Scribd Logo
Upload

Welcome to Scribd!

  • Blangko Usila

    Uploaded by

    meckhyseran
    2 views6 pages
    This monthly report summarizes the activities of the Usila program in the Camplong Community Health Center for [MONTH] [YEAR]. It includes: 1) Targets served by the Usila program categorized by age group. 2) Total visits to the Usila program this month and cumulatively, categorized by age group. 3) Details of Posyandu Usila locations and reporting. 4) Services provided including medications, referrals and counseling by age group. 5) Elderly clients categorized by level of independence and health conditions. 6) Services provided including medications, referrals, counseling and health education sessions.

    Original Description:

    Blangko usila

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This monthly report summarizes the activities of the Usila program in the Camplong Community Health Center for [MONTH] [YEAR]. It includes: 1) Targets served by the Usila program categorized by age group. 2) Total visits to the Usila program this month and cumulatively, categorized by age group. 3) Details of Posyandu Usila locations and reporting. 4) Services provided including medications, referrals and counseling by age group. 5) Elderly clients categorized by level of independence and health conditions. 6) Services provided including medications, referrals, counseling and health education sessions.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    2 views6 pages

    Blangko Usila

    Uploaded by

    meckhyseran
    This monthly report summarizes the activities of the Usila program in the Camplong Community Health Center for [MONTH] [YEAR]. It includes: 1) Targets served by the Usila program categorized by age group. 2) Total visits to the Usila program this month and cumulatively, categorized by age group. 3) Details of Posyandu Usila locations and reporting. 4) Services provided including medications, referrals and counseling by age group. 5) Elderly clients categorized by level of independence and health conditions. 6) Services provided including medications, referrals, counseling and health education sessions.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 6

    LAPORAN BULANAN

    REKAPITULASI KEGIATAN USILA DI PUSKESMAS CAMPLONG


    BULAN................TAHUN..................................................................

    CAMPLONG I CAMPLONG II KUIMASI SILLU NAUNU OEBOLA EKATETA OEBOLA DALAM TOLNAKU KIUONI
    No Elemen Data L P L P L P L P L P L P L P L P L P L P
    B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L
    I Sasaran Usila - - - - - - - - - - - - - - - - - - - - - - - -
    45-59 th
    60 - 69 th
    > 70 th
    II Total Kunjungan Usila :
    - Bulan ini
    45-59 th
    60 - 69 th
    > 70 th
    - Kumulatif s.d. bulan lalu
    45-59 th
    60 - 69 th
    > 70 th

    III Posyandu Usila :


    - Jumlah :
    - Yang melapor :

    IV Pelayanan :
    Obat
    45-59 th
    60-69 th
    > 70 th
    Rujuk
    45-59 th
    60-69 th
    > 70 th
    Konseling
    45-59 th
    60-69 th
    > 70 th

    V Lansia dengan kelainan :


    1 Kemandirian A
    2 Kemandirian B
    3 Kemandirian C
    4 Berat Badan (IMT) Normal
    5 Berat Badan (IMT) Lebih
    6 Berat Badan (IMT) Kurus
    7 Tekanan darah tinggi
    8 Tekanan darah rendah
    9 Mental Emosional
    10 Kencing manis
    11 Gagal ginjal

    VI Pelayanan :
    1 Obat
    2 Rujuk
    3 Konseling
    4 Penyuluhan :
    - Mandiri
    - Kelompok

    Mengetahui
    Kepala Puskesmas Camplong
    Hermenegildo Soare, S.Sos
    NIP. 19680112 198803 1 007
    LUARWILAYAH Total
    L P L P
    (Baru+La (Baru+La L+P
    B L B L
    ma) ma)
    - - - - - - -

    - - - - - - -
    .....................,.........................
    Pengelola Usila
    NIP

    You might also like