HALAMAN 1

LAPORAN BULAN : Februari 2017

REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS
PUSKESMAS : OINLASI JUMLAH PENDUDUK : 19.384 JIWA
KECAMATAN : AMANATUN SELATAN JUMLAH POSYANDU : 45
JUMLAH DESA : 13

JML BALITA YG ADA JML BALITA YG TERDAFTAR JML BALITA YG NAIK BERAT BADAN
DESA POSYANDU KADER
PENDUDUK
NOMOR

(S) & MEMPUNYAI KMS ( K ) BULAN INI ( N )

DESA
Ada Aktif 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-25 BLN 25-60 BLN
Ada Lapor Ada Lapor
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

1 OINLASI 2,376 0 0 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. Kobeklofo 0 0

2. Paris Oinlasi 0 0

3. Ayobiliko 0 0

4.Kantor Desa 0 0

2 KOKOI 1,411 0 0 0 0 0 0 0 0 2 1 7 3 12 9 24 19 77 2 1 7 3 12 9 24 19 77 1 0 4 1 4 1 4

I 0 0

II 2 1 5 2 7 9 15 16 57 2 1 5 2 7 9 15 16 57 1 0 3 1 2 1 1

III 0 0 2 1 5 0 9 3 20 0 0 2 1 5 0 9 3 20 0 0 1 0 2 0 3

3 FATULUNU 1,185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 NUNLEU 2,386 0 0 0 0 0 0 0 0 3 2 2 4 10 11 37 32 101 3 2 2 4 10 11 37 32 101 0 1 0 1 3 2 5

I 0 0

II 2 1 2 2 7 8 24 14 60 2 1 2 2 7 8 24 14 60 0 1 0 1 3 2 5

III 1 1 0 2 3 3 13 18 41 1 1 0 2 3 3 13 18 41 0 0 0 0 0 0 0

IV 0 0
5 KUALEU 2,114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 2,011 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0
II 0 0
III 0 0
IV 0 0
7 FAE 967 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0
II 0 0
III 0 0
IV 0 0

8 ANIN 1,279 0 0 0 0 0 0 0 0 4 4 6 3 10 7 27 25 86 4 4 6 3 10 7 27 25 86 1 3 0 0 3 2 4

I 1 3 0 1 4 4 12 11 36 1 3 0 1 4 4 12 11 36 1 2 0 0 2 1 2

II 0 1 2 0 1 1 3 7 15 0 1 2 0 1 1 3 7 15 0 1 0 0 1 1 2

III 3 0 4 2 5 2 12 7 35 3 0 4 2 5 2 12 7 35 0 0 0 0 0 0 0

IV 0 0
9 TOI 1,177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu I 0 0
Posyandu II 0 0
Posyandu III 0 0
10 NIFULEO 1,178 0 0 0 0 0 0 0 0 0 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

2 0 0

3 0 0

4 0 0
11 SUNU 1,305 0 0 0 0 0 0 0 0 6 5 7 8 14 9 40 52 141 6 5 7 8 14 9 40 52 141 2 3 2 3 6 4 11
I 3 3 3 2 3 4 12 13 43 3 3 3 2 3 4 12 13 43 1 1 0 1 0 2 2
II 1 1 1 2 5 0 11 14 35 1 1 1 2 5 0 11 14 35 0 1 1 1 4 0 3
 III 0 0 2 3 1 4 5 12 27 0 0 2 3 1 4 5 12 27 0 0 1 0 0 1 3
IV 2 1 1 1 5 1 12 13 36 2 1 1 1 5 1 12 13 36 1 1 0 1 2 1 3
12 LANU 939 0 0 0 0 0 0 0 0 3 2 8 4 5 9 32 30 93 3 2 8 4 5 9 32 30 93 3 2 3 0 2 2 5
I 2 0 3 1 1 4 11 17 39 2 0 3 1 1 4 11 17 39 2 0 0 0 0 0 1
II 1 1 2 3 3 3 15 5 33 1 1 2 3 3 3 15 5 33 1 1 1 0 1 2 1
III 0 1 3 0 1 2 6 8 21 0 1 3 0 1 2 6 8 21 0 1 2 0 1 0 3
13 NETUTNANA 1,056 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pos I 0 0

Pos II 0

0 0 0 0 0 0 0 0 18 14 30 22 51 45 160 158 498 18 14 30 22 51 45 160 158 498 7 9 9 5 18 11 29

JUMLAH 19,384
0 0 498 498 127

J I II III IV J
S 197 44 52 47 54 197
K 78 21 17 19 21 78
D 176 40 45 42 49 176
N 93 24 29 23 17 93

B 103 21 29 25 28 103
K 73 19 16 17 21 73
R 0 0 0 0 0 0

176 40 45 42 49 176
 HALAMAN
LAPORAN BULAN :JULI 2015

REKAPITULASI LAPORAN PENIMBANGAN

F/III/GIZI PUSKESMAS

BADAN JML BALITA YG TIDAK NAIK BERAT JML BALITA YG DI TIMBANG BULAN INI JML BALITA YG BARU HADIR JML BALITA YG DI TIMBANG
NOMOR

BADANNYA BULAN INI ( T ) TAPI TIDAK BULAN LALU ( O ) BULAN INI ( B ) BULAN INI ( D )
DESA
25-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN

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

0 1 OINLASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 21 1 KOKOI 1 1 3 0 3 3 3 3 17 0 0 0 0 2 1 3 1 7 0 0 0 0 0 0 0 0 0 2 1 7 1 9 5

0 0 0 0 0 0 0 0 0 0
5 14 1 1 2 0 2 3 3 1 13 0 0 0 0 1 1 2 1 5 0 0 0 0 0 0 0 0 0 2 1 5 1 5 5
1 7 0 0 1 0 1 0 0 2 4 0 0 0 0 1 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 2 0 4 0
0 0 1 FATULUNU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 16 1 NUNLEU 1 0 0 1 3 5 12 5 27 0 1 2 1 3 2 14 13 36 2 0 0 0 1 0 0 0 3 3 2 2 3 10 9

0 0 0 0 0 0 0 0 0 0
4 16 1 0 0 1 3 5 12 5 27 0 0 2 0 0 0 5 1 8 1 0 0 0 1 0 0 0 2 2 1 2 2 7 7
0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 3 2 9 12 28 1 0 0 0 0 0 0 0 1 1 1 0 1 3 2
0 0 0 0 0 0 0 0 0 0
0 0 1 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FAE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 20 1 ANIN 1 0 1 2 0 3 2 4 13 1 0 1 0 4 1 6 7 20 0 0 0 0 0 0 0 0 0 3 3 2 2 7 6

2 10 I 0 0 0 1 0 2 2 3 8 0 0 0 0 0 1 3 4 8 0 0 0 0 0 0 0 0 0 1 2 0 1 2 4
5 10 0 0 1 0 0 0 0 1 2 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1
0 0 1 0 0 1 0 1 0 0 3 1 0 1 0 4 0 2 3 11 0 0 0 0 0 0 0 0 0 2 0 1 1 4 1
0 0 0 0 0 0 0 0 0 0
0 0 1 TOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 NIFULEO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
15 46 11 SUNU 1 2 3 2 5 3 18 19 53 0 0 0 3 1 1 3 9 17 3 0 1 0 0 0 0 0 4 6 5 6 8 12 8
4 11 I 0 2 1 0 2 1 6 4 16 0 0 0 1 0 0 1 1 3 2 0 1 0 0 0 0 0 3 3 3 2 2 2 3
4 14 II 0 0 0 0 1 0 6 7 14 0 0 0 1 0 0 2 2 5 1 0 0 0 0 0 0 0 1 1 1 1 2 5 0
4 9 III 0 0 1 2 0 2 2 2 9 0 0 0 1 1 1 0 3 6 0 0 0 0 0 0 0 0 0 0 0 2 3 1 4
3 12 IV 1 0 1 0 2 0 4 6 14 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 2 1 1 1 4 1
7 24 11 LANU 0 0 0 2 1 5 14 11 33 0 0 3 0 1 1 3 8 16 0 0 1 0 0 0 2 1 4 3 2 7 2 4 8
2 5 0 0 0 1 0 3 5 7 16 0 0 2 0 1 1 2 4 10 0 0 0 0 0 0 1 1 2 2 0 2 1 1 4
1 8 0 0 0 1 1 0 9 3 14 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 2 1 1 2 1 2 2
4 11 0 0 0 0 0 2 0 1 3 0 0 1 0 0 0 1 3 5 0 0 0 0 0 0 0 0 0 0 1 3 0 1 2
0 13 NETUTNANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 Pos I 0 0 0
0 Pos II 0 0 0
39 127 4 3 7 7 12 19 49 42 143 1 1 6 4 11 6 29 38 96 5 0 2 0 1 0 2 1 11 17 13 24 16 42 36
JUMLAH
143 96 11 377
ALAMAN 2
0 0 0 0 0 0 0 1 LAPORAN BULAN
0 0 0 0 1 0 2 1
0 0 0 0 1 0 2 2
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS

MBANG JML BALITA YG TIDAK HADIR DI BALITA DENGAN GIZI BAIK BALITA DENGAN GIZI KURANG BALITA DENGAN GIZI KU
NOMOR

PENIMBANGAN BULAN INI ( - ) (BK) (KR) Baru (KR) Lama

DESA
24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN

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

0 0 0 1 OINLASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10 45 1 KOKOI 0 0 0 2 3 4 14 9 32 2 1 6 1 6 3 6 7 32 0 0 1 0 3 2 4 3 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 0

6 7 32 0 0 0 1 2 4 9 9 25 2 1 4 1 3 3 4 5 23 0 0 1 0 2 2 2 2 9

4 3 13 0 0 0 1 1 0 5 0 7 0 0 2 0 3 0 2 2 9 0 0 0 0 1 0 2 1 4

0 0 0 1 FATULUNU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

31 22 82 1 NUNLEU 0 0 0 1 0 2 6 10 19 3 2 2 3 7 6 19 14 56 0 0 0 0 3 3 12 8 26 0 0 0 0

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

22 10 53 0 0 0 0 0 1 2 4 7 2 1 2 2 5 5 14 7 38 0 0 0 0 2 2 8 3 15

9 12 29 0 0 0 1 0 1 4 6 12 1 1 0 1 2 1 5 7 18 0 0 0 0 1 1 4 5 11

0 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 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FAE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
12 18 53 1 ANIN 1 1 4 1 3 1 15 7 33 3 3 2 2 4 4 9 12 39 0 0 0 0 3 2 3 6 14 0 0 0 0

7 9 26 I 0 1 0 0 2 0 5 2 10 1 2 0 1 1 2 5 6 18 0 0 0 0 1 2 2 3 8
3 6 13 II 0 0 1 0 0 0 0 1 2 0 1 1 0 1 1 2 4 10 0 0 0 0 0 0 1 2 3
2 3 14 III 1 0 3 1 1 1 10 4 21 2 0 1 1 2 1 2 2 11 0 0 0 0 2 0 0 1 3
0 0 0 IV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 TOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 Posyandu I 0 0 0
0 Posyandu II 0 0 0
0 Posyandu III 0 0 0
0 0 0 1 NIFULEO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
32 43 120 11 SUNU 0 0 1 0 2 1 8 9 21 6 5 6 8 9 6 23 30 93 0 0 0 0 3 2 9 13 27 0 0 0 0
9 9 33 I 0 0 1 0 1 1 3 4 10 3 3 2 2 1 2 7 6 26 0 0 0 0 1 1 2 3 7
11 13 34 II 0 0 0 0 0 0 0 1 1 1 1 1 2 4 0 8 9 26 0 0 0 0 1 0 3 4 8
5 9 24 III 0 0 0 0 0 0 0 3 3 0 0 2 3 1 3 3 6 18 0 0 0 0 0 1 2 3 6
7 12 29 IV 0 0 0 0 1 0 5 1 7 2 1 1 1 3 1 5 9 23 0 0 0 0 1 0 2 3 6
24 27 77 0 LANU 0 0 1 2 1 1 8 3 16 3 2 7 2 4 6 16 17 57 0 0 0 0 0 2 8 10 20 0 0 0 0
9 14 33 0 0 1 0 0 0 2 3 6 2 0 2 1 1 2 6 9 23 0 0 0 0 0 2 3 5 10
11 5 25 0 0 0 2 1 1 4 0 8 1 1 2 1 2 2 8 3 20 0 0 0 0 0 0 3 2 5
4 8 19 0 0 0 0 0 0 2 0 2 0 1 3 0 1 2 2 5 14 0 0 0 0 0 0 2 3 5
0 0 0 13 NETUTNANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 Pos I 0 0 0
0 Pos II 0 0 0

109 120 377 1 1 6 6 9 9 51 38 121 17 13 23 16 30 25 73 80 277 0 0 1 0 12 11 36 40 100 0 0 0 0

JUMLAH
121 277 100 0
 HALAMAN 3
:Agustus 2015

NGAN GIZI KURANG BALITA DENGAN GIZI BURUK BALITA DENGAN GIZI BURUK JML PEMBERIAN BALITA DISTRIBUSI VITAMIN A BALITA
ORALIT BGM

NOMOR
KR) Lama (BR) Baru (BR) Lama BAYI ( 6-11 BLN ) ANAK ( 12-60 B
DESA
12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML SASARAN REALISASI SASARAN
K US
BALITA NG L P
L P L P L P L P L P L P L P L P L P L P BU L P L P L P

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 30 4 OINLASI 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 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 KOKOI 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 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 FATULUNU 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 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 30 4 NUNLEU 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 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 20 5 KUALEU 0 0 0 0 0 0 0 0

0 0 0 0

0 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 FENUN 0 0 0 0 0 0 0 0
0
0 0 0
0 0 0
0 0 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 20 7 FAE ### ### ### ### ### ### ### ###
0 0 0
0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0
0 0 0
0 0 0
0 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 TOI 0 0 0 0 0 0 0 0
0 0 0 Posyandu I
0 0 0 Posyandu II
0 0 0 Posyandu III

0 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 NIFULEO 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 0 0
0 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 SUNU 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0 II
 0 0 0 III

0 0 0 IV
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 20 12 LANU 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 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 20 13 NETUTNANA

0 0 Pos I

0 0 Pos II

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### ### ### ### ###

17 140 JUMLAH
0 0 0 #REF! #REF! #REF! #REF!
 HALAMAN : 4
LAPORAN BULAN : FEBRUARI 2014 REKAPITULASI LA
F/III/GIZI

REKAPITULASI LAPORAN PENIMBANGAN JUM

NOMOR
F/III/GIZI PUSKESMAS DESA
MARASMUS KWASHIORK
0-5 BLN 6-11 BL 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN

L P L P L P L P L P L
1 OINLASI 0 0 0 0 0 0 0 0 0 0 0
BALITA Vit.A ASI EKSLUSIF PENGUKURAN KAPSUL YODIUM 2 KOKOI 0 0 0 0 0 0 0 0 0 0 0
DISTRIBUSI FE
( 12-60 BLN ) BUFAS SASARAN LILA SASARAN DISTRIBUSI 3 FATULUNU 0 0 0 0 0 0 0 0 0 0 0
AE TDK AE

ANAK SD

ANAK SD
Realisasi

REALISASI WUS BUMIL OINLASI

BUFAS
Sasaran

BUMIL

BUMIL
(0-6 bln 4 0 0 0 0 0 0 0 0 0 0 0

WUS

WUS
Fe 1 Fe 2
L P L P L P L P < 23,5 >23,5 <23,5 >23,5
5 KUALEU 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

0 0 3 3 1 1 0 0 0 0 0 0 0 0 7 FAE 0 0 0 0 0 0 0 0 0 0 0
1 2 1 1 0 0
2 1 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

2 1 1 1 1 0
0 0 1 3 1 3 0 0 0 0 0 0 0 0 10 NIFULEO 0 0 0 0 0 0 0 0 0 0 0
0 1 0 1 0 0
0 2 0 2 0 0
1 0 1 0 0 0
0 0 2 2 0 2 0 0 0 0 0 0 0 0 11 SUNU 0 0 0 0 0 0 0 0 0 0 0

2 2 0 2 0 0

### ### 0 0 0 0 0 0 0 0 0 0 0 0 12 LANU 0 0 0 0 0 0 0 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 4 1 2 0 1 0 0 0 0 0 0 13 NETUTNANA 0 0 0 0 0 0 0 0 0 0 0

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

JUMLAH

0 0 2 2 1 2 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
2 0 1 0 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
2 2 1 1 0 0
0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 SISA AKHIR DI Terima KELUAR SISA AKHIR

NO

### ### 28 42 16 33 1 120 0 0 0 0 0 0 1 KMS (lbr)

#REF! 70 49 121 0 0 2 ORALIT (bks)

3 VIT. A BIRU 0 0 0 0
4 VIT. A MERAH
5 TABLET BESI
6 KAPS.YODIUM

126
 LAPORAN BULAN FEBRUARI 2014
TULASI LAPORAN PENIMBANGAN HALAMAN : 5
F/III/GIZI PUSKESMAS

JUMLAH KASUS GIZI BURUK DAN GIZI BURUK DENGAN KELAINAN KLINIS
KWASHIORKOR MARASMUS-KWASHIORKOR G I Z I B U R U K B G M
6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BL 12-23 BLN 24-60 BL
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
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 1 1 0 0 0 1 5 1 5 4
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 2 1 0 0 0 0 0 0 0 2 Anin
0 0 0 0 0 0 0 1
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 1 1 1 1 0 0 0 1 5 1 5 4 Toi
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 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 1 0 0 5 2 0 0 0 1 0 0 5 2 Sunu
0 0 0 0 0 0 1 0
0 0 0 1 0 0 3 1
0 0 0 0 0 0 0 1
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 3 1 1 0 0 0 0 0 1 2 2 Lanu
0 0 0 0 0 1 1 0

0 0 0 0 0 0 1 2

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 2 1 5 6 13 9 0 0 0 6 20 6 34 28

0 0 36 94
AKHIR Mengetahui

Pengelola Gizi Puskesmas

0
Yustina Bria,A.Md Juliana M S Nenobais,A.Md Gz
Nip.196706221992032007 Nip.19790309 200604 2 030
 HALAMAN 1
LAPORAN BULAN : Februari 2019
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS
PUSKESMAS : OINLASI JUMLAH PENDUDUK : 19.384 JIWA
KECAMATAN : AMANATUN SELATAN JUMLAH POSYANDU : 45
JUMLAH DESA : 13

JML BALITA YG ADA JML BALITA YG TERDAFTAR JML BALITA YG NAIK BERAT BADAN
DESA POSYANDU KADER
PENDUDUK
NOMOR

(S) & MEMPUNYAI KMS ( K ) BULAN INI ( N )

DESA
Ada Aktif 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-25 BLN 25-60 BLN
Ada Lapor Ada Lapor
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

1 OINLASI 2,376 0 0 0 0 0 0 0 0 0 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. Kobeklofo 0 0

2. Paris Oinlasi 0 0

3. Ayobiliko 0 0

4.Kantor Desa 0 0

2 KOKOI 1,411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

I 0 0

II 0 0

III 0 0

3 FATULUNU 1,185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 NUNLEU 2,386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

I 0 0

II 0 0

III 0 0

IV 0 0
5 KUALEU 2,114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 2,011 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0
II 0 0
III 0 0
IV 0 0
7 FAE 967 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0
II 0 0
III 0 0
IV 0 0

8 ANIN 1,279 0 0 0 0 0 0 0 0 1 4 2 2 4 5 15 21 54 1 4 2 2 4 5 15 21 54 1 1 1 0 0 2 2

I 1 3 0 2 3 4 13 13 39 1 3 0 2 3 4 13 13 39 1 0 0 0 0 1 1

II 0 1 2 0 1 1 2 8 15 0 1 2 0 1 1 2 8 15 0 1 1 0 0 1 1

III 0 0

IV 0 0

9 TOI 1,177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Posyandu I 0 0

Posyandu II 0 0

Posyandu III 0 0

10 NIFULEO 1,178 0 0 0 0 0 0 0 0 0 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

2 0 0

3 0 0

4 0 0
11 SUNU 1,305 0 0 0 0 0 0 0 0 4 3 3 3 2 4 10 9 38 4 3 3 3 2 4 10 9 38 1 1 0 0 1 0 2
 I 4 3 3 3 2 4 10 9 38 4 3 3 3 2 4 10 9 38 1 1 0 0 1 0 2
II 0 0
III 0 0
IV 0 0
12 LANU 939 0 0 0 0 0 0 0 0 2 1 9 5 5 8 32 30 92 2 1 9 5 5 8 32 30 92 1 1 3 1 2 1 11

I 1 0 3 1 1 3 11 18 38 1 0 3 1 1 3 11 18 38 1 0 1 1 0 1 2

II 1 0 3 4 3 3 15 5 34 1 0 3 4 3 3 15 5 34 0 0 2 0 2 0 6

III 0 1 3 0 1 2 6 7 20 0 1 3 0 1 2 6 7 20 0 1 0 0 0 0 3

13 NETUTNANA 1,056 0 0 0 0 0 0 0 0 1 8 7 8 12 20 15 29 100 1 8 7 8 12 20 15 29 100 0 2 2 4 0 2 3

Pos I 0 6 3 4 8 13 7 13 54 0 6 3 4 8 13 7 13 54 0 0 1 3 0 2 0

Pos II 1 2 4 4 4 7 8 16 46 1 2 4 4 4 7 8 16 46 0 2 1 1 0 0 3

0 0 0 0 0 0 0 0 8 16 21 18 23 37 72 89 284 8 16 21 18 23 37 72 89 284 3 5 6 5 3 5 18
JUMLAH 19,384
0 0 284 284 73

J I II III IV J
S 197 44 52 47 54 197
K 78 21 17 19 21 78
D 176 40 45 42 49 176
N 93 24 29 23 17 93

B 103 21 29 25 28 103
K 73 19 16 17 21 73
R 0 0 0 0 0 0
176 40 45 42 49 176
 HALAMAN
LAPORAN BULAN :JULI 2015

REKAPITULASI LAPORAN PENIMBANGAN

F/III/GIZI PUSKESMAS

BADAN JML BALITA YG TIDAK NAIK BERAT JML BALITA YG DI TIMBANG BULAN INI JML BALITA YG BARU HADIR JML BALITA YG DI TIMBANG
NOMOR

BADANNYA BULAN INI ( T ) TAPI TIDAK BULAN LALU ( O ) BULAN INI ( B ) BULAN INI ( D )
DESA
25-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN

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

0 0 1 OINLASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KOKOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 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 FATULUNU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 NUNLEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FAE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 16 1 ANIN 0 1 0 0 2 2 5 6 16 0 0 1 0 2 1 5 1 10 0 1 0 0 0 0 0 0 1 1 3 2 0 4 5

5 8 I 0 1 0 0 1 2 5 4 13 0 0 0 0 2 1 5 1 9 0 1 0 0 0 0 0 0 1 1 2 0 0 3 4
4 8 0 0 0 0 1 0 0 2 3 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 2 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 TOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 NIFULEO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 8 11 SUNU 1 2 1 1 1 1 4 4 15 0 0 1 1 0 2 2 2 8 1 0 0 0 0 0 0 0 1 3 3 2 2 2 3
3 8 I 1 2 1 1 1 1 4 4 15 0 0 1 1 0 2 2 2 8 1 0 0 0 0 0 0 0 1 3 3 2 2 2 3
0 II 0 0 0 0 0 0 0 0 0
0 III 0 0 0 0 0 0 0 0 0
0 IV 0 0 0 0 0 0 0 0 0
7 27 11 LANU 0 0 2 2 3 5 9 15 36 0 0 2 2 0 1 5 0 10 1 0 0 0 0 0 0 0 1 2 1 7 5 5 7
2 8 0 0 0 0 1 1 4 9 15 0 0 1 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 1 0 2 1 1 2
3 13 0 0 1 2 1 2 4 2 12 0 0 0 2 0 1 2 0 5 1 0 0 0 0 0 0 0 1 1 0 3 4 3 3
2 6 0 0 1 0 1 2 1 4 9 0 0 1 0 0 0 2 0 3 0 0 0 0 0 0 0 0 0 0 1 2 0 1 2
9 22 13 NETUTNANA 1 3 4 1 4 11 3 7 34 0 1 1 1 5 2 5 4 19 0 1 0 0 0 1 0 0 2 1 7 7 6 9 16
4 10 Pos I 0 3 2 0 2 7 2 3 19 0 1 0 0 5 1 3 2 12 0 1 0 0 0 1 0 0 2 0 5 3 3 7 11
5 12 Pos II 1 0 2 1 2 4 1 4 15 0 0 1 1 0 1 2 2 7 0 0 0 0 0 0 0 0 0 1 2 4 3 2 5
28 73 2 6 7 4 10 19 21 32 101 0 1 5 4 7 6 17 7 47 2 2 0 0 0 1 0 0 5 7 14 18 13 20 31
JUMLAH
101 47 5 226
ALAMAN 2
0 0 0 0 0 0 0 1 LAPORAN BULAN
0 0 0 0 1 0 2 1
0 0 0 0 1 0 2 2
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS

MBANG JML BALITA YG TIDAK HADIR DI BALITA DENGAN GIZI BAIK BALITA DENGAN GIZI KURANG BALITA DENGAN GIZI KU
NOMOR

PENIMBANGAN BULAN INI ( - ) (BK) (KR) Baru (KR) Lama

DESA
24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN

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

0 0 0 1 OINLASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KOKOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

0 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 FATULUNU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 NUNLEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 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 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FAE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
12 16 43 1 ANIN 0 1 0 2 0 0 3 5 11 1 3 2 0 3 4 9 12 34 0 0 0 0 1 1 3 4 9 0 0 0 0

11 10 31 I 0 1 0 2 0 0 2 3 8 1 2 0 0 2 3 8 8 24 0 0 0 0 1 1 3 2 7
1 6 12 II 0 0 0 0 0 0 1 2 3 0 1 2 0 1 1 1 4 10 0 0 0 0 0 0 0 2 2
0 0 0 III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 IV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 TOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 Posyandu I 0 0 0
0 Posyandu II 0 0 0
0 Posyandu III 0 0 0
0 0 0 1 NIFULEO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
8 9 32 11 SUNU 1 0 1 1 0 1 2 0 6 3 3 2 2 1 2 5 5 23 0 0 0 0 1 1 3 4 9 0 0 0 0
8 9 32 I 1 0 1 1 0 1 2 0 6 3 3 2 2 1 2 5 5 23 0 0 0 0 1 1 3 4 9
0 0 0 II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 IV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 22 74 0 LANU 0 0 2 0 0 1 7 8 18 2 1 4 4 1 0 13 10 35 0 0 3 1 4 7 12 12 39 0 0 0 0

7 11 25 0 0 1 0 0 1 4 7 13 1 0 1 1 1 2 5 8 19 0 0 1 0 0 0 2 3 6
12 5 31 0 0 0 0 0 0 3 0 3 1 0 2 3 2 2 8 3 21 0 0 1 1 1 1 4 2 10
6 6 18 0 0 1 0 0 0 0 1 2 0 1 2 0 1 1 4 4 13 0 0 0 0 0 1 2 2 5
11 20 77 13 NETUTNANA 0 1 0 2 3 4 4 9 23 1 7 6 6 6 11 7 15 59 0 0 1 0 3 5 4 5 18 0 0 0 0

5 9 43 Pos I 0 1 0 1 1 2 2 4 11 0 5 3 3 5 8 3 7 34 0 0 0 0 2 3 2 2 9
6 11 34 Pos II 0 0 0 1 2 2 2 5 12 1 2 3 3 1 3 4 8 25 0 0 1 0 1 2 2 3 9

56 67 226 1 2 3 5 3 6 16 22 58 7 14 14 12 11 17 34 42 151 0 0 4 1 9 14 22 25 75 0 0 0 0
JUMLAH
58 151 75 0
 HALAMAN 3
:Agustus 2015

NGAN GIZI KURANG BALITA DENGAN GIZI BURUK BALITA DENGAN GIZI BURUK JML PEMBERIAN BALITA DISTRIBUSI VITAMIN A BALITA
ORALIT BGM

NOMOR
KR) Lama (BR) Baru (BR) Lama BAYI ( 6-11 BLN ) ANAK ( 12-60 B
DESA
12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML SASARAN REALISASI SASARAN
K US
BALITA NG L P
L P L P L P L P L P L P L P L P L P L P BU L P L P L P

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 30 4 OINLASI 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 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 KOKOI 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 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 FATULUNU 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 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 30 4 NUNLEU 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 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 20 5 KUALEU 0 0 0 0 0 0 0 0

0 0 0 0

0 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 FENUN 0 0 0 0 0 0 0 0
0
0 0 0
0 0 0
0 0 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 20 7 FAE ### ### ### ### ### ### ### ###
0 0 0
0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0
0 0 0
0 0 0
0 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 TOI 0 0 0 0 0 0 0 0
0 0 0 Posyandu I

0 0 0 Posyandu II

0 0 0 Posyandu III

0 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 NIFULEO 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 0 0
0 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 SUNU 0 0 0 0 0 0 0 0
 0 0 0 I

0 0 0 II

0 0 0 III

0 0 0 IV

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 20 12 LANU 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 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 20 13 NETUTNANA

0 0 Pos I

0 0 Pos II

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### ### ### ### ###

17 140 JUMLAH
0 0 0 #REF! #REF! #REF! #REF!
 HALAMAN : 4
LAPORAN BULAN : FEBRUARI 2014 REKAPITULASI LA
F/III/GIZI

REKAPITULASI LAPORAN PENIMBANGAN JUM

NOMOR
F/III/GIZI PUSKESMAS DESA
MARASMUS KWASHIORK
0-5 BLN 6-11 BL 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN

L P L P L P L P L P L
1 OINLASI 0 0 0 0 0 0 0 0 0 0 0
BALITA Vit.A ASI EKSLUSIF PENGUKURAN KAPSUL YODIUM 2 KOKOI 0 0 0 0 0 0 0 0 0 0 0
DISTRIBUSI FE
( 12-60 BLN ) BUFAS SASARAN LILA SASARAN DISTRIBUSI 3 FATULUNU 0 0 0 0 0 0 0 0 0 0 0
AE TDK AE

ANAK SD

ANAK SD
Realisasi

REALISASI WUS BUMIL OINLASI

BUFAS
Sasaran

BUMIL

BUMIL
(0-6 bln 4 0 0 0 0 0 0 0 0 0 0 0

WUS

WUS
Fe 1 Fe 2
L P L P L P L P < 23,5 >23,5 <23,5 >23,5
5 KUALEU 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

0 0 3 3 1 1 0 0 0 0 0 0 0 0 7 FAE 0 0 0 0 0 0 0 0 0 0 0
1 2 1 1 0 0
2 1 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

2 1 1 1 1 0
0 0 1 3 1 3 0 0 0 0 0 0 0 0 10 NIFULEO 0 0 0 0 0 0 0 0 0 0 0
0 1 0 1 0 0
0 2 0 2 0 0
1 0 1 0 0 0
0 0 2 2 0 2 0 0 0 0 0 0 0 0 11 SUNU 0 0 0 0 0 0 0 0 0 0 0

2 2 0 2 0 0

### ### 0 0 0 0 0 0 0 0 0 0 0 0 12 LANU 0 0 0 0 0 0 0 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 4 1 2 0 1 0 0 0 0 0 0 13 NETUTNANA 0 0 0 0 0 0 0 0 0 0 0

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

JUMLAH

0 0 2 2 1 2 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0
2 0 1 0 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
2 2 1 1 0 0
0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 SISA AKHIR DI Terima KELUAR SISA AKHIR

NO

### ### 28 42 16 33 1 120 0 0 0 0 0 0 1 KMS (lbr)

#REF! 70 49 121 0 0 2 ORALIT (bks)

3 VIT. A BIRU 0 0 0 0
4 VIT. A MERAH
5 TABLET BESI
6 KAPS.YODIUM

126
 LAPORAN BULAN FEBRUARI 2014
TULASI LAPORAN PENIMBANGAN HALAMAN : 5
F/III/GIZI PUSKESMAS

JUMLAH KASUS GIZI BURUK DAN GIZI BURUK DENGAN KELAINAN KLINIS
KWASHIORKOR MARASMUS-KWASHIORKOR G I Z I B U R U K B G M
6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BL 12-23 BLN 24-60 BL
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
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 1 1 0 0 0 1 5 1 5 4
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 2 1 0 0 0 0 0 0 0 2 Anin
0 0 0 0 0 0 0 1
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 1 1 1 1 0 0 0 1 5 1 5 4 Toi
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 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 1 0 0 5 2 0 0 0 1 0 0 5 2 Sunu
0 0 0 0 0 0 1 0
0 0 0 1 0 0 3 1
0 0 0 0 0 0 0 1
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 3 1 1 0 0 0 0 0 1 2 2 Lanu
0 0 0 0 0 1 1 0

0 0 0 0 0 0 1 2

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 2 1 5 6 13 9 0 0 0 6 20 6 34 28

0 0 36 94
AKHIR Mengetahui

Pengelola Gizi Puskesmas

0
Yustina Bria,A.Md Juliana M S Nenobais,A.Md Gz
Nip.196706221992032007 Nip.19790309 200604 2 030
 HALAMAN 1
LAPORAN BULAN : Februari 2017
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS
PUSKESMAS : OINLASI JUMLAH PENDUDUK : 19.384 JIWA
KECAMATAN : AMANATUN SELATAN JUMLAH POSYANDU : 45
JUMLAH DESA : 13

JML BALITA YG ADA JML BALITA YG TERDAFTAR JML BALITA YG NAIK BERAT BADAN
DESA POSYANDU KADER
PENDUDUK
NOMOR

(S) & MEMPUNYAI KMS ( K ) BULAN INI ( N )

DESA
Ada Aktif 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-25 BLN 25-60 BLN
Ada Lapor Ada Lapor
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

1 OINLASI 2,376 0 0 0 0 0 0 0 0 0 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. Kobeklofo 0 0

2. Paris Oinlasi 0 0

3. Ayobiliko 0 0

4.Kantor Desa 0 0

2 KOKOI 1,411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

I 0 0

II 0 0

III 0 0

3 FATULUNU 1,185 0 0 0 0 0 0 0 0 2 4 8 3 10 8 25 25 85 2 4 8 3 10 8 25 25 85 1 4 3 2 6 1 8

1 2 1 2 3 5 7 3 24 1 2 1 2 3 5 7 3 24 1 2 0 1 3 0 3

0 2 0 0 3 1 7 9 22 0 2 0 0 3 1 7 9 22 0 2 0 0 1 0 1

1 0 7 1 4 2 11 13 39 1 0 7 1 4 2 11 13 39 0 0 3 1 2 1 4

4 NUNLEU 2,386 0 0 0 0 0 0 0 0 4 7 11 12 18 17 83 74 226 4 7 11 12 18 17 83 74 226 1 0 0 2 4 2 12

I 0 1 2 1 6 5 14 12 41 0 1 2 1 6 5 14 12 41 0 0 0 0 0 1 1

II 2 4 1 1 6 6 28 17 65 2 4 1 1 6 6 28 17 65 1 0 0 0 2 1 9

III 1 1 3 2 0 2 18 19 46 1 1 3 2 0 2 18 19 46 0 0 0 0 0 0 1

IV 1 1 5 8 6 4 23 26 74 1 1 5 8 6 4 23 26 74 0 0 0 2 2 0 1
5 KUALEU 2,114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 2,011 0 0 0 0 0 0 0 0 3 3 6 4 7 11 28 22 84 3 3 6 4 7 11 28 22 84 2 0 1 1 1 4 11
I 1 1 1 1 1 4 8 9 26 1 1 1 1 1 4 8 9 26 1 0 0 0 0 1 3
II 2 2 5 3 6 7 20 13 58 2 2 5 3 6 7 20 13 58 1 0 1 1 1 3 8
III 0 0
IV 0 0
7 FAE 967 0 0 0 0 0 0 0 0 2 1 6 11 8 12 27 18 85 2 1 6 11 8 12 27 18 85 2 0 1 2 2 3 9
I 0 1 2 5 2 3 7 4 24 0 1 2 5 2 3 7 4 24 0 0 0 1 1 0 4
II 2 0 3 2 4 6 13 9 39 2 0 3 2 4 6 13 9 39 2 0 0 0 1 2 2
III 0 0 0 1 1 3 5 2 12 0 0 0 1 1 3 5 2 12 0 0 0 0 0 1 1
IV 0 0 1 3 1 0 2 3 10 0 0 1 3 1 0 2 3 10 0 0 1 1 0 0 2

8 ANIN 1,279 0 0 0 0 0 0 0 0 6 6 9 8 18 11 33 44 135 6 6 9 8 18 11 33 44 135 3 3 2 3 4 5 8

I 2 0 1 3 4 3 11 11 35 2 0 1 3 4 3 11 11 35 2 0 0 1 1 2 3

II 2 1 2 1 0 1 4 7 18 2 1 2 1 0 1 4 7 18 0 0 1 1 0 1 2

III 1 2 3 0 8 1 9 10 34 1 2 3 0 8 1 9 10 34 0 0 1 0 2 0 1

IV 1 3 3 4 6 6 9 16 48 1 3 3 4 6 6 9 16 48 1 3 0 1 1 2 2
9 TOI 1,177 0 0 0 0 0 0 0 0 5 2 8 1 13 4 32 24 89 5 2 8 1 13 4 32 24 89 1 0 2 1 4 1 9
Posyandu I 3 2 5 0 11 2 14 10 47 3 2 5 0 11 2 14 10 47 0 0 0 0 3 1 3
Posyandu II 0 0 2 0 2 2 11 5 22 0 0 2 0 2 2 11 5 22 0 0 1 0 1 0 4
Posyandu III 2 0 1 1 0 0 7 9 20 2 0 1 1 0 0 7 9 20 1 0 1 1 0 0 2
10 NIFULEO 1,178 0 0 0 0 0 0 0 0 6 8 7 7 15 9 39 39 130 6 8 7 7 15 9 39 39 130 4 1 3 2 8 2 15

1 0 1 0 2 2 0 13 9 27 0 1 0 2 2 0 13 9 27 0 0 0 0 0 0 3

2 4 4 1 2 7 5 14 10 47 4 4 1 2 7 5 14 10 47 3 0 0 1 4 2 4

3 0 1 2 3 3 2 6 9 26 0 1 2 3 3 2 6 9 26 0 0 1 1 2 0 5

4 2 2 4 0 3 2 6 11 30 2 2 4 0 3 2 6 11 30 1 1 2 0 2 0 3
11 SUNU 1,305 0 0 0 0 0 0 0 0 10 7 6 8 15 20 41 57 164 10 7 6 8 15 20 41 57 164 6 2 0 0 2 8 10
I 3 2 4 5 5 7 11 9 46 3 2 4 5 5 7 11 9 46 3 0 0 0 0 3 3
II 2 1 0 1 5 3 13 18 43 2 1 0 1 5 3 13 18 43 1 0 0 0 1 1 2
 III 3 2 2 1 1 3 5 19 36 3 2 2 1 1 3 5 19 36 1 1 0 0 1 3 3
IV 2 2 0 1 4 7 12 11 39 2 2 0 1 4 7 12 11 39 1 1 0 0 0 1 2
12 LANU 939 0 0 0 0 0 0 0 0 0 3 7 3 4 6 26 40 89 0 3 7 3 4 6 26 40 89 0 0 1 1 2 2 11
I 0 1 2 0 2 3 10 17 35 0 1 2 0 2 3 10 17 35 0 0 0 0 1 1 3
II 0 1 4 2 0 2 9 16 34 0 1 4 2 0 2 9 16 34 0 0 0 1 0 1 5
III 0 1 1 1 2 1 7 7 20 0 1 1 1 2 1 7 7 20 0 0 1 0 1 0 3
13 NETUTNANA 1,056 0 0 0 0 0 0 0 0 5 6 4 9 12 14 18 40 108 5 6 4 9 12 14 18 40 108 2 4 3 4 3 5 1

Pos I 2 5 2 5 8 9 10 22 63 2 5 2 5 8 9 10 22 63 0 3 1 3 2 4 0

Pos II 3 1 2 4 4 5 8 18 45 3 1 2 4 4 5 8 18 45 2 1 2 1 1 1 1

0 0 0 0 0 0 0 0 43 47 72 66 120 112 352 383 1195 43 47 72 66 120 112 352 383 1195 22 14 16 18 36 33 94
JUMLAH 19,384
0 0 1195 1195 330

J I II III IV J
S 197 44 52 47 54 197
K 78 21 17 19 21 78
D 176 40 45 42 49 176
N 93 24 29 23 17 93

B 103 21 29 25 28 103
K 73 19 16 17 21 73
R 0 0 0 0 0 0

176 40 45 42 49 176
 HALAMAN
LAPORAN BULAN :JULI 2015

REKAPITULASI LAPORAN PENIMBANGAN

F/III/GIZI PUSKESMAS

BADAN JML BALITA YG TIDAK NAIK BERAT JML BALITA YG DI TIMBANG BULAN INI JML BALITA YG BARU HADIR JML BALITA YG DI TIMBANG
NOMOR

BADANNYA BULAN INI ( T ) TAPI TIDAK BULAN LALU ( O ) BULAN INI ( B ) BULAN INI ( D )
DESA
25-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN

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

0 0 1 OINLASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 KOKOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 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 35 1 FATULUNU 0 0 1 0 1 0 2 3 0 0 0 1 1 0 2 4 3 11 0 0 0 0 0 0 0 0 0 1 4 5 3 7 3

1 11 0 0 0 0 0 0 0 0 0 0 0 1 1 0 2 2 1 7 0 0 0 0 0 0 0 0 0 1 2 1 2 3 2
4 8 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 2 0 0 1 0
5 16 0 0 1 0 1 0 0 3 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 4 1 3 1
11 32 1 NUNLEU 1 1 3 3 3 1 17 17 46 1 3 4 3 5 7 20 22 65 0 1 0 0 0 0 0 0 1 3 5 7 8 12 10

0 2 0 0 1 0 0 0 2 3 6 0 0 0 0 1 2 3 6 12 0 1 0 0 0 0 0 0 1 0 1 1 0 1 3
7 20 0 1 0 0 1 0 5 5 12 1 3 1 1 3 3 3 2 17 0 0 0 0 0 0 0 0 0 2 4 1 1 6 4
2 3 1 0 0 1 0 1 3 1 7 0 0 2 1 0 0 9 8 20 0 0 0 0 0 0 0 0 0 1 0 2 2 0 1
2 7 0 0 2 2 2 0 7 8 21 0 0 1 1 1 2 5 6 16 0 0 0 0 0 0 0 0 0 0 0 3 5 5 2
0 0 1 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
8 28 1 FENUN 1 2 1 1 3 2 7 7 24 0 0 2 0 1 1 5 3 12 0 0 0 0 0 0 0 0 0 3 2 4 2 5 7
4 9 0 1 0 0 1 1 2 3 8 0 0 1 0 0 0 2 1 4 0 0 0 0 0 0 0 0 0 1 1 1 0 1 2
4 19 1 1 1 1 2 1 5 4 16 0 0 1 0 1 1 3 2 8 0 0 0 0 0 0 0 0 0 2 1 3 2 4 5
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
4 23 1 FAE 0 0 2 7 3 8 13 9 42 0 0 0 0 1 1 3 0 5 0 1 0 0 0 0 1 0 2 2 1 3 9 6 12
1 7 0 0 1 3 1 3 3 3 14 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 4 2 3
2 9 0 0 1 2 1 3 7 5 19 0 0 0 0 1 1 3 0 5 0 0 0 0 0 0 1 0 1 2 0 1 2 3 6
1 3 0 0 0 1 1 2 3 1 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 3
0 4 0 0 0 1 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 1 2 0 0
9 37 1 ANIN 0 0 2 2 4 1 1 7 17 0 1 5 2 3 1 12 14 38 3 1 0 0 0 1 0 1 6 6 5 9 7 11 8

4 13 I 0 0 0 0 0 0 1 1 2 0 0 1 1 2 1 5 4 14 0 0 0 0 0 0 0 0 0 2 0 1 2 3 3
2 7 0 0 1 0 0 0 0 1 2 0 0 0 0 0 0 2 0 2 2 1 0 0 0 0 0 0 3 2 1 2 1 0 1
0 4 0 0 1 0 0 0 0 2 3 0 1 1 0 1 0 1 4 8 1 0 0 0 0 0 0 0 1 1 1 3 0 3 0
3 13 0 0 0 2 4 1 0 3 10 0 0 3 1 0 0 4 6 14 0 0 0 0 0 1 0 1 2 1 3 3 4 5 4
8 26 1 TOI 0 0 1 0 1 2 11 3 18 0 0 0 0 0 0 6 6 12 0 0 1 0 0 0 0 0 1 1 0 4 1 5 3
4 11 0 0 0 0 0 1 3 0 4 0 0 0 0 0 0 3 2 5 0 0 1 0 0 0 0 0 1 0 0 1 0 3 2
1 7 0 0 1 0 1 1 5 1 9 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 2 0 2 1
3 8 0 0 0 0 0 0 3 2 5 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
15 50 1 NIFULEO 1 5 3 2 4 6 14 12 47 0 0 0 1 1 1 3 6 12 1 2 0 0 0 0 0 0 3 6 8 6 5 13 9

0 3 0 1 0 1 1 0 5 6 14 0 0 0 1 1 0 1 1 4 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0
4 18 1 3 1 1 2 2 7 4 21 0 0 0 0 0 1 1 0 2 0 1 0 0 0 0 0 0 1 4 4 1 2 6 5
6 15 0 0 1 0 0 2 0 0 3 0 0 0 0 0 0 0 2 2 0 1 0 0 0 0 0 0 1 0 1 2 1 2 2
5 14 0 1 1 0 1 2 2 2 9 0 0 0 0 0 0 1 3 4 1 0 0 0 0 0 0 0 1 2 2 3 0 3 2
7 35 11 SUNU 2 2 2 3 4 4 10 22 49 1 1 3 4 6 4 14 21 54 1 2 0 0 0 0 0 0 3 10 7 5 7 12 16
3 12 I 0 1 2 1 1 2 4 3 14 0 0 1 3 2 1 2 3 12 0 1 0 0 0 0 0 0 1 3 2 3 4 3 6
1 6 II 1 0 0 0 0 0 2 2 5 0 0 0 1 3 1 7 12 24 0 1 0 0 0 0 0 0 1 2 1 0 1 4 2
1 10 III 0 1 0 1 0 0 2 12 16 1 0 2 0 0 0 0 3 6 1 0 0 0 0 0 0 0 1 3 2 2 1 1 3
2 7 IV 1 0 0 1 3 2 2 5 14 0 1 0 0 1 2 5 3 12 0 0 0 0 0 0 0 0 0 2 2 0 1 4 5
16 32 11 LANU 0 1 4 1 1 1 11 15 34 0 0 0 0 1 1 2 6 10 0 2 0 0 0 0 0 0 2 0 3 5 2 4 4
5 10 0 0 1 0 0 0 7 8 16 0 0 0 0 1 1 0 3 5 0 1 0 0 0 0 0 0 1 0 1 1 0 2 2
6 12 0 1 3 0 0 0 1 5 10 0 0 0 0 0 0 1 3 4 0 0 0 0 0 0 0 0 0 0 1 3 1 0 1
5 10 0 0 0 1 1 1 3 2 8 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 1 0 1 1 1 2 1
9 27 13 NETUTNANA 0 0 0 2 3 1 4 2 12 0 0 0 0 0 1 1 6 8 2 1 0 0 0 0 1 0 4 4 5 3 6 6 7

3 13 Pos I 0 0 0 1 2 1 1 1 6 0 0 0 0 0 1 1 3 5 2 1 0 0 0 0 1 0 4 2 4 1 4 4 6
6 14 Pos II 0 0 0 1 1 0 3 1 6 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 2 1 2 2 2 1
97 330 5 11 19 21 27 26 90 97 296 2 5 15 11 18 19 70 87 227 7 10 1 0 0 1 2 1 22 36 40 51 50 81 79
JUMLAH
296 227 22 875
ALAMAN 2
0 0 0 0 0 0 0 1 LAPORAN BULAN
0 0 0 0 1 0 2 1
0 0 0 0 1 0 2 2
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS

MBANG JML BALITA YG TIDAK HADIR DI BALITA DENGAN GIZI BAIK BALITA DENGAN GIZI KURANG BALITA DENGAN GIZI KU
NOMOR

PENIMBANGAN BULAN INI ( - ) (BK) (KR) Baru (KR) Lama

DESA
24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN

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

0 0 0 1 OINLASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 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 KOKOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

14 16 46 1 FATULUNU 1 0 3 0 3 5 11 9 32 1 4 4 3 5 2 9 10 38 0 0 1 0 2 1 5 6 15 0 0 0 0

5 2 18 0 0 0 0 0 3 2 1 6 1 2 1 2 2 1 3 1 13 0 0 0 0 1 1 2 1 5

3 6 10 0 0 0 0 2 1 4 3 10 0 2 0 0 1 0 2 4 9 0 0 0 0 0 0 1 2 3

6 8 18 1 0 3 0 1 1 5 5 16 0 0 3 1 2 1 4 5 16 0 0 1 0 1 0 2 3 7

49 50 144 1 NUNLEU 1 2 4 4 6 7 34 24 82 3 5 6 6 7 6 30 29 92 0 0 1 2 5 4 18 20 50 0 0 0 0

6 9 21 0 0 1 1 5 2 8 3 20 0 1 1 0 1 2 4 5 14 0 0 0 0 0 1 2 4 7

17 14 49 0 0 0 0 0 2 11 3 16 2 4 1 1 3 2 10 9 32 0 0 0 0 3 2 6 5 16 0 0 0 0
13 11 30 0 1 1 0 0 1 5 8 16 1 0 2 2 0 1 7 6 19 0 0 0 0 0 0 6 5 11

13 16 44 1 1 2 3 1 2 10 10 30 0 0 2 3 3 1 9 9 27 0 0 1 2 2 1 4 6 16 0 0 0 0
0 0 0 1 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0
0 0 0 0
0 0 0
23 18 64 1 FENUN 0 1 2 2 2 4 5 4 20 3 2 4 2 4 5 14 12 46 0 0 0 0 1 2 9 6 18 0 0 0 0

7 8 21 0 0 0 1 0 2 1 1 5 1 1 1 0 1 1 4 5 14 0 0 0 0 0 1 3 3 7
16 10 43 0 1 2 1 2 2 4 3 15 2 1 3 2 3 4 10 7 32 0 0 0 0 1 1 6 3 11
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 13 72 1 FAE 0 0 3 2 2 0 1 5 13 2 1 3 8 5 8 18 8 53 0 0 0 1 1 4 8 5 19 0 0 0 0

7 4 22 0 0 1 1 0 0 0 0 2 0 1 1 3 2 2 5 2 16 0 0 0 1 0 1 2 2 6
13 7 34 0 0 2 0 1 0 0 2 5 2 0 1 2 2 4 9 5 25 0 0 0 0 1 2 4 2 9
4 2 11 0 0 0 0 0 0 1 0 1 0 0 0 1 1 2 3 1 8 0 0 0 0 0 1 1 1 3
2 0 5 0 0 0 1 1 0 0 3 5 0 0 1 2 0 0 1 0 4 0 0 0 0 0 0 1 0 1
21 31 98 1 ANIN 0 1 0 1 7 3 12 13 37 6 5 8 6 7 5 14 20 71 0 0 1 1 4 3 7 11 27 0 0 0 0

9 9 29 I 0 0 0 1 1 0 2 2 6 2 0 1 2 2 2 6 6 21 0 0 0 0 1 1 3 3 8
4 3 14 II 0 0 0 0 0 0 0 4 4 2 1 2 1 0 1 2 2 11 0 0 0 0 0 0 2 1 3
2 6 16 III 0 1 0 0 5 1 7 4 18 1 1 2 0 2 0 2 4 12 0 0 1 0 1 0 0 2 4
6 13 39 IV 0 0 0 0 1 2 3 3 9 1 3 3 3 3 2 4 8 27 0 0 0 1 2 2 2 5 12
26 17 57 1 TOI 4 2 4 0 8 1 6 7 32 1 0 4 1 4 1 18 11 40 0 0 0 0 1 2 8 6 17 0 0 0 0
9 6 21 Posyandu I 3 2 4 0 8 0 5 4 26 0 0 1 0 3 1 6 4 15 0 0 0 0 0 1 3 2 6
10 3 18 Posyandu II 0 0 0 0 0 1 1 2 4 0 0 2 0 1 0 7 2 12 0 0 0 0 1 1 3 1 6
7 8 18 Posyandu III 1 0 0 0 0 0 0 1 2 1 0 1 1 0 0 5 5 13 0 0 0 0 0 0 2 3 5
32 33 112 1 NIFULEO 0 0 1 2 2 0 7 6 18 6 8 5 4 8 5 21 21 78 0 0 1 1 5 4 11 12 34 0 0 0 0

9 7 21 0 0 0 0 0 0 4 2 6 0 1 0 2 1 0 6 5 15 0 0 0 0 1 0 3 2 6

12 8 42 0 0 0 0 1 0 2 2 5 4 4 1 1 4 3 8 5 30 0 0 0 1 2 2 4 3 12

5 8 21 0 0 0 2 1 0 1 1 5 0 1 2 1 1 1 3 5 14 0 0 0 0 1 1 2 3 7

6 10 28 0 0 1 0 0 0 0 1 2 2 2 2 0 2 1 4 6 19 0 0 1 0 1 1 2 4 9
34 50 141 11 SUNU 0 0 1 1 3 4 7 7 23 10 7 3 6 7 10 22 33 98 0 0 2 1 5 6 12 16 42 0 0 0 0
9 9 39 I 0 0 1 1 2 1 2 0 7 3 2 2 3 2 4 6 6 28 0 0 1 1 1 2 3 3 11
11 15 36 II 0 0 0 0 1 1 2 3 7 2 1 0 1 2 1 8 10 25 0 0 0 0 2 1 3 4 10 0 0 0 0
5 16 33 III 0 0 0 0 0 0 0 3 3 3 2 1 1 1 2 3 11 24 0 0 1 0 0 1 2 5 9 0 0 0 0
9 10 33 IV 0 0 0 0 0 2 3 1 6 2 2 0 1 2 3 5 6 21 0 0 0 0 2 2 4 4 12
24 37 79 0 LANU 0 0 2 1 0 2 2 3 10 0 3 4 2 2 3 17 25 56 0 0 1 0 2 1 7 11 22 0 0 0 0
10 16 32 0 0 1 0 0 1 0 1 3 0 1 1 0 1 1 7 11 22 0 0 0 0 1 1 3 4 9 0 0 0 0
7 14 27 0 0 1 1 0 1 2 2 7 0 1 2 1 0 1 5 9 19 0 0 1 0 0 0 2 5 8
7 7 20 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 5 5 15 0 0 0 0 1 0 2 2 5
7 17 55 13 NETUTNANA 1 1 1 3 6 7 11 23 53 4 5 3 3 4 5 5 12 41 0 0 0 3 2 2 2 5 14 0 0 0 0

3 7 31 Pos I 0 1 1 1 4 3 7 15 32 2 4 1 2 3 4 2 5 23 0 0 0 2 1 2 1 2 8
4 10 24 Pos II 1 0 0 2 2 4 4 8 21 2 1 2 1 1 1 3 7 18 0 0 0 1 1 0 1 3 6

256 282 875 7 7 21 16 39 33 96 101 320 36 40 44 41 53 50 168 181 613 0 0 7 9 28 29 87 98 258 0 0 0 0

JUMLAH
320 613 258 4
 HALAMAN 3
:Agustus 2015

NGAN GIZI KURANG BALITA DENGAN GIZI BURUK BALITA DENGAN GIZI BURUK JML PEMBERIAN BALITA DISTRIBUSI VITAMIN A BALITA
ORALIT BGM

NOMOR
KR) Lama (BR) Baru (BR) Lama BAYI ( 6-11 BLN ) ANAK ( 12-60 B
DESA
12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML SASARAN REALISASI SASARAN
K US
BALITA NG L P
L P L P L P L P L P L P L P L P L P L P BU L P L P L P

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 30 4 OINLASI 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 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 KOKOI 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 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 FATULUNU 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 3 30 4 NUNLEU 0 0 0 0 0 0 0 0
0 0 0
0 0 1 0 1 0 0
0 0 0
0 0 0 1 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 20 5 KUALEU 0 0 0 0 0 0 0 0

0 0 0 0

0 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 FENUN 0 0 0 0 0 0 0 0
0
0 0 0
0 0 0
0 0 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 20 7 FAE ### ### ### ### ### ### ### ###
0 0 0
0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0
0 0 0
0 0 0
0 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 TOI 0 0 0 0 0 0 0 0
0 0 0 Posyandu I
0 0 0 Posyandu II
0 0 0 Posyandu III

0 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 NIFULEO 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 SUNU 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0 1 1 0 0 II
 0 0 0 0 0 0 0 III

0 0 0 IV
0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 20 12 LANU 0 0 0 0 0 0 0 0
0 0 0 1 1 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 20 13 NETUTNANA

0 0 Pos I

0 0 Pos II

0 0 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### ### ### ### ###

17 140 JUMLAH
4 0 0 #REF! #REF! #REF! #REF!
 HALAMAN : 4
LAPORAN BULAN : FEBRUARI 2014 REKAPITULASI LA
F/III/GIZI

REKAPITULASI LAPORAN PENIMBANGAN JUM

NOMOR
F/III/GIZI PUSKESMAS DESA
MARASMUS KWASHIORK
0-5 BLN 6-11 BL 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN

L P L P L P L P L P L
1 OINLASI 0 0 0 0 0 0 0 0 0 0 0
BALITA Vit.A ASI EKSLUSIF PENGUKURAN KAPSUL YODIUM 2 KOKOI 0 0 0 0 0 0 0 0 0 0 0
DISTRIBUSI FE
( 12-60 BLN ) BUFAS SASARAN LILA SASARAN DISTRIBUSI 3 FATULUNU 0 0 0 0 0 0 0 0 0 0 0
AE TDK AE

ANAK SD

ANAK SD
Realisasi

REALISASI WUS BUMIL OINLASI

BUFAS
Sasaran

BUMIL

BUMIL
(0-6 bln 4 0 0 0 0 0 0 0 0 0 0 0

WUS

WUS
Fe 1 Fe 2
L P L P L P L P < 23,5 >23,5 <23,5 >23,5
5 KUALEU 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

0 0 3 3 1 1 0 0 0 0 0 0 0 0 7 FAE 0 0 0 0 0 0 0 0 0 0 0
1 2 1 1 0 0
2 1 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

2 1 1 1 1 0
0 0 1 3 1 3 0 0 0 0 0 0 0 0 10 NIFULEO 0 0 0 0 0 0 0 0 0 0 0
0 1 0 1 0 0
0 2 0 2 0 0
1 0 1 0 0 0
0 0 2 2 0 2 0 0 0 0 0 0 0 0 11 SUNU 0 0 0 0 0 0 0 0 0 0 0

2 2 0 2 0 0

### ### 0 0 0 0 0 0 0 0 0 0 0 0 12 LANU 0 0 0 0 0 0 0 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 4 1 2 0 1 0 0 0 0 0 0 13 NETUTNANA 0 0 0 0 0 0 0 0 0 0 0

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

JUMLAH

0 0 2 2 1 2 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
2 0 1 0 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
2 2 1 1 0 0
0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 SISA AKHIR DI Terima KELUAR SISA AKHIR

NO

### ### 28 42 16 33 1 120 0 0 0 0 0 0 1 KMS (lbr)

#REF! 70 49 121 0 0 2 ORALIT (bks)

3 VIT. A BIRU 0 0 0 0
4 VIT. A MERAH
5 TABLET BESI
6 KAPS.YODIUM

126
 LAPORAN BULAN FEBRUARI 2014
TULASI LAPORAN PENIMBANGAN HALAMAN : 5
F/III/GIZI PUSKESMAS

JUMLAH KASUS GIZI BURUK DAN GIZI BURUK DENGAN KELAINAN KLINIS
KWASHIORKOR MARASMUS-KWASHIORKOR G I Z I B U R U K B G M
6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BL 12-23 BLN 24-60 BL
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
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 1 1 0 0 0 1 5 1 5 4
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 2 1 0 0 0 0 0 0 0 2 Anin
0 0 0 0 0 0 0 1
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 1 1 1 1 0 0 0 1 5 1 5 4 Toi
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 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 1 0 0 5 2 0 0 0 1 0 0 5 2 Sunu
0 0 0 0 0 0 1 0
0 0 0 1 0 0 3 1
0 0 0 0 0 0 0 1
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 3 1 1 0 0 0 0 0 1 2 2 Lanu
0 0 0 0 0 1 1 0

0 0 0 0 0 0 1 2

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 2 1 5 6 13 9 0 0 0 6 20 6 34 28

0 0 36 94
AKHIR Mengetahui

Pengelola Gizi Puskesmas

0
Yustina Bria,A.Md Juliana M S Nenobais,A.Md Gz
Nip.196706221992032007 Nip.19790309 200604 2 030
 HALAMAN 1
LAPORAN BULAN : Februari 2017
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS
PUSKESMAS : OINLASI JUMLAH PENDUDUK : 19.384 JIWA
KECAMATAN : AMANATUN SELATAN JUMLAH POSYANDU : 45
JUMLAH DESA : 13

JML BALITA YG ADA JML BALITA YG TERDAFTAR JML BALITA YG NAIK BERAT BADAN
DESA POSYANDU KADER
PENDUDUK
NOMOR

(S) & MEMPUNYAI KMS ( K ) BULAN INI ( N )

DESA
Ada Aktif 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-25 BLN 25-60 BLN
Ada Lapor Ada Lapor
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

1 OINLASI 2,376 0 0 0 0 0 0 0 0 4 7 11 7 13 18 41 39 140 4 7 11 7 13 18 41 39 140 1 2 4 2 4 3 13

1. Kobeklofo 0 0

2. Oetoli 1 3 2 1 5 7 10 11 40 1 3 2 1 5 7 10 11 40 0 1 0 0 0 0 2

3. Ayobiliko 2 2 5 3 5 6 14 20 57 2 2 5 3 5 6 14 20 57 1 1 2 1 3 2 4

4.Kantor Desa 1 2 4 3 3 5 17 8 43 1 2 4 3 3 5 17 8 43 0 0 2 1 1 1 7

2 KOKOI 1,411 0 0 0 0 0 0 0 0 4 2 5 0 4 7 21 22 65 4 2 5 0 4 7 21 22 65 1 0 2 0 2 2 6

I 2 1 3 0 3 6 12 16 43 2 1 3 0 3 6 12 16 43 1 0 1 0 1 2 4

II 0 0

III 2 1 2 0 1 1 9 6 22 2 1 2 0 1 1 9 6 22 0 0 1 0 1 0 2

3 FATULUNU 1,185 0 0 0 0 0 0 0 0 1 6 1 0 6 8 16 10 48 1 6 1 0 6 8 16 10 48 1 5 0 0 0 0 3

1 4 1 0 3 6 7 2 24 1 4 1 0 3 6 7 2 24 1 3 0 0 0 0 0

0 2 0 0 3 2 9 8 24 0 2 0 0 3 2 9 8 24 0 2 0 0 0 0 3

0 0

4 NUNLEU 2,386 0 0 0 0 0 0 0 0 12 8 12 12 20 32 84 73 253 12 8 12 12 20 32 84 73 253 1 1 1 1 5 8 22

I 3 1 1 1 3 4 15 10 38 3 1 1 1 3 4 15 10 38 0 0 1 1 0 3 5

II 3 2 2 2 5 8 26 20 68 3 2 2 2 5 8 26 20 68 0 0 0 0 2 3 6

III 4 2 5 2 6 12 19 19 69 4 2 5 2 6 12 19 19 69 1 0 0 0 1 1 1

IV 2 3 4 7 6 8 24 24 78 2 3 4 7 6 8 24 24 78 0 1 0 0 2 1 10
5 KUALEU 2,114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 2,011 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0
II 0 0
III 0 0
IV 0 0
7 FAE 967 0 0 0 0 0 0 0 0 3 1 5 10 8 12 26 18 83 3 1 5 10 8 12 26 18 83 0 0 2 6 4 6 13
I 1 1 1 4 2 3 7 4 23 1 1 1 4 2 3 7 4 23 0 0 1 2 1 2 5
II 2 0 3 2 4 6 12 9 38 2 0 3 2 4 6 12 9 38 0 0 1 2 2 3 6
III 0 0 0 1 1 3 5 2 12 0 0 0 1 1 3 5 2 12 0 0 0 1 1 1 1
IV 0 0 1 3 1 0 2 3 10 0 0 1 3 1 0 2 3 10 0 0 0 1 0 0 1

8 ANIN 1,279 0 0 0 0 0 0 0 0 2 7 10 6 17 10 33 41 126 2 7 10 6 17 10 33 41 126 1 4 2 0 6 2 8

I 1 1 1 3 4 3 11 12 36 1 1 1 3 4 3 11 12 36 0 0 0 0 1 0 1

II 0 0 2 1 0 1 4 7 15 0 0 2 1 0 1 4 7 15 0 0 1 0 0 1 1

III 0 2 4 0 8 1 9 9 33 0 2 4 0 8 1 9 9 33 0 1 1 0 1 0 2

IV 1 4 3 2 5 5 9 13 42 1 4 3 2 5 5 9 13 42 1 3 0 0 4 1 4
9 TOI 1,177 0 0 0 0 0 0 0 0 5 2 6 1 13 3 33 25 88 5 2 6 1 13 3 33 25 88 1 1 1 0 0 0 4
Posyandu I 3 2 4 0 10 2 14 10 45 3 2 4 0 10 2 14 10 45 0 1 1 0 0 0 1
Posyandu II 0 0 1 0 3 1 12 6 23 0 0 1 0 3 1 12 6 23 0 0 0 0 0 0 1
Posyandu III 2 0 1 1 0 0 7 9 20 2 0 1 1 0 0 7 9 20 1 0 0 0 0 0 2
10 NIFULEO 1,178 0 0 0 0 0 0 0 0 5 2 3 2 15 7 33 32 99 5 2 3 2 15 7 33 32 99 5 1 2 1 7 3 13

1 0 0 1 1 8 1 11 9 31 0 0 1 1 8 1 11 9 31 0 0 1 0 4 1 2

2 4 2 1 1 5 2 16 10 41 4 2 1 1 5 2 16 10 41 4 1 1 1 3 1 8

3 0 0

4 1 0 1 0 2 4 6 13 27 1 0 1 0 2 4 6 13 27 1 0 0 0 0 1 3
11 SUNU 1,305 0 0 0 0 0 0 0 0 7 6 12 11 13 15 30 34 128 7 6 12 11 13 15 30 34 128 4 3 6 3 7 9 10
I 3 1 3 5 4 4 9 9 38 3 1 3 5 4 4 9 9 38 2 1 2 0 1 2 4
II 2 2 4 4 3 3 11 10 39 2 2 4 4 3 3 11 10 39 1 1 2 2 1 2 4
 III 1 2 2 2 4 4 4 8 27 1 2 2 2 4 4 4 8 27 0 1 1 1 4 3 1
IV 1 1 3 0 2 4 6 7 24 1 1 3 0 2 4 6 7 24 1 0 1 0 1 2 1
12 LANU 939 0 0 0 0 0 0 0 0 0 1 7 3 6 10 31 30 88 0 1 7 3 6 10 31 30 88 0 1 2 3 0 4 16
I 0 0 2 0 2 3 10 18 35 0 0 2 0 2 3 10 18 35 0 0 0 0 0 0 4
II 0 1 3 2 3 5 14 6 34 0 1 3 2 3 5 14 6 34 0 1 2 2 0 2 8
III 0 0 2 1 1 2 7 6 19 0 0 2 1 1 2 7 6 19 0 0 0 1 0 2 4
13 NETUTNANA 1,056 0 0 0 0 0 0 0 0 4 5 4 9 11 12 18 40 103 4 5 4 9 11 12 18 40 103 0 0 2 3 4 1 5

Pos I 1 4 2 5 7 6 10 23 58 1 4 2 5 7 6 10 23 58 0 0 2 2 3 1 1

Pos II 3 1 2 4 4 6 8 17 45 3 1 2 4 4 6 8 17 45 0 0 0 1 1 0 4

0 0 0 0 0 0 0 0 47 47 76 61 126 134 366 364 1221 47 47 76 61 126 134 366 364 1221 15 18 24 19 39 38 113
JUMLAH 19,384
0 0 1221 1221 372

J I II III IV J
S 197 44 52 47 54 197
K 78 21 17 19 21 78
D 176 40 45 42 49 176
N 93 24 29 23 17 93

B 103 21 29 25 28 103
K 73 19 16 17 21 73
R 0 0 0 0 0 0

176 40 45 42 49 176
 HALAMAN
LAPORAN BULAN :JULI 2015

REKAPITULASI LAPORAN PENIMBANGAN

F/III/GIZI PUSKESMAS

BADAN JML BALITA YG TIDAK NAIK BERAT JML BALITA YG DI TIMBANG BULAN INI JML BALITA YG BARU HADIR JML BALITA YG DI TIMBANG
NOMOR

BADANNYA BULAN INI ( T ) TAPI TIDAK BULAN LALU ( O ) BULAN INI ( B ) BULAN INI ( D )
DESA
25-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN

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

10 39 1 OINLASI 1 1 1 2 1 0 10 3 19 1 3 2 1 5 9 7 14 42 0 1 0 0 0 0 0 0 1 3 7 7 5 10 12

0 0 0 0 0 0 0 0 0
0 3 0 1 0 0 0 0 2 0 3 0 1 1 1 3 5 4 6 21 0 0 0 0 0 0 0 0 0 0 3 1 1 3 5
8 22 0 0 1 1 1 0 5 2 10 1 1 0 0 1 2 2 7 14 0 0 0 0 0 0 0 0 0 2 2 3 2 5 4
2 14 1 0 0 1 0 0 3 1 6 0 1 1 0 1 2 1 1 7 0 1 0 0 0 0 0 0 1 1 2 3 2 2 3
7 20 1 KOKOI 2 1 1 0 2 4 5 8 23 0 0 1 0 0 1 5 4 11 1 1 0 0 0 0 0 0 2 4 2 4 0 4 7

6 15 0 1 1 0 2 3 3 6 16 0 0 1 0 0 1 4 3 9 1 0 0 0 0 0 0 0 1 2 1 3 0 3 6
0 0 0 0 0 0 0 0 0 0
1 5 2 0 0 0 0 1 2 2 7 0 0 0 0 0 0 1 1 2 0 1 0 0 0 0 0 0 1 2 1 1 0 1 1
4 13 1 FATULUNU 0 0 0 0 1 1 6 1 0 0 0 0 0 1 2 2 1 6 0 0 0 0 0 0 0 0 0 1 5 0 0 2 3

0 4 0 0 0 0 1 0 2 0 0 0 0 0 1 2 2 1 6 0 0 0 0 0 0 0 0 0 1 3 0 0 2 2
4 9 0 0 0 0 0 1 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1
0 0 0 0 0 0 0 0 0
13 52 1 NUNLEU 1 1 1 4 3 1 4 9 24 3 0 2 3 2 4 13 6 33 2 0 0 0 0 0 0 0 2 7 2 4 8 10 13

3 13 0 0 0 0 2 1 2 3 8 1 0 0 0 0 0 5 1 7 1 0 0 0 0 0 0 0 1 2 0 1 1 2 4
3 14 0 0 0 0 0 0 1 2 3 2 0 1 0 0 1 3 2 9 0 0 0 0 0 0 0 0 0 2 0 1 0 2 4
2 6 1 1 1 1 0 0 1 2 7 0 0 0 0 2 1 2 1 6 0 0 0 0 0 0 0 0 0 2 1 1 1 3 2
5 19 0 0 0 3 1 0 0 2 6 0 0 1 3 0 2 3 2 11 1 0 0 0 0 0 0 0 1 1 1 1 6 3 3
0 0 1 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 40 1 FAE 0 1 2 2 2 3 5 2 17 0 0 0 2 1 1 3 4 11 2 0 0 0 0 0 0 1 3 2 1 4 10 7 10
2 13 0 1 0 1 1 1 0 0 4 0 0 0 1 0 0 2 2 5 0 0 0 0 0 0 0 0 0 0 1 1 4 2 3
5 19 0 0 1 0 0 2 3 2 8 0 0 0 0 1 0 0 1 2 2 0 0 0 0 0 0 0 2 2 0 2 2 3 5
1 5 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 1 3 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2
1 3 0 0 1 1 1 0 1 0 4 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 3 1 0
11 34 1 ANIN 0 1 2 1 0 3 5 6 18 0 0 0 2 2 0 1 4 9 1 0 0 0 0 0 0 1 2 2 5 4 3 8 5

2 4 I 0 0 0 0 0 2 3 2 7 0 0 0 1 0 0 0 1 2 1 0 0 0 0 0 0 0 1 1 0 0 1 1 2
4 7 0 0 1 0 0 0 1 1 3 0 0 0 1 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 2 1 0 1
1 6 0 0 1 0 0 0 0 1 2 0 0 0 0 2 0 1 0 3 0 0 0 0 0 0 0 1 1 0 1 2 0 3 0
4 17 0 1 0 1 0 1 1 2 6 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 1 4 0 1 4 2
2 9 1 TOI 0 0 3 1 2 1 8 8 23 1 1 2 0 6 1 10 6 27 1 0 0 0 0 0 0 0 1 3 2 6 1 8 2
1 4 0 0 3 0 2 0 5 3 13 1 1 0 0 4 1 4 2 13 0 0 0 0 0 0 0 0 0 1 2 4 0 6 1
0 1 0 0 0 0 0 1 3 3 7 0 0 1 0 2 0 4 1 8 0 0 0 0 0 0 0 0 0 0 0 1 0 2 1
1 4 0 0 0 1 0 0 0 2 3 0 0 1 0 0 0 2 3 6 1 0 0 0 0 0 0 0 1 2 0 1 1 0 0
13 45 1 NIFULEO 0 1 1 1 2 1 5 6 17 0 0 0 0 4 1 7 3 15 0 0 0 0 0 0 0 0 0 5 2 3 2 13 5

6 14 0 0 0 1 0 0 2 0 3 0 0 0 0 3 0 4 2 9 0 0 0 0 0 0 0 0 0 0 0 1 1 7 1
4 23 0 1 0 0 0 1 2 4 8 0 0 0 0 1 0 2 0 3 0 0 0 0 0 0 0 0 0 4 2 1 1 4 2
0 0 0 0 0 0 0 0 0 0
3 8 0 0 1 0 2 0 1 2 6 0 0 0 0 0 1 1 1 3 0 0 0 0 0 0 0 0 0 1 0 1 0 2 2
14 56 11 SUNU 1 2 1 1 2 4 8 8 27 0 0 2 3 1 0 3 5 14 1 0 0 0 0 0 0 0 1 6 5 9 7 10 13
4 16 I 0 0 0 1 0 2 4 4 11 0 0 1 2 1 0 1 1 6 1 0 0 0 0 0 0 0 1 3 1 3 3 2 4
4 17 II 0 0 0 0 1 0 1 2 4 0 0 1 1 0 0 0 1 3 0 0 0 0 0 0 0 0 0 1 1 3 3 2 2
4 15 III 1 1 0 0 0 1 3 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 1 4 4
2 8 IV 0 1 1 0 1 1 0 0 4 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0 1 1 2 0 2 3
14 37 11 LANU 0 0 3 0 3 4 7 8 25 0 0 0 0 0 0 4 2 6 0 0 0 0 0 0 0 1 1 0 1 5 3 3 8
6 10 0 0 1 0 1 2 4 6 14 0 0 0 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 1 0 1 2
4 17 0 0 0 0 1 2 1 0 4 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 1 1 0 1 2 2 1 4
4 10 0 0 2 0 1 0 2 2 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 2
9 21 13 NETUTNANA 2 5 1 1 3 6 5 12 35 1 0 1 2 2 2 2 4 14 1 0 0 0 0 0 0 1 2 4 5 4 6 9 9

8 17 Pos I 1 4 0 1 2 4 5 4 21 0 0 0 1 1 0 1 2 5 0 0 0 0 0 0 0 1 1 1 4 2 4 6 5
1 7 Pos II 1 1 1 0 1 2 0 8 14 1 0 1 1 1 2 1 2 9 1 0 0 0 0 0 0 0 1 3 1 2 2 3 4
106 372 7 13 16 13 21 28 68 71 237 6 4 10 13 24 21 57 53 188 9 2 0 0 0 0 0 4 15 37 37 50 45 84 87
JUMLAH
237 188 15 812
ALAMAN 2
0 0 0 0 0 0 0 1 LAPORAN BULAN
0 0 0 0 1 0 2 1
0 0 0 0 1 0 2 2
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS

MBANG JML BALITA YG TIDAK HADIR DI BALITA DENGAN GIZI BAIK BALITA DENGAN GIZI KURANG BALITA DENGAN GIZI KU
NOMOR

PENIMBANGAN BULAN INI ( - ) (BK) (KR) Baru (KR) Lama

DESA
24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN

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

30 27 101 1 OINLASI 1 0 4 2 3 6 11 12 39 3 4 6 5 6 8 20 17 69 0 3 1 0 4 4 10 10 32 0 0 0 0

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

8 6 27 1 0 1 0 2 2 2 5 13 0 0 1 1 2 3 6 4 17 0 3 0 0 1 2 2 2 10

11 17 46 0 0 2 1 0 2 3 3 11 2 2 2 2 3 3 7 11 32 0 0 1 0 2 1 4 6 14

11 4 28 0 0 1 1 1 2 6 4 15 1 2 3 2 1 2 7 2 20 0 0 0 0 1 1 4 2 8

16 19 56 1 KOKOI 0 0 1 0 0 0 5 3 9 4 2 4 0 3 5 11 13 42 0 0 0 0 1 2 5 6 14 0 0 0 0

11 15 41 0 0 0 0 0 0 1 1 2 2 1 3 0 2 4 8 11 31 0 0 0 0 1 2 3 4 10

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

5 4 15 0 0 1 0 0 0 4 2 7 2 1 1 0 1 1 3 2 11 0 0 0 0 0 0 2 2 4

11 6 28 1 FATULUNU 0 1 1 0 4 5 5 4 20 1 5 0 0 2 2 7 4 21 0 0 0 0 0 1 4 2 7 0 0 0 0

4 1 13 0 1 1 0 1 4 3 1 11 1 3 0 0 2 1 2 1 10 0 0 0 0 0 1 2 0 3

7 5 15 0 0 0 0 3 1 2 3 9 0 2 0 0 0 1 5 3 11 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

39 28 111 1 NUNLEU 5 6 8 4 10 19 45 45 142 7 2 3 7 9 10 27 22 87 0 0 1 1 1 3 12 6 24 0 0 0 0

12 7 29 1 1 0 0 1 0 3 3 9 2 0 1 1 2 3 6 5 20 0 0 0 0 0 1 6 2 9

10 7 26 1 2 1 2 3 4 16 13 42 2 0 1 0 2 2 5 4 16 0 0 0 0 0 2 5 3 10

4 5 19 2 1 4 1 3 10 15 14 50 2 1 0 0 2 2 3 4 14 0 0 1 1 1 0 1 1 5

13 9 37 1 2 3 1 3 5 11 15 41 1 1 1 6 3 3 13 9 37 0
0 0 0 1 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
21 16 71 1 FAE 1 0 1 0 1 2 5 2 12 2 1 4 8 6 7 16 12 56 0 0 0 2 1 3 5 4 15 0 0 0 0

7 4 22 1 0 0 0 0 0 0 0 1 0 1 1 3 2 2 5 3 17 0 0 0 1 0 1 2 1 5
9 8 31 0 0 1 0 1 1 3 1 7 2 0 2 2 2 3 7 6 24 0 0 0 0 1 2 2 2 7
3 2 9 0 0 0 0 0 1 2 0 3 0 0 0 1 1 2 2 2 8 0 0 0 0 0 0 1 0 1
2 2 9 0 0 0 0 0 0 0 1 1 0 0 1 2 1 0 2 1 7 0 0 0 1 0 0 0 1 2
14 22 63 1 ANIN 0 2 6 3 9 5 19 19 63 2 5 4 3 6 3 9 16 48 0 0 0 0 2 2 5 6 15 0 0 0 0

4 5 14 I 0 1 1 2 3 1 7 7 22 1 0 0 1 1 1 3 4 11 0 0 0 0 0 1 1 1 3
2 6 12 II 0 0 0 0 0 0 2 1 3 0 0 2 1 0 1 1 4 9 0 0 0 0 0 0 1 2 3
3 3 12 III 0 1 2 0 5 1 6 6 21 0 1 2 0 2 0 2 2 9 0 0 0 0 1 0 1 1 3
5 8 25 IV 0 0 3 1 1 3 4 5 17 1 4 0 1 3 1 3 6 19 0 0 0 0 1 1 2 2 6
22 16 60 1 TOI 2 0 0 0 5 1 11 9 28 3 2 5 1 5 2 15 10 43 0 0 1 0 3 0 7 6 17 0 0 0 0
10 6 30 Posyandu I 2 0 0 0 4 1 4 4 15 1 2 3 0 4 1 7 4 22 0 0 1 0 2 0 3 2 8
8 4 16 Posyandu II 0 0 0 0 1 0 4 2 7 0 0 1 0 1 1 6 2 11 0 0 0 0 1 0 2 2 5
4 6 14 Posyandu III 0 0 0 0 0 0 3 3 6 2 0 1 1 0 0 2 4 10 0 0 0 0 0 0 2 2 4
25 22 77 1 NIFULEO 0 0 0 0 2 2 8 10 22 3 1 3 1 9 3 15 15 50 2 1 0 1 4 2 10 7 27 0 0 0 0

8 8 26 0 0 0 0 1 0 3 1 5 0 0 1 0 6 0 5 5 17 0 0 0 1 1 1 3 3 9

12 8 34 0 0 0 0 1 0 4 2 7 3 1 1 1 2 2 8 5 23 1 1 0 0 2 0 4 3 11

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

5 6 17 0 0 0 0 0 2 1 7 10 0 0 1 0 1 1 2 5 10 1 0 0 0 1 1 3 1 7
21 27 98 11 SUNU 1 1 3 4 3 2 9 7 30 6 5 8 6 6 7 13 16 67 0 0 1 1 4 6 8 11 31 0 0 0 0
9 9 34 I 0 0 0 2 2 0 0 0 4 3 1 3 2 2 2 6 6 25 0 0 0 1 0 2 3 3 9
5 7 24 II 1 1 1 1 1 1 6 3 15 1 1 2 3 1 1 2 4 15 0 0 1 0 1 1 3 3 9
4 6 23 III 0 0 1 1 0 0 0 2 4 1 2 1 1 2 2 3 3 15 0 0 0 0 2 2 1 3 8
3 5 17 IV 0 0 1 0 0 1 3 2 7 1 1 2 0 1 2 2 3 12 0 0 0 0 1 1 1 2 5
27 25 72 0 LANU 0 0 2 0 3 2 4 5 16 0 1 5 3 3 5 18 16 51 0 0 0 0 0 3 9 9 21 0 0 0 0
10 14 28 0 0 1 0 1 1 0 4 7 0 0 1 0 1 1 7 9 19 0 0 0 0 0 1 3 5 9
11 5 26 0 0 1 0 2 1 3 1 8 0 1 2 2 1 2 7 3 18 0 0 0 0 0 2 4 2 8
6 6 18 0 0 0 0 0 0 1 0 1 0 0 2 1 1 2 4 4 14 0 0 0 0 0 0 2 2 4
12 26 75 13 NETUTNANA 0 0 0 3 2 3 6 14 28 4 4 4 5 6 6 8 20 57 0 1 0 1 3 3 4 6 18 0 0 0 0

7 15 44 Pos I 0 0 0 1 1 1 3 8 14 1 3 2 3 4 4 5 12 34 0 1 0 1 2 1 2 3 10
5 11 31 Pos II 0 0 0 2 1 2 3 6 14 3 1 2 2 2 2 3 8 23 0 0 0 0 1 2 2 3 8

238 234 812 10 10 26 16 42 47 128 130 409 35 32 46 39 61 58 159 161 591 2 5 4 6 23 29 79 73 221 0 0 0 0
JUMLAH
409 591 221 0
 HALAMAN 3
:Agustus 2015

NGAN GIZI KURANG BALITA DENGAN GIZI BURUK BALITA DENGAN GIZI BURUK JML PEMBERIAN BALITA DISTRIBUSI VITAMIN A BALITA
ORALIT BGM

NOMOR
KR) Lama (BR) Baru (BR) Lama BAYI ( 6-11 BLN ) ANAK ( 12-60 B
DESA
12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML SASARAN REALISASI SASARAN
K US
BALITA NG L P
L P L P L P L P L P L P L P L P L P L P BU L P L P L P

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 30 4 OINLASI 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 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 KOKOI 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 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 FATULUNU 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 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 30 4 NUNLEU 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 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 20 5 KUALEU 0 0 0 0 0 0 0 0

0 0 0 0

0 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 FENUN 0 0 0 0 0 0 0 0
0
0 0 0
0 0 0
0 0 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 20 7 FAE ### ### ### ### ### ### ### ###
0 0 0
0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0
0 0 0
0 0 0
0 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 TOI 0 0 0 0 0 0 0 0
0 0 0 Posyandu I
0 0 0 Posyandu II
0 0 0 Posyandu III

0 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 NIFULEO 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 0 0
0 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 SUNU 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0 II
 0 0 0 III

0 0 0 IV
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 20 12 LANU 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 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 20 13 NETUTNANA

0 0 Pos I

0 0 Pos II

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### ### ### ### ###

17 140 JUMLAH
0 0 0 #REF! #REF! #REF! #REF!
 HALAMAN : 4
LAPORAN BULAN : FEBRUARI 2014 REKAPITULASI LA
F/III/GIZI

REKAPITULASI LAPORAN PENIMBANGAN JUM

NOMOR
F/III/GIZI PUSKESMAS DESA
MARASMUS KWASHIORK
0-5 BLN 6-11 BL 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN

L P L P L P L P L P L
1 OINLASI 0 0 0 0 0 0 0 0 0 0 0
BALITA Vit.A ASI EKSLUSIF PENGUKURAN KAPSUL YODIUM 2 KOKOI 0 0 0 0 0 0 0 0 0 0 0
DISTRIBUSI FE
( 12-60 BLN ) BUFAS SASARAN LILA SASARAN DISTRIBUSI 3 FATULUNU 0 0 0 0 0 0 0 0 0 0 0
AE TDK AE

ANAK SD

ANAK SD
Realisasi

REALISASI WUS BUMIL OINLASI

BUFAS
Sasaran

BUMIL

BUMIL
(0-6 bln 4 0 0 0 0 0 0 0 0 0 0 0

WUS

WUS
Fe 1 Fe 2
L P L P L P L P < 23,5 >23,5 <23,5 >23,5
5 KUALEU 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

0 0 3 3 1 1 0 0 0 0 0 0 0 0 7 FAE 0 0 0 0 0 0 0 0 0 0 0
1 2 1 1 0 0
2 1 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

2 1 1 1 1 0
0 0 1 3 1 3 0 0 0 0 0 0 0 0 10 NIFULEO 0 0 0 0 0 0 0 0 0 0 0
0 1 0 1 0 0
0 2 0 2 0 0
1 0 1 0 0 0
0 0 2 2 0 2 0 0 0 0 0 0 0 0 11 SUNU 0 0 0 0 0 0 0 0 0 0 0

2 2 0 2 0 0

### ### 0 0 0 0 0 0 0 0 0 0 0 0 12 LANU 0 0 0 0 0 0 0 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 4 1 2 0 1 0 0 0 0 0 0 13 NETUTNANA 0 0 0 0 0 0 0 0 0 0 0

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

JUMLAH

0 0 2 2 1 2 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
2 0 1 0 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
2 2 1 1 0 0
0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 SISA AKHIR DI Terima KELUAR SISA AKHIR

NO

### ### 28 42 16 33 1 120 0 0 0 0 0 0 1 KMS (lbr)

#REF! 70 49 121 0 0 2 ORALIT (bks)

3 VIT. A BIRU 0 0 0 0
4 VIT. A MERAH
5 TABLET BESI
6 KAPS.YODIUM

126
 LAPORAN BULAN FEBRUARI 2014
TULASI LAPORAN PENIMBANGAN HALAMAN : 5
F/III/GIZI PUSKESMAS

JUMLAH KASUS GIZI BURUK DAN GIZI BURUK DENGAN KELAINAN KLINIS
KWASHIORKOR MARASMUS-KWASHIORKOR G I Z I B U R U K B G M
6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BL 12-23 BLN 24-60 BL
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
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 1 1 0 0 0 1 5 1 5 4
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 2 1 0 0 0 0 0 0 0 2 Anin
0 0 0 0 0 0 0 1
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 1 1 1 1 0 0 0 1 5 1 5 4 Toi
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 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 1 0 0 5 2 0 0 0 1 0 0 5 2 Sunu
0 0 0 0 0 0 1 0
0 0 0 1 0 0 3 1
0 0 0 0 0 0 0 1
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 3 1 1 0 0 0 0 0 1 2 2 Lanu
0 0 0 0 0 1 1 0

0 0 0 0 0 0 1 2

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 2 1 5 6 13 9 0 0 0 6 20 6 34 28

0 0 36 94
AKHIR Mengetahui

Pengelola Gizi Puskesmas

0
Yustina Bria,A.Md Juliana M S Nenobais,A.Md Gz
Nip.196706221992032007 Nip.19790309 200604 2 030
 HALAMAN 1
LAPORAN BULAN : Februari 2017
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS
PUSKESMAS : OINLASI JUMLAH PENDUDUK : 19.384 JIWA
KECAMATAN : AMANATUN SELATAN JUMLAH POSYANDU : 45
JUMLAH DESA : 13

JML BALITA YG ADA JML BALITA YG TERDAFTAR JML BALITA YG NAIK BERAT BADAN
DESA POSYANDU KADER
PENDUDUK
NOMOR

(S) & MEMPUNYAI KMS ( K ) BULAN INI ( N )

DESA
Ada Aktif 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-25 BLN 25-60 BLN
Ada Lapor Ada Lapor
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

1 OINLASI 2,376 0 0 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. Kobeklofo 0 0

2. Paris Oinlasi 0 0

3. Ayobiliko 0 0

4.Kantor Desa 0 0

2 KOKOI 1,411 0 0 3 3 15 15 0 0 7 5 9 5 14 7 41 38 126 7 5 9 5 14 7 41 38 126 1 1 3 1 5 2 15

I 3 3 15 15 1 0 1 4 4 0 16 14 40 1 0 1 4 4 0 16 14 40 0 0 0 1 1 0 9

II 5 4 8 1 8 6 17 22 71 5 4 8 1 8 6 17 22 71 1 1 3 0 2 2 5

III 1 1 0 0 2 1 8 2 15 1 1 0 0 2 1 8 2 15 0 0 0 0 2 0 1

3 FATULUNU 1,185 0 0 0 0 0 0 0 0 4 4 7 6 10 8 25 28 92 4 4 7 6 10 8 25 28 92 2 3 2 3 2 0 8

1 0 1 4 3 4 5 5 23 1 0 1 4 3 4 5 5 23 0 0 1 3 2 0 4

2 3 0 0 3 1 7 10 26 2 3 0 0 3 1 7 10 26 2 3 0 0 0 0 1

1 1 6 2 4 3 13 13 43 1 1 6 2 4 3 13 13 43 0 0 1 0 0 0 3

4 NUNLEU 2,386 0 0 0 0 0 0 0 0 15 14 15 9 20 28 83 67 251 15 14 15 9 20 28 83 67 251 2 0 6 2 3 8 18

I 3 4 2 1 4 5 17 12 48 3 4 2 1 4 5 17 12 48 0 0 1 0 0 0 5

II 3 7 3 2 5 6 27 16 69 3 7 3 2 5 6 27 16 69 0 0 1 0 0 3 4

III 4 2 5 2 6 12 19 19 69 4 2 5 2 6 12 19 19 69 0 0 1 0 2 2 5

IV 5 1 5 4 5 5 20 20 65 5 1 5 4 5 5 20 20 65 2 0 3 2 1 3 4
5 KUALEU 2,114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 2,011 0 0 0 0 0 0 0 0 3 3 6 4 7 11 28 22 84 3 3 6 4 7 11 28 22 84 2 0 1 1 1 4 11
I 1 1 1 1 1 4 8 9 26 1 1 1 1 1 4 8 9 26 1 0 0 0 0 1 3
II 2 2 5 3 6 7 20 13 58 2 2 5 3 6 7 20 13 58 1 0 1 1 1 3 8
III 0 0
IV 0 0
7 FAE 967 0 0 0 0 0 0 0 0 2 2 5 5 4 12 21 18 69 2 2 5 5 4 12 21 18 69 1 0 0 2 2 7 8
I 0 1 3 2 2 4 5 6 23 0 1 3 2 2 4 5 6 23 0 0 0 2 1 3 2
II 2 1 1 1 1 7 15 10 38 2 1 1 1 1 7 15 10 38 1 0 0 0 1 3 5
III 0 0
IV 0 0 1 2 1 1 1 2 8 0 0 1 2 1 1 1 2 8 0 0 0 0 0 1 1

8 ANIN 1,279 0 0 0 0 0 0 0 0 4 6 4 10 7 7 32 35 105 4 6 4 10 7 7 32 35 105 2 3 2 4 3 1 4

I 1 2 1 3 2 2 13 11 35 1 2 1 3 2 2 13 11 35 1 1 1 0 0 0 1

II 3 1 1 1 1 1 5 6 19 3 1 1 1 1 1 5 6 19 1 1 0 1 0 0 0

III 0 0

IV 0 3 2 6 4 4 14 18 51 0 3 2 6 4 4 14 18 51 0 1 1 3 3 1 3
9 TOI 1,177 0 0 0 0 0 0 0 0 0 3 5 2 14 6 36 20 86 0 3 5 2 14 6 36 20 86 0 3 4 0 2 1 13
Posyandu I 0 0 1 1 12 3 17 8 42 0 0 1 1 12 3 17 8 42 0 0 0 0 0 0 1
Posyandu II 0 2 2 0 2 2 12 5 25 0 2 2 0 2 2 12 5 25 0 2 2 0 2 1 10
Posyandu III 0 1 2 1 0 1 7 7 19 0 1 2 1 0 1 7 7 19 0 1 2 0 0 0 2
10 NIFULEO 1,178 0 0 0 0 0 0 0 0 8 4 6 11 17 12 37 38 133 8 4 6 11 17 12 37 38 133 4 2 1 1 1 3 7

1 0 0 0 3 2 0 12 9 26 0 0 0 3 2 0 12 9 26 0 0 0 1 0 0 2

2 5 3 2 4 8 6 12 9 49 5 3 2 4 8 6 12 9 49 2 1 0 0 1 2 4

3 0 1 1 2 4 4 6 9 27 0 1 1 2 4 4 6 9 27 0 1 0 0 0 1 0

4 3 0 3 2 3 2 7 11 31 3 0 3 2 3 2 7 11 31 2 0 1 0 0 0 1
11 SUNU 1,305 0 0 0 0 0 0 0 0 9 9 12 8 15 14 38 58 163 9 9 12 8 15 14 38 58 163 5 1 1 3 3 1 9
I 2 2 6 5 5 6 13 12 51 2 2 6 5 5 6 13 12 51 1 0 0 1 0 1 3
II 2 2 0 1 3 2 12 15 37 2 2 0 1 3 2 12 15 37 1 1 0 1 1 0 3
 III 4 2 4 1 2 3 6 16 38 4 2 4 1 2 3 6 16 38 2 0 0 0 0 0 2
IV 1 3 2 1 5 3 7 15 37 1 3 2 1 5 3 7 15 37 1 0 1 1 2 0 1
12 LANU 939 0 0 0 0 0 0 0 0 2 3 4 1 8 8 29 29 84 2 3 4 1 8 8 29 29 84 1 2 1 1 1 3 9
I 1 2 1 0 3 2 9 18 36 1 2 1 0 3 2 9 18 36 1 1 1 0 0 1 4
II 1 0 3 0 2 5 13 6 30 1 0 3 0 2 5 13 6 30 0 0 0 0 0 2 2
III 0 1 0 1 3 1 7 5 18 0 1 0 1 3 1 7 5 18 0 1 0 1 1 0 3
13 NETUTNANA 1,056 0 0 0 0 0 0 0 0 10 3 2 11 11 12 14 30 93 10 3 2 11 11 12 14 30 93 0 1 1 7 1 4 2

Pos I 4 1 1 10 7 7 6 17 53 4 1 1 10 7 7 6 17 53 0 0 1 7 1 3 1

Pos II 6 2 1 1 4 5 8 13 40 6 2 1 1 4 5 8 13 40 0 1 0 0 0 1 1

0 0 3 3 15 15 0 0 64 56 75 72 127 125 384 383 1286 64 56 75 72 127 125 384 383 1286 20 16 22 25 24 34 104
JUMLAH 19,384
30 0 1286 1286 354

J I II III IV J
S 197 44 52 47 54 197
K 78 21 17 19 21 78
D 176 40 45 42 49 176
N 93 24 29 23 17 93

B 103 21 29 25 28 103
K 73 19 16 17 21 73
R 0 0 0 0 0 0

176 40 45 42 49 176
 HALAMAN
LAPORAN BULAN :JULI 2015

REKAPITULASI LAPORAN PENIMBANGAN

F/III/GIZI PUSKESMAS

BADAN JML BALITA YG TIDAK NAIK BERAT JML BALITA YG DI TIMBANG BULAN INI JML BALITA YG BARU HADIR JML BALITA YG DI TIMBANG
NOMOR

BADANNYA BULAN INI ( T ) TAPI TIDAK BULAN LALU ( O ) BULAN INI ( B ) BULAN INI ( D )
DESA
25-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN

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

0 1 OINLASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 39 1 KOKOI 1 3 3 3 6 3 6 11 36 1 0 3 1 2 1 11 9 28 4 1 0 0 0 0 0 0 5 7 5 9 5 13 6

4 15 0 0 1 2 3 0 2 3 11 0 0 0 1 0 0 5 4 10 1 0 0 0 0 0 0 0 1 1 0 1 4 4 0
6 20 1 2 2 1 3 2 3 7 21 1 0 3 0 2 1 4 5 16 2 1 0 0 0 0 0 0 3 5 4 8 1 7 5
1 4 0 1 0 0 0 1 1 1 4 0 0 0 0 0 0 2 0 2 1 0 0 0 0 0 0 0 1 1 1 0 0 2 1
7 27 1 FATULUNU 0 0 2 1 0 3 1 6 13 0 0 2 0 3 1 8 8 22 2 1 0 0 0 0 0 0 3 4 4 6 4 5 4

1 11 0 0 0 0 0 2 0 0 2 0 0 0 0 0 0 1 1 2 1 0 0 0 0 0 0 0 1 1 0 1 3 2 2
2 8 0 0 0 0 0 0 1 5 6 0 0 0 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 2 3 0 0 0 0
4 8 0 0 2 1 0 1 0 1 5 0 0 2 0 3 1 5 5 16 1 1 0 0 0 0 0 0 2 1 1 5 1 3 2
15 54 1 NUNLEU 3 5 4 3 4 6 16 19 60 0 1 2 2 4 5 15 14 43 8 7 0 0 0 0 0 1 16 13 13 12 7 11 19

2 8 0 1 1 0 0 1 3 4 10 0 0 0 0 2 1 2 4 9 3 3 0 0 0 0 0 0 6 3 4 2 0 2 2
3 11 2 3 1 0 1 1 4 6 18 0 1 1 2 0 1 11 6 22 1 3 0 0 0 0 0 0 4 3 7 3 2 1 5
4 14 1 1 1 1 2 2 3 2 13 0 0 1 0 1 3 2 3 10 1 0 0 0 0 0 0 0 1 2 1 3 1 5 7
6 21 0 0 1 2 1 2 6 7 19 0 0 0 0 1 0 0 1 2 3 1 0 0 0 0 0 1 5 5 1 4 4 3 5
0 0 1 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
8 28 1 FENUN 1 2 1 1 3 2 7 7 24 0 0 2 0 1 1 5 3 12 0 0 0 0 0 0 0 0 0 3 2 4 2 5 7
4 9 0 1 0 0 1 1 2 3 8 0 0 1 0 0 0 2 1 4 0 0 0 0 0 0 0 0 0 1 1 1 0 1 2
4 19 1 1 1 1 2 1 5 4 16 0 0 1 0 1 1 3 2 8 0 0 0 0 0 0 0 0 0 2 1 3 2 4 5
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
6 26 1 FAE 1 2 0 1 1 3 9 3 20 0 0 2 0 1 1 0 0 4 0 0 0 0 0 0 0 0 0 2 2 2 3 4 11
3 11 0 1 0 0 1 1 2 1 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 4
3 13 1 1 0 0 0 2 7 1 12 0 0 1 0 0 1 0 0 2 0 0 0 0 0 0 0 0 0 2 1 1 0 1 6
0 0 0 0 0 0 0 0 0 0
0 2 0 0 0 1 0 0 0 1 2 0 0 1 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1
10 29 1 ANIN 1 2 0 2 2 3 6 8 24 0 0 2 0 0 3 7 10 22 1 0 0 0 0 0 1 1 3 4 5 4 6 5 7

1 5 I 0 0 0 0 0 1 4 1 6 0 0 0 0 0 1 3 8 12 0 0 0 0 0 0 0 0 0 1 1 1 0 0 2
2 5 1 0 0 0 1 0 1 3 6 0 0 1 0 0 1 3 0 5 1 0 0 0 0 0 0 0 1 3 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0
7 19 0 2 0 2 1 2 1 4 12 0 0 1 0 0 1 1 2 5 0 0 0 0 0 0 1 1 2 0 3 2 5 4 4
6 29 1 TOI 0 0 0 0 0 2 9 3 14 0 0 0 0 8 0 5 3 16 0 0 0 0 0 1 1 0 2 0 3 4 0 10 4
2 3 0 0 0 0 0 1 5 0 6 0 0 0 0 8 0 3 2 13 0 0 0 0 0 1 0 0 1 0 0 0 0 8 2
4 21 0 0 0 0 0 1 2 0 3 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 2 2 0 2 2
0 5 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 1 0 1 0 1 2 0 0 0
7 26 1 NIFULEO 4 2 1 1 1 3 7 7 26 0 0 2 1 5 4 3 10 25 0 0 0 0 0 0 0 0 0 6 3 5 6 13 11

3 6 0 0 0 1 1 0 8 5 15 0 0 0 0 1 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0
1 11 1 1 1 1 5 3 3 1 16 0 0 0 1 2 1 1 4 9 0 0 0 0 0 0 0 0 0 3 2 1 2 8 6
0 2 0 0 1 0 0 0 2 1 4 0 0 0 0 0 3 2 2 7 0 0 0 0 0 0 0 0 0 0 1 1 0 0 4
3 7 1 0 0 2 1 1 4 1 10 0 0 2 0 2 0 0 3 7 0 0 0 0 0 0 0 0 0 3 0 3 2 3 1
12 35 11 SUNU 2 6 5 2 5 6 8 21 55 1 2 2 2 2 4 11 8 32 1 0 0 0 0 0 0 0 1 9 9 8 7 10 11
2 8 I 0 1 2 1 2 1 3 6 16 1 1 2 2 1 3 4 2 16 0 0 0 0 0 0 0 0 0 2 2 4 4 3 5
3 10 II 1 0 0 0 0 1 0 0 2 0 1 0 0 1 0 3 3 8 0 0 0 0 0 0 0 0 0 2 2 0 1 2 1
4 8 III 1 2 2 1 1 3 3 10 23 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 4 2 2 1 1 3
3 9 IV 0 3 1 0 2 1 2 5 14 0 0 0 0 0 1 4 3 8 0 0 0 0 0 0 0 0 0 1 3 2 1 4 2
10 27 11 LANU 0 1 2 0 5 2 9 14 33 0 0 0 0 0 2 2 2 6 1 0 0 0 0 0 1 0 2 2 3 3 1 6 7
5 13 0 1 0 0 1 0 4 9 15 0 0 0 0 0 1 0 2 3 0 0 0 0 0 0 1 0 1 1 2 1 0 1 2
2 6 0 0 2 0 2 1 3 3 11 0 0 0 0 0 1 1 0 2 1 0 0 0 0 0 0 0 1 1 0 2 0 2 4
3 8 0 0 0 0 2 1 2 2 7 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 3 1
17 26 13 NETUTNANA 5 0 0 4 3 3 7 10 32 0 0 0 0 4 2 4 1 11 4 2 0 0 0 0 0 0 6 9 3 1 11 8 9

9 22 2 0 0 3 2 2 2 7 18 0 0 0 0 3 1 2 0 6 2 1 0 0 0 0 0 0 3 4 1 1 10 6 6
8 11 Pos II 3 0 0 1 1 1 5 3 14 0 0 0 0 1 1 2 1 5 2 1 0 0 0 0 0 0 3 5 2 0 1 2 3
109 354 18 23 18 18 30 36 85 109 337 2 3 17 6 30 24 71 68 221 21 11 0 0 0 1 3 2 38 59 52 58 52 90 96
JUMLAH
337 221 38 969
ALAMAN 2
0 0 0 0 0 0 0 1 LAPORAN BULAN
0 0 0 0 1 0 2 1
0 0 0 0 1 0 2 2
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS

MBANG JML BALITA YG TIDAK HADIR DI BALITA DENGAN GIZI BAIK BALITA DENGAN GIZI KURANG BALITA DENGAN GIZI KU
NOMOR

PENIMBANGAN BULAN INI ( - ) (BK) (KR) Baru (KR) Lama

DESA
24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN

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

0 0 0 1 OINLASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

32 31 108 1 KOKOI 0 0 0 0 1 1 9 7 18 7 5 6 4 9 5 22 20 78 0 0 3 1 4 1 10 11 30 0 0 0 0

16 11 37 0 0 0 0 0 0 0 3 3 1 0 1 3 3 0 12 8 28 0 0 0 1 1 0 4 3 9

12 18 60 0 0 0 0 1 1 5 4 11 5 4 5 1 5 4 7 11 42 0 0 3 0 2 1 5 7 18

4 2 11 0 0 0 0 0 0 4 0 4 1 1 0 0 1 1 3 1 8 0 0 0 0 1 0 1 1 3

17 21 65 1 FATULUNU 0 0 1 2 5 4 8 7 27 4 4 5 3 4 3 15 20 58 0 0 1 1 1 1 2 1 7 0 0 0 0

5 2 16 0 0 0 1 1 2 0 3 7 1 0 0 2 1 1 3 1 9 0 0 1 1 1 1 2 1 7

4 9 18 0 0 0 0 3 1 3 1 8 2 3 0 0 0 0 4 9 18 0

8 10 31 0 0 1 1 1 1 5 3 12 1 1 5 1 3 2 8 10 31 0

49 49 173 1 NUNLEU 2 1 3 2 9 9 34 18 78 12 11 9 6 7 13 36 38 132 1 2 3 1 4 6 13 11 41 0 0 0 0

10 10 33 0 0 0 1 2 3 7 2 15 3 3 2 0 1 2 7 7 25 0 1 0 0 1 0 3 3 8

19 15 55 0 0 0 0 4 1 8 1 14 3 6 2 2 1 3 15 12 44 0 1 1 0 0 2 4 3 11

10 9 38 2 1 2 1 1 5 9 10 31 2 1 2 1 3 5 7 7 28 0 0 1 0 2 2 3 2 10

10 15 47 0 0 1 0 2 0 10 5 18 4 1 3 3 2 3 7 12 35 1 0 1 1 1 2 3 3 12
0 0 0 1 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0
0 0 0 0
0 0 0
23 18 64 1 FENUN 0 1 2 2 2 4 5 4 20 3 2 4 2 5 7 23 18 64 0 0 0 0 0 0 0 0 0 0 0 0 0

7 8 21 0 0 0 1 0 2 1 1 5 1 1 1 0 1 2 7 8 21 0
16 10 43 0 1 2 1 2 2 4 3 15 2 1 3 2 4 5 16 10 43 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 9 50 1 FAE 0 0 3 2 0 1 4 9 19 2 2 2 2 3 7 13 6 37 0 0 0 1 1 4 4 3 13 0 0 0 0

4 4 17 0 0 3 0 0 0 1 2 6 0 1 0 1 1 3 2 3 11 0 0 0 1 1 1 2 1 6
12 4 27 0 0 0 1 0 1 3 6 11 2 1 1 0 1 4 10 3 22 0 0 0 0 0 2 2 1 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 6 0 0 0 1 0 0 0 1 2 0 0 1 1 1 0 1 0 4 0 0 0 0 0 1 0 1 2
18 29 78 1 ANIN 0 1 0 4 2 0 14 6 27 4 5 3 5 4 5 12 20 58 0 0 1 1 1 2 6 9 20 0 0 0 0

8 10 23 I 0 1 0 3 2 0 5 1 12 1 1 1 0 0 1 5 6 15 0 0 0 0 0 1 3 4 8
4 5 17 II 0 0 0 0 0 0 1 1 2 3 1 1 1 1 1 3 4 15 0 0 0 0 0 0 1 1 2
0 0 0 III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 14 38 IV 0 0 0 1 0 0 8 4 13 0 3 1 4 3 3 4 10 28 0 0 1 1 1 1 2 4 10
28 12 61 1 TOI 0 0 1 2 4 2 8 8 25 0 3 4 0 7 3 18 9 44 0 0 0 0 3 1 10 3 17 0 0 0 0
9 4 23 Posyandu I 0 0 1 1 4 1 8 4 19 0 0 0 0 5 2 6 3 16 0 0 0 0 3 0 3 1 7
12 5 25 Posyandu II 0 0 0 0 0 0 0 0 0 0 2 2 0 2 1 7 4 18 0 0 0 0 0 1 5 1 7
7 3 13 Posyandu III 0 0 0 1 0 1 0 4 6 0 1 2 0 0 0 5 2 10 0 0 0 0 0 0 2 1 3
27 25 96 1 NIFULEO 2 1 1 5 4 1 10 13 37 6 3 5 3 9 9 20 19 74 0 0 0 3 4 2 7 6 22 0 0 0 0

10 9 23 0 0 0 1 0 0 2 0 3 0 0 0 1 2 0 6 7 16 0 0 0 1 0 0 4 2 7

8 6 36 2 1 1 2 0 0 4 3 13 3 2 1 1 5 4 6 4 26 0 0 0 1 3 2 2 2 10

4 3 13 0 0 0 2 4 0 2 6 14 0 1 1 0 0 4 4 3 13 0

5 7 24 0 0 0 0 0 1 2 4 7 3 0 3 1 2 1 4 5 19 0 0 0 1 1 0 1 2 5
28 41 123 11 SUNU 0 0 4 1 5 3 10 17 40 8 9 7 6 6 7 18 28 89 1 0 1 1 4 4 10 13 34 0 0 0 0
10 10 40 I 0 0 2 1 2 1 3 2 11 2 2 3 3 2 3 7 8 30 0 0 1 1 1 2 3 2 10
6 6 20 II 0 0 0 0 1 1 6 9 17 2 2 0 1 1 1 4 4 15 0 0 0 0 1 0 2 2 5
5 14 32 III 0 0 2 0 1 0 1 2 6 3 2 2 1 1 2 3 9 23 1 0 0 0 0 1 2 5 9
7 11 31 IV 0 0 0 0 1 1 0 4 6 1 3 2 1 2 1 4 7 21 0 0 0 0 2 1 3 4 10
21 26 69 0 LANU 0 0 1 0 2 1 8 3 15 2 3 1 1 4 6 14 18 49 0 0 2 0 2 1 7 8 20 0 0 0 0
9 16 32 0 0 0 0 2 0 0 2 4 1 2 0 0 1 2 6 11 23 0 0 1 0 0 0 3 5 9
6 5 20 0 0 1 0 0 1 7 1 10 1 0 1 0 1 3 4 3 13 0 0 1 0 1 1 2 2 7
6 5 17 0 0 0 0 0 0 1 0 1 0 1 0 1 2 1 4 4 13 0 0 0 0 1 0 2 1 4
13 28 82 13 NETUTNANA 1 0 1 0 3 3 1 2 11 8 3 1 7 5 6 9 19 58 1 0 0 4 3 3 4 9 24 0 0 0 0

5 16 49 Pos I 0 0 0 0 1 1 1 1 4 4 1 1 6 4 4 4 11 35 0 0 0 4 2 2 1 5 14
8 12 33 Pos II 1 0 1 0 2 2 0 1 7 4 2 0 1 1 2 5 8 23 1 0 0 0 1 1 3 4 10

273 289 969 5 4 17 20 37 29 111 94 317 56 50 47 39 63 71 200 215 741 3 2 11 13 27 25 73 74 228 0 0 0 0

JUMLAH
317 741 228 0
 HALAMAN 3
:Agustus 2015

NGAN GIZI KURANG BALITA DENGAN GIZI BURUK BALITA DENGAN GIZI BURUK JML PEMBERIAN BALITA DISTRIBUSI VITAMIN A BALITA
ORALIT BGM

NOMOR
KR) Lama (BR) Baru (BR) Lama BAYI ( 6-11 BLN ) ANAK ( 12-60 B
DESA
12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML SASARAN REALISASI SASARAN
K US
BALITA NG L P
L P L P L P L P L P L P L P L P L P L P BU L P L P L P

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 30 4 OINLASI 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 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 KOKOI 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 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 FATULUNU 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 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 30 4 NUNLEU 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 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 20 5 KUALEU 0 0 0 0 0 0 0 0

0 0 0 0

0 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 FENUN 0 0 0 0 0 0 0 0
0
0 0 0
0 0 0
0 0 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 20 7 FAE ### ### ### ### ### ### ### ###
0 0 0
0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0
0 0 0
0 0 0
0 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 TOI 0 0 0 0 0 0 0 0
0 0 0 Posyandu I
0 0 0 Posyandu II
0 0 0 Posyandu III

0 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 NIFULEO 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 0 0
0 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 SUNU 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0 II
 0 0 0 III

0 0 0 IV
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 20 12 LANU 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 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 20 13 NETUTNANA

0 0 Pos I

0 0 Pos II

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### ### ### ### ###

17 140 JUMLAH
0 0 0 #REF! #REF! #REF! #REF!
 HALAMAN : 4
LAPORAN BULAN : FEBRUARI 2014 REKAPITULASI LA
F/III/GIZI

REKAPITULASI LAPORAN PENIMBANGAN JUM

NOMOR
F/III/GIZI PUSKESMAS DESA
MARASMUS KWASHIORK
0-5 BLN 6-11 BL 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN

L P L P L P L P L P L
1 OINLASI 0 0 0 0 0 0 0 0 0 0 0
BALITA Vit.A ASI EKSLUSIF PENGUKURAN KAPSUL YODIUM 2 KOKOI 0 0 0 0 0 0 0 0 0 0 0
DISTRIBUSI FE
( 12-60 BLN ) BUFAS SASARAN LILA SASARAN DISTRIBUSI 3 FATULUNU 0 0 0 0 0 0 0 0 0 0 0
AE TDK AE

ANAK SD

ANAK SD
Realisasi

REALISASI WUS BUMIL OINLASI

BUFAS
Sasaran

BUMIL

BUMIL
(0-6 bln 4 0 0 0 0 0 0 0 0 0 0 0

WUS

WUS
Fe 1 Fe 2
L P L P L P L P < 23,5 >23,5 <23,5 >23,5
5 KUALEU 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

0 0 3 3 1 1 0 0 0 0 0 0 0 0 7 FAE 0 0 0 0 0 0 0 0 0 0 0
1 2 1 1 0 0
2 1 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

2 1 1 1 1 0
0 0 1 3 1 3 0 0 0 0 0 0 0 0 10 NIFULEO 0 0 0 0 0 0 0 0 0 0 0
0 1 0 1 0 0
0 2 0 2 0 0
1 0 1 0 0 0
0 0 2 2 0 2 0 0 0 0 0 0 0 0 11 SUNU 0 0 0 0 0 0 0 0 0 0 0

2 2 0 2 0 0

### ### 0 0 0 0 0 0 0 0 0 0 0 0 12 LANU 0 0 0 0 0 0 0 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 4 1 2 0 1 0 0 0 0 0 0 13 NETUTNANA 0 0 0 0 0 0 0 0 0 0 0

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

JUMLAH

0 0 2 2 1 2 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
2 0 1 0 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
2 2 1 1 0 0
0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 SISA AKHIR DI Terima KELUAR SISA AKHIR

NO

### ### 28 42 16 33 1 120 0 0 0 0 0 0 1 KMS (lbr)

#REF! 70 49 121 0 0 2 ORALIT (bks)

3 VIT. A BIRU 0 0 0 0
4 VIT. A MERAH
5 TABLET BESI
6 KAPS.YODIUM

126
 LAPORAN BULAN FEBRUARI 2014
TULASI LAPORAN PENIMBANGAN HALAMAN : 5
F/III/GIZI PUSKESMAS

JUMLAH KASUS GIZI BURUK DAN GIZI BURUK DENGAN KELAINAN KLINIS
KWASHIORKOR MARASMUS-KWASHIORKOR G I Z I B U R U K B G M
6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BL 12-23 BLN 24-60 BL
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
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 1 1 0 0 0 1 5 1 5 4
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 2 1 0 0 0 0 0 0 0 2 Anin
0 0 0 0 0 0 0 1
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 1 1 1 1 0 0 0 1 5 1 5 4 Toi
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 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 1 0 0 5 2 0 0 0 1 0 0 5 2 Sunu
0 0 0 0 0 0 1 0
0 0 0 1 0 0 3 1
0 0 0 0 0 0 0 1
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 3 1 1 0 0 0 0 0 1 2 2 Lanu
0 0 0 0 0 1 1 0

0 0 0 0 0 0 1 2

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 2 1 5 6 13 9 0 0 0 6 20 6 34 28

0 0 36 94
AKHIR Mengetahui

Pengelola Gizi Puskesmas

0
Yustina Bria,A.Md Juliana M S Nenobais,A.Md Gz
Nip.196706221992032007 Nip.19790309 200604 2 030
 HALAMAN 1
LAPORAN BULAN : Februari 2017
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS
PUSKESMAS : OINLASI JUMLAH PENDUDUK : 19.384 JIWA
KECAMATAN : AMANATUN SELATAN JUMLAH POSYANDU : 45
JUMLAH DESA : 13

JML BALITA YG ADA JML BALITA YG TERDAFTAR JML BALITA YG NAIK BERAT BADAN
DESA POSYANDU KADER
PENDUDUK
NOMOR

(S) & MEMPUNYAI KMS ( K ) BULAN INI ( N )

DESA
Ada Aktif 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-25 BLN 25-60 BLN
Ada Lapor Ada Lapor
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

1 OINLASI 2,376 0 0 0 0 0 0 0 0 0 1 2 1 5 3 10 10 32 0 1 2 1 5 3 10 10 32

1. Kobeklofo 0 0

2. Paris Oinlasi 0 0

3. Ayobiliko 0 0

4.Kantor Desa 0 1 2 1 5 3 10 10 32 0 1 2 1 5 3 10 10 32 0 1 1 1 2 0 2

2 KOKOI 1,411 0 0 0 0 0 0 0 0 9 5 9 5 13 9 39 37 126 9 5 9 5 13 9 39 37 126 2 1 4 2 3 2 12

I 3 0 1 3 3 2 14 14 40 3 0 1 3 3 2 14 14 40 1 0 1 2 1 0 5

II 5 4 8 1 8 6 17 22 71 5 4 8 1 8 6 17 22 71 1 1 3 0 2 2 5

III 1 1 0 1 2 1 8 1 15 1 1 0 1 2 1 8 1 15 0 0 0 0 0 0 2

3 FATULUNU 1,185 0 0 0 0 0 0 0 0 6 4 7 5 10 3 31 32 98 6 4 7 5 10 3 31 32 98 6 3 5 4 4 1 6

3 2 1 2 2 0 8 10 28 3 2 1 2 2 0 8 10 28 3 1 1 2 0 0 0

1 1 2 2 1 0 10 10 27 1 1 2 2 1 0 10 10 27 1 1 2 2 0 0 0

2 1 4 1 7 3 13 12 43 2 1 4 1 7 3 13 12 43 2 1 2 0 4 1 6

4 NUNLEU 2,386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

I 0 0

II 0 0

III 0 0

IV 0 0
5 KUALEU 2,114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 2,011 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0
II 0 0
III 0 0
IV 0 0
7 FAE 967 0 0 0 0 0 0 0 0 3 4 2 2 8 12 24 26 81 3 4 2 2 8 12 24 26 81 0 1 1 0 4 6 4
I 1 2 1 1 3 4 6 7 25 1 2 1 1 3 4 6 7 25 0 1 1 0 2 3 2
II 2 2 1 0 2 4 14 13 38 2 2 1 0 2 4 14 13 38 0 0 0 0 2 2 1
III 0 0 0 0 1 2 3 4 10 0 0 0 0 1 2 3 4 10 0 0 0 0 0 1 1
IV 0 0 0 1 2 2 1 2 8 0 0 0 1 2 2 1 2 8 0 0 0 0 0 0 0

8 ANIN 1,279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

I 0

II 0 0

III 0 0

IV 0 0
9 TOI 1,177 0 0 0 0 0 0 0 1 6 4 1 11 4 34 16 77 1 6 4 1 11 4 34 16 77 1 4 0 1 2 1 6
Posyandu I 0 3 1 1 6 3 15 8 37 0 3 1 1 6 3 15 8 37 0 1 0 1 1 1 4
Posyandu II 1 3 1 0 4 0 13 4 26 1 3 1 0 4 0 13 4 26 1 3 0 0 1 0 1
Posyandu III 0 0 2 0 1 1 6 4 14 0 0 2 0 1 1 6 4 14 0 0 0 0 0 0 1
10 NIFULEO 1,178 0 0 0 0 0 0 0 0 2 4 8 9 18 8 37 34 120 2 4 8 9 18 8 37 34 120 1 2 5 2 6 1 10

1 0 1 0 2 2 0 13 9 27 0 1 0 2 2 0 13 9 27 0 0 0 0 0 0 3

2 1 2 4 4 8 4 13 8 44 1 2 4 4 8 4 13 8 44 0 1 2 1 4 1 4

3 0 1 1 1 4 1 6 11 25 0 1 1 1 4 1 6 11 25 0 1 0 0 0 0 1

4 1 0 3 2 4 3 5 6 24 1 0 3 2 4 3 5 6 24 1 0 3 1 2 0 2
11 SUNU 1,305 0 0 0 0 0 0 0 0 6 7 9 8 13 17 34 46 106 6 7 9 8 13 17 34 46 140 2 2 4 4 5 9 10
I 1 3 3 3 3 8 8 8 37 1 3 3 3 3 8 8 8 37 1 0 1 2 1 5 4
II 0 2 2 0 3 3 12 12 34 0 2 2 0 3 3 12 12 34 0 1 0 0 2 2 4
 III 3 0 2 2 3 4 6 15 35 3 0 2 2 3 4 6 15 35 1 0 1 0 2 1 1
IV 2 2 2 3 4 2 8 11 34 2 2 2 3 4 2 8 11 34 0 1 2 2 0 1 1
12 LANU 939 0 0 0 0 0 0 0 0 0 2 5 5 6 5 24 39 86 0 2 5 5 6 5 24 39 86 0 0 0 4 1 2 7
I 0 0 1 2 3 1 8 18 33 0 0 1 2 3 1 8 18 33 0 0 0 2 1 0 1
II 0 1 4 2 0 2 9 16 34 0 1 4 2 0 2 9 16 34 0 0 0 1 0 1 5
III 0 1 0 1 3 2 7 5 19 0 1 0 1 3 2 7 5 19 0 0 0 1 0 1 1
13 NETUTNANA 1,056 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pos I 0 0

Pos II 0

0 0 0 0 0 0 0 0 27 33 46 36 84 61 233 240 760 27 33 46 36 84 61 233 240 760 12 13 19 17 25 22 55

JUMLAH 19,384
0 0 760 760 212

J I II III IV J
S 197 44 52 47 54 197
K 78 21 17 19 21 78
D 176 40 45 42 49 176
N 93 24 29 23 17 93

B 103 21 29 25 28 103
K 73 19 16 17 21 73
R 0 0 0 0 0 0

176 40 45 42 49 176
 HALAMAN
LAPORAN BULAN :JULI 2015

REKAPITULASI LAPORAN PENIMBANGAN

F/III/GIZI PUSKESMAS

BADAN JML BALITA YG TIDAK NAIK BERAT JML BALITA YG DI TIMBANG BULAN INI JML BALITA YG BARU HADIR JML BALITA YG DI TIMBANG
NOMOR

BADANNYA BULAN INI ( T ) TAPI TIDAK BULAN LALU ( O ) BULAN INI ( B ) BULAN INI ( D )
DESA
25-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN

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

7 1 OINLASI 0 0 1 0 1 2 3 2 9 0 0 0 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 1 2 1 3 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 0 0
0 7 0 0 1 0 1 2 3 2 9 0 0 0 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 1 2 1 3 2
12 38 1 KOKOI 2 3 2 3 5 4 10 11 40 1 0 3 0 4 2 10 9 29 4 1 0 0 0 0 0 0 5 9 5 9 5 12 8

6 16 0 0 0 1 2 2 5 4 14 0 0 0 0 0 0 3 3 6 2 0 0 0 0 0 0 0 2 3 0 1 3 3 2
6 20 1 2 2 1 3 2 3 7 21 1 0 3 0 2 1 4 5 16 2 1 0 0 0 0 0 0 3 5 4 8 1 7 5
0 2 1 1 0 1 0 0 2 0 5 0 0 0 0 2 1 3 1 7 0 0 0 0 0 0 0 0 0 1 1 0 1 2 1
8 37 1 FATULUNU 0 0 0 0 1 0 5 10 16 0 0 1 0 1 2 10 6 20 0 1 1 1 1 0 0 0 4 6 4 7 5 7 3

1 8 0 0 0 0 0 0 3 3 6 0 0 0 0 1 0 4 2 7 0 1 0 0 1 0 0 0 2 3 2 1 2 2 0
2 8 0 0 0 0 0 0 2 6 8 0 0 0 0 0 0 5 2 7 0 0 0 0 0 0 0 0 0 1 1 2 2 0 0
5 21 0 0 0 0 1 0 0 1 2 0 0 1 0 0 2 1 2 6 0 0 1 1 0 0 0 0 2 2 1 4 1 5 3
0 0 1 NUNLEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 17 1 FAE 1 0 1 1 1 4 8 9 25 0 1 0 1 2 2 11 13 30 2 2 0 0 0 0 0 0 4 3 4 2 2 7 12
0 9 0 0 0 0 0 1 2 1 4 0 0 0 1 0 0 1 5 7 1 1 0 0 0 0 0 0 2 1 2 1 1 2 4
1 6 1 0 1 0 0 1 5 6 14 0 1 0 0 0 1 8 4 14 1 1 0 0 0 0 0 0 2 2 2 1 0 2 4
0 2 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 2 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2
0 0 0 0 0 1 1 1 1 2 6 0 0 0 0 1 1 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2
0 0 1 ANIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 I 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 16 1 TOI 0 1 0 0 2 1 9 8 21 0 0 2 0 5 1 5 1 14 0 1 0 0 0 0 0 1 2 1 6 2 1 9 3
1 9 0 1 0 0 2 1 1 5 10 0 0 0 0 3 0 4 0 7 0 1 0 0 0 0 0 0 1 0 3 0 1 6 2
0 6 0 0 0 0 0 0 6 2 8 0 0 0 0 1 0 1 1 3 0 0 0 0 0 0 0 0 0 1 3 0 0 2 0
0 1 0 0 0 0 0 0 2 1 3 0 0 2 0 1 1 0 0 4 0 0 0 0 0 0 0 1 1 0 0 2 0 1 1
6 33 1 NIFULEO 0 1 3 5 6 3 14 15 47 0 0 0 2 3 2 4 7 18 0 0 0 0 0 0 0 0 0 1 3 8 9 15 6

0 3 0 1 0 1 1 0 5 6 14 0 0 0 1 1 0 1 1 4 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0
5 18 0 0 2 2 3 1 5 1 14 0 0 0 1 0 1 2 1 5 0 0 0 0 0 0 0 0 0 0 1 4 4 7 3
1 3 0 0 1 1 1 1 1 3 8 0 0 0 0 1 0 1 5 7 0 0 0 0 0 0 0 0 0 0 1 1 1 2 1
0 9 0 0 0 1 1 1 3 5 11 0 0 0 0 1 1 0 0 2 0 0 0 0 0 0 0 0 0 1 0 3 2 4 2
15 51 11 SUNU 2 1 3 2 4 4 11 12 39 0 1 1 2 2 3 7 11 27 2 3 0 0 0 0 0 0 5 6 7 8 8 11 16
0 14 I 0 0 2 1 0 0 2 4 9 0 1 0 0 1 2 1 3 8 0 2 0 0 0 0 0 0 2 1 3 3 3 2 7
7 16 II 0 0 0 0 0 0 2 0 2 0 0 1 0 0 1 3 1 6 0 1 0 0 0 0 0 0 1 0 2 1 0 2 3
5 11 III 1 0 1 1 1 3 4 7 18 0 0 0 1 0 0 1 2 4 1 0 0 0 0 0 0 0 1 3 0 2 2 3 4
3 10 IV 1 1 0 0 3 1 3 1 10 0 0 0 1 1 0 2 5 9 1 0 0 0 0 0 0 0 1 2 2 2 3 4 2
6 16 11 LANU 0 1 3 0 5 0 10 21 40 0 0 1 0 0 1 3 5 10 0 0 0 0 0 1 0 0 1 0 1 4 4 6 4
0 2 0 0 0 0 2 0 6 14 22 0 0 1 0 0 0 1 0 2 0 0 0 0 0 1 0 0 1 0 0 1 2 3 1
6 12 0 1 3 0 0 0 1 5 10 0 0 0 0 0 0 1 3 4 0 0 0 0 0 0 0 0 0 0 1 3 1 0 1
0 2 0 0 0 0 3 0 3 2 8 0 0 0 0 0 1 1 2 4 0 0 0 0 0 0 0 0 0 0 0 0 1 3 2
0 13 NETUTNANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 Pos I 0 0 0
0 Pos II 0 0 0
49 212 5 7 13 11 25 18 70 88 237 1 2 8 5 17 13 52 54 152 8 8 1 1 1 1 0 1 21 26 31 42 35 70 54
JUMLAH
237 152 21 629
ALAMAN 2
0 0 0 0 0 0 0 1 LAPORAN BULAN
0 0 0 0 1 0 2 1
0 0 0 0 1 0 2 2
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS

MBANG JML BALITA YG TIDAK HADIR DI BALITA DENGAN GIZI BAIK BALITA DENGAN GIZI KURANG BALITA DENGAN GIZI KU
NOMOR

PENIMBANGAN BULAN INI ( - ) (BK) (KR) Baru (KR) Lama

DESA
24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN

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

7 4 20 1 OINLASI 0 0 0 0 2 1 3 6 12 0 1 2 1 3 2 7 4 20 0 0 0 0 0 0 0 0 0 0 0 0 0

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4 20 0 0 0 0 2 1 3 6 12 0 1 2 1 3 2 7 4 20 0

32 32 112 1 KOKOI 0 0 0 0 1 1 7 5 14 9 5 9 5 12 8 32 32 112 0 0 0 0 0 0 0 0 0 0 0 0 0

13 13 38 0 0 0 0 0 0 1 1 2 3 0 1 3 3 2 13 13 38 0

12 18 60 0 0 0 0 1 1 5 4 11 5 4 8 1 7 5 12 18 60 0

7 1 14 0 0 0 0 0 0 1 0 1 1 1 0 1 2 1 7 1 14 0

21 24 77 1 FATULUNU 0 0 0 0 3 0 10 8 21 6 4 7 5 7 3 21 24 77 0 0 0 0 0 0 0 0 0 0 0 0 0

7 6 23 0 0 0 0 0 0 1 4 5 3 2 1 2 2 0 7 6 23 0

7 10 23 0 0 0 0 1 0 3 0 4 1 1 2 2 0 0 7 10 23 0

7 8 31 0 0 0 0 2 0 6 4 12 2 1 4 1 5 3 7 8 31 0

0 0 0 1 NUNLEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 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 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
23 23 76 1 FAE 0 0 0 0 1 0 1 3 5 3 4 2 2 7 12 23 23 76 0 0 0 0 0 0 0 0 0 0 0 0 0

5 6 22 0 0 0 0 1 0 1 1 3 1 2 1 1 2 4 5 6 22 0
14 11 36 0 0 0 0 0 0 0 2 2 2 2 1 0 2 4 14 11 36 0
3 4 10 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 4 10 0
1 2 8 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2 1 2 8 0
0 0 0 1 ANIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 IV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 11 53 1 TOI 0 0 2 0 2 1 14 5 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 6 27 Posyandu I 0 0 1 0 0 1 6 2 10 0 0
8 3 17 Posyandu II 0 0 1 0 2 0 5 1 9 0 0
3 2 9 Posyandu III 0 0 0 0 0 0 3 2 5 0 0
28 28 98 1 NIFULEO 1 1 0 0 3 2 9 6 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 7 21 0 0 0 0 0 0 4 2 6 0 0

11 7 37 1 1 0 0 1 1 2 1 7 0 0

3 9 18 0 0 0 0 2 0 3 2 7 0 0

5 5 22 0 0 0 0 0 1 0 1 2 0 0
28 38 122 11 SUNU 0 0 1 0 2 1 6 8 18 6 7 8 8 11 16 28 38 122 0 0 0 0 0 0 0 0 0 0 0 0 0
7 7 33 I 0 0 0 0 1 1 1 1 4 1 3 3 3 2 7 7 7 33 0
9 8 25 II 0 0 1 0 1 0 3 4 9 0 2 1 0 2 3 9 8 25 0
6 14 34 III 0 0 0 0 0 0 0 1 1 3 0 2 2 3 4 6 14 34 0
6 9 30 IV 0 0 0 0 0 0 2 2 4 2 2 2 3 4 2 6 9 30 0
20 32 71 0 LANU 0 1 1 1 0 1 4 7 15 0 1 4 4 6 3 19 31 68 0 0 0 0 0 1 1 1 3 0 0 0 0
8 14 29 0 0 0 0 0 0 0 4 4 0 0 1 2 3 1 8 14 29 0
7 14 27 0 0 1 1 0 1 2 2 7 0 1 3 1 0 0 6 13 24 0 0 0 0 0 1 1 1 3 0 0 0 0
5 4 15 0 1 0 0 0 0 2 1 4 0 0 0 1 3 2 5 4 15 0
0 0 0 13 NETUTNANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 Pos I 0 0 0
0 Pos II 0 0 0

179 192 629 1 2 4 1 14 7 54 48 131 24 22 32 25 46 44 130 152 475 0 0 0 0 0 1 1 1 3 0 0 0 0

JUMLAH
131 475 3 0
 HALAMAN 3
:Agustus 2015

NGAN GIZI KURANG BALITA DENGAN GIZI BURUK BALITA DENGAN GIZI BURUK JML PEMBERIAN BALITA DISTRIBUSI VITAMIN A BALITA
ORALIT BGM

NOMOR
KR) Lama (BR) Baru (BR) Lama BAYI ( 6-11 BLN ) ANAK ( 12-60 B
DESA
12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML SASARAN REALISASI SASARAN
K US
BALITA NG L P
L P L P L P L P L P L P L P L P L P L P BU L P L P L P

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 30 4 OINLASI 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 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 KOKOI 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 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 FATULUNU 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 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 30 4 NUNLEU 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 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 20 5 KUALEU 0 0 0 0 0 0 0 0

0 0 0 0

0 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 FENUN 0 0 0 0 0 0 0 0
0
0 0 0
0 0 0
0 0 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 20 7 FAE ### ### ### ### ### ### ### ###
0 0 0
0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0
0 0 0
0 0 0
0 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 TOI 0 0 0 0 0 0 0 0
0 0 0 Posyandu I
0 0 0 Posyandu II
0 0 0 Posyandu III

0 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 NIFULEO 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 0 0
0 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 SUNU 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0 II
 0 0 0 III

0 0 0 IV
0 0 0 0 0 0 0 0 1 3 2 5 4 15 0 0 0 0 0 0 0 0 0 2 20 12 LANU 0 0 0 0 0 0 0 0
0 0 0
0 0 0 0 0 0 0 0 1 3 2 5 4 15 0
0 0 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 20 13 NETUTNANA

0 0 Pos I

0 0 Pos II

0 0 0 0 0 0 0 0 1 3 2 5 4 15 0 0 0 0 0 0 0 0 0 ### ### ### ### ### ### ### ###

17 140 JUMLAH
0 15 0 #REF! #REF! #REF! #REF!
 HALAMAN : 4
LAPORAN BULAN : FEBRUARI 2014 REKAPITULASI LA
F/III/GIZI

REKAPITULASI LAPORAN PENIMBANGAN JUM

NOMOR
F/III/GIZI PUSKESMAS DESA
MARASMUS KWASHIORK
0-5 BLN 6-11 BL 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN

L P L P L P L P L P L
1 OINLASI 0 0 0 0 0 0 0 0 0 0 0
BALITA Vit.A ASI EKSLUSIF PENGUKURAN KAPSUL YODIUM 2 KOKOI 0 0 0 0 0 0 0 0 0 0 0
DISTRIBUSI FE
( 12-60 BLN ) BUFAS SASARAN LILA SASARAN DISTRIBUSI 3 FATULUNU 0 0 0 0 0 0 0 0 0 0 0
AE TDK AE

ANAK SD

ANAK SD
Realisasi

REALISASI WUS BUMIL OINLASI

BUFAS
Sasaran

BUMIL

BUMIL
(0-6 bln 4 0 0 0 0 0 0 0 0 0 0 0

WUS

WUS
Fe 1 Fe 2
L P L P L P L P < 23,5 >23,5 <23,5 >23,5
5 KUALEU 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

0 0 3 3 1 1 0 0 0 0 0 0 0 0 7 FAE 0 0 0 0 0 0 0 0 0 0 0
1 2 1 1 0 0
2 1 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

2 1 1 1 1 0
0 0 1 3 1 3 0 0 0 0 0 0 0 0 10 NIFULEO 0 0 0 0 0 0 0 0 0 0 0
0 1 0 1 0 0
0 2 0 2 0 0
1 0 1 0 0 0
0 0 2 2 0 2 0 0 0 0 0 0 0 0 11 SUNU 0 0 0 0 0 0 0 0 0 0 0

2 2 0 2 0 0

### ### 0 0 0 0 0 0 0 0 0 0 0 0 12 LANU 0 0 0 0 0 0 0 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 4 1 2 0 1 0 0 0 0 0 0 13 NETUTNANA 0 0 0 0 0 0 0 0 0 0 0

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

JUMLAH

0 0 2 2 1 2 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
2 0 1 0 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
2 2 1 1 0 0
0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 SISA AKHIR DI Terima KELUAR SISA AKHIR

NO

### ### 28 42 16 33 1 120 0 0 0 0 0 0 1 KMS (lbr)

#REF! 70 49 121 0 0 2 ORALIT (bks)

3 VIT. A BIRU 0 0 0 0
4 VIT. A MERAH
5 TABLET BESI
6 KAPS.YODIUM

126
 LAPORAN BULAN FEBRUARI 2014
TULASI LAPORAN PENIMBANGAN HALAMAN : 5
F/III/GIZI PUSKESMAS

JUMLAH KASUS GIZI BURUK DAN GIZI BURUK DENGAN KELAINAN KLINIS
KWASHIORKOR MARASMUS-KWASHIORKOR G I Z I B U R U K B G M
6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BL 12-23 BLN 24-60 BL
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
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 1 1 0 0 0 1 5 1 5 4
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 2 1 0 0 0 0 0 0 0 2 Anin
0 0 0 0 0 0 0 1
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 1 1 1 1 0 0 0 1 5 1 5 4 Toi
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 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 1 0 0 5 2 0 0 0 1 0 0 5 2 Sunu
0 0 0 0 0 0 1 0
0 0 0 1 0 0 3 1
0 0 0 0 0 0 0 1
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 3 1 1 0 0 0 0 0 1 2 2 Lanu
0 0 0 0 0 1 1 0

0 0 0 0 0 0 1 2

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 2 1 5 6 13 9 0 0 0 6 20 6 34 28

0 0 36 94
AKHIR Mengetahui

Pengelola Gizi Puskesmas

0
Yustina Bria,A.Md Juliana M S Nenobais,A.Md Gz
Nip.196706221992032007 Nip.19790309 200604 2 030
 HALAMAN 1
LAPORAN BULAN : Februari 2017
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS
PUSKESMAS : OINLASI JUMLAH PENDUDUK : 19.384 JIWA
KECAMATAN : AMANATUN SELATAN JUMLAH POSYANDU : 45
JUMLAH DESA : 13

JML BALITA YG ADA JML BALITA YG TERDAFTAR JML BALITA YG NAIK BERAT BADAN
DESA POSYANDU KADER
PENDUDUK
NOMOR

(S) & MEMPUNYAI KMS ( K ) BULAN INI ( N )

DESA
Ada Aktif 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-25 BLN 25-60 BLN
Ada Lapor Ada Lapor
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

1 OINLASI 2,376 0 0 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. Kobeklofo 0 0

2. Paris Oinlasi 0 0

3. Ayobiliko 0 0

4.Kantor Desa 0 0

2 KOKOI 1,411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

I 0 0

II 0 0

III 0 0

3 FATULUNU 1,185 0 0 0 0 0 0 0 0 5 5 8 6 13 5 31 29 102 5 5 8 6 13 5 31 29 102 4 3 4 4 1 0 7

3 2 1 3 5 1 7 8 30 3 2 1 3 5 1 7 8 30 3 2 1 1 0 0 3

0 1 3 2 0 0 9 10 25 0 1 3 2 0 0 9 10 25 0 1 2 2 0 0 3

2 2 4 1 8 4 15 11 47 2 2 4 1 8 4 15 11 47 1 0 1 1 1 0 1

4 NUNLEU 2,386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

I 0 0

II 0 0

III 0 0

IV 0 0
5 KUALEU 2,114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 2,011 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0
II 0 0
III 0 0
IV 0 0
7 FAE 967 0 0 0 0 0 0 0 0 3 8 4 2 10 15 26 26 94 3 8 4 2 10 15 26 26 94 1 4 1 2 2 4 12
I 1 2 1 1 3 4 5 6 23 1 2 1 1 3 4 5 6 23 0 2 0 1 0 0 1
II 1 3 2 0 2 4 15 12 39 1 3 2 0 2 4 15 12 39 1 0 1 0 2 3 10
III 1 2 1 1 3 4 5 6 23 1 2 1 1 3 4 5 6 23 0 2 0 1 0 0 1
IV 0 1 0 0 2 3 1 2 9 0 1 0 0 2 3 1 2 9 0 0 0 0 0 1 0

8 ANIN 1,279 0 0 0 0 0 0 0 0 3 9 8 8 20 9 34 43 134 3 9 8 8 20 9 34 43 134 1 2 3 3 7 2 5

I 0 4 1 1 3 1 11 10 31 0 4 1 1 3 1 11 10 31 0 1 0 0 2 0 2

II 1 1 2 2 2 2 3 8 21 1 1 2 2 2 2 3 8 21 0 0 2 1 0 0 0

III 1 2 3 0 8 1 9 10 34 1 2 3 0 8 1 9 10 34 0 0 1 0 2 0 1

IV 1 2 2 5 7 5 11 15 48 1 2 2 5 7 5 11 15 48 1 1 0 2 3 2 2
9 TOI 1,177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu I 0 0
Posyandu II 0 0
Posyandu III 0 0
10 NIFULEO 1,178 0 0 0 0 0 0 0 0 0 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

2 0 0

3 0 0

4 0 0
11 SUNU 1,305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0
II 0 0
 III 0 0
IV 0 0
12 LANU 939 0 0 0 0 0 0 0 0 2 1 1 4 11 8 24 24 75 2 1 1 4 11 8 24 24 75 0 1 0 4 2 2 7
I 0 0 1 2 3 1 8 17 32 0 0 1 2 3 1 8 17 32 0 0 0 2 1 0 1
II 2 0 0 1 5 5 9 2 24 2 0 0 1 5 5 9 2 24 0 0 0 1 1 1 5
III 0 1 0 1 3 2 7 5 19 0 1 0 1 3 2 7 5 19 0 1 0 1 0 1 1
13 NETUTNANA 1,056 0 0 0 0 0 0 0 0 6 6 4 9 10 16 21 32 104 6 6 4 9 10 16 21 32 104 0 1 0 0 2 3 2

Pos I 1 3 1 6 5 9 14 17 56 1 3 1 6 5 9 14 17 56 0 1 0 0 2 3 1

Pos II 5 3 3 3 5 7 7 15 48 5 3 3 3 5 7 7 15 48 0 0 0 0 0 0 1

0 0 0 0 0 0 0 0 19 29 25 29 64 53 136 154 509 19 29 25 29 64 53 136 154 509 6 11 8 13 14 11 33

JUMLAH 19,384
0 0 509 509 129

J I II III IV J
S 197 44 52 47 54 197
K 78 21 17 19 21 78
D 176 40 45 42 49 176
N 93 24 29 23 17 93

B 103 21 29 25 28 103
K 73 19 16 17 21 73
R 0 0 0 0 0 0

176 40 45 42 49 176
 HALAMAN
LAPORAN BULAN :JULI 2015

REKAPITULASI LAPORAN PENIMBANGAN

F/III/GIZI PUSKESMAS

BADAN JML BALITA YG TIDAK NAIK BERAT JML BALITA YG DI TIMBANG BULAN INI JML BALITA YG BARU HADIR JML BALITA YG DI TIMBANG
NOMOR

BADANNYA BULAN INI ( T ) TAPI TIDAK BULAN LALU ( O ) BULAN INI ( B ) BULAN INI ( D )
DESA
25-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN

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

0 1 OINLASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KOKOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 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 33 1 FATULUNU 1 1 3 2 6 2 15 12 42 0 0 0 0 2 2 2 4 10 0 1 1 0 1 0 1 0 4 5 5 8 6 10 4

1 11 0 0 0 2 2 0 3 4 11 0 0 0 0 0 1 1 2 4 0 0 0 0 0 0 0 0 0 3 2 1 3 2 1
5 13 0 0 1 0 0 0 3 4 8 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 1 3 2 0 0
4 9 1 1 2 0 4 2 9 4 23 0 0 0 0 2 1 0 1 4 0 1 1 0 1 0 1 0 4 2 2 4 1 8 3
0 0 1 NUNLEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 37 1 FAE 2 2 3 0 5 11 11 7 41 0 0 0 0 2 0 0 3 5 0 2 0 0 0 0 0 0 2 3 8 4 2 9 15
2 6 1 0 1 0 2 4 3 2 13 0 0 0 0 1 0 0 1 2 0 0 0 0 0 0 0 0 0 1 2 1 1 3 4
7 24 0 2 1 0 0 1 4 2 10 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 1 3 2 0 2 4
2 6 1 0 1 0 2 4 3 2 13 0 0 0 0 1 0 0 1 2 0 0 0 0 0 0 0 0 0 1 2 1 1 3 4
0 1 0 0 0 0 1 2 1 1 5 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 1 3
9 32 1 ANIN 0 1 3 1 2 2 8 15 32 0 1 1 1 3 2 5 7 20 1 4 0 0 0 0 0 0 5 2 8 7 5 12 6

3 8 I 0 0 0 0 0 1 3 3 7 0 0 0 0 1 0 3 2 6 0 3 0 0 0 0 0 0 3 0 4 0 0 3 1
2 5 0 0 0 0 1 1 1 3 6 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 1 0 1 2 1 1 2
0 4 0 0 1 0 0 0 0 2 3 0 1 1 0 1 0 1 4 8 1 0 0 0 0 0 0 0 1 1 1 3 0 3 0
4 15 0 1 2 1 1 0 4 7 16 0 0 0 1 1 1 1 1 5 0 0 0 0 0 0 0 0 0 1 2 2 4 5 3
0 0 1 TOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 NIFULEO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUNU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 I 0 0 0 0 0 0 0 0 0
0 II 0 0 0 0 0 0 0 0 0
 0 III 0 0 0 0 0 0 0 0 0
0 IV 0 0 0 0 0 0 0 0 0
1 13 11 LANU 1 0 0 0 9 3 13 15 41 0 0 1 0 0 2 3 2 8 1 0 0 0 0 1 0 0 2 2 1 1 4 11 8
0 2 0 0 0 0 2 0 6 13 21 0 0 1 0 0 0 1 0 2 0 0 0 0 0 1 0 0 1 0 0 1 2 3 1
1 8 1 0 0 0 4 3 3 0 11 0 0 0 0 0 1 1 0 2 1 0 0 0 0 0 0 0 1 2 0 0 1 5 5
0 3 0 0 0 0 3 0 4 2 9 0 0 0 0 0 1 1 2 4 0 0 0 0 0 0 0 0 0 0 1 0 1 3 2
2 10 13 NETUTNANA 3 2 2 5 5 4 10 11 42 0 1 0 1 1 3 4 15 25 2 2 0 0 0 0 0 0 4 5 6 2 6 8 10

0 7 Pos I 0 1 1 4 3 3 5 4 21 0 1 0 1 0 2 4 13 21 0 0 0 0 0 0 0 0 0 0 3 1 5 5 8
2 3 Pos II 3 1 1 1 2 1 5 7 21 0 0 0 0 1 1 0 2 4 2 2 0 0 0 0 0 0 4 5 3 1 1 3 2
33 129 7 6 11 8 27 22 57 60 198 0 2 2 2 8 9 14 31 68 4 9 1 0 1 1 1 0 17 17 28 22 23 50 43
JUMLAH
198 68 17 412
ALAMAN 2
0 0 0 0 0 0 0 1 LAPORAN BULAN
0 0 0 0 1 0 2 1
0 0 0 0 1 0 2 2
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS

MBANG JML BALITA YG TIDAK HADIR DI BALITA DENGAN GIZI BAIK BALITA DENGAN GIZI KURANG BALITA DENGAN GIZI KU
NOMOR

PENIMBANGAN BULAN INI ( - ) (BK) (KR) Baru (KR) Lama

DESA
24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN

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

0 0 0 1 OINLASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KOKOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

25 26 89 1 FATULUNU 0 0 0 0 3 1 6 3 13 5 5 8 6 10 4 25 26 89 0 0 0 0 0 0 0 0 0 0 0 0 0

7 7 26 0 0 0 0 3 0 0 1 4 3 2 1 3 2 1 7 7 26 0

7 10 23 0 0 0 0 0 0 2 0 2 0 1 3 2 0 0 7 10 23 0

11 9 40 0 0 0 0 0 1 4 2 7 2 2 4 1 8 3 11 9 40 0

0 0 0 1 NUNLEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 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 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
23 21 85 1 FAE 0 0 0 0 1 0 3 5 9 3 8 4 2 9 15 23 21 85 0 0 0 0 0 0 0 0 0 0 0 0 0

4 5 21 0 0 0 0 0 0 1 1 2 1 2 1 1 3 4 4 5 21 0
14 10 36 0 0 0 0 0 0 1 2 3 1 3 2 0 2 4 14 10 36 0
4 5 21 0 0 0 0 0 0 1 1 2 1 2 1 1 3 4 4 5 21 0
1 1 7 0 0 0 0 1 0 0 1 2 0 1 0 0 1 3 1 1 7 0
18 31 89 1 ANIN 1 1 1 3 8 3 16 12 45 2 8 7 5 12 6 18 31 89 0 0 0 0 0 0 0 0 0 0 0 0 0

8 8 24 I 0 0 1 1 0 0 3 2 7 0 4 0 0 3 1 8 8 24 0
1 5 13 II 1 0 0 1 1 0 2 3 8 0 1 2 1 1 2 1 5 13 0
2 6 16 III 0 1 0 0 5 1 7 4 18 1 1 3 0 3 0 2 6 16 0
7 12 36 IV 0 0 0 1 2 2 4 3 12 1 2 2 4 5 3 7 12 36 0
0 0 0 1 TOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 Posyandu I 0 0 0
0 Posyandu II 0 0 0
0 Posyandu III 0 0 0
0 0 0 1 NIFULEO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUNU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 IV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 18 68 0 LANU 0 0 0 0 0 0 1 6 7 2 1 1 4 11 8 23 18 68 0 0 0 0 0 0 0 0 0 0 0 0 0
8 13 28 0 0 0 0 0 0 0 4 4 0 0 1 2 3 1 8 13 28 0
9 1 23 0 0 0 0 0 0 0 1 1 2 0 0 1 5 5 9 1 23 0
6 4 17 0 0 0 0 0 0 1 1 2 0 1 0 1 3 2 6 4 17 0
16 28 81 13 NETUTNANA 1 0 2 3 2 6 5 4 23 5 6 2 6 8 10 16 28 81 0 0 0 0 0 0 0 0 0 0 0 0 0

10 17 49 Pos I 1 0 0 1 0 1 4 0 7 0 3 1 5 5 8 10 17 49 0
6 11 32 Pos II 0 0 2 2 2 5 1 4 16 5 3 1 1 3 2 6 11 32 0

105 124 412 2 1 3 6 14 10 31 30 97 17 28 22 23 50 43 105 124 412 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH
97 412 0 0
 HALAMAN 3
:Agustus 2015

NGAN GIZI KURANG BALITA DENGAN GIZI BURUK BALITA DENGAN GIZI BURUK JML PEMBERIAN BALITA DISTRIBUSI VITAMIN A BALITA
ORALIT BGM

NOMOR
KR) Lama (BR) Baru (BR) Lama BAYI ( 6-11 BLN ) ANAK ( 12-60 B
DESA
12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML SASARAN REALISASI SASARAN
K US
BALITA NG L P
L P L P L P L P L P L P L P L P L P L P BU L P L P L P

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 30 4 OINLASI 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 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 KOKOI 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 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 FATULUNU 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 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 30 4 NUNLEU 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 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 20 5 KUALEU 0 0 0 0 0 0 0 0

0 0 0 0

0 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 FENUN 0 0 0 0 0 0 0 0
0
0 0 0
0 0 0
0 0 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 20 7 FAE ### ### ### ### ### ### ### ###
0 0 0
0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0
0 0 0
0 0 0
0 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 TOI 0 0 0 0 0 0 0 0
0 0 0 Posyandu I
0 0 0 Posyandu II
0 0 0 Posyandu III

0 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 NIFULEO 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 0 0
0 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 SUNU 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0 II
 0 0 0 III

0 0 0 IV
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 20 12 LANU 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 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 20 13 NETUTNANA

0 0 Pos I

0 0 Pos II

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### ### ### ### ###

17 140 JUMLAH
0 0 0 #REF! #REF! #REF! #REF!
 HALAMAN : 4
LAPORAN BULAN : FEBRUARI 2014 REKAPITULASI LA
F/III/GIZI

REKAPITULASI LAPORAN PENIMBANGAN JUM

NOMOR
F/III/GIZI PUSKESMAS DESA
MARASMUS KWASHIORK
0-5 BLN 6-11 BL 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN

L P L P L P L P L P L
1 OINLASI 0 0 0 0 0 0 0 0 0 0 0
BALITA Vit.A ASI EKSLUSIF PENGUKURAN KAPSUL YODIUM 2 KOKOI 0 0 0 0 0 0 0 0 0 0 0
DISTRIBUSI FE
( 12-60 BLN ) BUFAS SASARAN LILA SASARAN DISTRIBUSI 3 FATULUNU 0 0 0 0 0 0 0 0 0 0 0
AE TDK AE

ANAK SD

ANAK SD
Realisasi

REALISASI WUS BUMIL OINLASI

BUFAS
Sasaran

BUMIL

BUMIL
(0-6 bln 4 0 0 0 0 0 0 0 0 0 0 0

WUS

WUS
Fe 1 Fe 2
L P L P L P L P < 23,5 >23,5 <23,5 >23,5
5 KUALEU 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

0 0 3 3 1 1 0 0 0 0 0 0 0 0 7 FAE 0 0 0 0 0 0 0 0 0 0 0
1 2 1 1 0 0
2 1 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

2 1 1 1 1 0
0 0 1 3 1 3 0 0 0 0 0 0 0 0 10 NIFULEO 0 0 0 0 0 0 0 0 0 0 0
0 1 0 1 0 0
0 2 0 2 0 0
1 0 1 0 0 0
0 0 2 2 0 2 0 0 0 0 0 0 0 0 11 SUNU 0 0 0 0 0 0 0 0 0 0 0

2 2 0 2 0 0

### ### 0 0 0 0 0 0 0 0 0 0 0 0 12 LANU 0 0 0 0 0 0 0 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 4 1 2 0 1 0 0 0 0 0 0 13 NETUTNANA 0 0 0 0 0 0 0 0 0 0 0

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

JUMLAH

0 0 2 2 1 2 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
2 0 1 0 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
2 2 1 1 0 0
0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 SISA AKHIR DI Terima KELUAR SISA AKHIR

NO

### ### 28 42 16 33 1 120 0 0 0 0 0 0 1 KMS (lbr)

#REF! 70 49 121 0 0 2 ORALIT (bks)

3 VIT. A BIRU 0 0 0 0
4 VIT. A MERAH
5 TABLET BESI
6 KAPS.YODIUM

126
 LAPORAN BULAN FEBRUARI 2014
TULASI LAPORAN PENIMBANGAN HALAMAN : 5
F/III/GIZI PUSKESMAS

JUMLAH KASUS GIZI BURUK DAN GIZI BURUK DENGAN KELAINAN KLINIS
KWASHIORKOR MARASMUS-KWASHIORKOR G I Z I B U R U K B G M
6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BL 12-23 BLN 24-60 BL
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
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 1 1 0 0 0 1 5 1 5 4
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 2 1 0 0 0 0 0 0 0 2 Anin
0 0 0 0 0 0 0 1
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 1 1 1 1 0 0 0 1 5 1 5 4 Toi
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 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 1 0 0 5 2 0 0 0 1 0 0 5 2 Sunu
0 0 0 0 0 0 1 0
0 0 0 1 0 0 3 1
0 0 0 0 0 0 0 1
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 3 1 1 0 0 0 0 0 1 2 2 Lanu
0 0 0 0 0 1 1 0

0 0 0 0 0 0 1 2

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 2 1 5 6 13 9 0 0 0 6 20 6 34 28

0 0 36 94
AKHIR Mengetahui

Pengelola Gizi Puskesmas

0
Yustina Bria,A.Md Juliana M S Nenobais,A.Md Gz
Nip.196706221992032007 Nip.19790309 200604 2 030
 HALAMAN 1
LAPORAN BULAN : Februari 2017
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS
PUSKESMAS : OINLASI JUMLAH PENDUDUK : 19.384 JIWA
KECAMATAN : AMANATUN SELATAN JUMLAH POSYANDU : 45
JUMLAH DESA : 13

JML BALITA YG ADA JML BALITA YG TERDAFTAR JML BALITA YG NAIK BERAT BADAN
DESA POSYANDU KADER
PENDUDUK
NOMOR

(S) & MEMPUNYAI KMS ( K ) BULAN INI ( N )

DESA
Ada Aktif 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-24 BLN 25-60 BLN JML 0-5 BLN 6-11 BLN 12-25 BLN 25-60 BLN
Ada Lapor Ada Lapor
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

1 OINLASI 2,376 0 0 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. Kobeklofo 0 0

2. Paris Oinlasi 0 0

3. Ayobiliko 0 0

4.Kantor Desa 0 0

2 KOKOI 1,411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

I 0 0

II 0 0

III 0 0

3 FATULUNU 1,185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 NUNLEU 2,386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

I 0 0

II 0 0

III 0 0

IV 0 0
5 KUALEU 2,114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 2,011 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0
II 0 0
III 0 0
IV 0 0
7 FAE 967 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0
II 0 0
III 0 0
IV 0 0

8 ANIN 1,279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

I 0 0

II 0 0

III 0 0

IV 0 0
9 TOI 1,177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Posyandu I 0 0
Posyandu II 0 0
Posyandu III 0 0
10 NIFULEO 1,178 0 0 0 0 0 0 0 0 0 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

2 0 0

3 0 0

4 0 0
11 SUNU 1,305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0
II 0 0
 III 0 0
IV 0 0
12 LANU 939 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0
II 0 0
III 0 0
13 NETUTNANA 1,056 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pos I 0 0

Pos II 0

0 0 0 0 0 0 0 0 0 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 19,384
0 0 0 0 0

J I II III IV J
S 197 44 52 47 54 197
K 78 21 17 19 21 78
D 176 40 45 42 49 176
N 93 24 29 23 17 93

B 103 21 29 25 28 103
K 73 19 16 17 21 73
R 0 0 0 0 0 0

176 40 45 42 49 176
 HALAMAN
LAPORAN BULAN :JULI 2015

REKAPITULASI LAPORAN PENIMBANGAN

F/III/GIZI PUSKESMAS

BADAN JML BALITA YG TIDAK NAIK BERAT JML BALITA YG DI TIMBANG BULAN INI JML BALITA YG BARU HADIR JML BALITA YG DI TIMBANG
NOMOR

BADANNYA BULAN INI ( T ) TAPI TIDAK BULAN LALU ( O ) BULAN INI ( B ) BULAN INI ( D )
DESA
25-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN

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

0 1 OINLASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KOKOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 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 FATULUNU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 NUNLEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FAE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 ANIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 I 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 NIFULEO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUNU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 I 0 0 0 0 0 0 0 0 0
0 II 0 0 0 0 0 0 0 0 0
 0 III 0 0 0 0 0 0 0 0 0
0 IV 0 0 0 0 0 0 0 0 0
0 0 11 LANU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 13 NETUTNANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 Pos I 0 0 0
0 Pos II 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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
ALAMAN 2
0 0 0 0 0 0 0 1 LAPORAN BULAN
0 0 0 0 1 0 2 1
0 0 0 0 1 0 2 2
REKAPITULASI LAPORAN PENIMBANGAN
F/III/GIZI PUSKESMAS

MBANG JML BALITA YG TIDAK HADIR DI BALITA DENGAN GIZI BAIK BALITA DENGAN GIZI KURANG BALITA DENGAN GIZI KU
NOMOR

PENIMBANGAN BULAN INI ( - ) (BK) (KR) Baru (KR) Lama

DESA
24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5BLN 6-11 BLN

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

0 0 0 1 OINLASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 KOKOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

0 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 FATULUNU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 NUNLEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 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 KUALEU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FENUN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 FAE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 ANIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 IV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 TOI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 Posyandu I 0 0 0
0 Posyandu II 0 0 0
0 Posyandu III 0 0 0
0 0 0 1 NIFULEO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 SUNU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 IV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 LANU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13 NETUTNANA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 Pos I 0 0 0
0 Pos II 0 0 0

0 0 0 0 0 0 0 0 0 0 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
 HALAMAN 3
:Agustus 2015

NGAN GIZI KURANG BALITA DENGAN GIZI BURUK BALITA DENGAN GIZI BURUK JML PEMBERIAN BALITA DISTRIBUSI VITAMIN A BALITA
ORALIT BGM

NOMOR
KR) Lama (BR) Baru (BR) Lama BAYI ( 6-11 BLN ) ANAK ( 12-60 B
DESA
12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML 0-5 BLN 6-11 BLN 12-23 BLN 24-60 BLN JML SASARAN REALISASI SASARAN
K US
BALITA NG L P
L P L P L P L P L P L P L P L P L P L P BU L P L P L P

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 30 4 OINLASI 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 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 KOKOI 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 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 FATULUNU 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 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 30 4 NUNLEU 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 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 20 5 KUALEU 0 0 0 0 0 0 0 0

0 0 0 0

0 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 FENUN 0 0 0 0 0 0 0 0
0
0 0 0
0 0 0
0 0 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 20 7 FAE ### ### ### ### ### ### ### ###
0 0 0
0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0
0 0 0
0 0 0
0 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 TOI 0 0 0 0 0 0 0 0
0 0 0 Posyandu I
0 0 0 Posyandu II
0 0 0 Posyandu III

0 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 NIFULEO 0 0 0 0 0 0 0 0
0 0 0

0 0 0

0 0 0

0 0 0
0 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 SUNU 0 0 0 0 0 0 0 0
0 0 0 I

0 0 0 II
 0 0 0 III

0 0 0 IV
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 20 12 LANU 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 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 20 13 NETUTNANA

0 0 Pos I

0 0 Pos II

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ### ### ### ### ### ### ### ###

17 140 JUMLAH
0 0 0 #REF! #REF! #REF! #REF!
 HALAMAN : 4
LAPORAN BULAN : FEBRUARI 2014 REKAPITULASI LA
F/III/GIZI

REKAPITULASI LAPORAN PENIMBANGAN JUM

NOMOR
F/III/GIZI PUSKESMAS DESA
MARASMUS KWASHIORK
0-5 BLN 6-11 BL 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN

L P L P L P L P L P L
1 OINLASI 0 0 0 0 0 0 0 0 0 0 0
BALITA Vit.A ASI EKSLUSIF PENGUKURAN KAPSUL YODIUM 2 KOKOI 0 0 0 0 0 0 0 0 0 0 0
DISTRIBUSI FE
( 12-60 BLN ) BUFAS SASARAN LILA SASARAN DISTRIBUSI 3 FATULUNU 0 0 0 0 0 0 0 0 0 0 0
AE TDK AE

ANAK SD

ANAK SD
Realisasi

REALISASI WUS BUMIL OINLASI

BUFAS
Sasaran

BUMIL

BUMIL
(0-6 bln 4 0 0 0 0 0 0 0 0 0 0 0

WUS

WUS
Fe 1 Fe 2
L P L P L P L P < 23,5 >23,5 <23,5 >23,5
5 KUALEU 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

0 0 3 3 1 1 0 0 0 0 0 0 0 0 7 FAE 0 0 0 0 0 0 0 0 0 0 0
1 2 1 1 0 0
2 1 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 ANIN 0 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 TOI 0 0 0 0 0 0 0 0 0 0 0

2 1 1 1 1 0
0 0 1 3 1 3 0 0 0 0 0 0 0 0 10 NIFULEO 0 0 0 0 0 0 0 0 0 0 0
0 1 0 1 0 0
0 2 0 2 0 0
1 0 1 0 0 0
0 0 2 2 0 2 0 0 0 0 0 0 0 0 11 SUNU 0 0 0 0 0 0 0 0 0 0 0

2 2 0 2 0 0

### ### 0 0 0 0 0 0 0 0 0 0 0 0 12 LANU 0 0 0 0 0 0 0 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 4 1 2 0 1 0 0 0 0 0 0 13 NETUTNANA 0 0 0 0 0 0 0 0 0 0 0

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

JUMLAH

0 0 2 2 1 2 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
2 0 1 0 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
2 2 1 1 0 0
0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 SISA AKHIR DI Terima KELUAR SISA AKHIR

NO

### ### 28 42 16 33 1 120 0 0 0 0 0 0 1 KMS (lbr)

#REF! 70 49 121 0 0 2 ORALIT (bks)

3 VIT. A BIRU 0 0 0 0
4 VIT. A MERAH
5 TABLET BESI
6 KAPS.YODIUM

126
 LAPORAN BULAN FEBRUARI 2014
TULASI LAPORAN PENIMBANGAN HALAMAN : 5
F/III/GIZI PUSKESMAS

JUMLAH KASUS GIZI BURUK DAN GIZI BURUK DENGAN KELAINAN KLINIS
KWASHIORKOR MARASMUS-KWASHIORKOR G I Z I B U R U K B G M
6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BLN 12-23 BL 24-60 BL 0-5 BLN 6-11 BL 12-23 BLN 24-60 BL
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
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 1 1 0 0 0 1 5 1 5 4
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 2 1 0 0 0 0 0 0 0 2 Anin
0 0 0 0 0 0 0 1
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 1 1 1 1 0 0 0 1 5 1 5 4 Toi
0 0 0 0 3 0 2 2
0 0 0 0 2 0 2 2
0 0 0 1 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2 0 0 0 0 0 0 0 0

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Yustina Bria,A.Md Juliana M S Nenobais,A.Md Gz
Nip.196706221992032007 Nip.19790309 200604 2 030