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LAPORAN BULANAN

REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA


BULAN JANUARI 2020
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik
Sanitasi
Bulan ini:
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 6 6
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

III Jenis Pelayanan :


1 Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Edukasi Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

IV Jenis Penyakit/Masalah
1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dll (sebutkan)Dysentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 01-02-2020


Kepala Puskesmas Maubesi Sanitarian

Maria Y.A.Sanit,Amd.KL
Jose M.Nheu,Amd.Kep
NIP.19751009 199803 1 005
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN FEBRUARI 2020
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik
Sanitasi :
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 0 0 0 0 2 0 0 1 1 0 0 1 3 1 3 4
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
III Jenis Pelayanan :
1 Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Edukasi Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah

1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dll (sebutkan)Dysentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 31-03--2020


Kepala Puskesmas Maubesi Sanitarian

Maria Y.A.Sanit,Amd.KL
Jose M.Nheu,Amd.Kep
NIP.19751009 199803 1 005
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARIN
BULAN FEBRUARI 2020
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE


No. ELEMEN DATA
L P L P L P L P
I Total
Kunjunga
n Klinik
Sanitasi :

1 Bulan ini 0 0 0 0 0 0 0 0
2 Kumulatif
s.d. bulan
ini
0 0 0 0 0 2 0 0
Asal
Pasien :
II
Datang
sendiri
1 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0
Kiriman
kader
3 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0
Jenis
Pelayana
n:
III
Konseling
1 0 0 0 0 0 0 0 0
Edukasi
Kesehata
n
2 0 0 0 0 0 0 0 0
Kunjunga
n rumah
3 0 0 0 0 0 0 0 0
IV Jenis
Penyakit/
Masalah

1 GEA 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0
Kecacinga
n
3 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0
Penyakit
Kulit
7 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0
Suspek
TBC
9 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0
Dll
(sebutkan
)Dysentri

13 0 0 0 0 0 0 0 0

Mengeah
ui,

Kepala Puskesmas Maubesi


AN
USKESMAS DAN JEJARINGNYA
020
BESI

DESA LETIM DESA OEHALO PUSKESMAS Total


L P L P L P L P LP

0 0 0 0 0 0 0 0 0

1 1 0 0 1 3 1 3 4

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

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

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

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

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

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

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

0 0 0 0 0 0 0 0 0

Maubesi, 31-03--2020
Sanitarian

Maria Y.A.Sanit,Amd.KL
LAPORAN BULANAN 0
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN APRIL 2020
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik
Sanitasi :
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini
0 0 0 0 0 2 0 0 1 1 0 0 1 3 1 3 4
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
III Jenis Pelayanan :
1 Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Edukasi Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah
1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Suspek TBC
9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dll (sebutkan)Dysentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 29-04-2020


Kepala Puskesmas Maubesi Sanitarian

Maria Y.A.Sanit,Amd.KL
Jose M.Nheu,Amd.Kep
NIP.19751009 199803 1 005
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN MEI 2020
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik
Sanitasi :
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini
0 0 0 0 0 2 0 0 1 1 0 0 1 3 1 3 4
Asal Pasien :
II
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kiriman kader
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
III Jenis Pelayanan :
Konseling
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Edukasi Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kunjungan rumah
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah
1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dll (sebutkan)Dysentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 29-05-2020


Kepala Puskesmas Maubesi Sanitarian

Jose M.Nheu,Amd.Kep Maria Y.A.Sanit,Amd.KL


NIP.19751009 199803 1 005
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN AGUSTUS 2020
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik
Sanitasi : 0 0 2 1 0 0 0 0 0 0 0 0 2 1 2 1 3
1 Bulan ini 0 0 0 0 0 2 0 0 1 1 0 0 1 3 1 3 4
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
III Jenis Pelayanan :
1 Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Edukasi Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah
1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dll (sebutkan)Dysentri
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 30-07-2020


Kepala Puskesmas Maubesi Sanitarian

Jose M.Nheu,Amd.Kep Maria Y.A.Sanit,Amd.KL


NIP.19751009 198803 1 005
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARIN
BULAN JULI 2020
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE


No. ELEMEN DATA
L P L P L P L P
I Total
Kunjunga
n Klinik
Sanitasi :
0 0 0 0 0 0 0 0
1 Bulan ini 0 0 0 0 0 2 0 0
2 Kumulatif
s.d. bulan
ini
0 0 0 0 0 2 0 0
Asal
Pasien :
II
Datang
sendiri
1 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0
Kiriman
kader
3 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0
Jenis
Pelayana
n:
III
Konseling
1 0 0 0 0 0 0 0 0
Edukasi
Kesehata
n
2 0 0 0 0 0 0 0 0
Kunjunga
n rumah
3 0 0 0 0 0 0 0 0
IV Jenis
Penyakit/
Masalah

1 GEA 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0
Kecacinga
n
3 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0
Penyakit
Kulit
7 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0
Suspek
TBC
9 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0
Dll
(sebutkan
)Dysentri

13 0 0 0 0 0 0 0 0

Mengeah
ui,

Kepala Puskesmas Maubesi

Jose M.Nheu,Amd.Kep
AN
USKESMAS DAN JEJARINGNYA
0
BESI

DESA LETIM DESA OEHALO PUSKESMAS Total


L P L P L P L P LP

0 0 0 0 0 0 0 0 0
1 1 0 0 1 3 1 3 4

1 1 0 0 1 3 1 3 4

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

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

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

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

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

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

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

0 0 0 0 0 0 0 0 0

Maubesi, 30-07-2020
Sanitarian

Maria Y.A.Sanit,Amd.KL
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN AGUSTUS 2020
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik Sanitasi : 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Bulan ini 0 0 2 1 0 - 0 0 0 0 0 0 2 1 2 1 3
2 Kumulatif s.d. bulan ini 0 0 2 1 0 2 0 0 1 1 0 0 3 4 3 4 7
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 2 1 0 0 0 0 0 0 0 0 2 1 2 1 3
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
III Jenis Pelayanan :
1 Konseling 0 0 2 1 0 0 0 0 0 0 0 0 2 1 2 1 3
2 Edukasi Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kunjungan rumah
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah
1 GEA 0 0 2 1 0 0 0 0 0 0 0 0 2 1 2 1 3
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit Kulit
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Suspek TBC
9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dll (sebutkan)Dysentri
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui,
Maubesi, 30 -09-2020
Kepala Puskesmas Maubesi Sanitarian

Jose M.Nheu,Amd.Kep Maria Y.A.Sanit,Amd.KL


Nip.19751009 199803 1 005
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN SEPTEMBER 2020
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik Sanitasi :
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Bulan ini 0 0 0 1 0 - 0 0 0 0 0 0 - 1 - 1 1
2 Kumulatif s.d. bulan ini
0 0 2 2 0 2 0 0 1 1 0 0 3 5 3 5 8
II Asal Pasien :
Datang sendiri
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
III Jenis Pelayanan :
Konseling
1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1
2 Edukasi Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah

1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dll (sebutkan)Dysentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 30 -09-2020


Kepala Puskesmas Maubesi Sanitarian

Jose M.Nheu,Amd.Kep Maria Y.A.Sanit,Amd.KL


Nip.19751009 199803 1 005
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN NOPEMBER 2020
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik
Sanitasi :
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Bulan ini 0 0 0 0 0 - 0 0 0 0 0 0 - - - - -
2 Kumulatif s.d. bulan ini 0 0 2 2 0 2 0 0 1 1 0 0 3 5 3 5 8
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
III Jenis Pelayanan :
1 Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Edukasi Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah

1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dll (sebutkan)Dysentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 30 -11-2020


Kepala Puskesmas Maubesi Sanitarian

Jose M.Nheu,Amd.Kep Maria Y.A.Sanit,Amd.KL


Nip.19751009 199803 1 005
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN DESEMBER 2020
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik Sanitasi : 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Bulan ini 0 0 0 0 0 - 0 0 0 0 0 0 - - - - -
2 Kumulatif s.d. bulan ini 0 0 2 2 0 2 0 0 1 1 0 0 3 5 3 5 8
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kiriman kader
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jenis Pelayanan :
III
1 Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Edukasi Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah
1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dll (sebutkan)Dysentri
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 30 -12-2020


Kepala Puskesmas Maubesi Sanitarian

Jose M.Nheu,Amd.Kep Maria Y.A.Sanit,Amd.KL


Nip.19751009 199803 1 005
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN JANUARI 2021
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik Sanitasi :
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Asal Pasien :
II
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IIIJenis Pelayanan :
1 Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Edukasi Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah
1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dll (sebutkan)Dysentri
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 1-2-2021


Kepala Puskesmas Maubesi Sanitarian

Jose M.Nheu,Amd.Kep Maria Y.A.Sanit,Amd.KL


Nip.19751009 199803 1 005
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN MARET 2021
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik Sanitasi :
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
III Jenis Pelayanan :
1 Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Edukasi Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah
1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dll (sebutkan)Dysentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 1-4-2021


Kepala Puskesmas Maubesi Sanitarian

Jose M.Nheu,Amd.Kep Maria Y.A.Sanit,Amd.KL


Nip.19751009 199803 1 005 Nip.-
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN MEI 2021
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik Sanitasi :
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jenis Pelayanan :
III
Konseling
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Edukasi Kesehatan
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah
1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dll (sebutkan)Dysentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 29-5-2021


Kepala Puskesmas Maubesi Sanitarian

Jose M.Nheu,Amd.Kep Maria Y.A.Sanit,Amd.KL


Nip.19751009 199803 1 005 Nip.-
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN JULI 2021
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik Sanitasi :
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jenis Pelayanan :
III
Konseling
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Edukasi Kesehatan
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah
1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dll (sebutkan)Dysentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 3-8-2021


Kepala Puskesmas Maubesi Sanitarian

Jose M.Nheu,Amd.Kep Maria Y.A.Sanit,Amd.KL


Nip.19751009 199803 1 005 Nip.-
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN JULI 2021
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik Sanitasi :
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jenis Pelayanan :
III
Konseling
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Edukasi Kesehatan
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah
1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dll (sebutkan)Dysentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 30-7-2021


Kepala Puskesmas Maubesi Sanitarian

Jose M.Nheu,Amd.Kep Maria Y.A.Sanit,Amd.KL


Nip.19751009 199803 1 005 Nip.-
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN AGUSTUS 2021
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik Sanitasi :
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jenis Pelayanan :
III
Konseling
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Edukasi Kesehatan
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah
1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dll (sebutkan)Dysentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 2-9-2021


Kepala Puskesmas Maubesi Sanitarian

Jose M.Nheu,Amd.Kep Maria Y.A.Sanit,Amd.KL


Nip.19751009 199803 1 005 Nip.-
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN JANUARI 2022
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik Sanitasi :
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bulan ini
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II Asal Pasien :
Datang sendiri
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
III Jenis Pelayanan :
1 Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Edukasi Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah
1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dll (sebutkan)Dysentri
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi, 3-2-2022


Kepala Puskesmas Maubesi Sanitarian

Benediktus Mo'a, Amd.Kep Longginus Neno Haumein, SKM


Nip.19640420 198801 1 005 Nip.-
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKE
BULAN DESEMBER 2021
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE


No. ELEMEN DATA
L P L P L P L
I Total Kunjungan Klinik Sanitasi : 0 0 0 0 0 0 0
1 Bulan ini 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini 0 0 0 0 0 0 0
II Asal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0
III Jenis Pelayanan :
1 Konseling 0 0 0 0 0 0 0
2 Edukasi Kesehatan 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah
1 GEA 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0
13 Dll (sebutkan)Dysentri 0 0 0 0 0 0 0

Mengeahui,
Kepala Puskesmas Maubesi

Benediktus Mo'a, Amd.Kep


Nip.19640420 198801 1 005
PORAN BULANAN
IK SANITASI DI PUSKESMAS DAN JEJARINGNYA
AN DESEMBER 2021
SKESMAS MAUBESI

DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total


P L P L P L P L P LP
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0

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

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

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

Maubesi, 5-1-2022
Sanitarian

Maria Y.A.Sanit,Amd.KL
Nip.-
LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
BULAN FEBRUARI 2022
PUSKESMAS MAUBESI

DESA LANAUS DESA LETMAFO DESA MAUBESI DESA SONE DESA LETIM DESA OEHALO PUSKESMAS Total
No. ELEMEN DATA
L P L P L P L P L P L P L P L P LP
I Total Kunjungan Klinik Sanitasi :
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Bulan ini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan ini
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IIAsal Pasien :
1 Datang sendiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IIIJenis Pelayanan :
1 Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Edukasi Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kunjungan rumah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Jenis Penyakit/Masalah
1 GEA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kecacingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ispa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Penyakit Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Suspek TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Dll (sebutkan)Dysentri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengeahui, Maubesi,1-3-2022
Kepala Puskesmas Maubesi Sanitarian

Benediktus Mo'a, Amd.Kep Longginus Neno Haumein, SKM


Nip.19640420 198801 1 005 NIP.-

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