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LAPORAN REGISTER PENDUDUK YANG AKSES SENITASI DAS
KOMPONEN : JUMLAH (JML) JAGA SEHAT, TPS, SPAL, RUMAH (RMH) BBS
JENTIK NYA
DALAM WILAYAH KERJA PUSKESMAS, DINAS KESEHATAN KABU
Puskesmas : M"#$%"h'$
Kecamatan : S$#"$ T#*"h
Bulan :
NO DESA/ KEL.
J M L D U S U N
DATA DASAR Th. 20+ JENIS DA
J m l R u m a h y g A d a
J m
l P d d k ( j i w a )
J m l K K
R m h d
i K o t a ( k e l u r a h a n )
R m h d i d e s a
KOMUNAL LEHER AN
J m
l D i p e r i k s a
emenuhi !yarat ( ! )
J m
l D i p e r i k s a
J m l !
J m l r m h y g m m l k i
J m l K K
P e n g g u n a
J m l !
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
" !A#$%&'&'A *+, *
. !A#/0R0&' *
1 PA$$#&'K# *
K#PA&' 1
* B#&$# 1
+ 'A&$ARA&' 1
Bulan
Kumulati2 .1
NO DESA/ KEL.
AKSES JAMBAN SEHAT TPS SPAL
L R M H
B - . J ) # / $ 0
RUMAH YG MS/SEHAT P1'*
Pedesaan
m l ! a r a n a
l D i p e r k s a
m l ( !
)
m l ! a r a n a
l D i p e r k s a
m l ( !
)
m h ! $
h 3 . 4 "
m l ( a 5 6 )
l R m h 9 " 4 4 7 )
e s a 8 K e l ! $ B
l P d d k
" 4 4 7
l P d d k
" 4 4 7
JML RMH DIPERIKSA
J m l !
a r a n a ( D a t a
D a s a r )
J u m l a h P e n d u d u k
P e n g g u n a ( D a t a
D a s a r )
J m l !
a r a n a ( D a t a
D a s a r )
J u m l a h P e n d u d u k
P e n g g u n a ( D a t a
D a s a r )
J m
l P d d k
P e n g g u n a
TOTAL RMHSEHAT
Perkotaan(Kel)
m h D i 6 i n a $ !
$ h 3 . 4 "
m h D i 6 i n a !
$ h 3 . 4 " *
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Kumulati2
= Diketik Komputer
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EMPLUNG
J m l D i p e r i k s a
emenuhi !yarat ( ! )
J m l !
J m
l r m h y g m m l k i
J m
l K K P e n g g u n a
31 32 33 34 35 36
3%-1 20!
skesmas
J u m l a h P e n d u d u k
P e n g g u n a ( D a t a
D a s a r )
J m l P d d k
P e n g g u n a
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LAPORAN HASIL PENGAWASAN / PEMERIKSAAN SANITASI PER
DALAM WILAYAH PUSKESMAS MANIMPAHOI KE SINJAI TENGAH
BULAN SEPTEMBER TAHUN 20!
NO DESA
JUMLAH DATA DASAS TAHUN 2014 JUMLAH YG DIPERIKS
RUMAH JAGA
RUMAH PDDK KK JAGA SPAL TPS MCK
R M H
D I P E R I K S A
J M L R M H
M S
J M L J A G A D I P E R I K S A
J M L J A G A M S
JML % JML % JML % JML % JML % JML % JML
" !A#$%&'&'A
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&ip3 ",
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TPS
R U M A H
B E B A S J E N T I K
J M L T P S M S
JML % JML % JML %
*". *.4 *""
11- 1*. 11+
+", ++" +",
.
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