FORMAT LAPORAN GIZI

Puskesmas GOLOWELU
Bulan September

Posyandu Kader S K D N
No Desa PDDK 0-5 bln 6-11 bln 12-23 bln 24-59 bln Total 0-5 bln 6-11 bln 12-23 bln 24-59 bln Total 0-5 bln 6-11 bln 12-23 bln 24-59 bln Total 0-5 bln 6-11 bln 12-23 bln 24-59 bln Total
Ada Aktif Ada Aktif
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

1 NANTAL

2 COAL

3 SAMA

4 LEWUR

5 LAWI

6 PANGGA

7 S.KIONG

8 B.LEWAT

9 G.RU'U 1 1 5 5 1 5 2 2 9 5 12 14 24 26 1 5 2 2 4 7 8 11 15 25 1 5 2 2 4 5 6 9 13 21

10 C.SUKA

11 B.SURU

12 G.PUA

TOTAL

Pengelola Program Gizi

Karolina Lindas
NIP.1983011820098042002
###
 BALITA TURUN BERAT BADAN
Puskesmas GOLOWELU
Bulan September

1T 2T
No Desa 0-5 bln 6-11 bln 12-23 bln 24-59 bln Total 0-5 bln 6-11 bln 12-23 bln 24-59 bln Total
L P L P L P L P L P L P L P L P L P L P

1 NANTAL

2 COAL

3 SAMA

4 LEWUR

5 LAWI

6 PANGGA

7 S.KIONG

8 B.LEWAT
0 0 0 0 0 2 2 2 2 4 0 0 0 0 0 0 0 0 0 0
9 G.RU'U

10 C.SUKA

11 B.SURU

12 G.PUA
TOTAL 0 0 0 0 0 2 2 2 2 4 0 0 0 0 0 0 0 0 0 0

Pengelola Program Gizi

Karolina Lindas
NIP.1983011820098042002
 LAPORAN NTOB DAN BGM
Puskesmas : GOLOWELU
Bulan : September 23

T O B BGM
No Desa 0-5 bln 6-11 bln 12-23 bln 24-59 bln Total 0-5 bln 6-11 bln 12-23 bln 24-59 bln Total 0-5 bln 6-11 bln 12-23 bln 24-59 bln Total 0-5 bln 6-11 bln 12-23 bln 24-59 bln Total
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

1 NANTAL

2 COAL

3 SAMA

4 LEWUR

5 LAWI

6 PANGGA

7 S.KIONG

8 B.LEWAT

9 G.RU'U 0 0 0 0 0 2 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

10 C.SUKA

11 B.SURU

12 G.PUA

TOTAL

Pengelola Program Gizi

Karolina Lindas
NIP.198301182009042002
 LAPORAN STATUS GIZI MENURUT BERAT BADAN
Puskesmas GOLOWELU
Bulan Sep-23

KURUS (GIZI KURANG)

KASUS BARU KASUS LAMA

No Desa
BB/TB BB/U BB/TB BB/U
0-5 bln 6-11 bln 24-59 bln 0-5 bln 6-11 bln 24-59 bln 0-5 bln 6-11 bln 24-59 bln 0-5 bln 6-11 bln 24-59 bln
12-23 bln Total 12-23 bln Total 12-23 bln Total 12-23 bln Total

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

1 NANTAL

2 COAL

3 SAMA

4 LEWUR

5 LAWI

6 PANGGA

7 S.KIONG

8 B.LEWAT
0 0 0 0 0 2 1 1 1 3 0 0 0 0 2 2 0 1 2 3
9 G.RU'U

10 C.SUKA

11 B.SURU

12 G.PUA
TOTAL
Pengelola Program Gizi

Karolina lindas
NIP.198301182009042002
 LAPORAN STATUS GIZI MENURUT BERAT BADAN
Puskesmas GOLOWELU
Bulan Sep-23

SANGAT KURUS (GIZI BURUK)

KASUS BARU KASUS LAMA

No
BB/TB BB/U BB/TB BB/U
0-5 bln 6-11 bln 24-59 bln 0-5 bln 6-11 bln 24-59 bln 0-5 bln 6-11 bln 24-59 bln 0-5 bln 6-11 bln 24-59 bln
12-23 bln Total 12-23 bln Total 12-23 bln Total 12-23 bln Total

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

1 NANTAL

2 COAL

3 SAMA

4 LEWUR

5 LAWI

6 PANGGA

7 S.KIONG

8 B.LEWAT

9 G.RU'U 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 C.SUKA

11 BENTENG SURU

12 GOLO PUA

TOTAL

Pengelola Program Gizi

Karolina Lindas
NIP.198301182009042002
 LAPORAN STATUS GIZI MENURUT BERAT BADAN
Puskesmas GOLOWELU
Bulan Sep-23

GIZI BAIK GIZI LEBIH

No Desa
BB/TB BB/U BB/TB BB/U
0-5 bln 6-11 bln 24-59 bln 0-5 bln 6-11 bln 24-59 bln 0-5 bln 6-11 bln 24-59 bln 0-5 bln 6-11 bln 24-59 bln
12-23 bln Total 12-23 bln Total 12-23 bln Total 12-23 bln Total

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

1 NANTAL

2 COAL

3 SAMA

4 LEWUR

5 LAWI

6 PANGGA

7 S.KIONG

8 B.LEWAT
1 5 2 2 2 3 7 9 12 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 G.RU'U

10 C.SUIKA

11 B.SURU

12 G.PUA

TOTAL

Pengelola Program Gizi

Karolina lindas
NIP.198301182009042002
 LAPORAN ASI EKSKLUSIF 6 BULAN
Puskesmas GOLOWELU
Bulan Sep-23

SASARAN 6 BULAN BALITA YANG HADIR ASI EKLSUSIF TIDAK EKSLUSIF TIDAK HADIR
No Desa
L P L P L P L P L P

1
NANTAL
2
COAL
3
SAMA
4
LEWUR
5
LAWI
6
PANGGA
7
S.KIONG
8
B.LEWAT
9 1 5 1 5 1 5 0 0 0 0
G.RU'U
10
C.SUKA
11
B.SURU
12
GOLO PUA
TOTAL

Pengelola Program Gizi

Karolina Lindas
NIP.198301182009042002
 LAPORAN STATUS GIZI MENURUT TINGGI BADAN
Puskesmas GOLOWELU
Bulan :

TB/U PENDEK TB/USANGAT PENDEK TB/UNORMAL TINGGI

No Desa 0-5 bln 6-11 bln 24-59 bln 0-5 bln 6-11 bln 24-59 bln 0-5 bln 6-11 bln 24-59 bln 0-5 bln 6-11 bln 24-59 bln
12-23 bln Total 12-23 bln Total 12-23 bln Total 12-23 bln Total

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

1 NANTAL
2 COAL
3 SAMA
4 LEWUR
5 LAWI
6 PANGGA
7 S.KIONG
8 B.LEWAT
9 G.RU'U 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 B.SURU
11 C.SUKA
12 GOLO PUA

TOTAL

Pengelola Program Gizi

Mengetahui
Kepala PuskesmasGolowelu………………………….

Karolina Lindas
NIP.198301182009042002

Yoseph Sudi
NIP 19721227 199403 1 009