1 LONAS
2 BORAS
3 SULUBOMBONG
4 BOLLO
5 BOMBANON
6 BINOTIK
7 SOBOL
8 PONDAN
9 GARUGA
10 LUAR WILAYAH
11
12
13
14
15
JUMLAH 0 0 0.00 0 0 0 0 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
0 0 0 0 0 0 0 0 #DIV/0! 0 0 0 0
ui
………………..….
……………………
SPA
NGGAI
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
ISPA ≥ 5 TH
0 0 0 0 0 0
ABSEN LAPORAN BULANAN
06 Apr
OKT NOV DES
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
BULAN JANUARI
REALISASI PENEMUAN PENDERITA
Target
Jml Pddk Usia Penemuan Jmlh Kunjungan PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Kesukaran <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH 1-4 TH TOTAL
Balita (5.19% Bernapas TOTAL JLH JLH
Balita)
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
……………………...………………………………
NIP
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
MONIA dihitu
ng
nafas / <1 TH 1-4 TH TOTAL Bkn Pneumonia Pneumonia
JLH ada JLH JLH JLH JLH JLH
TDDK 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
Pengelola P2 ISPA
………………………………..…...………..
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
BULAN FEBRUARI
REALISASI PENEMUAN PENDERITA
Target
Jml Pddk Usia Penemuan Jmlh Kunjungan PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Kesukaran <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH 1-4 TH TOTAL
Balita (5.19% Bernapas TOTAL JLH JLH
Balita)
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK
……………………...………………………………
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 TDDK LK PR LK PR LK PR LK PR LK PR
1 2 2 0 0 0 0 0 1 1 2 0
0 1 1 0 0 0 0 0 1 1 2 0
1 2 2 0 0 0 0 0 1 1 2 0
1 2 2 0 0 0 0 0 1 1 0
1 2 2 0 0 0 0 0 1 1 2 0
1 2 2 0 0 0 0 0 1 1 2 0
1 2 2 0 0 0 0 0 3 3 0
1 1 1 0 0 0 0 0 1 1 2 0
0 1 1 0 0 0 0 0 1 2 3 0
1 2 2 0 0 0 0 0 1 1 2 0
0 0 0 0 0 0 0 0 0 0
8 17 17 0 0 0 0 0 0 0 0 0 12 9 21 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
BULAN MARET
Target
Jml Pddk Usia Penemuan Jmlh Kunjungan PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Kesukaran <1 TH 1-4 TH
Balita (5.19% Bernapas
Balita)
LK PR LK
……………………...………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
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 1 0 1 418.11
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 1 0 1 33.14 0 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
RAM 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 TDDK LK PR LK PR
0 0 0 0 0 0 0 0
0 1 1 0 1 1 1 0 0
0 1 1 1 0 1 1 0 0
0 1 1 0 1 1 1 0 0
0 2 1 3 2 1 3 3 0 0
0 1 1 0 1 1 1 0 0
0 1 1 2 1 1 2 2 0 0
0 1 1 0 1 1 1 0 0
0 1 1 0 1 1 1 0 0
0 1 1 2 1 1 2 2 0 0
0 0 0 0 0 0 0 0
0 5 8 13 5 8 13 13 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 1 1 0
0 0 0 1 1 0
0 0 0 1 1 2 0
0 0 0 1 1 0
0 0 0 1 1 0
0 0 0 1 1 2 0
0 0 0 1 1 2 0
0 0 0 1 1 2 0
0 0 0 1 1 0
0 0 0 1 1 2 0
0 0 0 0 0
0 0 0 6 9 15 0 0 0
a P2 ISPA
………..…...………..
BULAN APRIL
Target
Jml Pddk Usia Penemuan Jmlh Kunjungan PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Kesukaran <1 TH 1-4 TH
Balita (5.19% Bernapas
Balita)
LK PR LK
……………………...………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 1 0 1 185.12
0 0 0 0 0 0.00
0 0 1 0 1 278.57
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 1 0 1 146.99
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 3 0 3 99.42 0 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
GRAM P2 ISPA
UPATEN 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 TDDK LK PR LK PR
0 1 1 0 1 1 1 0 0
0 1 1 1 0 1 1 0 0
0 0 0 0 0 0 0 0
0 1 1 0 1 1 1 0 0
0 1 1 0 1 1 1 0 0
0 1 1 2 1 1 2 2 0 0
0 2 1 3 2 1 3 3 0 0
0 1 1 2 1 1 2 2 0 0
0 1 1 2 1 1 2 2 0 0
0 1 1 2 1 1 2 2 0 0
0 0 0 0 0 0 0 0
0 7 8 15 7 8 15 15 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 2 1 3 0
0 0 0 2 2 0
0 0 0 1 2 3 0
0 0 0 1 1 2 0
0 0 0 3 1 4 0
0 0 0 0 0
0 0 0 2 2 0
0 0 0 3 2 5 0
0 0 0 1 1 2 0
0 0 0 1 1 2 0
0 0 0 0 0
0 0 0 14 11 25 0 0 0
a P2 ISPA
………..…...………..
BULAN MEI
Target
Jml Pddk Usia Penemuan Jmlh Kunjungan PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Kesukaran <1 TH 1-4 TH
Balita (5.19% Bernapas
Balita)
LK PR LK
……………………...………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
0 0 0 0 0 0.00
0 1 0 0 1 588.33 1
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 1 0 1 278.57
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 1 0 1 146.99
0 0 0 0 0 0.00
1 0 0 0 1 1 418.11
0 0 0 0 0 #DIV/0!
1 0 0 0 0 0 1 2 1 4 132.56 0 1
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
GRAM P2 ISPA
UPATEN 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 TDDK LK PR LK PR
0 1 1 0 1 1 1 0 0
1 1 1 0 2 2 2 0 0
0 1 1 0 1 1 1 0 0
0 1 1 1 0 1 1 0 0
0 1 1 2 1 1 2 2 0 0
0 1 1 0 1 1 1 0 0
0 1 1 1 0 1 1 0 0
0 1 1 2 1 1 2 2 0 0
0 1 2 3 1 2 3 3 0 0
0 1 1 2 1 1 2 2 0 0
0 0 0 0 0 0 0 0
1 6 9 15 6 10 16 16 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 2 1 3 0
0 0 0 1 1 2 0
0 0 0 2 2 0
0 0 0 2 1 3 0
0 0 0 3 1 4 0
0 0 0 1 1 0
0 0 0 2 2 0
0 0 0 1 1 2 0
0 0 0 1 1 2 0
0 0 0 2 2 4 0
0 0 0 0 0
0 0 0 17 8 25 0 0 0
a P2 ISPA
………..…...………..
BULAN JUNI
Target
Jml Pddk Usia Penemuan Jmlh Kunjungan PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Kesukaran <1 TH 1-4 TH
Balita (5.19% Bernapas
Balita)
LK PR LK
……………………...………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
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
1 0 0 0 1 1 146.99
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
1 0 0 0 0 0 0 0 1 1 33.14 0 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
GRAM 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 TDDK LK PR LK PR
0 0 0 0 0 0 0 0
0 1 1 0 1 1 1 0 0
0 1 1 0 1 1 1 0 0
0 1 1 0 1 1 1 0 0
0 1 1 1 0 1 1 0 0
0 1 1 0 1 1 1 0 0
0 1 1 2 1 1 2 2 0 0
0 1 1 0 1 1 1 0 0
0 1 1 0 1 1 1 0 0
0 1 1 0 1 1 1 0 0
0 0 0 0 0 0 0 0
0 2 8 10 2 8 10 10 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 1 1 0
0 0 0 1 1 2 0
0 0 0 1 1 2 0
0 0 0 1 1 2 0
0 0 0 2 1 3 0
0 0 0 1 1 0
0 0 0 1 1 0
0 0 0 2 1 3 0
0 0 0 1 1 0
0 0 0 1 1 2 0
0 0 0 0 0
0 0 0 10 8 18 0 0 0
a P2 ISPA
………..…...………..
BULAN JULI
……………………...………………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
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 1 0 1 305.43
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 1 0 1 33.14 0 0
Mengetahui
kesmas……………………………..….
……………...………………………………
RAM 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 TDDK LK PR LK PR
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1 1 0 1 1 1 0 0
0 1 1 2 1 1 2 2 0 0
0 1 1 2 1 1 2 2 0 0
0 1 1 0 1 1 1 0 0
0 1 1 2 1 1 2 2 0 0
0 2 2 4 2 2 4 4 0 0
0 1 1 1 0 1 1 0 0
0 1 1 2 1 1 2 2 0 0
0 0 0 0 0 0 0 0
0 7 8 15 7 8 15 15 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 1 1 2 0
0 0 0 1 1 0
0 0 0 1 1 2 0
0 0 0 1 1 2 0
0 0 0 1 2 3 0
0 0 0 1 1 2 0
0 0 0 1 1 2 0
0 0 0 1 1 2 0
0 0 0 3 1 4 0
0 0 0 1 1 2 0
0 0 0 0 0
0 0 0 11 11 22 0 0 0
a P2 ISPA
………..…...………..
BULAN AGUSTUS
……………………...……………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
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……………………………..….
……………………...………………………………
AN PROGRAM P2 ISPA
OK KABUPATEN BANGGAI
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 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
EMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 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 SEPTEMBER
……………………...……………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
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……………………………..….
……………………...………………………………
NAN PROGRAM P2 ISPA
OK KABUPATEN BANGGAI
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 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
EMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 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
……………………...……………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
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……………………………..….
……………………...………………………………
AN PROGRAM P2 ISPA
OK KABUPATEN BANGGAI
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 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
EMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 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 NOVEMBER
……………………...……………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
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……………………………..….
……………………...………………………………
AN PROGRAM P2 ISPA
OK KABUPATEN BANGGAI
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 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
EMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 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 DESEMBER
……………………...……………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
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……………………………..….
……………………...………………………………
AN PROGRAM P2 ISPA
OK KABUPATEN BANGGAI
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 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
EMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 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
………………………………..…...………..
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
BULAN JANUARI - DESEMBER 2013
REALISASI PENEMUAN PENDERITA
Target Penemuan Jmlh Kunjungan PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMONIA
Jml Pddk Usia Penderita Balita Batuk &/
NO DESA JLH PDDK Balita (10% Pneumonia Balita Kesukaran <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH 1-4 TH TOTAL
pddk) (5.19% Balita) Bernapas TOTAL JLH JLH
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK
……………………...………………………………
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 TDDK LK PR LK PR LK PR LK PR LK PR
3 4 2 0 0 0 0 0 0 0 0 0 6 6 12 0 0 0
4 6 2 0 0 0 0 0 0 0 0 0 4 6 10 0 0 0
4 6 4 0 0 0 0 0 0 0 0 0 7 6 13 0 0 0
5 8 5 0 0 0 0 0 0 0 0 0 6 5 11 0 0 0
5 11 7 0 0 0 0 0 0 0 0 0 10 7 17 0 0 0
6 8 4 0 0 0 0 0 0 0 0 0 5 3 8 0 0 0
5 12 6 0 0 0 0 0 0 0 0 0 10 2 12 0 0 0
7 11 6 0 0 0 0 0 0 0 0 0 9 7 16 0 0 0
5 9 3 0 0 0 0 0 0 0 0 0 6 7 13 0 0 0
6 11 6 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 86 45 0 0 0 0 0 0 0 0 0 70 56 126 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS MANTOK KABUPATEN BANGGAI
BULAN ………………………. TAHUN ……………
REALISASI PENEMUAN PENDERITA
Jml Target Jmlh JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
Kunjungan
PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMONIA Jmlh
Pddk Penemuan dihitung Bkn
JLH Usia Penderita Balita <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH TOTAL <1 TH 1-4 TH TOTAL Pneumonia
NO DESA napas/ Pneumonia
PDDK Balita Pneumonia Batuk &/ % ada
(10% Balita (5.19% Kesukaran TOTAL JLH JLH JLH JLH JLH JLH JLH JLH
pddk) Balita) Bernapas LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR TDDK LK PR LK PR LK PR LK PR LK PR
1 LONAS
2 BORAS
3 SULUBOMBONG
4 BOLLO
5 BOMBANON
6 BINOTIK
7 SOBOL
8 PONDAN
9 GARUGA
10 SOBOL BARU
11 LUAR WILAYAH
JUMLAH
……………………………………………………………. …………………………………………..
NIP. NIP.