KABUPATEN : Bojonegoro
KECAMATAN : Padangan
PUSKESMAS : Banjarjo Padangan
BULAN FEBRUARI2020
TOTAL KUNJUNGAN
0-4 5-9
NO. TEMPAT PELAYANAN
L P L P L P
I. PUSK. INDUK 0 0
II. PUSTU
1 PURWOREJO 0 0
2 DENGOK 0 0
3 0 0
4 0 0
TOTAL PUSTU 0 0 0 0 0 0
III. POLINDES
1 KEBONAGUNG 0 0
2 KENDUNG 0 0
3 NGRADIN 230 318 16 14 4 12
4 KUNCEN 0 0
5 PADANGAN 0 0
6 CENDONO 0 0
7 SIDOREJO 0 0
8 PRANGI 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
TOTAL POLINDES 230 318 16 14 4 12
IV. PONKESDES
1 TEBON 0 0
2 NGEPER 0 0
3 NGASINAN 0 0
4 NGUKEN 0 0
5 SONOREJO 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
TOTAL PONKESDES 0 0 0 0 0 0
JUMLAH 230 318 16 14 4 12
Mengetahui
Kepala Puskesmas ......................
.........................................................
NIP.
KUNJUNGAN
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
3 10 8 10 24 16 13 28 19 33
3 10 8 10 24 16 13 28 19 33
0 0 0 0 0 0 0 0 0 0
3 10 8 10 24 16 13 28 19 33
LAPORAN BULANAN PEMANFA
TAHUN
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
8 24 9 24 15 23 23 40 39 34
8 24 9 24 15 23 23 40 39 34
0 0 0 0 0 0 0 0 0 0
8 24 9 24 15 23 23 40 39 34
NAN PEMANFAATAN PELAYANAN KESEHATAN
TAHUN : 2016
BAYAR
60-64 65-69 70-74 75+
CP HAJI
L P L P L P L P
0 0 0 0 0 0 0 0 0 0
6 28 32 12 5 9 6 1
6 28 32 12 5 9 6 1 0 0
0 0 0 0 0 0 0 0 0 0
6 28 32 12 5 9 6 1 0 0
STATUS KUNJUNGAN
BAYAR GRATIS / JKN JAMKE
NON PBI
SURAT TOTAL TOTAL
LAIN² PBI JAMSOST TNI/ KARTU
SEHAT BAYAR ASKES JKN
MANDIRI EK POLRI
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0
0 0
0 360 360
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 360 0 0 0 0 360 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 360 0 0 0 0 360 0
JENIS PELAYANAN
JAMKESDA
TOTAL BP GIGI KIA KB UGD LAB LINKES
KK/
SPM JAMKESD
KARTU
A
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0
0
188 188 420 113 15
0
0
0
0
0
0
0
0
0
0
0
188 0 188 420 0 113 15 0 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
188 0 188 420 0 113 15 0 0 0
........................,................................. 2019
Pengelola SP2TP
.....................................................................................
NIP.
TOTAL
PERAWAT
LAIN² PELAYAN
AN
AN
0
0
0
0
0 0 0
0
0
548 230 230
0 318 318
0 548 188
0 128
0
0
0
0
0
0
0
0
0 0 548
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0
0 0 548
......
PROVINSI : Jawa Timur
KABUPATEN : Bojonegoro
KECAMATAN : Padangan
PUSKESMAS : Banjarjo Padangan
BULAN JANUARI 2020
TOTAL KUNJUNGAN
0-4 5-9
NO. TEMPAT PELAYANAN
L P L P L P
I. PUSK. INDUK 0 0
II. PUSTU
1 PURWOREJO 0 0
2 DENGOK 0 0
3 0 0
4 0 0
TOTAL PUSTU 0 0 0 0 0 0
III. POLINDES
1 KEBONAGUNG 0 0
2 KENDUNG 0 0
3 NGRADIN 180 275 16 14 12 12
4 KUNCEN 0 0
5 PADANGAN 0 0
6 CENDONO 0 0
7 SIDOREJO 0 0
8 PRANGI 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
TOTAL POLINDES 180 275 16 14 12 12
IV. PONKESDES
1 TEBON 0 0
2 NGEPER 0 0
3 NGASINAN 0 0
4 NGUKEN 0 0
5 SONOREJO 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
TOTAL PONKESDES 0 0 0 0 0 0
JUMLAH 180 275 16 14 12 12
Mengetahui
Kepala Puskesmas ......................
.........................................................
NIP.
KUNJUNGAN M
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
13 10 13 12 16 16 17 28 20 33
13 10 13 12 16 16 17 28 20 33
0 0 0 0 0 0 0 0 0 0
13 10 13 12 16 16 17 28 20 33
LAPORAN BULANAN PEMANFAA
TAHUN
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
8 18 9 17 15 19 12 23 7 29
8 18 9 17 15 19 12 23 7 29
0 0 0 0 0 0 0 0 0 0
8 18 9 17 15 19 12 23 7 29
NAN PEMANFAATAN PELAYANAN KESEHATAN
TAHUN : 2016
BAYAR
60-64 65-69 70-74 75+
CP HAJI
L P L P L P L P
0 0 0 0 0 0 0 0 0 0
6 28 5 6 5 9 6 1
6 28 5 6 5 9 6 1 0 0
0 0 0 0 0 0 0 0 0 0
6 28 5 6 5 9 6 1 0 0
STATUS KUNJUNGAN
BAYAR GRATIS / JKN JAMKESD
NON PBI
SURAT TOTAL TOTAL
LAIN² PBI JAMSOST TNI/ KARTU
SEHAT BAYAR ASKES JKN
MANDIRI EK POLRI
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0
0 0
0 224 270
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 224 0 0 0 0 270 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 224 0 0 0 0 270 0
JENIS PELAYANAN
JAMKESDA
TOTAL BP GIGI KIA KB UGD LAB LINKES
KK/
SPM JAMKESD
KARTU
A
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0
0
185 185 360 83 12
0
0
0
0
0
0
0
0
0
0
0
185 0 185 360 0 83 12 0 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
185 0 185 360 0 83 12 0 0 0
........................,................................. 2019
Pengelola SP2TP
.....................................................................................
NIP.
TOTAL
PERAWA
LAIN² PELAYAN
TAN
AN
0
0
0
0
0 0 0
0
0
455 180 180
0 275 275
0 455
0
0
0
0
0
0
0
0
0
0 0 455
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0
0 0 455
.......
PROVINSI : Jawa Timur
KABUPATEN : Bojonegoro
KECAMATAN : Padangan
PUSKESMAS : Banjarjo Padangan
BULAN FEBRUARI 2020
TOTAL KUNJUNGAN
0-4 5-9
NO. TEMPAT PELAYANAN
L P L P L P
I. PUSK. INDUK 0 0
II. PUSTU
1 PURWOREJO 0 0
2 DENGOK 0 0
3 0 0
4 0 0
TOTAL PUSTU 0 0 0 0 0 0
III. POLINDES
1 KEBONAGUNG 0 0
2 KENDUNG 0 0
3 NGRADIN 160 200 4 5 6 3
4 KUNCEN 0 0
5 PADANGAN 0 0
6 CENDONO 0 #NAME?
7 SIDOREJO 0 0
8 PRANGI 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
TOTAL POLINDES 160 #NAME? 4 5 6 3
IV. PONKESDES
1 TEBON 0 0
2 NGEPER 0 0
3 NGASINAN 0 0
4 NGUKEN 0 0
5 SONOREJO 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
TOTAL PONKESDES 0 0 0 0 0 0
JUMLAH 160 #NAME? 4 5 6 3
Mengetahui
Kepala Puskesmas ......................
.........................................................
NIP.
KUNJUNGAN M
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
2 4 13 12 5 12 9 20 19 33
2 4 13 12 5 12 9 20 19 33
0 0 0 0 0 0 0 0 0 0
2 4 13 12 5 12 9 20 19 33
KUNJUNGAN MENURUT KELOMPOK UMUR
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
10 25 3 15 8 9 12 12 15 15
10 25 3 15 8 9 12 12 15 15
0 0 0 0 0 0 0 0 0 0
10 25 3 15 8 9 12 12 15 15
BAYAR
60-64 65-69 70-74 75+
CP HAJI
L P L P L P L P
0 0 0 0 0 0 0 0 0 0
9 16 16 10 15 8 12 1
#NAME?
9 16 16 10 15 #NAME? 12 1 0 0
0 0 0 0 0 0 0 0 0 0
9 16 16 10 15 #NAME? 12 1 0 0
STATUS KUNJUNGAN
BAYAR GRATIS / JKN JAMKESD
NON PBI
SURAT TOTAL TOTAL
LAIN² PBI JAMSOST TNI/ KARTU
SEHAT BAYAR ASKES JKN
MANDIRI EK POLRI
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0
0 0
0 360 360
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 360 0 0 0 0 360 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 360 0 0 0 0 360 0
JENIS PELAYANAN
JAMKESDA
TOTAL BP GIGI KIA KB UGD LAB LINKES
KK/
SPM JAMKESD
KARTU
A
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0
0
0 320 40
0
0
0
0
0
0
0
0
0
0
0
0 0 0 320 0 40 0 0 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0 0 0 320 0 40 0 0 0 0
........................,................................. 2019
Pengelola SP2TP
.....................................................................................
NIP.
TOTAL
PERAWA
LAIN² PELAYAN
TAN
AN
0
0
0
0
0 0 0
0
0
360
0
0
0
0
0
0
0
0
0
0
0
0 0 360
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0
0 0 360
.......
PROVINSI : Jawa Timur
KABUPAT: Bojonegoro
KECAMAT: Padangan
PUSKESM: Banjarjo Padangan
BULAN FEBRUARI2020
TOTAL KUNJUNGAN
0-4 5-9 10-14
NO. TEMPAT PELAYANAN
L P L P L P L
I. PUSK. INDUK 0 0
II. PUSTU
1 PURWORE 0 0
2 DENGOK 0 0
3 0 0
4 0 0
TOTAL PUSTU 0 0 0 0 0 0 0
III. POLINDES
1 KEBONAG 0 0
2 KENDUNG 0 0
3 NGRADIN 164 200 4 5 6 3 2
4 KUNCEN 0 0
5 PADANGA 0 0
6 CENDONO 0 #NAME?
7 SIDOREJO 0 0
8 PRANGI 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
TOTAL POLINDES 164 #NAME? 4 5 6 3 2
IV. PONKESDES
1 TEBON 0 0
2 NGEPER 0 0
3 NGASINAN 0 0
4 NGUKEN 0 0
5 SONOREJ 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
TOTAL PONKESDES 0 0 0 0 0 0 0
JUMLAH 164 #NAME? 4 5 6 3 2
Mengetahui
Kepala Puskesmas ......................
.........................................................
NIP.
KUNJUNGAN MENURUT K
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
4 13 12 7 12 10 20 19 33 11
4 13 12 7 12 10 20 19 33 11
0 0 0 0 0 0 0 0 0 0
4 13 12 7 12 10 20 19 33 11
KUNJUNGAN MENURUT KELOMPOK UMUR
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
25 3 15 8 9 12 12 15 15 9
25 3 15 8 9 12 12 15 15 9
0 0 0 0 0 0 0 0 0 0
25 3 15 8 9 12 12 15 15 9
BAYAR
60-64 65-69 70-74 75+
SURAT
CP HAJI
P L P L P L P SEHAT
0 0 0 0 0 0 0 0 0 0
16 16 10 15 8 12 1
#NAME?
16 16 10 15 #NAME? 12 1 0 0 0
0 0 0 0 0 0 0 0 0 0
16 16 10 15 #NAME? 12 1 0 0 0
STATUS KUNJUNGAN
BAYAR GRATIS / JKN JAMKESDA
NON PBI
TOTAL TOTAL KK/
LAIN² PBI JAMSOST TNI/ KARTU
BAYAR ASKES JKN KARTU
MANDIRI EK POLRI
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0
0 0
0 364 364
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 364 0 0 0 0 364 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0 364 0 0 0 0 364 0 0
JENIS PELAYANAN
JAMKESDA
TOTAL PERAWA
BP GIGI KIA KB UGD LAB LINKES
SPM JAMKESD TAN
A
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0
0
0 324 40
0
0
0
0
0
0
0
0
0
0
0
0 0 324 0 40 0 0 0 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0 0 324 0 40 0 0 0 0 0
........................,................................. 2019
Pengelola SP2TP
.....................................................................................
NIP.
TOTAL
LAIN² PELAYAN
AN
0
0
0
0
0 0
0
0
364
0
0
0
0
0
0
0
0
0
0
0
0 364
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0 364
LAPORAN BULANAN PEMANFAATAN PELAYANAN KESEHATAN
TAHUN : 2016
PROVINSI : Jawa Timur
KABUPATEN : Bojonegoro
KECAMATAN : .....................
PUSKESMAS : .....................
BULAN : .....................
II. PUSTU
1 PURWOREJO 0 0 0 0 0 0
2 DENGOK 0 0 0 0 0 0
3 0 0 0 0 0 0
4 0 0 0 0 0 0
TOTAL PUSTU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
III. POLINDES
1 KEBONAGUNG 0 0 0 0 0 0
2 KENDUNG 0 0 0 0 0 0
3 NGRADIN 0 0 0 0 0 0
4 KUNCEN 0 0 0 0 0 0
5 PADANGAN 0 0 0 0 0 0
6 CENDONO 0 0 0 0 0 0
7 SIDOREJO 0 0 0 0 0 0
8 PRANGI 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
TOTAL POLINDES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV. PONKESDES
1 TEBON 0 0 0 0 0 0
2 NGEPER 0 0 0 0 0 0
3 NGASINAN 0 0 0 0 0 0
4 NGUKEN 0 0 0 0 0 0
5 SONOREJO 0 0 0 0 0 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
TOTAL PONKESDES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
......................................................... .....................................................................................
NIP. NIP.
Compatibility Report for PEMANFAATAN PELY. KES. 2019
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Version
Excel 97-2003
PROVINSI : Jawa Timur
KABUPAT: Bojonegoro
KECAMAT: Padangan
PUSKESM: Banjarjo Padangan
BULAN MEI 2020
TOTAL KUNJUNGAN
0-4 5-9 10-14
NO. TEMPAT PELAYANAN
L P L P L P L
I. PUSK. INDUK 0 0
II. PUSTU
1 PURWORE 0 0
2 DENGOK 0 0
3 0 0
4 0 0
TOTAL PUSTU 0 0 0 0 0 0 0
III. POLINDES
1 KEBONAG 0 0
2 KENDUNG 0 0
3 NGRADIN 160 200 3 5 5 3 2
4 KUNCEN 0 0
5 PADANGA 0 0
6 CENDONO 0 #NAME?
7 SIDOREJO 0 0
8 PRANGI 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
TOTAL POLINDES 160 #NAME? 3 5 5 3 2
IV. PONKESDES
1 TEBON 0 0
2 NGEPER 0 0
3 NGASINAN 0 0
4 NGUKEN 0 0
5 SONOREJ 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
TOTAL PONKESDES 0 0 0 0 0 0 0
JUMLAH 160 #NAME? 3 5 5 3 2
Mengetahui
Kepala Puskesmas ......................
.........................................................
NIP.
KUNJUNGAN MENURUT K
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
4 12 12 7 12 10 20 19 33 11
4 12 12 7 12 10 20 19 33 11
0 0 0 0 0 0 0 0 0 0
4 12 12 7 12 10 20 19 33 11
KUNJUNGAN MENURUT KELOMPOK UMUR
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
25 3 15 8 9 12 12 15 15 9
25 3 15 8 9 12 12 15 15 9
0 0 0 0 0 0 0 0 0 0
25 3 15 8 9 12 12 15 15 9
BAYAR
60-64 65-69 70-74 75+
SURAT
CP HAJI
P L P L P L P SEHAT
0 0 0 0 0 0 0 0 0 0
16 16 10 15 8 12 1
#NAME?
16 16 10 15 #NAME? 12 1 0 0 0
0 0 0 0 0 0 0 0 0 0
16 16 10 15 #NAME? 12 1 0 0 0
STATUS KUNJUNGAN
BAYAR GRATIS / JKN JAMKESDA
NON PBI
TOTAL TOTAL KK/
LAIN² PBI JAMSOST TNI/ KARTU
BAYAR ASKES JKN KARTU
MANDIRI EK POLRI
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0
0 0
0 360 360
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 360 0 0 0 0 360 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0 360 0 0 0 0 360 0 0
JENIS PELAYANAN
JAMKESDA
TOTAL PERAWA
BP GIGI KIA KB UGD LAB LINKES
SPM JAMKESD TAN
A
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0
0
0 320 40
0
0
0
0
0
0
0
0
0
0
0
0 0 320 0 40 0 0 0 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0 0 320 0 40 0 0 0 0 0
........................,................................. 2020
Pengelola SP2TP
.....................................................................................
NIP.
TOTAL
LAIN² PELAYAN
AN
0
0
0
0
0 0
0
0
360
0
0
0
0
0
0
0
0
0
0
0
0 360
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0 360
PROVINSI : Jawa Timur
KABUPAT: Bojonegoro
KECAMAT: Padangan
PUSKESM: Banjarjo Padangan
BULAN : JUNI 2020
TOTAL KUNJUNGAN
0-4 5-9 10-14
NO. TEMPAT PELAYANAN
L P L P L P L
I. PUSK. INDUK 0 0
II. PUSTU
1 PURWORE 0 0
2 DENGOK 0 0
3 0 0
4 0 0
TOTAL PUSTU 0 0 0 0 0 0 0
III. POLINDES
1 KEBONAG 0 0
2 KENDUNG 0 0
3 NGRADIN 165 200 3 5 5 3 4
4 KUNCEN 0 0
5 PADANGA 0 0
6 CENDONO 0 0
7 SIDOREJO 0 0
8 PRANGI 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
TOTAL POLINDES 165 200 3 5 5 3 4
IV. PONKESDES
1 TEBON 0 0
2 NGEPER 0 0
3 NGASINAN 0 0
4 NGUKEN 0 0
5 SONOREJ 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
TOTAL PONKESDES 0 0 0 0 0 0 0
JUMLAH 165 200 3 5 5 3 4
Mengetahui
Kepala Puskesmas ......................
.........................................................
NIP.
KUNJUNGAN MENURUT K
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
4 13 12 7 12 12 20 19 33 11
4 13 12 7 12 12 20 19 33 11
0 0 0 0 0 0 0 0 0 0
4 13 12 7 12 12 20 19 33 11
KUNJUNGAN MENURUT KELOMPOK UMUR
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
25 3 15 8 9 12 12 15 15 9
25 3 15 8 9 12 12 15 15 9
0 0 0 0 0 0 0 0 0 0
25 3 15 8 9 12 12 15 15 9
BAYAR
60-64 65-69 70-74 75+
SURAT
CP HAJI
P L P L P L P SEHAT
0 0 0 0 0 0 0 0 0 0
16 16 10 15 8 12 1
16 16 10 15 8 12 1 0 0 0
0 0 0 0 0 0 0 0 0 0
16 16 10 15 8 12 1 0 0 0
STATUS KUNJUNGAN
BAYAR GRATIS / JKN JAMKESDA
NON PBI
TOTAL TOTAL KK/
LAIN² PBI JAMSOST TNI/ KARTU
BAYAR ASKES JKN KARTU
MANDIRI EK POLRI
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0
0 0
0 365 365
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 365 0 0 0 0 365 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0 365 0 0 0 0 365 0 0
JENIS PELAYANAN
JAMKESDA
TOTAL PERAWA
BP GIGI KIA KB UGD LAB LINKES
SPM JAMKESD TAN
A
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0
0
0 325 40
0
0
0
0
0
0
0
0
0
0
0
0 0 325 0 40 0 0 0 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0 0 325 0 40 0 0 0 0 0
........................,................................. 2020
Pengelola SP2TP
.....................................................................................
NIP.
TOTAL
LAIN² PELAYAN
AN
0
0
0
0
0 0
0
0
365
0
0
0
0
0
0
0
0
0
0
0
0 365
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0 365
PROVINSI : Jawa Timur
KABUPATEN : Bojonegoro
KECAMATAN : Padangan
PUSKESMAS : Banjarjo Padangan
BULAN : JULI 2020
TOTAL KUNJUNGAN
0-4 5-9
NO. TEMPAT PELAYANAN
L P L P L P
I. PUSK. INDUK 0 0
II. PUSTU
1 PURWOREJO 0 0
2 DENGOK 0 0
3 0 0
4 0 0
TOTAL PUSTU 0 0 0 0 0 0
III. POLINDES
1 KEBONAGUNG 0 0
2 KENDUNG 0 0
3 NGRADIN 170 200 4 5 6 3
4 KUNCEN 0 0
5 PADANGAN 0 0
6 CENDONO 0 0
7 SIDOREJO 0 0
8 PRANGI 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
TOTAL POLINDES 170 200 4 5 6 3
IV. PONKESDES
1 TEBON 0 0
2 NGEPER 0 0
3 NGASINAN 0 0
4 NGUKEN 0 0
5 SONOREJO 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
TOTAL PONKESDES 0 0 0 0 0 0
JUMLAH 170 200 4 5 6 3
Mengetahui
Kepala Puskesmas ......................
.........................................................
NIP.
KUNJUNGAN
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
5 4 14 12 8 12 12 20 19 33
5 4 14 12 8 12 12 20 19 33
0 0 0 0 0 0 0 0 0 0
5 4 14 12 8 12 12 20 19 33
KUNJUNGAN MENURUT KELOMPOK UMUR
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
11 25 3 15 8 9 12 12 15 15
11 25 3 15 8 9 12 12 15 15
0 0 0 0 0 0 0 0 0 0
11 25 3 15 8 9 12 12 15 15
BAYAR
60-64 65-69 70-74 75+
CP HAJI
L P L P L P L P
0 0 0 0 0 0 0 0 0 0
9 16 16 10 15 8 12 1
9 16 16 10 15 8 12 1 0 0
0 0 0 0 0 0 0 0 0 0
9 16 16 10 15 8 12 1 0 0
STATUS KUNJUNGAN
BAYAR GRATIS / JKN JAMKE
NON PBI
SURAT TOTAL TOTAL
LAIN² PBI JAMSOST TNI/ KARTU
SEHAT BAYAR ASKES JKN
MANDIRI EK POLRI
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0
0 0
0 370 370
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 370 0 0 0 0 370 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 370 0 0 0 0 370 0
JENIS PELAYANAN
JAMKESDA
TOTAL BP GIGI KIA KB UGD LAB LINKES
KK/
SPM JAMKESD
KARTU
A
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0
0
0 330 40
0
0
0
0
0
0
0
0
0
0
0
0 0 0 330 0 40 0 0 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0 0 0 330 0 40 0 0 0 0
........................,................................. 2020
Pengelola SP2TP
.....................................................................................
NIP.
TOTAL
PERAWAT
LAIN² PELAYAN
AN
AN
0
0
0
0
0 0 0
0
0
370
0
0
0
0
0
0
0
0
0
0
0
0 0 370
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0
0 0 370
......
PROVINSI : Jawa Timur
KABUPAT: Bojonegoro
KECAMAT: Padangan
PUSKESM: Banjarjo Padangan
BULAN Agustus 2020
TOTAL KUNJUNGAN
0-4 5-9 10-14
NO. TEMPAT PELAYANAN
L P L P L P L
I. PUSK. INDUK 0 0
II. PUSTU
1 PURWORE 0 0
2 DENGOK 0 0
3 0 0
4 0 0
TOTAL PUSTU 0 0 0 0 0 0 0
III. POLINDES
1 KEBONAG 0 0
2 KENDUNG 0 0
3 NGRADIN 165 200 3 5 5 3 4
4 KUNCEN 0 0
5 PADANGA 0 0
6 CENDONO 0 0
7 SIDOREJO 0 0
8 PRANGI 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
TOTAL POLINDES 165 200 3 5 5 3 4
IV. PONKESDES
1 TEBON 0 0
2 NGEPER 0 0
3 NGASINAN 0 0
4 NGUKEN 0 0
5 SONOREJ 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
TOTAL PONKESDES 0 0 0 0 0 0 0
JUMLAH 165 200 3 5 5 3 4
Mengetahui
Kepala Puskesmas ......................
.........................................................
NIP.
KUNJUNGAN MENURUT K
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
4 12 12 8 12 12 20 19 33 11
4 12 12 8 12 12 20 19 33 11
0 0 0 0 0 0 0 0 0 0
4 12 12 8 12 12 20 19 33 11
KUNJUNGAN MENURUT KELOMPOK UMUR
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
25 3 15 8 9 12 12 15 15 9
25 3 15 8 9 12 12 15 15 9
0 0 0 0 0 0 0 0 0 0
25 3 15 8 9 12 12 15 15 9
BAYAR
60-64 65-69 70-74 75+
SURAT
CP HAJI
P L P L P L P SEHAT
0 0 0 0 0 0 0 0 0 0
16 16 10 15 8 12 1
16 16 10 15 8 12 1 0 0 0
0 0 0 0 0 0 0 0 0 0
16 16 10 15 8 12 1 0 0 0
STATUS KUNJUNGAN
BAYAR GRATIS / JKN JAMKESDA
NON PBI
TOTAL TOTAL KK/
LAIN² PBI JAMSOST TNI/ KARTU
BAYAR ASKES JKN KARTU
MANDIRI EK POLRI
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0
0 0
0 365 365
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 365 0 0 0 0 365 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0 365 0 0 0 0 365 0 0
JENIS PELAYANAN
JAMKESDA
TOTAL PERAWA
BP GIGI KIA KB UGD LAB LINKES
SPM JAMKESD TAN
A
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0
0
0 330 40
0
0
0
0
0
0
0
0
0
0
0
0 0 330 0 40 0 0 0 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0 0 330 0 40 0 0 0 0 0
........................,................................. 2020
Pengelola SP2TP
.....................................................................................
NIP.
TOTAL
LAIN² PELAYAN
AN
0
0
0
0
0 0
0
0
365
0
0
0
0
0
0
0
0
0
0
0
0 365
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0 365
PROVINSI : Jawa Timur
KABUPATEN : Bojonegoro
KECAMATAN : Padangan
PUSKESMAS : Banjarjo Padangan
BULAN September 2020
TOTAL KUNJUNGAN
0-4 5-9
NO. TEMPAT PELAYANAN
L P L P L P
I. PUSK. INDUK 0 0
II. PUSTU
1 PURWOREJO 0 0
2 DENGOK 0 0
3 0 0
4 0 0
TOTAL PUSTU 0 0 0 0 0 0
III. POLINDES
1 KEBONAGUNG 0 0
2 KENDUNG 0 0
3 NGRADIN 366 200 3 5 5 3
4 KUNCEN 0 0
5 PADANGAN 0 0
6 CENDONO 0 0
7 SIDOREJO 0 0
8 PRANGI 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
TOTAL POLINDES 366 200 3 5 5 3
IV. PONKESDES
1 TEBON 0 0
2 NGEPER 0 0
3 NGASINAN 0 0
4 NGUKEN 0 0
5 SONOREJO 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
TOTAL PONKESDES 0 0 0 0 0 0
JUMLAH 366 200 3 5 5 3
Mengetahui
Kepala Puskesmas ......................
.........................................................
NIP.
KUNJUNGAN M
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
4 4 12 12 8 12 13 20 19 33
4 4 12 12 8 12 13 20 19 33
0 0 0 0 0 0 0 0 0 0
4 4 12 12 8 12 13 20 19 33
KUNJUNGAN MENURUT KELOMPOK UMUR
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
11 25 3 15 8 9 12 12 15 15
11 25 3 15 8 9 12 12 15 15
0 0 0 0 0 0 0 0 0 0
11 25 3 15 8 9 12 12 15 15
BAYAR
60-64 65-69 70-74 75+
CP HAJI
L P L P L P L P
0 0 0 0 0 0 0 0 0 0
9 16 16 10 15 8 12 1
9 16 16 10 15 8 12 1 0 0
0 0 0 0 0 0 0 0 0 0
9 16 16 10 15 8 12 1 0 0
STATUS KUNJUNGAN
BAYAR GRATIS / JKN JAMKESD
NON PBI
SURAT TOTAL TOTAL
LAIN² PBI JAMSOST TNI/ KARTU
SEHAT BAYAR ASKES JKN
MANDIRI EK POLRI
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0
0 0
0 366 366
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 366 0 0 0 0 366 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 366 0 0 0 0 366 0
JENIS PELAYANAN
JAMKESDA
TOTAL BP GIGI KIA KB UGD LAB LINKES
KK/
SPM JAMKESD
KARTU
A
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0
0
0 331 40
0
0
0
0
0
0
0
0
0
0
0
0 0 0 331 0 40 0 0 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0 0 0 331 0 40 0 0 0 0
........................,................................. 2020
Pengelola SP2TP
.....................................................................................
NIP.
PERAWA TOTAL
LAIN² PELAYAN
TAN
AN
0
0
0
0
0 0 0
0
0
366
0
0
0
0
0
0
0
0
0
0
0
0 0 366
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0
0 0 366
.......
PROVINSI : Jawa Timur
KABUPAT: Bojonegoro
KECAMAT: Padangan
PUSKESM: Banjarjo Padangan
BULAN Oktober 2020
TOTAL KUNJUNGAN
0-4 5-9 10-14
NO. TEMPAT PELAYANAN
L P L P L P L
I. PUSK. INDUK 0 0
II. PUSTU
1 PURWORE 0 0
2 DENGOK 0 0
3 0 0
4 0 0
TOTAL PUSTU 0 0 0 0 0 0 0
III. POLINDES
1 KEBONAG 0 0
2 KENDUNG 0 0
3 NGRADIN 165 200 5 5 5 3 2
4 KUNCEN 0 0
5 PADANGA 0 0
6 CENDONO 0 0
7 SIDOREJO 0 0
8 PRANGI 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
TOTAL POLINDES 165 200 5 5 5 3 2
IV. PONKESDES
1 TEBON 0 0
2 NGEPER 0 0
3 NGASINAN 0 0
4 NGUKEN 0 0
5 SONOREJ 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
TOTAL PONKESDES 0 0 0 0 0 0 0
JUMLAH 165 200 5 5 5 3 2
Mengetahui
Kepala Puskesmas ......................
.........................................................
NIP.
KUNJUNGAN MENURUT K
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
4 12 12 7 12 12 20 20 33 11
4 12 12 7 12 12 20 20 33 11
0 0 0 0 0 0 0 0 0 0
4 12 12 7 12 12 20 20 33 11
KUNJUNGAN MENURUT KELOMPOK UMUR
P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0
25 3 15 8 9 12 12 15 15 9
25 3 15 8 9 12 12 15 15 9
0 0 0 0 0 0 0 0 0 0
25 3 15 8 9 12 12 15 15 9
BAYAR
60-64 65-69 70-74 75+
SURAT
CP HAJI
P L P L P L P SEHAT
0 0 0 0 0 0 0 0 0 0
16 16 10 15 8 12 1
16 16 10 15 8 12 1 0 0 0
0 0 0 0 0 0 0 0 0 0
16 16 10 15 8 12 1 0 0 0
STATUS KUNJUNGAN
BAYAR GRATIS / JKN JAMKESDA
NON PBI
TOTAL TOTAL KK/
LAIN² PBI JAMSOST TNI/ KARTU
BAYAR ASKES JKN KARTU
MANDIRI EK POLRI
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0
0 0
0 365 365
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 365 0 0 0 0 365 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0 0
0 0 365 0 0 0 0 365 0 0
JENIS PELAYANAN
JAMKESDA
TOTAL PERAWA
BP GIGI KIA KB UGD LAB LINKES
SPM JAMKESD TAN
A
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0
0
0 320 45
0
0
0
0
0
0
0
0
0
0
0
0 0 320 0 45 0 0 0 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0
0 0 320 0 45 0 0 0 0 0
........................,................................. 2020
Pengelola SP2TP
.....................................................................................
NIP.
TOTAL
LAIN² PELAYAN
AN
0
0
0
0
0 0
0
0
365
0
0
0
0
0
0
0
0
0
0
0
0 365
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0 365