KEMENTERIAN KESIHATAN MALAYSIA

SISTEM MAKLUMAT PENGURUSAN KESIHATAN

*MONTHLY/ANNUAL REPORT OF MORBIDITY FOR *OUTPATIENT CLINIC/HOSPITAL/HEA

RETEN BULAN :
TAHUN :
KLINIK BERGERAK:
HOSPITAL / INSTITUTION :
STATE :

The headings are taken from the Detailed List of Three-Digit Categories as published in the Tenth Revision of th
International Statistical Classificatin of Diseases and Related Health Problems (1994 Revision)

References should be made to the Detailed List of Three-Digit Categories of the Tenth Revision of the Internation
Statistical Classification of Diseases and Related Health Problems (1994 Revision) whenever there is any doubt about the e

Age Grou
Detailed List Number
No. Cause Group < 10 years
ICD Code L P
1 2 3 4 5
1 Intestinal infectious diseases A00-A09 0 0
2 Tuberculosis, including late effects A15-A19 0 0
3 Leprosy A30 0 0
4 Syphilis A50-A53 0 0
5 Gonoccoccal Infections A54 0 0
6 Chancroid A57 0 0
7 Yaws A66 0 0
8 Dengue fever A90 0 0
9 Dengue haemorrhagic fever A91 0 0
10 Ebola virus disease A98.4 0 0
11 Herpesviral [herpes simplex] infections B00 0 0
12 Varicella [chickenpox] B01 0 0
13 Zoster [herpes zoster] B02 0 0
14 Measles B05 0 0
15 Rubella [German measles] B06 0 0
16 Viral hepatitis B15-B19 0 0
17 Human immunodeficiency virus [HIV] disease B20-B24 0 0
18 Mumps B26 0 0
19 Enterovirus infection, unspecified (Including Coxsackievirus) B34.1 0 0
20 Mycoses B35-B49 0 0
21 Malaria B50-B54 0 0
22 Dracontiasis B72 0 0
23 Filariasis B74 0 0
24 Other helminthiases B65-B71,B73,B75-B83 0 0
25 Scabies B86 0 0
26 Remainder of certain infection and parasitic diseases, including late effects Remainder of A00-B99 0 0
27 Malignant neoplasms C00-C97 0 0
28 Carcinoma in situ D00-D09 0 0
29 Benign neoplasms D10-D36 0 0
30 Other unspecified neoplasm D37-D48 0 0
31 Anaemias D50-D64 0 0
Other diseases of blood and blood forming organs and certain disorders involving the immune
32 D65-D89 0 0
mechanism
33 Disorders of thyroid gland E00-E07 0 0
34 Diabetes mellitus E10-E14 0 0
35 Kwashiorkor, nutritional marasmus and other protein calorie malnutrition E40-E46 0 0
36 Other nutritional deficiencies E50-E64 0 0
37 Remainder of endocrine, nutritional and metabolic diseases Remainder of E00-E99 0 0
38 Mental and behavioural disorders F00-F99 0 0
39 Epilepsy G40-G41 0 0
40 Migraine G43 0 0
41 Remainder of diseases of the nervous system Remainder of G00-G99 0 0
42 Conjunctivitis H10 0 0
43 Cataract H25-H28 0 0
44 Glaucoma H40-H42 0 0
45 Strabismus and other disorders of binocular eye movements H49-H52 0 0
46 Remainder of diseases of the eye and adnexa Remainder of H60-H95 0 0
47 Otitis media and mastoiditis and other diseases of middle ear and mastoid H65-H75 0 0
48 Remainder of diseases of the ear and mastoid process Remainder of H60-H95 0 0
49 Chronic rheumatic heart diseases I05-I09 0 0
50 Hypertensive Diseases I10-I15 0 0
51 Ischaemic Heart Diseases I20-I15 0 0
52 Cerebrovascular diseases I60-I69 0 0
53 Varicose veins of lower extremities I83 0 0
54 Haemorrhoids I84 0 0
55 Remainder of diseases of the Circulatory system Remainder of I00-I99 0 0
56 Acute upper respiratory tract infections J00-J06 0 0
57 Influenza J10-J11 0 0
58 Pneumonia J12-J18 0 0
59 Bronchitis, chronic and unspecified and emphysema J40-J43 0 0
60 Asthma J45-J46 0 0
61 Remainder of diseases of the respiratory system Remainder of J00-J99 0 0
62 Dental caries K02 0 0
63 Diseases of pulp and periapical tissues K04 0 0
64 Gingivitis and periodontal diseases K05 0 0
65 Dentofacial anomalies (Including malocclusion) K07 0 0
66 Remainder of diseases of the oral cavity, salivary glands and jaws Remainder of K00-K14 0 0
67 Duodenal ulcer, peptic ulcer and gastrojejunal ulcer K25-K28 0 0
68 Gastritis and duodenitis K29 0 0
69 Diseases of appendix K35-K38 0 0
70 Hernia K40-K46 0 0
71 Diseases of liver K70-K77 0 0
72 Cholelithiasis and cholecytitis K80-K81 0 0
73 Remainder of diseases of the digestive system Remainder of K00-K93 0 0
74 Impetigo L01 0 0
75 Cutaneous abscess, furucle and carbuncle L02 0 0
76 Cellulitis L03 0 0
77 Dermatitis and eczema L20-L30 0 0
78 Psoriasis L40 0 0
79 Urticaria L50 0 0
80 Erythemas L51-L53 0 0
Sunburn, other acute or chronic skin changes due to exposure to ultraviolet and nonionizing
81 L55-L57 0 0
radiation
82 Radiodermatitis and other radiation-related disorders of the skin and subcutaneous tissue L58-L59 0 0
83 Disorders of skin appendages L60-L75 0 0
84 Lupus erythematosus L93 0 0
85 Remainder of diseases of the skin and subcutaneous tissue Remainder of L00-L99 0 0
86 Gout M10 0 0
87 Other inflammatory polyarthropathies Remainder of M05-M14 0 0
88 Other joint disorders M20-M25 0 0
89 Systemic connective tissue disorders M30-M36 0 0
 90 Remainder of diseases of the musculoskeletal system and connective tissue Remainder of M00-M99 0 0
91 Nephritis, nephrotic syndrome and nephrosis N00-N05 0 0
92 Calculus of kidney, urethra and lower urinary tract N20-N23 0 0
93 Hyperplasia of prostate N40 0 0
94 Disorders of breast N60-N64 0 0
95 Pain and other conditions associated with female genital organs and menstrual cycle N94 0 0
96 Remainder of diseases of the genitourinary system Remainder of N00-N99 0 0
97 Pregnancy, childbirth and the puerperium O00-O99 0 0
98 Certain conditions originating in the perinatal period P00-P96 0 0
99 Congenital anomalies Q00-Q99 0 0
100 Retention of urine R33 0 0
101 Dizziness and giddiness R42 0 0
102 Fever of unknown origin R50 0 0
103 Headache R51 0 0
104 Malaise and fatigue R53 0 0
105 Remainder of symptoms, signs and ill-defined conditions Remainder of R00-R99
S02,S12,S22,S32,S42,S52, 0 0
106 Fractures S62,S72,S82,S92,T02,T08, 0 0
S03,S13,S23,S33,S43,S53,
T10,T12
107 Dislocations, sprains and strains of specified and multiple body regions S63,S73,S83,S93,T03
0 0
108 Intracranial injury S06 0 0
109 Injuries of other internal organs S26-S27,S36-S37 0 0
S01,S11,S21,S31,S41,S51,
110 Open wounds of specified and multiple body regions S61,S71,S81,S91,T01
0 0
111 Effect of foreign body entering through orifice T15-T19 0 0
112 Burns and corrosions T20-T32 0 0
113 Poisonings and toxic effects T36-T65 0 0
114 All other injuries Remainder of S00-T98 0 0
TOTAL ALL CAUSES 0 0

V, "W", "X" and "Y" CODE - SUPPLEMENTARY CLASSIFICATION OF EXTERNAL CAUSES OF INJURY AND
Age Grou
Detailed List Number
No. Cause Group < 10 years
ICD Code L P
1 2 3 4 5

V1 Land transport accidents V01-V89 0 0

V2 Water transport accidents V90-V94 0 0
V3 Air and space transport accident V95-V97 0 0
W1 Falls W00-W19 0 0
W2 Accidental drowning and submersion W65-W74 0 0
X1 Exposure to smoke, fire and flames X00-X09 0 0
X2 Contact with venomous animals and plants X20-X29 0 0
X3 Intentional self-harm(suicide) X60-X84 0 0
X4 Assault X85-Y09 0 0
Y1 Drugs, medicament causing adverse effects in therapeutic use Y40-Y59 0 0
Y2 Other complications of medical and surgical care Y60-Y84 0 0
All other external causes of injuries Remainder of V00-Y89 0 0
TOTAL 0 0

Z CODE - SUPPLEMENTARY CLASSIFICATION OF FACTORS INFLUENCING HEALTH STATUS AND CONTACT WITH HE
Age Grou
Detailed List Number
No. Cause Group < 10 years
ICD Code L P
1 2 3 4 5

Z1 Person encountering health services for examination and investigation Z00-Z13 0 0

Z2 Person with potential health hazards related to communicable diseases Z20-Z29 0 0
Z3 Person encountering health services in circumstances related to reproduction Z30-Z39 0 0
Z4 Other factors influencing health status and contact with health service Remainder of Z00-Z99 0 0
TOTAL 0 0
 SUMMARY OF MORBIDITY CLASSIFICATION BY MAJOR CAUSE GROUPS OF I.C.D.
Age Grou
Detailed List Number
No. Cause Group < 10 years
ICD Code L P
1 2 3 4 5

I. Certain infectious and parasitic diseases 1 - 26 0 0

II. Neoplasms 27 - 30 0 0
Diseases of Blood and Blood Forming Organs and certain disorders involving the immune
III. 31 - 32 0 0
mechanism
IV. Endocrine, nutritional and metabolic diseases 33 - 37 0 0
V. Mental and behavioural disorders 38 0 0
VI. Diseases of the Nervous System 39 - 41 0 0
VII. Diseases of the eye and adnexa 42 - 46 0 0
VIII. Diseases of the ear and mastoid process 47 - 48 0 0
IX. Disease of the circulatory system 49 - 55 0 0
X. Diseases of the respiratory system 56 - 61 0 0
XI. Disease of digestive system 62 - 73 0 0
XII. Diseases of the Skin and Subcutaneous Tissue 74 - 85 0 0
XIII. Diseases of the Musculoskeletal System and Connective Tissue 86 - 90 0 0
XIV. Disease of the genitourinary system 91 - 96 0 0
XV. Pregnancy, childbirth and the puerperium 97 0 0
XVI. Certain conditions originating in the perinatal period 98 0 0
XVII. Congenital malformations, deformations and chromosomal abnormalities 99 0 0
XVIII Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 100 - 105 0 0
XIX Injury, poisoning and certain other consequences of external causes 106 - 114 0 0
XX. Factors influencing heatlh status and contact with health services Z1 - Z4 0 0
TOTAL 0 0
 PER-PL 206 ( Pin. 1/2003 )

YSIA

SIHATAN

ENT CLINIC/HOSPITAL/HEALTH

ublished in the Tenth Revision of the

h Problems (1994 Revision)

he Tenth Revision of the International

never there is any doubt about the entry in the list

Age Group
Sub-Total
10-19 yars 20-59 years > = 60 years TOTAL
L P L P L P L P
6 7 8 9 10 11 12 13 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 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0

NAL CAUSES OF INJURY AND POISONING

Age Group
Sub-Total
10 19 years 20 -59 years > = 60 years TOTAL
L P L P L P L P
6 7 8 9 10 11 12 13 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

STATUS AND CONTACT WITH HEALTH SERVICES

Age Group
Sub-Total
10 -19 years 20-59 years > = 60 years TOTAL
L P L P L P L P
6 7 8 9 10 11 12 13 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
USE GROUPS OF I.C.D.
Age Group
Sub-Total
10 -19 years 20-59 years > = 60 years TOTAL
L P L P L P L P
6 7 8 9 10 11 12 13 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 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
 PER-PL 212
(Pind. 1/2003)
SISTEM MAKLUMAT PENGURUSAN KESIHATAN
KEMENTERIAN KESIHATAN MALAYSIA

Laporan Bulanan/Tahunan Kedatangan Pesakit Luar Mengikut Umur/Jantina dan Kumpulan Ethnik

Unit/Klinik :
Daerah :
Negeri : Sabah
Bulan:
Tahun:

JUMLAH KEDATANGAN
Kumpulan Ethnic < 10 tahun 10-19 tahun 20-59 tahun >=60 tahun JUMLAH
JUMLAH BESAR
Lelaki Perempuan Lelaki Perempuan Lelaki Perempuan Lelaki Perempuan Lelaki Perempuan
1 2 3 4 5 6 7 8 9 10 11 12
Melayu 0 0 0
Cina 0 0 0
India 0 0 0
Kadazan 0 0 0
Murut 0 0 0
Bajau 0 0 0
Melanau 0 0 0
Iban 0 0 0
Bidayuh 0 0 0
Orang Asli Semenanjung 0 0 0
Peribumi Sabah Lain 0 0 0
Peribumi Sarawak Lain 0 0 0
Lain-Lain 0 0 0
Dengan Izin 0 0 0
BWN
Tanpa Izin 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0
 PER-PL 211
(Pind. 1/2003)
SISTEM MAKLUMAT PENGURUSAN KESIHATAN
KEMENTERIAN KESIHATAN MALAYSIA

LAPORAN BULANAN/TAHUNAN KEDATANGAN PESAKIT LUAR

UNTUK KLINIK KESIHATAN, KLINIK DESA DAN KLINIK BERGERAK

KLINIK:
NEGERI:
BULAN:
TAHUN:

Jumlah
JENIS KEMUDAHAN Bilangan Kemudahan Kedatangan Baru
Kedatangan

1 2 3 4
Klinik Kesihatan

Klinik Desa

Pasukan Klinik Bergerak 0 0

Klinik Bergerak

Dispensari Bergerak

Perkhidmatan Doktor Udara

Village Health Team

JUMLAH 0 0 0
 HEALTH PL/PD 1 (Pindaan 98)

LAPORAN BEBAN KERJA DI KEMUDAHAN KESIHATAN NEGERI SABAH

BULAN :
TAHUN :

PESAKIT LUAR * PESAKIT DALAM

BIL. BERSALIN PESAKIT RUJUKAN
BARU ULANGAN BILANGAN KEMASUKAN

BUKAN WARGANEGARA

BUKAN WARGANEGARA

BUKAN WARGANEGARA
JUMLAH HARI PESAKIT
BILANGAN KATIL
WARGANEGARA

WARGANEGARA

WARGANEGARA

WARGANEGARA

WARGANEGARA
NAMA & LOKASI KEMUDAHAN

JUMLAH

BIL. KEMATIAN
BIL. DISCAJ
KESIHATAN

BWN

BWN
Januari

Febuari

Mac

April

Mei

Jun

JUMLAH A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Julai

Ogos

September

Oktober

November

Disember

JUMLAH B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH BESAR (A+B) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

* Ruangan untuk rawatan pesakit luar sahaja dan tidak termasuk ante natal dan penjagaan kanak-kanak.
# Hanya kelahiran yang dikendalikan dalam klinik sahaja.
 BPKK/MA/4

BEBAN KERJA PENOLONG PEGAWAI PERUBATAN

DI KLINIK KESIHATAN / KLINIK DESA

Klinik Kesihatan:
Bulan:
Tahun:
Negeri: SABAH

BILANGAN ANGGOTA KES OPD BIL. KES BIL PROSEDUR DILAKUKAN

BIL KEMUDAHAN KESIHATAN FMS MO AMO BERKHATAN
FMS MO AMO SN JM OPD MCH JUMLAH FMS MO AMO
WP LWP WP LWP WP LWP MO AMO
1 Januari 0 0
2 Februari 0 0
3 Mac 0 0
4 April 0 0
5 Mei 0 0
6 Jun 0 0
7 Julai 0 0
8 Ogos 0 0
9 September 0 0
10 Oktober 0 0
11 November 0 0
12 Disember 0 0
0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

NOTA : WP = WAKTU PEJABAT, LWP = LUAR WAKTU PEJABAT, PROSEDUR = T & S, Injection, Removal FB, Avulsion Nail, Application POP, Splinting, Strapping, I & D,
Dressing dan lain-lain prosedur.
 PER-SS 206 (Pin. 1A/2000)
SISTEM MAKLUMAT PENGURUSAN KESIHATAN
KEMENTERIAN KESIHATAN MALAYSIA

LAPORAN BULANAN/TAHUNAN BEBAN KERJA MAKMAL BAGI PESAKIT LUAR

Klinik Kesihatan:
Bulan:
Tahun:
Negeri:

(Forensic)
Sitologi (Cytology)
(Histopathology)
(Biochemistry)

(Haematology)

Paras Makmal
(Microbiology)

Histopatologi
Mikrobiologi

Hematologi

Jumlah
Patologi Kimia

( Bulan )

Forensik
1 2 3 4 5 6 7 8 9
Januari 0
Februari 0
Mac 0
April 0
Mei 0
Jun 0
Julai 0
Ogos 0
September 0
Oktober 0
November 0
Disember 0

Jumlah 0 0 0 0 0 0 0 0
 KLINIK BERGERAK 1 MALAYSIA
MINISTRY OF HEALTH
REPORT OF OUTPATIENT ATTENDANCES IN 1 MALAYSIA MOBILE CLINIC BY TYPE OF CASES

NEW ATTENDANCES REPEAT (CHRONIC) REFERAL

LOCALITY (KAMPUNG/LADANG/
STATION TARIKH NON TOTAL
PENEMPATAN) EMERGENCY DM HPT ASTHMA OTHERS HOSPITAL HEALTH CENTRE
EMERGENCY
1 2 3 4 5 6 7 8 9 10 11 12

JUMLAH 0 0 0 0 0 0 0 0 0
 LAPORAN PENCAPAIAN KPI YB MENTERI KESIHATAN 2022

KPI : Peningkatan Kedatangan Klinik Bergerak

Sasaran : 10% meningkat berbanding 2022

Bulan : DISEMBER

Jumlah Kedatangan Bulanan Mengikut

Negeri/ Daerah Jenis Klinik Bergerak

Land Water FDS JUMLAH

Tiada Dilaksanakan Program
SABAH
JANUARI
FEBRUARI
MAC
APRIL
MEI
JUN
JULAI
OGOS
SEPTEMBER
OKTOBER
NOVEMBER
DISEMBER
Jumlah 0 0 0 0
 LAPORAN BULANAN PERKHIDMATAN KLINIK BERGERAK

Jenis Reten: Rawatan Pesakit

Klinik Kesihatan:
Bulan:
Tahun:
Negeri:

Waktu Perjalanan /Penerbangan Bilangan Pesakit Dilawati

Tarikh Lawatan Nama Kampung Waktu
Klinik Dilawati Pesakit
Waktu Tiba Waktu Balik Pesakit Pesakit Baru Slaid BSMP
Ulangan
Terakhir
 KB/PDU 1/A

sakit Dilawati
Catatan
Sputum AFB
 LAPORAN BULANAN PERKHIDMATAN KLINIK BERGERAK

Jenis Reten: Pendidikan Kesihatan

Klinik Kesihatan:
Bulan:
Tahun:
Negeri:

Pendidikan Kesihatan Lain-Lain Aktiviti

Aktiviti BAK
Tarikh
Nama Kampung Ceramah
Lawatan Edaran Pendidikan Contoh Air Kelambu
Dilawati Kesihatan Aktiviti
Klinik Risalah Pesakit IDD Berubat
Pemakanan BAKAS

JUMLAH
 KB/PDU 1/B

LINIK BERGERAK

Lain-Lain Aktiviti
Aktiviti BAKAS

Catatan
Pelupusan
Tandas sampah Pemeriksaan
AGE
Curah sarap/ Air Sekolah
Limbah
 LAPORAN BULANAN PERKHIDMATAN KLINIK BERGERAK

Jenis Reten: Kesihatan Keluarga

Klinik Kesihatan:
Bulan:
Tahun:
Negeri:

Tarikh Kedatangan Klinik

Nama Kampung
Lawatan Klinik Klinik Kesihatan Perancang
Dilawati Klinik Bayi Klinik Todler
Klinik Antenatal Postnatal Sekolah Keluarga

JUMLAH 0 0 0 0 0 0
 KB/PDU1/C

RAK

Catatan
Pap Smear

0
 LAPORAN BULANAN PERKHIDMATAN KLINIK BERGERAK

Jenis Reten: Pelalian

Klinik Kesihatan:
Bulan:
Tahun:
Negeri:

Bilangan Pelalian
Tarikh Nama Kampung
Lawatan Klinik Dilawati BCG Hepatitis DPT OP Hib Campak MMR DA

JUMLAH 0 0 0 0 0 0
 KB/PDU1/D

BERGERAK

Bantuan Makanan
Tetanus Bakul/Contoh Susu Penuh Catatan
Toxoid Makanan Krim

0 0 0 0
 SISTEM MAKLUMAT PENGURUSAN KESIHATAN
KEMENTERIAN KESIHATAN MALAYSIA

Laporan Bulanan Bebanan Tugas Anggota

Klinik Bergerak: Bulan :

Daerah: Tahun :
Negeri: Sabah

Prosidur PPP JT PPK JUMLAH

ATT
Chlorpheniramine
Suntikan

Hyoscine
Hydrocort
Lain-lain
Dressing (Baru)
Dressing Harian (U)
Prosidur Rawatan Mudah

Suppository Insertion
Balutan
Staining Mata
Irrigasi Mata
Irrigasi Telinga
DOTS
Nebulizer
T/Sponge
Resusitation
B/P (Harian)
B/P
Ujian Diagnostik Mudah

Ujian Suhu Badan

Vision Test
ECG
BSMP
Sputum AFB
Glucometer Test
Pregnancy Test
**Cholesterol Test
IV
T&S
Prosidur Surgery Mudah

I&D
F/B Removal
Ryles Tube
CBD (Baru)
CBD (Rutin)
Immobilization
STO
Nail Avulsion
JUMLAH
 KLINIK BERGERAK 1 MALAYSIA
MINISTRY OF HEALTH

REPORT OF SERVICE COVERAGE BY POPULATION (CUMULATIVE)

NUMBER OF TOTAL PT IN TOTAL NUMBER NOT

STATION DATE Locality (Kampung/Ladang/Penempatan) COVERAGE (%)
SESSION REGISTRY POPULATION COVERED
1 2 3 4 5 6 7 8

JUMLAH 316 0 8.47%