LAPORAN BULANAN REKAPITULASI KASUS DIARE

UPT. PUSKESMAS PARANGINAN

KABUPATEN HUMBANG HASUNDUTAN
BULAN DESEMBER
TAHUN : 2017

FASILITAS PELAYANAN KESEHATAN

JUMLAH PENDUDUK 0 - < 6 BLN ≥ 6 BLN - < 1 THN 1-4 THN 5 -9 THN 10 - 14 THN 15 - 19 THN > 20 THN JUMLAH
No Nama Desa
P M P M P M P M P M P M P M P M

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 Total L P Total

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

1. puskesmas 1 2 1 1 1 2 1
2 Sihonongan 700 625
Poskesdes Parik Godang 1 1
Poskesdes Sibual
3 Lumban Sialaman 300 292 1 1
4 Lumban Sianturi 157 179 1 1 1
5 Lobutolong 637 707 1 1
6 Lobutolong Habinsaran 434 422
Pustu
Poskesdes
7 Lumban Barat 882 837
8 Paranginan selatan 708 684 1 1
9 Paranginan Utara 700 694
Sisahorja 2 2
Parratusan
10 Pearung 506 446
11 Pearung Silali 691 656 1 1
12 Siborutorop 816 825 1 1

Jumlah 3 2 1 2 2 5 3 3 2 4 1

Diketahui Oleh
Kepala UPT Puskesmas ................................
Kab. Humbang Hasundutan

( ................................................................ )
NIP. ....................................................
HATAN KADER

PENDERITA DIARE < 5 THN DIBERI JUMLAH PEMAKAIAN

PENDERITA DIARE > 5 THN DIBERI 0 - 6 BLN 6 bln - < 1 thn 1 - 4 thn ≤5 thn 5 - 9 thn 10 - 14 thn 15 - 19 thn > 20 thn jumlah
ZINC ZINC Jumlah Pemakaian Oralit
ORALIT RL ORALIT RL
0 < 6 BLN ≥ 6 bln - < 1 Thn 1 - 4 thn ORALIT RL 0 < 6 BLN ≥ 6 bln - < 1 Thn 1 - 4 thn L P L P L P L P L P L P L P L P L P

39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70

9 6 3 54 6

1 1 6 1

1 1 6
3 18
6

2 12

2 12 20

2 16
2 12

28 7 4 136 27

Paranginan 30 Desember 2017

Pengelola Program Diare

S.DURMA SIANTURI
NIP 198003082006042011
Total Penderita Fasyankes dan Kader

L P

71 72
 LAPORAN BULANAN REKAPITULASI KASUS DIARE
UPT. PUSKESMAS PARANGINAN
KABUPATEN HUMBANG HASUNDUTAN
BULAN JANUARI
TAHUN 2018

FASILITAS PELAYANAN KESEHATAN

JUMLAH PENDUDUK 0 - < 6 BLN ≥ 6 BLN - < 1 THN 1-4 THN 5 -9 THN 10 - 14 THN 15 - 19 THN > 20 THN JUMLAH
No Nama Desa
P M P M P M P M P M P M P M P M

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 Total L P Total

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

1. puskesmas 1 2 1 1 1 2 1
2 Sihonongan 700 625
Poskesdes Parik Godang 1 1
Poskesdes Sibual
3 Lumban Sialaman 300 292 1 1
4 Lumban Sianturi 157 179 1 1 1
5 Lobutolong 637 707 1 1
6 Lobutolong Habinsaran 434 422
Pustu
Poskesdes
7 Lumban Barat 882 837
8 Paranginan selatan 708 684 1 1
9 Paranginan Utara 700 694
Sisahorja 2 2
Parratusan
10 Pearung 506 446
11 Pearung Silali 691 656 1 1
12 Siborutorop 816 825 1 1

Jumlah 3 2 1 2 2 5 3 3 2 4 1

Diketahui Oleh
Kepala UPT Puskesmas ................................
Kab. Humbang Hasundutan
Januari2018

( ................................................................ )
NIP. ....................................................
HATAN KADER

PENDERITA DIARE < 5 THN DIBERI JUMLAH PEMAKAIAN

PENDERITA DIARE > 5 THN DIBERI 0 - 6 BLN 6 bln - < 1 thn 1 - 4 thn ≤5 thn 5 - 9 thn 10 - 14 thn 15 - 19 thn > 20 thn jumlah
ZINC ZINC Jumlah Pemakaian Oralit
ORALIT RL ORALIT RL
0 < 6 BLN ≥ 6 bln - < 1 Thn 1 - 4 thn ORALIT RL 0 < 6 BLN ≥ 6 bln - < 1 Thn 1 - 4 thn L P L P L P L P L P L P L P L P L P

39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70

9 6 3 54 6

1 1 6 1

1 1 6
3 18
6

2 12

2 12 20

2 16
2 12

28 7 4 136 27

Paranginan 30 Desember 2017

Pengelola Program Diare

S.DURMA SIANTURI
NIP 198003082006042011
Total Penderita Fasyankes dan Kader

L P

71 72
 LAPORAN BULANAN REKAPITULASI KASUS DIARE
UPT. PUSKESMAS PARANGINAN
KABUPATEN HUMBANG HASUNDUTAN
BULAN NOVEMBER
TAHUN : 2017

FASILITAS PELAYANAN KESEHATAN

JUMLAH PENDUDUK 0 - < 6 BLN ≥ 6 BLN - < 1 THN 1-4 THN 5 -9 THN 10 - 14 THN 15 - 19 THN > 20 THN JUMLAH
No Nama Desa
P M P M P M P M P M P M P M P M

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 Total L P Total

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

1. puskesmas 1 0 0 2 0 0 0 2 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 3 4 0 0 0 0 0 0 0 0
2 Sihonongan 700 625
Poskesdes Parik Godang 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0
Poskesdes Sibual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Lumban Sialaman 300 292 0 0 0 0 0 0 0 0 1 1 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 0 0 0
4 Lumban Sianturi 157 179 0 0 0 0 0 0 0 0 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
5 Lobutolong 637 707 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
6 Lobutolong Habinsaran 434 422
Pustu 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
Poskesdes 0
7 Lumban Barat 882 837 0 0 0 0 0 0 0 0 1 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 0 0
8 Paranginan selatan 708 684 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
9 Paranginan Utara 700 694
Sisahorja 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0
Parratusan 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
10 Pearung 506 446 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
11 Pearung Silali 691 656 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0
12 Siborutorop 816 825 1 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 0 0 0 0

Jumlah 2 0 0 0 3 0 0 0 5 2 0 0 8 13 2 0 0 1 0 0 0 0 0 0 3 4 0 0 12 13 0 0 0 0

Diketahui Oleh
Kepala UPT Puskesmas ................................
Kab. Humbang Hasundutan

( ................................................................ )
NIP. ....................................................
HATAN

PENDERITA DIARE < 5 THN DIBERI JUMLAH PEMAKAIAN

PENDERITA DIARE > 5 THN DIBERI
ZINC ZINC
ORALIT RL ORALIT RL
0 < 6 BLN ≥ 6 bln - < 1 Thn 1 - 4 thn ORALIT RL 0 < 6 BLN ≥ 6 bln - < 1 Thn 1 - 4 thn

39 40 41 42 43 44 45 46 47 48 49 50

60 0 0 0 0 0 0 20 1 1 4 0

12 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 0 0 0 0

6 0 0 0 0 1 0 5 0 0 0 0

24 0 0 0 0 2 0 0 0 0 0 0
18 0 0 0 0 0 0 0 0 0 0 0

18 0 0 0 0 3 0 0 0 0 0 0
6 0 0 0 0 0 0 0 0 0 0 0
6 0 0 0 2 2 0 0 0 0 0 0
12 0 0 0 0 3 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0 0 0 0

214 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN BULANAN REKAPITULASI KASUS DIARE
UPT. PUSKESMAS ...............................................
KABUPATEN HUMBANG HASUNDUTAN
BULAN : .................................
TAHUN : 2017

FASILITAS PELAYANAN KESEHATAN

JUMLAH PENDUDUK 0 - < 6 BLN ≥ 6 BLN - < 1 THN 1 - 4 THN 5 -9 THN 10 - 14 THN 15 - 19 THN > 20 THN JUMLAH PENDERITA DIARE < 5 THN DI
No Nama Desa
P M P M P M P M P M P M P M P M ZINC
ORALIT
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 Total L P Total 0 < 6 BLN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
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 0 0 0 0 0 0

Diketahui Oleh
Kepala UPT Puskesmas ................................
Kab. Humbang Hasundutan

( ................................................................ )
NIP. ....................................................
PENDERITA DIARE < 5 THN DIBERI JUMLAH PEMAKAIAN
PENDERITA DIARE > 5 THN DIBERI
ZINC ZINC
RL ORALIT RL
≥ 6 bln - < 1 Thn 1 - 4 thn ORALIT RL 0 < 6 BLN ≥ 6 bln - < 1 Thn 1 - 4 thn

41 42 43 44 45 46 47 48 49 50

0 0 0 0 0 0 0 0 0 0
 LAPORAN BULANAN REKAPITULASI KASUS DIARE
UPT. PUSKESMAS PARANGINAN
KABUPATEN HUMBANG HASUNDUTAN
BULAN OKTOBER
TAHUN : 2017

FASILITAS PELAYANAN KESEHATAN

JUMLAH PENDUDUK 0 - < 6 BLN ≥ 6 BLN - < 1 THN 1 - 4 THN 5 -9 THN 10 - 14 THN 15 - 19 THN > 20 THN JUMLAH
No Nama Desa
P M P M P M P M P M P M P M P M

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 Total L P Total

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

1. puskesmas 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 5 0 0 0
2 Sihonongan 700 625
Poskesdes Parik Godang 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0
Poskesdes Sibual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Lumban Sialaman 300 292 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 0 0 0
4 Lumban Sianturi 157 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lobutolong 637 707 0 0 0 0 0 0 0 0 0 1 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0
6 Lobutolong Habinsaran 434 422
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
Poskesdes
7 Lumban Barat 882 837 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 0 0 0
8 Paranginan selatan 708 684 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0
9 Paranginan Utara 700 694
Sisahorja 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0
Parratusan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Pearung 506 446 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0
11 Pearung Silali 691 656 0 0 0 0 0 1 0 0 0 2 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0
12 Siborutorop 816 825 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0

Jumlah 0 0 0 0 0 1 0 0 7 6 0 0 6 13 0 0 0 5 0 0 0 0 0 0 0 1 0 0 11 23 5 0 0 0

Diketahui Oleh
Kepala UPT Puskesmas ................................
Kab. Humbang Hasundutan

( ................................................................ )
NIP. ....................................................
HATAN

PENDERITA DIARE < 5 THN DIBERI JUMLAH PEMAKAIAN

PENDERITA DIARE > 5 THN DIBERI
ZINC ZINC
ORALIT RL ORALIT RL
0 < 6 BLN ≥ 6 bln - < 1 Thn 1 - 4 thn ORALIT RL 0 < 6 BLN ≥ 6 bln - < 1 Thn 1 - 4 thn

39 40 41 42 43 44 45 46 47 48 49 50

30 0 0 0 0 0 0 0 0 0 0 0

18 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
24 0 0 2 0 0 0 0 0 0 2 0
0 0 0 0 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0 0 0

6 0 0 0 0 1 0 5 0 0 0 0

24 0 0 2 0 2 0 12 0 0 20 0
18 0 0 0 0 0 0 0 0 0 0 0

18 0 0 0 0 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 2 0 0 0 0 0 0
36 0 0 0 0 3 0 18 0 0 0 0
18 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN BULANAN REKAPITULASI KASUS DIARE
UPT. PUSKESMAS PARANGINAN
KABUPATEN HUMBANG HASUNDUTAN
BULAN : OKTOBER
TAHUN : 2017

FASILITAS PELAYANAN KESEHATAN

0 - < 6 BLN ≥ 6 BLN - < 1 THN 1 - 4 THN 5 -9 THN 10 - 14 THN 15 - 19 THN > 20 THN JUMLAH PENDERITA DIARE < 5 THN DIBERIPENDERITA JUMLAH PEMAKAIAN
JUMLAH
DIARE > 5
PENDUDUK
No Nama Desa ZINC THN DIBERI ZINC
P M P M P M P M P M P M P M P M OR ORA ≥6
≥6
1 - 4 RL ORA RL
ALIT 0 < 6 LIT 0 < 6 bln- 1 - 4
BLN bln - < thn LIT BLN thn
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 Tot L P Tot RL <1Th
1 Thn
n
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

1. Puskesmas 0 0 0 0 1 0 0 0 2 3 0 0 0 0 0 0 1 0 0 0 0 0 0 0 4 4 0 0 0 0 0 0 0 0 84 0 1 0 0 0 0 0 0 0 4 0
2 Sihonongan 700 625
Posk. Parik Godang 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0
Poskesdes Sibual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Lumban Sialaman 300 292 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 0 0 0 24 0 0 2 0 0 0 0 0 0 2 0
4 Lumban Sianturi 157 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lobutolong 637 707 0 0 0 0 0 0 0 0 0 1 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0
6 Lob. Habinsaran 434 422
Pustu 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 6 0 0 0 0 1 0 5 0 0 0 0
Poskesdes
7 Lumban Barat 882 837 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 0 0 0 24 0 0 2 0 2 0 12 0 0 20 0
8 Paranginan selatan 708 684 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0
9 Paranginan Utara 700 694
Sisahorja 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 18 0 0 0 0 3 0 0 0 0 0 0
Parratusan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Pearung 506 446 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 12 0 0 0 0 2 0 0 0 0 0 0
11 Pearung Silali 691 656 0 0 0 0 0 1 0 0 0 2 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 36 0 0 0 0 3 0 18 0 0 0 0
12 Siborutorop 816 825 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0

Jumlah 0 0 0 0 1 1 0 0 7 8 0 0 6 13 0 0 1 4 0 0 0 0 0 0 4 4 0 0 11 23 0 0 0 0 288 0 0 0 0 0 0 0 0 0 0 0
 Diketahui Oleh Paranginan,30 Oktober 2017
Kepala UPT Puskesmas ................................ Pengelola Program Diare
Kab. Humbang Hasundutan

( ................................................................ ) S.DURMA SIANTURI

NIP. .................................................... NIP 198003082006042011