contoh laporan

PROPINSI : SUMATERA BARAT
KOTA : PARIAMAN
KEC : PARIAMAN TIMUR
FKTP : PUSKESMAS AIR SANTOK
BULAN Juni

No Tempat Pelayanan TOTAL TOTAL KUNJ UMUR S
KUNJUNGAN RAWAT
1 Puskesmas induk JALAN >1 1-5 6-12 13-19 20-45 46-59 > 60 L
2 Pustu 879 7
471 59 73 183 280 135 142 879 414
▪ Cubadak Mentawai
▪ Kampung Tangah 8 8 0 0 0 0 4 22 8 3
▪Kampung Kandang 18 18 1 1 0 0 5 4 7 18 3
8 8 0 0 0 0 3 41 8 0
3 Polindes 34 34 1 1 0 0 12 10 10 33 6
▪ Kajai
▪ Kaluat 33 33 0 1 1 1 7 7 16 33 5
▪ Air Santok 13 13 0 1 1 0 9 1 1 13 0
13 13 0 0 2 0 2 6 3 13 1
4 Poskesdes 59 59 0 2 4 1 18 14 20 59 6
▪ Sungai Pasak
▪ Bungo Tanjung 0
26 26 2 2 1 2 8 6 5 26 7
5 Puskel 90 90 0 9 9 6 23 25 18 90 29
116 116 2 11 10 8 31 31 23 116 36
Puskesmas induk 0 0 0 0 0 0 0 00 0 0
Total Pustu
Total Polindes 879 471 7 59 73 183 280 135 142 879 414
Total Poskesdes 34 34 1 1 0 0 12 10 10 34 6
Puskel puskel 59 59 0 2 4 1 18 14 20 59 6
116 116 2 11 10 8 31 31 23 116 36
JUMLAH 0 0 0 0 0 0 0 00 0 0

1088 680 10 73 87 192 341 190 195 1088 462

Mengetahui,
Pimpinan Puskesmas Air Santok

Maili susiyeti.SKM
Nip. 19650306 19503 2 003

SEX KUNJUNGAN JENIS PELAYANAN STATUS BAYAR

P B L BP KIA GIGI TB IM KB KIS JKD ASKES MND U
4 465 266 613 642 160 54 8 0 15 267 217 93 79 223

5 0 8 8 0 0 0 003 3 0 0 2
15 3 15 15 3 0 0 0 0 15 0 2 0 1
8 0 8 5 1 0 0 028 0 0 0 0
28 3 31 28 4 0 0 0 2 26 3 2 0 3

28 29 4 29 4 0 0 0 0 28 5 0 00
13 0 13 13 0 0 0 0 0 13 0 0 00
12 1 12 12 1 0 0 006 5 2 00
53 30 29 54 5 0 0 0 0 47 10 2 00

19 20 6 22 3 0 0 0 1 16 5 0 0 5
9 61 85 5 70 20 0 0 0 0 0 0 0 0 90
6 80 105 11 92 23 0 0 0 1 16 5 0 0 95

0 0 0 0 0 0 0 000 0 0 0 0

4 465 266 613 642 160 54 8 0 15 267 217 93 79 223
03
28 3 31 28 4 0 0 0 2 26 3 2 00
0 95
53 30 29 54 5 0 0 0 0 47 10 2 00

6 80 105 11 92 23 0 0 0 1 16 5 0

0 0 0 0 0 0 0 000 0 0

2 626 404 684 816 192 54 8 0 18 356 235 97 79 321

Pariaman, 30 Juni 2021
Pelapor

Ilna Sari,Amd.RM
Nip. 19870831 201903 2 001