105 1 11 12 39 78 117 152 1797
19 114 133 19 114 133
15 177 192 1 9 10
1 11 12
60 212 272 152 1797
TOTAL
131
118
58
65
113
121
89
79
57
48
69
71
64
53
53
56
89
74
68
55
64
65
111
101
77
1949
1949
PUSKESMAS : TALAWI

1 Puskesmas Induk 475 192 1137 0 1804 46 1158 1204 4 89 93 15 179 194 14 100 114 64 135 199 143 1661 1804
2 UGD DAN RAWATAN 254 35 305 0 594 0 0 0 0 0 0 0 0 0 447 147 594 0 0 0 447 147 594
13 Polindes Rantih 18 13 51 2 84 1 71 72 0 1 1 1 10 11 0 0 0 0 0 0 2 82 84
Jumlah 3 s/d 13 84 127 513 11 735 78 572 650 1 5 6 8 62 70 0 0 0 0 9 9 87 648 735
Total 1 s/d 13 813 354 1955 11 3133 124 1730 1854 5 94 99 23 241 264 461 247 708 64 144 208 677 2456 3133
1 Puskesmas Induk 46 1158 1204 4 89 93 15 179 194 14 100 114 79 1526 1605
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 447 147 594 447 147 594
13 Polindes Rantih 1 71 72 0 1 1 1 10 11 0 0 0 2 82 84
Jumlah 3 s/d 13 78 572 650 1 5 6 8 62 70 0 0 0 87 639 726
Total 1 s/d 13 124 1730 1854 5 94 99 23 241 264 461 247 708 613 2312 2925

dr. ARI SEKARTINI NENGSI JUITA, SKM
NIP 19860329 201412 2 002 NIP 19830217 200604 2 007
Aug-18
7/26/2018 18 4 56 0 78 1 56 57 1 9 10 0 2 2 0 0 0 2 4 6 0 0 0 2 1 3 6 72
7/27/2018 8 8 34 0 50 0 34 34 1 8 9 0 2 2 0 0 0 2 2 4 0 0 0 1 0 1 4 46
7/28/2018 22 7 33 0 62 1 37 38 3 9 12 0 1 1 0 0 0 0 7 7 0 0 0 4 0 4 8 54
7/30/2018 25 8 60 0 93 3 62 65 2 10 12 0 4 4 0 1 1 3 2 5 0 0 0 4 2 6 12 81
7/31/2018 26 18 51 0 95 6 62 68 2 9 11 1 5 6 0 0 0 0 3 3 0 0 0 3 4 7 12 83
8/1/2018 21 6 44 0 71 0 48 48 1 8 9 0 2 2 0 0 0 0 4 4 1 0 1 3 4 7 5 66
8/2/2018 25 8 49 0 82 2 49 51 2 19 21 0 2 2 0 0 0 0 3 3 0 0 0 3 2 5 7 75
8/3/2018 18 4 42 0 64 0 42 42 0 11 11 0 1 1 0 1 1 0 1 1 0 0 0 2 6 8 2 62
8/4/2018 10 7 30 0 47 1 28 29 0 8 8 0 5 5 0 0 0 0 4 4 0 1 1 0 0 0 1 46
8/6/2018 19 10 70 0 99 1 64 65 2 17 19 0 5 5 0 0 0 0 5 5 1 0 1 2 2 4 6 93
8/7/2018 20 10 68 0 98 3 68 71 2 9 11 0 7 7 0 1 1 1 4 5 0 0 0 1 2 3 7 91
8/8/2018 23 8 52 0 83 4 47 51 2 13 15 1 11 12 0 0 0 0 5 5 0 0 0 0 0 0 7 76
8/9/2018 13 10 43 0 66 3 45 48 0 7 7 0 3 3 0 0 0 1 5 6 0 0 0 0 2 2 4 62
8/10/2018 20 9 40 0 69 3 43 46 2 10 12 0 1 1 0 0 0 0 2 2 0 0 0 3 5 8 8 61
8/11/2018 17 4 29 0 50 1 33 34 0 7 7 0 0 0 0 0 0 2 1 3 0 1 1 2 3 5 5 45
8/13/2018 25 10 55 0 90 4 58 62 3 10 13 0 3 3 0 0 0 0 7 7 0 0 0 4 1 5 11 79
8/14/2018 34 12 54 0 100 6 64 70 0 12 12 0 3 3 0 1 1 0 6 6 2 0 2 2 4 6 10 90
8/15/2018 21 5 34 0 60 1 28 29 0 16 16 0 7 7 0 2 2 1 2 3 1 0 1 2 0 2 5 55
8/16/2018 22 8 37 0 67 1 37 38 1 14 15 0 4 4 0 2 2 0 6 6 0 1 1 0 1 1 2 65
8/18/2018 17 5 30 0 52 1 34 35 5 7 12 1 2 3 0 0 0 0 2 2 0 0 0 0 0 0 7 45
8/20/2018 23 8 43 0 74 1 41 42 0 12 12 0 5 5 0 1 1 1 6 7 0 1 1 3 3 6 5 69
8/21/2018 12 8 53 0 73 1 50 51 0 14 14 1 0 1 0 0 0 0 5 5 0 1 1 1 0 1 3 70
8/23/2018 19 7 53 0 79 1 54 55 0 12 12 0 2 2 0 0 0 0 7 7 1 0 1 2 0 2 4 75
8/24/2018 8 2 42 0 52 0 35 35 0 5 5 0 7 7 0 0 0 1 4 5 0 0 0 0 0 0 1 51
8/25/2018 9 6 35 0 50 1 39 40 0 2 2 0 5 5 0 0 0 0 3 3 0 0 0 0 0 0 1 49
475 192 1137 0 1804 46 1158 1204 29 258 287 4 89 93 0 9 9 14 100 114 6 5 11 44 42 86 143 1661
14 79 93 14 79 93
15 179 194 0 9 9
6 5 11
64 135 199 143 1661
TOTAL
78
50
62
93
95
71
82
64
47
99
98
83
66
69
50
90
100
60
67
52
74
73
79
52
50
1804
1804
PUSKESMAS : TALAWI

1 Puskesmas Induk 523 29 1389 0 1941 47 1269 1316 9 98 107 10 197 207 14 83 97 68 146 214 148 1793 1941
2 UGD DAN RAWATAN 311 10 331 0 652 0 0 0 0 0 0 0 0 0 428 224 652 0 0 0 428 224 652
13 Polindes Rantih 33 0 68 0 101 2 84 86 0 0 0 2 13 15 0 0 0 0 0 0 4 97 101
Jumlah 3 s/d 13 112 30 568 5 715 59 560 619 0 9 9 7 76 83 0 0 0 0 4 4 66 649 715
Total 1 s/d 13 946 69 2288 5 3308 106 1829 1935 9 107 116 17 273 290 442 307 749 68 150 218 642 2666 3308
1 Puskesmas Induk 47 1269 1316 9 98 107 10 197 207 14 83 97 80 1647 1727
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 428 224 652 428 224 652
13 Polindes Rantih 2 84 86 0 0 0 2 13 15 0 0 0 4 97 101
Jumlah 3 s/d 13 59 560 619 0 9 9 7 76 83 0 0 0 66 645 711
Total 1 s/d 13 106 1829 1935 9 107 116 17 273 290 442 307 749 574 2516 3090
Talawi, 30 SEPTEMBER 2018

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
PUSKESMAS : TALAWI

1 Puskesmas Induk 523 29 1389 0 1941 47 1269 1316 9 98 107 10 197 207 14 83 97 68 146 214 148 1793 1941
2 UGD DAN RAWATAN 311 10 331 0 652 0 0 0 0 0 0 0 0 0 428 224 652 0 0 0 428 224 652
13 Polindes Rantih 33 0 68 0 101 2 84 86 0 0 0 2 13 15 0 0 0 0 0 0 4 97 101
Jumlah 3 s/d 13 112 30 574 6 722 59 567 626 0 9 9 7 76 83 0 0 0 0 4 4 66 656 722
Total 1 s/d 13 946 69 2294 6 3315 106 1836 1942 9 107 116 17 273 290 442 307 749 68 150 218 642 2673 3315
1 Puskesmas Induk 47 1269 1316 9 98 107 10 197 207 14 83 97 80 1647 1727
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 428 224 652 428 224 652
13 Polindes Rantih 2 84 86 0 0 0 2 13 15 0 0 0 4 97 101
Jumlah 3 s/d 13 59 567 626 0 9 9 7 76 83 0 0 0 66 652 718
Total 1 s/d 13 106 1836 1942 9 107 116 17 273 290 442 307 749 574 2523 3097

NIP 19830307 201001 2 029 NIP 19830217 200604 2 007
Sep-18
8/27/2018 26 8 73 0 107 3 74 77 1 15 16 0 3 3 0 0 0 2 4 6 0 1 1 0 4 4 6 101
8/28/2018 19 5 35 0 59 1 41 42 1 6 7 1 2 3 0 0 0 1 3 4 0 0 0 1 2 3 5 54
8/29/2018 8 7 44 0 59 2 39 41 1 11 12 0 3 3 0 0 0 1 1 2 0 0 0 1 0 1 5 54
8/30/2018 16 3 41 0 60 0 41 41 0 9 9 0 2 2 0 1 1 0 1 1 0 1 1 5 0 5 5 55
8/31/2018 12 4 40 0 56 2 45 47 1 2 3 0 1 1 0 0 0 0 3 3 0 1 1 1 0 1 4 52
9/1/2018 18 2 63 0 83 1 59 60 2 8 10 2 5 7 0 0 0 0 4 4 0 1 1 0 1 1 5 78
9/3/2018 28 0 63 0 91 2 53 55 1 19 20 0 2 2 0 0 0 0 6 6 1 1 2 2 4 6 6 85
9/4/2018 34 0 72 0 106 0 72 72 1 13 14 0 5 5 0 2 2 1 2 3 0 0 0 7 3 10 9 97
9/5/2018 33 0 49 0 82 5 44 49 0 12 12 0 1 1 0 0 0 0 5 5 1 1 2 5 8 13 11 71
9/6/2018 26 0 48 0 74 4 45 49 2 7 9 0 4 4 0 1 1 0 3 3 1 0 1 6 1 7 13 61
9/7/2018 13 0 45 0 58 0 34 34 0 14 14 2 5 7 0 0 0 1 0 1 0 0 0 1 1 2 4 54
9/8/2018 12 0 41 0 53 0 40 40 1 7 8 0 2 2 0 0 0 0 3 3 0 0 0 0 0 0 1 52
9/10/2018 30 0 75 0 105 3 76 79 1 11 12 0 5 5 0 0 0 0 2 2 0 0 0 6 1 7 10 95
9/12/2018 24 0 68 0 92 1 59 60 1 12 13 0 7 7 0 1 1 0 4 4 0 0 0 4 3 7 6 86
9/13/2018 20 0 58 0 78 1 54 55 1 9 10 0 7 7 0 0 0 0 3 3 0 2 2 0 1 1 2 76
9/14/2018 26 0 48 0 74 2 47 49 1 13 14 0 2 2 0 0 0 1 0 1 0 0 0 2 6 8 6 68
9/15/2018 17 0 48 0 65 2 40 42 0 6 6 1 1 2 0 3 3 0 7 7 0 0 0 2 3 5 5 60
9/17/2018 20 0 76 0 96 1 64 65 0 13 13 0 9 9 0 0 0 1 2 3 0 0 0 2 4 6 4 92
9/18/2018 33 0 76 0 109 4 67 71 4 10 14 2 7 9 1 1 2 2 10 12 0 0 0 0 1 1 13 96
9/19/2018 12 0 53 0 65 2 42 44 1 15 16 0 2 2 0 0 0 0 1 1 0 0 0 1 1 2 4 61
9/20/2018 12 0 25 0 37 1 19 20 1 4 5 0 3 3 0 0 0 1 5 6 0 1 1 1 1 2 4 33
9/21/2018 9 0 50 0 59 2 40 42 0 11 11 0 4 4 0 0 0 0 2 2 0 0 0 0 0 0 2 57
9/22/2018 28 0 51 0 79 1 53 54 1 6 7 0 5 5 1 1 2 0 5 5 0 0 0 0 6 6 3 76
9/24/2018 18 0 67 0 85 0 58 58 0 15 15 0 3 3 0 0 0 1 4 5 0 0 0 1 3 4 2 83
9/25/2018 29 0 80 0 109 7 63 70 0 14 14 1 8 9 0 1 1 2 3 5 0 0 0 3 7 10 13 96
523 29 1389 0 1941 47 1269 1316 22 262 284 9 98 107 2 11 13 14 83 97 3 9 12 51 61 112 148 1793
12 65 77 12 65 77
10 197 207 2 11 13
3 9 12
68 146 214 148 1793
TOTAL
107
59
59
60
56
83
91
106
82
74
58
53
105
92
78
74
65
96
109
65
37
59
79
85
109
1941
1941
Oct-18
9/26/2018 32 0 55 0 87 1 44 45 0 13 13 1 2 3 0 1 1 0 8 8 0 1 1 5 11 16 7 80
9/27/2018 20 0 50 0 70 3 49 52 1 4 5 1 3 4 1 0 1 0 4 4 0 0 0 0 4 4 6 64
9/28/2018 18 0 46 0 64 1 46 47 0 7 7 0 3 3 0 0 0 0 4 4 0 1 1 1 1 2 2 62
9/29/2018 12 0 52 0 64 0 46 46 0 5 5 0 2 2 0 1 1 1 4 5 0 0 0 3 2 5 4 60
10/1/2018 22 0 81 0 103 1 71 72 1 15 16 0 3 3 0 0 0 1 4 5 0 1 1 2 4 6 5 98
10/2/2018 21 0 80 0 101 0 71 71 0 9 9 0 8 8 0 0 0 0 1 1 0 1 1 4 7 11 4 97
10/3/2018 29 0 45 0 74 2 41 43 2 10 12 0 6 6 0 0 0 0 3 3 0 0 0 5 5 10 9 65
10/4/2018 32 0 54 0 86 4 42 46 3 8 11 1 2 3 0 0 0 1 7 8 0 0 0 7 11 18 16 70
10/5/2018 15 0 45 0 60 0 31 31 0 12 12 0 4 4 0 0 0 1 3 4 0 0 0 3 6 9 4 56
10/6/2018 11 0 47 0 58 1 37 38 2 12 14 0 1 1 0 1 1 1 3 4 0 0 0 0 0 0 4 54
10/8/2018 39 0 66 0 105 0 61 61 1 17 18 1 2 3 0 0 0 2 6 8 1 1 2 3 10 13 8 97
10/9/2018 44 0 64 0 108 1 66 67 2 7 9 0 4 4 0 0 0 0 8 8 0 0 0 13 7 20 16 92
10/10/2018 29 0 45 0 74 1 37 38 2 9 11 0 3 3 0 0 0 0 3 3 1 1 2 11 6 17 15 59
10/11/2018 39 0 31 0 70 1 30 31 0 4 4 0 0 0 0 0 0 0 7 7 0 0 0 18 10 28 19 51
10/12/2018 19 0 21 0 40 0 19 19 0 0 0 0 1 1 0 0 0 1 4 5 0 0 0 10 5 15 11 29
10/13/2018 15 0 46 0 61 3 41 44 0 4 4 1 1 2 0 0 0 0 7 7 1 1 2 0 2 2 5 56
10/15/2018 34 0 58 1 93 5 53 58 3 7 10 0 3 3 0 0 0 2 5 7 0 0 0 10 5 15 20 73
10/16/2018 22 0 65 0 87 2 62 64 0 9 9 1 2 3 0 1 1 1 6 7 0 0 0 3 0 3 7 80
10/17/2018 39 0 56 0 95 5 41 46 0 10 10 0 8 8 0 0 0 1 2 3 0 1 1 18 9 27 24 71
10/18/2018 20 0 54 0 74 2 43 45 2 8 10 1 4 5 0 2 2 0 6 6 1 1 2 2 2 4 8 66
10/19/2018 22 0 34 0 56 1 32 33 1 8 9 1 1 2 0 2 2 0 6 6 0 0 0 2 2 4 5 51
10/20/2018 14 0 34 0 48 0 34 34 1 1 2 0 2 2 0 0 0 1 6 7 0 0 0 1 2 3 3 45
10/22/2018 26 0 63 0 89 0 65 65 0 10 10 0 6 6 0 0 0 0 3 3 0 0 0 3 2 5 3 86
10/23/2018 27 0 57 0 84 5 46 51 0 11 11 1 12 13 0 0 0 1 4 5 0 0 0 0 4 4 7 77
10/24/2018 17 0 40 0 57 2 38 40 1 10 11 0 1 1 0 0 0 1 2 3 0 0 0 0 2 2 4 53
10/25/2018 15 0 41 0 56 2 35 37 3 4 7 2 3 5 0 0 0 2 3 5 1 0 1 0 1 1 10 46
633 0 1330 1 1964 43 1181 1224 25 214 239 11 87 98 1 8 9 17 119 136 5 9 14 124 120 244 226 1738
14 69 83 14 69 83 14 69 83
11 145 156 1 8 9 1 8 9
5 9 14
144 206 350 226 1738
TOTAL
87
70
64
64
103
101
74
86
60
58
105
108
74
70
40
61
93
87
95
74
56
48
89
84
57
56
1964
1964
PUSKESMAS : TALAWI

1 Puskesmas Induk 633 0 1330 1 1964 43 1181 1224 11 87 98 11 145 156 17 119 136 144 206 350 226 1738 1964
2 UGD DAN RAWATAN 205 0 268 0 473 0 0 0 0 0 0 0 0 0 450 23 473 0 0 0 450 23 473
13 Polindes Rantih 13 0 61 0 74 1 66 67 0 2 2 0 5 5 0 0 0 0 0 0 1 73 74
Jumlah 3 s/d 13 93 0 589 4 686 53 533 586 0 12 12 4 81 85 0 0 0 0 3 3 57 629 686
Total 1 s/d 13 931 0 2187 5 3123 96 1714 1810 11 99 110 15 226 241 467 142 609 144 209 353 733 2390 3123
1 Puskesmas Induk 43 1181 1224 11 87 98 11 145 156 17 119 136 82 1532 1614
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 450 23 473 450 23 473
13 Polindes Rantih 1 66 67 0 2 2 0 5 5 0 0 0 1 73 74
Jumlah 3 s/d 13 53 533 586 0 12 12 4 81 85 0 0 0 57 626 683
Total 1 s/d 13 96 1714 1810 11 99 110 15 226 241 467 142 609 589 2181 2770
Talawi, 31 OKTOBER 2018

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
PUSKESMAS : TALAWI

1 Puskesmas Induk 460 0 1289 1 1750 37 1116 1153 6 73 79 7 174 181 9 84 93 63 181 244 122 1628 1750
2 UGD DAN RAWATAN 215 0 302 0 517 0 0 0 0 0 0 0 0 0 403 114 517 0 0 0 403 114 517
13 Polindes Rantih 16 0 70 1 87 1 79 80 0 1 1 1 5 6 0 0 0 0 0 0 2 85 87
Jumlah 3 s/d 13 83 0 601 7 691 56 516 572 0 11 11 8 98 106 0 0 0 0 2 2 64 627 691
Total 1 s/d 13 758 0 2192 8 2958 93 1632 1725 6 84 90 15 272 287 412 198 610 63 183 246 589 2369 2958
1 Puskesmas Induk 37 1116 1153 6 73 79 7 174 181 9 84 93 59 1447 1506
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 403 114 517 403 114 517
13 Polindes Rantih 1 79 80 0 1 1 1 5 6 0 0 0 2 85 87
Jumlah 3 s/d 13 56 516 572 0 11 11 8 98 106 0 0 0 64 625 689
Total 1 s/d 13 93 1632 1725 6 84 90 15 272 287 412 198 610 526 2186 2712
Talawi, 30 NOVEMBER 2018

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
Nov-18
10/26/2018 24 0 40 0 64 8 43 51 1 4 5 1 1 2 0 1 1 0 1 1 1 0 1 1 2 3 12 52
10/27/2018 7 0 45 0 52 0 41 41 1 6 7 0 0 0 0 1 1 1 1 2 1 0 1 0 0 0 3 49
10/29/2018 18 0 79 0 97 2 71 73 0 16 16 1 4 5 0 0 0 0 1 1 0 1 1 0 1 1 3 94
10/30/2018 20 0 61 0 81 0 57 57 0 12 12 0 0 0 0 0 0 0 6 6 0 0 0 3 3 6 3 78
10/31/2018 16 0 53 0 69 0 47 47 1 13 14 0 0 0 0 1 1 1 4 5 0 0 0 2 0 2 4 65
11/1/2018 16 0 55 0 71 2 45 47 1 11 12 1 3 4 0 0 0 0 2 2 0 0 0 0 6 6 4 67
11/2/2018 9 0 43 0 52 0 38 38 0 8 8 0 2 2 0 0 0 0 2 2 0 0 0 0 2 2 0 52
11/3/2018 21 0 39 0 60 1 29 30 1 7 8 0 4 4 0 0 0 0 6 6 0 0 0 7 5 12 9 51
11/5/2018 13 0 66 0 79 0 57 57 1 16 17 0 1 1 0 0 0 0 4 4 0 0 0 0 0 0 1 78
11/6/2018 24 0 66 0 90 2 57 59 2 18 20 0 5 5 0 1 1 0 4 4 0 1 1 0 0 0 4 86
11/7/2018 17 0 43 0 60 2 41 43 1 9 10 0 4 4 0 1 1 0 1 1 1 0 1 0 0 0 4 56
11/8/2018 19 0 47 0 66 1 39 40 1 13 14 0 3 3 0 0 0 1 4 5 0 0 0 0 4 4 3 63
11/9/2018 16 0 44 0 60 1 35 36 0 8 8 0 2 2 0 1 1 0 4 4 1 0 1 2 6 8 4 56
11/10/2018 19 0 34 0 53 0 33 33 0 6 6 0 5 5 0 0 0 0 3 3 0 0 0 3 3 6 3 50
11/12/2018 28 0 63 0 91 2 49 51 0 16 16 0 5 5 0 0 0 0 5 5 0 2 2 5 7 12 7 84
11/13/2018 24 0 74 0 98 2 54 56 3 20 23 1 7 8 0 0 0 2 4 6 0 1 1 3 1 4 11 87
11/14/2018 10 0 48 1 59 1 37 38 0 8 8 0 5 5 0 1 1 0 4 4 0 0 0 2 1 3 3 56
11/15/2018 32 0 47 0 79 1 43 44 0 14 14 0 2 2 0 0 0 1 4 5 1 1 2 3 9 12 6 73
11/16/2018 12 0 37 0 49 1 30 31 1 5 6 0 4 4 0 2 2 0 5 5 0 0 0 1 0 1 3 46
11/17/2018 18 0 45 0 63 2 39 41 0 9 9 0 3 3 0 0 0 2 4 6 0 1 1 1 2 3 5 58
11/19/2018 19 0 75 0 94 3 66 69 3 11 14 1 3 4 0 2 2 0 3 3 0 0 0 1 1 2 8 86
11/21/2018 27 0 69 0 96 3 64 67 0 10 10 0 5 5 0 2 2 0 1 1 2 1 3 3 5 8 8 88
11/22/2018 16 0 48 0 64 1 41 42 1 7 8 0 2 2 0 0 0 1 4 5 0 0 0 6 1 7 9 55
11/23/2018 17 0 33 0 50 0 33 33 0 8 8 0 2 2 0 1 1 0 2 2 0 1 1 1 2 3 1 49
11/24/2018 18 0 35 0 53 2 27 29 0 9 9 1 1 2 0 2 2 0 5 5 0 1 1 1 4 5 4 49
460 0 1289 1 1750 37 1116 1153 18 264 282 6 73 79 0 16 16 9 84 93 7 10 17 45 65 110 122 1628
11 90 101 11 90 101
7 174 181 0 16 16
7 10 17
63 181 244 122 1628
ugd,rawata 260 0 350 0 610
ugd pagi 45 0 48 0 93
215 0 302 0 517 403 114 517
GIZI b26 T1423

LANSIA 5 T306
PENYULUHAN ###
KJ RMH b35 l27
TOTAL
64
52
97
81
69
71
52
60
79
90
60
66
60
53
91
98
59
79
49
63
94
96
64
50
53
1750
1750
Dec-18
11/26/2018 20 0 49 0 69 2 41 43 4 12 16 0 0 0 0 0 0 0 4 4 0 0 0 5 1 6 11 58
11/27/2018 17 0 83 0 100 3 61 64 3 19 22 0 5 5 0 2 2 0 4 4 0 0 0 1 2 3 7 93
11/28/2018 12 0 54 0 66 2 44 46 0 9 9 0 2 2 0 0 0 1 5 6 0 1 1 0 2 2 3 63
11/29/2018 10 0 41 0 51 0 33 33 0 7 7 0 2 2 0 0 0 0 5 5 0 0 0 1 3 4 1 50
11/30/2018 8 0 57 0 65 0 51 51 0 6 6 0 1 1 0 0 0 1 4 5 0 0 0 1 1 2 2 63
12/1/2018 4 0 30 0 34 0 28 28 0 3 3 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 34
12/3/2018 24 0 73 0 97 2 69 71 0 17 17 1 3 4 0 0 0 1 0 1 0 1 1 2 1 3 6 91
12/4/2018 28 0 62 0 90 3 52 55 0 12 12 3 3 6 0 0 0 1 4 5 0 0 0 4 8 12 11 79
12/5/2018 12 0 46 0 58 3 34 37 0 12 12 0 3 3 0 0 0 0 1 1 0 0 0 2 3 5 5 53
12/6/2018 9 0 45 0 54 1 25 26 0 18 18 0 3 3 0 0 0 1 6 7 0 0 0 0 0 0 2 52
12/7/2018 15 0 46 0 61 2 41 43 0 7 7 0 1 1 0 1 1 1 3 4 0 0 0 1 4 5 4 57
12/8/2018 12 0 50 0 62 1 37 38 0 18 18 0 0 0 0 3 3 0 2 2 0 0 0 0 1 1 1 61
12/10/2018 12 0 77 0 89 1 60 61 0 14 14 0 6 6 0 0 0 0 5 5 0 0 0 1 2 3 2 87
12/11/2018 31 0 71 0 102 3 55 58 2 19 21 0 5 5 0 2 2 0 8 8 0 2 2 3 3 6 8 94
12/12/2018 27 0 62 0 89 1 54 55 1 11 12 0 5 5 0 0 0 0 7 7 0 1 1 6 3 9 8 81
12/13/2018 28 0 39 0 67 1 33 34 0 8 8 1 2 3 0 0 0 0 6 6 0 0 0 7 9 16 9 58
12/14/2018 15 0 45 0 60 1 31 32 0 8 8 0 2 2 0 1 1 0 7 7 0 1 1 1 8 9 2 58
12/15/2018 11 0 39 0 50 0 39 39 0 4 4 0 0 0 0 2 2 0 2 2 0 0 0 0 3 3 0 50
12/17/2018 21 0 60 0 81 2 47 49 1 15 16 0 5 5 0 2 2 0 5 5 0 1 1 0 3 3 3 78
12/18/2018 32 0 63 0 95 1 56 57 3 13 16 2 5 7 0 2 2 0 7 7 0 0 0 5 1 6 11 84
12/19/2018 18 0 54 1 73 2 38 40 0 13 13 0 3 3 0 1 1 1 6 7 0 2 2 1 6 7 4 69
12/20/2018 21 0 46 0 67 2 38 40 0 11 11 0 3 3 0 2 2 0 2 2 0 0 0 3 6 9 5 62
12/21/2018 19 0 38 0 57 1 34 35 1 11 12 1 2 3 0 0 0 0 0 0 0 0 0 3 4 7 6 51
12/22/2018 15 0 45 0 60 0 35 35 0 13 13 0 2 2 0 2 2 0 3 3 0 1 1 2 2 4 2 58
421 0 1275 1 1697 34 1036 1070 15 280 295 8 63 71 0 20 20 7 99 106 0 10 10 49 76 125 113 1584
8 105 113 8 105 113
7 175 182 0 20 20
0 10 10
57 211 268 113 1584
ugd rawata 213 0 377 0 590
ugd pagi 31 0 75 0 106
182 0 302 0 484 293 191 484
GIZI
LANSIA
PENYULUHAN
KJ RMH
TOTAL
69
100
66
51
65
34
97
90
58
54
61
62
89
102
89
67
60
50
81
95
73
67
57
60
1697
1697
PUSKESMAS PEMBANTU :
BULAN :

TAHUN 2019
1 JANUARI
2 FEBRUARI
3 MARET
4 APRIL
5 MEI
6 JUNI
7 JULI
8 AGUSTUS
9 SEPTEMBER
10 OKYOBER
11 NOVEMBER
12 DESEMBER
TAHUN 2020
1 JANUARI
2 FEBRUARI
3 MARET
4 APRIL
5 MEI
6 JUNI
7 JULI
8 AGUSTUS
9 SEPTEMBER
10 OKTOBER
11 NOVEMBER
12 DESEMBER
Penanggungjawab PUSTU/POLINDES
PUSKESMAS : TALAWI

1 Puskesmas Induk 421 0 1275 1 1697 34 1036 1070 8 63 71 7 175 182 7 99 106 57 211 268 113 1584 1697
2 UGD DAN RAWATAN 182 0 302 0 484 0 0 0 0 0 0 0 0 0 293 191 484 0 0 0 293 191 484
13 Polindes Rantih 7 0 46 1 54 0 44 44 0 2 2 0 8 8 0 0 0 0 0 0 0 54 54
Jumlah 3 s/d 13 68 0 589 1 658 8 548 556 1 8 9 6 84 90 0 0 0 0 3 3 15 643 658
Total 1 s/d 13 671 0 2166 2 2839 42 1584 1626 9 71 80 13 259 272 300 290 590 57 214 271 421 2418 2839
1 Puskesmas Induk 34 1036 1070 8 63 71 7 175 182 7 99 106 56 1373 1429
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 293 191 484 293 191 484
13 Polindes Rantih 0 44 44 0 2 2 0 8 8 0 0 0 0 54 54
Jumlah 3 s/d 13 8 548 556 1 8 9 6 84 90 0 0 0 15 640 655
Total 1 s/d 13 42 1584 1626 9 71 80 13 259 272 300 290 590 364 2204 2568
Talawi, 31 DESEMBER 2018

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
Jan-19
TANGGAL Bayar bpjs lain" jumlah BARU LAMA
12/26/2019 31 76 0 107 1 72 73 0 8 8 0 5 5 0 0 0 1 4 5 0 2 2 2 12 14 4 103
12/27/2018 22 55 0 77 3 45 48 2 9 11 0 6 6 0 0 0 1 3 4 0 1 1 3 4 7 9 68
12/28/2018 20 49 0 69 3 43 46 0 6 6 1 4 5 0 1 1 1 5 6 0 0 0 3 2 5 8 61
12/29/2018 13 38 0 51 2 28 30 0 3 3 1 5 6 0 2 2 2 7 9 0 0 0 0 1 1 5 46
12/31/2018 25 72 0 97 2 65 67 0 18 18 0 2 2 0 0 0 0 4 4 0 0 0 2 4 6 4 93
1/2/2019 20 92 0 112 2 85 87 1 9 10 0 7 7 0 1 1 0 2 2 0 0 0 2 3 5 5 107
1/3/2019 25 53 0 78 0 49 49 1 10 11 0 3 3 0 0 0 0 5 5 1 0 1 2 7 9 4 74
1/4/2019 15 37 0 52 1 32 33 1 6 7 1 4 5 0 1 1 0 0 0 0 0 0 4 2 6 7 45
1/5/2019 11 36 0 47 0 33 33 0 7 7 1 3 4 0 0 0 0 1 1 0 1 1 1 0 1 2 45
1/7/2019 16 50 0 66 1 44 45 0 5 5 1 1 2 0 2 2 0 4 4 0 1 1 2 5 7 4 62
1/8/2019 9 39 0 48 0 38 38 0 5 5 1 0 1 0 1 1 0 3 3 0 0 0 0 0 0 1 47
1/9/2019 20 83 0 103 1 67 68 0 21 21 0 3 3 0 0 0 0 3 3 0 2 2 3 3 6 4 99
1/10/2019 13 47 0 60 2 34 36 0 15 15 1 0 1 0 0 0 0 2 2 0 0 0 4 2 6 7 53
1/11/2019 13 42 0 55 0 36 36 0 7 7 1 0 1 0 0 0 0 6 6 0 0 0 0 5 5 1 54
1/12/2019 6 42 0 48 1 33 34 0 7 7 0 1 1 0 3 3 0 1 1 0 0 0 1 1 2 2 46
1/14/2019 24 77 0 101 2 62 64 2 17 19 2 2 4 0 2 2 0 3 3 2 1 3 2 4 6 10 91
1/15/2019 13 78 0 91 6 59 65 0 12 12 1 2 3 0 3 3 1 5 6 0 1 1 1 0 1 9 82
1/16/2019 15 62 0 77 7 45 52 0 8 8 0 7 7 0 1 1 0 2 2 2 0 2 2 3 5 11 66
1/17/2019 14 59 0 73 1 47 48 1 9 10 0 6 6 0 0 0 1 1 2 1 1 2 1 4 5 5 68
1/18/2019 4 42 0 46 1 25 26 1 10 11 0 3 3 0 0 0 0 3 3 0 0 0 2 1 3 4 42
1/19/2019 6 48 0 54 1 37 38 2 7 9 0 1 1 0 3 3 0 2 2 0 0 0 0 1 1 3 51
1/21/2019 23 80 0 103 4 62 66 1 13 14 1 9 10 0 1 1 1 4 5 1 0 1 1 5 6 9 94
1/22/2019 26 72 0 98 3 63 66 3 10 13 0 4 4 0 0 0 0 7 7 0 0 0 6 2 8 12 86
1/23/2019 15 56 2 73 1 46 47 2 10 12 0 1 1 0 0 0 1 3 4 1 3 4 0 5 5 5 68
1/24/2019 11 55 0 66 2 39 41 3 15 18 1 1 2 0 1 1 0 1 1 0 1 1 0 2 2 6 60
1/25/2019 11 70 0 81 0 60 60 0 11 11 1 3 4 0 0 0 0 4 4 0 0 0 0 2 2 1 80
421 1510 2 1933 47 1249 1296 20 258 278 14 83 97 0 22 22 9 85 94 8 14 22 44 80 124 142 1791
13 95 108 13 95 108
7 163 170 0 22 22
8 14 22
65 211 276 142 1791
ugd,rwtn 355 204 0 559 400 159 559
PENYULUHAN 1872
LANSIA B; 311
PERKESMAS B; 60 L;6
BALITA 1381 B; 29
TOTAL
107
77
69
51
97
112
78
52
47
66
48
103
60
55
48
101
91
77
73
46
54
103
98
73
66
81
1933
1933
PUSKESMAS : TALAWI

BAYAR BPJS LAIN -LAIN JUMLAH
1 Puskesmas Induk 421 1510 2 1933 47 1249 1296 14 83 97 7 163 170 9 85 94 65 211 276 142 1791 1933
2 UGD DAN RAWATAN 355 204 0 559 0 0 0 0 0 0 0 0 0 400 159 559 0 0 0 400 159 559
4 Puskesmas Pembantu Batu Tanjung 6 54 1 61 0 47 47 0 0 0 0 14 14 0 0 0 0 0 0 0 61 61
5 Puskesmas Pembantu Kumbayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Puskesmas Pembantu Tumpuk Tangah 3 88 1 92 7 65 72 0 2 2 3 15 18 0 0 0 0 0 0 10 82 92
7 Puskesmas Pembantu Salak 8 89 0 97 0 86 86 0 3 3 0 8 8 0 0 0 0 0 0 0 97 97
8 Puskesmas Pembantu Sikalang 7 88 0 95 0 82 82 0 0 0 0 13 13 0 0 0 0 0 0 0 95 95
9 Puskesmas Pembantu Kumanis Atas 4 50 0 54 40 4 44 1 0 1 4 4 8 0 0 0 1 0 1 46 8 54
10 Polindes Batu Tanjung 0 32 0 32 0 29 29 0 3 3 0 0 0 0 0 0 0 0 0 0 32 32
11 Polindes Kumbayau 9 66 0 75 0 61 61 0 3 3 0 11 11 0 0 0 0 0 0 0 75 75
13 Polindes Rantih 16 76 0 92 2 79 81 0 0 0 0 11 11 0 0 0 0 0 0 2 90 92
Jumlah 3 s/d 13 58 639 2 699 128 463 591 1 11 12 15 80 95 0 0 0 1 0 1 145 554 699
Total 1 s/d 13 834 2353 4 3191 175 1712 1887 15 94 109 22 243 265 409 244 653 66 211 277 687 2504 3191
1 Puskesmas Induk 47 1249 1296 14 83 97 7 163 170 9 85 94 77 1580 1657
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 400 159 559 400 159 559
13 Polindes Rantih 2 79 81 0 0 0 0 11 11 0 0 0 2 90 92
Jumlah 3 s/d 13 128 463 591 1 11 12 15 80 95 0 0 0 144 554 698
Total 1 s/d 13 175 1712 1887 15 94 109 22 243 265 409 244 653 621 2293 2914
TALAWI, 31 JANUARI 2019

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
Feb-19
1/26/2019 3 49 0 52 1 43 44 0 4 4 0 2 2 0 0 0 0 2 2 0 0 0 0 0 0 1 51
1/28/2019 10 73 0 83 1 62 63 1 10 11 1 4 5 0 2 2 0 0 0 0 1 1 1 0 1 4 79
1/29/2019 12 71 0 83 1 59 60 0 16 16 0 2 2 1 0 1 0 2 2 1 0 1 1 0 1 4 79
1/30/2019 13 60 0 73 1 43 44 1 13 14 0 7 7 0 1 1 0 2 2 0 0 0 1 4 5 3 70
1/31/2019 21 52 0 73 7 46 53 0 9 9 1 3 4 0 0 0 1 2 3 1 0 1 3 0 3 13 60
2/1/2019 9 52 0 61 1 49 50 0 7 7 0 2 2 0 0 0 0 1 1 1 0 1 0 0 0 2 59
2/2/2019 6 46 0 52 1 45 46 0 4 4 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 2 50
2/4/2019 11 86 0 97 2 70 72 3 12 15 0 2 2 0 1 1 0 4 4 0 0 0 2 1 3 7 90
2/6/2019 20 72 0 92 0 61 61 1 14 15 0 3 3 0 1 1 0 7 7 0 0 0 3 2 5 4 88
2/7/2019 35 61 0 96 5 40 45 3 15 18 1 6 7 0 0 0 0 12 12 0 0 0 5 9 14 14 82
2/8/2019 15 53 0 68 1 48 49 2 6 8 0 2 2 0 0 0 0 6 6 0 0 0 1 2 3 4 64
2/9/2019 14 53 0 67 0 44 44 0 7 7 1 3 4 0 1 1 0 7 7 0 1 1 2 1 3 3 64
2/11/2019 20 86 0 106 2 60 62 1 10 11 1 8 9 0 1 1 0 14 14 1 1 2 2 5 7 7 99
2/12/2019 29 88 0 117 0 70 70 1 20 21 0 5 5 0 3 3 4 4 8 0 0 0 5 5 10 10 107
2/13/2019 19 60 0 79 3 45 48 0 16 16 1 7 8 0 1 1 0 2 2 0 1 1 1 2 3 5 74
2/14/2019 22 43 1 66 0 40 40 1 11 12 0 2 2 0 0 0 0 6 6 0 0 0 0 6 6 1 65
2/15/2019 9 26 0 35 1 19 20 0 6 6 0 1 1 0 2 2 0 4 4 1 0 1 0 1 1 2 33
2/16/2019 18 54 0 72 0 48 48 1 9 10 1 3 4 0 1 1 0 4 4 0 2 2 0 3 3 2 70
2/18/2019 25 82 0 107 2 72 74 2 13 15 0 2 2 0 0 0 0 2 2 2 0 2 3 9 12 9 98
2/19/2019 30 80 0 110 8 63 71 1 15 16 1 8 9 0 0 0 0 0 0 2 6 8 3 3 6 15 95
2/20/2019 12 51 0 63 4 44 48 1 6 7 0 0 0 0 0 0 0 5 5 0 1 1 1 1 2 6 57
2/21/2019 10 45 0 55 0 32 32 2 8 10 0 3 3 0 0 0 0 8 8 1 0 1 0 1 1 3 52
2/22/2019 12 38 0 50 2 28 30 0 8 8 0 2 2 0 0 0 1 7 8 0 1 1 0 1 1 3 47
2/23/2019 9 53 0 62 1 39 40 3 9 12 0 2 2 0 0 0 0 4 4 0 2 2 0 2 2 4 58
2/25/2019 34 83 1 118 4 61 65 2 17 19 1 5 6 0 0 0 2 8 10 0 0 0 6 12 18 15 103
418 1517 2 1937 48 1231 1279 26 265 291 9 85 94 1 14 15 9 113 122 10 16 26 40 70 110 143 1794
19 100 119 19 100 119
7 165 172 1 14 15
10 16 26
70 200 270 143 1794
ugd,rwtan 195 420 0 615 343 272 615
PENYULUHAN 2297
LANSIA 294
PERKESMAS b; 37 l;21
BALITA 1534 b; 34
TOTAL
52
83
83
73
73
61
52
97
92
96
68
67
106
117
79
66
35
72
107
110
63
55
50
62
118
1937
1937
PUSKESMAS : TALAWI

1 Puskesmas Induk 418 1517 2 1937 48 1231 1279 9 85 94 7 165 172 9 113 122 70 200 270 143 1794 1937
2 UGD DAN RAWATAN 195 420 0 615 0 0 0 0 0 0 0 0 0 343 272 615 0 0 0 343 272 615
13 Polindes Rantih 9 70 10 89 0 82 82 0 2 2 0 5 5 0 0 0 0 0 0 0 89 89
Jumlah 3 s/d 13 41 623 14 678 22 495 577 2 7 9 3 83 86 0 0 0 0 6 6 27 591 678
Total 1 s/d 13 654 2560 16 3230 70 1726 1856 11 92 103 10 248 258 352 385 737 70 206 276 513 2657 3230
1 Puskesmas Induk 48 1231 1279 9 85 94 7 165 172 9 113 122 73 1594 1667
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 343 272 615 343 272 615
13 Polindes Rantih 0 82 82 0 2 2 0 5 5 0 0 0 0 89 89
Jumlah 3 s/d 13 22 495 577 2 7 9 3 83 86 0 0 0 27 585 672
Total 1 s/d 13 70 1726 1856 11 92 103 10 248 258 352 385 737 443 2451 2954
TALAWI, 28 FEBRUARI 2019

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
PUSKESMAS : TALAWI
BULAN : MARET 2019

1 Puskesmas Induk 629 1549 0 2178 49 1228 1277 10 81 91 11 193 204 14 116 130 142 334 476 226 1952 2178
2 UGD DAN RAWATAN 172 321 0 493 0 0 0 0 0 0 0 0 0 285 208 493 0 0 0 285 208 493
13 Polindes Rantih 8 77 8 93 1 85 86 0 3 3 1 3 4 0 0 0 0 0 0 2 91 93
Jumlah 3 s/d 13 38 655 14 707 43 577 620 1 10 11 3 73 76 0 0 0 0 0 0 47 660 707
Total 1 s/d 13 839 2525 14 3378 92 1805 1897 11 91 102 14 266 280 299 324 623 142 334 476 558 2820 3378
1 Puskesmas Induk 49 1228 1277 10 81 91 11 193 204 14 116 130 84 1618 1702
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 285 208 493 285 208 493
13 Polindes Rantih 1 85 86 0 3 3 1 3 4 0 0 0 2 91 93
Jumlah 3 s/d 13 43 577 620 1 10 11 3 73 76 0 0 0 47 660 707
Total 1 s/d 13 92 1805 1897 11 91 102 14 266 280 299 324 623 416 2486 2902
TALAWI, 31 MARET 2019

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
Mar-19
2/26/2019 24 71 0 95 2 62 64 1 12 13 0 1 1 0 0 0 0 7 7 0 0 0 4 6 10 7 88
2/27/2019 19 37 0 56 3 27 30 2 8 10 0 1 1 0 0 0 0 3 3 0 0 0 3 9 12 8 48
2/28/2019 26 71 0 97 2 56 58 0 7 7 1 5 6 0 1 1 0 5 5 0 0 0 0 20 20 3 94
3/1/2019 27 68 0 95 1 44 45 2 14 16 0 5 5 0 1 1 1 9 10 0 0 0 7 11 18 11 84
3/2/2019 12 56 0 68 2 43 45 1 10 11 0 1 1 0 0 0 0 5 5 1 0 1 1 4 5 5 63
3/4/2019 50 86 0 136 1 72 73 2 10 12 3 7 10 0 0 0 3 8 11 0 0 0 11 19 30 20 116
3/5/2019 54 102 0 156 1 81 82 4 15 19 1 4 5 0 1 1 0 6 6 1 0 1 17 25 42 24 132
3/6/2019 55 68 0 123 6 41 47 0 20 20 0 4 4 0 0 0 1 8 9 0 0 0 19 24 43 26 97
3/8/2019 41 63 0 104 1 46 47 0 11 11 1 2 3 0 1 1 1 6 7 0 1 1 9 25 34 12 92
3/9/2019 27 62 0 89 2 43 45 3 11 14 0 1 1 0 0 0 1 7 8 0 0 0 7 14 21 13 76
3/11/2019 54 88 0 142 0 78 78 2 13 15 1 4 5 0 0 0 0 6 6 0 1 1 5 32 37 8 134
3/12/2019 47 85 0 132 5 67 72 3 12 15 0 10 10 0 0 0 1 8 9 0 0 0 8 18 26 17 115
3/13/2019 16 75 0 91 2 71 73 1 9 10 0 2 2 0 0 0 0 4 4 0 1 1 1 0 1 4 87
3/14/2019 35 54 0 89 2 45 47 0 20 20 0 2 2 0 1 1 0 2 2 0 0 0 7 10 17 9 80
3/15/2019 14 57 0 71 2 40 42 2 11 13 1 2 3 0 0 0 2 6 8 0 0 0 2 3 5 9 62
3/16/2019 16 48 0 64 1 40 41 2 5 7 0 3 3 1 4 5 1 3 4 1 0 1 0 3 3 6 58
3/18/2019 21 64 0 85 2 54 56 1 11 12 0 3 3 0 0 0 1 4 5 0 1 1 3 5 8 7 78
3/19/2019 13 85 0 98 5 72 77 3 11 14 0 3 3 0 0 0 0 3 3 0 0 0 0 1 1 8 90
3/20/2019 12 69 0 81 2 54 56 0 14 14 0 3 3 0 1 1 0 3 3 0 0 0 3 1 4 5 76
3/21/2019 16 55 0 71 1 42 43 2 10 12 1 6 7 0 0 0 1 3 4 0 0 0 2 3 5 7 64
3/22/2019 20 53 0 73 2 40 42 3 13 16 1 4 5 0 0 0 1 3 4 0 0 0 1 5 6 8 65
3/23/2019 15 55 0 70 2 49 51 0 9 9 0 2 2 0 0 0 0 6 6 0 1 1 1 0 1 3 67
3/25/2019 15 77 0 92 2 61 63 2 14 16 0 6 6 0 0 0 0 1 1 1 1 2 1 3 4 6 86
629 1549 0 2178 49 1228 1277 36 270 306 10 81 91 1 10 11 14 116 130 4 6 10 112 241 353 226 1952
25 77 102 25 77 102
11 193 204 1 10 11
4 6 10
142 334 476 226 1952
ugd,rwtan 172 321 0 493 285 208 493
PENYULUHAN t; 1922
LANSIA b; 12 l; 301
PERKESMAS b; 35 l;24
BALITA b; 23 t; 1458
TOTAL
95
56
97
95
68
136
156
123
104
89
142
132
91
89
71
64
85
98
81
71
73
70
92
2178
2178
Apr-19
3/26/2019 24 76 0 100 2 71 73 4 5 9 0 6 6 0 0 0 1 6 7 0 0 0 2 3 5 9 91
3/27/2019 5 41 0 46 0 40 40 0 4 4 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 46
3/28/2019 20 68 0 88 1 58 59 0 16 16 0 3 3 0 0 0 0 7 7 1 0 1 1 1 2 3 85
3/29/2019 10 70 0 80 0 61 61 1 5 6 0 3 3 0 0 0 0 4 4 0 1 1 2 3 5 3 77
3/30/2019 3 45 0 48 0 30 30 1 6 7 0 3 3 0 2 2 0 6 6 0 0 0 0 0 0 1 47
4/1/2019 19 76 0 95 4 62 66 1 12 13 0 3 3 0 2 2 0 5 5 0 1 1 0 5 5 5 90
4/2/2019 23 82 0 105 0 69 69 0 13 13 0 9 9 0 1 1 0 2 2 0 0 0 5 6 11 5 100
4/4/2019 12 64 0 76 0 51 51 1 11 12 1 4 5 0 0 0 0 2 2 0 0 0 3 3 6 5 71
4/5/2019 18 64 0 82 6 48 54 2 13 15 0 5 5 0 0 0 1 1 2 0 2 2 2 2 4 11 71
4/6/2019 15 37 0 52 2 32 34 1 7 8 1 3 4 0 0 0 0 1 1 0 1 1 1 3 4 5 47
4/8/2019 14 83 0 97 2 63 65 1 16 17 2 4 6 0 0 0 0 6 6 0 0 0 2 1 3 7 90
4/9/2019 12 83 0 95 2 58 60 3 16 19 0 6 6 0 4 4 0 4 4 0 0 0 1 1 2 6 89
4/10/2019 18 63 0 81 2 52 54 0 11 11 0 6 6 0 0 0 2 4 6 2 0 2 0 2 2 6 75
4/11/2019 23 55 0 78 0 52 52 0 13 13 0 1 1 0 2 2 0 4 4 2 1 3 1 2 3 3 75
4/12/2019 12 49 0 61 1 36 37 2 11 13 0 2 2 0 2 2 0 4 4 0 0 0 1 2 3 4 57
4/13/2019 18 39 0 57 1 36 37 0 11 11 0 0 0 1 0 1 1 4 5 0 1 1 1 1 2 4 53
4/15/2019 19 60 0 79 2 50 52 2 14 16 0 3 3 0 0 0 0 3 3 1 0 1 2 2 4 7 72
4/16/2019 17 86 0 103 1 64 65 1 18 19 0 8 8 0 1 1 1 3 4 0 0 0 1 5 6 4 99
4/18/2019 11 77 0 88 0 63 63 0 13 13 0 2 2 0 0 0 0 4 4 0 0 0 1 5 6 1 87
4/20/2019 12 66 0 78 1 55 56 1 8 9 0 2 2 0 0 0 2 3 5 0 0 0 1 5 6 5 73
4/22/2019 9 91 0 100 5 63 68 1 19 20 0 7 7 0 0 0 0 3 3 0 2 2 0 0 0 6 94
4/23/2019 14 56 0 70 0 49 49 1 10 11 0 1 1 0 0 0 0 4 4 0 0 0 4 1 5 5 65
4/24/2019 12 65 0 77 2 51 53 2 17 19 0 0 0 0 0 0 0 3 3 0 0 0 2 0 2 6 71
4/25/2019 11 54 0 65 6 37 43 2 10 12 1 3 4 0 0 0 0 3 3 1 0 1 1 1 2 11 54
351 1550 0 1901 40 1251 1291 27 279 306 5 84 89 1 14 15 8 88 96 7 9 16 34 54 88 122 1779
19 96 115 19 96 115
8 183 191 1 14 15
7 9 16
61 173 234 122 1779
ugd,rwtan 183 426 0 609 239 370 609
PENYULUHAN 2260
LANSIA B=3 344
PERKESMAS B=36 L=24
BALITA T=1444 B=20
TOTAL
100
46
88
80
48
95
105
76
82
52
97
95
81
78
61
57
79
103
88
78
100
70
77
65
1901
1901
PUSKESMAS : TALAWI
BULAN : APRIL 2019

1 Puskesmas Induk 351 1550 0 1901 40 1251 1291 5 84 89 8 183 191 8 88 96 61 173 234 122 1779 1901
2 UGD DAN RAWATAN 183 426 0 609 0 0 0 0 0 0 0 0 0 239 370 609 0 0 0 239 370 609
13 Polindes Rantih 7 94 5 106 0 88 88 0 3 3 1 14 15 0 0 0 0 0 0 1 105 106
Jumlah 3 s/d 13 36 639 12 687 18 557 575 1 11 12 4 94 98 0 0 0 2 0 2 25 662 687
Total 1 s/d 13 570 2615 12 3197 58 1808 1866 6 95 101 12 277 289 247 458 705 63 173 236 386 2811 3197
1 Puskesmas Induk 40 1251 1291 5 84 89 8 183 191 8 88 96 61 1606 1667
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 239 370 609 239 370 609
13 Polindes Rantih 0 88 88 0 3 3 1 14 15 0 0 0 1 105 106
Jumlah 3 s/d 13 18 557 575 1 11 12 4 94 98 0 0 0 23 662 685
Total 1 s/d 13 58 1808 1866 6 95 101 12 277 289 247 458 705 323 2638 2961
TALAWI, 30 APRIL 2019

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
May-19
BP KIA
TANGGAL Bayar bpjs lain" jumlah
B L JML B L
4/26/2019 13 44 0 57 1 42 43 1 9
4/27/2019 8 44 0 52 2 35 37 0 8
4/29/2019 12 93 0 105 0 70 70 1 17
4/30/2019 17 92 0 109 2 70 72 2 16
5/2/2019 15 57 0 72 2 41 43 1 10
5/3/2019 9 48 0 57 0 34 34 1 12
5/4/2019 10 44 0 54 0 34 34 0 9
5/6/2019 11 54 0 65 0 40 40 1 13
5/7/2019 13 90 0 103 3 72 75 0 17
5/8/2019 8 49 0 57 2 37 39 0 8
5/9/2019 15 46 0 61 1 30 31 3 11
5/10/2019 19 47 0 66 2 43 45 1 12
5/11/2019 9 37 0 46 1 28 29 0 7
5/13/2019 18 66 0 84 1 53 54 0 18
5/14/2019 17 93 0 110 4 74 78 0 21
5/15/2019 4 38 0 42 1 32 33 0 9
5/16/2019 13 47 0 60 1 36 37 2 11
5/17/2019 5 49 0 54 0 35 35 1 13
5/18/2019 9 48 0 57 1 39 40 0 9
5/20/2019 8 64 0 72 1 56 57 0 11
5/21/2019 9 60 0 69 0 54 54 1 8
5/22/2019 9 32 0 41 4 21 25 1 12
5/23/2019 8 43 0 51 0 35 35 2 8
5/24/2019 4 35 0 39 0 27 27 0 6
5/25/2019 1 43 0 44 1 29 30 0 7
264 1363 0 1627 30 1067 1097 18 282
11 115
7 167
ugd,rwtan 205 358 0 563
pnyluhan 966
pkmas B; 37 L; 22
lansia 2947
balita B; 31 T; 1557
KIA GIGI KB UGD
10 0 1 1 0 0 0 0 0 0
8 0 3 3 0 1 1 0 3 3
18 0 8 8 0 1 1 0 6 6
18 0 9 9 0 0 0 2 4 6
11 1 4 5 0 1 1 0 5 5
13 0 5 5 0 1 1 0 2 2
9 1 5 6 0 2 2 0 2 2
14 0 3 3 1 0 1 2 4 6
17 0 1 1 0 2 2 0 6 6
8 1 1 2 0 0 0 1 3 4
14 0 2 2 0 1 1 2 3 5
13 0 1 1 0 1 1 1 4 5
7 0 4 4 0 1 1 0 2 2
18 0 2 2 0 1 1 1 0 1
21 0 4 4 0 0 0 0 2 2
9 0 0 0 0 0 0 0 0 0
13 0 1 1 0 0 0 0 5 5
14 0 3 3 0 0 0 0 1 1
9 0 2 2 1 1 2 0 3 3
11 0 3 3 0 0 0 0 1 1
9 0 0 0 0 0 0 1 2 3
13 0 0 0 0 0 0 0 2 2
10 0 1 1 0 0 0 0 2 2
6 0 2 2 0 0 0 0 3 3
7 0 3 3 0 0 0 0 4 4
300 3 68 71 2 13 15 10 69 79
126
174
144 419 563

IMUNISASI LAIN-LAIN
BARU LAMA TOTAL
B L JML B L JML
0 0 0 2 1 3 4 53 57
0 0 0 0 0 0 2 50 52
0 0 0 1 1 2 2 103 105
0 0 0 2 2 4 8 101 109
1 4 5 1 1 2 6 66 72
0 2 2 0 0 0 1 56 57
0 0 0 1 0 1 2 52 54
0 0 0 0 1 1 4 61 65
0 0 0 0 2 2 3 100 103
1 2 3 0 1 1 5 52 57
3 3 6 0 2 2 9 52 61
0 0 0 0 1 1 4 62 66
0 0 0 2 1 3 3 43 46
0 3 3 2 3 5 4 80 84
0 0 0 2 3 5 6 104 110
0 0 0 0 0 0 1 41 42
1 0 1 2 1 3 6 54 60
0 0 0 0 1 1 1 53 54
0 0 0 1 0 1 3 54 57
0 0 0 0 0 0 1 71 72
0 0 0 1 2 3 3 66 69
0 0 0 1 0 1 6 35 41
0 1 1 0 2 2 2 49 51
0 0 0 0 1 1 0 39 39
0 0 0 0 0 0 1 43 44
6 15 21 18 26 44 87 1540 1627
11 115 126
2 13 15
6 15 21
37 169 206 87 1540 1627
LAPORAN KUNJUNGAN PUS
PUSKESMAS : TALAWI
BULAN : MEI 2019

BP Gigi
B L JML B
1 Puskesmas 264 1363 0 1627 30 1067 1097 3
2 UGD DAN 205 358 0 563 0 0 0 0
3 Puskesmas 0 85 0 85 0 71 71 0
4 Puskesmas 0 23 0 23 0 22 22 0
5 Puskesmas 0 0 0 0 0 0 0 0
6 Puskesmas 5 65 0 70 5 55 60 0
7 Puskesmas 5 94 5 104 0 86 86 0
8 Puskesmas 0 77 0 77 0 68 68 0
9 Puskesmas 6 46 0 52 16 26 42 1
10 Polindes B 9 52 2 63 0 44 44 0
11 Polindes 8 33 2 43 1 36 37 0
12 Polindes D 1 2 0 3 1 2 3 0
13 Polindes R 3 69 5 77 0 66 66 0
Jumlah 3 s 37 546 14 597 23 476 499 1
Total 1 s/ 506 2267 14 2787 53 1543 1596 4
Jumlah 3 s/d 13 23 476 499 1
Total 1 s/d 13 53 1543 1596 4

NIP 19830307 201001 2 029
KUNJUNGAN PUSKESMAS DALAM DAN LUAR GEDUNG
JENIS PELAYANAN
Gigi KIA UGD LAIN-LAIN
68 71 7 167 174 10 69 79 37 169

0 0 0 0 0 144 419 563 0 0
0 0 1 13 14 0 0 0 0 0
1 1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 2 2 6 8 0 0 0 0 0
2 2 0 16 16 0 0 0 0 0
0 0 0 9 9 0 0 0 0 0
0 1 0 7 7 2 0 2 0 0
1 1 0 18 18 0 0 0 0 0
0 0 1 5 6 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 2 0 9 9 0 0 0 0 0
8 9 4 83 87 2 0 2 0 0
76 80 11 250 261 156 488 644 37 169
68 71 7 167 174 10 69 79
0 0 0 0 0 144 419 563
0 0 1 13 14 0 0 0
1 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2 2 2 6 8 0 0 0
2 2 0 16 16 0 0 0
0 0 0 9 9 0 0 0
0 1 0 7 7 2 0 2
1 1 0 18 18 0 0 0
0 0 1 5 6 0 0 0
0 0 0 0 0 0 0 0
2 2 0 9 9 0 0 0
8 9 4 83 87 2 0 2
76 80 11 250 261 156 488 644
Talawi, 31 MEI 2019
Penanggungjawab RM & Pendaftaran
NENGSI JUITA, SKM

NIP 19830217 200604 2007
JML
206 87 1540 1627

0 144 419 563
0 1 84 85
0 0 23 23
0 0 0 0
0 7 63 70
0 0 104 104
0 0 77 77
0 19 33 52
0 0 63 63
0 2 41 43
0 1 2 3
0 0 77 77
0 30 567 597
206 261 2526 2787
50 1371 1421
144 419 563
1 84 85
0 23 23
0 0 0
7 63 70
0 104 104
0 77 77
19 33 52
0 63 63
2 41 43
1 2 3
0 77 77
30 567 597
224 2357 2581
68 5461 5529
329 7987 8316
PUSKESMAS : TALAWI
BULAN : JUNI 2019

1 Puskesmas Induk 286 1229 0 1515 38 1005 1043 11 70 81 11 132 143 4 69 73 41 134 175 105 1410 1515
2 UGD DAN RAWATAN 238 464 0 702 0 0 0 0 0 0 0 0 0 327 375 702 0 0 0 327 375 702
13 Polindes Rantih 5 44 4 53 0 46 46 0 1 1 0 6 6 0 0 0 0 0 0 0 53 53
Jumlah 3 s/d 13 38 483 6 527 15 439 454 0 6 6 3 64 67 0 0 0 0 0 0 18 509 527
Total 1 s/d 13 562 2176 6 2744 53 1444 1497 11 76 87 14 196 210 331 444 775 41 134 175 450 2294 2744
1 Puskesmas Induk 38 1005 1043 11 70 81 11 132 143 4 69 73 64 1276 1340
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 327 375 702 327 375 702
13 Polindes Rantih 0 46 46 0 1 1 0 6 6 0 0 0 0 53 53
Jumlah 3 s/d 13 15 439 454 0 6 6 3 64 67 0 0 0 18 509 527
Total 1 s/d 13 53 1444 1497 11 76 87 14 196 210 331 444 775 409 2160 2569
TALAWI, 30 JUNI 2019

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
Jun-19
5/27/2019 14 55 0 69 4 52 56 1 6 7 0 1 1 0 1 1 0 3 3 0 0 0 0 1 1 5 64
5/28/2019 18 81 0 99 1 73 74 0 17 17 0 0 0 0 2 2 0 5 5 0 0 0 0 1 1 1 98
5/29/2019 14 50 0 64 3 43 46 2 7 9 0 4 4 0 1 1 0 1 1 0 1 1 0 2 2 5 59
5/31/2019 19 53 0 72 1 50 51 3 10 13 0 0 0 0 3 3 0 3 3 1 0 1 0 1 1 5 67
6/10/2019 16 109 0 125 2 96 98 0 9 9 0 10 10 0 0 0 0 4 4 0 0 0 2 2 4 4 121
6/11/2019 21 98 0 119 4 78 82 2 13 15 1 7 8 0 2 2 0 3 3 0 0 0 3 6 9 10 109
6/12/2019 14 68 0 82 2 47 49 2 14 16 2 5 7 0 1 1 0 4 4 0 2 2 0 3 3 6 76
6/13/2019 12 69 0 81 1 49 50 1 17 18 0 4 4 0 1 1 0 4 4 0 0 0 2 2 4 4 77
6/14/2019 14 46 0 60 1 41 42 2 11 13 1 1 2 0 0 0 0 1 1 0 0 0 2 0 2 6 54
6/15/2019 7 50 0 57 0 39 39 2 4 6 2 2 4 0 1 1 0 3 3 0 0 0 2 2 4 6 51
6/17/2019 11 87 0 98 3 65 68 1 13 14 1 8 9 0 0 0 0 7 7 0 0 0 0 0 0 5 93
6/18/2019 14 79 0 93 2 63 65 2 16 18 1 4 5 0 0 0 0 3 3 0 0 0 2 0 2 7 86
6/19/2019 21 45 0 66 3 35 38 2 11 13 1 3 4 0 0 0 0 3 3 0 0 0 8 0 8 14 52
6/20/2019 21 59 0 80 0 49 49 0 8 8 0 1 1 0 2 2 1 8 9 1 0 1 2 8 10 4 76
6/21/2019 12 58 0 70 0 45 45 0 10 10 0 4 4 0 0 0 1 5 6 0 0 0 4 1 5 5 65
6/22/2019 14 35 0 49 2 32 34 0 9 9 0 3 3 0 1 1 0 0 0 0 0 0 0 2 2 2 47
6/24/2019 22 82 104 2 63 65 2 16 18 1 8 9 0 1 1 1 6 7 0 2 2 0 2 2 6 98
6/25/2019 22 105 0 127 7 85 92 0 18 18 1 5 6 0 0 0 1 6 7 0 0 0 1 3 4 10 117
286 1229 0 1515 38 1005 1043 22 209 231 11 70 81 0 16 16 4 69 73 2 5 7 28 36 64 105 1410
11 77 88 11 77 88
11 132 143 0 16 16
2 5 7
41 134 175 105 1410
ugd,rwtan 238 464 0 702 327 375 702 327 375
PENYULUHAN 1203
LANSIA B0 L295
PERKESMAS B 24 L 35
BALITA B 39 T 1407
TOTAL
69
99
64
72
125
119
82
81
60
57
98
93
66
80
70
49
104
127
1515
1515
702
Jul-19
6/26/2019 14 63 0 77 0 48 48 1 13 14 0 7 7 0 0 0 1 3 4 1 0 1 2 1 3 5 72
6/27/2019 9 50 0 59 1 39 40 1 7 8 1 3 4 0 0 0 1 5 6 0 0 0 1 0 1 5 54
6/28/2019 10 58 0 68 0 48 48 1 9 10 0 3 3 0 0 0 0 5 5 0 0 0 1 1 2 2 66
6/29/2019 5 32 0 37 0 27 27 1 3 4 0 0 0 0 0 0 0 4 4 0 0 0 1 1 2 2 35
7/1/2019 21 69 0 90 2 51 53 0 12 12 0 10 10 0 2 2 2 7 9 0 0 0 0 4 4 4 86
7/2/2019 10 79 0 89 0 62 62 0 7 7 2 11 13 0 2 2 2 0 2 0 0 0 1 2 3 5 84
7/3/2019 14 53 0 67 0 48 48 0 8 8 0 4 4 0 0 0 0 3 3 1 2 3 0 1 1 1 66
7/4/2019 49 54 0 103 2 43 45 1 15 16 0 2 2 0 1 1 0 4 4 0 0 0 22 13 35 25 78
7/5/2019 22 59 0 81 1 37 38 2 18 20 2 9 11 0 1 1 0 5 5 1 0 1 1 4 5 7 74
7/6/2019 11 49 0 60 2 35 37 1 9 10 1 4 5 0 2 2 0 4 4 0 0 0 1 1 2 5 55
7/8/2019 15 82 0 97 2 57 59 0 13 13 2 12 14 0 1 1 0 7 7 1 0 1 0 2 2 5 92
7/9/2019 30 86 0 116 2 76 78 4 17 21 0 7 7 0 0 0 1 3 4 0 1 1 0 5 5 7 109
7/10/2019 12 60 0 72 2 40 42 1 7 8 0 8 8 0 1 1 1 1 2 1 2 3 1 7 8 6 66
7/11/2019 34 60 0 94 2 45 47 1 13 14 0 5 5 0 1 1 0 4 4 4 2 6 5 12 17 12 82
7/12/2019 16 36 0 52 1 35 36 0 1 1 0 3 3 0 1 1 1 3 4 0 0 0 3 4 7 5 47
7/13/2019 13 34 0 47 2 24 26 0 3 3 0 7 7 0 1 1 3 3 6 0 1 1 1 2 3 6 41
7/15/2019 16 60 0 76 2 46 48 1 12 13 1 5 6 0 0 0 0 6 6 0 1 1 1 1 2 5 71
7/16/2019 10 63 0 73 3 49 52 1 13 14 1 3 4 0 0 0 0 1 1 0 0 0 0 2 2 5 68
7/17/2019 11 54 0 65 2 41 43 3 4 7 0 7 7 0 1 1 2 4 6 0 1 1 0 0 0 7 58
7/18/2019 12 37 0 49 1 28 29 1 7 8 0 5 5 0 2 2 1 1 2 0 0 0 1 2 3 4 45
7/19/2019 10 51 0 61 4 39 43 0 10 10 0 3 3 0 0 0 0 2 2 0 0 0 1 2 3 5 56
7/20/2019 13 43 0 56 2 34 36 0 5 5 1 8 9 0 0 0 0 3 3 0 0 0 1 2 3 4 52
7/22/2019 18 69 0 87 3 61 64 1 13 14 1 3 4 0 0 0 0 1 1 0 0 0 1 3 4 6 81
7/23/2019 22 80 0 102 1 65 66 3 15 18 1 8 9 0 0 0 0 2 2 0 0 0 2 5 7 7 95
7/24/2019 17 56 0 73 3 47 50 2 9 11 1 3 4 0 0 0 0 5 5 0 0 0 2 1 3 8 65
7/25/2019 10 36 0 46 2 32 34 0 7 7 2 0 2 0 0 0 0 1 1 0 0 0 0 2 2 4 42
424 1473 0 1897 42 1157 1199 26 250 276 16 140 156 0 16 16 15 87 102 9 10 19 49 80 129 157 1740
19 91 110 19 91 110
7 159 166 0 16 16
9 10 19
77 197 274 157 1740
ugd,rwtn 193 383 0 576 239 337 576
Lansia B: 9 343 T:352

PERKESMAS B;37 L;29
PENYULUHAN 3994
TOTAL
77
59
68
37
90
89
67
103
81
60
97
116
72
94
52
47
76
73
65
49
61
56
87
102
73
46
1897
1897
PUSKESMAS : TALAWI
BULAN : JULI 2019

1 Puskesmas Induk 424 1473 0 1897 42 1157 1199 16 140 156 7 159 166 15 87 102 77 197 274 157 1740 1897
2 UGD DAN RAWATAN 193 383 0 576 0 0 0 0 0 0 0 0 0 239 337 576 0 0 0 239 337 576
13 Polindes Rantih 2 56 6 64 0 51 51 0 3 3 0 10 10 0 0 0 0 0 0 0 64 64
Jumlah 3 s/d 13 35 583 10 628 14 534 548 2 8 10 5 64 69 0 1 1 0 0 0 21 607 628
Total 1 s/d 13 652 2439 10 3101 56 1691 1747 18 148 166 12 223 235 254 425 679 77 197 274 417 2684 3101
1 Puskesmas Induk 42 1157 1199 16 140 156 7 159 166 15 87 102 80 1543 1623
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 239 337 576 239 337 576
13 Polindes Rantih 0 51 51 0 3 3 0 10 10 0 0 0 0 64 64
Jumlah 3 s/d 13 14 534 548 2 8 10 5 64 69 0 1 1 21 607 628
Total 1 s/d 13 56 1691 1747 18 148 166 12 223 235 254 425 679 340 2487 2827
TALAWI, 31 JULI 2019

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
Aug-19
7/26/2019 18 35 0 53 2 29 31 1 7 8 2 4 6 0 0 0 0 4 4 0 0 0 0 4 4 5 48
7/27/2019 12 37 0 49 0 35 35 0 7 7 0 3 3 0 0 0 0 2 2 0 1 1 1 0 1 1 48
7/29/2019 17 82 0 99 4 57 61 2 16 18 0 9 9 0 0 0 1 5 6 0 0 0 3 2 5 10 89
7/30/2019 22 74 0 96 1 66 67 2 13 15 0 4 4 0 0 0 0 3 3 0 0 0 3 4 7 6 90
7/31/2019 12 50 0 62 5 38 43 1 10 11 0 3 3 0 0 0 0 1 1 0 0 0 1 3 4 7 55
8/1/2019 17 39 0 56 3 31 34 1 7 8 0 2 2 0 2 2 2 2 4 0 0 0 1 5 6 7 49
8/2/2019 11 50 0 61 1 46 47 1 3 4 0 5 5 0 0 0 1 2 3 0 0 0 2 0 2 5 56
8/3/2019 8 22 0 30 0 24 24 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0 2 2 2 28
8/5/2019 20 67 0 87 0 61 61 2 9 11 0 2 2 0 1 1 0 2 2 0 0 0 6 4 10 8 79
8/6/2019 19 68 0 87 5 54 59 5 12 17 0 5 5 0 0 0 0 3 3 0 0 0 3 0 3 13 74
8/7/2019 10 63 0 73 4 42 46 2 15 17 0 4 4 0 0 0 0 3 3 0 0 0 1 2 3 7 66
8/8/2019 15 57 0 72 2 43 45 1 14 15 1 1 2 0 3 3 0 3 3 0 2 2 1 1 2 5 67
8/9/2019 9 44 0 53 3 34 37 4 7 11 0 1 1 0 0 0 0 2 2 0 0 0 2 0 2 9 44
8/10/2019 7 30 0 37 2 22 24 0 3 3 2 3 5 0 1 1 1 2 3 0 0 0 0 1 1 5 32
8/12/2019 13 64 0 77 5 49 54 0 9 9 1 4 5 0 0 0 3 3 6 0 0 0 2 1 3 11 66
8/13/2019 15 77 0 92 3 60 63 5 10 15 1 5 6 0 0 0 2 2 4 0 0 0 1 3 4 12 80
8/14/2019 22 60 0 82 7 46 53 2 18 20 0 1 1 0 1 1 0 3 3 0 1 1 2 1 3 11 71
8/15/2019 25 44 0 69 1 41 42 3 5 8 0 3 3 0 1 1 2 1 3 0 1 1 3 8 11 9 60
8/16/2019 32 39 0 71 0 33 33 2 8 10 0 4 4 0 0 0 0 3 3 0 0 0 8 13 21 10 61
8/19/2019 13 89 0 102 3 74 77 1 13 14 0 5 5 0 0 0 1 3 4 0 0 0 0 2 2 5 97
8/20/2019 20 93 0 113 5 78 83 3 19 22 1 4 5 0 0 0 0 1 1 0 0 0 1 1 2 10 103
8/21/2019 13 59 0 72 3 44 47 3 13 16 0 2 2 0 1 1 3 1 4 1 1 2 0 0 0 10 62
8/22/2019 17 62 0 79 3 45 48 0 12 12 1 4 5 0 5 5 0 4 4 0 2 2 0 3 3 4 75
8/23/2019 8 53 0 61 0 40 40 0 8 8 0 5 5 0 0 0 2 4 6 0 0 0 1 1 2 3 58
8/24/2019 8 53 0 61 3 41 44 0 10 10 0 3 3 0 0 0 0 3 3 0 0 0 0 1 1 3 58
383 1411 0 1794 65 1133 1198 41 248 289 10 88 98 0 15 15 19 62 81 1 8 9 42 62 104 178 1616
19 71 90 19 71 90
22 177 199 0 15 15
1 8 9
62 156 218 178 1616
ugd,rwt 238 415 0 653 302 351 653
lansia b;1 l;309

penyuluhan 3215
PERKESMAS B;29 L;24
TOTAL
53
49
99
96
62
56
61
30
87
87
73
72
53
37
77
92
82
69
71
102
113
72
79
61
61
1794
1794
PUSKESMAS : TALAWI
BULAN : Agustus 2019

1 Puskesmas Induk 383 1411 0 1794 65 1133 1198 10 88 98 22 177 199 19 62 81 62 156 218 178 1616 1794
2 UGD DAN RAWATAN 238 415 0 653 0 0 0 0 0 0 0 0 0 302 351 653 0 0 0 302 351 653
13 Polindes Rantih 9 65 3 77 0 65 65 0 7 7 1 4 5 0 0 0 0 0 0 1 76 77
Jumlah 3 s/d 13 37 524 12 573 20 481 501 0 11 11 8 52 60 0 1 1 0 0 0 28 545 573
Total 1 s/d 13 658 2350 12 3020 85 1614 1699 10 99 109 30 229 259 321 414 735 62 156 218 508 2512 3020
1 Puskesmas Induk 65 1133 1198 10 88 98 22 177 199 19 62 81 116 1460 1576
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 302 351 653 302 351 653
13 Polindes Rantih 0 65 65 0 7 7 1 4 5 0 0 0 1 76 77
Jumlah 3 s/d 13 20 481 501 0 11 11 8 52 60 0 1 1 28 545 573
Total 1 s/d 13 85 1614 1699 10 99 109 30 229 259 321 414 735 446 2356 2802
TALAWI, 31 Agustus 2019

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
Sep-19
8/26/2019 22 66 0 88 4 53 57 1 14 15 0 3 3 0 1 1 4 3 7 0 0 0 2 3 5 11 77
8/27/2019 14 71 0 85 8 57 65 1 9 10 0 3 3 0 0 0 1 2 3 0 0 0 3 1 4 13 72
8/28/2019 26 58 0 84 0 45 45 0 12 12 0 9 9 0 1 1 0 6 6 1 1 2 4 5 9 5 79
8/29/2019 13 59 0 72 1 47 48 2 10 12 2 5 7 0 0 0 0 3 3 0 0 0 0 2 2 5 67
8/30/2019 15 57 0 72 1 45 46 1 11 12 2 5 7 0 0 0 0 1 1 0 0 0 0 6 6 4 68
8/31/2019 17 50 0 67 3 39 42 1 16 17 0 3 3 0 0 0 0 1 1 0 0 0 3 1 4 7 60
9/2/2019 25 70 0 95 5 63 68 1 14 15 0 8 8 0 0 0 0 2 2 0 0 0 2 0 2 8 87
9/3/2019 16 84 0 100 7 70 77 2 6 8 1 6 7 0 1 1 1 4 5 0 0 0 1 1 2 12 88
9/4/2019 13 60 0 73 7 32 39 2 14 16 5 7 12 0 0 0 1 5 6 0 0 0 0 0 0 15 58
9/5/2019 21 46 0 67 2 39 41 1 14 15 0 8 8 0 0 0 1 1 2 0 1 1 0 0 0 4 63
9/6/2019 12 48 0 60 0 40 40 1 5 6 1 4 5 0 1 1 1 3 4 0 0 0 1 3 4 4 56
9/7/2019 6 43 0 49 2 28 30 1 9 10 0 4 4 0 0 0 0 5 5 0 0 0 0 0 0 3 46
9/9/2019 16 56 0 72 5 49 54 0 13 13 0 2 2 0 0 0 0 3 3 0 0 0 0 0 0 5 67
9/10/2019 14 69 0 83 4 56 60 2 9 11 0 2 2 0 0 0 0 6 6 0 0 0 0 4 4 6 77
9/11/2019 25 56 0 81 4 48 52 0 11 11 1 5 6 0 1 1 1 3 4 0 1 1 3 3 6 9 72
9/12/2019 13 52 0 65 1 36 37 2 14 16 0 7 7 0 1 1 0 2 2 0 1 1 0 1 1 3 62
9/13/2019 8 51 0 59 1 40 41 2 8 10 0 3 3 0 1 1 0 4 4 0 0 0 0 0 0 3 56
9/14/2019 15 64 0 79 3 54 57 1 7 8 0 2 2 0 1 1 1 5 6 0 1 1 2 2 4 7 72
9/16/2019 15 63 0 78 6 44 50 1 15 16 0 3 3 0 0 0 1 5 6 0 0 0 1 2 3 9 69
9/17/2019 19 75 0 94 2 58 60 5 13 18 4 3 7 0 2 2 1 1 2 0 0 0 4 1 5 16 78
9/18/2019 24 68 0 92 6 54 60 2 14 16 0 4 4 0 0 0 0 4 4 0 0 0 3 5 8 11 81
9/19/2019 23 60 0 83 4 46 50 1 10 11 0 3 3 0 1 1 1 5 6 0 2 2 0 10 10 6 77
9/20/2019 11 57 0 68 0 49 49 0 7 7 1 4 5 0 0 0 0 5 5 0 0 0 1 1 2 2 66
9/21/2019 14 52 0 66 3 37 40 2 10 12 0 6 6 0 0 0 0 4 4 0 0 0 4 0 4 9 57
9/23/2019 20 71 0 91 7 43 50 1 19 20 0 8 8 0 1 1 1 6 7 0 0 0 3 2 5 12 79
9/24/2019 15 93 0 108 3 70 73 5 13 18 2 9 11 0 0 0 1 3 4 0 0 0 1 1 2 12 96
9/25/2019 11 63 0 74 1 52 53 0 10 10 0 1 1 0 0 0 2 5 7 1 0 1 1 1 2 5 69
443 1662 0 2105 90 1294 1384 38 307 345 19 127 146 0 12 12 18 97 115 2 7 9 39 55 94 206 1899
ugd,rwt 16 87 103 16 87 103
22 220 242 0 12 12
2 7 9
lansia 387 57 161 218 206 1899
penyuluhan 2804
PERKESMAS B;33 L;26
GIZI b;29 t;1417
ugd,rwtan 221 432 0 653 330 323 653

TOTAL
88
85
84
72
72
67
95
100
73
67
60
49
72
83
81
65
59
79
78
94
92
83
68
66
91
108
74
2105
2105
PUSKESMAS : TALAWI

1 Puskesmas Induk 443 1662 0 2105 90 1294 1384 19 127 146 22 220 242 18 97 115 57 161 218 206 1899 2105
2 UGD DAN RAWATAN 221 432 0 653 0 0 0 0 0 0 0 0 0 330 323 653 0 0 0 330 323 653
13 Polindes Rantih 7 68 7 82 2 71 73 0 0 0 0 9 9 0 0 0 0 0 0 2 80 82
Jumlah 3 s/d 13 29 642 9 680 20 580 600 1 7 8 4 67 71 0 1 1 0 0 0 25 655 680
Total 1 s/d 13 693 2736 9 3438 110 1874 1984 20 134 154 26 287 313 348 421 769 57 161 218 561 2877 3438
1 Puskesmas Induk 90 1294 1384 19 127 146 22 220 242 18 97 115 149 1738 1887
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 330 323 653 330 323 653
13 Polindes Rantih 2 71 73 0 0 0 0 9 9 0 0 0 2 80 82
Jumlah 3 s/d 13 20 580 600 1 7 8 4 67 71 0 1 1 25 655 680
Total 1 s/d 13 110 1874 1984 20 134 154 26 287 313 348 421 769 504 2716 3220
TALAWI, 30 september 2019

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
PUSKESMAS : TALAWI

1 Puskesmas Induk 371 1374 1 1746 85 1065 1150 9 101 110 14 200 214 14 85 99 61 112 173 183 1563 1746
2 UGD DAN RAWATAN 170 383 0 553 0 0 0 0 0 0 0 0 0 267 286 553 0 0 0 267 286 553
13 Polindes Rantih 7 78 8 93 1 73 74 0 2 2 4 13 17 0 0 0 0 0 0 5 88 93
Jumlah 3 s/d 13 27 517 12 556 16 460 476 1 6 7 6 62 68 0 4 4 0 1 1 23 533 556
Total 1 s/d 13 568 2274 13 2855 101 1525 1626 10 107 117 20 262 282 281 375 656 61 113 174 473 2382 2855
1 Puskesmas Induk 85 1065 1150 9 101 110 14 200 214 14 85 99 122 1451 1573
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 267 286 553 267 286 553
13 Polindes Rantih 1 73 74 0 2 2 4 13 17 0 0 0 5 88 93
Jumlah 3 s/d 13 16 460 476 1 6 7 6 62 68 0 4 4 23 532 555
Total 1 s/d 13 101 1525 1626 10 107 117 20 262 282 281 375 656 412 2269 2681
TALAWI, 31 OKTROBER 2019
Kasubag TU
Ns.SRI SUASTI, S.Kep NENGSI JUITA, SKM

NIP 19770502 200501 2 009 NIP 19830217 200604 2007
Oct-19
9/26/2019 16 56 0 72 6 39 45 2 10 12 1 4 5 0 0 0 2 5 7 0 1 1 0 2 2 11 61
9/27/2019 8 53 0 61 2 33 35 1 10 11 0 5 5 0 1 1 0 7 7 0 0 0 1 1 2 4 57
9/28/2019 15 48 0 63 0 43 43 0 8 8 0 2 2 0 2 2 3 1 4 0 1 1 1 2 3 4 59
9/30/2019 15 77 0 92 4 63 67 2 13 15 0 3 3 0 0 0 1 3 4 0 0 0 2 1 3 9 83
10/1/2019 34 71 0 105 6 65 71 3 13 16 2 3 5 0 1 1 0 4 4 0 0 0 7 1 8 18 87
10/2/2019 24 40 0 64 4 34 38 0 8 8 0 1 1 0 3 3 0 5 5 0 1 1 1 7 8 5 59
10/3/2019 12 36 0 48 6 28 34 0 7 7 0 3 3 0 0 0 0 4 4 0 0 0 0 0 0 6 42
10/4/2019 4 45 1 50 1 30 31 1 9 10 0 4 4 0 1 1 0 2 2 0 0 0 0 2 2 2 48
10/5/2019 8 46 0 54 2 35 37 0 2 2 0 9 9 0 0 0 0 5 5 0 0 0 1 0 1 3 51
10/7/2019 18 61 0 79 3 45 48 1 12 13 0 3 3 0 1 1 1 7 8 1 0 1 3 2 5 9 70
10/8/2019 25 65 0 90 3 61 64 0 8 8 0 8 8 0 1 1 0 3 3 0 0 0 4 2 6 7 83
10/9/2019 11 48 0 59 1 35 36 3 15 18 0 3 3 0 0 0 0 2 2 0 0 0 0 0 0 4 55
10/10/2019 19 51 0 70 3 33 36 3 16 19 1 4 5 0 1 1 2 6 8 0 0 0 1 0 1 10 60
10/11/2019 8 51 0 59 5 37 42 1 11 12 0 1 1 0 1 1 0 2 2 0 1 1 0 0 0 6 53
10/12/2019 13 39 0 52 3 36 39 1 6 7 0 2 2 0 1 1 0 2 2 0 0 0 0 1 1 4 48
10/14/2019 14 53 0 67 2 46 48 0 11 11 0 3 3 0 1 1 0 3 3 0 0 0 0 1 1 2 65
10/15/2019 19 83 0 102 6 61 67 3 21 24 1 5 6 0 0 0 0 1 1 1 1 2 1 1 2 12 90
10/16/2019 11 48 0 59 4 36 40 3 5 8 0 3 3 0 0 0 1 1 2 5 0 5 0 1 1 13 46
10/17/2019 7 49 0 56 2 38 40 0 3 3 0 5 5 0 2 2 0 3 3 0 1 1 1 1 2 3 53
10/18/2019 16 47 0 63 2 33 35 3 12 15 1 4 5 0 0 0 0 0 0 0 0 0 4 4 8 10 53
10/19/2019 10 37 0 47 4 28 32 1 11 12 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 5 42
10/21/2019 24 63 0 87 6 47 53 4 14 18 1 8 9 0 0 0 3 2 5 0 0 0 1 1 2 15 72
10/22/2019 16 60 0 76 6 52 58 2 2 4 1 6 7 0 0 0 1 5 6 0 0 0 0 1 1 10 66
10/23/2019 6 43 0 49 2 29 31 1 7 8 0 4 4 0 0 0 0 2 2 0 3 3 0 1 1 3 46
10/24/2019 9 65 0 74 1 46 47 1 15 16 1 6 7 0 0 0 0 4 4 0 0 0 0 0 0 3 71
10/25/2019 9 39 0 48 1 32 33 1 4 5 0 2 2 0 0 0 0 3 3 0 0 0 3 2 5 5 43
371 1374 1 1746 85 1065 1150 37 253 290 9 101 110 0 16 16 14 85 99 7 9 16 31 34 65 183 1563
lansia 23 53 76 23 53 76
penyuluhan 14 200 214 0 16 16
PERKESMAS 7 9 16
GIZI 61 112 173 183 1563
ugd,rwtan 170 383 0 553 267 286 553 267 286
balita ditimbang B: 30 T:1560

lansia B; 7 L : 327 T: 334
perkesmas B: 27 L: 20 T: 47
penyuluhan: 2280
TOTAL
72
61
63
92
105
64
48
50
54
79
90
59
70
59
52
67
102
59
56
63
47
87
76
49
74
48
1746
1746
553
Nov-19
10/26/2019 11 42 0 53 1 26 27 2 13 15 0 3 3 0 2 2 0 6 6 0 0 0 0 0 0 3 50
10/28/2019 20 64 0 84 3 47 50 1 12 13 0 4 4 0 1 1 1 3 4 0 0 0 0 12 12 5 79
10/29/2019 17 75 0 92 3 63 66 0 12 12 1 6 7 0 0 0 0 1 1 1 0 1 4 1 5 9 83
10/30/2019 3 65 0 68 1 43 44 0 14 14 0 4 4 0 0 0 0 4 4 0 0 0 0 2 2 1 67
10/31/2019 21 57 0 78 3 40 43 3 15 18 0 6 6 0 1 1 1 3 4 0 0 0 3 3 6 10 68
11/1/2019 12 42 0 54 1 34 35 0 8 8 0 4 4 0 0 0 1 2 3 0 1 1 3 0 3 5 49
11/2/2019 12 43 0 55 3 34 37 0 11 11 0 0 0 2 0 2 0 4 4 0 0 0 1 0 1 6 49
11/4/2019 13 62 0 75 3 54 57 2 6 8 1 5 6 0 0 0 1 2 3 0 0 0 0 1 1 7 68
11/5/2019 20 74 0 94 2 57 59 1 11 12 2 7 9 0 0 0 1 6 7 0 2 2 4 1 5 10 84
11/6/2019 15 55 0 70 4 40 44 1 7 8 0 3 3 0 0 0 1 10 11 0 3 3 1 0 1 7 63
11/7/2019 10 45 0 55 1 29 30 0 11 11 1 3 4 1 1 2 2 4 6 0 0 0 2 0 2 7 48
11/8/2019 9 54 0 63 2 35 37 1 11 12 2 6 8 0 0 0 0 4 4 0 0 0 1 1 2 6 57
11/11/2019 23 75 0 98 3 62 65 0 13 13 0 6 6 0 0 0 2 6 8 0 0 0 1 5 6 6 92
11/12/2019 23 74 0 97 4 60 64 6 13 19 0 5 5 0 0 0 3 3 6 0 0 0 1 2 3 14 83
11/13/2019 14 45 0 59 5 32 37 0 6 6 0 4 4 0 0 0 2 5 7 0 1 1 4 0 4 11 48
11/14/2019 17 45 0 62 1 30 31 2 15 17 0 3 3 0 0 0 0 3 3 1 0 1 5 2 7 9 53
11/15/2019 7 44 0 51 2 32 34 1 11 12 1 1 2 0 1 1 0 2 2 0 0 0 0 0 0 4 47
11/16/2019 15 32 0 47 1 34 35 0 6 6 0 3 3 0 0 0 0 2 2 0 1 1 0 0 0 1 46
11/18/2019 10 65 0 75 2 53 55 1 10 11 0 3 3 0 1 1 0 3 3 0 0 0 0 2 2 3 72
11/19/2019 24 55 0 79 2 53 55 1 10 11 0 3 3 0 0 0 1 3 4 0 0 0 3 3 6 7 72
11/20/2019 24 53 0 77 5 44 49 7 9 16 0 3 3 0 0 0 3 1 4 1 0 1 0 4 4 16 61
11/21/2019 10 40 0 50 4 34 38 1 2 3 0 3 3 0 0 0 0 2 2 1 0 1 2 1 3 8 42
11/22/2019 13 44 0 57 3 39 42 1 5 6 0 0 0 0 0 0 0 4 4 0 0 0 0 5 5 4 53
11/23/2019 5 38 0 43 1 33 34 0 3 3 1 3 4 0 0 0 0 0 0 0 1 1 0 1 1 2 41
11/25/2019 25 68 0 93 4 45 49 3 15 18 3 6 9 0 0 0 3 2 5 0 0 0 7 5 12 20 73
373 1356 0 1729 64 1053 1117 34 249 283 12 94 106 3 7 10 22 85 107 4 9 13 42 51 93 181 1548
16 88 104 16 88 104
18 161 179 3 7 10
4 9 13
65 155 220 181 1548
UGD,RWT 190 407 0 597 255 342 597
balita ditimbang B: 20 T:1487

lansia B; 12 L : 316 T: 328
perkesmas B: 25 L: 38 T: 63
penyuluhan 2479
TOTAL
53
84
92
68
78
54
55
75
94
70
55
63
98
97
59
62
51
47
75
79
77
50
57
43
93
1729
1729
PUSKESMAS : TALAWI

1 Puskesmas Induk 373 1356 0 1729 64 1053 1117 12 94 106 18 161 179 22 85 107 65 155 220 181 1548 1729
2 UGD DAN RAWATAN 190 407 0 597 0 0 0 0 0 0 0 0 0 255 342 597 0 0 0 255 342 597
13 Polindes Rantih 5 61 4 70 0 66 66 0 0 0 0 4 4 0 0 0 0 0 0 0 70 70
Jumlah 3 s/d 13 30 528 12 570 31 470 501 0 2 2 6 59 65 0 2 2 0 0 0 37 533 570
Total 1 s/d 13 593 2291 12 2896 95 1523 1618 12 96 108 24 220 244 277 429 706 65 155 220 473 2423 2896
1 Puskesmas Induk 64 1053 1117 12 94 106 18 161 179 22 85 107 116 1393 1509
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 255 342 597 255 342 597
13 Polindes Rantih 0 66 66 0 0 0 0 4 4 0 0 0 0 70 70
Jumlah 3 s/d 13 31 470 501 0 2 2 6 59 65 0 2 2 37 533 570
Total 1 s/d 13 95 1523 1618 12 96 108 24 220 244 277 429 706 408 2268 2676
TALAWI, 30 NOVEMBER 2019

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
PUSKESMAS : TALAWI

1 Puskesmas Induk 256 1123 0 1379 50 891 941 6 58 64 12 138 150 16 46 62 59 103 162 143 1236 1379
2 UGD DAN RAWATAN 138 310 0 448 0 0 0 0 0 0 0 0 0 149 299 448 0 0 0 149 299 448
13 Polindes Rantih 6 46 8 60 0 58 58 0 0 0 0 2 2 0 0 0 0 0 0 0 60 60
Jumlah 3 s/d 13 36 457 9 502 20 429 449 1 3 4 3 46 49 0 0 0 0 0 0 24 478 502
Total 1 s/d 13 430 1890 9 2329 70 1320 1390 7 61 68 15 184 199 165 345 510 59 103 162 316 2013 2329
1 Puskesmas Induk 50 891 941 6 58 64 12 138 150 16 46 62 84 1133 1217
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 149 299 448 149 299 448
13 Polindes Rantih 0 58 58 0 0 0 0 2 2 0 0 0 0 60 60
Jumlah 3 s/d 13 20 429 449 1 3 4 3 46 49 0 0 0 24 478 502
Total 1 s/d 13 70 1320 1390 7 61 68 15 184 199 165 345 510 257 1910 2167
TALAWI, 31 DESEMBER 2019

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
Dec-19
11/26/2019 6 78 0 84 5 61 66 2 6 8 0 4 4 0 0 0 1 2 3 0 0 0 1 2 3 9 75
11/27/2019 8 52 0 60 2 39 41 1 10 11 1 1 2 0 0 0 0 4 4 0 1 1 1 0 1 5 55
11/28/2019 28 54 0 82 3 45 48 2 15 17 1 1 2 2 1 3 0 2 2 0 0 0 6 4 10 14 68
11/29/2019 7 43 0 50 4 30 34 1 11 12 0 1 1 0 0 0 0 2 2 0 0 0 1 0 1 6 44
11/30/2019 13 48 0 61 1 36 37 0 9 9 0 4 4 1 2 3 1 5 6 0 0 0 0 2 2 3 58
12/2/2019 15 62 0 77 1 54 55 2 8 10 0 2 2 0 1 1 1 1 2 1 1 2 4 1 5 9 68
12/3/2019 3 32 0 35 2 26 28 0 1 1 0 2 2 0 0 0 1 3 4 0 0 0 0 0 0 3 32
12/4/2019 15 52 0 67 2 45 47 1 8 9 0 4 4 0 0 0 1 1 2 0 2 2 1 2 3 5 62
12/5/2019 9 42 0 51 2 31 33 0 6 6 1 3 4 0 1 1 2 2 4 0 1 1 0 2 2 5 46
12/6/2019 6 59 0 65 1 46 47 0 8 8 1 4 5 0 1 1 0 2 2 0 0 0 2 0 2 4 61
12/7/2019 10 45 0 55 3 40 43 1 5 6 0 3 3 0 2 2 0 1 1 0 0 0 0 0 0 4 51
12/9/2019 16 60 0 76 4 46 50 0 14 14 0 4 4 0 0 0 1 1 2 0 0 0 3 3 6 8 68
12/10/2019 15 82 0 97 2 64 66 3 13 16 1 4 5 0 2 2 1 2 3 0 0 0 3 2 5 10 87
12/11/2019 11 30 0 41 1 25 26 1 5 6 0 2 2 0 0 0 0 0 0 0 0 0 6 1 7 8 33
12/12/2019 17 58 0 75 1 47 48 0 14 14 0 1 1 0 3 3 0 2 2 0 4 4 3 0 3 4 71
12/13/2019 9 41 0 50 1 23 24 2 10 12 0 3 3 0 0 0 2 5 7 0 0 0 2 2 4 7 43
12/14/2019 6 30 0 36 1 24 25 0 6 6 1 1 2 0 0 0 1 1 2 0 0 0 1 0 1 4 32
12/16/2019 13 64 0 77 3 51 54 1 11 12 0 4 4 0 0 0 1 1 2 0 0 0 2 3 5 7 70
12/17/2019 15 61 0 76 4 49 53 3 7 10 0 5 5 0 0 0 1 2 3 0 0 0 2 3 5 10 66
12/18/2019 14 59 0 73 1 51 52 1 8 9 0 1 1 0 0 0 1 2 3 4 1 5 0 3 3 7 66
12/19/2019 11 39 0 50 3 33 36 2 7 9 0 2 2 0 1 1 0 2 2 0 0 0 0 0 0 5 45
12/20/2019 9 32 0 41 3 25 28 2 5 7 0 2 2 0 0 0 1 3 4 0 0 0 0 0 0 6 35
256 1123 0 1379 50 891 941 25 187 212 6 58 64 3 14 17 16 46 62 5 10 15 38 30 68 143 1236
13 49 62 13 49 62
12 138 150 3 14 17
5 10 15
59 103 162 143 1236
UGD,RWT 138 310 0 448 149 299 448 149 299
balita ditimbang B :18 T 1430

lansia 307
perkesmas B: 33 L: 13
penyuluhan 1503
TOTAL
84
60
82
50
61
77
35
67
51
65
55
76
97
41
75
50
36
77
76
73
50
41
1379
1379
448
Jan-20
12/21/2019 17 43 0 60 4 29 33 2 14 16 0 4 4 0 1 1 1 3 4 1 1 2 0 0 0 8 52
12/23/2019 16 86 0 102 11 57 68 4 14 18 0 8 8 0 0 0 1 3 4 2 0 2 2 0 2 20 82
12/26/2019 21 84 0 105 3 71 74 2 12 14 1 8 9 0 1 1 0 1 1 0 1 1 2 3 5 8 97
12/27/2019 18 58 0 76 3 38 41 5 13 18 1 4 5 0 1 1 0 4 4 0 0 0 4 3 7 13 63
12/28/2019 3 38 0 41 2 22 24 0 6 6 1 2 3 0 2 2 3 2 5 0 0 0 0 1 1 6 35
12/30/2019 8 44 0 52 4 29 33 1 3 4 0 6 6 0 0 0 0 7 7 2 0 2 0 0 0 7 45
12/31/2019 16 86 0 102 2 76 78 2 5 7 0 7 7 0 0 0 0 3 3 0 0 0 5 2 7 9 93
1/2/2020 16 72 0 88 2 54 56 3 16 19 0 5 5 0 1 1 3 3 6 0 1 1 0 0 0 8 80
1/3/2020 6 50 0 56 3 33 36 2 10 12 0 2 2 0 0 0 0 4 4 0 0 0 0 2 2 5 51
1/4/2020 14 46 0 60 3 36 39 1 9 10 0 3 3 0 0 0 0 1 1 0 1 1 3 3 6 7 53
1/6/2020 31 72 0 103 1 59 60 5 8 13 0 7 7 0 0 0 0 4 4 0 6 6 5 8 13 11 92
1/7/2020 18 78 0 96 5 65 70 2 7 9 1 3 4 0 0 0 1 3 4 0 0 0 2 7 9 11 85
1/8/2020 11 61 0 72 6 44 50 2 11 13 1 0 1 0 0 0 1 2 3 0 1 1 0 4 4 10 62
1/9/2020 21 46 0 67 2 37 39 5 10 15 1 3 4 1 1 2 1 3 4 2 0 2 1 0 1 13 54
1/10/2020 12 60 0 72 1 52 53 2 10 12 1 2 3 0 0 0 0 1 1 0 3 3 0 0 0 4 68
1/11/2020 8 51 0 59 3 39 42 2 4 6 1 4 5 0 1 1 0 4 4 0 0 0 0 1 1 6 53
1/13/2020 15 85 0 100 3 61 64 3 15 18 1 6 7 0 3 3 1 4 5 0 0 0 1 2 3 9 91
1/14/2020 23 71 0 94 7 56 63 1 13 14 1 6 7 0 2 2 1 2 3 4 0 4 1 0 1 15 79
1/15/2020 10 58 0 68 1 38 39 1 20 21 0 2 2 0 1 1 2 2 4 0 1 1 0 0 0 4 64
1/16/2020 13 61 0 74 0 44 44 0 14 14 0 4 4 0 2 2 2 1 3 2 2 4 0 3 3 4 70
1/17/2020 16 60 0 76 1 46 47 1 5 6 0 13 13 0 0 0 1 2 3 0 0 0 4 3 7 7 69
1/18/2020 12 49 0 61 1 31 32 1 7 8 1 6 7 1 1 2 0 2 2 0 2 2 4 4 8 8 53
1/20/2020 18 83 0 101 3 62 65 3 14 17 1 2 3 0 1 1 1 4 5 0 1 1 2 7 9 10 91
1/21/2020 20 73 0 93 2 54 56 5 13 18 0 7 7 0 1 1 0 5 5 0 2 2 0 4 4 7 86
1/22/2020 19 50 0 69 7 32 39 6 8 14 0 3 3 0 0 0 0 4 4 2 3 5 0 4 4 15 54
1/23/2020 14 59 0 73 1 46 47 0 14 14 0 4 4 0 1 1 1 2 3 0 1 1 0 3 3 2 71
1/24/2020 16 44 0 60 3 33 36 1 7 8 0 6 6 0 1 1 1 3 4 1 0 1 2 2 4 8 52
412 1668 0 2080 84 1244 1328 62 282 344 12 127 139 2 21 23 21 79 100 16 26 42 38 66 104 235 1845
24 93 117 24 93 117
38 189 227 2 21 23
16 26 42
80 206 286 235 1845
UGD 236 257 0 493 150 343 493
penyuluhan 2113
lansia B=343
perkesmas B=63
balita B=25 t=1388
TOTAL
60
102
105
76
41
52
102
88
56
60
103
96
72
67
72
59
100
94
68
74
76
61
101
93
69
73
60
2080
2080
PUSKESMAS : TALAWI

1 Puskesmas Induk 412 1668 0 2080 84 1244 1328 12 127 139 38 189 227 21 79 100 80 206 286 235 1845 2080
2 UGD DAN RAWATAN 236 257 0 493 0 0 0 0 0 0 0 0 0 150 343 493 0 0 0 150 343 493
13 Polindes Rantih 7 73 10 90 0 80 80 0 1 1 0 9 9 0 0 0 0 0 0 0 90 90
Jumlah 3 s/d 13 54 678 16 748 22 615 637 4 10 14 10 87 97 0 0 0 0 0 0 36 712 748
Total 1 s/d 13 702 2603 16 3321 106 1859 1965 16 137 153 48 276 324 171 422 593 80 206 286 421 2900 3321
1 Puskesmas Induk 84 1244 1328 12 127 139 38 189 227 21 79 100 155 1639 1794
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 150 343 493 150 343 493
13 Polindes Rantih 0 80 80 0 1 1 0 9 9 0 0 0 0 90 90
Jumlah 3 s/d 13 22 615 637 4 10 14 10 87 97 0 0 0 36 712 748
Total 1 s/d 13 106 1859 1965 16 137 153 48 276 324 171 422 593 341 2694 3035

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
Feb-20
1/27/2020 9 77 0 86 2 53 55 4 13 17 0 6 6 0 1 1 2 3 5 0 1 1 1 0 1 9 77
1/28/2020 12 79 0 91 4 59 63 1 18 19 0 2 2 0 1 1 1 2 3 0 0 0 2 1 3 8 83
1/29/2020 10 59 0 69 4 46 50 1 7 8 1 4 5 0 0 0 1 3 4 0 2 2 0 0 0 7 62
1/30/2020 24 70 0 94 1 62 63 1 15 16 0 3 3 1 1 2 1 6 7 1 0 1 1 1 2 6 88
1/31/2020 10 40 0 50 0 36 36 1 7 8 0 1 1 0 0 0 0 1 1 0 3 3 0 1 1 1 49
2/1/2020 10 46 0 56 1 36 37 1 10 11 1 5 6 0 0 0 0 2 2 0 0 0 0 0 0 3 53
2/3/2020 18 75 0 93 5 56 61 1 15 16 2 6 8 0 0 0 0 4 4 2 0 2 1 1 2 11 82
2/4/2020 14 70 0 84 3 68 71 1 5 6 0 2 2 0 0 0 0 5 5 0 0 0 0 0 0 4 80
2/5/2020 14 52 0 66 3 36 39 0 13 13 0 1 1 0 0 0 0 3 3 4 4 8 1 1 2 8 58
2/6/2020 10 46 0 56 3 38 41 0 6 6 0 0 0 0 1 1 2 1 3 2 2 4 1 0 1 8 48
2/7/2020 14 51 0 65 0 52 52 1 3 4 1 1 2 0 0 0 1 1 2 2 0 2 2 1 3 7 58
2/8/2020 9 19 0 28 1 16 17 2 4 6 0 1 1 0 0 0 1 1 2 0 2 2 0 0 0 4 24
2/10/2020 11 85 0 96 1 70 71 1 8 9 0 5 5 0 0 0 0 7 7 0 0 0 1 3 4 3 93
2/11/2020 15 88 0 103 3 68 71 4 10 14 0 8 8 0 1 1 1 7 8 0 0 0 1 0 1 9 94
2/12/2020 14 71 0 85 3 62 65 1 9 10 0 3 3 1 0 1 0 3 3 0 2 2 1 0 1 6 79
2/13/2020 16 61 0 77 1 44 45 2 10 12 1 4 5 0 0 0 1 4 5 1 5 6 2 2 4 8 69
2/14/2020 14 42 0 56 5 30 35 0 10 10 0 1 1 0 0 0 1 4 5 0 0 0 1 4 5 7 49
2/15/2020 9 56 0 65 1 41 42 1 8 9 1 6 7 0 0 0 0 4 4 0 0 0 2 1 3 5 60
2/17/2020 30 84 0 114 3 66 69 4 13 17 0 8 8 0 0 0 1 2 3 0 2 2 4 11 15 12 102
2/18/2020 25 67 0 92 3 60 63 1 12 13 0 6 6 0 1 1 0 0 0 2 2 4 0 5 5 6 86
2/19/2020 21 73 0 94 3 61 64 0 8 8 0 2 2 0 1 1 0 3 3 0 0 0 0 16 16 3 91
2/20/2020 33 57 0 90 1 44 45 1 8 9 2 3 5 0 0 0 0 1 1 0 1 1 3 26 29 7 83
2/21/2020 13 48 0 61 3 31 34 0 14 14 0 2 2 0 0 0 0 4 4 0 0 0 1 6 7 4 57
2/22/2020 25 46 0 71 0 35 35 3 6 9 1 3 4 0 0 0 0 3 3 0 2 2 1 17 18 5 66
2/24/2020 41 83 0 124 3 68 71 2 12 14 0 3 3 0 0 0 0 3 3 0 2 2 3 28 31 8 116

2/25/2020 8 73 0 81 2 65 67 0 7 7 0 5 5 0 0 0 0 2 2 0 0 0 0 0 0 2 79
429 1618 0 2047 59 1303 1362 34 251 285 10 91 101 2 7 9 13 79 92 14 30 44 29 125 154 161 1886
21 99 120 21 99 120
13 152 165 2 7 9
14 30 44
66 261 327 161 1886
UGD 203 407 0 610 270 340 610

Penyuluhan 2969
Lansia B= 14 L= 343
Perkesmas B= 34 L= 20
Balita B= 29 T= 1602
TOTAL
86
91
69
94
50
56
93
84
66
56
65
28
96
103
85
77
56
65
114
92
94
90
61
71
124
81
2047
2047
PUSKESMAS : TALAWI

1 Puskesmas Induk 429 1618 0 2047 59 1303 1362 10 91 101 13 152 165 13 79 92 66 261 327 161 1886 2047
2 UGD 203 407 0 610 0 0 0 0 0 0 0 0 0 270 340 610 0 0 0 270 340 610
13 Polindes Rantih 7 54 6 67 0 61 61 0 0 0 0 6 6 0 0 0 0 0 0 0 67 67
Jumlah 3 s/d 13 49 801 9 859 33 691 724 2 9 11 10 114 124 0 0 0 0 0 0 45 814 859
Total 1 s/d 13 681 2826 9 3516 92 1994 2086 12 100 112 23 266 289 283 419 702 66 261 327 476 3040 3516
1 Puskesmas Induk 59 1303 1362 10 91 101 13 152 165 13 79 92 95 1625 1720
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 270 340 610 270 340 610
13 Polindes Rantih 0 61 61 0 0 0 0 6 6 0 0 0 0 67 67
Jumlah 3 s/d 13 33 691 724 2 9 11 10 114 124 0 0 0 45 814 859
Total 1 s/d 13 92 1994 2086 12 100 112 23 266 289 283 419 702 410 2779 3189

NIP 19830307 201001 2 029 NIP 19830217 200604 2007
Mar-20
2/26/2020 17 69 0 86 5 51 56 1 9 10 0 2 2 0 1 1 1 7 8 0 4 4 4 1 5 11 75
2/27/2020 14 60 0 74 3 37 40 1 13 14 0 4 4 1 2 3 0 6 6 0 1 1 2 4 6 7 67
2/28/2020 7 41 0 48 1 33 34 1 3 4 0 1 1 0 1 1 0 3 3 0 0 0 2 3 5 4 44
2/29/2020 10 46 0 56 3 37 40 1 5 6 0 4 4 0 1 1 0 4 4 0 0 0 1 0 1 5 51
3/2/2020 21 83 0 104 3 63 66 2 16 18 0 5 5 0 1 1 0 8 8 0 2 2 1 3 4 6 98
3/3/2020 14 79 0 93 1 65 66 2 16 18 0 5 5 0 1 1 0 1 1 0 0 0 1 1 2 4 89
3/4/2020 16 58 0 74 3 45 48 1 9 10 1 4 5 0 0 0 0 2 2 3 5 8 1 0 1 9 65
3/5/2020 7 36 0 43 0 29 29 1 7 8 0 1 1 0 1 1 0 2 2 2 0 2 0 0 0 3 40
3/6/2020 14 44 0 58 3 29 32 2 8 10 2 3 5 0 1 1 0 1 1 0 2 2 2 5 7 9 49
3/7/2020 9 45 0 54 7 30 37 0 8 8 0 4 4 0 0 0 0 2 2 2 0 2 0 1 1 9 45
3/9/2020 23 80 0 103 3 63 66 3 14 17 2 10 12 0 0 0 2 4 6 0 0 0 1 1 2 11 92
3/10/2020 14 79 0 93 1 62 63 3 16 19 0 1 1 0 0 0 1 2 3 2 2 4 0 3 3 7 86
3/11/2020 9 54 0 63 2 33 35 3 15 18 0 1 1 0 1 1 1 4 5 2 0 2 0 1 1 8 55
3/12/2020 13 49 0 62 2 34 36 0 10 10 0 4 4 1 0 1 0 3 3 2 2 4 2 2 4 7 55
3/13/2020 10 40 0 50 0 28 28 0 9 9 0 5 5 0 0 0 0 4 4 1 0 1 0 3 3 1 49
3/14/2020 19 65 0 84 2 53 55 4 9 13 1 6 7 1 1 2 0 3 3 0 0 0 1 3 4 9 75
3/16/2020 10 58 0 68 7 36 43 3 12 15 0 3 3 0 1 1 0 0 0 0 2 2 2 2 4 12 56
3/17/2020 15 73 0 88 2 59 61 2 12 14 0 4 4 0 2 2 0 5 5 0 1 1 0 1 1 4 84
3/18/2020 25 65 0 90 0 55 55 1 13 14 0 6 6 0 1 1 0 5 5 1 0 1 6 2 8 8 82
3/19/2020 12 52 0 64 4 35 39 4 15 19 1 1 2 0 0 0 0 1 1 1 0 1 2 0 2 12 52
3/20/2020 13 41 0 54 1 35 36 2 5 7 0 1 1 0 2 2 0 1 1 2 0 2 3 2 5 8 46
3/21/2020 10 47 0 57 0 37 37 0 8 8 2 3 5 0 0 0 0 5 5 0 0 0 2 0 2 4 53
3/23/2020 22 81 0 103 3 65 68 1 11 12 0 9 9 0 0 0 0 4 4 0 1 1 2 7 9 6 97
3/24/2020 30 75 0 105 4 61 65 0 9 9 0 6 6 0 0 0 0 2 2 0 4 4 16 3 19 20 85
354 1420 0 1774 60 1075 1135 38 252 290 9 93 102 3 17 20 5 79 84 18 26 44 51 48 99 184 1590
17 97 114 17 97 114
21 155 176 3 17 20
18 26 44
89 188 277 184 1590
UGD 192 399 0 591 298 293 591
Penyuluhan 3923
Lansia B= 6 L= 371
Perkesmas B= 27 L= 27
Balita B= 21 T= 1451
TOTAL
86
74
48
56
104
93
74
43
58
54
103
93
63
62
50
84
68
88
90
64
54
57
103
105
1774
1774
PUSKESMAS : TALAWI
BULAN : MARET 2020

1 Puskesmas Induk 354 1420 0 1774 60 1075 1135 9 93 102 21 155 176 5 79 84 89 188 277 184 1590 1774
2 UGD 192 399 0 591 0 0 0 0 0 0 0 0 0 298 293 591 0 0 0 298 293 591
13 Polindes Rantih 6 60 6 72 0 62 62 0 3 3 0 7 7 0 0 0 0 0 0 0 72 72
Jumlah 3 s/d 13 34 699 11 744 14 610 624 1 15 16 10 94 104 0 0 0 0 0 0 25 719 744
Total 1 s/d 13 580 2518 11 3109 74 1685 1759 10 108 118 31 249 280 303 372 675 89 188 277 507 2602 3109
1 Puskesmas Induk 60 1075 1135 9 93 102 21 155 176 5 79 84 95 1402 1497
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 298 293 591 298 293 591
13 Polindes Rantih 0 62 62 0 3 3 0 7 7 0 0 0 0 72 72
Jumlah 3 s/d 13 14 610 624 1 15 16 10 94 104 0 0 0 25 719 744
Total 1 s/d 13 74 1685 1759 10 108 118 31 249 280 303 372 675 418 2414 2832
Plh. Kepala UPTD Puskesmas Talawi Penanggungjawab RM & Pendaftaran
dr. Ari Sekartini NENGSI JUITA, SKM

NIP 19860329 201412 2 002 NIP 19830217 200604 2007
Mar-20
3/26/2020 24 47 0 71 4 42 46 1 4 5 1 3 4 0 1 1 0 2 2 2 1 3 2 8 10 10 61
3/27/2020 11 51 0 62 1 46 47 2 3 5 0 1 1 0 0 0 0 4 4 0 0 0 4 1 5 7 55
3/28/2020 6 44 0 50 3 33 36 0 7 7 0 3 3 0 0 0 2 1 3 0 0 0 1 0 1 6 44
3/30/2020 12 51 0 63 4 39 43 1 7 8 0 4 4 0 0 0 0 3 3 2 0 2 2 1 3 9 54
3/31/2020 11 57 0 68 3 47 50 1 5 6 0 3 3 0 2 2 0 3 3 2 2 4 0 0 0 6 62
4/1/2020 6 38 0 44 0 29 29 0 6 6 2 1 3 0 0 0 0 2 2 0 0 0 2 2 4 4 40
4/2/2020 7 33 0 40 0 26 26 0 5 5 0 1 1 0 1 1 0 4 4 2 1 3 0 0 0 2 38
4/3/2020 5 32 0 37 1 22 23 0 4 4 1 3 4 0 1 1 1 2 3 2 0 2 0 0 0 5 32
4/4/2020 8 33 0 41 0 24 24 0 5 5 1 3 4 0 3 3 0 4 4 0 0 0 0 1 1 1 40
4/6/2020 9 34 0 43 1 26 27 3 4 7 0 4 4 0 0 0 0 2 2 0 0 0 0 3 3 4 39
4/7/2020 10 54 0 64 2 46 48 1 7 8 0 2 2 0 1 1 0 3 3 0 0 0 1 1 2 4 60
4/8/2020 10 27 0 37 0 26 26 2 5 7 1 1 2 0 0 0 0 0 0 2 0 2 0 0 0 5 32
4/9/2020 4 32 0 36 0 27 27 0 3 3 0 0 0 0 2 2 1 3 4 0 0 0 0 0 0 1 35
4/11/2020 5 20 0 25 1 17 18 4 0 4 0 1 1 0 1 1 0 0 0 0 0 0 1 0 1 6 19
4/13/2020 15 42 0 57 2 36 38 3 5 8 1 3 4 0 0 0 0 1 1 0 2 2 4 0 4 10 47
4/14/2020 8 44 0 52 0 36 36 3 6 9 0 2 2 0 0 0 1 2 3 0 2 2 0 0 0 4 48
4/15/2020 4 17 0 21 0 14 14 1 1 2 0 2 2 0 0 0 0 3 3 0 0 0 0 0 0 1 20
4/16/2020 10 25 0 35 0 23 23 0 7 7 1 0 1 1 2 3 0 1 1 0 0 0 0 0 0 2 33
4/17/2020 8 36 0 44 2 31 33 0 3 3 1 4 5 0 0 0 0 3 3 0 0 0 0 0 0 3 41
4/18/2020 0 13 0 13 0 10 10 0 1 1 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 13
4/20/2020 6 33 0 39 0 30 30 1 5 6 0 2 2 0 0 0 0 0 0 0 0 0 0 1 1 1 38
4/21/2020 8 27 0 35 0 31 31 0 0 0 0 0 0 0 1 1 0 0 0 0 2 2 0 1 1 0 35
4/22/2020 4 17 0 21 0 12 12 2 5 7 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 18
4/23/2020 2 19 0 21 1 16 17 0 3 3 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 20
4/24/2020 10 8 0 18 0 12 12 0 1 1 0 0 0 0 0 0 0 0 0 3 0 3 0 2 2 3 15
4/25/2020 2 13 0 15 1 12 13 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14
205 847 0 1052 26 713 739 25 104 129 9 43 52 1 16 17 5 44 49 16 12 28 17 21 38 99 953
14 41 55 14 41 55
11 63 74 1 16 17
16 12 28
48 90 138 99 953
LANSIA 0
PENYULUHAN 0
BALITA B; 28 T; 341
TOTAL
71
62
50
63
68
44
40
37
41
43
64
37
36
25
57
52
21
35
44
13
39
35
21
21
18
15
1052
1052
PUSKESMAS : TALAWI
BULAN : APRIL 2020

1 Puskesmas Induk 205 847 0 1052 26 713 739 9 43 52 11 63 74 5 44 49 48 90 138 99 953 1052
2 UGD 123 231 0 354 0 0 0 0 0 0 0 0 0 170 184 354 0 0 0 170 184 354
13 Polindes Rantih 7 36 0 43 0 41 41 0 1 1 0 1 1 0 0 0 0 0 0 0 43 43
Jumlah 3 s/d 13 37 531 0 568 18 440 458 1 15 16 9 85 94 0 0 0 0 0 0 28 540 568
Total 1 s/d 13 365 1609 0 1974 44 1153 1197 10 58 68 20 148 168 175 228 403 48 90 138 297 1677 1974
1 Puskesmas Induk 26 713 739 9 43 52 11 63 74 5 44 49 51 863 914
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 170 184 354 170 184 354
13 Polindes Rantih 0 41 41 0 1 1 0 1 1 0 0 0 0 43 43
Jumlah 3 s/d 13 18 440 458 1 15 16 9 85 94 0 0 0 28 540 568
Total 1 s/d 13 44 1153 1197 10 58 68 20 148 168 175 228 403 249 1587 1836

NIP 19860329 201412 2 002 NIP 19830217 200604 2007
May-20
TANGGAL Bayar bpjs lain" TOTAL BARU LAMA
4/27/2020 7 36 0 43 1 35 36 0 5 5 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 3 40
4/28/2020 17 33 0 50 0 34 34 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 13 0 13 13 37
4/29/2020 8 22 0 30 1 18 19 3 3 6 1 0 1 0 0 0 0 0 0 2 0 2 1 1 2 8 22
4/30/2020 2 23 0 25 3 20 23 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 22
5/2/2020 3 20 0 23 0 20 20 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 22
5/4/2020 3 42 0 45 1 39 40 0 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 44
5/5/2020 10 32 0 42 1 36 37 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 40
5/6/2020 7 16 0 23 0 19 19 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 22
5/8/2020 2 30 0 32 0 30 30 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32
5/9/2020 1 17 0 18 2 14 16 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 16
5/11/2020 10 31 0 41 2 30 32 1 7 8 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 4 37
5/12/2020 5 29 0 34 1 27 28 0 5 5 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 2 32
5/13/2020 5 14 0 19 0 13 13 2 1 3 0 1 1 0 0 0 0 0 0 0 0 0 0 2 2 2 17
5/14/2020 1 24 0 25 1 21 22 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 24
5/15/2020 5 14 0 19 0 17 17 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 2 17
5/16/2020 1 17 0 18 1 16 17 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 16
5/18/2020 5 34 0 39 1 32 33 1 3 4 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 3 36
5/19/2020 5 30 0 35 2 28 30 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 4 31
5/20/2020 2 19 0 21 0 20 20 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 20
5/22/2020 1 13 0 14 0 12 12 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13
5/23/2020 0 6 0 6 0 3 3 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6
100 502 0 602 17 484 501 13 55 68 1 1 2 1 0 1 0 0 0 6 0 6 18 6 24 56 546
2 37 39 2 37 39
11 18 29 1 0 1
6 0 6
27 43 70 56 546
UGD 117 195 0 312
LANSIA 0
PENYULUHAN 0
BALITA B; 18 T; 397
TOTAL
43
50
30
25
23
45
42
23
32
18
41
34
19
25
19
18
39
35
21
14
6
602
602
PUSKESMAS : TALAWI
BULAN : MEI 2020

1 Puskesmas Induk 100 502 0 602 17 484 501 1 1 2 11 18 29 0 0 0 27 43 70 56 546 602
2 UGD 117 195 0 312 0 0 0 0 0 0 0 0 0 112 200 312 0 0 0 112 200 312
13 Polindes Rantih 2 43 0 45 0 42 42 0 0 0 0 3 3 0 0 0 0 0 0 0 45 45
Jumlah 3 s/d 13 21 396 0 417 14 331 345 12 7 19 1 52 53 0 0 0 0 0 0 27 390 417
Total 1 s/d 13 238 1093 0 1331 31 815 846 13 8 21 12 70 82 112 200 312 27 43 70 195 1136 1331
1 Puskesmas Induk 17 484 501 1 1 2 11 18 29 0 0 0 29 503 532
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 112 200 312 112 200 312
13 Polindes Rantih 0 42 42 0 0 0 0 3 3 0 0 0 0 45 45
Jumlah 3 s/d 13 14 331 345 12 7 19 1 52 53 0 0 0 27 390 417
Total 1 s/d 13 31 815 846 13 8 21 12 70 82 112 200 312 168 1093 1261
TALAWI, 31MEI 2020

NIP 19860329 201412 2 002 NIP 19830217 200604 2007
Jun-20
TANGGAL Bayar bpjs lain" TOTAL BARU
5/26/2020 2 18 0 20 2 16 18 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
5/27/2020 4 43 0 47 0 38 38 0 9 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5/28/2020 5 27 0 32 2 27 29 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2
5/29/2020 3 21 0 24 0 20 20 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 2
5/30/2020 3 23 0 26 2 20 22 0 3 3 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 2
6/2/2020 4 51 0 55 3 45 48 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4
6/3/2020 6 26 0 32 1 24 25 1 2 3 0 0 0 0 0 0 0 0 0 2 0 2 0 2 2 4
6/4/2020 8 18 0 26 0 17 17 1 3 4 0 0 0 0 1 1 0 0 0 0 2 2 2 0 2 3
6/5/2020 4 21 1 26 2 16 18 0 4 4 0 0 0 0 1 1 0 0 0 0 0 0 1 2 3 3
6/6/2020 4 18 0 22 0 16 16 2 2 4 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2
6/8/2020 15 27 0 42 0 23 23 2 7 9 0 0 0 0 2 2 0 0 0 2 0 2 5 1 6 9
6/9/2020 5 36 0 41 1 29 30 2 6 8 0 0 0 0 0 0 0 0 0 2 0 2 1 0 1 6
6/10/2020 9 31 0 40 3 22 25 3 6 9 0 0 0 0 0 0 0 0 0 2 1 3 1 2 3 9
6/11/2020 13 24 0 37 6 22 28 1 5 6 0 0 0 0 0 0 0 0 0 2 0 2 0 1 1 9
6/12/2020 7 25 0 32 0 28 28 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0
6/13/2020 4 17 0 21 3 14 17 0 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
6/15/2020 10 40 0 50 2 34 36 1 12 13 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 3
6/16/2020 11 44 0 55 4 39 43 1 10 11 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 5
6/17/2020 7 24 0 31 3 19 22 0 3 3 0 0 0 0 1 1 0 0 0 2 0 2 1 2 3 6
6/18/2020 6 26 0 32 3 22 25 2 4 6 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 5
6/19/2020 9 15 0 24 3 16 19 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 6
6/20/2020 1 22 0 23 1 18 19 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
6/22/2020 15 40 0 55 4 38 42 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 11
6/23/2020 11 34 0 45 1 33 34 1 4 5 0 0 0 0 0 0 0 0 0 3 1 4 2 0 2 7
6/24/2020 6 27 0 33 1 24 25 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 7
6/25/2020 9 25 0 34 2 25 27 0 2 2 0 0 0 0 0 0 0 0 0 0 2 2 3 0 3 5
181 723 1 905 49 645 694 26 109 135 0 1 1 0 7 7 0 0 0 15 8 23 28 17 45 118
17 73 90 17 73 90
9 36 45 0 7 7
15 8 23
60 105 165 118
ugd 241 103 0 344 107 237 344
BALITA b; 33 t; 875
PENYULUHAN 83
LANSIA
KUNJUNGAN RUMAH b; 23 l; 15
LAMA TOTAL
18 20
47 47
30 32
22 24
24 26
51 55
28 32
23 26
23 26
20 22
33 42
35 41
31 40
28 37
32 32
18 21
47 50
50 55
25 31
27 32
18 24
20 23
44 55
38 45
26 33
29 34
787 905
787 905
PUSKESMAS : TALAWI
BULAN : JUNI 2020

1 Puskesmas Induk 181 723 1 905 49 645 694 0 1 1 9 36 45 0 0 0 60 105 165 118 787 905
2 UGD 241 103 0 344 0 0 0 0 0 0 0 0 0 107 237 344 0 0 0 107 237 344
13 Polindes Rantih 9 73 2 84 1 74 75 0 5 5 0 4 4 0 0 0 0 0 0 1 83 84
Jumlah 3 s/d 13 39 646 2 687 20 510 530 0 39 39 19 99 118 0 0 0 0 0 0 39 648 687
Total 1 s/d 13 461 1472 3 1936 69 1155 1224 0 40 40 28 135 163 107 237 344 60 105 165 264 1672 1936
1 Puskesmas Induk 49 645 694 0 1 1 9 36 45 0 0 0 58 682 740
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 107 237 344 107 237 344
13 Polindes Rantih 1 74 75 0 5 5 0 4 4 0 0 0 1 83 84
Jumlah 3 s/d 13 20 510 530 0 39 39 19 99 118 0 0 0 39 648 687
Total 1 s/d 13 69 1155 1224 0 40 40 28 135 163 107 237 344 204 1567 1771

NIP 19860329 201412 2 002 NIP 19830217 200604 2007
LAPORAN KUNJUNGA
PUSKESMAS : TALAWI

LAIN - BP
BAYAR BPJS JUMLAH
LAIN B L JML
1 Puskesmas 211 735 0 946 26 631 658
2 UGD DAN 114 230 0 344 0 0 0
3 Puskesmas 0 48 0 48 0 36 36
4 Puskesmas 6 38 1 45 0 39 39
5 Puskesmas 4 13 0 17 0 16 16
6 Puskesmas 1 54 0 55 5 33 38
7 Puskesmas 11 61 0 72 0 62 62
8 Puskesmas 2 85 0 87 0 53 53
9 Puskesmas 6 15 0 21 9 6 15
10 Polindes B 0 35 0 35 0 33 33
11 Polindes 3 81 0 84 0 69 69
12 Polindes D 0 18 0 18 7 10 17
13 Polindes R 5 60 0 65 0 59 59
Jumlah 3 s 38 508 1 547 21 416 437
Total 1 s/ 363 1473 1 1837 47 1047 1095
1 Puskesmas Induk 26 631 658
2 UGD DAN RAWATAN 0 0 0
3 Puskesmas Pembantu Bukit Gadang 0 36 36
4 Puskesmas Pembantu Batu Tanjung 0 39 39
5 Puskesmas Pembantu Kumbayau 0 16 16
6 Puskesmas Pembantu Tumpuk Tangah 5 33 38
7 Puskesmas Pembantu Salak 0 62 62
8 Puskesmas Pembantu Sikalang 0 53 53
9 Puskesmas Pembantu Kumanis Atas 9 6 15
10 Polindes Batu Tanjung 0 33 33
11 Polindes Kumbayau 0 69 69
12 Polindes Datar Mansiang 7 10 17
13 Polindes Rantih 0 59 59
Jumlah 3 s/d 13 21 416 437
Total 1 s/d 13 47 1047 1095
dr. DESFARINA
NIP 19891202 201412 2 001
JENIS PELAYANAN
Gigi KIA UGD
0 4 4 12 48 60 0 0 0
0 0 0 0 0 0 156 188 344
0 0 0 5 7 12 0 0 0
0 2 2 0 4 4 0 0 0
0 0 0 0 1 1 0 0 0
0 2 2 5 10 15 0 0 0
0 1 1 3 6 9 0 0 0
0 19 19 0 15 15 0 0 0
0 0 0 4 2 6 0 0 0
0 1 1 0 1 1 0 0 0
0 0 0 3 12 15 0 0 0
0 0 0 0 1 1 0 0 0
0 0 0 1 5 6 0 0 0
0 25 25 21 64 85 0 0 0
0 29 29 33 112 145 156 188 344
0 4 4 12 48 60 0 0 0
0 0 0 0 0 0 156 188 344
0 0 0 5 7 12 0 0 0
0 2 2 0 4 4 0 0 0
0 0 0 0 1 1 0 0 0
0 2 2 5 10 15 0 0 0
0 1 1 3 6 9 0 0 0
0 19 19 0 15 15 0 0 0
0 0 0 4 2 6 0 0 0
0 1 1 0 1 1 0 0 0
0 0 0 3 12 15 0 0 0
0 0 0 0 1 1 0 0 0
0 0 0 1 5 6 0 0 0
0 25 25 21 64 85 0 0 0
0 29 29 33 112 145 156 188 344

Penanggungjawab RM & Pendaftaran
NENGSI JUITA, SKM

NIP 19830217 200604 2007
B L JML
94 130 224 132 813 946

0 0 0 156 188 344
0 0 0 5 43 48
0 0 0 0 45 45
0 0 0 0 17 17
0 0 0 10 45 55
0 0 0 3 69 72
0 0 0 87 87
0 0 0 13 8 21
0 0 0 0 35 35
0 0 0 3 81 84
0 0 0 7 11 18
0 0 0 1 64 65
0 0 0 42 505 547
94 130 224 330 1506 1837
38 683 722
156 188 344
5 43 48
0 45 45
0 17 17
10 45 55
3 69 72
0 87 87
13 8 21
0 35 35
3 81 84
7 11 18
1 64 65
42 505 547
236 1376 1613
330 1506 1837
& Pendaftaran
Jul-20
BP KIA
TANGGAL Bayar bpjs lain" jumlah
B L JML B L
6/26/2020 5 21 0 26 1 16 17 2 3
6/27/2020 5 27 0 32 0 24 24 2 4
6/29/2020 5 55 0 60 4 42 46 3 10
6/30/2020 5 24 0 29 1 20 21 0 7
7/1/2020 1 30 0 31 1 18 19 2 8
7/2/2020 5 24 0 29 2 17 19 0 7
7/3/2020 6 23 0 29 3 17 20 3 2
7/4/2020 10 25 0 35 1 28 29 2 1
7/6/2020 11 36 0 47 0 27 27 5 7
7/7/2020 8 28 0 36 1 25 26 0 3
7/8/2020 8 23 0 31 1 20 21 3 2
7/9/2020 12 19 0 31 0 17 17 1 3
7/10/2020 13 24 0 37 0 22 22 1 4
7/11/2020 4 22 0 26 0 21 21 0 0
7/13/2020 10 38 0 48 0 37 37 0 3
7/14/2020 14 55 0 69 2 50 53 0 6
7/15/2020 10 23 0 33 1 19 20 3 2
7/16/2020 11 32 0 43 0 31 31 0 4
7/17/2020 13 18 0 31 2 18 20 1 2
7/18/2020 3 27 0 30 1 23 24 2 2
7/20/2020 17 49 0 66 1 45 46 3 8
7/21/2020 13 19 0 32 1 17 18 0 6
7/22/2020 8 23 0 31 1 18 19 2 5
7/23/2020 9 27 0 36 2 19 21 1 7
7/24/2020 4 19 0 23 0 17 17 0 4
7/25/2020 1 24 0 25 0 23 23 1 1
211 735 0 946 26 631 658 37 111
25 63
12 48
KIA GIGI KB UGD
5 0 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0
10 0 0 0 0 1 1 0 0 0
7 0 0 0 0 1 1 0 0 0
5 0 0 0 0 1 1 0 0 0
3 0 0 0 0 0 0 0 0 0
12 0 1 1 0 2 2 0 0 0
3 0 0 0 0 1 1 0 0 0
5 0 0 0 0 1 1 0 0 0
4 0 0 0 0 1 1 0 0 0
5 0 1 1 0 0 0 0 0 0
0 0 1 1 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 0 0
5 0 1 1 0 0 0 0 0 0
4 0 0 0 0 2 2 0 0 0
3 0 0 0 0 0 0 0 0 0
4 0 0 0 0 1 1 0 0 0
11 0 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
148 0 4 4 0 11 11 0 0 0
88
60
IMUNISASI LAIN-LAIN
BARU LAMA TOTAL
B L JML B L JML
0 2 2 2 0 2 5 21 26
0 0 0 0 2 2 2 30 32
0 0 0 0 1 1 7 53 60
0 0 0 0 1 1 1 28 29
0 0 0 1 0 1 4 27 31
1 1 2 0 0 0 3 26 29
0 2 2 1 0 1 7 22 29
0 0 0 2 1 3 5 30 35
2 0 2 1 2 3 8 39 47
0 1 1 4 1 5 5 31 36
0 0 0 1 3 4 5 26 31
0 1 1 4 4 8 5 26 31
2 2 4 3 2 5 6 31 37
0 0 0 3 1 4 3 23 26
2 0 2 3 3 6 5 43 48
2 0 2 6 2 8 10 58 69
0 2 2 3 2 5 7 26 33
0 0 0 2 4 6 2 41 43
2 0 2 2 4 6 7 24 31
0 0 0 0 1 1 3 27 30
1 0 1 7 1 8 12 54 66
2 2 4 1 3 4 4 28 32
2 0 2 3 0 3 8 23 31
1 3 4 3 0 3 7 29 36
0 2 2 0 0 0 0 23 23
0 0 0 0 0 0 1 24 25
17 18 35 52 38 90 132 813 946
25 63 88 132 813 946
0 11 11
17 18 35
94 130 224
Aug-20
7/27/2020 10 51 0 61 3 46 49 3 4 7 0 1 1 0 0 0 0 0 0 2 0 2 1 1 2 9
7/28/2020 11 23 0 34 0 21 21 0 5 5 0 0 0 0 0 0 0 0 0 0 3 3 1 4 5 1
7/29/2020 11 28 0 39 3 25 28 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 4 1 5 8
7/30/2020 1 17 0 18 0 15 15 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
8/1/2020 1 14 0 15 0 12 12 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
8/3/2020 5 30 0 35 1 22 23 0 10 10 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 2
8/4/2020 6 33 0 39 0 29 29 0 6 6 0 0 0 0 0 0 0 0 0 0 2 2 0 2 2 0
8/5/2020 4 27 0 31 3 24 27 0 3 3 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 3
8/6/2020 10 21 0 31 1 17 18 3 2 5 0 2 2 0 0 0 0 0 0 0 0 0 4 2 6 8
8/7/2020 4 25 0 29 2 24 26 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2
8/8/2020 5 17 0 22 0 20 20 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1
8/10/2020 5 34 0 39 0 27 27 2 7 9 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 4
8/11/2020 5 36 0 41 0 34 34 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
8/12/2020 4 26 0 30 1 22 23 0 6 6 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 2
8/13/2020 3 28 0 31 2 23 25 3 2 5 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 5
8/14/2020 7 20 0 27 0 18 18 1 1 2 0 0 0 0 1 1 0 0 0 0 0 0 4 2 6 5
8/15/2020 2 32 0 34 0 28 28 2 2 4 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 3
8/18/2020 8 37 0 45 0 33 33 0 4 4 0 0 0 1 0 1 0 0 0 1 0 1 4 2 6 6
8/19/2020 4 32 0 36 0 23 23 1 7 8 0 0 0 0 1 1 0 0 0 0 0 0 1 3 4 2
8/22/2020 9 31 0 40 2 21 23 1 7 8 1 0 1 0 1 1 0 0 0 2 0 2 2 3 5 8
8/24/2020 15 48 0 63 0 48 48 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 3 3 6 6
8/25/2020 5 29 0 34 1 22 23 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 6
135 639 0 774 19 554 573 28 93 121 1 3 4 2 5 7 0 0 0 6 6 12 30 27 57 86
19 47 66 19 47 66
9 46 55 2 5 7
6 6 12
57 85 142 86
UGD 88 202 0 290 121 169 290 121

BALITA b;28 t;1602
PENYULUHAN 741
LANSIA B:1 L:187
KUNJUNGAN RUMAH PHBS 95
PERKESMAS B:30 L:19
LAMA TOTAL
52 61
33 34
31 39
17 18
14 15
33 35
39 39
28 31
23 31
27 29
21 22
35 39
38 41
28 30
26 31
22 27
31 34
39 45
34 36
32 40
57 63
28 34
688 774
688 774
169 290
PUSKESMAS : TALAWI

1 Puskesmas Induk 135 639 0 774 19 554 573 1 3 4 9 46 55 0 0 0 57 85 142 86 688 774
2 UGD 88 202 0 290 0 0 0 0 0 0 0 0 0 121 169 290 0 0 0 121 169 290
13 Polindes Rantih 5 64 0 69 0 61 61 0 1 1 0 7 7 0 0 0 0 0 0 0 69 69
Jumlah 3 s/d 13 31 496 11 538 16 399 415 1 32 33 4 86 90 0 0 0 0 0 0 21 517 538
Total 1 s/d 13 254 1337 11 1602 35 953 988 2 35 37 13 132 145 121 169 290 57 85 142 228 1374 1602
1 Puskesmas Induk 19 554 573 1 3 4 9 46 55 0 0 0 29 603 632
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 121 169 290 121 169 290
13 Polindes Rantih 0 61 61 0 1 1 0 7 7 0 0 0 0 69 69
Jumlah 3 s/d 13 16 399 415 1 32 33 4 86 90 0 0 0 21 517 538
Total 1 s/d 13 35 953 988 2 35 37 13 132 145 121 169 290 171 1289 1460
TALAWI, 31 AGUSTUS 2020
Kepala UPTD Puskesmas Talawi Penanggungjawab RM & Pendaftaran
dr. DESFARINA NENGSI JUITA, SKM

NIP 19891202 201412 2 001 NIP 19830217 200604 2007
PUSKESMAS : TALAWI
BULAN : September 2020

1 Puskesmas Induk 132 646 0 778 18 542 560 0 7 7 4 37 41 0 0 0 58 112 170 80 698 778
2 UGD 87 151 0 238 0 0 0 0 0 0 0 0 0 120 118 238 0 0 0 120 118 238
13 Polindes Rantih 4 54 3 61 0 52 52 0 2 2 0 7 7 0 0 0 0 0 0 0 61 61
Jumlah 3 s/d 13 22 514 3 539 25 407 432 1 36 37 9 61 70 0 0 0 0 0 0 35 504 539
Total 1 s/d 13 241 1311 3 1555 43 949 992 1 43 44 13 98 111 120 118 238 58 112 170 235 1320 1555
1 Puskesmas Induk 18 542 560 0 7 7 4 37 41 0 0 0 22 586 608
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 120 118 238 120 118 238
13 Polindes Rantih 0 52 52 0 2 2 0 7 7 0 0 0 0 61 61
Jumlah 3 s/d 13 25 407 432 1 36 37 9 61 70 0 0 0 35 504 539
Total 1 s/d 13 43 949 992 1 43 44 13 98 111 120 118 238 177 1208 1385
TALAWI, 30 sEPTEMBER 2020

NIP 19891202 201412 2 001 NIP 19830217 200604 2007
Aug-20
8/26/2020 1 35 0 36 1 28 29 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 3
8/27/2020 4 15 0 19 0 14 14 0 2 2 0 0 0 0 0 0 0 0 0 1 0 1 2 0 2 3
8/28/2020 6 24 0 30 1 26 27 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1
8/29/2020 7 15 0 22 2 13 15 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 3
8/31/2020 3 39 0 42 2 30 32 0 6 6 0 1 1 0 0 0 0 0 0 1 1 2 0 1 1 3
9/1/2020 6 32 0 38 2 27 29 0 4 4 0 1 1 0 0 0 0 0 0 0 2 2 2 0 2 4
9/2/2020 3 28 0 31 0 22 22 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0
9/3/2020 6 26 0 32 0 23 23 1 1 2 0 0 0 0 2 2 0 0 0 0 0 0 3 2 5 4
9/4/2020 4 39 0 43 2 30 32 0 6 6 0 0 0 0 1 1 0 0 0 0 0 0 0 4 4 2
9/5/2020 4 14 0 18 0 9 9 2 2 4 0 0 0 0 1 1 0 0 0 0 0 0 2 2 4 4
9/7/2020 6 35 0 41 1 30 31 3 4 7 0 0 0 0 1 1 0 0 0 0 0 0 1 1 2 5
9/8/2020 4 39 0 43 2 30 32 0 5 5 0 2 2 0 1 1 0 0 0 0 0 0 2 1 3 4
9/9/2020 14 26 0 40 0 24 24 0 4 4 0 0 0 0 0 0 0 0 0 4 2 6 3 3 6 7
9/10/2020 6 12 0 18 1 8 9 0 3 3 0 1 1 0 3 3 0 0 0 0 2 2 0 0 0 1
9/11/2020 3 12 0 15 0 10 10 0 3 3 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 2
9/12/2020 3 21 0 24 0 18 18 0 2 2 0 0 0 1 3 4 0 0 0 0 0 0 0 0 0 1
9/14/2020 5 38 0 43 2 30 32 0 3 3 0 1 1 0 4 4 0 0 0 1 0 1 1 1 2 4
9/15/2020 3 24 0 27 0 23 23 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1
9/16/2020 5 20 0 25 0 14 14 1 5 6 0 0 0 0 0 0 0 0 0 1 1 2 2 1 3 4
9/17/2020 3 16 0 19 0 17 17 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
9/18/2020 5 15 0 20 0 14 14 0 3 3 0 0 0 1 0 1 0 0 0 0 0 0 1 1 2 2
9/19/2020 4 19 0 23 1 17 18 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
9/21/2020 5 26 0 31 0 23 23 0 6 6 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 2
9/22/2020 8 31 0 39 0 28 28 2 3 5 0 0 0 0 0 0 0 0 0 2 2 4 1 1 2 5
9/23/2020 4 19 0 23 0 15 15 0 5 5 0 0 0 0 0 0 0 0 0 2 0 2 1 0 1 3
9/24/2020 10 16 0 26 0 13 13 0 4 4 0 0 0 1 2 3 0 0 0 0 0 0 6 0 6 7
9/25/2020 0 10 0 10 1 6 7 0 2 2 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1
132 646 0 778 18 542 560 15 95 110 0 7 7 3 18 21 0 0 0 14 10 24 30 26 56 80
11 58 69 11 58 69
4 37 41 3 18 21
14 10 24
58 112 170 80
UGD 87 151 0 238 120 118 238
perkesmas B: 36 L; 11
penyuluhan 150
phbs 116
Balita B:32 T:1299
Lansia B: 16 L: 316
LAMA TOTAL
33 36
16 19
29 30
19 22
39 42
34 38
31 31
28 32
41 43
14 18
36 41
39 43
33 40
17 18
13 15
23 24
39 43
26 27
21 25
17 19
18 20
21 23
29 31
34 39
20 23
19 26
9 10
698 778
698 778
Oct-20
9/26/2020 2 10 0 12 0 9 9 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0
9/28/2020 2 30 0 32 1 25 26 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
9/29/2020 8 20 0 28 2 21 23 2 0 2 0 0 0 0 0 0 0 0 0 2 0 2 0 1 1 6
9/30/2020 6 17 0 23 3 12 15 4 2 6 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 7
10/1/2020 2 25 0 27 0 20 20 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
10/2/2020 2 14 0 16 0 13 13 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0
10/3/2020 12 24 0 36 0 17 17 2 1 3 0 0 0 0 6 6 0 0 0 0 0 0 0 10 10 2
10/5/2020 22 27 0 49 1 25 26 1 3 4 0 0 0 0 0 0 0 0 0 2 0 2 9 8 17 13
10/6/2020 12 26 0 38 0 24 24 2 5 7 0 0 0 0 0 0 0 0 0 0 0 0 4 3 7 6
10/7/2020 11 20 0 31 1 21 22 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 6 6 4
10/8/2020 20 23 0 43 0 17 17 1 3 4 0 1 1 0 2 2 0 0 0 1 2 3 3 13 16 5
10/9/2020 29 14 0 43 0 12 12 1 0 1 0 1 1 0 0 0 0 0 0 2 0 2 10 17 27 13
10/10/2020 21 11 0 32 0 11 11 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 16 20 4
10/12/2020 43 40 0 83 1 38 39 0 5 5 0 0 0 0 0 0 0 0 0 0 2 2 0 37 37 1
10/13/2020 59 30 0 89 2 25 27 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 56 56 3
10/14/2020 55 19 0 74 0 16 16 0 2 2 0 1 1 0 0 0 0 0 0 0 0 0 47 8 55 47
10/15/2020 56 17 0 73 0 14 14 0 3 3 0 0 0 1 1 2 0 0 0 2 0 2 47 5 52 50
10/16/2020 41 11 0 52 1 10 11 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 32 7 39 35
10/17/2020 43 14 0 57 0 17 17 0 2 2 0 0 0 0 0 0 0 0 0 0 2 2 26 10 36 26
10/19/2020 8 24 0 32 0 18 18 1 4 5 0 0 0 0 1 1 0 0 0 1 0 1 1 6 7 3
10/20/2020 5 32 0 37 0 28 28 2 3 5 0 0 0 0 1 1 0 0 0 0 0 0 0 3 3 2
10/21/2020 5 14 0 19 1 12 13 0 3 3 0 0 0 0 1 1 0 0 0 0 0 0 0 2 2 1
10/22/2020 8 17 0 25 3 13 16 2 2 4 0 0 0 0 0 0 0 0 0 2 0 2 3 0 3 10
10/23/2020 3 14 0 17 0 11 11 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 3
10/24/2020 5 23 0 28 1 21 22 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 4
480 516 0 996 17 450 467 29 58 87 0 4 4 1 12 13 0 0 0 15 6 21 189 215 404 251
18 39 57 18 39 57
11 19 30 1 12 13
15 6 21
223 272 495 251
UGD 68 169 0 237 97 140 237
perkesmas B; 38 L; 3
penyuluhan 384
phbs 90
Balita B:28 T:1279
Lansia B: 7 T:248
LAMA TOTAL
12 12
29 32
22 28
16 23
24 27
16 16
34 36
36 49
32 38
27 31
38 43
30 43
28 32
82 83
86 89
27 74
23 73
17 52
31 57
29 32
35 37
18 19
15 25
14 17
24 28
745 996
745 996
PUSKESMAS : TALAWI

1 Puskesmas Induk 480 516 0 996 17 450 467 0 4 4 11 19 30 0 0 0 223 272 495 251 745 996
2 UGD 68 169 0 237 0 0 0 0 0 0 0 0 0 97 140 237 0 0 0 97 140 237
13 Polindes Rantih 6 55 0 61 0 53 53 0 2 2 0 6 6 0 0 0 0 0 0 0 61 61
Jumlah 3 s/d 13 27 464 0 491 15 371 386 0 29 29 12 64 76 0 0 0 0 0 0 27 464 491
Total 1 s/d 13 575 1149 0 1724 32 821 853 0 33 33 23 83 106 97 140 237 223 272 495 375 1349 1724
1 Puskesmas Induk 17 450 467 0 4 4 11 19 30 0 0 0 28 473 501
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 97 140 237 97 140 237
13 Polindes Rantih 0 53 53 0 2 2 0 6 6 0 0 0 0 61 61
Jumlah 3 s/d 13 15 371 386 0 29 29 12 64 76 0 0 0 27 464 491
Total 1 s/d 13 32 821 853 0 33 33 23 83 106 97 140 237 152 1077 1229
TALAWI, 31 OKTOBER 2020

NIP 19891202 201412 2 001 NIP 19830217 200604 2007
Nov-20
10/26/2020 3 30 0 33 1 20 21 2 6 8 0 0 0 0 1 1 0 0 0 0 0 0 0 3 3 3
10/31/2020 0 12 0 12 0 12 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11/2/2020 16 45 0 61 2 41 43 1 4 5 0 0 0 0 1 1 0 0 0 4 0 4 6 2 8 13
11/3/2020 11 35 0 46 0 33 33 2 8 10 0 0 0 0 0 0 0 0 0 0 2 2 1 0 1 3
11/4/2020 7 29 0 36 0 25 25 0 5 5 0 0 0 0 0 0 0 0 0 2 0 2 1 3 4 3
11/5/2020 8 25 0 33 1 18 19 0 7 7 0 0 0 0 1 1 0 0 0 2 0 2 2 2 4 5
11/6/2020 6 24 1 31 1 20 21 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 5
11/7/2020 9 13 0 22 2 13 15 0 2 2 0 0 0 1 0 1 0 0 0 0 0 0 1 3 4 4
11/9/2020 3 35 0 38 2 31 33 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 3
11/10/2020 6 24 0 30 1 24 25 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2
11/11/2020 9 19 0 28 0 18 18 2 1 3 0 0 0 0 0 0 0 0 0 1 0 1 2 4 6 5
11/12/2020 2 21 0 23 0 20 20 1 0 1 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 2
11/13/2020 1 15 0 16 0 10 10 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 2
11/14/2020 2 17 0 19 1 12 13 0 4 4 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 2
11/16/2020 9 26 0 35 0 24 24 0 2 2 0 0 0 0 0 0 0 0 0 2 3 5 0 4 4 2
11/17/2020 6 33 0 39 0 31 31 3 1 4 0 0 0 0 0 0 0 0 0 3 0 3 0 1 1 6
11/18/2020 7 24 0 31 0 23 23 0 4 4 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 1
11/19/2020 6 24 0 30 0 23 23 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 4
11/20/2020 3 23 0 26 0 22 22 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1
11/21/2020 7 23 0 30 0 18 18 0 3 3 0 1 1 0 1 1 0 0 0 4 0 4 3 0 3 7
11/23/2020 21 39 0 60 5 30 35 2 7 9 0 0 0 0 0 0 0 0 0 5 1 6 6 4 10 18
11/24/2020 16 33 0 49 1 25 26 3 8 11 0 0 0 0 1 1 0 0 0 0 0 0 11 0 11 15
11/25/2020 10 24 0 34 1 16 17 3 4 7 0 0 0 0 0 0 0 0 0 2 1 3 4 3 7 10
168 593 1 762 18 509 527 25 86 111 0 1 1 2 6 8 0 0 0 26 7 33 45 37 82 116
18 48 66 18 48 66
7 38 45 2 6 8
26 7 33
91 98 189 116
UGD 74 210 0 284 133 151 284
perkesmas B 41 L 21
penyuluhan 1145
phbs 191
Balita B: 30 T: 1492
Lansia B: 12 T; 346
LAMA TOTAL
30 33
12 12
48 61
43 46
33 36
28 33
26 31
18 22
35 38
28 30
23 28
21 23
14 16
17 19
33 35
33 39
30 31
26 30
25 26
23 30
42 60
34 49
24 34
646 762
646 762
PUSKESMAS : TALAWI

1 Puskesmas Induk 168 593 1 762 18 509 527 0 1 1 7 38 45 0 0 0 91 98 189 116 646 762
2 UGD 74 210 0 284 0 0 0 0 0 0 0 0 0 133 151 284 0 0 0 133 151 284
13 Polindes Rantih 3 28 1 32 0 28 28 0 0 0 0 4 4 0 0 0 0 0 0 0 32 32
Jumlah 3 s/d 13 27 460 17 504 14 363 377 0 27 27 15 85 100 0 0 0 0 0 0 29 475 504
Total 1 s/d 13 269 1263 18 1550 32 872 904 0 28 28 22 123 145 133 151 284 91 98 189 278 1272 1550
1 Puskesmas Induk 18 509 527 0 1 1 7 38 45 0 0 0 25 548 573
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 133 151 284 133 151 284
13 Polindes Rantih 0 28 28 0 0 0 0 4 4 0 0 0 0 32 32
Jumlah 3 s/d 13 14 363 377 0 27 27 15 85 100 0 0 0 29 475 504
Total 1 s/d 13 32 872 904 0 28 28 22 123 145 133 151 284 187 1174 1361
TALAWI, 30 NOVEMBER 2020

NIP 19891202 201412 2 001 NIP 19830217 200604 2007
PUSTU/POLINDES :

BP Gigi KIA LAIN-LAIN B L Jumlah
TAHUN 2021
1. JANUARI
2. FEBRUARI
3. MARET
4. APRIL
5. MEI
6. JUNI
7. JULI
8. AGUSTUS
9. SEPTEMBER
10. OKTOBER
11. NOVEMBER
12. DESEMBER
TOTAL
TAHUN 2022
1. JANUARI
2. FEBRUARI
3. MARET
4. APRIL
5. MEI
6. JUNI
7. JULI
8. AGUSTUS
9. SEPTEMBER
10. OKTOBER
11. NOVEMBER
12. DESEMBER
TOTAL
Penanggungjawab Pustu/Polindes
PUSKESMAS : TALAWI

1 Puskesmas Induk 118 573 0 691 14 500 514 0 1 1 6 47 53 0 0 0 78 45 123 98 593 691
2 UGD 50 148 0 198 0 0 0 0 0 0 0 0 0 78 120 198 0 0 0 78 120 198
13 Polindes Rantih 6 52 0 58 0 50 50 0 0 0 0 8 8 0 0 0 0 0 0 0 58 58
Jumlah 3 s/d 13 31 421 0 452 10 342 352 1 27 28 7 65 72 0 0 0 0 0 0 18 434 452
Total 1 s/d 13 199 1142 0 1341 24 842 866 1 28 29 13 112 125 78 120 198 78 45 123 194 1147 1341
1 Puskesmas Induk 14 500 514 0 1 1 6 47 53 0 0 0 20 548 568
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 78 120 198 78 120 198
13 Polindes Rantih 0 50 50 0 0 0 0 8 8 0 0 0 0 58 58
Jumlah 3 s/d 13 10 342 352 1 27 28 7 65 72 0 0 0 18 434 452
Total 1 s/d 13 24 842 866 1 28 29 13 112 125 78 120 198 116 1102 1218
TALAWI, 31 DESEMBER 2020

NIP 19891202 201412 2 001 NIP 19830217 200604 2007
Dec-20
11/26/2020 7 27 0 34 3 22 25 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 6
11/27/2020 1 20 0 21 1 14 15 0 5 5 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 2
11/28/2020 5 24 0 29 0 21 21 0 4 4 0 0 0 0 0 0 0 0 0 1 0 1 3 0 3 4
11/30/2020 5 25 0 30 0 24 24 0 2 2 0 0 0 0 1 1 0 0 0 2 0 2 1 0 1 3
12/1/2020 2 24 0 26 0 22 22 1 1 2 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 3
12/2/2020 4 36 0 40 0 33 33 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 2
12/3/2020 3 22 0 25 0 20 20 3 0 3 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 4
12/4/2020 5 10 0 15 0 10 10 0 2 2 0 0 0 0 0 0 0 0 0 2 0 2 1 0 1 3
12/5/2020 1 20 0 21 1 18 19 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1
12/7/2020 3 29 0 32 0 26 26 1 3 4 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 2
12/8/2020 14 30 0 44 0 27 27 3 5 8 0 0 0 0 1 1 0 0 0 7 1 8 0 0 0 10
12/10/2020 4 30 0 34 1 29 30 0 3 3 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2
12/11/2020 2 16 0 18 0 11 11 0 5 5 0 0 0 0 1 1 0 0 0 0 0 0 1 0 1 1
12/12/2020 3 15 0 18 0 14 14 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
12/14/2020 6 33 0 39 3 27 30 1 7 8 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 5
12/15/2020 13 31 0 44 1 26 27 2 3 5 0 0 0 0 0 0 0 0 0 6 0 6 5 1 6 14
12/16/2020 6 24 0 30 1 20 21 0 5 5 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 4
12/17/2020 3 20 0 23 1 15 16 0 5 5 0 0 0 0 1 1 0 0 0 0 0 0 1 0 1 2
12/18/2020 2 16 0 18 1 14 15 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
12/19/2020 3 16 0 19 0 11 11 2 3 5 0 0 0 0 0 0 0 0 0 2 0 2 0 1 1 4
12/21/2020 5 40 0 45 0 38 38 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 4
12/22/2020 11 34 0 45 0 32 32 3 4 7 0 0 0 0 1 1 0 0 0 1 0 1 3 1 4 7
12/23/2020 10 31 0 41 1 26 27 3 3 6 0 0 0 0 0 0 0 0 0 5 1 6 1 1 2 10
118 573 0 691 14 500 514 29 75 104 0 1 1 1 6 7 0 0 0 30 3 33 24 8 32 98
23 28 51 23 28 51
6 47 53 1 6 7
30 3 33
78 45 123 98
UGD 50 148 0 198 78 120 198
PHBS 672
PERKESMAS B 34 L 13
PENYULUHAN 1277
LANSIA 326
penimbangan B 24 T 1283
LAMA TOTAL
28 34
19 21
25 29
27 30
23 26
38 40
21 25
12 15
20 21
30 32
34 44
32 34
17 18
16 18
34 39
30 44
26 30
21 23
15 18
15 19
41 45
38 45
31 41
593 691
593 691
Jan-21
12/26/2020 3 23 0 26 0 18 18 3 3 6 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 4
12/28/2020 6 36 0 42 0 32 32 0 4 4 0 0 0 0 1 1 0 0 0 0 2 2 3 0 3 3
12/29/2020 7 29 0 36 1 31 32 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 2
12/30/2020 8 16 0 24 0 15 15 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 4
1/2/2021 3 17 0 20 0 15 15 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 1
1/4/2021 13 53 0 66 3 51 54 2 4 6 0 0 0 0 0 0 0 0 0 2 0 2 4 0 4 11
1/5/2021 9 36 0 45 0 28 28 1 8 9 0 0 0 0 0 0 0 0 0 2 0 2 4 2 6 7
1/6/2021 2 18 0 20 0 16 16 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0
1/7/2021 11 21 0 32 1 19 20 0 3 3 0 0 0 0 1 1 0 0 0 2 2 4 2 2 4 5
1/8/2021 5 20 0 25 1 15 16 2 3 5 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 7
1/9/2021 14 24 0 38 0 22 22 1 7 8 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 3
1/11/2021 11 37 0 48 1 32 33 1 7 8 0 0 0 0 1 1 0 0 0 1 1 2 3 1 4 6
1/12/2021 2 36 0 38 1 32 33 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
1/13/2021 7 21 0 28 0 18 18 1 3 4 0 0 0 0 0 0 0 0 0 3 1 4 2 0 2 6
1/14/2021 3 16 0 19 1 12 13 0 3 3 0 0 0 0 1 1 0 0 0 2 0 2 0 0 0 3
1/15/2021 4 19 0 23 0 19 19 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 4
1/16/2021 4 20 0 24 1 17 18 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 4
1/18/2021 15 33 0 48 0 25 25 2 6 8 0 0 0 0 0 0 0 0 0 2 0 2 11 2 13 15
1/19/2021 6 30 0 36 2 22 24 0 7 7 0 0 0 0 0 0 0 0 0 2 0 2 3 0 3 7
1/20/2021 1 23 0 24 0 19 19 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
1/21/2021 3 11 0 14 1 10 11 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 1 0 1 2
1/22/2021 4 22 0 26 0 16 16 1 3 4 0 1 1 0 1 1 1 1 2 0 0 0 1 1 2 3
1/23/2021 8 27 0 35 2 24 26 2 2 4 0 0 0 0 1 1 1 0 1 0 1 1 1 1 2 6
1/25/2021 10 64 0 74 2 49 51 2 9 11 0 7 7 0 0 0 0 3 3 0 0 0 0 2 2 4
159 652 0 811 17 557 574 22 93 115 0 8 8 0 6 6 2 4 6 17 9 26 52 24 76 110
17 47 64 17 47 64
5 46 51 0 6 6
17 9 26
86 86 172 110
UGD 68 211 0 279 119 160 279
PHBS
PERKESMAS B: 52
PENYULUHAN 1043
LANSIA B: 267 L:14
penimbangan B;32 L;1249
LAMA TOTAL
22 26 PUSTU/POLINDES
39 42 PUSTU L P T
34 36 PUSTU BG 30 54 84
20 24 PUSTU BT 0
19 20 PUSTU KBY 5 20 25
55 66 PUSTU TT 22 43 65
38 45 PUSTU SLK 21 43 64
20 20 PUSTU SKLG 0
27 32 PUSTU KA 0
18 25 PLDS BT 2 21 23
35 38 PLDS KBY 0
42 48 PLDS DM 0
36 38 PLDS RNTH 25 58 83
22 28
16 19
19 23
20 24
33 48
29 36
23 24
12 14
23 26
29 35
70 74
701 811
701 811
PUSKESMAS : TALAWI

1 Puskesmas Induk 159 652 0 811 17 557 574 0 8 8 5 46 51 2 4 6 86 86 172 110 701 811
2 UGD 68 211 0 279 0 0 0 0 0 0 0 0 0 119 160 279 0 0 0 119 160 279
13 Polindes Rantih 10 71 2 83 1 77 78 0 0 0 0 5 5 0 0 0 0 0 0 1 82 83
Jumlah 3 s/d 13 33 542 2 577 17 441 458 0 22 22 12 84 96 0 0 0 1 0 1 30 547 577
Total 1 s/d 13 260 1405 2 1667 34 998 1032 0 30 30 17 130 147 121 164 285 87 86 173 259 1408 1667
1 Puskesmas Induk 17 557 574 0 8 8 5 46 51 2 4 6 24 615 639
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 119 160 279 119 160 279
13 Polindes Rantih 1 77 78 0 0 0 0 5 5 0 0 0 1 82 83
Jumlah 3 s/d 13 17 441 458 0 22 22 12 84 96 0 0 0 29 547 576
Total 1 s/d 13 34 998 1032 0 30 30 17 130 147 121 164 285 172 1322 1494
a/n Kepala UPTD Puskesmas Talawi Penanggungjawab RM & Pendaftaran
Kasubag TU
Ns.SRI SUASTI, S.Kep NENGSI JUITA, SKM

NIP 19770502 200501 2 009 NIP 19830217 200604 2007
PUSKESMAS : TALAWI

1 Puskesmas Induk 265 1146 1 1412 49 958 1007 3 67 70 27 41 68 8 74 82 79 106 185 166 1246 1412
2 UGD 89 227 0 316 0 0 0 0 0 0 0 0 0 159 157 316 0 0 0 159 157 316
13 Polindes Rantih 5 63 3 71 0 61 61 0 6 6 0 4 4 0 0 0 0 0 0 0 71 71
Jumlah 3 s/d 13 44 690 5 739 2 603 605 0 20 20 12 89 101 0 0 0 0 13 13 14 725 739
Total 1 s/d 13 398 2063 6 2467 51 1561 1612 3 87 90 39 130 169 167 231 398 79 119 198 339 2128 2467
1 Puskesmas Induk 49 958 1007 3 67 70 27 41 68 8 74 82 87 1140 1227
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 159 157 316 159 157 316
13 Polindes Rantih 0 61 61 0 6 6 0 4 4 0 0 0 0 71 71
Jumlah 3 s/d 13 2 603 605 0 20 20 12 89 101 0 0 0 14 712 726
Total 1 s/d 13 51 1561 1612 3 87 90 39 130 169 167 231 398 260 2009 2269

NIP 19891202 201412 2 001 NIP 19830217 200604 2007
Feb-21
TANGGAL Bayar bpjs lain" TOTAL L
1/26/2020 6 39 0 45 0 29 29 2 8 10 0 2 2 0 0 0 0 0 0 1 1 2 2 0 2 19
1/27/2020 18 38 0 56 1 36 37 1 4 5 1 1 2 1 1 2 1 1 2 0 0 0 8 0 8 25
1/28/2020 4 49 0 53 1 35 36 2 4 6 1 4 5 1 1 2 0 2 2 0 0 0 2 0 2 18
1/29/2020 4 28 1 33 1 21 22 2 3 5 0 3 3 0 0 0 0 1 1 0 0 0 2 0 2 14
1/30/2020 10 24 0 34 0 17 17 2 2 4 0 4 4 0 1 1 0 4 4 2 1 3 1 0 1 14
2/1/2020 9 40 0 49 2 33 35 4 2 6 0 2 2 0 0 0 0 3 3 0 0 0 3 0 3 20
2/2/2020 9 51 0 60 1 36 37 1 7 8 0 3 3 0 0 0 0 4 4 4 1 5 0 3 3 25
2/3/2020 12 40 0 52 2 31 33 1 8 9 0 2 2 0 0 0 0 3 3 0 1 1 3 1 4 23
2/4/2020 6 28 0 34 0 24 24 0 1 1 0 4 4 0 0 0 0 1 1 2 1 3 0 1 1 15
2/5/2020 2 27 0 29 0 22 22 0 2 2 0 2 2 0 0 0 0 2 2 0 0 0 1 0 1 10
2/6/2020 3 41 0 44 1 29 30 3 3 6 0 3 3 0 0 0 1 4 5 0 0 0 0 0 0 21
2/8/2020 13 60 0 73 2 52 54 2 4 6 0 2 2 0 0 0 0 4 4 3 1 4 3 0 3 36
2/9/2020 16 77 0 93 1 71 72 4 2 6 0 6 6 0 1 1 0 5 5 0 0 0 3 0 3 39
2/10/2020 14 65 0 79 3 65 68 0 2 2 0 1 1 0 0 0 0 4 4 0 0 0 2 2 4 33
2/11/2020 22 46 0 68 9 49 58 1 3 4 0 1 1 0 1 1 0 3 3 0 0 0 1 0 1 20
2/13/2020 14 49 0 63 5 39 44 1 7 8 0 3 3 0 3 3 1 3 4 0 0 0 0 1 1 22
2/15/2020 18 75 0 93 6 63 69 2 12 14 0 4 4 0 0 0 0 3 3 0 0 0 3 0 3 32
2/16/2020 8 49 0 57 2 45 47 2 4 6 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 22
2/17/2020 15 39 0 54 2 41 43 2 3 5 0 0 0 0 0 0 1 3 4 0 0 0 0 2 2 24
2/18/2020 14 40 0 54 1 36 37 1 1 2 0 3 3 0 2 2 0 4 4 2 2 4 2 0 2 21
2/19/2020 6 20 0 26 1 17 18 0 3 3 0 1 1 0 0 0 1 1 2 0 0 0 2 0 2 6
2/20/2020 2 33 0 35 0 27 27 0 2 2 0 0 0 0 0 0 0 6 6 0 0 0 0 0 0 17
2/22/2020 10 59 0 69 0 45 45 2 7 9 0 5 5 0 1 1 0 4 4 1 1 2 3 0 3 25
2/23/2020 7 37 0 44 2 27 29 1 4 5 0 3 3 0 2 2 0 2 2 2 0 2 1 0 1 16
2/24/2020 11 50 0 61 3 36 39 1 6 7 1 4 5 0 0 0 0 5 5 3 1 4 1 0 1 25
2/25/2020 12 42 0 54 3 32 35 1 6 7 0 4 4 0 1 1 1 1 2 2 0 2 0 3 3 26
265 1146 1 1412 49 958 1007 38 110 148 3 67 70 2 14 16 8 74 82 22 10 32 44 13 57 568
11 69 80 11 69 80
27 41 68 2 14 16
22 10 32
79 106 185
ugd,rwtan 89 227 0 316 159 157 316 158
PHBS
PENYULUHAN 1584
LANSIA B; 206 L; 184
penimbangan B; 33 T; 1580
L P PUSTU/POLINDES
P BARU LAMA TOTAL T
BARU BARU PUSTU L P T
26 5 40 45 3 2 5 PUSTU BG 32 51 83
31 13 43 56 7 6 13 PUSTU BT 21 32 53
35 7 46 53 2 5 7 PUSTU KBY 15 49 64
19 5 28 33 2 3 5 PUSTU TT 22 43 65
20 5 29 34 1 4 5 PUSTU SLK 32 88 120
29 9 40 49 3 6 9 PUSTU SKLG 28 96 124
35 6 54 60 3 3 6 PUSTU KA 5 5 10
29 6 46 52 3 3 6 PLDS BT 8 34 42
19 2 32 34 1 1 2 PLDS KBY 23 73 96
19 1 28 29 1 0 1 PLDS DM 0 11 11
23 5 39 44 0 5 5 PLDS RNTH 20 51 71
37 10 63 73 4 6 10 TOTAL 206 533 739
54 8 85 93 4 4 8
46 5 74 79 4 1 5
48 11 57 68 5 6 11
41 7 56 63 3 4 7
61 11 82 93 0 11 11
35 7 50 57 3 4 7
30 5 49 54 2 3 5
33 6 48 54 4 2 6
20 4 22 26 2 2 4
18 0 35 35 0 0 0
44 6 63 69 4 2 6
28 6 38 44 3 3 6
36 9 52 61 5 4 9
28 7 47 54 4 3 7
844 166 1246 1412 73 93 166
166 1246 1412
158
Mar-21
TANGGAL Bayar bpjs lain" TOTAL L
2/26/2020 9 34 0 43 1 21 22 1 7 8 0 4 4 0 0 0 1 4 5 1 1 2 2 0 2 20
2/27/2020 5 27 0 32 1 16 17 0 5 5 0 1 1 1 2 3 2 2 4 2 0 2 0 0 0 14
3/1/2020 12 67 0 79 2 56 58 0 9 9 0 6 6 0 0 0 0 2 2 2 1 3 0 1 1 35
3/2/2020 5 55 0 60 1 44 45 2 7 9 0 1 1 0 0 0 0 3 3 0 2 2 0 0 0 30
3/3/2020 9 47 0 56 0 31 31 1 9 10 0 3 3 0 1 1 0 7 7 0 2 2 1 1 2 26
3/4/2020 11 48 0 59 4 36 40 0 7 7 0 4 4 1 2 3 1 1 2 0 0 0 1 2 3 20
3/5/2020 3 22 0 25 1 15 16 0 4 4 0 2 2 0 1 1 0 1 1 0 0 0 0 1 1 9
3/6/2020 7 31 0 38 0 22 22 2 6 8 0 3 3 1 1 2 1 1 2 0 0 0 1 0 1 14
3/8/2020 5 47 0 52 0 37 37 3 7 10 0 1 1 0 0 0 0 4 4 0 0 0 0 0 0 22
3/9/2020 6 58 0 64 2 52 54 1 3 4 0 3 3 0 0 0 0 0 0 3 0 3 0 0 0 22
3/10/2020 5 36 0 41 1 24 25 1 4 5 0 4 4 0 1 1 0 3 3 0 0 0 3 0 3 16
3/12/2020 9 34 0 43 0 29 29 1 4 5 0 4 4 0 0 0 1 0 1 2 0 2 2 0 2 15
3/13/2020 6 35 0 41 0 31 31 0 3 3 0 3 3 0 0 0 0 3 3 0 0 0 1 0 1 17
3/15/2020 18 48 0 66 7 36 43 2 4 6 0 2 2 0 0 0 0 2 2 5 0 5 7 1 8 34
3/16/2020 4 52 0 56 1 36 37 2 7 9 0 3 3 0 0 0 1 5 6 0 0 0 0 1 1 19
3/17/2020 7 34 0 41 1 21 22 0 10 10 0 4 4 0 1 1 0 1 1 1 1 2 1 0 1 15
3/18/2020 14 28 42 2 22 24 2 6 8 0 2 2 0 0 0 0 4 4 0 1 1 2 1 3 18
3/19/2020 6 23 0 29 0 17 17 2 5 7 0 0 0 0 0 0 0 4 4 0 0 0 1 0 1 6
3/20/2020 4 23 0 27 3 16 19 1 2 3 0 0 0 0 1 1 0 4 4 0 0 0 0 0 0 9
3/22/2020 13 49 0 62 3 48 51 1 8 9 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 27
3/23/2020 12 50 0 62 1 45 46 0 7 7 2 3 5 0 1 1 0 1 1 0 1 1 1 0 1 26
3/24/2020 11 47 0 58 2 40 42 1 9 10 0 1 1 0 1 1 0 0 0 0 1 1 3 0 3 27
3/25/2020 7 37 0 44 1 28 29 1 6 7 0 0 0 0 2 2 0 2 2 0 0 0 4 0 4 24
188 932 0 1120 34 723 757 24 139 163 2 54 56 3 15 18 7 54 61 16 11 27 30 8 38 465
13 75 88 13 75 88
11 64 75 3 15 18
16 11 27
62 109 171
ugd,rwtan 79 226 0 305 167 138 305 174
PHBS
PERKESMAS B 37 L 11
PENYULUHAN 1578
LANSIA B 138 L 331 T 469
L P PUSTU/POLINDES
P BARU LAMA TOTAL T
BARU BARU PUSTU L P T
23 6 37 43 4 2 6 PUSTU BG 30 44 74
18 6 26 32 2 4 6 PUSTU BT 17 42 59
44 4 75 79 2 2 4 PUSTU KBY 6 19 25
30 3 57 60 3 0 3 PUSTU TT 11 47 58
30 2 54 56 1 1 2 PUSTU SLK 22 61 83
39 7 52 59 1 6 7 PUSTU SKLG 49 88 137
16 1 24 25 0 1 1 PUSTU KA 11 13 24
24 5 33 38 2 3 5 PLDS BT 6 21 27
30 3 49 52 0 3 3 PLDS KBY 17 66 83
42 6 58 64 1 5 6 PLDS DM 1 11 12
25 5 36 41 2 3 5 PLDS RNTH 17 41 58
28 6 37 43 3 3 6 TOTAL 187 453 640
24 1 40 41 1 0 1
32 21 45 66 11 10 21
37 4 52 56 0 4 4
26 3 38 41 1 2 3
24 6 36 42 3 3 6
23 3 26 29 1 2 3
18 4 23 27 1 3 4
35 4 58 62 3 1 4
36 4 58 62 2 2 4
31 6 52 58 5 1 6
20 6 38 44 1 5 6
655 116 1004 1120 50 66 116
116 1004 1120
116 1004 1120
131
PUSKESMAS : TALAWI
BULAN : MARET 2021

1 Puskesmas Induk 188 932 0 1120 34 723 757 2 54 56 11 64 75 7 54 61 62 109 171 116 1004 1120
2 UGD 79 226 0 305 0 0 0 0 0 0 0 0 0 167 138 305 0 0 0 167 138 305
13 Polindes Rantih 5 51 2 58 1 51 52 0 0 0 1 5 6 0 0 0 0 0 0 2 56 58
Jumlah 3 s/d 13 39 598 3 640 7 522 529 0 20 20 5 85 90 0 0 0 0 1 1 12 628 640
Total 1 s/d 13 306 1756 3 2065 41 1245 1286 2 74 76 16 149 165 174 192 366 62 110 172 295 1770 2065
1 Puskesmas Induk 34 723 757 2 54 56 11 64 75 7 54 61 54 895 949
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 167 138 305 167 138 305
13 Polindes Rantih 1 51 52 0 0 0 1 5 6 0 0 0 2 56 58
Jumlah 3 s/d 13 7 522 529 0 20 20 5 85 90 0 0 0 12 627 639
Total 1 s/d 13 41 1245 1286 2 74 76 16 149 165 174 192 366 233 1660 1893

NIP 19891202 201412 2 001 NIP 19830217 200604 2007
Apr-21
TANGGAL Bayar bpjs lain" TOTAL
3/26/2021 12 28 0 40 0 24 24 0 1 1 1 4 5 0 1 1 0 2 2 0 5 5 2 0 2
3/27/2021 8 27 0 35 0 24 24 1 5 6 0 1 1 1 0 1 0 2 2 0 0 0 1 0 1
3/29/2021 7 56 0 63 0 47 47 0 5 5 0 4 4 0 0 0 0 0 0 0 0 0 7 0 7
3/30/2021 12 45 0 57 0 40 40 1 6 7 0 2 2 0 0 0 0 3 3 0 0 0 3 2 5
3/31/2021 3 28 0 31 0 19 19 1 8 9 0 1 1 0 0 0 0 0 0 0 0 0 0 2 2
4/1/2021 5 34 0 39 1 28 29 0 5 5 0 1 1 0 2 2 0 2 2 0 0 0 0 0 0
4/3/2021 7 47 0 54 0 40 40 1 9 10 0 1 1 0 0 0 1 2 3 0 0 0 0 0 0
4/5/2021 10 59 0 69 1 51 52 1 11 12 0 2 2 0 0 0 0 0 0 0 0 0 2 1 3
4/6/2021 10 43 0 53 1 34 35 0 4 4 0 4 4 0 0 0 0 4 4 2 0 2 2 2 4
4/7/2021 7 35 0 42 0 30 30 1 4 5 0 2 2 0 0 0 0 1 1 0 0 0 1 3 4
4/8/2021 4 39 0 43 0 34 34 1 5 6 0 1 1 0 0 0 0 2 2 0 0 0 0 0 0
4/9/2021 3 39 0 42 1 29 30 0 1 1 0 5 5 0 0 0 0 4 4 0 1 1 0 1 1
4/10/2021 3 37 0 40 0 28 28 0 7 7 0 2 2 0 2 2 0 0 0 0 0 0 0 1 1
4/12/2021 15 41 0 56 0 32 32 0 8 8 0 6 6 0 1 1 0 3 3 0 0 0 3 3 6
4/13/2021 5 35 0 40 1 28 29 2 4 6 0 0 0 0 0 0 0 4 4 0 0 0 0 1 1
4/14/2021 5 34 0 39 2 28 30 1 5 6 0 2 2 0 0 0 0 1 1 0 0 0 0 0 0
4/15/2021 6 27 0 33 0 28 28 3 0 3 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1
4/16/2021 6 21 0 27 0 20 20 0 3 3 0 0 0 0 0 0 0 1 1 1 2 3 0 0 0
4/17/2021 12 27 0 39 1 21 22 1 5 6 0 3 3 0 0 0 0 2 2 0 0 0 2 4 6
4/19/2021 8 46 0 54 2 33 35 0 7 7 0 5 5 0 0 0 0 3 3 0 0 0 1 3 4
4/20/2021 12 34 0 46 1 34 35 0 6 6 1 0 1 0 1 1 0 2 2 0 0 0 0 1 1
4/21/2021 7 36 0 43 1 28 29 4 3 7 0 3 3 0 0 0 0 1 1 0 0 0 1 2 3
4/22/2021 4 50 0 54 2 37 39 4 6 10 0 2 2 0 1 1 0 1 1 0 0 0 1 0 1
4/23/2021 4 27 0 31 2 20 22 0 4 4 0 1 1 0 0 0 2 2 4 0 0 0 0 0 0
4/24/2021 6 36 0 42 0 23 23 4 8 12 0 3 3 0 0 0 0 1 1 0 0 0 1 2 3
181 931 0 1112 16 760 776 26 130 156 2 55 57 1 8 9 3 44 47 3 8 11 27 29 56
22 78 100 22 78 100
4 52 56 1 8 9
3 8 11
53 123 176
ugd, rawtan 90 211 0 301 134 167 301

PENYULUHAN T 1162
LANSIA B 11 L 306 T 317
PTM B 4 L 419 T 423
PERKESMAS B 38 L 11 T 49
L P PUSTU/POLINDES
L P BARU LAMA TOTAL T
BARU BARU PUSTU/POLINDES
19 21 3 37 40 2 1 3 PUSTU L P T
18 17 3 32 35 1 2 3 PUSTU BG 33 43 76
25 38 7 56 63 4 3 7 PUSTU BT 16 46 62
27 30 4 53 57 3 1 4 PUSTU KBY 5 12 17
11 20 1 30 31 1 0 1 PUSTU TT 19 45 64
19 20 1 38 39 0 1 1 PUSTU SLK 27 75 102
28 26 2 52 54 2 0 2 PUSTU SKLG 27 91 118
24 45 4 65 69 3 1 4 PUSTU KA 15 43 58
20 33 5 48 53 3 2 5 PLDS BT 4 29 33
14 28 2 40 42 0 2 2 PLDS KBY 20 51 71
17 26 1 42 43 0 1 1 PLDS DM 0 0 0
19 23 1 41 42 0 1 1 PLDS RNTH 21 53 74
8 32 0 40 40 0 0 0 TOTAL 187 488 675
22 34 3 53 56 1 2 3
15 25 3 37 40 1 2 3
11 28 3 36 39 2 1 3
11 22 3 30 33 0 3 3
11 16 1 26 27 0 1 1
15 24 4 35 39 3 1 4
14 40 3 51 54 1 2 3
18 28 2 44 46 1 1 2
24 19 6 37 43 4 2 6
20 34 7 47 54 1 6 7
13 18 4 27 31 1 3 4
16 26 5 37 42 0 5 5
439 673 78 1034 1112 34 44 78
78 1034 1112
PUSKESMAS : TALAWI
BULAN : APRIL 2021

1 Puskesmas Induk 181 931 0 1112 16 760 776 2 55 57 4 52 56 3 44 47 53 123 176 78 1034 1112
2 UGD 90 211 0 301 0 0 0 0 0 0 0 0 0 134 167 301 0 0 0 134 167 301
12 Polindes Datar Mansiang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Polindes Rantih 5 59 10 74 1 63 64 0 1 1 0 9 9 0 0 0 0 0 0 1 73 74
Jumlah 3 s/d 13 34 630 11 675 9 576 585 0 14 14 7 69 76 0 0 0 0 0 0 16 659 675
Total 1 s/d 13 305 1772 11 2088 25 1336 1361 2 69 71 11 121 132 137 211 348 53 123 176 228 1860 2088
1 Puskesmas Induk 16 760 776 2 55 57 4 52 56 3 44 47 25 911 936
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 134 167 301 134 167 301
12 Polindes Datar Mansiang 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Polindes Rantih 1 63 64 0 1 1 0 9 9 0 0 0 1 73 74
Jumlah 3 s/d 13 9 576 585 0 14 14 7 69 76 0 0 0 16 659 675
Total 1 s/d 13 25 1336 1361 2 69 71 11 121 132 137 211 348 175 1737 1912
dr. DESFARINA YOKI MASLYZA, Amd.RM

NIP 19891202 201412 2 001 NIP 19901218 202012 1 003
May-21 \
BP KIA GIGI KB
B L JML B L JML B L JML B
4/26/2021 5 43 0 48 0 30 30 0 7 7 0 2 2 0
4/27/2021 11 38 0 49 1 33 34 2 4 6 0 0 0 0
4/28/2021 12 24 0 36 3 14 17 1 6 7 0 2 2 0
4/29/2021 10 21 0 31 0 21 21 2 1 3 1 1 2 1
4/30/2021 4 27 0 31 0 23 23 0 5 5 0 1 1 0
5/3/2021 6 51 0 57 2 39 41 2 11 13 0 1 1 0
5/4/2021 5 38 0 43 0 34 34 1 3 4 0 3 3 0
5/5/2021 5 33 0 38 1 27 28 2 5 7 0 0 0 0
5/6/2021 6 25 0 31 0 21 21 0 3 3 1 2 3 0
5/7/2021 6 37 0 43 3 30 33 0 3 3 0 3 3 0
5/8/2021 4 15 0 19 1 11 12 0 1 1 0 1 1 0
5/10/2021 14 34 0 48 2 29 31 3 5 8 0 0 0 0
5/11/2021 6 21 0 27 1 16 17 0 5 5 0 0 0 0
5/17/2021 10 67 0 77 1 53 54 0 11 11 0 6 6 0
5/18/2021 7 50 0 57 2 37 39 1 5 6 2 2 4 0
5/19/2021 7 44 0 51 2 32 34 0 8 8 0 3 3 0
5/20/2021 8 35 0 43 3 20 23 2 13 15 0 2 2 0
5/21/2021 4 25 0 29 0 19 19 0 5 5 0 2 2 0
5/22/2021 5 29 0 34 3 19 22 1 6 7 0 2 2 0
5/24/2021 6 49 0 55 0 34 34 1 14 15 0 3 3 0
5/25/2021 10 43 0 53 1 32 33 0 9 9 1 5 6 0
151 749 0 900 26 574 600 18 130 148 5 41 46 1
13 84 97
5 46 51
ugd, rawtan 88 196 0 284

PENYULUHAN T 1224
LANSIA B38 L302 T 340
penimbangan B28 T1529
PTM B13 L 73 T86
PERKESMAS B29 L26 T55
KB UGD IMUNISASI LAIN-LAIN
L P BARU LAMA TOTAL
L JML B L JML B L JML B L JML
0 0 0 6 6 0 0 0 1 2 3 15 33 1 47 48
1 1 0 2 2 0 1 1 4 1 5 14 35 7 42 49
1 1 0 2 2 0 0 0 5 2 7 14 22 9 27 36
0 1 0 0 0 0 0 0 2 2 4 13 18 6 25 31
0 0 1 1 2 0 0 0 0 0 0 12 19 1 30 31
0 0 1 0 1 0 0 0 1 0 1 23 34 6 51 57
0 0 0 2 2 0 0 0 0 0 0 17 26 1 42 43
0 0 2 0 2 0 0 0 0 1 1 16 22 5 33 38
1 1 0 3 3 0 0 0 0 0 0 14 17 1 30 31
0 0 1 1 2 0 0 0 2 0 2 18 25 6 37 43
0 0 1 2 3 0 0 0 1 1 2 5 14 3 16 19
0 0 0 4 4 0 0 0 5 0 5 27 21 10 38 48
0 0 0 4 4 0 0 0 1 0 1 11 16 2 25 27
1 1 0 1 1 0 0 0 2 2 4 30 47 3 74 77
0 0 0 4 4 0 1 1 1 2 3 27 30 6 51 57
0 0 0 2 2 0 0 0 0 4 4 22 29 2 49 51
0 0 2 2 0 0 0 0 1 1 12 31 5 38 43
1 1 1 0 1 0 0 0 1 0 1 12 17 2 27 29
0 0 1 2 3 0 0 0 0 0 0 11 23 5 29 34
1 1 0 2 2 0 0 0 0 0 0 12 43 1 54 55
1 1 0 1 1 0 0 0 0 3 3 16 37 2 51 53
7 8 8 41 49 0 2 2 26 21 47 341 559 84 816 900
13 84 97
1 7 8 84 816 900
0 2 2
40 114 154 84 816 900
96 188 284
L P PUSTU/POLINDES
T
BARU BARU PUSTU/POLINDES
0 1 1 PUSTU L P T
2 5 7 PUSTU BG 24 51 75
6 3 9 PUSTU BT 26 39 65
2 4 6 PUSTU KBY 0 13 13
1 0 1 PUSTU TT 16 37 53
3 3 6 PUSTU SLK 27 63 90
1 0 1 PUSTU SKLG 23 69 92
1 4 5 PUSTU KA 11 47 58
1 0 1 PLDS BT 2 30 32
3 3 6 PLDS KBY 21 46 67
2 1 3 PLDS DM 3 9 12
4 6 10 PLDS RNTH 15 46 61
1 1 2 TOTAL 168 450 618
2 1 3
2 4 6
1 1 2
1 4 5
1 1 2
2 3 5
0 1 1
1 1 2
37 47 84
PUSKESMAS : TALAWI
BULAN : MEI 2021

1 Puskesmas Induk 151 749 0 900 26 574 600 5 41 46 5 46 51 8 41 49 40 114 154 84 816 900
2 UGD 88 196 0 284 0 0 0 0 0 0 0 0 0 96 188 284 0 0 0 96 188 284
13 Polindes Rantih 5 54 2 61 0 57 57 0 0 0 0 4 4 0 0 0 0 0 0 0 61 61
Jumlah 3 s/d 13 30 583 5 618 18 505 523 1 8 9 7 79 86 0 0 0 0 0 0 26 592 618
Total 1 s/d 13 269 1528 5 1802 44 1079 1123 6 49 55 12 125 137 104 229 333 40 114 154 206 1596 1802
1 Puskesmas Induk 26 574 600 5 41 46 5 46 51 8 41 49 44 702 746
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 96 188 284 96 188 284
13 Polindes Rantih 0 57 57 0 0 0 0 4 4 0 0 0 0 61 61
Jumlah 3 s/d 13 18 505 523 1 8 9 7 79 86 0 0 0 26 592 618
Total 1 s/d 13 44 1079 1123 6 49 55 12 125 137 104 229 333 166 1482 1648
TALAWI, 31 MEI 2021

NIP 19891202 201412 2 001 NIP 19901218 202012 1 003
Jun-21
BP KIA GIGI KB
B L JML B L JML B L JML B L
5/27/2021 8 45 0 53 1 33 34 0 6 6 0 4 4 0 2
5/28/2021 2 30 0 32 1 23 24 0 2 2 0 3 3 0 0
5/29/2021 7 30 0 37 0 22 22 0 7 7 0 3 3 0 0
5/31/2021 12 50 0 62 0 39 39 1 10 11 1 7 8 0 0
6/2/2021 7 49 0 56 2 35 37 1 9 10 0 4 4 0 0
6/3/2021 12 50 0 62 1 38 39 2 9 11 0 3 3 0 3
6/4/2021 6 39 0 45 3 32 35 0 3 3 1 0 1 0 0
6/5/2021 14 31 0 45 1 22 23 0 4 4 0 4 4 2 1
6/7/2021 12 53 0 65 1 45 46 1 5 6 0 3 3 0 0
6/8/2021 17 48 0 65 2 37 39 2 7 9 1 4 5 0 0
6/9/2021 12 37 0 49 1 28 29 0 7 7 0 1 1 0 0
6/10/2021 12 42 0 54 0 31 31 1 4 5 1 0 1 0 1
6/11/2021 6 32 0 38 2 21 23 0 4 4 0 2 2 0 0
6/12/2021 11 29 0 40 0 22 22 1 4 5 0 3 3 0 0
6/14/2021 5 52 0 57 2 41 43 1 5 6 0 3 3 0 1
6/15/2021 7 52 0 59 0 34 34 2 9 11 0 4 4 0 0
6/16/2021 9 31 0 40 2 23 25 1 4 5 0 3 3 0 0
6/17/2021 10 32 0 42 1 19 20 0 8 8 0 4 4 0 0
6/18/2021 8 30 0 38 0 25 25 1 6 7 0 1 1 0 0
6/19/2021 3 20 0 23 1 15 16 0 2 2 0 1 1 0 0
6/21/2021 17 49 0 66 3 30 33 5 6 11 0 3 3 0 1
6/22/2021 16 35 0 51 0 21 21 2 7 9 0 4 4 0 0
6/23/2021 44 41 0 85 0 29 29 1 7 8 0 4 4 0 0
6/24/2021 42 33 0 75 2 28 30 0 3 3 0 2 2 0 0
6/25/2021 15 29 0 44 0 21 21 0 2 2 0 3 3 0 0
314 969 0 1283 26 714 740 22 140 162 4 73 77 2 9
7 89 96
15 51 66
ugd,rwtan 108 167 0 275
PENYULUHAN T 1876
LANSIA B28 L338 T366
PTM B175 L22 T197
PHBS T1185
KB UGD IMUNISASI LAIN-LAIN L
L P BARU LAMA TOTAL
JML B L JML B L JML B L JML BARU
2 0 3 3 0 0 0 3 1 4 18 35 4 49 53 3
0 0 2 2 0 0 0 1 0 1 15 17 2 30 32 2
0 0 3 3 0 0 0 1 1 2 18 19 1 36 37 1
0 0 1 1 0 0 0 0 3 3 24 38 2 60 62 1
0 1 0 1 0 0 0 3 1 4 20 36 7 49 56 3
3 1 0 1 0 0 0 2 3 5 27 35 6 56 62 1
0 0 2 2 0 0 0 1 3 4 12 33 5 40 45 4
3 0 2 2 0 0 0 8 1 9 16 29 11 34 45 2
0 0 5 5 0 0 0 3 2 5 22 43 5 60 65 3
0 0 4 4 1 1 2 3 3 6 21 44 9 56 65 3
0 0 3 3 0 0 0 5 4 9 18 31 6 43 49 3
1 1 5 6 0 0 0 7 3 10 23 31 10 44 54 7
0 0 4 4 3 1 4 1 0 1 15 23 6 32 38 4
0 0 2 2 0 0 0 4 4 8 14 26 5 35 40 1
1 0 4 4 0 0 0 0 0 0 23 34 3 54 57 2
0 1 5 6 0 0 0 3 1 4 28 31 6 53 59 4
0 0 3 3 0 0 0 3 1 4 14 26 6 34 40 0
0 1 2 3 0 0 0 3 4 7 16 26 5 37 42 3
0 0 1 1 0 0 0 4 0 4 15 23 5 33 38 3
0 1 2 3 0 0 0 0 1 1 10 13 2 21 23 2
1 0 6 6 0 2 2 10 0 10 24 42 18 48 66 8
0 0 1 1 0 0 0 10 6 16 26 25 12 39 51 7
0 0 6 6 0 0 0 36 2 38 48 37 37 48 85 27
0 0 1 1 0 0 0 38 1 39 31 44 40 35 75 18
0 0 4 4 0 0 0 14 0 14 17 27 14 30 44 5
11 6 71 77 4 4 8 163 45 208 515 768 227 1056 1283 117
7 89 96
2 9 11 227 1056 1283
4 4 8
176 147 323 227 1056 1283
JML BARU DI IGD - JML BARU IGD di (R29)

103 172 275 174 131
P PUSTU/POLINDES
T
BARU PUSTU/POLINDES
1 4 PUSTU L P T
0 2 PUSTU BG 50 60 110
0 1 PUSTU BT 21 48 69
1 2 PUSTU KBY 9 46 55
4 7 PUSTU TT 18 61 79
5 6 PUSTU SLK 24 62 86
1 5 PUSTU SKLG 24 87 111
9 11 PUSTU KA 16 39 55
2 5 PLDS BT 8 21 29
6 9 PLDS KBY 28 37 65
3 6 PLDS DM 2 9 11
3 10 PLDS RNTH 25 53 78
2 6 TOTAL 225 523 748
4 5
1 3
2 6
6 6
2 5
2 5
0 2
10 18
5 12
10 37
22 40
9 14
110 227
PUSKESMAS : TALAWI
BULAN : JUNI 2021

1 Puskesmas Induk 314 969 0 1283 26 714 740 4 73 77 15 51 66 6 71 77 176 147 323 227 1056 1283
2 UGD 108 167 0 275 0 0 0 0 0 0 0 0 0 103 172 275 0 0 0 103 172 275
13 Polindes Rantih 8 66 4 78 1 65 66 0 2 2 1 9 10 0 0 0 0 0 0 2 76 78
Jumlah 3 s/d 13 39 704 5 748 27 584 611 0 14 14 16 107 123 0 0 0 0 0 0 43 705 748
Total 1 s/d 13 461 1840 5 2306 53 1298 1351 4 87 91 31 158 189 109 243 352 176 147 323 373 1933 2306
1 Puskesmas Induk 26 714 740 4 73 77 15 51 66 6 71 77 51 909 960
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 103 172 275 103 172 275
13 Polindes Rantih 1 65 66 0 2 2 1 9 10 0 0 0 2 76 78
Jumlah 3 s/d 13 27 584 611 0 14 14 16 107 123 0 0 0 43 705 748
Total 1 s/d 13 53 1298 1351 4 87 91 31 158 189 109 243 352 197 1786 1983

NIP 19891202 201412 2 001 NIP 19901218 202012 1 003
Jul-21
BP KIA GIGI KB
6/26/2021 7 30 0 37 0 27 27 0 1 1 1 2 3 0 0
6/28/2021 11 42 0 53 0 36 36 0 9 9 0 0 0 0 0
6/29/2021 7 37 0 44 1 30 31 1 6 7 0 1 1 0 0
6/30/2021 6 40 0 46 2 34 36 0 4 4 0 3 3 0 0
7/1/2021 12 38 0 50 3 28 31 3 3 6 0 1 1 0 1
7/2/2021 15 22 0 37 2 16 18 0 6 6 0 1 1 0 0
7/3/2021 9 32 0 41 0 25 25 1 2 3 1 1 2 0 1
05/07/2021 9 50 0 59 1 37 38 0 7 7 0 4 4 0 0
06/07/2021 17 52 0 69 2 36 38 2 14 16 0 2 2 0 0
07/07/2021 12 39 0 51 1 26 27 0 7 7 0 4 4 0 1
08/07/2021 9 36 0 45 6 24 30 1 7 8 0 2 2 0 0
09/07/2021 4 24 0 28 0 19 19 0 3 3 0 0 0 0 0
10/07/2021 3 21 0 24 0 18 18 1 0 1 0 1 1 0 1
12/07/2021 18 42 0 60 6 31 37 4 5 9 0 4 4 0 0
13/07/2021 11 37 0 48 2 29 31 0 4 4 0 4 4 0 1
14/07/2021 10 41 0 51 3 24 27 1 7 8 0 2 2 1 1
15/07/2021 16 35 0 51 0 30 30 2 3 5 0 4 4 0 0
16/07/2021 8 25 0 33 1 23 24 0 2 2 1 1 2 0 0
17/07/2021 16 29 0 45 3 20 23 2 3 5 1 2 3 0 0
19/07/2021 28 33 0 61 6 26 32 1 4 5 0 1 1 0 0
21/07/2021 11 37 0 48 2 25 27 1 3 4 0 3 3 0 2
22/07/2021 11 44 0 55 2 37 39 1 4 5 0 3 3 0 0
23/07/2021 10 28 0 38 0 22 22 1 4 5 0 0 0 0 0
24/07/2021 7 28 0 35 4 18 22 0 5 5 0 1 1 0 2
267 842 0 1109 47 641 688 22 113 135 4 47 51 1 10
20 53 73
2 60 62
JLM IGD JML BPJS REG.IGD -REG RAJAL

ugd,rwtan 84 204 0 288
PENYULUHAN T2206
LANSIA B9 L326 T335
PTM B58 L94 T152
PHBS T191
L P BARU LAMA TOTAL
0 0 0 0 0 0 0 4 2 6 17 20 5 32 37 2
0 1 4 5 0 0 0 1 2 3 25 28 2 51 53 1
0 0 1 1 0 0 0 3 1 4 15 29 5 39 44 2
0 0 1 1 0 0 0 2 0 2 12 34 4 42 46 2
1 0 5 5 0 0 0 1 5 6 25 25 7 43 50 4
0 0 1 1 0 0 0 7 4 11 16 21 9 28 37 5
1 2 4 6 0 0 0 3 1 4 18 23 7 34 41 2
0 0 4 4 0 0 0 4 2 6 23 36 5 54 59 1
0 0 2 2 1 0 1 5 5 10 24 45 10 59 69 4
1 0 4 4 0 0 0 2 6 8 20 31 3 48 51 1
0 1 1 2 0 0 0 3 0 3 15 30 11 34 45 4
0 0 1 1 0 0 0 2 3 5 9 19 2 26 28 1
1 0 0 0 0 0 0 3 0 3 8 16 4 20 24 1
0 0 0 0 0 0 0 9 1 10 24 36 19 31 60 14
1 0 1 1 0 0 0 3 4 7 20 28 5 43 48 0
2 1 4 5 0 0 0 4 3 7 14 51 10 41 51 4
0 0 2 2 0 0 0 3 7 10 25 26 5 46 51 3
0 0 1 1 0 0 0 2 2 4 18 15 4 29 33 4
0 1 2 3 0 0 0 8 3 11 20 25 15 30 45 7
0 0 5 5 0 0 0 10 8 18 29 32 17 44 61 9
2 2 1 3 0 0 0 2 7 9 22 26 7 41 48 4
0 0 2 2 0 0 0 0 6 6 23 32 3 52 55 1
0 0 0 0 0 2 2 4 5 9 20 18 5 33 38 4
2 0 1 1 0 0 0 1 3 4 10 25 5 30 35 4
11 8 47 55 1 2 3 86 80 166 452 671 169 930 1109 84
20 53 73
1 10 11 169 940 1109
1 2 3
108 145 253 169 940 1109

169 119 288
P PUSTU/POLINDES
T
BARU PUSTU/POLINDES
3 5 PUSTU L P T
1 2 PUSTU BG 15 49 64
3 5 PUSTU BT 17 50 67
2 4 PUSTU KBY 5 27 32
3 7 PUSTU TT 24 62 86
4 9 PUSTU SLK 29 62 91
5 7 PUSTU SKLG 40 89 129
4 5 PUSTU KA 2 22 24
6 10 PLDS BT 7 26 33
2 3 PLDS KBY 12 40 52
7 11 PLDS DM 1 6 7
1 2 PLDS RNTH 12 49 61
3 4 TOTAL 164 482 646
5 19
5 5
6 10
2 5
0 4
8 15
8 17
3 7
2 3
1 5
1 5
85 169
PUSKESMAS : TALAWI
BULAN : JULI 2021

1 Puskesmas Induk 267 842 0 1109 47 641 688 4 47 51 2 60 62 8 47 55 108 145 253 169 940 1109
2 UGD 84 204 0 288 0 0 0 0 0 0 0 0 0 169 119 288 0 0 0 169 119 288
13 Polindes Rantih 7 51 3 61 3 55 58 0 2 2 0 1 1 0 0 0 0 0 0 3 58 61
Jumlah 3 s/d 13 20 621 5 646 30 545 575 2 13 15 5 50 55 0 0 0 0 1 1 37 609 646
Total 1 s/d 13 371 1667 5 2043 77 1186 1263 6 60 66 7 110 117 177 166 343 108 146 254 375 1668 2043
1 Puskesmas Induk 47 641 688 4 47 51 2 60 62 8 47 55 61 795 856
2 UGD DAN RAWATAN 0 0 0 0 0 0 0 0 0 169 119 288 169 119 288
13 Polindes Rantih 3 55 58 0 2 2 0 1 1 0 0 0 3 58 61
Jumlah 3 s/d 13 30 545 575 2 13 15 5 50 55 0 0 0 37 608 645
Total 1 s/d 13 77 1186 1263 6 60 66 7 110 117 177 166 343 267 1522 1789

NIP 19891202 201412 2 001 NIP 19901218 202012 1 003
Jul-21
BP KIA GIGI KB
7/26/2021 13 52 0 65 1 48 49 1 1 2 0 5 5 0 0
7/27/2021 5 35 0 40
7/28/2021 0 0
7/29/2021 0 0
7/30/2021 0 0
7/31/2021 0 0
7/3/2021 0 0
05/07/2021 0 0
06/07/2021 0 0
07/07/2021 0 0
08/07/2021 0 0
09/07/2021 0 0
10/07/2021 0 0
12/07/2021 0 0
13/07/2021 0 0
14/07/2021 0 0
15/07/2021 0 0
16/07/2021 0 0
17/07/2021 0 0
19/07/2021 0 0
21/07/2021 0 0
22/07/2021 0 0
23/07/2021 0 0
24/07/2021 0 0
18 87 0 105 1 48 49 1 1 2 0 5 5 0 0
20 53 73
-19 -52 -71
JLM IGD JML BPJS REG.IGD -REG RAJAL

ugd,rwtan 84 204 0 288
PENYULUHAN T2206
LANSIA B9 L326 T335
PTM B58 L94 T152
PHBS T191
P BARU LAMA TOTAL
0 0 1 1 0 0 0 2 6 8 32 33 4 61 65 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 1 1 0 0 0 2 6 8 32 33 4 61 65 3
20 53 73
1 10 11 4 61 65
1 2 3
24 71 95 6 73 79

169 119 288
P PUSTU/POLINDES
T
BARU PUSTU/POLINDES
1 4 PUSTU L P T
0 PUSTU BG 15 49 64
0 PUSTU BT 17 50 67
0 PUSTU KBY 5 27 32
0 PUSTU TT 24 62 86
0 PUSTU SLK 29 62 91
0 PUSTU SKLG 40 89 129
0 PUSTU KA 2 22 24
0 PLDS BT 7 26 33
0 PLDS KBY 12 40 52
0 PLDS DM 1 6 7
0 PLDS RNTH 12 49 61
0 TOTAL 164 482 646
0
0
0
0
0
0
0
0
0
0
0
1 4

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LAPORAN KUNJUNGAN PUSKESMAS DALAM DAN LUAR GEDUNG

NO KEGIATAN STATUS BAYAR JENIS PELAYANAN

Kepala Puskesmas Talawi Penanggung Jawab

dr. RANU VERRA MARDIANTI NENGSI JUITA, SKM

NO KEGIATAN STATUS BAYAR

A Kunjungan Dalam Gedung Puskesmas

Kepala Puskesmas Talawi

dr. RANU VERRA MARDIANTI

106 964 1070 8 55 63 30 115 145

106 964 1070 8 55 63 30 115 145

LAIN -LAIN B L Jumlah

20 66 86 164 1200 1364

144 1134 1278

NENGSI JUITA, Amd,PK

NO KEGIATAN STATUS BAYAR JENIS PELAYANAN

Kepala Puskesmas Talawi Penanggung Jawab

dr. RANU VERRA MARDIANTI NENGSI JUITA, Amd,PK

NO KEGIATAN STATUS BAYAR JENIS PELAYANAN

Kepala Puskesmas Talawi Penanggung Jawab

dr. RANU VERRA MARDIANTI NENGSI JUITA, Amd,PK

NO KEGIATAN STATUS BAYAR JENIS PELAYANAN

Kepala Puskesmas Talawi Penanggung Jawab

dr. RANU VERRA MARDIANTI NENGSI JUITA, Amd,PK

NO KEGIATAN STATUS BAYAR JENIS PELAYANAN

Kepala Puskesmas Talawi Penanggung Jawab

dr. RANU VERRA MARDIANTI NENGSI JUITA, Amd,PK

BP KIA GIGI KB UGD IMUNISASI LAIN-LAIN

BP KIA GIGI KB UGD IMUNISASI LAIN-LAIN

NO KEGIATAN STATUS BAYAR JENIS PELAYANAN

Kepala Puskesmas Talawi

EVRA QOMARIAH, SKM

116 28 60 88 28 101 129 155 1311 1466

116 28 60 88 127 1210 1337

NENGSI JUITA, Amd,PK

BP KIA GIGI KB UGD IMUNISASI LAIN-LAIN

BP KIA GIGI KB UGD IMUNISASI LAIN-LAIN

NO KEGIATAN STATUS BAYAR

A Kunjungan Dalam Gedung Puskesmas

Kepala Puskesmas Talawi

EVRA QOMARIAH, SKM

YAR JENIS PELAYANAN

JUMLAH BP Gigi KIA

1086 43 708 751 10 59 69 18 82 100

1086 43 708 751 10 59 69 18 82 100

UGD LAIN-LAIN B L Jumlah

17 52 69 27 70 97 115 971 1086

NENGSI JUITA, Amd,PK

NO KEGIATAN STATUS BAYAR JENIS PELAYANAN

Kepala Puskesmas Talawi

dr. RANU VERRA MARDIANTI

244 14 44 58 63 52 115 218 1351 1569

244 14 44 58 155 1299 1454

406 6520 6926

NENGSI JUITA, Amd,PK

NO KEGIATAN STATUS BAYAR

A Kunjungan Dalam Gedung Puskesmas

Kepala Puskesmas Talawi

dr. RANU VERRA MARDIANTI

BP Gigi KIA UGD

78 945 1023 20 99 119 55 200 255 25

78 945 1023 20 99 119 55 200 255 25

56 81 54 37 91 232 1337 1569

56 81 178 1300 1478