LAPORAN DATA KB UPT PUSKESMAS RAWAT INAP BORBOR

Pelayanan Keluarga Berencana Peserta KB Aktif Jumlah Peserta KB Paska Persalinan

JLH PUS 4 Jml
NO DESA PUS 4 T Komplik Kegagala Efek Drop Peserta
PUS T Kondom Pil Suntik AKDR Implan MOW MOP MAL Kondom Pil Suntik AKDR Implan MOW MOP
ber KB asi n Samping Out KB
Aktif
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
1 Pangururan I 40 6 3 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0
2 Pangururan II 46 8 3 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0
3 Pangururan III 40 21 6 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0
4 Janji Maria 42 10 5 0 0 0 0 0 1 1 0 0 0 0 2 0 0 0 0 0 0 0 0

5 36 8
Pardomuan Nauli 4 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0
6 Riganjang 30 3 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lumban Sewa 39 5 2 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
8 Pasar Borbor 103 20 16 0 0 0 0 4 0 3 0 0 0 0 7 3 0 0 0 0 0 0 0
9 Huta Gurgur 117 22 4 0 0 0 0 0 0 2 0 0 0 0 2 0 0 0 0 0 0 0 0
10 Lintong 48 8 3 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0
11 Simare 59 19 13 0 0 0 0 1 1 2 0 0 0 0 4 1 0 0 0 0 0 0 0
12 Rianiate 52 2 3 0 0 0 0 0 1 1 0 0 0 0 2 0 0 0 0 0 0 0 0
13 Aekunsim 86 1 2 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0
14 Natumingka 76 12 5 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0
15 Purba Tua 72 15 6 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0
JUMLAH 890 160 77 0 0 0 0 6 3 16 0 0 0 0 25 7 0 0 0 0 0 0 0

Diketahui Tanggal, 2022

Kepala UPT Puskesmas Rawat Inap Borbor Pengelola KIA & KB

Ria Agustina Hutabarat, SKM Hotmauli Simanjuntak

NIP. 19730816 199303 2 005 NIP. 19880527 201704 2 001
inan
Jml Kb
Paska
Persalina
n
26
0
2
0
0

0
0
0
3
0
0
1
0
0
1
0
7

2022
KB
 LAPORAN D

Pelayanan Keluarga Berencana

JLH
NO DESA PUS 4 T PUS 4 T Efek
PUS Komplikasi Kegagalan
ber KB Samping

1 2 3 4 5 6 7 8
1 Pangururan I 40 6 3 0 0 0
2 Pangururan II 46 8 3 0 0 0
3 Pangururan III 40 21 6 0 0 0
4 Janji Maria 42 10 5 0 0 0
5 Pardomuan Nauli 36 8 4 0 0 0
6 Riganjang 30 3 2 0 0 0
7 Lumban Sewa 39 5 2 0 0 0
8 Pasar Borbor 103 20 16 0 0 0
9 Huta Gurgur 117 22 4 0 0 0
10 Lintong 48 8 3 0 0 0
11 Simare 59 19 13 0 0 0
12 Rianiate 52 2 3 0 0 0
13 Aekunsim 86 1 2 0 0 0
14 Natumingka 76 12 5 0 0 0
15 Purba Tua 72 15 6 0 0 0
JUMLAH 890 160 77 0 0 0

Diketahui
Kepala UPT Puskesmas Rawat Inap Borbor

Ria Agustina Hutabarat, SKM

NIP. 19730816 199303 2 005
 LAPORAN DATA KB UPT PUSKESMAS RAWAT INAP BORBOR

erencana Peserta KB Aktif

Jml
Drop Out Kondom Pil Suntik AKDR Implan MOW MOP Peserta MAL
KB Aktif
9 10 11 12 13 14 15 16 17 18
0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 1 0
0 0 1 1 0 0 0 0 2 1
0 0 0 2 0 0 0 0 2 0
0 0 0 1 0 0 0 0 1 0
0 1 0 0 0 0 0 0 1 0
0 4 0 3 0 0 0 0 7 0
0 0 0 0 0 0 0 0 0 1
0 0 0 1 0 0 0 0 1 1
0 1 1 6 0 0 0 0 8 0
0 0 1 0 0 0 0 0 1 0
0 0 0 1 0 0 0 0 1 0
0 0 3 2 0 0 1 0 6 1
0 0 0 1 0 0 0 0 1 0
0 6 3 16 0 0 1 0 26 5
 Jumlah Peserta KB Paska Persalinan
Jml Kb
Kondom Pil Suntik AKDR Implan MOW MOP Paska
Persalinan
19 20 21 22 23 24 25 26
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 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 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
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 5

Tanggal, 2022
Pengelola KIA & KB

Hotmauli Simanjuntak
NIP. 19880527 201704 2 001
 LAPORAN DATA K

Pelayanan Keluarga Berencana

JLH
NO DESA PUS 4 T PUS 4 T Komplik Kegagala Efek
PUS Drop Out
ber KB asi n Samping

1 2 3 4 5 6 7 8 9
1 Pangururan I 40 6 3 0 0 0 0
2 Pangururan II 46 8 3 0 0 0 0
3 Pangururan III 40 21 6 0 0 0 0
4 Janji Maria 42 10 5 0 0 0 0
5 Pardomuan Nauli 36 8 4 0 0 0 0
6 Riganjang 30 3 2 0 0 0 0
7 Lumban Sewa 39 5 2 0 0 0 0
8 Pasar Borbor 103 20 16 0 0 0 0
9 Huta Gurgur 117 22 4 0 0 0 0
10 Lintong 48 8 3 0 0 0 0
11 Simare 59 19 13 0 0 0 0
12 Rianiate 52 2 3 0 0 0 0
13 Aekunsim 86 1 2 0 0 0 0
14 Natumingka 76 12 5 0 0 0 0
15 Purba Tua 72 15 6 0 0 0 0
JUMLAH 890 160 77 0 0 0 0

Diketahui
Kepala UPT Puskesmas Rawat Inap Borbor

Ria Agustina Hutabarat, SKM

NIP. 19730816 199303 2 005
LAPORAN DATA KB UPT PUSKESMAS RAWAT INAP BORBOR

Peserta KB Aktif Jumla

Jml
Kondom Pil Suntik AKDR Implan MOW MOP Peserta MAL Kondom
KB Aktif
10 11 12 13 14 15 16 17 18 19
0 0 1 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 1 0 0 0 0 1 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 1 0
0 0 0 0 0 0 0 0 0 0
1 1 1 0 0 0 0 3 0 0
0 0 1 0 0 0 0 1 2 0
1 1 2 0 0 0 0 4 1 0
0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 1 2 0
2 2 8 0 0 0 0 12 7 0
 Jumlah Peserta KB Paska Persalinan
Jml Kb
Paska
Pil Suntik AKDR Implan MOW MOP
Persalina
n
20 21 22 23 24 25 26
0 0 0 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 1
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 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 2
0 0 0 0 0 0 7

Tanggal, 2022
Pengelola KIA & KB

Hotmauli Simanjuntak
NIP. 19880527 201704 2 001
 LAPORAN DATA

Pelayanan Keluarga Berencana

JLH
NO DESA PUS 4 T PUS 4 T Komplik Kegagala Efek
PUS Drop Out
ber KB asi n Samping

1 2 3 4 5 6 7 8 9
1 Pangururan I 40 6 3 0 0 0 0
2 Pangururan II 46 8 3 0 0 0 0
3 Pangururan III 40 21 6 0 0 0 0
4 Janji Maria 42 10 5 0 0 0 0
5 Pardomuan Nauli 36 8 4 0 0 0 0
6 Riganjang 30 3 2 0 0 0 0
7 Lumban Sewa 39 5 2 0 0 0 0
8 Pasar Borbor 103 20 16 0 0 0 0
9 Huta Gurgur 117 22 4 0 0 0 0
10 Lintong 48 8 3 0 0 0 0
11 Simare 59 19 13 0 0 0 0
12 Rianiate 52 2 3 0 0 0 0
13 Aekunsim 86 1 2 0 0 0 0
14 Natumingka 76 12 5 0 0 0 0
15 Purba Tua 72 15 6 0 0 0 0
JUMLAH 890 160 77 0 0 0 0

Diketahui
Kepala UPT Puskesmas Rawat Inap Borbor

Ria Agustina Hutabarat, SKM

NIP. 19730816 199303 2 005
LAPORAN DATA KB UPT PUSKESMAS RAWAT INAP BORBOR

Peserta KB Aktif Jumla

Jml
Kondom Pil Suntik AKDR Implan MOW MOP Peserta MAL Kondom
KB Aktif
10 11 12 13 14 15 16 17 18 19
0 0 1 0 0 0 0 1 0 0
0 0 1 0 0 0 0 1 1 0
0 0 1 0 0 0 0 1 0 0
0 0 1 0 0 0 0 1 0 0
0 0 1 0 0 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 1 2 0
0 0 2 0 0 0 0 2 0 0
1 1 1 0 0 0 0 3 1 0
0 0 1 0 0 0 0 1 0 0
1 1 2 0 0 0 0 4 2 0
0 0 1 0 0 0 0 1 1 0
0 0 1 0 0 0 0 1 0 0
0 0 1 0 0 0 0 1 0 0
0 0 2 0 0 0 0 2 1 0
2 2 17 0 0 0 0 21 9 0
 Jumlah Peserta KB Paska Persalinan
Jml Kb
Paska
Pil Suntik AKDR Implan MOW MOP
Persalina
n
20 21 22 23 24 25 26
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 1
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 1
0 0 0 0 0 0 0
0 0 0 0 0 0 2
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
0 0 0 0 0 0 9

Tanggal, 2022
Pengelola KIA & KB

Hotmauli Simanjuntak
NIP. 19880527 201704 2 001