You are on page 1of 5

REKAPITULASI HASIL PEMERIKSAAN

PUSKES

Peserta didik Status Gizi

Tajam Penglih
Jml yg dijaring
No Nama Sekolah
siswa kls N G K KS Jml
1
L P Jml N

1 SD WEDUNG 01 0 0 0 0 0 0
2 SD WEDUNG 03 0 0 0 0 0 0
3 SD WEDUNG 04 0 0 0 0 0 0
4 SD NGAWEN 0 0 0 0 0 0
5 SD BUKO 0 0 0 0 0 0
6 SD MANDUNG 0 0 0 0 0 0
7 SD BUNGO 01 0 0 0 0 0 0
8 SD BUNGO 02 0 0 0 0 0 0
9 SD BUNGO 03 0 0 0 0 0 0
10 SD BERAHAN WETAN 01 0 0 0 0 0 0
11 SD BERAHAN WETAN 02 0 0 0 0 0 0
12 SD BERAHAN KULON 0 0 0 0 0 0
13 SD TEMPEL 0 0 0 0 0 0
14 SD KENDUREN 01 0 0 0 0 0 0
15 SD RUWIT 0 0 0 0 0 0
16 MI WILDAN 0 0 0 0 0 0
17 MI TARBIYATUL ATFAL 0 0 0 0 0 0
18 MATHOLIUL FALAH BUKO 0 0 0 0 0 0
19 MI IL ITTIHAD MANDUNG 0 0 0 0 0 0
20 MI SALAFIYAH KENDUREN 0 0 0 0 0 0
21 MI AL MANAR KENDUREN 0 0 0 0 0 0
22 MATHOLIUL FALAH BUNGO 0 0 0 0 0 0
23 MI MATHOLIUL ULUM 01 0 0 0 0 0 0
24 MI MATHOLIUL ULUM 02 0 0 0 0 0 0
9 MI ATTANWIR 0 0 0 0 0 0
26 MI MATHOLIBUL HUDA RUWIT 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kepala Puskesmas Wedung I
Kabupaten Demak
dr. Urip Suprihadi M.Kes
NIP.19681010200003 1 012
L PEMERIKSAAN KESEHATAN BERKALA PESERTA DIDIK TINGKAT SD/MI

PUSKESMAS WEDUNG 1 TAHUN 2021

Tajam dengar Gigi & Mulut

Tajam Penglihatan serum


OM N Rgg mlt Gigi
en

RJ RD Jml N R S B Jml N LB BB Jml N Karies

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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
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
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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 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 0
0 0 0 8 2 0 0 0 0 0 0 0 0 0 0 0
t Hsl Prks Penunjang

Gan Kesegaran jasmani


Gigi ngu Risiko
an Kecacin
Anemia
gan
Jml ME GAKY segar Tdk segar Jml

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0
0
0
Programer UKS 0
0
0
drg. Yulia Ratnasari
NIP.19790728200604 2009

You might also like