REKAPITULASI HASIL PENJARINGAN KESEHATAN MURID KELAS 1 SD/MI

KABUPATEN : PROBOLINGGO
KECAMATAN : PAITON
PUSKESMAS : PAITON

Hasil Penjaringan Kesehatan

JUMLAH PESERTA DIDIK SD/MI

Mata/Penglihatan Telinga/Pendengaran
Penilaian Status Gizi Modalitas Belajar
Jumlah
Kebugaran Jasmani Pemberia Peserta
Gangguan Mental Emosional Pemberia n Obat Didik Strata
NO NAMA SEKOLAH Imunisasi Cacing KIE Memiliki
n TTD UKS
Resiko Gangguan Daerah Raport
Resiko Anemia Pengguna Tertentu Kesehata
JML SASARAN Yang dijaring Hipertens Caries berhub dg Kes an Alat Dirujuk
i n
Gangguan gaya Reproduk Bantu
Kelainan Low Buta
TB/U Kaca Mata Infeksi Serumen Pendenga hidup si
B K G O (STANTIN Refraksi Vision Warna Audio Visual Kinestetik
ran
G)
Baik Kurang
l p l p jml L P E C H P Pr

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 ###
1 SDN PANDEAN 3 4 3 4 7 7 0 0 0 0 0 0 0 5 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 7 0 0 0 0 ###
0
2 MI RAUDLATUL MUNADHIRIN 15 17 15 17 32 32 0 1 0 0 0 0 0 12 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 32 0 0 0 0 ###
0
3 MI RAUDLATUL MUTAALIMIN 6 7 6 7 13 13 0 0 0 0 0 0 0 5 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 ###
0
4 SDN ALAS TENGAH 24 4 24 4 28 28 0 0 0 0 0 0 0 10 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 28 0 0 0 0 ###
0
5 MI MIFTAHUL ULUM 6 4 6 4 10 10 0 0 0 0 0 0 0 4 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 0 0 0 0 ###
0
6 SDN RANDU TATAH 14 10 14 10 24 24 0 0 0 0 0 0 0 6 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 24 0 0 0 0 ###
0
7 SDN KARANGANYAR I 14 6 14 6 20 20 0 0 0 0 0 0 0 5 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20 0 0 0 0 ###
0
8 SDN KARANGANYAR II 6 2 6 2 8 8 0 0 0 0 0 0 0 3 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 8 0 0 0 0 ###
0
9 MI NEGERI KARANGANYAR 15 10 15 10 25 25 0 0 0 0 0 0 0 9 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 25 0 0 0 0 ###
0
10 MI AL ISLAMIAH 19 14 19 14 33 33 0 0 0 0 0 0 0 11 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 33 0 0 0 0 ###
0
11 MI AZZAINIYAH II 9 12 9 12 21 21 0 0 0 0 0 0 0 7 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 21 0 0 0 0 ###
0
12 MI NURUL MUN'IM 17 13 17 13 30 30 0 0 0 0 0 0 0 7 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 30 0 0 0 0 ###
0
13 SDN PLAMPANG 7 4 7 4 11 11 0 0 0 0 0 0 0 4 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 0 0 0 0 ###
0
14 MI RAUDLATUS SIBYAN 5 8 5 8 13 13 0 0 0 0 0 0 0 5 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 ###
0
15 SDN PETUNJUNGAN I 12 10 12 10 22 22 0 0 0 0 0 0 0 8 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 22 0 0 0 0 ###
0
16 SDN PETUNJUNGAN II 5 2 5 2 7 7 0 0 0 0 0 0 0 4 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 7 0 0 0 0 ###
0
17 SDN TAMAN 16 27 16 27 43 43 0 0 0 0 0 0 0 12 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 43 0 0 0 0 ###
0
18 MI TAMAN 4 9 4 9 13 13 0 0 0 0 0 0 0 5 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 ###
0
19 SDN PAITON 10 9 10 9 19 9 0 0 0 0 0 0 0 5 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 9 0 0 0 0 ###
0
20 MI DARUL ULUM 3 2 3 2 5 5 0 0 0 0 0 0 0 3 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 5 0 0 0 0 ###
0
21 SDN SUKODADI I 11 11 11 11 22 22 0 0 0 0 0 0 0 8 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 22 0 0 0 0 ###
0
22 SDN SUKODADI II 25 19 25 19 44 44 0 0 0 0 0 0 0 13 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 44 0 0 0 0 ###
0
23 MI MIFTAHUL ISLAM 10 15 10 15 25 25 0 0 0 0 0 0 0 9 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 25 0 0 0 0 ###
0
24 SDN PONDOK KELOR I 16 8 16 8 24 24 0 0 0 0 0 0 0 9 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 24 0 0 0 0 ###
0
25 SDN PONDOK KELOR II 7 8 7 8 15 15 0 0 0 0 0 0 0 5 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 15 0 0 0 0 ###
0
26 MI MISBAHUL HUDA 10 10 10 10 20 20 0 0 0 0 0 0 0 6 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20 0 0 0 0 ###
0
27 SDN SUMBERANYAR I 22 21 22 21 43 43 0 0 0 0 0 0 0 9 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 43 0 0 0 0 ###
0
28 SDN SUMBERANYAR II 13 4 13 4 17 17 0 0 0 0 0 0 0 4 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 17 0 0 0 0 ###
0
29 MI NURUL YAQIN 6 8 6 8 14 14 0 0 0 0 0 0 0 5 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 14 0 0 0 0 ###
0
30 SD SWASTA INSAN TERPADU 48 31 48 31 79 79 0 1 0 0 0 0 0 14 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 79 0 0 0 0 ###
0
JUMLAH 378 309 378 309 687 677 0 2 0 0 0 0 0 212 0 0 0 0 0 173 0 0 0 0 0 0 0 0 0 0 0 0 677 0 0 677 0 0 0 0 ###
0
 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
31 SDN SUMBEREJO I 5 5 5 5 10 10 0 0 0 0 0 0 0 4 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 0 0 0 0 ###
0
32 SDN SUMBEREJO II 9 7 9 7 16 16 0 0 0 0 0 0 0 5 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 16 0 0 0 0 ###
0
33 MI AL WUSTHO 4 8 4 8 12 12 0 0 0 0 0 0 0 4 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 12 0 0 0 0 ###
0
34 MI DARUS SALAM 8 9 8 9 17 17 0 0 0 0 0 0 0 6 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 17 0 0 0 0 ###
0
35 MI MAMBAUL HASAN 4 9 4 9 13 13 0 0 0 0 0 0 0 6 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 ###
0
36 SDN BHINAR 14 9 14 9 23 23 0 0 0 0 0 0 0 8 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 23 0 0 0 0 ###
0
JUMLAH 44 47 44 47 91 91 0 0 0 0 0 0 0 33 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 91 0 0 91 0 0 0 0 ###
0

MENGETAHUI PELAKSANA PROGRAM UKS

KEPALA PUSKESMAS PAITON PUSKESMAS PAITON

dr. NINA KARTIKA,M.Mkes. JASULI,S.Kep.Ners.

NIP. 19690328 200212 2 004 nip. 19690707 199303 1 006
KABUPATEN : PROBOLINGGO
KECAMATAN : PAITON
PUSKESMAS : PAITON

Hasil Penjaringan Kesehatan

JUMLAH PESERTA DIDIK Jumla

SMP/MTs Telinga/ h
Mata/Penglihatan Pemb Pesert
Penilaian Status Gizi Pendengaran Modalitas Belajar erian
Kebugaran Obat a
Gangguan Mental Jasmani Pemb Didik
Emosional Imuni erian Cacing Memil Strata
NO NAMA SEKOLAH Resiko Gangg sasi Daera KIE UKS
Resiko berhu uan Pengg TTD iki
Anemia Hipert Caries Kelain Gangg unaan Diruju h
Ts Yang dijaring Buta uan b dg Kes Rapor
TB/U ensi an Low Warn Kaca Serum Pende gaya Repro Alat k Terte t
(STA Refrak Vision Mata Infeksi en Audi Kinest Bantu ntu
B K G O NTIN a ngara hidup duksi o Visual etik
Keseh
si n Kuran atan
G) Baik
l p l p jml L P E C H P Pr g

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
1 MTs PANDEAN 7 0 0 0 0 0 0 0 5 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 7 0 0 0 0 0
2 SMP NURURIADLAH 32 0 1 0 0 0 0 0 12 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 32 0 0 0 0 0
3 MTsN KARANG ANYAR 13 0 0 0 0 0 0 0 5 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 0
4 MTs NURUL Hasyimi 28 0 0 0 0 0 0 0 10 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 28 0 0 0 0 0
5 MTs Azzainiyah 2 10 0 0 0 0 0 0 0 4 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 0 0 0 0 0
6 SMPN 1 PAITON 24 0 0 0 0 0 0 0 6 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 24 0 0 0 0 0
7 SMP BHAKTI PERTIWI 20 0 0 0 0 0 0 0 5 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20 0 0 0 0 0
8 MTs MAMBAUL ULUM 8 0 0 0 0 0 0 0 3 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 8 0 0 0 0 0
9 SMP AL ISLAM 25 0 0 0 0 0 0 0 9 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 25 0 0 0 0 0
10 SMP INSAN TERPADU 33 0 0 0 0 0 0 0 11 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 33 0 0 0 0 0
11 MTs NURUL YAQIN 21 0 0 0 0 0 0 0 7 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 21 0 0 0 0 0
12 MTs MAMBAUL HASAN 30 0 0 0 0 0 0 0 7 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 30 0 0 0 0 0
13 MTs NURUL HIDAYAH 11 0 0 0 0 0 0 0 4 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 0 0 0 0 0
14 SMP NURUL JADID 13 0 0 0 0 0 0 0 5 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 0
15 MTs NURUL JADID 22 0 0 0 0 0 0 0 8 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 22 0 0 0 0 0
REKAPITULASI HASIL PENJARINGAN KESEHATAN KELAS X SLTA

KABUPATEN : PROBOLINGGO
KECAMATAN : PAITON
PUSKESMAS : PAITON

Hasil Penjaringan Kesehatan

Juml
JUMLAH PESERTA DIDIK ah
SD/MI Mata/Penglihatan Telinga/ Pem
Pendengaran Modalitas beri Pese
Penilaian Status Gizi rta
Belajar an
Kebugara Didik
Resi Gangguan Mental n Jasmani Pem Obat
Gan Imu Me Strat
NO NAMA SEKOLAH ko
ggua
Emosional Peng nisas beri Caci KIE milik a
berh guna an ng
Resiko Hipe n i TTD Daer i UKS
Gan
JML
Yang dijaring Anemia rten Cari Kelai ggua
ub
Kes
an Diruj
ah
Rap
SASARAN TB/ es Low Buta Kaca dg Alat uk ort
U si nan Visio War Mat Infek Seru n Repr Tert
Refr si men Pend
gaya
oduk Audi Visu Kine Bant entu
Kese
B K G O (STA hidu steti u hata
NTIN aksi n na a enga p
si o al k Kura n
G) ran Baik
l p l p jml L P E C H P Pr ng

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43
1 MA Arriadlah 7 0 0 0 0 0 0 0 5 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 7 0 0 0 0 0
2 SMA NURURIADLAH 32 0 1 0 0 0 0 0 12 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 32 0 0 0 0 0
3 MAN KARANG ANYAR 13 0 0 0 0 0 0 0 5 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 0
4 MA NURUL Hasyimi 28 0 0 0 0 0 0 0 10 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 28 0 0 0 0 0
5 SMAN 1 Paiton 10 0 0 0 0 0 0 0 4 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10 0 0 0 0 0
6 MA Nurul Yaqin 24 0 0 0 0 0 0 0 6 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 24 0 0 0 0 0
7 MA Mambaul Ulum 20 0 0 0 0 0 0 0 5 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20 0 0 0 0 0
8 MA Al Islamiyah 8 0 0 0 0 0 0 0 3 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 8 0 0 0 0 0
9 SMA Tunas Luhur 25 0 0 0 0 0 0 0 9 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 25 0 0 0 0 0
10 MA Nuruk Hidayah 33 0 0 0 0 0 0 0 11 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 33 0 0 0 0 0
11 SMK Misbahul Hasan 21 0 0 0 0 0 0 0 7 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 21 0 0 0 0 0
12 SMA Nurul Jadid 30 0 0 0 0 0 0 0 7 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 30 0 0 0 0 0
13 MA Nurul Jadid 11 0 0 0 0 0 0 0 4 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11 0 0 0 0 0
14 SMK Mambaul Ulum 13 0 0 0 0 0 0 0 5 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 13 0 0 0 0 0
15
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