LAPORAN MINGGUAN WABAH ( W2 )

PUSKESMAS MANDIANGIN

MINGGU KE :8
TAHUN : 2020

KWASHIOKOR
MINGGU KE :

MARASMUS
POLIO /AFP

PERTUSIS

TETANUS
CAMPAK
KOLERA

DIPTERI

RABIES
DIARE

DHF

AFP
NAMA DESA

PES
NO

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 26 27 28 29
P M P M P M P M P M P M P M P M P M P M P M P M P M
1 GURUN MUDO 8 0 0 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 GURUN BARU 8 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
3 GURUN TUO SIMPANG 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GURUN TUO 8 0 0 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 PEMUSIRAN 8 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
DAM SIAMBANG 8 0 0 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 RANGKILING BHAKTI 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 RANGKILING SIMPANG 8 0 0 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 MANDIANGIN 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 MANDIANGIN PASAR 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 KUTE JAYE 8 0 0 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 MANDIANGIN TUO 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 TAMAN DEWA 8 0 0 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 TALANG SERDANG 8 0 0 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 KERTOPATI SIMPANG 8 0 0 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 KERTOPATI 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 BUKIT PERANGINAN 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SIMPANG LANGGAR 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 MUARA KETALO 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 SUNGAI ROTAN 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mandiangin, 02 Maret 2020
Mengetahui:
KEPALA PUSKESMAS MANDIANGIN Penanggung Jawab Laporan

dr. Sat Joga Agus Widi Nugroho RENA NELLY

NIP. 19650303 200907 1001 NIP.19810306.200604.2.015
 DISTRIBUSI PENDERITA DIARE MENURUT GOLONGAN UMUR
JUMLAH PENDERITA YANG DIBERI ORALIT, ZINC DAN INFUS SERTA JUMLAH PEMAKAIAN ORALIT, ZINC DAN RL
PUSKESMAS MANDIANGIN
PUSKESMAS : MANDIANGIN
KABUPATEN : SAROLANGUN
LAPORAN BULAN : FE 2013

SARANA KESEHATAN KADER PEMERIKSAAN LAB

NO KOLERA
NAMA DESA < 1 TH 1 - 4 TH > 5 TH Jumlah Pend.Diberi Juml Pemakaian > 1 TH 1 - 4 TH > 5 TH Jumlah Juml Pemakaian
P M P M P M P M Oralit Zinc RL Oralit Zinc RL P M P M P M P M Oralit PERIKSA POST

1 GURUN MUDO 2 0 0 0 0 0 2 0 2 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
2 GURUN TUO SIMPANG 0 0 0 0 5 0 5 0 5 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0
3 GURUN TUO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PEMUSIRAN 2 0 2 0 2 0 6 0 6 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0
5 RANGKILING BHAKTI 0 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 RANGKILING SIMPANG 0 0 3 0 1 0 4 0 4 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDIANGIN 0 0 2 0 1 0 3 0 3 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDIANGIN TUO 0 0 0 0 5 0 5 0 5 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0
9 TAMAN DEWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TALANG SERDANG 1 0 1 0 0 0 2 0 2 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KERTOPATI SIMPANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 KERTOPATI 5 0 4 0 3 0 12 0 12 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0
13 BUKIT PERANGINAN 2 0 0 0 1 0 3 0 3 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0
SIMPANG LANGGAR 0 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 MUARA KETALO 0 0 4 0 2 0 6 0 6 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0
SUNGAI ROTAN 0 0 4 0 1 0 5 0 5 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 12 0 20 0 21 0 53 0 53 0 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0
Mandiangin, 02 Januari 2013
Mengetahui:
KEPALA PUSKESMAS MANDIANGIN PETUGAS

dr. Sat Joga Agus Widi Nugroho RENA NELLY

 NIP. 19650303 200907 1001 NIP.19810306.200604.2.015
DISTRIBUSI PENDERITA DIARE MENURUT GOLONGAN UMUR
JUMLAH PENDERITA YANG DIBERI ORALIT, ZINC DAN INFUS SERTA JUMLAH PEMAKAIAN ORALIT, ZINC DAN RL
PUSKESMAS MANDIANGIN
PUSKESMAS : MANDIANGIN
KABUPATEN : SAROLANGUN
LAPORAN BULAN : Juli 2012

SARANA KESEHATAN KADER PEMERIKSAAN LAB

NO KOLERA
NAMA DESA > 1 TH 1 - 4 TH > 5 TH Jumlah Pend.Diberi Juml Pemakaian > 1 TH 1 - 4 TH > 5 TH Jumlah Juml Pemakaian
P M P M P M P M Oralit Zinc RL Oralit Zinc RL P M P M P M P M Oralit PERIKSA POST

1 GURUN MUDO 0 0 1 0 1 0 2 0 2 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
2 GURUN TUO SIMPANG 0 0 1 0 3 0 4 0 4 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0
3 GURUN TUO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PEMUSIRAN 1 0 2 0 3 0 6 0 6 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0
5 RANGKILING BHAKTI 1 0 3 0 4 0 8 0 8 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0
6 RANGKILING SIMPANG 1 0 2 0 2 0 5 0 5 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDIANGIN 0 0 3 0 2 0 5 0 5 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDIANGIN TUO 0 0 1 0 4 0 5 0 5 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0
9 TAMAN DEWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TALANG SERDANG 0 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 KERTOPATI SIMPANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 KERTOPATI 0 0 1 0 2 0 3 0 3 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0
13 BUKIT PERANGINAN 1 0 5 0 4 0 10 0 10 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0
SIMPANG LANGGAR 0 0 1 0 0 0 1 0 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
14 MUARA KETALO 1 0 2 0 4 0 7 0 7 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 5 0 22 0 29 0 56 0 56 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0
Mandiangin, 30 juli 2012
Mengetahui:
KEPALA PUSKESMAS MANDIANGIN PETUGAS
 dr. Sat Joga Agus Widi Nugroho Suryono
NIP. 19650303 200907 1001 NIP.19830105 201001 1 001
DISTRIBUSI PENDERITA DIARE MENURUT GOLONGAN UMUR
JUMLAH PENDERITA YANG DIBERI ORALIT, ZINC DAN INFUS SERTA JUMLAH PEMAKAIAN ORALIT, ZINC DAN RL
PUSKESMAS MANDIANGIN
PUSKESMAS : MANDIANGIN
KABUPATEN : SAROLANGUN
LAPORAN BULAN : Agustus 2012
SARANA KESEHATAN KADER PEMERIKSAAN LAB
NO KOLERA
NAMA DESA > 1 TH 1 - 4 TH > 5 TH Jumlah Pend.Diberi Juml Pemakaian > 1 TH 1 - 4 TH > 5 TH Jumlah Juml Pemakaian
P M P M P M P M Oralit Zinc RL Oralit Zinc RL P M P M P M P M Oralit PERIKSA POST

1 GURUN MUDO 1 0 3 0 1 0 5 0 5 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0
2 GURUN TUO SIMPANG 0 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 GURUN TUO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PEMUSIRAN 0 0 3 0 0 0 3 0 3 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0
5 RANGKILING BHAKTI 0 0 0 0 2 0 2 0 2 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
6 RANGKILING SIMPANG 1 0 0 0 0 0 1 0 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDIANGIN 0 0 3 0 2 0 5 0 5 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDIANGIN TUO 0 0 1 0 5 0 6 0 6 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0
9 TAMAN DEWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TALANG SERDANG 0 0 1 0 1 0 2 0 2 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KERTOPATI SIMPANG 0 0 1 0 0 0 1 0 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
12 KERTOPATI 0 0 1 0 2 0 3 0 3 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0
13 BUKIT PERANGINAN 1 0 5 0 4 0 10 0 10 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0
SIMPANG LANGGAR 0 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 MUARA KETALO 0 0 1 0 7 0 8 0 8 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0
SUNGAI ROTAN 0 0 0 0 1 0 1 0 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 3 0 19 0 25 0 47 0 47 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0
Mandiangin, 30 Agustus 2012
Mengetahui:
KEPALA PUSKESMAS MANDIANGIN PETUGAS
 dr. Sat Joga Agus Widi Nugroho Suryono
NIP. 19650303 200907 1001 NIP.19830105 201001 1 001
DISTRIBUSI PENDERITA DIARE MENURUT GOLONGAN UMUR
JUMLAH PENDERITA YANG DIBERI ORALIT, ZINC DAN INFUS SERTA JUMLAH PEMAKAIAN ORALIT, ZINC DAN RL
PUSKESMAS MANDIANGIN
PUSKESMAS : MANDIANGIN
KABUPATEN : SAROLANGUN
LAPORAN BULAN : September 2012
SARANA KESEHATAN KADER PEMERIKSAAN LAB
NO KOLERA
NAMA DESA > 1 TH 1 - 4 TH > 5 TH Jumlah Pend.Diberi Juml Pemakaian > 1 TH 1 - 4 TH > 5 TH Jumlah Juml Pemakaian
P M P M P M P M Oralit Zinc RL Oralit Zinc RL P M P M P M P M Oralit PERIKSA POST

1 GURUN MUDO 0 0 2 0 3 0 5 0 5 0 0 15 0 0 2 0 0 0 0 0 2 0 2 0 0
2 GURUN TUO SIMPANG 1 0 1 0 3 0 5 0 5 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0
3 GURUN TUO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PEMUSIRAN 0 0 4 0 0 0 4 0 4 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0
5 RANGKILING BHAKTI 1 0 1 0 2 0 4 0 4 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0
6 RANGKILING SIMPANG 3 0 0 0 0 0 3 0 3 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDIANGIN 0 0 6 0 4 0 10 0 10 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDIANGIN TUO 1 0 7 0 4 0 12 0 12 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0
9 TAMAN DEWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TALANG SERDANG 0 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 KERTOPATI SIMPANG 0 0 1 0 0 0 1 0 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
12 KERTOPATI 0 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 BUKIT PERANGINAN 2 0 8 0 3 0 13 0 13 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0
SIMPANG LANGGAR 0 0 0 0 1 0 1 0 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
14 MUARA KETALO 0 0 1 0 1 0 2 0 2 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
SUNGAI ROTAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 8 0 31 0 21 0 60 0 60 0 0 180 0 0 2 0 0 0 0 0 2 0 2 0 0
Mandiangin, 30 September 2012
Mengetahui:
KEPALA PUSKESMAS MANDIANGIN PETUGAS
 dr. Sat Joga Agus Widi Nugroho Suryono
NIP. 19650303 200907 1001 NIP.19830105 201001 1 001
DISTRIBUSI PENDERITA DIARE MENURUT GOLONGAN UMUR
JUMLAH PENDERITA YANG DIBERI ORALIT, ZINC DAN INFUS SERTA JUMLAH PEMAKAIAN ORALIT, ZINC DAN RL
PUSKESMAS MANDIANGIN
PUSKESMAS : MANDIANGIN
KABUPATEN : SAROLANGUN
LAPORAN BULAN : Oktober 2012
SARANA KESEHATAN KADER PEMERIKSAAN LAB
NO KOLERA
NAMA DESA > 1 TH 1 - 4 TH > 5 TH Jumlah Pend.Diberi Juml Pemakaian > 1 TH 1 - 4 TH > 5 TH Jumlah Juml Pemakaian
P M P M P M P M Oralit Zinc RL Oralit Zinc RL P M P M P M P M Oralit PERIKSA POST

1 GURUN MUDO 0 0 2 0 3 0 5 0 5 0 0 15 0 0 2 0 0 0 0 0 2 0 2 0 0
2 GURUN TUO SIMPANG 0 0 2 0 4 0 6 0 6 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0
3 GURUN TUO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PEMUSIRAN 0 0 3 0 3 0 6 0 6 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0
5 RANGKILING BHAKTI 1 0 1 0 2 0 4 0 4 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0
6 RANGKILING SIMPANG 0 0 3 0 0 0 3 0 3 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDIANGIN 0 0 4 0 12 0 16 0 16 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDIANGIN TUO 0 0 4 0 5 0 9 0 9 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0
9 TAMAN DEWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TALANG SERDANG 0 0 2 0 2 0 4 0 4 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KERTOPATI SIMPANG 0 0 0 0 3 0 3 0 3 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0
12 KERTOPATI 0 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 BUKIT PERANGINAN 2 0 2 0 13 0 17 0 17 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0
SIMPANG LANGGAR 0 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 MUARA KETALO 0 0 3 0 1 0 4 0 4 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0
SUNGAI ROTAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 3 0 26 0 48 0 77 0 77 0 0 231 0 0 2 0 0 0 0 0 2 0 2 0 0
Mandiangin, 30 Oktober 2012
Mengetahui:
 KEPALA PUSKESMAS MANDIANGIN PETUGAS

dr. Sat Joga Agus Widi Nugroho Suryono

NIP. 19650303 200907 1001 NIP.19830105 201001 1 001
DISTRIBUSI PENDERITA DIARE MENURUT GOLONGAN UMUR
JUMLAH PENDERITA YANG DIBERI ORALIT, ZINC DAN INFUS SERTA JUMLAH PEMAKAIAN ORALIT, ZINC DAN RL
PUSKESMAS MANDIANGIN
PUSKESMAS : MANDIANGIN
KABUPATEN : SAROLANGUN
LAPORAN BULAN : November 2012
SARANA KESEHATAN KADER PEMERIKSAAN LAB
NO KOLERA
NAMA DESA > 1 TH 1 - 4 TH > 5 TH Jumlah Pend.Diberi Juml Pemakaian > 1 TH 1 - 4 TH > 5 TH Jumlah Juml Pemakaian
P M P M P M P M Oralit Zinc RL Oralit Zinc RL P M P M P M P M Oralit PERIKSA POST

1 GURUN MUDO 0 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 GURUN TUO SIMPANG 0 0 1 0 0 0 1 0 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
3 GURUN TUO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PEMUSIRAN 2 0 2 0 0 0 4 0 4 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0
5 RANGKILING BHAKTI 0 0 0 0 2 0 2 0 2 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
6 RANGKILING SIMPANG 1 0 1 0 5 0 7 0 7 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0
7 MANDIANGIN 0 0 3 0 6 0 9 0 9 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDIANGIN TUO 0 0 2 0 4 0 6 0 6 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0
9 TAMAN DEWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 TALANG SERDANG 0 0 0 0 2 0 2 0 2 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KERTOPATI SIMPANG 0 0 1 0 0 0 1 0 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
12 KERTOPATI 0 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 BUKIT PERANGINAN 0 0 6 0 10 0 16 0 16 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0
SIMPANG LANGGAR 0 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 MUARA KETALO 0 0 4 0 1 0 5 0 5 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0
SUNGAI ROTAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 3 0 20 0 30 0 53 0 53 0 0 159 0 0 0 0 0 0 0 0 0 0 0 0 0
Mandiangin, 30 November 2012
 Mengetahui:
KEPALA PUSKESMAS MANDIANGIN PETUGAS

dr. Sat Joga Agus Widi Nugroho Suryono

NIP. 19650303 200907 1001 NIP.19830105 201001 1 001
 LAPORAN PENEMUAN PENDERITA ISPA
PUSKESMAS MANDIANGIN
PUSKESMAS : MANDIANGIN
KABUPATEN : SAROLANGUN
LAPORAN BULAN : FEBRUARI 2015

TARGET REALISASI PENEMUAN PENDERITA JML KEMATIAN ISPA (>5TH) JUMLAH OBAT-OBATAN
JLH PDDK TERPAKAI
PEN.PENDERIT BALITA KARENA
JUMLAH USIA PNEUMONIA BATUK BUKAN
NO NAMA DESA A PNEMUNIA PNEUMONIA JUMLAH PNEMUNIA PNEMUNIA BUKAN PARACETAMOL KOTRIMOKSASOL
PENDUDUK BALITA BERAT % PNEMUNIA
BALITA PNEUMONIA
(10% PDDK) <1th 1- 4 th <1 th 1- 4 th < 1 th 1- 4 th Jmlh < 1 th 1- 4 th Jmlh < 1 th 1- 4 th Jmlh BOTOL TABLET BOTOL TABLET
(10%BALITA)
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 GURUN MUDO 0 0 0 0 0 0 0 0 0 0 3 5 8 0 0 0 0 0 0 0 0 0

2 GURUN BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3 GURUN TUO SIMPANG 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 7 0 0 0 0 0

4 GURUN TUO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

5 PEMUSIRAN 0 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0 15 0 0 0 0 0
DAM SIAMBANG 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 3 0 0 0 0 0

6 RANGKILING BHAKTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 RANGKILING SIMPANG 0 0 0 0 0 0 0 0 0 0 2 3 5 0 0 0 7 0 0 0 0 0

8 MANDIANGIN 0 0 0 2 0 0 0 2 2 0 2 19 21 0 0 0 28 0 0 0 0 0

9 MANDIANGIN PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 KUTE JAYE 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 0 0 0 0

11 MANDIANGIN TUO 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 0 0 0 0

12 TAMAN DEWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

13 TALANG SERDANG 0 0 0 0 0 0 0 0 0 0 3 7 10 0 0 0 5 0 0 0 0 0

14 KERTOPATI SIMPANG 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 0 0 0 0

15 KERTOPATI 0 0 0 0 0 0 0 0 0 0 6 6 12 0 0 0 18 0 0 0 0 0

16 BUKIT PERANGINAN 0 0 0 0 0 0 0 0 0 0 5 9 14 0 0 0 18 0 0 0 0 0
SIMPANG LANGGAR 0 0 0 1 0 0 0 1 1 0 0 5 5 0 0 0 7 0 0 0 0 0

17 MUARA KETALO 0 0 0 0 0 0 0 0 0 0 2 5 7 0 0 0 7 0 0 0 0 0

18 SUNGAI ROTAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 3 0 0 0 3 3 0 28 69 97 0 0 0 119 0 0 0 0 0
Mandiangin, 03 maret 2015

Mengetahui:
KEPALA PUSKESMAS MANDIANGIN PETUGAS
dr. Sat Joga Agus Widi Nugroho RIZKI KUSUMAWATI
NIP. 19650303 200907 1001
 LAPORAN PENEMUAN PENDERITA ISPA
PUSKESMAS MANDIANGIN
PUSKESMAS : MANDIANGIN
KABUPATEN : SAROLANGUN
LAPORAN BULAN
TARGET REALISASI PENEMUAN PENDERITA JML KEMATIAN ISPA (>5TH) JUMLAH OBAT-OBATAN
JLH PDDK TERPAKAI
PEN.PENDERIT BALITA KARENA
JUMLAH USIA PNEUMONIA BATUK BUKAN
NO NAMA DESA A PNEMUNIA PNEUMONIA JUMLAH PNEMUNIA BUKAN PARACETAMOL KOTRIMOKSASOL
PENDUDUK BALITA BERAT %
PNEMUNIA
PNEMUNIA
BALITA PNEUMONIA
(10% PDDK) <1th 1- 4 th <1 th 1- 4 th < 1 th 1- 4 th Jmlh < 1 th 1- 4 th Jmlh < 1 th 1- 4 th Jmlh BOTOL TABLET BOTOL TABLET
(10%BALITA)
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 GURUN MUDO 2349 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 1 0 4 10 4 10
2 GURUN TUO SIMPANG 1345 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 4 0 2 40 2 40
3 GURUN TUO 911 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PEMUSIRAN 1896 0 0 0 0 0 0 0 0 0 0 3 4 7 0 0 0 6 0 7 60 7 60
5 RANGKILING BHAKTI 643 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 30 0 30
6 RANGKILING SIMPANG 1805 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 50 0 50
7 MANDIANGIN 3979 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 19 0 4 190 4 190
8 MANDIANGIN TUO 1289 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 2 0 2 0

9 TAMAN DEWA 1176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 TALANG SERDANG 599 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 7 0 1 70 1 70
11 KERTOPATI SIMPANG 591 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 20 2 20
12 KERTOPATI 1405 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 80 0 80
13 BUKIT PERANGINAN 1602 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 14 0 14 140 14 140
SIMPANG LANGGAR 436 0 0 0 0 0 0 0 0 0 0 2 3 5 0 0 0 4 0 5 40 5 40

14 MUARA KETALO 1085 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 4 0 3 40 3 40

SUNGAI ROTAN 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 1 0 6 10 6 10

JUMLAH 21111 0 0 0 0 0 0 0 0 0 0 17 33 50 0 0 0 78 0 50 780 50 780

Mandiangin, 30 Agustus 2012

Mengetahui:
KEPALA PUSKESMAS MANDIANGIN PETUGAS

dr. Sat Joga Agus Widi Nugroho SURYONO

NIP. 19650303 200907 1001 NIP.19830105 201001 1 001
LAPORAN PENEMUAN PENDERITA ISPA
PUSKESMAS MANDIANGIN
PUSKESMAS : MANDIANGIN
KABUPATEN : SAROLANGUN
LAPORAN BULAN
 TARGET REALISASI PENEMUAN PENDERITA JML KEMATIAN ISPA (>5TH) JUMLAH OBAT-OBATAN
JLH PDDK TERPAKAI
PEN.PENDERIT BALITA KARENA
JUMLAH USIA PNEUMONIA BATUK BUKAN
NO NAMA DESA A PNEMUNIA PNEUMONIA JUMLAH PNEMUNIA PNEMUNIA BUKAN PARACETAMOL KOTRIMOKSASOL
PENDUDUK BALITA BERAT % PNEMUNIA
BALITA PNEUMONIA
(10% PDDK) <1th 1- 4 th <1 th 1- 4 th < 1 th 1- 4 th Jmlh < 1 th 1- 4 th Jmlh < 1 th 1- 4 th Jmlh BOTOL TABLET BOTOL TABLET
(10%BALITA)
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 GURUN MUDO 2349 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 1 0 4 10 4 10

2 GURUN TUO SIMPANG 1345 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 4 0 2 40 2 40
3 GURUN TUO 911 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PEMUSIRAN 1896 0 0 0 0 0 0 0 0 0 0 3 4 7 0 0 0 6 0 7 60 7 60
5 RANGKILING BHAKTI 643 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 30 0 30
6 RANGKILING SIMPANG 1805 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 50 0 50
7 MANDIANGIN 3979 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 19 0 4 190 4 190
8 MANDIANGIN TUO 1289 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 2 0 2 0
9 TAMAN DEWA 1176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 TALANG SERDANG 599 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 7 0 1 70 1 70

11 KERTOPATI SIMPANG 591 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 20 2 20
12 KERTOPATI 1405 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 80 0 80
13 BUKIT PERANGINAN 1602 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 14 0 14 140 14 140
SIMPANG LANGGAR 436 0 0 0 0 0 0 0 0 0 0 2 3 5 0 0 0 4 0 5 40 5 40
14 MUARA KETALO 1085 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 4 0 3 40 3 40

SUNGAI ROTAN 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 1 0 6 10 6 10

JUMLAH 21111 0 0 0 0 0 0 0 0 0 0 17 33 50 0 0 0 78 0 50 780 50 780

Mandiangin, 30 Agustus 2012

Mengetahui:
KEPALA PUSKESMAS MANDIANGIN PETUGAS

dr. Sat Joga Agus Widi Nugroho SURYONO

NIP. 19650303 200907 1001 NIP.19830105 201001 1 001
 FORMAT C1
LEMBARAN SURVEILANS EPIDEMIOLOGI CAMPAK
BULAN Jan-20

PUSKESMAS : MANDIANGIN KABUPATEN /KOTA: SAROLANGUN

KECAMATAN : MANDIANGIN PROVINSI : JAMBI
KEADAAN
VAKSINASI CAMPAK SEBELUMNYA TANGGAL VIT.A
NO NAMA UMUR NAMA DESA SEKARANG
DOSIS TH.VAK TERAKHIRTDK/TDK TAHU DEMAM RASH YA/TIDAK HIDUP MATI
1 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0 0 0

NIH I
6 0 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0 0 0 0 0

L
10 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0

Mengetahui: Mandiangin, 03 Agustus 2019

KEPALA PUSKESMAS MANDIANGIN Penanggung Jawab Laporan

dr. Sat Joga Agus Widi Nugroho RENA NELLY

NIP. 19650303 200907 1001 NIP.19810306.200604.2.015
 SURVEILANS TERPADU BERBASIS PUSKESMAS
( KASUS BARU )
PROPINSI : JAMBI TAHUN 2020
KABUPATEN : SAROLANGUN BULAN : JANUARI
PUSKESMAS : MANDIANGIN JML KUNJUNGAN 402 Penderita
Golongan Umur Total Total
No Kode ICD 10 Jenis Penyakit 0-7 Hr 8-28 Hr <1 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th 70+ Laki-laki Perempuan Kunjungan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 A.00 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 A.09 Diare 0 0 10 4 11 2 0 4 2 2 3 0 9 22 69
3 A.06 Diare Berdarah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 A.01.0 Tifus Perut Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 A.15.0 TBC Paru BTA (+) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 A.15.1 Tersangka TBC Paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 A.30.1- A.30.2 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 A.30.3- A.30.9 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 B.05 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 A.36 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 A.37 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 A.33- A.35 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 B.15- B.19 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B.54 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 B.51 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 B.50 Malaria Falciparum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 B.50-B.53 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 A.91 Demam Berdarah Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 A.90 Demam Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 J.12-J.18 Pneumonia 0 1 1 0 0 0 0 0 0 0 0 0 2 0 2
20 A.52 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 A.54 Gonorhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 A.66 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 B.74 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 J.10-J.11 Influenza 0 0 7 7 7 15 6 2 6 4 6 6 29 34 129
26 J.06 ISPA 0 202 7 35 7 3 10 12 10 3 4 6 48 47 202

Laporan Awal/Perbaikan ( Lingkari Pilihan ) Mandiangin, 01 JANUARI 2020

Jumah Puskesmas Pembantu yang ada bulan laporan :4 PUSTU Mengetahui : Petugas Surveilans
Jumah Puskesmas Pembantu melapor bulan laporan : …………………..(………%) Kepala Puskesmas
Jumah Pusk.Pembantu tepat waktu bulan laporan : …………………..(………%)
Jumlah Puskesmas yang ada bulan laporan : ………………..
Jumlah Puskesmas melapor bulan laporan : …………………..(………%) dr.Sat Joga Agus Widi Nugroho Rena Nelly
Jumah Puskesmas melapor tepat waktu bulan laporan : …………………..(………%) NIP. 19650303 200907 1001 NIP. 19810306 200604 2 015
 LAPORAN W2 MINGGUAN
PKM MANDIANGIN TH 2012
MINGGU KE
NO BULAN
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 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
1 JANUARI 1/0 1/0 2/0
2 FEBRUARI
3 MARET 0/0
4 APRIL
5 MEI
6 JUNI
7 JULI
8 AGUSTUS
9 SEPTEMBER
10 OKTOBER
11 NOVEMBER
12 DESEMBER
JUMLAH
TGL LAPOR

MANDIANGIN ###
PETUGAS PUSTU/ BIDES

NIP/NRPTT.
LAPORAN BULANAN PEMBERANTASAN PENYAKIT RABIES

KAB/KOTA : Sarolangun
Jumlah Desa :
Jumlah Desa Lapor :

KASUS GIGITAN HPR JENIS HEWAN PENGIGIT KONDISI HEWAN KONDISI LUKA GIGITAN PENGOBATAN PENDERITA SPESIMEN HEWAN
NO DESA < 1 TH 1-4 TH 5-14 TH 15-44 TH >45 TH JML DI DI LUKA LUKA CUCI DIBERI DIBERI MENINGG KET
ANJING KUCING KERA LARI LECET
VAR+SAR SEMBUH
NEG POS
L P L P L P L P L P BUNUH VAKSIN PARAH BANYAK LUKA VAR AL
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 26 27 28 29 30
1 JANUARI
2 FEBRUARI
3 MARET
4 APRIL
5 MEI
6 JUNI
7 JULI
8 AGUSTUS
9 SEPTEMBER
10 OKTOBER
11 NOVEMBER
12 DESEMBER
13
TOTAL

MANDIANGIN, 2013
PETUGAS PUSTU/ BIDES

NIP/NRPTT.
LAPORAN KASUS LYSSA ( RABIES PADA MANUSIA )

KAB / KOTA
JUMLAH DESA
JUMLAH DESA
 LAPORAN BULANAN PEMBERANTASAN PENYAKIT DIARE
PUSKESMAS MANDIANGIN KECAMATAM MANDIANGIN KABUPATEN SAROLANGUN
PROVINSI JAMBI
BULAN : FEBRUARI
TAHUN : 2016
SARANA KESEHATAN KADER PEMERIKSAAN
JUMLAH PENDERITA JUMLAH PENDERITA JUMLAH JUMLAH PENDERITA JUMLAH TOTAL LABORATORIUM
NO Desa < 1 TH 1 - 4 TH > 5 TH JUMLAH DIBERI PEMAKAIAN < 1 TH 1-4 TH > 5 TH JUMLAHPEMAKAIAN ORALIT KOLERA ket
PENDERITA MENINGGAL PENDERITA MENINGGAL PENDERITA MENINGGAL PENDERITA MENINGGAL
ORALIT ZINC RL ORALIT ZINC RL P M P M P M P M ORALIT PERIKSA POSITIF
L P L P L P L P L P L P L P L P
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 26 27 28 29 30 31 32 33 34 35 36 37
1 GURUN MUDO 0 0 0 0 0 0 0 0 0 0 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 GURUN BARU 0 0 0 0 0 0 0 0 0 0 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 GURUN TUO SIMP 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 2 2 0 6 60 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GURUN TUO 0 0 0 0 2 0 0 0 0 0 0 0 2 0 0 0 2 2 0 6 60 0 0 0 0 0 0 0 0 0 0 0 0 0
5 PEMUSIRAN 3 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 3 3 0 9 90 0 0 0 0 0 0 0 0 0 0 0 0 0
DAM SIAMBANG 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 3 30 0 0 0 0 0 0 0 0 0 0 0 0 0
6 RANGKILING BHAKTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 RANGKILING SIMP 1 0 0 0 1 1 0 0 0 2 0 0 2 3 0 0 5 5 0 15 150 0 0 0 0 0 0 0 0 0 0 0 0 0
8 MANDIANGIN 0 0 0 0 3 4 0 0 4 6 0 0 7 10 0 0 17 17 0 51 510 0 0 0 0 0 0 0 0 0 0 0 0 0
9 MANDIANGIN PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 KUTE JAYE 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 0 2 2 0 6 60 0 0 0 0 0 0 0 0 0 0 0 0 0
11 MANDIANGIN TUO 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 1 0 3 30 0 0 0 0 0 0 0 0 0 0 0 0 0
12 TAMAN DEWA 0 0 0 0 0 0 0 0 0 0 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 TALANG SERDANG 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 1 0 3 30 0 0 0 0 0 0 0 0 0 0 0 0 0
14 KERTOPATI SIMP 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 3 30 0 0 0 0 0 0 0 0 0 0 0 0 0
15 KERTOPATI 0 0 0 0 2 1 0 0 0 0 0 0 2 1 0 0 3 3 0 9 90 0 0 0 0 0 0 0 0 0 0 0 0 3
16 BUKIT PERANGINAN 0 0 0 0 0 1 0 0 2 2 0 0 2 3 0 0 5 5 0 15 150 0 0 0 0 0 0 0 0 0 0 0 0 0
SIMPANG LANGGAR 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 1 0 3 30 0 0 0 0 0 0 0 0 0 0 0 0 0
17 MUARA KETALO 0 0 0 0 1 2 0 0 2 2 0 0 3 4 0 0 7 7 0 21 210 0 0 0 0 0 0 0 0 0 0 0 0 0
18 SUNGAI ROTAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TOTAL 4 0 0 0 11 11 0 0 10 15 0 0 25 26 0 0 51 51 0 153 1,530 0 0 0 0 0 0 0 0 0 0 0 0 3

Mandiangin, 03 MARET 2016

KEPALA PUSKESMAS MANDIANGIN PETUGAS

dr. Sat Joga Agus Widi Nugroho DEVI SERLIYANI

NIP. 19650303 200907 1001
 LAPORAN PENEMUAN PENDERITA ISPA
PUSKESMAS MANDIANGIN
PUSKESMAS : MANDIANGIN
KABUPATEN : SAROLANGUN
LAPORAN BULAN : JULI 2018

REALISASI PENEMUAN PENDERITA JML KEMATIAN BALITA KARENA ISPA (>5TH)

NO NAMA DESA PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BUKAN PNEMUNIA PNEMUNIA BUKAN
% PNEUMONI PNEMUNIA
<1th 1- 4 th <1 th 1- 4 th < 1 th 1- 4 th Jmlh < 1 th 1- 4 th Jmlh < 1 th 1- 4 th Jmlh A
1 2 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 GURUN MUDO 0 0 0 0 0 0 0 0 1 3 4 0 0 0 4 0
2 GURUN BARU 0 0 0 0 0 0 0 0 5 8 13 0 0 0 4 0
3 GURUN TUO SIMPANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GURUN TUO 0 0 0 0 0 0 0 0 0 4 4 0 0 0 5 0
5 PEMUSIRAN 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0
DAM SIAMBANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 RANGKILING BHAKTI 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0
7 RANGKILING SIMPANG 0 0 0 0 0 0 0 0 9 13 22 0 0 0 12 0
8 MANDIANGIN 0 0 0 0 0 0 0 0 12 18 30 0 0 0 21 0
9 MANDIANGIN PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 KUTE JAYE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 MANDIANGIN TUO 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0
12 TAMAN DEWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 TALANG SERDANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 KERTOPATI SIMPANG 0 0 0 0 0 0 0 0 4 3 7 0 0 0 0 0
15 KERTOPATI 0 0 0 0 0 0 0 0 6 8 14 0 0 0 14 0
16 BUKIT PERANGINAN 0 0 0 0 0 0 0 0 6 10 16 0 0 0 22 0
SIMPANG LANGGAR 0 0 0 0 0 0 0 0 2 1 3 0 0 0 11 0
17 MUARA KETALO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 SUNGAI ROTAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 47 71 118 0 0 0 94 0
Mandiangin, 03 JUNI 2018
Mengetahui:
KEPALA PUSKESMAS MANDIANGIN PETUGAS

dr. Sat Joga Agus Widi Nugroho RIZKI KUSUMAWATI

NIP. 19650303 200907 1001
 LAPORAN PENEMUAN PENDERITA ISPA
PUSKESMAS MANDIANGIN
PUSKESMAS : MANDIANGIN
KABUPATEN : SAROLANGUN
LAPORAN BULAN :JULI 2018

REALISASI PENEMUAN PENDERITA ISPA (>5TH)

JML KEMATIAN BALITA KARENA PNEMUNIA
NO NAMA DESA PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BUKAN PNEMUNIA
% BUKAN PNEUMONIA PNEMUNIA
<1th 1- 4 th <1 th 1- 4 th < 1 th 1- 4 th SUB TOTAL < 1 th 1- 4 th TOTAL < 1 th 1- 4 th TOTAL
L P L P L P L P L P L P L P TOTAL L P L P L P T L P T L P T L P T
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 26 27 28 29 30 31 32 33 34 35 36
1 GURUN MUDO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 1 4 0 0 0 0 0 0 0 3 1 4 0 0 0
2 GURUN BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 3 13 0 0 0 0 0 0 0 2 2 4 0 0 0
3 GURUN TUO SIMPANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 GURUN TUO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 0 0 0 0 3 2 5 0 0 0
5 PEMUSIRAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0
DAM SIAMBANG 0 0 0 0 0 0 0 0 0 0 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 RANGKILING BHAKTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 3 7 6 22 0 0 0 0 0 0 0 6 6 12 0 0 0
7 RANGKILING SIMPANG 0 0 0 0 0 0 0 0 0 0 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 MANDIANGIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 4 6 12 30 0 0 0 0 0 0 0 13 8 21 0 0 0
9 MANDIANGIN PASAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0
10 KUTE JAYE 0 0 0 0 0 0 0 0 0 0 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 MANDIANGIN TUO 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 1 1 0 0 0
12 TAMAN DEWA 0 0 0 0 0 0 0 0 0 0 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 TALANG SERDANG 0 0 0 0 0 0 0 0 0 0 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 KERTOPATI SIMPANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 1 7 0 0 0 0 0 0 0 0 0 0 0 0 0
15 KERTOPATI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 3 5 14 0 0 0 0 0 0 0 7 7 14 0 0 0
16 BUKIT PERANGINAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 2 8 16 0 0 0 0 0 0 0 14 8 22 0 0 0
SIMPANG LANGGAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 3 0 0 0 0 0 0 0 4 7 11 0 0 0
17 MUARA KETALO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 SUNGAI ROTAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 18 30 42 118 0 0 0 0 0 0 0 52 42 94 0 0 0
Mandiangin, 03 JUNI 2018
Mengetahui:
KEPALA PUSKESMAS MANDIANGIN PETUGAS

dr. Sat Joga Agus Widi Nugroho RIZKI KUSUMAWATI

NIP. 19650303 200907 1001