LAPORAN SKREENING POSBINDU : DAWATAA

NAMA POSBINDU : TEDIKASA

TANGGAL : 11 Februari 2023

Jenis TANGGAL
NO NAMA NIK NO BPJS
Kelamin LAHIR

1 Bernadeta Benga P 5306105507460001 0001580714144 15/07/1946

2 Dominggus L Tabi L 5306103112470001 0000859849402 31/12/1947
3 Siti Arafah P 5306107112490017 0000859818306 31/12/1949
4 Philipus Bada L 5306100107510006 0001580714199 1/7/1951
5 Paulina Palang Butho P 0001060649381 1/7/1951
6 Sisilia Dia P 5306106812520001 0000859826553
7 Yohanes Doni L 5306102712530003 0001580714785 27/12/1953
8 Veronika Barek P 5306107107540001 0001580731784 31/07/1954
9 Martha Mesino P 5306104401540001 0000859811927 4/1/1954
10 Klemens Kewa Ama L 5306102312540001 0001580714458 23/12/1954
11 Leonarda Lelu P 5306107112550000 21/12/1955
12 Petrus Ola L 5306100107550004 1/7/1955
13 Emilana Uto P 5306104107570005 0001580730041 17/08/1955
14 Yusfina Kewa P 5306105708560003 0001580731716 17/08/1956
15 Tresia Abon P 5306105507560001 0001580730849 15/07/1956
16 Maria Keneka P 5306104107570082 1/7/1957
17 Yohana Kewa P 5306106308580001 23/8/1958
18 Jainab Husen P 5306107012640001 1/7/1959
19 Siti Hawa Tajudin P 5306107112590012 0001060649561 21/12/1959
20 Apolonia Peni P 5306105407590001 0001580731389 14/07/1959
21 Sofia Perada P 5306105405590001 0002830455628 14/05/1959
22 Rahima Palang P 5306105507600002 0001580731571 15/07/1960
23 Nurman Lipa L 5306107112610027 0001580714875
24 Martina Peni P 5306106007620002 0000859843539 20/7/1962
1 Maria Medhon P 5306104107630006 0000859837972 1/7/1963
2 Sumarni Salim/Sumarni Nimun P 5306107112630001 0001060649537 31/12/1963
3 Martina Barek P 5306107012640001 30/12/1964
4 Maria Niran P 5306105508640001 0000859886627 15/08/1964
5 Yohanes Demon L 5306102908650001 0000859797797 29/08/1965
6 Siti Hawa Ridwan P 5306107112650036 0001580714414
7 Romli Abdul Kadir L 6403051210660001 12/10/1966
8 Yasinta Barek P 5306105912670001 0000859812715 19/12/1967
9 Koleta Letek P 5306106906670001 0001580713751 29/06/1967
10 Maria Ema Daton P 5306105808680001 0001580731503 18/08/1968
11 Rofina Biri P 5306106505690001 25/05/1969
12 Mudakir Salim L 6403050108690001 1/8/1969
13 Silvester Ola Sabon L 5306102811690002 28/11/1969
14 Marta Kewa P 5306105010690006 0000859798023 1/10/1970
15 Zakaria Arakian L 6403052510700003 25/10/1070
16 Siti Ahmad/Samsia Ahmad P 5306105010700005 0000859868594 10/10/1970
17 Tresia Yuni P 5306107006680001 0001580730581 30/6/1970
18 Surana P 5306106505700003 0001580730478 25/5/1970
19 Yosefa Deran P 5306105507710001 0000859833011 15/07/1971
20 Agata Ose P 5306106502710001 0000859878606 25/02/1971
21 Gabriel Djuang L 25/3/1971
22 Petrus Sabon L 5306102009730001 20/9/1973
23 Paulina Menge P 5306104302740002 3/2/1974
24 Agustina Date P 5306105504750001 15/04/1975
25 Yusfina Date P 5306106709760004 0001580714616 27/09/1976
26 Bernadete Peni P 5306106905760001 0001580731637
27 Albert Kewa Ama L 5306102402760001
28 Agustina Jari P 5306106805770001 0001580730917 28/05/1977
29 Dahlia Mustakim P 5306107012770003 0001580731031 30/12/1977
30 Nurazizah Kewa P 5306106505780001 0000859882869 25/5/1978
31 Ernivia Nogo P 5306106907780001 29/07/1978
32 Syahria A P 6403054111780004 1/11/1978
33 Theresia Buka P 5306105112790002 0001580730366 11/12/1979
34 Monika Benga P 5306104211790001 0001580731121 2/11/1979
35 Agnes Buldi Raya P 5306104809790002 0001580731839 8/9/1979
36 Timoteus Beda L 5306101411790002 14/11/1979
37 Maria Wiyanti P 5306104101800001 0001580730063 1/1/1980
38 Agustina Anu P 5306105208800001 0001580731558 12/8/1980
39 Syamsia Yasin P 5306107112810003 0000859816427 31/12/1981
40 Krensensia Kewa P 5306106105810001 21/05/1981
41 Emilia Bulu Pati P 5306104803810001 0001580731885 8/3/1981
42 Kornelia Marlin P 5306105108810003 0001580714739 11/8/1981
43 Aminah Basyarudin P 5306105606820001 0001580730551 16/6/1982
44 Maria Megawati Kewa P 6402036805830001 28/05/1983
45 Maria Jawa P 5306104506830001 0001580730816 5/6/1983
46 Juwita Maskur P 5306105811830001 18/11/1983
47 Urbanus Beda L 5306102708850002 0001580713852 27/8/1985
48 Komaria Wahit P 6403055010840001 0001580731694 10/10/1985
49 Lusia Bulu P 17/6/1986
50 Handriana Herawati Bano P 5306096608870001 26/8/1987
51 Yustina Abong Boli P 5306105903870003 0001580730287 19/3/1987
52 Eufrasia Fesa P 5316015604870008 16/4/1987
53 Helena Sabu P 5306104109900001 0001580730333 1/9/1990
54 Ester Barek P 5306104307910001 3/7/1991
55 Tresia Peni Koten P 5306104806910001 8/6/1991
56 Nurmaida Muhamad P 6474026104920002 21/4/1992
57 Silferius Paji L 5306102107960001 0000859800881 21/07/1996
58 Bonefasia Ose P 5306106806970001 0000859810948 28/7/1997
59 Maria Margaretha Kwae Tadon P 5306124109000001 0000860569222 1/9/2000
60 Felix Sinu L 5306102605010001 26/5/2001
61 Tresia Kewa P
 LAPORAN SKREENING POSBINDU

ANTROPOMETRI
UMUR RIWAYAT PENYAKIT RIWAYAT PENYAKIT
(Tahun) KELUARGA PRIBADI BB(Kg) TB (Cm) Lp (Cm) IMT

76 63 146
75 Asma Sesak, Batuk 44.6 165
73 DM,Hiperkolesterol DM, Hipertensi 44 157
71 68.7 163
71 60.7 151
70 46.6 153
69 49.5 152
68 40.1 146
68 47.5 151
68 kanker,Depresi 52
67 Hipertensi 40.2 153
67 Hipertensi 52.5 155
67 51.6 155
66 64.3 153
66 46.7 155
65 Hiperuricemia 44.6 153
64 58
63 49.5 153
63 54.7 144
63 62.7 151
63 54.2 153
62 45.1 143
61 50 150
60 59.3 154
59 38 139
59 HT
58 Asma DM 68.5 154
58 Hipertensi 79.1 153
57 Stroke Lambung, Wasir 63.4 167
57 50.6 147
56 Asma 85.1 170
55 44.2 148
55 DM 68.1 161
54 70.5 150
53 46.4 148
53 73.1 169
53 Batu ginjal 57.9 163
52 63.7 151
52 Sakit Persendian 56.4 157
52 44.1 157
52 43 151
52 51 159
51 46.4 150
51 60 149
51 53 157
49 69 163
48 Nyeri, sesak di dada 75 161
47 68.6 160
46 Hiperkolesterol 59 156
46 DM+HT 69.7 156
46 Hiperuricemia 85.1 167
45 DM 55.8 153
45 Sesak nafas saat dingin 60.6 150
44 65 159
44 41 143
44 Tumor 62 148
43 54 152
43 63 152
43 72.9 160
43 57 160
42 65.4 159
42 Hb Rendah 82 151
41 Hipertensi 64.4 147
41 52 154
41 54 159
41 57 158
40 Kencing Batu Abortus 56.3 157
39 63 153
39 65 151
39 47 157
37 Hipertensi 54 164
37 Kista 7.2 Kiri; 5.6 Kanan 63 151
36 54 152
35 61 147
35 50 163
35 60 146
32 DM 52 154
31 48 153
31 Kanker 43 152
30 63 149
26 stroke, Epilepsi 47 167
25 41 154
22 Stroke 44 155
21 55 158
52.8
TEKANAN
GDS
DARAH kondisi Kesehatan NO HP
(Mg/dl)
(mmHg)

140/90
110/80 Sesak, Batuk kalau obat habis
130/90
140/80 Sesak nafas
170/100
140/80
160/100 Keram, sakit pinggang ± 2 Minggu
160/100 Badan Gatal, Batuk
130/80
130/80
170/100 Sulit Tidur
140/80
170/100 Sakit kepala, Bahu Terasa Berat
150/90 Tanpa Keluhan
180/90 Kaki Sakit
130/80 Nyeri lutut
140/70 Kepala sakit, sulit terus
120/80
140/90 Sakit Pinggang, Badan Berat ± 1 Thn
120/80 gangguan lambung
107/61 Nyeri pada tengkuk
130/80
110/80
158/95 Sakit Kepala, sakit mata, perut kanan sakit
100/60
205/109
130/80
170/100 Nyeri pada Lutut
110/70 Wasir
150/80
130/80 Kaki Berat
140/80
170/90
150/100 Tangan Keram
100/80 Gusi Bengkak
120/90 Badan gatal
130/70 Bintik di kepala
120/90
100/90 Keram Saat Dingin
150/90 Sakit kepala, pusing
110/80 Sakit pinggang
125/81 Nyeri dada Kiri, Nafas sesak, sulit tidur
110/80
130/70 Sakit pinggang, tenggorokan, sakit kepala, keram di tangan
125/89
142/84
130/80 Nyeri dada
110/80
130/90 Kaki keram, lambung
140/90 Nyeri pada tangan
110/90
120/80 Batuk ± 4 hari
100/70 Batuk, Pusing, sesak nafas, gatal-gatal
150/100
107/75 leher dan belakang sakit
140/70 Sakit Pinggang, Sering sesak nafas
113/75 Nyeri di Lutut
131/93
120/80 Kaki kanan sakit ± 1 minggu
143/93
110/80 Badan sakit, leher tegang
130/70
130/80 Sakit punggung
117/85 Batuk, Pilek
110/70 Sakit Kepala, Pusing
110/60
166/103 Cepat capek
120/70
120/70 Pusing
100/80
116/82
113/73 Nyeri perut kiri dan kanan, pinggang
130/90
110/80 Pusing
120/80
110/77
110/70 Pusing
100/70
99/73
101/96
120/60 Pusing, sakit kepala
100/70
100/60
132/85
140/90 sakit punggung
 ANTROPOMETRI
Jenis TANGGAL UMUR RIWAYAT RIWAYAT PENYAKIT
NO NAMA NIK NO BPJS (Tahun PENYAKIT
Kelamin LAHIR PRIBADI BB(Kg) TB (Cm)
) KELUARGA

1 Bernadeta Benga P 5306105507460001 0001580714144 15/07/1946 76 146

2 Dominggus L Tabi L 5306103112470001 0000859849402 31/12/1947 75 Asma Sesak, Batuk 165
DM,Hiperko
3 Siti Arafah P 5306107112490017 0000859818306 31/12/1949 73 lesterol DM, Hipertensi 157
4 Philipus Bada L 5306100107510006 0001580714199 1/7/1951 71 163
5 Paulina Palang Butho P 0001060649381 1/7/1951 71 151
6 Sisilia Dia P 5306106812520001 0000859826553 70 153
7 Yohanes Doni L 5306102712530003 0001580714785 27/12/1953 69 152
8 Veronika Barek P 5306107107540001 0001580731784 31/07/1954 68 146
9 Martha Mesino P 5306104401540001 0000859811927 4/1/1954 68 151
kanker,Dep
10 Klemens Kewa Ama L 5306102312540001 0001580714458 23/12/1954 68 resi
11 Leonarda Lelu P 5306107112550000 21/12/1955 67 Hipertensi 153
12 Petrus Ola L 5306100107550004 1/7/1955 67 Hipertensi 155
13 Emilana Uto P 5306104107570005 0001580730041 17/08/1955 67 155
14 Yusfina Kewa P 5306105708560003 0001580731716 17/08/1956 66 153
15 Tresia Abon P 5306105507560001 0001580730849 15/07/1956 66 155
16 Maria Keneka P 5306104107570082 1/7/1957 65 Hiperuricemia 153
17 Yohana Kewa P 5306106308580001 23/8/1958 64
18 Jainab Husen P 5306107012640001 1/7/1959 63 153
19 Siti Hawa Tajudin P 5306107112590012 0001060649561 21/12/1959 63 144
20 Apolonia Peni P 5306105407590001 0001580731389 14/07/1959 63 151
21 Sofia Perada P 5306105405590001 0002830455628 14/05/1959 63 153
22 Rahima Palang P 5306105507600002 0001580731571 15/07/1960 62 143
23 Nurman Lipa L 5306107112610027 0001580714875 61 150
24 Martina Peni P 5306106007620002 0000859843539 20/7/1962 60 154
25 Maria Medhon P 5306104107630006 0000859837972 1/7/1963 59 139
26 Sumarni Salim/Sumarni Nimun P 5306107112630001 0001060649537 31/12/1963 59 HT
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
TROPOMETRI
TEKANAN GDS
DARAH kondisi Kesehatan NO HP
Lp (Cm) IMT (Mg/dl)
(mmHg)
 ANTROPOMETRI
Jenis TANGGAL UMUR RIWAYAT RIWAYAT PENYAKIT
NO NAMA NIK NO BPJS (Tahun PENYAKIT
Kelamin LAHIR PRIBADI BB(Kg) TB (Cm)
) KELUARGA

1 Tresia Kewa P 7/15/1945 77 49 148

2 Bernadeta Benga P 5306105507460001 0001580714144 15/07/1946 76 63.9 146
DM,Hiperkol
3 Siti Arafah P 5306107112490017 0000859818306 31/12/1949 73 esterol DM, Hipertensi 157
4 Paulina Palang Butho P 5306105507590001 0001060649381 1/7/1951 71 60.5 151
5 Sisilia Dia P 5306106812520001 0000859826553 70 45.8 153
6 Veronika Barek Sinu P 5306107107540001 0001580731784 31/07/1954 68 40 146
7 Martha Mesino P 5306104401540001 0000859811927 4/1/1954 68 48 151
8 Leonarda Lelu P 5306107112550000 21/12/1955 67 Hipertensi 40 153
9 Emilana Uto P 5306104107570005 0001580730041 17/08/1955 67 51.3 155
10 Yusfina Kewa P 5306105708560003 0001580731716 17/08/1956 66 65.1 153
11 Tresia Abon P 5306105507560001 0001580730849 15/07/1956 66 47.2 155
12 Maria Keneka P 5306104107570082 0001580731841 1/7/1957 65 Hiperuricemia 44.9 153
13 Yohana Kewa P 5306106308580001 23/8/1958 64 57.9 150
14 Jainab Husen P 5306107012640001 0001580714008 1/7/1959 63 50 153
15 Siti Hawa Tajudin P 5306107112590012 0001060649561 21/12/1959 63 53.2 144
16 Apolonia Peni P 5306105407590001 0001580731389 14/07/1959 63 62.3 151
17 Sofia Perada P 5306105405590001 0002830455628 14/05/1959 63 54 153
18 Rahima Palang P 5306105507600002 0001580731571 15/07/1960 62 43.8 143
19 Martina Peni P 5306106007620002 0000859843539 20/7/1962 60 59.2 154
20 Maria Medhon P 5306104107630006 0000859837972 1/7/1963 59 37 139
21 Sumarni Salim/Sumarni Nimun P 5306107112630001 0001060649537 31/12/1963 59 HT 65
22 Martina Barek P 5306107012640001 30/12/1964 58 Asma DM 154
23 Maria Niran P 5306105508640001 0000859886627 15/08/1964 58 Hipertensi 73 153
24 Siti Hawa Ridwan P 5306107112650036 0001580714414 57 50.7 147
25 Yasinta Barek P 5306105912670001 0000859812715 19/12/1967 55 44.1 148
26 Koleta Letek P 5306106906670001 0001580713751 29/06/1967 55 DM 64 161
TROPOMETRI
TEKANAN GDS
DARAH kondisi Kesehatan NO HP
Lp (Cm) IMT (Mg/dl)
(mmHg)

125/62
130/80

150/80
120/80
170/80
90/70
150/80
140/80
150/80
160/90
100/70
90/70
90/70
140/80
130/80
90/70
150/80
130/90
115/59
110/80

180/80 Tangan gatal, bintik

110/80
130/80
186/75
 REKAPAN LAPO
PUSKESMA

LAPORAN SKREENING LANSIA : DAWATAA

NAMA POSYANDU : TEDIKASA

integrasi dengan Jumlah sasaran Lansia

Menyelenggarak jumlah
jumlah
an pelayanan lansia KOMDA
NO BULAN posyandu
kesehatan yang posbindu prolanis Lansia L
lansia
santun lansia dilayani

1 JANUARI
2 FEBRUARI 1 53 YA
3 MARET 1 YA 38
4 APRIL
5 MEI
6 JUNI
7 JULI
8 AGUSTUS
9 SEPTEMBER
10 OKTOBER
11 NOVEMBER
12 DESEMBER
 REKAPAN LAPORAN USIA LANJUT
PUSKESMAS WAIWERANG

Jumlah sasaran Lansia Jumlah Kunjungan Jumlah Lansia yang Hadir Kemandiri

Total Lansia
Total
yang hadir
BARU LAMA Lansia 45-59 60-69 >70 A. Mandiri
P Bulan

L P L P L P L P L P L P L P L

8 21 4 14 2 4 14 39 14
56 9 6 14 39 23 45 9 22 6 16 4 5 19 43 14
 Kemandirian Sehari-hari

C.Ketergantun MENTAL/
B. Ketergantungan EMOSIONAL
A. Mandiri gan
ringan/sedang
Berat/Total

P L P L P L P

39
38 1
 REK

LAPORAN SKREENING LANSIA : DAWATAA

NAMA POSYANDU : TEDIKASA

JUMLAH LANSIA DENGAN KELAINAN JUMLAH LANSIA DENGA

BERAT BADAN(IMT) TEKANAN DARAH
NO NAMA BULAN
L K RENDAH TINGGI
L P L P L P L P
1 JANUARI
2 FEBRUARI 0 2 4 20
3 MARET 0 1 7 13
4 APRIL
5 MEI
6 JUNI
7 JULI
8 AGUSTUS
9 SEPTEMBER
10 OKTOBER
11 NOVEMBER
12 DESEMBER
 REKAPAN LAPORAN USIA LANJUT
PUSKESMAS WAIWERANG

JUMLAH LANSIA DENGAN PENYAKIT JUMLAH LANSIA

DENGAN PENYAKIT JUMLAH DIOBATI
ANEMIA DIABETES MELITUS GAGAL GINJAL LAIN
L P L P L P L P L P

2 1 0 8 22 5 15
- - 0 2 1 0 5 7 5 6
 JUMLAH YG JUMLAH YG DAPAT
JUMLAH DIRUJUK
DIKONSELING PENYULUHAN

L P L P L P

4 8 8 22
1 3 12 20