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12 INDIKATOR PIS PK

KB TOTAL
UMUR KET
Y N T (%)
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL

UMUR PERSALINAN FASKES TOTAL


KET
Y N T (%)
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL

UMUR BAYI IMUNISASI ( BAYI UMUR 12-23 BLN) TOTAL KET


Y N T (%)
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL

UMUR ASI ( UMUR 7-23 BULAN ) TOTAL KET


Y N T (%)
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL

UMUR BALITA PANTAU ( UMUR 24-59 BULAN) TOTAL KET


Y N T (%) Y
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL
TB PARU TOTAL
UMUR KET
Y N T (%)
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL

UMUR HYPERTENSI TOTAL


KET
Y N T (%)
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL

UMUR GANGGUAN JIWA TOTAL KET


Y N T (%)
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL

UMUR TIDAK MEROKOK TOTAL KET


Y N T (%) Y
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL

UMUR JKN TOTAL KET


Y N T (%) Y
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL
SARANA AIR BERSIH TOTAL
UMUR KET
Y N T (%)
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL

UMUR WC TOTAL
KET
Y N T (%)
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL

UMUR JUMLAH ART TOTAL KET


L - P (%)
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL

UMUR DIATAS 15 TAHUN TOTAL KET


L - P (%) Y
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL

UMUR PUS / WUS ( 15-49 TAHUN) TOTAL KET


PUS WUS (%) Y
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL
BALITA ( 12- 59 BULAN ) TOTAL
UMUR KET
Y N T (%)
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL

UMUR BUMIL TOTAL


KET
BUMIL NIPAS KEK (%)
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL

UMUR LANSIA TOTAL KET


Y N T (%)
1 – 20
21 - 40
41 – 60
61 – 80
81 - 100
TOTAL
DAFTAR DENAH RUMAH PIS PK

NO NAMA KK LETAK ALAMAT

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NO NAMA KK LETAK ALAMAT

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