PUSKESMAS : LESUNG BATU

BULAN AN : JUNI
KI

BLN BLN

JUMLAH BUMIL

JUMLAH AKSES
JUMLAH BULIN

JUMLAH BAYI
KUM

NO NAMA DESA
L I

A N A
%
L I B

U S

1 Babatan 143 137 130 10 10 57 39.9

Lesung 63 57
60
2 Batu 6 6 31 49.2
Tanjung 40 36
38
3 Alam 3 3 18 45.0
Rantau 23 21
22
4 Alih 2 2 11 47.8
5 Sukarami 24 23 22 2 2 9 37.5
Rantau 22 20
21
6 Kasai 2 2 9 40.9
Lubuk Cik 24 23 22
7 2 2 9 37.5
Karang 25 23
24
8 Tanding 2 2 14 56.0
9 Muara dan 29 28 26 3 3 11 37.9
10 Endalo 24 23 22 2 2 9 37.5
11 Lubuk Tap 24 23 22 2 2 9 37.5
12 Batu Ampa 24 23 22 2 2 9 37.5
13 Nibung 45 43 41 7 7 26 57.8
14 Pagar Jati 23 22 21 2 2 9 39.1
15 Tanjung Ja 21 20 19 2 2 9 42.9
16 Umo Jati 55 53 50 7 7 52 94.5
Puskesmas 610 582 554 56 56 292 47.9
 FORMULIR PELAPORAN PELAYANAN KESEHA
F1/SMH/2022

K4 DETEKSI FAKTOR RESIKO

NAKES NON NAKES

BLN BLN
KUM
BLN BLN BLN BLN
KUM
L I L I L I

A N A A N A A N
% %
L I B L I B L I

U S U S U

7 7 43 30.1 0 0 0 0.0 0 0

3 3 22 34.9 0 0 0 0.0 0 0

2 2 11 27.5 0 0 0 0.0 0 0

1 1 6 26.1 0 0 0 0.0 0 0
1 1 6 25.0 0 0 0 0.0 0 0

1 1 6 27.3 0 0 0 0.0 0 0

1 1 6 25.0 0 0 0 0.0 0 0

1 1 8 32.0 0 0 0 0.0 0 0
1 1 6 20.7 0 0 0 0.0 0 0
1 1 6 25.0 0 0 0 0.0 0 0
1 1 4 16.7 0 0 0 0.0 0 0
1 1 6 25.0 0 0 0 0.0 0 0
1 1 8 17.8 0 0 0 0.0 0 0
1 1 4 17.4 0 0 0 0.0 0 0
1 1 3 14.3 0 0 0 0.0 0 0
4 4 28 50.9 0 0 0 0.0 0 0
28 28 173 28.4 0 0 0 0.0 0 0
RAN PELAYANAN KESEHATAN IBU HAMIL BULAN JUNI 2023
F1/SMH/2022

KUNJ. NEONATUS (KN 1) KUNJ. NEONATUS (KN 2)

NON NAKES
BLN BLN BLN BLN
KUM KUM
KUM
L I L I

A A N A A N A
% % %
B L I B L I B

S U S U S

0 0 9 9 55 42.3 9 9 55 42.3

0 0 5 5 31 54.4 5 5 31 54.4

0 0 4 4 21 58.3 4 4 21 58.3

0 0 3 3 12 57.1 3 3 12 57.1
0 0 3 3 12 54.5 3 3 12 54.5

0 0 3 3 11 55.0 3 3 11 55.0

0 0 2 2 9 40.9 2 2 9 40.9

0 0 2 2 12 52.2 2 2 12 52.2
0 0 2 2 9 34.6 2 2 9 34.6
0 0 2 2 9 40.9 2 2 9 40.9
0 0 2 2 12 54.5 2 2 12 54.5
0 0 2 2 9 40.9 2 2 9 40.9
0 0 3 3 21 51.2 3 3 21 51.2
0 0 2 2 9 42.9 2 2 9 42.9
0 0 2 2 9 47.4 2 2 9 47.4
0 0 9 9 51 102.0 9 9 51 102.0
0 0 55 55 292 52.7 55 55 292 52.7
 KUNJ. NEONATUS (KN 3) PESALINAN

NAKES DUKUN TERLATIH

BLN BLN
KUM
BLN BLN BLN BLN
KUM
L I L I L I

A N A A N A A N
% %
L I B L I B L I

U S U S U

7 7 36 27.7 9 9 55 40.1 0 0

4 4 20 35.1 5 5 31 51.7 0 0

2 2 12 33.3 4 4 21 55.3 0 0

2 2 9 42.9 3 3 12 54.5 0 0
2 2 9 40.9 3 3 12 52.2 0 0

2 2 9 45.0 3 3 11 52.4 0 0

1 1 3 13.6 2 2 9 39.1 0 0

1 1 5 21.7 2 2 12 50.0 0 0
1 1 3 11.5 2 2 9 32.1 0 0
1 1 6 27.3 2 2 9 39.1 0 0
1 1 3 13.6 2 2 12 52.2 0 0
1 1 6 27.3 2 2 9 39.1 0 0
2 2 11 26.8 3 3 21 48.8 0 0
1 1 3 14.3 2 2 9 40.9 0 0
1 1 3 15.8 2 2 9 45.0 0 0
7 7 35 70.0 9 9 51 96.2 0 0
36 36 173 31.2 55 55 292 50.2 0 0
DUKUN TERLATIH

KUM

A
%
B

0 0.0

0 0.0

0 0.0

0 0.0
0 0.0

0 0.0

0 0.0

0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
Cak. Penanganan Komplikasi Rujuk Kasus Risti KEMATIAN IBU MATERNAL

KEMATIAN
Obstetri/

0-28 HARI
JUMLAH KASUS TEATUS

SEBAB
JUMLAH LAHIR MATI
Maternal Neonatal Maternal Neonatal

NEONATUS 0 - 28 HR
JUMLAH KEMATIAN
NEONATORUM
JUMLAH BBLR
PERDARAHAN EXLAMPSI INFEKSI DLL
A A A A

B B B B

S % S % S % S %

LAIN-LAIN
TETANUS

BBLR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 0 0 0 0.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui
PIMPINAN UPTD PUSKESMAS LESUNG BATU

Nurul Nuda,SKM `
Nip.197706082007012005
 KFI KF2 KF3 JUMLAH ASI
IMUNISASI YANG
BLN BLN BLN BLN BLN BLN
KUM KUM KUM MENERIMA

EKLUSIF
TT L L L s L I FE JUMLAH

A N A A N A A N A KIE
I II % % % I II ASI
L I B L I B L I B

U S U S U S

57 43 9 9 55 40.1 9 9 55 40.1 7 7 36 26.3 57 43 55 56

31 22 5 5 31 51.7 5 5 31 51.7 4 4 20 33.3 31 22 31 31
18 11 4 4 21 55.3 4 4 21 55.3 2 2 12 31.6 18 11 21 20
11 6 3 3 12 54.5 3 3 12 54.5 2 2 9 40.9 11 6 12 7
9 6 3 3 12 52.2 3 3 12 52.2 2 2 9 39.1 9 6 12 7
9 6 3 3 11 52.4 3 3 11 52.4 2 2 9 42.9 9 6 11 7
9 6 2 2 9 39.1 2 2 9 39.1 1 1 3 13.0 9 6 9 7
14 8 2 2 12 50.0 2 2 12 50.0 1 1 5 20.8 14 8 12 13
11 6 2 2 9 32.1 2 2 9 32.1 1 1 3 10.7 11 6 9 7
9 6 2 2 9 39.1 2 2 9 39.1 1 1 6 26.1 9 6 9 7
9 4 2 2 12 52.2 2 2 12 52.2 1 1 3 13.0 9 4 12 14
9 6 2 2 9 39.1 2 2 9 39.1 1 1 6 26.1 9 6 9 7
26 8 3 3 21 48.8 3 3 21 48.8 2 2 11 25.6 26 8 21 26
9 4 2 2 9 40.9 2 2 9 40.9 1 1 3 13.6 9 4 9 7
9 3 2 2 9 45.0 2 2 9 45.0 1 1 3 15.0 9 3 9 7
52 28 9 9 51 96.2 9 9 51 96.2 7 7 35 66.0 52 28 51 26
292 173 55 55 292 50.2 55 55 292 50.2 36 36 173 29.7 292 173 292 249

,
Bidan Koordinator

SRI KUSMAINI, Am.Keb

NIP.197707072007012014
 VIT

A
CAKUPAN

BUFAS

abs % KB

PUS

55 36
31 20
21 12
12 9
12 9
11 9
9 3
12 5
9 3
9 6
12 3
9 6
21 11
9 3
9 3
51 35
292 173