Lb12019 Puskesmas MH September

LAPORAN BULANAN DATA KESAKITAN ICDX
NO JENIS PENYAKIT JUMLAH PENDERITA

1 2 3 4 5 6 7 8 9 10
januari februari maret april mei juni juli agustus
P L P L P L P L P L P L P L P
A33 Tetanus neonatorum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J18.9 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A06.0 Disentri amuba 8 6 23 2 8 2 5 8 4 8 4 6 0 0 0
A03.9 Disentri Basiler 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A00.9 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133
A09 Diare dan Gastroenteritis 52 53 150 21 82 88 282 81 230 81 200 60 59 53 0
P59.9 Ikterus bayi baru lahir oleh sebab yang belum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
jelas
P58.9 Ikterus bayi baru lahir karena hemolisis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
berlebihan
Q66 Talipes Equinovarus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B05.9 Campak/Morbili/Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A36.9 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B54 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B53.1 Malaria Plasmodium Simian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B53.0 Malaria Plasmodium Ovale 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B52.9 Malaria Plasmodium Malariae 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B51.9 Malaria Plasmodium Vivax 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B50.9 Malaria Plasmodium Falciparum 2 0 3 0 0 0 0 0 0 0 0 0 0 0 0
A91 Demam Berdarah Dengue ( DHF ) 3 1 14 0 5 0 0 5 0 5 0 3 0 0 0
A01.0 Demam Typhoid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A04.9 Infeksi usus karena bakteri lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A05.0 Keracunan Makanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A05.9 Intoxikasi (keracunan) makanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A08.4 Infeksi virus pada usus 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 0 0
PENYAKIT TUBERCULOSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A15.0 TB Paru, BTA (+) tanpa biakan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A16.0 TB Paru, BTA (-) 3 5 3 5 0 7 21 0 17 0 0 0 0 0 0
A16 TB Paru Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A17.0† TB Maningitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A18 Tuberculosis pada organ lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A19 TB Miliary 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 0 0
PENYAKIT BAKTERI LAINNYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.0 Kusta i/T (MB) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.5 Kusta B/L (PB) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A35 Tetanus lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A37.9 Batuk Rejan (Pertussis) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A39.9 Infeksi Meningokok 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 0 0
INFEKSI PENY. MENULAR KELAMIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A53.9 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54.1 Ganococcal Bartholin`s gland abscess 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54.9 Infeksi Gonokok (Gonorhoe) 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 0 0
PENYAKIT SPIROKAETAL LAINNYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A66.9 Frambusia / Patek 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 0 0
PENYAKIT VIRUS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A80 Poliomyelitis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A82 Rabies 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A87 Meningitis Virus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A92.0 Penyakit virus Chikungunya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A95.9 Yellow fever / demam kuning 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 0 0
INF VIRUS KULIT& LESI MEMBRAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUKOSA
B00.1 Infeksi herpes virus [herpes simplex] 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B01.9 Cacar Air / Varicella [chickenpox] 6 4 15 2 5 6 19 5 15 5 13 3 0 0 0
B02.9 Zoster [herpes zoster] 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B06.9 Rubella [Campak German] 3 1 9 0 3 0 0 3 0 3 0 3 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HEPATITIS VIRUS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B15.9 Hepatitis A akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B16.9 Hepatitis B akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B17 Hepatitis virus akut lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B18.9 Hepatitis virus kronik 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 0 0
PENYAKIT VIRUS LAINNYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B24 Human Immunodeficiency Virus ( HIV ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B26 Penyakit Gondok (Mumps) 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 0 0
MYCOSES 0 0 64 0 26 0 0 0 0 0 0 0 0 0 0
B35.9 Dermatophytosis 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0
B36.0 Pityriasis versicolor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B37.0 Candidal stomatitis 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 0 0
PENYAKIT PROTOZOA 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 0 0
HELMINTHIASIS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B68.9 Taeniasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B74.9 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B77.9 Ascariasis (Cacing Gelang) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B79 Trichuriasis (Cacing Cambuk) 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 0 0
Pedikulosis,Askaris &Infeksi Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B86 Scabies 27 13 76 5 20 9 29 20 23 20 20 14 6 3 11
B87.9 Myiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B89 Penyakit parasit lainnya 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 0 0
NEOPLASMA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C18.9 Tumor ganas pada usus besar (colon) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C50.9 Tumor ganas payudara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C51.9 Tumor ganas pada vulva 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C52 Tumor ganas pada vagina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C53.9 Tumor ganas leher rahim 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C60.9 Tumor ganas pada penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C61 Tumor ganas prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C76 Tumor ganas buli - buli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C76.2 Tumor pada abdomen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D17 Lipoma 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D50.9 Fibroadenoma mammae (FAM) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D56.9 Thalassaemia 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 0 0
ANEMIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D50.9 Anemia defisiensi besi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D56.9 Thalassaemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D64.9 Anaemia 4 0 13 0 10 0 0 10 0 10 0 7 0 0 13
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT ENDOKRIN & NUTRISI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E03.9 Hypotiroid (Struma) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E05.9 Hypertiroid (Thyrotoxicosis) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E06.9 Thyroiditis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E10 Diabetes Mellitus Tergantung Insulin (IDDM) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E11 Diabetes Mellitus Tidak Tergantung Insulin 12 15 35 5 14 14 39 14 32 14 28 10 0 0 0
(NIDDM)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KURANG GIZI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E40 Kwashiorkor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E41 Nutritional marasmus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E42 Marasmus Kwashiorkor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E44 Gizi Kurang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GANGGUAN METABOLISME 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F78.0 Hyperkolesterol 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 0 0
GANGGUAN MENTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F03 Dementia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F20.9 Penyakit Jiwa (Schizophrenia) 1 0 1 0 0 0 0 0 0 0 0 0 0 0 5
F23.9 Gangguian Psikotik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F41.9 Gangguan cemas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F44.0 Amnesia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F44.2 Pingsan (stupor) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F45.0 Psychosomatic 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F48.9 Gangguan Neurotic 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F60.0 Gangguan paranoid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F79 Retardasi Mental 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F99 Gangguan Mental 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H93.1 Tinnitus 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 0 0
PENYAKIT SUSUNAN SYARAF 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G03.9 Meningitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G04.9 Encephalitis, myelitis dan encephalomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G20 Penyakit Parkinson`s 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G30.9 Penyakit Alzheimer`s 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G40.9 Epilepsi 0 2 0 2 0 6 19 0 15 0 13 0 0 0 0
G43.9 Migraine 4 8 11 4 9 14 45 9 37 9 32 7 0 0 0
G44 Cephalgia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G47.0 Insomnia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G51.0 Bell`s palsy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G81.9 Hemiplegia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G82.2 Paraplegia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G83.9 Paralytic syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G91.0 Hydrocephalus 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 0 0
PENYAKIT MATA DAN ADNEKSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H00.0 Hordeolum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H10.9 Conjunctivitis 26 39 76 15 26 37 120 114 98 25 85 19 12 1 15
H11.0 Pterygium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H15.0 Scleritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H16.9 Keratitis 0 0 0 0 0 0 1 3 0 0 0 0 0 0 0
H26.9 Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H40.9 Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H52 Kelainan Refraksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H52.0 Hypermetropia 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
H52.1 Myopia 5 0 14 0 6 0 0 6 0 6 0 4 4 0 5
H52.4 Presbyopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H53.0 Buta Warna 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H53.2 Diplopia 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 0 0
PENYAKIT PD TELINGA & MASTOID 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H60.9 Otitis Externa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H83.0 Otitis Interna 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H61.2 Impacted Serumen 0 2 3 0 0 0 0 0 0 0 0 0 0 0 0
H66.4 Otitis Media Purulen (OMP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H66.9 Otitis Media Akut (OMA) 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0
H70.0 Mastoiditis Akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H70.1 Mastoiditis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H81.9 Vertigo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H90 Gangguan Pendengaran 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 0 0
PENYAKIT SISTEM SIRKULASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I10 Hypertensi 226 69 638 25 262 98 268 260 218 260 190 192 0 0 0
I20.9 Angina Pectoris 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I21.9 Infark miokard 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I30.9 Pericarditis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I40.9 Miokarditis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I42.9 Cardiomyopathy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I46.9 Cardiac Arrest 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
151.6 Decompensation Cardiovasculer (gagal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
jantung)
I64 Stroke 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I84 Haemorrhoids 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195.9 Hypotensi 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 0 0
PENYAKIT SISTEM PERNAFASAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Infeksi Akut pd Saluran Pernafasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bagian Atas
J00 Nasopharyngitis Akut (Common Cold) 472 423 1365 172 491 330 491 330 862 487 751 359 751 359 627
J01.9 Sinusitis akut 0 0 0 0 0 27 0 0 71 0 62 0 0 0 0
J02.9 Pharyngitis akut 26 13 73 5 29 15 49 29 40 29 35 21 0 0 0
J03.9 Tonsilitis akut 2 3 4 1 1 4 11 1 9 1 8 1 0 0 0
J04.0 Laryngitis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J04.1 Tracheitis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J05.1 Epiglottitis akut 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 0 0
Influenza dan Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J11.8 Influenza 7 18 20 7 3 16 113 3 43 3 38 3 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Inf Akut lain Sal.Pernafasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BagB awah
J20.9 Bronkhitis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J21.9 Bronchiolitis akut 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 0 0
Penyakit Saluran Pernafasan lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J31.0 Rhinitis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J32.9 Sinusitis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J33.9 Nasal polip 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J35.0 Tonsilitis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J37.0 Laryngitis kronis 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 0 0
Penyakit Saluran Pernafasan Bawah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kronik
J42 Bronkhitis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J44 PPOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J45.9 Asthma Bronchiale 9 3 21 2 7 5 8 7 6 7 5 5 0 0 0
J46 Status Asthmaticus 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 0 0
PENYAKIT GIGI DAN MULUT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K00 Gangguan dan Perkembangan dan Erupsi gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K01.1 Impaksi gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K02.0 Karies email (IF) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K02.9 Karies Gigi 0 0 0 0 0 0 0 0 0 0 0 0 18 1 14
K03 Atrisi Gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K03.1 Abrasi Gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K03.2 Erosi Gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K03.4 Hipersementosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K03.5 Ankylosis gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K03.6 Kalkulus gigi 0 0 0 0 0 0 0 0 0 0 0 0 9 1 1
K04.0 Pulpitis 0 0 0 0 0 0 0 0 0 0 0 0 204 39 181
K04.1 Nekrosis pulpa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04.4 Periodontitis apikalis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04.5 Periodontitis apikalis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04.6 Perilpikal abses desimus 0 0 0 0 0 0 0 0 0 0 0 0 56 24 64
K04.7 Perilpikal abses tanpa keterlibatan sinus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K05.1 Gingintris Marginalis kronis 0 0 0 0 0 0 0 0 0 0 0 0 75 30 75
K05.2 Periodnitis marginalis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K05.3 Periodnitis marginalis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K06.0 Resesi gusi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K06.1 Pembesaran gusi / gingival fibromatosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K06.8 Epulis giatcul epulis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K07 Anomali Dentofasial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K07.3 Crowding, diatema, displacemen, rotasi, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
spaling, transposisi
K07.5 Kebiasaan buruk / oral habit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K08.1 Kehilangan gigi akibat kecelakaan / avulasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
gigi
K.10.3 Dry Socket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K.11 Kelainan Kelenjar Lidah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K12.1 Stomatitis 6 10 6 3 2 9 21 2 17 2 15 2 2 0 2
K12.2 Abses Mulut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K12.3 Penyakit Bibir (Agular Cheilosis) 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 0 0
Peny.Esopagus,Lambung&Duodenum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K25 Ulkus / Tukak lambung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K29.7 Gastritis 0 0 0 0 0 0 0 0 0 0 0 0 4 1 0
K29.8 Duodenitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12
K29.9 Gastroduodenitis 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0
K30 Dispepsia (gangguan fungsi lambung) 227 69 638 28 257 80 255 254 208 254 181 187 59 12 6
K35.9 Apendicitis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 171
K37 Appendicitis Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K40 Hernia Inguinalis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K41 Hernia Femoral 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K42 Hernia Umbilical 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 0 0
PENYAKIT KULIT DAN JARINGAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SUBKUTAN
L01 Impertigo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L02 Abses, furunkel dan karbunkel 44 41 127 17 33 37 121 32 99 32 86 24 10 6 0
L04 Limfedentis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34
L20 Dermatitis atopic 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L21 Dermatitis seboroik 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
L23 Dermatitis kontak 5 0 13 0 5 0 0 5 0 5 0 3 0 0 0
L30.0 Paronikia 67 59 194 24 68 59 188 67 153 67 133 49 37 12 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 107
PENYAKIT SISTEM OTOT, TULANG, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DAN JARINGAN PENYAMBUNG
L50 Urtikaria 6 2 17 0 7 1 4 7 3 7 3 5 0 0 0
L91.0 Kelloid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M06.9 Rheumatoid Atritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M67.4 Ganglion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M79.1 Mialgia 0 0 0 0 0 0 0 0 0 0 0 0 67 14 0
M79.2 Nuralgia dan Neuritis 229 42 662 17 267 49 236 265 115 265 100 195 0 0 194
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT SISTEM PERKEMIHAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N00.9 Sindrom nefritis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N02 Hematuria rekuren dan persisten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N03 Sindrom nefritik kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N04 Sindrom nefrotik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N17 Gagal ginjal akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N18.9 Gagal ginjal kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N20 Batu ginjal dan ureter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N21.1 Batu Saluran Kencing 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N23 Kolik ginjal yang tak ditentukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N30 Sistitis 5 0 14 0 6 0 0 6 0 6 0 4 1 0 0
N39.9 Gangguan sistem kemih lainnya 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N40 Hipertrofi prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N41.0 Radang Prostat akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N41.1 Radang Prostat kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N.50.9 Odema unsepesific 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N75.8 Bartholintis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N92.6 Haid berlebih, sering dan teratur (Gangguan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
haid)
N94.6 Dismenore 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N95.2 Vaginitis 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 0 0
KEHAMILAN, KELAHIRAN, MASA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NIFAS
O03.4 Abortus Spontan Inkomplit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O03.9 Abortus Spontan Komplit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O07.9 Abortus percobaan yang gagal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O15 Keracunan kehamilan ( Eklampsia ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O21.1 Hyperemesis Gravidarum (HEG) 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 0 0
JARINGAN PENYAMBUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O21.9 Muntah yang berlebihan dalam kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O24.9 Diabetes Melitus dalam kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O30.9 Kehamilan Ganda 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O42.9 Ketuban Pecah Dini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O44 Plasenta Previa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O45.9 Solusio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O48 Kehamilan lewat waktu 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 0 0
PENYULIT KEHAMILAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O60 Persalinan Prematur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O63.9 Persalinan Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O72 Perdarahan Post Partum 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 0 0
PERSALINAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O80.9 Persalinan Tunggal Spontan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O83.9 Persalinan Tunggal lainnya dengan bantuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O84.0 Persalinan Ganda Spontan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O91.2 Mastitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P07.1 Bayi lahir Prematur 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 0 0
KEL.SAL.NAFAS&KARDIO MASA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PNATAL
P20.9 Hipoksia Intrauterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P21.9 Asfiksia waktu lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P22.9 Gawat (Distres) nafas bayi baru lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P24.9 Sindroma Aspirasi Bayi baru lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P29 Kelainan Kardiovaskuler berhub. dengan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
masa perinatal
P80.9 Hipotermi bayi baru lahir 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 0 0
KELAINAN LAIN PADA MASA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PERINATAL
P90 Kejang pada bayi baru lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P95 Kematian janin tanpa sebab yang jelas / bayi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
lahir mati
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAIN - LAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R00.0 Tachycardia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R00.1 Bradicardi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R02 Gangrene 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R04.0 Epistaksis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R06.1 Dyspnoea 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R11 Nausea and vomiting (Mual dan muntah) 0 1 0 3 1 0 0 1 0 1 0 1 0 0 0
R23.0 Sianosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R29.0 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R33 Retensi Urine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R34 Anuria and oliguri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R50.9 Febris / Demam 64 58 186 24 55 50 158 55 128 55 112 40 22 10 0
R56 Convulsion (Kejang demam) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R57.1 Syok Hipovolemik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R63.0 Anorexia 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 0 0
CEDERA, KERACUNAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S02.9 Trauma Kepala dan muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S12.9 Fraktur Servikal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S42.0 Fraktur Klavikula 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S42.3 Fraktur humerus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S62 Fraktur di lengan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S63 Dislokasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S72.9 Fraktur femur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S82 Fraktur di kaki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S00.9 Semua fraktur selain di atas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
T08 Fraktur Vetebra 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
T20.9 Luka Bakar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
T14.0 Hematoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
T14.1 Luka Terbuka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
T63.0 Sengatan (bisa) ular 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
T63.2 Sengatan (bisa) kalajengking 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W53 Digigit Tikus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W54 Digigit Anjing 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W55 Digigit kucing (termasuk binatang menyusui) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W56 Digigit binatang laut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W57 Digigit Serangga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
X20 Digigit Ular 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Y10 Keracunan Obat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1554 960 4490 390 1708 964 2504 1603 2445 1668 2131 1229 1404 567 0
TOTAL
10 11 12 13 14
total
agustus september oktober november desember
L P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 1 0
0 0 0 1 0 0 0 0 0 54 32
0 0 0 1 0 0 0 0 0 1 0
118 0 0 3 0 0 0 0 0 136 118
0 0 0 385 651 0 0 0 0 1441 1089
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 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 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 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 0 0 0 0 0 0 0 5 0
0 0 0 0 0 0 0 0 0 22 14
0 0 0 1 1 0 0 0 0 1 1
0 0 0 2 0 0 0 0 0 2 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 1 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
3 0 0 1 1 0 0 0 0 1 4
0 0 0 1 1 0 0 0 0 45 18
0 0 0 4 3 0 0 0 0 4 3
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 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 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
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 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 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
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 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 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
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 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 75 26
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 15 10
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 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 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 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 0 0 0 0 0 0 0 0 0
0 0 0 10 1 0 0 0 0 13 1
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 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 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 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 0 0 0 0 0 0 0 0 0 0
5 0 0 5 6 0 0 0 0 217 95
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 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 1 0 0 0 0 0 1 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 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
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 1 0 0 0 0 0 2 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 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 0 0 0 0 0 0 0
0 0 0 3 1 0 0 0 0 43 28
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 0
0 0 0 1 0 0 0 0 0 1 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 6 0 0 0 0 169 78
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 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 3 2
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 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 0 0
0 0 0 1 5 0 0 0 0 8 5
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 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 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 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 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 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 0 0 0 0
0 0 0 0 0 0 0 0 0 47 10
0 0 0 7 1 0 0 0 0 146 53
0 0 0 3 3 0 0 0 0 3 3
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 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 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
0 0 0 1 0 0 0 0 0 1 0
3 0 0 25 23 0 0 0 0 482 277
0 0 0 0 1 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 3
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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2 0
0 0 0 1 1 0 0 0 0 35 17
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 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 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 3 2
0 0 0 7 8 0 0 0 0 7 8
0 0 0 0 0 0 0 0 0 2 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 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 0 0 0 0 0 0 0
0 0 0 66 24 0 0 0 0 1868 927
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 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 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 1 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 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
429 0 0 583 411 0 0 0 0 6395 3299
0 0 0 0 0 0 0 0 0 133 27
0 0 0 51 21 0 0 0 0 304 134
0 0 0 0 4 0 0 0 0 36 15
0 0 0 0 1 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 226 51
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 1 3 0 0 0 0 1 3
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 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 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
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 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 1 0 0 0 0 59 30
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 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 0 0 0 0 0 0
5 0 0 14 5 0 0 0 0 46 11
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 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
1 0 0 1 1 0 0 0 0 11 3
45 0 0 181 45 0 0 0 0 566 129
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 0 0 0 0 0
24 0 0 64 24 0 0 0 0 184 72
0 0 0 0 0 0 0 0 0 0 0
30 0 0 75 30 0 0 0 0 225 90
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 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 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 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 0 0 0 0 0 0 0 0 0
0 0 0 2 0 0 0 0 0 73 29
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 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 5 7 0 0 0 0 9 8
3 0 0 0 0 0 0 0 0 12 3
0 0 0 8 0 0 0 0 0 10 1
3 0 0 149 37 0 0 0 0 1979 925
38 0 0 0 0 0 0 0 0 171 38
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 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 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 1
0 0 0 36 22 0 0 0 0 556 212
19 0 0 0 0 0 0 0 0 34 19
0 0 0 2 0 0 0 0 0 2 0
0 0 0 0 0 0 0 0 0 2 0
0 0 0 1 0 0 0 0 0 23 13
0 0 0 69 33 0 0 0 0 909 371
49 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2 0 0 0 0 40 25
0 0 0 1 0 0 0 0 0 1 0
0 0 0 1 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 163 48 0 0 0 0 230 62
44 0 0 0 0 0 0 0 0 1802 877
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 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 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
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 0 0 0 0 0
0 0 0 2 1 0 0 0 0 28 17
0 0 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 1 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 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 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 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 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 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 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 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
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 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 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 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 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 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 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 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 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
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 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 0 0 0 0 0 0 0 0 0 6
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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 8 4 0 0 0 0 734 296
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 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 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
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 1 0 0 0 0 0 1 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 0 0 0 0 0 0
0 0 0 2 0 0 0 0 0 2 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 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
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 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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 1970 1440 0 0 0 0
DINAS KESEHATAN KOTA BOGOR
JL. Kesehatan No.3 Kota Bogor
KODE PUSKESMAS :
PUSKESMAS :
KECAMATAN :
Pustu yang Ada 0 0 Yang Melapor 0 0
KABUPATEN / KOTA :
PROVINSI :
NO JENIS PENYAKIT JUMLAH PENDERITA
1 2 3 4 5 6 7 8
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th 5 - 9 Th 10 - 14 Th
P L P L P L P L P L P L
A33 Tetanus neonatorum
J18.9 Pneumonia
A06.0 Disentri amuba 4 5 1 1
A03.9 Disentri Basiler
A00.9 Kolera
A09 Diare dan Gastroenteritis 5 9 26 19 6 6 3
P59.9 Ikterus bayi baru lahir oleh sebab yang belum jelas
P58.9 Ikterus bayi baru lahir karena hemolisis berlebihan
Q66 Talipes Equinovarus
B05.9 Campak/Morbili/Measles
A36.9 Diphtheria
B54 Malaria Klinis
B53.1 Malaria Plasmodium Simian
B53.0 Malaria Plasmodium Ovale
B52.9 Malaria Plasmodium Malariae
B51.9 Malaria Plasmodium Vivax
B50.9 Malaria Plasmodium Falciparum 1
A91 Demam Berdarah Dengue ( DHF ) 1 1
A01.0 Demam Typhoid
A04.9 Infeksi usus karena bakteri lainnya
A05.0 Keracunan Makanan
A05.9 Intoxikasi (keracunan) makanan
A08.4 Infeksi virus pada usus
PENYAKIT TUBERCULOSA 1 1
A15.0 TB Paru, BTA (+) tanpa biakan
A16.0 TB Paru, BTA (-) 3 1
A16 TB Paru Klinis
A17.0† TB Maningitis
A18 Tuberculosis pada organ lainnya
A19 TB Miliary
PENYAKIT BAKTERI LAINNYA

A30.0 Kusta i/T (MB)
A30.5 Kusta B/L (PB)
A35 Tetanus lainnya
A37.9 Batuk Rejan (Pertussis)
A39.9 Infeksi Meningokok
INFEKSI PENY. MENULAR KELAMIN

A53.9 Syphilis
A54.1 Ganococcal Bartholin`s gland abscess
A54.9 Infeksi Gonokok (Gonorhoe)
PENYAKIT SPIROKAETAL LAINNYA

A66.9 Frambusia / Patek
PENYAKIT VIRUS
A80 Poliomyelitis akut
A82 Rabies
A87 Meningitis Virus
A92.0 Penyakit virus Chikungunya
A95.9 Yellow fever / demam kuning
INF VIRUS KULIT& LESI MEMBRAN

B00.1 MUKOSA
Infeksi herpes virus [herpes simplex]
B01.9 Cacar Air / Varicella [chickenpox] 2 1 2
B02.9 Zoster [herpes zoster]
B06.9 Rubella [Campak German] 1 1 1
HEPATITIS VIRUS
B15.9 Hepatitis A akut
B16.9 Hepatitis B akut
B17 Hepatitis virus akut lainnya
B18.9 Hepatitis virus kronik
PENYAKIT VIRUS LAINNYA

B24 Human Immunodeficiency Virus ( HIV )
B26 Penyakit Gondok (Mumps)
MYCOSES
B35.9 Dermatophytosis
B36.0 Pityriasis versicolor
B37.0 Candidal stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis (Cacing Gelang)
B79 Trichuriasis (Cacing Cambuk)
Pedikulosis,Askaris &Infeksi Lainnya

B86 Scabies 1 9 6 2 3 1 1
B87.9 Myiasis
B89 Penyakit parasit lainnya
NEOPLASMA
C18.9 Tumor ganas pada usus besar (colon)
C50.9 Tumor ganas payudara
C51.9 Tumor ganas pada vulva
C52 Tumor ganas pada vagina
C53.9 Tumor ganas leher rahim
C60.9 Tumor ganas pada penis
C61 Tumor ganas prostat
C76 Tumor ganas buli - buli
C76.2 Tumor pada abdomen
D17 Lipoma
D50.9 Fibroadenoma mammae (FAM)
D56.9 Thalassaemia
ANEMIA
D50.9 Anemia defisiensi besi
D56.9 Thalassaemia
D64.9 Anaemia 1
PENYAKIT ENDOKRIN & NUTRISI

E03.9 Hypotiroid (Struma)
E05.9 Hypertiroid (Thyrotoxicosis)
E06.9 Thyroiditis
E10 Diabetes Mellitus Tergantung Insulin (IDDM)
E11 Diabetes Mellitus Tidak Tergantung Insulin (NIDDM)
KURANG GIZI
E40 Kwashiorkor
E41 Nutritional marasmus
E42 Marasmus Kwashiorkor
E44 Gizi Kurang
GANGGUAN METABOLISME
F78.0 Hyperkolesterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit Jiwa (Schizophrenia)
F23.9 Gangguian Psikotik
F41.9 Gangguan cemas
F44.0 Amnesia
F44.2 Pingsan (stupor)
F45.0 Psychosomatic
F48.9 Gangguan Neurotic
F60.0 Gangguan paranoid
F79 Retardasi Mental
F99 Gangguan Mental
H93.1 Tinnitus
PENYAKIT SUSUNAN SYARAF

G03.9 Meningitis
G04.9 Encephalitis, myelitis dan encephalomyelitis
G20 Penyakit Parkinson`s
G30.9 Penyakit Alzheimer`s
G40.9 Epilepsi
G43.9 Migraine 1 1
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s palsy
G81.9 Hemiplegia
G82.2 Paraplegia
G83.9 Paralytic syndrome
G91.0 Hydrocephalus
PENYAKIT MATA DAN ADNEKSA

H00.0 Hordeolum
H10.9 Conjunctivitis 1 2 4 6 5 15 4 1
H11.0 Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan Refraksi
H52.0 Hypermetropia
H52.1 Myopia
H52.4 Presbyopia
H53.0 Buta Warna
H53.2 Diplopia
PENYAKIT PD TELINGA & MASTOID

H60.9 Otitis Externa
H83.0 Otitis Interna
H61.2 Impacted Serumen
H66.4 Otitis Media Purulen (OMP)
H66.9 Otitis Media Akut (OMA)
H70.0 Mastoiditis Akut
H70.1 Mastoiditis kronis
H81.9 Vertigo
H90 Gangguan Pendengaran
PENYAKIT SISTEM SIRKULASI

I10 Hypertensi
I20.9 Angina Pectoris
I21.9 Infark miokard
I30.9 Pericarditis akut
I40.9 Miokarditis akut
I42.9 Cardiomyopathy
I46.9 Cardiac Arrest
151.6 Decompensation Cardiovasculer (gagal jantung)
I64 Stroke
I84 Haemorrhoids
195.9 Hypotensi
PENYAKIT SISTEM PERNAFASAN

Infeksi Akut pd Saluran Pernafasan
J00 Bagian Atas Akut (Common Cold)
Nasopharyngitis 52 53 85 134 95 75 32 26
J01.9 Sinusitis akut
J02.9 Pharyngitis akut 7 1
J03.9 Tonsilitis akut 1 2
J04.0 Laryngitis akut
J04.1 Tracheitis akut
J05.1 Epiglottitis akut
Influenza dan Pneumonia

J11.8 Influenza 1 2 4 4 2
Inf Akut lain Sal.Pernafasan

J20.9 BagB awah
Bronkhitis akut
J21.9 Bronchiolitis akut
Penyakit Saluran Pernafasan lainnya
J31.0 Rhinitis kronis
J32.9 Sinusitis kronis
J33.9 Nasal polip
J35.0 Tonsilitis kronis
J37.0 Laryngitis kronis
Penyakit Saluran Pernafasan Bawah

J42 Kronik
Bronkhitis kronis
J44 PPOK
J45.9 Asthma Bronchiale 1 1 1 2 1
J46 Status Asthmaticus
PENYAKIT GIGI DAN MULUT

K00 Gangguan dan Perkembangan dan Erupsi gigi
K01.1 Impaksi gigi
K02.0 Karies email (IF)
K02.9 Karies Gigi
K03 Atrisi Gigi
K03.1 Abrasi Gigi
K03.2 Erosi Gigi
K03.4 Hipersementosis
K03.5 Ankylosis gigi
K03.6 Kalkulus gigi
K04.0 Pulpitis
K04.1 Nekrosis pulpa
K04.4 Periodontitis apikalis akut
K04.5 Periodontitis apikalis kronis
K04.6 Perilpikal abses desimus
K04.7 Perilpikal abses tanpa keterlibatan sinus
K05.1 Gingintris Marginalis kronis
K05.2 Periodnitis marginalis akut
K05.3 Periodnitis marginalis kronis
K06.0 Resesi gusi
K06.1 Pembesaran gusi / gingival fibromatosis
K06.8 Epulis giatcul epulis
K07 Anomali Dentofasial
K07.3 Crowding, diatema, displacemen, rotasi, spaling,
K07.5 transposisi
Kebiasaan buruk / oral habit
K08.1 Kehilangan gigi akibat kecelakaan / avulasi gigi
K.10.3 Dry Socket
K.11 Kelainan Kelenjar Lidah
K12.1 Stomatitis 2 1
K12.2 Abses Mulut
K12.3 Penyakit Bibir (Agular Cheilosis)
Peny.Esopagus,Lambung&Duodenum
K25 Ulkus / Tukak lambung
K29.7 Gastritis
K29.8 Duodenitis
K29.9 Gastroduodenitis
K30 Dispepsia (gangguan fungsi lambung) 1 1 5 5 7 8
K35.9 Apendicitis akut
K37 Appendicitis Lainnya
K40 Hernia Inguinalis
K41 Hernia Femoral
K42 Hernia Umbilical
PENYAKIT KULIT DAN JARINGAN

L01 SUBKUTAN
Impertigo
L02 Abses, furunkel dan karbunkel 3 16 10 9 11 7 10
L04 Limfedentis
L20 Dermatitis atopic
L21 Dermatitis seboroik 1
L23 Dermatitis kontak
1
L30.0 Paronikia 2 7 9 9 6 13 3 1
PENYAKIT SISTEM OTOT, TULANG, DAN

L50 JARINGAN
Urtikaria PENYAMBUNG 1
L91.0 Kelloid
M06.9 Rheumatoid Atritis
M67.4 Ganglion
M79.1 Mialgia
M79.2 Nuralgia dan Neuritis 1
PENYAKIT SISTEM PERKEMIHAN

N00.9 Sindrom nefritis akut
N02 Hematuria rekuren dan persisten
N03 Sindrom nefritik kronik
N04 Sindrom nefrotik
N17 Gagal ginjal akut
N18.9 Gagal ginjal kronik
N20 Batu ginjal dan ureter
N21.1 Batu Saluran Kencing
N23 Kolik ginjal yang tak ditentukan
N30 Sistitis
N39.9 Gangguan sistem kemih lainnya
N40 Hipertrofi prostat
N41.0 Radang Prostat akut
N41.1 Radang Prostat kronik
N.50.9 Odema unsepesific
N75.8 Bartholintis
N92.6 Haid berlebih, sering dan teratur (Gangguan haid)
N94.6 Dismenore
N95.2 Vaginitis
KEHAMILAN, KELAHIRAN, MASA NIFAS

O03.4 Abortus Spontan Inkomplit
O03.9 Abortus Spontan Komplit
O07.9 Abortus percobaan yang gagal
O15 Keracunan kehamilan ( Eklampsia )
O21.1 Hyperemesis Gravidarum (HEG)
JARINGAN PENYAMBUNG
O21.9 Muntah yang berlebihan dalam kehamilan
O24.9 Diabetes Melitus dalam kehamilan
O30.9 Kehamilan Ganda
O42.9 Ketuban Pecah Dini
O44 Plasenta Previa
O45.9 Solusio Plasenta
O48 Kehamilan lewat waktu
PENYULIT KEHAMILAN
O60 Persalinan Prematur
O63.9 Persalinan Lama
O72 Perdarahan Post Partum
PERSALINAN
O80.9 Persalinan Tunggal Spontan
O83.9 Persalinan Tunggal lainnya dengan bantuan
O84.0 Persalinan Ganda Spontan
O91.2 Mastitis
P07.1 Bayi lahir Prematur

KEL.SAL.NAFAS&KARDIO MASA PNATAL
P20.9 Hipoksia Intrauterus
P21.9 Asfiksia waktu lahir
P22.9 Gawat (Distres) nafas bayi baru lahir
P24.9 Sindroma Aspirasi Bayi baru lahir
P29 Kelainan Kardiovaskuler berhub. dengan masa perinatal
P80.9 Hipotermi bayi baru lahir
KELAINAN LAIN PADA MASA PERINATAL
P90 Kejang pada bayi baru lahir
P95 Kematian janin tanpa sebab yang jelas / bayi lahir mati
LAIN - LAIN
R00.0 Tachycardia
R00.1 Bradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea and vomiting (Mual dan muntah) 1 1
R23.0 Sianosis
R29.0 Tetanus
R33 Retensi Urine
R34 Anuria and oliguri
R50.9 Febris / Demam 1 4 17 17 14 11 7 8
R56 Convulsion (Kejang demam)
R57.1 Syok Hipovolemik
R63.0 Anorexia
CEDERA, KERACUNAN
S02.9 Trauma Kepala dan muka
S12.9 Fraktur Servikal
S42.0 Fraktur Klavikula
S42.3 Fraktur humerus
S62 Fraktur di lengan
S63 Dislokasi
S72.9 Fraktur femur
S82 Fraktur di kaki
S00.9 Semua fraktur selain di atas
T08 Fraktur Vetebra
T20.9 Luka Bakar
T14.0 Hematoma
T14.1 Luka Terbuka
T63.0 Sengatan (bisa) ular
T63.2 Sengatan (bisa) kalajengking
W53 Digigit Tikus
W54 Digigit Anjing
W55 Digigit kucing (termasuk binatang menyusui)
W56 Digigit binatang laut
W57 Digigit Serangga
X20 Digigit Ular
Y10 Keracunan Obat
0 0 0 0 64 81 185 218 147 149 74 61
Mengetahui
Kepala Puskesmas ..................................
nama kapus
NIP. .........................................................
A BOGOR
a Bogor
LAPORAN BULANAN : LB. I

BULAN : JANUARI
TAHUN :
SAKITAN ICDX
JUMLAH PENDERITA TOTAL
9 10 11 12 13 14
15
15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th
P L P L P L P L P L P L B L
0 0
0 0
2 1 8 6
0 0
0 0
4 2 3 8 2 3 1 3 2 2 1 52 53
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 2 0
2 3 1
0 0
0 0
0 0
0 0
0 0
0 0
1 2 1 3 5
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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 2 1 6 4
0 0
1 3 1
0 0
0 0
0 0
0 0
0 0
0 0
1 8 13 1 1 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
7 3 5 2 27 13
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 0
0 0
0 0
0 0
0 0
3 4 0
0 0
0 0
0 0
0 0
1 1 3 6 3 3 4 2 2 2 12 15
0 0
0 0
0 0
0 0
0 0
0 0
1 1 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 0
2 0 2
3 6 1 4 8
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
8 6 3 2 2 1 1 2 1 1 26 39
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 2 1 5 0
0 0
0 0
0 0
0 0
0 0
1 1 0 2
0 0
0 0
0 0
0 0
0 0
0 0
49 13 50 12 32 4 61 20 34 20 226 69
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
24 26 125 77 23 17 11 9 17 4 8 2 472 423
0 0
5 5 1 7 8 1 3 1 26 13
1 1 2 3
0 0
0 0
0 0
1 2 9 7 18
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 2 1 1 9 3
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
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
0 0
2 1 1 6 2 1 6 10
0 0
0 0
0 0
0 0
0 0
0 0
23 7 124 26 37 11 13 5 14 5 3 1 227 69
0 0
0 0
0 0
0 0
0 0
0 0
1 8 3 2 1 3 1 44 41
0 0
0 0
1 0
4 5 0
3 6 24 6 9 6 2 6 5 4 4 1 67 59
0 0
5 1 1 6 2
0 0
0 0
0 0
0 0
2 95 18 59 14 19 3 45 2 8 5 229 42
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 1 5 0
1 1 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 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 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 0
0 0
0 0
0 0
0 1
0 0
0 0
0 0
0 0
6 3 11 11 5 3 3 1 64 58
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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
87 69 488 181 226 76 87 40 159 51 63 35 1554 960
Bogor, ......................................................
Pelapor
DIN
JL
KODE PUSKESMAS :
PUSKESMAS :
KECAMATAN :
KABUPATEN / KOTA :
PROVINSI :
LAPORA
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P
A33 Tetanus
J18.9 neonatoru
Pneumonia
m
A06.0 Disentri 12
A03.9 amuba
Disentri
A00.9 Basiler
Kolera
A09 Diare dan 14 4 75
P59.9 Gastroente
Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir
bayi oleh
baru
Q66 Talipes
sebab Equinovarus
lahir yang
B05.9 belum
Campak/M
karena
A36.9 jelas
orbili/Mea
hemolisis
Diphtheria
sles
berlebihan
B54 Malaria
B53.1 Klinis
Malaria
B53.0 Plasmodiu
Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
B50.9 Malaria
Malariae
m Vivax
Plasmodiu
A91 Demam 3
m
Berdarah
A01.0 Demam
Falciparu
Dengue
Typhoid
A04.9 m
Infeksi
( DHF )
A05.0 usus
Keracunan
karena
Makanan
A05.9 Intoxikasi
bakteri
A08.4 (keracunan
lainnya
Infeksi
)virus
makanan
pada
usus
PENYAKIT TUBERCULOSA
A15.0 TB Paru,
A16.0 BTA (+)
TB Paru,
tanpa
BTA (-)
A16 TB Paru
biakan
Klinis
TB
A17.0†
A18 Maningitis
Tuberculos
A19 is
TBpada
organ
Miliary
lainnya
A30.0 Kusta i/T
(MB)
A30.5 Kusta B/L
A35 (PB)
Tetanus
A37.9 lainnya
Batuk
A39.9 Rejan
Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
A54.9 l
Infeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
PENYAKIT
) SPIROKAETAL LAINNYA
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
A82 tis akut
Rabies
A87 Meningitis
A92.0 Virus
Penyakit
A95.9 virus
Yellow
Chikungun
fever /
ya
demam
INF
kuning
B00.1 VIRUS
Infeksi
KULIT&
herpes
B01.9 Cacar
LESI Air / 1 3
virus
Varicella
B02.9 MEMBR
Zoster
[herpes
[chickenpo
AN
[herpes
B06.9 simplex]
Rubella
x] 3 0
MUKOSA
zoster]
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
B16.9 akut
Hepatitis
B17 B akut
Hepatitis
B18.9 virus akut
Hepatitis
lainnya
virus
kronik
PENYAKI
B24 T VIRUS
Human
LAINNY
Immunode
B26 Penyakit
A
ficiency
Gondok
Virus
(Mumps)
(MYCOSES
HIV )
B35.9 Dermatoph
B36.0 ytosis
Pityriasis
B37.0 versicolor
Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
B79 (Cacing
Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
B86 sis,Askar
Scabies 0 0 26
is
B87.9 Myiasis
&Infeksi
B89 Lainnya
Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
C50.9 ganas pada
Tumor
usus
ganas besar
C51.9 Tumor
(colon)
payudara
ganas
C52 Tumorpada
vulva
ganas
C53.9 Tumorpada
vagina
ganas leher
C60.9 Tumor
rahim
ganas
C61 Tumorpada
penis
ganas
C76 Tumor
prostat
ganas
C76.2 Tumorbuli
- buli
pada
D17 Lipoma
abdomen
D50.9 Fibroaden
D56.9 oma
Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
D56.9 defisiensi
Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
E05.9 (Struma)
Hypertiroi
E06.9 dThyroiditis
(Thyrotoxi
E10 Diabetes
cosis)
E11 Mellitus
Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
KURANG
Tergantung GIZI
E40 Insulin
Kwashiork
E41 (NIDDM)
or
Nutritional
E42 marasmus
Marasmus
E44 Kwashiork
Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
F23.9 Jiwa
Gangguian
(Schizophr
Psikotik
F41.9 Gangguan
enia)
F44.0 cemas
Amnesia
F44.2 Pingsan
(stupor)
F45.0 Psychoso
F48.9 matic
Gangguan
F60.0 Neurotic
Gangguan
F79 paranoid
Retardasi
F99 Mental
Gangguan
H93.1 Mental
Tinnitus

G03.9 Meningitis
G04.9 Encephalit
G20 is, myelitis
Penyakit
dan
Parkinson`
G30.9 Penyakit
encephalo
sAlzheimer
G40.9 myelitis
Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
G81.9 palsy
Hemiplegi
G82.2 aParaplegia
G83.9 Paralytic
G91.0 syndrome
Hydroceph
alus
H00.0 Hordeolu
H10.9 m
Conjunctiv 3 1 12
H11.0 itis
Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
H52.0 Refraksi
Hypermetr
H52.1 opia
Myopia
H52.4 Presbyopia
H53.0 Buta
H53.2 Warna
Diplopia

H60.9 Otitis
H83.0 Externa
Otitis
H61.2 Interna
Impacted
H66.4 Serumen
Otitis
H66.9 Media
Otitis
Purulen
Media
H70.0 Mastoiditis
(OMP)
Akut
Akut
H70.1 Mastoiditis
(OMA)
H81.9 kronis
Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
I21.9 Pectoris
Infark
I30.9 miokard
Pericarditi
I40.9 sMiokarditi
akut
I42.9 sCardiomyo
akut
I46.9 pathy
Cardiac
151.6 Arrest
Decompen
I64 sation
Stroke
Cardiovasc
I84 Haemorrh
uler (gagal
195.9 oids
jantung)
Hypotensi

Infeksi
J00 Akut pd
Nasophary 22 398
Saluran
ngitis Akut
J01.9 Sinusitis
Pernafas
(Common
akut
J02.9 an
Pharyngiti
Cold)
J03.9 Bagian
sTonsilitis
akut
1
Atas
akut
J04.0 Laryngitis
J04.1 akut
Tracheitis
J05.1 akut
Epiglottitis
akut
J11.8 Influenza 3 1 12
Inf Akut
J20.9 lain
Bronkhitis
Sal.Pern
akut
J21.9 Bronchioli
afasan
tis
BagBakut
awah
J31.0 Rhinitis
J32.9 kronis
Sinusitis
J33.9 kronis
Nasal
J35.0 polip
Tonsilitis
J37.0 kronis
Laryngitis
kronis
Penyakit
J42 Saluran
Bronkhitis
Pernafas
kronis
J44 PPOK
an
J45.9 Bawah
Asthma 3
J46 Kronik
Bronchiale
Status
Asthmatic
us
K00 Gangguan
K01.1 dan
Impaksi
Perkemban
gigi
K02.0 Karies
gan dan
K02.9 email
Erupsi(IF)
Karies gigi
Gigi
K03 Atrisi
K03.1 Gigi
Abrasi
K03.2 Gigi
Erosi
K03.4 Gigi
Hiperseme
K03.5 ntosis
Ankylosis
K03.6 gigi
Kalkulus
K04.0 gigi
Pulpitis
K04.1 Nekrosis
K04.4 pulpa
Periodontit
K04.5 is apikalis
Periodontit
akut
is apikalis
K04.6 Perilpikal
kronis
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
K05.2 Periodnitis
keterlibata
kronis
marginalis
K05.3 n sinus
Periodnitis
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
K06.8 nEpulis
gusi /
gingival
giatcul
K07 Anomali
fibromatos
epulis
Dentofasia
K07.3 is
Crowding,
l
diatema,
K07.5 Kebiasaan
displaceme
buruk /
K08.1 Kehilanga
n, rotasi,
oral habit
nspaling,
gigi
K.10.3 Dry Socket
akibat
transposisi
K.11 Kelainan
kecelakaan
K12.1 Kelenjar
/Stomatitis
avulasi
Lidah
gigi
K12.2 Abses
K12.3 Mulut
Penyakit Bibir (Agular Cheilosis)
Peny.Eso
K25 pagus,La
Ulkus /
mbung&
Tukak
K29.7 Gastritis
Duodenu
lambung
K29.8 m
Duodenitis
K29.9 Gastroduo
K30 denitis
Dispepsia 3
K35.9 (gangguan
Apendiciti
fungsi
sAppendicit
akut
K37 lambung)
K40 is Lainnya
Hernia
K41 Inguinalis
Hernia
K42 Femoral
Hernia
Umbilical
PENYAKI
L01 T KULIT
Impertigo
DAN
L02 Abses,
JARINGA 1 46
L04 furunkel
N
Limfedenti
dan
sDermatitis
L20 karbunkel
SUBKUT
atopic
L21 Dermatitis
AN
L23 seboroik
Dermatitis 1
L30.0 kontak
Paronikia 6 3 26
PENYAKI
L50 T
Urtikaria
SISTEM
L91.0 Kelloid
OTOT,
M06.9 TULANG,
Rheumatoi
M67.4 dDAN Atritis
Ganglion
JARINGA
M79.1 Mialgia
N
M79.2 PENYAM
Nuralgia
BUNG
dan
Neuritis
N00.9 Sindrom
N02 nefritis
Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
N04 Sindrom
persisten
kronik
nefrotik
N17 Gagal
N18.9 ginjal
Gagal akut
N20 ginjal
Batu ginjal
kronik
dan
N21.1 Batuureter
N23 Saluran
Kolik
Kencing
ginjal
N30 Sistitisyang
tak
N39.9 Gangguan
ditentukan
N40 sistem
Hipertrofi
kemih
prostat
N41.0 Radang
lainnya
N41.1 Prostat
Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
N92.6 sHaid
N94.6 berlebih,
Dismenore
sering dan
N95.2 Vaginitis
teratur
(Gangguan
haid)
KEHAMI
O03.4 LAN,
Abortus Spontan Inkomplit
KELAHIR
O03.9 Abortus
AN,
O07.9 Spontan
MASA
Abortus
Komplit
NIFAS
percobaan
O15 Keracunan
yang gagal
kehamilan
O21.1 Hypereme
( Eklampsi
sis
aGravidaru
)
JARINGA
m (HEG)
O21.9 N
Muntah
PENYAM
yang
O24.9 Diabetes
BUNG
berlebihan
Melitus
O30.9 Kehamilan
dalam
dalam
Ganda
O42.9 kehamilan
Ketuban
kehamilan
O44 Pecah Dini
Plasenta
O45.9 Previa
Solusio
O48 Plasenta
Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
Prematur
O63.9 Persalinan
O72 Lama
Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
O83.9 Tunggal
Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
O91.2 Mastitis
dengan
Spontan
P07.1 bantuan
Bayi lahir
Prematur
KEL.SAL
P20.9 .NAFAS&
Hipoksia
KARDIO
Intrauterus
P21.9 Asfiksia
MASA
P22.9 waktu
PNATAL
Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
P29 Kelainan
baru lahir
Bayi baru
Kardiovas
P80.9 Hipotermi
lahir
kuler
bayi baru
berhub.
lahir
dengan
KELAINA
P90 masa
N LAIN
Kejang
perinatal
PADA
pada bayi
P95 Kematian
MASA
baru
janin lahir
tanpa
PERINAT
sebab
AL yang
LAIN - LAIN
jelas / bayi
R00.0 lahir mati
Tachycardi
R00.1 aBradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea 3
R23.0 and
Sianosis
vomiting
R29.0 Tetanus
(Mual dan
R33 muntah)
Retensi
R34 Urine
Anuria
R50.9 and
Febris / 3 2 49
oliguri
Demam
R56 Convulsio
R57.1 nSyok
(Kejang
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
S12.9 Kepala
Fraktur dan
muka
Servikal
S42.0 Fraktur
S42.3 Klavikula
Fraktur
S62 humerus
Fraktur di
S63 lengan
Dislokasi
S72.9 Fraktur
S82 femur
Fraktur di
S00.9 kaki
Semua
fraktur
selain di
atas
T08 Fraktur
T20.9 Vetebra
Luka
T14.0 Bakar
Hematoma
T14.1 Luka
T63.0 Terbuka
Sengatan
T63.2 (bisa) ular
Sengatan
W53 (bisa)
Digigit
kalajengki
Tikus
W54 Digigit
ng
W55 Anjing
Digigit
W56 kucing
Digigit
(termasuk
binatang
W57 Digigit
binatang
laut
Serangga
X20 menyusui)
Digigit
Y10 Ular
Keracunan
Obat
0 0 0 0 32 33 671
Mengetahui
nama kapus
NIP. .........................................................

JUMLAH PENDERITA
6 7 8 9 10 11 12
1 - 4 Th 5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th
L P L P L P L P L P L P
2 3 0 6 0 3
8 17 2 1 12 1 9 3 6 1 3
3 3 6
3 1 1 2 1
0 6 1 1 6 0
3 0 3
3 0 23 0 33 0 3
2 6 1 3 0 20 1 14 0 6
1 12
0 0 0 9 2 9
1
2
0 1 9 2 1
2 14 6 12 0 1 3 17 1 6 1 3
6 0 6 0 3
1 1 1
142 5 144 5 92
54 274 30 92 11 69 11 361 31 66 7 32
20 0 14 2 3 3 23 0 3
1 0 0 3 0
2 1 0 6 0
0 0 0 6 0 6 0 6
3 0 0 3 0
0 14 2 3 3 66 3 358 11 107 4 38
4 26 4 20 4 3 23 1 6 0 0
0 1
12
4 17 5 9 0 9 2 69 2 26 2 6
0 14 0 3 0
3 0 6 0 274 7 170 6 55
12 0 3
3
7 40 4 20 3 17 1 32 4 13 1
90 426 60 195 24 238 27 1411 76 644 30 249
Bogor, ........................
Pelap
BULAN : Febuari
TAHUN :
TOTAL
12 13 14
15
55 - 59 Th 60 - 69 Th > 70 Th
L P L P L B L
0 0
0 0
23 2
0 0
0 0
0 9 1 6 0 150 21
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 0
14 0
0 0
0 0
0 0
0 0
0 0
0 0
3 5
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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
15 2
0 0
9 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3 64 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
76 5
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
0 0
0 0
13 0
0 0
0 0
0 0
0 0
1 12 1 6 1 35 5
0 0
0 0
0 0
0 0
0 0
0 0
1 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 0
0 2
11 4
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 0 3 76 15
0 0
0 0
0 0
0 0
0 0
0 0
0 0
14 0
0 0
0 0
0 0
0 0
0 0
3 0
0 0
0 0
0 0
0 0
0 0
0 0
2 171 8 88 5 638 25
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 49 2 23 1 1365 172
0 0
0 9 0 0 73 5
4 1
0 0
0 0
0 0
4 20 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 21 2
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
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
0 0
1 1 1 6 3
0 0
0 0
0 0
0 0
0 0
0 0
2 40 2 9 0 638 28
0 0
0 0
0 0
0 0
0 0
0 0
1 3 127 17
0 0
0 0
1 0
13 0
2 14 2 12 0 194 24
0 0
17 0
0 0
0 0
0 0
0 0
1 130 1 23 2 662 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
14 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 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 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 0
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
11 0 186 24
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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
14 457 20 170 12 4490 390
Bogor, ......................................................
Pelapor
255
DIN
JL
KODE PUSKESMAS :
PUSKESMAS :
KECAMATAN :
KABUPATEN / KOTA :
PROVINSI :
LAPORA
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P
A33 Tetanus
J18.9 neonatoru
Pneumonia
m
A06.0 Disentri 5
A03.9 amuba
Disentri
A00.9 Basiler
Kolera
A09 Diare dan 12 8 32
P59.9 Gastroente
Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir
bayi oleh
baru
Q66 Talipes
sebab Equinovarus
lahir yang
B05.9 belum
Campak/M
karena
A36.9 jelas
orbili/Mea
hemolisis
Diphtheria
sles
berlebihan
B54 Malaria
B53.1 Klinis
Malaria
B53.0 Plasmodiu
Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
B50.9 Malaria
Malariae
m Vivax
Plasmodiu
A91 Demam
m
Berdarah
A01.0 Demam
Falciparu
Dengue
Typhoid
A04.9 m
Infeksi
( DHF )
A05.0 usus
Keracunan
karena
Makanan
A05.9 Intoxikasi
bakteri
A08.4 (keracunan
lainnya
Infeksi
)virus
makanan
pada
usus
A15.0 TB Paru,
A16.0 BTA (+)
TB Paru,
tanpa(-)
BTA
A16 TB Paru
biakan
Klinis
TB
A17.0†
A18 Maningitis
Tuberculos
A19 is
TBpada
organ
Miliary
lainnya
A30.0 Kusta i/T
(MB)
A30.5 Kusta B/L
A35 (PB)
Tetanus
A37.9 lainnya
Batuk
A39.9 Rejan
Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
A54.9 l
Infeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
PENYAKIT
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
A82 tis akut
Rabies
A87 Meningitis
A92.0 Virus
Penyakit
A95.9 virus
Yellow
Chikungun
fever /
ya
demam
INF
kuning
B00.1 VIRUS
Infeksi
KULIT&
herpes
B01.9 Cacar
LESI Air / 2
virus
Varicella
B02.9 MEMBR
Zoster
[herpes
[chickenpo
AN
[herpes
B06.9 simplex]
Rubella
x] 1
MUKOSA
zoster]
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
B16.9 akut
Hepatitis
B17 B akut
Hepatitis
B18.9 virus akut
Hepatitis
lainnya
virus
kronik
PENYAKI
B24 T VIRUS
Human
LAINNY
Immunode
B26 Penyakit
A
ficiency
Gondok
Virus
(Mumps)
(MYCOSES
HIV )
B35.9 Dermatoph
B36.0 ytosis
Pityriasis
B37.0 versicolor
Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
B79 (Cacing
Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
B86 sis,Askar
Scabies
is
B87.9 Myiasis
&Infeksi
B89 Lainnya
Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
C50.9 ganas pada
Tumor
usus
ganas besar
C51.9 Tumor
(colon)
payudara
ganas
C52 Tumorpada
vulva
ganas
C53.9 Tumorpada
vagina
ganas leher
C60.9 Tumor
rahim
ganas
C61 Tumorpada
penis
ganas
C76 Tumor
prostat
ganas
C76.2 Tumorbuli
- buli
pada
D17 Lipoma
abdomen
D50.9 Fibroaden
D56.9 oma
Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
D56.9 defisiensi
Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
E05.9 (Struma)
Hypertiroi
E06.9 dThyroiditis
(Thyrotoxi
E10 Diabetes
cosis)
E11 Mellitus
Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
KURANG
Tergantung GIZI
E40 Insulin
Kwashiork
E41 (NIDDM)
or
Nutritional
E42 marasmus
Marasmus
E44 Kwashiork
Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
F23.9 Jiwa
Gangguian
(Schizophr
Psikotik
F41.9 Gangguan
enia)
F44.0 cemas
Amnesia
F44.2 Pingsan
(stupor)
F45.0 Psychoso
F48.9 matic
Gangguan
F60.0 Neurotic
Gangguan
F79 paranoid
Retardasi
F99 Mental
Gangguan
H93.1 Mental
Tinnitus

G03.9 Meningitis
G04.9 Encephalit
G20 is, myelitis
Penyakit
dan
Parkinson`
G30.9 Penyakit
encephalo
sAlzheimer
G40.9 myelitis
Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
G81.9 palsy
Hemiplegi
G82.2 aParaplegia
G83.9 Paralytic
G91.0 syndrome
Hydroceph
alus
H00.0 Hordeolu
H10.9 m
Conjunctiv 1 2
H11.0 itis
Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
H52.0 Refraksi
Hypermetr
H52.1 opia
Myopia
H52.4 Presbyopia
H53.0 Buta
H53.2 Warna
Diplopia

H60.9 Otitis
H83.0 Externa
Otitis
H61.2 Interna
Impacted
H66.4 Serumen
Otitis
H66.9 Media
Otitis
Purulen
Media
H70.0 Mastoiditis
(OMP)
Akut
Akut
H70.1 Mastoiditis
(OMA)
H81.9 kronis
Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
I21.9 Pectoris
Infark
I30.9 miokard
Pericarditi
I40.9 sMiokarditi
akut
I42.9 sCardiomyo
akut
I46.9 pathy
Cardiac
151.6 Arrest
Decompen
I64 sation
Stroke
Cardiovasc
I84 Haemorrh
uler (gagal
195.9 oids
jantung)
Hypotensi

Infeksi
J00 Akut pd
Nasophary 35 18 50
Saluran
ngitis Akut
J01.9 Sinusitis
Pernafas
(Common
akut
J02.9 an
Pharyngiti
Cold)
J03.9 Bagian
sTonsilitis
akut
Atas
akut
J04.0 Laryngitis
J04.1 akut
Tracheitis
J05.1 akut
Epiglottitis
akut
J11.8 Influenza 1 2
Inf Akut
J20.9 lain
Bronkhitis
Sal.Pern
akut
J21.9 Bronchioli
afasan
tis
BagBakut
awah
J31.0 Rhinitis
J32.9 kronis
Sinusitis
J33.9 kronis
Nasal
J35.0 polip
Tonsilitis
J37.0 kronis
Laryngitis
kronis
Penyakit
J42 Saluran
Bronkhitis
Pernafas
kronis
J44 PPOK
an
J45.9 Bawah
Asthma
J46 Kronik
Bronchiale
Status
Asthmatic
us
K00 Gangguan
K01.1 dan
Impaksi
Perkemban
gigi
K02.0 Karies
gan dan
K02.9 email
Erupsi(IF)
Karies gigi
Gigi
K03 Atrisi
K03.1 Gigi
Abrasi
K03.2 Gigi
Erosi
K03.4 Gigi
Hiperseme
K03.5 ntosis
Ankylosis
K03.6 gigi
Kalkulus
K04.0 gigi
Pulpitis
K04.1 Nekrosis
K04.4 pulpa
Periodontit
K04.5 is apikalis
Periodontit
akut
is apikalis
K04.6 Perilpikal
kronis
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
K05.2 Periodnitis
keterlibata
kronis
marginalis
K05.3 n sinus
Periodnitis
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
K06.8 nEpulis
gusi /
gingival
giatcul
K07 Anomali
fibromatos
epulis
Dentofasia
K07.3 is
Crowding,
l
diatema,
K07.5 Kebiasaan
displaceme
buruk /
K08.1 Kehilanga
n, rotasi,
oral habit
nspaling,
gigi
K.10.3 Dry Socket
akibat
transposisi
K.11 Kelainan
kecelakaan
K12.1 Kelenjar
/Stomatitis
avulasi
Lidah
gigi
K12.2 Abses
K12.3 Mulut
Peny.Eso
K25 pagus,La
Ulkus /
mbung&
Tukak
K29.7 Gastritis
Duodenu
lambung
K29.8 m
Duodenitis
K29.9 Gastroduo
K30 denitis
Dispepsia
K35.9 (gangguan
Apendiciti
fungsi
sAppendicit
akut
K37 lambung)
K40 is Lainnya
Hernia
K41 Inguinalis
Hernia
K42 Femoral
Hernia
Umbilical
PENYAKI
L01 T KULIT
Impertigo
DAN
L02 Abses,
JARINGA 4
L04 furunkel
N
Limfedenti
dan
sDermatitis
L20 karbunkel
SUBKUT
atopic
L21 Dermatitis
AN
L23 seboroik
Dermatitis
L30.0 kontak
Paronikia 2 8
PENYAKI
L50 T
Urtikaria
SISTEM
L91.0 Kelloid
OTOT,
M06.9 TULANG,
Rheumatoi
M67.4 dDAN Atritis
Ganglion
JARINGA
M79.1 Mialgia
N
M79.2 PENYAM
Nuralgia
BUNG
dan
Neuritis
N00.9 Sindrom
N02 nefritis
Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
N04 Sindrom
persisten
kronik
nefrotik
N17 Gagal
N18.9 ginjal
Gagal akut
N20 ginjal
Batu ginjal
kronik
dan
N21.1 Batuureter
N23 Saluran
Kolik
Kencing
ginjal
N30 Sistitisyang
tak
N39.9 Gangguan
ditentukan
N40 sistem
Hipertrofi
kemih
prostat
N41.0 Radang
lainnya
N41.1 Prostat
Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
N92.6 sHaid
N94.6 berlebih,
Dismenore
sering dan
N95.2 Vaginitis
teratur
(Gangguan
haid)
KEHAMI
O03.4 LAN,
KELAHIR
O03.9 Abortus
AN,
O07.9 Spontan
MASA
Abortus
Komplit
NIFAS
percobaan
O15 Keracunan
yang gagal
kehamilan
O21.1 Hypereme
( Eklampsi
sis
aGravidaru
)
JARINGA
m (HEG)
O21.9 N
Muntah
PENYAM
yang
O24.9 Diabetes
BUNG
berlebihan
Melitus
O30.9 Kehamilan
dalam
dalam
Ganda
O42.9 kehamilan
Ketuban
kehamilan
O44 Pecah Dini
Plasenta
O45.9 Previa
Solusio
O48 Plasenta
Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
Prematur
O63.9 Persalinan
O72 Lama
Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
O83.9 Tunggal
Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
O91.2 Mastitis
dengan
Spontan
P07.1 bantuan
Bayi lahir
Prematur
KEL.SAL
P20.9 .NAFAS&
Hipoksia
KARDIO
Intrauterus
P21.9 Asfiksia
MASA
P22.9 waktu
PNATAL
Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
P29 Kelainan
baru lahir
Bayi baru
Kardiovas
P80.9 Hipotermi
lahir
kuler
bayi baru
berhub.
lahir
dengan
KELAINA
P90 masa
N LAIN
Kejang
perinatal
PADA
pada bayi
P95 Kematian
MASA
baru
janin lahir
tanpa
PERINAT
sebab
AL yang
LAIN - LAIN
jelas / bayi
R00.0 lahir mati
Tachycardi
R00.1 aBradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
R23.0 and
Sianosis
vomiting
R29.0 Tetanus
(Mual dan
R33 muntah)
Retensi
R34 Urine
Anuria
R50.9 and
Febris / 1 5
oliguri
Demam
R56 Convulsio
R57.1 nSyok
(Kejang
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
S12.9 Kepala
Fraktur dan
muka
Servikal
S42.0 Fraktur
S42.3 Klavikula
Fraktur
S62 humerus
Fraktur di
S63 lengan
Dislokasi
S72.9 Fraktur
S82 femur
Fraktur di
S00.9 kaki
Semua
fraktur
selain di
atas
T08 Fraktur
T20.9 Vetebra
Luka
T14.0 Bakar
Hematoma
T14.1 Luka
T63.0 Terbuka
Sengatan
T63.2 (bisa) ular
Sengatan
W53 (bisa)
Digigit
kalajengki
Tikus
W54 Digigit
ng
W55 Anjing
Digigit
W56 kucing
Digigit
(termasuk
binatang
W57 Digigit
binatang
laut
Serangga
X20 menyusui)
Digigit
Y10 Ular
Keracunan
Obat
0 0 0 0 54 50 87
Mengetahui
nama kapus
NIP. .........................................................

JUMLAH PENDERITA
6 7 8 9 10 11 12
1 - 4 Th 5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th
1 1 1 2
38 10 15 7 9 2 6 9 6 4 1
1 1 2
1 6
2 2 2 1
1 1
1 9 13 1
1 2 4 1 1 8 4 6 2
10
1 1 3 4 3
6
3 7 4 7 1 1
1 6 18 5 1 9 7 4 2 2 1
2 2 1
57 15 58 24 42
42 39 20 37 31 44 67 128 55 92 70 23
10 3 8
8 1 6 6 1 8 9 1
2 1 1
2 1 2
1 2 1 2 2
1 1 1
6 6 1 9 27 8 145 31 43 13 15
1 10 13 8 12 1 9 4 2 1
5
1 7 15 3 1 3 7 28 7 10 7 2
6 1 1
1 2 111 21 69 16 22
5 1
1
2 16 13 8 9 7 4 13 13 5 4
86 103 123 78 74 115 116 562 193 329 155 115
Bogor, ........................
Pelap
BULAN : Febuari
TAHUN :
TOTAL
12 13 14
15
55 - 59 Th 60 - 69 Th > 70 Th
L P L P L B L
0 0
0 0
8 2
0 0
0 0
2 3 2 2 1 82 88
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 7
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
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
0 0
5 6
0 0
3 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 26 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
20 9
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
0 0
0 0
0 0
0 0
0 0
0 0
10 0
0 0
0 0
0 0
0 0
0 0
0 0
4 5 2 2 2 14 14
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
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
0 0
0 6
9 14
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 1 26 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 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 0
0 0
0 0
20 69 24 36 15 262 98
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 89
20 36 5 7 2 491 330 62
6 0 27
3 29 15
1 4 198 333
0 0
0 0
0 0
0 0
0 0 0 0
11 3 16
0 0 p l
0 0 428 322
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
3 7 5
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
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
0 0
0 0
0 0
3 2 3 2 9
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 16 6 3 1 257 80
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 1 33 37
0 0
0 0
0 0
5 0
7 6 5 5 1 68 59
0 0
0 0
7 1
0 0
0 0
0 0
0 0
4 52 2 9 6 267 49
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 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 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 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 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 0
1 0
0 0
0 0
0 0
0 0
4 1 55 50
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
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
74 201 58 66 36 1708 964
Bogor, ......................................................
Pelapor
2672
255
DINAS
JL. K
KODE PUSKESMAS :
PUSKESMAS : mulyaharja
KECAMATAN : bogor selatan
KABUPATEN / KOTA : kota bogor
PROVINSI : jawa barat
LAPORAN B
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P L
A33 Tetanus
neonatoru
J18.9 Pneumonia
m
A06.0 Disentri
5
amuba
A03.9 Disentri
Basiler
A00.9 Kolera
A09 Diare dan
12 26 32
Gastroente
P59.9 Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir oleh
bayi
sebab baru
yang
Q66 Talipes
lahir Equinovarus
belum
B05.9 karena
jelas
Campak/M
hemolisis
orbili/Mea
A36.9 berlebihan
Diphtheria
sles
B54 Malaria
Klinis
B53.1 Malaria
Plasmodiu
B53.0 Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
Malariae
B50.9 Malaria
m Vivax
Plasmodiu
A91 Demam
m
Berdarah
Falciparu
A01.0 Demam
Dengue
m
Typhoid
A04.9 (Infeksi
DHF )
usus
A05.0 Keracunan
karena
Makanan
bakteri
A05.9 Intoxikasi
lainnya
(keracunan
A08.4 Infeksi
) makanan
virus pada
usus
A15.0 TB Paru,
BTA (+)
A16.0 TB
tanpaParu,
BTA
biakan(-)
A16 TB Paru
Klinis
A17.0† TB
Maningitis
A18 Tuberculos
is pada
A19 TB
organ
Miliary
lainnya

A30.0 Kusta i/T
(MB)
A30.5 Kusta B/L
(PB)
A35 Tetanus
lainnya
A37.9 Batuk
Rejan
A39.9 Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
l
A54.9 Infeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
)PENYAKIT SPIROKAETAL LAINNYA
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
tis akut
A82 Rabies
A87 Meningitis
Virus
A92.0 Penyakit
virus
A95.9 Yellow
Chikungun
fever
ya /
demam
kuning
INF
VIRUS
B00.1 Infeksi
KULIT&
herpes
LESI
B01.9 Cacar
virus Air /
MEMBR 8 0
Varicella
[herpes
B02.9 AN
Zoster
[chickenpo
simplex]
MUKOSA
[herpes
B06.9 x]
Rubella
zoster] 1 0 0
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
akut
B16.9 Hepatitis
B akut
B17 Hepatitis
virus akut
B18.9 Hepatitis
lainnya
virus
kronik
PENYAKI
T VIRUS
B24 Human
LAINNY
Immunode
A
B26 Penyakit
ficiency
Gondok
Virus
(Mumps)
( HIV )
MYCOSES
B35.9 Dermatoph
ytosis
B36.0 Pityriasis
versicolor
B37.0 Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
(Cacing
B79 Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
sis,Askar
B86 Scabies
is
B87.9 &Infeksi
Myiasis
Lainnya
B89 Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
ganas pada
C50.9 Tumor
usus besar
ganas
(colon)
C51.9 Tumor
payudara
ganas pada
C52 Tumor
vulva
ganas pada
C53.9 Tumor
vagina
ganas leher
C60.9 Tumor
rahim
ganas pada
C61 Tumor
penis
ganas
C76 Tumor
prostat
ganas buli
- buli
C76.2 Tumor
pada
D17 Lipoma
abdomen
D50.9 Fibroaden
oma
D56.9 Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
defisiensi
D56.9 Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
(Struma)
E05.9 Hypertiroi
d
E06.9 Thyroiditis
(Thyrotoxi
E10 cosis)
Diabetes
Mellitus
E11 Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
Tergantung
KURANG GIZI
Insulin
E40 (NIDDM)
Kwashiork
or
E41 Nutritional
marasmus
E42 Marasmus
Kwashiork
E44 Gizi
or Kurang
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
Jiwa
F23.9 Gangguian
(Schizophr
Psikotik
enia)
F41.9 Gangguan
cemas
F44.0 Amnesia
F44.2 Pingsan
(stupor)
F45.0 Psychoso
matic
F48.9 Gangguan
Neurotic
F60.0 Gangguan
paranoid
F79 Retardasi
Mental
F99 Gangguan
Mental
H93.1 Tinnitus

G03.9 Meningitis
G04.9 Encephalit
is, myelitis
G20 Penyakit
dan
Parkinson`
encephalo
G30.9 Penyakit
smyelitis
Alzheimer
G40.9 Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
palsy
G81.9 Hemiplegi
a
G82.2 Paraplegia
G83.9 Paralytic
syndrome
G91.0 Hydroceph
alus

H00.0 Hordeolu
m
H10.9 Conjunctiv
1 8 10
itis
H11.0 Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
Refraksi
H52.0 Hypermetr
opia
H52.1 Myopia
H52.4 Presbyopia
H53.0 Buta
Warna
H53.2 Diplopia
H60.9 Otitis
Externa
H83.0 Otitis
Interna
H61.2 Impacted
Serumen
H66.4 Otitis
Media
H66.9 Otitis
Purulen
Media
(OMP)
H70.0 Mastoiditis
Akut
Akut
(OMA)
H70.1 Mastoiditis
kronis
H81.9 Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
Pectoris
I21.9 Infark
miokard
I30.9 Pericarditi
s akut
I40.9 Miokarditi
s akut
I42.9 Cardiomyo
pathy
I46.9 Cardiac
Arrest
151.6 Decompen
sation
I64 Stroke
Cardiovasc
I84 uler (gagal
Haemorrh
jantung)
oids
195.9 Hypotensi

Infeksi
Akut pd
J00 Nasophary
Saluran 35 18 50 42
ngitis Akut
Pernafas
J01.9 Sinusitis
(Common
an
akut
J02.9 Cold)
Bagian
Pharyngiti
sAtas
akut
J03.9 Tonsilitis
akut
J04.0 Laryngitis
akut
J04.1 Tracheitis
akut
J05.1 Epiglottitis
akut
J11.8 Influenza
1 8 0
Inf Akut
lain
J20.9 Bronkhitis
Sal.Pern
akut
afasan
J21.9 Bronchioli
BagB
tis akut
awah
J31.0 Rhinitis
kronis
J32.9 Sinusitis
kronis
J33.9 Nasal
polip
J35.0 Tonsilitis
kronis
J37.0 Laryngitis
kronis
Penyakit
Saluran
J42 Bronkhitis
Pernafas
kronis
an
J44 PPOK
Bawah
J45.9 Kronik
Asthma
Bronchiale
J46 Status
Asthmatic
us
K00 Gangguan
dan
K01.1 Impaksi
Perkemban
gigi
gan dan
K02.0 Karies
Erupsi gigi
email (IF)
K02.9 Karies
Gigi
K03 Atrisi
Gigi
K03.1 Abrasi
Gigi
K03.2 Erosi
Gigi
K03.4 Hiperseme
ntosis
K03.5 Ankylosis
gigi
K03.6 Kalkulus
gigi
K04.0 Pulpitis
K04.1 Nekrosis
pulpa
K04.4 Periodontit
is apikalis
K04.5 Periodontit
akut
is apikalis
kronis
K04.6 Perilpikal
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
keterlibata
K05.2 Periodnitis
kronis
nmarginalis
sinus
K05.3 Periodnitis
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
n gusi /
K06.8 Epulis
gingival
giatcul
fibromatos
K07 Anomali
epulis
is
Dentofasia
K07.3 Crowding,
l
diatema,
K07.5 Kebiasaan
displaceme
buruk
n, /
rotasi,
K08.1 Kehilanga
oral habit
spaling,
n gigi
K.10.3 transposisi
Dry
akibatSocket
K.11 kecelakaan
Kelainan
/Kelenjar
avulasi
K12.1 gigi
Stomatitis
Lidah
K12.2 Abses
Mulut
Peny.Eso
pagus,La
K25 Ulkus
mbung& /
Tukak
Duodenu
K29.7 Gastritis
lambung
m
K29.8 Duodenitis
K29.9 Gastroduo
denitis
K30 Dispepsia
(gangguan
K35.9 Apendiciti
fungsi
slambung)
akut
K37 Appendicit
is Lainnya
K40 Hernia
Inguinalis
K41 Hernia
Femoral
K42 Hernia
Umbilical
PENYAKI
T KULIT
L01 Impertigo
DAN
L02 JARINGA
Abses,
N 11 0
furunkel
L04 Limfedenti
dan
sSUBKUT
karbunkel
L20 Dermatitis
AN
atopic
L21 Dermatitis
seboroik
L23 Dermatitis
kontak
L30.0 Paronikia
2 27 0
PENYAKI
T
L50 Urtikaria
SISTEM
L91.0 OTOT,
Kelloid
TULANG,
M06.9 DAN
Rheumatoi
dJARINGA
Atritis
M67.4 Ganglion
N
M79.1 PENYAM
Mialgia
BUNG
M79.2 Nuralgia
dan
Neuritis
N00.9 Sindrom
nefritis
N02 Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
persisten
N04 Sindrom
kronik
nefrotik
N17 Gagal
ginjal akut
N18.9 Gagal
ginjal
N20 Batu
kronikginjal
dan ureter
N21.1 Batu
Saluran
N23 Kolik
Kencing
ginjal yang
N30 Sistitis
tak
N39.9 ditentukan
Gangguan
sistem
N40 Hipertrofi
kemih
prostat
lainnya
N41.0 Radang
Prostat
N41.1 Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
s
N92.6 Haid
berlebih,
N94.6 Dismenore
sering dan
N95.2 teratur
Vaginitis
(Gangguan
haid)
KEHAMI
LAN,
O03.4 Abortus
KELAHIRSpontan Inkomplit
O03.9 AN,
Abortus
MASA
Spontan
O07.9 NIFAS
Abortus
Komplit
percobaan
yang gagal
O15 Keracunan
kehamilan
O21.1 Hypereme
( Eklampsi
sis
a)
Gravidaru
m (HEG)
JARINGA
N
O21.9 Muntah
PENYAM
yang
BUNG
O24.9 Diabetes
berlebihan
Melitus
dalam
O30.9 Kehamilan
dalam
kehamilan
Ganda
O42.9 kehamilan
Ketuban
Pecah Dini
O44 Plasenta
Previa
O45.9 Solusio
Plasenta
O48 Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
Prematur
O63.9 Persalinan
Lama
O72 Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
Tunggal
O83.9 Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
dengan
O91.2 Mastitis
Spontan
bantuan
P07.1 Bayi lahir
Prematur
KEL.SAL
.NAFAS&
P20.9 Hipoksia
KARDIO
Intrauterus
MASA
P21.9 Asfiksia
PNATAL
waktu
P22.9 Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
baru lahir
P29 Kelainan
Bayi baru
Kardiovas
lahir
P80.9 Hipotermi
kuler
bayi baru
berhub.
lahir
dengan
masa
KELAINA
perinatal
N LAIN
P90 Kejang
PADA
pada
MASA bayi
P95 Kematian
baru lahir
PERINAT
janin tanpa
AL
sebab yang
jelas / bayi
lahir mati
LAIN - LAIN
R00.0 Tachycardi
a
R00.1 Bradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
and
R23.0 Sianosis
vomiting
R29.0 (Mual
Tetanusdan
muntah)
R33 Retensi
Urine
R34 Anuria
and
R50.9 Febris
oliguri / 1 15 0
Demam
R56 Convulsio
n (Kejang
R57.1 Syok
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
Kepala dan
S12.9 Fraktur
muka
Servikal
S42.0 Fraktur
Klavikula
S42.3 Fraktur
humerus
S62 Fraktur di
lengan
S63 Dislokasi
S72.9 Fraktur
femur
S82 Fraktur di
kaki
S00.9 Semua
fraktur
T08 Fraktur
selain di
Vetebra
atas
T20.9 Luka
Bakar
T14.0 Hematoma
T14.1 Luka
Terbuka
T63.0 Sengatan
(bisa) ular
T63.2 Sengatan
(bisa)
W53 Digigit
kalajengki
Tikus
ng
W54 Digigit
Anjing
W55 Digigit
kucing
W56 Digigit
(termasuk
binatang
binatang
laut
menyusui)
W57 Digigit
Serangga
X20 Digigit
Ular
Y10 Keracunan
Obat
0 0 0 0 35 37 152 88
Mengetahui
nama kapus
NIP. .........................................................

JUMLAH PENDERITA
7 8 9 10 11 12
5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th
P L P L P L P L P L P
2 1 4 0 0 0 0 0 0 2 0
123 10 49 0 23 9 8 6 30 6 11
1 0 1 0 2 0 0 0
2 0 0 0 0 0 0 0 19 0 0
0 2 8 0 0 0 0 2 4 0 0
0 1 0 0 0 0 0 1 0 0 0
1 0 9 0 13 0
2 2 11 1 4 8 11 6 0 2 0
10 0 0 0
2 0 4 3 14
19 0 0
3 23 4 23 1 0
2 6 57 52 4 0 30 7 11 10 8
2 0 2 0
57 49 58 78
39 20 37 31 44 67 128 55 92 70 23
8 4 6 19 1 27 9 0
8 0 0 1 0 0 4 0 0
0 0 8 0 0 0 4 2 0 0 0
4 2 4 0 0 2 0 2 0
1 0 0 0 0 4 1 0
6 19 1 30 27 27 143 99 43 42
3 10 42 8 38 1 0 9 11 2 4
5 0 0 0
3 7 49 3 2 3 23 28 23 10 23
6 0 1 4
5 1 0 2 90 110 68 68 53
5 0 1 0
1 0 0 0 0 0 0 0 0 0
6 16 42 8 30 7 11 13 42 5 11
182 83 342 118 183 137 376 485 529 312 271
Bogor, ...............................
Pelapor
BULAN : april
TAHUN :
TOTAL
12 13 14
15
55 - 59 Th 60 - 69 Th > 70 Th
L P L P L B L
0 0 0 0 0 5 8
1 6 3 6 2 282 81
0 0 0 0 0 0 5
0
0
0 0 0 0 0 21 0
0 0 0 0 0 19 5
0 0 0 0 0 0 3
1 0 1 0 0 0
0 0 0 0 0 29 20
0 0 0 0 0 0 10
3 11 5 8 2 39 14
0 0 0 0 0 19 0
1 0 0 0 0 45 9
25 0 2 0 1 120 114
0 0
0 0
1 3 1 3
1 0 0 0 0 0 6
42 65 69 76 35 268 260
20 36 5 7 2 491 330
1 0 3 0 0 49 29
0 0 0 0 0 11 1
0 60 0 34 0 113 3
0 0 0 0 0 8 7
0 9 0 8 0 21 2
15 19 16 19 3 255 254
0 11 1 0 0 121 32
0 0 0 0 0 0 5
2 23 6 15 5 188 67
0 0 0 0 0 4 7
22 11 52 8 9 236 265
0 0 0 0 0 0 6
0 0 0 0 0 0 1
0 0 4 0 0 158 55
135 254 171 181 61 2504 1603
Bogor, ......................................................
Pelapor
DINAS KES
JL. Keseh
KODE PUSKESMAS :
LAPORAN BULA
NO JENIS PENYAKIT
1 2 3 4 5 6 7
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th 5 - 9 Th
P L P L P L P L P
A33 Tetanus 0 0 0 0 0 0 0 0 0
J18.9 neonatoru
Pneumonia 0 0 0 0 0 0 0 0 0
A06.0 m
Disentri 0 0 0 0 0 0 0 5 1
A03.9 amuba
Disentri 0 0 0 0 0 0 0 0 0
A00.9 Basiler
Kolera 0 0 0 0 0 0 0 0 0
A09 Diare dan 0 0 0 0 0 12 21 32 100
P59.9 Gastroente
Ikterus 0 0 0 0 0 0 0 0 0
ritis
bayi baru
P58.9 Ikterus 0 0 0 0 0 0 0 0 0
lahir
bayi oleh
baru
Q66 Talipes Equinovarus 0 0 0 0 0 0 0 0 0
sebab
lahir yang
B05.9 Campak/M
belum 0 0 0 0 0 0 0 0 0
karena
orbili/Mea
A36.9 Diphtheria
jelas
hemolisis 0 0 0 0 0 0 0 0 0
B54 sles
Malaria
berlebihan 0 0 0 0 0 0 0 0 0
B53.1 Klinis
Malaria 0 0 0 0 0 0 0 0 0
B53.0 Plasmodiu
Malaria 0 0 0 0 0 0 0 0 0
m Simian
Plasmodiu
B52.9 Malaria 0 0 0 0 0 0 0 0 0
m Ovale
Plasmodiu
B51.9 Malaria 0 0 0 0 0 0 0 0 0
m
Plasmodiu
B50.9 Malaria 0 0 0 0 0 0 0 0 0
Malariae
m Vivax
Plasmodiu
A91 Demam 0 0 0 0 0 0 0 0 0
A01.0 m
Berdarah
Demam 0 0 0 0 0 0 0 0 0
Falciparu
Dengue
Typhoid
A04.9 Infeksi
m 0 0 0 0 0 0 0 0 0
(usus
DHF )
A05.0 Keracunan 0 0 0 0 0 0 0 0 0
A05.9 karena
Makanan
Intoxikasi 0 0 0 0 0 0 0 0 0
bakteri
(keracunan
A08.4 Infeksi
lainnya 0 0 0 0 0 0 0 0 0
)virus
makanan
pada 0 0 0 0 0 0 0 0 0
usus
PENYAKIT TUBERC 0 0 0 0 0 0 0 0 0
A15.0 TB Paru, 0 0 0 0 0 0 0 0 0
A16.0 BTA (+)
TB Paru, 0 0 0 0 0 0 0 0 2
A16 tanpa
BTA (-)
TB Paru 0 0 0 0 0 0 0 0 0
biakan
Klinis
A17.0† TB 0 0 0 0 0 0 0 0 0
A18 Maningitis
Tuberculos 0 0 0 0 0 0 0 0 0
A19 is
TBpada 0 0 0 0 0 0 0 0 0
organ
Miliary 0 0 0 0 0 0 0 0 0
lainnya
PENYAKIT BAKTERI 0 0 0 0 0 0 0 0 0
A30.0 Kusta i/T 0 0 0 0 0 0 0 0 0
A30.5 (MB)
Kusta B/L 0 0 0 0 0 0 0 0 0
A35 (PB)
Tetanus 0 0 0 0 0 0 0 0 0
A37.9 lainnya
Batuk 0 0 0 0 0 0 0 0 0
A39.9 Rejan
Infeksi 0 0 0 0 0 0 0 0 0
(Pertussis)
Meningok 0 0 0 0 0 0 0 0 0
ok
INFEKSI PENY. ME 0 0 0 0 0 0 0 0 0
A53.9 Syphilis 0 0 0 0 0 0 0 0 0
A54.1 Ganococca 0 0 0 0 0 0 0 0 0
A54.9 lInfeksi 0 0 0 0 0 0 0 0 0
Bartholin`s
Gonokok 0 0 0 0 0 0 0 0 0
gland
(Gonorhoe
PENYAKIT SPIROKA 0 0 0 0 0 0 0 0 0
)abscess
A66.9 Frambusia 0 0 0 0 0 0 0 0 0
/ Patek 0 0 0 0 0 0 0 0 0
PENYAKIT VIRUS 0 0 0 0 0 0 0 0 0
A80 Poliomyeli 0 0 0 0 0 0 0 0 0
A82 tis akut
Rabies 0 0 0 0 0 0 0 0 0
A87 Meningitis 0 0 0 0 0 0 0 0 0
A92.0 Virus
Penyakit 0 0 0 0 0 0 0 0 0
A95.9 virus
Yellow 0 0 0 0 0 0 0 0 0
Chikungun
fever / 0 0 0 0 0 0 0 0 0
ya
demam
INF 0 0 0 0 0 0 0 0 0
kuning
VIRUS
B00.1 Infeksi 0 0 0 0 0 0 0 0 0
B01.9 KULIT&
herpes
Cacar Air / 0 0 0 0 0 0 6 0 0
LESI
virus
Varicella
B02.9 Zoster
MEMBR 0 0 0 0 0 0 0 0 0
[herpes
[chickenpo
[herpes
B06.9 Rubella
AN
simplex] 0 0 0 0 0 1 0 0 0
x]
zoster]
[Campak
MUKOSA 0 0 0 0 0 0 0 0 0
German]
HEPATITIS VIRUS 0 0 0 0 0 0 0 0 0
B15.9 Hepatitis A 0 0 0 0 0 0 0 0 0
B16.9 akut
Hepatitis 0 0 0 0 0 0 0 0 0
B17 B akut
Hepatitis 0 0 0 0 0 0 0 0 0
B18.9 virus akut
Hepatitis 0 0 0 0 0 0 0 0 0
lainnya
virus 0 0 0 0 0 0 0 0 0
kronik
PENYAKI 0 0 0 0 0 0 0 0 0
B24 T VIRUS
Human 0 0 0 0 0 0 0 0 0
B26 LAINNY
Immunode
Penyakit 0 0 0 0 0 0 0 0 0
A
ficiency
Gondok 0 0 0 0 0 0 0 0 0
Virus
(Mumps)
MYCOSES
( HIV ) 0 0 0 0 0 0 0 0 0
B35.9 Dermatoph 0 0 0 0 0 0 0 0 0
B36.0 ytosis
Pityriasis 0 0 0 0 0 0 0 0 0
B37.0 versicolor
Candidal 0 0 0 0 0 0 0 0 0
stomatitis 0 0 0 0 0 0 0 0 0
PENYAKIT PROTO 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
HELMINTHIASIS 0 0 0 0 0 0 0 0 0
B68.9 Taeniasis 0 0 0 0 0 0 0 0 0
B74.9 Filariasis 0 0 0 0 0 0 0 0 0
B77.9 Ascariasis 0 0 0 0 0 0 0 0 0
B79 (Cacing
Trichuriasi 0 0 0 0 0 0 0 0 0
sGelang)
(Cacing 0 0 0 0 0 0 0 0 0
Cambuk)
Pedikulo 0 0 0 0 0 0 0 0 0
B86 sis,Askar
Scabies 0 0 0 0 0 0 0 0 2
B87.9 is
Myiasis 0 0 0 0 0 0 0 0 0
&Infeksi
B89 Penyakit
Lainnya 0 0 0 0 0 0 0 0 0
parasit 0 0 0 0 0 0 0 0 0
lainnya
NEOPLASMA 0 0 0 0 0 0 0 0 0
C18.9 Tumor 0 0 0 0 0 0 0 0 0
C50.9 ganas pada
Tumor 0 0 0 0 0 0 0 0 0
C51.9 usus
ganas
Tumor besar
0 0 0 0 0 0 0 0 0
(colon)
payudara
ganas
C52 Tumorpada 0 0 0 0 0 0 0 0 0
C53.9 vulva
ganas pada
Tumor 0 0 0 0 0 0 0 0 0
C60.9 vagina
ganas
Tumorleher 0 0 0 0 0 0 0 0 0
C61 rahim
ganas
Tumorpada 0 0 0 0 0 0 0 0 0
C76 penis
ganas
Tumor 0 0 0 0 0 0 0 0 0
C76.2 prostat
ganas
Tumorbuli 0 0 0 0 0 0 0 0 0
D17 -Lipoma
buli
pada 0 0 0 0 0 0 0 0 0
D50.9 abdomen
Fibroaden 0 0 0 0 0 0 0 0 0
D56.9 oma
Thalassae 0 0 0 0 0 0 0 0 0
mammae
mia 0 0 0 0 0 0 0 0 0
(FAM)
ANEMIA 0 0 0 0 0 0 0 0 0
D50.9 Anemia 0 0 0 0 0 0 0 0 0
D56.9 defisiensi
Thalassae 0 0 0 0 0 0 0 0 0
D64.9 besi
mia
Anaemia 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
PENYAKIT ENDOKRI 0 0 0 0 0 0 0 0 0
E03.9 Hypotiroid 0 0 0 0 0 0 0 0 0
E05.9 (Struma)
Hypertiroi 0 0 0 0 0 0 0 0 0
E06.9 dThyroiditis 0 0 0 0 0 0 0 0 0
E10 (Thyrotoxi
Diabetes 0 0 0 0 0 0 0 0 0
cosis)
Mellitus
E11 Diabetes 0 0 0 0 0 0 0 0 0
Tergantung
Mellitus 0 0 0 0 0 0 0 0 0
Insulin
Tidak
KURANG
(IDDM) GIZI 0 0 0 0 0 0 0 0 0
Tergantung
E40 Kwashiork
Insulin 0 0 0 0 0 0 0 0 0
E41 or
Nutritional
(NIDDM) 0 0 0 0 0 0 0 0 0
E42 marasmus
Marasmus 0 0 0 0 0 0 0 0 0
E44 Kwashiork
Gizi Kurang 0 0 0 0 0 0 0 0 0
or 0 0 0 0 0 0 0 0 0
GANGGUAN METAB 0 0 0 0 0 0 0 0 0
F78.0 Hyperkole 0 0 0 0 0 0 0 0 0
sterol 0 0 0 0 0 0 0 0 0
GANGGUAN MENTA 0 0 0 0 0 0 0 0 0
F03 Dementia 0 0 0 0 0 0 0 0 0
F20.9 Penyakit 0 0 0 0 0 0 0 0 0
F23.9 Jiwa
Gangguian 0 0 0 0 0 0 0 0 0
F41.9 (Schizophr
Psikotik
Gangguan 0 0 0 0 0 0 0 0 0
enia)
cemas
F44.0 Amnesia 0 0 0 0 0 0 0 0 0
F44.2 Pingsan 0 0 0 0 0 0 0 0 0
F45.0 (stupor)
Psychoso 0 0 0 0 0 0 0 0 0
F48.9 matic
Gangguan 0 0 0 0 0 0 0 0 0
F60.0 Neurotic
Gangguan 0 0 0 0 0 0 0 0 0
paranoid
F79 Retardasi 0 0 0 0 0 0 0 0 0
F99 Mental
Gangguan 0 0 0 0 0 0 0 0 0
H93.1 Mental
Tinnitus 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
PENYAKIT SUSUNA 0 0 0 0 0 0 0 0 0
G03.9 Meningitis 0 0 0 0 0 0 0 0 0
G04.9 Encephalit 0 0 0 0 0 0 0 0 0
G20 is, myelitis
Penyakit 0 0 0 0 0 0 0 0 0
G30.9 dan
Parkinson`
Penyakit 0 0 0 0 0 0 0 0 0
encephalo
sEpilepsi
Alzheimer
G40.9 myelitis 0 0 0 0 0 0 0 0 0
G43.9 `s
Migraine 0 0 0 0 0 0 0 0 0
G44 Cephalgia 0 0 0 0 0 0 0 0 0
G47.0 Insomnia 0 0 0 0 0 0 0 0 0
G51.0 Bell`s 0 0 0 0 0 0 0 0 0
G81.9 palsy
Hemiplegi 0 0 0 0 0 0 0 0 0
G82.2 aParaplegia 0 0 0 0 0 0 0 0 0
G83.9 Paralytic 0 0 0 0 0 0 0 0 0
G91.0 syndrome
Hydroceph 0 0 0 0 0 0 0 0 0
alus 0 0 0 0 0 0 0 0 0
PENYAKIT MATA D 0 0 0 0 0 0 0 0 0
H00.0 Hordeolu 0 0 0 0 0 0 0 0 0
H10.9 m
Conjunctiv 0 0 0 0 0 1 6 0 2
H11.0 itis
Pterygium 0 0 0 0 0 0 0 0 0
H15.0 Scleritis 0 0 0 0 0 0 0 0 0
H16.9 Keratitis 0 0 0 0 0 0 0 0 0
H26.9 Katarak 0 0 0 0 0 0 0 0 0
H40.9 Glaukoma 0 0 0 0 0 0 0 0 0
H52 Kelainan 0 0 0 0 0 0 0 0 0
H52.0 Refraksi
Hypermetr 0 0 0 0 0 0 0 0 0
H52.1 opia
Myopia 0 0 0 0 0 0 0 0 0
H52.4 Presbyopia 0 0 0 0 0 0 0 0 0
H53.0 Buta 0 0 0 0 0 0 0 0 0
H53.2 Warna
Diplopia 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
PENYAKIT PD TELI 0 0 0 0 0 0 0 0 0
H60.9 Otitis 0 0 0 0 0 0 0 0 0
H83.0 Externa
Otitis 0 0 0 0 0 0 0 0 0
H61.2 Interna
Impacted 0 0 0 0 0 0 0 0 0
H66.4 Serumen
Otitis 0 0 0 0 0 0 0 0 0
H66.9 Media
Otitis 0 0 0 0 0 0 0 0 0
H70.0 Purulen
Media
Mastoiditis 0 0 0 0 0 0 0 0 0
(OMP)
Akut
Akut
H70.1 Mastoiditis 0 0 0 0 0 0 0 0 0
(OMA)
kronis
H81.9 Vertigo 0 0 0 0 0 0 0 0 0
H90 Gangguan 0 0 0 0 0 0 0 0 0
Pendengar 0 0 0 0 0 0 0 0 0
an
PENYAKIT SISTEM 0 0 0 0 0 0 0 0 0
I10 Hypertensi 0 0 0 0 0 0 0 0 0
I20.9 Angina 0 0 0 0 0 0 0 0 0
I21.9 Pectoris
Infark 0 0 0 0 0 0 0 0 0
I30.9 miokard
Pericarditi 0 0 0 0 0 0 0 0 0
s akut
I40.9 Miokarditi 0 0 0 0 0 0 0 0 0
I42.9 sCardiomyo
akut 0 0 0 0 0 0 0 0 0
I46.9 pathy
Cardiac 0 0 0 0 0 0 0 0 0
151.6 Arrest
Decompen 0 0 0 0 0 0 0 0 0
I64 sation
Stroke 0 0 0 0 0 0 0 0 0
I84 Cardiovasc
Haemorrh 0 0 0 0 0 0 0 0 0
uler
oids (gagal
195.9 Hypotensi
jantung) 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Infeksi 0 0 0 0 0 0 0 0 0
J00 Akut pd
Nasophary 0 0 0 0 0 35 47 50 111
J01.9 Saluran
ngitis Akut
Sinusitis 0 0 0 0 0 0 0 0 0
Pernafas
(Common
akut
J02.9 Pharyngiti
an 0 0 0 0 0 0 0 0 0
Cold)
sBagian
akut
J03.9 Tonsilitis 0 0 0 0 0 0 0 0 0
J04.0 akut
Atas
Laryngitis 0 0 0 0 0 0 0 0 0
J04.1 akut
Tracheitis 0 0 0 0 0 0 0 0 0
J05.1 akut
Epiglottitis 0 0 0 0 0 0 0 0 0
akut 0 0 0 0 0 0 0 0 0
Influenza dan Pneu 0 0 0 0 0 0 0 0 0
J11.8 Influenza 0 0 0 0 0 1 6 0 0
0 0 0 0 0 0 0 0 0
Inf Akut 0 0 0 0 0 0 0 0 0
J20.9 lain
Bronkhitis 0 0 0 0 0 0 0 0 0
J21.9 Sal.Pern
akut
Bronchioli 0 0 0 0 0 0 0 0 0
afasan
tis akut
BagB 0 0 0 0 0 0 0 0 0
Penyakit Saluran Pe
awah 0 0 0 0 0 0 0 0 0
J31.0 Rhinitis 0 0 0 0 0 0 0 0 0
J32.9 kronis
Sinusitis 0 0 0 0 0 0 0 0 0
J33.9 kronis
Nasal 0 0 0 0 0 0 0 0 0
J35.0 polip
Tonsilitis 0 0 0 0 0 0 0 0 0
J37.0 kronis
Laryngitis 0 0 0 0 0 0 0 0 0
kronis 0 0 0 0 0 0 0 0 0
Penyakit 0 0 0 0 0 0 0 0 0
J42 Saluran
Bronkhitis 0 0 0 0 0 0 0 0 0
J44 Pernafas
kronis
PPOK 0 0 0 0 0 0 0 0 0
an
J45.9 Asthma
Bawah 0 0 0 0 0 0 0 0 0
J46 Bronchiale
Status
Kronik 0 0 0 0 0 0 0 0 0
Asthmatic 0 0 0 0 0 0 0 0 0
us
PENYAKIT GIGI DA 0 0 0 0 0 0 0 0 0
K00 Gangguan 0 0 0 0 0 0 0 0 0
K01.1 dan
Impaksi 0 0 0 0 0 0 0 0 0
K02.0 Perkemban
gigi
Karies 0 0 0 0 0 0 0 0 0
gan
emaildan
(IF)
K02.9 Karies
Erupsi gigi 0 0 0 0 0 0 0 0 0
K03 Gigi
Atrisi 0 0 0 0 0 0 0 0 0
K03.1 Gigi
Abrasi 0 0 0 0 0 0 0 0 0
K03.2 Gigi
Erosi 0 0 0 0 0 0 0 0 0
K03.4 Gigi
Hiperseme 0 0 0 0 0 0 0 0 0
K03.5 ntosis
Ankylosis 0 0 0 0 0 0 0 0 0
K03.6 gigi
Kalkulus 0 0 0 0 0 0 0 0 0
K04.0 gigi
Pulpitis 0 0 0 0 0 0 0 0 0
K04.1 Nekrosis 0 0 0 0 0 0 0 0 0
K04.4 pulpa
Periodontit 0 0 0 0 0 0 0 0 0
K04.5 is apikalis
Periodontit 0 0 0 0 0 0 0 0 0
K04.6 akut
is apikalis
Perilpikal 0 0 0 0 0 0 0 0 0
K04.7 kronis
abses
Perilpikal 0 0 0 0 0 0 0 0 0
K05.1 desimus
abses
Gingintris 0 0 0 0 0 0 0 0 0
K05.2 tanpa
Marginalis
Periodnitis 0 0 0 0 0 0 0 0 0
keterlibata
kronis
marginalis
K05.3 Periodnitis
nakut
sinus 0 0 0 0 0 0 0 0 0
K06.0 marginalis
Resesi 0 0 0 0 0 0 0 0 0
K06.1 kronis
gusi
Pembesara 0 0 0 0 0 0 0 0 0
K06.8 n gusi /
Epulis 0 0 0 0 0 0 0 0 0
K07 gingival
giatcul
Anomali 0 0 0 0 0 0 0 0 0
fibromatos
epulis
Dentofasia
K07.3 Crowding,
is 0 0 0 0 0 0 0 0 0
K07.5 lKebiasaan
diatema, 0 0 0 0 0 0 0 0 0
K08.1 displaceme
buruk
Kehilanga/ 0 0 0 0 0 0 0 0 0
n,
noralrotasi,
habit
gigi
K.10.3 Dry Socket
spaling, 0 0 0 0 0 0 0 0 0
K.11 akibat
Kelainan
transposisi 0 0 0 0 0 0 0 0 0
kecelakaan
Kelenjar
K12.1 Stomatitis
/Lidah
avulasi 0 0 0 0 0 0 0 0 0
K12.2 Abses
gigi 0 0 0 0 0 0 0 0 0
K12.3 Mulut
Penyakit Bibir (Agular 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Peny.Eso 0 0 0 0 0 0 0 0 0
K25 pagus,La
Ulkus / 0 0 0 0 0 0 0 0 0
K29.7 mbung&
Tukak
Gastritis 0 0 0 0 0 0 0 0 0
Duodenu
lambung
K29.8 Duodenitis
m 0 0 0 0 0 0 0 0 0
K29.9 Gastroduo 0 0 0 0 0 0 0 0 0
K30 denitis
Dispepsia 0 0 0 0 0 0 0 0 0
K35.9 (gangguan
Apendiciti 0 0 0 0 0 0 0 0 0
K37 sfungsi
akut
Appendicit 0 0 0 0 0 0 0 0 0
lambung)
is Lainnya
K40 Hernia 0 0 0 0 0 0 0 0 0
K41 Inguinalis
Hernia 0 0 0 0 0 0 0 0 0
K42 Femoral
Hernia 0 0 0 0 0 0 0 0 0
Umbilical 0 0 0 0 0 0 0 0 0
PENYAKI 0 0 0 0 0 0 0 0 0
L01 T KULIT
Impertigo 0 0 0 0 0 0 0 0 0
L02 DAN
Abses, 0 0 0 0 0 0 9 0 3
JARINGA
furunkel
L04 Limfedenti
N 0 0 0 0 0 0 0 0 0
L20 dan
sDermatitis 0 0 0 0 0 0 0 0 0
karbunkel
atopic
L21 SUBKUT
Dermatitis 0 0 0 0 0 0 0 0 0
L23 AN
seboroik
Dermatitis 0 0 0 0 0 0 0 0 0
L30.0 kontak
Paronikia 0 0 0 0 0 2 22 0 2
0 0 0 0 0 0 0 0 0
PENYAKI 0 0 0 0 0 0 0 0 0
L50 T
Urtikaria 0 0 0 0 0 0 0 0 0
L91.0 SISTEM
Kelloid 0 0 0 0 0 0 0 0 0
OTOT,
M06.9 Rheumatoi
TULANG, 0 0 0 0 0 0 0 0 0
M67.4 dGanglion
Atritis
DAN 0 0 0 0 0 0 0 0 0
M79.1 JARINGA
Mialgia 0 0 0 0 0 0 0 0 0
M79.2 N
Nuralgia 0 0 0 0 0 0 0 0 0
PENYAM
dan 0 0 0 0 0 0 0 0 0
BUNG
Neuritis
N00.9 Sindrom 0 0 0 0 0 0 0 0 0
N02 nefritis
Hematuria 0 0 0 0 0 0 0 0 0
N03 akut
rekuren
Sindrom 0 0 0 0 0 0 0 0 0
N04 dan
nefritik
Sindrom 0 0 0 0 0 0 0 0 0
persisten
kronik
nefrotik
N17 Gagal 0 0 0 0 0 0 0 0 0
N18.9 ginjal
Gagal akut 0 0 0 0 0 0 0 0 0
N20 ginjalginjal
Batu 0 0 0 0 0 0 0 0 0
N21.1 kronik
dan ureter
Batu 0 0 0 0 0 0 0 0 0
N23 Saluran
Kolik 0 0 0 0 0 0 0 0 0
N30 Kencing
ginjal yang
Sistitis 0 0 0 0 0 0 0 0 0
N39.9 tak
Gangguan 0 0 0 0 0 0 0 0 0
ditentukan
sistem
N40 Hipertrofi 0 0 0 0 0 0 0 0 0
N41.0 kemih
prostat
Radang 0 0 0 0 0 0 0 0 0
lainnya
Prostat
N41.1 Radang 0 0 0 0 0 0 0 0 0
N.50.9 akut
Prostat
Odema 0 0 0 0 0 0 0 0 0
N75.8 kronik
unsepesific
Bartholinti 0 0 0 0 0 0 0 0 0
N92.6 sHaid 0 0 0 0 0 0 0 0 0
N94.6 berlebih,
Dismenore 0 0 0 0 0 0 0 0 0
N95.2 sering
Vaginitisdan
0 0 0 0 0 0 0 0 0
teratur
(Gangguan 0 0 0 0 0 0 0 0 0
KEHAMI
haid) 0 0 0 0 0 0 0 0 0
O03.4 LAN,
Abortus Spontan Ink 0 0 0 0 0 0 0 0 0
O03.9 KELAHIR
Abortus 0 0 0 0 0 0 0 0 0
AN,
Spontan
O07.9 Abortus
MASA 0 0 0 0 0 0 0 0 0
O15 Komplit
percobaan
Keracunan
NIFAS 0 0 0 0 0 0 0 0 0
O21.1 yang gagal
kehamilan
Hypereme 0 0 0 0 0 0 0 0 0
(sisEklampsi
0 0 0 0 0 0 0 0 0
aGravidaru
)
JARINGA 0 0 0 0 0 0 0 0 0
m (HEG)
O21.9 N
Muntah 0 0 0 0 0 0 0 0 0
O24.9 PENYAM
yang
Diabetes 0 0 0 0 0 0 0 0 0
BUNG
berlebihan
Melitus
O30.9 Kehamilan 0 0 0 0 0 0 0 0 0
dalam
dalam
Ganda
O42.9 Ketuban
kehamilan 0 0 0 0 0 0 0 0 0
kehamilan
Pecah Dini
O44 Plasenta 0 0 0 0 0 0 0 0 0
O45.9 Previa
Solusio 0 0 0 0 0 0 0 0 0
O48 Plasenta
Kehamilan 0 0 0 0 0 0 0 0 0
lewat 0 0 0 0 0 0 0 0 0
waktu
PENYULIT KEHAMI 0 0 0 0 0 0 0 0 0
O60 Persalinan 0 0 0 0 0 0 0 0 0
O63.9 Prematur
Persalinan 0 0 0 0 0 0 0 0 0
O72 Lama
Perdarahan 0 0 0 0 0 0 0 0 0
Post 0 0 0 0 0 0 0 0 0
Partum
PERSALINAN 0 0 0 0 0 0 0 0 0
O80.9 Persalinan 0 0 0 0 0 0 0 0 0
O83.9 Tunggal
Persalinan 0 0 0 0 0 0 0 0 0
Spontan
Tunggal
O84.0 Persalinan 0 0 0 0 0 0 0 0 0
lainnya
Ganda
O91.2 Mastitis 0 0 0 0 0 0 0 0 0
dengan
Spontan
P07.1 Bayi lahir
bantuan 0 0 0 0 0 0 0 0 0
Prematur 0 0 0 0 0 0 0 0 0
KEL.SAL 0 0 0 0 0 0 0 0 0
.NAFAS&
KARDIO
MASA
PNATAL
P20.9 Hipoksia 0 0 0 0 0 0 0 0 0
P21.9 Intrauterus
Asfiksia 0 0 0 0 0 0 0 0 0
P22.9 waktu
Gawat 0 0 0 0 0 0 0 0 0
lahir
(Distres)
P24.9 Sindroma 0 0 0 0 0 0 0 0 0
nafas bayi
Aspirasi
P29 Kelainan 0 0 0 0 0 0 0 0 0
baru
Bayi lahir
baru
Kardiovas
P80.9 Hipotermi 0 0 0 0 0 0 0 0 0
lahir
kuler
bayi baru 0 0 0 0 0 0 0 0 0
berhub.
lahir
KELAINA
dengan 0 0 0 0 0 0 0 0 0
P90 N LAIN
Kejang
masa 0 0 0 0 0 0 0 0 0
P95 PADA
pada bayi
perinatal
Kematian 0 0 0 0 0 0 0 0 0
MASA
baru lahir
janin tanpa
PERINAT 0 0 0 0 0 0 0 0 0
sebab
LAIN yang
AL - LAIN 0 0 0 0 0 0 0 0 0
jelas / bayi
R00.0 Tachycardi
lahir mati 0 0 0 0 0 0 0 0 0
R00.1 aBradicardi 0 0 0 0 0 0 0 0 0
R02 Gangrene 0 0 0 0 0 0 0 0 0
R04.0 Epistaksis 0 0 0 0 0 0 0 0 0
R06.1 Dyspnoea 0 0 0 0 0 0 0 0 0
R11 Nausea 0 0 0 0 0 0 0 0 0
R23.0 and
Sianosis 0 0 0 0 0 0 0 0 0
R29.0 vomiting
Tetanus 0 0 0 0 0 0 0 0 0
(Mual dan
R33 Retensi
muntah) 0 0 0 0 0 0 0 0 0
R34 Urine
Anuria 0 0 0 0 0 0 0 0 0
R50.9 and
Febris / 0 0 0 0 0 1 12 0 5
R56 oliguri
Demam
Convulsio 0 0 0 0 0 0 0 0 0
R57.1 n (Kejang
Syok 0 0 0 0 0 0 0 0 0
R63.0 demam)
Hipovolem
Anorexia 0 0 0 0 0 0 0 0 0
ik
0 0 0 0 0 0 0 0 0
CEDERA, KERACU 0 0 0 0 0 0 0 0 0
S02.9 Trauma 0 0 0 0 0 0 0 0 0
S12.9 Kepala dan
Fraktur 0 0 0 0 0 0 0 0 0
S42.0 muka
Servikal
Fraktur 0 0 0 0 0 0 0 0 0
S42.3 Klavikula
Fraktur 0 0 0 0 0 0 0 0 0
S62 humerus
Fraktur di 0 0 0 0 0 0 0 0 0
S63 lengan
Dislokasi 0 0 0 0 0 0 0 0 0
S72.9 Fraktur 0 0 0 0 0 0 0 0 0
S82 femur
Fraktur di 0 0 0 0 0 0 0 0 0
S00.9 kaki
Semua 0 0 0 0 0 0 0 0 0
T08 fraktur
Fraktur 0 0 0 0 0 0 0 0 0
T20.9 selain
Luka di
Vetebra 0 0 0 0 0 0 0 0 0
atas
Bakar
T14.0 Hematoma 0 0 0 0 0 0 0 0 0
T14.1 Luka 0 0 0 0 0 0 0 0 0
T63.0 Terbuka
Sengatan 0 0 0 0 0 0 0 0 0
T63.2 (bisa) ular
Sengatan 0 0 0 0 0 0 0 0 0
W53 (bisa)
Digigit 0 0 0 0 0 0 0 0 0
W54 kalajengki
Tikus
Digigit 0 0 0 0 0 0 0 0 0
ng
Anjing
W55 Digigit 0 0 0 0 0 0 0 0 0
W56 kucing
Digigit 0 0 0 0 0 0 0 0 0
W57 (termasuk
binatang
Digigit 0 0 0 0 0 0 0 0 0
binatang
laut
Serangga
X20 Digigit
menyusui) 0 0 0 0 0 0 0 0 0
Y10 Ular
Keracunan 0 0 0 0 0 0 0 0 0
Obat
0 0 0 0 0 54 130 86 227
Mengetahui
nama kapus
NIP. .........................................................
LAPORAN BULANAN :
BULAN :
TAHUN :

JUMLAH PENDERITA
7 8 9 10 11 12 13
5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
1 3 0 0 0 0 0 0 2 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
10 40 0 18 9 6 6 25 6 9 1 5
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 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 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
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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 1 0 2 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 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 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 15 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
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 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 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
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 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 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
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 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 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
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 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 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
2 6 0 0 0 0 2 3 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 1 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 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 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 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 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 0 1 0 9 0 13 0 1 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 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 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 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 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
2 9 1 3 8 9 6 0 2 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 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 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 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 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 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 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 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 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 10 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 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 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 2 0 3 3 11 3 9
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 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 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
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 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 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
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 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 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
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 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 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
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 15 0 0 0 0
0 0 0 0 3 19 4 18 1 0 1 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 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 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 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 0 0 0 0 0 0 0 0 0
6 46 5 3 0 25 7 9 2 6 1 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 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 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 0
0 0 0 0 0 0 2 0 2 0 1 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 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 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 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 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 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 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 0 0 0 57 40 58 63 42 53
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 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 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
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 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 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
39 53 37 81 44 176 127 145 91 184 23 53
0 26 0 0 0 0 0 8 0 21 0 16
0 0 8 3 6 16 1 22 9 0 1 0
0 6 0 0 1 0 0 3 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
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 0 0 0 0 0 0 0 0
0 6 0 0 0 3 2 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 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 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 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 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 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 3 2 3 0 0 2 0 2 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 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 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 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 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 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 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 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 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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 3 1 0 0 8
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 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 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
0 0 0 0 0 0 0 0 0 0 0 0
6 15 1 25 27 22 143 81 43 34 15 15
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 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 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
0 0 0 0 0 0 0 0 0 0 0 0
10 34 8 31 1 0 9 9 2 3 0 9
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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 5 0 0 0 0 0
7 40 3 2 3 19 28 19 10 19 2 19
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 0 0 6 0 1 3 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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 2 0 110 56 68 43 22 9
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 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 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
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 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 5 0 1 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 0 0 0
1 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 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 0 0 0
16 34 8 25 7 9 13 34 5 9 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 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 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 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 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 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 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 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 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 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 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
102 323 77 194 114 306 557 508 326 407 114 196
Bogor, ......................................................
Pelapor
RAN BULANAN : LB. I
N : april
N :
TOTAL
13 14
15
60 - 69 Th > 70 Th
L P L B L
0 0 0 0 0
0 0 0 0 0
0 0 0 4 8
0 0 0 0 0
0 0 0 0 0
3 5 2 230 81
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 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 0 0 0 5
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 0
0 0 0 0
0 0 0 0 0
0 0 0 17 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 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 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 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 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 15 5
0 0 0 0 0
0 0 0 0 3
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 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
1 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 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 0
0 0 0 23 20
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 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
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 0 0 0
0 0 0 0 0
0 0 0 0 10
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
5 6 2 32 14
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 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 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 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 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 15 0
0 0 0 37 9
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 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
2 0 1 98 25
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 0 0
0 0 0 0 0
0 0 0 0 6
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 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
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
69 62 35 218 260
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 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 0 0
0 0 0 0 0
36 12 7 862 487
0 0 0 71 0
3 0 0 40 29
0 0 0 9 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 28 0 43 3
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 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 0 0 0 0
0 0 0 0 0
0 0 0 6 7
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 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
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 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 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 0
0 0 0 0 0
0 0 0 0 0
0 6 0 17 2
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 0 0 0
0 0 0 0 0
16 15 3 208 254
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
0 0 0
0 0 0 0 0
1 0 0 99 32
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 5
6 12 5 153 67
0 0 0
0 0 0 0 0
0 0 0 3 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
52 6 9 115 265
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 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 6
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 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
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
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 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 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 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
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
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 0 0 0
0 0 0 0 0
0 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 0 0 128 55
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 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
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 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 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
199 154 65 2445 1668
............................................
Pelapor
DINAS KESE
JL. Keseha
KODE PUSKESMAS :
LAPORAN BULAN
NO JENIS PENYAKIT
1 2 3 4 5 6 7
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th 5 - 9 Th
P L P L P L P L P
A33 Tetanus
J18.9 neonatoru
Pneumonia
m
A06.0 Disentri 0 0 0 0 0 0 0 3 1
A03.9 amuba
Disentri
A00.9 Basiler
Kolera
A09 Diare dan 0 0 0 0 0 9 18 23 87
P59.9 Gastroente
Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir
bayi oleh
baru
Q66 Talipes
sebab Equinovarus
lahir yang
B05.9 belum
Campak/M
karena
jelas
orbili/Mea
hemolisis
A36.9 Diphtheria
sles
berlebihan
B54 Malaria
B53.1 Klinis
Malaria
B53.0 Plasmodiu
Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
B50.9 Malaria
Malariae
m Vivax
Plasmodiu
A91 Demam 0 0 0 0 0 0 0 0 0
m
Berdarah
A01.0 Demam
Falciparu
Dengue
Typhoid
A04.9 m
Infeksi
( DHF )
A05.0 usus
Keracunan
karena
Makanan
A05.9 Intoxikasi
bakteri
A08.4 (keracunan
lainnya
Infeksi
)virus
makanan
pada
usus
A15.0 TB Paru,
A16.0 BTA (+)
TB Paru,
tanpa
BTA (-)
A16 TB Paru
biakan
Klinis
TB
A17.0†
Maningitis
A18 Tuberculos
A19 is
TBpada
organ
Miliary
lainnya
A30.0 Kusta i/T
A30.5 (MB)
Kusta B/L
A35 (PB)
Tetanus
A37.9 lainnya
Batuk
A39.9 Rejan
Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
A54.9 lInfeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
PENYAKIT
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
A82 tis akut
Rabies
A87 Meningitis
A92.0 Virus
Penyakit
A95.9 virus
Yellow
Chikungun
fever /
ya
demam
INF
kuning
B00.1 VIRUS
Infeksi
KULIT&
herpes
B01.9 Cacar
LESI Air / 0 0 0 0 0 0 5 0 0
virus
Varicella
B02.9 MEMBR
Zoster
[herpes
[chickenpo
AN
[herpes
B06.9 simplex]
Rubella
x]
MUKOSA
zoster] 0 0 0 0 0 1 0 0 0
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
B16.9 akut
Hepatitis
B17 B akut
Hepatitis
B18.9 virus akut
Hepatitis
lainnya
virus
kronik
PENYAKI
B24 T VIRUS
Human
LAINNY
Immunode
B26 Penyakit
A
ficiency
Gondok
Virus
(Mumps)
(MYCOSES
HIV )
0 0 0 0 0 0 0 0 0
B35.9 Dermatoph
ytosis
B36.0 Pityriasis
B37.0 versicolor
Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
B79 (Cacing
Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
B86 sis,Askar
Scabies
is 0 0 0 0 0 0 0 0 1
B87.9 Myiasis
&Infeksi
B89 Lainnya
Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
C50.9 ganas
Tumorpada
usus
ganas besar
C51.9 Tumor
(colon)
payudara
ganas
C52 Tumorpada
vulva
ganas
C53.9 Tumorpada
vagina
ganas
C60.9 Tumorleher
rahim
ganas
C61 Tumorpada
penis
ganas
C76 Tumor
prostat
ganas
C76.2 Tumorbuli
-pada
buli
D17 Lipoma
abdomen
D50.9 Fibroaden
D56.9 oma
Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
D56.9 defisiensi
Thalassae
besi
mia
D64.9 Anaemia 0 0 0 0 0 0 0 0 0

E03.9 Hypotiroid
E05.9 (Struma)
Hypertiroi
E06.9 dThyroiditis
(Thyrotoxi
E10 Diabetes
cosis)
E11 Mellitus
Diabetes
Tergantung 0 0 0 0 0 0 0 0 0
Mellitus
Insulin
Tidak
(IDDM)
KURANG
Tergantung GIZI
Insulin
(NIDDM)
E40 Kwashiork
E41 or
Nutritional
E42 marasmus
Marasmus
E44 Kwashiork
Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
F23.9 Jiwa
Gangguian
(Schizophr
Psikotik
F41.9 Gangguan
enia)
F44.0 cemas
Amnesia
F44.2 Pingsan
F45.0 (stupor)
Psychoso
F48.9 matic
Gangguan
F60.0 Neurotic
Gangguan
F79 paranoid
Retardasi
F99 Mental
Gangguan
H93.1 Mental
Tinnitus

G03.9 Meningitis
G04.9 Encephalit
G20 is, myelitis
Penyakit
dan
Parkinson`
G30.9 Penyakit
encephalo
sAlzheimer
G40.9 myelitis
Epilepsi
`s 0 0 0 0 0 0 0 0 0
G43.9 Migraine 0 0 0 0 0 0 0 0 0
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
G81.9 palsy
Hemiplegi
G82.2 aParaplegia
G83.9 Paralytic
G91.0 syndrome
Hydroceph
alus

H00.0 Hordeolu
H10.9 m
Conjunctiv 0 0 0 0 0 1 5 0 1
H11.0 itis
Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
H52.0 Refraksi
Hypermetr
H52.1 opia
Myopia 0 0 0 0 0 0 0 0 0
H52.4 Presbyopia
H53.0 Buta
H53.2 Warna
Diplopia

H60.9 Otitis
H83.0 Externa
Otitis
H61.2 Interna
Impacted
H66.4 Serumen
Otitis
H66.9 Media
Otitis
Purulen
Media
H70.0 Mastoiditis
(OMP)
Akut
Akut
H70.1 Mastoiditis
(OMA)
H81.9 kronis
Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi 0 0 0 0 0 0 0 0 0
I20.9 Angina
I21.9 Pectoris
Infark
I30.9 miokard
Pericarditi
I40.9 sMiokarditi
akut
I42.9 sCardiomyo
akut
I46.9 pathy
Cardiac
151.6 Arrest
Decompen
I64 sation
Stroke
Cardiovasc
I84 Haemorrh
uler (gagal
195.9 oids
jantung)
Hypotensi

Infeksi
J00 Akut pd
Nasophary
Saluran 0 0 0 0 0 26 41 37 96
J01.9 ngitis Akut
Sinusitis
Pernafas
(Common 0 0 0 0 0 0 0 0 0
J02.9 anakut
Pharyngiti
Cold) 0 0 0 0 0 0 0 0 0
Bagian
sTonsilitis
akut
J03.9 Atas 0 0 0 0 0 0 0 0 0
J04.0 akut
Laryngitis
J04.1 akut
Tracheitis
J05.1 akut
Epiglottitis
akut
J11.8 Influenza 0 0 0 0 0 1 5 0 0
Inf Akut
J20.9 lain
Bronkhitis
Sal.Pern
akut
J21.9 Bronchioli
afasan
tis
BagBakut
awah
J31.0 Rhinitis
J32.9 kronis
Sinusitis
J33.9 kronis
Nasal
J35.0 polip
Tonsilitis
J37.0 kronis
Laryngitis
kronis
Penyakit
J42 Saluran
Bronkhitis
Pernafas
kronis
J44 PPOK
an
J45.9 Bawah
Asthma 0 0 0 0 0 0 0 0 0
Kronik
Bronchiale
J46 Status
Asthmatic
us
K00 Gangguan
K01.1 dan
Impaksi
Perkemban
gigi
K02.0 Karies
gan dan
K02.9 email
Karies(IF)
Erupsi gigi
K03 Gigi
Atrisi
K03.1 Gigi
Abrasi
K03.2 Gigi
Erosi
K03.4 Gigi
Hiperseme
K03.5 ntosis
Ankylosis
K03.6 gigi
Kalkulus
K04.0 gigi
Pulpitis
K04.1 Nekrosis
K04.4 pulpa
Periodontit
K04.5 is apikalis
Periodontit
akut
is apikalis
K04.6 Perilpikal
kronis
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
K05.2 Periodnitis
keterlibata
kronis
marginalis
K05.3 nPeriodnitis
sinus
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
K06.8 nEpulis
gusi /
gingival
giatcul
fibromatos
epulis
is
K07 Anomali
K07.3 Dentofasia
Crowding,
ldiatema,
K07.5 Kebiasaan
displaceme
buruk /
K08.1 Kehilanga
n, rotasi,
oral habit
nspaling,
gigi
K.10.3 Dry Socket
akibat
transposisi
K.11 Kelainan
kecelakaan
K12.1 Kelenjar
/Stomatitis
avulasi
Lidah 0 0 0 0 0 0 0 0 0
gigi
K12.2 Abses
K12.3 Mulut
Peny.Eso
K25 pagus,La
Ulkus /
mbung&
Tukak
K29.7 Gastritis
Duodenu
lambung
K29.8 m
Duodenitis
K29.9 Gastroduo
K30 denitis
Dispepsia 0 0 0 0 0 0 0 0 0
K35.9 (gangguan
Apendiciti
fungsi
sAppendicit
akut
K37 lambung)
K40 is Lainnya
Hernia
K41 Inguinalis
Hernia
K42 Femoral
Hernia
Umbilical
PENYAKI
L01 T KULIT
Impertigo
DAN
L02 Abses,
JARINGA 0 0 0 0 0 0 8 0 2
L04 furunkel
N
Limfedenti
dan
sDermatitis
L20 karbunkel
SUBKUT
L21 atopic
AN
Dermatitis
L23 seboroik
Dermatitis 0 0 0 0 0 0 0 0 0
L30.0 kontak
Paronikia 0 0 0 0 0 2 19 0 2
PENYAKI
L50 T
Urtikaria
SISTEM 0 0 0 0 0 0 0 0 0
L91.0 Kelloid
OTOT,
M06.9 TULANG,
Rheumatoi
DAN
dGanglion
Atritis
M67.4 JARINGA
M79.1 N
Mialgia
M79.2 PENYAM
Nuralgia
BUNG 0 0 0 0 0 0 0 0 0
dan
Neuritis
N00.9 Sindrom
N02 nefritis
Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
persisten
kronik
N04 Sindrom
N17 nefrotik
Gagal
N18.9 ginjal
Gagal akut
N20 ginjal
Batu ginjal
kronik
dan
N21.1 Batuureter
N23 Saluran
Kolik
Kencing
ginjal
N30 Sistitisyang 0 0 0 0 0 0 0 0 0
tak
N39.9 Gangguan
ditentukan
N40 sistem
Hipertrofi
kemih
prostat
N41.0 Radang
lainnya
N41.1 Prostat
Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
N92.6 sHaid
N94.6 berlebih,
Dismenore
sering dan
N95.2 Vaginitis
teratur
(Gangguan
haid)
KEHAMI
O03.4 LAN,
KELAHIR
O03.9 Abortus
AN,
O07.9 Spontan
MASA
Abortus
Komplit
NIFAS
percobaan
O15 Keracunan
yang gagal
kehamilan
O21.1 Hypereme
(sisEklampsi
aGravidaru
)
JARINGA
m (HEG)
O21.9 N
Muntah
PENYAM
yang
O24.9 Diabetes
BUNG
berlebihan
Melitus
O30.9 Kehamilan
dalam
dalam
Ganda
O42.9 kehamilan
Ketuban
kehamilan
O44 Pecah Dini
Plasenta
O45.9 Previa
Solusio
O48 Plasenta
Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
O63.9 Prematur
Persalinan
O72 Lama
Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
O83.9 Tunggal
Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
O91.2 Mastitis
dengan
Spontan
bantuan
P07.1 Bayi lahir
Prematur
KEL.SAL
P20.9 .NAFAS&
Hipoksia
KARDIO
Intrauterus
P21.9 Asfiksia
MASA
P22.9 waktu
PNATAL
Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
P29 Kelainan
baru lahir
Bayi baru
Kardiovas
P80.9 Hipotermi
lahir
kuler
bayi baru
berhub.
lahir
dengan
KELAINA
masa
N LAIN
P90 Kejang
perinatal
PADA
pada bayi
P95 Kematian
MASA
baru
janin lahir
tanpa
PERINAT
sebab
AL yang
LAIN/ bayi
jelas - LAIN
R00.0 lahir mati
Tachycardi
R00.1 aBradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea 0 0 0 0 0 0 0 0 0
R23.0 and
Sianosis
vomiting
R29.0 Tetanusdan
(Mual
R33 muntah)
Retensi
R34 Urine
Anuria
R50.9 and
Febris /
oliguri 0 0 0 0 0 1 11 0 4
R56 Demam
Convulsio
R57.1 nSyok
(Kejang
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
S12.9 Kepala
Fraktur dan
muka
Servikal
S42.0 Fraktur
S42.3 Klavikula
Fraktur
S62 humerus
Fraktur di
S63 lengan
Dislokasi
S72.9 Fraktur
S82 femur
Fraktur di
S00.9 kaki
Semua
T08 fraktur
Fraktur
selain
Vetebradi
T20.9 Luka
atas
T14.0 Bakar
Hematoma
T14.1 Luka
T63.0 Terbuka
Sengatan
T63.2 (bisa) ular
Sengatan
W53 (bisa)
Digigit
kalajengki
Tikus
W54 Digigit
ng
W55 Anjing
Digigit
W56 kucing
Digigit
(termasuk
binatang
W57 Digigit
binatang
laut
Serangga
X20 menyusui)
Digigit
Y10 Ular
Keracunan
Obat
0 0 0 0 0 39 114 63 198
Mengetahui
LAPORAN BULANAN :
BULAN :
TAHUN :
APORAN BULANAN DATA KESAKITAN ICDX

JUMLAH PENDERITA
7 8 9 10 11 12 13
5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th
1 3 0 0 0 0 0 0 2 0 0 0
7 34 0 16 7 5 4 22 4 8 1 5
0 0 1 0 1 0 2 0 0 0 0 0
2 5 0 0 0 0 2 3 0 0 0 0
1 0 0 0 0 0 1 0 0 0 0 0
0 0 0 0 1 0 7 0 10 0 1 0
2 8 1 3 6 8 4 0 2 0 0 0
0 0 0 0 0 0 7 0 0 0 0 0
0 0 0 0 0 2 0 3 3 10 3 8
0 0 0 0 0 0 0 13 0 0 0 0
0 0 0 0 3 16 3 16 1 0 1 0
4 40 3 3 0 22 5 8 2 5 1 0
0 0 0 0 0 0 2 0 2 0 1 0
0 0 0 0 0 0 42 35 43 55 31 46
28 46 27 70 32 154 94 126 67 161 17 46

0 23 0 0 0 0 0 7 0 18 0 14
0 0 6 3 4 14 1 19 7 0 1 0
0 5 0 0 1 0 0 3 0 0 0 0
0 5 0 0 0 3 2 0 0 0 0 0
0 3 2 3 0 0 2 0 2 0 0 0
0 0 1 0 0 0 0 3 1 0 0 7
4 13 1 22 20 19 106 70 32 30 11 13
8 30 6 27 1 0 7 8 2 3 0 8
0 0 0 0 0 0 3 0 0 0 0 0
5 35 3 2 3 16 20 16 8 16 2 16
0 0 0 0 0 0 4 0 1 3 0 0
0 0 1 0 2 0 81 49 50 38 16 8
0 0 0 0 0 0 3 0 1 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0
12 30 6 22 5 8 9 30 4 8 0 0
75 281 57 169 84 266 410 443 240 355 84 171
Bogor, ......................................................
Pelapor
RAN BULANAN : LB. I
N : april
N :
TOTAL
13 14
15
60 - 69 Th > 70 Th
L P L B L
0 0
0 0
0 0 0 4 6
0 0
0 0
3 5 2 200 60
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 3
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
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
0 0
0 0
0 0 0 13 3
0 0
0 0 0 0 3
0 0
0 0
0 0
0 0
0 0
0 0
1 0 0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0 0 20 14
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
0 0
0 0
0 0 0 0 7
0 0
0 0
0 0
0 0
3 5 2 28 10
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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 13 0
0 0 0 32 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 0 1 85 19
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 4
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 54 26 190 192
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
26 11 5 751 359
0 0 0 62 0
3 0 0 35 21
0 0 0 8 1
0 0
0 0
0 0
0 24 0 38 3
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 5 5
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
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
0 0
0 5 0 15 2
0 0
0 0
0 0
0 0
0 0
0 0
12 13 3 181 187
0 0
0 0
0 0
0 0
0 0
0 0
1 0 0 86 24
0 0
0 0
0 0
0 0 0 0 3
4 11 3 133 49
0 0
0 0 0 3 5
0 0
0 0
0 0
0 0
38 5 7 100 195
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 4
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
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
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
0 0
0 0
0 0
0 0
0 0 0 0 1
0 0
0 0
0 0
0 0
3 0 0 112 40
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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
146 134 48 2131 1229
............................................
Pelapor
KODE PUSKESMAS :
NO JENIS PENYAKIT
1 2 3 4 5
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th
P L P L P L
J18.9 Pneumonia
A06.0 Disentri amuba
A00.9 Kolera
A09 Diare dan Gastroenteritis 4 8 5
P59.9 Ikterus bayi baru lahir
P58.9 oleh sebab
Ikterus bayiyang
barubelum
lahir
jelas
karena hemolisis
berlebihan
A36.9 Diphtheria
B54 Malaria Klinis
B53.1 Malaria Plasmodium
B53.0 Simian
Malaria Plasmodium Ovale
B51.9 Malariae
Malaria Plasmodium Vivax
A91 Falciparum
Demam Berdarah Dengue (
A01.0 DHF ) Typhoid
Demam
A04.9 Infeksi usus karena bakteri
A05.0 lainnya
Keracunan Makanan
A05.9 Intoxikasi (keracunan)
A08.4 makanan
Infeksi virus pada usus
A15.0 TB Paru, BTA (+) tanpa
A16.0 biakan
TB Paru, BTA (-)
A16 TB Paru Klinis
A18 Tuberculosis pada organ
A19 lainnya
TB Miliary

A35 Tetanus lainnya

A53.9 Syphilis
A54.1 Ganococcal Bartholin`s
A54.9 gland
Infeksiabscess
Gonokok
(Gonorhoe)

PENYAKIT VIRUS
A82 Rabies
A92.0 Penyakit virus
A95.9 Chikungunya
Yellow fever / demam
kuning
INF VIRUS KULIT&

B00.1 LESI
InfeksiMEMBRAN
herpes virus
MUKOSA
[herpes simplex]
B01.9 Cacar Air / Varicella
B02.9 [chickenpox]
Zoster [herpes zoster]
B06.9 Rubella [Campak
German]
HEPATITIS VIRUS
PENYAKIT VIRUS
B24 LAINNYA
Human Immunodeficiency
B26 Virus ( HIV
Penyakit )
Gondok (Mumps)
MYCOSES
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis (Cacing
B79 Gelang)
Trichuriasis (Cacing
Cambuk)
Pedikulosis,Askaris
B86 &Infeksi
Scabies Lainnya
B87.9 Myiasis
NEOPLASMA
C18.9 Tumor ganas pada usus
C50.9 besar
Tumor(colon)
ganas payudara
D17 Lipoma
D50.9 Fibroadenoma mammae
D56.9 (FAM)
Thalassaemia
ANEMIA
D56.9 Thalassaemia
D64.9 Anaemia

E05.9 Hypertiroid
E06.9 (Thyrotoxicosis)
Thyroiditis
E10 Diabetes Mellitus
E11 Tergantung InsulinTidak
Diabetes Mellitus
(IDDM)
Tergantung Insulin
(NIDDM)
KURANG GIZI
E40 Kwashiorkor
E44 Gizi Kurang
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit Jiwa
F23.9 (Schizophrenia)
Gangguian Psikotik
F44.0 Amnesia
F45.0 Psychosomatic
F99 Gangguan Mental
H93.1 Tinnitus

G03.9 Meningitis
G04.9 Encephalitis, myelitis dan
G20 encephalomyelitis
Penyakit Parkinson`s
G40.9 Epilepsi
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s palsy
G81.9 Hemiplegia
G82.2 Paraplegia
G91.0 Hydrocephalus

H00.0 Hordeolum
H10.9 Conjunctivitis 1
H11.0 Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52.0 Hypermetropia
H52.1 Myopia
H52.4 Presbyopia
H53.0 Buta Warna
H53.2 Diplopia

H66.4 Otitis Media Purulen
H66.9 (OMP)
Otitis Media Akut
H70.0 (OMA)
Mastoiditis Akut
H81.9 Vertigo

I10 Hypertensi
151.6 Decompensation
I64 Cardiovasculer
Stroke (gagal
jantung)
I84 Haemorrhoids
195.9 Hypotensi

Infeksi Akut pd
J00 Saluran Pernafasan
Nasopharyngitis Akut
Bagian Atas 26
J01.9 (Common
Sinusitis Cold)
akut
J02.9 Pharyngitis akut
J03.9 Tonsilitis akut

J11.8 Influenza
Inf Akut lain

J20.9 Sal.Pernafasan
Bronkhitis akut
BagB awah

J33.9 Nasal polip
Penyakit Saluran
J42 Pernafasan Bawah
Bronkhitis kronis
Kronik
J44 PPOK
J45.9 Asthma Bronchiale

K00 Gangguan dan
K01.1 Perkembangan
Impaksi gigi dan Erupsi
gigi
K02.9 Karies Gigi
K03 Atrisi Gigi
K03.1 Abrasi Gigi
K03.2 Erosi Gigi
K03.6 Kalkulus gigi
K04.0 Pulpitis
K04.5 Periodontitis apikalis
K04.6 kronis
Perilpikal abses desimus
K04.7 Perilpikal abses tanpa
K05.1 keterlibatan sinus
Gingintris Marginalis
K05.2 kronis
Periodnitis marginalis akut
K05.3 Periodnitis marginalis
K06.0 kronis
Resesi gusi
K06.1 Pembesaran gusi / gingival
K06.8 fibromatosis
Epulis giatcul epulis
K07.3 Crowding, diatema,
K07.5 displacemen, rotasi,
Kebiasaan buruk / oral
spaling,
habit transposisi
K08.1 Kehilangan gigi akibat
K.10.3 kecelakaan
Dry Socket / avulasi gigi
K12.1 Stomatitis
K12.2 Abses Mulut
Peny.Esopagus,Lambu
K25 ng&Duodenum
Ulkus / Tukak lambung
K29.7 Gastritis
K29.8 Duodenitis
K30 Dispepsia (gangguan 1
K35.9 fungsi lambung)
Apendicitis akut
K41 Hernia Femoral
PENYAKIT KULIT DAN

L01 JARINGAN
Impertigo
SUBKUTAN
L02 Abses, furunkel dan
L04 karbunkel
Limfedentis
L21 Dermatitis seboroik
L30.0 Paronikia 5 3
PENYAKIT SISTEM
L50 OTOT,
UrtikariaTULANG, DAN
JARINGAN
L91.0 Kelloid
PENYAMBUNG
M67.4 Ganglion
M79.1 Mialgia 1
M79.2 Nuralgia dan Neuritis

N02 Hematuria rekuren dan
N03 persisten
Sindrom nefritik kronik
N23 Kolik ginjal yang tak
N30 ditentukan
Sistitis
N39.9 Gangguan sistem kemih
N40 lainnya
Hipertrofi prostat
N75.8 Bartholintis
N92.6 Haid berlebih, sering dan
N94.6 teratur (Gangguan haid)
Dismenore
N95.2 Vaginitis
KEHAMILAN,
O03.4 KELAHIRAN, MASA
NIFAS
O07.9 Abortus percobaan yang
O15 gagal
Keracunan kehamilan
( Eklampsia )
O21.1 Hyperemesis Gravidarum
(HEG)
JARINGAN
O21.9 PENYAMBUNG
Muntah yang berlebihan
O24.9 dalam kehamilan
Diabetes Melitus dalam
O30.9 kehamilan
Kehamilan Ganda
O44 Plasenta Previa
PENYULIT KEHAMILAN
PERSALINAN
O80.9 Persalinan Tunggal
O83.9 Spontan
Persalinan Tunggal lainnya
O84.0 dengan bantuan
Persalinan Ganda Spontan
O91.2 Mastitis
KEL.SAL.NAFAS&KAR
P20.9 DIO MASA
Hipoksia PNATAL
Intrauterus
P22.9 Gawat (Distres) nafas bayi
P24.9 baru lahir Aspirasi Bayi
Sindroma
P29 baru lahirKardiovaskuler
Kelainan
P80.9 berhub. dengan
Hipotermi masalahir
bayi baru
perinatal
KELAINAN LAIN PADA

P90 MASA PERINATAL
Kejang pada bayi baru
P95 lahir
Kematian janin tanpa
sebab yang jelas / bayi
lahir mati
LAIN - LAIN
R00.0 Tachycardia
R00.1 Bradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea and vomiting
R23.0 (Mual dan muntah)
Sianosis
R29.0 Tetanus
R33 Retensi Urine
R50.9 Febris / Demam 1 2
R56 Convulsion (Kejang
R57.1 demam)
Syok Hipovolemik
R63.0 Anorexia
CEDERA, KERACUNAN
S63 Dislokasi
S72.9 Fraktur femur
S82 Fraktur di kaki
S00.9 Semua fraktur selain di
T08 atas
Fraktur Vetebra
T20.9 Luka Bakar
T14.0 Hematoma
T14.1 Luka Terbuka
T63.2 Sengatan (bisa)
W53 kalajengking
Digigit Tikus
W54 Digigit Anjing
W55 Digigit kucing (termasuk
W56 binatang menyusui)
Digigit binatang laut
X20 Digigit Ular
Y10 Keracunan Obat
0 0 4 0 17 36
Mengetahui

JUMLAH PENDERITA
6 7 8 9 10
1 - 4 Th 5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th
P L P L P L P L P L
27 23 5 2 4 5 11 18
1 2
4 2 2 1
3 3 3
1
4
2
41 37 96 28 46 27 70 32 154 94
1 1 2 10
1 1 4
16 8 15 6 22 1 87 17
4 6 7 15 12 23 13
15 12 4 41 7
1 1
1 3
1 1
2 1 5 5 1 26 4
3 2 3 1 1 3 2
7 4 4 1 3 1 1 9 2
2 1 2 20 2
1 1
1 5 8 1 4 1 6 1
85 77 158 60 99 46 117 44 408 160

BULAN : april
TAHUN :
TOTAL
11 12 13 14
15
45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th
P L P L P L P L B
0
0
0
0
0
59
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
6
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 1 1 12
0
0
0
0
0
0
1
4
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
126 67 161 17 46 26 11 5 751
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3 1 1 18
0
0
0
0
0
2 1 1 9
24 2 25 4 15 1 204
0
0
0
56
0
17 7 2 75
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
1 4
0
1 2
10 2 6 2 6 59
0
0
0
0
0
0
1 10
0
0
0
0
4 1 2 1 1 37
0
0
0
0
0
21 2 8 10 4 5 3 67
0
0
0
0
0
0
0
0
0
0
1 1
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2 22
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
211 80 201 21 81 35 24 9 1404
Bogor, ......................................................
Pelapor
TOTAL
15
L
0
0
0
0
0
53
0
0
0
0 J18.9
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
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
0
0
0
0
0
359
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
39
0
0
0
24
0
30
0
0
0
0
0
0
0
0
0 459
0
0
0
0
0
0
1
0
1
12
0
0
0
0
0
0
6
0
0
0
0
12
0
0
0
0
0
14
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
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
0
0
0
0
0
0
10
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
567
Pneumonia
DINAS
JL. Ke
KODE PUSKESMAS :
LAPORAN BU
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P
J18.9 Pneumonia
A00.9 Kolera 3 2 8 7 27
A09 Diare dan
Gastroenteritis
oleh sebab yang
belum jelas
karena hemolisis
berlebihan
B05.9 Campak/Morbili/Meas
les
A36.9 Diphtheria
B54 Malaria Klinis
Simian
Ovale
Malariae
Vivax
Falciparum
A91 Demam Berdarah
Dengue ( DHF )
A01.0 Demam Typhoid
A04.9 Infeksi usus karena
bakteri lainnya
A05.0 Keracunan Makanan
makanan
A08.4 Infeksi virus pada
usus
A15.0 TB Paru, BTA (+)
tanpa biakan
A16.0 TB Paru, BTA (-)
A16 TB Paru Klinis
A18 Tuberculosis pada
organ lainnya
A19 TB Miliary

A35 Tetanus lainnya
A37.9 Batuk Rejan
(Pertussis)

A53.9 Syphilis
A54.1 Ganococcal
Bartholin`s gland
A54.9 Infeksi
abscess Gonokok
(Gonorhoe)

PENYAKIT VIRUS
A82 Rabies
A92.0 Penyakit virus
Chikungunya
A95.9 Yellow fever / demam
kuning
INF VIRUS
KULIT& LESI
B00.1 Infeksi
MEMBRAN herpes virus
[herpes
MUKOSA simplex]
[chickenpox]
B02.9 Zoster [herpes zoster]
B06.9 Rubella [Campak
German]
HEPATITIS VIRUS
B17 Hepatitis virus akut
lainnya
PENYAKIT VIRUS
LAINNYA
B24 Human
Immunodeficiency
B26 Penyakit Gondok
Virus ( HIV )
(Mumps)
MYCOSES
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis (Cacing
Gelang)
B79 Trichuriasis (Cacing
Cambuk)
Pedikulosis,Askari
s &Infeksi Lainnya
B86 Scabies 6 2
B87.9 Myiasis
B89 Penyakit parasit
lainnya
NEOPLASMA
C18.9 Tumor ganas pada
usus besar (colon)
C50.9 Tumor ganas payudara
vulva
C52 Tumor ganas pada
vagina
C53.9 Tumor ganas leher
rahim
penis
C76 Tumor ganas buli -
buli
D17 Lipoma
D50.9 Fibroadenoma
mammae (FAM)
D56.9 Thalassaemia
ANEMIA
D56.9 Thalassaemia
D64.9 Anaemia

E05.9 Hypertiroid
(Thyrotoxicosis)
E06.9 Thyroiditis
Tergantung Insulin
E11 Diabetes
(IDDM) Mellitus
Tidak Tergantung
Insulin (NIDDM)
KURANG GIZI
E40 Kwashiorkor
E42 Marasmus
Kwashiorkor
E44 Gizi Kurang 3
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit Jiwa
(Schizophrenia)
F23.9 Gangguian Psikotik
F44.0 Amnesia
F45.0 Psychosomatic
F99 Gangguan Mental
H93.1 Tinnitus

G03.9 Meningitis
G04.9 Encephalitis, myelitis
dan encephalomyelitis
G20 Penyakit Parkinson`s
G40.9 Epilepsi
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s palsy
G81.9 Hemiplegia
G82.2 Paraplegia
G91.0 Hydrocephalus

H00.0 Hordeolum
H10.9 Conjunctivitis 1 4
H11.0 Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52.0 Hypermetropia
H52.1 Myopia
H52.4 Presbyopia
H53.0 Buta Warna
H53.2 Diplopia

H66.4 Otitis Media Purulen
(OMP)
H66.9 Otitis Media Akut
(OMA)
H70.0 Mastoiditis Akut
H81.9 Vertigo
H90 Gangguan
Pendengaran
I10 Hypertensi
Cardiovasculer (gagal
I64 Stroke
jantung)
I84 Haemorrhoids
195.9 Hypotensi

Infeksi Akut pd
Saluran
J00 Nasopharyngitis
Pernafasan Akut 55 55 134
(Common Cold)
Bagian Atas
J01.9 Sinusitis akut
J02.9 Pharyngitis akut

J11.8 Influenza
Inf Akut lain

Sal.Pernafasan
J20.9 Bronkhitis
BagB awah akut

J33.9 Nasal polip
Penyakit Saluran
Pernafasan Bawah
Kronik
J42 Bronkhitis kronis
J44 PPOK
J45.9 Asthma Bronchiale

K00 Gangguan dan
Perkembangan dan
K01.1 Impaksi
Erupsi gigigigi
K02.9 Karies Gigi
K03 Atrisi Gigi
K03.1 Abrasi Gigi
K03.2 Erosi Gigi
K03.6 Kalkulus gigi
K04.0 Pulpitis
akut
kronis
K04.6 Perilpikal abses
desimus
keterlibatan sinus
K05.1 Gingintris Marginalis
kronis
akut
kronis
K06.0 Resesi gusi
K06.1 Pembesaran gusi /
gingival fibromatosis
K06.8 Epulis giatcul epulis
displacemen, rotasi,
K07.5 Kebiasaan buruk / oral
spaling, transposisi
habit
K08.1 Kehilangan gigi
akibat kecelakaan /
K.10.3 Dry Socket
avulasi gigi
K.11 Kelainan Kelenjar
Lidah
K12.1 Stomatitis
K12.2 Abses Mulut
Peny.Esopagus,La
mbung&Duodenu
K25 Ulkus
m / Tukak
lambung
K29.7 Gastritis
K29.8 Duodenitis
K30 Dispepsia (gangguan 3 3
fungsi lambung)
K35.9 Apendicitis akut
K41 Hernia Femoral
PENYAKIT KULIT
DAN JARINGAN
L01 Impertigo
SUBKUTAN
L02 Abses, furunkel dan
karbunkel
L04 Limfedentis
L30.0 Paronikia 15 15 9 20
PENYAKIT SISTEM
OTOT, TULANG,
L50 Urtikaria
DAN JARINGAN
L91.0 PENYAMBUNG
Kelloid
M67.4 Ganglion
M79.1 Mialgia 3 3

N02 Hematuria rekuren
dan persisten
N03 Sindrom nefritik
kronik
ditentukan
N30 Sistitis
N39.9 Gangguan sistem
kemih lainnya
N40 Hipertrofi prostat
N75.8 Bartholintis
N92.6 Haid berlebih, sering
dan teratur (Gangguan
N94.6 Dismenore
haid)
N95.2 Vaginitis
KEHAMILAN,
KELAHIRAN,
O03.4 Abortus Spontan Inkomplit
MASA NIFAS
O03.9 Abortus Spontan
Komplit
O07.9 Abortus percobaan
yang gagal
O15 Keracunan kehamilan
( Eklampsia )
O21.1 Hyperemesis
Gravidarum (HEG)
JARINGAN
PENYAMBUNG
O21.9 Muntah yang
berlebihan dalam
O24.9 Diabetes
kehamilanMelitus
dalam kehamilan
O30.9 Kehamilan Ganda
O44 Plasenta Previa
O48 Kehamilan lewat
waktu
PENYULIT KEHAMILAN
O72 Perdarahan Post
Partum
PERSALINAN
Spontan
lainnya dengan
O84.0 Persalinan
bantuan Ganda
Spontan
O91.2 Mastitis
KEL.SAL.NAFAS&
KARDIO MASA
P20.9 Hipoksia
PNATAL Intrauterus
P22.9 Gawat (Distres) nafas
bayi baru lahir
P24.9 Sindroma Aspirasi
Bayi baru lahir
P29 Kelainan
Kardiovaskuler
P80.9 Hipotermi bayi baru
berhub. dengan masa
lahir
perinatal
KELAINAN LAIN
PADA MASA
P90 Kejang pada bayi baru
PERINATAL
lahir
P95 Kematian janin tanpa
sebab yang jelas / bayi
lahir mati
LAIN - LAIN
R00.0 Tachycardia
R00.1 Bradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
(Mual dan muntah)
R23.0 Sianosis
R29.0 Tetanus
R33 Retensi Urine
R50.9 Febris / Demam
demam)
R57.1 Syok Hipovolemik
R63.0 Anorexia
CEDERA, KERACUNAN
S02.9 Trauma Kepala dan
muka
S63 Dislokasi
S72.9 Fraktur femur
S82 Fraktur di kaki
S00.9 Semua fraktur selain
di atas
T08 Fraktur Vetebra
T20.9 Luka Bakar
T14.0 Hematoma
T14.1 Luka Terbuka
kalajengking
W53 Digigit Tikus
W54 Digigit Anjing
W55 Digigit kucing
(termasuk binatang
W56 Digigit binatang laut
menyusui)
X20 Digigit Ular
Y10 Keracunan Obat
0 0 3 22 89 72 190
Mengetahui

JUMLAH PENDERITA
6 7 8 9 10 11 12
1 - 4 Th 5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th
23 5 2 4 5 11 18 67 52 8 9
1 1
3 2 1 1 1
13
4
3 5 2 2
1
5
130 60 30 48 32 69 29 79 37 71 38 50
1 1 2 8 2 2 1
1 1
15 9 16 2 24 1 62 20 25 6 25
1 13 3 11 4 10 4 24 12 6
15 12 4 41 7 17 7 2
1 1
3 9 3
3 3 3
6 3 15 15 3 75 12 29 6
9 6 9 3 3 9 6 5 2 3
12 12 3 9 3 3 26 6 12 3
6 3 6 58 6 61 6 23
177 132 65 109 61 147 72 480 161 244 75 114
Bogor, .......................
Pelap
BULAN : april
TAHUN :
TOTAL
12 13 14
15
55 - 59 Th 60 - 69 Th > 70 Th
L P L P L B L
0 0
0 0
0 0
0 0
133 118
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
0 0
0 0
0 0
0 0
1 0 3
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
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
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
11 5
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
0 0
0 0
13 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 2
0 0
0 0
1 5 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 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 15 3
0 0
0 0
0 0
0 0
0 0
0 0
1 0
5 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 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
34 51 38 10 6 627 429
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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 14 5
0 0
0 0
0 0
0 0
0 0
1 1
7 14 0 181 45
0 0
0 0
0 0
64 24
0 0
75 30
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 442
0 0
0 0
2 0
0 0
0 0
0 0
12 3
0 0
6 3
0 17 6 17 171 38
0 0
0 0
0 0
0 0
0 0
0
0
0 0
34 19
0 0
0 0
0 0
0 0
6 3 3 107 49
0
0 0
0 0
0 0
0 0
0 0
0 29 12 15 9 194 44
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
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
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
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
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
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
0 0
0 0
0 0
0 0
43 120 55 45 18 1674 821
Bogor, ......................................................
Pelapor
KODE PUSKESMAS :
NO JENIS PENYAKIT
1 2 3 4 5
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th
P L P L P L
J18.9 Pneumonia 1
A00.9 Kolera
A09 Diare dan Gastroenteritis 47 48
P59.9 Ikterus bayi baru lahir oleh
P58.9 sebab
Ikterusyang
bayibelum jelas
baru lahir
Q66 karena hemolisis
Talipes Equinovarusberlebihan
A36.9 Diphtheria
B54 Malaria Klinis
B53.1 Malaria Plasmodium Simian
B53.0 Malaria Plasmodium Ovale
B51.9 Malariae
Malaria Plasmodium Vivax
A91 Falciparum
Demam Berdarah Dengue
A01.0 (Demam
DHF ) Typhoid
A04.9 Infeksi usus karena bakteri
A05.0 lainnya
Keracunan Makanan
A08.4 makanan
Infeksi virus pada usus
A15.0 TB Paru, BTA (+) tanpa
A16.0 biakan
T+B40:C42B Paru, BTA (-)
A16 TB Paru Klinis 1
A18 Tuberculosis pada organ
A19 lainnya
TB Miliary
A35 Tetanus lainnya

A53.9 Syphilis
A54.1 Ganococcal Bartholin`s
A54.9 gland
Infeksiabscess
Gonokok
(Gonorhoe)
PENYAKIT VIRUS
A82 Rabies
A92.0 Penyakit virus Chikungunya
A95.9 Yellow fever / demam
kuning
INF VIRUS KULIT&
B00.1 LESI
InfeksiMEMBRAN
herpes virus [herpes
MUKOSA
simplex]
B02.9 [chickenpox]
Zoster [herpes zoster]
B06.9 Rubella [Campak German]
HEPATITIS VIRUS
PENYAKIT VIRUS
B24 LAINNYA
Human Immunodeficiency
B26 Virus ( HIV
Penyakit )
Gondok (Mumps)
MYCOSES
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis (Cacing Gelang)
B79 Trichuriasis (Cacing
Cambuk)
Pedikulosis,Askaris
B86 &Infeksi
Scabies Lainnya 1
B87.9 Myiasis
NEOPLASMA
C18.9 Tumor ganas pada usus
C50.9 besar
Tumor(colon)
ganas payudara
D17 Lipoma
D50.9 Fibroadenoma mammae
D56.9 (FAM)
Thalassaemia
ANEMIA
D56.9 Thalassaemia
D64.9 Anaemia

E05.9 Hypertiroid
E06.9 (Thyrotoxicosis)
Thyroiditis
E11 Tergantung InsulinTidak
Diabetes Mellitus (IDDM)
Tergantung Insulin
(NIDDM)
KURANG GIZI
E40 Kwashiorkor
E44 Gizi Kurang
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit Jiwa
F23.9 (Schizophrenia)
Gangguian Psikotik
F44.0 Amnesia
F45.0 Psychosomatic
F99 Gangguan Mental
H93.1 Tinnitus

G03.9 Meningitis
G04.9 Encephalitis, myelitis dan
G20 encephalomyelitis
Penyakit Parkinson`s
G40.9 Epilepsi
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s palsy
G81.9 Hemiplegia
G82.2 Paraplegia
G91.0 Hydrocephalus

H00.0 Hordeolum
H10.9 Conjunctivitis 1 1 4
H11.0 Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52.0 Hypermetropia
H52.1 Myopia
H52.4 Presbyopia
H53.0 Buta Warna
H53.2 Diplopia
H66.4 Otitis Media Purulen 1
H66.9 (OMP)
Otitis Media Akut
H70.0 (OMA)
Mastoiditis Akut
H81.9 Vertigo

I10 Hypertensi 1
I64 Cardiovasculer
Stroke (gagal
jantung)
I84 Haemorrhoids
195.9 Hypotensi

Infeksi Akut pd Saluran
J00 Pernafasan
Nasopharyngitis Akut 69 63
Bagian Atas
(Common
J01.9 Sinusitis Cold)
akut
J02.9 Pharyngitis akut 1 2

J11.8 Influenza 1
Inf Akut lain

J20.9 Sal.Pernafasan
Bronkhitis akut 1
BagB awah

J33.9 Nasal polip
Penyakit Saluran
J42 Pernafasan Bawah
Bronkhitis kronis
Kronik
J44 PPOK
J45.9 Asthma Bronchiale 1

K00 Gangguan dan
K01.1 Perkembangan
Impaksi gigi dan Erupsi
gigi
K02.9 Karies Gigi
K03 Atrisi Gigi
K03.1 Abrasi Gigi
K03.2 Erosi Gigi
K03.6 Kalkulus gigi
K04.0 Pulpitis
K04.5 Periodontitis apikalis kronis
K04.6 Perilpikal abses desimus
K05.1 keterlibatan sinus
Gingintris Marginalis kronis
K05.2 Periodnitis marginalis akut
K06.0 kronis
Resesi gusi
K06.1 Pembesaran gusi / gingival
K06.8 fibromatosis
Epulis giatcul epulis
K07.5 displacemen,
Kebiasaan burukrotasi, spaling,
/ oral habit
transposisi
K08.1 Kehilangan gigi akibat
K.10.3 kecelakaan
Dry Socket / avulasi gigi
K12.1 Stomatitis
K12.2 Abses Mulut
Peny.Esopagus,Lambu
K25 ng&Duodenum
Ulkus / Tukak lambung
K29.7 Gastritis 1 1
e14 Duodenitis
K30 Dispepsia (gangguan fungsi 0 2
K35.9 lambung)
Apendicitis akut
K41 Hernia Femoral
PENYAKIT KULIT DAN

L01 JARINGAN
Impertigo
SUBKUTAN
L02 Abses, furunkel dan 2 5
L04 karbunkel
Limfedentis
L30.0 Paronikia 1 4 10
PENYAKIT SISTEM
L50 OTOT,
UrtikariaTULANG, DAN
JARINGAN
L91.0 Kelloid
PENYAMBUNG
M06.9 Rheumatoid Atritis 1
M67.4 Ganglion
M79.1 Mialgia

N02 Hematuria rekuren dan
N03 persisten
Sindrom nefritik kronik
N30 ditentukan
Sistitis
N39.9 Gangguan sistem kemih
N40 lainnya
Hipertrofi prostat
N75.8 Bartholintis
N92.6 Haid berlebih, sering dan
teratur (Gangguan haid)
N94.6 Dismenore
N95.2 Vaginitis
KEHAMILAN,
O03.4 KELAHIRAN,
Abortus Spontan MASAInkomplit
NIFAS
O07.9 Abortus percobaan yang
O15 gagal
Keracunan kehamilan
O21.1 ( Eklampsia ) Gravidarum
Hyperemesis
(HEG)
JARINGAN
O21.9 PENYAMBUNG
Muntah yang berlebihan
O24.9 dalam kehamilan
Diabetes Melitus dalam
O30.9 kehamilan
Kehamilan Ganda
O44 Plasenta Previa
PENYULIT KEHAMILAN
PERSALINAN
O80.9 Persalinan Tunggal Spontan
O83.9 Persalinan Tunggal lainnya
O84.0 dengan bantuan
Persalinan Ganda Spontan
O91.2 Mastitis
KEL.SAL.NAFAS&KAR
P20.9 DIO MASA
Hipoksia PNATAL
Intrauterus
P22.9 Gawat (Distres) nafas bayi
P24.9 baru lahir Aspirasi Bayi
Sindroma
P29 baru lahirKardiovaskuler
Kelainan
P80.9 berhub. dengan
Hipotermi masalahir
bayi baru
perinatal
KELAINAN LAIN PADA

P90 MASA PERINATAL
Kejang pada bayi baru lahir
P95 Kematian janin tanpa sebab
yang jelas / bayi lahir mati
LAIN - LAIN
R00.0 Tachycardia
R00.1 Bradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R23.0 (Mual dan muntah)
Sianosis
R29.0 Tetanus
R33 Retensi Urine
R50.9 Febris / Demam 1 1
R57.1 demam)
Syok Hipovolemik
R63.0 Anorexia
CEDERA, KERACUNAN
S63 Dislokasi
S72.9 Fraktur femur
S82 Fraktur di kaki
S00.9 Semua fraktur selain di atas
T08 Fraktur Vetebra
T20.9 Luka Bakar
T14.0 Hematoma
T14.1 Luka Terbuka
W53 kalajengking
Digigit Tikus
W54 Digigit Anjing
W55 Digigit kucing (termasuk
W56 binatang menyusui)
Digigit binatang laut
X20 Digigit Ular
Y10 Keracunan Obat
0 1 1 0 132 139
Mengetahui

JUMLAH PENDERITA
6 7 8 9 10
1 - 4 Th 5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th
P L P L P L P L P L
1 1
137 89 44 44 0 45 157 425
1 1
1 1
1 1
1
1 1
1 1
4 1
3 2 1 1 1 2
1 2 1
1 1
1 2 1 1
1 5 1
1 2 3
1
4 8 3 3 2 2 12 2
1
1 1
3 4 1 2 1 1
1 8 3
145 121 56 38 63 49 40 30 57 18
2 5 8 2 5 2 3 1 20 6
2 2
2 1
1 1
1 1 2 8 2
1 1
15 9 16 2 24 1 62 20
1 13 3 11 4 10 4 24 12
15 12 4 41 7
1 1
1 1 1 2 1
1 1
1 5 5 5 5 11 3 73 14
1
2 5 11 8 11 1 4 3
1 1
1
4 8 6 7 4 4 8 1 28 3
1 3 1 55 9
1 2
1 1 2 1 2
165 162 279 184 165 117 110 96 588 540

BULAN : april
TAHUN :
TOTAL
11 12 13 14
15
45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th
P L P L P L P L B L
0 0
1 0
1 0
1 1 0
1 3 0
385 651
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1
2 0
0 0
0 0
1 0
1 1
1 1 1
1 1 1 1 4 3
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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
5 1 10 1
0 0
0 0
0 0
0 0
0
0 0
0 0
5 6
0 0
0 0
0 0
1 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 0
0 0
0 0
0 0
0 0
3 1
0 0
1 0
0 0
0 0
5 4 2 1 1 9 6
0 0
0 0
0 0
0 0
0 0
0 0
1 1 5
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
0 0
1 7 1
3 3
0 0
0 0
0 0
0 0
0 0
0 0
1 0
3 2 1 25 23
0 1
0 0
0 0
0 0
0 0
0 0
0 0
1 1
0 0
0 0
0 0
0 0
0 0
0 0
1 1 7 8
0 0
0 0
0 0
0 0
0 0
22 5 8 1 23 8 5 5 66 24
0 0
0 0
0 0
0 0
0 0
0 0
1 0
0 0
1 0
0 0
0 0
0 0
58 37 47 20 32 22 16 13 583 411
0 0
7 3 4 1 51 21
0 4
1 0 1
0 0
0 1
1 0
1 3
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 3 1
0 0
0 0
0 0
0 0
2 1 1 1 14 5
0 0
0 0
0 0
0 0
0 0
1 1
25 6 25 7 14 0 181 45
0 0
0 0
0 0
6 64 24
0 0
17 7 2 75 30
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 0
0 0
0 0
0 0
2 1 1 5 7
0 0
6 8 0
29 1 11 1 11 4 3 2 149 37
0 0
0 0
0 0
0 0
0 0
0 1
4 1 1 36 22
0 0
2 0
0 0
1 0
7 4 3 69 33
0 0
1 1 0 2
1 1 0
1 0
0 0
39 16 23 4 36 11 7 6 163 48
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 1
0 0
0 0
0 0
0 0
0 0
1 1 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 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 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 0
0 0
0 0
0 0
1 1 1 8 4
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 0
0 0
0 0
0 0
1 2 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
238 88 130 36 124 49 38 28 1970 1440
Bogor, ......................................................
Pelapor
DINAS
JL. K
KODE PUSKESMAS :
LAPORAN B
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P L
A33 Tetanus
J18.9 neonatoru
Pneumonia
m
A06.0 Disentri
A03.9 amuba
Disentri
A00.9 Basiler
Kolera
A09 Diare dan
P59.9 Gastroente
Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir
bayi oleh
baru
Q66 Talipes
sebab Equinovarus
lahir yang
B05.9 belum
Campak/M
karena
A36.9 jelas
orbili/Mea
hemolisis
Diphtheria
sles
berlebihan
B54 Malaria
B53.1 Klinis
Malaria
B53.0 Plasmodiu
Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
B50.9 Malaria
Malariae
m Vivax
Plasmodiu
A91 Demam
m
Berdarah
A01.0 Demam
Falciparu
Dengue
Typhoid
A04.9 m
Infeksi
( DHF )
A05.0 usus
Keracunan
karena
Makanan
A05.9 Intoxikasi
bakteri
A08.4 (keracunan
lainnya
Infeksi
)virus
makanan
pada
usus
A15.0 TB Paru,
A16.0 BTA (+)
TB Paru,
tanpa
BTA (-)
A16 TB Paru
biakan
Klinis
TB
A17.0†
A18 Maningitis
Tuberculos
A19 is
TBpada
organ
Miliary
lainnya
A30.0 Kusta i/T
A30.5 (MB)
Kusta B/L
A35 (PB)
Tetanus
A37.9 lainnya
Batuk
A39.9 Rejan
Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
A54.9 lInfeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
PENYAKIT
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
A82 tis akut
Rabies
A87 Meningitis
A92.0 Virus
Penyakit
A95.9 virus
Yellow
Chikungun
fever /
ya
demam
INF
kuning
B00.1 VIRUS
Infeksi
KULIT&
herpes
B01.9 Cacar
LESI Air /
virus
Varicella
B02.9 MEMBR
Zoster
[herpes
[chickenpo
AN
[herpes
B06.9 simplex]
Rubella
x]
MUKOSA
zoster]
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
B16.9 akut
Hepatitis
B17 B akut
Hepatitis
B18.9 virus akut
Hepatitis
lainnya
virus
kronik
PENYAKI
B24 T VIRUS
Human
LAINNY
Immunode
B26 Penyakit
A
ficiency
Gondok
Virus
(Mumps)
(MYCOSES
HIV )
B35.9 Dermatoph
B36.0 ytosis
Pityriasis
B37.0 versicolor
Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
B79 (Cacing
Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
B86 sis,Askar
Scabies
is
B87.9 Myiasis
&Infeksi
B89 Lainnya
Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
C50.9 ganas
Tumorpada
usus
ganas besar
C51.9 Tumor
(colon)
payudara
ganas
C52 Tumorpada
vulva
ganas
C53.9 Tumorpada
vagina
ganas
C60.9 Tumorleher
rahim
ganas
C61 Tumorpada
penis
ganas
C76 Tumor
prostat
ganas
C76.2 Tumorbuli
-pada
buli
D17 Lipoma
abdomen
D50.9 Fibroaden
D56.9 oma
Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
D56.9 defisiensi
Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
E05.9 (Struma)
Hypertiroi
E06.9 dThyroiditis
(Thyrotoxi
E10 Diabetes
cosis)
E11 Mellitus
Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
KURANG
Tergantung GIZI
E40 Insulin
Kwashiork
E41 (NIDDM)
or
Nutritional
E42 marasmus
Marasmus
E44 Kwashiork
Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
F23.9 Jiwa
Gangguian
(Schizophr
Psikotik
F41.9 Gangguan
enia)
F44.0 cemas
Amnesia
F44.2 Pingsan
F45.0 (stupor)
Psychoso
F48.9 matic
Gangguan
F60.0 Neurotic
Gangguan
F79 paranoid
Retardasi
F99 Mental
Gangguan
H93.1 Mental
Tinnitus

G03.9 Meningitis
G04.9 Encephalit
G20 is, myelitis
Penyakit
dan
Parkinson`
G30.9 Penyakit
encephalo
sAlzheimer
G40.9 myelitis
Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
G81.9 palsy
Hemiplegi
G82.2 aParaplegia
G83.9 Paralytic
G91.0 syndrome
Hydroceph
alus
H00.0 Hordeolu
H10.9 m
Conjunctiv
H11.0 itis
Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
H52.0 Refraksi
Hypermetr
H52.1 opia
Myopia
H52.4 Presbyopia
H53.0 Buta
H53.2 Warna
Diplopia
H60.9 Otitis
H83.0 Externa
Otitis
H61.2 Interna
Impacted
H66.4 Serumen
Otitis
H66.9 Media
Otitis
Purulen
Media
H70.0 Mastoiditis
(OMP)
Akut
Akut
H70.1 Mastoiditis
(OMA)
H81.9 kronis
Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
I21.9 Pectoris
Infark
I30.9 miokard
Pericarditi
I40.9 sMiokarditi
akut
I42.9 sCardiomyo
akut
I46.9 pathy
Cardiac
151.6 Arrest
Decompen
I64 sation
Stroke
Cardiovasc
I84 Haemorrh
uler (gagal
195.9 oids
jantung)
Hypotensi

Infeksi
J00 Akut pd
Nasophary
Saluran
ngitis Akut
J01.9 Sinusitis
Pernafas
(Common
akut
J02.9 an
Pharyngiti
Cold)
J03.9 Bagian
sTonsilitis
akut
Atas
akut
J04.0 Laryngitis
J04.1 akut
Tracheitis
J05.1 akut
Epiglottitis
akut
J11.8 Influenza
Inf Akut
J20.9 lain
Bronkhitis
Sal.Pern
akut
J21.9 Bronchioli
afasan
tis
BagBakut
awah
J31.0 Rhinitis
J32.9 kronis
Sinusitis
kronis
J33.9 Nasal
J35.0 polip
Tonsilitis
J37.0 kronis
Laryngitis
kronis
Penyakit
J42 Saluran
Bronkhitis
Pernafas
kronis
J44 PPOK
an
J45.9 Bawah
Asthma
J46 Kronik
Bronchiale
Status
Asthmatic
us
K00 Gangguan
K01.1 dan
Impaksi
Perkemban
gigi
K02.0 Karies
gan dan
K02.9 email
Erupsi(IF)
Karies gigi
K03 Gigi
Atrisi
K03.1 Gigi
Abrasi
K03.2 Gigi
Erosi
K03.4 Gigi
Hiperseme
K03.5 ntosis
Ankylosis
K03.6 gigi
Kalkulus
K04.0 gigi
Pulpitis
K04.1 Nekrosis
K04.4 pulpa
Periodontit
K04.5 is apikalis
Periodontit
akut
is apikalis
K04.6 Perilpikal
kronis
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
K05.2 Periodnitis
keterlibata
kronis
marginalis
K05.3 n sinus
Periodnitis
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
K06.8 nEpulis
gusi /
gingival
giatcul
K07 Anomali
fibromatos
epulis
Dentofasia
K07.3 is
Crowding,
ldiatema,
K07.5 Kebiasaan
displaceme
buruk /
K08.1 Kehilanga
n, rotasi,
oral habit
nspaling,
gigi
K.10.3 Dry Socket
akibat
transposisi
K.11 Kelainan
kecelakaan
K12.1 Kelenjar
/Stomatitis
avulasi
Lidah
gigi
K12.2 Abses
K12.3 Mulut
Peny.Eso
K25 pagus,La
Ulkus /
mbung&
Tukak
Duodenu
lambung
m
K29.7 Gastritis
K29.8 Duodenitis
K29.9 Gastroduo
K30 denitis
Dispepsia
K35.9 (gangguan
Apendiciti
fungsi
sAppendicit
akut
K37 lambung)
K40 is Lainnya
Hernia
K41 Inguinalis
Hernia
K42 Femoral
Hernia
Umbilical
PENYAKI
L01 T KULIT
Impertigo
DAN
L02 Abses,
JARINGA
L04 furunkel
N
Limfedenti
dan
sDermatitis
L20 karbunkel
SUBKUT
atopic
L21 Dermatitis
AN
L23 seboroik
Dermatitis
L30.0 kontak
Paronikia
PENYAKI
L50 T
Urtikaria
SISTEM
L91.0 Kelloid
OTOT,
M06.9 TULANG,
Rheumatoi
M67.4 dDAN Atritis
Ganglion
JARINGA
M79.1 Mialgia
N
M79.2 PENYAM
Nuralgia
BUNG
dan
Neuritis
N00.9 Sindrom
N02 nefritis
Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
N04 Sindrom
persisten
kronik
nefrotik
N17 Gagal
N18.9 ginjal
Gagal akut
N20 ginjal
Batu ginjal
kronik
dan
N21.1 Batuureter
N23 Saluran
Kolik
Kencing
ginjal
N30 Sistitisyang
tak
N39.9 Gangguan
ditentukan
N40 sistem
Hipertrofi
kemih
prostat
N41.0 Radang
lainnya
N41.1 Prostat
Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
N92.6 sHaid
berlebih,
sering dan
teratur
(Gangguan
haid)
N94.6 Dismenore
N95.2 Vaginitis
KEHAMI
O03.4 LAN,
KELAHIR
O03.9 Abortus
AN,
O07.9 Spontan
MASA
Abortus
Komplit
NIFAS
percobaan
O15 Keracunan
yang gagal
kehamilan
O21.1 Hypereme
(sisEklampsi
aGravidaru
)
JARINGA
m (HEG)
O21.9 N
Muntah
PENYAM
yang
O24.9 Diabetes
BUNG
berlebihan
Melitus
O30.9 Kehamilan
dalam
dalam
Ganda
O42.9 kehamilan
Ketuban
kehamilan
O44 Pecah Dini
Plasenta
O45.9 Previa
Solusio
O48 Plasenta
Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
O63.9 Prematur
Persalinan
O72 Lama
Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
O83.9 Tunggal
Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
O91.2 Mastitis
dengan
Spontan
P07.1 bantuan
Bayi lahir
Prematur
KEL.SAL
P20.9 .NAFAS&
Hipoksia
KARDIO
Intrauterus
P21.9 Asfiksia
MASA
P22.9 waktu
PNATAL
Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
P29 Kelainan
baru lahir
Bayi baru
Kardiovas
P80.9 Hipotermi
lahir
kuler
bayi baru
berhub.
lahir
dengan
KELAINA
P90 masa
N LAIN
Kejang
perinatal
PADA
pada bayi
P95 Kematian
MASA
baru
janin lahir
tanpa
PERINAT
sebab
AL yang
LAIN - LAIN
jelas / bayi
R00.0 lahir mati
Tachycardi
a
R00.1 Bradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
R23.0 and
Sianosis
vomiting
R29.0 Tetanus
(Mual dan
R33 muntah)
Retensi
R34 Urine
Anuria
R50.9 and
Febris /
oliguri
Demam
R56 Convulsio
R57.1 nSyok
(Kejang
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
S12.9 Kepala
Fraktur dan
muka
Servikal
S42.0 Fraktur
S42.3 Klavikula
Fraktur
S62 humerus
Fraktur di
S63 lengan
Dislokasi
S72.9 Fraktur
S82 femur
Fraktur di
S00.9 kaki
Semua
T08 fraktur
Fraktur
selain
Vetebradi
T20.9 Luka
atas
T14.0 Bakar
Hematoma
T14.1 Luka
T63.0 Terbuka
Sengatan
T63.2 (bisa)
Sengatanular
W53 (bisa)
Digigit
kalajengki
Tikus
W54 Digigit
ng
W55 Anjing
Digigit
W56 kucing
Digigit
(termasuk
binatang
W57 Digigit
binatang
laut
Serangga
X20 menyusui)
Digigit
Y10 Ular
Keracunan
Obat
0 0 0 0 0 0 0 0
Mengetahui

JUMLAH PENDERITA
7 8 9 10 11 12
5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th
P L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0 0
Bogor, ............................
Pelapor
BULAN : april
TAHUN :
TOTAL
12 13 14
15
55 - 59 Th 60 - 69 Th > 70 Th
L P L P L B L
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
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
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
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
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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0
Bogor, ......................................................
Pelapor
DINAS KESEHAT
JL. Kesehatan N
KODE PUSKESMAS :
LAPORAN BULANAN D
NO JENIS PENYAKIT JU
1 2 3 4 5 6 7
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th 5 - 9 Th
P L P L P L P L P
A33 Tetanus
J18.9 neonatoru
Pneumonia
m
A06.0 Disentri
A03.9 amuba
Disentri
A00.9 Basiler
Kolera
A09 Diare dan
P59.9 Gastroente
Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir
bayi oleh
baru
Q66 Talipes
sebab Equinovarus
lahir yang
B05.9 belum
Campak/M
karena
A36.9 jelas
orbili/Mea
hemolisis
Diphtheria
sles
berlebihan
B54 Malaria
B53.1 Klinis
Malaria
B53.0 Plasmodiu
Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
B50.9 Malaria
Malariae
m Vivax
Plasmodiu
A91 Demam
m
Berdarah
A01.0 Demam
Falciparu
Dengue
Typhoid
A04.9 m
Infeksi
( DHF )
A05.0 usus
Keracunan
karena
Makanan
A05.9 Intoxikasi
bakteri
A08.4 (keracunan
lainnya
Infeksi
)virus
makanan
pada
usus
A15.0 TB Paru,
A16.0 BTA (+)
TB Paru,
tanpa
BTA (-)
A16 TB Paru
biakan
Klinis
TB
A17.0†
A18 Maningitis
Tuberculos
A19 is
TBpada
organ
Miliary
lainnya
A30.0 Kusta i/T
A30.5 (MB)
Kusta B/L
A35 (PB)
Tetanus
A37.9 lainnya
Batuk
A39.9 Rejan
Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
A54.9 lInfeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
PENYAKIT
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
A82 tis akut
Rabies
A87 Meningitis
A92.0 Virus
Penyakit
A95.9 virus
Yellow
Chikungun
fever /
ya
demam
INF
kuning
B00.1 VIRUS
Infeksi
KULIT&
herpes
B01.9 Cacar
LESI Air /
virus
Varicella
B02.9 MEMBR
Zoster
[herpes
[chickenpo
AN
[herpes
B06.9 simplex]
Rubella
x]
MUKOSA
zoster]
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
B16.9 akut
Hepatitis
B17 B akut
Hepatitis
B18.9 virus akut
Hepatitis
lainnya
virus
kronik
PENYAKI
B24 T VIRUS
Human
LAINNY
Immunode
B26 Penyakit
A
ficiency
Gondok
Virus
(Mumps)
(MYCOSES
HIV )
B35.9 Dermatoph
B36.0 ytosis
Pityriasis
B37.0 versicolor
Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
B79 (Cacing
Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
B86 sis,Askar
Scabies
is
B87.9 Myiasis
&Infeksi
B89 Lainnya
Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
C50.9 ganas
Tumorpada
usus
ganas besar
C51.9 Tumor
(colon)
payudara
ganas
C52 Tumorpada
vulva
ganas
C53.9 Tumorpada
vagina
ganas
C60.9 Tumorleher
rahim
ganas
C61 Tumorpada
penis
ganas
C76 Tumor
prostat
ganas
C76.2 Tumorbuli
-pada
buli
D17 Lipoma
abdomen
D50.9 Fibroaden
D56.9 oma
Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
D56.9 defisiensi
Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
E05.9 (Struma)
Hypertiroi
E06.9 dThyroiditis
(Thyrotoxi
E10 Diabetes
cosis)
E11 Mellitus
Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
KURANG
Tergantung GIZI
E40 Insulin
Kwashiork
E41 (NIDDM)
or
Nutritional
E42 marasmus
Marasmus
E44 Kwashiork
Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
F23.9 Jiwa
Gangguian
(Schizophr
Psikotik
F41.9 Gangguan
enia)
F44.0 cemas
Amnesia
F44.2 Pingsan
F45.0 (stupor)
Psychoso
F48.9 matic
Gangguan
F60.0 Neurotic
Gangguan
F79 paranoid
Retardasi
F99 Mental
Gangguan
H93.1 Mental
Tinnitus

G03.9 Meningitis
G04.9 Encephalit
G20 is, myelitis
Penyakit
dan
Parkinson`
G30.9 Penyakit
encephalo
sAlzheimer
G40.9 myelitis
Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
G81.9 palsy
Hemiplegi
G82.2 aParaplegia
G83.9 Paralytic
G91.0 syndrome
Hydroceph
alus
H00.0 Hordeolu
H10.9 m
Conjunctiv
H11.0 itis
Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
H52.0 Refraksi
Hypermetr
H52.1 opia
Myopia
H52.4 Presbyopia
H53.0 Buta
H53.2 Warna
Diplopia
H60.9 Otitis
H83.0 Externa
Otitis
H61.2 Interna
Impacted
H66.4 Serumen
Otitis
H66.9 Media
Otitis
Purulen
Media
H70.0 Mastoiditis
(OMP)
Akut
Akut
H70.1 Mastoiditis
(OMA)
H81.9 kronis
Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
I21.9 Pectoris
Infark
I30.9 miokard
Pericarditi
I40.9 sMiokarditi
akut
I42.9 sCardiomyo
akut
I46.9 pathy
Cardiac
151.6 Arrest
Decompen
I64 sation
Stroke
Cardiovasc
I84 Haemorrh
uler (gagal
195.9 oids
jantung)
Hypotensi

Infeksi
J00 Akut pd
Nasophary
Saluran
ngitis Akut
J01.9 Sinusitis
Pernafas
(Common
akut
J02.9 an
Pharyngiti
Cold)
J03.9 Bagian
sTonsilitis
akut
Atas
akut
J04.0 Laryngitis
J04.1 akut
Tracheitis
J05.1 akut
Epiglottitis
akut
J11.8 Influenza
Inf Akut
J20.9 lain
Bronkhitis
Sal.Pern
akut
J21.9 Bronchioli
afasan
tis
BagBakut
awah
J31.0 Rhinitis
J32.9 kronis
Sinusitis
kronis
J33.9 Nasal
J35.0 polip
Tonsilitis
J37.0 kronis
Laryngitis
kronis
Penyakit
J42 Saluran
Bronkhitis
Pernafas
kronis
J44 PPOK
an
J45.9 Bawah
Asthma
J46 Kronik
Bronchiale
Status
Asthmatic
us
K00 Gangguan
K01.1 dan
Impaksi
Perkemban
gigi
K02.0 Karies
gan dan
K02.9 email
Erupsi(IF)
Karies gigi
K03 Gigi
Atrisi
K03.1 Gigi
Abrasi
K03.2 Gigi
Erosi
K03.4 Gigi
Hiperseme
K03.5 ntosis
Ankylosis
K03.6 gigi
Kalkulus
K04.0 gigi
Pulpitis
K04.1 Nekrosis
K04.4 pulpa
Periodontit
K04.5 is apikalis
Periodontit
akut
is apikalis
K04.6 Perilpikal
kronis
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
K05.2 Periodnitis
keterlibata
kronis
marginalis
K05.3 n sinus
Periodnitis
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
K06.8 nEpulis
gusi /
gingival
giatcul
K07 Anomali
fibromatos
epulis
Dentofasia
K07.3 is
Crowding,
ldiatema,
K07.5 Kebiasaan
displaceme
buruk /
K08.1 Kehilanga
n, rotasi,
oral habit
nspaling,
gigi
K.10.3 Dry Socket
akibat
transposisi
K.11 Kelainan
kecelakaan
K12.1 Kelenjar
/Stomatitis
avulasi
Lidah
gigi
K12.2 Abses
K12.3 Mulut
Peny.Eso
K25 pagus,La
Ulkus /
mbung&
Tukak
Duodenu
lambung
m
K29.7 Gastritis
K29.8 Duodenitis
K29.9 Gastroduo
K30 denitis
Dispepsia
K35.9 (gangguan
Apendiciti
fungsi
sAppendicit
akut
K37 lambung)
K40 is Lainnya
Hernia
K41 Inguinalis
Hernia
K42 Femoral
Hernia
Umbilical
PENYAKI
L01 T KULIT
Impertigo
DAN
L02 Abses,
JARINGA
L04 furunkel
N
Limfedenti
dan
sDermatitis
L20 karbunkel
SUBKUT
atopic
L21 Dermatitis
AN
L23 seboroik
Dermatitis
L30.0 kontak
Paronikia
PENYAKI
L50 T
Urtikaria
SISTEM
L91.0 Kelloid
OTOT,
M06.9 TULANG,
Rheumatoi
M67.4 dDAN Atritis
Ganglion
JARINGA
M79.1 Mialgia
N
M79.2 PENYAM
Nuralgia
BUNG
dan
Neuritis
N00.9 Sindrom
N02 nefritis
Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
N04 Sindrom
persisten
kronik
nefrotik
N17 Gagal
N18.9 ginjal
Gagal akut
N20 ginjal
Batu ginjal
kronik
dan
N21.1 Batuureter
N23 Saluran
Kolik
Kencing
ginjal
N30 Sistitisyang
tak
N39.9 Gangguan
ditentukan
N40 sistem
Hipertrofi
kemih
prostat
N41.0 Radang
lainnya
N41.1 Prostat
Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
N92.6 sHaid
berlebih,
sering dan
teratur
(Gangguan
haid)
N94.6 Dismenore
N95.2 Vaginitis
KEHAMI
O03.4 LAN,
KELAHIR
O03.9 Abortus
AN,
O07.9 Spontan
MASA
Abortus
Komplit
NIFAS
percobaan
O15 Keracunan
yang gagal
kehamilan
O21.1 Hypereme
(sisEklampsi
aGravidaru
)
JARINGA
m (HEG)
O21.9 N
Muntah
PENYAM
yang
O24.9 Diabetes
BUNG
berlebihan
Melitus
O30.9 Kehamilan
dalam
dalam
Ganda
O42.9 kehamilan
Ketuban
kehamilan
O44 Pecah Dini
Plasenta
O45.9 Previa
Solusio
O48 Plasenta
Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
O63.9 Prematur
Persalinan
O72 Lama
Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
O83.9 Tunggal
Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
O91.2 Mastitis
dengan
Spontan
P07.1 bantuan
Bayi lahir
Prematur
KEL.SAL
P20.9 .NAFAS&
Hipoksia
KARDIO
Intrauterus
P21.9 Asfiksia
MASA
P22.9 waktu
PNATAL
Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
P29 Kelainan
baru lahir
Bayi baru
Kardiovas
P80.9 Hipotermi
lahir
kuler
bayi baru
berhub.
lahir
dengan
KELAINA
P90 masa
N LAIN
Kejang
perinatal
PADA
pada bayi
P95 Kematian
MASA
baru
janin lahir
tanpa
PERINAT
sebab
AL yang
LAIN - LAIN
jelas / bayi
R00.0 lahir mati
Tachycardi
a
R00.1 Bradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
R23.0 and
Sianosis
vomiting
R29.0 Tetanus
(Mual dan
R33 muntah)
Retensi
R34 Urine
Anuria
R50.9 and
Febris /
oliguri
Demam
R56 Convulsio
R57.1 nSyok
(Kejang
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
S12.9 Kepala
Fraktur dan
muka
Servikal
S42.0 Fraktur
S42.3 Klavikula
Fraktur
S62 humerus
Fraktur di
S63 lengan
Dislokasi
S72.9 Fraktur
S82 femur
Fraktur di
S00.9 kaki
Semua
T08 fraktur
Fraktur
selain
Vetebradi
T20.9 Luka
atas
T14.0 Bakar
Hematoma
T14.1 Luka
T63.0 Terbuka
Sengatan
T63.2 (bisa)
Sengatanular
W53 (bisa)
Digigit
kalajengki
Tikus
W54 Digigit
ng
W55 Anjing
Digigit
W56 kucing
Digigit
(termasuk
binatang
W57 Digigit
binatang
laut
Serangga
X20 menyusui)
Digigit
Y10 Ular
Keracunan
Obat
0 0 0 0 0 0 0 0 0
Mengetahui
LAPORAN BULANAN :
BULAN :
TAHUN :
PORAN BULANAN DATA KESAKITAN ICDX

JUMLAH PENDERITA
7 8 9 10 11 12 13
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
0 0 0 0 0 0 0 0 0 0 0 0 0
Bogor, ......................................................
Pelapor
ULANAN : LB. I
: april
:
TOTAL
14
15
> 70 Th
P L B L
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
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
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
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
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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0
...............................
por
no usia alamat diagnosa
1 MH
2 PMY
3 MH
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
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
MH
PMY
KOTA
LUAR KOTA
MH 65
65
JULI
NO JUMLAH PENDERITA
1 3 4 5 6 7 8 9
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th 5 - 9 Th 10 - 14 Th 15 - 19 Th
P L P L P L P L P L P L P L
A06.0
A03.9
A00.9
A09
JULI
NO JUMLAH PENDERITA
1 3 4 5 6 7 8 9
A15.0
A16.0
A16
A17.0†
A18
A19
JULI
NO JUMLAH PENDERITA
1 3 4 5 6 7 8 9
B15.9
B16.9
B17
B18.9
D50.9
D56.9
D64.9
JULI
NO JUMLAH PENDERITA
1 3 4 5 6 7 8 9
I10
E10
E11
NO JUMLAH PENDERITA
1 3 4 5 6 7 8 9
E40
E41
E42
E44
F78.0
JULI
NO JUMLAH PENDERITA
1 3 4 5 6 7 8 9
F03
F20.9
F23.9
F41.9
F44.0
F44.2
F45.0
F48.9
F60.0
F79
F99
H93.1
G03.9
G04.9
G20
G30.9
G40.9
G43.9
G44
G47.0
G51.0
G81.9
G82.2
G83.9
G91.0
NO JUMLAH PENDERITA
1 3 4 5 6 7 8 9
J18.9
J00
J01.9
J02.9
J03.9
J04.0
J04.1
J05.1
J11.8
J20.9
J21.9
J31.0
J32.9
J33.9
J35.0
J37.0
J42
J44
J45.9
J46
NO JUMLAH PENDERITA
1 3 4 5 6 7 8 9
K05.1
K05.2
K05.3
K06.0
K06.1
K06.8
K07
K07.3
K07.5
K08.1
K.10.3
K.11
K12.1
K12.2
K12.3
NO JUMLAH PENDERITA
1 3 4 5 6 7 8 9
O03.4
O03.9
O07.9
O15
O21.1
O21.9
O24.9
O30.9
O42.9
O44
O45.9
O48
O60
O63.9
O72
O80.9
O83.9
O84.0
O91.2
P07.1
P20.9
P21.9
P22.9
P24.9
P29
P80.9
P90
P95
R00.0
R00.1
R02
R04.0
R06.1
R11
R23.0
R29.0
R33
R34
R50.9
R56
R57.1
R63.0
Mengetahui
ala Puskesmas ..................................
.........................................................
TOTAL
10 11 12 13 14
15
20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th
P L P L P L P L P L B L
TOTAL
10 11 12 13 14
15
20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th
TOTAL
10 11 12 13 14
15
20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th
TOTAL
10 11 12 13 14
15
20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th
TOTAL
10 11 12 13 14
15
20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th
TOTAL
10 11 12 13 14
15
20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th
TOTAL
10 11 12 13 14
15
20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th
TOTAL
10 11 12 13 14
15
20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th
TOTAL
10 11 12 13 14
15
20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th
Bogor, ......................................................
Pelapor
NO JENIS PENYAKIT
1 2 3
0 - 7 Hr
P L
JUMLAH PENDERITA
4 5 6 7 8 9
8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th 5 - 9 Th 10 - 14 Th 15 - 19 Th
P L P L P L P L P L P L
TOTAL
10 11 12 13 14
15
20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th

Lb12019 Puskesmas MH September

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Lb12019 Puskesmas MH September

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LAPORAN BULANAN DATA KESAKITAN ICDX

NO JENIS PENYAKIT JUMLAH PENDERITA

PENYAKIT BAKTERI LAINNYA

INFEKSI PENY. MENULAR KELAMIN

PENYAKIT SPIROKAETAL LAINNYA

INF VIRUS KULIT& LESI MEMBRAN

PENYAKIT VIRUS LAINNYA

Pedikulosis,Askaris &Infeksi Lainnya

PENYAKIT ENDOKRIN & NUTRISI

PENYAKIT SUSUNAN SYARAF

PENYAKIT MATA DAN ADNEKSA

PENYAKIT PD TELINGA & MASTOID

PENYAKIT SISTEM SIRKULASI

PENYAKIT SISTEM PERNAFASAN

Influenza dan Pneumonia

Inf Akut lain Sal.Pernafasan

Penyakit Saluran Pernafasan Bawah

PENYAKIT GIGI DAN MULUT

K42 Hernia Umbilical

PENYAKIT KULIT DAN JARINGAN

PENYAKIT SISTEM OTOT, TULANG, DAN

PENYAKIT SISTEM PERKEMIHAN

KEHAMILAN, KELAHIRAN, MASA NIFAS

P07.1 Bayi lahir Prematur

LAPORAN BULANAN : LB. I

PENYAKIT ENDOKRIN & NUTRISI

PENYAKIT SUSUNAN SYARAF

PENYAKIT PD TELINGA & MASTOID

PENYAKIT SISTEM PERNAFASAN

LAPORAN BULANAN DATA KESAKITAN ICDX

PENYAKIT ENDOKRIN & NUTRISI

PENYAKIT SUSUNAN SYARAF

PENYAKIT PD TELINGA & MASTOID

PENYAKIT SISTEM PERNAFASAN

LAPORAN BULANAN DATA KESAKITAN ICDX

PENYAKIT BAKTERI LAINNYA

PENYAKIT ENDOKRIN & NUTRISI

PENYAKIT SUSUNAN SYARAF

PENYAKIT MATA DAN ADNEKSA

PENYAKIT SISTEM PERNAFASAN

LAPORAN BULANAN DATA KESAKITAN ICDX

LAPORAN BULANAN DATA KESAKITAN ICDX

PENYAKIT ENDOKRIN & NUTRISI

PENYAKIT SUSUNAN SYARAF

PENYAKIT MATA DAN ADNEKSA

PENYAKIT PD TELINGA & MASTOID

PENYAKIT SISTEM PERNAFASAN

APORAN BULANAN DATA KESAKITAN ICDX

28 46 27 70 32 154 94 126 67 161 17 46

PENYAKIT BAKTERI LAINNYA

INFEKSI PENY. MENULAR KELAMIN

PENYAKIT SPIROKAETAL LAINNYA

INF VIRUS KULIT&

PENYAKIT ENDOKRIN & NUTRISI

PENYAKIT SUSUNAN SYARAF

PENYAKIT MATA DAN ADNEKSA

PENYAKIT PD TELINGA & MASTOID

PENYAKIT SISTEM SIRKULASI

PENYAKIT SISTEM PERNAFASAN

Influenza dan Pneumonia

Inf Akut lain

Penyakit Saluran Pernafasan lainnya

PENYAKIT GIGI DAN MULUT