Академический Документы
Профессиональный Документы
Культура Документы
Propinsi :
Kabupaten :
Puskesmas :
3 Diabetes Melitus E 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Obesitas E 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Penyakit Tiroid E 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Stroke I 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Asma J 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 PPOK J 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Osteoporosis M 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ginjal Kronik N 00 - N 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Tumor Payudara C 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Retinoblastoma C 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Leukemia C 91 - C 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Cidera Akibat Kecelakaan V 01 - V 99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lalu Lintas
15 Cidera Akibat Kekerasan X 60 - Y 09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rumah Tangga
Mengetahui
Kepala UPT Puskesmas
CATATAN
DATA TIAP USIA ITU ADALAH DATA KUNJUNGAN BARU
JUMLAH KUNJUNGAN TOTAL KESELURUHAN = LAMA DAN BARU
T TIDAK MENULAR (PTM) PUSKESMAS
Tahun :
Bulan :
Kunjungan :
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 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
Pengelola PTM
____________________________________________
Nip :
LAPORAN PENYAKIT TID
Propinsi RIAU
Kabupaten INDRAGIRI HULU
Puskesmas KAMBESKO
No Jenis Penyakit ICD X
< 1 th 1-4 th 5-9 th 10-14 th
L P L P L P L P
1 Hipertensi I 10 0 0 0 0 0 0 0 0
2 Penyakit Jantung Koroner I 24.0 0 0 0 0 0 0 0 0
3 Diabetes Melitus E 11 0 0 0 0 0 0 0 0
4 Obesitas E 66 0 0 0 0 0 0 0 0
5 Penyakit Tiroid E 00 0 0 0 0 0 0 0 0
6 Stroke I 64 0 0 0 0 0 0 0 0
1 Asma J 45 0 0 0 0 0 0 0 0
8 PPOK J 44 0 0 0 0 0 0 0 0
9 Osteoporosis M 81 0 0 0 0 0 0 0 0
10 Ginjal Kronik N 00 - N 19 0 0 0 0 0 0 0 0
11 Tumor Payudara C 50 0 0 0 0 0 0 0 0
12 Retinoblastoma C 69 0 0 0 0 0 0 0 0
13 Leukemia C 91 - C 95 0 0 0 0 0 0 0 0
14 Cidera Akibat Kecelakaan V 01 - V 99 0 0 0 0 0 0 0 0
Lalu Lintas
15 Cidera Akibat Kekerasan X 60 - Y 09 0 0 0 0 0 0 0 0
Rumah Tangga
Mengetahui
Plt Kepala UPTD Puskesmas
NOVIANTI, SKM
NIP. 19721101 199210 2 001
CATATAN
DATA TIAP USIA ITU ADALAH DATA KUNJUNGAN BARU
PENYAKIT TIDAK MENULAR (PTM) PUSKESMAS
Tahun
Bulan
Kunjungan
Golongan Umur Jml Kasus Baru
15-19 th 20-44 th 45-54 th 55-59 th 60-69 th 70+ th
L P L P L P L P L P L P L P
0 0 0 2 2 2 1 2 5 4 2 0 10 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 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 0 0 0 0 0 0 0 0 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 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 0 0 0 0 0 0
0 0 0 0 0 0 0 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 4 1 2 6 6 3 0 12 14
4 5 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 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
25 33 0 0