LAPORAN BULANAN FORM 2 ( PERSALINAN DAN NIFAS )

TAHUN 2022

PUSKESMAS : UPT. PUSKESMAS LONG MESANGAT

BULAN : JANUARI 2022

Persalinan Ditolong Nakes (PN) Komplikasi

Sasaran Sasaran Sasaran Persalian Total Maternal Ditangani Vitamin A Nifas Cakupan Kunjungan Nifas
Jumlah Sasaran Sasaran PN Di (PK)
No Desa Bumil Ibu Ibu Persalinan Persalinan Persalinan PN Di Ditolong Persalinan
Penduduk Ibu Hamil
Resti Bersalin Bayi Total % % Non
Nifas Ditolong Ditolong Ditolong KUM Fasyanke KUM Dukun (PN + PD)
PN Fasyank
Dokter Bidan Perawat s PK KUM % VIT. A KUM % KF1 KUM % KF2 KUM % KF3 KUM %
es
1 MELAN 636 12 2 12 13 12 0 3 25.40929288987 1 8.46976429662334
0 0 0 0 3 25.40929288987 0 3 25.40929288987
0 3 25.40929288987 0 3 25.40929288987

2 SIKA MAKMUR 966 19 4 18 20 18 1 1 6 33.458199333245 1 5 27.8818327777042 1 1 26.5844038872779

1 7 39.0345658887858
1 7 39.0345658887858
1 7 39.0345658887858 1 7 39.0345658887858

3 SEGOY MAKMUR 1227 24 5 23 25 23 2 2 5 21.9509783726669 2 5 21.9509783726669 2 2 41.8590613775231

2 5 21.9509783726669
2 5 21.9509783726669
2 5 21.9509783726669
2 5 21.9509783726669

4 MUKTI UTAMA 627 12 2 12 13 12 2 2 3 25.7740195820691 2 3 25.7740195820691 2 0 0 2 3 25.7740195820691

2 3 25.7740195820691
2 3 25.7740195820691
2 3 25.7740195820691

5 SUMBER SARI 1717 33 7 32 35 32 2 1 3 5 15.6865756920572 3 4 12.5492605536458 1 1 4 1 14.9566302592373

4 7 21.9612059688801
4 7 21.9612059688801
4 7 21.9612059688801 4 7 21.9612059688801

6 TANAH ABANG 1146 22 4 21 23 21 1 1 3 14.1014923891425 1 1 4.70049746304751 1 1 2 0 0 2 4 18.80198985219 2 4 18.80198985219

2 4 18.80198985219
2 4 18.80198985219

7 SUMBER AGUNG 713 14 3 13 14 13 1 1 1 7.55507726879726 1 1 7.55507726879726 1 0 0 1 1 7.55507726879726

1 1 7.55507726879726
1 1 7.55507726879726
1 1 7.55507726879726

PUSKESMAS 7,032 137 27 131 142 131 2 8 - 10 26 144 10 20 109 2 2 12 - 4 83 12 30 160 12 30 160 12 30 160 12 30 160

Mengetahui Pengelola Kesbu Puskesmas

Kepala UPT PUSKESMAS

dr. Hady Rande Nurkhasanah Dwijayanti Putri, A.Md.Keb

NIP. 19820912 201101 1 005 NRTK2D. 6408.19950923.2017.15.0360

 LAPORAN BULANAN FORM 2 ( PERSALINAN DAN NIFAS )
TAHUN 2022

PUSKESMAS : UPT. PUSKESMAS LONG MESANGAT

BULAN : FEBRUARI 2022

Persalinan Ditolong Nakes (PN) Komplikasi

Sasaran Sasaran Sasaran Persalian Total Maternal Ditangani Vitamin A Nifas Cakupan Kunjungan Nifas
Jumlah Sasaran Sasaran PN Di
No Desa Bumil Ibu Ibu Persalinan Persalinan Persalinan PN Di Ditolong Persalinan (PK)
Penduduk Ibu Hamil
Resti Bersalin Bayi Total % % Non
Nifas Ditolong Ditolong Ditolong KUM Fasyanke KUM Dukun (PN + PD)
PN Fasyank
Dokter Bidan Perawat s PK KUM % VIT. A KUM % KF1 KUM % KF2 KUM % KF3 KUM %
es
1 MELAN 636 12 2 12 13 12 2 2 5 42.3488214831167 2 3 25.40929288987 2 0 0 2 5 42.3488214831167
2 5 42.3488214831167
2 5 42.3488214831167
2 5 42.3488214831167

2 SIKA MAKMUR 966 19 4 18 20 18 0 0 5 27.8818327777042

0 4 22.3054662221633
0 1 26.5844038872779
0 6 33.458199333245 0 6 33.458199333245
0 6 33.458199333245
0 6 33.458199333245

3 SEGOY MAKMUR 1227 24 5 23 25 23 0 0 3 13.1705870236001 0 3 13.1705870236001 0 2 41.8590613775231

0 3 13.1705870236001
0 3 13.1705870236001
0 3 13.1705870236001
0 3 13.1705870236001

4 MUKTI UTAMA 627 12 2 12 13 12 2 2 3 25.7740195820691 2 3 25.7740195820691 2 0 0 2 3 25.7740195820691

2 3 25.7740195820691
2 3 25.7740195820691
2 3 25.7740195820691

5 SUMBER SARI 1717 33 7 32 35 32 2 2 4 12.5492605536458 2 3 9.41194541523433 1 1 3 1 14.9566302592373

3 6 18.8238908304687
3 6 18.8238908304687
3 6 18.8238908304687
3 6 18.8238908304687

6 TANAH ABANG 1146 22 4 21 23 21 1 1 3 14.1014923891425

1 1 4.70049746304751
1 0 0 1 3 14.1014923891425
1 3 14.1014923891425
1 3 14.1014923891425
1 3 14.1014923891425

7 SUMBER AGUNG 713 14 3 13 14 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

PUSKESMAS 7,032 137 27 131 142 131 - 7 - 7 23 136 7 17 101 1 1 8 - 4 83 8 26 148 8 26 148 8 26 148 8 26 148

Mengetahui Pengelola Kesbu Puskesmas

Kepala UPT PUSKESMAS

dr. Hady Rande Nurkhasanah Dwijayanti Putri, A.Md.Keb

NIP. 19820912 201101 1 005 NRTK2D. 6408.19950923.2017.15.0360

 LAPORAN BULANAN FORM 2 ( PERSALINAN DAN NIFAS )
TAHUN 2022

PUSKESMAS : UPT. PUSKESMAS LONG MESANGAT

BULAN : MARET 2022

Persalinan Ditolong Nakes (PN) Komplikasi

Sasaran Sasaran Sasaran Persalian Total Maternal Ditangani Vitamin A Nifas Cakupan Kunjungan Nifas
Jumlah Sasaran Sasaran PN Di (PK)
No Desa Bumil Ibu Ibu Persalinan Persalinan Persalinan PN Di Ditolong Persalinan
Penduduk Ibu Hamil
Resti Bersalin Bayi Total % % Non
Nifas Ditolong Ditolong Ditolong KUM Fasyanke KUM Dukun (PN + PD)
PN Fasyanke
Dokter Bidan Perawat s PK KUM % VIT. A KUM % KF1 KUM % KF2 KUM % KF3 KUM %
s
1 MELAN 636 12 2 12 13 12 0 0 3 25.40929288987 0 1 8.46976429662334
0 0 0 0 3 25.40929288987 0 3 25.40929288987
0 3 25.40929288987
0 3 25.40929288987

2 SIKA MAKMUR 966 19 4 18 20 18 1 1 6 33.458199333245 1 5 27.8818327777042

1 1 26.5844038872779
1 7
39.0345658887858
1 7 39.0345658887858
1 7 39.0345658887858
1 7 39.0345658887858

3 SEGOY MAKMUR 1227 24 5 23 25 23 1 1 4 17.5607826981335

1 4 17.5607826981335
1 2 41.8590613775231
1 4 17.5607826981335
1 4 17.5607826981335
1 4 17.5607826981335
1 4 17.5607826981335

4 MUKTI UTAMA 627 12 2 12 13 12 1 0 1 2 17.1826797213794

1 2 17.1826797213794
1 0 0 1 2 17.1826797213794
1 2 17.1826797213794
1 2 17.1826797213794
1 2 17.1826797213794

5 SUMBER SARI 1717 33 7 32 35 32 1 1 3 9.41194541523433

1 2 6.27463027682288
1 1 14.9566302592373
1 4 12.5492605536458 1 4 12.5492605536458
1 4 12.5492605536458
1 4 12.5492605536458

6 TANAH ABANG 1146 22 4 21 23 21 2 2 4 18.80198985219 2 2 9.40099492609502

2 0 0 2 4 18.80198985219 2 4 18.80198985219
2 4 18.80198985219
2 4 18.80198985219

7 SUMBER AGUNG 713 14 3 13 14 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

PUSKESMAS 7,032 137 27 131 142 131 1 5 - 6 22 122 6 16 87 - - 6 - 4 83 6 24 131 6 24 131 6 24 131 6 24 131

Mengetahui Pengelola Kesbu Puskesmas

Kepala UPT PUSKESMAS

dr. Hady Rande Nurkhasanah Dwijayanti Putri, A.Md.Keb

NIP. 19820912 201101 1 005 NRTK2D. 6408.19950923.2017.15.0360

 LAPORAN BULANAN FORM 2 ( PERSALINAN DAN NIFAS )
TAHUN 2022

PUSKESMAS : UPT. PUSKESMAS LONG MESANGAT

BULAN : APRIL 2022

Persalinan Ditolong Nakes (PN) Komplikasi

Sasaran Sasaran Sasaran Persalian Total Maternal Ditangani Vitamin A Nifas Cakupan Kunjungan Nifas
Jumlah Sasaran Sasaran PN Di (PK)
No Desa Bumil Ibu Ibu Persalinan Persalinan Persalinan PN Di Ditolong Persalinan
Penduduk Ibu Hamil
Resti Bersalin Bayi Total % % Non
Nifas Ditolong Ditolong Ditolong KUM Fasyanke KUM Dukun (PN + PD)
PN Fasyanke
Dokter Bidan Perawat s PK KUM % VIT. A KUM % KF1 KUM % KF2 KUM % KF3 KUM %
s
1 MELAN 636 12 2 12 13 12 0 0 3 25.40929288987 0 1 8.46976429662334
0 0 0 0 3 25.40929288987 0 3 25.40929288987
0 3 25.40929288987
0 3 25.40929288987

2 SIKA MAKMUR 966 19 4 18 20 18 0 0 5 27.8818327777042

0 4 22.3054662221633
2 2 2 1 26.5844038872779
2 8 44.6109324443267 2 8 44.6109324443267
2 8 44.6109324443267
2 8 44.6109324443267

3 SEGOY MAKMUR 1227 24 5 23 25 23 2 2 5 21.9509783726669

2 5 21.9509783726669
2 2 41.8590613775231
2 5 21.9509783726669 2 5 21.9509783726669
2 5 21.9509783726669
2 5 21.9509783726669

4 MUKTI UTAMA 627 12 2 12 13 12 0 0 1 8.59133986068971

0 1 8.59133986068971
0 0 0 0 1 8.59133986068971 0 1 8.59133986068971
0 1 8.59133986068971
0 1 8.59133986068971

5 SUMBER SARI 1717 33 7 32 35 32 2 2 4 12.5492605536458

2 3 9.41194541523433
1 1 3 1 14.9566302592373
3 6 18.8238908304687 3 6 18.8238908304687
3 6 18.8238908304687
3 6 18.8238908304687

6 TANAH ABANG 1146 22 4 21 23 21 1 1 3 14.1014923891425

1 1 4.70049746304751
1 1 2 0 0 2 4 18.80198985219 2 4 18.80198985219
2 4 18.80198985219
2 4 18.80198985219

7 SUMBER AGUNG 713 14 3 13 14 13 2 2 2 15.1101545375945

2 2 15.1101545375945
2 0 0 2 2 15.1101545375945 2 2 15.1101545375945
2 2 15.1101545375945
2 2 15.1101545375945

PUSKESMAS 7,032 137 27 131 142 131 - 7 - 7 23 126 7 17 91 4 4 11 - 4 83 11 29 153 11 29 153 11 29 153 11 29 153

Mengetahui Pengelola Kesbu Puskesmas

Kepala UPT PUSKESMAS

dr. Hady Rande Nurkhasanah Dwijayanti Putri, A.Md.Keb

NIP. 19820912 201101 1 005 NRTK2D. 6408.19950923.2017.15.0360

 LAPORAN BULANAN FORM 2 ( PERSALINAN DAN NIFAS )
TAHUN 2022

PUSKESMAS : UPT. PUSKESMAS LONG MESANGAT

BULAN : MEI 2022

Persalinan Ditolong Nakes (PN) Komplikasi

Sasaran Sasaran Sasaran Persalian Total Maternal Ditangani Vitamin A Nifas Cakupan Kunjungan Nifas
Jumlah Sasaran Sasaran PN Di (PK)
No Desa Bumil Ibu Ibu Persalinan Persalinan Persalinan PN Di Ditolong Persalinan
Penduduk Ibu Hamil
Resti Bersalin Bayi Total % % Non
Nifas Ditolong Ditolong Ditolong KUM Fasyanke KUM Dukun (PN + PD)
PN Fasyanke
Dokter Bidan Perawat s PK KUM % VIT. A KUM % KF1 KUM % KF2 KUM % KF3 KUM %
s
1 MELAN 636 12 2 12 13 12 3 3 6 50.8185857797401
3 4 33.8790571864934
3 0 0 3 6 50.8185857797401
3 6 50.8185857797401
3 6 50.8185857797401
3 6 50.8185857797401

2 SIKA MAKMUR 966 19 4 18 20 18 1 1 6 33.458199333245 1 5 27.8818327777042

1 1 26.5844038872779
1 7 39.0345658887858
1 7 39.0345658887858
1 7 39.0345658887858
1 7 39.0345658887858

3 SEGOY MAKMUR 1227 24 5 23 25 23 1 1 4 17.5607826981335

1 4 17.5607826981335
1 2 41.8590613775231
1 4 17.5607826981335
1 4 17.5607826981335
1 4 17.5607826981335
1 4 17.5607826981335

4 MUKTI UTAMA 627 12 2 12 13 12 1 1 2 17.1826797213794

1 2 17.1826797213794
1 1 2 0 0 2 3 25.7740195820691
2 3 25.7740195820691
2 3 25.7740195820691
2 3 25.7740195820691

5 SUMBER SARI 1717 33 7 32 35 32 2 1 3 5 15.6865756920572

3 4 12.5492605536458
3 1 14.9566302592373
3 6 18.8238908304687 3 6 18.8238908304687
3 6 18.8238908304687
3 6 18.8238908304687

6 TANAH ABANG 1146 22 4 21 23 21 3 3 5 23.5024873152375

3 3 14.1014923891425
3 0 0 3 5 23.5024873152375 3 5 23.5024873152375
3 5 23.5024873152375
3 5 23.5024873152375

7 SUMBER AGUNG 713 14 3 13 14 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

PUSKESMAS 7,032 137 27 131 142 131 1 10 1 12 28 158 12 22 123 1 1 13 - 4 83 13 31 176 13 31 176 13 31 176 13 31 176

Mengetahui Pengelola Kesbu Puskesmas

Kepala UPT PUSKESMAS

dr. Hady Rande Nurkhasanah Dwijayanti Putri, A.Md.Keb

NIP. 19820912 201101 1 005 NRTK2D. 6408.19950923.2017.15.0360

 LAPORAN BULANAN FORM 2 ( PERSALINAN DAN NIFAS )
TAHUN 2022

PUSKESMAS : UPT. PUSKESMAS LONG MESANGAT

BULAN : JUNI 2022

Persalinan Ditolong Nakes (PN) Komplikasi

Sasaran Sasaran Sasaran
PN Di
Persalian Total Maternal Ditangani Vitamin A Nifas Cakupan Kunjungan Nifas
Jumlah Sasaran Sasaran
No Desa Bumil Ibu Ibu Persalinan Persalinan Persalinan PN Di Ditolong Persalinan (PK)
Penduduk Ibu Hamil
Resti Bersalin Bayi Total % % Non
Nifas Ditolong Ditolong Ditolong KUM Fasyanke KUM Dukun (PN + PD)
PN Fasyanke
Dokter Bidan Perawat s PK KUM % VIT. A KUM % KF1 KUM % KF2 KUM % KF3 KUM %
s
1 MELAN 636 12 2 12 13 12 2 2 5 42.3488214831167
2 3 25.40929288987 2 0 0 2 5 42.3488214831167
2 5 42.3488214831167
2 5 42.3488214831167
2 5 42.3488214831167

2 SIKA MAKMUR 966 19 4 18 20 18 1 1 6 33.458199333245 1 5 27.8818327777042

1 1 2 53.1688077745557
1 7 39.0345658887858
1 7 39.0345658887858
1 7 39.0345658887858
1 7 39.0345658887858

3 SEGOY MAKMUR 1227 24 5 23 25 23 1 1 2 5 21.9509783726669

2 5 21.9509783726669
2 2 41.8590613775231
2 5 21.9509783726669
2 5 21.9509783726669
2 5 21.9509783726669
2 5 21.9509783726669

4 MUKTI UTAMA 627 12 2 12 13 12 0 1 8.59133986068971

0 1 8.59133986068971
0 0 0 0 1 8.59133986068971
0 1 8.59133986068971
0 1 8.59133986068971
0 1 8.59133986068971

5 SUMBER SARI 1717 33 7 32 35 32 1 9 10 12 37.6477816609373

10 11 34.5104665225259
1 1 11 1 14.9566302592373
11 14 43.9224119377602 11 14 43.9224119377602
11 14 43.9224119377602
11 14 43.9224119377602

6 TANAH ABANG 1146 22 4 21 23 21 0 2 9.40099492609502

0 0 0 1 1 1 0 0 1 3 14.1014923891425 1 3 14.1014923891425
1 3 14.1014923891425
1 3 14.1014923891425

7 SUMBER AGUNG 713 14 3 13 14 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

PUSKESMAS 7,032 137 27 131 142 131 2 13 - 15 31 153 15 25 118 2 2 17 1 5 110 17 35 170 17 35 170 17 35 170 17 35 170

Mengetahui Pengelola Kesbu Puskesmas

Kepala UPT PUSKESMAS

dr. Hady Rande Nurkhasanah Dwijayanti Putri, A.Md.Keb

NIP. 19820912 201101 1 005 NRTK2D. 6408.19950923.2017.15.0360

 LAPORAN BULANAN FORM 2 ( PERSALINAN DAN NIFAS )
TAHUN 2022

PUSKESMAS : UPT. PUSKESMAS LONG MESANGAT

BULAN : JULI 2022

Persalinan Ditolong Nakes (PN) Komplikasi

Sasaran Sasaran Persalian Total Maternal Ditangani
Jumlah Sasaran Sasaran Sasaran (PK)
No Desa Bumil Ibu Persalinan Persalinan Persalinan Ditolong Persalinan
Penduduk Ibu Hamil
Resti Bayi Ibu Nifas Total % PN Di % PN Di Non
Bersalin Ditolong Ditolong Ditolong KUM KUM Dukun (PN + PD)
PN Fasyankes Fasyankes
Dokter Bidan Perawat PK

1 MELAN 636 12 2 12 13 12 2 2 5 42.3488214831167 2 3 25.40929288987 2

2 SIKA MAKMUR 966 19 4 18 20 18 7 7 12 66.91639866649 7 11 61.3400321109492 7 1

3 SEGOY MAKMUR 1227 24 5 23 25 23 1 1 4 17.5607826981335 1 4 17.5607826981335 1

4 MUKTI UTAMA 627 12 2 12 13 12 1 1 2 17.1826797213794 1 2 17.1826797213794 1 1

5 SUMBER SARI 1717 33 7 32 35 32 2 2 4 12.5492605536458 2 3 9.41194541523433 2

6 TANAH ABANG 1146 22 4 21 23 21 1 2 3 5 23.5024873152375 3 3 14.1014923891425 3

7 SUMBER AGUNG 713 14 3 13 14 13 1 2 3 3 22.6652318063918 3 3 22.6652318063918 1 1 4

PUSKESMAS 7,032 137 27 131 142 131 2 17 - 19 35 203 19 29 168 1 1 20 2

Mengetahui
Kepala UPT PUSKESMAS

dr. Hady Rande

NIP. 19820912 201101 1 005

 Komplikasi
Maternal Ditangani Vitamin A Nifas Cakupan Kunjungan Nifas
(PK)

KUM % VIT. A KUM % KF1 KUM % KF2 KUM % KF3 KUM %

0 0 2 5 42.3488214831167 2 5 42.3488214831167
2 5 42.3488214831167
2 5 42.3488214831167

2 53.1688077745557
7 13 72.4927652220308 7 13 72.4927652220308
7 13 72.4927652220308
7 13 72.4927652220308

2 41.8590613775231
1 4 17.5607826981335 1 4 17.5607826981335
1 4 17.5607826981335
1 4 17.5607826981335

1 40.9577897210692
1 2 17.1826797213794 1 2 17.1826797213794
1 2 17.1826797213794
1 2 17.1826797213794

1 14.9566302592373
2 5 15.6865756920572 2 5 15.6865756920572
2 5 15.6865756920572
2 5 15.6865756920572

0 0 3 5 23.5024873152375 3 5 23.5024873152375
3 5 23.5024873152375
3 5 23.5024873152375

0 0 4 4 30.220309075189
4 4 30.220309075189
4 4 30.220309075189
4 4 30.220309075189

6 151 20 38 219 20 38 219 20 38 219 20 38 219

Pengelola Kesbu Puskesmas

Nurkhasanah Dwijayanti Putri, A.Md.Keb

NRTK2D. 6408.19950923.2017.15.0360
 LAPORAN BULANAN FORM 2 ( PERSALINAN DAN NIFAS )
TAHUN 2022

PUSKESMAS : UPT. PUSKESMAS LONG MESANGAT

BULAN : AGUSTUS 2022

Persalinan Ditolong Nakes (PN) Komplikasi

Sasaran Sasaran Persalian Total Maternal Ditangani Vitamin A Nifas Cakupan Kunjungan Nifas
Jumlah Sasaran Sasaran Sasaran
No Desa Bumil Ibu Persalinan Persalinan Persalinan Ditolong Persalinan (PK)
Penduduk Ibu Hamil
Resti Bayi Ibu Nifas Total % PN Di % PN Di Non
Bersalin Ditolong Ditolong Ditolong KUM KUM Dukun (PN + PD)
PN Fasyankes Fasyankes
Dokter Bidan Perawat PK KUM % VIT. A KUM % KF1 KUM % KF2 KUM % KF3 KUM %

1 MELAN 636 12 2 12 13 12 0 3 25.40929288987 1 8.46976429662334 0 0 0 0 3 25.40929288987 0 3 25.40929288987

0 3 25.40929288987
0 3 25.40929288987

2 SIKA MAKMUR 966 19 4 18 20 18 1 1 6 33.458199333245 1 5 27.8818327777042

1 1 26.5844038872779
1 7 39.0345658887858
1 7 39.0345658887858
1 7 39.0345658887858
1 7 39.0345658887858

3 SEGOY MAKMUR 1227 24 5 23 25 23 1 1 4 17.5607826981335 1 4 17.5607826981335 1 2 41.8590613775231

1 4 17.5607826981335
1 4 17.5607826981335
1 4 17.5607826981335
1 4 17.5607826981335

4 MUKTI UTAMA 627 12 2 12 13 12 1 1 2 17.1826797213794 1 2 17.1826797213794 1 1 1 40.9577897210692

1 2 17.1826797213794
1 2 17.1826797213794
1 2 17.1826797213794
1 2 17.1826797213794

5 SUMBER SARI 1717 33 7 32 35 32 3 3 5 15.6865756920572 3 4 12.5492605536458 3 1 2 29.9132605184746

3 6 18.8238908304687
3 6 18.8238908304687
3 6 18.8238908304687
3 6 18.8238908304687

6 TANAH ABANG 1146 22 4 21 23 21 3 3 5 23.5024873152375

3 3 14.1014923891425
3 3 6 0 0 6 8 37.6039797043801
6 8 37.6039797043801
6 8 37.6039797043801
6 8 37.6039797043801

7 SUMBER AGUNG 713 14 3 13 14 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

PUSKESMAS 7,032 137 27 131 142 131 1 8 - 9 25 133 9 19 98 3 3 12 2 6 139 12 30 156 12 30 156 12 30 156 12 30 156

Mengetahui Pengelola Kesbu Puskesmas

Kepala UPT PUSKESMAS

dr. Hady Rande Nurkhasanah Dwijayanti Putri, A.Md.Keb

NIP. 19820912 201101 1 005 NRTK2D. 6408.19950923.2017.15.0360

 LAPORAN BULANAN FORM 2 ( PERSALINAN DAN NIFAS )
TAHUN 2022

PUSKESMAS : UPT. PUSKESMAS LONG MESANGAT

BULAN : SEPTEMBER 2022

Persalinan Ditolong Nakes (PN) Komplikasi

Sasaran Sasaran Persalian Total Maternal Ditangani Vitamin A Nifas Cakupan Kunjungan Nifas
Jumlah Sasaran Sasaran Sasaran
No Desa Bumil Ibu Persalinan Persalinan Persalinan Ditolong Persalinan (PK)
Penduduk Ibu Hamil
Resti Bayi Ibu Nifas Total % PN Di % PN Di Non
Bersalin Ditolong Ditolong Ditolong KUM KUM Dukun (PN + PD)
PN Fasyankes Fasyankes
Dokter Bidan Perawat PK KUM % VIT. A KUM % KF1 KUM % KF2 KUM % KF3 KUM %

1 MELAN 636 12 2 12 13 12 3 3 6 50.8185857797401 3 4 33.8790571864934 3 0 0 3 6 50.8185857797401

3 6 50.8185857797401
3 6 50.8185857797401
3 6 50.8185857797401

2 SIKA MAKMUR 966 19 4 18 20 18 0 5 27.8818327777042

4 22.3054662221633
0 1 26.5844038872779
0 6 33.458199333245 0 6 33.458199333245
0 6 33.458199333245
0 6 33.458199333245

3 SEGOY MAKMUR 1227 24 5 23 25 23 2 2 5 21.9509783726669 2 5 21.9509783726669 2 1 3 62.7885920662846

2 5 21.9509783726669
2 5 21.9509783726669
2 5 21.9509783726669
2 5 21.9509783726669

4 MUKTI UTAMA 627 12 2 12 13 12 0 1 8.59133986068971 1 8.59133986068971 0 0 0 0 1 8.59133986068971

0 1 8.59133986068971
0 1 8.59133986068971
0 1 8.59133986068971

5 SUMBER SARI 1717 33 7 32 35 32 2 6 8 10 31.3731513841144 8 9 28.235836245703 1 1 9 1 2 29.9132605184746

9 12 37.6477816609373
9 12 37.6477816609373
9 12 37.6477816609373
9 12 37.6477816609373

6 TANAH ABANG 1146 22 4 21 23 21 0 2 9.40099492609502

0 0 0 0 0 0 2 9.40099492609502
0 2 9.40099492609502
0 2 9.40099492609502
0 2 9.40099492609502

7 SUMBER AGUNG 713 14 3 13 14 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

PUSKESMAS 7,032 137 27 131 142 131 2 11 - 13 29 150 13 23 115 1 1 14 2 6 119 14 32 162 14 32 162 14 32 162 14 32 162

Mengetahui Pengelola Kesbu Puskesmas

Kepala UPT PUSKESMAS

dr. Hady Rande Nurkhasanah Dwijayanti Putri, A.Md.Keb

NIP. 19820912 201101 1 005 NRTK2D. 6408.19950923.2017.15.0360

 LAPORAN BULANAN FORM 2 ( PERSALINAN DAN NIFAS )
TAHUN 2022

PUSKESMAS : UPT. PUSKESMAS LONG MESANGAT

BULAN : OKTOBER 2022

Persalinan Ditolong Nakes (PN) Komplikasi

Sasaran Sasaran Persalian Total Maternal Ditangani
Jumlah Sasaran Sasaran Sasaran
No Desa Bumil Ibu Persalinan Persalinan Persalinan Ditolong Persalinan (PK)
Penduduk Ibu Hamil
Resti Bayi Ibu Nifas Total % PN Di % PN Di Non
Bersalin Ditolong Ditolong Ditolong KUM KUM Dukun (PN + PD)
PN Fasyankes Fasyankes
Dokter Bidan Perawat PK

1 MELAN 636 12 2 12 13 12 2 2 5 42.3488214831167 2 3 25.40929288987 2

2 SIKA MAKMUR 966 19 4 18 20 18 1 3 4 9 50.1872989998675 4 8 44.6109324443267 4

3 SEGOY MAKMUR 1227 24 5 23 25 23 1 2 3 6 26.3411740472002 3 6 26.3411740472002 3 1

4 MUKTI UTAMA 627 12 2 12 13 12 1 2 3 4 34.3653594427588 3 4 34.3653594427588 3

5 SUMBER SARI 1717 33 7 32 35 32 2 2 4 12.5492605536458 2 3 9.41194541523433 2 1

6 TANAH ABANG 1146 22 4 21 23 21 0 2 9.40099492609502 0 0 0 1 1 1

7 SUMBER AGUNG 713 14 3 13 14 13 1 1 2 2 15.1101545375945 2 2 15.1101545375945 2

PUSKESMAS 7,032 137 27 131 142 131 4 12 - 16 32 190 16 26 155 1 1 17 2

Mengetahui
Kepala UPT PUSKESMAS

dr. Hady Rande

NIP. 19820912 201101 1 005

 Komplikasi
Maternal Ditangani Vitamin A Nifas Cakupan Kunjungan Nifas
(PK)

KUM % VIT. A KUM % KF1 KUM % KF2 KUM % KF3 KUM %

0 0 2 5 42.3488214831167 2 5 42.3488214831167
2 5 42.3488214831167
2 5 42.3488214831167

1 26.5844038872779
4 10 55.7636655554083 4 10 55.7636655554083
4 10 55.7636655554083
4 10 55.7636655554083

3 62.7885920662846
3 6 26.3411740472002 3 6 26.3411740472002
3 6 26.3411740472002
3 6 26.3411740472002

0 0 3 4 34.3653594427588 3 4 34.3653594427588
3 4 34.3653594427588
3 4 34.3653594427588

2 29.9132605184746
2 5 15.6865756920572 2 5 15.6865756920572
2 5 15.6865756920572
2 5 15.6865756920572

0 0 1 3 14.1014923891425 1 3 14.1014923891425
1 3 14.1014923891425
1 3 14.1014923891425

0 0 2 2 15.1101545375945 2 2 15.1101545375945
2 2 15.1101545375945
2 2 15.1101545375945

6 119 17 35 204 17 35 204 17 35 204 17 35 204

Pengelola Kesbu Puskesmas

Nurkhasanah Dwijayanti Putri, A.Md.Keb

NRTK2D. 6408.19950923.2017.15.0360
 LAPORAN BULANAN FORM 2 ( PERSALINAN DAN NIFAS )
TAHUN 2022

PUSKESMAS : UPT. PUSKESMAS LONG MESANGAT

BULAN : NOVEMBER 2022

Persalinan Ditolong Nakes (PN) Komplikasi

Sasaran Sasaran Persalian Total Maternal Ditangani Vitamin A Nifas Cakupan Kunjungan Nifas
Jumlah Sasaran Sasaran Sasaran (PK)
No Desa Bumil Ibu Persalinan Persalinan Persalinan Ditolong Persalinan
Penduduk Ibu Hamil
Resti Bayi Ibu Nifas Total % PN Di % PN Di Non
Bersalin Ditolong Ditolong Ditolong KUM KUM Dukun (PN + PD)
PN Fasyankes Fasyankes
Dokter Bidan Perawat PK KUM % VIT. A KUM % KF1 KUM % KF2 KUM % KF3 KUM %

1 MELAN 636 12 2 12 13 12 2 2 5 42.3488214831167

2 3 25.40929288987 2 0 0 2 5 42.3488214831167
2 5 42.3488214831167
2 5 42.3488214831167
2 5 42.3488214831167

2 SIKA MAKMUR 966 19 4 18 20 18 1 1 6 33.458199333245 1 5 27.8818327777042

1 1 26.5844038872779
1 7 39.0345658887858
1 7 39.0345658887858
1 7 39.0345658887858
1 7 39.0345658887858

3 SEGOY MAKMUR 1227 24 5 23 25 23 1 1 2 5 21.9509783726669

2 5 21.9509783726669
2 2 41.8590613775231
2 5 21.9509783726669
2 5 21.9509783726669
2 5 21.9509783726669
2 5 21.9509783726669

4 MUKTI UTAMA 627 12 2 12 13 12 1 1 2 17.1826797213794

1 2 17.1826797213794
1 0 0 1 2 17.1826797213794
1 2 17.1826797213794
1 2 17.1826797213794
1 2 17.1826797213794

5 SUMBER SARI 1717 33 7 32 35 32 1 2 3 5 15.6865756920572

3 4 12.5492605536458
3 1 14.9566302592373
3 6 18.8238908304687
3 6 18.8238908304687
3 6 18.8238908304687
3 6 18.8238908304687

6 TANAH ABANG 1146 22 4 21 23 21 0 2 9.40099492609502

0 0 0 1 1 1 1 1 22.4088430672866
1 3 14.1014923891425
1 3 14.1014923891425
1 3 14.1014923891425
1 3 14.1014923891425

7 SUMBER AGUNG 713 14 3 13 14 13 1 1 2 2 15.1101545375945

2 2 15.1101545375945
2 1 1 36.0175794601829
2 2 15.1101545375945
2 2 15.1101545375945
2 2 15.1101545375945
2 2 15.1101545375945

PUSKESMAS 7,032 137 27 131 142 131 4 7 - 11 27 155 11 21 120 1 1 12 2 6 142 12 30 169 12 30 169 12 30 169 12 30 169

Mengetahui Pengelola Kesbu Puskesmas

Kepala UPT PUSKESMAS

dr. Hady Rande Nurkhasanah Dwijayanti Putri, A.Md.Keb

NIP. 19820912 201101 1 005 NRTK2D. 6408.19950923.2017.15.0360

 LAPORAN BULANAN FORM 2 ( PERSALINAN DAN NIFAS )
TAHUN 2022

PUSKESMAS : UPT. PUSKESMAS LONG MESANGAT

BULAN : DESEMBER 2022

Persalinan Ditolong Nakes (PN) Komplikasi

Sasaran Sasaran Persalian Total Maternal Ditangani
Jumlah Sasaran Sasaran Sasaran
No Desa Bumil Ibu Persalinan Persalinan Persalinan Ditolong Persalinan (PK)
Penduduk Ibu Hamil
Resti Bayi Ibu Nifas Total % PN Di % PN Di Non
Bersalin Ditolong Ditolong Ditolong KUM KUM Dukun (PN + PD)
PN Fasyankes Fasyankes
Dokter Bidan Perawat PK

1 MELAN 636 12 2 12 13 12 0 3 25.40929288987 0 1 8.46976429662334 0

2 SIKA MAKMUR 966 19 4 18 20 18 1 1 6 33.458199333245 1 5 27.8818327777042 1

3 SEGOY MAKMUR 1227 24 5 23 25 23 1 1 4 17.5607826981335 1 4 17.5607826981335 1

4 MUKTI UTAMA 627 12 2 12 13 12 1 2 3 4 34.3653594427588 3 4 34.3653594427588 3

5 SUMBER SARI 1717 33 7 32 35 32 1 3 4 6 18.8238908304687 4 5 15.6865756920572 4

6 TANAH ABANG 1146 22 4 21 23 21 1 1 3 14.1014923891425 1 1 4.70049746304751 1 1

7 SUMBER AGUNG 713 14 3 13 14 13 1 1 1 7.55507726879726 1 1 7.55507726879726 1 1

PUSKESMAS 7,032 137 27 131 142 131 3 8 - 11 27 151 11 21 116 - - 11 2

Mengetahui
Kepala UPT PUSKESMAS

dr. Hady Rande

NIP. 19820912 201101 1 005

 Komplikasi
Maternal Ditangani Vitamin A Nifas Cakupan Kunjungan Nifas
(PK)

KUM % VIT. A KUM % KF1 KUM % KF2 KUM % KF3 KUM %

0 0 0 3 25.40929288987 0 3 25.40929288987 0 3 25.40929288987 0 3 25.40929288987

1 26.5844038872779
1 7 39.0345658887858 1 7 39.0345658887858
1 7 39.0345658887858
1 7 39.0345658887858

2 41.8590613775231
1 4 17.5607826981335 1 4 17.5607826981335
1 4 17.5607826981335
1 4 17.5607826981335

0 0 3 4 34.3653594427588 3 4 34.3653594427588
3 4 34.3653594427588
3 4 34.3653594427588

1 14.9566302592373
4 7 21.9612059688801 4 7 21.9612059688801
4 7 21.9612059688801
4 7 21.9612059688801

1 22.4088430672866
1 3 14.1014923891425 1 3 14.1014923891425
1 3 14.1014923891425
1 3 14.1014923891425

1 36.0175794601829
1 1 7.55507726879726 1 1 7.55507726879726
1 1 7.55507726879726
1 1 7.55507726879726

6 142 11 29 160 11 29 160 11 29 160 11 29 160

Pengelola Kesbu Puskesmas

Nurkhasanah Dwijayanti Putri, A.Md.Keb

NRTK2D. 6408.19950923.2017.15.0360
 LAPORAN BULANAN FORM 2 ( PERSALINAN DAN NIFAS )
TAHUN 2020

PUSKESMAS :
BULAN :

Komplikasi
Persalinan Ditolong Nakes (PN)
Maternal Vitamin A
Sasaran Sasaran Persalian Total Cakupan Kunjungan Nifas
Jumlah Sasaran Sasaran Sasaran Ditangani Nifas
No Desa Bumil Ibu Persalinan Persalinan Persalinan Ditolong Persalinan
Penduduk Ibu Hamil
Resti Bayi Ibu Nifas Total % PN Di % PN Di Non (PK)
Bersalin Ditolong Ditolong Ditolong Dukun (PN + PD)
PN Fasyankes Fasyankes
Dokter Bidan Perawat PK % VIT. A % KF1 % KF2 % KF3 %

1 MELAN 0 0 0 0 0 0 16 0 16 #DIV/0! 16 #DIV/0! 0 0 16 0 #DIV/0! 16 #DIV/0! 16 #DIV/0! 16 #DIV/0! 16 #DIV/0!

2 SIKA MAKMUR 0 0 0 0 0 1 17 0 18 #DIV/0! 18 #DIV/0! 2 2 20 2 #DIV/0! 20 #DIV/0! 20 #DIV/0! 20 #DIV/0! 20 #DIV/0!

3 SEGOY MAKMUR 0 0 0 0 0 6 12 0 18 #DIV/0! 18 #DIV/0! 0 0 18 2 #DIV/0! 18 #DIV/0! 18 #DIV/0! 18 #DIV/0! 18 #DIV/0!

4 MUKTI UTAMA 0 0 0 0 0 4 11 0 15 #DIV/0! 15 #DIV/0! 1 1 16 2 #DIV/0! 16 #DIV/0! 16 #DIV/0! 16 #DIV/0! 16 #DIV/0!

5 SUMBER SARI 0 0 0 0 0 7 35 1 43 #DIV/0! 43 #DIV/0! 5 5 48 3 #DIV/0! 48 #DIV/0! 48 #DIV/0! 48 #DIV/0! 48 #DIV/0!

6 TANAH ABANG 0 0 0 0 0 1 14 0 15 #DIV/0! 15 #DIV/0! 8 8 23 2 #DIV/0! 23 #DIV/0! 23 #DIV/0! 23 #DIV/0! 23 #DIV/0!

7 SUMBER AGUNG 0 0 0 0 0 3 8 0 11 #DIV/0! 11 #DIV/0! 1 1 12 2 #DIV/0! 12 #DIV/0! 12 #DIV/0! 12 #DIV/0! 12 #DIV/0!

PUSKESMAS - - - - - - 22 113 1 136 #DIV/0! 136 #DIV/0! 17 17 153 13 ### 153 #DIV/0! 153 ### 153 ### 153 ###

Mengetahui Pengelola Kesbu Puskesmas

Kepala UPT PUSKESMAS