LAPORAN BULANAN PROGRAM P2 ISPA

PUSKESMAS PAGIMANA KAB. BANGGAI

PROPINSI SULAWESI TENGAH
BULAN…………………..
REALISASI PENEMUAN PENDERITA JLH KEMATIAN BALITA KARENA ISPA ≥ 5 TH
Jml Pddk Target PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMONIA PNEUMONIA
Usia Penemuan
JLH Penderita Bkn
NO DESA PDDK Balita Pneumonia <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH Pneumonia
(10% % Pneumonia
Balita (10% TOTAL JLH JLH
pddk) Balita)
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR

1 BALOA DODA
2 ASAAN
3 PAKOWA
4 LAMO
5 NAIN
6 PINAPUAN
7 SINAMPANGNYO
8 HOHUDONGAN
9 TONGKONUNUK
10 JAYA BAKTI
11 PAGIMANA
12 BASABUNGAN
13 PISOU
14 LAMBANGAN
15 SEPA
16 TALOYON
17 UWEDAKA
18 TINTINGAN
19 BUNGAWON
20 HUHAK
21 POH
22 TOIPAN
23 SIUNA
24 BAJO POAT
25 BALAI GONDI
26 TAMPE
27 GOMUO
28 SALIPI
29 SAMMA JATEM
30 BONDAT
31 AMPERA
32 BULU
33 TOMBANG
34 DONGKALAN
35 LUAR WILAYAH
JUMLAH
Mengetahui
Ka. Puskesmas………………………… Pengelola P2 ISPA

……………………...……………………………… ………………………………..…...………..
NIP NIP
 ABSEN LAPORAN BULANAN

JAN FEB MAR APR MEI JUN JUL AGST SEP OKT

TANGGAL MASUK LAPORAN

11 Nov 2021
NOV DES
 LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS PAGIMANA KABUPATEN BANGGAI
BULAN JANUARI
Jumlah
REALISASI PENEMUAN PENDERITA yg
Target Penemuan Jmlh Kunjungan
Jml Pddk Usia
Penderita Balita Batuk &/ PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMONIA dihitu
NO DESA JLH PDDK Balita (10%
Pneumonia Balita Kesukaran ng
pddk) <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH 1-4 TH TOTAL nafas /
(5.19% Balita) Bernapas TOTAL JLH JLH JLH
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR ada
TDDK
1 BALOA DODA 506 50.6 0.22 0 0 0 0 0 0.00 0 0 0 0 0
2 ASAAN 462 46.2 0.20 0 0 0 0 0 0.00 0 0 0 0 0
3 PAKOWA 792 79.2 0.34 0 0 0 0 0 0.00 0 0 0 0 0
4 LAMO 417 41.7 0.18 0 0 0 0 0 0.00 0 0 0 0 0
5 NAIN 138 13.8 0.06 0 0 0 0 0 0.00 0 0 0 0 0
6 PINAPUAN 410 41.0 0.18 0 0 0 0 0 0.00 0 0 0 0 0
7 SINAMPANGNYO 518 51.8 0.22 0 0 0 0 0 0.00 0 0 0 0 0
8 HOHUDONGAN 206 20.6 0.09 0 0 0 0 0 0.00 0 0 0 0 0
9 TONGKONUNUK 850 85.0 0.37 0 0 0 0 0 0.00 0 0 0 0 0
10 JAYA BAKTI 725 72.5 0.31 0 0 0 0 0 0.00 0 0 0 0 0
11 PAGIMANA 763 76.3 0.33 0 0 0 0 0 0.00 0 0 0 0 0
12 BASABUNGAN 227 22.7 0.10 0 0 0 0 0 0.00 0 0 0 0 0
13 PISOU 954 95.4 0.41 0 0 0 0 0 0.00 0 0 0 0 0
14 LAMBANGAN 685 68.5 0.30 0 0 0 0 0 0.00 0 0 0 0 0
15 SEPA 616 61.6 0.27 0 0 0 0 0 0.00 0 0 0 0 0
16 TALOYON 409 40.9 0.18 0 0 0 0 0 0.00 0 0 0 0 0
17 UWEDAKA 670 67.0 0.29 0 0 0 0 0 0.00 0 0 0 0 0
18 BAJO POAT 227 22.7 0.10 0 0 0 0 0 0.00 0 0 0 0 0
19 BALAI GONDI 340 34.0 0.15 0 0 0 0 0 0.00 0 0 0 0 0
20 TAMPE 165 16.5 0.07 0 0 0 0 0 0.00 0 0 0 0 0
21 GOMUOK 95 9.5 0.04 0 0 0 0 0 0.00 0 0 0 0 0
22 AMPERA 379 37.9 0.16 0 0 0 0 0 0.00 0 0 0 0 0
23 BULU 432 43.2 0.19 0 0 0 0 0 0.00 0 0 0 0 0
24 DONGKALAN 338 33.8 0.15 0 0 0 0 0 0.00 0 0 0 0 0
25 LUAR WILAYAH 0 0.0 0.00 0 0 0 0 0 #DIV/0! 0 0 0 0 0
JUMLAH 11324 1132.4 4.90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0 0 0 0
Mengetahui
Ka. Puskesmas……………………………..….

……………………...………………………………
NIP
BALOA DODA 487 Ampera 370
ASAAN 437 Asaan 437
PAKOWA 830 Bajo poat 207
LAMO 423 Balai Gondi 300
NAIN 143 Baloa Doda 487
PINAPUAN 398 Basabungan 1223
SINAMPANGNYO 478 Bondat 482
HOHUDONGAN 202 Bulu 408
TONGKONUNUK 681 Bungawon 391
 JAYA BAKTI 4264 Dongkalan 327
PAGIMANA 2578 Gomuo 79
BASABUNGAN 1223 Hohudongan 202
PISOU 949 Huhak 371
LAMBANGAN 674 Jaya Bakti 4264
SEPA 671 Lambangan 674
TALOYON 364 Lamo 423
UWEDAKA 605 Nain 143
TINTINGAN 804 P. tembang
BUNGAWON 391 Pagimana 2578
HUHAK 371 Pakowa 830
POH 1242 Pinapuan 398
TOIPAN 344 Pisou 949
SIUNA 1050 Poh 1242
BAJO POAT 207 Samma Jatem 989
BALAI GONDI 300 Sepa 671
TAMPE 153 Sinampangnyo 478
GOMUOK 79 Siuna 1050
SAMMA JATEM 989 Taloyan 364
BONDAT 482 Tampe 153
AMPERA 370 Tintingan 804
BULU 408 Toipan 344
TOMBANG 303 Tombang 303
DONGKALAN 327 Tongkonunuk 681
uwedaka 605
 JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH

<1 TH 1-4 TH TOTAL Bkn Pneumonia Pneumonia

JLH JLH JLH JLH JLH
LK PR LK PR LK PR LK PR LK PR

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA

………………………………..…...………..
NIP
 LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS PAGIMANA KABUPATEN BANGGAI
BULAN FEBRUARI
REALISASI PENEMUAN PENDERITA
Target Penemuan Jmlh Kunjungan
Jml Pddk Usia PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH 1-4 TH TOTAL
(5.19% Balita) Bernapas TOTAL JLH JLH
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK

1 BALOA DODA 506 50.6 0.22 0 0 0 0 0 0.00 0 0 0

2 ASAAN 462 46.2 0.20 0 0 0 0 0 0.00 0 0 0
3 PAKOWA 792 79.2 0.34 0 0 0 0 0 0.00 0 0 0
4 LAMO 417 41.7 0.18 0 0 0 0 0 0.00 0 0 0
5 NAIN 138 13.8 0.06 0 0 0 0 0 0.00 0 0 0
6 PINAPUAN 410 41.0 0.18 0 0 0 0 0 0.00 0 0 0
7 SINAMPANGNYO 518 51.8 0.22 0 0 0 0 0 0.00 0 0 0
8 HOHUDONGAN 206 20.6 0.09 0 0 0 0 0 0.00 0 0 0
9 TONGKONUNUK 850 85.0 0.37 0 0 0 0 0 0.00 0 0 0
10 JAYA BAKTI 725 72.5 0.31 0 0 0 0 0 0.00 0 0 0
11 PAGIMANA 763 76.3 0.33 0 0 0 0 0 0.00 0 0 0
12 BASABUNGAN 227 22.7 0.10 0 0 0 0 0 0.00 0 0 0
13 PISOU 954 95.4 0.41 0 0 0 0 0 0.00 0 0 0
14 LAMBANGAN 685 68.5 0.30 0 0 0 0 0 0.00 0 0 0
15 SEPA 616 61.6 0.27 0 0 0 0 0 0.00 0 0 0
16 TALOYON 409 40.9 0.18 0 0 0 0 0 0.00 0 0 0
17 UWEDAKA 670 67.0 0.29 0 0 0 0 0 0.00 0 0 0
24 BAJO POAT 227 22.7 0.10 0 0 0 0 0 0.00 0 0 0
25 BALAI GONDI 340 34.0 0.15 0 0 0 0 0 0.00 0 0 0
26 TAMPE 165 16.5 0.07 0 0 0 0 0 0.00 0 0 0
27 GOMUOK 95 9.5 0.04 0 0 0 0 0 0.00 0 0 0
30 AMPERA 379 37.9 0.16 0 0 0 0 0 0.00 0 0 0
31 BULU 432 43.2 0.19 0 0 0 0 0 0.00 0 0 0
33 DONGKALAN 338 33.8 0.15 0 0 0 0 0 0.00 0 0 0
34 LUAR WILAYAH 0 0.0 0.00 0 0 0 0 0 #DIV/0! 0 0 0
JUMLAH 11324 1132.4 4.89763 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0
Mengetahui
Ka. Puskesmas……………………………..….

……………………...………………………………
NIP
 Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
PNEUMONIA dihitu
ng
TOTAL nafas / <1 TH 1-4 TH TOTAL Bkn Pneumonia Pneumonia
JLH ada JLH JLH JLH JLH JLH
PR LK PR LK PR LK PR LK PR LK PR
TDDK
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA

………………………………..…...………..
NIP
BULAN MARET

Target Penemuan Jmlh Kunjungan

Jml Pddk Usia PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH
(5.19% Balita) Bernapas
LK PR LK

1 BALOA DODA 506 50.6 0.22

2 ASAAN 462 46.2 0.20
3 PAKOWA 792 79.2 0.34
4 LAMO 417 41.7 0.18
5 NAIN 138 13.8 0.06
6 PINAPUAN 410 41.0 0.18
7 SINAMPANGNYO 518 51.8 0.22
8 HOHUDONGAN 206 20.6 0.09
9 TONGKONUNUK 850 85.0 0.37
10 JAYA BAKTI 725 72.5 0.31
11 PAGIMANA 763 76.3 0.33
12 BASABUNGAN 227 22.7 0.10
13 PISOU 954 95.4 0.41
14 LAMBANGAN 685 68.5 0.30
15 SEPA 616 61.6 0.27
16 TALOYON 409 40.9 0.18
17 UWEDAKA 670 67.0 0.29
18 BAJO POAT 227 22.7 0.10
19 BALAI GONDI 340 34.0 0.15
20 TAMPE 165 16.5 0.07
21 GOMUOK 95 9.5 0.04
22 AMPERA 379 37.9 0.16
23 BULU 432 43.2 0.19
24 DONGKALAN 338 33.8 0.15
25 LUAR WILAYAH 0 0.0 0.00
JUMLAH 11324 1132.4 4.89763 0 0 0 0
Mengetahui
Ka. Puskesmas…………………………

……………………...………………………
NIP
 LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS PAGIMANA KABUPATEN BANGGAI

REALISASI PENEMUAN PENDERITA

EUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN
1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH
TOTAL
PR LK PR LK PR LK PR LK PR LK PR

0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0.00 0 0
Mengetahui
kesmas……………………………..….

……………...………………………………
RAM P2 ISPA
PATEN BANGGAI

Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA
BATUK BKN PNEUMONIA dihitu
ng
1-4 TH TOTAL nafas / <1 TH 1-4 TH
JLH JLH JLH ada JLH JLH
LK PR LK PR LK PR LK PR
TDDK
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 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 1 0 1 0 0
0 0 0 0 0 0 0
0 1 0 1 1 0 1 0 0 0 0 0 0 0
Pengelola P2 ISPA

………………………………..…...………..
NIP
KARENA PNEUMONIA ISPA ≥ 5 TH

TOTAL Bkn Pneumonia Pneumonia

JLH JLH JLH
LK PR LK PR LK PR

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0
a P2 ISPA

………..…...………..
BULAN APRIL

Target Penemuan Jmlh Kunjungan

Jml Pddk Usia PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH
(5.19% Balita) Bernapas
LK PR LK

1 BALOA DODA 506 50.6 0.22

2 ASAAN 462 46.2 0.20
3 PAKOWA 792 79.2 0.34
4 LAMO 417 41.7 0.18
5 NAIN 138 13.8 0.06
6 PINAPUAN 410 41.0 0.18
7 SINAMPANGNYO 518 51.8 0.22
8 HOHUDONGAN 206 20.6 0.09
9 TONGKONUNUK 850 85.0 0.37
10 JAYA BAKTI 725 72.5 0.31
11 PAGIMANA 763 76.3 0.33
12 BASABUNGAN 227 22.7 0.10
13 PISOU 954 95.4 0.41
14 LAMBANGAN 685 68.5 0.30
15 SEPA 616 61.6 0.27
16 TALOYON 409 40.9 0.18
17 UWEDAKA 670 67.0 0.29
18 BAJO POAT 227 22.7 0.10
19 BALAI GONDI 340 34.0 0.15
20 TAMPE 165 16.5 0.07
21 GOMUOK 95 9.5 0.04
22 AMPERA 379 37.9 0.16
23 BULU 432 43.2 0.19
24 DONGKALAN 338 33.8 0.15
25 LUAR WILAYAH 0 0.0 0.00
JUMLAH 11324 1132.4 4.89763 0 0 0 0
Mengetahui
Ka. Puskesmas…………………………

……………………...………………………
NIP
 LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS PAGIMANA KABUPATEN BANGGAI

REALISASI PENEMUAN PENDERITA

EUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN
1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH
TOTAL
PR LK PR LK PR LK PR LK PR LK PR

0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0.00 0 0
Mengetahui
kesmas……………………………..….

……………...………………………………
RAM P2 ISPA
PATEN BANGGAI

Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA
BATUK BKN PNEUMONIA dihitu
ng
1-4 TH TOTAL nafas / <1 TH 1-4 TH
JLH JLH JLH ada JLH JLH
LK PR LK PR LK PR LK PR
TDDK
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA

………………………………..…...………..
NIP
KARENA PNEUMONIA ISPA ≥ 5 TH

TOTAL Bkn Pneumonia Pneumonia

JLH JLH JLH
LK PR LK PR LK PR

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0
a P2 ISPA

………..…...………..
BULAN MEI

Target Penemuan Jmlh Kunjungan

Jml Pddk Usia PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH
(5.19% Balita) Bernapas
LK PR

1 BALOA DODA 506 50.6 0.22

2 ASAAN 462 46.2 0.20
3 PAKOWA 792 79.2 0.34
4 LAMO 417 41.7 0.18
5 NAIN 138 13.8 0.06
6 PINAPUAN 410 41.0 0.18
7 SINAMPANGNYO 518 51.8 0.22
8 HOHUDONGAN 206 20.6 0.09
9 TONGKONUNUK 850 85.0 0.37
10 JAYA BAKTI 725 72.5 0.31
11 PAGIMANA 763 76.3 0.33
12 BASABUNGAN 227 22.7 0.10
13 PISOU 954 95.4 0.41
14 LAMBANGAN 685 68.5 0.30
15 SEPA 616 61.6 0.27
16 TALOYON 409 40.9 0.18
17 UWEDAKA 670 67.0 0.29
18 BAJO POAT 227 22.7 0.10
19 BALAI GONDI 340 34.0 0.15
20 TAMPE 165 16.5 0.07
21 GOMUOK 95 9.5 0.04
22 AMPERA 379 37.9 0.16
23 BULU 432 43.2 0.19
24 DONGKALAN 338 33.8 0.15
25 LUAR WILAYAH 0 0.0 0.00
JUMLAH 11324 1132.4 4.89763 0 0 0
Mengetahui
Ka. Puskesmas…………………

……………………...…………………
NIP
 LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS PAGIMANA KABUPATEN BANGGAI

REALISASI PENEMUAN PENDERITA

PNEUMONIA PNEUMONIA BERAT JUMLAH
1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH
TOTAL
LK PR LK PR LK PR LK PR LK PR LK

0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0.00 0
Mengetahui
Ka. Puskesmas……………………………..….

……………………...………………………………
N PROGRAM P2 ISPA
A KABUPATEN BANGGAI

Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMO
BATUK BKN PNEUMONIA dihitu
ng
<1 TH 1-4 TH TOTAL nafas / <1 TH 1-4 TH
JLH JLH JLH ada JLH
PR LK PR LK PR LK PR LK
TDDK
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA

………………………………..…...………
NIP
KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH

1-4 TH TOTAL Bkn Pneumonia Pneumonia

JLH JLH JLH JLH
PR LK PR LK PR LK PR

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA

………………………………..…...………..
BULAN JUNI

Target Penemuan Jmlh Kunjungan

Jml Pddk Usia PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH
(5.19% Balita) Bernapas
LK PR LK

1 BALOA DODA 506 50.6 0.22

2 ASAAN 462 46.2 0.20
3 PAKOWA 792 79.2 0.34
4 LAMO 417 41.7 0.18
5 NAIN 138 13.8 0.06
6 PINAPUAN 410 41.0 0.18
7 SINAMPANGNYO 518 51.8 0.22
8 HOHUDONGAN 206 20.6 0.09
9 TONGKONUNUK 850 85.0 0.37
10 JAYA BAKTI 725 72.5 0.31
11 PAGIMANA 763 76.3 0.33
12 BASABUNGAN 227 22.7 0.10
13 PISOU 954 95.4 0.41
14 LAMBANGAN 685 68.5 0.30
15 SEPA 616 61.6 0.27
16 TALOYON 409 40.9 0.18
17 UWEDAKA 670 67.0 0.29
18 BAJO POAT 227 22.7 0.10
19 BALAI GONDI 340 34.0 0.15
20 TAMPE 165 16.5 0.07
21 GOMUOK 95 9.5 0.04
22 AMPERA 379 37.9 0.16
23 BULU 432 43.2 0.19
24 DONGKALAN 338 33.8 0.15
25 LUAR WILAYAH 0 0.0 0.00
JUMLAH 11324 1132 5 0 0 0 0
Mengetahui
Ka. Puskesmas…………………………

……………………...………………………
NIP
 LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS PAGIMANA KABUPATEN BANGGAI

REALISASI PENEMUAN PENDERITA

EUMONIA PNEUMONIA BERAT JUMLAH BATUK B
1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH
TOTAL
PR LK PR LK PR LK PR LK PR LK PR

0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0.00 0 0
Mengetahui
kesmas……………………………..….

……………...………………………………
AM P2 ISPA
ATEN BANGGAI

Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA
BATUK BKN PNEUMONIA dihitu
ng
1-4 TH TOTAL nafas / <1 TH 1-4 TH
JLH JLH JLH ada JLH JLH
LK PR LK PR LK PR LK PR
TDDK
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA

………………………………..…...………..
NIP
KARENA PNEUMONIA ISPA ≥ 5 TH

TOTAL Bkn Pneumonia Pneumonia

JLH JLH JLH
LK PR LK PR LK PR

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0
a P2 ISPA

………..…...………..
BULAN JULI

Target Penemuan Jmlh Kunjungan

Jml Pddk Usia PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH
(5.19% Balita) Bernapas
LK PR LK

1 BALOA DODA 506 50.6 0.22

2 ASAAN 462 46.2 0.20
3 PAKOWA 792 79.2 0.34
4 LAMO 417 41.7 0.18
5 NAIN 138 13.8 0.06
6 PINAPUAN 410 41.0 0.18
7 SINAMPANGNYO 518 51.8 0.22
8 HOHUDONGAN 206 20.6 0.09
9 TONGKONUNUK 850 85.0 0.37
10 JAYA BAKTI 725 72.5 0.31
11 PAGIMANA 763 76.3 0.33
12 BASABUNGAN 227 22.7 0.10
13 PISOU 954 95.4 0.41
14 LAMBANGAN 685 68.5 0.30
15 SEPA 616 61.6 0.27
16 TALOYON 409 40.9 0.18
17 UWEDAKA 670 67.0 0.29
18 BAJO POAT 227 22.7 0.10
19 BALAI GONDI 340 34.0 0.15
20 TAMPE 165 16.5 0.07
21 GOMUOK 95 9.5 0.04
22 AMPERA 379 37.9 0.16
23 BULU 432 43.2 0.19
24 DONGKALAN 338 33.8 0.15
25 LUAR WILAYAH 0 0.0 0.00
JUMLAH 11324 1132.4 4.89763 0 0 0 0
Mengetahui
Ka. Puskesmas…………………………

……………………...………………………
NIP
 LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS PAGIMANA KABUPATEN BANGGAI

REALISASI PENEMUAN PENDERITA

EUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN
1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH
TOTAL
PR LK PR LK PR LK PR LK PR LK PR

0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0.00 0 0
Mengetahui
kesmas……………………………..….

……………...………………………………
OGRAM P2 ISPA
BUPATEN BANGGAI

Jumlah yg JLH KEMATIAN BALITA KARENA PNEUMONIA

BATUK BKN PNEUMONIA dihitung
1-4 TH TOTAL nafas / ada <1 TH 1-4 TH
JLH JLH JLH TDDK JLH
LK PR LK PR LK PR LK PR

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA

………………………………..…...………..
NIP
N BALITA KARENA PNEUMONIA ISPA ≥ 5 TH

TOTAL Bkn Pneumonia Pneumonia

JLH JLH JLH JLH
LK PR LK PR LK PR

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 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 2 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 2 2 4
engelola P2 ISPA

…………………..…...………..
BULAN AGUSTUS
Target
Jml Pddk Usia Penemuan Jmlh Kunjungan
Penderita Balita Batuk &/ PNEUMONIA
NO DESA JLH PDDK Balita (10%
pddk) Pneumonia Kesukaran <1 TH 1-4 TH
Balita (5.19% Bernapas
Balita) LK PR LK

1 BALOA DODA 506 50.6 0.22

2 ASAAN 462 46.2 0.20
3 PAKOWA 792 79.2 0.34
4 LAMO 417 41.7 0.18
5 NAIN 138 13.8 0.06
6 PINAPUAN 410 41.0 0.18
7 SINAMPANGNYO 518 51.8 0.22
8 HOHUDONGAN 206 20.6 0.09
9 TONGKONUNUK 850 85.0 0.37
10 JAYA BAKTI 725 72.5 0.31
11 PAGIMANA 763 76.3 0.33
12 BASABUNGAN 227 22.7 0.10
13 PISOU 954 95.4 0.41
14 LAMBANGAN 685 68.5 0.30
15 SEPA 616 61.6 0.27
16 TALOYON 409 40.9 0.18
17 UWEDAKA 670 67.0 0.29
18 BAJO POAT 227 22.7 0.10
19 BALAI GONDI 340 34.0 0.15
20 TAMPE 165 16.5 0.07
21 GOMUOK 95 9.5 0.04
22 AMPERA 379 37.9 0.16
23 BULU 432 43.2 0.19
24 DONGKALAN 338 33.8 0.15
25 LUAR WILAYAH 0 0.0 0.00
JUMLAH 11324 1132.4 4.89763 0 0 0 0
Mengetahui
Ka. Puskesmas…………………………

……………………...………………………
NIP
 LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS PAGIMANA KABUPATEN BANGGAI

REALISASI PENEMUAN PENDERITA

EUMONIA PNEUMONIA BERAT JUMLAH BATUK B
1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH
TOTAL
PR LK PR LK PR LK PR LK PR LK PR

0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0.00 0 0
Mengetahui
kesmas……………………………..….

……………...………………………………
GRAM P2 ISPA
UPATEN BANGGAI

Jumlah yg JLH KEMATIAN BALITA KARENA PNEUMON

BATUK BKN PNEUMONIA dihitung
1-4 TH TOTAL nafas / ada <1 TH 1-4 TH
JLH JLH JLH TDDK JLH
LK PR LK PR LK PR LK PR

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA

………………………………..…...………..
NIP
BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
Bkn
TOTAL Pneumonia
JLH JLH Pneumonia JLH JLH
LK PR LK PR LK PR

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
engelola P2 ISPA

…………………..…...………..
BULAN SEPTEMBER

Target Penemuan Jmlh Kunjungan

Jml Pddk Usia PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH
(5.19% Balita) Bernapas
LK PR LK

1 BALOA DODA 506 50.6 0.22

2 ASAAN 462 46.2 0.20
3 PAKOWA 792 79.2 0.34
4 LAMO 417 41.7 0.18
5 NAIN 138 13.8 0.06
6 PINAPUAN 410 41.0 0.18
7 SINAMPANGNYO 518 51.8 0.22
8 HOHUDONGAN 206 20.6 0.09
9 TONGKONUNUK 850 85.0 0.37
10 JAYA BAKTI 725 72.5 0.31
11 PAGIMANA 763 76.3 0.33
12 BASABUNGAN 227 22.7 0.10
13 PISOU 954 95.4 0.41
14 LAMBANGAN 685 68.5 0.30
15 SEPA 616 61.6 0.27
16 TALOYON 409 40.9 0.18
17 UWEDAKA 670 67.0 0.29
18 BAJO POAT 227 22.7 0.10
19 BALAI GONDI 340 34.0 0.15
20 TAMPE 165 16.5 0.07
21 GOMUOK 95 9.5 0.04
22 AMPERA 379 37.9 0.16
23 BULU 432 43.2 0.19
24 DONGKALAN 338 33.8 0.15
25 LUAR WILAYAH 0 0.0 0.00
JUMLAH 11324 1132.4 4.89763 0 0 0 0
Mengetahui
Ka. Puskesmas…………………………

……………………...………………………
NIP
 LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS PAGIMANA KABUPATEN BANGGAI

REALISASI PENEMUAN PENDERITA

EUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN
1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH
TOTAL
PR LK PR LK PR LK PR LK PR LK PR

0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0.00 0 0
Mengetahui
uskesmas……………………………..….

……………...………………………………
 OGRAM P2 ISPA
ABUPATEN BANGGAI

Jumlah yg JLH KEMATIAN BALITA KARENA PNEUMONIA

BATUK BKN PNEUMONIA dihitung
1-4 TH TOTAL nafas / ada <1 TH 1-4 TH
JLH JLH JLH TDDK JLH
LK PR LK PR LK PR LK PR

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA

………………………………..…...………..
NIP
N BALITA KARENA PNEUMONIA ISPA ≥ 5 TH

TOTAL Bkn Pneumonia Pneumonia

JLH JLH JLH JLH
LK PR LK PR LK PR

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA

…………………..…...………..
BULAN OKTOBER

Target Penemuan Jmlh Kunjungan

Jml Pddk Usia PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH
(5.19% Balita) Bernapas
LK PR LK

1 BALOA DODA 506 50.6 0.22

2 ASAAN 462 46.2 0.20
3 PAKOWA 792 79.2 0.34
4 LAMO 417 41.7 0.18
5 NAIN 138 13.8 0.06
6 PINAPUAN 410 41.0 0.18
7 SINAMPANGNYO 518 51.8 0.22
8 HOHUDONGAN 206 20.6 0.09
9 TONGKONUNUK 850 85.0 0.37
10 JAYA BAKTI 725 72.5 0.31
11 PAGIMANA 763 76.3 0.33
12 BASABUNGAN 227 22.7 0.10
13 PISOU 954 95.4 0.41
14 LAMBANGAN 685 68.5 0.30
15 SEPA 616 61.6 0.27
16 TALOYON 409 40.9 0.18
17 UWEDAKA 670 67.0 0.29
18 BAJO POAT 227 22.7 0.10
19 BALAI GONDI 340 34.0 0.15
20 TAMPE 165 16.5 0.07
21 GOMUOK 95 9.5 0.04
22 AMPERA 379 37.9 0.16
23 BULU 432 43.2 0.19
24 DONGKALAN 338 33.8 0.15
25 LUAR WILAYAH 0 0.0 0.00
JUMLAH 11324 1132.4 4.90 0 0 0 0
Mengetahui
Ka. Puskesmas…………………………

……………………...………………………
NIP
 LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS PAGIMANA KABUPATEN BANGGAI

REALISASI PENEMUAN PENDERITA

EUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN
1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH
TOTAL
PR LK PR LK PR LK PR LK PR LK PR

0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0.00 0 0
Mengetahui
kesmas……………………………..….

……………...………………………………
OGRAM P2 ISPA
BUPATEN BANGGAI

Jumlah yg JLH KEMATIAN BALITA KARENA PNEUMONIA

BATUK BKN PNEUMONIA dihitung
1-4 TH TOTAL nafas / ada <1 TH 1-4 TH
JLH JLH JLH TDDK JLH
LK PR LK PR LK PR LK PR

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA

………………………………..…...………..
NIP
N BALITA KARENA PNEUMONIA ISPA ≥ 5 TH

TOTAL Bkn Pneumonia Pneumonia

JLH JLH JLH JLH
LK PR LK PR LK PR

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
engelola P2 ISPA

…………………..…...………..
BULAN NOVEMBER

Target Penemuan Jmlh Kunjungan

Jml Pddk Usia PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH
(5.19% Balita) Bernapas
LK PR LK
1 BALOA DODA 506 50.6 0.22
2 ASAAN 462 46.2 0.20
3 PAKOWA 792 79.2 0.34
4 LAMO 417 41.7 0.18
5 NAIN 138 13.8 0.06
6 PINAPUAN 410 41.0 0.18
7 SINAMPANGNYO 518 51.8 0.22
8 HOHUDONGAN 206 20.6 0.09
9 TONGKONUNUK 850 85.0 0.37
10 JAYA BAKTI 725 72.5 0.31
11 PAGIMANA 763 76.3 0.33
12 BASABUNGAN 227 22.7 0.10
13 PISOU 954 95.4 0.41
14 LAMBANGAN 685 68.5 0.30
15 SEPA 616 61.6 0.27
16 TALOYON 409 40.9 0.18
17 UWEDAKA 670 67.0 0.29
18 BAJO POAT 227 22.7 0.10
19 BALAI GONDI 340 34.0 0.15
20 TAMPE 165 16.5 0.07
21 GOMUOK 95 9.5 0.04
22 AMPERA 379 37.9 0.16
23 BULU 432 43.2 0.19
24 DONGKALAN 338 33.8 0.15
25 LUAR WIL 0 0.0 0.00
JUMLAH 11324 1132.4 4.89763 0 0 0 0
Mengetahui
Ka. Puskesmas…………………………

……………………...………………………
NIP
 LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS PAGIMANA KABUPATEN BANGGAI

REALISASI PENEMUAN PENDERITA

EUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN
1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH
TOTAL
PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0.00 0 0
Mengetahui
kesmas……………………………..….

……………...………………………………
 OGRAM P2 ISPA
ABUPATEN BANGGAI

JLH KEMATIAN BALITA KARENA PNEUMONIA

BATUK BKN PNEUMONIA Jumlah yg
dihitung nafas
1-4 TH TOTAL / ada TDDK <1 TH 1-4 TH
JLH JLH JLH JLH
LK PR LK PR LK PR LK PR

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA

………………………………..…...………..
NIP
N BALITA KARENA PNEUMONIA ISPA ≥ 5 TH

TOTAL Bkn Pneumonia Pneumonia

JLH JLH JLH JLH
LK PR LK PR LK PR

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
engelola P2 ISPA

…………………..…...………..
BULAN DESEMBER

Target Penemuan Jmlh Kunjungan

Jml Pddk Usia PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH
(5.19% Balita) Bernapas
LK PR LK

1 BALOA DODA 506 50.6 0.22

2 ASAAN 462 46.2 0.20
3 PAKOWA 792 79.2 0.34
4 LAMO 417 41.7 0.18
5 NAIN 138 13.8 0.06
6 PINAPUAN 410 41.0 0.18
7 SINAMPANGNYO 518 51.8 0.22
8 HOHUDONGAN 206 20.6 0.09
9 TONGKONUNUK 850 85.0 0.37
10 JAYA BAKTI 725 72.5 0.31
11 PAGIMANA 763 76.3 0.33
12 BASABUNGAN 227 22.7 0.10
13 PISOU 954 95.4 0.41
14 LAMBANGAN 685 68.5 0.30
15 SEPA 616 61.6 0.27
16 TALOYON 409 40.9 0.18
17 UWEDAKA 670 67.0 0.29
18 BAJO POAT 227 22.7 0.10
19 BALAI GONDI 340 34.0 0.15
20 TAMPE 165 16.5 0.07
21 GOMUOK 95 9.5 0.04
22 AMPERA 379 37.9 0.16
23 BULU 432 43.2 0.19
24 DONGKALAN 338 33.8 0.15
25 LUAR WIL 0 0.0 0.00
JUMLAH 11324 1132.4 4.89763 0 0 0 0
Mengetahui
Ka. Puskesmas…………………………

……………………...………………………
NIP
 LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS PAGIMANA KABUPATEN BANGGAI

REALISASI PENEMUAN PENDERITA

EUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN
1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH
TOTAL
PR LK PR LK PR LK PR LK PR LK PR

0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0.00 0 0
Mengetahui
kesmas……………………………..….

……………...………………………………
OGRAM P2 ISPA
BUPATEN BANGGAI

Jumlah yg JLH KEMATIAN BALITA KARENA PNEUMONIA

BATUK BKN PNEUMONIA dihitung
1-4 TH TOTAL nafas / ada <1 TH 1-4 TH
JLH JLH JLH TDDK JLH
LK PR LK PR LK PR LK PR

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA

………………………………..…...………..
NIP
N BALITA KARENA PNEUMONIA ISPA ≥ 5 TH

TOTAL Bkn Pneumonia Pneumonia

JLH JLH JLH JLH
LK PR LK PR LK PR

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
engelola P2 ISPA

…………………..…...………..
 REKAPITULASI LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS PAGIMANA KABUPATEN BANGGAI
BULAN JANUARI - DESEMBER 2018
REALISASI PENEMUAN PENDERITA
Target Penemuan Jmlh Kunjungan
Jml Pddk Usia Penderita Balita Batuk &/ PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMONIA
NO DESA JLH PDDK Balita (10%
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH 1-4 TH TOTAL
(5.19% Balita) Bernapas TOTAL JLH JLH
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK

1 BALOA DODA 506 50.6 0.22 0 0 0 0 0 0 0.00 0 0 0

2 ASAAN 462 46.2 0.20 0 0 0 0 0 0 0.00 0 0 0
3 PAKOWA 792 79.2 0.34 0 0 0 0 0 0 0.00 0 0 0
4 LAMO 417 41.7 0.18 0 0 0 0 0 0 0.00 0 0 0
5 NAIN 138 13.8 0.06 0 0 0 0 0 0 0.00 0 0 0
6 PINAPUAN 410 41.0 0.18 0 0 0 0 0 0 0.00 0 0 0
7 SINAMPANGNYO 518 51.8 0.22 0 0 0 0 0 0 0.00 0 0 0
8 HOHUDONGAN 206 20.6 0.09 0 0 0 0 0 0 0.00 0 0 0
9 TONGKONUNUK 850 85.0 0.37 0 0 0 0 0 0 0.00 0 0 0
10 JAYA BAKTI 725 72.5 0.31 0 0 0 0 0 0 0.00 0 0 0
11 PAGIMANA 763 76.3 0.33 0 0 0 0 0 0 0.00 0 0 0
12 BASABUNGAN 227 22.7 0.10 0 0 0 0 0 0 0.00 0 0 0
13 PISOU 954 95.4 0.41 0 0 0 0 0 0 0.00 0 0 0
14 LAMBANGAN 685 68.5 0.30 0 0 0 0 0 0 0.00 0 0 0
15 SEPA 616 61.6 0.27 0 0 0 0 0 0 0.00 0 0 0
16 TALOYON 409 40.9 0.18 0 0 0 0 0 0 0.00 0 0 0
17 UWEDAKA 670 67.0 0.29 0 0 0 0 0 0 0.00 0 0 0
18 BAJO POAT 227 22.7 0.10 0 0 0 0 0 0 0.00 0 0 0
19 BALAI GONDI 340 34.0 0.15 0 0 0 0 0 0 0.00 0 0 0
20 TAMPE 165 16.5 0.07 0 0 0 0 0 0 0.00 0 0 0
21 GOMUOK 95 9.5 0.04 0 0 0 0 0 0 0.00 0 0 0
22 AMPERA 379 37.9 0.16 0 0 0 0 0 0 0.00 0 0 0
23 BULU 432 43.2 0.19 0 0 0 0 0 0 0.00 0 0 0
24 DONGKALAN 338 33.8 0.15 0 0 0 0 0 0 0.00 0 0 0
25 LUAR WIL 0 0.0 0.00 0 0 0 0 0 0 #DIV/0! 0 0 0
JUMLAH 11324 1132 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0 0 0 0 0 0
Mengetahui
Ka. Puskesmas……………………………..….

……………………...………………………………
NIP
 Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
NEUMONIA dihitun
g
TOTAL nafas / <1 TH 1-4 TH TOTAL Bkn Pneumonia Pneumonia
JLH ada JLH JLH JLH JLH JLH
PR LK PR LK PR LK PR LK PR LK PR
TDDK
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA

………………………………..…...………..
NIP
 REKAPITULASI LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS PAGIMANA KABUPATEN BANGGAI
BULAN
REALISASI PENEMUAN PENDERITA
Target Penemuan Jmlh Kunjungan
Jml Pddk Usia Penderita Balita Batuk &/ PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMONIA
NO DESA JLH PDDK Balita (10%
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH 1-4 TH TOTAL
(5.19% Balita) Bernapas TOTAL JLH JLH
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR

1 BALOA DODA
2 ASAAN
3 PAKOWA
4 LAMO
5 NAIN
6 PINAPUAN
7 SINAMPANGNYO
8 HOHUDONGAN
9 TONGKONUNUK
10 JAYA BAKTI
11 PAGIMANA
12 BASABUNGAN
13 PISOU
14 LAMBANGAN
15 SEPA
16 TALOYON
17 UWEDAKA
18 TINTINGAN
19 BUNGAWON
20 HUHAK
21 POH
22 TOIPAN
23 SIUNA
24 BAJO POAT
25 BALAI GONDI
26 TAMPE
27 GOMUO
28 SAMMA JATEM
29 BONDAT
30 AMPERA
31 BULU
32 TOMBANG
33 DONGKALAN
34 LUAR WILAYAH
JUMLAH
Mengetahui
Ka. Puskesmas……………………………..….
 ……………………...………………………………
NIP
 Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
NIA dihitun
g
nafas / <1 TH 1-4 TH TOTAL Bkn Pneumonia Pneumonia
JLH ada JLH JLH JLH JLH JLH
LK PR LK PR LK PR LK PR LK PR
TDDK

Pengelola P2 ISPA
 ………………………………..…...………..
NIP