LAPORAN ANC PROGRAM KESEHATAN IBU DAN ANAK

UPT UNIT PUSKESMAS MIRIT

KABUPATEN KEBUMEN
BULAN JANUARI 2015
SASARAN K1 K2 K3 K4 4 Memiliki BUKU KIA Priks
a blm Bln Ini
NO NAMA DESA Abs Abs Abs Abs Abs msk Tdk
BALI Bln Bln Bln Bln Bln bulan bula
BUMIL BAYI Bln Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml % Abs Kunj Periksa
TA Ini Ini Ini Ini Ini lalu n ini
Lalu Lalu Lalu Lalu Lalu ngan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 29

1 Miritpetkusan 24 23.1 135 0 8 8 33.3 0 2 2 8.3 0 1 1 4.2 0 2 2 8.3 0 2 2 8.3 0 8 8.0 3 1

2 Tlogodepok 52 49.4 175 0 8 8 15.4 0 5 5 9.6 0 4 4 7.7 0 5 5 9.6 0 1 1 1.9 8 8.0 1 2
3 Mirit 30 28.4 114 0 4 4 13.3 0 4 4 13.3 0 2 2 6.7 0 2 2 6.7 0 0 0 - 4 4.0 2 0
4 Tlogopragoto 31 29.4 117 0 6 6 19.4 0 6 6 19.4 0 4 4 12.9 0 3 3 9.7 0 4 4 12.9 6 6.0 0 0
5 Lembupurwo 72 68.3 172 0 6 6 8.3 0 7 7 9.7 0 3 3 4.2 0 5 5 6.9 0 3 3 4.2 6 6.0 3 3
6 Wiromartan 33 31.5 132 0 5 5 15.2 0 7 7 21.2 0 5 5 15.2 0 1 1 3.0 0 1 1 3.0 5 5.0 9 0
7 Rowo 33 31.5 106 0 5 5 15.2 0 0 0 - 0 0 0 - 0 0 0 - 0 2 2 6.1 5 5.0 3 0
8 Singoyudan 22 21 76 0 0 0 - 0 0 0 - 0 0 0 - 0 0 0 - 0 0 0 - 0 - 0 0
9 Wergonayan 40 37.8 114 0 6 6 15.0 0 2 2 5.0 0 6 6 15.0 0 2 2 5.0 0 3 3 7.5 6 6.0 0 0
10 Selotumpeng 48 46.2 167 0 12 12 25.0 0 5 5 10.4 0 4 4 8.3 0 2 2 4.2 0 3 3 6.3 12 12.0 15 0
11 Sitibentar 35 33.6 126 0 3 3 8.6 0 2 2 5.7 0 4 4 11.4 0 2 2 5.7 0 2 2 5.7 3 3.0 5 0
12 Karanggede 31 29.4 130 0 3 3 9.7 0 0 0 - 0 0 0 - 0 5 5 16.1 0 0 0 - 3 3.0 0 0
13 Kertodeso 53 50.4 183 0 7 7 13.2 0 5 5 9.4 0 7 7 13.2 0 2 2 3.8 0 0 0 - 7 7.0 4 0
14 Patukrejomulyo 24 23.1 75 0 3 3 12.5 0 1 1 4.2 0 1 1 4.2 0 2 2 8.3 0 0 0 - 8 8.0 0 0
15 Mangunranan 40 37.8 177 0 4 4 10.0 0 10 10 25.0 0 5 5 12.5 0 4 4 10.0 0 0 0 - 4 4.0 4 0
16 Pekutan 33 31.5 138 0 7 7 21.2 0 4 4 12.1 0 5 5 15.2 0 3 3 9.1 0 2 2 6.1 7 7.0 0 0
17 Wirogaten 51 48.3 179 0 6 6 11.8 0 3 3 5.9 0 2 2 3.9 0 1 1 2.0 0 1 1 2.0 6 6.0 0 0
18 Winong 25 24.2 100 0 3 3 12.0 0 0 0 - 0 3 3 12.0 0 2 2 8.0 0 0 0 - 8 8.0 4 0
19 Sarwogadung 51 48.3 139 0 4 4 7.8 0 11 11 21.6 0 5 5 9.8 0 2 2 3.9 0 2 2 3.9 4 4.0 3 1
20 Krubungan 15 14.7 61 0 4 4 26.7 0 1 1 6.7 0 5 5 33.3 0 1 1 6.7 0 1 1 6.7 4 4.0 1 0
21 Patukgawemulyo 32 30.5 105 0 5 5 15.6 0 2 2 6.3 0 2 2 6.3 0 3 3 9.4 0 0 0 - 5 5.0 9 0
22 Ngabean 54 51.5 188 0 6 6 11.1 0 3 3 5.6 0 7 7 13.0 0 2 2 3.7 0 0 0 - 6 6.0 3 0
Jumlah 829 789.6 2909 0 115 115 13.9 0 80 80 9.7 0 75 75 9.0 0 51 51 6.2 0 27 27 3.3 - ### 125.0 69 7

Mengetahui MIRIT, 9 FEBRUARI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI Hj. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN ANC PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN

BULAN FEBRUARI 2015

SASARAN K1 K2 K3 K4 4 Memiliki BUKU KIA Priks

a blm Bln Ini
NO NAMA DESA Abs Abs Abs Abs Abs msk Tdk
Bln Bln Bln Bln Bln bulan bula
BUMIL BAYI BALITA Bln Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml % Abs Kunj Periksa
Ini Ini Ini Ini Ini lalu n ini
Lalu Lalu Lalu Lalu Lalu ngan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 24 10 12 69 58 8 2 10 41.7 2 2 4 16.7 1 3 4 16.7 2 0 2 8.3 2 0 2 8.3 8.0 2 10.0 5 0

2 Tlogodepok 52 24 23 102 90 8 2 10 19.2 5 6 11 21.2 4 3 7 13.5 5 1 6 11.5 1 2 3 5.8 8.0 2 10.0 7 2
3 Mirit 30 14 13 67 49 4 0 4 13.3 4 0 4 13.3 2 4 6 20.0 2 0 2 6.7 0 0 0 - 4.0 0 4.0 3 4
4 Tlogopragoto 31 14 14 60 53 6 4 10 32.3 6 1 7 22.6 4 2 6 19.4 3 2 5 16.1 4 0 4 12.9 6.0 40 46.0 2 4
5 Lembupurwo 72 35 30 86 95 6 9 15 20.8 7 11 18 25.0 3 8 11 15.3 5 5 10 13.9 3 1 4 5.6 6.0 0 6.0 7 0
6 Wiromartan 33 16 14 58 72 5 3 8 24.2 7 3 10 30.3 5 4 9 27.3 1 6 7 21.2 1 3 4 12.1 5.0 3 8.0 9 0
7 Rowo 33 16 14 52 53 5 3 8 24.2 0 6 6 18.2 0 2 2 6.1 0 2 2 6.1 2 3 5 15.2 5.0 2 7.0 7 0
8 Singoyudan 22 10 10 22 29 0 3 3 13.6 0 5 5 22.7 0 3 3 13.6 0 1 1 4.5 0 0 0 - - 3 3.0 8 0
9 Wergonayan 40 19 17 62 60 6 2 8 20.0 2 7 9 22.5 6 7 13 32.5 2 2 4 10.0 3 2 5 12.5 6.0 2 8.0 0 0
10 Selotumpeng 48 25 19 85 80 12 4 16 33.3 5 9 14 29.2 4 5 9 18.8 2 4 6 12.5 3 3 6 12.5 12.0 4 16.0 8 0
11 Sitibentar 35 15 17 62 57 3 3 6 17.1 2 2 4 11.4 4 3 7 20.0 2 2 4 11.4 2 1 3 8.6 3.0 3 6.0 4 1
12 Karanggede 31 15 13 72 48 3 0 3 9.7 0 1 1 3.2 2 3 5 5 2 7 22.6 0 1 1 3.2 3.0 0 3.0 0 0
13 Kertodeso 53 27 21 111 79 7 3 10 18.9 5 5 10 18.9 7 3 10 18.9 2 4 6 11.3 0 1 1 1.9 7.0 3 10.0 9 0
14 Patukrejomulyo 24 12 10 57 35 3 1 4 16.7 1 0 1 4.2 1 2 3 12.5 2 2 4 16.7 0 0 0 - 8.0 1 9.0 2 0
15 Mangunranan 40 18 18 66 73 4 8 12 30.0 10 1 11 27.5 5 1 6 15.0 4 2 6 15.0 0 2 2 5.0 4.0 8 12.0 5 0
16 Pekutan 33 14 16 58 63 7 4 11 33.3 4 3 7 21.2 5 2 7 21.2 3 1 4 12.1 2 1 3 9.1 7.0 4 11.0 0 1
17 Wirogaten 51 23 23 109 92 6 1 7 13.7 3 3 6 11.8 2 3 5 9.8 1 4 5 9.8 1 4 5 9.8 6.0 1 7.0 7 4
18 Winong 25 12 11 56 43 3 3 6 24.0 0 3 3 12.0 3 0 3 12.0 2 3 5 20.0 0 0 0 - 8.0 3 11.0 6 0
19 Sarwogadung 51 23 23 64 81 4 6 10 19.6 11 6 17 33.3 5 2 7 13.7 2 5 7 13.7 2 5 7 13.7 4.0 6 10.0 2 0
20 Krubungan 15 8 6 27 32 4 1 5 33.3 1 1 2 13.3 5 1 6 40.0 1 2 3 20.0 1 0 1 6.7 4.0 1 5.0 3 1
21 Patukgawemulyo 32 15 14 46 59 5 5 10 31.3 2 3 5 15.6 2 6 8 25.0 3 3 6 18.8 0 3 3 9.4 5.0 5 10.0 8 0
22 Ngabean 54 24 25 99 98 6 5 11 20.4 3 7 10 18.5 7 5 12 22.2 2 4 6 11.1 0 0 0 - 6.0 5 11.0 7 0
Jumlah 829 389 363 1490 1399 115 72 187 22.6 0 85 165 19.9 0 72 149 18.0 0 57 108 13.0 0 32 59 7.1 125.0 98 223.0 109 17

Mengetahui MIRIT, 5 MARET 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI Hj. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN ANC PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN

BULAN : MARET 2015

SASARAN K1 K2 K3 K4 4 Memiliki BUKU KIA Priks

a blm Bln Ini
NO NAMA DESA BAYI BALITA Abs Abs Abs Abs Abs msk Tdk
Bln Bln Bln Bln Bln bulan bula
BUMIL Bln Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml % Abs Kunj Periksa
Ini Ini Ini Ini Ini lalu n ini
L P L P Lalu Lalu Lalu Lalu Lalu ngan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 24 10 12 69 58 10 1 11 45.8 4 5 9 37.5 4 3 7 29.2 2 0 2 8.3 2 0 2 8.3 10.0 1 11.0 3 1

2 Tlogodepok 52 24 23 102 90 10 5 15 28.8 11 3 14 26.9 7 1 8 15.4 6 2 8 15.4 3 3 6 11.5 10.0 5 15.0 4 0
3 Mirit 30 14 13 67 49 4 4 8 26.7 4 2 6 20.0 6 1 7 23.3 2 3 5 16.7 0 0 0 - 4.0 0 4.0 2 0
4 Tlogopragoto 31 14 14 60 53 10 2 12 38.7 7 3 10 32.3 6 3 9 29.0 5 1 6 19.4 4 1 5 16.1 46.0 0 46.0 0 5
5 Lembupurwo 72 35 30 86 95 15 6 21 29.2 18 8 26 36.1 11 9 20 27.8 10 6 16 22.2 4 3 7 9.7 6.0 6 12.0 5 0
6 Wiromartan 33 16 14 58 72 8 2 10 30.3 10 2 12 36.4 9 3 12 36.4 7 3 10 30.3 4 4 8 24.2 8.0 2 10.0 11 0
7 Rowo 33 16 14 52 53 8 2 10 30.3 6 2 8 24.2 2 1 3 9.1 2 1 3 9.1 5 1 6 18.2 7.0 2 9.0 2 0
8 Singoyudan 22 10 10 22 29 3 1 4 18.2 5 3 8 36.4 3 2 5 22.7 1 2 3 13.6 0 1 1 4.5 3.0 1 4.0 2 0
9 Wergonayan 40 19 17 62 60 8 4 12 30.0 9 5 14 35.0 13 1 14 35.0 4 2 6 15.0 5 4 9 22.5 8.0 4 12.0 0 2
10 Selotumpeng 48 25 19 85 80 16 4 20 41.7 14 3 17 35.4 9 2 11 22.9 6 3 9 18.8 6 0 6 12.5 16.0 4 20.0 16 0
11 Sitibentar 35 15 17 62 57 6 2 8 22.9 4 2 6 17.1 7 3 10 28.6 4 5 9 25.7 3 0 3 8.6 6.0 2 8.0 5 0
12 Karanggede 31 15 13 72 48 3 1 4 12.9 1 0 1 3.2 5 2 7 22.6 7 2 9 29.0 1 2 3 9.7 3.0 1 4.0 4 1
13 Kertodeso 53 27 21 111 79 10 6 16 30.2 10 6 16 30.2 10 4 14 26.4 6 4 10 18.9 1 1 2 3.8 10.0 6 16.0 7 0
14 Patukrejomulyo 24 12 10 57 35 4 2 6 25.0 1 1 2 8.3 3 0 3 12.5 4 2 6 25.0 0 1 1 4.2 9.0 2 11.0 0 0
15 Mangunranan 40 18 18 66 73 12 4 16 40.0 11 9 20 50.0 6 10 16 40.0 6 5 11 27.5 2 1 3 7.5 12.0 16 28.0 2 0
16 Pekutan 33 14 16 58 63 11 4 15 45.5 7 5 12 36.4 7 4 11 33.3 4 3 7 21.2 3 2 5 15.2 11.0 4 15.0 0 0
17 Wirogaten 51 23 23 109 92 7 5 12 23.5 6 7 13 25.5 5 5 10 19.6 5 4 9 17.6 5 4 9 17.6 7.0 5 12.0 0 0
18 Winong 25 12 11 56 43 6 1 7 28.0 3 2 5 20.0 3 5 8 32.0 5 0 5 20.0 0 3 3 12.0 11.0 1 12.0 0 0
19 Sarwogadung 51 23 23 64 81 10 8 18 35.3 17 2 19 37.3 7 3 10 19.6 7 3 10 19.6 7 4 11 21.6 10.0 8 18.0 8 0
20 Krubungan 15 8 6 27 32 5 1 6 40.0 2 2 4 26.7 6 1 7 46.7 3 4 7 46.7 1 1 6.7 5.0 1 6.0 2 1
21 Patukgawemulyo 32 15 14 46 59 10 6 16 50.0 5 3 8 25.0 8 2 10 31.3 6 6 12 37.5 3 3 6 18.8 10.0 6 16.0 10 0
22 Ngabean 54 24 25 99 98 11 7 18 33.3 10 4 14 25.9 12 1 13 24.1 6 2 8 14.8 0 0 0 - 11.0 0 11.0 0 0
Jumlah 829 389 363 1490 1399 187 78 265 32.0 0 79 244 29.4 0 66 215 25.9 0 63 171 20.6 0 38 97 11.7 223.0 77 300.0 83 10

Mengetahui MIRIT, 4 APRIL 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI Hj. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN ANC PROGRAM KESEHATAN IBU DAN ANAK

KABUPATEN KEBUMEN

BULAN APRIL 2015

SASARAN K1 K2 K3 K4 4 Memiliki BUKU KIA Priks

a blm Bln Ini
NO NAMA DESA BAYI BALITA Abs Abs Abs Abs Abs msk Tdk
Bln Bln Bln Bln Bln bulan bula
BUMIL Bln Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml % Abs Kunj Periksa
Ini Ini Ini Ini Ini lalu n ini
L P L P Lalu Lalu Lalu Lalu Lalu ngan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 24 10 12 69 58 11 2 13 54.2 9 2 11 45.8 7 4 11 45.8 2 5 7 29.2 2 5 7 29.2 11.0 2 13.0 7 0

2 Tlogodepok 52 24 23 102 90 15 1 16 30.8 14 5 19 36.5 8 4 12 23.1 8 4 12 23.1 6 3 9 17.3 15.0 0 15.0 3 0
3 Mirit 30 14 13 67 49 8 1 9 30.0 6 3 9 30.0 7 1 8 26.7 5 2 7 23.3 0 0 0 - 4.0 1 5.0 5 0
4 Tlogopragoto 31 14 14 60 53 12 4 16 51.6 10 3 13 41.9 9 1 10 32.3 6 4 10 32.3 5 0 5 16.1 46.0 4 50.0 5 0
5 Lembupurwo 72 35 30 86 95 21 8 29 40.3 26 9 35 48.6 20 8 28 38.9 16 9 25 34.7 7 1 8 11.1 12.0 8 20.0 8 3
6 Wiromartan 33 16 14 58 72 10 4 14 42.4 12 3 15 45.5 12 5 17 51.5 10 4 14 42.4 8 3 11 33.3 10.0 4 14.0 7 0
7 Rowo 33 16 14 52 53 10 2 12 36.4 8 2 10 30.3 3 5 8 24.2 3 1 4 12.1 6 1 7 21.2 9.0 2 11.0 3 1
8 Singoyudan 22 10 10 22 29 4 1 5 22.7 8 1 9 40.9 5 2 7 31.8 3 2 5 22.7 1 2 3 13.6 4.0 1 5.0 2 1
9 Wergonayan 40 19 17 62 60 12 3 15 37.5 14 2 16 40.0 14 5 19 47.5 6 4 10 25.0 9 0 9 22.5 12.0 3 15.0 0 0
10 Selotumpeng 48 25 19 85 80 20 0 20 41.7 17 3 20 41.7 11 7 18 37.5 9 4 13 27.1 6 2 8 16.7 20.0 0 20.0 6 0
11 Sitibentar 35 15 17 62 57 8 3 11 31.4 6 2 8 22.9 10 2 12 34.3 9 2 11 31.4 3 0 3 8.6 8.0 3 11.0 4 0
12 Karanggede 31 15 13 72 48 4 3 7 22.6 0 3 3 9.7 7 0 7 22.6 9 3 12 38.7 3 0 3 9.7 4.0 3 7.0 0 0
13 Kertodeso 53 27 21 111 79 16 3 19 35.8 16 2 18 34.0 14 4 18 34.0 10 3 13 24.5 2 3 5 9.4 16.0 3 19.0 8 0
14 Patukrejomulyo 24 12 10 57 35 6 2 8 33.3 2 1 3 12.5 3 2 5 20.8 6 3 9 37.5 1 2 3 12.5 11.0 2 13.0 1 0
15 Mangunranan 40 18 18 66 73 16 16 40.0 20 20 50.0 16 16 40.0 11 11 27.5 3 3 7.5 28.0 28.0 0
16 Pekutan 33 14 16 58 63 15 4 19 57.6 12 3 15 45.5 11 3 14 42.4 7 0 7 21.2 5 2 7 21.2 15.0 4 19.0 0 1
7 Wirogaten 51 23 23 109 92 12 3 15 29.4 13 2 15 29.4 10 5 15 29.4 9 5 14 27.5 9 5 14 27.5 12.0 3 15.0 2 0
18 Winong 25 12 11 56 43 7 2 9 36.0 5 2 7 28.0 8 2 10 40.0 5 5 10 40.0 3 0 3 12.0 12.0 2 14.0 0 0
19 Sarwogadung 51 23 23 64 81 18 2 20 39.2 19 3 22 43.1 10 5 15 29.4 10 2 12 23.5 11 2 13 25.5 18.0 2 20.0 0
20 Krubungan 15 8 6 27 32 6 1 7 46.7 4 3 7 46.7 7 2 9 60.0 7 0 7 46.7 1 0 1 6.7 6.0 1 7.0 0 0
21 Patukgawemulyo 32 15 14 46 59 16 2 18 56.3 8 4 12 37.5 10 4 14 43.8 12 4 16 50.0 6 6 12 37.5 16.0 2 18.0 9 0
22 Ngabean 54 24 25 99 98 18 7 25 46.3 14 4 18 33.3 13 1 14 25.9 8 2 10 18.5 0 0 0 - 11.0 7 18.0 0
Jumlah 829 389 363 1490 1399 265 58 323 39.0 0 62 305 36.8 0 72 287 34.6 0 68 239 28.8 0 37 134 16.2 300.0 57 357.0 6

Mengetahui MIRIT, 5 MEI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI Hj. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN ANC PROGRAM KESEHATAN IBU DAN ANAK

KABUPATEN KEBUMEN
BULAN MEI 2015
SASARAN K1 K2 K3 K4 4 Memiliki BUKU KIA Priks
a blm Bln Ini
NO NAMA DESA BAYI BALITA Abs Abs Abs Abs Abs msk Tdk
Bln Bln Bln Bln Bln bulan bula
BUMIL Bln Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml % Abs Kunj Periksa
Ini Ini Ini Ini Ini lalu n ini
L P L P Lalu Lalu Lalu Lalu Lalu ngan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 24 10 12 69 58 13 0 13 54.2 11 2 13 54.2 11 2 13 54.2 7 1 8 33.3 7 1 8 33.3 13 0 13 6 0

2 Tlogodepok 52 24 23 102 90 16 1 17 32.7 19 4 23 44.2 12 3 15 28.8 12 3 15 28.8 9 2 11 21.2 15 1 16 4 0
3 Mirit 30 14 13 67 49 9 2 11 36.7 9 5 14 46.7 8 4 12 40.0 7 2 9 30.0 0 0 0 - 5 2 7 0 0
4 Tlogopragoto 31 14 14 60 53 16 5 21 67.7 13 7 20 64.5 10 6 16 51.6 10 5 15 48.4 5 3 8 25.8 50 5 55 3 0
5 Lembupurwo 72 35 30 86 95 29 8 37 51.4 35 1 36 50.0 28 2 30 41.7 25 7 32 44.4 8 3 11 15.3 20 0 20 6 2
6 Wiromartan 33 16 14 58 72 14 3 17 51.5 15 5 20 60.6 17 4 21 63.6 14 5 19 57.6 11 8 19 57.6 14 3 17 4 0
7 Rowo 33 16 14 52 53 12 2 14 42.4 10 2 12 36.4 8 0 8 24.2 4 3 7 21.2 7 3 10 30.3 11 2 13 2 3
8 Singoyudan 22 10 10 22 29 5 3 8 36.4 9 3 12 54.5 7 5 12 54.5 5 4 9 40.9 3 4 7 31.8 5 3 8 3 2
9 Wergonayan 40 19 17 62 60 15 4 19 47.5 16 3 19 47.5 19 5 24 60.0 10 6 16 40.0 9 3 12 30.0 15 4 19 0 2
10 Selotumpeng 48 25 19 85 80 20 2 22 45.8 20 6 26 54.2 18 4 22 45.8 13 4 17 35.4 8 0 8 16.7 20 2 22 9 0
11 Sitibentar 35 15 17 62 57 11 3 14 40.0 8 5 13 37.1 12 3 15 42.9 11 1 12 34.3 3 1 4 11.4 11 3 14 6 0
12 Karanggede 31 15 13 72 48 7 1 8 25.8 3 5 8 25.8 7 2 9 29.0 12 1 13 41.9 3 0 3 9.7 7 1 8 0 0
13 Kertodeso 53 27 21 111 79 19 3 22 41.5 18 4 22 41.5 18 3 21 39.6 13 3 16 30.2 5 2 7 13.2 19 3 22 7 0
14 Patukrejomulyo 24 12 10 57 35 8 1 9 37.5 3 2 5 20.8 5 1 6 25.0 9 1 10 41.7 3 1 4 16.7 13 1 14 2 0
15 Mangunranan 40 18 18 66 73 21 1 22 55.0 21 4 25 62.5 20 1 21 52.5 16 5 21 52.5 5 1 6 15.0 22 1 23 0 0
16 Pekutan 33 14 16 58 63 19 1 20 60.6 15 5 20 60.6 14 3 17 51.5 7 3 10 30.3 7 1 8 24.2 19 1 20 4 1
17 Wirogaten 51 23 23 109 92 15 3 18 35.3 15 3 18 35.3 15 3 18 35.3 14 4 18 35.3 14 4 18 35.3 15 3 18 3 1
18 Winong 25 12 11 56 43 9 2 11 44.0 7 0 7 28.0 10 0 10 40.0 10 1 11 44.0 3 1 4 16.0 14 2 16 2 0
19 Sarwogadung 51 23 23 64 81 20 3 23 45.1 22 2 24 47.1 15 3 18 35.3 12 3 15 29.4 13 4 17 33.3 20 2 22 4 1
20 Krubungan 15 8 6 27 32 7 2 9 60.0 7 2 9 60.0 9 3 12 80.0 7 3 10 66.7 1 0 1 6.7 7 2 9 3 0
21 Patukgawemulyo 32 15 14 46 59 18 5 23 71.9 12 10 22 68.8 14 3 17 53.1 16 5 21 65.6 12 5 17 53.1 18 5 23 6 0
22 Ngabean 54 24 25 99 98 25 8 33 61.1 18 7 25 46.3 14 10 24 44.4 10 7 17 31.5 0 0 0 - 18 8 26 12 0
Jumlah 829 389 363 1490 1399 328 63 391 47.2 306 87 393 47.4 291 70 361 43.5 ### 77 321 38.7 136 47 183 22.1 357 54 411 86 12

Mengetahui MIRIT, 5 JUNI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI Hj. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN ANC PROGRAM KESEHATAN IBU DAN ANAK

KABUPATEN KEBUMEN
BULAN JUNI 2015
SASARAN K1 K2 K3 K4 4 Memiliki BUKU KIA Priks
a blm Bln Ini
NO NAMA DESA BAYI BALITA Abs Abs Abs Abs Abs msk Tdk
Bln Bln Bln Bln Bln bulan bula
BUMIL Bln Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml % Abs Kunj Periksa
Ini Ini Ini Ini Ini lalu n ini
L P L P Lalu Lalu Lalu Lalu Lalu ngan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 24 10 12 69 58 14 0 14 58.3 13 1 14 58.3 13 1 14 58.3 8 3 11 45.8 8 3 11 45.8 13.0 0 13.0 3 0

2 Tlogodepok 52 24 23 102 90 17 9 26 50.0 23 3 26 50.0 15 3 18 34.6 15 6 21 40.4 10 6 16 30.8 17.0 9 26.0 5 1
3 Mirit 30 14 13 67 49 11 3 14 46.7 16 2 18 60.0 12 1 13 43.3 9 2 11 36.7 0 2 2 6.7 11.0 3 14.0 4 0
4 Tlogopragoto 31 14 14 60 53 21 2 23 74.2 20 1 21 67.7 16 4 20 64.5 15 2 17 54.8 8 0 8 25.8 55.0 2 57.0 6 2
5 Lembupurwo 72 35 30 86 95 36 11 47 65.3 36 4 40 55.6 30 6 36 50.0 35 5 40 55.6 11 3 14 19.4 26.0 11 37.0 6 0
6 Wiromartan 33 16 14 58 72 17 3 20 60.6 20 1 21 63.6 21 3 24 72.7 19 2 21 63.6 8 1 9 27.3 17.0 3 20.0 7 0
7 Rowo 33 16 14 52 53 14 4 18 54.5 12 3 15 45.5 8 5 13 39.4 7 3 10 30.3 10 2 12 36.4 13.0 2 15.0 3 1
8 Singoyudan 22 10 10 22 29 8 4 12 54.5 12 4 16 72.7 12 1 13 59.1 9 3 12 54.5 6 1 7 31.8 8.0 4 12.0 1 0
9 Wergonayan 40 19 17 62 60 19 2 21 52.5 19 1 20 50.0 24 3 27 67.5 16 2 18 45.0 12 3 15 37.5 19.0 2 21.0 1 0
10 Selotumpeng 48 25 19 85 80 22 5 27 56.3 26 5 31 64.6 22 6 28 58.3 17 5 22 45.8 8 0 8 16.7 22.0 5 27.0 3 0
11 Sitibentar 35 15 17 62 57 14 4 18 51.4 12 3 15 42.9 15 3 18 51.4 12 1 13 37.1 4 1 5 14.3 14.0 4 18.0 3 1
12 Karanggede 31 15 13 72 48 8 2 10 32.3 8 1 9 29.0 9 1 10 32.3 13 1 14 45.2 3 0 3 9.7 8.0 2 10.0 2 0
13 Kertodeso 53 27 21 111 79 22 4 26 49.1 22 3 25 47.2 21 3 24 45.3 16 5 21 39.6 7 1 8 15.1 22.0 4 26.0 6 0
14 Patukrejomulyo 24 12 10 57 35 9 3 12 50.0 5 2 7 29.2 6 1 7 29.2 10 2 12 50.0 3 1 4 16.7 15.0 3 18.0 1 0
15 Mangunranan 40 18 18 66 73 22 10 32 80.0 25 4 29 72.5 21 3 24 60.0 21 3 24 60.0 6 2 8 20.0 23.0 5 28.0 3 0
16 Pekutan 33 14 16 58 63 20 4 24 72.7 20 2 22 66.7 17 5 22 66.7 10 6 16 48.5 8 1 9 27.3 20.0 4 24.0 0 0
17 Wirogaten 51 23 23 109 92 18 3 21 41.2 18 6 24 47.1 18 6 24 47.1 18 2 20 39.2 18 2 20 39.2 18.0 3 21.0 0 0
18 Winong 25 12 11 56 43 11 1 12 48.0 7 2 9 36.0 10 2 12 48.0 11 1 12 48.0 4 0 4 16.0 14.0 1 15.0 0 0
19 Sarwogadung 51 23 23 64 81 23 1 24 47.1 24 2 26 51.0 18 2 20 39.2 15 4 19 37.3 17 2 19 37.3 22.0 1 23.0 2 0
20 Krubungan 15 8 6 27 32 9 0 9 60.0 9 0 9 60.0 12 1 13 86.7 10 2 12 80.0 1 0 1 6.7 9.0 0 9.0 1 0
21 Patukgawemulyo 32 15 14 46 59 23 2 25 78.1 22 3 25 78.1 17 5 22 68.8 21 2 23 71.9 17 4 21 65.6 23.0 2 25.0 12 0
22 Ngabean 54 24 25 99 98 33 7 40 74.1 25 6 31 57.4 24 5 29 53.7 17 7 24 44.4 0 0 0 - 33.0 7 40.0 10 0
Jumlah 829 389 363 1490 1399 391 84 475 57.3 404 59 453 54.6 375 70 431 52.0 342 69 393 47.4 191 35 204 24.6 411.0 77 488.0 79 5

Mengetahui MIRIT, 5 JULI 2015

 Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI Hj. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN ANC PROGRAM KESEHATAN IBU DAN ANAK

KABUPATEN KEBUMEN

BULAN JULI 2015

SASARAN K1 K2 K3 K4 4 Memiliki BUKU KIA Priks
a blm Bln Ini
NO NAMA DESA BAYI BALITA Abs Abs Abs Abs Abs msk Tdk
Bln Bln Bln Bln Bln bulan bula
BUMIL Bln Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml % Abs Kunj Periksa
Ini Ini Ini Ini Ini lalu n ini
L P L P Lalu Lalu Lalu Lalu Lalu ngan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 24 10 12 69 58 14 3 17 70.8 14 1 15 62.5 14 2 16 66.7 11 3 14 58.3 11 0 11 45.8 13.0 3 16.0 3 0

2 Tlogodepok 52 24 23 102 90 26 1 27 51.9 26 3 29 55.8 18 6 24 46.2 21 4 25 48.1 16 4 20 38.5 26.0 1 27.0 3 2
3 Mirit 30 14 13 67 49 14 3 17 56.7 18 2 20 66.7 13 4 17 56.7 11 3 14 46.7 2 0 2 6.7 14.0 3 17.0 4 3
4 Tlogopragoto 31 14 14 60 53 23 0 23 74.2 21 4 25 80.6 20 3 23 74.2 17 2 19 61.3 8 0 8 25.8 57.0 0 57.0 2 0
5 Lembupurwo 72 35 30 86 95 47 8 55 76.4 40 8 48 66.7 36 5 41 56.9 40 6 46 63.9 14 3 17 23.6 37.0 8 45.0 1 0
6 Wiromartan 33 16 14 58 72 20 5 25 75.8 21 4 25 75.8 24 2 26 78.8 21 4 25 75.8 9 3 12 36.4 20.0 5 25.0 7 0
7 Rowo 33 16 14 52 53 18 8 26 78.8 15 8 23 69.7 13 6 19 57.6 10 4 14 42.4 12 2 14 42.4 15.0 8 23.0 1 1
8 Singoyudan 22 10 10 22 29 12 0 12 54.5 16 0 16 72.7 13 0 13 59.1 12 1 13 59.1 7 1 8 36.4 12.0 0 12.0 8 0
9 Wergonayan 40 19 17 62 60 21 1 22 55.0 20 5 25 62.5 27 4 31 77.5 18 5 23 57.5 15 4 19 47.5 21.0 1 22.0 0 0
10 Selotumpeng 48 25 19 85 80 27 0 27 56.3 31 0 31 64.6 28 3 31 64.6 22 7 29 60.4 8 0 8 16.7 27.0 0 27.0 6 0
11 Sitibentar 35 15 17 62 57 18 8 26 74.3 15 5 20 57.1 18 4 22 62.9 13 6 19 54.3 5 4 9 25.7 18.0 8 26.0 4 0
12 Karanggede 31 15 13 72 48 10 2 12 38.7 9 2 11 35.5 10 0 10 32.3 14 1 15 48.4 3 1 4 12.9 10.0 2 12.0 4 0
13 Kertodeso 53 27 21 111 79 26 6 32 60.4 25 7 32 60.4 24 5 29 54.7 21 4 25 47.2 8 1 9 17.0 26.0 6 32.0 5 0
14 Patukrejomulyo 24 12 10 57 35 12 1 13 54.2 7 2 9 37.5 7 1 8 33.3 12 1 13 54.2 4 2 6 25.0 18.0 1 19.0 2 0
15 Mangunranan 40 18 18 66 73 32 9 41 102.5 29 7 36 90.0 24 8 32 80.0 24 5 29 72.5 8 2 10 25.0 28.0 9 37.0 2 0
16 Pekutan 33 14 16 58 63 24 2 26 78.8 22 4 26 78.8 22 5 27 81.8 16 6 22 66.7 9 2 11 33.3 24.0 2 26.0 0 0
17 Wirogaten 51 23 23 109 92 21 0 21 41.2 24 1 25 49.0 24 0 24 47.1 20 3 23 45.1 20 3 23 45.1 21.0 0 21.0 3 0
18 Winong 25 12 11 56 43 12 2 14 56.0 9 2 11 44.0 12 0 12 48.0 12 1 13 52.0 4 1 5 20.0 15.0 2 17.0 3 0
19 Sarwogadung 51 23 23 64 81 24 7 31 60.8 26 6 32 62.7 20 4 24 47.1 19 4 23 45.1 19 0 19 37.3 23.0 7 30.0 3 1
20 Krubungan 15 8 6 27 32 9 2 11 73.3 9 1 10 66.7 13 2 15 100.0 12 2 14 93.3 1 0 1 6.7 9.0 2 11.0 0 0
21 Patukgawemulyo 32 15 14 46 59 25 4 29 90.6 25 1 26 81.3 22 9 31 96.9 23 7 30 93.8 21 2 23 71.9 25.0 4 29.0 6 0
22 Ngabean 54 24 25 99 98 40 2 42 77.8 31 5 36 66.7 29 5 34 63.0 24 5 29 53.7 0 0 0 - 40.0 2 42.0 2 0
389 363 1490 1399
Jumlah 829 475 74 549 66.2 463 78 531 64.1 445 78 509 61.4 411 84 477 57.5 226 35 239 28.8 488.0 74 562.0 97 7
752 2889

Mengetahui MIRIT, 5 AGUSTUS 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI Hj. SITI NURJANAH, S.ST

 LAPORAN ANC PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN AGUSTUS 2015
SASARAN K1 K2 K3 K4 4 Memiliki BUKU KIA Priks
a blm Bln Ini
NO NAMA DESA BAYI BALITA Abs Abs Abs Abs Abs msk Tdk
Bln Bln Bln Bln Bln bulan bula
BUMIL Bln Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml % Abs Kunj Periksa
Ini Ini Ini Ini Ini lalu n ini
L P L P Lalu Lalu Lalu Lalu Lalu ngan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 24 10 12 69 58 17 3 20 83.3 15 4 19 79.2 16 2 18 75.0 14 4 18 75.0 11 4 15 62.5 16.0 3 19.0 1 0

2 Tlogodepok 52 24 23 102 90 27 9 36 69.2 29 7 36 69.2 24 6 30 57.7 25 3 28 53.8 20 3 23 44.2 27.0 9 36.0 4 2
3 Mirit 30 14 13 67 49 17 7 24 80.0 20 4 24 80.0 17 4 21 70.0 14 4 18 60.0 2 0 2 6.7 17.0 0 17.0 3 0
4 Tlogopragoto 31 14 14 60 53 23 4 27 87.1 25 4 29 93.5 23 4 27 87.1 19 6 25 80.6 8 0 8 25.8 57.0 0 57.0 4 0
5 Lembupurwo 72 35 30 86 95 56 1 57 79.2 48 7 55 76.4 40 6 46 63.9 46 6 52 72.2 17 3 20 27.8 56.0 1 57.0 8 0
6 Wiromartan 33 16 14 58 72 25 5 30 90.9 25 4 29 87.9 26 3 29 87.9 25 2 27 81.8 12 3 15 45.5 25.0 5 30.0 7 0
7 Rowo 33 16 14 52 53 26 1 27 81.8 23 1 24 72.7 19 3 22 66.7 14 2 16 48.5 14 2 16 48.5 23.0 1 24.0 2 2
8 Singoyudan 22 10 10 22 29 12 8 20 90.9 16 4 20 90.9 13 6 19 86.4 13 2 15 68.2 8 0 8 36.4 12.0 8 20.0 1 0
9 Wergonayan 40 19 17 62 60 22 7 29 72.5 25 7 32 80.0 31 8 39 97.5 23 7 30 75.0 19 1 20 50.0 22.0 7 29.0 0 0
10 Selotumpeng 48 25 19 85 80 27 2 29 60.4 31 1 32 66.7 31 2 33 68.8 29 3 32 66.7 8 0 8 16.7 27.0 1 28.0 3 0
11 Sitibentar 35 15 17 62 57 26 4 30 85.7 20 7 27 77.1 22 2 24 68.6 19 4 23 65.7 9 4 13 37.1 26.0 4 30.0 3 0
12 Karanggede 31 15 13 72 48 12 4 16 51.6 11 3 14 45.2 10 3 13 41.9 15 0 15 48.4 4 1 5 16.1 12.0 4 16.0 4 0
13 Kertodeso 53 27 21 111 79 32 6 38 71.7 32 6 38 71.7 29 7 36 67.9 25 7 32 60.4 9 2 11 20.8 32.0 6 38.0 8 0
14 Patukrejomulyo 24 12 10 57 35 13 5 18 75.0 9 8 17 70.8 10 9 19 79.2 13 5 18 75.0 6 1 7 29.2 19.0 4 23.0 0 0
15 Mangunranan 40 18 18 66 73 41 3 44 110.0 36 8 44 110.0 32 4 36 90.0 29 2 31 77.5 10 2 12 30.0 37.0 3 40.0 0 0
16 Pekutan 33 14 16 58 63 26 4 30 90.9 26 1 27 81.8 27 1 28 84.8 22 4 26 78.8 11 2 13 39.4 26.0 5 31.0 4 0
17 Wirogaten 51 23 23 109 92 21 3 24 47.1 25 2 27 52.9 24 3 27 52.9 23 5 28 54.9 23 5 28 54.9 21.0 3 24.0 3 0
18 Winong 25 12 11 56 43 14 4 18 72.0 11 1 12 48.0 12 3 15 60.0 13 1 14 56.0 5 0 5 20.0 17.0 4 21.0 4 0
19 Sarwogadung 51 23 23 64 81 31 4 35 68.6 32 3 35 68.6 24 7 31 60.8 23 2 25 49.0 19 1 20 39.2 31.0 4 35.0 0 0
20 Krubungan 15 8 6 27 32 11 4 15 100.0 10 1 11 73.3 15 0 15 100.0 14 1 15 100.0 1 1 2 13.3 11.0 4 15.0 0 0
21 Patukgawemulyo 32 15 14 46 59 29 2 31 96.9 26 1 27 84.4 31 3 34 106.3 30 8 38 118.8 23 3 26 81.3 29.0 2 31.0 2 0
22 Ngabean 54 24 25 99 98 42 9 51 94.4 36 3 39 72.2 34 3 37 68.5 29 2 31 57.4 0 0 0 - 42.0 9 51.0 0 0
389 363 1490 1399
Jumlah 829 550 99 649 78.3 541 87 618 74.5 524 89 599 72.3 495 80 557 67.2 261 38 277 33.4 562.0 87 649.0 89 4
752 2889

Mengetahui MIRIT, 05 SEPTEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI Hj. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN ANC PROGRAM KESEHATAN IBU DAN ANAK
UPT UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN

BULAN SEPTEMBER 2015

SASARAN K1 K2 K3 K4 4 Memiliki BUKU KIA Priks
a blm Bln Ini
NO NAMA DESA BAYI BALITA Abs Abs Abs Abs Abs msk Tdk
Bln Bln Bln Bln Bln bulan bula
BUMIL Bln Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml % Abs Kunj Periksa
Ini Ini Ini Ini Ini lalu n ini
L P L P Lalu Lalu Lalu Lalu Lalu ngan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 24 10 12 69 58 20 0 20 83.3 19 0 19 79.2 18 1 19 79.2 18 1 19 79.2 15 1 16 66.7 19.0 0 19.0 3 0

2 Tlogodepok 48 22 21 102 90 36 4 40 83.3 36 6 42 87.5 30 4 34 70.8 28 6 34 70.8 23 1 24 50.0 36.0 4 40.0 4 0
3 Mirit 30 14 13 67 49 24 6 30 100.0 24 1 25 83.3 21 0 21 70.0 18 2 20 66.7 2 2 4 13.3 17.0 6 23.0 8 3
4 Tlogopragoto 31 14 14 60 53 27 7 34 109.7 29 0 29 93.5 27 0 27 87.1 25 3 28 90.3 8 0 8 25.8 57.0 7 64.0 6 0
5 Lembupurwo 72 35 30 86 95 57 7 64 88.9 55 2 57 79.2 46 6 52 72.2 52 7 59 81.9 20 3 23 31.9 57.0 7 64.0 6 0
6 Wiromartan 33 16 14 58 72 30 5 35 106.1 29 1 30 90.9 29 4 33 100.0 27 1 28 84.8 15 2 17 51.5 30.0 5 35.0 10 0
7 Rowo 33 16 14 52 53 27 9 36 109.1 24 8 32 97.0 22 5 27 81.8 16 8 24 72.7 16 2 18 54.5 24.0 9 33.0 6 4
8 Singoyudan 22 10 10 22 29 20 4 24 109.1 20 2 22 100.0 19 2 21 95.5 15 4 19 86.4 8 1 9 40.9 20.0 4 24.0 5 0
9 Wergonayan 40 19 17 62 60 29 5 34 85.0 32 5 37 92.5 39 2 41 102.5 30 1 31 77.5 20 6 26 65.0 29.0 1 30.0 0 2
10 Selotumpeng 48 25 19 85 80 31 2 33 68.8 32 2 34 70.8 33 2 35 72.9 32 3 35 72.9 8 1 9 18.8 28.0 4 32.0 1 0
11 Sitibentar 33 14 16 62 57 30 2 32 97.0 27 2 29 87.9 24 3 27 81.8 23 4 27 81.8 13 4 17 51.5 30.0 2 32.0 3 0
12 Karanggede 31 15 13 72 48 16 5 21 67.7 14 3 17 54.8 13 2 15 48.4 15 2 17 54.8 5 1 6 19.4 16.0 5 21.0 5 0
13 Kertodeso 51 26 20 111 79 39 5 44 86.3 39 5 44 86.3 37 5 42 82.4 33 4 37 72.5 11 1 12 23.5 39.0 5 44.0 6 0
14 Patukrejomulyo 24 12 10 57 35 20 1 21 87.5 17 2 19 79.2 19 3 22 91.7 18 2 20 83.3 7 1 8 33.3 23.0 1 24.0 0 0
15 Mangunranan 44 20 20 66 73 44 6 50 113.6 44 3 47 106.8 36 7 43 97.7 31 6 37 84.1 12 3 15 34.1 40.0 3 43.0 2 0
16 Pekutan 33 14 16 58 63 30 1 31 93.9 27 2 29 87.9 28 2 30 90.9 26 1 27 81.8 13 1 14 42.4 31.0 1 32.0 2 0
17 Wirogaten 48 22 22 109 92 32 6 38 79.2 32 6 38 79.2 31 5 36 75.0 29 4 33 68.8 28 4 32 66.7 29.0 6 35.0 2 0
18 Winong 25 12 11 56 43 18 2 20 80.0 15 3 18 72.0 19 1 20 80.0 18 1 19 76.0 5 0 5 20.0 21.0 0 21.0 5 0
19 Sarwogadung 51 23 23 64 81 35 11 46 90.2 35 15 50 98.0 31 8 39 76.5 25 6 31 60.8 20 5 25 49.0 35.0 11 46.0 2 0
20 Krubungan 18 9 7 27 32 15 2 17 94.4 11 1 12 66.7 15 1 16 88.9 15 0 15 83.3 2 1 3 16.7 15.0 1 16.0 2 0
21 Patukgawemulyo 36 17 16 46 59 31 4 35 97.2 27 3 30 83.3 34 1 35 97.2 38 4 42 116.7 26 8 34 94.4 31.0 4 35.0 3 1
22 Ngabean 54 24 25 99 98 51 7 58 107.4 39 6 45 83.3 37 7 44 81.5 31 7 38 70.4 23 3 26 48.1 51.0 7 58.0 9 0
389 363 1490 1399
Jumlah 829 662 101 763 92.0 637 78 705 85.0 622 71 679 81.9 581 77 640 77.2 322 51 351 42.3 649.0 93 742.0 10
752 2889

Mengetahui MIRIT, 02 OKTOBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI Hj. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN ANC PROGRAM KESEHATAN IBU DAN ANAK

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN OKTOBER 2015
SASARAN K1 K2 K3 K4 4 Memiliki BUKU KIA Priks
a blm Bln Ini
NO NAMA DESA BAYI BALITA Abs Abs Abs Abs Abs msk Tdk
Bln Bln Bln Bln Bln bulan bula
BUMIL Bln Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml % Abs Kunj Periksa
Ini Ini Ini Ini Ini lalu n ini
L P L P Lalu Lalu Lalu Lalu Lalu ngan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 24 10 12 69 58 20 2 22 91.7 19 2 21 87.5 19 2 21 87.5 19 0 19 79.2 16 0 16 66.7 19.0 2 21.0 28 0

2 Tlogodepok 48 24 23 102 90 40 2 42 87.5 42 3 45 93.8 34 3 37 77.1 34 5 39 81.3 24 3 27 56.3 40.0 2 42.0 1 0
3 Mirit 30 14 13 67 49 30 5 35 116.7 25 2 27 90.0 21 5 26 86.7 20 3 23 76.7 4 1 5 16.7 23.0 5 28.0 7 3
4 Tlogopragoto 31 14 14 60 53 34 3 37 119.4 29 0 29 93.5 27 5 32 103.2 28 1 29 93.5 8 0 8 25.8 64.0 3 67.0 7 2
5 Lembupurwo 72 35 30 86 95 64 3 67 93.1 57 4 61 84.7 52 6 58 80.6 59 5 64 88.9 23 0 23 31.9 64.0 0 64.0 9 0
6 Wiromartan 33 16 14 58 72 35 5 40 121.2 30 7 37 112.1 33 4 37 112.1 28 3 31 93.9 17 1 18 54.5 35.0 5 40.0 11 0
7 Rowo 33 16 14 52 53 36 2 38 115.2 32 2 34 103.0 27 1 28 84.8 24 5 29 87.9 18 1 19 57.6 33.0 2 35.0 5 1
8 Singoyudan 22 10 10 22 29 24 2 26 118.2 22 0 22 100.0 21 2 23 104.5 19 3 22 100.0 9 4 13 59.1 24.0 2 26.0 2 0
9 Wergonayan 40 19 17 62 60 34 8 42 105.0 37 5 42 105.0 41 6 47 117.5 31 9 40 100.0 26 1 27 67.5 30.0 8 38.0 0 1
10 Selotumpeng 48 25 19 85 80 33 5 38 79.2 38 1 39 81.3 34 2 36 75.0 35 1 36 75.0 9 1 10 20.8 32.0 5 37.0 3 0
11 Sitibentar 33 15 17 62 57 32 2 34 103.0 29 4 33 100.0 27 6 33 100.0 27 4 31 93.9 17 2 19 57.6 32.0 2 34.0 4 0
12 Karanggede 31 15 13 72 48 21 1 22 71.0 17 2 19 61.3 15 2 17 54.8 17 2 19 61.3 6 0 6 19.4 21.0 1 22.0 7 0
13 Kertodeso 51 27 21 111 79 44 4 48 94.1 44 3 47 92.2 42 4 46 90.2 37 4 41 80.4 12 1 13 25.5 44.0 4 48.0 9 0
14 Patukrejomulyo 24 12 10 57 35 21 1 22 91.7 19 2 21 87.5 22 2 24 100.0 20 3 23 95.8 8 1 9 37.5 24.0 1 25.0 0 0
15 Mangunranan 44 18 18 66 73 50 1 51 115.9 47 2 49 111.4 43 3 46 104.5 37 3 40 90.9 15 2 17 38.6 43.0 1 44.0 1 0
16 Pekutan 33 14 16 58 63 31 0 31 93.9 29 1 30 90.9 30 1 31 93.9 27 2 29 87.9 14 1 15 45.5 32.0 0 32.0 1 0
17 Wirogaten 48 23 23 109 92 38 6 44 91.7 38 5 43 89.6 36 5 41 85.4 33 4 37 77.1 32 4 36 75.0 35.0 6 41.0 2 0
18 Winong 25 12 11 56 43 20 2 22 88.0 18 2 20 80.0 20 3 23 92.0 19 3 22 88.0 5 3 8 32.0 21.0 0 21.0 5 0
19 Sarwogadung 51 23 23 64 81 46 13 59 115.7 50 8 58 113.7 39 15 54 105.9 31 11 42 82.4 25 10 35 68.6 46.0 10 56.0 3 0
20 Krubungan 18 9 7 27 32 17 1 18 100.0 12 1 13 72.2 16 2 18 100.0 15 2 17 94.4 3 0 3 16.7 16.0 1 17.0 3 1
21 Patukgawemulyo 36 15 14 46 59 35 2 37 102.8 30 0 30 83.3 35 1 36 100.0 42 0 42 116.7 34 3 37 102.8 35.0 2 37.0 7 0
22 Ngabean 54 24 25 99 98 58 1 59 109.3 45 5 50 92.6 44 1 45 83.3 38 3 41 75.9 26 0 26 48.1 58.0 1 59.0 15 0
390 364 1490 1399
Jumlah 829 763 71 834 100.6 719 61 770 92.9 692 81 759 91.6 658 76 716 86.4 373 39 390 47.0 742.0 63 805.0 102 8
754 2889

Mengetahui MIRIT, 04 NOVEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI Hj. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN ANC PROGRAM KESEHATAN IBU DAN ANAK

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN NOVEMBER 2015
SASARAN K1 K2 K3 K4 4 Memiliki BUKU KIA Priks
a blm Bln Ini
NO NAMA DESA BAYI BALITA Abs Abs Abs Abs Abs msk Tdk
Bln Bln Bln Bln Bln bulan bula
BUMIL Bln Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml % Abs Kunj Periksa
Ini Ini Ini Ini Ini lalu n ini
L P L P Lalu Lalu Lalu Lalu Lalu ngan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 24 10 12 69 58 22 2 24 100.0 21 0 21 87.5 21 0 21 87.5 19 0 19 79.2 16 1 17 70.8 21.0 0 21.0 0 0

2 Tlogodepok 48 24 23 102 90 42 7 49 102.1 45 3 48 100.0 37 7 44 91.7 39 6 45 93.8 27 3 30 62.5 42.0 0 42.0 4 0
3 Mirit 30 14 13 67 49 34 3 37 123.3 27 8 35 116.7 26 1 27 90.0 23 2 25 83.3 5 1 6 20.0 32.0 3 35.0 4 3
4 Tlogopragoto 31 14 14 60 53 37 2 39 125.8 29 4 33 106.5 32 0 32 103.2 29 1 30 96.8 8 0 8 25.8 67.0 2 69.0 9 0
5 Lembupurwo 72 35 30 86 95 67 4 71 98.6 61 1 62 86.1 58 5 63 87.5 64 6 70 97.2 23 2 25 34.7 64.0 4 68.0 3 1
6 Wiromartan 33 16 14 58 72 40 1 41 124.2 37 4 41 124.2 37 5 42 127.3 31 5 36 109.1 18 1 19 57.6 40.0 5 45.0 6 0
7 Rowo 33 16 14 52 53 38 0 38 115.2 34 1 35 106.1 28 2 30 90.9 29 2 31 93.9 19 2 21 63.6 35.0 0 35.0 5 0
8 Singoyudan 22 10 10 22 29 26 1 27 122.7 22 5 27 122.7 23 1 24 109.1 22 1 23 104.5 13 3 16 72.7 26.0 1 27.0 4 0
9 Wergonayan 40 19 17 62 60 42 4 46 115.0 42 6 48 120.0 47 3 50 125.0 40 3 43 107.5 27 1 28 70.0 38.0 4 42.0 0 0
10 Selotumpeng 48 25 19 85 80 38 2 40 83.3 39 3 42 87.5 36 3 39 81.3 36 3 39 81.3 10 0 10 20.8 38.0 2 40.0 4 0
11 Sitibentar 33 15 17 62 57 34 1 35 106.1 33 3 36 109.1 33 4 37 112.1 31 3 34 103.0 19 3 22 66.7 34.0 1 35.0 3 0
12 Karanggede 31 15 13 72 48 22 1 23 74.2 19 3 22 71.0 17 4 21 67.7 19 2 21 67.7 6 0 6 19.4 22.0 1 23.0 6 0
13 Kertodeso 51 27 21 111 79 48 4 52 102.0 47 3 50 98.0 46 3 49 96.1 41 5 46 90.2 13 0 13 25.5 48.0 4 52.0 8 0
14 Patukrejomulyo 24 12 10 57 35 22 1 23 95.8 21 1 22 91.7 24 2 26 108.3 23 2 25 104.2 9 1 10 41.7 25.0 0 25.0 1 0
15 Mangunranan 44 18 18 66 73 51 2 53 120.5 49 1 50 113.6 46 3 49 111.4 40 3 43 97.7 17 3 20 45.5 44.0 2 46.0 2 0
16 Pekutan 33 14 16 58 63 31 2 33 100.0 30 1 31 93.9 31 1 32 97.0 29 2 31 93.9 15 1 16 48.5 32.0 1 33.0 1 0
17 Wirogaten 48 23 23 109 92 44 5 49 102.1 43 5 48 100.0 41 4 45 93.8 37 7 44 91.7 36 7 43 89.6 41.0 5 46.0 2 0
18 Winong 25 12 11 56 43 22 2 24 96.0 20 1 21 84.0 23 3 26 104.0 22 4 26 104.0 8 4 12 48.0 21.0 1 22.0 7 0
19 Sarwogadung 51 23 23 64 81 59 6 65 127.5 58 2 60 117.6 54 3 57 111.8 42 5 47 92.2 35 4 39 76.5 56.0 6 62.0 2 0
20 Krubungan 18 8 6 27 32 18 1 19 105.6 13 3 16 88.9 18 1 19 105.6 17 1 18 100.0 3 0 3 16.7 17.0 2 19.0 1 0
21 Patukgawemulyo 36 15 14 46 59 37 2 39 108.3 30 2 32 88.9 36 3 39 108.3 42 0 42 116.7 37 0 37 102.8 37.0 2 39.0 4 0
22 Ngabean 54 24 25 99 98 59 0 59 109.3 50 4 54 100.0 45 7 52 96.3 43 3 46 85.2 26 0 26 48.1 59.0 0 59.0 6 0
389 363 1490 1399
Jumlah 829 833 53 886 106.9 780 64 834 100.6 773 65 824 99.4 736 66 784 94.6 412 37 427 51.5 805.0 46 851.0 4
752 2889

Mengetahui MIRIT, 04 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI Hj. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN ANC PROGRAM KESEHATAN IBU DAN ANAK

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN DESEMBER 2015
SASARAN K1 K2 K3 K4 4 Memiliki BUKU KIA Priks
a blm Bln Ini
NO NAMA DESA BAYI BALITA Abs Abs Abs Abs Abs msk Tdk
Bln Bln Bln Bln Bln bulan bula
BUMIL Bln Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml % Abs Kunj Periksa
Ini Ini Ini Ini Ini lalu n ini
L P L P Lalu Lalu Lalu Lalu Lalu ngan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 24 10 12 69 58 24 0 24 100.0 21 0 21 87.5 21 1 22 91.7 19 3 22 91.7 17 2 19 79.2 21.0 0 21.0 2 0

2 Tlogodepok 48 24 23 102 90 49 3 52 108.3 48 4 52 108.3 44 5 49 102.1 45 2 47 97.9 30 2 32 66.7 42.0 3 45.0 1 1
3 Mirit 30 14 13 67 49 37 0 37 123.3 35 2 37 123.3 27 1 28 93.3 25 3 28 93.3 6 2 8 26.7 35.0 0 35.0 9 4
4 Tlogopragoto 31 14 14 60 53 39 0 39 125.8 33 6 39 125.8 32 2 34 109.7 30 2 32 103.2 8 0 8 25.8 69.0 0 69.0 9 0
5 Lembupurwo 72 35 30 86 95 71 3 74 102.8 62 2 64 88.9 63 2 65 90.3 70 4 74 102.8 25 0 25 34.7 68.0 0 68.0 2 0
6 Wiromartan 33 16 14 58 72 41 3 44 133.3 41 2 43 130.3 42 2 44 133.3 36 5 41 124.2 19 1 20 60.6 45.0 3 48.0 10 0
7 Rowo 33 16 14 52 53 38 0 38 115.2 35 2 37 112.1 30 1 31 93.9 31 3 34 103.0 21 3 24 72.7 35.0 0 35.0 3 0
8 Singoyudan 22 10 10 22 29 27 0 27 122.7 27 2 29 131.8 24 1 25 113.6 23 2 25 113.6 16 1 17 77.3 27.0 0 27.0 7 0
9 Wergonayan 40 19 17 62 60 46 3 49 122.5 48 1 49 122.5 50 4 54 135.0 43 1 44 110.0 28 3 31 77.5 42.0 3 45.0 11 0
10 Selotumpeng 48 25 19 85 80 40 3 43 89.6 42 4 46 95.8 39 2 41 85.4 39 3 42 87.5 10 1 11 22.9 40.0 3 43.0 3 0
11 Sitibentar 33 15 17 62 57 35 0 35 106.1 36 1 37 112.1 37 2 39 118.2 34 3 37 112.1 22 2 24 72.7 35.0 0 35.0 3 0
12 Karanggede 31 15 13 72 48 23 2 25 80.6 22 2 24 77.4 21 0 21 67.7 21 6 27 87.1 6 0 6 19.4 23.0 2 25.0 8 0
13 Kertodeso 51 27 21 111 79 52 2 54 105.9 50 2 52 102.0 49 2 51 100.0 46 4 50 98.0 13 0 13 25.5 52.0 2 54.0 8 0
14 Patukrejomulyo 24 12 10 57 35 23 1 24 100.0 22 3 25 104.2 26 1 27 112.5 25 1 26 108.3 10 0 10 41.7 25.0 1 26.0 0 0
15 Mangunranan 44 18 18 66 73 53 2 55 125.0 50 2 52 118.2 49 2 51 115.9 43 5 48 109.1 20 0 20 45.5 46.0 2 48.0 0 0
16 Pekutan 33 14 16 58 63 33 1 34 103.0 31 2 33 100.0 32 1 33 100.0 31 2 33 100.0 16 1 17 51.5 33.0 1 34.0 2 0
17 Wirogaten 48 23 23 109 92 49 1 50 104.2 48 3 51 106.3 45 4 49 102.1 44 2 46 95.8 43 3 46 95.8 46.0 3 49.0 2 0
18 Winong 25 12 11 56 43 24 1 25 100.0 21 3 24 96.0 26 1 27 108.0 26 2 28 112.0 12 1 13 52.0 22.0 1 23.0 2 0
19 Sarwogadung 51 23 23 64 81 65 3 68 133.3 60 3 63 123.5 57 3 60 117.6 48 3 51 100.0 39 2 41 80.4 62.0 3 65.0 2 0
20 Krubungan 18 8 6 27 32 19 0 19 105.6 16 3 19 105.6 19 0 19 105.6 18 0 18 100.0 3 0 3 16.7 19.0 0 19.0 0 0
21 Patukgawemulyo 36 15 14 46 59 39 4 43 119.4 32 2 34 94.4 39 0 39 108.3 40 0 40 111.1 37 0 37 102.8 39.0 4 43.0 2 0
22 Ngabean 54 24 25 99 98 59 0 59 109.3 54 2 56 103.7 52 4 56 103.7 46 8 54 100.0 26 0 26 48.1 59.0 0 59.0 5 0
389 363 1490 1399
Jumlah 829 886 32 918 110.7 844 53 887 107.0 838 41 865 104.3 801 64 847 102.2 449 24 451 54.4 851.0 31 882.0 5
752 2889

Mengetahui MIRIT, 23 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI Hj. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN ANC PROGRAM KESEHATAN IBU DAN ANAK

KABUPATEN KEBUMEN
BULAN 2015
SASARAN K1 K2 K3 K4 4 Memiliki BUKU KIA Priks
a blm Bln Ini
NO NAMA DESA Abs Abs Abs Abs Abs msk Tdk
BALI Bln Bln Bln Bln Bln bulan bula
BUMIL BAYI Bln Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml % Abs Kunj Periksa
TA Ini Ini Ini Ini Ini lalu n ini
Lalu Lalu Lalu Lalu Lalu ngan
6 Wiromartan 3 4 5 8 8 266.7 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

19 Sarwogadung 24 12 58 24 24 100.0 21 21 87.5 22 22 91.7 22 22 91.7 19 19 79.2 21.0 0 21.0 0

4 Tlogopragoto 48 23 90 52 52 108.3 52 52 108.3 49 49 102.1 47 47 97.9 32 32 66.7 45.0 0 45.0 0
15 Mangunranan 30 13 49 37 37 123.3 37 37 123.3 28 28 93.3 28 28 93.3 8 8 26.7 35.0 0 35.0 0
3 Mirit 31 14 53 39 39 125.8 39 39 125.8 34 34 109.7 32 32 103.2 8 8 25.8 69.0 0 69.0 0
8 Singoyudan 72 30 95 74 74 102.8 64 64 88.9 65 65 90.3 74 74 102.8 25 25 34.7 68.0 0 68.0 0
9 Wergonayan 33 14 72 44 44 133.3 43 43 130.3 44 44 133.3 41 41 124.2 20 20 60.6 48.0 48.0 0
21 Patukgawemulyo 33 14 53 38 38 115.2 37 37 112.1 31 31 93.9 34 34 103.0 24 24 72.7 35.0 35.0 0
7 Rowo 22 10 29 27 27 122.7 29 29 131.8 25 25 113.6 25 25 113.6 17 17 77.3 27.0 27.0 0
22 Ngabean 40 17 60 49 49 122.5 49 49 122.5 54 54 135.0 44 44 110.0 31 31 77.5 45.0 45.0 0
2 Tlogodepok 48 19 80 43 43 89.6 46 46 95.8 41 41 85.4 42 42 87.5 11 11 22.9 43.0 43.0 0
11 Sitibentar 33 17 57 35 35 106.1 37 37 112.1 39 39 118.2 37 37 112.1 24 24 72.7 35.0 35.0 0
13 Kertodeso 31 13 48 25 25 80.6 24 24 77.4 21 21 67.7 27 27 87.1 6 6 19.4 25.0 25.0 0
20 Krubungan 51 21 79 54 54 105.9 52 52 102.0 51 51 100.0 50 50 98.0 13 13 25.5 54.0 54.0 0
17 Wirogaten 24 10 35 24 24 100.0 25 25 104.2 27 27 112.5 26 26 108.3 10 10 41.7 26.0 26.0 0
16 Pekutan 44 18 73 55 55 125.0 52 52 118.2 51 51 115.9 48 48 109.1 20 20 45.5 48.0 48.0 0
5 Lembupurwo 33 16 63 34 34 103.0 33 33 100.0 33 33 100.0 33 33 100.0 17 17 51.5 34.0 34.0 0
1 Miritpetkusan 48 23 92 50 50 104.2 51 51 106.3 49 49 102.1 46 46 95.8 46 46 95.8 49.0 49.0 0
14 Patukrejomulyo 25 11 43 25 25 100.0 24 24 96.0 27 27 108.0 28 28 112.0 13 13 52.0 23.0 23.0 0
18 Winong 51 23 81 68 68 133.3 63 63 123.5 60 60 117.6 51 51 100.0 41 41 80.4 65.0 65.0 0
10 Selotumpeng 18 6 32 19 19 105.6 19 19 105.6 19 19 105.6 18 18 100.0 3 3 16.7 19.0 19.0 0
12 Karanggede 36 14 59 43 43 119.4 34 34 94.4 39 39 108.3 40 40 111.1 37 37 102.8 43.0 0 43.0 0
1 2 3 4 5 6 7 8 9 56 56 ### 56 56 ### 54 54 ### 26 26 866.7 59.0 0 59.0 0
Jumlah 778 342 1306 865 7 867 111.4 0 0 887 114.0 0 0 865 111.2 0 0 847 108.9 0 0 451 58.0 882.0 0 882.0 0

Mengetahui MIRIT, 5 JANUARI 2016

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI Hj. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN ANC PROGRAM KESEHATAN IBU DAN ANAK

KABUPATEN KEBUMEN
BULAN 2015
SASARAN K1 K2 K3 K4 4 Memiliki BUKU KIA Priks
a blm Bln Ini
NO NAMA DESA BAYI BALITA Abs Abs Abs Abs Abs msk Tdk
Bln Bln Bln Bln Bln bulan bula
BUMIL Bln Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml % Abs Kunj Periksa
Ini Ini Ini Ini Ini lalu n ini
Lalu Lalu Lalu Lalu Lalu ngan
L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 24 10 12 69 58
2 Tlogodepok 48 24 23 102 90
3 Mirit 30 14 13 67 49
4 Tlogopragoto 31 14 14 60 53
5 Lembupurwo 72 35 30 86 95
6 Wiromartan 33 16 14 58 72
7 Rowo 33 16 14 52 53
8 Singoyudan 22 10 10 22 29
9 Wergonayan 40 19 17 62 60
10 Selotumpeng 48 25 19 85 80
11 Sitibentar 33 15 17 62 57
12 Karanggede 31 15 13 72 48
13 Kertodeso 51 27 21 111 79
14 Patukrejomulyo 24 12 10 57 35
15 Mangunranan 44 18 18 66 73
16 Pekutan 33 14 16 58 63
17 Wirogaten 48 23 23 109 92
18 Winong 25 12 11 56 43
19 Sarwogadung 51 23 23 64 81
20 Krubungan 18 8 6 27 32
21 Patukgawemulyo 36 15 14 46 59
22 Ngabean 3 24 25 99 98
389 363 1490 1399
Jumlah 778
752 2889
 LAPORAN PEMANTAUAN WILAYAH SETEMPAT KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN JANUARI 2015

PERSALINAN NAKES
SASARAN DETEKSI RESIKO TINGGI (100%) ABORTUS IBU BERSALIN MENURUT KELOMPOK UMUR
(90%)
BU Oleh Tenaga Kesehatan Oleh Masyarakat BULAN LALU BULAN INI JUMLAH
NO NAMA DESA BU BU BAY MIL Bln Bln Bln Bln
Abs % Abs %
MIL LIN I RES Bln Bln Abs %
Bln Bln
Abs % Lalu Ini Lalu Ini < 20 20-
>30th
< 20 20-
>30th
< 20 20-
>30th
TI Lalu Ini Lalu Ini th 35th th 35th th 35th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Miritpetkusan 24 23.1 22 5 0 4 4 83.3 0 0 0 - - - - 0 0 4 4 17.3 - - - 1.0 3.0 - 1.0 3.0 -
2 Tlogodepok 52 49 47 10 0 3 3 28.8 0 0 0 - - - - 0 0 3 3 6.1 - - - - 3.0 - - 3.0 -
3 Mirit 30 28 27 6 0 2 2 33.3 0 0 0 - - - - 0 0 1 1 3.5 - - - - 1.0 - - 1.0 -
4 Tlogopragoto 31 29.4 28 6 0 3 3 48.4 0 0 0 - - - - 0 0 3 3 10.2 - - - - 2.0 1.0 - 2.0 1.0
5 Lembupurwo 72 68 65 14 0 2 2 13.9 0 0 0 - - - - 0 0 3 3 4.4 - - - - 2.0 1.0 - 2.0 1.0
6 Wiromartan 33 31.5 30 7 0 3 3 45.5 0 0 0 - - - - 0 0 1 1 3.2 - - - - 1.0 - - 1.0 -
7 Rowo 33 31.5 30 7 0 1 1 15.2 0 0 0 - - - - 0 0 3 3 9.5 - - - - 2.0 1.0 - 2.0 1.0
8 Singoyudan 22 21 20 4 0 0 0 - 0 0 0 - - - - 0 0 0 0 - - - - - - - - - -
9 Wergonayan 40 37.8 36 8 0 1 1 12.5 0 0 0 - - - - 0 0 0 0 - - - - - - - - - -
10 Selotumpeng 48 46.2 44 10 0 2 2 20.8 0 0 0 - - - - 0 0 4 4 8.7 - - - 1.0 3.0 - 1.0 3.0 -
11 Sitibentar 35 33.6 32 7 0 1 1 14.3 0 0 0 - - - - 0 0 1 1 3.0 - - - - 1.0 - - 1.0 -
12 Karanggede 31 29.4 28 6 0 2 2 32.3 0 0 0 - - - - 0 0 7 7 23.8 - - - - 5.0 2.0 - 5.0 2.0
13 Kertodeso 53 50.4 48 11 0 3 3 28.3 0 1 1 15.7 - - - 0 0 3 3 6.0 - - - 1.0 2.0 - 1.0 2.0 -
14 Patukrejomulyo 24 23.1 22 5 0 1 1 20.8 0 0 0 - - - - 0 0 3 3 13.0 - - - - 2.0 1.0 - 2.0 1.0
15 Mangunranan 40 37.8 36 8 0 1 1 12.5 0 1 1 20.8 - - - 0 0 4 4 10.6 - - - - 4.0 - - 4.0 -
16 Pekutan 33 31.5 30 7 0 1 1 15.2 0 0 0 - - - - 0 0 2 2 6.3 - - - - 2.0 - - 2.0 -
17 Wirogaten 51 48.3 46 10 0 1 1 9.8 0 0 0 - - - - 0 0 0 0 - - - - - - - - - -
18 Winong 25 24 23 5 0 1 1 20.0 0 0 0 - - - - 0 0 4 4 16.6 - - - - 4.0 - - 4.0 -
19 Sarwogadung 51 48.3 46 10 0 3 3 29.4 0 1 1 16.3 - - - 0 0 2 2 4.1 - - - - 1.0 1.0 - 1.0 1.0
20 Krubungan 15 14.7 14 3 0 3 3 100.0 0 2 2 ### - - - 0 0 2 2 13.6 - - - - 2.0 - - 2.0 -
21 Patukgawemulyo 32 30 29 6 0 2 2 31.3 0 0 0 - - - - 0 0 2 2 6.6 - - - 1.0 1.0 - 1.0 1.0 -
22 Ngabean 54 51 49 11 0 1 1 9.3 0 0 0 - - - - 0 0 0 0 - - - - - - - - - -
JUMLAH 829 790 752 166 0 41 41 24.7 0 5 5 5.0 - - - 0 0 52 52 6.6 - - - 4.0 41.0 7.0 4.0 41.0 7.0

Mengetahui MIRIT, 9 FEBRUARI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PEMANTAUAN WILAYAH SETEMPAT KESEHATAN IBU DAN ANAK

 KABUPATEN KEBUMEN
BULAN FEBRUARI 2015

SASARAN DETEKSI RESIKO TINGGI (100%) ABORTUS PERSALINAN NAKES (90%) IBU BERSALIN MENURUT KELOMPOK UMUR
BU Oleh Tenaga Kesehatan Oleh Masyarakat BULAN LALU BULAN INI JUMLAH
NO NAMA DESA BU BU MIL Bln Bln Bln Bln
BAYI Abs % Abs %
MIL LIN RES Bln Bln Abs %
Bln Bln
Abs % Lalu Ini Lalu Ini < 20 20-
>30th
< 20 20-
>30th < 20 th 20-35th >30th
TI Lalu Ini Lalu Ini th 35th th 35th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Miritpetkusan 24 23.1 22 5 4 1 5 104.2 0 0 0 - - - - 0 4 1 5 21.6 1.0 3.0 - - 1.0 - 1.0 4.0 -
2 Tlogodepok 52 49.35 47 10 3 2 2 19.2 0 0 0 - - - - 0 3 3 6 12.2 - 3.0 - - 3.0 - - 6.0 -
3 Mirit 30 28.35 27 6 2 0 0 - 0 0 0 - - - - 0 1 1 2 7.1 - 1.0 - - 1.0 - 1.0 1.0
4 Tlogopragoto 31 29.4 28 6 3 1 1 16.1 0 0 0 - - - - 0 3 1 4 13.6 - 2.0 1.0 - 1.0 - - 3.0 1.0
5 Lembupurwo 72 68.25 65 14 2 2 2 13.9 0 0 0 - - - - 0 3 5 8 11.7 - 2.0 1.0 1.0 4.0 - 1.0 6.0 1.0
6 Wiromartan 33 31.5 30 7 3 0 3 45.5 0 0 0 - - - - 0 1 5 6 19.0 - 1.0 - - 4.0 1.0 - 5.0 1.0
7 Rowo 33 31.5 30 7 1 0 1 15.2 0 0 0 - - - - 0 3 2 5 15.9 - 2.0 1.0 - 2.0 - - 4.0 1.0
8 Singoyudan 22 21 20 4 0 1 1 22.7 0 0 0 - - - - 0 0 0 0 - - - - - - - - - -
9 Wergonayan 40 37.8 36 8 1 0 1 12.5 0 0 0 - - - - 0 0 4 4 10.6 - - - - 3.0 1.0 - 3.0 1.0
10 Selotumpeng 48 46.2 44 10 2 1 3 31.3 0 0 0 - - 1.0 1.0 2.2 4 2 6 13.0 - 3.0 - - 1.0 1.0 - 4.0 1.0
11 Sitibentar 35 33.6 32 7 1 2 2 28.6 0 0 0 - - - - 0 1 2 3 8.9 - 1.0 - 1.0 1.0 - 1.0 2.0 -
12 Karanggede 31 29.4 28 6 2 0 0 - 0 0 0 - - - - 0 7 1 8 27.2 - 5.0 2.0 - 1.0 - - 6.0 2.0
13 Kertodeso 53 50.4 48 11 3 2 2 18.9 0 0 0 - - - - 0 3 4 7 13.9 1.0 2.0 - 1.0 3.0 - 2.0 5.0 -
14 Patukrejomulyo 24 23.1 22 5 1 1 1 20.8 0 0 0 - - - - 0 3 1 4 17.3 - 2.0 1.0 - 1.0 - - 3.0 1.0
15 Mangunranan 40 37.8 36 8 1 1 2 25.0 0 0 0 - - - - 0 4 2 6 15.9 - 4.0 - (5.0) 1.0 1.0 (5.0) 5.0 1.0
16 Pekutan 33 31.5 30 7 1 0 0 - 0 0 0 - - 1.0 1.0 3.175 2 2 4 12.7 - 2.0 - - 2.0 - - 4.0 -
17 Wirogaten 51 48.3 46 10 1 0 1 9.8 0 0 0 - - - - 0 0 5 5 10.4 - - - - 5.0 - - 5.0 -
18 Winong 25 24.15 23 5 1 0 0 - 0 0 0 - - - - 0 4 3 7 29.0 - 4.0 - - 3.0 - - 7.0 -
19 Sarwogadung 51 48.3 46 10 3 2 2 19.6 0 1 1 16.3 - - - 0 2 4 6 12.4 - 1.0 1.0 - 2.0 2.0 - 3.0 3.0
20 Krubungan 15 14.7 14 3 3 1 4 133.3 2 0 0 - - - - 0 2 1 3 20.4 - 2.0 - - 1.0 - - 3.0 -
21 Patukgawemulyo 32 30.45 29 6 2 3 5 78.1 0 0 0 - - - - 0 2 2 4 13.1 1.0 1.0 - - 2.0 - 1.0 3.0 -
22 Ngabean 54 51.45 49 11 1 0 0 - 0 0 0 - - - - 0 0 4 4 7.8 - - - - 4.0 - - 4.0 -
JUMLAH 829 789.6 752 166 41 0 38 22.9 2 1 1 1.0 - 2.0 2.0 5.3 0 55 107 13.6 3.0 41.0 7.0 (2.0) 45.0 7.0 1.0 86.0 14.0

Mengetahui MIRIT, 5 MARET 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PEMANTAUAN WILAYAH SETEMPAT KESEHATAN IBU DAN ANAK

 KABUPATEN KEBUMEN

BULAN MARET 2015

SASARAN DETEKSI RESIKO TINGGI (100%) ABORTUS PERSALINAN NAKES (90%) IBU BERSALIN MENURUT KELOMPOK UMUR
BU Oleh Tenaga Kesehatan Oleh Masyarakat BULAN LALU BULAN INI JUMLAH
NO NAMA DESA BU BU MIL Bln Bln Bln Bln
BAYI Abs % Abs %
MIL LIN RES Bln Bln Abs %
Bln Bln
Abs % Lalu Ini Lalu Ini < 20 20-
>35th
< 20 20-
>35th < 20 th 20-35th >35th
TI Lalu Ini Lalu Ini th 35th th 35th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Miritpetkusan 24 23.1 22 5 5 1 5 104.2 0 0 0 - - - - 0 5 0 5 21.6 1.0 4.0 - - - - 1.0 4.0 -
2 Tlogodepok 52 49.35 47 10 2 1 6 57.7 0 0 0 - - - - 0 6 2 8 16.2 - 6.0 - - 2.0 - - 8.0 -
3 Mirit 30 28.35 27 6 0 2 2 33.3 0 0 0 - - - - 0 2 3 5 17.6 - 1.0 1.0 - 3.0 - - 4.0 1.0
4 Tlogopragoto 31 29.4 28 6 1 1 1 16.1 0 0 0 - - - - 0 4 2 6 20.4 - 3.0 1.0 - 2.0 - - 5.0 1.0
5 Lembupurwo 72 68.25 65 14 2 2 2 13.9 0 0 0 - - - - 0 8 7 15 22.0 1.0 6.0 1.0 1.0 5.0 1.0 2.0 11.0 2.0
6 Wiromartan 33 31.5 30 7 3 4 3 45.5 0 0 0 - - 1.0 1.0 3.175 6 2 8 25.4 - 5.0 1.0 1.0 - 1.0 1.0 5.0 2.0
7 Rowo 33 31.5 30 7 1 0 1 15.2 0 0 0 - - - - 0 5 1 6 19.0 - 4.0 1.0 - 1.0 - - 5.0 1.0
8 Singoyudan 22 21 20 4 1 1 1 22.7 0 0 0 - - - - 0 0 0 0 - - - - - - - - - -
9 Wergonayan 40 37.8 36 8 1 1 2 25.0 0 0 0 - - - - 0 4 2 6 15.9 - 3.0 1.0 1.0 1.0 - 1.0 4.0 1.0
10 Selotumpeng 48 46.2 44 10 3 0 3 31.3 0 0 0 - 1.0 - 1.0 2.165 6 2 8 17.3 1.0 4.0 1.0 - 2.0 - 1.0 6.0 1.0
11 Sitibentar 35 33.6 32 7 2 0 0 - 0 0 0 - - - - 0 3 5 8 23.8 1.0 2.0 - - 2.0 3.0 1.0 4.0 3.0
12 Karanggede 31 29.4 28 6 0 0 0 - 0 0 0 - - - - 0 8 1 9 30.6 6.0 2.0 - 1.0 - 6.0 3.0
13 Kertodeso 53 50.4 48 11 2 0 2 18.9 0 0 0 - - - - 0 7 2 9 17.9 2.0 5.0 - - 2.0 - 2.0 7.0 -
14 Patukrejomulyo 24 23.1 22 5 1 0 0 - 0 0 0 - - - - 0 4 0 4 17.3 - 3.0 1.0 - - - - 3.0 1.0
15 Mangunranan 40 37.8 36 8 2 1 2 25.0 0 1 1 20.8 - - - 0 6 5 11 29.1 5.0 5.0 1.0 - 5.0 1.0 5.0 10.0 2.0
16 Pekutan 33 31.5 30 7 0 2 2 30.3 0 0 0 - 1.0 - 1.0 3.175 4 2 6 19.0 - 4.0 - - 2.0 - - 6.0 -
17 Wirogaten 51 48.3 46 10 1 1 2 19.6 0 0 0 - - - - 0 5 4 9 18.6 - 5.0 - - 4.0 - - 9.0 -
18 Winong 25 24.15 23 5 0 1 1 20.0 0 0 0 - - 1.0 1.0 4.141 7 0 7 29.0 - 7.0 - - - - - 7.0 -
19 Sarwogadung 51 48.3 46 10 2 3 8 78.4 1 1 3 49.0 - 1.0 1.0 2.07 6 3 9 18.6 - 2.0 2.0 - 3.0 - - 5.0 2.0
20 Krubungan 15 14.7 14 3 4 0 4 133.3 0 0 0 - - - - 0 3 2 5 34.0 - 3.0 - - 1.0 1.0 - 4.0 1.0
21 Patukgawemulyo 32 30.45 29 6 5 4 5 78.1 0 0 0 - - - - 0 4 4 8 26.3 - 2.0 - - 4.0 - - 6.0 -
22 Ngabean 54 51.45 49 11 0 2 2 18.5 0 0 0 - - - - 0 4 4 8 15.5 - 4.0 - - 2.0 2.0 - 6.0 2.0
JUMLAH 829 789.6 752 166 38 27 54 32.6 1 2 4 4.0 2.0 3.0 5.0 14.7 107 53 160 20.3 11.0 84.0 13.0 3.0 41.0 10.0 14.0 125.0 23.0

Mengetahui MIRIT, 4 APRIL 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN PEMANTAUAN WILAYAH SETEMPAT KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN APRIL 2015

SASARAN DETEKSI RESIKO TINGGI (100%) ABORTUS PERSALINAN NAKES (90%) IBU BERSALIN MENURUT KELOMPOK UMUR
BU Oleh Tenaga Kesehatan Oleh Masyarakat BULAN LALU BULAN INI JUMLAH
NO NAMA DESA BU BU MIL Bln Bln Bln Bln
BAYI Abs % Abs %
MIL LIN RES Bln Bln Abs %
Bln Bln
Abs % Lalu Ini Lalu Ini < 20 20-
>35th
< 20 20-
>35th < 20 th 20-35th >35th
TI Lalu Ini Lalu Ini th 35th th 35th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Miritpetkusan 24 23.1 22 5 5 2 7 145.8 0 0 0 - - - - 0 5 3 8 34.6 1.0 4.0 39.6 - 3.0 - 1.0 7.0 39.6
2 Tlogodepok 52 49.35 47 10 6 0 6 57.7 0 0 0 - - - - 0 8 1 9 18.2 1.0 8.0 26.2 1.0 1.0 9.0 26.2
3 Mirit 30 28.35 27 6 2 0 2 33.3 0 0 0 - - - - 0 5 1 6 21.2 1.0 4.0 1.0 1.0 - - 2.0 4.0 1.0
4 Tlogopragoto 31 29.4 28 6 1 1 2 32.3 0 0 0 - - - - 0 6 4 10 34.0 4.0 5.0 1.0 1.0 3.0 - 5.0 8.0 1.0
5 Lembupurwo 72 68.25 65 14 2 1 3 20.8 0 0 0 - - - - 0 15 8 23 33.7 2.0 11.0 2.0 - 6.0 1.0 2.0 17.0 3.0
6 Wiromartan 33 31.5 30 7 3 1 4 60.6 0 0 0 - 1.0 1.0 2.0 6.349 8 4 12 38.1 6.0 5.0 2.0 - 3.0 1.0 6.0 8.0 3.0
7 Rowo 33 31.5 30 7 1 0 1 15.2 0 0 - - 1.0 1.0 3.175 6 3 9 28.6 4.0 5.0 1.0 - 3.0 - 4.0 8.0 1.0
8 Singoyudan 22 21 20 4 1 0 1 22.7 0 0 0 - - - - 0 0 2 2 9.5 2.0 2.0 9.5 - 2.0 2.0 4.0 9.5
9 Wergonayan 40 37.8 36 8 2 2 4 50.0 0 0 0 - - - - 0 6 6 12 31.7 1.0 4.0 1.0 1.0 3.0 2.0 2.0 7.0 3.0
10 Selotumpeng 48 46.2 44 10 3 0 3 31.3 0 0 0 - 1.0 - 1.0 2.165 8 3 11 23.8 1.0 6.0 1.0 - 3.0 - 1.0 9.0 1.0
11 Sitibentar 35 33.6 32 7 0 3 3 42.9 0 0 0 - - - - 0 8 2 10 29.8 1.0 4.0 3.0 2.0 1.0 6.0 3.0
12 Karanggede 31 29.4 28 6 0 2 2 32.3 0 0 0 - - - - 0 9 9 30.6 - 6.0 3.0 - 4.0 - - 10.0 3.0
13 Kertodeso 53 50.4 48 11 2 1 3 28.3 0 0 0 - - - - 0 9 3 12 23.8 2.0 7.0 - - 3.0 - - 10.0 -
14 Patukrejomulyo 24 23.1 22 5 0 0 0 - 0 0 - - - - 0 4 1 5 21.6 1.0 3.0 1.0 - 1.0 - 1.0 4.0 1.0
15 Mangunranan 40 37.8 36 8 2 1 3 37.5 0 1 1 20.8 21.8 - 21.8 57.76 11 5 16 42.3 5.0 10.0 2.0 5.0 5.0 15.0 2.0
16 Pekutan 33 31.5 30 7 2 1 3 45.5 0 0 0 - 1.0 - 1.0 3.175 6 1 7 22.2 - 6.0 28.2 1.0 - 7.0 28.2
17 Wirogaten 51 48.3 46 10 2 0 2 19.6 0 0 0 - - - - - 9 5 14 29.0 5.0 9.0 38.0 5.0 5.0 14.0 38.0
18 Winong 25 24.15 23 5 1 0 1 20.0 0 0 0 - 1.0 - 1.0 4.141 7 5 12 49.7 6.0 16.1 56.7 - 4.0 1.0 6.0 20.1 57.7
19 Sarwogadung 51 48.3 46 10 8 2 10 98.0 0 0 0 - 1.0 - 1.0 2.07 9 2 11 22.8 - 5.0 2.0 - 2.0 - - 7.0 2.0
20 Krubungan 15 14.7 14 3 4 1 5 166.7 2 0 2 111.1 ### 113.1 769 5 2 7 47.6 ### 4.0 1.0 - 1.0 1.0 115.1 5.0 2.0
21 Patukgawemulyo 32 30.45 29 6 5 1 6 93.8 0 0 - - - - 0 8 8 26.3 - 6.0 34.3 - 2.0 1.0 - 8.0 35.3
22 Ngabean 54 51.45 49 11 2 4 6 55.6 0 0 0 - - - 0 8 5 13 25.3 5.0 6.0 2.0 - 5.0 - 5.0 11.0 2.0
JUMLAH 829 789.6 752 166 54 23 77 46.4 2 1 3 3.0 ### 2.0 141.9 ### 160 66 226 28.6 ### 136.1 ### 3.0 62.0 7.0 164.1 198.1 ###

Mengetahui MIRIT, 5 MEI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN PEMANTAUAN WILAYAH SETEMPAT KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN MEI 2015

SASARAN DETEKSI RESIKO TINGGI (100%) ABORTUS PERSALINAN NAKES (90%) IBU BERSALIN MENURUT KELOMPOK UMUR
BU Oleh Tenaga Kesehatan Oleh Masyarakat BULAN LALU BULAN INI JUMLAH
NO NAMA DESA
BU BU MIL Bln Bln Bln Bln
BAYI Abs % Abs %
MIL LIN RES Bln Bln Abs %
Bln Bln
Abs % Lalu Ini Lalu Ini < 20 20-
>35th
< 20 20-
>35th < 20 th 20-35th >35th
TI Lalu Ini Lalu Ini th 35th th 35th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Miritpetkusan 24 23.1 22 5 7 2 9 187.5 0 0 0 - - - 0 8 3 11 47.6 3 0 3 0
2 Tlogodepok 52 49.35 47 10 6 0 6 57.7 0 0 0 - - - 0 9 6 15 30.4 0 6 0 6 0
3 Mirit 30 28.35 27 6 2 0 2 33.3 0 0 - - - - 0 6 2 8 28.2 0 1 0 2 0 3 0
4 Tlogopragoto 31 29.4 28 6 6 0 6 96.8 0 0 0 - - - 0 14 4 18 61.2 1 14 0 0 3 1 1 17 1
5 Lembupurwo 72 68.25 65 14 3 1 4 27.8 0 0 0 - - - - 0 23 7 30 40.3 1 6 6 1 2 24 2
6 Wiromartan 33 31.5 30 7 4 2 6 90.9 0 0 0 - - - - 0 12 6 18 57.1 1 8 3 0 5 1 1 13 4
7 Rowo 33 31.5 30 7 1 0 1 15.2 0 0 0 0 0 0 0 0 9 0 9 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 22 21 20 4 1 0 1 22.7 0 0 0 - - - - 0 2 6 8 38.1 0 2 0 0 5 1 0 7 1
9 Wergonayan 40 37.8 36 8 5 2 7 87.5 0 0 0 - 1.0 - 1.0 2.646 17 4 21 55.6 2 12 3 0 3 1 2 15 4
10 Selotumpeng 48 46.2 44 10 3 4 7 72.9 0 0 0 - - - - 0 11 3 14 30.3 0 3 0 0 3 0 0 6 0
11 Sitibentar 35 33.6 32 7 3 2 5 71.4 0 0 0 - - - 0 10 1 11 32.7 1 0 1 0
12 Karanggede 31 29.4 28 6 2 2 4 64.5 0 0 0 - - - - 0 9 3 12 40.8 0 10 3 0 3 0 0 13 3
13 Kertodeso 53 50.4 48 11 3 1 4 37.7 0 0 0 - - - - 0 12 4 16 31.7 0 3 0 0 4 0 0 7 0
14 Patukrejomulyo 24 23.1 22 5 0 0 0 - 0 0 0 - - 1.0 1.0 4.329 5 3 8 34.6 0 1 0 0 2 1 0 3 1
15 Mangunranan 40 37.8 36 8 3 1 4 50.0 3 0 3 62.5 - - - 0 16 5 21 55.6 0 5 0 0 5 0 0 10 0
16 Pekutan 33 31.5 30 7 3 0 3 45.5 0 1 1 25.3 - - 0 7 3 10 31.7 0 3 0 3 0
17 Wirogaten 51 48.3 46 10 2 1 3 29.4 0 0 0 - - - - 0 14 4 18 37.3 0 14 0 0 4 0 0 18 0
18 Winong 25 24.15 23 5 1 2 3 60.0 0 0 0 - - - - 0 12 2 14 58.0 0 5 0 0 2 0 0 7 0
19 Sarwogadung 51 48.3 46 10 10 1 11 107.8 0 1 1 16.3 - - - 0 11 3 14 29.0 0 2 0 0 3 0 0 14 0
20 Krubungan 15 14.7 14 3 5 1 6 200.0 3 0 3 166.7 - - - 0 7 3 10 68.0 0 5 2 1 2 0 1 7 2
21 Patukgawemulyo 32 30.45 29 6 6 0 6 93.8 0 0 0 0 0 0 0 0 8 5 13 42.7 0 2 0 0 5 0 0 7 0
22 Ngabean 54 51.45 49 11 6 1 7 64.8 0 0 0 - - - - 0 13 6 19 36.9 0 5 0 0 5 1 0 10 1
JUMLAH 829 789.6 752 166 82 23 105 63.3 6 2 8 8.0 1.0 1.0 2.0 7.0 226 83 309 39.1 5 98 11 1 75 7 7 194 19

Mengetahui MIRIT, 5 JUNI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN PEMANTAUAN WILAYAH SETEMPAT KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN JUNI 2015

SASARAN DETEKSI RESIKO TINGGI (100%) ABORTUS PERSALINAN NAKES (90%) IBU BERSALIN MENURUT KELOMPOK UMUR
BU Oleh Tenaga Kesehatan Oleh Masyarakat BULAN LALU BULAN INI JUMLAH
NO NAMA DESA
BU BU MIL Bln Bln Bln Bln
BAYI Bln Bln Bln Bln Abs % Abs % < 20 20- < 20 20-
MIL LIN RES Abs % Abs % Lalu Ini Lalu Ini >35th >35th < 20 th 20-35th >35th
TI Lalu Ini Lalu Ini th 35th th 35th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Miritpetkusan 24 23.1 22 5 9 1 10 208.3 0 0 0 - - 1.0 1.0 4.329 11 2 13 56.3 2.0 9.0 - 1.0 - 1.0 3.0 9.0 1.0 13 23
2 Tlogodepok 52 49.35 47 10 6 2 8 76.9 0 0 0 - - - - 0 15 3 18 36.5 - 15.0 - 1.0 2.0 - 1.0 17.0 - 18 49
3 Mirit 30 28.35 27 6 4 1 5 83.3 0 0 0 - - 1.0 1.0 3.527 8 2 10 35.3 1.0 7.0 - 2.0 - - 3.0 7.0 - 10 28
4 Tlogopragoto 31 29.4 28 6 6 0 6 96.8 0 0 - - - - 0 0 0 61.2 1.0 11.0 3.0 3.0 1.0 14.0 3.0 18 29
5 Lembupurwo 72 68.25 65 14 7 2 9 62.5 0 0 0 - - - 0 24 8 32 55.7 1.0 23.0 - 1.0 5.0 2.0 2.0 28.0 2.0 38 68
6 Wiromartan 33 31.5 30 7 6 2 8 121.2 0 0 0 - 2.0 - 2.0 6.349 18 3 21 66.7 1.0 13.0 4.0 - 3.0 - 1.0 16.0 4.0 21 32
7 Rowo 33 31.5 30 7 1 1 2 30.3 0 0 0 - - - 0 9 3 12 38.1 - 8.0 1.0 - 3.0 - - 11.0 1.0 12 32
8 Singoyudan 22 21 20 4 2 3 5 113.6 0 0 0 - - 1.0 1.0 4.762 8 0 8 38.1 - 7.0 1.0 - - - - 7.0 1.0 8 21
9 Wergonayan 40 37.8 36 8 7 0 7 87.5 0 0 - - 0 0 0 55.6 2.0 10.0 4.0 3.0 1.0 2.0 13.0 5.0 21 38
10 Selotumpeng 48 46.2 44 10 7 0 7 72.9 0 0 0 - 1.0 1.0 2.0 4.329 14 5 19 41.1 - 14.0 - - 5.0 - - 19.0 - 19 46
11 Sitibentar 35 33.6 32 7 7 1 8 114.3 0 0 0 - - - - 0 11 1 12 35.7 1.0 7.0 3.0 - 1.0 - 1.0 8.0 3.0 12 34
12 Karanggede 31 29.4 28 6 4 0 4 64.5 0 0 0 - - - - 0 16 0 16 54.4 - 13.0 3.0 - 13.0 3.0 16 29
13 Kertodeso 53 50.4 48 11 7 1 8 75.5 1 0 1 15.7 - - - 0 16 3 19 37.7 2.0 14.0 - - 3.0 - 2.0 17.0 - 19 50
14 Patukrejomulyo 24 23.1 22 5 2 3 5 104.2 0 0 0 - - - - 0 8 4 12 56.3 - 6.0 2.0 - 2.0 2.0 - 8.0 4.0 13 23
15 Mangunranan 40 37.8 36 8 4 3 7 87.5 3 3 6 125.0 - - - 0 21 3 24 63.5 - 20.0 1.0 - 2.0 1.0 - 22.0 2.0 24 38
16 Pekutan 33 31.5 30 7 3 1 4 61 1 0 2 50.5 1.0 - 1.0 3.175 10 5 15 47.6 - 3.0 - - 4.0 1.0 - 14.0 1.0 15 32
17 Wirogaten 51 48.3 46 10 3 0 3 29.4 0 0 0 - - - - 0 18 2 20 41.4 - 18.0 - - 2.0 - - 20.0 - 20 48
18 Winong 25 24.15 23 5 4 0 4 80.0 0 0 0 - 1.0 - 1.0 4.141 14 1 15 62.1 - 13.0 1.0 - 1.0 - - 14.0 1.0 15 24
19 Sarwogadung 51 48.3 46 10 11 1 12 117.6 0 0 3 49.0 - - 1.0 2.07 14 5 19 39.3 - 3.0 - - 5.0 - - 8.0 - 19 48
20 Krubungan 15 14.7 14 3 6 0 6 200.0 3 0 3 166.7 - - - 0 10 1 11 74.8 1.0 7.0 2.0 - 1.0 - 1.0 8.0 2.0 11 15
21 Patukgawemulyo 32 30.45 29 6 10 1 11 171.9 0 0 0 - - - 0 16 5 21 69.0 1.0 14.0 1.0 - 4.0 1.0 1.0 18.0 2.0 21 30
22 Ngabean 54 51.45 49 11 7 0 7 64.8 0 0 0 - - - - 0 19 7 26 50.5 - 16.0 2.0 - 6.0 1.0 - 23.0 3.0 26 51
JUMLAH 829 789.6 752 166 123 23 146 88.1 8 3 11 11.1 5.0 4.0 10.0 32.7 83 63 146 49.3 13.0 251.0 28.0 5.0 55.0 10.0 18.0 314.0 38.0 389 790

Mengetahui MIRIT, 5 JULI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN PEMANTAUAN WILAYAH SETEMPAT KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN

BULAN JULI 2015

SASARAN DETEKSI RESIKO TINGGI (100%) ABORTUS PERSALINAN NAKES (90%) IBU BERSALIN MENURUT KELOMPOK UMUR
BU Oleh Tenaga Kesehatan Oleh Masyarakat BULAN LALU BULAN INI JUMLAH
NO NAMA DESA
BU BU MIL Bln Bln Bln Bln
BAYI Abs % Abs %
MIL LIN RES Bln Bln Abs %
Bln Bln
Abs % Lalu Ini Lalu Ini < 20 20-
>30th
< 20 20-
>30th < 20 th 20-35th >30th
TI Lalu Ini Lalu Ini th 35th th 35th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Miritpetkusan 24 23.1 22 5 10 0 10 208.3 0 0 0 - 1.0 - 1.0 4.329 2 2 15 64.9 - 1.0 1.0 - 2.0 - 2.0 12.0 1.0 15
2 Tlogodepok 52 49.35 47 10 8 0 8 76.9 0 0 0 - - - - 0 18 4 22 44.6 - 18.0 - - 3.0 1.0 - 21.0 1.0 22
3 Mirit 30 28.35 27 6 5 0 5 83.3 0 0 0 - 1.0 - 1.0 3.527 10 2 12 45.9 3.0 7.0 - - 2.0 - 3.0 9.0 - 13
4 Tlogopragoto 31 29.4 28 6 6 0 6 96.8 0 0 0 - - - - 0 18 3 21 71.4 - - - 3.0 - 3.0 - 21
5 Lembupurwo 72 68.25 65 14 9 2 11 76.4 0 0 0 - - - - 0 0 5 5 68.9 - 5.0 8.0 - 5.0 - - 10.0 8.0 47
6 Wiromartan 33 31.5 30 7 8 1 9 136.4 0 0 0 - 2.0 - 2.0 6.349 21 3 24 76.2 1.0 16.0 4.0 1.0 2.0 - 2.0 18.0 4.0 24
7 Rowo 33 31.5 30 7 2 2 4 60.6 0 0 0 - 1.0 - 1.0 3.175 12 2 14 44.4 11.0 1.0 2.0 - 13.0 1.0 14
8 Singoyudan 22 21 20 4 5 1 6 136.4 0 0 0 - - - - 0 8 4 12 57.1 - 7.0 1.0 - 4.0 - - 11.0 1.0 12
9 Wergonayan 40 37.8 36 8 7 0 7 87.5 0 0 0 - 1.0 - 1.0 2.646 21 3 24 63.5 - 3.0 1.0 1.0 2.0 - 1.0 5.0 1.0 24
10 Selotumpeng 48 46.2 44 10 7 0 7 72.9 0 0 0 - 1.0 - 1.0 2.165 19 6 25 54.1 - 19.0 - - 4.0 2.0 - 23.0 2.0 25
11 Sitibentar 35 33.6 32 7 8 3 11 157.1 0 0 0 - 1.0 1.0 2.976 5 6 18 53.6 1.0 8.0 3.0 - 4.0 2.0 1.0 12.0 2.0 18
12 Karanggede 31 29.4 28 6 4 2 6 96.8 0 0 0 - - - - 0 16 0 16 54.4 - 13.0 3.0 - - - - 13.0 3.0 16
13 Kertodeso 53 50.4 48 11 8 0 8 75.5 1 0 1 15.7 - 2.0 2.0 3.968 19 5 24 47.6 2.0 17.0 - - 3.0 2.0 2.0 20.0 2.0 24
14 Patukrejomulyo 24 23.1 22 5 5 0 5 104.2 0 0 0 - 1 0 1 0 12 1 13 60.6 - 8.0 4.0 - 1.0 - - 9.0 4.0 14
15 Mangunranan 40 37.8 36 8 7 1 8 100.0 0 1 1 20.8 - - - 0 24 5 29 76.7 22.0 2.0 5.0 - 27.0 2.0 29
16 Pekutan 33 31.5 30 7 4 2 6 90.9 0 0 0 - - - 0 5 6 21 66.7 - 4.0 1.0 - 4.0 2.0 - 18.0 3.0 21
17 Wirogaten 51 48.3 46 10 3 0 3 29.4 0 0 0 - - - - 0 20 3 23 47.6 - 20.0 - - 3.0 - - 23.0 - 23
18 Winong 25 24.15 23 5 4 0 4 80.0 0 0 0 - 1.0 - 1.0 4.141 15 1 16 66.3 14.0 1.0 1.0 1.0 - 15.0 2.0 16
19 Sarwogadung 51 48.3 46 10 12 2 14 137.3 3 1 4 65.4 - - - 0 19 5 24 49.7 - 5.0 - - 5.0 - - 10.0 - 24
20 Krubungan 15 14.7 14 3 6 2 8 266.7 3 1 4 222.2 - - - 0 11 1 12 81.6 1.0 8.0 2.0 - - 1.0 1.0 8.0 3.0 12
21 Patukgawemulyo 32 30.45 29 6 11 0 11 171.9 0 0 0 - - 2.0 2.0 6.568 21 5 26 85.4 1.0 18.0 2.0 4.0 1.0 1.0 22.0 3.0 26
22 Ngabean 54 51.45 49 11 7 1 8 74.1 0 0 0 - - - 0 0 5 5 60.3 - 22.0 2.0 1.0 4.0 - 1.0 26.0 2.0 31
JUMLAH 829 789.6 752 166 146 19 165 99.5 7 3 10 10.1 9.0 5.0 14.0 39.8 0 77 401 59.7 9.0 246.0 36.0 3.0 63.0 12.0 14.0 328.0 45.0 471

Mengetahui MIRIT, 05 AGUSTUS 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN PEMANTAUAN WILAYAH SETEMPAT KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN AGUSTUS 2015

SASARAN DETEKSI RESIKO TINGGI (100%) ABORTUS PERSALINAN NAKES (90%) IBU BERSALIN MENURUT KELOMPOK UMUR
BU Oleh Tenaga Kesehatan Oleh Masyarakat BULAN LALU BULAN INI JUMLAH
NO NAMA DESA
BU BU MIL Bln Bln Bln Bln
BAYI Abs % Abs %
MIL LIN RES Bln Bln Abs %
Bln Bln
Abs % Lalu Ini Lalu Ini < 20 20-
>30th
< 20 20-
>30th < 20 th 20-35th >30th
TI Lalu Ini Lalu Ini th 35th th 35th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Miritpetkusan 24 23 22 5 10 0 10 208.3 0 0 0 - - - 0 0 15 5 20 22.2 2 12 37 2 3 0 4 15 1.0
2 Tlogodepok 52 49 47 10 8 2 10 96.2 0 0 0 - 0 - 0 0 22 5 27 30.0 0 21 1 1 4 0 1 25 1.0
3 Mirit 30 28 27 6 5 0 5 83.3 0 0 0 - 1 1 2 7.055 13 5 18 20.0 3 10 0 0 5 0 3 15 -
4 Tlogopragoto 31 29 28 6 6 0 6 96.8 0 0 0 - 0 0 0 0 21 5 26 28.9 2 17 2 5 0 2 22 2.0
5 Lembupurwo 72 68 65 14 11 1 12 83.3 0 0 0 - 0 0 0 0 43 7 50 55.6 2 39 2 1 6 0 3 45 2.0
6 Wiromartan 33 32 30 7 9 1 10 151.5 0 0 0 - 2 0 2 6.349 24 3 27 30.0 2 18 4 2 1 0 4 19 4.0
7 Rowo 33 32 30 7 4 0 4 60.6 0 0 0 - 0 0 0 0 14 3 17 18.9 0 13 1 0 3 0 0 16 1.0
8 Singoyudan 22 21 20 4 6 1 7 159.1 0 0 0 - 1 1 2 9.524 10 2 12 13.3 0 9 1 0 2 0 0 11 1.0
9 Wergonayan 40 38 36 8 7 0 7 87.5 0 0 0 - 1 0 1 2.646 24 9 33 36.7 2 16 5 1 9 0 3 25 5.0
10 Selotumpeng 48 46 44 10 7 0 7 72.9 0 0 0 - 1 0 1 2.165 25 5 30 33.3 0 23 2 0 5 0 0 28 2.0
11 Sitibentar 35 34 32 7 11 1 12 171.4 0 0 0 - 1 0 1 2.976 18 2 20 22.2 3 23 2 0 2 0 3 25 2.0
12 Karanggede 31 29 28 6 6 1 7 112.9 0 0 0 - 0 0 0 0 16 1 17 18.9 0 13 3 0 0 1 0 13 4.0
13 Kertodeso 53 50 48 11 8 0 8 75.5 1 1 2 31.4 2 0 2 3.968 24 3 27 30.0 2 20 2 1 2 0 3 22 2.0
14 Patukrejomulyo 24 23 22 5 5 0 5 104.2 0 0 0 - 1 0 1 4.329 13 4 17 18.9 0 9 4 3 1 0 12 5.0
15 Mangunranan 40 38 36 8 8 1 9 112.5 7 1 8 166.7 0 0 0 0 29 0 29 32.2 0 27 2 0 0 0 0 27 2.0
16 Pekutan 33 32 30 7 6 1 7 106.1 0 0 0 - 1 1 2 6.349 21 3 24 26.7 0 18 3 0 3 0 0 21 3.0
17 Wirogaten 51 48 46 10 3 0 3 29.4 0 0 0 - 0 0 0 0 23 5 28 31.1 0 23 0 0 5 0 0 28 -
18 Winong 25 24 23 5 4 0 4 80.0 0 0 0 - 1 0 1 4.141 16 1 17 18.9 0 15 1 0 1 0 0 16 1.0
19 Sarwogadung 51 48 46 10 14 2 16 156.9 4 2 6 98.0 1 0 1 2.07 24 1 25 27.8 0 21 3 0 1 0 0 22 3.0
20 Krubungan 15 15 14 3 8 4 12 400.0 4 0 4 222.2 0 0 0 0 12 1 13 14.4 1 8 3 0 1 0 1 9 3.0
21 Patukgawemulyo 32 30 29 6 11 1 12 187.5 0 0 0 - 2 0 2 6.568 26 2 28 31.1 1 22 3 0 2 0 1 24 3.0
22 Ngabean 54 51 49 11 8 1 9 83.3 0 1 1 15.4 0 2 2 3.887 31 6 37 41.1 1 27 3 0 6 0 1 33 3.0

JUMLAH 829 790 752 166 165 17 182 109.8 16 5 21 21.1 15 5 20 62.0 0 78 542 65.37 21 404 84 8 69 2 29 473 50.0

Mengetahui MIRIT, 05 SEPTEMBR 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN PEMANTAUAN WILAYAH SETEMPAT KESEHATAN IBU DAN ANAK
UPT UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN

BULAN SEPTEMBER 2015

SASARAN DETEKSI RESIKO TINGGI (100%) ABORTUS PERSALINAN NAKES (90%) IBU BERSALIN MENURUT KELOMPOK UMUR
BU Oleh Tenaga Kesehatan Oleh Masyarakat BULAN LALU BULAN INI JUMLAH
NO NAMA DESA
BU BU MIL Bln Bln Bln Bln
BAYI Bln Bln Bln Bln Abs % Abs % < 20 20- < 20 20-
MIL LIN RES Abs % Abs % Lalu Ini Lalu Ini >30th >35th < 20 th 20-35th >35th
TI Lalu Ini Lalu Ini th 35th th 35th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Miritpetkusan 24 23 22 5 6 0 6 125.0 0 0 - - - - 0 20 1 21 91.3 4.0 15.0 1.0 - 1.0 - 14.0 16.0 1.0
2 Tlogodepok 48 45 43 10 7 0 7 72.9 0 0 0 - - - - 0 27 8 35 77.8 1.0 25.0 1.0 - 8.0 - 1.0 33.0 1.0
3 Mirit 30 28 27 6 2 0 2 33.3 0 0 0 - 2.0 1.0 3.0 10.71 18 1 19 67.9 3.0 15.0 - - 1.0 - 3.0 16.0 -
4 Tlogopragoto 31 29 28 6 3 1 4 64.5 0 0 0 - - - - 0 26 3 29 100.0 2.0 22.0 2.0 - 3.0 - 2.0 25.0 2.0
5 Lembupurwo 72 68 65 14 12 1 13 90.3 0 0 0 - - - - 0 50 5 55 80.9 3.0 45.0 2.0 - 5.0 - 3.0 50.0 2.0
6 Wiromartan 33 32 30 7 3 2 5 75.8 0 0 0 - 2.0 - 2.0 6.25 27 3 30 93.8 4.0 19.0 4.0 - 2.0 1.0 4.0 21.0 5.0
7 Rowo 33 32 30 7 3 0 3 45.5 0 0 0 - 1.0 - 1.0 3.125 21 3 24 75.0 - 20.0 1.0 - 3.0 - - 23.0 1.0
8 Singoyudan 22 21 20 4 6 0 6 136.4 0 0 0 - 1.0 - 1.0 4.762 16 2 18 85.7 - 15.0 1.0 1.0 1.0 - 1.0 16.0 1.0
9 Wergonayan 40 38 36 8 7 0 7 87.5 0 0 0 - - - - 0 33 5 38 100.0 3.0 25.0 5.0 1.0 3.0 1.0 4.0 28.0 6.0
10 Selotumpeng 48 46 44 10 6 0 6 62.5 0 0 0 - 1.0 - 1.0 2.174 30 4 34 73.9 - 30.0 - - 4.0 - - 34.0 -
11 Sitibentar 33 32 30 7 10 0 10 151.5 0 0 0 - - - - 0 20 6 26 81.3 - 20.0 - 1.0 4.0 1.0 1.0 24.0 1.0
12 Karanggede 31 30 28 6 6 2 8 129.0 0 0 0 - - - - 0 17 1 18 60.0 - 13.0 4.0 - 1.0 - - 14.0 4.0
13 Kertodeso 51 48 46 10 5 0 5 49.0 2 0 2 32.7 2.0 - 2.0 4.167 29 7 36 75.0 3.0 24.0 2.0 - 7.0 - 3.0 31.0 2.0
14 Patukrejomulyo 24 23 22 5 5 0 5 104.2 0 0 0 - - - - 0 17 2 19 82.6 - 12.0 5.0 - 2.0 5.0 - 14.0 5.0
15 Mangunranan 44 42 40 9 6 0 6 68.2 5 0 5 94.7 - - - 0 29 6 35 83.3 - 27.0 2.0 - 6.0 - - 33.0 2.0
16 Pekutan 33 32 30 7 4 0 4 60.6 1 0 1 25.3 2.0 - 2.0 6.25 24 1 25 78.1 - 21.0 3.0 - 1.0 - - 22.0 3.0
17 Wirogaten 48 46 44 10 3 0 3 31.3 0 0 0 - - - - 0 29 4 33 71.7 - 29.0 - - 4.0 - - 33.0 -
18 Winong 25 24 23 5 3 0 3 60.0 0 0 0 - 1.0 - 1.0 4.167 18 0 18 75.0 - 17.0 1.0 - - - - 17.0 1.0
19 Sarwogadung 51 48 46 10 5 1 6 58.8 3 0 3 49.0 1.0 - 1.0 2.083 29 6 35 72.9 - 29.0 - - 6.0 - - 35.0 -
20 Krubungan 18 17 16 4 3 0 3 75.0 0 1 1 46.3 - 1.0 1.0 5.882 13 0 13 76.5 1.0 9.0 3.0 - - - 1.0 9.0 3.0
21 Patukgawemulyo 36 35 33 7 8 0 8 111.1 0 0 0 - 2.0 - 2.0 5.556 28 7 35 100.0 1.0 24.0 3.0 - 7.0 - 1.0 31.0 3.0
22 Ngabean 54 51 49 11 7 0 7 64.8 0 1 1 15.4 - 3.0 3.0 5.6 36 4 40 78.4 1.0 32.0 3.0 3.0 1.0 4.0 4.0 33.0 7.0

JUMLAH
829 790 752 166 120 7 127 76.4 11 2 13 13.1 15.0 5.0 20.0 60.7 0 79 636 80.5 26.0 488.0 43.0 6.0 70.0 12.0 42.0 558.0 50.0

Mengetahui MIRIT, 02 OKTOBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PEMANTAUAN WILAYAH SETEMPAT KESEHATAN IBU DAN ANAK

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN OKTOBER 2015

SASARAN DETEKSI RESIKO TINGGI (100%) ABORTUS PERSALINAN NAKES (90%) IBU BERSALIN MENURUT KELOMPOK UMUR
BU Oleh Tenaga Kesehatan Oleh Masyarakat BULAN LALU BULAN INI JUMLAH
NO NAMA DESA
BU BU MIL Bln Bln Bln Bln
BAYI Bln Bln Bln Bln Abs % Abs % < 20 20- < 20 20-
MIL LIN RES Abs % Abs % Lalu Ini Lalu Ini >30th >30th < 20 th 20-35th >30th
TI Lalu Ini Lalu Ini th 35th th 35th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Miritpetkusan 24 23 22 5 6 0 6 125.0 0 0 0 - - - - 0 21 0 21 91.3 4.0 16.0 1.0 - - - 4.0 16.0 1.0
2 Tlogodepok 48 45 43 10 10 0 10 104.2 0 0 0 - - - - 0 35 3 38 84.4 1.0 33.0 1.0 - 3.0 - 1.0 36.0 1.0
3 Mirit 30 28 27 6 2 0 2 33.3 0 0 0 - 3.0 - 3.0 10.71 19 3 22 78.6 3.0 16.0 - - 3.0 - 3.0 19.0 -
4 Tlogopragoto 31 29 28 6 8 0 8 129.0 0 0 0 - - - - 0 29 1 30 103.4 2.0 25.0 2.0 - - - 2.0 25.0 2.0
5 Lembupurwo 72 68 65 14 13 2 2 13.9 0 0 - - 1.0 1.0 1.471 0 7 7 10.3 3.0 45.0 2.0 - 7.0 - 3.0 52.0 2.0
6 Wiromartan 33 32 30 7 5 0 5 75.8 0 0 0 - 2.0 - 2.0 6.25 30 2 32 100.0 4.0 21.0 5.0 - 2.0 - 4.0 23.0 5.0
7 Rowo 33 32 30 7 3 0 3 45.5 0 0 0 - 1.0 - 1.0 3.125 24 1 25 78.1 - 23.0 1.0 - 1.0 - - 24.0 1.0
8 Singoyudan 22 21 20 4 6 0 6 136.4 0 0 0 - 2.0 - 2.0 9.524 18 4 22 68.8 1.0 16.0 1.0 - 4.0 - 1.0 20.0 1.0
9 Wergonayan 40 38 36 8 7 1 1 12.5 0 0 0 - - - - 0 38 3 41 107.9 4.0 28.0 6.0 - 3.0 - 4.0 31.0 6.0
10 Selotumpeng 48 46 44 10 6 0 0 6.0 0 0 0 - 1.0 - 1.0 2.174 34 2 36 78.3 - 34.0 - - 2.0 - - 36.0 -
11 Sitibentar 33 32 30 7 10 0 10 151.5 0 0 0 - 1.0 - 1.0 3.125 26 3 29 90.6 2.0 18.0 6.0 - 2.0 1.0 2.0 20.0 7.0
12 Karanggede 31 30 28 6 8 0 8 129.0 0 0 0 - - - - 0 18 3 21 70.0 - 14.0 4.0 - 2.0 1.0 - 16.0 5.0
13 Kertodeso 51 48 46 10 5 0 5 49.0 2 0 2 32.7 2.0 1.0 3.0 6.25 36 5 41 85.4 3.0 31.0 2.0 - 5.0 - 3.0 36.0 2.0
14 Patukrejomulyo 31 23 28 6 5 0 5 80.6 0 0 0 - 1.0 - 1.0 4.348 19 1 20 87.0 - 14.0 5.0 - 1.0 - - 15.0 5.0
15 Mangunranan 44 42 40 9 6 0 6 68.2 5 0 5 94.7 - - - 0 35 3 38 90.5 - 33.0 2.0 - 3.0 - - 36.0 2.0
16 Pekutan 33 32 30 7 4 0 0 - 1 0 1 25.3 2.0 - 2.0 6.25 25 2 27 84.4 - 22.0 3.0 - 1.0 1.0 - 23.0 4.0
17 Wirogaten 48 46 44 10 3 1 4 41.7 0 0 0 - - - - 0 33 4 37 80.4 - 33.0 - - 4.0 - - 37.0 -
18 Winong 25 24 23 5 3 0 3 60.0 0 0 0 - 1.0 - 1.0 4.167 18 2 20 83.3 - 17.0 1.0 - 2.0 - - 19.0 1.0
19 Sarwogadung 51 48 46 10 6 1 7 68.6 3 1 4 65.4 1.0 3.0 4.0 8.333 35 8 43 89.6 - 35.0 - 1.0 6.0 1.0 1.0 41.0 1.0
20 Krubungan 18 17 16 4 3 0 3 83.3 1 0 1 46.3 1.0 1.0 2.0 11.76 13 2 15 88.2 1.0 9.0 3.0 - 2.0 - 1.0 11.0 3.0
21 Patukgawemulyo 36 35 33 7 8 0 8 111.1 0 0 0 - 2.0 - 2.0 5.6 35 8 43 122.9 1.0 31.0 3.0 - 7.0 1.0 1.0 38.0 4.0
22 Ngabean 54 51 49 11 7 0 7 64.8 2 0 2 30.9 5.0 - 5.0 9.804 40 2 42 82.4 1.0 36.0 3.0 - 1.0 1.0 1.0 37.0 4.0

JUMLAH 836 790 758 167 134 5 109 65.2 14 1 15 15.0 25.0 6.0 31.0 ### 581 69 650 82.3 30.0 ### 51.0 1.0 61.0 6.0 31.0 611.0 57.0

Mengetahui MIRIT, 04 NOVEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PEMANTAUAN WILAYAH SETEMPAT KESEHATAN IBU DAN ANAK

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN NOVEMBER 2015

SASARAN DETEKSI RESIKO TINGGI (100%) ABORTUS PERSALINAN NAKES (90%) IBU BERSALIN MENURUT KELOMPOK UMUR
BU Oleh Tenaga Kesehatan Oleh Masyarakat BULAN LALU BULAN INI JUMLAH
NO NAMA DESA
BU BU MIL Bln Bln Bln Bln
BAYI Abs % Abs %
MIL LIN RES Bln Bln Abs %
Bln Bln
Abs % Lalu Ini Lalu Ini < 20 20-
>30th
< 20 20-
>30th < 20 th 20-35th >30th
TI Lalu Ini Lalu Ini th 35th th 35th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Miritpetkusan 24 23 22 5 6 0 0 - 0 0 0 - - - - 0 21 0 21 91.3 4.0 16.0 1.0 - - - 4.0 16.0 1.0
2 Tlogodepok 48 45 43 10 10 1 1 10.4 0 0 0 - - - - 0 38 3 41 91.1 1.0 36.0 1.0 - 2.0 1.0 1.0 38.0 2.0
3 Mirit 30 28 27 6 2 0 2 33.3 0 0 0 - 3.0 - 3.0 10.71 22 3 25 89.3 3.0 19.0 - - 3.0 - 3.0 22.0 -
4 Tlogopragoto 31 29 28 6 8 0 8 129.0 0 0 0 - - - - 0 30 0 30 103.4 2.0 26.0 2.0 - - - 2.0 26.0 2.0
5 Lembupurwo 72 68 65 14 2 2 2 13.9 0 0 - 1.0 - 1.0 1.471 0 8 70 102.9 3.0 45.0 2.0 - 8.0 - 3.0 53.0 2.0
6 Wiromartan 33 32 30 7 5 0 5 75.8 0 0 0 - 2.0 1.0 3.0 9.375 32 5 36 112.5 4.0 23.0 5.0 1.0 4.0 - 5.0 27.0 5.0
7 Rowo 33 32 30 7 4 0 4 60.6 0 0 0 - 1.0 1.0 2.0 6.25 25 5 30 93.8 - 24.0 1.0 - 3.0 2.0 - 27.0 3.0
8 Singoyudan 22 21 20 4 6 0 6 136.4 0 0 0 - 2.0 - 2.0 9.524 22 2 24 114.3 1.0 20.0 1.0 - 2.0 - 1.0 22.0 1.0
9 Wergonayan 40 38 36 8 1 0 0 - 0 0 0 - 1.0 - 1.0 2.632 41 2 43 113.2 4.0 31.0 6.0 - 2.0 - 4.0 33.0 6.0
10 Selotumpeng 48 46 44 10 6 0 6 62.5 0 0 0 - 1.0 - 1.0 2.174 36 6 42 91.3 - 36.0 - - 6.0 - - 42.0 -
11 Sitibentar 33 32 30 7 10 0 0 - 0 0 0 - 1.0 - 1.0 3.125 0 3 3 9.4 2.0 20.0 7.0 3.0 - 2.0 2.0 23.0 7.0
12 Karanggede 31 30 28 6 8 1 9 145.2 0 0 0 - - - - 0 21 3 24 80.0 - 16.0 5.0 1.0 2.0 - 1.0 18.0 5.0
13 Kertodeso 51 48 46 10 5 0 0 - 0 0 0 - 3.0 - 3.0 6.25 41 3 44 91.7 3.0 36.0 2.0 - 3.0 - 3.0 39.0 2.0
14 Patukrejomulyo 31 23 28 6 5 0 5 80.6 0 0 0 - 1.0 - 1.0 4.348 19 2 21 91.3 - 15.0 5.0 - 2.0 - - 17.0 5.0
15 Mangunranan 44 42 40 9 6 0 6 68.2 5 0 5 94.7 - - - 0 38 3 41 97.6 - 36.0 2.0 - 3.0 - - 39.0 2.0
16 Pekutan 33 32 30 7 4 0 4 60.6 1 0 1 25.3 2.0 - 2.0 6.25 27 3 3 9.4 - 23.0 4.0 - 3.0 - - 26.0 4.0
17 Wirogaten 48 46 44 10 4 0 0 - 0 0 0 - - - - 0 37 7 44 95.7 37.0 5.0 2.0 - 42.0 2.0
18 Winong 25 24 23 5 4 1 5 100.0 0 0 0 - 1.0 - 1.0 4.167 20 4 24 100.0 - 19.0 1.0 - 4.0 - - 23.0 1.0
19 Sarwogadung 51 48 46 10 7 3 10 98.0 4 0 4 65.4 4.0 - 4.0 8.333 43 5 48 100.0 1.0 41.0 1.0 - 5.0 - 1.0 46.0 1.0
20 Krubungan 18 17 16 4 3 1 4 111.1 1 0 1 46.3 2.0 - 2.0 11.76 15 3 18 105.9 1.0 11.0 3.0 - 3.0 - 1.0 14.0 3.0
21 Patukgawemulyo 36 35 33 7 8 3 11 152.8 0 0 0 - 2.0 - 2.0 5.714 43 0 43 122.9 1.0 38.0 4.0 - - - 1.0 38.0 4.0
22 Ngabean 54 51 49 11 7 0 7 64.8 0 0 0 - 5.0 - 5.0 9.804 42 5 47 92.2 1.0 37.0 4.0 - 5.0 - 1.0 42.0 4.0
JUMLAH 836 790 758 167 121 12 95 56.8 11 0 11 11.0 32.0 - 34.0 101.9 0 75 722 91.4 31.0 605.0 57.0 5.0 65.0 7.0 33.0 673.0 62.0

Mengetahui MIRIT, 04 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PEMANTAUAN WILAYAH SETEMPAT KESEHATAN IBU DAN ANAK

KABUPATEN KEBUMEN

BULAN DESEMBER 2015

SASARAN DETEKSI RESIKO TINGGI (100%) ABORTUS PERSALINAN NAKES (90%) IBU BERSALIN MENURUT KELOMPOK UMUR
BU Oleh Tenaga Kesehatan Oleh Masyarakat BULAN LALU BULAN INI JUMLAH
NO NAMA DESA
BU BU MIL Bln Bln Bln Bln
BAYI Bln Bln Bln Bln Abs % Abs % < 20 20- < 20 20-
MIL LIN RES Abs % Abs % Lalu Ini Lalu Ini >30th >30th < 20 th 20-35th >30th
TI Lalu Ini Lalu Ini th 35th th 35th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Miritpetkusan 24 23 22 5 6 0 6 125.0 0 0 0 - - - - 0 21 2 23 100.0 4.0 16.0 1.0 - 1.0 1.0 4.0 17.0 2.0
2 Tlogodepok 48 45 43 10 12 1 13 135.4 0 0 0 - - - - 0 41 5 46 102.2 1.0 38.0 2.0 - 4.0 1.0 1.0 42.0 3.0
3 Mirit 30 28 27 6 2 0 2 33.3 0 0 0 - 3.0 - 3.0 10.71 25 1 26 92.9 3.0 22.0 - - 1.0 - 3.0 23.0 -
4 Tlogopragoto 31 29 28 6 8 2 10 161.3 0 0 0 - - - - 0 30 1 31 106.9 2.0 26.0 2.0 - 1.0 - 2.0 27.0 2.0
5 Lembupurwo 72 68 65 14 15 0 15 104.2 0 0 0 - 1.0 - 1.0 1.471 65 3 68 100.0 3.0 54.0 2.0 - 3.0 - 3.0 57.0 2.0
6 Wiromartan 33 32 30 7 5 0 5 75.8 0 0 0 - 3.0 - 3.0 9.375 36 2 38 118.8 5.0 26.0 5.0 - 2.0 - 5.0 28.0 5.0
7 Rowo 33 32 30 7 4 0 4 60.6 0 0 0 - 2.0 - 2.0 6.25 30 3 33 103.1 - 27.0 3.0 - 3.0 - - 30.0 3.0
8 Singoyudan 22 21 20 4 6 0 6 136.4 0 0 0 - 2.0 - 2.0 9.524 24 0 24 114.3 1.0 22.0 1.0 - - - 1.0 22.0 1.0
9 Wergonayan 40 38 36 8 8 0 8 100.0 0 0 0 - 1.0 - 1.0 2.632 43 1 44 115.8 4.0 33.0 6.0 - 1.0 - 4.0 34.0 6.0
10 Selotumpeng 48 46 44 10 6 2 8 83.3 0 0 0 - 1.0 - 1.0 2.174 42 3 45 97.8 - 42.0 - - 3.0 - 45.0 -
11 Sitibentar 33 32 30 7 10 0 10 151.5 0 0 0 - 1.0 1.0 2.0 6.25 32 3 35 109.4 2.0 23.0 7.0 1.0 2.0 - 3.0 25.0 7.0
12 Karanggede 31 30 28 6 9 0 9 145.2 0 0 0 - - - - 0 24 1 25 83.3 1.0 18.0 5.0 - - 1.0 1.0 18.0 6.0
13 Kertodeso 51 48 46 10 5 1 6 58.8 2 1 3 49.0 3.0 - 3.0 6.25 44 3 47 97.9 3.0 39.0 2.0 - 3.0 - 3.0 42.0 2.0
14 Patukrejomulyo 31 23 28 6 5 0 5 80.6 0 0 0 - 1.0 - 1.0 4.348 22 1 23 100.0 - 17.0 5.0 - 1.0 - - 18.0 5.0
15 Mangunranan 44 42 40 9 6 0 6 68.2 5 0 5 94.7 - - - 0 41 7 48 114.3 - 39.0 2.0 - 7.0 - - 46.0 2.0
16 Pekutan 33 32 30 7 4 0 0 4.0 0 0 0 - 2.0 - 2.0 6.25 30 2 32 100.0 - 26.0 4.0 - 2.0 - - 28.0 4.0
17 Wirogaten 48 46 44 10 4 1 5 52.1 0 0 0 - - - - 0 44 2 46 100.0 - 44.0 - - 2.0 - - 46.0 -
18 Winong 25 24 23 5 5 0 5 100.0 0 0 0 - 1.0 - 1.0 4.167 24 0 24 100.0 - 23.0 1.0 - - - - 23.0 1.0
19 Sarwogadung 51 48 46 10 10 2 12 117.6 4 1 5 81.7 4.0 1.0 5.0 10.42 48 3 51 106.3 1.0 46.0 1.0 - 2.0 1.0 1.0 48.0 2.0
20 Krubungan 18 17 16 4 4 0 4 111.1 1 0 1 46.3 2.0 - 2.0 11.76 18 0 18 105.9 1.0 14.0 3.0 - - - 1.0 14.0 3.0
21 Patukgawemulyo 36 35 33 7 11 0 11 152.8 0 0 0 - 2.0 1.0 3.0 8.571 43 0 43 122.9 1.0 38.0 4.0 - - - 1.0 38.0 4.0
22 Ngabean 54 51 49 11 7 0 7 64.8 2 0 2 30.9 5.0 - 5.0 9.804 47 0 47 92.2 1.0 42.0 4.0 - - - 1.0 42.0 4.0
JUMLAH 836 790 758 167 152 9 157 93.9 14 2 16 15.9 34.0 3.0 37.0 22.1 0 43 817 103.4 33.0 675.0 60.0 1.0 38.0 4.0 34.0 713.0 64.0

Mengetahui MIRIT, 23 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PEMANTAUAN WILAYAH SETEMPAT KESEHATAN IBU DAN ANAK

KABUPATEN KEBUMEN
BULAN 2015

SASARAN DETEKSI RESIKO TINGGI (100%) ABORTUS PERSALINAN NAKES (90%) IBU BERSALIN MENURUT KELOMPOK UMUR
BU Oleh Tenaga Kesehatan Oleh Masyarakat BULAN LALU BULAN INI JUMLAH
NO NAMA DESA
BU BU MIL Bln Bln Bln Bln
BAYI Abs % Abs %
MIL LIN RES Bln Bln Abs %
Bln Bln
Abs % Lalu Ini Lalu Ini < 20 20-
>30th
< 20 20-
>30th < 20 th 20-35th >30th
TI Lalu Ini Lalu Ini th 35th th 35th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Miritpetkusan 24 23.1 22 5
2 Tlogodepok 52 49.4 47 10
3 Mirit 30 28.4 27 6
4 Tlogopragoto 24 23 22 5
5 Lembupurwo 48 45 43 10
6 Wiromartan 30 28 27 6
7 Rowo 31 29 28 6
8 Singoyudan 72 68 65 14
9 Wergonayan 33 32 30 7
10 Selotumpeng 33 32 30 7
11 Sitibentar 22 21 20 4
12 Karanggede 40 38 36 8
13 Kertodeso 48 46 44 10
14 Patukrejomulyo 33 32 30 7
15 Mangunranan 31 30 28 6
16 Pekutan 51 48 46 10
17 Wirogaten 31 23 28 6
18 Winong 44 42 40 9
19 Sarwogadung 33 32 30 7
20 Krubungan 48 46 44 10
21 Patukgawemulyo 25 24 23 5
22 Ngabean 51 48 46 10

JUMLAH 834 764.8 756 167

 LAPORAN RUJUKAN, KOMPLIKASI PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN JANUARI 2015
KOMPLIKASI
SASARAN KASUS RUJUKAN MATERNAL KOMPLIKASI NEONATAL TERTANGANI
RESTI TERTANGANI
NO NAMA DESA Maternal Neo Kumulatif Kumulatif
Abs Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Abs
BUMI Bln Bln Bln
BAYI Bln Jml % % Abs % %
L Lalu ini L P JML L P JML L P JML Lalu Ini L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
1 Miritpetkusan 5 3 0 1 1 20.8 0.0 0.0 0 0 0 0 0 0 0 0 0 1 1 20.8 0 0 0 0 0 0 0 0 0 0.0
2 Tlogodepok 10 7 0 0 0 0.0 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
3 Mirit 6 4 0 1 1 16.7 0.0 0.0 0 0 0 0 0 0 0 0 0 1 1 16.7 0 0 0 0 0 0 0 0 0 0.0
4 Tlogopragoto 6 4 0 1 1 16.1 0.0 0.0 0 0 0 0 0 0 0 0 0 1 1 16.1 0 0 0 0 0 0 0 0 0 0.0
5 Lembupurwo 14 10 0 1 1 6.9 0.0 0.0 0 0 0 0 0 0 0 0 0 1 1 6.9 0 0 0 1 0 1 1 0 1 10.3
6 Wiromartan 7 5 0 0 0 0.0 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
7 Rowo 7 5 0 1 1 15.2 0.0 0.0 0 0 0 0 0 0 0 0 0 1 1 15.2 0 0 0 0 0 0 0 0 0 0.0
8 Singoyudan 4 3 0 0 0 0.0 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
9 Wergonayan 8 5 0 0 0 0.0 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
10 Selotumpeng 10 7 0 0 0 0.0 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
11 Sitibentar 7 5 0 1 1 14.3 0.0 0.0 0 0 0 0 0 0 0 0 0 1 1 14.3 0 0 0 0 0 0 0 0 0 0.0
12 Karanggede 6 4 0 2 2 32.3 0.0 0.0 0 0 0 0 0 0 0 0 0 2 2 32.3 0 0 0 0 0 0 0 0 0 0.0
13 Kertodeso 11 7 0 0 0 0.0 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
14 Patukrejomulyo 5 3 0 0 0 0.0 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
15 Mangunranan 8 5 0 1 1 12.5 0.0 0.0 0 0 0 0 0 0 0 0 0 1 1 12.5 0 0 0 0 0 0 0 0 0 0.0
16 Pekutan 7 5 0 0 0 0.0 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
17 Wirogaten 10 7 0 0 0 0.0 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
18 Winong 5 3 0 6 6 120.0 0.0 0.0 0 0 0 0 0 0 0 0 0 6 6 120.0 0 0 0 0 0 0 0 0 0 0.0
19 Sarwogadung 10 7 0 1 1 9.8 0.0 0.0 0 0 0 0 0 0 0 0 0 1 1 9.8 0 0 0 1 0 1 1 0 1 14.5
20 Krubungan 3 2 0 1 1 33.3 0.0 0.0 0 0 0 0 0 0 0 0 0 1 1 33.3 0 0 0 0 0 0 0 0 0 0.0
21 Patukgawemulyo 6 4 0 0 0 0.0 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
22 Ngabean 11 7 0 0 0 0.0 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
JUMLAH 166 113 0 17 17 10.3 0.0 0.0 0 0 0 0 0 0 0 0 0 17 17 10.3 0 0 0 2 0 2 2 0 2 1.8

Mengetahui MIRIT, 9 FEBRUARI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN RUJUKAN, KOMPLIKASI PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN FEBRUARI 2015 KOMPLIKASI
SASARAN KASUS RUJUKAN MATERNAL KOMPLIKASI NEONATAL TERTANGANI
RESTI TERTANGANI
Maternal Neo Kumulatif Kumulatif
NO NAMA DESA
Abs Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Abs
BUMI Bln Bln Bln
BAYI Bln Jml % % Abs % %
L Lalu ini L P JML L P JML L P JML Lalu Ini L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

1 Miritpetkusan 5 3 1 1 2 41.7 0 0 0 0 0 0 0 0 0 0 1 1 2 41.7 0 0 0 0 0 0 0 0 0 0.0

2 Tlogodepok 10 7 0 1 1 9.6 0 0 0 0 0 0 0 0 0 0 0 1 1 9.6 0 0 0 0 0 0 0 0 0 0.0
3 Mirit 6 4 1 1 2 33.3 0 0 0 0 0 0 0 0 0 0 1 1 2 33.3 0 0 0 0 0 0 0 0 0 0.0
4 Tlogopragoto 6 4 1 0 1 16.1 0 0 0 0 0 0 0 0 0 0 1 0 1 16.1 0 0 0 0 0 0 0 0 0 0.0
5 Lembupurwo 14 10 1 0 1 6.9 0 0 0 0 0 0 0 0 0 0 1 0 1 6.9 1 0 1 0 0 0 1 0 1 10.3
6 Wiromartan 7 5 0 2 2 30.3 0 0 0 0 0 0 0 0 0 0 0 2 2 30.3 0 0 0 0 0 0 0 0 0 0.0
7 Rowo 7 5 1 1 2 30.3 0 0 0 0 0 0 0 0 0 0 1 0 1 15.2 0 0 0 0 0 0 0 0 0 0.0
8 Singoyudan 4 3 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
9 Wergonayan 8 5 0 1 1 12.5 0 0 0 0 0 0 0 0 0 0 0 1 1 12.5 0 0 0 0 0 0 0 0 0 0.0
10 Selotumpeng 10 7 0 2 2 20.8 0 0 0 0 0 0 0 0 0 0 0 2 2 20.8 0 0 0 0 1 1 0 1 1 15.2
11 Sitibentar 7 5 1 2 3 42.9 0 0 0 0 0 0 0 0 0 0 1 1 2 28.6 0 0 0 0 0 0 0 0 0 0.0
12 Karanggede 6 4 2 0 2 32.3 0 0 0 0 0 0 0 0 0 0 2 0 2 32.3 0 0 0 0 0 0 0 0 0 0.0
13 Kertodeso 11 7 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
14 Patukrejomulyo 5 3 0 1 1 20.8 0 0 0 0 0 0 0 0 0 0 0 1 1 20.8 0 0 0 0 0 0 0 0 0 0.0
15 Mangunranan 8 5 1 1 2 25.0 0 0 0 0 0 0 0 0 0 0 1 0 1 12.5 0 0 0 0 0 0 0 0 0 0.0
16 Pekutan 7 5 0 1 1 15.2 0 0 0 1 0 1 1 0 1 22 0 1 1 15.2 0 0 0 1 0 1 1 0 1 22.2
17 Wirogaten 10 7 0 2 2 19.6 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
18 Winong 5 3 6 0 6 120.0 0 0 0 0 0 0 0 0 0 0 6 0 6 120.0 0 0 0 0 0 0 0 0 0 0.0
19 Sarwogadung 10 7 1 0 1 9.8 0 0 0 0 0 0 0 0 0 0 1 0 1 9.8 1 0 1 0 0 0 1 0 1 14.5
20 Krubungan 3 2 1 0 1 33.3 0 0 0 0 0 0 0 0 0 0 1 0 1 33.3 0 0 0 0 0 0 0 0 0 0.0
21 Patukgawemulyo 6 4 0 1 1 15.6 0 0 0 0 0 0 0 0 0 0 0 1 1 15.6 0 0 0 0 0 0 0 0 0 0.0
22 Ngabean 11 7 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0 0 1 1 9.3 0 0 0 0 0 0 0 0 0 0.0
Jumlah 166 113 17 17 10.3 0.0 0.0 0 0 0 0 0 0 17 17 10.3 2 0 2 0 2 0 2 1.8

Mengetahui MIRIT, 5 MARET 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN RUJUKAN, KOMPLIKASI PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN

BULAN MARET 2015

KOMPLIKASI MATERNAL
SASARAN KASUS RUJUKAN TERTANGANI
KOMPLIKASI NEONATAL TERTANGANI
RESTI Maternal Neo Kumulatif Kumulatif
NO NAMA DESA
Abs Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Abs
BUMI Bln Bln Bln
BAYI Bln Jml % % Abs % %
L Lalu ini L P JML L P JML L P JML Lalu Ini L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

1 Miritpetkusan 5 3 2 0 2 41.7 0 0 0 0 0 0 0 0 0 0 2 0 2 41.7 0 0 0 0 0 0 0 0.0

2 Tlogodepok 10 7 1 0 1 9.6 0 0 0 0 0 0 0 0 0 0 1 0 1 9.6 0 0 0 0 0 0 0 0 0 0.0
3 Mirit 6 4 2 0 2 33.3 0 0 0 0 0 0 0 0 0 0 2 0 2 33.3 0 0 0 0 0 0 0 0 0 0.0
4 Tlogopragoto 6 4 1 2 3 48.4 0 0 0 0 0 0 0 0 0 0 1 0 1 16.1 0 0 0 0 0 0 0 0 0 0.0
5 Lembupurwo 14 10 1 2 3 20.8 0 0 0 0 0 0 0 0 0 0 1 2 3 20.8 1 0 1 0 0 0 1 0 1 10.3
6 Wiromartan 7 5 2 4 6 90.9 0 0 0 0 0 0 0 0 0 0 2 4 6 90.9 0 0 0 0 0 0 0 0 0 0.0
7 Rowo 7 5 2 0 2 30.3 0 0 0 0 0 0 0 0 0 0 1 0 1 15.2 0 0 0 0 0 0 0 0 0 0.0
8 Singoyudan 4 3 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0 0 1 1 22.7 0 0 0 0 0 0 0 0 0 0.0
9 Wergonayan 8 5 1 0 1 12.5 0 0 0 0 0 0 0 0 0 0 1 0 1 12.5 0 0 0 0 0 0 0 0 0 0.0
10 Selotumpeng 10 7 2 1 3 31.3 0 0 0 0 0 0 0 0 0 0 2 0 2 20.8 0 1 1 0 0 0 0 1 1 15.2
11 Sitibentar 7 5 3 4 7 100.0 0 0 0 1 0 1 1 0 1 21 2 4 6 85.7 0 0 0 1 0 1 1 0 1 20.8
12 Karanggede 6 4 2 0 2 32.3 0 0 0 0 0 0 0 0 0 0 2 0 2 32.3 0 0 0 0 0 0 0 0 0 0.0
13 Kertodeso 11 7 0 1 1 9.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
14 Patukrejomulyo 5 3 1 0 1 20.8 0 0 0 0 0 0 0 0 0 0 1 0 1 20.8 0 0 0 0 0 0 0 0 0 0.0
15 Mangunranan 8 5 2 1 3 37.5 0 0 0 0 0 0 0 0 0 0 1 1 2 25.0 0 0 0 0 0 0 0 0 0 0.0
16 Pekutan 7 5 1 1 2 30.3 1 0 1 0 1 1 1 1 2 44 1 1 2 30.3 1 0 1 0 1 1 1 1 2 44.4
17 Wirogaten 10 7 2 2 4 39.2 0 0 0 0 0 0 0 0 0 2 2 4 39.2 0 0 0 0 0 0 0 0 0 0.0
18 Winong 5 3 6 0 6 120.0 0 0 0 0 0 0 0 0 0 0 6 0 6 120.0 0 0 0 0 0 0 0 0 0 0.0
19 Sarwogadung 10 7 1 1 2 19.6 0 0 0 0 0 0 0 0 0 0 0 0 1 9.8 0 0 0 0 0 0 1 0 1 14.5
20 Krubungan 3 2 1 1 2 66.7 0 0 0 0 0 0 0 0 0 0 1 1 2 66.7 0 0 0 0 0 0 0 0 0 0.0
21 Patukgawemulyo 6 4 1 0 1 15.6 0 0 0 0 0 0 0 0 0 1 0 1 15.6 0 0 0 0 0 0 0 0 0 0.0
22 Ngabean 11 7 0 3 3 27.8 0 0 0 0 0 0 0 0 0 0 1 0 1 9.3 0 0 0 1 0 1 1 0 1 13.6
JUMLAH 166 113 34 23 57 34.4 0.0 0.0 0 1 1 2 1 1 2 2 31 16 47 28.3 2 1 3 2 1 3 4 2 6 5.3

Mengetahui MIRIT, 4 APRIL 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN RUJUKAN, KOMPLIKASI PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN

BULAN APRIL 2015 KOMPLIKASI

SASARAN KASUS RUJUKAN MATERNAL KOMPLIKASI NEONATAL TERTANGANI
RESTI TERTANGANI
Maternal Neo Kumulatif Kumulatif
NO NAMA DESA
Abs Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Abs
BUMI Bln Bln Bln
BAYI Bln Jml % % Abs % %
L Lalu ini L P JML L P JML L P JML Lalu Ini L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

1 Miritpetkusan 5 3 2 0 2 41.7 0 0 0 0 0 0 0 0 0 0 2 0 2 41.7 0 0 0 0 0 0 0 0 0 0.0

2 Tlogodepok 10 7 1 0 1 9.6 0 0 0 0 0 0 0 0 0 0 1 0 1 9.6 0 0 0 0 0 0 0 0 0 0.0
3 Mirit 6 4 2 1 3 50.0 0 0 0 0 0 0 0 0 0 0 2 0 2 33.3 0 0 0 0 0 0 0 0 0 0.0
4 Tlogopragoto 6 4 3 0 3 48.4 0 0 0 0 0 0 0 0 0 0 1 0 1 16.1 0 0 0 0 0 0 0 0 0 0.0
5 Lembupurwo 14 10 3 0 3 20.8 0 0 0 0 0 0 0 0 0 0 3 0 3 20.8 1 0 1 0 0 0 1 0 1 10.3
6 Wiromartan 7 5 6 5 11 166.7 0 0 0 0 0 0 0 0 0 0 6 5 11 166.7 0 0 0 0 0 0 0 0 0 0.0
7 Rowo 7 5 2 1 3 45.5 0 0 0 0 0 0 0 0 0 0 1 1 2 30.3 0 0 0 0 0 0 0 0 0 0.0
8 Singoyudan 4 3 0 1 1 22.7 0 0 0 0 0 0 0 0 0 0 1 0 1 22.7 0 0 0 0 0 0 0 0 0 0.0
9 Wergonayan 8 5 1 2 3 37.5 0 0 0 0 0 0 0 0 0 0 1 2 3 37.5 0 0 0 0 0 0 0 0 0 0.0
10 Selotumpeng 10 7 3 1 4 41.7 0 0 0 0 0 0 0 0 0 0 2 0 2 20.8 0 1 1 0 0 0 0 1 1 15.2
11 Sitibentar 7 5 7 0 7 100.0 1 0 1 0 0 0 1 0 1 21 6 0 6 85.7 1 0 1 0 0 0 1 0 1 20.8
12 Karanggede 6 4 2 2 4 64.5 0 0 0 0 0 0 0 0 0 0 2 2 32.3 0 0 0 0 0 0 0 0 0 0.0
13 Kertodeso 11 7 1 0 1 9.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0.0
14 Patukrejomulyo 5 3 1 0 1 20.8 0 0 0 0 0 0 0 0 0 0 1 0 1 20.8 0 0 0 0 0 0 0 0 0 0.0
15 Mangunranan 8 5 3 1 4 50.0 0 0 0 0 0 0 0 0 0 0 2 0 2 25.0 0 0 0 0 0 0 0 0 0 0.0
16 Pekutan 7 5 2 0 2 30.3 1 1 2 0 0 0 1 1 2 44 2 0 2 30.3 1 1 2 0 0 0 1 1 2 44.4
17 Wirogaten 10 7 4 1 5 49.0 0 0 0 0 0 0 0 0 0 0 4 1 5 49.0 0 0 0 0 0 0 0 0 0 0.0
18 Winong 5 3 6 0 6 120.0 0 0 0 0 0 0 0 0 0 0 6 0 6 120.0 0 0 0 0 0 0 0 0 0 0.0
19 Sarwogadung 10 7 2 0 2 19.6 0 0 0 0 0 0 0 0 0 0 1 0 1 9.8 1 0 1 0 0 0 1 0 1 14.5
20 Krubungan 3 2 2 0 2 66.7 0 0 0 0 0 0 0 0 0 0 2 0 2 66.7 0 0 0 0 0 0 0 0 0 0.0
21 Patukgawemulyo 6 4 1 1 2 31.3 0 0 0 0 0 0 0 0 0 0 1 1 2 31.3 0 0 0 0 0 0 0 0 0 0.0
22 Ngabean 11 7 3 3 27.8 0 0 0 0 0 0 0 0 0 0 1 1 9.3 1 0 1 0 0 0 1 0 1 13.6
JUMLAH 166 113 57 16 73 44.0 1 1 2 0 0 0 1 1 2 2 47 10 57 34.4 4 2 6 0 0 0 4 2 6 5.3

Mengetahui MIRIT, 5 MEI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN RUJUKAN, KOMPLIKASI PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN MEI 2015 KOMPLIKASI
SASARAN KASUS RUJUKAN MATERNAL KOMPLIKASI NEONATAL TERTANGANI
RESTI TERTANGANI
Maternal Neo Kumulatif Kumulatif
NO NAMA DESA
Abs Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Abs
BUMI Bln Bln Bln
BAYI Bln Jml % % Abs % %
L Lalu ini L P JML L P JML L P JML Lalu Ini L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

1 Miritpetkusan 5 3 2 0 2 41.7 0 0 0 0 0 0 0 0 0 0 2 0 2 41.7 0 0 0 0 0 0 0 0 0.0

2 Tlogodepok 10 7 1 0 1 9.6 0 0 0 1 0 1 1 0 1 14 1 0 1 9.6 0 0 0 1 0 1 1 0 1 14.2
3 Mirit 6 4 3 0 3 50.0 0 0 0 0 0 0 0 0 0 0 2 0 2 33.3 0 0 0 0 0 0 0 0 0 0.0
4 Tlogopragoto 6 4 3 2 5 80.6 0 0 0 1 0 1 1 0 1 24 1 1 2 32.3 0 0 0 1 0 1 1 0 1 23.8
5 Lembupurwo 14 10 3 3 6 41.7 0 0 0 0 0 0 0 0 0 0 3 3 6 41.7 1 0 1 2 1 3 3 1 4 41.0
6 Wiromartan 7 5 11 2 13 197.0 0 0 0 0 0 0 0 0 0 0 11 2 13 197.0 0 0 0 0 0 0 0 0 0 0.0
7 Rowo 7 5 3 0 3 45.5 0 0 0 0 0 0 0 0 0 0 2 0 2 30.3 0 0 0 0 0 0 0 0 0 0.0
8 Singoyudan 4 3 1 2 3 68.2 0 0 0 0 0 0 0 0 0 0 1 2 3 68.2 0 0 0 0 1 1 0 1 1 33.3
9 Wergonayan 8 5 3 2 5 62.5 0 0 0 0 0 0 0 0 0 0 3 2 5 62.5 0 0 0 0 0 0 0 0 0 0.0
10 Selotumpeng 10 7 4 1 5 52.1 0 0 0 0 0 0 0 0 0 0 2 1 3 31.3 0 1 1 0 0 0 0 1 1 15.2
11 Sitibentar 7 5 7 0 7 100.0 1 0 1 0 0 0 1 0 1 21 6 0 6 85.7 1 0 1 0 0 0 1 0 1 20.8
12 Karanggede 6 4 4 1 5 80.6 0 0 0 0 0 0 0 0 0 0 2 3 5 80.6 0 0 0 0 0 0 0 0 0 0.0
13 Kertodeso 11 7 1 3 4 37.7 0 0 0 0 0 0 0 0 0 0 0 3 3 28.3 0 0 0 0 1 1 0 1 1 13.9
14 Patukrejomulyo 5 3 1 2 3 62.5 0 0 0 1 0 1 1 0 1 30 1 1 2 41.7 0 0 0 1 0 1 1 0 1 30.3
15 Mangunranan 8 5 4 0 4 50.0 0 0 0 0 0 0 0 0 0 0 2 0 2 25.0 0 0 0 0 0 0 0 0 0 0.0
16 Pekutan 7 5 2 1 3 45.5 1 1 2 0 0 0 1 1 2 44 2 1 3 45.5 1 1 2 0 0 0 1 1 2 44.4
17 Wirogaten 10 7 5 0 5 49.0 0 0 0 0 0 0 0 0 0 0 5 0 5 49.0 0 0 0 0 0 0 0 0 0 0.0
18 Winong 5 3 6 1 7 140.0 0 0 0 0 0 0 0 0 0 0 6 1 7 140.0 0 0 0 0 0 0 0 0 0 0.0
19 Sarwogadung 10 7 2 1 3 29.4 0 0 0 0 0 0 0 0 0 0 1 0 1 9.8 1 0 1 0 0 0 1 0 1 14.5
20 Krubungan 3 2 2 1 3 100.0 0 0 0 0 0 0 0 0 0 0 2 1 3 100.0 0 0 0 0 0 0 0 0 0 0.0
21 Patukgawemulyo 6 4 2 1 3 46.9 0 0 0 0 0 0 0 0 0 0 2 1 3 46.9 0 0 0 0 1 1 0 1 1 23.0
22 Ngabean 11 7 3 1 4 37.0 0 0 0 0 0 0 0 0 0 0 1 0 1 9.3 1 0 1 0 0 0 1 0 1 13.6
JUMLAH 166 113 73 24 97 58.5 1 1 2 3 0 3 4 1 5 4 57 22 79 47.6 5 2 7 5 4 9 10 6 16 14.2

Mengetahui MIRIT, 5 JUNI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN RUJUKAN, KOMPLIKASI PROGRAM KESEHATAN IBU DAN ANAK

KABUPATEN KEBUMEN
BULAN JUNI 2015 KOMPLIKASI
SASARAN KASUS RUJUKAN MATERNAL KOMPLIKASI NEONATAL TERTANGANI
RESTI TERTANGANI
Maternal Neo Kumulatif Kumulatif
NO NAMA DESA
Abs Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Abs
BUMI Bln Bln Bln
BAYI Bln Jml % % Abs % %
L Lalu ini L P JML L P JML L P JML Lalu Ini L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

1 Miritpetkusan 5 3 2 1 3 62.5 0 0 0 0 0 0 0 0 0 0 2 1 3 62.5 0 0 0 0 0 0 0 0 0 0.0

2 Tlogodepok 10 7 1 1 2 19.2 1 0 1 0 0 0 1 0 1 14 1 1 2 19.2 1 0 1 0 0 0 1 0 1 14.2
3 Mirit 6 4 3 1 4 66.7 0 0 0 0 0 0 0 0 0 0 3 1 4 66.7 0 0 0 0 0 0 0 0 0 0.0
4 Tlogopragoto 6 4 5 1 6 96.8 1 0 1 0 0 0 1 0 1 24 5 1 6 96.8 1 0 1 0 0 0 1 0 1 23.8
5 Lembupurwo 14 10 6 0 6 41.7 0 0 0 0 0 0 0 0 0 0 6 0 6 41.7 3 1 4 0 0 0 3 1 4 41.0
6 Wiromartan 7 5 13 1 14 212.1 0 0 0 0 0 0 0 0 0 0 13 13 197.0 0 0 0 0 0 0 0 0 0 0.0
7 Rowo 7 5 3 0 3 45.5 0 0 0 0 0 0 0 0 0 0 2 0 2 30.3 0 0 0 0 0 0 0 0 0 0.0
8 Singoyudan 4 3 3 0 3 68.2 0 0 0 0 0 0 0 0 0 0 3 0 3 68.2 0 1 1 0 0 0 0 1 1 33.3
9 Wergonayan 8 5 5 1 6 75.0 0 0 0 1 0 1 1 0 1 19 5 1 6 75.0 0 0 0 1 0 1 1 0 1 18.5
10 Selotumpeng 10 7 5 1 6 62.5 0 0 0 0 0 0 0 0 0 0 3 1 4 41.7 0 1 1 0 0 0 0 1 1 15.2
11 Sitibentar 7 5 6 0 6 85.7 1 0 1 0 0 0 1 0 1 21 6 0 6 85.7 1 0 1 0 0 0 1 0 1 20.8
12 Karanggede 6 4 5 0 5 80.6 0 0 0 0 0 0 0 0 0 0 5 0 5 80.6 0 0 0 0 0 0 0 0 0 0.0
13 Kertodeso 11 7 4 0 4 37.7 0 0 0 0 0 0 0 0 0 0 3 0 3 28.3 0 1 1 0 0 0 0 1 1 13.9
14 Patukrejomulyo 5 3 3 0 3 62.5 1 0 1 0 0 0 1 0 1 30 2 0 2 41.7 1 0 1 0 0 0 1 0 1 30.3
15 Mangunranan 8 5 4 0 4 50.0 0 0 0 0 1 1 0 1 1 19 4 0 4 50.0 0 0 0 0 1 1 0 1 1 18.5
16 Pekutan 7 5 3 1 4 60.6 1 1 2 0 0 0 1 1 2 44 3 1 4 60.6 1 1 2 0 0 0 1 1 2 44.4
17 Wirogaten 10 7 5 1 6 58.8 0 0 0 0 0 0 0 0 0 0 5 1 6 58.8 0 0 0 0 0 0 0 0 0 0.0
18 Winong 5 3 1 0 1 20.0 0 0 0 0 0 0 0 0 0 0 1 0 1 20.0 0 0 0 0 0 0 0 0 0 0.0
19 Sarwogadung 10 7 3 2 5 49.0 0 0 0 0 0 0 0 0 0 0 1 2 3 29.4 1 0 1 0 0 0 1 0 1 14.5
20 Krubungan 3 2 3 0 3 100.0 0 0 0 0 0 0 0 0 0 0 3 0 3 100.0 0 0 0 0 0 0 0 0 0 0.0
21 Patukgawemulyo 6 4 3 0 3 46.9 0 0 0 0 0 0 0 0 0 0 3 0 3 46.9 0 1 1 0 0 0 0 1 1 23.0
22 Ngabean 11 7 5 0 5 46.3 0 0 0 0 0 0 0 0 0 0 1 0 1 9.3 1 0 1 1 0 1 2 0 2 27.2
JUMLAH 166 113 97 11 102 61.5 5 1 0 1 1 2 6 2 2 2 79 10 89 53.7 10 6 16 2 1 3 12 7 19 16.8

Mengetahui MIRIT, 05 JULI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN RUJUKAN, KOMPLIKASI PROGRAM KESEHATAN IBU DAN ANAK

KABUPATEN KEBUMEN
BULAN JULI 2015 KOMPLIKASI
SASARAN KASUS RUJUKAN MATERNAL KOMPLIKASI NEONATAL TERTANGANI
RESTI TERTANGANI
Maternal Neo Kumulatif Kumulatif
NO NAMA DESA
Abs Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Abs
BUMI Bln Bln Bln
BAYI Bln Jml % % Abs % %
L Lalu ini L P JML L P JML L P JML Lalu Ini L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

1 Miritpetkusan 5 3 3 0 3 62.5 1 0 1 0 0 0 1 0 1 30 3 0 3 62.5 1 0 1 0 0 0 1 0 1 30.3

2 Tlogodepok 10 7 2 0 2 19.2 1 0 1 0 0 0 1 0 1 14 2 0 2 19.2 1 0 1 0 0 0 1 0 1 14.2
3 Mirit 6 4 4 2 6 100.0 0 0 0 0 0 0 0 0 0 0 4 2 6 100.0 0 0 0 0 0 0 0 0 0 0.0
4 Tlogopragoto 6 4 6 0 6 96.8 1 0 1 0 0 0 1 0 1 24 6 0 6 96.8 1 0 1 0 0 0 1 0 1 23.8
5 Lembupurwo 14 10 6 0 6 41.7 0 0 0 0 0 0 0 0 0 0 6 0 6 41.7 0 0 0 0 0 0 0 0 0 0.0
6 Wiromartan 7 5 14 1 15 227.3 0 0 0 0 0 0 0 0 0 0 13 1 14 212.1 0 0 0 0 0 0 0 0 0 0.0
7 Rowo 7 5 3 0 3 45.5 0 0 0 0 0 0 0 0 0 0 2 0 2 30.3 0 0 0 0 0 0 0 0 0 0.0
8 Singoyudan 4 3 3 0 3 68.2 0 0 0 0 0 0 0 0 0 0 3 0 3 68.2 0 1 1 0 0 0 0 1 1 33.3
9 Wergonayan 8 5 6 2 8 100.0 1 0 1 0 0 0 1 0 1 19 6 2 8 100.0 1 0 1 0 0 0 1 0 1 18.5
10 Selotumpeng 10 7 5 1 6 62.5 0 0 0 0 0 0 0 0 0 0 5 1 6 62.5 0 1 1 0 0 0 0 1 1 15.2
11 Sitibentar 7 5 6 2 8 114.3 1 0 1 0 0 0 1 0 1 21 6 2 8 114.3 1 0 1 0 0 0 1 0 1 20.8
12 Karanggede 6 4 5 0 5 80.6 0 0 0 0 0 0 0 0 0 0 5 0 5 80.6 0 0 0 0 0 0 0 0 0 0.0
13 Kertodeso 11 7 4 2 6 56.6 0 0 0 0 0 0 0 0 0 0 4 2 6 56.6 0 1 1 0 0 0 0 1 1 13.9
14 Patukrejomulyo 5 3 3 3 62.5 1 0 1 0 0 0 1 0 1 30 2 0 2 41.7 1 0 1 0 0 0 1 0 1 30.3
15 Mangunranan 8 5 4 1 5 62.5 0 1 1 0 1 1 0 2 2 37 4 1 5 62.5 0 1 1 0 1 1 0 2 2 37.0
16 Pekutan 7 5 4 1 5 75.8 1 1 2 0 0 0 1 1 2 44 4 0 4 60.6 1 1 2 0 0 0 1 1 2 44.4
17 Wirogaten 10 7 6 0 6 58.8 0 0 0 0 0 0 0 0 0 0 6 0 6 58.8 0 0 0 0 0 0 0 0 0 0.0
18 Winong 5 3 1 0 1 20.0 0 0 0 0 0 0 0 0 0 0 1 0 1 20.0 0 0 0 0 0 0 0 0 0 0.0
19 Sarwogadung 10 7 5 1 6 58.8 0 0 0 0 0 0 0 0 0 0 3 1 4 39.2 1 0 1 0 0 0 1 0 1 14.5
20 Krubungan 3 2 3 1 4 133.3 0 0 0 0 0 0 0 0 0 0 3 1 4 133.3 0 0 0 0 0 0 0 0 0 0.0
21 Patukgawemulyo 6 4 3 2 5 78.1 0 0 0 0 0 0 0 0 0 0 3 2 5 78.1 0 1 1 0 0 0 0 1 1 23.0
22 Ngabean 11 7 5 1 6 55.6 0 0 0 0 0 0 0 0 0 0 1 0 1 9.3 2 0 2 0 0 0 2 0 2 27.2
JUMLAH 166 113 102 17 118 71.2 7 2 0 0 1 1 7 3 25 22 89 15 104 62.7 10 6 16 0 1 1 10 7 17 15.1

Mengetahui MIRIT, 05 AGUSTUS 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
LAPORAN RUJUKAN, KOMPLIKASI PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN AGUSTUS 2015 KOMPLIKASI
SASARAN KASUS RUJUKAN MATERNAL KOMPLIKASI NEONATAL TERTANGANI
RESTI TERTANGANI
Maternal Neo Kumulatif Kumulatif
NO NAMA DESA
BUMI Abs
Bln Abs Bln Lalu Bln Ini Abs Bln Bln Bln Lalu Bln Ini Abs
BAYI Bln Jml % % Abs % %
L Lalu ini L P JML L P JML L P JML Lalu Ini L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

1 Miritpetkusan 5 3 3 1 4 83.3 1 0 1 0 0 0 1 0 1 30 3 1 4 83.3 1 0 1 0 0 0 1 0 1 30.3

2 Tlogodepok 10 7 2 0 2 19.2 1 0 1 0 0 0 1 0 1 14 2 0 2 19.2 1 0 1 0 0 0 1 0 1 14.2
3 Mirit 6 4 6 3 9 150.0 0 0 0 0 0 0 0 0 0 0 6 3 9 150.0 0 0 0 0 0 0 0 0 0 0.0
4 Tlogopragoto 6 4 6 0 6 96.8 1 0 1 0 0 0 0 0 1 24 6 0 6 96.8 1 0 1 0 0 0 1 0 1 23.8
5 Lembupurwo 14 10 6 1 7 48.6 0 0 0 0 0 0 0 0 0 0 6 1 7 48.6 0 0 0 0 0 0 0 0 0 0.0
6 Wiromartan 7 5 15 2 17 257.6 0 0 0 0 0 0 0 0 0 0 15 2 17 257.6 0 0 0 0 0 0 0 0 0 0.0
7 Rowo 7 5 3 2 5 75.8 0 0 0 0 0 0 0 0 0 0 3 2 5 75.8 0 0 0 0 0 0 0 0 0 0.0
8 Singoyudan 4 3 3 2 5 113.6 0 1 1 0 0 0 0 1 1 33 3 2 5 113.6 0 1 1 0 0 0 0 1 1 33.3
9 Wergonayan 8 5 8 1 9 112.5 1 0 1 0 1 1 1 1 2 37 8 1 9 112.5 1 0 1 0 1 1 1 1 2 37.0
10 Selotumpeng 10 7 6 0 6 62.5 0 1 1 0 0 0 0 1 1 15 6 0 6 62.5 0 1 1 0 0 0 0 1 1 15.2
11 Sitibentar 7 5 8 1 9 128.6 1 0 1 0 0 0 1 0 1 21 8 1 9 128.6 1 0 1 0 0 0 1 0 1 20.8
12 Karanggede 6 4 5 1 6 96.8 0 0 0 0 0 0 0 0 0 0 5 1 6 96.8 0 0 0 0 0 0 0 0 0 0.0
13 Kertodeso 11 7 6 0 6 56.6 0 0 0 0 0 0 0 0 0 0 6 0 6 56.6 0 1 1 0 0 0 0 1 1 13.9
14 Patukrejomulyo 5 3 3 1 4 83.3 1 0 1 0 0 0 1 0 1 30 3 1 4 83.3 1 0 1 0 0 0 1 0 1 30.3
15 Mangunranan 8 5 5 0 5 62.5 0 2 2 0 0 0 0 2 2 37 5 0 5 62.5 0 2 2 0 0 0 0 2 2 37.0
16 Pekutan 7 5 5 2 7 106.1 1 1 2 0 1 1 1 2 3 67 5 3 8 121.2 1 1 2 0 1 1 1 2 3 66.7
17 Wirogaten 10 7 6 3 9 88.2 0 0 0 0 0 0 0 0 0 0 6 3 9 88.2 0 0 0 0 0 0 0 0 0 0.0
18 Winong 5 3 1 0 1 20.0 0 0 0 0 0 0 0 0 0 0 1 0 1 20.0 0 0 0 0 0 0 0 0 0 0.0
19 Sarwogadung 10 7 6 0 6 58.8 0 0 0 0 0 0 0 0 0 0 6 0 6 58.8 1 0 1 0 0 0 1 0 1 14.5
20 Krubungan 3 2 4 1 5 166.7 0 0 0 0 0 0 0 0 0 0 4 1 5 166.7 0 0 0 0 0 0 0 0 0 0.0
21 Patukgawemulyo 6 4 5 1 6 93.8 0 0 0 0 0 0 0 0 0 0 5 1 6 93.8 0 1 1 0 0 0 0 1 1 23.0
22 Ngabean 11 7 6 1 7 64.8 0 0 0 0 0 0 0 0 0 0 6 0 6 55.6 2 0 2 0 0 0 2 0 2 27.2

JUMLAH 166 113 118 23 141 85.0 7 5 12 0 2 2 7 7 14 12 118 23 141 85.0 10 7 17 0 2 2 10 9 19 16.8

Mengetahui MIRIT, 05 SEPTEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
LAPORAN RUJUKAN, KOMPLIKASI PROGRAM KESEHATAN IBU DAN ANAK
UPT UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN SEPTEMBER 2015 KOMPLIKASI
SASARAN KASUS RUJUKAN MATERNAL KOMPLIKASI NEONATAL TERTANGANI
RESTI TERTANGANI
Maternal Neo Kumulatif Kumulatif
NO NAMA DESA
Abs Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Abs
BUMI Bln Bln Bln
BAYI Bln Jml % % Abs % %
L Lalu ini L P JML L P JML L P JML Lalu Ini L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

1 Miritpetkusan 5 3 4 0 4 83.3 1 0 1 0 0 0 1 0 1 30 4 0 4 83.3 1 0 1 0 0 0 1 0 1 30.3

2 Tlogodepok 10 7 2 2 4 38.5 1 0 1 0 0 0 1 0 1 14 2 2 4 38.5 1 0 1 0 0 0 1 0 1 14.2
3 Mirit 6 4 9 1 10 166.7 0 0 0 0 0 0 0 0 0 0 9 1 10 166.7 0 0 0 0 0 0 0 0 0 0.0
4 Tlogopragoto 6 4 6 1 7 112.9 0 0 0 0 0 0 0 0 0 0 6 1 7 112.9 1 0 1 0 0 0 1 0 1 23.8
5 Lembupurwo 14 10 7 1 8 55.6 0 0 0 0 0 0 0 0 0 0 7 0 7 48.6 0 0 0 0 0 0 0 0 0 0.0
6 Wiromartan 7 5 17 1 18 272.7 0 0 0 0 0 0 0 0 0 0 17 1 18 272.7 0 0 0 0 0 0 0 0 0 0.0
7 Rowo 7 5 5 0 5 75.8 0 0 0 0 0 0 0 0 0 0 5 0 5 75.8 0 0 0 0 0 0 0 0 0 0.0
8 Singoyudan 4 3 5 0 5 113.6 0 0 0 0 0 0 0 0 0 0 5 0 5 113.6 0 1 1 0 0 0 0 1 1 33.3
9 Wergonayan 8 5 9 1 10 125.0 1 1 2 0 0 0 1 1 2 37 9 1 10 125.0 1 1 2 0 0 0 1 1 2 37.0
10 Selotumpeng 10 7 6 0 6 62.5 0 1 1 0 0 0 0 1 1 15 6 0 6 62.5 0 1 1 0 0 0 0 1 1 15.2
11 Sitibentar 7 5 9 3 12 171.4 1 0 1 1 0 1 2 0 2 42 9 3 12 171.4 1 0 1 1 0 1 2 0 2 41.7
12 Karanggede 6 4 5 0 5 80.6 0 0 0 0 0 0 0 0 0 0 5 0 5 80.6 3 2 5 0 0 0 3 2 5 119.0
13 Kertodeso 11 7 6 0 6 56.6 0 0 0 0 0 0 0 0 0 0 6 0 6 56.6 0 1 1 0 0 0 0 1 1 13.9
14 Patukrejomulyo 5 3 4 0 4 83.3 1 0 1 0 0 0 1 0 1 30 4 0 4 83.3 1 0 1 0 0 0 1 0 1 30.3
15 Mangunranan 9 6 5 0 5 55.6 0 2 2 0 0 0 0 2 2 33 5 0 5 55.6 0 2 2 0 0 0 0 2 2 33.3
16 Pekutan 7 5 7 0 7 106.1 1 2 3 0 0 0 1 0 3 67 7 0 7 106.1 2 1 3 0 0 0 2 1 3 66.7
17 Wirogaten 10 7 10 0 10 98.0 0 0 0 0 0 0 0 0 0 0 10 0 10 98.0 0 0 0 0 0 0 0 0 0 0.0
18 Winong 5 3 1 0 1 20.0 0 0 0 0 0 0 0 0 0 0 1 0 1 20.0 0 0 0 0 0 0 0 0 0 0.0
19 Sarwogadung 10 7 6 0 6 58.8 0 0 0 0 0 0 0 0 0 0 4 0 4 39.2 1 0 1 0 1 0 1 14.5
20 Krubungan 4 3 5 0 5 125.0 0 0 0 0 0 0 0 0 0 0 5 0 5 125.0 0 0 0 0 0 0 0 0 0 0.0
21 Patukgawemulyo 6 4 6 2 8 125.0 0 0 0 0 0 0 0 0 0 0 6 2 8 125.0 0 1 1 0 0 0 0 1 1 23.0
22 Ngabean 11 7 7 0 7 64.8 0 0 0 1 0 1 1 0 1 14 2 0 2 18.5 1 1 2 0 0 0 1 1 2 27.2
JUMLAH 166 113 141 12 153 92.3 6 6 0 2 0 2 8 6 2 2 134 11 145 87.5 13 11 24 1 0 1 14 11 25 22.2

Mengetahui MIRIT, 02 OKTOBR 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN RUJUKAN, KOMPLIKASI PROGRAM KESEHATAN IBU DAN ANAK

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN OKTOBER 2015 KOMPLIKASI
SASARAN KASUS RUJUKAN MATERNAL KOMPLIKASI NEONATAL TERTANGANI
RESTI TERTANGANI
Maternal Neo Kumulatif Kumulatif
NO NAMA DESA
Abs Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Abs
BUMI Bln Bln Bln
BAYI Bln Jml % % Abs % %
L Lalu ini L P JML L P JML L P JML Lalu Ini L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

1 Miritpetkusan 5 3 4 0 4 83.3 1 0 1 0 0 0 1 0 1 30 4 0 4 83.3 1 0 1 0 0 0 1 0 1 30.3

2 Tlogodepok 10 7 4 0 4 38.5 1 0 1 0 0 0 1 0 1 14 4 0 4 38.5 1 0 1 0 0 0 1 0 1 14.2
3 Mirit 6 4 10 0 10 166.7 0 0 0 0 0 0 0 0 0 0 10 0 10 166.7 0 0 0 0 0 0 0 0 0 0.0
4 Tlogopragoto 6 4 7 0 7 112.9 0 0 0 0 0 0 0 0 0 0 7 0 7 112.9 1 0 1 0 0 0 1 0 1 23.8
5 Lembupurwo 14 10 8 3 11 76.4 0 0 0 0 0 0 0 0 0 0 7 3 10 69.4 0 0 0 1 1 2 1 1 2 20.5
6 Wiromartan 7 5 18 0 18 272.7 0 0 0 0 0 0 0 0 0 0 18 0 18 272.7 0 0 0 1 0 1 1 0 1 22.2
7 Rowo 7 5 5 0 5 75.8 0 0 0 0 0 0 0 0 0 0 5 0 5 75.8 0 0 0 0 0 0 0 0 0 0.0
8 Singoyudan 4 3 5 1 6 136.4 0 0 0 0 0 0 0 0 0 0 5 1 6 136.4 0 1 1 0 0 0 0 1 1 33.3
9 Wergonayan 8 5 10 1 11 137.5 1 1 2 0 0 0 1 1 2 37 10 1 11 137.5 1 1 2 0 0 0 1 1 2 37.0
10 Selotumpeng 10 7 6 0 6 62.5 0 1 1 0 0 0 0 1 1 15 6 0 6 62.5 0 1 1 0 0 0 0 1 1 15.2
11 Sitibentar 7 5 12 2 14 200.0 2 0 2 0 0 0 2 0 2 42 12 2 14 200.0 2 0 2 0 0 0 2 0 2 41.7
12 Karanggede 6 4 5 0 5 80.6 0 0 0 0 0 0 0 0 0 0 5 0 5 80.6 3 2 5 0 0 0 3 2 5 119.0
13 Kertodeso 11 7 6 1 7 66.0 0 0 0 0 0 0 0 0 0 0 6 1 7 66.0 0 1 1 0 1 1 0 2 2 27.8
14 Patukrejomulyo 5 3 4 0 4 83.3 1 0 1 0 0 0 1 0 1 30 4 0 4 83.3 1 0 1 0 0 0 1 0 1 30.3
15 Mangunranan 9 6 5 0 5 55.6 0 2 2 0 0 0 0 2 2 33 5 0 5 55.6 0 2 2 0 0 0 0 2 2 33.3
16 Pekutan 7 5 7 0 7 106.1 1 2 3 0 0 0 1 2 3 67 7 0 7 106.1 2 1 3 0 0 0 2 1 3 66.7
17 Wirogaten 10 7 10 2 12 117.6 0 0 0 1 0 1 1 0 1 14 10 2 12 117.6 0 0 0 1 0 1 1 0 1 14.5
18 Winong 5 3 1 1 2 40.0 0 0 0 0 0 0 0 0 0 0 1 1 2 40.0 1 0 1 0 1 1 1 1 2 58.0
19 Sarwogadung 10 7 6 2 8 78.4 0 0 0 0 0 0 0 0 0 0 4 4 8 78.4 1 0 1 0 0 0 1 0 1 14.5
20 Krubungan 4 3 5 0 5 125.0 0 0 0 0 0 0 0 0 0 0 5 0 5 125.0 0 0 0 0 1 1 0 1 1 33.3
21 Patukgawemulyo 6 4 8 2 10 156.3 0 0 0 0 0 0 0 0 0 0 8 2 10 156.3 0 1 1 0 0 0 0 1 1 23.0
22 Ngabean 11 7 7 0 7 64.8 1 0 1 0 0 0 1 0 1 14 7 0 7 64.8 1 1 2 0 0 0 1 1 2 27.2

JUMLAH 166 113 153 15 168 101.3 8 6 14 1 0 1 9 6 15 13 145 17 162 97.7 15 11 26 3 4 7 18 15 33 29.3

Mengetahui MIRIT, 04 NOVEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN RUJUKAN, KOMPLIKASI PROGRAM KESEHATAN IBU DAN ANAK

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN NOVEMBER 2015 KOMPLIKASI
SASARAN KASUS RUJUKAN MATERNAL KOMPLIKASI NEONATAL TERTANGANI
RESTI TERTANGANI
Maternal Neo Kumulatif Kumulatif
NO NAMA DESA
Abs Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Abs
BUMI Bln Bln Bln
BAYI Bln Jml % % Abs % %
L Lalu ini L P JML L P JML L P JML Lalu Ini L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

1 Miritpetkusan 5 3 4 0 4 83.3 0 0 0 0 0 0 0 0 0 0 4 0 4 83.3 1 0 1 0 0 0 0 0 0 0.0

2 Tlogodepok 10 7 4 1 5 48.1 1 0 0 0 0 0 1 0 0 0 4 0 4 38.5 1 0 1 0 0 0 1 0 1 14.2
3 Mirit 6 4 10 0 10 166.7 0 0 0 0 0 0 0 0 0 0 10 0 10 166.7 0 0 0 0 0 0 0 0 0 0.0
4 Tlogopragoto 6 4 7 0 7 112.9 0 0 0 0 0 0 0 0 0 0 7 0 7 112.9 1 0 1 0 0 0 1 0 1 23.8
5 Lembupurwo 14 10 11 1 12 83.3 0 0 0 0 0 0 0 0 0 0 10 0 10 69.4 1 1 2 0 0 0 1 1 2 20.5
6 Wiromartan 7 5 18 2 20 303.0 0 0 0 0 0 0 0 0 0 0 18 2 20 303.0 1 0 1 0 0 0 1 0 1 22.2
7 Rowo 7 5 5 0 5 75.8 0 0 0 0 0 0 0 0 0 0 5 0 5 75.8 0 0 0 0 0 0 0 0 0 0.0
8 Singoyudan 4 3 6 1 7 159.1 0 0 0 0 0 0 0 0 0 0 6 1 7 159.1 0 1 1 0 0 0 0 1 1 33.3
9 Wergonayan 8 5 11 0 11 137.5 1 1 2 0 0 0 1 1 2 37 11 0 11 137.5 1 1 2 0 0 0 1 1 2 37.0
10 Selotumpeng 10 7 6 0 6 62.5 0 1 1 0 0 0 0 1 1 15 6 0 6 62.5 0 1 1 0 0 0 0 1 1 15.2
11 Sitibentar 7 5 14 0 14 200.0 2 0 2 0 1 1 2 1 3 63 14 0 14 200.0 2 0 2 0 1 1 2 1 3 62.5
12 Karanggede 6 4 5 1 6 96.8 0 0 0 0 0 0 0 0 0 0 5 1 6 96.8 3 2 5 1 0 1 4 2 6 142.9
13 Kertodeso 11 7 7 1 8 75.5 0 0 0 0 0 0 0 0 0 0 7 1 8 75.5 0 2 2 0 0 0 0 2 2 27.8
14 Patukrejomulyo 5 3 4 0 4 83.3 1 0 1 0 0 0 1 0 1 30 4 0 4 83.3 1 0 1 0 0 0 1 0 1 30.3
15 Mangunranan 9 6 5 0 5 55.6 0 2 2 0 0 0 0 2 2 33 5 0 5 55.6 0 2 2 0 0 0 0 2 2 33.3
16 Pekutan 7 5 7 0 7 106.1 1 2 3 0 0 0 1 2 3 67 7 0 7 106.1 2 1 3 0 0 0 2 1 3 66.7
17 Wirogaten 10 7 12 3 15 147.1 1 0 1 0 0 0 1 0 1 14 12 3 15 147.1 1 0 1 0 0 0 1 0 1 14.5
18 Winong 5 3 2 0 2 40.0 0 0 0 0 0 0 0 0 0 0 2 0 2 40.0 1 1 2 0 0 0 1 1 2 58.0
19 Sarwogadung 10 7 8 2 10 98.0 0 0 0 0 0 0 0 0 0 0 8 2 10 98.0 1 0 1 0 0 0 1 0 1 14.5
20 Krubungan 4 3 5 1 6 150.0 0 0 0 0 0 0 0 0 0 0 5 1 6 150.0 0 1 1 0 0 0 0 1 1 33.3
21 Patukgawemulyo 6 4 10 0 10 156.3 0 0 0 0 0 0 0 0 0 0 10 0 10 156.3 0 1 1 0 0 0 0 1 1 23.0
22 Ngabean 11 7 7 2 9 83.3 1 1 2 0 0 0 1 1 2 27 7 2 9 83.3 1 1 2 0 0 0 1 1 2 27.2
JUMLAH 166 113 168 15 183 110.4 8 7 0 0 1 1 8 8 1 1 162 13 175 105.5 18 15 33 1 1 2 18 16 34 30.1

Mengetahui MIRIT, 04 NOVEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN RUJUKAN, KOMPLIKASI PROGRAM KESEHATAN IBU DAN ANAK

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN DESEMBER 2015
KOMPLIKASI
SASARAN KASUS RUJUKAN MATERNAL KOMPLIKASI NEONATAL TERTANGANI
RESTI TERTANGANI
NO NAMA DESA Maternal Neo Kumulatif Kumulatif
Abs Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Abs
BUMI Bln Bln Bln
BAYI Bln Jml % % Abs % %
L Lalu ini L P JML L P JML L P JML Lalu Ini L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

1 Miritpetkusan 5 3 4 1 5 104.2 0 0 0 0 0 0 0 0 0 0 4 1 5 104.2 0 0 0 0 0 0 0 0 0 0.0

2 Tlogodepok 10 7 5 2 7 67.3 1 0 1 0 0 0 1 0 1 14 5 2 7 67.3 1 0 1 0 0 0 1 0 1 14.2
3 Mirit 6 4 10 0 10 166.7 0 0 0 0 0 0 0 0 0 0 10 0 10 166.7 0 0 0 0 0 0 0 0 0 0.0
4 Tlogopragoto 6 4 7 0 7 112.9 1 0 1 0 0 0 1 0 1 24 7 0 7 112.9 1 0 1 0 0 0 1 0 1 23.8
5 Lembupurwo 14 10 12 0 12 83.3 0 0 0 0 0 0 0 0 0 0 10 0 10 69.4 1 1 2 0 0 0 1 1 2 20.5
6 Wiromartan 7 5 20 0 20 303.0 0 0 0 0 0 0 0 0 0 0 20 0 20 303.0 1 0 1 0 0 0 1 0 1 22.2
7 Rowo 7 5 5 0 5 75.8 0 0 0 0 0 0 0 0 0 0 5 0 5 75.8 0 0 0 0 0 0 0 0 0 0.0
8 Singoyudan 4 3 7 0 7 159.1 0 0 0 0 0 0 0 0 0 0 7 0 7 159.1 0 1 1 0 0 0 0 1 1 33.3
9 Wergonayan 8 5 11 0 11 137.5 1 1 2 0 0 0 1 1 2 37 11 0 11 137.5 1 1 2 0 0 0 1 1 2 37.0
10 Selotumpeng 10 7 6 0 6 62.5 0 1 1 0 0 0 0 1 1 15 6 0 6 62.5 0 1 1 0 0 0 0 1 1 15.2
11 Sitibentar 7 5 14 1 15 214.3 2 1 3 0 0 0 2 1 3 63 14 1 15 214.3 1 1 2 0 0 0 1 1 2 41.7
12 Karanggede 6 4 6 1 7 112.9 0 0 0 0 1 1 0 1 1 24 6 1 7 112.9 4 2 6 0 1 1 4 3 7 166.7
13 Kertodeso 11 7 8 0 8 75.5 0 0 0 0 0 0 0 0 0 0 8 0 8 75.5 0 2 2 0 0 0 0 2 2 27.8
14 Patukrejomulyo 5 3 4 0 4 83.3 1 0 1 0 0 0 1 0 1 30 4 0 4 83.3 1 0 1 0 0 0 1 0 1 30.3
15 Mangunranan 9 6 5 2 7 77.8 0 2 2 0 0 0 0 2 2 33 5 2 7 77.8 0 2 2 1 0 1 1 2 3 50.0
16 Pekutan 7 5 7 0 7 106.1 1 2 3 0 0 0 1 2 3 67 7 0 7 106.1 2 1 3 0 0 0 2 1 3 66.7
17 Wirogaten 10 7 15 1 16 156.9 1 0 1 0 1 1 1 1 2 29 15 1 16 156.9 1 0 1 0 1 1 1 1 2 29.0
18 Winong 5 3 2 0 2 40.0 0 0 0 0 0 0 0 0 0 0 2 0 2 40.0 1 1 2 0 0 0 1 1 2 58.0
19 Sarwogadung 10 7 10 2 12 117.6 0 0 0 0 0 0 0 0 0 0 10 2 12 117.6 1 0 1 0 0 0 1 0 1 14.5
20 Krubungan 4 3 6 0 6 150.0 0 0 0 0 0 0 0 0 0 0 6 0 6 150.0 0 1 1 0 0 0 0 1 1 33.3
21 Patukgawemulyo 6 4 10 0 10 156.3 0 0 0 0 0 0 0 0 0 0 10 0 10 156.3 0 1 1 0 0 0 0 1 1 23.0
22 Ngabean 11 7 9 0 9 83.3 1 0 1 0 0 0 1 0 1 14 9 0 9 83.3 1 1 2 0 0 0 1 1 2 27.2
JUMLAH 166 113 183 10 193 116.4 8 8 0 0 2 2 8 10 2 2 175 10 185 111.6 17 16 33 1 2 3 18 18 36 31.9

Mengetahui MIRIT, 23 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN RUJUKAN, KOMPLIKASI PROGRAM KESEHATAN IBU DAN ANAK

KABUPATEN KEBUMEN
BULAN
KOMPLIKASI
SASARAN KASUS RUJUKAN MATERNAL KOMPLIKASI NEONATAL TERTANGANI
RESTI TERTANGANI
Maternal Neo Kumulatif Kumulatif
NO NAMA DESA
Abs Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Abs
BUMI Bln Bln Bln
BAYI Bln Jml % % Abs % %
L Lalu ini L P JML L P JML L P JML Lalu Ini L P JML L P JML L P JML
1 2 3 4

1 Miritpetkusan 5 3
2 Tlogodepok 10 7
3 Mirit 6 4
4 Tlogopragoto 6 4
5 Lembupurwo 14 10 3 0 4 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0
6 Wiromartan 7 5
7 Rowo 7 5
8 Singoyudan 4 3
9 Wergonayan 8 5
10 Selotumpeng 10 7 6 0 6 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0.0
11 Sitibentar 7 5
12 Karanggede 6 4
13 Kertodeso 11 7
14 Patukrejomulyo 5 3
15 Mangunranan 9 6
16 Pekutan 7 5
17 Wirogaten 10 7
18 Winong 5 3
19 Sarwogadung 10 7 0 0 6 0 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0 0 0 1 0 1
20 Krubungan 4 3
21 Patukgawemulyo 6 4
22 Ngabean 11 7
JUMLAH 166 113
54
 LAPORAN KUNJUNGAN NEONATAL PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN JANUARI 2015
Kunjungan Neonatal
SASA I II III
NO NAMA DESA RAN
BAYI Abs Bln Lalu Bulan ini ABS Abs Bln Lalu Bulan Ini ABS Abs Bln Lalu Bulan Ini ABS
% % %
L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 22 - - - 2.00 2.00 4.00 2.00 2.00 4.00 18.18 - 2.00 2.00 4.00 2.00 2.00 4 18.18 - 2.00 2.00 4.00 2.00 2.00 4 18.182
2 Tlogodepok 47 - - - 2.00 1.00 3.00 2.00 1.00 3.00 6.383 - 2.00 1.00 3.00 2.00 1.00 3 6.383 - 2.00 1.00 3.00 2.00 1.00 3 6.383
3 Mirit 27 - - - 1.00 - 1.00 1.00 - 1.00 3.704 - 1.00 - 1.00 1.00 - 1 3.704 - 1.00 - 1.00 1.00 - 1 3.7037
4 Tlogopragoto 28 - - - 1.00 2.00 3.00 1.00 2.00 3.00 10.71 - 1.00 2.00 3.00 1.00 2.00 3 10.71 - 1.00 2.00 3.00 1.00 2.00 3 10.714
5 Lembupurwo 65 - - - 3.00 - 3.00 3.00 - 3.00 4.615 - 3.00 - 3.00 3.00 - 3 4.615 - 3.00 - 3.00 3.00 - 3 4.6154
6 Wiromartan 30 - - - 1.00 - 1.00 1.00 - 1.00 3.333 - 1.00 - 1.00 1.00 - 1 3.333 - 2.00 - 2.00 2.00 - 2 6.6667
7 Rowo 30 - - - 2.00 1.00 3.00 2.00 1.00 3.00 10 - 2.00 1.00 3.00 2.00 1.00 3 10 - 2.00 1.00 3.00 2.00 1.00 3 10
8 Singoyudan 20 - - - - - - - - - 0 - - - - - - 0 0 - - - - - - 0 0
9 Wergonayan 36 - - - - - - - - - 0 - - - - - - 0 0 - - - - - - 0 0
10 Selotumpeng 44 - - - 4.00 - 4.00 4.00 - 4.00 9.091 - 4.00 - 4.00 4.00 - 4 9.091 - 4.00 - 4.00 4.00 - 4 9.0909
11 Sitibentar 32 - - - - 1.00 1.00 - 1.00 1.00 3.125 - - 1.00 1.00 - 1.00 1 3.125 - - - - - - 0 0
12 Karanggede 28 - - - 3.00 3.00 6.00 3.00 3.00 6.00 21.43 - 2.00 3.00 5.00 2.00 3.00 5 17.86 - 3.00 1.00 4.00 3.00 1.00 4 14.286
13 Kertodeso 48 - - - 2.00 1.00 3.00 2.00 1.00 3.00 6.25 - 2.00 1.00 3.00 2.00 1.00 3 6.25 - 1.00 - 1.00 1.00 - 1 2.0833
14 Patukrejomulyo 22 - - - 2.00 1.00 3.00 2.00 1.00 3.00 13.64 - 2.00 1.00 3.00 2.00 1.00 3 13.64 - 2.00 1.00 3.00 2.00 1.00 3 13.636
15 Mangunranan 36 - - - 1.00 3.00 4.00 1.00 3.00 4.00 11.11 - 1.00 3.00 4.00 1.00 3.00 4 11.11 - - 2.00 2.00 - 2.00 2 5.5556
16 Pekutan 30 - - - 2.00 - 2.00 2.00 - 2.00 6.667 - 2.00 - 2.00 2.00 - 2 6.667 - 1.00 - 1.00 1.00 - 1 3.3333
17 Wirogaten 46 - - - - - - - - - 0 - - - - - - 0 0 - - - - - - 0 0
18 Winong 23 - - - 1.00 3.00 4.00 1.00 3.00 4.00 17.39 - 1.00 3.00 4.00 1.00 3.00 4 17.39 - 1.00 3.00 4.00 1.00 3.00 4 17.391
19 Sarwogadung 46 - - - - 1.00 1.00 - 1.00 1.00 2.174 - - 1.00 1.00 - 1.00 1 2.174 - - 1.00 1.00 - 1.00 1 2.1739
20 Krubungan 14 - - - 2.00 - 2.00 2.00 - 2.00 14.29 - 2.00 - 2.00 2.00 - 2 14.29 - 2.00 - 2.00 2.00 - 2 14.286
21 Patukgawemulyo 29 - - - 1.00 1.00 2.00 1.00 1.00 2.00 6.897 - 1.00 1.00 2.00 1.00 1.00 2 6.897 - 1.00 1.00 2.00 1.00 1.00 2 6.8966
22 Ngabean 49 - - - - - - - - - 0 - - - - - - 0 0 - - - - - - 0 0
JUMLAH 752 0 0 0 30 20 50 30 20 50 6.649 0 0 0 29 20 49 29 20 49 6.516 0 0 0 28 15 43 28 15 43 5.7181

Mengetahui MIRIT, 9 FEBRUARI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KUNJUNGAN NEONATAL PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN FEBRUARI 2015
Kunjungan Neonatal
SASA I II III
NO NAMA DESA RAN
BAYI Abs Bln Lalu Bulan ini ABS Abs Bln Lalu Bulan Ini ABS Abs Bln Lalu Bulan Ini ABS
% % %
L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 22 2.00 2.00 4.00 - 2.00 2.00 4.00 18.18 2.00 2.00 4.00 - 2.00 2.00 4 18.18 2.00 2.00 4.00 - 2.00 2.00 4 18.182
2 Tlogodepok 47 2.00 1.00 3.00 1.00 2.00 3.00 3.00 3.00 6.00 12.77 2.00 1.00 3.00 3.00 1.00 4.00 5.00 2.00 7 14.89 2.00 1.00 3.00 3.00 1.00 4.00 5.00 2.00 7 14.894
3 Mirit 27 1.00 - 1.00 1.00 - 1.00 2.00 - 2.00 7.407 1.00 - 1.00 1.00 - 1.00 2.00 - 2 7.407 1.00 - 1.00 1.00 - 1.00 2.00 - 2 7.4074
4 Tlogopragoto 28 1.00 2.00 3.00 1.00 - 1.00 2.00 2.00 4.00 14.29 1.00 2.00 3.00 1.00 - 1.00 2.00 2.00 4 14.29 1.00 2.00 3.00 1.00 - 1.00 2.00 2.00 4 14.286
5 Lembupurwo 65 3.00 - 3.00 3.00 2.00 5.00 6.00 2.00 8.00 12.31 3.00 - 3.00 3.00 2.00 5.00 6.00 2.00 8 12.31 3.00 - 3.00 3.00 1.00 4.00 6.00 1.00 7 10.769
6 Wiromartan 30 1.00 - 1.00 - 1.00 - 1.00 3.333 1.00 - 1.00 - 1.00 - 1 3.333 2.00 - 2.00 - 2.00 - 2 6.6667
7 Rowo 30 2.00 1.00 3.00 2.00 - 2.00 4.00 1.00 5.00 16.67 2.00 1.00 3.00 2.00 - 2.00 4.00 1.00 5 16.67 2.00 1.00 3.00 2.00 - 2.00 4.00 1.00 5 16.667
8 Singoyudan 20 - - - - - - - 0 - - - - - - 0 0 - - - - - - 0 0
9 Wergonayan 36 - - - 2.00 2.00 4.00 2.00 2.00 4.00 11.11 - - - 2.00 2.00 4.00 2.00 2.00 4 11.11 - - - 2.00 2.00 4.00 2.00 2.00 4 11.111
10 Selotumpeng 44 4.00 - 4.00 - 2.00 2.00 4.00 2.00 6.00 13.64 4.00 - 4.00 - 2.00 2.00 4.00 2.00 6 13.64 4.00 - 4.00 - 2.00 2.00 4.00 2.00 6 13.636
11 Sitibentar 32 - 1.00 1.00 1.00 1.00 2.00 1.00 2.00 3.00 9.375 - 1.00 1.00 1.00 2.00 3.00 1.00 3.00 4 12.5 - - - - 2.00 2.00 - 2.00 2 6.25
12 Karanggede 28 3.00 3.00 6.00 1.00 1.00 2.00 4.00 4.00 8.00 28.57 2.00 1.00 3.00 3.00 1.00 4.00 5.00 2.00 7 25 3.00 1.00 4.00 3.00 3.00 6.00 6.00 4.00 10 35.714
13 Kertodeso 48 2.00 1.00 3.00 1.00 3.00 4.00 3.00 4.00 7.00 14.58 2.00 1.00 3.00 1.00 3.00 4.00 3.00 4.00 7 14.58 1.00 - 1.00 2.00 3.00 5.00 3.00 3.00 6 12.5
14 Patukrejomulyo 22 2.00 1.00 3.00 1.00 - 1.00 3.00 1.00 4.00 18.18 2.00 1.00 3.00 1.00 - 1.00 3.00 1.00 4 18.18 2.00 1.00 3.00 1.00 - 1.00 3.00 1.00 4 18.182
15 Mangunranan 36 1.00 3.00 4.00 1.00 1.00 2.00 2.00 4.00 6.00 16.67 1.00 3.00 4.00 1.00 1.00 2.00 2.00 4.00 6 16.67 - 2.00 2.00 2.00 2.00 4.00 2.00 4.00 6 16.667
16 Pekutan 30 2.00 - 2.00 1.00 1.00 2.00 3.00 1.00 4.00 13.33 2.00 - 2.00 1.00 1.00 2.00 3.00 1.00 4 13.33 1.00 - 1.00 2.00 1.00 3.00 3.00 1.00 4 13.333
17 Wirogaten 46 - - - 2.00 3.00 5.00 2.00 3.00 5.00 10.87 - - - 2.00 3.00 5.00 2.00 3.00 5 10.87 - - - 2.00 3.00 5.00 2.00 3.00 5 10.87
18 Winong 23 1.00 3.00 4.00 2.00 1.00 3.00 3.00 4.00 7.00 30.43 1.00 3.00 4.00 2.00 1.00 3.00 3.00 4.00 7 30.43 1.00 3.00 4.00 2.00 1.00 3.00 3.00 4.00 7 30.435
19 Sarwogadung 46 - 1.00 1.00 - 1.00 1.00 - 2.00 2.00 4.348 - 1.00 1.00 - 1.00 1.00 - 2.00 2 4.348 - 1.00 1.00 - 1.00 1.00 - 2.00 2 4.3478
20 Krubungan 14 2.00 - 2.00 - 2.00 - 2.00 14.29 2.00 - 2.00 - 2.00 - 2 14.29 2.00 - 2.00 - 2.00 - 2 14.286
21 Patukgawemulyo 29 1.00 1.00 2.00 - 1.00 1.00 2.00 6.897 1.00 1.00 2.00 - 1.00 1.00 2 6.897 1.00 1.00 2.00 - 1.00 1.00 2 6.8966
22 Ngabean 49 - - - 2.00 2.00 4.00 2.00 2.00 4.00 8.163 - - - 2.00 2.00 4.00 2.00 2.00 4 8.163 - - - 2.00 2.00 4.00 2.00 2.00 4 8.1633
JUMLAH 752 30 20 50 22 22 44 52 42 94 12.5 29 18 47 26 22 48 55 40 95 12.63 28 15 43 28 24 52 56 39 95 12.633

Mengetahui MIRIT, 5 MARET 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KUNJUNGAN NEONATAL PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN

BULAN MARET 2015

Kunjungan Neonatal
SASA I II III
NO NAMA DESA RAN
BAYI Abs Bln Lalu Bulan ini ABS Abs Bln Lalu Bulan Ini ABS Abs Bln Lalu Bulan Ini ABS
% % %
L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 22 2.00 2.00 4.00 - - - 2.00 2.00 4.00 18.18 2.00 2.00 4.00 - - - 2.00 2.00 4 18.18 2.00 2.00 4.00 - - - 2.00 2.00 4 18.182
2 Tlogodepok 47 3.00 3.00 6.00 - 2.00 2.00 3.00 5.00 8.00 17 3.00 3.00 6.00 - 2.00 2.00 3.00 5.00 8 17 3.00 3.00 6.00 - 2.00 2.00 3.00 5.00 8 17.021
3 Mirit 27 2.00 - 2.00 1.00 2.00 3.00 3.00 2.00 5.00 18.52 2.00 - 2.00 1.00 2.00 3.00 3.00 2.00 5 18.52 2.00 - 2.00 1.00 2.00 3.00 3.00 2.00 5 18.519
4 Tlogopragoto 28 2.00 2.00 4.00 - 1.00 1.00 2.00 3.00 5.00 17.86 2.00 2.00 4.00 - 1.00 1.00 2.00 3.00 5 17.86 2.00 2.00 4.00 - 1.00 1.00 2.00 3.00 5 17.857
5 Lembupurwo 65 6.00 2.00 8.00 1.00 6.00 7.00 7.00 8.00 15.00 23.08 6.00 2.00 8.00 1.00 6.00 7.00 7.00 8.00 15 23.08 6.00 1.00 7.00 1.00 4.00 5.00 7.00 5.00 12 18.462
6 Wiromartan 30 1.00 - 1.00 3.00 2.00 5.00 4.00 2.00 6.00 20 1.00 - 1.00 2.00 2.00 4.00 3.00 2.00 5 16.67 2.00 - 2.00 2.00 1.00 3.00 4.00 1.00 5 16.667
7 Rowo 30 4.00 1.00 5.00 - 1.00 1.00 4.00 2.00 6.00 20 4.00 1.00 5.00 - 1.00 1.00 4.00 2.00 6 20 4.00 1.00 5.00 - 1.00 1.00 4.00 2.00 6 20
8 Singoyudan 20 - - - - - - - - - 0 - - - - - - - - 0 0 - - - - - - - - 0 0
9 Wergonayan 36 2.00 2.00 4.00 1.00 1.00 2.00 3.00 3.00 6.00 16.67 2.00 2.00 4.00 1.00 1.00 2.00 3.00 3.00 6 16.67 2.00 2.00 4.00 1.00 1.00 2.00 3.00 3.00 6 16.667
10 Selotumpeng 44 4.00 2.00 6.00 1.00 1.00 2.00 5.00 3.00 8.00 18.18 4.00 2.00 6.00 1.00 1.00 2.00 5.00 3.00 8 18.18 4.00 2.00 6.00 1.00 1.00 2.00 5.00 3.00 8 18.182
11 Sitibentar 32 1.00 2.00 3.00 2.00 3.00 5.00 3.00 5.00 8.00 25 1.00 3.00 4.00 2.00 3.00 5.00 3.00 6.00 9 28.13 2.00 2.00 4.00 2.00 3.00 5.00 4.00 5.00 9 28.125
12 Karanggede 28 4.00 4.00 8.00 - 1.00 1.00 4.00 5.00 9.00 32.14 5.00 2.00 7.00 - 1.00 1.00 5.00 3.00 8 28.57 6.00 4.00 10.00 2.00 1.00 3.00 8.00 5.00 13 46.429
13 Kertodeso 48 3.00 4.00 7.00 2.00 - 2.00 5.00 4.00 9.00 18.75 3.00 4.00 7.00 2.00 - 2.00 5.00 4.00 9 18.75 3.00 3.00 6.00 1.00 1.00 2.00 4.00 4.00 8 16.667
14 Patukrejomulyo 22 3.00 1.00 4.00 - - - 3.00 1.00 4.00 18.18 3.00 1.00 4.00 - - - 3.00 1.00 4 18.18 3.00 1.00 4.00 - - - 3.00 1.00 4 18.182
15 Mangunranan 36 2.00 4.00 6.00 4.00 1.00 5.00 6.00 5.00 11.00 30.56 2.00 4.00 6.00 4.00 1.00 5.00 6.00 5.00 11 30.56 2.00 4.00 6.00 4.00 1.00 5.00 6.00 5.00 11 30.556
16 Pekutan 30 3.00 1.00 4.00 1.00 1.00 2.00 4.00 2.00 6.00 20 3.00 1.00 4.00 2.00 1.00 3.00 5.00 2.00 7 23.33 3.00 1.00 4.00 2.00 1.00 3.00 5.00 2.00 7 23.333
17 Wirogaten 46 2.00 3.00 5.00 2.00 2.00 4.00 4.00 5.00 9.00 19.57 2.00 3.00 5.00 2.00 2.00 4.00 4.00 5.00 9 19.57 2.00 3.00 5.00 2.00 2.00 4.00 4.00 5.00 9 19.565
18 Winong 23 3.00 4.00 7.00 - - - 3.00 4.00 7.00 30.43 3.00 4.00 7.00 - - - 3.00 4.00 7 30.43 3.00 4.00 7.00 - - - 3.00 4.00 7 30.435
19 Sarwogadung 46 3.00 2.00 5.00 2.00 1.00 3.00 5.00 3.00 8.00 17.39 3.00 2.00 5.00 2.00 1.00 3.00 5.00 3.00 8 17.39 3.00 2.00 5.00 2.00 1.00 3.00 5.00 3.00 8 17.391
20 Krubungan 14 2.00 - 2.00 1.00 1.00 2.00 3.00 1.00 4.00 28.57 2.00 - 2.00 1.00 1.00 2.00 3.00 1.00 4 28.57 2.00 - 2.00 1.00 1.00 2.00 3.00 1.00 4 28.571
21 Patukgawemulyo 29 1.00 1.00 2.00 1.00 3.00 4.00 2.00 4.00 6.00 20.69 1.00 1.00 2.00 1.00 3.00 4.00 2.00 4.00 6 20.69 1.00 1.00 2.00 1.00 3.00 4.00 2.00 4.00 6 20.69
22 Ngabean 49 2.00 2.00 4.00 3.00 1.00 4.00 5.00 3.00 8.00 16.33 2.00 2.00 4.00 1.00 1.00 2.00 3.00 3.00 6 12.24 2.00 2.00 4.00 2.00 1.00 3.00 4.00 3.00 7 14.286
JUMLAH 752 55 42 97 25 30 55 80 72 152 20.21 56 41 97 23 30 53 79 71 150 19.95 59 40 99 25 28 53 84 68 152 455.784

Mengetahui MIRIT, 4 APRIL 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KUNJUNGAN NEONATAL PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN

BULAN APRIL 2015

Kunjungan Neonatal
SASA I II III
NO NAMA DESA RAN
BAYI Abs Bln Lalu Bulan ini ABS Abs Bln Lalu Bulan Ini ABS Abs Bln Lalu Bulan Ini ABS
% % %
L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 22 2.00 2.00 4.00 2.00 1.00 3.00 4 3 7 31.82 2.00 2.00 4.00 2.00 1.00 3.00 4.00 3.00 7 31.82 2.00 2.00 4.00 2.00 1.00 3.00 4 3 7 31.818
2 Tlogodepok 47 3.00 5.00 8.00 - 1.00 1.00 3 6 9 19.15 3.00 5.00 8.00 - 1.00 1.00 3.00 6.00 9 19.15 3.00 5.00 8.00 - 1.00 1.00 3 6 9 19.149
3 Mirit 27 3.00 2.00 5.00 1.00 1.00 4 2 6 22.22 3.00 2.00 5.00 1.00 1.00 4.00 2.00 6 22.22 3.00 2.00 5.00 1.00 1.00 4 2 6 22.222
4 Tlogopragoto 28 2.00 3.00 5.00 - 2 3 5 17.86 2.00 3.00 5.00 2.00 - 2.00 4.00 3.00 7 25 2.00 3.00 5.00 2.00 - 2.00 4 3 7 25
5 Lembupurwo 65 7.00 8.00 15.00 6.00 2.00 8.00 13 10 23 35.38 7.00 8.00 15.00 6.00 2.00 8.00 13.00 10.00 23 35.38 7.00 5.00 12.00 9.00 6.00 ### 16 11 27 41.538
6 Wiromartan 30 4.00 2.00 6.00 4.00 2.00 6.00 8 4 12 40 3.00 2.00 5.00 5.00 1.00 6.00 8.00 3.00 11 36.67 4.00 1.00 5.00 5.00 1.00 6.00 9 2 11 36.667
7 Rowo 30 4.00 2.00 6.00 1.00 2.00 3.00 5 4 9 30 4.00 2.00 6.00 1.00 2.00 3.00 5.00 4.00 9 30 4.00 2.00 6.00 1.00 2.00 3.00 5 4 9 30
8 Singoyudan 20 - - - 3.00 4.00 7.00 3 4 7 35 - - - 3.00 4.00 7.00 3.00 4.00 7 35 - - - 2.00 4.00 6.00 2 4 6 30
9 Wergonayan 36 3.00 3.00 6.00 4.00 2.00 6.00 7 5 12 33.33 3.00 3.00 6.00 4.00 2.00 6.00 7.00 5.00 12 33.33 3.00 3.00 6.00 4.00 2.00 6.00 7 5 12 33.333
10 Selotumpeng 44 5.00 3.00 8.00 3.00 3.00 8 3 11 25 5.00 3.00 8.00 3.00 3.00 8.00 3.00 11 25 5.00 3.00 8.00 3.00 3.00 8 3 11 25
11 Sitibentar 32 3.00 5.00 8.00 2.00 - 2.00 5 5 10 31.25 3.00 6.00 9.00 2.00 - 2.00 5.00 6.00 11 34.38 4.00 5.00 9.00 2.00 - 2.00 6 5 11 34.375
12 Karanggede 28 4.00 5.00 9.00 2.00 2.00 4.00 6 7 13 46.43 5.00 3.00 8.00 2.00 2.00 4.00 7.00 5.00 12 42.86 8.00 5.00 13.00 - 1.00 1.00 8 6 14 50
13 Kertodeso 48 5.00 4.00 9.00 1.00 2.00 3.00 6 6 12 25 5.00 4.00 9.00 1.00 2.00 3.00 6.00 6.00 12 25 4.00 4.00 8.00 2.00 1.00 3.00 6 5 11 22.917
14 Patukrejomulyo 22 3.00 1.00 4.00 1.00 1.00 4 1 5 22.73 3.00 1.00 4.00 1.00 1.00 4.00 1.00 5 22.73 3.00 1.00 4.00 1.00 1.00 4 1 5 22.727
15 Mangunranan 36 6.00 5.00 11.00 3.00 2.00 5.00 9 7 16 44.44 6.00 5.00 11.00 3.00 2.00 5.00 9.00 7.00 16 44.44 6.00 5.00 11.00 3.00 2.00 5.00 9 7 16 44.444
16 Pekutan 30 4.00 2.00 6.00 1.00 - 1.00 5 2 7 23.33 5.00 2.00 7.00 1.00 - 1.00 6.00 2.00 8 26.67 5.00 2.00 7.00 1.00 - 1.00 6 2 8 26.667
17 Wirogaten 46 4.00 5.00 9.00 2.00 3.00 5.00 6 8 14 30.43 4.00 5.00 9.00 2.00 3.00 5.00 6.00 8.00 14 30.43 4.00 5.00 9.00 2.00 3.00 5.00 6 8 14 30.435
18 Winong 23 3.00 4.00 7.00 2.00 3.00 5.00 5 7 12 52.17 3.00 4.00 7.00 2.00 3.00 5.00 5.00 7.00 12 52.17 3.00 4.00 7.00 2.00 3.00 5.00 5 7 12 52.174
19 Sarwogadung 46 5.00 3.00 8.00 - 2.00 2.00 5 5 10 21.74 5.00 3.00 8.00 - 2.00 2.00 5.00 5.00 10 21.74 5.00 3.00 8.00 - 2.00 2.00 5 5 10 21.739
20 Krubungan 14 3.00 2.00 5.00 1.00 1.00 2.00 4 3 7 50 3.00 2.00 5.00 1.00 1.00 2.00 4.00 3.00 7 50 3.00 2.00 5.00 1.00 1.00 2.00 4 3 7 50
21 Patukgawemulyo 29 2.00 4.00 6.00 2.00 1.00 3.00 4 5 9 31 2.00 4.00 6.00 1.00 1.00 2.00 3.00 5.00 8 27.59 2.00 4.00 6.00 1.00 1.00 2.00 3 5 8 27.586
22 Ngabean 49 5.00 3.00 8.00 3.00 2.00 5.00 8 5 13 26.53 3.00 3.00 6.00 3.00 2.00 5.00 6.00 5.00 11 22.45 4.00 3.00 7.00 3.00 3.00 6.00 7 6 13 26.531
JUMLAH 752 80 73 153 44 32 76 124 105 229 30.45 79 72 151 46 31 77 125 103 228 30.32 84 69 153 47 34 81 131 103 234 704.322

Mengetahui MIRIT, 5 MEI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN KUNJUNGAN NEONATAL PROGRAM KESEHATAN IBU DAN ANAK

KABUPATEN KEBUMEN
BULAN MEI 2015
Kunjungan Neonatal
SASA I II III
NO NAMA DESA RAN
BAYI Abs Bln Lalu Bulan ini ABS Abs Bln Lalu Bulan Ini ABS Abs Bln Lalu Bulan Ini ABS
% % %
L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 22 4 3 7 3 0 3 7 3 10 45.45 4 3 7 3 0 3 7 3 10 45.45 4 3 7 3 0 3 4 3 7 31.82

2 Tlogodepok 47 3 6 9 3 2 5 6 8 14 29.79 3 6 9 3 2 5 6 8 14 29.79 3 6 9 3 2 5 3 6 9 19.15
3 Mirit 27 4 2 6 1 1 2 5 3 8 29.63 4 2 6 1 1 2 5 3 8 29.63 4 2 6 1 1 2 4 2 6 22.22
4 Tlogopragoto 28 8 5 13 2 2 4 10 7 17 60.71 8 5 13 2 2 4 10 7 17 60.71 8 5 13 2 2 4 10 7 17 60.71
5 Lembupurwo 65 13 10 23 5 2 7 15 12 27 41.54 13 10 23 5 1 6 18 11 29 44.62 16 11 27 6 4 10 16 11 27 41.54
6 Wiromartan 30 8 4 12 3 3 6 11 7 18 60 8 3 11 3 4 7 11 7 18 60 9 2 11 2 5 7 9 2 11 36.67
7 Rowo 30 5 4 9 0 0 0 5 4 9 30 5 4 9 0 0 0 5 4 9 30 5 4 9 0 0 0 5 4 9 30.00
8 Singoyudan 20 3 4 7 3 3 6 6 7 13 65 3 4 7 1 2 3 4 6 10 50 2 4 6 0 3 3 2 4 6 30.00
9 Wergonayan 36 11 6 17 3 1 4 14 7 21 58.33 11 6 17 3 1 4 14 7 21 58.33 7 5 12 4 1 5 7 5 12 33.33
10 Selotumpeng 44 8 3 11 2 1 3 10 4 14 31.82 8 3 11 2 1 3 10 4 14 31.82 8 3 11 2 1 3 8 3 11 25.00
11 Sitibentar 32 5 5 10 1 1 2 6 6 12 37.5 5 6 11 1 1 2 6 7 13 40.63 6 5 11 1 1 2 6 5 11 34.38
12 Karanggede 28 6 7 13 2 1 3 8 8 16 57.14 7 5 12 5 2 7 12 7 19 67.86 8 6 14 2 1 3 8 6 14 50.00
13 Kertodeso 48 6 6 12 3 1 4 9 7 16 33.33 6 6 12 3 1 4 9 7 16 33.33 6 5 11 3 2 5 6 5 11 22.92
14 Patukrejomulyo 22 4 1 5 2 1 3 6 2 8 36.36 4 1 5 2 1 3 6 2 8 36.36 4 1 5 2 1 3 4 1 5 22.73
15 Mangunranan 36 9 7 16 2 3 5 11 10 21 58.33 9 7 16 2 3 5 11 10 21 58.33 9 7 16 2 3 5 9 7 16 44.44
16 Pekutan 30 5 2 7 1 2 3 6 4 10 33.33 6 2 8 1 2 3 7 4 11 36.67 6 2 8 1 2 3 6 2 8 26.67
17 Wirogaten 46 6 8 14 2 2 4 8 10 18 39.13 6 8 14 2 2 4 8 10 18 39.13 6 8 14 2 2 4 6 8 14 30.43
18 Winong 23 5 7 12 0 2 2 5 9 14 60.87 5 7 12 0 2 2 5 9 14 60.87 5 7 12 0 2 2 5 7 12 52.17
19 Sarwogadung 46 5 5 10 2 1 3 7 6 13 28.26 5 5 10 2 1 3 7 6 13 28.26 5 5 10 2 1 3 5 5 10 21.74
20 Krubungan 14 4 3 7 2 1 3 6 4 10 71.43 4 3 7 1 1 2 5 4 9 64.29 4 3 7 1 1 2 4 3 7 50.00
21 Patukgawemulyo 29 4 5 9 2 3 5 6 8 14 48.28 3 5 8 3 3 6 6 8 14 48.28 3 5 8 3 2 5 3 5 8 27.59
22 Ngabean 49 8 5 13 5 1 6 13 6 19 38.78 6 5 11 5 1 6 11 6 17 34.69 7 6 13 5 1 6 7 6 13 26.53
JUMLAH 752 124 105 229 49 34 83 180 142 322 42.82 133 106 239 50 34 84 183 140 323 43 135 105 240 47 38 85 131 103 234 31.12

Mengetahui MIRIT, 5 JUNI 2015

 Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
LAPORAN KUNJUNGAN NEONATAL PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN JUNI 2015
Kunjungan Neonatal
SASA I II III
NO NAMA DESA RAN
BAYI Abs Bln Lalu Bulan ini ABS Abs Bln Lalu Bulan Ini ABS Abs Bln Lalu Bulan Ini ABS
% % %
L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 22 7.00 4.00 11.00 1.00 1.00 2.00 8.00 5.00 13.00 59.09 7.00 4.00 11.00 1.00 1.00 2.00 8.00 5.00 13 59.09 7.00 4.00 11.00 1.00 1.00 2.00 8.00 5.00 13 59.091
2 Tlogodepok 47 6.00 9.00 15.00 1.00 2.00 3.00 7.00 11.00 18.00 38.3 6.00 9.00 15.00 1.00 2.00 3.00 7.00 11.00 18 38.3 6.00 9.00 15.00 1.00 2.00 3.00 7.00 11.00 18 38.298
3 Mirit 27 5.00 3.00 8.00 2.00 - 2.00 7.00 3.00 10.00 37 5.00 3.00 8.00 2.00 - 2.00 7.00 3.00 10 37 5.00 3.00 8.00 2.00 - 2.00 7.00 3.00 10 37.037
4 Tlogopragoto 28 8.00 5.00 13.00 2 2 4.00 10.00 7.00 17.00 60.71 8.00 5.00 13.00 2.00 2.00 4.00 10.00 7.00 17 60.71 8.00 5.00 13.00 2.00 2.00 4.00 10.00 7.00 17 60.714
5 Lembupurwo 65 17.00 7.00 24.00 5.00 3.00 8.00 22.00 10.00 32.00 49.23 18.00 11.00 29.00 5.00 3.00 8.00 23.00 14.00 37 56.92 16.00 11.00 27.00 5.00 3.00 8.00 21.00 14.00 35 53.846
6 Wiromartan 30 11.00 7.00 18.00 1.00 2.00 3.00 12.00 9.00 21.00 70 11.00 7.00 18.00 1.00 1.00 2.00 12.00 8.00 20 66.67 11.00 7.00 18.00 2.00 1.00 3.00 13.00 8.00 21 70
7 Rowo 30 5.00 4.00 9.00 2.00 1.00 3.00 7.00 5.00 12.00 40 5.00 4.00 9.00 2.00 1.00 3.00 7.00 5.00 12 40 5.00 4.00 9.00 2.00 1.00 3.00 7.00 5.00 12 40
8 Singoyudan 20 6.00 7.00 13.00 - - - 6.00 7.00 13.00 65 4.00 6.00 10.00 2.00 1.00 3.00 6.00 7.00 13 65 2.00 7.00 9.00 2.00 2.00 4.00 4.00 9.00 13 65
9 Wergonayan 36 11.00 6.00 17.00 3.00 1.00 4.00 14.00 7.00 21.00 58.33 11.00 6.00 17.00 3.00 1.00 4.00 14.00 7.00 21 58.33 11.00 6.00 17.00 3.00 1.00 4.00 14.00 7.00 21 58.333
10 Selotumpeng 44 10.00 4.00 14.00 4.00 1.00 5.00 14.00 5.00 19.00 43.18 10.00 4.00 14.00 4.00 1.00 5.00 14.00 5.00 19 43.18 10.00 4.00 14.00 4.00 1.00 5.00 14.00 5.00 19 43.182
11 Sitibentar 32 5.00 6.00 11.00 1.00 - 1.00 6.00 6.00 12.00 37.5 5.00 6.00 11.00 1.00 - 1.00 6.00 6.00 12 37.5 5.00 6.00 11.00 1.00 - 1.00 6.00 6.00 12 37.5
12 Karanggede 28 8.00 8.00 16.00 - - - 8.00 8.00 16.00 57.14 13.00 6.00 19.00 - - - 13.00 6.00 19 67.86 9.00 8.00 17.00 1.00 1.00 2.00 10.00 9.00 19 67.857
13 Kertodeso 48 9.00 7.00 16.00 1.00 2.00 3.00 10.00 9.00 19.00 39.58 9.00 7.00 16.00 1.00 2.00 3.00 10.00 9.00 19 39.58 9.00 7.00 16.00 1.00 2.00 3.00 10.00 9.00 19 39.583
14 Patukrejomulyo 22 6.00 2.00 8.00 3.00 1.00 4.00 9.00 3.00 12.00 54.55 6.00 2.00 8.00 3.00 1.00 4.00 9.00 3.00 12 54.55 6.00 2.00 8.00 3.00 1.00 4.00 9.00 3.00 12 54.545
15 Mangunranan 36 11.00 10.00 21.00 1.00 2.00 3.00 12.00 12.00 24.00 66.67 11.00 10.00 21.00 1.00 2.00 3.00 12.00 12.00 24 66.67 11.00 10.00 21.00 1.00 2.00 3.00 12.00 12.00 24 66.667
16 Pekutan 30 6.00 4.00 10.00 4.00 1.00 5.00 10.00 5.00 15.00 50 7.00 4.00 11.00 4.00 1.00 5.00 11.00 5.00 16 53.33 6.00 5.00 11.00 4.00 1.00 5.00 10.00 6.00 16 53.333
17 Wirogaten 46 8.00 10.00 18.00 - 2.00 2.00 8.00 12.00 20.00 43.48 8.00 10.00 18.00 - 2.00 2.00 8.00 12.00 20 43.48 6.00 8.00 14.00 2.00 4.00 6.00 8.00 12.00 20 43.478
18 Winong 23 5.00 9.00 14.00 - 1.00 1.00 5.00 10.00 15.00 65.22 5.00 9.00 14.00 - 1.00 1.00 5.00 10.00 15 65.22 5.00 9.00 14.00 - 1.00 1.00 5.00 10.00 15 65.217
19 Sarwogadung 46 7.00 6.00 13.00 2.00 3.00 5.00 9.00 9.00 18.00 39.13 7.00 6.00 13.00 2.00 3.00 5.00 9.00 9.00 18 39.13 5.00 5.00 10.00 2.00 3.00 5.00 7.00 8.00 15 32.609
20 Krubungan 14 6.00 4.00 10.00 - 1.00 1.00 6.00 5.00 11.00 78.57 5.00 4.00 9.00 1.00 1.00 2.00 6.00 5.00 11 78.57 5.00 4.00 9.00 1.00 1.00 2.00 6.00 5.00 11 78.571
21 Patukgawemulyo 29 7.00 9.00 16.00 3.00 5.00 8.00 10.00 14.00 24.00 82.76 6.00 8.00 14.00 3.00 2.00 5.00 9.00 10.00 19 65.52 3.00 5.00 8.00 3.00 2.00 5.00 6.00 7.00 13 44.828
22 Ngabean 49 13.00 6.00 19.00 2.00 5.00 7.00 15.00 11.00 26.00 53.06 12.00 7.00 19.00 2.00 5.00 7.00 14.00 12.00 26 53.06 12.00 7.00 19.00 2.00 5.00 7.00 14.00 12.00 26 53.061
JUMLAH 752 177 137 314 38 36 74 215 173 388 51.6 179 138 317 41 33 74 220 171 391 52 163 136 299 45 37 82 208 173 381 50.665

Mengetahui MIRIT, 05 JULI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KUNJUNGAN NEONATAL PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN JULI 2015
Kunjungan Neonatal
SASA I II III
NO NAMA DESA RAN
BAYI Abs Bln Lalu Bulan ini ABS Abs Bln Lalu Bulan Ini ABS Abs Bln Lalu Bulan Ini ABS
% % %
L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 22 8.00 5.00 13.00 1.00 1.00 2.00 9.00 6.00 15.00 68.18 8.00 5.00 13.00 1.00 1.00 2.00 9.00 6.00 15 68.18 8.00 5.00 13.00 1.00 1.00 2.00 9.00 6.00 15 68.182
2 Tlogodepok 47 7.00 11.00 18.00 1.00 3.00 4.00 8.00 14.00 22.00 46.81 7.00 11.00 18.00 1.00 3.00 4.00 8.00 14.00 22 46.81 7.00 11.00 18.00 1.00 3.00 4.00 8.00 14.00 22 46.809
3 Mirit 27 7.00 3.00 10.00 1.00 1.00 2.00 8.00 4.00 12.00 44.44 7.00 3.00 10.00 1.00 1.00 2.00 8.00 4.00 12 44.44 7.00 3.00 10.00 1.00 1.00 2.00 8.00 4.00 12 44.444
4 Tlogopragoto 28 10.00 7.00 17.00 1.00 2.00 3.00 11.00 9.00 20.00 71.43 10.00 7.00 17.00 1.00 2.00 3.00 11.00 9.00 20 71.43 10.00 7.00 17.00 1.00 2.00 3.00 11.00 9.00 20 71.429
5 Lembupurwo 65 23.00 9.00 32.00 3.00 2.00 5.00 26.00 11.00 37.00 56.92 23.00 14.00 37.00 3.00 3.00 6.00 26.00 17.00 43 66.15 21.00 14.00 35.00 3.00 3.00 6.00 24.00 17.00 41 63.077
6 Wiromartan 30 12.00 9.00 21.00 2.00 1.00 3.00 14.00 10.00 24.00 80 12.00 8.00 20.00 2.00 1.00 3.00 14.00 9.00 23 76.67 13.00 8.00 21.00 - 1.00 1.00 13.00 9.00 22 73.333
7 Rowo 30 7.00 5.00 12.00 1.00 1.00 2.00 8.00 6.00 14.00 46.67 7.00 5.00 12.00 1.00 1.00 2.00 8.00 6.00 14 46.67 7.00 5.00 12.00 1.00 1.00 2.00 8.00 6.00 14 46.667
8 Singoyudan 20 6.00 7.00 13.00 2.00 2.00 4.00 8.00 9.00 17.00 85 6.00 7.00 13.00 2.00 2.00 4.00 8.00 9.00 17 85 4.00 9.00 13.00 2.00 2.00 4.00 6.00 11.00 17 85
9 Wergonayan 36 14.00 7.00 21.00 - 3.00 3.00 14.00 10.00 24.00 66.67 14.00 7.00 21.00 - 3.00 3.00 14.00 10.00 24 66.67 14.00 7.00 21.00 - 3.00 3.00 14.00 10.00 24 66.667
10 Selotumpeng 44 14.00 5.00 19.00 4.00 2.00 6.00 18.00 7.00 25.00 56.82 14.00 5.00 19.00 4.00 2.00 6.00 18.00 7.00 25 56.82 14.00 5.00 19.00 4.00 2.00 6.00 18.00 7.00 25 56.818

11 Sitibentar 32 6.00 6.00 12.00 4.00 2.00 6.00 10.00 8.00 18.00 56.25 6.00 6.00 12.00 4.00 2.00 6.00 10.00 8.00 18 56.25 6.00 6.00 12.00 4.00 2.00 6.00 10.00 8.00 18 56.25

12 Karanggede 28 8.00 8.00 16.00 - - - 8.00 8.00 16.00 57.14 13.00 6.00 19.00 - - - 13.00 6.00 19 67.86 10.00 9.00 19.00 - - - 10.00 9.00 19 67.857

13 Kertodeso 48 10.00 9.00 19.00 4.00 - 4.00 14.00 9.00 23.00 47.92 10.00 9.00 19.00 4.00 - 4.00 14.00 9.00 23 47.92 10.00 9.00 19.00 4.00 - 4.00 14.00 9.00 23 47.917

14 Patukrejomulyo 22 9.00 3.00 12.00 1.00 - 1.00 10.00 3.00 13.00 59.09 9.00 3.00 12.00 1.00 - 1.00 10.00 3.00 13 59.09 9.00 3.00 12.00 1.00 - 1.00 10.00 3.00 13 59.091
15 Mangunranan 36 12.00 12.00 24.00 2.00 3.00 5.00 14.00 15.00 29.00 80.56 12.00 12.00 24.00 2.00 3.00 5.00 14.00 15.00 29 80.56 12.00 12.00 24.00 2.00 3.00 5.00 14.00 15.00 29 80.556
16 Pekutan 30 10.00 5.00 15.00 4.00 2.00 6.00 14.00 7.00 21.00 70 11.00 5.00 16.00 4.00 2.00 6.00 15.00 7.00 22 73.33 10.00 6.00 16.00 4.00 2.00 6.00 14.00 8.00 22 73.333

17 Wirogaten 46 8.00 12.00 20.00 3.00 - 3.00 11.00 12.00 23.00 50 8.00 12.00 20.00 3.00 - 3.00 11.00 12.00 23 50 8.00 12.00 20.00 3.00 - 3.00 11.00 12.00 23 50

18 Winong 23 5.00 10.00 15.00 - 1.00 1.00 5.00 11.00 16.00 69.57 5.00 10.00 15.00 - 1.00 1.00 5.00 11.00 16 69.57 5.00 10.00 15.00 - 1.00 1.00 5.00 11.00 16 69.565
19 Sarwogadung 46 9.00 9.00 18.00 1.00 4.00 5.00 10.00 13.00 23.00 50 9.00 9.00 18.00 1.00 4.00 5.00 10.00 13.00 23 50 7.00 8.00 15.00 1.00 4.00 5.00 11.00 13.00 24 52.174

20 Krubungan 14 6.00 5.00 11.00 - 1.00 1.00 6.00 6.00 12.00 85.71 6.00 5.00 11.00 - 1.00 1.00 6.00 6.00 12 85.71 6.00 5.00 11.00 - 1.00 1.00 6.00 6.00 12 85.714

21 Patukgawemulyo 29 10.00 14.00 24.00 3.00 1.00 4.00 13.00 15.00 28.00 96.55 9.00 10.00 19.00 3.00 1.00 4.00 12.00 11.00 23 79.31 6.00 7.00 13.00 3.00 2.00 5.00 9.00 9.00 18 62.069
22 Ngabean 49 15.00 11.00 26.00 1.00 4.00 5.00 16.00 15.00 31.00 63.27 14.00 12.00 26.00 1.00 4.00 5.00 15.00 16.00 31 63.27 14.00 12.00 26.00 1.00 4.00 5.00 15.00 16.00 31 63.265

JUMLAH 752 216 172 388 39 36 75 255 208 463 61.57 220 171 391 39 37 76 259 208 467 62.1 208 173 381 37 38 75 248 212 460 61.17

Mengetahui MIRIT, 05 AGUSTUS 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KUNJUNGAN NEONATAL PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN AGUSTUS 2015
Kunjungan Neonatal
SASA I II III
NO NAMA DESA RAN
BAYI Abs Bln Lalu Bulan ini ABS Abs Bln Lalu Bulan Ini ABS Abs Bln Lalu Bulan Ini ABS
% % %
L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 22 9.00 6.00 15.00 2.00 3.00 5.00 11.00 9.00 20.00 90.91 9.00 6.00 15.00 2.00 3.00 5.00 11.00 9.00 20 90.91 9.00 6.00 15.00 2.00 3.00 5.00 11.00 9.00 20 90.909
2 Tlogodepok 47 8.00 14.00 22.00 3.00 2.00 5.00 11.00 16.00 27.00 57.45 8.00 14.00 22.00 3.00 2.00 5.00 11.00 16.00 27 57.45 8.00 14.00 22.00 3.00 2.00 5.00 11.00 16.00 27 57.447
3 Mirit 27 8.00 5.00 13.00 3.00 2.00 5.00 11.00 7.00 18.00 66.67 8.00 4.00 12.00 3.00 2.00 5.00 11.00 6.00 17 63 8.00 4.00 12.00 3.00 2.00 5.00 11.00 6.00 17 62.963
4 Tlogopragoto 28 11.00 9.00 20.00 2.00 3.00 5.00 13.00 12.00 25.00 89.29 11.00 9.00 20.00 2.00 3.00 5.00 13.00 12.00 25 89.29 11.00 9.00 20.00 2.00 3.00 5.00 13.00 12.00 25 89.286
5 Lembupurwo 65 31.00 11.00 42.00 4.00 3.00 7.00 35.00 14.00 49.00 75.38 31.00 11.00 42.00 4.00 3.00 7.00 35.00 14.00 49 75.38 25.00 11.00 36.00 4.00 3.00 7.00 29.00 14.00 43 66.154
6 Wiromartan 30 14.00 10.00 24.00 2.00 1.00 3.00 16.00 11.00 27.00 90 14.00 9.00 23.00 2.00 2.00 4.00 16.00 11.00 27 90 13.00 9.00 22.00 3.00 2.00 5.00 16.00 11.00 27 90
7 Rowo 30 8.00 6.00 14.00 2.00 1.00 3.00 10.00 7.00 17.00 56.67 8.00 6.00 14.00 2.00 1.00 3.00 10.00 7.00 17 56.67 8.00 6.00 14.00 2.00 1.00 3.00 10.00 7.00 17 56.667
8 Singoyudan 20 8.00 9.00 17.00 2.00 - 2.00 10.00 9.00 19.00 95 8.00 9.00 17.00 2.00 - 2.00 10.00 9.00 19 95 6.00 11.00 17.00 2.00 - 2.00 8.00 11.00 19 95
9 Wergonayan 36 14.00 10.00 24.00 4.00 5.00 9.00 18.00 15.00 33.00 91.67 14.00 10.00 24.00 4.00 5.00 9.00 18.00 15.00 33 91.67 14.00 10.00 24.00 4.00 5.00 9.00 18.00 15.00 33 91.667
10 Selotumpeng 44 18.00 7.00 25.00 2.00 3.00 5.00 20.00 10.00 30.00 68.18 18.00 7.00 25.00 2.00 3.00 5.00 20.00 10.00 30 68.18 18.00 7.00 25.00 2.00 3.00 5.00 20.00 10.00 30 68.182
11 Sitibentar 32 10.00 8.00 18.00 1.00 1.00 2.00 11.00 9.00 20.00 62.5 10.00 8.00 18.00 1.00 1.00 2.00 11.00 9.00 20 62.5 10.00 8.00 18.00 1.00 1.00 2.00 11.00 9.00 20 62.5
12 Karanggede 28 8.00 8.00 16.00 - 1.00 1.00 8.00 9.00 17.00 60.71 13.00 6.00 19.00 - 1.00 1.00 13.00 7.00 20 71.43 10.00 9.00 19.00 - 1.00 1.00 10.00 10.00 20 71.429
13 Kertodeso 48 14.00 9.00 23.00 2.00 1.00 3.00 16.00 10.00 26.00 54.17 14.00 9.00 23.00 2.00 1.00 3.00 16.00 10.00 26 54.17 14.00 9.00 23.00 2.00 1.00 3.00 16.00 10.00 26 54.167
14 Patukrejomulyo 22 10.00 3.00 13.00 2.00 2.00 4.00 12.00 5.00 17.00 77.27 10.00 3.00 13.00 2.00 2.00 4.00 12.00 5.00 17 77.27 10.00 3.00 13.00 2.00 2.00 4.00 12.00 5.00 17 77.273
15 Mangunranan 36 14.00 15.00 29.00 - - - 14.00 15.00 29.00 80.56 14.00 15.00 29.00 - - - 14.00 15.00 29 80.56 14.00 15.00 29.00 - - - 14.00 15.00 29 80.556
16 Pekutan 30 14.00 7.00 21.00 1.00 2.00 3.00 15.00 9.00 24.00 80 15.00 7.00 22.00 1.00 2.00 3.00 16.00 9.00 25 83.33 14.00 8.00 22.00 1.00 2.00 3.00 15.00 10.00 25 83.333
17 Wirogaten 46 11.00 12.00 23.00 - 5.00 5.00 11.00 17.00 28.00 60.87 11.00 12.00 23.00 - 5.00 5.00 11.00 17.00 28 60.87 11.00 12.00 23.00 - 5.00 5.00 11.00 17.00 28 60.87
18 Winong 23 5.00 11.00 16.00 - 1.00 1.00 5.00 12.00 17.00 73.91 5.00 11.00 16.00 1.00 1.00 2.00 6.00 12.00 18 78.26 5.00 11.00 16.00 1.00 1.00 2.00 6.00 12.00 18 78.261
19 Sarwogadung 46 11.00 13.00 24.00 - 1.00 1.00 11.00 14.00 25.00 54.35 11.00 13.00 24.00 - 1.00 1.00 11.00 14.00 25 54.35 11.00 13.00 24.00 - 1.00 1.00 11.00 14.00 25 54.348
20 Krubungan 14 6.00 6.00 12.00 - 1.00 1.00 6.00 7.00 13.00 92.86 6.00 6.00 12.00 - 1.00 1.00 6.00 7.00 13 92.86 6.00 6.00 12.00 - 1.00 1.00 6.00 7.00 13 92.857
21 Patukgawemulyo 29 13.00 12.00 25.00 3.00 - 3.00 16.00 12.00 28.00 96.55 12.00 11.00 23.00 3.00 - 3.00 15.00 11.00 26 89.66 13.00 13.00 26.00 2.00 - 2.00 15.00 13.00 28 96.552
22 Ngabean 49 16.00 15.00 31.00 2.00 4.00 6.00 18.00 19.00 37.00 75.51 15.00 16.00 31.00 2.00 4.00 6.00 17.00 20.00 37 75.51 15.00 16.00 31.00 2.00 4.00 6.00 17.00 20.00 37 75.51

JUMLAH 752 261 206 467 37 42 79 298 248 546 72.61 265 202 467 38 43 81 303 245 548 72.87 253 210 463 38 43 81 291 253 544 72.34

Mengetahui MIRIT, 05 SEPTEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KUNJUNGAN NEONATAL PROGRAM KESEHATAN IBU DAN ANAK
UPT UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN

BULAN SEPTEMBER 2015

Kunjungan Neonatal
SASA I II III
NO NAMA DESA RAN
BAYI Abs Bln Lalu Bulan ini ABS Abs Bln Lalu Bulan Ini ABS Abs Bln Lalu Bulan Ini ABS
% % %
L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 22 12 8 20 1.00 - 1.00 13 8 21 95.45 12 8 20 1 0 1 13 8 21 95.45 12 8 20 1 0 1 13 8 21 95.455

2 Tlogodepok 43 12 15 27 4 4 8 16 19 35 81.4 12 15 27 4 4 8 16 19 35 81.4 12 15 27 4 4 8 16 19 35 81.395
3 Mirit 27 11 7 18 1 0 1 12 7 19 70.37 11 6 17 1 0 1 12 6 18 66.67 11 6 17 1 0 1 12 6 18 66.667
4 Tlogopragoto 28 13 12 25 2 1 3 15 13 28 100 13 12 25 2 1 3 15 13 28 100 13 12 25 2 1 3 15 13 28 100
5 Lembupurwo 65 35 15 50 2 4 6 37 19 56 86.15 35 15 50 2 4 6 37 19 56 86.15 29 11 40 1 3 4 29 14 43 66.154
6 Wiromartan 30 16 11 27 3 0 3 19 11 30 100 16 11 27 2 0 2 18 11 29 96.67 16 11 27 2 0 2 18 11 29 96.667
7 Rowo 30 10 7 17 4 3 7 14 10 24 80 10 7 17 4 3 7 14 10 24 80 10 7 17 4 3 7 14 10 24 80
8 Singoyudan 20 11 8 19 2 0 2 13 8 21 105 11 8 19 2 0 2 13 8 21 105 11 8 19 2 0 2 13 8 21 105
9 Wergonayan 36 18 15 33 3 2 5 21 17 38 106 18 15 33 3 2 5 21 17 38 106 18 15 33 3 2 5 21 17 38 105.56
10 Selotumpeng 44 20 10 30 3 1 4 23 11 34 77.27 20 10 30 3 1 4 23 11 34 77.27 20 10 30 3 1 4 23 11 34 77.273
11 Sitibentar 30 11 9 20 4 2 6 15 11 26 86.67 11 9 20 4 2 6 15 11 26 86.67 11 9 20 4 2 6 15 11 26 86.667
12 Karanggede 28 8 9 17 0 1 1 8 10 18 64.29 13 7 20 0 1 1 13 8 21 75 10 10 20 0 1 1 10 11 21 75
13 Kertodeso 46 18 10 28 5 2 7 23 12 35 76.09 18 10 28 5 2 7 23 12 35 76.09 18 10 28 5 2 7 23 12 35 76.087
14 Patukrejomulyo 22 12 5 17 0 2 2 12 7 19 86.36 12 5 17 0 2 2 12 7 19 86.36 12 5 17 0 2 2 12 7 19 86.364
15 Mangunranan 40 14 15 29 1 5 6 15 20 35 87.5 14 15 29 1 5 6 15 20 35 87.5 14 15 29 1 5 6 15 20 35 87.5
16 Pekutan 30 15 9 24 0 1 1 15 10 25 83.33 16 9 25 0 1 1 16 10 26 86.67 15 10 25 0 1 1 15 11 26 86.667
17 Wirogaten 44 11 18 29 1 3 4 12 21 33 75 11 18 29 1 3 4 12 21 33 75 11 18 29 1 3 4 12 21 33 75
18 Winong 23 6 12 18 0 0 0 6 12 18 78.26 6 12 18 0 0 0 6 12 18 78.26 6 12 18 0 0 0 6 12 18 78.261
19 Sarwogadung 46 14 15 29 4 2 6 18 17 35 76.09 14 15 29 4 2 6 18 17 35 76.09 14 15 29 4 2 6 18 17 35 76.087
20 Krubungan 16 6 7 13 0 0 0 6 7 13 81.25 6 7 13 0 0 0 6 7 13 81.25 6 7 13 0 0 0 6 7 13 81.25
21 Patukgawemulyo 33 18 10 28 0 7 7 18 17 35 106 18 10 28 0 7 7 18 17 35 106 20 8 28 0 5 5 20 13 33 100
22 Ngabean 49 18 19 37 3 1 4 21 20 41 83.67 18 20 38 2 1 3 20 21 41 83.67 17 20 37 2 1 3 19 21 40 81.633
JUMLAH 752 309 246 555 43 41 84 352 287 639 85 315 244 559 41 41 82 356 285 641 85.24 306 242 548 40 38 78 345 280 625 83.112

Mengetahui MIRIT, 02 OKTOBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KUNJUNGAN NEONATAL PROGRAM KESEHATAN IBU DAN ANAK
UPTD UNIT PUSKESMAS MIRIT, KEBUMEN
0
BULAN OKTOBER 2015
Kunjungan Neonatal
SASA I II III
NO NAMA DESA RAN
BAYI Abs Bln Lalu Bulan ini ABS Abs Bln Lalu Bulan Ini ABS Abs Bln Lalu Bulan Ini ABS
% % %
L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 22 13.00 8.00 21.00 - - - 13.00 8.00 21.00 95.45 13.00 8.00 21.00 - - - 13.00 8.00 21 95.45 13.00 8.00 21.00 - - - 13.00 8.00 21 95.455
2 Tlogodepok 43 16.00 19.00 35.00 1.00 2.00 3.00 17.00 21.00 38.00 88.37 16.00 19.00 35.00 1.00 2.00 3.00 17.00 21.00 38 88.37 16.00 19.00 35.00 1.00 2.00 3.00 17.00 21.00 38 88.372
3 Mirit 27 12.00 7.00 19.00 2.00 1.00 3.00 14.00 8.00 22.00 81.48 12.00 6.00 18.00 2.00 1.00 3.00 14.00 7.00 21 77.78 12.00 6.00 18.00 2.00 1.00 3.00 14.00 7.00 21 77.778
4 Tlogopragoto 28 15.00 13.00 28.00 - 1.00 1.00 15.00 14.00 29.00 104 15.00 13.00 28.00 - 1.00 1.00 15.00 14.00 29 104 15.00 13.00 28.00 - 1.00 1.00 15.00 14.00 29 103.57

5 Lembupurwo 65 37.00 19.00 56.00 2.00 4.00 6.00 39.00 23.00 62.00 95.38 37.00 19.00 56.00 3.00 4.00 7.00 40.00 23.00 63 96.92 29.00 14.00 43.00 1.00 3.00 4.00 30.00 17.00 47 72.308
6 Wiromartan 30 19.00 11.00 30.00 - 2.00 2.00 19.00 13.00 32.00 107 18.00 11.00 29.00 1.00 2.00 3.00 19.00 13.00 32 107 18.00 11.00 29.00 1.00 1.00 2.00 19.00 12.00 31 103.33
7 Rowo 30 14.00 10.00 24.00 - 1.00 1.00 14.00 11.00 25.00 83.33 14.00 10.00 24.00 - 1.00 1.00 14.00 11.00 25 83.33 14.00 10.00 24.00 - 1.00 1.00 14.00 11.00 25 83.333
8 Singoyudan 20 13.00 8.00 21.00 3.00 1.00 4.00 16.00 9.00 25.00 125 13.00 8.00 21.00 3.00 1.00 4.00 16.00 9.00 25 125 13.00 8.00 21.00 3.00 1.00 4.00 16.00 9.00 25 125
9 Wergonayan 36 21.00 17.00 38.00 2.00 - 2.00 23.00 17.00 40.00 111 21.00 17.00 38.00 2.00 - 2.00 23.00 17.00 40 111 21.00 17.00 38.00 2.00 - 2.00 23.00 17.00 40 111.11
10 Selotumpeng 44 23.00 11.00 34.00 - 2.00 2.00 23.00 13.00 36.00 81.82 23.00 11.00 34.00 - 2.00 2.00 23.00 13.00 36 81.82 23.00 11.00 34.00 - 2.00 2.00 23.00 13.00 36 81.818
11 Sitibentar 30 15.00 11.00 26.00 3.00 - 3.00 18.00 11.00 29.00 96.67 15.00 11.00 26.00 3.00 - 3.00 18.00 11.00 29 96.67 15.00 11.00 26.00 3.00 - 3.00 18.00 11.00 29 96.667
12 Karanggede 28 8.00 10.00 18.00 1.00 2.00 3.00 9.00 12.00 21.00 75 13.00 8.00 21.00 1.00 2.00 3.00 14.00 10.00 24 85.71 10.00 11.00 21.00 1.00 2.00 3.00 11.00 13.00 24 85.714
13 Kertodeso 46 23.00 12.00 35.00 2.00 3.00 5.00 25.00 15.00 40.00 87 23.00 12.00 35.00 2.00 3.00 5.00 25.00 15.00 40 87 23.00 12.00 35.00 2.00 3.00 5.00 25.00 15.00 40 86.957
14 Patukrejomulyo 22 12.00 7.00 19.00 1.00 - 1.00 13.00 7.00 20.00 90.91 12.00 7.00 19.00 1.00 - 1.00 13.00 7.00 20 90.91 12.00 7.00 19.00 1.00 - 1.00 13.00 7.00 20 90.909

15 Mangunranan 40 15.00 20.00 35.00 3.00 - 3.00 18.00 20.00 38.00 95 15.00 20.00 35.00 3.00 - 3.00 18.00 20.00 38 95 15.00 20.00 35.00 3.00 - 3.00 18.00 20.00 38 95

16 Pekutan 30 15.00 10.00 25.00 1.00 1.00 2.00 16.00 11.00 27.00 90 16.00 10.00 26.00 1.00 1.00 2.00 17.00 11.00 28 93.33 15.00 11.00 26.00 1.00 1.00 2.00 16.00 12.00 28 93.333

17 Wirogaten 44 12.00 21.00 33.00 1.00 3.00 4.00 13.00 24.00 37.00 84.09 12.00 21.00 33.00 1.00 3.00 4.00 13.00 24.00 37 84.09 12.00 21.00 33.00 1.00 3.00 4.00 13.00 24.00 37 84.091

18 Winong 23 6.00 12.00 18.00 1.00 1.00 2.00 7.00 13.00 20.00 87 6.00 12.00 18.00 1.00 1.00 2.00 7.00 13.00 20 87 6.00 12.00 18.00 1.00 1.00 2.00 7.00 13.00 20 86.957

19 Sarwogadung 46 18.00 17.00 35.00 4.00 4.00 8.00 22.00 21.00 43.00 93.48 18.00 17.00 35.00 4.00 4.00 8.00 22.00 21.00 43 93.48 18.00 17.00 35.00 4.00 4.00 8.00 22.00 21.00 43 93.478

20 Krubungan 16 6.00 7.00 13.00 1.00 1.00 2.00 7.00 8.00 15.00 93.75 6.00 7.00 13.00 1.00 1.00 2.00 7.00 8.00 15 93.75 6.00 7.00 13.00 1.00 1.00 2.00 7.00 8.00 15 93.75

21 Patukgawemulyo 33 18.00 17.00 35.00 2.00 6.00 8.00 20.00 23.00 43.00 130 18.00 17.00 35.00 2.00 6.00 8.00 20.00 23.00 43 130 20.00 13.00 33.00 1.00 5.00 6.00 21.00 18.00 39 118.18

22 Ngabean 49 21.00 20.00 41.00 1.00 1.00 2.00 22.00 21.00 43.00 87.76 20.00 21.00 41.00 1.00 1.00 2.00 21.00 22.00 43 87.76 19.00 21.00 40.00 1.00 1.00 2.00 20.00 22.00 42 85.714

JUMLAH 752 352 287 639 31 36 67 383 323 706 93.9 356 285 641 33 36 69 389 321 710 94.41 345 280 625 30 33 63 375 313 688 91.49

Mengetahui MIRIT, 04 NOVEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN KUNJUNGAN NEONATAL PROGRAM KESEHATAN IBU DAN ANAK

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN NOVEMBER 2015
Kunjungan Neonatal
SAS I II III
NO NAMA DESA
BAYI Abs Bln Lalu Bulan ini ABS Abs Bln Lalu Bulan Ini ABS Abs Bln Lalu Bulan Ini ABS
% % %
L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 22 13.00 8.00 21.00 - - - 13.00 8.00 21.00 95.45 13.00 8.00 21.00 - - - 13.00 8.00 21 95.45 13.00 8.00 21.00 - - - 13.00 8.00 21 95.455
2 Tlogodepok 43 17.00 21.00 38.00 2.00 1.00 3.00 19.00 22.00 41.00 95.35 17.00 21.00 38.00 2.00 1.00 3.00 19.00 22.00 41 95.35 17.00 21.00 38.00 2.00 1.00 3.00 19.00 22.00 41 95.349
3 Mirit 27 14.00 8.00 22.00 2.00 1.00 3.00 16.00 9.00 25.00 92.59 14.00 8.00 22.00 2.00 1.00 3.00 16.00 9.00 25 92.59 14.00 8.00 22.00 2.00 1.00 3.00 16.00 9.00 25 92.593
4 Tlogopragoto 28 15.00 14.00 29.00 - - - 15.00 14.00 29.00 104 15.00 14.00 29.00 - - - 15.00 14.00 29 104 15.00 14.00 29.00 - - - 15.00 14.00 29 103.57
5 Lembupurwo 65 39.00 23.00 62.00 3.00 5.00 8.00 42.00 28.00 70.00 108 40.00 23.00 63.00 3.00 4.00 7.00 43.00 27.00 70 108 30.00 17.00 47.00 3.00 4.00 7.00 33.00 21.00 54 83.077
6 Wiromartan 30 19.00 13.00 32.00 2.00 2.00 4.00 21.00 15.00 36.00 120 19.00 13.00 32.00 2.00 3.00 5.00 21.00 16.00 37 123 19.00 12.00 31.00 2.00 3.00 5.00 21.00 15.00 36 120
7 Rowo 30 14.00 11.00 25.00 5.00 - 5.00 19.00 11.00 30.00 100 14.00 11.00 25.00 5.00 - 5.00 19.00 11.00 30 100 14.00 11.00 25.00 5.00 - 5.00 19.00 11.00 30 100
8 Singoyudan 20 16.00 9.00 25.00 1.00 1.00 2.00 17.00 10.00 27.00 135 16.00 9.00 25.00 2.00 1.00 3.00 18.00 10.00 28 140 16.00 9.00 25.00 2.00 1.00 3.00 18.00 10.00 28 140
9 Wergonayan 36 23.00 17.00 40.00 2.00 - 2.00 25.00 17.00 42.00 117 23.00 17.00 40.00 2.00 - 2.00 25.00 17.00 42 117 23.00 17.00 40.00 2.00 - 2.00 25.00 17.00 42 116.67
10 Selotumpeng 44 23.00 13.00 36.00 3.00 3.00 6.00 26.00 16.00 42.00 95.45 23.00 13.00 36.00 3.00 3.00 6.00 26.00 16.00 42 95.45 23.00 13.00 36.00 3.00 3.00 6.00 26.00 16.00 42 95.455
11 Sitibentar 30 18.00 11.00 29.00 2.00 1.00 3.00 20.00 12.00 32.00 107 18.00 11.00 29.00 2.00 1.00 3.00 20.00 12.00 32 107 18.00 11.00 29.00 2.00 1.00 3.00 20.00 12.00 32 106.67
12 Karanggede 28 9.00 12.00 21.00 2.00 1.00 3.00 11.00 13.00 24.00 85.71 14.00 10.00 24.00 2.00 1.00 3.00 16.00 11.00 27 96.43 11.00 13.00 24.00 2.00 1.00 3.00 13.00 14.00 27 96.429
13 Kertodeso 46 25.00 15.00 40.00 2.00 1.00 3.00 27.00 16.00 43.00 93.48 25.00 15.00 40.00 2.00 1.00 3.00 27.00 16.00 43 93.48 25.00 15.00 40.00 2.00 1.00 3.00 27.00 16.00 43 93.478
14 Patukrejomulyo 22 13.00 7.00 20.00 1.00 1.00 2.00 14.00 8.00 22.00 100 13.00 7.00 20.00 1.00 1.00 2.00 14.00 8.00 22 100 13.00 7.00 20.00 1.00 1.00 2.00 14.00 8.00 22 100
15 Mangunranan 40 18.00 20.00 38.00 3.00 - 3.00 21.00 20.00 41.00 102.5 18.00 20.00 38.00 3.00 - 3.00 21.00 20.00 41 102.5 18.00 20.00 38.00 3.00 - 3.00 21.00 20.00 41 102.5
16 Pekutan 30 16.00 11.00 27.00 2.00 1.00 3.00 18.00 12.00 30.00 100 17.00 11.00 28.00 2.00 1.00 3.00 19.00 12.00 31 103 16.00 12.00 28.00 2.00 1.00 3.00 18.00 13.00 31 103.33
17 Wirogaten 44 13.00 24.00 37.00 3.00 4.00 7.00 16.00 28.00 44.00 100 13.00 24.00 37.00 3.00 4.00 7.00 16.00 28.00 44 100 13.00 24.00 37.00 3.00 4.00 7.00 16.00 28.00 44 100
18 Winong 23 7.00 13.00 20.00 1.00 3.00 4.00 8.00 16.00 24.00 104 7.00 13.00 20.00 1.00 3.00 4.00 8.00 16.00 24 104 7.00 13.00 20.00 1.00 3.00 4.00 8.00 16.00 24 104.35
19 Sarwogadung 46 22.00 21.00 43.00 3.00 2.00 5.00 25.00 23.00 48.00 104 22.00 21.00 43.00 3.00 2.00 5.00 25.00 23.00 48 104 22.00 21.00 43.00 3.00 2.00 5.00 25.00 23.00 48 104.35
20 Krubungan 16 7.00 8.00 15.00 2.00 1.00 3.00 9.00 9.00 18.00 112.5 7.00 8.00 15.00 2.00 1.00 3.00 9.00 9.00 18 112.5 7.00 8.00 15.00 2.00 1.00 3.00 9.00 9.00 18 112.5
21 Patukgawemulyo 33 20.00 23.00 43.00 - - - 20.00 23.00 43.00 130 20.00 23.00 43.00 - - - 20.00 23.00 43 130 21.00 18.00 39.00 1.00 3.00 4.00 22.00 21.00 43 130.3
22 Ngabean 49 22.00 20.00 42.00 3.00 2.00 5.00 25.00 22.00 47.00 95.92 22.00 20.00 42.00 3.00 2.00 5.00 25.00 22.00 47 95.92 22.00 20.00 42.00 3.00 2.00 5.00 25.00 22.00 47 95.918
JUMLAH 752 383 322 705 44 30 74 427 352 779 104 390 320 710 45 30 75 435 350 785 104 377 312 689 46 33 79 423 345 768 102.13

Mengetahui MIRIT, 04 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KUNJUNGAN NEONATAL PROGRAM KESEHATAN IBU DAN ANAK
UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN DESEMBER 2015
Kunjungan Neonatal
SASA I II III
NO NAMA DESA RAN
BAYI Abs Bln Lalu Bulan ini ABS Abs Bln Lalu Bulan Ini ABS Abs Bln Lalu Bulan Ini ABS
% % %
L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 22 13.00 8.00 21.00 - 2.00 2.00 13 10 23.00 105 13.00 8.00 21.00 - 2.00 2.00 13.00 10.00 23 105 13.00 8.00 21.00 - 2.00 2.00 13 10 23 104.55
2 Tlogodepok 43 19.00 22.00 41.00 2.00 3.00 5.00 21 25 46.00 107 19.00 22.00 41.00 2.00 3.00 5.00 21.00 25.00 46 107 19.00 22.00 41.00 2.00 3.00 5.00 21 25 46 107
3 Mirit 27 16.00 9.00 25.00 - 1.00 1.00 16 10 26.00 96.3 16.00 9.00 25.00 - 1.00 1.00 16.00 10.00 26 96.3 16.00 9.00 25.00 - 1.00 1.00 16 10 26 96.296
4 Tlogopragoto 28 15.00 14.00 29.00 1.00 - 1.00 16 14 30.00 107 15.00 14.00 29.00 1.00 - 1.00 16.00 14.00 30 107 15.00 14.00 29.00 1.00 - 1.00 16 14 30 107.14
5 Lembupurwo 65 35.00 31.00 66.00 1.00 2.00 3.00 36 33 69.00 106 35.00 31.00 66.00 1.00 2.00 3.00 36.00 33.00 69 106 35.00 31.00 66.00 1.00 2.00 3.00 36 33 69 106.15
6 Wiromartan 30 21.00 15.00 36.00 1.00 1.00 2.00 22 16 38.00 127 21.00 16.00 37.00 1.00 1.00 2.00 22.00 17.00 39 130 21.00 15.00 36.00 1.00 1.00 2.00 22 16 38 126.67
7 Rowo 30 19.00 11.00 30.00 3.00 - 3.00 22 11 33.00 110 19.00 11.00 30.00 3.00 - 3.00 22.00 11.00 33 110 19.00 11.00 30.00 3.00 - 3.00 22 11 33 110
8 Singoyudan 20 17.00 10.00 27.00 - - - 17 10 27.00 135 18.00 10.00 28.00 - - - 18.00 10.00 28 140 18.00 10.00 28.00 - - - 18 10 28 140
9 Wergonayan 36 25.00 17.00 42.00 1.00 - 1.00 26 17 43.00 119 25.00 17.00 42.00 1.00 - 1.00 26.00 17.00 43 119 25.00 17.00 42.00 1.00 - 1.00 26 17 43 119.44
10 Selotumpeng 44 26.00 16.00 42.00 - 3.00 3.00 26 19 45.00 102 26.00 16.00 42.00 - 3.00 3.00 26.00 19.00 45 102 26.00 16.00 42.00 - 3.00 3.00 26 19 45 102.27
11 Sitibentar 30 20.00 12.00 32.00 2.00 1.00 3.00 22 13 35.00 117 20.00 12.00 32.00 2.00 1.00 3.00 22.00 13.00 35 117 20.00 12.00 32.00 2.00 1.00 3.00 22 13 35 116.67
12 Karanggede 28 11.00 13.00 24.00 - 1.00 1.00 11 14 25.00 89.29 16.00 11.00 27.00 - 1.00 1.00 16.00 12.00 28 100 13.00 14.00 27.00 - 1.00 1.00 13 15 28 100
13 Kertodeso 46 27.00 16.00 43.00 2.00 1.00 3.00 29 17 46.00 100 27.00 16.00 43.00 2.00 1.00 3.00 29.00 17.00 46 100 27.00 16.00 43.00 2.00 1.00 3.00 29 17 46 100
14 Patukrejomulyo 22 14.00 8.00 22.00 - 1.00 1.00 14 9 23.00 105 14.00 8.00 22.00 - 1.00 1.00 14.00 9.00 23 105 14.00 8.00 22.00 - 1.00 1.00 14 9 23 104.55
15 Mangunranan 40 21.00 20.00 41.00 6.00 1.00 7.00 27 21 48.00 120 21.00 20.00 41.00 6.00 1.00 7.00 27.00 21.00 48 120 21.00 20.00 41.00 6.00 1.00 7.00 27 21 48 120
16 Pekutan 30 18.00 12.00 30.00 1.00 1.00 2.00 19 13 32.00 107 19.00 12.00 31.00 1.00 1.00 2.00 20.00 13.00 33 110 18.00 13.00 31.00 1.00 1.00 2.00 19 14 33 110
17 Wirogaten 44 16.00 28.00 44.00 1.00 - 1.00 17 28 45.00 102 16.00 28.00 44.00 1.00 - 1.00 17.00 28.00 45 102 16.00 28.00 44.00 - - - 16 28 44 100
18 Winong 23 8.00 16.00 24.00 - - - 8 16 24.00 104 8.00 16.00 24.00 - - - 8.00 16.00 24 104 8.00 16.00 24.00 - - - 8 16 24 104.35
19 Sarwogadung 46 25.00 23.00 48.00 1.00 2.00 3.00 26 25 51.00 111 25.00 23.00 48.00 1.00 2.00 3.00 26.00 25.00 51 111 25.00 23.00 48.00 1.00 2.00 3.00 26 25 51 110.87
20 Krubungan 16 9.00 9.00 18.00 - - - 9 9 18.00 112.5 9.00 9.00 18.00 - - - 9.00 9.00 18 112.5 9.00 9.00 18.00 - - - 9 9 18 112.5
21 Patukgawemulyo 33 20.00 23.00 43.00 - - - 20 23 43.00 130 20.00 23.00 43.00 - - - 20.00 23.00 43 130 22.00 21.00 43.00 - - - 22 21 43 130.3
22 Ngabean 49 25.00 22.00 47.00 - - - 25 22 47.00 95.92 25.00 22.00 47.00 - - - 25.00 22.00 47 95.92 25.00 22.00 47.00 - - - 25 22 47 95.918
JUMLAH 752 420 355 775 22 20 42 442 375 817 109 427 354 781 22 20 42 449 374 823 109 425 355 780 21 20 41 446 375 821 109.18

Mengetahui MIRIT, 23 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KUNJUNGAN NEONATAL PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN 2015
Kunjungan Neonatal
SASA I II III
NO NAMA DESA RAN
BAYI Abs Bln Lalu Bulan ini ABS Abs Bln Lalu Bulan Ini ABS Abs Bln Lalu Bulan Ini ABS
% % %
L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML L P JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 22

2 Tlogodepok 43

3 Mirit 27

4 Tlogopragoto 28

5 Lembupurwo 65 35.00 15.00 50.00 2.00 4.00 6.00 37.00 19.00 56.00 35.00 15.00 50.00 2.00 4.00 6.00 37.00 19.00 56 29.00 11.00 40.00 1.00 3.00 4.00 29.00 14.00 43

6 Wiromartan 30

7 Rowo 30

8 Singoyudan 20

9 Wergonayan 36

10 Selotumpeng 44 20.00 10.00 30.00 3.00 1.00 4.00 23.00 11.00 34.00 20.00 10.00 30.00 3.00 1.00 4.00 23.00 11.00 34 20.00 10.00 30.00 3.00 1.00 4.00 23.00 11.00 34

11 Sitibentar 30

12 Karanggede 28

13 Kertodeso 46

14 Patukrejomulyo 22

15 Mangunranan 40

16 Pekutan 30

17 Wirogaten 44

18 Winong 23

19 Sarwogadung 46 14.00 15.00 29.00 4.00 2.00 6.00 18.00 17.00 35.00 14.00 15.00 29.00 4.00 2.00 6.00 18.00 17.00 35 14.00 15.00 29.00 4.00 2.00 6.00 18.00 17.00 35

20 Krubungan 16

21 Patukgawemulyo 33

22 Ngabean 49

752
JUMLAH
 LAPORAN PERSALINAN , KUNJUNGAN NIFAS PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN JANUARI 2015
PENOLONG PERSALINAN TEMPAT PERSALINAN Kunjungan Nifas
JML Vit A Nifas
DOKTER BIDAN DUKUN TOTA FASKES NON FASKES I II III
SASA
L
NO NAMA PUSKESMAS RAN
Abs Abs Abs PER Abs Abs Abs Abs Abs
BU LIN Bln Bln Bln Abs Bln Bln Bln Bln Bln
Bln Jml Bln Jml Bln Jml SALI Bln ini Jml % Bln Bln ini Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml %
ini ini ini NAN Lalu ini ini ini ini
Lalu Lalu Lalu Lalu Lalu Lalu Lalu Lalu
1 2 3 4 5 6 7 8 9 10 11 12 13 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33
1 Miritpetkusan 23.1 1 1 3 3 0 0 4 4.0 4.0 100 - - 0 4 4 17.3 4 4 17.3 3 3 13.0 7 7 30.3
2 Tlogodepok 49.35 0 0 3 3 0 0 3 3.0 3.0 100 - - 0 3 3 6.1 3 3 6.1 3 3 6.1 6 6 12.2
3 Mirit 28.35 1 1 0 0 0 0 1 1.0 1.0 100 - - 0 1 1 3.5 1 1 3.5 0 0 - 1 1 3.5
4 Tlogopragoto 29.4 1 1 2 2 0 3 3.0 3.0 100 - - 0 3 3 10.2 3 3 10.2 3 3 10.2 6 6 20.4
5 Lembupurwo 68.25 1 1 2 2 0 0 3 3.0 3.0 100 - - 0 3 3 4.4 3 3 4.4 0 0 - 3 3 4.4
6 Wiromartan 31.5 0 0 1 1 0 0 1 1.0 1.0 100 - - 0 1 1 3.2 1 1 3.2 2 2 6.3 1 1 3.2
7 Rowo 31.5 1 1 2 2 0 0 3 3.0 3.0 100 - - 0 3 3 9.5 3 3 9.5 2 2 6.3 5 5 15.9
8 Singoyudan 21 2 2 1 1 0 0 3 3.0 3.0 100 - - 0 3 3 14.3 3 3 14.3 3 3 14.3 6 6 28.6
9 Wergonayan 37.8 0 0 0 0 0 0 0 - - ### - - ### 0 0 - 0 0 - 0 0 - 0 0 -
10 Selotumpeng 46.2 0 0 4 4 0 0 4 4.0 4.0 100 - - 0 4 4 8.7 4 4 8.7 0 0 - 4 4 8.7
11 Sitibentar 33.6 0 0 1 1 0 0 1 1.0 1.0 100 - - 0 1 1 3.0 1 1 3.0 1 1 3.0 2 2 6.0
12 Karanggede 29.4 2 2 5 5 0 0 7 7.0 7.0 100 - - 0 6 6 20.4 3 3 10.2 4 4 13.6 7 7 23.8
13 Kertodeso 50.4 0 0 3 3 0 0 3 3.0 3.0 100 - - 0 3 3 6.0 1 1 2.0 1 1 2.0 2 2 4.0
14 Patukrejomulyo 23.1 0 0 3 3 0 0 3 3.0 3.0 100 - - 0 3 3 13.0 3 3 13.0 3 3 13.0 6 6 26.0
15 Mangunranan 37.8 0 0 4 4 0 0 4 4.0 4.0 100 - - 0 4 4 10.6 4 4 10.6 2 2 5.3 6 6 15.9
16 Pekutan 31.5 0 0 2 2 0 0 2 2.0 2.0 100 - - 0 2 2 6.3 2 2 6.3 1 1 3.2 3 3 9.5
17 Wirogaten 48.3 0 0 0 0 0 0 0 - - ### - - ### 0 0 - 0 0 - 0 0 - 0 0 -
18 Winong 24.15 0 0 4 4 0 0 4 4.0 4.0 100 - - 0 4 4 16.6 4 4 16.6 4 4 16.6 8 8 33.1
19 Sarwogadung 48.3 1 1 1 1 0 0 2 2.0 2.0 100 - - 0 2 2 4.1 2 2 4.1 2 2 4.1 4 4 8.3
20 Krubungan 14.7 1 1 1 1 0 0 2 2.0 2.0 100 - - 0 2 2 13.6 1 1 6.8 1 1 6.8 2 2 13.6
21 Patukgawemuly 30.45 0 0 2 2 0 0 2 2.0 2.0 100 - - 0 2 2 6.6 2 2 6.6 2 2 6.6 4 4 13.1
22 Ngabean 51.45 0 0 0 0 0 0 0 - - ### - - ### 0 0 - 0 - 0 0 - 0 0 -
Jumlah 789.6 0 11 11 0 44 44 0 0 0 55 0 55 55 100 0 0 0 ### 0 54 54 177.297 0 48 48 156.3216 0 37 37 130.347 0 83 83 280.32

Mengetahui MIRIT, 9 FEBRUARI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN PERSALINAN , KUNJUNGAN NIFAS PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN FEBRUARI 2015
PENOLONG PERSALINAN TEMPAT PERSALINAN Kunjungan Nifas
JML Vit A Nifas
DOKTER BIDAN DUKUN TOTA FASKES NON FASKES I II III
SASA
L
NO NAMA PUSKESMAS RAN
Abs Abs Abs PER Abs Abs Abs Abs Abs
BU LIN Bln Bln Bln Abs Bln Bln Bln Bln Bln
Bln Jml Bln Jml Bln Jml SALI Bln ini Jml % Bln Bln ini Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml %
ini ini ini NAN Lalu ini ini ini ini
Lalu Lalu Lalu Lalu Lalu Lalu Lalu Lalu
1 2 3 4 5 6 7 8 9 10 11 12 13 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 23.1 1 1 2 3 0 3 0 0 0 5 4.0 1.0 5.0 100 - - 0 4 1 5 21.6 4 1 5 21.6 3 1 4 17.3 7 1 8 34.6
2 Tlogodepok 49.35 0 1 1 3 2 5 0 0 0 6 3.0 3.0 6.0 100 - - - 0 3 3 6 12.2 3 3 6 12.2 3 3 6 12.2 6 3 9 18.2
3 Mirit 28.35 1 1 2 0 0 0 0 0 0 2 1.0 1.0 2.0 100 - - - 0 1 1 2 7.1 1 1 2 7.1 0 1 1 3.5 1 1 2 7.1
4 Tlogopragoto 29.4 1 0 1 2 1 3 0 0 0 4 3.0 1.0 4.0 100 - - 0 3 1 4 13.6 3 1 4 13.6 3 1 4 13.6 6 1 7 23.8
5 Lembupurwo 68.25 1 0 1 2 5 7 0 0 0 8 3.0 5.0 8.0 100 - - 0 3 5 8 11.7 3 5 8 11.7 0 5 5 7.3 3 5 8 11.7
6 Wiromartan 31.5 0 2 2 1 3 4 0 0 0 6 1.0 5.0 6.0 100 - - - 0 1 5 6 19.0 1 4 5 15.9 2 5 7 22.2 1 5 6 19.0
7 Rowo 31.5 1 1 2 2 1 3 0 0 0 5 3.0 2.0 5.0 100 - - - 0 3 2 5 15.9 3 2 5 15.9 2 2 4 12.7 3 2 5 15.9
8 Singoyudan 21 2 0 2 1 0 1 0 0 0 3 3.0 - 3.0 100 - - 0 3 0 3 14.3 3 0 3 14.3 3 0 3 14.3 6 0 6 28.6
9 Wergonayan 37.8 0 1 1 0 3 3 0 0 0 4 - 4.0 4.0 100 - - 0 0 4 4 10.6 0 4 4 10.6 0 4 4 10.6 0 4 4 10.6
10 Selotumpeng 46.2 0 1 1 4 1 5 0 0 0 6 4.0 2.0 6.0 100 - - - 0 4 2 6 13.0 4 2 6 13.0 4 0 4 8.7 4 2 6 13.0
11 Sitibentar 33.6 0 2 2 1 0 1 0 0 0 3 1.0 2.0 3.0 100 - - 0 1 2 3 8.9 1 2 3 8.9 1 2 3 8.9 1 2 3 8.9
12 Karanggede 29.4 2 0 2 5 1 6 0 0 0 8 7.0 1.0 8.0 100 - - 0 6 2 8 27.2 3 3 6 20.4 4 6 10 34.0 7 1 8 27.2
13 Kertodeso 50.4 0 0 0 3 4 7 0 0 0 7 3.0 4.0 7.0 100 - - 0 3 3 6.0 1 4 5 9.9 1 5 6 11.9 2 4 6 11.9
14 Patukrejomulyo 23.1 0 1 1 3 0 3 0 0 0 4 3.0 1.0 4.0 100 - - - 0 3 1 4 17.3 3 1 4 17.3 3 1 4 17.3 6 1 7 30.3
15 Mangunranan 37.8 0 0 0 4 2 6 0 0 0 6 4.0 5.0 9.0 150 - - - 0 4 2 6 15.9 4 2 6 15.9 2 4 6 15.9 4 2 6 15.9
16 Pekutan 31.5 0 0 0 2 2 4 0 0 0 4 2.0 2.0 4.0 100 - - - 0 2 2 4 12.7 2 2 4 12.7 1 2 3 9.5 3 2 5 15.9
17 Wirogaten 48.3 0 2 2 0 3 3 0 0 5 - 5.0 5.0 100 - - 0 0 5 5 10.4 0 5 5 10.4 0 5 5 10.4 0 5 5 10.4
18 Winong 24.15 0 0 0 4 3 7 0 0 0 7 4.0 3.0 7.0 100 - - - 0 4 3 7 29.0 4 3 7 29.0 4 3 7 29.0 8 3 11 45.5
19 Sarwogadung 48.3 1 0 1 1 4 5 0 0 0 6 2.0 4.0 6.0 100 - - - 0 2 4 6 12.4 2 4 6 12.4 2 4 6 12.4 4 4 8 16.6
20 Krubungan 14.7 1 0 1 1 1 2 0 0 0 3 2.0 1.0 3.0 100 - - 0 2 1 3 20.4 1 1 2 13.6 1 1 2 13.6 2 1 3 20.4
21 Patukgawemuly 30.45 0 1 1 2 1 3 0 0 0 4 2.0 2.0 4.0 100 - - 0 2 2 4 13.1 2 2 4 13.1 2 0 2 6.6 2 2 4 13.1
22 Ngabean 51.45 0 0 0 0 4 4 0 0 0 4 - 4.0 4.0 100 - - - 0 0 4 4 7.8 0 4 4 7.8 0 4 4 7.8 0 4 4 7.8
Jumlah 789.6 11 14 25 44 41 85 0 0 0 110 55 58 113 2250 0 0 0 0 54 52 106 320.018 48 56 104 307.2065 41 59 100 299.647 76 55 131 406.392

Mengetahui MIRIT, 5 MARET 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN PERSALINAN , KUNJUNGAN NIFAS PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN

BULAN MARET 2015

PENOLONG PERSALINAN TEMPAT PERSALINAN Kunjungan Nifas
JML Vit A Nifas
DOKTER BIDAN DUKUN TOTA FASKES NON FASKES I II III
SASA
L
NO NAMA PUSKESMAS RAN
Abs Abs Abs PER Abs Abs Abs Abs Abs
BU LIN Bln Bln Bln Abs Bln Bln Bln Bln Bln
Bln Jml Bln Jml Bln Jml SALI Bln ini Jml % Bln Bln ini Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml %
ini ini ini NAN Lalu ini ini ini ini
Lalu Lalu Lalu Lalu Lalu Lalu Lalu Lalu
1 2 3 4 5 6 7 8 9 10 11 12 13 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 23.1 2 0 2 3 0 3 0 0 0 5 5.0 - 5.0 100 - - - 0 5 0 5 21.6 5 0 5 21.6 4 0 4 17.3 8 0 8 34.6

2 Tlogodepok 49.35 1 0 1 5 2 7 0 0 0 8 6.0 2.0 8.0 100 - - - 0 6 2 8 16.2 6 2 8 16.2 6 2 8 16.2 6 2 8 16.2
3 Mirit 28.35 2 0 2 0 3 3 0 0 0 5 2.0 3.0 5.0 100 - - - 0 2 3 5 17.6 2 3 5 17.6 1 3 4 14.1 2 3 5 17.6
4 Tlogopragoto 29.4 1 2 3 3 0 3 0 0 0 6 4.0 2.0 6.0 100 - - 0 4 2 6 20.4 4 2 6 20.4 4 2 6 20.4 7 2 9 30.6
5 Lembupurwo 68.25 1 3 4 7 4 11 0 0 0 15 8.0 7.0 15.0 100 - - - 0 8 7 15 22.0 8 7 15 22.0 5 5 10 14.7 8 7 15 22.0
6 Wiromartan 31.5 2 2 4 4 0 4 0 0 0 8 6.0 2.0 8.0 100 - - 0 6 2 8 25.4 5 3 8 25.4 7 5 12 38.1 6 2 8 25.4
7 Rowo 31.5 2 0 2 3 1 4 0 0 0 6 5.0 1.0 6.0 100 - - - 0 5 1 6 19.0 5 1 6 19.0 4 1 5 15.9 5 1 6 19.0
8 Singoyudan 21 2 0 2 1 0 1 0 0 0 3 3.0 - 3.0 100 - - - 0 3 0 3 14.3 3 0 3 14.3 3 0 3 14.3 6 0 6 28.6
9 Wergonayan 37.8 1 1 2 3 1 4 0 0 0 6 4.0 2.0 6.0 100 - - 0 4 2 6 15.9 4 2 6 15.9 4 2 6 15.9 4 2 6 15.9
10 Selotumpeng 46.2 1 1 2 5 1 6 0 0 0 8 6.0 2.0 8.0 100 - - - 0 6 2 8 17.3 6 2 8 17.3 4 2 6 13.0 6 2 8 17.3
11 Sitibentar 33.6 2 3 5 1 2 3 0 0 0 8 3.0 5.0 8.0 100 - - 0 3 5 8 23.8 3 5 8 23.8 3 5 8 23.8 3 5 8 23.8
12 Karanggede 29.4 2 0 2 6 1 7 0 0 0 9 8.0 1.0 9.0 100 - - 0 8 1 9 30.6 6 3 9 30.6 10 1 1 3.4 8 1 9 30.6
13 Kertodeso 50.4 0 1 1 7 1 8 0 0 0 9 7.0 2.0 9.0 100 - - - 0 3 2 5 9.9 5 2 7 13.9 6 2 8 15.9 6 2 8 15.9
14 Patukrejomulyo 23.1 1 0 1 3 0 3 0 0 0 4 4.0 - 4.0 100 - - - 0 4 0 4 17.3 4 0 4 17.3 4 0 4 17.3 7 0 7 30.3
15 Mangunranan 37.8 0 0 0 6 5 11 0 0 0 11 9.0 5.0 14.0 127.3 - - 0 6 5 11 29.1 6 5 11 29.1 6 5 11 29.1 6 5 11 29.1
16 Pekutan 31.5 0 1 1 4 1 5 0 0 0 6 4.0 2.0 6.0 100 - - 0 4 3 7 22.2 4 3 7 22.2 3 3 6 19.0 3 3 6 19.0
17 Wirogaten 48.3 2 2 4 3 2 5 0 0 0 9 5.0 4.0 9.0 100 - - - 0 5 4 9 18.6 5 4 9 18.6 5 4 9 18.6 5 4 9 18.6
18 Winong 24.15 0 0 0 7 0 7 0 0 0 7 7.0 - 7.0 100 - - - 0 7 0 7 29.0 7 0 7 29.0 7 0 7 29.0 11 0 11 45.5
19 Sarwogadung 48.3 1 0 1 5 3 8 0 0 0 9 6.0 3.0 9.0 100 - - - 0 6 3 9 18.6 6 3 9 18.6 6 3 9 18.6 6 3 9 18.6
20 Krubungan 14.7 1 1 2 2 1 3 0 0 0 5 3.0 2.0 5.0 100 - - - 0 3 2 5 34.0 2 2 4 27.2 2 1 3 20.4 3 2 5 34.0
21 Patukgawemuly 30.45 1 0 1 3 4 7 0 0 0 8 4.0 4.0 8.0 100 - - - 0 4 4 8 26.3 4 4 8 26.3 2 1 3 9.9 4 4 8 26.3
22 Ngabean 51.45 0 3 3 4 1 5 0 0 0 8 4.0 4.0 8.0 100 - - - 0 4 4 8 15.5 4 4 8 15.5 4 3 7 13.6 4 4 8 15.5
Jumlah 789.6 25 20 45 85 33 118 0 0 0 163 113 53 166 2227 0 0 0 0 106 54 160 464.867 104 57 161 462.0324 100 50 140 398.477 124 54 178 534.672

Mengetahui MIRIT, 4 MARET 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN PERSALINAN , KUNJUNGAN NIFAS PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN

BULAN APRIL 2015

PENOLONG PERSALINAN TEMPAT PERSALINAN Kunjungan Nifas
JML Vit A Nifas
DOKTER BIDAN DUKUN TOTA FASKES NON FASKES I II III
SASA
L
NO NAMA PUSKESMAS RAN
Abs Abs Abs PER Abs Abs Abs Abs Abs
BU LIN Bln Bln Bln Abs Bln Bln Bln Bln Bln
Bln Jml Bln Jml Bln Jml SALI Bln ini Jml % Bln Bln ini Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml %
ini ini ini NAN Lalu ini ini ini ini
Lalu Lalu Lalu Lalu Lalu Lalu Lalu Lalu
1 2 3 4 5 6 7 8 9 10 11 12 13 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 23.1 2 0 2 3 3 6 0 0 0 8 5.0 3.0 8.0 100 - - - 0 5 3 8 34.6 5 3 8 34.6 4 3 7 30.3 8 3 11 47.6
2 Tlogodepok 49.35 1 0 1 7 1 8 0 0 0 9 8.0 1.0 9.0 100 - - - 0 8 1 9 18.2 8 1 9 18.2 8 1 9 18.2 8 1 9 18.2
3 Mirit 28.35 2 1 3 3 0 3 0 0 0 6 5.0 1.0 6.0 100 - - - 0 5 1 6 21.2 5 1 6 21.2 4 1 5 17.6 5 1 6 21.2
4 Tlogopragoto 29.4 3 0 3 3 4 7 0 0 0 10 6.0 4.0 10.0 100 - - - 0 6 4 10 34.0 6 4 10 34.0 6 4 10 34.0 9 4 13 44.2
5 Lembupurwo 68.25 4 0 4 11 7 18 0 1 1 23 15.0 7.0 22.0 95.65 - 1.0 1.0 4.35 15 8 23 33.7 15 8 23 33.7 10 7 17 24.9 15 8 23 33.7
6 Wiromartan 31.5 4 4 8 4 0 4 0 0 0 12 8.0 4.0 12.0 100 - - - 0 8 4 12 38.1 8 3 11 34.9 12 1 13 41.3 8 4 12 38.1
7 Rowo 31.5 2 1 3 4 2 6 0 0 0 9 6.0 3.0 9.0 100 - - - 0 6 3 9 28.6 6 3 9 28.6 5 4 9 28.6 6 3 9 28.6
8 Singoyudan 21 2 1 3 1 1 2 0 0 0 5 3.0 2.0 5.0 100 - - - 0 3 7 10 47.6 3 6 9 42.9 3 5 8 38.1 6 2 8 38.1
9 Wergonayan 37.8 2 2 4 4 4 8 0 0 0 12 6.0 6.0 12.0 100 - - - 0 6 6 12 31.7 6 6 12 31.7 6 6 12 31.7 6 6 12 31.7
10 Selotumpeng 46.2 2 1 3 6 2 8 0 0 0 11 8.0 3.0 11.0 100 - - - 0 8 3 11 23.8 8 3 11 23.8 6 2 8 17.3 8 3 11 23.8
11 Sitibentar 33.6 5 0 5 3 2 5 0 0 0 10 8.0 8.0 80 - - 0 8 2 10 29.8 8 2 10 29.8 8 2 10 29.8 8 2 10 29.8
12 Karanggede 29.4 2 2 4 7 2 9 0 0 0 13 9.0 4.0 13.0 100 - - 0 9 4 13 44.2 9 4 13 44.2 1 10 11 37.4 9 4 13 44.2
13 Kertodeso 50.4 1 0 1 8 3 11 0 0 0 12 9.0 3.0 12.0 100 - - - 0 5 3 8 15.9 7 3 10 19.8 8 4 12 23.8 8 4 12 23.8
14 Patukrejomulyo 23.1 1 0 1 3 1 4 0 0 0 5 4.0 1.0 5.0 100 - - 0 4 1 5 21.6 4 1 5 21.6 4 1 5 21.6 7 1 8 34.6
15 Mangunranan 37.8 0 0 0 11 5 16 0 0 0 16 14.0 5.0 19.0 118.8 - - - 0 11 5 16 42.3 11 5 16 42.3 11 5 16 42.3 11 5 16 42.3
16 Pekutan 31.5 1 0 1 5 1 6 0 0 0 7 6.0 6.0 85.71 - - - 0 7 1 8 25.4 7 1 8 25.4 6 1 7 22.2 6 1 7 22.2
17 Wirogaten 48.3 4 1 5 5 4 9 0 0 0 14 9.0 5.0 14.0 100 - - - 0 9 5 14 29.0 9 5 14 29.0 9 5 14 29.0 9 5 14 29.0
18 Winong 24.15 0 0 0 7 5 12 0 0 0 12 7.0 5.0 12.0 100 - - - 0 7 5 12 49.7 7 5 12 49.7 7 5 12 49.7 11 5 16 66.3
19 Sarwogadung 48.3 1 0 1 8 2 10 0 0 0 11 9.0 2.0 11.0 100 - - - 0 9 2 11 22.8 9 2 11 22.8 9 2 11 22.8 9 2 11 22.8
20 Krubungan 14.7 2 0 2 3 2 5 0 0 0 7 5.0 2.0 7.0 100 - - 0 5 2 7 47.6 4 3 7 47.6 3 4 7 47.6 5 2 7 47.6
21 Patukgawemuly 30.45 1 1 2 7 2 9 0 0 0 11 8.0 3.0 11.0 100 - - - 0 8 3 11 36.1 8 2 10 32.8 3 4 7 23.0 8 3 11 36.1
22 Ngabean 51.45 3 0 3 5 5 10 0 0 0 13 8.0 5.0 13.0 100 - - 0 8 5 13 25.3 8 5 13 25.3 7 5 12 23.3 8 5 13 25.3
Jumlah 789.6 45 14 59 118 58 176 0 1 1 236 166 69 235 2180 0 1 1 4.35 160 78 238 701.271 161 76 237 694.0182 140 82 222 654.66 178 74 252 749.25

Mengetahui MIRIT, 4 MARET 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN PERSALINAN , KUNJUNGAN NIFAS PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN

BULAN MEI 2015

PENOLONG PERSALINAN TEMPAT PERSALINAN Kunjungan Nifas
JML Vit A Nifas
DOKTER BIDAN DUKUN TOTA FASKES NON FASKES I II III
SASA
L
NO NAMA PUSKESMAS RAN
Abs Abs Abs PER Abs Abs Abs Abs Abs
BU LIN Bln Bln Bln Abs Bln Bln Bln Bln Bln
Bln Jml Bln Jml Bln Jml SALI Bln ini Jml % Bln Bln ini Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml %
ini ini ini NAN Lalu ini ini ini ini
Lalu Lalu Lalu Lalu Lalu Lalu Lalu Lalu
1 2 3 4 5 6 7 8 9 10 11 12 13 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 23.1 2 0 2 6 3 9 0 0 0 11 8 3 11 100 - - - 0 8 3 11 47.6 8 3 11 47.6 7 3 10 43.3 11 3 14 60.6

2 Tlogodepok 49.35 1 0 1 8 5 13 0 0 0 14 9 5 14 100 - - - 0 9 5 14 28.4 9 5 14 28.4 9 5 14 28.4 9 5 14 28.4
3 Mirit 28.35 3 0 3 3 2 5 0 0 8 6 2 8 100 - - - 0 6 2 8 28.2 6 2 8 28.2 5 2 7 24.7 6 2 8 28.2
4 Tlogopragoto 29.4 5 1 6 9 3 12 0 0 0 18 14 4 18 100 - - - 0 14 4 18 61.2 14 4 18 61.2 14 4 18 61.2 14 4 18 61.2
5 Lembupurwo 68.25 4 3 7 18 4 22 1 0 1 30 22 7 29 96.67 1.0 1.0 3.33 23 7 30 44.0 23 7 30 44.0 17 7 24 35.2 23 7 30 44.0
6 Wiromartan 31.5 8 2 10 4 4 8 0 0 0 18 12 6 18 100 - - - 0 12 6 18 57.1 11 7 18 57.1 13 4 17 54.0 12 6 18 57.1
7 Rowo 31.5 3 0 3 6 0 6 0 0 0 9 9 0 9 100 - - - 0 9 0 9 28.6 9 0 9 28.6 9 0 9 28.6 9 0 9 28.6
8 Singoyudan 21 3 2 5 2 4 6 0 0 0 11 5 6 11 100 - - - 0 10 6 16 76.2 9 3 12 57.1 8 2 10 47.6 8 6 14 66.7
9 Wergonayan 37.8 4 2 6 8 3 11 0 0 0 17 12 5 17 100 - - 0 12 5 17 45.0 12 5 17 45.0 12 5 17 45.0 12 5 17 45.0
10 Selotumpeng 46.2 3 1 4 8 2 10 0 0 0 14 11 3 14 100 - - - 0 11 3 14 30.3 11 3 14 30.3 8 2 10 21.6 11 3 14 30.3
11 Sitibentar 33.6 5 0 5 5 1 6 0 0 0 11 8 1 9 81.82 - - - 0 10 1 11 32.7 10 1 11 32.7 10 1 11 32.7 10 1 11 32.7
12 Karanggede 29.4 4 2 6 9 1 10 0 0 0 16 13 3 16 100 - - 0 13 3 16 54.4 13 3 16 54.4 11 3 14 47.6 13 3 16 54.4
13 Kertodeso 50.4 1 3 4 11 1 12 0 0 0 16 12 4 16 100 - - - 0 8 4 12 23.8 10 4 14 27.8 12 3 15 29.8 12 4 16 31.7
14 Patukrejomulyo 23.1 1 1 2 4 3 7 0 0 0 9 5 4 9 100 - - - 0 13 4 17 73.6 13 4 17 73.6 13 2 15 64.9 8 4 12 51.9
15 Mangunranan 37.8 0 0 16 5 21 0 0 21 19 5 24 114.3 - - 0 16 5 21 55.6 16 16 42.3 16 5 21 55.6 16 5 21 55.6
16 Pekutan 31.5 1 1 2 6 2 8 0 0 0 10 6 3 9 90 - - - 0 8 3 11 34.9 8 3 11 34.9 7 3 10 31.7 7 3 10 31.7
17 Wirogaten 48.3 5 0 5 9 4 13 0 0 0 18 14 4 18 100 - - - 0 14 4 18 37.3 14 4 18 37.3 14 4 18 37.3 14 4 18 37.3
18 Winong 24.15 0 0 0 12 2 14 0 0 0 14 12 2 14 100 - - - 0 12 2 14 58.0 2 2 4 16.6 12 2 14 58.0 16 2 18 74.5
19 Sarwogadung 48.3 1 1 2 10 2 12 0 0 0 14 11 11 78.57 - - - 0 11 3 14 29.0 11 3 14 29.0 11 3 14 29.0 11 3 14 29.0
20 Krubungan 14.7 2 1 3 5 2 7 0 0 0 10 7 3 10 100 - - - 0 7 3 10 68.0 7 2 9 61.2 7 2 9 61.2 7 3 10 68.0
21 Patukgawemuly 30.45 2 1 3 9 4 13 0 0 0 16 11 5 16 100 - - - 0 11 5 16 52.5 10 6 16 52.5 7 5 12 39.4 11 5 16 52.5
22 Ngabean 51.45 3 1 4 10 5 15 0 0 0 19 13 6 19 100 - - - 0 13 6 19 36.9 13 6 19 36.9 12 6 18 35.0 13 6 19 36.9
Jumlah 789.6 61 22 83 178 62 240 1 0 1 324 239 81 320 2161 1 0 1 3.33 250 84 334 1003.33 239 77 316 926.8146 234 73 307 911.715 253 84 337 1006.48

Mengetahui MIRIT, 5 JUNI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN PERSALINAN , KUNJUNGAN NIFAS PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN

BULAN JUNI 2015

PENOLONG PERSALINAN TEMPAT PERSALINAN Kunjungan Nifas
JML Vit A Nifas
DOKTER BIDAN DUKUN TOTA FASKES NON FASKES I II III
SASA
L
NO NAMA PUSKESMAS RAN
Abs Abs Abs PER Abs Abs Abs Abs Abs
BU LIN Bln Bln Bln Abs Bln Bln Bln Bln Bln
Bln Jml Bln Jml Bln Jml SALI Bln ini Jml % Bln Bln ini Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml %
ini ini ini NAN Lalu ini ini ini ini
Lalu Lalu Lalu Lalu Lalu Lalu Lalu Lalu
1 2 3 4 5 6 7 8 9 10 11 12 13 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 23.1 2 0 2 9 2 11 0 0 0 13 11.0 2.0 13.0 100 - - - 0 11 2 13 56.3 11 2 13 56.3 10 2 12 51.9 14 2 16 69.3
2 Tlogodepok 49.35 1 1 2 14 2 16 0 0 0 18 15.0 3.0 18.0 100 - - - 0 15 3 18 36.5 15 3 18 36.5 15 3 18 36.5 15 3 18 36.5
3 Mirit 28.35 3 0 3 5 2 7 0 0 0 10 8.0 2.0 10.0 100 - - - 0 8 2 10 35.3 8 2 10 35.3 8 2 10 35.3 8 2 10 35.3
4 Tlogopragoto 29.4 3 0 3 12 3 15 0 0 0 18 18.0 18.0 100 - - - 0 15 3 18 61.2 15 3 18 61.2 15 3 18 61.2 15 3 18 61.2
5 Lembupurwo 68.25 3 0 3 26 8 34 1 0 1 38 24.0 8.0 32.0 84.21 1.0 - 1.0 2.63 24 8 32 46.9 24 8 32 46.9 24 8 32 46.9 24 8 32 46.9
6 Wiromartan 31.5 10 1 11 8 2 10 0 0 0 21 18.0 3.0 21.0 100 - - 0 18 3 21 66.7 18 2 20 63.5 17 6 23 73.0 18 3 21 66.7
7 Rowo 31.5 3 0 3 6 3 9 0 0 0 12 9.0 3.0 12.0 100 - - - 0 9 3 12 38.1 9 3 12 38.1 9 3 12 38.1 9 3 12 38.1
8 Singoyudan 21 3 0 3 5 0 5 0 0 0 8 8.0 - 8.0 100 - - - 0 13 0 13 61.9 9 4 13 61.9 7 6 13 61.9 8 0 8 38.1
9 Wergonayan 37.8 6 1 7 11 3 14 0 0 0 21 17.0 4.0 21.0 100 - - - 0 17 4 21 55.6 17 4 21 55.6 17 4 21 55.6 17 4 21 55.6
10 Selotumpeng 46.2 4 1 5 10 4 14 0 0 0 19 14.0 5.0 19.0 100 - - - 0 14 5 19 41.1 14 5 19 41.1 10 3 13 28.1 14 5 19 41.1
11 Sitibentar 33.6 5 0 5 6 1 7 0 0 0 12 11.0 1.0 12.0 100 - - - 0 11 1 12 35.7 11 1 12 35.7 11 1 12 35.7 11 1 12 35.7
12 Karanggede 29.4 6 0 6 10 0 10 0 0 0 16 16.0 - 16.0 100 - - - 0 16 0 16 54.4 16 0 16 54.4 11 4 15 51.0 16 0 16 54.4
13 Kertodeso 50.4 4 0 4 12 3 15 0 0 0 19 16.0 3.0 19.0 100 - - - 0 16 3 19 37.7 15 4 19 37.7 14 5 19 37.7 16 3 19 37.7
14 Patukrejomulyo 23.1 2 0 2 7 4 11 0 0 0 13 9.0 4.0 13.0 100 - - - 0 17 4 21 90.9 17 4 21 90.9 8 4 12 51.9 8 4 12 51.9
15 Mangunranan 37.8 0 0 0 21 3 24 0 0 0 24 21.0 3.0 24.0 100 - - - 0 21 3 24 63.5 21 3 24 63.5 21 3 24 63.5 21 3 24 63.5
16 Pekutan 31.5 2 1 3 8 4 12 0 0 0 15 10.0 5.0 15.0 100 - - 0 11 5 16 50.8 11 5 16 50.8 10 5 15 47.6 10 5 15 47.6
17 Wirogaten 48.3 5 1 6 13 1 14 0 0 0 20 18.0 2.0 20.0 100 - - - 0 18 2 20 41.4 18 2 20 41.4 18 2 20 41.4 18 2 20 41.4
18 Winong 24.15 0 0 0 14 1 15 0 0 0 15 14.0 1.0 15.0 100 - - - 0 14 1 15 62.1 14 1 15 62.1 14 1 15 62.1 14 1 15 62.1
19 Sarwogadung 48.3 2 2 4 12 3 15 0 0 0 19 11.0 5.0 16.0 84.21 - - - 0 14 5 19 39.3 14 5 19 39.3 14 5 19 39.3 14 5 19 39.3
20 Krubungan 14.7 3 0 3 7 1 8 0 0 0 11 10.0 1.0 11.0 100 - - - 0 10 1 11 74.8 9 2 11 74.8 9 2 11 74.8 10 1 11 74.8
21 Patukgawemuly 30.45 3 0 3 13 5 18 0 0 0 21 16.0 5.0 21.0 100 - - - 0 16 5 21 69.0 16 5 21 69.0 12 7 19 62.4 16 5 21 69.0
22 Ngabean 51.45 4 0 4 15 7 22 0 0 0 26 19.0 7.0 26.0 100 - - - 0 19 7 26 50.5 19 7 26 50.5 18 8 26 50.5 19 7 26 50.5
Jumlah 789.6 74 8 82 244 62 306 1 0 1 389 313 67 380 97.686 1 0 1 2.63 327 70 397 50.2786 321 75 396 50.15198 292 87 379 47.999 315 70 385 48.7589

Mengetahui MIRIT, 05 JULI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN PERSALINAN , KUNJUNGAN NIFAS PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN

BULAN JULI 2015

PENOLONG PERSALINAN TEMPAT PERSALINAN Kunjungan Nifas
JML Vit A Nifas
DOKTER BIDAN DUKUN TOTA FASKES NON FASKES I II III
SASA
L
NO NAMA PUSKESMAS RAN
Abs Abs Abs PER Abs Abs Abs Abs Abs
BU LIN Bln Bln Bln Abs Bln Bln Bln Bln Bln
Bln Jml Bln Jml Bln Jml SALI Bln ini Jml % Bln Bln ini Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml %
ini ini ini NAN Lalu ini ini ini ini
Lalu Lalu Lalu Lalu Lalu Lalu Lalu Lalu
1 2 3 4 5 6 7 8 9 10 11 12 13 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 23.1 2 0 2 11 2 13 0 0 0 15 13.0 2.0 15.0 100 - - - 0 13 2 15 64.9 13 2 15 64.9 12 3 15 64.9 16 0 16 69.3
2 Tlogodepok 49.35 2 0 2 16 4 20 0 0 0 22 18.0 4.0 22.0 100 - - - 0 18 4 22 44.6 18 4 22 44.6 18 4 22 44.6 18 4 22 44.6
3 Mirit 28.35 3 3 6 7 0 7 0 0 0 13 10.0 3.0 13.0 100 - - - 0 10 3 13 45.9 10 3 13 45.9 10 3 13 45.9 10 3 13 45.9
4 Tlogopragoto 29.4 3 0 3 15 3 18 0 0 0 21 18.0 3.0 21.0 100 - - - 0 18 3 21 71.4 18 3 21 71.4 18 3 21 71.4 18 3 21 71.4
5 Lembupurwo 68.25 7 0 7 34 5 39 1 0 1 47 32.0 5.0 37.0 78.72 1.0 - 1.0 2.13 32 5 37 54.2 32 5 37 54.2 32 5 37 54.2 32 5 37 54.2
6 Wiromartan 31.5 11 1 12 10 2 12 0 0 0 24 21.0 3.0 24.0 100 - - - 0 21 3 24 76.2 20 1 21 66.7 23 1 24 76.2 21 3 24 76.2
7 Rowo 31.5 3 0 3 9 2 11 0 0 14 12.0 2.0 14.0 100 - - - 0 12 2 14 44.4 12 2 14 44.4 12 2 14 44.4 12 2 14 44.4
8 Singoyudan 21 3 0 3 5 4 9 0 0 0 12 8.0 4.0 12.0 100 - - - 0 13 4 17 81.0 13 4 17 81.0 13 0 13 61.9 8 4 12 57.1
9 Wergonayan 37.8 7 2 9 14 1 15 0 0 0 24 21.0 3.0 24.0 100 - - - 0 21 3 24 63.5 21 3 24 63.5 21 3 24 63.5 21 3 24 63.5
10 Selotumpeng 46.2 5 1 6 14 5 19 0 0 0 25 19.0 6.0 25.0 100 - - - 0 19 6 25 54.1 19 6 25 54.1 13 5 18 39.0 19 6 25 54.1
11 Sitibentar 33.6 5 2 7 7 4 11 0 0 0 18 12.0 5.0 17.0 94.44 - 1.0 1.0 5.56 12 6 18 53.6 12 6 18 53.6 12 6 18 53.6 12 6 18 53.6
12 Karanggede 29.4 6 0 6 10 0 10 0 0 0 16 16.0 - 16.0 100 - - - 0 16 0 16 54.4 16 0 16 54.4 15 0 15 51.0 16 0 16 54.4
13 Kertodeso 50.4 4 2 6 15 3 18 0 0 0 24 19.0 5.0 24.0 100 - - - 0 19 5 24 47.6 19 5 24 47.6 19 6 25 49.6 19 5 24 47.6
14 Patukrejomulyo 23.1 2 0 2 11 1 12 0 0 0 14 13.0 1.0 14.0 100 - - - 0 21 1 22 95.2 21 1 22 95.2 12 1 13 56.3 12 1 13 56.3
15 Mangunranan 37.8 0 1 1 24 4 28 0 0 0 29 24.0 5.0 29.0 100 - - - 0 24 5 29 76.7 24 5 29 76.7 24 5 29 76.7 24 5 29 76.7
16 Pekutan 31.5 3 1 4 12 5 17 0 0 0 21 15.0 6.0 21.0 100 - - - 0 16 6 22 69.8 16 6 22 69.8 15 6 21 66.7 15 6 21 66.7
17 Wirogaten 48.3 6 0 6 14 3 17 0 0 0 23 20.0 3.0 23.0 100 - - - 0 20 3 23 47.6 20 3 23 47.6 20 3 23 47.6 20 3 23 47.6
18 Winong 24.15 0 0 0 15 1 16 0 0 0 16 15.0 1.0 16.0 100 - - - 0 15 1 16 66.3 15 1 16 66.3 15 1 16 66.3 15 1 16 66.3
19 Sarwogadung 48.3 4 1 5 15 4 19 0 0 0 24 16.0 5.0 21.0 87.5 - - - 0 19 5 24 49.7 19 5 24 49.7 19 5 24 49.7 19 5 24 49.7
20 Krubungan 14.7 3 1 4 8 0 8 0 0 0 12 11.0 1.0 12.0 100 - - - 0 11 1 12 81.6 11 1 12 81.6 11 1 12 81.6 11 1 12 81.6
21 Patukgawemuly 30.45 3 0 3 18 5 23 0 0 0 26 21.0 5.0 26.0 100 - - - 0 21 4 25 82.1 21 4 25 82.1 19 3 22 72.2 21 5 26 85.4
22 Ngabean 51.45 4 1 5 22 4 26 0 0 0 31 26.0 5.0 31.0 100 - - - 0 26 5 31 60.3 26 5 31 60.3 26 5 31 60.3 26 5 31 60.3
Jumlah 789.6 86 16 102 306 62 368 1 0 1 471 380 77 457 2161 1 1 2 7.68 397 77 474 1385.16 396 75 471 1375.639 379 71 450 1297.56 385 76 461 1326.83

Mengetahui MIRIT, 05 AGUSTUS 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN PERSALINAN , KUNJUNGAN NIFAS PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN

BULAN AGUSTUS 2015

PENOLONG PERSALINAN TEMPAT PERSALINAN Kunjungan Nifas
JML Vit A Nifas
DOKTER BIDAN DUKUN TOTA FASKES NON FASKES I II III
SASA
L
NO NAMA PUSKESMAS RAN
Abs Abs Abs PER Abs Abs Abs Abs Abs
BU LIN Bln Bln Bln Abs Bln Bln Bln Bln Bln
Bln Jml Bln Jml Bln Jml SALI Bln ini Jml % Bln Bln ini Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml %
ini ini ini NAN Lalu ini ini ini ini
Lalu Lalu Lalu Lalu Lalu Lalu Lalu Lalu
1 2 3 4 5 6 7 8 9 10 11 12 13 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 23.1 2 1 3 13 4 17 0 0 0 20 15.0 5.0 20.0 100 - - - 0 15 5 20 86.6 15 5 20 86.6 15 5 20 86.6 16 5 21 90.9 87
2 Tlogodepok 49.35 2 0 2 20 5 25 0 0 0 27 22.0 5.0 27.0 100 - - - 0 22 5 27 54.7 22 5 27 54.7 22 5 27 54.7 22 5 27 54.7 55
3 Mirit 28.35 6 2 8 11 5 16 0 0 0 18 13.0 5.0 18.0 100 - - - 0 21 5 26 91.7 13 5 18 63.5 13 5 18 63.5 13 5 18 63.5 63
4 Tlogopragoto 29.4 3 0 3 18 5 23 0 0 26 21.0 21.0 80.77 - - 0 21 21 71.4 21 5 26 88.4 21 5 26 88.4 21 5 26 88.4 88
5 Lembupurwo 68.25 6 1 7 36 7 43 0 0 0 50 43.0 7.0 50.0 100 1.0 - 1.0 2 43 7 50 73.3 43 7 50 73.3 43 7 50 73.3 43 7 50 73.3 73
6 Wiromartan 31.5 12 2 14 12 1 13 0 0 0 27 24.0 3.0 27.0 100 - - - 0 24 3 27 85.7 21 4 25 79.4 24 2 26 82.5 24 3 27 85.7 86
7 Rowo 31.5 3 2 5 11 1 12 0 0 0 17 14.0 3.0 17.0 100 - - - 0 14 3 17 54.0 14 3 17 54.0 14 1 15 47.6 14 3 17 54.0 54
8 Singoyudan 21 3 0 3 7 2 9 0 0 0 12 10.0 2.0 12.0 100 - - - 0 15 2 17 81.0 15 2 17 81.0 13 4 17 81.0 10 2 12 57.1 57
9 Wergonayan 37.8 9 0 9 15 9 24 0 0 0 33 24.0 9.0 33.0 100 - - - 0 24 9 33 87.3 24 9 33 87.3 24 9 33 87.3 24 9 33 87.3 87
10 Selotumpeng 46.2 6 0 6 19 5 24 0 0 0 30 25.0 5.0 30.0 100 - - - 0 25 5 30 64.9 25 5 30 64.9 18 6 24 51.9 25 5 30 64.9 65
11 Sitibentar 33.6 7 1 8 11 1 12 0 0 0 20 17.0 2.0 19.0 95 1.0 - 1.0 5 18 2 20 59.5 18 2 20 59.5 18 2 20 59.5 18 2 20 59.5 60
12 Karanggede 29.4 6 0 6 10 1 11 0 0 0 17 16.0 1.0 17.0 100 - - - 0 16 1 17 57.8 16 1 17 57.8 15 0 15 51.0 16 1 17 57.8 58
13 Kertodeso 50.4 6 0 6 18 3 21 0 0 0 27 24.0 3.0 27.0 100 - - - 0 24 3 27 53.6 24 3 27 53.6 25 3 28 55.6 24 3 27 53.6 54
14 Patukrejomulyo 23.1 2 1 3 11 3 14 0 0 0 17 13.0 4.0 17.0 100 - - - 0 22 4 26 112.6 22 4 26 112.6 13 4 17 73.6 13 4 17 73.6 74
15 Mangunranan 37.8 1 0 1 28 0 28 0 0 0 29 29.0 - 29.0 100 - - - 0 29 0 29 76.7 29 0 29 76.7 29 0 29 76.7 29 0 29 76.7 77
16 Pekutan 31.5 4 2 6 17 1 18 0 0 0 24 21.0 2.0 23.0 95.83 - 1.0 1.0 4.17 22 3 25 79.4 22 3 25 79.4 21 3 24 76.2 21 3 24 76.2 76
17 Wirogaten 48.3 6 3 9 17 2 19 0 0 0 28 23.0 5.0 28.0 100 - - - 0 23 5 28 58.0 23 5 28 58.0 23 5 28 58.0 23 5 28 58.0 58
18 Winong 24.15 0 0 0 16 1 17 0 0 0 17 16.0 1.0 17.0 100 - - - 0 16 1 17 70.4 16 1 17 70.4 16 1 17 70.4 16 1 17 70.4 70
19 Sarwogadung 48.3 5 0 5 19 1 20 0 0 0 25 24.0 1.0 25.0 100 - - - 0 24 1 25 51.8 24 1 25 51.8 24 1 25 51.8 24 1 25 51.8 52
20 Krubungan 14.7 4 1 5 8 0 8 0 0 0 13 12.0 1.0 13.0 100 - - - 0 12 1 13 88.4 12 1 13 88.4 12 1 13 88.4 12 1 13 88.4 88
21 Patukgawemuly 30.45 3 1 4 23 1 24 0 0 0 28 26.0 2.0 28.0 100 - - - 0 25 3 28 92.0 25 2 27 88.7 22 4 26 85.4 26 2 28 92.0 92
22 Ngabean 51.45 5 2 7 26 4 30 0 0 0 37 31.0 6.0 37.0 100 - - - 0 31 6 37 71.9 31 6 37 71.9 31 6 37 71.9 31 6 37 71.9 72
JUMLAH 789.6 101 19 120 366 62 428 0 0 0 542 463 72 535 67.756 2 1 3 11.2 486 74 560 70.922 475 79 554 70.16211 456 79 535 67.7558 465 78 543 68.769 69

Mengetahui MIRIT, 5 SEPTEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PERSALINAN , KUNJUNGAN NIFAS PROGRAM KESEHATAN IBU DAN ANAK

UPT UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN

BULAN SEPTEMBER 2015

PENOLONG PERSALINAN TEMPAT PERSALINAN Kunjungan Nifas
JML Vit A Nifas
DOKTER BIDAN DUKUN TOTA FASKES NON FASKES I II III
SASA
L
NO NAMA PUSKESMAS RAN
Abs Abs Abs PER Abs Abs Abs Abs Abs
BU LIN Bln Bln Bln Abs Bln Bln Bln Bln Bln
Bln Jml Bln Jml Bln Jml SALI Bln ini Jml % Bln Bln ini Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml %
ini ini ini NAN Lalu ini ini ini ini
Lalu Lalu Lalu Lalu Lalu Lalu Lalu Lalu
1 2 3 4 5 6 7 8 9 10 11 12 13 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 23.1 2 1 3 17 1 18 0 0 0 21 20.0 1.0 21.0 100 - - - 0 20 1 21 90.9 20 1 21 90.9 20 1 21 90.9 20 1 21 90.9
2 Tlogodepok 45.35 2 2 4 25 6 31 0 0 0 35 27.0 8.0 35.0 100 - - - 0 27 8 35 77.2 27 8 35 77.2 27 8 35 77.2 27 8 35 77.2
3 Mirit 28.35 8 1 9 16 0 16 0 0 0 25 18.0 1.0 19.0 76 - - - 0 26 1 27 95.2 18 1 19 67.0 18 1 19 67.0 18 1 19 67.0
4 Tlogopragoto 29.4 6 1 7 20 2 22 0 0 0 29 26.0 3.0 29.0 100 - - - 0 26 3 29 98.6 26 3 29 98.6 26 3 29 98.6 26 3 29 98.6
5 Lembupurwo 68.25 8 1 9 42 4 46 0 0 0 55 49.0 5.0 54.0 98.18 1.0 - 1.0 1.82 50 5 55 80.6 50 5 55 80.6 49 5 54 79.1 50 5 55 80.6
6 Wiromartan 31.5 14 1 15 13 2 15 0 0 0 30 27.0 3.0 30.0 100 - - - 0 27 3 30 95.2 25 2 27 85.7 26 3 29 92.1 27 3 30 95.2
7 Rowo 31.5 5 0 5 16 3 19 0 0 0 24 21.0 3.0 24.0 100 - - - 0 21 3 24 76.2 21 3 24 76.2 21 3 24 76.2 21 3 24 76.2
8 Singoyudan 21 4 0 4 12 2 14 0 0 0 18 16.0 2.0 18.0 100 - - - 0 17 2 19 90.5 17 2 19 90.5 17 1 18 85.7 16 2 18 85.7
9 Wergonayan 37.8 9 2 11 24 3 27 0 0 0 38 33.0 5.0 38.0 100 - - - 0 33 5 38 100.5 33 5 38 100.5 33 5 38 100.5 33 5 38 100.5
10 Selotumpeng 46.2 6 0 6 24 4 28 0 0 0 34 30.0 4.0 34.0 100 - - - 0 30 4 34 73.6 30 4 34 73.6 25 5 30 64.9 30 4 34 73.6
11 Sitibentar 33.6 8 1 9 12 5 17 0 0 0 26 19.0 6.0 25.0 96.15 1.0 - 1.0 3.85 20 6 26 77.4 20 6 26 77.4 20 6 26 77.4 20 6 26 77.4
12 Karanggede 29.4 5 0 5 12 1 13 0 0 0 18 17.0 1.0 18.0 100 - - - 0 17 1 18 61.2 17 1 18 61.2 15 1 16 54.4 17 1 18 61.2
13 Kertodeso 48.4 6 0 6 23 7 30 0 0 0 36 29.0 7.0 36.0 100 - - - 0 29 7 36 74.4 29 7 36 74.4 29 7 36 74.4 29 7 36 74.4
14 Patukrejomulyo 23.1 3 0 3 14 2 16 0 0 0 19 17.0 2.0 19.0 100 - - - 0 17 2 19 82.3 17 2 19 82.3 17 2 19 82.3 17 2 19 82.3
15 Mangunranan 42 1 0 1 28 6 34 0 0 0 35 29.0 6.0 35.0 100 - - - 0 29 6 35 83.3 29 6 35 83.3 29 6 35 83.3 29 6 35 83.3
16 Pekutan 31.5 6 0 6 18 1 19 0 0 0 25 23.0 - 23.0 92 1.0 2.0 3.0 12 25 1 26 82.5 25 1 26 82.5 24 1 25 79.4 24 1 25 79.4
17 Wirogaten 48.3 10 0 10 19 4 23 0 0 0 33 29.0 4.0 33.0 100 - - - 0 29 4 33 68.3 29 4 33 68.3 29 4 33 68.3 29 4 33 68.3
18 Winong 24.15 0 0 0 18 0 18 0 0 0 18 18.0 - 18.0 100 - - - 0 18 0 18 74.5 18 0 18 74.5 18 0 18 74.5 18 0 18 74.5
19 Sarwogadung 48.3 5 0 5 24 6 30 0 0 0 35 29.0 6.0 35.0 100 - - - 0 29 6 35 72.5 29 6 35 72.5 29 6 35 72.5 29 6 35 72.5
20 Krubungan 16.8 5 0 5 8 0 8 0 0 0 13 13.0 - 13.0 100 - - - 0 13 0 13 77.4 13 0 13 77.4 13 0 13 77.4 13 0 13 77.4
21 Patukgawemuly 30.45 4 2 6 24 5 29 0 0 0 35 28.0 7.0 35.0 100 - - - 0 28 7 35 114.9 27 5 32 105.1 26 2 28 92.0 28 7 35 114.9
22 Ngabean 51.45 7 0 7 30 4 34 0 0 0 41 37.0 4.0 41.0 100 - - - 0 37 4 41 79.7 37 4 41 79.7 37 4 41 79.7 37 4 41 79.7
Jumlah 789.9 124 12 136 439 68 507 0 0 0 643 555 78 633 2162 3 2 5 17.7 568 79 647 1827.02 557 76 633 1779.426 548 74 622 1747.78 558 79 637 1790.87

Mengetahui MIRIT, 02 OKTOBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PERSALINAN , KUNJUNGAN NIFAS PROGRAM KESEHATAN IBU DAN ANAK

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN

BULAN OKTOBER 2015

PENOLONG PERSALINAN TEMPAT PERSALINAN Kunjungan Nifas
JML Vit A Nifas
DOKTER BIDAN DUKUN TOTA FASKES NON FASKES I II III
SASA
L
NO NAMA PUSKESMAS RAN
Abs Abs Abs PER Abs Abs Abs Abs Abs
BU LIN Bln Bln Bln Abs Bln Bln Bln Bln Bln
Bln Jml Bln Jml Bln Jml SALI Bln ini Jml % Bln Bln ini Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml %
ini ini ini NAN Lalu ini ini ini ini
Lalu Lalu Lalu Lalu Lalu Lalu Lalu Lalu
1 2 3 4 5 6 7 8 9 10 11 12 13 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 23.1 3 0 3 18 0 18 0 0 0 21 21.0 - 21.0 100 - - - 0 21 0 21 90.9 21 0 21 90.9 21 0 21 90.9 21 0 21 90.9

2 Tlogodepok 45.35 4 0 4 31 3 34 0 0 0 38 35.0 3.0 38.0 100 - - - 0 35 3 38 83.8 35 3 38 83.8 35 3 38 83.8 35 3 38 83.8
3 Mirit 28.35 9 0 9 16 3 19 0 0 0 28 19.0 3.0 22.0 78.57 - - - 0 19 3 22 77.6 19 3 22 77.6 19 3 22 77.6 19 3 22 77.6
4 Tlogopragoto 29.4 7 0 7 22 1 23 0 0 0 30 29.0 1.0 30.0 100 - - - 0 29 1 30 102.0 29 1 30 102.0 29 1 30 102.0 29 1 30 102.0
5 Lembupurwo 68.25 9 3 12 46 4 50 0 0 0 62 54.0 7.0 61.0 98.39 1.0 - 1.0 1.61 55 5 60 87.9 55 5 60 87.9 54 4 58 85.0 55 7 62 90.8
6 Wiromartan 31.5 15 0 15 15 2 17 0 0 0 32 30.0 2.0 32.0 100 - - - 0 30 2 32 101.6 27 3 30 95.2 29 3 32 101.6 30 2 32 101.6
7 Rowo 31.5 5 0 5 19 1 20 0 0 0 25 24.0 1.0 25.0 100 - - - 0 24 1 25 79.4 24 1 25 79.4 24 1 25 79.4 24 1 25 79.4
8 Singoyudan 21 4 1 5 14 3 17 0 0 0 22 18.0 4.0 22.0 100 - - - 0 19 4 23 109.5 19 3 22 104.8 18 1 19 90.5 18 4 22 104.8
9 Wergonayan 37.8 11 1 12 27 2 29 0 0 0 41 38.0 3.0 41.0 100 - - - 0 38 3 41 108.5 38 3 41 108.5 38 3 41 108.5 38 3 41 108.5
10 Selotumpeng 46.2 6 0 6 28 2 30 0 0 0 36 34.0 2.0 36.0 100 - - - 0 34 2 36 77.9 34 2 36 77.9 30 4 34 73.6 34 2 36 77.9
11 Sitibentar 33.6 9 2 11 17 1 18 0 0 0 29 25.0 3.0 28.0 96.55 1.0 - 1.0 3.45 26 3 29 86.3 26 3 29 86.3 26 3 29 86.3 26 3 29 86.3
12 Karanggede 29.4 5 0 5 13 3 16 0 0 0 21 18.0 3.0 21.0 100 - - - 0 18 3 21 71.4 18 3 21 71.4 16 3 19 64.6 18 3 21 71.4
13 Kertodeso 48.4 6 1 7 30 4 34 0 0 0 41 36.0 5.0 41.0 100 - - - 0 36 5 41 84.7 36 5 41 84.7 36 5 41 84.7 36 5 41 84.7
14 Patukrejomulyo 23.1 3 0 3 16 1 17 0 0 0 20 19.0 1.0 20.0 100 - - - 0 19 1 20 86.6 19 1 20 86.6 19 1 20 86.6 19 1 20 86.6
15 Mangunranan 42 1 0 1 34 3 37 0 0 0 38 35.0 3.0 38.0 100 - - - 0 35 3 38 90.5 35 3 38 90.5 35 3 38 90.5 35 3 38 90.5
16 Pekutan 31.5 6 0 6 19 2 21 0 0 0 27 23.0 2.0 25.0 92.59 3.0 - 3.0 11 26 2 28 88.9 26 2 28 88.9 25 2 27 85.7 25 2 27 85.7
17 Wirogaten 48.3 10 2 12 23 2 25 0 0 0 37 33.0 4.0 37.0 100 - - - 0 33 4 37 76.6 33 4 37 76.6 33 4 37 76.6 33 4 37 76.6
18 Winong 24.15 0 1 1 18 1 19 0 0 0 20 18.0 2.0 20.0 100 - - - 0 18 2 20 82.8 18 2 20 82.8 18 2 20 82.8 18 2 20 82.8
19 Sarwogadung 48.3 5 2 7 30 6 36 0 0 0 43 35.0 8.0 43.0 100 - - - 0 35 8 43 89.0 35 8 43 89.0 35 8 43 89.0 35 8 43 89.0
20 Krubungan 16.8 5 0 5 8 2 10 0 0 0 15 13.0 2.0 15.0 100 - - - 0 13 2 15 89.3 13 2 15 89.3 13 2 15 89.3 13 2 15 89.3
21 Patukgawemuly 30.45 6 2 8 29 6 35 0 0 0 43 35.0 8.0 43.0 100 - - - 0 35 8 43 141.2 32 8 40 131.4 28 7 35 114.9 35 8 43 141.2
22 Ngabean 51.45 7 0 7 34 2 36 0 0 0 43 41.0 2.0 43.0 100 - - 0 41 2 43 83.6 41 2 43 83.6 41 2 43 83.6 41 2 43 83.6
Jumlah 789.9 136 15 151 507 54 561 0 0 0 712 633 69 702 98.596 5 0 5 16.2 639 67 706 99.1573 633 67 700 98.31461 622 65 687 96.4888 637 69 706 99.1573

Mengetahui MIRIT, 4 NOVEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PERSALINAN , KUNJUNGAN NIFAS PROGRAM KESEHATAN IBU DAN ANAK

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN

BULAN NOVEMBER 2015

PENOLONG PERSALINAN TEMPAT PERSALINAN Kunjungan Nifas
JML Vit A Nifas
DOKTER BIDAN DUKUN TOTA FASKES NON FASKES I II III
SASA
L
NO NAMA PUSKESMAS RAN
Abs Abs Abs PER Abs Abs Abs Abs Abs
BU LIN Bln Bln Bln Abs Bln Bln Bln Bln Bln
Bln Jml Bln Jml Bln Jml SALI Bln ini Jml % Bln Bln ini Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml %
ini ini ini NAN Lalu ini ini ini ini
Lalu Lalu Lalu Lalu Lalu Lalu Lalu Lalu
1 2 3 4 5 6 7 8 9 10 11 12 13 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 23.1 3 0 3 18 0 18 0 0 0 21 21.0 - 21.0 100 - - - 0 21 0 21 90.9 21 0 21 90.9 21 0 21 90.9 21 0 21 90.9

2 Tlogodepok 45.35 4 1 5 34 2 36 0 0 0 41 38.0 3.0 41.0 100 - - - 0 38 3 41 90.4 38 3 41 90.4 38 3 41 90.4 38 3 41 90.4
3 Mirit 28.35 9 0 9 19 3 22 0 0 0 31 22.0 3.0 25.0 80.65 - - - 0 22 3 25 88.2 22 3 25 88.2 22 3 25 88.2 22 3 25 88.2
4 Tlogopragoto 29.4 7 0 7 23 0 23 0 0 0 30 30.0 - 30.0 100 - - - 0 30 0 30 102.0 30 0 30 102.0 30 0 30 102.0 30 0 30 102.0
5 Lembupurwo 68.25 12 0 12 50 8 58 0 0 0 70 61.0 8.0 69.0 98.57 1.0 - 1.0 1.43 60 8 68 99.6 60 8 68 99.6 58 8 66 96.7 62 8 70 102.6
6 Wiromartan 31.5 15 1 16 17 3 20 0 0 0 36 32.0 5.0 37.0 102.8 - - - 0 32 2 34 107.9 30 5 35 111.1 32 3 35 111.1 32 5 37 117.5
7 Rowo 31.5 5 0 5 20 5 25 0 0 0 30 25.0 5.0 30.0 100 - - - 0 25 5 30 95.2 25 5 30 95.2 25 5 30 95.2 25 5 30 95.2
8 Singoyudan 21 5 1 6 17 1 18 0 0 0 24 22.0 2.0 24.0 100 - - - 0 23 2 25 119.0 22 3 25 119.0 19 3 22 104.8 22 2 24 114.3
9 Wergonayan 37.8 12 0 12 29 2 31 0 0 0 43 41.0 2.0 43.0 100 - - - 0 41 2 43 113.8 41 2 43 113.8 41 2 43 113.8 41 2 43 113.8
10 Selotumpeng 46.2 6 0 6 30 6 36 0 0 0 42 36.0 6.0 42.0 100 - - - 0 36 6 42 90.9 36 6 42 90.9 34 2 36 77.9 36 6 42 90.9
11 Sitibentar 33.6 11 0 11 18 3 21 0 0 0 32 28.0 3.0 31.0 96.88 1.0 1.0 3.13 29 3 32 95.2 29 3 32 95.2 29 3 32 95.2 29 3 32 95.2
12 Karanggede 29.4 5 1 6 16 2 18 0 0 0 24 21.0 3.0 24.0 100 - - - 0 23 3 26 88.4 23 3 26 88.4 22 2 24 81.6 21 3 24 81.6
13 Kertodeso 48.4 7 1 8 34 2 36 0 0 0 44 41.0 3.0 44.0 100 - - - 0 41 3 44 90.9 41 3 44 90.9 41 3 44 90.9 41 3 44 90.9
14 Patukrejomulyo 23.1 3 0 3 19 2 21 0 0 0 24 19.0 2.0 21.0 87.5 - - - 0 20 2 22 95.2 20 2 22 95.2 20 2 22 95.2 20 2 22 95.2
15 Mangunranan 42 1 0 1 37 3 40 0 0 0 41 38.0 3.0 41.0 100 - - - 0 38 3 41 97.6 38 3 41 97.6 38 3 41 97.6 38 3 41 97.6
16 Pekutan 31.5 6 0 6 21 3 24 0 0 0 30 25.0 3.0 28.0 93.33 3.0 - 3.0 10 28 3 31 98.4 28 3 31 98.4 27 3 30 95.2 27 3 30 95.2
17 Wirogaten 48.3 12 3 15 25 4 29 0 0 0 44 37.0 7.0 44.0 100 - - - 0 37 7 44 91.1 37 7 44 91.1 37 7 44 91.1 37 7 44 91.1
18 Winong 24.15 1 0 1 19 4 23 0 0 0 24 20.0 4.0 24.0 100 - - - 0 20 4 24 99.4 20 4 24 99.4 20 4 24 99.4 20 4 24 99.4
19 Sarwogadung 48.3 7 2 9 36 3 39 0 0 0 48 43.0 5.0 48.0 100 - - - 0 43 5 48 99.4 43 5 48 99.4 43 5 48 99.4 43 5 48 99.4
20 Krubungan 16.8 5 1 6 10 2 12 0 0 0 18 15.0 3.0 18.0 100 - - - 0 15 3 18 107.1 15 2 17 101.2 15 2 17 101.2 15 3 18 107.1
21 Patukgawemuly 30.45 8 0 8 35 0 35 0 0 0 43 43.0 - 43.0 100 - - - 0 43 0 43 141.2 40 0 40 131.4 35 8 43 141.2 43 0 43 141.2
22 Ngabean 51.45 7 2 9 35 3 38 0 0 0 47 42.0 5.0 47.0 100 - - - 0 42 5 47 91.4 42 5 47 91.4 42 5 47 91.4 42 5 47 91.4
Jumlah 789.9 151 13 164 562 61 623 0 0 0 787 700 75 775 2160 5 0 5 14.6 707 72 779 2193.48 701 75 776 2180.849 689 76 765 2150.52 705 75 780 2191.19

Mengetahui MIRIT, 4 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PERSALINAN , KUNJUNGAN NIFAS PROGRAM KESEHATAN IBU DAN ANAK

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN

BULAN DESEMBER 2015

PENOLONG PERSALINAN TEMPAT PERSALINAN Kunjungan Nifas
JML Vit A Nifas
DOKTER BIDAN DUKUN TOTA FASKES NON FASKES I II III
SASA
L
NO NAMA PUSKESMAS RAN
Abs Abs Abs PER Abs Abs Abs Abs Abs
BU LIN Bln Bln Bln Abs Bln Bln Bln Bln Bln
Bln Jml Bln Jml Bln Jml SALI Bln ini Jml % Bln Bln ini Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml %
ini ini ini NAN Lalu ini ini ini ini
Lalu Lalu Lalu Lalu Lalu Lalu Lalu Lalu
1 2 3 4 5 6 7 8 9 10 11 12 13 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 23.1 3 1 4 18 1 19 0 0 0 23 21.0 2.0 23.0 100 - - - 0 21 2 23 99.6 21 2 23 99.6 21 2 23 99.6 21 2 23 99.6
2 Tlogodepok 45.35 5 2 7 36 3 39 0 0 0 46 41.0 5.0 46.0 100 - - - 0 41 5 46 101.4 41 5 46 101.4 41 5 46 101.4 41 5 46 101.4
3 Mirit 28.35 6 0 6 19 1 20 0 0 0 26 25.0 1.0 26.0 100 - - - 0 25 1 26 91.7 25 1 26 91.7 25 1 26 91.7 25 1 26 91.7
4 Tlogopragoto 29.4 7 0 7 23 1 24 0 0 0 31 30.0 1.0 31.0 100 - - - 0 30 1 31 105.4 30 1 31 105.4 30 1 31 105.4 30 1 31 105.4
5 Lembupurwo 68.25 12 0 12 53 3 56 0 0 0 68 64.0 3.0 67.0 98.53 1.0 - 1.0 1.47 65 3 68 99.6 65 3 68 99.6 65 3 68 99.6 65 3 68 99.6
6 Wiromartan 31.5 16 0 16 20 2 22 0 0 0 38 36.0 2.0 38.0 100 - - - 0 34 2 36 114.3 35 2 37 117.5 35 1 36 114.3 36 2 38 120.6
7 Rowo 31.5 5 0 5 25 3 28 0 0 0 33 30.0 3.0 33.0 100 - - - 0 30 3 33 104.8 30 3 33 104.8 30 2 32 101.6 30 3 33 104.8
8 Singoyudan 21 6 0 6 18 0 18 0 0 0 24 24.0 - 24.0 100 - - - 0 25 0 25 119.0 25 0 25 119.0 22 3 25 119.0 24 0 24 114.3
9 Wergonayan 37.8 12 0 12 31 1 32 0 0 0 44 43.0 1.0 44.0 100 - - - 0 43 1 44 116.4 43 1 44 116.4 43 1 44 116.4 43 1 44 116.4
10 Selotumpeng 46.2 6 0 6 36 3 39 0 0 0 45 42.0 3.0 45.0 100 - - - 0 42 3 45 97.4 42 3 45 97.4 36 3 39 84.4 42 3 45 97.4
11 Sitibentar 33.6 11 1 12 21 2 23 0 0 0 35 31.0 3.0 34.0 97.14 1.0 - 1.0 2.86 32 3 35 104.2 32 3 35 104.2 32 3 35 104.2 32 3 35 104.2
12 Karanggede 29.4 6 1 7 18 0 18 0 0 0 25 24.0 1.0 25.0 100 - - - 0 26 1 27 91.8 26 1 27 91.8 24 2 26 88.4 24 1 25 85.0
13 Kertodeso 48.4 8 0 8 36 3 39 0 0 0 47 44.0 3.0 47.0 100 - - - 0 44 3 47 97.1 44 3 47 97.1 44 3 47 97.1 44 3 47 97.1
14 Patukrejomulyo 23.1 3 0 3 22 1 23 0 0 0 23 22.0 1.0 23.0 100 - - - 0 22 1 23 99.6 22 1 23 99.6 22 1 23 99.6 22 1 23 99.6
15 Mangunranan 42 1 2 3 40 5 45 0 0 0 48 41.0 7.0 48.0 100 - - - 0 41 7 48 114.3 41 7 48 114.3 41 7 48 114.3 41 7 48 114.3
16 Pekutan 31.5 6 0 6 24 2 26 0 0 0 32 28.0 2.0 30.0 93.75 3.0 - 3.0 9.38 31 2 33 104.8 31 2 33 104.8 30 2 32 101.6 30 2 32 101.6
17 Wirogaten 48.3 15 1 16 29 1 30 0 0 0 46 44.0 2.0 46.0 100 - - - 0 44 2 46 95.2 44 2 46 95.2 44 2 46 95.2 44 2 46 95.2
18 Winong 24.15 1 0 1 23 0 23 0 0 0 24 24.0 - 24.0 100 - - - 0 24 0 24 99.4 24 0 24 99.4 24 0 24 99.4 24 0 24 99.4
19 Sarwogadung 48.3 9 1 10 39 2 41 0 0 0 51 48.0 3.0 51.0 100 - - - 0 48 3 51 105.6 48 3 51 105.6 48 3 51 105.6 48 3 51 105.6
20 Krubungan 16.8 6 0 6 12 0 12 0 0 0 18 18.0 - 18.0 100 - - - 0 18 0 18 107.1 17 1 18 107.1 17 1 18 107.1 18 0 18 107.1
21 Patukgawemuly 30.45 8 0 8 35 0 35 0 0 0 43 43.0 - 43.0 100 - - - 0 43 0 43 141.2 40 0 40 131.4 43 0 43 141.2 43 0 43 141.2
22 Ngabean 51.45 9 0 9 38 0 38 0 0 0 47 47.0 - 47.0 100 - - 0 47 0 47 91.4 47 0 47 91.4 47 0 47 91.4 47 0 47 91.4
Jumlah 789.9 161 9 170 616 34 650 0 0 0 817 770 43 813 102.92 5 0 5 13.7 776 43 819 103.684 773 44 817 103.4308 764 46 810 102.545 774 43 817 103.431

Mengetahui MIRIT, 23 DESEMBER 2015

 Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PERSALINAN , KUNJUNGAN NIFAS PROGRAM KESEHATAN IBU DAN ANAK

KABUPATEN KEBUMEN

BULAN 2015
PENOLONG PERSALINAN JML TEMPAT PERSALINAN Kunjungan Nifas
TOTA Vit A Nifas
SASA DOKTER BIDAN DUKUN FASKES NON FASKES I II III
L
NO NAMA PUSKESMAS RAN
Abs Abs Abs PER Abs Abs Abs Abs Abs
BU LIN Bln Bln Bln Abs Bln Bln Bln Bln Bln
Bln Jml Bln Jml Bln Jml SALI Bln ini Jml % Bln Bln ini Jml % Bln Jml % Bln Jml % Bln Jml % Bln Jml %
ini ini ini NAN Lalu ini ini ini ini
Lalu Lalu Lalu Lalu Lalu Lalu Lalu Lalu

1 2 3 4 5 6 7 8 9 10 11 12 13 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

1 Miritpetkusan 23.1
2 Tlogodepok 45.35
3 Mirit 28.35
4 Tlogopragoto 29.4
5 Lembupurwo 68.25 8 1 9 42 4 46 0 0 0 55 49.0 5.0 54.0 - - - 50 5 55 49 5 54 49 5 54 50 5 55
6 Wiromartan 31.5
7 Rowo 31.5
8 Singoyudan 21
9 Wergonayan 37.8
10 Selotumpeng 46.2 6 0 6 24 4 28 0 0 0 34 30.0 4.0 34.0 - - - 30 4 34 30 4 34 25 5 30 30 4 34
11 Sitibentar 33.6
12 Karanggede 29.4
13 Kertodeso 48.4
14 Patukrejomulyo 23.1
15 Mangunranan 42
16 Pekutan 31.5
17 Wirogaten 48.3
18 Winong 24.15
19 Sarwogadung 48.3 5 0 5 24 6 30 0 0 0 35 29.0 6.0 35.0 - - - 29 6 35 29 6 35 29 6 35 29 6 35
20 Krubungan 16.8
21 Patukgawemuly 30.45
22 Ngabean 51.45
Jumlah 789.9
 LAPORAN KELAHIRAN PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN : JANUARI 2015
KELAHIRAN BERAT BAYI BARU LAHIR
LAHIR HIDUP LAHIR MATI 2500 GRAM 2500 GRAM
NO NAMA DESA Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Abs Bln Lalu BULAN INI ABS
JM
L P JML L P JML L P JML L P JML L P JML L P JML L P L P JML L P JML L P JML L P JML L P JML
L
1 2 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
1 Miritpetkusan 0 2 1 3 2 1 3 - 0 0 0 - - - 0 0 - - - - 2 1 3 2.00 1.00 3.00
2 Tlogodepok 0 2 1 3 2 1 3 - 0 0 0 - - - 0 0 - - - - 2 1 3 2.00 1.00 3.00
3 Mirit 0 1 0 1 1 0 1 - 0 0 0 - - - 0 0 - - - - 1 0 1 1.00 - 1.00
4 Tlogopragoto 0 1 2 3 1 2 3 - 0 0 0 - - - 0 0 - - - - 1 2 3 1.00 2.00 3.00
5 Lembupurwo 0 0 0 0 0 0 0 - 0 0 0 - - - 0 0 - - - - 0 0 0 - - -
6 Wiromartan 0 1 0 1 1 0 1 - 0 0 0 - - - 0 0 - - - - 1 0 1 1.00 - 1.00
7 Rowo 0 1 2 3 1 2 3 - 0 0 0 - - - 0 0 - - - - 1 2 3 1.00 2.00 3.00
8 Singoyudan 0 2 2 4 2 2 4 - 0 0 0 - - - 0 0 - - - - 2 2 4 2.00 2.00 4.00
9 Wergonayan 0 0 0 0 0 0 0 - 0 0 0 - - - 0 0 - - - - 0 0 0 - - -
10 Selotumpeng 0 4 0 4 4 0 4 - 0 0 0 - - - 0 0 - - - - 4 0 4 4.00 - 4.00
11 Sitibentar 0 0 1 1 0 1 1 - 0 0 0 - - - 0 0 - - - - 0 1 1 - 1.00 1.00
12 Karanggede 0 4 3 7 4 3 7 - 0 0 0 - - - 0 0 - - - - 4 3 7 4.00 3.00 7.00
13 Kertodeso 0 2 1 3 2 1 3 - 0 0 0 - - - 0 0 - - - - 2 1 3 2.00 1.00 3.00
14 Patukrejomulyo 0 2 1 3 2 1 3 - 0 0 0 - - - 0 0 - - - - 2 1 3 2.00 1.00 3.00
15 Mangunranan 0 1 3 4 1 3 4 - 0 0 0 - - - 0 0 - - - - 1 3 4 1.00 3.00 4.00
16 Pekutan 0 2 0 2 2 0 2 - 0 0 0 - - - 0 0 - - - - 2 0 2 2.00 - 2.00
17 Wirogaten 0 0 0 0 0 0 0 - 0 0 0 - - - 0 0 - - - - 0 0 0 - - -
18 Winong 0 1 3 4 1 3 4 - 0 0 0 - - - 0 0 - - - - 1 3 4 1.00 3.00 4.00
19 Sarwogadung 0 0 1 1 0 1 1 - 0 0 0 - - - 0 0 0 - - - - 0 1 1 - 1.00 1.00
20 Krubungan 0 2 0 2 2 0 2 - 0 0 0 - - - 0 1 1 1.0 - 1.0 - 1 0 1 1.00 - 1.00
21 Patukgawemulyo 0 1 1 2 1 1 2 - 0 0 0 - - - 0 0 - - - - 1 1 2 1.00 1.00 2.00
22 Ngabean 0 0 0 0 0 0 0 - 0 0 0 - - - 0 0 - - - - 0 0 0 - - -
JUMLAH 0 0 0 29 22 51 29 22 51 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 28 22 50 28 22 50

Mengetahui MIRIT, 9 FEBRUARI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN KELAHIRAN PROGRAM KESEHATAN IBU DAN ANAK

UPT. UNIT PUSKESMAS MIRIT KABUPATEN KEBUMEN
BULAN : FEBRUARI 2015
KELAHIRAN BERAT BAYI BARU LAHIR
LAHIR HIDUP LAHIR MATI 2500 GRAM 2500 GRAM
NO NAMA DESA Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Abs Bln Lalu BULAN INI ABS
JM
L P JML L P JML L P JML L P JML L P JML L P JML L P L P JML L P JML L P JML L P JML L P JML
L
1 2 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
1 Miritpetkusan 2 1 3 0 1 1 2 2 4 - - - 0 0 0 - - - - - 0 0 0 0 - - - 2.00 1.00 3.00 0 1 1 2.00 2.00 4.00
2 Tlogodepok 2 1 3 1 2 3 3 3 6 - - - 0 0 0 - - - - - 0 0 0 0 - - - 2.00 1.00 3.00 1 2 3 3.00 3.00 6.00
3 Mirit 1 0 1 1 0 1 2 0 2 - - - 0 0 0 - - - - - 0 1 0 1 1.0 - 1.0 1.00 - 1.00 0 0 0 1.00 - 1.00
4 Tlogopragoto 1 2 3 1 0 1 2 2 4 - - - 0 0 0 - - - - - 0 0 0 0 - - - 1.00 2.00 3.00 1 0 1 2.00 2.00 4.00
5 Lembupurwo 0 0 0 3 2 5 3 2 5 - - - 0 0 0 - - - - - 0 0 0 0 - - - - - - 3 2 5 3.00 2.00 5.00
6 Wiromartan 1 0 1 3 2 5 4 2 6 - - - 0 0 0 - - - - - 0 0 0 0 - - - 1.00 - 1.00 3 2 5 4.00 2.00 6.00
7 Rowo 1 2 3 2 0 2 3 2 5 - - - 0 0 0 - - - - - 0 0 0 0 - - - 1.00 2.00 3.00 2 0 2 3.00 2.00 5.00
8 Singoyudan 2 2 4 0 0 0 2 2 4 - - - 0 0 0 - - - - - 0 0 0 0 - - - 2.00 2.00 4.00 0 0 0 2.00 2.00 4.00
9 Wergonayan 0 0 0 2 2 2 0 2 - - - 0 0 0 - - - - - 0 0 0 0 - - - - - - 2 2 4 2.00 2.00 4.00
10 Selotumpeng 4 0 4 0 2 2 4 2 6 - - - 0 0 0 - - - - - 0 0 1 1 - 1.0 1.0 4.00 - 4.00 0 1 1 4.00 1.00 5.00
11 Sitibentar 0 1 1 1 1 2 1 2 3 - - 0 0 0 - - - - - 0 0 0 0 - - - - 1.00 1.00 1 1 2 1.00 2.00 3.00
12 Karanggede 4 3 7 0 1 1 4 4 8 - - - 0 0 0 - - - - - 0 0 0 0 - - - 4.00 3.00 7.00 0 1 1 4.00 4.00 8.00
13 Kertodeso 2 1 3 1 3 4 3 4 7 - - - 0 0 0 - - - - - 0 0 0 0 - - - 2.00 1.00 3.00 1 3 4 3.00 4.00 7.00
14 Patukrejomulyo 2 1 3 1 0 1 3 1 4 - - - 0 0 0 - - - - - 0 1 0 1 1.0 - 1.0 2.00 1.00 3.00 0 0 0 2.00 1.00 3.00
15 Mangunranan 1 3 4 1 1 2 2 4 6 - - - 0 0 0 - - - - - 0 0 0 0 - - - 1.00 3.00 4.00 1 1 2 2.00 4.00 6.00
16 Pekutan 2 0 2 1 1 2 3 1 4 - - - 0 0 0 - - - - - 0 0 0 0 - - - 2.00 - 2.00 1 1 2 3.00 1.00 4.00
17 Wirogaten 0 0 0 2 3 5 2 3 5 - - - 0 0 0 - - - - - 0 0 1 1 - 1.0 1.0 - - - 2 2 4 2.00 2.00 4.00
18 Winong 1 3 4 2 1 3 3 4 7 - - - 0 0 0 - - - - - 0 0 0 0 - - - 1.00 3.00 4.00 2 1 3 3.00 4.00 7.00
19 Sarwogadung 0 1 1 1 3 4 1 4 5 - - - 0 0 0 - - - - - 0 0 0 0 - - - - 1.00 1.00 1 3 4 1.00 4.00 5.00
20 Krubungan 2 0 2 0 1 1 2 1 3 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 1.00 - 1.00 0 1 1 1.00 1.00 2.00
21 Patukgawemulyo 1 1 2 1 1 2 2 2 4 - - - 0 0 0 - - - - - 0 0 - - - 1.00 1.00 2.00 1 1 2 2.00 2.00 4.00
22 Ngabean 0 0 0 2 2 4 2 2 4 - - - 0 0 0 - - - - - 0 0 0 0 - - - - - - 2 2 4 2.00 2.00 4.00
JUMLAH 29 22 51 26 27 53 55 49 104 0 0 0 0 0 0 0 0 0 1 0 1 2 2 4 3 2 5 28 22 50 24 27 51 52 49 101

Mengetahui MIRIT, 5 MARET 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KELAHIRAN PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN

BULAN : MARET 2015

KELAHIRAN BERAT BAYI BARU LAHIR
LAHIR HIDUP LAHIR MATI 2500 GRAM 2500 GRAM
NO NAMA DESA Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Abs Bln Lalu BULAN INI ABS
JM
L P JML L P JML L P JML L P JML L P JML L P JML L P L P JML L P JML L P JML L P JML L P JML
L
1 2 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
1 Miritpetkusan 2 2 4 0 0 0 2 2 4 - - - 0 0 0 - - - - - 0 0 0 0 - - - 2.00 2.00 4.00 0 0 0 2.00 2.00 4.00
2 Tlogodepok 3 3 6 0 2 2 3 5 8 - - - 0 0 0 - - - - - 0 0 0 0 - - - 3.00 3.00 6.00 0 2 2 3.00 5.00 8.00
3 Mirit 2 0 2 1 2 3 3 2 5 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 1.00 - 1.00 1 2 3 2.00 2.00 4.00
4 Tlogopragoto 2 2 4 0 1 1 2 3 5 - - - 1 0 1 1.00 - 1.00 - - 0 0 0 0 - - - 2.00 2.00 4.00 0 1 1 2.00 3.00 5.00
5 Lembupurwo 3 2 5 1 6 7 4 8 12 - - - 0 0 0 - - - - - 0 0 0 0 - - - 3.00 2.00 5.00 1 6 7 4.00 8.00 12.00
6 Wiromartan 4 2 6 2 0 2 6 2 8 - - - 0 0 0 - - - - - 0 0 0 0 - - - 4.00 2.00 6.00 2 0 2 6.00 2.00 8.00
7 Rowo 3 2 5 0 1 1 3 3 6 - - - 0 0 0 - - - - - 0 0 0 0 - - - 3.00 2.00 5.00 0 1 1 3.00 3.00 6.00
8 Singoyudan 2 2 4 0 0 0 2 2 4 - - - 0 0 0 - - - - - 0 0 0 0 - - - 2.00 2.00 4.00 0 0 0 2.00 2.00 4.00
9 Wergonayan 2 0 2 1 1 2 3 1 4 - - - 0 0 0 - - - - - 0 0 0 0 - - - 2.00 2.00 4.00 1 1 2 3.00 3.00 6.00
10 Selotumpeng 4 2 6 1 1 2 5 3 8 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 4.00 1.00 5.00 1 1 2 5.00 2.00 7.00
11 Sitibentar 1 2 3 2 3 5 3 5 8 - - - 0 0 0 - - - - - 0 0 0 0 - - - 1.00 2.00 3.00 2 3 5 3.00 5.00 8.00
12 Karanggede 4 4 8 0 1 1 4 5 9 - - - 0 0 0 - - - - - 0 0 0 0 - - - 4.00 4.00 8.00 0 1 1 4.00 5.00 9.00
13 Kertodeso 3 4 7 2 0 2 5 4 9 - - - 0 0 0 - - - - - 0 0 0 0 - - - 3.00 4.00 7.00 2 0 2 5.00 4.00 9.00
14 Patukrejomulyo 3 1 4 0 0 0 3 1 4 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 2.00 1.00 3.00 0 0 0 2.00 1.00 3.00
15 Mangunranan 2 4 6 4 1 5 6 5 11 - - - 0 0 0 - - - - - 0 0 0 0 - - - 2.00 4.00 6.00 4 1 5 6.00 5.00 11.00
16 Pekutan 3 1 4 1 1 2 4 2 6 - - - 0 0 0 - - - - - 0 0 0 0 - - - 3.00 1.00 4.00 1 1 2 4.00 2.00 6.00
17 Wirogaten 2 3 5 2 2 4 4 5 9 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 2.00 2.00 4.00 2 2 4 4.00 4.00 8.00
18 Winong 3 4 7 0 0 0 3 4 7 - - - 0 0 0 - - - - - 0 0 0 0 - - - 3.00 4.00 7.00 0 0 0 3.00 4.00 7.00
19 Sarwogadung 1 3 4 2 1 3 6 3 9 - - - 0 0 0 1.00 - 1.00 - - 0 0 0 0 1.0 - 1.0 3.00 1.00 4.00 2 1 3 5.00 3.00 8.00
20 Krubungan 2 1 3 1 1 2 3 2 5 - - - 0 0 0 - - - 1.0 - 1 0 1 1 1.0 1.0 2.0 1.00 1.00 2.00 1 0 1 2.00 1.00 3.00
21 Patukgawemulyo 2 2 0 1 3 4 3 5 8 - - - 0 0 0 - - - - - 0 0 0 0 - - - 2.00 2.00 4.00 1 3 4 3.00 5.00 8.00
22 Ngabean 2 2 4 3 1 4 5 3 8 - - - 0 0 0 - - - - - 0 0 0 0 - - - 2.00 2.00 4.00 3 1 4 5.00 3.00 8.00
JUMLAH 55 48 99 24 28 52 82 75 157 0 0 0 1 0 1 2 0 2 3 2 5 0 1 1 4 3 7 54 46 100 24 27 51 78 74 152

Mengetahui MIRIT, 4 APRIL 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KELAHIRAN PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN : APRIL 2015
KELAHIRAN BERAT BAYI BARU LAHIR
LAHIR HIDUP LAHIR MATI 2500 GRAM 2500 GRAM
NO NAMA DESA Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Abs Bln Lalu BULAN INI ABS
JM
L P JML L P JML L P JML L P JML L P JML L P JML L P L P JML L P JML L P JML L P JML L P JML
L
1 2 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
1 Miritpetkusan 2 2 4 2 1 3 4 3 7 - - - 0 0 0 - - - - - 0 0 0 0 - - - 2.00 2.00 4.00 2 1 3 4.00 3.00 7.00
2 Tlogodepok 3 5 8 0 1 1 3 6 9 - - - 0 0 0 - - - - - 0 0 0 0 - - - 3.00 5.00 8.00 0 1 1 3.00 6.00 9.00
3 Mirit 3 2 5 1 0 1 4 2 6 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 2.00 2.00 4.00 1 0 1 3.00 2.00 5.00
4 Tlogopragoto 2 3 5 3 1 4 5 4 9 1.00 - 1.00 0 0 0 1.00 - 1.00 - - 0 0 0 0 - - - 2.00 3.00 5.00 3 1 4 5.00 4.00 9.00
5 Lembupurwo 4 8 12 6 2 8 10 10 20 - - - 0 0 0 - - - - - 0 0 0 0 - - - 4.00 8.00 12.00 6 2 8 10.00 10.00 20.00
6 Wiromartan 6 2 8 2 2 4 8 4 12 - - - 0 0 0 - - - - - 0 0 0 0 - - - 6.00 2.00 8.00 2 2 4 8.00 4.00 12.00
7 Rowo 3 3 6 1 2 3 4 5 9 - - - 0 0 0 - - - - - 0 0 0 0 - - - 3.00 3.00 6.00 1 2 3 4.00 5.00 9.00
8 Singoyudan 2 2 4 1 1 2 3 3 6 - - - 0 0 0 - - - - - 0 0 0 0 - - - 2.00 2.00 4.00 1 1 2 3.00 3.00 6.00
9 Wergonayan 3 1 4 4 2 6 7 3 10 - - - 0 0 0 - - - - - 0 0 0 0 - - - 3.00 3.00 6.00 4 2 6 7.00 5.00 12.00
10 Selotumpeng 5 3 8 3 0 3 8 3 11 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 5.00 2.00 7.00 3 0 3 8.00 2.00 10.00
11 Sitibentar 3 5 8 2 0 2 5 5 10 - - - 0 0 0 - - - - - 0 0 0 0 - - - 3.00 5.00 8.00 2 0 2 5.00 5.00 10.00
12 Karanggede 4 5 9 2 2 6 5 11 - - - 0 0 0 - - - - - 0 0 0 0 - - - 4.00 5.00 9.00 2 2 4 6.00 7.00 13.00
13 Kertodeso 5 4 9 1 2 3 6 6 12 - - - 0 0 0 - - - - - 0 0 0 0 - - - 5.00 4.00 9.00 1 2 3 6.00 6.00 12.00
14 Patukrejomulyo 3 1 4 1 0 1 4 1 5 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 2.00 1.00 3.00 1 0 1 3.00 1.00 4.00
15 Mangunranan 6 5 11 3 2 5 9 7 16 - - - 0 0 0 - - - - - 0 0 0 - - - 6.00 5.00 11.00 3 2 5 9.00 7.00 16.00
16 Pekutan 4 2 6 1 0 1 5 2 7 - - - 0 0 0 - - - - - 0 0 0 0 - - - 4.00 2.00 6.00 1 0 1 5.00 2.00 7.00
17 Wirogaten 4 5 9 2 3 5 6 8 14 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 4.00 4.00 8.00 2 3 5 6.00 7.00 13.00
18 Winong 3 4 7 2 3 5 5 7 12 - - - 0 0 0 - - - - - 0 0 0 0 - - - 3.00 4.00 7.00 2 3 5 5.00 7.00 12.00
19 Sarwogadung 6 3 9 0 2 2 6 5 11 - - - 0 0 0 1.00 - 1.00 - - 0 0 0 0 - - - 5.00 3.00 8.00 0 2 2 5.00 5.00 10.00
20 Krubungan 3 2 5 1 1 2 4 3 7 - - - 0 0 0 - - - 1.0 1.0 2 0 0 0 1.0 1.0 2.0 2.00 1.00 3.00 1 1 2 3.00 2.00 5.00
21 Patukgawemulyo 3 5 8 2 2 4 5 7 12 - - - 0 0 0 - - - - - 0 0 0 0 - - - 3.00 5.00 8.00 2 1 3 5.00 6.00 11.00
22 Ngabean 5 3 8 3 2 5 8 5 13 - - - 0 0 0 - - - - - 0 0 0 0 - - - 5.00 3.00 8.00 3 2 5 8.00 5.00 13.00
JUMLAH 82 75 157 43 29 72 125 104 229 1 0 1 0 0 0 2 0 2 3 3 6 0 0 0 3 3 6 78 74 152 43 30 73 121 104 225

Mengetahui MIRIT, 5 MEI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KELAHIRAN PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN : MEI 2015
KELAHIRAN BERAT BAYI BARU LAHIR
LAHIR HIDUP LAHIR MATI 2500 GRAM 2500 GRAM
NO NAMA DESA Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Abs Bln Lalu BULAN INI ABS
JM
L P JML L P JML L P JML L P JML L P JML L P JML L P L P JML L P JML L P JML L P JML L P JML
L
1 2 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
1 Miritpetkusan 4 3 7 3 0 3 7 3 10 - - - 0 0 0 - - - - - 0 0 0 0 - - - 4 3 7 3 0 3 7 3 10
2 Tlogodepok 3 6 9 3 2 5 6 8 14 - - - 0 0 0 - - - - - 0 1 0 1 1.0 - 1.0 3 6 9 2 2 4 5 8 13
3 Mirit 4 2 6 1 1 2 5 3 8 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 3 2 5 1 1 2 4 3 7
4 Tlogopragoto 8 5
13 2 2 4 10 7 17 1.00 - 1.00 0 0 0 1.00 - 1.00 1.0 - 1 0 0 0 1.0 - 1.0 7 5 12 2 2 4 9 7 16
5 Lembupurwo 10 10
20 5 2 7 15 12 27 - - - 0 0 0 - - - - - 0 0 - - - 10 10 20 5 2 7 15 12 27
6 Wiromartan 8 4
12 3 3 6 11 7 18 - - - 0 0 0 - - - - - 0 0 0 0 - - - 8 4 12 3 3 6 11 7 18
7 Rowo 4 5 9 0 0 0 4 5 9 - - - 0 0 0 - - - - - 0 0 0 0 - - - 4 5 9 0 0 0 4 5 9
8 Singoyudan 3 3 6 3 3 6 6 6 12 - - - 0 0 0 - - - - - 0 0 0 0 - - - 3 3 6 3 3 6 6 6 12
9 Wergonayan 7 3
10 5 2 7 12 5 17 - - - 0 0 0 - - - - - 0 0 0 0 - - - 7 5 12 4 1 5 11 6 17
10 Selotumpeng 8 311 2 1 3 10 4 14 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 8 2 10 2 1 3 10 3 13
11 Sitibentar 5 5
10 0 1 1 5 6 11 - - - 0 0 0 - - - - - 0 0 0 0 - - - 5 5 10 0 1 1 5 6 11
12 Karanggede 6 511 3 2 5 9 7 16 - - - 9 0 9 9.00 - 9.00 - - 0 0 1 1 - 1.0 1.0 6 7 13 2 1 3 8 8 16
13 Kertodeso 6 6
12 3 1 4 9 7 16 - - - 0 0 0 - - - - - 0 1 0 1 1.0 - 1.0 6 6 12 2 1 3 8 7 15
14 Patukrejomulyo 4 1 5 2 1 3 6 2 8 - - - 0 0 0 - - - 1.0 - 1 1 0 1 2.0 - 2.0 3 1 4 1 1 2 4 2 6
15 Mangunranan 9 7
16 2 3 5 11 10 21 - - - 0 0 0 - - - - - 0 0 0 0 - - - 9 7 16 2 3 5 11 10 21
16 Pekutan 5 2 7 1 2 3 6 4 10 - - - 0 0 0 - - - - - 0 0 0 0 - - - 5 2 7 1 2 3 6 4 10
17 Wirogaten 6 8
14 2 2 4 8 10 18 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 6 7 13 2 2 4 8 9 17
18 Winong 5 7
12 0 2 2 5 9 14 - - - 0 0 0 - - - - - 0 0 0 0 - - - 5 7 12 0 2 2 5 9 14
19 Sarwogadung 6 511 2 1 3 8 6 14 1.00 - 1.00 0 0 0 1.00 - 1.00 - - 0 0 0 0 - - - 5 5 10 2 1 3 7 6 13
20 Krubungan 4 3 7 2 1 3 6 4 10 - - - 0 0 0 - - - 1.0 1.0 2 1 0 1 2.0 1.0 3.0 3 2 5 1 1 2 4 3 7
21 Patukgawemulyo 5 7
12 2 3 5 7 10 17 - - - 0 0 0 - - - - - 0 0 0 0 - - - 5 6 11 2 3 5 7 9 16
22 Ngabean 8 5
13 5 1 6 13 6 19 - - - 0 0 0 - - - - - 0 1 0 1 1.0 - 1.0 8 5 13 4 1 5 12 6 18
JUMLAH 125 104 229 51 36 87 179 141 320 2 0 2 9 0 9 11 0 11 4 3 7 5 1 6 9 4 13 123 105 228 44 34 78 167 139 306

Mengetahui MIRIT, 5 JUNI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KELAHIRAN PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN : JUNI 2015
KELAHIRAN BERAT BAYI BARU LAHIR
LAHIR HIDUP LAHIR MATI 2500 GRAM 2500 GRAM
NO NAMA DESA Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Abs Bln Lalu BULAN INI ABS
JM
L P JML L P JML L P JML L P JML L P JML L P JML L P L P JML L P JML L P JML L P JML L P JML
L
1 2 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
1 Miritpetkusan 7 4 11 1 1 2 8 5 13 - - - 0 0 0 - - - - - 0 0 0 0 - - - 7.00 4.00 11.00 1 1 2 8.00 5.00 13.00
2 Tlogodepok 6 9 15 1 2 3 7 11 18 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 5.00 9.00 14.00 1 2 3 6.00 11.00 17.00
3 Mirit 5 3 8 2 0 2 7 3 10 - - - 0 0 0 - - - - - 0 0 0 0 - - - 5.00 3.00 8.00 2 0 2 7.00 3.00 10.00
4 Tlogopragoto 8 6 14 2 2 4 10 8 18 1.00 - 1.00 0 0 0 1.00 - 1.00 1.0 - 1 0 0 0 1.0 - 1.0 8.00 6.00 14.00 2 2 4 10.00 8.00 18.00
5 Lembupurwo 13 11 24 5 3 8 18 14 32 - - - 0 0 0 - - - - - 0 0 0 0 - - - 13.00 11.00 24.00 5 3 8 18.00 14.00 32.00
6 Wiromartan 11 7 18 1 2 3 12 9 21 - - - 0 0 0 - - - - - 0 0 0 0 - - - 11.00 7.00 18.00 1 2 3 12.00 9.00 21.00
7 Rowo 5 4 9 2 1 3 7 5 12 - - - 0 0 0 - - - - - 0 0 0 0 - - - 5.00 4.00 9.00 2 1 3 7.00 5.00 12.00
8 Singoyudan 4 4 8 0 0 0 4 4 8 - - - 0 0 0 - - - - - 0 0 0 0 - - - 4.00 4.00 8.00 0 0 0 4.00 4.00 8.00
9 Wergonayan 11 6 17 3 1 4 14 7 21 - - - 0 0 0 - - - - - 0 0 0 0 - - - 11.00 6.00 17.00 3 1 4 14.00 7.00 21.00
10 Selotumpeng 10 4 14 4 1 5 14 5 19 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 10.00 3.00 13.00 4 1 5 14.00 4.00 18.00
11 Sitibentar 5 6 11 1 0 1 6 6 12 - - - 0 0 0 - - - - - 0 0 0 0 - - - 5.00 6.00 11.00 1 0 1 6.00 6.00 12.00
12 Karanggede 9 7 16 0 0 0 9 7 16 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 8.00 8.00 16.00 0 0 0 8.00 8.00 16.00
13 Kertodeso 9 7 16 1 2 3 10 9 19 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 8.00 7.00 15.00 1 2 3 9.00 9.00 18.00
14 Patukrejomulyo 6 2 8 3 1 4 9 3 12 - - - 0 0 0 - - - 2.0 - 2 2 1 3 4.0 1.0 5.0 4.00 2.00 6.00 1 0 1 5.00 2.00 7.00
15 Mangunranan 11 10 21 1 2 3 12 12 24 - - - 0 0 0 - - - - - 0 0 1 1 - 1.0 1.0 11.00 10.00 21.00 1 1 2 12.00 11.00 23.00
16 Pekutan 6 4 10 4 1 5 10 5 15 - - - 0 0 0 - - - - - 0 0 0 0 - 1.0 1.0 6.00 4.00 10.00 4 1 5 10.00 5.00 15.00
17 Wirogaten 8 10 18 0 2 2 8 12 20 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 8.00 9.00 17.00 0 2 2 8.00 11.00 19.00
18 Winong 5 9 14 0 1 1 5 10 15 - - - 0 0 0 - - - - - 0 0 0 0 - - - 5.00 9.00 14.00 0 1 1 5.00 10.00 15.00
19 Sarwogadung 8 6 14 2 3 5 10 9 19 1.00 - 1.00 0 0 0 1.00 - 1.00 - - 0 0 0 0 - - - 8.00 6.00 14.00 2 3 5 10.00 9.00 19.00
20 Krubungan 6 4 10 0 1 1 6 5 11 - - - 0 0 0 - - - 2.0 1.0 3 0 0 0 2.0 1.0 3.0 4.00 3.00 7.00 0 1 1 4.00 4.00 8.00
21 Patukgawemulyo 7 9 16 3 2 5 10 11 21 - - - 0 0 0 - - - - - 0 0 0 0 - - - 7.00 9.00 16.00 3 2 5 10.00 11.00 21.00
22 Ngabean 13 6 19 2 5 7 15 11 26 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 12.00 6.00 18.00 2 5 7 14.00 11.00 25.00
JUMLAH 173 138 311 38 33 71 211 171 382 2 0 2 0 0 0 2 0 2 8 4 12 2 2 4 10 7 17 165 136 301 36 31 67 201 167 368

Mengetahui MIRIT, 05 JULI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KELAHIRAN PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN : JULI 2015
KELAHIRAN BERAT BAYI BARU LAHIR
LAHIR HIDUP LAHIR MATI 2500 GRAM 2500 GRAM
NO NAMA DESA Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Abs Bln Lalu BULAN INI ABS
JM
L P JML L P JML L P JML L P JML L P JML L P JML L P L P JML L P JML L P JML L P JML L P JML
L
1 2 4 56 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
1 Miritpetkusan 8 5
13 1 1 2 9 6 15 - - - 0 0 0 - - - - - 0 0 0 0 - - - 8.00 5.00 13.00 1 1 2 9.00 6.00 15.00
2 Tlogodepok 7 11
18 1 3 4 8 14 22 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 6.00 11.00 17.00 1 3 4 7.00 14.00 21.00
3 Mirit 7 3
10 2 1 3 9 4 13 - - - 0 0 0 - - - - - 0 0 0 0 - - - 7.00 3.00 10.00 2 1 3 9.00 4.00 13.00
4 Tlogopragoto 10 8
18 1 2 3 11 10 21 1.00 - 1.00 0 1.00 - 1.00 1.0 - 1 0 0 0 1.0 - 1.0 10.00 8.00 18.00 1 2 3 11.00 10.00 21.00
5 Lembupurwo 18 14
32 3 2 5 21 16 37 - - - 0 0 0 - - - - - 0 0 0 0 - - - 18.00 14.00 32.00 3 2 5 21.00 16.00 37.00
6 Wiromartan 12 9
21 2 1 3 14 10 24 - - - 0 0 0 - - - - - 0 0 0 0 - - - 12.00 9.00 21.00 2 1 3 14.00 10.00 24.00
7 Rowo 7 5
12 1 1 2 8 6 14 - - - 0 0 0 - - - - - 0 0 0 0 - - - 7.00 5.00 12.00 1 1 2 8.00 6.00 14.00
8 Singoyudan 4 48 4 0 4 8 4 12 - - - 0 0 0 - - - - - 0 0 0 0 - - - 4.00 4.00 8.00 2 2 4 6.00 6.00 12.00
9 Wergonayan 14 7
21 0 3 3 14 10 24 - - - 0 - - - - - 0 0 0 0 - - - 14.00 7.00 21.00 0 3 3 14.00 10.00 24.00
10 Selotumpeng 14 5
19 4 2 6 18 7 25 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 14.00 4.00 18.00 4 2 6 18.00 6.00 24.00
11 Sitibentar 6 6
12 4 2 6 10 8 18 - - - 0 0 0 - - - - - 0 0 0 0 - - - 6.00 6.00 12.00 4 2 6 10.00 8.00 18.00
12 Karanggede 9 7
16 0 0 0 9 7 16 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 8.00 8.00 16.00 0 0 0 8.00 8.00 16.00
13 Kertodeso 10 9
19 4 0 4 14 9 23 - - - 1 0 1 1.00 - 1.00 1.0 - 1 1 0 1 2.0 - 2.0 9.00 9.00 18.00 4 0 4 13.00 9.00 22.00
14 Patukrejomulyo 9 3
12 1 0 1 10 3 13 - - - 0 0 0 - - - 4.0 1.0 5 0 0 0 4.0 1.0 5.0 5.00 2.00 7.00 1 0 1 6.00 - 6.00
15 Mangunranan 12 12
24 2 3 5 14 15 29 - - - 0 0 0 - - - - 1.0 1 0 1 1 - 2.0 2.0 12.00 11.00 23.00 2 2 4 14.00 13.00 27.00
16 Pekutan 10 5
15 4 2 6 14 7 21 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 10.00 5.00 15.00 4 2 6 14.00 7.00 21.00
17 Wirogaten 8 12
20 3 0 3 11 12 23 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 8.00 11.00 19.00 3 0 3 11.00 11.00 22.00
18 Winong 5 10
15 0 1 1 5 11 16 - - - 0 0 0 - - - - - 0 0 0 0 - - - 5.00 10.00 15.00 0 1 1 5.00 11.00 16.00
19 Sarwogadung 10 9
19 1 4 5 11 13 24 1.00 - 1.00 0 0 0 1.00 - 1.00 - - 0 0 0 0 - - - 10.00 9.00 19.00 1 4 5 11.00 13.00 24.00
20 Krubungan 6 5
11 0 1 1 6 6 12 - - - 0 0 0 - - - 2.0 1.0 3 0 0 0 2.0 1.0 3.0 4.00 4.00 8.00 0 1 1 4.00 5.00 9.00
21 Patukgawemulyo 10 11
21 4 1 5 14 12 26 - - - 0 0 0 - - - - - 0 0 0 0 - - - 10.00 11.00 21.00 4 1 5 14.00 12.00 26.00
22 Ngabean 15 11
26 1 4 5 16 15 31 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 14.00 11.00 25.00 1 4 5 15.00 15.00 30.00
JUMLAH 211 171 382 43 34 77 254 205 459 2 0 2 1 0 1 3 0 3 10 7 17 1 1 2 11 8 19 201 167 368 41 35 76 242 200 442

Mengetahui MIRIT, 05 AGUSTUS 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KELAHIRAN PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN : AGUSTUS 2015
KELAHIRAN BERAT BAYI BARU LAHIR
LAHIR HIDUP LAHIR MATI 2500 GRAM 2500 GRAM
NO NAMA DESA Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Abs Bln Lalu BULAN INI ABS
JM
L P JML L P JML L P JML L P JML L P JML L P JML L P L P JML L P JML L P JML L P JML L P JML
L
1 2 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
1 Miritpetkusan 9 615 3 2 5 12 8 20 - - - 0 0 0 - - - - - 0 0 0 0 - - - 9.00 6.00 15.00 3 2 5 12.00 8.00 20.00
2 Tlogodepok 8 14
22 3 2 5 11 16 27 - - - 0 0 0 - - - 1.0 - 1 1 0 1 2.0 - 2.0 7.00 14.00 21.00 2 2 4 9.00 16.00 25.00
3 Mirit 8 513 3 2 5 11 7 18 - - - 0 0 0 - - - - - 0 0 0 0 - - - 9.00 4.00 13.00 3 2 5 12.00 6.00 18.00
4 Tlogopragoto 11 920 2 3 5 13 12 25 1.00 - 1.00 0 0 0 1.00 - 1.00 1.0 - 1 0 0 0 1.0 - 1.0 11.00 10.00 21.00 2 3 5 13.00 12.00 25.00
5 Lembupurwo 31 12
43 4 3 7 35 15 50 - - - 0 0 0 - - - - - 0 0 0 0 - - - 21.00 16.00 37.00 4 3 7 35.00 15.00 50.00
6 Wiromartan 14 10
24 2 1 3 16 11 27 - - - 0 0 0 - - - - - 0 0 0 0 - - - 14.00 10.00 24.00 2 1 3 16.00 11.00 27.00
7 Rowo 8 614 2 1 3 10 7 17 - - - 0 0 0 - - - - - 0 0 0 0 - - - 8.00 6.00 14.00 2 1 3 10.00 7.00 17.00
8 Singoyudan 8 412 2 0 2 10 4 14 - - - 0 0 0 - - - - - 0 0 0 0 - - - 6.00 4.00 10.00 2 0 2 8.00 4.00 12.00
9 Wergonayan 14 10
24 4 5 9 18 15 33 - - - 0 0 0 - - - - - 0 0 1 1 - 1.0 1.0 14.00 10.00 24.00 4 4 8 18.00 14.00 32.00
10 Selotumpeng 18 725 2 3 5 20 10 30 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 18.00 6.00 24.00 2 3 5 20.00 9.00 29.00
11 Sitibentar 10 818 1 1 2 11 9 20 - - - 0 0 0 - - - - - 0 0 0 0 - - - 10.00 8.00 18.00 1 1 2 11.00 9.00 20.00
12 Karanggede 9 716 0 1 1 9 8 17 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 8.00 8.00 16.00 0 1 1 9.00 8.00 17.00
13 Kertodeso 14 923 2 1 3 16 10 26 1.00 - 1.00 0 0 0 1.00 - 1.00 2.0 - 2 0 0 0 2.0 - 2.0 13.00 9.00 22.00 2 1 3 15.00 10.00 25.00
14 Patukrejomulyo 10 313 2 2 4 12 5 17 - - - 0 0 0 - - - 4.0 1.0 5 0 0 0 4.0 1.0 5.0 6.00 2.00 8.00 2 2 4 8.00 4.00 12.00
15 Mangunranan 14 15
29 0 0 0 14 15 29 - - - 0 0 0 - - - - 2.0 2 0 0 0 - 2.0 2.0 14.00 13.00 27.00 0 0 0 14.00 13.00 27.00
16 Pekutan 14 721 1 2 3 15 9 24 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 14.00 7.00 21.00 1 2 3 15.00 9.00 24.00
17 Wirogaten 11 12
23 0 5 5 11 17 28 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 11.00 11.00 22.00 0 5 5 11.00 16.00 27.00
18 Winong 5 11
16 0 1 1 5 12 17 - - - 0 0 0 - - - - - 0 0 0 0 - - - 5.00 11.00 16.00 0 1 1 5.00 12.00 17.00
19 Sarwogadung 11 13
24 0 1 1 11 14 25 1.00 - 1.00 0 0 0 1.00 - 1.00 - - 0 0 0 0 - - - 11.00 13.00 24.00 0 1 1 11.00 14.00 25.00
20 Krubungan 6 612 0 1 1 6 7 13 - - - 0 0 0 - - - 2.0 1.0 3 0 0 0 2.0 1.0 3.0 4.00 5.00 9.00 0 1 1 4.00 6.00 10.00
21 Patukgawemulyo 14 12
26 2 0 2 16 12 28 - - - 0 0 0 - - - - - 0 0 0 0 - - - 14.00 12.00 26.00 2 0 2 16.00 12.00 28.00
22 Ngabean 16 15
31 2 4 6 18 19 37 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 15.00 15.00 30.00 2 4 6 17.00 19.00 36.00
JUMLAH 263 201 464 37 41 78 300 242 542 3 0 3 0 0 0 3 0 3 11 8 19 1 1 2 12 9 21 242 200 442 36 40 76 289 234 523

Mengetahui MIRIT, 5 SEPTEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KELAHIRAN PROGRAM KESEHATAN IBU DAN ANAK
UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN : SEPTEMBER 2015
KELAHIRAN BERAT BAYI BARU LAHIR
LAHIR HIDUP LAHIR MATI 2500 GRAM 2500 GRAM
NO NAMA DESA Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Abs Bln Lalu BULAN INI ABS
JM
L P JML L P JML L P JML L P JML L P JML L P JML L P L P JML L P JML L P JML L P JML L P JML
L
1 2 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
1 Miritpetkusan 12 820 1 0 1 13 8 21 - - - 0 0 0 - - - - - 0 0 0 0 - - - 12.00 8.00 20.00 1 0 1 13.00 8.00 21.00
2 Tlogodepok 11 16
27 4 4 8 15 20 35 - - - 0 0 0 - - - 2.0 - 2 0 0 0 2.0 - 2.0 9.00 16.00 25.00 4 4 8 13.00 20.00 33.00
3 Mirit 11 718 1 0 1 12 7 19 - - - 0 0 0 - - - - - 0 0 0 0 - - - 12.00 6.00 18.00 1 0 1 13.00 6.00 19.00
4 Tlogopragoto 13 12
25 2 1 3 15 13 28 1.00 - 1.00 0 0 0 1.00 - 1.00 1.0 - 1 0 0 0 1.0 - 1.0 13.00 12.00 25.00 2 1 3 15.00 13.00 28.00
5 Lembupurwo 35 15
50 2 4 6 37 19 56 - - - 0 0 0 - - - - - 0 0 2 2 - 2.0 2.0 35.00 15.00 50.00 2 2 4 37.00 17.00 54.00
6 Wiromartan 16 11
27 3 0 3 19 11 30 - - - 0 0 0 - - - - - 0 0 0 0 - - - 16.00 11.00 27.00 3 0 3 19.00 11.00 30.00
7 Rowo 10 717 4 3 7 14 10 24 - - - 0 0 0 - - - - - 0 0 0 0 - - - 10.00 7.00 17.00 4 3 7 14.00 10.00 24.00
8 Singoyudan 9 716 2 0 2 11 7 18 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 8.00 7.00 15.00 2 0 2 10.00 7.00 17.00
9 Wergonayan 18 15
33 2 3 5 20 18 38 - - - 0 0 0 - - - - 1.0 1 1 0 1 1.0 1.0 2.0 18.00 14.00 32.00 1 3 4 19.00 17.00 36.00
10 Selotumpeng 20 10
30 3 1 4 23 11 34 - - - 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 20.00 9.00 29.00 3 1 4 23.00 10.00 33.00
11 Sitibentar 11 920 4 2 6 15 11 26 - - - 0 0 0 - - - - - 0 0 0 0 - - - 11.00 9.00 20.00 4 2 6 15.00 11.00 26.00
12 Karanggede 8 917 0 1 1 8 10 18 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 8.00 8.00 16.00 0 1 1 8.00 9.00 17.00
13 Kertodeso 18 10
28 5 2 7 23 12 35 1.00 - 1.00 0 0 0 1.00 - 1.00 2.0 - 2 0 0 0 2.0 - 2.0 17.00 10.00 27.00 5 2 7 22.00 12.00 34.00
14 Patukrejomulyo 12 517 0 2 2 12 7 19 - - - 0 0 0 - - - 4.0 1.0 5 0 0 0 4.0 1.0 5.0 8.00 4.00 12.00 0 2 2 8.00 6.00 14.00
15 Mangunranan 14 15
29 1 5 6 15 20 35 - - - 0 0 0 - - - - 2.0 2 0 0 0 - 2.0 2.0 14.00 13.00 27.00 1 5 6 15.00 18.00 33.00
16 Pekutan 15 924 0 1 1 15 10 25 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 15.00 9.00 24.00 0 1 1 15.00 10.00 25.00
17 Wirogaten 11 18
29 1 3 4 12 21 33 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 11.00 17.00 28.00 1 3 4 12.00 20.00 32.00
18 Winong 6 12
18 0 0 0 6 12 18 - - - 0 0 0 - - - - - 0 0 0 0 - - - 6.00 12.00 18.00 0 0 0 6.00 12.00 18.00
19 Sarwogadung 14 15
29 4 2 6 18 17 35 1.00 - 1.00 0 1.00 - 1.00 - - 0 0 0 0 - - - 16.00 13.00 29.00 4 2 6 20.00 15.00 35.00
20 Krubungan 6 713 0 0 0 6 7 13 - - - 0 0 0 - - - 2.0 1.0 3 0 0 0 2.0 1.0 3.0 4.00 6.00 10.00 0 0 0 4.00 6.00 10.00
21 Patukgawemulyo 18 10
28 0 7 7 18 17 35 - - - 0 0 0 - - - - - 0 0 1 1 - 1.0 1.0 16.00 12.00 28.00 0 6 6 16.00 18.00 34.00
22 Ngabean 18 19
37 3 1 4 21 20 41 - - - 0 0 0 - - - 1.0 - 1 0 1.0 - 1.0 17.00 19.00 36.00 3 1 4 20.00 20.00 40.00
JUMLAH 306 246 552 42 42 84 348 288 636 3 0 3 0 0 0 3 0 3 13 9 22 1 3 4 14 12 26 296 237 533 41 39 80 337 276 613

Mengetahui MIRIT, 4 NOVEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KELAHIRAN PROGRAM KESEHATAN IBU DAN ANAK
UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN : OKTOBER 2015
KELAHIRAN BERAT BAYI BARU LAHIR
LAHIR HIDUP LAHIR MATI 2500 GRAM 2500 GRAM
NO NAMA DESA Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Abs Bln Lalu BULAN INI ABS
JM
L P JML L P JML L P JML L P JML L P JML L P JML L P L P JML L P JML L P JML L P JML L P JML
L
1 2 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
1 Miritpetkusan 13 821 0 0 0 13 8 21 - - - 0 0 0 - - - - - 0 0 0 0 - - - 13.00 8.00 21.00 0 0 0 13.00 8.00 21.00
2 Tlogodepok 15 20
35 1 2 3 16 22 38 - - - 0 0 0 - - - 2.0 - 2 0 0 0 2.0 - 2.0 13.00 20.00 33.00 1 2 3 14.00 22.00 36.00
3 Mirit 12 719 2 1 3 14 8 22 - - - 0 0 0 - - - - - 0 0 0 0 - - - 13.00 6.00 19.00 2 1 3 15.00 7.00 22.00
4 Tlogopragoto 15 13
28 0 1 1 15 14 29 1.00 - 1.00 0 0 0 1.00 - 1.00 1.0 - 1 0 0 0 1.0 - 1.0 15.00 13.00 28.00 0 1 1 15.00 14.00 29.00
5 Lembupurwo 37 19
56 3 4 7 40 23 63 - - - 0 0 0 - - - - 2.0 2 0 0 0 - 2.0 2.0 37.00 17.00 54.00 3 4 7 40.00 21.00 61.00
6 Wiromartan 19 11
30 0 2 2 19 13 32 - - - 0 0 0 - - - - - 0 0 0 0 - - - 19.00 11.00 30.00 0 2 2 19.00 13.00 32.00
7 Rowo 14 10
24 0 1 1 14 11 25 - - - 0 0 0 - - - - - 0 0 0 0 - - - 14.00 10.00 24.00 0 1 1 14.00 11.00 25.00
8 Singoyudan 11 718 3 1 4 14 8 22 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 10.00 7.00 17.00 3 1 4 13.00 8.00 21.00
9 Wergonayan 20 18
38 2 0 2 22 18 40 - - - 0 1 1 - 1.00 1.00 1.0 1.0 2 0 0 0 1.0 1.0 2.0 19.00 17.00 36.00 2 0 2 21.00 17.00 38.00
10 Selotumpeng 23 11
34 0 2 2 23 13 36 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 23.00 10.00 33.00 0 2 2 23.00 12.00 35.00
11 Sitibentar 15 11
26 3 0 3 18 11 29 - - - 0 0 0 - - - - - 0 0 0 0 - - - 15.00 11.00 26.00 3 0 3 18.00 11.00 29.00
12 Karanggede 8 10
18 1 2 3 9 12 21 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 8.00 9.00 17.00 1 2 3 9.00 11.00 20.00
13 Kertodeso 23 12
35 2 3 5 25 15 40 1.00 - 1.00 0 0 0 1.00 - 1.00 1.0 1.0 2 0 0 0 1.0 1.0 2.0 21.00 12.00 33.00 2 3 5 23.00 15.00 38.00
14 Patukrejomulyo 12 719 1 0 1 13 7 20 - - - 0 0 0 - - - 4.0 1.0 5 0 0 0 4.0 1.0 5.0 8.00 6.00 14.00 1 0 1 9.00 6.00 15.00
15 Mangunranan 15 20
35 3 0 3 18 20 38 - - - 0 0 0 - - - - 2.0 2 0 0 0 - 2.0 2.0 15.00 18.00 33.00 3 0 3 18.00 18.00 36.00
16 Pekutan 15 10
25 1 1 2 16 11 27 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 15.00 9.00 24.00 1 1 2 16.00 10.00 26.00
17 Wirogaten 12 21
33 1 3 4 13 24 37 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 12.00 20.00 32.00 1 3 4 13.00 23.00 36.00
18 Winong 6 12
18 1 1 2 7 13 20 - - - 0 0 0 - - - - - 0 0 0 0 - - - 6.00 12.00 18.00 1 1 2 7.00 13.00 20.00
19 Sarwogadung 18 17
35 4 4 8 22 21 43 1.00 - 1.00 0 0 0 1.00 - 1.00 - - 0 0 0 0 - - - 20.00 15.00 35.00 4 4 8 24.00 19.00 43.00
20 Krubungan 6 713 1 1 2 7 8 15 - - - 0 0 0 - - - 2.0 1.0 3 0 0 0 2.0 1.0 3.0 4.00 6.00 10.00 1 1 2 5.00 7.00 12.00
21 Patukgawemulyo 18 17
35 2 6 8 20 23 43 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 16.00 18.00 34.00 2 6 8 18.00 24.00 42.00
22 Ngabean 21 20
41 1 1 2 22 21 43 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 20.00 20.00 40.00 1 1 2 21.00 21.00 42.00
JUMLAH 348 288 636 32 36 68 380 324 704 3 0 3 0 1 1 3 1 4 13 13 26 0 0 0 13 13 26 336 275 611 32 36 68 368 311 679

Mengetahui MIRIT, 4 NOVEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KELAHIRAN PROGRAM KESEHATAN IBU DAN ANAK
UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN : NOVEMBER 2015
KELAHIRAN BERAT BAYI BARU LAHIR
LAHIR HIDUP LAHIR MATI 2500 GRAM 2500 GRAM
NO NAMA DESA Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Abs Bln Lalu BULAN INI ABS
JM
L P JML L P JML L P JML L P JML L P JML L P JML L P L P JML L P JML L P JML L P JML L P JML
L
1 2 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
1 Miritpetkusan 13 821 0 0 0 13 8 21 - - - 0 0 0 - - - - - 0 0 0 0 - - - 13.00 8.00 21.00 0 0 0 13.00 8.00 21.00
2 Tlogodepok 16 22
38 2 1 3 18 23 41 - - - 0 0 0 - - - 2.0 - 2 0 0 0 2.0 - 2.0 14.00 22.00 36.00 2 1 3 16.00 23.00 39.00
3 Mirit 14 822 2 1 3 16 9 25 - - - 0 0 0 - - - - - 0 0 0 0 - - - 15.00 7.00 22.00 2 1 3 17.00 8.00 25.00
4 Tlogopragoto 15 14
29 0 0 0 15 14 29 1.00 - 1.00 0 0 0 1.00 - 1.00 1.0 - 1 0 0 0 1.0 - 1.0 15.00 14.00 29.00 0 0 0 15.00 14.00 29.00
5 Lembupurwo 40 23
63 3 5 8 43 28 71 - - - 0 0 0 - - - - 2.0 2 0 0 0 - 2.0 2.0 40.00 21.00 61.00 3 5 8 43.00 26.00 69.00
6 Wiromartan 19 13
32 2 2 4 21 15 36 - - - 0 0 0 - - - - - 0 0 1 1 - 1.0 1.0 19.00 13.00 32.00 2 1 3 21.00 14.00 35.00
7 Rowo 14 11
25 5 0 5 19 11 30 - - - 0 0 0 - - - - - 0 0 0 0 - - - 14.00 11.00 25.00 5 0 5 19.00 11.00 30.00
8 Singoyudan 14 822 1 1 2 15 9 24 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 13.00 8.00 21.00 1 1 2 14.00 9.00 23.00
9 Wergonayan 23 17
40 2 0 2 25 17 42 - 1.00 1.00 0 0 0 - 1.00 1.00 1.0 1.0 2 0 0 0 1.0 1.0 2.0 21.00 18.00 39.00 2 0 2 23.00 18.00 41.00
10 Selotumpeng 23 13
36 3 3 6 26 16 42 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 23.00 12.00 35.00 3 3 6 26.00 15.00 41.00
11 Sitibentar 18 11
29 2 1 3 20 12 32 - - - 0 0 0 - - - - - 0 0 0 0 - - - 18.00 11.00 29.00 2 1 3 20.00 12.00 32.00
12 Karanggede 9 12
21 2 1 3 11 13 24 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 9.00 11.00 20.00 2 1 3 11.00 12.00 23.00
13 Kertodeso 25 15
40 2 1 3 27 16 43 1.00 - 1.00 0 0 0 1.00 - 1.00 1.0 1.0 2 0 0 0 1.0 1.0 2.0 24.00 15.00 39.00 2 1 3 26.00 16.00 42.00
14 Patukrejomulyo 13 619 1 1 2 14 7 21 - - - 0 0 0 - - - 4.0 1.0 5 0 0 0 4.0 1.0 5.0 9.00 6.00 15.00 1 1 2 10.00 7.00 17.00
15 Mangunranan 18 20
38 3 0 3 21 20 41 - - - 0 0 0 - - - - 2.0 2 0 0 0 - 2.0 2.0 18.00 18.00 36.00 3 0 3 21.00 18.00 39.00
16 Pekutan 16 11
27 2 1 3 18 12 30 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 16.00 10.00 26.00 2 1 3 18.00 11.00 29.00
17 Wirogaten 13 24
37 3 4 7 16 28 44 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 13.00 23.00 36.00 3 4 7 16.00 27.00 43.00
18 Winong 7 13
20 1 3 4 8 16 24 - - - 0 0 0 - - - - - 0 0 0 0 - - - 7.00 13.00 20.00 1 3 4 8.00 16.00 24.00
19 Sarwogadung 21 21
42 3 2 5 24 23 47 1.00 - 1.00 0 0 0 1.00 - 1.00 1.0 - 1 0 0 0 1.0 - 1.0 23.00 19.00 42.00 3 2 5 26.00 21.00 47.00
20 Krubungan 7 815 2 1 3 9 9 18 - - - 0 0 0 - - - 2.0 1.0 3 0 0 0 2.0 1.0 3.0 5.00 7.00 12.00 2 1 3 7.00 8.00 15.00
21 Patukgawemulyo 20 23
43 0 0 0 20 23 43 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 18.00 24.00 42.00 0 0 0 18.00 24.00 42.00
22 Ngabean 22 20
42 3 2 5 25 22 47 - - - 0 0 0 - - - - 1.0 1 0 1 1 - 2.0 2.0 22.00 19.00 41.00 3 1 4 25.00 20.00 45.00
JUMLAH 380 321 701 44 30 74 424 351 775 3 1 4 0 0 0 3 1 4 13 14 27 0 2 2 13 16 29 369 310 679 44 28 72 413 338 751

Mengetahui MIRIT, 4 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KELAHIRAN PROGRAM KESEHATAN IBU DAN ANAK
UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN : DESEMBER 2015
KELAHIRAN BERAT BAYI BARU LAHIR
LAHIR HIDUP LAHIR MATI 2500 GRAM 2500 GRAM
NO NAMA DESA Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Abs Bln Lalu BULAN INI ABS
JM
L P JML L P JML L P JML L P JML L P JML L P JML L P L P JML L P JML L P JML L P JML L P JML
L
1 2 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
1 Miritpetkusan 13 821 0 2 2 13 10 23 - - - 0 0 0 - - - - - 0 0 0 0 - - - 13.00 8.00 21.00 0 2 2 13.00 10.00 23.00
2 Tlogodepok 19 22
41 2 3 5 21 25 46 - - - 0 0 0 - - - 1.0 1.0 2 0 0 0 1.0 1.0 2.0 16.00 23.00 39.00 2 3 5 18.00 26.00 44.00
3 Mirit 16 925 0 1 1 16 10 26 - - - 0 0 0 - - - - - 0 0 0 0 - - - 17.00 8.00 25.00 0 1 1 17.00 9.00 26.00
4 Tlogopragoto 15 14
29 1 0 1 16 14 30 1.00 - 1.00 0 0 0 1.00 - 1.00 1.0 - 1 0 0 0 1.0 - 1.0 15.00 14.00 29.00 1 0 1 16.00 14.00 30.00
5 Lembupurwo 43 28
71 1 2 3 44 30 74 - - - 0 0 0 - - - - 2.0 2 0 0 0 - 2.0 2.0 43.00 26.00 69.00 1 2 3 44.00 28.00 72.00
6 Wiromartan 21 15
36 1 1 2 22 16 38 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 21.00 14.00 35.00 1 1 2 22.00 15.00 37.00
7 Rowo 19 11
30 3 0 3 22 11 33 - - - 0 0 0 - - - - - 0 0 0 0 - - - 19.00 11.00 30.00 3 0 3 22.00 11.00 33.00
8 Singoyudan 15 924 0 0 0 15 9 24 - - - 0 0 0 - - - 1.0 - 1 0 0 0 1.0 - 1.0 14.00 9.00 23.00 0 0 0 14.00 9.00 23.00
9 Wergonayan 25 17
42 1 0 1 26 17 43 - 1.00 1.00 0 0 0 - 1.00 1.00 1.0 1.0 2 0 0 0 1.0 1.0 2.0 23.00 18.00 41.00 1 0 1 24.00 18.00 42.00
10 Selotumpeng 26 16
42 0 3 3 26 19 45 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 26.00 15.00 41.00 0 3 3 26.00 18.00 44.00
11 Sitibentar 20 12
32 2 1 3 22 13 35 - - - 0 0 0 - - - - - 0 0 0 0 - - - 20.00 12.00 32.00 2 1 3 22.00 13.00 35.00
12 Karanggede 11 13
24 0 1 1 11 14 25 - - - 0 0 0 - - - - 1.0 1 0 1 1 - 2.0 2.0 11.00 12.00 23.00 0 0 0 11.00 12.00 23.00
13 Kertodeso 27 16
43 2 1 3 29 17 46 1.00 - 1.00 0 0 0 1.00 - 1.00 1.0 1.0 2 2 1 3 3.0 2.0 5.0 26.00 16.00 42.00 2 1 3 28.00 17.00 45.00
14 Patukrejomulyo 14 721 0 1 1 14 9 23 - - - 0 0 0 - - - 4.0 1.0 5 0 0 0 4.0 1.0 5.0 10.00 7.00 17.00 0 1 1 14.00 9.00 23.00
15 Mangunranan 21 20
41 6 1 7 27 21 48 - - - 0 0 0 - - - - 2.0 2 1 0 1 1.0 2.0 3.0 21.00 18.00 39.00 5 1 6 26.00 19.00 45.00
16 Pekutan 18 12
30 1 1 2 19 13 32 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 18.00 11.00 29.00 1 1 2 19.00 12.00 31.00
17 Wirogaten 16 28
44 1 0 1 17 28 45 - - - 1 0 1 1.00 - 1.00 - 1.0 1 0 0 0 - 1.0 1.0 16.00 27.00 43.00 1 0 1 17.00 27.00 44.00
18 Winong 8 16
24 0 0 0 8 16 24 - - - 0 0 0 - - - - - 0 0 0 0 - - - 8.00 16.00 24.00 0 0 0 8.00 16.00 24.00
19 Sarwogadung 24 23
47 1 2 3 25 25 50 1.00 - 1.00 0 0 0 1.00 - 1.00 1.0 - 1 0 0 0 1.0 - 1.0 26.00 21.00 47.00 1 2 3 27.00 23.00 50.00
20 Krubungan 9 918 0 0 0 9 9 18 - - - 0 0 0 - - - 2.0 1.0 3 0 0 0 2.0 1.0 3.0 7.00 8.00 15.00 0 0 0 7.00 8.00 15.00
21 Patukgawemulyo 20 23
43 0 0 0 20 23 43 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 18.00 24.00 42.00 0 0 0 18.00 24.00 42.00
22 Ngabean 25 22
47 0 0 0 25 22 47 - - - 0 0 0 - - - - 2.0 2 0 0 0 - 2.0 2.0 25.00 20.00 45.00 0 0 0 25.00 20.00 45.00
JUMLAH 425 350 775 22 20 42 447 371 818 3 1 4 1 0 1 4 1 5 12 17 29 3 2 5 15 19 34 413 338 751 21 19 40 438 358 796

Mengetahui MIRIT, 23 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KELAHIRAN PROGRAM KESEHATAN IBU DAN ANAK
KABUPATEN KEBUMEN
BULAN : 2015
KELAHIRAN BERAT BAYI BARU LAHIR
LAHIR HIDUP LAHIR MATI 2500 GRAM 2500 GRAM
NO NAMA DESA Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Bln Lalu BULAN INI ABS Abs Bln Lalu BULAN INI ABS
JM
L P JML L P JML L P JML L P JML L P JML L P JML L P L P JML L P JML L P JML L P JML L P JML
L
1 2 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29
1 Miritpetkusan
2 Tlogodepok
3 Mirit
4 Tlogopragoto
5 Lembupurwo 35 15 50 2 4 6 37 19 56 - - - 0 0 0 - - - - - 0 0 2 2 - 2.0 2.0 35.00 13.00 48.00 2 4 6 37.00 19.00 56.00
6 Wiromartan
7 Rowo
8 Singoyudan
9 Wergonayan
10 Selotumpeng 20 10 30 3 1 4 23 11 34 - - - 0 0 0 - - - - 1.0 1 0 0 0 - 1.0 1.0 20.00 9.00 29.00 3 1 4 23.00 10.00 33.00
11 Sitibentar
12 Karanggede
13 Kertodeso
14 Patukrejomulyo
15 Mangunranan
16 Pekutan
17 Wirogaten
18 Winong
19 Sarwogadung 14 15 29 4 2 6 18 17 35 1.00 - 1.00 0 0 0 1.00 - 1.00 - - 0 0 0 0 - - - 16.00 13.00 29.00 4 2 6 20.00 15.00 35.00
20 Krubungan
21 Patukgawemulyo
22 Ngabean
JUMLAH
LAPORAN PROGRAM KIA (KEMATIAN)
BULAN : JANUARI 2015
KABUPATEN : KEBUMEN

PERDARAHAN
KEMATIAN NEONATAL SEBAB KEMATIAN KEMATIAN PENYEBAB KEMATIAN PENYEBAB KEMATIAN MATERNAL

LAIN - LAIN
EKLAMSI
Pne

INFEKSI
NO NAMA DESA UMUR 0-6 HR UMUR 7-28HR Asfik Sep Kel. Ikter lain- UMUR 29Hr-11Bln Kel. Lain- BALITA 1-5Thn Mala Cam KET
BBLR TN umo Diare ISPA Diare DB Lain2 JML BLN
L P L+P L P L+P sia sis Co us lain L P L+P nia Saraf Lain L P L+P ria pak INI
1 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

1 Miritpetkusan 0 0 0 0
2 Tlogodepok 0 0 0 0
3 Mirit 0 0 0 0
4 Tlogopragoto 0 0 0 0
5 Lembupurwo 0 0 0 0
6 Wiromartan 0 0 0 0
7 Rowo 0 0 0 0
8 Singoyudan 0 0 0 0
9 Wergonayan 0 0 0 0
10 Selotumpeng 0 0 0 0
11 Sitibentar 0 0 0 0
12 Karanggede 0 0 0 0
13 Kertodeso 0 0 0 0
14 Patukrejomulyo 0 0 0 0
15 Mangunranan 0 0 0 0
16 Pekutan 0 0 0 1 1 1
17 Wirogaten 0 0 0 0
18 Winong 0 0 0 0
19 Sarwogadung 1 1 0 1 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 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 Patukgawemulyo 0 0 0 0
22 Ngabean 0 0 0 0
JUMLAH 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0

Mengetahui MIRIT, 9 FEBRUARI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
LAPORAN PROGRAM KIA (KEMATIAN)
BULAN : FEBRUARI 2015
KABUPATEN : KEBUMEN

PERDARAHAN
KEMATIAN NEONATAL SEBAB KEMATIAN KEMATIAN PENYEBAB KEMATIAN PENYEBAB KEMATIAN MATERNAL

LAIN - LAIN
EKLAMSI
Pne

INFEKSI
NO NAMA DESA UMUR 0-6 HR UMUR 7-28HR Asfik Sep Kel. Ikter lain- UMUR 29Hr-11Bln Kel. Lain- BALITA 1-5Thn Mala Cam KET
BBLR TN umo Diare ISPA Diare DB Lain2 JML BLN
L P L+P L P L+P sia sis Co us lain L P L+P nia Saraf Lain L P L+P ria pak INI
1 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

1 Miritpetkusan 0 0 0 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 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 Mirit 0 0 0 0 0 0 0 0 0 0 0 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 Tlogopragoto 0 0 0 0
5 Lembupurwo 0 0 0 0 0 0 0 0 0 0 0 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 Wiromartan 0 0 0 0
7 Rowo 0 0 0 0 0 0 0 0 0 0 0 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 Singoyudan 0 0 0 0
9 Wergonayan 0 0 0 0
10 Selotumpeng 0 0 0 0 0 0 0 0 0 0 0 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 Sitibentar 0 0 0 0
12 Karanggede 0 0 0 0
13 Kertodeso 0 0 0 0
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 0 0 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 Mangunranan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 0 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 Wirogaten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 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 1 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 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 Patukgawemulyo 0 0 0 0
22 Ngabean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0

Mengetahui MIRIT, 5 MARET 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
LAPORAN PROGRAM KIA (KEMATIAN)
BULAN : MARET 2015
KABUPATEN : KEBUMEN

PERDARAHAN
KEMATIAN NEONATAL SEBAB KEMATIAN KEMATIAN PENYEBAB KEMATIAN PENYEBAB KEMATIAN MATERNAL

LAIN - LAIN
EKLAMSI
Pne

INFEKSI
NO NAMA DESA UMUR 0-6 HR UMUR 7-28HR Asfik Sep Kel. Ikter lain- UMUR 29Hr-11Bln Kel. Lain- BALITA 1-5Thn Mala Cam KET
BBLR TN umo Diare ISPA Diare DB Lain2 JML BLN
L P L+P L P L+P sia sis Co us lain L P L+P nia Saraf Lain L P L+P ria pak INI
1 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

1 Miritpetkusan 0 0 0 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 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 Mirit 0 0 0 0 0 0 0 0 0 0 0 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 Tlogopragoto 1 0 0 0 0 0 0 0 0 0 0 0 IUFD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 0 0 0 0
6 Wiromartan 0 0 0 0 0 0 0 0 0 0 0 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 Rowo 0 0 0 0
8 Singoyudan 0 0 0 0
9 Wergonayan 0 0 0 0 0 0 0 0 0 0 0 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 Selotumpeng 0 0 0 0 0 0 0 0 0 0 0 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 Sitibentar 0 0 0 0 0 0 0 0 0 0 0 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 Karanggede 0 0 0 0 0 0 0 0 0 0 0 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 Kertodeso 0 0 0 0 0 0 0 0 0 0 0 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 Patukrejomulyo 0 0 0 0
15 Mangunranan 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 0 0 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 Wirogaten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 0 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 Patukgawemulyo 0 0 0 0
22 Ngabean 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui MIRIT, 4 APRIL 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
LAPORAN PROGRAM KIA (KEMATIAN)
BULAN : APRIL 2015
KABUPATEN : KEBUMEN

PERDARAHAN
KEMATIAN NEONATAL SEBAB KEMATIAN KEMATIAN PENYEBAB KEMATIAN PENYEBAB KEMATIAN MATERNAL

LAIN - LAIN
EKLAMSI
Pne

INFEKSI
NO NAMA DESA UMUR 0-6 HR UMUR 7-28HR Asfik Sep Kel. Ikter lain- UMUR 29Hr-11Bln Kel. Lain- BALITA 1-5Thn Mala Cam KET
BBLR TN umo Diare ISPA Diare DB Lain2 JML BLN
L P L+P L P L+P sia sis Co us lain L P L+P nia Saraf Lain L P L+P ria pak INI
1 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

1 Miritpetkusan 0 0 0 0
2 Tlogodepok 0 0 0 0
3 Mirit 0 0 0 0
4 Tlogopragoto 0 0 0 0
5 Lembupurwo 0 0 0 0
6 Wiromartan 0 0 0 0
7 Rowo 0 0 0 0
8 Singoyudan 0 0 0 0
9 Wergonayan 0 0 0 0
10 Selotumpeng 0 0 0 0
11 Sitibentar 0 0 0 0
12 Karanggede 0 0 0 0
13 Kertodeso 0 0 0 0
14 Patukrejomulyo 0 0 0 0
15 Mangunranan 0 0 0 0
16 Pekutan 0 0 0 0
17 Wirogaten 0 0 0 0
18 Winong 0 0 0 0
19 Sarwogadung 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 0 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 Patukgawemulyo 0 0 0 0
22 Ngabean 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui MIRIT, 5 MEI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
LAPORAN PROGRAM KIA (KEMATIAN)
BULAN : MEI 2015
KABUPATEN : KEBUMEN

PERDARAHAN
KEMATIAN NEONATAL SEBAB KEMATIAN KEMATIAN PENYEBAB KEMATIAN PENYEBAB KEMATIAN MATERNAL

LAIN - LAIN
EKLAMSI
Pne

INFEKSI
NO NAMA DESA UMUR 0-6 HR UMUR 7-28HR Asfik Sep Kel. Ikter lain- UMUR 29Hr-11Bln Kel. Lain- BALITA 1-5Thn Mala Cam KET
BBLR TN umo Diare ISPA Diare DB Lain2 JML BLN
L P L+P L P L+P sia sis Co us lain L P L+P nia Saraf Lain L P L+P ria pak INI
1 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 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 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 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 Mirit 0 0 0 0 0 0 0 0 0 0 0 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 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 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 Lembupurwo 0 0 0 0 0 0 0 0 0 0 0 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 Wiromartan 0 0 0 0 0 0 0 0 0 0 0 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 Rowo 0 0 0 0 0 0 0 0 0 0 0 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 Singoyudan 0 0 0 0 0 0 0 0 0 0 0 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 Wergonayan 0 0 0 0 0 0 0 0 0 0 0 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 Selotumpeng 0 0 0 0 0 0 0 0 0 0 0 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 Sitibentar 0 0 0 0 0 0 0 0 0 0 0 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 Karanggede 0 0 0 0 0 0 0 0 0 0 0 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 Kertodeso 0 0 0 0 0 0 0 0 0 0 0 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 Patukrejomulyo 0 0 0 0 0 0 0 0 0 0 0 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 Mangunranan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 0 0 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 Wirogaten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 0 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 Patukgawemulyo 0 0 0 0 0 0 0 0 0 0 0 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 Ngabean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui MIRIT, 5 JUNI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
LAPORAN PROGRAM KIA (KEMATIAN)
BULAN : JUNI 2015
KABUPATEN : KEBUMEN

PERDARAHAN
KEMATIAN NEONATAL SEBAB KEMATIAN KEMATIAN PENYEBAB KEMATIAN PENYEBAB KEMATIAN MATERNAL

LAIN - LAIN
EKLAMSI
Pne

INFEKSI
NO NAMA DESA UMUR 0-6 HR UMUR 7-28HR Asfik Sep Kel. Ikter lain- UMUR 29Hr-11Bln Kel. Lain- BALITA 1-5Thn Mala Cam KET
BBLR TN umo Diare ISPA Diare DB Lain2 JML BLN
L P L+P L P L+P sia sis Co us lain L P L+P nia Saraf Lain L P L+P ria pak INI
1 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

1 Miritpetkusan 0 0 0 0 0 0 0 0 0 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 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 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 Mirit 0 0 0 0 0 0 0 0 0 0 0 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 Tlogopragoto 0 0 0 0
5 Lembupurwo 0 0 0 0 0 0 0 0 0 0 0 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 Wiromartan 0 0 0 0 0 0 0 0 0 0 0 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 Rowo 0 0 0 0 0 0 0 0 0 0 0 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 Singoyudan 0 0 0 0 0 0 0 0 0 0 0 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 Wergonayan 0 0 0 0 0 0 0 0 0 0 0 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 Selotumpeng 0 0 0 0 0 0 0 0 0 0 0 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 Sitibentar 0 0 0 0 0 0 0 0 0 0 0 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 Karanggede 0 0 0 0 0 0 0 0 0 0 0 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 Kertodeso 0 0 0 0
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 0 0 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 Mangunranan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 0 0 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 Wirogaten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 0 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 Patukgawemulyo 0 0 0 0 0 0 0 0 0 0 0 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 Ngabean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui MIRIT, 5 JULI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PROGRAM KIA (KEMATIAN)

BULAN : JULI 2015
PUSKESMAS : MIRIT. KEBUMEN

PERDARAHAN
KEMATIAN NEONATAL SEBAB KEMATIAN KEMATIAN PENYEBAB KEMATIAN PENYEBAB KEMATIAN MATERNAL

LAIN - LAIN
EKLAMSI
Pne

INFEKSI
NO NAMA DESA UMUR 0-6 HR UMUR 7-28HR Asfik Sep Kel. Ikter lain- UMUR 29Hr-11Bln Kel. Lain- BALITA 1-5Thn Mala Cam KET
BBLR TN umo Diare ISPA Diare DB Lain2 JML BLN
L P L+P L P L+P sia sis Co us lain L P L+P nia Saraf Lain L P L+P ria pak INI
1 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 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 Tlogodepok 0 0 0 0 0 0 0 0 0 0 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 Mirit 0 0 0 0 0 0 0 0 0 0 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 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 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 Lembupurwo 0 0 0 0 0 0 0 0 0 0 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 Wiromartan 0 0 0 0 0 0 0 0 0 0 0 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 Rowo 0 0 0 0 0 0 0 0 0 0 0 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 Singoyudan 0 0 0 0 0 0 0 0 0 0 0 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 Wergonayan 0 0 0 0 0 0 0 0 0 0 0 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 Selotumpeng 0 0 0 0 0 0 0 0 0 0 0 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 Sitibentar 0 0 0 0 0 0 0 0 0 0 0 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 Karanggede 0 0 0 0 0 0 0 0 0 0 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 Kertodeso 1 0 1 0 0 0 1 0 0 0 0 0 1pre term 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 0 0 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 Mangunranan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 0 0 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 Wirogaten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 0 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 Patukgawemulyo 0 0 0 0 0 0 0 0 0 0 0 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 Ngabean 0 0 0 0 0 0 0 0 0 0 0 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 1 0 1 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

Mengetahui MIRIT, 5 AGUSTUS 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PROGRAM KIA (KEMATIAN)

BULAN : AGUSTUS 2015

KABUPATEN : KEBUMEN

PERDARAHAN
KEMATIAN NEONATAL SEBAB KEMATIAN KEMATIAN PENYEBAB KEMATIAN PENYEBAB KEMATIAN MATERNAL

LAIN - LAIN
EKLAMSI
Pne

INFEKSI
NO NAMA DESA UMUR 0-6 HR UMUR 7-28HR Asfik Sep Kel. Ikter lain- UMUR 29Hr-11Bln Kel. Lain- BALITA 1-5Thn Mala Cam KET
BBLR TN umo Diare ISPA Diare DB Lain2 JML BLN
L P L+P L P L+P sia sis Co us lain L P L+P nia Saraf Lain L P L+P ria pak INI
1 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 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 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 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 Mirit 0 0 0 0 0 0 0 0 0 0 0 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 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 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 Lembupurwo 0 0 0 0 0 0 0 0 0 0 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 Wiromartan 0 0 0 0 0 0 0 0 0 0 0 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 Rowo 0 0 0 0 0 0 0 0 0 0 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 Singoyudan 0 0 0 0 0 0 0 0 0 0 0 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 Wergonayan 0 0 0 0 0 0 0 0 0 0 0 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 Selotumpeng 0 0 0 0 0 0 0 0 0 0 0 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 Sitibentar 0 0 0 0 0 0 0 0 0 0 0 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 Karanggede 0 0 0 0 0 0 0 0 0 0 0 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 Kertodeso 0 0 0 0 0 0 0 0 0 0 0 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 Patukrejomulyo 0 0 0 0 0 0 0 0 0 0 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 Mangunranan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 0 0 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 Wirogaten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 0 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 Patukgawemulyo 0 0 0 0 0 0 0 0 0 0 0 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 Ngabean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Mengetahui MIRIT, 5 SEPTEMBER 2015
Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PROGRAM KIA (KEMATIAN)

UPT UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN

BULAN : SEPTEMBER 2015

KABUPATEN : KEBUMEN

PERDARAHAN
KEMATIAN NEONATAL SEBAB KEMATIAN KEMATIAN PENYEBAB KEMATIAN PENYEBAB KEMATIAN MATERNAL

LAIN - LAIN
EKLAMSI
Pne

INFEKSI
NO NAMA DESA UMUR 0-6 HR UMUR 7-28HR Asfik Sep Kel. Ikter lain- UMUR 29Hr-11Bln Kel. Lain- BALITA 1-5Thn Mala Cam KET
BBLR TN umo Diare ISPA Diare DB Lain2 JML BLN
L P L+P L P L+P sia sis Co us lain L P L+P nia Saraf Lain L P L+P ria pak INI
1 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 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 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 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 Mirit 0 0 0 0 0 0 0 0 0 0 0 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 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 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 Lembupurwo 0 0 0 0 0 0 0 0 0 0 0 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 Wiromartan 0 0 0 0 0 0 0 0 0 0 0 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 Rowo 0 0 0 0 0 0 0 0 0 0 0 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 Singoyudan 0 0 0 0 0 0 0 0 0 0 0 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 Wergonayan 0 0 0 0 0 0 0 0 0 0 0 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 Selotumpeng 0 0 0 0 0 0 0 0 0 0 0 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 Sitibentar 0 0 0 0 0 0 0 0 0 0 0 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 Karanggede 0 0 0 0 0 0 0 0 0 0 0 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 Kertodeso 0 0 0 0 0 0 0 0 0 0 0 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 Patukrejomulyo 0 0 0 0 0 0 0 0 0 0 0 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 Mangunranan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 0 0 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 Wirogaten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 0 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 Patukgawemulyo 0 0 0 0 0 0 0 0 0 0 0 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 Ngabean 1 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
JUMLAH 1 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

Mengetahui MIRIT, 02 OKTOBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PROGRAM KIA (KEMATIAN)

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN : OKTOBER 2015

PERDARAHAN
KEMATIAN NEONATAL SEBAB KEMATIAN KEMATIAN PENYEBAB KEMATIAN PENYEBAB KEMATIAN MATERNAL

LAIN - LAIN
EKLAMSI
Pne

INFEKSI
NO NAMA DESA UMUR 0-6 HR UMUR 7-28HR Asfik Sep Kel. Ikter lain- UMUR 29Hr-11Bln Kel. Lain- BALITA 1-5Thn Mala Cam KET
BBLR TN umo Diare ISPA Diare DB Lain2 JML BLN
L P L+P L P L+P sia sis Co us lain L P L+P nia Saraf Lain L P L+P ria pak INI
1 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 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 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 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 Mirit 0 0 0 0 0 0 0 0 0 0 0 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 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 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 Lembupurwo 0 0 0 0 0 0 0 0 0 0 0 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 Wiromartan 0 0 0 0 0 0 0 0 0 0 0 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 Rowo 0 0 0 0 0 0 0 0 0 0 0 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 Singoyudan 0 0 0 0 0 0 0 0 0 0 0 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 Wergonayan 0 0 0 0 0 0 0 0 0 0 0 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 Selotumpeng 0 0 0 0 0 0 0 0 0 0 0 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 Sitibentar 0 0 0 0 0 0 0 0 0 0 0 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 Karanggede 0 0 0 0 0 0 0 0 0 0 0 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 Kertodeso 0 0 0 0 0 0 0 0 0 0 0 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 Patukrejomulyo 0 0 0 0 0 0 0 0 0 0 0 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 Mangunranan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 0 0 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 Wirogaten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 19 Sarwogadung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 0 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 Patukgawemulyo 0 0 0 0 0 0 0 0 0 0 0 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 Ngabean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mengetahui MIRIT, 04 NOVEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PROGRAM KIA (KEMATIAN)

BULAN : NOVEMBER 2015
UPT UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN

PERDARAHAN
KEMATIAN NEONATAL SEBAB KEMATIAN KEMATIAN PENYEBAB KEMATIAN PENYEBAB KEMATIAN MATERNAL

LAIN - LAIN
EKLAMSI
Pne

INFEKSI
NO NAMA DESA UMUR 0-6 HR UMUR 7-28HR Asfik Sep Kel. Ikter lain- UMUR 29Hr-11Bln Kel. Lain- BALITA 1-5Thn Mala Cam KET
BBLR TN umo Diare ISPA Diare DB Lain2 JML BLN
L P L+P L P L+P sia sis Co us lain L P L+P nia Saraf Lain L P L+P ria pak INI
1 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 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 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 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 Mirit 0 0 0 0 0 0 0 0 0 0 0 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 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 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 Lembupurwo 0 0 0 0 0 0 0 0 0 0 0 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 Wiromartan 0 0 0 0 0 0 0 0 0 0 0 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 Rowo 0 0 0 0 0 0 0 0 0 0 0 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 Singoyudan 0 0 0 0 0 0 0 0 0 0 0 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 Wergonayan 0 0 0 0 0 0 0 0 0 0 0 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 Selotumpeng 0 0 0 0 0 0 0 0 0 0 0 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 Sitibentar 0 0 0 0 0 0 0 0 0 0 0 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 Karanggede 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 PN
13 Kertodeso 0 0 0 0 0 0 0 0 0 0 0 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 Patukrejomulyo 0 0 0 0 0 0 0 0 0 0 0 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 Mangunranan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 0 0 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 Wirogaten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 0 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 Patukgawemulyo 0 0 0 0 0 0 0 0 0 0 0 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 Ngabean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0

MIRIT, 04 DESEMBER 2015

PELAKSANA PROGRAM KIA

HJ. SITI NURJANAH, S.ST

NIP: 19680212 198703 2 002

LAPORAN PROGRAM KIA (KEMATIAN)

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN : DESEMBER 2015

PERDARAHAN
KEMATIAN NEONATAL SEBAB KEMATIAN KEMATIAN PENYEBAB KEMATIAN PENYEBAB KEMATIAN MATERNAL

LAIN - LAIN
EKLAMSI
Pne

INFEKSI
NO NAMA DESA UMUR 0-6 HR UMUR 7-28HR Asfik Sep Kel. Ikter lain- UMUR 29Hr-11Bln Kel. Lain- BALITA 1-5Thn Mala Cam KET
BBLR TN umo Diare ISPA Diare DB Lain2 JML BLN
L P L+P L P L+P sia sis Co us lain L P L+P nia Saraf Lain L P L+P ria pak INI
1 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 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 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 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 Mirit 0 0 0 0 0 0 0 0 0 0 0 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 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 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 Lembupurwo 0 0 0 0 0 0 0 0 0 0 0 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 Wiromartan 0 0 0 0 0 0 0 0 0 0 0 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 Rowo 0 0 0 0 0 0 0 0 0 0 0 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 Singoyudan 0 0 0 0 0 0 0 0 0 0 0 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 Wergonayan 0 0 0 0 0 0 0 0 0 0 0 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 Selotumpeng 0 0 0 0 0 0 0 0 0 0 0 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 Sitibentar 0 0 0 0 0 0 0 0 0 0 0 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 Karanggede 0 0 0 0 0 0 0 0 0 0 0 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 Kertodeso 0 0 0 0 0 0 0 0 0 0 0 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 Patukrejomulyo 0 0 0 0 0 0 0 0 0 0 0 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 Mangunranan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 0 0 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 Wirogaten 1 0 1 0 0 0 0 1 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
18 Winong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 0 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 Patukgawemulyo 0 0 0 0 0 0 0 0 0 0 0 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 Ngabean 0 0 0 0 0 0 0 0 0 0 0 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 1 0 1 0 0 0 0 1 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

Mengetahui MIRIT, 23 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN PROGRAM KIA (KEMATIAN)

BULAN : REKAP 2015
KABUPATEN : KEBUMEN

PERDARAHAN
KEMATIAN NEONATAL SEBAB KEMATIAN KEMATIAN PENYEBAB KEMATIAN PENYEBAB KEMATIAN MATERNAL

LAIN - LAIN
EKLAMSI
Pne

INFEKSI
NO NAMA DESA UMUR 0-6 HR UMUR 7-28HR Asfik Sep Kel. Ikter lain- UMUR 29Hr-11Bln Kel. Lain- BALITA 1-5Thn Mala Cam KET
BBLR TN umo Diare ISPA Diare DB Lain2 JML BLN
L P L+P L P L+P sia sis Co us lain L P L+P nia Saraf Lain L P L+P ria pak INI
1 2 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

1 Ayah 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
2 Ayah 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
3 Buayan 0 0 0 0 0 0 0 0 0 0 0 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 Puring 1 0 0 0 0 0 0 0 0 0 0 0 ### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Petanahan 0 0 0 0 0 0 0 0 0 0 0 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 Klirong 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
7 Klirong 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
8 Bulus P 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
9 Bulus P 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
10 Ambal 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
11 Ambal 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
12 Mirit 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 1 0 0 0 0 0 ###
13 Bonorowo 1 0 1 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
14 Prembun 0 0 0 0 0 0 0 0 0 0 0 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 Padureso 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Kt Winangun 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 1 0 0 0 0 0 0
17 Alian 1 0 1 0 0 0 0 1 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
18 Poncowarno 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 1 0 0 0 0 0 0
19 Kebumen I 1 0 1 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
20 Kebumen 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
21 Kebumen 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 0 0 0 0 0
22 Pejagoan 1 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
JUMLAH 5 0 4 0 0 0 2 1 0 0 2 0 ### 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 3 0 0 0 0 0 ###
 LAPORAN KUNJUNGAN BAYI, BALITA DAN MTBS PROGRAM KIA
KABUPATEN KEBUMEN

BULAN : JANUARI 2015

Kunjungan Bayi Kunjungan Balita MTBS
Jml Balita ABS
NO NAMA DESA BA YI BALITA Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Bln Ini BALITA ABS
ABS % ABS % berkunjung
BERKU MTBS
L P L P L P JML L P JML L P JML L P JML L P Jml L P JML NJUNG
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
1 Miritpetkusan 10 12 69 58 0 1 0 1 1 8.333 0 5 3 8 8 13.79 13 8 21 8 5 13 21 13
2 Tlogodepok 24 23 102 90 0 1 1 2 2 8.696 0 4 6 10 10 11.11 10 9 19 6 3 9 19 9
3 Mirit 14 13 67 49 0 1 0 1 1 7.692 0 2 3 5 5 10.2 10 7 17 8 4 12 17 12
4 Tlogopragoto 14 14 60 53 0 0 0 0 0 0 0 2 2 4 4 7.547 4 4 8 2 2 4 8 4
5 Lembupurwo 35 30 86 95 0 3 0 3 3 10 0 12 10 22 22 23.16 23 37 60 11 15 26 60 26
6 Wiromartan 16 14 58 72 0 2 2 4 4 28.57 0 7 4 11 11 15.28 16 13 29 9 9 18 29 18
7 Rowo 16 14 52 53 0 1 1 2 2 14.29 0 2 1 3 3 5.66 15 13 28 13 12 25 28 25
8 Singoyudan 10 10 22 29 0 1 0 1 1 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Wergonayan 19 17 62 60 0 0 0 0 0 0 0 0 1 1 1 1.667 2 4 6 2 3 5 6 5
10 Selotumpeng 25 19 85 80 0 2 2 4 4 21.05 0 6 1 7 7 8.75 12 10 22 6 3 9 22 9
11 Sitibentar 15 17 62 57 0 1 1 2 2 11.76 0 5 4 9 9 15.79 13 10 23 8 6 14 23 14
12 Karanggede 15 13 72 48 2 2 4 3 0 3 7 53.85 2 3 5 2 3 5 10 20.83 9 10 19 7 7 14 19 14
13 Kertodeso 27 21 111 79 0 1 2 3 3 14.29 0 5 6 11 11 13.92 9 11 20 4 5 9 20 9
14 Patukrejomulyo 12 10 57 35 0 0 0 2 2 20 0 3 4 7 7 20 0 0 0 0 0 0 0 0
15 Mangunranan 18 18 66 73 0 1 0 1 1 5.556 0 2 11 13 13 17.81 5 14 19 3 3 6 19 6
16 Pekutan 14 16 58 63 0 3 3 6 6 37.5 0 5 6 11 11 17.46 11 15 26 6 9 15 26 15
17 Wirogaten 23 23 109 92 0 0 2 2 2 8.696 0 7 2 9 9 9.783 13 10 23 6 8 14 23 14
18 Winong 12 11 56 43 0 2 1 3 3 27.27 0 4 3 7 7 16.28 6 5 11 2 2 4 11 4
19 Sarwogadung 23 23 64 81 0 1 1 1 1 2 3 13 9 5 14 6 7 13 27 33.33 4 5 9 7 8 15 33 30
20 Krubungan 8 6 27 32 0 1 0 1 1 16.67 0 4 4 8 8 25 10 9 19 6 5 11 19 11
21 Patukgawemuly 15 14 46 59 0 0 0 0 0 0 0 1 2 3 3 5.085 9 6 15 8 4 12 15 12
22 Ngabean 24 25 99 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 389 363 1490 1399 2 3 5 25 16 43 48 317 11 8 19 84 83 167 186 292.5 194 200 394 122 113 235 418 250

Mengetahui MIRIT, 9 FEBRUARI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KUNJUNGAN BAYI, BALITA DAN MTBS PROGRAM KIA
KABUPATEN KEBUMEN

BULAN: FEBRUARI 2015

SASARAN Kunjungan Bayi Kunjungan Balita MTBS
Jml Balita Sakit yg ABS
NO NAMA DESA BA YI BALITA Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Bln Ini BALITA ABS
ABS % ABS % berkunjung
BERKU MTBS
L P L P L P JML L P JML L P JML L P JML L P Jml L P JML NJUNG
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 10 12 69 58 1 0 1 0 1 1 2 16.67 5 3 8 1 2 3 11 18.97 18 5 23 2 3 5 44 18

2 Tlogodepok 24 23 102 90 1 1 2 1 3 4 6 26.09 4 6 10 4 6 10 20 22.22 6 3 9 11 8 19 19 9
3 Mirit 14 13 67 49 1 0 1 0 0 0 1 7.692 2 3 5 3 2 5 10 20.41 1 4 5 1 4 5 17 12
4 Tlogopragoto 14 14 60 53 0 0 0 3 4 7 7 50 2 2 4 3 4 7 11 20.75 0 0 0 0 0 0 8 4
5 Lembupurwo 35 30 86 95 3 0 3 4 2 6 9 30 12 10 22 8 7 15 37 38.95 15 20 35 15 20 35 60 26
6 Wiromartan 16 14 58 72 2 2 4 2 1 3 7 50 7 4 11 4 3 7 18 25 11 15 26 11 15 26 29 18
7 Rowo 16 14 52 53 1 1 2 0 2 2 4 28.57 2 1 3 2 3 5 8 15.09 10 8 18 10 8 18 28 25
8 Singoyudan 10 10 22 29 1 0 1 3 0 3 4 40 0 0 0 1 2 3 3 10.34 7 5 12 4 3 7 12 7
9 Wergonayan 19 17 62 60 0 0 0 0 0 0 0 0 0 1 1 4 5 9 10 16.67 3 4 7 3 4 7 7 7
10 Selotumpeng 25 19 85 80 2 2 4 3 3 6 10 52.63 6 1 7 6 1 7 14 17.5 5 7 12 5 7 12 22 9
11 Sitibentar 15 17 62 57 1 1 2 0 0 0 2 11.76 5 4 9 3 3 6 15 26.32 8 11 19 8 11 19 23 14
12 Karanggede 15 13 72 48 2 2 4 3 0 3 7 53.85 2 3 5 7 4 11 16 33.33 11 6 17 11 6 17 19 14
13 Kertodeso 27 21 111 79 1 2 3 2 1 3 6 28.57 5 6 11 8 10 18 29 36.71 5 3 8 5 3 8 20 9
14 Patukrejomulyo 12 10 57 35 2 2 4 3 1 4 8 80 3 4 7 3 2 5 12 34.29 2 4 6 2 4 6 0 0
15 Mangunranan 18 18 66 73 1 0 1 2 0 2 3 16.67 2 11 13 6 6 12 25 34.25 3 3 6 3 3 6 19 6
16 Pekutan 14 16 58 63 3 3 6 1 2 3 9 56.25 5 6 11 1 4 5 16 25.4 5 5 10 5 5 10 26 15
17 Wirogaten 23 23 109 92 0 2 2 1 2 3 5 21.74 7 2 9 9 5 14 23 25 8 4 12 8 4 12 23 14
18 Winong 12 11 56 43 2 1 3 1 1 2 5 45.45 4 3 7 7 4 11 18 41.86 2 4 6 2 4 6 11 4
19 Sarwogadung 23 23 64 81 1 1 2 1 0 1 3 13 4 15 19 9 5 14 33 40.74 4 5 9 4 5 9 28 9
20 Krubungan 8 6 27 32 1 0 1 0 0 0 1 16.67 4 4 8 3 2 5 13 40.63 6 5 11 4 3 7 19 11
21 Patukgawemuly 15 14 46 59 0 0 0 3 1 4 4 28.57 1 2 3 5 5 10 13 22.03 4 3 7 4 3 7 15 12
22 Ngabean 24 25 99 98 0 0 0 2 3 5 5 20 0 0 0 5 6 11 11 11.22 0 0 0 6 6 12 0 0
Jumlah 389 363 1490 1399 26 20 46 35 27 62 108 694 82 91 173 102 91 193 366 577.7 134 124 1 124 129 253 449 243

Mengetahui MIRIT, 9 FEBRUARI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN KUNJUNGAN BAYI, BALITA DAN MTBS PROGRAM KIA
KABUPATEN KEBUMEN

BULAN: MARET 2015

Kunjungan Bayi Kunjungan Balita MTBS
Jml Balita Sakit ABS
NO NAMA DESA BA YI BALITA Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Bln Ini ABS
ABS % ABS % berkunjung BALITA
SAKIT MTBS
L P L P L P JML L P JML L P JML L P JML L P Jml L P JML
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 10 12 69 58 1 0 1 0 0 0 1 8.333 1 2 3 3 2 5 8 13.79 0 3 3 0 3 3 3 3

2 Tlogodepok 24 23 102 90 2 3 5 0 2 2 7 30.43 8 9 17 8 8 16 33 36.67 11 8 19 8 8 16 35 35
3 Mirit 14 13 67 49 3 0 3 2 0 2 5 38.46 5 5 10 2 2 4 14 28.57 2 3 5 2 3 5 5 5
4 Tlogopragoto 14 14 60 53 3 4 7 1 1 2 9 64.29 3 4 7 1 5 6 13 24.53 6 1 7 6 1 7 11 11
5 Lembupurwo 35 30 86 95 7 2 9 6 7 13 22 73.33 20 17 37 8 5 13 50 52.63 17 16 33 17 16 33 33 33
6 Wiromartan 16 14 58 72 2 1 3 1 2 3 6 42.86 4 3 7 4 4 8 15 20.83 9 12 21 9 12 21 21 21
7 Rowo 16 14 52 53 0 1 1 2 2 4 5 35.71 0 0 0 1 3 4 4 7.547 11 7 18 11 7 18 46 43
8 Singoyudan 10 10 22 29 3 0 3 0 2 2 5 50 1 2 3 2 3 5 8 27.59 5 5 10 5 5 10 10 10
9 Wergonayan 19 17 62 60 0 0 0 2 1 3 3 17.65 4 5 9 2 4 6 15 25 3 4 7 2 1 3 10 10
10 Selotumpeng 25 19 85 80 5 5 10 5 2 7 17 89.47 12 2 14 5 6 11 25 31.25 2 7 9 2 7 9 29 29
11 Sitibentar 15 17 62 57 0 0 0 2 2 4 4 23.53 8 7 15 4 6 10 25 43.86 7 5 12 7 5 12 45 26
12 Karanggede 15 13 72 48 5 2 7 0 2 2 9 69.23 9 5 14 5 7 12 26 54.17 3 9 12 3 9 12 43 43
13 Kertodeso 27 21 111 79 3 3 6 3 2 5 11 52.38 13 16 29 5 6 11 40 50.63 4 3 7 4 3 7 26 26
14 Patukrejomulyo 12 10 57 35 2 2 4 2 1 3 7 70 3 4 7 3 1 4 11 31.43 5 3 8 5 3 8 8 8
15 Mangunranan 18 18 66 73 3 0 3 3 0 3 6 33.33 8 17 25 4 3 7 32 43.84 6 4 10 6 4 10 29 25
16 Pekutan 14 16 58 63 4 5 9 2 1 3 12 75 6 10 16 6 7 13 29 46.03 5 5 10 8 11 19 36 34
17 Wirogaten 23 23 109 92 1 4 5 1 3 4 9 39.13 16 7 23 3 6 9 32 34.78 6 10 16 6 10 16 42 42
18 Winong 12 11 56 43 1 1 2 2 0 2 4 36.36 7 4 11 4 2 6 17 39.53 2 4 6 2 4 6 17 10
19 Sarwogadung 23 23 64 81 0 1 1 0 3 3 6 26.09 9 5 14 6 5 11 25 30.86 4 5 9 6 5 11 29 29
20 Krubungan 8 6 27 32 1 0 1 0 1 1 2 33.33 6 6 12 5 2 7 19 59.38 6 6 12 6 6 12 30 30
21 Patukgawemuly 15 14 46 59 3 1 4 0 1 1 5 35.71 6 7 13 4 3 7 20 33.9 13 9 22 5 6 11 41 35
22 Ngabean 24 25 99 98 1 1 2 2 1 3 5 20 5 5 10 2 3 5 15 15.31 5 4 9 0 2 2 11 11
Jumlah 389 363 1490 1399 50 36 86 36 36 72 160 965 154 142 296 87 93 180 476 752.1 132 133 265 120 131 251 560 519

Mengetahui MIRIT, 4 APRIL 2015 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN KUNJUNGAN BAYI, BALITA DAN MTBS PROGRAM KIA

KABUPATEN KEBUMEN

BULAN: APRIL 2014

Kunjungan Bayi Kunjungan Balita MTBS
Jml Balita ABS
NO NAMA DESA BA YI BALITA Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Bln Ini BALITA ABS
ABS % ABS % berkunjung
BERKU MTBS
L P L P L P JML L P JML L P JML L P JML L P Jml L P JML NJUNG
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 10 12 69 58 2 0 2 0 0 0 2 16.67 3 2 5 4 2 6 11 18.97 0 3 3 5 3 8 8 8

2 Tlogodepok 24 23 102 90 4 1 5 4 1 5 10 43.48 8 16 24 8 6 14 38 42.22 8 8 16 8 6 14 30 30
3 Mirit 14 13 67 49 5 0 5 0 2 2 7 53.85 7 7 14 5 9 14 28 57.14 8 7 15 3 4 7 15 7
4 Tlogopragoto 14 14 60 53 1 1 2 1 2 3 5 35.71 1 5 6 5 9 14 20 37.74 2 4 6 2 4 6 6 6
5 Lembupurwo 35 30 86 95 7 8 15 5 10 15 30 100 11 9 20 7 9 16 36 37.89 11 12 23 20 22 42 56 27
6 Wiromartan 16 14 58 72 1 2 3 1 1 2 5 35.71 4 4 8 3 9 12 20 27.78 12 10 22 12 10 22 22 22
7 Rowo 16 14 52 53 0 1 1 1 3 4 5 35.71 3 2 5 1 3 4 9 16.98 11 7 18 11 7 18 18 18
8 Singoyudan 10 10 22 29 3 2 5 1 1 2 7 70 3 5 8 4 5 9 17 58.62 12 10 22 5 4 9 31 31
9 Wergonayan 19 17 62 60 2 1 3 1 0 1 4 23.53 6 9 15 9 3 12 27 45 6 8 14 3 3 6 27 16
10 Selotumpeng 25 19 85 80 10 7 17 1 0 1 18 94.74 17 8 25 6 3 9 34 42.5 13 14 27 5 7 33 33 33
11 Sitibentar 15 17 62 57 4 4 8 1 1 2 10 58.82 25 24 49 4 2 6 55 96.49 8 6 14 9 7 16 22 16
12 Karanggede 15 13 72 48 5 4 9 2 0 2 11 84.62 14 14 28 6 8 14 42 87.5 4 2 6 4 2 6 49 49
13 Kertodeso 27 21 111 79 6 5 11 0 1 1 12 57.14 18 22 40 4 4 8 48 60.76 14 15 29 2 4 6 30 30
14 Patukrejomulyo 12 10 57 35 10 7 17 1 1 2 19 190 14 15 29 4 1 5 34 97.14 6 1 7 6 1 7 37 27
15 Mangunranan 18 18 66 73 8 2 10 3 5 8 18 100 8 15 23 7 12 19 42 57.53 5 4 9 5 4 9 25 25
16 Pekutan 14 16 58 63 8 12 20 1 1 2 22 137.5 14 16 30 1 5 6 36 57.14 1 5 6 4 8 12 18 18
17 Wirogaten 23 23 109 92 2 7 9 2 2 4 13 56.52 19 13 32 13 7 20 52 56.52 12 5 17 12 5 17 59 59
18 Winong 12 11 56 43 3 4 7 2 2 4 11 100 0 0 0 1 4 5 5 11.63 6 6 12 6 6 12 12 12
19 Sarwogadung 23 23 64 81 0 3 3 0 2 2 5 21.74 6 5 11 4 3 7 18 22.22 6 5 11 13 9 22 31 31
20 Krubungan 8 6 27 32 1 1 2 0 4 4 6 100 11 8 19 2 1 3 22 68.75 10 5 15 10 5 15 44 44
21 Patukgawemuly 15 14 46 59 3 2 5 0 2 2 7 50 4 3 7 3 5 8 15 25.42 5 6 11 5 6 11 11 11
22 Ngabean 24 25 99 98 2 1 3 0 0 0 3 12 2 3 5 2 1 3 8 8.163 0 2 2 3 2 5 16 16
Jumlah 389 363 1490 1399 87 75 162 27 41 68 230 1478 198 205 403 103 111 214 617 1034 160 145 305 153 129 303 600 536

Mengetahui MIRIT, 5 MEI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN KUNJUNGAN BAYI, BALITA DAN MTBS PROGRAM KIA

KABUPATEN KEBUMEN

BULAN: MEI 2014

SASARAN Kunjungan Bayi Kunjungan Balita MTBS
Abs bl laluJml Balita ABS
NO NAMA DESA BA YI BALITA Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Bln Ini BALITA ABS
ABS % ABS % berkunjung
BERKU MTBS
L P L P L P JML L P JML L P JML L P JML L P Jml L P JML NJUNG
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 10 12 69 58 0 0 0 3 1 4 4 33.33 13 9 22 3 4 7 29 50 5 3 8 4 5 9 72 8
2 Tlogodepok 24 23 102 90 4 1 5 1 2 3 8 34.78 24 26 50 3 4 7 57 63.33 8 6 14 10 12 22 52 52
3 Mirit 14 13 67 49 0 2 2 0 0 0 2 15.38 12 9 21 4 1 5 26 53.06 6 3 9 6 2 8
4 Tlogopragoto 14 14 60 53 5 10 15 0 0 0 15 107 12 21 33 3 3 6 39 73.58 10 7 17 2 2 4 21 21
5 Lembupurwo 35 30 86 95 5 10 15 0 0 0 15 50 15 24 39 8 9 17 56 58.95 5 5 10 11 7 18 18
6 Wiromartan 16 14 58 72 1 1 2 0 0 0 2 14.29 12 20 32 2 3 5 37 51.39 8 8 16 8 8 16 16 16
7 Rowo 16 14 52 53 1 3 4 4 0 4 8 57.14 10 4 14 1 1 2 16 30.19 5 6 11 5 6 11
8 Singoyudan 10 10 22 29 1 1 2 2 0 2 4 40 7 10 17 4 2 6 23 79.31 6 4 10 6 4 10
9 Wergonayan 19 17 62 60 1 0 1 1 0 1 2 11.76 12 27 39 4 3 7 46 76.67 4 2 6 4 2 6 28 22
10 Selotumpeng 25 19 85 80 1 0 1 1 0 1 2 10.53 20 14 34 5 4 9 43 53.75 10 8 18 10 8 18
11 Sitibentar 15 17 62 57 1 1 2 1 0 1 3 17.65 0 4 3 7 7 12.28 7 5 12 9 8 17
12 Karanggede 15 13 72 48 2 0 2 0 0 0 2 15.38 18 19 37 4 5 9 46 95.83 4 3 7 4 3 7 56 56
13 Kertodeso 27 21 111 79 0 1 1 0 0 0 1 4.762 22 26 48 5 4 9 57 72.15 4 5 9 4 5 9
14 Patukrejomulyo 12 10 57 35 1 1 2 3 2 5 7 70 13 8 21 5 2 7 28 80 4 1 5 4 1 5
15 Mangunranan 18 18 66 73 3 5 8 1 3 4 12 66.67 14 30 44 8 6 14 58 79.45 63 73 136 7 5 12 136 48
16 Pekutan 14 16 58 63 1 1 2 2 0 2 4 25 0 2 4 6 6 9.524 2 3 5 4 6 10 5 10
17 Wirogaten 23 23 109 92 2 2 4 0 5 5 9 39.13 32 20 52 12 6 18 70 76.09 10 6 16 10 6 16 75 75
18 Winong 12 11 56 43 2 2 4 2 0 2 6 54.55 16 13 29 2 3 5 34 79.07 1 5 6 1 5 6
19 Sarwogadung 23 23 64 81 0 2 2 2 1 3 5 21.74 4 3 7 3 5 8 15 18.52 13 9 22 7 9 16 15 38
20 Krubungan 8 6 27 32 0 4 4 1 0 1 5 83.33 13 9 22 2 3 5 27 84.38 14 5 19 14 5 19
21 Patukgawemuly 15 14 46 59 0 2 2 2 1 3 5 35.71 13 14 27 6 5 11 38 64.41 3 4 7 3 4 7
22 Ngabean 24 25 99 98 0 0 0 4 4 8 8 32 1 2 3 1 2 3 6 6.122 3 2 5 3 2 5
Jumlah 363 1399 27 41 68 30 19 49 129 840 283 308 591 91 82 173 764 1268 195 173 368 136 115 251 476 364

Mengetahui MIRIT, 5 JUNI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN KUNJUNGAN BAYI, BALITA DAN MTBS PROGRAM KIA

KABUPATEN KEBUMEN

BULAN: JUNI 2014

SASARAN Kunjungan Bayi Kunjungan Balita MTBS
ABS Jml Balita sakit ABS
NO NAMA DESA BA YI BALITA Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Bln Ini BALITA ABS
ABS % ABS % berkunjung
BERKU MTBS
L P L P L P JML L P JML L P JML L P JML L P Jml L P JML NJUNG
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 10 12 69 58 4 2 6 2 2 4 10 83.33 16 13 29 4 2 6 35 60.34 4 5 9 4 4 8 17 9

2 Tlogodepok 24 23 102 90 8 9 17 2 2 4 21 91.3 27 30 57 3 1 4 61 67.78 10 12 22 9 3 12 34 34
3 Mirit 14 13 67 49 5 2 7 4 1 5 12 92.31 16 17 33 3 2 5 38 77.55 9 7 16 2 1 3 19 19
4 Tlogopragoto 14 14 60 53 5 10 15 0 0 0 15 107 15 24 39 3 3 6 45 84.91 12 9 21 2 2 4 25 25
5 Lembupurwo 35 30 86 95 7 8 15 4 6 10 25 83.33 11 9 20 7 9 16 36 37.89 11 12 23 20 22 42 65 65
6 Wiromartan 16 14 58 72 7 7 14 3 1 4 18 129 20 23 43 2 6 8 51 70.83 49 54 103 2 3 5 108 108
7 Rowo 16 14 52 53 7 0 7 4 1 5 12 85.71 11 5 16 1 4 5 21 39.62 7 4 11 7 4 11 22 22
8 Singoyudan 10 10 22 29 6 3 9 0 0 0 9 90 8 12 20 3 3 6 26 89.66 23 18 41 4 5 9 50 50
9 Wergonayan 19 17 62 60 3 1 4 0 0 0 4 23.53 19 15 34 4 3 7 41 68.33 12 10 22 4 3 7 29 29
10 Selotumpeng 25 19 85 80 12 7 19 0 0 0 19 100 28 15 43 4 3 7 50 62.5 10 8 18 6 7 13 31 31
11 Sitibentar 15 17 62 57 9 8 17 1 0 1 18 106 29 27 56 4 5 9 65 114 18 11 29 5 5 10 39 39
12 Karanggede 15 13 72 48 7 4 11 3 0 3 14 108 22 24 46 2 3 5 51 106.3 29 27 56 5 3 8 64 64
13 Kertodeso 27 21 111 79 6 5 11 2 1 3 14 66.67 27 30 57 4 6 10 67 84.81 19 20 39 4 6 10 49 49
14 Patukrejomulyo 12 10 57 35 10 7 17 3 2 5 22 220 18 4 22 3 4 7 29 82.86 16 17 33 3 4 7 40 40
15 Mangunranan 18 18 66 73 4 15 19 1 2 3 22 122 22 36 58 4 5 9 67 91.78 62 71 133 10 5 15 148 148
16 Pekutan 14 16 58 63 9 7 16 1 3 4 20 125 15 26 41 3 7 10 51 80.95 4 4 8 8 12 20 28 28
17 Wirogaten 23 23 109 92 4 14 18 0 0 0 18 78.26 44 26 70 5 8 13 83 90.22 42 33 75 4 4 8 83 83
18 Winong 12 11 56 43 7 6 13 1 0 1 14 127 18 15 33 3 4 7 40 93.02 8 16 24 7 7 14 38 38
19 Sarwogadung 23 23 64 81 1 1 2 2 1 3 5 21.74 5 3 8 4 6 10 18 22.22 7 6 13 5 3 8 21 5
20 Krubungan 8 6 27 32 2 5 7 0 1 1 8 133 15 12 27 1 3 4 31 96.88 40 24 64 6 3 9 73 73
21 Patukgawemuly 15 14 46 59 5 5 10 2 3 5 15 107 19 19 38 3 6 9 47 79.66 10 12 22 5 6 11 33 33
22 Ngabean 24 25 99 98 7 6 13 0 0 0 13 52 8 10 18 2 2 4 22 22.45 12 8 20 2 1 3 23 23
389 363 1490 1399
Jumlah 135 132 267 35 26 61 328 43.62 413 395 808 72 95 167 975 33.75 414 388 802 124 113 237 1039 1015
752 2889

Mengetahui MIRIT, 5 JUNI 2015

 Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN KUNJUNGAN BAYI, BALITA DAN MTBS PROGRAM KIA

KABUPATEN KEBUMEN

BULAN: JULI 2014

SASARAN Kunjungan Bayi Kunjungan Balita MTBS
Jml Balita ABS
NO NAMA DESA BA YI BALITA Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Bln Ini BALITA ABS
ABS % ABS % berkunjung
BERKU MTBS
L P L P L P JML L P JML L P JML L P JML L P Jml L P JML NJUNG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

1 Miritpetkusan 10 12 69 58 6 4 10 0 0 0 10 83.33 20 15 35 3 5 8 43 74.14 8 9 17 22 20 42 59 59

2 Tlogodepok 24 23 102 90 10 11 21 2 1 3 24 104 30 28 58 2 1 3 61 67.78 12 22 34 8 7 15 49 49
3 Mirit 14 13 67 49 9 3 12 0 0 0 12 92.31 19 19 38 4 2 6 44 89.8 11 8 19 2 4 6 25 25
4 Tlogopragoto 14 14 60 53 1 1 2 2 0 2 4 28.57 7 7 14 2 3 5 19 35.85 4 4 8 2 2 4 12 12
5 Lembupurwo 35 30 86 95 28 20 48 10 11 21 69 230 22 27 49 8 9 17 66 69.47 20 22 42 18 18 36 78 78
6 Wiromartan 16 14 58 72 10 8 18 0 2 2 20 143 22 27 49 3 2 5 54 75 51 56 107 21 16 37 37 37
7 Rowo 16 14 52 53 11 1 12 1 3 4 16 114 12 9 21 2 1 3 24 45.28 2 3 5 2 3 5 32 32
8 Singoyudan 10 10 22 29 6 3 9 0 2 2 11 110 11 12 23 2 1 3 26 89.66 8 3 11 8 3 11 22 22
9 Wergonayan 19 17 62 60 3 1 4 0 2 2 6 35.29 4 3 7 4 4 8 15 25 4 3 7 3 2 5 34 34
10 Selotumpeng 25 19 85 80 12 7 19 1 4 5 24 126 32 18 50 2 4 6 56 70 60 55 115 3 6 9 115 61
11 Sitibentar 15 17 62 57 9 8 17 2 1 3 20 118 5 9 14 3 3 6 20 35.09 7 9 16 4 7 11 27 27
12 Karanggede 15 13 72 48 10 4 14 0 0 0 14 108 24 27 51 7 4 11 62 129.2 34 30 64 2 4 6 70 70
13 Kertodeso 27 21 111 79 8 6 14 3 1 4 18 85.71 31 36 67 2 6 8 75 94.94 23 26 49 3 4 7 56 56
14 Patukrejomulyo 12 10 57 35 17 9 26 1 1 2 28 280 21 8 29 3 1 4 33 94.29 5 1 6 5 1 6 12 12
15 Mangunranan 18 18 66 73 5 17 22 4 3 7 29 161 26 41 67 8 6 14 81 111 63 72 135 3 3 6 135 69
16 Pekutan 14 16 58 63 1 3 4 3 1 4 8 50 3 7 10 4 3 7 17 26.98 8 11 19 7 9 16 35 35
17 Wirogaten 23 23 109 92 7 17 24 3 3 6 30 130 49 34 83 6 3 9 92 100 46 37 83 3 3 6 89 89
18 Winong 12 11 56 43 10 4 14 1 4 5 19 173 21 20 41 9 3 12 53 123.3 20 30 50 4 4 8 58 58
19 Sarwogadung 23 23 64 81 2 1 3 0 2 2 15 65.22 4 6 10 3 13 16 26 32.1 5 3 8 6 5 11 85 83
20 Krubungan 8 6 27 32 2 6 8 1 2 3 11 183 16 15 31 2 1 3 34 106.3 46 27 73 7 7 14 87 87
21 Patukgawemuly 15 14 46 59 17 8 25 0 1 1 26 186 22 25 47 6 4 10 57 96.61 10 5 15 3 5 8 35 20
22 Ngabean 24 25 99 98 7 6 13 0 0 0 13 52 9 12 21 4 5 9 30 30.61 14 9 23 1 2 3 26 26
389 363 1490 1399
Jumlah 191 148 339 34 44 78 427 56.78 410 405 815 89 84 173 988 34.2 461 445 906 137 135 272 1178 1041
752 2889
 Mengetahui MIRIT, 5 AGUSTUS 2015
Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN KUNJUNGAN BAYI, BALITA DAN MTBS PROGRAM KIA

KABUPATEN KEBUMEN

BULAN: AGUSTUS 2014

SASARAN Kunjungan Bayi Kunjungan Balita MTBS
Jml Balita ABS
NO NAMA DESA BA YI BALITA Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Bln Ini BALITA ABS
ABS % ABS % berkunjung
BERKU MTBS
L P L P L P JML L P JML L P JML L P JML L P Jml L P JML NJUNG
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 10 12 69 58 6 4 10 2 2 4 14 63.64 23 20 43 4 6 10 53 91.38 30 29 59 4 4 8 67 59

2 Tlogodepok 24 23 102 90 12 12 24 3 3 6 30 63.83 32 29 61 6 7 13 74 82.22 45 34 79 11 6 17 96 96
3 Mirit 14 13 67 49 9 3 12 1 4 5 17 63 23 21 44 2 2 4 48 97.96 13 12 25 3 4 7 25 32
4 Tlogopragoto 14 14 60 53 8 8 16 1 0 1 17 60.71 20 28 48 3 1 4 52 98.11 16 13 29 4 5 9 38 38
5 Lembupurwo 35 30 86 95 28 20 48 4 3 7 55 84.62 32 34 66 10 13 23 89 93.68 20 22 42 23 23 46 66 38
6 Wiromartan 16 14 58 72 10 10 20 0 1 1 21 70 25 25 50 0 5 5 55 76.39 7 2 9 6 12 18 18 18
7 Rowo 16 14 52 53 12 4 16 2 1 3 19 63.33 14 10 24 1 1 2 26 49.06 5 2 7 5 2 7 39 39
8 Singoyudan 10 10 22 29 10 4 14 3 0 3 17 85 13 16 29 1 3 4 33 113.8 34 26 60 3 5 8 37 31
9 Wergonayan 19 17 62 60 3 3 6 10 10 20 26 72.22 27 22 49 5 5 10 59 98.33 16 18 34 12 8 20 54 54
10 Selotumpeng 25 19 85 80 13 11 24 1 0 1 25 56.82 34 22 56 7 1 8 64 80 63 61 124 8 1 9 133 133
11 Sitibentar 15 17 62 57 10 9 19 2 3 5 24 75 8 11 19 2 3 5 24 42.11 10 12 22 10 12 22 22 22
12 Karanggede 15 13 72 48 10 4 14 3 1 4 18 64.29 31 31 62 4 2 6 68 56.67 36 34 70 6 3 9 79 79
13 Kertodeso 27 21 111 79 11 7 18 4 1 5 23 47.92 33 42 75 6 4 10 85 44.74 26 30 56 9 3 12 68 68
14 Patukrejomulyo 12 10 57 35 18 10 28 4 2 6 34 155 21 8 29 3 2 5 34 97.14 6 12 18 4 6 10 28 28
15 Mangunranan 18 18 66 73 9 20 29 5 1 6 35 117 34 47 81 5 5 10 91 65.47 63 70 133 4 4 8 133 77
16 Pekutan 14 16 58 63 13 11 24 1 2 3 27 93.1 22 39 61 2 1 3 64 52.89 11 15 26 9 13 22 26 22
17 Wirogaten 23 23 109 92 7 17 24 1 4 5 29 63 55 37 92 5 6 11 103 51.24 49 40 89 11 9 20 109 109
18 Winong 12 11 56 43 11 8 19 1 0 1 20 87 30 23 53 1 1 2 55 55.56 24 32 56 3 4 7 65 58
19 Sarwogadung 23 23 64 81 6 12 18 0 1 1 19 82.61 35 50 85 2 2 4 89 61.38 51 43 94 12 3 15 93 109
20 Krubungan 8 6 27 32 3 8 11 0 0 0 11 100 16 21 37 3 1 4 41 69.49 53 34 87 7 10 17 104 104
21 Patukgawemuly 15 14 46 59 7 9 16 2 4 6 22 75.86 28 29 57 5 3 8 65 33.33 17 36 53 5 7 12 65 65
22 Ngabean 24 25 99 98 7 6 13 5 6 11 24 49 9 12 21 10 13 23 44 44.9 14 9 23 5 9 14 37 37
389 363 1490 1399
Jumlah 223 200 423 55 49 104 527 70.08 565 577 1142 87 87 174 1316 45.55 609 586 1195 164 153 317 1402 1316
752 2889
 Mengetahui MIRIT, 5 SEPTEMBER 2015
Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN KUNJUNGAN BAYI, BALITA DAN MTBS PROGRAM KIA

UPT PUSKESMAS MIRIT, KABUPATEN KEBUMEN

BULAN: SEPTEMBER 2015

SASARAN Kunjungan Bayi Kunjungan Balita MTBS
Jml Balita ABS
NO NAMA DESA BA YI BALITA Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Bln Ini BALITA ABS
ABS % ABS % berkunjung
BERKU MTBS
L P JML L P JML L P JML L P JML L P JML L P JML L P Jml L P JML NJUNG
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 10 12 22 69 58 127 8 6 14 1 1 2 16 72.73 27 26 53 2 3 5 58 45.67 34 33 67 3 2 5 72 72

2 Tlogodepok 22 21 43 102 90 192 15 15 30 4 1 5 35 81.4 38 36 74 4 8 12 86 44.79 56 40 96 5 4 9 105 105
3 Mirit 14 13 27 67 49 116 10 7 17 3 2 5 22 81.48 25 23 48 9 5 14 62 53.45 16 16 32 1 4 5 37 37
4 Tlogopragoto 14 14 28 60 53 113 9 8 17 1 3 4 21 75 23 29 52 4 2 6 58 51.33 20 18 38 4 3 7 45 45
5 Lembupurwo 35 30 65 86 95 181 24 20 44 1 3 4 54 83.08 32 34 66 4 4 8 74 40.88 27 26 53 17 15 32 85 55
6 Wiromartan 16 14 30 58 72 130 10 11 21 2 0 2 23 79.31 30 34 64 6 2 8 72 55.38 76 79 155 4 7 11 11 11
7 Rowo 16 14 30 52 53 105 14 5 19 1 1 2 21 70 15 11 26 8 6 14 40 38.1 39 31 70 9 3 12 82 70
8 Singoyudan 10 10 20 22 29 51 10 4 14 1 1 2 16 80 14 19 33 2 4 6 39 76.47 37 31 68 5 4 9 77 65
9 Wergonayan 19 17 36 62 60 122 13 13 26 2 1 3 29 80.56 32 27 59 3 3 6 65 53.28 28 26 54 5 5 10 64 64
10 Selotumpeng 25 19 44 85 80 165 13 11 24 3 3 6 30 68.18 34 22 56 1 3 4 60 75 1 3 4 12 3 15 64 101
11 Sitibentar 15 17 32 62 57 119 12 12 24 1 1 2 26 81.25 42 41 83 2 3 5 88 73.95 27 31 58 7 9 16 74 74
12 Karanggede 15 13 28 72 48 120 13 5 18 3 0 3 21 75 35 33 68 5 2 7 75 62.5 42 37 79 4 2 6 85 85
13 Kertodeso 26 20 46 111 79 190 15 8 23 2 4 6 29 63 39 46 85 2 4 6 91 47.89 35 33 68 4 3 7 75 75
14 Patukrejomulyo 12 10 22 57 35 92 12 10 22 1 2 3 25 114 24 10 34 3 2 5 39 42.39 18 10 28 6 2 8 33 33
15 Mangunranan 20 20 40 66 73 139 14 21 35 5 1 6 41 102.5 39 52 91 5 1 6 97 69.78 64 72 136 8 4 12 136 89
16 Pekutan 14 16 30 58 63 121 14 13 27 2 1 3 30 100 24 40 64 2 2 4 68 56.2 6 9 15 7 11 18 41 38
17 Wirogaten 23 23 46 109 92 201 8 21 29 4 4 8 37 80.43 60 43 103 5 9 14 117 58.21 60 49 109 9 4 13 122 122
18 Winong 12 11 23 56 43 99 12 8 20 0 0 0 20 95.24 31 24 55 1 1 2 57 57.58 27 36 63 4 7 11 76 65
19 Sarwogadung 23 23 46 64 81 145 8 13 21 4 5 9 30 65.22 43 52 95 7 9 16 111 76.55 7 9 16 5 6 11 111 99
20 Krubungan 9 7 16 27 32 59 3 8 11 0 0 0 11 68.75 19 22 41 1 2 3 44 74.58 60 44 104 9 6 15 119 32
21 Patukgawemuly 15 14 29 46 59 105 9 13 22 3 2 5 27 93.1 33 32 65 8 5 13 78 74.29 25 58 83 7 9 16 99 80
22 Ngabean 24 25 49 99 98 197 12 12 24 1 1 2 26 53.06 15 30 45 4 4 8 53 29.94 20 23 43 2 3 5 48 48
389 363 1490 1399
Jumlah 258 244 502 45 37 82 590 78.46 674 686 1360 88 84 172 1532 53.03 725 714 1439 137 116 253 1661 1465
752 2889
 Mengetahui MIRIT, 02 OKTOBER 2015
Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN KUNJUNGAN BAYI, BALITA DAN MTBS PROGRAM KIA

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN

BULAN: OKTOBER 2014

SASARAN Kunjungan Bayi Kunjungan Balita MTBS
Jml Balita ABS
NO NAMA DESA BA YI L+P BALITA L+P Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Bln Ini BALITA ABS
ABS % ABS % berkunjung
BERKU MTBS
L P L P L P JML L P JML L P JML L P JML L P Jml L P JML NJUNG
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 10 12 22 69 58 127 9 7 16 1 0 1 17 77.27 29 29 58 2 3 5 63 49.61 37 35 72 3 4 7 79 72

2 Tlogodepok 24 23 47 102 90 192 19 16 35 1 2 3 38 80.85 46 52 98 2 2 4 102 113.3 61 44 105 4 3 7 112 112
3 Mirit 14 13 27 67 49 116 13 9 22 0 0 0 22 81.48 34 28 62 4 3 7 69 140.8 17 20 37 2 3 5 42 42
4 Tlogopragoto 14 14 28 60 53 113 10 11 21 0 0 0 21 75 27 31 58 2 0 2 60 113.2 24 21 45 4 3 7 52 52
5 Lembupurwo 35 30 65 86 95 181 24 20 44 3 4 7 51 78.46 4 4 8 3 6 9 35 36.84 3 3 6 12 5 17 23 36
6 Wiromartan 16 14 30 58 72 130 13 11 24 2 0 2 26 86.67 36 36 72 5 2 7 79 109.7 80 86 166 10 10 20 186 186
7 Rowo 16 14 30 52 53 105 15 6 21 3 2 5 26 86.67 23 17 40 0 3 3 43 81.13 48 34 82 15 12 27 109 90
8 Singoyudan 10 10 20 22 29 51 11 5 16 0 3 3 19 95 16 23 39 3 2 5 44 151.7 42 35 77 6 3 9 86 75
9 Wergonayan 19 17 36 62 60 122 15 14 29 3 1 4 33 91.67 36 31 67 4 4 8 75 125 33 31 64 4 2 6 70 70
10 Selotumpeng 25 19 44 85 80 165 16 14 30 1 0 1 31 70.45 35 25 60 6 2 8 68 85 6 2 8 5 4 9 114 114
11 Sitibentar 15 17 32 62 57 119 13 13 26 0 2 2 28 87.5 44 44 88 3 4 7 95 166.7 34 40 74 8 6 14 88 72
12 Karanggede 15 13 28 72 48 120 16 5 21 3 5 8 29 104 40 35 75 2 3 5 80 166.7 46 39 85 2 1 3 88 88
13 Kertodeso 27 21 48 111 79 190 17 12 29 3 3 6 35 72.92 41 50 91 11 6 17 108 136.7 39 36 75 5 5 10 85 85
14 Patukrejomulyo 12 10 22 57 35 92 12 10 22 1 0 1 23 105 24 20 44 6 4 10 54 58.7 24 12 36 3 2 5 33 33
15 Mangunranan 20 20 40 66 73 139 19 22 41 1 2 3 44 110 44 53 97 4 2 6 103 141.1 64 73 137 6 4 10 147 99
16 Pekutan 14 16 30 58 63 121 16 14 30 1 1 2 32 107 26 42 68 3 5 8 76 120.6 5 8 13 4 7 11 13 7
17 Wirogaten 23 23 46 109 92 201 12 25 37 1 1 2 39 84.78 65 52 117 6 2 8 125 135.9 69 53 122 5 6 11 133 133
18 Winong 12 11 23 56 43 99 12 8 20 1 2 3 23 100 31 24 55 0 3 3 58 134.9 31 43 74 1 6 7 81 74
19 Sarwogadung 23 23 46 64 81 145 12 18 30 2 4 6 36 78.26 50 61 111 2 2 4 115 142 52 60 112 7 8 15 127 130
20 Krubungan 9 7 16 27 32 59 3 8 11 1 0 1 12 75 20 24 44 3 2 5 49 153.1 69 50 119 7 5 12 131
21 Patukgawemuly 15 14 29 46 59 105 12 15 27 4 1 5 32 110 41 37 78 4 8 12 90 152.5 32 67 99 5 7 12 111 92
22 Ngabean 24 25 49 99 98 197 17 15 32 1 1 2 34 69.39 35 40 75 6 7 13 88 89.8 20 23 43 3 4 7 50 50

Jumlah 392 366 758 1490 1399 2889 306 278 584 33 34 67 651 85.88 747 758 1505 81 75 156 1679 58.12 836 815 1651 121 110 231 1882 1712
 Mengetahui MIRIT, 4 NOVEMBER 2015
Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN KUNJUNGAN BAYI, BALITA DAN MTBS PROGRAM KIA

UPTD UNIT PUSKESMAS MIRIT KABUPATEN KEBUMEN

BULAN: NOVEMBER 2015

SASARAN Kunjungan Bayi Kunjungan Balita MTBS
Jml Balita ABS
NO NAMA DESA BA YI JML BALITA JML Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Bln Ini BALITA ABS
ABS % ABS % berkunjung
L+P L+P BERKU MTBS
L P L P L P JML L P JML L P JML L P JML L P Jml L P JML NJUNG
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 10 12 22 69 58 127 10 6 16 2 1 3 19 158 31 32 63 4 2 6 69 119 40 39 79 5 2 7 86 86

2 Tlogodepok 24 23 47 102 90 192 20 18 38 1 1 2 40 174 44 47 91 2 0 2 93 103.3 65 47 112 3 4 7 119 119
3 Mirit 14 13 27 67 49 116 13 9 22 1 0 1 23 85.19 38 31 69 2 1 3 72 62.07 19 23 42 2 6 8 50 50
4 Tlogopragoto 14 14 28 60 53 113 10 11 21 5 2 7 28 100 29 31 60 3 1 4 64 56.64 35 40 75 5 3 8 75 60
5 Lembupurwo 35 30 65 4 95 99 9 20 29 2 1 3 32 49.23 32 33 65 3 2 5 70 70.71 27 26 53 6 8 14 85 70
6 Wiromartan 16 14 30 58 72 130 15 11 26 0 2 2 28 93.33 41 38 79 5 4 9 88 67.69 90 96 186 9 15 24 24 24
7 Rowo 16 14 30 52 53 105 18 8 26 1 1 2 28 93.33 23 20 43 2 1 3 46 43.81 63 46 109 9 3 12 121 98
8 Singoyudan 10 10 20 22 29 51 11 8 19 1 0 1 20 100 19 25 44 3 3 6 50 98.04 48 38 86 5 7 12 98 80
9 Wergonayan 19 17 36 62 60 122 18 16 34 2 1 3 37 103 40 35 75 1 1 2 77 63.11 37 33 70 2 2 4 74 74
10 Selotumpeng 25 19 44 85 80 165 17 14 31 2 1 3 34 77.27 41 27 68 6 6 12 80 48.48 47 33 80 3 4 7 121 121
11 Sitibentar 15 17 32 62 57 119 15 15 30 1 1 2 32 100 47 48 95 2 1 3 98 82.35 42 46 88 3 5 8 96 96
12 Karanggede 15 13 28 72 48 120 19 10 29 1 0 1 30 107 42 38 80 3 5 8 88 73.33 48 40 88 1 3 4 92 92
13 Kertodeso 27 21 48 111 79 190 20 15 35 1 3 4 39 81.25 52 56 108 8 2 10 118 62.11 44 41 85 4 5 9 118 94
14 Patukrejomulyo 12 10 22 57 35 92 13 10 23 0 0 0 23 105 30 24 54 3 4 7 61 66.3 26 16 42 2 3 5 47 47
15 Mangunranan 20 20 40 66 73 139 20 24 44 0 0 0 44 110 48 55 103 4 2 6 109 78.42 64 73 137 4 3 7 144 106
16 Pekutan 14 16 30 58 63 121 17 15 32 2 1 3 35 117 29 47 76 2 2 4 80 66.12 21 18 39 3 5 8 39 47
17 Wirogaten 23 23 46 109 92 201 13 26 39 2 2 4 43 93.48 71 54 125 5 7 12 137 68.16 74 59 133 5 7 12 145 145
18 Winong 12 11 23 56 43 99 1 2 3 2 3 5 8 34.78 31 27 58 1 1 2 60 60.61 32 49 81 2 3 5 86 86
19 Sarwogadung 23 23 46 64 81 145 14 22 36 6 10 16 52 113 52 63 115 2 3 5 120 82.76 54 66 120 16 10 26 120 146
20 Krubungan 8 6 14 27 32 59 4 8 12 1 1 2 14 100 23 26 49 1 4 5 54 91.53 76 55 131 8 8 16 147 147
21 Patukgawemuly 15 14 29 46 59 105 16 16 32 0 0 0 32 110 45 45 90 5 4 9 99 94.29 37 74 111 6 5 11 122 95
22 Ngabean 24 25 49 99 98 197 18 16 34 4 3 7 41 83.67 41 47 88 6 7 13 101 51.27 23 27 50 5 0 5 55 55
Jumlah 391 365 756 1408 1399 2807 311 300 611 37 34 71 682 90.21 849 849 1698 73 63 136 1834 65.34 1012 985 1997 108 111 219 2064 1938
 Mengetahui MIRIT, 4 DESEMBER 2015
Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN KUNJUNGAN BAYI, BALITA DAN MTBS PROGRAM KIA

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN

BULAN: DESEMBER 2015

SASARAN Kunjungan Bayi Kunjungan Balita MTBS
Jml Balita ABS
NO NAMA DESA BA YI JML BALITA JML Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Bln Ini BALITA ABS
ABS % ABS % berkunjung
L+P L+P BERKU MTBS
L P L P L P JML L P JML L P JML L P JML L P Jml L P JML NJUNG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Miritpetkusan 10 12 22 69 58 127 12 7 19 0 12 1 8 1 20 90.91 48 50 98 57 10 7 17 115 90.55 45 41 86 3 3 6 92 92

2 Tlogodepok 24 23 47 102 90 192 21 19 40 1 22 1 20 2 42 89.36 70 78 148 89 15 11 26 174 90.63 66 51 117 2 3 5 122 122
3 Mirit 14 13 27 67 49 116 14 9 23 0 14 0 9 0 23 85.19 53 40 93 45 7 5 12 105 90.52 47 37 84 2 1 3 84 73
4 Tlogopragoto 14 14 28 60 53 113 15 13 28 0 15 0 13 0 28 100 47 45 92 50 5 5 10 102 90.27 40 40 80 6 5 11 80 71
5 Lembupurwo 35 30 65 86 95 181 30 34 64 0 30 0 34 0 64 98.46 54 54 108 61 6 7 13 121 66.85 30 34 64 10 15 25 89 89
6 Wiromartan 16 14 30 58 72 130 15 11 26 1 16 0 11 1 27 90 46 42 88 46 4 4 8 96 73.85 96 111 207 9 12 21 228 200
7 Rowo 16 14 30 52 53 105 19 9 28 3 22 1 10 4 32 107 41 41 82 52 12 11 23 105 100 72 49 121 5 3 8 129 105
8 Singoyudan 10 10 20 22 29 51 19 9 28 0 19 0 9 0 28 140 22 28 50 30 3 2 5 55 107.8 53 45 98 3 5 8 106 85
9 Wergonayan 19 17 36 62 60 122 20 17 37 0 20 1 18 1 38 106 57 42 99 47 4 5 9 108 88.52 60 47 107 2 2 4 75 75
10 Selotumpeng 25 19 44 85 80 165 19 15 34 1 20 2 17 3 37 84.09 47 33 80 71 32 38 70 150 90.91 52 35 128 5 2 7 128 128
11 Sitibentar 15 17 32 62 57 119 15 16 31 3 18 2 18 5 36 112.5 50 49 99 55 5 6 11 110 92.44 45 51 96 3 3 6 102 102
12 Karanggede 15 13 28 72 48 120 19 11 30 0 19 2 13 2 32 114 50 52 102 55 5 3 8 110 91.67 49 43 92 1 2 3 95 95
13 Kertodeso 27 21 48 111 79 190 21 18 39 5 26 1 19 6 45 93.75 78 82 160 89 8 7 15 175 92.11 48 46 94 4 3 7 133 101
14 Patukrejomulyo 12 10 22 57 35 92 13 10 23 1 14 0 10 1 24 109 41 31 72 40 11 9 20 92 100 26 19 45 3 2 5 78 78
15 Mangunranan 18 18 36 66 73 139 20 24 44 0 20 0 24 0 44 122 52 57 109 66 11 9 20 129 92.81 64 73 137 8 7 15 139 139
16 Pekutan 14 16 30 58 63 121 19 16 35 0 19 0 16 0 35 117 43 52 95 61 8 9 17 112 92.56 99 87 186 0 2 2 188 188
17 Wirogaten 23 23 46 109 92 201 15 28 43 1 16 4 32 5 48 104 76 61 137 82 24 21 45 182 90.55 78 66 144 4 3 7 151 151
18 Winong 12 11 23 56 43 99 2 3 25 0 2 0 3 0 25 109 32 28 60 44 15 16 31 91 91.92 34 52 86 2 1 3 89 89
19 Sarwogadung 23 23 46 64 81 145 20 32 52 3 23 1 33 4 56 122 54 66 120 74 6 8 14 134 92.41 70 76 146 17 12 29 175 175
20 Krubungan 8 6 14 27 32 59 5 9 14 3 8 1 10 4 18 129 24 30 54 31 4 1 5 59 100 84 63 147 3 3 6 153 153
21 Patukgawemuly 15 14 29 46 59 105 16 16 32 1 17 3 19 4 36 124 50 49 99 55 4 6 10 109 103.8 43 79 122 5 4 9 131 108
22 Ngabean 24 25 49 99 98 197 22 19 41 3 25 2 21 5 46 93.88 65 76 141 92 11 16 27 168 85.28 28 27 55 2 1 3 58 58
 Jumlah 389 363 752 1490 1399 2889 371 345 736 26 22 48 784 104 1100 1086 2186 210 206 416 2602 90.07 1229 1172 2442 99 94 193 2625 2477

Mengetahui MIRIT, 23 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN KUNJUNGAN BAYI, BALITA DAN MTBS PROGRAM KIA

KABUPATEN KEBUMEN

BULAN: 2015
SASARAN Kunjungan Bayi Kunjungan Balita MTBS
Jml Balita ABS
NO NAMA DESA BA YI BALITA Abs Bln Lalu Bln Ini Abs Bln Lalu Bln Ini Bln Ini BALITA ABS
ABS % ABS % berkunjung
BERKU MTBS
L P L P L P JML L P JML L P JML L P JML L P Jml L P JML NJUNG
1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 Miritpetkusan 10 12 69 58
2 Tlogodepok 24 23 102 90
3 Mirit 14 13 67 49
4 Tlogopragoto 14 14 60 53
5 Lembupurwo 35 30 86 95 24 20 44 1 3 4 54 32 34 66 4 4 8 74 27 26 53 17 15 32 85 55
6 Wiromartan 16 14 58 72
7 Rowo 16 14 52 53
8 Singoyudan 10 10 22 29
9 Wergonayan 19 17 62 60
10 Selotumpeng 25 19 85 80
11 Sitibentar 15 17 62 57
12 Karanggede 15 13 72 48
13 Kertodeso 27 21 111 79
14 Patukrejomulyo 12 10 57 35
15 Mangunranan 18 18 66 73
16 Pekutan 14 16 58 63
17 Wirogaten 23 23 109 92
18 Winong 12 11 56 43
19 Sarwogadung 23 23 64 81 8 13
20 Krubungan 8 6 27 32
21 Patukgawemuly 15 14 46 59
22 Ngabean 24 25 99 98

Jumlah 389 363 1490 1399

752 2889
 %

30
61.9
47.37
70.59
50
43.33
62.07
89.29
###
83.33
40.91
60.87
73.68
45
###
31.58
57.69
60.87
36.36
90.91
57.89
80
###
59.81
 %

30

40.91
47.37
70.59
50
43.33
62.07
89.29
0
100
40.91
60.87
73.68
45
###
31.58
57.69
60.87
36.36
32.14
57.89
80
###
54.12
 %

30

100
100
100
100
100
100
93.48
100
100
100
57.78
100
100
100
86.21
94.44
100
58.82
100
100
85.37
100
2076
 %

30

100
100
46.67
100
48.21
100
100
100
59.26
100
72.73
100
100
72.97
100
100
100
100
100
100
100
100
2000
 %

30

11.11
100
###
100
###
100
###
###
78.57
###
###
100
###
###
35.29
200
100
###
253.3
###
###
###
###
 %

30

52.94
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
23.81
100
100
100

97.69
 %

31

100
100
100
100
100
100
100
100
100
53.04
100
100
100
100
51.11
100
100
100
97.65
100
57.14
100

88.37
 %

30

88.06
100
128
100
57.58
100
100
83.78
100
100
100
100
100
100
57.89
84.62
100
89.23
117.2
100
100
100

93.87
 %

30

100
100
100
100
64.71
100
85.37
84.42
100
157.8
100
100
100
100
65.44
92.68
100
85.53
89.19
26.89
80.81
100

88.2
 %

30

91.14
100
100
100
156.5
100
82.57
87.21
100
100
81.82
100
100
100
67.35
53.85
100
91.36
102.4
0
82.88
100

90.97
 %

30

100
100
100
80
82.35
100
80.99
81.63
100
100
100
100
79.66
100
73.61
13
100
100
121.7
100
77.87
100
1991
 %

33

100
100
86.9
88.75
100
87.72
81.4
80.19
100
100
100
100
75.94
100
100
100
100
100
100
100
82.44
100
2083

30
 LAPORAN REKAPITULASI CAKUPAN KEGIATAN PELAYANAN P 4 K
KABUPATEN KEBUMEN
BULAN JANUARI 2015
Ibu Hamil Hasil Akhir Amanat Persalinan

Ibu Bersalin
Penolong
Frekwensi ANC Paham Tanda Bahaya Tempat Persalinan Pendamping Persalinan Kesiapan Alat Kontrasepsi Yg Dipakai
Persalinan

Dg Stiker
Sasaran
No Nama Desa Trans
Tdk Kehamilan Persalinan 25 portasi
Donor

MOW
Rmh 25 + 26 +
1x 2x 3x 4x >4x Prk Dkn Bdn Dr Pkm PKD RS RB Klg Dkn Bdn s/d Blm Kdm Pil Sntk Imp Iud
psn 26 27 De De
sa Ta hu Tdk Ta hu Tdk 27 Klg Klg
sa sa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30 30 31 32 33 34 35 36 37 38 39 40
1 Miritpetkusan 24 24 23.1 8 2 1 2 2 0 8 0 2 0 0 3 1 0 3 1 0 0 0 0 1 0 0 3 3 0 0 0 0 0 0 1 0 0 0
2 Tlogodepok 52 52 49.4 8 5 4 5 1 4 8 0 5 0 0 3 0 0 0 0 3 0 1 0 5 0 0 0 1 0 0 0 0 0 0 1 0 0 0
3 Mirit 30 30 28.4 4 6 2 2 0 0 4 0 2 0 0 0 1 0 0 1 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 0
4 Tlogopragoto 31 31 29.4 6 6 4 3 4 0 6 0 3 0 0 2 1 0 2 1 0 0 3 0 0 0 0 2 2 0 0 0 0 0 0 1 0 0 0
5 Lembupurwo 72 72 68.3 6 8 3 4 8 2 7 0 8 0 0 2 1 1 0 1 1 0 3 0 2 2 2 2 0 0 0 0 0 0 0 3 0 0 0
6 Wiromartan 33 33 31.5 3 7 5 1 1 0 3 0 1 0 0 1 0 0 0 0 1 0 1 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0
7 Rowo 33 33 31.5 5 0 0 0 2 0 5 0 0 0 0 2 1 0 0 1 2 0 3 0 2 2 2 2 2 0 0 0 0 0 0 1 0 0 0
8 Singoyudan 22 22 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
9 Wergonayan 40 40 37.8 6 2 6 2 3 0 6 0 6 0 0 6 0 0 6 0 0 0 6 0 0 0 0 6 6 0 6 0 6 0 0 1 0 0 0
10 Selotumpeng 48 48 46.2 12 5 4 2 3 0 12 0 12 0 0 4 0 0 1 0 3 0 0 0 0 0 0 4 4 0 4 0 4 0 0 1 0 0 0
11 Sitibentar 35 35 33.6 3 2 4 2 0 0 3 0 0 0 0 1 2 0 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 3 0 0 0
12 Karanggede 31 31 29.4 3 4 2 5 0 0 3 0 3 0 0 5 0 0 3 2 2 0 7 0 0 0 0 7 7 0 0 0 7 0 0 3 0 0 0
13 Kertodeso 53 53 50.4 7 5 7 2 0 0 7 0 2 0 0 3 0 0 0 0 3 0 3 0 3 3 0 3 3 0 3 0 0 0 0 3 0 0 0
14 Patukrejomulyo 24 24 23.1 3 1 1 2 0 0 3 0 8 0 0 3 0 0 0 0 3 0 0 0 0 0 0 8 8 0 8 0 0 0 0 1 0 0 0
15 Mangunranan 40 40 37.8 4 10 5 4 0 0 4 0 4 0 0 4 0 0 0 1 3 0 4 0 4 4 4 4 0 0 0 0 0 0 0 1 0 0 0
16 Pekutan 33 33 31.5 7 4 5 3 2 0 7 0 3 0 0 2 0 0 2 0 0 0 0 0 0 0 0 2 2 0 2 0 0 0 0 2 0 0 0
17 Wirogaten 51 51 48.3 6 3 2 1 1 0 6 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0
18 Winong 25 25 24.2 3 0 3 2 4 0 3 0 2 0 0 4 0 0 0 0 4 0 4 0 4 4 0 4 4 0 0 0 4 0 0 2 0 0 0
19 Sarwogadung 51 51 48.3 4 11 5 2 2 1 4 0 2 0 0 1 1 0 0 1 1 0 2 0 2 0 0 0 2 0 2 0 2 0 0 2 0 0 0
20 Krubungan 15 15 14.7 4 1 5 1 1 1 4 0 0 0 0 1 1 0 0 1 1 0 2 0 0 0 0 2 2 0 2 0 2 0 0 1 0 0 0
21 Patukgawemulyo 32 32 30.5 5 2 2 3 9 0 5 0 3 0 0 2 0 0 0 0 2 0 2 0 0 0 0 2 2 0 0 0 0 0 0 4 0 0 0
22 Ngabean 54 54 51.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0
Jumlah 829 829 789.6 107 84 70 48 43 8 108 0 67 0 0 49 9 1 17 10 30 0 42 0 24 18 10 53 50 0 28 0 26 0 0 39 0 0 0

Mengetahui MIRIT, 9 FEBRUARI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN REKAPITULASI CAKUPAN KEGIATAN PELAYANAN P 4 K
KABUPATEN KEBUMEN
BULAN FEBRUARI 2015
Ibu Hamil Hasil Akhir Amanat Persalinan

Ibu Bersalin
Penolong
Frekwensi ANC Paham Tanda Bahaya Tempat Persalinan Pendamping Persalinan Kesiapan Alat Kontrasepsi Yg Dipakai
Persalinan

Dg Stiker
Sasaran
No Nama Desa Trans
Tdk Kehamilan Persalinan 26 portasi
Donor

MOW
Rmh 26 + 26 +
1x 2x 3x 4x >4x Prk Dkn Bdn Dr Pkm PKD RS RB Klg Dkn Bdn s/d Blm Kdm Pil Sntk Imp Iud
psn 27 28 De De
sa Ta hu Tdk Ta hu Tdk 28 Klg Klg
sa sa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30 30 31 32 33 34 35 36 37 38 39 40

1 Miritpetkusan 24 24 23.1 2 2 2 0 0 0 2 1 1 1 1 1 1 1
2 Tlogodepok 52 52 49.4 3 3 3 2 1 1 2 3 3 3 0 1 2
3 Mirit 30 30 28.4 0 0 4 0 0 4 11 0 11 0 0 11 0 0 5 0 6 0 0 0 0 0 0 11 11 0 11 11
4 Tlogopragoto 31 31 29.4 4 1 2 2 0 4 15 0 15 0 15 0 4 11 15 15 15 15
5 Lembupurwo 72 72 68.3 8 11 8 5 1 0 21 8 13 16 28 1 26 1 2 29 29 29 29 0 0 0 0 0 0
6 Wiromartan 33 33 31.5 3 3 4 6 2 0 3 0 6 0
7 Rowo 33 33 31.5 3 6 2 2 3 0 12 0 12 0 12 12 12 12 12 12 0 0 0 0 0 0
8 Singoyudan 22 22 21 3 5 3 1 0 0 4 6 4 6 10 10 10 10 10 10 0 0 0 0 0 0
9 Wergonayan 40 40 37.8 2 7 7 2 2 0 18 7 4 21 24 1 18 1 6 25 25 25 25 0 0 0 0 0 0
10 Selotumpeng 48 48 46.2 5 9 5 4 3 0 25 0 25 0 0 25 5 20 25 25 25 25 0 0 0 0 0 0
11 Sitibentar 35 35 33.6 3 2 3 2 1 1 13 3 13 3 16 12 4 16 16 16 16 0 0 0 0 0 0
12 Karanggede 31 31 29.4 0 1 3 2 1 0 10 0 2 8 0 10 5 5 10 10 10 10 10 0 0 0 0 0 0
13 Kertodeso 53 53 50.4 3 5 3 4 1 0 17 0 7 10 17 17 17 17 17 17 0 0 0 0 0 0
14 Patukrejomulyo 24 24 23.1 1 0 2 2 0 0 7 0 7 0 0 0 0 0 0 0 7 0 0 0 0 0 0 7 7 0 7 0 7 0 0 0 0 0 0
15 Mangunranan 40 40 37.8 8 3 3 2 2 0 18 0 18 0 18 18 18 18 18 18 0 0 0 0 0 0
16 Pekutan 33 33 31.5 4 3 2 1 1 1 4 0 1 0 0 2 0 0 0 0 2 0 2 0 0 0 0 11 11 0 11 0 11 0 0 0 0 0 0
17 Wirogaten 51 51 48.3 1 3 3 4 7 4 3 0 3 0 0 7 0 0 7 0 0 0 7 0 0 0 0 7 7 0 7 0 7 0 0 0 0 0 0
18 Winong 25 25 24.2 3 3 0 3 0 0 9 0 9 0 9 9 9 9 9 9 0 0 2 0 0 0
19 Sarwogadung 51 51 48.3 6 6 2 5 3 0 6 0 4 0 0 4 0 0 0 0 4 0 0 0 0 0 0 4 4 0 4 0 4 0 0 2 0 0 0
20 Krubungan 15 15 14.7 1 2 1 2 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 0 1
21 Patukgawemulyo 32 32 30.5 5 3 6 3 3 0 10 12 10 12 0 24 24 24 24 24 24 0 0 0 0 0 0
22 Ngabean 54 54 51.5 6 2 6 5 1 0 12 6 12 6 0 4 0 0 0 1 18 0 0 0 0 0 0 18 18 0 18 0 18 0 0 0 0 0 0
Jumlah 829 829 789.6 71 77 71 57 34 15 223 42 180 82 0 239 4 0 82 4 179 0 21 0 1 0 0 271 273 0 272 0 268 0 0 6 2 0 0

Mengetahui MIRIT, 5 MARET 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN REKAPITULASI CAKUPAN KEGIATAN PELAYANAN P 4 K
KABUPATEN KEBUMEN

BULAN MARET 2015

Ibu Hamil Hasil Akhir Amanat Persalinan

Ibu Bersalin
Penolong
Frekwensi ANC Paham Tanda Bahaya Tempat Persalinan Pendamping Persalinan Kesiapan Alat Kontrasepsi Yg Dipakai
Persalinan

Dg Stiker
Sasaran
No Nama Desa Trans
Tdk Kehamilan Persalinan Rm 25 25 25 portasi
Donor

MOW
Pk Kd Snt
1x 2x 3x 4x > 4 x Prk Ta Ta Dkn Bdn Dr PKD RS RB h Klg Dkn Bdn + + s/d De De Blm Pil Imp Iud
Tdk Tdk m Klg Klg m k
sa hu hu psn 27 28 28 sa sa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30 30 31 32 33 34 35 36 37 38 39 40

1 Miritpetkusan 24 24 23.1 1 5 3 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
2 Tlogodepok 52 52 49.35 5 3 4 3 2 1 5 0 4 0 0 3 0 0 0 0 3 0 0 0 0 0 0 3 3 0 3 0 1 0 0 2 0 0 0
3 Mirit 30 30 28.35 4 2 1 3 0 6 4 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tlogopragoto 31 31 29.4 2 3 3 1 1 5 2 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
5 Lembupurwo 72 72 68.25 6 7 9 6 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 33 33 31.5 2 2 3 3 4 0 14 0 12 0 0 12 1 0 0 1 12 0 0 0 0 0 0 12 12 0 0 0 6 0 3 6 0 2 0
7 Rowo 33 33 31.5 2 2 1 1 1 2 2 0 2 0 0 2 0 0 0 0 2 0 0 0 0 0 0 2 2 0 0 0 2 0 0 0 0 0 0
8 Singoyudan 22 22 21 1 2 3 2 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1
9 Wergonayan 40 40 37.8 4 5 1 2 4 2 3 0 6 0 0 9 0 0 6 0 3 0 0 0 0 0 0 9 9 0 9 0 9 0 0 0 0 0 0
10 Selotumpeng 48 48 46.2 4 3 2 3 0 0 4 0 2 0 0 3 0 0 0 0 3 0 0 0 0 0 0 3 3 0 3 0 3 0 0 0 0 0 0
11 Sitibentar 35 35 33.6 2 3 4 2 1 0 4 0 5 0 0 12 0 0 8 0 4 0 0 0 0 0 0 12 12 0 12 0 0 0 0 0 0 0 0
12 Karanggede 31 31 29.4 1 0 2 2 2 1 0 0 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
13 Kertodeso 53 53 50.4 6 6 4 4 1 0 3 0 3 0 0 3 0 0 0 0 3 0 0 0 0 0 0 2 3 0 3 0 0 0 0 0 0 0 0
14 Patukrejomulyo 24 24 23.1 2 1 0 2 1 0 2 0 2 0 0 2 0 0 0 0 2 0 0 0 0 0 0 2 2 0 2 0 2 0 0 0 0 0 0
15 Mangunranan 40 40 37.8 4 3 3 5 2 0 16 0 16 0 0 16 0 0 0 0 16 0 0 0 0 0 0 16 16 0 16 0 0 0 0 0 0 0 0
16 Pekutan 33 33 31.5 4 5 4 3 2 0 4 0 4 0 0 1 1 0 0 1 1 0 0 0 0 0 0 2 14 0 14 0 2 0 0 0 0 0 0
17 Wirogaten 51 51 48.3 5 5 5 4 4 0 5 0 8 0 0 8 0 0 8 0 0 0 0 0 0 0 0 8 8 0 8 0 5 0 0 5 0 0 0
18 Winong 25 25 24.15 1 2 5 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 1 0 1 0 1 0 0 0 0 0 0
19 Sarwogadung 51 51 48.3 8 2 3 3 4 1 8 0 3 0 0 3 0 1 0 0 2 0 0 0 0 0 0 3 3 0 3 0 3 0 0 3 0 0 0
20 Krubungan 15 15 14.7 1 2 1 4 0 1 2 0 1 0 0 1 0 0 0 0 1 0 1 1 1 1 1 1 1 0 0 0 1 0 0 0 0 0 0
21 Patukgawemulyo 32 32 30.45 6 3 2 6 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean 54 54 51.45 7 4 1 2 0 0 7 0 4 0 0 1 3 0 0 3 1 0 0 0 0 0 3 1 4 0 4 0 4 0 0 0 0 0 0
Jumlah 829 829 789.6 78 70 64 61 36 20 88 0 81 2 0 77 6 1 22 6 54 0 3 1 2 1 4 76 94 0 79 0 39 0 3 16 0 2 1

Mengetahui MIRIT, 4 APRIL 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN REKAPITULASI CAKUPAN KEGIATAN PELAYANAN P 4 K
KABUPATEN KEBUMEN
BULAN APRIL 2015
Ibu Hamil Hasil Akhir Amanat Persalinan

Ibu Bersalin
Penolong
Frekwensi ANC Paham Tanda Bahaya Tempat Persalinan Pendamping Persalinan Kesiapan Alat Kontrasepsi Yg Dipakai

Dg Stiker
Persalinan

Sasaran
No Nama Desa Td Kehamila Persalinan Trans
Donor
n Rm 26 26 26 portasi

MOW
>4 k Dk Pk Dk Bd Kd Snt Im
1x 2x 3x 4x Ta Td Ta Bdn Dr PKD RS RB h Klg + + s/d De De Blm m Pil k Iud
x Prk Tdk n m n n Klg Klg p
psn 27 28 28
sa hu k hu sa sa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30 30 31 32 33 34 35 36 37 38 39 40
1 Miritpetkusan 24 24 23.1 3 2 4 5 5 3 3 0 5 0 3 2 1 2 1 3 3 3
2 Tlogodepok 52 52 49.35 1 5 4 4 3 0 1 0 4 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0
3 Mirit 30 24 28.35 1 3 1 2 0 0 1 0 1 0 1 1 1 1 1
4 Tlogopragoto 31 52 29.4 4 2 1 4 0 0 4 4 4 4 4 4 4
5 Lembupurwo 72 30 68.25 8 9 8 9 1 3 11 0 11 0 1 6 0 0 4 0 3 1 4 3 7 7 8 8 0 0 0 0 0 0 0 3 0 0 0
6 Wiromartan 33 31 31.5 4 3 5 4 3 0 4 0 2 0 0 3 1 0 0 1 3 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0
7 Rowo 33 72 31.5 2 2 1 1 1 2 2 0 2 0 0 2 1 0 0 1 2 0 3 0 3 3 3 3 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 22 33 21 1 1 2 2 2 1 2 0 2 0 0 2 0 0 0 0 2 0 2 0 2 2 2 2 2 0 2 0 2 0 0 0 0 0 0
9 Wergonayan 40 33 37.8 3 2 5 4 0 2 2 0 4 0 0 4 0 0 2 2 4 4 4 4 4
10 Selotumpeng 48 22 46.2 0 3 7 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Sitibentar 35 40 33.6 3 2 3 2 3 0 3 0 2 0 0 2 0 0 1 0 1 0 2 2 0 0 0 0 2 0 2 0 5 0 0 1 0 0 0
12 Karanggede 31 48 29.4 3 3 0 3 0 0 0 0 1 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
13 Kertodeso 53 35 50.4 3 2 4 3 3 0 2 1 2 0 0 2 0 0 0 0 2 0 0 0 0 0 0 2 2 0 2 0 2 0 0 0 0 0 0
14 Patukrejomulyo 24 31 23.1 4 2 2 5 3 0 2 0 2 0 2 2 2 2 2 2 2
15 Mangunranan 40 53 37.8 5 1 4 5 2 0 16 0 16 0 0 16 0 0 0 0 16 0 0 0 0 0 0 16 16 0 16 0 0 0 0 0 0 0 0
16 Pekutan 33 24 31.5 4 3 3 0 2 1 4 0 2 0 0 1 0 0 0 0 1 0 1 0 0 0 0 1 4 0 4 0 2 0 0 2 1 0 0
17 Wirogaten 51 40 48.3 3 2 5 5 5 0 3 0 5 0 0 5 0 0 5 0 0 0 0 0 5 5 5 5 5 0 5 0 0 0 0 5 0 0 0
18 Winong 25 33 24.15 2 2 2 5 0 0 1 0 5 0 0 5 0 0 0 0 5 0 0 0 0 0 0 5 5 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 51 51 48.3 2 3 5 2 2 1 2 0 2 0 0 2 0 0 0 0 2 0 0 0 0 0 0 2 2 0 2 0 2 0 0 1 1 0 0
20 Krubungan 15 25 14.7 1 3 2 0 0 0 2 0 2 0 0 1 1 0 0 1 1 0 2 1 1 1 1 2 0 2 0 0 0 0 0 0 0 0 0
21 Patukgawemulyo 32 51 30.45 2 4 4 4 6 0 8 0 8 0 0 3 0 0 0 0 3 0 3 0 3 3 3 3 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean 54 15 51.45 9 7 5 2 0 0 7 0 5 0 0 5 0 0 0 0 5 0 0 0 0 0 0 5 5 0 5 0 0 0 0 0 0 0 0
Jumlah 829 819 789.6 68 66 77 75 47 13 80 1 87 0 1 70 3 0 14 3 57 1 30 7 26 21 22 64 62 2 47 0 19 0 0 16 2 0 0

Mengetahui MIRIT, 5 MEI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN REKAPITULASI CAKUPAN KEGIATAN PELAYANAN P 4 K
KABUPATEN KEBUMEN
BULAN MEI 2015
Ibu Hamil Hasil Akhir Amanat Persalinan

Ibu Bersalin
Penolong
Frekwensi ANC Paham Tanda Bahaya Tempat Persalinan Pendamping Persalinan Kesiapan Alat Kontrasepsi Yg Dipakai

Dg Stiker
Persalinan

Sasaran
No Nama Desa Td Kehamila Persalinan Trans
Donor
n Rm 26 26 26 portasi

MOW
>4 k Dk Pk Dk Bd Kd Snt Im
1x 2x 3x 4x Bdn Dr PKD RS RB h Klg + + s/d De Blm m Pil k Iud
x Prk Ta Td Ta Tdk n m n n Klg
De
Klg p
hu k hu psn 27 28 28 sa sa
sa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30 30 31 32 33 34 35 36 37 38 39 40
1 Miritpetkusan 24 24 23.1 0 2 2 1 1 0 0 0 1 0 0 3 0 0 0 0 0 0 0 0 0 3 0 0 3 0 3 0 0 0 0 3 0 0 0
2 Tlogodepok 52 52 49.35 1 4 3 3 4 0 1 0 3 0 0 3 0 0 0 0 5 0 0 0 0 0 0 5 5 0 0 0 0 0 0 3 3 0 0
3 Mirit 30 52 28.35 2 5 4 2 0 0 2 0 2 0 0 2 0 0 0 0 2 0 2 0 2 0 0 0 2 0 2 0 2 0 0 0 0 0 0
4 Tlogopragoto 31 30 29.4 5 7 6 5 3 0 5 0 3 0 0 0 3 0 0 0 3 0 3 0 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 72 31 68.25 6 2 2 7 3 2 6 0 7 0 0 4 3 0 3 3 1 0 4 0 4 4 4 4 3 0 0 0 2 0 0 0 1 0 0
6 Wiromartan 33 72 31.5 3 5 4 5 1 0 4 0 1 0 0 2 0 0 2 0 3 0 0 0 0 0 0 3 2 0 0 0 0 0 0 0 0 0 0
7 Rowo 33 33 31.5 2 2 0 3 3 3 2 0 2 0 0 2 0 0 0 0 2 0 2 0 2 0 0 0 2 0 2 0 2 0 0 0 0 0 0
8 Singoyudan 22 33 21 3 3 5 4 4 2 3 0 3 0 0 3 0 0 0 0 3 0 3 0 3 0 0 0 3 0 3 0 3 0 0 0 0 0 0
9 Wergonayan 40 22 37.8 4 3 5 6 2 2 5 0 5 0 0 4 0 0 4 0 1 0 0 0 0 0 0 5 5 0 5 0 0 0 0 0 0 0 0
10 Selotumpeng 48 40 46.2 2 6 4 4 0 0 2 0 4 0 0 4 0 0 0 0 4 0 4 0 4 0 0 0 4 0 4 0 4 0 0 0 0 0 0
11 Sitibentar 35 48 33.6 3 3 5 3 1 1 3 0 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0
12 Karanggede 31 35 29.4 1 0 2 1 0 0 1 0 2 0 0 2 0 0 2 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0
13 Kertodeso 53 31 50.4 3 4 3 3 2 0 3 0 3 0 0 3 0 0 0 0 3 0 3 0 3 0 0 0 3 0 3 0 3 0 0 0 0 0 0
14 Patukrejomulyo 24 53 23.1 1 2 1 1 1 0 1 0 3 0 0 3 0 0 0 0 3 0 3 0 3 0 0 3 3 0 3 0 3 0 0 0 0 0 0
15 Mangunranan 40 24 37.8 1 4 1 4 0 0 14 0 14 0 0 14 0 0 0 0 14 0 0 0 0 0 0 14 14 0 14 0 0 0 0 0 0 0 0
16 Pekutan 33 40 31.5 1 5 3 3 1 0 1 0 3 0 0 2 1 0 1 1 1 0 0 0 0 0 0 0 3 3 3 0 0 0 0 1 0 0 0
17 Wirogaten 51 33 48.3 3 3 3 4 4 1 3 0 4 0 0 4 0 0 4 0 0 0 4 0 4 0 0 4 4 0 4 0 0 0 0 0 0 0 0
18 Winong 25 51 24.15 2 0 0 1 1 0 2 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 1 0 1 0 1 0 0 0 0 0 0 0 0
19 Sarwogadung 51 25 48.3 3 2 3 3 4 1 3 0 3 0 0 2 1 0 0 2 1 0 3 0 3 0 0 0 3 0 3 0 3 0 0 1 2 0 0
20 Krubungan 15 51 14.7 2 2 3 3 0 `3 2 0 1 0 0 1 1 0 0 1 1 0 2 0 2 0 2 0 2 0 2 0 0 0 0 0 0 0 0
21 Patukgawemulyo 32 15 30.45 5 10 3 5 5 0 6 0 6 0 0 3 0 0 0 0 3 0 3 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0
22 Ngabean 54 819 51.45 8 7 10 7 0 0 8 0 6 0 0 5 1 0 0 1 5 0 1 0 0 0 0 5 6 0 6 0 0 0 0 0 0 0 0
Jumlah 829 1614 789.6 61 81 72 78 40 12 77 0 78 0 0 68 10 0 16 9 56 0 38 0 34 7 7 49 75 3 58 0 22 0 0 8 6 0 0

Mengetahui MIRIT, 5 JUNI 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN REKAPITULASI CAKUPAN KEGIATAN PELAYANAN P 4 K
KABUPATEN KEBUMEN
BULAN JUNI 2015
Ibu Hamil Hasil Akhir Amanat Persalinan

Ibu Bersalin
Penolong
Frekwensi ANC Paham Tanda Bahaya Tempat Persalinan Pendamping Persalinan Kesiapan Alat Kontrasepsi Yg Dipakai

Dg Stiker
Persalinan

Sasaran
No Nama Desa Td Kehamila Persalinan Trans
Donor
n Rm 25 25 25 portasi

MOW
>4 k Dk Pk Dk Bd Kd Snt Im
1x 2x 3x 4x Ta Td Ta Bdn Dr PKD RS RB h Klg + + s/d De De Blm m Pil k Iud
x Prk Tdk n m n n Klg Klg p
psn 26 27 27
sa hu k hu sa sa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30 30 31 32 33 34 35 36 37 38 39 40

1 Miritpetkusan 24 24 23.1 0 1 2 3 2 0 0 0 3 0 0 2 0 0 2 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 1 0 1 0
2 Tlogodepok 52 52 49.35 9 3 3 6 6 1 9 0 3 0 0 6 0 0 0 0 3 0 3 3 3 3
3 Mirit 30 30 28.35 4 2 1 2 0 0 1 3 4 0 0 2 0 0 2 0 0 0 2 0 0 2 0 2 0 2 0 0 0 0 0 0
4 Tlogopragoto 31 31 29.4 2 1 4 2 0 2 2 0 2 0 0 3 1 1 1 1 2 0 4 0 4 3 1 0 4 0 4 0 3 0 0 1 0 0 0
5 Lembupurwo 72 72 68.25 11 7 6 5 3 0 11 0 8 0 0 8 0 0 4 0 4 0 8 0 0 0 8 0 8 0 0 0 6 0 0 4 0 0 0
6 Wiromartan 33 33 31.5 3 1 3 2 2 1 0 3 2 0 0 1 0 0 0 0 3 0 0 0 0 0 0 3 2 0 0 0 0 0 0 1 0 0 0
7 Rowo 33 33 31.5 4 3 5 2 2 3 5 7 3 0 0 3 0 0 0 0 3 0 3 0 0 3 0 0 3 0 3 0 1 0 0 1 1 0 1
8 Singoyudan 22 22 21 4 4 1 3 1 0 1 4 3 9 0 3 1 1 3 0 1 3 4 0 3 0 4 0 0 0 0 0 0
9 Wergonayan 40 40 37.8 2 1 3 2 3 0 6 0 2 0 0 2 0 0 2 0 0 0 0 0 0 2 0 0 2 0 2 0 2 0 0 0 0 0 0
10 Selotumpeng 48 48 46.2 5 5 6 5 0 0 4 1 5 0 0 4 0 0 2 0 2 0 0 0 0 4 0 0 4 0 4 0 4 0 0 0 0 0 0
11 Sitibentar 35 35 33.6 4 3 3 1 2 1 4 0 1 0 0 1 0 0 0 0 1 0 1 1 1 1
12 Karanggede 31 31 29.4 2 1 1 1 0 0 2 0 1 0 0 1 0 0 1 0 3 0 1 1 1 0 1 0 1 0 0 0 0 0 0
13 Kertodeso 53 53 50.4 4 3 3 5 1 0 3 4 5 6 0 5 0 0 0 0 5 0 5 5 0 5 0 5 0 0 0 0 0 0
14 Patukrejomulyo 24 24 23.1 3 2 1 2 1 0 2 3 4 0 0 5 0 0 0 0 5 0 5 5 0 5 0 3 0 0 2 0 0 0
15 Mangunranan 40 40 37.8 10 4 3 3 2 0 3 7 3 7 0 3 0 0 0 0 3 0 3 3 0 3 0 2 1
16 Pekutan 33 33 31.5 4 2 5 6 1 2 4 0 6 0 0 4 1 0 2 1 2 0 5 0 5 0 0 0 5 0 5 0 2 0 0 0 0 0 0
17 Wirogaten 51 51 48.3 3 6 6 2 2 0 3 0 2 0 0 1 1 0 0 1 1 0 2 0 0 0 2 0 2 0 2 0 2 0 0 0 0 0 0
18 Winong 25 25 24.15 1 2 2 1 0 0 1 0 1 0 1 1 1 1 1 1
19 Sarwogadung 51 51 48.3 1 2 2 4 2 0 5 0 4 0 0 3 2 0 0 2 3 0 5 2 5 2 2 5 5 0 5 0 5 0 1 1 0 0 0
20 Krubungan 15 15 14.7 0 0 1 2 0 0 1 0 1 0 0 1 0 0 0 0 1 0 1 1 0 1 0 1 0 0 0 0 0 0
21 Patukgawemulyo 32 819 30.45 2 3 5 2 4 0 3 2 3 5 0 3 0 0 0 0 3 0 3 0 0 0 0 3 3 0 0 0 0 0 0 2 1 0 0
22 Ngabean 54 1614 51.45 7 6 5 7 0 0 5 2 4 3 0 7 0 0 0 0 7 0 0 0 0 7 0 0 7 0 7 0 0 0 0 0 1 0 0
Jumlah 829 3176 789.6 85 62 71 68 34 10 75 36 70 30 0 69 6 1 17 6 54 0 34 2 14 44 15 11 73 0 57 0 43 0 1 19 3 1 1
 LAPORAN REKAPITULASI CAKUPAN KEGIATAN PELAYANAN P 4 K
KABUPATEN KEBUMEN
BULAN JULI 2015
Ibu Hamil Hasil Akhir Amanat Persalinan

Ibu Bersalin
Penolong
Frekwensi ANC Paham Tanda Bahaya Tempat Persalinan Pendamping Persalinan Kesiapan Alat Kontrasepsi Yg Dipakai

Dg Stiker
Persalinan

Sasaran
No Nama Desa Td Kehamila Persalinan Trans
Donor
n Rm 26 26 26 portasi

MOW
>4 k Dk Pk Dk Bd Kd Snt Im
1x 2x 3x 4x Bdn Dr PKD RS RB h Klg + + s/d De Blm m Pil k Iud
x Prk Ta Td Ta Tdk n m n n Klg
De
Klg p
hu k hu psn 27 28 28 sa sa
sa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30 30 31 32 33 34 35 36 37 38 39 40

1 Miritpetkusan 24 24 23.1 3 1 2 3 0 0 3 0 1 0 0 3 0 0 3 0 0 0 0 0 0 0 0 3 3 0 3 0 0 0 0 3 0 0 0
2 Tlogodepok 52 52 49.35 1 3 6 4 4 2 1 0 3 0 0 6 0 0 0 0 4 0 4 0 0 0 0 0 4 0 4 0 1 0 0 2 1 0 0
3 Mirit 30 52 28.35 3 2 4 3 0 3 3 0 2 0 0 4 0 0 3 0 0 0 0 0 0 0 0 3 3 0 3 0 0 0 0 3 0 0 0
4 Tlogopragoto 31 30 29.4 0 4 3 2 0 0 3 0 2 0 0 2 0 0 2 0 0 0 0 2 0 0 0 2 0 0 2 0 0 0 0 2 0 0 0
5 Lembupurwo 72 31 68.25 9 8 5 6 3 1 8 0 7 0 0 5 0 0 3 0 2 0 5 3 5 5 5 5 0 0 0 0 0 0 0 8 3 0 0
6 Wiromartan 33 72 31.5 5 4 2 4 3 0 4 4 0 5 0 3 0 0 0 0 3 0 0 0 0 0 0 5 1 0 0 0 0 0 0 3 0 0 0
7 Rowo 33 33 31.5 8 8 6 4 2 1 8 0 4 0 0 4 0 0 0 0 4 0 4 0 4 4 4 4 4 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 22 33 21 0 0 0 1 8 0 0 0 2 0 0 2 0 0 2 0 0 0 2 0 0 0 0 0 2 0 2 0 0 0 0 2 0 0 0
9 Wergonayan 40 22 37.8 1 5 4 5 4 0 9 0 5 0 0 1 2 0 1 2 0 0 1 0 0 1 1 0 9 0 9 0 9 0 0 0 0 0 0
10 Selotumpeng 48 40 46.2 0 0 3 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 0 0 0 0 7 7 0 7 0 0 0 0 7 0 0 0
11 Sitibentar 35 48 33.6 8 5 4 6 4 0 8 0 6 0 0 4 2 0 1 2 2 1 0 0 0 0 0 6 6 0 6 0 0 0 0 0 0 0 0
12 Karanggede 31 35 29.4 2 2 0 1 1 0 2 1 1 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 2 0 0 0
13 Kertodeso 53 31 50.4 6 7 5 4 1 0 12 6 4 15 0 4 0 0 0 0 4 0 0 0 0 0 0 4 4 0 4 0 1 0 0 2 1 0 0
14 Patukrejomulyo 24 53 23.1 1 2 1 1 2 1 2 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0
15 Mangunranan 40 24 37.8 9 7 8 5 2 6 9 0 5 0 0 5 0 0 0 0 5 0 0 0 0 0 0 5 5 0 5 0 0 0 0 5 0 0 0
16 Pekutan 33 40 31.5 2 4 5 6 8 0 2 0 2 0 0 5 1 0 2 1 3 0 0 0 6 0 0 6 6 0 6 0 0 0 0 1 0 0 0
17 Wirogaten 51 33 48.3 0 1 0 3 3 0 0 0 3 0 0 3 0 0 3 0 0 0 3 0 3 0 0 0 3 0 3 0 0 0 0 0 0 0 0
18 Winong 25 51 24.15 2 2 0 1 4 0 1 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 2 0 0 0
19 Sarwogadung 51 25 48.3 7 6 4 4 0 1 7 0 5 0 0 4 1 0 0 1 4 0 5 2 5 2 5 5 5 0 5 0 5 0 0 5 0 0 0
20 Krubungan 15 51 14.7 2 1 2 2 0 0 1 0 0 0 0 0 1 0 0 1 0 0 1 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0
21 Patukgawemulyo 32 15 30.45 1 4 1 9 7 2 4 2 4 4 0 4 0 0 0 0 4 0 0 0 0 0 4 0 4 0 4 0 0 0 0 0 0 0 0
22 Ngabean 54 819 51.45 2 5 5 5 0 2 1 1 4 1 0 4 1 0 0 1 4 0 5 0 0 0 0 0 5 0 5 0 5 0 0 0 0 0 0
Jumlah 829 1614 789.6 72 81 70 86 56 19 88 15 69 25 0 73 8 0 22 8 47 1 31 8 24 13 19 56 74 2 70 1 22 0 0 47 5 0 0

Mengetahui MIRIT, 5 AGUSTUS 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN REKAPITULASI CAKUPAN KEGIATAN PELAYANAN P 4 K
KABUPATEN KEBUMEN
BULAN AGUSTUS 2015
Ibu Hamil Hasil Akhir Amanat Persalinan

Ibu Bersalin
Penolong
Frekwensi ANC Paham Tanda Bahaya Tempat Persalinan Pendamping Persalinan Kesiapan Alat Kontrasepsi Yg Dipakai

Dg Stiker
Persalinan
Sasaran Td Kehamila Persalinan
No Nama Desa Trans
Rm 26 26 26 Donor
n portasi

MOW
>4 k Dk Pk Dk Bd Kd Snt Im
1x 2x 3x 4x Ta Td Ta Bdn Dr PKD RS RB h Klg + + s/d De De Blm m Pil k Iud
x Prk Tdk n m n n Klg Klg p
psn 27 28 28
sa hu k hu sa sa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30 30 31 32 33 34 35 36 37 38 39 40

1 Miritpetkusan 24 24 23.1 3 4 2 4 4 0 3 0 4 0 0 4 1 1 2 1 1 0 0 0 0 0 0 5 5 0 5 0 0 0 0 3 1 1 0
2 Tlogodepok 52 52 49.35 9 7 6 3 3 2 9 0 7 0 0 6 0 0 0 0 6 0 0 0 0 0 0 6 6 0 6 0 0 0 0 3 3 0 0
3 Mirit 30 4 28.35 6 4 4 4 0 0 6 0 4 6 0 4 0 0 2 0 2 0 0 0 0 0 0 4 4 0 4 0 0 0 0 2 2 0 0
4 Tlogopragoto 31 24 29.4 4 4 4 6 0 0 0 0 6 0 0 6 0 0 3 0 3 0 3 0 0 0 0 0 0 0 0 o o o 3 3 0 0
5 Lembupurwo 72 52 68.25 1 7 6 6 3 0 1 0 7 0 0 6 0 0 0 6 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0
6 Wiromartan 33 52 31.5 5 4 3 2 3 0 2 3 2 0 0 2 0 0 0 0 2 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0
7 Rowo 33 30 31.5 1 1 3 2 4 2 1 0 2 0 0 2 0 0 0 0 2 0 2 0 2 2 2 2 2 0 0 0 0 0 0 2 0 0 0
8 Singoyudan 22 31 21 8 4 6 2 0 0 8 0 5 6 0 3 1 0 0 1 2 0 3 0 0 0 0 0 3 0 2 0 0 0 0 0 0 0 0
9 Wergonayan 40 72 37.8 7 7 8 7 0 0 7 0 7 0 0 7 0 0 2 0 5 0 0 0 0 0 0 7 7 0 7 0 7 0 0 0 0 0 0
10 Selotumpeng 48 33 46.2 2 1 2 3 0 0 2 0 3 2 0 3 0 0 1 0 2 0 0 0 0 0 0 3 3 0 3 0 0 0 0 3 0 0 0
11 Sitibentar 35 33 33.6 4 7 2 4 4 0 4 0 4 0 0 1 1 0 0 1 1 0 0 0 0 0 0 2 2 0 2 0 0 0 0 0 1 0 0
12 Karanggede 31 22 29.4 4 3 3 0 1 0 1 2 2 1 0 1 0 0 1 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0
13 Kertodeso 53 40 50.4 6 6 7 7 2 0 6 0 7 6 0 7 0 0 0 0 7 0 0 0 0 0 0 7 7 0 7 0 0 0 0 5 2 0 0
14 Patukrejomulyo 24 48 23.1 5 8 9 1 4 0 5 0 1 5 0 1 0 0 0 0 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 1 0 0 0
15 Mangunranan 40 35 37.8 3 8 4 2 0 0 11 0 6 0 0 2 0 0 0 0 2 0 2 0 0 0 0 0 2 0 2 0 0 0 0 3 0 0 0
16 Pekutan 33 31 31.5 4 1 1 4 2 1 4 4 4 0 0 1 2 0 0 2 0 1 3 0 0 0 0 3 3 0 3 0 0 0 0 1 0 1 0
17 Wirogaten 51 53 48.3 3 2 3 5 5 0 3 0 5 0 0 2 3 0 0 0 2 0 0 0 0 0 0 5 5 0 0 0 0 0 0 5 0 0 0
18 Winong 25 24 24.15 4 1 3 1 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 1 0 0 0
19 Sarwogadung 51 40 48.3 4 3 7 2 1 0 4 0 2 0 0 2 0 0 2 0 0 0 2 0 0 0 0 0 2 0 2 0 0 0 0 2 0 0 0
20 Krubungan 15 33 14.7 4 1 0 1 1 0 1 0 1 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
21 Patukgawemulyo 32 51 30.45 2 1 3 8 3 2 2 0 8 2 0 8 0 0 0 0 8 0 0 0 0 0 0 8 8 0 8 0 0 0 0 5 2 1 0
22 Ngabean 54 25 51.45 9 3 3 2 0 0 7 2 4 2 0 4 2 0 0 0 6 0 6 0 0 0 0 0 6 0 6 0 1 0 0 5 0 0 0
Jumlah 829 809 789.6 98 87 89 76 40 7 88 11 92 30 0 74 11 1 13 12 55 1 30 0 2 2 2 54 69 1 60 0 8 0 0 49 14 3 0

Mengetahui MIRIT, 5 SEPTEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN REKAPITULASI CAKUPAN KEGIATAN PELAYANAN P 4 K
UPT UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN

BULAN SEPTEMBER 2015

Ibu Hamil Hasil Akhir Amanat Persalinan

Ibu Bersalin
Penolong
Frekwensi ANC Paham Tanda Bahaya Tempat Persalinan Pendamping Persalinan Kesiapan Alat Kontrasepsi Yg Dipakai
Dg Stiker
Persalinan
Sasaran

No Nama Desa Td Kehamila Persalinan Trans

Donor
n Rm 26 26 26 portasi

MOW
>4 k Dk Pk Dk Bd Kd Snt Im
1x 2x 3x 4x Bdn Dr PKD RS RB h Klg + + s/d De Blm m Pil k Iud
x Prk Ta Td Ta Tdk n m n n Klg
De
Klg p
hu k hu psn 27 28 28 sa sa
sa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30 30 31 32 33 34 35 36 37 38 39 40

1 Miritpetkusan 24 24 23.1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0
2 Tlogodepok 48 52 49.35 4 6 4 4 1 0 4 0 6 0 0 4 0 0 0 4 0 0 4 0 0 0 4 0 4 0 4 0 0 0 0 1 3 0 0
3 Mirit 30 24 28.35 6 1 0 2 2 3 6 0 2 0 0 2 0 0 2 0 0 0 0 0 0 2 0 0 2 0 2 0 0 0 0 2 0 0 0
4 Tlogopragoto 31 52 29.4 7 0 0 3 0 0 0 7 3 0 0 3 0 0 3 0 0 0 3 0 0 0 0 0 3 0 3 0 0 0 2 1 0 0 0
5 Lembupurwo 72 4 68.25 7 2 6 6 7 0 1 0 7 0 0 6 1 0 4 1 0 0 4 2 4 0 0 0 0 0 0 0 0 0 0 3 1 0 0
6 Wiromartan 33 24 31.5 5 1 4 1 2 0 4 0 1 0 0 4 0 0 0 0 2 0 5 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 1
7 Rowo 33 52 31.5 2 1 0 2 2 4 2 0 2 0 0 3 0 0 0 0 3 0 3 0 3 0 0 0 3 0 0 0 0 0 0 2 0 1 0
8 Singoyudan 22 52 21 4 2 2 4 1 0 2 0 5 0 0 5 0 0 0 0 5 0 5 2 0 0 0 0 2 0 0 0 3 0 0 2 0 0 0
9 Wergonayan 40 30 37.8 5 5 2 1 6 2 10 0 9 0 0 3 2 0 3 0 3 0 0 0 0 4 0 0 4 0 0 0 4 0 0 0 0 0 0
10 Selotumpeng 48 31 46.2 2 2 2 3 1 1 2 0 3 0 0 3 0 3 0 0 0 0 3 3 3 0 0 0 0 0 0 0 0 0 0 3 0 0 0
11 Sitibentar 35 72 33.6 2 2 3 4 3 0 2 0 4 0 0 12 3 0 5 3 6 0 0 0 0 0 0 6 6 0 6 0 6 0 0 0 0 0 0
12 Karanggede 31 33 29.4 5 3 2 2 1 0 2 1 2 0 0 2 0 0 5 0 3 0 2 0 0 0 0 0 2 0 2 0 0 0 0 3 0 0 0
13 Kertodeso 51 33 50.4 5 5 5 4 1 0 4 0 4 0 0 4 0 0 4 0 0 0 4 0 0 0 0 0 4 0 4 0 0 0 0 4 0 0 0
14 Patukrejomulyo 24 22 23.1 1 2 3 2 1 1 5 0 5 0 0 2 0 0 2 0 0 0 2 0 0 0 0 0 2 0 2 0 0 0 0 2 0 0 0
15 Mangunranan 44 40 37.8 6 3 7 6 2 0 12 0 13 0 0 3 0 0 0 0 3 0 3 3 3 0 0 0 3 0 3 0 0 0 0 3 0 0 0
16 Pekutan 33 48 31.5 1 2 2 1 1 0 1 0 1 0 0 1 0 0 3 1 0 1 0 0 0 0 0 1 1 0 1 0 0 0 0 1 1 0 0
17 Wirogaten 48 35 48.3 6 6 5 4 4 0 6 0 4 0 0 4 0 0 4 0 0 0 4 0 0 0 0 0 4 0 4 0 4 0 0 0 0 0 0
18 Winong 25 31 24.15 2 3 1 1 0 0 5 0 2 0 0 2 0 0 0 0 2 0 2 2 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0
19 Sarwogadung 51 53 48.3 11 15 8 6 5 0 10 0 6 0 0 6 0 0 0 0 6 0 6 6 6 0 0 0 6 0 6 0 0 0 0 5 0 1 0
20 Krubungan 18 24 14.7 2 1 1 0 1 0 2 0 2 0 0 2 0 0 0 0 2 0 2 1 2 0 0 0 2 0 2 0 0 0 0 1 0 0 0
21 Patukgawemulyo 36 40 30.45 4 3 1 4 8 1 4 0 4 4 0 5 2 0 0 2 5 0 7 0 0 0 0 0 7 0 7 0 0 0 0 0 0 0 0
22 Ngabean 54 33 51.45 7 6 7 7 0 0 3 4 5 2 0 7 0 0 0 0 7 0 7 0 0 0 0 0 7 0 7 0 7 0 0 0 0 0 0
Jumlah 831 809 789.6 94 71 65 67 49 12 87 12 90 6 0 83 8 3 35 11 47 1 66 19 23 6 4 7 67 0 55 0 24 0 2 33 5 2 1

Mengetahui MIRIT, 02 OKTOBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN REKAPITULASI CAKUPAN KEGIATAN PELAYANAN P 4 K
UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN OKTOBER 2015
Ibu Hamil Hasil Akhir Amanat Persalinan

Ibu Bersalin
Penolong
Frekwensi ANC Paham Tanda Bahaya Tempat Persalinan Pendamping Persalinan Kesiapan Alat Kontrasepsi Yg Dipakai
Dg Stiker
Persalinan
Sasaran

No Nama Desa Td Kehamila Persalinan Trans

Donor
n Rm 26 26 26 portasi

MOW
>4 k Dk Pk Dk Bd Kd Snt Im
1x 2x 3x 4x Bdn Dr PKD RS RB h Klg + + s/d De Blm m Pil k Iud
x Prk Ta Td Ta Tdk n m n n Klg
De
Klg p
hu k hu psn 27 28 28 sa sa
sa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30 30 31 32 33 34 35 36 37 38 39 40

1 Miritpetkusan 24 24 23.1 2 2 2 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 48 48 49.35 2 3 3 5 3 0 2 0 3 0 0 3 0 0 0 0 3 0 0 0 0 0 0 3 3 0 3 0 0 0 0 2 1 0 0
3 Mirit 30 30 28.35 5 2 5 3 1 3 5 0 3 5 0 5 0 1 2 0 0 0 0 0 0 0 0 5 5 0 5 0 0 0 0 2 3 0 0
4 Tlogopragoto 31 31 29.4 3 0 5 1 0 2 3 0 6 0 0 2 0 0 2 0 0 0 0 0 0 0 0 2 2 0 2 0 0 0 0 2 0 0 0
5 Lembupurwo 72 72 68.25 3 4 6 5 0 0 3 0 5 0 0 3 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0
6 Wiromartan 33 33 31.5 5 7 4 3 1 0 3 0 2 0 0 2 0 0 0 0 5 0 5 0 0 0 0 0 2 0 0 0 0 0 0 1 1 0 0
7 Rowo 33 33 31.5 2 1 0 2 2 1 2 0 2 0 0 3 0 0 0 0 3 0 3 0 0 0 0 0 3 0 3 0 3 0 0 0 0 0 0
8 Singoyudan 22 22 21 2 0 2 3 4 0 2 0 3 0 0 3 0 0 0 0 3 0 3 0 0 0 0 0 3 0 3 0 3 0 0 0 0 0 0
9 Wergonayan 40 40 37.8 8 5 6 9 1 1 13 0 15 0 0 10 0 0 12 0 0 0 0 0 0 0 0 22 22 0 22 0 22 0 0 0 0 0 0
10 Selotumpeng 48 48 46.2 5 1 0 1 1 0 4 0 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 1 0 0 0
11 Sitibentar 33 33 33.6 2 4 6 4 2 0 2 0 4 0 0 6 5 0 5 0 5 0 0 0 0 5 0 6 11 0 11 0 3 0 0 6 3 0 0
12 Karanggede 31 31 29.4 1 2 2 2 0 0 1 2 1 0 0 3 0 0 1 0 2 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
13 Kertodeso 51 51 48 4 3 4 4 1 0 3 4 5 7 0 5 0 0 2 0 3 0 5 0 0 0 0 0 5 0 5 0 0 0 0 3 2 0 0
14 Patukrejomulyo 24 24 23.1 1 2 2 3 1 0 6 3 6 3 0 6 0 0 2 0 4 0 6 6 0 0 0 0 6 0 6 0 0 0 0 4 2 0 0
15 Mangunranan 44 44 37.8 1 2 3 3 2 0 3 0 8 0 0 3 0 0 0 0 3 0 3 0 3 3 0 0 3 0 3 0 0 0 0 3 0 0 0
16 Pekutan 33 33 31.5 1 1 2 1 0 0 2 0 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 2 0 2 0 0 0 0 1 0 0 0
17 Wirogaten 48 48 46 6 5 5 4 4 0 6 0 4 0 0 4 4 0 4 0 0 0 4 0 0 0 0 0 4 0 4 0 0 0 0 4 0 0 0
18 Winong 25 25 23 2 2 3 3 3 0 4 2 6 4 0 6 0 0 6 0 0 0 6 0 0 0 0 0 6 0 6 0 0 0 0 4 1 1 0
19 Sarwogadung 51 51 48.3 7 4 6 7 8 0 7 0 7 0 0 6 2 0 0 2 6 0 5 5 8 6 6 8 8 0 8 0 0 0 0 6 1 0 1
20 Krubungan 18 18 16 1 1 2 2 0 1 2 0 0 0 0 1 1 1 1 1 1 2 0 2 0 2 0 0 0 0 0 0
21 Patukgawemulyo 36 36 35 2 0 1 0 3 0 2 0 2 0 0 6 2 0 0 2 6 0 8 0 0 0 0 0 8 0 8 0 0 0 0 0 0 0 0
22 Ngabean 54 54 51.45 1 5 1 3 0 0 1 0 1 0 0 2 0 0 0 0 2 0 2 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0
Jumlah 829 829 789.6 66 56 70 68 37 8 78 11 88 19 0 80 14 1 39 4 49 0 54 11 12 15 6 49 98 0 96 0 33 0 2 41 14 2 1

Mengetahui MIRIT, 04 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 LAPORAN REKAPITULASI CAKUPAN KEGIATAN PELAYANAN P 4 K
UPTD UNIT PUSKESMAS MIRIT KABUPATEN KEBUMEN
BULAN NOVEMBER 2015
Ibu Hamil Hasil Akhir Amanat Persalinan

Ibu Bersalin
Penolong
Dg Stiker Frekwensi ANC Paham Tanda Bahaya Tempat Persalinan Pendamping Persalinan Kesiapan Alat Kontrasepsi Yg Dipakai
Persalinan
Sasaran

No Nama Desa Td Kehamila Persalinan Trans

Donor
n Rm 26 26 26 portasi

MOW
>4 k Dk Pk Dk Bd Kd Snt Im
1x 2x 3x 4x Ta Td Ta Bdn Dr PKD RS RB h Klg + + s/d De De Blm m Pil k Iud
x Prk Tdk n m n n Klg Klg p
psn 27 28 28
sa hu k hu sa sa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30 30 31 32 33 34 35 36 37 38 39 40

1 Miritpetkusan 24 24 2 23.1 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 48 48 7 49.35 3 7 6 5 0 3 1 7 0 0 0 6 0 0 0 5 0 0 0 0 0 0 5 5 0 5 0 1 0 0 2 2 0 0
3 Mirit 30 30 3 28.35 8 1 2 1 3 8 0 3 0 0 3 0 0 0 0 3 0 3 0 0 0 0 3 3 0 3 0 0 0 0 3 0 0 0
4 Tlogopragoto 31 31 2 29.4 4 0 1 0 2 6 0 1 0 0 1 0 0 0 0 1 0 1 0 0 0 0 1 1 0 1 0 0 0 0 1 0 0 0
5 Lembupurwo 72 72 4 68.25 1 5 6 2 1 4 0 5 1 0 8 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0
6 Wiromartan 33 33 5 31.5 4 5 5 6 0 7 0 6 0 0 7 1 0 0 1 6 0 3 0 0 0 0 0 2 0 0 0 4 0 0 2 2 0 0
7 Rowo 33 33 0 31.5 1 2 2 2 0 2 0 2 0 0 4 0 0 0 0 4 0 4 0 0 0 0 0 4 0 0 0 4 0 0 1 0 0 0
8 Singoyudan 22 22 1 21 5 1 1 3 0 5 0 1 0 0 2 0 0 0 0 2 0 2 0 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0
9 Wergonayan 40 40 4 37.8 6 3 3 1 0 10 0 6 0 0 6 0 0 3 0 0 0 0 0 0 0 0 5 6 0 0 0 6 0 0 0 0 0 0
10 Selotumpeng 48 48 2 46.2 3 3 3 0 0 3 0 3 0 0 3 0 0 0 0 3 3 0 0 0 0 0 0 3 0 3 0 0 0 0 3 0 0 0
11 Sitibentar 33 33 1 33.6 3 4 3 3 0 1 0 3 0 0 3 0 0 1 0 1 0 0 0 0 0 3 3 0 3 0 0 0 0 0 0 0 0
12 Karanggede 31 31 1 29.4 3 4 2 0 0 2 1 2 0 0 2 0 0 1 0 1 0 2 0 0 0 0 0 2 0 2 0 0 0 0 2 0 0 0
13 Kertodeso 51 51 4 48 3 3 5 0 0 3 4 5 7 0 5 0 0 2 0 3 0 0 0 0 0 0 5 5 0 5 0 0 0 0 3 2 0 0
14 Patukrejomulyo 24 24 1 23.1 1 2 1 0 0 3 2 4 1 0 3 0 0 1 0 2 0 0 0 0 0 0 3 3 0 3 0 0 0 1 2 0 0 0
15 Mangunranan 44 44 2 37.8 1 3 3 2 0 3 0 6 0 0 3 0 0 0 0 3 0 3 0 0 0 0 0 3 0 0 0 2 0 1 0 0 0 0
16 Pekutan 33 33 2 31.5 1 1 2 1 0 2 0 2 0 0 3 0 0 0 0 3 0 0 0 0 0 0 3 2 0 2 0 0 0 0 2 1 0 0
17 Wirogaten 48 48 5 46 5 4 7 7 0 5 0 7 0 0 4 3 0 4 3 0 0 4 0 0 0 0 7 7 0 7 0 0 0 0 7 0 0 0
18 Winong 25 25 2 23 1 3 4 4 0 3 0 6 0 0 4 0 0 4 0 0 0 4 0 0 0 0 0 4 0 4 0 0 0 0 2 0 0 0
19 Sarwogadung 51 51 6 48.3 2 3 5 4 0 6 0 5 0 0 3 2 0 0 2 3 0 5 3 5 3 5 5 5 0 5 0 5 0 0 4 1 0 0
20 Krubungan 18 18 1 16 3 1 1 0 0 1 1 0 0 1 1 0 0 1 1 0 1 0 0 1 1 0 1 0 1 0 0 0 0 0 0 1 0
21 Patukgawemulyo 36 36 2 35 2 3 0 0 0 2 0 1 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0
22 Ngabean 54 54 0 51.45 4 7 3 0 0 2 3 4 1 0 4 1 0 0 1 4 0 5 0 0 0 0 0 5 0 5 0 5 0 0 0 0 0 0
Jumlah 829 829 789.6 57 64 65 65 41 6 83 11 80 10 0 70 14 0 22 8 46 3 38 3 5 4 6 40 67 0 50 0 29 0 2 38 8 1 0

MIRIT, 04 DESEMBER 2015

PELAKSANA PROGRAM KIA

HJ. SITI NURJANAH, S.ST

 NIP: 19680212 198703 2 002

LAPORAN REKAPITULASI CAKUPAN KEGIATAN PELAYANAN P 4 K

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN DESEMBER 2015
Ibu Hamil Hasil Akhir Amanat Persalinan

Ibu Bersalin
Penolong
Frekwensi ANC Paham Tanda Bahaya Tempat Persalinan Pendamping Persalinan Kesiapan Alat Kontrasepsi Yg Dipakai
Dg Stiker
Persalinan
Sasaran

No Nama Desa Td Kehamila Persalinan Trans

Donor
n Rm 26 26 26 portasi

MOW
>4 k Dk Pk Dk Bd Kd Snt Im
1x 2x 3x 4x Ta Td Ta Bdn Dr PKD RS RB h Klg + + s/d De De Blm m Pil k Iud
x Prk Tdk n m n n Klg Klg p
psn 27 28 28
sa hu k hu sa sa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30 30 31 32 33 34 35 36 37 38 39 40
1 Miritpetkusan 24 24 23.1 0 0 1 3 2 0 0 0 2 0 0 1 1 0 0 1 1 0 0 0 0 0 1 1 2 0 2 0 0 0 0 2 0 0 0
2 Tlogodepok 48 48 49.35 3 4 5 2 2 1 1 0 5 0 0 2 0 0 0 0 2 0 0 0 0 0 0 2 2 0 2 0 0 0 0 1 1 0 0
3 Mirit 30 30 28.35 0 2 1 3 2 4 2 0 4 0 0 4 0 0 2 0 2 0 0 0 0 0 0 4 4 0 4 0 0 0 0 2 2 0 0
4 Tlogopragoto 31 31 29.4 0 6 2 2 0 0 6 0 4 0 0 2 0 0 0 0 2 0 2 0 2 0 0 2 2 0 2 0 0 0 0 2 0 0 0
5 Lembupurwo 72 72 68.25 3 2 2 4 0 0 4 0 4 0 0 3 0 0 3 0 0 0 4 0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0
6 Wiromartan 33 33 31.5 3 2 2 5 1 0 5 0 9 0 0 5 0 0 0 0 5 0 2 0 0 0 0 0 0 0 0 0 5 0 0 1 1 0 0
7 Rowo 33 33 31.5 0 2 1 3 3 0 2 0 3 0 0 3 0 0 0 0 3 0 3 0 0 0 0 0 3 0 3 0 1 0 0 0 0 0 0
8 Singoyudan 22 22 21 0 2 1 2 7 0 2 0 2 0 0 4 0 1 0 0 4 0 5 0 0 0 0 0 5 0 5 0 5 0 0 0 0 0 0
9 Wergonayan 40 40 37.8 3 1 4 1 3 0 3 0 1 0 0 4 0 0 4 0 0 0 0 0 0 0 0 4 4 0 4 0 4 0 0 0 0 0 0
10 Selotumpeng 48 48 46.2 3 4 2 1 1 0 3 0 3 0 0 3 0 0 0 0 3 0 0 0 0 0 0 3 3 0 3 0 0 0 0 3 0 0 0
11 Sitibentar 33 33 33.6 0 1 2 3 3 0 0 0 3 0 0 2 1 0 1 1 1 0 0 0 0 0 0 3 3 0 3 0 0 0 0 0 0 0 0
12 Karanggede 31 31 29.4 2 2 0 2 0 0 1 2 2 1 0 3 0 0 2 0 2 0 2 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0
13 Kertodeso 51 51 48 2 2 2 4 0 0 2 2 4 4 0 4 0 0 4 0 0 0 0 0 0 0 0 4 4 0 4 0 1 0 0 2 1 0 0
14 Patukrejomulyo 24 24 23.1 1 3 1 1 0 0 1 3 1 3 0 3 0 0 1 2 0 0 0 0 0 0 0 3 3 0 3 0 0 0 0 2 1 0 0
15 Mangunranan 44 44 37.8 2 2 2 7 2 0 4 0 9 0 0 3 2 0 1 1 0 0 0 0 0 0 0 7 7 0 7 0 0 0 2 3 1 1 0
16 Pekutan 33 33 31.5 1 2 1 2 1 0 1 0 2 0 0 2 0 0 1 0 1 0 0 0 0 0 0 2 2 0 2 0 0 0 0 2 0 0 0
17 Wirogaten 48 48 46 1 3 4 2 2 0 1 0 2 0 0 1 1 0 1 1 0 0 2 0 0 0 0 2 2 0 2 0 1 0 1 3 1 1 0
18 Winong 25 25 23 1 3 1 2 1 0 3 0 3 0 0 2 0 0 0 0 2 0 2 0 2 0 0 0 2 0 2 0 2 0 0 2 1 0 0
19 Sarwogadung 51 51 48.3 3 3 3 3 2 0 3 0 3 0 0 2 1 0 0 1 2 0 3 0 3 0 0 0 3 0 3 0 3 0 0 3 0 0 0
20 Krubungan 18 18 16 0 3 0 0 0 0 3 0 3 0 0 2 1 0 0 1 2 0 3 0 3 0 0 0 3 0 3 0 3 0 0 0 0 0 0
21 Patukgawemulyo 36 36 35 4 2 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean 54 54 51.45 0 2 4 8 0 0 4 2 4 2 0 8 0 0 0 0 8 0 8 0 0 0 0 0 8 0 8 0 8 0 0 0 0 0 0
Jumlah 829 829 789.6 32 53 41 60 32 5 55 9 73 10 0 63 7 1 20 8 40 0 36 0 10 0 1 37 66 0 66 0 33 0 3 29 9 2 0

Mengetahui MIRIT, 23 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit PELAKSANA PROGRAM KIA
 YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

LAPORAN REKAPITULASI CAKUPAN KEGIATAN PELAYANAN P 4 K

KABUPATEN KEBUMEN
BULAN REKAP 2015
Ibu Hamil Hasil Akhir Amanat Persalinan
Ibu Bersalin

Penolong
Frekwensi ANC Paham Tanda Bahaya Tempat Persalinan Pendamping Persalinan Kesiapan Alat Kontrasepsi Yg Dipakai
Dg Stiker

Persalinan
Sasaran

No Nama Desa Td Kehamila Persalinan Trans

Donor
n Rm 26 26 26 portasi

MOW
>4 k Dk Pk Dk Bd Kd Snt Im
1x 2x 3x 4x Bdn Dr PKD RS RB h Klg + + s/d De Blm m Pil k Iud
x Prk Ta Td Ta Tdk n m n n Klg
De
Klg p
hu k hu psn 27 28 28 sa sa
sa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30 30 31 32 33 34 35 36 37 38 39 40
1 Miritpetkusan 24 288 277.2 28 27 25 25 17 4 28 0 27 0 0 23 4 1 12 7 4 0 7 1 1 3 7 12 26 0 21 0 0 0 0 18 4 2 0
2 Tlogodepok 48 612 592.2 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
3 Mirit 30 366 340.2 38 37 28 28 6 26 53 3 41 11 0 38 1 1 18 1 16 0 9 0 3 3 1 31 38 0 36 0 15 0 0 15 7 0 0
4 Tlogopragoto 31 405 352.8 39 38 34 32 8 15 52 7 50 0 0 40 5 1 17 2 26 0 23 2 13 3 1 24 36 0 29 0 ### ### ### 13 3 0 0
5 Lembupurwo 72 652 819 72 68 66 69 34 9 77 8 82 17 1 79 6 1 56 12 13 1 38 8 22 18 27 48 43 0 32 0 37 0 2 31 5 0 0
6 Wiromartan 33 482 378 46 43 44 41 29 1 53 10 44 5 0 42 3 0 2 3 45 0 17 0 1 1 1 27 28 0 0 0 15 0 3 16 4 2 1
7 Rowo 33 451 378 31 29 21 24 27 18 45 7 36 0 0 42 2 0 0 2 42 0 30 0 16 14 11 25 40 0 23 0 25 0 0 7 1 1 1
8 Singoyudan 22 336 252 27 28 26 25 31 3 30 10 31 21 0 37 3 1 2 3 34 0 27 2 5 5 2 12 37 0 31 0 32 0 0 5 0 0 1
9 Wergonayan 40 459 453.6 49 49 54 44 29 9 92 7 70 21 0 80 5 0 63 3 20 0 11 0 0 7 1 87 103 0 93 0 98 0 0 1 0 0 0
10 Selotumpeng 48 502 554.4 42 42 40 40 15 1 61 1 68 2 0 60 0 3 9 0 48 3 7 3 7 4 0 46 57 0 57 0 40 0 0 21 0 0 0
11 Sitibentar 33 480 403.2 35 37 43 36 27 3 47 3 46 3 0 61 14 0 34 7 28 1 2 2 0 7 0 55 64 0 63 0 31 0 0 11 4 0 0
12 Karanggede 31 390 352.8 25 24 21 23 6 1 25 9 22 12 0 30 0 0 21 2 20 0 29 0 0 1 0 19 26 0 18 0 18 0 0 11 0 1 0
13 Kertodeso 51 535 597.6 53 51 50 49 13 0 65 21 51 55 0 62 0 0 12 0 50 0 15 0 6 8 0 44 62 0 62 0 29 0 0 22 8 0 0
14 Patukrejomulyo 24 375 277.2 24 26 25 23 14 2 39 12 44 12 0 31 0 0 7 2 29 0 13 6 3 5 0 30 43 0 43 0 18 0 1 14 3 0 0
15 Mangunranan 44 468 453.6 55 48 46 49 18 6 113 7 118 7 0 90 2 0 1 2 86 0 15 3 10 10 4 80 90 0 87 0 22 0 3 19 1 1 0
16 Pekutan 33 414 378 35 33 34 32 22 5 36 4 32 0 0 24 6 0 11 7 16 2 11 0 11 0 0 33 55 3 55 0 17 0 0 13 3 1 0
17 Wirogaten 48 542 572.7 42 44 45 45 48 5 44 0 48 0 0 43 12 0 40 5 3 0 30 0 12 5 7 38 51 0 46 0 19 0 1 31 1 1 0
18 Winong 25 365 286 25 21 23 24 17 0 34 2 38 4 0 37 0 0 12 1 24 0 20 2 10 5 1 19 37 1 27 1 16 0 0 16 2 1 0
19 Sarwogadung 51 551 579.6 62 59 51 46 37 5 65 0 46 0 0 38 10 1 2 11 34 0 36 18 37 13 18 32 48 0 48 0 32 0 1 35 5 1 1
20 Krubungan 18 298 180.3 19 20 19 18 3 ### 21 0 12 0 0 13 8 0 0 7 13 0 17 4 12 6 5 5 15 4 13 0 9 0 0 2 0 1 0
21 Patukgawemulyo 36 1195 379 40 37 31 44 51 5 50 16 49 27 0 59 4 0 0 4 59 0 27 0 3 3 7 43 60 0 52 0 24 0 0 11 3 1 0
22 Ngabean 54 3649 617.4 56 51 54 51 1 2 57 20 53 17 0 51 8 0 0 7 67 0 34 0 0 7 3 29 73 0 73 0 48 0 0 8 1 0 0
Jumlah 829 ### 9475 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
1
 DATA IBU HAMIL RESIKO TINGGI
UPTD UNIT PUSKESMAS MIRIT
BULAN JANUARI 2015
JENIS RESIKO TINGGI
UMU PARI PRIM PRES
NO NAMA IBU NAMA SUAMI ALAMAT HPHT HPL ANE GEM GRANDE BAYI TB < PRDRHN PRIMI RWYT EKLAM
R TAS I BKN BEL LAIN - LAIN
MIA E LI MULTI BESAR 140 PERVAG MUDA SC P SIA
TUA KEP
1 siti nikmah 17 iskandar tlogopragoto 1/0/0 2014-08-20 5/27/2015 v kek
2 wakhidatun 22 aji sutrisno tlogopragoto 1/0/0 11/6/2014 8/13/2015 kek
3 demora 30 hasanarin tlogopragoto 1/0/0 4/26/2014 2/2/2015 v
4 supiyati 37 dartiratno ngabean 9/27/2014 6/20/2015 v umur ibu >35 th
5 kowiyatun 29 wagiso rowo 2/8/2014 9/15/2015 jarak kehamilan<2th
6 wasirah 33 suyanto karanggede 8/7/2014 5/14/2015 v
7 nurhasanah 22 m. Andriyana karanggede 6/30/2014 4/7/2015 kek/jarak keham<2th
8 eti mulyaningsih 25 sarman wiromartan 1/0/0 8/3/2014 5/10/2015 kek/jarak keham<2th
9 manisem 45 endro wiromartan lupa umur ibu>35th
10 yaroh ngarofah 32 rusmantoro patukgawemulyo 11/25/2014 8/22/2015 v
11 endang sulasih 35 wakijo patukgawemulyo 12/9/2014 9/16/2015 v
12 kasiyati 41 muktasid mangunranan 8/10/2014 5/17/2015 v
13 parsih 22 ponirin lembupurwo 1/0/0 9/12/2014 6/19/2015 v
14 sri mulyani 16 doni lembupurwo 1/0/0 9/14/2014 6/24/2015 v
15 pariana 35 mawardi lembupurwo 1/0/0 4/12/2014 1/19/2015 v
16 dewi 25 risam sarwogadung 6/23/2014 4/30/2015 IMS
17 siti kamaliyah 27 sugeng riyadi sarwogadung 1/0/0 4/20/2014 1/27/2015 v
18 nurrahmawati 20 muharis sarwogadung 1/0/0 9/25/2014 7/2/2015 kek
19 lina 24 yanto sarwogadung 1/0/0 10/20/2014 8/5/2015 kek
20 mardiyah 39 slamet selotumpeng 0-6-2014 0/03/2015 v
21 salminah 40 selotumpeng 11/5/2014 8/20/2015 umur ibu>35th
22 wakidah 36 sutini wergonayan 6/23/2014 4/30/2015 v
23 dewi sri 30 sudadi wergonayan lupa v
24 miftahul h 29 m. Sakiron patukrejomulyo 10/10/2014 7/17/2015 v
25 dasminah 18 wahyudi mirit 1/0/0 11/9/2014 8/16/2015 v
26 watiyah 28 s. Habibulloh mirit 1/0/0 11/21/2014 8/28/2015 kek
27 tarwiyah 39 a. Daeni kertodeso 10/20/2014 7/27/2015 v
28 nisausangadah 19 ah. Madmin kertodeso 1/0/0 5/9/2014 2/16/2015 v
29 endang susilowati 32 isnanto pekutan 10/9/2014 7/16/2015 riw obstetri jelek
30 sudarni 32 muh. Yoto miritpetikusan 5/8/2014 2/15/2015 partus prematur
31 wahidah u 32 turijan wirogaten 11/18/2014 8/25/2015 kek

Mengetahui Mirit, 9 Februari 2015

Kepala UPTD Unit Puskesmas Mirit Bidan Koordinator

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 DATA IBU HAMIL RESIKO TINGGI
UPTD UNIT PUSKESMAS MIRIT
BULAN FEBRUARI 2015
JENIS RESIKO TINGGI
UMU PARI PRIM PRES
NO NAMA IBU NAMA SUAMI ALAMAT HPHT HPL ANE GEM GRANDE BAYI TB < PRDRHN PRIMI RWYT EKLAM
R TAS I BKN BEL LAIN - LAIN
MIA E LI MULTI BESAR 140 PERVAG MUDA SC P SIA
TUA KEP
1 DWI LINDA 19 turyanto miritpetikusan 1 4/20/2014 1/27/2015 serotinus
2 Zezi Marwati 21 Mudakir Krubungan 1 12/26/2014 10/2/2015 KEK lila= 22,5
3 muji 41 agus salim patukgawemulyo 3 11/2/2014 8/9/2015 umur ibu > 45 th
4 salami 37 subar patukgawemulyo 2 7/28/2014 5/4/2015 v hypertensi
5 parni 24 zainurrozikin patukgawemulyo 2 6/2/2014 3/9/2015 v
6 sukani 18 solikin sitibentar 1 5/24/2014 3/3/2015 V
7 turanti 18 turasno sitibentar 1 12/1/2014 9/8/2015 V
8 sri wahyuni 20 tiyono singoyudan 1 11/26/2014 8/25/2015 kek lila 22cm
9 dina fariana 30 hermansyah kertodeso 1 11/0/2014 5/18/2015 kek lila 21cm
10 windar nur fadilah 18 misbahul munir kertodeso 1 12/28/2014 9/5/2015 V kek lila 21cm
11 tutur 28 wahyudi tlogopragoto 2 1/1/2015 10/8/2015 V
12 muinah 31 wiwin setiawan selotumpeng 2 6/5/2014 3/22/2015 kek lila 22,5
13 umrotul khasanah 29 mungawin mangunranan 2 7/24/2014 4/28/2015 kek lila 21
14 sugiyanti 25 eko sandi sarwogadung 1 5/25/2014 3/1/2015 kek lila 19.5
15 fera nurhayati 23 heri s sarwogadung 1 12/20/2014 9/27/2015 kek lila 22
16 sulistiana 23 rahman f sarwogadung 2 9/19/2014 6/26/2015 kek lila 21
17 manisih 27 mujaidin tlogodepok 1 5/19/2014 3/27/2015 presbo
18 siti fatimah 24 wagino tlogodepok 2 9/13/2014 6/20/2015 kek
19 sri nursiyati 37 paring lembupurwo 2 7/23/2014 4/30/2015 umur ibu >35 th
20 ita ratnasari 22 sugeng lembupurwo 1 7/10/2014 4/17/2015 Hbsag +
21
22
23
24
25
26
27
28

Mengetahui Mirit, 5 MARET 2015

Kepala UPTD Unit Puskesmas Mirit bidan koordinator

YAMOTO, SKM. M.SI HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 DATA IBU HAMIL RESIKO TINGGI
UPTD UNIT PUSKESMAS MIRIT
BULAN :Maret 2015
JENIS RESIKO TINGGI
UMU PARI PRIM PRES
NO NAMA IBU NAMA SUAMI ALAMAT HPHT HPL ANE GEM GRANDE BAYI TB < PRDRHN PRIMI RWYT EKLAM
R TAS I BKN BEL LAIN - LAIN
MIA E LI MULTI BESAR 140 PERVAG MUDA SC P SIA
TUA KEP
1 Poniati 30 Solikin sarwogadung G2 12/20/2014 9/27/2015 KEK
2 Madiyatun 17 Rohmat sarwogadung G1 12/23/2014 9/30/2015 1 KEK
3 Juminah 32 Suyanto sarwogadung G1 9/27/2014 7/4/2015 1
4 Saminah 29 slamet wiromartan G2 8/14/2014 5/21/2015 Hbsag +
5 Fitri 35 Pardi Wiromartan G4 7/15/2014 4/22/2015 1
6 Srirohani 18 Paryanto wiromartan G1 11/12/2014 9/18/2015 1
7 Nursasi 18 agus wiromartan G1 2/7/2015 11/14/2015 1
8 Robingatun 23 Tiono MP G1 2/10/2015 11/15/2015 KEK
9 Parti 33 Mario Singoyudan G2 1/8/2015 10/15/2015 jrk<2th
10 Nurhidayah 24 Solihun Pt.gawemulyo G1 1/15/2015 10/22/2015 KEK
11 Wasilah 30 Mukrom Pt.gawemulyo G3 20/12/201`4 9/27/2015 KEK
12 Nuraini 17 Taufik Pt.gawemulyo G1 12/29/2014 10/5/2015 1
13 Istichanah 26 Sariman Pt.gawemulyo G1 1/18/2015 10/25/2015 KEK
14 Partinah 30 Slamet Ngabean G3 2/5/2015 11/12/2015 jrk<2th
15 Marfungah 42 Tumijo Ngabean G6P4A1 9/13/2014 5/20/2015 1
16 Siti Khotijah 26 Khusnan Wirogaten G1PoAo 2/18/2015 11/25/2015 136cm
17 Suci Tri W 18 Jemadi Tlogodepok G1P0A0 2/1/2015 11/8/2015 1
18 Nur Werdiningsih 33 Lasimin Winong GIIPIA0 1/16/2015 10/23/2015 KEK
19 Tri Rahayu 41 Pairan Mirit G1P0A0 1/23/2015 10/30/2015 1 kek
20 Rohayani 18 Sugiyanto Mirit G1P0A0 1/23/2015 10/30/2015 1
21 Ari Susanti 19 Wafid Tlogopragoto G!P0A0 8/6/2014 5/13/2015 1
22 Anita Lestari 35 Heri Tuslianto Pekutan GVP4A0 Oct-14 7/1/2015 1
23 Nurokhmah 22 Alwan Hasa Pekutan G1P0A0 11/25/2014 9/2/2015 KEK
24 Marsiyam 37 M. Rois Pekutan G3P2A0 10/3/2014 7/10/2015 KEK
25 Suratmi 26 Daryono Wergonayan G2P1A0 11/20/2014 8/27/2015 KEK
26 Nur khasanah 25 Suprapto Mangunranan G1P0A0 11/27/2014 9/3/2015 KEK
27
28

MENGETAHUI MIRIT, 4 APRIL 2015

KEPALA UPT PUSKESMAS MIRIT BIDAN KOORDINATOR KIA

YAMOTO, SKM, M.Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 DATA IBU HAMIL RESIKO TINGGI
UPTD UNIT PUSKESMAS PUSKESMAS MIRIT
BULAN APRIL 2015
JENIS RESIKO TINGGI
UMU PARI PRIM PRES
NO NAMA IBU NAMA SUAMI ALAMAT HPHT HPL ANE GEM GRANDE BAYI TB < PRDRHN PRIMI RWYT EKLAM
R TAS I BKN BEL LAIN - LAIN
MIA E LI MULTI BESAR 140 PERVAG MUDA SC P SIA
TUA KEP
1 Desi Kuspitasari 26 Th Sukron Makmun Krubungan 2/1 2 9/11/2014 6/18/2015 Jarak < 2th : 6 bulan
2 suysti 38 mardi lembupurwo 5 10/20/2014 2/12/2015 v .> 35
3 sri solikhatun 23 wahyono lembupurwo 2 12/12/2014 9/19/2015 JARAK .> 2TH
4 SUPRIYATI 30 RUSINO PGM 4 12/12/2014 9/19/2015 JARAK > 2TH
5 Tumakninah 39 bandot wiromartan 3 12/21/2014 9/28/2015 >35th
6 wasinah 25 sofyan MP 2 1/20/2015 10/27/2015 obesitas
7 Sulis 20 yunanto MP 1 10/10/2014 7/12/2015 kek
8 Nurjanah 27 Teguh TP 2 3/19/2015 12/26/2015 kek
9 Siti Kholifah 25 Slamet MP 2 9/23/2014 6/30/2015 presbo
10 Sofia 27 Wagiono KD 3 3/7/2015 12/14/2015 kek
11 istikomariyah 20 Andri sarwogadung3/2 1 9/15/2014 6/22/2015 Kek
12 Suyanti 20 Hermanto sarwogadung3/2 1 12/10/2015 9/17/2015 Kek
13 Kemini 43 Darsan Sitibentar 2 1/26/2015 11/3/2015 Riw Hipertensi
14 Mursidah 35 Guntoro Sitibentar 1 3/1/2015 12/8/2015 Kek, Primi tua
15 Rojiatun 20 Nurul Mukminin Sitibentar 1 10/11/2014 7/18/2015 kek
16 Paryatun 20 Riyanto Pekutan 1 1/10/2015 10/17/2015 kek
17 Umayah 25 Tasliman Mangunranan 2 2/25/2015 12/2/2015 riw SC
18 Kasminah 44 iswandi Karanggede 4 1/5/2015 10/12/2015 umur > 35 th
19 Siti Aminah 36 Ahmad S Karanggede 3 11/3/2015 8/10/2015 9.8
20 Kuni Afifah 24 Yus Alfian Ngabean 1 8/9/2014 5/16/2015 kek
21
22
23
24
25
26
27
28

Mengetahui Mirit, 5 MEI 2015

Kepala UPTD Unit Puskesmas Mirit Bidan Kordinator

YAMOTO, SKM. M. Si Hj. SITI NURJANAH, S. ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 DATA IBU HAMIL RESIKO TINGGI
UPTD UNIT PUSKESMAS MIRIT
BULAN : MEI 2015
JENIS RESIKO TINGGI
UMU PRIM PRES
NO NAMA IBU NAMA SUAMI ALAMAT PARITAS HPHT HPL ANE GEM GRANDE BAYI TB < PRDRHN PRIMI RWYT EKLAM
R I BKN BEL LAIN - LAIN
MIA E LI MULTI BESAR 140 PERVAG MUDA SC P SIA
TUA KEP
1 Tuti Wibowo 19 Th Sutrisno Krubungan 1/1 1 8/10/2014 5/17/2015 KEK lila 22 cm
2 Supi 40 jati Ngabean 4/4 2 6/20/2015 v PEB
3 Mahesa Sari F 16 Supriyanto Ngabean2/4 1 9/10/2014 6/17/2015 Umur 16 thn
4 Sarilah 38 Selotumpeng 3/2/0 /10/2014 /7/2015 umur 38th
5 Aprianti 19 Sumaryanto Selotumpeng 1/0/0 12/7/2014 8/14/2015
6 Pawitri 20 Selotumpeng 1/0/0 10/9/2014 7/16/2015 lila 22cm
7 Rina Indrawati 19 Eri Kuswanto Selotumpeng 1/0/0 12/4/2014 9/11/2015
8 Umi Nasirotun 27 Ali Najic Kertodeso 3/1/1 3/23/2015 12/30/2015 kek,jarak <2th
9 Hernia Pasmi 36 Sudibyo Winong 3/2/1 4/12/2015 1/19/2016 umur 36 th
10 Komaryatun 22 Budi Winong 1/0/0 8/11/2014 5/18/2015 serotinus
11 Sulis 20 Yananto MP 1/0/0 10/10/2014 7/17/2015 KEK
12 Tumirah 30 Soim Riyanto MP 2/1/0 11/9/2014 8/16/2015 Primi Secundi
13 Arumyani 21 Saiman Sitibentar 1/0/0 2/28/2015 12/5/2015 KEK
14 Eni Salamah 21 Robingun Sitibentar 1/0/0 8/30/2014 6/6/2015 KEK
15 Sulastri 24 Anggit wiromartan 1/0/0 9/13/2014 6/20/2015 v
16 Puspa 30 Sarif Wiromartan 2/1/0 KEK
17 Triyanah 30 Marsino Wergonayan KEK
18 Tri haryani Edi Wergonayan KEK
19 Siti Mahmudah 24 Mujiono Wirogaten 2/1/0 4/2/2015 1/9/2016 KEK : 20,5
20 Trisnawati 31 Nur wahid Sarwogadung G5P1A3 3/11/2015 18-Dec v Ab 3 kali
21 Rodiah 43 Sumarno Sarwogadung G4P3A0 2/17/2015 11/24/2015 v Grandemulti,usia tua
22 ponijah 37 ubian Lembupurwo g2p1a0 lupa lila 22cm
23
24
25
26
27
28
29

Mengetahui Mirit, 5 JUNI 2015

Kepala UPTD Unit Puskesmas Mirit Bidan Kordinator

YAMOTO, SKM. M. Si Hj. SITI NURJANAH, S. ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 DATA IBU HAMIL RESIKO TINGGI
UPTD UNIT PUSKESMAS ..
BULAN : JUNI 2015
JENIS RESIKO TINGGI
UMU PARI PRIM PRES
NO NAMA IBU NAMA SUAMI ALAMAT HPHT HPL ANE GEM GRANDE BAYI TB < PRDRHN PRIMI RWYT EKLAM
R TAS I BKN BEL LAIN - LAIN
MIA E LI MULTI BESAR 140 PERVAG MUDA SC P SIA
TUA KEP
1 triyanah 30 marsino wergonayan 04/02 ii / i / 0 4/5/2015 1/12/2016 lila < 23,5 cm
2 tri Haryani 26 Edi Prayitno wergonayan 06/03 ii/ i / 0 3/27/2015 1/2/2016 lila < 23,5 cm
3 Siti Hamdiyah 31 Ibnu Musayab Mangunranan 03/04 i/0/0 12/2/2014 9/9/2015 lila < 23,5 cm
4 Eti Wahidah 28 Swandar Mangunranan 03/03 ii / i / 0 3/20/2015 12/27/2015 lila < 23,5 cm
5 Sri Nuryani 25 Suparman Mangunranan 03/04 ii / i / 0 5/7/2015 2/14/2016 lila < 23,5 cm
6 Sri Lestari 30 Kasidi Singoyudan iv / iii / 0 1/17/2015 10/24/2015 Riw. Peny. Jantung
7 Siti Muzainah 36 Imam Singoyudan v / iii / i 3/26/2015 1/2/2016 v
8 Parti S 28 Poniran Singoyudan ii / i / 0 4/20/2015 1/27/2016 v
9 Wasiyah 35 Sunaryo Kertodeso iii / i / i 3/27/2015 12/4/2015 lila < 23,5 cm
10 Eka 25 Nova Mirit ii / i / 0 4/12/2015 1/19/2016 lila < 23,5 cm
11 wagiyem 40 andi Tlogodepok ii / i / 0 4/17/2015 1/24/2015 Usia ibu, jarak kelahiran
12 Wasiyem 40 Ribut Tlogodepok iii / ii / o 2/2/2015 11/9/2015 usia ibu
13 tri ludiyani 19 yanto Sitibentar i/0/0 3/15/2015 12/22/2015 v
14 Kristinawati 28 Saliman Pekutan iv / iii / 0 10/20/2014 8/1/2015 jarak kehamilan dekat
15 Musrifah 27 Daryanto Pekutan i/0/0 5/3/2015 2/10/2016 lila < 23,5
16 Jumilah 31 Turyanto noro.W Sarwogadung 1/0/0 9/27/2014 7/4/2015 v v PEBPU(+++)TD160/100
17 sofiatun 21 wahid PGM 1/0/0 1/10/2015 1/17/2015 lila 22cm
18 wasinah 32 Ruvianto rowo 1/0/0 10/5/2014 7/12/2015 kek, let sungsang
19
20
21
22
23
24
25
26
27
28

Mengetahui Mirit, 5 JUNI 2015

Kepala UPTD Unit Puskesmas Mirit Bidan Kordinator

YAMOTO, SKM. M. Si Hj. SITI NURJANAH, S. ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 DATA IBU HAMIL RESIKO TINGGI
UPTD UNIT PUSKESMAS ..
BULAN : JULI 2015
JENIS RESIKO TINGGI
UMU PARI PRIM PRES
NO NAMA IBU NAMA SUAMI ALAMAT HPHT HPL ANE GEM GRANDE BAYI TB < PRDRHN PRIMI RWYT EKLAM
R TAS I BKN BEL LAIN - LAIN
MIA E LI MULTI BESAR 140 PERVAG MUDA SC P SIA
TUA KEP
1 Yuni 25 Th Suratno Krubungan 1/1 1 11/2/2014 8/9/2015 KEK 23 cm
2 Sri Lestari 27 Th Sugeng Riyanto Krubungan 2/1 3 2/10/2015 11/17/2015 interval 20 bln, HBsAg +
3 Siti Muslimatun 25 th Juwakir Singoyudan 1 2/9/2015 11/16/2015 v
4 Nuraini 17 Wiromartan 1 5/14/2015 2/21/2016 v
5 Siti Kusniati 35 th Irfangi Mangunranan 4 12/4/2014 9/11/2015 KEK 21CM
6 Wagiyanti 34 Gunadi Sarwogadung 2/2 2 5/15/2015 2/22/2016 KEK 20 cm
7 Catur 25 Retno Edi Wahyono Sarwogadung2/3 4 5/30/2015 2/6/2016 v v Jarak kehmln dekat
8 Nuryati 25 Abu ngusman Sarwogadung 1 12/20/2014 9/27/2015 KEK 22 cm
9 Amintosih 39 Sardi Rowo 3 5/1/2015 2/8/2016
10 Bawon P 40 Marsito Rowo 3 2/5/2015 12/12/2015
11 Siti Mutmainah 26 Mujido Sitibentar 2 KEK Lila 22cm
12 Sri H 29 Muswakar Sitibentar 2 4/3/2015 1/10/2016 KEK Lila 22cm
13 komariyah 43 Winarto Lembupurwo 4 12/2/2014 9/9/2015 v
14 marati i soliah 27 lembupurwo 2 4/14/2015 12/21/2015 jarak kurang 2th
15 musriah 29 Lembupurwo 1 3/13/2015 12/20/2015 Kek ,22
16 siti sarwiyatun jamilah 38 basiran karanggede 04/02 1 5/17/2015 2/24/2016 v gangguan jiwa
17 siti aminah 36 ahmad s karanggede 3 11/3/2015 8/10/2015 9.8
18 Poniyem 23 A Saudi Ngabean 1 8/8/2015 TFU>41 cm
19
20
21
22
23
24
25
26
27
28

Mengetahui Mirit, 5 AGUSTUS 2015

Kepala UPTD Unit Puskesmas Mirit Bidan Kordinator

YAMOTO, SKM. M. Si Hj. SITI NURJANAH, S. ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 DATA IBU HAMIL RESIKO TINGGI
UPTD UNIT PUSKESMAS MIRIT
BULAN AGUSTUS 2015
JENIS RESIKO TINGGI
UMU PARI PRIM PRES
NO NAMA IBU NAMA SUAMI ALAMAT HPHT HPL ANE GEM GRANDE BAYI TB < PRDRHN PRIMI RWYT EKLAM
R TAS I BKN BEL LAIN - LAIN
MIA E LI MULTI BESAR 140 PERVAG MUDA SC P SIA
TUA KEP
1 Nining Maryamah 36 Th Rohmat Pujianto Krubungan 2/1 3 6/28/2015 4/5/2016 KEK Lila = 23 cm
2 Novi 24 Th Febivan Krubungan 1/2 2 7/13/2015 4/20/2016 KEK Lila = 23 cm
3 Nur Indah Ngadiyah 27 Th Yusli Nurzaman Krubungan 1/2 1 2/2/2015 11/9/2015 KEK Lila = 22,5 cm
4 Umu Sakimah 20 Th Waris Nur Fuad Krubungan 2/4 1 7/3/2015 4/10/2016 KEK Lila = 23
5 Vera diana 17 th Sahid Singoyudan 1 1/12/2015 10/19/2015 Umur < 20 th
6 Eli Fatimah 24 th Rusmin Mangunranan 3 1/20/2015 10/27/2015 HB 9,2
7 Sri Mursida 39 th Solikun Patukgawemulyo 3 7/18/2015 4/25/2016 Umur > 35 th
8 ismawati 25 budiyanyo sarwogadung 2 1/1/2015 1-10-15` Sesak nafas
9 yanti 38 Saring sarwogadung 1 5/17/2015 2/24/2016 v Kek lila 22
10 muhyarotun 31 yudistira sarwogadung 1 11/30/2015 9/9/2015 v
11 prastina 31 parjo sarwogadung 5 1/9/2015 10/16/2015 v Ab 4 kali
12 meska 26 indriyanto sarwogadung 1 5/25/2015 11/12/2015 kek lila 22,5
13 Nurfatimah 17 kuswantoro Lembupurwo 1 11/10/2015 8/17/2015 v serotinus
14 tuti Rokhyati 41 slamet Karanggede 3 3/9/2015 12/16/2015 umur . > 35
15 Ritaningsih 30 maryono Wiromartan 4 Lupa jarak < 2 th
16 Munjiyah 28 Jumadi Tlogodepok 3 4/3/2015 1/10/2016 kek lila 20
17 Suyatmi 28 Supendi Tlogodepok 1 5/6/2015 2/13/2016 kek lila 21,5
18 Khuriyatul Azizah 21 Sarifrul Kertodeso 2 6/6/2015 3/13/2016 kek lila 22, jarak< 2th
19 Kustinah 20 Suratman Sitibentar 1 4/11/2015 1/18/2016 kek lila 22cm
20 Sri Mulianingsih 29 Reza Ardiansyah Pekutan 1 1/1/2015 10/8/2015 kek lila 22,5cm
21 Kinem 43 Tri Feri A Ngabean 6 5/16/2015 Umur>35th
22
23
24
25
26
27
28

Mengetahui Mirit, 5 SEPTEMBER 2015

Kepala UPTD Unit Puskesmas Mirit Bidan Kordinator
 YAMOTO, SKM. M. Si Hj. SITI NURJANAH, S. ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

DATA IBU HAMIL RESIKO TINGGI

UPTD UNIT PUSKESMAS MIRIT KABUPATEN KEBUMEN
BULAN : SEPTEMBER 2015
JENIS RESIKO TINGGI
UMU PARI PRIM PRES
NO NAMA IBU NAMA SUAMI ALAMAT HPHT HPL ANE GEM GRANDE BAYI TB < PRDRHN PRIMI RWYT EKLAM
R TAS I BKN BEL LAIN - LAIN
MIA E LI MULTI BESAR 140 PERVAG MUDA SC P SIA
TUA KEP
1 Wagiyem 26 Kasirin Lembupurwo 2 12/10/2014 9/17/2015 v
2 Winarti 22 Indra Sarwogadung 1 2/20/2015 11/27/2015 v
3 Kunarti 40 Sidik Tlogopragoto 8 5/1/2015 2/8/2016 v umur > 35 th
4 Sumarni 39 Samino Karanggede 3 6/1/2015 3/8/2016 umur > 35 th
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

Mengetahui Mirit, 02 OKTOBER 2015

Kepala UPTD Unit Puskesmas Mirit Bidan Kordinator
 YAMOTO, SKM. M. Si Hj. SITI NURJANAH, S. ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

DATA IBU HAMIL RESIKO TINGGI

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN OKTOBER 2015
JENIS RESIKO TINGGI
UMU PARI PRIM PRES
NO NAMA IBU NAMA SUAMI ALAMAT HPHT HPL ANE GEM GRANDE BAYI TB < PRDRHN PRIMI RWYT EKLAM
R TAS I BKN BEL LAIN - LAIN
MIA E LI MULTI BESAR 140 PERVAG MUDA SC P SIA
TUA KEP
1 Sulaimah 38 Suparno Sarwogadung G3P2A0 7/3/2015 4/10/2016 Multi tua
2 wagiyah 42 Sugito Sarwogadung G2P0A0 9/16/2015 5/23/2016 v
3 Mursidah 25 Tukiman Lp g2pia0 7/17/2015 4/24/2015 jarak < 2th
4 Komariyah 45 winarto Lp G4p3ao 12/2/2015 9/9/2015 v v
5 ngafiyah 35 teguh Lp g2p1a0 7/15/2015 v
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

Mengetahui Mirit, 04 NOVEMBER 2015

Kepala UPTD Unit Puskesmas Mirit Bidan Kordinator
 YAMOTO, SKM. M. Si Hj. SITI NURJANAH, S. ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

DATA IBU HAMIL RESIKO TINGGI

UPTD UNIT PUSKESMAS MIRIT KABUPATEN KEBUMEN
BULAN november 2015
JENIS RESIKO TINGGI
UMU PARI PRIM PRES
NO NAMA IBU NAMA SUAMI ALAMAT HPHT HPL ANE GEM GRANDE BAYI TB < PRDRHN PRIMI RWYT EKLAM
R TAS I BKN BEL LAIN - LAIN
MIA E LI MULTI BESAR 140 PERVAG MUDA SC P SIA
TUA KEP
1 Siti Khasanah 29 Th Cecep Rahmat Krubungan 1/4 2 2/14/2015 11/21/2015 inpartu TD=140/100
2 Peni Trimiasih 32 mulyadi lembupurwo 3 11/21/2015 hbsag +
3 Yuli 31 Usman Sarwogadung 3 9/20/2014 12/27/2015 v
4 yuliati 18 tsalis S tlogodepok 1 8/9/2015 6/16/2016 v
5 Siti Fatimah 18 Agus Karanggede 1 protein +3
6 Tuti H 18 Kholid Pgm 1 8/6/2015 5/13/2016
7 Tugiyah 30 mujiono Pgm 1 4/25/2015 2/2/2016
8 Zanuarti 30 Lukman H Pgm 2 27-Mar 1/4/2016
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

Mengetahui Mirit, 4 DESEMBER 2015

 Kepala UPTD Unit Puskesmas Mirit Bidan Kordinator

YAMOTO, SKM. M. Si Hj. SITI NURJANAH, S. ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

DATA IBU HAMIL RESIKO TINGGI

UPTD UNIT PUSKESMAS MIRIT, KEBUMEN
BULAN Desember 2015
JENIS RESIKO TINGGI
UMU PARI PRIM PRES
NO NAMA IBU NAMA SUAMI ALAMAT HPHT HPL ANE GEM GRANDE BAYI TB < PRDRHN PRIMI RWYT EKLAM
R TAS I BKN BEL LAIN - LAIN
MIA E LI MULTI BESAR 140 PERVAG MUDA SC P SIA
TUA KEP
1 Rodiah 44 Sumarno Sarwogadung G4p3A0 9/10/2014 12/7/2015 v v usia tua kehamilan
2 Wagiyah 40 Gito Sarwogadung G2p0a1 11/12/2015 8/19/2016 v AB 1x
3 gita 19 iswanto tlogodepok G2p0a1 10/1/2015 7/8/2016 v
4 SITI MAHMUDAH 25 MUJIONO WIROGATEN G2P1A0 4/2/2015 1/9/2016 v
5 mutiah 46 zainal kertodeso G3P2A0 LUPA usia 46 th, protein +
6 nera liana sari 18 budi p kertodeso G1P0P0 7/24/2015 5/1/2016 v
7 catur winarsih 36 sigit tlogopragoto G1P0A0 7/10/2015 4/17/2016 v
8 TIKA LESTARI 17 SURYADI tlogopragoto G1P0A0 6/15/2015 3/22/2016 v
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
 Mengetahui Mirit, 23 DESEMBER 2015
Kepala UPTD Unit Puskesmas Mirit Bidan Kordinator

YAMOTO, SKM. M. Si Hj. SITI NURJANAH, S. ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
REKAPITULASI DATA KEMATIAN IBU : UPTD UNIT MPUSKESMAS MIRIT
KAB/KOTA : KEBUMEN
BULAN : DESEMBER TAHUN 2015

NAMA IBU NAMA PEND TANGGAL UMUR PARITAS ANC Jarak kehamilan PERKAWINAN KELUHAN + RUJUKAN BIDAN

an
NO UMUR PKM ALAMAT

ut
nj
SUAMI IBU KEMATIAN KEHAMILAN G P A FREK LOKASI TERAKHIR KE SEBAB Tujuan rujukan 24 JAM DIDESA

La
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21

Mengetahui MIRIT, 23 DESEMBER 2015

Kepala UPTD Unit Puskesmas Mirit Pengelola Program KIA

YAMOTO, SKM. M.SI

NIP: 19690711 199203 1 004 HJ. SITI NURJANAH, S.ST
NIP: 19680212 198703 2 002
 SEBAB KEMATIAN MENINGGAL SAAT PENYAKIT Saat ANC terakhir PENOLONG PERSALINAN TEMPAT PERSALINAN TEMPAT KEMATIAN MATI DI RS
an
ut

PERD INF EKLAMSI LAIN-LAIN HAMIL BERSALIN NIFAS PENYERTA SEBELUM INPARTU DUKUN BIDAN DOKTER RMH JLN BPM RB PUSK RS RMH JLN BPM RB PUSK RS <48 >48
nj
La
PUSKESMAS : MIRIT
Bulan : JANUARI 2015
Form 5 : ( ANC Terpadu)
Hb KEK Protein Urin Gula Darah (GD) Integrasi Program

Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) Pencegahan Malaria dalam Kehamilan (PMDK)

KEK Ibu Hamil HIV (+)

No PUSKESMAS Diperiksa Anemia (8-11 Diperiksa (LILA Di Di GD
Hb mg/dl) <8 mg LILA <23,5 periksa Positif (+) periksa >140g/dl Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil
datang dgn ditawarkan Ibu Hamil Di Mendapatkan Diperiksa Ibu Hamil Mendapatkan
cm) Tes HIV Malaria (+)
HIV (+) Tes HIV Persalinan kelambu Microskopis/RDT Kina/ACT
Pervaginam Persalinan
Perabdomina
m (SC)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Miritpetkusan 2 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 1 0 0 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 6 2 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 5 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 0 0 0 5 1 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Rowo 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Wergonayan 0 1 0 6 1 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Selotumpeng 2 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Sitibentar 2 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Karanggede 1 1 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kertodeso 2 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Patukrejomulyo 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Mangunranan 4 0 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 3 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Wirogaten 0 0 0 6 1 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 4 0 0 4 2 1 1 0 0 0 0 0 0 0 0 0 0 0
20 Krubungan 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Patukgawemulyo 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean 6 0 0 0 0 0 0 0 0 0 13 13 0 0 0 0 0 0
TOTAL 32 3 1 109 10 1 1 0 0 0 13 13 0 0 0 0 0 0

MENGETAHUI MIRIT, 9 FEBRUARI 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
PUSKESMAS : MIRIT
Bulan : FEBRUARI 2015
Form 5 : ( ANC Terpadu)
Hb KEK Protein Urin Gula Darah (GD) Integrasi Program

Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) Pencegahan Malaria dalam Kehamilan (PMDK)

KEK Ibu Hamil HIV (+)

No PUSKESMAS Diperiksa Anemia (8-11 Diperiksa (LILA Di Di GD
Hb mg/dl) <8 mg LILA <23,5 periksa Positif (+) periksa >140g/dl Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil
datang dgn ditawarkan Ibu Hamil Di Mendapatkan Diperiksa Ibu Hamil Mendapatkan
cm) Tes HIV Malaria (+)
HIV (+) Tes HIV Persalinan kelambu Microskopis/RDT Kina/ACT
Pervaginam Persalinan
Perabdomina
m (SC)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Miritpetkusan 2 1 2 0 0 0 0 0
2 Tlogodepok 2 1 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tlogopragoto 1 1 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 2 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 3 0 0 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0
7 Rowo 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 2 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Wergonayan 5 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Selotumpeng 4 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0
11 Sitibentar 3 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Karanggede 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kertodeso 0 0 0 3 2 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Patukrejomulyo 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Mangunranan 2 2 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 1 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Wirogaten 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 2 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 2 0 0 3 3 0 0 1 1 0 0 0 0 0 0 0 0 0
20 Krubungan 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Patukgawemulyo 3 1 5 0 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean 2 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 42 10 0 55 10 3 1 1 1 0 0 0 0 0 0 0 0 0

MENGETAHUI MIRIT, 5 MARET 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

PUSKESMAS : MIRIT
Bulan : MARET 2015
Form 5 : ( ANC Terpadu)
Hb KEK Protein Urin Gula Darah (GD) Integrasi Program

Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) Pencegahan Malaria dalam Kehamilan (PMDK)

KEK Ibu Hamil HIV (+)

No PUSKESMAS Diperiksa Anemia (8-11 Diperiksa (LILA Di Di GD
Hb mg/dl) <8 mg LILA <23,5 periksa Positif (+) periksa >140g/dl Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil
datang dgn ditawarkan Ibu Hamil Di Mendapatkan Diperiksa Ibu Hamil Mendapatkan
cm) Tes HIV Malaria (+)
HIV (+) Tes HIV Persalinan kelambu Microskopis/RDT Kina/ACT
Pervaginam Persalinan
Perabdomina
m (SC)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Miritpetkusan 7 2 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 2 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 1 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tlogopragoto 4 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 4 4 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 4 1 0 2 0 2 0 0 0 0 1 1 0 0 0 0 0 0
7 Rowo 2 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
9 Wergonayan 4 1 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Selotumpeng 2 0 0 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0
11 Sitibentar 2 2 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0
12 Karanggede 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kertodeso 2 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Patukrejomulyo 1 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Mangunranan 3 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 4 0 0 4 2 1 0 1 0 0 0 0 0 0 0 0 0 0
17 Wirogaten 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 3 0 0 1 1 3 0 0 0 0 1 1 0 0 0 0 0 0
19 Sarwogadung 2 2 0 5 3 1 0 0 0 0 1 1 0 0 0 0 0 0
20 Krubungan 3 1 0 1 0 0 0 1 0 0 1 1 0 0 0 0 0 0
21 Patukgawemulyo 3 0 0 6 3 1 0 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 57 15 0 58 13 11 0 2 0 0 4 4 0 0 0 0 0 0

MENGETAHUI MIRIT, 4 APRIL 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA
 YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

PUSKESMAS : MIRIT
Bulan : APRIL 2015
Form 5 : ( ANC Terpadu)
Hb KEK Protein Urin Gula Darah (GD) Integrasi Program

Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) Pencegahan Malaria dalam Kehamilan (PMDK)

KEK Ibu Hamil HIV (+)

No PUSKESMAS Diperiksa Anemia (8-11 Diperiksa (LILA Di Di GD
Hb mg/dl) <8 mg LILA <23,5 periksa Positif (+) periksa >140g/dl Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil
datang dgn ditawarkan Ibu Hamil Di Mendapatkan Diperiksa Ibu Hamil Mendapatkan
cm) Tes HIV Malaria (+)
HIV (+) Tes HIV Persalinan kelambu Microskopis/RDT Kina/ACT
Pervaginam Persalinan
Perabdomina
m (SC)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Miritpetkusan 3 1 1
2 Tlogodepok 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 1 1
4 Tlogopragoto 4 1
5 Lembupurwo 4 4 8 3 0 0 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 4 0 0 4 0 1 0 1 0 0 0 0 0 0 0 0 0 0
7 Rowo 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Wergonayan 2 2 3 1
10 Selotumpeng 0 0 0 0 0 0 0 0 0 0
11 Sitibentar 1 0 0 3 2 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Karanggede 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kertodeso 2 2 0 0 0 0 0 0 0 0
14 Patukrejomulyo 2 2 0 0 0 0 0 0 2 0 0 0 0 0 0 0
15 Mangunranan 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 3 1 0 4 1 1 0 0 0 0 0 0 0 0 0 0 0 0
17 Wirogaten 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 1 0 0 0 2 1 0 1 0 0 1 1 0 0 0 0 0 0
19 Sarwogadung 2 2 0 2 2 2 0 1 0 0 2 1 0 0 0 0 0 0
20 Krubungan 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Patukgawemulyo 4 0 0 2 0 1 1 0 0 2 0 0 0 0 0 0 0 0
22 Ngabean 5 3 0 7 2 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 42 15 0 50 12 9 2 3 0 2 5 2 0 0 0 0 0 0

MENGETAHUI MIRIT, 5 MEI 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA
 YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
PUSKESMAS : MIRIT
Bulan : MEI 2015
Form 5 : ( ANC Terpadu)
Hb KEK Protein Urin Gula Darah (GD) Integrasi Program

Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) Pencegahan Malaria dalam Kehamilan (PMDK)

KEK Ibu Hamil HIV (+)

No PUSKESMAS Diperiksa Anemia (8-11 Diperiksa (LILA Di Di GD
Hb mg/dl) <8 mg LILA <23,5 periksa Positif (+) periksa >140g/dl Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil
datang dgn ditawarkan Ibu Hamil Di Mendapatkan Diperiksa Ibu Hamil Mendapatkan
cm) Tes HIV Malaria (+)
HIV (+) Tes HIV Persalinan kelambu Microskopis/RDT Kina/ACT
Pervaginam Persalinan
Perabdomina
m (SC)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Miritpetkusan 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 2 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 2 8 1 4 1 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 12 1 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Rowo 1 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 3 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Wergonayan 2 2 0 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Selotumpeng 6 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Sitibentar 1 0 0 3 2 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Karanggede 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kertodeso 3 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Patukrejomulyo 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Mangunranan 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 2 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0
17 Wirogaten 0 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 1 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 4 0 0 2 1 3 0 0 0 0 2 2 0 0 0 0 0 0
20 Krubungan 2 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Patukgawemulyo 3 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean 6 2 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 54 10 0 61 10 8 1 1 0 0 2 2 0 0 0 0 0 0

MENGETAHUI MIRIT, 5 JUNI 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA
 YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

PUSKESMAS : Mirit
Bulan : JUNI 2015
Form 5 : ( ANC Terpadu)
Hb KEK Protein Urin Gula Darah (GD) Integrasi Program

Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) Pencegahan Malaria dalam Kehamilan (PMDK)

KEK Ibu Hamil HIV (+)

No PUSKESMAS Diperiksa Anemia (8-11 Diperiksa (LILA Di Di GD
Hb mg/dl) <8 mg LILA <23,5 periksa Positif (+) periksa >140g/dl Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil
datang dgn ditawarkan Ibu Hamil Di Mendapatkan Diperiksa Ibu Hamil Mendapatkan
cm) Tes HIV Malaria (+)
HIV (+) Tes HIV Persalinan kelambu Microskopis/RDT Kina/ACT
Pervaginam Persalinan
Perabdomina
m (SC)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Miritpetkusan 3 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 2 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 1 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 11 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 3 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Rowo 2 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0
8 Singoyudan 4 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Wergonayan 3 3 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Selotumpeng 4 1 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Sitibentar 4 1 0 4 0 1 1 0 0 0 0 0 0 0 0 0 0 0
12 Karanggede 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kertodeso 2 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Patukrejomulyo 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Mangunranan 3 3 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 2 1 0 4 1 2 0 0 0 0 0 0 0 0 0 0 0 0
17 Wirogaten 2 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 4 2 0 0 0 3 1 0 0 0 1 1 0 0 0 0 0 0
20 Krubungan 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Patukgawemulyo 3 0 0 3 1 1 0 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean 0 0 0 7 1 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 56 11 0 75 10 8 2 1 1 0 1 1 0 0 0 0 0 0

MENGETAHUI MIRIT, 5 JUNI 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA
 YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

PUSKESMAS : MIRIT
Bulan : JULI 2015
Form 5 : ( ANC Terpadu)
Hb KEK Protein Urin Gula Darah (GD) Integrasi Program

Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) Pencegahan Malaria dalam Kehamilan (PMDK)

KEK Ibu Hamil HIV (+)

No PUSKESMAS Diperiksa Anemia (8-11 Diperiksa (LILA Di Di GD
Hb mg/dl) <8 mg LILA <23,5 periksa Positif (+) periksa >140g/dl Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil
datang dgn ditawarkan Ibu Hamil Di Mendapatkan Diperiksa Ibu Hamil Mendapatkan
cm) Tes HIV Malaria (+)
HIV (+) Tes HIV Persalinan kelambu Microskopis/RDT Kina/ACT
Pervaginam Persalinan
Perabdomina
m (SC)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Miritpetkusan 2 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 4 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 4 0 0 8 1 3 0 0 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 5 1 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Rowo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Wergonayan 3 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
10 Selotumpeng 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Sitibentar 6 6 0 8 2 2 0 0 0 0 0 0 0 0 0 0 0 0
12 Karanggede 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0
13 Kertodeso 2 0 0 6 0 1 1 0 0 0 0 0 0 0 0 0 0 0
14 Patukrejomulyo 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Mangunranan 3 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 5 5 0 2 0 2 0 1 0 0 0 0 0 0 0 0 0 0
17 Wirogaten 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 1 1 0 7 2 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Krubungan 1 0 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0
21 Patukgawemulyo 1 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean 5 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Kr.sambung
TOTAL 52 17 0 57 7 10 1 1 0 0 0 0 0 0 0 0 0 0
 MENGETAHUI MIRIT, 5 AGUSTUS 2015
KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

PUSKESMAS : MIRIT
Bulan : AGUSTUS 2015
Form 5 : ( ANC Terpadu)
Hb KEK Protein Urin Gula Darah (GD) Integrasi Program

Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) Pencegahan Malaria dalam Kehamilan (PMDK)

KEK Ibu Hamil HIV (+)

No PUSKESMAS Diperiksa Anemia (8-11 Diperiksa (LILA Di Di GD
Hb mg/dl) <8 mg LILA <23,5 periksa Positif (+) periksa >140g/dl Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil
datang dgn ditawarkan Ibu Hamil Di Mendapatkan Diperiksa Ibu Hamil Mendapatkan
cm) Tes HIV Malaria (+)
HIV (+) Tes HIV Persalinan kelambu Microskopis/RDT Kina/ACT
Pervaginam Persalinan
Perabdomina
m (SC)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Miritpetkusan 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 1 0 0 9 2 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 1 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tlogopragoto 1 0 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 5 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 1 0 0 0 5 1 0 0 0 0 0 0 0 0 0 0 0 0
7 Rowo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 3 0 0 8 0 0 0 0 0 0 1 0 0 0 0 0 0 0
9 Wergonayan 5 3 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Selotumpeng 2 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Sitibentar 4 2 0 4 1 1 1 0 0 0 0 0 0 0 0 0 0 0
12 Karanggede 4 1 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kertodeso 2 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Patukrejomulyo 3 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Mangunranan 3 1 0 3 0 0 0 0 0 0 1 1 0 0 0 0 0 0
16 Pekutan 1 1 0 4 1 1 0 0 0 0 0 0 0 0 0 0 0
17 Wirogaten 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 2 2 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 3 1 0 4 2 3 0 1 0 0 3 3 0 0 0 0 0 0
20 Krubungan 0 0 0 4 4 0 0 0 0 0 1 1 0 0 0 0 0 0
21 Patukgawemulyo 4 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean 5 2 0 9 2 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 52 14 1 90 17 7 1 1 0 0 6 5 0 0 0 0 0 0
 MENGETAHUI MIRIT, 5 SEPTEMBER 2015
KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

PUSKESMAS : UPT UNIT PUSKESMAS MIRIT

Bulan : SEPTEMBER 2015
Form 5 : ( ANC Terpadu)
Hb KEK Protein Urin Gula Darah (GD) Integrasi Program

Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) Pencegahan Malaria dalam Kehamilan (PMDK)

KEK Ibu Hamil HIV (+)

No PUSKESMAS Diperiksa Anemia (8-11 Diperiksa (LILA Di Di GD
Hb mg/dl) <8 mg LILA <23,5 periksa Positif (+) periksa >140g/dl Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil
datang dgn ditawarkan Ibu Hamil Di Mendapatkan Diperiksa Ibu Hamil Mendapatkan
cm) Tes HIV Malaria (+)
HIV (+) Tes HIV Persalinan kelambu Microskopis/RDT Kina/ACT
Pervaginam Persalinan
Perabdomina
m (SC)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Miritpetkusan 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 1 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 2 0 0 6 0 0 0 0 0 0 0 1 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 3 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Rowo 4 0 0 2 0 0 0 0 0 0 1 1 0 0 0 0 0 0
8 Singoyudan 2 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Wergonayan 3 3 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Selotumpeng 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0
11 Sitibentar 4 2 0 2 0 0 0 0 0 0 1 1 0 0 0 0 0 0
12 Karanggede 2 0 0 5 0 0 0 0 0 0 1 1 0 0 0 0 0 0
13 Kertodeso 2 0 0 5 1 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Patukrejomulyo 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Mangunranan 3 0 0 6 0 0 0 0 0 0 1 1 0 0 0 0 0 0
16 Pekutan 3 3 0 1 0 1 0 2 0 0 0 0 0 0 0 0 0 0
17 Wirogaten 2 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 2 1 0 2 1 0 0 0 0 0 1 0 0 0 0 0 0 0
19 Sarwogadung 6 4 0 6 6 4 0 0 0 0 3 3 0 0 0 0 0 0
20 Krubungan 3 2 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0
21 Patukgawemulyo 3 0 0 4 0 1 0 0 0 0 1 1 0 0 0 0 0 0
22 Ngabean 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TOTAL 52 15 0 70 9 7 0 3 0 0 10 10 0 0 0 0 0 0

MENGETAHUI MIRIT, 02 OKTOBER 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
PUSKESMAS : MIRIT, KABUPATEN KEBUMEN
Bulan : OKTOBER 2015
Form 5 : ( ANC Terpadu)
Hb KEK Protein Urin Gula Darah (GD) Integrasi Program

Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) Pencegahan Malaria dalam Kehamilan (PMDK)

KEK Ibu Hamil HIV (+)

No PUSKESMAS Diperiksa Anemia (8-11 Diperiksa (LILA Di Di GD
<8 mg Positif (+) periksa Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil
Hb mg/dl) LILA <23,5 periksa >140g/dl Ibu Hamil Di Ibu Hamil
cm) datang dgn ditawarkan Mendapatkan Diperiksa Mendapatkan
HIV (+) Tes HIV Tes HIV Persalinan kelambu Microskopis/RDT Malaria (+) Kina/ACT
Pervaginam Persalinan
Perabdomina
m (SC)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Miritpetkusan 1 0 0 2 1 0 0 0 0 0 1 1 0 0 0 0 0 0
2 Tlogodepok 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 4 0 0 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 3 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Rowo 2 0 0 2 0 0 0 0 0 0 2 1 0 0 0 0 0 0
8 Singoyudan 2 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Wergonayan 1 0 0 8 0 0 0 0 0 0 1 1 0 0 0 0 0 0
10 Selotumpeng 3 2 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Sitibentar 3 3 0 2 0 0 0 0 0 0 1 1 0 0 0 0 0 0
12 Karanggede 2 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0
13 Kertodeso 2 0 0 4 1 1 0 0 0 0 1 1 0 0 0 0 0 0
14 Patukrejomulyo 2 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0
15 Mangunranan 4 0 0 1 0 0 0 0 0 0 4 4 0 0 0 0 0 0
16 Pekutan 2 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
17 Wirogaten 2 0 0 6 0 0 0 0 0 0 0 2 0 0 0 0 0 0
18 Winong 3 3 0 3 1 3 0 0 0 0 2 2 0 0 0 0 0 0
19 Sarwogadung 3 3 0 13 0 3 0 2 0 0 3 3 0 0 0 0 0 0
20 Krubungan 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0
21 Patukgawemulyo 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean 4 0 0 1 0 2 1 0 0 0 0 0 0 0 0 0 0 0
 TOTAL 45 14 0 69 4 12 1 2 0 0 18 19 0 0 0 0 0 0

MENGETAHUI MIRIT, 04 NOVEMBER 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

PUSKESMAS : UPTD UNIT PUSKESMAS MIRIT, KEBUMEN

Bulan : NOVEMBER 2015
Form 5 : ( ANC Terpadu)
Hb KEK Protein Urin Gula Darah (GD) Integrasi Program

Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) Pencegahan Malaria dalam Kehamilan (PMDK)

KEK Ibu Hamil HIV (+)

No PUSKESMAS Diperiksa Anemia (8-11 Diperiksa (LILA Di Di GD
<8 mg Positif (+) periksa Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil
Hb mg/dl) LILA <23,5 periksa >140g/dl Ibu Hamil Di Ibu Hamil
cm) datang dgn ditawarkan Mendapatkan Diperiksa Mendapatkan
HIV (+) Tes HIV Tes HIV Persalinan kelambu Microskopis/RDT Malaria (+) Kina/ACT
Pervaginam Persalinan
Perabdomina
m (SC)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Miritpetkusan 0 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 2 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 2 0 0 3 0 0 0 0 0 0 3 3 0 0 0 0 0 0
4 Tlogopragoto 2 2 0 2 1 1 0 0 0 0 1 1 0 0 0 0 0 0
5 Lembupurwo 4 0 0 4 0 5 0 0 0 0 3 3 0 0 0 0 0 0
6 Wiromartan 2 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Rowo 2 0 0 2 0 0 0 0 0 0 2 1 0 0 0 0 0 0
8 Singoyudan 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Wergonayan 1 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Selotumpeng 1 1 0 2 0 0 0 0 0 0 2 2 0 0 0 0 0 0
11 Sitibentar 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Karanggede 3 1 0 1 1 3 1 0 0 0 2 2 0 0 0 0 0 0
13 Kertodeso 2 0 0 4 0 0 0 0 0 0 1 1 0 0 0 0 0 0
14 Patukrejomulyo 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0
15 Mangunranan 3 0 0 2 0 1 0 1 0 0 3 3 0 0 0 0 0 0
16 Pekutan 3 3 0 2 0 2 0 1 0 0 0 0 0 0 0 0 0 0
17 Wirogaten 7 0 0 5 0 0 0 0 0 0 0 4 0 0 0 0 0 0
18 Winong 1 1 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 2 2 0 6 1 1 0 0 0 0 2 2 0 0 0 0 0 0
20 Krubungan 2 1 0 1 0 2 0 2 0 0 1 1 0 0
21 Patukgawemulyo 4 3 0 2 0 3 0 0 0 0 3 3 0 0 0 0 0 0
 22 Ngabean 5 2 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0
TOTAL 53 18 0 59 4 20 2 4 0 0 24 27 0 0 0 0 0 0

MENGETAHUI MIRIT, 4 DESEMBER 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN

Bulan : DESEMBER 2015
Form 5 : ( ANC Terpadu)
Hb KEK Protein Urin Gula Darah (GD) Integrasi Program

Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) Pencegahan Malaria dalam Kehamilan (PMDK)

KEK Ibu Hamil HIV (+)

No PUSKESMAS Diperiksa Anemia (8-11 Diperiksa (LILA Di Di GD
<8 mg Positif (+) periksa Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil
Hb mg/dl) LILA <23,5 periksa >140g/dl Ibu Hamil Di Ibu Hamil
cm) datang dgn ditawarkan Mendapatkan Diperiksa Mendapatkan
HIV (+) Tes HIV Tes HIV Persalinan kelambu Microskopis/RDT Malaria (+) Kina/ACT
Pervaginam Persalinan
Perabdomina
m (SC)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Miritpetkusan 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0
2 Tlogodepok 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0
3 Mirit 2 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 3 0 0 4 0 3 0 0 0 0 3 3 0 0 0 0 0 0
6 Wiromartan 2 0 0 3 0 0 0 0 0 0 17 17 0 0 0 0 0 0
7 Rowo 4 0 0 0 0 0 0 0 0 0 4 3 0 0 0 0 0 0
8 Singoyudan 1 0 0 0 0 0 0 0 0 0 11 11 0 0 0 0 0 0
9 Wergonayan 4 3 0 3 1 2 1 0 0 0 2 2 0 0 0 0 0 0
10 Selotumpeng 2 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0
11 Sitibentar 3 1 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0
12 Karanggede 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kertodeso 2 0 0 2 0 1 1 0 0 0 0 8 8 0 0 0 0 0
14 Patukrejomulyo 3 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0
15 Mangunranan 10 0 0 2 0 2 0 2 0 0 10 10 0 0 10 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 0 7 7 0 0 0 0 0 0
17 Wirogaten 3 1 0 1 0 3 0 0 0 0 3 3 0 0 0 0 0 0
18 Winong 4 1 0 1 0 1 0 0 0 0 10 10 0 0 0 0 0 0
19 Sarwogadung 1 1 0 3 0 3 0 0 0 0 11 11 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0
21 Patukgawemulyo 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean
TOTAL 46 7 0 26 1 15 2 2 0 0 88 95 8 0 10 0 0 0

MENGETAHUI MIRIT, 23 DESEMBER 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

Hb KEK Protein Urin Gula Darah (GD) Integrasi Program

Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) Pencegahan Malaria dalam Kehamilan (PMDK)

KEK Ibu Hamil HIV (+)

No PUSKESMAS Diperiksa Anemia (8-11 Diperiksa (LILA Di Di GD
Hb mg/dl) <8 mg LILA <23,5 periksa Positif (+) periksa >140g/dl Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil
Ibu Hamil Di Ibu Hamil
cm) datang dgn ditawarkan Mendapatkan Diperiksa Mendapatkan
Tes HIV Persalinan Malaria (+)
HIV (+) Tes HIV kelambu Microskopis/RDT Kina/ACT
Pervaginam Persalinan
Perabdomina
m (SC)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Miritpetkusan 24 4 0 19 4 1 0 1 0 0 2 2 0 0 0 0 0 0
2 Tlogodepok 15 1 0 49 3 0 0 0 0 0 1 1 0 0 0 0 0 0
3 Mirit 17 0 0 35 4 0 0 0 0 0 4 5 0 0 0 0 0 0
4 Tlogopragoto 8 3 1 39 5 1 0 0 0 0 1 1 0 0 0 0 0 0
5 Lembupurwo 48 8 0 68 2 22 1 0 0 0 6 6 0 0 0 0 0 0
6 Wiromartan 42 3 0 43 7 5 0 1 0 0 18 18 0 0 0 0 0 0
7 Rowo 19 2 0 18 0 0 0 0 1 0 9 6 0 0 0 0 0 0
8 Singoyudan 24 0 0 27 1 1 0 0 0 0 12 11 0 0 0 0 0 0
9 Wergonayan 33 20 0 42 9 3 1 0 0 0 3 3 0 0 0 0 0 0
10 Selotumpeng 28 8 0 33 1 2 0 0 0 0 4 4 0 0 0 0 0 0
11 Sitibentar 35 20 0 35 7 5 2 0 0 0 4 4 0 0 0 0 0 0
12 Karanggede 17 5 0 22 2 3 1 0 0 0 4 4 0 0 0 0 0 #REF!
13 Kertodeso 23 0 0 52 6 3 2 0 0 0 2 10 8 0 0 0 0 0
14 Patukrejomulyo 20 1 0 22 0 0 0 0 0 0 5 3 0 0 0 0 0 0
15 Mangunranan 40 9 1 24 6 4 2 3 0 0 19 19 0 0 10 0 0 0
16 Pekutan 29 16 0 33 5 11 0 6 0 0 7 7 0 0 0 0 0 0
17 Wirogaten 22 1 0 37 2 3 0 0 0 0 3 9 0 0 0 0 0 0
18 Winong 20 9 0 24 5 10 0 1 0 0 15 14 0 0 0 0 0 0
19 Sarwogadung 34 18 0 55 22 24 2 5 1 0 28 27 0 0 0 0 0 0
20 Krubungan 14 6 0 19 7 3 0 4 0 0 7 7 0 0 0 0 0 0
21 Patukgawemulyo 28 4 0 44 4 7 1 0 0 2 4 4 0 0 0 0 0 0
22 Ngabean 43 11 0 39 5 3 2 0 0 0 13 13 0 0 0 0 0 0
TOTAL 583 149 2 779 107 111 14 21 2 2 171 178 8 0 10 0 0 #REF!
 DATA KEMATIAN BAYI DAN BALITA BY NAME TAHUN 2015

UMUR
NO NAMA BAYI NAMA ORTU ALAMAT PUSKESMAS UMUR BAYI KEHAMILAN BERAT LAHIR PENYEBAB + TEMPAT + TANGGAL +

1 by. Ny. Siti kamaliyah sugeng riyadi sarwogadung mirit 2 hari 37 mg 2400 grm BBLR asfiksia RS. Palangbiru KTA 1/11/2015
siti kamaliyah
2 riska saidah syukur abadi pekutan mirit 17 bl 39 mg 3000 grm kejang rumah ibu 1/16/2015
marheni
3

10

MENGETAHUI MIRIT, 9 FEBRUARI 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
 DATA KEMATIAN BAYI DAN BALITA BY NAME TAHUN 2015

BULAN : FEBRUARI 2015

UMUR
NO NAMA BAYI NAMA ORTU ALAMAT PUSKESMAS UMUR BAYI KEHAMILAN BERAT LAHIR PENYEBAB + TEMPAT + TANGGAL +

1 khoerul asfiyah supriyadi winong mirit 12 bln 36 mg 2600 grm paru-paru dan pjbRSU 2/10/2015

10

MENGETAHUI MIRIT, 5 MARET 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA
 YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
DATA KEMATIAN BAYI DAN BALITA BY NAME TAHUN 2015

BULAN : MARET 2015

UMUR
NO NAMA BAYI NAMA ORTU ALAMAT PUSKESMAS UMUR BAYI KEHAMILAN BERAT LAHIR PENYEBAB + TEMPAT + TANGGAL +

1 by. Ny. Uswatun iwan/USWATUN Tlogopragoto Mirit IUFD 28 mg 800 gram IUFD RSUD Kebumen 3/1/2015

10

MENGETAHUI MIRIT, 4 APRIL 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA
 YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
DATA KEMATIAN BAYI DAN BALITA BY NAME TAHUN 2015

BULAN : APRIL 2015

UMUR
NO NAMA BAYI NAMA ORTU ALAMAT PUSKESMAS UMUR BAYI KEHAMILAN BERAT LAHIR PENYEBAB + TEMPAT + TANGGAL +

1 0 0- - 0

10

MENGETAHUI MIRIT, 5 MEI 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA
 YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
DATA KEMATIAN BAYI DAN BALITA BY NAME TAHUN 2015

BULAN : MEI 2015

NO NAMA BAYI NAMA ORTU ALAMAT UMUR

PUSKESMAS UMUR BAYI KEHAMILAN BERAT LAHIR PENYEBAB + TEMPAT + TANGGAL +

10

MENGETAHUI MIRIT, 5 JUNI 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA
 YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
DATA KEMATIAN BAYI DAN BALITA BY NAME TAHUN 2015

BULAN : JUNI 2015

UMUR
NO NAMA BAYI NAMA ORTU ALAMAT PUSKESMAS UMUR BAYI KEHAMILAN BERAT LAHIR PENYEBAB + TEMPAT + TANGGAL +

10

MENGETAHUI MIRIT, 4 APRIL 2015

 KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
DATA KEMATIAN BAYI DAN BALITA BY NAME TAHUN 2015

BULAN : JULI 2015

UMUR
NO NAMA BAYI NAMA ORTU ALAMAT PUSKESMAS UMUR BAYI KEHAMILAN BERAT LAHIR PENYEBAB + TEMPAT + TANGGAL +

1 by. Ny. Sri tresnaningsi naro s kertodeso mirit 0 jam 36 mg 1800 grm plasenta previa, RSUD Purworejo 7/13/2015
prematur
2

10
 MENGETAHUI MIRIT, 5 AGUSTUS 2015
KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
DATA KEMATIAN BAYI DAN BALITA BY NAME TAHUN 2015
UPT UNIT PUSKESMAS MIRIT
BULAN : JANUARI s/d OKTOBER 2015

UMUR
NO NAMA BAYI NAMA ORTU ALAMAT PUSKESMAS UMUR BAYI KEHAMILAN BERAT LAHIR PENYEBAB + TEMPAT + TANGGAL +

1 by. Ny. Siti kamaliyah sugeng riyadi sarwogadung mirit 2 hari 37 mg 2400 grm BBLR asfiksia RS. Palangbiru KTA 1/11/2015
siti kamaliyah
2 riska saidah syukur abadi pekutan mirit 17 bl 39 mg 3000 grm kejang rumah ibu 1/16/2015
marheni
3 khoerul asfiyah supriyadi winong mirit 12 bln 36 mg 2600 grm paru-paru dan pjbRSU 2/10/2015

4 by. Ny. Sri tresnaningsi naro s kertodeso mirit 0 jam 36 mg 1800 grm plasenta previa, RSUD Purworejo 7/13/2015
prematur
5 amirah yatimah/arif susanto karanggede mirit 36 bl 38 mg 2000 gram pneumonia RSDS Kebumen 11/5/2015

10
 MENGETAHUI MIRIT, 02 OKTOBER 2015
KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
DATA KEMATIAN BAYI DAN BALITA BY NAME
UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN : SEPTEMBER 2015

UMUR
NO NAMA BAYI NAMA ORTU ALAMAT PUSKESMAS UMUR BAYI KEHAMILAN BERAT LAHIR PENYEBAB + TEMPAT + TANGGAL +

9
10

MENGETAHUI MIRIT, 4 NOVEMBER 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
DATA KEMATIAN BAYI DAN BALITA BY NAME TAHUN 2015
UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN : OKTOBER 2015

UMUR
NO NAMA BAYI NAMA ORTU ALAMAT PUSKESMAS UMUR BAYI KEHAMILAN BERAT LAHIR PENYEBAB + TEMPAT + TANGGAL +

9
10

MENGETAHUI MIRIT, 4 NOVEMBER 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M.Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
DATA KEMATIAN BAYI DAN BALITA BY NAME TAHUN 2015
UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN : NOVEMBER 2015

UMUR
NO NAMA BAYI NAMA ORTU ALAMAT PUSKESMAS UMUR BAYI KEHAMILAN BERAT LAHIR PENYEBAB + TEMPAT + TANGGAL +

1 amirah yatimah/arif susanto karanggede mirit 36 bl 38 mg 2000 gram pneumonia RSDS Kebumen 11/5/2015

8
 9

10

MENGETAHUI MIRIT, 4 DESEMBER 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
DATA KEMATIAN BAYI DAN BALITA BY NAME TAHUN 2015
UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
BULAN : JANUARI - DESEMBER 2015

UMUR
NO NAMA BAYI NAMA ORTU ALAMAT PUSKESMAS UMUR BAYI KEHAMILAN BERAT LAHIR PENYEBAB + TEMPAT + TANGGAL +

1 by. Ny. Siti kamaliyah sugeng riyadi sarwogadung mirit 2 hari 37 mg 2400 grm BBLR asfiksia RS. Palangbiru KTA 1/11/2015
siti kamaliyah
2 riska saidah syukur abadi pekutan mirit 17 bl 39 mg 3000 grm kejang rumah ibu 1/16/2015

3 amira nur rahmawati yatimah/arif santosa karanggede mirit 35 bl 38 mg 2500 grm pneumonia RSDS 11/6/2015

4 By Ny Siti Mujiati Siti Mujiati Wirogaten Mirit 0 hari 41 mg 3000 gram Asfiksi+PJB RSIA Amanda 11/30/2015
Rohani
5

8
9

10

MENGETAHUI MIRIT, 23 DESEMBER 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
PUSKESMAS : MIRIT
Bulan : JANUARI 2015
Form 5 : ANC TERPADU (2)
Integrasi Program Pelaksanaan Kelas Ibu Hamil
Pencegahan IMS Dalam Pencegahan Hepatitis Dalam
TB Dalam Kehamilan Kecacingan Dalam Kehamilan
kehamilan kehamilan

Pusk. Yang Jml Bumil Jml suami/

No PUSKESMAS Jml Kelas
Ibu Hamil Ibu Hamil Ibu Ibu Hamil Melaksanak Bumil yang keluarga yang
Ibu Hamil Ibu Hamil Ibu Hamil yang
Ibu Hamil Ibu
Hamil Ibu an Kelas mengikuti mengikuti
Hasil Dahak Obat** Diperiksa
Hasil Tes Ibu Hamil Hamil Hasil Tes Hamil terbentuk kelas
Diperiksa Hasil Tes Diperiksa Hepatitis Di Bumil Bumil kelas bumil
Dahak TB (+) Ankylost Ankylosto Di Obati Diperiksa IMS (+) Diobati Hepatitis B B Obati
oma ma (+) IMS (+)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
6 Wiromartan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Rowo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Wergonayan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Selotumpeng 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
11 Sitibentar 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
12 Karanggede 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
13 Kertodeso 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
15 Mangunranan 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
17 Wirogaten 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Patukgawemulyo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 1 1 0 24 1 0 0 0 0 0

MENGETAHUI MIRIT, 9 JANUARI 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST

 NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
PUSKESMAS : MIRIT
Bulan : FEBERUARI 2015
Form 5 : ANC TERPADU (2)
Integrasi Program Pelaksanaan Kelas Ibu Hamil
Pencegahan IMS Dalam Pencegahan Hepatitis Dalam
TB Dalam Kehamilan Kecacingan Dalam Kehamilan
kehamilan kehamilan

Pusk. Yang Jml Bumil Jml suami/

No PUSKESMAS Jml Kelas
Melaksanak Bumil yang keluarga yang
Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Ibu Hamil Ibu Hamil Ibu Hamil Ibu yang
an Kelas mengikuti mengikuti
Hasil Dahak Obat** Diperiksa Hasil Tes Ibu Hamil Hamil
Ibu Hamil Diperiksa Hasil Tes Hamil Di terbentuk kelas
Diperiksa Hasil Tes Bumil Bumil kelas bumil
Ankylost Ankylosto Di Obati Diperiksa Diobati Hepatitis B Hepatitis B Obati
Dahak TB (+) IMS (+)
oma ma (+) IMS (+)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
3 Mirit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 0 0 0 0 0 0 0 0 0 5 1 0 0 0 0 0
6 Wiromartan 0 0 0 0 0 0 0 0 0 3 0 0 1 1 13 0
7 Rowo 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
8 Singoyudan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
9 Wergonayan 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0
10 Selotumpeng 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
11 Sitibentar 0 0 0 0 0 0 0 0 0 2 0 0 1 1 13 0
12 Karanggede 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
13 Kertodeso 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 0 0 0 1 1 8 0
15 Mangunranan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
17 Wirogaten 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Patukgawemulyo 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
22 Ngabean 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 32 1 0 3 3 34 0

MENGETAHUI MIRIT, 5 MARET 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA
 YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
PUSKESMAS
Bulan : MARET 2015
Form 5 : ANC TERPADU 2
Integrasi Program Pelaksanaan Kelas Ibu Hamil
Pencegahan IMS Dalam Pencegahan Hepatitis Dalam
TB Dalam Kehamilan Kecacingan Dalam Kehamilan
kehamilan kehamilan

Pusk. Yang Jml Bumil Jml suami/

No PUSKESMAS
Ibu Hamil Ibu Hamil Ibu Ibu Hamil Melaksanak Jml Kelas yang keluarga yang
Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Bumil yang mengikuti
an Kelas mengikuti
Hasil Dahak Obat** Diperiksa
Hasil Tes Ibu Hamil Hamil Ibu Hamil Diperiksa Hasil Tes terbentuk kelas Bumil kelas
Diperiksa Hasil Tes
Diobati Hepatitis B Hepatitis B Hamil
Di Bumil bumil
Dahak TB (+) Ankylost Ankylosto Di Obati Diperiksa IMS (+) Obati
oma ma (+) IMS (+)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 0 0 0 0 0 0 0 0 0 4 0 0 1 1 10 0
6 Wiromartan 0 0 0 0 0 0 0 0 0 3 1 0 0 0 0 0
7 Rowo 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
8 Singoyudan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
9 Wergonayan 0 0 0 0 0 0 0 0 0 2 0 0 1 1 13 0
10 Selotumpeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Sitibentar 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
12 Karanggede 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kertodeso 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Mangunranan 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
17 Wirogaten 0 0 0 0 0 0 0 0 0 1 0 0 0 1 13 0
18 Winong 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
19 Sarwogadung 2 0 0 0 0 0 1 0 0 0 2 0 0 1 15 0
20 Krubungan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
21 Patukgawemulyo 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 0
22 Ngabean 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
TOTAL 2 0 0 0 0 0 1 0 0 24 4 0 2 5 59 0

MENGETAHUI MIRIT, 4 APRIL 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA
 YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
PUSKESMAS : MIRIT
Bulan : APRIL 2015
Form 5 : ANC TERPADU (2)
Integrasi Program Pelaksanaan Kelas Ibu Hamil
Pencegahan IMS Dalam Pencegahan Hepatitis Dalam
TB Dalam Kehamilan Kecacingan Dalam Kehamilan
kehamilan kehamilan

Pusk. Yang Jml Bumil Jml suami/

No PUSKESMAS Jml Kelas
Melaksanak Bumil yang keluarga yang
Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Ibu Hamil Ibu Hamil yang
Ibu Hamil Ibu
Hamil Ibu an Kelas mengikuti mengikuti
Hasil Dahak Obat** Diperiksa Hasil Tes Ibu Hamil Hamil
Hasil Tes Hamil terbentuk kelas
Diperiksa Hasil Tes Diperiksa Di Bumil Bumil kelas bumil
Dahak TB (+) Ankylost Ankylosto Di Obati Diperiksa IMS (+) Diobati Hepatitis B Hepatitis B Obati
oma ma (+) IMS (+)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Miritpetkusan 0 0 0 0 0 0 0 0 0 1 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tlogopragoto
5 Lembupurwo 0 0 0 0 0 0 0 0 0 0 0 1 1 10 0
6 Wiromartan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Rowo 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
8 Singoyudan 2 1 1
9 Wergonayan 1 1 2
10 Selotumpeng
11 Sitibentar 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
12 Karanggede 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
13 Kertodeso 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0
15 Mangunranan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 1 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
17 Wirogaten 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 2 0 0 1 1 10 0
20 Krubungan 0 0 0 0 0 0 0 0 0 1 0 0
21 Patukgawemulyo 0 0 0 0 0 0 0 4 0 1 0 0 0
22 Ngabean 0 0 0 0 0 0 0 0 0 5 0 0 1 1 10 0
TOTAL 1 0 0 0 0 0 0 0 0 22 0 0 9 3 37 0

MENGETAHUI MIRIT, 4 APRIL 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA
 YAMOYO, SKM. M.Psi HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
PUSKESMAS : MIRIT
Bulan : MEI 2015
Form 5 : ANC TERPADU (2)
Integrasi Program Pelaksanaan Kelas Ibu Hamil
Pencegahan IMS Dalam Pencegahan Hepatitis Dalam
TB Dalam Kehamilan Kecacingan Dalam Kehamilan
kehamilan kehamilan

Pusk. Yang Jml Bumil Jml suami/

No PUSKESMAS
Ibu Hamil Ibu Hamil Ibu Ibu Hamil Melaksanak Jml Kelas yang keluarga yang
Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Bumil yang mengikuti
an Kelas mengikuti
Hasil Dahak Obat** Diperiksa
Hasil Tes Ibu Hamil Hamil Ibu Hamil Diperiksa Hasil Tes terbentuk kelas Bumil kelas
Diperiksa Hasil Tes
Diobati Hepatitis B Hepatitis B Hamil
Di Bumil bumil
Dahak TB (+) Ankylost Ankylosto Di Obati Diperiksa IMS (+) Obati
oma ma (+) IMS (+)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0
7 Rowo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
9 Wergonayan 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
10 Selotumpeng 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
11 Sitibentar 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
12 Karanggede 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kertodeso 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
15 Mangunranan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Pekutan 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
17 Wirogaten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1
21 Patukgawemulyo 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
22 Ngabean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 1 0 0 0 0 0 0 0 0 25 0 0 0 1 1 1

MENGETAHUI MIRIT, 5 JUNI 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA
 YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST
NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
PUSKESMAS : MIRIT
Bulan : JUNI 2015
Form 5 : ANC TERPADU (2)
Integrasi Program Pelaksanaan Kelas Ibu Hamil
Pencegahan IMS Dalam Pencegahan Hepatitis Dalam
TB Dalam Kehamilan Kecacingan Dalam Kehamilan
kehamilan kehamilan

Pusk. Yang Jml Bumil Jml suami/

No PUSKESMAS Jml Kelas
Melaksanak Bumil yang keluarga yang
Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Ibu Hamil Ibu Hamil yang
Ibu Hamil Ibu
Hamil Ibu an Kelas mengikuti mengikuti
Hasil Dahak Obat** Diperiksa
Hasil Tes Ibu Hamil Hamil Hasil Tes Hamil terbentuk kelas
Diperiksa Hasil Tes Diperiksa Hepatitis Di Bumil Bumil kelas bumil
Ankylost Ankylosto Di Obati Diperiksa Diobati Hepatitis B
Dahak TB (+) IMS (+) B Obati
oma ma (+) IMS (+)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Miritpetkusan 1 0 0 0 0 0 0 0 2 0 0 0 0 0 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
3 Mirit 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
6 Wiromartan 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
7 Rowo 0 0 0 0 0 0 0 0 0 3 0 1 1 1 0
8 Singoyudan 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0
9 Wergonayan 0 0 0 0 0 0 0 0 0 1 0 0 1 1 2 0
10 Selotumpeng 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
11 Sitibentar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Karanggede 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
13 Kertodeso 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
15 Mangunranan 0 0 0 0 0 0 0 0 0 3 0 0 1 1 4 2
16 Pekutan 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
17 Wirogaten 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 1 0 0 1 1 2 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 0 0 0 1 1 10 9
20 Krubungan 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1
21 Patukgawemulyo 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
22 Ngabean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 2 0 0 0 0 0 0 0 0 35 0 0 6 6 20 12

MENGETAHUI MIRIT, 4 JULI 2015

 KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
PUSKESMAS :
Bulan : JULI 2015
Form 5 : ANC TERPADU (2)
Integrasi Program Pelaksanaan Kelas Ibu Hamil
Pencegahan IMS Dalam Pencegahan Hepatitis Dalam
TB Dalam Kehamilan Kecacingan Dalam Kehamilan
kehamilan kehamilan

Pusk. Yang Jml Bumil Jml suami/

No PUSKESMAS
Ibu Hamil Ibu Hamil Ibu Melaksanak Jml Kelas yang keluarga yang
Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu an Kelas Bumil yang mengikuti mengikuti
Hasil Dahak Obat** Diperiksa
Hasil Tes Ibu Hamil Hamil Ibu Hamil Diperiksa Hasil Tes terbentuk kelas Bumil kelas bumil
Diperiksa Hasil Tes
Diobati Hepatitis B Hepatitis B Hamil
Di Bumil
Dahak TB (+) Ankylost Ankylosto Di Obati Diperiksa IMS (+) Obati
oma ma (+) IMS (+)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Miritpetkusan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
3 Mirit 0 0 0 0 0 0 0 0 0 3 1 0 0 0 0 0
4 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
7 Rowo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
9 Wergonayan 0 0 0 0 0 0 0 0 0 2 0 0 0 1 1 0
10 Selotumpeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Sitibentar 0 0 0 0 0 0 0 0 0 4 1 0 0 0 0 0
12 Karanggede 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
13 Kertodeso 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Mangunranan 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0
17 Wirogaten 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 1 0 0
21 Patukgawemulyo 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
22 Ngabean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 29 2 0 0 1 1 0
 MENGETAHUI MIRIT, 5 AGUSTUS 2015
KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
PUSKESMAS : MIRIT
Bulan : AGUSTUS 2015
Form 5 : ANC TERPADU (2)
Integrasi Program Pelaksanaan Kelas Ibu Hamil
Pencegahan IMS Dalam Pencegahan Hepatitis Dalam
TB Dalam Kehamilan Kecacingan Dalam Kehamilan
kehamilan kehamilan

Pusk. Yang Jml Bumil Jml suami/

No PUSKESMAS Jml Kelas
Melaksanak Bumil yang keluarga yang
Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu Ibu Hamil Ibu Hamil yang
Ibu Hamil Ibu
Hamil Ibu an Kelas mengikuti mengikuti
Hasil Dahak Obat** Diperiksa
Hasil Tes Ibu Hamil Hamil Hasil Tes Hamil terbentuk kelas
Diperiksa Hasil Tes Diperiksa Hepatitis Di Bumil Bumil kelas bumil
Ankylost Ankylosto Di Obati Diperiksa Diobati Hepatitis B
Dahak TB (+) IMS (+) B Obati
oma ma (+) IMS (+)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
5 Lembupurwo 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0
6 Wiromartan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
7 Rowo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
9 Wergonayan 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
10 Selotumpeng 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
11 Sitibentar 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
12 Karanggede 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
13 Kertodeso 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
15 Mangunranan 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
17 Wirogaten 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Patukgawemulyo 0 0 0 0 0 0 0 0 0 4 1 0 0 0 0 0
22 Ngabean 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 37 1 0 0 0 0 0
 MENGETAHUI MIRIT, 5 SEPTEMBER 2015
KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
PUSKESMAS : MIRIT
Bulan : SEPTEMBER 2015
Form 5 : ANC TERPADU (2)
Integrasi Program Pelaksanaan Kelas Ibu Hamil
Pencegahan IMS Dalam Pencegahan Hepatitis Dalam
TB Dalam Kehamilan Kecacingan Dalam Kehamilan kehamilan kehamilan

Pusk. Yang Jml Bumil Jml suami/

No PUSKESMAS Jml Kelas
Ibu Hamil Ibu Hamil Ibu Ibu Hamil Melaksanak Bumil yang keluarga yang
Ibu Hamil Ibu Hamil Ibu Hamil yang
Ibu Hamil Ibu
Hamil Ibu an Kelas mengikuti mengikuti
Diperiksa Hasil Dahak Obat** Diperiksa Hasil Tes Ibu Hamil Hamil Hasil Tes Hasil Tes Hamil
Diperiksa Hepatitis Di Bumil
terbentuk kelas
Bumil kelas bumil
Ankylost Ankylosto Di Obati Diperiksa Diobati Hepatitis B
Dahak TB (+) IMS (+) B Obati
oma ma (+) IMS (+)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
7 Rowo 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
8 Singoyudan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
9 Wergonayan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Selotumpeng 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
11 Sitibentar 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
12 Karanggede 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
13 Kertodeso 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 `1 0 0 0 0 0 0
15 Mangunranan 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 2 0 0 1 1 6 0
17 Wirogaten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 3 1 1 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 3 1 0 0 0 0 0
21 Patukgawemulyo 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
22 Ngabean 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
 TOTAL 0 0 0 0 0 0 0 0 0 38 2 1 1 1 6 0

MENGETAHUI MIRIT, 02 OKTOBER 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
Bulan : OKTOBER 2015
Form 5 : ANC TERPADU (2)
Integrasi Program Pelaksanaan Kelas Ibu Hamil
Pencegahan IMS Dalam Pencegahan Hepatitis Dalam
TB Dalam Kehamilan Kecacingan Dalam Kehamilan
kehamilan kehamilan

Pusk. Yang Jml Bumil Jml suami/

No PUSKESMAS Jml Kelas
Ibu Hamil Ibu Hamil Ibu Ibu Hamil Melaksanak Bumil yang keluarga yang
Ibu Hamil Ibu Hamil Ibu Hamil yang
Ibu Hamil Ibu
Hamil Ibu an Kelas mengikuti mengikuti
Hasil Dahak Obat** Diperiksa
Hasil Tes Ibu Hamil Hamil Hasil Tes Hamil terbentuk kelas
Diperiksa Hasil Tes Diperiksa Hepatitis
Dahak TB (+) Ankylost Ankylosto Di Obati Diperiksa IMS (+) Diobati Hepatitis B B ObatiDi Bumil Bumil kelas bumil
oma ma (+) IMS (+)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Mirit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Wiromartan 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
7 Rowo 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Singoyudan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Wergonayan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
10 Selotumpeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Sitibentar 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
12 Karanggede 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
13 Kertodeso 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
15 Mangunranan 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
17 Wirogaten 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
19 Sarwogadung 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
21 Patukgawemulyo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
TOTAL 2 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0

MENGETAHUI MIRIT, 04 NOVEMBER 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002

PUSKESMAS : UPTD UNIT PUSKESMAS MIRIT, KEBUMEN

Bulan : NOVEMBER 2015
Form 5 : ANC TERPADU (2)
Integrasi Program Pelaksanaan Kelas Ibu Hamil
Pencegahan IMS Dalam Pencegahan Hepatitis Dalam
TB Dalam Kehamilan Kecacingan Dalam Kehamilan kehamilan kehamilan

Pusk. Yang Jml Bumil Jml suami/

No PUSKESMAS Jml Kelas
Ibu Hamil Ibu Hamil Ibu Ibu Hamil Melaksanak Bumil yang keluarga yang
Ibu Hamil Ibu Hamil Ibu Hamil yang
Ibu Hamil Ibu
Hamil Ibu an Kelas mengikuti mengikuti
Diperiksa Hasil Dahak Obat** Diperiksa Hasil Tes Ibu Hamil Hamil Hasil Tes Diperiksa Hasil Tes Hamil Di Bumil
terbentuk kelas
Bumil kelas bumil
Dahak TB (+) Ankylost Ankylosto Di Obati Diperiksa IMS (+) Diobati Hepatitis B Hepatitis B Obati
oma ma (+) IMS (+)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
3 Mirit 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
5 Lembupurwo 0 0 0 0 0 0 0 0 0 4 1 0 1 10 0
6 Wiromartan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Rowo 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
8 Singoyudan 1 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
9 Wergonayan 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
10 Selotumpeng 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
11 Sitibentar 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 0
12 Karanggede 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
13 Kertodeso 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Mangunranan 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
16 Pekutan 0 0 0 0 0 0 1 0 0 2 0 0 0 0 0 0
17 Wirogaten 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
 19 Sarwogadung 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
20 Krubungan 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
21 Patukgawemulyo 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
22 Ngabean 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0
TOTAL 1 0 0 0 0 0 3 0 0 44 1 0 0 1 10 0

MENGETAHUI MIRIT, 4 DESEMBER 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

UPTD UNIT PUSKESMAS MIRIT, KABUPATEN KEBUMEN
Bulan : DESEMBER 2015
Form 5 : ANC TERPADU (2)
Integrasi Program Pelaksanaan Kelas Ibu Hamil
Pencegahan IMS Dalam Pencegahan Hepatitis Dalam
TB Dalam Kehamilan Kecacingan Dalam Kehamilan
kehamilan kehamilan

Pusk. Yang Jml Bumil Jml suami/

No PUSKESMAS Jml Kelas
Ibu Hamil Ibu Hamil Ibu Ibu Hamil Melaksanak Bumil yang keluarga yang
Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu yang
an Kelas mengikuti mengikuti
Hasil Dahak Obat** Diperiksa
Hasil Tes Ibu Hamil Hamil Ibu Hamil Diperiksa Hasil Tes terbentuk kelas
Diperiksa Ankylost Ankylosto Di Obati Diperiksa Hasil Tes Diobati Hepatitis B Hepatitis B Hamil Di Bumil Bumil kelas bumil
Dahak TB (+) IMS (+) Obati
oma ma (+) IMS (+)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Miritpetkusan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
3 Mirit 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
4 Tlogopragoto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lembupurwo 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
6 Wiromartan 0 0 0 0 0 0 0 0 0 10 0 0 0 2 18 18
7 Rowo 0 0 0 0 0 0 0 0 0 4 0 0 0 1 6 6
8 Singoyudan 0 0 0 0 0 0 0 0 0 11 0 0 0 1 7 7
9 Wergonayan 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
10 Selotumpeng 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
11 Sitibentar 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
12 Karanggede 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kertodeso 0 0 0 0 0 0 0 0 0 8 0 0 0 1 10 10
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
15 Mangunranan 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 10
16 Pekutan
17 Wirogaten 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
18 Winong 0 0 0 0 0 0 0 0 0 7 0 0 0 1 10 3
 19 Sarwogadung 0 0 0 0 0 0 0 0 0 2 0 0 0 1 13 5
20 Krubungan 0 0 0 0 0 0 0 0 0 3 0 0 0 1 3 1
21 Patukgawemulyo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Ngabean 0 0 0 0 0 0 0 0 0 6 0 0 1 14 0
TOTAL 0 0 0 0 0 0 0 0 0 65 0 0 0 10 91 60

MENGETAHUI MIRIT, 23 DESEMBER 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002
PUSKESMAS :
Bulan : REKAP 2015
Form 5 : ANC TERPADU (2)
Integrasi Program Pelaksanaan Kelas Ibu Hamil
Pencegahan IMS Dalam Pencegahan Hepatitis Dalam
TB Dalam Kehamilan Kecacingan Dalam Kehamilan kehamilan kehamilan

Pusk. Yang Jml Kelas Jml Bumil Jml suami/

No PUSKESMAS Melaksanak Bumil yang keluarga yang
Ibu Hamil Ibu Hamil Ibu Ibu Hamil yang
Ibu Hamil Ibu Hamil Ibu Hamil Ibu Hamil Ibu an Kelas mengikuti mengikuti
Diperiksa Hasil Dahak Obat** Diperiksa Hasil Tes Ibu Hamil Hamil Hasil Tes Ibu Hamil Diperiksa Hasil Tes terbentuk kelas Bumil kelas bumil
Diobati Hepatitis B Hepatitis B Hamil
Di Bumil
Ankylost Ankylosto Di Obati Diperiksa
Dahak TB (+) IMS (+) Obati
oma ma (+) IMS (+)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Miritpetkusan 1 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
2 Tlogodepok 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0
3 Mirit 0 0 0 0 0 0 0 0 0 13 1 0 0 0 0 0
4 Tlogopragoto 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
5 Lembupurwo 0 0 0 0 0 0 0 0 0 29 2 0 2 3 30 0
6 Wiromartan 0 0 0 0 0 0 0 0 0 31 1 0 1 3 31 18
7 Rowo 2 0 0 0 0 0 0 0 0 17 0 0 2 2 7 6
8 Singoyudan 1 0 0 0 0 0 0 0 0 24 0 0 1 1 8 7
9 Wergonayan 0 0 0 0 0 0 0 0 0 16 0 0 3 3 18 0
10 Selotumpeng 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0
11 Sitibentar 0 0 0 0 0 0 2 0 0 21 2 0 1 1 13 0
12 Karanggede 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0
13 Kertodeso 1 0 0 0 0 0 0 0 0 20 1 0 1 1 13 10
14 Patukrejomulyo 0 0 0 0 0 0 0 0 0 #VALUE! 0 0 2 1 9 0
15 Mangunranan 0 0 0 0 0 0 0 0 0 27 0 0 1 2 14 12
16 Pekutan 2 0 0 0 0 0 1 0 0 23 0 0 1 1 6 0
17 Wirogaten 0 0 0 0 0 0 0 0 0 21 0 0 0 1 13 0
18 Winong 0 0 0 0 0 0 0 0 0 23 0 0 1 2 12 3
19 Sarwogadung 2 0 0 0 0 0 2 1 0 20 3 1 2 4 48 14
20 Krubungan 0 0 0 0 0 0 0 0 0 13 1 0 1 3 5 3
21 Patukgawemulyo 0 0 0 0 0 0 0 0 0 22 1 0 1 1 8 0
22 Ngabean 0 0 0 0 0 0 0 0 0 32 0 0 1 2 24 0
TOTAL 9 0 0 0 0 0 5 1 0 #VALUE! 12 1 21 31 259 73

MENGETAHUI MIRIT, 4 JULI 2015

KEPALA UPT PUSKESMAS MIRIT PELAKSANA PROGRAM KIA

YAMOYO, SKM. M. Si HJ. SITI NURJANAH, S.ST

NIP: 19690711 199203 1 004 NIP: 19680212 198703 2 002