format laporan gizi bulanan(1)

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  • 8/18/2019 Format Laporan Gizi Bulanan(1)

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    NO PUSKESMAS NAMA POSYANDU ALAMAT

    1 SEDADAP

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    PEMERINTAH K 

    PUSAT KESEHATA

    LAPORAN BULANABULAN FEB

    l

    A. PENIMBANGAN (SKDN)

    NO VARIABEL KEGIATAN

    REALISASI

    BADUTA (0-23 BULAN) BALITA (24-! B

    L P "UMLAH L P

    1 S (tabel sasaran Gizi   176 157 333 !"! !#$

    % K 1&! 1$# !!! 1%" 1%#

    ! N 1#& 1%# %%& && '&" T "& && 1## 1" 1#

    & O # # # !

    ' ) ! & $ & '

    * D (N+T+O+) 1&! 1$# !!! 1%" 1%#

     T% 1 # 1 % %

    $ )GM ()ARU # # # # #

    ), GIZI BURUK 

    NO VARIABEL LAMA BARU "UM

    1 )ALITA GI-I )URUK # #

    #. GIZI KURANG $ MP-ASI

    NO VARIABEL KEGIATANBA%I

    0 - 6 BULAN "UMLAH

    6 - 11 BULAN

    L P L P

    1 GI-I KURANG # # # # #

    % DAPAT MP.ASI # # # # #

    D. VITAMIN A $ SIRUP BESI BALITA

    NO VARIABEL KEGIATANBA%I (6 - 11 BULAN)

    L P "UM

    1 SASARAN 4& 4' !

    % /ITAMIN A %* !$ '

    ! SIRUP )ESI (0e # #

    E. ASI EKSKLUSIF (0-6 BLN)

    NO VARIABEL SASARANV (A E**+,

    L P

    1 )AYI # . ' )ULAN *1 1% 1$

    F. IBU HAMIL

    NO VARIABEL #AKUPAN

    1 SASARAN )UMIL 1&3

    % TA)LET 0E (0e 1 10 TA)LET 0E (0e ! 6

    ! LILA KURANG %!2& 34 /, 1+// 4

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    LILA LE)IH %!2& 34 36

    " )UMIL KEK 5a6at PMT 0

    G. IBU NIFAS

    NO VARIABEL #AKUPAN

    1 SASARAN )U0AS 1*&% KAPSUL /ITAMIN A 1!

    H. ANITA USIA SUBUR (US)

    NO VARIABEL 16

    1 SASARAN 7US &

    % LILA KURANG %!2& 34 !'

    LILA LE)IH %!2& 34 &!

    I. Jumlah posyandu yang ada ". Jumlah posyandu yang melapor pada BULAN INI

    K. Jumlah anak Balita 6-3 !ulan yang mendapat ta!uria

    Men8eta9:i2

    Ke6ala P:s;es4as A

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      ABUPATEN NUNUKAN

      N MASYARAKAT AJI KUNING

      N PROGRAM GIZI  UARI 2016

      LAN) BALITA (0-! BULAN)

     "UMLAH L P "UMLAH

      '&1 &1 "'& $"

    %"" %** !## &**

    1%# 1'# 1$& !"&%" & '& 1%"

    $ ! $

    11 $ 11 1

    %"" %** !## &**

    " ! ! '

    # # # #

    LAH SEMBUH MENINGGAL MASIH DALAM PERAATAN

    # # #

    REALISASI

    TOTALBALITA

     "UMLAH12-23 BULAN

     "UMLAH24-! BULAN

     "UMLAHL P L P

    # 1 % ! ! " * 1#

    # # 1 1 % 1 ! "

    BALITA (12-! +5)

    LAH L P "UMLAH

    43420 3&! &24

    & 1$$ %%! "11

    # # #

      ) (T7* A E**+,) A (T7* D/8/59 T/59)

     "UMLAH L P "UMLAH L P "UMLAH

    !# %$ 1! "1 # # #

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    K:8

    an8;a teta6 5ala4 1 ta9:n

    ;=l=4 terisi =t=4ats

    !!

    0

    Aebr:ari %#1'

    Pet:8as Gizi

    A?alina2AMG

    NIP, 1*#1&%##'#"%#%#

    . Ji;a 5ata ti5a; terse5ia2 ;=s=n8;an ;=l=4

    . Ji;a 5ata 5i;eta9:i na4:n nilain@a ;=s=n82 ;eti;;an an8;a #

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    No NamaJeni Ke!amin

    T"! La#i$ 

    Gi%i B&$&' Di(em

    Ka& Ka&

    L P  Lama 2015

    1 "

    3

    #

    5

    6

    7

    $

    %

    1"

    11

    1

    To(a! 0 0

    Men8eta9:i2

    Ke6ala P:s;es4as A

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    PEMERINTAH KABUPATEN NUNU

    DINAS KESEHATAN

    NUNUKAN Jl. RA. Bhesing Perkantoran Gadis II Kelurahan Selisun Telp

    LAPORAN BAYI DAN BALITA GIZI BURUK MENDAPAT PERAWA

    KABUPATEN NUNUKAN

     TAHUN 2015

      'an Gi%i B&$&' Di$a)a( *em+

     J&m!a#Ka& Ka&

     J&m!a# ,Ka& Ka&

     J&m!a#Lama 2015 Lama 0

    " " " " &'I()"* " "

    " " " " &'I()"* " "

    " " " " &'I()"* " "

    " " " " &'I()"* " "

    " " " " &'I()"* " "

    " " " " &'I()"* " "

    " " " " &'I()"* " "

    " " " " &'I()"* " "

    " " " " &'I()"* " "

    " " " " &'I()"* " "

    " " " " &'I()"* " "

    " " " " &'I()"* " "

    0 0 0 0 &'I()"* 0 0 0

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      AN

      /Fax. (!!"# $$%&$

      AN

    Menin""a! J&m!a# Gi%i B&$&' Mai# Di$a)a(

    Ka& Ka& J&m!a#

    Ka& Ka& J&m!a#

     Lama 0 Lama 0 -Lama . Ba$&/

    " " " " "

    " " " "

    " " " "

    " " " "

    " " " "

    " " " "

    " " " "

    " " " "

    " " " "

    " " " "

    " " " "

    " " " "

    0 0 0 0 0 0

    A

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    K:8:/59/5

    P:5;/*8 P:5;:8/

    >ebr:ari %#1'

    as Gizi

    a2AMG

      &%##'#"%#%#

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