Kabupaten : Murung raya

Puskesmas :
Bulan :
Tahun :
Form 1 (ANC)
Status T Bumil
Jumlah Mempunyai Buku KIA K1 K4
NO. PUSTU Bumil T1 T2
Penduduk
Kum % Kum % Kum % Kum % Kum %
1 Batu Bua I 1,256 33 0 0.00 0 0.00 1 3.03 0 0.00 0 0.00
2 Batu Bua II 569 15 0 0.00 0 0.00 1 6.67 0 0.00 0 0.00
3 Batu Karang 294 8 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00
4 Tahujan Laung 58 2 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00
5 Tumbang Bondang 933 25 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00
6 Tumbang Tonduk 123 3 2 66.67 2 66.67 0 0.00 1 33.33 1 33.33
7 Beralang 203 5 0 0.00 0 0.00 1 20.00 0 0.00 0 0.00
8 Kalang Duhung 224 6 0 0.00 0 0.00 2 33.33 0 0.00 2 33.33
9 Lakutan 204 5 0 0.00 0 0.00 1 20.00 0 0.00 1 20.00
10 Tawai Haui 367 10 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00
11 Muara Maruwei I 571 15 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00
12 Muara Maruwei II 591 16 3 18.75 3 18.75 2 12.50 2 12.50 3 18.75
13 Pendasiron 368 10 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00
TOTAL 5,761 153 5 3.27 5 3.27 8 95.53 3 45.83 7 105.42

Jumlah penduduk di sesuaikan dengan jumlah hasil pendataan tahun 2016

Absolut SAMA DENGAN KUMULATIF Khusus untuk Bulan Januari SAJA
Status T Bumil Jml Bumil Mendapat DETEKSI RISIKO RUJUKAN KASUS RISTI JLH
Jml Bumil Mendapat Tablet Fe 3 JLH SSR JLH SSR
T3 T4 T5 Tablet Fe 1 NAKES MASY MATERNAL NEONATAL SSR
BUMIL BAYI
Kum Kum Abs Kum % Kum % Kum % Kum % Kum % Kum % RESIKO BAYI RESIKO
0 0 0 0 0.00 1 3.03 0 0.00 0 0.00 0 0.00 0 0.00 7 30 5
0 0 0 0 0.00 1 6.67 0 0.00 0 0.00 0 0.00 0 0.00 3 14 2
0 0 0 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 2 7 1
0 0 0 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 1 0
0 0 0 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 5 22 3
0 0 0 2 66.67 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 1 3 0
0 0 0 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 1 5 1
0 0 0 0 0.00 2 33.33 0 0.00 0 0.00 0 0.00 0 0.00 1 5 1
0 0 0 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 1 5 1
0 0 0 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 2 9 1
0 0 0 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 3 14 2
0 0 0 3 18.75 2 12.50 0 0.00 0 0.00 0 0.00 0 0.00 3 14 2
0 0 0 0 0.00 4 40.00 0 0.00 0 0.00 0 0.00 0 0.00 2 9 1
0 0 0 5.00 3.27 10 6.54 0 0.00 0 0.00 0 0.00 0 0.00 31 138 21
Kabupaten : Murung Raya
Puskesmas : Batu Bua
Bulan : Februari
Tahun : 2017
Form 1 (ANC)
Jumlah Status T Bumil
Bumil Mempunyai Buku KIA K1 K4
Penduduk T1 T2 T3
NO. PUSTU (sesuai
(sesuai
Sasaran)
sasaran) Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % Kum

1 Batu Bua I 1,256 33 0 2 6.06 0 2 6.06 1 2 6.06 0 3 9.09 0 0 0.00 1

2 Batu Bua II 569 15 0 1 6.67 0 1 6.67 1 2 13.33 0 2 13.33 0 1 6.67 0
3 Batu Karang 294 8 0 0 0.00 0 0 0.00 0 0 0.00 0 1 12.50 0 0 0.00 0
4 Tahujan Laung 58 2 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0
5 Tumbang Bondang 933 25 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0
6 Tumbang Tonduk 123 3 2 2 66.67 2 2 66.67 1 1 33.33 1 1 33.33 1 1 33.33 0
7 Beralang 203 5 0 0 0.00 0 0 0.00 1 2 40.00 0 0 0.00 0 0 0.00 0
8 Kalang Duhung 224 6 0 1 16.67 0 1 16.67 2 4 66.67 0 1 16.67 2 2 33.33 0
9 Lakutan 204 5 0 1 20.00 0 1 20.00 3 4 80.00 0 1 20.00 1 2 40.00 0
10 Tawai Haui 367 10 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0
11 Muara Maruwei I 571 15 0 5 33.33 0 5 33.33 3 3 20.00 0 3 20.00 0 3 20.00 0
12 Muara Maruwei II 591 16 3 7 43.75 3 7 43.75 7 9 56.25 2 3 18.75 3 4 25.00 0
13 Pendasiron 368 10 0 0 0.00 0 0 0.00 3 3 30.00 0 1 10.00 0 0 0.00 12
TOTAL 5,761 153 5 10 6.54 5 10 6.54 22 30 19.61 3 6 3.92 7 14 9.15 13

Jumlah penduduk di sesuaikan dengan jumlah hasil pendataan tahun 2016

Status T Bumil Jml Bumil Mendapat Jml Bumil Mendapat DETEKSI RISIKO RUJUKAN KASUS RISTI JLH SSR
Tablet Fe 1 Tablet Fe 3 JLH SSR JLH SSR
T4 T5 NAKES MASY MATERNAL NEONATAL BUMIL
BAYI
BAYI
(sesuai
RESIKO RESIKO
Kum Kum Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % sasaran)

0 0 0 2 6.06 1 3 9.09 0 3 45.45 0 0 0.00 0 0 0.00 0 0 0.00 7 30 5

1 0 0 1 6.67 1 1 6.67 0 2 66.67 0 0 0.00 0 0 0.00 0 0 0.00 3 14 2
1 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 2 7 1
0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 1 0
0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 5 22 3
0 0 2 2 66.67 0 1 33.33 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 1 3 0
0 0 0 0 0.00 0 0 0.00 0 1 100.00 0 0 0.00 0 0 0.00 0 0 0.00 1 5 1
0 0 0 1 16.67 2 2 33.33 0 2 166.67 0 0 0.00 0 0 0.00 0 0 0.00 1 5 1
0 0 0 1 20.00 0 2 40.00 0 4 400.00 0 0 0.00 0 0 0.00 0 0 0.00 1 5 1
0 0 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 2 9 1
0 0 0 5 33.33 0 3 20.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 3 14 2
0 0 3 7 43.75 2 5 31.25 0 2 62.50 0 0 0.00 0 0 0.00 0 0 0.00 3 14 2
0 1 0 0 0.00 4 7 70.00 0 3 150.00 0 0 0.00 0 0 0.00 0 0 0.00 2 9 1
2 1 5 10 6.54 10 20 13.07 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 31 138 21

Mengetahui Batu Bua, 28 Februari 2017

Kepala Puskesmas Batu Bua Pengelola Program,
Kabupaten Murung raya

Andes Sucipto, SKM Pratiwi Indah Surya Meida, A.Md.Keb

NIP. 19671022 198812 1 002 NIP. 19910524 201503 2 006
Kabupaten : MURUNG RAYA
Puskesmas : BATU BUA
Bulan : MARET
Tahun : 2017
Form 1 (ANC)
Status T Bumil
Jumlah Mempunyai Buku KIA K1 K4
NO. PUSTU Bumil T1 T2 T3 T4 T5
Penduduk
Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % Kum Kum Kum

1 Batu Bua I 1,256 33 2 7 21.21 2 7 21.21 2 9 27.27 3 5 15.15 0 2 6.06

2 Batu Bua II 569 15 1 4 26.67 1 4 26.67 2 4 26.67 2 3 20.00 1 5 33.33 2
3 Batu Karang 294 8 0 1 12.50 0 1 12.50 0 3 37.50 1 3 37.50 0 0 0.00 1
4 Tahujan Laung 58 2 0 1 50.00 0 1 50.00 0 0 0.00 0 0 0.00 0 0 0.00
5 Tumbang Bondang 933 25 0 5 20.00 0 5 20.00 0 1 4.00 0 3 12.00 0 0 0.00
6 Tumbang Tonduk 123 3 2 2 66.67 2 2 66.67 1 2 66.67 1 1 33.33 1 1 33.33
7 Beralang 203 5 0 0 0.00 0 0 0.00 2 4 80.00 0 0 0.00 0 1 20.00
8 Kalang Duhung 224 6 1 2 33.33 1 2 33.33 4 4 66.67 1 1 16.67 2 2 33.33
9 Lakutan 204 5 1 1 20.00 1 1 20.00 4 4 80.00 1 1 20.00 2 3 60.00
10 Tawai Haui 367 10 0 1 10.00 0 1 10.00 0 0 0.00 0 0 0.00 0 0 0.00
11 Muara Maruwei I 571 15 5 7 46.67 5 8 53.33 3 7 46.67 3 3 20.00 3 10 66.67
12 Muara Maruwei II 591 16 7 7 43.75 7 7 43.75 9 11 68.75 3 7 43.75 4 10 62.50
13 Pendasiron 368 10 0 1 10.00 0 1 10.00 3 6 60.00 1 2 20.00 0 1 10.00
TOTAL 5,761 153 19 29 12.42 19 29 18.95 30 60 39.22 16 22 14.38 13 27 17.65 2 1 0

Jumlah penduduk di sesuaikan dengan jumlah hasil pendataan tahun 2016

Jml Bumil Mendapat Tablet Fe Jml Bumil Mendapat Tablet Fe DETEKSI RISIKO RUJUKAN KASUS RISTI
JLH SSR JLH SSR
1 3 JLH SSR
NAKES MASY MATERNAL NEONATAL BUMIL
BAYI
BAYI
RESIKO RESIKO
Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum %

2 7 21.21 3 8 24.24 3 8 121.21 0 0 0.00 0 0 0.00 0 0 0.00 7 30 5

1 4 26.67 1 4 26.67 2 4 133.33 0 0 0.00 0 0 0.00 0 0 0.00 3 14 2
0 1 12.50 0 3 37.50 0 1 62.50 0 0 0.00 0 0 0.00 0 0 0.00 2 7 1
0 1 50.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 1 0
0 5 20.00 0 1 4.00 0 3 60.00 0 0 0.00 0 0 0.00 0 0 0.00 5 22 3
2 2 66.67 1 1 33.33 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 1 3 0
0 0 0.00 0 0 0.00 1 2 200.00 0 0 0.00 0 0 0.00 0 0 0.00 1 5 1
1 2 33.33 2 2 33.33 2 5 416.67 0 0 0.00 0 0 0.00 0 0 0.00 1 5 1
1 1 20.00 2 2 40.00 4 8 800.00 0 0 0.00 0 0 0.00 0 0 0.00 1 5 1
0 1 10.00 0 0 0.00 0 1 50.00 0 0 0.00 0 0 0.00 0 0 0.00 2 9 1
5 8 53.33 3 7 46.67 0 2 66.67 0 0 0.00 0 0 0.00 0 0 0.00 3 14 2
7 7 43.75 5 8 50.00 2 7 218.75 0 0 0.00 0 0 0.00 0 0 0.00 3 14 2
0 1 10.00 7 7 70.00 3 6 300.00 0 0 0.00 0 0 0.00 0 0 0.00 2 9 1
19 29 18.95 24 44 28.76 17 17 55.56 0 0 0.00 0 0 0.00 0 0 0.00 31 138 21

Mengetahui Batu Bua, 31 Maret 2017

Kepala Puskesmas Batu Bua Pengelola Program,
Kabupaten Murung raya

Andes Sucipto, SKM Pratiwi Indah Surya Meida, A.Md.Keb

NIP. 19671022 198812 1 002 NIP. 19910524 201503 2 006
PUSKESMAS : BATU BUA
BULAN : APRIL
TAHUN : 2017

Form 1 (ANC)
Status T Bumil
Jumlah Mempunyai Buku KIA K1 K4
NO. PUSTU Bumil T1 T2 T3 T4
Penduduk
Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % Kum Kum

1 Batu Bua I 1,256 33 7 8 24.24 7 8 24.24 9 10 30.30 5 6 18.18 2 6 18.18

2 Batu Bua II 569 15 4 5 33.33 4 4 26.67 4 4 26.67 3 3 20.00 5 5 33.33 2
3 Batu Karang 294 8 1 2 25.00 1 2 25.00 3 5 62.50 3 5 62.50 0 1 12.50 2
4 Tahujan Laung 58 2 1 1 50.00 1 1 50.00 0 0 0.00 0 0 0.00 0 0 0.00
5 Tumbang Bondang 933 25 5 5 20.00 5 5 20.00 1 2 8.00 3 3 12.00 0 3 12.00
6 Tumbang Tonduk 123 3 2 3 100.00 2 3 100.00 2 2 66.67 1 2 66.67 1 1 33.33
7 Beralang 203 5 0 0 0.00 0 0 0.00 4 5 100.00 0 0 0.00 1 1 20.00
8 Kalang Duhung 224 6 2 3 50.00 2 3 50.00 4 4 66.67 1 1 16.67 2 2 33.33
9 Lakutan 204 5 1 1 20.00 1 1 20.00 4 4 80.00 1 2 40.00 3 3 60.00
10 Tawai Haui 367 10 1 2 20.00 1 2 20.00 0 0 0.00 0 0 0.00 0 0 0.00
11 Muara Maruwei I 571 15 7 11 73.33 8 12 80.00 7 10 66.67 3 6 40.00 10 10 66.67
12 Muara Maruwei II 591 16 7 9 56.25 7 9 56.25 9 11 68.75 7 9 56.25 10 12 75.00
13 Pendasiron 368 10 1 1 10.00 1 1 10.00 6 6 60.00 2 2 20.00 1 2 20.00 1
TOTAL 5,761 153 39 29 25.49 40 29 18.95 53 60 39.22 29 22 14.38 35 27 17.65 3 2

Jumlah penduduk di sesuaikan dengan jumlah hasil pendataan tahun 2016

 Jml Bumil Mendapat Tablet Jml Bumil Mendapat DETEKSI RISIKO RUJUKAN KASUS RISTI
JLH SSR JLH SSR
Fe 1 Tablet Fe 3 JLH SSR
T5 NAKES MASY MATERNAL NEONATAL BUMIL
BAYI
BAYI
RESIKO RESIKO
Kum Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum %

7 8 24.24 8 9 27.27 8 8 121.21 0 0 0.00 0 0 0.00 0 0 0.00 7 30 5

4 5 33.33 4 5 33.33 4 4 133.33 0 0 0.00 0 0 0.00 0 0 0.00 3 14 2
1 2 25.00 3 5 62.50 1 1 62.50 0 0 0.00 0 0 0.00 0 0 0.00 2 7 1
1 1 50.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 0 1 0
5 5 20.00 1 1 4.00 3 3 60.00 0 0 0.00 0 0 0.00 0 0 0.00 5 22 3
2 3 100.00 1 1 33.33 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 1 3 0
0 0 0.00 0 0 0.00 2 2 200.00 0 0 0.00 0 0 0.00 0 0 0.00 1 5 1
2 3 50.00 2 2 33.33 5 5 416.67 0 0 0.00 0 0 0.00 0 0 0.00 1 5 1
1 1 20.00 2 2 40.00 8 8 800.00 0 0 0.00 0 0 0.00 0 0 0.00 1 5 1
1 3 30.00 0 2 20.00 1 1 50.00 0 0 0.00 0 0 0.00 0 0 0.00 2 9 1
8 11 73.33 7 10 66.67 2 5 166.67 0 0 0.00 0 0 0.00 0 0 0.00 3 14 2
7 9 56.25 8 8 50.00 7 7 218.75 0 0 0.00 0 0 0.00 0 0 0.00 3 14 2
1 1 10.00 7 7 70.00 6 7 350.00 0 0 0.00 0 0 0.00 0 0 0.00 2 9 1
0 40 29 18.95 43 44 28.76 47 17 55.56 0 0 0.00 0 0 0.00 0 0 0.00 31 138 21

Mengetahui Batu Bua, 29 April 2017

Kepala Puskesmas Batu Bua Pengelola Program,
Kabupaten Murung raya

Andes Sucipto, SKM Pratiwi Indah Surya Meida, A.Md.Keb

NIP. 19671022 198812 1 002 NIP. 19910524 201503 2 006
Kabupaten : Murung raya
Bulan : Mei
Tahun : 2016
Form 1 (ANC)
Status T Bumil
Jumlah Mempunyai Buku KIA K1 K4
NO. PUSTU Bumil T1 T2 T3
Penduduk
Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % Kum

1 PURUKCAHU 21,763 606 56 64 10.56 56 64 10.56 50 60 9.90 56 62 10.23 50 56 9.24

2 PURUKCAHU SEBRANG 7,150 181 15 20 11.05 15 19 10.50 16 20 11.05 15 18 9.94 16 21 11.60
3 MANGKAHUI 6,225 175 9 11 6.29 9 11 6.29 9 14 8.00 2 7 4.00 9 10 5.71
4 DATAH KOTOU 5,544 152 5 6 3.95 5 6 3.95 6 6 3.95 8 8 5.26 8 8 5.26
5 MUARA LAUNG 11,713 285 35 40 14.04 31 36 12.63 19 21 7.37 23 26 9.12 17 20 7.02
6 MUARA TUHUP 4,254 111 5 8 7.21 5 8 7.21 10 12 10.81 8 10 9.01 12 13 11.71
7 MAKUNJUNG 4,982 149 0 0 0.00 0 0 0.00 0 5 3.36 0 0 0.00 0 1 0.67
8 BATU BUA 5,943 204 14 17 8.33 14 17 8.33 7 11 5.39 6 7 3.43 13 15 7.35
9 KONUT 5,907 176 10 11 6.25 10 11 6.25 18 22 12.50 8 10 5.68 11 14 7.95
10 SARIPOI 9,136 298 14 16 5.37 14 16 5.37 13 13 4.36 13 13 4.36 13 13 4.36
11 TUMBANG LAHUNG 12,362 302 21 32 10.60 22 34 11.26 24 34 11.26 19 25 8.28 20 30 9.93
12 TUMBANG BANTIAN 2,575 60 1 10 16.67 5 14 23.33 2 13 21.67 5 14 23.33 2 14 23.33
13 TUMBANG KUNYI 8738 165 23 24 14.55 14 15 9.09 15 21 12.73 14 16 9.70 13 15 9.09
14 MUARA JOLOI 3,763 86 29 33.72 29 33.72 60 69.77 22 25.58 27 31.40
15 TUMBANG OLONG 2,921 75 10 Err:509 Err:509 9 Err:509 Err:509 4 Err:509 Err:509 4 Err:509 Err:509 5 Err:509 Err:509
TOTAL 112,976 3,025 218 Err:509 7.21 209 Err:509 Err:509 193 Err:509 Err:509 181 Err:509 Err:509 189 Err:509 Err:509 0.00

Jumlah penduduk di sesuaikan dengan jumlah hasil pendataan tahun 2016

Mengetahui
Kepala Puskesmas......................................
Kabupaten Murung raya

.....................................................
NIP. ...........................................
 Jml Bumil Mendapat Jml Bumil Mendapat DETEKSI RISIKO RUJUKAN KASUS RISTI
Tablet Fe 1 Tablet Fe 3 JLH SSR JLH SSR JLH SSR
T4 T5 NAKES MASY MATERNAL NEONATAL BAYI
BUMIL BAYI
Kum Kum Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % RESIKO RESIKO
56 64 11 50 59 9.74 26 34 28.05 1 1 0.83 6 6 4.95 6 6 6.68 121 599 90
15 20 11 16 21 11.60 2 6 16.57 0 0 0.00 2 2 5.52 0 0 0.00 36 171 26
9 11 6 7 12 6.86 1 2 5.71 0 0 0.00 1 1 2.86 1 1 4.02 35 166 25
2 3 2 3 3 1.97 3 3 9.87 0 0 0.00 2 2 6.58 1 1 4.76 30 140 21
25 30 11 19 20 7.02 8 11 19.30 0 0 0.00 0 0 0.00 0 0 0.00 57 256 38
5 8 7 10 11 9.91 0 0 0.00 0 0 0.00 0 0 0.00 0 0 0.00 22 102 15
0 0 0 0 0 0.00 0 2 6.71 0 0 0.00 0 0 0.00 0 0 0.00 30 127 19
0 3 1 7 9 4.41 1 6 14.71 0 0 0.00 0 0 0.00 0 0 0.00 41 178 27
7 8 5 15 17 9.66 2 10 28.41 0 0 0.00 2 2 5.68 0 0 0.00 35 153 23
11 14 5 13 15 5.03 1 2 3.36 0 0 0.00 0 0 0.00 0 0 0.00 60 258 39
22 33 11 24 34 11.26 6 11 18.21 2 2 3.31 0 0 0.00 0 0 0.00 60 271 41
5 14 23 2 10 16.67 0 7 58.33 0 0 0.00 0 0 0.00 0 0 0.00 12 58 9
13 14 8 14 21 12.73 0 7 21.21 0 0 0.00 0 0 0.00 0 0 0.00 33 143 21
29 34 44 51.16 17 98.84 0 0 0.00 0 0 0.00 0 0 0.00 17 71 11
9 Err:509 Err:509 4 Err:509 Err:509 0 Err:509 Err:509 0 Err:509 Err:509 0 Err:509 Err:509 0 Err:509 Err:509 15 57 9
0 0.00 179 Err:509 Err:509 184 Err:509 Err:509 50.00 Err:509 Err:509 3 Err:509 Err:509 13 Err:509 Err:509 8 Err:509 Err:509 605 2750 413

Puruk Cahu,...................................
Pengelola Program,

.......................................................
NIP. ..........................................
Kabupaten : Murung raya
Bulan : Juni
Tahun : 2016
Form 1 (ANC)
Status T Bumil
Jumlah Mempunyai Buku KIA K1 K4
NO. PUSTU Bumil T1 T2 T3
Penduduk
Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % Kum

1 PURUKCAHU 21,763 606 24 88 14.52 24 88 14.52 53 113 18.65 24 86 14.19 53 109 17.99
2 PURUKCAHU SEBRANG 7,150 181 14 34 18.78 14 33 18.23 9 29 16.02 14 32 17.68 12 33 18.23
3 MANGKAHUI 6,225 175 12 23 13.14 12 23 13.14 7 21 12.00 8 15 8.57 0 10 5.71
4 DATAH KOTOU 5,544 152 8 14 9.21 8 14 9.21 5 11 7.24 5 13 8.55 8 16 10.53
5 MUARA LAUNG 11,713 285 24 64 22.46 17 53 18.60 15 36 12.63 13 39 13.68 16 36 12.63
6 MUARA TUHUP 4,254 111 8 16 14.41 8 16 14.41 6 18 16.22 6 16 14.41 6 19 17.12
7 MAKUNJUNG 4,982 149 7 7 4.70 7 7 4.70 3 8 5.37 4 4 2.68 1 2 1.34
8 BATU BUA 5,943 204 9 26 12.75 9 26 12.75 7 18 8.82 4 11 5.39 2 17 8.33
9 KONUT 5,907 176 12 23 13.07 12 23 13.07 11 33 18.75 9 19 10.80 7 21 11.93
10 SARIPOI 9,136 298 16 32 10.74 16 32 10.74 16 29 9.73 16 29 9.73 16 29 9.73
11 TUMBANG LAHUNG 12,362 302 17 49 16.23 17 51 16.89 20 54 17.88 18 43 14.24 18 48 15.89
12 TUMBANG BANTIAN 2,575 60 3 13 21.67 3 17 28.33 4 17 28.33 1 15 25.00 4 18 30.00
13 TUMBANG KUNYI 8738 165 14 38 23.03 18 33 20.00 16 37 22.42 17 33 20.00 14 29 17.58
14 MUARA JOLOI 3,763 86 29 33.72 29 33.72 60 69.77 22 25.58 27 31.40
15 TUMBANG OLONG 2,921 75 1 Err:509 Err:509 1 Err:509 Err:509 6 Err:509 Err:509 0 Err:509 Err:509 4 Err:509 Err:509
TOTAL 112,976 3,025 169 Err:509 5.59 166 Err:509 Err:509 178 Err:509 Err:509 139 Err:509 Err:509 161 Err:509 Err:509 0.00

Jumlah penduduk di sesuaikan dengan jumlah hasil pendataan tahun 2016

Mengetahui
Kepala Puskesmas......................................
Kabupaten Murung raya

.....................................................
NIP. ...........................................
 Jml Bumil Mendapat Jml Bumil Mendapat DETEKSI RISIKO RUJUKAN KASUS RISTI
Tablet Fe 1 Tablet Fe 3 JLH SSR JLH SSR JLH SSR
T4 T5 NAKES MASY MATERNAL NEONATAL BAYI
BUMIL BAYI
Kum Kum Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % RESIKO RESIKO
24 88 15 53 112 18.48 10 44 36.30 0 1 0.83 6 12 9.90 3 9 10.02 121 599 90
14 34 19 12 33 18.23 2 8 22.10 1 1 2.76 0 2 5.52 0 0 0.00 36 171 26
11 22 13 7 19 10.86 3 5 14.29 0 0 0.00 1 2 5.71 0 1 4.02 35 166 25
7 10 7 1 4 2.63 3 6 19.74 0 0 0.00 2 4 13.16 0 1 4.76 30 140 21
16 46 16 15 35 12.28 9 20 35.09 0 0 0.00 2 2 3.51 1 1 2.60 57 256 38
5 13 12 6 17 15.32 1 1 4.50 0 0 0.00 0 0 0.00 0 0 0.00 22 102 15
4 4 3 1 1 0.67 1 3 10.07 0 0 0.00 0 0 0.00 0 0 0.00 30 127 19
5 8 4 7 16 7.84 2 8 19.61 0 0 0.00 0 0 0.00 1 1 3.75 41 178 27
7 15 9 7 24 13.64 3 13 36.93 0 0 0.00 3 5 14.20 0 0 0.00 35 153 23
16 30 10 16 31 10.40 0 2 3.36 0 0 0.00 0 0 0.00 0 0 0.00 60 258 39
17 50 17 20 54 17.88 7 18 29.80 0 2 3.31 0 0 0.00 0 0 0.00 60 271 41
7 21 35 4 14 23.33 2 9 75.00 0 0 0.00 0 0 0.00 0 0 0.00 12 58 9
24 38 23 16 37 22.42 3 10 30.30 0 0 0.00 0 0 0.00 0 0 0.00 33 143 21
29 34 44 51.16 17 98.84 0 0.00 0 0.00 0 0.00 17 71 11
1 Err:509 Err:509 0 Err:509 Err:509 1 Err:509 Err:509 0 Err:509 Err:509 0 Err:509 Err:509 0 Err:509 Err:509 15 57 9
0 0.00 158 Err:509 Err:509 165 Err:509 Err:509 47.00 Err:509 Err:509 1 Err:509 Err:509 14 Err:509 Err:509 5 Err:509 Err:509 605 2750 413

Puruk Cahu,...................................
Pengelola Program,

.......................................................
NIP. ..........................................
Kabupaten : Murung raya
Bulan : Juli
Tahun : 2016
Form 1 (ANC)
Status T Bumil
Jumlah Mempunyai Buku KIA K1 K4
NO. PUSTU Bumil T1 T2 T3
Penduduk
Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % Kum

1 88 #DIV/0! 88 #DIV/0! 113 #DIV/0! 86 #DIV/0! 26 135 #DIV/0!

2 34 #DIV/0! 33 #DIV/0! 29 #DIV/0! 32 #DIV/0! 9 42 #DIV/0!
3 23 #DIV/0! 23 #DIV/0! 21 #DIV/0! 15 #DIV/0! 18 28 #DIV/0!
4 14 #DIV/0! 14 #DIV/0! 11 #DIV/0! 13 #DIV/0! 16 #DIV/0!
5 64 #DIV/0! 53 #DIV/0! 36 #DIV/0! 39 #DIV/0! 22 58 #DIV/0!
6 16 #DIV/0! 16 #DIV/0! 18 #DIV/0! 16 #DIV/0! 7 26 #DIV/0!
7 7 #DIV/0! 7 #DIV/0! 8 #DIV/0! 4 #DIV/0! 6 8 #DIV/0!
8 26 #DIV/0! 26 #DIV/0! 18 #DIV/0! 11 #DIV/0! 4 21 #DIV/0!
9 23 #DIV/0! 23 #DIV/0! 33 #DIV/0! 19 #DIV/0! 4 25 #DIV/0!
10 32 #DIV/0! 32 #DIV/0! 29 #DIV/0! 29 #DIV/0! 8 37 #DIV/0!
11 49 #DIV/0! 51 #DIV/0! 54 #DIV/0! 43 #DIV/0! 7 55 #DIV/0!
12 13 #DIV/0! 17 #DIV/0! 17 #DIV/0! 15 #DIV/0! 4 22 #DIV/0!
13 38 #DIV/0! 33 #DIV/0! 37 #DIV/0! 33 #DIV/0! 29 #DIV/0!
14 29 #DIV/0! 29 #DIV/0! 60 #DIV/0! 22 #DIV/0! 27 #DIV/0!
15 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 0 Err:509 Err:509
TOTAL 0 0 0 Err:509 #DIV/0! 0 Err:509 Err:509 0 Err:509 Err:509 0 Err:509 Err:509 115 Err:509 Err:509 0.00

Jumlah penduduk di sesuaikan dengan jumlah hasil pendataan tahun 2016

Mengetahui
Kepala Puskesmas......................................
Kabupaten Murung raya

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NIP. ...........................................
 Jml Bumil Mendapat Jml Bumil Mendapat DETEKSI RISIKO RUJUKAN KASUS RISTI
Tablet Fe 1 Tablet Fe 3 JLH SSR JLH SSR JLH SSR
T4 T5 NAKES MASY MATERNAL NEONATAL BAYI
BUMIL BAYI
Kum Kum Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % Abs Kum % RESIKO RESIKO
21 109 #DIV/0! 26 138 #DIV/0! 11 55 #DIV/0! 0 1 #DIV/0! 3 15 #DIV/0! 2 11 12.24 0 599 90
9 43 #DIV/0! 9 42 #DIV/0! 10 18 #DIV/0! 4 5 #DIV/0! 4 6 #DIV/0! 0 0 0.00 0 171 26
0 22 #DIV/0! 0 19 #DIV/0! 3 8 #DIV/0! 0 0 #DIV/0! 2 4 #DIV/0! 0 1 4.02 0 166 25
10 #DIV/0! 4 #DIV/0! 6 #DIV/0! 0 #DIV/0! 4 #DIV/0! 1 4.76 0 140 21
20 66 #DIV/0! 20 55 #DIV/0! 4 24 #DIV/0! 0 0 #DIV/0! 0 2 #DIV/0! 0 1 2.60 0 256 38
6 19 #DIV/0! 7 24 #DIV/0! 1 2 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 0.00 0 102 15
6 10 #DIV/0! 3 4 #DIV/0! 2 5 #DIV/0! 0 0 #DIV/0! 1 1 #DIV/0! 0 0 0.00 0 127 19
10 18 #DIV/0! 5 21 #DIV/0! 2 10 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 1 3.75 0 178 27
4 19 #DIV/0! 1 25 #DIV/0! 1 14 #DIV/0! 0 0 #DIV/0! 2 7 #DIV/0! 0 0 0.00 0 153 23
9 39 #DIV/0! 8 39 #DIV/0! 0 2 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 0.00 0 258 39
14 64 #DIV/0! 10 64 #DIV/0! 5 23 #DIV/0! 0 2 #DIV/0! 0 0 #DIV/0! 0 0 0.00 0 271 41
5 26 #DIV/0! 3 17 #DIV/0! 0 9 #DIV/0! 0 0 #DIV/0! 0 0 #DIV/0! 0 0 0.00 0 58 9
38 #DIV/0! 37 #DIV/0! 10 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 0.00 0 143 21
29 #DIV/0! 44 #DIV/0! 17 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 0.00 0 71 11
3 Err:509 Err:509 3 Err:509 Err:509 0 Err:509 Err:509 0 Err:509 Err:509 0 Err:509 Err:509 0 Err:509 Err:509 0 57 9
0 0.00 107 Err:509 Err:509 95 Err:509 Err:509 39.00 Err:509 Err:509 4 Err:509 Err:509 12 Err:509 Err:509 2 Err:509 Err:509 0 2750 413

Puruk Cahu,...................................
Pengelola Program,

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NIP. ..........................................