LAPORAN BULANAN

REKAPITULASI FRAMBUSIA DI PUSKESMAS DAN JEJARINGNYA

PUSKESMAS ACHMAD YANI BULAN JANUARI TAHUN 2019

REDODORI NDORIWOY RENDORATERUA PADERAPE RENGAMESE PUUTARA RORURANGGA AEJETI

No Elemen Data Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru lama Baru lama
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
I Total kunjungan/yang diperiksa : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1 Bulan ini 0 0 0 0 0 0 0 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 Kumulatif s.d. bulan lalu
II Total Penderita yang ditemukan 0 0 0 0 0 0 0 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. Menular 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 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. Tidak Menular 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 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 Asal Pasien : 0 0 0 0 0 0 0 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 Datang sendiri 0 0 0 0 0 0 0 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 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
3 Kiriman kader 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
V Pemeriksaan : 0 0 0 0 0 0 0 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 Mikroscopik (positif) 0 0 0 0 0 0 0 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 Serologi VDRL/RPR (positif) 0 0 0 0 0 0 0 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 Serologi TPHA (positif) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 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 Penisilin 0 0 0 0 0 0 0 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 Bukan penisilin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
VII 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
1 Dirujuk 0 0 0 0 0 0 0 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 Tidak dirujuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cat : Kolom jumlah Puskesmas bisa ditambahkan atau dikurangi sesuai kondisi di Kab.
Mengetahui
Kasubag Pelaporan
BULANAN
USKESMAS DAN JEJARINGNYA
ULAN JANUARI TAHUN 2019

AEJETI KAJHOKAPO Total Total luar wilayah Total

lama Baru lama Baru lama L P Baru lama L P
P L P L P L P L P (Baru+Lama) (Baru+Lama) L + P L P L P (Baru+La (Baru+La L+P
ma) ma)
- - - - - - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
- - - - - - - 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
0 0 0 0 0 - - - - - - - 0 0 0 0 0 0 0
 REDODORI NDORIWOY RENDORATERUA
No Elemen Data Baru Lama Baru Lama Baru
L P L P L P L P L
I Total kunjungan/yang diperiksa : - - - - - - - - -
1 Bulan ini 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan lalu
II Total Penderita yang ditemukan 0 0 0 0 0 0 0 0 0
1. Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0
2. Tidak Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0
III Asal Pasien : 0 0 0 0 0 0 0 0 0
1 Datang sendiri 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0
V Pemeriksaan : 0 0 0 0 0 0 0 0 0
1 Mikroscopik (positif) 0 0 0 0 0 0 0 0 0
2 Serologi VDRL/RPR (positif) 0 0 0 0 0 0 0 0 0
3 Serologi TPHA (positif) 0 0 0 0 0 0 0 0 0
VI Pengobatan : 0 0 0 0 0 0 0 0 0
1 Penisilin 0 0 0 0 0 0 0 0 0
2 Bukan penisilin 0 0 0 0 0 0 0 0 0
VII Rujukan : 0 0 0 0 0 0 0 0 0
1 Dirujuk 0 0 0 0 0 0 0 0 0
2 Tidak dirujuk 0 0 0 0 0 0 0 0 0

Cat : Kolom jumlah Puskesmas bisa ditambahkan atau dikurangi sesuai kondisi di Kab.
Mengetahui
Kasubag Pelaporan
 LAPORAN BULANAN
REKAPITULASI FRAMBUSIA DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS ACHMAD YANI BULAN FEBRUARI TAHUN 2019

RENDORATERUA PADERAPE RENGAMESE PUUTARA

Baru Lama Baru Lama Baru Lama Baru Lama
P 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JEJARINGNYA
TAHUN 2019

RORURANGGA AEJETI KAJHOKAPO Total

Baru lama Baru lama Baru lama Baru lama
L P L P 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 - - -
Total Total luar wilayah Total
lama L P Baru lama L
P (Baru+Lama) (Baru+Lama) L + P L P L P (Baru+La
ma)
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 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
P
(Baru+La L+P
ma)
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 REDODORI NDORIWOY RENDORATERUA
No Elemen Data Baru Lama Baru Lama Baru
L P L P L P L P L
I Total kunjungan/yang diperiksa : - - - - - - - - -
1 Bulan ini 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan lalu
II Total Penderita yang ditemukan 0 0 0 0 0 0 0 0 0
1. Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0
2. Tidak Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0

III Asal Pasien : 0 0 0 0 0 0 0 0 0

1 Datang sendiri 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0

V Pemeriksaan : 0 0 0 0 0 0 0 0 0
1 Mikroscopik (positif) 0 0 0 0 0 0 0 0 0
2 Serologi VDRL/RPR (positif) 0 0 0 0 0 0 0 0 0
3 Serologi TPHA (positif) 0 0 0 0 0 0 0 0 0

VI Pengobatan : 0 0 0 0 0 0 0 0 0
1 Penisilin 0 0 0 0 0 0 0 0 0
2 Bukan penisilin 0 0 0 0 0 0 0 0 0

VII Rujukan : 0 0 0 0 0 0 0 0 0
1 Dirujuk 0 0 0 0 0 0 0 0 0
2 Tidak dirujuk 0 0 0 0 0 0 0 0 0

Cat : Kolom jumlah Puskesmas bisa ditambahkan atau dikurangi sesuai kondisi di Kab.
Mengetahui
Kasubag Pelaporan
 LAPORAN BULANAN
REKAPITULASI FRAMBUSIA DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS ACHMAD YANI BULAN MARET TAHUN 2019

RENDORATERUA PADERAPE RENGAMESE PUUTARA

Baru Lama Baru Lama Baru Lama Baru Lama
P 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JEJARINGNYA
AHUN 2019

RORURANGGA AEJETI KAJHOKAPO Total

Baru lama Baru lama Baru lama Baru lama
L P L P 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 - - -
Total Total luar wilayah Total
lama L P Baru lama L
P (Baru+Lama) (Baru+Lama) L + P L P L P (Baru+La
ma)
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 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
P
(Baru+La L+P
ma)
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0

0 0
0 0
0 0
 REDODORI NDORIWOY RENDORATERUA
No Elemen Data Baru Lama Baru Lama Baru
L P L P L P L P L
I Total kunjungan/yang diperiksa : - - - - - - - - -
1 Bulan ini 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan lalu
II Total Penderita yang ditemukan 0 0 0 0 0 0 0 0 0
1. Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0
2. Tidak Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0

III Asal Pasien : 0 0 0 0 0 0 0 0 0

1 Datang sendiri 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0

V Pemeriksaan : 0 0 0 0 0 0 0 0 0
1 Mikroscopik (positif) 0 0 0 0 0 0 0 0 0
2 Serologi VDRL/RPR (positif) 0 0 0 0 0 0 0 0 0
3 Serologi TPHA (positif) 0 0 0 0 0 0 0 0 0

VI Pengobatan : 0 0 0 0 0 0 0 0 0
1 Penisilin 0 0 0 0 0 0 0 0 0
2 Bukan penisilin 0 0 0 0 0 0 0 0 0

VII Rujukan : 0 0 0 0 0 0 0 0 0
1 Dirujuk 0 0 0 0 0 0 0 0 0
2 Tidak dirujuk 0 0 0 0 0 0 0 0 0

Cat : Kolom jumlah Puskesmas bisa ditambahkan atau dikurangi sesuai kondisi di Kab.
Mengetahui
Kasubag Pelaporan
 LAPORAN BULANAN
REKAPITULASI FRAMBUSIA DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS ACHMAD YANI BULAN APRIL TAHUN 2019

RENDORATERUA PADERAPE RENGAMESE PUUTARA

Baru Lama Baru Lama Baru Lama Baru Lama
P 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JEJARINGNYA
AHUN 2019

RORURANGGA AEJETI KAJHOKAPO Total

Baru lama Baru lama Baru lama Baru lama
L P L P 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 - - -
Total Total luar wilayah Total
lama L P Baru lama L
P (Baru+Lama) (Baru+Lama) L + P L P L P (Baru+La
ma)
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 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
P
(Baru+La L+P
ma)
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0

0 0
0 0
0 0
 REDODORI NDORIWOY RENDORATERUA
No Elemen Data Baru Lama Baru Lama Baru
L P L P L P L P L
I Total kunjungan/yang diperiksa : - - - - - - - - -
1 Bulan ini 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan lalu
II Total Penderita yang ditemukan 0 0 0 0 0 0 0 0 0
1. Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0
2. Tidak Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0

III Asal Pasien : 0 0 0 0 0 0 0 0 0

1 Datang sendiri 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0

V Pemeriksaan : 0 0 0 0 0 0 0 0 0
1 Mikroscopik (positif) 0 0 0 0 0 0 0 0 0
2 Serologi VDRL/RPR (positif) 0 0 0 0 0 0 0 0 0
3 Serologi TPHA (positif) 0 0 0 0 0 0 0 0 0

VI Pengobatan : 0 0 0 0 0 0 0 0 0
1 Penisilin 0 0 0 0 0 0 0 0 0
2 Bukan penisilin 0 0 0 0 0 0 0 0 0

VII Rujukan : 0 0 0 0 0 0 0 0 0
1 Dirujuk 0 0 0 0 0 0 0 0 0
2 Tidak dirujuk 0 0 0 0 0 0 0 0 0

Cat : Kolom jumlah Puskesmas bisa ditambahkan atau dikurangi sesuai kondisi di Kab.
Mengetahui
Kasubag Pelaporan
 LAPORAN BULANAN
REKAPITULASI FRAMBUSIA DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS ACHMAD YANI BULAN MEI TAHUN 2019

RENDORATERUA PADERAPE RENGAMESE PUUTARA

Baru Lama Baru Lama Baru Lama Baru Lama
P 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JEJARINGNYA
AHUN 2019

RORURANGGA AEJETI KAJHOKAPO Total

Baru lama Baru lama Baru lama Baru lama
L P L P 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 - - -
Total Total luar wilayah Total
lama L P Baru lama L
P (Baru+Lama) (Baru+Lama) L + P L P L P (Baru+La
ma)
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 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
P
(Baru+La L+P
ma)
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0

0 0
0 0
0 0
 REDODORI NDORIWOY RENDORATERUA
No Elemen Data Baru Lama Baru Lama Baru
L P L P L P L P L
I Total kunjungan/yang diperiksa : - - - - - - - - -
1 Bulan ini 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan lalu
II Total Penderita yang ditemukan 0 0 0 0 0 0 0 0 0
1. Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0
2. Tidak Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0

III Asal Pasien : 0 0 0 0 0 0 0 0 0

1 Datang sendiri 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0

V Pemeriksaan : 0 0 0 0 0 0 0 0 0
1 Mikroscopik (positif) 0 0 0 0 0 0 0 0 0
2 Serologi VDRL/RPR (positif) 0 0 0 0 0 0 0 0 0
3 Serologi TPHA (positif) 0 0 0 0 0 0 0 0 0

VI Pengobatan : 0 0 0 0 0 0 0 0 0
1 Penisilin 0 0 0 0 0 0 0 0 0
2 Bukan penisilin 0 0 0 0 0 0 0 0 0

VII Rujukan : 0 0 0 0 0 0 0 0 0
1 Dirujuk 0 0 0 0 0 0 0 0 0
2 Tidak dirujuk 0 0 0 0 0 0 0 0 0

Cat : Kolom jumlah Puskesmas bisa ditambahkan atau dikurangi sesuai kondisi di Kab.
Mengetahui
Kasubag Pelaporan
 LAPORAN BULANAN
REKAPITULASI FRAMBUSIA DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS ACHMAD YANI BULAN JUNI TAHUN 2019

RENDORATERUA PADERAPE RENGAMESE PUUTARA

Baru Lama Baru Lama Baru Lama Baru Lama
P 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JEJARINGNYA
AHUN 2019

RORURANGGA AEJETI KAJHOKAPO Total

Baru lama Baru lama Baru lama Baru lama
L P L P 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 - - -
Total Total luar wilayah Total
lama L P Baru lama L
P (Baru+Lama) (Baru+Lama) L + P L P L P (Baru+La
ma)
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 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
P
(Baru+La L+P
ma)
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0

0 0
0 0
0 0
 REDODORI NDORIWOY RENDORATERUA
No Elemen Data Baru Lama Baru Lama Baru
L P L P L P L P L
I Total kunjungan/yang diperiksa : - - - - - - - - -
1 Bulan ini 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan lalu
II Total Penderita yang ditemukan 0 0 0 0 0 0 0 0 0
1. Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0
2. Tidak Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0

III Asal Pasien : 0 0 0 0 0 0 0 0 0

1 Datang sendiri 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0

V Pemeriksaan : 0 0 0 0 0 0 0 0 0
1 Mikroscopik (positif) 0 0 0 0 0 0 0 0 0
2 Serologi VDRL/RPR (positif) 0 0 0 0 0 0 0 0 0
3 Serologi TPHA (positif) 0 0 0 0 0 0 0 0 0

VI Pengobatan : 0 0 0 0 0 0 0 0 0
1 Penisilin 0 0 0 0 0 0 0 0 0
2 Bukan penisilin 0 0 0 0 0 0 0 0 0

VII Rujukan : 0 0 0 0 0 0 0 0 0
1 Dirujuk 0 0 0 0 0 0 0 0 0
2 Tidak dirujuk 0 0 0 0 0 0 0 0 0

Cat : Kolom jumlah Puskesmas bisa ditambahkan atau dikurangi sesuai kondisi di Kab.
Mengetahui
Kasubag Pelaporan
 LAPORAN BULANAN
REKAPITULASI FRAMBUSIA DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS ACHMAD YANI BULAN JULI TAHUN 2019

RENDORATERUA PADERAPE RENGAMESE PUUTARA

Baru Lama Baru Lama Baru Lama Baru Lama
P 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JEJARINGNYA
HUN 2019

RORURANGGA AEJETI KAJHOKAPO Total

Baru lama Baru lama Baru lama Baru lama
L P L P 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 - - -
Total Total luar wilayah Total
lama L P Baru lama L
P (Baru+Lama) (Baru+Lama) L + P L P L P (Baru+La
ma)
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 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
P
(Baru+La L+P
ma)
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0

0 0
0 0
0 0
 REDODORI NDORIWOY RENDORATERUA
No Elemen Data Baru Lama Baru Lama Baru
L P L P L P L P L
I Total kunjungan/yang diperiksa : - - - - - - - - -
1 Bulan ini 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan lalu
II Total Penderita yang ditemukan 0 0 0 0 0 0 0 0 0
1. Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0
2. Tidak Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0

III Asal Pasien : 0 0 0 0 0 0 0 0 0

1 Datang sendiri 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0

V Pemeriksaan : 0 0 0 0 0 0 0 0 0
1 Mikroscopik (positif) 0 0 0 0 0 0 0 0 0
2 Serologi VDRL/RPR (positif) 0 0 0 0 0 0 0 0 0
3 Serologi TPHA (positif) 0 0 0 0 0 0 0 0 0

VI Pengobatan : 0 0 0 0 0 0 0 0 0
1 Penisilin 0 0 0 0 0 0 0 0 0
2 Bukan penisilin 0 0 0 0 0 0 0 0 0

VII Rujukan : 0 0 0 0 0 0 0 0 0
1 Dirujuk 0 0 0 0 0 0 0 0 0
2 Tidak dirujuk 0 0 0 0 0 0 0 0 0

Cat : Kolom jumlah Puskesmas bisa ditambahkan atau dikurangi sesuai kondisi di Kab.
Mengetahui
Kasubag Pelaporan
 LAPORAN BULANAN
REKAPITULASI FRAMBUSIA DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS ACHMAD YANI BULAN AGUSTUS TAHUN 2019

RENDORATERUA PADERAPE RENGAMESE PUUTARA

Baru Lama Baru Lama Baru Lama Baru Lama
P 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JEJARINGNYA
TAHUN 2019

RORURANGGA AEJETI KAJHOKAPO Total

Baru lama Baru lama Baru lama Baru lama
L P L P 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 - - -
Total Total luar wilayah Total
lama L P Baru lama L
P (Baru+Lama) (Baru+Lama) L + P L P L P (Baru+La
ma)
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 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
P
(Baru+La L+P
ma)
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0

0 0
0 0
0 0
 REDODORI NDORIWOY RENDORATERUA
No Elemen Data Baru Lama Baru Lama Baru
L P L P L P L P L
I Total kunjungan/yang diperiksa : - - - - - - - - -
1 Bulan ini 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan lalu
II Total Penderita yang ditemukan 0 0 0 0 0 0 0 0 0
1. Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0
2. Tidak Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0

III Asal Pasien : 0 0 0 0 0 0 0 0 0

1 Datang sendiri 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0

V Pemeriksaan : 0 0 0 0 0 0 0 0 0
1 Mikroscopik (positif) 0 0 0 0 0 0 0 0 0
2 Serologi VDRL/RPR (positif) 0 0 0 0 0 0 0 0 0
3 Serologi TPHA (positif) 0 0 0 0 0 0 0 0 0

VI Pengobatan : 0 0 0 0 0 0 0 0 0
1 Penisilin 0 0 0 0 0 0 0 0 0
2 Bukan penisilin 0 0 0 0 0 0 0 0 0

VII Rujukan : 0 0 0 0 0 0 0 0 0
1 Dirujuk 0 0 0 0 0 0 0 0 0
2 Tidak dirujuk 0 0 0 0 0 0 0 0 0

Cat : Kolom jumlah Puskesmas bisa ditambahkan atau dikurangi sesuai kondisi di Kab.
Mengetahui
Kasubag Pelaporan
 LAPORAN BULANAN
REKAPITULASI FRAMBUSIA DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS ACHMAD YANI BULAN SEPTEMBER TAHUN 2019

RENDORATERUA PADERAPE RENGAMESE PUUTARA

Baru Lama Baru Lama Baru Lama Baru Lama
P 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JEJARINGNYA
R TAHUN 2019

RORURANGGA AEJETI KAJHOKAPO Total

Baru lama Baru lama Baru lama Baru lama
L P L P 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 - - -
Total Total luar wilayah Total
lama L P Baru lama L
P (Baru+Lama) (Baru+Lama) L + P L P L P (Baru+La
ma)
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 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
P
(Baru+La L+P
ma)
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0

0 0
0 0
0 0
 REDODORI NDORIWOY RENDORATERUA
No Elemen Data Baru Lama Baru Lama Baru
L P L P L P L P L
I Total kunjungan/yang diperiksa : - - - - - - - - -
1 Bulan ini 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan lalu
II Total Penderita yang ditemukan 0 0 0 0 0 0 0 0 0
1. Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0
2. Tidak Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0

III Asal Pasien : 0 0 0 0 0 0 0 0 0

1 Datang sendiri 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0

V Pemeriksaan : 0 0 0 0 0 0 0 0 0
1 Mikroscopik (positif) 0 0 0 0 0 0 0 0 0
2 Serologi VDRL/RPR (positif) 0 0 0 0 0 0 0 0 0
3 Serologi TPHA (positif) 0 0 0 0 0 0 0 0 0

VI Pengobatan : 0 0 0 0 0 0 0 0 0
1 Penisilin 0 0 0 0 0 0 0 0 0
2 Bukan penisilin 0 0 0 0 0 0 0 0 0

VII Rujukan : 0 0 0 0 0 0 0 0 0
1 Dirujuk 0 0 0 0 0 0 0 0 0
2 Tidak dirujuk 0 0 0 0 0 0 0 0 0

Cat : Kolom jumlah Puskesmas bisa ditambahkan atau dikurangi sesuai kondisi di Kab.
Mengetahui
Kasubag Pelaporan
 LAPORAN BULANAN
REKAPITULASI FRAMBUSIA DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS ACHMAD YANI BULAN OKTOBER TAHUN 2019

RENDORATERUA PADERAPE RENGAMESE PUUTARA

Baru Lama Baru Lama Baru Lama Baru Lama
P 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JEJARINGNYA
TAHUN 2019

RORURANGGA AEJETI KAJHOKAPO Total

Baru lama Baru lama Baru lama Baru lama
L P L P 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 - - -
Total Total luar wilayah Total
lama L P Baru lama L
P (Baru+Lama) (Baru+Lama) L + P L P L P (Baru+La
ma)
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 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
P
(Baru+La L+P
ma)
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0

0 0
0 0
0 0
 REDODORI NDORIWOY RENDORATERUA
No Elemen Data Baru Lama Baru Lama Baru
L P L P L P L P L
I Total kunjungan/yang diperiksa : - - - - - - - - -
1 Bulan ini 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan lalu
II Total Penderita yang ditemukan 0 0 0 0 0 0 0 0 0
1. Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0
2. Tidak Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0

III Asal Pasien : 0 0 0 0 0 0 0 0 0

1 Datang sendiri 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0

V Pemeriksaan : 0 0 0 0 0 0 0 0 0
1 Mikroscopik (positif) 0 0 0 0 0 0 0 0 0
2 Serologi VDRL/RPR (positif) 0 0 0 0 0 0 0 0 0
3 Serologi TPHA (positif) 0 0 0 0 0 0 0 0 0

VI Pengobatan : 0 0 0 0 0 0 0 0 0
1 Penisilin 0 0 0 0 0 0 0 0 0
2 Bukan penisilin 0 0 0 0 0 0 0 0 0

VII Rujukan : 0 0 0 0 0 0 0 0 0
1 Dirujuk 0 0 0 0 0 0 0 0 0
2 Tidak dirujuk 0 0 0 0 0 0 0 0 0

Cat : Kolom jumlah Puskesmas bisa ditambahkan atau dikurangi sesuai kondisi di Kab.
Mengetahui
Kasubag Pelaporan
 LAPORAN BULANAN
REKAPITULASI FRAMBUSIA DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS ACHMAD YANI BULAN NOVEMBER TAHUN 2019

RENDORATERUA PADERAPE RENGAMESE PUUTARA

Baru Lama Baru Lama Baru Lama Baru Lama
P 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JEJARINGNYA
R TAHUN 2019

RORURANGGA AEJETI KAJHOKAPO Total

Baru lama Baru lama Baru lama Baru lama
L P L P 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 - - -
Total Total luar wilayah Total
lama L P Baru lama L
P (Baru+Lama) (Baru+Lama) L + P L P L P (Baru+La
ma)
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 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
P
(Baru+La L+P
ma)
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0

0 0
0 0
0 0
 REDODORI NDORIWOY RENDORATERUA
No Elemen Data Baru Lama Baru Lama Baru
L P L P L P L P L
I Total kunjungan/yang diperiksa : - - - - - - - - -
1 Bulan ini 0 0 0 0 0 0 0 0 0
2 Kumulatif s.d. bulan lalu
II Total Penderita yang ditemukan 0 0 0 0 0 0 0 0 0
1. Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0
2. Tidak Menular 0 0 0 0 0 0 0 0 0
Umur < 10 tahun 0 0 0 0 0 0 0 0 0
Umur > 10 tahun 0 0 0 0 0 0 0 0 0

III Asal Pasien : 0 0 0 0 0 0 0 0 0

1 Datang sendiri 0 0 0 0 0 0 0 0 0
2 Rujukan 0 0 0 0 0 0 0 0 0
3 Kiriman kader 0 0 0 0 0 0 0 0 0

V Pemeriksaan : 0 0 0 0 0 0 0 0 0
1 Mikroscopik (positif) 0 0 0 0 0 0 0 0 0
2 Serologi VDRL/RPR (positif) 0 0 0 0 0 0 0 0 0
3 Serologi TPHA (positif) 0 0 0 0 0 0 0 0 0

VI Pengobatan : 0 0 0 0 0 0 0 0 0
1 Penisilin 0 0 0 0 0 0 0 0 0
2 Bukan penisilin 0 0 0 0 0 0 0 0 0

VII Rujukan : 0 0 0 0 0 0 0 0 0
1 Dirujuk 0 0 0 0 0 0 0 0 0
2 Tidak dirujuk 0 0 0 0 0 0 0 0 0

Cat : Kolom jumlah Puskesmas bisa ditambahkan atau dikurangi sesuai kondisi di Kab.
Mengetahui
Kasubag Pelaporan
 LAPORAN BULANAN
REKAPITULASI FRAMBUSIA DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS ACHMAD YANI BULAN DESEMBER TAHUN 2019

RENDORATERUA PADERAPE RENGAMESE PUUTARA

Baru Lama Baru Lama Baru Lama Baru Lama
P 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JEJARINGNYA
R TAHUN 2019

RORURANGGA AEJETI KAJHOKAPO Total

Baru lama Baru lama Baru lama Baru lama
L P L P 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 - - -
Total Total luar wilayah Total
lama L P Baru lama L
P (Baru+Lama) (Baru+Lama) L + P L P L P (Baru+La
ma)
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0
- - - - 0 0 0 0 0

- - - - 0 0 0 0 0
- - - - 0 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
P
(Baru+La L+P
ma)
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0

0 0
0 0
0 0

0 0
0 0
0 0