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  • File Lap - Jiwa.

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    Horhoruw Eca
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    Lampiran perkesmas

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    File%20Lap.Jiwa.

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    Lampiran perkesmas

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    3 views2 pages

    File Lap - Jiwa.

    Uploaded by

    Horhoruw Eca
    Lampiran perkesmas

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    LAPORAN BULANAN PROGRAM KESEHATAN JIWA

    PUSKESMAS : LATERI BULAN DESEMBER 2019


    Jumlah Kasus pergolongan umur
    Pasien
    0 - 7 HR 8 -28 HR < 1 THN 1 - 4 THN 5 - 9 THN 10-14 THN 15-19 THN 20-44 THN 45-54 THN 55-59 THN 60-69 THN >70 THN Jumlah
    NO Nama Penyakit Kode
    B L B L B L B L B L B L B L B L B L B L B L B L B L Ruju Raw Pulan
    ICD X
    L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P k at g

    Gangguan mental
    0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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
    organik
    Gangguan
    2
    penggunaan Napza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
    0
    Skizofrenia &
    0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
    3
    gangguan
    Psikotik kronik 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 0 0 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 psikotik
    4
    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 0 0 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 Gangguan Depresif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Gangguan neorotik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Retardasi mental 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 kesehatan
    8
    jiwa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 anak & remaja 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Epilepsi 0 0 0 0 0 0 0 0 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 1 1 0 0
    11 Psikomatik 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 2 0 0 2 0 0
    12 Suicide/bunuh diri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Data pasung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
    0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

    Ambon, 28 April 2022


    Mengetahui
    Kepala Puskesmas Pemegang Program

    Ervina.I.Souhaly,S.Kep, Ns. M.K.M Agusthina L Marlessy


    Nip:197703032002122010 Nip.19741029 200012 2007
    FORMULIR PENDATAAN DAN PEMANTAUAN OBAT (PMO) BAGI PENDERITA JIWA
    BULAN: April THN:2021
    UMUR Jenis Tindakan No Hp Kepala
    NO NAMA PENDERITA ALAMAT Tgl Kunjungan DIAGNOSA TTD KET
    L P Pengobatan Keperawatan Pend/Kel Keluarga
    1

    Ambon, 2021

    Mengetahui
    Kepala Puskesmas Pengelola Program

    Ervina.I.Souhaly,S.Kep Malinova.Seriholo,Amd.Kep
    Nip:197703032002122010 Nip:198210112006042019

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