Lap PJB Kirim Dinas Fix

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FORM REKAPITULASI HASIL PEMERIKSAAN PENJARINGAN KESEHATAN BERKALA

KELAS 2 SD / SEDERAJAT
TAHUN 2020
PUSKESMAS :BLUD UPT. PUSKESMAS MUARA WAHAU I

KABUPATEN :KUTAI TIMUR

JML SD / SDRJT 17 SD

JML SD / SDRJT DIJARING 7 SD

DGN GAYA HIDUP


RESIKO BERHUB

PENGGUNAAN
JUMLAH MURID KLS 2 SD JENIS DISABILITY TEKANAN DARAH STATUS GIZI KEBERSIHAN DIRI GIGI DAN MULUT KESH TELINGA GGN MENTAL EMOSIONAL

ALAT BANTU
GGN KESH

Dugaan Mslh
Dugaan Keln

IMUNISASI
MODALITAS BELAJAR DOMINASI OTAK

DIRUJUK
Paru-paru
REPRODU KEBUGARAN

Jantung
KESH MATA

YG DI
KSI Kesulitan JASMANI

PENDENGAR
SERUMEN
NO SEKOLAH DASAR (SD) Stunting Rsiko RONGGA GILUT Kekuatan (Pr)

INFEKSI
Autisme
SASARAN YG DIJARING RAMBUT KULIT KUKU (E+C+H+P)

Grahita
Wicara
Rungu
Rungu

Ganda
Daksa

Hyper
ADHD
Netra

Hypo
(TB/U) Anemi MULUT

KARIES

GGN

KINESTE
N KS K N G O

AN

VISUAL
MSLH

AUDIO
LAIN

TIK
L P N Br Ab N Br Ab OKA OKI KAKI
L P JML L P JML % L P L P S TS S TS S TS S TS N KR LV BWKM BAIK KRG

1 SDN 001 M.WAHAU 1 16 10 26 16 10 26 100.00 0 0 0 0 0 0 0 0 19 7 0 0 0 0 0 2 24 0 0 0 0 0 0 26 0 26 0 26 0 26 0 15 0 26 0 0 0 0 0 20 0 0 0 0 26 0 0 26 0 0 26 0 0 0 0 26 0 26 0 0

2 SDN 002 M.WAHAU 1 33 30 63 33 30 63 100 0 0 0 0 0 0 0 0 50 5 8 0 0 0 0 0 55 5 3 0 0 0 0 63 0 63 0 63 0 63 0 50 3 63 0 0 0 0 0 48 0 0 0 0 63 0 0 63 0 0 60 1 2 0 2 24 0 63 0 0

3 SDN 003 M.WAHAU 1 31 18 49 31 18 49 100 0 0 0 0 0 0 0 0 45 1 3 0 0 0 0 1 45 2 1 0 0 0 0 49 0 49 0 49 0 49 0 39 0 48 0 1 0 0 2 10 0 0 0 0 49 0 0 49 0 0 48 1 0 1 0 48 0 49 0 2

4 SDN 004 M.WAHAU 1 9 4 13 9 4 13 100 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 12 1 0 0 0 0 0 13 0 13 0 13 0 13 0 8 0 13 0 0 0 0 0 7 0 0 0 0 13 0 0 13 0 0 12 0 1 1 0 12 0 13 0 0

5 SDN 005 M.WAHAU 1 7 6 13 7 6 13 100 0 0 0 0 0 0 0 0 11 1 1 0 0 0 0 0 13 0 0 0 0 0 0 13 0 13 0 13 0 13 0 5 0 13 0 0 0 0 0 5 0 0 0 0 13 0 0 13 0 0 13 0 0 0 1 12 0 13 0 0

6 SDN 010 M.WAHAU 1 27 27 54 27 27 54 100 0 0 0 0 0 0 0 0 50 2 2 0 0 0 0 5 47 2 0 0 0 0 0 54 0 54 0 54 0 54 0 30 0 54 0 0 0 0 0 28 0 0 0 0 54 0 0 54 0 0 52 1 1 2 1 51 0 54 0 0

7 SD KHATOLIK ARNOLDUS 6 5 11 6 5 11 100.00 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 1 9 1 0 0 0 0 0 11 0 11 0 11 0 11 0 2 0 10 0 1 0 0 0 3 0 0 0 0 11 0 0 11 0 0 11 0 0 1 1 9 1

8 0 0 #DIV/0!

9 0 0 #DIV/0!

10 0 0 #DIV/0!

11 0 0 #DIV/0!

12 0 0 #DIV/0!

13 0 0 #DIV/0!

14 0 0 #DIV/0!

15 0 0 #DIV/0!

16 0 0 #DIV/0!

17 0 0 #DIV/0!

18 0 0 #DIV/0!

19 0 0 #DIV/0!

20 0 0 #DIV/0!

21 0 0 #DIV/0!

TOTAL 129 100 229 129 100 229 ### 0 0 0 0 0 0 0 0 199 16 14 0 0 - 0 9 205 11 4 0 0 0 0 229 0 229 0 229 0 229 0 149 3 227 0 2 0 0 2 121 0 - 0 0 229 0 0 229 0 0 222 3 4 5 5 182 1 218 0 2

MENGETAHUI MUARA WAHAU, 19 MARET 2020


KEPALA BLUD UPT. PUSKESMAS MUARA WAHAU I Pengelola UKS Puskesmas

dr. Adianto RAHMAWATI A.MD, KEB


NIP. 19780905 200604 1 008 NRTK2D.6408 19961115 2017 9248
FORM REKAPITULASI HASIL PEMERIKSAAN PENJARINGAN KESEHATAN BERKALA
KELAS 3 SD / SEDERAJAT
TAHUN 2020
PUSKESMAS :BLUD UPT. PUSKESMAS MUARA WAHAU I

KABUPATEN KUTAI TIMUR

JML SD / SDRJT 17 SD

JML SD / SDRJT DIJARING :7 SD

DGN GAYA HIDUP


RESIKO BERHUB

PENGGUNAAN
JUMLAH MURID KLS 3 SD JENIS DISABILITY TEKANAN DARAH STATUS GIZI KEBERSIHAN DIRI GIGI DAN MULUT KESH TELINGA GGN MENTAL EMOSIONAL

ALAT BANTU
GGN KESH

Dugaan Mslh
Dugaan Keln

IMUNISASI
MODALITAS BELAJAR DOMINASI OTAK

DIRUJUK
Paru-paru
REPRODU KEBUGARAN

Jantung
KESH MATA

YG DI
KSI Kesulitan JASMANI

PENDENGAR
SERUMEN
NO SEKOLAH DASAR (SD) Stunting Rsiko RONGGA GILUT Kekuatan (Pr)

INFEKSI
Autisme
SASARAN YG DIJARING RAMBUT KULIT KUKU (E+C+H+P)

Grahita
Wicara
Rungu
Rungu

Ganda
Daksa

Hyper
ADHD
Netra

Hypo
(TB/U) Anemi MULUT

KARIES

GGN

KINESTE
N KS K N G O

AN

VISUAL
MSLH

AUDIO
LAIN

TIK
L P N Br Ab N Br Ab OKA OKI KAKI
L P JML L P JML % L P L P S TS S TS S TS S TS N KR LV BWKM BAIK KRG

1 SDN 001 M.WAHAU 1 13 19 32 13 19 32 100.00 0 0 0 0 0 0 0 0 30 1 1 0 0 0 0 2 27 3 0 0 0 0 0 32 0 32 0 32 0 32 0 25 0 32 0 0 0 0 0 18 0 0 0 0 32 0 0 32 0 0 31 1 0 1 0 31 0 32 0 0

2 SDN 002 M.WAHAU 1 31 25 56 31 25 56 100 0 0 0 0 0 0 0 0 50 3 3 0 0 0 0 1 55 0 0 0 0 0 0 56 0 56 0 56 0 56 0 33 0 56 0 0 0 0 0 22 0 0 0 0 56 0 0 56 0 0 55 0 1 0 0 56 0 56 0 0

3 SDN 003 M.WAHAU 1 38 24 62 38 24 62 100 0 0 0 0 0 0 0 0 60 1 1 0 0 0 0 5 55 2 0 0 0 0 0 62 0 62 0 62 0 62 0 42 0 62 0 0 0 0 0 18 0 0 0 0 62 0 0 62 0 0 62 0 0 1 2 59 0 62 0 0

4 SDN 004 M.WAHAU 1 7 5 12 7 5 12 100 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 12 0 0 0 0 0 0 12 0 12 0 12 0 12 0 5 0 12 0 0 0 0 0 5 0 0 0 0 12 0 0 12 0 0 12 0 0 1 0 11 0 12 0 0

5 SDN 005 M.WAHAU 1 7 2 9 7 2 9 100 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 9 0 0 0 0 0 0 9 0 9 0 9 0 9 0 5 0 9 0 0 0 0 0 3 0 0 0 0 9 0 0 9 0 0 9 0 0 0 0 9 0 9 0 0

6 SDN 010 M.WAHAU 1 5 2 7 5 2 7 100 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 7 0 0 0 0 0 0 7 0 7 9 7 9 7 0 3 0 7 0 0 0 0 0 3 0 0 0 0 7 0 0 7 0 0 7 0 0 1 1 5 0 7 0 0

7 SD KHATOLIK ARNOLDUS 0 0 0 0 0 0 #DIV/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 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 #DIV/0!

9 0 0 #DIV/0!

10 0 0 #DIV/0!

11 0 0 #DIV/0!

12 0 0 #DIV/0!

13 0 0 #DIV/0!

14 0 0 #DIV/0!

15 0 0 #DIV/0!

16 0 0 #DIV/0!

17 0 0 #DIV/0!

18 0 0 #DIV/0!

19 0 0 #DIV/0!

20 0 0 #DIV/0!

21 0 0 #DIV/0!

TOTAL 101 77 178 101 77 178 ### 0 0 0 0 0 0 0 0 168 5 5 0 0 - 0 8 165 5 0 0 0 0 0 178 0 178 9 178 9 178 0 113 - 178 0 0 0 0 0 69 0 - 0 0 178 0 0 178 0 0 176 1 1 4 3 171 0 178 0 0

MENGETAHUI MUARA WAHAU, 19 MARET 2020


KEPALA BLUD UPT. PUSKESMAS MUARA WAHAU I Pengelola UKS Puskesmas

dr. Adianto RAHMAWATI A.MD, KEB


NIP. 19780905 200604 1 008 NRTK2D.6408 19961115 2017 9248
FORM REKAPITULASI HASIL PEMERIKSAAN PENJARINGAN KESEHATAN BERKALA
KELAS 4 SD / SEDERAJAT
TAHUN 2020
PUSKESMAS :BLUD UPT. PUSKESMAS MUARA WAHAU I

KABUPATEN :KUTAI TIMUR

JML SD / SDRJT :17 SD

JML SD / SDRJT DIJARING :7 SD

DGN GAYA HIDUP


RESIKO BERHUB

PENGGUNAAN
JUMLAH MURID KLS 4 SD JENIS DISABILITY TEKANAN DARAH STATUS GIZI KEBERSIHAN DIRI GIGI DAN MULUT KESH TELINGA GGN MENTAL EMOSIONAL

ALAT BANTU
GGN KESH

Dugaan Mslh
Dugaan Keln

IMUNISASI
MODALITAS BELAJAR DOMINASI OTAK

DIRUJUK
Paru-paru
REPRODU KEBUGARAN

Jantung
KESH MATA

YG DI
KSI Kesulitan JASMANI

PENDENGAR
SERUMEN
NO SEKOLAH DASAR (SD) Stunting Rsiko RONGGA GILUT Kekuatan (Pr)

INFEKSI
Autisme
SASARAN YG DIJARING RAMBUT KULIT KUKU (E+C+H+P)

Grahita
Wicara
Rungu
Rungu

Ganda
Daksa

Hyper
ADHD
Netra

Hypo
(TB/U) Anemi MULUT

KARIES

GGN

KINESTE
N KS K N G O

AN

VISUAL
MSLH

AUDIO
LAIN

TIK
L P N Br Ab N Br Ab OKA OKI KAKI
L P JML L P JML % L P L P S TS S TS S TS S TS N KR LV BWKM BAIK KRG

1 SDN 001 M.WAHAU 1 15 14 29 15 14 29 100.00 0 0 0 0 0 0 0 0 27 0 2 0 0 0 0 0 29 0 0 0 0 0 0 29 0 29 0 29 0 29 0 19 0 29 0 0 0 0 0 15 0 0 0 0 29 0 0 29 0 0 1 2 26 1 0 28 0 29 0 0

2 SDN 002 M.WAHAU 1 30 27 57 30 27 57 100 0 0 0 0 0 0 0 0 56 1 0 0 0 0 0 0 52 3 2 0 0 0 0 57 0 57 0 57 0 57 0 19 0 57 0 0 0 0 0 22 0 0 0 0 57 0 0 57 0 0 2 1 54 1 1 55 0 57 0 0

3 SDN 003 M.WAHAU 1 19 18 37 19 18 37 100 0 0 0 0 0 0 0 0 30 3 4 0 0 0 0 4 31 1 1 0 0 0 0 37 0 37 0 37 0 37 0 8 0 37 0 0 0 0 0 5 0 0 0 0 37 0 0 37 0 0 0 1 36 0 0 37 0 37 0 0

4 SDN 004 M.WAHAU 1 6 5 11 6 5 11 100 0 0 0 0 0 0 0 11 0 0 0 0 0 0 1 10 0 0 0 0 0 0 11 0 11 0 11 0 11 0 3 0 11 0 0 0 0 0 5 0 0 0 0 11 0 0 11 0 0 1 0 10 1 0 10 0 11 0 0

5 SDN 005 M.WAHAU 1 8 4 12 8 4 12 100 0 0 0 0 0 0 0 0 20 1 1 0 0 0 0 1 9 1 1 0 0 0 0 12 0 12 0 12 0 12 0 2 0 12 0 0 0 0 0 2 0 0 0 0 12 0 0 12 0 0 0 0 12 1 1 10 0 12 0 0

6 SDN 010 M.WAHAU 1 10 5 15 10 5 15 100 0 0 0 0 0 0 0 0 13 0 2 0 0 0 0 0 15 0 0 0 0 0 0 15 0 15 0 15 0 15 0 15 0 15 0 0 0 0 0 3 0 0 0 0 15 0 0 15 0 0 1 1 13 0 1 14 0 15 0 0

7 SD KHATOLIK ARNOLDUS 0 0 0 0 0 0 #DIV/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 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 #DIV/0!

9 0 0 #DIV/0!

10 0 0 #DIV/0!

11 0 0 #DIV/0!

12 0 0 #DIV/0!

13 0 0 #DIV/0!

14 0 0 #DIV/0!

15 0 0 #DIV/0!

16 0 0 #DIV/0!

17 0 0 #DIV/0!

18 0 0 #DIV/0!

19 0 0 #DIV/0!

20 0 0 #DIV/0!

21 0 0 #DIV/0!

TOTAL 88 73 161 88 73 161 ### 0 0 0 0 0 0 0 0 157 5 9 0 0 - 0 6 146 5 4 0 0 0 0 161 0 161 0 161 0 161 0 66 - 161 0 0 0 0 0 52 0 - 0 0 161 0 0 161 0 0 5 5 151 4 3 154 0 161 0 0

MENGETAHUI MUARA WAHAU, 19 MARET 2020


KEPALA BLUD UPT. PUSKESMAS MUARA WAHAU I Pengelola UKS Puskesmas

dr. Adianto RAHMAWATI A.MD, KEB


NIP. 19780905 200604 1 008 NRTK2D.6408 19961115 2017 9248

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