JENIS PELAYANAN
PEMERIKSAAN FISIK PEMERIKSAAN LABORATORIUM
SKRINING TT
UMUR STATUS GIZI HB IMS HIV TEST KEHAMILAN
NO. BULAN ≥ 19 - 35 LILA IMT HASIL TEST
< 19 TH TH > 35 TH Normal Anemia Diperiksa (+) Diperiksa HASIL TEST (+)
Normal KEK Kurus Normal Gemu T1 T2 T3 T4 T5 (>12 (<12 HASIL
Diperiksa TEST
(> 23,5 (<23,5c (<18,5c (18,6- (+)
gr/dl) gr/dl)
L P L P L P cm) m) m) 25) k (>25) L P L P L P L P
1. JANUARI 0 3 6 3 0 0 5 1 3 3 0 0 3 3 0 0 2 4 0 0 0 0 0 0 0 0 6 1
2 FEBRUARI 0 1 7 7 1 0 6 2 2 5 1 0 2 5 1 0 0 8 0 0 0 0 0 0 0 0 8 1
3. MARET 0 2 2 0 0 0 2 0 2 0 0 0 0 3 0 0 0 2 0 0 0 0 0 0 0 0 2 0
4. APRIL 0 0 4 4 0 0 4 0 2 1 1 0 0 4 0 0 1 3 0 0 0 0 0 0 0 0 4 0
5. MEI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6. JUNI 0 0 4 4 0 0 1 3 2 2 0 0 1 3 0 0 0 4 0 0 0 0 0 0 0 0 4 1
7. JULI 0 1 2 2 1 1 2 1 2 0 1 0 2 0 0 0 2 0 0 0 0 0 0 0 0 3 0
8. AGUSTUS 0 0 7 7 1 1 5 3 3 5 0 1 5 2 0 0 0 4 0 0 0 0 0 0 0 0 8 1
9. SEPTEMBER 0 2 5 4 2 1 6 1 1 5 1 1 3 2 1 0 7 0 0 0 0 0 0 0 0 7 1
10. OKTOBER 0 3 6 5 0 0 7 1 1 5 2 0 1 4 2 1 2 5 0 0 0 0 0 0 0 0 7 0
11. NOVEMBER 0 0 3 3 0 0 2 1 2 1 0 0 0 3 0 0 1 2 0 0 0 0 0 0 0 0 3 1
JUMLAH 0 12 46 39 5 2 39 14 19 29 5 3 15 31 3 2 6 41 0 0 0 0 0 0 0 0 52 6