FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KANDANGAN TAHUN 2023

Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Kandangan Kota 58 60 221 217 129 116 67 71 338 358 132 110 5 2 7 5 2 7 7 2 9 7 2 9 0 0 0
2 Kandangan Barat 35 44 141 118 78 58 38 39 191 197 68 64 2 3 5 2 3 5 2 2 4 2 2 4 0 0 0
3 Kandangan Utara 24 23 116 74 68 50 25 26 126 131 50 32 5 3 8 5 3 8 1 0 1 1 0 1 0 0 0
4 Sungai Kupang 17 25 92 84 45 42 21 22 106 111 46 42 0 0 0 0 0 0 1 1 2 1 1 2 0 0 0
5 Bangkau 13 12 50 57 31 29 12 12 60 60 18 20 0 2 2 0 2 2 0 1 1 0 1 1 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 12 10 22 12 10 22 11 6 17 11 6 17 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KANDANGAN TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Kandangan Kota 58 60 221 217 129 116 67 71 338 358 132 110 4 2 6 9 4 13 9 3 12 16 5 21 0 0 0
2 Kandangan Barat 35 44 141 118 78 58 38 39 191 197 68 64 2 0 2 4 3 7 3 4 7 5 6 11 0 0 0
3 Kandangan Utara 24 23 116 74 68 50 25 26 126 131 50 32 0 0 0 5 3 8 0 0 0 1 0 1 0 0 0
4 Sungai Kupang 17 25 92 84 45 42 21 22 106 111 46 42 0 2 2 0 2 2 0 1 1 1 2 3 0 0 0
5 Bangkau 13 12 50 57 31 29 12 12 60 60 18 20 1 0 1 1 2 3 1 0 1 1 1 2 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 7 4 11 19 14 33 13 8 21 24 14 38 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS KANDANGAN TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Kandangan Kota 58 60 221 217 129 116 67 71 338 358 132 110 0 0 0 9 4 13 0 0 0 16 5 21 0 0 0
2 Kandangan Barat 35 44 141 118 78 58 38 39 191 197 68 64 0 0 0 4 3 7 0 0 0 5 6 11 0 0 0
3 Kandangan Utara 24 23 116 74 68 50 25 26 126 131 50 32 0 0 0 5 3 8 0 0 0 1 0 1 0 0 0
4 Sungai Kupang 17 25 92 84 45 42 21 22 106 111 46 42 0 0 0 0 2 2 0 0 0 1 2 3 0 0 0
5 Bangkau 13 12 50 57 31 29 12 12 60 60 18 20 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KANDANGAN TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Kandangan Kota 58 60 221 217 129 116 67 71 338 358 132 110 0 0 0 9 4 13 0 0 0 16 5 21 0 0 0
2 Kandangan Barat 35 44 141 118 78 58 38 39 191 197 68 64 0 0 0 4 3 7 0 0 0 5 6 11 0 0 0
3 Kandangan Utara 24 23 116 74 68 50 25 26 126 131 50 32 0 0 0 5 3 8 0 0 0 1 0 1 0 0 0
4 Sungai Kupang 17 25 92 84 45 42 21 22 106 111 46 42 0 0 0 0 2 2 0 0 0 1 2 3 0 0 0
5 Bangkau 13 12 50 57 31 29 12 12 60 60 18 20 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS KANDANGAN TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Kandangan Kota 58 60 221 217 129 116 67 71 338 358 132 110 0 0 0 9 4 13 0 0 0 16 5 21 0 0 0
2 Kandangan Barat 35 44 141 118 78 58 38 39 191 197 68 64 0 0 0 4 3 7 0 0 0 5 6 11 0 0 0
3 Kandangan Utara 24 23 116 74 68 50 25 26 126 131 50 32 0 0 0 5 3 8 0 0 0 1 0 1 0 0 0
4 Sungai Kupang 17 25 92 84 45 42 21 22 106 111 46 42 0 0 0 0 2 2 0 0 0 1 2 3 0 0 0
5 Bangkau 13 12 50 57 31 29 12 12 60 60 18 20 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KANDANGAN TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Kandangan Kota 58 60 221 217 129 116 67 71 338 358 132 110 0 0 0 9 4 13 0 0 0 16 5 21 0 0 0
2 Kandangan Barat 35 44 141 118 78 58 38 39 191 197 68 64 0 0 0 4 3 7 0 0 0 5 6 11 0 0 0
3 Kandangan Utara 24 23 116 74 68 50 25 26 126 131 50 32 0 0 0 5 3 8 0 0 0 1 0 1 0 0 0
4 Sungai Kupang 17 25 92 84 45 42 21 22 106 111 46 42 0 0 0 0 2 2 0 0 0 1 2 3 0 0 0
5 Bangkau 13 12 50 57 31 29 12 12 60 60 18 20 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS KANDANGAN TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Kandangan Kota 58 60 221 217 129 116 67 71 338 358 132 110 0 0 0 9 4 13 0 0 0 16 5 21 0 0 0
2 Kandangan Barat 35 44 141 118 78 58 38 39 191 197 68 64 0 0 0 4 3 7 0 0 0 5 6 11 0 0 0
3 Kandangan Utara 24 23 116 74 68 50 25 26 126 131 50 32 0 0 0 5 3 8 0 0 0 1 0 1 0 0 0
4 Sungai Kupang 17 25 92 84 45 42 21 22 106 111 46 42 0 0 0 0 2 2 0 0 0 1 2 3 0 0 0
5 Bangkau 13 12 50 57 31 29 12 12 60 60 18 20 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KANDANGAN TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Kandangan Kota 58 60 221 217 129 116 67 71 338 358 132 110 0 0 0 9 4 13 0 0 0 16 5 21 0 0 0
2 Kandangan Barat 35 44 141 118 78 58 38 39 191 197 68 64 0 0 0 4 3 7 0 0 0 5 6 11 0 0 0
3 Kandangan Utara 24 23 116 74 68 50 25 26 126 131 50 32 0 0 0 5 3 8 0 0 0 1 0 1 0 0 0
4 Sungai Kupang 17 25 92 84 45 42 21 22 106 111 46 42 0 0 0 0 2 2 0 0 0 1 2 3 0 0 0
5 Bangkau 13 12 50 57 31 29 12 12 60 60 18 20 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS KANDANGAN TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Kandangan Kota 58 60 221 217 129 116 67 71 338 358 132 110 0 0 0 9 4 13 0 0 0 16 5 21 0 0 0
2 Kandangan Barat 35 44 141 118 78 58 38 39 191 197 68 64 0 0 0 4 3 7 0 0 0 5 6 11 0 0 0
3 Kandangan Utara 24 23 116 74 68 50 25 26 126 131 50 32 0 0 0 5 3 8 0 0 0 1 0 1 0 0 0
4 Sungai Kupang 17 25 92 84 45 42 21 22 106 111 46 42 0 0 0 0 2 2 0 0 0 1 2 3 0 0 0
5 Bangkau 13 12 50 57 31 29 12 12 60 60 18 20 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KANDANGAN TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Kandangan Kota 58 60 221 217 129 116 67 71 338 358 132 110 0 0 0 9 4 13 0 0 0 16 5 21 0 0 0
2 Kandangan Barat 35 44 141 118 78 58 38 39 191 197 68 64 0 0 0 4 3 7 0 0 0 5 6 11 0 0 0
3 Kandangan Utara 24 23 116 74 68 50 25 26 126 131 50 32 0 0 0 5 3 8 0 0 0 1 0 1 0 0 0
4 Sungai Kupang 17 25 92 84 45 42 21 22 106 111 46 42 0 0 0 0 2 2 0 0 0 1 2 3 0 0 0
5 Bangkau 13 12 50 57 31 29 12 12 60 60 18 20 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS KANDANGAN TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Kandangan Kota 58 60 221 217 129 116 67 71 338 358 132 110 0 0 0 9 4 13 0 0 0 16 5 21 0 0 0
2 Kandangan Barat 35 44 141 118 78 58 38 39 191 197 68 64 0 0 0 4 3 7 0 0 0 5 6 11 0 0 0
3 Kandangan Utara 24 23 116 74 68 50 25 26 126 131 50 32 0 0 0 5 3 8 0 0 0 1 0 1 0 0 0
4 Sungai Kupang 17 25 92 84 45 42 21 22 106 111 46 42 0 0 0 0 2 2 0 0 0 1 2 3 0 0 0
5 Bangkau 13 12 50 57 31 29 12 12 60 60 18 20 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KANDANGAN TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Kandangan Kota 58 60 221 217 129 116 67 71 338 358 132 110 0 0 0 9 4 13 0 0 0 16 5 21 0 0 0
2 Kandangan Barat 35 44 141 118 78 58 38 39 191 197 68 64 0 0 0 4 3 7 0 0 0 5 6 11 0 0 0
3 Kandangan Utara 24 23 116 74 68 50 25 26 126 131 50 32 0 0 0 5 3 8 0 0 0 1 0 1 0 0 0
4 Sungai Kupang 17 25 92 84 45 42 21 22 106 111 46 42 0 0 0 0 2 2 0 0 0 1 2 3 0 0 0
5 Bangkau 13 12 50 57 31 29 12 12 60 60 18 20 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 4 5 9 4 5 9 20 21 41 20 21 41 0 0 0 0 6 5 11 6 11 17 4 4 8 4 8 12 0 0
0 4 2 6 4 2 6 13 7 20 13 7 20 0 0 0 0 10 0 10 10 10 20 1 0 1 1 1 2 0 0
0 3 1 4 3 1 4 10 6 16 10 6 16 0 0 0 0 3 1 4 3 4 7 1 0 1 1 1 2 0 0
0 4 1 5 4 1 5 8 5 13 8 5 13 0 0 0 0 2 3 5 2 5 7 1 1 2 1 2 3 0 0
0 5 0 5 5 0 5 6 5 11 6 5 11 0 0 0 0 0 0 0 0 0 0 0 2 2 0 2 2 0 0
0 20 9 29 20 9 29 57 44 101 57 44 101 0 0 0 0 21 9 30 21 30 51 7 7 14 7 14 21 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 7 4 11 11 9 20 19 23 42 39 44 83 0 0 0 0 4 5 9 10 16 26 6 5 11 10 13 23 0 0
0 1 4 5 5 6 11 13 10 23 26 17 43 0 0 0 0 8 2 10 18 12 30 3 4 7 4 5 9 0 0
0 2 1 3 5 2 7 7 2 9 17 8 25 0 0 0 0 4 1 5 7 5 12 1 1 2 2 2 4 0 0
0 0 1 1 4 2 6 2 11 13 10 16 26 0 0 0 0 4 0 4 6 5 11 1 3 4 2 5 7 0 0
0 3 0 3 8 0 8 4 3 7 10 8 18 0 0 0 0 0 0 0 0 0 0 0 1 1 0 3 3 0 0
0 13 10 23 33 19 52 45 49 94 102 93 195 0 0 0 0 20 8 28 41 38 79 11 14 25 18 28 46 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 11 9 20 0 0 0 39 44 83 0 0 0 0 0 0 0 10 16 26 0 0 0 6 11 17 0 0
0 0 0 0 5 6 11 0 0 0 26 17 43 0 0 0 0 0 0 0 18 12 30 0 0 0 3 7 10 0 0
0 0 0 0 5 2 7 0 0 0 17 8 25 0 0 0 0 0 0 0 7 5 12 0 0 0 1 2 3 0 0
0 0 0 0 4 2 6 0 0 0 10 16 26 0 0 0 0 0 0 0 6 5 11 0 0 0 1 4 5 0 0
0 0 0 0 8 0 8 0 0 0 10 8 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
0 0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 11 9 20 0 0 0 39 44 83 0 0 0 0 0 0 0 10 16 26 0 0 0 6 11 17 0 0
0 0 0 0 5 6 11 0 0 0 26 17 43 0 0 0 0 0 0 0 18 12 30 0 0 0 3 7 10 0 0
0 0 0 0 5 2 7 0 0 0 17 8 25 0 0 0 0 0 0 0 7 5 12 0 0 0 1 2 3 0 0
0 0 0 0 4 2 6 0 0 0 10 16 26 0 0 0 0 0 0 0 6 5 11 0 0 0 1 4 5 0 0
0 0 0 0 8 0 8 0 0 0 10 8 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
0 0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 11 9 20 0 0 0 39 44 83 0 0 0 0 0 0 0 10 16 26 0 0 0 6 11 17 0 0
0 0 0 0 5 6 11 0 0 0 26 17 43 0 0 0 0 0 0 0 18 12 30 0 0 0 3 7 10 0 0
0 0 0 0 5 2 7 0 0 0 17 8 25 0 0 0 0 0 0 0 7 5 12 0 0 0 1 2 3 0 0
0 0 0 0 4 2 6 0 0 0 10 16 26 0 0 0 0 0 0 0 6 5 11 0 0 0 1 4 5 0 0
0 0 0 0 8 0 8 0 0 0 10 8 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
0 0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 11 9 20 0 0 0 39 44 83 0 0 0 0 0 0 0 10 16 26 0 0 0 6 11 17 0 0
0 0 0 0 5 6 11 0 0 0 26 17 43 0 0 0 0 0 0 0 18 12 30 0 0 0 3 7 10 0 0
0 0 0 0 5 2 7 0 0 0 17 8 25 0 0 0 0 0 0 0 7 5 12 0 0 0 1 2 3 0 0
0 0 0 0 4 2 6 0 0 0 10 16 26 0 0 0 0 0 0 0 6 5 11 0 0 0 1 4 5 0 0
0 0 0 0 8 0 8 0 0 0 10 8 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
0 0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 11 9 20 0 0 0 39 44 83 0 0 0 0 0 0 0 10 16 26 0 0 0 6 11 17 0 0
0 0 0 0 5 6 11 0 0 0 26 17 43 0 0 0 0 0 0 0 18 12 30 0 0 0 3 7 10 0 0
0 0 0 0 5 2 7 0 0 0 17 8 25 0 0 0 0 0 0 0 7 5 12 0 0 0 1 2 3 0 0
0 0 0 0 4 2 6 0 0 0 10 16 26 0 0 0 0 0 0 0 6 5 11 0 0 0 1 4 5 0 0
0 0 0 0 8 0 8 0 0 0 10 8 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
0 0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 11 9 20 0 0 0 39 44 83 0 0 0 0 0 0 0 10 16 26 0 0 0 6 11 17 0 0
0 0 0 0 5 6 11 0 0 0 26 17 43 0 0 0 0 0 0 0 18 12 30 0 0 0 3 7 10 0 0
0 0 0 0 5 2 7 0 0 0 17 8 25 0 0 0 0 0 0 0 7 5 12 0 0 0 1 2 3 0 0
0 0 0 0 4 2 6 0 0 0 10 16 26 0 0 0 0 0 0 0 6 5 11 0 0 0 1 4 5 0 0
0 0 0 0 8 0 8 0 0 0 10 8 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
0 0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 11 9 20 0 0 0 39 44 83 0 0 0 0 0 0 0 10 16 26 0 0 0 6 11 17 0 0
0 0 0 0 5 6 11 0 0 0 26 17 43 0 0 0 0 0 0 0 18 12 30 0 0 0 3 7 10 0 0
0 0 0 0 5 2 7 0 0 0 17 8 25 0 0 0 0 0 0 0 7 5 12 0 0 0 1 2 3 0 0
0 0 0 0 4 2 6 0 0 0 10 16 26 0 0 0 0 0 0 0 6 5 11 0 0 0 1 4 5 0 0
0 0 0 0 8 0 8 0 0 0 10 8 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
0 0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 11 9 20 0 0 0 39 44 83 0 0 0 0 0 0 0 10 16 26 0 0 0 6 11 17 0 0
0 0 0 0 5 6 11 0 0 0 26 17 43 0 0 0 0 0 0 0 18 12 30 0 0 0 3 7 10 0 0
0 0 0 0 5 2 7 0 0 0 17 8 25 0 0 0 0 0 0 0 7 5 12 0 0 0 1 2 3 0 0
0 0 0 0 4 2 6 0 0 0 10 16 26 0 0 0 0 0 0 0 6 5 11 0 0 0 1 4 5 0 0
0 0 0 0 8 0 8 0 0 0 10 8 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
0 0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 11 9 20 0 0 0 39 44 83 0 0 0 0 0 0 0 10 16 26 0 0 0 6 11 17 0 0
0 0 0 0 5 6 11 0 0 0 26 17 43 0 0 0 0 0 0 0 18 12 30 0 0 0 3 7 10 0 0
0 0 0 0 5 2 7 0 0 0 17 8 25 0 0 0 0 0 0 0 7 5 12 0 0 0 1 2 3 0 0
0 0 0 0 4 2 6 0 0 0 10 16 26 0 0 0 0 0 0 0 6 5 11 0 0 0 1 4 5 0 0
0 0 0 0 8 0 8 0 0 0 10 8 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
0 0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 11 9 20 0 0 0 39 44 83 0 0 0 0 0 0 0 10 16 26 0 0 0 6 11 17 0 0
0 0 0 0 5 6 11 0 0 0 26 17 43 0 0 0 0 0 0 0 18 12 30 0 0 0 3 7 10 0 0
0 0 0 0 5 2 7 0 0 0 17 8 25 0 0 0 0 0 0 0 7 5 12 0 0 0 1 2 3 0 0
0 0 0 0 4 2 6 0 0 0 10 16 26 0 0 0 0 0 0 0 6 5 11 0 0 0 1 4 5 0 0
0 0 0 0 8 0 8 0 0 0 10 8 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
0 0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0
Dirujuk

TOTAL ABS
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS JAMBU HILIR TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Jambu Hilir 35 38 124 122 29 18 33 34 131 135 75 71 0 4 4 0 4 4 2 3 5 2 3 5 0 0 0 0
2 Baluti 18 22 99 93 28 25 26 27 112 118 56 67 1 0 1 1 0 1 2 1 3 2 1 3 0 0 0 0
3 Tibung Raya 18 15 74 59 14 15 20 19 80 78 39 51 1 1 2 1 1 2 1 2 3 1 2 3 0 0 0 0
4 A. Kiri Muka 15 10 53 45 9 9 13 15 51 60 27 35 5 0 5 5 0 5 0 0 0 0 0 0 0 0 0 0
5 Amawang Kiri 19 9 60 61 9 9 16 15 62 59 20 28 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0
6 Amawang Kanan 19 18 45 45 11 8 12 12 55 48 18 28 1 0 1 1 0 1 1 0 1 1 0 1 0 0 0 0
7 Bariang 7 5 17 17 6 5 6 7 23 28 12 18 2 0 2 2 0 2 0 1 1 0 1 1 0 0 0 0
8 Sungai Paring 8 8 38 46 9 6 11 11 43 44 24 27 0 0 0 0 0 0 0 2 2 0 2 2 0 0 0 0
9 Lungau 15 13 59 55 11 11 15 16 66 67 30 38 0 3 3 0 3 3 0 0 0 0 0 0 0 0 0 0
JUMLAH 154 138 569 543 126 106 152 156 623 637 301 363 10 9 19 10 9 19 6 9 15 6 9 15 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS JAMBU HILIR TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 3 5 0 0 0 0
2 Baluti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 1 3 0 0 0 0
3 Tibung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
4 A. Kiri Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 0 0 0 0 0 0 0
5 Amawang Kiri 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 0 0
6 Amawang Kanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
7 Bariang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 1 1 0 0 0 0
8 Sungai Paring 0 0 0 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
 9 Lungau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 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 10 9 19 0 0 0 6 9 15 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS JAMBU HILIR TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 3 5 0 0 0 0
2 Baluti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 1 3 0 0 0 0
3 Tibung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
4 A. Kiri Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 0 0 0 0 0 0 0
5 Amawang Kiri 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 0 0
6 Amawang Kanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
7 Bariang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 1 1 0 0 0 0
8 Sungai Paring 0 0 0 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
9 Lungau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 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 10 9 19 0 0 0 6 9 15 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS JAMBU HILIR TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
 No Desa

L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS

1 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 3 5 0 0 0 0
2 Baluti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 1 3 0 0 0 0
3 Tibung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
4 A. Kiri Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 0 0 0 0 0 0 0
5 Amawang Kiri 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 0 0
6 Amawang Kanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
7 Bariang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 1 1 0 0 0 0
8 Sungai Paring 0 0 0 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
9 Lungau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 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 10 9 19 0 0 0 6 9 15 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS JAMBU HILIR TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 3 5 0 0 0 0
2 Baluti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 1 3 0 0 0 0
3 Tibung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
4 A. Kiri Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 0 0 0 0 0 0 0
5 Amawang Kanan 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 0 0
6 Amawang Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
7 Bariang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 1 1 0 0 0 0
8 Sungai Paring 0 0 0 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
9 Lungau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 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 10 9 19 0 0 0 6 9 15 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS JAMBU HILIR TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 3 5 0 0 0 0
2 Baluti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 1 3 0 0 0 0
3 Tibung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
4 A. Kiri Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 0 0 0 0 0 0 0
5 Amawang Kanan 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 0 0
6 Amawang Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
7 Bariang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 1 1 0 0 0 0
8 Sungai Paring 0 0 0 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
9 Lungau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 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 10 9 19 0 0 0 6 9 15 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS JAMBU HILIR TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 3 5 0 0 0 0
2 Baluti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 1 3 0 0 0 0
3 Tibung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
4 A. Kiri Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 0 0 0 0 0 0 0
5 Amawang Kanan 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 0 0
 6 Amawang Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
7 Bariang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 1 1 0 0 0 0
8 Sungai Paring 0 0 0 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
9 Lungau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 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 10 9 19 0 0 0 6 9 15 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS JAMBU HILIR TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 3 5 0 0 0 0
2 Baluti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 1 3 0 0 0 0
3 Tibung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
4 A. Kiri Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 0 0 0 0 0 0 0
5 Amawang Kanan 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 0 0
6 Amawang Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
7 Bariang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 1 1 0 0 0 0
8 Sungai Paring 0 0 0 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
9 Lungau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 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 10 9 19 0 0 0 6 9 15 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS JAMBU HILIR TAHUN 2023
SEPTEMBER
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 3 5 0 0 0 0
2 Baluti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 1 3 0 0 0 0
3 Tibung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
4 A. Kiri Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 0 0 0 0 0 0 0
5 Amawang Kanan 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 0 0
6 Amawang Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
7 Bariang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 1 1 0 0 0 0
8 Sungai Paring 0 0 0 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
9 Lungau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 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 10 9 19 0 0 0 6 9 15 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS JAMBU HILIR TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 3 5 0 0 0 0
2 Baluti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 1 3 0 0 0 0
3 Tibung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
4 A. Kiri Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 0 0 0 0 0 0 0
5 Amawang Kanan 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 0 0
6 Amawang Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
7 Bariang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 1 1 0 0 0 0
8 Sungai Paring 0 0 0 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
9 Lungau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 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 10 9 19 0 0 0 6 9 15 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS JAMBU HILIR TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 3 5 0 0 0 0
2 Baluti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 1 3 0 0 0 0
3 Tibung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
4 A. Kiri Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 0 0 0 0 0 0 0
5 Amawang Kanan 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 0 0
6 Amawang Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
7 Bariang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 1 1 0 0 0 0
8 Sungai Paring 0 0 0 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
9 Lungau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 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 10 9 19 0 0 0 6 9 15 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS JAMBU HILIR TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 0 2 3 5 0 0 0 0
2 Baluti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 1 3 0 0 0 0
3 Tibung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
4 A. Kiri Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 0 0 0 0 0 0 0
5 Amawang Kanan 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 0 0
6 Amawang Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
7 Bariang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 1 1 0 0 0 0
8 Sungai Paring 0 0 0 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
9 Lungau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 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 10 9 19 0 0 0 6 9 15 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 2 3 1 2 3 13 8 21 13 8 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 2 5 3 2 5 8 11 19 8 11 19 0 0 0 0 1 1 2 1 1 2 1 1 2 1 1 2 0 0 0
5 1 6 5 1 6 5 2 7 5 2 7 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0
0 2 2 0 2 2 1 2 3 1 2 3 0 0 0 0 1 1 2 1 1 2 2 1 3 2 1 3 0 0 0
0 0 0 0 0 0 3 4 7 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 3 7 4 3 7 4 4 8 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0
1 0 1 1 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0
0 0 0 0 0 0 2 2 4 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 7 10 3 7 10 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
17 17 34 17 17 34 39 36 75 39 36 75 0 0 0 0 2 2 4 2 2 4 4 3 7 5 3 8 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 2 3 0 0 0 13 8 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 2 5 0 0 0 8 11 19 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 5 1 6 0 0 0 5 2 7 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0
0 0 0 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 0 1 1 2 0 0 0 2 1 3 0 0 0
0 0 0 0 0 0 0 0 0 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0
0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 7 10 0 0 0 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 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 5 3 8 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 2 3 0 0 0 13 8 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 2 5 0 0 0 8 11 19 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 5 1 6 0 0 0 5 2 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 4 8 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 0 0 1 0 1 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 7 10 0 0 0 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 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 2 3 0 0 0 13 8 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 2 5 0 0 0 8 11 19 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 5 1 6 0 0 0 5 2 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 4 8 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 0 0 1 0 1 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 7 10 0 0 0 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 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 2 3 0 0 0 13 8 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 2 5 0 0 0 8 11 19 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 5 1 6 0 0 0 5 2 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 4 8 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 0 0 1 0 1 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 7 10 0 0 0 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 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 2 3 0 0 0 13 8 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 2 5 0 0 0 8 11 19 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 5 1 6 0 0 0 5 2 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 4 8 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 0 0 1 0 1 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 7 10 0 0 0 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 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 2 3 0 0 0 13 8 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 2 5 0 0 0 8 11 19 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 5 1 6 0 0 0 5 2 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 4 8 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 0 0 1 0 1 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 7 10 0 0 0 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 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 2 3 0 0 0 13 8 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 2 5 0 0 0 8 11 19 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 5 1 6 0 0 0 5 2 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 4 8 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 0 0 1 0 1 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 7 10 0 0 0 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 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 2 3 0 0 0 13 8 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 2 5 0 0 0 8 11 19 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 5 1 6 0 0 0 5 2 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 4 8 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 0 0 1 0 1 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 7 10 0 0 0 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 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 2 3 0 0 0 13 8 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 2 5 0 0 0 8 11 19 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 5 1 6 0 0 0 5 2 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 4 8 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 0 0 1 0 1 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 7 10 0 0 0 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 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 2 3 0 0 0 13 8 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 2 5 0 0 0 8 11 19 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 5 1 6 0 0 0 5 2 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 4 8 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 0 0 1 0 1 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 7 10 0 0 0 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 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 2 3 0 0 0 13 8 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 2 5 0 0 0 8 11 19 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 5 1 6 0 0 0 5 2 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 2 0 0 0 1 2 3 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 4 8 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 0 0 1 0 1 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 7 10 0 0 0 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 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0
ABS
0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
 0
0

ABS

0
0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
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ABS

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ABS

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ABS

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ABS

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ABS

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ABS

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ABS
0
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 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS GAMBAH TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Gambah Luar 8 10 31 25 10 5 9 10 35 43 23 26 1 2 3 1 2 3 1 1 2 1 1 2 0 0 0 0
2 Gambah L Muka 18 4 53 57 15 6 14 15 57 63 37 39 2 0 2 2 0 2 1 0 1 1 0 1 0 0 0 0
3 Gambah Dalam 6 11 43 36 12 9 16 17 62 69 40 42 0 3 3 0 3 3 0 0 0 0 0 0 0 0 0 0
4 G.D Barat 7 5 34 38 12 8 10 11 41 45 26 28 0 1 1 0 1 1 1 0 1 1 0 1 0 0 0 0
JUMLAH 39 30 161 156 49 28 49 53 195 220 126 135 3 6 9 3 6 9 3 1 4 3 1 4 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS GAMBAH TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Gambah Luar 8 10 31 25 10 5 9 10 35 43 23 26 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
2 Gambah L Muka 18 4 53 57 15 6 14 15 57 63 37 39 1 1 2 3 1 4 3 0 3 4 0 4 0 0 0 0
3 Gambah Dalam 6 11 43 36 12 9 16 17 62 69 40 42 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0
4 G.D Barat 7 5 34 38 12 8 10 11 41 45 26 28 0 1 1 0 2 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 39 30 161 156 49 28 49 53 195 220 126 135 1 2 3 4 8 12 3 0 3 6 1 7 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS GAMBAH TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolahyo KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Gambah Luar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
2 Gambah L Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 0 0 0 4 0 4 0 0 0 0
3 Gambah Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0
4 G.D Barat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS GAMBAH TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Gambah Luar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
2 Gambah L Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 0 0 0 4 0 4 0 0 0 0
3 Gambah Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0
4 G.D Barat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS GAMBAH TAHUN 2023
MEI
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Gambah Luar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
2 Gambah L Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 0 0 0 4 0 4 0 0 0 0
3 Gambah Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0
4 G.D Barat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS GAMBAH TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Gambah Luar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
2 Gambah L Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 0 0 0 4 0 4 0 0 0 0
3 Gambah Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0
4 G.D Barat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS GAMBAH TAHUN 2023
JULI
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Gambah Luar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
2 Gambah L Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 0 0 0 4 0 4 0 0 0 0
3 Gambah Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0
4 G.D Barat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS GAMBAH TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Gambah Luar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
2 Gambah L Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 0 0 0 4 0 4 0 0 0 0
3 Gambah Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0
4 G.D Barat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS GAMBAH TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

No Desa
 Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Gambah Luar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
2 Gambah L Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 0 0 0 4 0 4 0 0 0 0
3 Gambah Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0
4 G.D Barat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS GAMBAH TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Gambah Luar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
2 Gambah L Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 0 0 0 4 0 4 0 0 0 0
3 Gambah Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0
4 G.D Barat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS GAMBAH TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

No Desa
 Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Gambah Luar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
2 Gambah L Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 0 0 0 4 0 4 0 0 0 0
3 Gambah Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0
4 G.D Barat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS GAMBAH TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Gambah Luar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
2 Gambah L Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 0 0 0 4 0 4 0 0 0 0
3 Gambah Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0
4 G.D Barat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
2 2 4 2 2 4 1 4 5 1 4 5 0 0 0 0 1 0 1 1 0 1 0 1 1 0 1 1 0 0 0
5 5 10 5 5 10 2 3 5 2 3 5 0 0 0 0 1 2 3 1 2 3 0 1 1 0 1 1 0 0 0
1 0 1 1 0 1 1 0 1 1 0 1 0 0 0 0 0 3 3 0 3 3 0 0 0 0 0 0 0 0 0
2 1 3 2 1 3 3 2 5 3 2 5 0 0 0 0 2 2 4 2 2 4 1 0 1 1 0 1 0 0 0
10 8 18 10 8 18 7 9 16 7 9 16 0 0 0 0 4 7 11 4 7 11 1 2 3 1 2 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
7 5 12 9 7 16 4 2 6 5 6 11 0 0 0 0 2 0 2 3 0 3 0 0 0 0 1 1 0 0 0
11 6 17 16 11 27 3 3 6 5 6 11 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
2 3 5 3 3 6 1 1 2 2 1 3 0 0 0 0 2 2 4 2 5 7 3 2 5 3 2 5 0 0 0
4 3 7 6 4 10 4 2 6 7 4 11 0 0 0 0 1 1 2 3 3 6 3 1 4 4 1 5 0 0 0
24 17 41 34 25 59 12 8 20 19 17 36 0 0 0 0 5 3 8 9 10 19 6 3 9 7 5 12 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 9 7 16 0 0 0 5 6 11 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0
0 0 0 16 11 27 0 0 0 5 6 11 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0
0 0 0 3 3 6 0 0 0 2 1 3 0 0 0 0 0 0 0 2 5 7 0 0 0 3 5 8 0 0 0
0 0 0 6 4 10 0 0 0 7 4 11 0 0 0 0 0 0 0 3 3 6 0 0 0 3 4 7 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 9 7 16 0 0 0 5 6 11 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0
0 0 0 16 11 27 0 0 0 5 6 11 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0
0 0 0 3 3 6 0 0 0 2 1 3 0 0 0 0 0 0 0 2 5 7 0 0 0 3 5 8 0 0 0
0 0 0 6 4 10 0 0 0 7 4 11 0 0 0 0 0 0 0 3 3 6 0 0 0 3 4 7 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 9 7 16 0 0 0 5 6 11 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0
0 0 0 16 11 27 0 0 0 5 6 11 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0
0 0 0 3 3 6 0 0 0 2 1 3 0 0 0 0 0 0 0 2 5 7 0 0 0 3 5 8 0 0 0
0 0 0 6 4 10 0 0 0 7 4 11 0 0 0 0 0 0 0 3 3 6 0 0 0 3 4 7 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 9 7 16 0 0 0 5 6 11 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0
0 0 0 16 11 27 0 0 0 5 6 11 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0
0 0 0 3 3 6 0 0 0 2 1 3 0 0 0 0 0 0 0 2 5 7 0 0 0 3 5 8 0 0 0
0 0 0 6 4 10 0 0 0 7 4 11 0 0 0 0 0 0 0 3 3 6 0 0 0 3 4 7 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 9 7 16 0 0 0 5 6 11 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0
0 0 0 16 11 27 0 0 0 5 6 11 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0
0 0 0 3 3 6 0 0 0 2 1 3 0 0 0 0 0 0 0 2 5 7 0 0 0 3 5 8 0 0 0
0 0 0 6 4 10 0 0 0 7 4 11 0 0 0 0 0 0 0 3 3 6 0 0 0 3 4 7 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 9 7 16 0 0 0 5 6 11 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0
0 0 0 16 11 27 0 0 0 5 6 11 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0
0 0 0 3 3 6 0 0 0 2 1 3 0 0 0 0 0 0 0 2 5 7 0 0 0 3 5 8 0 0 0
0 0 0 6 4 10 0 0 0 7 4 11 0 0 0 0 0 0 0 3 3 6 0 0 0 3 4 7 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

 Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 9 7 16 0 0 0 5 6 11 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0
0 0 0 16 11 27 0 0 0 5 6 11 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0
0 0 0 3 3 6 0 0 0 2 1 3 0 0 0 0 0 0 0 2 5 7 0 0 0 3 5 8 0 0 0
0 0 0 6 4 10 0 0 0 7 4 11 0 0 0 0 0 0 0 3 3 6 0 0 0 3 4 7 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 9 7 16 0 0 0 5 6 11 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0
0 0 0 16 11 27 0 0 0 5 6 11 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0
0 0 0 3 3 6 0 0 0 2 1 3 0 0 0 0 0 0 0 2 5 7 0 0 0 3 5 8 0 0 0
0 0 0 6 4 10 0 0 0 7 4 11 0 0 0 0 0 0 0 3 3 6 0 0 0 3 4 7 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

 Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 9 7 16 0 0 0 5 6 11 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0
0 0 0 16 11 27 0 0 0 5 6 11 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0
0 0 0 3 3 6 0 0 0 2 1 3 0 0 0 0 0 0 0 2 5 7 0 0 0 3 5 8 0 0 0
0 0 0 6 4 10 0 0 0 7 4 11 0 0 0 0 0 0 0 3 3 6 0 0 0 3 4 7 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 9 7 16 0 0 0 5 6 11 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0
0 0 0 16 11 27 0 0 0 5 6 11 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0
0 0 0 3 3 6 0 0 0 2 1 3 0 0 0 0 0 0 0 2 5 7 0 0 0 3 5 8 0 0 0
0 0 0 6 4 10 0 0 0 7 4 11 0 0 0 0 0 0 0 3 3 6 0 0 0 3 4 7 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0
ABS
0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS BAYANAN TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Muning Baru 14 12 48 57 16 12 13 10 45 47 16 15 3 0 3 3 0 3 2 2 4 2 2 4 0 0 0 0
2 Muning Tengah 8 13 53 66 5 11 10 14 55 51 17 15 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0
3 Muning Dalam 6 3 23 13 1 3 7 4 16 10 4 4 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0
4 Banjarbaru 10 17 72 71 0 0 15 17 86 69 27 26 2 1 3 2 1 3 1 2 3 1 2 3 0 0 0 0
5 Bayanan 14 14 53 57 12 8 13 14 46 47 17 18 1 0 1 1 0 1 2 1 3 2 1 3 0 0 0 0
6 Pandan Sari 12 9 49 43 8 7 11 10 41 40 15 15 1 1 2 1 1 2 1 1 2 1 1 2 0 0 0 0
7 Pihanin Raya 21 18 125 100 20 20 22 17 97 74 29 29 1 0 1 1 0 1 1 4 5 1 4 5 0 0 0 0
JUMLAH 85 86 423 407 62 61 91 86 386 338 125 122 8 3 11 8 3 11 8 10 18 8 10 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAYANAN TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Muning Baru 14 12 48 57 16 12 13 10 45 47 16 15 2 0 2 5 0 5 1 2 3 3 4 7 0 0 0 0
2 Muning Tengah 8 13 53 66 5 11 10 14 55 51 17 15 0 0 0 0 0 0 1 0 1 2 0 2 0 0 0 0
3 Muning Dalam 6 3 23 13 1 3 7 4 16 10 4 4 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0
4 Banjarbaru 10 17 72 71 13 15 15 17 86 69 27 26 1 1 2 3 2 5 0 3 3 1 5 6 0 0 0 0
5 Bayanan 14 14 53 57 12 8 13 14 46 47 17 18 1 0 1 2 0 2 1 1 2 3 2 5 0 0 0 0
6 Pandan Sari 12 9 49 43 8 7 11 10 41 40 15 15 0 0 0 1 1 2 1 1 2 1 2 3 0 0 0 0
7 Pihanin Raya 21 18 125 100 20 20 22 17 97 74 29 29 0 0 0 1 0 1 1 3 4 2 7 9 0 0 0 0

JUMLAH 85 86 423 407 75 76 91 86 386 338 125 122 4 1 5 12 4 16 5 10 15 12 20 32 0 0 0 0

 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS BAYANAN TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Muning Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 3 4 7 0 0 0 0
2 Muning Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0
3 Muning Dalam 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 0 0
4 Banjarbaru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 5 6 0 0 0 0
5 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 3 2 5 0 0 0 0
6 Pandan Sari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
7 Pihanin Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 7 9 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAYANAN TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Muning Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 3 4 7 0 0 0 0
2 Muning Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0
3 Muning Dalam 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 0 0
4 Banjarbaru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 5 6 0 0 0 0
5 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 3 2 5 0 0 0 0
 6 Pandan Sari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
7 Pihanin Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 7 9 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAYANAN TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Muning Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 3 4 7 0 0 0 0
2 Muning Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0
3 Muning Dalam 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 0 0
4 Banjarbaru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 5 6 0 0 0 0
5 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 3 2 5 0 0 0 0
6 Pandan Sari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
7 Pihanin Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 7 9 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAYANAN TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
 1 Muning Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 3 4 7 0 0 0 0
2 Muning Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0
3 Muning Dalam 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 0 0
4 Banjarbaru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 5 6 0 0 0 0
5 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 3 2 5 0 0 0 0
6 Pandan Sari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
7 Pihanin Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 7 9 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAYANAN TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Muning Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 3 4 7 0 0 0 0
2 Muning Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0
3 Muning Dalam 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 0 0
4 Banjarbaru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 5 6 0 0 0 0
5 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 3 2 5 0 0 0 0
6 Pandan Sari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
7 Pihanin Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 7 9 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAYANAN TAHUN 2023
AGUSTUS
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Muning Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 3 4 7 0 0 0 0
2 Muning Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0
3 Muning Dalam 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 0 0
4 Banjarbaru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 5 6 0 0 0 0
5 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 3 2 5 0 0 0 0
6 Pandan Sari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
7 Pihanin Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 7 9 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAYANAN TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Muning Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 3 4 7 0 0 0 0
2 Muning Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0
3 Muning Dalam 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 0 0
4 Banjarbaru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 5 6 0 0 0 0
5 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 3 2 5 0 0 0 0
6 Pandan Sari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
7 Pihanin Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 7 9 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS BAYANAN TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Muning Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 3 4 7 0 0 0 0
2 Muning Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0
3 Muning Dalam 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 0 0
4 Banjarbaru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 5 6 0 0 0 0
5 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 3 2 5 0 0 0 0
6 Pandan Sari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
7 Pihanin Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 7 9 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAYANAN TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Muning Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 3 4 7 0 0 0 0
2 Muning Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0
3 Muning Dalam 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 0 0
4 Banjarbaru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 5 6 0 0 0 0
5 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 3 2 5 0 0 0 0
6 Pandan Sari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
 7 Pihanin Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 7 9 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAYANAN TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Muning Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 0 0 3 4 7 0 0 0 0
2 Muning Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0
3 Muning Dalam 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 0 0
4 Banjarbaru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 5 6 0 0 0 0
5 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 3 2 5 0 0 0 0
6 Pandan Sari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 2 3 0 0 0 0
7 Pihanin Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 7 9 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
3 5 8 3 5 8 3 2 5 3 2 5 0 0 0 0 2 2 4 2 2 4 4 0 4 4 0 4 0 0 0
4 2 6 4 2 6 4 3 7 4 3 7 0 0 0 0 1 1 2 1 1 2 0 0 0 0 0 0 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
6 4 10 6 4 10 3 5 8 3 5 8 0 0 0 0 0 1 1 0 1 1 2 0 2 2 0 2 0 0 0
4 5 9 4 5 9 3 1 4 3 1 4 0 0 0 0 4 0 4 4 0 4 0 0 0 0 0 0 0 0 0
3 4 7 3 4 7 4 2 6 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 6 16 10 6 16 4 8 12 4 8 12 0 0 0 0 2 1 3 2 1 3 0 1 1 0 1 1 0 0 0
32 29 61 32 29 61 21 21 42 21 21 42 0 0 0 0 9 5 14 9 5 14 6 1 7 6 1 7 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
2 5 7 5 10 15 4 0 4 7 2 9 0 0 0 0 1 2 3 2 4 6 3 1 4 7 1 8 0 0 0
5 2 7 9 4 13 7 5 12 11 8 19 0 0 0 0 0 3 3 1 4 5 0 0 0 0 0 0 0 0 0
2 2 4 4 5 9 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
7 3 10 13 7 20 3 5 8 6 10 16 0 0 0 0 0 2 2 0 3 3 2 0 2 4 0 4 0 0 0
3 4 7 7 9 16 4 1 5 7 2 9 0 0 0 0 4 0 4 8 0 8 0 1 1 0 1 1 0 0 0
4 6 10 7 10 17 2 1 3 6 3 9 0 0 0 0 1 0 1 1 0 1 1 0 1 1 0 1 0 0 0
11 5 16 21 11 32 2 6 8 6 14 20 0 0 0 0 1 1 2 3 2 5 0 2 2 0 3 3 0 0 0
34 27 61 66 56 122 23 18 41 44 39 83 0 0 0 0 7 8 15 15 13 28 6 4 10 12 5 17 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 10 15 0 0 0 7 2 9 0 0 0 0 0 0 0 2 4 6 0 0 0 7 1 8 0 0 0
0 0 0 9 4 13 0 0 0 11 8 19 0 0 0 0 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0
0 0 0 4 5 9 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13 7 20 0 0 0 6 10 16 0 0 0 0 0 0 0 0 3 3 0 0 0 4 0 4 0 0 0
0 0 0 7 9 16 0 0 0 7 2 9 0 0 0 0 0 0 0 8 0 8 0 0 0 0 1 1 0 0 0
0 0 0 7 10 17 0 0 0 6 3 9 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
0 0 0 21 11 32 0 0 0 6 14 20 0 0 0 0 0 0 0 3 2 5 0 0 0 0 3 3 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 10 15 0 0 0 7 2 9 0 0 0 0 0 0 0 2 4 6 0 0 0 7 1 8 0 0 0
0 0 0 9 4 13 0 0 0 11 8 19 0 0 0 0 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0
0 0 0 4 5 9 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13 7 20 0 0 0 6 10 16 0 0 0 0 0 0 0 0 3 3 0 0 0 4 0 4 0 0 0
0 0 0 7 9 16 0 0 0 7 2 9 0 0 0 0 0 0 0 8 0 8 0 0 0 0 1 1 0 0 0
0 0 0 7 10 17 0 0 0 6 3 9 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
0 0 0 21 11 32 0 0 0 6 14 20 0 0 0 0 0 0 0 3 2 5 0 0 0 0 3 3 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 10 15 0 0 0 7 2 9 0 0 0 0 0 0 0 2 4 6 0 0 0 7 1 8 0 0 0
0 0 0 9 4 13 0 0 0 11 8 19 0 0 0 0 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0
0 0 0 4 5 9 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13 7 20 0 0 0 6 10 16 0 0 0 0 0 0 0 0 3 3 0 0 0 4 0 4 0 0 0
0 0 0 7 9 16 0 0 0 7 2 9 0 0 0 0 0 0 0 8 0 8 0 0 0 0 1 1 0 0 0
0 0 0 7 10 17 0 0 0 6 3 9 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
0 0 0 21 11 32 0 0 0 6 14 20 0 0 0 0 0 0 0 3 2 5 0 0 0 0 3 3 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 10 15 0 0 0 7 2 9 0 0 0 0 0 0 0 2 4 6 0 0 0 7 1 8 0 0 0
0 0 0 9 4 13 0 0 0 11 8 19 0 0 0 0 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0
0 0 0 4 5 9 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13 7 20 0 0 0 6 10 16 0 0 0 0 0 0 0 0 3 3 0 0 0 4 0 4 0 0 0
0 0 0 7 9 16 0 0 0 7 2 9 0 0 0 0 0 0 0 8 0 8 0 0 0 0 1 1 0 0 0
0 0 0 7 10 17 0 0 0 6 3 9 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
0 0 0 21 11 32 0 0 0 6 14 20 0 0 0 0 0 0 0 3 2 5 0 0 0 0 3 3 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 10 15 0 0 0 7 2 9 0 0 0 0 0 0 0 2 4 6 0 0 0 7 1 8 0 0 0
0 0 0 9 4 13 0 0 0 11 8 19 0 0 0 0 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0
0 0 0 4 5 9 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13 7 20 0 0 0 6 10 16 0 0 0 0 0 0 0 0 3 3 0 0 0 4 0 4 0 0 0
0 0 0 7 9 16 0 0 0 7 2 9 0 0 0 0 0 0 0 8 0 8 0 0 0 0 1 1 0 0 0
0 0 0 7 10 17 0 0 0 6 3 9 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
0 0 0 21 11 32 0 0 0 6 14 20 0 0 0 0 0 0 0 3 2 5 0 0 0 0 3 3 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 10 15 0 0 0 7 2 9 0 0 0 0 0 0 0 2 4 6 0 0 0 7 1 8 0 0 0
0 0 0 9 4 13 0 0 0 11 8 19 0 0 0 0 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0
0 0 0 4 5 9 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13 7 20 0 0 0 6 10 16 0 0 0 0 0 0 0 0 3 3 0 0 0 4 0 4 0 0 0
0 0 0 7 9 16 0 0 0 7 2 9 0 0 0 0 0 0 0 8 0 8 0 0 0 0 1 1 0 0 0
0 0 0 7 10 17 0 0 0 6 3 9 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
0 0 0 21 11 32 0 0 0 6 14 20 0 0 0 0 0 0 0 3 2 5 0 0 0 0 3 3 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 10 15 0 0 0 7 2 9 0 0 0 0 0 0 0 2 4 6 0 0 0 7 1 8 0 0 0
0 0 0 9 4 13 0 0 0 11 8 19 0 0 0 0 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0
0 0 0 4 5 9 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13 7 20 0 0 0 6 10 16 0 0 0 0 0 0 0 0 3 3 0 0 0 4 0 4 0 0 0
0 0 0 7 9 16 0 0 0 7 2 9 0 0 0 0 0 0 0 8 0 8 0 0 0 0 1 1 0 0 0
0 0 0 7 10 17 0 0 0 6 3 9 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
0 0 0 21 11 32 0 0 0 6 14 20 0 0 0 0 0 0 0 3 2 5 0 0 0 0 3 3 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 10 15 0 0 0 7 2 9 0 0 0 0 0 0 0 2 4 6 0 0 0 7 1 8 0 0 0
0 0 0 9 4 13 0 0 0 11 8 19 0 0 0 0 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0
0 0 0 4 5 9 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13 7 20 0 0 0 6 10 16 0 0 0 0 0 0 0 0 3 3 0 0 0 4 0 4 0 0 0
0 0 0 7 9 16 0 0 0 7 2 9 0 0 0 0 0 0 0 8 0 8 0 0 0 0 1 1 0 0 0
0 0 0 7 10 17 0 0 0 6 3 9 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
0 0 0 21 11 32 0 0 0 6 14 20 0 0 0 0 0 0 0 3 2 5 0 0 0 0 3 3 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 10 15 0 0 0 7 2 9 0 0 0 0 0 0 0 2 4 6 0 0 0 7 1 8 0 0 0
0 0 0 9 4 13 0 0 0 11 8 19 0 0 0 0 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0
0 0 0 4 5 9 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13 7 20 0 0 0 6 10 16 0 0 0 0 0 0 0 0 3 3 0 0 0 4 0 4 0 0 0
0 0 0 7 9 16 0 0 0 7 2 9 0 0 0 0 0 0 0 8 0 8 0 0 0 0 1 1 0 0 0
0 0 0 7 10 17 0 0 0 6 3 9 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
0 0 0 21 11 32 0 0 0 6 14 20 0 0 0 0 0 0 0 3 2 5 0 0 0 0 3 3 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 10 15 0 0 0 7 2 9 0 0 0 0 0 0 0 2 4 6 0 0 0 7 1 8 0 0 0
0 0 0 9 4 13 0 0 0 11 8 19 0 0 0 0 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0
0 0 0 4 5 9 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13 7 20 0 0 0 6 10 16 0 0 0 0 0 0 0 0 3 3 0 0 0 4 0 4 0 0 0
0 0 0 7 9 16 0 0 0 7 2 9 0 0 0 0 0 0 0 8 0 8 0 0 0 0 1 1 0 0 0
0 0 0 7 10 17 0 0 0 6 3 9 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
0 0 0 21 11 32 0 0 0 6 14 20 0 0 0 0 0 0 0 3 2 5 0 0 0 0 3 3 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0
ABS
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
 0
0
0

ABS

0
0
0
0
0
0
0
0

ABS
 0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
 0
0

ABS

0
0
0
0
0
0
0
0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS BARUH JAYA TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tambangan 36 37 179 163 0 0 76 68 163 146 46 50 1 5 6 1 5 6 1 1 2 1 1 2 0 0 0 0

2 Baruh Jaya 46 42 201 210 49 47 91 94 189 207 52 58 6 3 9 6 3 9 5 1 6 5 1 6 0 0 0 0

3 Samuda 26 30 120 125 0 0 55 48 114 108 35 38 4 2 6 4 2 6 3 2 5 3 2 5 0 0 0 0

JUMLAH 108 109 500 498 49 47 222 210 466 461 133 146 11 10 21 11 10 21 9 4 13 9 4 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BARUH JAYA TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tambangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0 1 1 2 0 0 0 0

2 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 3 9 0 0 0 5 1 6 0 0 0 0

3 Samuda 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 3 2 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BARUH JAYA TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tambangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0 1 1 2 0 0 0 0

2 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 3 9 0 0 0 5 1 6 0 0 0 0

3 Samuda 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 3 2 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BARUH JAYA TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tambangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0 1 1 2 0 0 0 0

2 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 3 9 0 0 0 5 1 6 0 0 0 0

3 Samuda 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 3 2 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BARUH JAYA TAHUN 2023
MEI
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tambangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0 1 1 2 0 0 0 0

2 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 3 9 0 0 0 5 1 6 0 0 0 0

3 Samuda 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 3 2 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BARUH JAYA TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS

1 Tambangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0 1 1 2 0 0 0 0

2 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 3 9 0 0 0 5 1 6 0 0 0 0

3 Samuda 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 3 2 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BARUH JAYA TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
 No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tambangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0 1 1 2 0 0 0 0

2 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 3 9 0 0 0 5 1 6 0 0 0 0

3 Samuda 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 3 2 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BARUH JAYA TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tambangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0 1 1 2 0 0 0 0

2 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 3 9 0 0 0 5 1 6 0 0 0 0

3 Samuda 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 3 2 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BARUH JAYA TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
 1 Tambangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0 1 1 2 0 0 0 0

2 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 3 9 0 0 0 5 1 6 0 0 0 0

3 Samuda 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 3 2 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BARUH JAYA TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tambangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0 1 1 2 0 0 0 0

2 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 3 9 0 0 0 5 1 6 0 0 0 0

3 Samuda 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 3 2 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BARUH JAYA TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
 1 Tambangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0 1 1 2 0 0 0 0

2 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 3 9 0 0 0 5 1 6 0 0 0 0

3 Samuda 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 3 2 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BARUH JAYA TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tambangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6 0 0 0 1 1 2 0 0 0 0

2 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 3 9 0 0 0 5 1 6 0 0 0 0

3 Samuda 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 3 2 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL

5 7 12 5 7 12 2 1 3 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 23 33 10 23 33 11 14 25 11 14 25 0 0 0 0 5 4 9 5 9 14 3 3 6 3 6 9 0 0 0

2 3 5 2 3 5 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
17 33 50 17 33 50 15 18 33 15 18 33 0 0 0 0 5 4 9 5 9 14 3 3 6 3 6 9 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL

0 0 0 5 7 12 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 10 23 33 0 0 0 11 14 25 0 0 0 0 0 0 0 5 9 14 0 0 0 3 6 9 0 0 0

0 0 0 2 3 5 0 0 0 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 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 3 6 9 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 7 12 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 10 23 33 0 0 0 11 14 25 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

0 0 0 2 3 5 0 0 0 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 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL

0 0 0 5 7 12 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 10 23 33 0 0 0 11 14 25 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

0 0 0 2 3 5 0 0 0 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 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL

0 0 0 5 7 12 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 10 23 33 0 0 0 11 14 25 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

0 0 0 2 3 5 0 0 0 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 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL

0 0 0 5 7 12 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 10 23 33 0 0 0 11 14 25 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

0 0 0 2 3 5 0 0 0 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 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
 KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL

0 0 0 5 7 12 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 10 23 33 0 0 0 11 14 25 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

0 0 0 2 3 5 0 0 0 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 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL

0 0 0 5 7 12 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 10 23 33 0 0 0 11 14 25 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

0 0 0 2 3 5 0 0 0 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 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 7 12 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 10 23 33 0 0 0 11 14 25 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

0 0 0 2 3 5 0 0 0 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 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL

0 0 0 5 7 12 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 10 23 33 0 0 0 11 14 25 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

0 0 0 2 3 5 0 0 0 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 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 7 12 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 10 23 33 0 0 0 11 14 25 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

0 0 0 2 3 5 0 0 0 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 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL

0 0 0 5 7 12 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 10 23 33 0 0 0 11 14 25 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0

0 0 0 2 3 5 0 0 0 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 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0
ABS

0
0

ABS

0
0
ABS
0

0
0

ABS

0
0
ABS

0
0

ABS

0
0
ABS

0
0

ABS

0
0

ABS
 0

0
0

ABS

0
0

ABS
 0

0
0

ABS

0
0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS SUNGAI PINANG TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tumbukan banyu 21 14 91 71 0 0 18 18 72 74 48 47 1 3 4 1 3 4 2 3 5 2 3 5 0 0 0 0
2 Sungai Pinang 13 13 62 73 0 0 17 16 63 70 43 41 1 0 1 1 0 1 1 3 4 1 3 4 0 0 0 0
3 Habirau 24 14 94 77 0 0 17 19 72 73 46 45 2 1 3 2 1 3 2 3 5 2 3 5 0 0 0 0
4 Habirau Tengah 17 16 84 80 0 0 19 17 77 70 46 45 1 2 3 1 2 3 1 1 2 1 1 2 0 0 0 0
5 Parigi 18 21 82 80 0 0 19 18 75 76 48 47 1 1 2 1 1 2 3 1 4 3 1 4 0 0 0 0
6 Banua Hanyar 14 20 98 99 0 0 25 23 101 97 66 64 1 2 3 1 2 3 1 4 5 1 4 5 0 0 0 0
JUMLAH 107 98 511 480 0 0 115 111 460 460 297 289 7 9 16 7 9 16 10 15 25 10 15 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI PINANG TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tumbukan banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 3 5 0 0 0 0
2 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 3 4 0 0 0 0
3 Habirau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 2 3 5 0 0 0 0
4 Habirau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
5 Parigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 1 4 0 0 0 0
6 Banua Hanyar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 4 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS SUNGAI PINANG TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tumbukan banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 3 5 0 0 0 0
2 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 3 4 0 0 0 0
3 Habirau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 2 3 5 0 0 0 0
4 Habirau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
5 Parigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 1 4 0 0 0 0
6 Banua Hanyar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 4 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI PINANG TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tumbukan banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 3 5 0 0 0 0
2 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 3 4 0 0 0 0
3 Habirau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 2 3 5 0 0 0 0
4 Habirau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
5 Parigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 1 4 0 0 0 0
6 Banua Hanyar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 4 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS SUNGAI PINANG TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tumbukan banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 3 5 0 0 0 0
2 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 3 4 0 0 0 0
3 Habirau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 2 3 5 0 0 0 0
4 Habirau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
5 Parigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 1 4 0 0 0 0
6 Banua Hanyar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 4 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI PINANG TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tumbukan banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 3 5 0 0 0 0
2 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 3 4 0 0 0 0
3 Habirau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 2 3 5 0 0 0 0
4 Habirau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
5 Parigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 1 4 0 0 0 0
 6 Banua Hanyar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 4 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI PINANG TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tumbukan banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 3 5 0 0 0 0
2 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 3 4 0 0 0 0
3 Habirau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 2 3 5 0 0 0 0
4 Habirau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
5 Parigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 1 4 0 0 0 0
6 Banua Hanyar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 4 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI PINANG TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tumbukan banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 3 5 0 0 0 0
2 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 3 4 0 0 0 0
 3 Habirau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 2 3 5 0 0 0 0
4 Habirau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
5 Parigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 1 4 0 0 0 0
6 Banua Hanyar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 4 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI PINANG TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tumbukan banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 3 5 0 0 0 0
2 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 3 4 0 0 0 0
3 Habirau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 2 3 5 0 0 0 0
4 Habirau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
5 Parigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 1 4 0 0 0 0
6 Banua Hanyar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 4 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI PINANG TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
 No Desa

L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS

1 Tumbukan banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 3 5 0 0 0 0
2 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 3 4 0 0 0 0
3 Habirau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 2 3 5 0 0 0 0
4 Habirau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
5 Parigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 1 4 0 0 0 0
6 Banua Hanyar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 4 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI PINANG TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tumbukan banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 3 5 0 0 0 0
2 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 3 4 0 0 0 0
3 Habirau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 2 3 5 0 0 0 0
4 Habirau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
5 Parigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 1 4 0 0 0 0
6 Banua Hanyar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 4 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI PINANG TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Tumbukan banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 3 5 0 0 0 0
2 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 3 4 0 0 0 0
3 Habirau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 2 3 5 0 0 0 0
4 Habirau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 1 2 0 0 0 0
5 Parigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 1 4 0 0 0 0
6 Banua Hanyar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 4 5 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
6 8 14 6 8 14 1 5 6 1 5 6 0 0 0 0 0 2 2 0 2 2 1 1 2 1 1 2 0 0 0
1 4 5 1 4 5 5 5 10 5 5 10 0 0 0 0 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0
9 1 10 9 1 10 6 2 8 6 2 8 0 0 0 0 0 1 1 0 1 1 1 3 4 1 3 4 0 0 0
3 8 11 3 8 11 4 2 6 4 2 6 0 0 0 0 0 0 0 0 0 0 3 0 3 3 0 3 0 0 0
1 2 3 1 2 3 6 2 8 6 2 8 0 0 0 0 0 0 0 0 0 0 4 0 4 4 0 4 0 0 0
7 7 14 7 7 14 8 3 11 8 3 11 0 0 0 0 3 1 4 3 1 4 2 0 2 2 0 2 0 0 0
27 30 57 27 30 57 30 19 49 30 19 49 0 0 0 0 5 4 9 5 4 9 11 4 15 11 4 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 8 14 0 0 0 1 5 6 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0
0 0 0 1 4 5 0 0 0 5 5 10 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0
0 0 0 9 1 10 0 0 0 6 2 8 0 0 0 0 0 0 0 0 1 1 0 0 0 1 3 4 0 0 0
0 0 0 3 8 11 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0
0 0 0 1 2 3 0 0 0 6 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0
0 0 0 7 7 14 0 0 0 8 3 11 0 0 0 0 0 0 0 3 1 4 0 0 0 2 0 2 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 8 14 0 0 0 1 5 6 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0
0 0 0 1 4 5 0 0 0 5 5 10 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0
0 0 0 9 1 10 0 0 0 6 2 8 0 0 0 0 0 0 0 0 1 1 0 0 0 1 3 4 0 0 0
0 0 0 3 8 11 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0
0 0 0 1 2 3 0 0 0 6 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0
0 0 0 7 7 14 0 0 0 8 3 11 0 0 0 0 0 0 0 3 1 4 0 0 0 2 0 2 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 8 14 0 0 0 1 5 6 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0
0 0 0 1 4 5 0 0 0 5 5 10 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0
0 0 0 9 1 10 0 0 0 6 2 8 0 0 0 0 0 0 0 0 1 1 0 0 0 1 3 4 0 0 0
0 0 0 3 8 11 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0
0 0 0 1 2 3 0 0 0 6 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0
0 0 0 7 7 14 0 0 0 8 3 11 0 0 0 0 0 0 0 3 1 4 0 0 0 2 0 2 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 8 14 0 0 0 1 5 6 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0
0 0 0 1 4 5 0 0 0 5 5 10 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0
0 0 0 9 1 10 0 0 0 6 2 8 0 0 0 0 0 0 0 0 1 1 0 0 0 1 3 4 0 0 0
0 0 0 3 8 11 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0
0 0 0 1 2 3 0 0 0 6 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0
0 0 0 7 7 14 0 0 0 8 3 11 0 0 0 0 0 0 0 3 1 4 0 0 0 2 0 2 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 8 14 0 0 0 1 5 6 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0
0 0 0 1 4 5 0 0 0 5 5 10 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0
0 0 0 9 1 10 0 0 0 6 2 8 0 0 0 0 0 0 0 0 1 1 0 0 0 1 3 4 0 0 0
0 0 0 3 8 11 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0
0 0 0 1 2 3 0 0 0 6 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0
0 0 0 7 7 14 0 0 0 8 3 11 0 0 0 0 0 0 0 3 1 4 0 0 0 2 0 2 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 8 14 0 0 0 1 5 6 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0
0 0 0 1 4 5 0 0 0 5 5 10 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0
0 0 0 9 1 10 0 0 0 6 2 8 0 0 0 0 0 0 0 0 1 1 0 0 0 1 3 4 0 0 0
0 0 0 3 8 11 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0
0 0 0 1 2 3 0 0 0 6 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0
0 0 0 7 7 14 0 0 0 8 3 11 0 0 0 0 0 0 0 3 1 4 0 0 0 2 0 2 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 8 14 0 0 0 1 5 6 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0
0 0 0 1 4 5 0 0 0 5 5 10 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0
0 0 0 9 1 10 0 0 0 6 2 8 0 0 0 0 0 0 0 0 1 1 0 0 0 1 3 4 0 0 0
0 0 0 3 8 11 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0
0 0 0 1 2 3 0 0 0 6 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0
0 0 0 7 7 14 0 0 0 8 3 11 0 0 0 0 0 0 0 3 1 4 0 0 0 2 0 2 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 8 14 0 0 0 1 5 6 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0
0 0 0 1 4 5 0 0 0 5 5 10 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0
0 0 0 9 1 10 0 0 0 6 2 8 0 0 0 0 0 0 0 0 1 1 0 0 0 1 3 4 0 0 0
0 0 0 3 8 11 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0
0 0 0 1 2 3 0 0 0 6 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0
0 0 0 7 7 14 0 0 0 8 3 11 0 0 0 0 0 0 0 3 1 4 0 0 0 2 0 2 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 8 14 0 0 0 1 5 6 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0
0 0 0 1 4 5 0 0 0 5 5 10 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0
0 0 0 9 1 10 0 0 0 6 2 8 0 0 0 0 0 0 0 0 1 1 0 0 0 1 3 4 0 0 0
0 0 0 3 8 11 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0
0 0 0 1 2 3 0 0 0 6 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0
0 0 0 7 7 14 0 0 0 8 3 11 0 0 0 0 0 0 0 3 1 4 0 0 0 2 0 2 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 8 14 0 0 0 1 5 6 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0
0 0 0 1 4 5 0 0 0 5 5 10 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0
0 0 0 9 1 10 0 0 0 6 2 8 0 0 0 0 0 0 0 0 1 1 0 0 0 1 3 4 0 0 0
0 0 0 3 8 11 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0
0 0 0 1 2 3 0 0 0 6 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0
0 0 0 7 7 14 0 0 0 8 3 11 0 0 0 0 0 0 0 3 1 4 0 0 0 2 0 2 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 8 14 0 0 0 1 5 6 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0
0 0 0 1 4 5 0 0 0 5 5 10 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0
0 0 0 9 1 10 0 0 0 6 2 8 0 0 0 0 0 0 0 0 1 1 0 0 0 1 3 4 0 0 0
0 0 0 3 8 11 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0
0 0 0 1 2 3 0 0 0 6 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0
0 0 0 7 7 14 0 0 0 8 3 11 0 0 0 0 0 0 0 3 1 4 0 0 0 2 0 2 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
ABS
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0

ABS

0
0
0
0
0
 0
0

ABS

0
0
0
0
0
0
0

ABS

0
0
 0
0
0
0
0

ABS

0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS BAJAYAU TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Siang Gantung 6 8 41 41 16 12 6 8 38 32 15 12 3 2 5 3 2 5 0 1 1 0 1 1 0 0 0 0
2 Baru 6 8 42 42 19 17 7 7 39 33 18 17 2 6 8 2 6 8 1 1 2 1 1 2 0 0 0 0
3 Tanjung Selor 12 12 73 71 31 36 14 12 67 63 30 36 5 5 10 5 5 10 0 2 2 0 2 2 0 0 0 0
4 Badaun 5 5 27 27 20 8 6 5 28 25 19 8 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0
5 Bajayau 6 7 37 38 21 13 8 7 38 36 20 13 4 2 6 4 2 6 2 1 3 2 1 3 0 0 0 0
6 Bajayau Tengah 8 9 47 47 23 20 8 9 45 43 21 20 0 2 2 0 2 2 0 1 1 0 1 1 0 0 0 0
7 Bajayau Lama 9 9 35 36 18 24 10 9 49 48 17 24 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
JUMLAH 52 58 302 302 148 130 59 57 304 280 140 130 16 18 34 16 18 34 3 6 9 3 6 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAJAYAU TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Siang Gantung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 0 1 1 0 0 0 0
2 Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 1 1 2 0 0 0 0
3 Tanjung Selor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 10 0 0 0 0 2 2 0 0 0 0
4 Badaun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
5 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 2 1 3 0 0 0 0
6 Bajayau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 1 1 0 0 0 0
7 Bajayau Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 16 18 34 0 0 0 3 6 9 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS BAJAYAU TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Siang Gantung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 0 1 1 0 0 0 0
2 Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 1 1 2 0 0 0 0
3 Tanjung Selor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 10 0 0 0 0 2 2 0 0 0 0
4 Badaun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
5 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 2 1 3 0 0 0 0
6 Bajayau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 1 1 0 0 0 0
7 Bajayau Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 16 18 34 0 0 0 3 6 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAJAYAU TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Siang Gantung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 0 1 1 0 0 0 0
2 Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 1 1 2 0 0 0 0
3 Tanjung Selor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 10 0 0 0 0 2 2 0 0 0 0
4 Badaun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
5 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 2 1 3 0 0 0 0
 6 Bajayau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 1 1 0 0 0 0
7 Bajayau Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 16 18 34 0 0 0 3 6 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAJAYAU TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Siang Gantung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 0 1 1 0 0 0 0
2 Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 1 1 2 0 0 0 0
3 Tanjung Selor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 10 0 0 0 0 2 2 0 0 0 0
4 Badaun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
5 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 2 1 3 0 0 0 0
6 Bajayau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 1 1 0 0 0 0
7 Bajayau Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 16 18 34 0 0 0 3 6 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAJAYAU TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
 1 Siang Gantung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 0 1 1 0 0 0 0
2 Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 1 1 2 0 0 0 0
3 Tanjung Selor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 10 0 0 0 0 2 2 0 0 0 0
4 Badaun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
5 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 2 1 3 0 0 0 0
6 Bajayau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 1 1 0 0 0 0
7 Bajayau Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 16 18 34 0 0 0 3 6 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAJAYAU TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Siang Gantung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 0 1 1 0 0 0 0
2 Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 1 1 2 0 0 0 0
3 Tanjung Selor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 10 0 0 0 0 2 2 0 0 0 0
4 Badaun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
5 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 2 1 3 0 0 0 0
6 Bajayau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 1 1 0 0 0 0
7 Bajayau Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 16 18 34 0 0 0 3 6 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAJAYAU TAHUN 2023
AGUSTUS
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Siang Gantung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 0 1 1 0 0 0 0
2 Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 1 1 2 0 0 0 0
3 Tanjung Selor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 10 0 0 0 0 2 2 0 0 0 0
4 Badaun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
5 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 2 1 3 0 0 0 0
6 Bajayau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 1 1 0 0 0 0
7 Bajayau Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 16 18 34 0 0 0 3 6 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAJAYAU TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Siang Gantung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 0 1 1 0 0 0 0
2 Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 1 1 2 0 0 0 0
3 Tanjung Selor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 10 0 0 0 0 2 2 0 0 0 0
4 Badaun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
5 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 2 1 3 0 0 0 0
6 Bajayau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 1 1 0 0 0 0
7 Bajayau Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 16 18 34 0 0 0 3 6 9 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS BAJAYAU TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Siang Gantung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 0 1 1 0 0 0 0
2 Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 1 1 2 0 0 0 0
3 Tanjung Selor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 10 0 0 0 0 2 2 0 0 0 0
4 Badaun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
5 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 2 1 3 0 0 0 0
6 Bajayau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 1 1 0 0 0 0
7 Bajayau Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 16 18 34 0 0 0 3 6 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAJAYAU TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Siang Gantung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 0 1 1 0 0 0 0
2 Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 1 1 2 0 0 0 0
3 Tanjung Selor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 10 0 0 0 0 2 2 0 0 0 0
4 Badaun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
5 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 2 1 3 0 0 0 0
6 Bajayau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 1 1 0 0 0 0
 7 Bajayau Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 16 18 34 0 0 0 3 6 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAJAYAU TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Siang Gantung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 0 1 1 0 0 0 0
2 Baru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 1 1 2 0 0 0 0
3 Tanjung Selor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 10 0 0 0 0 2 2 0 0 0 0
4 Badaun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
5 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0 0 2 1 3 0 0 0 0
6 Bajayau Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 1 1 0 0 0 0
7 Bajayau Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 16 18 34 0 0 0 3 6 9 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
3 3 6 3 3 6 0 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 7 14 7 7 14 4 2 6 4 2 6 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 2 2 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 1 6 5 1 6 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
4 6 10 4 6 10 1 2 3 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 8 13 5 8 13 0 3 3 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 2 1 1 2 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
29 32 61 29 32 61 7 9 16 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 3 6 0 0 0 0 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 7 14 0 0 0 4 2 6 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 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 1 6 0 0 0 1 0 1 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 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 5 8 13 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 3 6 0 0 0 0 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 7 14 0 0 0 4 2 6 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 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 1 6 0 0 0 1 0 1 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 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 5 8 13 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 3 6 0 0 0 0 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 7 14 0 0 0 4 2 6 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 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 1 6 0 0 0 1 0 1 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 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 5 8 13 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 3 6 0 0 0 0 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 7 14 0 0 0 4 2 6 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 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 1 6 0 0 0 1 0 1 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 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 5 8 13 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 3 6 0 0 0 0 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 7 14 0 0 0 4 2 6 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 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 1 6 0 0 0 1 0 1 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 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 5 8 13 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 3 6 0 0 0 0 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 7 14 0 0 0 4 2 6 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 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 1 6 0 0 0 1 0 1 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 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 5 8 13 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 3 6 0 0 0 0 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 7 14 0 0 0 4 2 6 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 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 1 6 0 0 0 1 0 1 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 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 5 8 13 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 3 6 0 0 0 0 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 7 14 0 0 0 4 2 6 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 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 1 6 0 0 0 1 0 1 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 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 5 8 13 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 3 6 0 0 0 0 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 7 14 0 0 0 4 2 6 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 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 1 6 0 0 0 1 0 1 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 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 5 8 13 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 3 6 0 0 0 0 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 7 14 0 0 0 4 2 6 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 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 1 6 0 0 0 1 0 1 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 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 5 8 13 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 3 6 0 0 0 0 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 7 14 0 0 0 4 2 6 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 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 1 6 0 0 0 1 0 1 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 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 5 8 13 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ABS
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
 0
0
0

ABS

0
0
0
0
0
0
0
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ABS
 0
0
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ABS

0
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ABS

0
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ABS

0
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ABS

0
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ABS

0
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ABS

0
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0
0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS NEGARA TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Pandak Daun 10 10 30 34 8 8 10 12 39 42 0 0 1 1 2 1 1 2 0 1 1 0 1 1 0 0 0 0
2 Paramaian 18 17 44 60 22 20 15 11 63 46 0 0 0 2 2 0 2 2 3 3 6 3 3 6 0 0 0 0
3 Pakan Dalam 10 16 68 69 25 23 20 19 72 61 0 0 1 1 2 1 1 2 1 3 4 1 3 4 0 0 0 0
4 Tambak Bitin 12 7 48 41 13 12 11 9 56 48 0 0 2 1 3 2 1 3 1 1 2 1 1 2 0 0 0 0
5 Panggandingan 13 16 55 52 19 11 15 14 63 54 0 0 1 1 2 1 1 2 3 2 5 3 2 5 0 0 0 0
6 Pakapuran Kacil 26 25 96 99 24 15 33 18 132 72 0 0 1 4 5 1 4 5 3 1 4 3 1 4 0 0 0 0
7 Baruh Kembang 24 14 66 55 13 8 21 18 67 56 0 0 3 0 3 3 0 3 0 0 0 0 0 0 0 0 0 0
8 M3 4 5 30 42 12 8 11 13 39 35 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0
9 Sungai Mandala 10 9 40 36 11 5 11 8 43 35 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0
10 Sungai Garuda 7 6 23 30 13 10 5 6 21 29 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0
11 Balah Paikat 17 12 45 36 10 10 12 12 38 45 0 0 1 0 1 1 0 1 0 1 1 0 1 1 0 0 0 0
12 Murung Raya 11 11 52 58 8 12 11 13 41 43 0 0 2 1 3 2 1 3 0 0 0 0 0 0 0 0 0 0
JUMLAH 162 148 597 612 178 142 175 153 674 566 0 0 12 12 24 12 12 24 12 13 25 12 13 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS NEGARA TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Pandak Daun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0 0
2 Paramaian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 3 3 6 0 0 0 0
3 Pakan Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 3 4 0 0 0 0
4 Tambak Bitin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0
5 Panggandingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 2 5 0 0 0 0
 6 Pakapuran Kacil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 1 4 0 0 0 0
7 Baruh Kembang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
8 M3 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 0 0
9 Sungai Mandala 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 0 0 0
10 Sungai Garuda 0 0 0 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
11 Balah Paikat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0
12 Murung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 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 12 12 24 0 0 0 12 13 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS NEGARA TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Pandak Daun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0 0
2 Paramaian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 3 3 6 0 0 0 0
3 Pakan Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 3 4 0 0 0 0
4 Tambak Bitin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0
5 Panggandingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 2 5 0 0 0 0
6 Pakapuran Kacil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 1 4 0 0 0 0
7 Baruh Kembang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
8 M3 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 0 0
9 Sungai Mandala 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 0 0 0
10 Sungai Garuda 0 0 0 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
11 Balah Paikat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0
12 Murung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 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 12 12 24 0 0 0 12 13 25 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS NEGARA TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Pandak Daun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0 0
2 Paramaian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 3 3 6 0 0 0 0
3 Pakan Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 3 4 0 0 0 0
4 Tambak Bitin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0
5 Panggandingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 2 5 0 0 0 0
6 Pakapuran Kacil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 1 4 0 0 0 0
7 Baruh Kembang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
8 M3 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 0 0
9 Sungai Mandala 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 0 0 0
10 Sungai Garuda 0 0 0 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
11 Balah Paikat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0
12 Murung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 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 12 12 24 0 0 0 12 13 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS NEGARA TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Pandak Daun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0 0
2 Paramaian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 3 3 6 0 0 0 0
 3 Pakan Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 3 4 0 0 0 0
4 Tambak Bitin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0
5 Panggandingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 2 5 0 0 0 0
6 Pakapuran Kacil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 1 4 0 0 0 0
7 Baruh Kembang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
8 M3 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 0 0
9 Sungai Mandala 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 0 0 0
10 Sungai Garuda 0 0 0 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
11 Balah Paikat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0
12 Murung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 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 12 12 24 0 0 0 12 13 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS NEGARA TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Pandak Daun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0 0
2 Paramaian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 3 3 6 0 0 0 0
3 Pakan Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 3 4 0 0 0 0
4 Tambak Bitin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0
5 Panggandingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 2 5 0 0 0 0
6 Pakapuran Kacil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 1 4 0 0 0 0
7 Baruh Kembang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
8 M3 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 0 0
9 Sungai Mandala 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 0 0 0
10 Sungai Garuda 0 0 0 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
11 Balah Paikat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0
12 Murung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 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 12 12 24 0 0 0 12 13 25 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS NEGARA TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Pandak Daun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0 0
2 Paramaian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 3 3 6 0 0 0 0
3 Pakan Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 3 4 0 0 0 0
4 Tambak Bitin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0
5 Panggandingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 2 5 0 0 0 0
6 Pakapuran Kacil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 1 4 0 0 0 0
7 Baruh Kembang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
8 M3 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 0 0
9 Sungai Mandala 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 0 0 0
10 Sungai Garuda 0 0 0 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
11 Balah Paikat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0
12 Murung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 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 12 12 24 0 0 0 12 13 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS NEGARA TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
 No Desa

L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS

1 Pandak Daun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0 0
2 Paramaian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 3 3 6 0 0 0 0
3 Pakan Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 3 4 0 0 0 0
4 Tambak Bitin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0
5 Panggandingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 2 5 0 0 0 0
6 Pakapuran Kacil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 1 4 0 0 0 0
7 Baruh Kembang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
8 M3 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 0 0
9 Sungai Mandala 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 0 0 0
10 Sungai Garuda 0 0 0 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
11 Balah Paikat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0
12 Murung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 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 12 12 24 0 0 0 12 13 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS NEGARA TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Pandak Daun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0 0
2 Paramaian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 3 3 6 0 0 0 0
3 Pakan Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 3 4 0 0 0 0
4 Tambak Bitin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0
5 Panggandingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 2 5 0 0 0 0
6 Pakapuran Kacil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 1 4 0 0 0 0
7 Baruh Kembang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
8 M3 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 0 0
9 Sungai Mandala 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 0 0 0
10 Sungai Garuda 0 0 0 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
11 Balah Paikat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0
 12 Murung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 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 12 12 24 0 0 0 12 13 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS NEGARA TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Pandak Daun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0 0
2 Paramaian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 3 3 6 0 0 0 0
3 Pakan Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 3 4 0 0 0 0
4 Tambak Bitin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0
5 Panggandingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 2 5 0 0 0 0
6 Pakapuran Kacil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 1 4 0 0 0 0
7 Baruh Kembang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
8 M3 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 0 0
9 Sungai Mandala 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 0 0 0
10 Sungai Garuda 0 0 0 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
11 Balah Paikat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0
12 Murung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 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 12 12 24 0 0 0 12 13 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS NEGARA TAHUN 2023
NOPEMBER
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Pandak Daun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0 0
2 Paramaian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 3 3 6 0 0 0 0
3 Pakan Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 3 4 0 0 0 0
4 Tambak Bitin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0
5 Panggandingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 2 5 0 0 0 0
6 Pakapuran Kacil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 1 4 0 0 0 0
7 Baruh Kembang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
8 M3 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 0 0
9 Sungai Mandala 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 0 0 0
10 Sungai Garuda 0 0 0 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
11 Balah Paikat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0
12 Murung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 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 12 12 24 0 0 0 12 13 25 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS NEGARA TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Pandak Daun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0 0
2 Paramaian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 3 3 6 0 0 0 0
3 Pakan Dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 3 4 0 0 0 0
4 Tambak Bitin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0
5 Panggandingan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 3 2 5 0 0 0 0
6 Pakapuran Kacil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 1 4 0 0 0 0
 7 Baruh Kembang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
8 M3 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 0 0
9 Sungai Mandala 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 0 0 0
10 Sungai Garuda 0 0 0 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
11 Balah Paikat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0
12 Murung Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 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 12 12 24 0 0 0 12 13 25 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
3 0 3 3 0 3 2 2 4 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 8 12 4 8 12 2 5 7 2 5 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 5 8 3 5 8 3 6 9 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 3 5 2 3 5 2 2 4 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 0 9 9 0 9 4 4 8 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 8 17 9 8 17 5 6 11 5 6 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 4 8 4 4 8 11 5 16 11 5 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 2 1 1 2 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 3 8 5 3 8 2 2 4 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 2 1 1 2 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 2 1 1 2 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 3 7 4 3 7 4 4 8 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 37 83 46 37 83 38 38 76 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 8 12 0 0 0 2 5 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 0 9 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 8 17 0 0 0 5 6 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 11 5 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 3 8 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 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 4 3 7 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 8 12 0 0 0 2 5 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 0 9 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 8 17 0 0 0 5 6 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 11 5 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 3 8 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 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 4 3 7 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 8 12 0 0 0 2 5 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 0 9 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 8 17 0 0 0 5 6 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 11 5 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 3 8 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 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 4 3 7 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 8 12 0 0 0 2 5 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 0 9 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 8 17 0 0 0 5 6 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 11 5 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 3 8 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 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 4 3 7 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 8 12 0 0 0 2 5 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 0 9 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 8 17 0 0 0 5 6 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 11 5 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 3 8 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 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 4 3 7 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 8 12 0 0 0 2 5 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 0 9 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 8 17 0 0 0 5 6 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 11 5 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 3 8 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 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 4 3 7 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 8 12 0 0 0 2 5 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 0 9 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 8 17 0 0 0 5 6 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 11 5 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 3 8 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 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 4 3 7 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 8 12 0 0 0 2 5 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 0 9 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 8 17 0 0 0 5 6 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 11 5 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 3 8 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 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 4 3 7 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 8 12 0 0 0 2 5 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 0 9 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 8 17 0 0 0 5 6 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 11 5 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 3 8 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 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 4 3 7 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 8 12 0 0 0 2 5 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 0 9 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 8 17 0 0 0 5 6 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 11 5 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 3 8 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 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 4 3 7 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 8 12 0 0 0 2 5 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 0 9 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 8 17 0 0 0 5 6 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 11 5 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 3 8 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 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 4 3 7 0 0 0 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ABS
0
0
0
0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
 0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0
0
0
0
0

ABS

0
0
 0
0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
0
0
 0
0

ABS

0
0
0
0
0
0
0
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0
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0
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ABS

0
0
0
0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
0
0
0
0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS PASUNGKAN TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Teluk Haur 4 8 33 36 13 13 13 12 56 48 18 17 1 2 3 1 2 3 1 2 3 1 2 3 0 0 0 0
2 Pasungkan 13 10 40 49 12 9 10 10 41 39 14 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Teluk Labak 15 13 47 35 15 21 13 12 54 48 18 16 0 0 0 0 0 0 0 3 3 0 3 3 0 0 0 0
4 Hamayung 19 20 58 51 28 15 19 19 77 81 26 27 0 0 0 0 0 0 1 4 5 1 4 5 0 0 0 0
5 H. Utara 17 15 42 50 16 12 14 14 60 57 20 20 0 2 2 0 2 2 2 0 2 2 0 2 0 0 0 0
6 Paharangan 11 9 54 53 16 12 14 13 61 53 20 18 1 2 3 1 2 3 1 0 1 1 0 1 0 0 0 0
7 Hakurung 19 7 51 56 0 0 16 16 65 65 22 22 0 0 0 0 0 0 4 0 4 4 0 4 0 0 0 0
JUMLAH 98 82 325 330 100 82 99 96 414 391 138 134 2 6 8 2 6 8 9 9 18 9 9 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PASUNGKAN TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Teluk Haur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0 0
2 Pasungkan 0 0 0 0 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 Teluk Labak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0
4 Hamayung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 0
5 H. Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0 0
6 Paharangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
7 Hakurung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS PASUNGKAN TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Teluk Haur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0 0
2 Pasungkan 0 0 0 0 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 Teluk Labak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0
4 Hamayung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 0
5 H. Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0 0
6 Paharangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
7 Hakurung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PASUNGKAN TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Teluk Haur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0 0
2 Pasungkan 0 0 0 0 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 Teluk Labak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0
4 Hamayung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 0
5 H. Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0 0
 6 Paharangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
7 Hakurung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PASUNGKAN TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Teluk Haur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0 0
2 Pasungkan 0 0 0 0 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 Teluk Labak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0
4 Hamayung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 0
5 H. Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0 0
6 Paharangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
7 Hakurung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PASUNGKAN TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
 1 Teluk Haur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0 0
2 Pasungkan 0 0 0 0 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 Teluk Labak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0
4 Hamayung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 0
5 H. Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0 0
6 Paharangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
7 Hakurung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PASUNGKAN TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Teluk Haur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0 0
2 Pasungkan 0 0 0 0 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 Teluk Labak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0
4 Hamayung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 0
5 H. Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0 0
6 Paharangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
7 Hakurung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PASUNGKAN TAHUN 2023
AGUSTUS
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Teluk Haur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0 0
2 Pasungkan 0 0 0 0 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 Teluk Labak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0
4 Hamayung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 0
5 H. Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0 0
6 Paharangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
7 Hakurung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PASUNGKAN TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Teluk Haur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0 0
2 Pasungkan 0 0 0 0 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 Teluk Labak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0
4 Hamayung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 0
5 H. Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0 0
6 Paharangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
7 Hakurung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS PASUNGKAN TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Teluk Haur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0 0
2 Pasungkan 0 0 0 0 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 Teluk Labak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0
4 Hamayung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 0
5 H. Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0 0
6 Paharangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
7 Hakurung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PASUNGKAN TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Teluk Haur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0 0
2 Pasungkan 0 0 0 0 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 Teluk Labak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0
4 Hamayung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 0
5 H. Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0 0
6 Paharangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
 7 Hakurung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PASUNGKAN TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Teluk Haur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0 0
2 Pasungkan 0 0 0 0 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 Teluk Labak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0
4 Hamayung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 0
5 H. Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0 0
6 Paharangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
7 Hakurung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
2 7 9 2 7 9 2 4 6 2 4 6 0 0 0 0 0 2 2 0 2 2 2 0 2 2 0 2 0 0 0
9 3 12 9 3 12 1 5 6 1 5 6 0 0 0 0 1 1 2 1 1 2 1 1 2 1 1 2 0 0 0
6 5 11 6 5 11 6 5 11 6 5 11 0 0 0 0 3 4 7 3 4 7 2 1 3 2 1 3 0 0 0
0 4 4 0 4 4 8 11 19 8 11 19 0 0 0 0 5 1 6 5 1 6 0 0 0 0 0 0 0 0 0
1 8 9 1 8 9 8 4 12 8 4 12 0 0 0 0 1 1 2 1 1 2 1 0 1 1 0 1 0 0 0
2 8 10 2 8 10 4 3 7 4 3 7 0 0 0 0 1 1 2 1 1 2 3 0 3 3 0 3 0 0 0
4 3 7 4 3 7 8 7 15 8 7 15 0 0 0 0 2 1 3 2 1 3 0 1 1 0 1 1 0 0 0
24 38 62 24 38 62 37 39 76 37 39 76 0 0 0 0 13 11 24 13 11 24 9 3 12 9 3 12 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 7 9 0 0 0 2 4 6 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
0 0 0 9 3 12 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 6 5 11 0 0 0 6 5 11 0 0 0 0 0 0 0 3 4 7 0 0 0 2 1 3 0 0 0
0 0 0 0 4 4 0 0 0 8 11 19 0 0 0 0 0 0 0 5 1 6 0 0 0 0 0 0 0 0 0
0 0 0 1 8 9 0 0 0 8 4 12 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0
0 0 0 2 8 10 0 0 0 4 3 7 0 0 0 0 0 0 0 1 1 2 0 0 0 3 0 3 0 0 0
0 0 0 4 3 7 0 0 0 8 7 15 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 7 9 0 0 0 2 4 6 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
0 0 0 9 3 12 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 6 5 11 0 0 0 6 5 11 0 0 0 0 0 0 0 3 4 7 0 0 0 2 1 3 0 0 0
0 0 0 0 4 4 0 0 0 8 11 19 0 0 0 0 0 0 0 5 1 6 0 0 0 0 0 0 0 0 0
0 0 0 1 8 9 0 0 0 8 4 12 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0
0 0 0 2 8 10 0 0 0 4 3 7 0 0 0 0 0 0 0 1 1 2 0 0 0 3 0 3 0 0 0
0 0 0 4 3 7 0 0 0 8 7 15 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 7 9 0 0 0 2 4 6 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
0 0 0 9 3 12 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 6 5 11 0 0 0 6 5 11 0 0 0 0 0 0 0 3 4 7 0 0 0 2 1 3 0 0 0
0 0 0 0 4 4 0 0 0 8 11 19 0 0 0 0 0 0 0 5 1 6 0 0 0 0 0 0 0 0 0
0 0 0 1 8 9 0 0 0 8 4 12 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0
0 0 0 2 8 10 0 0 0 4 3 7 0 0 0 0 0 0 0 1 1 2 0 0 0 3 0 3 0 0 0
0 0 0 4 3 7 0 0 0 8 7 15 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 7 9 0 0 0 2 4 6 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
0 0 0 9 3 12 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 6 5 11 0 0 0 6 5 11 0 0 0 0 0 0 0 3 4 7 0 0 0 2 1 3 0 0 0
0 0 0 0 4 4 0 0 0 8 11 19 0 0 0 0 0 0 0 5 1 6 0 0 0 0 0 0 0 0 0
0 0 0 1 8 9 0 0 0 8 4 12 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0
0 0 0 2 8 10 0 0 0 4 3 7 0 0 0 0 0 0 0 1 1 2 0 0 0 3 0 3 0 0 0
0 0 0 4 3 7 0 0 0 8 7 15 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 7 9 0 0 0 2 4 6 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
0 0 0 9 3 12 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 6 5 11 0 0 0 6 5 11 0 0 0 0 0 0 0 3 4 7 0 0 0 2 1 3 0 0 0
0 0 0 0 4 4 0 0 0 8 11 19 0 0 0 0 0 0 0 5 1 6 0 0 0 0 0 0 0 0 0
0 0 0 1 8 9 0 0 0 8 4 12 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0
0 0 0 2 8 10 0 0 0 4 3 7 0 0 0 0 0 0 0 1 1 2 0 0 0 3 0 3 0 0 0
0 0 0 4 3 7 0 0 0 8 7 15 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 7 9 0 0 0 2 4 6 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
0 0 0 9 3 12 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 6 5 11 0 0 0 6 5 11 0 0 0 0 0 0 0 3 4 7 0 0 0 2 1 3 0 0 0
0 0 0 0 4 4 0 0 0 8 11 19 0 0 0 0 0 0 0 5 1 6 0 0 0 0 0 0 0 0 0
0 0 0 1 8 9 0 0 0 8 4 12 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0
0 0 0 2 8 10 0 0 0 4 3 7 0 0 0 0 0 0 0 1 1 2 0 0 0 3 0 3 0 0 0
0 0 0 4 3 7 0 0 0 8 7 15 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 7 9 0 0 0 2 4 6 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
0 0 0 9 3 12 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 6 5 11 0 0 0 6 5 11 0 0 0 0 0 0 0 3 4 7 0 0 0 2 1 3 0 0 0
0 0 0 0 4 4 0 0 0 8 11 19 0 0 0 0 0 0 0 5 1 6 0 0 0 0 0 0 0 0 0
0 0 0 1 8 9 0 0 0 8 4 12 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0
0 0 0 2 8 10 0 0 0 4 3 7 0 0 0 0 0 0 0 1 1 2 0 0 0 3 0 3 0 0 0
0 0 0 4 3 7 0 0 0 8 7 15 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 7 9 0 0 0 2 4 6 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
0 0 0 9 3 12 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 6 5 11 0 0 0 6 5 11 0 0 0 0 0 0 0 3 4 7 0 0 0 2 1 3 0 0 0
0 0 0 0 4 4 0 0 0 8 11 19 0 0 0 0 0 0 0 5 1 6 0 0 0 0 0 0 0 0 0
0 0 0 1 8 9 0 0 0 8 4 12 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0
0 0 0 2 8 10 0 0 0 4 3 7 0 0 0 0 0 0 0 1 1 2 0 0 0 3 0 3 0 0 0
0 0 0 4 3 7 0 0 0 8 7 15 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 7 9 0 0 0 2 4 6 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
0 0 0 9 3 12 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 6 5 11 0 0 0 6 5 11 0 0 0 0 0 0 0 3 4 7 0 0 0 2 1 3 0 0 0
0 0 0 0 4 4 0 0 0 8 11 19 0 0 0 0 0 0 0 5 1 6 0 0 0 0 0 0 0 0 0
0 0 0 1 8 9 0 0 0 8 4 12 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0
0 0 0 2 8 10 0 0 0 4 3 7 0 0 0 0 0 0 0 1 1 2 0 0 0 3 0 3 0 0 0
0 0 0 4 3 7 0 0 0 8 7 15 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 7 9 0 0 0 2 4 6 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
0 0 0 9 3 12 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 6 5 11 0 0 0 6 5 11 0 0 0 0 0 0 0 3 4 7 0 0 0 2 1 3 0 0 0
0 0 0 0 4 4 0 0 0 8 11 19 0 0 0 0 0 0 0 5 1 6 0 0 0 0 0 0 0 0 0
0 0 0 1 8 9 0 0 0 8 4 12 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0
0 0 0 2 8 10 0 0 0 4 3 7 0 0 0 0 0 0 0 1 1 2 0 0 0 3 0 3 0 0 0
0 0 0 4 3 7 0 0 0 8 7 15 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 7 9 0 0 0 2 4 6 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
0 0 0 9 3 12 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 6 5 11 0 0 0 6 5 11 0 0 0 0 0 0 0 3 4 7 0 0 0 2 1 3 0 0 0
0 0 0 0 4 4 0 0 0 8 11 19 0 0 0 0 0 0 0 5 1 6 0 0 0 0 0 0 0 0 0
0 0 0 1 8 9 0 0 0 8 4 12 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0
0 0 0 2 8 10 0 0 0 4 3 7 0 0 0 0 0 0 0 1 1 2 0 0 0 3 0 3 0 0 0
0 0 0 4 3 7 0 0 0 8 7 15 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
ABS
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
 0
0
0

ABS

0
0
0
0
0
0
0
0

ABS
 0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
 0
0

ABS

0
0
0
0
0
0
0
0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS SIMPUR TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Simpur 6 3 32 29 8 5 7 7 34 32 0 0 0 0 0 0 0 0 1 1 2 1 1 2 0 0 0 0
2 Tebing Tinggi 8 6 28 28 5 1 7 6 30 30 0 0 1 0 1 1 0 1 1 0 1 1 0 1 0 0 0 0
3 Garunggang 5 3 29 20 6 2 6 6 29 24 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0
4 Amparaya 10 13 44 50 8 9 12 13 40 49 0 0 1 3 4 1 3 4 0 1 1 0 1 1 0 0 0 0
5 P. Bahagia 9 9 37 37 4 7 9 9 37 38 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0
6 Wasah Hilir 10 5 40 47 7 14 12 13 48 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kapuh 16 19 75 64 4 17 13 15 58 55 0 0 1 1 2 1 1 2 1 0 1 1 0 1 0 0 0 0
JUMLAH 64 58 285 275 42 55 66 69 276 278 0 0 3 4 7 3 4 7 4 3 7 4 3 7 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SIMPUR TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Simpur 6 3 32 29 8 5 7 7 34 32 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
2 Tebing Tinggi 8 6 28 28 5 1 7 6 30 30 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
3 Garunggang 5 3 29 20 6 2 6 6 29 24 0 0 1 0 1 1 0 1 0 0 0 1 0 1 0 0 0 0
4 Amparaya 10 13 44 50 8 9 12 13 40 49 0 0 0 0 0 1 3 4 1 0 1 1 1 2 0 0 0 0
5 P. Bahagia 9 9 37 37 4 7 9 9 37 38 0 0 0 1 1 0 1 1 0 1 1 0 2 2 0 0 0 0
6 Wasah Hilir 10 5 40 47 7 14 12 13 48 50 0 0 0 0 0 0 0 0 1 1 2 1 1 2 0 0 0 0
7 Kapuh 16 19 75 64 4 17 13 15 58 55 0 0 0 3 3 1 4 5 2 0 2 3 0 3 0 0 0 0

JUMLAH 64 58 285 275 42 55 66 69 276 278 0 0 1 4 5 4 8 12 4 2 6 8 5 13 0 0 0 0

 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS SIMPUR TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
2 Tebing Tinggi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
3 Garunggang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
4 Amparaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 1 2 0 0 0 0
5 P. Bahagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2 2 0 0 0 0
6 Wasah Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
7 Kapuh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 0 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SIMPUR TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
2 Tebing Tinggi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
3 Garunggang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
4 Amparaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 1 2 0 0 0 0
5 P. Bahagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2 2 0 0 0 0
 6 Wasah Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
7 Kapuh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 0 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SIMPUR TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
2 Tebing Tinggi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
3 Garunggang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
4 Amparaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 1 2 0 0 0 0
5 P. Bahagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2 2 0 0 0 0
6 Wasah Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
7 Kapuh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 0 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SIMPUR TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
 1 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
2 Tebing Tinggi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
3 Garunggang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
4 Amparaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 1 2 0 0 0 0
5 P. Bahagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2 2 0 0 0 0
6 Wasah Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
7 Kapuh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 0 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SIMPUR TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
2 Tebing Tinggi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
3 Garunggang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
4 Amparaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 1 2 0 0 0 0
5 P. Bahagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2 2 0 0 0 0
6 Wasah Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
7 Kapuh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 0 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SIMPUR TAHUN 2023
AGUSTUS
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
2 Tebing Tinggi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
3 Garunggang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
4 Amparaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 1 2 0 0 0 0
5 P. Bahagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2 2 0 0 0 0
6 Wasah Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
7 Kapuh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 0 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SIMPUR TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
2 Tebing Tinggi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
3 Garunggang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
4 Amparaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 1 2 0 0 0 0
5 P. Bahagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2 2 0 0 0 0
6 Wasah Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
7 Kapuh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 0 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS SIMPUR TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
2 Tebing Tinggi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
3 Garunggang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
4 Amparaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 1 2 0 0 0 0
5 P. Bahagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2 2 0 0 0 0
6 Wasah Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
7 Kapuh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 0 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SIMPUR TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
2 Tebing Tinggi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
3 Garunggang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
4 Amparaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 1 2 0 0 0 0
5 P. Bahagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2 2 0 0 0 0
6 Wasah Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
 7 Kapuh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 0 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SIMPUR TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
2 Tebing Tinggi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
3 Garunggang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0
4 Amparaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 1 2 0 0 0 0
5 P. Bahagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2 2 0 0 0 0
6 Wasah Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
7 Kapuh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0 0 3 0 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
4 3 7 4 3 7 3 2 5 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 2 5 3 2 5 2 2 4 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 1 4 3 1 4 3 2 5 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 4 6 2 4 6 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
1 2 3 1 2 3 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
1 1 2 1 1 2 2 2 4 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 6 13 7 6 13 6 4 10 6 4 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 19 40 21 19 40 19 15 34 19 15 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 1 2 5 4 9 0 1 1 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 2 3 4 4 8 0 2 2 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 1 3 5 2 7 1 0 1 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 2 7 7 6 13 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 2 4 3 4 7 2 2 4 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 2 3 1 4 1 1 2 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 4 7 10 10 20 2 4 6 8 8 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 12 28 37 31 68 6 10 16 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 4 9 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 6 13 0 0 0 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 3 4 7 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 1 4 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 10 20 0 0 0 8 8 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 4 9 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 6 13 0 0 0 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 3 4 7 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 1 4 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 10 20 0 0 0 8 8 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 4 9 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 6 13 0 0 0 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 3 4 7 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 1 4 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 10 20 0 0 0 8 8 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 4 9 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 6 13 0 0 0 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 3 4 7 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 1 4 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 10 20 0 0 0 8 8 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 4 9 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 6 13 0 0 0 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 3 4 7 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 1 4 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 10 20 0 0 0 8 8 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 4 9 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 6 13 0 0 0 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 3 4 7 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 1 4 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 10 20 0 0 0 8 8 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 4 9 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 6 13 0 0 0 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 3 4 7 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 1 4 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 10 20 0 0 0 8 8 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 4 9 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 6 13 0 0 0 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 3 4 7 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 1 4 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 10 20 0 0 0 8 8 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 4 9 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 6 13 0 0 0 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 3 4 7 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 1 4 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 10 20 0 0 0 8 8 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 5 4 9 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4 8 0 0 0 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 4 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 6 13 0 0 0 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 3 4 7 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 1 4 0 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 10 20 0 0 0 8 8 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ABS
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
 0
0
0

ABS

0
0
0
0
0
0
0
0

ABS
 0
0
0
0
0
0
0
0

ABS

0
0
0
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0
0
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ABS

0
0
0
0
0
0
0
0

ABS

0
0
0
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0
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ABS

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ABS

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 0
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 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS WASAH TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Wasah Hulu 8 5 27 40 7 8 11 11 45 45 12 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Wasah Tengah 20 5 45 50 4 8 9 8 35 34 35 34 3 0 3 3 0 3 0 0 0 0 0 0 0 0 0 0
3 Ulin 7 9 38 39 4 8 12 12 48 50 15 19 1 1 2 1 1 2 1 0 1 1 0 1 0 0 0 0
4 Pantai Ulin 12 10 39 40 12 12 15 14 62 60 33 36 1 0 1 1 0 1 1 1 2 1 1 2 0 0 0 0
JUMLAH 47 29 149 169 27 36 47 45 190 189 95 113 5 1 6 5 1 6 2 1 3 2 1 3 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS WASAH TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Wasah Hulu 8 5 27 40 7 8 11 11 45 45 12 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Wasah Tengah 20 5 45 50 4 9 9 8 35 34 35 34 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
3 Ulin 7 9 38 39 4 8 12 12 48 50 15 19 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
4 Pantai Ulin 12 10 39 40 12 12 15 14 62 60 33 36 0 0 0 1 0 1 0 0 0 1 1 2 0 0 0 0

JUMLAH 47 29 149 169 27 37 47 45 190 189 95 113 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS WASAH TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Wasah Hulu 0 0 0 0 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 Wasah Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
3 Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
4 Pantai Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS WASAH TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Wasah Hulu 0 0 0 0 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 Wasah Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
3 Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
4 Pantai Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS WASAH TAHUN 2023
MEI
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Wasah Hulu 0 0 0 0 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 Wasah Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
3 Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
4 Pantai Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS WASAH TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Wasah Hulu 0 0 0 0 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 Wasah Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
3 Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
4 Pantai Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS WASAH TAHUN 2023
JULI
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Wasah Hulu 0 0 0 0 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 Wasah Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
3 Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
4 Pantai Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS WASAH TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Wasah Hulu 0 0 0 0 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 Wasah Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
3 Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
4 Pantai Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS WASAH TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

No Desa
 Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Wasah Hulu 0 0 0 0 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 Wasah Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
3 Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
4 Pantai Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS WASAH TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Wasah Hulu 0 0 0 0 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 Wasah Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
3 Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
4 Pantai Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS WASAH TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

No Desa
 Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Wasah Hulu 0 0 0 0 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 Wasah Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
3 Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
4 Pantai Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS WASAH TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Wasah Hulu 0 0 0 0 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 Wasah Tengah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0
3 Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
4 Pantai Ulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 3 3 0 3 3 2 2 4 2 2 4 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 2 0 0 0
2 4 6 2 4 6 0 2 2 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 4 7 3 4 7 1 0 1 1 0 1 0 0 0 0 1 0 1 1 1 2 0 1 1 0 1 1 0 0 0
2 2 4 2 2 4 0 2 2 0 2 2 0 0 0 0 0 2 2 0 2 2 0 0 0 0 0 0 0 0 0
7 13 20 7 13 20 3 6 9 3 6 9 0 0 0 0 1 2 3 1 3 4 1 1 2 1 2 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 3 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0
0 0 0 2 4 6 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 3 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0
0 0 0 2 4 6 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 3 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0
0 0 0 2 4 6 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 3 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0
0 0 0 2 4 6 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 3 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0
0 0 0 2 4 6 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 3 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0
0 0 0 2 4 6 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 3 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0
0 0 0 2 4 6 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

 Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 3 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0
0 0 0 2 4 6 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 3 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0
0 0 0 2 4 6 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

 Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 3 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0
0 0 0 2 4 6 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 3 3 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0
0 0 0 2 4 6 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
ABS
0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS SUNGAI RAYA TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Sungai Raya Utara 2 4 27 15 3 12 7 8 30 32 5 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Sungai Raya Selatan 8 5 54 37 13 8 10 11 46 42 21 17 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0
3 Karasikan 2 3 23 34 6 3 7 8 33 28 6 6 0 1 1 0 1 1 1 1 2 1 1 2 0 0 0
4 Hamalau 12 13 75 55 7 3 17 17 75 64 17 9 0 2 2 0 2 2 1 2 3 1 2 3 0 0 0
5 Telaga Bidadari 13 18 64 63 11 7 12 12 58 41 14 10 0 2 2 0 2 2 0 3 3 0 3 3 0 0 0
6 Batang Kulur Kiri 10 7 25 21 1 6 5 6 16 28 4 4 0 1 1 0 1 1 2 0 2 2 0 2 0 0 0
7 Sarang Halang 7 5 31 29 2 4 7 7 32 26 12 10 1 1 2 1 1 2 2 0 2 2 0 2 0 0 0
8 Paring Agung 5 2 33 31 2 4 7 7 28 31 8 6 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0
9 Tanah Bangkang 10 10 45 47 7 5 9 9 32 37 10 10 0 0 0 0 0 0 2 0 2 2 0 2 0 0 0
JUMLAH 69 67 377 332 52 52 81 85 350 329 97 79 1 7 8 1 7 8 10 6 16 10 6 16 0 0 0
Mengetahui : Kandangan, 31 Januari 2023
KEPALA PUSKESMAS SUNGAI RAYA PENGELOLA KESEHATAN ANAK

Rusmadi, SKM Tia Marhaida, A.Md.Gz

NIP. 19700205 199002 1 001 NIP. 19970819 202203 2 011
FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS SUNGAI RAYA TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Sungai Raya Utara 2 4 27 15 3 12 7 8 30 32 5 7 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0
2 Sungai Raya Selatan 8 5 54 37 13 8 10 11 46 42 21 17 0 2 2 0 2 2 1 0 1 2 0 2 0 0 0
3 Karasikan 2 3 23 34 6 3 7 8 33 28 6 6 0 0 0 0 1 1 0 1 1 1 2 3 0 0 0
4 Hamalau 12 13 75 55 7 3 17 17 75 64 17 9 1 0 1 1 2 3 0 0 0 1 2 3 0 0 0
5 Telaga Bidadari 13 18 64 63 11 7 12 12 58 41 14 10 2 4 6 2 6 8 2 1 3 2 4 6 0 0 0
6 Batang Kulur Kiri 10 7 25 21 1 6 5 6 16 28 4 4 0 0 0 0 1 1 0 0 0 2 0 2 0 0 0
7 Sarang Halang 7 5 31 29 2 4 7 7 32 26 12 10 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
8 Paring Agung 5 2 33 31 2 4 7 7 28 31 8 6 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0
 9 Tanah Bangkang 10 10 45 47 7 5 9 9 32 37 10 10 0 0 0 0 0 0 1 2 3 3 2 5 0 0 0
JUMLAH 69 67 377 332 52 52 81 85 350 329 97 79 3 7 10 4 14 18 4 4 8 14 10 24 0 0 0
Mengetahui : Kandangan, 28 Pebruari 2023
KEPALA PUSKESMAS SUNGAI RAYA PENGELOLA KESEHATAN ANAK

H.Ashabul Yamin, SKM Sitti Sabariah, Amd. Keb

NIP. 19760511 199703 1 003 NIP. 19701109 199303 2 006
FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS SUNGAI RAYA TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Sungai Raya Utara 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 0
2 Sungai Raya Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
3 Karasikan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 3 0 0 0
4 Hamalau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
5 Telaga Bidadari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 2 4 6 0 0 0
6 Batang Kulur Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 2 0 0 0
7 Sarang Halang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
8 Paring Agung 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 0 0
9 Tanah Bangkang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0
Mengetahui : Kandangan, 31 Maret 2023
KEPALA PUSKESMAS SUNGAI RAYA PENGELOLA KESEHATAN ANAK

H.Ashabul Yamin, SKM Sitti Sabariah, Amd. Keb

NIP. 19760511 199703 1 003 NIP. 19701109 199303 2 006
FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS SUNGAI RAYA TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
 No Desa

L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL

1 Sungai Raya Utara 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 0
2 Sungai Raya Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
3 Karasikan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 3 0 0 0
4 Hamalau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
5 Telaga Bidadari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 2 4 6 0 0 0
6 Batang Kulur Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 2 0 0 0
7 Sarang Halang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
8 Paring Agung 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 0 0
9 Tanah Bangkang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI RAYA TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Sungai Raya Utara 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 0
2 Sungai Raya Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
3 Karasikan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 3 0 0 0
4 Hamalau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
5 Telaga Bidadari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 2 4 6 0 0 0
6 Batang Kulur Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 2 0 0 0
7 Sarang Halang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
8 Paring Agung 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 0 0
9 Tanah Bangkang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS SUNGAI RAYA TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Sungai Raya Utara 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 0
2 Sungai Raya Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
3 Karasikan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 3 0 0 0
4 Hamalau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
5 Telaga Bidadari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 2 4 6 0 0 0
6 Batang Kulur Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 2 0 0 0
7 Sarang Halang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
8 Paring Agung 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 0 0
9 Tanah Bangkang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI RAYA TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Sungai Raya Utara 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 0
2 Sungai Raya Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
3 Karasikan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 3 0 0 0
4 Hamalau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
5 Telaga Bidadari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 2 4 6 0 0 0
 6 Batang Kulur Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 2 0 0 0
7 Sarang Halang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
8 Paring Agung 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 0 0
9 Tanah Bangkang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI RAYA TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Sungai Raya Utara 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 0
2 Sungai Raya Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
3 Karasikan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 3 0 0 0
4 Hamalau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
5 Telaga Bidadari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 2 4 6 0 0 0
6 Batang Kulur Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 2 0 0 0
7 Sarang Halang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
8 Paring Agung 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 0 0
9 Tanah Bangkang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI RAYA TAHUN 2023
SEPTEMBER
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Sungai Raya Utara 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 0
2 Sungai Raya Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
3 Karasikan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 3 0 0 0
4 Hamalau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
5 Telaga Bidadari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 2 4 6 0 0 0
6 Batang Kulur Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 2 0 0 0
7 Sarang Halang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
8 Paring Agung 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 0 0
9 Tanah Bangkang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI RAYA TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Sungai Raya Utara 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 0
2 Sungai Raya Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
3 Karasikan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 3 0 0 0
4 Hamalau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
5 Telaga Bidadari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 2 4 6 0 0 0
6 Batang Kulur Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 2 0 0 0
7 Sarang Halang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
8 Paring Agung 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 0 0
9 Tanah Bangkang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS SUNGAI RAYA TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Sungai Raya Utara 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 0
2 Sungai Raya Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
3 Karasikan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 3 0 0 0
4 Hamalau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
5 Telaga Bidadari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 2 4 6 0 0 0
6 Batang Kulur Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 2 0 0 0
7 Sarang Halang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
8 Paring Agung 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 0 0
9 Tanah Bangkang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS SUNGAI RAYA TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Sungai Raya Utara 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 0
2 Sungai Raya Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 0 2 0 0 0
3 Karasikan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 3 0 0 0
4 Hamalau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
5 Telaga Bidadari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 2 4 6 0 0 0
6 Batang Kulur Kiri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 2 0 0 0
7 Sarang Halang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
8 Paring Agung 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 0 0
9 Tanah Bangkang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 0 0 0 2 0 2 2 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 4 4 8 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 1 1 0 1 2 5 7 2 5 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 3 6 9 3 6 9 6 6 12 6 6 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 3 5 2 3 5 4 9 13 4 9 13 0 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 4 6 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 2 1 1 2 7 1 8 7 1 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 2 1 1 2 7 0 7 7 0 7 0 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 1 5 4 1 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 8 11 19 8 11 19 38 30 68 38 30 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 2 0 2 2 0 2 1 3 4 3 3 6 0 0 0 0 12 13 25 12 13 25 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 5 1 6 9 5 14 0 0 0 0 2 5 7 2 5 7 0 0 0 0 0 0 0 0
0 0 2 2 1 2 3 0 1 1 2 6 8 0 0 0 0 11 8 19 11 8 19 0 0 0 0 0 0 0 0
0 0 0 0 3 6 9 1 5 6 7 11 18 0 0 0 0 20 25 45 20 25 45 0 0 0 0 0 0 0 0
0 0 2 2 2 5 7 5 4 9 9 13 22 0 0 0 0 16 5 21 16 5 21 0 0 0 0 0 0 0 0
0 1 0 1 1 0 1 2 0 2 4 4 8 0 0 0 0 2 5 7 2 5 7 0 0 0 0 0 0 0 0
0 1 0 1 2 1 3 1 1 2 8 2 10 0 0 0 0 25 29 54 25 29 54 0 0 0 0 0 0 0 0
0 0 0 0 1 1 2 0 1 1 7 1 8 0 0 0 0 6 6 12 6 6 12 0 0 0 0 0 0 0 0
 0 0 1 1 0 1 1 0 4 4 4 5 9 0 0 0 0 10 15 25 10 15 25 0 0 0 0 0 0 0 0
0 4 5 9 12 16 28 15 20 35 53 50 103 0 0 0 0 104 111 215 104 111 215 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 0 2 0 0 0 3 3 6 0 0 0 0 0 0 0 12 13 25 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 9 5 14 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 1 2 3 0 0 0 2 6 8 0 0 0 0 0 0 0 11 8 19 0 0 0 0 0 0 0 0
0 0 0 0 3 6 9 0 0 0 7 11 18 0 0 0 0 0 0 0 20 25 45 0 0 0 0 0 0 0 0
0 0 0 0 2 5 7 0 0 0 9 13 22 0 0 0 0 0 0 0 16 5 21 0 0 0 0 0 0 0 0
0 0 0 0 1 0 1 0 0 0 4 4 8 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 8 2 10 0 0 0 0 0 0 0 25 29 54 0 0 0 0 0 0 0 0
0 0 0 0 1 1 2 0 0 0 7 1 8 0 0 0 0 0 0 0 6 6 12 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 4 5 9 0 0 0 0 0 0 0 10 15 25 0 0 0 0 0 0 0 0
0 0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 0 2 0 0 0 3 3 6 0 0 0 0 0 0 0 12 13 25 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 9 5 14 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 1 2 3 0 0 0 2 6 8 0 0 0 0 0 0 0 11 8 19 0 0 0 0 0 0 0 0
0 0 0 0 3 6 9 0 0 0 7 11 18 0 0 0 0 0 0 0 20 25 45 0 0 0 0 0 0 0 0
0 0 0 0 2 5 7 0 0 0 9 13 22 0 0 0 0 0 0 0 16 5 21 0 0 0 0 0 0 0 0
0 0 0 0 1 0 1 0 0 0 4 4 8 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 8 2 10 0 0 0 0 0 0 0 25 29 54 0 0 0 0 0 0 0 0
0 0 0 0 1 1 2 0 0 0 7 1 8 0 0 0 0 0 0 0 6 6 12 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 4 5 9 0 0 0 0 0 0 0 10 15 25 0 0 0 0 0 0 0 0
0 0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 0 2 0 0 0 3 3 6 0 0 0 0 0 0 0 12 13 25 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 9 5 14 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 1 2 3 0 0 0 2 6 8 0 0 0 0 0 0 0 11 8 19 0 0 0 0 0 0 0 0
0 0 0 0 3 6 9 0 0 0 7 11 18 0 0 0 0 0 0 0 20 25 45 0 0 0 0 0 0 0 0
0 0 0 0 2 5 7 0 0 0 9 13 22 0 0 0 0 0 0 0 16 5 21 0 0 0 0 0 0 0 0
0 0 0 0 1 0 1 0 0 0 4 4 8 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 8 2 10 0 0 0 0 0 0 0 25 29 54 0 0 0 0 0 0 0 0
0 0 0 0 1 1 2 0 0 0 7 1 8 0 0 0 0 0 0 0 6 6 12 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 4 5 9 0 0 0 0 0 0 0 10 15 25 0 0 0 0 0 0 0 0
0 0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 0 2 0 0 0 3 3 6 0 0 0 0 0 0 0 12 13 25 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 9 5 14 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 1 2 3 0 0 0 2 6 8 0 0 0 0 0 0 0 11 8 19 0 0 0 0 0 0 0 0
0 0 0 0 3 6 9 0 0 0 7 11 18 0 0 0 0 0 0 0 20 25 45 0 0 0 0 0 0 0 0
0 0 0 0 2 5 7 0 0 0 9 13 22 0 0 0 0 0 0 0 16 5 21 0 0 0 0 0 0 0 0
0 0 0 0 1 0 1 0 0 0 4 4 8 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 8 2 10 0 0 0 0 0 0 0 25 29 54 0 0 0 0 0 0 0 0
0 0 0 0 1 1 2 0 0 0 7 1 8 0 0 0 0 0 0 0 6 6 12 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 4 5 9 0 0 0 0 0 0 0 10 15 25 0 0 0 0 0 0 0 0
0 0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 0 2 0 0 0 3 3 6 0 0 0 0 0 0 0 12 13 25 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 9 5 14 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 1 2 3 0 0 0 2 6 8 0 0 0 0 0 0 0 11 8 19 0 0 0 0 0 0 0 0
0 0 0 0 3 6 9 0 0 0 7 11 18 0 0 0 0 0 0 0 20 25 45 0 0 0 0 0 0 0 0
0 0 0 0 2 5 7 0 0 0 9 13 22 0 0 0 0 0 0 0 16 5 21 0 0 0 0 0 0 0 0
 0 0 0 0 1 0 1 0 0 0 4 4 8 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 8 2 10 0 0 0 0 0 0 0 25 29 54 0 0 0 0 0 0 0 0
0 0 0 0 1 1 2 0 0 0 7 1 8 0 0 0 0 0 0 0 6 6 12 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 4 5 9 0 0 0 0 0 0 0 10 15 25 0 0 0 0 0 0 0 0
0 0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 0 2 0 0 0 3 3 6 0 0 0 0 0 0 0 12 13 25 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 9 5 14 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 1 2 3 0 0 0 2 6 8 0 0 0 0 0 0 0 11 8 19 0 0 0 0 0 0 0 0
0 0 0 0 3 6 9 0 0 0 7 11 18 0 0 0 0 0 0 0 20 25 45 0 0 0 0 0 0 0 0
0 0 0 0 2 5 7 0 0 0 9 13 22 0 0 0 0 0 0 0 16 5 21 0 0 0 0 0 0 0 0
0 0 0 0 1 0 1 0 0 0 4 4 8 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 8 2 10 0 0 0 0 0 0 0 25 29 54 0 0 0 0 0 0 0 0
0 0 0 0 1 1 2 0 0 0 7 1 8 0 0 0 0 0 0 0 6 6 12 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 4 5 9 0 0 0 0 0 0 0 10 15 25 0 0 0 0 0 0 0 0
0 0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 0 2 0 0 0 3 3 6 0 0 0 0 0 0 0 12 13 25 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 9 5 14 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 1 2 3 0 0 0 2 6 8 0 0 0 0 0 0 0 11 8 19 0 0 0 0 0 0 0 0
0 0 0 0 3 6 9 0 0 0 7 11 18 0 0 0 0 0 0 0 20 25 45 0 0 0 0 0 0 0 0
0 0 0 0 2 5 7 0 0 0 9 13 22 0 0 0 0 0 0 0 16 5 21 0 0 0 0 0 0 0 0
0 0 0 0 1 0 1 0 0 0 4 4 8 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 8 2 10 0 0 0 0 0 0 0 25 29 54 0 0 0 0 0 0 0 0
0 0 0 0 1 1 2 0 0 0 7 1 8 0 0 0 0 0 0 0 6 6 12 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 4 5 9 0 0 0 0 0 0 0 10 15 25 0 0 0 0 0 0 0 0
0 0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 0 2 0 0 0 3 3 6 0 0 0 0 0 0 0 12 13 25 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 9 5 14 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 1 2 3 0 0 0 2 6 8 0 0 0 0 0 0 0 11 8 19 0 0 0 0 0 0 0 0
0 0 0 0 3 6 9 0 0 0 7 11 18 0 0 0 0 0 0 0 20 25 45 0 0 0 0 0 0 0 0
0 0 0 0 2 5 7 0 0 0 9 13 22 0 0 0 0 0 0 0 16 5 21 0 0 0 0 0 0 0 0
0 0 0 0 1 0 1 0 0 0 4 4 8 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 8 2 10 0 0 0 0 0 0 0 25 29 54 0 0 0 0 0 0 0 0
0 0 0 0 1 1 2 0 0 0 7 1 8 0 0 0 0 0 0 0 6 6 12 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 4 5 9 0 0 0 0 0 0 0 10 15 25 0 0 0 0 0 0 0 0
0 0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 0 2 0 0 0 3 3 6 0 0 0 0 0 0 0 12 13 25 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 9 5 14 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 1 2 3 0 0 0 2 6 8 0 0 0 0 0 0 0 11 8 19 0 0 0 0 0 0 0 0
0 0 0 0 3 6 9 0 0 0 7 11 18 0 0 0 0 0 0 0 20 25 45 0 0 0 0 0 0 0 0
0 0 0 0 2 5 7 0 0 0 9 13 22 0 0 0 0 0 0 0 16 5 21 0 0 0 0 0 0 0 0
0 0 0 0 1 0 1 0 0 0 4 4 8 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 8 2 10 0 0 0 0 0 0 0 25 29 54 0 0 0 0 0 0 0 0
0 0 0 0 1 1 2 0 0 0 7 1 8 0 0 0 0 0 0 0 6 6 12 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 4 5 9 0 0 0 0 0 0 0 10 15 25 0 0 0 0 0 0 0 0
0 0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 0 2 0 0 0 3 3 6 0 0 0 0 0 0 0 12 13 25 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 9 5 14 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 1 2 3 0 0 0 2 6 8 0 0 0 0 0 0 0 11 8 19 0 0 0 0 0 0 0 0
0 0 0 0 3 6 9 0 0 0 7 11 18 0 0 0 0 0 0 0 20 25 45 0 0 0 0 0 0 0 0
0 0 0 0 2 5 7 0 0 0 9 13 22 0 0 0 0 0 0 0 16 5 21 0 0 0 0 0 0 0 0
0 0 0 0 1 0 1 0 0 0 4 4 8 0 0 0 0 0 0 0 2 5 7 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 8 2 10 0 0 0 0 0 0 0 25 29 54 0 0 0 0 0 0 0 0
0 0 0 0 1 1 2 0 0 0 7 1 8 0 0 0 0 0 0 0 6 6 12 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 4 5 9 0 0 0 0 0 0 0 10 15 25 0 0 0 0 0 0 0 0
0 0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0
Dirujuk

TOTAL ABS
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk
 TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS BATANG KULUR TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Batang Kulur Tengah 5 2 16 17 4 1 5 3 23 21 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Batang Kulur Kanan 3 2 13 16 2 9 6 4 18 20 12 14 0 0 0 0 0 0 1 1 2 1 1 2 0 0 0
3 Ida Manggala 8 5 42 30 7 8 9 8 57 40 24 25 0 1 1 0 1 1 1 1 2 1 1 2 0 0 0
4 Tamiyang 9 5 28 22 7 6 8 7 41 36 21 20 1 0 1 1 0 1 2 0 2 2 0 2 0 0 0
5 Baru 5 4 14 25 2 3 6 6 21 32 15 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bumi Berkat 3 1 11 18 4 6 4 3 16 22 11 11 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0
7 Asam 5 8 27 30 4 7 7 11 38 49 21 20 0 1 1 0 1 1 1 0 1 1 0 1 0 0 0
8 Sungai Kali 5 0 4 8 2 1 5 2 12 10 6 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Hariti 5 6 20 11 4 1 2 6 25 22 10 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 48 33 175 177 36 42 52 50 251 252 130 133 2 2 4 2 2 4 5 2 7 5 2 7 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BATANG KULUR TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Batang Kulur Tengah 5 2 16 17 4 1 5 3 23 21 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Batang Kulur Kanan 3 3 13 16 2 9 6 4 18 20 12 14 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0
3 Ida Manggala 8 5 42 30 7 8 9 8 57 40 24 25 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
4 Tamiyang 11 6 28 22 7 6 8 7 41 36 21 20 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0
5 Baru 5 4 14 25 2 3 6 6 21 32 15 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bumi Berkat 3 1 11 18 4 6 4 3 16 22 11 11 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
7 Asam 5 9 27 30 4 7 7 11 38 49 21 20 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0
8 Sungai Kali 5 0 4 8 2 1 5 2 12 10 6 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 9 Hariti 5 7 20 11 4 1 2 6 25 22 10 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 50 37 175 177 36 42 52 50 251 252 130 133 0 0 0 2 2 4 0 0 0 5 2 7 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BATANG KULUR TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Batang Kulur Tengah 0 0 0 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 Batang Kulur Kanan 0 0 0 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 Ida Manggala 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 0
4 Tamiyang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
5 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
6 Bumi Berkat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
7 Asam 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 0
8 Sungai Kali 0 0 0 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 Hariti 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BATANG KULUR TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
 No Desa

L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL

1 Batang Kulur Tengah 0 0 0 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 Batang Kulur Kanan 0 0 0 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 Ida Manggala 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 0
4 Tamiyang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
5 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
6 Bumi Berkat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
7 Asam 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 0
8 Sungai Kali 0 0 0 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 Hariti 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BATANG KULUR TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Batang Kulur Tengah 0 0 0 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 Batang Kulur Kanan 0 0 0 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 Ida Manggala 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 0
4 Tamiyang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
5 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
6 Bumi Berkat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
7 Asam 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 0
8 Sungai Kali 0 0 0 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 Hariti 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS BATANG KULUR TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Batang Kulur Tengah 0 0 0 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 Batang Kulur Kanan 0 0 0 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 Ida Manggala 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 0
4 Tamiyang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
5 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
6 Bumi Berkat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
7 Asam 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 0
8 Sungai Kali 0 0 0 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 Hariti 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BATANG KULUR TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Batang Kulur Tengah 0 0 0 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 Batang Kulur Kanan 0 0 0 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 Ida Manggala 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 0
4 Tamiyang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
5 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
 6 Bumi Berkat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
7 Asam 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 0
8 Sungai Kali 0 0 0 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 Hariti 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BATANG KULUR TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Batang Kulur Tengah 0 0 0 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 Batang Kulur Kanan 0 0 0 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 Ida Manggala 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 0
4 Tamiyang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
5 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
6 Bumi Berkat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
7 Asam 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 0
8 Sungai Kali 0 0 0 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 Hariti 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BATANG KULUR TAHUN 2023
SEPTEMBER
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Batang Kulur Tengah 0 0 0 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 Batang Kulur Kanan 0 0 0 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 Ida Manggala 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 0
4 Tamiyang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
5 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
6 Bumi Berkat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
7 Asam 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 0
8 Sungai Kali 0 0 0 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 Hariti 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BATANG KULUR TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Batang Kulur Tengah 0 0 0 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 Batang Kulur Kanan 0 0 0 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 Ida Manggala 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 0
4 Tamiyang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
5 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
6 Bumi Berkat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
7 Asam 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 0
8 Sungai Kali 0 0 0 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 Hariti 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS BATANG KULUR TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Batang Kulur Tengah 0 0 0 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 Batang Kulur Kanan 0 0 0 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 Ida Manggala 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 0
4 Tamiyang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
5 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
6 Bumi Berkat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
7 Asam 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 0
8 Sungai Kali 0 0 0 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 Hariti 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BATANG KULUR TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Batang Kulur Tengah 0 0 0 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 Batang Kulur Kanan 0 0 0 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 Ida Manggala 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 0
4 Tamiyang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
5 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
6 Bumi Berkat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
7 Asam 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 0
8 Sungai Kali 0 0 0 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 Hariti 0 0 0 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 2 2 4 0 0 0 0 0 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 2 1 3 2 1 3 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 1 0 1 1 0 4 4 0 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 1 3 2 1 3 3 2 5 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 2 2 0 2 2 3 2 5 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 4 1 5 4 1 5 1 2 3 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 2 1 1 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 2 0 2 2 0 2 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 1 1 0 1 2 0 2 2 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 1 2 3 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 12 7 19 12 7 19 11 14 25 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0 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 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 1 5 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 1 1 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 2 0 2 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 1 0 1 0 0 0 2 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 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 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0 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 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 1 5 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 1 1 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 2 0 2 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 1 0 1 0 0 0 2 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 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 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0 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 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 1 5 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 1 1 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 2 0 2 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 1 0 1 0 0 0 2 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 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 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0 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 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 1 5 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 1 1 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 2 0 2 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 1 0 1 0 0 0 2 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 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 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0 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 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 1 5 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 1 1 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 2 0 2 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 1 0 1 0 0 0 2 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 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 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0 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 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 1 5 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 1 1 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 2 0 2 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 1 0 1 0 0 0 2 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 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 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0 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 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 1 5 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 1 1 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 2 0 2 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 1 0 1 0 0 0 2 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 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 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0 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 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 1 5 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 1 1 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 2 0 2 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 1 0 1 0 0 0 2 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 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 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0 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 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 1 5 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 1 1 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 2 0 2 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 1 0 1 0 0 0 2 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 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 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0 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 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 1 5 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 1 1 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 2 0 2 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 1 0 1 0 0 0 2 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 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 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 2 1 3 0 0 0 1 1 2 0 0 0 0 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 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 3 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 1 5 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 1 1 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 2 0 2 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 1 0 1 0 0 0 2 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 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 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dirujuk

TOTAL ABS
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk
 TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS PADANG BATUNG TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Padang Batung 6 3 10 26 3 3 5 6 21 25 14 16 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0
2 Batu Bini 21 13 67 47 13 16 13 14 53 57 33 35 3 2 5 3 2 5 1 2 3 1 2 3 0 0 0 0
3 Mawangi 17 5 37 28 9 8 8 9 33 37 20 23 1 0 1 1 0 1 2 0 2 2 0 2 0 0 0 0
4 Durian Rabung 6 3 20 16 3 8 5 6 19 23 12 14 0 0 0 0 0 0 3 0 3 3 0 3 0 0 0 0
5 Jelatang 5 8 29 29 3 4 6 7 25 29 16 17 0 0 0 0 0 0 2 1 3 2 1 3 0 0 0 0
6 Batu Laki 15 11 37 27 7 5 7 9 29 37 19 23 0 0 0 0 0 0 2 1 3 2 1 3 0 0 0 0
7 Malutu 10 10 46 38 7 8 9 10 37 41 25 26 1 0 1 1 0 1 1 2 3 1 2 3 0 0 0 0
8 Malilingin 7 6 28 31 6 4 7 8 29 33 19 21 2 0 2 2 0 2 0 0 0 0 0 0 0 0 0 0
JUMLAH 87 59 274 242 51 56 60 69 246 282 158 175 7 2 9 7 2 9 12 6 18 12 6 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PADANG BATUNG TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Padang Batung 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 0 0 0
2 Batu Bini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 2 3 0 0 0 0
3 Mawangi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
4 Durian Rabung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0
5 Jelatang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Batu Laki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
7 Malutu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 2 3 0 0 0 0
8 Malilingin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 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 7 2 9 0 0 0 12 6 18 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS PADANG BATUNG TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Padang Batung 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 0 0 0
2 Batu Bini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 2 3 0 0 0 0
3 Mawangi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
4 Durian Rabung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0
5 Jelatang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Batu Laki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
7 Malutu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 2 3 0 0 0 0
8 Malilingin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 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 7 2 9 0 0 0 12 6 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PADANG BATUNG TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Padang Batung 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 0 0 0
2 Batu Bini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 2 3 0 0 0 0
 3 Mawangi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
4 Durian Rabung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0
5 Jelatang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Batu Laki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
7 Malutu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 2 3 0 0 0 0
8 Malilingin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 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 7 2 9 0 0 0 12 6 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PADANG BATUNG TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Padang Batung 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 0 0 0
2 Batu Bini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 2 3 0 0 0 0
3 Mawangi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
4 Durian Rabung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0
5 Jelatang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Batu Laki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
7 Malutu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 2 3 0 0 0 0
8 Malilingin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 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 7 2 9 0 0 0 12 6 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PADANG BATUNG TAHUN 2023
JUNI
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Padang Batung 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 0 0 0
2 Batu Bini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 2 3 0 0 0 0
3 Mawangi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
4 Durian Rabung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0
5 Jelatang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Batu Laki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
7 Malutu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 2 3 0 0 0 0
8 Malilingin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 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 7 2 9 0 0 0 12 6 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PADANG BATUNG TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Padang Batung 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 0 0 0
2 Batu Bini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 2 3 0 0 0 0
3 Mawangi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
4 Durian Rabung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0
5 Jelatang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Batu Laki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
7 Malutu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 2 3 0 0 0 0
8 Malilingin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 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 7 2 9 0 0 0 12 6 18 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS PADANG BATUNG TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Padang Batung 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 0 0 0
2 Batu Bini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 2 3 0 0 0 0
3 Mawangi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
4 Durian Rabung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0
5 Jelatang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Batu Laki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
7 Malutu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 2 3 0 0 0 0
8 Malilingin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 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 7 2 9 0 0 0 12 6 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PADANG BATUNG TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Padang Batung 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 0 0 0
2 Batu Bini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 2 3 0 0 0 0
3 Mawangi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
4 Durian Rabung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0
 5 Jelatang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Batu Laki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
7 Malutu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 2 3 0 0 0 0
8 Malilingin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 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 7 2 9 0 0 0 12 6 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PADANG BATUNG TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Padang Batung 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 0 0 0
2 Batu Bini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 2 3 0 0 0 0
3 Mawangi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
4 Durian Rabung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0
5 Jelatang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Batu Laki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
7 Malutu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 2 3 0 0 0 0
8 Malilingin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 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 7 2 9 0 0 0 12 6 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PADANG BATUNG TAHUN 2023
NOPEMBER
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Padang Batung 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 0 0 0
2 Batu Bini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 2 3 0 0 0 0
3 Mawangi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
4 Durian Rabung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0
5 Jelatang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Batu Laki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
7 Malutu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 2 3 0 0 0 0
8 Malilingin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 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 7 2 9 0 0 0 12 6 18 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS PADANG BATUNG TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Padang Batung 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 0 0 0
2 Batu Bini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 1 2 3 0 0 0 0
3 Mawangi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
4 Durian Rabung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 0 0
5 Jelatang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Batu Laki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
7 Malutu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 2 3 0 0 0 0
8 Malilingin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 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 7 2 9 0 0 0 12 6 18 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
2 0 2 2 0 2 1 1 2 1 1 2 0 0 0 0 0 1 1 0 1 1 0 1 1 0 1 1 0 0 0
8 2 10 8 2 10 7 0 7 7 0 7 0 0 0 0 0 3 3 0 3 3 0 2 2 0 2 2 0 0 0
4 3 7 4 3 7 2 1 3 2 1 3 0 0 0 0 0 0 0 0 0 0 1 1 2 1 2 3 0 0 0
3 1 4 3 1 4 1 1 2 1 1 2 0 0 0 0 0 1 1 0 1 1 1 0 1 1 1 2 0 0 0
1 1 2 1 1 2 0 4 4 0 4 4 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0
1 1 2 1 1 2 2 1 3 2 1 3 0 0 0 0 1 0 1 1 1 2 1 0 1 1 1 2 0 0 0
2 2 4 2 2 4 4 6 10 4 6 10 0 0 0 0 1 1 2 1 2 3 1 1 2 1 2 3 0 0 0
1 4 5 1 4 5 2 2 4 2 2 4 0 0 0 0 1 0 1 1 1 2 1 0 1 1 1 2 0 0 0
22 14 36 22 14 36 19 16 35 19 16 35 0 0 0 0 3 7 10 3 10 13 5 5 10 5 10 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 0 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 8 2 10 0 0 0 7 0 7 0 0 0 0 0 0 0 0 3 3 0 0 0 0 2 2 0 0 0
0 0 0 4 3 7 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0
0 0 0 3 1 4 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
0 0 0 1 1 2 0 0 0 0 4 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 2 2 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 0 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 8 2 10 0 0 0 7 0 7 0 0 0 0 0 0 0 0 3 3 0 0 0 0 2 2 0 0 0
0 0 0 4 3 7 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0
0 0 0 3 1 4 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
0 0 0 1 1 2 0 0 0 0 4 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 2 2 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 0 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 8 2 10 0 0 0 7 0 7 0 0 0 0 0 0 0 0 3 3 0 0 0 0 2 2 0 0 0
0 0 0 4 3 7 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0
0 0 0 3 1 4 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
0 0 0 1 1 2 0 0 0 0 4 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 2 2 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 0 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 8 2 10 0 0 0 7 0 7 0 0 0 0 0 0 0 0 3 3 0 0 0 0 2 2 0 0 0
0 0 0 4 3 7 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0
0 0 0 3 1 4 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
0 0 0 1 1 2 0 0 0 0 4 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 2 2 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 0 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 8 2 10 0 0 0 7 0 7 0 0 0 0 0 0 0 0 3 3 0 0 0 0 2 2 0 0 0
0 0 0 4 3 7 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0
0 0 0 3 1 4 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
0 0 0 1 1 2 0 0 0 0 4 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 2 2 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 0 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 8 2 10 0 0 0 7 0 7 0 0 0 0 0 0 0 0 3 3 0 0 0 0 2 2 0 0 0
0 0 0 4 3 7 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0
0 0 0 3 1 4 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
0 0 0 1 1 2 0 0 0 0 4 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 2 2 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 0 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 8 2 10 0 0 0 7 0 7 0 0 0 0 0 0 0 0 3 3 0 0 0 0 2 2 0 0 0
0 0 0 4 3 7 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0
0 0 0 3 1 4 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
0 0 0 1 1 2 0 0 0 0 4 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 2 2 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 0 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 8 2 10 0 0 0 7 0 7 0 0 0 0 0 0 0 0 3 3 0 0 0 0 2 2 0 0 0
0 0 0 4 3 7 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0
0 0 0 3 1 4 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
0 0 0 1 1 2 0 0 0 0 4 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 2 2 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 0 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 8 2 10 0 0 0 7 0 7 0 0 0 0 0 0 0 0 3 3 0 0 0 0 2 2 0 0 0
0 0 0 4 3 7 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0
0 0 0 3 1 4 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
0 0 0 1 1 2 0 0 0 0 4 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 2 2 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 0 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 8 2 10 0 0 0 7 0 7 0 0 0 0 0 0 0 0 3 3 0 0 0 0 2 2 0 0 0
0 0 0 4 3 7 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0
0 0 0 3 1 4 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
0 0 0 1 1 2 0 0 0 0 4 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 2 2 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 0 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 8 2 10 0 0 0 7 0 7 0 0 0 0 0 0 0 0 3 3 0 0 0 0 2 2 0 0 0
0 0 0 4 3 7 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0
0 0 0 3 1 4 0 0 0 1 1 2 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
0 0 0 1 1 2 0 0 0 0 4 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 2 2 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 2 3 0 0 0
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
ABS
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0

ABS

0
0
 0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
 0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS KALIRING TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Karang Jawa 16 10 43 39 6 13 12 13 50 54 6 13 1 1 2 1 1 2 1 1 2 1 1 2 0 0 0
2 Karang Jawa Muka 13 13 38 41 10 4 9 10 37 41 10 4 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0
3 Kaliring 15 12 46 37 10 11 10 11 41 45 10 11 1 3 4 1 3 4 2 0 2 2 0 2 0 0 0
4 Tabihi 7 9 30 32 12 3 13 14 53 57 12 3 2 2 4 2 2 4 1 1 2 1 1 2 0 0 0
5 Pandulangan 15 15 52 41 6 11 12 13 49 54 6 11 0 1 1 0 1 1 1 1 2 1 1 2 0 0 0
6 Jembatan Merah 5 3 15 11 5 7 5 5 20 21 5 7 1 1 2 1 1 2 0 2 2 0 2 2 0 0 0
7 Jambu Hulu 11 7 35 39 11 15 10 11 41 45 11 15 0 0 0 0 0 0 2 1 3 2 1 3 0 0 0
8 Pahampangan 3 3 19 17 2 7 6 6 25 25 2 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Madang 11 16 20 47 8 0 8 8 32 33 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 96 88 298 304 70 71 85 91 348 375 70 71 6 8 14 6 8 14 7 6 13 7 6 13 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALIRING TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Karang Jawa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
2 Karang Jawa Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
3 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 0 2 0 0 0
4 Tabihi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 1 1 2 0 0 0
5 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
6 Jembatan Merah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 2 2 0 0 0
7 Jambu Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0
8 Pahampangan 0 0 0 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 Madang 0 0 0 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 6 8 14 0 0 0 7 6 13 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALIRING TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Karang Jawa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
2 Karang Jawa Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
3 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 0 2 0 0 0
4 Tabihi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 1 1 2 0 0 0
5 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
6 Jembatan Merah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 2 2 0 0 0
7 Jambu Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0
8 Pahampangan 0 0 0 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 Madang 0 0 0 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 6 8 14 0 0 0 7 6 13 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALIRING TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
 No Desa

L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL

1 Karang Jawa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
2 Karang Jawa Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
3 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 0 2 0 0 0
4 Tabihi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 1 1 2 0 0 0
5 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
6 Jembatan Merah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 2 2 0 0 0
7 Jambu Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0
8 Pahampangan 0 0 0 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 Madang 0 0 0 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 6 8 14 0 0 0 7 6 13 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALIRING TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Karang Jawa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
2 Karang Jawa Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
3 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 0 2 0 0 0
4 Tabihi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 1 1 2 0 0 0
5 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
6 Jembatan Merah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 2 2 0 0 0
7 Jambu Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0
8 Pahampangan 0 0 0 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 Madang 0 0 0 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 6 8 14 0 0 0 7 6 13 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS KALIRING TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Karang Jawa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
2 Karang Jawa Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
3 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 0 2 0 0 0
4 Tabihi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 1 1 2 0 0 0
5 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
6 Jembatan Merah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 2 2 0 0 0
7 Jambu Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0
8 Pahampangan 0 0 0 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 Madang 0 0 0 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 6 8 14 0 0 0 7 6 13 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALIRING TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Karang Jawa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
2 Karang Jawa Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
3 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 0 2 0 0 0
4 Tabihi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 1 1 2 0 0 0
5 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
 6 Jembatan Merah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 2 2 0 0 0
7 Jambu Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0
8 Pahampangan 0 0 0 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 Madang 0 0 0 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 6 8 14 0 0 0 7 6 13 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALIRING TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Karang Jawa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
2 Karang Jawa Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
3 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 0 2 0 0 0
4 Tabihi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 1 1 2 0 0 0
5 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
6 Jembatan Merah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 2 2 0 0 0
7 Jambu Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0
8 Pahampangan 0 0 0 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 Madang 0 0 0 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 6 8 14 0 0 0 7 6 13 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALIRING TAHUN 2023
SEPTEMBER
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Karang Jawa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
2 Karang Jawa Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
3 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 0 2 0 0 0
4 Tabihi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 1 1 2 0 0 0
5 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
6 Jembatan Merah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 2 2 0 0 0
7 Jambu Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0
8 Pahampangan 0 0 0 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 Madang 0 0 0 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 6 8 14 0 0 0 7 6 13 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALIRING TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Karang Jawa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
2 Karang Jawa Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
3 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 0 2 0 0 0
4 Tabihi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 1 1 2 0 0 0
5 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
6 Jembatan Merah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 2 2 0 0 0
7 Jambu Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0
8 Pahampangan 0 0 0 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 Madang 0 0 0 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 6 8 14 0 0 0 7 6 13 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS KALIRING TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Karang Jawa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
2 Karang Jawa Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
3 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 0 2 0 0 0
4 Tabihi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 1 1 2 0 0 0
5 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
6 Jembatan Merah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 2 2 0 0 0
7 Jambu Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0
8 Pahampangan 0 0 0 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 Madang 0 0 0 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 6 8 14 0 0 0 7 6 13 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALIRING TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Karang Jawa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0
2 Karang Jawa Muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
3 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 2 0 2 0 0 0
4 Tabihi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 1 1 2 0 0 0
5 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0
6 Jembatan Merah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 2 2 0 0 0
7 Jambu Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0
8 Pahampangan 0 0 0 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 Madang 0 0 0 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 6 8 14 0 0 0 7 6 13 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 1 0 1 1 1 2 1 0 1 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 1 0 1 1 1 0 1 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 2 2 0 2 2 1 0 1 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 3 0 3 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 1 0 1 1 1 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 2 0 2 2 2 4 1 0 1 1 1 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 2 0 2 2 2 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 0 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 1 1 2 1 1 2 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 5 6 11 5 11 16 7 1 8 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 3 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 1 1 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 2 2 4 0 0 0 1 1 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 2 2 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 0 0 0 0 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 1 2 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 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 3 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 1 1 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 2 2 4 0 0 0 1 1 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 2 2 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 0 0 0 0 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 1 2 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 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 3 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 1 1 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 2 2 4 0 0 0 1 1 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 2 2 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 0 0 0 0 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 1 2 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 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 3 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 1 1 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 2 2 4 0 0 0 1 1 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 2 2 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 0 0 0 0 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 1 2 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 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 3 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 1 1 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 2 2 4 0 0 0 1 1 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 2 2 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 0 0 0 0 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 1 2 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 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 3 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 1 1 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 2 2 4 0 0 0 1 1 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 2 2 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 0 0 0 0 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 1 2 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 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 3 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 1 1 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 2 2 4 0 0 0 1 1 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 2 2 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 0 0 0 0 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 1 2 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 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 3 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 1 1 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 2 2 4 0 0 0 1 1 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 2 2 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 0 0 0 0 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 1 2 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 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 3 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 1 1 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 2 2 4 0 0 0 1 1 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 2 2 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 0 0 0 0 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 1 2 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 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 3 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 1 1 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 2 2 4 0 0 0 1 1 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 2 2 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 0 0 0 0 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 1 2 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 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 3 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 1 1 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 2 2 4 0 0 0 1 1 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 2 2 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 0 0 0 0 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 1 2 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 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dirujuk

TOTAL ABS
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk
 TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS ANGKINANG TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Bakarung 7 11 52 44 43 46 18 17 73 69 46 45 1 2 3 1 2 3 2 3 5 2 3 5 0 0 0
2 Taniran Selatan 10 7 38 37 6 7 12 12 51 47 31 31 1 1 2 1 1 2 1 0 1 1 0 1 0 0 0
3 Taniran Kubah 12 16 61 56 42 32 16 16 67 64 44 41 2 3 5 2 3 5 0 1 1 0 1 1 0 0 0
4 Tawia 24 12 56 56 33 24 16 16 65 66 42 42 2 2 4 2 2 4 1 1 2 1 1 2 0 0 0
5 Angkinang Selatan 8 5 35 28 15 14 8 8 34 32 19 22 0 1 1 0 1 1 1 0 1 1 0 1 0 0 0
6 Angkinang 17 15 55 52 29 24 14 16 62 60 38 39 3 1 4 3 1 4 0 1 1 0 1 1 0 0 0
7 Telaga Sili-Sili 5 9 32 26 16 7 10 8 38 38 24 23 0 1 1 0 1 1 1 1 2 1 1 2 0 0 0
JUMLAH 83 75 329 299 184 154 94 93 390 376 244 243 9 11 20 9 11 20 6 7 13 6 7 13 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS ANGKINANG TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Bakarung 7 11 52 44 43 46 18 17 73 69 46 45 0 0 0 1 2 3 0 1 1 2 4 6 0 0 0
2 Taniran Selatan 10 7 38 37 6 7 12 12 51 47 31 31 2 1 3 3 2 5 1 0 1 2 0 2 0 0 0
3 Taniran Kubah 12 16 61 56 42 32 16 16 67 64 44 41 0 1 1 2 4 6 0 0 0 0 1 1 0 0 0
4 Tawia 24 12 56 56 33 24 16 16 65 66 42 42 0 0 0 2 2 4 1 4 5 2 5 7 0 0 0
5 Angkinang Selatan 8 5 35 28 15 14 8 8 34 32 19 22 1 2 3 1 3 4 0 0 0 1 0 1 0 0 0
6 Angkinang 17 15 55 52 29 24 14 16 62 60 38 39 2 0 2 5 1 6 3 1 4 3 2 5 0 0 0
7 Telaga Sili-Sili 5 9 32 26 16 7 10 8 38 38 24 23 1 1 2 1 2 3 0 2 2 1 3 4 0 0 0
JUMLAH 83 75 329 299 184 154 94 93 390 376 244 243 6 5 11 15 16 31 5 8 13 11 15 26 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS ANGKINANG TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Bakarung 7 11 52 44 43 46 18 17 73 69 46 45 0 0 0 1 2 3 0 0 0 2 4 6 0 0 0
2 Taniran Selatan 10 7 38 37 6 7 12 12 51 47 31 31 0 0 0 3 2 5 0 0 0 2 0 2 0 0 0
3 Taniran Kubah 12 16 61 56 42 32 16 16 67 64 44 41 0 0 0 2 4 6 0 0 0 0 1 1 0 0 0
4 Tawia 24 12 56 56 33 24 16 16 65 66 42 42 0 0 0 2 2 4 0 0 0 2 5 7 0 0 0
5 Angkinang Selatan 8 5 35 28 15 14 8 8 34 32 19 22 0 0 0 1 3 4 0 0 0 1 0 1 0 0 0
6 Angkinang 17 15 55 52 29 24 14 16 62 60 38 39 0 0 0 5 1 6 0 0 0 3 2 5 0 0 0
7 Telaga Sili-Sili 5 9 32 26 16 7 10 8 38 38 24 23 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
JUMLAH 83 75 329 299 184 154 94 93 390 376 244 243 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS ANGKINANG TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Bakarung 7 11 52 44 43 46 18 17 73 69 46 45 0 0 0 1 2 3 0 0 0 2 4 6 0 0 0
2 Taniran Selatan 10 7 38 37 6 7 12 12 51 47 31 31 0 0 0 3 2 5 0 0 0 2 0 2 0 0 0
3 Taniran Kubah 12 16 61 56 42 32 16 16 67 64 44 41 0 0 0 2 4 6 0 0 0 0 1 1 0 0 0
4 Tawia 24 12 56 56 33 24 16 16 65 66 42 42 0 0 0 2 2 4 0 0 0 2 5 7 0 0 0
5 Angkinang Selatan 8 5 35 28 15 14 8 8 34 32 19 22 0 0 0 1 3 4 0 0 0 1 0 1 0 0 0
 6 Angkinang 17 15 55 52 29 24 14 16 62 60 38 39 0 0 0 5 1 6 0 0 0 3 2 5 0 0 0
7 Telaga Sili-Sili 5 9 32 26 16 7 10 8 38 38 24 23 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
JUMLAH 83 75 329 299 184 154 94 93 390 376 244 243 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS ANGKINANG TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Bakarung 7 11 52 44 43 46 18 17 73 69 46 45 0 0 0 1 2 3 0 0 0 2 4 6 0 0 0
2 Taniran Selatan 10 7 38 37 6 7 12 12 51 47 31 31 0 0 0 3 2 5 0 0 0 2 0 2 0 0 0
3 Taniran Kubah 12 16 61 56 42 32 16 16 67 64 44 41 0 0 0 2 4 6 0 0 0 0 1 1 0 0 0
4 Tawia 24 12 56 56 33 24 16 16 65 66 42 42 0 0 0 2 2 4 0 0 0 2 5 7 0 0 0
5 Angkinang Selatan 8 5 35 28 15 14 8 8 34 32 19 22 0 0 0 1 3 4 0 0 0 1 0 1 0 0 0
6 Angkinang 17 15 55 52 29 24 14 16 62 60 38 39 0 0 0 5 1 6 0 0 0 3 2 5 0 0 0
7 Telaga Sili-Sili 5 9 32 26 16 7 10 8 38 38 24 23 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
JUMLAH 83 75 329 299 184 154 94 93 390 376 244 243 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS ANGKINANG TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
 1 Bakarung 7 11 52 44 43 46 18 17 73 69 46 45 0 0 0 1 2 3 0 0 0 2 4 6 0 0 0
2 Taniran Selatan 10 7 38 37 6 7 12 12 51 47 31 31 0 0 0 3 2 5 0 0 0 2 0 2 0 0 0
3 Taniran Kubah 12 16 61 56 42 32 16 16 67 64 44 41 0 0 0 2 4 6 0 0 0 0 1 1 0 0 0
4 Tawia 24 12 56 56 33 24 16 16 65 66 42 42 0 0 0 2 2 4 0 0 0 2 5 7 0 0 0
5 Angkinang Selatan 8 5 35 28 15 14 8 8 34 32 19 22 0 0 0 1 3 4 0 0 0 1 0 1 0 0 0
6 Angkinang 17 15 55 52 29 24 14 16 62 60 38 39 0 0 0 5 1 6 0 0 0 3 2 5 0 0 0
7 Telaga Sili-Sili 5 9 32 26 16 7 10 8 38 38 24 23 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
JUMLAH 83 75 329 299 184 154 94 93 390 376 244 243 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS ANGKINANG TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Bakarung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 2 4 6 0 0 0
2 Taniran Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 2 0 2 0 0 0
3 Taniran Kubah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 6 0 0 0 0 1 1 0 0 0
4 Tawia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 2 5 7 0 0 0
5 Angkinang Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 0 1 0 0 0
6 Angkinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 3 2 5 0 0 0
7 Telaga Sili-Sili 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS ANGKINANG TAHUN 2023
AGUSTUS
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Bakarung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 2 4 6 0 0 0
2 Taniran Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 2 0 2 0 0 0
3 Taniran Kubah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 6 0 0 0 0 1 1 0 0 0
4 Tawia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 2 5 7 0 0 0
5 Angkinang Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 0 1 0 0 0
6 Angkinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 3 2 5 0 0 0
7 Telaga Sili-Sili 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS ANGKINANG TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Bakarung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 2 4 6 0 0 0
2 Taniran Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 2 0 2 0 0 0
3 Taniran Kubah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 6 0 0 0 0 1 1 0 0 0
4 Tawia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 2 5 7 0 0 0
5 Angkinang Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 0 1 0 0 0
6 Angkinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 3 2 5 0 0 0
7 Telaga Sili-Sili 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS ANGKINANG TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Bakarung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 2 4 6 0 0 0
2 Taniran Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 2 0 2 0 0 0
3 Taniran Kubah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 6 0 0 0 0 1 1 0 0 0
4 Tawia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 2 5 7 0 0 0
5 Angkinang Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 0 1 0 0 0
6 Angkinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 3 2 5 0 0 0
7 Telaga Sili-Sili 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS ANGKINANG TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Bakarung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 2 4 6 0 0 0
2 Taniran Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 2 0 2 0 0 0
3 Taniran Kubah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 6 0 0 0 0 1 1 0 0 0
4 Tawia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 2 5 7 0 0 0
5 Angkinang Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 0 1 0 0 0
6 Angkinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 3 2 5 0 0 0
 7 Telaga Sili-Sili 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS ANGKINANG TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 Bakarung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 2 4 6 0 0 0
2 Taniran Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0 0 2 0 2 0 0 0
3 Taniran Kubah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 6 0 0 0 0 1 1 0 0 0
4 Tawia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 2 5 7 0 0 0
5 Angkinang Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 1 0 1 0 0 0
6 Angkinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 3 2 5 0 0 0
7 Telaga Sili-Sili 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 3 3 6 3 3 6 3 5 8 3 5 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 4 3 7 4 3 7 2 1 3 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 5 8 13 5 8 13 4 4 8 4 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 3 4 7 3 4 7 3 4 7 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 0 2 2 0 2 2 1 3 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 4 4 8 4 4 8 5 2 7 5 2 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 1 3 2 1 3 1 3 4 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 23 23 46 23 23 46 20 20 40 20 20 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 3 5 8 6 8 14 5 3 8 8 8 16 0 0 0 0 19 21 40 19 21 40 24 25 49 24 25 49 0 0
0 0 2 2 4 5 9 1 5 6 3 6 9 0 0 0 0 4 0 4 4 0 4 2 7 9 2 7 9 0 0
0 4 4 8 9 12 21 4 4 8 8 8 16 0 0 0 0 20 16 36 20 16 36 22 16 38 22 16 38 0 0
0 10 0 10 13 4 17 4 2 6 7 6 13 0 0 0 0 18 12 30 18 12 30 15 12 27 15 12 27 0 0
0 6 1 7 8 1 9 2 0 2 4 1 5 0 0 0 0 11 10 21 11 10 21 4 4 8 4 4 8 0 0
0 9 6 15 13 10 23 3 2 5 8 4 12 0 0 0 0 12 12 24 12 12 24 17 12 29 17 12 29 0 0
0 2 3 5 4 4 8 3 2 5 4 5 9 0 0 0 0 10 5 15 10 5 15 6 2 8 6 2 8 0 0
0 34 21 55 57 44 101 22 18 40 42 38 80 0 0 0 0 94 76 170 94 76 170 90 78 168 90 78 168 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 6 8 14 0 0 0 8 8 16 0 0 0 0 0 0 0 19 21 40 0 0 0 24 49 73 0 0
0 0 0 0 4 5 9 0 0 0 3 6 9 0 0 0 0 0 0 0 4 0 4 0 0 0 2 9 11 0 0
0 0 0 0 9 12 21 0 0 0 8 8 16 0 0 0 0 0 0 0 20 16 36 0 0 0 22 38 60 0 0
0 0 0 0 13 4 17 0 0 0 7 6 13 0 0 0 0 0 0 0 18 12 30 0 0 0 15 27 42 0 0
0 0 0 0 8 1 9 0 0 0 4 1 5 0 0 0 0 0 0 0 11 10 21 0 0 0 4 8 12 0 0
0 0 0 0 13 10 23 0 0 0 8 4 12 0 0 0 0 0 0 0 12 12 24 0 0 0 17 29 46 0 0
0 0 0 0 4 4 8 0 0 0 4 5 9 0 0 0 0 0 0 0 10 5 15 0 0 0 6 8 14 0 0
0 0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 6 8 14 0 0 0 8 8 16 0 0 0 0 0 0 0 19 21 40 0 0 0 24 49 73 0 0
0 0 0 0 4 5 9 0 0 0 3 6 9 0 0 0 0 0 0 0 4 0 4 0 0 0 2 9 11 0 0
0 0 0 0 9 12 21 0 0 0 8 8 16 0 0 0 0 0 0 0 20 16 36 0 0 0 22 38 60 0 0
0 0 0 0 13 4 17 0 0 0 7 6 13 0 0 0 0 0 0 0 18 12 30 0 0 0 15 27 42 0 0
0 0 0 0 8 1 9 0 0 0 4 1 5 0 0 0 0 0 0 0 11 10 21 0 0 0 4 8 12 0 0
 0 0 0 0 13 10 23 0 0 0 8 4 12 0 0 0 0 0 0 0 12 12 24 0 0 0 17 29 46 0 0
0 0 0 0 4 4 8 0 0 0 4 5 9 0 0 0 0 0 0 0 10 5 15 0 0 0 6 8 14 0 0
0 0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 6 8 14 0 0 0 8 8 16 0 0 0 0 0 0 0 19 21 40 0 0 0 24 49 73 0 0
0 0 0 0 4 5 9 0 0 0 3 6 9 0 0 0 0 0 0 0 4 0 4 0 0 0 2 9 11 0 0
0 0 0 0 9 12 21 0 0 0 8 8 16 0 0 0 0 0 0 0 20 16 36 0 0 0 22 38 60 0 0
0 0 0 0 13 4 17 0 0 0 7 6 13 0 0 0 0 0 0 0 18 12 30 0 0 0 15 27 42 0 0
0 0 0 0 8 1 9 0 0 0 4 1 5 0 0 0 0 0 0 0 11 10 21 0 0 0 4 8 12 0 0
0 0 0 0 13 10 23 0 0 0 8 4 12 0 0 0 0 0 0 0 12 12 24 0 0 0 17 29 46 0 0
0 0 0 0 4 4 8 0 0 0 4 5 9 0 0 0 0 0 0 0 10 5 15 0 0 0 6 8 14 0 0
0 0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
 0 0 0 0 6 8 14 0 0 0 8 8 16 0 0 0 0 0 0 0 19 21 40 0 0 0 24 49 73 0 0
0 0 0 0 4 5 9 0 0 0 3 6 9 0 0 0 0 0 0 0 4 0 4 0 0 0 2 9 11 0 0
0 0 0 0 9 12 21 0 0 0 8 8 16 0 0 0 0 0 0 0 20 16 36 0 0 0 22 38 60 0 0
0 0 0 0 13 4 17 0 0 0 7 6 13 0 0 0 0 0 0 0 18 12 30 0 0 0 15 27 42 0 0
0 0 0 0 8 1 9 0 0 0 4 1 5 0 0 0 0 0 0 0 11 10 21 0 0 0 4 8 12 0 0
0 0 0 0 13 10 23 0 0 0 8 4 12 0 0 0 0 0 0 0 12 12 24 0 0 0 17 29 46 0 0
0 0 0 0 4 4 8 0 0 0 4 5 9 0 0 0 0 0 0 0 10 5 15 0 0 0 6 8 14 0 0
0 0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 6 8 14 0 0 0 8 8 16 0 0 0 0 0 0 0 19 21 40 0 0 0 24 49 73 0 0
0 0 0 0 4 5 9 0 0 0 3 6 9 0 0 0 0 0 0 0 4 0 4 0 0 0 2 9 11 0 0
0 0 0 0 9 12 21 0 0 0 8 8 16 0 0 0 0 0 0 0 20 16 36 0 0 0 22 38 60 0 0
0 0 0 0 13 4 17 0 0 0 7 6 13 0 0 0 0 0 0 0 18 12 30 0 0 0 15 27 42 0 0
0 0 0 0 8 1 9 0 0 0 4 1 5 0 0 0 0 0 0 0 11 10 21 0 0 0 4 8 12 0 0
0 0 0 0 13 10 23 0 0 0 8 4 12 0 0 0 0 0 0 0 12 12 24 0 0 0 17 29 46 0 0
0 0 0 0 4 4 8 0 0 0 4 5 9 0 0 0 0 0 0 0 10 5 15 0 0 0 6 8 14 0 0
0 0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 6 8 14 0 0 0 8 8 16 0 0 0 0 0 0 0 19 21 40 0 0 0 24 49 73 0 0
0 0 0 0 4 5 9 0 0 0 3 6 9 0 0 0 0 0 0 0 4 0 4 0 0 0 2 9 11 0 0
0 0 0 0 9 12 21 0 0 0 8 8 16 0 0 0 0 0 0 0 20 16 36 0 0 0 22 38 60 0 0
0 0 0 0 13 4 17 0 0 0 7 6 13 0 0 0 0 0 0 0 18 12 30 0 0 0 15 27 42 0 0
0 0 0 0 8 1 9 0 0 0 4 1 5 0 0 0 0 0 0 0 11 10 21 0 0 0 4 8 12 0 0
0 0 0 0 13 10 23 0 0 0 8 4 12 0 0 0 0 0 0 0 12 12 24 0 0 0 17 29 46 0 0
0 0 0 0 4 4 8 0 0 0 4 5 9 0 0 0 0 0 0 0 10 5 15 0 0 0 6 8 14 0 0
0 0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 6 8 14 0 0 0 8 8 16 0 0 0 0 0 0 0 19 21 40 0 0 0 24 49 73 0 0
0 0 0 0 4 5 9 0 0 0 3 6 9 0 0 0 0 0 0 0 4 0 4 0 0 0 2 9 11 0 0
0 0 0 0 9 12 21 0 0 0 8 8 16 0 0 0 0 0 0 0 20 16 36 0 0 0 22 38 60 0 0
0 0 0 0 13 4 17 0 0 0 7 6 13 0 0 0 0 0 0 0 18 12 30 0 0 0 15 27 42 0 0
0 0 0 0 8 1 9 0 0 0 4 1 5 0 0 0 0 0 0 0 11 10 21 0 0 0 4 8 12 0 0
0 0 0 0 13 10 23 0 0 0 8 4 12 0 0 0 0 0 0 0 12 12 24 0 0 0 17 29 46 0 0
0 0 0 0 4 4 8 0 0 0 4 5 9 0 0 0 0 0 0 0 10 5 15 0 0 0 6 8 14 0 0
0 0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 6 8 14 0 0 0 8 8 16 0 0 0 0 0 0 0 19 21 40 0 0 0 24 49 73 0 0
0 0 0 0 4 5 9 0 0 0 3 6 9 0 0 0 0 0 0 0 4 0 4 0 0 0 2 9 11 0 0
0 0 0 0 9 12 21 0 0 0 8 8 16 0 0 0 0 0 0 0 20 16 36 0 0 0 22 38 60 0 0
0 0 0 0 13 4 17 0 0 0 7 6 13 0 0 0 0 0 0 0 18 12 30 0 0 0 15 27 42 0 0
0 0 0 0 8 1 9 0 0 0 4 1 5 0 0 0 0 0 0 0 11 10 21 0 0 0 4 8 12 0 0
0 0 0 0 13 10 23 0 0 0 8 4 12 0 0 0 0 0 0 0 12 12 24 0 0 0 17 29 46 0 0
0 0 0 0 4 4 8 0 0 0 4 5 9 0 0 0 0 0 0 0 10 5 15 0 0 0 6 8 14 0 0
0 0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 6 8 14 0 0 0 8 8 16 0 0 0 0 0 0 0 19 21 40 0 0 0 24 49 73 0 0
0 0 0 0 4 5 9 0 0 0 3 6 9 0 0 0 0 0 0 0 4 0 4 0 0 0 2 9 11 0 0
0 0 0 0 9 12 21 0 0 0 8 8 16 0 0 0 0 0 0 0 20 16 36 0 0 0 22 38 60 0 0
0 0 0 0 13 4 17 0 0 0 7 6 13 0 0 0 0 0 0 0 18 12 30 0 0 0 15 27 42 0 0
0 0 0 0 8 1 9 0 0 0 4 1 5 0 0 0 0 0 0 0 11 10 21 0 0 0 4 8 12 0 0
0 0 0 0 13 10 23 0 0 0 8 4 12 0 0 0 0 0 0 0 12 12 24 0 0 0 17 29 46 0 0
 0 0 0 0 4 4 8 0 0 0 4 5 9 0 0 0 0 0 0 0 10 5 15 0 0 0 6 8 14 0 0
0 0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P
0 0 0 0 6 8 14 0 0 0 8 8 16 0 0 0 0 0 0 0 19 21 40 0 0 0 24 49 73 0 0
0 0 0 0 4 5 9 0 0 0 3 6 9 0 0 0 0 0 0 0 4 0 4 0 0 0 2 9 11 0 0
0 0 0 0 9 12 21 0 0 0 8 8 16 0 0 0 0 0 0 0 20 16 36 0 0 0 22 38 60 0 0
0 0 0 0 13 4 17 0 0 0 7 6 13 0 0 0 0 0 0 0 18 12 30 0 0 0 15 27 42 0 0
0 0 0 0 8 1 9 0 0 0 4 1 5 0 0 0 0 0 0 0 11 10 21 0 0 0 4 8 12 0 0
0 0 0 0 13 10 23 0 0 0 8 4 12 0 0 0 0 0 0 0 12 12 24 0 0 0 17 29 46 0 0
0 0 0 0 4 4 8 0 0 0 4 5 9 0 0 0 0 0 0 0 10 5 15 0 0 0 6 8 14 0 0
0 0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0
Dirujuk

TOTAL ABS
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0

Dirujuk

TOTAL ABS

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS BAMBAN TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Bamban Utara 5 6 46 52 25 24 11 13 46 52 25 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Bamban 8 3 34 40 20 19 8 10 34 40 20 19 0 0 0 0 0 0 1 1 2 1 1 2 0 0 0 0
3 Bamban Selatan 9 10 34 37 18 19 9 10 34 37 18 19 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Kayu Abang 14 15 80 76 29 26 19 17 80 76 29 26 1 1 2 1 1 2 2 1 3 2 1 3 0 0 0 0
JUMLAH 36 34 194 205 92 88 47 50 194 205 92 88 2 1 3 2 1 3 3 2 5 3 2 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAMBAN TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Bamban Utara 0 0 0 0 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 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
3 Bamban Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Kayu Abang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAMBAN TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Bamban Utara 0 0 0 0 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 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
3 Bamban Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Kayu Abang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAMBAN TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Bamban Utara 0 0 0 0 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 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
3 Bamban Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Kayu Abang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAMBAN TAHUN 2023
MEI
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Bamban Utara 0 0 0 0 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 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
3 Bamban Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Kayu Abang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAMBAN TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Bamban Utara 0 0 0 0 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 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
3 Bamban Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Kayu Abang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAMBAN TAHUN 2023
JULI
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Bamban Utara 0 0 0 0 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 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
3 Bamban Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Kayu Abang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAMBAN TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Bamban Utara 0 0 0 0 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 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
3 Bamban Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Kayu Abang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAMBAN TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

No Desa
 Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Bamban Utara 0 0 0 0 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 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
3 Bamban Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Kayu Abang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAMBAN TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Bamban Utara 0 0 0 0 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 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
3 Bamban Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Kayu Abang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAMBAN TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

No Desa
 Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Bamban Utara 0 0 0 0 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 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
3 Bamban Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Kayu Abang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS BAMBAN TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Bamban Utara 0 0 0 0 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 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0
3 Bamban Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Kayu Abang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 2 1 3 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
6 6 12 6 6 12 0 7 7 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 3 7 4 7 11 1 3 4 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 1 4 3 4 7 3 1 4 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 2 5 3 5 8 3 3 6 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 12 28 16 22 38 7 14 21 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 6 12 0 0 0 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 7 11 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 3 4 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 6 12 0 0 0 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 7 11 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 3 4 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 6 12 0 0 0 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 7 11 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 3 4 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 6 12 0 0 0 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 7 11 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 3 4 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 6 12 0 0 0 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 7 11 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 3 4 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 6 12 0 0 0 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 7 11 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 3 4 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 6 12 0 0 0 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 7 11 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 3 4 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

 Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 6 12 0 0 0 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 7 11 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 3 4 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 6 12 0 0 0 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 7 11 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 3 4 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

 Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 6 12 0 0 0 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 7 11 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 3 4 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 6 6 12 0 0 0 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 7 11 0 0 0 1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 4 7 0 0 0 3 4 7 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 3 6 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ABS
0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
ABS

0
0
0
0
0

ABS

0
0
0
0
0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS TELAGA LANGSAT TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Lokbinuang 2 9 23 20 4 3 4 10 29 29 4 3 0 2 2 0 2 2 0 0 0 0 0 0 0 0 0 0
2 Telaga Langsat 3 6 26 20 8 6 8 8 33 32 8 6 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Mandala 11 8 25 26 10 2 10 9 41 40 10 2 0 1 1 0 0 0 1 2 3 1 2 3 0 0 0 0
4 Ambutun 4 6 20 19 5 3 4 5 20 15 5 3 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0
5 Pakuan Timur 6 8 21 18 6 5 6 8 28 29 6 5 0 1 1 0 1 1 1 0 1 1 0 1 0 0 0 0
6 Longawang 9 8 28 24 8 7 8 6 28 29 8 7 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Pandulangan 3 5 20 28 6 1 6 6 25 26 6 1 1 1 2 1 2 3 0 0 0 0 0 0 0 0 0 0
8 Gumbil 14 18 44 37 11 10 10 15 54 54 11 10 0 0 0 0 0 0 1 3 4 1 3 4 0 0 0 0
9 Hamak 3 0 17 11 3 0 4 3 12 12 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Hamak Timur 6 5 15 18 7 5 5 5 20 20 7 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Hamak Utara 4 3 24 30 6 3 7 7 28 27 6 3 1 0 1 1 1 2 0 0 0 0 0 0 0 0 0 0
JUMLAH 65 76 263 251 74 45 72 82 318 313 74 45 3 6 9 3 6 9 4 5 9 4 5 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS TELAGA LANGSAT TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Lokbinuang 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
2 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Mandala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0
4 Ambutun 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 0 0 0
5 Pakuan Timur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0
6 Longawang 0 0 0 0 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 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0
8 Gumbil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 0
9 Hamak 0 0 0 0 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 Hamak Timur 0 0 0 0 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 Hamak Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 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 3 6 9 0 0 0 4 5 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS TELAGA LANGSAT TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Lokbinuang 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
2 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Mandala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0
4 Ambutun 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 0 0 0
5 Pakuan Timur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0
6 Longawang 0 0 0 0 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 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0
8 Gumbil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 0
9 Hamak 0 0 0 0 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 Hamak Timur 0 0 0 0 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 Hamak Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 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 3 6 9 0 0 0 4 5 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

 PUSKESMAS TELAGA LANGSAT TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Lokbinuang 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
2 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Mandala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0
4 Ambutun 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 0 0 0
5 Pakuan Timur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0
6 Longawang 0 0 0 0 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 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0
8 Gumbil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 0
9 Hamak 0 0 0 0 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 Hamak Timur 0 0 0 0 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 Hamak Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 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 3 6 9 0 0 0 4 5 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS TELAGA LANGSAT TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Lokbinuang 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
2 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Mandala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0
4 Ambutun 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 0 0 0
5 Pakuan Timur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0
6 Longawang 0 0 0 0 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 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0
8 Gumbil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 0
9 Hamak 0 0 0 0 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 Hamak Timur 0 0 0 0 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 Hamak Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 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 3 6 9 0 0 0 4 5 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS TELAGA LANGSAT TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Lokbinuang 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
2 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Mandala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0
4 Ambutun 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 0 0 0
5 Pakuan Timur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0
6 Longawang 0 0 0 0 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 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0
8 Gumbil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 0
9 Hamak 0 0 0 0 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 Hamak Timur 0 0 0 0 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 Hamak Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 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 3 6 9 0 0 0 4 5 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

 PUSKESMAS TELAGA LANGSAT TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Lokbinuang 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
2 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Mandala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0
4 Ambutun 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 0 0 0
5 Pakuan Timur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0
6 Longawang 0 0 0 0 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 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0
8 Gumbil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 0
9 Hamak 0 0 0 0 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 Hamak Timur 0 0 0 0 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 Hamak Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 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 3 6 9 0 0 0 4 5 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS TELAGA LANGSAT TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Lokbinuang 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
2 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Mandala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0
4 Ambutun 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 0 0 0
5 Pakuan Timur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0
6 Longawang 0 0 0 0 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 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0
8 Gumbil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 0
9 Hamak 0 0 0 0 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 Hamak Timur 0 0 0 0 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 Hamak Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 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 3 6 9 0 0 0 4 5 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS TELAGA LANGSAT TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Lokbinuang 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
2 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Mandala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0
4 Ambutun 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 0 0 0
5 Pakuan Timur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0
6 Longawang 0 0 0 0 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 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0
8 Gumbil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 0
9 Hamak 0 0 0 0 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 Hamak Timur 0 0 0 0 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 Hamak Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 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 3 6 9 0 0 0 4 5 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

 PUSKESMAS TELAGA LANGSAT TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Lokbinuang 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
2 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Mandala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0
4 Ambutun 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 0 0 0
5 Pakuan Timur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0
6 Longawang 0 0 0 0 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 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0
8 Gumbil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 0
9 Hamak 0 0 0 0 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 Hamak Timur 0 0 0 0 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 Hamak Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 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 3 6 9 0 0 0 4 5 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS TELAGA LANGSAT TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Lokbinuang 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
2 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Mandala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0
4 Ambutun 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 0 0 0
5 Pakuan Timur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0
 6 Longawang 0 0 0 0 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 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0
8 Gumbil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 0
9 Hamak 0 0 0 0 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 Hamak Timur 0 0 0 0 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 Hamak Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 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 3 6 9 0 0 0 4 5 9 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS TELAGA LANGSAT TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Lokbinuang 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
2 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
3 Mandala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0
4 Ambutun 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 0 0 0
5 Pakuan Timur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0
6 Longawang 0 0 0 0 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 Pandulangan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0
8 Gumbil 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 0
9 Hamak 0 0 0 0 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 Hamak Timur 0 0 0 0 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 Hamak Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 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 3 6 9 0 0 0 4 5 9 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 0 0 1 1 2 1 1 2 0 0 0 0 1 0 1 1 0 1 0 1 1 0 1 1 0 0 0
4 3 7 4 3 7 3 1 4 3 1 4 0 0 0 0 0 0 0 0 0 0 4 1 5 4 1 5 0 0 0
2 1 3 2 1 3 1 5 6 1 5 6 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0
4 1 5 4 1 5 2 2 4 2 2 4 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0
2 0 2 2 0 2 3 1 4 3 1 4 0 0 0 0 1 1 2 1 1 2 2 0 2 2 0 2 0 0 0
2 3 5 2 3 5 1 2 3 1 2 3 0 0 0 0 3 0 3 3 0 3 0 1 1 0 1 1 0 0 0
2 4 6 2 4 6 2 1 3 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 2 6 4 2 6 4 8 12 4 8 12 0 0 0 0 2 1 3 2 1 3 0 2 2 0 2 2 0 0 0
0 1 1 0 1 1 5 0 5 5 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 1 1 0 1 1 3 4 1 3 4 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0
1 3 4 1 3 4 3 2 5 3 2 5 0 0 0 0 1 0 1 1 0 1 0 1 1 0 1 1 0 0 0
22 18 40 22 18 40 26 26 52 26 26 52 0 0 0 0 8 3 11 8 3 11 6 8 14 6 8 14 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 4 3 7 0 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 5 0 0 0
0 0 0 2 1 3 0 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 1 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 2 0 2 0 0 0 3 1 4 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
0 0 0 2 3 5 0 0 0 1 2 3 0 0 0 0 0 0 0 3 0 3 0 0 0 0 1 1 0 0 0
0 0 0 2 4 6 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 2 6 0 0 0 4 8 12 0 0 0 0 0 0 0 2 1 3 0 0 0 0 2 2 0 0 0
0 0 0 0 1 1 0 0 0 5 0 5 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 0 0 1 3 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 3 2 5 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 4 3 7 0 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 5 0 0 0
0 0 0 2 1 3 0 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 1 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 2 0 2 0 0 0 3 1 4 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
0 0 0 2 3 5 0 0 0 1 2 3 0 0 0 0 0 0 0 3 0 3 0 0 0 0 1 1 0 0 0
0 0 0 2 4 6 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 2 6 0 0 0 4 8 12 0 0 0 0 0 0 0 2 1 3 0 0 0 0 2 2 0 0 0
0 0 0 0 1 1 0 0 0 5 0 5 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 0 0 1 3 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 3 2 5 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 4 3 7 0 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 5 0 0 0
0 0 0 2 1 3 0 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 1 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 2 0 2 0 0 0 3 1 4 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
0 0 0 2 3 5 0 0 0 1 2 3 0 0 0 0 0 0 0 3 0 3 0 0 0 0 1 1 0 0 0
0 0 0 2 4 6 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 2 6 0 0 0 4 8 12 0 0 0 0 0 0 0 2 1 3 0 0 0 0 2 2 0 0 0
0 0 0 0 1 1 0 0 0 5 0 5 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 0 0 1 3 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 3 2 5 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 4 3 7 0 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 5 0 0 0
0 0 0 2 1 3 0 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 1 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 2 0 2 0 0 0 3 1 4 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
0 0 0 2 3 5 0 0 0 1 2 3 0 0 0 0 0 0 0 3 0 3 0 0 0 0 1 1 0 0 0
0 0 0 2 4 6 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 2 6 0 0 0 4 8 12 0 0 0 0 0 0 0 2 1 3 0 0 0 0 2 2 0 0 0
0 0 0 0 1 1 0 0 0 5 0 5 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 0 0 1 3 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 3 2 5 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 4 3 7 0 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 5 0 0 0
0 0 0 2 1 3 0 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 1 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 2 0 2 0 0 0 3 1 4 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
0 0 0 2 3 5 0 0 0 1 2 3 0 0 0 0 0 0 0 3 0 3 0 0 0 0 1 1 0 0 0
0 0 0 2 4 6 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 2 6 0 0 0 4 8 12 0 0 0 0 0 0 0 2 1 3 0 0 0 0 2 2 0 0 0
0 0 0 0 1 1 0 0 0 5 0 5 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 0 0 1 3 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 3 2 5 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 4 3 7 0 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 5 0 0 0
0 0 0 2 1 3 0 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 1 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 2 0 2 0 0 0 3 1 4 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
0 0 0 2 3 5 0 0 0 1 2 3 0 0 0 0 0 0 0 3 0 3 0 0 0 0 1 1 0 0 0
0 0 0 2 4 6 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 2 6 0 0 0 4 8 12 0 0 0 0 0 0 0 2 1 3 0 0 0 0 2 2 0 0 0
0 0 0 0 1 1 0 0 0 5 0 5 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 0 0 1 3 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 3 2 5 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 4 3 7 0 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 5 0 0 0
0 0 0 2 1 3 0 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 1 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 2 0 2 0 0 0 3 1 4 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
0 0 0 2 3 5 0 0 0 1 2 3 0 0 0 0 0 0 0 3 0 3 0 0 0 0 1 1 0 0 0
0 0 0 2 4 6 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 2 6 0 0 0 4 8 12 0 0 0 0 0 0 0 2 1 3 0 0 0 0 2 2 0 0 0
0 0 0 0 1 1 0 0 0 5 0 5 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 0 0 1 3 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 3 2 5 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 4 3 7 0 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 5 0 0 0
0 0 0 2 1 3 0 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 1 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 2 0 2 0 0 0 3 1 4 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
0 0 0 2 3 5 0 0 0 1 2 3 0 0 0 0 0 0 0 3 0 3 0 0 0 0 1 1 0 0 0
0 0 0 2 4 6 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 2 6 0 0 0 4 8 12 0 0 0 0 0 0 0 2 1 3 0 0 0 0 2 2 0 0 0
0 0 0 0 1 1 0 0 0 5 0 5 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 0 0 1 3 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 3 2 5 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 4 3 7 0 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 5 0 0 0
0 0 0 2 1 3 0 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 1 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 2 0 2 0 0 0 3 1 4 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
0 0 0 2 3 5 0 0 0 1 2 3 0 0 0 0 0 0 0 3 0 3 0 0 0 0 1 1 0 0 0
0 0 0 2 4 6 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 2 6 0 0 0 4 8 12 0 0 0 0 0 0 0 2 1 3 0 0 0 0 2 2 0 0 0
0 0 0 0 1 1 0 0 0 5 0 5 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 0 0 1 3 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 3 2 5 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 4 3 7 0 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 5 0 0 0
0 0 0 2 1 3 0 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 1 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 2 0 2 0 0 0 3 1 4 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
0 0 0 2 3 5 0 0 0 1 2 3 0 0 0 0 0 0 0 3 0 3 0 0 0 0 1 1 0 0 0
0 0 0 2 4 6 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 2 6 0 0 0 4 8 12 0 0 0 0 0 0 0 2 1 3 0 0 0 0 2 2 0 0 0
0 0 0 0 1 1 0 0 0 5 0 5 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 0 0 1 3 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 3 2 5 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 4 3 7 0 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 5 0 0 0
0 0 0 2 1 3 0 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 1 5 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 2 0 2 0 0 0 3 1 4 0 0 0 0 0 0 0 1 1 2 0 0 0 2 0 2 0 0 0
0 0 0 2 3 5 0 0 0 1 2 3 0 0 0 0 0 0 0 3 0 3 0 0 0 0 1 1 0 0 0
0 0 0 2 4 6 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 2 6 0 0 0 4 8 12 0 0 0 0 0 0 0 2 1 3 0 0 0 0 2 2 0 0 0
0 0 0 0 1 1 0 0 0 5 0 5 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 0 0 1 3 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 3 2 5 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
ABS
0
0
0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
 0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
 0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
 0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
 0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
0
0
0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS KALUMPANG TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L p L P L P L p L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Sirih Hulu 5 3 25 21 4 4 5 4 26 23 14 12 0 1 1 0 1 1 0 1 1 0 1 1 0 0 0 0
2 Sirih 6 5 24 26 1 8 7 8 27 29 11 17 0 1 1 0 1 1 1 0 1 1 0 1 0 0 0 0
3 Tambingkar 6 3 23 22 4 5 5 5 24 25 14 14 0 1 1 0 1 1 1 0 1 1 0 1 0 0 0 0
4 Kalumpang 6 5 19 29 9 11 7 7 21 32 19 20 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
5 Balanti 5 6 23 14 5 2 4 6 24 17 15 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Karang Bulan 6 4 12 15 2 3 5 4 14 18 12 12 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
7 Bago Tanggul 5 4 24 13 8 4 5 4 26 15 18 13 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0
8 Balimau 8 6 28 22 5 9 8 7 29 25 15 18 0 2 2 0 2 2 0 0 0 0 0 0 0 0 0 0
9 Karang Paci 5 2 20 16 5 5 6 5 22 22 15 14 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0
JUMLAH 52 38 198 178 43 51 52 50 213 206 133 131 2 6 8 2 6 8 2 2 4 2 2 4 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALUMPANG TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Sirih Hulu 5 3 25 21 4 4 5 4 26 23 14 12 1 0 1 1 1 2 1 0 1 1 1 2 0 0 0 0
2 Sirih 6 5 24 26 1 8 7 8 27 29 11 17 1 1 2 1 2 3 0 0 0 1 0 1 0 0 0 0
3 Tambingkar 6 3 23 22 4 5 5 5 24 25 14 14 2 0 2 2 1 3 0 2 2 1 2 3 0 0 0 0
4 Kalumpang 6 5 19 29 9 11 7 7 21 32 19 20 1 1 2 2 1 3 1 0 1 1 0 1 0 0 0 0
5 Balanti 5 6 23 14 5 2 4 6 24 17 15 11 0 0 0 0 0 0 2 1 3 2 1 3 0 0 0 0
6 Karang Bulan 6 4 12 15 2 3 5 4 14 18 12 12 0 0 0 1 0 1 2 0 2 2 0 2 0 0 0 0
7 Bago Tanggul 5 4 24 13 8 4 5 4 26 15 18 13 1 0 1 1 1 2 1 0 1 1 0 1 0 0 0 0
8 Balimau 8 6 28 22 5 9 8 7 29 25 15 18 1 0 1 1 2 3 0 1 1 0 1 1 0 0 0 0
 9 Karang Paci 5 2 20 16 5 5 6 5 22 22 15 14 0 0 0 0 0 0 1 0 1 1 1 2 0 0 0 0

JUMLAH 52 38 198 178 43 51 52 50 213 206 133 131 7 2 9 9 8 17 8 4 12 10 6 16 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALUMPANG TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Sirih Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0
2 Sirih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
3 Tambingkar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 2 3 0 0 0 0
4 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Balanti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Karang Bulan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
7 Bago Tanggul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
8 Balimau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0 0
9 Karang Paci 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALUMPANG TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
 No Desa

L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS

1 Sirih Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0
2 Sirih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
3 Tambingkar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 2 3 0 0 0 0
4 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Balanti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Karang Bulan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
7 Bago Tanggul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
8 Balimau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0 0
9 Karang Paci 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 213 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALUMPANG TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Sirih Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0
2 Sirih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
3 Tambingkar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 2 3 0 0 0 0
4 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Balanti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Karang Bulan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
7 Bago Tanggul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
8 Balimau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0 0
9 Karang Paci 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS KALUMPANG TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Sirih Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0
2 Sirih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
3 Tambingkar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 2 3 0 0 0 0
4 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Balanti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Karang Bulan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
7 Bago Tanggul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
8 Balimau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0 0
9 Karang Paci 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALUMPANG TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Sirih Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0
2 Sirih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
3 Tambingkar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 2 3 0 0 0 0
4 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Balanti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
 6 Karang Bulan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
7 Bago Tanggul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
8 Balimau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0 0
9 Karang Paci 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALUMPANG TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Sirih Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0
2 Sirih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
3 Tambingkar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 2 3 0 0 0 0
4 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Balanti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Karang Bulan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
7 Bago Tanggul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
8 Balimau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0 0
9 Karang Paci 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALUMPANG TAHUN 2023
SEPTEMBER
 Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Sirih Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0
2 Sirih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
3 Tambingkar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 2 3 0 0 0 0
4 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Balanti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Karang Bulan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
7 Bago Tanggul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
8 Balimau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0 0
9 Karang Paci 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALUMPANG TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Sirih Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0
2 Sirih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
3 Tambingkar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 2 3 0 0 0 0
4 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Balanti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Karang Bulan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
7 Bago Tanggul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
8 Balimau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0 0
9 Karang Paci 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS KALUMPANG TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Sirih Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0
2 Sirih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
3 Tambingkar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 2 3 0 0 0 0
4 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Balanti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Karang Bulan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
7 Bago Tanggul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
8 Balimau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0 0
9 Karang Paci 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS KALUMPANG TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Sirih Hulu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0
2 Sirih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 1 0 1 0 0 0 0
3 Tambingkar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 2 3 0 0 0 0
4 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Balanti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0
6 Karang Bulan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0 0 0
7 Bago Tanggul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0
8 Balimau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0 0
9 Karang Paci 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 2 2 0 2 2 1 0 1 1 1 2 0 0 0 0 2 1 3 2 1 3 0 2 2 0 2 2 0 0 0
3 1 4 3 1 4 4 1 5 4 5 9 0 0 0 0 0 0 0 0 0 0 0 2 2 0 2 2 0 0 0
1 2 3 1 2 3 1 2 3 1 3 4 0 0 0 0 0 1 1 0 1 1 0 1 1 0 1 1 0 0 0
2 1 3 2 1 3 2 3 5 2 5 7 0 0 0 0 0 1 1 0 1 1 0 1 1 0 1 1 0 0 0
0 1 1 0 1 1 2 2 4 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 1 1 0 1 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 2 1 3 2 3 5 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0
2 2 4 2 2 4 3 0 3 3 3 6 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0
0 2 2 0 2 2 0 2 2 0 2 2 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0
8 12 20 8 12 20 15 12 27 15 27 42 0 0 0 0 2 6 8 2 6 8 0 6 6 0 6 6 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
2 2 4 2 4 6 2 4 6 3 5 8 0 0 0 0 0 1 1 2 2 4 0 0 0 0 2 2 0 0 0
0 5 5 3 6 9 3 3 6 7 8 15 0 0 0 0 0 0 0 0 0 0 0 1 1 0 3 3 0 0 0
2 2 4 3 4 7 0 1 1 1 4 5 0 0 0 0 2 0 2 2 1 3 0 0 0 0 1 1 0 0 0
1 0 1 3 1 4 2 1 3 4 6 10 0 0 0 0 1 1 2 1 2 3 1 2 3 1 3 4 0 0 0
5 1 6 5 2 7 1 3 4 3 7 10 0 0 0 0 0 2 2 0 2 2 0 0 0 0 0 0 0 0 0
2 1 3 2 2 4 0 1 1 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 3 7 4 3 7 2 2 4 4 5 9 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 0 0 0
2 0 2 4 2 6 4 3 7 7 6 13 0 0 0 0 2 2 4 2 3 5 0 0 0 0 0 0 0 0 0
1 1 2 1 3 4 2 2 4 2 4 6 0 0 0 0 1 0 1 1 1 2 0 0 0 0 0 0 0 0 0
19 15 34 27 27 54 16 20 36 31 47 78 0 0 0 0 6 6 12 8 12 20 1 4 5 1 10 11 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 4 6 0 0 0 3 5 8 0 0 0 0 0 0 0 2 2 4 0 0 0 0 2 2 0 0 0
0 0 0 3 6 9 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0
0 0 0 3 4 7 0 0 0 1 4 5 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 3 1 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
0 0 0 5 2 7 0 0 0 3 7 10 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 5 9 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 4 2 6 0 0 0 7 6 13 0 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 2 4 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 4 6 0 0 0 3 5 8 0 0 0 0 0 0 0 2 2 4 0 0 0 0 2 2 0 0 0
0 0 0 3 6 9 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0
0 0 0 3 4 7 0 0 0 1 4 5 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 3 1 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
0 0 0 5 2 7 0 0 0 3 7 10 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 5 9 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 4 2 6 0 0 0 7 6 13 0 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 2 4 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 4 6 0 0 0 3 5 8 0 0 0 0 0 0 0 2 2 4 0 0 0 0 2 2 0 0 0
0 0 0 3 6 9 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0
0 0 0 3 4 7 0 0 0 1 4 5 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 3 1 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
0 0 0 5 2 7 0 0 0 3 7 10 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 5 9 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 4 2 6 0 0 0 7 6 13 0 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 2 4 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 4 6 0 0 0 3 5 8 0 0 0 0 0 0 0 2 2 4 0 0 0 0 2 2 0 0 0
0 0 0 3 6 9 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0
0 0 0 3 4 7 0 0 0 1 4 5 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 3 1 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
0 0 0 5 2 7 0 0 0 3 7 10 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 5 9 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 4 2 6 0 0 0 7 6 13 0 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 2 4 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 4 6 0 0 0 3 5 8 0 0 0 0 0 0 0 2 2 4 0 0 0 0 2 2 0 0 0
0 0 0 3 6 9 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0
0 0 0 3 4 7 0 0 0 1 4 5 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 3 1 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
0 0 0 5 2 7 0 0 0 3 7 10 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 5 9 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 4 2 6 0 0 0 7 6 13 0 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 2 4 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 4 6 0 0 0 3 5 8 0 0 0 0 0 0 0 2 2 4 0 0 0 0 2 2 0 0 0
0 0 0 3 6 9 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0
0 0 0 3 4 7 0 0 0 1 4 5 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 3 1 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
0 0 0 5 2 7 0 0 0 3 7 10 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 5 9 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 4 2 6 0 0 0 7 6 13 0 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 2 4 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 4 6 0 0 0 3 5 8 0 0 0 0 0 0 0 2 2 4 0 0 0 0 2 2 0 0 0
0 0 0 3 6 9 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0
0 0 0 3 4 7 0 0 0 1 4 5 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 3 1 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
0 0 0 5 2 7 0 0 0 3 7 10 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 5 9 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 4 2 6 0 0 0 7 6 13 0 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 2 4 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 4 6 0 0 0 3 5 8 0 0 0 0 0 0 0 2 2 4 0 0 0 0 2 2 0 0 0
0 0 0 3 6 9 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0
0 0 0 3 4 7 0 0 0 1 4 5 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 3 1 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
0 0 0 5 2 7 0 0 0 3 7 10 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 5 9 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 4 2 6 0 0 0 7 6 13 0 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 2 4 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 4 6 0 0 0 3 5 8 0 0 0 0 0 0 0 2 2 4 0 0 0 0 2 2 0 0 0
0 0 0 3 6 9 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0
0 0 0 3 4 7 0 0 0 1 4 5 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 3 1 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
0 0 0 5 2 7 0 0 0 3 7 10 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 5 9 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 4 2 6 0 0 0 7 6 13 0 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 2 4 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 2 4 6 0 0 0 3 5 8 0 0 0 0 0 0 0 2 2 4 0 0 0 0 2 2 0 0 0
0 0 0 3 6 9 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0
0 0 0 3 4 7 0 0 0 1 4 5 0 0 0 0 0 0 0 2 1 3 0 0 0 0 1 1 0 0 0
0 0 0 3 1 4 0 0 0 4 6 10 0 0 0 0 0 0 0 1 2 3 0 0 0 1 3 4 0 0 0
0 0 0 5 2 7 0 0 0 3 7 10 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0
0 0 0 2 2 4 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 3 7 0 0 0 4 5 9 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0
0 0 0 4 2 6 0 0 0 7 6 13 0 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0
0 0 0 1 3 4 0 0 0 2 4 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0
ABS
0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
 0
0

ABS

0
0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
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 0
0
0
0
0

ABS

0
0
0
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ABS

0
0
0
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0
0
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ABS

0
0
0
0
0
0
0
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ABS

0
0
0
0
0
0
0
0
0
0

ABS
0
0
0
0
0
0
0
0
0
0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS LOKSADO TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Haratai 10 6 29 24 13 5 7 5 22 19 13 5 1 1 2 1 1 2 0 0 0 0 0 0 0 0 0 0
2 Hulu Banyu 10 9 54 45 10 14 8 8 37 43 10 14 2 2 4 2 2 4 3 0 3 3 0 3 0 0 0 0
3 Loklahung 7 3 24 14 3 2 7 4 19 18 3 2 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Loksado 7 2 39 24 5 8 8 7 30 37 5 8 2 1 3 2 1 3 1 0 1 1 0 1 0 0 0 0
5 Ulang 6 6 34 30 5 13 5 6 31 28 5 13 0 2 2 0 2 2 0 0 0 0 0 0 0 0 0 0
6 Tumingki 7 4 22 16 7 4 3 4 20 27 7 4 1 1 2 1 1 2 1 0 1 1 0 1 0 0 0 0
JUMLAH 47 30 202 153 43 46 38 34 159 172 43 46 7 7 14 7 7 14 5 0 5 5 0 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS LOKSADO TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Haratai 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
2 Hulu Banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 3 0 3 0 0 0 0
3 Loklahung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Ulang 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
6 Tumingki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS LOKSADO TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Haratai 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
2 Hulu Banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 3 0 3 0 0 0 0
3 Loklahung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Ulang 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
6 Tumingki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS LOKSADO TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Haratai 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
2 Hulu Banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 3 0 3 0 0 0 0
3 Loklahung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Ulang 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
6 Tumingki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS LOKSADO TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Haratai 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
2 Hulu Banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 3 0 3 0 0 0 0
3 Loklahung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Ulang 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
6 Tumingki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS LOKSADO TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Haratai 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
2 Hulu Banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 3 0 3 0 0 0 0
3 Loklahung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Ulang 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
 6 Tumingki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS LOKSADO TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Haratai 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
2 Hulu Banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 3 0 3 0 0 0 0
3 Loklahung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Ulang 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
6 Tumingki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS LOKSADO TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Haratai 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
2 Hulu Banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 3 0 3 0 0 0 0
 3 Loklahung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Ulang 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
6 Tumingki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS LOKSADO TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Haratai 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
2 Hulu Banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 3 0 3 0 0 0 0
3 Loklahung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Ulang 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
6 Tumingki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS LOKSADO TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
 No Desa

L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS

1 Haratai 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
2 Hulu Banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 3 0 3 0 0 0 0
3 Loklahung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Ulang 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
6 Tumingki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS LOKSADO TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Haratai 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
2 Hulu Banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 3 0 3 0 0 0 0
3 Loklahung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Ulang 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
6 Tumingki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS LOKSADO TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Haratai 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0
2 Hulu Banyu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 3 0 3 0 0 0 0
3 Loklahung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
4 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 1 0 1 0 0 0 0
5 Ulang 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
6 Tumingki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 0 1 0 0 0 0

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
1 3 4 1 4 5 2 0 2 2 2 4 0 0 0 0 1 1 2 1 2 3 0 1 1 0 1 1 0 0 0
3 3 6 3 6 9 2 3 5 2 5 7 0 0 0 0 1 1 2 1 2 3 0 1 1 0 1 1 0 0 0
4 0 4 4 4 8 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0
4 2 6 4 6 10 0 2 2 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 1 3 2 3 5 1 4 5 1 5 6 0 0 0 0 1 0 1 1 1 2 0 1 1 0 1 1 0 0 0
1 0 1 1 1 2 1 3 4 1 4 5 0 0 0 0 1 0 1 1 1 2 0 0 0 0 0 0 0 0 0
15 9 24 15 24 39 6 13 19 6 19 25 0 0 0 0 4 2 6 4 6 10 0 4 4 0 4 4 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 3 6 9 0 0 0 2 5 7 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 4 4 8 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 6 10 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 1 1 2 0 0 0 1 4 5 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 3 6 9 0 0 0 2 5 7 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 4 4 8 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 6 10 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 1 1 2 0 0 0 1 4 5 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 3 6 9 0 0 0 2 5 7 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 4 4 8 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 6 10 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 1 1 2 0 0 0 1 4 5 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 3 6 9 0 0 0 2 5 7 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 4 4 8 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 6 10 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 1 1 2 0 0 0 1 4 5 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 3 6 9 0 0 0 2 5 7 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 4 4 8 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 6 10 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 1 1 2 0 0 0 1 4 5 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 3 6 9 0 0 0 2 5 7 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 4 4 8 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 6 10 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 1 1 2 0 0 0 1 4 5 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 3 6 9 0 0 0 2 5 7 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 4 4 8 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 6 10 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 1 1 2 0 0 0 1 4 5 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 3 6 9 0 0 0 2 5 7 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 4 4 8 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 6 10 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 1 1 2 0 0 0 1 4 5 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 3 6 9 0 0 0 2 5 7 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 4 4 8 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 6 10 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 1 1 2 0 0 0 1 4 5 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 3 6 9 0 0 0 2 5 7 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 4 4 8 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 6 10 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 1 1 2 0 0 0 1 4 5 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 1 4 5 0 0 0 2 2 4 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 3 6 9 0 0 0 2 5 7 0 0 0 0 0 0 0 1 2 3 0 0 0 0 1 1 0 0 0
0 0 0 4 4 8 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 4 6 10 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 5 0 0 0 1 5 6 0 0 0 0 0 0 0 1 1 2 0 0 0 0 1 1 0 0 0
0 0 0 1 1 2 0 0 0 1 4 5 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
ABS
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0

ABS

0
0
0
0
0
 0
0

ABS

0
0
0
0
0
0
0

ABS

0
0
 0
0
0
0
0

ABS

0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS MALINAU TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Halunuk 9 8 29 32 13 8 6 6 29 32 14 16 0 2 2 0 2 2 1 1 2 1 1 2 0 0 0 0
2 Panggungan 1 1 6 7 9 7 3 3 7 8 6 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Lumpangi 4 5 24 25 10 12 7 8 27 28 19 19 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0
4 Malinau 13 17 50 50 15 21 9 8 55 54 23 22 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0
5 Kamawakan 5 3 18 12 6 4 3 4 20 12 8 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 32 34 127 126 53 52 28 29 138 134 70 73 0 2 2 0 2 2 2 2 4 2 2 4 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS MALINAU TAHUN 2023
FEBRUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Halunuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0
2 Panggungan 0 0 0 0 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 Lumpangi 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 0 0 0
4 Malinau 0 0 0 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
5 Kamawakan 0 0 0 0 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 2 2 0 0 0 2 2 4 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS MALINAU TAHUN 2023
MARET

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Halunuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0
2 Panggungan 0 0 0 0 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 Lumpangi 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 0 0 0
4 Malinau 0 0 0 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
5 Kamawakan 0 0 0 0 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 2 2 0 0 0 2 2 4 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS MALINAU TAHUN 2023
APRIL

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Halunuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0
2 Panggungan 0 0 0 0 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 Lumpangi 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 0 0 0
4 Malinau 0 0 0 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
5 Kamawakan 0 0 0 0 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 2 2 0 0 0 2 2 4 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS MALINAU TAHUN 2023
MEI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Halunuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0
2 Panggungan 0 0 0 0 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 Lumpangi 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 0 0 0
4 Malinau 0 0 0 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
5 Kamawakan 0 0 0 0 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 2 2 0 0 0 2 2 4 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS MALINAU TAHUN 2023
JUNI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Halunuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0
2 Panggungan 0 0 0 0 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 Lumpangi 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 0 0 0
4 Malinau 0 0 0 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
5 Kamawakan 0 0 0 0 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 2 2 0 0 0 2 2 4 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS MALINAU TAHUN 2023
JULI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Halunuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0
2 Panggungan 0 0 0 0 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 Lumpangi 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 0 0 0
4 Malinau 0 0 0 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
5 Kamawakan 0 0 0 0 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 2 2 0 0 0 2 2 4 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS MALINAU TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Halunuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0
2 Panggungan 0 0 0 0 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 Lumpangi 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 0 0 0
4 Malinau 0 0 0 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
5 Kamawakan 0 0 0 0 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 2 2 0 0 0 2 2 4 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS MALINAU TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Halunuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0
2 Panggungan 0 0 0 0 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 Lumpangi 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 0 0 0
4 Malinau 0 0 0 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
5 Kamawakan 0 0 0 0 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 2 2 0 0 0 2 2 4 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS MALINAU TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Halunuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0
2 Panggungan 0 0 0 0 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 Lumpangi 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 0 0 0
4 Malinau 0 0 0 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
5 Kamawakan 0 0 0 0 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 2 2 0 0 0 2 2 4 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
PUSKESMAS MALINAU TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Halunuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0
2 Panggungan 0 0 0 0 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 Lumpangi 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 0 0 0
4 Malinau 0 0 0 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
5 Kamawakan 0 0 0 0 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 2 2 0 0 0 2 2 4 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

PUSKESMAS MALINAU TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Halunuk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 1 2 0 0 0 0
2 Panggungan 0 0 0 0 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 Lumpangi 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 0 0 0
4 Malinau 0 0 0 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
5 Kamawakan 0 0 0 0 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 2 2 0 0 0 2 2 4 0 0 0 0
 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
3 0 3 3 0 3 0 3 3 0 3 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 1 1 0 1 3 1 4 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 2 3 1 2 3 1 3 4 1 3 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 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
5 2 7 5 2 7 5 7 12 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 0 3 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 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 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 2 3 0 0 0 1 3 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 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 0 3 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 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 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 2 3 0 0 0 1 3 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 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 0 3 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 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 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 2 3 0 0 0 1 3 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 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 0 3 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 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 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 2 3 0 0 0 1 3 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 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 0 3 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 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 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 2 3 0 0 0 1 3 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 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 0 3 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 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 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 2 3 0 0 0 1 3 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 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 0 3 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 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 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 2 3 0 0 0 1 3 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 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 0 3 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 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 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 2 3 0 0 0 1 3 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 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 0 3 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 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 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 2 3 0 0 0 1 3 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 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 0 3 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 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 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 2 3 0 0 0 1 3 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 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 3 0 3 0 0 0 0 3 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 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 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 2 3 0 0 0 1 3 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 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ABS
0
0
0
0
0
0

ABS

0
0
0
0
0
0
ABS

0
0
0
0
0
0

ABS

0
0
0
0
0
0
ABS

0
0
0
0
0
0

ABS

0
0
0
0
0
0
ABS

0
0
0
0
0
0

ABS

0
0
0
0
0
0
ABS

0
0
0
0
0
0

ABS

0
0
0
0
0
0
ABS

0
0
0
0
0
0

ABS

0
0
0
0
0
0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
TAHUN 2023
Bulan : JANUARI

Sasaran Riil Sasaran Proyeksi Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Anak Balita Pra Sekolah Bayi Anak Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Kandangan 147 164 620 550 351 295 163 170 821 857 314 268 12 10 22 12 10 22 11 6 17 11 6 17 0 0 0 0
2 Jambu Hilir 154 138 569 543 126 106 152 156 623 637 301 363 10 9 19 10 9 19 6 9 15 6 9 15 0 0 0 0
3 Gambah 39 30 161 156 49 28 49 53 195 220 126 135 3 6 9 3 6 9 3 1 4 3 1 4 0 0 0 0
4 Bayanan 85 86 423 407 62 61 91 86 386 338 125 122 8 3 11 8 3 11 8 10 18 8 10 18 0 0 0 0
5 Baruh Jaya 108 109 500 498 49 47 222 210 466 461 133 146 11 10 21 11 10 21 9 4 13 9 4 13 0 0 0 0
6 Sungai Pinang 107 98 511 480 0 0 115 111 460 460 297 289 7 9 16 7 9 16 10 15 25 10 15 25 0 0 0 0
7 Bajayau 52 58 302 302 148 130 59 57 304 280 140 130 16 18 34 16 18 34 3 6 9 3 6 9 0 0 0 0
8 Negara 162 148 597 612 178 142 175 153 674 566 0 0 12 12 24 12 12 24 12 13 25 12 13 25 0 0 0 0
9 Pasungkan 98 82 325 330 100 82 99 96 414 391 138 134 2 6 8 2 6 8 9 9 18 9 9 18 0 0 0 0
10 Simpur 64 58 285 275 42 55 66 69 276 278 0 0 3 4 7 3 4 7 4 3 7 4 3 7 0 0 0 0
11 Wasah 47 29 149 169 27 36 47 45 190 189 95 113 5 1 6 5 1 6 2 1 3 2 1 3 0 0 0 0
12 Sungai Raya 69 67 377 332 52 52 81 85 350 329 97 79 1 7 8 1 7 8 10 6 16 10 6 16 0 0 0 0
13 Batang Kulur 48 33 175 177 36 42 52 50 251 252 130 133 2 2 4 2 2 4 5 2 7 5 2 7 0 0 0 0
14 Padang Batung 87 59 274 242 51 56 60 69 246 282 158 175 7 2 9 7 2 9 12 6 18 12 6 18 0 0 0 0
15 Kaliring 96 88 298 304 70 71 85 91 348 375 70 71 6 8 14 6 8 14 7 6 13 7 6 13 0 0 0 0
16 Angkinang 83 75 329 299 184 154 94 93 390 376 244 243 9 11 20 9 11 20 6 7 13 6 7 13 0 0 0 0
17 Bamban 36 34 194 205 92 88 47 50 194 205 92 88 2 1 3 2 1 3 3 2 5 3 2 5 0 0 0 0
18 Telaga Langsat 65 76 263 251 74 45 72 82 318 313 74 45 3 6 9 3 6 9 4 5 9 4 5 9 0 0 0 0
19 Kalumpang 52 38 198 178 43 51 52 50 213 206 133 131 2 6 8 2 6 8 2 2 4 2 2 4 0 0 0 0
20 Loksado 47 30 202 153 43 46 38 34 159 172 43 46 7 7 14 7 7 14 5 0 5 5 0 5 0 0 0 0
21 Malinau 32 34 127 126 53 52 28 29 138 134 70 73 0 2 2 0 2 2 2 2 4 2 2 4 0 0 0 0
JUMLAH 1678 1534 6879 6589 1830 1639 1847 1839 7416 7321 2780 2784 128 140 268 128 140 268 133 115 248 133 115 248 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

TAHUN 2023
FEBRUARI
 Sasaran Riil Sasaran Cakupan Bayi DDTK
Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Kandangan 147 164 620 550 351 295 163 170 821 857 314 268 7 4 11 19 14 33 13 8 21 24 14 38 0 0 0 0
2 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 19 0 0 0 6 9 15 0 0 0 0
3 Gambah 39 30 161 156 49 28 49 53 195 220 126 135 1 2 3 4 8 12 3 0 3 6 1 7 0 0 0 0
4 Bayanan 85 86 423 407 75 76 91 86 386 338 125 122 4 1 5 12 4 16 5 10 15 12 20 32 0 0 0 0
5 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0
6 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0
7 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 18 34 0 0 0 3 6 9 0 0 0 0
8 Negara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 24 0 0 0 12 13 25 0 0 0 0
9 Pasungkan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0
10 Simpur 64 58 285 275 42 55 66 69 276 278 0 0 1 4 5 4 8 12 4 2 6 8 5 13 0 0 0 0
11 Wasah 47 29 149 169 27 37 47 45 190 189 95 113 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0
12 Sungai Raya 69 67 377 332 52 52 81 85 350 329 97 79 3 7 10 4 14 18 4 4 8 14 10 24 0 0 0 0
13 Batang Kulur 50 37 175 177 36 42 52 50 251 252 130 133 0 0 0 2 2 4 0 0 0 5 2 7 0 0 0 0
14 Padang Batung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 2 9 0 0 0 12 6 18 0 0 0 0
15 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 14 0 0 0 7 6 13 0 0 0 0
16 Angkinang 83 75 329 299 184 154 94 93 390 376 244 243 6 5 11 15 16 31 5 8 13 11 15 26 0 0 0 0
17 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0
18 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9 0 0 0 4 5 9 0 0 0 0
19 Kalumpang 52 38 198 178 43 51 52 50 213 206 133 131 7 2 9 9 8 17 8 4 12 10 6 16 0 0 0 0
20 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0
21 Malinau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 2 4 0 0 0 0
JUMLAH 636 584 2717 2543 859 790 695 701 3072 3045 1264 1224 29 25 54 157 165 322 42 36 78 174 151 325 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

TAHUN 2023
MARET

Sasaran Riil Sasaran Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
 No Desa

L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS

1 Kandangan 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0 0
2 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 19 0 0 0 6 9 15 0 0 0 0
3 Gambah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0
4 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0
5 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0
6 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0
7 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 18 34 0 0 0 3 6 9 0 0 0 0
8 Negara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 24 0 0 0 12 13 25 0 0 0 0
9 Pasungkan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0
10 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0
11 Wasah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0
12 Sungai Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0 0
13 Batang Kulur 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 0 0 0
14 Padang Batung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 2 9 0 0 0 12 6 18 0 0 0 0
15 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 14 0 0 0 7 6 13 0 0 0 0
16 Angkinang 83 75 329 299 184 154 94 93 390 376 244 243 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0 0
17 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0
18 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9 0 0 0 4 5 9 0 0 0 0
19 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0
20 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0
21 Malinau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 2 4 0 0 0 0
JUMLAH 230 239 949 849 535 449 257 263 1211 1233 558 511 0 0 0 157 165 322 0 0 0 169 149 318 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

TAHUN 2023
APRIL

Sasaran Riil Sasaran Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Kandangan 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0 0
2 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 19 0 0 0 6 9 15 0 0 0 0
 3 Gambah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0
4 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0
5 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0
6 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0
7 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 18 34 0 0 0 3 6 9 0 0 0 0
8 Negara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 24 0 0 0 12 13 25 0 0 0 0
9 Pasungkan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0
10 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0
11 Wasah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0
12 Sungai Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0 0
13 Batang Kulur 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 0 0 0
14 Padang Batung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 2 9 0 0 0 12 6 18 0 0 0 0
15 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 14 0 0 0 7 6 13 0 0 0 0
16 Angkinang 83 75 329 299 184 154 94 93 390 376 244 243 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0 0
17 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0
18 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9 0 0 0 4 5 9 0 0 0 0
19 Kalumpang 0 0 0 0 0 0 0 0 213 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0
20 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0
21 Malinau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 2 4 0 0 0 0
JUMLAH 230 239 949 849 535 449 257 263 1424 1233 558 511 0 0 0 157 165 322 0 0 0 169 149 318 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

TAHUN 2023
MEI

Sasaran Riil Sasaran Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Kandangan 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0 0
2 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 19 0 0 0 6 9 15 0 0 0 0
3 Gambah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0
4 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0
5 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0
 6 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0
7 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 18 34 0 0 0 3 6 9 0 0 0 0
8 Negara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 24 0 0 0 12 13 25 0 0 0 0
9 Pasungkan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0
10 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0
11 Wasah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0
12 Sungai Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0 0
13 Batang Kulur 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 0 0 0
14 Padang Batung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 2 9 0 0 0 12 6 18 0 0 0 0
15 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 14 0 0 0 7 6 13 0 0 0 0
16 Angkinang 83 75 329 299 184 154 94 93 390 376 244 243 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0 0
17 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0
18 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9 0 0 0 4 5 9 0 0 0 0
19 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0
20 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0
21 Malinau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 2 4 0 0 0 0
JUMLAH 230 239 949 849 535 449 257 263 1211 1233 558 511 0 0 0 157 165 322 0 0 0 169 149 318 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

TAHUN 2023
JUNI

Sasaran Riil Sasaran Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Kandangan 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0 0
2 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 19 0 0 0 6 9 15 0 0 0 0
3 Gambah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0
4 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0
5 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0
6 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0
7 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 18 34 0 0 0 3 6 9 0 0 0 0
8 Negara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 24 0 0 0 12 13 25 0 0 0 0
 9 Pasungkan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0
10 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0
11 Wasah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0
12 Sungai Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0 0
13 Batang Kulur 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 0 0 0
14 Padang Batung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 2 9 0 0 0 12 6 18 0 0 0 0
15 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 14 0 0 0 7 6 13 0 0 0 0
16 Angkinang 83 75 329 299 184 154 94 93 390 376 244 243 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0 0
17 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0
18 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9 0 0 0 4 5 9 0 0 0 0
19 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0
20 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0
21 Malinau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 2 4 0 0 0 0
JUMLAH 230 239 949 849 535 449 257 263 1211 1233 558 511 0 0 0 157 165 322 0 0 0 169 149 318 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

TAHUN 2023
JULI

Sasaran Riil Sasaran Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Kandangan 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0 0
2 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 19 0 0 0 6 9 15 0 0 0 0
3 Gambah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0
4 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0
5 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0
6 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0
7 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 18 34 0 0 0 3 6 9 0 0 0 0
8 Negara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 24 0 0 0 12 13 25 0 0 0 0
9 Pasungkan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0
10 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0
11 Wasah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0
 12 Sungai Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0 0
13 Batang Kulur 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 0 0 0
14 Padang Batung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 2 9 0 0 0 12 6 18 0 0 0 0
15 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 14 0 0 0 7 6 13 0 0 0 0
16 Angkinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0 0
17 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0
18 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9 0 0 0 4 5 9 0 0 0 0
19 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0
20 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0
21 Malinau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 2 4 0 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 157 165 322 0 0 0 169 149 318 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

TAHUN 2023
AGUSTUS

Sasaran Riil Sasaran Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Kandangan 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0 0
2 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 19 0 0 0 6 9 15 0 0 0 0
3 Gambah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0
4 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0
5 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0
6 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0
7 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 18 34 0 0 0 3 6 9 0 0 0 0
8 Negara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 24 0 0 0 12 13 25 0 0 0 0
9 Pasungkan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0
10 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0
11 Wasah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0
12 Sungai Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0 0
13 Batang Kulur 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 0 0 0
14 Padang Batung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 2 9 0 0 0 12 6 18 0 0 0 0
 15 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 14 0 0 0 7 6 13 0 0 0 0
16 Angkinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0 0
17 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0
18 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9 0 0 0 4 5 9 0 0 0 0
19 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0
20 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0
21 Malinau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 2 4 0 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 157 165 322 0 0 0 169 149 318 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

TAHUN 2023
SEPTEMBER

Sasaran Riil Sasaran Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Kandangan 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0 0
2 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 19 0 0 0 6 9 15 0 0 0 0
3 Gambah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0
4 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0
5 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0
6 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0
7 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 18 34 0 0 0 3 6 9 0 0 0 0
8 Negara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 24 0 0 0 12 13 25 0 0 0 0
9 Pasungkan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0
10 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0
11 Wasah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0
12 Sungai Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0 0
13 Batang Kulur 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 0 0 0
14 Padang Batung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 2 9 0 0 0 12 6 18 0 0 0 0
15 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 14 0 0 0 7 6 13 0 0 0 0
16 Angkinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0 0
17 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0
 18 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9 0 0 0 4 5 9 0 0 0 0
19 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0
20 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0
21 Malinau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 2 4 0 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 157 165 322 0 0 0 169 149 318 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

TAHUN 2023
OKTOBER

Sasaran Riil Sasaran Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Kandangan 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0 0
2 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 19 0 0 0 6 9 15 0 0 0 0
3 Gambah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0
4 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0
5 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0
6 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0
7 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 18 34 0 0 0 3 6 9 0 0 0 0
8 Negara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 24 0 0 0 12 13 25 0 0 0 0
9 Pasungkan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0
10 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0
11 Wasah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0
12 Sungai Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0 0
13 Batang Kulur 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 0 0 0
14 Padang Batung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 2 9 0 0 0 12 6 18 0 0 0 0
15 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 14 0 0 0 7 6 13 0 0 0 0
16 Angkinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0 0
17 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0
18 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9 0 0 0 4 5 9 0 0 0 0
19 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0
20 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0
21 Malinau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 2 4 0 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 157 165 322 0 0 0 169 149 318 0 0 0 0

FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH

TAHUN 2023
NOPEMBER

Sasaran Riil Sasaran Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Kandangan 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0 0
2 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 19 0 0 0 6 9 15 0 0 0 0
3 Gambah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0
4 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0
5 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0
6 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0
7 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 18 34 0 0 0 3 6 9 0 0 0 0
8 Negara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 24 0 0 0 12 13 25 0 0 0 0
9 Pasungkan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0
10 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0
11 Wasah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0
12 Sungai Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0 0
13 Batang Kulur 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 0 0 0
14 Padang Batung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 2 9 0 0 0 12 6 18 0 0 0 0
15 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 14 0 0 0 7 6 13 0 0 0 0
16 Angkinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0 0
17 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0
18 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9 0 0 0 4 5 9 0 0 0 0
19 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0
20 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0
21 Malinau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 2 4 0 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 157 165 322 0 0 0 169 149 318 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
TAHUN 2023
DESEMBER

Sasaran Riil Sasaran Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Kandangan 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 19 14 33 0 0 0 24 14 38 0 0 0 0
2 Jambu Hilir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 9 19 0 0 0 6 9 15 0 0 0 0
3 Gambah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 6 1 7 0 0 0 0
4 Bayanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 4 16 0 0 0 12 20 32 0 0 0 0
5 Baruh Jaya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 21 0 0 0 9 4 13 0 0 0 0
6 Sungai Pinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16 0 0 0 10 15 25 0 0 0 0
7 Bajayau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 18 34 0 0 0 3 6 9 0 0 0 0
8 Negara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 24 0 0 0 12 13 25 0 0 0 0
9 Pasungkan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0 0 9 9 18 0 0 0 0
10 Simpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0 0 8 5 13 0 0 0 0
11 Wasah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 6 0 0 0 2 1 3 0 0 0 0
12 Sungai Raya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 14 18 0 0 0 14 10 24 0 0 0 0
13 Batang Kulur 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 0 0 0
14 Padang Batung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 2 9 0 0 0 12 6 18 0 0 0 0
15 Kaliring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 14 0 0 0 7 6 13 0 0 0 0
16 Angkinang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 16 31 0 0 0 11 15 26 0 0 0 0
17 Bamban 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 3 2 5 0 0 0 0
18 Telaga Langsat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9 0 0 0 4 5 9 0 0 0 0
19 Kalumpang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0 0 10 6 16 0 0 0 0
20 Loksado 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 0 0 0 5 0 5 0 0 0 0
21 Malinau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 2 4 0 0 0 0
JUMLAH 147 164 620 550 351 295 163 170 821 857 314 268 0 0 0 157 165 322 0 0 0 169 149 318 0 0 0 0
 FORMULIR LAPORAN SDIDTK BAYI,ANAK BALITA DAN PRA SEKOLAH
TAHUN 2023
JANUARI - DESEMBER

Sasaran Riil Sasaran Cakupan Bayi DDTK

Kunj. Bayi DDTK Kunj. Bayi DDTK
No Desa Bayi Balita Pra Sekolah Bayi Balita Pra Sekolah KUMULATIF KUMULATIF Dirujuk
Kontak 1x 4 x/ tahun
L P L P L P L P L P L P L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS
1 Kandangan 160 156 690 694 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Jambu Hilir 143 140 641 643 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gambah 47 45 215 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bayanan 85 80 391 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Baruh Jaya 110 91 496 452 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Sungai Pinang 110 95 465 480 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bajayau 55 53 245 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Negara 150 135 645 652 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Pasungkan 100 90 425 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Simpur 62 61 287 290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Wasah 42 43 213 184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Sungai Raya 74 75 360 337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Batang Kulur 46 45 218 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Padang Batung 57 61 279 269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kaliring 87 80 370 374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Angkinang 90 85 390 398 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Bamban 46 45 220 200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Telaga Langsat 70 69 326 326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Kalumpang 49 46 227 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Loksado 39 35 188 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Malinau 26 27 131 121 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 1648 1557 7422 7234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

 Cakupan Anak Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
20 9 29 20 9 29 57 44 101 57 44 101 0 0 0 0 21 9 30 21 30 51 7 7 14 7 14 21 0 0 0
17 17 34 17 17 34 39 36 75 39 36 75 0 0 0 0 2 2 4 2 2 4 4 3 7 5 3 8 0 0 0
10 8 18 10 8 18 7 9 16 7 9 16 0 0 0 0 4 7 11 4 7 11 1 2 3 1 2 3 0 0 0
32 29 61 32 29 61 21 21 42 21 21 42 0 0 0 0 9 5 14 9 5 14 6 1 7 6 1 7 0 0 0
17 33 50 17 33 50 15 18 33 15 18 33 0 0 0 0 5 4 9 5 9 14 3 3 6 3 6 9 0 0 0
27 30 57 27 30 57 30 19 49 30 19 49 0 0 0 0 5 4 9 5 4 9 11 4 15 11 4 15 0 0 0
29 32 61 29 32 61 7 9 16 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 37 83 46 37 83 38 38 76 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 38 62 24 38 62 37 39 76 37 39 76 0 0 0 0 13 11 24 13 11 24 9 3 12 9 3 12 0 0 0
21 19 40 21 19 40 19 15 34 19 15 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 13 20 7 13 20 3 6 9 3 6 9 0 0 0 0 1 2 3 1 3 4 1 1 2 1 2 3 0 0 0
8 11 19 8 11 19 38 30 68 38 30 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 7 19 12 7 19 11 14 25 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 14 36 22 14 36 19 16 35 19 16 35 0 0 0 0 3 7 10 3 10 13 5 5 10 5 10 15 0 0 0
5 6 11 5 11 16 7 1 8 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 23 46 23 23 46 20 20 40 20 20 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 12 28 16 22 38 7 14 21 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 18 40 22 18 40 26 26 52 26 26 52 0 0 0 0 8 3 11 8 3 11 6 8 14 6 8 14 0 0 0
8 12 20 8 12 20 15 12 27 15 27 42 0 0 0 0 2 6 8 2 6 8 0 6 6 0 6 6 0 0 0
15 9 24 15 24 39 6 13 19 6 19 25 0 0 0 0 4 2 6 4 6 10 0 4 4 0 4 4 0 0 0
5 2 7 5 2 7 5 7 12 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
386 379 765 386 409 795 427 407 834 427 442 869 0 0 0 0 77 62 139 77 96 173 53 47 100 54 63 117 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
13 10 23 33 19 52 45 49 94 102 93 195 0 0 0 0 20 8 28 41 38 79 11 14 25 18 28 46 0 0 0
0 0 0 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 5 3 8 0 0 0
24 17 41 34 25 59 12 8 20 19 17 36 0 0 0 0 5 3 8 9 10 19 6 3 9 7 5 12 0 0 0
34 27 61 66 56 122 23 18 41 44 39 83 0 0 0 0 7 8 15 15 13 28 6 4 10 12 5 17 0 0 0
0 0 0 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 3 6 9 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
16 12 28 37 31 68 6 10 16 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
4 5 9 12 16 28 15 20 35 53 50 103 0 0 0 0 104 111 215 104 111 215 0 0 0 0 0 0 0 0 0
0 0 0 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
0 0 0 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 21 55 57 44 101 22 18 40 42 38 80 0 0 0 0 94 76 170 94 76 170 90 78 168 90 78 168 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
19 15 34 27 27 54 16 20 36 31 47 78 0 0 0 0 6 6 12 8 12 20 1 4 5 1 10 11 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 107 251 530 516 1046 139 143 282 566 585 1151 0 0 0 0 236 212 448 312 308 620 114 103 217 168 166 334 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun
L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0 0
0 0 0 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0
0 0 0 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0 0
0 0 0 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
0 0 0 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 530 516 1046 0 0 0 566 585 1151 0 0 0 0 0 0 0 312 308 620 0 0 0 152 251 403 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0 0
0 0 0 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0
0 0 0 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0 0
0 0 0 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
0 0 0 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 530 516 1046 0 0 0 566 585 1151 0 0 0 0 0 0 0 312 308 620 0 0 0 152 251 403 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0 0
0 0 0 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0
0 0 0 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0 0
0 0 0 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
0 0 0 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 530 516 1046 0 0 0 566 585 1151 0 0 0 0 0 0 0 312 308 620 0 0 0 152 251 403 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0 0
0 0 0 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0
0 0 0 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0 0
0 0 0 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
0 0 0 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 530 516 1046 0 0 0 566 585 1151 0 0 0 0 0 0 0 312 308 620 0 0 0 152 251 403 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0 0
0 0 0 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0
0 0 0 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0 0
0 0 0 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
0 0 0 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 530 516 1046 0 0 0 566 585 1151 0 0 0 0 0 0 0 312 308 620 0 0 0 152 251 403 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0 0
0 0 0 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0
0 0 0 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0 0
0 0 0 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
0 0 0 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 530 516 1046 0 0 0 566 585 1151 0 0 0 0 0 0 0 312 308 620 0 0 0 152 251 403 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0 0
0 0 0 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0
0 0 0 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0 0
0 0 0 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
0 0 0 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 530 516 1046 0 0 0 566 585 1151 0 0 0 0 0 0 0 312 308 620 0 0 0 152 251 403 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0 0
0 0 0 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0
0 0 0 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0 0
0 0 0 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
0 0 0 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 530 516 1046 0 0 0 566 585 1151 0 0 0 0 0 0 0 312 308 620 0 0 0 152 251 403 0 0 0

Cakupan Balita DDTK Cakupan Pra Sekolah DDTK

Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0 0
0 0 0 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0
0 0 0 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0 0
0 0 0 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
0 0 0 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 530 516 1046 0 0 0 566 585 1151 0 0 0 0 0 0 0 312 308 620 0 0 0 152 251 403 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 33 19 52 0 0 0 102 93 195 0 0 0 0 0 0 0 41 38 79 0 0 0 11 25 36 0 0 0
0 0 0 17 17 34 0 0 0 39 36 75 0 0 0 0 0 0 0 2 2 4 0 0 0 0 3 3 0 0 0
0 0 0 34 25 59 0 0 0 19 17 36 0 0 0 0 0 0 0 9 10 19 0 0 0 6 9 15 0 0 0
0 0 0 66 56 122 0 0 0 44 39 83 0 0 0 0 0 0 0 15 13 28 0 0 0 12 5 17 0 0 0
0 0 0 17 33 50 0 0 0 15 18 33 0 0 0 0 0 0 0 5 9 14 0 0 0 0 0 0 0 0 0
0 0 0 27 30 57 0 0 0 30 19 49 0 0 0 0 0 0 0 5 4 9 0 0 0 11 4 15 0 0 0
0 0 0 29 32 61 0 0 0 7 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 46 37 83 0 0 0 38 38 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 24 38 62 0 0 0 37 39 76 0 0 0 0 0 0 0 13 11 24 0 0 0 9 3 12 0 0 0
0 0 0 37 31 68 0 0 0 25 25 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 13 20 0 0 0 3 6 9 0 0 0 0 0 0 0 1 3 4 0 0 0 1 2 3 0 0 0
0 0 0 12 16 28 0 0 0 53 50 103 0 0 0 0 0 0 0 104 111 215 0 0 0 0 0 0 0 0 0
0 0 0 12 7 19 0 0 0 11 14 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 14 36 0 0 0 19 16 35 0 0 0 0 0 0 0 3 10 13 0 0 0 5 10 15 0 0 0
0 0 0 5 11 16 0 0 0 7 8 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 57 44 101 0 0 0 42 38 80 0 0 0 0 0 0 0 94 76 170 0 0 0 90 168 258 0 0 0
0 0 0 16 22 38 0 0 0 7 21 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 18 40 0 0 0 26 26 52 0 0 0 0 0 0 0 8 3 11 0 0 0 6 8 14 0 0 0
0 0 0 27 27 54 0 0 0 31 47 78 0 0 0 0 0 0 0 8 12 20 0 0 0 1 10 11 0 0 0
0 0 0 15 24 39 0 0 0 6 19 25 0 0 0 0 0 0 0 4 6 10 0 0 0 0 4 4 0 0 0
0 0 0 5 2 7 0 0 0 5 7 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 530 516 1046 0 0 0 566 585 1151 0 0 0 0 0 0 0 312 308 620 0 0 0 152 251 403 0 0 0
 Cakupan Balita DDTK Cakupan Pra Sekolah DDTK
Kunj. Balita DDTK Kunj. Balita DDTK Kunj. DDTK Kunj. DDTK
KUMULATIF KUMULATIF Dirujuk KUMULATIF KUMULATIF Dirujuk
Kontak 1x 2 x/ tahun Kontak 1x 2 x/ tahun

L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL ABS L P L+P L P TOTAL L P L+P L P TOTAL L P TOTAL
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ABS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

ABS

0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0

ABS

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0

ABS

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ABS

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 % TOTAL

NO PUSKESMAS JANUARI FEBRUARI

BAYI BALITA PRASEKOLAH BAYI BALITA PRASEKOLAH
KAB PROV KAB PROV KAB PROV KAB PROV KAB PROV KAB
1 Kandangan 7 7 31 31 0 0 11 11 53 53 338
2 Jambu Hilir 25 25 59 59 1 1 28 28 79 79 7
3 Gambah 3 3 18 18 0 0 4 4 17 17 0
4 Bayanan 9 9 44 44 12 12 15 15 48 48 10
5 Baruh Jaya 18 18 32 32 0 0 19 19 54 54 0
6 Sungai Pinang 11 11 54 54 29 29 16 16 67 67 14
7 Bajayau 5 5 21 21 2 2 10 10 28 28 10
8 Negara 30 30 81 81 0 0 35 35 79 79 171
9 Pasungkan 0 0 4 4 0 0 2 2 8 8 0
10 Simpur 13 13 13 13 0 0 5 5 11 11 0
11 Wasah 6 6 14 14 0 0 0 0 0 0 0
12 Sungai Raya 13 13 59 59 117 117 23 23 69 69 67
13 Batang Kulur 5 5 21 21 0 0 10 10 27 27 0
14 Padang Batung 7 7 54 54 0 0 6 6 40 40 68
15 Kaliring 17 17 5 5 0 0 3 3 4 4 0
16 Angkinang 14 14 54 54 0 0 12 12 173 173 185
17 Bamban 10 10 9 9 0 0 10 10 9 9 0
18 Telaga Langsat 19 19 43 43 15 15 12 12 31 31 18
19 Kalumpang 7 7 21 21 3 3 6 6 21 21 2
20 Loksado 5 5 6 6 0 0 5 5 5 5 0
21 Malinau 10 10 10 10 0 0 6 6 15 15 146
JUMLAH 234 234 653 653 179 179 238 238 838 838 1036
 MARET
PRASEKOLAH BAYI BALITA PRASEKOLAH
PROV KAB PROV KAB PROV KAB PROV
338 10 10 31 31 0 0
7 24 24 66 66 1 1
0 4 4 23 23 0 0
10 24 24 62 62 13 13
0 15 15 40 40 0 0
14 17 17 70 70 15 15
10 11 11 29 29 0 0
171 31 31 75 75 178 178
0 10 10 11 11 0 0
0 10 10 13 13 0 0
0 0 0 0 0 0 0
67 24 24 58 58 13 13
0 5 5 27 27 0 0
68 6 6 39 39 12 12
0 5 5 1 1 0 0
185 12 12 82 82 0 0
0 7 7 6 6 0 0
18 11 11 37 37 20 20
2 12 12 35 35 6 6
0 16 16 22 22 1 1
146 2 2 9 9 0 0
1036 256 256 736 736 259 259