LEMBAR PENCATATAN FAKTOR RISIKO PENYAKIT TIDAK ME

Gula
IMT (Kg/m2)
Umur Lingkar
= BB/TB
Perut ( cm ) Darah
(Tahun) Bulan Bulan Sewaktu
BULAN

No. KTP Nama

L P 12 12 12 ###

3518140505790006 YANTO 43
3518141306700001 WASIS 52 22.6 78 185/123
3518142009680005 SUMINTO 54 23.6 84 133/101
3518143006640040 YATENO 56
9171032104650001 SURYO UTOMO 57 18.1 74 118/100 112/68
3518141506640003 WARDOYO 58 18.7 76 134/78
3518140401630001 GIYANTO 59 25.4 91 168/87
3518143112430010 SAELAN SOPAWIRO 59 18.7 76 160/97
3518143005630002 WAKIT 59 25.3 87 111/75
3518143005620001 DARSONO 60
3518143112620068 RAJIMIN 60
3518140101620002 WIJIONO 60
3518143007600005 PARJI 62
3518143006590300 LAMIJO 63
3518140707530001 MARGONO 69
3518143006450023 WAJI 77
3518143112440052 MAERAN 78
3518143006440145 SARMIN 78
3518141107420001 LATIP 80
3518146304950001 SUCIK INDRAWATI 27
3518145403930001 BETHARIA TRI UTAMI 29
3518145405880000 DAMIATI 34
3518144412860002 MITA ERTININGTYAS 36
3518144211860003 NOKE WAHYU 36
3518144802850003 VIVA PURWANTI 37
3518144808840008 WINARTI 38
3518146307830001 GUNARSIH 39 31.1 106 171/93
3518144406830003 YOHANA TRI ASTUTIK 39 28.7 90 150/109
3518144203820003 METTY NURYANI EKOWATI 40
3518146912820003 MASITI 40
3518045610820003 MAHDALENA GUNARNI 40
SITI MUAMANAH 40 33 97 125/86
3518145307810001 SRINARTI 41
3518144404810005 TAMINEM 41
3518144706800006 MURNIAH 42
3518145103800001 MUJIATI 42
3518145407720004 DAMIATUN 42
3518144406760002 SUPRIYATI 42 32.7 96 189/18
3518146006790002 SUMARSIH 43 32.2 103 147/87
3518144111790001 KARSINEM 43
JUMINI 43 26.3 85 149/98
3518165004780003 JUMINI 44
3518144210780001 SETIANI 44
3518144704780003 SRI YULIANI 44
3518145302780002 PARTI 44
3518145103770006 MASRI DWI PURTINI 45 30.4 91 170/81###
3518145704770002 SOLICHATUN 45
3518147007770003 SUTIAH 45 23.7 75 175/125
3518146811760001 YAHNI 46
3518145012750004 SULASTRI 47
3518144606740002 MENIK ARYUNI EFIYANTI 48
3518145204740001 PURNAMI 48
3518145512740002 TARMINI 48 33.1 95 130/84
3518144311740003 WARSINEM 48
3518145706730002 GAMINI 49 23.7 86 166/115
3518145606730004 SITI JUWARIYAH 49
3518145008730004 SUMARMI 49 22.1 80 134/94
3518145506720004 SITI AMINAH 50 30.4 88 161/90
3518145110760001 YULIATIK 50
3518144611710001 KAMINEM 51 25.4 88 175/103
3518146106710005 PRIYATUN 51
3518147006710014 SAMI 51 23.5 85 119/73
3518144503710009 YASRI 51
3518147112700016 WAINI 52
3518147112700068 SUMIATI 52 22.8 92 142/89
3518145608700003 PAIDJEM 52
3518147006800056 SRI LESTARI 52 19.9 82 141/98
3518145505700006 JAINEM 52 20.9 96 155/90
3518145502690004 SUDARMI 53
3518145410690002 WIWIK PURWANDARI 53
3518147112690019 SAMILAH 53
3518144812690001 WIJI 53
3518147007690001 UMIYATI 53 25.8 95 120/75
3518144505680015 YATENI 54
3518147006680163 SUMINI 54
3518147006680155 SUYATI 54
3518145402680003 MEI IDAWATI 54
3518147006680141 WAKINEM 54 37.9 97 191/104
3518145906670001 SARWIANA 55
3518144503670002 SAYEM 55
3518145109670001 SUKARNI 55
3518147112660014 DASIYEM 56 28.8 88 159/85
3518147006660106 NYUKIMAH 56 26.4 80 145/91
3518187006660037 PANI 56 25 82 131/71
3518145604660001 SUMINEM 56
3518147112660018 SULIKAH 56 16.9 72 120/71
3518144107550002 PARIYEM 57
3518147007650002 YATINEM 57
3518147112650112 YATIJEM 57
3518147006650026 SUKARNI 57
3518147112650079 RAMIYEM 57
3518145708640001 KARIMU 58 19.2 72 141/102
3518145504640001 RUKIMAH 58 34.6 97 191/115
3518147006640270 SULASTRI 58
3518147112640124 PARIYEM 58
3518147112640121 LAMINI 58
3518145212630006 SINAH 59
3518147112530042 GAMINI 59
3518147101630002 YATEMI 59 15.2 66 141/87
3518145011630001 PURWANTI 59
3518147112630085 SUPI 59
3518147007620002 PUNIYEM 60
3518147112620064 DJATEMI 60
3518145512620001 WAINEM 60
3518147006620267 DAMIATI 60
3518147112620097 KAMINEM 60 80 196/89
3518147112620009 WASIS 60
3518144806610003 NYAMIDJAH 61 21.7 84 139/87
3518147006610202 TAMI 61 28.4 83 149/99
3518147006610181 YATMINI 61
3518146711600002 SADIPAH 62 23.3 81 123/71
3518147010600002 SUMARNI 62 31.3 94 168/102
3518145608600003 JAKINEM 62 29.3 95 113/72
3603115212600001 LASMIYATI 62 29.7 92 192/99
3518147006600046 JAKINEM 62
3518147006600002 MARDIYAH 62
3518147112600071 LASIYEM 62
3518145206600004 SUWATI 62 22.4 89 135/104
3518145512590003 LASINEM 63 25.4 85 125/66
3518147006590074 WARSIH 63
3518147006590248 NGADEMI 63 18.9 85 147/87
3518145009590007 JAKIYEM 63
3518147006590160 SADINEM 63
3518147006590311 JAMINEM 63
3518147006590287 SUKARTI 63 23.4 83 152/86
3518147112590123 SUMINEM 63
3518144305590001 LAMIATI 63
3518147006590073 GAMIRAH 63 22.2 89 190/115
3518146809590001 TUTIK 63
3518147112590090 DAMIYEM 63
3518147112590129 WARSINI 63
3518147006580209 DILEM 64 22.1 81 144/95
3518147006580041 PARNI 64 22.1 76 148/87
3518147112580034 DIYEM 64
3518147006570055 SUHARTI 65
3518147112570069 SUPARMI 65
3518147112560099 SAKINEM 66 25.2 95 180/102
3518147112560022 LAMINEM 66
3518147112560007 KARMINI 66
3518144806540006 LAMI 68
3518147112540038 MARSINI 68 27.7 95 154/77
3518147006540279 PARMI 68 24 90 147/55
3518147112540003 PAINEM 68
3518147112520111 YUKINEM 68
3518147006540293 WARINEM 68 21.2 88 118/69
3518147006540217 PATRI 68
3518147112520042 KARJINEM 70 22.7 86 151/89
3518146609520001 PRIJATUN 70 24.9 91 188/108
3518147006520177 WARINAH 70
3518147006510013 KASINEM 71
3518147006510079 LASMI 71 24.8 91 160/107
3518145907500002 TARMIATUN 72 26.1 92
3518147112500013 WAKIRAH 72
3518147112500087 SAMINI 72
3518147112490022 GAMIRAH 73
3518147112490107 SATINAH 73
3518145406490001 JUMINI 73 25.2 91 177/87
3518145402490001 YATI 73 30.1 94 159/82
3518146507470003 DINEM 75 24.2 84 144/94
3518147006460060 DEMES 76 22.8 91 138/79
3518147112450089 WATIYEM 77
3518145510450002 SARMI 77
3518147112450017 LAMINAH 77
3518147006440231 SUTIYAH 78 20.5 77 159/88
3518147006440203 DJIRAH 78 15.7 70 189/42
3518147112420088 YATEMI 80
3518147112420098 DIYEM 80
3518144712420004 PUJIATI 80 16.5 63 156/92
3518147112410004 KUTINAH 81
3518147112400008 SURATMI 82
3518143112400064 TADJAB 82
3518147006400250 KADI 82 17.8 73 144/85
3518147006400149 JIYAT 82
3518147112350040 NYONIYEM 87 16.6 69 125/81
3518147112320053 SAJEM 90
DJATEMI
JUMIRAH
KO PENYAKIT TIDAK MENULAR ( PTM )
Gula
KOLESTE ASAMU
Darah TIDAK PERIKSA
ROL RAT
Sewaktu
BULAN BULAN BULAN
Uji Fungsi Paru Benjolan Pada
IVA
Sederhana Payudara
12 12 12

103 235 8.1

146

-
109 232
141 5.3
121
84

104 220 4.7

186 173 5.1

104
107 252 5.6
203 5.1

113 201 4.6

106 193 6.2

230 6.9

133 4.4

111 11.8
103 161 5.4

85 289 6.1

167

248 4.8

85 277 3.5
 219 4.8
90
188 7.5

402 266 11.5

345 207

6.3

110

116 205 3.4

301 6.3

224

165
203 5.2

165 171 5.3

160 6.5

121 214 5.1

202
277 210 5

347 187 6.1

243 5.7
482 177 4.2

177 6.6
269 6.1

222 5.7
164 5.4
243 7.1
138

112 280

137
TIDAK PERIKSA
TIDAK ADA HASIL / TIDAK DICEK
DATA TIDAK LENGKAP
 PENCATATAN DAN PELAPORAN POSBINDU P

Posbindu : CANTIK
Kecamatan : BAGOR
Bulan/Tahun : DESEMBER 2022

GOLONGAN
NO TIPE PENGUKURAN FAKTOR RESIKO 15-19 20-54
L P L P
Obesitas umum (> 25kg/m2 0 0 0 12
1 IMT
Normal 0 0 2 7
Obesitas sentral (L ≥90, W 0 0 0 18
2 DASAR Lingkar perut
Normal 0 0 2 1
Hipertensi ( ≥140/90 mmHg 0 0 1 14
3 Tekanan darah
Normal 0 0 1 5
Hiperglikemia (≥200 mg/dl) 0 0 0 0
4 Gula darah sewaktu
Normal 0 0 2 11
UTAMA
Hipercholesterolemia (≥190 0 0 1 9
5 Cholesterol Darah
Normal 0 0 0 3
ORAN POSBINDU PTM

Puskesmas : BAGOR
Kabupaten : NGANJUK

GOLONGAN UMUR
TOTAL RUJUKAN PUSKESMAS
55-59 60-69 ≥ 70
L P L P L P L P L
2 3 0 7 0 3 2 25 2
3 4 0 10 0 10 5 31 0
1 4 0 17 0 8 1 47 1
4 3 0 1 0 5 6 10 0
2 5 0 12 0 10 3 41 3
3 2 0 6 0 2 4 15 0
0 2 0 3 0 1 0 6 0
3 1 0 4 0 3 5 19 0
1 3 0 6 0 5 2 23 2
1 1 0 5 0 3 0 12 0
RUJUKAN PUSKESMAS

P
10
0
20
0
22
0
3
0
20
0