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LB1 Januari 2018
LB1 Januari 2018
Periode 01-01
Kabupaten/Kota
Provinsi
0-7 Hr
No KELOMPOK KODE Penyakit Baru
L
1 A01.0 Typhoid fever 0
2 A06.8 Amoebic infection of other sites 0
3 A08.1 Acute gastroenteropathy due to Norwalk agent 0
4 A09 Diarrhoea and gastroenteritis of presumed infectious origin 0
5 A15.0 Tuberculosis of lung, confirmed by sputum microscopy with or w 0
6 A18.2 Tuberculous peripheral lymphadenopathy 0
7 A74.0 Chlamydial conjunctivitis 0
8 A90 Dengue fever [classical dengue] 0
9 B00.1 Herpesviral vesicular dermatitis 0
10 B01.8 Varicella with other complications 0
11 B01.9 Varicella without complication 0
12 B02.9 Zoster without complication 0
13 B05.9 Measles without complication 0
14 B20.9 HIV disease resulting in unspecified infectious or parasitic diseas 0
15 B26.9 Mumps without complication 0
16 B30.8 Other viral conjunctivitis 0
17 B30.9 Viral conjunctivitis, unspecified 0
18 B35.0 Tinea barbae and tinea capitis 0
19 B35.1 Tinea unguium 0
20 B35.3 Tinea pedis 0
21 B35.4 Tinea corporis 0
22 B35.6 Tinea cruris 0
23 B35.8 Other dermatophytoses 0
24 B36.0 Pityriasis versicolor 0
25 B37.0 Candidal stomatitis 0
26 B37.3 Candidiasis of vulva and vagina 0
27 B85.0 Pediculosis due to Pediculus humanus capitis 0
28 B90.2 Sequelae of tuberculosis of bones and joints 0
29 C49.3 Malignant neoplasm of connective and soft tissue of thorax 0
30 C54.2 Malignant neoplasm of myometrium 0
31 C72.0 Malignant neoplasm of spinal cord 0
32 C76.0 Malignant neoplasm of head, face and neck 0
33 D05.1 Intraductal carcinoma in situ 0
34 D13.1 Benign neoplasm of stomach 0
35 D17.0 Benign lipomatous neoplasm of skin and subcutaneous tissue of 0
36 D17.5 Benign lipomatous neoplasm of intra-abdominal organs 0
37 D23.5 Other benign neoplasm of skin of trunk 0
38 D29.1 Benign neoplasm of prostate 0
39 D34 Benign neoplasm of thyroid gland 0
40 D40.0 Neoplasm of uncertain or unknown behavior of prostate 0
41 D50.8 Other iron deficiency anaemias 0
42 D61.8 Other specified aplastic anaemias 0
43 D61.9 Aplastic anaemia, unspecified 0
44 E10.6 Insulin-dependent diabetes mellitus with other specified compli 0
45 E10.9 Insulin-dependent diabetes mellitus without complications 0
46 E11.1 Non-insulin-dependent diabetes mellitus with ketoacidosis 0
47 E11.2 Non-insulin-dependent diabetes mellitus with renal complicatio 0
48 E11.4 Non-insulin-dependent diabetes mellitus with neurological comp 0
49 E11.6 Non-insulin-dependent diabetes mellitus with other specified c 0
50 E11.9 Non-insulin-dependent diabetes mellitus without complications 0
51 E66.0 Obesity due to excess calories 0
52 E78.0 Pure hypercholesterolaemia 0
53 E78.1 Pure hyperglyceridaemia 0
54 E78.5 Hyperlipidaemia, unspecified 0
55 E79.0 Hyperuricaemia without signs of inflammatory arthritis and top 0
56 F20.0 Paranoid schizophrenia 0
57 F32.0 Mild depressive episode 0
58 F43.1 Post-traumatic stress disorder 0
59 F70.1 Mild mental retardation, significant impairment of behaviour req 0
60 G20 Parkinsons disease 0
61 G40.0 Localization-related (focal) (partial) idiopathic epilepsy and epi 0
62 G40.8 Other epilepsy 0
63 G44.0 Cluster headache syndrome 0
64 G44.1 Vascular headache, not elsewhere classified 0
65 G44.2 Tension-type headache 0
66 G44.8 Other specified headache syndromes 0
67 G50.8 Other disorders of trigeminal nerve 0
68 G52.9 Cranial nerve disorder, unspecified 0
69 G54.9 Nerve root and plexus disorder, unspecified 0
70 G55.2 Nerve root and plexus compressions in spondylosis 0
71 G56.0 Carpal tunnel syndrome 0
72 G57.8 Other mononeuropathies of lower limb 0
73 G62.9 Polyneuropathy, unspecified 0
74 G70.0 Myasthenia gravis 0
75 G81.9 Hemiplegia, unspecified 0
76 H00.0 Hordeolum and other deep inflammation of eyelid 0
77 H01.0 Blepharitis 0
78 H04.4 Chronic inflammation of lacrimal passages 0
79 H04.5 Stenosis and insufficiency of lacrimal passages 0
80 H05.8 Other disorders of orbit 0
81 H10.1 Acute atopic conjunctivitis 0
82 H10.5 Blepharoconjunctivitis 0
83 H10.9 Conjunctivitis, unspecified 0
0
84 H15.1 Episcleritis 0
85 H16.8 Other keratitis 0
86 H25.0 Senile incipient cataract 0
87 H25.1 Senile nuclear cataract 0
88 H25.8 Other senile cataract 0
89 H26.0 Infantile, juvenile and presenile cataract 0
90 H26.9 Cataract, unspecified 0
0
91 H35.3 Degeneration of macula and posterior pole 0
92 H36.0 Diabetic retinopathy 0
93 H52.0 Hypermetropia 0
94 H52.1 Myopia 0
95 H52.6 Other disorders of refraction 0
96 H52.7 Disorder of refraction, unspecified 0
0
97 H58.0 Anomalies of pupillary function in diseases classified elsewhere 0
98 H60.3 Other infective otitis externa 0
99 H60.8 Other otitis externa 0
100 H60.9 Otitis externa, unspecified 0
101 H61.2 Impacted cerumen 0
102 H65.0 Acute serous otitis media 0
103 H65.1 Other acute nonsuppurative otitis media 0
104 H65.2 Chronic serous otitis media 0
105 H66.3 Other chronic suppurative otitis media 0
106 H70.0 Acute mastoiditis 0
107 H70.8 Other mastoiditis and related conditions 0
108 H81.1 Benign paroxysmal vertigo 0
109 H92.0 Otalgia 0
110 H92.2 Otorrhagia 0
111 H93.1 Tinnitus 0
112 I05.9 Mitral valve disease, unspecified 0
113 I10 Essential (primary) hypertension 0
114 I11.0 Hypertensive heart disease with (congestive) heart failure 0
115 I11.9 Hypertensive heart disease without (congestive) heart failure 0
116 I23.4 Rupture of chordae tendineae as current complication following 0
117 I25.0 Atherosclerotic cardiovascular disease, so described 0
118 I25.1 Atherosclerotic heart disease 0
119 I42.8 Other cardiomyopathies 0
120 I50.0 Congestive heart failure 0
121 I61.1 Intracerebral haemorrhage in hemisphere, cortical 0
122 I63.0 Cerebral infarction due to thrombosis of precerebral arteries 0
123 I64 Stroke, not specified as haemorrhage or infarction 0
124 I67.9 Cerebrovascular disease, unspecified 0
125 I69.4 Sequelae of stroke, not specified as haemorrhage or infarction 0
126 I84.0 Internal thrombosed haemorrhoids 0
127 I84.1 Internal haemorrhoids with other complications 0
128 I84.3 External thrombosed haemorrhoids 0
129 I88.8 Other nonspecific lymphadenitis 0
130 I88.9 Nonspecific lymphadenitis, unspecified 0
131 I95.9 Hypotension, unspecified 0
132 J00 Acute nasopharyngitis [common cold] 0
133 J01.8 Other acute sinusitis 0
134 J02.9 Acute pharyngitis, unspecified 0
135 J03.9 Acute tonsillitis, unspecified 0
136 J04.0 Acute laryngitis 0
137 J06.9 Acute upper respiratory infection, unspecified 0
0
138 J18.0 Bronchopneumonia, unspecified 0
139 J30.0 Vasomotor rhinitis 0
140 J30.1 Allergic rhinitis due to pollen 0
141 J30.3 Other allergic rhinitis 0
142 J30.4 Allergic rhinitis, unspecified 0
143 J31.2 Chronic pharyngitis 0
144 J32.0 Chronic maxillary sinusitis 0
145 J33.0 Polyp of nasal cavity 0
146 J33.9 Nasal polyp, unspecified 0
147 J34.0 Abscess, furuncle and carbuncle of nose 0
148 J34.3 Hypertrophy of nasal turbinates 0
149 J35.0 Chronic tonsillitis 0
150 J39.3 Upper respiratory tract hypersensitivity reaction, site unspecifie 0
151 J44.0 Chronic obstructive pulmonary disease with acute lower respirat 0
152 J45.0 Predominantly allergic asthma 0
153 J45.9 Asthma, unspecified 0
0
154 J85.0 Gangrene and necrosis of lung 0
155 J90 Pleural effusion, not elsewhere classified 0
156 J91 Pleural effusion in conditions classified elsewhere 0
157 K00.3 Mottled teeth 0
158 K00.6 Disturbances in tooth eruption 0
159 K01.1 Impacted teeth 0
0
160 K02.1 Caries of dentine 0
161 K02.3 Arrested dental caries 0
162 K02.9 Dental caries, unspecified 0
0
163 K04.0 Pulpitis 0
164 K04.1 Necrosis of pulp 0
165 K04.5 Chronic apical periodontitis 0
166 K04.7 Periapical abscess without sinus 0
167 K04.9 Other and unspecified diseases of pulp and periapical tissues 0
0
168 K05.0 Acute gingivitis 0
169 K05.1 Chronic gingivitis 0
170 K05.2 Acute periodontitis 0
171 K05.3 Chronic periodontitis 0
172 K05.4 Periodontosis 0
173 K05.5 Other periodontal diseases 0
174 K06.0 Gingival recession 0
175 K06.1 Gingival enlargement 0
176 K06.8 Other specified disorders of gingiva and edentulous alveolar rid 0
177 K06.9 Disorder of gingiva and edentulous alveolar ridge, unspecified 0
0
178 K07.3 Anomalies of tooth position 0
179 K08.3 Retained dental root 0
180 K12.1 Other forms of stomatitis 0
181 K13.1 Cheek and lip biting 0
182 K30 Dyspepsia 0
183 K31.2 Hourglass stricture and stenosis of stomach 0
184 K59.0 Constipation 0
185 K59.1 Functional diarrhoea 0
186 K73.9 Chronic hepatitis, unspecified 0
187 K80.0 Calculus of gallbladder with acute cholecystitis 0
188 K80.1 Calculus of gallbladder with other cholecystitis 0
189 K80.8 Other cholelithiasis 0
190 K92.0 Haematemesis 0
191 L01.0 Impetigo [any organism] [any site] 0
192 L02.0 Cutaneous abscess, furuncle and carbuncle of face 0
193 L02.1 Cutaneous abscess, furuncle and carbuncle of neck 0
194 L02.2 Cutaneous abscess, furuncle and carbuncle of trunk 0
195 L02.3 Cutaneous abscess, furuncle and carbuncle of buttock 0
196 L02.8 Cutaneous abscess, furuncle and carbuncle of other sites 0
197 L02.9 Cutaneous abscess, furuncle and carbuncle, unspecified 0
198 L03.0 Cellulitis of finger and toe 0
199 L08.9 Local infection of skin and subcutaneous tissue, unspecified 0
200 L20.8 Other atopic dermatitis 0
201 L20.9 Atopic dermatitis, unspecified 0
202 L21.0 Seborrhoea capitis 0
203 L22 Diaper [napkin] dermatitis 0
204 L24.0 Irritant contact dermatitis due to detergents 0
205 L28.0 Lichen simplex chronicus 0
206 L28.1 Prurigo nodularis 0
207 L28.2 Other prurigo 0
208 L29.8 Other pruritus 0
209 L30.3 Infective dermatitis 0
210 L30.8 Other specified dermatitis 0
211 L30.9 Dermatitis, unspecified 0
212 L40.8 Other psoriasis 0
213 L42 Pityriasis rosea 0
214 L50.0 Allergic urticaria 0
215 L50.1 Idiopathic urticaria 0
216 L60.8 Other nail disorders 0
217 L60.9 Nail disorder, unspecified 0
218 L62.8 Nail disorders in other diseases classified elsewhere 0
219 L70.0 Acne vulgaris 0
220 L73.2 Hidradenitis suppurativa 0
221 L74.1 Miliaria crystallina 0
222 L74.3 Miliaria, unspecified 0
223 L84 Corns and callosities 0
224 L98.4 Chronic ulcer of skin, not elsewhere classified 0
225 M06.21 Rheumatoid bursitis, shoulder region 0
226 M10.0 Idiopathic gout 0
227 M15.0 Primary generalized (osteo)arthrosis 0
228 M15.4 Erosive (osteo)arthrosis 0
229 M17.0 Primary gonarthrosis, bilateral 0
230 M19.0 Primary arthrosis of other joints 0
231 M20.0 Deformity of finger(s) 0
232 M25.5 Pain in joint 0
233 M25.7 Osteophyte 0
234 M41.9 Scoliosis, unspecified 0
235 M47.25 Other spondylosis with radiculopathy, thoracolumbar region 0
236 M51.1 Lumbar and other intervertebral disc disorders with radiculopat 0
237 M54.5 Low back pain 0
238 M54.56 Low back pain, lumbar region 0
239 M62.6 Muscle strain 0
240 M62.62 Muscle strain, upper arm 0
241 M62.66 Muscle strain, lower leg 0
242 M65.3 Trigger finger 0
243 M65.4 Radial styloid tenosynovitis [de Quervain] 0
244 M65.44 Radial styloid tenosynovitis [de quervain], hand 0
245 M67.4 Ganglion 0
246 M75.0 Adhesive capsulitis of shoulder 0
247 M75.1 Rotator cuff syndrome 0
248 M79.0 Rheumatism, unspecified 0
249 M79.00 Rheumatism, unspecified, multiple sites 0
250 M79.1 Myalgia 0
251 M79.10 Myalgia, multiple sites 0
252 M79.11 Myalgia, shoulder region 0
253 M79.2 Neuralgia and neuritis, unspecified 0
254 M89.4 Other hypertrophic osteoarthropathy 0
255 N04.0 Nephrotic syndrome, minor glomerular abnormality 0
256 N06.9 Isolated proteinuria with specified morphological lesion, unspeci 0
257 N18.8 Other chronic renal failure 0
258 N18.9 Chronic renal failure, unspecified 0
259 N20.0 Calculus of kidney 0
260 N39.0 Urinary tract infection, site not specified 0
261 N40 Hyperplasia of prostate 0
262 N47 Redundant prepuce, phimosis and paraphimosis 0
263 N60.2 Fibroadenosis of breast 0
264 N76.0 Acute vaginitis 0
265 N76.1 Subacute and chronic vaginitis 0
266 N81.2 Incomplete uterovaginal prolapse 0
267 N81.4 Uterovaginal prolapse, unspecified 0
268 N83.2 Other and unspecified ovarian cysts 0
269 N91.1 Secondary amenorrhoea 0
270 N92.4 Excessive bleeding in the premenopausal period 0
271 N93.9 Abnormal uterine and vaginal bleeding, unspecified 0
272 N94.4 Primary dysmenorrhoea 0
273 N94.6 Dysmenorrhoea, unspecified 0
274 O03.4 Spontaneous abortion, incomplete, without complication 0
275 O28.9 Abnormal finding on antenatal screening of mother, unspecified 0
276 O34.2 Maternal care due to uterine scar from previous surgery 0
277 O91.2 Nonpurulent mastitis associated with childbirth 0
278 P07.0 Extremely low birth weight 0
279 P07.3 Other preterm infants 0
280 P57.9 Kernicterus, unspecified 0
281 P58.8 Neonatal jaundice due to other specified excessive haemolysis 0
282 Q05.7 Lumbar spina bifida without hydrocephalus 0
283 Q21.3 Tetralogy of Fallot 0
284 Q81.1 Epidermolysis bullosa letalis 0
285 R04.2 Haemoptysis 0
286 R05 Cough 0
287 R06.8 Other and unspecified abnormalities of breathing 0
288 R07.3 Other chest pain 0
289 R10.4 Other and unspecified abdominal pain 0
290 R11 Nausea and vomiting 0
291 R22.0 Localized swelling, mass and lump, head 0
292 R22.1 Localized swelling, mass and lump, neck 0
293 R22.4 Localized swelling, mass and lump, lower limb 0
294 R33 Retention of urine 0
295 R40.0 Somnolence 0
296 R42 Dizziness and giddiness 0
297 R49.0 Dysphonia 0
298 R50.0 Fever with chills 0
299 R50.9 Fever, unspecified 0
300 R51 Headache 0
301 R53 Malaise and fatigue 0
302 R56.0 Febrile convulsions 0
303 R56.8 Other and unspecified convulsions 0
304 R63.5 Abnormal weight gain 0
305 R74.9 Abnormal level of unspecified serum enzyme 0
306 S01.1 Open wound of eyelid and periocular area 0
307 S01.2 Open wound of nose 0
308 S02.4 Fracture of malar and maxillary bones 0
309 S04.3 Injury of trigeminal nerve 0
310 S14.5 Injury of cervical sympathetic nerves 0
311 S32.00 Fracture of lumbar vertebra, closed 0
312 S32.1 Fracture of sacrum 0
313 S62.10 Fracture of other carpal bone(s) , closed 0
314 S80.9 Superficial injury of lower leg, unspecified 0
315 S91.1 Open wound of toe(s) without damage to nail 0
316 T14.0 Superficial injury of unspecified body region 0
317 T14.1 Open wound of unspecified body region 0
318 T18.9 Foreign body in alimentary tract, part unspecified 0
319 T90.1 Sequelae of open wound of head 0
320 T92.0 Sequelae of open wound of upper limb 0
321 T93.0 Sequelae of open wound of lower limb 0
322 T93.1 Sequelae of fracture of femur 0
323 V01.0 Pedestrian injured in collision with pedal cycle, nontraffic accide 0
324 W53 Bitten by rat 0
325 W57 Bitten or stung by nonvenomous insect and other nonvenomous 0
326 Y60.0 Injury due to unintentional cut, puncture, perforation or haemor 0
327 Z00.0 General medical examination 0
328 Z00.1 Routine child health examination 0
329 Z03.0 Observation for suspected tuberculosis 0
330 Z09.0 Follow-up examination after surgery for other conditions 0
331 Z23.2 Need for immunization against tuberculosis [BCG] 0
332 Z24.0 Need for immunization against poliomyelitis 0
333 Z24.4 Need for immunization against measles alone 0
334 Z24.5 Need for immunization against rubella alone 0
335 Z27.1 Need for immunization against diphtheria-tetanus-pertussis, co 0
336 Z27.3 Need for immunization against diphtheria-tetanus-pertussis with 0
337 Z30.1 Insertion of (intrauterine) contraceptive device 0
338 Z30.4 Surveillance of contraceptive drugs 0
339 Z30.8 Other contraceptive management 0
340 Z34.8 Supervision of other normal pregnancy 0
341 Z34.9 Supervision of normal pregnancy, unspecified 0
342 Z35.8 Supervision of other high-risk pregnancies 0
343 Z39.2 Routine postpartum follow-up 0
344 Z41.2 Routine and ritual circumcision 0
345 Z63.4 Disappearance and death of family member 0
346 Z96.1 Presence of intraocular lens 0
347 Z97.4 Presence of external hearing-aid 0
TOTAL 0
Kepala Puskesmas
LAPORAN BULANAN LB1
, 28-Jan-2018
Pelapor
.....................................
ULANAN LB1
Kode Puskesmas :
0-7 Hr 8-28 Hr 1 bl<th
No ICD-10 JENIS PENYAKIT Baru Lama Baru Lama Baru Lama
L P L P L P L P L P L P
1 2 3 4 5 6
0404 A82 Rabies / Lyssa
0405 A91 DHF (Demam Berdarah Dengue)
0406 B01 Cacar Air - - - - - - - - - - - -
05
RIKETSIASIS DAN PENYAKIT KARENA
ARTHROPODA LAIN
0501 B53 Malaria dengan pemeriksaan Lab
0502 B50 Malaria tropika (P.Falsiparum)
0503 B54 Malaria tanpa pemeriksaan Lab (Malaria Klinis)
0504 A22 Anthrax
06 PENYAKIT KELAMIN
0601 A54 Infeksi Gonokok
0602 A56 Non Gonokok
0603 A57,A64 Penyakit kelamin lainnya
07
PENYAKIT INFEKSI KARENA PARASIT DAN
AKIBAT KEMUDIAN
0701 A66 Franbusia
0702 B74 Filariasis
0703 B76,B79 Penyakit Kecacingan
0704 B86 Scables
08 GANGGUAN MENTAL
0801 F20,F39 Gangguan Psikotik - - - - - - - - - - - -
Kode Puskesmas :
Kode Puskesmas :
14
PENYAKIT LAIN PADA SALURAN PERNAFASAN
BAWAH
1401 J18 Pneumonia - - - - - - - - - - - -
1402 J21 Bronkhitis - - - - - - - - - - - -
1403 J45 Asma - - - - - - - - - - - -
1404 J60,J65 Penyakit lain dari saluran pernafasan bawah - - - - - - - - - - - -
15 PENYAKIT RONGGA MULUT
1501 K02 Karies gigi - - - - - - - - - - - -
1502 K04 Penyakit Pulpa dan jaringan parapikal - - - - - - - - - - - -
1503 K05,K06 Ginggivitis dan penyakit periodontal - - - - - - - - - - - -
1504 K00 Ganggun gigi dan jaringan penyangga lainnya - - - - - - - - - - - -
Penyakit rongga mulut, kelenjar ludah, rahang
1505 K09,K13
dan lainnya - - - - - - - - - - - -
16 N20,N23 N30 PENYAKIT PADA SALURAN KENCING - - - - - - - - - - - -
17 SEBAB KELAINAN KEBIDANAN LANGSUNG
1701 O03 Keguguran
1702 O46
Pendarahan pd. Kehamilan, persalinan dan
masa nifas
1703 O14,O15 Keracunan kehamilan (Eklamsia)
1704 O63 Partus Lama
Kode Puskesmas :
22 PENYAKIT LAINNYA - - - - 1 2 - - 30 35 - 1
DATA YANG DIBUTUHKAN OLEH DARAH
23 A01 Tifoid - - - - - - - - - - - -
24 A16 TB Paru Klinis
25 A54 a. Duh Tubuh Uretra (GO+Chlamydia)
Kode Puskesmas :
Kode Puskesmas :
48 C22
Neoplasma Ganas Hati & Saluran empedu intra
hepatik
49 C34 Neoplasma Ganas Bronkus dan Paru
50 C50 Neoplasma Ganas Payudara
51 D24 Neoplasma Jinak Payudara Retino Blastoma
52 C53 Neoplasma Ganas Serviks Uteri
53 C94 Leukimia
54 D50 Anemia difisiensi besi
55 E10 Diabetes Melitus Bergantung Insulin - - - - - - - - - - - -
56 E11 Diabetes Melitus tidak Bergantung Insulin - - - - - - - - - - - -
57 E12 Diabetes Melitus Berhubungan Malnutrisi
58 E13 Diabetes Melitus YDT Lainnya
59 E14 Diabetes Melitus YDT
60 E40 Malnutrisi - - - - - - - - - - - -
61 E66 Obesitas - - - - - - - - - - - -
Kode Puskesmas :
64 F10
Gangguan Mental dan Prilaku akibat
penggunaan alkohol
65 F11
Gangguan Mental dan Prilaku akibat
penggunaan opium atau kokain
66 F13
Gangguan Mental dan Prilaku akibat
penggunaan hipnotika atau stimulasi
71 F48
Gangguan Psikotik non Organik lainnya atau
YTT
72 F30 Episode manik dan Gangguan Bipolar
Episode depresif, gangguan depresif berulang,
73 F32 gangguan suasan (Mood efektif menetap atau - - - - - - - - - - - -
YTT)
74 F40 Gangguan anxietas fobik, dan lainnya
Kode Puskesmas :
79 F50
sindrom makan, gangguan tidur, disfungsi
seksual, gangguan prilaku lainnya
Gangguan kepribadian, gangguan kesbiasaan
80 F52 dan impulsif, gangguan identitas, gangguan
perfensi seksual
81 F66 Gangguan perkembangan psikologis
82 F90
Gangguan hiperkinetik, gangguan tingkah laku,
emosional atau fungsi khas
83 F99 Gangguan Jiwa YTT - - - - - - - - - - - -
84 I21 Infark Miokard Akut - - - - - - - - - - - -
85 I20 Angina pektoris - - - - - - - - - - - -
86 I24 Penyakit Jantung Iskemik lainnya - - - - - - - - - - - -
87 I64 Stroke - - - - - - - - - - - -
88 K29 Gastritis dan Duodenitis - - - - - - - - 2 - - -
89 K74 Sirosis Hepatis
90 M05 Atritis reumatoid - - - - - - - - - - - -
Kode Puskesmas :
Mengetahui
Ka.PuskesmasKel. Bukit Duri
12 4 0 0 2 4 0 0 0 1 0 0 4 0 0 0 12 8 0 0 0 5 0 0
1 1 2 1 1
- - - - - - - - - - - - - - - - - 2 1 1 - - 2 -
JUMLAH KASUS PENDERITA
1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th
Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
L P L P L P L P L P L P L P L P L P L P L P L P
7 8 9 10 11 12
- 3 - 1 - 6 - 2 5 2 2 - 2 2 - - - - - - - - - -
- - - - - - - - - - - - - - - - 1 - 1 - - - - 1
- - - - - - - - - - - - 1 - - - 1 1 1 - - - - 1
- - - - - - - - - - - - - - - - - 1 - - - - - -
- - - - - 1 - - 1 2 2 - - 3 - - 11 10 1 - 3 11 - 1
- - - - - - - - - - - - - - - - - - 1 - - 1 - 1
- - - - 1 1 - - 1 1 1 - - - - - 2 2 1 - - 1 - -
1 - - - 1 1 - - - - - - 1 1 - - - - - - 1 1 - -
- - - - - - - - - - - - - - - - - - - - - 1 - -
- - - - - - - - - - - - - - - - - 1 - - - 2 1 -
- - - - - - - - - - - - - - - - 1 - - - - 2 - -
1 - - - - - - - - - - - - - - - - - - - 1 - - -
1 1 - 1 1 3 - - 1 1 - - 1 - - - 3 5 - - 1 - - -
- - - - - - - - - - - - - - - - 4 10 5 23 14 23 40 106
- - - - 1 2 - - - 2 - - 2 1 - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - -
1 - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - 1 - - - - -
- - - - - 1 - - - - - - - - - - 2 3 - - - 3 - 1
- - - - 1 - 1 - 3 1 - - 1 1 - - 2 5 2 1 - 6 1 3
- - - - 4 - - - - 1 - - 1 3 - - 3 8 - - - 5 - -
- - - - 2 4 1 2 - 1 - - 2 2 - 3 5 13 - 5 3 5 - -
- - - - 2 1 - - 1 - - - 1 4 - - 5 13 - - 3 8 - -
- - - - 7 13 - - 1 8 - - - - - 1 - 2 - - - - - -
1 - - - 1 1 - - - 1 - - 1 - - - 2 9 - - - 5 - 1
- - - - - - - - - - - - - 1 - - - 2 - - - 2 - -
- - - - - 1 - 1 2 - - - - 1 - - 2 - - - - - - -
4 2 - 1 3 2 - - 1 - - - 1 1 - - 3 6 - - 1 2 - 1
8 9 - - 14 7 - - 5 4 - - 5 1 - - 12 28 1 1 13 21 - 4
- - - - - - - - - - - - - - - - 2 1 - - - 5 1 -
17 14 8 7 32 35 1 - 18 11 - - 12 18 - 1 34 266 6 9 29 64 10 17
- - - - - - - - 1 - - - 1 - - - - - - - - - - -
- - - - - 1 - - - 2 - - - 1 - - - 2 - - - - - -
- - - - - - - - - - - - - - - - - - - - 1 1 - -
- - - - - - - - - - - - - - - - 1 1 5 - 3 9 10 20
2 - - - - 1 - - 1 - - - - - - - 1 1 - - - - - -
- - - - - - - - - 1 - - - - - - - 4 - - - - - -
JUMLAH KASUS PENDERITA
1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th
Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
L P L P L P L P L P L P L P L P L P L P L P L P
7 8 9 10 11 12
- - - - - - - - - - - - - - - - - 2 1 - - - 1 -
- - - - - - - - - - - - 1 - - - - - - 1 - - - -
JUMLAH KASUS PENDERITA
1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th
Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
L P L P L P L P L P L P L P L P L P L P L P L P
7 8 9 10 11 12
- - - - - - - - - - - - - - - - 1 - - - - - - -
- 1 1 - 1 2 - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - 1 - - -
- - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - 3 - 1 1 2 2
- - - - - - - - - - - - - - - - - - - - 2 2 2 -
- 3 1 - 5 3 - - 7 9 - - 9 5 - - 14 60 2 6 17 39 3 3
- - - - - - - - - - - - - - - - - - - - - - - -
Bulan : 0 1
Tahun : 0 1 8
JUMLAH JENIS
55-59 Th 60-69 Th >70 Th KELAMIN
L P L P L P L P L P L P L P L P
13 14 15 16 17
- - - - -
6 6 0 0 4 4 0 0 1 2 0 0 44 35 - - 79
- - - - -
- - - - -
- - 3 3 6
- - 4 - - - 3 - - - - - - 2 10 1 13
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
LB 1
Halaman 2
Bulan : 0 1
Tahun : 0 1 8
JUMLAH JENIS
55-59 Th 60-69 Th >70 Th KELAMIN
L P L P L P L P L P L P L P L P
13 14 15 16 17
- - - - -
- - - - -
- - - - - - - - - - - - 7 13 2 3 25
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - - - - - - - 1 - 1 1 3
LB 1
Halaman 3
Bulan : 0 1
Tahun : 0 1 8
JUMLAH JENIS
KELAMIN
55-59 Th 60-69 Th >70 Th
TOTAL
Baru Lama Baru Lama Baru Lama Baru Lama
L P L P L P L P L P L P L P L P
13 14 15 16 17
- - - - -
- - - - -
- - - - - - - - - - - - - 1 1 - 2
3 1 - - - 1 - - 2 - - - 7 3 1 1 12
- - - - - - - - - - - - - 1 - - 1
4 24 - 3 2 10 - 1 - - - 2 21 61 3 7 92
- - - - -
4 5 - 2 2 2 - 2 1 1 - - 7 9 1 5 22
2 1 - - - - - - 1 - - - 7 6 2 - 15
- - - - - - - - - - - - 4 3 - - 7
- - - - - - - - - - - - - 1 - - 1
- - - - - - - - - - - - - 3 1 - 4
- - - - - - - - - - - - 1 2 - - 3
1 3 1 1 1 - 1 - - 3 - - 4 6 2 1 13
1 2 - - - 1 - - - 1 - - 10 15 - 1 26
- - - - -
22 34 102 251 11 14 60 112 4 8 27 48 55 89 234 540 918
- - - - - - - - - - - - 3 5 - - 8
LB 1
Halaman 4
Bulan : 0 1
Tahun : 0 1 8
JUMLAH JENIS
55-59 Th 60-69 Th >70 Th KELAMIN
L P L P L P L P L P L P L P L P
13 14 15 16 17
50 77 1 4 26 41 - 3 13 14 1 1 321 436 2 11 770
- 1 - - - - - - - - - - - 1 - - 1
- - - - - - - - - - - - 1 - - - 1
- - - 2 - - - 2 - - - - - - 1 4 5
2 5 - 1 1 4 - - - - - - 5 16 - 2 23
7 5 11 5 4 3 8 4 3 - 3 - 21 21 26 13 81
1 2 - - 1 1 - - - - - - 10 20 - - 30
2 3 1 1 - 1 1 - 1 1 - - 15 30 3 11 59
5 13 - 1 2 5 - 1 1 2 - - 20 46 - 2 68
- - - - - - - - - - - - 8 23 - 1 32
3 9 2 - 1 5 2 - - 1 - - 9 31 4 1 45
- 2 - - - 1 - - - - - - - 8 - - 8
- - - - -
- - - - -
- - - - -
- - - - -
LB 1
Halaman 5
Bulan : 0 1
Tahun : 0 1 8
JUMLAH JENIS
55-59 Th 60-69 Th >70 Th KELAMIN
L P L P L P L P L P L P L P L P
13 14 15 16 17
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1 - - - 1 - - - - 4 2 - 3 9
- - - - -
- - - - -
3 5 - 1 3 3 - - - - - 1 19 22 - 4 45
17 27 2 3 6 12 - 1 5 11 2 1 86 121 5 10 222
6 11 2 5 5 3 1 3 1 5 1 1 14 25 5 9 53
- - - - - - - - - - - - 2 - - - 2
- - - - -
- - - - -
LB 1
Halaman 6
Bulan : 0 1
Tahun : 0 1 8
JUMLAH JENIS
55-59 Th 60-69 Th >70 Th KELAMIN
L P L P L P L P L P L P L P L P
13 14 15 16 17
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
LB 1
Halaman 7
Bulan : 0 1
Tahun : 0 1 8
JUMLAH JENIS
55-59 Th 60-69 Th >70 Th KELAMIN
L P L P L P L P L P L P L P L P
13 14 15 16 17
7 4 5 - 6 1 5 - 1 - - - 25 24 15 18 82
6 2 4 - 5 - 4 - 1 - - - 16 12 13 18 59
- - - - -
- 1 - - - 1 - - - - - - - 8 - - 8
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1 3 4 - - 3 - - 1 - 2 1 3 6 6 16
5 17 29 66 2 5 20 32 1 4 1 11 12 36 65 129 242
- - - - -
- - - - -
- - - - -
- - - - - - - - - - - - 4 2 - - 6
- - - - - - - - - - - - - 5 - - 5
LB 1
Halaman 8
Bulan : 0 1
Tahun : 0 1 8
JUMLAH JENIS
55-59 Th 60-69 Th >70 Th KELAMIN
L P L P L P L P L P L P L P L P
13 14 15 16 17
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 1 - - - - - - - - - - 2 3 - 5
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - - - - - - - 1 - - 1 2
- - - - -
LB 1
Halaman 9
Bulan : 0 1
Tahun : 0 1 8
JUMLAH JENIS
55-59 Th 60-69 Th >70 Th KELAMIN
L P L P L P L P L P L P L P L P
13 14 15 16 17
- - - - -
- - - - -
- - - - -
1 - - - - - - - - - - - 2 - - - 2
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - - - - - - - - 1 3 1 - 5
- - - - - - - - - - - - 1 - - - 1
- 1 - - - 1 - - - - - - - 2 - - 2
3 3 7 5 2 2 4 2 1 1 1 3 7 7 17 12 43
3 3 2 2 2 1 1 1 1 1 1 - 8 7 6 3 24
19 56 5 7 10 23 3 3 6 10 2 1 89 208 16 20 333
- - - - -
- 1 - - - 1 - - - - - - - 2 - - 2
LB 1
Halaman 10
Bulan : 0 1
Tahun : 0 1 8
JUMLAH JENIS
KELAMIN
TOTAL
JUMLAH JENIS
55-59 Th 60-69 Th >70 Th KELAMIN
L P L P L P L P L P L P L P L P
13 14 15 16 17
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
ri 2018
yakit
d Hardian
Kode Puskesmas :
Puskesmas : Kelurahan Bukit Duri
Kecamatan / Kelurahan : Tebet
Puskesmas Pembantu yang ada : Yang Lapor :
Kabupaten / Kodya : Jakarta Selatan
Provinsi : DKI Jakarta
LAPORAN BULAN
Kode Puskesmas :
Kode Puskesmas :
Kode Puskesmas :
22 PENYAKIT LAINNYA - - - - - - 1 2 - - 1 2 30 35 - 1 30 36 17 14 8 7 25 21 32 35 1 -
DATA YANG DIBUTUHKAN OLEH DARAH - - - - - - - - - - - - - - - - - - - -
23 A01 Tifoid - - - - - - - - - - - - - - - - - - - - - - - - - - - -
24 A16 TB Paru Klinis - - - - - - - - - - - - - - - - - - - - - - - - - - - -
25 A54 a. Duh Tubuh Uretra (GO+Chlamydia) - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1 1 - 3 1 2 68 30 38 70 37 33 96
Kode Puskesmas :
Kode Puskesmas :
Kode Puskesmas :
Kode Puskesmas :
0-7 Hr 8-28 Hr 1 bl<th 1-4 Th 5-9 Th
No ICD-10 JENIS PENYAKIT Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
∑ ∑ ∑ ∑
L P L P L P L P L P L P L P L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8
75 F42 Gangguan obsesif-komplusif - - - - - - - - - - - - - - - - - - - - - - - - - - - -
76 F44 Gangguan disosiatif (konversi) - - - - - - - - - - - - - - - - - - - - - - - - - - - -
77 F70 Reterdasi Mental - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Sindrom amnesti dan Gangguan Mental
78 F51
organik - - - - - - - - - - - - - - - - - - - - - - - - - - - -
sindrom makan, gangguan tidur, disfungsi
79 F50
seksual, gangguan prilaku lainnya - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Mengetahui
Ka.PuskesmasKel. Bukit Duri
drg. Sondang Marlina L. Gaol
NIP : 19620410199102001
AN BULANAN DATA KESEHATAN
JUMLAH KASUS PENDERITA
Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >70 T
∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
9 10 11 12 13 14 15
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
2 4 - 1 - - - 1 4 - - - 4 - 12 8 - - 12 8 - 5 - - - 5 6 6 - - 6 6 4 4 - - 4 4 1 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - 1 - 1 - - - 1 2 1 2 - - 1 1 1 1 - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - 2 1 1 1 3 - - 2 - 2 - - - 4 - 4 - - - 3 - 3 - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
2 4 1 - 1 5 5 - 27 14 13 9 3 6 16 10 6 11 7 4 3
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - 1 - 1 - 2 - - - - 1 - 1 - - - - - - - - - - - - - -
- 8 9 7 2 4 2 2 2 2 - 1 - 1 - - - - - - -
- - - - - - - - 1 - - - 1 - 1 1 1 - 2 1 - - - 1 - 1 3 1 - - 3 1 - 1 - - - 1 2 -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - 1 - - - 1 - - - - - - - - - - - - - - - - - - - -
- 1 1 2 2 - 3 2 - 3 - - - 3 11 10 1 - 12 10 3 11 - 1 3 12 4 24 - 3 4 27 2 10 - 1 2 11 - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - 1 - 1 - - 1 - 1 - 2 4 5 - 2 4 7 2 2 - 2 2 4 1 1
1 1 1 1 1 - 2 1 - - - - - - 2 2 1 - 3 2 - 1 - - - 1 2 1 - - 2 1 - - - - - - 1 -
1 1 - - - - - - 1 1 - - 1 1 - - - - - - 1 1 - - 1 1 - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - 1 - - - 1 - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - 1 - - - 1 - 2 1 - 1 2 - - - - - - - - - - - - - -
- - - - - - - - - - - - - - 1 - - - 1 - - 2 - - - 2 - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - 1 - - - 1 - 1 3 1 1 2 4 1 - 1 - 2 - - 3
- - - - - - - - - - - - - - - - - - - - - - - - - -
1 3 1 1 - - 1 1 1 - - - 1 - 3 5 - - 3 5 1 - - - 1 - 1 2 - - 1 2 - 1 - - - 1 - 1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - 4 10 5 23 9 33 14 23 40 106 54 129 22 34 102 251 124 285 11 14 60 112 71 126 4 8
- - - - - - - - - - - - - - - - - - - - - - - - - -
1 2 - 2 - - - 2 2 1 - - 2 1 - - - - - - - - - - - - - - - - - - - - - - - - - -
3 6 14 7 7 10 5 5 84 31 53 212 61 151 467 140 327 220 77 143 98
53 64 14 20 - - 14 20 12 13 - - 12 13 39 91 - 1 39 92 29 56 - 2 29 58 50 77 1 4 51 81 26 41 - 3 26 44 13 14
- - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - 1 - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - 1 - 1 - - - - - - - - - - 2 - 2 - - - 2 - 2 - -
- 1 - - - - - - - - - - - - 2 3 - - 2 3 - 3 - 1 - 4 2 5 - 1 2 6 1 4 - - 1 4 - -
2 - 3 1 - - 3 1 1 1 - - 1 1 2 5 2 1 4 6 - 6 1 3 1 9 7 5 11 5 18 10 4 3 8 4 12 7 3 -
- - - - - - - - - - - - - - - - - - - - - - - - - -
4 - - 1 - - - 1 1 3 - - 1 3 3 8 - - 3 8 - 5 - - - 5 1 2 - - 1 2 1 1 - - 1 1 - -
3 6 - 1 - - - 1 2 2 - 3 2 5 5 13 - 5 5 18 3 5 - - 3 5 2 3 1 1 3 4 - 1 1 - 1 1 1 1
2 1 1 - - - 1 - 1 4 - - 1 4 5 13 - - 5 13 3 8 - - 3 8 5 13 - 1 5 14 2 5 - 1 2 6 1 2
7 13 1 8 - - 1 8 - - - 1 - 1 - 2 - - - 2 - - - - - - - - - - - - - - - - - - - -
1 1 - 1 - - - 1 1 - - - 1 - 2 9 - - 2 9 - 5 - 1 - 6 3 9 2 - 5 9 1 5 2 - 3 5 - 1
- - - - - - - - - 1 - - - 1 - 2 - - - 2 - 2 - - - 2 - 2 - - - 2 - 1 - - - 1 - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
72 86 51 19 32 46 18 28 214 61 153 133 36 97 216 85 131 117 46 71 41
JUMLAH KASUS PENDERITA
Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >70 T
∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
9 10 11 12 13 14 15
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- 2 2 - - - 2 - - 1 - - - 1 2 - - - 2 - - - - - - - - - - 1 - 1 - - - 1 - 1 - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
3 2 1 - - - 1 - 1 1 - - 1 1 3 6 - - 3 6 1 2 - 1 1 3 3 5 - 1 3 6 3 3 - - 3 3 - -
14 7 5 4 - - 5 4 5 1 - - 5 1 12 28 1 1 13 29 13 21 - 4 13 25 17 27 2 3 19 30 6 12 - 1 6 13 5 11
- - - - - - - - - - - - - - 2 1 - - 2 1 - 5 1 - 1 5 6 11 2 5 8 16 5 3 1 3 6 6 1 5
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - 1 1 - - 1 1 - 1 3 4 3 5 - - 3 - 3 - - 1
- - - - - - - - - - - - - - 1 1 5 - 6 1 3 9 10 20 13 29 5 17 29 66 34 83 2 5 20 32 22 37 1 4
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- 1 1 - - - 1 - - - - - - - 1 1 - - 1 1 - - - - - - - - - - - - - - - - - - - -
- - - 1 - - - 1 - - - - - - - 4 - - - 4 - - - - - - - - - - - - - - - - - - - -
1 3 14 9 5 15 10 5 63 13 50 60 14 46 154 59 95 84 45 39 22
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - 2 1 - 1 2 - - 1 - 1 - - - 1 - 1 - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - 1 - - - 1 - - - - 1 - 1 - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - 1 1 - 4 1 3 1 1 - 1 1 - - - - -
JUMLAH KASUS PENDERITA
Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >70 T
∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
9 10 11 12 13 14 15
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - 1 - - - 1 - - - - - - - 1 - - - 1 - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1 2 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - 1 - - - 1 - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - 1 - 1 - - - 1 - -
- - - - - - - - - - - - - - - - 3 - 3 - 1 1 2 2 3 3 3 3 7 5 10 8 2 2 4 2 6 4 1 1
- - - - - - - - - - - - - - - - - - - - 2 2 2 - 4 2 3 3 2 2 5 5 2 1 1 1 3 2 1 1
5 3 7 9 - - 7 9 9 5 - - 9 5 14 60 2 6 16 66 17 39 3 3 20 42 19 56 5 7 24 63 10 23 3 3 13 26 6 10
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - 1 - 1 - - - 1 - -
6 5 16 7 9 14 9 5 86 20 66 75 28 47 118 40 78 56 22 34 28
JUMLAH KASUS PENDERITA
Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >70 T
∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
9 10 11 12 13 14 15
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - -
Bulan : 1 0
Tahun : 0 1 7
L 1135
JUMLAH JENIS
>70 Th KELAMIN
P 2349
Lama Baru Lama TOTAL
∑
L P L P L P L P 3484
15 16 17
- - - - - - - - -
- - 1 2 44 35 - - 79
- - - - - - - - -
- - - - - - - - -
- -
- - - - - - 3 3 6
- - - - - 2 10 1 13
- - - - - - - - -
- - - - - - - - -
- -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
3 1 2
LB 1
Halaman 2
Bulan : 1 0
Tahun : 0 1 7 ###
JUMLAH JENIS
>70 Th KELAMIN
- -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- -
- - - - 1 - 1 1 3
- - -
LB 1
Halaman 3
Bulan : 1 0
Tahun : 0 1 7 ###
JUMLAH JENIS
KELAMIN
>70 Th
TOTAL
Lama ∑ Baru Lama
L P L P L P L P
15 16 17
- - - - - - - - -
- - - - - - - - -
- - - - - 1 1 - 2
- - 2 - 7 3 1 1 12
- -
- - - - - 1 - - 1
- 2 - 2 21 61 3 7 92
- -
- - - - - - - - -
- - 1 1 7 9 1 5 22
- - 1 - 7 6 2 - 15
- - - - 4 3 - - 7
- - - - - 1 - - 1
- - - - - 3 1 - 4
- - - - 1 2 - - 3
- - - 3 4 6 2 1 13
- -
- - - 1 10 15 - 1 26
- - - - - - - - -
27 48 31 56 55 89 234 540 918
- -
- - - - 3 5 - - 8
98 35 63
LB 1
Halaman 4
Bulan : 1 0
Tahun : 0 1 7 ###
JUMLAH JENIS
>70 Th KELAMIN
- - - - - 1 - - 1
- -
- - - - 1 - - - 1
- - - - - - 1 4 5
- - - - 5 16 - 2 23
3 - 6 - 21 21 26 13 81
- -
- - - - 10 20 - - 30
- - 1 1 15 30 3 11 59
- - 1 2 20 46 - 2 68
- - - - 8 23 - 1 32
- - - 1 9 31 4 1 45
- - - - - 8 - - 8
- -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
41 22 19
LB 1
Halaman 5
Bulan : 1 0
Tahun : 0 1 7 ###
JUMLAH JENIS
>70 Th KELAMIN
- -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- -
- - - - 4 2 - 3 9
- - - - - - - - -
- - - - - - - - -
- -
- 1 - 1 19 22 - 4 45
2 1 7 12 86 121 5 10 222
1 1 2 6 14 25 5 9 53
LB 1
Halaman 6
Bulan : 1 0
Tahun : 0 1 7 ###
JUMLAH JENIS
>70 Th KELAMIN
LB 1
Halaman 7
Bulan : 1 0
Tahun : 0 1 7 ###
JUMLAH JENIS
>70 Th KELAMIN
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- 2 - 3 1 3 6 6 16
1 11 2 15 12 36 65 129 242
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - 4 2 - - 6
- - - - - 5 - - 5
22 4 18
LB 1
Halaman 8
Bulan : 1 0
Tahun : 0 1 7 ###
JUMLAH JENIS
>70 Th KELAMIN
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - 2 3 - 5
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - 1 - - 1 2
- - - - - - - - -
- - -
LB 1
Halaman 9
Bulan : 1 0
Tahun : 0 1 7 ###
JUMLAH JENIS
>70 Th KELAMIN
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - 1 3 1 - 5
- - - - 1 - - - 1
- - - - - 2 - - 2
1 3 2 4 7 7 17 12 43
1 - 2 1 8 7 6 3 24
2 1 8 11 89 208 16 20 333
- - - - - - - - -
- - - - - 2 - - 2
28 12 16
LB 1
Halaman 10
Bulan : 1 0
Tahun : 0 1 7 ###
JUMLAH JENIS
>70 Th KELAMIN
No Nama Umur 0-7 Hr 8-28 Hr 1 bl<th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th
L P L P L P L P L P L P L P L P L P L P L P
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Keterangan :
S : Sembuh, L : Lengkap, G : Gagal, DO : Drop Out, M : Meninggal, P : Pindah
>70 Th
L P
0 0
REGISTER KOHORT PENGOBATAN PENDERITA TBC PARU
PUSKESMAS KELURAHAN BUKIT DURI TAHUN : 2016
04/05/124/105
Juni Jln. BD. Tanjakan Dalam VI 18 04/94/020 6
10 Tn. Anwar Pindah Masuk P I
6/30/2016 Rt. 02/08 Tahun Neg/Ro + Neg
Keterangan :
S : Sembuh, L : Lengkap, G : Gagal, DO : Drop Out, M : Meninggal, P : Pindah
Keterangan :
S : Sembuh, L : Lengkap, G : Gagal, DO : Drop Out, M : Meninggal, P : Pindah
Keterangan :
S : Sembuh, L : Lengkap, G : Gagal, DO : Drop Out, M : Meninggal, P : Pindah
35
36
37
38
39
Keterangan :
S : Sembuh, L : Lengkap, G : Gagal, DO : Drop Out, M : Meninggal, P : Pindah
Mengetahui
Ka.PuskesmasKel. Bukit Duri
um/
Hasil Pemeriksaan Dahak di Bulan Ke
*HASIL Pengobatan
(S/L/G/DO/M/P)
4 5 6 7 AP
04/09/0031/87
7 04/09/031/1001 Sembuh
S:
Neg Neg Tgl. 02/08/2016
04/01/126/1057
+1
Pindah Berobat
PKC. Tebet
04/05/102/115 04/05/102/134
9 9 Sembuh
S:
Neg Neg Tgl. 18/10/2016
04/05/115/153
5 Lengkap
L:
L:
Neg Tgl. 21/10/2016
04/05/152/143
7
Neg
Pindah Ke
Pasar Minggu
04/05/02/923 04/05/02/923
TA TBC PARU
UN : 2016
um/
Hasil Pemeriksaan Dahak di Bulan Ke
*HASIL Pengobatan
(S/L/G/DO/M/P)
4 5 6 7 AP
04/05/02/923 04/05/02/923
04/05/02/923 04/05/02/923
04/05/02/923 04/05/02/923
04/05/02/923 04/05/02/923
04/05/02/923 04/05/02/923
04/05/02/923 04/05/02/923
04/05/02/923 04/05/02/923
04/05/02/923 04/05/02/923
TA TBC PARU
UN : 2016
um/
Hasil Pemeriksaan Dahak di Bulan Ke
*HASIL Pengobatan
(S/L/G/DO/M/P)
4 5 6 7 AP
04/09/0031/87
7 04/09/031/1001 Sembuh
S:
Neg Neg Tgl. 02/08/2016
TA TBC PARU
UN : 2016
um/
Hasil Pemeriksaan Dahak di Bulan Ke
*HASIL Pengobatan
(S/L/G/DO/M/P)
4 5 6 7 AP
Jakarta, 02 November 2016
Pelapor Program Penyakit TB. Paru
No Nama Umur 0-7 Hr 8-28 Hr 1 bl<th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th
L P L P L P L P L P L P L P L P L P L P L P
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 2 5 2 2 0 0 0
Keterangan :
S : Sembuh, L : Lengkap, G : Gagal, DO : Drop Out, M : Meninggal, P : Pindah
TGL MULAI REGISTER
>70 Th
PENGOBATAN DAHAK
L P
pindah pengobatan
0 0
puskesmas kelurahan bukit duri
jl. Bukit duri tanjakan dalam xi kec. Tebet
jakarta selatan
NO PUSKESMAS Pnemonia Pneumonia Berat Jumlah Batuk Bukan Pneumonia Jumlah kematian Balita Karena Pneumoni Bukan
JUMLAH USIA BALITA Sasaran (10% Penemonia
% Pneumoni
PENDUDUK (10 % Pddk) Balita) < 1 THN 1-4 THN < 1 THN 1-4 THN < 1 THN 1-4 THN JML < 1THN 1-4 THN JML < 1THN 1-4 THN JML
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
Fomat : c-`1
laporan kasus campak
bulan/tahun : Januari 2018
puskesmas : pkm.kel.bukit duri
kecamatan : pkm.kec.tebet
Alamat Umur /Sex VaksinCampakSebelumsakit TglTimbul TglDiambilSpesimen HasilSpesimen Klasifikasi Final*
No Nama Nama Org Lengkap DiberiVit A KeadaanAkhir
EpidKasus/KL Campak
B Anak Tua (Desa/RT/ Tidak/TdkTah Y/T (H/M) Rubella Lab
L P Brp Kali Demam Rash Darah Urin Darah Urin
RW) u
Lab (+) Epid Klinis
(+)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
21
puskesmas kelurahan bukit duri
jl. Bukit duri tanjakan dalam xi kec. Tebet
jakarta selatan
BULAN : OKTOBER
TAHUN : 2016
PUSKESMAS
JUMLAH KASUS PERGOLONGAN UMUR
KODE
NO JENIS PENYAKIT 0-7 HR 8-28 HR <1 THN <1-4 THN <5-9 THN <10-14 THN <15-19 THN <20-44 THN <45-54 THN <55-59 THN <60-69 THN >70 THN Pasien JUMLAH
IC-D X
B L B L B L B L B L B L B L B L B L B L B L B L B L
Rujuk Rawat Pulang
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
1 Gangguan Mental Organik F00# 0 0 0 0
2 Gangguan Penggunaan NAPZA & SIDA F10# 0 0 0 0
3 Skizoprenia dan Gangguan Psikotik Kronik lainnya F20# 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 5 0 2 0 2
4 Gangguan Psikotik Akut F23 0 0 0 0 0 0
5 Gangguan Bipolar F31 0 0 0 0
6 Gangguan Depresif F32# 0 0 0 0 0 0 0
7 Gangguan Neurotik F40# 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
8 Retardasi Mental F70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Gangguan Kesehatan Jiwa Anak dan Remaja F80-90# 0 0 0 0
10 Epilepsi G40# 1 0 0 0 0 0 0
11 Tindakan Bunuh diri 0 0 0 0
JUMLAH 0 4 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 2 0 4 0 2
Mengetahui Jakarta, 02 November 2016
Ka.PuskesmasKel. Bukit Duri Pelapor Program Jiwa
6 Jumlah Total Kunjungan (Semua Penyakit) LB 01 439 987 1886 611 251
in
Total
L P
7 5
- -
- -
- -
-
- -
- -
- -
- -
- -
742
4174
PUSKESMAS KELURAHAN BUKIT DURI
JLN. BUKIT DURI TANJAKAN DALAM XI KEC.TEBET
JAKARTA SELATAN
MINGGU KE : 43
KEJADIAN LUAR BIASA (KASUS BARU)
PWS - KLB
TAHUN : 2016
KERACUNAN
WILAYAH DIARE KOLERA DHF PES POLIO/APP PERTUSIS RABIES TN AFP CHIKUNGUNYAH LEPTOS
NO MAKANAN KET
RW RT P M P M P M P M P M P M P M P M P M P M P M P M
1 01 9 1
2 02 5 1
3 03
4 04
5 05 4 1
6 06
7 07
8 08 13, 2, 5 4
9 09 1 1
10 10 12 1
11 11 11 1
12 12 9, 4 2
13 13
14 14
15 15
16 16
JUMLAH 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
ket : Mengetahui Jakarta, 02 November 2016
p = penderita
m = meninggal Ka.PuskesmasKel. Bukit Duri Pelapor Diare Menurut Golongan Umur
ket :
p = penderita
m = meninggal
PKM.Bukit Duri
Jaundice akute
Chikungunyah
AFP (Lumpuh
Leptospirosis
L Pneumonia
Flu Burung
Berobat ke
Neonatum
Diare akut
Miningitis
Pertussis
Campak
Disentri
Tetanus
Tetanus
Malaria
Kluster
A
Antrax
Rabies
Kolera
HFMD
Difteri
Tifoid
Ilines
Y
A
H
A B C D E F G H I J K L M N P Q R S T U V W Y Z
PKM.Kel.Bu 11 1 514
kit Duri
Jumlah/Total 11 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 514
NO KEGIATAN MTBS
KECAMATAN KELURAHAN
16
53
0
275
275
5
49 58
60
3
12 1
15 0
11
20
3
1
10
42
62
8 11
10
PUSKESMAS KELURAHAN BUKIT DURI
JLN. BUKIT DURI TANJAKAN DALAM XI KEC.TEBET
JAKARTA SELATAN
JUMLAH SASARAN BERAT LAHIR JML BBLR JUMLAH CAKUPAN MTBM JUMLAH CAKUPAN MTBS JUMLAH CAKUPAN DDTK
3 paud
KUNJ BAYI
DDTK DI ASFIKSIA BBLR TN ISPA DIARE
RUJUK
0 0 0 0 0 0
puskesmas kelurahan bukit duri
jl. Bukit duri tanjakan dalam xi kec. Tebet
jakarta selatan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
40 41 42 43 44 45 46 47 1 2 3 48 49 50 51 52 53 54 55 56 57 58
Bukit
- 80 - 118 10 50 85 - 1 32679 - - - - - - - - - - -
Duri
LEMBAR 2
Total Penderita
Jumlah Fasyankes dan
9 thn > 20 tahun Jumlah Pemakaian Kader
Oralit
P L P L P L P L P
59 60 61 62 63 64 65 66 67
- - - - - - - - -
, 28 Januari 2018
Diare Menurut Golongan Umur
Muhammad Hardian