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LAPORAN PEN

PUSKESMA
BULAN ...........

Jumlah K
0-7 Hr 8-30 Hr 1-11 Bln 1-4 Th
No Kode ICD X Jenis Penyakit
B L B L B L B L
L P L P L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 I 21 IMA

2 I 51.9 Decomp. Cordis

3 I. 10 Hipertensi

4 I 60 - I 63 Stroke

5 E 10 Diabetes Mellitus Tipe 1

6 E 11 Diabetes Mellituse type 2

7 C 50 Kanker Payudara

8 C 53 Kanker Serviks

9 C 91 - C 95 Leukimia

10 C 69 Retinoblastoma

11 C 18 - C 20 Kanker Kolorektal

12 D 56.1 Thalasemia

13 J 44 PPOK

14 J 45 Asma Bronchiale

15 N.00 - Ginjal Kronik

16 M 81 Ostoporosis

17 E 66 Obesitas
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN PENYAKIT TIDAK MENULAR
PUSKESMAS .............................
BULAN .............. TAHUN .....................

Jumlah Kasus dan Kunjungan Kasus Berdasarkan Golongan Umur


1-4 Th 5-9 Th 10-14 Th 15-44 Th 45-54 Th 55-65 Th >65 Th
L B L B L B L B L B L B L
P L P L P L P L P L P L P L P L P L P L P L P L P
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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Jumlah
B L L P
L P L P
43 44 45 46 47 48 49
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
LAPORAN PEN
PUSKESMA
BULAN ...........

Jumlah K
0-7 Hr 8-30 Hr 1-11 Bln 1-4 Th
No Kode ICD X Jenis Penyakit
B L B L B L B L
L P L P L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 I 21 IMA

2 I 51.9 Decomp. Cordis

3 I. 10 Hipertensi

4 I 60 - I 63 Stroke

5 E 10 Diabetes Mellitus Tipe 1

6 E 11 Diabetes Mellituse type 2

7 C 50 Kanker Payudara

8 C 53 Kanker Serviks

9 C 91 - C 95 Leukimia

10 C 69 Retinoblastoma

11 C 18 - C 20 Kanker Kolorektal

12 D 56.1 Thalasemia

13 J 44 PPOK

14 J 45 Asma Bronchiale

15 N.00 - Ginjal Kronik

16 M 81 Ostoporosis

17 E 66 Obesitas
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN PENYAKIT TIDAK MENULAR
PUSKESMAS .............................
BULAN .............. TAHUN .....................

Jumlah Kasus dan Kunjungan Kasus Berdasarkan Golongan Umur


1-4 Th 5-9 Th 10-14 Th 15-44 Th 45-54 Th 55-65 Th >65 Th
L B L B L B L B L B L B L
P L P L P L P L P L P L P L P L P L P L P L P L P
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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Jumlah
B L L P
L P L P
43 44 45 46 47 48 49
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
LAPORAN PEN
PUSKESMA
BULAN ...........

Jumlah K
0-7 Hr 8-30 Hr 1-11 Bln 1-4 Th
No Kode ICD X Jenis Penyakit
B L B L B L B L
L P L P L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 I 21 IMA

2 I 51.9 Decomp. Cordis

3 I. 10 Hipertensi

4 I 60 - I 63 Stroke

5 E 10 Diabetes Mellitus Tipe 1

6 E 11 Diabetes Mellituse type 2

7 C 50 Kanker Payudara

8 C 53 Kanker Serviks

9 C 91 - C 95 Leukimia

10 C 69 Retinoblastoma

11 C 18 - C 20 Kanker Kolorektal

12 D 56.1 Thalasemia

13 J 44 PPOK

14 J 45 Asma Bronchiale

15 N.00 - Ginjal Kronik

16 M 81 Ostoporosis

17 E 66 Obesitas
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN PENYAKIT TIDAK MENULAR
PUSKESMAS .............................
BULAN .............. TAHUN .....................

Jumlah Kasus dan Kunjungan Kasus Berdasarkan Golongan Umur


1-4 Th 5-9 Th 10-14 Th 15-44 Th 45-54 Th 55-65 Th >65 Th
L B L B L B L B L B L B L
P L P L P L P L P L P L P L P L P L P L P L P L P
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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Jumlah
B L L P
L P L P
43 44 45 46 47 48 49
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
LAPORAN PEN
PUSKESMA
BULAN ...........

Jumlah K
0-7 Hr 8-30 Hr 1-11 Bln 1-4 Th
No Kode ICD X Jenis Penyakit
B L B L B L B L
L P L P L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 I 21 IMA

2 I 51.9 Decomp. Cordis

3 I. 10 Hipertensi

4 I 60 - I 63 Stroke

5 E 10 Diabetes Mellitus Tipe 1

6 E 11 Diabetes Mellituse type 2

7 C 50 Kanker Payudara

8 C 53 Kanker Serviks

9 C 91 - C 95 Leukimia

10 C 69 Retinoblastoma

11 C 18 - C 20 Kanker Kolorektal

12 D 56.1 Thalasemia

13 J 44 PPOK

14 J 45 Asma Bronchiale

15 N.00 - Ginjal Kronik

16 M 81 Ostoporosis

17 E 66 Obesitas
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN PENYAKIT TIDAK MENULAR
PUSKESMAS .............................
BULAN .............. TAHUN .....................

Jumlah Kasus dan Kunjungan Kasus Berdasarkan Golongan Umur


1-4 Th 5-9 Th 10-14 Th 15-44 Th 45-54 Th 55-65 Th >65 Th
L B L B L B L B L B L B L
P L P L P L P L P L P L P L P L P L P L P L P L P
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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Jumlah
B L L P
L P L P
43 44 45 46 47 48 49
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
LAPORAN PEN
PUSKESMA
BULAN ...........

Jumlah K
0-7 Hr 8-30 Hr 1-11 Bln 1-4 Th
No Kode ICD X Jenis Penyakit
B L B L B L B L
L P L P L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 I 21 IMA

2 I 51.9 Decomp. Cordis

3 I. 10 Hipertensi

4 I 60 - I 63 Stroke

5 E 10 Diabetes Mellitus Tipe 1

6 E 11 Diabetes Mellituse type 2

7 C 50 Kanker Payudara

8 C 53 Kanker Serviks

9 C 91 - C 95 Leukimia

10 C 69 Retinoblastoma

11 C 18 - C 20 Kanker Kolorektal

12 D 56.1 Thalasemia

13 J 44 PPOK

14 J 45 Asma Bronchiale

15 N.00 - Ginjal Kronik

16 M 81 Ostoporosis

17 E 66 Obesitas
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN PENYAKIT TIDAK MENULAR
PUSKESMAS .............................
BULAN .............. TAHUN .....................

Jumlah Kasus dan Kunjungan Kasus Berdasarkan Golongan Umur


1-4 Th 5-9 Th 10-14 Th 15-44 Th 45-54 Th 55-65 Th >65 Th
L B L B L B L B L B L B L
P L P L P L P L P L P L P L P L P L P L P L P L P
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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Jumlah
B L L P
L P L P
43 44 45 46 47 48 49
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
LAPORAN PEN
PUSKESMA
BULAN ...........

Jumlah K
0-7 Hr 8-30 Hr 1-11 Bln 1-4 Th
No Kode ICD X Jenis Penyakit
B L B L B L B L
L P L P L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 I 21 IMA

2 I 51.9 Decomp. Cordis

3 I. 10 Hipertensi

4 I 60 - I 63 Stroke

5 E 10 Diabetes Mellitus Tipe 1

6 E 11 Diabetes Mellituse type 2

7 C 50 Kanker Payudara

8 C 53 Kanker Serviks

9 C 91 - C 95 Leukimia

10 C 69 Retinoblastoma

11 C 18 - C 20 Kanker Kolorektal

12 D 56.1 Thalasemia

13 J 44 PPOK

14 J 45 Asma Bronchiale

15 N.00 - Ginjal Kronik

16 M 81 Ostoporosis

17 E 66 Obesitas
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN PENYAKIT TIDAK MENULAR
PUSKESMAS .............................
BULAN .............. TAHUN .....................

Jumlah Kasus dan Kunjungan Kasus Berdasarkan Golongan Umur


1-4 Th 5-9 Th 10-14 Th 15-44 Th 45-54 Th 55-65 Th >65 Th
L B L B L B L B L B L B L
P L P L P L P L P L P L P L P L P L P L P L P L P
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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Jumlah
B L L P
L P L P
43 44 45 46 47 48 49
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
LAPORAN PEN
PUSKESMA
BULAN ...........

Jumlah K
0-7 Hr 8-30 Hr 1-11 Bln 1-4 Th
No Kode ICD X Jenis Penyakit
B L B L B L B L
L P L P L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 I 21 IMA

2 I 51.9 Decomp. Cordis

3 I. 10 Hipertensi

4 I 60 - I 63 Stroke

5 E 10 Diabetes Mellitus Tipe 1

6 E 11 Diabetes Mellituse type 2

7 C 50 Kanker Payudara

8 C 53 Kanker Serviks

9 C 91 - C 95 Leukimia

10 C 69 Retinoblastoma

11 C 18 - C 20 Kanker Kolorektal

12 D 56.1 Thalasemia

13 J 44 PPOK

14 J 45 Asma Bronchiale

15 N.00 - Ginjal Kronik

16 M 81 Ostoporosis

17 E 66 Obesitas
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN PENYAKIT TIDAK MENULAR
PUSKESMAS .............................
BULAN .............. TAHUN .....................

Jumlah Kasus dan Kunjungan Kasus Berdasarkan Golongan Umur


1-4 Th 5-9 Th 10-14 Th 15-44 Th 45-54 Th 55-65 Th >65 Th
L B L B L B L B L B L B L
P L P L P L P L P L P L P L P L P L P L P L P L P
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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Jumlah
B L L P
L P L P
43 44 45 46 47 48 49
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
LAPORAN PEN
PUSKESMA
BULAN ...........

Jumlah K
0-7 Hr 8-30 Hr 1-11 Bln 1-4 Th
No Kode ICD X Jenis Penyakit
B L B L B L B L
L P L P L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 I 21 IMA

2 I 51.9 Decomp. Cordis

3 I. 10 Hipertensi

4 I 60 - I 63 Stroke

5 E 10 Diabetes Mellitus Tipe 1

6 E 11 Diabetes Mellituse type 2

7 C 50 Kanker Payudara

8 C 53 Kanker Serviks

9 C 91 - C 95 Leukimia

10 C 69 Retinoblastoma

11 C 18 - C 20 Kanker Kolorektal

12 D 56.1 Thalasemia

13 J 44 PPOK

14 J 45 Asma Bronchiale

15 N.00 - Ginjal Kronik

16 M 81 Ostoporosis

17 E 66 Obesitas
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN PENYAKIT TIDAK MENULAR
PUSKESMAS .............................
BULAN .............. TAHUN .....................

Jumlah Kasus dan Kunjungan Kasus Berdasarkan Golongan Umur


1-4 Th 5-9 Th 10-14 Th 15-44 Th 45-54 Th 55-65 Th >65 Th
L B L B L B L B L B L B L
P L P L P L P L P L P L P L P L P L P L P L P L P
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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Jumlah
B L L P
L P L P
43 44 45 46 47 48 49
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
LAPOR

BUL

J
0-7 Hr 8-30 Hr 1-11 Bln 1-4 Th
No Kode ICD X Jenis Penyakit
B L B L B L B L
L P L P L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 I 21 IMA

2 I 51.9 Decomp. Cordis

3 I. 10 Hipertensi

4 I 60 - I 63 Stroke

5 E 10 Diabetes Mellitus Tipe 1

6 E 11 Diabetes Mellituse type 2

7 C 50 Kanker Payudara

8 C 53 Kanker Serviks

9 C 91 - C 95 Leukimia

10 C 69 Retinoblastoma

11 C 18 - C 20 Kanker Kolorektal

12 D 56.1 Thalasemia

13 J 44 PPOK

14 J 45 Asma Bronchiale

15 N.00 - Ginjal Kronik

16 M 81 Ostoporosis

17 E 66 Obesitas
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN PENYAKIT TIDAK MENULAR
PUSKESMAS DHARMARINI
BULAN SEPTEMBER TAHUN 2021

Jumlah Kasus dan Kunjungan Kasus Berdasarkan Golongan Umur


1-4 Th 5-9 Th 10-14 Th 15-44 Th 45-54 Th 55-65 Th >65 Th
L B L B L B L B L B L B
P L P L P L P L P L P L P L P L P L P L P L P
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
2 1 1 1 1 1 1

1 1

54 86 151 127 87 93 42 49 81 93 130 86 246 179

1 2 1 2

1 1

2 4 4 1 9 1

1 1 1 1 1 2

2 3

4 5 6 3 2 1
0 1 0 0 0 0 0 0 0 58 93 153 136 96 98 49 53 83 95 133 99 251 183
>65 Th Total
Jumlah
L B L L P
L P L P L P
41 42 43 44 45 46 47 48 49
1 1 2 2 2 4 4 6 10

1 0 1 0 2 0 2
56 65 468 451 379 327 847 778 1625

2 1 0 2 5 3 5 8

0 0 0 2 0 2 2

0 0 0 0 0 0 0
6 0 3 4 20 4 23 27

0 1 0 0 0 1 1

0 0 0 1 0 1 1

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

3 0 0 6 0 6 0 6
1 1 3 0 2 4 5 4 9

0 0 0 0 0 0 0

2 3 0 0 2 3 5

12 9 0 0 12 9 21
61 75 489 469 396 363 885 832 1717
LAPORAN PEN
PUSKESMA
BULAN ...........

Jumlah K
0-7 Hr 8-30 Hr 1-11 Bln 1-4 Th
No Kode ICD X Jenis Penyakit
B L B L B L B L
L P L P L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 I 21 IMA

2 I 51.9 Decomp. Cordis

3 I. 10 Hipertensi

4 I 60 - I 63 Stroke

5 E 10 Diabetes Mellitus Tipe 1

6 E 11 Diabetes Mellituse type 2

7 C 50 Kanker Payudara

8 C 53 Kanker Serviks

9 C 91 - C 95 Leukimia

10 C 69 Retinoblastoma

11 C 18 - C 20 Kanker Kolorektal

12 D 56.1 Thalasemia

13 J 44 PPOK

14 J 45 Asma Bronchiale

15 N.00 - Ginjal Kronik

16 M 81 Ostoporosis

17 E 66 Obesitas
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN PENYAKIT TIDAK MENULAR
PUSKESMAS .............................
BULAN .............. TAHUN .....................

Jumlah Kasus dan Kunjungan Kasus Berdasarkan Golongan Umur


1-4 Th 5-9 Th 10-14 Th 15-44 Th 45-54 Th 55-65 Th >65 Th
L B L B L B L B L B L B L
P L P L P L P L P L P L P L P L P L P L P L P L P
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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Jumlah
B L L P
L P L P
43 44 45 46 47 48 49
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
LAPORAN PEN
PUSKESMA
BULAN ...........

Jumlah K
0-7 Hr 8-30 Hr 1-11 Bln 1-4 Th
No Kode ICD X Jenis Penyakit
B L B L B L B L
L P L P L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 I 21 IMA

2 I 51.9 Decomp. Cordis

3 I. 10 Hipertensi

4 I 60 - I 63 Stroke

5 E 10 Diabetes Mellitus Tipe 1

6 E 11 Diabetes Mellituse type 2

7 C 50 Kanker Payudara

8 C 53 Kanker Serviks

9 C 91 - C 95 Leukimia

10 C 69 Retinoblastoma

11 C 18 - C 20 Kanker Kolorektal

12 D 56.1 Thalasemia

13 J 44 PPOK

14 J 45 Asma Bronchiale

15 N.00 - Ginjal Kronik

16 M 81 Ostoporosis

17 E 66 Obesitas
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN PENYAKIT TIDAK MENULAR
PUSKESMAS .............................
BULAN .............. TAHUN .....................

Jumlah Kasus dan Kunjungan Kasus Berdasarkan Golongan Umur


1-4 Th 5-9 Th 10-14 Th 15-44 Th 45-54 Th 55-65 Th >65 Th
L B L B L B L B L B L B L
P L P L P L P L P L P L P L P L P L P L P L P L P
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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Jumlah
B L L P
L P L P
43 44 45 46 47 48 49
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
LAPORAN PEN
PUSKESMA
BULAN ...........

Jumlah K
0-7 Hr 8-30 Hr 1-11 Bln 1-4 Th
No Kode ICD X Jenis Penyakit
B L B L B L B L
L P L P L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 I 21 IMA

2 I 51.9 Decomp. Cordis

3 I. 10 Hipertensi

4 I 60 - I 63 Stroke

5 E 10 Diabetes Mellitus Tipe 1

6 E 11 Diabetes Mellituse type 2

7 C 50 Kanker Payudara

8 C 53 Kanker Serviks

9 C 91 - C 95 Leukimia

10 C 69 Retinoblastoma

11 C 18 - C 20 Kanker Kolorektal

12 D 56.1 Thalasemia

13 J 44 PPOK

14 J 45 Asma Bronchiale

15 N.00 - Ginjal Kronik

16 M 81 Ostoporosis

17 E 66 Obesitas
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN PENYAKIT TIDAK MENULAR
PUSKESMAS .............................
BULAN .............. TAHUN .....................

Jumlah Kasus dan Kunjungan Kasus Berdasarkan Golongan Umur


1-4 Th 5-9 Th 10-14 Th 15-44 Th 45-54 Th 55-65 Th >65 Th
L B L B L B L B L B L B L
P L P L P L P L P L P L P L P L P L P L P L P L P
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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total
Jumlah
B L L P
L P L P
43 44 45 46 47 48 49
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
REKAP LAPORAN P
PUSKESMA
TAHU

Jumlah K
0-7 Hr 8-30 Hr 1-11 Bln 1-4 Th
No Kode ICD X Jenis Penyakit
B L B L B L B L
L P L P L P L P L P L P L P L
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 I 21 IMA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 I 51.9 Decomp. Cordis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3 I. 10 Hipertensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 I 60 - I 63 Stroke 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

5 E 10 Diabetes Mellitus Tipe 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 E 11 Diabetes Mellituse type 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 C 50 Kanker Payudara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 C 53 Kanker Serviks 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 C 91 - C 95 Leukimia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 C 69 Retinoblastoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 C 18 - C 20 Kanker Kolorektal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 D 56.1 Thalasemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

13 J 44 PPOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 J 45 Asma Bronchiale 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

15 N.00 - Ginjal Kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 M 81 Ostoporosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

17 E 66 Obesitas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
REKAP LAPORAN PENYAKIT TIDAK MENULAR
PUSKESMAS .............................
TAHUN .....................

Jumlah Kasus dan Kunjungan Kasus Berdasarkan Golongan Umur


1-4 Th 5-9 Th 10-14 Th 15-44 Th 45-54 Th 55-65 Th >65 Th
L B L B L B L B L B L B L
P L P L P L P L P L P L P L P L P L P L P L P L P
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
0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 1 1 0 1 0 0 1 0 1 1

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

0 0 0 0 0 0 0 0 0 54 86 151 127 87 93 42 49 81 93 130 86 246 179 56 65

0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 1 0 0 0 2 0 0 0 2

0 0 0 0 0 0 0 0 0 0 0 0 1 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 2 0 4 0 0 4 1 0 0 0 9 0 1 0 6

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 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 3 0 0 0 3 0

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

0 0 0 0 0 0 0 0 0 4 5 0 0 6 3 0 0 2 1 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 58 93 153 136 96 98 49 53 83 95 133 99 251 183 61 75
Total
Jumlah
B L L P
L P L P
43 44 45 46 47 48 49
2 2 2 4 4 6 10

1 0 1 0 2 0 2

468 451 379 327 847 778 1625

1 0 2 5 3 5 8

0 0 0 2 0 2 2

0 0 0 0 0 0 0

0 3 4 20 4 23 27

0 1 0 0 0 1 1

0 0 0 1 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 6 0 6 0 6

3 0 2 4 5 4 9

0 0 0 0 0 0 0

2 3 0 0 2 3 5

12 9 0 0 12 9 21
489 469 396 363 885 832 1717

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