LAPORAN BULANAN

REKAPITULASI DIARE DI PUSKESMAS DAN JEJARINGNYA

PUSKESMAS HAUHASI, BULAN JANUARI TAHUN 2022

TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
I Total Penderita Diare : 0 2 1 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 3 3 6
1 Bulan ini 0 2 1 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 3 3 6
< 1 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 – 4 tahun 0 0 1 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 3 0 3
> 5 tahun 0 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 3 3
2 Kumulatif s.d. Bulan lalu 0 2 1 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 3 3 6

II Asal Pasien : 0 2 1 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 3 3 6
1 Datang sendiri 0 2 1 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 3 3 6
2 Rujukan 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

III Jenis Diare : 0 2 1 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 3 3 6

1 Diare akut 0 2 1 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 3 3 6
2 Diare persisten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Diare berdarah/lendir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

IV Status Dehidrasi :
1 Tanpa dehidrasi 0 2 1 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 3 3 6
2 Dehidrasi ringan/sedang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Dehidrasi berat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

V Pengobatan :
1 Antibiotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Anti diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Oralit 0 2 1 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 3 3 6
4 Infus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Zink 0 2 1 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 3 3 6
VI Pemeriksaan Laboratorium :
1 Kolera positif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
VII Kondisi Pasien :
1 Sehat 0 2 1 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 3 3 6
2 Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

VIII Rujuk :
1 Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rumah sakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Faskes lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Hauhasi, 31 Januari 2022

Kepala UPT Puskesmas Hauhasi Pengelola Program

Mintje J. F Mnanu, S.Tr.Keb Amida S. Talan, S.Kep.,Ners

NIP 19700607 198903 2 003 NIP 19900812 201902 2 004
 LAPORAN BULANAN
REKAPITULASI DIARE DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS HAUHASI, BULAN FEBRUARI TAHUN 2022

TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
I Total Penderita Diare : 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
1 Bulan ini 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
< 1 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 – 4 tahun 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
> 5 tahun 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2
2 Kumulatif s.d. Bulan lalu 0 4 1 1 0 0 0 0 2 1 0 0 0 0 0 0 0 0 3 6 9

II Asal Pasien : 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
1 Datang sendiri 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
2 Rujukan 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

III Jenis Diare : 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3

1 Diare akut 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
2 Diare persisten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Diare berdarah/lendir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

IV Status Dehidrasi :
1 Tanpa dehidrasi 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
2 Dehidrasi ringan/sedang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Dehidrasi berat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

V Pengobatan :
1 Antibiotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Anti diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Oralit 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
4 Infus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Zink 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
VI Pemeriksaan Laboratorium :
1 Kolera positif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
VII Kondisi Pasien :
1 Sehat 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
2 Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

VIII Rujuk :
1 Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rumah sakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Faskes lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Hauhasi, 28 Februari 2022

Kepala UPT Puskesmas Hauhasi Pengelola Program

Mintje J. F Mnanu, S.Tr.Keb Amida S. Talan, S.Kep.,Ners

NIP 19700607 198903 2 003 NIP 19900812 201902 2 004
 LAPORAN BULANAN
REKAPITULASI DIARE DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS HAUHASI, BULAN MARET TAHUN 2022

TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
I Total Penderita Diare : 1 0 0 1 0 0 1 3 1 2 0 1 0 0 1 0 1 0 5 7 12
1 Bulan ini 1 0 0 1 0 0 1 3 1 2 0 1 0 0 1 0 1 0 5 7 12
< 1 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 – 4 tahun 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 4 0 4
> 5 tahun 0 0 0 1 0 0 0 3 0 2 0 1 0 0 1 0 0 0 1 7 8
2 Kumulatif s.d. Bulan lalu 0 0 0 0 0 0 1 3 0 0 0 1 0 0 1 0 1 0 3 4 7

II Asal Pasien : 1 0 0 1 0 0 1 3 1 2 0 1 0 0 1 0 1 0 5 7 12
1 Datang sendiri 1 0 0 1 0 0 1 3 1 2 0 1 0 0 1 0 1 0 5 7 12
2 Rujukan 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

III Jenis Diare : 1 0 0 1 0 0 1 3 1 2 0 1 0 0 1 0 1 0 5 7 12

1 Diare akut 1 0 0 1 0 0 1 3 1 2 0 1 0 0 1 0 1 0 5 7 12
2 Diare persisten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Diare berdarah/lendir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

IV Status Dehidrasi :
1 Tanpa dehidrasi 1 0 0 1 0 0 1 3 1 2 0 0 0 0 1 0 1 0 5 6 11
2 Dehidrasi ringan/sedang 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1
3 Dehidrasi berat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

V Pengobatan :
1 Antibiotika 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1
2 Anti diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Oralit 1 0 0 1 0 0 1 3 1 2 0 1 0 0 1 0 1 0 5 7 12
4 Infus 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1
5 Zink 1 0 0 1 0 0 1 3 1 2 0 1 0 0 1 0 1 0 5 7 12
VI Pemeriksaan Laboratorium :
1 Kolera positif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
VII Kondisi Pasien :
1 Sehat 1 0 0 1 0 0 1 3 1 2 0 1 0 0 1 0 1 0 5 7 12
2 Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

VIII Rujuk :
1 Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rumah sakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Faskes lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Hauhasi, 30 Maret 2022

Kepala UPT Puskesmas Hauhasi Pengelola Program

Mintje J. F Mnanu, S.Tr.Keb Amida S. Talan, S.Kep.,Ners

NIP 19700607 198903 2 003 NIP 19900812 201902 2 004
 LAPORAN BULANAN
REKAPITULASI DIARE DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS HAUHASI, BULAN APRIL TAHUN 2022

TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
I Total Penderita Diare : 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 4
1 Bulan ini 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 4
< 1 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 – 4 tahun 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2
> 5 tahun 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 2
2 Kumulatif s.d. Bulan lalu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

II Asal Pasien : 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 4
1 Datang sendiri 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 4
2 Rujukan 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

III Jenis Diare : 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 4

1 Diare akut 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 4
2 Diare persisten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Diare berdarah/lendir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

IV Status Dehidrasi :
1 Tanpa dehidrasi 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 4
2 Dehidrasi ringan/sedang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Dehidrasi berat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

V Pengobatan :
1 Antibiotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Anti diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Oralit 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 4
4 Infus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Zink 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 4
VI Pemeriksaan Laboratorium :
1 Kolera positif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
VII Kondisi Pasien :
1 Sehat 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 4
2 Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

VIII Rujuk :
1 Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rumah sakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Faskes lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Hauhasi, 30 April 2022

Kepala UPT Puskesmas Hauhasi Pengelola Program

Mintje J. F Mnanu, S.Tr.Keb Amida S. Talan, S.Kep.,Ners

NIP 19700607 198903 2 003 NIP 19900812 201902 2 004
 LAPORAN BULANAN
REKAPITULASI DIARE DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS HAUHASI, BULAN MEI TAHUN 2022

TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
I Total Penderita Diare : 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2
1 Bulan ini 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2
< 1 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 – 4 tahun 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
> 5 tahun 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1
2 Kumulatif s.d. Bulan lalu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

II Asal Pasien : 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2
1 Datang sendiri 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2
2 Rujukan 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

III Jenis Diare : 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2

1 Diare akut 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2
2 Diare persisten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Diare berdarah/lendir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

IV Status Dehidrasi :
1 Tanpa dehidrasi 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2
2 Dehidrasi ringan/sedang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Dehidrasi berat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

V Pengobatan :
1 Antibiotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Anti diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Oralit 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2
4 Infus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Zink 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2
VI Pemeriksaan Laboratorium :
1 Kolera positif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
VII Kondisi Pasien :
1 Sehat 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2
2 Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

VIII Rujuk :
1 Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rumah sakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Faskes lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Hauhasi, 30 Mei 2022

Kepala UPT Puskesmas Hauhasi Pengelola Program

Mintje J. F Mnanu, S.Tr.Keb Amida S. Talan, S.Kep.,Ners

NIP 19700607 198903 2 003 NIP 19900812 201902 2 004
 LAPORAN BULANAN
REKAPITULASI DIARE DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS HAUHASI, BULAN JUNI TAHUN 2022

TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
I Total Penderita Diare : 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 1 3
1 Bulan ini 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 1 3
< 1 tahun 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
1 – 4 tahun 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
> 5 tahun 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1
2 Kumulatif s.d. Bulan lalu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

II Asal Pasien : 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 1 3
1 Datang sendiri 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 1 3
2 Rujukan 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

III Jenis Diare : 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 1 3

1 Diare akut 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 1 3
2 Diare persisten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Diare berdarah/lendir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

IV Status Dehidrasi :
1 Tanpa dehidrasi 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2
2 Dehidrasi ringan/sedang 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
3 Dehidrasi berat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

V Pengobatan :
1 Antibiotika 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
2 Anti diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Oralit 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 1 3
4 Infus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Zink 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 1 3
VI Pemeriksaan Laboratorium :
1 Kolera positif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
VII Kondisi Pasien :
1 Sehat 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 1 3
2 Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

VIII Rujuk :
1 Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rumah sakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Faskes lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Hauhasi, 30 Juni 2022

Kepala UPT Puskesmas Hauhasi Pengelola Program

Mintje J. F Mnanu, S.Tr.Keb Amida S. Talan, S.Kep.,Ners

NIP 19700607 198903 2 003 NIP 19900812 201902 2 004
 LAPORAN BULANAN
REKAPITULASI DIARE DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS HAUHASI, BULAN JULI TAHUN 2022

TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
I Total Penderita Diare : 2 0 0 1 0 1 3 0 1 0 0 0 0 0 1 1 1 0 8 3 11
1 Bulan ini 2 0 0 1 0 1 3 0 1 0 0 0 0 0 1 1 1 0 8 3 11
< 1 tahun 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 2 1 3
1 – 4 tahun 2 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 3 1 4
> 5 tahun 0 0 0 1 0 0 2 0 0 0 0 0 0 0 0 0 1 0 3 1 4
2 Kumulatif s.d. Bulan lalu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

II Asal Pasien : 2 0 0 1 0 1 3 0 1 0 0 0 0 0 1 1 1 0 8 3 11
1 Datang sendiri 2 0 0 1 0 1 3 0 1 0 0 0 0 0 1 1 1 0 8 3 11
2 Rujukan 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

III Jenis Diare : 2 0 0 1 0 1 3 0 1 0 0 0 0 0 1 1 1 0 8 3 11

1 Diare akut 2 0 0 1 0 1 3 0 1 0 0 0 0 0 1 1 1 0 8 3 11
2 Diare persisten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Diare berdarah/lendir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

IV Status Dehidrasi :
1 Tanpa dehidrasi 2 0 0 1 0 1 3 0 1 0 0 0 0 0 1 1 1 0 8 3 11
2 Dehidrasi ringan/sedang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Dehidrasi berat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

V Pengobatan :
1 Antibiotika 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1
2 Anti diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Oralit 2 0 0 1 0 1 3 0 1 0 0 0 0 0 1 1 1 0 8 3 11
4 Infus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Zink 2 0 0 1 0 1 3 0 1 0 0 0 0 0 1 1 1 0 8 3 11
VI Pemeriksaan Laboratorium :
1 Kolera positif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
VII Kondisi Pasien :
1 Sehat 2 0 0 1 0 1 3 0 1 0 0 0 0 0 1 1 1 0 8 3 11
2 Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

VIII Rujuk :
1 Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rumah sakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Faskes lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Hauhasi, 31 Juli 2022

Kepala UPT Puskesmas Hauhasi Pengelola Program

Mintje J. F Mnanu, S.Tr.Keb Amida S. Talan, S.Kep.,Ners

NIP 19700607 198903 2 003 NIP 19900812 201902 2 004
 LAPORAN BULANAN
REKAPITULASI DIARE DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS HAUHASI, BULAN AGUSTUS TAHUN 2022

TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
I Total Penderita Diare : 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 1 3 4 7
1 Bulan ini 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 1 3 4 7
< 1 tahun 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 2 1 3
1 – 4 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1
> 5 tahun 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 2 3
2 Kumulatif s.d. Bulan lalu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

II Asal Pasien : 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 1 3 4 7
1 Datang sendiri 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 1 3 4 7
2 Rujukan 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

III Jenis Diare : 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 1 3 4 7

1 Diare akut 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 1 3 4 7
2 Diare persisten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Diare berdarah/lendir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

IV Status Dehidrasi :
1 Tanpa dehidrasi 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 1 3 4 7
2 Dehidrasi ringan/sedang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Dehidrasi berat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

V Pengobatan :
1 Antibiotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Anti diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Oralit 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 1 3 4 7
4 Infus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Zink 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 1 3 4 7
VI Pemeriksaan Laboratorium :
1 Kolera positif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
VII Kondisi Pasien :
1 Sehat 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 1 3 4 7
2 Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

VIII Rujuk :
1 Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rumah sakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Faskes lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Hauhasi, 31 Agustus 2022

Kepala UPT Puskesmas Hauhasi Pengelola Program

Mintje J. F Mnanu, S.Tr.Keb Amida S. Talan, S.Kep.,Ners

NIP 19700607 198903 2 003 NIP 19900812 201902 2 004
 LAPORAN BULANAN
REKAPITULASI DIARE DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS HAUHASI, BULAN SEPTEMBER TAHUN 2022

TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
I Total Penderita Diare : 2 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 6 3 9
1 Bulan ini 2 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 6 3 9
< 1 tahun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 – 4 tahun 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 3 1 4
> 5 tahun 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 2 5
2 Kumulatif s.d. Bulan lalu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

II Asal Pasien : 2 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 6 3 9
1 Datang sendiri 2 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 6 3 9
2 Rujukan 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

III Jenis Diare : 2 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 6 3 9

1 Diare akut 2 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 6 3 9
2 Diare persisten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Diare berdarah/lendir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

IV Status Dehidrasi :
1 Tanpa dehidrasi 2 1 1 1 0 0 0 1 1 0 0 0 0 0 0 0 1 0 5 3 8
2 Dehidrasi ringan/sedang 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1
3 Dehidrasi berat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

V Pengobatan :
1 Antibiotika 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Anti diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Oralit 2 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 6 3 9
4 Infus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Zink 2 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 6 3 9
VI Pemeriksaan Laboratorium :
1 Kolera positif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TOIANAS SKINU OELEU SAMBET BOKONG TUATAUM LOBUS NOEOLIN MILLI TOTAL
No Elemen Data
L P L P L P L P L P L P L P L P L P L P L+P
VII Kondisi Pasien :
1 Sehat 2 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 6 3 9
2 Meninggal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

VIII Rujuk :
1 Puskesmas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Rumah sakit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Faskes lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui Hauhasi, 30 September 2022

Kepala UPT Puskesmas Hauhasi Pengelola Program

Mintje J. F Mnanu, S.Tr.Keb Amida S. Talan, S.Kep.,Ners

NIP 19700607 198903 2 003 NIP 19900812 201902 2 004
 NAMA - NAMA BAYI / BALITA YANG TIDAK HADIR DI POSYANDU

NAMA DESA : MILI

NAMA POSYANDU : OEEKAM
TANGGAL POSYANDU : 21 NOVEMBER 2022

UMUR
NO NAMA BAYI / BALITA ALAMAT KET
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HAUHASI, 21 NOVEMBER 2022

PETUGAS

Wendelina Nenometa, A.Md.Keb ...............

Yolanda F. Kapitan, A.Md.AK ...............