KODE PUSKESMAS : 11230701 LB 1

PUSKESMAS : JATINOM Halaman :1

KECAMATAN : JATINOM Lembar 1 : Untuk Ka Sie P2M Dinkes Kab./Kota
PUSKESMAS PEMBANTU YANG: - ADA Lembar 2 : Untuk Koordinator SP2TP Dinkes Kab./Kota
- LAPOR Lembar 3 : Untuk Koordinator SP2TP Puskesmas
KABUPATEN/KODYA : KLATEN (Arsip)
PROPINSI : JAWA TENGAH
Wilayah Pelaporan : Semua Wilayah BULAN : April
Tempat Pemeriksaan : Semua Lokasi Pemeriksaan LAPORAN BULANAN DATA KESAKITAN TAHUN : 2018

JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL
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
A00.9 Cholera, unspecified 1 1 1
A06.0 Acute amoebic dysentery 2 2 1 3 2 5
A09 Diarrhoea and gastroenteritis 2 4 3 4 1 1 2 7 11 5 3 2 3 2 21 29 50
A15.0 Tuberculosis of lung, confirme 1 1 2 2
A33 Tetanus neonatorum 1 1 1
A69.0 Necrotizing ulcerative stomati 1 1 2 2
A74.0 Chlamydial conjunctivitis 1 1 1
A88.1 Epidemic vertigo 3 1 1 1 4 5
A90 Dengue fever [classical dengue 1 1 1
B00.1 Herpesviral vesicular dermatit 1 1 1
B01.9 Varicella without complication 1 2 1 1 2 1 4 4 8
B02.8 Zoster with other complication 1 1 1
B02.9 Zoster without complication 3 3 3
B05.8 Measles with other complicatio 1 1 1
B05.9 Measles without complication 1 1 2 2
B17.0 Acute delta-(super)infection o 1 1 1
B20.9 HIV disease resulting in unspe 1 1 1
B26.0 Mumps orchitis 1 1 1
B26.9 Mumps without complication 2 3 2 3 5
B30.9 Viral conjunctivitis, unspecif 2 1 1 2 3
B35.0 Tinea barbae and tinea capitis 1 1 1
 JUMLAH PASIEN / GOLONGAN UMUR
KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL
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
B35.9 Dermatophytosis, unspecified 1 1 2 2
B36.0 Pityriasis versicolor 1 1 1
B52.9 Plasmodium malariae malaria wi 1 1 1
B86 Scabies 2 1 1 1 3 4
C50.0 Malignant neoplasm of nipple a 1 1 1
D24 Benign neoplasm of breast 1 1 1 1 2
D50.0 Iron deficiency anaemia second 1 1 1
E03.9 Hypothyroidism, unspecified 1 1 1
E04.9 Nontoxic goitre, unspecified 1 1 1
E06.0 Acute thyroiditis 1 1 1
E07.9 Disorder of thyroid, unspecifi 1 1 1 1 2 3
E10.0 Insulin-dependent diabetes mel 1 1 1 1 2
E10.9 Insulin-dependent diabetes mel 1 1 1
E11.0 Non-insulin-dependent diabetes 10 2 2 2 12 14
E11.3 Non-insulin-dependent diabetes 1 1 1
E11.4 Non-insulin-dependent diabetes 1 1 1
E11.5 Non-insulin-dependent diabetes 1 1 1
E11.7 Non-insulin-dependent diabetes 1 1 1
E11.8 Non-insulin-dependent diabetes 2 1 2 1 3
E11.9 Non-insulin-dependent diabetes 1 1 1 13 4 4 3 4 1 2 10 24 34
F20.0 Paranoid schizophrenia 1 1 1
F20.9 Schizophrenia, unspecified 5 3 1 1 3 6 7 13
F29 Unspecified nonorganic psychos 1 1 1 1 2
F41.9 Anxiety disorder, unspecified 1 1 1
F82 Specific developmental disorde 1 1 1
F99 Mental disorder, nos 1 1 1
G40.9 Epilepsy, unspecified 1 3 1 3 4
G43.9 Migraine, unspecified 2 1 3 3
 JUMLAH PASIEN / GOLONGAN UMUR
KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL
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
G44.0 Cluster headache syndrome 1 3 1 1 4 5
G44.3 Chronic post-traumatic headach 1 1 1
G57.9 Mononeuropathy of lower limb, 1 1 1
G81.1 Spastic hemiplegia 1 1 1
H00.0 Hordeolum and other deep infla 1 1 2 1 1 4 5
H01.9 Inflammation of eyelid, unspec 1 1 2 2
H10.0 Mucopurulent conjunctivitis 2 1 1 4 4
H10.3 Acute conjunctivitis, unspecif 1 1 1 1 2
H10.9 Conjunctivitis, unspecified 1 1 1 1 2 1 3 4 7
H11.0 Pterygium 1 1 1
H16.0 Corneal ulcer 1 1 1
H20.0 Acute and subacute iridocyclit 1 1 1
H26.9 Cataract, unspecified 1 1 1 1 2
H44.9 Disorder of globe, unspecified 1 1 1
H52.7 Disorder of refraction, unspec 2 1 1 1 1 1 5 6
H57.1 Ocular pain 1 1 1
H59.0 Vitreous syndrome following ca 1 1 1
H60.9 Otitis externa, unspecified 1 1 2 2
H61.0 Perichondritis of external ear 1 1 1
H61.2 Impacted cerumen 2 2 4 1 1 1 1 1 2 7 8 15
H65.9 Nonsuppurative otitis media, u 1 1 1
H66.9 Otitis media, unspecified 3 1 1 1 2 4 6
H81.4 Vertigo of central origin 1 1 2 2
H90.2 Conductive hearing loss, unspe 1 1 1 1 2 3
H91.0 Ototoxic hearing loss 1 1 1
H91.1 Presbycusis 1 1 1
I10 Essential (primary) hypertensi 4 11 16 8 10 14 5 13 26 55 81
I11.0 Hypertensive heart disease wit 1 2 1 2 2 4
 JUMLAH PASIEN / GOLONGAN UMUR
KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL
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
I11.9 Hypertensive heart disease wit 1 2 1 2 2 1 2 7 9
I20.9 Angina pectoris, unspecified 1 1 2 2
I25.9 Chronic ischaemic heart diseas 1 1 1 1 1 3 4
I50.0 Congestive heart failure 1 1 2 2
I50.9 Heart failure, unspecified 1 1 1 2 1 3
I51.7 Cardiomegaly 1 1 1 1 2 3
I51.9 Heart disease, unspecified 1 1 1
I61.9 Intracerebral haemorrhage, uns 1 1 1 1 2
I84.0 Internal thrombosed haemorrhoi 1 1 1
J00 Acute nasopharyngitis [common 1 1 3 2 11 4 7 4 7 5 4 27 6 14 2 5 5 8 1 5 29 93 122
J01.0 Acute maxillary sinusitis 1 1 1
J02.0 Streptococcal pharyngitis 1 1 2 1 3 2 5
J02.9 Acute pharyngitis, unspecified 4 1 1 3 1 1 4 2 2 1 1 1 12 10 22
J06.0 Acute laryngopharyngitis 1 1 8 6 9 7 4 4 1 3 5 16 4 3 3 5 3 2 3 39 49 88
J06.8 Other acute upper respiratory 1 1 1
J06.9 Acute upper respiratory infect 2 3 2 5 2 4 1 5 2 1 1 2 2 1 11 22 33
J09 Influenza due to identified av 1 1 1
J18.9 Pneumonia, unspecified 1 1 1
J20.0 Acute bronchitis due to Mycopl 2 1 1 1 1 1 5 2 7
J20.9 Acute bronchitis, unspecified 1 1 1
J31.1 Chronic nasopharyngitis 1 1 1
J31.2 Chronic pharyngitis 3 3 3
J33.9 Nasal polyp, unspecified 1 1 1
J37.0 Chronic laryngitis 1 1 1
J41.1 Mucopurulent chronic bronchiti 1 1 1
J44.9 Chronic obstructive pulmonary 1 3 1 2 2 1 1 3 8 11
J45.0 Predominantly allergic asthma 1 1 3 5 3 1 4 1 12 7 19
J45.1 Nonallergic asthma 1 1 1
 JUMLAH PASIEN / GOLONGAN UMUR
KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL
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
J45.9 Asthma, unspecified 1 1 1 3 3
K00.0 Anodontia 4 4 4
K00.3 Mottled teeth 1 1 1 1 2 3
K01.0 Embedded teeth 1 1 1
K01.1 Impacted teeth 1 1 2 2
K02.0 Caries limited to enamel 1 1 2 2
K02.1 Caries of dentine 4 3 4 4 2 3 26 2 1 10 39 49
K02.3 Arrested dental caries 1 1 1 1 2 3
K02.9 Dental caries, unspecified 1 1 1
K03.6 Deposits [accretions] on teeth 4 1 6 5 6 11
K04.0 Pulpitis 2 8 1 3 4 1 2 13 3 2 13 26 39
K04.7 Periapical abscess without sin 2 2 2 1 2 3 2 2 1 8 9 17
K05.3 Chronic periodontitis 1 2 3 3 4 2 1 7 14 42 1 12 2 9 27 76 103
K07.3 Anomalies of tooth position 18 31 9 13 1 28 44 72
K08.0 Exfoliation of teeth due to sy 1 1 1
K08.3 Retained dental root 1 1 1
K12.0 Recurrent oral aphthae 1 2 2 5 5
K12.1 Other forms of stomatitis 1 1 2 2
K12.2 Cellulitis and abscess of mout 1 1 1
K29.0 Acute haemorrhagic gastritis 1 2 2 1 3 3 6
K29.5 Chronic gastritis, unspecified 1 1 1 1 2 2 4
K29.7 Gastritis, unspecified 1 1 1 1 2 5 2 2 1 3 1 1 8 13 21
K30 Dyspepsia 2 1 3 4 4 3 1 7 4 23 5 12 2 8 5 7 2 5 28 70 98
K35.9 Acute appendicitis, unspecifie 1 1 1
K40.9 Unilateral or unspecified ingu 2 2 4 4
K59.0 Constipation 1 1 2 2
K62.5 Haemorrhage of anus and rectum 1 1 1
K76.0 Fatty (change of) liver, not e 1 1 1
 JUMLAH PASIEN / GOLONGAN UMUR
KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL
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
K76.9 Liver disease, unspecified 2 2 2
K80.8 Other cholelithiasis 1 1 1
K92.1 Melaena 1 1 1 1 2
L02.4 Cutaneous abscess, furuncle an 2 1 3 3
L02.8 Cutaneous abscess, furuncle an 1 1 2 2
L02.9 Cutaneous abscess, furuncle an 1 2 1 3 1 4
L03.3 Cellulitis of trunk 1 1 1
L03.9 Cellulitis, unspecified 1 1 1
L04.0 Acute lymphadenitis of face, h 1 1 1
L04.9 Acute lymphadenitis, unspecifi 1 1 1
L08.9 Local infection of skin and su 1 1 1 1 2
L10.0 Pemphigus vulgaris 2 2 2
L20.0 Besnier's prurigo 1 2 2 1 1 7 1 6 1 1 2 7 3 8 27 35
L20.8 Other atopic dermatitis 1 1 1
L20.9 Atopic dermatitis, unspecified 1 1 1 1 1 1 1 2 4 5 9
L23.9 Allergic contact dermatitis, u 1 1 1 1 2
L25.9 Unspecified contact dermatitis 1 1 1
L29.9 Pruritus, unspecified 1 1 1
L30.0 Nummular dermatitis 1 2 2 1 1 3 4 7
L30.3 Infective dermatitis 1 1 5 2 2 3 1 1 3 3 9 13 22
L30.9 Dermatitis, unspecified 1 1 1
L55.9 Sunburn, unspecified 1 1 1
L70.9 Acne, unspecified 1 1 1
L80 Vitiligo 1 1 1
L90.5 Scar conditions and fibrosis o 1 1 1
L97 Ulcer of lower limb, not elsew 1 1 1
M01.39Arthritis in other bacterial d 1 1 1
M10.0 Idiopathic gout 1 1 1
 JUMLAH PASIEN / GOLONGAN UMUR
KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL
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
M13.0 Polyarthritis, unspecified 1 1 1 4 2 5 7
M13.04Polyarthritis, unspecified, ha 1 1 1
M13.9 Arthritis, unspecified 7 13 4 19 2 15 4 18 3 6 20 71 91
M13.90Arthritis, unspecified, multip 1 1 1
M18.9 Arthrosis of first carpometaca 1 1 1
M19.9 Arthrosis, unspecified 1 1 1
M25.7 Osteophyte 1 1 1
M30.0 Polyarteritis nodosa 1 1 1
M48.09Spinal stenosis, site unspecif 1 1 1
M51.0 Lumbar and other intervertebra 1 1 1
M54.0 Panniculitis affecting regions 1 1 1
M54.02Panniculitis affecting regions 1 1 1
M54.1 Radiculopathy 1 1 1
M54.5 Low back pain 3 3 4 4 6 10
M77.3 Calcaneal spur 1 1 1
M79.0 Rheumatism, unspecified 1 1 1
M79.1 Myalgia 2 2 2
M79.2 Neuralgia and neuritis, unspec 1 1 1 1 2
M79.6 Pain in limb 1 1 1
M81.9 Osteoporosis, unspecified 1 3 3 1 4
N05.9 Unspecified nephritic syndrome 1 1 1
N13.9 Obstructive and reflux uropath 1 1 2 2
N18.9 Chronic renal failure, unspeci 1 1 1 1 3 1 4
N20.9 Urinary calculus, unspecified 2 2 2
N21.9 Calculus of lower urinary trac 1 1 1
N30.0 Acute cystitis 1 1 2 2
N30.9 Cystitis, unspecified 4 1 3 1 7 8
N34.1 Nonspecific urethritis 1 1 1
 JUMLAH PASIEN / GOLONGAN UMUR
KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL
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
N34.3 Urethral syndrome, unspecified 1 1 1
N39.0 Urinary tract infection, site 1 1 2 1 3 2 6 8
N39.1 Persistent proteinuria, unspec 1 1 1
N39.9 Disorder of urinary system, un 1 1 1 3 3
N40 Hyperplasia of prostate 1 1 1
N60.2 Fibroadenosis of breast 2 2 2
N60.9 Benign mammary dysplasia, unsp 1 1 1
N61 Inflammatory disorders of brea 1 1 1
N63 Unspecified lump in breast 1 1 1
N89.8 Other specified noninflammator 1 1 1
N91.5 Oligomenorrhoea, unspecified 1 1 1
N92.6 Irregular menstruation, unspec 1 1 1
N94.6 Dysmenorrhoea, unspecified 1 1 1
O05.3 Other abortion, incomplete, wi 1 1 1
O12.0 Gestational oedema 1 1 1
O13 Gest [pregnancy-induced] hyper 1 1 1
O28.9 Abnormal finding on antenatal 1 19 1 19 20
O32.9 Maternal care for malpresentat 1 1 1
O34.2 Maternal care due to uterine s 1 1 1
O48 Prolonged pregnancy 4 4 4
O92.7 Other and unspecified disorder 1 1 1 1 2
Q13.1 Absence of iris 1 1 1
Q66.0 Talipes equinovarus 1 1 1
R04.2 Haemoptysis 1 1 1
R05 Cough 8 5 14 7 1 6 1 3 1 1 1 3 3 26 28 54
R11 Nausea and vomiting 1 3 1 2 2 3 1 4 9 13
R22.0 Localized swelling, mass and l 1 1 2 1 3 4
R22.1 Localized swelling, mass and l 1 1 1
 JUMLAH PASIEN / GOLONGAN UMUR
KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL
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
R22.3 Localized swelling, mass and l 1 1 1
R22.7 Localized swelling, mass and l 1 1 1
R22.9 Localized swelling, mass and l 1 1 1 1 2
R50.0 Fever with chills 6 3 13 11 3 5 9 3 1 3 10 4 1 1 1 1 2 1 44 34 78
R50.9 Fever, unspecified 2 3 2 7 7
R51 Headache 1 1 1 2 7 9 6 4 1 1 3 8 1 2 20 27 47
R52.9 Pain, unspecified 1 1 1
R53 Malaise and fatigue 2 2 1 1 2 4 6
S00.0 Superficial injury of scalp 1 1 1
S00.9 Superficial injury of head, pa 1 1 1 1 2 8 1 4 2 1 1 14 9 23
S09.0 Injury of blood vessels of hea 1 1 1
S30.0 Contusion of lower back and pe 2 2 2
S42.8 Fracture of other parts of sho 1 1 1
S60.9 Superficial injury of wrist an 1 2 1 1 1 11 7 1 3 7 3 1 2 2 24 19 43
S63.1 Dislocation of finger 2 2 2
S73.1 Sprain and strain of hip 1 1 1
S80.9 Superficial injury of lower le 1 1 4 1 1 1 8 1 3 1 1 9 14 23
S85.9 Injury of unspecified blood ve 1 1 1
S90.0 Contusion of ankle 1 1 1
S90.9 Superficial injury of ankle an 1 2 1 4 4
S92.9 Fracture of foot, unspecified 1 1 1
S93.0 Dislocation of ankle joint 1 1 1
T25.0 Burn of unspecified degree of 1 1 1
T63.9 Toxic effect of contact with u 1 1 2 2
T70.3 Effects of caisson disease [de 1 1 1
T78.4 Allergy, unspecified 1 1 1
W00 Fall on same level involving i 1 1 1
W57 Bitten or stung by nonvenomous 1 1 1
 JUMLAH PASIEN / GOLONGAN UMUR
KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL
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
X20 Contact with venomous snakes a 1 1 1
Z00.0 General medical examination 1 1 5 4 9 32 18 25 1 2 1 34 65 99
Z00.8 Other general examinations 1 1 1
Z13.9 Special screening examination, 1 1 1
Z23.2 Need for immunization against 1 1 1 1 2
Z23.5 Need for immunization against 1 2 3 3
Z24.4 Need for immunization against 2 2 2
Z27.8 Need for immunization against 2 1 3 3
Z30.0 General counselling and advice 1 3 4 4
Z30.1 Insertion of (intrauterine) co 1 1 1
Z30.4 Surveillance of contraceptive 2 2 4 4
Z30.8 Other contraceptive management 1 9 1 9 10
Z34.9 Supervision of normal pregnanc 1 3 1 28 1 32 33
Z39.2 Routine postpartum follow-up 1 1 1
Z41.3 Ear piercing 1 1 1 1 2
Z47.0 Follow-up care involving remov 1 1 1
Z47.9 Orthopaedic follow-up care, un 1 2 1 1 1 4 5
Z48.9 Surgical follow-up care, unspe 1 2 3 3 3 6

0 3 2 0 28 21 62 64 95 116 69 65 41 97 160 424 90 208 49 91 81 126 28 64 705 1.279 1.984

JATINOM, 02-05-2018

MENGETAHUI PELAPORAN
KEPALA PUSKESMAS PELAKSANA PROGRAM

dr. Bekti Wahyuni

196306071989102002