FORMAT LAPORAN BULANAN INSPEKSI SARANA AIR BERSIH

Puskesmas :Mano
Bulan :Januari - Oktober
Tahun :2020
JLH
JIWA SGL SPT PAH PMA THU SRP CAPTERING
JIW
No Desa JLH KK A
JIWA JIWA JIWA JIWA JIWA
PEN
KK PENG KK PENG KK KK PENG KK PENG KK PENG
Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS
PENG GUNA PENG GUNA PENG GG PENG GUN PENG GUNA PENG GUNA
UN
GUNA MS GUN MS GUN GUNA A MS GUNA MS GUNA MS
A
MS A MS A MS MS MS MS
MS
2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37
1 Mandosawu 798 3501 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 23 20 18 273 1,092 1 1 1 23 95 0 0 0
2 Bangka Pau 262 1152 0 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 1 1 20 80 0 0 0
3 Golo Lobos 369 1649 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 10 9 142 569 0 0 0 0 0 0 0 0
4 Compang Wesang 268 1162 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 6 5 4 142 569 0 0 0 0 0 0 0 0
5 Nggalak Leleng 333 1336 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 8 8 125 503 0 0 0 0 0 0 0 0
6 Bangka Leleng 260 1046 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 11 9 8 167 670 0 0 0 0 0 0 0 0
7 Bangka Kuleng 234 1055 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 13 11 10 151 604 0 0 0 0 0 0 0 0
8 Beawaek 245 1101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 21 15 14 210 840 0 0 0 0 0 0 0 0
9 Golo Rengket 414 1503 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 10 9 9 137 548 0 0 0 0 0 0 0 0
10 Satar Tesem 350 1560 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 11 9 8 144 576 0 0 0 0 0 0 0 0
11 Golo Nderu 259 1288 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
12 Pocolia 242 1131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 20 14 14 220 1190 0 0 0 0 0 0 0 0
13 Gurung Turi 458 1899 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 10 8 7 159 732 0 0 0 0 0 0 0 0
TOTAL 4492 19383 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 155 118 109 1,870 7,893 4 2 2 43 175 0 0 0

Mengetahui
Kepala UPTD Puskesmas Mano

Paskalis S.Jangkar
Nip : 19790412 199903 1 013
CAPTERING TOTAL TINGKAT RESIKO PEMERIKSAAN BAKTERIOLOGIS

JIWA JIWA
KK PENG KK PENG
Jlh IS MS AT T S R JLH MS
PENG GUNA PENG GUNA
GUNA MS GUNA MS
MS MS
38 40 42 44 46 48 50
39 41 43 45 47 49
0 0 31 21 19 296 1,187 0 0 2 21 0 0
0 0 2 1 1 20 80 0 0 2 18 0 0
0 0 11 10 9 142 569 0 0 0 0 0 0
0 0 8 5 4 142 569 0 0 0 0 0 0
0 0 19 8 8 125 503 0 0 0 0 0 0
0 0 18 9 8 167 670 0 0 0 0 0 0
0 0 15 11 10 151 604 0 0 0 0 0 0
0 0 25 15 14 210 840 0 0 0 0 0 0
0 0 14 9 9 137 548 0 0 0 0 0 0
0 0 14 9 8 144 576 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0
0 0 22 14 14 220 1190 0 0 0 0 0 0
0 0 12 8 7 159 732 0 0 0 0 0 0
0 0 192 120 111 1,913 8,068 0 0 4 39 0 0

Mano, 06 November 2020

Pengelola Program kesling

Filipus B.Hasrat
 LAPORAN HASIL PEMERIKSAAN/INSPEKSI LINGKUNGAN PERUMAHAN
Bulan :Januari - November
Tahun 2020
PERMANEN SEMI PERMANEN DARURAT TOTAL RUMAH SPAL

KK
JUMLA TOTAL KK JIWA KK JIWA KK JIWA JIWA
No. DESA/KEL PEN
H KK RUMAH PENG PENG PENG PENG PENG PENG PENGG
Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS GGU Jlh IS MS
GUN GUN GUN GUN GUN GUN UNA
NA
A MS A MS A MS A MS A MS A MS MS
MS

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
1 Mandosawu 798 718 310 310 310 325 1,581 327 289 210 303 1,015 81 81 36 36 170 718 680 556 664 2,766 103 103 94
2 Bangka Pau 262 245 74 71 71 71 363 128 128 112 129 642 43 43 15 16 77 245 242 198 216 1,082 81 80 78
3 Golo Lobos 369 353 152 136 136 141 689 157 157 199 204 1015 44 44 11 11 47 353 337 346 356 1,751 35 35 35
4 Compang Wesang 268 256 66 66 66 71 336 142 126 91 99 345 48 40 14 15 66 256 232 171 185 747 15 15 15
5 Nggalak Leleng 333 268 74 67 67 71 339 106 114 106 110 546 88 62 24 27 130 268 243 197 208 1,015 63 63 63
6 Bangka Leleng 260 226 79 75 75 79 369 86 92 83 91 452 52 49 17 17 80 226 216 175 187 901 65 65 73
7 Bangka Kuleng 234 202 28 28 28 33 160 115 115 98 116 572 59 51 13 14 67 202 194 139 163 799 125 125 126
8 Beawaek 245 217 23 23 23 39 191 157 142 116 124 621 37 40 6 6 31 217 205 145 169 843 80 80 80
9 Golo Rengket 414 323 105 105 105 108 537 115 107 95 104 473 103 103 29 31 145 323 315 229 243 1,155 12 12 12
10 Satar Tesem 350 333 42 42 42 42 180 233 219 164 188 941 41 34 5 6 26 333 295 211 236 1,147 67 67 65
11 Golo Nderu 259 242 59 59 59 62 296 167 157 105 119 602 16 21 5 5 23 242 237 169 186 921 20 20 20
12 Pocolia 242 222 83 83 83 89 432 64 66 53 64 318 77 67 19 19 86 224 216 155 172 836 10 10 10
13 Gurung Turi 458 374 30 30 30 31 150 206 199 172 197 992 143 111 38 40 169 379 340 240 268 1,311 20 20 20
TOTAL 4492 3,979 1,125 1,095 1,095 1,162 5,623 2,003 1,911 1,604 1,848 8,534 832 746 232 243 1,117 3,986 3,752 2,931 3,253 15,274 696 695 691

Mengetahui
Kepala UPTD Puskesmas Mano

Paskalis S.Jangkar
NIP:19790412 199903 1 013
AHAN

SPAL TEMPAT SAMPAH

KK JIWA KK JIWA
PENG PENG Jlh IS MS
PENG PENG
GUN GUN GUNA GUNA
A MS A MS MS MS

28 29 30 31 32 33 34
94 416 135 135 96 96 444
78 397 66 63 47 47 227
35 156 178 178 123 123 576
15 34 49 49 36 36 163
63 238 95 95 61 61 308
59 288 85 86 59 59 265
126 637 80 79 58 58 277
80 338 75 73 48 48 218
12 67 67 67 43 43 204
65 271 77 77 49 49 199
20 120 87 84 55 55 214
10 57 65 65 44 44 147
20 129 57 57 38 38 156
677 3148 1116 1108 757 757 3398

Mano, 06 November 2020

Pengelola program Kesling

Filipus B.Hasrat
 LAPORAN KEGIATAN PEMERIKSAAN / INSPEKSI JAMBAN
Puskesmas :Mano :
Bulan :Januari - November
Tahun :2020
JENIS JAMBAN
LEHER ANGSA PLENGSENGAN CEMPLUNG TOTAL SHARING

NO DESA/KEL JLH KK JLH JIWA KK JIWA KK JIWA KK JIWA JIWA

KK
PENG PENG PENGG PENGG JLH PENGG PENGG PENG
JLH IS MS JLH IS MS IS MS JLH IS MS PENGGU JLH
GUN GUN UNA UNA UNA UNA GUN
NA MS
A MS A MS MS MS MS MS A MS

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
1 Mandosawu 798 3501 453 443 465 476 1866 208 208 119 150 711 0 0 0 0 0 661 151 584 626 2577 117
2 Bangka Pau 262 1152 245 241 241 456 1241 0 0 0 0 0 0 0 0 0 0 245 241 241 456 1241 17
3 Golo Lobos 369 1649 148 135 135 140 681 178 186 95 99 495 0 0 0 0 0 326 321 230 239 1176 43
4 Compang Wesang 268 1162 92 86 92 99 515 89 89 41 61 290 0 0 0 0 0 181 175 133 160 805 46
5 Nggalak Leleng 333 1336 182 176 182 187 750 56 56 27 45 291 0 0 0 0 0 238 232 209 232 1041 72
6 Bangka Leleng 260 1046 147 132 147 197 672 38 38 8 14 75 0 0 0 0 0 185 170 155 211 747 39
7 Bangka Kuleng 234 1055 29 29 29 39 189 141 135 95 99 495 0 0 0 0 0 170 164 124 138 684 36
8 Beawaek 245 1101 45 45 45 54 253 154 149 95 99 445 0 0 0 0 0 199 194 140 153 698 27
9 Golo Rengket 414 1503 19 19 19 36 168 203 197 147 170 826 0 0 0 0 0 222 216 166 206 994 149
10 Satar Tesem 350 1560 75 75 75 121 423 222 196 117 301 493 0 0 0 0 0 297 271 192 422 916 20
11 Golo Nderu 259 1288 93 93 93 108 410 126 120 55 57 305 0 0 0 0 0 219 213 148 165 715 17
12 Pocolia 242 1131 93 80 80 96 418 144 136 88 88 445 0 0 0 0 0 237 216 168 184 863 10
13 Gurung Turi 458 1899 34 34 34 50 225 300 290 216 284 1420 0 0 0 0 0 334 324 250 334 1645 84

TOTAL 4492 19383 1655 1588 1637 2059 7811 1859 1800 1103 1467 6291 0 0 0 0 0 3514 2,888 2740 3526 14102 677

Mengetahui
Kepala UPTD Puskesmas Mano
Paskalis S.Jangkar
Nip :19790412 199903 1 013
 SHARING

KK JIWA
IS MS
PENG PENG
GUNA GUNA
MS MS

26 27 28 29
117 95 95 380
17 17 17 61
43 23 23 92
46 26 26 104
72 17 17 85
39 19 19 76
36 20 20 86
27 13 13 52
149 75 75 302
20 10 10 35
17 9 9 38
10 5 5 23
84 33 33 135

677 362 362 1469

Mano, 06 Oktober 2020

Pelaksana Program Kesling

Filipus B.Hasrat
 LAPORAN PEMERIKSAAN/INSPEKSI SANITASI TEMPAT-TEMPAT UMUM (TTU)
Bulan :Januari - November
Tahun :2020 Puskesmas :Mano

JENIS- JENIS TEMPAT UMUM

SARANA PENDIDIKAN TOTAL TPM
No DESA/KEL Sarkes
SD SMP SMA PERKANTORAN TEMPAT IBADAH HOTEL PASAR TERMINAL PELABUHAN KIOS/TOKO SALON KECANTIKAN DEPOT AIR MAKANAN
MINUM RUMAH JAJANAN
KANTIN JASA BOGA MAKAN/RESTORAN
Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS Jlh IS MS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53
1 Mandosawu 2 2 2 3 2 2 1 1 1 2 2 2 10 10 10 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 25 25 20 0 0 0 0 0 0 0 0 0 0 0 0 2 2 1 0 0 0
2 Bangka Pau 0 0 0 1 1 1 1 1 1 1 1 1 2 2 2 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 16 16 11 0 0 0 0 0 0 0 0 0 0 0 0 2 2 1 0 0 0
3 Golo Lobos 1 1 1 2 2 2 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 12 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Compang Wesang 1 1 1 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 6 6 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Nggalak Leleng 1 1 1 1 1 1 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 8 8 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Bangka Leleng 0 0 0 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 19 19 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Bangka Kuleng 1 1 1 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 8 8 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Beawaek 1 1 1 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 6 6 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Golo Rengket 1 1 1 1 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 6 6 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Satar Tesem 1 1 1 1 1 1 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 8 8 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Golo Nderu 1 1 1 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 8 8 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Pocolia 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 7 7 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Gurung Turi 1 1 1 3 2 2 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 7 7 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TOTAL 12 12 12 18 16 16 7 7 7 4 4 4 23 23 23 13 13 13 0 0 0 0 0 0 0 0 0 0 0 0 136 136 100 0 0 0 0 0 0 0 0 0 0 0 0 4 4 2 0 0 0

Mengetahui Mano, 06 November 2020

Kepala UPTD Puskesmas Mano Pengelola Program Kesling

Filipus B.Hasrat
Paskalis S.Jangkar
Nip :19790412 199903 1 013
 LAPORAN BULANAN
REKAPITULASI KEGIATAN KLINIK SANITASI DI PUSKESMAS DAN JEJARINGNYA
PUSKESMAS :Mano

BULAN :Januari-November
TAHUN :2020
ASAL PASIEN JENIS PELAYANAN
JUMLAH JENIS PENYAKIT
NO DESA Datang Rujuka Kirima TOTAL Konselin Edukasi Kunjunga TOTAL
KUNJUNGAN
sendiri n n g Kesehata n rumah KECAC
kader n GEA DBD INGAN DIARE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 Mandosawu 13 13 0 0 13 0 0 0 0 0 0 0 13

2 Bangka Pau 2 2 0 0 2 0 0 0 0 0 0 0 2

3 Golo Lobos 6 6 0 0 6 0 0 0 0 0 0 0 5

4 Compang Wesang 3 3 0 0 3 0 0 0 0 0 0 0 3

5 Nggalak Leleng 7 7 0 0 7 0 0 0 0 0 0 0 2

6 Bangka Leleng 2 2 0 0 2 0 0 0 0 0 0 0 0

7 Bangka Kuleng 11 11 0 0 11 0 0 0 0 0 0 0 2

8 Beawaek 1 1 0 0 1 0 0 0 0 0 0 0 1

9 Golo Rengket 0 0 0 0 0 0 0 0 0 0 0 0 0

10 Satar Tesem 2 2 0 0 2 0 0 0 0 0 0 0 2

11 Golo Nderu 2 2 0 0 2 0 0 0 0 0 0 0 2

12 Pocolia 3 3 0 0 3 0 0 0 0 0 0 0 1

13 Gurung Turi 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL
52 52 0 0 52 0 0 0 0 0 0 0 33

Mengetahui
Kepala UPTD Puskesmas Mano

Paskalis S.Jangkar
Nip : 19790412 199903 1 013
EJARINGNYA

JENIS PENYAKIT

PENYAKIT SUSPEK INFEKSI TOTAL

KULIT TBC TELINGA ASMA DISENTRI
16 17 18 19 20 21

0 0 0 0 0 13

0 0 0 0 0 2

1 0 0 0 0 6

0 0 0 0 0 3

5 0 0 0 0 7

2 0 0 0 0 2

9 0 0 0 0 11

0 0 0 0 0 1

0 0 0 0 0 0

0 0 0 0 0 2

0 0 0 0 0 2

2 0 0 0 0 3

0 0 0 0 0 0

19 0 0 0 0 52

Pengelola Program

Filipus B. Hasrat