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PKM Toima
PKM Toima
Jml Pddk Usia Target Penemuan Jmlh Kunjungan PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH 1-4 TH
(5.19% Balita) Bernapas TOTAL JLH JLH
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
……………………...………………………………
NIP
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
TUK BKN PNEUMONIA dihitu
ng
TOTAL nafas / <1 TH 1-4 TH TOTAL Bkn Pneumonia Pneumonia
JLH ada JLH JLH JLH JLH JLH
LK PR TDDK LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS TOIMA KABUPATEN BANGGAI
BULAN FEBRUARI
REALISASI PENEMUAN PENDERITA
Jml Pddk Usia Target Penemuan Jmlh Kunjungan PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH 1-4 TH TOTAL
(5.19% Balita) Bernapas TOTAL JLH JLH
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK
……………………...………………………………
NIP
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
PNEUMONIA dihitu
ng
TOTAL nafas / <1 TH 1-4 TH TOTAL Bkn Pneumonia Pneumonia
JLH ada JLH JLH JLH JLH JLH
PR TDDK LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
BULAN MARET
……………………...……………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS TOIMA KABUPATEN BANGGAI
0 0 0 0 0 0.00 1
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00 2
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00 1
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0.00 4
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
PROGRAM P2 ISPA
ABUPATEN BANGGAI
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMON
BATUK BKN PNEUMONIA dihitu
ng
<1 TH 1-4 TH TOTAL nafas / <1 TH 1-4 TH
JLH JLH JLH ada JLH
PR LK PR LK PR TDDK LK PR LK PR
1 0 1 0 1 1 0
0 0 0 0 0 0 0
0 1 3 4 1 3 4 4 0
0 2 2 2 0 2 2 0
0 1 1 0 1 1 1 0
2 1 1 2 3 1 4 4 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 0 1 1 0
0 0 0 0 0 0 0
0 4 4 5 9 8 5 13 13 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 1 1 2 0
0 0 0 0 0 0
0 0 0 0 1 0 1 0
0 0 0 0 1 1 2 0
0 0 0 0 1 1 2 0
0 0 0 0 1 8 9 0
0 0 0 0 0 0
0 0 0 0 1 1 0
0 0 0 0 4 3 7 0
0 0 0 0 0 0
0 0 0 0 9 15 24 0 0 0
engelola P2 ISPA
…………………..…...………..
BULAN APRIL
……………………...……………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS TOIMA KABUPATEN BANGGAI
0 0 0 0 0 0.00
0 0 0 0 0 0.00
1 0 0 0 1 202.11
0 0 0 0 0 0.00
0 1 0 0 1 497.23
0 0 0 0 0 0.00
2 0 0 0 2 1108.94
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 3 1 0 0 4 178.20 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
PROGRAM P2 ISPA
ABUPATEN BANGGAI
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMON
BATUK BKN PNEUMONIA dihitu
ng
<1 TH 1-4 TH TOTAL nafas / <1 TH 1-4 TH
JLH JLH JLH ada JLH
PR LK PR LK PR TDDK LK PR LK PR
0 1 3 4 1 3 4 0 0
0 1 1 1 0 1 0 0
0 2 3 5 2 3 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 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 4 6 10 4 6 10 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 4 2 6 0
0 0 0 0 3 2 5 0
0 0 0 0 5 5 10 0
0 0 0 0 2 1 3 0
0 0 0 0 2 2 0
0 0 0 0 1 1 0
0 0 0 0 0 0
0 0 0 0 1 5 6 0
0 0 0 0 2 3 5 0
0 0 0 0 0 0
0 0 0 0 17 21 38 0 0 0
engelola P2 ISPA
…………………..…...………..
BULAN MEI
……………………...……………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS TOIMA KABUPATEN BANGGAI
0 0 0 0 0 0.00
1 1 0 0 2 605.27
2 1 0 0 3 606.33
0 0 0 0 0 0.00
0 0 0 0 0 0.00
2 0 0 0 2 732.85
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 5 2 0 0 7 311.85 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
PROGRAM P2 ISPA
ABUPATEN BANGGAI
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMON
BATUK BKN PNEUMONIA dihitu
ng
<1 TH 1-4 TH TOTAL nafas / <1 TH 1-4 TH
JLH JLH JLH ada JLH
PR LK PR LK PR TDDK LK PR LK PR
0 1 1 0 1 1 0 0
0 1 1 2 1 1 2 0 0
0 3 2 5 3 2 5 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 2 2 2 0 2 0 0
0 0 0 0 0 0 0
0 1 1 0 1 1 0 0
0 1 1 0 1 1 0 0
0 0 0 0 0 0 0
0 0 6 6 12 6 6 12 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 2 1 3 0
0 0 0 0 0 0
0 0 0 0 10 8 18 0
0 0 0 0 1 1 2 0
0 0 0 0 3 1 4 0
0 0 0 0 1 1 2 0
0 0 0 0 0 0
0 0 0 0 1 1 2 0
0 0 0 0 2 12 14 0
0 0 0 0 0 0
0 0 0 0 20 25 45 0 0 0
engelola P2 ISPA
…………………..…...………..
BULAN JUNI
PNEUMONIA
Jml Pddk Usia Target Penemuan Jmlh Kunjungan
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
Pneumonia Balita Kesukaran <1 TH 1-4 TH
pddk)
(5.19% Balita) Bernapas
LK PR LK
……………………...…………………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS TOIMA KABUPATEN BANGGAI
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 #DIV/0! 0
0 0 0 0 0 0 0 0 0 0 0.00 0 0 0
Mengetahui
kesmas……………………………..….
……………...………………………………
ISPA
NGGAI
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
MONIA ISPA ≥ 5 TH
Bkn Pneumonia
Pneumonia
JLH JLH JLH
LK PR LK PR
0 1 1 0
0 5 1 6 0
0 3 12 15 0
0 1 1 0
0 2 1 3 0
0 1 1 0
0 0 0
0 1 7 8 0
0 3 1 4 0
0 0 0
0 15 24 39 0 0 0
BULAN JULI
……………………...……………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS TOIMA KABUPATEN BANGGAI
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00 1
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00 2
0 0 0 0 0 0.00
0 0 0 0 0 0.00 1
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0.00 4
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
PROGRAM P2 ISPA
ABUPATEN BANGGAI
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMON
BATUK BKN PNEUMONIA dihitu
ng
<1 TH 1-4 TH TOTAL nafas / <1 TH 1-4 TH
JLH JLH JLH ada JLH
PR LK PR LK PR TDDK LK PR LK PR
0 1 1 2 1 1 2 2 0
1 1 0 0 1 1 1 0
1 2 1 3 3 1 4 4 0
0 0 0 0 0 0 0
0 3 4 7 3 4 7 7 0
0 0 0 0 0 0 0
2 2 2 2 2 4 4 0
0 0 0 0 0 0 0
1 2 2 3 0 3 3 0
0 0 0 0 0 0 0
1 5 8 8 16 12 9 21 21 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 3 3 6 0
0 0 0 0 1 1 2 0
0 0 0 0 5 6 11 0
0 0 0 0 3 5 8 0
0 0 0 0 2 4 6 0
0 0 0 0 1 1 2 0
0 0 0 0 2 2 4 0
0 0 0 0 1 2 3 0
0 0 0 0 1 3 4 0
0 0 0 0 0 0
0 0 0 0 19 27 46 0 0 0
engelola P2 ISPA
…………………..…...………..
BULAN AGUSTUS
Target
Jml Pddk Usia Penemuan Jmlh Kunjungan PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Kesukaran <1 TH 1-4 TH
Balita (5.19% Bernapas
Balita)
LK PR LK
……………………...……………………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS TOIMA KABUPATEN BANGGAI
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00 1
0 0 0 0 0 0.00 1
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0.00 1 1
Mengetahui
kesmas……………………………..….
……………...………………………………
GRAM P2 ISPA
PATEN BANGGAI
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA
BATUK BKN PNEUMONIA dihitu
ng
1-4 TH TOTAL nafas / <1 TH 1-4 TH
JLH JLH JLH ada JLH JLH
LK PR LK PR TDDK LK PR LK PR
0 0 0 0 0 0 0 0
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 1 1 0 0
1 0 0 1 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 0 0 0 0 0
2 0 0 0 1 1 2 2 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 1 1 0
0 0 0 0 0
0 0 0 2 2 0
0 0 0 1 1 2 0
0 0 0 1 2 3 0
0 0 0 0 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 5 8 0 0 0
a P2 ISPA
………..…...………..
BULAN SEPTEMBER
……………………...……………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS TOIMA KABUPATEN BANGGAI
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00 1
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00 1
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0.00 2
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
PROGRAM P2 ISPA
ABUPATEN BANGGAI
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMON
BATUK BKN PNEUMONIA dihitu
ng
<1 TH 1-4 TH TOTAL nafas / <1 TH 1-4 TH
JLH JLH JLH ada JLH
PR LK PR LK PR TDDK LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 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
0 0 0 0 0 0 0
1 0 1 0 1 1 0
0 0 0 0 0 0 0
0 2 0 0 0 2 0 2 2 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 0 0
0 0 0 0 1 1 0
0 0 0 0 1 2 3 0
0 0 0 0 0 0
0 0 0 0 1 1 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 1 1 0
0 0 0 0 4 4 0
0 0 0 0 0 0
0 0 0 0 2 8 10 0 0 0
engelola P2 ISPA
…………………..…...………..
BULAN OKTOBER
……………………...……………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS TOIMA KABUPATEN BANGGAI
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0.00 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
PROGRAM P2 ISPA
ABUPATEN BANGGAI
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMON
BATUK BKN PNEUMONIA dihitu
ng
<1 TH 1-4 TH TOTAL nafas / <1 TH 1-4 TH
JLH JLH JLH ada JLH
PR LK PR LK PR TDDK LK PR LK PR
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
engelola P2 ISPA
…………………..…...………..
BULAN NOVEMBER
……………………...……………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS TOIMA KABUPATEN BANGGAI
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 1
0 0 0 0 0 0.00 3
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 0
0 0 0 0 0 0.00 1
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0.00 5
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
PROGRAM P2 ISPA
ABUPATEN BANGGAI
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMON
BATUK BKN PNEUMONIA dihitu
ng
<1 TH 1-4 TH TOTAL nafas / <1 TH 1-4 TH
JLH JLH JLH ada JLH
PR LK PR LK PR TDDK LK PR LK PR
1 1 0 0 0 0 1 1 0
0 1 2 1 3 3 1 4 0
0 3 1 1 2 4 1 5 0
0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 1 1 0
0 0 1 0 1 1 0 1 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 2 0 2 3 0 3 0
0 0 0 0 0 0
2 7 6 2 8 11 4 15 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 3 0 3 0
0 0 0 0 3 0 3 0
0 0 0 0 9 3 12 0
0 0 0 0 3 0 3 0
0 0 0 0 1 1 2 0
0 0 0 0 0 3 3 0
0 0 0 0 3 3 6 0
0 0 0 0 0 1 1 0
0 0 0 0 4 3 7 0
0 0 0 0 0 0
0 0 0 0 26 14 40 0 0 0
engelola P2 ISPA
…………………..…...………..
BULAN DESEMBER
……………………...……………………
NIP
LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS TOIMA KABUPATEN BANGGAI
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 0.00
0 0 0 0 0 #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0.00 0
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
PROGRAM P2 ISPA
ABUPATEN BANGGAI
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMON
BATUK BKN PNEUMONIA dihitu
ng
<1 TH 1-4 TH TOTAL nafas / <1 TH 1-4 TH
JLH JLH JLH ada JLH
PR LK PR LK PR TDDK LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pengelola P2 ISPA
………………………………..…...………..
NIP
BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
engelola P2 ISPA
…………………..…...………..
REKAPITULASI LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS TOIMA KABUPATEN BANGGAI
BULAN JANUARI - DESEMBER 2013
REALISASI PENEMUAN PENDERITA
Jml Pddk Usia Target Penemuan Jmlh Kunjungan PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH 1-4 TH TOTAL
(5.19% Balita) Bernapas TOTAL JLH JLH
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
……………………...………………………………
NIP
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
NIA dihitu
ng
nafas / <1 TH 1-4 TH TOTAL Bkn Pneumonia Pneumonia
JLH ada JLH JLH JLH JLH JLH
TDDK LK PR LK PR LK PR LK PR LK PR
9 3 0 0 0 0 0 0 0 0 0 14 8 22 0 0 0
8 1 0 0 0 0 0 0 0 0 0 12 5 17 0 0 0
24 9 0 0 0 0 0 0 0 0 0 34 38 72 0 0 0
2 2 0 0 0 0 0 0 0 0 0 12 9 21 0 0 0
10 9 0 0 0 0 0 0 0 0 0 10 13 23 0 0 0
8 5 0 0 0 0 0 0 0 0 0 3 15 18 0 0 0
4 4 0 0 0 0 0 0 0 0 0 5 5 10 0 0 0
1 0 0 0 0 0 0 0 0 0 0 5 17 22 0 0 0
9 5 0 0 0 0 0 0 0 0 0 16 29 45 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
………………………………..…...………..
NIP
REKAPITULASI LAPORAN BULANAN PROGRAM P2 ISPA
PUSKESMAS TOIMA KABUPATEN BANGGAI
BULAN
REALISASI PENEMUAN PENDERITA
Jml Pddk Usia Target Penemuan Jmlh Kunjungan PNEUMONIA PNEUMONIA BERAT JUMLAH BATUK BKN PNEUMONIA
NO DESA JLH PDDK Balita (10% Penderita Balita Batuk &/
pddk) Pneumonia Balita Kesukaran <1 TH 1-4 TH <1 TH 1-4 TH <1 TH 1-4 TH % <1 TH 1-4 TH TOTAL
(5.19% Balita) Bernapas TOTAL JLH JLH
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
1 NANGA-NANGAON
2 TUNTUNG
3 TOIMA
4 MATABAS
5 HUHAK
6 LONTIO
7 BALANGA
8 LONGGOLIAN
9 KOILI
10 LUAR WILAYAH
JUMLAH
Mengetahui
Ka. Puskesmas……………………………..….
……………………...………………………………
NIP
Jumlah
yg JLH KEMATIAN BALITA KARENA PNEUMONIA ISPA ≥ 5 TH
NIA dihitu
ng
nafas / <1 TH 1-4 TH TOTAL Bkn Pneumonia Pneumonia
JLH ada JLH JLH JLH JLH JLH
TDDK LK PR LK PR LK PR LK PR LK PR
Pengelola P2 ISPA
………………………………..…...………..
NIP