Dampak Rokok Pusk Lamongan

REKAPITULASI DATA HASIL PEMERIKSAAN KESEHATAN DALAM RANGKA PENELITIAN AKIBAT DAMPAK ROKOK TAHUN 2012

PUSKESMAS :ALAMAT :KECAMATAN :KABUPATEN : LAMONGANPROPINSI : JAWA TIMUR

Merokok Jml Kebiasaan Aktifitas

No NamaUmur TB BB

IMTL.Pingg L.Pinggl Rasio

Tensi Kolestrol TG GDATiap Hari Kadang2

RokokDalam2 Dimulut Ringan Sedang Berat(Th) (m) (Kg) (Cm) (Cm) PP/PG (Btg)

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1011121314151617181920212223242526272829

3031323334353637383940414243444546474849505152535455565758596061626364656667686970

7172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111

112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152

153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193

194195196197198199200

KEPALA UPT PUSKESMAS LAMONGAN

dr.H.ACHMAD SUJIANTO , M.M.KesNIP. 19610707 198901 1.002


PUSKESMAS :ALAMAT :KECAMATAN :KABUPATEN : LAMONGANPROPINSI : JAWA TIMUR

Rasio Merokok Jml Kebiasaan aktifitasNo N a m a Umur TB BB IMT L.Pingg L.Pinggl PP/PG Tensi Kolestrol TG GDA tiap hari kadang2 rokok dalam2 dimulut ringan sedang berat

1 Sdr.Yubi 20 165 40 89 101 110/70 150 96 85 1 2 1 12 Tn.Suyitno 39 170 73 92 103 110/80 150 302 123 1 6 1 13 Tn.sami'an 44 165 50 87 99 90/60 180 303 145 1 10 1 14 Tn.destiono 45 162 90 101 113 120/85 214 101 142 1 8 1 15 Tn.Kusnul 51 158 64 94 104 120/90 209 317 136 1 5 1 16 Tn.Budi 56 160 65 91 102 120/90 175 110 118 1 8 1 17 Tn.Basuki 49 160 45 93 104 120/80 209 216 101 1 20 1 18 Tn.Urip 50 165 80 90 101 110/60 159 174 118 1 12 1 19 Tn.Sholikin 55 165 85 89 100 130/80 220 216 133 1 15 1 1

10 Tn.Suherman 32 165 60 87 99 120/70 159 272 539 1 12 1 111 Tn.Jasmuri 44 172 80 86 99 130/80 206 214 103 1 12 1 112 Tn.Sunarjo 48 155 78 103 104 120/70 164 155 96 1 3 1 113 Tn.Abd.Rhochim 34 165 55 86 98 120/80 158 258 92 1 12 1 114 Sdr.Dody p 26 165 50 82 97 100/80 159 74 190 1 4 1 115 Tn.H.Suliyono 56 158 50 90 93 120/80 167 148 115 1 6 1 116 Tn.Chodari 44 166 62 79 91 120/70 150 110 115 1 10 1 117 Tn.Gatot 52 172 70 99 105 120/80 176 298 93 1 6 1 118 Tn.Laswandi 45 160 50 69 82 120/70 212 234 156 1 24 1 119 Tn.Gatot 33 165 57 78 90 120/70 171 139 132 1 4 1 120 Tn.Said 41 175 65 90 103 100/60 191 243 110 1 24 1 121 Tn.Isno 45 150 50 67 95 110/60 206 118 93 1 16 1 122 Tn.Samiiran 40 165 50 69 85 110/70 159 132 106 1 3 1 123 Tn.Warno 50 155 60 79 100 110/70 167 94 148 1 10 1 124 Tn.Ali 38 155 52 80 87 110/90 181 90 82 1 10 1 125 Tn.Sofyan 47 165 70 85 100 120/85 155 109 102 1 12 1 126 Tn.Eko 34 157 68 90 98 120/80 237 576 71 1 12 1 127 Tn.Subehan 45 170 53 80 90 110/70 170 177 99 1 3 1 128 Tn.Abdul 39 165 55 95 100 120/80 157 114 122 1 5 1 129 Tn.Amin 47 167 69 85 95 110/70 198 180 258 1 2 1 130 Tn.Kadar 32 168 69 80 95 110/80 172 478 82 1 3 1 131 Sdr.Dinnar 24 175 60 75 85 120/70 150 170 88 1 4 1 132 Tn.Didink 50 170 65 75 90 110/70 172 78 105 1 3 1 133 Tn.Rusdiyanto 28 157 58 70 90 100/60 172 143 91 1 3 1 134 Tn.Nazarrudin 33 170 75 98 111 120/70 152 348 94 1 3 1 135 Tn.Abd.Kodir 41 162 85 86 95 130/80 267 213 115 1 10 1 1

36 Tn.Hariono 26 165 50 80 95 120/80 150 93 107 1 12 1 137 Tn.Sulton 39 162 61 90 101 110/70 156 96 78 1 5 1 138 Tn.M.Zainul 35 160 82 95 101 120/80 155 76 107 1 4 1 139 Tn.Agus 36 175 75 87 100 100/70 190 152 168 1 3 1 140 Tn.Putra 46 168 68 80 90 120/80 190 254 98 1 4 1 141 Tn.Iswanto 41 180 90 101 112 120/70 151 128 99 1 8 1 142 Tn.Adi 45 175 70 85 95 100/70 183 122 86 1 15 1 143 Tn.Waras 45 165 56 70 95 120/80 198 156 96 1 3 1 144 Tn.SUHARNO 48 165 65 80 95 130/90 198 179 108 1 3 1 145 Tn.Sono 70 163 59 85 95 130/90 219 113 108 1 8 1 146 Tn.Yohan 51 160 53 80 95 160/100 184 149 95 1 3 1 147 Tn.H.Khotib 41 173 78 98 104 120/80 164 155 92 1 10 1 148 Tn.M.Sholeh 37 172 83 101 112 130/80 189 164 101 1 15 1 149 Tn.Choirul anam 38 164 63 81 98 120/80 172 156 127 1 24 1 150 Tn.Asfi.in 35 168 66 91 99 120/80 198 177 106 1 24 1 151 Tn.Handoko 28 171 73 93 100 130/90 154 144 98 1 10 1 152 Tn.Karmiyono 43 167 67 80 97 110/70 166 142 127 1 20 1 153 Sdr.Dian 27 175 79 96 107 120/80 207 299 78 1 4 1 154 Sdr.M.Auria r 23 168 48 88 93 120/70 151 102 128 1 10 1 155 Tn.Turji 50 162 85 99 101 120/80 215 102 130 1 12 1 156 Tn.Jito 46 164 55 89 100 120/90 179 141 139 1 2 1 157 Tn.Kusnaini 41 169 74 94 104 140/90 157 246 148 1 10 1 158 Tn.Mukit 35 165 47 82 94 120/80 170 82 79 1 12 1 159 Tn.TIPIN 40 170 68 94 105 130/90 150 140 111 1 12 1 160 Tn.Masnukin 46 167 65 80 95 100/80 150 131 111 1 8 1 161 Sdr.Anto susanto 27 170 48 85 90 120/80 156 118 148 1 6 1 162 Tn.Sunarko 47 162 70 85 101 130/90 186 403 111 1 4 1 163 Tn.Suki 56 158 54 84 96 110/70 226 115 107 1 3 1 164 Tn.Sagi 48 160 57 86 100 100/60 150 307 151 1 3 1 165 Tn.Fendi abdan 24 165 62 88 102 110/70 170 192 117 1 20 1 166 Tn.Sutono 58 160 65 88 102 120/70 154 133 111 1 5 1 167 Tn.Kadarusman 59 170 67 94 107 130/80 178 71 101 1 10 1 168 Sdr.Anggit n 18 167 50 82 97 130/80 162 182 114 1 3 1 169 Tn.Edy s 42 169 67 86 99 110/70 186 325 157 1 3 1 170 Tn.Mat sukaini 53 168 40 56 62 90/70 150 76 116 1 2 1 171 Tn.Fatoni 53 160 59 83 96 110/60 231 555 262 1 2 1 1

72 Tn.Amar 32 167 60 90 100 120/80 185 151 92 1 2 1 173 Tn.SUJAI 31 170 65 94 104 90/60 152 71 95 1 6 1 174 Tn.Suyanto 42 160 60 86 102 140/85 168 194 97 1 3 1 175 Tn.Soebagio 53 166 85 94 100 140/90 171 173 121 1 10 1 176 Tn.Sutarjo 50 160 74 101 112 160/100 163 620 168 1 15 1 177 Tn.Sukastiono 50 155 62 104 117 120/70 179 108 101 1 3 1 178 Tn.Prasetyo 31 172 62 94 104 110/60 181 299 146 1 2 1 179 Tn.TOTOK 45 168 80 106 114 110/70 168 367 117 1 2 1 180 Sdr.A,Yani 33 168 67 92 106 110/60 156 188 90 1 8 1 1




PUSKESMAS : LAMONGANALAMAT : JLN VETERAN 55KECAMATAN : LAMONGANKABUPATEN : LAMONGANPROPINSI : JAWA TIMUR

Merokok Jml Kebiasaan Aktifitas

No NamaUmur TB BB

IMTL.Pingg L.Pinggl Rasio

Tensi Kolestrol TG GDATiap Hari Kadang2

RokokDalam2 Dimulut Ringan Sedang Berat(Th) (m) (Kg) (Cm) (Cm) PP/PG (Btg)

1 Sukadi 63 Th 155 91 37.9 110 165 0.67 160/90 112 140 397 1 - 12 1 - - 1 - 2 Suyitno 55 Th 1.7 85 35.4 90 85 1.06 200/100 220 - 145 - - - - - - 1 - 3 Munayah 50 Th 1.5 65 27.1 70 73 0.96 170/90 244 156 225 - - - - - - 1 - 4 Lismiyati 60 Th 1.5 50 20.8 45 47 0.96 150/90 178 111 163 - - - - - - - 1 - 5 Sriana 50 Th 1.55 75 31.2 109 110 0.99 170/100 174 - 198 - - - - - - 1 - 6 Pasri 52 Th 1.6 65 27.1 100 108 0.93 180/100 254 165 334 - - - - - - 1 - 7 Supriyati 52 Th 1.6 68 28.3 102 115 0.89 150/90 189 - 142 - - - - - - 1 - 8 Mulyono 54 Th 1.65 50 20.8 109 110 0.99 190/100 206 - 274 - 1 7 - 1 - 1 - 9 Sodik 70 Th 1.55 49 20.4 78 91 0.86 180/100 176 98 115 - - - - - - - 1

10 Iskandar 56 Th 1.7 75 31.2 110 117 0.94 150/90 166 - 123 1 6 - 1 - 1 -11 M. Faseh 57 Th 1.6 50 20.8 97 100 0.97 160/90 217 121 276 1 - 12 1 - 1 -12 H.Tarimin 67 Th 1.65 76 31.6 110 113 0.97 160/100 204 - 208 - 1 6 - - - 1 -13 Hj.Sutari 67 Th 1.65 59 24.6 92 97 0.95 150/80 203 - 142 - - - - - 1 - -14 Sumiyati 48 Th 1.6 60 25.0 102 110 0.93 100/90 228 - 117 - - - - - - 1 -15 Djami'ah 57 Th 1.61 56 23.3 85 96 0.89 170/100 167 - 118 - - - - - - 1 -16 M.Afan 56 Th 1.62 80 33.3 112 116 0.97 160/100 144 - 121 - 1 4 - 1 - 1 -17 Mudhofar 70 Th 1.55 50 20.8 66 69 0.96 160/100 177 136 160 - - - - - 1 -18 Kasiadi 77 Th 1.63 63 26.2 100 103 0.97 150/90 163 - 151 1 12 - 1 - 1 -19 Siti Ma'rifah 53 Th 1.55 65 27.1 101 103 0.98 120/80 153 - 258 - - - - - - 1 -20 Wasianah 56 Th 1.6 70 29.1 90 105 0.86 160/100 175 - 169 - - - - - - 1 -21 Madrawi 59 Th 1.6 60 25.0 89 90 0.99 140/90 171 - 197 - 1 6 - - - 1 -22 Ruslan 65 Th 1.65 63 26.2 89 102 0.87 160/90 197 83 169 - 1 8 1 - 1 - -23 Sukadi 63 Th 1.58 88 36.6 111 117 0.95 160/90 199 109 326 1 10 - 1 - 1 -24 Taslim 50 Th 1.65 65 27.1 88 95 0.93 130/100 223 176 326 - 1 7 - 1 - 1 -25 Katmijan 65 Th 1.65 52 21.6 79 92 0.86 140/80 211 - 131 - - - - - - 1 -

26 Aviah 52 Th 1.5 70 29.1 94 98 0.96 130/80 148 - 151 - - - - - - 1 -27 Endang 50 Th 1.51 50 20.8 73 97 0.75 140/80 184 98 109 - - - - - - 1 -28 Jamilah 50 Th 1.5 55 22.9 92 97 0.95 120/80 226 - 307 - - - - - - 1 -29 Mudrikah 50 Th 1.53 60 25.0 95 103 0.92 180/100 276 112 203 - - - - - - 1 -30 Sihin 50Th 1.6 45 18.7 75 88 0.85 110/70 179 88 139 1 - 10 - 1 - 1 -31 Kodiril 65 Th 1.7 75 31.2 79 92 0.86 120/80 192 - 316 - - - - - - 1 -32 Malikatun 60 Th 1.45 60 25.0 92 107 0.86 120/80 241 - 307 - - - - - - 1 -33 Rijal 27 Th 1.7 69 28.7 100 105 0.95 120/80 200 199 123 1 - 12 - 1 - 1 -34 Mulyati 45 Th 1.65 65 27.1 94 102 0.92 100/60 152 - 120 - - - - - - 1 -35 Sutrisno 32 Th 1.66 64 26.6 80 101 0.79 110/90 201 - 145 1 - 12 - 1 - 1 -36 Endang 38 Th 1.57 51 21.2 78 101 0.77 130/80 155 78 140 - - - - - - 1 -37 Supartini 47 Th 1.6 58 24.1 81 100 0.81 130/80 145 92 118 - - - - - - 1 -38 Nurhadi 30 Th 1.55 57 23.7 75 89 0.84 120/90 151 - 125 1 - 12 1 - - 1 -39 Wiwid 39 Th 1.58 96 40.0 75 100 0.75 110/80 141 - 115 - - - - - - 1 -40 Nur farokan 40 Th 1.6 51 21.2 66 95 0.69 130/80 171 111 110 - - - - - - 1 -41 Arif mu'alim 41 Th 1.7 65 27.1 85 115 0.74 140/80 180 87 150 1 - 10 - 1 - 1 -42 Yuda 38 Th 1.66 48 20.0 77 98 0.79 120/90 124 - 111 - - - - - - 1 -43 Lutianto 43 Th 1.64 55 22.9 81 99 0.82 110/80 125 134 125 - 1 4 - 1 - 1 -44 Zainul 42 Th 1.7 66 27.5 90 110 0.82 120/80 133 - 145 - 1 6 - 1 - 1 -45 Afandi 48 Th 1.67 58 24.1 81 112 0.72 130/80 112 - 120 1 - 18 1 - 1 -46 Rohman 35 Th 1.68 56 23.3 82 98 0.84 110/90 171 81 98 - 1 5 - 1 - 1 -47 Diren 45 Th 1.71 65 27.1 99 110 0.90 120/90 201 124 155 - - - - - - 1 -48 Sriyono 32 Th 1.65 45 18.7 77 98 0.79 120/90 165 - 97 1 - 12 1 - 1 -49 Nur ali 32 Th 1.61 46 19.1 88 81 1.09 110/80 123 - 88 - - - - - - 1 -50 Saiful 26 Th 1.67 57 23.7 82 100 0.82 120/90 99 - 77 1 - 20 1 - - 1 -51 Siti rokhimah 47 Th 1.6 46 19.1 99 111 0.89 120/80 88 78 115 - - - - - - 1 -52 Mukaromah 42 Th 1.55 49 20.4 88 112 0.79 110/80 145 - 98 - - - - - - 1 -53 Wati 30 Th 1.56 50 20.8 78 110 0.71 120/70 112 - 65 - - - - - - 1 -54 Bisri 32 Th 1.75 60 25.0 75 114 0.66 130/80 112 138 62 1 - 12 1 - 1 -55 Yunanto 30 Th 1.71 65 27.1 88 110 0.80 140/90 115 - 85 1 - 18 1 - - 1 -56 Bawon 45 Th 1.6 61 25.4 90 102 0.88 110/80 125 - 112 - - - - - - 1 -57 Bayu 33 Th 1.56 67 27.9 94 108 0.87 120/80 178 185 148 - - - - - - 1 -58 Noyan 40 Th 1.5 68 28.3 90 102 0.88 100/80 160 - 148 - - - - - - 1 -59 Kholis 38 Th 1.73 64 26.6 77 109 0.71 120/90 165 - 142 - 1 5 - 1 - 1 -60 Suyitno 42 Th 1.67 50 20.8 65 98 0.66 110/80 112 - 131 - 1 5 - 1 - 1 -61 Suwandi 25 Th 1.62 45 18.7 75 105 0.71 140/80 98 - 59 - 1 8 - 1 - 1 -62 Endang 38 Th 1.64 64 26.6 81 112 0.72 130/80 88 102 150 - - - - - - 1 -

63 Joko 36 Th 1.72 70 29.1 99 113 0.88 120/80 99 - 145 1 - 12 - 1 - 1 -64 Mugi 40 Th 1.65 47 19.6 90 100 0.90 120/80 98 - 105 - - - - - - 1 -65 Murasiah 48 Th 1.54 75 31.2 97 109 0.89 130/90 267 146 168 - - - - - - 1 -66 Suharti 35 Th 1.52 63 26.2 88 105 0.84 110/80 152 - 211 - - - - - - 1 -67 Trimo 55 Th 1.57 72 30.0 97 100 0.97 150/100 233 - 333 1 - 18 1 - 1 - -68 mulyani 46 Th 1.5 78 32.5 97 110 0.88 170/100 201 - 233 - - - - - - 1 -69 Yatemi 49 Th 1.53 47 19.6 75 88 0.85 130/90 197 - 120 - - - - - - 1 -70 Hartini 47 Th 1.48 56 23.3 82 93 0.88 140/90 211 - 190 - - - - - - 1 -71 Sunarsih 48 Th 1.48 71 29.6 98 105 0.93 120/80 170 - 373 - - - - - - 1 -72 Siti rohma 41 Th 1.49 70 29.1 88 100 0.88 130/90 120 231 145 - - - - - - 1 -73 Munasri 35 Th 1.44 79 32.9 92 115 0.80 130/90 216 112 180 - - - - - - 1 -74 Siti 42 Th 1.44 59 24.6 81 96 0.84 120/80 198 - 259 - - - - - - 1 -75 Yanti 36 Th 1.5 65 27.1 86 100 0.86 110/70 201 - 156 - - - - - - 1 -76 Kasniti 47 Th 1.48 70 29.1 95 110 0.86 100/60 188 - 186 - - - - - - 1 -77 Mawadah 39 Th 1.48 52 21.6 78 88 0.89 110/70 - - 121 - - - - - - 1 -78 Kasanah 40 Th 1.55 60 25.0 85 97 0.88 130/80 - - 121 - - - - - - 1 -79 Eni Sudarwati 46 Th 1.58 81 33.7 99 115 0.86 120/70 165 157 151 - - - - - - 1 -80 lasmani 45 Th 1.47 53 22.1 75 92 0.82 170/100 190 - 91 - - - - - - 1 -81 Azis 40 Th 1.48 36 15.0 71 83 0.86 130/90 - - 112 1 - 12 - 1 1 - -82 Rumi 40 Th 1.46 57 23.7 88 98 0.90 130/90 204 - 152 - - - - - - 1 -83 Kayatun 38 Th 1.55 71 29.6 76 100 0.76 120/80 144 - 117 - - - - - - 1 -84 Pujayani 48 Th 1.49 58 24.1 77 92 0.84 190/100 176 - 131 - - - - - - 1 -85 Minah 48 Th 1.54 52 21.6 98 115 0.85 130/80 238 111 331 - - - - - - 1 -86 Sunarti 32 Th 1.5 50 20.8 73 100 0.73 100/70 188 - 121 - - - - - - 1 -87 Mariana 58 Th 1.6 65 27.1 112 117 0.96 110/70 197 144 160 - - - - - - 1 -88 Rukmi 59 Th 1.58 67 27.9 99 101 0.98 140/90 188 - 145 - - - - - - 1 -89 Rokanah 48 Th 1.52 65 27.1 90 108 0.83 140/90 188 - 140 - - - - - - 1 -90 Bambang 34 Th 1.6 48 20.0 85 100 0.85 110/70 197 - 176 1 - 12 - 1 1 - -91 Umi 54 Th 1.48 60 25.0 85 97 0.88 140/90 144 - 143 - - - - - - 1 -92 Rudy 42 Th 1.55 61 25.4 82 90 0.91 140/90 230 - 156 - 1 6 - 1 - 1 -93 Nur Aminah 50 Th 1.5 55 22.9 80 106 0.75 130/90 158 167 184 - - - - - - 1 -94 Zulfatu 53 Th 1.6 61 25.4 70 103 0.68 150/90 135 - 171 - - - - - - 1 -95 Yakub 50 Th 1.45 49 20.4 78 87 0.90 130/90 177 187 130 1 - 12 1 - - 1 -96 Kinik 47 Th 1.55 54 22.5 71 91 0.78 110/30 112 - 82 - - - - - - 1 -97 Lusiana 43 Th 1.59 79 32.9 91 102 0.89 130/90 176 109 108 - - - - - - 1 -98 Venti 33 Th 1.55 65 27.1 82 98 0.84 130/80 - - 184 - - - - - - 1 -99 Maiyaroh 57 Th 1.5 70 29.1 103 107 0.96 120/80 - - 169 - - - - - - 1 -

100 Lismiyah 60 Th 1.55 56 23.3 90 104 0.87 150/90 - - 139 - - - - - - 1 -101 Sumani 66 Th 1.55 70 29.1 104 109 0.95 140/80 - - 132 - - - - - - 1 -102 Amar 36 Th 1.63 60 25.0 90 104 0.87 130/80 - - 169 1 - 12 - 1 - 1 -103 Umi 57 Th 1.5 60 25.0 105 105 1.00 120/80 242 - 176 - - - - - - 1 -104 Ahmad 60 Th 1.7 61 25.4 90 106 0.85 130/80 197 - 119 - 1 6 - 1 - 1 -105 Kemi 61 Th 1.53 48 20.0 96 111 0.86 140/90 - - 287 - - - - - - 1 -106 Basori 51 Th 1.55 52 21.6 89 101 0.88 150/90 - - 156 - 1 5 - 1 - 1 -107 Liensi 23 Th 1.54 55 22.9 84 98 0.86 90/60 - - 117 - - - - - - 1 -108 Sumaning 54 Th 1.45 61 25.4 98 107 0.92 120/80 - - 413 - - - - - - 1 -109 Lepok 51 Th 1.51 49 20.4 104 112 0.93 140/90 - - 312 - - - - - - 1 -110 Waras 45 Th 1.62 54 22.5 93 103 0.90 100/70 - - 386 1 - 12 1 - 1 - -111 Andi 60 Th 1.57 48 20.0 99 105 0.94 140/80 - - 190 1 - 12 1 - - 1 -112 Maniyah 50 Th 1.5 52 21.6 94 103 0.91 130/80 205 - 346 - - - - - - 1 -113 Asri 50 Th 1.49 56 23.3 93 100 0.93 140/80 - - 133 - - - - - - 1 -114 Bini rupi w 45 Th 1.5 60 25.0 80 102 0.78 110/80 251 - 112 - - - - - - 1 -115 Sulistyowati 47 Th 1.55 58 24.1 92 104 0.88 170/100 224 - 160 - - - - - - 1 -116 Harlin 48 Th 1.49 51 21.2 88 99 0.89 110/90 186 - 121 - - - - - - 1 -117 Yuliana 38 Th 1.59 57 23.7 75 91 0.82 120/80 - - 135 - - - - - - 1 -118 Amilah 42 Th 1.55 61 25.4 71 84 0.85 140/80 - - 121 - - - - - - 1 -119 Kasiati 37 Th 1.53 54 22.5 92 103 0.89 130/80 - 176 121 - - - - - - 1 -120 Jumiati 42 Th 1.5 59 24.6 84 104 0.81 120/80 205 143 112 - - - - - - 1 -121 Tasih 45 Th 1.51 50 20.8 92 104 0.88 150/100 181 - 145 - - - - - - 1 -122 Siti fatimah 40 Th 1.5 54 22.5 75 95 0.79 120/80 176 - 160 - - - - - - 1 -123 Siti jamilah 53 Th 1.53 3 1.2 91 101 0.90 140/80 188 100 151 - - - - - - 1 -124 Ratna 42 Th 1.54 65 27.1 79 99 0.80 110/60 154 - 129 - - - - - - 1 -125 Rusdi 30 Th 1.63 60 25.0 79 88 0.90 150/90 125 - 120 1 - 18 1 - - 1 -126 Zumaroh 40 Th 1.57 56 23.3 83 94 0.88 130/80 - 102 125 - - - - - - 1 -127 Zaenab 43 Th 1.6 58 24.1 77 95 0.81 130/90 216 - 121 - - - - - - 1 -128 Erni diah 44 Th 1.55 49 20.4 77 100 0.77 110/70 - - 116 - - - - - - 1 -129 Mingsri 35 Th 1.45 80 33.3 94 121 0.78 130/90 197 - 187 - - - - - - 1 -130 Samutik 44 Th 1.51 62 25.8 81 99 0.82 120/80 197 - 136 - - - - - - 1 -131 Nur hayati 42 Th 1.56 48 20.0 73 87 0.84 100/60 188 - 140 - - - - - - 1 -132 Hartono 27 Th 1.75 65 27.1 81 100 0.81 110/60 - 211 140 1 - 12 - 1 - 1 -133 Santosa 47 Th 1.55 64 26.6 74 89 0.83 130/80 159 - 139 1 - 15 1 - - 1 -134 Zumaroh 42 Th 1.52 76 31.6 88 108 0.81 120/80 160 - 135 - - - - - - 1 -135 Mardiyah 43 Th 1.48 52 21.6 90 110 0.82 130/80 181 - 140 - - - - - - 1 -136 Rusmayati 46 Th 1.51 61 25.4 69 98 0.70 170/100 139 215 166 - - - - - - 1 -

137 Munawaroh 42 Th 1.41 60 25.0 88 95 0.93 150/90 158 - 123 - - - - - - 1 -138 Yayuk 41 Th 1.57 56 23.3 85 94 0.90 150/90 158 - 123 - - - - - - 1 -139 Siti rodiyah 59 Th 1.52 52 21.6 83 94 0.88 140/90 155 - 139 - - - - - - 1 -140 Sarwi 36 Th 1.62 53 22.1 69 88 0.78 130/80 115 - 137 - - - - - - 1 -141 Riska 25 Th 1.56 63 26.2 78 97 0.80 100/70 139 - 139 - - - - - - 1 -142 Sofiatun 49 Th 1.58 82 34.1 82 96 0.85 130/90 111 - 299 - - - - - - 1 -143 Rokanah 60 Th 1.53 63 26.2 80 100 0.80 120/90 150 198 181 - - - - - - 1 -144 Okta 22 Th 1.55 60 25.0 82 101 0.81 110/80 - 122 104 - - - - - - 1 -145 Leli 22 Th 1.58 49 20.4 75 93 0.81 100/80 - - 98 - - - - - - 1 -146 Thoyibah 30 Th 1.53 57 23.7 82 101 0.81 100/70 144 154 139 - - - - - - 1 -147 Sdr.Yubi 20 Th 1.65 40 16.6 89 101 0.88 110/70 150 96 85 - 1 2 - 1 - 1 -148 Tn.Suyitno 39 Th 1.7 73 30.4 92 103 0.89 110/80 150 302 123 1 - 6 1 - - 1 -149 Tn.sami'an 44 Th 1.65 50 20.8 87 99 0.88 90/60 180 303 145 - 1 10 - 1 - - 1150 Tn.destiono 45 Th 1.62 90 37.5 101 113 0.89 120/85 214 101 142 - 1 8 - 1 - 1 -151 Tn.Kusnul 51 Th 1.58 64 26.6 94 104 0.90 120/90 209 317 136 - 1 5 - 1 - 1 -152 Tn.Budi 56 Th 1.68 65 27.1 91 102 0.89 120/90 175 110 118 - 1 8 - 1 - 1 -153 Tn.Basuki 49 Th 1.6 45 18.7 93 104 0.89 120/80 209 216 101 1 - 20 1 - - 1 -154 Tn.Urip 50 Th 1.65 80 33.3 90 101 0.89 110/60 159 174 118 1 - 12 1 - - 1 -155 Tn.Sholikin 55 Th 1.65 86 35.8 89 100 0.89 130/80 220 216 133 1 - 15 1 - - - 1156 Tn.Suherman 32 Th 1.65 60 25.0 87 99 0.88 120/70 159 272 539 1 - 12 1 - - 1 -157 Tn.Jasmuri 44 Th 1.72 80 33.3 86 99 0.87 130/80 206 214 103 1 - 12 1 - - 1 -158 Tn.Sunarjo 48 Th 1.55 78 32.5 103 104 0.99 120/70 164 155 96 - 1 3 - 1 - 1 -159 Tn.Abd.Rhochim 34 Th 1.65 55 22.9 86 98 0.88 120/80 158 258 92 1 - 12 1 - - 1 -160 Sdr.Dody p 26 Th 1.65 50 20.8 82 97 0.85 100/80 159 74 190 - 1 4 1 - - 1 -161 Tn.H.Suliyono 56 Th 1.58 50 20.8 90 93 0.97 120/80 167 148 115 1 - 6 1 - - 1 -162 Tn.Chodari 44 Th 1.66 62 25.8 79 91 0.87 120/70 150 110 115 1 - 10 1 - - 1 -163 Tn.Gatot 52 Th 1.72 70 29.1 99 105 0.94 120/80 176 298 93 1 - 6 1 - - 1 -164 Tn.Laswandi 45 Th 1.6 50 20.8 69 82 0.84 120/70 212 234 156 1 - 24 1 - - 1 -165 Tn.Gatot 33 Th 1.65 57 23.7 78 90 0.87 120/70 171 139 132 - 1 4 - 1 - 1 -166 Tn.Said 41 Th 1.75 65 27.1 90 103 0.87 100/60 191 243 110 1 - 24 1 - 1 - -167 Tn.Isno 45 Th 1.5 50 20.8 67 95 0.71 110/60 206 118 93 1 - 16 1 - - - 1168 Tn.Samiiran 40 Th 1.65 50 20.8 69 85 0.81 110/70 159 132 106 - 1 3 - 1 - 1 -169 Tn.Warno 50 Th 1.55 60 25.0 79 100 0.79 110/70 167 94 148 1 - 10 - 1 1 - -170 Tn.Ali 38 Th 1.55 52 21.6 80 87 0.92 110/90 181 90 82 1 - 10 - 1 - 1 -171 Tn.Sofyan 47 Th 1.65 70 29.1 85 100 0.85 120/85 155 109 102 1 - 12 1 - - 1 -172 Tn.Eko 34 Th 1.57 68 28.3 90 98 0.92 120/80 237 576 71 1 - 12 1 - - 1 -173 Tn.Subehan 35 Th 1.7 53 22.1 80 90 0.89 110/70 170 177 99 1 - 3 - 1 - 1 -

174 Tn.Abdul 39 Th 1.65 55 22.9 95 100 0.95 120/80 157 114 122 1 - 5 1 - - 1 -175 Tn.Amin 47 Th 1.67 69 28.7 85 95 0.89 110/70 198 180 258 - 1 2 - 1 - 1 -176 Tn.Kadar 32 Th 1.68 69 28.7 80 95 0.84 110/80 172 478 82 - 1 3 - 1 - 1 -177 Sdr.Dinnar 24 Th 1.75 60 25.0 75 85 0.88 120/70 150 170 88 - 1 4 - 1 - 1 -178 Tn.Didink 50 Th 1.7 65 27.1 75 90 0.83 110/70 172 78 105 - 1 3 - 1 - 1 -179 Tn.Rusdiyanto 28 Th 1.57 58 24.1 70 90 0.78 100/60 172 143 91 - 1 3 - 1 - 1 -180 Tn.Nazarrudin 33 Th 1.7 75 31.2 98 111 0.88 120/70 152 348 94 - 1 3 - 1 - 1 -181 Tn.Abd.Kodir 41 Th 1.62 85 35.4 86 95 0.91 130/80 267 213 115 1 - 10 1 - - 1 -182 Tn.Hariono 26 Th 1.65 50 20.8 80 95 0.84 120/80 150 93 107 1 - 12 1 - - 1 -183 Tn.Sulton 39 Th 1.62 61 25.4 90 101 0.89 110/70 156 96 78 - 1 5 1 - - 1 -184 Tn.M.Zainul 35 Th 1.6 82 34.1 95 101 0.94 120/80 155 76 107 - 1 4 1 - - 1 -185 Tn.Agus 36 Th 1.75 75 31.2 87 100 0.87 100/70 190 152 168 - 1 3 1 - - 1 -186 Tn.Putra 46 Th 1.68 68 28.3 80 90 0.89 120/80 190 254 98 - 1 4 - 1 - 1 -187 Tn.Iswanto 41 Th 1.8 90 37.5 101 112 0.90 120/70 151 128 99 1 - 8 - 1 - 1 -188 Tn.Adi 45 Th 1.75 70 29.1 85 95 0.89 100/70 183 122 86 1 - 15 1 - - 1 -189 Tn.Waras 45 Th 1.65 56 23.3 70 95 0.74 120/80 198 156 96 - 1 3 1 - - 1 -190 Tn. Suharno 48 Th 1.65 65 27.1 80 95 0.84 130/90 198 179 108 - 1 3 - 1 - 1 -191 Tn.Sono 70 Th 1.65 59 24.6 85 95 0.89 130/90 219 113 108 1 - 8 1 - - 1 -192 Tn.Yohan 51 Th 1.6 53 22.1 80 95 0.84 160/100 184 149 95 - 1 3 - 1 - 1 -193 Tn.H.Khotib 41 Th 1.73 78 32.5 98 104 0.94 120/80 164 155 92 1 - 10 1 - - 1 -194 Tn.M.Sholeh 37 Th 1.72 83 34.5 101 112 0.90 130/80 189 164 101 1 - 15 1 - - 1 -195 Tn.Choirul anam 38 Th 1.64 63 26.2 81 98 0.83 120/80 172 156 127 1 - 24 1 - - 1 -196 Tn.Asfi.in 35 Th 1.68 66 27.5 91 99 0.92 120/80 198 177 106 1 - 24 1 - - 1 -197 Tn.Handoko 28 Th 1.71 73 30.4 93 100 0.93 130/90 154 144 98 1 - 10 1 - - 1 -198 Tn.Karmiyono 43 Th 1.67 67 27.9 80 97 0.82 110/70 166 142 127 1 - 20 1 - - 1 -199 Sdr.Dian 27 Th 1.75 79 32.9 96 107 0.90 120/80 207 299 78 - 1 4 - 1 - 1 -200 Sdr.M.Auria r 23 Th 1.67 48 20.0 88 93 0.95 120/70 151 102 128 1 - 10 1 - - 1 -




PUSKESM : LAMONGANALAMAT : JLN VETERAN 55KECAMAT : LAMONGANKABUPAT : LAMONGANPROPINSI : JAWA TIMUR

Rasio No N a m a Umur TB BB IMT L.Pingg L.Pinggl PP/PG

(Th) (Cm) (Kg)1 Sukadi 63 155 91 37.877211 110 165 0.66666672 Suyitno 55 Th 170 Cm 85 90 Cm 85 Cm3 Munayah 50 Th 150 Cm 65 Kg 70 Cm 73 Cm4 Lismiyati 60 Th 150 Cm 50 Kg 45 Cm 47 Cm 5 Sriana 50 Th 155 Cm 75 Kg 109 Cm 110 Cm6 Pasri 52 Th 160 Cm 65 Kg 100 Cm 108 Cm7 Supriyati 52 Th 160 Cm 68 Kg 102 Cm 115 Cm8 Mulyono 54 Th 165 Cm 50 Kg 109 Cm 110 Cm9 Sodik 70 Th 155 Cm 49 Kg 78 Cm 91 Cm10 Iskandar 56 Th 170 Cm 75 Kg 110 Cm 117 Cm11 m,faseh 57 Th 160 Cm 50 Kg 97 Cm 100 Cm12 H.Tarimin 67 Th 165 Cm 76 Kg 110 Cm 113 Cm13 Hj.Sutari 67 Th 165 Cm 59 Kg 92 Cm 97 Cm14 Sumiyati 48 Th 160 Cm 60 Kg 102 Cm 110 Cm15 Djami'ah 57 Th 161 Cm 56 Kg 85 Cm 96 Cm16 M.Afan 56 Th 162 Cm 80 Kg 112 Cm 116 Cm17 Mudhofar 70 Th 155 Cm 50 Kg 66 Cm 69 Cm18 Kasiadi 77 Th 163 Cm 63 Kg 100 Cm 103 Cm19 Siti Ma'rifa 53 Th 155 Cm 65 Kg 101 Cm 103 Cm20 Wasianah 56 Th 160 Cm 70 Kg 90 Cm 105 Cm21 Madrawi 59 Th 160 Cm 60 Kg 89 Cm 90 Cm22 Ruslan 65 Th 165 Cm 63 Kg 89 Cm 102 Cm23 Sukadi 63 Th 158 Cm 88 Kg 111 Cm 117 Cm24 Taslim 50 Th 165 Cm 65 Kg 88 Cm 95 Cm25 Katmijan 65 Th 165 Cm 52 Kg 79 Cm 92 Cm26 Aviah 52 Th 150 Cm 70 Kg 94 Cm 98 Cm27 Endang 50 Th 151 Cm 50 Kg 73 Cm 97 Cm28 Jamilah 50 Th 150 Cm 55 Kg 92 Cm 97 Cm29 Mudrikah 50 Th 153 Cm 60 Kg 95 Cm 103 Cm30 Sihin 50Th 160 Cm 45 Kg 75 Cm 88 Cm31 Kodiril 65 Th 170 Cm 75 Kg 79 Cm 92 Cm32 Malikatun 60 Th 145 Cm 60 Kg 92 Cm 107 Cm33 Rijal 27 Th 170 Cm 69 Kg 100 Cm 105 Cm34 Mulyati 45 Th 165 Cm 65 Kg 94 Cm 102 Cm35 Sutrisno 32 Th 166 Cm 64 Kg 80 Cm 101 Cm36 Endang 38 Th 157 Cm 51 Kg 78 Cm 101 Cm37 Supartini 47 Th 160 Cm 58 Kg 81 Cm 100 Cm38 Nurhadi 30 Th 155 Cm 57 Kg 75 Cm 89 Cm39 Wiwid 39 Th 158 Cm 96 Kg 75 Cm 100 Cm40 Nur farokan 40 Th 160 Cm 51 Kg 66 Cm 95 Cm41 Arif mu'ali 41 Th 170 Cm 65 Kg 85 Cm 115 Cm42 Yuda 38 Th 166 Cm 48 Kg 77 Cm 98 Cm43 Lutianto 43 Th 164 Cm 55 Kg 81 Cm 99 Cm

44 Zainul 42 Th 170 Cm 66 Kg 90 Cm 110 Cm45 Afandi 48 Th 167 Cm 58 Kg 81 Cm 112 Cm46 Rohman 35 Th 168 Cm 56 Kg 82 Cm 98 Cm47 Diren 45 Th 171 Cm 65 Kg 99 Cm 110 Cm48 Sriyono 32 Th 165 Cm 45 Kg 77 Cm 95 Cm49 Nur ali 32 Th 161 Cm 46 Kg 88 Cm 81 Cm50 Saiful 26 Th 167 Cm 57 Kg 82 Cm 100 Cm51 Siti rokhim 47 Th 16 Cm 46 Kg 99 Cm 111 Cm52 Mukaromah 42 Th 155 Cm 49 Kg 88 Cm 112 Cm53 Wati 30 Th 156 Cm 50 Kg 78 Cm 110 Cm54 Bisri 32 Th 175 Cm 60 Kg 75 Cm 114 Cm55 Yunanto 30 Th 171 Cm 65 Kg 88 Cm 110 Cm56 Bawon 45 Th 160 Cm 61 Kg 90 Cm 102 Cm57 Bayu 33 Th 156 Cm 67 Kg 94 Cm 108 Cm58 Noyan 40 Th 150 Cm 68 Kg 90 Cm 102 Cm59 Kholis 38 Th 173 Cm 64 Kg 77 Cm 109 Cm60 Suyitno 42 Th 167 Cm 50 Kg 65 Cm 98 Cm61 Suwandi 25 Th 162 Cm 45 Kg 75 Cm 105 Cm62 Endang 38 Th 164 Cm 64 Kg 81 Cm 112 Cm63 Joko 36 Th 172 Cm 70 Kg 99 Cm 113 Cm64 Mugi 40 Th 165 Cm 47 Kg 90 Cm 100 Cm65 Murasiah 48 Th 154 Cm 75 Kg 97 Cm 109 Cm66 Suharti 35 Th 152 Cm 63 Kg 88 Cm 105 Cm67 Trimo 55 Th 157 Cm 72 Kg 97 Cm 100 Cm68 mulyani 46 Th 150 Cm 78 Kg 97 Cm 110 Cm69 Yatemi 49 Th 153 Cm 47 Kg 75 Cm 88 Cm70 Hartini 47 Th 148 Cm 56 Kg 82 Cm 93 Cm71 Sunarsih 48 Th 148 Cm 71 Kg 98 Cm 105 Cm

72 Siti rohma 41 Th 149 Cm 70 Kg 88 Cm 100 Cm73 Munasri 35 Th 144 Cm 79 Kg 92 Cm 115 Cm74 Siti 42 Th 144 Cm 59 Kg 81 Cm 96 Cm75 Yanti 36 Th 150 Cm 65 Kg 86 Cm 100 Cm76 Kasniti 47 Th 148 Cm 70 Kg 95 Cm 110 Cm77 Mawadah 39 Th 148 Cm 52 Kg 78 Cm 88 Cm78 Kasanah 40 Th 155 Cm 60 Kg 85 Cm 97 Cm79 Eni Sudarwa 46 Th 158 Cm 81 Kg 99 Cm 115 Cm80 lasmani 45 Th 147 Cm 53 Kg 75 Cm 92 Cm81 Azis 40 Th 148 Cm 36 Kg 71 Cm 83 Cm82 Rumi 40 Th 146 Cm 57 Kg 88 Cm 98 Cm83 Kayatun 38 Th 155 Cm 71 Kg 76 Cm 100 Cm84 Pujayani 48 Th 149 Cm 58 Kg 77 Cm 92 Cm85 Minah 48 Th 154 Cm 52 Kg 98 Cm 115 Cm86 Sunarti 32 Th 150 Cm 50 Kg 73 Cm 100 Cm87 Mariana 58 Th 160 Cm 65 Kg 112 Cm 117 Cm88 Rukmi 59 Th 158 Cm 67 Kg 99 Cm 101 Cm89 Rokanah 48 Th 152 Cm 65 Kg 90 Cm 108 Cm90 Bambang 34 Th 160 Cm 48 Kg 85 Cm 100 Cm91 Umi 54 Th 148 Cm 60 Kg 85 Cm 97 Cm92 Rudy 42 Th 155 Cm 61 Kg 82 Cm 90 Cm93 Nur Aminah 50 Th 150 Cm 55 Kg 80 Cm 106 Cm94 Zulfatu 53 Th 160 Cm 61 kg 70 Cm 103 Cm95 Yakub 50 Th 145 Cm 49 Kg 78 Cm 87 Cm96 Kinik 47 Th 155 Cm 54 Kg 71Cm 91 Cm97 Lusiana 43 Th 159 Cm 79 Kg 91 Cm 102 Cm

98 Venti 33 Th 155 Cm 65 Kg 82 Cm 98 Cm99 Maiyaroh 57 Th 150 Cm 70 Kg 103 Cm 107 Cm100 Lismiyah 60 Th 155 Cm 56 Kg 90 Cm 104 Cm101 Sumani 66 Th 155 Cm 70 Kg 104 Cm 109 Cm102 Amar 36 Th 163 Cm 60 Kg 90 Cm 104 Cm103 Umi 57 Th 150 Cm 60 Kg 105 Cm 105 Cm104 Ahmad 60 Th 170 Cm 61 Kg 90 Cm 106 Cm105 Kemi 61 Th 153 Cm 48 Kg 96 Cm 111 Cm106 Basori 51 Th 155 Cm 52 Kg 89 Cm 101 Cm107 Liensi 23 Th 154 Cm 55 Kg 84 Cm 98 Cm108 Sumaning 54 Th 145 Cm 61 Kg 98 Cm 107 Cm109 Lepok 51 Th 151 Cm 49 Kg 104 Cm 112 Cm110 Waras 45 Th 162 Cm 54 Kg 93 Cm 103 Cm111 Andi 60 Th 157 Cm 48 Kg 99 Cm 105 Cm112 Maniyah 50 Th 150 Cm 52 Kg 94 Cm 103 Cm113 Asri 50 Th 149 Cm 56 Kg 93 Cm 100 Cm114 Bini rupi w 45 Th 150 Cm 60 Kg 80 Cm 102 Cm

115 Sulistyowati 47 Th 155 Cm 58 Kg 92 Cm 104 Cm

116 Harlin 48 Th 149 Cm 51 Kg 88 Cm 99 Cm

117 Yuliana 38 Th 159 Cm 57 Kg 75 Cm 91 Cm

118 Amilah 42 Th 155 Cm 61 Kg 71 Cm 84 Cm

119 Kasiati 37 Th 153 Cm 54 Kg 92 Cm 103 Cm

120 Jumiati 42 Th 150 Cm 59 Kg 84 Cm 104 Cm

121 Tasih 45 Th 151 Cm 50 Kg 92 Cm 104 Cm

122 Siti fatimah 40 Th 150 Cm 54 Kg 75 Cm 95 Cm

123 Siti jamilah 53 Th 153 Cm 63 Kg 91 Cm 101 Cm

124 Ratna 42 Th 154 Cm 65 Kg 79 Cm 99 Cm

125 Rusdi 30 Th 163 Cm 60 Kg 79 Cm 88 Cm

126 Zumaroh 40 Th 157 Cm 56 Kg 83 Cm 94 Cm

127 Zaenab 43 Th 160 Cm 58 Kg 77 Cm 95 Cm

128 Erni diah 44 Th 155 Cm 49 Kg 77 Cm 100 Cm

129 Mingsri 35 Th 145 Cm 80 Kg 94 Cm 121 Cm

130 Samutik 44 Th 151 Cm 62 Kg 81 Cm 99 Cm,

131 Nur hayati 42 Th 156 Cm 48 Kg 73 Cm 87 Cm

132 Hartono 27 Th 175 Cm 65 Kg 81 Cm 100 Cm

133 Santosa 47 Th 155 Cm 64 Kg 74 Cm 89 Cm

134 Zumaroh 42 Th 152 Cm 76 Kg 88 Cm 108 Cm

135 Mardiyah 43 Th 148 Cm 52 Kg 90 Cm 110 Cm

136 Rusmayati 46 Th 151 Cm 61 Kg 69 Cm 98 Cm

137 Munawaroh 42 Th 141 Cm 60 Kg 88 Cm 95 Cm

138 Yayuk 41 Th 157 Cm 56 Kg 85 Cm 94 Cm

139 Siti rodiyah 59 Th 152 Cm 52 Kg 83 Cm 94 Cm

140 Sarwi 36 Th 162 Cm 53 Kg 69 Cm 88 Cm

141 Riska 25 Th 156 Cm 63 Kg 78 Cm 97 Cm

142 Sofiatun 49 Th 158 Cm 82 Kg 82 Cm 96 Cm

143 Rokanah 60 Th 153 Cm 63 Kg 80 Cm 100 Cm

144 Okta 22 Th 155 Cm 60 Kg 82 Cm 101 Cm

145 Leli 22 Th 158 CM 49 Kg 75 Cm 93 Cm

146 Thoyibah 30 Th 153 Cm 57 Kg 82 Cm 101 Cm

147 Sdr.Yubi 20 Th 165 Cm 40 Kg 89 Cm 101 Cm148 Tn.Suyitno 39 Th 170 Cm 73 Kg 92 Cm 103 Cm149 Tn.sami'an 44 Th 165 Cm 50 Kg 87 Cm 99 Cm150 Tn.destiono 45 Th 162 Cm 90 Kg 101 Cm 113 Cm151 Tn.Kusnul 51 Th 158 Cm 64 Kg 94 Cm 104 Cm

152 Tn.Budi 56 Th 168 Cm 65 Kg 91 Cm 102 Cm153 Tn.Basuki 49 Th 160 Cm 45 Kg 93 Cm 104 Cm154 Tn.Urip 50 Th 165 Cm 80 Kg 90 Cm 101 Cm155 Tn.Sholikin 55 Th 165 Cm 86 Kg 89 Cm 100 Cm156 Tn.Suherma 32 Th 165 Cm 60 Kg 87 Cm 99 Cm157 Tn.Jasmuri 44 Th 172 Cm 80 Kg 86 Cm 99 Cm158 Tn.Sunarjo 48 Th 155 Cm 78 Kg 103 Cm 104 Cm159 Tn.Abd.Rho 34 Th 165 Cm 55 Kg 86 Cm 98 Cm160 Sdr.Dody p 26 Th 165 Cm 50 Kg 82 Cm 97 Cm161 Tn.H.Suliyo 56 Th 158 Cm 50 Kg 90 Cm 93 Cm162 Tn.Chodari 44 Th 166 Cm 62 Kg 79 Cm 91 Cm163 Tn.Gatot 52 Th 172 Cm 70 Kg 99 Cm 105 Cm164 Tn.Laswand 45 Th 160 Cm 50 Kg 69 Cm 82 Cm165 Tn.Gatot 33 Th 165 Cm 57 Kg 78 Cm 90 Cm166 Tn.Said 41 Th 175 Cm 65 Kg 90 Cm 103 Cm167 Tn.Isno 45 Th 150 Cm 50 Kg 67 Cm 95 Cm168 Tn.Samiiran 40 Th 165 Cm 50 Kg 69 Cm 85 Cm169 Tn.Warno 50 Th 155 Cm 60 Kg 79 Cm 100 Cm170 Tn.Ali 38 Th 155 Cm 52 Kg 80 Cm 87 Cm171 Tn.Sofyan 47 Th 165 Cm 70 Kg 85 Cm 100 Cm172 Tn.Eko 34 Th 157 Cm 68 Kg 90 Cm 98 Cm173 Tn.Subehan 35 Th 170 Cm 53 Kg 80 Cm 90 Cm174 Tn.Abdul 39 Th 165 Cm 55 Kg 95 Cm 100 Cm175 Tn.Amin 47 Th 167 Cm 69 Kg 85 Cm 95 Cm176 Tn.Kadar 32 Th 168 Cm 69 Kg 80 Cm 95 Cm177 Sdr.Dinnar 24 Th 175 Cm 60 Kg 75 Cm 85 Cm178 Tn.Didink 50 Th 170 Cm 65 Kg 75 Cm 90 Cm179 Tn.Rusdiyan 28 Th 157 Cm 58 Kg 70 Cm 90 Cm180 Tn.Nazarrud 33 Th 170 Cm 75 Kg 98 Cm 111 Cm181 Tn.Abd.Kod 41 Th 162 Cm 85 Kg 86 Cm 95 Cm182 Tn.Hariono 26 Th 165 Cm 50 Kg 80 Cm 95 Cm183 Tn.Sulton 39 Th 162 Cm 61 Kg 90 Cm 101 Cm184 Tn.M.Zainu 35 Th 160 Cm 82 Kg 95 Cm 101 Cm185 Tn.Agus 36 Th 175 Cm 75 Kg 87 Cm 100 Cm186 Tn.Putra 46 Th 168 Cm 68 Kg 80 Cm 90 Cm187 Tn.Iswanto 41 Th 180 Cm 90 Kg 101 Cm 112 Cm188 Tn.Adi 45 Th 175 Cm 70 Kg 85 Cm 95 Cm189 Tn.Waras 45 Th 165 Cm 56 Kg 70 Cm 95 Cm190 Tn.SUHAR 48 Th 165 Cm 65 Kg 80 Cm 95 Cm191 Tn.Sono 70 Th 165 Cm 59 Kg 85 Cm 95 Cm192 Tn.Yohan 51 Th 160 Cm 53 Kg 80 Cm 95 Cm193 Tn.H.Khoti 41 Th 173 Cm 78 Kg 98 Cm 104 Cm194 Tn.M.Shole 37 Th 172 Cm 83 Kg 101 Cm 112 Cm195 Tn.Choirul 38 Th 164 Cm 63 Kg 81 Cm 98 Cm196 Tn.Asfi.in 35 Th 168 Cm 66 Kg 91 Cm 99 Cm197 Tn.Handoko 28 Th 171 Cm 73 Kg 93 Cm 100 Cm198 Tn.Karmiyo 43 Th 167 Cm 67 Kg 80 Cm 97 Cm199 Sdr.Dian 27 Th 175 Cm 79 Kg 96 Cm 107 Cm200 Sdr.M.Auria 23 Th 168 Cm 48 Kg 88 Cm 93 Cm


Merokok Jml KebiasaanTensi Kolestrol TG GDA tiap hari kadang2 rokok dalam2 dimulut

160/90 112 140 397 1 - 12 btg 1200/100 220 145 - -170/90 244 156 225 - -150/90 178 111 163 - - - 170/100 174 198 - -180/100 254 165 334 - -150/90 189 142 - -190/100 206 274 - 1 7 Btg - 1180/100 176 98 115 - -150/90 166 123 1 6 Btg 1160/90 217 121 276 1 - 12 Btg 1160/100 204 208 - 1 6 Btg 1150/80 203 142 - -100/90 228 117 - -170/100 167 118 - -160/100 144 121 - 1 4 Btg 1160/100 177 136 160 - -150/90 163 151 1 12 btg 1120/80 153 258 - -160/100 175 169 - -140/90 171 197 1 6 btg160/90 197 83 169 1 8 btg 1160/90 199 109 326 1 10 btg 1130/100 223 176 326 1 7 btg 1140/80 211 131 - -130/80 148 151 - -140/80 184 98 109 - -120/80 226 307 \- -180/100 276 112 203 - -110/70 179 88 139 1 - 10 btg 1120/80 192 316 - -120/80 241 307 - -120/80 200 199 123 1 - 12 btg 1100/60 152 120 - -110/90 201 145 1 - 12 btg 1130/80 155 78 140 - -130/80 145 92 118 - -120/90 151 125 1 - 12 btg 1110/80 141 115 - -130/80 171 111 110 - -140/80 180 87 150 1 10 btg 1120/90 124 111 - -110/80 125 134 125 - 1 4 Btg 1

120/80 133 145 - 1 6 Btg 1130/80 112 120 1 - 18 Btg 1110/90 171 81 98 - 1 5 Btg 1120/90 201 124 155 - -120/90 165 97 1 - 12 btg 1110/80 123 88 - - 120/90 99 77 1 20 Btg 1120/80 88 78 115 - -110/80 145 98 - -120/70 112 65 - -130/80 112 138 62 1 - 12 btg 1140/90 115 85 1 - 18 Btg 1110/80 125 112 - -120/80 178 185 148 - -100/80 160 148 - -120/90 165 142 - 1 5 Btg 1110/80 112 131 - 1 5 Btg 1140/80 98 59 - 1 8 btg 1130/80 88 102 150 - -120/80 99 145 1 - 12 btg 1120/80 98 105 - -130/90 267 146 168 - -110/80 152 211 - -150/100 233 333 1 - 18 Btg 1170/100 201 233 - -130/90 197 120 - -140/90 211 190 - -120/80 170 373 - -

130/90 120 231 145 - -130/90 216 112 180 - -120/80 198 259 - -110/70 201 156 - -100/60 188 186 - -110/70 121 - -130/80 121 - -120/70 165 157 151 - -170/100 190 91 - -130/90 112 1 - 12 btg 1130/90 204 152 - -120/80 144 117 - -190/100 176 131 - -130/80 238 111 331 - -100/70 188 121 - -110/70 197 144 160 - -140/90 188 145 - -140/90 188 140 - -110/70 197 176 1 12 btg 1140/90 144 143 - -140/90 230 156 - 1 6 Btg 1130/90 158 167 184 - -150/90 135 171 - -130/90 177 187 130 1 - 12 btg 1110/30 112 82 - -130/90 176 109 108 - -

130/80 184 - -120/80 169 - -150/90 139 - -140/80 132 - -130/80 169 1 - 12 btg 1120/80 242 176 - -130/80 197 119 - 1 6 Btg 1140/90 287 - -150/90 156 - 1 5 Btg 190/60 117 - -120/80 413 - -140/90 312 - -100/70 386 1 - 12 btg 1140/80 190 1 - 12 btg 1130/80 205 346 - -140/80 133 - -110/80 251 112 - -170/100 224 160 - -110/90 186 121 - -120/80 135 - -140/80 121 - -130/80 176 121 - -120/80 205 143 112 - -150/100 181 145 - -120/80 176 160 - -140/80 188 100 151 - -110/60 154 129 - -150/90 125 120 1 - 18 Btg 1130/80 102 125 - -130/90 216 121 - -110/70 116 - -130/90 197 187 - -120/80 197 136 - -100/60 188 140 - -110/60 211 140 1 - 12 btg 1130/80 159 139 1 - 15 Btg 1120/80 160 135 - -130/80 181 140 - -170/100 139 215 166 - -150/90 158 123 - -150/90 158 123 - -140/90 155 139 - -130/80 115 137 - -100/70 139 139 - -130/90 111 299 - -120/90 150 198 181 - -110/80 122 104 - -100/80 98 - -100/70 144 154 139 - -

110/70 150 96 85 1 2 1110/80 150 302 123 1 6 190/60 180 303 145 1 10 1120/85 214 101 142 1 8 1120/90 209 317 136 1 5 1

120/90 175 110 118 1 8 1120/80 209 216 101 1 20 1110/60 159 174 118 1 12 1130/80 220 216 133 1 15 1120/70 159 272 539 1 12 1130/80 206 214 103 1 12 1120/70 164 155 96 1 3 1120/80 158 258 92 1 12 1100/80 159 74 190 1 4 1120/80 167 148 115 1 6 1120/70 150 110 115 1 10 1120/80 176 298 93 1 6 1120/70 212 234 156 1 24 1120/70 171 139 132 1 4 1100/60 191 243 110 1 24 1110/60 206 118 93 1 16 1110/70 159 132 106 1 3 1110/70 167 94 148 1 10 1110/90 181 90 82 1 10 1120/85 155 109 102 1 12 1120/80 237 576 71 1 12 1110/70 170 177 99 1 3 1120/80 157 114 122 1 5 1110/70 198 180 258 1 2 1110/80 172 478 82 1 3 1120/70 150 170 88 1 4 1110/70 172 78 105 1 3 1100/60 172 143 91 1 3 1120/70 152 348 94 1 3 1130/80 267 213 115 1 10 1120/80 150 93 107 1 12 1110/70 156 96 78 1 5 1120/80 155 76 107 1 4 1100/70 190 152 168 1 3 1120/80 190 254 98 1 4 1120/70 151 128 99 1 8 1100/70 183 122 86 1 15 1120/80 198 156 96 1 3 1130/90 198 179 108 1 3 1130/90 219 113 108 1 8 1160/100 184 149 95 1 3 1120/80 164 155 92 1 10 1130/80 189 164 101 1 15 1120/80 172 156 127 1 24 1120/80 198 177 106 1 24 1130/90 154 144 98 1 10 1110/70 166 142 127 1 20 1120/80 207 299 78 1 4 1120/70 151 102 128 1 10 1


dr.H.ACHMAD SUJIANTO , M.M.Kes

NIP. 19610707 198901 1.002


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dr.H.ACHMAD SUJIANTO , M.M.Kes

NIP. 19610707 198901 1.002

Rekapitulasi FR-PJPD Menurut jenis kalamin dan umurPuskesmasSukodadi kecamatan Sukodadi Kabupaten Lamongan Provinsi Jawa TimurBulan/Tahun Desember / 2011Responden/pasien baru(kunjungan pertama dan belum tercantum pada KK FR-PJPD Puskesmas/tempat lainnya)

No. wawancara pengukuran jenis kelamin dan umurjumlah:…..orang pasien Laki-laki ( L ) Perempuan ( P )

18-24 25-34 35-44 45-54 55-64 65-74 ≥75 jumlah 18-24 23-34 35-44 45-54 55-64 66-741 merokok setiap hari2 minum minuman beralkohol

12 bulan terakhir3 sering makan makanan

asin (≥1 kali/hari)4 sering makan makanan

tinggi lemak(≥1 kali/hari)5 sering makan/minuman

manis manis(≥1 kali/hari)6 kurang sayur(<2xporsi/hari)7 kurang buah(<2xporsi/hari)8 kurang sayur buah <2x

porsi/hari9 kurang aktivitas fisik (tidak

melakukan olahraga min.30menit/hari

10 stres(tegang,cemas,panik.(1x/hari)

11 BB Lebih(IMT=25-27kg/m2)12 Obesitas(IMT.27kg/m2)13 Obesitas sentral (LP.90cm

.80cm(p)14 Hipertensi(TD>140/90mmHg

pemeriksaan lipid darah 150 orang/pasien15 kolesterol total>190mgHg16 LDL.>115ng/dl17 HDL,40(L),<45(p)mg/dl18 Trigliseda.150mg/dl

Pemeriksaan gula Darah (jumlah yang diperiksa - orang/pasien19 Gula darah sewaktu

(.200mg/dl)Pemeriksaan EKG(jumlah yang diperiksa………………………….orang/pasien20 Ada kelainan pada EKG

Responded/pasien lama(kunjungan ke-2 atau lebih)No. wawancara pengukuran jenis kelamin dan umur

jumlah:…..orang pasien Laki-laki ( L ) Perempuan ( P )

18-24 25-34 35-44 45-54 55-64 65-74 ≥75 jumlah 18-24 23-34 35-44 45-54 55-64 66-74

1 merokok setiap hari

2 minum minuman beralkohol

12 bulan terakhir

3 sering makan makanan

asin (≥1 kali/hari)


tinggi lemak(≥1 kali/hari)



5 sering makan/minuman

manis manis(≥1 kali/hari)

6 kurang sayur(<2xporsi/hari)

7 kurang buah(<2xporsi/hari)

8 kurang sayur buah <2x

porsi/hari

9 kurang aktivitas fisik (tidak

melakukan olahraga min.30

menit/hari

10 stres(tegang,cemas,panik

.(1x/hari)

11 BB Lebih(IMT=25-27kg/m2)

12 Obesitas(IMT.27kg/m2)

13 Obesitas sentral (LP.90cm

.80cm(p)

14 Hipertensi(TD.140/90mmHg

Pemeriksaan lipid darah (jumlah yang diperiksa:……………..orang/pasien)15 kolesterol total.190mgHg

16 LDL.115ng/dl

17 HDL,40(L),<45(p)mg/dl

18 Trigliseda.150mg/dl

Pemeriksaan gula Darah (jumlah yang diperiksa………………..orang/pasien19 Gula darah sewaktu

(.200mg/dl)

Pemeriksaan EKG(jumlah yang diperiksa………………………….orang/pasien20 Ada kelainan pada EKG

keterangan : ………………………………………….20…….L =Laki-laki,P=perempuan,BB=berat badan Kepala/Petugas………………………….TB=Tinggi badan,IMT=indeks masa tubuh

LP=Lingkar perut,TD=tekanan darah (…………………………….)

Rekapitulasi FR-PJPD Menurut jenis kalamin dan umurPuskesmas Sukodadi kecamatan Sukodadi Kabupaten Lamongan Provinsi Jawa TimurBulan/Tahun April - Mei / 2011Responden/pasien baru(kunjungan pertama dan belum tercantum pada KK FR-PJPD Puskesmas/tempat lainnya)No. wawancara pengukuran jenis kelamin dan umur

jumlah 30 orang pasien Laki-laki ( L ) Perempuan ( P )

18-24 25-34 35-44 45-54 55-64 65-74 ≥75 jumlah 18-24 23-34 35-44 45-54 55-64 66-74

1 merokok setiap hari 2 3 4 1 10 0 0 0 0 0

2 minum minuman beralkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 bulan terakhir

3 sering makan makanan 3 1 1 2 1 2 1 11 2 2 0 5 2 1




5 sering makan/minuman 2 4 1 0 2 2 11 2 0 5 0 4 1


6 kurang sayur(<2xporsi/hari) 1 0 0 0 2 2 2 7 2 0 2 1 0 0

7 kurang buah(<2xporsi/hari) 1 5 4 0 0 2 1 13 1 1 1 2 5 0

8 kurang aktivitas fisik (tidak 0 0 0 0 0 0 0 0 0 0 0 0 0 0


menit/hari

9 stres(tegang,cemas,panik 0 0 0 0 0 0 0 0 0 0 0 0 0 0

.(1x/hari)

10 BB Lebih(IMT=25-27kg/m2) 0 0 0 0 3 0 1 3 0 0 4 3 2 0

11 Obesitas(IMT.27kg/m2) 0 0 0 0 0 0 1 1 0 0 1 0 0 0

12 Obesitas sentral (LP.90cm 0 0 0 0 0 0 0 0 0 0 0 0 0 0

.80cm(p)

13 Hipertensi(TD>140/90mmHg 0 0 0 1 3 0 0 4 0 0 0 5 2 0

pemeriksaan lipid darah 30 orang/pasien15 kolesterol total>190mgHg 0 0 0 1 1 0 0 2 0 1 3 6 6 2

16 LDL.>115ng/dl 0 0 1 0 0 1 1 3 0 4 6 7 6 0

17 HDL,40(L),<45(p)mg/dl 0 0 0 2 0 3 2 7 0 0 3 0 1 1

18 Trigliseda.150mg/dl 0 0 0 1 2 1 1 5 0 0 1 0 1 1

Pemeriksaan gula Darah (jumlah yang diperiksa - orang/pasien19 Gula darah sewaktu 0 0 0 0 0 0 0 0 0 0 0 0 0 0

(.200mg/dl)

Pemeriksaan EKG(jumlah yang diperiksa 0 orang/pasien20 Ada kelainan pada EKG 0 0 0 0 0 0 0 0 0 0 0 0 0 0


jumlah:78 orang pasien Laki-laki ( L ) Perempuan ( P )

18-24 25-34 35-44 45-54 55-64 65-74 ≥75 jumlah 18-24 25-34 35-44 45-54 55-64 65-741 merokok setiap hari 0 0 1 2 1 4 0 0 0 0 0 02 minum minuman beralkohol 0 0 0 0 0 0 0 0 0 0 0 0 0

12 bulan terakhir3 sering makan makanan 3 3 2 0 1 1 0 10 1 3 4 3 1 2

asin (≥1 kali/hari)4 sering makan makanan 0 0 2 1 2 0 0 5 0 0 2 1 2 0

tinggi lemak(≥1 kali/hari) 05 sering makan/minuman 2 8 3 6 0 0 3 12 1 6 1 4 0 0

manis manis(≥1 kali/hari)6 kurang sayur(<2xporsi/hari) 3 3 2 2 1 1 2 14 2 2 1 1 1 17 kurang buah(<2xporsi/hari) 2 2 2 1 1 1 0 9 2 1 1 1 1 28 kurang sayur buah <2x 0 0 2 3 3 2 0 10 0 0 3 5 2 1

porsi/hari9 kurang aktivitas fisik (tidak 2 3 2 3 5 2 1 18 2 3 3 4 3 2

melakukan olahraga min.30menit/hari

10 stres(tegang,cemas,panik 3 2 4 5 3 3 3 18 5 3 2 2 1 2.(1x/hari)

11 BB Lebih(IMT=25-27kg/m2) 0 0 2 0 1 1 0 4 0 2 4 5 2 012 Obesitas(IMT.27kg/m2) 1 1 2 3 0 1 0 8 0 2 1 3 3 213 Obesitas sentral (LP.90cm 0 0 0 1 0 1 0 2 0 0 1 0 0 0

.80cm(p)14 Hipertensi(TD.140/90mmHg 0 0 0 0 1 1 0 2 0 0 2 2 4 1

Pemeriksaan lipid darah (jumlah yang di periksa 83 0rang/pasien)15 kolesterol total.190mgHg 0 0 2 4 1 0 0 7 0 2 9 17 10 0

16 LDL.115mg/dl 0 0 1 1 2 0 0 4 0 1 9 13 5 1

17 HDL,40(L),<45(p)mg/dl 0 2 0 5 6 2 0 15 0 2 6 2 2 0

18 Trigliseda.150mg/dl 0 0 1 1 1 1 0 4 0 0 6 8 5 1

Pemeriksaan gula Darah (jumlah yang diperiksa 0 orang/pasien19 Gula darah sewaktu 0 0 0 0 0 0 0 0 0 0 0 0

(.200mg/dl)

Pemeriksaan EKG(jumlah yang diperiksa 0 orang/pasien20 Ada kelainan pada EKG 0 0 0 0 0 0 0 0 0 0 0 0 0

keterangan : Februari, 2011L =Laki-laki,P=perempuan,BB=berat badan PetugasTB=Tinggi badan,IMT=indeks masa tubuh

LP=Lingkar perut,TD=tekanan darah (Sumaji Kusnohadi,SKM)

Rekapitulasi FR-PJPD Menurut jenis kalamin dan umurPuskesmas Sukodadi kecamatan Sukodadi Kabupaten Lamongan Provinsi Jawa TimurBulan/Tahun April - Mei / 2011Responden/pasien baru(kunjungan pertama dan belum tercantum pada KK FR-PJPD Puskesmas/tempat lainnya)No. wawancara pengukuran jenis kelamin dan umur

jumlah 30 orang pasien Laki-laki ( L ) Perempuan ( P )

18-24 25-34 35-44 45-54 55-64 65-74 ≥75 jumlah 18-24 23-34 35-44 45-54 55-64 66-74

1 merokok setiap hari 2 3 4 1 10 0 0 0 0 0

2 minum minuman beralkohol 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 bulan terakhir





5 sering makan/minuman 2 4 1 0 2 2 11 2 0 5 0 4 1






menit/hari


.(1x/hari)

10 BB Lebih(IMT=25-27kg/m2) 0 0 0 0 3 0 1 3 0 0 4 3 2 0

11 Obesitas(IMT.27kg/m2) 0 0 0 0 0 0 1 1 0 0 1 0 0 0


.80cm(p)

13 Hipertensi(TD>140/90mmHg 0 0 0 1 3 0 0 4 0 0 0 5 2 0

pemeriksaan lipid darah 30 orang/pasien15 kolesterol total>190mgHg 0 0 0 1 1 0 0 2 0 1 3 6 6 2

16 LDL.>115ng/dl 0 0 1 0 0 1 1 3 0 4 6 7 6 0

17 HDL,40(L),<45(p)mg/dl 0 0 0 2 0 3 2 7 0 0 3 0 1 1

18 Trigliseda.150mg/dl 0 0 0 1 2 1 1 5 0 0 1 0 1 1

Pemeriksaan gula Darah (jumlah yang diperiksa - orang/pasien19 Gula darah sewaktu 0 0 0 0 0 0 0 0 0 0 0 0 0 0

(.200mg/dl)

Pemeriksaan EKG(jumlah yang diperiksa 0 orang/pasien20 Ada kelainan pada EKG 0 0 0 0 0 0 0 0 0 0 0 0 0 0


jumlah:78 orang pasien Laki-laki ( L ) Perempuan ( P )

18-24 25-34 35-44 45-54 55-64 65-74 ≥75 jumlah 18-24 25-34 35-44 45-54 55-64 65-74

1 merokok setiap hari 0 0 1 2 1 4 0 0 0 0 0 0

2 minum minuman beralkohol 0 0 0 0 0 0 0 0 0 0 0 0 0

12 bulan terakhir




tinggi lemak(≥1 kali/hari) 0

5 sering makan/minuman 2 8 3 6 0 0 3 12 1 6 1 4 0 0




8 kurang sayur buah <2x 0 0 2 3 3 2 0 10 0 0 3 5 2 1

porsi/hari



menit/hari


.(1x/hari)

11 BB Lebih(IMT=25-27kg/m2) 0 0 2 0 1 1 0 4 0 2 4 5 2 0

12 Obesitas(IMT.27kg/m2) 1 1 2 3 0 1 0 8 0 2 1 3 3 2


.80cm(p)

14 Hipertensi(TD.140/90mmHg 0 0 0 0 1 1 0 2 0 0 2 2 4 1

Pemeriksaan lipid darah (jumlah yang di periksa 83 0rang/pasien)15 kolesterol total.190mgHg 0 0 2 4 1 0 0 7 0 2 9 17 10 0

16 LDL.115mg/dl 0 0 1 1 2 0 0 4 0 1 9 13 5 1

17 HDL,40(L),<45(p)mg/dl 0 2 0 5 6 2 0 15 0 2 6 2 2 0

18 Trigliseda.150mg/dl 0 0 1 1 1 1 0 4 0 0 6 8 5 1

Pemeriksaan gula Darah (jumlah yang diperiksa 0 orang/pasien19 Gula darah sewaktu 0 0 0 0 0 0 0 0 0 0 0 0

(.200mg/dl)

Pemeriksaan EKG(jumlah yang diperiksa 0 orang/pasien20 Ada kelainan pada EKG 0 0 0 0 0 0 0 0 0 0 0 0 0

keterangan : Februari, 2011L =Laki-laki,P=perempuan,BB=berat badan PetugasTB=Tinggi badan,IMT=indeks masa tubuh

LP=Lingkar perut,TD=tekanan darah (Sumaji Kusnohadi,SKM)

Rekapitulasi FR-PJPD Menurut jenis kalamin dan umur

Responden/pasien baru(kunjungan pertama dan belum tercantum pada KK FR-PJPD Puskesmas/tempat lainnya)

jenis kelamin dan umur

TOTALPerempuan ( P )

≥75 jumlah

0

jenis kelamin dan umur TOTAL

Perempuan ( P )

≥75 jumlah

………………………………………….20…….Kepala/Petugas………………………….

(…………………………….)


Responden/pasien baru(kunjungan pertama dan belum tercantum pada KK FR-PJPD Puskesmas/tempat lainnya)jenis kelamin dan umur TOTAL

Perempuan ( P )

≥75 jumlah

0 10

0 0 0

2 19 30

1 4 9

0 12 23

1 6 13

1 11 24

0 0 0

0 0 0

1 10 13

0 1 2

0 0 0

0 7 11

2 20 22

1 24 27

0 5 12

1 4 9

0 0 0

0 0 0


Perempuan ( P )

≥75 jumlah0 0 40 0 0

00 10 20

0 5 10

1 6 18

2 10 240 8 170 11 21

2 19 37

2 17 35

0 13 170 9 170 1 3

0 9 11

0 38 45

0 29 33

0 12 27

0 20 24

0 0 0

0 0

Petugas

(Sumaji Kusnohadi,SKM)


Responden/pasien baru(kunjungan pertama dan belum tercantum pada KK FR-PJPD Puskesmas/tempat lainnya)jenis kelamin dan umur TOTAL

Perempuan ( P )

≥75 jumlah

0 10

0 0 0

2 19 30

1 4 9

0 12 23

1 6 13

1 11 24

0 0 0

0 0 0

1 10 13

0 1 2

0 0 0

0 7 11

2 20 22

1 24 27

0 5 12

1 4 9

0 0 0

0 0 0


Perempuan ( P )

≥75 jumlah

0 0 4

0 0 0

0

0 10 20

0 5 10

1 6 18

2 10 24

0 8 17

0 11 21

2 19 37

2 17 35

0 13 17

0 9 17

0 1 3

0 9 11

0 38 45

0 29 33

0 12 27

0 20 24

0 0 0

0 0

Petugas

(Sumaji Kusnohadi,SKM)

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