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KABUPATEN :Pidie

BULAN Januari
Sasaran Lansia

45-59 60-69 > 70 Jumlah Total Lansia (45-70) 45-59 60-69


Jumlah Jumlah
Jumlah
No Puskesmas Posyandu
Jumlah Desa Kelompok Panti
Lansia Wredha
Laki-laki Perempuan Total ( L + P ) Laki-laki
L P (L+P) L P (L+P) L P (L+P) L P (L+P) Jumlah
B L (B+L) B L (B+L) (B+ (%) B L (B+L)
L)
1 2 3 4 5 6

1 Geumpang 9 9 0 0 422 383 805 117 124 241 66 87 153 605 594 1199 1 0 1 14 0 14 15 1.86335404 4 0 4

2 Mane 9 9 0 0 514 517 1031 143 167 310 80 118 198 737 802 1539 0 0 0 0 0 0 0 0 10 0 10

3 Glp. Tiga 0 0 0 0 366 504 870 129 163 292 74 125 199 569 792 1361 23 0 23 22 120 142 165 18.9655172 26 0 26

4 Teupin Raya 10 10 0 0 632 662 1294 173 217 390 98 153 251 903 1032 1935 9 0 9 28 0 28 37 2.85935085 12 0 12

5 Glp. Baro 12 12 0 0 600 690 1290 167 223 390 94 157 251 861 1070 1931 7 0 7 62 0 62 69 5.34883721 7 0 7

6 Mutiara Timur 9 9 0 0 856 928 1784 238 300 538 134 211 345 1228 1439 2667 4 0 4 15 32 47 51 2.85874439 1 0 1

7 Ujong Rimba 15 15 0 0 1123 1218 2341 312 394 706 117 278 395 1552 1890 3442 98 0 98 185 0 185 283 12.0888509 53 0 53

8 Mutiara Barat 18 18 18 0 1192 1278 2470 332 413 745 187 292 479 1711 1983 3694 5 0 5 37 0 37 42 1.70040486 7 0 7

9 Tiro 0 0 0 0 760 491 1251 128 159 287 72 112 184 960 762 1722 0 0 0 3 0 3 3 0.23980815 2 0 2

10 Tangse 4 4 0 0 1552 1599 3151 432 517 949 244 364 608 2228 2480 4708 3 0 3 7 8 15 18 0.57124722 3 0 3

11 Keumala 18 18 18 0 579 615 1194 161 199 360 91 140 231 831 954 1785 8 0 8 49 0 49 57 4.77386935 11 0 11

12 Titeu 7 7 0 0 410 408 818 114 135 249 64 93 157 588 636 1224 0 0 0 0 61 61 61 7.45721271 0 0 0

13 Sakti 15 15 0 0 1227 1295 2522 342 419 761 193 296 489 1762 2010 3772 39 0 39 98 0 98 137 5.43219667 27 0 27

14 Mila 4 4 4 0 512 568 1080 142 185 327 80 130 210 734 883 1617 9 0 9 29 0 29 38 3.51851852 8 0 8

15 padang Tiji 6 6 0 0 1300 1332 2632 362 431 793 205 303 508 1867 2066 3933 24 0 24 28 0 28 52 1.97568389 23 0 23

16 Delima 8 8 0 0 706 772 1478 196 250 446 111 176 287 1013 1198 2211 2 0 2 43 0 43 45 3.04465494 6 0 6

17 Reubee 9 9 0 0 490 535 1025 136 173 309 77 122 199 703 830 1533 6 0 6 20 0 20 26 2.53658537 7 0 7

18 Grong-Grong 8 8 0 0 401 402 803 112 139 251 63 98 161 576 639 1215 9 0 9 45 0 45 54 6.72478207 7 0 7

19 Indrajaya 18 18 0 0 1323 1453 2776 368 470 838 208 331 539 1899 2254 4153 16 0 16 117 0 117 133 4.79106628 32 0 32

20 Peukan Baro 8 8 0 0 1177 1270 2447 328 410 738 185 290 475 1690 1970 3660 23 0 23 86 0 86 109 4.454434 28 0 28

21 Kb. Tanjong 6 6 0 0 1266 1320 2586 352 428 780 199 302 501 1817 2050 3867 9 0 9 12 0 12 21 0.81206497 29 0 29

22 Sp. Tiga 1 1 0 0 1301 1419 2720 362 458 820 205 324 529 1868 2201 4069 5 0 5 0 0 0 5 0.18382353 0 0 0

23 Kota Sigli 21 21 0 0 1251 1273 2524 348 412 760 197 170 367 1796 1855 3651 23 0 23 147 0 147 170 6.73534073 29 0 29

24 Pidie 6 6 0 0 2592 2746 5338 722 887 1609 407 626 1033 3721 4259 7980 15 0 15 41 0 41 56 1.04908205 15 0 15

25 Batee 28 28 0 0 1198 1224 2422 333 396 729 189 279 468 1720 1899 3619 33 0 33 42 55 97 130 5.36746491 34 0 34

26 Muara Tiga 7 7 0 0 1164 1172 2336 324 379 703 183 268 451 1671 1819 3490 121 0 121 135 67 202 323 13.8270548 91 0 91
JUMLAH 256 256 0 0 24,914 26,074 50988 6873 8448 15321 3823 5845 9668 35610 40367 75977 491 0 491 1251 343 1594 2085 4.08919746 468 0 468

Mengetahui
Kepala Puskesmas

______________________________
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT KABUPATEN

Jumlah Kunjungan Lansia Kegiatan sehari-hari

60-69 > 70 Total Kunjungan Kemandirian Lansia IMT


Ggn ME
Perempuan Total ( L + P ) Laki-laki Perempuan Total ( L + P ) 45 - > 70 A B C Lebih Normal
Jumlah Jumlah
B L (B+L) (%) B L (B+L) B L (B+L) (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L
(B+L) +L)
6 7 8 9

14 0 14 18 7.4688797 4 0 4 18 0 18 22 14.379085 9 46 55 4.587156 54 98.18182 2 3.636364 0 0 0 0 0 3 3 5.454545 0

24 0 24 34 10.967742 6 0 6 13 0 13 19 9.5959596 16 37 53 3.4437947 53 100 0 0 0 0 0 0 0 0 0 0 0

28 0 28 54 18.493151 20 0 20 19 0 19 39 19.59799 69 189 258 18.95665 17 6.589147 17 6.589147 31 12.0155 0 0 7 16 23 8.914729 0

35 0 35 47 12.051282 14 0 14 31 0 31 45 17.928287 35 94 129 6.6666667 115 89.14729 14 10.85271 0 0 0 0 2 9 11 8.527132 0

34 0 34 41 10.512821 7 0 7 39 0 39 46 18.326693 21 135 156 8.0787157 148 94.87179 8 5.128205 0 0 0 0 0 0 0 0 0

11 0 11 12 2.2304833 5 0 5 6 0 6 11 3.1884058 10 64 74 2.7746532 109 147.2973 0 0 0 0 0 0 0 0 0 0 0

71 0 71 124 17.563739 30 0 30 42 0 42 72 18.227848 181 298 479 13.916328 174 36.32568 10 2.087683 12 2.505219 0 0 10 6 16 3.340292 0

131 0 131 138 18.52349 11 0 11 88 0 88 99 20.668058 23 256 279 7.5527883 226 81.00358 17 6.09319 2 0.716846 0 0 0 0 0 0 0

29 0 29 31 10.801394 3 0 3 28 0 28 31 16.847826 5 60 65 3.7746806 50 76.92308 13 20 2 3.076923 0 0 0 0 0 0 0

3 0 3 6 0.6322445 7 0 7 9 0 9 16 2.6315789 13 27 40 0.8496177 34 85 9 22.5 0 0 0 0 0 0 0 0 0

68 0 68 79 21.944444 15 0 15 51 0 51 66 28.571429 34 168 202 11.316527 135 66.83168 53 26.23762 13 6.435644 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 61 4.9836601 177 290.1639 3 4.918033 0 0 0 0 0 0 0 0 0

66 0 66 93 12.220762 9 0 9 28 0 28 37 7.5664622 75 192 267 7.078473 0 0 0 0 130 48.68914 0 0 0 0 0 0 0

31 0 31 39 11.926606 6 0 6 27 0 27 33 15.714286 23 87 110 6.8027211 108 98.18182 2 1.818182 0 0 0 0 0 0 0 0 0

23 0 23 46 5.8007566 9 0 9 10 0 10 19 3.7401575 56 61 117 2.9748284 99 84.61538 14 11.96581 1 0.854701 1 1 1 6 7 5.982906 0

31 0 31 37 8.2959641 2 0 2 30 0 30 32 11.149826 10 104 114 5.156038 114 100 0 0 0 0 2 2 2 34 36 31.57895 0

24 0 24 31 10.032362 6 0 6 25 0 25 31 15.577889 19 69 88 5.7403783 88 100 3 3.409091 0 0 0 0 5 17 22 25 0

22 0 22 29 11.553785 6 0 6 27 0 27 33 20.496894 22 94 116 9.5473251 96 82.75862 20 17.24138 0 0 4 4 7 39 46 39.65517 0

87 0 87 119 14.200477 11 0 11 56 0 56 67 12.430427 59 260 319 7.6811943 190 59.56113 2 0.626959 0 0 0 0 9 29 38 11.91223 0

51 0 51 79 10.704607 13 0 13 48 0 48 61 12.842105 64 185 249 6.8032787 226 90.76305 20 8.032129 3 1.204819 0 0 12 51 63 25.3012 0

41 0 41 70 8.974359 6 0 6 31 0 31 37 7.3852295 44 84 128 3.3100595 109 85.15625 15 11.71875 5 3.90625 0 0 12 8 20 15.625 0

0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0.1228803 22 440 0 0 0 0 0 0 0 6 6 120 0

101 0 101 130 17.105263 16 0 16 57 0 57 73 19.891008 68 305 373 10.216379 338 90.61662 20 5.36193 22 5.898123 3 3 15 18 33 8.847185 0

32 0 32 47 2.921069 8 0 8 25 0 25 33 3.1945789 38 98 136 1.7042607 136 100 0 0 0 0 0 0 0 4 4 2.941176 0

33 0 33 67 9.1906722 15 0 15 21 0 21 36 7.6923077 82 151 233 6.4382426 328 140.7725 38 16.30901 1 0.429185 0 0 2 6 8 3.433476 0

91 0 91 182 25.889047 49 0 49 56 0 56 105 23.281596 261 349 610 17.47851 340 55.7377 104 17.04918 69 11.31148 7 7 12 11 23 3.770492 0
1067 0 1067 1535 10.018928 274 0 274 767 0 767 1041 10.76748 1233 3428 4661 6.1347513 3432 73.63227 382 8.195666 291 6.243295 17 17 96 260 356 7.637846 0
Jumlah Lansia dengan Kelainan

IMT Tekanan Darah


Hb Kurang Kolesterol tinggi DM As. Urat tinggi
Normal Kurang Tinggi Normal Rendah

P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P)

9 10 11 12 13 14

0 0 0 0 0 0 0 2 17 19 34.54545 0 0 0 0 1 7 8 14.54545 0 1 1 1.818182 0 3 3 5.454545 0 6 6 10.90909 1 10 11

0 0 0 0 2 2 3.773585 5 12 17 32.07547 0 0 0 0 0 6 6 11.32075 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 8 15 23 8.914729 9 26 35 13.56589 0 0 0 0 11 26 37 14.34109 0 0 0 0 0 0 0 0 19 34 53 20.54264 0 0 0

0 0 0 0 2 2 1.550388 7 18 25 19.37984 0 0 0 0 0 9 9 6.976744 0 0 0 0 0 2 2 1.550388 0 4 4 3.100775 0 0 0

0 0 0 0 0 0 0 5 21 26 16.66667 0 0 0 0 2 9 11 7.051282 0 0 0 0 1 2 3 1.923077 0 2 2 1.282051 0 0 0

0 0 0 0 0 0 0 3 11 14 18.91892 0 0 0 0 1 9 10 13.51351 0 0 0 0 3 3 6 8.108108 2 4 6 8.108108 1 17 18

0 0 0 3 6 9 1.878914 4 3 7 1.461378 0 0 0 0 2 8 10 2.087683 0 0 0 0 0 1 1 0.208768 0 0 0 0 0 4 4

0 0 0 0 0 0 0 3 46 49 17.56272 0 0 0 0 0 4 4 1.433692 0 0 0 0 0 3 3 1.075269 1 4 5 1.792115 0 2 2

0 0 0 0 0 0 0 0 10 10 15.38462 0 0 0 0 0 3 3 4.615385 10 0 10 15.38462 0 0 0 0 0 1 1 1.538462 0 0 0

0 0 0 0 0 0 0 9 5 14 35 0 0 0 0 4 2 6 15 1 0 1 2.5 0 0 0 0 0 0 0 0 0 0 0

0 0 0 2 6 8 3.960396 10 38 48 23.76238 0 0 0 0 4 6 10 4.950495 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 3 31 34 55.7377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 4.918033 0 0 0

0 0 0 0 0 0 0 13 27 40 14.98127 0 0 0 0 0 3 3 1.123596 0 0 0 0 7 10 17 6.367041 2 10 12 4.494382 7 16 23

0 0 0 0 0 0 0 15 23 38 34.54545 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 2.727273 3 0 3 2.727273 3 23 26

0 0 0 1 3 4 3.418803 11 14 25 21.36752 0 0 0 0 0 2 2 1.709402 0 0 0 0 2 3 5 4.273504 0 6 6 5.128205 1 0 1

0 0 0 3 18 21 18.42105 7 41 48 42.10526 0 0 0 0 1 7 8 7.017544 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 7 14 21 23.86364 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 5.681818 4 11 15 17.04545 0 0 0

0 0 0 1 15 16 13.7931 3 30 33 28.44828 0 0 0 0 0 2 2 1.724138 0 0 0 0 0 1 1 0.862069 0 2 2 1.724138 0 2 2

0 0 0 0 14 14 4.388715 15 56 71 22.25705 0 0 0 0 1 8 9 2.821317 0 0 0 0 0 0 0 0 1 0 1 0.31348 0 0 0

0 0 0 6 21 27 10.84337 19 41 60 24.09639 0 0 0 0 1 13 14 5.62249 0 0 0 0 0 0 0 0 1 2 3 1.204819 0 5 5

0 0 0 0 2 2 1.5625 15 22 37 28.90625 0 0 0 0 2 3 5 3.90625 0 0 0 0 6 10 16 12.5 3 6 9 7.03125 8 23 31

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

0 0 0 12 16 28 7.506702 35 97 132 35.38874 0 0 0 0 2 17 19 5.093834 1 3 4 1.072386 4 13 17 4.557641 9 23 32 8.579088 2 14 16

0 0 0 0 0 0 0 0 13 13 9.558824 0 0 0 0 0 1 1 0.735294 0 0 0 0 0 2 2 1.470588 0 4 4 2.941176 0 4 4

0 0 0 2 4 6 2.575107 66 67 133 57.08155 0 0 0 0 28 44 72 30.90129 15 13 28 12.01717 16 15 31 13.30472 33 18 51 21.88841 16 11 27

0 0 0 11 12 23 3.770492 71 63 134 21.96721 0 0 0 0 55 48 103 16.88525 6 8 14 2.295082 13 12 25 4.098361 22 25 47 7.704918 32 33 65


0 0 0 49 136 185 3.969105 335 729 1064 22.82772 0 0 0 0 114 230 344 7.38039 33 24 57 1.222914 52 85 137 2.939283 100 159 259 5.556747 70 154 224
Pengobatan
Konseling

As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan
Lansia Wredha dibina

B L S
(%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)

14 15 16 17 18 19 20 21 22 24 25 26

20 0 0 0 0 0 0 0 0 2 14 16 29.09091 1 3 4 7.272727 0 0 0 0 20 0 8 0 54 0 0 54 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 20 27 50.9434 0 0 0 0 0 53 0 53 0 0

0 0 0 0 0 0 0 0 0 1 3 4 1.550388 3 6 9 3.488372 0 0 0 0 8 0 8 0 0 0 0 0 0 0

0 0 0 0 0 0 1 1 0.775194 0 26 26 20.15504 0 1 1 0.775194 16 72 88 68.21705 129 0 0 0 12 0 0 124 96 0

0 0 0 0 0 0 0 0 0 1 2 3 1.923077 0 1 1 0.641026 0 0 0 0 156 0 0 0 156 0 0 156 156 0

24.32432 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 109 0 0 0 0 109 109 109 0 0

0.835073 0 0 0 0 0 0 0 0 0 5 5 1.043841 1 5 6 1.25261 66 65 131 27.34864 0 0 2 0 28 0 0 0 0 0

0.716846 0 0 0 0 0 0 0 0 1 4 5 1.792115 2 5 7 2.508961 8 169 177 63.44086 245 0 1 0 64 0 0 0 4 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 27 41.53846 4 0 0 0 66 0 0 66 0 0

0 0 0 0 0 0 0 0 0 11 15 26 65 3 9 12 30 0 0 0 0 40 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 120 132 65.34653 201 0 0 0 201 0 0 201 140 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 134 143 234.4262 134 0 27 0 0 180 0 180 0 0

8.614232 1 0 1 0.374532 0 0 0 0 0 0 0 0 0 0 0 0 3 31 34 12.73408 130 0 0 0 0 0 0 0 0 0

23.63636 0 0 0 0 0 0 0 0 1 10 11 10 0 2 2 1.818182 6 22 28 25.45455 111 0 0 0 110 0 110 0 0 0

0.854701 1 0 1 0.854701 0 1 1 0.854701 5 8 13 11.11111 1 1 2 1.709402 10 15 25 21.36752 70 0 0 0 70 0 0 6 107 0

0 0 0 0 0 0 0 0 0 7 42 49 42.98246 24 28 52 45.61404 4 3 7 6.140351 114 0 0 0 114 0 0 114 113 0

0 0 0 0 0 1 1 2 2.272727 0 1 1 1.136364 2 0 2 2.272727 0 0 0 0 89 0 2 0 89 0 0 89 89 0

1.724138 0 0 0 0 2 9 11 9.482759 10 48 58 50 3 18 21 18.10345 0 0 0 0 112 0 0 0 115 0 0 0 100 0

0 0 0 0 0 0 5 5 1.567398 1 8 9 2.821317 0 2 2 0.626959 34 91 125 39.18495 187 0 5 0 188 0 0 187 187 0

2.008032 1 2 3 1.204819 0 5 5 2.008032 6 22 28 11.24498 2 15 17 6.827309 19 6 25 10.04016 0 0 0 0 249 0 0 249 216 0

24.21875 0 0 0 0 0 0 0 0 5 7 12 9.375 7 9 16 12.5 0 0 0 0 112 0 0 0 112 0 0 0 0 0

0 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 0 0 22 0 0

4.289544 0 2 2 0.536193 3 1 4 1.072386 4 22 26 6.970509 7 14 21 5.630027 0 0 0 0 119 0 32 0 199 15 2 21 0 0

2.941176 0 0 0 0 0 0 0 0 1 4 5 3.676471 0 8 8 5.882353 0 0 0 0 65 0 0 0 136 0 0 136 0 0

11.58798 1 2 3 1.287554 0 0 0 0 20 16 36 15.45064 19 8 27 11.58798 7 5 12 5.150215 435 0 0 0 0 0 0 435 0 0

10.65574 3 3 6 0.983607 1 0 1 0.163934 15 17 32 5.245902 13 9 22 3.606557 0 0 0 0 369 0 3 0 106 181 245 382 32 0
4.805836 7 9 16 0.343274 7 23 30 0.643639 89 260 349 7.487664 87 141 228 4.891654 201 780 981 21.04699 2939 0 80 0 2037 538 466 2530 1240 0
Jumlah
Kunjungan Ket.
Rumah

27 28

66

35

10

50

22

22

93
321
KABUPATEN :Pidie
BULAN :februari
Sasaran Lansia

45-59 60-69 > 70 Jumlah Total Lansia (45-70) 45-59 60-69


Jumlah Jumlah
Jumlah
No Puskesmas Posyandu
Jumlah Desa Kelompok Panti
Lansia Wredha
Laki-laki Perempuan Total ( L + P ) Laki-laki
L P (L+P) L P (L+P) L P (L+P) L P (L+P) Jumlah
B L (B+L) B L (B+L) (B+ (%) B L (B+L)
L)
1 2 3 4 5 6

1 Geumpang 9 9 0 0 422 383 805 117 124 241 66 87 153 605 594 1199 0 1 1 11 0 11 12 1.49068323 4 4 8

2 Mane 9 9 0 0 514 517 1031 143 167 310 80 118 198 737 802 1539 0 0 0 0 0 0 0 0 10 10 20

3 Glp. Tiga 7 7 0 0 366 504 870 129 163 292 74 125 199 569 792 1361 20 23 43 18 104 122 165 18.9655172 20 26 46

4 Teupin Raya 10 10 0 0 632 662 1294 173 217 390 98 153 251 903 1032 1935 17 9 26 45 1 46 72 5.56414219 15 12 27

5 Glp. Baro 12 12 0 0 600 690 1290 167 223 390 94 157 251 861 1070 1931 10 7 17 92 12 104 121 9.37984496 9 7 16

6 Mutiara Timur 10 10 0 0 856 928 1784 238 300 538 134 211 345 1228 1439 2667 3 4 7 10 16 26 33 1.84977578 6 1 7

7 Ujong Rimba 14 14 0 0 1123 1218 2341 312 394 706 117 278 395 1552 1890 3442 75 98 173 146 185 331 504 21.529261 25 53 78

8 Mutiara Barat 16 16 0 0 1192 1278 2470 332 413 745 187 292 479 1711 1983 3694 6 5 11 19 37 56 67 2.71255061 7 7 14

9 Tiro 0 0 0 0 760 491 1251 128 159 287 72 112 184 960 762 1722 0 0 0 2 0 2 2 0.1598721 0 2 2

10 Tangse 5 5 0 0 1552 1599 3151 432 517 949 244 364 608 2228 2480 4708 23 3 26 10 7 17 43 1.36464614 9 3 12

11 Keumala 18 18 0 0 579 615 1194 161 199 360 91 140 231 831 954 1785 5 8 13 51 49 100 113 9.4639866 3 11 14

12 Titeu 7 7 0 0 410 408 818 114 135 249 64 93 157 588 636 1224 0 0 0 0 61 61 61 7.45721271 0 0 0

13 Sakti 15 15 0 0 1227 1295 2522 342 419 761 193 296 489 1762 2010 3772 0 39 39 5 6 11 50 1.98255353 3 27 30

14 Mila 4 4 4 0 512 568 1080 142 185 327 80 130 210 734 883 1617 6 9 15 32 0 32 47 4.35185185 9 8 17

15 padang Tiji 9 9 0 0 1300 1332 2632 362 431 793 205 303 508 1867 2066 3933 127 24 151 158 0 158 309 11.7401216 58 23 81

16 Delima 11 11 0 0 706 772 1478 196 250 446 111 176 287 1013 1198 2211 4 2 6 53 1 54 60 4.05953992 15 6 21

17 Reubee 11 11 0 0 490 535 1025 136 173 309 77 122 199 703 830 1533 6 6 12 46 0 46 58 5.65853659 10 7 17

18 Grong-Grong 8 8 0 0 401 402 803 112 139 251 63 98 161 576 639 1215 10 9 19 51 1 52 71 8.84184309 4 7 11

19 Indrajaya 18 18 0 0 1323 1453 2776 368 470 838 208 331 539 1899 2254 4153 13 16 29 45 117 162 191 6.88040346 19 32 51

20 Peukan Baro 16 16 0 0 1177 1270 2447 328 410 738 185 290 475 1690 1970 3660 16 23 39 78 0 78 117 4.78136494 39 28 67

21 Kb. Tanjong 6 6 0 0 1266 1320 2586 352 428 780 199 302 501 1817 2050 3867 6 9 15 49 0 49 64 2.47486466 10 29 39

22 Sp. Tiga 26 26 0 0 1301 1419 2720 362 458 820 205 324 529 1868 2201 4069 44 5 49 220 17 237 286 10.5147059 49 0 49

23 Kota Sigli 21 21 0 0 1251 1273 2524 348 412 760 197 170 367 1796 1855 3651 14 23 37 55 106 161 198 7.84469097 19 29 48

24 Pidie 6 6 0 0 2592 2746 5338 722 887 1609 407 626 1033 3721 4259 7980 17 15 32 41 0 41 73 1.36755339 19 15 34

25 Batee 28 28 0 0 1198 1224 2422 333 396 729 189 279 468 1720 1899 3619 23 33 56 25 55 80 136 5.61519405 14 34 48

26 Muara Tiga 10 10 0 0 1164 1172 2336 324 379 703 183 268 451 1671 1819 3490 118 121 239 145 75 220 459 19.6489726 109 91 200
JUMLAH 306 306 0 0 24,914 26,074 50988 6873 8448 15321 3823 5845 9668 35610 40367 75977 563 491 1054 1407 850 2257 3311 6.49368479 485 468 953

Mengetahui
Kepala Puskesmas

______________________________
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT KABUPATEN

Jumlah Kunjungan Lansia Kegiatan sehari-hari

60-69 > 70 Total Kunjungan Kemandirian Lansia IMT


Ggn ME
Perempuan Total ( L + P ) Laki-laki Perempuan Total ( L + P ) 45 - > 70 A B C Lebih Normal
Jumlah Jumlah
B L (B+L) (%) B L (B+L) B L (B+L) (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L
(B+L) +L)
6 7 8 9

6 14 20 28 11.618257 2 4 6 5 18 23 29 18.954248 15 54 69 5.7547957 51 73.91304 3 4.347826 0 0 0 0 0 2 2 2.898551 0

24 24 48 68 21.935484 6 6 12 13 13 26 38 19.191919 32 74 106 6.8875893 53 50 0 0 0 0 0 0 0 0 0 0 0

21 28 49 95 32.534247 16 20 36 13 19 32 68 34.170854 125 203 328 24.099927 16 4.878049 15 4.573171 28 8.536585 0 2 5 14 19 5.792683 0

53 35 88 115 29.487179 8 14 22 30 31 61 83 33.067729 75 195 270 13.953488 0 0 0 0 0 0 0 0 0 3 3 1.111111 0

49 34 83 99 25.384615 4 7 11 45 39 84 95 37.848606 44 271 315 16.312791 199 63.1746 7 2.222222 0 0 0 0 2 12 14 4.444444 0

11 11 22 29 5.3903346 5 5 10 27 6 33 43 12.463768 24 81 105 3.9370079 92 87.61905 11 10.47619 7 6.666667 0 0 0 0 0 0 0

22 71 93 171 24.220963 13 30 43 15 42 57 100 25.316456 294 481 775 22.515979 67 8.645161 5 0.645161 3 0.387097 0 0 17 10 27 3.483871 0

77 131 208 222 29.798658 12 11 23 42 88 130 153 31.941545 48 394 442 11.965349 331 74.88688 4 0.904977 2 0.452489 0 0 0 0 0 0 0

19 29 48 50 17.421603 3 3 6 15 28 43 49 26.630435 8 93 101 5.8652729 25 24.75248 12 11.88119 2 1.980198 0 0 0 0 0 0 0

3 3 6 18 1.8967334 7 7 14 9 9 18 32 5.2631579 52 41 93 1.9753611 34 36.55914 9 9.677419 0 0 0 0 0 0 0 0 0

42 68 110 124 34.444444 4 15 19 35 51 86 105 45.454545 46 296 342 19.159664 161 47.07602 75 21.92982 5 1.461988 0 0 0 1 1 0.292398 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 61 4.9836601 177 290.1639 3 4.918033 0 0 0 0 0 0 0 0 0

4 66 70 100 13.140604 1 9 10 1 28 29 39 7.9754601 79 110 189 5.0106045 8 4.232804 1 0.529101 0 0 0 0 0 0 0 0 0

11 31 42 59 18.042813 10 6 16 13 27 40 56 26.666667 48 114 162 10.018553 80 49.38272 1 0.617284 0 0 0 0 0 0 0 0 0

60 23 83 164 20.680958 32 9 41 44 10 54 95 18.700787 273 295 568 14.441902 370 65.14085 62 10.91549 38 6.690141 10 9 2 4 6 1.056338 0

33 31 64 85 19.058296 15 2 17 35 30 65 82 28.571429 44 183 227 10.266848 157 69.163 18 7.929515 0 0 2 2 8 38 46 20.26432 0

45 24 69 86 27.831715 7 6 13 22 25 47 60 30.150754 42 162 204 13.307241 131 64.21569 5 2.45098 0 0 0 0 7 17 24 11.76471 0

24 22 46 57 22.709163 5 6 11 23 27 50 61 37.888199 41 148 189 15.555556 104 55.02646 16 8.465608 0 0 2 11 5 35 40 21.16402 0

35 87 122 173 20.644391 11 11 22 7 56 63 85 15.769944 98 339 437 10.522514 244 55.83524 3 0.686499 0 0 0 0 13 42 55 12.58581 56

100 51 151 218 29.539295 50 13 63 97 48 145 208 43.789474 169 374 543 14.836066 394 72.55985 23 4.235727 6 1.104972 0 4 21 111 132 24.30939 0

45 41 86 125 16.025641 1 6 7 28 31 59 66 13.173653 61 194 255 6.5942591 113 44.31373 8 3.137255 10 3.921569 0 2 0 0 0 0 0

181 0 181 230 28.04878 43 0 43 112 0 112 155 29.300567 141 530 671 16.490538 654 97.46647 0 0 6 0.894188 0 0 0 0 0 0 0

27 101 128 176 23.157895 5 16 21 18 57 75 96 26.158038 106 364 470 12.873185 352 74.89362 8 1.702128 22 4.680851 1 11 42 87 129 27.44681 0

27 32 59 93 5.7799876 12 8 20 25 25 50 70 6.7763795 86 150 236 2.9573935 138 58.47458 0 0 3 1.271186 0 0 0 4 4 1.694915 0

32 33 65 113 15.500686 11 15 26 15 21 36 62 13.247863 130 181 311 8.5935341 254 81.67203 58 18.64952 0 0 0 0 0 0 0 0 0

109 91 200 400 56.899004 63 49 112 79 56 135 247 54.767184 551 555 1106 31.690544 401 36.25678 171 15.46112 114 10.30741 8 7 16 15 31 2.802893 0
1060 1067 2127 3080 20.103126 346 274 620 768 767 1535 2155 22.290029 2627 5919 8546 11.248141 4606 53.89656 518 6.061315 246 2.87854 23 48 138 395 533 6.236836 0
Jumlah Lansia dengan Kelainan

IMT Tekanan Darah


Hb Kurang Kolesterol tinggi DM As. Urat tinggi
Normal Kurang Tinggi Normal Rendah

P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P)

9 10 11 12 13 14

0 0 0 0 1 1 1.449275 4 16 20 28.98551 0 0 0 0 2 3 5 7.246377 1 1 2 2.898551 0 4 4 5.797101 0 2 2 2.898551 3 9 12

0 0 0 0 2 2 1.886792 5 12 17 16.03774 0 0 0 0 0 6 6 5.660377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 7 12 19 5.792683 7 22 29 8.841463 0 0 0 0 9 20 29 8.841463 0 0 0 0 0 0 0 0 17 31 48 14.63415 0 0 0

0 0 0 18 1 19 7.037037 5 0 5 1.851852 0 0 0 0 0 1 1 0.37037 4 0 4 1.481481 10 0 10 3.703704 4 0 4 1.481481 0 0 0

0 0 0 0 0 0 0 8 58 66 20.95238 0 0 0 0 2 2 4 1.269841 0 0 0 0 1 3 4 1.269841 0 0 0 0 3 0 3

0 0 0 0 0 0 0 4 37 41 39.04762 0 0 0 0 1 6 7 6.666667 1 1 2 1.904762 3 18 21 20 1 8 9 8.571429 4 19 23

0 0 0 0 0 0 0 4 5 9 1.16129 0 0 0 0 0 4 4 0.516129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 4 26 30 6.78733 0 0 0 0 7 12 19 4.298643 0 0 0 0 0 2 2 0.452489 1 3 4 0.904977 6 9 15

0 0 0 0 0 0 0 2 15 17 16.83168 0 0 0 0 0 10 10 9.90099 0 0 0 0 0 0 0 0 0 1 1 0.990099 0 0 0

0 0 0 0 0 0 0 9 5 14 15.05376 0 0 0 0 4 2 6 6.451613 1 0 1 1.075269 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 1 1 0.292398 10 66 76 22.22222 0 0 0 0 0 9 9 2.631579 0 0 0 0 0 0 0 0 0 1 1 0.292398 0 0 0

0 0 0 0 0 0 0 3 31 34 55.7377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 4.918033 0 0 0

0 0 0 0 0 0 0 1 2 3 1.587302 0 0 0 0 0 1 1 0.529101 0 0 0 0 1 1 2 1.058201 1 0 1 0.529101 0 0 0

0 0 0 0 0 0 0 6 4 10 6.17284 0 0 0 0 1 1 2 1.234568 0 0 0 0 0 1 1 0.617284 1 0 1 0.617284 1 7 8

0 0 0 0 10 10 1.760563 18 34 52 9.15493 0 0 0 0 1 5 6 1.056338 0 0 0 0 1 3 4 0.704225 3 9 12 2.112676 0 0 0

0 0 0 5 25 30 13.21586 14 43 57 25.11013 0 0 0 0 1 5 6 2.643172 0 1 1 0.440529 1 3 4 1.762115 2 6 8 3.524229 1 7 8

0 0 0 0 0 0 0 10 18 28 13.72549 0 0 0 0 0 0 0 0 0 0 0 0 6 4 10 4.901961 6 11 17 8.333333 0 0 0

0 0 0 1 11 12 6.349206 5 14 19 10.05291 0 0 0 0 0 6 6 3.174603 0 0 0 0 1 6 7 3.703704 1 2 3 1.587302 0 5 5

131 187 42.791762 4 20 24 5.491991 20 62 82 18.7643 0 0 0 0 2 11 13 2.974828 0 0 0 0 0 0 0 0 1 0 1 0.228833 0 0 0

0 0 0 10 20 30 5.524862 31 71 102 18.78453 0 0 0 0 2 10 12 2.209945 0 0 0 0 0 2 2 0.368324 0 3 3 0.552486 1 9 10

0 0 0 0 1 1 0.392157 7 53 60 23.52941 0 0 0 0 0 0 0 0 0 0 0 0 3 20 23 9.019608 0 3 3 1.176471 2 36 38

0 0 0 0 0 0 0 25 129 154 22.95082 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 14 2.086438 0 0 0

0 0 0 9 49 58 12.34043 19 67 86 18.29787 0 0 0 0 3 27 30 6.382979 1 0 1 0.212766 1 4 5 1.06383 5 8 13 2.765957 2 12 14

0 0 0 0 0 0 0 1 26 27 11.44068 0 0 0 0 0 10 10 4.237288 0 0 0 0 0 4 4 1.694915 0 8 8 3.389831 0 8 8

0 0 0 0 0 0 0 44 57 101 32.47588 0 0 0 0 37 49 86 27.65273 9 14 23 7.395498 9 11 20 6.430868 20 9 29 9.324759 11 9 20

0 0 0 16 17 33 2.983725 86 91 177 16.00362 0 0 0 0 68 64 132 11.9349 7 10 17 1.537071 17 15 32 2.893309 30 31 61 5.515371 42 50 92


0 0 0 70 170 240 2.808331 352 964 1316 15.39902 0 0 0 0 140 264 404 4.727358 24 27 51 0.59677 54 101 155 1.813714 99 147 246 2.87854 76 180 256
Pengobatan
Konseling

As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan
Lansia Wredha dibina

B L S
(%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)

14 15 16 17 18 19 20 21 22 24 25 26

17.3913 0 0 0 0 0 0 0 0 3 8 11 15.94203 2 2 4 5.797101 3 20 23 33.33333 20 0 4 0 27 27 0 54 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 53 0 0

0 0 0 0 0 0 0 0 0 1 3 4 1.219512 3 6 9 2.743902 0 0 0 0 4 0 7 0 0 0 0 0 0 0

0 2 30 32 11.85185 0 0 0 0 0 116 116 42.96296 0 0 0 0 167 0 167 61.85185 0 0 161 0 138 0 161 138 0

0.952381 0 0 0 0 0 0 0 0 1 15 16 5.079365 0 9 9 2.857143 0 0 0 0 236 0 0 0 205 31 0 236 236 0

21.90476 0 0 0 0 0 2 2 1.904762 0 5 5 4.761905 2 3 5 4.761905 0 0 0 0 108 0 0 0 62 48 110 110 0 0

0 0 0 0 0 0 0 0 0 1 2 3 0.387097 0 3 3 0.387097 31 24 55 7.096774 0 0 3 0 0 0 0 18 26 0

3.393665 0 0 0 0 0 0 0 0 17 24 41 9.276018 17 26 43 9.728507 19 155 174 39.36652 315 0 6 0 79 25 0 0 4 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 11 10.89109 0 0 39 0 0 0 39 0 0 39

0 0 0 0 0 0 0 0 0 11 15 26 27.95699 3 9 12 12.90323 0 0 0 0 40 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 118 128 37.4269 206 0 0 0 137 83 0 206 153 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 134 143 234.4262 134 0 27 0 0 180 0 180 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 1.058201 9 0 0 0 0 0 0 0 0 0

4.938272 0 0 0 0 0 0 0 0 0 2 2 1.234568 0 2 2 1.234568 12 40 52 32.09877 79 0 2 0 81 0 81 0 0 0

0 0 0 0 0 3 4 7 1.232394 11 17 28 4.929577 2 9 11 1.93662 38 56 94 16.5493 134 0 3 0 162 0 0 9 393 0

3.524229 0 0 0 0 2 8 10 4.405286 19 70 89 39.20705 23 32 55 24.22907 0 0 0 0 165 0 0 0 159 12 0 175 162 0

0 0 215 215 105.3922 0 0 0 0 2 3 5 2.45098 0 0 0 0 0 0 0 0 131 0 0 0 131 0 0 131 131 0

2.645503 0 0 0 0 1 9 10 5.291005 5 41 46 24.33862 4 12 16 8.465608 0 0 0 0 103 0 0 0 120 0 0 0 105 0

0 0 0 0 0 0 8 8 1.830664 2 9 11 2.517162 0 3 3 0.686499 42 109 151 34.55378 232 0 5 0 88 145 0 232 232 0

1.841621 0 4 4 0.736648 4 3 7 1.289134 18 50 68 12.52302 13 28 41 7.550645 4 30 34 6.26151 0 0 0 0 401 0 0 426 389 0

14.90196 0 0 0 0 0 0 0 0 0 13 13 5.098039 0 13 13 5.098039 0 0 0 0 131 0 0 0 131 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103 400 503 74.96274 660 0 0 0 660 0 0 660 654 0

2.978723 0 4 4 0.851064 1 7 8 1.702128 3 9 12 2.553191 3 6 9 1.914894 90 291 381 81.06383 135 0 19 0 87 145 41 21 246 0

3.389831 0 0 0 0 0 0 0 0 0 1 1 0.423729 6 0 6 2.542373 8 0 8 3.389831 52 0 76 0 141 0 0 141 0 0

6.430868 0 0 0 0 0 0 0 0 10 18 28 9.003215 5 10 15 4.823151 0 0 0 0 323 0 0 0 4 0 0 319 0 0

8.318264 6 3 9 0.813743 1 0 1 0.090416 18 23 41 3.707052 19 14 33 2.983725 0 0 0 0 440 0 4 0 144 226 324 487 38 0
2.995553 8 256 264 3.089165 12 41 53 0.620173 122 444 566 6.622982 102 187 289 3.381699 548 1378 1926 22.53686 3657 0 356 0 3010 922 595 3619 2907 39
Jumlah
Kunjungan Ket.
Rumah

27 28

11

44

35

10

153

15

22

114
442
KABUPATEN :Pidie
BULAN :Maret
Sasaran Lansia

45-59 60-69 > 70 Jumlah Total Lansia (45-70) 45-59 60-69


Jumlah Jumlah
Jumlah
No Puskesmas Posyandu
Jumlah Desa Kelompok Panti
Lansia Wredha
Laki-laki Perempuan Total ( L + P ) Laki-laki
L P (L+P) L P (L+P) L P (L+P) L P (L+P) Jumlah
B L (B+L) B L (B+L) (B+ (%) B L (B+L)
L)
1 2 3 4 5 6

1 Geumpang 9 9 0 0 422 383 805 117 124 241 66 87 153 605 594 1199 0 0 0 7 0 7 7 0.86956522 2 8 10

2 Mane 11 11 0 0 514 517 1031 143 167 310 80 118 198 737 802 1539 0 0 0 0 0 0 0 0 3 20 23

3 Glp. Tiga 8 8 0 0 366 504 870 129 163 292 74 125 199 569 792 1361 35 55 90 22 120 142 232 26.6666667 26 46 72

4 Teupin Raya 10 10 0 0 632 662 1294 173 217 390 98 153 251 903 1032 1935 7 3 10 34 32 66 76 5.87326121 4 27 31

5 Glp. Baro 12 12 0 0 600 690 1290 167 223 390 94 157 251 861 1070 1931 2 16 18 62 19 81 99 7.6744186 5 16 21

6 Mutiara Timur 9 9 0 0 856 928 1784 238 300 538 134 211 345 1228 1439 2667 0 1 1 2 0 2 3 0.16816143 1 7 8

7 Ujong Rimba 14 14 0 0 1123 1218 2341 312 394 706 117 278 395 1552 1890 3442 18 173 191 37 231 268 459 19.6070056 22 78 100

8 Mutiara Barat 15 15 0 0 1192 1278 2470 332 413 745 187 292 479 1711 1983 3694 5 5 10 13 24 37 47 1.90283401 18 14 32

9 Tiro 0 0 0 0 760 491 1251 128 159 287 72 112 184 960 762 1722 0 0 0 3 0 3 3 0.23980815 2 2 4

10 Tangse 5 5 0 0 1552 1599 3151 432 517 949 244 364 608 2228 2480 4708 11 26 37 5 5 10 47 1.49158997 3 12 15

11 Keumala 18 18 0 0 579 615 1194 161 199 360 91 140 231 831 954 1785 1 13 14 21 100 121 135 11.3065327 0 14 14

12 Titeu 6 6 0 0 410 408 818 114 135 249 64 93 157 588 636 1224 0 8 8 0 45 45 53 6.4792176 0 0 0

13 Sakti 1 1 0 0 1227 1295 2522 342 419 761 193 296 489 1762 2010 3772 16 7 23 58 84 142 165 6.54242665 73 30 103

14 Mila 4 4 4 0 512 568 1080 142 185 327 80 130 210 734 883 1617 6 0 6 29 0 29 35 3.24074074 2 17 19

15 padang Tiji 5 5 0 0 1300 1332 2632 362 431 793 205 303 508 1867 2066 3933 70 0 70 94 0 94 164 6.23100304 38 81 119

16 Delima 8 8 0 0 706 772 1478 196 250 446 111 176 287 1013 1198 2211 69 119 188 51 84 135 323 21.8538566 8 21 29

17 Reubee 11 11 0 0 490 535 1025 136 173 309 77 122 199 703 830 1533 7 12 19 22 4 26 45 4.3902439 11 17 28

18 Grong-Grong 8 8 0 0 401 402 803 112 139 251 63 98 161 576 639 1215 1 0 1 32 12 27 28 3.48692403 13 11 24

19 Indrajaya 22 22 0 0 1323 1453 2776 368 470 838 208 331 539 1899 2254 4153 4 29 33 10 162 33 1.18876081 13 51 64

20 Peukan Baro 16 16 0 0 1177 1270 2447 328 410 738 185 290 475 1690 1970 3660 17 0 17 128 0 128 145 5.92562321 24 67 91

21 Kb. Tanjong 6 6 0 0 1266 1320 2586 352 428 780 199 302 501 1817 2050 3867 12 0 12 22 0 22 34 1.31477185 6 39 45

22 Sp. Tiga 26 26 0 0 1301 1419 2720 362 458 820 205 324 529 1868 2201 4069 36 49 85 237 0 237 322 11.8382353 55 49 104

23 Kota Sigli 21 21 0 0 1251 1273 2524 348 412 760 197 170 367 1796 1855 3651 23 12 35 63 102 165 200 7.92393027 23 48 71

24 Pidie 6 6 0 0 2592 2746 5338 722 887 1609 407 626 1033 3721 4259 7980 3 0 3 25 0 25 28 0.52454103 2 34 36

25 Batee 28 28 0 0 1198 1224 2422 333 396 729 189 279 468 1720 1899 3619 19 36 55 52 74 126 181 7.47316268 24 48 72

26 Muara Tiga 8 8 0 0 1164 1172 2336 324 379 703 183 268 451 1671 1819 3490 107 63 170 125 64 189 359 15.3681507 98 200 298
JUMLAH 287 287 0 0 24,914 26,074 50988 6873 8448 15321 3823 5845 9668 35610 40367 75977 469 627 1096 1154 1162 2316 3412 6.69177061 476 953 1429

Mengetahui
Kepala Puskesmas

______________________________
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT KABUPATEN

Jumlah Kunjungan Lansia Kegiatan sehari-hari

60-69 > 70 Total Kunjungan Kemandirian Lansia IMT


Ggn ME
Perempuan Total ( L + P ) Laki-laki Perempuan Total ( L + P ) 45 - > 70 A B C Lebih Normal
Jumlah Jumlah
B L (B+L) (%) B L (B+L) B L (B+L) (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L
(B+L) +L)
6 7 8 9

2 20 22 32 13.278008 4 6 10 2 23 25 35 22.875817 20 54 74 6.1718098 58 78.37838 5 6.756757 2 2.702703 1 0 0 0 0 0 0

23 48 71 94 30.322581 7 12 19 13 26 39 58 29.292929 42 110 152 9.8765432 65 42.76316 0 0 0 0 0 0 0 1 1 0.657895 0

40 49 89 161 55.136986 20 36 56 19 32 51 107 53.768844 218 282 500 36.737693 17 3.4 17 3.4 31 6.2 0 4 7 16 23 4.6 0

16 88 104 135 34.615385 6 22 28 11 61 72 100 39.840637 69 242 311 16.072351 148 47.58842 22 7.073955 0 0 0 0 0 0 0 0

30 83 113 134 34.358974 5 11 16 25 84 109 125 49.800797 55 303 358 18.539617 179 50 0 0 0 0 0 0 0 2 2 0.558659 0

5 22 27 35 6.5055762 2 10 12 36 33 69 81 23.478261 21 98 119 4.4619423 42 35.29412 11 9.243697 3 2.521008 0 2 0 0 0 0 0

34 93 127 227 32.152975 17 43 60 24 57 81 141 35.696203 351 476 827 24.026729 79 9.5526 6 0.725514 2 0.241838 0 0 17 10 27 3.264813 0

20 208 228 260 34.899329 9 23 32 13 130 143 175 36.534447 74 408 482 13.048186 7 1.452282 1 0.207469 1 0.207469 0 0 0 0 0 0 0

29 48 77 81 28.222997 3 6 9 28 43 71 80 43.478261 13 151 164 9.5238095 50 30.4878 13 7.926829 2 1.219512 0 0 0 0 0 0 0

5 6 11 26 2.739726 11 14 25 5 18 23 48 7.8947368 77 44 121 2.5700935 17 14.04959 23 19.00826 0 0 0 0 0 0 0 0 0

15 110 125 139 38.611111 5 19 24 18 86 104 128 55.411255 52 350 402 22.521008 127 31.59204 63 15.67164 4 0.995025 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 8 45 53 4.3300654 91 171.6981 0 0 0 0 0 0 0 0 0 0 0

88 70 158 261 34.296978 54 10 64 61 29 90 154 31.492843 190 390 580 15.376458 247 42.58621 11 1.896552 18 3.103448 0 0 0 0 0 0 0

15 42 57 76 23.24159 3 16 19 14 40 54 73 34.761905 44 140 184 11.379097 71 38.58696 0 0 0 0 0 0 0 0 0 0 0

42 83 125 244 30.769231 20 41 61 30 54 84 145 28.543307 250 303 553 14.060514 258 46.65461 28 5.063291 3 0.542495 3 4 3 9 12 2.169982 0

46 64 110 139 31.165919 7 17 24 31 65 96 120 41.811847 241 341 582 26.322931 152 26.11684 0 0 0 0 0 0 8 23 31 5.32646 0

30 69 99 127 41.100324 13 13 26 8 47 55 81 40.703518 73 180 253 16.503588 128 50.59289 7 2.766798 0 0 0 2 8 13 21 8.300395 0

14 46 60 84 33.466135 0 11 11 9 50 59 70 43.478261 36 146 182 14.979424 104 57.14286 13 7.142857 1 0.549451 1 9 10 30 40 21.97802 0

14 122 136 200 23.866348 0 22 22 6 63 69 91 16.883117 119 374 493 11.870937 278 56.38945 3 0.608519 0 0 0 0 12 42 54 10.95335 56

101 151 252 343 46.476965 25 63 88 90 145 235 323 68 196 615 811 22.15847 358 44.14303 23 2.836005 3 0.369914 0 1 13 104 117 14.42663 0

49 86 135 180 23.076923 5 7 12 19 59 78 90 17.964072 69 235 304 7.8613913 110 36.18421 6 1.973684 2 0.657895 0 0 0 0 0 0 0

149 181 330 434 52.926829 28 43 71 112 112 224 295 55.765595 260 791 1051 25.829442 536 50.99905 0 0 7 0.666032 0 0 13 53 66 6.279734 0

32 128 160 231 30.394737 4 21 25 12 75 87 112 30.517711 131 412 543 14.872638 179 32.96501 20 3.683241 21 3.867403 4 9 15 37 52 9.576427 0

25 59 84 120 7.4580485 6 20 26 22 50 72 98 9.4869313 65 181 246 3.0827068 90 36.58537 0 0 4 1.626016 0 0 0 10 10 4.065041 0

30 65 95 167 22.908093 18 26 44 29 36 65 109 23.290598 171 286 457 12.627798 430 94.0919 25 5.47046 0 0 0 7 0 0 0 0 0

98 200 298 596 84.779516 54 112 166 66 135 201 367 81.374723 634 688 1322 37.879656 328 24.81089 150 11.34644 101 7.639939 6 5 13 12 25 1.891074 0
952 2127 3079 4508 29.423667 326 620 946 703 1535 2238 3184 32.933388 3471 7633 11104 14.614949 4149 37.36491 447 4.025576 205 1.846182 15 43 119 362 481 4.331772 0
Jumlah Lansia dengan Kelainan

IMT Tekanan Darah


Hb Kurang Kolesterol tinggi DM As. Urat tinggi
Normal Kurang Tinggi Normal Rendah

P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P)

9 10 11 12 13 14

0 0 0 0 0 0 0 9 23 32 43.24324 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1.351351 1 1 2 2.702703 1 14 15

0 0 0 0 7 7 4.605263 2 24 26 17.10526 0 0 0 0 1 3 4 2.631579 0 0 0 0 1 3 4 2.631579 0 1 1 0.657895 0 1 1

0 0 0 8 15 23 4.6 9 26 35 7 0 0 0 0 11 26 37 7.4 0 0 0 0 0 0 0 0 19 34 53 10.6 0 0 0

0 0 0 0 0 0 10 15 25 8.038585 0 0 0 0 1 7 8 2.572347 0 0 0 0 0 2 2 0.643087 3 3 0.96463 0 0 0

0 0 0 0 0 0 0 7 44 51 14.24581 0 0 0 0 1 4 5 1.396648 0 0 0 0 0 0 0 0 0 1 1 0.27933 0 0 0

0 0 0 0 0 0 0 0 17 17 14.28571 0 0 0 0 1 2 3 2.521008 0 0 0 0 0 5 5 4.201681 0 4 4 3.361345 4 12 16

0 0 0 3 4 7 0.846433 4 5 9 1.088271 0 0 0 0 0 4 4 0.483676 0 0 0 0 0 3 3 0.362757 0 2 2 0.241838 0 2 2

0 0 0 0 1 1 0.207469 4 22 26 5.394191 0 0 0 0 2 13 15 3.112033 0 1 1 0.207469 0 1 1 0.207469 0 3 3 0.622407 0 0 0

0 0 0 0 0 0 0 0 10 10 6.097561 0 0 0 0 0 3 3 1.829268 10 0 10 6.097561 0 0 0 0 0 1 1 0.609756 0 0 0

0 0 0 0 0 0 0 8 7 15 12.39669 0 0 0 0 1 1 2 1.652893 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 4 47 51 12.68657 0 0 0 0 4 14 18 4.477612 0 0 0 0 0 0 0 0 0 2 2 0.497512 0 0 0

0 0 0 0 0 0 0 5 10 15 28.30189 0 0 0 0 1 0 1 1.886792 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 26 32 58 10 0 0 0 0 23 20 43 7.413793 0 0 0 0 4 2 6 1.034483 3 0 3 0.517241 4 6 10

0 0 0 0 0 0 0 2 10 12 6.521739 0 0 0 0 0 2 2 1.086957 0 0 0 0 0 0 0 0 2 1 3 1.630435 4 12 16

0 0 0 0 7 7 1.265823 8 27 35 6.329114 0 0 0 0 0 3 3 0.542495 0 0 0 0 0 3 3 0.542495 0 4 4 0.723327 0 2 2

0 0 0 3 13 16 2.749141 14 49 63 10.82474 0 0 0 0 1 9 10 1.718213 0 0 0 0 0 7 7 1.202749 3 11 14 2.405498 1 9 10

0 0 0 0 0 0 0 13 18 31 12.25296 0 0 0 0 1 1 2 0.790514 0 0 0 0 0 0 0 0 6 4 10 3.952569 0 0 0

0 0 0 0 11 11 6.043956 3 26 29 15.93407 0 0 0 0 4 4 2.197802 0 0 0 0 0 4 4 2.197802 0 1 1 0.549451 0 0 0

131 187 37.931034 4 20 24 4.868154 15 56 71 14.40162 29 91 120 24.34077 1 8 9 1.825558 0 0 0 0 0 0 0 0 1 0 1 0.20284 0 0 0

0 0 0 10 33 43 5.302096 20 106 126 15.53637 0 0 0 0 2 16 18 2.219482 0 0 0 0 2 6 8 0.986436 1 9 10 1.233046 1 6 7

0 0 0 0 8 8 2.631579 8 16 24 7.894737 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 3.947368 1 4 5 1.644737 3 20 23

0 0 0 3 32 35 3.330162 35 71 106 10.08563 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0.285442 0 0 0

0 0 0 2 20 22 4.051565 16 59 75 13.81215 0 0 0 0 3 8 11 2.025783 0 0 0 0 4 3 7 1.289134 2 9 11 2.025783 2 0 2

0 0 0 0 0 0 0 4 23 27 10.97561 0 0 0 0 5 7 12 4.878049 0 0 0 0 0 3 3 1.219512 1 8 9 3.658537 0 2 2

0 0 0 0 0 0 0 67 98 165 36.10503 0 0 0 0 34 52 86 18.81838 4 12 16 3.501094 6 7 13 2.844639 8 30 38 8.315098 45 64 109

0 0 0 12 14 26 1.966717 78 77 155 11.72466 0 0 0 0 61 57 118 8.92587 4 8 12 0.907716 14 12 26 1.966717 26 27 53 4.009077 36 39 75


0 0 0 45 185 230 2.071326 371 918 1289 11.60843 0 0 0 0 154 264 418 3.764409 18 21 39 0.351225 31 74 105 0.945605 76 161 237 2.134366 101 189 290
Pengobatan
Konseling

As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan
Lansia Wredha dibina

B L S
(%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)

14 15 16 17 18 19 20 21 22 24 25 26

20.27027 0 0 0 0 0 0 0 0 2 13 15 20.27027 1 1 2 2.702703 8 18 26 35.13514 25 0 25 0 15 48 0 65 0 0

0.657895 0 0 0 0 0 0 0 0 1 12 13 8.552632 0 1 1 0.657895 6 25 31 20.39474 15 0 15 0 46 0 19 65 0 0

0 0 0 0 0 0 0 0 0 1 3 4 0.8 3 6 9 1.8 0 0 0 0 8 0 8 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 21 21 6.752412 0 1 1 0.321543 8 135 143 45.98071 151 0 151 0 0 0 120 116 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 1.117318 0 1 1 0.27933 179 0 179 0 128 51 0 179 179 0

13.44538 0 0 0 0 0 1 1 0.840336 0 11 11 9.243697 1 5 6 5.042017 0 0 0 0 58 0 58 0 45 13 58 58 0 0

0.241838 0 0 0 0 0 0 0 0 1 2 3 0.362757 2 7 9 1.088271 24 33 57 6.892382 0 0 0 0 21 23 14 14 7 0

0 0 0 0 0 0 0 0 0 4 22 26 5.394191 6 20 26 5.394191 24 99 123 25.51867 219 0 219 0 32 26 6 0 7 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 27 16.46341 4 0 4 0 66 0 0 66 0 0

0 0 0 0 0 0 0 0 0 7 7 14 11.57025 7 7 14 11.57025 10 0 10 8.264463 25 0 25 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 101 111 27.61194 184 0 184 0 201 129 0 184 129 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 71 78 147.1698 90 0 90 0 0 0 0 0 0

1.724138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 89 156 26.89655 276 0 276 0 0 0 0 0 0 0

8.695652 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 36 38 20.65217 0 0 0 0 71 0 71 0 0 0

0.361664 0 0 0 0 2 3 5 0.904159 6 12 18 3.254973 3 9 12 2.169982 28 37 65 11.75407 98 0 98 0 115 0 0 5 296 0

1.718213 0 0 0 0 1 1 2 0.343643 19 71 90 15.46392 6 15 21 3.608247 0 0 0 0 154 0 154 0 137 57 33 52 51 0

0 0 0 0 0 2 1 3 1.185771 0 0 0 0 1 2 3 1.185771 0 0 0 0 133 0 133 0 133 0 0 133 133 0

0 0 0 0 0 2 4 6 3.296703 5 60 65 35.71429 2 12 14 7.692308 0 0 0 0 114 0 114 0 65 38 7 113 0

0 0 0 0 0 0 5 5 1.014199 1 8 9 1.825558 0 2 2 0.40568 33 91 124 25.15213 278 0 271 0 0 278 0 278 0 0

0.863132 0 0 0 0 1 0 1 0.123305 14 48 62 7.644883 6 24 30 3.699137 2 7 9 1.109741 0 0 0 0 383 0 0 382 358 0

7.565789 0 0 0 0 0 0 0 0 2 12 14 4.605263 1 8 9 2.960526 0 0 0 0 118 0 118 0 118 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 298 384 36.53663 498 0 498 0 529 0 0 522 509 0

0.368324 0 0 0 0 1 6 7 1.289134 3 14 17 3.130755 3 6 9 1.657459 53 173 226 41.62063 68 0 68 0 60 99 25 21 153 0

0.813008 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 87 0 0 0 0 87 0 0

23.8512 0 0 0 0 0 0 0 0 24 24 48 10.50328 6 8 14 3.063457 2 0 2 0.437637 455 0 455 0 15 0 0 440 0 0

5.673222 4 2 6 0.453858 1 0 1 0.075643 14 19 33 2.496218 15 10 25 1.891074 0 0 0 0 337 0 337 0 119 179 282 357 32 0
2.611671 4 2 6 0.054035 10 21 31 0.279179 104 359 463 4.169669 63 148 211 1.900216 370 1241 1611 14.50829 3574 0 3567 0 2299 941 515 3141 1970 0
Jumlah
Kunjungan Ket.
Rumah

27 28

58

66

31

147

12

22

84
476
KABUPATEN :Pidie
BULAN :April
Sasaran Lansia

45-59 60-69 > 70 Jumlah Total Lansia (45-70) 45-59 60-69


Jumlah Jumlah
Jumlah
No Puskesmas Posyandu
Jumlah Desa Kelompok Panti
Lansia Wredha
Laki-laki Perempuan Total ( L + P ) Laki-laki
L P (L+P) L P (L+P) L P (L+P) L P (L+P) Jumlah
B L (B+L) B L (B+L) (B+ (%) B L (B+L)
L)
1 2 3 4 5 6

1 Geumpang 9 5 0 0 422 383 805 117 124 241 66 87 153 605 594 1199 3 9 12 7 6 13 25 3.10559006 1 10 11

2 Mane 11 4 0 0 514 517 1031 143 167 310 80 118 198 737 802 1539 0 0 0 0 0 0 0 0 6 23 29

3 Glp. Tiga 0 0 0 0 366 504 870 129 163 292 74 125 199 569 792 1361 0 0 0 0 0 0 0 0 0 72 72

4 Teupin Raya 100 10 0 0 632 662 1294 173 217 390 98 153 251 903 1032 1935 5 0 5 32 32 64 69 5.33230294 4 31 35

5 Glp. Baro 12 12 0 0 600 690 1290 167 223 390 94 157 251 861 1070 1931 7 0 7 39 35 74 81 6.27906977 7 21 28

6 Mutiara Timur 10 10 0 0 856 928 1784 238 300 538 134 211 345 1228 1439 2667 2 0 2 6 4 10 12 0.67264574 5 8 13

7 Ujong Rimba 15 15 0 0 1123 1218 2341 312 394 706 117 278 395 1552 1890 3442 35 192 227 37 357 394 621 26.5271252 26 100 126

8 Mutiara Barat 15 15 15 0 1192 1278 2470 332 413 745 187 292 479 1711 1983 3694 2 7 9 7 14 21 30 1.2145749 2 32 34

9 Tiro 0 0 0 0 760 491 1251 128 159 287 72 112 184 960 762 1722 0 0 0 1 0 1 1 0.07993605 6 4 10

10 Tangse 6 6 6 0 1552 1599 3151 432 517 949 244 364 608 2228 2480 4708 44 37 81 31 21 52 133 4.22088226 6 15 21

11 Keumala 18 18 18 0 579 615 1194 161 199 360 91 140 231 831 954 1785 1 14 15 11 121 132 147 12.3115578 3 14 17

12 Titeu 7 7 0 0 410 408 818 114 135 249 64 93 157 588 636 1224 0 24 24 0 0 0 24 2.93398533 0 0 0

13 Sakti 25 25 25 0 1227 295 1522 342 419 761 193 296 489 1762 1010 2772 24 7 31 113 71 184 215 14.1261498 35 103 138

14 Mila 4 4 4 0 512 568 1080 142 185 327 80 130 210 734 883 1617 10 0 10 17 0 17 27 2.5 8 19 27

15 padang Tiji 7 7 0 0 1300 1332 2632 362 431 793 205 303 508 1867 2066 3933 95 16 111 93 25 118 229 8.7006079 27 119 146

16 Delima 8 8 0 0 706 772 1478 196 250 446 111 176 287 1013 1198 2211 4 0 4 30 14 44 48 3.24763194 4 29 33

17 Reubee 9 9 0 0 490 535 1025 136 173 309 77 122 199 703 830 1533 3 1 4 33 3 36 40 3.90243902 2 28 30

18 Grong-Grong 8 8 8 0 401 402 803 112 139 251 63 98 161 576 639 1215 5 1 6 33 20 53 59 7.34744707 6 24 30

19 Indrajaya 18 18 0 1323 1453 2776 368 470 838 208 331 539 1899 2254 4153 82 33 115 83 172 255 370 13.3285303 43 64 107

20 Peukan Baro 8 8 8 0 1177 1270 2447 328 410 738 185 290 475 1690 1970 3660 16 0 16 40 0 40 56 2.28851655 8 91 99

21 Kb. Tanjong 6 6 0 0 1266 1320 2586 352 428 780 199 302 501 1817 2050 3867 79 0 79 115 0 115 194 7.50193349 35 45 80

22 Sp. Tiga 26 26 26 0 1301 1419 2720 362 458 820 205 324 529 1868 2201 4069 7 85 92 43 397 440 532 19.5588235 4 104 108

23 Kota Sigli 21 21 0 0 1251 1273 2524 348 412 760 197 170 367 1796 1855 3651 9 14 23 32 97 129 152 6.022187 19 71 90

24 Pidie 6 6 0 0 2592 2746 5338 722 887 1609 407 626 1033 3721 4259 7980 1 0 1 26 0 26 27 0.50580742 3 36 0

25 Batee 28 28 0 0 1198 1224 2422 333 396 729 189 279 468 1720 1899 3619 28 37 65 53 57 110 175 7.22543353 27 72 99

26 Muara Tiga 28 28 0 0 1164 1172 2336 324 379 703 183 268 451 1671 1819 3490 28 37 65 53 57 110 175 7.49143836 27 298 325
JUMLAH 405 304 110 0 24,914 25,074 49988 6873 8448 15321 3823 5845 9668 35610 39367 74977 490 514 1004 935 1503 2438 3442 6.88565256 314 1429 1743

Mengetahui
Kepala Puskesmas

______________________________
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT KABUPATEN

Jumlah Kunjungan Lansia Kegiatan sehari-hari

60-69 > 70 Total Kunjungan Kemandirian Lansia IMT


Ggn ME
Perempuan Total ( L + P ) Laki-laki Perempuan Total ( L + P ) 45 - > 70 A B C Lebih Normal
Jumlah Jumlah
B L (B+L) (%) B L (B+L) B L (B+L) (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L P
(B+L) +L)
6 7 8 9

2 22 24 35 14.522822 0 10 10 0 25 25 35 22.875817 33 62 95 7.9232694 55 57.89474 8 8.421053 0 0 0 0 0 0 0 0 16 50

26 71 97 126 40.645161 9 19 28 10 39 49 77 38.888889 57 146 203 13.190383 70 34.48276 0 0 0 0 0 0 0 0 0 0 0 0

0 89 89 161 55.136986 2 56 58 14 51 65 123 61.809045 130 154 284 20.86701 44 15.49296 3 1.056338 3 1.056338 0 0 0 0 0 0 0 0

18 104 122 157 40.25641 5 28 33 10 72 82 115 45.816733 73 268 341 17.622739 142 41.64223 7 2.052786 0 0 0 0 0 0 0 0 0 0

10 113 123 151 38.717949 5 16 21 10 109 119 140 55.776892 56 316 372 19.26463 144 38.70968 0 0 0 0 0 0 0 0 0 0 23 121

12 27 39 52 9.6654275 4 12 16 28 69 97 113 32.753623 31 146 177 6.6366704 51 28.81356 17 9.60452 4 2.259887 2 2 0 0 0 0 0 0

34 127 161 287 40.651558 20 60 80 21 81 102 182 46.075949 433 657 1090 31.667635 158 14.49541 12 1.100917 2 0.183486 0 0 3 5 8 0.733945 76 81

27 228 255 289 38.791946 4 32 36 21 143 164 200 41.753653 79 440 519 14.049811 149 28.70906 2 0.385356 0 0 0 0 0 0 0 0 0 0

77 77 87 30.313589 9 9 71 71 80 43.478261 19 149 168 9.7560976 0 0 0 0 0 0 0 0 0 0 0 0 0 0

20 11 31 52 5.4794521 19 25 44 14 23 37 81 13.322368 146 120 266 5.6499575 22 8.270677 20 7.518797 4 1.503759 2 0 1 1 2 0.75188 0 0

13 125 138 155 43.055556 5 24 29 5 104 109 138 59.74026 61 379 440 24.64986 76 17.27273 35 7.954545 12 2.727273 0 0 0 0 0 0 9 104

0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 24 1.9607843 0 0 0 0 0 0 0 0 0 0 0 0 0 0

87 158 245 383 50.328515 28 64 92 12 90 102 194 39.672802 261 531 792 28.571429 285 35.98485 15 1.893939 19 2.39899 0 0 0 0 0 0 0 0

27 57 84 111 33.944954 6 19 25 15 54 69 94 44.761905 62 170 232 14.347557 80 34.48276 4 1.724138 0 0 0 0 0 0 0 0 0

31 125 156 302 38.083228 16 61 77 25 84 109 186 36.614173 334 383 717 18.230359 326 45.46722 34 4.74198 1 0.13947 4 4 12 14 26 3.62622 141 164

7 110 117 150 33.632287 4 24 28 24 96 120 148 51.567944 65 281 346 15.649028 145 41.90751 0 0 0 0 0 0 3 31 34 9.82659 11 259

11 99 110 140 45.307443 2 26 28 5 55 60 88 44.221106 62 206 268 17.482061 68 25.37313 3 1.119403 0 0 1 1 0 5 5 1.865672 0 0

14 60 74 104 41.434263 4 11 15 12 59 71 86 53.416149 51 198 249 20.493827 107 42.97189 16 6.425703 0 0 2 13 6 32 38 15.26104 9 55

44 136 180 287 34.24821 31 22 53 25 69 94 147 27.272727 273 529 802 392 392 48.87781 3 0.374065 0 0 0 0 12 42 54 6.733167 56 131

51 252 303 402 54.471545 19 88 107 24 235 259 366 77.052632 133 188 321 8.7704918 96 29.90654 23 7.165109 16 4.984424 0 0 9 15 24 7.476636 98 178

51 135 186 266 34.102564 19 12 86 24 78 102 188 37.52495 133 403 536 13.860874 96.00 17.91045 23.00 4.291045 16 2.985075 0 0 9 16 25 4.664179 98 178

23 330 353 461 56.219512 4 71 75 16 224 240 315 59.546314 275 1033 1308 32.14549 207 15.82569 0 0 0 0 0 1 6 7 0.535168 6 37

16 160 176 266 35 3 25 28 14 87 101 129 35.149864 141 406 547 14.982197 344 62.88848 14 2.559415 23 4.204753 2 0 4 14 18 3.290676 0 0

30 84 114 114 7.0851461 3 26 0 21 72 93 93 9.0029042 1 233 234 2.9323308 78 33.33333 0 0 6 2.564103 0 0 14 15 29 12.39316 2 36

61 95 156 255 34.979424 21 44 65 32 65 97 162 34.615385 229 363 592 16.35811 446 75.33784 53 8.952703 0 0 11 14 0 0 0 0 0 0

61 298 359 684 97.297297 21 166 187 32 201 233 420 93.126386 577 702 1279 36.647564 446 34.87099 0 0 0 0 0 0 0 0 0 0
676 3079 3755 5498 35.885386 254 946 1200 414 2238 2652 3852 39.84278 3947 8845 12792 17.061232 4027 31.48061 292 2.282677 106 0.828643 24 34 74 196 270 2.110694 545 1394
Jumlah Lansia dengan Kelainan

IMT Tekanan Darah


Hb Kurang Kolesterol tinggi DM As. Urat tinggi
Normal Kurang Tinggi Normal Rendah

(L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P)

9 10 11 12 13 14

66 69.473684 0 0 0 0 12 21 33 34.73684 3 28 31 32.63158 1 5 6 6.315789474 0 0 0 0 0 0 0 0 1 0 1 1.052632 0 1 1

0 0 0 6 6 2.955665 8 21 29 14.28571 0 0 0 0 1 5 6 2.955665025 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4

0 0 0 0 0 0 2 15 17 5.985915 0 0 0 0 0 14 14 4.929577465 0 0 0 0 0 0 0 0 0 1 1 0.352113 0 0 0

0 0 0 2 2 0 8 23 31 9.090909 6 97 103 30.20528 0 10 10 2.93255132 0 0 0 0 1 3 4 1.173021 2 9 11 3.225806 0 4 4

144 38.709677 0 0 0 0 4 28 32 8.602151 18 90 108 29.03226 1 3 4 1.075268817 0 0 0 0 0 1 1 0.268817 2 0 2 0.537634 0 0 0

0 0 0 0 0 0 1 14 15 8.474576 0 0 0 0 1 3 4 2.259887006 0 0 0 0 0 12 12 6.779661 1 7 8 4.519774 2 16 18

157 14.40367 1 5 6 0.550459 4 7 11 1.009174 75 74 149 13.66972 2 5 7 0.642201835 0 0 0 0 2 7 9 0.825688 2 5 7 0.642202 1 5 6

0 0 0 0 0 0 2 11 13 2.504817 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 8 1.541426 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 8 3.007519 0 0 0 0 7 0 7 2.631578947 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

113 25.681818 1 8 9 2.045455 1 33 34 7.727273 5 79 84 19.09091 1 5 6 1.363636364 0 0 0 0 0 0 0 0 0 1 1 0.227273 0 0 0

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

0 0 0 0 0 0 25 29 54 6.818182 0 0 0 0 15 19 34 4.292929293 0 0 0 0 4 6 10 1.262626 2 5 7 0.883838 1 7 8

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

305 42.538354 15 29 44 6.136681 23 31 54 7.531381 141 170 311 43.37517 4 5 9 1.255230126 0 0 0 0 4 4 8 1.11576 2 4 6 0.83682 1 2 3

270 78.034682 1 15 16 4.624277 9 59 68 19.65318 6 69 75 21.6763 0 5 5 1.445086705 0 0 0 0 1 2 3 0.867052 1 1 2 0.578035 0 0 0

0 0 0 0 0 0 5 13 18 6.716418 12 46 58 21.64179 1 2 3 1.119402985 0 0 0 0 0 0 0 0 6 7 13 4.850746 0 0 0

64 25.702811 5 17 22 8.835341 2 16 18 7.228916 11 85 96 0 0 5 5 2.008032129 0 0 0 0 1 3 4 1.606426 1 2 3 1.204819 0 3 3

187 23.316708 4 20 24 2.992519 15 56 71 8.852868 29 91 120 14.96259 1 8 9 1.122194514 0 0 0 0 0 0 0 0 1 0 1 0.124688 0 0 0

276 85.981308 11 17 28 8.722741 13 44 57 17.75701 64 188 252 78.50467 7 26 33 10.28037383 4 16 20 6.23053 7 15 22 6.853583 7 20 27 8.411215 4 16 20

276 51.492537 11 17 28 5.223881 13 44 57 10.63433 64 188 252 47.01493 6 252 258 48.13432836 4 16 20 3.731343 7 15 22 4.104478 7 20 27 5.037313 4 16 20

43 3.2874618 0 0 0 0 4 7 11 0.840979 3 31 34 2.599388 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 1 1 0.182815 6 12 18 3.290676 0 0 0 0 1 0 1 0.182815356 0 4 4 0.731261 1 1 2 0.365631 1 2 3 0.548446 0 3 3

38 16.239316 0 18 18 7.692308 7 28 35 14.95726 5 21 26 11.11111 0 9 9 3.846153846 0 0 0 0 1 7 8 3.418803 0 11 11 4.700855 0 5 5

0 0 0 0 0 0 76 90 166 28.04054 0 0 0 0 52 80 132 22.2972973 21 53 74 12.5 13 23 36 6.081081 9 26 35 5.912162 13 21 34

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1939 15.157911 49 155 204 1.594747 240 610 850 6.644778 442 1257 1699 13.28174 101 461 562 4.393370857 29 89 118 0.922452 42 99 141 1.102251 46 128 174 1.360225 27 102 129
Pengobatan
Konseling

As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan
Lansia Wredha dibina

B L S
(%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)

14 15 16 17 18 19 20 21 22 24 25 26

1.052632 0 0 0 0 0 0 0 0 1 0 1 1.052632 1 0 1 1.052632 0 0 0 0 29 0 2 0 14 0 0 71 0 0

1.970443 0 0 0 0 0 0 0 0 7 9 16 7.881773 1 2 3 1.477833 3 9 12 5.91133 14 0 0 0 46 0 24 70 0 0

0 0 0 0 0 0 0 0 0 0 1 1 0.352113 0 0 0 0 5 23 28 9.859155 31 0 0 0 50 0 0 50 0 0

1.173021 0 0 0 0 0 2 2 0.58651 0 9 9 2.639296 0 1 1 0.293255 5 71 76 22.28739 128 0 0 0 16 7 0 105 99 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144 0 0 0 79 65 0 144 144 0

10.16949 0 0 0 0 0 0 0 0 4 7 11 6.214689 0 4 4 2.259887 0 0 0 0 77 0 0 0 52 20 72 72 0 0

0.550459 0 0 0 0 0 0 0 0 3 6 9 0.825688 2 7 9 0.825688 76 74 150 13.76147 0 0 2 0 29 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 3 3 0.578035 0 3 3 0.578035 3 107 110 21.19461 6 138 0 0 18 21 11 149 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5 10 3.759398 7 7 14 5.263158 6 5 11 4.135338 19 0 0 0 5 1 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 79 84 19.09091 122 0 0 0 37 39 0 125 82 0

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

1.010101 0 0 0 0 0 0 0 0 7 10 17 2.146465 1 15 16 2.020202 59 113 172 21.71717 324 0 0 0 0 0 0 0 0 0

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

0.41841 0 0 0 0 4 4 8 1.11576 13 14 27 3.76569 4 6 10 1.3947 23 25 48 6.694561 132 0 6 0 132 0 0 7 340 0

0 0 0 0 0 0 0 0 0 12 64 76 21.96532 4 27 31 8.959538 0 0 0 0 144 0 0 0 96 48 20 144 95 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 21 68 0 88 91 0

1.204819 0 0 0 0 0 0 0 0 0 3 3 1.204819 0 5 5 2.008032 0 0 0 0 100 10 0 0 66 44 10 110 72 0

0 0 0 0 0 0 4 4 0.498753 1 8 9 1.122195 0 2 2 0.249377 34 91 125 15.58603 392 0 0 0 0 392 0 392 0 0

6.23053 1 1 2 0.623053 0 0 0 0 11 41 52 16.19938 9 23 32 9.968847 5 5 10 3.115265 293 38 0 0 329 0 0 0 0 0

3.731343 1 1 2 0.373134 0 0 0 0 11 41 52 9.701493 9 23 32 5.970149 5 5 10 1.865672 293 0 0 0 329 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 29 35 2.675841 52 0 0 0 100 0 0 109 50 0

0.548446 1 0 1 0.182815 0 4 4 0.731261 3 1 4 0.731261 2 0 2 0.365631 34 160 194 35.46618 123 0 31 0 73 162 39 21 243 0

2.136752 0 1 1 0.42735 0 0 0 0 0 3 3 1.282051 2 3 5 0 0 0 0 0 72 12 0 0 84 0 0 84 0 0

5.743243 1 0 1 0.168919 0 0 0 0 1 0 1 0.168919 1 0 1 0.168919 0 0 0 0 499 0 0 0 0 0 0 499 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1.008443 4 3 7 0.054722 4 14 18 0.140713 79 225 304 2.376485 43 128 171 1.336773 269 796 1065 8.325516 3095 198 41 0 1576 867 176 2240 1216 0
Jumlah
Kunjungan Ket.
Rumah

27 28

11

50

72

24

21

32

0
244
KABUPATEN :Pidie
BULAN :
Sasaran Lansia

45-59 60-69 > 70 Jumlah Total Lansia (45-70) 45-59 60-69


Jumlah Jumlah
Jumlah
No Puskesmas Posyandu
Jumlah Desa Kelompok Panti
Lansia Wredha
Laki-laki Perempuan Total ( L + P ) Laki-laki
L P (L+P) L P (L+P) L P (L+P) L P (L+P) Jumlah
B L (B+L) B L (B+L) (B+ (%) B L (B+L)
L)
1 2 3 4 5 6

1 Geumpang 9 5 0 0 422 383 805 117 124 241 66 87 153 605 594 1199 4 0 4 13 3 16 20 2.48447205 0 11 11

2 Mane 9 9 9 0 514 517 1031 143 167 310 80 118 198 737 802 1539 0 0 0 0 0 0 0 0 3 29 32

3 Glp. Tiga 0 0 0 0 366 504 870 129 163 292 74 125 199 569 792 1361 0 0 0 0 0 0 0 0 0 72 72

4 Teupin Raya 10 10 0 0 632 662 1294 173 217 390 98 153 251 903 1032 1935 5 4 9 22 4 26 35 2.70479134 7 35 42

5 Glp. Baro 12 12 12 0 600 690 1290 167 223 390 94 157 251 861 1070 1931 8 0 8 34 38 72 80 6.20155039 6 28 34

6 Mutiara Timur 9 9 9 0 856 928 1784 238 300 538 134 211 345 1228 1439 2667 4 0 4 4 1 5 9 0.5044843 5 13 18

7 Ujong Rimba 14 14 0 0 1123 1218 2341 312 394 706 117 278 395 1552 1890 3442 37 226 263 50 392 442 705 30.1153353 19 126 145

8 Mutiara Barat 16 16 0 0 1192 1278 2470 332 413 745 187 292 479 1711 1983 3694 3 1 4 5 13 18 22 0.89068826 6 34 40

9 Tiro 0 0 0 0 760 491 1251 128 159 287 72 112 184 960 762 1722 0 0 0 0 0 0 0 0 0 10 10

10 Tangse 3 3 3 0 1552 1599 3151 432 517 949 244 364 608 2228 2480 4708 3 3 5 5 5 4 4 0.12694383 3 21 24

11 Keumala 18 18 18 0 579 615 1194 161 199 360 91 140 231 831 954 1785 3 15 18 14 132 146 164 13.7353434 0 17 17

12 Titeu 6 6 6 0 410 408 818 114 135 249 64 93 157 588 636 1224 0 0 0 1 10 11 11 1.34474328 0 0 0

13 Sakti 25 49 0 0 1227 295 1522 342 419 761 193 296 489 1762 1010 2772 46 14 60 77 76 153 213 13.9947438 48 138 186

14 Mila 4 4 4 0 512 568 1080 142 185 327 80 130 210 734 883 1617 9 0 9 23 0 23 32 2.96296296 3 27 30

15 padang Tiji 4 4 4 0 1300 1332 2632 362 431 793 205 303 508 1867 2066 3933 49 0 49 57 0 57 106 4.02735562 23 146 169

16 Delima 24 24 24 0 706 772 1478 196 250 446 111 176 287 1013 1198 2211 8 3 11 29 13 42 53 3.58592693 7 33 40

17 Reubee 0 0 0 0 490 535 1025 136 173 309 77 122 199 703 830 1533 0 0 0 0 0 0 0 0 0 30 30

18 Grong-Grong 8 8 8 0 401 402 803 112 139 251 63 98 161 576 639 1215 3 2 5 19 16 35 40 4.98132005 1 30 31

19 Indrajaya 18 18 0 0 1323 1453 2776 368 470 838 208 331 539 1899 2254 4153 6 2 8 61 17 78 86 3.09798271 19 107 126

20 peuka baro 8 8 8 0 1177 1270 2447 328 410 738 185 290 475 1690 1970 3660 6 3 9 15 25 40 49 2.00245198 7 99 106

21 Kb. Tanjong 6 6 6 0 1266 1320 2586 352 428 780 199 302 501 1817 2050 3867 58 0 58 76 0 76 134 5.18174787 21 80 101

22 Sp. Tiga 25 25 25 0 1301 1419 2720 362 458 820 205 324 529 1868 2201 4069 17 92 109 91 127 218 327 12.0220588 12 108 120

23 Kota Sigli 21 21 21 0 1251 1273 2524 348 412 760 197 170 367 1796 1855 3651 15 12 27 34 93 127 154 6.10142631 8 90 98

24 Pidie 5 5 5 0 2592 2746 5338 722 887 1609 407 626 1033 3721 4259 7980 25 0 25 47 0 47 72 1.34881978 20 0 20

25 Batee 28 28 28 0 1198 1224 2422 333 396 729 189 279 468 1720 1899 3619 18 52 70 17 53 70 140 5.78034682 8 99 107

26 Muara Tiga 3 3 3 0 1164 1172 2336 324 379 703 183 268 451 1671 1819 3490 20 23 43 17 18 35 78 3.3390411 17 325 342
JUMLAH 285 305 193 0 24,914 25,074 49988 6873 8448 15321 3823 5845 9668 35610 39367 74977 347 452 799 711 1036 1747 2546 5.09322237 243 1743 1986

Mengetahui
Kepala Puskesmas

______________________________
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT KABUPATEN

Jumlah Kunjungan Lansia Kegiatan sehari-hari

60-69 > 70 Total Kunjungan Kemandirian Lansia IMT


Ggn ME
Perempuan Total ( L + P ) Laki-laki Perempuan Total ( L + P ) 45 - > 70 A B C Lebih Normal
Jumlah Jumlah
B L (B+L) (%) B L (B+L) B L (B+L) (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L P
(B+L) +L)
6 7 8 9

0 24 24 35 14.522822 0 10 10 1 25 26 36 23.529412 25 66 91 7.589658 48 52.74725 18 19.78022 0 0 0 0 0 0 0 0 0 0

2 97 99 131 42.258065 1 28 29 2 49 51 80 40.40404 61 150 211 13.710201 37 17.53555 0 0 0 0 0 0 2 0 2 0.947867 0 0

0 89 89 161 55.136986 0 58 58 0 65 65 123 61.809045 130 154 284 20.86701 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 122 136 178 45.641026 3 33 36 7 82 89 125 49.800797 87 251 338 17.4677 122 36.09467 2 0.591716 0 0 0 0 0 0 0 0 5 47

5 123 128 162 41.538462 7 21 28 4 119 123 151 60.159363 70 323 393 20.352149 155 39.4402 0 0 0 0 0 0 0 1 1 0.254453 0 0

10 39 49 67 12.453532 5 16 21 7 97 104 125 36.231884 43 158 201 7.5365579 41 20.39801 1 0.497512 0 0 0 0 0 0 0 0 0 0

18 161 179 324 45.892351 7 80 87 17 102 119 206 52.151899 495 740 1235 35.880302 147 11.90283 4 0.323887 3 0.242915 0 0 10 12 22 1.781377 54 68

8 255 263 303 40.671141 2 36 38 1 164 165 203 42.379958 82 446 528 14.293449 239 45.26515 1 0.189394 0 0 0 0 0 0 0 0 0 0

0 77 77 87 30.313589 0 9 9 0 71 71 80 43.478261 19 148 167 9.6980256 0 0 0 0 0 0 0 0 0 0 0 0 0 0

5 31 36 60 6.3224447 4 44 48 3 37 40 88 14.473684 77 80 157 3.3347494 6 3.821656 2 1.273885 0 0 0 0 2 1 3 1.910828 0 0

12 138 150 167 46.388889 1 29 30 10 109 119 149 64.502165 65 415 480 26.890756 79 16.45833 40 8.333333 11 2.291667 0 0 0 0 0 0 7 108

0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 11 0.8986928 31 281.8182 0 0 0 0 0 0 0 0 0 0 0 0

61 245 306 492 64.651774 38 92 130 58 102 160 290 59.304703 376 619 995 35.894661 299 30.05025 17 1.708543 20 2.01005 0 0 0 0 0 0 0 0

10 84 94 124 37.920489 6 25 31 12 69 81 112 53.333333 70 198 268 16.573902 62 23.13433 1 0.373134 0 0 0 0 0 0 0 0 0 0

27 156 183 352 44.388398 14 77 91 18 109 127 218 42.913386 309 367 676 17.187897 170 25.14793 28 4.142012 1 0.147929 3 6 5 5 10 1.47929 79 92

16 117 133 173 38.789238 4 28 32 11 120 131 163 56.794425 83 306 389 17.593849 131 33.67609 0 0 0 0 0 0 7 34 41 10.53985 22 45

0 110 110 140 45.307443 0 28 28 0 60 60 88 44.221106 58 170 228 14.872798 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 74 84 115 45.816733 1 15 16 13 71 84 100 62.111801 52 203 255 20.987654 78 30.58824 20 7.843137 0 0 2 15 4 24 28 10.98039 4 52

52 180 232 358 42.720764 13 53 66 46 94 140 206 38.218924 200 186 386 9.2944859 159 41.19171 3 0.777202 0 0 0 0 6 12 18 16 89

8 303 311 417 56.504065 2 107 109 4 259 263 372 78.315789 224 614 838 22.896175 113 13.48449 2 0.238663 0 0 0 0 11 28 39 4.653938 11 45

32 186 218 319 40.897436 18 86 104 28 102 130 234 46.706587 263 424 687 17.76571 73 10.62591 19 2.765648 8 1.164483 0 0 7 12 19 2.765648 89 124

29 353 382 502 61.219512 9 75 84 15 240 255 339 64.083176 313 855 1168 28.704841 213 18.2363 0 0 0 0 0 0 1 16 17 1.455479 25 68

15 176 191 289 38.026316 3 28 31 12 101 113 144 39.237057 156 431 587 16.077787 308 52.47019 16 2.725724 20 3.407155 3 2 10 25 35 5.962521 0 0

61 114 175 195 12.119329 28 0 28 34 93 127 155 15.00484 73 349 422 5.2882206 208 49.2891 0 0 7 1.658768 0 0 16 27 43 10.18957 40 90

14 156 170 277 37.997257 15 65 80 8 97 105 185 39.529915 257 345 602 16.634429 113 18.77076 0 0 0 0 0 0 53 54 107 17.77409 88 82

15 359 374 716 101.84922 16 187 203 17 233 250 453 100.44346 588 659 1247 35.730659 147 11.78829 37 2.967121 23 1.844427 1 2 16 17 33 2.646351 47 48
424 3755 4179 6165 40.238888 197 1200 1397 328 2652 2980 4377 45.273066 4182 8906 13088 17.45602 2979 22.76131 211 1.612164 93 0.710575 9 25 150 268 418 3.193765 487 958
Jumlah Lansia dengan Kelainan

IMT Tekanan Darah


Hb Kurang Kolesterol tinggi DM As. Urat tinggi
Normal Kurang Tinggi Normal Rendah

(L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%)

9 10 11 12 13 14

0 0 0 0 0 0 5 27 32 35.16484 5 26 31 34.06593 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 4 1 5 2.369668 7 13 20 9.478673 0 0 0 0 1 0 1 0.473934 0 0 0 0 0 0 0 0 2 1 3 1.421801 1 4 5 2.369668

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

52 15.384615 0 2 2 0.591716 4 15 19 5.621302 14 89 103 30.47337 0 6 6 1.775148 0 0 0 0 0 3 3 0.887574 1 6 7 2.071006 0 1 1 0.295858

0 0 0 0 0 0 5 23 28 7.124682 18 102 120 30.53435 0 6 6 1.526718 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 1 1 0.497512 0 3 3 1.492537 1 9 10 4.975124 1 1 2 0.995025 0 1 1 0.497512 0 3 3 1.492537 0 0 0 0 2 2 4 1.99005

122 9.8785425 5 5 10 0.809717 9 11 20 1.619433 56 70 126 10.20243 4 4 8 0.647773 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 4 14 18 3.409091 0 0 0 0 1 2 3 0.568182 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0.378788

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

0 0 0 0 0 0 1 0 1 0.636943 0 0 0 0 1 0 1 0.636943 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

115 23.958333 2 13 15 3.125 7 30 37 7.708333 8 80 88 18.33333 0 1 1 0.208333 0 0 0 0 0 0 0 0 0 2 2 0.416667 0 1 1 0.208333

0 0 0 0 0 0 2 7 9 81.81818 0 16 16 145.4545 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 18.18182 0 1 1 9.090909

0 0 0 0 0 0 19 29 48 4.824121 37 70 107 10.75377 14 19 33 3.316583 0 0 0 0 5 4 9 0.904523 4 9 13 1.306533 9 6 15 1.507538

0 0 7 10 17 6.343284 0 2 2 0.746269 0 0 0 0 0 2 2 0.746269 0 0 0 0 0 1 1 0.373134 0 4 4 1.492537 3 11 14 5.223881

171 25.295858 2 4 6 0.887574 12 22 34 5.029586 73 77 150 22.18935 1 3 4 0.591716 0 0 0 0 2 1 3 0.443787 2 2 4 0.591716 0 0 0 0

67 17.22365 5 19 24 6.169666 10 38 48 12.33933 20 56 76 19.53728 1 6 7 1.799486 0 0 0 0 4 0 4 1.028278 0 2 2 0.514139 0 1 1 0.257069

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

56 21.960784 14 15 29 11.37255 21 24 45 17.64706 67 71 138 54.11765 6 6 12 4.705882 0 0 0 0 6 0 6 2.352941 3 6 9 3.529412 0 0 0 0

105 27.202073 2 3 5 1.295337 11 37 48 12.43523 28 74 102 26.42487 1 1 2 0.518135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

56 6.6825776 2 13 15 1.789976 11 28 39 4.653938 12 58 70 8.353222 1 1 2 0.238663 0 0 0 0 0 2 2 0.238663 1 0 1 0.119332 2 0 2 0.238663

213 31.004367 4 7 11 1.601164 11 13 24 3.49345 106 214 320 46.57933 6 9 15 2.183406 4 7 11 1.601164 6 5 11 1.601164 7 6 13 1.892285 7 10 17 2.474527

93 7.9623288 2 8 10 0.856164 10 36 46 3.938356 45 134 179 15.32534 0 2 2 0.171233 0 0 0 0 0 1 1 0.085616 0 7 7 0.599315 15 51 66 5.650685

0 0 0 5 5 0.851789 20 40 60 10.22147 0 0 0 0 2 11 13 2.214651 0 0 0 0 2 1 3 0.511073 3 4 7 1.192504 1 5 6 1.022147

130 30.805687 17 25 42 9.952607 1 31 32 7.582938 70 97 167 39.57346 2 14 16 3.791469 0 0 0 0 0 4 4 0.947867 0 2 2 0.473934 1 5 6 1.421801

170 28.239203 37 39 76 12.62458 62 69 131 21.7608 0 0 0 0 0 0 0 0 32 35 67 11.12957 14 6 20 3.322259 6 6 12 1.993355 1 0 1 0.166113

95 7.6182839 30 32 62 4.971933 18 21 39 3.127506 24 26 50 4.009623 32 27 59 4.731355 1 1 2 0.160385 8 7 15 1.202887 7 8 15 1.202887 22 49 71 5.693665


1445 11.040648 133 202 335 2.559597 250 533 783 5.982579 584 1269 1853 14.15801 74 121 195 1.489914 37 44 81 0.618888 47 38 85 0.64945 36 67 103 0.78698 65 148 213 1.627445
Pengobatan
Konseling

Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan
Lansia Wredha dibina

B L S
L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)

15 16 17 18 19 20 21 22 24 25 26

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 14 6 20 59 0 0

0 0 0 0 0 0 0 0 3 13 16 7.582938 0 0 0 0 3 13 16 7.582938 0 0 0 0 9 0 28 37 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 8 2.366864 0 2 2 0.591716 10 83 93 27.51479 131 0 0 0 12 6 0 126 116 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 0 0 64 90 0 155 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 36 5 41 41 0 0

0 0 0 0 0 0 0 0 4 5 9 0.728745 7 5 12 0.97166 51 61 112 9.068826 0 0 0 0 22 0 14 14 0 0

0 1 1 0.189394 0 0 0 0 5 10 15 2.840909 5 10 15 2.840909 27 163 190 35.98485 239 0 0 0 20 22 19 239 2 0

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

0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0.636943 4 4 8 5.095541 0 0 0 0 4 2 6 0 0

0 0 0 0 0 0 0 0 0 1 1 0.208333 0 1 1 0.208333 0 0 0 0 130 0 0 0 42 51 0 132 84 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 18 20 181.8182 0 0 0 0 0 0 0 28 0 0

0 0 0 0 0 0 0 0 5 18 23 2.311558 8 10 18 1.809045 19 21 40 4.020101 315 0 0 1 25 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 16 25 9.328358 63 0 63 0 63 0 63 63 0 0

0 0 0 0 2 3 5 0.739645 7 8 15 2.218935 2 1 3 0.443787 12 19 31 4.585799 56 0 0 0 56 0 0 4 165 0

0 0 0 0 0 0 0 0 5 7 12 3.084833 0 2 2 0.514139 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

0 0 0 0 0 7 7 2.745098 4 57 61 23.92157 1 16 17 6.666667 0 0 0 0 100 1 0 0 47 52 21 26 89 0

0 0 0 0 3 19 22 5.699482 4 45 49 12.6943 3 19 22 5.699482 12 77 89 23.05699 159 0 0 0 139 20 0 159 0 0

0 0 0 0 0 0 0 0 6 17 23 2.74463 0 11 11 1.312649 0 0 0 0 0 0 0 0 41 64 0 115 58 0

1 0 1 0.14556 0 0 0 0 11 30 41 5.967977 9 21 30 4.366812 5 5 10 1.455604 212 21 0 0 233 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 67 100 8.561644 219 0 0 0 0 7 0 430 215 0

0 0 0 0 1 10 11 1.873935 2 2 4 0.681431 4 3 7 1.192504 29 67 96 16.35434 134 0 39 0 107 114 41 21 249 0

0 0 0 0 0 0 0 0 0 9 9 2.132701 6 11 17 4.028436 0 0 0 0 87 128 0 0 215 0 0 215 0 0

0 0 0 0 0 0 0 0 2 0 2 0.332226 0 0 0 0 0 0 0 0 351 0 0 0 351 0 0 351 0 0

0 1 1 0.080192 0 0 0 0 4 7 11 0.882117 5 6 11 0.882117 0 0 0 0 131 69 7 0 62 43 107 0 0 0


1 2 3 0.022922 6 39 45 0.343826 62 237 299 2.284535 50 119 169 1.291259 216 614 830 6.341687 2555 219 109 1 1562 482 360 2215 978 0
Jumlah
Kunjungan Ket.
Rumah

27 28

10

21

21

38
119
KABUPATEN :Pidie
BULAN :
Sasaran Lansia

45-59 60-69 > 70 Jumlah Total Lansia (45-70) 45-59 60-69


Jumlah Jumlah
Jumlah
No Puskesmas Posyandu
Jumlah Desa Kelompok Panti
Lansia Wredha
Laki-laki Perempuan Total ( L + P ) Laki-laki
L P (L+P) L P (L+P) L P (L+P) L P (L+P) Jumlah
B L (B+L) B L (B+L) (B+ (%) B L (B+L)
L)
1 2 3 4 5 6

1 Geumpang 9 5 0 0 422 383 805 117 124 241 66 87 153 605 594 1199 3 0 3 4 9 13 16 1.98757764 4 11 15

2 Mane 9 9 9 0 514 517 1031 143 167 310 80 118 198 737 802 1539 0 0 0 0 0 0 0 0 5 32 37

3 Glp. Tiga 8 8 8 0 366 504 870 129 163 292 74 125 199 569 792 1361 43 55 98 22 120 142 240 27.5862069 25 72 97

4 Teupin Raya 10 10 0 0 632 662 1294 173 217 390 98 153 251 903 1032 1935 4 6 10 12 15 27 37 2.85935085 5 42 47

5 Glp. Baro 10 10 10 0 600 690 1290 167 223 390 94 157 251 861 1070 1931 29 16 45 31 31 62 107 8.29457364 22 34 56

6 Mutiara Timur 10 10 10 0 856 928 1784 238 300 538 134 211 345 1228 1439 2667 8 5 13 14 27 41 54 3.02690583 10 18 28

7 Ujong Rimba 15 15 15 0 1123 1218 2341 312 394 706 117 278 395 1552 1890 3442 18 263 281 18 442 460 741 31.6531397 12 145 157

8 Mutiara Barat 15 15 15 0 1192 1278 2470 332 413 745 187 292 479 1711 1983 3694 3 1 4 4 13 17 21 0.85020243 6 40 46

9 Tiro 10 10 10 0 760 491 1251 128 159 287 72 112 184 960 762 1722 0 0 0 24 3 27 27 2.15827338 14 10 24

10 Tangse 0 0 0 0 1552 1599 3151 432 517 949 244 364 608 2228 2480 4708 0 0 0 0 0 0 0 0 0 24 24

11 Keumala 18 18 18 0 579 615 1194 161 199 360 91 140 231 831 954 1785 2 18 20 15 146 161 181 15.159129 15 17 32

12 Titeu 15 15 15 0 410 408 818 114 135 249 64 93 157 588 636 1224 0 5 5 0 29 29 34 4.15647922 0 0 0

13 Sakti 49 49 49 0 1227 295 1522 342 419 761 193 296 489 1762 1010 2772 15 15 30 63 75 138 168 11.0381078 14 186 200

14 mila 4 4 4 0 512 568 1080 142 185 327 80 130 210 734 883 1617 3 9 12 24 29 53 65 6.01851852 5 30 35

15 padang Tiji 9 9 0 0 1300 1332 2632 362 431 793 205 303 508 1867 2066 3933 72 69 141 66 70 136 277 10.5243161 11 169 180

16 Delima 24 24 24 0 706 772 1478 196 250 446 111 176 287 1013 1198 2211 72 1 73 63 20 83 156 10.5548038 23 40 63

17 Reubee 7 7 0 0 490 535 1025 136 173 309 77 122 199 703 830 1533 14 20 34 50 32 82 116 11.3170732 24 30 54

18 Grong-Grong 8 8 8 0 401 402 803 112 139 251 63 98 161 576 639 1215 16 1 17 29 36 65 82 10.2117061 6 31 37

19 Indrajaya 18 18 18 0 1323 1453 2776 368 470 838 208 331 539 1899 2254 4153 4 8 12 50 93 143 155 5.58357349 8 126 134

20 Peukan Baro 8 8 8 0 1177 1270 2447 328 410 738 185 290 475 1690 1970 3660 0 0 0 0 0 0 0 0 0 106 106

21 Kb. Tanjong 6 6 6 0 1266 1320 2586 352 428 780 199 302 501 1817 2050 3867 229 0 229 248 0 248 477 18.4454756 84 101 185

22 Sp. Tiga 37 37 37 0 1301 1419 2720 362 458 820 205 324 529 1868 2201 4069 108 109 217 161 218 379 596 21.9117647 63 120 183

23 Kota Sigli 21 21 21 0 1251 1273 2524 348 412 760 197 170 367 1796 1855 3651 5 16 21 21 96 117 138 5.46751189 20 98 118

24 Pidie 5 5 5 0 2592 2746 5338 722 887 1609 407 626 1033 3721 4259 7980 22 0 22 35 0 35 57 1.06781566 27 20 47

25 Batee 28 28 28 0 1198 1224 2422 333 396 729 189 279 468 1720 1899 3619 7 54 61 15 55 70 131 5.4087531 6 107 113

26 Muara Tiga 4 4 4 0 1164 1172 2336 324 379 703 183 268 451 1671 1819 3490 29 22 51 28 20 48 99 4.2380137 26 342 368
JUMLAH 357 353 322 0 24,914 25,074 49988 6873 8448 15321 3823 5845 9668 35610 39367 74977 706 693 1399 997 1579 2576 3975 7.95190846 435 1986 2421

Mengetahui
Kepala Puskesmas

______________________________
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT KABUPATEN

Jumlah Kunjungan Lansia Kegiatan sehari-hari

60-69 > 70 Total Kunjungan Kemandirian Lansia IMT


Ggn ME
Perempuan Total ( L + P ) Laki-laki Perempuan Total ( L + P ) 45 - > 70 A B C Lebih Normal
Jumlah Jumlah
B L (B+L) (%) B L (B+L) B L (B+L) (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L P
(B+L) +L)
6 7 8 9

6 24 30 45 18.672199 4 10 14 7 26 33 47 30.718954 32 76 108 9.0075063 51 47.22222 11 10.18519 2 1.851852 0 0 0 0 0 0 0 0

3 99 102 139 44.83871 0 29 29 0 51 51 80 40.40404 66 153 219 14.230019 29 13.24201 0 0 0 0 0 0 0 0 0 0 0 0

40 89 129 226 77.39726 20 58 78 19 65 84 162 81.407035 273 355 628 46.142542 17 2.707006 17 2.707006 31 4.936306 0 4 7 16 23 3.66242 0 0

24 136 160 207 53.076923 0 36 36 13 89 102 138 54.98008 93 289 382 19.741602 117 30.62827 0 0 0 0 0 0 0 6 6 1.570681 0 0

16 128 144 200 51.282051 14 28 42 9 123 132 174 69.322709 143 338 481 24.909373 230 47.81705 0 0 0 0 0 0 0 1 1 0.2079 0 0

6 49 55 83 15.427509 4 21 25 5 104 109 134 38.84058 66 205 271 10.16123 61 22.50923 0 0 0 0 0 0 0 0 0 0 18 33

11 179 190 347 49.150142 10 87 97 11 119 130 227 57.468354 535 780 1315 38.204532 71 5.39924 7 0.532319 1 0.076046 0 0 5 0 5 0.380228 34 35

8 263 271 317 42.550336 2 38 40 1 165 166 206 43.006263 90 454 544 14.726584 232 42.64706 1 0.183824 0 0 0 0 0 0 0 0 0 0

0 77 77 101 35.191638 0 9 9 0 71 71 80 43.478261 33 140 173 10.046458 140 80.92486 51 29.47977 12 6.936416 0 0 0 0 0 0 0 0

0 36 36 60 6.3224447 0 48 48 0 40 40 88 14.473684 72 76 148 3.1435854 0 0 0 0 0 0 0 0 0 0 0 0 0 0

17 150 167 199 55.277778 19 30 49 23 119 142 191 82.683983 101 470 571 31.988796 85 14.88616 36 6.304729 4 0.700525 0 0 0 0 0 0 52 74

0 0 0 0 0 0 0 0 0 0 0 0 0 5 29 34 2.7777778 74 217.6471 1 2.941176 1 2.941176 0 0 0 0 0 0 0 0

51 306 357 557 73.193167 10 130 140 33 160 193 333 68.09816 370 688 1058 38.167388 176 16.63516 2 0.189036 22 2.079395 0 0 0 0 0 0 0 0

10 94 104 139 42.507645 3 31 34 8 81 89 123 58.571429 81 246 327 20.222635 89 27.21713 2 0.611621 1 0.30581 0 0 0 0 0 0 0 0

10 183 193 373 47.03657 8 91 99 11 127 138 237 46.653543 420 467 887 22.552759 398 44.87035 111 12.51409 5 0.563698 7 8 9 7 16 1.803833 219 254

22 133 155 218 48.878924 11 32 43 15 131 146 189 65.853659 179 384 563 25.463591 262 46.53641 0 0 0 0 0 0 17 30 47 8.348135 99 106

26 110 136 190 61.488673 6 28 34 26 60 86 120 60.301508 122 304 426 27.78865 250 58.68545 8 1.877934 0 0 0 0 4 24 28 6.57277 98 130

14 84 98 135 53.784861 1 16 17 10 84 94 111 68.944099 71 257 328 26.995885 144 43.90244 0 0 14 4.268293 1 6 9 29 38 11.58537 25 84

37 232 269 403 48.090692 4 66 70 21 140 161 231 42.857143 54 299 353 8.4998796 213 60.33994 3 0.849858 0 0 0 0 6 12 18 5.09915 16 89

0 311 311 417 56.504065 0 109 109 0 263 263 372 78.315789 215 574 789 21.557377 0 0 0 0 0 0 0 0 0 0 0 0 0 0

97 218 315 500 64.102564 48 104 152 64 130 194 346 69.061876 566 757 1323 34.212568 235 17.76266 36 2.721088 22 1.662887 2 2 8 8 16 1.209373 352 401

34 382 416 599 73.04878 23 84 107 24 255 279 386 72.967864 507 1074 1581 38.854755 355 22.45414 0 0 0 0 0 0 6 8 14 0.885515 9 16

11 191 202 320 42.105263 2 31 33 8 113 291 324 88.283379 172 610 782 21.418789 291 37.21228 10 1.278772 15 1.918159 0 0 4 1 5 0.639386 2 6

46 175 221 268 16.656308 22 28 31 31 127 158 189 18.296225 100 414 514 6.4411028 179 34.8249 0 0 4 0.77821 0 0 17 20 37 7.198444 36 75

2 170 172 285 39.09465 2 80 82 2 105 107 189 40.384615 256 349 605 16.717325 113 18.67769 0 0 0 0 62 26 47 38 85 14.04959 69 59

2 374 376 744 105.83215 27 203 230 23 250 273 503 111.52993 649 697 1346 38.567335 206 15.30461 48 3.566122 25 1.857355 0 1 2 25 27 2.005944 49 58
493 4179 4672 7093 46.295934 240 1397 1637 364 2980 3344 4981 51.52048 5457 10592 16049 21.405231 4018 25.03583 344 2.143436 159 0.990716 72 47 141 225 366 2.280516 1078 1420
Jumlah Lansia dengan Kelainan

IMT Tekanan Darah


Hb Kurang Kolesterol tinggi DM As. Urat tinggi
Normal Kurang Tinggi Normal Rendah

(L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%)

9 10 11 12 13 14

0 0 0 0 0 0 4 21 25 23.14815 6 27 33 30.55556 0 3 3 2.777778 0 0 0 0 0 1 1 0.925926 0 3 3 2.777778 0 0 0 0

0 0 0 0 0 0 2 4 6 2.739726 0 0 0 0 0 1 1 0.456621 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 8 15 23 3.66242 9 26 35 5.573248 0 0 0 0 11 26 37 5.89172 0 0 0 0 0 0 0 0 19 34 53 8.43949 0 0 0 0

0 0 0 5 5 1.308901 10 19 29 7.591623 1 0 1 0.26178 0 3 3 0.78534 0 0 0 0 0 8 8 2.094241 1 7 8 2.094241 0 0 0 0

0 0 0 0 0 0 7 23 30 6.237006 99 100 199 41.37214 0 1 1 0.2079 0 0 0 0 0 0 0 0 1 4 5 1.039501 0 0 0 0

51 18.819188 0 0 0 0 4 9 13 4.797048 13 26 39 14.39114 3 2 5 1.845018 1 0 1 0.369004 0 5 5 1.845018 0 4 4 1.476015 0 1 1 0.369004

69 5.2471483 0 4 4 0.304183 5 5 10 0.760456 31 33 64 4.86692 2 2 4 0.304183 0 0 1 2 1 2 3 0.228137 2 0 2 0.152091 0 4 4 0.304183

0 0 0 0 0 0 3 14 17 3.125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0.367647 0 1 1 0.183824

0 0 0 0 0 0 8 9 17 9.82659 81 32 113 65.31792 3 4 7 4.046243 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

126 22.06655 0 0 0 0 8 11 19 3.327496 37 56 93 16.28722 3 2 5 0.875657 0 0 0 0 0 1 1 0.175131 0 2 2 0.350263 0 1 1 0.175131

0 0 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 3 5 14.70588 0 0 0 0

0 0 0 0 0 0 6 21 27 2.551985 32 60 92 8.695652 1 9 10 0.94518 0 0 0 0 0 8 8 0.756144 2 7 9 0.850662 1 8 9 0.850662

0 0 0 0 0 0 3 15 18 5.504587 4 16 20 6.116208 0 2 2 0.611621 0 0 0 0 0 2 2 0.611621 0 2 2 0.611621 4 13 17 5.198777

473 53.325817 3 3 6 0.676437 12 22 34 3.833145 189 212 401 45.20857 4 5 9 1.014656 0 0 0 0 8 8 16 1.803833 1 4 5 0.563698 0 0 0 0

205 36.412078 1 9 10 1.776199 21 17 38 6.749556 95 123 218 38.72114 0 6 6 1.065719 0 0 0 0 2 1 3 0.53286 0 4 4 0.71048 0 0 0 0

228 53.521127 0 0 0 0 22 66 88 20.65728 74 86 160 37.55869 0 0 0 0 0 0 0 0 6 14 20 4.694836 12 40 52 12.20657 0 0 0 0

109 33.231707 0 13 13 3.963415 7 31 38 11.58537 25 91 116 35.36585 0 4 4 1.219512 0 0 0 0 0 1 1 0.304878 3 8 11 3.353659 1 2 3 0.914634

105 29.745042 2 3 5 1.416431 11 34 45 12.74788 28 74 102 28.89518 1 1 2 0.566572 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

753 56.9161 7 8 15 1.133787 23 26 49 3.703704 167 277 444 33.56009 8 12 20 1.511716 5 5 10 0.755858 12 9 21 1.587302 11 15 26 1.965231 9 10 19 1.43613

25 1.5812777 2 6 8 0.506009 30 62 92 5.819102 115 130 245 15.49652 0 0 0 0 0 0 0 0 0 0 0 0 6 4 10 0.632511 54 67 121 7.653384

8 1.0230179 0 4 4 0.511509 6 8 14 1.790281 2 0 2 0.255754 2 0 2 0.255754 0 0 0 0 0 2 2 0.255754 0 1 1 0.127877 0 0 0

111 21.595331 18 17 35 6.809339 1 15 16 3.11284 68 89 157 30.54475 2 8 10 1.945525 0 0 0 0 1 4 5 0.972763 0 2 2 0.389105 1 3 4 0.77821

128 21.157025 26 21 47 7.768595 42 35 77 12.72727 56 131 187 30.90909 31 24 55 9.090909 2 4 6 0.991736 0 2 2 0.330579 8 13 21 3.471074 2 3 5 0.826446

107 7.9494799 43 39 82 6.092125 42 35 77 5.720654 58 49 107 7.94948 53 35 88 6.53789 1 0 1 0.074294 7 5 12 0.89153 11 11 22 1.634473 55 91 146 10.84695
2498 15.564833 110 147 257 1.601346 286 528 814 5.071967 1181 1612 2793 17.40295 124 150 274 1.707271 9 9 18 0.112157 37 73 110 0.685401 80 169 249 1.551499 127 204 331 2.062434
Pengobatan
Konseling

Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan
Lansia Wredha dibina

B L S
L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)

15 16 17 18 19 20 21 22 24 25 26

0 0 0 0 0 0 0 0 0 2 2 1.851852 1 0 1 0.925926 0 0 0 0 25 0 1 0 2 3 0 64 0 0

0 0 0 0 0 0 0 0 1 3 4 1.826484 0 0 0 0 7 11 18 8.219178 0 0 0 0 8 0 21 29 0 0

0 0 0 0 0 0 0 0 1 3 4 0.636943 3 6 9 1.433121 0 0 0 0 8 0 8 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 1 11 12 3.141361 0 1 1 0.26178 14 56 70 18.32461 117 0 0 0 7 47 0 114 101 0

0 0 0 0 0 0 0 0 1 5 6 1.247401 0 0 0 0 0 0 0 0 230 0 0 0 121 109 0 230 230 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 43 8 61 57 56 0

0 0 0 0 0 0 0 0 0 2 2 0.152091 0 0 0 0 33 41 74 5.627376 0 0 0 0 29 0 0 0 0 0

0 0 0 0 0 0 0 0 5 9 14 2.573529 5 9 14 2.573529 26 160 186 34.19118 232 0 0 0 20 22 18 232 2 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 1.734104 18 0 0 0 32 0 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 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 1 1 0.175131 0 1 1 0.175131 0 0 0 0 122 0 0 0 96 26 0 122 89 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 82 0 0 0 0

0 0 0 0 0 0 0 0 0 6 6 0.567108 0 6 6 0.567108 2 21 23 2.173913 184 1 0 0 32 0 0 0 0 0

0 0 0 0 0 0 0 0 1 4 5 1.529052 0 3 3 0.917431 5 17 22 6.727829 91 0 0 0 52 39 91 0 0 0

0 0 0 0 6 7 13 1.465614 11 14 25 2.818489 4 4 8 0.901917 15 15 30 3.382187 158 297 0 0 120 41 0 9 447 0

0 0 0 0 0 0 0 0 87 88 175 31.08348 1 4 5 0.888099 0 0 0 0 199 3 0 0 206 56 4 262 206 0

0 0 0 0 5 14 2 4 2 6 8 1.877934 0 0 0 0 0 0 0 0 254 0 4 0 52 202 0 254 254 0

0 0 0 0 1 4 5 1.52439 4 31 35 10.67073 2 11 13 3.963415 0 0 0 0 146 12 0 0 77 81 44 0 146 0

0 0 0 0 3 19 22 6.232295 4 45 49 13.88102 3 19 22 6.232295 24 114 138 39.09348 213 0 0 0 193 20 0 213 0 0

0 0 0 0 0 0 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 3 6 0.453515 0 0 0 0 14 26 40 3.023432 12 20 32 2.418745 10 10 20 1.511716 749 21 0 0 659 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 67 121 7.653384 347 0 0 0 391 336 0 717 344 0

1 0 1 0.127877 0 1 1 0.127877 0 5 5 0.639386 0 1 1 0.127877 0 1 1 0.127877 107 0 31 0 67 154 52 21 289 0

0 0 0 0 0 0 0 0 5 10 15 2.918288 4 6 10 1.945525 0 0 0 0 50 4 0 0 183 0 0 183 0 0

0 1 1 0.165289 0 0 0 0 4 2 6 0.991736 0 1 1 0.165289 0 0 0 0 218 0 0 0 224 0 0 196 0 0

0 0 0 0 0 0 0 0 7 9 16 1.188707 4 6 10 0.742942 0 0 0 0 180 87 5 0 86 68 125 0 0 0


4 4 8 0.049847 15 45 60 0.373855 148 282 430 2.679295 39 98 137 0.853636 190 516 706 4.399028 3766 425 49 0 2700 1294 416 2706 2164 0
Jumlah
Kunjungan Ket.
Rumah

27 28

21

21

69
151
KABUPATEN :Pidie
BULAN :
Sasaran Lansia

45-59 60-69 > 70 Jumlah Total Lansia (45-70) 45-59 60-69


Jumlah Jumlah
Jumlah
No Puskesmas Posyandu
Jumlah Desa Kelompok Panti
Lansia Wredha
Laki-laki Perempuan Total ( L + P ) Laki-laki
L P (L+P) L P (L+P) L P (L+P) L P (L+P) Jumlah
B L (B+L) B L (B+L) (B+ (%) B L (B+L)
L)
1 2 3 4 5 6

1 Geumpang 9 5 9 0 422 383 805 117 124 241 66 87 153 605 594 1199 2 4 6 6 18 24 30 3.72670807 0 15 15

2 mane 12 4 11 0 514 517 1031 143 167 310 80 118 198 737 802 1539 0 0 0 0 0 0 0 0 6 37 43

3 Glp. Tiga 17 17 17 0 366 504 870 129 163 292 74 125 199 569 792 1361 0 5 5 0 5 5 10 1.14942529 0 97 97

4 Teupin Raya 10 10 10 0 632 662 1294 173 217 390 98 153 251 903 1032 1935 5 3 8 25 33 58 66 5.10046368 2 47 49

5 Glp. Baro 12 12 12 0 600 690 1290 167 223 390 94 157 251 861 1070 1931 3 6 9 30 55 85 94 7.28682171 1 56 57

6 Mutiara Timur 9 9 9 0 856 928 1784 238 300 538 134 211 345 1228 1439 2667 8 4 12 26 5 31 43 2.4103139 6 28 34

7 Ujong Rimba 14 14 14 0 1123 1218 2341 312 394 706 117 278 395 1552 1890 3442 57 289 346 50 449 499 845 36.0956856 22 157 179

8 Mutiara Barat 18 18 18 0 1192 1278 2470 332 413 745 187 292 479 1711 1983 3694 0 0 0 1 14 15 15 0.60728745 2 46 48

9 Tiro 760 491 1251 128 159 287 72 112 184 960 762 1722 0 0 0 0 24 24

10 Tangse 1552 1599 3151 432 517 949 244 364 608 2228 2480 4708 0 0 0 0 24 24

11 Keumala 18 18 18 0 579 615 1194 161 199 360 91 140 231 831 954 1785 0 20 20 15 161 176 196 16.4154104 1 32 33

12 Titeu 9 9 9 0 410 408 818 114 135 249 64 93 157 588 636 1224 0 6 6 0 47 47 53 6.4792176 0 0 0

13 Sakti 25 25 25 0 1227 295 1522 342 419 761 193 296 489 1762 1010 2772 8 18 26 23 123 146 172 11.3009198 4 200 204

14 Mila 4 4 4 0 512 568 1080 142 185 327 80 130 210 734 883 1617 5 6 11 16 32 48 59 5.46296296 6 35 41

15 padang Tiji 8 8 8 0 1300 1332 2632 362 431 793 205 303 508 1867 2066 3933 117 0 117 126 0 126 243 9.2325228 43 180 223

16 Delima 24 24 24 0 706 772 1478 196 250 446 111 176 287 1013 1198 2211 45 4 49 55 20 75 124 8.38971583 17 63 80

17 Reubee 10 10 10 0 490 535 1025 136 173 309 77 122 199 703 830 1533 4 4 8 36 11 47 55 5.36585366 3 54 57

18 Grong-Grong 8 8 8 0 401 402 803 112 139 251 63 98 161 576 639 1215 20 3 23 18 40 58 81 10.0871731 4 37 41

19 Indrajaya 18 18 18 0 1323 1453 2776 368 470 838 208 331 539 1899 2254 4153 2 9 11 50 145 195 206 7.42074928 12 134 146

20 Peukan Baro 9 9 9 0 1177 1270 2447 328 410 738 185 290 475 1690 1970 3660 3 1 4 8 19 27 31 1.26685738 4 106 110

21 Kb. Tanjong 6 6 6 0 1266 1320 2586 352 428 780 199 302 501 1817 2050 3867 84 0 84 98 0 98 182 7.03789637 34 185 219

22 Sp. Tiga 17 17 17 0 1301 1419 2720 362 458 820 205 324 529 1868 2201 4069 34 217 251 83 379 462 713 26.2132353 23 183 206

23 Kota Sigli 21 21 21 0 1251 1273 2524 348 412 760 197 170 367 1796 1855 3651 13 23 36 37 107 144 180 7.13153724 13 118 131

24 Pidie 6 6 6 0 2592 2746 5338 722 887 1609 407 626 1033 3721 4259 7980 0 0 0 28 0 28 28 0.52454103 3 47 50

25 Batee 28 28 28 0 1198 1224 2422 333 396 729 189 279 468 1720 1899 3619 27 25 52 34 72 106 158 6.52353427 9 113 122

26 Muara Tiga 6 6 6 0 1164 1172 2336 324 379 703 183 268 451 1671 1819 3490 15 23 38 15 21 36 74 3.16780822 14 368 382
JUMLAH 318 306 317 0 24,914 25,074 49988 6873 8448 15321 3823 5845 9668 35610 39367 74977 452 670 1122 780 1756 2536 3658 7.31775626 229 2421 2650

Mengetahui
Kepala Puskesmas

______________________________
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT KABUPATEN

Jumlah Kunjungan Lansia Kegiatan sehari-hari

60-69 > 70 Total Kunjungan Kemandirian Lansia IMT


Ggn ME
Perempuan Total ( L + P ) Laki-laki Perempuan Total ( L + P ) 45 - > 70 A B C Lebih Normal
Jumlah Jumlah
B L (B+L) (%) B L (B+L) B L (B+L) (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L
(B+L) +L)
6 7 8 9

1 30 31 46 19.087137 2 14 16 1 33 34 50 32.679739 37 89 126 10.508757 60 47.61905 90 71.42857 0 0 0 0 0 0 0 0 0

21 102 123 166 53.548387 9 29 38 10 51 61 99 50 81 184 265 17.218973 70 26.41509 0 0 0 0 0 0 0 0 0 0 0

0 129 129 226 77.39726 0 78 78 0 84 84 162 81.407035 180 218 398 29.243204 5 1.256281 0 0 0 0 0 0 0 0 0 0 0

6 160 166 215 55.128205 3 36 39 11 102 113 152 60.557769 96 337 433 22.377261 128 29.5612 2 0.461894 0 0 0 8 1 14 15 3.464203 0

6 144 150 207 53.076923 1 42 43 0 132 132 175 69.721116 109 367 476 24.65044 171 35.92437 9 1.890756 0 0 0 0 0 2 2 0.420168 21

5 55 60 94 17.472119 8 25 33 3 109 112 145 42.028986 79 203 282 10.573678 58 20.56738 0 0 0 0 0 0 0 0 0 0 21

23 190 213 392 55.524079 2 97 99 1 130 131 230 58.227848 624 843 1467 42.620569 145 9.884117 9 0.613497 2 0.136333 1 1 5 3 8 0.545331 72

6 271 277 325 43.624161 1 40 41 2 166 168 209 43.632568 89 460 549 14.861938 266 48.45173 2 0.364299 0 0 0 0 0 0 0 0

77 77 101 35.191638 9 9 71 71 80 43.478261 33 148 181 10.511034 0 0 0 0 0

36 36 60 6.3224447 48 48 40 40 88 14.473684 72 76 148 3.1435854 0 0 0 0 0

1 167 168 201 55.833333 1 49 50 2 142 144 194 83.982684 103 488 591 33.109244 96 16.24365 40 6.76819 11 1.861252 0 0 0 0 0 0 11

0 0 0 0 0 0 0 0 0 0 0 0 0 6 47 53 4.3300654 114 215.0943 6 11.32075 0 0 0 0 0 0 0 0 0

19 357 376 580 76.215506 2 140 142 19 193 212 354 72.392638 372 734 1106 39.89899 52 4.701627 1 0.090416 22 1.98915 0 0 0 0 0 0 0

6 104 110 151 46.17737 6 34 40 8 89 97 137 65.238095 92 255 347 21.459493 81 23.34294 0 0 0 0 0 0 0 0 0 0 0

54 193 247 470 59.2686 28 99 127 39 138 177 304 59.84252 467 550 1017 25.858124 302 29.69518 99 9.734513 5 0.491642 8 9 9 14 23 2.261554 172

21 155 176 256 57.399103 8 43 51 11 146 157 208 72.473868 180 408 588 26.594301 262 44.55782 0 0 0 0 0 0 17 30 47 7.993197 99

61 136 197 254 82.200647 6 34 40 30 86 116 156 78.39196 105 360 465 30.332681 159 34.19355 0 0 0 0 0 0 5 9 14 3.010753 6

6 98 104 145 57.768924 4 17 21 2 94 96 117 72.670807 85 258 343 28.230453 118 34.40233 17 4.956268 2 0.58309 4 20 2 23 25 7.28863 29

31 269 300 446 53.221957 2 70 72 20 161 181 253 46.938776 69 420 489 11.774621 273 55.82822 3 0.613497 0 0 0 0 6 12 18 3.680982 16

10 311 321 431 58.401084 2 109 111 5 263 268 379 79.789474 225 616 841 22.978142 92 10.93936 1 0.118906 2 0.237812 0 0 7 38 45 5.350773 6

43 315 358 577 73.974359 20 152 172 29 194 223 395 78.842315 475 679 1154 29.842255 98 8.492201 16 1.386482 12 1.039861 4 1 5 7 12 1.039861 133

83 416 499 705 85.97561 14 107 121 14 279 293 414 78.26087 578 1254 1832 45.023347 297 16.21179 0 0 6 0.327511 0 0 0 0 0 0 0

18 202 220 351 46.184211 5 33 38 5 291 296 334 91.008174 205 660 865 23.692139 304 35.14451 12 1.387283 19 2.196532 1 8 3 26 29 3.352601 0

28 221 249 299 18.582971 3 31 34 22 158 180 214 20.71636 84 457 541 6.7794486 93 17.19039 0 0 6 1.109057 0 0 2 22 24 4.436229 2

16 172 188 310 42.524005 9 82 91 16 107 123 214 45.726496 265 417 682 18.844985 236 34.60411 0 0 0 0 0 0 24 47 71 10.41056 44

12 376 388 770 109.53058 14 230 244 16 273 289 533 118.18182 664 713 1377 39.455587 140 10.16703 42 3.050109 19 1.379811 0 0 18 18 36 2.614379 37
477 4672 5149 7799 50.903988 150 1637 1787 266 3344 3610 5397 55.823335 5559 11295 16854 22.478894 3620 21.47858 349 2.070725 106 0.628931 18 47 104 265 369 2.189391 669
Jumlah Lansia dengan Kelainan

IMT Tekanan Darah


Hb Kurang Kolesterol tinggi DM As. Urat tinggi
Normal Kurang Tinggi Normal Rendah

P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P)

9 10 11 12 13 14

0 0 0 0 0 0 0 4 21 25 19.84127 1 33 34 26.98413 2 6 8 6.349206 0 0 0 0 0 0 0 0 0 1 1 0.793651 0 0 0

6 6 2.2641509 0 6 6 2.264151 8 21 29 10.9434 6 8 14 5.283019 1 5 6 2.264151 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4

0 0 0 0 0 0 0 0 0 0 0 40 144 184 46.23116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2

0 0 0 0 5 5 1.154734 4 28 32 7.3903 0 0 0 0 2 9 11 2.540416 0 0 0 0 0 1 1 0.230947 1 7 8 1.847575 0 3 3

156 177 37.184874 0 0 0 0 3 29 32 6.722689 17 116 133 27.94118 1 14 15 3.151261 0 0 0 0 1 2 3 0.630252 0 2 2 0.420168 0 0 0

31 52 18.439716 0 0 0 0 1 5 6 2.12766 16 33 49 17.37589 1 0 1 0.35461 0 0 0 0 3 4 7 2.48227 2 0 2 0.70922 0 0 0

67 139 9.4751193 4 4 8 0.545331 6 6 12 0.817996 74 61 135 9.202454 2 7 9 0.613497 0 0 0 0 3 3 6 0.408998 1 2 3 0.204499 2 3 5

0 0 0 0 0 0 0 4 13 17 3.096539 0 0 0 0 1 2 3 0.546448 0 0 0 0 0 3 3 0.546448 0 2 2 0.364299 1 3 4

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

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

119 130 21.996616 3 0 3 0.507614 9 28 37 6.260575 7 101 108 18.27411 0 1 1 0.169205 0 0 0 0 0 0 0 0 0 1 1 0.169205 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 2 2 4 7.54717 2 0 2

0 0 0 0 0 0 0 4 19 23 2.079566 5 21 26 2.350814 1 1 2 0.180832 0 0 0 0 0 2 2 0.180832 1 0 1 0.090416 0 7 7

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0.576369 0 0 0 0 0 0 0 0 0 0 0 0 1 7 8

196 368 36.184857 7 9 16 1.573255 12 22 34 3.343166 148 172 320 31.46509 7 9 16 1.573255 0 0 0 0 8 8 16 1.573255 1 4 5 0.491642 0 0 0

105 204 34.693878 1 9 10 1.70068 21 17 38 6.462585 95 123 218 37.07483 0 6 6 1.020408 0 0 0 0 2 1 3 0.510204 2 10 12 2.040816 0 0 0

47 53 11.397849 3 0 3 0.645161 10 34 44 9.462366 38 121 159 34.19355 138 0 138 29.67742 0 5 5 1.075269 5 8 13 2.795699 22 33 55 11.82796 2 4 6

58 87 25.364431 0 24 24 6.997085 5 22 27 7.87172 24 75 99 28.86297 0 8 8 2.332362 0 0 0 0 2 3 5 1.457726 2 6 8 2.332362 0 0 0

89 105 21.472393 2 3 5 1.022495 11 34 45 9.202454 28 74 102 20.8589 1 1 2 0.408998 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

31 37 4.3995244 2 11 13 1.545779 7 29 36 4.280618 6 48 54 6.420927 2 3 5 0.59453 0 0 0 0 0 2 2 0.237812 0 1 1 0.118906 0 2 2

163 296 25.649913 3 3 6 0.519931 8 13 21 1.819757 124 233 357 30.93588 2 4 6 0.519931 2 2 4 0.34662 3 5 8 0.693241 3 7 10 0.866551 4 6 10

0 0 0 0 6 6 0.327511 12 51 63 3.438865 0 0 0 0 0 2 2 0.10917 0 1 1 0.054585 2 10 12 0.655022 4 14 18 0.982533 1 8 9

0 0 0 0 13 13 1.50289 11 49 60 6.936416 0 0 0 0 1 5 6 0.693642 0 0 0 0 2 6 8 0.924855 0 0 15 1.734104 2 10 12

22 24 4.4362292 1 44 45 8.31793 1 24 25 4.621072 4 58 62 11.46026 0 6 6 1.109057 0 0 0 0 0 6 6 1.109057 0 5 5 0.924214 0 12 12

98 142 20.821114 15 23 38 5.571848 31 52 83 12.17009 43 90 133 19.50147 3 20 23 3.372434 0 7 7 1.026393 2 0 2 0.293255 1 5 6 0.879765 1 0 1

47 84 6.1002179 30 35 65 4.720407 30 26 56 4.066812 39 36 75 5.446623 35 26 61 4.42992 0 0 0 0 4 2 6 0.43573 8 6 14 1.016703 14 38 52


1235 1904 11.297021 71 195 266 1.57826 202 543 745 4.420316 715 1547 2262 13.42115 201 136 337 1.999525 2 15 17 0.100866 37 66 103 0.611131 50 108 158 0.937463 31 109 140
Pengobatan
Konseling

As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan
Lansia Wredha dibina

B L S
(%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)

14 15 16 17 18 19 20 21 22 24 25 26

0 0 0 0 0 0 0 0 0 2 1 3 2.380952 2 1 3 2.380952 0 0 0 0 20 0 2 0 0 0 0 69 0 0

1.509434 0 0 0 0 0 0 0 0 7 9 16 6.037736 1 2 3 1.132075 3 9 12 4.528302 14 0 0 24 46 0 24 70 0 0

0.502513 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 34 52 13.06533 201 0 0 0 162 215 377 381 202 0

0.692841 0 0 0 0 0 2 2 0.461894 0 15 15 3.464203 0 0 0 0 13 72 85 19.63048 127 0 0 0 21 28 49 121 112 0

0 0 0 0 0 0 0 0 0 0 1 1 0.210084 0 1 1 0.210084 0 0 0 0 180 0 0 0 41 139 180 178 171 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 55 0 55 55 0 0

0.340832 0 6 6 0.408998 0 0 0 0 1 2 3 0.204499 0 4 4 0.272665 74 62 136 9.27062 0 0 3 0 47 41 88 0 0 0

0.728597 0 0 0 0 0 0 0 0 2 11 13 2.367942 2 11 13 2.367942 38 173 211 38.43352 268 0 0 0 41 37 42 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

0.169205 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 146 0 0 0 22 116 138 146 99 0

3.773585 0 0 0 0 0 0 0 0 0 2 2 3.773585 0 2 2 3.773585 15 100 115 216.9811 116 0 4 0 3 117 120 0 0 0

0.632911 0 0 0 0 0 0 0 0 0 3 3 0.271248 1 4 5 0.45208 0 4 4 0.361664 71 1 0 0 33 0 33 0 0 0

2.305476 0 0 0 0 0 0 0 0 1 5 6 1.729107 1 7 8 2.305476 8 24 32 9.221902 98 0 0 0 47 46 81 0 0 0

0 0 0 0 0 5 6 11 1.081613 23 28 51 5.014749 5 9 14 1.376598 24 25 49 4.818092 154 0 0 0 154 0 0 8 302 0

0 0 0 0 0 0 0 0 0 77 93 170 28.91156 2 7 9 1.530612 0 0 0 0 254 9 0 0 204 102 10 308 204 0

1.290323 0 0 0 0 0 1 1 0.215054 1 1 2 0.430108 1 1 2 0.430108 1 2 3 0.645161 175 0 0 0 16 15 31 175 175 0

0 0 0 0 0 2 12 14 4.081633 8 44 52 15.16035 4 26 30 8.746356 0 0 0 0 119 0 0 0 44 68 40 31 118 0

0 0 0 0 0 3 19 22 4.498978 4 43 47 9.611452 3 19 22 4.498978 24 114 138 28.22086 273 0 0 0 47 239 286 273 0 0

0.237812 0 0 0 0 0 1 1 0.118906 2 16 18 2.140309 1 13 14 1.664685 0 0 0 0 0 0 0 0 30 46 76 91 69 0

0.866551 1 0 1 0.086655 0 0 0 0 3 8 11 0.953206 3 4 7 0.606586 10 10 20 1.733102 291 17 0 0 308 0 308 0 0 0

0.491266 0 3 3 0.163755 2 7 9 0.491266 1 2 3 0.163755 3 1 4 0.218341 38 45 83 4.530568 87 0 42 0 67 173 59 21 311 0

1.387283 0 0 0 0 0 6 6 0.693642 0 12 12 1.387283 4 9 13 1.50289 26 78 104 12.02312 78 0 33 0 59 187 66 21 309 0

2.218115 1 0 1 0.184843 0 0 0 0 0 13 13 2.402957 2 7 9 1.663586 0 0 0 0 83 10 0 0 93 0 93 93 0 0

0.146628 0 0 0 0 0 0 0 0 1 8 9 1.319648 0 0 0 0 0 0 0 0 269 0 0 0 0 269 269 269 0 0

3.776325 0 0 0 0 0 0 0 0 4 3 7 0.508351 2 3 5 0.363108 0 0 0 0 131 56 0 0 58 41 101 0 0 0


0.830663 2 9 11 0.065266 12 54 66 0.391598 137 320 457 2.711522 37 131 168 0.996796 292 752 1044 6.194375 3210 93 84 24 1598 1879 2526 2310 2074 0
Jumlah
Kunjungan Ket.
Rumah

27 28

23

22

22

51
178
KABUPATEN :Pidie
BULAN :
Sasaran Lansia

45-59 60-69 > 70 Jumlah Total Lansia (45-70) 45-59 60-69


Jumlah Jumlah
Jumlah
No Puskesmas Posyandu
Jumlah Desa Kelompok Panti
Lansia Wredha
Laki-laki Perempuan Total ( L + P ) Laki-laki
L P (L+P) L P (L+P) L P (L+P) L P (L+P) Jumlah
B L (B+L) B L (B+L) (B+ (%) B L (B+L)
L)
1 2 3 4 5 6

1 Geumpang 5 5 5 0 422 383 805 117 124 241 66 87 153 605 594 1199 7 8 15 8 14 22 37 4.59627329 4 15 19

2 Mane 4 4 4 0 514 517 1031 143 167 310 80 118 198 737 802 1539 0 0 0 0 0 0 0 0 1 43 44

3 Glp. Tiga 7 7 7 0 366 504 870 129 163 292 74 125 199 569 792 1361 7 8 15 30 36 66 81 9.31034483 5 97 102

4 Teupin Raya 10 10 10 0 632 662 1294 173 217 390 98 153 251 903 1032 1935 4 9 13 20 36 56 69 5.33230294 4 49 53

5 Glp. Baro 12 12 0 0 600 690 1290 167 223 390 94 157 251 861 1070 1931 9 1 10 17 35 52 62 4.80620155 3 57 60

6 Mutiara Timur 856 928 1784 238 300 538 134 211 345 1228 1439 2667 0 0 0 0 34 34

7 Ujong Rimba 15 15 0 0 1123 1218 2341 312 394 706 117 278 395 1552 1890 3442 33 349 382 18 502 520 902 38.5305425 15 179 194

8 Mutiara Barat 18 18 18 0 1192 1278 2470 332 413 745 187 292 479 1711 1983 3694 0 1 1 5 8 13 14 0.56680162 3 48 51

9 Tiro 760 491 1251 128 159 287 72 112 184 960 762 1722 0 0 0 0 24 24

10 Tangse 1552 1599 3151 432 517 949 244 364 608 2228 2480 4708 0 0 0 0 24 24

11 Keumala 18 18 18 0 579 615 1194 161 199 360 91 140 231 831 954 1785 0 20 20 19 176 195 215 18.0067002 3 33 36

12 Titeu 410 408 818 114 135 249 64 93 157 588 636 1224 0 0 0 0 0 0

13 Sakti 25 25 25 0 1227 295 1522 342 419 761 193 296 489 1762 1010 2772 4 20 24 21 126 147 171 11.2352168 7 204 211

14 Mila 4 4 4 0 512 568 1080 142 185 327 80 130 210 734 883 1617 11 9 20 9 27 36 56 5.18518519 6 41 47

15 padang Tiji 5 5 0 0 1300 1332 2632 362 431 793 205 303 508 1867 2066 3933 73 0 73 79 0 79 152 5.77507599 27 223 250

16 Delima 24 24 24 0 706 772 1478 196 250 446 111 176 287 1013 1198 2211 99 8 107 100 17 117 224 15.1556157 29 80 109

17 Reubee 490 535 1025 136 173 309 77 122 199 703 830 1533 0 0 0 0 57 57

18 Grong-Grong 8 8 8 0 401 402 803 112 139 251 63 98 161 576 639 1215 19 3 22 10 44 54 76 9.46450809 5 41 46

19 Indrajaya 10 10 10 0 1323 1453 2776 368 470 838 208 331 539 1899 2254 4153 0 6 27 0 115 115 142 5.11527378 0 146 146

20 Peukan Baro 4 4 4 0 1177 1270 2447 328 410 738 185 290 475 1690 1970 3660 4 2 6 11 6 17 23 0.93992644 4 110 114

21 Kb. Tanjong 6 6 6 0 1266 1320 2586 352 428 780 199 302 501 1817 2050 3867 289 0 289 292 0 292 581 22.4671307 79 219 298

22 Sp. Tiga 26 26 26 0 1301 1419 2720 362 458 820 205 324 529 1868 2201 4069 25 251 276 71 462 533 809 29.7426471 8 206 214

23 Kota Sigli 21 21 21 0 1251 1273 2524 348 412 760 197 170 367 1796 1855 3651 13 14 27 22 88 110 137 5.42789223 9 131 140

24 Pidie 6 6 6 0 2592 2746 5338 722 887 1609 407 626 1033 3721 4259 7980 4 0 4 42 0 42 46 0.86174597 2 50 52

25 Batee 28 28 28 0 1198 1224 2422 333 396 729 189 279 468 1720 1899 3619 75 676 751 138 727 865 1616 66.7217176 0 122 122

26 Muara Tiga 4 4 4 0 1164 1172 2336 324 379 703 183 268 451 1671 1819 3490 17 17 34 18 16 34 68 2.9109589 16 382 398
JUMLAH 260 260 228 0 24,914 25,074 49988 6873 8448 15321 3823 5845 9668 35610 39367 74977 693 1402 2095 930 2435 3365 5460 10.9226214 230 2650 2880

Mengetahui
Kepala Puskesmas

______________________________
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT KABUPATEN

Jumlah Kunjungan Lansia Kegiatan sehari-hari

60-69 > 70 Total Kunjungan Kemandirian Lansia IMT


Ggn ME
Perempuan Total ( L + P ) Laki-laki Perempuan Total ( L + P ) 45 - > 70 A B C Lebih Normal
Jumlah Jumlah
B L (B+L) (%) B L (B+L) B L (B+L) (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L
(B+L) +L)
6 7 8 9

7 31 38 57 23.651452 2 16 18 0 34 34 52 33.986928 52 94 146 12.176814 78 53.42466 5 3.424658 0 0 0 0 0 0 0 0 0

3 123 126 170 54.83871 3 38 41 2 61 63 104 52.525253 85 189 274 17.803769 40 14.59854 0 0 0 0 0 0 0 0 0 0 0

25 129 154 256 87.671233 2 78 80 20 84 104 184 92.462312 197 324 521 38.280676 0 0 0 0 0 0 0 0 0 0 0 0 0

11 166 177 230 58.974359 0 39 39 4 113 117 156 62.151394 105 350 455 23.514212 143 0 0 0 0 0 0 0 0 0 0 0 0

2 150 152 212 54.358974 5 43 48 1 132 133 181 72.111554 118 337 455 23.562921 113 24.83516 0 0 0 0 0 0 0 0 0 0 0

60 60 94 17.472119 33 33 112 112 145 42.028986 67 172 239 8.9613798 0 0 0 0 0

17 213 230 424 60.056657 10 99 109 5 131 136 245 62.025316 685 886 1571 45.642069 97 6.174411 0 0 4 0.254615 1 1 0 3 3 0.190961 91

7 277 284 335 44.966443 0 41 41 1 168 169 210 43.841336 93 466 559 15.132648 144 25.76029 2 0.357782 1 0.178891 0 0 0 0 0 0 0

77 77 101 35.191638 9 9 71 71 80 43.478261 33 148 181 10.511034 0 0 0 0 0

36 36 60 6.3224447 48 48 40 40 88 14.473684 72 76 148 3.1435854 0 0 0 0 0

1 168 169 205 56.944444 1 50 51 1 144 145 196 84.848485 107 509 616 34.509804 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

27 376 403 614 80.683311 2 142 144 25 212 237 381 77.91411 379 787 1166 42.063492 58 4.974271 0 0 28 2.401372 0 0 0 0 0 0 0

12 110 122 169 51.681957 5 40 45 14 97 111 156 74.285714 112 269 381 23.562152 0 0 0 0 0

34 247 281 531 66.960908 14 127 141 25 177 202 343 67.519685 464 562 1026 26.086957 192 18.71345 57 5.555556 3 0.292398 6 4 8 9 17 1.65692 105

13 176 189 298 66.816143 17 51 68 17 157 174 242 84.320557 284 480 764 34.5545 353 46.20419 1 0.13089 0 0 0 0 24 50 74 9.685864 132

197 197 254 82.200647 40 40 116 116 156 78.39196 97 313 410 26.744945 0 0 0 0 0

5 104 109 155 61.752988 0 21 21 5 96 101 122 75.776398 89 264 353 29.053498 130 36.8272 22 6.232295 0 0 3 19 4 36 40 11.33144 33

0 300 300 446 53.221957 0 72 72 0 181 181 253 46.938776 36 235 271 6.5254033 151 55.71956 1 0.369004 0 0 0 0 4 8 12 4.428044 11

5 321 326 440 59.620596 2 111 113 1 268 269 382 80.421053 233 612 845 23.087432 12 1.420118 0 0 0 0 0 0 4 13 17 2.011834 6

94 358 452 750 96.153846 86 172 258 78 223 301 559 111.57685 845 1045 1890 48.875097 384 20.31746 17 0.899471 13 0.687831 2 1 7 12 19 1.005291 407

0 499 499 713 86.95122 5 121 126 3 293 296 422 79.773157 616 1328 1944 47.775866 265 13.63169 0 0 0 0 0 0 0 0 0 0 0

15 220 235 375 49.342105 4 38 42 6 296 302 344 93.73297 209 647 856 23.445631 313 36.56542 7 0.817757 23 2.686916 1 1 8 14 22 2.570093 0

33 249 282 334 20.758235 13 34 47 13 180 193 240 23.233301 103 517 620 7.7694236 95 15.32258 0 0 0 0 0 0 4 32 36 5.806452 2

0 188 188 310 42.524005 0 91 91 0 123 123 214 45.726496 964 1176 2140 59.132357 698 32.61682 0 0 0 0 0 0 5 7 12 0.560748 306

13 388 401 799 113.65576 8 244 252 8 289 297 549 121.72949 684 732 1416 40.573066 91 6.426554 52 3.672316 22 1.553672 0 1 14 13 27 1.90678 39
324 5149 5473 8353 54.51994 179 1787 1966 229 3610 3839 5805 60.043442 6941 12677 19618 26.165357 3357 17.11184 164 0.835967 94 0.479152 13 27 82 197 279 1.422163 1132
Jumlah Lansia dengan Kelainan

IMT Tekanan Darah


Hb Kurang Kolesterol tinggi DM As. Urat tinggi
Normal Kurang Tinggi Normal Rendah

P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P)

9 10 11 12 13 14

0 0 0 0 0 0 0 12 23 35 23.9726 16 20 36 24.65753 4 8 12 8.219178 0 0 0 0 0 1 1 0.684932 1 0 1 0.684932 0 0 0

0 0 0 1 3 4 1.459854 8 15 23 8.394161 0 0 0 0 0 1 1 0.364964 0 0 0 0 0 0 0 0 1 2 3 1.094891 0 3 3

0 0 0 0 0 0 0 5 8 13 2.495202 25 24 49 9.40499 7 9 16 3.071017 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 3 29 32 7.032967 0 7 7 1.538462 0 2 2 0.43956 0 0 0 0 2 6 8 1.758242 0 9 9 1.978022 1 15 16

0 0 0 0 0 0 0 2 15 17 3.736264 21 73 94 20.65934 0 3 3 0.659341 0 0 0 0 1 2 3 0.659341 1 2 3 0.659341 0 0 0

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

35 126 8.0203692 3 2 5 0.318269 0 1 1 0.063654 55 36 91 5.792489 0 0 0 0 1 1 2 0.127307 2 2 4 0.254615 0 0 0 0 0 1 1

0 0 0 0 0 0 0 3 10 13 2.325581 0 0 0 0 0 2 2 0.357782 0 0 0 0 0 1 1 0.178891 1 3 4 0.715564 0 1 1

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

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

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

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 0 0 0 0 0 0 4 20 24 2.058319 2 17 19 1.629503 1 9 10 0.857633 0 0 0 0 2 4 6 0.51458 0 3 3 0.25729 1 5 6

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

124 229 22.319688 1 5 6 0.584795 21 28 49 4.775828 89 106 195 19.00585 4 4 8 0.779727 0 0 0 0 0 0 0 0 2 0 2 0.194932 0 0 0

137 269 35.209424 2 11 13 1.701571 38 61 99 12.95812 123 128 251 32.8534 0 8 8 1.04712 0 0 0 0 1 11 12 1.570681 0 0 0 0 0 0 0

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

62 95 26.912181 3 14 17 4.815864 9 24 33 9.348442 31 68 99 28.04533 0 6 6 1.699717 0 0 0 0 6 6 12 3.399433 0 4 4 1.133144 0 0 0

54 65 23.98524 2 2 4 1.476015 7 20 27 9.9631 10 39 49 18.08118 1 1 2 0.738007 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 14 1.6568047 2 6 8 0.946746 1 4 5 0.591716 11 18 29 3.431953 0 4 4 0.473373 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

451 858 45.396825 3 4 7 0.37037 15 15 0.793651 279 386 665 35.18519 6 9 15 0.793651 2 4 6 0.31746 3 5 8 0.42328 4 10 14 0.740741 10 14 24

0 0 0 0 0 0 0 28 50 78 4.012346 64 123 187 9.619342 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0.257202 34 62 96

0 0 0 0 13 13 1.518692 11 49 60 7.009346 0 0 0 0 1 5 6 0.700935 0 0 0 0 2 6 8 0.934579 0 0 15 1.752336 2 10 12

27 29 4.6774194 3 32 35 5.645161 3 23 26 4.193548 0 70 70 11.29032 1 8 9 1.451613 0 0 0 0 1 7 8 1.290323 1 4 5 0.806452 1 16 17

352 658 30.747664 2 0 2 0.093458 123 145 268 12.52336 144 162 306 14.29907 54 51 105 4.906542 0 0 0 0 2 2 4 0.186916 3 2 5 0.233645 15 17 32

40 79 5.579096 26 26 52 3.672316 17 18 35 2.471751 27 21 48 3.389831 19 16 35 2.471751 0 0 0 0 4 4 8 0.564972 3 5 8 0.564972 12 16 28


1290 2422 12.345805 48 118 166 0.846162 295 558 853 4.348048 897 1298 2195 11.1887 98 146 244 1.243756 3 5 8 0.040779 26 57 83 0.423081 20 46 66 0.336426 76 160 236
Pengobatan
Konseling

As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan
Lansia Wredha dibina

B L S
(%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)

14 15 16 17 18 19 20 21 22 24 25 26

0 0 0 0 0 0 0 0 0 1 0 1 0.684932 3 0 3 2.054795 0 0 0 0 35 0 1 0 2 3 0 83 0 0

1.094891 0 0 0 0 0 0 0 0 8 11 19 6.934307 3 4 7 2.554745 2 5 7 2.554745 13 0 0 0 10 0 30 40 0 0

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

3.516484 0 0 0 0 0 0 0 0 0 16 16 3.516484 0 0 0 0 10 58 68 14.94505 143 0 0 0 98 0 0 140 133 0

0 0 0 0 0 0 0 0 0 1 2 3 0.659341 1 0 1 0.21978 0 0 0 0 113 0 0 0 37 76 0 113 113 0

0 0 0 0 0 0 0 0 0 0 0

0.063654 0 0 0 0 0 0 0 0 1 1 2 0.127307 0 1 1 0.063654 51 35 86 5.47422 0 0 2 0 23 41 23 50 0 0

0.178891 0 0 0 0 0 0 0 0 3 8 11 1.9678 4 7 11 1.9678 16 93 109 19.49911 146 0 0 0 16 18 19 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 0 0 0 0 0 0

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

0.51458 0 0 0 0 0 0 0 0 0 4 4 0.343053 1 3 4 0.343053 1 14 15 1.286449 67 0 1 1 41 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 1 0 1 0.097466 3 2 5 0.487329 14 13 27 2.631579 3 4 7 0.682261 11 12 23 2.241715 82 0 0 0 82 0 0 0 207 0

0 0 0 0 0 0 0 0 0 145 130 275 35.99476 0 0 0 0 0 0 0 0 354 0 0 0 275 79 10 354 275 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 4 4 1.133144 15 58 73 20.67989 2 12 14 3.966006 0 0 0 0 135 17 0 0 50 102 45 42 132 0

0 0 0 0 0 1 12 13 4.797048 2 25 27 9.9631 3 15 18 6.642066 15 62 77 28.41328 151 0 0 0 35 116 0 151 0 0

0 0 0 0 0 0 0 0 0 3 6 9 1.065089 1 3 4 0.473373 0 0 0 0 0 0 0 0 29 9 0 38 34 0

1.269841 0 1 1 0.05291 0 0 0 0 10 9 19 1.005291 5 8 13 0.687831 10 13 23 1.216931 861 17 0 0 878 0 0 0 0 0

4.938272 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 57 85 4.372428 265 0 0 0 112 398 0 510 261 0

1.401869 0 0 0 0 0 6 6 0.700935 0 12 12 1.401869 4 9 13 1.518692 26 78 104 12.14953 78 0 33 0 59 187 66 21 309 0

2.741935 0 0 0 0 0 0 0 0 0 9 9 1.451613 0 2 2 0.322581 1 59 60 9.677419 81 25 0 0 101 0 0 101 0 0

1.495327 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 708 0 708 0 0

1.977401 0 0 0 0 0 0 0 0 2 4 6 0.423729 2 1 3 0.211864 0 0 0 0 134 26 0 0 56 32 83 0 0 0


1.202977 1 1 2 0.010195 4 24 28 0.142726 205 308 513 2.614945 32 69 101 0.514833 171 486 657 3.348965 2658 85 37 1 1904 1769 276 2351 1466 0
Jumlah
Kunjungan Ket.
Rumah

27 28

11

22

42
94
KABUPATEN :Pidie
BULAN :
Sasaran Lansia

45-59 60-69 > 70 Jumlah Total Lansia (45-70) 45-59 60-69


Jumlah Jumlah
Jumlah
No Puskesmas Posyandu
Jumlah Desa Kelompok Panti
Lansia Wredha
Laki-laki Perempuan Total ( L + P ) Laki-laki
L P (L+P) L P (L+P) L P (L+P) L P (L+P) Jumlah
B L (B+L) B L (B+L) (B+ (%) B L (B+L)
L)
1 2 3 4 5 6

1 Geumpang 9 9 9 0 422 383 805 117 124 241 66 87 153 605 594 1199 9 4 13 18 21 39 52 6.45962733 2 19 21

2 Mane 4 4 4 0 514 517 1031 143 167 310 80 118 198 737 802 1539 0 0 0 0 0 0 0 0 1 44 45

3 Glp. Tiga 366 504 870 129 163 292 74 125 199 569 792 1361 0 0 0 0 102 102

4 teupin raya 10 10 10 0 632 662 1294 173 217 390 98 153 251 903 1032 1935 5 7 12 30 49 79 91 7.0324575 0 53 53

5 Glp. Baro 12 12 12 0 600 690 1290 167 223 390 94 157 251 861 1070 1931 4 4 8 8 45 53 61 4.72868217 4 60 64

6 Mutiara Timur 14 14 14 0 856 928 1784 238 300 538 134 211 345 1228 1439 2667 30 382 412 32 520 552 964 54.0358744 23 34 57

7 Ujong Rimba 14 14 14 0 1123 1218 2341 312 394 706 117 278 395 1552 1890 3442 30 382 412 32 520 552 964 41.1789833 23 194 217

8 Mutiara Barat 17 17 17 0 1192 1278 2470 332 413 745 187 292 479 1711 1983 3694 0 4 4 7 25 32 36 1.45748988 0 51 51

9 Tiro 760 491 1251 128 159 287 72 112 184 960 762 1722 0 0 0 0 24 24

10 Tangse 1552 1599 3151 432 517 949 244 364 608 2228 2480 4708 0 0 0 0 24 24

11 Keumala 18 18 18 0 579 615 1194 161 199 360 91 140 290 831 954 1844 0 20 20 26 195 221 241 20.1842546 3 36 39

12 Titeu 6 6 6 0 410 408 818 114 135 249 64 93 157 588 636 1224 0 10 10 0 48 48 58 7.09046455 0 0 0

13 Sakti 25 25 25 0 1227 295 1522 342 419 761 193 296 489 1762 1010 2772 48 56 104 12 14 26 130 8.5413929 16 211 227

14 Mila 4 4 4 0 512 568 1080 142 185 327 80 130 210 734 883 1617 3 6 9 38 20 58 67 6.2037037 5 47 52

15 padang Tiji 9 9 9 0 1300 1332 2632 362 431 793 205 303 508 1867 2066 3933 60 0 60 126 0 126 186 7.0668693 58 250 308

16 Delima 24 24 24 0 706 772 1478 196 250 446 111 176 287 1013 1198 2211 16 11 27 20 48 68 95 6.42760487 6 109 115

17 Reubee 7 7 7 0 490 535 1025 136 173 309 77 122 199 703 830 1533 1 0 1 22 8 30 31 3.02439024 0 57 57

18 Grong-Grong 8 8 8 0 401 402 803 112 139 251 63 98 161 576 639 1215 3 4 7 11 60 71 78 9.7135741 2 46 48

19 Indrajaya 10 10 10 0 1323 1453 2776 368 470 838 208 331 539 1899 2254 4153 8 2 10 58 21 79 89 3.20605187 7 146 153

20 Peukan Baro 10 10 10 0 1177 1270 2447 328 410 738 185 290 475 1690 1970 3660 10 6 16 25 42 67 83 3.39190846 8 114 122

21 Kb. Tanjong 3 3 3 0 1266 1320 2586 352 428 780 199 302 501 1817 2050 3867 13 54 67 16 227 243 310 11.9876257 7 298 305

22 Sp. Tiga 18 18 18 0 1301 1419 2720 362 458 820 205 324 529 1868 2201 4069 33 276 309 74 533 607 916 33.6764706 8 214 222

23 Kota Sigli 15 15 15 0 1251 1273 2524 348 412 760 197 170 367 1796 1855 3651 12 68 80 32 91 123 203 8.04278922 26 140 166

24 Pidie 5 5 5 0 2592 2746 5338 722 887 1609 407 626 1033 3721 4259 7980 3 0 3 29 0 29 32 0.59947546 6 52 58

25 Batee 28 28 28 0 1198 1224 2422 333 396 729 189 279 468 1720 1899 3619 45 743 788 89 865 954 1742 71.9240297 5 122 127

26 Muara Tiga 3 3 3 0 1164 1172 2336 324 379 703 183 268 451 1671 1819 3490 2 6 8 23 19 42 50 2.14041096 4 398 402
JUMLAH 273 273 273 0 24,914 25,074 49988 6873 8448 15321 3823 5845 9668 35610 39367 74977 335 2045 2380 728 3371 4099 6479 12.9611107 214 2880 3094

Mengetahui
Kepala Puskesmas

______________________________
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT KABUPATEN

Jumlah Kunjungan Lansia Kegiatan sehari-hari

60-69 > 70 Total Kunjungan Kemandirian Lansia IMT


Ggn ME
Perempuan Total ( L + P ) Laki-laki Perempuan Total ( L + P ) 45 - > 70 A B C Lebih Normal
Jumlah Jumlah
B L (B+L) (%) B L (B+L) B L (B+L) (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L
(B+L) +L)
6 7 8 9

2 38 40 61 25.311203 1 18 19 0 34 34 53 34.640523 53 113 166 13.844871 73 43.9759 6 3.614458 0 0 0 0 0 0 0 0 0

3 126 129 174 56.129032 3 41 44 2 63 65 109 55.050505 89 194 283 18.388564 40 14.13428 0 0 0 0 0 0 0 0 0 0 0

154 154 256 87.671233 80 80 104 104 184 92.462312 182 258 440 32.32917 0 0 0 0 0

0 177 177 230 58.974359 0 39 39 0 117 117 156 62.151394 104 373 477 24.651163 180 37.73585 0 0 0 0 0 0 0 15 15 3.144654 1

4 152 156 220 56.410256 4 48 52 8 133 141 193 76.89243 124 350 474 24.546867 152 32.06751 3 0.632911 5 1.054852 0 0 0 0 0 0 0

32 60 92 149 27.695167 5 33 38 25 112 137 175 50.724638 507 781 1288 48.293963 140 10.86957 5 0.388199 2 0.15528 0 0 2 1 3 0.232919 54

32 230 262 479 67.847025 5 109 114 25 136 161 275 69.620253 743 975 1718 49.912841 140 8.14901 5 0.291036 2 0.116414 0 0 2 1 3 0.174622 54

0 284 284 335 44.966443 0 41 41 0 169 169 210 43.841336 96 485 581 15.728208 105 18.07229 5 0.860585 0 0 0 0 0 0 0 0 0

77 77 101 35.191638 9 9 71 71 80 43.478261 33 148 181 10.511034 0 0 0 0 0

36 36 60 6.3224447 48 48 40 40 88 14.473684 72 76 148 3.1435854 0 0 0 0 0

0 169 169 208 57.777778 1 51 52 4 145 149 201 69.310345 111 539 650 35.249458 113 17.38462 52 8 11 1.692308 0 0 0 0 0 0 18

0 0 0 0 0 0 0 0 0 0 0 0 0 10 48 58 4.7385621 88 151.7241 3 5.172414 3 5.172414 0 0 0 0 0 0 0

21 403 424 651 85.545335 8 144 152 12 237 249 401 82.00409 483 699 1182 42.640693 145 12.26734 44 3.722504 23 1.945854 0 0 0 0 0 0 0

21 122 143 195 59.633028 5 45 50 3 111 114 164 78.095238 111 315 426 26.345083 107 25.11737 0 0 23 5.399061 0 0 0 0 0 0 0

65 281 346 654 82.471627 35 141 176 46 202 248 424 83.464567 544 720 1264 32.138317 318 25.15823 130 10.28481 0 0 7 7 14 21 35 2.768987 185

6 189 195 310 69.506726 4 68 72 8 174 182 254 88.501742 214 445 659 29.805518 192 29.13505 1 0.151745 0 0 0 0 0 0 0 0 0

26 197 223 280 90.614887 8 40 48 8 116 124 172 86.432161 106 377 483 31.506849 94 19.4617 0 0 0 0 0 0 1 9 10 2.070393 6

8 109 117 165 65.737052 7 21 28 3 101 104 132 81.987578 83 292 375 30.864198 150 40 0 0 0 0 3 23 6 45 51 13.6 15

39 300 339 492 58.711217 7 72 79 21 181 3 82 15.213358 33 161 194 4.6713219 110 56.70103 0 0 0 0 0 0 0 8 8 4.123711 15

25 326 351 473 64.092141 5 113 118 16 269 285 403 84.842105 256 703 959 26.202186 209 21.79353 7 0.729927 0 0 0 0 15 52 67 6.986444 20

6 452 458 763 97.820513 6 258 264 5 301 306 570 113.77246 636 1007 1643 42.487717 56 3.408399 13 0.791236 5 0.304321 0 0 4 6 10 0.608643 119

4 499 503 725 88.414634 4 126 130 1 296 297 427 80.718336 661 1407 2068 50.823298 231 11.17021 0 0 0 0 0 0 0 0 0 0 0

29 235 264 430 56.578947 14 42 56 17 302 319 375 102.17984 302 706 1008 27.608874 64 6.349206 2 0.198413 20 1.984127 0 4 1 9 10 0.992063 0

40 282 322 380 23.617154 8 47 55 22 193 215 270 26.137464 16 91 107 1.3408521 98 91.58879 0 0 9 8.411215 0 0 8 37 45 42.05607 2

0 188 188 315 43.209877 0 91 91 0 123 123 214 45.726496 1006 1265 2271 62.752141 703 30.95553 0 0 0 0 0 0 82 92 174 7.661823 157

13 401 414 816 116.07397 4 252 256 3 297 300 556 123.2816 666 756 1422 40.744986 68 4.781997 19 1.336146 15 1.054852 0 0 16 23 39 2.742616 26
376 5473 5849 8943 58.370864 134 1966 2100 229 3839 4068 6168 63.798097 7574 14016 21590 28.795497 3576 16.56322 295 1.366373 118 0.546549 10 34 151 319 470 2.176934 672
Jumlah Lansia dengan Kelainan

IMT Tekanan Darah


Hb Kurang Kolesterol tinggi DM As. Urat tinggi
Normal Kurang Tinggi Normal Rendah

P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P)

9 10 11 12 13 14

0 0 0 0 0 0 0 13 16 29 17.46988 12 34 46 27.71084 5 9 14 8.433735 0 0 0 0 0 0 0 0 0 1 1 0.60241 0 0 0

0 0 0 1 3 4 1.413428 8 15 23 8.127208 0 0 0 0 0 1 1 0.353357 0 0 0 0 0 0 0 0 1 2 3 1.060071 0 3 3

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

1 2 0.4192872 1 4 5 1.048218 3 27 30 6.289308 0 0 0 0 0 13 13 2.725367 1 0 1 0.209644 0 10 10 2.096436 0 3 3 0.628931 0 6 6

0 0 0 0 0 0 0 6 15 21 4.43038 24 116 140 29.53586 2 6 8 1.687764 0 0 0 0 1 1 2 0.421941 0 2 2 0.421941 0 0 0

84 138 10.714286 2 4 6 0.465839 5 9 14 1.086957 53 67 120 9.31677 1 3 4 0.310559 0 0 0 0 0 2 2 0.15528 1 3 4 0.310559 2 3 5

84 138 8.032596 2 4 6 0.349243 5 9 14 0.814901 53 67 120 6.984866 1 3 4 0.232829 0 0 0 0 0 2 2 0.116414 1 3 4 0.232829 2 3 5

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

0 0 0 0 0 0 2 16 18 9.944751 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 1.104972 0 0 0

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

123 141 21.692308 2 0 2 0.307692 7 31 38 5.846154 13 119 132 20.30769 0 6 6 0.923077 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1.724138 0 0 0

0 0 0 0 0 0 0 55 31 86 7.275804 17 11 28 2.368866 9 11 20 1.692047 0 0 0 0 9 6 15 1.269036 5 6 11 0.930626 7 3 10

0 0 0 0 0 0 0 55 31 86 20.18779 17 11 28 6.57277 9 11 20 4.694836 0 0 0 0 9 6 15 3.521127 5 6 11 2.58216 7 3 10

205 390 30.85443 11 14 25 1.977848 31 48 79 6.25 169 178 347 27.45253 11 14 25 1.977848 0 0 0 0 11 15 26 2.056962 9 10 19 1.503165 4 3 7

0 0 0 0 0 0 0 6 26 32 4.855842 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0.151745 0 5 5 0.758725 0 15 15

71 77 15.942029 0 3 3 0.621118 1 13 14 2.898551 10 68 78 16.14907 2 5 7 1.449275 0 0 0 0 1 7 8 1.656315 2 12 14 2.898551 1 7 8

75 90 24 2 14 16 4.266667 13 33 46 12.26667 9 98 107 28.53333 0 5 5 1.333333 0 0 0 0 2 13 15 4 1 8 9 2.4 1 3 4

65 80 41.237113 2 3 5 2.57732 8 36 44 22.68041 17 75 92 47.42268 0 9 9 4.639175 0 0 0 0 0 1 1 0.515464 0 5 5 2.57732 0 2 2

82 102 10.636079 5 30 35 3.649635 12 52 64 6.673618 29 120 149 15.53702 0 2 2 0.208551 0 0 0 0 2 9 11 1.147028 2 6 8 0.834202 2 1 3

303 422 25.684723 0 2 2 0.121729 10 13 23 1.399878 109 293 402 24.46744 4 5 9 0.547778 0 0 0 0 1 8 9 0.547778 5 8 13 0.791236 2 5 7

0 0 0 0 0 0 0 32 48 80 3.868472 43 99 142 6.866538 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0.096712 17 49 66

0 0 0 3 6 9 0.892857 9 23 32 3.174603 0 0 0 0 5 8 13 1.289683 0 1 1 0.099206 0 3 3 0.297619 0 5 5 0.496032 1 2 3

11 13 12.149533 0 27 0 0 3 15 18 16.82243 13 74 87 81.30841 0 0 0 0 0 0 0 0 1 7 8 7.476636 0 8 8 7.476636 0 18 18

206 363 15.984148 95 114 209 9.202994 82 105 187 8.234258 148 164 312 13.73844 25 101 126 5.548217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

35 61 4.2897328 18 16 34 2.390999 9 14 23 1.61744 17 57 74 5.203938 0 5 5 0.351617 0 0 0 0 1 0 1 0.070323 1 1 2 0.140647 0 0 0


1345 2017 9.3422881 144 244 388 1.797128 375 626 1001 4.636406 753 1651 2404 11.13478 74 217 291 1.347846 1 1 2 0.009264 38 91 129 0.597499 36 96 132 0.611394 46 127 173
Pengobatan
Konseling

As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan
Lansia Wredha dibina

B L S
(%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)

14 15 16 17 18 19 20 21 22 24 25 26

0 0 0 0 0 0 0 0 0 0 2 2 1.204819 1 3 4 2.409639 0 0 0 0 19 0 0 0 0 0 0 79 0 0

1.060071 0 0 0 0 0 0 0 0 8 11 19 6.713781 3 4 7 2.473498 2 5 7 2.473498 13 0 0 0 10 0 30 40 0 0

0 0 0 0 0 0 0 0 0 0 0

1.257862 0 0 0 0 0 2 2 0.419287 0 5 5 1.048218 0 2 2 0.419287 10 96 106 22.22222 106 0 106 0 9 0 0 153 173 0

0 0 0 0 0 0 0 0 0 6 4 10 2.109705 3 17 20 4.219409 11 25 36 7.594937 163 0 0 0 43 117 0 160 162 0

0.388199 0 0 0 0 0 0 0 0 0 2 2 0.15528 1 1 2 0.15528 50 78 128 9.937888

0.291036 0 0 0 0 0 0 0 0 0 2 2 0.116414 1 1 2 0.116414 50 78 128 7.450524 0 0 1 0 32 42 0 0 2 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 2 13 15 8.287293 1 10 11 6.077348 5 51 56 30.93923 111 0 0 0 20 17 18 80 0 0

0 0 0 0 0 0 0 0 0 0 0

0.153846 0 0 0 0 0 0 0 0 0 1 1 0.153846 2 2 4 0.615385 0 0 0 0 177 0 0 0 52 127 0 174 116 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 75 83 143.1034 118 0 0 0 1 123 0 0 0 0

0.846024 0 0 0 0 0 0 0 0 12 8 20 1.692047 13 3 16 1.353638 4 2 6 0.507614 0 0 0 0 0 0 0 0 0 0

2.347418 0 0 0 0 0 0 0 0 12 8 20 4.694836 13 3 16 3.755869 4 2 6 1.408451 0 0 0 0 0 0 0 0 0 0

0.553797 1 1 2 0.158228 3 4 7 0.553797 24 31 55 4.351266 4 3 7 0.553797 31 34 65 5.142405 106 0 2 0 106 0 0 9 340 0

2.276176 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 0.758725 0 0 0 0 194 0 0 0 57 137 194 194 57 0

1.656315 0 0 0 0 1 0 1 0.207039 1 2 3 0.621118 2 0 2 0.414079 0 0 0 0 94 0 0 0 17 77 94 94 0 0

1.066667 0 0 0 0 0 0 0 0 14 58 72 19.2 4 7 11 2.933333 0 0 0 0 146 0 0 0 35 123 45 1 154 0

1.030928 0 0 0 0 0 8 8 4.123711 0 5 5 2.57732 0 2 2 1.030928 7 18 25 12.8866 110 0 0 0 110 20 0 110 0 0

0.312826 0 0 0 0 0 1 1 0.104275 15 50 65 6.777894 3 16 19 1.98123 0 0 0 0 0 0 0 0 88 120 0 216 90 0

0.42605 0 0 0 0 0 0 0 0 5 7 12 0.730371 4 4 8 0.486914 6 9 15 0.912964 434 0 0 0 211 0 0 0 0 0

3.191489 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 65 92 4.448743 25 0 0 0 111 350 0 462 225 0

0.297619 1 0 1 0.099206 0 0 0 0 0 5 5 0.496032 0 1 1 0.099206 0 0 0 0 171 0 48 0 65 156 76 0 326 0

16.82243 0 0 0 0 0 0 0 0 0 5 5 4.672897 0 1 1 0.934579 11 37 48 44.85981 58 54 0 0 112 0 0 112 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 703 0 0 0 1 702 0 703 0 0

0 0 0 0 0 0 0 0 0 3 2 5 0.351617 2 3 5 0.351617 0 0 0 0 139 26 0 0 55 34 76 0 0 0


0.801297 2 1 3 0.013895 4 15 19 0.088004 102 221 323 1.496063 57 88 145 0.671607 226 575 801 3.710051 2887 80 157 0 1135 2145 533 2587 1645 0
Jumlah
Kunjungan Ket.
Rumah

27 28

1 0

7 0

2 0

9 0

6 6

20 0

20 0

3 0

9 0

0 0

0 0

0 -28

14 0

0 0

20 862

5 0

0 0

39 0
162
KABUPATEN :Pidie
BULAN :
Sasaran Lansia

45-59 60-69 > 70 Jumlah Total Lansia (45-70) 45-59 60-69


Jumlah Jumlah
Jumlah
No Puskesmas Posyandu
Jumlah Desa Kelompok Panti
Lansia Wredha
Laki-laki Perempuan Total ( L + P ) Laki-laki
L P (L+P) L P (L+P) L P (L+P) L P (L+P) Jumlah
B L (B+L) B L (B+L) (B+ (%) B L (B+L)
L)
1 2 3 4 5 6

1 Geumpang 422 383 805 117 124 241 66 87 153 605 594 1199 0 0 0 0 21 21

2 Mane 4 4 4 0 514 517 1031 143 167 310 80 118 198 737 802 1539 0 0 0 0 0 0 0 0 9 45 54

3 Glp. Tiga 366 504 870 129 163 292 74 125 199 569 792 1361 0 0 0 0 102 102

4 Teupin Raya 10 10 10 0 632 662 1294 173 217 390 98 153 251 903 1032 1935 2 8 10 23 82 105 115 8.88717156 0 53 53

5 Glp. Baro 12 12 12 0 600 690 1290 167 223 390 94 157 251 861 1070 1931 5 6 11 17 66 83 94 7.28682171 8 64 72

6 Mutiara Timur 10 10 10 0 856 928 1784 238 300 538 134 211 345 1228 1439 2667 1 10 11 35 54 89 100 5.60538117 7 57 64

7 Ujong Rimba 15 15 15 0 1123 1218 2341 312 394 706 117 278 395 1552 1890 3442 29 412 441 24 552 576 1017 43.4429731 18 217 235

8 Mutiara Barat 17 17 17 0 1192 1278 2470 332 413 745 187 292 479 1711 1983 3694 0 0 0 0 24 24 24 0.97165992 3 51 54

9 Tiro 760 491 1251 128 159 287 72 112 184 960 762 1722 0 0 0 0 24 24

10 Tangse 1552 1599 3151 432 517 949 244 364 608 2228 2480 4708 0 0 0 0 24 24

11 Keumala 18 18 18 0 27 615 642 161 199 360 91 140 231 279 954 1233 0 2 2 29 34 63 65 10.1246106 0 39 39

12 Titeu 6 6 6 0 410 408 818 114 135 249 64 93 157 588 636 1224 0 9 9 3 56 59 68 8.31295844 0 0 0

13 Sakti 49 49 49 0 1227 295 1522 342 419 761 193 296 489 1762 1010 2772 96 100 196 101 109 210 406 26.6754271 27 227 254

14 Mila 4 4 4 0 512 568 1080 142 185 327 80 130 210 734 883 1617 7 10 17 34 22 56 73 6.75925926 6 52 58

15 padang Tiji 8 8 8 0 1300 1332 2632 362 431 793 205 303 508 1867 2066 3933 93 26 119 111 33 144 263 9.99240122 41 308 349

16 Delima 24 24 24 0 706 772 1478 196 250 446 111 176 287 1013 1198 2211 12 36 48 36 90 126 174 11.7726658 15 115 130

17 Reubee 9 9 9 0 490 535 1025 136 173 309 77 122 199 703 830 1533 1 0 1 31 21 52 53 5.17073171 5 57 62

18 Grong-Grong 8 8 8 0 401 402 803 112 139 251 63 98 161 576 639 1215 1 7 8 8 21 29 37 4.60772105 1 48 49

19 Indrajaya 10 10 10 0 1323 1453 2776 368 470 838 208 331 539 1899 2254 4153 4 10 14 39 79 118 132 4.75504323 3 153 156

20 Peukan Baro 8 8 8 0 1177 1270 2447 328 410 738 185 290 475 1690 1970 3660 1 5 6 5 74 79 85 3.47364119 5 122 127

21 Kb. Tanjong 4 4 4 0 1266 1320 2586 352 428 780 199 302 501 1817 2050 3867 14 34 48 14 41 55 103 3.98298531 6 305 311

22 Sp. Tiga 1301 1419 2720 362 458 820 205 324 529 1868 2201 4069 0 0 0 0 222 222

23 Kota Sigli 15 15 15 0 1251 1273 2524 348 412 760 197 170 367 1796 1855 3651 15 12 27 21 32 53 80 3.16957211 18 166 184

24 Pidie 5 5 5 0 2592 2746 5338 722 887 1609 407 626 1033 3721 4259 7980 8 0 8 20 0 20 28 0.52454103 6 58 64

25 Batee 28 28 28 0 1198 1224 2422 333 396 729 189 279 468 1720 1899 3619 40 769 809 0 954 954 1763 72.7910818 0 127 127

26 Muara Tiga 5 5 5 0 1164 1172 2336 324 379 703 183 268 451 1671 1819 3490 4 14 18 30 37 67 85 3.63869863 14 402 416
JUMLAH 269 269 269 0 24,362 25,074 49436 6873 8448 15321 3823 5845 9668 35058 39367 74425 333 1470 1803 581 2381 2962 4765 9.63872482 192 3094 3286

Mengetahui
Kepala Puskesmas

______________________________

27
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT KABUPATEN

Jumlah Kunjungan Lansia Kegiatan sehari-hari

60-69 > 70 Total Kunjungan Kemandirian Lansia IMT


Ggn ME
Perempuan Total ( L + P ) Laki-laki Perempuan Total ( L + P ) 45 - > 70 A B C Lebih Normal
Jumlah Jumlah
B L (B+L) (%) B L (B+L) B L (B+L) (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L
(B+L) +L)
6 7 8 9

40 40 61 25.311203 19 19 34 34 53 34.640523 40 74 114 9.5079233 0 0 0 0 0

14 129 143 197 63.548387 3 44 47 4 65 69 116 58.585859 101 212 313 20.337882 61 19.48882 8 2.555911 0 0 0 0 0 0 0 0 0

154 154 256 87.671233 80 80 104 104 184 92.462312 182 258 440 32.32917 0 0 0 0 0

0 177 177 230 58.974359 0 39 39 0 117 117 156 62.151394 102 399 501 25.891473 0 0 0 0 0 0 0 0 0 0 0 0 0

6 156 162 234 60 5 52 57 10 141 151 208 82.868526 140 396 536 27.757639 168 31.34328 8 1.492537 10 1.865672 0 0 0 2 2 0.373134 0

23 92 115 179 33.271375 3 38 41 17 137 154 195 56.521739 116 358 474 17.772778 162 34.17722 0 0 0 0 0 0 0 0 39

21 262 283 518 73.371105 13 114 127 21 161 182 309 78.227848 803 1041 1844 53.573504 113 6.127983 8 0.433839 5 0.27115 0 0 2 1 3 0.16269 55

8 284 292 346 46.442953 3 41 44 9 169 178 222 46.346555 98 494 592 16.025988 135 22.80405 4 0.675676 0 0 0 0 0 0 0 0 0

77 77 101 35.191638 9 9 71 71 80 43.478261 33 148 181 10.511034 0 0 0 0 0

36 36 60 6.3224447 48 48 40 40 88 14.473684 72 76 148 3.1435854 0 0 0 0 0

0 169 169 208 57.777778 0 52 52 6 149 155 207 89.61039 93 387 480 38.92944 120 25 27 5.625 35 7.291667 0 0 0 0 0 0 9

0 0 0 0 0 1 0 1 1 0 1 2 1.2738854 10 60 70 5.7189542 127 181.4286 5 7.142857 1 1.428571 0 0 0 0 0 0 0

34 424 458 712 93.561104 11 152 163 24 249 273 436 89.161554 613 941 1554 56.060606 674 43.37194 7 0.45045 23 1.480051 0 0 0 0 0 0 0

11 143 154 212 64.831804 0 50 50 0 114 114 164 78.095238 125 324 449 27.767471 0 0 0 0 0

49 346 395 744 93.820933 22 176 198 35 248 283 481 94.685039 666 822 1488 37.833715 380 25.53763 104 6.989247 12 0.806452 8 9 19 20 39 2.620968 184

9 195 204 334 74.887892 1 72 73 1 182 183 256 89.198606 251 513 764 34.5545 431 56.41361 1 0.13089 0 0 3 1 29 54 83 10.86387 100

47 223 270 332 107.44337 3 48 51 18 124 142 193 96.984925 114 464 578 37.703849 169 29.23875 4 0.692042 0 0 0 0 0 19 19 3.287197 8

6 117 123 172 68.525896 1 28 29 3 104 107 136 84.47205 86 259 345 28.395062 55 15.94203 0 0 0 0 0 3 2 16 18 5.217391 10

22 339 361 517 61.694511 3 79 82 16 3 19 101 18.738404 252 231 483 11.630147 152 31.46998 0 0 0 0 0 0 0 8 8 1.656315 15

11 351 362 489 66.260163 3 118 121 6 285 291 412 86.736842 254 732 986 26.939891 172 17.44422 2 0.20284 0 0 0 0 8 56 64 6.490872 14

7 458 465 776 99.487179 5 264 269 5 306 311 580 115.76846 628 831 1459 37.729506 9 0.616861 7 0.479781 23 1.576422 0 0 2 3 5 0.3427 76

503 503 725 88.414634 130 130 297 297 427 80.718336 352 800 1152 28.311624 0 0 0 0 0

15 264 279 463 60.921053 11 56 67 4 319 323 390 106.26703 278 655 933 25.554643 41 4.394427 0 0 7 0.750268 0 0 1 2 3 0.321543 0

50 322 372 436 27.097576 2 55 57 23 215 238 295 28.557599 129 630 759 9.5112782 104 13.70224 0 0 5 0.658762 0 0 8 37 45 5.928854 2

0 188 188 315 43.209877 0 91 91 0 123 123 214 45.726496 1027 1265 2292 63.332412 723 31.5445 0 0 0 0 0 0 68 75 143 6.239092 196

18 414 432 848 120.62589 3 256 259 9 300 309 568 125.94235 693 808 1501 43.008596 122 8.127915 43 2.864757 27 1.798801 0 0 21 31 52 3.464357 42
351 5849 6200 9486 61.915019 93 2100 2193 212 4068 4280 6473 66.952834 7282 13442 20724 27.845482 3918 18.90562 228 1.100174 148 0.714148 11 13 160 324 484 2.335456 750
Jumlah Lansia dengan Kelainan

IMT Tekanan Darah


Hb Kurang Kolesterol tinggi DM As. Urat tinggi
Normal Kurang Tinggi Normal Rendah

P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P)

9 10 11 12 13 14

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

0 0 0 0 3 3 0.958466 8 27 35 11.18211 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0.319489 2 4 6 1.916933 1 4 5

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

0 0 0 0 2 2 0.399202 8 32 40 7.984032 0 2 2 0.399202 0 5 5 0.998004 0 0 0 0 3 16 19 3.792415 1 19 20 3.992016 1 30 31

0 0 0 0 0 0 0 9 23 32 5.970149 25 86 111 20.70896 1 5 6 1.119403 0 0 0 0 0 10 10 1.865672 0 2 2 0.373134 0 0 0

132 171 36.075949 0 0 0 0 8 38 46 9.704641 19 99 118 24.89451 0 5 5 1.054852 1 0 1 0.21097 0 0 0 0 2 11 13 2.742616 2 19 21

65 120 6.5075922 3 1 4 0.21692 3 4 7 0.37961 56 50 106 5.748373 0 3 3 0.16269 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3

0 0 0 0 0 0 0 2 8 10 1.689189 0 0 0 0 0 2 2 0.337838 0 0 0 0 0 2 2 0.337838 0 1 1 0.168919 0 0 0

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

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

137 146 30.416667 0 32 32 6.666667 6 35 41 8.541667 4 129 133 27.70833 1 1 2 0.416667 0 0 0 0 0 0 0 0 0 2 2 0.416667 0 0 0

0 0 0 0 0 0 0 5 21 26 37.14286 0 0 0 0 0 8 8 11.42857 0 0 0 0 0 0 0 0 5 1 6 8.571429 0 0 0

0 0 0 0 0 0 0 40 41 81 5.212355 84 92 176 11.32561 33 33 66 4.247104 0 0 0 0 25 30 55 3.539254 17 23 40 2.574003 11 22 33

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

247 431 28.965054 7 7 14 0.94086 45 51 96 6.451613 166 171 337 22.64785 9 11 20 1.344086 0 0 0 0 11 11 22 1.478495 6 5 11 0.739247 0 0 0

230 330 43.193717 2 16 18 2.356021 34 89 123 16.09948 99 208 307 40.18325 1 4 5 0.65445 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

138 146 25.259516 1 0 1 0.17301 10 30 40 6.920415 5 117 122 21.10727 0 0 0 0 0 0 0 0 0 2 2 0.346021 6 18 24 4.152249 5 6 11

25 35 10.144928 1 1 2 0.57971 0 9 9 2.608696 13 32 45 13.04348 0 1 1 0.289855 0 0 0 0 0 1 1 0.289855 2 2 4 1.15942 0 1 1

65 80 16.563147 2 3 5 1.035197 8 36 44 9.109731 17 75 92 19.04762 0 9 9 1.863354 0 0 0 0 0 1 1 0.207039 0 5 5 1.035197 0 2 2

66 80 8.1135903 6 15 21 2.129817 16 54 70 7.099391 13 81 94 9.533469 0 9 9 0.912779 0 0 0 0 0 4 4 0.40568 1 0 1 0.10142 0 1 1

92 168 11.514736 0 2 2 0.13708 5 9 14 0.959561 68 84 152 10.41809 5 4 9 0.616861 0 0 0 0 2 24 26 1.782042 5 6 11 0.753941 2 4 6

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

0 0 0 2 1 3 0.321543 9 7 16 1.714898 0 0 0 0 1 3 4 0.428725 0 0 0 0 2 1 3 0.321543 0 2 2 0.214362 2 0 2

11 13 1.71278 0 27 27 3.557312 3 20 23 3.030303 13 73 86 11.3307 0 0 0 0 0 0 0 0 1 7 8 1.054018 0 8 8 1.054018 0 18 18

257 453 19.764398 59 64 123 5.366492 68 75 143 6.239092 196 278 474 20.68063 25 64 89 3.883072 11 12 23 1.00349 4 4 8 0.34904 11 24 35 1.527051 4 11 15

58 100 6.6622252 20 22 42 2.798135 31 34 65 4.330446 47 48 95 6.329114 14 20 34 2.265157 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


1523 2273 10.96796 103 196 299 1.442772 318 643 961 4.637136 825 1625 2450 11.82204 90 187 277 1.336615 12 12 24 0.115808 49 113 162 0.781702 58 133 191 0.921637 29 120 149
Pengobatan
Konseling

As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan
Lansia Wredha dibina

B L S
(%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)

14 15 16 17 18 19 20 21 22 24 25 26

0 0 0 0 0 0 0 0 0 0 0

1.597444 0 0 0 0 0 0 0 0 20 39 59 18.84984 12 12 24 7.667732 1 3 4 1.277955 38 0 0 0 31 0 38 6 0 0

0 0 0 0 0 0 0 0 0 0 0

6.187625 0 0 0 0 0 0 0 0 0 4 4 0.798403 0 0 0 0 6 103 109 21.75649 196 0 0 0 28 177 0 191 195 0

0 0 0 0 0 0 0 0 0 4 16 20 3.731343 4 16 20 3.731343 18 56 74 13.80597 186 0 0 0 59 139 0 186 186 0

4.43038 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160 0 0 0 89 71 160 160 160 0

0.16269 0 0 0 0 0 0 0 0 0 2 2 0.10846 2 2 4 0.21692 26 29 55 2.982646 0 0 2 0 30 46 0 0 2 0

0 0 0 0 0 0 0 0 0 6 0 6 1.013514 0 6 6 1.013514 3 67 70 11.82432 132 0 0 0 6 20 14 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 0 0 0 0 0 0 0 1 1 0.208333 2 1 3 0.625 0 0 0 0 183 0 0 0 42 140 0 179 124 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 73 78 111.4286 112 2 0 0 6 127 0 0 0 0

2.123552 0 0 0 0 0 0 0 0 20 19 39 2.509653 15 22 37 2.380952 29 34 63 4.054054 591 0 0 0 49 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 2 1 3 0.201613 4 4 8 0.537634 13 15 28 1.88172 5 4 9 0.604839 22 21 43 2.889785 174 0 5 0 124 48 172 8 380 0

0 0 0 0 0 0 0 0 0 27 43 70 9.162304 0 0 0 0 0 0 0 0 431 0 0 0 83 343 12 432 83 0

1.903114 0 0 0 0 0 0 0 0 1 0 1 0.17301 0 1 1 0.17301 0 0 0 0 173 0 0 0 20 153 0 173 173 0

0.289855 0 0 0 0 0 5 5 1.449275 3 16 19 5.507246 0 7 7 2.028986 0 0 0 0 55 0 0 0 19 36 12 55 55 0

0.414079 0 0 0 0 0 8 8 1.656315 0 5 5 1.035197 0 2 2 0.414079 7 18 25 5.175983 153 0 0 0 54 119 0 153 0 0

0.10142 0 0 0 0 0 0 0 0 5 34 39 3.955375 1 7 8 0.811359 0 0 0 0 0 0 1 0 30 103 0 174 128 0

0.411241 0 1 1 0.06854 0 0 0 0 7 12 19 1.302262 5 4 9 0.616861 18 14 32 2.193283 175 0 0 0 151 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0.214362 0 0 0 0 1 0 1 0.107181 4 3 7 0.750268 3 0 3 0.321543 0 0 0 0 22 0 23 0 46 45 21 0 107 0

2.371542 0 0 0 0 0 0 0 0 0 5 5 0.658762 0 1 1 0.131752 0 0 0 0 58 54 0 0 109 0 0 109 0 0

0.65445 0 0 0 0 0 0 0 0 9 9 18 0.78534 6 8 14 0.61082 0 0 0 0 723 0 0 0 0 723 0 723 0 0

0 0 0 0 0 0 0 0 0 1 1 2 0.133245 2 0 2 0.133245 0 0 0 0 194 10 0 0 60 43 88 0 0 0


0.718973 2 2 4 0.019301 5 17 22 0.106157 120 224 344 1.659911 57 93 150 0.723798 135 418 553 2.668404 3756 66 31 0 1036 2333 517 2549 1596 0
Jumlah
Kunjungan Ket.
Rumah

27 28

10

23

18

12

3 0

2 0

0 0

0 0

23

5 0

31 0
123
KABUPATEN :Pidie
BULAN :
Sasaran Lansia

45-59 60-69 > 70 Jumlah Total Lansia (45-70) 45-59 60-69


Jumlah Jumlah
Jumlah
No Puskesmas Posyandu
Jumlah Desa Kelompok Panti
Lansia Wredha
Laki-laki Perempuan Total ( L + P ) Laki-laki
L P (L+P) L P (L+P) L P (L+P) L P (L+P) Jumlah
B L (B+L) B L (B+L) (B+ (%) B L (B+L)
L)
1 2 3 4 5 6

1 Geumpang 422 383 805 117 124 241 66 87 153 605 594 1199 0 0 0 0 0

2 Mane 514 517 1031 143 167 310 80 118 198 737 802 1539 0 0 0 0 0

3 Glp. Tiga 366 504 870 129 163 292 74 125 199 569 792 1361 0 0 0 0 0

4 Teupin Raya 632 662 1294 173 217 390 98 153 251 903 1032 1935 0 0 0 0 0

5 Glp. Baro 600 690 1290 167 223 390 94 157 251 861 1070 1931 0 0 0 0 0

6 Mutiara Timur 856 928 1784 238 300 538 134 211 345 1228 1439 2667 0 0 0 0 0

7 Ujong Rimba 1123 1218 2341 312 394 706 117 278 395 1552 1890 3442 0 0 0 0 0

8 Mutiara Barat 1192 1278 2470 332 413 745 187 292 479 1711 1983 3694 0 0 0 0 0

9 Tiro 760 491 1251 128 159 287 72 112 184 960 762 1722 0 0 0 0 0

10 Tangse 1552 1599 3151 432 517 949 244 364 608 2228 2480 4708 0 0 0 0 0

11 Keumala 579 615 1194 161 199 360 91 140 231 831 954 1785 0 0 0 0 0

12 Titeu 410 408 818 114 135 249 64 93 157 588 636 1224 0 0 0 0 0

13 Sakti 1227 295 1522 342 419 761 193 296 489 1762 1010 2772 0 0 0 0 0

14 Mila 512 568 1080 142 185 327 80 130 210 734 883 1617 0 0 0 0 0

15 padang Tiji 1300 1332 2632 362 431 793 205 303 508 1867 2066 3933 0 0 0 0 0

16 Delima 706 772 1478 196 250 446 111 176 287 1013 1198 2211 0 0 0 0 0

17 Reubee 490 535 1025 136 173 309 77 122 199 703 830 1533 0 0 0 0 0

18 Grong-Grong 401 402 803 112 139 251 63 98 161 576 639 1215 0 0 0 0 0

19 Indrajaya 1323 1453 2776 368 470 838 208 331 539 1899 2254 4153 0 0 0 0 0

20 Peukan Baro 1177 1270 2447 328 410 738 185 290 475 1690 1970 3660 0 0 0 0 0

21 Kb. Tanjong 1266 1320 2586 352 428 780 199 302 501 1817 2050 3867 0 0 0 0 0

22 Sp. Tiga 1301 1419 2720 362 458 820 205 324 529 1868 2201 4069 0 0 0 0 0

23 Kota Sigli 1251 1273 2524 348 412 760 197 170 367 1796 1855 3651 0 0 0 0 0

24 Pidie 2592 2746 5338 722 887 1609 407 626 1033 3721 4259 7980 0 0 0 0 0

25 Batee 1198 1224 2422 333 396 729 189 279 468 1720 1899 3619 0 0 0 0 0

26 Muara Tiga 1164 1172 2336 324 379 703 183 268 451 1671 1819 3490 0 0 0 0 0
JUMLAH 0 0 0 0 24,914 25,074 49988 6873 8448 15321 3823 5845 9668 35610 39367 74977 0 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kepala Puskesmas

______________________________
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT KABUPATEN

Jumlah Kunjungan Lansia Kegiatan sehari-hari

60-69 > 70 Total Kunjungan Kemandirian Lansia IMT


Ggn ME
Perempuan Total ( L + P ) Laki-laki Perempuan Total ( L + P ) 45 - > 70 A B C Lebih Normal
Jumlah Jumlah
B L (B+L) (%) B L (B+L) B L (B+L) (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L
(B+L) +L)
6 7 8 9

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!


0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 0 0 0 0 #DIV/0! 0
Jumlah Lansia dengan Kelainan

IMT Tekanan Darah


Hb Kurang Kolesterol tinggi DM As. Urat tinggi
Normal Kurang Tinggi Normal Rendah

P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P)

9 10 11 12 13 14

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0


0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0
Pengobatan
Konseling

As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan
Lansia Wredha dibina

B L S
(%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)

14 15 16 17 18 19 20 21 22 24 25 26

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!


#DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 0 0 0 0 0 0 0
Jumlah
Kunjungan Ket.
Rumah

27 28
0
KABUPATEN :Pidie
BULAN :
Sasaran Lansia

45-59 60-69 > 70 Jumlah Total Lansia (45-70) 45-59 60-69


Jumlah Jumlah
Jumlah
No Puskesmas Posyandu
Jumlah Desa Kelompok Panti
Lansia Wredha
Laki-laki Perempuan Total ( L + P ) Laki-laki
L P (L+P) L P (L+P) L P (L+P) L P (L+P) Jumlah
B L (B+L) B L (B+L) (B+ (%) B L (B+L)
L)
1 2 3 4 5 6

1 Geumpang 422 383 805 117 124 241 66 87 153 605 594 1199 0 0 0 0 0

2 Mane 514 517 1031 143 167 310 80 118 198 737 802 1539 0 0 0 0 0

3 Glp. Tiga 366 504 870 129 163 292 74 125 199 569 792 1361 0 0 0 0 0

4 Teupin Raya 632 662 1294 173 217 390 98 153 251 903 1032 1935 0 0 0 0 0

5 Glp. Baro 600 690 1290 167 223 390 94 157 251 861 1070 1931 0 0 0 0 0

6 Mutiara Timur 856 928 1784 238 300 538 134 211 345 1228 1439 2667 0 0 0 0 0

7 Ujong Rimba 1123 1218 2341 312 394 706 117 278 395 1552 1890 3442 0 0 0 0 0

8 Mutiara Barat 1192 1278 2470 332 413 745 187 292 479 1711 1983 3694 0 0 0 0 0

9 Tiro 760 491 1251 128 159 287 72 112 184 960 762 1722 0 0 0 0 0

10 Tangse 1552 1599 3151 432 517 949 244 364 608 2228 2480 4708 0 0 0 0 0

11 Keumala 579 615 1194 161 199 360 91 140 231 831 954 1785 0 0 0 0 0

12 Titeu 410 408 818 114 135 249 64 93 157 588 636 1224 0 0 0 0 0

13 Sakti 1227 295 1522 342 419 761 193 296 489 1762 1010 2772 0 0 0 0 0

14 Mila 512 568 1080 142 185 327 80 130 210 734 883 1617 0 0 0 0 0

15 padang Tiji 1300 1332 2632 362 431 793 205 303 508 1867 2066 3933 0 0 0 0 0

16 Delima 706 772 1478 196 250 446 111 176 287 1013 1198 2211 0 0 0 0 0

17 Reubee 490 535 1025 136 173 309 77 122 199 703 830 1533 0 0 0 0 0

18 Grong-Grong 401 402 803 112 139 251 63 98 161 576 639 1215 0 0 0 0 0

19 Indrajaya 1323 1453 2776 368 470 838 208 331 539 1899 2254 4153 0 0 0 0 0

20 Peukan Baro 1177 1270 2447 328 410 738 185 290 475 1690 1970 3660 0 0 0 0 0

21 Kb. Tanjong 1266 1320 2586 352 428 780 199 302 501 1817 2050 3867 0 0 0 0 0

22 Sp. Tiga 1301 1419 2720 362 458 820 205 324 529 1868 2201 4069 0 0 0 0 0

23 Kota Sigli 1251 1273 2524 348 412 760 197 170 367 1796 1855 3651 0 0 0 0 0

24 Pidie 2592 2746 5338 722 887 1609 407 626 1033 3721 4259 7980 0 0 0 0 0

25 Batee 1198 1224 2422 333 396 729 189 279 468 1720 1899 3619 0 0 0 0 0

26 Muara Tiga 1164 1172 2336 324 379 703 183 268 451 1671 1819 3490 0 0 0 0 0
JUMLAH 0 0 0 0 24,914 25,074 49988 6873 8448 15321 3823 5845 9668 35610 39367 74977 0 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kepala Puskesmas

______________________________
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT KABUPATEN

Jumlah Kunjungan Lansia Kegiatan sehari-hari

60-69 > 70 Total Kunjungan Kemandirian Lansia IMT


Ggn ME
Perempuan Total ( L + P ) Laki-laki Perempuan Total ( L + P ) 45 - > 70 A B C Lebih Normal
Jumlah Jumlah
B L (B+L) (%) B L (B+L) B L (B+L) (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L
(B+L) +L)
6 7 8 9

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!

0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0!


0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 0 0 0 0 #DIV/0! 0
Jumlah Lansia dengan Kelainan

IMT Tekanan Darah


Hb Kurang Kolesterol tinggi DM As. Urat tinggi
Normal Kurang Tinggi Normal Rendah

P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P)

9 10 11 12 13 14

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0

0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0


0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0
Pengobatan
Konseling

As. Urat tinggi Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan
Lansia Wredha dibina

B L S
(%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)

14 15 16 17 18 19 20 21 22 24 25 26

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!


#DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 #DIV/0! 0 0 0 0 0 0 0 0 0 0
Jumlah
Kunjungan Ket.
Rumah

27 28
0
KABUPATEN :Pidie
BULAN :Rekapan
Sasaran Lansia

45-59 60-69 > 70 Jumlah Total Lansia (45-70) 45-59 60-69


Jumlah Jumlah
Jumlah
No Puskesmas Posyandu
Jumlah Desa Kelompok Panti
Lansia Wredha
Laki-laki Perempuan Total ( L + P ) Laki-laki
L P (L+P) L P (L+P) L P (L+P) L P (L+P) Jumlah
B L (B+L) B L (B+L) (B+ (%) B L (B+L)
L)
1 2 3 4 5 6

1 Geumpang 36 32 0 0 422 383 805 117 124 241 66 87 153 605 594 1199 31 26 57 88 71 159 216 26.8322981 21 93 114

2 Mane 40 33 0 0 514 517 1031 143 167 310 80 118 198 737 802 1539 3 0 3 0 0 0 3 0.29097963 45 238 283

3 Glp. Tiga 15 15 0 0 366 504 870 129 163 292 74 125 199 569 792 1361 119 146 265 114 505 619 884 101.609195 102 584 686

4 Teupin Raya 130 40 0 0 632 662 1294 173 217 390 98 153 251 903 1032 1935 58 41 99 248 202 450 549 42.4265842 53 296 349

5 Glp. Baro 48 48 0 0 600 690 1290 167 223 390 94 157 251 861 1070 1931 82 50 132 375 270 645 777 60.2325581 64 279 343

6 Mutiara Timur 38 38 0 0 856 928 1784 238 300 538 134 211 345 1228 1439 2667 60 396 456 109 605 714 1170 65.5829596 57 143 200

7 Ujong Rimba 58 58 0 0 1123 1218 2341 312 394 706 117 278 395 1552 1890 3442 405 1972 2377 573 3078 3651 6028 257.496796 217 1032 1249

8 Mutiara Barat 64 64 18 0 1192 1278 2470 332 413 745 187 292 479 1711 1983 3694 37 24 61 98 148 246 307 12.4291498 51 272 323

9 Tiro 0 0 0 0 760 491 1251 128 159 287 72 112 184 960 762 1722 2 0 2 33 3 36 38 3.03756994 24 100 124

10 Tangse 20 20 0 0 1552 1599 3151 432 517 949 244 364 608 2228 2480 4708 76 69 145 58 46 104 249 7.90225325 24 147 171

11 Keumala 72 72 18 0 579 615 1194 161 199 360 91 140 231 831 954 1785 19 128 147 221 1080 1301 1448 121.273032 39 174 213

12 Titeu 27 27 0 0 410 408 818 114 135 249 64 93 157 588 636 1224 0 53 53 1 301 302 355 43.398533 0 0 0

13 Sakti 56 56 0 0 1227 1295 2522 342 419 761 193 296 489 1762 2010 3772 257 176 433 470 575 1045 1478 58.6042823 227 1099 1326

14 Mila 16 16 12 0 512 568 1080 142 185 327 80 130 210 734 883 1617 58 39 97 217 108 325 422 39.0740741 52 224 276

15 padang Tiji 27 27 0 0 1300 1332 2632 362 431 793 205 303 508 1867 2066 3933 655 109 764 827 95 922 1686 64.0577508 308 1191 1499

16 Delima 35 35 0 0 706 772 1478 196 250 446 111 176 287 1013 1198 2211 258 148 406 444 217 661 1067 72.1921516 115 381 496

17 Reubee 40 40 0 0 490 535 1025 136 173 309 77 122 199 703 830 1533 45 43 88 229 58 287 375 36.5853659 57 280 337

18 Grong-Grong 32 32 0 0 401 402 803 112 139 251 63 98 161 576 639 1215 98 23 121 248 229 477 598 74.4707347 48 227 275

19 Indrajaya 76 76 0 0 1323 1453 2776 368 470 838 208 331 539 1899 2254 4153 144 105 249 474 842 1316 1565 56.3760807 153 806 959

20 Peukan Baro 48 48 0 0 1177 1270 2447 328 410 738 185 290 475 1690 1970 3660 102 35 137 391 92 483 620 25.3371475 122 721 843

21 Kb. Tanjong 24 24 0 0 1266 1320 2586 352 428 780 199 302 501 1817 2050 3867 773 63 836 928 227 1155 1991 76.9914927 305 996 1301

22 Sp. Tiga 79 79 0 0 1301 1419 2720 362 458 820 205 324 529 1868 2201 4069 328 1084 1412 980 2133 3113 4525 166.360294 222 984 1206

23 Kota Sigli 84 84 0 0 1251 1273 2524 348 412 760 197 170 367 1796 1855 3651 127 182 309 443 780 1223 1532 60.6973059 166 725 891

24 Pidie 24 24 0 0 2592 2746 5338 722 887 1609 407 626 1033 3721 4259 7980 89 15 104 314 0 314 418 7.83064818 97 254 351

25 Batee 112 112 0 0 1198 1224 2422 333 396 729 189 279 468 1720 1899 3619 280 1656 1936 465 2013 2478 4414 182.246078 127 717 844

26 Muara Tiga 53 53 0 0 1164 1172 2336 324 379 703 183 268 451 1671 1819 3490 448 312 760 559 357 916 1676 71.7465753 402 2404 2806
JUMLAH 1254 1153 0 0 24,914 26,074 50988 6873 8448 15321 3823 5845 9668 35610 40367 75977 4553 6894 11447 8893 14035 22928 34375 67.4178238 3094 14530 17624

Mengetahui
Kepala Puskesmas

______________________________
FORMAT PENCATATAN DAN PELAPORAN LANSIA TINGKAT KABUPATEN

Jumlah Kunjungan Lansia Kegiatan sehari-hari

60-69 > 70 Total Kunjungan Kemandirian Lansia IMT


Ggn ME
Perempuan Total ( L + P ) Laki-laki Perempuan Total ( L + P ) 45 - > 70 A B C Lebih Normal
Jumlah Jumlah
B L (B+L) (%) B L (B+L) B L (B+L) (B (%) L P (L+P) (%) Jumlah (%) Jumlah (%) Jumlah (%) L P L P (L+P) (%) L P
(B+L) +L)
6 7 8 9

40 203 243 357 148.13278 19 88 107 34 218 252 359 234.64052 278 654 932 77.731443 528 56.65236 148 15.87983 4 0.429185 1 0 0 5 5 0.536481 16 50

129 690 819 1102 355.48387 44 202 246 65 353 418 664 335.35354 532 1237 1769 114.94477 457 25.8338 0 0 0 0 0 0 2 1 3 0.169587 0 6

154 756 910 1596 546.57534 80 464 544 104 504 608 1152 578.89447 1495 2137 3632 266.8626 116 3.193833 69 1.89978 124 3.414097 0 10 26 62 88 2.422907 0 0

177 988 1165 1514 388.20513 39 247 286 117 667 784 1070 426.29482 734 2399 3133 161.91214 1095 34.95053 47 1.50016 0 0 0 8 3 47 50 1.595914 6 48

156 927 1083 1426 365.64103 52 216 268 141 871 1012 1280 509.96016 743 2740 3483 180.37286 1491 42.80792 27 0.775194 5 0.143554 0 0 2 18 20 0.574218 44 277

92 323 415 615 114.31227 38 155 193 137 642 779 972 281.73913 849 1908 2757 103.37458 594 21.54516 45 1.632209 16 0.580341 2 4 2 1 3 0.108814 93 148

262 1264 1526 2775 393.05949 114 605 719 161 798 959 1678 424.81013 4345 6136 10481 304.5032 1078 10.28528 58 0.553382 31 0.295773 2 2 69 50 119 1.135388 381 370

284 1917 2201 2524 338.79195 41 262 303 169 1193 1362 1665 347.59916 687 3809 4496 121.71088 1699 37.78915 35 0.77847 6 0.133452 0 0 0 0 0 0 0 0

77 539 616 740 257.83972 9 63 72 71 497 568 640 347.82609 198 1220 1418 82.346109 265 18.68829 89 6.276446 18 1.269394 0 0 0 0 0 0 0 0

36 195 231 402 42.360379 48 282 330 40 247 287 617 101.48026 646 622 1268 26.93288 113 8.911672 63 4.968454 4 0.315457 2 0 3 2 5 0.394322 0 0

169 1095 1264 1477 410.27778 52 267 319 149 900 1049 1368 592.20779 679 3614 4293 240.5042 872 20.31214 394 9.177731 71 1.653855 0 0 0 1 1 0.023294 97 528

0 0 0 0 0 0 0 0 0 0 0 0 0 53 302 355 29.003268 752 211.831 16 4.507042 4 1.126761 0 0 0 0 0 0 0 0

424 1981 2405 3731 490.27595 152 731 883 249 1051 1300 2183 446.42127 2642 4750 7392 195.97031 1270 17.18074 91 1.231061 282 3.814935 0 0 0 0 0 0 0 0

143 644 787 1063 325.07645 50 216 266 114 568 682 948 451.42857 639 1794 2433 150.46382 678 27.86683 10 0.411015 24 0.986436 0 0 0 0 0 0 0 0

346 1291 1637 3136 395.46028 176 646 822 248 901 1149 1971 387.99213 3085 3708 6793 172.71803 2433 35.81628 563 8.287943 57 0.839099 49 52 63 89 152 2.237598 901 1035

195 975 1170 1666 373.5426 72 265 337 182 919 1101 1438 501.0453 1239 2932 4171 188.64767 1768 42.38792 20 0.479501 0 0 4 4 86 270 356 8.535123 363 652

223 942 1165 1502 486.08414 48 215 263 124 565 689 952 478.39196 688 2141 2829 184.54012 918 32.44963 26 0.919053 0 0 1 3 30 94 124 4.383174 110 248

117 597 714 989 394.0239 28 118 146 104 582 686 832 516.77019 542 1877 2419 199.09465 1031 42.62092 124 5.126085 17 0.70277 22 120 53 293 346 14.30343 115 386

339 1626 1965 2924 348.92601 79 388 467 202 945 1147 1614 299.44341 1675 4428 6103 146.95401 2010 32.93462 21 0.344093 0 0 0 0 68 207 275 4.505981 242 779

351 2026 2377 3220 436.31436 118 713 831 285 1750 2035 2866 603.36842 1811 4895 6706 183.22404 1500 22.36803 99 1.47629 30 0.447361 0 5 92 412 504 7.515658 141 344

458 1791 2249 3550 455.12821 209 797 1006 306 1118 1424 2430 485.02994 3143 4828 7971 206.12878 1274 15.98294 153 1.919458 93 1.166729 8 6 52 69 121 1.518003 1198 1620

503 2660 3163 4369 532.80488 130 627 757 297 1699 1996 2753 520.41588 3375 8272 11647 286.2374 2780 23.86881 0 0 19 0.163132 0 0 21 89 110 0.944449 40 121

264 1413 1677 2568 337.89474 56 234 290 149 1322 1471 1761 479.83651 1490 4371 5861 160.53136 2493 42.5354 109 1.859751 185 3.156458 15 38 102 231 333 5.681624 2 6

322 1216 1538 1889 117.40211 103 194 297 215 898 1113 1410 136.49564 752 2965 3717 46.578947 1115 29.99731 0 0 39 1.049233 0 0 61 171 232 6.241593 84 261

188 1067 1255 2099 287.92867 91 494 585 123 677 800 1385 295.94017 3365 4533 7898 218.23708 3321 42.04862 174 2.203089 1 0.012661 73 47 213 244 457 5.786275 664 797

414 2487 2901 5707 811.80654 256 1443 1699 300 1734 2034 3733 827.71619 5265 5851 11116 318.51003 2167 19.49442 623 5.604534 388 3.490464 22 23 107 134 241 2.168046 198 228
5849 29501 35350 52974 345.76072 2100 9827 11927 4068 20965 25033 36960 382.2921 40998 83311 124309 163.61399 33764 27.16135 3002 2.41495 1418 1.140706 201 322 1055 2487 3542 2.849351 4583 7642
Jumlah Lansia dengan Kelainan

IMT Tekanan Darah


Hb Kurang Kolesterol tinggi DM As. Urat tinggi
Normal Kurang Tinggi Normal Rendah

(L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%)

9 10 11 12 13 14

66 7.0815451 0 10 10 1.072961 65 185 250 26.82403 43 168 211 22.63948 15 41 56 6.008584 1 2 3 0.321888 0 10 10 1.072961 16 14 30 3.218884 5 34 39 4.184549

6 0.3391747 6 24 30 1.695873 53 137 190 10.74053 6 8 14 0.791408 4 28 32 1.808932 0 0 0 0 1 3 4 0.226116 4 6 10 0.565291 3 17 20 1.130582

0 0 31 57 88 2.422907 41 123 164 4.515419 65 168 233 6.415198 49 121 170 4.680617 0 0 0 0 0 0 0 0 55 134 189 5.203744 0 2 2 0.055066

54 1.7235876 19 19 38 1.212895 54 174 228 7.27737 21 193 214 6.830514 3 60 63 2.010852 5 0 5 0.159591 13 35 48 1.532078 28 48 76 2.42579 1 29 30 0.957549

321 9.2161929 0 0 0 0 47 256 303 8.699397 197 597 794 22.79644 9 48 57 1.63652 0 0 0 0 5 11 16 0.459374 4 13 17 0.488085 3 0 3 0.086133

241 8.7413856 2 5 7 0.253899 18 105 123 4.461371 83 135 218 7.907145 10 26 36 1.305767 2 2 4 0.145085 9 52 61 2.21255 5 30 35 1.269496 15 70 85 3.083061

751 7.1653468 21 29 50 0.477054 41 52 93 0.88732 344 341 685 6.535636 13 37 50 0.477054 1 1 2 0.019082 8 20 28 0.26715 8 12 20 0.190821 5 22 27 0.257609

0 0 0 4 4 0.088968 27 156 183 4.070285 0 0 0 0 11 35 46 1.023132 0 1 1 0.022242 0 10 10 0.22242 4 23 27 0.600534 8 17 25 0.55605

0 0 0 0 0 0 12 60 72 5.077574 81 32 113 7.96897 3 20 23 1.622003 20 0 20 1.410437 0 0 0 0 2 4 6 0.423131 0 0 0 0

0 0 0 0 0 0 27 25 52 4.100946 0 0 0 0 17 5 22 1.735016 2 0 2 0.157729 0 0 0 0 0 0 0 0 0 0 0 0

625 14.558584 10 21 31 0.722106 56 284 340 7.91987 70 435 505 11.76334 12 44 56 1.304449 0 0 0 0 0 1 1 0.023294 0 9 9 0.209644 0 4 4 0.093175

0 0 0 0 0 0 13 79 92 25.91549 0 16 16 4.507042 1 0 1 0.28169 0 0 0 0 0 0 0 0 4 14 18 5.070423 2 1 3 0.84507

0 0 0 0 0 0 153 210 363 4.910714 93 179 272 3.679654 64 92 156 2.11039 0 0 0 0 32 43 75 1.01461 18 40 58 0.784632 30 58 88 1.190476

0 0 7 10 17 0.698726 81 85 166 6.822852 21 27 48 1.972873 11 19 30 1.233046 0 0 0 0 9 13 22 0.904233 10 13 23 0.945335 23 76 99 4.069051

1936 28.499926 40 55 95 1.398498 148 248 396 5.82953 809 915 1724 25.37907 32 50 82 1.207125 0 0 0 0 36 45 81 1.192404 23 43 66 0.971588 6 7 13 0.191373

1015 24.334692 21 116 137 3.284584 140 351 491 11.77176 339 499 838 20.09111 4 52 56 1.342604 0 1 1 0.023975 11 26 37 0.887077 8 39 47 1.126828 2 32 34 0.815152

358 12.654648 3 6 9 0.318134 68 176 244 8.624956 134 321 455 16.08342 142 8 150 5.302227 0 5 5 0.176741 18 38 56 1.979498 54 118 172 6.079887 3 11 14 0.494875

501 20.711038 26 117 143 5.911534 68 220 288 11.90575 167 488 655 27.0773 6 46 52 2.149649 0 0 0 0 18 37 55 2.273667 15 39 54 2.232327 2 15 17 0.70277

1021 16.729477 22 74 96 1.572997 113 391 504 8.258234 169 518 687 11.25676 9 48 57 0.933967 0 0 0 0 0 1 1 0.016385 3 5 8 0.131083 0 2 2 0.032771

485 7.2323293 48 146 194 2.892932 114 375 489 7.291977 122 432 554 8.261259 15 75 90 1.342082 4 16 20 0.29824 11 36 47 0.700865 12 41 53 0.790337 10 39 49 0.730689

2818 35.353155 28 44 72 0.903274 95 215 310 3.889098 849 1591 2440 30.61096 34 294 328 4.114917 17 34 51 0.639819 41 89 130 1.630912 39 79 118 1.480366 49 140 189 2.371095

161 1.3823302 7 61 68 0.583841 176 454 630 5.409118 270 517 787 6.757105 0 4 4 0.034344 0 1 1 0.008586 2 11 13 0.111617 26 36 62 0.532326 121 237 358 3.073753

8 0.1364955 26 127 153 2.610476 133 404 537 9.162259 2 0 2 0.034124 20 81 101 1.723255 2 8 10 0.170619 16 39 55 0.938406 11 52 63 1.074902 12 56 68 1.160212

345 9.2816788 39 149 188 5.057842 21 198 219 5.891848 160 409 569 15.30804 10 63 73 1.963949 0 0 0 0 4 44 48 1.291364 11 52 63 1.694915 3 73 76 2.04466

1461 18.498354 177 215 392 4.963282 593 718 1311 16.59914 391 547 938 11.87642 264 421 685 8.673082 83 138 221 2.798177 62 66 128 1.620663 55 109 164 2.076475 104 125 229 2.899468

426 3.8323138 186 191 377 3.391508 351 345 696 6.261245 165 189 354 3.184599 323 278 601 5.406621 19 27 46 0.413818 68 57 125 1.124505 119 114 233 2.096078 213 316 529 4.758906
12225 9.8343644 719 1397 2116 1.70221 2706 6009 8715 7.010755 4572 8634 13206 10.62353 1080 1989 3069 2.468848 156 235 391 0.314539 364 684 1048 0.84306 465 1081 1546 1.243675 619 1373 1992 1.602458
Pengobatan
Konseling

Ggn ginjal Ggn kognitif Ggn Penglihatan Ggn pendengaran Lain-lain Diobati Dirujuk Pemberdayaan Jumlah Panti
Penyuluhan
Lansia Wredha dibina

B L S
L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) L P (L+P) (%) (+) (-) (+) (-)

15 16 17 18 19 20 21 22 24 25 26

0 0 0 0 0 0 0 0 11 40 51 5.472103 12 10 22 2.360515 11 38 49 5.257511 225 0 43 0 128 87 20 598 0 0

0 0 0 0 0 0 0 0 35 68 103 5.822499 8 13 21 1.187111 33 97 130 7.348785 69 0 15 24 228 53 176 457 0 0

0 0 0 0 0 0 0 0 4 13 17 0.468062 12 24 36 0.991189 23 57 80 2.202643 260 0 31 0 212 215 377 431 202 0

2 30 32 1.021385 0 7 7 0.223428 1 227 228 7.27737 0 8 8 0.255346 253 643 896 28.59879 1032 0 418 0 313 88 49 1164 1084 0

0 0 0 0 0 0 0 0 10 29 39 1.119724 4 32 36 1.033592 11 26 37 1.062303 1556 0 179 0 874 678 180 1551 1391 0

0 0 0 0 0 3 3 0.108814 4 25 29 1.051868 4 13 17 0.616612 50 78 128 4.642728 504 0 58 0 293 203 506 502 56 0

0 6 6 0.057246 0 0 0 0 11 27 38 0.362561 13 33 46 0.438889 456 473 929 8.863658 0 0 13 0 231 147 139 96 35 0

0 1 1 0.022242 0 0 0 0 37 91 128 2.846975 41 91 132 2.935943 161 1119 1280 28.46975 1670 138 226 0 290 171 115 620 23 0

0 0 0 0 0 0 0 0 2 13 15 1.057828 1 10 11 0.77574 16 108 124 8.744711 137 0 43 0 184 17 57 215 0 39

0 0 0 0 0 0 0 0 34 42 76 5.993691 20 33 53 4.179811 20 9 29 2.287066 124 0 25 0 9 3 6 0 0 0

0 0 0 0 0 0 0 0 0 3 3 0.069881 2 4 6 0.139762 37 418 455 10.59865 1288 0 184 0 788 571 138 1290 892 0

0 0 0 0 0 0 0 0 0 2 2 0.56338 0 2 2 0.56338 50 532 582 163.9437 654 0 148 0 4 682 120 388 0 0

1 0 1 0.013528 0 0 0 0 24 49 73 0.987554 24 41 65 0.879329 156 296 452 6.114719 1376 2 277 2 131 0 33 0 0 0

0 0 0 0 0 0 0 0 15 29 44 1.808467 14 17 31 1.274147 46 157 203 8.343609 442 0 65 0 424 85 497 63 0 0

3 1 4 0.058884 26 34 60 0.883262 114 145 259 3.812748 28 46 74 1.089357 192 238 430 6.330046 990 297 109 0 997 41 0 57 2597 0

0 0 0 0 3 9 12 0.287701 371 565 936 22.44066 60 120 180 4.315512 4 3 7 0.167825 1578 12 154 0 1248 491 271 1603 1163 0

0 215 215 7.599859 8 17 25 0.883704 6 13 19 0.671615 6 3 9 0.318134 1 2 3 0.106045 977 0 139 0 459 362 125 964 873 0

0 0 0 0 8 49 57 2.356346 65 400 465 19.22282 22 119 141 5.828855 0 0 0 0 1075 40 114 0 619 508 212 323 916 0

0 0 0 0 10 99 109 1.786007 19 196 215 3.522858 12 83 95 1.556612 225 767 992 16.2543 1995 0 281 0 800 1230 286 1995 419 0

2 7 9 0.134208 5 10 15 0.22368 75 250 325 4.846406 35 133 168 2.505219 30 48 78 1.163137 293 38 0 0 1550 239 76 1517 1214 0

6 5 11 0.138 0 0 0 0 61 153 214 2.684732 50 110 160 2.007276 46 52 98 1.229457 3201 76 118 0 2979 0 308 0 0 0

0 3 3 0.025758 2 7 9 0.077273 1 2 3 0.025758 3 1 4 0.034344 375 1028 1403 12.04602 2153 0 540 0 1992 1264 59 3453 2569 0

3 6 9 0.153557 7 41 48 0.818973 15 82 97 1.655008 27 49 76 1.296707 258 848 1106 18.8705 1013 0 334 0 776 1219 408 168 2124 0

1 1 2 0.053807 0 0 0 0 6 54 60 1.614205 20 38 58 1.560398 20 96 116 3.120796 635 233 163 0 1065 0 93 1152 0 0

2 3 5 0.063307 0 0 0 0 62 68 130 1.645986 31 27 58 0.734363 9 5 14 0.17726 3253 0 455 0 595 1679 269 3920 0 0

13 9 22 0.197913 3 0 3 0.026988 67 84 151 1.358402 62 52 114 1.025549 0 0 0 0 1861 264 356 0 686 804 1343 1226 102 0
33 287 320 0.257423 72 183 255 0.205134 1048 2656 3704 2.979672 510 1109 1619 1.3024 2483 7138 9621 7.739584 28341 1100 4480 26 17821 10837 5863 23699 15660 39
Jumlah
Kunjungan Ket.
Rumah

27 28

40

62

39

43

175

18

20

142

125

70

21

106

20

18

26

14

21

#VALUE!

350

63

34

204

41

530
2187
Capaian Target 33,3
Geumpang 28.6
Mane 44.8
Glp. Tiga 104.5
GRAFI
Teupin Raya 54.4 GRAF
Glp. Baro 46.7 180.0
180.0
Mutiara Timur 17.8
Ujong Rimba 79.9 160.0
160.0
Mutiara Barat 73.0
140.0
Tiro 30.3
140.0
Tangse 7.1
120.0
Keumala 71.7
120.0 104.5
Titeu 70.3
100.0 104.5
Sakti 65.3 100.0
Mila 33.9 79.9
80.0
padang Tiji 41.1 79.
80.0
Delima 33.4 60.0 54.4
Reubee 57.0 60.0 44.8 54.446.7
Grong-Grong 57.0 44.8 46.7
40.0
Indrajaya 87.2 28.6
40.0
28.6 17.8
Peukan Baro 54.5 20.0
20.0 17.8
Kb. Tanjong 34.1
Sp. Tiga 52.9 0.0
0.0ang an
e ga ay
a ro ur ba
Kota Sigli 73.1 p gM e. Ti a R a
. Ba oT im r im
m n anlp gn lyp arar uR b
Pidie 9.6 eu pa MG Tpi i RGa . tBia
mg
Tjoin
miar
G
u m lpT.eu in lpu a Ruit
g
Batee 82.9 G
e G up GM iarU jon M
Te ut U M
M
Muara Tiga 158.3
Kab 54.5
GRAFIK CAPAIAN USILA JANUARI s/d APRIL UMUR 60 TAHUN
GRAFIK CAPAIAN USILA JANUARI s/d APRIL UMUR 60 TAHUN
158

04.5
104.5
87.2
79.9 82.9
87.2
79.973.0 71.7 70.3 73.1 82.9
73.0 71.7 70.365.3 73.1
54.4 65.3 57.0 57.0 54.5 52.9
54.446.7 57.0 57.0 54.5 52.9
46.7 41.1
33.9 41.133.4 34.1
30.3
33.9 33.4 34.1
30.3
17.8
17.8 7.1 9.6
7.1 9.6

ga ya ro ur ba at ro se ala teu kt
i ila Ti
ji a ee ng ya ro ng ga gl
i ie e
Ti Ra Ba im im ar Ti ng Ti Sa lim aeub ro aja Ba jo Ti Si id ate ig
gina ypa. rr oT ur
R b a
a B
rat
iro
Ta seeum
ala eu k ti M
il
aan g ij
Di e
R e
- e
G n g
d r y a
n roan n g
p . g a
ta g li P ie B
terea T
i a l a a r g t T m b a a aT io i d a
. uTp RG . tBia inmg mia
Ruit Ba T nK m Ti Sa pMad g eli ung roIn j
rauk bB. an
joS T
p. K ota
S Pi MB
au
lp e in lpu a Tjo ra Ta eu an D Rreo -G Pd e aKn r
G T eup GM a rU n g
M ia K
pa
d G
on
g In k . T S ua
T ut
i jo ut r P eu K
b K M
M U M G

Capaian Target 33,3


Capaian Target 33,3
MUR 60 TAHUN
UMUR 60 TAHUN
158.3
158.3

82.9
73.1 82.9
73.1
52.9 54.5
52.9 54.5
.1
34.1

9.6
9.6

g ga i e e ga ab
gl di ate
g. Ti a Si li Pi e B e Ti a K
np gta g i
autaer
a g ab
njoS . Tio
K Si P id
B a Ti K
a a M
Sp K
ot ua
r
M
180.0
Capaian Target 33,3
Geumpang 49.0
160.0
Mane 46.0
Glp. Tiga 118.1
140.0
Teupin Raya 63.7
Glp. Baro 72.5 118.
120.0
Mutiara Timur 44.9
Ujong Rimba 89.1 100.0
Mutiara Barat 56.8
Tiro 43.5 80.0
Tangse 19.2
Keumala 101.7 60.0
Titeu 35.7 49.0 46.0

Sakti 57.3 40.0


Mila 44.8
padang Tiji 39.0 20.0
Delima 49.5
Reubee 53.8 0.0
ng e ga
Grong-Grong 70.2 pa an Ti
m M .
eu lp
Indrajaya 91.3 G G u
Te
Peukan Baro 77.1
Kb. Tanjong 26.5
Sp. Tiga 34.6
Kota Sigli 74.9
Pidie 11.8
Batee 82.5
Muara Tiga 153.4
Kab 58.4
180.0 GRAFIK CAPAIAN USILA JANUARI s/d APRIL UMUR < 70 T
160.0

140.0

120.0 118.1

101.7
100.0
89.1 91.3

80.0 77.1 74.9


72.5 70.2
63.7
60.0 56.8 57.3
53.8
49.0 46.0 49.5
44.9 43.5 44.8
39.0
40.0 35.7 34.6
26.5
19.2
20.0

0.0
ng an
e ga ya ro ur ba at ro se ala teu kt
i ila Ti
ji a ee ng jaya ar
o ng ga li
pa Ti Ra Ba Tim Rim ar Ti ng m Ti Sa M eli
m ub ro a B jo Ti S ig
m M
lp
. . B a u ng e -G r
an Ta
n . a
eu in lp a
ng utia
ra T e
da D R
In
d S p K ot
G G up G iar K a ng uk b.
Te ut U
jo
M
p
G
ro P e K
M

Capaian Target 33,3


RIL UMUR < 70 TAHUN
153.4

91.3
82.5
77.1 74.9

58.4

34.6
26.5

11.8

ya o ng ga li di
e tee a ab
ar Ti ig ig
raja n B n jo . a S Pi Ba ra T K
nd a Ta S p K ot ua
euk b. M
P K
sasaran kunjungan
60-69 <70 jmlah 60-69
Geumpang 241 153 394 194
Mane 310 198 508 228
Glp. Tiga 292 199 491 263
Teupin Raya 390 251 641 304
Glp. Baro 390 251 641 320
Mutiara Timur 538 345 883 278
Ujong Rimba 706 395 1101 462
Mutiara Barat 745 479 1224 620
Tiro 287 184 471 127
Tangse 949 608 1557 153
Keumala 360 231 591 205
Titeu 249 157 406 220
Sakti 761 489 1250 415
Mila 327 210 537 188
padang Tiji 793 508 1301 779
Delima 449 290 739 283
Reubee 309 199 508 290
Grong-Grong 251 161 412 220
Indrajaya 838 539 1377 712
Peukan Baro 738 475 1213 566
Kb. Tanjong 780 501 1281 692
Sp. Tiga 820 529 1349 668
Kota Sigli 760 367 1127 710
Pidie 1609 1033 2642 385
Batee 729 468 1197 703
Muara Tiga 703 451 1154 650
JUMLAH 15321 9668 24989 10635
kunjungan
<70 jmlah %
194 388 98.5 Geumpang
146 374 73.6 Mane
171 434 88.4 Glp. Tiga
202 506 78.9 Teupin Raya
233 553 86.3 Glp. Baro
560 838 94.9 Mutiara Timur
271 733 66.6 Ujong Rimba
331 951 77.7 Mutiara Barat
98 225 47.8 Tiro
191 344 22.1 Tangse
191 396 67.0 Keumala
106 326 80.3 Titeu
308 723 57.8 Sakti
171 359 66.9 Mila
518 1297 99.7 padang Tiji
269 552 74.7 Delima
155 445 87.6 Reubee
140 360 87.4 Grong-Grong
470 1182 85.8 Indrajaya
475 1041 85.8 Peukan Baro
451 1143 89.2 Kb. Tanjong
427 1095 81.2 Sp. Tiga
302 1012 89.8 Kota Sigli
298 683 25.9 Pidie
177 880 73.5 Batee
310 960 83.2 Muara Tiga
7165 17800 71.2 JUMLAH
sasaran kunjungan
60-69 <70 jmlah 60-69 <70 jmlah %
241 153 394 194 194 388 98.5
310 198 508 228 146 374 73.6
292 199 491 307 237 544 110.8
390 251 641 402 267 669 104.4
390 251 641 354 336 690 107.6
538 345 883 278 560 838 94.9
706 395 1101 462 271 733 66.6
745 479 1224 620 331 951 77.7
287 184 471 127 98 225 47.8
949 608 1557 153 191 344 22.1
360 231 591 517 435 952 161.1
249 157 406 300 106 406 100.0
761 489 1250 1124 754 1878 150.2
327 210 537 188 171 359 66.9
793 508 1301 779 518 1297 99.7
449 290 739 283 269 552 74.7
309 199 508 324 246 570 112.2
251 161 412 333 267 600 145.6
838 539 1377 1205 835 2040 148.1
738 475 1213 566 475 1041 85.8
780 501 1281 692 451 1143 89.2
820 529 1349 3581 758 4339 321.6
760 367 1127 1610 848 2458 218.1
1609 1033 2642 385 298 683 25.9
729 468 1197 703 177 880 73.5
703 451 1154 650 310 960 83.2
15321 9668 24989 16365 9549 25914 103.7
sasaran
60-69 <70
Geumpang 241 153
Mane 310 198
Glp. Tiga 292 199
Teupin Raya 390 251
Glp. Baro 390 251
Mutiara Timur 538 345
Ujong Rimba 706 395
Mutiara Barat 745 479
Tiro 287 184
Tangse 949 608
Keumala 360 290
Titeu 249 157
Sakti 761 489
Mila 327 210
padang Tiji 793 508
Delima 446 287
Reubee 309 199
Grong-Grong 251 161
Indrajaya 838 539
Peukan Baro 738 475
Kb. Tanjong 780 501
Sp. Tiga 820 529
Kota Sigli 760 367
Pidie 1609 1033
Batee 729 468
Muara Tiga 703 451
JUMLAH 15321 9668
sasaran kunjungan
jmlah 60-69 <70 jmlah %
394 61 53 114 28.9
508 197 116 313 61.6
491 256 184 440 89.6
641 230 156 386 60.2
641 234 208 442 69.0
883 179 195 374 42.4
1101 518 309 827 75.1
1224 346 222 568 46.4
471 101 80 181 38.4
1557 60 88 148 9.5
650 208 207 415 63.8
406 0 2 2 0.5
1250 712 436 1148 91.8
537 212 164 376 70.0
1301 744 481 1225 94.2
733 334 256 590 80.5
508 300 193 493 97.0
412 172 136 308 74.8
1377 517 101 618 44.9
1213 489 412 901 74.3
1281 776 490 1266 98.8
1349 725 427 1152 85.4
1127 463 390 853 75.7
2642 436 295 731 27.7
1197 315 214 529 44.2
1154 690 350 1040 90.1
24989 9486 6473 15959 63.9
sasaran
60-69
Geumpang 241
Mane 310
Glp. Tiga 292
Teupin Raya 390
Glp. Baro 390
Mutiara Timur 538
Ujong Rimba 706
Mutiara Barat 745
Tiro 287
Tangse 949
Keumala 360
Titeu 249
Sakti 761
Mila 327
padang Tiji 793
Delima 446
Reubee 309
Grong-Grong 251
Indrajaya 838
Peukan Baro 738
Kb. Tanjong 780
Sp. Tiga 820
Kota Sigli 760
Pidie 1609
Batee 729
Muara Tiga 703
JUMLAH 15321
sasaran kunjungan
<70 jmlah 60-69 <70 jmlah %
153 394 0 0.0
198 508 0 0.0
199 491 0 0.0
251 641 0 0.0
251 641 0 0.0
345 883 0 0.0
395 1101 0 0.0
479 1224 335 400 735 60.0
184 471 0 0.0
608 1557 0 0.0
290 650 208 234 442 68.0
157 406 0 0.0
489 1250 0 0.0
210 537 176 143 319 59.4
508 1301 0 0.0
287 733 0 0.0
199 508 0 0.0
161 412 0 0.0
539 1377 567 268 835 60.6
475 1213 0 0.0
501 1281 0 0.0
529 1349 0 0.0
367 1127 0 0.0
1033 2642 0 0.0
468 1197 0 0.0
451 1154 0 0.0
9668 24989 0 0.0
sasaran kunjungan
60-69 <70 jmlah 60-69 <70
Geumpang 241 153 394
Mane 310 198 508
Glp. Tiga 292 199 491
Teupin Raya 390 251 641
Glp. Baro 390 251 641
Mutiara Timur 538 345 883
Ujong Rimba 706 395 1101
Mutiara Barat 745 479 1224
Tiro 287 184 471
Tangse 949 608 1557
Keumala 360 290 650
Titeu 249 157 406
Sakti 761 489 1250
Mila 327 210 537 212 163
padang Tiji 793 508 1301
Delima 446 287 733
Reubee 309 199 508
Grong-Grong 251 161 412
Indrajaya 838 539 1377
Peukan Baro 738 475 1213
Kb. Tanjong 780 501 1281
Sp. Tiga 820 529 1349
Kota Sigli 760 367 1127
Pidie 1609 1033 2642
Batee 729 468 1197
Muara Tiga 703 451 1154
JUMLAH 15321 9668 24989
kunjungan
jmlah %
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
375 69.8
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0

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