LAPORAN SARANA PRASARANA PROGRAM AUS DAN

KABUPATEN/KOTA : SURABAYA
BULAN : JANUARI
TAHUN : 2022

NO URAIAN JUMLAH
1 Puskesmas :1
2 Puskesmas Pembantu :-
3 Puskesmas Pelayanan Kesehatan Peduli Remaja (PKPR) :1
4 Tenaga terlatih PKPR :4
- Dokter / Dokter Gigi :1
- Bidan / Perawat :2
- Tenaga Lain :1
5 Konselor sebaya yang terlatih : 20
- Laki - Laki : 10
- Perempuan : 10
17 Puskesmas Mampu Tatalaksana KtA :1
18 Tenaga terlatih Mampu tatalaksana KtA :2
- Dokter / Dokter Gigi :1
- Bidan / Perawat :1
- Tenaga Lain :-
19 Pondok Pesantren :2
20 Pondok Pesantren yang dibina :2
21 Pondok Pesantern yang mempunyai ruang UKP :-
22 Pondok Pesantren yang mempunyai Pengelola UKP :-
23 Santri di Pondok pesantren : 75
- Laki - Laki : 45
- Perempuan : 30
24 Santri Husada di Pondok Pesantren : 10
- Laki - Laki :6
- Perempuan :5
25 POSKESTREN :2
NO URAIAN SD MI
26 Sekolah 6 5

27 Sekolah UKS 6 5

28 Murid : 3510 1155

- Laki-Laki 1805 640

- Perempuan 1705 515

29 Murid kelas I, VII dan X : 580 198

- Laki-Laki 293 103

- Perempuan 287 95

30 Sekolah yang mempunyai ruang UKS 6 5

31 Sekolah dengan paket pelayanan Minimal 0 0

32 Sekolah dengan paket pelayanan Standart 6 5

33 Sekolah dengan paket pelayanan Optimal 0 0

34 Sekolah dengan paket pelayanan Paripurna 0 0

35 Sekolah yang mempunyai kader 6 5

36 Kader yang ada di sekolah 184 62

- Laki - Laki 81 26

- Perempuan 103 36

37 Kader terlatih di sekolah 184 62

- Laki - Laki 86 26

- Perempuan 108 36

38 Guru pembina UKS 6 5

- Laki - Laki 2 1

- Perempuan 5 4

39 Guru pembina UKS terlatih 6 5

- Laki - Laki 1 1

- Perempuan 5 4

40 Sekolah yang mempunyai UKS KIT 6 5

RANA PROGRAM AUS DAN REMAJA
/KOTA : SURABAYA
AN : JANUARI
HUN : 2022

JUMLAH
SMP MTs SMA MA SMK SDLB SMPLB SMALB
1 1 0 1 0 1 1 1
1 1 0 1 0 1 1 1
165 296 0 84 0 9 6 1
96 177 0 19 0 6 4 1
69 119 0 65 0 3 2 0
48 111 0 21 0 2 6 0
26 66 0 5 0 2 4 0
22 45 0 16 0 0 2 0
1 1 0 1 0 1 1 1
0 0 0 0 0 0 0 0
1 1 0 1 0 1 1 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 1 0 1 0 0 0 0
36 9 0 6 0 0 0 0
18 3 0 2 0 0 0 0
18 6 0 4 0 0 0 0
36 9 0 6 0 0 0 0
18 3 0 2 0 0 0 0
18 6 0 4 0 0 0 0
1 1 0 1 0 1 1 1
2 0 0 0 0 0 0 0
0 1 0 1 0 0 1 1
1 1 0 1 0 1 1 1
1 0 0 0 0 0 0 0
0 1 0 1 0 1 1 1
1 1 0 1 0 1 1 1

Surabaya, 2 Januari 2022

Penanggung Jawab Program
RENNY FARIDA YUNIAR, AMD.KEP
NIP. 19830919 200501 2 003
 LAPORAN PROGRAM REMAJA TAHUN 2023
PUSKESMAS : BALONGSARI
BULAN : JANUARI

REMAJA SELURUHNYA
NO KELURAHAN URAIAN 10 - 14 TH 15 - 18 TH
L P L P
1 Karangpoh SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
2 Tandes SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
3 Balongsari SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 5 5
4 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
5 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
6 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
7 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
SASARAN REMAJA 0 0 0 0
TOTAL
JUMLAH KONSELOR SEBAYA 0 0 5 5

Karangpoh Tandes Balongsari TOTAL

REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
NO URAIAN 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
A INDIKATOR
1 KIE 0 0 0 0 0 0 0 0 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 PELAYANAN MEDIS 38 16 11 10 0 0 0 0 20 17 15 13 0 0 3 1 41 24 21 34 0 0 0 2 99 57 47 57 0 0 3 3
3 KONSELING 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2 1 1 1 0 0 0 0 2
B KASUS-KASUS YANG DI KONSELING
1 Pertumbuhan dan perkembangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Gizi kurang / lebih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Postur Pendek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Pubertas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0
- Anemia 0 0 0 0 0 0 0 0 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 Kesehatan Reproduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1
- Masalah Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1
- Infeksi Menular Seksual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Genetalia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah kulit luar penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Scrotum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Infeksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Tuberkulosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kesehatan Jiwa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kekerasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Mental Emosional 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah rokok, alkohol, narkoba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Rokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Alkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Narkotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Psikotropika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Lain lain sebutkan …….. 0 0 0 0 0 0 0 0 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 Kesehatan Indera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Penglihatan 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0
- Masalah Telinga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Hidung dan Tenggorokan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Kepala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 - Nyeri Perut Non Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Diabetus Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hypertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keganasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keluar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Surabaya, 2 Februari 2022

Kepala Puskesmas Balongsari Penanggung Jawab Program

dr. DEWI AYUNING ASIH JESIKA ROSA W, AMD.KEB

NIP. 19791128 200604 2 028 NIP. -
 LAPORAN PROGRAM REMAJA TAHUN 2022
PUSKESMAS : BALONGSARI
BULAN : FEBRUARI

REMAJA SELURUHNYA
NO KELURAHAN URAIAN 10 - 14 TH 15 - 18 TH
L P L P
1 Karangpoh SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
2 Tandes SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
3 Balongsari SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 5 5
4 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
5 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
6 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
7 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
SASARAN REMAJA 0 0 0 0
TOTAL
JUMLAH KONSELOR SEBAYA 0 0 5 5

Karangpoh Tandes Balong

REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH
NO URAIAN 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
L P L P L P L P L P L P L P L P L P L
A INDIKATOR
1 KIE
2 PELAYANAN MEDIS
3 KONSELING
B KASUS-KASUS YANG DI KONSELING
1 Pertumbuhan dan perkembangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Gizi kurang / lebih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Postur Pendek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Pubertas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kesehatan Reproduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kehamilan 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
- Infeksi Menular Seksual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Genetalia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah kulit luar penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Scrotum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Infeksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Tuberkulosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kesehatan Jiwa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kekerasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Mental Emosional 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah rokok, alkohol, narkoba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Rokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Alkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Narkotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Psikotropika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Lain lain sebutkan …….. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kesehatan Indera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Penglihatan 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 1 0
- Masalah Telinga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Hidung dan Tenggorokan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
- Masalah Kulit 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
7 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Kepala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Perut Non Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Diabetus Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hypertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keganasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keluar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Surabaya, 4 Maret 2022

Kepala Puskesmas Balongsari Penanggung Jawab Program

dr. DEWI AYUNING ASIH RENNY FARIDA YUNIAR, AMD.KEP

NIP. 19791128 200604 2 028 NIP. 19830919 200501 2 003
 Balongsari TOTAL
KOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
P L P L P L P L P L P L P

0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 0 2 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 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN PROGRAM REMAJA TAHUN 2022
PUSKESMAS : BALONGSARI
BULAN : MARET

REMAJA SELURUHNYA
NO KELURAHAN URAIAN 10 - 14 TH 15 - 18 TH
L P L P
1 Karangpoh SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
2 Tandes SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
3 Balongsari SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 5 5
4 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
5 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
6 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
7 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
SASARAN REMAJA 0 0 0 0
TOTAL
JUMLAH KONSELOR SEBAYA 0 0 5 5

Karangpoh Tandes Balongsa

REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH
NO URAIAN 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
L P L P L P L P L P L P L P L P L P L P
A INDIKATOR
1 KIE
2 PELAYANAN MEDIS
3 KONSELING
B KASUS-KASUS YANG DI KONSELING
1 Pertumbuhan dan perkembangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Gizi kurang / lebih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Postur Pendek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Pubertas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kesehatan Reproduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Infeksi Menular Seksual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Genetalia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah kulit luar penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Scrotum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Infeksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Tuberkulosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kesehatan Jiwa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kekerasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Mental Emosional 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah rokok, alkohol, narkoba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Rokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Alkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Narkotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Psikotropika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Lain lain sebutkan …….. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kesehatan Indera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Penglihatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Telinga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Hidung dan Tenggorokan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 1
7 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Kepala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Perut Non Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Diabetus Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hypertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keganasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keluar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Surabaya, 4 April 2022

Kepala Puskesmas Balongsari Penanggung Jawab Program

dr. DEWI AYUNING ASIH RENNY FARIDA YUNIAR, AMD.KEP

NIP. 19791128 200604 2 028 NIP. 19830919 200501 2 003
Balongsari TOTAL
REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
L P L P L P L P L P L P

0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 3 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN PROGRAM REMAJA TAHUN 2022
PUSKESMAS : BALONGSARI
BULAN : APRIL

REMAJA SELURUHNYA
NO KELURAHAN URAIAN 10 - 14 TH 15 - 18 TH
L P L P
1 Karangpoh SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
2 Tandes SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
3 Balongsari SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 5 5
4 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
5 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
6 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
7 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
SASARAN REMAJA 0 0 0 0
TOTAL
JUMLAH KONSELOR SEBAYA 0 0 5 5

Karangpoh Tandes
REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLA
NO URAIAN 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18
L P L P L P L P L P L P L P L
A INDIKATOR
1 KIE
2 PELAYANAN MEDIS
3 KONSELING
B KASUS-KASUS YANG DI KONSELING
1 Pertumbuhan dan perkembangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Gizi kurang / lebih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Postur Pendek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Pubertas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kesehatan Reproduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Infeksi Menular Seksual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Genetalia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah kulit luar penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Scrotum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Infeksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Tuberkulosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kesehatan Jiwa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kekerasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Mental Emosional 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah rokok, alkohol, narkoba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Rokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Alkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Narkotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Psikotropika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Lain lain sebutkan …….. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kesehatan Indera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Penglihatan 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
- Masalah Telinga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Hidung dan Tenggorokan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Kepala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Perut Non Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Diabetus Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hypertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keganasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keluar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Surabaya, 5 Mei 2022

 Kepala Puskesmas Balongsari Penanggung Jawab Program

dr. DEWI AYUNING ASIH RENNY FARIDA YUNIAR, AMD.KEP

NIP. 19791128 200604 2 028 NIP. 19830919 200501 2 003
Tandes Balongsari
REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
P L P L P L P L P

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
 PUSKESMAS : BALONGSARI
BULAN : MEI

REMAJA SELURUHNYA
NO KELURAHAN URAIAN 10 - 14 TH 15 - 18 TH
L P L P
1 Karangpoh SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
2 Tandes SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
3 Balongsari SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 5 5
4 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
5 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
6 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
7 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
SASARAN REMAJA 0 0 0 0
TOTAL
JUMLAH KONSELOR SEBAYA 0 0 5 5

Karangpoh Tandes Balong

REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH
NO URAIAN 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
L P L P L P L P L P L P L P L P L P L
A INDIKATOR
1 KIE
2 PELAYANAN MEDIS
3 KONSELING
B KASUS-KASUS YANG DI KONSELING
1 Pertumbuhan dan perkembangan
- Gizi kurang / lebih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Postur Pendek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Pubertas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kesehatan Reproduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Infeksi Menular Seksual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Genetalia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah kulit luar penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Scrotum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Infeksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Tuberkulosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kesehatan Jiwa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kekerasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Mental Emosional 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah rokok, alkohol, narkoba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Rokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Alkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Narkotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Psikotropika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Lain lain sebutkan …….. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kesehatan Indera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Penglihatan 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Telinga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Hidung dan Tenggorokan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Kepala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Perut Non Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Diabetus Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hypertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keganasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keluar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Surabaya, 5 Juni 2022

Kepala Puskesmas Balongsari Penanggung Jawab Program

dr. DEWI AYUNING ASIH RENNY FARIDA YUNIAR, AMD.KEP

NIP. 19791128 200604 2 028 NIP. 19830919 200501 2 003
 Balongsari TOTAL
KOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
P L P L P L P L P L P L P

0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 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
 LAPORAN PROGRAM REMAJA TAHUN 2022
PUSKESMAS : BALONGSARI
BULAN : JUNI

REMAJA SELURUHNYA
NO KELURAHAN URAIAN 10 - 14 TH 15 - 18 TH
L P L P
1 Karangpoh SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
2 Tandes SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
3 Balongsari SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 5 5
4 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
5 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
6 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
7 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
SASARAN REMAJA 0 0 0 0
TOTAL
JUMLAH KONSELOR SEBAYA 0 0 5 5

Karangpoh Tandes Balongsari

REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
NO URAIAN 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
L P L P L P L P L P L P L P L P L P L P L P L P
A INDIKATOR
1 KIE
2 PELAYANAN MEDIS
3 KONSELING
B KASUS-KASUS YANG DI KONSELING
1 Pertumbuhan dan perkembangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Gizi kurang / lebih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Postur Pendek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Pubertas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Anemia 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 Kesehatan Reproduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Infeksi Menular Seksual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Genetalia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah kulit luar penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Scrotum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Infeksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Tuberkulosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kesehatan Jiwa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kekerasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Mental Emosional 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah rokok, alkohol, narkoba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Rokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Alkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Narkotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Psikotropika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Lain lain sebutkan …….. 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 Kesehatan Indera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Penglihatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Telinga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Hidung dan Tenggorokan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kulit 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0
7 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Kepala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Perut Non Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Diabetus Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hypertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keganasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keluar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Surabaya, 4 Juli 2022

Kepala Puskesmas Balongsari Penanggung Jawab Program

dr. DEWI AYUNING ASIH RENNY FARIDA YUNIAR, AMD.KEP

NIP. 19791128 200604 2 028 NIP. 19830919 200501 2 003
 TOTAL
REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
L P L P L P L P

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
 LAPORAN PROGRAM REMAJA TAHUN 2022
PUSKESMAS : BALONGSARI
BULAN : JULI

REMAJA SELURUHNYA
NO KELURAHAN URAIAN 10 - 14 TH 15 - 18 TH
L P L P
1 Karangpoh SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
2 Tandes SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
3 Balongsari SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 5 5
4 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
5 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
6 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
7 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
SASARAN REMAJA 0 0 0 0
TOTAL
JUMLAH KONSELOR SEBAYA 0 0 5 5

Karangpoh Tandes Balongsari TOTAL

REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
NO URAIAN 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
A INDIKATOR
1 KIE
2 PELAYANAN MEDIS
3 KONSELING
B KASUS-KASUS YANG DI KONSELING
1 Pertumbuhan dan perkembangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Gizi kurang / lebih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Postur Pendek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Pubertas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Anemia 0 0 0 0 0 0 0 0 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 Kesehatan Reproduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Infeksi Menular Seksual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Genetalia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah kulit luar penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Scrotum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Infeksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Tuberkulosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kesehatan Jiwa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kekerasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Mental Emosional 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah rokok, alkohol, narkoba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Rokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Alkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Narkotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Psikotropika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Lain lain sebutkan …….. 0 0 0 0 0 0 0 0 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 Kesehatan Indera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Penglihatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0
- Masalah Telinga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Hidung dan Tenggorokan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0
7 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Kepala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Perut Non Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Diabetus Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hypertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keganasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keluar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Surabaya, 4 Agustus 2022

Kepala Puskesmas Balongsari Penanggung Jawab Program

dr. DEWI AYUNING ASIH RENNY FARIDA YUNIAR, AMD.KEP

NIP. 19791128 200604 2 028 NIP. 19830919 200501 2 003
 LAPORAN PROGRAM REMAJA TAHUN 2022
PUSKESMAS : BALONGSARI
BULAN : AGUSTUS

REMAJA SELURUHNYA
NO KELURAHAN URAIAN 10 - 14 TH 15 - 18 TH
L P L P
1 Karangpoh SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
2 Tandes SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
3 Balongsari SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 5 5
4 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
5 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
6 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
7 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
SASARAN REMAJA 0 0 0 0
TOTAL
JUMLAH KONSELOR SEBAYA 0 0 5 5

Karangpoh Tandes Balongsari

REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKO
NO URAIAN 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH
L P L P L P L P L P L P L P L P L P L P L P
A INDIKATOR
1 KIE
2 PELAYANAN MEDIS
3 KONSELING
B KASUS-KASUS YANG DI KONSELING
1 Pertumbuhan dan perkembangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Gizi kurang / lebih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Postur Pendek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Pubertas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kesehatan Reproduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Infeksi Menular Seksual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Genetalia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah kulit luar penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Scrotum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Infeksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Tuberkulosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kesehatan Jiwa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kekerasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Mental Emosional 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah rokok, alkohol, narkoba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Rokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Alkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Narkotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Psikotropika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Lain lain sebutkan …….. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kesehatan Indera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Penglihatan 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Telinga 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
- Masalah Hidung dan Tenggorokan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Kepala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Perut Non Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Diabetus Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hypertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keganasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keluar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Surabaya, 5 September 2022

Kepala Puskesmas Balongsari Penanggung Jawab Program

dr. DEWI AYUNING ASIH RENNY FARIDA YUNIAR, AMD.KEP

NIP. 19791128 200604 2 028 NIP. 19830919 200501 2 003
Balongsari TOTAL
REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
L P L P L P L P L P

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0
0 0 0 0 2 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
 LAPORAN PROGRAM REMAJA TAHUN 2022
PUSKESMAS :
BULAN :

REMAJA SELURUHNYA
NO KELURAHAN URAIAN 10 - 14 TH 15 - 18 TH
L P L P
1 Karangpoh SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
2 Tandes SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
3 Balongsari SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 5 5
4 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
5 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
6 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
7 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
SASARAN REMAJA 0 0 0 0
TOTAL
JUMLAH KONSELOR SEBAYA 0 0 5 5

Karangpoh Tandes Balongsari

REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA D
NO URAIAN 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH
L P L P L P L P L P L P L P L P L P L P L P L P L
A INDIKATOR
1 KIE
2 PELAYANAN MEDIS
3 KONSELING
B KASUS-KASUS YANG DI KONSELING
1 Pertumbuhan dan perkembangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Gizi kurang / lebih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Postur Pendek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Pubertas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Anemia 0 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 Kesehatan Reproduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
- Masalah Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Infeksi Menular Seksual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Genetalia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah kulit luar penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Scrotum 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Infeksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Tuberkulosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
5 Kesehatan Jiwa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kekerasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Mental Emosional 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah rokok, alkohol, narkoba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Rokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Alkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Narkotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Psikotropika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Lain lain sebutkan …….. 0 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 Kesehatan Indera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Penglihatan 13 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13
- Masalah Telinga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Hidung dan Tenggorokan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Kepala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Perut Non Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Diabetus Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hypertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keganasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keluar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Surabaya, 5 Oktober 2022

Kepala Puskesmas Balongsari Penanggung Jawab Program

dr. DEWI AYUNING ASIH RENNY FARIDA YUNIAR, AMD.KEP

NIP. 19791128 200604 2 028 NIP. 19830919 200501 2 003
 TOTAL
REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
P L P L P L P

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 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
0 0 0 0 0 0 0
0 0 0 0 0 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 0 0 0 0 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 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
9 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 LAPORAN PROGRAM REMAJA TAHUN 2022
PUSKESMAS : BALONGSARI
BULAN : OKTOBER

REMAJA SELURUHNYA
NO KELURAHAN URAIAN 10 - 14 TH 15 - 18 TH
L P L P
1 Karangpoh SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
2 Tandes SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
3 Balongsari SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 5 5
4 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
5 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
6 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
7 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
SASARAN REMAJA 0 0 0 0
TOTAL
JUMLAH KONSELOR SEBAYA 0 0 5 5

Karangpoh Tandes Balongsari

REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLA
NO URAIAN 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH
L P L P L P L P L P L P L P L P L P L P L P
A INDIKATOR
1 KIE
2 PELAYANAN MEDIS
3 KONSELING
B KASUS-KASUS YANG DI KONSELING
1 Pertumbuhan dan perkembangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Gizi kurang / lebih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Postur Pendek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Pubertas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kesehatan Reproduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kehamilan 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0
- Infeksi Menular Seksual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Genetalia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah kulit luar penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Scrotum 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Infeksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Tuberkulosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
5 Kesehatan Jiwa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kekerasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Mental Emosional 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah rokok, alkohol, narkoba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Rokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Alkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Narkotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Psikotropika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Lain lain sebutkan …….. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kesehatan Indera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Penglihatan 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 12 10 0 0 0 0
- Masalah Telinga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Hidung dan Tenggorokan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Kepala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Perut Non Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Diabetus Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hypertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keganasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keluar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Surabaya, 2022

Kepala Puskesmas Penanggung Jawab Program

dr. DEWI AYUNING ASIH JESIKA ROSA W, AMD.KEB

NIP. 19791128 200604 2 028 NIP. -
Balongsari TOTAL
REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
L P L P L P L P L P

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 3
0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 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 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 12 10 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
 LAPORAN PROGRAM REMAJA TAHUN 2022
PUSKESMAS : BALONGSARI
BULAN : NOVEMBER

REMAJA SELURUHNYA
NO KELURAHAN URAIAN 10 - 14 TH 15 - 18 TH
L P L P
1 Karangpoh SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
2 Tandes SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
3 Balongsari SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 5 5
4 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
5 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
6 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
7 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
SASARAN REMAJA 0 0 0 0
TOTAL
JUMLAH KONSELOR SEBAYA 0 0 5 5

Karangpoh Tandes Ba
REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH
NO URAIAN 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH
L P L P L P L P L P L P L P L P L P
A INDIKATOR
1 KIE
2 PELAYANAN MEDIS
3 KONSELING
B KASUS-KASUS YANG DI KONSELING
1 Pertumbuhan dan perkembangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Gizi kurang / lebih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Postur Pendek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Pubertas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kesehatan Reproduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kehamilan 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 3 0 0
- Infeksi Menular Seksual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Genetalia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah kulit luar penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Scrotum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Infeksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Tuberkulosis 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0
5 Kesehatan Jiwa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kekerasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Mental Emosional 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah rokok, alkohol, narkoba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Rokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Alkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Narkotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Psikotropika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Lain lain sebutkan …….. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kesehatan Indera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Penglihatan 0 0 2 0 0 0 0 0 1 1 0 0 0 0 0 0 8 4
- Masalah Telinga 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 5 2
- Masalah Hidung dan Tenggorokan 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
- Masalah Kulit 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2
7 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Kepala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Perut Non Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Diabetus Militus 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
- Hypertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keganasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keluar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Surabaya, November 2022

Kepala Puskesmas Penanggung Jawab Program

dr. DEWI AYUNING ASIH JESIKA ROSA W, AMD.KEB

NIP. 19791128 200604 2 028 NIP. -
 Balongsari TOTAL
REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
L P L P L P L P L P L P L P

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 0 0 0 0 1 0 0 2 1 0 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 0 0 0 0 9 5 2 0 0 0 0 0
0 0 0 0 0 0 5 2 0 0 0 0 2 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 3 0 2 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 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 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN PROGRAM REMAJA TAHUN 2022
PUSKESMAS : BALONGSARI
BULAN : DESEMBER

REMAJA SELURUHNYA
NO KELURAHAN URAIAN 10 - 14 TH 15 - 18 TH
L P L P
1 Karangpoh SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
2 Tandes SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 0 0
3 Balongsari SASARAN REMAJA 0 0 0 0
JUMLAH KONSELOR SEBAYA 0 0 5 5
4 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
5 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
6 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
7 SASARAN REMAJA
JUMLAH KONSELOR SEBAYA
SASARAN REMAJA 0 0 0 0
TOTAL
JUMLAH KONSELOR SEBAYA 0 0 5 5

Karangpoh Tandes Balongsari

REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLA
NO URAIAN 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH
L P L P L P L P L P L P L P L P L P L P L
A INDIKATOR
1 KIE
2 PELAYANAN MEDIS
3 KONSELING
B KASUS-KASUS YANG DI KONSELING
1 Pertumbuhan dan perkembangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Gizi kurang / lebih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Postur Pendek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Pubertas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Anemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kesehatan Reproduksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Infeksi Menular Seksual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Genetalia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah kulit luar penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Scrotum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Infeksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Tuberkulosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
5 Kesehatan Jiwa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Kekerasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Mental Emosional 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah rokok, alkohol, narkoba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Rokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Alkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Narkotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Psikotropika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Lain lain sebutkan …….. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Kesehatan Indera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masalah Penglihatan 2 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 3 1 0 0 0
- Masalah Telinga 1 1 0 0 0 0 2 0 0 0 0 0 0 0 0 0 1 1 0 0 0
- Masalah Hidung dan Tenggorokan 1 3 1 2 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
- Masalah Kulit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0
7 Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Kepala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Nyeri Perut Non Menstruasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Diabetus Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hypertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keganasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Rujukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Masuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Keluar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Surabaya, Desember 2022

Kepala Puskesmas Penanggung Jawab Program

dr. DEWI AYUNING ASIH JESIKA ROSA W, AMD.KEB

NIP. 19791128 200604 2 028 NIP. -
Balongsari TOTAL
REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
P L P L P L P L P L P

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 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 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 2 0 0 0 0 0 0
0 0 0 2 2 0 0 0 0 2 0
0 0 0 1 3 1 3 1 0 0 0
0 0 0 0 2 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
 LAPORAN PROGRAM REMAJA TAHUN 2022
PUSKESMAS :

REMAJA SELURUHNYA
NO KELURAHAN URAIAN 10 - 14 TH
L P
1 Karangpoh SASARAN REMAJA 0 0
JUMLAH KONSELOR SEBAYA 0 0
2 Tandes SASARAN REMAJA 0 0
JUMLAH KONSELOR SEBAYA 0 0
3 Balongsari SASARAN REMAJA 0 0
JUMLAH KONSELOR SEBAYA 0 0
4 SASARAN REMAJA 0 0
JUMLAH KONSELOR SEBAYA 0 0
5 SASARAN REMAJA 0 0
JUMLAH KONSELOR SEBAYA 0 0
6 SASARAN REMAJA 0 0
JUMLAH KONSELOR SEBAYA 0 0
7 SASARAN REMAJA 0 0
JUMLAH KONSELOR SEBAYA 0 0
SASARAN REMAJA 0 0
TOTAL
JUMLAH KONSELOR SEBAYA 0 0

Karangpoh
REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
NO URAIAN 10 - 14 TH 15 - 18 TH 10 - 14 TH
L P L P L P
A INDIKATOR
1 KIE 0 0 0 0 0 0
2 PELAYANAN MEDIS 38 16 11 10 0 0
3 KONSELING 1 0 0 0 0 0
B KASUS-KASUS YANG DI KONSELING
1 Pertumbuhan dan perkembangan 0 0 0 0 0 0
- Gizi kurang / lebih 0 0 0 0 0 0
- Postur Pendek 0 0 0 0 0 0
- Masalah Pubertas 0 0 0 0 0 0
- Anemia 0 0 0 0 0 0
2 Kesehatan Reproduksi 0 0 0 0 0 0
- Masalah Menstruasi 0 0 0 0 0 0
- Masalah Kehamilan 0 0 0 0 0 0
- Infeksi Menular Seksual 0 0 0 0 0 0
3 Genetalia 0 0 0 0 0 0
- Masalah kulit luar penis 0 0 0 0 0 0
- Masalah Scrotum 0 0 2 0 0 0
4 Infeksi 0 0 0 0 0 0
 - HIV 0 0 0 0 0 0
- Malaria 0 0 0 0 0 0
- Tuberkulosis 0 0 0 0 1 0
5 Kesehatan Jiwa 0 0 0 0 0 0
- Masalah Kekerasan 0 0 0 0 0 0
- Masalah Mental Emosional 0 0 0 0 0 0
- Masalah rokok, alkohol, narkoba 0 0 0 0 0 0
- Rokok 0 0 0 0 0 0
- Alkohol 0 0 0 0 0 0
- Narkotika 0 0 0 0 0 0
- Psikotropika 0 0 0 0 0 0
- Lain lain sebutkan …….. 0 0 0 0 0 0
6 Kesehatan Indera 0 0 0 0 0 0
- Masalah Penglihatan 16 9 3 1 0 0
- Masalah Telinga 1 1 0 0 0 0
- Masalah Hidung dan Tenggorokan 1 3 1 2 1 0
- Masalah Kulit 1 1 0 2 0 0
7 Lain-lain 0 0 0 0 0 0
- Nyeri Kepala 0 0 0 0 0 0
- Nyeri Perut Non Menstruasi 0 0 0 0 0 0
- Asma 0 0 0 0 0 0
- Diabetus Militus 0 0 0 0 0 0
- Hypertensi 0 0 0 0 0 0
- Keganasan 0 0 0 0 0 0
8 Rujukan 0 0 0 0 0 0
- Masuk 0 0 0 0 0 0
- Keluar 0 0 0 0 0 0

Mengetahui Surabaya, 2022

Kepala Puskesmas Penanggung Jawab Program
REMAJA SELURUHNYA
15 - 18 TH
L P
0 0
0 0
0 0
0 0
0 0
55 55
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
55 55

Tandes
EMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH
15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH
L P L P L P L P L P L

0 0 0 0 0 0 0 0 0 0 0
0 0 20 17 15 13 0 0 3 1 41
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 0
0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 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 2 0 0 1 1 1
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 3 2 1 3 0 0 0 0 24
4 0 0 0 0 1 0 0 0 0 6
0 0 0 0 0 2 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

ggung Jawab Program

 Balongsari
REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH
10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
P L P L P L P L P L P

0 0 0 0 0 0 0 0 0 0 0
24 21 34 0 0 0 2 0 0 0 0
1 1 0 0 0 0 2 0 0 0 0

0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0
0 0 0 0 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 0 0 0 0
0 0 0 0 0 0 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 3 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
17 1 4 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0 0 0
6 3 2 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
 REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH
10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH
L P L P L P L P L P L

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

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
DAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH
15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH
P L P L P L P L P L P

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

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
 TOTAL
REMAJA DI SEKOLAH REMAJA TIDAK SEKOLAH REMAJA DI SEKOLAH REMAJA TIDAK SEKOLA
15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH 15 - 18 TH 10 - 14 TH
L P L P L P L P L P L

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 99 57 47 57 0
0 0 0 0 0 0 1 1 1 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 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 0 0 5 1
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 43 28 5 8 0
0 0 0 0 0 0 7 5 0 1 0
0 0 0 0 0 0 1 3 3 4 1
0 0 0 0 0 0 3 7 4 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
OTAL
REMAJA TIDAK SEKOLAH
10 - 14 TH 15 - 18 TH
P L P

0 0 0
0 3 3
0 0 2

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 1
0 0 1
0 0 11
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 1 1
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 4 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 1 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0