LANSIA

KABUPATEN :
BULAN :
Sasaran Lansia Jumlah Kunjungan Lansia
Jumlah Total Lansia

45-59 60-69 > 70 45-59 60-69 > 70
Jumlah Jumlah (45-70)
Jumlah
No Puskesmas Posyandu
Jumlah Desa Kelompok Panti
Lansia Wredha
L P Total ( L + P ) L P Total ( L + P ) L
L P L P L P L P Jumlah Jumlah
B L B L (B+ (%) B L B L (%) B L
L) (B+L)
1 2 3 4 5 6
JUMLAH
Mengetahui
Kepala Puskesmas
________________
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT KABUPATEN
ungan Lansia Kegiatan sehari-hari
> 70 Total Kunjungan Kemandirian Lansia IMT

Ggn ME
P Total ( L + P ) 45 - > 70 A B C Lebih Normal Kurang Tinggi
Jumlah
B L (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P
+L)
7 8 9
Jumlah Lansia dengan Kelainan
Tekanan Darah
Hb Kurang Kolesterol tinggi DM As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihata
Tinggi Normal Rendah
(L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L
10 11 12 13 14 15 16 17
Pengobatan
Konseling
Jumlah
Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan Kunjungan Ket.
Lansia Wredha dibina
Rumah
B L S
P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)
17 18 19 20 21 22 24 25 26 27 28
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT PUSKESMAS
KABUPATEN : Aceh Selatan

PUSKESMAS : UPTD PUKESMAS PEULUMAT
KECAMATAN : UPTD PUKESMAS PEULUMAT
BULAN : Januari 2020
Sasaran Lansia Jumlah Kunjungan Lansia Kegiatan sehari-hari Jumlah Lansia dengan Kelainan Pengobatan
Konseling Pemb
Jumlah Total Jumlah Jumlah
45-59 60-69 > 70 45-59 60-69 > 70 Total Kunjungan Kemandirian Lansia IMT Tekanan Darah Peny erday
Jumlah Jumlah Lansia (45-70) Panti Kunjung
No Nama Desa
Jumlah
Kelompok Panti Ggn ME Hb Kurang Kolesterol tinggi DM As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk uluha aan Ket.
Posyandu Wredha an
Lansia Wredha n Lansi
L P Total ( L + P ) L P Total ( L + P ) L P Total ( L + P ) 45 - > 70 A B C Lebih Normal Kurang Tinggi Normal Rendah dibina Rumah
a
L P L P L P L P Jumlah Jumlah Jumlah B L S
(L+P (L+P (L+P (L+ (L+ (L+ (L+ (L+
B L B L (%) B L B L (%) B L B L (%) L P ( L + P ) ( % ) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (%) L P (%) L P (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (%) L P (%) L P (%) L P (%) L P (%) (+) (-) (+) (-)
(B+ (B+ (B+ ) ) ) P) P) P) P) P)
L) L) L)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 24 25 26 27 28
1 Paya Peulumat 2 2 53 66 14 21 7 9 74 96 8 12 20 2 6 8 1 7 8 11 25 36 4 5 0 0 0 0 1 1 3 4 7 1 1 2 2 5 7 2 4 6 1 2 3 0 0 0 0 0 0 0 0 2 4 6 0 0 0 2 4 6 2 4 6 1 2 3 0 0 0 30 1 1
2 Tengah Peulumat 1 1 92 70 26 18 10 18 128 106 7 15 22 2 7 9 2 3 5 11 25 36 8 4 0 3 3 4 4 1 3 1 5 6 1 2 3 0 0 0 1 0 1 1 1 2 0 4 4 1 2 0 2 1 3
3 Aur Peulumat 1 1 47 45 1 10 8 10 56 65
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39
5 Limau Saring 1 1 64 69 25 37 6 6 95 112
6 Peunelop 1 1 35 29 19 4 54 33
7 Beutong 1 1 52 45 23 23 8 8 83 76
8 Gunung Rotan 1 1 51 62 33 27 2 1 86 90
9 Keumumu Seberang 1 1 127 85 20 25 11 17 158 127
10 Keumumu Hulu 1 1 54 44 7 10 5 6 66 60
11 Keumumu Hilir 2 2 84 79 41 37 22 27 147 143
12 Sawang Indah 1 1 18 20 9 13 6 8 33 41 1
JUMLAH 14 14 485 433 177 176 60 73 722 682
Mengetahui
Kepala Puskesmas
________________

KECAMATAN : Labuhanhaji Timur
BULAN : Oktober 2023
Sasaran Lansia Jumlah Kunjungan Lansia Kegiatan sehari-hari Jumlah Lansia dengan Kelainan Pengobatan
Konseling
Jumlah Total
45-59 60-69 > 70 45-59 60-69 > 70 Total Kunjungan Kemandirian Lansia IMT Tekanan Darah Pemb
Lansia (45-70) Jumlah Jumlah
Jumlah Jumlah Ggn ME Hb Kurang Kolesterol tinggi DM As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Peny erday
Jumlah Panti Kunjung
No Nama Desa Posyandu
Kelompok Panti uluha aan Ket.
Lansia Wredha Wredha an
L P Total ( L + P ) L P Total ( L + P ) L P Total ( L + P ) 45 - > 70 A B C Lebih Normal Kurang Tinggi Normal Rendah n Lansi
dibina Rumah
a
L P L P L P L P Jumlah Jumlah B L S
Jumlah
(L+P (L+P (L+P (L+ (L+ (L+ (L+ (L+
B L B L (%) B L B L (%) B L B L (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (%) L P (%) L P (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (%) L P (%) L P (%) L P (%) L P (%) (+) (-) (+) (-)
(B+ (B+ ) ) ) P) P) P) P) P)
(B+L)
L) L)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 24 25 26 27 28
1 Paya Peulumat 1 1 55 68 8 21 10 17 73 106 5 7 4 5 21 1 5 2 7 15 0 1 4 3 5 13 0 23 7 30 0 7 0 5 0 3 0 4 3 4 4 8 0 5 7 12 0 2 2 4 0 2 4 6 0 2 2 4 0 1 2 3 0 1 2 3 0 3 2 5 0 2+BX12:BY24 2 2 0 1 5 6 0 0 0 0 0 1 3 0 0 2 3 5 0 1 2 0 0 0 0 0 0 49 0 0 0 1 0 0 1 0 0 2
2 Tengah Peulumat 1 1 72 77 22 29 22 29 116 135 3 3 3 4 13 2 4 3 3 12 0 2 3 2 4 11 0 17 3 10 0 10 0 6 0 4 0 2 4 5 3 8 0 4 10 14 0 3 3 6 0 3 5 8 0 3 3 6 0 4 3 7 0 4 3 7 0 3 3 6 0 3 3 3 0 4 6 10 0 0 0 0 0 0 0 0 0 2 3 5 0 2 2 4 0 0 0 0 0 23 0 0 0 1 0 0 1 0 0 3
3 Aur Peulumat 1 1 31 43 14 12 0 8 45 63 5 8 4 5 22 3 5 2 8 18 0 3 4 1 5 13 0 28 1 9 0 9 0 3 0 4 0 1 2 4 4 8 0 2 8 10 0 4 4 8 0 4 4 8 0 4 4 8 0 5 2 7 0 5 4 9 0 3 4 7 0 2 2 4 0 5 5 10 0 0 0 0 0 2 3 0 0 1 2 3 0 1 1 2 0 0 0 0 0 31 0 0 0 1 0 0 1 0 0 2
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39 2 8 4 6 20 2 6 4 8 20 0 2 4 1 6 13 0 24 1 13 0 13 0 6 0 5 0 0 0 2 4 6 0 7 8 15 0 5 5 10 0 5 2 7 0 5 5 10 0 5 3 8 0 5 5 10 0 3 5 8 0 3 2 5 0 5 6 11 0 0 0 0 0 0 0 0 0 1 3 4 0 1
1
2 0 0 0 0 0 33 0 0 0 1 0 0 1 0 0 3
5 Limau Saring 1 1 67 74 26 34 10 25 103 133 5 9 6 7 27 3 7 3 9 22 0 3 5 2 7 17 0 32 0 12 0 12 0 5 0 6 0 0 0 5 6 11 0 8 9 17 0 2 2 4 0 2 5 7 0 2 2 4 0 4 3 7 0 4 2 6 0 4 2 6 0 3 2 2 0 4 5 9 0 0 0 0 0 0 0 0 0 1 2 3 0 2 3 5 0 0 0 0 0 39 0 0 0 1 0 0 1 0 0 2
6 Peunelop 1 1 50 47 16 19 7 5 73 71 5 6 6 5 22 2 5 5 6 18 0 2 6 1 5 14 0 26 2 10 0 10 0 7 0 7 0 1 2 4 6 10 0 7 6 13 0 3 3 6 0 3 4 7 0 3 3 6 0 4 3 7 0 4 3 7 0 2 3 5 0 3 1 3 0 4 5 9 0 0 0 0 0 0 0 0 0 3 3 6 0 1 1 2 0 0 0 0 0 32 0 0 0 1 0 0 1 0 0 3
7 Beutong 1 1 48 66 24 22 10 18 82 106 5 4 7 5 21 3 5 7 4 19 0 3 7 2 5 17 0 27 4 15 0 15 0 4 0 6 0 0 0 5 7 12 0 8 4 12 0 4 4 8 0 4 5 9 0 4 4 8 0 3 3 6 0 3 4 7 0 3 4 7 0 3 2 4 0 3 4 7 0 0 0 0 0 0 0 0 0 2 4 6 0 1 2 3 0 0 0 0 0 36 0 0 0 1 0 0 1 0 0 2
8 Gunung Rotan 1 1 68 88 30 20 25 24 123 132 4 5 8 4 21 2 4 8 5 19 0 2 8 1 4 15 0 25 2 13 0 13 0 4 0 5 0 0 0 7 8 15 0 7 5 12 0 5 5 10 0 5 7 12 0 5 5 10 0 4 1 5 0 4 5 9 0 3 5 8 0 1 1 5 0 4 4 8 0 0 0 0 0 0 0 0 0 2 2 4 0 1 1 2 0 0 0 0 0 34 0 0 0 1 0 0 1 0 0 2
9 Keumumu Seberang 1 1 69 74 42 36 17 12 128 122 6 7 4 8 25 3 8 4 7 22 0 3 4 2 8 17 0 31 1 14 0 14 0 3 0 9 0 0 0 6 4 10 0 6 7 13 0 2 2 4 0 2 6 8 0 2 2 4 0 9 2 11 0 9 2 11 0 3 2 5 0 2 2 2 0 9 6 15 0 0 0 0 0 0 0 0 0 2 3 5 0 1 1 2 0 0 0 0 0 39 0 0 0 1 0 0 1 0 0 2
10 Keumumu Hulu 59 50 16 13 5 15 80 78 3 7 5 7 22 2 7 5 7 21 0 2 5 2 7 16 0 26 0 15 0 15 0 6 0 7 0 0 0 7 5 12 0 9 7 16 0 3 3 6 0 3 7 10 0 3 3 6 0 7 3 10 0 7 3 10 0 2 3 5 0 3 2 3 0 7 5 12 0 0 0 0 0 0 0 0 0 1 2 3 0 2 1 3 0 0 0 0 0 37 0 0 0 1 0 0 1 0 0 2
1 1
11 Keumumu Hilir 2 2 77 93 29 39 17 18 123 150 3 4 4 5 16 2 5 4 4 15 0 2 4 3 5 14 0 20 0 13 0 13 0 7 0 5 0 0 0 2 4 6 0 6 4 10 0 4 4 8 0 4 2 6 0 4 4 8 0 8 4 12 0 8 4 12 0 2 4 6 0 4 2 4 0 8 4 12 0 0 0 0 0 0 0 0 0 1 1 2 0 1 2 3 0 0 0 0 0 29 0 0 0 1 0 0 1 0 0 3
13 Sawang Indah 1 1 43 36 17 17 3 12 63 65 4 8 3 8 23 3 8 3 8 22 0 3 3 1 8 15 0 29 0 14 0 14 0 7 0 8 0 0 0 2 3 5 0 10 8 18 0 5 5 10 0 5 2 7 0 5 5 10 0 7 4 11 0 7 5 12 0 3 5 8 0 4 2 5 0 7 4 11 0 0 0 0 0 0 0 0 0 2 3 5 0 1 1 2 0 0 0 0 0 37 0 0 0 1 0 0 1 0 0 2
JUMLAH 13 13 659 740 254 267 133 193 1046 1200 50 76 58 184 28 69 50 76 223 0 28 57 21 69 175 0 308 21 214 0 214 0 63 0 69 0 53 58 79 83 162 0 42 42 84 0 26 33 59 0 42 42 84 0 61 33 94 0 61 42 103 0 34 42 76 0 31 23 42 60 54 114 0 0 0 0 0 3 6 0 0 20 31 51 0 15 18 30 0 0 0 0 0 398 0 0 0 12 0 0 12 0 0 28
Mengetahui Penanggung jawab usila

Kepala UPTD Puskesmas Peulumat
EMA HENDRA,SKM yenni veramailis
NIP. 19801224 200604 1 004

FO

BULAN : September 2023
Jumlah Total
45-59 60-69 > 70 45-59 60-69 > 70
Lansia (45-70)
Jumlah Jumlah
Jumlah
Kelompok Panti
Lansia Wredha L P Total ( L + P ) L P Total ( L + P ) L P
L P L P L P L P Jumlah
Jumlah
B L B L (%) B L B L (%) B L B
(B+
(B+L)
L)
1 2 3 4 5 6
1 Paya Peulumat 1 1 55 68 8 21 10 17 73 106 5 7 4 5 21 1 5 2 7 15 0 1 4 3
2 Tengah Peulumat 1 1 72 77 22 29 22 29 116 135 3 3 3 4 13 2 4 3 3 12 0 2 3 2
3 Aur Peulumat 1 1 31 43 14 12 0 8 45 63 5 8 4 5 22 3 5 2 8 18 0 3 4 1
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39 2 8 4 6 20 2 6 4 8 20 0 2 4 1
5 Limau Saring 1 1 67 74 26 34 10 25 103 133 5 9 6 7 27 3 7 3 9 22 0 3 5 2
6 Peunelop 1 1 50 47 16 19 7 5 73 71 5 6 6 5 22 2 5 5 6 18 0 2 6 1
7 Beutong 1 1 48 66 24 22 10 18 82 106 5 4 7 5 21 3 5 7 4 19 0 3 7 2
8 Gunung Rotan 1 1 68 88 30 20 25 24 123 132 4 5 8 4 21 2 4 8 5 19 0 2 8 1
9 Keumumu Seberang 1 1 69 74 42 36 17 12 128 122 6 7 4 8 25 3 8 4 7 22 0 3 4 2
10 Keumumu Hulu 1 1 59 50 16 13 5 15 80 78 3 7 5 7 22 2 7 5 7 21 0 2 5 2
11 Keumumu Hilir 2 2 77 93 29 39 17 18 123 150 3 4 4 5 16 2 5 4 4 15 0 2 4 3
13 Sawang Indah 1 1 43 36 17 17 3 12 63 65 4 8 3 8 23 3 8 3 8 22 0 3 3 1
JUMLAH 13 13 659 740 254 267 133 193 1046 1200 50 76 58 184 28 69 50 76 223 0 28 57 21
Mengetahui
EMA HENDRA,SKM
NIP. 19801224 200604 1 004
Kegiatan sehari-hari
> 70 Total Kunjungan Kemandirian Lansia IMT Tekanan Darah

Ggn ME
P Total ( L + P ) 45 - > 70 A B C Lebih Normal Kurang Tinggi Normal

Jumlah
(L+P (L+P (L+P
L (%) L P ( L + P ) ( % ) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (%) L P (%) L P (%) L P (L+P) (%) L P (L+P) (%)
(B+ ) ) )
L)
7 8 9 10
5 13 0 23 7 30 0 7 0 5 0 3 0 4 3 4 4 8 0 5 7 12 0 2 2 4 0 2 4 6 0 2 2 4 0
4 11 0 17 3 10 0 10 0 6 0 4 0 2 4 5 3 8 0 4 10 14 0 3 3 6 0 3 5 8 0 3 3 6 0
5 13 0 28 1 9 0 9 0 3 0 4 0 1 2 4 4 8 0 2 8 10 0 4 4 8 0 4 4 8 0 4 4 8 0
6 13 0 24 1 13 0 13 0 6 0 5 0 0 0 2 4 6 0 7 8 15 0 5 5 10 0 5 2 7 0 5 5 10 0
7 17 0 32 0 12 0 12 0 5 0 6 0 0 0 5 6 11 0 8 9 17 0 2 2 4 0 2 5 7 0 2 2 4 0
5 14 0 26 2 10 0 10 0 7 0 7 0 1 2 4 6 10 0 7 6 13 0 3 3 6 0 3 4 7 0 3 3 6 0
5 17 0 27 4 15 0 15 0 4 0 6 0 0 0 5 7 12 0 8 4 12 0 4 4 8 0 4 5 9 0 4 4 8 0
4 15 0 25 2 13 0 13 0 4 0 5 0 0 0 7 8 15 0 7 5 12 0 5 5 10 0 5 7 12 0 5 5 10 0
8 17 0 31 1 14 0 14 0 3 0 9 0 0 0 6 4 10 0 6 7 13 0 2 2 4 0 2 6 8 0 2 2 4 0
7 16 0 26 0 15 0 15 0 6 0 7 0 0 0 7 5 12 0 9 7 16 0 3 3 6 0 3 7 10 0 3 3 6 0
5 14 0 20 0 13 0 13 0 7 0 5 0 0 0 2 4 6 0 6 4 10 0 4 4 8 0 4 2 6 0 4 4 8 0
8 15 0 29 0 14 0 14 0 7 0 8 0 0 0 2 3 5 0 10 8 18 0 5 5 10 0 5 2 7 0 5 5 10 0
69 175 0 308 21 214 0 214 0 63 0 69 0 53 58 79 83 162 0 42 42 84 0 26 33 59 0 42 42 84 0

arah
Hb Kurang Kolesterol tinggi DM
Rendah
L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P
11 12 13
1 2 3 0 1 2 3 0 3 2 5 0 2+BX12:BY24 2
4 3 7 0 4 3 7 0 3 3 6 0 3 3
5 2 7 0 5 4 9 0 3 4 7 0 2 2
5 3 8 0 5 5 10 0 3 5 8 0 3 2
4 3 7 0 4 2 6 0 4 2 6 0 3 2
4 3 7 0 4 3 7 0 2 3 5 0 3 1
3 3 6 0 3 4 7 0 3 4 7 0 3 2
4 1 5 0 4 5 9 0 3 5 8 0 1 1
9 2 11 0 9 2 11 0 3 2 5 0 2 2
7 3 10 0 7 3 10 0 2 3 5 0 3 2
8 4 12 0 8 4 12 0 2 4 6 0 4 2
7 4 11 0 7 5 12 0 3 5 8 0 4 2
61 33 94 0 61 42 103 0 34 42 76 0 31 23
Pengobatan
Konseling
Pemb
Jumlah Jumlah
DM As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Peny erday
Panti Kunjung
uluha aan Ket.
Wredha an
n Lansi
dibina Rumah
a
B L S
(L+ (L+ (L+ (L+ (L+
(L+P) (%) L P (L+P) (%) L P (%) L P (%) L P (%) L P (%) L P (%) (+) (-) (+) (-)
P) P) P) P) P)
13 14 15 16 17 18 19 20 21 22 24 25 26 27 28
2 0 1 5 6 0 0 0 0 0 1 3 0 0 2 3 5 0 1 2 0 0 0 0 0 0 49 0 0 0 1 0 0 1 0 0 2
3 0 4 6 10 0 0 0 0 0 0 0 0 0 2 3 5 0 2 2 4 0 0 0 0 0 23 0 0 0 1 0 0 1 0 0 3
4 0 5 5 10 0 0 0 0 0 2 3 0 0 1 2 3 0 1 1 2 0 0 0 0 0 31 0 0 0 1 0 0 1 0 0 2
5 0 5 6 11 0 0 0 0 0 0 0 0 0 1 3 4 0 1 2 0 0 0 0 0 33 0 0 0 1 0 0 1 0 0 3
1
2 0 4 5 9 0 0 0 0 0 0 0 0 0 1 2 3 0 2 3 5 0 0 0 0 0 39 0 0 0 1 0 0 1 0 0 2
3 0 4 5 9 0 0 0 0 0 0 0 0 0 3 3 6 0 1 1 2 0 0 0 0 0 32 0 0 0 1 0 0 1 0 0 3
4 0 3 4 7 0 0 0 0 0 0 0 0 0 2 4 6 0 1 2 3 0 0 0 0 0 36 0 0 0 1 0 0 1 0 0 2
5 0 4 4 8 0 0 0 0 0 0 0 0 0 2 2 4 0 1 1 2 0 0 0 0 0 34 0 0 0 1 0 0 1 0 0 2
2 0 9 6 15 0 0 0 0 0 0 0 0 0 2 3 5 0 1 1 2 0 0 0 0 0 39 0 0 0 1 0 0 1 0 0 2
3 0 7 5 12 0 0 0 0 0 0 0 0 0 1 2 3 0 2 1 3 0 0 0 0 0 37 0 0 0 1 0 0 1 0 0 2
4 0 8 4 12 0 0 0 0 0 0 0 0 0 1 1 2 0 1 2 3 0 0 0 0 0 29 0 0 0 1 0 0 1 0 0 3
5 0 7 4 11 0 0 0 0 0 0 0 0 0 2 3 5 0 1 1 2 0 0 0 0 0 37 0 0 0 1 0 0 1 0 0 2
42 60 54 114 0 0 0 0 0 3 6 0 0 20 31 51 0 15 18 30 0 0 0 0 0 398 0 0 0 12 0 0 12 0 0 28
Penanggung jawab usila
yenni veramailis

BULAN : Agustus 2023
Sasaran Lansia Jumlah Kunjungan Lansia Kegiatan sehari-hari
Jumlah Total
45-59 60-69 > 70 45-59 60-69 > 70 Total Kunjungan Kemandirian Lansia
Lansia (45-70)
Jumlah Jumlah
Jumlah
Kelompok Panti
Lansia Wredha L P Total ( L + P ) L P Total ( L + P ) L P Total ( L + P ) 45 - > 70 A
Jumlah
B L B L (%) B L B L (%) B L B L (%) L P ( L + P ) ( % ) Jumlah (%)
(B+ (B+
(B+L)
L) L)
1 2 3 4 5 6 7
1 Paya Peulumat 1 1 55 68 8 21 10 17 73 106 3 5 4 3 15 2 5 4 7 18 0 1 4 3 2 10 0 20 7 27 0 13 0
2 Tengah Peulumat 1 1 72 77 22 29 22 29 116 135 8 8 3 8 27 3 4 3 3 13 0 2 3 2 3 10 0 28 3 -4 0 -4 0
3 Aur Peulumat 1 1 31 43 14 12 0 8 45 63 4 5 4 4 17 2 5 4 8 19 0 3 4 1 4 12 0 23 1 14 0 14 0
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39 4 6 4 4 18 4 6 3 8 21 0 2 4 1 5 12 0 26 1 15 0 15 0
5 Limau Saring 1 1 67 74 26 34 10 25 103 133 5 7 6 5 23 3 7 3 9 22 0 3 5 2 4 14 0 30 0 13 0 13 0
6 Peunelop 1 1 50 47 16 19 7 5 73 71 7 5 6 7 25 5 5 4 6 20 0 2 6 1 5 14 0 30 2 9 0 9 0
7 Beutong 1 1 48 66 24 22 10 18 82 106 4 5 7 4 20 7 5 3 4 19 0 3 7 2 9 21 0 31 4 20 0 20 0
8 Gunung Rotan 1 1 68 88 30 20 25 24 123 132 7 4 8 7 26 8 4 4 5 21 0 2 8 1 9 20 0 33 2 15 0 15 0
9 Keumumu Seberang 1 1 69 74 42 36 17 12 128 122 5 8 4 5 22 4 8 4 7 23 0 3 4 2 8 17 0 32 1 18 0 18 0
10 Keumumu Hulu 1 1 59 50 16 13 5 15 80 78 5 7 5 5 22 5 7 3 7 22 0 2 5 2 6 15 0 31 0 15 0 15 0
11 Keumumu Hilir 2 2 77 93 29 39 17 18 123 150 6 5 4 6 21 4 5 4 4 17 0 2 4 3 6 15 0 26 0 11 0 11 0
13 Sawang Indah 1 1 43 36 17 17 3 12 63 65 4 8 3 4 19 3 8 4 8 23 0 3 3 1 7 14 0 29 0 18 0 18 0
JUMLAH 13 13 659 740 254 267 133 193 1046 1200 62 73 58 193 50 69 43 76 238 0 28 57 21 68 174 0 339 21 219 0 219 0
Mengetahui
EMA HENDRA,SKM
NIP. 19801224 200604 1 004
RAN LANSIA TINGKAT PUSKESMAS
Kegiatan sehari-hari Jumlah Lansia dengan Kelainan
Kemandirian Lansia IMT Tekanan Darah

Ggn ME Hb Kurang
B C Lebih Normal Kurang Tinggi Normal Rendah
(L+P (L+P (L+P

Jumlah (%) Jumlah (%) L P L P (%) L P (%) L P (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P
) ) )
7 8 9 10 11
5 0 3 0 4 3 4 4 8 0 5 7 12 0 2 2 4 0 4 2 6 0 1 2 3 0 1 2 3 0 1 2
6 0 4 0 2 4 5 3 8 0 4 10 14 0 3 3 6 0 6 6 12 0 4 5 9 0 4 3 7 0 4 3
3 0 4 0 1 2 4 4 8 0 2 8 10 0 4 4 8 0 7 5 12 0 5 7 12 0 5 2 7 0 5 4
6 0 5 0 0 0 2 4 6 0 7 8 15 0 5 5 10 0 4 7 11 0 5 9 14 0 5 3 8 0 5 5
5 0 6 0 0 0 5 6 11 0 8 9 17 0 2 2 4 0 7 3 10 0 4 8 12 0 4 3 7 0 4 2
7 0 7 0 1 2 4 6 10 0 7 6 13 0 3 3 6 0 7 6 13 0 4 9 13 0 4 3 7 0 4 3
4 0 6 0 0 0 5 7 12 0 8 4 12 0 4 4 8 0 8 4 12 0 3 10 13 0 3 3 6 0 3 4
4 0 5 0 0 0 7 8 15 0 7 5 12 0 5 5 10 0 7 5 12 0 4 12 16 0 4 1 5 0 4 5
3 0 9 0 0 0 6 4 10 0 6 7 13 0 2 2 4 0 6 7 13 0 9 11 20 0 9 2 11 0 9 2
6 0 7 0 0 0 7 5 12 0 9 7 16 0 3 3 6 0 9 7 16 0 7 9 16 0 7 3 10 0 7 3
7 0 5 0 0 0 2 4 6 0 6 4 10 0 4 4 8 0 6 4 10 0 8 9 17 0 8 4 12 0 8 4
7 0 8 0 0 0 2 3 5 0 10 8 18 0 5 5 10 0 10 8 18 0 7 9 16 0 7 4 11 0 7 5
63 0 69 0 53 58 79 83 162 0 42 42 84 0 53 41 94 0 61 100 161 0 61 33 94 0 61 42

Jumlah Lansia dengan Kelainan Pengobatan
Konseling
Pemb
Jumlah Jumlah
Hb Kurang Kolesterol tinggi DM As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Peny erday
Panti Kunjung
uluha aan Ket.
Wredha an
n Lansi
dibina Rumah
a
B L S
(L+ (L+ (L+ (L+ (L+
(L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (%) L P (%) L P (%) L P (%) L P (%) (+) (-) (+) (-)
P) P) P) P) P)
11 12 13 14 15 16 17 18 19 20 21 22 24 25 26 27 28
3 0 3 2 5 0 1 2 3 0 1 5 6 0 0 0 0 0 0 0 0 0 2 3 5 0 1 2 0 0 0 0 0 0 43 0 0 0 1 0 0 1 0 0 2
7 0 3 3 6 0 1 3 4 0 4 6 10 0 0 0 0 0 0 0 0 0 2 3 5 0 2 2 4 0 0 0 0 0 23 0 0 0 1 0 0 1 0 0 3
9 0 3 4 7 0 1 2 3 0 5 5 10 0 0 0 0 0 0 0 0 0 1 2 3 0 1 1 2 0 0 0 0 0 31 0 0 0 1 0 0 1 0 0 2
10 0 3 5 8 0 1 2 3 0 5 6 11 0 0 0 0 0 0 0 0 0 1 3 4 0 1 2 0 0 0 0 0 33 0 0 0 1 0 0 1 0 0 3
1
6 0 4 2 6 0 1 2 3 0 4 5 9 0 0 0 0 0 0 0 0 0 1 2 3 0 2 3 5 0 0 0 0 0 36 0 0 0 1 0 0 1 0 0 2
7 0 2 3 5 0 1 1 2 0 4 5 9 0 0 0 0 0 0 0 0 0 3 3 6 0 1 1 2 0 0 0 0 0 34 0 0 0 1 0 0 1 0 0 3
7 0 3 4 7 0 1 2 3 0 3 4 7 0 0 0 0 0 0 0 0 0 2 4 6 0 1 2 3 0 0 0 0 0 40 0 0 0 1 0 0 1 0 0 2
9 0 3 5 8 0 1 1 2 0 4 4 8 0 0 0 0 0 0 0 0 0 2 2 4 0 1 1 2 0 0 0 0 0 41 0 0 0 1 0 0 1 0 0 2
11 0 3 2 5 0 1 2 3 0 9 6 15 0 0 0 0 0 0 0 0 0 2 3 5 0 1 1 2 0 0 0 0 0 40 0 0 0 1 0 0 1 0 0 2
10 0 2 3 5 0 1 2 3 0 7 5 12 0 0 0 0 0 0 0 0 0 1 2 3 0 2 1 3 0 0 0 0 0 37 0 0 0 1 0 0 1 0 0 2
12 0 2 4 6 0 1 2 3 0 8 4 12 0 0 0 0 0 0 0 0 0 1 1 2 0 1 2 3 0 0 0 0 0 32 0 0 0 1 0 0 1 0 0 3
12 0 3 5 8 0 1 2 3 0 7 4 11 0 0 0 0 0 0 0 0 0 2 3 5 0 1 1 2 0 0 0 0 0 37 0 0 0 1 0 0 1 0 0 2
103 0 34 42 76 60 54 114 0 0 0 0 0 0 0 0 0 20 31 51 0 15 18 30 0 0 0 0 0 412 0 0 0 12 0 0 12 0 0 28
yenni veramailis
KECAMATAN : labuhanhaji Timur
BULAN : November 2023
Sasaran Lansia Jumlah Ku
Jumlah Total
45-59 60-69 > 70 45-59 60-69
Lansia (45-70)
Jumlah Jumlah
Jumlah
Kelompok Panti
Lansia Wredha L P Total ( L + P ) L P
B L B L (%) B L B
(B+
L)
1 2 3 4 5 6
1 Paya Peulumat 1 1 55 68 8 21 10 17 73 106 3 5 4 3 15 2 5 4
2 Tengah Peulumat 1 1 72 77 22 29 22 29 116 135 8 8 3 8 27 3 4 3
3 Aur Peulumat 1 1 31 43 14 12 0 8 45 63 4 5 4 4 17 2 5 4
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39 4 6 4 4 18 4 6 3
5 Limau Saring 1 1 67 74 26 34 10 25 103 133 5 7 6 5 23 3 7 3
6 Peunelop 1 1 50 47 16 19 7 5 73 71 7 5 6 7 25 5 5 4
7 Beutong 1 1 48 66 24 22 10 18 82 106 4 5 7 4 20 7 5 3
8 Gunung Rotan 1 1 68 88 30 20 25 24 123 132 7 4 8 7 26 8 4 4
9 Keumumu Seberang 1 1 69 74 42 36 17 12 128 122 5 8 4 5 22 4 8 4
10 Keumumu Hulu 59 50 16 13 5 15 80 78 5 7 5 5 22 5 7 3
1 1
11 Keumumu Hilir 2 2 77 93 29 39 17 18 123 150 6 5 4 6 21 4 5 4
13 Sawang Indah 1 1 43 36 17 17 3 12 63 65 4 8 3 4 19 3 8 4
JUMLAH 13 13 659 740 254 267 133 193 1046 1200 62 73 58 193 50 69 43
Mengetahui
EMA HENDRA,SKM
NIP. 19801224 200604 1 004
Jumlah Kunjungan Lansia Kegiatan sehari-hari
60-69 > 70 Total Kunjungan Kemandirian Lansia IMT

Ggn ME
P Total ( L + P ) L P Total ( L + P ) 45 - > 70 A B C Lebih

Jumlah
Jumlah
(L+P
L (%) B L B L (%) L P ( L + P ) ( % ) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (%)
(B+ )
(B+L)
L)
6 7 8 9
7 18 0 1 4 3 2 10 0 20 7 27 0 13 0 5 0 3 0 4 3 4 4 8 0
3 13 0 2 3 2 3 10 0 28 3 -4 0 -4 0 6 0 4 0 2 4 5 3 8 0
8 19 0 3 4 1 4 12 0 23 1 14 0 14 0 3 0 4 0 1 2 4 4 8 0
8 21 0 2 4 1 5 12 0 26 1 15 0 15 0 6 0 5 0 0 0 2 4 6 0
9 22 0 3 5 2 4 14 0 30 0 13 0 13 0 5 0 6 0 0 0 5 6 11 0
6 20 0 2 6 1 5 14 0 30 2 9 0 9 0 7 0 7 0 1 2 4 6 10 0
4 19 0 3 7 2 9 21 0 31 4 20 0 20 0 4 0 6 0 0 0 5 7 12 0
5 21 0 2 8 1 9 20 0 33 2 15 0 15 0 4 0 5 0 0 0 7 8 15 0
7 23 0 3 4 2 8 17 0 32 1 18 0 18 0 3 0 9 0 0 0 6 4 10 0
7 22 0 2 5 2 6 15 0 31 0 15 0 15 0 6 0 7 0 0 0 7 5 12 0
4 17 0 2 4 3 6 15 0 26 0 11 0 11 0 7 0 5 0 0 0 2 4 6 0
8 23 0 3 3 1 7 14 0 29 0 18 0 18 0 7 0 8 0 0 0 2 3 5 0
76 238 0 28 57 21 68 174 0 339 21 219 0 219 0 63 0 69 0 53 58

IMT Tekanan Darah

Hb Kurang
Normal Kurang Tinggi Normal Rendah
(L+P (L+P
L P (%) L P (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%)
) )
9 10 11
5 7 12 0 2 2 4 0 4 2 6 0 1 2 3 0 1 2 3 0 1 2 3 0
4 10 14 0 3 3 6 0 6 6 12 0 4 5 9 0 4 3 7 0 4 3 7 0
2 8 10 0 4 4 8 0 7 5 12 0 5 7 12 0 5 2 7 0 5 4 9 0
7 8 15 0 5 5 10 0 4 7 11 0 5 9 14 0 5 3 8 0 5 5 10 0
8 9 17 0 2 2 4 0 7 3 10 0 4 8 12 0 4 3 7 0 4 2 6 0
7 6 13 0 3 3 6 0 7 6 13 0 4 9 13 0 4 3 7 0 4 3 7 0
8 4 12 0 4 4 8 0 8 4 12 0 3 10 13 0 3 3 6 0 3 4 7 0
7 5 12 0 5 5 10 0 7 5 12 0 4 12 16 0 4 1 5 0 4 5 9 0
6 7 13 0 2 2 4 0 6 7 13 0 9 11 20 0 9 2 11 0 9 2 11 0
9 7 16 0 3 3 6 0 9 7 16 0 7 9 16 0 7 3 10 0 7 3 10 0
6 4 10 0 4 4 8 0 6 4 10 0 8 9 17 0 8 4 12 0 8 4 12 0
10 8 18 0 5 5 10 0 10 8 18 0 7 9 16 0 7 4 11 0 7 5 12 0
79 83 162 0 42 42 84 0 53 41 94 0 61 100 161 0 61 33 94 0 61 42 103 0

h Lansia dengan Kelainan
Kolesterol tinggi DM As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran
(L+ (L+ (L+ (L+

L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (%) L P (%) L P (%) L P
P) P) P) P)
12 13 14 15 16 17 18
3 2 5 0 1 2 3 0 1 5 6 0 0 0 0 0 0 0 0 0 2 3 5 0 1 2 0
3 3 6 0 1 3 4 0 4 6 10 0 0 0 0 0 0 0 0 0 2 3 5 0 2 2 4
3 4 7 0 1 2 3 0 5 5 10 0 0 0 0 0 0 0 0 0 1 2 3 0 1 1 2
3 5 8 0 1 2 3 0 5 6 11 0 0 0 0 0 0 0 0 0 1 3 4 0 1 2
1
4 2 6 0 1 2 3 0 4 5 9 0 0 0 0 0 0 0 0 0 1 2 3 0 2 3 5
2 3 5 0 1 1 2 0 4 5 9 0 0 0 0 0 0 0 0 0 3 3 6 0 1 1 2
3 4 7 0 1 2 3 0 3 4 7 0 0 0 0 0 0 0 0 0 2 4 6 0 1 2 3
3 5 8 0 1 1 2 0 4 4 8 0 0 0 0 0 0 0 0 0 2 2 4 0 1 1 2
3 2 5 0 1 2 3 0 9 6 15 0 0 0 0 0 0 0 0 0 2 3 5 0 1 1 2
2 3 5 0 1 2 3 0 7 5 12 0 0 0 0 0 0 0 0 0 1 2 3 0 2 1 3
2 4 6 0 1 2 3 0 8 4 12 0 0 0 0 0 0 0 0 0 1 1 2 0 1 2 3
3 5 8 0 1 2 3 0 7 4 11 0 0 0 0 0 0 0 0 0 2 3 5 0 1 1 2
34 42 76 60 54 114 0 0 0 0 0 0 0 0 0 20 31 51 0 15 18 30
Pengobatan
Konseling
Pemb
Jumlah Jumlah
pendengaran Lain-lain Diobati Dirujuk Peny erday
Panti Kunjung
uluha aan Ket.
Wredha an
n Lansi
dibina Rumah
a
B L S
(L+
(%) L P (%) (+) (-) (+) (-)
P)
18 19 20 21 22 24 25 26 27 28
0 0 0 0 0 43 0 0 0 1 0 0 1 0 0 2
0 0 0 0 0 23 0 0 0 1 0 0 1 0 0 3
0 0 0 0 0 31 0 0 0 1 0 0 1 0 0 2
0 0 0 0 0 33 0 0 0 1 0 0 1 0 0 3
0 0 0 0 0 36 0 0 0 1 0 0 1 0 0 2
0 0 0 0 0 34 0 0 0 1 0 0 1 0 0 3
0 0 0 0 0 40 0 0 0 1 0 0 1 0 0 2
0 0 0 0 0 41 0 0 0 1 0 0 1 0 0 2
0 0 0 0 0 40 0 0 0 1 0 0 1 0 0 2
0 0 0 0 0 37 0 0 0 1 0 0 1 0 0 2
0 0 0 0 0 32 0 0 0 1 0 0 1 0 0 3
0 0 0 0 0 37 0 0 0 1 0 0 1 0 0 2
0 0 0 0 0 412 0 0 0 12 0 0 12 0 0 28
yenni veramailis
FORMAT PEN

BULAN Maret 2023
Jumlah Total
45-59 60-69 > 70 45-59 60-69
Lansia (45-70)
Jumlah Jumlah
Jumlah
Kelompok Panti
Lansia Wredha L P Total ( L + P ) L P Total ( L + P )
Jumlah
B L B L (%) B L B L (%)
(B+
(B+L)
L)
1 2 3 4 5 6
1 Paya Peulumat 1 1 55 68 8 21 10 17 73 106 3 5 7 4 19 5 2 7 5 19 0
2 Tengah Peulumat 1 1 72 77 22 29 22 29 116 135 8 6 4 6 24 8 5 10 4 27 0
3 Aur Peulumat 1 1 31 43 14 12 0 8 45 63 4 5 3 2 14 5 6 8 2 21 0
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39 4 3 1 4 12 6 5 8 7 26 0
5 Limau Saring 1 1 67 74 26 34 10 25 103 133 5 7 3 6 21 7 8 9 8 32 0
6 Peunelop 1 1 50 47 16 19 7 5 73 71 7 6 4 6 23 5 7 6 7 25 0
7 Beutong 1 1 48 66 24 22 10 18 82 106 4 4 2 8 18 5 6 4 8 23 0
8 Gunung Rotan 1 1 68 88 30 20 25 24 123 132 7 5 6 6 24 4 7 5 7 23 0
9 Keumumu Seberang 1 1 69 74 42 36 17 12 128 122 5 6 4 9 24 8 6 7 6 27 0
10 Keumumu Hulu 1 1 59 50 16 13 5 15 80 78 5 7 8 6 26 7 5 7 9 28 0
11 Keumumu Hilir 2 2 77 93 29 39 17 18 123 150 6 5 7 8 26 5 6 4 6 21 0
13 Sawang Indah 1 1 43 36 17 17 3 12 63 65 4 7 6 20 37 8 6 8 10 32 0
JUMLAH 13 13 659 740 254 267 133 193 1046 1200 62 55 117 73 69 83 79 304 0
Mengetahui
EMA HENDRA,SKM
NIP. 19801224 200604 1 004
njungan Lansia Kegiatan sehari-hari

Ggn ME
L P Total ( L + P ) 45 - > 70 A B C Lebih Normal Kurang Tinggi

Jumlah
(L+P (L+P (L+P
B L B L (%) L P ( L + P ) ( % ) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (%) L P (%) L P (%) L P (L+P) (%)
(B+ ) ) )
L)
7 8 9 10
4 4 4 2 14 0 23 7 30 0 25 0 5 0 3 0 4 3 4 4 8 0 5 7 12 0 2 2 4 0 4 2 6 0
5 3 4 3 15 0 35 3 38 0 33 0 6 0 4 0 2 4 5 3 8 0 4 10 14 0 3 3 6 0 6 6 12 0
4 4 6 4 18 0 28 1 29 0 35 0 3 0 4 0 1 2 4 4 8 0 2 8 10 0 4 4 8 0 7 5 12 0
2 4 3 5 14 0 24 1 25 0 29 0 6 0 5 0 0 0 2 4 6 0 7 8 15 0 5 5 10 0 4 7 11 0
5 6 3 4 18 0 38 0 38 0 16 0 5 0 6 0 0 0 5 6 11 0 8 9 17 0 2 2 4 0 7 3 10 0
4 6 4 7 21 0 35 2 37 0 32 0 7 0 7 0 1 2 4 6 10 0 7 6 13 0 3 3 6 0 7 6 13 0
5 7 2 9 23 0 31 4 35 0 36 0 4 0 6 0 0 0 5 7 12 0 8 4 12 0 4 4 8 0 8 4 12 0
7 8 2 9 26 0 38 2 40 0 40 0 4 0 5 0 0 0 7 8 15 0 7 5 12 0 5 5 10 0 7 5 12 0
6 4 3 8 21 0 35 1 36 0 36 0 3 0 9 0 0 0 6 4 10 0 6 7 13 0 2 2 4 0 6 7 13 0
7 5 7 6 25 0 36 0 36 0 40 0 6 0 7 0 0 0 7 5 12 0 9 7 16 0 3 3 6 0 9 7 16 0
2 4 6 6 18 0 28 0 28 0 27 0 7 0 5 0 0 0 2 4 6 0 6 4 10 0 4 4 8 0 6 4 10 0
2 3 1 7 13 0 30 0 30 0 30 0 7 0 8 0 0 0 2 3 5 0 10 8 18 0 5 5 10 0 10 8 18 0
53 58 45 70 226 0 315 21 336 0 379 0 63 0 69 0 53 58 79 83 162 0 42 42 84 0 53 41 94 0

Tekanan Darah
Hb Kurang Kolesterol tinggi DM As. Urat tinggi Ggn ginjal Ggn kognitif
Normal Rendah
(L+ (L+
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
P) P)
10 11 12 13 14 15 16
1 2 3 0 1 2 3 0 1 2 3 0 2 2 4 0 2 2 4 0 1 6 7 0 0 0 0 0 0 0 0
4 15 19 0 4 3 7 0 4 3 7 0 3 5 8 0 1 3 4 0 4 12 16 0 0 0 0 0 0 0 0
5 7 12 0 5 2 7 0 5 4 9 0 4 2 6 0 0 2 2 0 5 5 10 0 0 0 0 0 0 0 0
5 9 14 0 5 3 8 0 5 5 10 0 5 1 6 0 0 3 3 0 5 5 10 0 0 0 0 0 0 0 0
4 8 12 0 4 3 7 0 4 2 6 0 2 0 2 0 0 3 3 0 4 4 8 0 0 0 0 0 0 0 0
4 9 13 0 4 3 7 0 4 3 7 0 3 0 3 0 0 3 3 0 4 4 8 0 0 0 0 0 0 0 0
3 10 13 0 3 3 6 0 3 4 7 0 4 2 6 0 1 3 4 0 3 3 6 0 0 0 0 0 0 0 0
4 12 16 0 4 1 5 0 4 5 9 0 5 1 6 0 1 1 2 0 4 4 8 0 0 0 0 0 0 0 0
9 11 20 0 9 2 11 0 9 2 11 0 2 1 3 0 1 2 3 0 9 9 18 0 0 0 0 0 0 0 0
7 9 16 0 7 3 10 0 7 3 10 0 3 1 4 0 0 3 3 0 7 7 14 0 0 0 0 0 0 0 0
8 9 17 0 8 4 12 0 8 4 12 0 4 0 4 0 0 4 4 0 8 8 16 0 0 0 0 0 0 0 0
7 9 16 0 7 4 11 0 7 5 12 0 5 0 5 0 0 4 4 0 7 7 14 0 0 0 0 0 0 0 0
61 110 171 0 61 33 94 0 61 42 103 0 42 60 68 128 0 0 0 0 0 0 0 0

Pengobatan
Konseling
Pemb
Jumlah Jumlah
gn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Peny erday
Panti Kunjung
uluha aan Ket.
Wredha an
n Lansi
dibina Rumah
a
B L S
(L+ (L+ (L+
(%) L P (%) L P (%) L P (%) (+) (-) (+) (-)
P) P) P)
16 17 18 19 20 21 22 24 25 26 27 28
0 4 6 10 0 1 2 0 0 0 0 0 0 52 0 0 0 1 0 0 1 0 0 2
0 2 4 6 0 2 2 4 0 0 0 0 0 42 0 0 0 1 0 0 1 0 0 3
0 2 3 5 0 1 1 2 0 0 0 0 0 39 0 0 0 1 0 0 1 0 0 2
0 1 4 5 0 1 2 0 0 0 0 0 40 0 0 0 1 0 0 1 0 0 3
1
0 1 2 3 0 2 3 5 0 0 0 0 0 50 0 0 0 1 0 0 1 0 0 2
0 3 5 8 0 1 1 2 0 0 0 0 0 46 0 0 0 1 0 0 1 0 0 3
0 2 6 8 0 1 2 3 0 0 0 0 0 46 0 0 0 1 0 0 1 0 0 2
0 3 6 9 0 1 1 2 0 0 0 0 0 49 0 0 0 1 0 0 1 0 0 2
0 2 5 7 0 1 1 2 0 0 0 0 0 48 0 0 0 1 0 0 1 0 0 2
0 2 5 7 0 2 1 3 0 0 0 0 0 53 0 0 0 1 0 0 1 0 0 2
0 2 3 5 0 1 2 3 0 0 0 0 0 39 0 0 0 1 0 0 1 0 0 3
0 3 5 8 0 1 1 2 0 0 0 0 0 45 0 0 0 1 0 0 1 0 0 2
0 27 54 81 0 15 18 30 0 0 0 0 0 530 0 0 0 12 0 0 12 0 0 28
yenni veramailis
FORMAT PEN

BULAN Feb-23
Jumlah Total
45-59 60-69 > 70 45-59 60-69
Lansia (45-70)
Jumlah Jumlah
Jumlah
Kelompok Panti
Jumlah
B L B L (%) B L B L (%)
(B+
(B+L)
L)
1 2 3 4 5 6
1 Paya Peulumat 1 1 55 68 8 21 10 17 73 106 3 3 7 0 13 2 0 7 0 9
2 Tengah Peulumat 1 1 72 77 22 29 22 29 116 135 2 3 1 0 6 0 0 3 0 3 0
3 Aur Peulumat 1 1 31 43 14 12 0 8 45 63 1 4 2 0 7 2 0 1 0 3 0
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39 4 3 1 0 8 1 0 1 0 2 0
5 Limau Saring 1 1 67 74 26 34 10 25 103 133 3 4 1 0 8 0 0 0 0 0 0
6 Peunelop 1 1 50 47 16 19 7 5 73 71 2 3 2 0 7 0 0 2 0 2 0
7 Beutong 1 1 48 66 24 22 10 18 82 106 4 4 2 0 10 1 0 4 0 5 0
8 Gunung Rotan 1 1 68 88 30 20 25 24 123 132 4 5 1 0 10 1 0 2 0 3 0
9 Keumumu Seberang 1 1 69 74 42 36 17 12 128 122 5 0 4 0 9 1 0 1 0 2 0
10 Keumumu Hulu 1 1 59 50 16 13 5 15 80 78 5 0 1 0 6 1 0 0 0 1 0
11 Keumumu Hilir 2 2 77 93 29 39 17 18 123 150 6 0 3 0 9 0 0 0 0 0 0
13 Sawang Indah 1 1 43 36 17 17 3 12 63 65 4 0 2 0 6 0 0 0 0 0 0
JUMLAH 13 13 659 740 254 267 133 193 1046 1200 43 27 70 0
Mengetahui
EMA HENDRA,SKM
NIP. 19801224 200604 1 004
njungan Lansia Kegiatan sehari-hari

Ggn ME

Jumlah
(L+P (L+P (L+P
(B+ ) ) )
L)
7 8 9 10
2 0 4 0 6 2 7 9 4 0 0 0 0 1 1 2 5 7 1 1 2 2
1 2 1 3 7 0 0 3 3 0 4 0 6 0 0 0 0 0 1 0 1 0 8 7 15 0 1 1 0 0 0 3 3 0
1 1 2 4 8 0 2 1 3 0 20 0 3 0 0 0 0 0 1 2 3 0 6 6 12 0 1 1 0 0 1 5 6 0
1 2 2 5 10 0 1 1 2 0 12 0 0 0 0 0 0 0 1 1 2 0 5 4 9 0 1 1 0 0 1 3 4 0
1 3 0 4 8 0 0 0 0 0 8 0 0 0 0 0 0 0 1 0 1 0 7 9 16 0 1 1 0 0 0 3 3 0
2 6 1 7 16 0 0 2 2 0 18 0 0 0 0 0 0 0 2 0 2 0 8 10 18 0 2 2 0 0 0 3 3 0
1 7 2 9 19 0 1 4 5 0 35 0 4 0 0 0 0 0 1 2 3 0 5 9 14 0 1 1 0 0 2 3 5 0
0 8 2 9 19 0 1 2 3 0 30 0 4 0 0 0 0 0 0 1 1 0 5 7 12 0 0 0 0 0 1 5 6 0
1 4 2 8 15 0 1 1 2 0 26 0 3 0 0 0 0 0 1 1 2 0 6 6 12 0 1 1 0 0 1 2 3 0
2 5 1 7 15 0 1 0 1 0 16 0 0 0 0 0 0 0 2 1 3 0 4 5 9 0 2 2 0 0 1 6 7 0
2 4 1 6 13 0 0 0 0 0 13 0 0 0 0 0 0 0 2 0 2 0 4 6 10 0 2 2 0 0 1 4 5 0
2 3 1 7 13 0 0 0 0 0 13 0 0 0 0 0 0 0 2 0 2 0 3 6 9 0 2 2 0 0 1 4 5 0
0 0
Tekanan Darah
Normal Rendah
(L+
P)
10 11 12 13 14 15 16
1 2 3 2 2 2 1 1
4 4 8 0 0 3 3 0 0 0 0 0 0 0 0 0 1 2 3 0 2 12 14 0 0 0 0 0 0 0
5 7 12 0 0 2 2 0 0 0 0 0 2 2 4 0 0 0 0 0 3 3 6 0 0 0 0 0 0 0
5 9 14 0 0 3 3 0 0 0 0 0 1 1 2 0 0 0 0 0 3 3 6 0 0 0 0 0 0 0
4 8 12 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 6 0 0 0 0 0 0 0
4 9 13 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 6 0 0 0 0 0 0 0
3 10 13 0 0 3 3 0 0 0 0 0 2 2 4 0 0 2 2 0 1 1 2 0 0 0 0 0 0 0
4 12 16 0 0 1 1 0 0 0 0 0 1 1 2 0 1 2 3 0 2 2 4 0 0 0 0 0 0 0
9 11 20 0 0 2 2 0 0 0 0 0 1 1 2 0 0 0 0 0 3 3 6 0 0 0 0 0 0 0
7 9 16 0 0 3 3 0 0 0 0 0 1 1 2 0 0 0 0 0 4 4 8 0 0 0 0 0 0 0
8 9 17 0 0 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 8 0 0 0 0 0 0 0
7 9 16 0 0 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 6 0 0 0 0 0 0 0
31 41 72
Pengobatan
Konseling
Pemb
Jumlah Jumlah
Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Peny erday
Panti Kunjung
uluha aan Ket.
Wredha an
n Lansi
dibina Rumah
a
B L S
(L+ (L+ (L+ (L+
(%) L P (%) L P (%) L P (%) (+) (-) (+) (-)
P) P) P) P)
16 17 18 19 20 21 22 24 25 26 27 28
28 1 117
0 0 2 4 6 0 2 2 4 0 0 0 0 0 10 0 0 0 1 0 0 0 0 0 0 163
0 0 0 3 3 0 1 1 2 0 0 0 0 0 11 0 0 0 1 0 0 0 0 0 0 165
0 0 1 0 1 0 1 2 0 0 0 0 0 12 0 0 0 1 0 0 0 0 0 0 141
1
0 0 1 2 3 0 2 3 5 0 0 0 0 0 8 0 0 0 1 0 0 0 0 0 0 133
0 0 0 0 0 0 1 1 2 0 0 0 0 0 18 0 0 0 1 0 0 0 0 0 0 175
0 0 1 1 2 0 1 2 3 0 0 0 0 0 24 0 0 0 1 0 0 0 0 0 0 226
0 0 1 1 2 0 1 1 2 0 0 0 0 0 22 0 0 0 1 0 0 0 0 0 0 205
0 0 1 1 2 0 1 1 2 0 0 0 0 0 17 0 0 0 1 0 0 0 0 0 0 189
0 0 1 2 3 0 2 1 3 0 0 0 0 0 16 0 0 0 1 0 0 0 0 0 0
179
0 0 2 3 5 0 1 2 3 0 0 0 0 0 13 0 0 0 1 0 0 0 0 0 0 165
0 0 2 3 5 0 1 1 2 0 0 0 0 0 13 0 0 0 1 0 0 0 0 0 0 155
144
yenni veramailis
BULAN Dec-22
Jumlah Total
45-59 60-69 > 70 45-59 60-69
Lansia (45-70)
Jumlah Jumlah
Jumlah
Kelompok Panti
Jumlah
B L B L (%) B L B L (%)
(B+
(B+L)
L)
1 2 3 4 5 6
1 Paya Peulumat 2 2 55 68 15 22 8 10 78 100 20 35 30 54 139 0 5 10 10 12 22 0
2 Tengah Peulumat 1 1 70 55 15 25 9 17 94 97 35 24 20 35 59 0 5 13 12 10 40 0
3 Aur Peulumat 1 1 32 51 12 11 8 9 52 71 12 16 19 28 75 0 4 9 1 10 24 0
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39 8 10 12 14 44 0 3 6 3 10 22 0
5 Limau Saring 1 1 64 69 25 37 6 6 95 112 34 30 35 34 133 0 10 10 8 27 55 0
6 Peunelop 1 1 50 47 20 22 3 5 73 74 20 35 30 54 139 0 5 10 10 12 37 0
7 Beutong 1 1 52 45 23 23 8 8 83 76 22 30 25 20 97 0 10 12 10 10 42 0
8 Gunung Rotan 1 1 51 62 33 27 2 1 86 90 30 20 32 30 112 0 13 10 15 10 48 0
9 Keumumu Seberang 1 1 127 85 20 25 11 17 158 127 56 47 15 10 128 0 10 10 8 27 55 0
10 Keumumu Hulu 1 1 54 44 7 10 5 6 66 60 30 15
15
25
85 0
3 5
2
4
14
0
11 Keumumu Hilir 2 2 77 93 50 46 27 20 154 159 35 30 11 34 110 0 3 5 3 4 9 0
12 Sawang Indah 1 1 51 43 9 14 4 12 64 69 25 19 24 17 85 0 3 5 8 7 12 0
JUMLAH 14 14 703 686 239 267 98 121 1040 1074 327 311 268 355 1206 0 74 105 90 101 380 0
Mengetahui
.Kepala UPTD Puskesmas Peulumat
EMA HENDRA. SKM

Nip : 19801224 200604 1 004
jungan Lansia Kegiatan sehari-hari
> 70 Total Kunjungan Kemandirian Lansia IMT Tekanan Da

Ggn ME

Jumlah
(L+P (L+P (L+P
(B+ ) ) )
L)
7 8 9 10
5 2 6 4 17 0 30 46 76 0 10 0 2 0 2 0 0 0 5 6 11 0 12 4 16 0 0 0 0 2 2 4 0
4 4 5 10 23 0 44 40 84 0 13 0 2 0 4 0 0 0 4 5 9 0 10 10 20 0 0 0 0 2 2 4
3 2 2 6 13 0 19 35 54 0 9 0 2 0 2 0 0 0 3 2 5 0 10 6 16 0 0 1 1 4 4 8
2 5 6 4 17 0 13 26 39 0 6 0 0 0 5 0 0 0 2 6 8 0 10 4 14 0 0 0 0 3 3 6
3 3 2 4 12 0 47 66 113 0 10 0 2 0 3 0 0 0 3 2 5 0 27 4 31 0 0 2 2 2 4 6
4 2 5 3 14 0 29 45 74 0 10 0 2 0 2 0 0 0 4 5 9 0 12 3 15 0 0 1 1 3 3 6
3 3 4 3 13 0 35 38 73 0 12 0 1 0 3 0 0 0 3 4 7 0 10 3 13 0 0 0 0 2 2 4
2 0 1 3 0 43 43 86 0 10 0 2 0 2 0 0 0 0 0 0 10 1 11 0 1 3 4 2 2 4
3 3 2 4 12 0 69 46 115 0 10 0 0 0 3 0 0 0 3 2 5 0 27 4 31 0 1 1 2 3 3 6
5 2 3 3 13 0 38 22 0 5 0 0 2 0 0 0 5 3 8 0 4 3 7 0 0 1 1 4 4 8
60 3
2 5 3 5 15 0 40 20 60 0 5 0 1 0 5 0 0 0 2 3 5 0 4 5 9 0 2 1 3 2 2 4
4 3 2 2 11 0 32 33 65 0 5 0 1 0 3 0 0 0 4 2 6 0 7 2 9 0 2 1 3 2 2 4
38 36 40 49 163 0 439 418 899 0 105 0 18 0 0 0 0 0 38 40 78 0 143 49 0 6 11 17 31 33 64

Tekanan Darah
Normal Rendah
(L+
P)
10 11 12 13 14 15 16
2 2 4 2 2 4 0 0 0 2 2 4 2 2 4 0 4 4 8 0 0 0 0 2 2
2 2 4 2 2 4 0 0 0 2 2 4 2 2 4 0 4 4 8 0 0 0 0 2 2
4 2 6 4 2 6 0 0 0 1 4 5 4 4 8 8 8 16 0 0 0 2 2
3 0 3 3 0 3 0 0 0 0 3 3 3 3 6 6 6 12 0 0 0 0 0
2 2 4 2 2 4 0 0 0 2 2 4 2 2 4 4 4 8 0 0 0 2 2
3 2 5 3 2 5 0 0 0 1 3 4 3 3 6 6 6 12 0 0 0 2 2
2 1 3 2 1 3 0 0 0 0 2 2 2 2 4 4 4 8 0 0 0 1 1
2 2 4 2 2 4 0 0 0 3 2 5 2 2 4 4 4 8 0 0 0 2 2
3 0 3 3 0 3 0 0 0 1 3 4 3 3 6 6 6 12 0 0 0 0 0
4 7 4 3 7 0 0 0 1 4 5 4 4 8 8 8 16 0 0 0 3 3
3
2 1 3 2 1 3 0 0 0 1 2 3 2 2 4 4 4 8 0 0 0 1 1
2 1 3 2 1 3 0 0 0 1 2 3 2 2 4 4 4 8 0 0 0 1 1
31 18 49 31 18 49 0 0 0 15 31 46 46 46 92 62 62 124 0 0 0 18 18
Pengobatan
Konseling
Pemb
Jumlah Jumlah
Panti Kunjung
uluha aan Ket.
Wredha an
n Lansi
dibina Rumah
a
B L S
(L+ (L+ (L+ (L+
(%) L P (%) L P (%) L P (%) (+) (-) (+) (-)
P) P) P) P)
16 17 18 19 20 21 22 24 25 26 27 28
4 2 2 4 2 2 4 0 0 0 39 0 0 0 1 0 0 1 0 0 0
4 2 2 4 2 2 4 0 0 0 63 0 0 0 1 0 0 1 0 0 0
4 1 4 5 4 4 8 0 0 0 37 0 0 0 1 0 0 1 0 0 0
0 0 3 3 3 3 6 0 0 0 39 0 0 0 1 0 0 1 0 0 0
4 2 2 4 2 2 4 0 0 0 67 0 1 0 1 0 0 1 0 0 0
4 1 3 4 3 3 6 0 0 0 51 0 2 0 1 0 0 1 0 0 0
2 0 2 2 2 2 4 0 0 0 55 0 0 0 1 0 0 1 0 0 0
4 3 2 5 2 2 4 0 0 0 51 0 0 0 1 0 0 1 0 0 0
0 1 3 4 3 3 6 0 0 0 67 0 0 0 1 0 0 1 0 0 0
6 1 4 5 4 4 8 0 0 0 27 0 0 0 1 0 0 1 0 0 0
2 1 2 3 2 2 4 0 0 0 24 0 0 0 1 0 0 1 0 0 0
2 1 2 3 2 2 4 0 0 0 23 0 0 0 1 0 0 1 0 0 0
36 15 31 46 31 31 62 0 0 0 543 0 0 0 0 0 0 12 0 0 0
Yenni Veramailis
BULAN Oct-22
Jumlah Total
45-59 60-69 > 70 45-59 60-69
Lansia (45-70)
Jumlah Jumlah
Jumlah
Kelompok Panti
Jumlah
B L B L (%) B L B L (%)
(B+
(B+L)
L)
1 2 3 4 5 6
1 Paya Peulumat 2 2 55 68 15 22 8 10 78 100 3 7 4 8 22 0 3 4 2 5 9 0
2 Tengah Peulumat 1 1 70 55 15 25 9 17 94 97 2 9 4 20 29 0 2 5 1 4 12 0
3 Aur Peulumat 1 1 32 51 12 11 8 9 52 71 3 10 17 12 42 0 1 4 2 6 13 0
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39 1 7 4 9 21 0 3 6 2 6 17 0
5 Limau Saring 1 1 64 69 25 37 6 6 95 112 3 11 2 9 25 0 1 4 4 3 12 0
6 Peunelop 1 1 50 47 20 22 3 5 73 74 4 9 5 21 39 0 2 5 1 3 11 0
7 Beutong 1 1 52 45 23 23 8 8 83 76 2 13 8 15 38 0 1 4 2 2 9 0
8 Gunung Rotan 1 1 51 62 33 27 2 1 86 90 4 8 6 11 29 0 3 5 3 1 12 0
10 Keumumu Hulu 1 1 54 44 7 10 5 6 66 60 4 15
3
5
27 0
2 3
4
4
13
0
11 Keumumu Hilir 2 2 77 93 50 46 27 20 154 159 3 30 11 34 78 0 2 3 1 4 7 0
12 Sawang Indah 1 1 51 43 9 14 4 12 64 69 3 8 4 16 31 0 1 3 2 1 4 0
JUMLAH 14 14 703 686 239 267 98 121 1040 1074 37 143 72 178 424 0 23 3 25 1 129 0
Mengetahui
EMA HENDRA. SKM

Nip : 19801224 200604 1 004

Ggn ME

Jumlah
(L+P (L+P (L+P
(B+ ) ) )
L)
7 8 9 10
2 2 4 2 10 0 8 11 19 0 19 0 2 0 0 0 0 0 2 2 4 0 2 2 4 0 0 0 0 2 2 4 0
2 4 3 4 13 0 6 12 18 0 25 0 2 0 0 0 0 0 2 4 6 0 2 2 4 0 0 0 0 2 2 4
3 2 2 6 13 0 7 29 36 0 26 0 2 0 0 0 0 0 2 4 6 0 2 4 6 0 0 1 1 4 4 8
2 3 3 5 13 0 6 15 21 0 30 0 0 0 0 0 0 0 0 3 3 0 0 3 3 0 0 0 0 3 3 6
3 2 2 5 12 0 7 10 17 0 24 0 2 0 0 0 0 0 2 2 4 0 2 2 4 0 0 2 2 2 4 6
4 2 5 3 14 0 10 11 21 0 25 0 2 0 0 0 0 0 2 3 5 0 2 3 5 0 0 1 1 3 3 6
3 1 4 6 14 0 6 16 22 0 23 0 1 0 0 0 0 0 1 2 3 0 1 2 3 0 0 0 0 2 2 4
5 3 5 2 15 0 12 9 21 0 27 0 2 0 0 0 0 0 2 2 4 0 2 2 4 0 1 3 4 2 2 4
3 3 4 4 14 0 10 11 21 0 24 0 0 0 0 0 0 0 0 3 3 0 0 3 3 0 1 1 2 3 3 6
5 2 3 3 13 0 11 10 0 26 0 0 0 0 0 0 4 7 0 4 7 0 0 1 1 4 4 8
21 3 3 3
2 5 3 5 15 0 7 20 27 0 22 0 1 0 0 0 0 0 1 2 3 0 1 2 3 0 2 1 3 2 2 4
4 3 2 2 11 0 8 7 15 0 15 0 1 0 0 0 0 0 1 2 3 0 1 2 3 0 2 1 3 2 2 4
38 32 40 47 157 0 98 120 259 0 286 0 18 0 0 0 0 0 18 33 51 0 18 31 0 6 11 17 31 33 64

Tekanan Darah
Normal Rendah
(L+
P)
10 11 12 13 14 15 16
2 2 4 2 2 4 0 0 0 2 2 4 2 2 4 0 4 4 8 0 0 0 0 2 2
2 2 4 2 2 4 0 0 0 2 2 4 2 2 4 0 4 4 8 0 0 0 0 2 2
4 2 6 4 2 6 0 0 0 1 4 5 4 4 8 8 8 16 0 0 0 2 2
3 0 3 3 0 3 0 0 0 0 3 3 3 3 6 6 6 12 0 0 0 0 0
2 2 4 2 2 4 0 0 0 2 2 4 2 2 4 4 4 8 0 0 0 2 2
3 2 5 3 2 5 0 0 0 1 3 4 3 3 6 6 6 12 0 0 0 2 2
2 1 3 2 1 3 0 0 0 0 2 2 2 2 4 4 4 8 0 0 0 1 1
2 2 4 2 2 4 0 0 0 3 2 5 2 2 4 4 4 8 0 0 0 2 2
3 0 3 3 0 3 0 0 0 1 3 4 3 3 6 6 6 12 0 0 0 0 0
4 7 4 3 7 0 0 0 1 4 5 4 4 8 8 8 16 0 0 0 3 3
3
2 1 3 2 1 3 0 0 0 1 2 3 2 2 4 4 4 8 0 0 0 1 1
2 1 3 2 1 3 0 0 0 1 2 3 2 2 4 4 4 8 0 0 0 1 1
31 18 49 31 18 49 0 0 0 15 31 46 46 46 92 62 62 124 0 0 0 18 18
Pengobatan
Konseling
Pemb
Jumlah Jumlah
Panti Kunjung
uluha aan Ket.
Wredha an
n Lansi
dibina Rumah
a
B L S
(L+ (L+ (L+ (L+
(%) L P (%) L P (%) L P (%) (+) (-) (+) (-)
P) P) P) P)
16 17 18 19 20 21 22 24 25 26 27 28
4 2 2 4 2 2 4 0 0 0 19 0 0 0 1 0 0 1 0 0 0
4 2 2 4 2 2 4 0 0 0 25 0 0 0 1 0 0 1 0 0 0
4 1 4 5 4 4 8 0 0 0 26 0 0 0 1 0 0 1 0 0 0
0 0 3 3 3 3 6 0 0 0 30 0 0 0 1 0 0 1 0 0 0
4 2 2 4 2 2 4 0 0 0 24 0 1 0 1 0 0 1 0 0 0
4 1 3 4 3 3 6 0 0 0 25 0 2 0 1 0 0 1 0 0 0
2 0 2 2 2 2 4 0 0 0 23 0 0 0 1 0 0 1 0 0 0
4 3 2 5 2 2 4 0 0 0 27 0 0 0 1 0 0 1 0 0 0
0 1 3 4 3 3 6 0 0 0 24 0 0 0 1 0 0 1 0 0 0
6 1 4 5 4 4 8 0 0 0 26 0 0 0 1 0 0 1 0 0 0
2 1 2 3 2 2 4 0 0 0 22 0 0 0 1 0 0 1 0 0 0
2 1 2 3 2 2 4 0 0 0 15 0 0 0 1 0 0 1 0 0 0
36 15 31 46 31 31 62 0 0 0 286 0 0 0 0 0 0 12 0 0 0
Yenni Veramailis
BULAN :September 2022
Jumlah Total
45-59 60-69 > 70 45-59 60-69
Lansia (45-70)
Jumlah Jumlah
Jumlah
Kelompok Panti
Jumlah
B L B L (%) B L B L (%)
(B+
(B+L)
L)
1 2 3 4 5 6
1 Paya Peulumat 2 2 55 68 15 22 8 10 78 100 3 7 4 8 22 0 1 5 2 5 10 0
2 Tengah Peulumat 1 1 70 55 15 25 9 17 94 97 2 9 4 20 29 0 1 5 1 4 11 0
3 Aur Peulumat 1 1 32 51 12 11 8 9 52 71 3 10 17 12 42 0 1 3 2 6 12 0
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39 1 7 4 9 21 0 1 6 2 6 15 0
5 Limau Saring 1 1 64 69 25 37 6 6 95 112 3 11 2 9 25 0 1 3 1 3 8 0
6 Peunelop 1 1 50 47 20 22 3 5 73 74 4 9 5 21 39 0 1 5 1 3 10 0
7 Beutong 1 1 52 45 23 23 8 8 83 76 2 13 8 15 38 0 1 3 2 2 8 0
8 Gunung Rotan 1 1 51 62 33 27 2 1 86 90 4 8 6 11 29 0 1 4 1 1 7 0
10 Keumumu Hulu 1 1 54 44 7 10 5 6 66 60 4 15
3
5
27 0
1 2
2
4
9
0
11 Keumumu Hilir 2 2 77 93 50 46 27 20 154 159 3 30 11 34 78 0 2 2 1 4 6 0
12 Sawang Indah 1 1 51 43 9 14 4 12 64 69 3 8 4 16 31 0 1 2 2 1 3 0
JUMLAH 14 14 703 686 239 267 98 121 1040 1074 37 143 72 178 424 0 13 2 18 1 107 0
Mengetahui
EMA HENDRA. SKM

Nip : 19801224 200604 1 004

Ggn ME

Jumlah
(L+P (L+P (L+P
(B+ ) ) )
L)
7 8 9 10
0 2 1 2 5 0 4 11 15 0 15 0 2 0 0 0 0 0 2 2 4 0 2 2 4 0 0 0 0 2 2 4 0
1 4 1 4 10 0 4 12 16 0 21 0 2 0 0 0 0 0 2 4 6 0 2 2 4 0 0 0 0 2 2 4
0 2 1 6 9 0 4 29 33 0 21 0 2 0 0 0 0 0 2 4 6 0 2 4 6 0 0 1 1 4 4 8
1 3 2 5 11 0 3 15 18 0 26 0 0 0 0 0 0 0 0 3 3 0 0 3 3 0 0 0 0 3 3 6
0 2 1 5 8 0 4 10 14 0 16 0 2 0 0 0 0 0 2 2 4 0 2 2 4 0 0 2 2 2 4 6
1 2 1 3 7 0 6 11 17 0 17 0 2 0 0 0 0 0 2 3 5 0 2 3 5 0 0 1 1 3 3 6
2 1 2 6 11 0 5 16 21 0 19 0 1 0 0 0 0 0 1 2 3 0 1 2 3 0 0 0 0 2 2 4
0 3 5 2 10 0 5 9 14 0 17 0 2 0 0 0 0 0 2 2 4 0 2 2 4 0 1 3 4 2 2 4
0 3 3 4 10 0 6 11 17 0 18 0 0 0 0 0 0 0 0 3 3 0 0 3 3 0 1 1 2 3 3 6
0 2 2 3 7 0 5 10 0 16 0 0 0 0 0 0 4 7 0 4 7 0 0 1 1 4 4 8
15 3 3 3
1 5 3 5 14 0 6 20 26 0 20 0 1 0 0 0 0 0 1 2 3 0 1 2 3 0 2 1 3 2 2 4
1 3 1 2 7 0 5 7 12 0 10 0 1 0 0 0 0 0 1 2 3 0 1 2 3 0 2 1 3 2 2 4
7 32 23 47 109 0 57 120 218 0 216 0 18 0 0 0 0 0 18 33 51 0 18 31 0 6 11 17 31 33 64

Tekanan Darah
Normal Rendah
(L+
P)
10 11 12 13 14 15 16
2 2 4 2 2 4 0 0 0 2 2 4 1 1 2 0 2 2 4 0 0 0 0 2 2
2 2 4 2 2 4 0 0 0 2 2 4 1 2 3 0 3 3 6 0 0 0 0 2 2
4 2 6 4 2 6 0 0 0 1 4 5 5 5 10 10 10 20 0 0 0 2 2
3 0 3 3 0 3 0 0 0 0 3 3 3 3 6 6 6 12 0 0 0 0 0
2 2 4 2 2 4 0 0 0 2 2 4 4 4 8 8 8 16 0 0 0 2 2
3 2 5 3 2 5 0 0 0 1 3 4 4 4 8 8 8 16 0 0 0 2 2
2 1 3 2 1 3 0 0 0 0 2 2 2 2 4 4 4 8 0 0 0 1 1
2 2 4 2 2 4 0 0 0 3 2 5 5 5 10 10 10 20 0 0 0 2 2
3 0 3 3 0 3 0 0 0 1 3 4 4 4 8 8 8 16 0 0 0 0 0
4 7 4 3 7 0 0 0 1 4 5 5 5 10 10 10 20 0 0 0 3 3
3
2 1 3 2 1 3 0 0 0 1 2 3 3 3 6 6 6 12 0 0 0 1 1
2 1 3 2 1 3 0 0 0 1 2 3 3 3 6 6 6 12 0 0 0 1 1
31 18 49 31 18 49 0 0 0 15 31 46 46 46 92 81 81 162 0 0 0 18 18
Pengobatan
Konseling
Pemb
Jumlah Jumlah
Panti Kunjung
uluha aan Ket.
Wredha an
n Lansi
dibina Rumah
a
B L S
(L+ (L+ (L+ (L+
(%) L P (%) L P (%) L P (%) (+) (-) (+) (-)
P) P) P) P)
16 17 18 19 20 21 22 24 25 26 27 28
4 2 2 4 2 2 4 0 0 0 15 0 0 0 1 0 0 1 0 0 0
4 2 2 4 2 2 4 0 0 0 21 0 0 0 1 0 0 1 0 0 0
4 1 4 5 4 4 8 0 0 0 21 0 0 0 1 0 0 1 0 0 0
0 0 3 3 3 3 6 0 0 0 26 0 0 0 1 0 0 1 0 0 0
4 2 2 4 2 2 4 0 0 0 16 0 1 0 1 0 0 1 0 0 0
4 1 3 4 3 3 6 0 0 0 17 0 2 0 1 0 0 1 0 0 0
2 0 2 2 2 2 4 0 0 0 19 0 0 0 1 0 0 1 0 0 0
4 3 2 5 2 2 4 0 0 0 17 0 0 0 1 0 0 1 0 0 0
0 1 3 4 3 3 6 0 0 0 18 0 0 0 1 0 0 1 0 0 0
6 1 4 5 4 4 8 0 0 0 16 0 0 0 1 0 0 1 0 0 0
2 1 2 3 2 2 4 0 0 0 20 0 0 0 1 0 0 1 0 0 0
2 1 2 3 2 2 4 0 0 0 10 0 0 0 1 0 0 1 0 0 0
36 15 31 46 31 31 62 0 0 0 216 0 0 0 0 0 0 12 0 0 0
Yenni Veramailis
KECAMATAN labuhanhaji Timur
BULAN Desember 2020
Jumlah Total
45-59 60-69 > 70 45-59 60-69
Lansia (45-70)
Jumlah Jumlah
Jumlah
Kelompok Panti
Jumlah
B L B L (%) B L B L (%)
(B+
(B+L)
L)
1 2 3 4 5 6
1 Paya Peulumat 2 2 53 66 14 21 7 9 74 96 53 66 119 14 21 35
2 Tengah Peulumat 1 1 92 70 26 18 10 18 128 106 92 70 162 26 18 44
3 Aur Peulumat 1 1 47 45 5 10 8 10 60 65 47 45 92 1 10 11
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39 20 24 44 10 5 15
5 Limau Saring 1 1 64 69 25 37 6 6 95 112 64 69 133 25 37 62
6 Peunelop 1 1 35 29 19 4 2 1 56 34 35 29 64 19 4 23
7 Beutong 1 1 52 45 23 23 8 8 83 76 52 45 97 23 23 46
8 Gunung Rotan 1 1 51 62 33 27 2 1 86 90 51 62 113 33 27 60
9 Keumumu Seberang 1 1 127 85 20 25 11 17 158 127 127 85 212 20 25 45
10 Keumumu Hulu 1 1 54 44 7 10 5 6 66 60 54 44 98 7 10 17
11 Keumumu Hilir 2 2 84 79 41 37 22 27 147 143 84 79 163 41 37 78
12 Sawang Indah 1 1 18 20 9 13 6 8 33 41 18 20 38 9 13 22
JUMLAH 14 14 485 433 177 176 62 74 724 683 0 0 638 638 0 228 0 230 458
Mengetahui
EMA HENDRA,SKM.
Nip. 19801224 200604 1 004
> 70 Total Kunjungan Kemandirian Lansia IMT Tekana

Ggn ME

Jumlah
(L+P (L+P (L+P
(B+ ) ) )
L)
7 8 9 1
7 9 16 74 96 170 33 7 2 0 0 7 9 16 2 7 9 0 0 0 2 7 9
10 18 28 128 106 234 36 10 8 0 0 10 18 28 8 10 18 0 0 0 4 10 14
8 10 18 56 65 121 9 6 4 0 0 8 10 18 4 6 10 0 0 0 1 8 9
7 10 17 37 39 76 12 5 5 0 0 7 10 17 5 5 10 0 0 0 1 7 8
6 6 12 95 112 207 62 2 4 0 0 6 6 12 4 2 6 0 0 0 0 6 6
2 1 3 56 34 90 24 1 0 0 2 1 3 3 1 4 0 0 0 1 2 3
8 8 16 83 76 159 46 5 3 0 0 8 8 16 3 5 8 0 0 0 3 8 11
2 1 3 86 90 176 61 1 0 0 2 1 3 1 3 4 0 0 0 3 2 5
11 17 28 158 127 285 39 10 7 0 0 11 17 28 7 10 17 0 0 0 3 11 14
5 6 11 66 60 126 16 4 2 0 0 5 6 11 2 4 6 0 0 0 2 5 7
22 27 49 147 143 290 73 17 10 0 0 22 27 49 10 17 27 0 0 0 1 22 23
6 8 14 33 41 74 10 10 3 0 0 6 8 14 3 10 13 0 0 0 3 6 9
0 94 0 121 215 322 989 1311 673 77 49 0 0 94 121 215 52 80 132 0 0 0 24 94 118
Tekanan Darah
Normal Rendah
(L+ (L+
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 (%)
P) P)
10 11 12 13 14 15 16
2 21 23 2 2 4 0 0 0 0 0 0 2 2 7 2 9 0 0 0 0 0 0 0
8 18 26 8 4 12 0 0 0 0 0 0 4 8 10 4 14 0 0 0 0 0 0 0
4 10 14 4 1 5 0 0 0 0 0 0 1 4 6 1 7 0 0 0 0 0 0 0
5 5 10 5 1 6 0 0 0 0 0 0 1 5 5 1 6 0 0 0 0 0 0 0
4 37 41 4 0 4 0 0 0 0 0 0 0 4 2 0 2 0 0 0 0 0 0 0
4 4 3 1 4 0 0 0 0 0 0 1 3 1 1 2 0 0 0 0 0 0 0
3 23 26 3 3 6 0 0 0 0 0 0 3 3 5 3 8 0 0 0 0 0 0 0
1 27 28 1 3 4 0 0 0 0 0 0 3 1 3 3 6 0 0 0 0 0 0 0
7 25 32 7 3 10 0 0 0 0 0 0 3 7 10 3 13 0 0 0 0 0 0 0
2 10 12 2 2 4 0 0 0 0 0 0 2 2 4 2 6 0 0 0 0 0 0 0
10 37 47 10 1 11 0 0 0 0 0 0 1 10 17 1 18 0 0 0 0 0 0 0
3 13 16 3 3 6 0 0 0 0 0 0 3 3 10 3 13 0 0 0 0 0 0 0
49 230 279 52 24 76 0 0 0 0 0 0 24 52 76 80 24 104 0 0 0 0 0 0 0

Pengobatan
Konseling
Pemb
Jumlah Jumlah
Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Peny erday
Panti Kunjung
uluha aan Ket.
Wredha an
n Lansi
dibina Rumah
a
B L S
(L+ (L+ (L+
L P (%) L P (%) L P (%) (+) (-) (+) (-)
P) P) P)
17 18 19 20 21 22 24 25 26 27 28
2 21 0 1 2 3 0 0 0 0 51 0 0 0 1 √ 0 0 2
4 18 0 2 3 5 0 0 0 0 72 0 0 0 1 √ 0 0 4
1 10 0 1 1 2 0 0 0 0 29 0 0 0 1 √ 0 0 2
1 5 0 1 2 3 0 0 0 0 32 0 0 0 1 √ 0 0 1
0 37 0 1 1 2 0 0 0 0 74 0 0 0 1 √ 0 0 2
1 4 0 2 3 5 0 0 0 0 26 0 0 0 1 √ 0 0 3
3 23 0 1 1 2 0 0 0 0 62 0 0 0 1 √ 0 0 1
3 27 0 2 3 5 0 0 0 0 63 0 0 0 1 √ 0 0 2
3 25 0 1 2 3 0 0 0 0 73 0 0 0 1 √ 0 0 1
2 10 0 2 2 4 0 0 0 0 28 0 0 0 1 √ 0 0 2
1 37 0 1 1 2 0 0 0 0 127 0 0 0 1 √ 0 0 1
3 13 0 2 3 5 0 0 0 0 36 0 0 0 1 √ 0 0 2
24 230 0 17 24 41 0 0 0 0 673 0 0 0 12 √ 0 0 23
KECAMATAN labuhanhaji Timur
BULAN Oktober 2020
Jumlah Total
45-59 60-69 > 70 45-59 60-69
Jumlah Jumlah Lansia (45-70)
Jumlah
Kelompok Panti
Lansia Wredha
L P Total ( L + P ) L P Total ( L + P )
B L B L (%) B L B L (%)
(B+ (B+
L) L)
1 2 3 4 5 6
1 Paya Peulumat 2 2 53 66 14 21 7 9 74 96 20 33 36 30 119 7 14 11 10 42
2 Tengah Peulumat 1 1 92 70 26 18 10 18 128 106
3 Aur Peulumat 1 1 47 45 1 10 8 10 56 65
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39
5 Limau Saring 1 1 64 69 25 37 6 6 95 112
6 Peunelop 1 1 35 29 19 4 2 1 56 34
7 Beutong 1 1 52 45 23 23 8 8 83 76
8 Gunung Rotan 1 1 51 62 33 27 2 1 86 90
10 Keumumu Hulu 1 1 54 44 7 10 5 6 66 60
11 Keumumu Hilir 2 2 84 79 41 37 22 27 147 143
12 Sawang Indah 1 1 18 20 9 13 6 8 33 41
JUMLAH 14 14 485 433 177 176 62 74 724 683 20 33 36 30 119 7 14 11 10 42
Mengetahui
Kepala Puskesmas
________________
> 70 Total Kunjungan Kemandirian Lansia IMT Teka

Ggn ME

Jumlah
(L+P (L+P (L+P
(B+ ) ) )
L)
7 8 9
5 2 6 3 16 49 43 92 40 10 8 0 0 10 3 13 8 4 12 2 2 4 10 12 22
0 0 0 0 1 2 0 0 2 4 6 10 15 25
0 0 0 0 1 1 0 0 1 1 2 1 3 4
0 0 0 0 0 0 0 0 0 1 1 2 4 6
0 0 0 0 0 0 0 0 0 0 0 4 6 10
0 0 0 0 0 0 0 0 0 1 1 1 1 2
0 0 0 0 0 0 0 0 1 3 4 1 3 4
0 0 0 0 1 0 0 0 1 3 4 3 5 8
0 0 0 0 0 0 0 0 2 3 5 1 4 5
0 0 0 0 0 0 0 0 2 2 4 2 3 5
0 0 0 0 0 0 0 0 1 1 2 2 4 6
0 0 0 0 0 0 0 0 2 3 5 1 1 2
5 2 6 3 16 81 43 124 58 13 11 0 0 10 3 13 8 4 12 14 24 38 38 61 99
Tekanan Darah
Hb Kurang Kolesterol tinggi DM As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Pengliha
Normal Rendah
(L+ (L+
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) P)
10 11 12 13 14 15 16 17
8 4 12 2 2 4 0 0 0 8 1 9 2 2 4 2 4 6 0 0 0 0 0 0 1
3 7 10 2 4 6 0 1 1 3 5 8 2 4 6 1 3 4 0 0 0 0 0 0 1
2 2 4 1 1 2 0 0 0 4 5 9 0 0 0 4 6 10 0 0 0 0 0 0 0
2 4 6 0 0 0 0 0 0 3 5 8 0 0 0 3 5 8 0 0 0 0 0 0 0
1 4 5 1 1 2 0 0 0 4 5 9 0 0 0 3 4 7 0 0 0 0 0 0 0
4 4 8 2 2 4 0 0 0 0 2 2 1 2 3 4 6 10 0 0 0 0 0 0 0
3 5 8 2 3 5 0 0 0 2 3 5 0 0 0 2 4 6 0 0 0 0 0 0 0
2 4 6 0 0 0 0 1 1 0 1 1 1 0 1 2 5 7 0 0 0 0 0 0 0
2 3 5 0 0 0 0 0 0 0 0 0 0 2 2 2 6 8 0 0 0 0 0 0 0
3 2 5 1 1 2 0 1 1 0 0 0 1 1 2 2 2 4 0 0 0 0 0 0 0
2 5 7 2 2 4 0 1 1 0 0 0 0 0 0 3 6 9 0 0 0 0 0 0 0
1 2 3 3 1 4 0 0 0 2 2 4 1 1 2 1 3 4 0 0 0 0 0 0 0
33 46 79 16 17 33 0 4 0 26 29 55 8 12 20 29 54 83 0 0 0 0 0 0 0
Pengobatan
Konseling Pemb
Jumlah Jumlah
Peny erday
Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Panti Kunjung
uluha aan Ket.
Wredha an
n Lansi
dibina Rumah
a
B L S
(L+ (L+ (L+
P (%) L P (%) L P (%) (+) (-) (+) (-)
P) P) P)
17 18 19 20 21 22 24 25 26 27 28
1 0 1 2 3 0 0 0 0 58 0 0 0 1 √ 0 0 √
2 0 2 3 5 0 0 0 0 0 0 0 0 1 √ 0 0 √
0 0 1 1 2 0 0 0 0 0 0 0 0 1 √ 0 0 0
0 0 1 2 3 0 0 0 0 0 0 0 0 1 √ 0 0 0
0 0 1 1 2 0 0 0 0 0 0 0 0 1 √ 0 0 0
0 0 2 3 5 0 0 0 0 0 0 0 0 1 √ 0 0 0
0 0 1 1 2 0 0 0 0 0 0 0 0 1 √ 0 0 0
0 0 2 3 5 0 0 0 0 0 0 0 0 1 √ 0 0 0
0 0 1 2 3 0 0 0 0 0 0 0 0 1 √ 0 0 V
0 0 2 2 4 0 0 0 0 0 0 0 0 1 √ 0 0 0
0 0 1 1 2 0 0 0 0 0 0 0 0 1 √ 0 0 0
0 0 2 3 5 0 0 0 0 0 0 0 0 1 √ 0 0 0
0 0 17 24 41 0 0 0 0 58 0 0 0 12
KECAMATAN : LABUHANHAJI TIMUR
BULAN 31 mei 2020
Sasaran Lansia
Jumlah Total Lansia

45-59 60-69 > 70 45-59
Jumlah
Kelompok Panti
Lansia Wredha
L P Total ( L + P )
B L B L (B+ (%)
L)
1 2 3 4 5
1 Paya Peulumat 2 2
2 Tengah Peulumat 1 1
3 Aur Peulumat 1 1
4 Padang Peulumat 1 1
5 Limau Saring 1 1
6 Peunelop 1 1
7 Beutong 1 1
8 Gunung Rotan 1 1
9 Keumumu Seberang 1 1
10 Keumumu Hulu 1 1
11 Keumumu Hilir 2 2
12 Sawang Indah 1 1
JUMLAH 14 14
Mengetahui
EMA HENDRA,SKM.
Nip. 19801224 200604 1 004
Jumlah Kunjungan Lansia Kegiatan sehari-hari
60-69 > 70 Total Kunjungan Kemandirian Lansia
L P Total ( L + P ) L P Total ( L + P ) 45 - > 70 A B C

Jumlah Jumlah
B L B L (%) B L B L (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%)
(B+L) +L)
6 7
IMT Tekanan Darah
Ggn ME
Lebih Normal Kurang Tinggi Normal Rendah
L P L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L
8 9 10
Rendah
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
11 12 13 14 15 16
Pengobatan
Konseling
Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Penyuluhan
B L S
(L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)
16 17 18 19 20 21 22 24
Jumlah
Pemberdayaan Jumlah Panti
Kunjungan Ket.
Rumah
25 26 27 28
KECAMATAN : LABUHANHAJI TIMUR
BULAN : 30 September 2020
Jumlah Total Lansia

45-59 60-69 > 70 45-59 60-69 > 70
Jumlah
Kelompok Panti
Lansia Wredha
L P Total ( L + P ) L P Total ( L + P ) L P Total ( L + P )
L P L P L P L P Jumlah Jumlah Jumlah
B L B L (B+ (%) B L B L (%) B L B L (B
L) (B+L) +L)
1 2 3 4 5 6
1 Paya Peulumat 2 2 53 66 14 21 7 9 74 96
2 Tengah Peulumat 1 1 92 70 26 18 10 18 128 106
3 Aur Peulumat 1 1 47 45 1 10 8 10 56 65
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39
5 Limau Saring 1 1 64 69 25 37 6 6 95 112
6 Peunelop 1 1 35 29 19 4 54 33
7 Beutong 1 1 52 45 23 23 8 8 83 76
8 Gunung Rotan 1 1 51 62 33 27 2 1 86 90
10 Keumumu Hulu 1 1 54 44 7 10 5 6 66 60
11 Keumumu Hilir 2 2 84 79 41 37 22 27 147 143
12 Sawang Indah 1 1 18 20 9 13 6 8 33 41
JUMLAH 14 14 485 433 177 176 60 73 722 682
Mengetahui
EMA HENDRA,SKM
Nip. 19801224 200604 1 004
Total Kunjungan Kemandirian Lansia IMT Tekanan Darah

Ggn ME
Total ( L + P ) 45 - > 70 A B C Lebih Normal Kurang Tinggi Normal Rendah
(%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P
7 8 9 10
Hb Kurang Kolesterol tinggi DM As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain
Rendah
(L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P)
11 12 13 14 15 16 17 18 19
Pengobatan
Konseling
Jumlah
Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Rumah
B L S
(%) (+) (-) (+) (-)
19 20 21 22 24 25 26 27 28
1 0 0 0
1 0 0 2
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 0 0 0
1 ….. 0 0
1 …n 0 0
KECAMATAN :LABUHANHAJI TIMUR
BULAN : 30 September 2020
Jumlah Total Lansia

45-59 60-69 > 70 45-59 60-69 > 70
Jumlah
Kelompok Panti
Lansia Wredha
B L B L (B+ (%) B L B L (%) B L B L (B
L) (B+L) +L)
1 2 3 4 5 6
1 Paya Peulumat 2 2 53 66 14 21 7 9 74 96 1 13 2 17 33 0 1 4 2 4 11 0 0 1 0 2 3
2 Tengah Peulumat 1 1 92 70 26 18 10 18 128 106 2 14 1 19 36 0 0 3 3 5 11 0 1 2 1 3 7
3 Aur Peulumat 1 1 47 45 1 10 8 10 56 65 1 6 2 9 18 0 2 2 1 3 8 0 1 1 2 4 8
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39 0 8 1 9 18 0 1 2 1 3 7 0 1 2 2 5 10
5 Limau Saring 1 1 64 69 25 37 6 6 95 112 0 8 1 8 17 0 0 3 0 5 8 0 1 3 0 4 8
6 Peunelop 1 1 35 29 19 4 54 33 2 6 2 7 17 0 0 6 2 6 14 0 2 6 1 7 16
7 Beutong 1 1 52 45 23 23 8 8 83 76 0 11 2 8 21 0 1 3 4 8 16 0 1 7 2 9 19
8 Gunung Rotan 1 1 51 62 33 27 2 1 86 90 1 8 1 9 19 0 1 2 2 7 12 0 0 8 2 9 19
9 Keumumu Seberang 1 1 127 85 20 25 11 17 158 127 2 7 4 8 21 0 1 2 1 4 8 0 1 4 2 8 15
10 Keumumu Hulu 1 1 54 44 7 10 5 6 66 60 1 8 1 9 19 0 1 2 0 4 7 0 2 5 1 7 15
11 Keumumu Hilir 2 2 84 79 41 37 22 27 147 143 0 12 3 16 31 0 0 3 0 4 7 0 2 4 1 6 13
12 Sawang Indah 1 1 18 20 9 13 6 8 33 41 1 8 2 10 21 0 0 3 0 5 8 0 2 3 1 7 13
JUMLAH 14 14 485 433 177 176 60 73 722 682 11 109 22 129 271 0 8 35 16 58 117 0 14 46 15 71 146
Mengetahui
EMA HENDRA,SKM
Nip. 19801224 200604 1 004

Ggn ME
7 8 9 10
0 20 27 47 0 15 0 4 0 0 0 0 0 0 1 1 0 5 7 12 0 0 0 0 0 1 3 4 0 5 5 10 0 0 0
0 22 32 54 0 12 0 6 0 0 0 0 0 1 0 1 0 8 7 15 0 1 1 0 0 0 3 3 0 4 9 13 0 0 3
0 13 21 34 0 20 0 3 0 0 0 0 0 1 2 3 0 6 6 12 0 1 1 0 0 1 5 6 0 5 7 12 0 0 2
0 14 21 35 0 17 0 0 0 0 0 0 0 1 1 2 0 5 4 9 0 1 1 0 0 1 3 4 0 5 9 14 0 0 3
0 15 18 33 0 16 0 0 0 0 0 0 0 1 0 1 0 7 9 16 0 1 1 0 0 0 3 3 0 4 8 12 0 0 3
0 22 25 47 0 30 0 0 0 0 0 0 0 2 0 2 0 8 10 18 0 2 2 0 0 0 3 3 0 4 9 13 0 0 3
0 23 33 56 0 35 0 4 0 0 0 0 0 1 2 3 0 5 9 14 0 1 1 0 0 2 3 5 0 3 10 13 0 0 3
0 20 30 50 0 30 0 4 0 0 0 0 0 0 1 1 0 5 7 12 0 0 0 0 0 1 5 6 0 4 12 16 0 0 1
0 17 27 44 0 26 0 3 0 0 0 0 0 1 1 2 0 6 6 12 0 1 1 0 0 1 2 3 0 9 11 20 0 0 2
0 19 22 41 0 22 0 0 0 0 0 0 0 2 1 3 0 4 5 9 0 2 2 0 0 1 6 7 0 7 9 16 0 0 3
0 21 30 51 0 20 0 0 0 0 0 0 0 2 0 2 0 4 6 10 0 2 2 0 0 1 4 5 0 8 9 17 0 0 4
0 17 25 42 0 21 0 0 0 0 0 0 0 2 0 2 0 3 6 9 0 2 2 0 0 1 4 5 0 7 9 16 0 0 4
0 223 311 534 0 264 0 24 0 0 0 0 0 12 9 21 0 66 82 148 0 14 14 0 0 10 3 54 0 65 107 172 0 0 3

Rendah
11 12 13 14 15 16 17 18 19
0 0 0 0 0 0 1 1 2 0 0 2 2 0 1 3 4 0 0 0 0 0 0 0 0 0 1 2 3 0 2 2 4 0 0 0 0
3 0 0 0 0 0 0 0 0 0 1 2 3 0 2 12 14 0 0 0 0 0 0 0 0 0 2 4 6 0 2 2 4 0 0 0 0
2 0 0 0 0 0 2 2 4 0 0 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 3 3 0 1 1 2 0 0 0 0
3 0 0 0 0 0 1 1 2 0 0 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 1 0 1 0 1 2 0 0 0 0
1
3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 1 2 3 0 2 3 5 0 0 0 0
3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
3 0 0 0 0 0 2 2 4 0 0 2 2 0 1 1 2 0 0 0 0 0 0 0 0 0 1 1 2 0 1 2 3 0 0 0 0
1 0 0 0 0 0 1 1 2 0 1 2 3 0 2 2 4 0 0 0 0 0 0 0 0 0 1 1 2 0 1 1 2 0 0 0 0
2 0 0 0 0 0 1 1 2 0 0 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 1 1 2 0 1 1 2 0 0 0 0
3 0 0 0 0 0 1 1 2 0 0 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 1 2 3 0 2 1 3 0 0 0 0
4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 2 3 5 0 1 2 3 0 0 0 0
4 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 2 3 5 0 1 1 2 0 0 0 0
3 0 0 0 0 0 9 9 18 0 2 8 10 0 32 44 76 0 0 0 0 0 0 0 0 0 13 22 35 0 0 0 0 0 0 0 0
Pengobatan
Konseling
Jumlah
Rumah
B L S
(%) (+) (-) (+) (-)
19 20 21 22 24 25 26 27 28
0 14 0 0 0 1 0 0 1 0 0 2
0 18 0 0 0 1 0 0 1 0 0 8
0 16 0 0 0 1 0 0 1 0 0 0
0 17 0 0 0 1 0 0 1 0 0 0
0 16 0 0 0 1 0 0 1 0 0 0
0 30 0 0 0 1 0 0 1 0 0 0
0 35 0 0 0 1 0 0 1 0 0 0
0 31 0 0 0 1 0 0 1 0 0 0
0 23 0 0 0 1 0 0 1 0 0 0
0 22 0 0 0 1 0 0 1 0 0 0
0 20 0 0 0 1 0 0 1 0 0 0
0 21 0 0 0 1 0 0 1 0 0 0
0 263 0 0 0 1 0 0 1 0 0 0
KECAMATAN : MEUKEK
BULAN : 30 Juni 2019
Jumlah Total Lansia

45-59 60-69 > 70 45-59 60-69 > 70
Jumlah
Kelompok Panti
Lansia Wredha
B L B L (B+ (%) B L B L (%) B L B L (B
L) (B+L) +L)
1 2 3 4 5 6
1 Paya Peulumat 2 2 53 66 14 21 7 9 74 96 1 8 0 9 18 0 0 5 0 4 9 0 0 3 0 2 5
2 Tengah Peulumat 1 1 92 70 26 18 10 18 128 106 0 26 0 7 33 0 0 3 0 5 8 0 0 3 0 4 7
3 Aur Peulumat 1 1 47 45 1 10 8 10 56 65 0 15 0 17 32 0 0 2 0 5 7 0 0 2 0 4 6
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39 0 4 0 6 10 0 0 1 0 2 3 0 0 1 0 3 4
5 Limau Saring 1 1 64 69 25 37 6 6 95 112 0 6 0 2 8 0 0 2 0 4 6 0 0 3 0 2 5
6 Peunelop 1 1 35 29 19 4 54 33 0 9 0 5 14 0 0 3 0 5 8 0 0 3 0 3 6
7 Beutong 1 1 52 45 23 23 8 8 83 76 0 2 0 8 10 0 0 5 0 4 9 0 0 4 0 2 6
8 Gunung Rotan 1 1 51 62 33 27 2 1 86 90 0 8 0 6 14 0 0 6 0 3 9 0 0 3 0 2 5
10 Keumumu Hulu 1 1 54 44 7 10 5 6 66 60 0 0 0 0 0 3 0 4 7
10 0 7 17 0 3 5 8
11 Keumumu Hilir 2 2 84 79 41 37 22 27 147 143 0 9 0 11 20 0 0 4 0 3 7 0 0 2 0 2 4
12 Sawang Indah 1 1 18 20 9 13 6 8 33 41 0 5 0 4 9 0 0 1 0 4 5 0 0 1 0 2 3
JUMLAH 14 14 485 433 177 176 60 73 722 682 1 107 0 96 204 0 0 39 0 47 86 0 0 32 0 33 65
Mengetahui
EMA HENDRA,SKM
Nip. 19801224 200604 1 004

Ggn ME
7 8 9 10
0 17 15 32 0 6 0 2 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 0 1 3 4 0 0 0 0 0 0
0 32 16 48 0 13 0 2 0 0 0 0 0 1 2 3 0 2 3 5 0 0 0 0 1 3 4 2 2 4 0 1
0 19 26 45 0 11 0 2 0 0 0 0 0 0 1 1 0 1 3 4 0 0 1 1 2 2 4 1 2 3 0 1
0 6 11 17 0 7 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 3 4 2 2 4 2 2
0 11 8 19 0 9 0 2 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 0 1 2 3 1 2 3 3 1
0 15 13 28 0 13 0 2 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 2 2 4 1 3 4 1 2
0 11 14 25 0 13 0 1 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 0 1 2 3 1 1 2 1 3
0 17 11 28 0 13 0 2 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 3 4 2 1 3 1 1
0 13 20 33 0 14 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 2 2 2 1
1 1
0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 2 1 2 3
16 16 32 12 3 1 1 2 1 1 1
0 15 16 31 0 10 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 1 8
1 1 2 1
0 7 10 17 0 7 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 2 1 3 2 2
0 179 176 355 0 128 0 18 0 0 0 0 0 0 0 0 0 0 0 15 24 38 17 17 39 15 16

Rendah
11 12 13 14 15 16 17 18 19
0 0 0 0 0 0 1 2 0 0 1 2 3 0 2 2 4 0 0 0 0 0 0 0 0 0 1 3 4 0 1 0 1 0 0 0 0
1 0 0 0 0 0 2 2 0 0 2 2 4 0 2 3 5 0 0 0 0 0 0 0 0 0 1 0 1 0 2 0 2 0 0 0 0
1 0 0 0 0 0 2 3 0 0 1 2 3 0 2 1 3 0 0 0 0 0 0 0 0 0 3 1 4 0 3 1 4 0 0 0 0
4 0 0 0 0 0 2 1 0 0 1 2 3 0 3 1 4 0 0 0 0 0 0 0 0 0 1 2 0 1 2 0 0 0 0
1 1
4 0 0 0 0 0 3 1 0 0 2 2 4 0 1 2 0 0 0 0 0 0 0 0 0 2 2 4 0 2 2 4 0 0 0 0
1
3 0 0 0 0 0 1 0 0 1 2 3 0 2 2 4 0 0 0 0 0 0 0 0 0 1 2 3 0 1 2 3 0 0 0 0
1
4 0 0 0 0 0 0 0 0 1 2 3 0 1 2 3 0 0 0 0 0 0 0 0 0 2 2 4 0 2 2 4 0 0 0 0
3
2 0 0 0 0 0 0 0 0 0 2 2 4 0 2 2 4 0 0 0 0 0 0 0 0 0 1 2 3 0 1 2 3 0 0 0 0
3 0 0 0 0 0 0 0 0 0 1 2 3 0 1 2 3 0 0 0 0 0 0 0 0 0 2 2 4 0 2 2 4 0 0 0 0
0 0 0 0 0 0 0 0 0 1 2 3 0 2 2 4 0 0 0 0 0 0 0 0 0 1 2 3 0 1 2 3 0 0 0 0
2
4 0 0 0 0 0 0 0 0 0 2 1 3 0 1 2 3 0 0 0 0 0 0 0 0 0 1 2 3 0 1 2 3 0 0 0 0
4 0 0 0 0 0 0 0 0 0 1 1 2 0 1 2 3 0 0 0 0 0 0 0 0 0 1 2 3 0 1 1 0 0 0 0
32 0 0 0 0 0 14 10 0 0 16 22 38 0 20 22 42 0 0 0 0 0 0 0 0 0 17 21 38 0 18 16 34 0 0 0 0
Pengobatan
Konseling
Jumlah
Rumah
B L S
(%) (+) (-) (+) (-)
19 20 21 22 24 25 26 27 28
0 14 0 0 0 1 0 0 1 0 0 0
0 15 0 0 1 0 0 0 0 0 1
0 13 0 0 0 1 1 0 0 0 0 0
0 7 0 0 0 1 1 0 0 0 0 0
0 11 0 0 0 0 0 0 0 0 0 0
0 14 0 0 0 0 0 0 0 0 0 0
0 15 0 0 0 0 0 0 0 0 0 0
0 14 0 0 0 0 0 0 0 0 0 0
0 14 0 0 0 0 0 0 0 0 0 0
0 15 0 0 0 0 0 0 0 0 0 0
0 11 0 0 0 0 0 0 0 0 0 0
0 8 0 0 0 0 0 0 0 0 0 0
0 151 0 0 0 4 2 0 1 0 0 0
KECAMATAN : PEULUMAT
BULAN :28 Januari 2021`
Jumlah Total Lansia

45-59 60-69 > 70 45-59 60-69 > 70
Jumlah
Kelompok Panti
Lansia Wredha
B L B L (B+ (%) B L B L (%) B L B L (B
L) (B+L) +L)
1 2 3 4 5 6
1 Paya Peulumat 2 2 55 66 14 21 7 9 76 96 3 0 9 0 12 0 1 0 3 0 0 0 2 0 0 2 4
2 Tengah Peulumat 1 1 92 70 26 18 10 18 128 106 2 0 7 0 0 0 3 0 5 0 8 0 3 0 0 4 7
3 Aur Peulumat 1 1 47 45 1 10 8 10 56 65 3 0 17 0 20 0 2 0 2 0 4 0 2 0 0 4 6
4 Padang Peulumat 1 1 20 24 10 5 7 10 37 39 4 0 6 0 10 0 1 0 2 0 3 0 1 0 0 3 4
5 Limau Saring 1 1 64 69 25 37 6 6 95 112 3 0 2 0 5 0 2 0 4 0 6 0 3 0 0 2 5
6 Peunelop 1 1 35 29 19 4 5 7 59 40 4 0 5 0 9 0 3 0 3 0 6 0 3 0 0 3 6
7 Beutong 1 1 52 45 23 23 8 8 83 76 2 0 8 0 10 0 2 0 2 0 4 0 4 0 0 2 6
8 Gunung Rotan 1 1 51 62 33 27 2 1 86 90 4 0 6 0 10 0 3 0 3 0 6 0 3 0 0 2 5
10 Keumumu Hulu 1 1 54 44 7 10 5 6 66 60 2 0 0 3 0 0 0 3 0 0 4 7
7 9 0 5 8
11 Keumumu Hilir 2 2 84 79 41 37 22 27 147 143 3 0 11 0 14 0 2 0 3 0 0 0 2 0 0 2 4
12 Sawang Indah 1 1 18 20 9 13 6 8 33 41 3 0 4 0 7 0 1 0 4 0 0 0 1 0 0 2 3
JUMLAH 14 14 485 433 177 176 65 80 727 689 38 0 96 0 125 0 27 0 39 0 52 0 31 0 0 33 64
#REF!
Mengetahui
EMA HENDRA,SKM.
Nip. 19801224 200604 1 004

Ggn ME
7 8 9 10
0 6 11 17 0 2 0 2 0 0 0 0 0 2 2 4 0 2 2 4 0 0 0 0 2 2 4 0 2 2 4 2 2
0 8 11 19 0 4 0 2 0 0 0 0 0 2 4 6 0 2 2 4 0 0 0 0 2 2 4 2 2 4 2 2
0 7 21 28 0 4 0 2 0 0 0 0 0 2 4 6 0 2 4 6 0 0 1 1 4 4 8 4 2 6 4 2
0 6 9 15 0 3 0 0 0 0 0 0 0 0 3 3 0 0 3 3 0 0 0 0 3 3 6 3 0 3 3 0
0 8 4 12 0 2 0 2 0 0 0 0 0 2 2 4 0 2 2 4 0 0 2 2 2 2 4 2 2 4 2 2
0 10 8 18 0 3 0 2 0 0 0 0 0 2 3 5 0 2 3 5 0 0 1 1 3 3 6 3 2 5 3 2
0 8 10 18 0 2 0 1 0 0 0 0 0 1 2 3 0 1 2 3 0 0 0 0 2 2 4 2 1 3 2 1
0 10 8 18 0 2 0 2 0 0 0 0 0 2 2 4 0 2 2 4 0 1 3 4 2 2 4 2 2 4 2 2
0 13 17 30 0 3 0 0 0 0 0 0 0 0 3 3 0 0 3 3 0 1 1 2 3 3 6 3 0 3 3 0
0 8 11 0 4 0 0 0 0 0 0 4 7 0 4 7 0 0 1 1 4 4 8 4 7 4 3
19 3 3 3 3
0 7 13 20 0 2 0 1 0 0 0 0 0 1 2 3 0 1 2 3 0 2 1 3 2 2 4 2 1 3 2 1
0 5 6 11 0 2 0 1 0 0 0 0 0 1 2 3 0 1 2 3 0 2 1 3 2 2 4 2 1 3 2 1
0 96 129 225 0 33 0 18 0 0 0 0 0 18 33 51 0 18 31 0 6 11 17 31 31 62 31 18 49 31 18
Rendah
11 12 13 14 15 16 17 18 19
4 2 2 4 2 2 4 4 4 8 0 8 8 16 0 0 0 0 2 2 4 2 2 4 2 2 4 3 5 0
4 2 2 4 2 2 4 4 4 8 0 8 8 16 0 0 0 0 2 2 4 2 2 4 2 2 4 6 9 0
6 4 4 8 1 4 5 5 5 10 10 10 20 0 0 0 2 2 4 1 4 5 4 4 8 4 6 0
3 3 3 6 0 3 3 3 3 6 6 6 12 0 0 0 0 0 0 0 3 3 3 3 6 2 5 0
4 2 2 4 2 2 4 4 4 8 8 8 16 0 0 0 2 2 4 2 2 4 2 2 4 5 6 0
5 3 3 6 1 3 4 4 4 8 8 8 16 0 0 0 2 2 4 1 3 4 3 3 6 6 6 0
3 2 2 4 0 2 2 2 2 4 4 4 8 0 0 0 1 1 2 0 2 2 2 2 4 6 4 0
4 2 2 4 3 2 5 5 5 10 10 10 20 0 0 0 2 2 4 3 2 5 2 2 4 6 5 0
3 3 3 6 1 3 4 4 4 8 8 8 16 0 0 0 0 0 0 1 3 4 3 3 6 8 6 0
7 4 4 8 1 4 5 5 5 10 10 10 20 0 0 0 3 3 6 1 4 5 4 4 8 6 9 0
3 2 2 4 1 2 3 3 3 6 6 6 12 0 0 0 1 1 2 1 2 3 2 2 4 4 5 0
3 2 2 4 1 2 3 3 3 6 6 6 12 0 0 0 1 1 2 1 2 3 2 2 4 2 6 0
49 31 31 62 15 31 46 46 46 92 92 92 184 0 0 0 18 18 36 15 31 46 31 31 62 58 72 0
Pengobatan
Konseling
Jumlah
Rumah
B L S
(%) (+) (-) (+) (-)
19 20 21 22 24 25 26 27 28
8 0 0 0 1 0 0 1 0 0 0
15 0 0 1 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0 0 0 0
130 0 0 0 0 0 0 0 0 0 0
KECAMATAN MEUKEK
BULAN : 28 MARET 2018
Jumlah Total Lansia

45-59 60-69 > 70 45-59 60-69 > 70
Jumlah
Kelompok Panti
Lansia Wredha
B L B L (B+ (%) B L B L (%) B L B L (B
L) (B+L) +L)
1 2 3 4 5 6
1 Paya Peulumat 10 14 53 66 14 21 7 9 74 96 3 3 6 3 7 4 14 2 1 3
2 Tengah Peulumat 12 41 92 70 26 18 10 18 128 106 6 15 9 21 51 16 7 3 15 41 2 5 4 7 18
3 Aur Peulumat 47 45 1 10 8 10 56 65 3 11 4 15 33 15 2 13 7 37 2 5 5 6 18
4 Padang Peulumat 20 24 10 5 7 10 37 39 6 12 1 6 25 3 8 2 9 22 2 7 9 18
5 Limau Saring 64 69 25 37 6 6 95 112 4 8 3 11 26 1 4 4 10 19 2 5 3 6 16
6 Peunelop 35 29 19 4 54 33 5 8 4 10 27 2 9 2 5 18 2 6 3 9 20
7 Beutong 52 45 23 23 8 8 83 76 5 11 4 19 39 3 6 2 8 19 1 3 2 7 13
8 Gunung Rotan 51 62 33 27 2 1 86 90 8 19 27 7 5 12 5 5
9 Keumumu Seberang 127 85 20 25 11 17 158 127 5 14 10 29 2 4 2 8 2 2 1 5
10 Keumumu Hulu 54 44 7 10 5 6 66 60 1 2 1
2 5 7 1 1 1 3 4
11 Keumumu Hilir 84 79 41 37 22 27 147 143 1 11 3 19 34 2 2 1 8 13 3 5 8
12 Sawang Indah 19 19 0 18 20 9 13 6 8 33 41 3 10 13 2 3 5 1 1
JUMLAH 485 433 177 176 60 73 722 682 32 98 43 135 317 49 50 38 74 211 14 42 22 51 129
795 1659 274 575 138 324 1207 2558
Mengetahui 486
Kepala Puskesmas
________________

Ggn ME
Total ( L + P ) 45 - > 70 A B C Lebih Normal Kurang Tinggi Normal
(%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%)
7 8 9 10
8 11 19 19 2 1 3 3 6 4 4
51 59 110 110
38 50 88 88
38 27 65 65
24 37 61 61
32 33 65 65
29 42 71 71
20 24 44 44
27 15 42 42
2 2 2
19 36 55 53 2 1 2 3 1 4 5 1 1 4 4 3 5 8
6 13 19 19 2 2 2 2 4 1 1 3 3 2 4 6
294 347 641 639

ah
Rendah
L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L
11 12 13 14 15 16 17 18 19
1 1 2
2 2 4 2 2
2 2 4 1 2 3 1 1
Pengobatan
Konseling
Jumlah
Rumah
B L S
P (L+P) (%) (+) (-) (+) (-)
19 20 21 22 24 25 26 27 28
10
12
55
19
FORMAT PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI POSYANDU LANSIA
POSYANDU : Posyandun Lansia
NAMA KELOMPOK LANSIA : Sejahtera
DESA/KELURAHAN : Padang Peulumat
PUSKESMAS : Peulumat
KECAMATAN : Labuhan Haji Timur
BULAN
Kegiatan sehari-hari Hasil pemeriksaan (Angka)
No Nama Lansia umur Kemandirian Ggn Hb Kolesterol Gula Darah Asam Urat Gangguan Ket.
IMT Tek. Darah pendeng
A B C ME N K N T N T N T ginjal kognitif Penglihatan Lain-lain
aran
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Merah 78 √ 0 24 100/96 12 90 100 4,3 0 0 Kurang Kurang
2 Hayaton Nufus 61 √ 0 22 93/67 11 100 120 2,3 0 0 baik baik
3 Nurjanah 73 √ 0 20 100/67 11 99 100 3,4 0 0 Kurang Kurang
4 Tarmizi 90 √ 0 19 100/67 12 96 80 2.1 0 Kurang Kurang
5 Hindun 68 √ 0 22 90/70 11 87 90 3,1 0 baik baik

POSYANDU : Posyandun Lansia
NAMA KELOMPOK LANSIA :
DESA/KELURAHAN :
PUSKESMAS : Peulumat
KECAMATAN : Labuhan Haji Timur
BULAN
Kegiatan sehari-hari Hasil pemeriksaan (Angka)
No Nama Lansia umur Kemandirian Ggn Hb Kolesterol Gula Darah Asam Urat Gangguan Ket.
IMT Tek. Darah pendeng
A B C ME N K N T N T N T ginjal kognitif Penglihatan Lain-lain
aran
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
POSYANDU :
JLH KELOMPOK LANSIA :
DESA/KELURAHAN :
PUSKESMAS :
KECAMATAN :
BULAN :
Jml Kasus
Umur Kegiatan sehari-hari Hasil pemeriksaan Pengobatan
Konseling
Pem
Kunjungan Gangguan berd
Gula Asam Peny
Nama Kelompok 45-59 60-69 > 70 Kemandirian Ggn IMT Tekanan Darah Hb Kolesterol Diobati Dirujuk ayaa
No Darah Urat Penglih pendenga uluh Ket.
Lansia Ginjal Kognitif Lain-lain n
atan ran B L S an
Lans
ia
B L L P L P L P A B C ME L N K T N R N K N T N T N T (+) (-) (+) (-) (+) (-) (+) (-) (+) (-) (+) (-) (+) (-)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
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
Mengetahui
Penanggung jawab wilayah Ketua kader Posyandu ......
________________ ________________

LANSIA

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LANSIA

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Format Tersedia

KABUPATEN :

Jumlah Total Lansia

ungan Lansia Kegiatan sehari-hari

> 70 Total Kunjungan Kemandirian Lansia IMT

KABUPATEN : Aceh Selatan

2 Tengah Peulumat 1 1 92 70 26 18 10 18 128 106 7 15 22 2 7 9 2 3 5 11 25 36 8 4 0 3 3 4 4 1 3 1 5 6 1 2 3 0 0 0 1 0 1 1 1 2 0 4 4 1 2 0 2 1 3

5 Limau Saring 1 1 64 69 25 37 6 6 95 112

9 Keumumu Seberang 1 1 127 85 20 25 11 17 158 127

11 Keumumu Hilir 2 2 84 79 41 37 22 27 147 143

JUMLAH 14 14 485 433 177 176 60 73 722 682

KABUPATEN : Aceh Selatan

1 Paya Peulumat 1 1 55 68 8 21 10 17 73 106 5 7 4 5 21 1 5 2 7 15 0 1 4 3 5 13 0 23 7 30 0 7 0 5 0 3 0 4 3 4 4 8 0 5 7 12 0 2 2 4 0 2 4 6 0 2 2 4 0 1 2 3 0 1 2 3 0 3 2 5 0 2+BX12:BY24 2 2 0 1 5 6 0 0 0 0 0 1 3 0 0 2 3 5 0 1 2 0 0 0 0 0 0 49 0 0 0 1 0 0 1 0 0 2

2 Tengah Peulumat 1 1 72 77 22 29 22 29 116 135 3 3 3 4 13 2 4 3 3 12 0 2 3 2 4 11 0 17 3 10 0 10 0 6 0 4 0 2 4 5 3 8 0 4 10 14 0 3 3 6 0 3 5 8 0 3 3 6 0 4 3 7 0 4 3 7 0 3 3 6 0 3 3 3 0 4 6 10 0 0 0 0 0 0 0 0 0 2 3 5 0 2 2 4 0 0 0 0 0 23 0 0 0 1 0 0 1 0 0 3

5 Limau Saring 1 1 67 74 26 34 10 25 103 133 5 9 6 7 27 3 7 3 9 22 0 3 5 2 7 17 0 32 0 12 0 12 0 5 0 6 0 0 0 5 6 11 0 8 9 17 0 2 2 4 0 2 5 7 0 2 2 4 0 4 3 7 0 4 2 6 0 4 2 6 0 3 2 2 0 4 5 9 0 0 0 0 0 0 0 0 0 1 2 3 0 2 3 5 0 0 0 0 0 39 0 0 0 1 0 0 1 0 0 2

8 Gunung Rotan 1 1 68 88 30 20 25 24 123 132 4 5 8 4 21 2 4 8 5 19 0 2 8 1 4 15 0 25 2 13 0 13 0 4 0 5 0 0 0 7 8 15 0 7 5 12 0 5 5 10 0 5 7 12 0 5 5 10 0 4 1 5 0 4 5 9 0 3 5 8 0 1 1 5 0 4 4 8 0 0 0 0 0 0 0 0 0 2 2 4 0 1 1 2 0 0 0 0 0 34 0 0 0 1 0 0 1 0 0 2

9 Keumumu Seberang 1 1 69 74 42 36 17 12 128 122 6 7 4 8 25 3 8 4 7 22 0 3 4 2 8 17 0 31 1 14 0 14 0 3 0 9 0 0 0 6 4 10 0 6 7 13 0 2 2 4 0 2 6 8 0 2 2 4 0 9 2 11 0 9 2 11 0 3 2 5 0 2 2 2 0 9 6 15 0 0 0 0 0 0 0 0 0 2 3 5 0 1 1 2 0 0 0 0 0 39 0 0 0 1 0 0 1 0 0 2

Mengetahui Penanggung jawab usila

EMA HENDRA,SKM yenni veramailis

NIP. 19801224 200604 1 004

KABUPATEN : Aceh Selatan

1 Paya Peulumat 1 1 55 68 8 21 10 17 73 106 5 7 4 5 21 1 5 2 7 15 0 1 4 3

2 Tengah Peulumat 1 1 72 77 22 29 22 29 116 135 3 3 3 4 13 2 4 3 3 12 0 2 3 2

5 Limau Saring 1 1 67 74 26 34 10 25 103 133 5 9 6 7 27 3 7 3 9 22 0 3 5 2

8 Gunung Rotan 1 1 68 88 30 20 25 24 123 132 4 5 8 4 21 2 4 8 5 19 0 2 8 1

9 Keumumu Seberang 1 1 69 74 42 36 17 12 128 122 6 7 4 8 25 3 8 4 7 22 0 3 4 2

11 Keumumu Hilir 2 2 77 93 29 39 17 18 123 150 3 4 4 5 16 2 5 4 4 15 0 2 4 3

> 70 Total Kunjungan Kemandirian Lansia IMT Tekanan Darah

P Total ( L + P ) 45 - > 70 A B C Lebih Normal Kurang Tinggi Normal

69 175 0 308 21 214 0 214 0 63 0 69 0 53 58 79 83 162 0 42 42 84 0 26 33 59 0 42 42 84 0

L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P

Penanggung jawab usila

KABUPATEN : Aceh Selatan

1 Paya Peulumat 1 1 55 68 8 21 10 17 73 106 3 5 4 3 15 2 5 4 7 18 0 1 4 3 2 10 0 20 7 27 0 13 0

2 Tengah Peulumat 1 1 72 77 22 29 22 29 116 135 8 8 3 8 27 3 4 3 3 13 0 2 3 2 3 10 0 28 3 -4 0 -4 0

5 Limau Saring 1 1 67 74 26 34 10 25 103 133 5 7 6 5 23 3 7 3 9 22 0 3 5 2 4 14 0 30 0 13 0 13 0

8 Gunung Rotan 1 1 68 88 30 20 25 24 123 132 7 4 8 7 26 8 4 4 5 21 0 2 8 1 9 20 0 33 2 15 0 15 0

9 Keumumu Seberang 1 1 69 74 42 36 17 12 128 122 5 8 4 5 22 4 8 4 7 23 0 3 4 2 8 17 0 32 1 18 0 18 0

11 Keumumu Hilir 2 2 77 93 29 39 17 18 123 150 6 5 4 6 21 4 5 4 4 17 0 2 4 3 6 15 0 26 0 11 0 11 0

Kegiatan sehari-hari Jumlah Lansia dengan Kelainan

Kemandirian Lansia IMT Tekanan Darah

B C Lebih Normal Kurang Tinggi Normal Rendah

(L+P (L+P (L+P

63 0 69 0 53 58 79 83 162 0 42 42 84 0 53 41 94 0 61 100 161 0 61 33 94 0 61 42

103 0 34 42 76 60 54 114 0 0 0 0 0 0 0 0 0 20 31 51 0 15 18 30 0 0 0 0 0 412 0 0 0 12 0 0 12 0 0 28

Penanggung jawab usila

1 Paya Peulumat 1 1 55 68 8 21 10 17 73 106 3 5 4 3 15 2 5 4

2 Tengah Peulumat 1 1 72 77 22 29 22 29 116 135 8 8 3 8 27 3 4 3

5 Limau Saring 1 1 67 74 26 34 10 25 103 133 5 7 6 5 23 3 7 3

8 Gunung Rotan 1 1 68 88 30 20 25 24 123 132 7 4 8 7 26 8 4 4

9 Keumumu Seberang 1 1 69 74 42 36 17 12 128 122 5 8 4 5 22 4 8 4

Jumlah Kunjungan Lansia Kegiatan sehari-hari

60-69 > 70 Total Kunjungan Kemandirian Lansia IMT

P Total ( L + P ) L P Total ( L + P ) 45 - > 70 A B C Lebih

76 238 0 28 57 21 68 174 0 339 21 219 0 219 0 63 0 69 0 53 58

IMT Tekanan Darah

Normal Kurang Tinggi Normal Rendah

79 83 162 0 42 42 84 0 53 41 94 0 61 100 161 0 61 33 94 0 61 42 103 0

(L+ (L+ (L+ (L+

Penanggung jawab usila

KABUPATEN : Aceh Selatan

1 Paya Peulumat 1 1 55 68 8 21 10 17 73 106 3 5 7 4 19 5 2 7 5 19 0

2 Tengah Peulumat 1 1 72 77 22 29 22 29 116 135 8 6 4 6 24 8 5 10 4 27 0

5 Limau Saring 1 1 67 74 26 34 10 25 103 133 5 7 3 6 21 7 8 9 8 32 0

8 Gunung Rotan 1 1 68 88 30 20 25 24 123 132 7 5 6 6 24 4 7 5 7 23 0