Professional Documents
Culture Documents
Kegiatan
Sasaran Lansia Kunjungan Lansia Jumlah Lansia Dengan Kelainan
Sehari - Hari
1 2 3 4 5 6 7 8 9 10
0 0 47 32 6 4 4 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0
1 Merah Jernang
0 0 46 44 43 32 20 23 0 1 0 0 2 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0
2 Damar Mulyo
0 0 41 29 8 15 5 2 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
3 Tanah Abu
0 0 30 25 9 10 8 10 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
4 Gayo Murni
0 0 40 31 6 0 6 0 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 3 3 0 0
5 Merah Pupuk
0 0 59 57 29 21 6 7 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0
6 Merah Mege
0 0 21 15 3 5 1 2 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0
7 Merah Muyang
0 0 30 27 11 12 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
8 Pandan Damar
0 0 99 78 19 16 9 10 1 2 1 0 0 2 0 2 0 2 0 1 0 0 0 0 0 0 0 0 0 5 0 0 0
9 Atu Lintang
0 0 11 8 2 1 1 0 0 0 1 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 2 0 0
10 Kepala Akal
0 0 25 10 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
11 Bintang Kekelip
Jumlah 0 0 449 356 136 116 60 54 2 5 2 1 3 13 0 6 1 3 0 3 0 0 0 0 0 0 0 0 0 18 6 0 0
Mengetahui
Kepala Puskesmas Atu Lintang
Abna Faradisioca,SKM
NIP.19790701 200604 1 012
LANJUT USIA DI PUSKESMAS
Pengob
Pemberdayaan Lansia
Jml Lansia
Dgn
Penyuluhan
Ggn Ggn Kelainan
Hb Kolester As.Urat Ggn Ggn Pengliha Lain
Ket
DM Penden
Kurang ol Tinggi Tinggi Ginjal Kognitf tan -Lain
Dirujuk
Diobat
garan
B L S
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 20 21 22 23 24 25 26 27 28
0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0
0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 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 2 1 0 0 0 0 0 0 0 0
0 0 0 0 2 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 13 2 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 14 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 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0
0 0 0 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 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 0 0 0 0 0 0 0 0
0 0 0 3 7 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 3 0 0 0 0 0 0 0 0
Kegiatan Sehari
Sasaran Lansia Kunjungan Lansia
Jumlah Posyandu
- Hari
Jumlah Pant
Wredha
45-59 60-69 >70 45-59 60-69 >70 Kemandirian
No Nama Desa
L P L P L P L P L P L P
A B C
B L B L B L B L B L B L
1 2 3 4 5 6 7
1 Merah Jernang 0 1 4 1 1 1 0 1 0 1 6 1 0 0 0 0 1 0 0
2 Damar Mulyo 0 0 2 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Tanah Abu 0 1 2 0 0 0 0 1 0 0 2 0 0 0 0 0 0 0 0
4 Gayo Murni 0 3 1 0 2 0 0 0 3 0 1 0 0 0 2 0 0 0 0
5 Merah Pupuk 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Merah Mege 0 5 6 9 6 1 0 1 0 3 6 1 8 0 0 0 1 0 0
7 Merah Muyang 0 3 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
8 Pandan Damar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Atu Lintang 0 9 8 3 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0
10 Kepala Akal 0 1 3 0 0 0 0 1 0 0 2 0 0 0 0 0 0 0 0
11 Kala Kekelip 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0
12 Bintang Kekelip 0 1 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
13 Kekelip Musara 0 1 2 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0
Jumlah 0 26 38 14 11 6 1 5 5 5 19 2 9 0 2 0 2 0 0
Jumlah Lansia Dengan Kelainan
IMT
Gng ME
L K
L P L P L P
8 9
0
0
0
3
Jumlah Lansia Dengan Kelainan Jml Pengoba Konseling
Lansia tan
Penyuluhan
Ggn Ggn Dgn
Tek.Darah Ggn
Hb Kolesterol As.Urat Ggn Ginjal Kogni Pengl Pend Lain Kelaina
DM
Dirujuk
Diobat
Kurang Tinggi Tinggi tf ihata engar -Lain n
T R n an B L S
L P L P L P L P L P L P L P L P L P L P L P L P
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
1 2 0 0 0 0 0 1 0 0 0 0 1 1 6 0
0 2 0 0 0 0 0 0 0 0 1 3 0 0 7 2
0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 2 3 0 0 0 1
0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0
1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 1 0 0 2 2
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 1 0 1 0 8 2 0 0 2 1
6 0 0 0 0 0 0 0 0 0 0 0 0 2 3 1
0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0
1 0 0 0 0 0 0 0 0 1 0 0 1 0 2 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 10 0 2 1 2 1 1 1 1 11 9 2 3 24 9
Harliah,Amd.Kep
Abna Faradisioca,SKM NIP:19680215 200604 2 005
NIP.19790701 200604 1 012
Pemberdayaan
25
Lansia
Jumlah Pant
Wredha Dibina
Jumlah Kunjungan
Rumah
26 27 28
Ket
FORMAT PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI PUSKESMAS
Puskesmas :Atu Lintang
Bulan : Maret 2019
Jumlah Posyandu
Jumlah Pant
Wredha
45-59 60-69 >70 45-59 60-69
No Nama Desa
L P L P L P L P L P
B L B L B L B L
1 2 3 4 5 6
1 Merah Jernang 0 0 47 32 6 4 4 0 0 1 0 0 1 0 0 1
2 Damar Mulyo 0 0 46 44 43 32 20 23 0 3 1 0 0 0 0 0
3 Tanah Abu 0 0 41 29 8 15 5 2 4 0 0 0 0 0 0 2
4 Gayo Murni 0 0 30 25 9 10 8 10 0 0 0 0 0 0 0 0
5 Merah Pupuk 0 0 40 31 6 0 6 0 1 0 1 2 0 2 0 0
6 Merah Mege 0 0 59 57 29 21 6 7 0 2 0 5 1 5 1 2
7 Merah Muyang 0 0 21 15 3 5 1 2 0 0 0 0 0 0 0 1
8 Pandan Damar 0 0 30 27 11 12 0 0 0 0 0 0 0 0 0 0
9 Atu Lintang 0 0 99 78 19 16 9 10 1 5 0 2 0 2 0 1
10 Kepala Akal 0 0 11 8 2 1 1 0 0 0 0 0 0 0 0 0
11 Kala Kekelip 0 0 25 10 0 0 0 0 0 0 0 0 0 0 0 1
13 Kekelip Musara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 0 0 0 0 1
0 0 0 0 1 1 0 1 0 0
0 2 0 0 1 0 0 0 2 0
0 0 0 0 3 0 0 0 0 0
0 1 0 1 9 4 0 1 2 0
0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 1 0 1 8 2 2 1 1 1
0 0 0 0 0 0 0 0 0
0 0 0 0 11 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 4 0 2 39 7 2 3 5 2
Mengetahui
Kepala Puskesmas Atu Lintang
Abna Faradisioca,SKM
NIP.19790701 200604 1 012
Jumlah Lansia Dengan Kelainan
Ggn
Kolesterol As.Urat Ggn
Hb Kurang DM Ggn Ginjal Ggn Kognitf Penglihatan Pendengara Lain -Lain
Tinggi Tinggi n
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
0 0 1 0 0 1 0 0 1
0 0 1 2 0 0 0 0 0
0 0 0 1 0 0 0 0 2
0 0 0 1 0 0 0 0 0
0 0 0 1 0 0 0 0 4
0 0 0 0 2 2 0 0 3
0 0 0 0 0 0 0 0 0
0 0 0 2 0 0 0 0 4
0 0 0 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 1 1
0 0 0 0 0 0 0 0 0
0 0 3 7 3 3 1 1 15
Mengetahui
Kepala Puskesmas Atu Lintang
Abna Faradisioca,SKM
NIP.19790701 200604 1 012
Pengobatan Konseling
Jumlah Kunjungan
Pemberdayaan
Wredha Dibina
Jml Lansia
Jumlah Pant
Penyuluhan
Dgn
Rumah
Lansia
Lain -Lain Kelainan
Ket
Dirujuk
Diobat
B L S
P L P
19 20 21 22 23 24 25 26 27 28
0 0 0 2 0
1 0 0 4 0
0 0 0 3 1
0 0 0 1 0
0 0 0 6 0
7 0 0 11 1
1 0 0 2 0
2 0 0 11 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 11 0
0 0 0 0 0
11 0 0 51 2
Harliah,Amd.Kep
NIP:19680215 200604 2 005
FORMAT PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI PUSKESMAS
Puskesmas :Atu Lintang
Bulan : April 2019
Kegiatan
Sasaran Lansia Kunjungan Lansia
Jumlah Posyandu
Sehari - Hari
Jumlah Pant
Wredha
45-59 60-69 >70 45-59 60-69 >70 Kemandirian
No Nama Desa
L P L P L P L P L P L P
A B C
B L B L B L B L B L B L
1 2 3 4 5 6 7
1 Merah Jernang 0 1 5 0 0 0 2 0 3 0 2 0 2 0 0 0 0 0 0 5 2
2 Damar Mulyo 0 0 2 0 1 2 0 0 1 1 3 0 0 0 0 0 0 0 0 4 1
3 Tanah Abu 0 0 2 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 3
4 Gayo Murni 0 0 0 2 1 0 1 0 0 0 1 0 3 0 1 0 0 0 0 2 4
5 Merah Pupuk 0 0 2 0 0 3 0 0 3 1 0 0 1 0 3 0 0 0 0 5 3
6 Merah Mege 0 4 2 0 3 2 0 0 1 0 3 0 2 0 3 0 0 0 0 10 2
7 Merah Muyang 0 1 1 0 0 0 0 0 2 0 1 0 1 0 0 0 1 0 0 5 0
8 Pandan Damar 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2
9 Atu Lintang 0 7 6 0 0 0 0 0 5 0 1 2 1 0 1 0 1 0 0 7 5
10 Kepala Akal 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 2 0
11 Bintang Kekelip 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 13 21 3 6 7 3 0 17 2 12 2 11 0 8 0 4 0 1 40 22
Jumlah Lansia Dengan Kelainan
IMT Tek.Darah
Gng ME
L K T R
L P L P L P L P L P
8 9 10
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 2 0 0
0 0 0 0 0 0
0 0 0 2 0 0
0 0 0 0 0 0
0 0 0 0 1 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 1 4 1 0
Mengetahui
Kepala Puskesmas Atu Lintang
Abna Faradisioca,SKM
NIP.19790701 200604 1 012
Jumlah Lansia Dengan Kelainan Pengobatan
Jml Lansia
Ggn Dgn
Kolesterol As.Urat Ggn Kelainan
Hb Kurang DM Ggn Ginjal Ggn Kognitf Penglihatan Pendengara Lain -Lain
Diobat
Tinggi Tinggi n
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 20 21
0 0 0 0 0 0 0 0 5 1 0 0 8
0 0 0 1 0 0 0 0 1 1 0 0 3
0 0 0 2 0 0 0 0 1 0 0 0 3
0 0 0 0 0 0 0 0 2 2 0 0 5
1 1 0 1 1 2 0 0 0 0 0 0 5
0 0 0 0 1 0 0 0 2 3 0 0 7
0 0 2 1 0 0 0 0 1 3 1 0 0 5
0 0 0 0 0 0 0 0 2 0 0 0 2
0 0 0 2 2 0 0 0 5 2 0 0 9
0 0 0 0 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 2 7 4 2 0 0 1 21 10 0 0 49
Harliah,Amd.Kep
Abna Faradisioca,SKM NIP:19680215 200604 2 005
NIP.19790701 200604 1 012
0
2
1
0
0
0
0
22
Dirujuk
Pengobatan
B
L
23
Konseling
24
Penyuluhan
Pemberdayaan
25
Lansia
Jumlah Pant
26
Wredha Dibina
Jumlah Kunjungan
27
Rumah
28
Ket
0
Harliah,Amd.Kep
P:19680215 200604 2 005
FORMAT PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI PUSKESMAS
Puskesmas :Atu Lintang
Bulan : Mei 2018
Jumlah Posyandu
Jumlah Pant
Wredha
45-59 60-69 >70 45-59 60-69
No Nama Desa
L P L P L P L P L P
B L B L B L B
1 2 3 4 5 6
1 Merah Jernang 0 51 38 9 3 3 1 0 2 0 5 0 0 0
2 Damar Mulyo 0 20 22 11 27 20 20 0 7 0 1 0 0 0
3 Tanah Abu 0 41 22 16 14 7 2 0 2 1 2 0 1 0
4 Gayo Murni 0 35 32 13 12 7 6 1 0 0 0 0 0 0
5 Merah Pupuk 0 39 29 7 11 7 1 0 1 0 4 0 0 1
6 Merah Mege 0 55 60 17 15 10 8 0 0 0 4 0 4 0
7 Merah Muyang 0 21 15 3 5 5 1 1 0 1 0 1 0 1
8 Pandan Damar 0 16 21 6 9 6 8 0 0 1 1 0 0 0
9 Atu Lintang 0 70 46 20 15 16 11 0 0 0 0 0 2 0
10 Kepala Akal 0 11 8 2 1 1 0 0 1 0 0 0 0 0
11 Bintang Kekelip 0 60 54 0 1 1 0 0 0 0 0 0 0 0
0 0 0 0 0 7 0 0 0 1 0 0
1 1 0 0 0 7 1 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 6 1 0 0 0 1 1
3 1 0 0 0 10 2 0 0 0 1 0
0 1 0 0 0 4 0 0 0 0 1 0
0 0 1 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 1 0 0 0 0 0
0 0 1 0 0 0 1 0 0 0 0 1
4 3 3 0 1 40 6 0 0 2 4 1 1
Mengetahui
Kepala Puskesmas Atu Lintang
Abna Faradisioca,SKM
NIP.19790701 200604 1 012
Jumlah Lansia Dengan Kelainan
Ggn
Kolesterol As.Urat Ggn
Hb Kurang DM Ggn Ginjal Ggn Kognitf Penglihatan Pendengara Lain -Lain
Tinggi Tinggi n
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
0 0 0 1 0 0 0 0 2
0 2 0 0 0 0 0 0 4
0 0 0 0 0 0 0 0 3
0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 6
0 0 0 0 1 3 0 0 2
0 0 0 0 0 0 0 0 3
0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 3
0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 5
0 2 1 2 2 3 0 0 28
Mengetahui
Kepala Puskesmas Atu Lintang
Abna Faradisioca,SKM
NIP.19790701 200604 1 012
Pengobatan Konseling
Jumlah Kunjungan
Pemberdayaan
Wredha Dibina
Jml Lansia
Jumlah Pant
Penyuluhan
Dgn
Rumah
Lansia
Lain -Lain Kelainan
Ket
Dirujuk
Diobat
B L S
P L P
19 20 21 22 23 24 25 26 27 28
3 0 0 4 1
1 0 0 5 0
4 0 0 8 1
0 0 0 0 0
0 0 0 8 1
5 0 0 20 1
1 0 0 4 1
0 0 0 0 1
1 0 0 4 1
0 0 0 1 0
4 2 0 13 0
19 2 0 67 7
Harliah,Amd.Kep
NIP:19680215 200604 2 005
FORMAT PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI PUSKESMAS
Puskesmas :Atu Lintang
Bulan : Juni 2018
Jumlah Posyandu
Jumlah Pant
Wredha
45-59 60-69 >70 45-59 60-69 >70
No Nama Desa
L P L P L P L P L P L
B L B L B L B L B
1 2 3 4 5 6
1 Merah Jernang 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0
2 Damar Mulyo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Tanah Abu 0 1 1 0 1 0 0 0 1 0 1 1 0 0 0 0
4 Gayo Murni 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0
5 Merah Pupuk 0 3 3 0 1 1 0 0 0 0 0 0 1 0 1 0
6 Merah Mege 0 0 3 0 0 0 1 0 0 0 3 0 0 0 0 0
7 Merah Muyang 0 0 0 2 0 0 0 0 0 0 0 0 2 0 0 0
8 Pandan Damar 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0
9 Atu Lintang 0 3 1 1 0 2 0 0 3 0 1 0 1 0 0 0
10 Kepala Akal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Kala Kekelip 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0
12 Bintang Kekelip 0 3 0 0 0 1 1 2 0 0 0 0 0 0 0 0
13 Kekelip Musara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 0 13 9 4 2 5 2 3 6 0 6 1 5 0 1 0
Kegiatan
sia Jumlah Lansia Dengan Kelai
Sehari - Hari
>70 Kemandirian IMT Tek.Darah
Gng ME
L P L K T R
A B C
L B L L P L P L P L P L P
7 8 9 10
0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 2 1 0 0 0 1 0
0 0 0 0 0 0 0 0 1 0
0 0 0 7 2 0 0 0 1 0
0 0 1 5 0 0 0 0 1 0
0 0 0 2 0 0 0 0 0 0
1 0 0 2 0 0 0 0 2 0
2 0 0 6 2 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0
1 0 0 0 1 0 0 1 0 0
0 0 0 0 0 0 0 0 0
4 0 1 26 6 0 0 1 6 1 0
Mengetahui
Kepala Puskesmas Atu Lintang
Abna Faradisioca,SKM
NIP.19790701 200604 1 012
Jumlah Lansia Dengan Kelainan
Ggn
Kolesterol As.Urat Ggn
Hb Kurang DM Ggn Ginjal Ggn Kognitf Penglihatan Pendengara Lain -Lain
Tinggi Tinggi n
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
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 1
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 4
0 0 0 0 0 0 0 0 2
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 6
0 0 0 0 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 0 0 0
0 0 0 0 0 0 0 0 15
Mengetahui
Kepala Puskesmas Atu Lintang
Abna Faradisioca,SKM
NIP.19790701 200604 1 012
Pengobatan Konseling
Jumlah Kunjungan
Pemberdayaan
Wredha Dibina
Jml Lansia
Jumlah Pant
Penyuluhan
Dgn
Rumah
Lansia
Lain -Lain Kelainan
Ket
Dirujuk
Diobat
B L S
P L P
19 20 21 22 23 24 25 26 27 28
0 0 0 0 1
0 0 0 0 0
2 0 0 2 1
0 0 0 1 0
3 0 0 8 0
0 0 0 2 0
0 0 0 2 0
0 0 0 0 0
0 0 0 8 0
0 0 0 0 0
0 0 0 1 0
0 0 0 0 0
0 0 0 0 0
5 0 0 24 2
Harliah,Amd.Kep
NIP:19680215 200604 2 005
FORMAT PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI PUSKESMAS
Puskesmas :Atu Lintang
Bulan : Juli 2018
Jumlah Pant
Sehari - Hari
Posyandu
Wredha
Jumlah
45-59 60-69 >70 45-59 60-69 >70 Kemandirian
No Nama Desa
L P L P L P L P L P L P
A B
B L B L B L B L B L B L
1 2 3 4 5 6 7
1 Merah Jernang 0 3 5 0 3 0 0 0 3 0 5 0 0 1 2 0 0 0 0 10 1
2 Damar Mulyo 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0
3 Tanah Abu 0 0 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 2 0
4 Gayo Murni 0 0 4 1 1 1 1 0 0 0 0 0 1 0 1 0 0 0 1 0 1
5 Merah Pupuk 0 6 8 0 2 3 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0
6 Merah Mege 0 2 4 1 0 1 3 0 0 2 0 0 0 0 0 1 0 0 0 0 0
7 Merah Muyang 0 4 3 1 1 0 1 0 0 0 0 0 0 0 1 1 0 0 1 10 0
8 Pandan Damar 0 1 2 0 0 2 0 1 1 0 2 0 0 0 0 0 0 0 0 3 0
9 Atu Lintang 0 6 3 2 0 0 2 1 5 1 3 0 2 0 0 0 3 0 2 0 0
10 Kepala Akal 0 2 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 2 0
11 Kala Kekelip 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0
12 Bintang Kekelip 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 2 0
13 Kekelip Musara 0 3 2 0 0 0 0 0 1 2 2 0 0 0 0 0 0 0 0 5 0
Jumlah 0 29 35 6 7 7 7 3 12 6 14 1 4 1 4 2 3 0 4 38 2
Kegiatan Jumlah Lansia Dengan Kelainan
Sehari - Hari
Kemandirian IMT Tek.Darah
Gng ME
L K T R
C
L P L P L P L P L P
7 8 9 10
0 0 0 0 0 0 0 0 2 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 1 1 0 0
0 0 0 0 0 0 0 2 1 0 0
0 0 0 0 0 0 0 1 3 0 0
0 0 0 0 0 0 0 1 1 0 0
0 0 0 0 0 0 0 0 1 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 0 0 0 0
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 0 0 0 0 6 13 0 0
Jml Lansia Pengobatan
Ggn Dgn
Kolesterol As.Urat Ggn
Diobat
Hb Kurang DM Ggn Ginjal Ggn Kognitf Penglihatan Pendengara Lain -Lain Kelainan
Tinggi Tinggi n
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 20 21
0 0 0 0 0 0 0 0 0 0 3 6 0 0 11
0 0 0 0 1 0 0 0 0 0 0 0 0 0 3
0 0 0 0 1 0 0 0 0 0 0 1 0 0 2
0 0 0 0 1 0 0 0 0 0 2 3 0 0 8
0 0 0 0 0 0 1 0 0 0 7 7 0 0 19
0 0 0 0 0 0 0 0 0 0 3 3 0 0 9
0 0 0 0 2 0 0 0 0 0 5 1 0 0 10
0 0 0 0 1 0 0 0 0 0 0 1 0 0 3
0 0 0 0 0 0 0 0 0 0 2 0 0 0 2
0 0 0 1 0 0 0 0 0 0 0 0 0 0 1
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 1 0 0 0 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 6 0 1 0 0 0 24 22 0 0 73
Mengetahui Pengelola Program Lansia
Kepala Puskesmas Atu Lintang
10
22
Dirujuk
Pengobatan
B
L
23
Konseling
24
Penyuluhan
Pemberdaya
25
an Lansia
Jumlah Pant
26
Wredha
Dibina
Jumlah
27
Kunjungan
Rumah
28
Ket
elola Program Lansia
Harliah,Amd.Kep
9680215 200604 2 005
FORMAT PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI PUSKESMAS
Puskesmas :Atu Lintang
Bulan : AGUSTUS 2018
Kegiatan
Sasaran Lansia Kunjungan Lansia
Jumlah Pant
Sehari - Hari
Posyandu
Wredha
Jumlah
45-59 60-69 >70 45-59 60-69 >70 Kemandirian
No Nama Desa
L P L P L P L P L P L P
A
B L B L B L B L B L B L
1 2 3 4 5 6 7
1 Merah Jernang 0 49 37 4 4 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1
2 Damar Mulyo 0 46 43 19 24 20 23 0 1 0 2 0 0 0 1 0 0 0 0 1
3 Tanah Abu 0 41 37 15 8 0 6 1 0 0 2 0 0 0 1 0 0 0 0 3
4 Gayo Murni 0 33 26 13 14 6 7 0 2 1 3 0 0 0 0 0 0 0 0 4
5 Merah Pupuk 0 39 30 5 11 7 0 0 6 0 5 0 0 0 0 0 0 0 0 10
6 Merah Mege 0 56 53 21 14 8 9 0 0 3 1 0 2 0 1 0 1 0 1 5
7 Merah Muyang 0 24 23 3 4 1 2 0 1 2 2 0 2 0 0 0 0 0 0 5
8 Pandan Damar 0 29 24 8 6 5 7 0 1 0 1 0 0 0 0 0 1 0 0 2
9 Atu Lintang 0 39 30 5 11 7 0 1 6 0 0 0 2 0 0 2 2 0 1 6
10 Kepala Akal 0 11 7 3 1 1 0 0 2 0 1 0 0 0 0 0 0 0 0 3
11 Kala Kekelip 0 42 19 2 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 2
12 Bintang Kekelip 0 13 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kekelip Musara 0 19 16 3 3 2 2 0 1 0 0 0 0 0 0 0 0 0 0 1
Jumlah 0 441 349 101 101 58 58 2 20 6 18 0 7 0 3 2 4 0 2 43
Kegiatan Jumlah Lansia Dengan Kelainan
Sehari - Hari
Kemandirian IMT Tek.Darah
Gng ME
L K T R
B C
L P L P L P L P L P
7 8 9 10
1 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 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 2 0 0
2 0 0 0 0 0 0 0 0 1 0 0
1 0 0 0 0 0 0 0 0 2 0 0
5 0 0 0 0 0 0 0 1 2 0 0
2 0 0 0 0 0 0 0 5 1 0 0
1 0 0 0 0 0 0 0 0 2 0 0
7 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 0
21 0 0 0 0 0 0 0 7 10 0 0
Jml Lansia Pengobatan
Ggn Dgn
Kolesterol As.Urat Ggn
Diobat
Hb Kurang DM Ggn Ginjal Ggn Kognitf Penglihatan Pendengara Lain -Lain Kelainan
Tinggi Tinggi
n
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 20 21
0 0 0 0 0 0 0 0 0 0 0 1 0 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 1 0 0 1 2 0 0 4
0 0 0 0 0 0 0 0 0 0 2 5 0 0 6
0 0 0 0 0 0 0 0 0 0 6 8 0 0 10
0 0 0 0 0 0 0 0 0 0 5 4 0 0 10
0 0 0 0 0 0 0 0 0 0 2 1 0 0 6
0 0 0 0 0 0 0 0 0 0 1 1 0 0 3
0 0 0 0 1 0 1 0 0 0 7 0 0 0 21
0 0 0 0 0 0 0 0 0 0 2 1 0 0 3
0 0 0 0 2 0 0 0 0 0 0 0 0 0 2
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 1 0 0 0 1
0 0 0 0 3 1 1 1 0 0 27 23 0 0 68
Mengetahui Pengelola Program Lansia
Kepala Puskesmas Atu Lintang
Pengobatan
B
L
23
Konseling
24
Penyuluhan
Pemberdaya
25
an Lansia
Jumlah Pant
26
Wredha
Dibina
Jumlah
27
Kunjungan
Rumah
28
Ket
elola Program Lansia
Harliah,Amd.Kep
9680215 200604 2 005
FORMAT PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI PUSKESMAS
Puskesmas :Atu Lintang
Bulan : SEPTEMBER 2018
Kegiatan
Sasaran Lansia Kunjungan Lansia
Jumlah Pant
Sehari - Hari
Posyandu
Wredha
Jumlah
45-59 60-69 >70 45-59 60-69 >70 Kemandirian
No Nama Desa
L P L P L P L P L P L P
A
B L B L B L B L B L B L
1 2 3 4 5 6 7
1 Merah Jernang 0 46 37 4 4 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1
2 Damar Mulyo 0 46 43 19 24 20 23 0 1 0 2 0 0 0 1 0 0 0 0 1
3 Tanah Abu 0 41 37 15 8 0 6 1 0 0 2 0 0 0 1 0 0 0 0 3
4 Gayo Murni 0 33 26 13 14 6 7 0 2 1 3 0 0 0 0 0 0 0 0 4
5 Merah Pupuk 0 39 30 5 11 7 0 0 6 0 5 0 0 0 0 0 0 0 0 8
6 Merah Mege 0 57 53 21 14 8 9 0 0 3 1 0 2 0 1 0 1 0 1 5
7 Merah Muyang 0 24 23 3 4 1 2 0 1 2 2 0 2 0 0 0 0 0 0 5
8 Pandan Damar 0 29 24 8 6 5 7 0 1 0 1 0 0 0 0 0 1 0 0 2
9 Atu Lintang 0 35 30 5 11 7 0 1 6 0 0 0 2 0 0 2 2 0 1 6
10 Kepala Akal 0 11 7 3 1 1 0 0 2 0 1 0 0 0 0 0 0 0 0 3
11 Kala Kekelip 0 42 19 2 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 2
12 Bintang Kekelip 0 13 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kekelip Musara 0 19 16 3 3 2 2 0 1 0 0 0 0 0 0 0 0 0 0 1
Jumlah 0 435 349 101 101 58 58 2 20 6 18 0 7 0 3 2 4 0 2 41
Kegiatan Jumlah Lansia Dengan Kelainan
Sehari - Hari
Kemandirian IMT Tek.Darah
Gng ME
L K T R
B C
L P L P L P L P L P
7 8 9 10
1 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 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 2 0 0
2 0 0 0 0 0 0 0 0 1 0 0
1 0 0 0 0 0 0 0 0 2 0 0
5 0 0 0 0 0 0 0 1 2 0 0
2 0 0 0 0 0 0 0 5 1 0 0
1 0 0 0 0 0 0 0 0 2 0 0
7 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 0
21 0 0 0 0 0 0 0 7 10 0 0
Jml Lansia Pengobatan
Ggn Dgn
Kolesterol As.Urat Ggn
Diobat
Hb Kurang DM Ggn Ginjal Ggn Kognitf Penglihatan Pendengara Lain -Lain Kelainan
Tinggi Tinggi
n
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 20 21
0 0 0 0 0 0 0 0 0 0 0 1 0 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 1 0 0 1 2 0 0 4
0 0 0 0 0 0 0 0 0 0 2 5 0 0 6
0 0 0 0 0 0 0 0 0 0 5 8 0 0 8
0 0 0 0 0 0 0 0 0 0 4 4 0 0 8
0 0 0 0 0 0 0 0 0 0 2 1 0 0 6
0 0 0 0 0 0 0 0 0 0 1 1 0 0 3
0 0 0 0 1 0 1 0 0 0 5 0 0 0 25
0 0 0 0 0 0 0 0 0 0 2 1 0 0 3
0 0 0 0 2 0 0 0 0 0 0 0 0 0 2
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 1 0 0 0 1
0 0 0 0 3 1 1 1 0 0 23 23 0 0 68
Mengetahui Pengelola Program Lansia
Kepala Puskesmas Atu Lintang
Pengobatan
B
L
23
Konseling
24
Penyuluhan
Pemberdaya
25
an Lansia
Jumlah Pant
26
Wredha
Dibina
Jumlah
27
Kunjungan
Rumah
28
Ket
elola Program Lansia
Harliah,Amd.Kep
9680215 200604 2 005
FORMAT PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI PUSKESMAS
Puskesmas :Atu Lintang
Bulan : Oktober 2018
Jumlah Pant
Posyandu
Wredha
Jumlah
45-59 60-69 >70 45-59 60-69
No Nama Desa
L P L P L P L P L P
B L B L B L B L
1 2 3 4 5 6
1 Merah Jernang 0 46 37 4 4 0 0 0 0 0 1 0 1 0 0
2 Damar Mulyo 0 46 43 19 24 20 23 0 1 0 2 0 0 0 1
3 Tanah Abu 0 41 37 15 8 0 6 1 0 0 2 0 0 0 1
4 Gayo Murni 0 33 26 13 14 6 7 0 2 1 3 0 0 0 0
5 Merah Pupuk 0 39 30 5 11 7 0 0 6 0 5 0 0 0 0
6 Merah Mege 0 57 53 21 14 8 9 0 0 3 1 0 2 0 1
7 Merah Muyang 0 24 23 3 4 1 2 0 1 2 2 0 2 0 0
8 Pandan Damar 0 29 24 8 6 5 7 0 1 0 1 0 0 0 0
9 Atu Lintang 0 35 30 5 11 7 0 1 6 0 0 0 2 0 0
10 Kepala Akal 0 11 7 3 1 1 0 0 2 0 1 0 0 0 0
11 Kala Kekelip 0 42 19 2 1 1 2 0 0 0 0 0 0 0 0
12 Bintang Kekelip 0 13 4 0 0 0 0 0 0 0 0 0 0 0 0
13 Kekelip Musara 0 19 16 3 3 2 2 0 1 0 0 0 0 0 0
Jumlah 0 435 349 101 101 58 58 2 20 6 18 0 7 0 3
Kegiatan Jumlah Lansia Dengan Kelainan
n Lansia Sehari - Hari
>70 Kemandirian IMT Tek.Darah
Gng ME
L P L K T R
A B C
B L B L L P L P L P L P L P
7 8 9 10
0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 1 0 0 0 0 0 0 0 0 2 0 0
0 0 0 0 8 2 0 0 0 0 0 0 0 0 1 0 0
0 1 0 1 5 1 0 0 0 0 0 0 0 0 2 0 0
0 0 0 0 5 5 0 0 0 0 0 0 0 1 2 0 0
0 1 0 0 2 2 0 0 0 0 0 0 0 5 1 0 0
2 2 0 1 6 1 0 0 0 0 0 0 0 0 2 0 0
0 0 0 0 3 7 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 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 1 0 0 0 0 0 0 0 0 0 0 0 0
2 4 0 2 41 21 0 0 0 0 0 0 0 7 10 0 0
Ggn
Kolesterol As.Urat Ggn
Hb Kurang Tinggi DM Tinggi Ggn Ginjal Ggn Kognitf Penglihatan Pendengara
n
L P L P L P L P L P L P L P L P
11 12 13 14 15 16 17 18
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 1 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 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 1 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 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 1 1 1 0 0
Mengetahui
Kepala Puskesmas Atu Lintang
Abna Faradisioca,SKM
NIP.19790701 200604 1 012
Jml Lansia Pengobatan Konseling
Jumlah Pant
Pemberdaya
Penyuluhan
Kunjungan
an Lansia
Wredha
Jumlah
Rumah
Dgn
Dibina
Dirujuk
Diobat
Lain -Lain
Ket
Kelainan B L S
L P L P
19 20 21 22 23 24 25 26 27 28
0 1 0 0 2 0
0 0 0 0 0 1
1 2 0 0 4 1
2 5 0 0 6 0
5 8 0 0 8 1
4 4 0 0 8 0
2 1 0 0 6 1
1 1 0 0 3 0
5 0 0 0 25 0
2 1 0 0 3 0
0 0 0 0 2 0
0 0 0 0 0 0
1 0 0 0 1 0
23 23 0 0 68 4
Harliah,Amd.Kep
NIP:19680215 200604 2 005
FORMAT PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI PUSKESMAS
Puskesmas :Atu Lintang
Bulan : November 2018
Kegiatan
Sasaran Lansia Kunjungan Lansia
Jumlah Pant
Sehari - Hari
Posyandu
Wredha
Jumlah
45-59 60-69 >70 45-59 60-69 >70 Kemandirian
No Nama Desa
L P L P L P L P L P L P
A
B L B L B L B L B L B L
1 2 3 4 5 6 7
1 Merah Jernang 0 46 37 4 4 0 0 1 2 1 4 0 0 0 0 0 0 0 0 9
2 Damar Mulyo 0 46 43 19 24 20 23 1 1 1 1 0 0 0 0 0 0 0 0 1
3 Tanah Abu 0 41 37 15 8 0 6 0 0 1 1 0 1 0 0 0 0 0 0 1
4 Gayo Murni 0 33 26 13 14 6 7 3 0 1 3 0 2 0 2 0 0 0 0 5
5 Merah Pupuk 0 39 30 5 11 7 0 1 3 4 5 0 3 0 0 1 1 0 2 13
6 Merah Mege 0 57 53 21 14 8 9 0 1 1 4 0 3 0 0 0 0 1 2 8
7 Merah Muyang 0 24 23 3 4 1 2 1 1 1 1 0 2 0 0 0 0 0 0 5
8 Pandan Damar 0 29 24 8 6 5 7 0 0 1 2 0 0 0 0 1 0 0 0 3
9 Atu Lintang 0 35 30 5 11 7 0 0 5 4 1 1 4 0 0 0 1 2 1 13
10 Kepala Akal 0 11 7 3 1 1 0 0 3 0 0 0 0 0 0 0 0 0 0 3
11 Kala Kekelip 0 42 19 2 1 1 2 0 1 0 1 0 0 0 0 0 0 0 0 2
12 Bintang Kekelip 0 13 4 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
13 Kekelip Musara 0 19 16 3 3 2 2 0 0 1 2 0 0 0 0 0 0 0 0 2
Jumlah 0 435 349 101 101 58 58 7 17 16 26 1 15 0 2 2 2 3 5 65
Kegiatan Jumlah Lansia Dengan Kelainan
Sehari - Hari
Kemandirian IMT Tek.Darah
Gng ME
L K T R
B C
L P L P L P L P L P
7 8 9 10
0 0 0 0 0 0 0 0 0 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 1 0 0
6 0 0 0 0 0 0 0 0 2 0 0
6 0 0 0 0 0 0 0 1 4 0 0
4 0 0 0 0 0 0 0 2 3 0 0
0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 1 1 0 0
7 0 0 0 0 0 0 0 0 2 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
1 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 1 0 0
28 0 0 0 0 0 0 0 4 16 0 0
Jml Lansia
Ggn Dgn
Kolesterol As.Urat Ggn
Hb Kurang Tinggi DM Tinggi Ggn Ginjal Ggn Kognitf Penglihatan Pendengara Lain -Lain Kelainan
n
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 20
0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 4 5 0 0
0 0 0 0 1 1 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 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0
0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 9 7 0 0
0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 3 5 0 0
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 4 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0
0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 12 3 0 0
0 0 0 0 0 0 2 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 2 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 0 0 0 0 0 0 0 1 2 0 0
0 0 0 0 2 5 3 5 0 0 0 0 0 0 0 0 45 30 0 0
Jumlah Pant
Pemberdaya
Penyuluhan
Kunjungan
an Lansia
Wredha
Jumlah
Rumah
Dibina
Dirujuk
Diobat
Ket
B L S
21 22 23 24 25 26 27 28
10 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0
17 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0
6 1 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
19 1 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0
94 2 0 0 0 0 0 0 0 0
Harliah,Amd.Kep
NIP:19680215 200604 2 005
FORMAT PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI PUSKESMAS
Puskesmas :Atu Lintang
Bulan : Desember 2018
Kegiatan
Sasaran Lansia Kunjungan Lansia
Jumlah Pant
Sehari - Hari
Posyandu
Wredha
Jumlah
45-59 60-69 >70 45-59 60-69 >70 Kemandirian
No Nama Desa
L P L P L P L P L P L P
A B C
B L B L B L B L B L B L
1 2 3 4 5 6 7
1 Merah Jernang 0 46 37 4 4 0 0 0 1 0 5 0 0 0 0 0 0 0 0 1 1 0
2 Damar Mulyo 0 46 43 19 24 20 23 0 2 0 0 0 0 0 0 0 0 1 0 3 2 0
3 Tanah Abu 0 41 37 15 8 0 6 0 1 0 2 0 0 0 0 0 0 0 0 1 2 0
4 Gayo Murni 0 33 26 13 14 6 7 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0
5 Merah Pupuk 0 39 30 5 11 7 0 0 4 0 3 0 0 0 1 0 0 0 0 6 2 0
6 Merah Mege 0 57 53 21 14 8 9 0 0 0 3 0 5 0 1 0 0 0 0 6 3 0
7 Merah Muyang 0 24 23 3 4 1 2 0 2 0 1 0 2 0 0 0 0 0 0 5 0 0
8 Pandan Damar 0 29 24 8 6 5 7 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0
9 Atu Lintang 0 35 30 5 11 7 0 0 6 0 6 0 4 0 1 0 6 0 0 14 8 0
10 Kepala Akal 0 11 7 3 1 1 0 0 0 0 2 0 0 0 0 0 0 0 0 2 0 0
11 Kala Kekelip 0 42 19 2 1 1 2 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0
12 Bintang Kekelip 0 13 4 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0
13 Kekelip Musara 0 19 16 3 3 2 2 0 2 0 1 0 0 0 0 0 0 0 0 3 0 0
Jumlah 0 435 349 101 101 58 58 0 18 0 25 0 12 0 4 0 6 1 0 44 19 0
Jumlah Lansia Dengan Kelainan
IMT Tek.Darah
Gng ME
L K T R
L P L P L P L P L P
8 9 10
0 0 0 0 0 0 0 2 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 0
0 0 0 0 0 0 1 1 0 0
0 0 0 0 0 0 2 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 6 2 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 1 1 0
0 0 0 0 0 0 9 7 1 0
Jml Lansia Pengobatan
Ggn Dgn
Kolesterol As.Urat Ggn
Dirujuk
Diobat
Hb Kurang Tinggi DM Tinggi Ggn Ginjal Ggn Kognitf Penglihatan Pendengara Lain -Lain Kelainan
n
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 20 21 22
0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 1 4 0 0 7 0
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 2 0 0 5 1
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 3 0 0 4 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 2 0 0 8 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 3 0 0 10 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 4 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0
0 0 0 0 1 0 3 2 0 0 0 0 0 0 0 0 0 0 0 0 22 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 0
0 0 0 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 0 0 0 0 0 0 0 1 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 3 0
0 0 0 0 1 4 4 2 0 0 0 0 0 0 0 0 17 18 1 0 69 3
Jumlah Pant
Pemberdaya
Penyuluhan
Kunjungan
an Lansia
Wredha
Jumlah
Rumah
Dibina
Ket
B L S
23 24 25 26 27 28
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 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 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
am Lansia
d.Kep
0604 2 005
REKAPAN PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI PUSKESMAS
Puskesmas :Atu Lintang
Jumlah Pant
Posyandu
Wredha
Jumlah
45-59 60-69 >70 45-59 60-69 >70
No Nama Desa
L P L P L P L P L P L P
B L B L B L B L B L B
1 2 3 4 5 6
1 Januari 0 0 435 349 101 101 58 58 5 5 5 19 2 9 0 2 0 2 0
24 364 116 0 10 4 0 0 0 0 69 93 3 2
Jml Lansia Pengobatan
Ggn Dgn
Kolesterol As.Urat Ggn
Dirujuk
Diobat
Hb Kurang Tinggi DM Tinggi Ggn Ginjal Ggn Kognitf Penglihatan Pendengara Lain -Lain Kelainan
n
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 20 21 22
0 0 2 1 2 1 1 1 1 0 0 0 0 0 0 11 9 2 3 24 9 0
0 0 3 7 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 3 0
0 0 0 3 7 3 3 1 1 0 0 0 0 0 0 15 11 0 0 51 2 0
0 0 2 6 7 2 1 1 0 0 0 0 0 0 0 7 17 1 2 43 8 0
0 0 0 2 3 2 2 0 1 0 0 0 0 0 0 11 17 1 2 37 2 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 5 0 0 24 2 0
0 0 0 1 6 0 1 0 0 0 0 0 0 0 0 0 24 22 0 0 73 10
0 0 0 0 3 1 1 1 0 0 0 0 0 0 0 0 27 23 0 0 68 4
0 0 0 0 3 1 1 1 0 0 0 0 0 0 0 0 23 23 0 0 68 4
0 0 0 0 3 1 1 1 0 0 0 0 0 0 0 0 23 23 0 0 68 4
0 0 0 0 2 5 3 5 0 0 0 0 0 0 0 0 45 30 0 0 94 2
Jumlah Pant
Pemberdaya
Penyuluhan
Kunjungan
an Lansia
Wredha
Jumlah
Rumah
Dibina
Ket
B L S
23 24 25 26 27 28
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 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 0 0 0 0
am Lansia
d.Kep
0604 2 005