DESEMBER TAHUN 2021

NAMA S K N T
NO RW
POSYANDU 0-5 BLN 6-11 BLN 12 - 24 BLN 25 - 59 BLN 0-5 BLN 6-11 BLN 12 - 24 BLN 25 - 59 BLN 0 - 5 BLN 6 - 12 BLN 12 - 24 BLN 25 - 59 BLN 0 - 5 BLN 6 - 11 BLN 12-24 BLN

L
L P L P L P L P S D/S L P L P L P L P L P L P L P L P L P P L

1 PARKIT .001 2 2 10 7 15 15 51 33 135 100 2 2 10 7 15 15 51 33 2 2 8 5 11 13 45 28 0 0 2 2 3

2
CAMAR .002 7 3 4 5 11 7 18 14 69 100 7 3 4 5 11 7 18 14 7 3 4 5 10 6 16 12 0 0 0 0 1

3 GELATIK A .003 9 2 4 8 23 25 62 57 190 100 9 2 4 8 23 25 62 57 8 2 4 8 12 14 30 30 0 0 0 0 11

4 GELATIK B .003 6 1 8 7 11 8 32 38 111 100 6 1 8 77 11 8 32 38 6 1 8 7 10 7 30 36 0 0 0 0 1

5 ELANG .004 5 2 8 7 6 9 39 33 109 100 5 2 8 7 6 9 39 33 5 2 4 5 4 8 19 19 0 0 4 2 2

6 MERPATI .005 0 0 4 0 1 1 9 12 27 100 0 0 4 0 1 1 9 12 0 0 0 0 1 0 2 8 0 0 1 0 0

7 GARUDA .006 2 1 1 1 6 3 11 20 45 100 2 1 1 1 6 3 11 20 2 0 1 1 5 3 11 20 0 0 0 0 1

8 CENDRAWASI.007 3 3 2 2 5 4 24 29 72 100 3 3 2 2 5 4 24 29 3 3 2 2 3 3 20 24 0 0 0 0 2

2 ANGSA .008 0 0 5 5 4 4 21 20 59 103 0 0 5 5 4 4 21 20 0 0 5 5 4 4 17 16 0 0 0 0 0

1 KIJANG .009 3 0 0 0 1 2 11 13 30 100 3 0 0 0 1 2 11 13 2 0 0 0 0 1 10 10 0 0 0 0 1

11 KUTILANG .011 1 1 2 2 4 5 8 6 29 100 1 1 2 2 4 5 8 6 1 1 2 2 2 3 6 4 0 0 0 0 2

12 PANDA A .012 11 6 12 13 25 20 25 40 152 100 11 6 12 13 25 20 25 40 10 5 12 13 25 15 18 35 0 0 0 0 0

13 PANDA B .012 1 3 4 2 19 15 67 46 157 100 1 3 4 2 19 15 67 46 1 2 4 2 17 11 60 41 0 0 0 0 2

14 RUSA 9 9 3 21 18 32 30 44 43 200 100 9 3 21 18 32 30 44 43 8 3 20 17 29 29 41 40 0 0 0 1 3

15 MURAI .014 0 3 0 6 11 9 22 23 74 97.3 0 3 0 6 11 9 22 23 0 3 0 6 9 7 12 18 0 0 0 0 2

16 MERAK .015 3 3 4 6 10 6 30 34 96 100 3 3 4 6 10 6 30 34 1 3 3 6 5 5 15 21 0 0 1 0 5

16 KANCIL .016 1 3 3 3 7 8 22 28 75 100 1 3 3 3 7 8 22 28 1 3 2 1 4 6 16 18 0 0 0 0 3

18 KELINCI 017 5 4 4 5 11 11 54 30 124 100 5 4 4 5 11 11 54 30 4 2 4 5 11 11 50 25 0 0 0 0 0

19 CAMAR B .018 9 2 4 7 7 16 26 20 91 100 9 2 4 7 7 16 26 20 7 2 4 7 6 14 24 15 0 0 0 0 1

20 KANGURU A .019 7 4 22 20 31 12 77 30 203 100 7 4 22 20 31 12 77 30 7 4 18 15 26 11 71 25 0 0 4 5 5

21 KANGURU B .019 6 2 22 14 14 20 66 60 204 100 6 2 22 14 14 20 66 60 5 2 17 12 10 15 60 53 0 0 5 2 4

22 NURI .020 8 4 10 9 23 22 57 26 159 100 8 4 10 9 23 22 57 26 8 4 7 7 16 17 37 18 0 0 3 2 6

23 BANGAU .023 2 2 4 2 7 5 14 11 47 100 2 2 4 2 7 5 14 11 2 2 4 2 4 3 9 8 0 0 0 0 3

JUMLAH 100 54 158 149 284 257 790 666 2458 100 54 158 219 284 257 790 666 88 47 129 131 220 203 610 516 0 0 20 14 55
 B. SURVEILANS
BULAN = 0

NO NAMA BALITA UMUR L P BGM 2T GAKIN/

NAMA ALAMAT LAHIR BB TB
POSYANDU RW RT Tgl Bln Thn (Bulan) L B L B NON
ORANG TUA (Kg) (Cm) GAKIN
V V
V V
V V
V VV
V V
V V
V V
V V
V V
V V
V V
V V
V V

16
17
18
19
20
21
22
23
24
25
26
27
28

BULAN = 0 C. KIA I. KUNJUNGAN KIA

NAMA JUMLAH KUNJUNGAN
UMUR
N0 ALAMAT UMUR KEHAMILAN GAKIN/ UNRAIAN
BUMIL HAMIL NON
KE (Bln)
SUAMI ISTRI POSYANDU RW RT (Thn) GAKIN K1 K4 N2 LINAKES
1
2
3
4
5
6
7
8
9
10
11
 12
13
14
15
16
17
18

BULAN = 0 C. KIA I. KUNJUNGAN KIA

NAMA JUMLAH KUNJUNGAN
UMUR
N0 ALAMAT UMUR KEHAMILAN GAKIN/ UNRAIAN
BUMIL HAMIL NON
KE (Bln)
SUAMI ISTRI POSYANDU RW RT (Thn) GAKIN K1 K4 N2 LINAKES
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45

LAPORAN BULANAN POSYANDU

KELURAHAN DEPOK KECAMATAN PANCORAN MAS DEPOK
BULAN 0 TAHUN 2021
A. SKDN
NAMA S K N T
RW POSYANDU 0 - 5 BLN 6 - 12 BLN 12-24 BLN 25-59 BLN 0 - 5 BLN 6 - 12 BLN 12-24 BLN 25-59 BLN 0 - 5 BLN 6 - 12 BLN 12-24 BLN 25-59 BLN 0 - 5 BLN 6 - 11 BLN 12-24 BLN
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32
1 PARKIT 2 2 10 7 15 15 51 33 2 2 10 7 15 15 51 33 2 2 8 5 11 13 45 28 0 0 2 2 L 2
2 CAMAR 7 3 4 5 11 7 18 14 7 3 4 5 11 7 18 14 7 3 4 5 10 6 16 12 0 0 0 0 1 1
3 GELATIK A 9 2 4 8 23 25 62 57 9 2 4 8 23 25 62 57 8 2 4 8 12 14 30 30 0 0 0 0 11 11
GELATIK B 6 1 8 7 11 8 32 38 6 1 8 77 11 8 32 38 6 1 8 7 10 7 30 36 0 0 0 0 1 1
4 ELANG 5 2 8 7 6 9 39 33 5 2 8 7 6 9 39 33 5 2 4 5 4 8 19 19 0 0 4 2 2 1
5 MERPATI 0 0 4 0 1 1 9 12 0 0 4 0 1 1 9 12 0 0 0 0 1 0 2 8 0 0 1 0 0 0
6 GARUDA 2 1 1 1 6 3 11 20 2 1 1 1 6 3 11 20 2 0 1 1 5 3 11 20 0 0 0 0 1 0
7 CENDRAWASIH 3 3 2 2 5 4 24 29 3 3 2 2 5 4 24 29 3 3 2 2 3 3 20 24 0 0 0 0 2 1
8 ANGSA 0 0 5 5 4 4 21 20 0 0 5 5 4 4 21 20 0 0 5 5 4 4 17 16 0 0 0 0 0 0
9 KIJANG 3 0 0 0 1 2 11 13 3 0 0 0 1 2 11 13 2 0 0 0 0 1 10 10 0 0 0 0 1 1
11 KUTILANG 1 1 2 2 4 5 8 6 1 1 2 2 4 5 8 6 1 1 2 2 2 3 6 4 0 0 0 0 2 2
12 PANDA A 11 6 12 13 25 20 25 40 11 6 12 13 25 20 25 40 10 5 12 13 25 15 18 35 0 0 0 0 0 5
PANDA B 1 3 4 2 19 15 67 46 1 3 4 2 19 15 67 46 1 2 4 2 17 11 60 41 0 0 0 0 2 4
13 RUSA 9 3 21 18 32 30 44 43 9 3 21 18 32 30 44 43 8 3 20 17 29 29 41 40 0 0 0 1 3 1
14 MURAI 0 3 0 6 11 9 22 23 0 3 0 6 11 9 22 23 0 3 0 6 9 7 12 18 0 0 0 0 2 2
15 MERAK 3 3 4 6 10 6 30 34 3 3 4 6 10 6 30 34 1 3 3 6 5 5 15 21 0 0 1 0 5 1
16 KANCIL 1 3 3 3 7 8 22 28 1 3 3 3 7 8 22 28 1 3 2 1 4 6 16 18 0 0 0 0 3 2
17 KELINCI 5 4 4 5 11 11 54 30 5 4 4 5 11 11 54 30 4 2 4 5 11 11 50 25 0 0 0 0 0 0
18 CAMAR B 9 2 4 7 7 16 26 20 9 2 4 7 7 16 26 20 7 2 4 7 6 14 24 15 0 0 0 0 1 1
19 KANGURU A 7 4 22 20 31 12 77 30 7 4 22 20 31 12 77 30 7 4 18 15 26 11 71 25 0 0 4 5 5 1
KANGURU B 6 2 22 14 14 20 66 60 6 2 22 14 14 20 66 60 5 2 17 12 10 15 60 53 0 0 5 2 4 5
20 NURI 8 4 10 9 23 22 57 26 8 4 10 9 23 22 57 26 8 4 7 7 16 17 37 18 0 0 3 2 6 4
21 BANGAU 2 2 4 2 7 5 14 11 2 2 4 2 7 5 14 11 2 2 4 2 4 3 9 8 0 0 0 0 3 2
JUMLAH 100 54 158 149 284 257 790 666 100 54 158 219 284 257 790 666 88 47 129 131 220 203 610 516 0 0 20 14 55 46
LAPORAN BULANAN POSYANDU
KELURAHAN DEPOK KECAMATAN PANCORAN MAS DEPOK
BULAN 0 TAHUN 2021
NAMA O B D PETUGAS YG HADIR
RW POSYANDU 0 - 5 BLN 6 - 12 BLN 12-24 BLN 25-59 BLN 0 - 5 BLN 6 - 12 BLN 12-24 BLN 25-59 BLN 0 - 5 BLN 6 - 12 BLN 12-24 BLN 25-59 BLN PKK PLKB MEDIS KETERANGAN
L P L P L P L P L P L P L P L P L P L P L P L P L P L P
1 2 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64
1 PARKIT 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 2 10 7 15 15 51 33 10 0 1 0 0 0
2 CAMAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 3 4 5 11 7 18 14 10 0 1 0 2 0
3 GELATIK A 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 9 2 4 8 23 25 62 57 10 0 0 0 3 0
GELATIK B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 1 8 7 11 8 32 38 12 0 2 0 3 0
4 ELANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 2 8 7 6 9 39 33 15 0 0 0 3 0
5 MERPATI 0 0 0 0 0 0 0 0 0 0 3 0 0 1 2 2 0 0 4 0 1 1 9 12 10 0 0 0 3 0
6 GARUDA 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 1 1 1 6 3 11 20 10 0 1 0 3 0
7 CENDRAWASIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 2 2 5 4 24 29 11 0 0 0 3 0
8 ANGSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 5 5 4 4 21 20 6 0 0 0 2 0
9 KIJANG 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 3 0 0 0 1 2 11 13 6 0 0 0 0 0
11 KUTILANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 2 4 5 8 6 6 0 0 0 2 0
12 PANDA A 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 11 6 12 13 25 20 25 40 10 0 1 0 3 0
PANDA B 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 3 4 2 19 15 67 46 10 0 0 0 3 0
13 RUSA 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 9 3 21 18 32 30 44 43 10 0 0 0 2 0
14 MURAI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6 11 9 22 23 10 0 0 0 2 0
15 MERAK 0 0 0 0 0 0 0 0 2 0 0 0 0 0 1 0 3 3 4 6 10 6 30 34 8 0 0 0 2 0
16 KANCIL 0 0 0 0 0 0 0 0 1 0 1 2 0 0 0 1 1 3 3 3 7 8 22 28 10 0 0 0 2 0
17 KELINCI 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 5 4 4 5 11 11 54 30 10 0 1 0 2 0
18 CAMAR B 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 9 2 4 7 7 16 26 20 10 0 0 0 1 0
19 KANGURU A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 4 22 20 31 12 77 30 10 0 1 0 2 0
KANGURU B 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 6 2 22 14 14 20 66 60 10 0 1 0 2 0
20 NURI 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 8 4 10 9 23 22 57 26 10 0 0 0 2 0
21 BANGAU 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 2 2 4 2 7 5 14 11 6 0 0 2 0
JUMLAH 0 0 0 0 1 1 0 0 11 5 5 2 1 2 3 3 100 54 158 149 284 257 790 666 220 0 9 2 47 -
 0 TAHUN 2021 H.P. DIARE
D. IMUNISASI
JENIS IMUNISASI JML. BALITA DIARE
NAMA
RW POSYANDU BCG DPT POLIO HIPATITIS CAMPAK TT JUMLAH
I II III I II III IV I II III I II
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32
1 PARKIT 0 2 0 0 1 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0
2 CAMAR 0 3 2 0 1 0 4 0 0 3 2 0 1 0 4 0 1 0 0 0 1 0 1 1 0 0 0 3 0 0
3 GELATIK A 0 0 0 0 1 2 0 2 0 0 0 0 1 2 0 2 0 0 1 1 4 5 1 3 0 3 0 4 0 1
GELATIK B 1 0 1 0 2 1 1 1 1 0 1 0 2 1 1 1 0 0 2 1 1 0 2 1 0 0 0 1 0 0
4 ELANG 2 0 0 0 1 1 1 1 2 0 0 0 1 1 1 1 1 0 4 3 1 0 2 1 0 3 0 4 0 0
5 MERPATI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 GARUDA 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 CENDRAWASIH 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 3 0 0
8 ANGSA 1 1 1 0 0 0 1 0 1 1 1 0 0 0 1 0 1 0 0 0 1 0 0 0 0 1 0 3 0 0
9 KIJANG 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KUTILANG 0 0 0 0 0 0 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 PANDA A 1 0 2 0 2 0 0 0 1 0 2 0 0 2 0 0 0 0 2 0 0 0 1 1 0 4 0 4 0 0
PANDA B 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 0 0 0 0 2 1 0 0 0 0 6 0 0
13 RUSA 1 0 1 1 2 3 2 0 2 0 0 1 2 3 2 0 1 1 2 3 2 0 1 1 0 2 0 6 0 0
14 MURAI 0 0 0 2 0 1 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 1 1 0 0 1 0 4 0 0
15 MERAK 0 0 0 1 1 0 1 0 0 0 0 1 1 0 1 0 0 1 1 0 1 0 0 1 0 2 0 5 0 0
16 KANCIL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0
17 KELINCI 0 1 2 1 2 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0
18 CAMAR B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0
19 KANGURU A 0 0 2 2 3 0 1 1 0 0 2 2 3 0 1 1 1 0 0 0 1 0 3 2 0 3 0 5 0 0
KANGURU B 1 2 1 1 0 0 1 0 1 2 1 1 0 0 1 0 0 0 1 1 0 0 2 0 0 1 0 3 1 0
20 NURI 1 0 0 1 1 0 0 1 0 0 1 1 1 0 1 3 1 1 1 0 1 3 0 1 0 2 0 4 1 0
21 BANGAU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 11 9 13 9 17 8 12 8 10 9 13 8 12 10 14 10 7 3 14 9 14 11 16 13 0 24 0 73 2 1

0 TAHUN 2021 K. ASI EKSLUSIF

G. KB J. VITAMIN A
BUFAS JML SASARAN MASIH
ALAT KONTRASEPSI JML YG DIBERI VIT A ASI

MENDPT VIT.A
RW NAMA IUD MOW MOP IMPLANT SUNTIK PIL KONDOM JML SASARAN 0 - 5 BLN AKSLUSIF
6 Bln pd

SASARAN
POSYANDU 6 - 11 BLN 12-59 BLN 12-59 BLN 12-59 BLN Bln ini 0 - 5 Bln
JUMLAH PESERTA
P S P S P S P S P S P S P S L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32
1 PARKIT 14 7 0 0 0 0 0 0 34 18 39 2 0 0 0 0 0 0 0 0 0 0 2 4 3 0 0 0 3 0
2 CAMAR 0 2 0 0 0 0 0 1 0 20 0 5 10 0 0 0 0 0 0 0 0 0 1 2 7 3 3 0 3 3
3 GELATIK A 23 11 3 4 2 4 3 3 25 22 15 15 1 1 0 0 0 0 0 0 0 0 0 0 9 2 2 1 9 2
GELATIK B 2 0 0 0 0 0 0 0 15 0 20 0 3 0 0 0 0 0 0 0 0 0 0 4 5 2 0 1 5 2
4 ELANG 4 0 0 0 0 0 1 0 30 3 1 7 0 5 0 0 0 0 0 0 0 0 0 0 5 2 1 0 5 2
5 MERPATI 2 28 0 0 0 0 0 0 3 35 0 11 0 9 0 0 0 0 0 0 0 0 0 0 3 1 0 0 3 1
6 GARUDA 2 11 0 0 0 0 0 0 3 6 3 0 15 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
7 CENDRAWASIH 8 11 0 1 0 0 1 2 20 15 3 8 23 28 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0
8 ANGSA 3 0 1 0 0 0 2 0 25 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 0 0 4 2
9 KIJANG 0 2 0 0 0 0 2 3 5 7 6 5 0 5 0 0 0 0 0 0 0 0 2 4 1 0 0 0 2 0
11 KUTILANG 0 8 0 0 0 0 2 0 6 0 0 12 0 8 0 0 0 0 2 0 0 0 0 0 1 1 0 0 1 1
12 PANDA A 5 0 0 0 0 0 4 0 90 0 0 10 0 0 0 0 0 0 0 0 0 0 1 2 5 7 1 1 5 7
 PANDA B 1 0 0 0 0 0 0 0 13 21 9 7 1 0 0 0 0 0 0 0 0 0 1 2 1 2 2 0 1 2
13 RUSA 5 3 3 2 0 0 3 2 35 42 47 27 0 0 0 0 0 0 0 0 0 0 2 4 8 6 1 1 8 6
14 MURAI 1 0 0 2 0 0 1 0 15 0 20 0 3 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
15 MERAK 5 0 0 8 0 0 3 0 35 0 27 0 10 0 0 0 0 0 0 0 0 0 0 0 4 3 0 0 4 3
16 KANCIL 3 0 3 0 0 0 3 0 27 0 23 0 0 0 0 0 0 0 0 0 0 0 1 2 0 2 0 1 0 2
17 KELINCI 0 11 0 11 0 2 0 7 42 31 0 25 0 7 0 5 0 0 0 0 0 0 3 6 2 4 1 1 2 4
18 CAMAR B 2 0 0 0 0 0 0 0 30 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 2 5 0 0 2 5
19 KANGURU A 7 0 3 0 0 0 3 0 22 46 10 49 0 7 0 0 0 0 0 0 0 0 2 4 7 4 0 0 5 6
KANGURU B 10 0 5 0 0 0 10 0 50 0 10 0 8 0 0 0 0 0 0 0 0 0 2 4 7 1 2 0 7 1
20 NURI 10 0 5 0 0 0 10 0 50 0 10 0 8 0 0 0 0 0 0 0 0 0 0 0 7 8 0 0 7 8
21 BANGAU 1 2 0 0 0 0 0 0 3 15 0 19 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 2 2
JUMLAH 108 96 23 28 2 6 48 18 578 281 261 212 82 70 0 0 0 0 2 0 0 0 17 38 84 59 13 6 79 61

0 TAHUN 2021 F. KPPASI E. LANSIA

NO NAMA JML SASARAN JML YG HADIR JUMLAH SASARAN JML YG HADIR KETERA
POSYANDU BUSUI BUSUI UMUR UMUR
BUMIL 0 - 6 7 - 24 BUMIL 0 - 6 7 - 24 45 - 59 Thn 60 - 69 Thn > 70 Thn 45-59 Thn 60-69 Thn > 70 Thn
BULAN BULAN BULAN BULAN L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 PARKIT 6 3 45 6 3 45 100 125 20 22 13 10 45 35 7 4 2 2
2 CAMAR 2 10 37 2 10 37 50 50 40 48 10 30 20 25 5 5 0 0
3 GELATIK A 8 8 51 8 8 51 130 140 42 50 15 12 25 50 6 10 4 7
GELATIK B 12 7 34 12 7 34 141 140 32 39 14 10 0 0 0 0 0 0
4 ELANG 3 7 16 3 7 16 107 116 35 39 10 15 25 30 6 20 0 4
5 MERPATI 0 4 15 0 4 15 20 30 5 8 3 5 2 0 0 7 0 5
6 GARUDA 1 1 11 1 1 11 26 26 29 13 13 21 2 3 3 3 2 5
7 CENDRAWASIH 3 0 19 3 0 19 130 125 68 57 21 28 0 0 0 0 0 0
8 ANGSA 2 6 17 2 3 8 125 143 42 45 19 21 0 0 0 0 0 0
9 KIJANG 1 2 5 1 2 5 88 101 75 89 55 68 0 0 0 0 0 0
11 KUTILANG 1 2 13 2 1 13 30 37 20 22 1 12 20 25 18 20 0 6
12 PANDA A 10 14 63 10 14 63 20 32 10 20 5 4 5 20 2 5 2 5
PANDA B 6 5 41 6 5 41 75 100 15 20 1 10 11 20 6 15 1 10
13 RUSA 8 16 96 8 16 96 79 132 100 75 35 42 10 48 18 31 1 22
14 MURAI 5 1 19 5 1 19 125 125 75 75 1 55 2 87 1 55 0 30
15 MERAK 9 7 20 9 7 20 0 0 0 0 0 0 0 0 0 0 0 0
16 KANCIL 6 3 33 6 3 33 50 70 39 38 3 5 4 27 1 10 0 3
17 KELINCI 6 9 44 6 9 44 120 149 31 35 4 6 0 0 0 0 0 0
18 CAMAR B 7 7 27 7 7 27 20 21 20 23 13 10 2 8 0 1 0 5
19 KANGURU A 9 0 43 10 13 72 30 33 10 12 2 5 10 33 4 6 1 2
KANGURU B 7 9 55 7 9 55 120 157 30 30 5 8 5 10 3 10 0 2
20 NURI 13 15 71 13 15 71 50 50 38 37 10 20 10 20 10 15 3 7
21 BANGAU 0 4 18 0 4 18 28 21 9 8 3 2 0 0 0 0 0 0
JUMLAH 125 140 793 127 149 813 1664 1923 785 805 256 399 198 441 90 217 16 115
JUMLAH PENGUNJUNG / JUMLAH PETUGAS POSYANDU
JUMLAH BAYI LAHIR / MENINGGAL
BULAN 0 TAHUN 2021
format 6
JUMLAH PENGUNJUNG
NAMA BALITA IBU JUMLAH PETUGAS
YANG HADIR JUMLAH BAYI
N0 POSYANDU RW 0 - 11 BULAN 12 - 24 BULAN 25 - 60 BULAN WUS
BARU LAMA BARU LAMA BARU LAMA PUS HAMIL BUSUI KADER PLKB MEDIS LAHIR MENINGGAL
L P L P L P L P L P L P L P L P L P L P L
 1 PARKIT .001 0 0 12 9 1 0 14 15 0 0 51 33 164 154 6 48 - 10 0 1 0 0 1 1 0
2 CAMAR .002 0 0 11 8 0 0 11 7 0 0 18 14 88 76 2 47 - 10 0 1 0 2 0 1 0
3 GELATIK A .003 1 0 12 10 0 0 23 25 0 0 62 57 185 180 8 59 - 10 0 0 0 3 0 0 0
4 GELATIK B .003 0 0 14 8 0 0 11 8 0 0 32 38 227 209 12 41 - 12 0 2 0 3 0 0 0
5 ELANG .004 0 0 13 9 0 0 6 9 0 0 39 33 135 120 3 23 - 15 0 0 0 3 0 0 0
6 MERPATI .005 3 0 1 0 0 1 1 0 2 2 7 10 78 66 0 19 0 10 0 0 0 3 0 0 0
7 GARUDA .006 0 1 3 1 0 0 6 3 0 0 11 20 72 62 1 12 - 10 0 1 0 3 0 0 0
8 CENDRAWASIH .007 0 0 5 5 0 0 5 4 0 0 24 29 90 80 3 19 - 11 0 0 0 3 0 0 0
9 ANGSA .008 0 0 5 7 0 0 4 4 0 0 21 20 128 110 2 11 - 6 0 0 0 2 0 0 0
10 KIJANG .009 1 0 2 0 0 0 1 2 0 0 11 13 68 56 1 7 - 6 0 0 0 0 2 0 0
11 KUTILANG .011 0 0 3 3 0 0 4 5 0 0 8 6 58 46 2 14 - 6 0 0 0 2 0 0 0
12 PANDA A .012 1 1 22 18 0 0 25 20 0 0 25 40 158 150 10 77 - 10 0 1 0 3 1 0 0
13 PANDA B .012 0 1 5 4 0 0 19 15 0 0 67 46 125 116 6 46 - 10 0 0 0 3 1 0 0
14 RUSA .013 2 0 28 21 0 0 32 30 0 0 44 43 190 175 8 112 - 10 0 0 0 2 1 1 0
15 MURAI .014 0 0 0 7 0 0 11 9 0 0 22 23 84 80 5 20 - 10 0 0 0 2 0 0 0
16 MERAK .015 2 0 5 9 0 0 10 6 1 0 29 34 115 105 9 27 - 8 0 0 0 2 0 0 0
17 KANCIL .016 2 2 2 4 0 0 7 8 0 1 22 27 65 58 6 36 - 10 0 0 0 2 1 0 0
18 KELINCI .017 1 2 8 7 0 0 11 11 0 0 54 30 215 185 6 53 - 10 0 1 0 2 2 1 0
19 CAMAR B .018 2 0 11 9 0 1 7 15 0 0 26 20 115 101 7 34 - 10 0 0 0 1 0 0 0
20 KANGURU A .019 0 0 29 24 0 0 31 12 0 0 77 30 210 200 10 85 - 10 0 1 0 2 1 1 0
21 KANGURU B .019 1 0 27 16 0 0 14 20 0 0 66 60 275 140 7 64 - 10 0 1 0 2 1 1 0
22 NURI .020 0 0 18 13 0 0 23 22 0 0 57 26 188 178 13 86 - 10 0 0 0 2 0 0 0
23 BANGAU .023 0 0 6 4 0 0 7 5 0 0 14 11 55 49 0 22 - 6 0 0 2 0 0 0
JUMLAH 16 7 242 192 1 2 276 250 3 3 773 652 3088 2696 127 962 - 220 0 9 2 47 11 6 0
DATA HASIL KEGIATAN POSYANDU
BULAN 0 TAHUN 2021
format 7
BALITA YANG
NAMA
JUMLAH BAYI YANG DI IMUNISASI MENDERITA DIARE
N0 POSYANDU RW BCG DPT POLIO CAMPAK
HEPATITIS B Mendapat
JUMLAH
I II III I II III IV I II III ORALIT
L P L P L P L P L P L P L P L P L P L P L P L P L P L
1 PARKIT .001 0 2 0 0 1 0 0 0 0 2 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 0 0
2 CAMAR .002 0 3 2 0 1 0 4 0 0 3 2 0 1 0 4 0 1 1 1 0 0 0 1 0 0 0 0
3 GELATIK A .003 0 0 0 0 1 2 0 2 0 0 0 0 1 2 0 2 1 3 0 0 1 1 4 5 0 1 1
4 GELATIK B .003 1 0 1 0 2 1 1 1 1 0 1 0 2 1 1 1 2 1 0 0 2 1 1 0 0 0 0
5 ELANG .004 2 0 0 0 1 1 1 1 2 0 0 0 1 1 1 1 2 1 1 0 4 3 1 0 0 0 1
6 MERPATI .005 0 0 0 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 GARUDA .006 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0
8 CENDRAWASIH .007 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0
9 ANGSA .008 1 1 1 0 0 0 1 0 1 1 1 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 0
10 KIJANG .009 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 KUTILANG .011 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 PANDA A .012 1 0 2 0 2 0 0 0 1 0 2 0 0 2 0 0 1 1 0 0 2 0 0 0 0 0 0
13 PANDA B .012 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 2 0 0 0
14 RUSA .013 1 0 1 1 2 3 2 0 2 0 0 1 2 3 2 0 1 1 1 1 2 3 2 0 0 0 0
15 MURAI .014 0 0 0 2 0 1 0 0 0 0 0 2 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0
16 MERAK .015 0 0 0 1 1 0 1 0 0 0 0 1 1 0 1 0 0 1 0 1 1 0 1 0 0 0 0
17 KANCIL .016 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 KELINCI .017 0 1 2 1 2 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 CAMAR B .018 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 KANGURU A .019 0 0 2 2 3 0 1 1 0 0 2 2 3 0 1 1 3 2 1 0 0 0 1 0 0 0 0
21 KANGURU B .019 1 2 1 1 0 0 1 0 1 2 1 1 0 0 1 0 2 0 0 0 1 1 0 0 1 0 1
22 NURI .020 1 0 0 1 1 0 0 1 0 0 1 1 1 0 1 3 0 1 1 1 1 0 1 3 1 0 1
 23 BANGAU .023 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 11 9 13 9 17 8 12 8 10 9 13 8 12 10 14 10 16 13 7 3 14 9 14 11 2 1 4
DATA HASIL KEGIATAN POSYANDU
BULAN 0 TAHUN 2021
format 7
D F JML
I E IBU JUMLAH AKSEPTOR KB
P M
PENIMBANGAN BALITA
JML E T E K I S D IMUNISASI
NAMA IBU R A N O M U A
P M M I N TT IBU
I B Y N I P N
O O U
N0 POSYANDU RW K L U D L L
P W
T L JML JML BALITA JML YG JML YG JML YG JML YG HAMIL
HAMIL

S E O A D I A
S BALITA YG MEMILIKI DITIMBANG NAIK (N) MENDAPAT MENDAPAT
A T U M N K I
I N KMS
(S) (K) (D) (N) VIT A PMT
L P L P L P L P L P L P I II

1 PARKIT .001 6 6 6 48 0 41 0 0 0 7 52 0 78 57 78 57 78 57 66 48 0 0 78 57 1 1
2 CAMAR .002 2 2 2 47 10 5 1 0 0 2 20 0 40 29 40 29 40 29 37 26 0 0 40 29 0 3
3 GELATIK A .003 8 8 8 59 2 30 6 6 7 11 47 0 98 92 98 92 98 92 54 54 0 0 98 92 3 4
4 GELATIK B .003 12 12 12 41 3 20 0 0 0 0 15 0 57 54 57 124 57 54 54 51 0 0 57 54 0 1
5 ELANG .004 3 3 3 23 5 8 1 0 0 0 33 0 58 51 58 51 58 51 32 34 0 0 58 51 3 4
6 MERPATI .005 0 0 0 19 9 11 0 0 0 28 38 0 14 13 14 13 14 13 3 8 0 0 14 13 0 0
7 GARUDA .006 1 1 1 12 15 3 0 0 0 11 9 0 20 25 20 25 20 25 19 24 0 0 20 25 0 0
8 CENDRAWASIH .007 3 3 3 19 51 11 3 0 1 11 35 0 34 38 34 38 34 38 28 32 0 0 34 38 0 3
9 ANGSA .008 2 2 2 11 0 18 2 0 1 0 25 0 30 29 30 29 30 31 26 25 0 0 30 31 1 3
10 KIJANG .009 1 1 1 7 5 11 5 0 0 2 12 0 15 15 15 15 15 15 12 11 0 0 15 15 0 0
11 KUTILANG .011 1 2 2 14 8 12 2 0 0 8 6 0 15 14 15 14 15 14 11 10 2 0 15 14 0 0
12 PANDA A .012 10 10 10 77 0 10 4 0 0 0 90 0 73 79 73 79 73 79 65 68 0 0 73 79 4 4
13 PANDA B .012 6 6 6 46 1 16 0 0 0 0 34 0 91 66 91 66 91 66 82 56 0 0 91 66 0 6
14 RUSA .013 8 8 8 112 0 74 5 0 5 3 77 0 106 94 106 94 106 94 98 89 0 0 106 94 2 6
15 MURAI .014 5 5 5 20 3 20 1 0 2 0 15 0 33 41 33 41 33 39 21 34 0 0 33 39 1 4
16 MERAK .015 9 9 9 27 10 27 3 0 8 0 35 0 47 49 47 49 47 49 24 35 0 0 47 49 2 5
17 KANCIL .016 6 6 6 36 0 23 3 0 3 0 27 0 33 42 33 42 33 42 23 28 0 0 33 42 1 2
18 KELINCI .017 6 6 6 53 7 25 7 2 11 11 73 0 74 50 74 50 74 50 69 43 0 0 74 50 0 8
19 CAMAR B .018 7 7 7 34 0 10 0 0 0 0 30 0 46 45 46 45 46 45 41 38 0 0 46 45 0 7
20 KANGURU A .019 9 10 10 85 7 59 3 0 3 0 68 0 137 66 137 66 137 66 122 55 0 0 137 66 3 5
21 KANGURU B .019 7 7 7 64 8 10 10 0 5 0 50 0 108 96 108 96 108 96 92 82 0 0 108 96 1 3
22 NURI .020 13 13 13 86 8 10 10 0 5 0 50 0 98 61 98 61 98 61 68 46 0 0 98 61 2 4
23 BANGAU .023 0 0 0 22 0 19 0 0 0 2 18 0 27 20 27 20 27 20 19 15 0 0 27 20 0 0
JUMLAH 125 127 127 962 0 152 473 66 8 51 96 859 0 1332 1126 1332 1196 1332 1126 1066 912 2 0 1332 1126 24 73
LAPORAN BULANAN POSYANDU
Nama posyandu : PKK KELURAHAN DEPOK Tanggal penimbangan : 0 PLKB = ORANG MEDIS = 47 ORANG
RW / Kelurahan : DEPOK Petugas yang membina : PKK = 220 ORANG

A. SKDN
UMUR D. IMUNISASI E. LANSIA
BALITA S K N T O B D = N+T+O+B NO JENIS JUMLAH NO JENIS JUMLAH JUMLAH
L P L P L P L P L P L P L P IMUNISASI L P IMUNISASI L P UMUR SASARAN
0 - 5 Bulan 100 54 100 54 88 47 0 0 0 0 11 5 100 54 1 BCG 11 9 8 POLIO 4 14 10 L P
6 - 11 Bulan 158 149 158 219 129 131 20 14 0 0 5 2 158 149 2 DPT 1 13 9 9 HEPATITIS 1 7 3 45-60 Tahun 1664 1923
JUMLAH 258 203 258 273 217 178 20 14 0 0 16 7 258 203 3 DPT 2 17 8 10 HEPATITIS 2 14 9 60-69 Tahun 785 805
12 - 24 Bulan 284 257 284 257 220 203 55 46 1 1 1 2 284 257 4 DPT 3 12 8 11 HEPATITIS 3 14 11 > 70 Tahun 256 399
25 - 59 Bulan 790 666 790 666 610 516 163 136 0 0 3 3 790 666 5 POLIO 1 10 9 12 CAMPAK 16 13
JUMLAH 1074 923 1074 923 830 719 218 182 1 1 4 5 1074 923 6 POLIO 2 13 8 13 TT I 0 24 F. KPPASI
TOTAL 1 + 2 1332 1126 1332 1196 1047 897 238 196 1 1 20 12 1332 1126 7 POLIO 3 12 10 14 TT 2 0 73 PESERTA JML
SASARAN
G. KB H. PENANGGULANGAN DIARE I. KUNJUNGAN KIA K. ASI EKSLUSIF BUMIL 125
NO KONTRASEPSI JUMLAH PESERTA JML BALITA JUMLAH NO. URAIAN JUMLAH UMUR SASARAN MASIH ASI E BUSUI 0-6 BLN 140
PEMERINTAH SWASTA MENDERITA ORALIT KUNJUNGAN L P L P BUSUI 7-24 BLN 829
1 IUD 108 96 DIARE YANG 1 K1 0 - 5 bulan 84 59 79 61
 2 MOW 23 28 L P DIBERIKAN 2 K4 6 bulan SASARAN LULUS ASI E J. VITAMIN
3 MOP 2 6 3 N2 pada L P L P SASARAN Jml.VIT A yg
4 IMPLANT 48 18 4 LINAKES bulan ini 13 6 13 5 UMUR diberikan
JUMLAH 181 148 L P L P
5 SUNTIK 578 281 6 - 11 bulan 0 0 2 0
6 PIL 261 212 12 - 59 bulan 0 0 0 0
7 KONDOM 82 70 Bufas - 17 - 38
JUMLAH 921 563
TOTAL 1102 711 Mengetahui
Pembina Wilayah Posyandu Depok, . . . . . . . . . . . . . . . .
Hal yang perlu dilaporkan : Ketua Pokja 4
PUS = 2696
WUS = 3088
BUSUI = 962 ( ...................) ( ...................)

JUMLAH PENGUNJUNG / JUMLAH PETUGAS POSYANDU

JUMLAH BAYI LAHIR / MENINGGAL
TAHUN 2021

f6
JUMLAH PETUGAS
JUMLAH PENGUNJUNG YANG HADIR JUMLAH BAYI
BALITA IBU

HAMIL

BUSUI
N0 BULAN 0 - 11 BULAN 12 - 24 BULAN 25 - 60 BULAN WUS

BARU LAMA BARU LAMA BARU LAMA PUS KADER PLKB MEDIS LAHIR MENINGGAL

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

1 JANUARI 13 8 244 225 1 0 336 300 4 705 671 3088 2696 144 1142 227 0 0 2 87 0 7 0 0

2 FEBRUARI 17 22 234 233 3 0 327 298 2 0 713 692 3088 2696 129 1124 227 0 1 2 87 11 13 0 0

3 MARET 4 8 250 240 0 3 335 285 0 0 697 704 3088 2696 136 1124 225 0 1 2 84 13 5 0 0

4 APRIL 2 1 254 249 0 0 337 292 0 0 706 706 3088 2696 136 1183 225 0 0 2 19 2 1 0 0

5 MEI 0 0 255 249 0 0 336 289 0 0 704 712 3088 2696 132 1094 209 0 1 2 53 0 0 0 0

6 JUNI 16 7 242 192 1 2 276 250 3 3 773 652 3088 2696 127 962 220 0 1 2 47 11 6 0 0

7 JULI 0 0 204 186 0 0 307 279 0 0 785 700 3088 2696 136 1096 236 0 0 2 32 1 1 0 0

8 AGUSTUS 15 8 201 186 2 1 305 278 2 2 783 698 3088 2696 139 1005 220 0 1 2 47 7 5 0 0

9 SEPTEMBER 16 12 208 181 1 5 291 262 4 3 782 697 3088 2696 123 1014 220 0 2 2 47 14 6 0 0

10 OKTOBER 19 10 223 190 0 5 284 252 4 3 778 668 3088 2696 138 994 220 0 9 2 47 11 6 0 0

11 NOVEMBER 16 7 242 192 1 2 276 250 3 3 773 652 3088 2696 127 962 220 0 9 2 47 11 6 0 0

12 DESEMBER 13 7 242 192 1 2 276 250 3 3 773 652 3088 2696 127 962 220 0 9 2 47 11 6 0 0

J UM L A H 131 90 2799 2515 10 20 3686 3285 25 17 8972 8204 37056 32352 1594 12662 0 2669 0 34 24 644 92 62 0 0

DATA HASIL KEGIATAN POSYANDU

TAHUN 2021
F7
D JML
F
I E IBU JUMLAH AKSEPTOR KB
JML P M PENIMBANGAN BALITA IMUNISASI
E T E K I S D
IBU R A N O M U A TT IBU
P M M I N
I B N P N
N0 BULAN K L
Y
U D
I
L O O U T L JML JML BALITA JML YG JML YG JML YG JML YG HAMIL
L P W

HAMIL
S E O A D I A BALITA YG MEMILIKI DITIMBANG NAIK (N) MENDAPAT MENDAPAT
S
A T U M N K I
N KMS
I
(S) (K) (D) (N) VIT A PMT
L P L P L P L P L P L P I II
1 JANUARI 144 144 144 1142 135 474 89 2 2 93 903 0 1324 1238 1324 1238 1324 1238 1104 1037 0 0 1324 1238 27 80

2 FEBRUARI 129 129 129 1124 129 474 87 2 49 89 902 0 1358 1256 1359 1255 1319 1278 1063 1019 1176 1153 1319 1278 29 71

3 MARET 136 136 136 1124 152 473 79 10 54 95 919 0 131 1276 1319 1276 1306 1262 1066 1022 0 0 1306 1262 29 74

4 APRIL 136 136 136 1183 152 473 79 10 54 95 919 0 1319 122 1319 1244 1323 1268 1083 1027 0 0 1323 1268 8 63

5 MEI 132 132 132 1096 152 473 79 10 54 95 919 0 1319 1276 1319 1276 1319 1275 1222 1197 0 0 1319 1275 21 59

6 JUNI 136 136 127 962 152 473 66 8 51 96 859 0 1332 1126 1332 1323 1323 1126 1066 912 2 0 1332 1126 24 73

7 JULI 136 136 136 136 152 473 79 10 54 95 955 0 1318 1186 1318 1186 1318 1186 1012 900 0 0 1318 1186 19 62

8 AGUSTUS 136 136 136 136 152 473 79 10 54 95 955 0 1318 1186 1318 1186 1318 1186 1012 900 1318 1186 19 62

9 SEPTEMBER 125 127 962 962 473 66 8 51 96 859 0 0 1126 1332 1196 1196 1332 1126 1066 912 2 0 1332 1126 24 73

10 OKTOBER 136 138 138 994 152 474 67 8 51 92 877 0 1330 1148 1330 1148 1330 1148 1077 941 2 0 1330 1148 24 73

11 DESEMBER 125 127 127 962 152 473 66 8 51 96 1664 0 1332 1126 1332 1196 1332 1126 1066 912 2 0 1332 1126 24 73

12 DESEMBER 125 127 127 962 152 473 66 8 51 96 1664 0 1332 1126 1332 1196 1332 1126 1066 912 2 0 1332 1126 24 73

J UM L A H 1596 0 1604 2430 10783 0 2105 5272 844 137 621 1896 11536 0 14539 13398 15798 0 14720 15876 14345 12903 11691 1186 1153 15885 14345 272 836

DATA HASIL KEGIATAN POSYANDU

TAHUN 2021

BALITA YANG
JUMLAH BAYI YANG DI IMUNISASI MENDERITA DIARE
N0 BULAN DPT POLIO HEPATITIS B Mendapat
BCG CAMPAK JUMLAH
I II III I II III IV I II III ORALIT
L P L P L P L P L P L P L P L P L P L P L P L P L P L

1 JANUARI 10 5 16 12 12 6 15 15 10 5 12 13 6 18 15 6 13 16 141 11 5 14 14 5 5 3

2 FEBRUARI 13 11 16 16 11 6 9 13 13 11 16 16 13 6 9 15 12 16 18 16 10 6 11 15 5 5 5

3 MARET 12 8 12 10 17 14 9 10 12 8 10 1 16 15 10 10 22 18 11 11 17 14 10 9 4 3 5

4 APRIL 2 1 12 9 13 5 18 16 2 2 12 9 13 7 18 16 11 11 10 7 13 5 18 16 4 3 5

5 MEI 0 1 12 6 12 10 16 17 3 1 11 9 13 7 17 16 12 12 7 10 14 6 16 16 4 3 4

6 JUNI 11 9 13 9 17 8 12 8 10 9 13 8 12 10 14 10 16 13 7 3 14 9 14 11 2 1 4

7 JULI 0 0 8 8 14 10 16 14 0 0 9 8 14 10 16 13 10 8 6 7 14 7 16 15 4 2 5

8 AGUSTUS 8 7 10 4 14 8 16 11 8 7 10 4 12 10 161 10 9 9 6 3 15 6 15 11 3 1 4

9 SEPTEMBER 12 13 11 6 17 6 12 3 15 11 11 8 14 7 13 4 8 10 13 3 15 9 14 3 2 0 3
10 OKTOBER 11 6 15 11 14 8 9 6 9 6 15 10 10 8 12 8 12 10 7 3 15 9 13 11 2 1 4

11 DESEMBER 11 9 13 9 17 8 12 8 10 9 13 8 12 10 14 10 16 13 7 3 14 9 14 11 2 1 4

12 DESEMBER 11 9 13 9 17 8 12 8 10 9 13 8 12 10 14 10 16 13 7 3 14 9 14 11 2 1 4

JUMLAH 101 79 151 109 175 97 156 129 102 78 133 101 154 106 316 137 150 146 115 210 166 94 169 143 39 26 50

DATA HASIL KEGIATAN POSYANDU

BALITA YANG
JUMLAH BAYI YANG DI IMUNISASI MENDERITA DIARE
N0 BULAN DPT POLIO HEPATITIS B Mendapat
BCG CAMPAK JUMLAH
I II III I II III IV I II III ORALIT
L P L P L P L P L P L P L P L P L P L P L P L P L P L
1 JANUARI 10 5 16 12 12 6 15 15 10 5 12 13 6 18 15 6 13 16 141 11 5 14 14 5 5 3
2 FEBRUARI 13 11 16 16 11 6 9 13 13 11 16 16 13 6 9 15 12 16 18 16 10 6 11 15 5 5 5
3 MARET 12 8 12 10 17 14 9 10 12 8 10 1 16 15 10 10 22 18 11 11 17 14 10 9 4 3 5
4 APRIL 2 1 12 9 13 5 18 16 2 2 12 9 13 7 18 16 11 11 10 7 13 5 18 16 4 3 5
5 MEI 0 1 12 6 12 10 16 17 3 1 11 9 13 7 17 16 12 12 7 10 14 6 16 16 4 3 4
6 JUNI 0 8 8 8 112 0 0 74 5 0 5 3 77 0 106 94 106 0 94 98 89 0 0 106 94 2 6
7 JULI 0 0 8 8 14 10 16 14 0 0 9 8 14 10 16 13 10 8 6 7 14 7 16 15 4 2 5
8 AGUSTUS 8 7 10 4 14 8 16 11 8 7 10 4 12 10 161 10 9 9 6 3 15 6 15 11 3 1 4
9 SEPTEMBER 12 13 11 6 17 6 12 3 15 11 11 8 14 7 13 4 8 10 13 3 15 9 14 3 2 0 3
10 OKTOBER 11 6 15 11 14 8 9 6 9 6 15 10 10 8 12 8 12 10 7 3 15 9 13 11 2 1 4
11 NOVEMBER 0 8 8 8 112 0 0 74 5 0 5 3 77 0 106 94 106 0 94 98 89 0 0 106 94 2 6
12 DESEMBER 0 8 8 8 112 0 0 74 5 0 5 3 77 0 106 94 106 0 94 98 89 0 0 106 94 2 6
JUMLAH 68 76 136 106 460 73 120 327 87 51 109 86 349 76 592 389 420 107 376 495 391 67 127 428 315 29 56
 0 0
D. IMUNISASI

O B D PETUGAS YANG HADIR BCG DPT

12-24 BLN 25 - 59 BLN 0 - 5 BLN 6 - 12 BLN 12 - 24 BLN 25 - 59 BLN 0 - 5 BLN 6 - 12 BLN 12 - 24 BLN 25 - 59 BLN 0 - 5 BLN 6 - 12 BLN 12 - 24 BLN 25 - 59 BLN PKK PLKB MEDIS KETERANGAN I II III I II

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

2 6 5 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 2 10 7 15 15 51 33 135 10 0 1 0 0 - 0 2 0 0 1 0 0 0 0 2 0

1 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 3 4 5 11 7 18 14 69 10 0 1 0 20 0 3 2 0 1 0 4 0 0 3 2

11 32 27 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 9 2 4 8 23 25 62 57 190 10 0 0 0 30 0 0 0 0 1 2 0 2 0 0 0

1 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 1 8 7 11 8 32 38 111 12 0 2 0 30 1 0 1 0 2 1 1 1 1 0 1

1 20 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 2 8 7 6 9 39 33 109 15 0 0 0 30 2 0 0 0 1 1 1 1 2 0 0

0 5 2 0 0 0 0 0 0 0 0 0 0 3 0 0 1 2 2 0 0 4 0 1 1 9 12 27 10 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 1 1 1 6 3 11 20 45 10 0 1 0 30 0 0 0 0 0 0 0 0 0 0 0

1 4 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 2 2 5 4 24 29 72 11 0 0 0 30 1 0 1 0 0 0 0 0 0 0 1

0 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 5 5 4 4 21 20 61 6 0 0 0 20 1 1 1 0 0 0 1 0 1 1 1

1 1 3 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 3 0 0 0 1 2 11 13 30 6 0 0 0 00 2 0 0 0 0 0 0 0 2 0 0

2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 2 4 5 8 6 29 6 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0

5 7 5 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 11 6 12 13 25 20 25 40 152 10 0 1 0 30 1 0 2 0 2 0 0 0 1 0 2

4 7 5 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 3 4 2 19 15 67 46 157 10 0 0 0 30 0 0 0 0 0 0 0 2 0 0 0

1 3 3 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 9 3 21 18 32 30 44 43 200 10 0 0 0 20 1 0 1 1 2 3 2 0 2 0 0

2 10 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6 11 9 22 23 72 10 0 0 0 20 0 0 0 2 0 1 0 0 0 0 0

1 14 13 0 0 0 0 0 0 0 0 2 0 0 0 0 0 1 0 3 3 4 6 10 6 30 34 96 8 0 0 0 20 0 0 0 1 1 0 1 0 0 0 0

2 6 9 0 0 0 0 0 0 0 0 1 0 1 2 0 0 0 1 1 3 3 3 7 8 22 28 75 10 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0

0 4 5 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 5 4 4 5 11 11 54 30 124 10 0 1 0 20 0 1 2 1 2 0 0 0 0 1 2

1 2 5 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 9 2 4 7 7 16 26 20 91 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0

1 6 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 4 22 20 31 12 77 30 203 10 0 1 0 20 0 0 2 2 3 0 1 1 0 0 2

5 6 7 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 6 2 22 14 14 20 66 60 204 10 0 1 0 20 1 2 1 1 0 0 1 0 1 2 1

4 20 8 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 8 4 10 9 23 22 57 26 159 10 0 0 0 20 1 0 0 1 1 0 0 1 0 0 1

2 4 2 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 2 2 4 2 7 5 14 11 47 6 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0

46 163 136 0 0 0 0 1 1 0 0 11 5 5 2 1 2 3 3 100 54 158 149 284 257 790 666 2458 220 0 9 2 47 - 11 9 13 9 17 8 12 8 10 9 13
GAKIN/
NON
GAKIN

LINAKES
LINAKES

25-59 BLN
L P
33 34
6 5
2 2
32 27
2 2
20 14
5 2
0 0
4 5
4 4
 1 3
2 2
7 5
7 5
3 3
10 5
14 13
6 9
4 5
2 5
6 5
6 7
20 8
4 2
163 136

KETERANGAN
TA DIARE

YANG
MENDAPAT
ORALIT

L P
33 34
0 0
0 0
1 2
0 1
1 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 0
1 0
0 0
4 3

LULUS ASI

6 Bln pd
Bln ini
L P
33 34
0 0
3 0
2 1
0 0
1 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1
 2 0
1 1
0 0
0 0
0 1
1 1
0 0
0 0
2 0
0 0
0 0
13 5

KETERANGAN

21
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
0
-
-
-
-
-
-
0
-

MENINGGAL
P
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Mendapat
ORALIT
P
0
0
2
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
3

JUMLAH
YANG HADIR
L P
198 441
90 217
16 115

YG HADIR
127
149
829
Mendapat
ORALIT
P

0
 3

44

Mendapat
ORALIT
P
4
7
5
5
3
0
4
4
0
3
0
0
35
 H.P. DIARE G. KB J. VITAMIN A
ALAT KONTRASEPSI

JUMLAH PESERTA
JML BALITA DIARE JML SASARAN JML YG DIBERI VI
YG DAPAT
POLIO HIPATITIS CAMPAK TT JUMLAH ORALIT IUD MOW MOP IMPLANT SUNTIK PIL KONDOM

II III IV I II III I II 6 - 11 BLN 12 - 59 BLN 6 - 11 BLN 12 - 59

P L P L P L P L P L P L P L P L P L P L P P S P S P S P S P S P S P S L P L P L P L

0 0 0 1 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 14 7 0 0 0 0 0 0 34 18 39 2 0 0 0 0 0 0 0 0 0

0 1 0 4 0 1 0 0 0 1 0 1 1 0 0 0 3 0 0 0 0 0 2 0 0 0 0 0 1 0 20 0 5 10 0 0 0 0 0 0 0 0

0 1 2 0 2 0 0 1 1 4 5 1 3 0 3 0 4 0 1 1 2 23 11 3 4 2 4 3 3 25 22 15 15 1 1 0 0 0 0 0 0 0

0 2 1 1 1 0 0 2 1 1 0 2 1 0 0 0 1 0 0 0 1 2 0 0 0 0 0 0 0 15 0 20 0 3 0 0 0 0 0 0 0 0

0 1 1 1 1 1 0 4 3 1 0 2 1 0 3 0 4 0 0 1 0 4 0 0 0 0 0 1 0 30 3 1 7 0 5 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 28 0 0 0 0 0 0 3 35 0 11 0 9 0 0 0 0 0 0 0

0 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 11 0 0 0 0 0 0 3 6 3 0 15 0 0 0 0 0 0 0 0

0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 3 0 0 0 0 8 11 0 1 0 0 1 2 20 15 3 8 23 28 0 0 0 0 0 0 0

0 0 0 1 0 1 0 0 0 1 0 0 0 0 1 0 3 0 0 0 0 3 0 1 0 0 0 2 0 25 0 18 0 0 0 0 0 0 0 0 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 0 0 0 0 2 3 5 7 6 5 0 5 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 2 0 6 0 0 12 0 8 0 0 0 0 2 0 0

0 0 2 0 0 0 0 2 0 0 0 1 1 0 4 0 4 0 0 0 0 5 0 0 0 0 0 4 0 90 0 0 10 0 0 0 0 0 0 0 0 0

0 0 0 0 2 0 0 0 0 0 2 1 0 0 0 0 6 0 0 0 0 1 0 0 0 0 0 0 0 13 21 9 7 1 0 0 0 0 0 0 0 0

1 2 3 2 0 1 1 2 3 2 0 1 1 0 2 0 6 0 0 0 0 5 3 3 2 0 0 3 2 35 42 47 27 0 0 0 0 0 0 0 0 0

2 0 1 0 0 0 0 0 0 0 1 1 0 0 1 0 4 0 0 0 0 1 0 0 2 0 0 1 0 15 0 20 0 3 0 0 0 0 0 0 0 0

1 1 0 1 0 0 1 1 0 1 0 0 1 0 2 0 5 0 0 0 0 5 0 0 8 0 0 3 0 35 0 27 0 10 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 3 0 3 0 0 0 3 0 27 0 23 0 0 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 0 0 0 0 0 11 0 11 0 2 0 7 42 31 0 25 0 7 0 5 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 2 0 0 0 0 0 0 0 30 0 0 10 0 0 0 0 0 0 0 0 0

2 3 0 1 1 1 0 0 0 1 0 3 2 0 3 0 5 0 0 0 0 7 0 3 0 0 0 3 0 22 46 10 49 0 7 0 0 0 0 0 0 0

1 0 0 1 0 0 0 1 1 0 0 2 0 0 1 0 3 1 0 1 0 10 0 5 0 0 0 10 0 50 0 10 0 8 0 0 0 0 0 0 0 0

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

8 12 10 14 10 7 3 14 9 14 11 16 13 0 24 0 73 2 1 4 3 108 96 23 28 2 6 48 18 578 281 261 212 82 70 0 0 0 0 2 0 0

 K. ASI EKSLUSIF F. KPPASI E. LANSIA

JUMLAH SASARAN UMUR JML YG HADIR HADIR

MASIH ASI
BERI VIT. A BUFAS JML SASARAN LULUS ASI JML SASARAN JML YANG HADIR JUMLAH BAYI
SASARAN

MENDPT

6 Bln pd BU- BU- KETERANGAN

6 Bln pd BUSUI BUSUI
VIT. A

0 - 5 BLN Bln ini MIL MIL WUS PUS

Bln ini

12 - 59 BLN 0 - 5 Bln 0-6 7 - 24 0-6 7 - 24 45 - 59 Thn 60 - 69 Thn > 70 Thn 45 - 59 Thn 60 - 69 Thn > 70 Thn LAHIR MENINGGAL

P L P L P L P L P Bln Bln Bln Bln L P L P L P L P L P L P L P L P

0 2 4 3 0 0 0 3 0 0 0 6 3 45 6 3 45 100 125 20 22 13 10 45 35 7 4 2 2- - - 164 154 1 1 0 0

0 1 2 7 3 3 0 3 3 3 0 2 10 37 2 10 37 50 50 40 48 10 30 20 25 5 5 0 0- 88 76 0 1 0 0

0 0 0 9 2 2 1 9 2 2 1 8 8 51 8 8 51 130 140 42 50 15 12 25 50 6 10 4 7- 185 180 0 0 0 0

0 0 4 5 2 0 1 5 2 0 0 12 7 34 12 7 34 141 140 32 39 14 10 0 0 0 0 0 0- 227 209 0 0 0 0

0 0 0 5 2 1 0 5 2 1 0 3 7 16 3 7 16 107 116 35 39 10 15 25 30 6 20 0 4- 135 120 0 0 0 0

0 0 0 3 1 0 0 3 1 0 0 0 4 15 0 4 15 20 30 5 8 3 5 2 0 0 7 0 5- 78 66 0 0 0 0

0 0 0 0 1 0 0 0 1 0 0 1 1 11 1 1 11 26 26 29 13 13 21 2 3 3 3 2 5- 72 62 0 0 0 0

0 0 0 1 0 0 0 1 0 0 0 3 0 19 3 0 19 130 125 68 57 21 28 0 0 0 0 0 0- 90 80 0 0 0 0

0 0 0 4 2 0 0 4 2 0 0 2 6 17 2 3 8 125 143 42 45 19 21 0 0 0 0 0 0- 128 110 0 0 0 0

0 2 4 1 0 0 0 2 0 0 0 1 2 5 1 2 5 88 101 75 89 55 68 0 0 0 0 0 0- 68 56 2 0 0 0

0 0 0 1 1 0 0 1 1 0 0 1 2 13 2 1 13 30 37 20 22 1 12 20 25 18 20 0 6- 58 46 0 0 0 0

0 1 2 5 7 1 1 5 7 1 1 10 14 63 10 14 63 20 32 10 20 5 4 5 20 2 5 2 5- 158 150 1 0 0 0

0 1 2 1 2 2 0 1 2 2 0 6 5 41 6 5 41 75 100 15 20 1 10 11 20 6 15 1 10 - 125 116 1 0 0 0

0 2 4 8 6 1 1 8 6 1 1 8 16 96 8 16 96 79 132 100 75 35 42 10 48 18 31 1 22 - 190 175 1 1 0 0

0 0 0 0 1 0 0 0 1 0 0 5 1 19 5 1 19 125 125 75 75 1 55 2 87 1 55 0 30 - 84 80 0 0 0 0

0 0 0 4 3 0 0 4 3 0 0 9 7 20 9 7 20 0 0 0 0 0 0 0 0 0 0 0 0 115 105 0 0 0 0

0 1 2 0 2 0 1 0 2 0 1 6 3 33 6 3 33 50 70 39 38 3 5 4 27 1 10 0 3- 65 58 1 0 0 0

0 3 6 2 4 1 1 2 4 1 1 6 9 44 6 9 44 120 149 31 35 4 6 0 0 0 0 0 0- 215 185 2 1 0 0

0 0 0 2 5 0 0 2 5 0 0 7 7 27 7 7 27 20 21 20 23 13 10 2 8 0 1 0 5- 115 101 0 0 0 0

0 2 4 7 4 0 0 5 6 0 0 9 0 43 10 13 72 30 33 10 12 2 5 10 33 4 6 1 2- 210 200 1 1 0 0

0 2 4 7 1 2 0 7 1 2 0 7 9 55 7 9 55 120 157 30 30 5 8 5 10 3 10 0 2- 275 140 1 1 0 0

0 0 0 7 8 0 0 7 8 0 0 13 15 71 13 15 71 50 50 38 37 10 20 10 20 10 15 3 7- 188 178 0 0 0 0

0 0 0 2 2 0 0 2 2 0 0 0 4 18 0 4 18 28 21 9 8 3 2 0 0 0 0 0 0 55 49 0 0 0 0

0 17 38 84 59 13 6 79 61 13 5 125 140 793 127 149 813 1664 1923 785 805 256 399 198 441 90 217 16 115 - 3088 2696 11 6 0 0