SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS

(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS/POLINDES : Tragih
BULAN : JANUARI JUMLAH KUNJUNGAN :

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 KHOLERA 0
2 Diare 11 17 2 1 1 4 6 2 3 27 20 47
3 Diare berdarah 2 1 2 2 4 12 1 4 16 12 28
4 Tifus perut 3 2 2 5 2 1 12 3 15
5 TB paru bta + 0
6 Tersangka TB paru 0
7 Kusta PB 0
8 Kusta MB 0
9 Campak 0
10 Difteri 0
11 Batuk Rejan 0
12 Tetanus 0
13 Hepatitis Klinis 0
14 Malaria Klinis 0
15 Malaria Vivak 0
16 Malaria Falsifarum 0
17 Malaria Mix 0
18 Demam berdarah dengue 0
19 Demam dengue 0
20 Pneumonia 0
21 Sifilis 0
22 Gonorrhoe 0
23 Frambusia 0
24 Filariasis 0
25 Influensa 3 4 4 6 5 5 15 12 27
26 Hipertensi 1 1 1 1 2
27 Diabetes Militus 0
Total 0 0 14 26 9 5 14 15 18 9 8 1 71 48 119
SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS/Polindes : Gn.Rancak
BULAN : JANUARI JUMLAH KUNJUNGAN :

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 KHOLERA 0
2 Diare 1 2 1 3 1 1 7 8
3 Diare berdarah 0
4 Tifus perut 0
5 TB paru bta + 0
6 Tersangka TB paru 0
7 Kusta PB 0
8 Kusta MB 0
9 Campak 0
10 Difteri 0
11 Batuk Rejan 0
12 Tetanus 0
13 Hepatitis Klinis 0
14 Malaria Klinis 0
15 Malaria Vivak 0
16 Malaria Falsifarum 0
17 Malaria Mix 0
18 Demam berdarah dengue 0
19 Demam dengue 0
20 Pneumonia 0
21 Sifilis 0
22 Gonorrhoe 0
23 Frambusia 0
24 Filariasis 0
25 Influensa 1 1 1 3 3
26 Hipertensi 3 1 1 3 4
27 Diabetes Militus 1 1 1
Total 0 0 1 2 1 1 0 7 3 0 1 0 2 14 16
SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS/Polindes : Jelgung
BULAN : JANUARI JUMLAH KUNJUNGAN :

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 KHOLERA 0
2 Diare 3 6 3 1 1 2 4 2 1 10 13 23
3 Diare berdarah 0
4 Tifus perut 0
5 TB paru bta + 0
6 Tersangka TB paru 0
7 Kusta PB 0
8 Kusta MB 0
9 Campak 0
10 Difteri 0
11 Batuk Rejan 0
12 Tetanus 0
13 Hepatitis Klinis 0
14 Malaria Klinis 0
15 Malaria Vivak 0
16 Malaria Falsifarum 0
17 Malaria Mix 0
18 Demam berdarah dengue 0
19 Demam dengue 0
20 Pneumonia 1 1 2
21 Sifilis 0
22 Gonorrhoe 0
23 Frambusia 0
24 Filariasis 0
25 Influensa 1 1 1 3 3
26 Hipertensi 3 1 1 3 4
27 Diabetes Militus 1 1 1
Total 3 6 3 2 3 2 4 4 3 2 1 0 11 20 33
SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS/Polindes : Bapelle
BULAN : JANUARI JUMLAH KUNJUNGAN :

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 KHOLERA 0
2 Diare 13 16 4 4 4 3 1 1 2 2 25 25 50
3 Diare berdarah 0
4 Tifus perut 0
5 TB paru bta + 0
6 Tersangka TB paru 0
7 Kusta PB 0
8 Kusta MB 0
9 Campak 0
10 Difteri 0
11 Batuk Rejan 0
12 Tetanus 0
13 Hepatitis Klinis 0
14 Malaria Klinis 0
15 Malaria Vivak 0
16 Malaria Falsifarum 0
17 Malaria Mix 0
18 Demam berdarah dengue 0
19 Demam dengue 0
20 Pneumonia 0
21 Sifilis 0
22 Gonorrhoe 0
23 Frambusia 0
24 Filariasis 0
25 Influensa 14 16 1 1 4 6 2 2 4 2 27 25 52
26 Hipertensi 2 2 1 3 2 5
27 Diabetes Militus 0
Total 0 0 27 32 5 5 8 9 5 5 7 4 55 52 107
SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS/Polindes : Robatal
BULAN : JANUARI JUMLAH KUNJUNGAN :

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 KHOLERA 0
2 Diare 5 4 1 1 5 6 11
3 Diare berdarah 2 2 2
4 Tifus perut 0
5 TB paru bta + 0
6 Tersangka TB paru 0
7 Kusta PB 0
8 Kusta MB 0
9 Campak 0
10 Difteri 0
11 Batuk Rejan 0
12 Tetanus 0
13 Hepatitis Klinis 0
14 Malaria Klinis 0
15 Malaria Vivak 0
16 Malaria Falsifarum 0
17 Malaria Mix 0
18 Demam berdarah dengue 0
19 Demam dengue 0
20 Pneumonia 0
21 Sifilis 0
22 Gonorrhoe 0
23 Frambusia 0
24 Filariasis 0
25 Influensa 0
26 Hipertensi 0
27 Diabetes Militus 0
Total 0 0 0 5 4 1 0 1 2 0 0 0 5 8 13
SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS/Polindes : Torjunan
BULAN : JANUARI JUMLAH KUNJUNGAN :

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 KHOLERA 0
2 Diare 5 3 2 5 5 10
3 Diare berdarah 1 1 1
4 Tifus perut 0
5 TB paru bta + 0
6 Tersangka TB paru 0
7 Kusta PB 0
8 Kusta MB 0
9 Campak 0
10 Difteri 0
11 Batuk Rejan 0
12 Tetanus 0
13 Hepatitis Klinis 0
14 Malaria Klinis 0
15 Malaria Vivak 0
16 Malaria Falsifarum 0
17 Malaria Mix 0
18 Demam berdarah dengue 0
19 Demam dengue 0
20 Pneumonia 0
21 Sifilis 0
22 Gonorrhoe 0
23 Frambusia 0
24 Filariasis 0
25 Influensa 0
26 Hipertensi 4 2 5 4 7 11
27 Diabetes Militus 0
Total 0 0 5 3 2 0 0 4 0 2 6 0 9 13 22
SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS/Polindes : Pandiyangan
BULAN : JANUARI JUMLAH KUNJUNGAN :

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 KHOLERA 0
2 Diare 5 6 5 6 11
3 Diare berdarah 1 2 2 3 2 5
4 Tifus perut 0
5 TB paru bta + 0
6 Tersangka TB paru 0
7 Kusta PB 0
8 Kusta MB 0
9 Campak 0
10 Difteri 0
11 Batuk Rejan 0
12 Tetanus 0
13 Hepatitis Klinis 0
14 Malaria Klinis 0
15 Malaria Vivak 0
16 Malaria Falsifarum 0
17 Malaria Mix 0
18 Demam berdarah dengue 0
19 Demam dengue 0
20 Pneumonia 0
21 Sifilis 0
22 Gonorrhoe 0
23 Frambusia 0
24 Filariasis 0
25 Influensa 0
26 Hipertensi 8 3 2 3 7 9 16
27 Diabetes Militus 0
Total 0 0 0 0 6 8 2 8 3 2 3 0 15 17 32
SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS/Polindes : Gn.Rancak
BULAN : JANUARI JUMLAH KUNJUNGAN :

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 KHOLERA 0
2 Diare 0
3 Diare berdarah 2 4 2 8
4 Tifus perut 0
5 TB paru bta + 0
6 Tersangka TB paru 0
7 Kusta PB 0
8 Kusta MB 0
9 Campak 0
10 Difteri 0
11 Batuk Rejan 0
12 Tetanus 0
13 Hepatitis Klinis 0
14 Malaria Klinis 0
15 Malaria Vivak 0
16 Malaria Falsifarum 0
17 Malaria Mix 0
18 Demam berdarah dengue 0
19 Demam dengue 0
20 Pneumonia 0
21 Sifilis 0
22 Gonorrhoe 0
23 Frambusia 0
24 Filariasis 0
25 Influensa 3 3
26 Hipertensi 2 2
27 Diabetes Militus 0
Total 0 0 0 2 0 4 0 7 0 0 0 0 0 0 13
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS : ROBATAL
BULAN : JANUARI JUMLAH KUNJUNGAN :
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 KHOLERA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 3 6 33 44 18 15 9 11 7 5 7 2 78 82 160
3 Diare berdarah 0 0 0 4 2 8 4 6 14 1 5 0 19 17 44
4 Tifus perut 0 0 0 3 2 2 5 2 0 0 0 1 12 3 15
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 1 1 0 0 0 0 0 0 0 0 0 2
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 17 20 7 1 10 16 4 7 4 2 42 43 88
26 Hipertensi 0 0 0 0 0 0 0 20 7 7 10 0 17 25 44
27 Diabetes Militus 0 0 0 0 0 0 0 0 2 0 0 0 0 2 2
Total 3 6 50 72 30 26 28 55 34 20 26 5 168 172 355

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

TOTO SUDIRMAN.SH.MMkes EDI RUSMIANTO.AMD.,Kep

NIP : 19680925 199002 1 001 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS : ROBATAL
BULAN : FEBRUARI JUMLAH KUNJUNGAN :
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 4 6 25 36 33 24 15 27 14 8 7 2 99 89 201
3 Diare berdarah 0 0 0 6 4 4 6 9 4 4 1 0 21 17 38
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 19 16 23 15 9 6 2 2 3 0 54 46 95
26 Hipertensi 0 0 0 0 0 0 0 6 4 6 13 4 14 13 33
27 Diabetes Militus 0 0 0 0 0 0 0 0 1 3 0 0 1 2 4
Total 4 6 44 58 60 43 30 48 25 23 24 6 189 167 371

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

TOTO SUDIRMAN.SH.MMkes EDI RUSMIANTO.AMD.,Kep

NIP : 19680925 199002 1 001 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS : ROBATAL
BULAN : MARET JUMLAH KUNJUNGA:
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 22 20 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 1 3 21 28 13 8 8 11 7 2 6 2 39 45 110
3 Diare berdarah 0 0 1 2 7 0 5 13 5 5 4 0 20 22 42
4 Tifus perut 0 0 0 1 5 5 3 2 0 0 0 0 7 9 16
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 18 17 9 7 6 6 3 0 2 0 37 6 68
26 Hipertensi 0 0 0 0 0 0 0 0 4 3 4 0 6 5 11
27 Diabetes Militus 0 0 0 0 0 0 0 0 2 1 0 0 2 1 3
Total 1 3 40 48 34 20 22 32 21 11 16 2 111 88 250

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

TOTO SUDIRMAN.SH.MMkes EDI RUSMIANTO.SKep

NIP : 19680925 199002 1 001 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS : ROBATAL
BULAN : APRIL JUMLAH KUNJUNGA:
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 28 26 22 12 7 18 6 7 8 1 0 0 135
3 Diare berdarah 0 0 1 0 0 0 1 13 6 8 3 0 0 0 32
4 Tifus perut 0 0 0 3 2 0 0 2 0 0 0 0 0 0 7
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1
19 Demam dengue 0 0 0 2 0 0 0 0 0 0 0 0 0 0 2
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 2 21 18 13 8 9 3 1 1 3 0 0 0 79
26 Hipertensi 0 0 0 0 0 0 5 8 5 6 1 0 0 25
27 Diabetes Militus 0 0 0 0 0 0 0 1 1 1 2 0 0 0 5
Total 0 2 50 49 38 20 17 42 22 22 22 2 0 0 286

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

TOTO SUDIRMAN.SH.MMkes EDI RUSMIANTO.SKep

NIP : 19680925 199002 1 001 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS : ROBATAL
BULAN : MEI JUMLAH KUNJUNGA:
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 28 26 22 12 7 18 6 7 8 1 0 0 135
3 Diare berdarah 0 0 1 0 0 0 1 13 6 8 3 0 0 0 32
4 Tifus perut 0 0 0 3 2 0 0 2 0 0 0 0 0 0 7
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1
19 Demam dengue 0 0 0 2 0 0 0 0 0 0 0 0 0 0 2
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 2 21 18 13 8 9 3 1 1 3 0 0 0 79
26 Hipertensi 0 0 0 0 0 0 5 8 5 6 1 0 0 25
27 Diabetes Militus 0 0 0 0 0 0 0 1 1 1 2 0 0 0 5
Total 0 2 50 49 38 20 17 42 22 22 22 2 0 0 286

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

TOTO SUDIRMAN.SH.MMkes EDI RUSMIANTO.SKep

NIP : 19680925 199002 1 001 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS : ROBATAL
BULAN : JUNI JUMLAH KUNJUNGAN :
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 5 2 12 22 22 11 13 23 3 4 2 0 61 50 119
3 Diare berdarah 0 0 0 0 0 0 0 1 2 1 1 0 1 4 5
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 21 31 21 14 10 13 5 3 6 4 53 75 128
26 Hipertensi 0 0 0 0 0 0 0 3 3 0 4 0 5 5 10
27 Diabetes Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 5 2 33 53 43 25 23 40 13 8 13 4 120 134 262

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

TOTO SUDIRMAN.SH.MMkes EDI RUSMIANTO.SKep

NIP : 19680925 199002 1 001 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS : ROBATAL
BULAN : AGUSTUS JUMLAH KUNJUNGAN :
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 2 12 38 7 8 16 19 11 5 8 0 45 48 126
3 Diare berdarah 0 0 0 0 0 0 7 1 5 0 2 0 9 5 15
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 5 17 18 8 2 3 10 4 2 5 0 38 36 74
26 Hipertensi 0 0 0 0 0 0 0 7 8 6 8 1 15 20 30
27 Diabetes Militus 0 0 0 0 0 0 0 0 2 0 3 0 2 3 5
Total 0 7 29 56 15 10 26 37 30 13 26 1 109 112 250

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

TOTO SUDIRMAN.SH.MMkes EDI RUSMIANTO.SKep

NIP : 19680925 199002 1 001 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS : ROBATAL
BULAN : SEPTEMBER JUMLAH KUNJUNGAN :
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 2 12 38 7 8 16 19 11 5 8 0 45 48 126
3 Diare berdarah 0 0 0 0 0 0 7 1 5 0 2 0 9 5 15
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 5 17 18 8 2 3 10 4 2 5 0 38 36 74
26 Hipertensi 0 0 0 0 0 0 0 7 8 6 8 1 15 20 30
27 Diabetes Militus 0 0 0 0 0 0 0 0 2 0 3 0 2 3 5
Total 0 7 29 56 15 10 26 37 30 13 26 1 109 112 250

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

TOTO SUDIRMAN.SH.MMkes EDI RUSMIANTO.SKep

NIP : 19680925 199002 1 001 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS : ROBATAL
BULAN : OKTOBER JUMLAH KUNJUNGAN :
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 2 12 25 7 8 16 15 9 5 5 0 50 54 104
3 Diare berdarah 0 0 0 0 0 0 7 1 5 0 2 0 9 5 15
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 5 17 11 8 2 3 8 4 2 5 0 30 35 65
26 Hipertensi 0 0 0 0 0 0 0 7 8 6 8 1 15 20 30
27 Diabetes Militus 0 0 0 0 0 0 0 0 2 0 3 0 2 3 5
Total 0 7 29 36 15 10 26 31 28 13 23 1 106 117 219

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

TOTO SUDIRMAN.SH.MMkes EDI RUSMIANTO.SKep

NIP : 19680925 199002 1 001 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS : ROBATAL
BULAN : OKTOBER JUMLAH KUNJUNGAN :
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 2 12 25 7 8 16 15 9 5 5 0 50 54 104
3 Diare berdarah 0 0 0 0 0 0 7 1 5 0 2 0 9 5 15
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 5 17 11 8 2 3 8 4 2 5 0 30 35 65
26 Hipertensi 0 0 0 0 0 0 0 7 8 6 8 1 15 20 30
27 Diabetes Militus 0 0 0 0 0 0 0 0 2 0 3 0 2 3 5
Total 0 7 29 36 15 10 26 31 28 13 23 1 106 117 219

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

TOTO SUDIRMAN.SH.MMkes EDI RUSMIANTO.SKep

NIP : 19680925 199002 1 001 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2016

PUSKESMAS : ROBATAL
BULAN : Nopember JUMLAH KUNJUNGAN :
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 2 12 25 7 8 16 15 9 5 5 0 50 54 104
3 Diare berdarah 0 0 0 0 0 0 7 1 5 0 2 0 9 5 15
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 5 17 11 8 2 3 8 4 2 5 0 30 35 65
26 Hipertensi 0 0 0 0 0 0 0 7 8 6 8 1 15 20 30
27 Diabetes Militus 0 0 0 0 0 0 0 0 2 0 3 0 2 3 5
Total 0 7 29 36 15 10 26 31 28 13 23 1 106 117 219

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

TOTO SUDIRMAN.SH.MMkes EDI RUSMIANTO.SKep

NIP : 19680925 199002 1 001 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2022

PUSKESMAS : ROBATAL
BULAN : JANUARI JUMLAH KUNJUNGAN : 121
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 11 4 5 10 2 5 3 2 0 0 20 22 42
3 Diare berdarah 0 0 2 3 3 3 3 2 3 1 2 0 11 11 22
4 Tifus perut 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 3 7 3 1 6 3 3 5 6 2 15 19 39
26 Hipertensi 0 0 0 0 0 0 0 0 6 3 2 2 3 10 13
27 Diabetes Militus 0 0 0 0 0 0 0 1 1 2 0 0 2 3 4
Total 0 0 16 14 11 14 11 12 16 13 10 4 52 66 121

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

dr. ELMIRA RIZKIA FEBRIYANTI EDI RUSMIANTO. S.Kep., Ns.

NIP : 19880204 201903 2006 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2022

PUSKESMAS : ROBATAL
BULAN : FEBRUARI JUMLAH KUNJUNGAN : 254
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 16 24 11 10 2 10 3 6 0 0 40 41 82
3 Diare berdarah 0 0 9 13 8 3 3 4 3 4 2 0 18 18 49
4 Tifus perut 0 0 1 0 0 0 0 1 0 0 0 0 1 1 2
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 9 27 10 1 6 8 16 5 6 2 34 51 90
26 Hipertensi 0 0 0 0 0 0 0 0 6 9 7 2 13 11 24
27 Diabetes Militus 0 0 0 0 0 0 0 1 4 2 0 0 3 5 7
Total 0 0 35 64 29 14 11 24 32 26 15 4 109 127 254

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

dr. ELMIRA RIZKIA FEBRIYANTI EDI RUSMIANTO. S.Kep., Ns.

NIP : 19880204 201903 2006 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2022

PUSKESMAS : ROBATAL
BULAN : MARET JUMLAH KUNJUNGAN : 254
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 16 24 11 10 2 10 3 6 0 0 40 41 82
3 Diare berdarah 0 0 9 13 8 3 3 4 3 4 2 0 18 18 49
4 Tifus perut 0 0 1 0 0 0 0 1 0 0 0 0 1 1 2
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 9 27 10 1 6 8 16 5 6 2 34 51 90
26 Hipertensi 0 0 0 0 0 0 0 0 6 9 7 2 13 11 24
27 Diabetes Militus 0 0 0 0 0 0 0 1 4 2 0 0 3 5 7
Total 0 0 35 64 29 14 11 24 32 26 15 4 109 127 254

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

dr. ELMIRA RIZKIA FEBRIYANTI EDI RUSMIANTO. S.Kep., Ns.

NIP : 19880204 201903 2006 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2022

PUSKESMAS : ROBATAL
BULAN : APRIL JUMLAH KUNJUNGAN : 238
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 16 13 11 10 2 10 3 6 0 0 40 41 71
3 Diare berdarah 0 0 9 13 8 3 1 4 3 1 2 0 18 18 44
4 Tifus perut 0 0 1 0 0 0 0 1 0 0 0 0 1 1 2
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 9 27 10 1 6 8 16 5 6 2 34 51 90
26 Hipertensi 0 0 0 0 0 0 0 0 6 9 7 2 13 11 24
27 Diabetes Militus 0 0 0 0 0 0 0 1 4 2 0 0 3 5 7
Total 0 0 35 53 29 14 9 24 32 23 15 4 109 127 238

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

dr. ELMIRA RIZKIA FEBRIYANTI EDI RUSMIANTO. S.Kep., Ns.

NIP : 19880204 201903 2006 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2022

PUSKESMAS : ROBATAL
BULAN : MEI JUMLAH KUNJUNGAN : 238
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 16 13 11 10 2 10 3 6 0 0 40 41 71
3 Diare berdarah 0 0 9 13 8 3 1 4 3 1 2 0 18 18 44
4 Tifus perut 0 0 1 0 0 0 0 1 0 0 0 0 1 1 2
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 9 27 10 1 6 8 16 5 6 2 34 51 90
26 Hipertensi 0 0 0 0 0 0 0 0 6 9 7 2 13 11 24
27 Diabetes Militus 0 0 0 0 0 0 0 1 4 2 0 0 3 5 7
Total 0 0 35 53 29 14 9 24 32 23 15 4 109 127 238

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

dr. ELMIRA RIZKIA FEBRIYANTI EDI RUSMIANTO. S.Kep., Ns.

NIP : 19880204 201903 2006 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2022

PUSKESMAS : ROBATAL
BULAN : JUNI JUMLAH KUNJUNGAN : 233
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 16 13 11 10 2 10 3 3 0 0 40 41 68
3 Diare berdarah 0 0 9 13 8 3 1 2 3 1 2 0 18 18 42
4 Tifus perut 0 0 1 0 0 0 0 1 0 0 0 0 1 1 2
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 9 27 10 1 6 8 16 5 6 2 34 51 90
26 Hipertensi 0 0 0 0 0 0 0 0 6 9 7 2 13 11 24
27 Diabetes Militus 0 0 0 0 0 0 0 1 4 2 0 0 3 5 7
Total 0 0 35 53 29 14 9 22 32 20 15 4 109 127 233

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

dr. ELMIRA RIZKIA FEBRIYANTI EDI RUSMIANTO. S.Kep., Ns.

NIP : 19880204 201903 2006 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2022

PUSKESMAS : ROBATAL
BULAN : JULI JUMLAH KUNJUNGAN : 222
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 13 11 11 10 2 10 3 3 0 0 40 41 63
3 Diare berdarah 0 0 7 9 8 3 1 2 3 1 2 0 18 18 36
4 Tifus perut 0 0 1 0 0 0 0 1 0 0 0 0 1 1 2
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 9 27 10 1 6 8 16 5 6 2 34 51 90
26 Hipertensi 0 0 0 0 0 0 0 0 6 9 7 2 13 11 24
27 Diabetes Militus 0 0 0 0 0 0 0 1 4 2 0 0 3 5 7
Total 0 0 30 47 29 14 9 22 32 20 15 4 109 127 222

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

dr. ELMIRA RIZKIA FEBRIYANTI EDI RUSMIANTO. S.Kep., Ns.

NIP : 19880204 201903 2006 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2022

PUSKESMAS : ROBATAL
BULAN : Desember JUMLAH KUNJUNGAN : 121
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 1 3 3 2 2 2 3 2 0 0 10 12 18
3 Diare berdarah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 9 11 10 1 6 8 16 5 6 2 34 51 74
26 Hipertensi 0 0 0 0 0 0 0 0 6 9 7 2 13 11 24
27 Diabetes Militus 0 0 0 0 0 0 0 1 3 1 0 0 3 5 5
Total 0 0 10 14 13 3 8 11 28 17 13 4 60 79 121

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

dr. ELMIRA RIZKIA FEBRIYANTI EDI RUSMIANTO. S.Kep., Ns.

NIP : 19880204 201903 2006 NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2023

PUSKESMAS : ROBATAL
BULAN : September JUMLAH KUNJUNGAN : 235
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 6 17 15 16 7 12 5 6 5 0 30 45 89
3 Diare berdarah 0 0 2 8 3 1 1 7 1 2 1 0 15 10 26
4 Tifus perut 0 0 0 0 0 0 3 2 0 0 0 0 3 2 5
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 10 17 9 6 1 12 8 6 2 0 36 37 71
26 Hipertensi 0 0 0 0 0 1 0 1 9 11 18 2 18 17 42
27 Diabetes Militus 0 0 0 0 0 0 0 0 0 1 1 0 1 1 2
Total 0 0 18 42 27 24 12 34 23 26 27 2 103 112 235

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

dr. BENY IRAWAN EDI RUSMIANTO. S.Kep., Ns.

NIP : NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)

PROVINSI : JAWA TIMUR TAHUN : 2023

POLINDES/PUSTU : BAPELLE
BULAN : September JUMLAH KUNJUNGAN : 20
Golongan Umur (tahun) Total Kunjungan
No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 1 1 1 1 1 0 0 2 0 0 4 5 7
3 Diare berdarah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 1 1 1 1 1 0 1 1 1 0 4 6 8
26 Hipertensi 0 0 0 0 0 0 0 0 2 2 1 0 2 3 5
27 Diabetes Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 2 2 2 2 2 0 3 5 2 0 10 14 20

Mengetahui Koordinator Puskesmas

Kepala Puskesmas

dr. BENY IRAWAN EDI RUSMIANTO. S.Kep., Ns.

NIP : NIP : 19880417 201001 1 003
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)
BAPELLE

PROVINSI : JAWA TIMUR TAHUN : 2023

POLINDES/PUSTU : SAWAH TENGAH
BULAN : September JUMLAH KUNJUNGAN : 12

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Diare berdarah 0 0 1 1 1 1 1 3 1 2 1 0 6 5 12
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Diabetes Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 1 1 1 1 1 3 1 2 1 0 6 5 12
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)
SAWAH TENGAH

PROVINSI : JAWA TIMUR TAHUN : 2023

POLINDES/PUSTU : TORJUNAN
BULAN : September JUMLAH KUNJUNGAN : 38

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 1 4 0 1 0 0 0 0 0 0 2 4 6
3 Diare berdarah 0 0 1 5 2 0 0 2 0 0 0 0 7 3 10
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 3 9 3 0 0 1 1 0 0 0 8 9 17
26 Hipertensi 0 0 0 0 0 0 0 0 0 1 3 1 3 2 5
27 Diabetes Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 5 18 5 1 0 3 1 1 3 1 20 18 38
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)
TRAGIH

PROVINSI : JAWA TIMUR TAHUN : 2023

POLINDES/PUSTU : TRAGIH
BULAN : September JUMLAH KUNJUNGAN : 31

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
2 Diare 0 0 4 1 0 3 1 2 0 1 0 0 3 ### 5 12
3 Diare berdarah 0 0 0 2 0 0 0 0 0 0 0 0 1 ### 1 2
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
25 Influensa 0 0 3 5 1 0 0 4 2 1 1 0 8 ### 9 17
26 Hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
27 Diabetes Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
Total 0 0 7 8 1 3 1 6 2 2 1 0 12 15 31
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)
PANDIYANGAN

PROVINSI : JAWA TIMUR TAHUN : 2023

POLINDES/PUSTU : JELGUNG
BULAN : September JUMLAH KUNJUNGAN : 19

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 0 2 2 3 0 2 3 0 0 0 1 1 12
3 Diare berdarah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Hipertensi 0 0 0 0 0 1 0 1 1 1 3 0 0 0 7
27 Diabetes Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 2 2 4 0 3 4 1 3 0 1 1 19
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)
PUSTU GN.RANCAK

PROVINSI : JAWA TIMUR TAHUN : 2023

POLINDES/PUSTU : ROBATAL
BULAN : September JUMLAH KUNJUNGAN : 35

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 0 2 5 6 0 2 0 0 4 0 8 9 19
3 Diare berdarah 0 0 0 0 0 0 0 2 0 0 0 0 1 1 2
4 Tifus perut 0 0 0 0 0 0 3 2 0 0 0 0 3 2 5
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Hipertensi 0 0 0 0 0 0 0 0 2 3 4 0 5 4 9
27 Diabetes Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 2 5 6 3 6 2 3 8 0 17 16 35
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)
GN.RANCAK 1

PROVINSI : JAWA TIMUR TAHUN : 2023

POLINDES/PUSTU : LEPELLE
BULAN : September JUMLAH KUNJUNGAN : 35

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 0 2 3 0 2 0 1 2 0 0 3 7 10
3 Diare berdarah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 3 0 2 4 0 3 2 4 0 0 10 8 18
26 Hipertensi 0 0 0 0 0 0 0 0 2 2 3 0 4 3 7
27 Diabetes Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 3 2 5 4 2 3 5 8 3 0 17 18 35
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)
JELGUNG

PROVINSI : JAWA TIMUR TAHUN : 2023

POLINDES/PUSTU : GUNUNG RANCAK
BULAN : September JUMLAH KUNJUNGAN : 19

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diare 0 0 0 3 1 0 2 2 0 0 0 0 3 5 8
3 Diare berdarah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Influensa 0 0 0 2 2 1 0 4 2 0 0 0 6 5 11
26 Hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Diabetes Militus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 5 3 1 2 6 2 0 0 0 9 10 19
 SURVEILANS TERPADU PENYAKIT BERBASIS PUSKESMAS
(KASUS BARU)
ROBATAL

PROVINSI : JAWA TIMUR TAHUN : 2023

POLINDES/PUSTU : PANDIYANGAN
BULAN : September JUMLAH KUNJUNGAN : 26

Golongan Umur (tahun) Total Kunjungan

No Jenis Penyakit
0-7 hr 8-28 hr <1 1- 4 th 5-9 th 10-14 th 15-19th 20-44 th 45-54 th 55-59 th 60-69 th 70 + L P ∑
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
2 Diare 0 0 0 2 3 2 1 4 1 1 1 0 6 ### 9 15
3 Diare berdarah 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
4 Tifus perut 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
5 TB paru bta + 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
6 Tersangka TB paru 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
7 Kusta PB 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
8 Kusta MB 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
10 Difteri 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
11 Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
12 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
13 Hepatitis Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
14 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
15 Malaria Vivak 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
16 Malaria Falsifarum 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
17 Malaria Mix 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
18 Demam berdarah dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
19 Demam dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
20 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
21 Sifilis 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
22 Gonorrhoe 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
23 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
24 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
25 Influensa 0 0 0 0 0 0 0 0 0 0 0 0 0 ### 0 0
26 Hipertensi 0 0 0 0 0 0 0 0 2 2 4 1 4 ### 5 9
27 Diabetes Militus 0 0 0 0 0 0 0 0 0 1 1 0 1 ### 1 2
Total 0 0 0 2 3 2 1 4 3 4 6 1 11 15 26