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SMD Lakawali 2021 Revisi

The document is a record of 18 individuals who received various health services. It includes details of each person such as name, gender, age, education level and the total services received. The services provided are categorized into 5 areas: access to healthcare services and financing (A), maternal and child health, family planning, nutrition and immunization (B), home and environment (C), family member behavior (D), and surveillance (E). Each individual's record lists the number of services received in each of these categories.

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Andhyni Eka Saputri
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLSX, PDF, TXT or read online on Scribd
40 views45 pages

SMD Lakawali 2021 Revisi

The document is a record of 18 individuals who received various health services. It includes details of each person such as name, gender, age, education level and the total services received. The services provided are categorized into 5 areas: access to healthcare services and financing (A), maternal and child health, family planning, nutrition and immunization (B), home and environment (C), family member behavior (D), and surveillance (E). Each individual's record lists the number of services received in each of these categories.

Uploaded by

Andhyni Eka Saputri
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Akses Pelayanan & Pembiayan Kesehatan (A)

No Nama Jenis Kelamin Umur Pendidikan Total


A1 A2 A3 A4

I Dewa Nyoman
1 L 67 Tamat SD 4 4 2 2 12
Asmara
2 Wito Utomo L 48 Tamat SD 4 4 2 2 12
3 Rastim L 46 Tamat SD 4 4 2 2 12
M. Siddiq Nugi
4 L 23 SLTA 4 4 2 2 12
Prayitno

5 I Gede Kusuma Dana L 25 SLTA 4 4 2 2 12

I Nyoman
6 L 72 Tdk Tamat SD 4 4 2 2 12
Mangkudana
7 I Ketut Budiastawa L 38 SLTA 4 4 2 2 12
8 I Wayan Badra L 60 SLTP 4 4 2 2 12
I Dewa Made
9 L 39 SLTA 4 4 2 2 12
Tamanyasma
10 I Komang Nuartha L 36 SLTA 4 4 2 2 12
11 I Nyoman Miasa L 76 SLTP 4 4 2 2 12
12 I Wayan Sukradana L 51 Tamat SD 4 4 2 2 12
13 Ramyo L 34 Tamat SD 4 4 2 2 12
14 Muh. Tahang L 43 SLTA 4 4 2 2 12
15 Risal L 30 SLTA 4 4 2 2 12
16 Mursalim L 50 SD 4 4 2 2 12
17 Darwis L 55 SLTA 4 4 2 2 12
18 Akbar Arfian L 24 SLTA 4 4 2 2 12
TOTAL 72 72 36 36 216

KETERANGAN ==> Manurung


Lakawali
Tarabbi
Lakawali Pantai
Kesehatan Ibu dan Anak, KB, Gizi, & Imunisasi (B)
Kriteria Total
B7
B1 B2 B3 B4 B5 B6 B8 B9 B10 B11 B12 B13 B14 B15 B16 B17
B7.1 B7.2 B7.3 B7.4

1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 2 2 1 16

2 0 0 0 0 0 1 1 1 1 1 2 2 1 0 2 2 2 2 1 21
1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 2 1 2 2 1 14

1 0 0 0 0 0 1 1 1 1 1 2 2 1 0 2 2 2 2 1 20

1 0 0 0 0 0 1 1 1 1 2 0 0 1 0 2 1 2 2 1 16

1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 1 0 2 2 1 12

1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 2 0 1 2 1 16
1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 2 2 1 16

1 0 0 0 0 0 1 1 1 1 1 0 2 1 0 2 2 2 2 1 18

1 0 0 0 0 0 1 1 1 1 1 1 1 1 0 2 1 2 2 1 17
1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 1 0 2 2 1 12
1 0 0 0 0 0 1 1 1 1 1 1 1 1 0 2 1 2 2 1 17
1 0 0 0 0 0 1 1 1 1 1 2 2 1 0 2 2 2 2 1 20
1 0 0 0 0 0 1 1 1 1 1 2 2 1 0 1 0 2 2 1 17
1 0 0 0 0 0 1 1 1 1 1 2 2 1 2 2 2 2 2 1 22
1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 1 0 2 2 1 12
1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 1 0 2 2 1 12
1 0 0 0 0 0 1 1 1 1 1 0 2 1 0 2 1 2 2 1 17
0 19 0 0 0 0 0 18 18 18 18 19 15 19 13 5 29 15 35 36 18 295
Rumah & Lingkungan Perilaku Anggota Keluarga (D)
Kriteria Total Kriteria
C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 D1 D2 D3 D4 D5 D6 D7 D8 D9 D10

3 3 4 2 3 1 1 2 2 1 22 1 2 3 2 2 2 2 2 2 2

3 3 4 1 1 2 1 1 2 1 19 2 2 3 2 2 2 2 2 2 2
3 2 4 2 3 2 2 2 1 1 22 1 2 3 2 2 2 2 2 2 2

3 3 4 2 1 1 2 2 2 1 21 2 2 3 2 2 2 2 2 2 2

3 3 4 2 3 3 1 2 2 1 24 1 2 3 2 2 2 2 2 2 2

3 3 4 2 3 3 1 2 1 1 23 2 2 3 2 2 2 2 2 2 2

3 3 4 2 3 2 1 1 2 1 22 1 2 3 2 2 2 2 2 2 2
3 4 4 2 3 3 2 2 2 1 26 2 2 3 2 2 2 2 2 2 2

3 3 4 2 3 3 1 2 1 1 23 2 2 3 2 2 2 2 2 2 2

3 3 4 2 3 3 2 2 2 2 26 2 2 3 2 2 2 2 2 2 2
3 2 4 2 3 3 1 2 1 1 22 1 2 3 2 2 2 2 2 2 2
3 3 2 2 3 3 1 2 2 1 22 1 2 3 2 2 2 2 2 2 2
3 3 4 2 3 1 1 1 2 1 21 2 2 3 2 2 2 2 2 2 2
3 3 4 2 1 3 1 2 2 1 22 2 2 3 2 2 2 2 2 2 2
3 3 4 2 1 2 1 1 2 1 20 2 2 3 1 2 2 2 2 2 2
3 4 2 2 2 2 2 2 2 1 22 1 2 3 2 2 2 2 2 2 2
3 3 2 2 2 1 1 2 1 1 18 1 2 3 2 2 2 2 2 2 2
3 3 4 2 1 1 1 2 1 1 19 1 2 3 2 2 2 2 2 2 2
0 54 54 66 35 42 39 23 32 30 19 394 0 27 36 54 35 36 36 36 36 36 36
Survelance (E)
Total Kriteria Total Kriteria
E1 E2 E3 E4 E5 E6 E7 E8 E9 E10 E11 E12 E13 E14 E15 E16 E17

20 1 1 1 1 1 1 2 1 1 1 1 1 1 2 3 2 1 22

21 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 2 2 22
20 1 1 1 1 1 1 2 1 2 1 1 1 2 2 3 2 2 25

21 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 2 2 22

20 1 1 1 1 1 1 1 1 1 1 1 1 2 2 3 2 2 23

21 1 1 1 1 1 1 1 2 1 1 1 1 1 2 3 2 2 23

20 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 2 2 22
21 1 1 1 1 1 1 1 2 2 1 1 1 2 2 3 2 2 25

21 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 21

21 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 2 2 22
20 1 1 1 1 1 1 1 2 1 1 1 1 1 2 2 2 2 22
20 1 1 1 1 1 1 1 1 2 1 1 1 1 2 3 2 2 23
21 1 1 1 1 1 1 2 1 1 1 1 1 1 2 3 2 2 23
21 1 1 1 1 1 1 1 2 1 1 1 1 1 2 3 2 2 23
20 1 1 1 1 1 1 1 2 1 1 1 1 1 2 3 2 2 23
20 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 1 2 21
20 1 1 1 1 1 1 1 2 1 1 1 1 1 2 2 2 2 22
20 1 1 1 1 1 1 2 2 1 1 1 1 1 2 3 2 2 24
368 0 18 18 18 18 18 18 22 25 21 18 18 18 21 36 51 35 35 408 0
Penderita
Gangguan Jiwa LANSIA (G)
(F) Total Kriteria Total Kriteria
F1 F2 G1 G2

1 0 1 2 2 4

1 0 1 1 0 1
1 0 1 1 0 1

1 0 1 1 0 1

1 0 1 1 0 1

1 0 1 1 0 1

1 0 1 1 0 1
1 0 1 2 2 4

1 0 1 1 0 1

1 0 1 1 0 1
1 0 1 1 0 1
1 0 1 1 0 1
1 0 1 1 0 1
1 0 1 1 0 1
1 0 1 1 0 1
1 0 1 1 0 1
1 0 1 1 0 1
1 0 1 1 0 1
18 0 18 0 20 4 24 0
m
Akses Pelayanan & Pembiayan Kesehatan (A)
Pendidika
No Nama JK Umur Total
n
A1 A2 A3 A4

1 Rokhim L 43 Th SLTA 4 4 2 2 12
2 Rahmat Wahyono L 39 Th SD 4 4 2 2 12
3 Suprianto L 37 Th SLTP 4 4 2 2 12
4 Hadirianto L 64 Th SD 4 4 2 2 12
5 Hariyanto L 33 Th SD 4 4 2 2 12
6 Dedi Siswanto L 39 Th SD 4 4 2 2 12
7 Nursito L 72 Th SD 4 4 2 2 12
8 Sutarno L 39 Th SD 4 4 2 2 12
9 Subandi L 48 Th SD 4 4 2 2 12
10 Wakiman L 42 Th SD 4 4 2 2 12
11 Madsukarto L 70 Th SD 4 3 2 2 11
12 Ahmad Purwanto L 52 Th SLTP 4 3 2 2 11
13 Rangga Yuda L 32 Th TT 4 3 2 2 11
14 Nurdalia P 57 Th SD 4 3 1 2 10
15 Dirun L 46 Th SD 4 3 2 2 11
16 Daina P 41 Th D IV 4 4 2 2 12
17 Saliyem P 69 Th TT 4 3 2 2 11
TOTAL 68 62 33 34 197
Kesehatan Ibu dan Anak, KB, Gizi, & Imunisasi (B)
Kriteria
B7
B1 B2 B3 B4 B5 B6 B8 B9 B10 B11 B12 B13
B7.1 B7.2 B7.3 B7.4
2 4 3 2 1 3 1 1 1 1 1 2 2 1 2 2
1 0 0 0 0 0 1 1 1 1 2 2 2 1 2 2
1 0 0 0 0 0 1 1 1 1 1 2 2 1 2 2
1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 1
1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 2
1 0 0 2 1 3 1 1 1 1 2 2 2 1 2 2
1 0 0 0 0 0 1 1 1 1 1 2 2 2 2 1
1 0 0 2 1 3 1 1 1 1 1 2 2 2 2 2
1 0 0 0 0 0 1 1 1 1 1 2 2 1 2 1
1 0 0 2 1 3 1 1 1 1 1 0 0 0 0 2
1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 1
1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 2
1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 2
1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 1
1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 2
1 0 0 0 0 0 1 1 1 1 0 0 0 0 0 1
1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 1
0 18 4 3 8 4 12 17 17 17 17 18 14 14 9 14 27
Rumah & Lingkungan
TotalKriteria TotalKriteria
B14 B15 B16 B17 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10

1 2 2 1 35 3 3 3 1 1 2 2 2 2 1 20
2 2 2 1 23 3 3 4 1 3 2 1 1 2 1 21
2 2 2 1 22 2 3 4 1 3 3 1 1 2 1 21
1 2 2 1 13 2 3 4 2 3 2 1 1 2 1 21
2 2 2 1 15 2 3 4 2 3 2 1 1 2 1 21
2 2 2 1 29 3 3 4 2 3 3 2 2 2 1 25
1 2 2 1 21 3 3 4 2 3 3 2 2 2 2 26
2 2 2 1 29 3 3 4 2 3 3 2 2 2 1 25
1 2 2 1 20 2 3 4 2 3 3 1 1 1 1 21
2 2 2 1 21 3 3 4 2 1 3 1 1 2 1 21
0 2 2 1 12 3 3 4 2 3 1 2 1 2 1 22
2 2 2 1 15 3 3 4 2 0 3 1 2 2 1 21
2 2 2 1 15 3 3 4 2 1 3 1 1 2 1 21
0 2 2 1 12 3 3 4 2 1 1 1 1 2 1 19
2 2 2 1 15 3 3 4 1 1 1 1 1 2 1 18
0 2 2 1 11 3 3 2 2 3 1 1 1 2 1 19
0 2 2 1 12 3 3 4 2 3 3 1 2 2 1 24
22 34 34 17 320 0 47 51 65 30 38 39 22 23 33 18 366 0
Perilaku Anggota Keluarga (D) Survel
TotalKriteria
D1 D2 D3 D4 D5 D6 D7 D8 D9 D10 E1 E2 E3 E4 E5 E6

1 2 3 2 1 1 2 2 2 1 17 2 1 1 1 1 1
1 2 3 2 1 1 2 2 2 2 18 1 1 1 1 1 1
2 2 3 2 1 2 2 2 2 2 20 2 2 1 1 1 1
1 2 3 2 1 1 2 2 2 2 18 2 1 1 1 1 1
2 2 3 2 1 1 2 2 2 2 19 1 1 1 1 1 1
2 2 3 2 2 2 2 2 2 2 21 2 1 1 1 1 1
2 2 3 2 2 2 2 2 2 2 21 1 1 1 1 1 1
2 2 3 2 2 2 2 2 2 2 21 1 1 1 1 1 1
2 2 3 2 2 2 2 2 2 2 21 1 1 1 1 1 1
2 2 3 2 1 2 2 2 2 2 20 1 1 1 1 1 1
2 2 0 2 1 1 2 2 2 1 15 1 1 1 1 1 1
2 2 0 2 1 1 2 2 2 2 16 2 1 1 1 1 1
2 2 3 2 1 1 2 2 2 2 19 1 1 1 1 1 1
1 2 3 2 1 1 2 2 2 2 18 1 1 1 1 1 1
2 2 3 2 1 1 2 2 2 1 18 1 1 1 1 1 1
1 2 3 2 1 2 2 2 2 2 19 2 1 1 1 1 1
2 2 0 2 1 1 2 2 2 2 16 1 1 1 1 1 1
29 34 42 34 21 24 34 34 34 31 317 0 23 18 17 17 17 17
Survelance (E) Penderita Gangguan Jiwa (F) LANSIA (G)
TotalKriteria TotalKriteria
E7 E8 E9 E10 E11 E12 E13 E14 E15 E16 E17 F1 F2 G1

1 1 1 1 1 2 1 2 3 2 2 24 1 1 2 1
1 1 1 1 1 1 1 2 3 2 2 22 1 1 2 1
2 1 1 1 1 1 1 2 3 2 2 25 1 1 2 1
1 2 1 1 1 1 1 2 3 2 2 24 1 1 2 2
1 1 1 1 1 1 1 2 3 2 2 22 1 1 2 1
1 1 1 1 2 1 1 2 3 2 2 24 1 1 2 1
1 2 1 1 1 1 1 2 3 2 2 23 1 1 2 2
1 1 1 1 1 1 1 2 3 2 2 22 1 1 2 1
1 1 2 1 1 1 1 2 2 2 2 22 1 1 2 1
1 2 1 1 1 1 1 2 3 2 2 23 1 1 2 2
1 1 1 1 1 1 1 2 3 2 2 22 1 1 2 2
1 1 1 1 1 1 1 2 3 2 2 23 1 1 2 1
2 1 1 1 1 1 1 2 3 2 2 23 1 1 2 1
1 1 1 1 1 1 1 2 3 2 2 22 1 1 2 1
1 1 1 1 1 1 1 2 3 2 2 22 1 1 2 1
1 2 1 1 1 1 1 2 3 2 2 24 1 1 2 1
2 1 1 1 1 1 1 2 3 2 2 23 1 1 2 1
20 21 18 17 18 18 17 34 50 34 34 390 0 17 17 34 0 21
LANSIA (G)
TotalKriteria
G2

1 2
1 2
1 2
2 4
1 2
1 2
1 3
1 2
1 2
2 4
2 4
1 2
1 2
1 2
1 2
1 2
1 2
20 41 0
m
Akses Pelayanan & Pembiayan Kesehatan (A)
Jenis Pendidika
No Nama Umur Total Kriteria
Kelamin n
A1 A2 A3 A4

1 Very Mahjud L 43 D3 4 4 2 2 12
2 Suregar Goccang L 56 SMA 4 3 2 2 11
3 St. Chadijah P 26 D3 4 3 2 2 11
4 I Nyoman Sueca L 46 SD 4 3 2 2 11
5 I Wayan Murca L 62 SD 4 3 2 2 11
6 I Wayan Sunarta L 30 S1 4 3 2 2 11
7 I Wayan Suarsana P 40 SMP 4 3 2 2 11
8 I Wayan Tagel Sujana L 61 SD 4 3 2 2 11
9 I Nyoman Sutomo L 43 SD 4 3 2 2 11
10 Arahman L 28 SMP 4 3 2 2 11
11 I Wayan Kayun L 52 SD 4 4 3 2 13
12 I Kadek Wirawan L 39 SMP 4 4 2 2 12
13 I Wayan Warna L 62 SD 4 4 2 2 12
14 Nurna Luawo P 51 SMP 4 4 3 2 13
15 Jefri L 28 SMA 4 4 2 2 12
16 Musriadi L 31 SMA 4 4 2 2 12
17 Satip L 54 SD 4 4 2 2 12
TOTAL 68 59 36 34 197 0
Kesehatan Ibu dan Anak, KB, Gizi, & Imunisasi (B)

B7
B1 B2 B3 B4 B5 B6 B8 B9 B10 B11
B7.1 B7.2 B7.3 B7.4
1 0 0 0 0 0 1 1 1 1 1 0 0 0
1 0 0 0 0 0 1 1 1 1 1 0 0 0
1 0 0 0 0 0 1 1 1 1 1 0 0 0
1 0 0 0 0 0 1 1 1 1 1 0 0 0
1 0 0 0 0 0 1 1 1 1 1 0 0 0
1 0 0 0 0 0 1 1 1 1 1 0 0 0
1 0 0 0 0 0 1 1 1 1 1 0 2 1
1 0 0 0 0 0 1 1 1 1 1 0 0 0
1 0 0 0 0 0 1 1 1 1 1 0 0 0
1 0 0 0 0 0 1 1 1 1 1 2 1 1
1 0 0 0 0 0 1 1 1 1 1 1 1 1
1 0 0 0 0 0 1 1 1 1 1 0 0 0
1 0 0 0 0 0 1 1 1 1 1 0 0 0
1 0 0 0 0 0 1 1 1 1 1 0 0 0
1 0 0 0 0 0 1 1 1 1 1 0 0 0
1 0 0 0 0 0 1 1 1 1 1 2 1 1
1 0 0 0 0 0 1 1 1 1 1 0 0 0
17 0 0 0 0 0 17 17 17 17 17 5 5 4
si (B) Rumah & Lingkungan
Total Kriteria
B12 B13 B14 B15 B16 B17 C1 C2 C3 C4 C5 C6

0 2 2 2 2 1 15 3 3 4 2 1 3
0 2 1 2 2 1 14 3 3 4 2 3 1
0 1 1 2 2 1 13 3 3 4 2 3 1
0 2 2 1 2 1 14 3 3 4 2 3 3
0 1 1 1 2 1 12 3 3 4 2 3 3
0 2 2 1 2 1 14 3 3 4 2 3 3
0 2 2 2 2 1 18 3 3 4 2 2 3
0 1 1 2 2 1 13 3 3 4 2 3 3
0 2 2 2 2 1 15 3 3 4 2 3 3
1 2 1 2 2 1 19 3 3 4 2 1 1
1 2 2 2 2 1 19 3 3 4 2 3 2
0 2 2 2 2 1 15 3 3 4 2 3 2
0 1 1 1 2 1 12 3 3 2 3 3 2
0 1 1 2 2 1 13 3 3 4 2 3 3
0 1 1 2 2 1 13 3 3 4 2 1 1
0 2 2 2 2 1 19 3 3 4 2 1 1
0 1 1 2 2 1 13 3 3 4 2 1 1
2 27 25 30 34 17 251 0 51 51 66 35 40 36
& Lingkungan Perilaku Anggota Keluarga (D)
Total Kriteria
C7 C8 C9 C10 D1 D2 D3 D4 D5 D6 D7 D8

2 1 2 1 22 2 2 3 2 1 1 2 2
2 1 2 1 22 1 2 3 2 1 1 2 2
2 1 2 1 22 1 2 3 2 1 1 2 2
2 1 2 1 24 1 2 3 2 2 1 2 2
2 1 2 1 24 1 2 3 2 1 1 2 2
2 1 2 1 24 1 2 3 2 2 1 2 2
2 1 2 1 23 1 2 3 2 1 1 2 2
2 1 2 1 24 2 2 3 2 1 1 2 2
2 1 2 1 24 2 2 3 2 1 1 2 2
2 2 2 1 21 1 2 3 1 2 2 2 2
2 2 2 1 24 2 2 3 2 2 2 2 2
2 2 2 1 24 2 2 3 2 2 2 2 2
2 2 2 1 23 2 2 3 2 2 2 2 2
2 2 2 1 25 2 2 3 2 2 2 2 2
2 2 2 1 21 1 2 3 2 2 2 2 2
2 2 2 1 21 1 2 3 2 2 2 2 2
2 2 2 1 21 1 2 3 2 2 2 2 2
34 25 34 17 389 0 24 34 51 33 27 25 34 34
(D) Survelance (E)
Total Kriteria
D9 D10 E1 E2 E3 E4 E5 E6 E7 E8 E9 E10

2 2 19 1 1 1 1 1 1 1 1 1 1
2 2 18 1 1 1 1 1 1 1 1 1 1
2 2 18 1 1 1 1 1 1 1 1 1 1
2 2 19 1 1 1 1 1 1 1 1 1 1
2 2 18 1 1 1 1 1 1 1 1 1 1
2 2 19 1 1 1 1 1 1 1 1 1 1
2 2 18 1 1 1 1 1 1 1 1 1 1
2 2 19 1 1 1 1 1 1 1 1 1 1
2 2 19 2 1 1 1 1 1 1 1 1 1
1 1 17 1 1 1 1 1 1 1 1 1 1
2 1 20 1 1 1 1 1 1 2 1 1 1
2 2 21 1 1 1 1 1 1 1 1 1 1
2 2 21 1 1 1 1 1 1 1 1 2 1
2 2 21 1 1 1 1 1 1 1 1 1 1
2 1 19 1 1 1 1 1 1 1 1 1 1
2 2 20 2 1 1 1 1 1 1 1 1 1
2 1 19 1 1 1 1 1 1 1 2 2 1
33 30 325 0 19 17 17 17 17 17 18 18 19 17
nce (E) Penderita Gangguan Jiwa (F) LANSIA (G)
Total Kriteria Total Kriteria
E11 E12 E13 E14 E15 E16 E17 F1 F2 G1

1 1 1 2 3 2 2 22 1 0 1 1
1 1 1 2 3 2 2 22 1 0 1 1
1 1 1 2 3 2 2 22 1 0 1 1
1 1 1 2 3 2 2 22 1 0 1 1
1 1 1 2 3 2 2 22 1 0 1 1
1 1 1 2 3 2 2 22 1 0 1 1
1 1 1 2 3 2 2 22 1 0 1 1
1 1 1 2 3 2 2 22 1 0 1 1
1 1 1 2 3 2 2 23 1 0 1 1
1 1 1 2 2 1 2 20 1 0 1 1
1 1 1 2 2 1 2 21 1 0 1 1
1 1 1 2 2 2 2 21 1 0 1 1
1 1 1 2 2 2 2 22 1 0 1 1
1 1 1 2 3 1 2 21 1 0 1 1
1 1 1 2 3 2 2 22 1 0 1 1
1 1 1 2 3 2 2 23 1 0 1 1
1 1 1 2 3 2 2 24 1 0 1 1
17 17 17 34 47 31 34 373 0 17 0 17 0 17
LANSIA (G)
Total Kriteria
G2

0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 17 0
m
Akses Pelayanan &
Jenis Pembiayan Kesehatan (A)
No Nama Umur Pendidikan Total
Kelamin
A1 A2 A3 A4

1 GIMAN SUSANTO LAKI LAKI 46THN TDK TMT SD 4 4 3 2 13


2 TOHA FIRMANTO LAKI LAKI 40THN SMP 4 4 2 2 12
3 MAUDIN LAKI LAKI 67THN TDK TMT SD 4 4 2 2 12
4 BAHARUDDIN LAKI LAKI 51THN SD 4 4 2 2 12
5 AHMAD BASORI LAKI LAKI 25THN SMP 4 4 2 2 12
6 FIRAN LAKI LAKI 38THN SD 4 4 2 2 12
7 MISJAUN LAKI LAKI 38THN SD 4 4 2 2 12
8 FATIMAH PEREMPUAN68THN TDK SEKOLA 4 4 2 2 12
9 AHMAD SAFI'I LAKI LAKI 30THN SD 4 4 2 2 12
10 JAKA PRANOTO LAKI LAKI 48THN DOPLOMA IV 4 4 2 2 12
11 EMI WARASTRI PEREMPUAN34THN DIII 4 4 2 2 12
12 WASJANI LAKI LAKI 44THN SD 4 3 3 2 12
13 SUKANDI LAKI LAKI 47THN SMP 4 3 2 2 11
14 YULIANTO LAKI LAKI 35THN SMP 4 3 3 2 12
15 MUHAMAD YUSUF LAKI LAKI 46THN SMP 4 3 2 2 11
16 ABDUL GAFUR LAKI LAKI 41THN SD 4 3 2 2 11
17 UMAR PACCI LAKI LAKI 74THN SD 4 3 2 2 11
TOTAL 68 62 37 34 201
Kesehatan Ibu dan Anak, KB, Gizi, & Imunisasi (B)
Kriteri
a B7
B1 B2 B3 B4 B5 B6 B8 B9 B10
B7.1 B7.2 B7.3 B7.4
1 0 0 0 0 0 1 1 1 1 1 1 1
1 0 0 0 0 0 1 1 1 1 2 1 2
1 0 0 0 0 0 1 1 1 1 1 1 1
1 0 0 0 0 0 1 1 1 1 1 1 1
1 0 0 0 0 0 1 1 1 1 1 1 2
1 0 0 0 0 0 1 1 1 1 1 1 1
1 0 0 0 0 0 1 1 1 1 1 1 1
1 0 0 0 0 0 1 1 1 1 1 1 1
1 0 0 0 0 0 1 1 1 1 1 1 2
1 0 0 0 0 0 1 1 1 1 1 1 2
1 0 0 0 0 0 1 1 1 1 1 1 1
1 0 0 0 0 0 1 1 1 1 1 1 1
1 0 0 0 0 0 1 1 1 1 1 1 1
2 2 3 2 1 3 1 1 1 1 1 1 1
1 0 0 0 0 0 1 1 1 1 1 1 1
1 0 0 0 0 0 1 1 1 1 1 1 2
1 0 0 0 0 0 1 1 1 1 1 1 1
0 18 2 3 2 1 3 17 17 17 17 18 17 22
Imunisasi (B) Rumah & Lingkungan
Kriteri
Total
a
B11 B12 B13 B14 B15 B16 B17 C1 C2 C3 C4 C5

1 1 2 2 2 2 1 19 3 1 4 2 3
1 2 2 2 2 2 1 22 3 4 4 2 1
1 1 1 0 2 2 1 16 3 4 4 2 1
1 1 2 2 2 2 2 20 3 4 4 2 1
1 1 2 1 2 2 1 19 2 4 4 2 3
1 1 2 2 2 2 1 19 2 1 4 2 1
1 1 2 1 2 2 1 18 3 1 4 2 1
1 1 1 0 2 2 1 16 4 4 3 2 2
1 1 2 2 2 2 1 20 3 2 1 2 1
1 1 2 2 2 2 1 20 3 1 4 2 3
1 1 2 1 2 2 1 18 3 1 4 2 1
1 1 2 1 2 2 1 18 3 4 4 1 3
1 1 1 0 2 2 1 16 3 3 4 2 1
1 1 2 1 2 2 1 30 2 4 4 1 1
1 1 2 2 2 2 1 19 3 4 4 2 3
1 1 2 2 2 2 1 20 1 4 4 2 1
1 1 1 0 2 2 1 16 3 1 4 2 1
17 18 30 21 34 34 18 326 0 47 47 64 32 28
Rumah & Lingkungan Perilaku Anggota Keluarga (D)
Kriteri
Total
a
C6 C7 C8 C9 C10 D1 D2 D3 D4 D5 D6 D7

1 1 1 1 1 18 1 2 2 2 2 1 2
1 1 1 1 1 19 2 1 3 2 2 1 2
1 1 1 1 1 19 1 2 3 2 2 1 2
1 1 1 1 1 19 2 2 3 2 2 1 2
2 1 1 2 1 22 2 2 3 2 2 1 2
1 2 2 2 1 18 2 2 3 1 2 1 2
1 1 2 2 1 18 2 2 3 1 2 1 2
1 1 2 2 1 22 1 2 3 2 2 1 2
1 1 2 1 1 15 2 2 3 1 2 1 2
1 1 1 2 1 19 1 2 3 1 2 1 2
1 2 1 1 1 17 1 2 3 1 2 1 2
1 2 1 1 1 21 2 2 3 2 2 2 2
3 2 2 2 1 23 2 2 3 2 2 2 2
1 2 1 2 2 20 2 2 3 1 1 2 2
3 2 1 2 2 26 1 2 3 1 2 2 2
1 1 1 1 1 17 2 2 3 1 2 2 2
1 1 1 1 1 16 2 2 3 1 2 1 2
22 23 22 25 19 329 0 28 33 50 25 33 22 34
eluarga (D) Survelance (E)
Kriteri
Total
a
D8 D9 D10 E1 E2 E3 E4 E5 E6 E7 E8 E9

2 2 2 18 1 1 1 1 1 1 1 1 1
2 2 2 19 1 1 1 1 1 1 1 1 1
2 2 2 19 1 1 1 1 1 1 1 1 1
2 2 2 20 1 1 1 1 1 1 1 1 1
2 2 2 20 1 1 1 1 1 1 1 1 1
2 2 2 19 1 1 1 1 1 1 1 1 1
2 2 2 19 2 1 1 1 1 1 1 1 2
2 2 2 19 2 1 1 1 1 1 1 1 1
2 2 2 19 1 1 1 1 1 1 2 1 2
2 2 2 18 1 1 1 1 1 1 1 1 1
2 2 2 18 1 1 1 1 1 1 1 1 1
2 2 2 21 1 1 1 1 1 1 1 1 1
2 2 2 21 1 1 1 1 1 1 1 1 1
2 2 2 19 2 1 1 1 1 1 1 1 1
2 2 2 19 1 1 1 1 1 1 1 1 1
2 2 2 20 1 1 1 1 1 1 1 1 1
2 2 2 19 1 1 1 1 1 1 1 1 1
34 34 34 327 0 20 17 17 17 17 17 18 17 19
Penderita
Survelance (E) Gangguan
Kriteri Jiwa (F) Kriteri
Total Total
a a
E10 E11 E12 E13 E14 E15 E16 E17 F1 F2

1 1 1 1 2 2 1 2 20 1 1 2
1 1 1 1 2 2 1 2 20 1 1 2
1 1 1 1 2 2 1 2 20 1 1 2
1 1 1 1 2 2 1 2 20 1 1 2
1 1 1 1 2 3 2 2 22 1 1 2
1 1 1 1 2 3 2 2 22 1 1 2
1 1 1 1 2 3 2 2 24 1 1 2
1 1 1 1 2 2 2 2 22 1 1 2
1 1 1 1 2 2 2 2 23 1 1 2
1 1 1 1 2 3 2 2 22 1 1 2
1 1 1 1 2 3 2 2 22 1 1 2
1 1 1 1 2 3 1 2 21 1 1 2
1 1 1 2 2 2 1 2 21 1 1 2
1 1 1 1 2 2 1 2 21 1 1 2
1 1 1 1 2 3 1 2 21 1 1 2
1 1 1 1 2 2 1 2 20 1 1 2
1 1 1 1 2 2 2 2 21 1 1 2
17 17 17 18 34 41 25 34 362 0 17 17 34 0
LANSIA (G)
Kriteri
Total
a
G1 G2

1 1 2
1 1 2
2 1 3
1 1 2
1 1 2
1 1 2
1 1 2
2 1 3
1 1 2
1 1 2
1 1 2
1 1 2
1 1 2
1 1 2
1 1 2
1 1 2
2 1 3
20 17 37 0
m
Akses Pelayanan & Pembiayan Kesehatan (A)
Jenis Pendidika
No Nama Umur Total
Kelamin n
A1 A2 A3 A4

1 Ny. SRIWINARSIH P 36 Thn SD 4 4 2 2 12


2 Tn. RASIDA L 75 Thn SD 4 4 2 2 12
3 Tn.SUMONO L 77 SD 4 4 3 3 14
4 Ny. WAGIAH P 79 Thn SD 4 3 1 2 10
5 Ny. SURATI P 55 Thn SD 4 4 2 2 12
TIDAK
6 Tn. RAEDAH L 60 Thn SEKOLAH 2 4 2 2 10
TIDAK
7 Tn. GAGGA L 74 Thn SEKOLAH 4 4 2 2 12
8 Tn. TAHIR L 45 Thn SD 4 4 2 2 12
9 Ny. WIJI P 76 Thn TS 4 3 2 2 11
10 Tn. SLAMET RIADI P 46 Thn SLTP 4 3 2 2 11
11 Tn. MISKAN L 53 Thn SD 4 3 2 2 11
12 Tn. MULYONO L 44 Thn SLTP 4 3 2 2 11
13 Tn.MUJIRAN L 51 Thn SLTP 4 3 2 2 11
14 Tn.SUARDI L 48 Thn SD 4 3 2 2 11
TIDAK
15 Tn. KADENI L 66 Thn TAMAT SD 4 3 2 2 11
16 Ny. HARTINI P 46 Thn SD 4 3 2 2 11
17 Ny. HARNI P 39 Thn SD 4 3 2 2 11
TOTAL 66 58 34 35 193
Kesehatan Ibu dan Anak, KB, Gizi, & Imunisasi (B)
Kriteria
B7
B1 B2 B3 B4 B5 B6 B8 B9
B7.1 B7.2 B7.3 B7.4
1 0 0 0 0 0 1 1 1 1 1 2
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 1
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 0 0

1 0 0 0 0 0 1 1 1 1 1 0

1 0 0 0 0 0 1 1 1 1 1 0
2 4 3 2 1 3 1 1 1 1 1 1
1 0 0 0 0 0 1 1 1 1 0 0
1 0 0 0 0 0 1 1 1 1 1 2
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 0

1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 0
0 18 4 3 2 1 3 17 17 17 17 15 6
Gizi, & Imunisasi (B) Rumah & Li
Total Kriteria
B10 B11 B12 B13 B14 B15 B16 B17 C1 C2 C3

1 1 2 2 1 2 2 1 20 3 3 4
0 0 0 1 1 2 2 2 14 3 3 4
0 0 0 1 1 2 2 1 14 3 3 4
0 0 0 1 1 2 2 1 13 3 3 4
0 0 0 1 1 2 2 1 12 3 4 4

0 0 0 1 1 2 2 1 13 3 3 4

0 0 0 1 1 2 2 1 13 3 3 4
0 0 0 2 1 2 2 1 29 3 3 4
0 0 0 1 1 2 2 1 12 3 3 4
2 1 1 2 2 2 2 1 21 3 3 4
0 0 0 2 1 2 2 1 14 3 4 4
0 0 0 2 2 2 2 1 15 3 3 4
0 0 0 2 1 2 2 1 14 3 3 4
0 0 0 2 2 2 2 1 15 3 3 2

0 0 0 1 1 2 2 1 13 3 4 4
0 0 0 1 1 2 2 1 13 3 3 4
0 0 0 2 1 2 2 1 14 3 3 4
3 2 3 25 20 34 34 18 259 0 51 54 66
Rumah & Lingkungan Perilaku Anggota Keluar
Total Kriteria
C4 C5 C6 C7 C8 C9 C10 D1 D2 D3 D4

2 3 3 2 2 2 2 2 2 3 2
2 1 3 2 2 2 2 2 2 3 2
2 3 3 2 2 2 2 2 2 3 2
2 1 1 1 1 2 1 2 2 3 2
2 1 3 2 2 2 1 2 2 3 2

2 3 3 2 2 2 2 1 3 2 1

2 1 1 2 2 2 2 2 2 3 2
2 3 3 2 2 2 2 2 2 3 2
2 1 1 1 1 1 1 1 2 3 2
2 1 3 2 1 1 1 2 2 3 2
2 1 3 1 2 2 1 2 2 3 2
2 3 1 1 2 1 1 2 2 2 2
2 3 3 1 2 2 1 1 2 3 2
2 3 2 2 1 2 1 2 2 3 2

2 3 3 2 2 1 1 2 2 3 2
2 3 3 1 2 1 1 1 2 3 2
2 1 3 2 1 2 1 1 2 3 1
34 35 42 28 29 29 23 0 0 29 35 49 32
Perilaku Anggota Keluarga (D)
Total Kriteria
D5 D6 D7 D8 D9 D10 E1 E2 E3 E4 E5

1 1 2 2 2 2 1 1 1 1 1
1 1 2 2 2 2 1 1 1 1 1
1 1 2 2 2 2 1 1 1 1 1
1 1 2 2 2 2 2 1 1 1 1
1 1 2 2 2 2 1 1 1 1 1

1 1 2 2 2 2 1 1 1 1 1

1 1 2 2 2 2 1 1 1 1 1
1 1 2 2 2 2 1 1 1 1 1
1 2 2 2 2 2 2 2 1 1 1
1 2 2 2 2 2 1 1 1 1 1
1 2 2 2 2 2 2 1 1 1 1
1 2 2 2 2 2 1 1 1 1 1
1 2 2 2 2 2 2 1 1 1 1
1 1 2 2 2 2 1 1 1 1 1

1 1 2 2 2 2 1 1 1 1 1
1 1 2 2 2 2 1 1 1 1 1
2 1 2 2 2 2 1 1 1 1 1
18 22 34 34 34 34 0 0 21 18 17 17 17
Survelance (E)
Total
E6 E7 E8 E9 E10 E11 E12 E13 E14 E15 E16 E17

1 1 1 1 1 1 1 1 2 3 2 2 22
1 1 2 1 1 1 1 1 2 3 2 2 23
1 1 1 1 1 1 1 1 2 3 2 2 22
1 2 1 1 1 1 1 1 2 3 2 2 24
1 1 1 2 1 1 1 1 2 3 2 2 23

1 2 2 1 1 1 1 1 2 3 2 2 24

1 1 2 1 1 1 1 1 1 3 2 1 21
1 1 2 1 1 1 1 1 2 3 2 2 23
1 2 2 2 1 1 1 1 2 3 2 2 27
1 1 2 1 1 1 1 1 2 2 2 2 22
1 1 1 1 1 1 1 1 2 2 2 2 22
1 1 1 1 1 1 1 1 1 2 1 2 19
1 1 2 1 1 1 1 1 2 3 2 2 24
1 1 2 1 1 1 1 1 2 3 2 2 23

1 2 1 1 1 1 1 1 2 2 2 2 22
1 1 2 1 1 1 1 1 2 3 2 2 23
1 1 1 1 1 1 1 1 2 3 1 2 21
17 21 26 19 17 17 17 17 32 47 32 33 385
Penderita Gangguan Jiwa (F) LANSIA (G)
Kriteria Total Kriteria Total Kriteria
F1 F2 G1 G2

1 1 2 1 1 2
1 1 2 2 1 3
1 1 2 2 2 4
1 1 2 2 2 4
1 1 2 1 1 2

1 1 2 2 2 4

1 1 2 2 1 3
1 1 2 1 1 2
1 1 2 2 1 3
1 1 2 1 1 2
1 1 2 1 1 2
1 1 2 1 1 2
1 1 2 1 1 2
1 1 2 1 1 2

1 1 2 1 1 2
1 1 2 1 1 2
1 1 2 1 1 2
0 17 17 34 0 23 20 43 0
m
Akses Pelayanan & Pembiayan Kesehatan (A)
Jenis
No Nama Umur Pendidikan Total
Kelamin
A1 A2 A3 A4

1 Tn. OTTO L 50 THN SMA 4 4 2 2 12


2 Tn. LATUO L 51 THN SD 4 4 2 2 12
3 Tn. SUYARNO L 36 THN SD 4 4 2 2 12
4 Tn. SETTU L 52 THN SD 4 4 3 2 13
5 Tn. SAHRUL L 44 THN SD 4 4 2 2 12
6 Tn. AKSA PRIMA L 48 THN SMP 4 4 2 2 12
7 Tn. AHMAD L 50 THN SMA 4 4 2 2 12
8 Tn. PRAWORO L 36 THN SMP 4 4 3 2 13
9 Tn. AKHMAD JAWAWI L 51 THN SMA 4 4 2 2 12
10 Ny. HALIMA P 57 THN SD 4 4 3 2 13
11 Tn. HARIFIN MANDA L 38 THN SLTP 4 3 2 2 11
12 Tn. DEDI ASBULLOH L 41 THN SMA 4 3 2 2 11
13 Tn. MARUDDANI MUNTU L 44 THN SLTP 4 3 2 2 11
14 Tn.TOHARI L 72 THN SD 4 3 2 2 11
15 Ny. JUMU P 66 THN SD 4 3 2 2 11
16 Tn. IRFAN L 44 THN S1 4 3 2 2 11
17 Ny. SITTI KHOTIJAH P 54 THN SD 4 3 1 2 10
TOTAL 68 61 36 34 199
Kesehatan Ibu dan Anak, KB, Gizi, & Imunisasi (B)
Kriteria
B7
B1 B2 B3 B4 B5 B6 B8 B9
B7.1 B7.2 B7.3 B7.4
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 2
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 1
1 0 0 0 0 0 1 1 1 1 1 2
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 1
2 2 3 3 1 3 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 2 1
2 4 3 2 4 1 1 1 1 1 1 2
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 0
1 0 0 0 0 0 1 1 1 1 1 0
0 19 6 6 5 5 4 17 17 17 17 18 9
Gizi, & Imunisasi (B) Rumah
Total Kriteria
B10 B11 B12 B13 B14 B15 B16 B17 C1 C2 C3

0 0 0 2 1 2 2 1 14 3 3 4
0 0 0 1 1 2 2 1 13 3 3 4
2 1 2 2 2 2 2 1 22 3 3 4
0 0 0 1 1 2 2 1 13 3 3 4
1 1 1 1 2 2 2 1 18 3 3 4
0 0 0 2 2 2 2 1 17 3 3 2
0 0 0 2 1 2 2 1 14 3 3 4
0 0 0 2 2 2 2 1 16 3 3 3
0 0 0 2 1 2 2 1 27 3 3 4
0 0 0 1 1 2 2 1 13 3 3 4
0 0 0 2 2 2 2 1 15 3 3 4
2 1 2 2 2 2 2 1 22 3 3 4
2 1 1 2 1 2 2 1 35 3 3 4
0 0 0 1 1 2 2 1 13 3 3 4
0 0 0 1 1 2 2 1 13 3 3 4
0 0 0 2 1 2 2 1 14 3 1 4
0 0 0 1 1 2 1 1 12 3 4 4
7 4 6 27 23 34 33 17 291 0 51 50 65
Rumah & Lingkungan Perilaku Anggota K
Total Kriteria
C4 C5 C6 C7 C8 C9 C10 D1 D2 D3 D4

2 1 3 1 1 1 1 20 2 2 3 2
2 1 3 1 1 1 1 20 2 2 3 2
2 1 1 1 1 1 1 18 2 2 3 2
2 1 1 1 1 1 1 18 2 2 3 2
2 3 3 1 1 1 1 22 2 2 3 2
2 1 3 1 1 1 1 18 1 2 3 2
2 1 1 1 1 1 1 18 1 2 3 2
4 2 2 1 1 1 1 21 1 2 2 3
2 1 1 1 1 1 2 19 1 2 3 2
2 1 1 1 1 1 1 18 1 2 3 1
2 1 1 1 2 1 1 19 2 2 3 1
2 3 1 1 2 1 1 21 2 2 3 1
2 1 1 1 2 1 1 19 2 2 3 1
2 3 1 2 2 2 1 23 1 2 3 2
2 1 1 1 1 1 1 18 1 2 3 1
2 1 1 2 2 2 1 19 2 2 3 2
2 1 1 1 2 1 1 20 1 2 3 2
36 24 26 19 23 19 18 331 0 26 34 50 30
Perilaku Anggota Keluarga (D)
Total Kriteria
D5 D6 D7 D8 D9 D10 E1 E2 E3 E4 E5

2 1 2 2 2 2 20 1 1 1 1 1
2 1 2 2 2 2 20 1 1 1 1 1
2 1 2 2 2 2 20 1 1 1 1 1
2 1 1 1 1 1 16 1 1 1 1 1
2 1 2 2 2 2 20 1 1 1 1 1
2 1 2 2 2 2 19 1 1 1 1 1
1 1 2 2 2 2 18 1 1 1 1 1
2 1 1 1 1 1 15 1 1 1 1 1
2 2 2 2 2 2 20 1 1 1 1 1
2 2 2 2 2 2 19 2 1 1 1 1
2 2 2 2 2 2 20 2 1 1 1 1
2 2 2 2 2 2 20 2 1 1 1 1
2 2 2 2 2 2 20 1 1 1 1 1
2 2 2 2 2 2 20 1 1 1 1 1
2 2 2 2 2 2 19 1 1 1 1 1
2 2 2 2 2 2 21 1 1 1 1 1
2 2 2 2 2 2 20 1 1 1 1 1
33 26 32 32 32 32 327 0 20 17 17 17 17
Survelance (E)
Total
E6 E7 E8 E9 E10 E11 E12 E13 E14 E15 E16 E17

1 1 1 1 1 1 1 1 2 3 1 2 21
1 1 1 1 1 1 1 1 2 3 1 2 21
1 1 1 1 1 1 1 1 2 3 1 2 21
1 1 1 2 1 1 1 2 2 2 1 2 22
1 1 1 1 1 1 1 1 2 3 1 2 21
1 1 1 1 1 1 1 1 2 3 1 2 21
1 2 1 1 1 1 1 1 2 2 1 2 21
1 1 1 1 1 1 1 1 2 2 1 2 20
1 1 1 1 1 1 1 1 2 2 1 2 20
1 1 1 1 1 1 1 1 2 2 2 1 21
1 1 1 1 1 1 1 1 2 2 2 2 22
1 1 1 1 1 1 1 2 2 2 2 2 23
1 1 1 1 1 1 1 1 2 2 2 2 21
1 1 1 1 1 1 1 1 2 2 2 2 21
1 1 1 1 1 1 1 1 2 2 2 2 21
1 1 1 1 1 1 1 1 2 2 2 2 21
1 1 1 1 1 1 1 2 2 2 2 2 22
17 18 17 18 17 17 17 20 34 39 25 33 360
Penderita Gangguan Jiwa (F) LANSIA (G)
Kriteria Total Kriteria Total Kriteria
F1 F2 G1 G2

1 1 2 1 1 2
1 1 2 1 1 2
1 1 2 1 1 2
1 1 2 2 1 3
1 1 2 1 1 2
1 1 2 2 1 3
1 1 2 2 1 3
1 1 2 1 1 2
1 1 2 2 1 3
1 1 2 1 1 2
1 1 2 1 1 2
1 1 2 1 1 2
1 1 2 1 1 2
1 1 2 2 2 4
1 1 2 2 1 3
1 1 2 1 1 2
1 1 2 1 1 2
0 17 17 34 0 23 18 41 0
m

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