Laporan Mingguan 2016

Laporan Pelayanan Puskesmas 24 Jam
UPT PUSKESMAS KOPO
Jumlah Jenis Kelamin Cara Bayar Domisili Umur KUNJUNGAN Rujukan

No. Hari Tanggal Shift Kunjung
an L P Umum BPJS Jamkesmas Lain-lain D wilayah L wilayah <1th 1-4th 5-6th 7-14th 15-44th45-64th >65th Baru Lama Dari
Pagi 6 4 2 4 0 2 0 4 2 1 0 0 1 2 2 0 4 2
1 Jum'at 01/01/2016 Sore 3 2 1 2 1 0 0 1 2 0 1 0 0 2 0 0 1 2
Malam 1 1 0 1 0 0 0 0 1 0 1 0 0 0 0 0 1 0
Sore 8 6 2 6 1 1 0 4 4 0 0 0 2 4 2 0 7 1
2 Sabtu 02/01/2016
Malam 2 2 0 2 0 0 0 2 0 0 0 0 0 2 0 0 1 1
Pagi 3 2 1 1 1 1 0 3 0 0 1 1 0 1 0 0 2 1
3 Minggu 03/01/2016 Sore 8 6 2 6 1 1 0 4 4 1 0 2 0 5 0 0 7 1
Malam 2 1 1 2 0 0 0 0 2 0 0 0 0 0 2 0 2 0
Sore 2 1 1 2 0 0 0 0 2 0 0 0 0 0 2 0 0 2
4 Senin 04/01/2016
Malam 1 1 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1
Sore 5 3 2 3 1 1 0 1 4 0 0 0 0 2 3 0 4 1
5 Selasa 05/01/2016
Malam 1 1 0 1 0 0 0 0 1 0 0 0 1 0 0 0 1 0
Sore 6 2 4 5 1 0 0 5 1 0 3 0 1 0 1 1 5 1
6 Rabu 06/01/2016
Malam 1 0 1 0 0 1 0 1 0 0 1 0 0 0 0 0 1 0
Sore 5 4 1 4 0 1 0 2 3 0 0 0 1 4 0 0 2 3
7 Kamis 07/01/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 54 36 18 40 6 8 0 27 27 2 8 3 6 22 12 1 38 16
Mengetahui : Bandung, 7 Januari 2016

Kepala UPT Puskesmas Kopo Penanggung Jawab UGD UPT PKM Kopo
dr. Intan Annisa Fatmawaty dr.Irfan Herdiyansyah

NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016
UPT PUSKESMAS KOPO
Sore 6 4 2 5 0 1 0 3 3 0 0 0 2 3 0 1 3 3
1 Jum'at 08/01/2016
Malam 1 1 0 1 0 0 0 0 1 0 0 0 0 0 1 0 1 0
Sore 3 3 0 2 0 1 0 1 2 0 0 0 1 0 1 1 2 1
2 Sabtu 09/01/2016
Malem 1 1 0 1 0 0 0 0 1 0 0 0 0 1 0 0 1 0
Pagi 3 1 2 2 0 1 0 2 1 0 0 0 1 2 0 0 0 3
3 Minggu 10/01/2016 Sore 7 4 3 7 0 0 0 1 6 1 1 0 0 1 4 0 7 0
Malam 2 1 1 2 0 0 0 1 1 0 0 0 0 1 1 0 1 1
Sore 2 1 1 0 2 0 0 1 1 0 0 0 0 0 2 0 1 1
4 Senin 11/01/2016
Malam 2 1 1 1 0 1 0 2 0 0 0 0 0 2 0 0 2 0
Sore 2 2 0 2 0 0 0 0 2 0 0 0 0 2 0 0 1 1
5 Selasa 12/01/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 3 3 0 3 0 0 0 0 3 0 0 0 0 2 1 0 2 1
6 Rabu 13/01/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 3 2 1 2 1 0 0 0 3 0 0 0 0 2 1 0 1 2
7 Kamis 14/01/2016
Malam 1 1 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 1
JUMLAH 36 25 11 29 3 4 0 11 25 1 1 0 4 17 11 2 22 14


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016

UPT PUSKESMAS KOPO

Sore 5 2 3 4 1 0 0 1 4 0 0 0 0 3 2 0 2 3
1 Jum'at 15/01/2016
Malam 1 1 0 1 0 0 0 0 1 0 1 0 0 0 0 0 1 0
Sore 7 3 4 7 0 0 0 1 6 0 1 0 2 3 1 0 5 2
2 Sabtu 16/01/2016
Malem 2 0 2 0 1 1 0 1 1 0 0 0 0 1 0 1 1 1
Pagi 9 5 4 6 2 1 0 6 3 1 1 0 1 4 2 0 7 2
3 Minggu 17/01/2016 Sore 1 1 0 1 0 0 0 0 1 0 0 0 0 1 0 0 1 0
Malam 2 1 1 2 0 0 0 0 2 0 0 0 0 2 0 0 1 1
Sore 5 4 1 3 1 1 0 2 3 0 0 1 0 3 1 0 4 1
4 Senin 18/01/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 2 1 1 2 0 0 0 0 2 0 0 0 1 0 0 1 2 0
5 Selasa 19/01/2016
Malam 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 1 0
Sore 2 1 1 2 0 0 0 1 1 0 0 0 1 1 0 0 2 0
6 Rabu 20/01/2016
Malam 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 1 0
Sore 5 4 1 5 0 0 0 2 3 1 1 0 0 2 1 0 4 1
7 Kamis 21/01/2016
Malam 2 1 1 2 0 0 0 1 1 0 0 0 0 2 0 0 2 0
JUMLAH 45 24 21 37 5 3 0 15 30 2 4 1 5 24 7 2 34 11

NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016

UPT PUSKESMAS KOPO

Sore 2 2 0 1 1 0 0 1 1 0 0 0 0 2 0 0 2 0
1 Jum'at 22/01/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 6 5 1 6 0 0 0 2 4 0 0 1 1 3 0 1 5 1
2 Sabtu 23/01/2016
Malem 1 0 1 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1
Pagi 7 2 5 5 1 1 0 4 3 0 1 1 0 5 0 0 5 2
3 Minggu 24/01/2016 Sore 2 1 1 2 0 0 0 0 2 0 0 0 0 1 1 0 1 1
Malam 2 1 1 2 0 0 0 0 2 0 0 0 0 2 0 0 2 0
Sore 3 2 1 3 0 0 0 1 2 0 1 0 2 0 0 0 2 1
4 Senin 25/01/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 9 4 5 2 5 2 0 2 7 1 0 0 2 3 1 2 6 3
5 Selasa 26/01/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 4 2 2 3 1 0 0 3 1 0 0 0 0 4 0 0 4 0
6 Rabu 27/01/2016
Malam 3 3 0 3 0 0 0 1 2 0 0 0 0 3 0 0 3 0
7 Kamis 28/01/2016 Sore 13 4 9 12 0 1 0 6 7 1 0 0 2 10 0 0 9 4
Malam 4 2 2 2 2 0 0 3 1 0 0 1 0 2 1 0 4 0
JUMLAH 56 28 28 41 10 5 0 24 32 2 3 3 7 35 3 3 43 13


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016
Rujukan
Ke
Rujukan
Ke
RS Imanuel (1)
1
Rujukan
Ke
RS Immanuel (1)
1
Rujukan
Ke
Immanuel (1)
RSKIA (1),
Santosa (1)
RSKIA (1)
4
UPT PUSKESMAS KOPO
Jumlah Jenis Kelamin Cara Bayar Domisili Umur KUNJUNGAN Rujuk
an L P Umum BPJS Jamkesmas Lain-lain D wilayah L wilayah <1th 1-4th 5-6th 7-14th 15-44th 45-64th >65th Baru Lama
Dari
Sore 8 5 3 6 2 0 0 1 7 0 1 0 1 4 2 0 4 4
1 Senin 01/02/2015
Malam 2 2 0 2 0 0 0 0 2 0 0 0 0 1 1 0 2 0
Sore 6 3 3 5 0 1 0 2 4 0 1 0 0 5 0 0 5 1
2 Selasa 02/02/2016
Malam 2 1 1 2 0 0 0 1 1 0 1 0 0 1 0 0 2 0
Sore 2 2 0 1 0 1 0 1 1 0 1 0 0 0 1 0 2 0
3 Rabu 03/02/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 6 5 1 6 0 0 0 2 4 0 0 1 0 4 1 0 4 2
4 Kamis 04/02/2016
Malam 2 1 1 1 1 0 0 0 2 0 0 0 1 0 1 0 1 1
Sore 3 3 0 3 0 0 0 0 3 0 0 0 0 2 1 0 3 0
5 Jumat 05/02/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 11 7 4 11 0 0 0 1 10 0 2 0 0 0 6 3 6 5
6 Sabtu 06/02/2016
Malam 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 1 0
Pagi 4 2 2 3 0 1 0 1 3 0 1 0 0 3 0 0 2 2
7 Minggu 07/02/2016 Sore 5 5 0 5 0 0 0 1 4 1 0 0 2 2 0 0 4 1
Malam 4 3 1 4 0 0 0 0 4 0 0 0 0 4 0 0 3 1
JUMLAH 56 39 17 50 3 3 0 10 46 1 7 1 4 27 13 3 39 17
Mengetahui : Bandung, 7 Februari 2016


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016
UPT PUSKESMAS KOPO

Dari
Pagi 5 3 2 3 1 1 0 3 2 0 0 0 0 5 0 0 4 1
1 Senin 08/02/2016 Sore 5 2 3 3 1 1 0 1 4 0 0 0 0 4 0 1 3 2
Malam 2 1 1 2 0 0 0 1 1 0 0 0 0 1 1 0 2 0
Sore 4 3 1 3 1 0 0 0 4 1 0 0 0 3 0 0 3 1
2 Selasa 09/02/2016
Malem 3 2 1 2 1 0 0 0 3 0 0 0 0 2 1 0 3 0
Sore 9 4 5 7 2 0 0 5 4 1 3 0 1 2 2 0 6 3
3 Rabu 10/02/2016
Malam 2 2 0 2 0 0 0 1 1 0 1 0 0 0 1 0 2 0
Sore 7 6 1 5 2 0 0 5 2 0 0 0 2 4 1 0 4 3
4 Kamis 11/02/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 4 3 1 3 1 0 0 4 0 0 0 0 1 3 0 0 2 2
5 Jumat 12/02/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 12 9 3 10 1 1 0 5 7 0 2 0 3 5 1 1 9 3
6 Sabtu 13/02/2016
Malam 6 5 1 6 0 0 0 3 3 0 1 1 1 3 0 0 4 2
Pagi 5 4 1 3 2 0 0 1 4 0 0 0 1 2 2 0 5 0
7 Minggu 14/02/2016 Sore 4 3 1 2 2 0 0 1 3 0 1 0 1 0 2 0 3 1
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 68 47 21 51 14 3 0 30 38 2 8 1 10 34 11 2 50 18

NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016

UPT PUSKESMAS KOPO

Dari
Sore 9 4 5 8 0 1 0 4 5 0 1 0 2 4 1 1 8 1
1 Senin 15/02/2016
Malam 4 3 1 4 0 0 0 1 3 0 0 0 0 3 1 0 4 0
Sore 3 2 1 2 0 1 0 3 0 0 0 0 2 1 0 0 2 1
2 Selasa 16/02/2016
Malem 1 1 0 0 1 0 0 1 0 1 0 0 0 0 0 0 1 0
Sore 3 2 1 3 0 0 0 1 2 0 0 0 1 0 2 0 3 0
3 Rabu 17/02/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 4 2 2 2 1 1 0 4 0 1 0 0 0 1 0 2 3 1
4 Kamis 18/02/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 5 4 1 3 2 0 0 2 3 0 1 1 1 0 2 0 2 3
5 Jumat 19/02/2016
Malam 5 5 0 4 1 0 0 1 4 0 1 0 1 0 3 0 5 0
Sore 6 4 2 6 0 0 0 6 0 0 1 0 0 0 5 0 5 1
6 Sabtu 20/02/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pagi 6 4 2 4 2 0 0 5 1 1 0 0 3 2 0 0 3 3
7 Minggu 21/02/2016
7 Minggu 21/02/2016 Sore 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Malam 1 1 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 1
JUMLAH 47 32 15 37 7 3 0 29 18 3 4 1 10 12 14 3 36 11


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016

UPT PUSKESMAS KOPO

Dari
Sore 6 4 2 5 1 0 0 4 2 0 0 1 0 3 2 0 6 0
1 Senin 22/01/2016
Malam 1 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 1 0
Sore 4 3 1 4 0 0 0 1 3 0 1 0 0 3 0 0 4 0
2 Selasa 23/01/2016
Malem 3 3 0 2 0 1 0 2 1 0 0 0 0 3 0 0 3 0
Sore 3 1 2 3 0 0 0 1 2 0 0 1 0 1 1 0 2 1
3 Rabu 24/02/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 8 4 4 8 0 0 0 3 5 0 1 1 1 4 1 0 7 1
4 Kamis 25/01/2016
4 Kamis 25/01/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 1 0
5 Jumat 26/01/2016
Malam 2 1 1 2 0 0 0 0 2 1 0 0 1 0 0 0 2 0
Sore 5 5 0 4 1 0 0 1 4 0 1 0 1 1 2 0 4 1
6 Sabtu 27/01/2016
Malam 2 1 1 2 0 0 0 1 1 0 0 1 0 0 1 0 1 1
Pagi 2 2 0 2 0 0 0 0 2 1 0 0 0 1 0 0 1 1
7 Minggu 28/01/2016 Sore 4 3 1 3 0 1 0 2 2 0 0 0 0 4 0 0 3 1
Malam 2 1 1 2 0 0 0 0 2 0 0 0 0 2 0 0 2 0
JUMLAH 43 28 15 38 2 3 0 16 27 3 3 4 3 23 7 0 37 6


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016

UPT PUSKESMAS KOPO

Dari
Sore 3 1 2 2 1 0 0 1 2 0 1 0 0 1 1 0 1 2
1 Senin 29/01/2016
Malam 1 1 0 1 0 0 0 0 1 0 0 0 0 1 0 0 1 0
JUMLAH 4 2 2 3 1 0 0 1 3 0 1 0 0 2 1 0 2 2
JUMLAH KUMULATIF 218 148 70 179 27 12 0 86 132 9 23 7 27 98 46 8 164 54


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016
Rujukan
Ke
RS 1
Rujukan
Ke
RS
Santosa
(1)
Rujukan
Ke
Rujukan
Ke
Rujukan
Ke
UPT PUSKESMAS KOPO
Jumlah Jenis Kelamin Cara Bayar Domisili Umur

an L P Umum BPJS Jamkesmas Lain-lain D wilayah L wilayah <1th 1-4th 5-6th 7-14th 15-44th 45-64th >65th
Sore 8 2 6 8 0 0 0 5 3 0 1 1 1 4 1 0
1 Selasa 01/03/2015
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 5 4 1 3 1 1 0 3 2 0 1 1 1 1 1 0
2 Rabu 02/03/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 3 2 1 2 1 0 0 0 3 0 1 0 1 0 1 0
3 Kamis 03/03/2016
Malam 1 1 0 0 1 0 0 0 1 0 0 1 0 0 0 0
Sore 1 1 0 1 0 0 0 0 1 0 1 0 0 0 0 0
4 Jumat 04/03/2016
Malam 3 2 1 3 0 0 0 0 3 0 1 0 0 1 1 0
Sore 8 4 4 6 2 0 0 3 5 1 0 1 0 6 0 0
5 Sabtu 05/03/2016
Malam 2 2 0 1 1 0 0 0 2 0 0 0 0 2 0 0
Pagi 2 1 1 1 0 1 0 1 1 0 0 0 0 2 0 0
6 Minggu 06/03/2016 Sore 6 3 3 5 1 0 0 0 6 0 0 0 0 4 2 0
Malam 2 1 1 2 0 0 0 0 2 0 0 0 0 0 2 0
Sore 6 4 2 4 0 2 0 2 4 0 2 0 1 2 1 0
7 Senin 07/03/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 47 27 20 36 7 4 0 14 33 1 7 4 4 22 9 0
Mengetahui : Bandung, 7 Maret 2016


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016
UPT PUSKESMAS KOPO

Sore 4 1 3 4 0 0 0 1 3 0 0 0 2 1 1 0
1 Selasa 08/03/2016
Malem 3 1 2 2 0 0 1 1 2 0 1 0 0 1 1 0
Pagi 7 6 1 4 2 0 1 4 3 1 2 0 1 1 1 1
2 Rabu 09/03/2016 Sore 2 0 2 1 1 0 0 1 1 0 1 0 0 1 0 0
Malam 3 3 0 1 1 1 0 2 1 0 2 0 0 1 0 0
Sore 5 4 1 1 1 0 3 3 2 2 1 1 0 1 0 0
3 Kamis 10/03/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 6 5 1 6 0 0 0 2 4 0 0 0 1 3 2 0
4 Jumat 11/03/2016
Malam 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0
Sore 4 1 3 4 0 0 0 1 3 0 0 0 0 3 1 0
5 Sabtu 12/03/2016
Malam 2 2 0 2 0 0 0 1 1 0 0 0 0 2 0 0
Pagi 1 1 0 1 0 0 0 0 1 0 0 0 0 0 1 0
6 Minggu 13/03/2016 Sore 4 2 2 3 1 0 0 1 3 1 0 0 0 2 1 0
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 9 6 3 6 0 1 2 7 2 0 0 0 2 5 2 0
7 Senin 14/03/2016
Malam 3 1 2 3 0 0 0 0 3 1 0 0 0 2 0 0
JUMLAH 54 33 21 39 6 2 7 24 30 5 7 1 6 24 10 1

NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016

UPT PUSKESMAS KOPO

Sore 4 1 3 1 2 1 0 2 2 0 0 0 1 1 1 1
1 Selasa 15/03/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 1 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0
2 Rabu 16/03/2016
Malem 2 1 1 2 0 0 0 0 2 0 1 0 0 1 0 0
Sore 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kamis 17/03/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 1 1 0 0 1 0 0 0 1 0 0 0 1 0 0 0
4 Jumat 18/03/2016
Malam 1 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0
Sore 3 2 1 3 0 0 0 0 3 0 0 0 1 0 1 1
5 Sabtu 19/03/2016
Malam 2 2 0 2 0 0 0 0 2 0 0 0 0 1 1 0
Pagi 2 2 0 2 0 0 0 0 2 0 0 0 0 2 0 0
Sore 5 2 3 2 3 0 0 1 4 0 0 0 0 2 3 0
7 Minggu 20/03/2016
Malam 5 2 3 4 1 0 0 1 4 0 1 0 0 4 0 0
Sore 7 4 3 6 0 1 0 2 5 0 0 0 0 1 6 0
6 Senin 21/03/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 33 18 15 24 7 2 0 6 27 1 3 0 3 12 12 2


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016

UPT PUSKESMAS KOPO

Sore 3 2 1 2 1 0 0 2 1 0 0 0 1 0 2 0
1 Selasa 22/03/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 4 2 2 4 0 0 0 2 2 0 1 0 0 2 1 0
2 Rabu 23/03/2016
Malem 2 2 0 2 0 0 0 0 2 0 1 0 0 0 1 0
Sore 3 1 2 3 0 0 0 1 2 0 0 1 0 2 0 0
3 Kamis 24/03/2016
Malam 1 0 1 1 0 0 0 0 1 0 0 0 0 0 1 0
Pagi 2 2 0 2 0 0 0 0 2 0 0 0 0 1 1 0
4 Jumat 25/03/2016 Sore 3 2 1 1 2 0 0 0 3 0 1 0 0 0 2 0
Malam 1 1 0 1 0 0 0 0 1 0 0 0 0 0 1 0
JUMLAH 19 12 7 16 3 0 0 5 14 0 3 1 1 5 9 0
JUMLAH KUMULATIF 153 90 63 115 23 8 7 49 104 7 20 6 14 63 40 3


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016
KUNJUNGAN Rujukan
Baru Lama
Dari Ke
8 0
0 0
3 2
0 0
2 1
1 0
1 0
3 0
6 2
1 1
1 1
5 1
2 0
6 0
0 0
39 8
7 Maret 2016
UGD UPT PKM Kopo
erdiyansyah
32.17.15.1.0016
KUNJUNGAN Rujukan
Baru Lama
Dari Ke
4 0
3 0
5 2
2 0
3 0
5 0
0 0
6 0
0 1
4 0
2 0
1 0
3 1
0 0
7 2
2 1
47 7
4 Maret 2016
UGD UPT PKM Kopo
erdiyansyah
32.17.15.1.0016
KUNJUNGAN Rujukan
Baru Lama
Dari Ke
4 0
0 0
1 0
2 0
0 0
0 0
1 0
1 0
2 1
2 0
1 1
5 0
Pkm
5 0
Pagarsih (1)
6 1
0 0
30 3
1 Maret 2016
UGD UPT PKM Kopo
erdiyansyah
32.17.15.1.0016
KUNJUNGAN Rujukan
Baru Lama
Dari Ke
3 0
0 0
3 1
1 1
3 0
1 0
1 1
2 1
1 0
15 4
131 22
5 Maret 2016
UGD UPT PKM Kopo
erdiyansyah
32.17.15.1.0016
Laporan Pelayanan Pusk
UPT PUSKESMAS
Jumlah Jenis Kelamin Cara Bayar

L P Umum BPJS Jamkesmas Lain-lain
an
Sore 8 4 4 7 0 1 0
1 Sabtu 26/03/2015
Malam 4 2 2 4 0 0 0
Pagi 2 1 1 2 0 0 0
2 Minggu 27/03/2016 Sore 2 1 1 2 0 0 0
Malam 4 2 2 4 0 0 0
Sore 4 3 1 4 0 0 0
3 Senin 28/03/2016
Malam 1 1 0 1 0 0 0
Sore 0 0 0 0 0 0 0
4 Selasa 29/03/2016
Malam 0 0 0 0 0 0 0
Sore 2 1 1 2 0 0 0
5 Rabu 30/03/2016
Malam 4 2 2 3 0 1 0
Sore 5 0 5 3 1 1 0
6 Kamis 31/03/2016
Malam 2 2 0 2 0 0 0
JUMLAH 38 19 19 34 1 3 0
Mengetahui :
Kepala UPT Puskesmas Kopo
dr. Intan Annisa Fatmawaty

NIP. 19801013 200501 2 010

UPT PUSKESMAS

an L P Umum BPJS Jamkesmas Lain-lain
Sore 3 1 2 1 1 1 0
1 Jumat 01/04/2015
Malam 2 2 0 1 0 1 0
Sore 4 4 0 3 0 1 0
2 Sabtu 02/04/2016
Malam 3 3 0 3 0 0 0
Pagi 2 1 1 2 0 0 0
3 Minggu 03/04/2016 Sore 3 3 0 3 0 0 0
Malam 1 1 0 1 0 0 0
Sore 10 3 7 7 2 1 0
4 Senin 04/04/2016
4 Senin 04/04/2016
Malam 1 0 1 1 0 0 0
Sore 2 0 2 1 1 0 0
5 Selasa 05/04/2016
Malam 0 0 0 0 0 0 0
Sore 5 3 2 5 0 0 0
6 Rabu 06/04/2016
Malam 2 0 2 2 0 0 0
Sore 3 1 2 2 0 1 0
7 Kamis 07/04/2016
Malam 2 2 0 2 0 0 0
JUMLAH 43 24 19 34 4 5 0
Mengetahui :

NIP. 19801013 200501 2 010

UPT PUSKESMAS

Sore 2 2 0 2 0 0 0
1 Jumat 08/04/2015
Malam 1 0 1 0 1 0 0
Sore 1 1 0 1 0 0 0
2 Sabtu 09/04/2016
Malam 1 0 1 1 0 0 0
Pagi 6 2 4 5 1 0 0
3 Minggu 10/04/2016 Sore 4 3 1 4 0 0 0
Malam 1 1 0 1 0 0 0
Sore 2 0 2 2 0 0 0
4 Senin 11/04/2016
Malam 1 0 1 1 0 0 0
Sore 2 1 1 2 0 0 0
5 Selasa 12/04/2016
Malam 2 1 1 2 0 0 0
Sore 6 4 2 5 1 0 0
6 Rabu 13/04/2016
Malam 0 0 0 0 0 0 0
Sore 3 2 1 3 0 0 0
7 Kamis 14/04/2016
Malam 0 0 0 0 0 0 0
JUMLAH 32 17 15 29 3 0 0
Mengetahui :
NIP. 19801013 200501 2 010

UPT PUSKESMAS

Sore 5 4 1 4 0 1 0
1 Jumat 15/04/2015
Malam 0 0 0 0 0 0 0
Sore 3 2 1 2 0 1 0
2 Sabtu 16/04/2016
Malam 1 0 1 1 0 0 0
Pagi 3 2 1 3 0 0 0
3 Minggu 17/04/2016 Sore 3 3 0 2 0 1 0
Malam 0 0 0 0 0 0 0
Sore 2 1 1 1 0 1 0
4 Senin 18/04/2016
Malam 1 1 0 1 0 0 0
Sore 7 2 5 7 0 0 0
5 Selasa 19/04/2016
Malam 0 0 0 0 0 0 0
Sore 6 2 4 4 1 1 0
6 Rabu 20/04/2016
Malam 0 0 0 0 0 0 0
Sore 5 3 2 5 0 0 0
7 Kamis 21/04/2016
Malam 0 0 0 0 0 0 0
JUMLAH 36 20 16 30 1 5 0
Mengetahui :

NIP. 19801013 200501 2 010
UPT PUSKESMAS

Sore 6 4 2 3 0 2 1
1 Jumat 22/04/2015
Malam 0 0 0 0 0 0 0
Sore 7 5 2 6 0 0 1
2 Sabtu 23/04/2016
Malam 1 0 1 1 0 0 0
Pagi 2 0 2 2 0 0 0
3 Minggu 24/04/2016 Sore 1 1 0 1 0 0 0
Malam 2 2 0 1 1 0 0
Sore 6 5 1 6 0 0 0
4 Senin 25/04/2016
Malam 0 0 0 0 0 0 0
JUMLAH 25 17 8 20 1 2 2
JUMLAH KUMULATIF 136 78 58 113 9 12 2
Mengetahui :

NIP. 19801013 200501 2 010
layanan Puskesmas 24 Jam
T PUSKESMAS KOPO
Domisili Umur KUNJUNGAN Rujukan
D wilayah L wilayah <1th 1-4th 5-6th 7-14th 15-44th 45-64th >65th Baru Lama
Dari
1 7 0 0 1 1 4 2 0 7 1
0 4 0 0 0 1 2 0 1 4 0
1 1 0 0 0 0 2 0 0 2 0
0 2 0 0 0 1 1 0 0 2 0
0 4 0 0 0 0 3 1 0 3 1
2 2 0 0 0 1 1 2 0 3 1
0 1 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 1 1 0 0 2 0
2 2 0 1 0 2 1 0 0 2 2
2 3 0 0 0 2 1 1 1 5 0
0 2 0 0 0 0 2 0 0 2 0
9 29 0 1 2 9 18 6 2 33 5
Bandung, 31 Maret 2016

Penanggung Jawab UGD UPT PKM Kopo
dr.Irfan Herdiyansyah
NR. PTT. 800.32.17.15.1.0016

T PUSKESMAS KOPO
Dari
1 2 0 0 0 0 1 1 1 3 0
1 1 0 0 0 0 1 1 0 1 1
0 4 0 0 0 1 2 1 0 3 1
1 2 0 1 1 0 1 0 0 2 1
1 1 0 0 0 0 1 1 0 2 0
2 1 0 0 0 1 2 0 0 3 0
1 0 0 0 0 0 1 0 0 1 0
5 5 1 1 0 3 1 4 0 10 0
0 1 0 0 0 0 1 0 0 1 0
1 1 0 1 0 0 1 0 0 2 0
0 0 0 0 0 0 0 0 0 0 0
2 3 1 0 0 1 1 2 0 4 1
0 2 0 0 0 0 1 1 0 1 1
1 2 0 1 0 0 2 0 0 3 0
0 2 0 1 0 0 0 1 0 1 1
16 27 2 5 1 6 16 12 1 37 6
Bandung, 7 April 2016

NR. PTT. 800.32.17.15.1.0016

T PUSKESMAS KOPO
Dari
0 2 0 0 0 0 2 0 0 2 0
1 0 0 0 0 0 1 0 0 1 0
1 0 0 0 0 0 1 0 0 1 0
1 0 0 0 0 1 0 0 0 1 0
2 4 0 4 0 1 1 0 0 5 1
1 3 1 0 0 0 3 0 0 4 0
0 1 0 0 0 0 1 0 0 1 0
1 1 0 0 0 1 1 0 0 1 1
0 1 0 0 0 0 1 0 0 1 0
0 2 0 0 0 0 2 0 0 2 0
2 0 0 0 0 0 2 0 0 2 0
1 5 0 0 0 1 4 1 0 5 1
0 0 0 0 0 0 0 0 0 0 0
1 2 0 0 2 0 1 0 0 1 2
0 0 0 0 0 0 0 0 0 0 0
11 21 1 4 2 4 20 1 0 27 5

NR. PTT. 800.32.17.15.1.0016

T PUSKESMAS KOPO
Dari
2 3 1 0 0 1 2 1 0 3 2
0 0 0 0 0 0 0 0 0 0 0
0 3 0 2 0 0 0 1 0 3 0
1 0 0 0 0 1 0 0 0 1 0
1 2 0 0 0 1 1 1 0 3 0
1 2 0 0 0 0 2 1 0 2 1
0 0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 1 1 0 0 2 0
0 1 0 0 0 0 1 0 0 1 0
0 7 0 1 1 2 2 1 0 6 1
0 0 0 0 0 0 0 0 0 0 0
6 0 0 2 0 0 2 1 1 3 3
0 0 0 0 0 0 0 0 0 0 0
1 4 0 0 0 1 0 4 0 5 0
0 0 0 0 0 0 0 0 0 0 0
13 23 1 5 1 7 11 10 1 29 7

NR. PTT. 800.32.17.15.1.0016
T PUSKESMAS KOPO

Dari
2 4 0 2 0 0 4 0 0 5 1
0 0 0 0 0 0 0 0 0 0 0
2 5 0 2 2 0 3 0 0 4 3
0 1 0 0 0 0 1 0 0 0 1
0 2 0 1 0 0 1 0 0 1 1
1 0 0 0 0 0 1 0 0 1 0
0 2 0 1 0 0 0 1 0 1 1
2 4 0 0 0 1 4 1 0 6 0
0 0 0 0 0 0 0 0 0 0 0
7 18 0 6 2 1 14 2 0 18 7
47 89 4 20 6 18 61 25 2 111 25

NR. PTT. 800.32.17.15.1.0016
Rujukan
Ke
Rujukan
Ke
Rujukan
Ke
RSKIA (1)
Rujukan
Ke
Rujukan
Ke
Laporan Pelayanan Pu
UPT PUSKESM

L P Umum BPJS Jamkesmas
an
Sore 2 2 0 1 0 1
1 Selasa 26/04/2015
Malam 0 0 0 0 0 0
Sore 1 1 0 1 0 0
2 Rabu 27/04/2016
Malam 0 0 0 0 0 0
Sore 2 2 0 2 0 0
3 Kamis 28/04/2016
Malam 0 0 0 0 0 0
Sore 6 3 3 6 0 0
4 Jumat 29/04/2016
Malam 0 0 0 0 0 0
Sore 2 0 2 2 0 0
5 Sabtu 30/04/2016
Malam 1 1 0 1 0 0
JUMLAH 14 9 5 13 0 1
Mengetahui :

NIP. 19801013 200501 2 010
UPT PUSKESM

an L P Umum BPJS Jamkesmas
Pagi 1 1 0 0 1 0
1 Minggu 01/05/2015 Sore 2 2 0 2 0 0
Malam 1 1 0 1 0 0
Sore 3 1 2 2 1 0
2 Senin 02/05/2016
Malam 2 1 1 2 0 0
Sore 5 5 0 3 0 1
Selasa 03/05/2016
Malam 2 1 1 1 0 1
Sore 4 0 4 3 1 0
4 Rabu 04/05/2016
Malam 2 1 1 2 0 0
Pagi 6 3 3 4 1 1
5 Kamis 05/05/2016 Sore 6 3 3 5 1 0
Malam 6 4 2 6 0 0
Pagi 5 1 4 4 0 1
6 Jumat 06/05/2016 Sore 6 2 4 5 0 1
Malam 0 0 0 0 0 0
Sore 5 3 2 3 1 1
7 Sabtu 07/05/2016
Malam 1 1 0 1 0 0
JUMLAH 57 30 27 44 6 6
Mengetahui :

NIP. 19801013 200501 2 010
UPT PUSKESM

Pagi 3 1 2 1 1 1
1 Minggu 08/05/2015 Sore 7 3 4 5 1 1
Malam 6 2 4 5 0 1
Sore 3 2 1 3 0 0
2 Senin 09/05/2016
Malam 2 0 2 1 0 1
Sore 7 4 3 6 1 0
3 Selasa 10/05/2016
Malam 0 0 0 0 0 0
Sore 7 4 3 5 1 1
4 Rabu 11/05/2016
Malam 2 1 1 0 0 2
Sore 7 3 4 7 0 0
5 Kamis 12/05/2016
Malam 1 0 1 0 0 1
Sore 1 0 1 1 0 0
6 Jumat 13/05/2016
Malam 0 0 0 0 0 0
Sore 3 1 2 3 0 0
7 Sabtu 14/05/2016
Malam 1 0 1 0 0 1
JUMLAH 50 21 29 37 4 9
Mengetahui :

NIP. 19801013 200501 2 010
UPT PUSKESM

Pagi 1 0 1 1 0 0
1 Minggu 15/05/2015 Sore 5 2 3 3 1 1
Malam 2 0 2 2 0 0
Sore 2 1 1 2 0 0
2 Senin 16/05/2016
Malam 2 1 1 2 0 0
Sore 3 1 2 3 0 0
3 Selasa 17/05/2016
Malam 4 2 2 4 0 0
Sore 5 2 3 4 0 1
4 Rabu 18/05/2016
Malam 3 1 2 3 0 0
Sore 4 4 0 4 0 0
5 Kamis 19/05/2016
Malam 3 0 3 2 1 0
Sore 3 1 2 3 0 0
6 Jumat 20/05/2016
Malam 2 1 1 2 0 0
Sore 6 1 5 5 0 1
7 Sabtu 21/05/2016
Malam 3 1 2 3 0 0
JUMLAH 48 18 30 43 2 3
Mengetahui :

NIP. 19801013 200501 2 010
UPT PUSKESM

Pagi 6 4 2 5 0 1
1 Minggu 22/04/2015 Sore 2 2 0 2 0 0
Malam 4 1 3 4 0 0
Sore 1 1 0 1 0 0
2 Senin 23/04/2016
2 Senin 23/04/2016
Malam 1 1 0 1 0 0
Sore 3 1 2 3 0 0
3 Selasa 24/04/2016
Malam 4 2 2 3 0 1
Sore 0 0 0 0 0 0
4 Rabu 25/04/2016
Malam 4 2 2 3 1 0
JUMLAH 25 14 11 22 1 2
JUMLAH KUMULATIF 180 83 97 146 13 20
Mengetahui :

NIP. 19801013 200501 2 010
an Pelayanan Puskesmas 24 Jam
UPT PUSKESMAS KOPO
a Bayar Domisili Umur KUNJUNGAN
Lain-lain D wilayah L wilayah <1th 1-4th 5-6th 7-14th 15-44th 45-64th >65th Baru Lama
0 1 1 0 0 0 0 1 0 1 2 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 1 0 1 2 0
0 0 0 0 0 0 0 0 0 0 0 0
0 2 4 0 3 0 0 1 2 0 5 1
0 0 0 0 0 0 0 0 0 0 0 0
0 0 2 1 0 0 1 0 0 0 2 0
0 0 1 0 0 0 0 1 0 0 1 0
0 4 10 1 3 0 1 4 3 2 12 2

NR. PTT. 800.32.17.15.1.0016

UPT PUSKESMAS KOPO
0 0 1 0 0 0 0 1 0 0 1 0
0 0 2 0 0 0 0 1 1 0 1 1
0 0 1 0 0 0 0 1 0 0 1 0
0 2 1 0 0 0 0 3 0 0 3 0
0 0 2 0 0 0 0 2 0 0 2 0
1 3 2 0 0 0 0 3 2 0 5 0
0 1 1 0 0 0 0 0 2 0 1 1
0 1 3 1 1 0 1 0 1 0 3 1
0 0 2 0 0 0 0 1 0 1 2 0
0 3 3 1 0 0 1 3 1 0 6 0
0 4 2 0 0 0 2 2 1 1 5 1
0 1 5 0 0 0 1 4 1 0 5 1
0 5 0 0 1 1 0 2 1 0 4 1
0 0 6 0 1 1 0 2 1 1 4 2
0 0 0 0 0 0 0 0 0 0 0 0
0 0 5 1 1 0 0 1 2 0 5 0
0 0 1 0 1 0 0 0 0 0 0 1
1 20 37 3 5 2 5 26 13 3 48 9
Bandung, 7 Mei 2016

NR. PTT. 800.32.17.15.1.0016

UPT PUSKESMAS KOPO
0 1 2 0 1 0 0 1 1 0 3 0
0 0 7 0 1 0 1 5 0 0 7 0
0 0 6 0 1 0 0 2 3 0 4 2
0 1 2 0 0 0 1 2 0 0 2 1
0 1 1 0 0 0 0 1 1 0 1 1
0 2 5 0 0 1 0 4 2 0 7 0
0 0 0 0 0 0 0 0 0 0 0 0
0 2 5 0 0 1 0 3 3 0 6 1
0 2 0 0 0 0 0 1 1 0 2 0
0 1 6 0 0 0 2 2 2 1 7 0
0 1 0 0 0 0 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0
0 2 1 0 0 0 0 1 1 1 3 0
0 1 0 0 0 0 0 0 1 0 0 1
0 14 36 0 3 2 5 22 16 2 44 6
Bandung, 14 Mei 2016

NR. PTT. 800.32.17.15.1.0016

UPT PUSKESMAS KOPO
0 1 0 0 0 0 1 0 0 0 0 1
0 1 4 0 0 1 0 2 1 1 3 2
0 0 2 0 0 0 0 2 0 0 2 0
0 2 0 0 0 0 0 2 0 0 2 0
0 1 1 0 0 0 0 2 0 0 1 1
0 1 2 0 1 0 0 2 0 0 3 0
0 0 4 0 0 0 1 3 0 0 3 1
0 4 1 0 0 0 0 3 1 1 5 0
0 0 3 0 0 0 0 1 2 0 2 1
0 1 3 0 1 0 1 1 1 0 4 0
0 0 3 0 0 0 0 3 0 0 3 0
0 2 1 0 0 0 0 1 1 1 3 0
0 0 2 0 0 0 0 2 0 0 2 0
0 4 2 0 1 0 0 3 2 0 4 2
0 1 2 0 0 0 0 2 1 0 2 1
0 18 30 0 3 1 3 29 9 3 39 9

NR. PTT. 800.32.17.15.1.0016

UPT PUSKESMAS KOPO

0 3 3 0 0 0 0 6 0 0 4 2
0 0 2 0 0 0 0 1 1 0 1 1
0 1 3 0 0 0 1 3 0 0 3 1
0 0 1 0 0 0 0 1 0 0 1 0
0 0 1 0 0 0 1 0 0 0 1 0
0 3 0 0 0 0 1 1 1 0 2 1
0 2 2 0 0 0 2 1 1 0 4 0
0 0 0 0 0 0 0 0 0 0 0 0
0 2 2 0 0 0 0 4 0 0 4 0
0 11 14 0 0 0 5 17 3 0 20 5
1 63 117 3 11 5 18 94 41 8 151 29

NR. PTT. 800.32.17.15.1.0016
Rujukan
Dari Ke
KM Kopo
016
Rujukan
Dari Ke
1 (RS
Santosa
Kopo)
1 (Rumah
singgah
Dinsos)
KM Kopo
016
Rujukan
Dari Ke
KM Kopo
016
Rujukan
Dari Ke
1 (RS
SANTOSA
KOPO)
KM Kopo
016
Rujukan
Dari Ke
KM Kopo
016
UPT PUSKESMAS KOPO

L P Umum BPJS Jamkesmas Lain-lain D wilayah L wilayah <1th 1-4th 5-6th 7-14th 15-44th 45-64th >65th
an
Sore 3 2 1 3 0 0 0 1 2 0 0 0 0 1 0 2
1 Kamis 26/05/2016
Malam 3 0 3 2 1 0 0 1 2 0 1 0 0 2 0 0
Sore 1 1 0 1 0 0 0 1 0 0 0 0 1 0 0 0
2 Jumat 27/05/2016
Malam 2 2 0 2 0 0 0 0 2 0 0 0 0 2 0 0
Sore 9 6 3 8 1 0 0 3 6 1 2 0 3 2 0 1
3 Sabtu 28/05/2016
Malam 2 1 1 2 0 0 0 1 1 0 0 0 1 0 1 0
Pagi 2 1 1 1 0 1 0 1 1 0 0 0 0 1 0 1
4 Minggu 29/05/2016 Sore 5 3 2 5 0 0 0 2 3 0 0 1 0 2 2 0
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 4 2 2 4 0 0 0 2 2 0 1 0 1 2 0 0
5 Senin 30/05/2016
Malam 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0
Sore 13 7 6 13 0 0 0 4 9 0 0 2 1 6 4 0
6 Selasa 31/05/2016
Malam 1 1 0 1 0 0 0 1 0 0 0 0 0 1 0 0
JUMLAH 46 26 20 43 2 1 0 17 29 1 4 3 7 20 7 4
Mengetahui : Bandung, 31 Mei 2016


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016

UPT PUSKESMAS KOPO
Sore 2 2 0 1 0 1 0 1 1 0 0 0 1 0 1 0
1 Rabu 01/06/2016
Malam 1 1 0 1 0 0 0 0 1 0 0 0 0 0 1 0
Sore 5 4 1 3 0 2 0 1 4 0 0 1 0 3 1 0
2 Kamis 02/06/2016
Malam 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0
Sore 5 2 3 5 0 0 0 0 5 0 0 1 0 1 3 0
3 Jumat 03/06/2016
Malam 3 2 1 3 0 0 0 0 3 0 0 1 0 2 0 0
Sore 2 1 1 2 0 0 0 0 2 0 0 1 0 1 0 0
4 Sabtu 04/06/2016
Malam 2 2 0 2 0 0 0 0 2 0 0 0 0 1 1 0
Pagi 3 1 2 2 0 1 0 1 2 0 0 0 1 1 1 0
5 Minggu 05/06/2016 Sore 5 3 2 3 0 2 0 3 2 0 1 0 0 3 1 0
Malam 4 3 1 4 0 0 0 0 4 0 0 0 0 3 1 0
Sore 3 2 1 3 0 0 0 1 2 1 0 0 0 0 2 0
6 Senin 06/06/2016
Malam 2 2 0 2 0 0 0 0 2 0 1 0 0 1 0 0
Sore 2 1 1 1 1 0 0 1 1 0 0 0 0 1 0 1
7 Selasa 07/06/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 40 26 14 33 1 6 0 8 32 1 2 4 2 18 12 1
Mengetahui : Bandung, 7 Juni 2016


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016

UPT PUSKESMAS KOPO
Sore 5 4 1 4 0 1 0 4 1 0 0 0 1 3 1 0
1 Rabu 08/06/2016
Malam 1 0 1 1 0 0 0 0 1 0 0 0 0 0 1 0
Sore 3 1 2 3 0 0 0 0 3 0 0 0 0 2 1 0
2 Kamis 09/06/2016
Malam 3 1 2 2 1 0 0 1 2 1 0 0 0 2 0 0
Sore 4 1 3 3 1 0 0 1 3 0 0 0 1 2 1 0
3 Jumat 10/06/2016
Malam 3 1 2 2 0 1 0 1 2 0 0 0 0 1 2 0
Sore 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Sabtu 11/06/2016
Malam 1 1 0 1 0 0 0 0 1 0 0 0 0 0 1 0
Pagi 6 3 3 6 0 0 0 2 4 0 0 0 1 4 1 0
5 Minggu 12/06/2016 Sore 1 1 0 0 1 0 0 1 0 0 0 0 0 1 0 0
Malam 3 1 2 3 0 0 0 3 0 0 1 0 0 2 0 0
Sore 3 2 1 3 0 0 0 1 2 0 0 0 0 2 1 0
6 Senin 13/06/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 3 3 0 3 0 0 0 2 1 1 1 0 0 1 0 0
7 Selasa 14/06/2016
Malam 3 1 2 3 0 0 0 1 2 0 1 0 0 1 1 0
JUMLAH 39 20 19 34 3 2 0 17 22 2 3 0 3 21 10 0


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016

UPT PUSKESMAS KOPO

an
Jumlah
Sore 5 4 1 5 0 0 0 1 4 0 0 0 1 3 1 0
1 Rabu 15/06/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 9 2 7 9 0 0 0 2 7 0 1 0 0 5 3 0
2 Kamis 16/06/2016
Malam 1 1 0 1 0 0 0 0 1 0 0 0 0 1 0 0
Sore 4 3 1 3 0 1 0 1 3 0 0 0 0 3 1 0
3 Jumat 17/06/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 6 3 3 5 0 1 0 1 5 0 0 0 0 2 4 0
4 Sabtu 18/06/2016
Malam 3 2 1 3 0 0 0 0 3 0 0 0 0 1 2 0
Pagi 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0
5 Minggu 19/06/2016 Sore 8 5 3 7 1 0 0 3 5 0 0 0 1 6 1 0
Malam 1 1 0 1 0 0 0 0 1 0 0 0 0 0 0 1
Sore 3 1 2 2 1 0 0 3 0 0 0 0 1 1 0 1
6 Senin 20/06/2016
Malam 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0
Sore 4 2 2 2 1 0 1 3 1 0 0 0 0 3 1 0
7 Selasa 21/06/2016
Malam 2 2 0 2 0 0 0 1 1 0 0 0 0 1 1 0
JUMLAH 48 26 22 42 3 2 1 15 33 0 1 0 3 28 14 2


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016
UPT PUSKESMAS KOPO

Sore 3 3 0 3 0 0 0 1 2 0 0 0 0 3 0 0
Rabu 22/06/2016
Malam 1 0 1 1 0 0 0 0 1 0 0 0 0 0 1 0
Sore 6 4 2 5 1 0 0 2 4 0 0 0 0 3 3 0
Kamis 23/06/2016
Malam 1 1 0 1 0 0 0 0 1 0 0 0 0 1 0 0
Sore 3 0 3 2 1 0 0 3 0 0 1 0 0 1 1 0
Jumat 24/06/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 4 3 1 4 0 0 0 0 4 0 1 0 1 2 0 0
Sabtu 25/06/2016
Malam 3 3 0 3 0 0 0 1 2 1 0 0 0 2 0 0
JUMLAH 21 14 7 19 2 0 0 7 14 1 2 0 1 12 5 0


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.0016
KUNJUNGAN Rujukan
Baru Lama
Dari Ke
3 0
3 0
0 1
2 0
8 1
2 0
1 1
5 0
0 0
4 0
0 1
12 1
1 0
41 5
31 Mei 2016
UGD UPT PKM Kopo
erdiyansyah
32.17.15.1.0016
KUNJUNGAN Rujukan
Baru Lama
Dari Ke
2 0
1 0
5 0
0 1
4 1
3 0
2 0
2 0
3 0
4 1
4 0
3 0
2 0
1 1
0 0
36 4
7 Juni 2016
UGD UPT PKM Kopo
erdiyansyah
32.17.15.1.0016
KUNJUNGAN Rujukan
Baru Lama
Dari Ke
5 0
1 0
3 0
3 0
4 0
3 0
0 0
0 1
6 0
0 1
2 1
3 0
0 0
3 0
2 1
35 4
14 Juni 2016
UGD UPT PKM Kopo
erdiyansyah
32.17.15.1.0016
KUNJUNGAN Rujukan
Baru Lama
Dari Ke
5 0
0 0
6 3
0 1
3 1
0 0
5 1
1 2
1 0
7 1
1 0
3 0
1 0
3 1
2 0
38 10
21 Juni 2016
UGD UPT PKM Kopo
erdiyansyah
32.17.15.1.0016
KUNJUNGAN Rujukan
Baru Lama
Dari Ke
2 1
1 0
4 2
1 0
2 1
0 0
4 0
3 0
17 4
126 22
25 Juni 2016
UGD UPT PKM Kopo
erdiyansyah
32.17.15.1.0016
UPT PUSKESMAS KOPO

Sore 3 1 2 2 1 0 0 3 0 1 1 0 0 1 0 0
1 Jumat 22/07/2016
Malam 1 1 0 1 0 0 0 0 1 0 0 0 1 0 0 0
Sore 4 2 2 0 0 4 0 2 2 0 0 0 1 2 1 0
2 Sabtu 23/07/2016
Malam 2 0 2 2 0 0 0 0 2 0 1 0 0 1 0 0
Pagi 6 4 2 6 0 0 0 2 4 0 1 0 1 3 1 0
3 Minggu 24/07/2016 Sore 5 3 2 5 0 0 0 2 3 0 1 0 1 1 2 0
Malam 1 1 0 1 0 0 0 0 1 0 0 0 0 1 0 0
Sore 1 0 1 1 0 0 0 1 0 0 0 1 0 0 0 0
4 Senin 25/07/2016
Malam
JUMLAH 23 12 11 18 1 4 0 10 13 1 4 1 4 9 4 0
Mengetahui : Bandung, 25 Juli 2016

Kepala UPT Puskesmas Kopo Penanggung Jawab UGD UPT PKM

NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.001
KUNJUNGAN Rujukan
Baru Lama
Dari Ke
2 1
1 0
3 1
2 0
6 0
5 0
1 0
1 0
21 2
146 22
Bandung, 25 Juli 2016

ung Jawab UGD UPT PKM Kopo
PTT. 800.32.17.15.1.0016
UPT PUSKESMAS KOPO

Sore 8 4 4 6 2 0 0 2 6 0 1 1 1 3 1 1
1 Senin 22/08/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 5 1 4 4 0 1 0 2 3 1 0 0 1 2 1 0
2 Selasa 23/08/2016
Malam 2 1 1 1 0 1 0 0 2 0 0 0 0 1 1 0
Sore 5 4 1 4 0 0 1 2 3 0 0 0 0 4 0 1
3 Rabu 24/08/2016
Malam 2 0 2 1 1 0 0 1 1 0 1 1 0 0 0 0
Sore 3 0 3 3 0 0 0 1 2 0 0 1 1 1 0 0
4 Kamis 25/08/2016
Malam 3 2 1 2 0 1 0 2 1 0 0 0 1 0 2 0
JUMLAH 28 12 16 21 3 3 1 10 18 1 2 3 4 11 5 2
Mengetahui : Bandung, 25 Agustus 2016


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.001
KUNJUNGAN Rujukan
Baru Lama
Dari Ke
6 2
0 0
4 1
2 0
4 1
1 1
2 1
3 0
22 6
142 44
ndung, 25 Agustus 2016

PTT. 800.32.17.15.1.0016
UPT PUSKESMAS KOPO

Sore 4 3 1 3 0 1 0 1 3 1 0 0 1 2 0 0
1 Kamis 22/09/2016
Malam 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0
Sore 5 1 4 5 0 0 0 3 2 0 0 0 0 5 0 0
2 Jumat 23/09/2016
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sore 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1
3 Sabtu 24/09/2016
Malam 1 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0
Pagi 4 1 3 2 0 2 0 1 3 0 0 0 2 2 0 0
4 Minggu 25/09/2016 Sore 4 4 0 4 0 0 0 2 2 0 0 0 0 2 1 1
Malam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 20 10 10 16 0 4 0 8 12 1 1 0 3 12 1 2
Mengetahui : Bandung, 26 September 201


NIP. 19801013 200501 2 010 NR. PTT. 800.32.17.15.1.001
KUNJUNGAN Rujukan
Baru Lama
Dari Ke
3 1
0 1
5 0
0 0
0 1
1 0
2 2
3 1
0 0
14 6
110 44
dung, 26 September 2016

PTT. 800.32.17.15.1.0016

Laporan Mingguan 2016

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Laporan Pelayanan Puskesmas 24 Jam

UPT PUSKESMAS KOPO

Jumlah Jenis Kelamin Cara Bayar Domisili Umur KUNJUNGAN Rujukan

Mengetahui : Bandung, 7 Januari 2016

dr. Intan Annisa Fatmawaty dr.Irfan Herdiyansyah

Mengetahui : Bandung, 14 Januari 2016

dr. Intan Annisa Fatmawaty dr.Irfan Herdiyansyah

Laporan Pelayanan Puskesmas 24 Jam

Jumlah Jenis Kelamin Cara Bayar Domisili Umur KUNJUNGAN Rujukan

dr. Intan Annisa Fatmawaty dr.Irfan Herdiyansyah

Laporan Pelayanan Puskesmas 24 Jam

Jumlah Jenis Kelamin Cara Bayar Domisili Umur KUNJUNGAN Rujukan

Mengetahui : Bandung, 28 Januari 2016

dr. Intan Annisa Fatmawaty dr.Irfan Herdiyansyah

Mengetahui : Bandung, 7 Februari 2016

dr. Intan Annisa Fatmawaty dr.Irfan Herdiyansyah

Jumlah Jenis Kelamin Cara Bayar Domisili Umur KUNJUNGAN Rujuk

1 Senin 08/02/2016 Sore 5 2 3 3 1 1 0 1 4 0 0 0 0 4 0 1 3 2

dr. Intan Annisa Fatmawaty dr.Irfan Herdiyansyah

Laporan Pelayanan Puskesmas 24 Jam

Jumlah Jenis Kelamin Cara Bayar Domisili Umur KUNJUNGAN Rujuk

Mengetahui : Bandung, 21 Februari 2016

dr. Intan Annisa Fatmawaty dr.Irfan Herdiyansyah

Laporan Pelayanan Puskesmas 24 Jam

Jumlah Jenis Kelamin Cara Bayar Domisili Umur KUNJUNGAN Rujuk

Mengetahui : Bandung, 28 Februari 2016

dr. Intan Annisa Fatmawaty dr.Irfan Herdiyansyah

Laporan Pelayanan Puskesmas 24 Jam

Jumlah Jenis Kelamin Cara Bayar Domisili Umur KUNJUNGAN Rujuk

Mengetahui : Bandung, 29 Februari 2016

dr. Intan Annisa Fatmawaty dr.Irfan Herdiyansyah

Jumlah Jenis Kelamin Cara Bayar Domisili Umur

Mengetahui : Bandung, 7 Maret 2016

dr. Intan Annisa Fatmawaty dr.Irfan Herdiyansyah

Jumlah Jenis Kelamin Cara Bayar Domisili Umur

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dr. Intan Annisa Fatmawaty dr.Irfan Herdiyansyah

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Laporan Pelayanan Pusk

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