LB1 September 2019

Puskesmas P317
Periode 01-09
Kabupaten/Kota
Provinsi
0-7 Hr 8-28 Hr
KODE Penyakit Baru Lama Baru
L P L P L
A01.0 Typhoid fever 0 0 0 0 0
A09 Diarrhoea and gastroenteritis of presumed infectious origin 0 0 0 0 0
A15.0 Tuberculosis of lung, confirmed by sputum microscopy with or w 0 0 0 0 0
A18.3 Tuberculosis of intestines, peritoneum and mesenteric glands 0 0 0 0 0
0 0 0 0 0
A25.9 Rat-bite fever, unspecified 0 0 0 0 0
A53.9 Syphilis, unspecified 0 0 0 0 0
A60.0 Herpesviral infection of genitalia and urogenital tract 0 0 0 0 0
A69.0 Necrotizing ulcerative stomatitis 0 0 0 0 0
B01.9 Varicella without complication 0 0 0 0 0
B02.9 Zoster without complication 0 0 0 0 0
B20.9 HIV disease resulting in unspecified infectious or parasitic diseas 0 0 0 0 0
B26.9 Mumps without complication 0 0 0 0 0
B30.1 Conjunctivitis due to adenovirus 0 0 0 0 0
B30.9 Viral conjunctivitis, unspecified 0 0 0 0 0
B35.3 Tinea pedis 0 0 0 0 0
B35.4 Tinea corporis 0 0 0 0 0
B35.6 Tinea cruris 0 0 0 0 0
B36.0 Pityriasis versicolor 0 0 0 0 0
B37.3 Candidiasis of vulva and vagina 0 0 0 0 0
B77.9 Ascariasis, unspecified 0 0 0 0 0
B86 Scabies 0 0 0 0 0
C06.0 Malignant neoplasm of cheek mucosa 0 0 0 0 0
C08.9 Malignant neoplasm of major salivary gland, unspecified 0 0 0 0 0
C18.9 Malignant neoplasm of colon, unspecified 0 0 0 0 0
C44.5 Malignant neoplasm of skin of trunk 0 0 0 0 0
C44.7 Malignant neoplasm of skin of lower limb, including hip 0 0 0 0 0
C50.9 Malignant neoplasm of breast, unspecified 0 0 0 0 0
D17.7 Benign lipomatous neoplasm of other sites 0 0 0 0 0
D21.9 Other benign neoplasm of connective and other soft tissue, unsp 0 0 0 0 0
D23.1 Other benign neoplasm of skin of eyelid, including canthus 0 0 0 0 0
D36.9 Benign neoplasm of unspecified site 0 0 0 0 0
D46.4 Refractory anaemia, unspecified 0 0 0 0 0
D50.0 Iron deficiency anaemia secondary to blood loss (chronic) 0 0 0 0 0
D50.8 Other iron deficiency anaemias 0 0 0 0 0
D50.9 Iron deficiency anaemia, unspecified 0 0 0 0 0
D61.9 Aplastic anaemia, unspecified 0 0 0 0 0
0 0 0 0 0
D75.9 Disease of blood and blood-forming organs, unspecified 0 0 0 0 0
E05.9 Thyrotoxicosis, unspecified 0 0 0 0 0
E10.6 Insulin-dependent diabetes mellitus with other specified compli 0 0 0 0 0
E11.0 Non-insulin-dependent diabetes mellitus with coma 0 0 0 0 0
E11.2 Non-insulin-dependent diabetes mellitus with renal complicatio 0 0 0 0 0
E11.4 Non-insulin-dependent diabetes mellitus with neurological comp 0 0 0 0 0
E11.6 Non-insulin-dependent diabetes mellitus with other specified co 0 0 0 0 0
E11.9 Non-insulin-dependent diabetes mellitus without complications 0 0 0 0 0
0 0 0 0 0
E12.6 Malnutrition-reltaed diabetes mellitus with other specified comp 0 0 0 0 0
E66.9 Obesity, unspecified 0 0 0 0 0
E78.0 Pure hypercholesterolaemia 0 0 0 0 0
E79.0 Hyperuricaemia without signs of inflammatory arthritis and top 0 0 0 0 0
E84.8 Cystic fibrosis with other manifestations 0 0 0 0 0
F00.0 Dementia in Alzheimers disease with early onset 0 0 0 0 0
F20.0 Paranoid schizophrenia 0 0 0 0 0
F20.9 Schizophrenia, unspecified 0 0 0 0 0
0 0 0 0 0
F45.9 Somatoform disorder, unspecified 0 0 0 0 0
F84.0 Childhood autism 0 0 0 0 0
G40.9 Epilepsy, unspecified 0 0 0 0 0
G44.0 Cluster headache syndrome 0 0 0 0 0
G44.2 Tension-type headache 0 0 0 0 0
G47.0 Disorders of initiating and maintaining sleep [insomnias] 0 0 0 0 0
G54.0 Brachial plexus disorders 0 0 0 0 0
G54.9 Nerve root and plexus disorder, unspecified 0 0 0 0 0
G55.1 Nerve root and plexus compressions in intervertebral disc disord 0 0 0 0 0
G56.0 Carpal tunnel syndrome 0 0 0 0 0
G56.9 Mononeuropathy of upper limb, unspecified 0 0 0 0 0
G91.1 Obstructive hydrocephalus 0 0 0 0 0
0 0 0 0 0
H00.0 Hordeolum and other deep inflammation of eyelid 0 0 0 0 0
H00.1 Chalazion 0 0 0 0 0
H10.8 Other conjunctivitis 0 0 0 0 0
H10.9 Conjunctivitis, unspecified 0 0 0 0 0
0 0 0 0 0
H16.0 Corneal ulcer 0 0 0 0 0
H21.5 Other adhesions and disruptions of iris and ciliary body 0 0 0 0 0
H25.0 Senile incipient cataract 0 0 0 0 0
H25.1 Senile nuclear cataract 0 0 0 0 0
H26.9 Cataract, unspecified 0 0 0 0 0
0 0 0 0 0
H40.8 Other glaucoma 0 0 0 0 0
H52.7 Disorder of refraction, unspecified 0 0 0 0 0
H57.9 Disorder of eye and adnexa, unspecified 0 0 0 0 0
0 0 0 0 0
H60.8 Other otitis externa 0 0 0 0 0
H61.2 Impacted cerumen 0 0 0 0 0
H65.0 Acute serous otitis media 0 0 0 0 0
H65.1 Other acute nonsuppurative otitis media 0 0 0 0 0
H65.2 Chronic serous otitis media 0 0 0 0 0
H65.9 Nonsuppurative otitis media, unspecified 0 0 0 0 0
H70.9 Mastoiditis, unspecified 0 0 0 0 0
0 0 0 0 0
H81.1 Benign paroxysmal vertigo 0 0 0 0 0
H81.9 Disorder of vestibular function, unspecified 0 0 0 0 0
H92.0 Otalgia 0 0 0 0 0
I10 Essential (primary) hypertension 0 0 0 0 0
I11.0 Hypertensive heart disease with (congestive) heart failure 0 0 0 0 0
I11.9 Hypertensive heart disease without (congestive) heart failure 0 0 0 0 0
I15.9 Secondary hypertension, unspecified 0 0 0 0 0
0 0 0 0 0
I25.0 Atherosclerotic cardiovascular disease, so described 0 0 0 0 0
I25.1 Atherosclerotic heart disease 0 0 0 0 0
0 0 0 0 0
I49.9 Cardiac arrhythmia, unspecified 0 0 0 0 0
I50.0 Congestive heart failure 0 0 0 0 0
I50.9 Heart failure, unspecified 0 0 0 0 0
I51.6 Cardiovascular disease, unspecified 0 0 0 0 0
I64 Stroke, not specified as haemorrhage or infarction 0 0 0 0 0
I69.4 Sequelae of stroke, not specified as haemorrhage or infarction 0 0 0 0 0
0 0 0 0 0
I80.2 Phlebitis and thrombophlebitis of other deep vessels of lower ex 0 0 0 0 0
I84.0 Internal thrombosed haemorrhoids 0 0 0 0 0
I84.3 External thrombosed haemorrhoids 0 0 0 0 0
I84.4 External haemorrhoids with other complications 0 0 0 0 0
I84.5 External haemorrhoids without complication 0 0 0 0 0
I86.1 Scrotal varices 0 0 0 0 0
I87.9 Disorder of vein, unspecified 0 0 0 0 0
I88.9 Nonspecific lymphadenitis, unspecified 0 0 0 0 0
I99 Other and unspecified disorders of circulatory system 0 0 0 0 0
J00 Acute nasopharyngitis [common cold] 0 0 0 0 0
J01.0 Acute maxillary sinusitis 0 0 0 0 0
J01.8 Other acute sinusitis 0 0 0 0 0
J01.9 Acute sinusitis, unspecified 0 0 0 0 0
J02.9 Acute pharyngitis, unspecified 0 0 0 0 0
J03.9 Acute tonsillitis, unspecified 0 0 0 0 0
J06.9 Acute upper respiratory infection, unspecified 0 0 0 0 0
J18.0 Bronchopneumonia, unspecified 0 0 0 0 0
J21.9 Acute bronchiolitis, unspecified 0 0 0 0 0
0 0 0 0 0
J30.3 Other allergic rhinitis 0 0 0 0 0
J30.4 Allergic rhinitis, unspecified 0 0 0 0 0
J33.9 Nasal polyp, unspecified 0 0 0 0 0
J34.2 Deviated nasal septum 0 0 0 0 0
J34.3 Hypertrophy of nasal turbinates 0 0 0 0 0
J39.3 Upper respiratory tract hypersensitivity reaction, site unspecifie 0 0 0 0 0
J44.0 Chronic obstructive pulmonary disease with acute lower respirat 0 0 0 0 0
J45.0 Predominantly allergic asthma 0 0 0 0 0
J45.9 Asthma, unspecified 0 0 0 0 0
0 0 0 0 0
J85.0 Gangrene and necrosis of lung 0 0 0 0 0
J90 Pleural effusion, not elsewhere classified 0 0 0 0 0
0 0 0 0 0
K00.6 Disturbances in tooth eruption 0 0 0 0 0
K01.1 Impacted teeth 0 0 0 0 0
K02.1 Caries of dentine 0 0 0 0 0
K02.2 Caries of cementum 0 0 0 0 0
0 0 0 0 0
K02.9 Dental caries, unspecified 0 0 0 0 0
K03.1 Abrasion of teeth 0 0 0 0 0
0 0 0 0 0
K04.0 Pulpitis 0 0 0 0 0
K04.1 Necrosis of pulp 0 0 0 0 0
K04.5 Chronic apical periodontitis 0 0 0 0 0
K04.7 Periapical abscess without sinus 0 0 0 0 0
K04.9 Other and unspecified diseases of pulp and periapical tissues 0 0 0 0 0
0 0 0 0 0
K05.0 Acute gingivitis 0 0 0 0 0
K05.1 Chronic gingivitis 0 0 0 0 0
K05.2 Acute periodontitis 0 0 0 0 0
K05.3 Chronic periodontitis 0 0 0 0 0
K05.4 Periodontosis 0 0 0 0 0
K05.5 Other periodontal diseases 0 0 0 0 0
K06.1 Gingival enlargement 0 0 0 0 0
0 0 0 0 0
K07.0 Major anomalies of jaw size 0 0 0 0 0
K08.3 Retained dental root 0 0 0 0 0
K11.3 Abscess of salivary gland 0 0 0 0 0
K11.6 Mucocele of salivary gland 0 0 0 0 0
K12.0 Recurrent oral aphthae 0 0 0 0 0
K12.1 Other forms of stomatitis 0 0 0 0 0
K12.2 Cellulitis and abscess of mouth 0 0 0 0 0
K30 Dyspepsia 0 0 0 0 0
K31.0 Acute dilatation of stomach 0 0 0 0 0
K40.3 Unilateral or unspecified inguinal hernia, with obstruction, wit 0 0 0 0 0
K51.1 Ulcerative (chronic) ileocolitis 0 0 0 0 0
K58.9 Irritable bowel syndrome without diarrhoea 0 0 0 0 0
K59.0 Constipation 0 0 0 0 0
K60.2 Anal fissure, unspecified 0 0 0 0 0
K71.4 Toxic liver disease with chronic lobular hepatitis 0 0 0 0 0
K74.6 Other and unspecified cirrhosis of liver 0 0 0 0 0
K76.0 Fatty (change of) liver, not elsewhere classified 0 0 0 0 0
K80.0 Calculus of gallbladder with acute cholecystitis 0 0 0 0 0
K80.8 Other cholelithiasis 0 0 0 0 0
L01.0 Impetigo [any organism] [any site] 0 0 0 0 0
L01.1 Impetiginization of other dermatoses 0 0 0 0 0
L02.8 Cutaneous abscess, furuncle and carbuncle of other sites 0 0 0 0 0
L02.9 Cutaneous abscess, furuncle and carbuncle, unspecified 0 0 0 0 0
L08.9 Local infection of skin and subcutaneous tissue, unspecified 0 0 0 0 0
0 0 0 0 0
L13.0 Dermatitis herpetiformis 0 0 0 0 0
L20.8 Other atopic dermatitis 0 0 0 0 0
L20.9 Atopic dermatitis, unspecified 0 0 0 0 0
L21.0 Seborrhoea capitis 0 0 0 0 0
L22 Diaper [napkin] dermatitis 0 0 0 0 0
L23.5 Allergic contact dermatitis due to other chemical products 0 0 0 0 0
L27.0 Generalized skin eruption due to drugs and medicaments 0 0 0 0 0
L28.0 Lichen simplex chronicus 0 0 0 0 0
L29.8 Other pruritus 0 0 0 0 0
L29.9 Pruritus, unspecified 0 0 0 0 0
L30.3 Infective dermatitis 0 0 0 0 0
L30.9 Dermatitis, unspecified 0 0 0 0 0
L40.8 Other psoriasis 0 0 0 0 0
L50.0 Allergic urticaria 0 0 0 0 0
L50.1 Idiopathic urticaria 0 0 0 0 0
L55.8 Other sunburn 0 0 0 0 0
L60.8 Other nail disorders 0 0 0 0 0
L60.9 Nail disorder, unspecified 0 0 0 0 0
L71.0 Perioral dermatitis 0 0 0 0 0
L74.3 Miliaria, unspecified 0 0 0 0 0
L80 Vitiligo 0 0 0 0 0
L84 Corns and callosities 0 0 0 0 0
L85.3 Xerosis cutis 0 0 0 0 0
L98.4 Chronic ulcer of skin, not elsewhere classified 0 0 0 0 0
L99.8 Other specified disorders of skin and subcutaneous tissue in dise 0 0 0 0 0
0 0 0 0 0
M01.0 Meningococcal arthritis 0 0 0 0 0
M06.01 Seronegative rheumatoid arthritis, shoulder region 0 0 0 0 0
M06.2 Rheumatoid bursitis 0 0 0 0 0
M06.20 Rheumatoid bursitis, multiple sites 0 0 0 0 0
0 0 0 0 0
M12.2 Villonodular synovitis (pigmented) 0 0 0 0 0
M15.0 Primary generalized (osteo)arthrosis 0 0 0 0 0
M15.4 Erosive (osteo)arthrosis 0 0 0 0 0
M17.9 Gonarthrosis, unspecified 0 0 0 0 0
M22.2 Patellofemoral disorders 0 0 0 0 0
M25.5 Pain in joint 0 0 0 0 0
M46.2 Osteomyelitis of vertebra 0 0 0 0 0
M46.25 Osteomyelitis of vertebra, thoracolumbar region 0 0 0 0 0
M47.26 Other spondylosis with radiculopathy, lumbar region 0 0 0 0 0
M48.46 Fatigue fracture of vertebra, lumbar region 0 0 0 0 0
M50.1 Cervical disc disorder with radiculopathy 0 0 0 0 0
M54.5 Low back pain 0 0 0 0 0
M54.50 Low back pain, multiple sites 0 0 0 0 0
M62.6 Muscle strain 0 0 0 0 0
M62.66 Muscle strain, lower leg 0 0 0 0 0
M65.3 Trigger finger 0 0 0 0 0
M66.06 Rupture of popliteal cyst, lower leg 0 0 0 0 0
M75.1 Rotator cuff syndrome 0 0 0 0 0
M79.0 Rheumatism, unspecified 0 0 0 0 0
M79.00 Rheumatism, unspecified, multiple sites 0 0 0 0 0
M79.1 Myalgia 0 0 0 0 0
M79.10 Myalgia, multiple sites 0 0 0 0 0
M79.15 Myalgia, pelvic and thigh 0 0 0 0 0
M79.2 Neuralgia and neuritis, unspecified 0 0 0 0 0
M89.4 Other hypertrophic osteoarthropathy 0 0 0 0 0
M89.40 Other hypertrophic osteoarthropathy, multiple sites 0 0 0 0 0
0 0 0 0 0
N04.0 Nephrotic syndrome, minor glomerular abnormality 0 0 0 0 0
N06.9 Isolated proteinuria with specified morphological lesion, unspeci 0 0 0 0 0
N18.0 End-stage renal disease 0 0 0 0 0
N18.9 Chronic renal failure, unspecified 0 0 0 0 0
N20.0 Calculus of kidney 0 0 0 0 0
N39.0 Urinary tract infection, site not specified 0 0 0 0 0
N40 Hyperplasia of prostate 0 0 0 0 0
N47 Redundant prepuce, phimosis and paraphimosis 0 0 0 0 0
N60.2 Fibroadenosis of breast 0 0 0 0 0
N76.0 Acute vaginitis 0 0 0 0 0
N80.0 Endometriosis of uterus 0 0 0 0 0
N83.7 Haematoma of broad ligament 0 0 0 0 0
N91.5 Oligomenorrhoea, unspecified 0 0 0 0 0
N94.6 Dysmenorrhoea, unspecified 0 0 0 0 0
0 0 0 0 0
O28.9 Abnormal finding on antenatal screening of mother, unspecified 0 0 0 0 0
O91.2 Nonpurulent mastitis associated with childbirth 0 0 0 0 0
P39.0 Neonatal infective mastitis 0 0 0 0 0
Q21.3 Tetralogy of Fallot 1 0 0 0 0
Q90.9 Downs syndrome, unspecified 0 0 0 0 0
R04.0 Epistaxis 0 0 0 0 0
R05 Cough 0 0 0 0 0
R06.8 Other and unspecified abnormalities of breathing 0 0 0 0 0
R07.3 Other chest pain 0 0 0 0 0
R07.4 Chest pain, unspecified 0 0 0 0 0
R10.4 Other and unspecified abdominal pain 0 0 0 0 0
R11 Nausea and vomiting 0 0 0 0 0
R13 Dysphagia 0 0 0 0 0
R22.4 Localized swelling, mass and lump, lower limb 0 0 0 0 0
R26.2 Difficulty in walking, not elsewhere classified 0 0 0 0 0
R42 Dizziness and giddiness 0 0 0 0 0
R50.0 Fever with chills 0 0 0 0 0
R50.9 Fever, unspecified 0 0 0 0 0
R51 Headache 0 0 0 0 0
R53 Malaise and fatigue 0 0 0 0 0
R62.0 Delayed milestone 0 0 0 0 0
R90.0 Intracranial space-occupying lesion 0 0 0 0 0
S02.20 Fracture of nasal bones, closed 0 0 0 0 0
S04.0 Injury of optic nerve and pathways 0 0 0 0 0
S61.0 Open wound of finger(s) without damage to nail 0 0 0 0 0
T13.1 Open wound of lower limb, level unspecified 0 0 0 0 0
T14.1 Open wound of unspecified body region 0 0 0 0 0
T16 Foreign body in ear 0 0 0 0 0
T30.1 Burn of first degree, body region unspecified 0 0 0 0 0
T30.3 Burn of third degree, body region unspecified 0 0 0 0 0
T31.0 Burns involving less than 10% of body surface 0 0 0 0 0
T78.4 Allergy, unspecified 0 0 0 0 0
T90.1 Sequelae of open wound of head 0 0 0 0 0
T93.1 Sequelae of fracture of femur 0 0 0 0 0
Z00.0 General medical examination 0 0 0 0 0
Z00.1 Routine child health examination 0 0 0 0 0
Z03.0 Observation for suspected tuberculosis 0 0 0 0 0
Z09.0 Follow-up examination after surgery for other conditions 0 0 0 0 0
Z09.8 Follow-up examination after other treatment for other condition 0 0 0 0 0
Z09.9 Follow-up examination after unspecified treatment for other con 0 0 0 0 0
Z24.0 Need for immunization against poliomyelitis 0 0 0 0 0
Z24.4 Need for immunization against measles alone 0 0 0 0 0
Z27.1 Need for immunization against diphtheria-tetanus-pertussis, co 0 0 0 0 0
Z27.3 Need for immunization against diphtheria-tetanus-pertussis with 0 0 0 0 0
Z30.1 0 0 0 0 0
Z30.8 0 0 0 0 0
Z34.8 Supervision of other normal pregnancy 0 0 0 0 0
Z35.9 Supervision of high-risk pregnancy, unspecified 0 0 0 0 0
Z96.1 Presence of intraocular lens 0 0 0 0 0
Z98.2 Presence of cerebrospinal fluid drainage device 0 0 0 0 0
1 0 0 0 0
8-28 Hr 1Bl - <1Th 1-4Th 5-9Th 10-14Th
Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
P L P L P L P L P L P L P L P L P L P
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 3 4 0 0 4 3 0 0 3 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 1 0 0 0 0 0 0 2 3 0 0 1 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0
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0 0 0 1 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
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0 0 0 0 0 0 0 1 2 0 0 2 2 0 0 1 3 0 0
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0 0 0 15 10 0 0 32 29 0 0 33 25 0 0 11 18 0 0
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, 27-Sep-2019
Pelapor
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15-19Th 20-44Th 45-54Th 55-59Th 60-69Th
Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
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0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 1 2 0 1 3 1 0 0 2 1 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 1 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 1 0 0 1 0 1 0 0 1 1 0 0 0 1 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 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 1 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
6 3 0 0 9 17 0 2 10 19 2 1 22 28 4 9 8 16 2
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 1 0 0 0 1 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 1 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 1 2 0
0 0 0 0 1 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 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 1 0 3 1 3 0 2 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 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 0 0 1 1 0 0 0 0 0 1 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 1 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 1 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 2 0 0 0 0 0 0 0 1 0 0 1 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 2 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 1 0 0 0 0 1 0 0 0 1 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 1 0 0 0 1 0 1 0 1 0
0 0 0 0 1 9 0 1 5 29 1 9 13 57 10 34 2 30 4
0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 1 1 0 0
0 0 0 0 1 4 0 0 3 9 0 1 6 10 0 0 3 4 0
0 3 0 0 7 13 0 0 3 11 0 0 15 28 0 1 5 14 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0
0 0 0 0 1 3 0 0 0 1 1 1 1 6 1 3 1 0 1
0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 8 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
0 3 0 0 13 31 1 1 13 57 2 13 48 115 14 55 16 57 6
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 1 0 0 0 1
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 2 0 0 0 1 1 0 1 1 1 0 1 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 1 2 0 0 2 0 1 0 2 0 1
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 1 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 1 0 1 0 1 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 1 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 2 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 5 0 1 1 3 0 0 4 1 1 2 2 1 1
0 1 0 0 0 1 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 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 2 0 0 0 0 0
0 0 0 0 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 1 2 0 0 1 0 0
0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 1 0 0 0 2 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 2 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 2 2 0 0 1 2 0 1 1 4 0 2 1 1 0
0 1 0 0 1 2 0 0 1 2 0 0 0 1 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 1 0 0 1 11 0 0 4 9 0 0 6 17 0 0 2 9 0
0 1 0 0 1 5 0 0 1 1 0 0 7 7 0 0 3 4 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 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 1 0 0 0 1 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 1 0 0 0 1 0 0
2 0 0 0 0 0 0 0 0 1 0 0 1 1 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 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 1 0 0 0 1 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 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 1 0 0 4 4 0 0 0 2 0 0 1 4 0 0 1 4 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 1 0 0 0 0 0 0 2 2 1 2 1 1 1
0 0 0 0 2 0 0 0 0 0 0 0 3 2 0 0 0 0 0
0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0
0 1 0 0 3 0 0 0 1 0 0 0 0 2 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 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 1 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 7 0 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 2 1 4 1 2 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 67 8 7 175 555 38 116 182 447 94 318 424 823 428 916 178 411 209
60-69Th >70Th Total
Lama Baru Lama Baru Lama JML
P L P L P L P L P
0 0 0 0 0 0 1 0 0 1
0 0 2 0 0 23 32 0 0 55
1 1 0 1 0 5 4 7 16 32
0 0 0 0 0 1 0 0 0 1
1 1 0 1 0
0 0 0 0 0 0 3 0 0 3
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 2 0 1 0 3
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 4 4 0 0 8
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 1 0 1 2
0 0 0 0 0 1 1 0 0 2
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 2 11 0 1 14
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 3 2 0 0 5
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 3 0 0 3
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 1 1 0 0 2
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 0 1 0 1
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 2 0 0 0 2
0 0 0 0 0 2 1 0 0 3
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 1 0 0 1
0 0 1 0 0 0 4 0 0 4
0 1 0 0 0 2 0 0 0 2
0 1 1 0 0
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 2 2 0 4
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 1 0 0 0 1
2 1 1 3 4 4 2 12 17 35
52 0 2 0 9 9 17 52 170 248
54 1 3 3 13
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 2 0 0 2
12 0 3 1 5 3 19 13 52 87
1 0 2 0 2 3 7 1 12 23
0 0 0 0 0 0 0 1 0 1
0 0 0 0 0 0 0 2 0 2
0 0 0 0 0 0 1 2 0 3
0 0 0 0 0 1 0 8 1 10
0 0 0 0 0
1 0 0 0 0 0 1 0 2 3
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 1 0 0 4 5
0 0 0 0 0 1 3 0 0 4
0 2 2 0 0 12 35 0 0 47
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 0 1 0 0 1
1 0 0 0 0 0 0 0 2 2
0 0 0 0 0 0 0 4 0 4
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 1 0 0 0 1
1 2 2 0 0
0 0 0 0 0 1 4 0 0 5
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 1 0 0 0 1
0 2 0 0 0 13 10 0 0 23
0 2 0 0 0
0 0 0 0 0 0 1 0 0 1
0 1 0 0 0 2 0 0 0 2
1 0 0 0 0 6 2 0 2 10
0 1 0 0 0 2 0 0 0 2
0 0 2 0 0 3 14 0 0 17
1 1 2 0 0
0 0 0 0 0 0 1 0 0 1
1 0 0 0 0 5 1 0 2 8
0 0 0 0 0 0 1 0 0 1
1 0 0 0 0
0 0 0 0 0 0 5 0 0 5
0 0 0 0 0 3 9 0 0 12
0 0 0 0 0 2 2 0 0 4
0 0 1 0 0 0 4 0 0 4
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 1 0 1
0 0 1 0 0
0 1 0 0 0 2 7 0 0 9
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 1 0 0 0 1
119 2 5 37 42 26 64 241 527 858
4 0 1 3 5 0 5 20 22 47
1 0 1 1 0 0 3 2 4 9
0 0 0 0 0 0 1 0 0 1
124 2 7 41 47
3 0 0 0 2 5 1 7 11 24
0 0 0 0 0 0 0 0 1 1
3 0 0 0 2
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 3 0 0 0 3
0 0 0 0 0 0 1 0 0 1
0 0 0 1 0 2 2 3 0 7
0 0 0 0 0 0 0 4 0 4
0 0 0 1 0
0 0 0 0 1 0 0 0 2 2
0 0 0 0 0 2 0 0 0 2
0 0 0 0 0 2 3 0 0 5
0 0 0 0 0 1 1 0 0 2
0 0 0 0 0 2 0 0 0 2
0 0 0 0 0 1 0 0 0 1
1 0 0 0 0 0 0 0 2 2
0 0 0 0 0 1 1 0 0 2
0 0 0 0 0 0 2 0 0 2
1 11 18 0 0 208 348 0 2 558
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 0 0 1 1
0 1 0 0 0 7 12 0 0 19
0 1 1 0 0 4 5 0 0 9
0 0 0 0 0 3 3 0 0 6
0 0 0 0 0 0 1 2 0 3
0 0 0 0 0 1 0 0 0 1
1 13 19 0 0
0 0 0 0 0 10 18 0 0 28
0 1 1 0 0 5 6 0 0 11
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 1 0 1
0 0 0 0 0 0 1 0 0 1
1 0 0 0 0 2 4 2 2 10
2 0 0 2 1 3 3 9 7 22
0 0 0 0 0 2 0 1 1 4
0 0 0 0 0 2 2 2 0 6
0 0 0 0 0
1 0 0 0 0 7 18 1 5 31
0 0 0 1 0 0 0 2 0 2
4 1 1 3 1
0 0 0 0 0 2 7 0 0 9
0 0 0 0 0 0 1 0 1 2
0 0 1 0 0 4 11 0 1 16
0 0 0 0 0 0 3 0 0 3
0 0 1 0 0
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0
0 0 0 0 0 3 3 0 0 6
0 0 1 1 0 2 14 4 16 36
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 6 10 1 0 17
0 0 0 0 0 1 0 1 0 2
0 0 1 1 0
0 1 0 0 0 3 2 0 0 5
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 3 8 0 0 11
0 1 0 0 0 3 5 0 0 8
0 0 0 0 0 3 1 0 0 4
0 0 0 0 0 3 2 0 0 5
0 0 0 0 0 1 1 0 0 2
0 2 0 0 0
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 1 4 0 0 5
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 1 1 0 0 2
0 0 0 0 0 0 1 0 0 1
0 1 0 0 0 7 9 0 0 16
0 1 0 0 0 5 3 0 0 8
2 5 8 0 1 51 174 1 12 238
0 0 0 0 0 1 1 0 0 2
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 5 1 0 0 6
0 1 0 0 0 3 2 0 0 5
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 1 0 0 1 2
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 2 2 0 0 4
0 0 0 0 0 0 0 1 0 1
0 0 0 0 0 4 1 0 0 5
0 0 0 0 0 0 1 0 0 1
0 0 0 0 1 0 0 0 2 2
0 1 0 0 0 8 5 0 0 13
0 0 1 0 0 3 4 0 0 7
0 1 1 0 1
0 0 0 0 0 0 1 0 0 1
1 1 0 2 1 9 9 6 8 32
0 3 3 0 0 19 31 0 0 50
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 0 1 0 0 1
0 3 1 0 0 14 4 2 1 21
1 0 0 0 0 0 2 0 2 4
0 0 0 0 0 1 0 0 0 1
0 2 0 0 1 19 34 0 3 56
0 1 0 0 0 5 3 0 0 8
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 3 3 0 0 6
0 0 0 0 0 8 6 0 1 15
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 3 0 0 0 3
0 1 0 0 0 4 6 0 1 11
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 2 0 2
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 1 0 0 1
2 11 4 2 2
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 2 0 0 0 2
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0
0 0 0 0 0 1 1 0 0 2
0 3 0 0 0 6 0 0 0 6
1 0 0 0 0 0 5 1 5 11
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 1 3 0 1 5
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 1 0 1
0 0 0 0 0 1 0 0 0 1
0 1 0 0 0 2 0 0 0 2
0 0 0 0 0 0 0 2 0 2
1 1 0 0 0 4 0 0 2 6
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 1 2 0 0 3
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 1 2 0 0 3
0 0 0 0 0 2 0 0 0 2
1 0 0 0 0 0 3 0 2 5
15 6 8 5 4 27 133 20 63 243
0 0 0 0 0 3 1 0 1 5
0 1 2 0 0 14 30 0 1 45
1 4 4 0 0 34 74 0 2 110
0 0 0 0 0 2 0 0 0 2
0 0 0 0 0 3 10 3 4 20
2 0 0 0 2 0 1 1 13 15
0 0 0 0 0 0 1 0 0 1
21 16 14 5 6
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 2 0 2
0 0 0 1 0 0 0 2 0 2
1 0 0 0 0 0 2 4 3 9
1 0 0 0 0 0 0 0 2 2
0 0 0 0 0 5 2 2 0 9
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 1 0 0 1
1 0 0 0 0 0 3 0 2 5
0 0 0 0 0 0 0 0 1 1
0 1 0 0 0 2 0 0 0 2
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 0 2 0 0 2
2 1 0 0 0
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 2 4 0 0 6
0 0 0 0 0 1 2 0 0 3
0 0 0 0 0 1 3 0 0 4
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 1 0 0 1
0 0 1 0 0 0 4 0 0 4
0 0 0 0 0 0 1 0 0 1
2 0 0 0 0 5 9 0 5 19
0 0 1 0 0 3 9 0 0 12
0 0 0 0 0 6 5 1 0 12
0 2 2 0 0 18 49 0 0 67
0 2 0 0 0 14 18 0 0 32
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 2 0 0 0 2
0 1 0 0 0 5 3 0 0 8
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 2 0 0 2
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 0 3 0 3
0 1 0 0 0 2 0 0 0 2
0 0 0 0 0 8 16 0 0 24
0 0 0 0 0 1 2 0 0 3
1 0 0 0 0 5 5 2 3 15
0 2 1 0 0 8 4 0 0 12
0 0 0 0 0 2 0 0 1 3
0 0 0 0 0 7 4 0 0 11
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 1 1 0 0 2
0 0 0 0 0 2 2 0 0 4
0 0 0 0 0 9 14 0 0 23
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 66 0 0 66
0 0 0 0 0 0 8 0 0 8
1 0 0 0 3 2 4 2 8 16
0 0 0 0 0 1 0 0 0 1
452 128 134 116 156 882 ### 468 ### 4077
Kode Puskesmas : LB 1
Puskesmas : Kelurahan Bukit Duri Halaman 1
Kecamatan / Kelurahan :Tebet
Puskesmas Pembantu yang ada : Yang Lapor :
Kabupaten / Kodya Jakarta Selatan Bulan : 0 9
Provinsi DKI Jakarta Tahun : 2 0 1 9
LAPORAN BULANAN DATA KESEHATAN
JUMLAH KASUS PENDERITA JUMLAH JENIS
0-7 Hr 8-28 Hr 1 bl<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 KELAMIN
No ICD-10 JENIS PENYAKIT TOTAL
Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
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
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
01 PENYAKIT INFEKSI PADA USUS
0101 A00 Kolera - - - - -
0102 0301-A09 Diare (termasuk tersangka Kolera) - - - - - - - - 1 1 - - 3 4 - - 4 3 - - 3 2 - - 1 1 - - 4 6 - - 1 2 - - 4 7 - - 2 4 - - - 2 - - 23 32 - - 55
0103 A09 Disentri - - - - -
0104 A02 Infeksi Penyakit usus yang lain - - - - -
02 PENYAKIT TIBERKULOSA
0201 A16.2 TB PARU - 2 1 2 2 1 2 1 2 1 3 1 3 8 5 17
Suspek TB 2 1 1 1 3 2 - - 5
Kasus Baru BTA (+) 1 1 2 1 3 - - 4
Kasus TB.Paru yang Datang Berobat - - - - - - - - - - - - - - - - - - - - - - - - 1 - 2 2 3 1 1 4 - - - 3 1 2 2 6 - 1 1 1 1 - 1 - 6 4 7 16 33
0202 A18 TB Selain Paru (Extra Pulmoner) 1 1 - - - 1
03 PENYAKIT BAKTERI
0301 A30.0,A30.1 Kusta I/T (MB) - - - - -
0302 A30.2,A30.1 Kusta B/L (PL) - - - - -
0303 A36 Difteria - - - - -
0304 A37 Batuk Rejan - - - - -
0305 A34,A35 Tetanus - - - - -
0306 A20 Pes - - - - -
04 PENYAKIT VIRUS
0401 A80 Poliomvelitis akut - - - - -
0402 B05 Campak - - - - -
0403 B19 Radang hati menular - - - - -

LB 1
Halaman 2
Kode Puskesmas : Bulan : 0 9
Tahun : 2 0 1 9
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
0404 A82 Rabies / Lyssa - - - - -
0405 A91 DHF (Demam Berdarah Dengue) - - - - -
0406 B01 Cacar Air - - - - -
RIKETSIASIS DAN PENYAKIT KARENA

05 ARTHROPODA LAIN
0501 B53 Malaria dengan pemeriksaan Lab - - - - -
0502 B50 Malaria tropika (P.Falsiparum) - - - - -
Malaria tanpa pemeriksaan Lab (Malaria

0503 B54 Klinis) - - - - -
0504 A22 Anthrax - - - - -
06 PENYAKIT KELAMIN
0601 A54 Infeksi Gonokok - - - - -
0602 A56 Non Gonokok - - - - -
0603 A57,A64 Penyakit kelamin lainnya - - - - -
PENYAKIT INFEKSI KARENA PARASIT

07 DAN AKIBAT KEMUDIAN
0701 A66 Franbusia - - - - -
0702 B74 Filariasis - - - - -
0703 B76,B79 Penyakit Kecacingan - - - - -
0704 B86 Scables - - - - -
08 GANGGUAN MENTAL
0801 F20,F39 Gangguan Psikotik - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4 - 1 1 3 1 - - 2 - - - 1 - - - - - 1 1 10 1 13

LB 1
Halaman 3

Tahun : 2 0 1 9
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
0802 F40,F48 Gangguan Neurotik - - - - -
0803 F70,F79 Retardasi mental - - - - -
0804 F80,F89 Gangguan kesehatan jiwa bermula pada

F90,F98 bayi, anak dan remaja - - - - -
F00,F19
0805 F50,F69 Penyakit Jiwa Lainnya - - - - -
09 PENYAKIT SUSUNAN SYARAF
0901 G40 Epilepsi - - - - - - - - - - - - - - - - - - - - - - - 1 1 - - - - - - - - - - 3 - - - - - - - - - - - - 1 - - 4 5
G00,G37 Penyakit dan kelainan susunan syaraf

0902 G43,G99 lainnya - - - - - - - - - - - - 1 - - - - - - - - - - - - 1 - - 2 11 - - 2 8 - - 6 14 2 1 1 9 2 1 2 2 - - 14 45 4 2 65
10 PENYAKIT MATA DAN ADNEKSA
1001 H40 Glaukoma - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - 1 - - 1
1002 H25, H26 Katarak - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6 9 - 1 4 5 - 1 1 2 - - 11 16 - 2 29
1003 H52 Kelainan reflaksi - - - - - - - - - - - - - - - - - 1 - - 1 - - - - - - - - 1 - - 1 - - - 2 - - 1 1 - - 1 - - - - 5 2 - 2 9
H00 Hordeolum - - - - - - - - - - - - - 1 - - - - - - 1 1 - - - - - - - 2 - - - - - - - - - - - - - - - - - - 1 4 - - 5
H11 Pterygium - - - - -
H10, H13 Konjunctivitis - - - - - - - - 1 - - - 2 - - - 2 1 - - - 1 - - 1 - - - 3 2 - - 1 2 - - 2 2 - - - 2 - - 2 - - - 14 10 - - 24
1004 H16 Kelainan Kornea - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - - 1 - - 1
1005 H00,H49 Penyakit mata lain-lain - - - - - - - - - - - - 2 1 - - - - - - - - - - - - - - 3 2 - 1 - - 1 - 1 1 1 - - - - - - 1 - - 6 5 2 1 14
PENYAKIT PADA TELINGGA DAN

11 MASTOID
1101 H65,H66
H72 Infeksi telinga - - - - - - - - - - - - 1 2 - - 2 2 - - 1 3 - - - - - - 1 1 1 - 1 2 - - 1 6 - - - 3 - - - 1 - - 7 20 1 - 28
1102 H70 Infeksi mastoid (Mastoiditis) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - - 1 - 1
1200 I10 PENYAKIT TEKANAN DARAH TINGGI - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13 7 33 6 20 29 95 12 25 127 254 6 8 59 124 2 7 41 47 26 73 263 553 915
13 PENYAKIT SALURAN PERNAFASAN

BGIAN ATAS
1301 J03 Tonsilitis - - - - - - - - - - - - - - - - - - - - - 1 - - - 1 - - 2 1 - - - - - - 1 1 - - - - - - 1 1 - - 4 5 - - 9

LB 1
Halaman 4
Tahun : 2 0 1 9
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Infeksi akut lain pada saluran pernafasan

1302 J00,J01 bag. Atas - - - - - - - - 15 10 - - 32 29 - - 33 25 - - 11 18 - - 8 13 - - 19 65 - - 23 39 - 1 47 104 2 1 23 48 - 1 13 19 - - 224 370 2 3 599
Penyakit lain pada saluran pernapasan

1303 J10,J11 bag. Atas - - - - - - - - - - - - 1 2 - - 1 - - - 3 3 - - 1 1 1 - 6 12 1 3 5 11 1 2 8 13 8 5 6 9 4 4 1 1 3 1 32 52 18 15 117
14 PENYAKIT LAIN PADA SALURAN

PERNAFASAN BAWAH
1401 J18 Pneumonia - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - - - - - - - 2 - - - - - - - - - - 1 2 - 3
1402 J21 Bronkhitis - - - - - - - - 1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - 1
1403 J45 Asma - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 1 2 1 1 - 2 1 1 - - - - - 4 2 3 1 10
Penyakit lain dari saluran pernafasan

1404 J60,J65 bawah - - - - - - - - - - - - - - - - - - - - - - 1 - - 1 - - 1 5 - - - - - - - - - - - - - - - - - - 1 6 1 - 8
15 PENYAKIT RONGGA MULUT
1501 K02 Karies gigi - - - - - - - - - - - - 1 - - - - 2 - 1 - - - - - 2 - - 1 8 - - 2 - - - - 1 - - - - - - - 1 - - 4 14 - 1 19
1502 K04 Penyakit Pulpa dan jaringan parapikal - - - - - - - - - - - - 1 - 1 - 3 4 1 - 3 4 1 5 2 1 1 - 1 5 - 8 - 9 - 3 1 3 1 - 1 2 - - - 1 1 - 12 29 6 16 63
1503 K05,K06 Ginggivitis dan penyakit periodontal - - - - - - - - - - - - - - - - - 2 - - 2 1 - - 1 - - - 4 7 - - 4 7 - - 3 1 - - 1 1 - - 2 - - - 17 19 - - 36
Ganggun gigi dan jaringan penyangga

1504 K00 lainnya - - - - - - - - - - - - - - - - 1 4 - - 1 1 - - - - - - - 2 - - - - - - - - - - - - - - - - - - 2 7 - - 9
1505 K09,K13 Penyakit rongga mulut, kelenjar ludah,

rahang dan lainnya - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - 1 - - - 1 - - - - - - - 3 - - 3
16 N20,N23 PENYAKIT PADA SALURAN KENCING - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - 5 - 1 1 3 - - 4 1 1 2 2 1 1 2 1 - - - 9 10 2 5 26

N30
17 SEBAB KELAINAN KEBIDANAN LANGSUN
1701 O03 Keguguran - - - - -
Pendarahan pd. Kehamilan, persalinan

1702 O46 dan masa nifas - - - - -
1703 O14,O15 Keracunan kehamilan (Eklamsia) - - - - -
1704 O63 Partus Lama - - - - -

LB 1
Halaman 5

Tahun : 2 0 1 9
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1705 O86 Infeksi pd. Masa kehamilan, persalinan - - - - -

dan nifas
1706 O21 Hyperemesis - - - - -
18 KEADAAN TERTENTU PADA MASA

PERINATAL
1801 P10,P15 Trauma lahir - - - - -
1802 P21 Asfiksia - - - - -
1803 A33 Tetanus Neonatum - - - - -
19 KECELAKAAN DAN KERACUNAN
1901 S02,T02 Kecelakaan dan rudapaksa - - - - -
1902 T51,T50 Keracunan bahan kimia - - - - -
1903 T61,T62 Keracunan makanan - - - - -
PENYAKIT KULIT DAN JARINGAN SUB

20 KUTAN
2001 L00,L08 Penyakit kulit infeksi - - - - - - - - 2 - - - - - - - 4 - - - 3 1 - - - - - - - 4 - - - - - - 3 3 - 1 2 2 - - 1 1 - 1 15 11 - 2 28
2002 L20,L30 Penyakit kulit alergi - - - - - - - - 5 2 - - 2 8 - 1 13 4 - - 3 6 - - 6 3 - - 9 17 - 2 10 19 2 1 22 28 4 9 8 16 2 2 11 4 2 2 89 107 10 17 223
PENYAKIT PD. SISTIM OTOT &

21 M13 JARINGAN PENGIKAT (Penyakit Tulang - - - - - - - - - - - - - - - - 1 - - - - 3 - - - 3 - - 13 31 1 1 13 57 2 13 47 113 14 54 15 55 6 21 16 14 5 6 105 276 28 95 504
belulang)
22 PENYAKIT LAINNYA - - - - -
DATA YANG DIBUTUHKAN OLEH DARAH
23 A01 Tifoid - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - - 1 - - 1
24 A16 TB Paru Klinis - - - - -
25 A54 a. Duh Tubuh Uretra (GO+Chlamydia) - - - - -

LB 1
Halaman 6

Tahun : 2 0 1 9
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
b. Duh Tubuh Vagina - - - - -
26 - Vaginitis (trichomoniasis,candidiasis - - - - -
27 Vaginosis Bakterial - - - - -
28 - Vaginitis+GO dan Chlamydia - - - - -
29 c. Ulcus genital : - Herpes - - - - -
30 A57 - Chancroid - - - - -
31 A51 - Sifilis - - - - -
32 d. Budo Ingoninal : - Chanroid - - - - -
33 - L.G.V - - - - -
34 e. Pembekakan Scrotum (GO & Chlamdia) - - - - -
35 f. Penyakit radang panggul - - - - -
(GO Chlamdia + Bakteri Anerob) - - - - -
36 g. Kandiloma akuminata - - - - -
37 h. Konjungtivitis Nonatorum (GO/Chlamyd - - - - -
38 Infeksi Meninggokok - - - - -
39 A17 TBC Meningitis dan SSP - - - - -
40 H10 Radang Selaput lendir mata - - - - -
41 B51 Malaria Vivax - - - - -
42 B53 Malaria Mix - - - - -

LB 1
Halaman 7

Tahun : 2 0 1 9
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
43 K04 Iritasi Pulpa, Pulpitis - - - - - - - - - - - - 1 - 1 - 3 4 1 - 3 4 1 5 2 1 1 - 1 5 - 8 - 9 - 3 1 3 1 - 1 2 - - - 1 1 - 12 29 6 16 63
44 K04.1 Gangren Pulpa / radix - - - - - - - - - - - - - - - - 1 - - - - 3 1 5 1 - 1 - - 1 - 8 - 8 - 3 - 1 1 - - - - - - 1 1 - 2 14 4 16 36
45 Persistensi - - - - -
46 K04.7 Abses Gigi - - - - - - - - - - - - 1 - 1 - 1 3 - - 1 1 - - - - - - 1 1 - - - 1 - - 1 2 - - 1 2 - - - - - - 6 10 1 - 17
47 C11 Neoplasma Ganas Nasoparing - - - - -
48 C22 Neoplasma Ganas Hati & Saluran - - - - -

empedu intra hepatik
49 C34 Neoplasma Ganas Bronkus dan Paru - - - - -
50 C50 Neoplasma Ganas Payudara - - - - -
51 D24 Neoplasma Jinak Payudara Retino Blasto - - - - -
52 C53 Neoplasma Ganas Serviks Uteri - - - - -
53 C94 Leukimia - - - - -
54 D50 Anemia difisiensi besi - - - - - - - - - - - - - 1 - - - - - - - - - - - - - 1 - 2 - - - 1 - - 1 1 - - - - - - 1 1 - - 2 6 - 1 9
55 E10 Diabetes Melitus Bergantung Insulin - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2 2 - - - - - - - - - - 2 2 - 4
56 E11 Diabetes Melitus tidak Bergantung Insulin - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - 1 3 2 5 6 27 8 8 34 91 3 3 20 54 1 3 3 13 15 19 64 188 286
57 E12 Diabetes Melitus Berhubungan Malnutrisi - - - - -
58 E13 Diabetes Melitus YDT Lainnya - - - - -
59 E14 Diabetes Melitus YDT - - - - -
60 E40 Malnutrisi - - - - -
61 E66 Obesitas - - - - -
LB 1
Halaman 8

Tahun : 2 0 1 9
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
62 F00 Gangguan Mental Organik (Demensia) - - - - -
63 F02 Demensia - - - - -
64 F10 Gangguan Mental dan Prilaku akibat - - - - -

penggunaan alkohol
Gangguan Mental dan Prilaku akibat

65 F11 penggunaan opium atau kokain - - - - -
66 F13 Gangguan Mental dan Prilaku akibat - - - - -

penggunaan hipnotika atau stimulasi
Gangguan Mental dan prilaku akibat

67 F17 pengguna tembakau atau pelarut yang - - - - -
mudah menguap atau zat multipol dan
zat psikoaktif
Skizofrenia, gangguan akizotipal, psikotik

68 F20 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4 - 1 1 3 1 - - 2 - - - 1 - - - - - 1 1 10 1 13
akut dan sementara
69 F24 Gangguan Waham menetap dan induksi - - - - -
70 F34 Gangguan Skizoafektif - - - - -
71 F48 Gangguan Psikotik non Organik lainnya - - - - -

atau YTT
72 F30 Episode manik dan Gangguan Bipolar - - - - -
Episode depresif, gangguan depresif

73 F32 berulang, gangguan suasan (Mood - - - - -
efektif menetap atau YTT)
74 F40 Gangguan anxietas fobik, dan lainnya - - - - -

LB 1
Halaman 9

Tahun : 2 0 1 9
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
75 F42 Gangguan obsesif-komplusif - - - - -
76 F44 Gangguan disosiatif (konversi) - - - - -
77 F70 Reterdasi Mental - - - - -
Sindrom amnesti dan Gangguan Mental

78 F51 organik - - - - -
sindrom makan, gangguan tidur,

79 F50 disfungsi seksual, gangguan prilaku - - - - -
lainnya
Gangguan kepribadian, gangguan

80 F52 kesbiasaan dan impulsif, gangguan - - - - -
identitas, gangguan perfensi seksual
81 F66 Gangguan perkembangan psikologis - - - - -
Gangguan hiperkinetik, gangguan

82 F90 tingkah laku, emosional atau fungsi khas - - - - -
83 F99 Gangguan Jiwa YTT - - - - -
84 I21 Infark Miokard Akut - - - - -
85 I20 Angina pektoris - - - - -
86 I24 Penyakit Jantung Iskemik lainnya - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 1 1 1 1 3 - 3 5 1 - 3 3 - - - 2 5 1 7 12 25
87 I64 Stroke - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - 1 1 5 - - 1 1 - - - 1 - 2 2 7 - 11
88 K29 Gastritis dan Duodenitis - - - - - - - - - 1 - - 4 2 - - 2 3 - - 4 3 - - 2 8 - - 6 46 - 2 10 24 1 2 15 52 - 5 3 27 - 2 5 8 - 1 51 174 1 12 238
89 K74 Sirosis Hepatis - - - - -
90 M05 Atritis reumatoid - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 2 - 1 1 2 - - - - - - 2 4 - 1 7

LB 1
Halaman 10

Tahun : 2 0 1 9
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Hipertensi gestational (akibat

91 O14 kehamilan) dengan proteinuria - - - - -
nyata/preeklamsi
92 O15 Eklamsi - - - - -
93 Lahir Mati - - - - -
94 Q36 Bibir celah dan langit-langit celah - - - - -
95 Kecelakaan angkutan darat - - - - -
96 N40 Hipertropi Prostat - - - - -
97 Flu Burung - - - - -
98 Sars - - - - -
99 Cikungunyah - - - - -
100 Leptopirosis - - - - -
- - - - -
Mengetahui Jakarta, 30 September 2019

Ka.PuskesmasKel. Bukit Duri Pelapor LB 1 Penyakit
drg. Sondang Marlina L. Gaol Putra Muhammad Hardian

NIP : 19620410199102001
Kode Puskesmas :
Puskesmas : Kelurahan Bukit Duri
Kecamatan / Kelurahan : Tebet
Puskesmas Pembantu yang ada : Yang Lapor :
Kabupaten / Kodya : Jakarta Selatan
Provinsi : DKI Jakarta
LAPORAN BULANAN DATA KE

JU
0-7 Hr 8-28 Hr 1 bl<th 1-4 Th 5-9 Th 10-14
No ICD-10 JENIS PENYAKIT Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru
∑ ∑ ∑ ∑ ∑
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
1 2 3 4 5 6 7 8 9
01 PENYAKIT INFEKSI PADA USUS - - - -
0101 A00 Kolera - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0102 0301-A09 Diare (termasuk tersangka Kolera) - - - - - - - - - - - - 1 1 - - 1 1 3 4 - - 3 4 4 3 - - 4 3 3 2
0103 A09 Disentri - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0104 A02 Infeksi Penyakit usus yang lain - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
02 PENYAKIT TIBERKULOSA - - - - - - - - - - - - - - - - - - - - - -
0201 A16.2 TB PARU - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Suspek TB - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Kasus Baru BTA (+) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Kasus TB.Paru yang Datang Berobat - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0202 A18 TB Selain Paru (Extra Pulmoner) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
03 PENYAKIT BAKTERI - - - - - - - - - - - - - - - - - - - - - -
0301 A30.0,A30.1 Kusta I/T (MB) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0302 A30.2,A30.1 Kusta B/L (PL) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0303 A36 Difteria - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0304 A37 Batuk Rejan - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0305 A34,A35 Tetanus - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0306 A20 Pes - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
04 PENYAKIT VIRUS - - - - - - - - - - - - - - - - - - - - - -
0401 A80 Poliomvelitis akut - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0402 B05 Campak - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0403 B19 Radang hati menular - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - 2 1 1 7 3 4 7 4 3 5
Kode Puskesmas :
JU
0-7 Hr 8-28 Hr 1 bl<th 1-4 Th 5-9 Th 10-14
∑ ∑ ∑ ∑ ∑
1 2 3 4 5 6 7 8 9
0404 A82 Rabies / Lyssa - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0405 A91 DHF (Demam Berdarah Dengue) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0406 B01 Cacar Air - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
RIKETSIASIS DAN PENYAKIT KARENA
05
ARTHROPODA LAIN - - - - - - - - - - - - - - - - - - - - - -
0501 B53 Malaria dengan pemeriksaan Lab - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0502 B50 Malaria tropika (P.Falsiparum) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0503 B54 Malaria tanpa pemeriksaan Lab (Malaria Klinis) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0504 A22 Anthrax - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
06 PENYAKIT KELAMIN - - - - - - - - - - - - - - - - - - - - - -
0601 A54 Infeksi Gonokok - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0602 A56 Non Gonokok - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0603 A57,A64 Penyakit kelamin lainnya - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PENYAKIT INFEKSI KARENA PARASIT DAN
07
AKIBAT KEMUDIAN - - - - - - - - - - - - - - - - - - - - - -
0701 A66 Franbusia - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0702 B74 Filariasis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0703 B76,B79 Penyakit Kecacingan - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0704 B86 Scables - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
08 GANGGUAN MENTAL - - - - - - - - - - - - - - - - - - - - - -
0801 F20,F39 Gangguan Psikotik - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - -
Kode Puskesmas :
JU
0-7 Hr 8-28 Hr 1 bl<th 1-4 Th 5-9 Th 10-14
No ICD-10 JENIS PENYAKIT
Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru
1 2 3 4 5 6 7 8 9
0802 F40,F48 Gangguan Neurotik - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0803 F70,F79 Retardasi mental - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
F80,F89 Gangguan kesehatan jiwa bermula pada bayi,
0804 F90,F98 anak dan remaja - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
F00,F19
0805 F50,F69 Penyakit Jiwa Lainnya - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
09 PENYAKIT SUSUNAN SYARAF - - - - - - - - - - - - - - - - - - - - - -
0901 G40 Epilepsi - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
G00,G37
0902 G43,G99 Penyakit dan kelainan susunan syaraf lainnya - - - - - - - - - - - - - - - - - - 1 - - - 1 - - - - - - - - -
10 PENYAKIT MATA DAN ADNEKSA - - - - - - - - - - - - - - - - - - - - - -
1001 H40 Glaukoma - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1002 H25, H26 Katarak - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1003 H52 Kelainan reflaksi - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - 1 1 -
H00 Hordeolum - - - - - - - - - - - - - - - - - - - 1 - - - 1 - - - - - - 1 1
H11 Pterygium - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
H10, H13 Konjunctivitis - - - - - - - - - - - - 1 - - - 1 - 2 - - - 2 - 2 1 - - 2 1 - 1
1004 H16 Kelainan Kornea - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1005 H00,H49 Penyakit mata lain-lain - - - - - - - - - - - - - - - - - - 2 1 - - 2 1 - - - - - - - -
11 PENYAKIT PADA TELINGGA DAN MASTOID - - - - - - - - - - - - - - - - - - - - - -
1101 H65,H66 H72 Infeksi telinga - - - - - - - - - - - - - - - - - - 1 2 - - 1 2 2 2 - - 2 2 1 3

1102 H70 Infeksi mastoid (Mastoiditis) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1200 I10 PENYAKIT TEKANAN DARAH TINGGI - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
13 PENYAKIT SALURAN PERNAFASAN BGIAN ATAS - - - - - - - - - - - - - - - - - - - - - -
1301 J03 Tonsilitis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1
- - - - - - 1 1 - 10 6 4 7 4 3 10
Kode Puskesmas :
JU
0-7 Hr 8-28 Hr 1 bl<th 1-4 Th 5-9 Th 10-14
∑ ∑ ∑ ∑ ∑
1 2 3 4 5 6 7 8 9
Infeksi akut lain pada saluran pernafasan bag.
1302 J00,J01
Atas - - - - - - - - - - - - 15 10 - - 15 10 32 29 - - 32 29 33 25 - - 33 25 11 18
1303 J10,J11 Penyakit lain pada saluran pernapasan bag. Atas - - - - - - - - - - - - - - - - - - 1 2 - - 1 2 1 - - - 1 - 3 3
PENYAKIT LAIN PADA SALURAN PERNAFASAN

14
BAWAH - - - - - - - - - - - - - - - - - - - - - -
1401 J18 Pneumonia - - - - - - - - - - - - - - - - - - - 1 - - - 1 - - - - - - - -
1402 J21 Bronkhitis - - - - - - - - - - - - 1 - - - 1 - - - - - - - - - - - - - - -
1403 J45 Asma - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1404 J60,J65 Penyakit lain dari saluran pernafasan bawah - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
15 PENYAKIT RONGGA MULUT - - - - - - - - - - - - - - - - - - - - - -
1501 K02 Karies gigi - - - - - - - - - - - - - - - - - - 1 - - - 1 - - 2 - 1 - 3 - -
1502 K04 Penyakit Pulpa dan jaringan parapikal - - - - - - - - - - - - - - - - - - 1 - 1 - 2 - 3 4 1 - 4 4 3 4
1503 K05,K06 Ginggivitis dan penyakit periodontal - - - - - - - - - - - - - - - - - - - - - - - - - 2 - - - 2 2 1
1504 K00 Ganggun gigi dan jaringan penyangga lainnya - - - - - - - - - - - - - - - - - - - - - - - - 1 4 - - 1 4 1 1
Penyakit rongga mulut, kelenjar ludah, rahang
1505 K09,K13
dan lainnya - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
16 N20,N23 N30 PENYAKIT PADA SALURAN KENCING - - - - - - - - - - - - - - - - - - 1 - - - 1 - - - - - - - - -
17 SEBAB KELAINAN KEBIDANAN LANGSUNG - - - - - - - - - - - - - - - - - - - - - -
1701 O03 Keguguran - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Pendarahan pd. Kehamilan, persalinan dan
1702 O46
masa nifas - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1703 O14,O15 Keracunan kehamilan (Eklamsia) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1704 O63 Partus Lama - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - 26 16 10 69 37 32 77 39 38 54
Kode Puskesmas :
JU
0-7 Hr 8-28 Hr 1 bl<th 1-4 Th 5-9 Th 10-14
∑ ∑ ∑ ∑ ∑
1 2 3 4 5 6 7 8 9
1705 O86 Infeksi pd. Masa kehamilan, persalinan dan nifas - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1706 O21 Hyperemesis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
18 KEADAAN TERTENTU PADA MASA PERINATAL - - - - - - - - - - - - - - - - - - - - - -
1801 P10,P15 Trauma lahir - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1802 P21 Asfiksia - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1803 A33 Tetanus Neonatum - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
19 KECELAKAAN DAN KERACUNAN - - - - - - - - - - - - - - - - - - - - - -
1901 S02,T02 Kecelakaan dan rudapaksa - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1902 T51,T50 Keracunan bahan kimia - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1903 T61,T62 Keracunan makanan - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
20 PENYAKIT KULIT DAN JARINGAN SUB KUTAN - - - - - - - - - - - - - - - - - - - - - -
2001 L00,L08 Penyakit kulit infeksi - - - - - - - - - - - - 2 - - - 2 - - - - - - - 4 - - - 4 - 3 1
2002 L20,L30 Penyakit kulit alergi - - - - - - - - - - - - 5 2 - - 5 2 2 8 - 1 2 9 13 4 - - 13 4 3 6
PENYAKIT PD. SISTIM OTOT & JARINGAN

21 M13
PENGIKAT (Penyakit Tulang belulang) - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - 1 - - 3
22 PENYAKIT LAINNYA - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
DATA YANG DIBUTUHKAN OLEH DARAH - - - - - - - - - - - - - - - - - - - - - -
23 A01 Tifoid - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
24 A16 TB Paru Klinis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
25 A54 a. Duh Tubuh Uretra (GO+Chlamydia) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - 9 7 2 11 2 9 22 18 4 16
Kode Puskesmas :
JU
0-7 Hr 8-28 Hr 1 bl<th 1-4 Th 5-9 Th 10-14
∑ ∑ ∑ ∑ ∑
1 2 3 4 5 6 7 8 9
b. Duh Tubuh Vagina - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
26 - Vaginitis (trichomoniasis,candidiasis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
27 Vaginosis Bakterial - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
28 - Vaginitis+GO dan Chlamydia - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
29 c. Ulcus genital : - Herpes - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
30 A57 - Chancroid - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
31 A51 - Sifilis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
32 d. Budo Ingoninal : - Chanroid - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
33 - L.G.V - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
34 e. Pembekakan Scrotum (GO & Chlamdia) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
35 f. Penyakit radang panggul - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
(GO Chlamdia + Bakteri Anerob) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
36 g. Kandiloma akuminata - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
37 h. Konjungtivitis Nonatorum (GO/Chlamydia) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
38 Infeksi Meninggokok - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
39 A17 TBC Meningitis dan SSP - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
40 H10 Radang Selaput lendir mata - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
41 B51 Malaria Vivax - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
42 B53 Malaria Mix - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - -
Kode Puskesmas :
JU
0-7 Hr 8-28 Hr 1 bl<th 1-4 Th 5-9 Th 10-14
∑ ∑ ∑ ∑ ∑
1 2 3 4 5 6 7 8 9
43 K04 Iritasi Pulpa, Pulpitis - - - - - - - - - - - - - - - - - - 1 - 1 - 2 - 3 4 1 - 4 4 3 4
44 K04.1 Gangren Pulpa / radix - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - 1 - - 3
45 Persistensi - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
46 K04.7 Abses Gigi - - - - - - - - - - - - - - - - - - 1 - 1 - 2 - 1 3 - - 1 3 1 1
47 C11 Neoplasma Ganas Nasoparing - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Neoplasma Ganas Hati & Saluran empedu intra
48 C22
hepatik - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
49 C34 Neoplasma Ganas Bronkus dan Paru - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
50 C50 Neoplasma Ganas Payudara - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
51 D24 Neoplasma Jinak Payudara Retino Blastoma - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
52 C53 Neoplasma Ganas Serviks Uteri - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
53 C94 Leukimia - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
54 D50 Anemia difisiensi besi - - - - - - - - - - - - - - - - - - - 1 - - - 1 - - - - - - - -
55 E10 Diabetes Melitus Bergantung Insulin - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
56 E11 Diabetes Melitus tidak Bergantung Insulin - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
57 E12 Diabetes Melitus Berhubungan Malnutrisi - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
58 E13 Diabetes Melitus YDT Lainnya - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
59 E14 Diabetes Melitus YDT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
60 E40 Malnutrisi - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
61 E66 Obesitas - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - 5 4 1 13 6 7 24
Kode Puskesmas :
JU
0-7 Hr 8-28 Hr 1 bl<th 1-4 Th 5-9 Th 10-14
∑ ∑ ∑ ∑ ∑
1 2 3 4 5 6 7 8 9
62 F00 Gangguan Mental Organik (Demensia) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
63 F02 Demensia - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
64 F10
penggunaan alkohol - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

65 F11
penggunaan opium atau kokain - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

66 F13
penggunaan hipnotika atau stimulasi - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Gangguan Mental dan prilaku akibat pengguna

67 F17 tembakau atau pelarut yang mudah menguap - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
atau zat multipol dan zat psikoaktif
Skizofrenia, gangguan akizotipal, psikotik akut

68 F20
dan sementara - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
69 F24 Gangguan Waham menetap dan induksi - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
70 F34 Gangguan Skizoafektif - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
71 F48 Gangguan Psikotik non Organik lainnya atau YTT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
72 F30 Episode manik dan Gangguan Bipolar - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Episode depresif, gangguan depresif berulang,
73 F32 gangguan suasan (Mood efektif menetap atau - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
YTT)
74 F40 Gangguan anxietas fobik, dan lainnya - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - -
Kode Puskesmas :
JU
0-7 Hr 8-28 Hr 1 bl<th 1-4 Th 5-9 Th 10-14
∑ ∑ ∑ ∑ ∑
1 2 3 4 5 6 7 8 9
75 F42 Gangguan obsesif-komplusif - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
76 F44 Gangguan disosiatif (konversi) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
77 F70 Reterdasi Mental - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
78 F51 Sindrom amnesti dan Gangguan Mental organik - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
sindrom makan, gangguan tidur, disfungsi
79 F50
seksual, gangguan prilaku lainnya - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Gangguan kepribadian, gangguan kesbiasaan

80 F52 dan impulsif, gangguan identitas, gangguan - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
perfensi seksual
81 F66 Gangguan perkembangan psikologis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Gangguan hiperkinetik, gangguan tingkah laku,
82 F90
emosional atau fungsi khas - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
83 F99 Gangguan Jiwa YTT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
84 I21 Infark Miokard Akut - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
85 I20 Angina pektoris - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
86 I24 Penyakit Jantung Iskemik lainnya - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
87 I64 Stroke - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
88 K29 Gastritis dan Duodenitis - - - - - - - - - - - - - 1 - - - 1 4 2 - - 4 2 2 3 - - 2 3 4 3
89 K74 Sirosis Hepatis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
90 M05 Atritis reumatoid - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - 1 - 1 6 4 2 5 2 3 7
Kode Puskesmas :
JU
0-7 Hr 8-28 Hr 1 bl<th 1-4 Th 5-9 Th 10-14
∑ ∑ ∑ ∑ ∑
1 2 3 4 5 6 7 8 9
Hipertensi gestational (akibat kehamilan)
91 O14
dengan proteinuria nyata/preeklamsi - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
92 O15 Eklamsi - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
93 Lahir Mati - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
94 Q36 Bibir celah dan langit-langit celah - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
95 Kecelakaan angkutan darat - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
96 N40 Hipertropi Prostat - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
97 Flu Burung - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
98 Sars - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
99 Cikungunyah - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
100 Leptopirosis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - -
Mengetahui
Ka.PuskesmasKel. Bukit Duri
drg. Sondang Marlina L. Gaol
NIP : 19620410199102001
LB 1
Halaman
Bulan : 1
Tahun : 0
DATA KESEHATAN
JUMLAH KASUS PENDERITA JUMLAH JENIS KELAMIN
10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >70 Th
Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama ∑ Baru Lama
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
9 10 11 12 13 14 15 16
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - 3 2 1 1 - - 1 1 4 6 - - 4 6 1 2 - - 1 2 4 7 - - 4 7 2 4 - - 2 4 - 2 - - - 2 23 32 -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - 2 - 2 - 1 2 2 2 3 1 2 1 - 2 2 - - 2 1 2 1 - - 3 - 3 - - - - - - - 1 3 8
- - - - - - - - - - 2 1 - - 2 1 - - - - - - 1 - - - 1 - - 1 - - - 1 - - - - - - 3 2 -
- - - - - - - - - - - 1 - - - 1 1 2 - - 1 2 - - - - - - - - - - - - - - - - - - 1 3 -
- - - - 1 - 2 2 3 2 3 1 1 4 4 5 - - - 3 - 3 1 2 2 6 3 8 - 1 1 1 1 2 1 - 1 - 2 - 6
- - - - - - - - - - 1 - - - 1 - - - - - - - - - - - - - - - - - - - - - - - - - 1 - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
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- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
3 2 9 4 5 29 13 16 13 4 9 26 10 16 13 6 7 4 2 2
LB 1
Halaman
Bulan : 1
Tahun : 0
10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >70 Th
9 10 11 12 13 14 15 16
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - 4 - 4 - 1 1 3 1 4 2 - - 2 - 2 - - - 1 - 1 - - - - - - - 1 1 10
- - - - - 4 4 - 6 4 2 2 2 - 1 1 - - - -
LB 1
Halaman
Bulan : 1
Tahun : 0
10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >70 Th
9 10 11 12 13 14 15 16
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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- - - - - - - - - - - - - - - - - - - - - - - - - -
- 1 - 1 1 - - - 1 - - - - - - - - - - 3 - 3 - - - - - - - - - - - - - - - - - - 1 - -
- - - - - 1 - - - 1 2 11 - - 2 11 2 8 - - 2 8 6 14 2 1 8 15 1 9 2 1 3 10 2 2 - - 2 2 14 45 4
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - 1 - - - 1 - - - - - - - - - - - - - 1 -
- - - - - - - - - - - - - - - - - - - - - - 6 9 - 1 6 10 4 5 - 1 4 6 1 2 - - 1 2 11 16 -
- - 1 - - - - - - - - 1 - - - 1 1 - - - 1 - 2 - - 1 2 1 1 - - 1 1 1 - - - - - - 5 2 -
- - 1 1 - - - - - - - 2 - - - 2 - - - - - - - - - - - - - - - - - - - - - - - - 1 4 -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - 1 1 - - - 1 - 3 2 - - 3 2 1 2 - - 1 2 2 2 - - 2 2 - 2 - - - 2 2 - - - 2 - 14 10 -
- - - - - - - - - - - 1 - - - 1 - - - - - - - - - - - - - - - - - - - - - - - - - 1 -
- - - - - - - - - - 3 2 - 1 3 3 - - 1 - 1 - 1 1 1 - 2 1 - - - - - - - 1 - - - 1 6 5 2
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - 1 3 - - - - - - 1 1 1 - 2 1 1 2 - - 1 2 1 6 - - 1 6 - 3 - - - 3 - 1 - - - 1 7 20 1
- - - - - - - - - - - - 1 - 1 - - - - - - - - - - - - - - - - - - - - - - - - - - - 1
- - - - - - - - - - - 13 7 33 7 46 6 20 29 95 35 115 12 25 127 254 139 279 6 8 59 124 65 132 2 7 41 47 43 54 26 73 263
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - 1 - 1 - - - 1 2 1 - - 2 1 - - - - - - 1 1 - - 1 1 - - - - - - 1 1 - - 1 1 4 5 -
3 7 4 2 2 88 20 68 171 41 130 477 161 316 227 73 154 110 49 61
LB 1
Halaman
Bulan : 1
Tahun : 0
10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >70 Th
9 10 11 12 13 14 15 16
- - 11 18 8 13 - - 8 13 19 65 - - 19 65 23 39 - 1 23 40 47 104 2 1 49 105 23 48 - 1 23 49 13 19 - - 13 19 224 370 2
- - 3 3 1 1 1 - 2 1 6 12 1 3 7 15 5 11 1 2 6 13 8 13 8 5 16 18 6 9 4 4 10 13 1 1 3 1 4 2 32 52 18
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - 2 - 2 - - - - - - - - - - - - - - 1 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - -
- - - - - - - - - - - - - - - - - - 1 1 1 1 2 1 1 - 3 1 2 1 1 - 3 1 - - - - - - 4 2 3
1 - 1 - - 1 - - - 1 1 5 - - 1 5 - - - - - - - - - - - - - - - - - - - - - - - - 1 6 1
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - 2 - - - 2 1 8 - - 1 8 2 - - - 2 - - 1 - - - 1 - - - - - - - 1 - - - 1 4 14 -
1 5 4 9 2 1 1 - 3 1 1 5 - 8 1 13 - 9 - 3 - 12 1 3 1 - 2 3 1 2 - - 1 2 - 1 1 - 1 1 12 29 6
- - 2 1 1 - - - 1 - 4 7 - - 4 7 4 7 - - 4 7 3 1 - - 3 1 1 1 - - 1 1 2 - - - 2 - 17 19 -
- - 1 1 - - - - - - - 2 - - - 2 - - - - - - - - - - - - - - - - - - - - - - - - 2 7 -
- - - - - - - - - - - - - - - - - 1 - - - 1 - 1 - - - 1 - 1 - - - 1 - - - - - - - 3 -
- - - - - - - - - - - 5 - 1 - 6 1 3 - - 1 3 4 1 1 2 5 3 2 1 1 2 3 3 1 - - - 1 - 9 10 2
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
22 32 32 14 18 154 33 121 114 37 77 213 80 133 111 41 70 44 21 23
LB 1
Halaman
Bulan : 1
Tahun : 0
JUMLAH KASUS PENDERITA
JUMLAH JENIS KELAMIN
10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >70 Th
9 10 11 12 13 14 15 16
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - 3 1 - - - - - - - 4 - - - 4 - - - - - - 3 3 - 1 3 4 2 2 - - 2 2 1 1 - 1 1 2 15 11 -
- - 3 6 6 3 - - 6 3 9 17 - 2 9 19 10 19 2 1 12 20 22 28 4 9 26 37 8 16 2 2 10 18 11 4 2 2 13 6 89 107 10
- - - 3 - 3 - - - 3 13 31 1 1 14 32 13 57 2 13 15 70 47 113 14 54 61 167 15 55 6 21 21 76 16 14 5 6 21 20 105 276 28
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - 1 - - - 1 - - - - - - - - - - - - - - - - - - - - - - - - - 1 -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
6 10 12 6 6 79 23 56 117 27 90 298 90 208 129 33 96 63 35 28
LB 1
Halaman
Bulan : 1
Tahun : 0
10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >70 Th
9 10 11 12 13 14 15 16
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
LB 1
Halaman
Bulan : 1
Tahun : 0
10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >70 Th
9 10 11 12 13 14 15 16
1 5 4 9 2 1 1 - 3 1 1 5 - 8 1 13 - 9 - 3 - 12 1 3 1 - 2 3 1 2 - - 1 2 - 1 1 - 1 1 12 29 6
1 5 1 8 1 - 1 - 2 - - 1 - 8 - 9 - 8 - 3 - 11 - 1 1 - 1 1 - - - - - - - 1 1 - 1 1 2 14 4
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - 1 1 - - - - - - 1 1 - - 1 1 - 1 - - - 1 1 2 - - 1 2 1 2 - - 1 2 - - - - - - 6 10 1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - 1 - 1 - 2 - - - 2 - 1 - - - 1 1 1 - - 1 1 - - - - - - 1 1 - - 1 1 2 6 -
- - - - - - - - - - - - - - - - - - - - - - - 2 2 - 2 2 - - - - - - - - - - - - - 2 2
- - - - - - - - - - 1 - 1 3 2 3 2 5 6 27 8 32 8 8 34 91 42 99 3 3 20 54 23 57 1 3 3 13 4 16 15 19 64
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
6 18 7 5 2 32 4 28 65 8 57 157 49 108 86 25 61 26 7 19
LB 1
Halaman
Bulan : 1
Tahun : 0
10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >70 Th
9 10 11 12 13 14 15 16
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - 4 - 4 - 1 1 3 1 4 2 - - 2 - 2 - - - 1 - 1 - - - - - - - 1 1 10
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - 4 4 - 6 4 2 2 2 - 1 1 - - - -
LB 1
Halaman
Bulan : 1
Tahun : 0
10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >70 Th
9 10 11 12 13 14 15 16
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - 1 - 1 1 1 1 1 2 2 3 - 3 5 6 5 1 - 3 3 4 3 - - - 2 - 2 5 1 7
- - - - - - - - - - - - - - - - 1 - - - 1 - 1 1 5 - 6 1 - 1 1 - 1 1 - - 1 - 1 - 2 2 7
- - 4 3 2 8 - - 2 8 6 46 - 2 6 48 10 24 1 2 11 26 15 52 - 5 15 57 3 27 - 2 3 29 5 8 - 1 5 9 51 174 1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - 1 2 - 1 1 3 1 2 - - 1 2 - - - - - - 2 4 -
4 3 10 2 8 55 6 49 42 14 28 94 28 66 44 9 35 17 6 11
LB 1
Halaman
Bulan : 1
Tahun : 0
10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >70 Th
9 10 11 12 13 14 15 16
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
Jakarta, 01 November 2017

Pelapor LB 1 Penyakit
usia produktif
Putra Muhammad Hardian
B1
Halaman 1
0
1 7
L 889
NIS KELAMIN
P 2037
Lama TOTAL
P 2926
16 17
- -
- 55
- -
- -
5 17
- 5
- 4
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
B1
Halaman 2
0
1 7 ###
NIS KELAMIN
Lama TOTAL
P
16 17
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 13
B1
Halaman 3
0
1 7 ###
NIS KELAMIN
TOTAL
Lama
P
16 17
- -
- -
- -
- -
4 5
2 65
- 1
2 29
2 9
- 5
- -
- 24
- 1
1 14
- 28
- 1
553 915
- 9
B1
Halaman 4
0
1 7 ###
NIS KELAMIN
Lama TOTAL
P
16 17
3 599
15 117
- 3
- 1
1 10
- 8
1 19
16 63
- 36
- 9
- 3
5 26
- -
- -
- -
- -
B1
Halaman 5
0
1 7 ###
NIS KELAMIN
Lama TOTAL
P
16 17
- -
- -
- -
- -
- -
- -
- -
- -
2 28
17 223
95 504
- -
- 1
- -
- -
B1
Halaman 6
0
1 7 ###
NIS KELAMIN
Lama TOTAL
P
16 17
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
B1
Halaman 7
0
1 7 ###
NIS KELAMIN
Lama TOTAL
P
16 17
16 63
16 36
- -
- 17
- -
- -
- -
- -
- -
- -
- -
1 9
- 4
188 286
- -
- -
- -
- -
- -
B1
Halaman 8
0
1 7 ###
NIS KELAMIN
Lama TOTAL
P
16 17
- -
- -
- -
- -
- -
- -
1 13
- -
- -
- -
- -
- -
- -
B1
Halaman 9
0
1 7 ###
NIS KELAMIN
Lama TOTAL
P
16 17
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
12 25
- 11
12 238
- -
1 7
B1
Halaman 10
0
1 7 ###
NIS KELAMIN
Lama TOTAL
P
16 17
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
sia produktif 3198

REGISTER SUSPEK PENDERITA TBC PARU
PUSKESMAS KELURAHAN BUKIT DURI TAHUN : 2016
JUMLAH PENDERITA SESUAI GOLONGAN UMUR
No Nama Umur 0-7 Hr 8-28 Hr 1 bl<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
L P L P L P L P L P L P L P L P L P L P L P L P
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Keterangan :
S : Sembuh, L : Lengkap, G : Gagal, DO : Drop Out, M : Meninggal, P : Pindah
REGISTER KOHORT PENGOBATAN PENDERITA TBC PARU
Tipe Umur Nomor Register Laboratorium/

Tgl/Bln/Thn (Baru, Pindah Paru / Obat
Hasil Pemeriksaan Dahak di Bulan Ke
No Nama mulai Masuk, DO,
Ekstra Alamat Digunakan
*HASIL Pengobatan
Kambuh,
Kat. I/II/III (S/L/G/DO/M/P)
Berobat Pengobatan Paru
Ulang, Gagal) L P 0 2 3 4 5 6 7 AP
Januari Jln. Kp. Melayu Kecil 52 02/059 04/05/02/308 04/05/02/923 04/05/02/923 Lengkap
1 Tn. Ahmad Fauzi Baru P I L:
1/15/2016 Rt.06/10 Bukit Duri Tahun +3 Neg +1 +2 Tgl. 29/08/2016
04/09/0031/87
Januari Jln. Bukit Duri Utara 19 04/09/0031 04/09/319
7
04/09/031/1001 Sembuh
2 Tn. Panji Asmara Baru P I S:
1/15/2016 Rt. 02/02 Tahun +2 Neg Neg Neg Tgl. 02/08/2016
Februari Jln. Kp. Melayu Kecil I 55 04/05/11/167 04/05/11/400 04/05/11/475 04/05/11/1000 Sembuh
3 Tn. Saebatul Malik Baru P I S:
2/2/2016 Rt. 09/11 Bukit Duri Tahun +3 Neg Neg Neg Tgl. 28/07/2016
Februari Jln. Kp. Melayu Kecil II 32 04/01/126/240 04/01/126/527 04/01/126 04/01/126/1057

4 Tn. Syaroni Baru P I
2/20/2016 Rt. 07/09 Bukit Duri Tahun +3 +1 Neg +1
Maret Jln. Taman Bukit Duri 55 04/01/215 Pindah Berobat

5 Tn. Moh. Danial Baru P I
3/22/2016 Rt. 01/12 Tahun +2 PKC. Tebet
04/05/102/115 04/05/102/134
April Jln. Bukit Duri Pangkalan 58 04/05/1/511 04/05/102/837 04/05/102/879
9 9 Sembuh
6 Tn. Rusli Baru P I S:
4/13/2016 Rt. 09/12 Tahun +2 +1 Neg Neg Neg Tgl. 18/10/2016
04/05/115/153
Mei Jln. Bukit Duri Tanjakan X 50 02/059 04/05/115/964
5 Lengkap
7 Tn. Ubaidillah Baru P I L:
5/9/2016 Rt. 04/08 Tahun Neg/Ro + Neg Neg Tgl. 21/10/2016
04/05/152/143
Mei Jln. Meliwis No.02 35 04/01/423/676 04/05/423/861
7
8 Tn. Kiki Yusril Baru P I
5/20/2016 Rt. 10/02 Bukit Duri Tahun +2 Neg Neg
Mei Jln. Sawo Raya No. 1 60 04/94/2180 Pindah Ke

9 Tn. T. Arafah Baru P I
5/23/2016 Rt. 11/07 Tahun +3 Pasar Minggu
04/05/124/105
Juni Jln. BD. Tanjakan Dalam VI 18 04/94/020 6 04/05/02/923 04/05/02/923
10 Tn. Anwar Pindah Masuk P I
6/30/2016 Rt. 02/08 Tahun Neg/Ro + Neg
Keterangan :

*HASIL Pengobatan
Kambuh,
Juli Jln. BD. Tanjakan I 52 02/059 04/05/02/308 04/05/02/923 04/05/02/923 Gagal

11 Tn. Mamat Baru P I G:
7/1/2016 Rt. 09/12 Tahun Neg/Ro + Neg +1 +2 Tgl. 29/08/2016
04/09/0031/87
Juli Jln. Kp. Melayu Barat 53 04/09/0031 04/09/319
7
04/09/031/1001 Sembuh
12 Tn. Triyono Kambuh P II S:
7/20/2016 Rt. 12/06 No. 12 Tahun Neg/Ro + Neg Neg Neg Tgl. 02/08/2016
Juli Jln. Kp. Melayu Barat 46 02/059 04/05/02/308 04/05/02/923 04/05/02/923

13 Tn. Harjono Baru P I
7/21/2016 Rt. 01/06 Tahun +1
Juli Jln. Bukit Duri Pangkalan 43 02/059 04/05/02/308 04/05/02/923 04/05/02/923

14 Ny. Nengsih Baru P I
7/26/2016 Rt. 05/12 Tahun Neg/Ro +
Juli Jln. Komplek Garuda 16 02/059 04/05/02/308 04/05/02/923 04/05/02/923

15 An. Moh. Fauzan Baru P I
7/26/2016 Rt. 10/01 Bukit Duri Tahun +1
Juli Jln. BD. Tanjakan Dalam X 16 02/059 04/05/02/308 04/05/02/923 04/05/02/923

16 An. Siti Mariyam Baru P I
7/28/2016 Rt. 04/08 No. 451 Tahun Neg/Ro +
Agustus Jln. Bukit Duri Pangkalan 49 02/059 04/05/02/308 04/05/02/923 04/05/02/923

17 Ny. Sri Suryanti Kambuh P II
8/2/2016 Rt. 03/12 No. 24 Tahun +3
Agustus Jln. Bukit Duri Tanjakan 20 02/059 04/05/02/308 04/05/02/923 04/05/02/923

18 Nn. Puti Zahra Baru P I
8/3/2016 Rt. 02/09 No. 02 Tahun Neg/Ro +
Agustus Jln. Kp. Melayu Kecil 35 02/059 04/05/02/308 04/05/02/923 04/05/02/923

19 Tn. Kartono Baru P I
8/13/2016 Rt. 05/11 No. 32 Tahun +1
Agustus Jln. Kp. Melayu Kecil I 23 02/059 04/05/02/308 04/05/02/923 04/05/02/923

20 Nn. Mutiara Baru P I
8/30/2016 Rt. 11/10 No. 65 Tahun +3
Keterangan :

*HASIL Pengobatan
Kambuh,
September Jln. Kp. Melayu Kecil I 45 02/059 04/05/02/308 04/05/02/923 04/05/02/923 Gagal
21 Tn. Agus Hidayat Baru P I G:
9/20/2016 Rt. 15/10 Bukit Duri Tahun +3 Neg +1 +2 Tgl. 29/08/2016
04/09/0031/87
September Jln. Kp. Melayu Kecil 53 04/09/0031 04/09/319
7
04/09/031/1001 Sembuh
22 Tn. Ahmad Fauzi Kambuh P II S:
9/22/2016 Rt. 06/10 No. 24 Tahun Neg/Ro + Neg Neg Neg Tgl. 02/08/2016
Oktober Jln. Bukit Duri Selatan 59

23 Tn. Amirudin Baru P I
10/13/2016 Rt. 01/04 Tahun +2
Oktober Jln. Cucak Rawa 58

24 Ny. Rusmiati Baru P I
10/14/2016 Rt. 05/03 No. 12 Tahun +3
Oktober Jln. Pranja BD Puteran 43

25 Tn. AA Supriyatna Baru P I
10/25/2016 Rt. 06/01 No. 35 Tahun +3
Oktober Jln. Manggarai Utara II 75

26 Tn. Woerjanto Pindah Masuk P I
10/3/2016 Rt. 04/04 Manggarai Tahun +1
Oktober Jln. Bukit Duri 63

27 Tn. Syahrudin Baru P I
10/29/2016 Rt. 08/07 No. 27 Tahun +2
November Jln. Kp. Melayu Kecil I 23

28 Nn. Windi Baru P I
11/1/2016 Rt. 15/10 No. 38 Tahun +1
November Jln. Cucak Rawa 63

29 Tn. Eddy Indra Baru P I
11/4/2016 Rt. 05/03 No. 12 Tahun
November Jln. BD Tanjakan X 57

30 Ny. Ida Sri Kambuh P II
11/4/2016 Rt. 15/12 No. 19 Tahun
Keterangan :


No Nama Masuk, DO,
Alamat *HASIL Pengobatan
mulai Ekstra Digunakan
Berobat
Kambuh,
Paru Kat. I/II/III (S/L/G/DO/M/P)
Pengobatan
November Jln. Bukit Duri Tanjakan 28

31 Tn. Supriyanto Baru P I
11/19/2016 Rt. 11/11 Tahun

32 Tn. Ria Zuhri Baru P I
11/23/2016 Rt. 07/08 Tahun

33 Ny. Marlinda Baru P I
11/26/2016 Rt. 01/08 Tahun

34 Ny. Dian Kusumaningtyash Baru P I
11/30/2016 Rt. 03/08 Tahun
35
36
37
38
39
Keterangan :
Mengetahui Jakarta, 02 November 2016
Ka.PuskesmasKel. Bukit Duri Pelapor Program Penyakit TB. Paru

NIP : 19620410199102001
JUMLAH PENDERITA SESUAI GOLONGAN UMUR

TGL MULAI REGISTER
No Nama Umur 0-7 Hr 8-28 Hr 1 bl<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
PENGOBATAN DAHAK
L P L P L P L P L P L P L P L P L P L P L P L P
1 Ahmad Fauzi 52 tahun 1
2 Panji Asmara 19 tahun
3 Saebatul Malik 55 tahun
4 Syaroni 32 tahun 1
5 Muhammad Danial 55 tahun 1
6 Rusli 58 tahun 1
7 Ubaidillah 50 tahun 1
8 Kiki Yusril 35 tahun 1
9 Arafah 60 tahun pindah pengobatan
10 Anwar 18 tahun 1
11 Mamat 52 tahun 1
12 Triyono 53 tahun 1
13 Harjono 46 tahun 1
14 Nengsih 43 tahun 1
15 Muhammad Fauzan 16 tahun 1
16 Siti Mariyam 16 tahun 1
17 Sri Suryanti 49 tahun 1
18 Puti Zahra 20 tahun 1
19 Kartono 35 tahun 1
20 Mutiara 23 tahun 1
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 2 5 2 2 0 0 0 0 0
Keterangan :
LAPORAN BULANAN PROGRAM PENGE
MENU PUSKESMAS KECAMATAN TE
`
BULAN September 2017
REALISASI PENEMUAN PENDERITA

Jml. Kunjungan
Jml. Penddk Perkiraan Pneumonia Pneumonia Berat Jumlah
Balita Batuk /
No KELURAHAN Jml Pnddk Usia Balita Pnemonia
Kesukaran < 1 th 1-<5 Th < 1 th 1-<5 Th < 1 th 1-<5 Th Sub Total
(10% peddk) Balita
Bernapas
L P L P L P L P L P L P L P
1 Kel Tebet Barat 269,095 26,910 1,141 1,485 1 2 8 4 0 0 0 0 1 2 8 4 9 6
2 Kel Kebon Baru 46,682 4,668 198 63 1 1 0 0 0 0 0 1 0 1 0 2 0
3 Kel Bukit Duri 47,024 4,702 199 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kel Manggarai Selatan 30,428 3,043 129 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Kel Manggarai 39,079 3,908 166 63 0 1 0 1 0 0 0 0 0 1 0 1 0 2
6 Kel Menteng Dalam 51,053 5,105 216 18 5 1 2 0 0 0 0 0 5 1 2 0 7 1
7 RS/Suber Lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah 483,361 48,336 2,049 1,756 7 4 11 5 0 0 0 0 7 4 11 5 9
Mengetahui,
Kepala Puskesmas
dr Hilda
NIP. 197010072002122001
LANAN PROGRAM PENGENDALIAN ISPA
SKESMAS KECAMATAN TEBET
NEXT
N PENDERITA Jml Kematian Balita ISPA > 5 Th

Jumlah yang karena pneumonia
ah Batuk Bukan Pneumonia dihitung napas
% Bukan Pneumonia Pneumonia
< 1 th 1-<5 Th atau ada < 1 th 1-<5 Th Total
Total Cakupan Total TDDK
L P L P L P T L P T L P L P T L P T
15 15.78 544 464 264 198 1,470 15 0 0 0 0 0 0 0 0 2,349 337 2,686 4 4 8
2 12.13 8 6 28 19 61 2 0 0 0 0 0 0 0 0 119 157 276 0 0 0
0 0.00 0 0 58 55 113 0 0 0 0 0 0 0 0 0 247 299 546 0 0 0
0 0.00 2 3 3 6 14 0 0 0 0 0 0 0 0 0 9 30 39 0 0 0
2 14.48 14 12 15 20 61 2 0 0 0 0 0 0 0 0 54 137 191 0 2 2
8 44.35 0 0 2 8 10 8 0 0 0 0 0 0 0 0 33 34 67 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 15.81 568 485 370 306 1,729 27 0 0 0 0 0 0 0 0 2,811 994 3,805 4 6 10
Prosentase Kasus yang dilakukan Pemeriksaan dan
1.54%
tatalaksana Standar
Pengelola Program Pengendalian ISPA
Aprilia Wulan Sari

NIP. 0
REKAPAP
Puskesmas KECAMATAN Tebet
Kabupaten/Kota JAKARTA SELATAN
Provinsi DKI JAKARTA
Bulan NOVEMBER
Tahun 2018
< 1THN
NO DESA/ KELURAHAN JUMLAH PENDUDUK KLINIS KONFIRMASI LAB (+)
L P L P
1 2 3 4 5 6 7
1 KEC TEBET 269095 Err:504 Err:504 Err:504 Err:504
2 KEL TEBET BARAT 29571 Err:504 Err:504 Err:504 Err:504
3 KEL KEBON BARU 46682 Err:504 Err:504 Err:504 Err:504
4 KEL BUKIT DURI 47024 Err:504 Err:504 Err:504 Err:504
5 KEL MANGGARAI SELATAN 30428 Err:504 Err:504 Err:504 Err:504
6 KEL MANGGARAI 39079 Err:504 Err:504 Err:504 Err:504
7 KEL MENTENG DALAM 51053 Err:504 Err:504 Err:504 Err:504
8 0 Err:504 Err:504 Err:504 Err:504
9 0 Err:504 Err:504 Err:504 Err:504
10 0 Err:504 Err:504 Err:504 Err:504
11 0 Err:504 Err:504 Err:504 Err:504
12 0 Err:504 Err:504 Err:504 Err:504
13 0 Err:504 Err:504 Err:504 Err:504
14 0 Err:504 Err:504 Err:504 Err:504
15 0 Err:504 Err:504 Err:504 Err:504
LUAR WILAYAH Err:504 Err:504 Err:504 Err:504
TOTAL 512932 Err:504 Err:504 Err:504 Err:504
KECAMATAN Tebet NOVEMBER2018
dr. Hilda
0
REKAPAPITULASI BULANAN
TIFOID
THN 1 - <5 THN 5 - <15 TA

JUMLAH KLINIS KONFIRMASI LAB (+) JUMLAH KLINIS
L P L P L P L P L P
8 9 10 11 12 13 14 15 16 17
Err:504 Err:504 Err:504 Err:504 Err:504 Err:504 Err:504 Err:504 Err:504 Err:504
5 - <15 TAHUN 15 - <45 THN
KONFIRMASI LAB (+) JUMLAH KLINIS KONFIRMASI LAB (+) JUMLAH
L P L P L P L P L
18 19 20 21 22 23 24 25 26
Err:504 Err:504 Err:504 Err:504 Err:504 Err:504 Err:504 Err:504 Err:504
≥ 45 THN TOTAL
JUMLAH KLINIS KONFIRMASI LAB (+) JUMLAH KLINIS
P L P L P L P L P
27 28 29 30 31 32 33 34 35
TOTAL
TARGET CAKUPAN JUMLAH PASIEN
KONFIRMASI LAB (+) KONFIRMASI
PELAYANAN PELAYANAN
L P LAB
36 37 38 39 40
Err:504 Err:504 202 Err:504 Err:504
Err:504 Err:504 22 Err:504 Err:504
Err:504 Err:504 35 Err:504 Err:504
Err:504 Err:504 35 Err:504 Err:504
Err:504 Err:504 23 Err:504 Err:504
Err:504 Err:504 29 Err:504 Err:504
Err:504 Err:504 38 Err:504 Err:504
Err:504 Err:504 Err:504 Err:504
Err:504 Err:504 Err:504 Err:504
Err:504 Err:504 Err:504 Err:504
Err:504 Err:504 Err:504 Err:504
Err:504 Err:504 Err:504 Err:504
Err:504 Err:504 Err:504 Err:504
Err:504 Err:504 Err:504 Err:504
Err:504 Err:504 Err:504 Err:504
Err:504 Err:504 Err:504 Err:504
Err:504 Err:504 384.699 Err:504 Err:504
puskesmas kelurahan bukit duri
jl. Bukit duri tanjakan dalam xi kec. Tebet
jakarta selatan
laporan bulanan program P2 ispa

kabupaten / kota jakarta selatan
propinsi dki jakarta
bulan : September
tahun : 2019
JUMLAH PENDUDUK RELISASI PENEMUAN PENDERITA ISPA > 5 thn
NO PUSKESMAS Pnemonia Pneumonia Berat Jumlah Batuk Bukan Pneumonia Jumlah kematian Balita Karena Pneumoni Bukan
JUMLAH USIA BALITA Sasaran (10% Penemonia
% Pneumoni
PENDUDUK (10 % Pddk) Balita) < 1 THN 1-4 THN < 1 THN 1-4 THN < 1 THN 1-4 THN JML < 1THN 1-4 THN JML < 1THN 1-4 THN JML
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
1 KEL.BUKIT DURI 32679 3267.9 326.79 - - - 1 - - - - - - - 1 - 1 0 - - 48 41 48 41 - - - - - - 232 404 2 -
JUMLAH - 1 - - - 1 1 0 - 89 89 - - - 636 2

Ka.PuskesmasKel. Bukit Duri Pelapor Program P2 ISPA

NIP : 19620410199102001
jakarta selatan
REKAPITULASI PENDERITA DIARE MENURUT GOLONGAN UMUR

bulan : November
tahun : 2018
Periksa
Sarana kesehatan kader Lab
JML.PEND. Total
Penderita
NO PUSKESMAS 0 < 1 Tahun 1 - 4 Tahun > 5 Tahun Jumlah DIBERI Jumlah Pemakaian
0 - < 1 Tahun 1 - 4 Tahun > 5 Tahun Jumlah
Jumlah
Pakai POS
P M P M P M P M Oralit
Specimen
Oralit Zinc RL Oralit Zinc RL
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
1 KECAMATAN TEBET
2 KEL. TEBET BARAT
3 KEL. TEBET TIMUR
4 KEL. KEBON BARU
5 KEL. BUKIT DURI 0 0 3 4 19 25 22 29 6 10 0 196 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 KEL. MANGGARAI SELATAN
7 KEL. MANGGARAI SELATAN
8 KEL MENTENG DALAM
JUMLAH 0 0 3 4 19 25 22 29 6 10 0 196 312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui Jakarta, 03 Desember 2018
Ka.PuskesmasKel. Bukit Duri Pelapor Diare Menurut Golongan Umur

NIP : 19620410199102001
jakarta selatan
Fomat : c-`1
laporan kasus campak
bulan/tahun : Januari 2018
puskesmas : pkm.kel.bukit duri
kecamatan : pkm.kec.tebet
Alamat Umur /Sex VaksinCampakSebelumsakit TglTimbul TglDiambilSpesimen HasilSpesimen Klasifikasi Final*
No Nama Nama Org Lengkap DiberiVit A KeadaanAkhir
EpidKasus/KL
B Anak Tua (Desa/RT/R Tidak/TdkTah Y/T (H/M) Campak Rubella Lab Bukan
L P Brp Kali Demam Rash Darah Urin Darah Urin
W) u Lab (+) Epid Klinis (+) Camp/Rub
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
Mengetahui Jakarta, 28 Januari 2018

Periode KLB : Tgl 31/01/2016 s/d 27/02/2016 Ka.PuskesmasKel. Bukit Duri Pelapor Kasus Campak
Penjelasan : Kolom16 :PemberianVit A saatsakitcampak
: Kolom17 : H = Hidup, M = Mati
: *Klasifikasi final diisiolehKabupaten drg. Sondang Marlina L. Gaol Putra Muhammad Hardian
NIP : 19620410199102001
jakarta selatan
REKAPITULASI PENYAKIT DEMEM TIFOID PER KELURAHAN / DESA

bulan : September
tahun : 2019
klinis tipoid WIDAL TIPOID

Jumlah Jumlah
NO PUSKESMAS 0 < 1 Tahun 1 - 4 Tahun 5 - 14 Tahun 15 - 44 Tahun > 45 Tahun 0 < 1 Tahun 1 - 4 Tahun 5 - 14 Tahun 15 - 44 Tahun > 45 Tahun
P M P M P M P M P M P M P M P M P M P M P M P M
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
1 KEL. BUKIT DURI - - - - - - - 1 - - - 1 - - - - - - - 1 - - - 1

Ka.PuskesmasKel. Bukit Duri Pelapor Penyakit Demam Tifoid

NIP : 19620410199102001
PUSKESMAS KELURAHAN BUKIT DURI
JL. BUKIT DURI TANJAKAN DALAM XI KEC. TEBET
JAKARTA SELATAN
LAPORAN BULANAN PROGRAM KESEHATAN JIWA TAHUN 2016

BULAN : OKTOBER
TAHUN : 2016
PUSKESMAS
JUMLAH KASUS PERGOLONGAN UMUR
KODE
NO JENIS PENYAKIT 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 Pasien JUMLAH
IC-D X
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 Pulan B L
Rawat
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 g L P L P
1 Gangguan Mental Organik F00# 0 0 0 0
2 Gangguan Penggunaan NAPZA & SIDA F10# 0 0 0 0
3 Skizoprenia dan Gangguan Psikotik Kronik lainnya F20# 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 5 1 1 1 1
4 Gangguan Psikotik Akut F23 0 0 0 0 0 0
5 Gangguan Bipolar F31 0 0 0 0
6 Gangguan Depresif F32# 0 0 0 0 0 0 0
7 Gangguan Neurotik F40# 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
8 Retardasi Mental F70 0 0 0 0 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 Gangguan Kesehatan Jiwa Anak dan Remaja F80-90# 0 0 0 0
10 Epilepsi G40# 1 0 0 0 0 0 0
11 Tindakan Bunuh diri 0 0 0 0
JUMLAH 0 2 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 5 0 2 1 3 1 1
Ka.PuskesmasKel. Bukit Duri Pelapor Program Jiwa
drg. Sondang Marlina L. Gaol Aji Yoga

NIP : 19620410199102001
drg. Sondang Marlina L. Gaol Aji Yoga
NIP : 19620410199102001
Laporan Bulanan Penemuan Penyakit Gangguan Pernapasan PAL Menurut Umur (PAL 05)
(diambil dari Register Harian PAL 03/TB 06/TB 04/TB 03/LB1 Puskesmas)
Kabupaten/Kota Jakarta Selatan
Kecamatan Tebet
SPK Bukit Duri
Bulan Juli TAHUN : 2018
Kelompok Umur dan Jenis Kelamin

No Kunjungan Penyakit Terkait PAL Sumber Data 5 - 14 15 - 44 45 - 59 60 - 69 ≥ 70 Total
L P L P L P L P L P L P
1 Tuberkulosis
A. Suspek TB PAL03/TB06 2 3 3 2 2 7 5
B. Semua Kasus TB Baru PAL03/TB06 - -
C. Kasus Baru BTA (+) PAL03/TB03 - -
2 Pneumonia > 5 tahun PAL 03 - -
3 Asma
A. Kasus Baru PAL 03 -
B. Kunjungan Ulang (serangan) PAL 03 - -
4 PPOK
A. Kasus Baru PAL 03 - -
B. Kunjungan Ulang (serangan) PAL 03 - -
5 Gangguan Pernapasan
A. Jumlah Kasus Baru dengan Gangguan Pernapasan ( 4 Penyakit PAL) 1B+2+3A+4A - - - - - - - - - - - -
B. Jumlah Total Kunjungan Gangguan Pernapasan ( 4 Penyakit PAL) 1B+2+3A+3B+4 - - - - - - - - - - - -
A+4B
Jumlah Total Kunjungan Gangguan Pernapasan (termasuk Saluran Pernapasan Atas, Saluran
C. Pernapasan Bawah, TB dan PPOK) LB 01 102 149 289 100 38 678
6 Jumlah Total Kunjungan (Semua Penyakit) LB 01 247 519 1803 612 264 3445
Mengetahui Jakarta, 31 Juni 2018
Ka.PuskesmasKel. Bukit Duri Pelapor Program PAL

NIP : 19620410199102001
JLN. BUKIT DURI TANJAKAN DALAM XI KEC.TEBET
JAKARTA SELATAN
PEMANTAUAN WILAYAH SETEMPAT
MINGGU KE : 43
KEJADIAN LUAR BIASA (KASUS BARU)
PWS - KLB
TAHUN : 2016
KERACUNAN
WILAYAH DIARE KOLERA DHF PES POLIO/APP PERTUSIS RABIES TN AFP CHIKUNGUNYAH LEPTOS
NO MAKANAN KET
RW RT P M P M P M P M P M P M P M P M P M P M P M P M
1 01 9 1
2 02 5 1
3 03
4 04
5 05 4 1
6 06
7 07
8 08 13, 2, 5 4
9 09 1 1
10 10 12 1
11 11 11 1
12 12 9, 4 2
13 13
14 14
15 15
16 16
JUMLAH 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
ket : Mengetahui Jakarta, 02 November 2016
p = penderita
m = meninggal Ka.PuskesmasKel. Bukit Duri Pelapor Diare Menurut Golongan Umur

NIP : 19620410199102001
JAKARTA SELATAN
23 NAMA PENYAKIT YANG PERLU DI LAPORKAN UNTUK

LAPORAN SKDR
Tanun : 2016
Minggu ke : Ke-21
23 Nama Penyakit yang Perlu Di Laporkan Untuk Laporan Skor

W
Layu Mendadak)
yang Berobat ke
I
PKM.Bukit Duri
Jaundice akute
Chikungunyah
AFP (Lumpuh
Leptospirosis
Jumlah Psien
ILI (Influensa
Pneumonia
L
Flu Burung
Neonatum
Diare akut
Miningitis
Like Ilines
Berdarah
Pertussis
Campak
Demam
Disentri
Tetanus
Tetanus
Malaria
Kluster
A
Rabies
Antrax
Kolera
HFMD
Difteri
Tifoid
Y
A
H
A B C D E F G H I J K L M N P Q R S T U V W Y Z
PKM.Kel.Bu 11 1 514
kit Duri
Jumlah/Total 11 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 514


NIP : 19620410199102001
JAKARTA SELATAN
REKAPITULASI LAPORAN BULANAN MTBS DAN MTBM

BULAN / TAHUN : Oktober 2016
NO KEGIATAN MTBS KECAMATAN KELURAHAN
1 Jumlah kunjungan bayi sehat ke Puskesmas

a. Umur 0 Bln - 2 Bln 16
b. Umur 2 Bln s/d 5 tahun 53
2 Jumlah kunjungan bayi sakit ke Puskesmas
a. Umur 0 Bln - 2 Bln 0
b. Umur 2 Bln s/d 5 tahun 113
3 Jumlah kunjungan balita sakit ke Pusk umur 2 Bln - 5 Thn 113
4 Jumlah balita yang mendapat Pelayanan MTBS
4.1. 0 Bln - 2 Bln (Sehat)
4.1. 0 Bln - 2 Bln (Sakit) 5
4.1. 2 Bln - 5 Thn (Sakit) 49 58
5 Jumlah Kunjungan MTBS sesuai tempat tinggal
5.1. Dalam Wilayah 60
5.1. Luar Wilayah 3
KLASIFIKASI UMUR 2 BLN - 5 THN (MTBS)
1 Pneumonia Berat / Sakit sangat berat
2 Pneumonia 12 1
3 Batuk : Bukan Pneumonia 15 1
4 Diare Dengan Dehidrasi Berat
5 Diare Dengan Dehidrasi Sedang / Ringan 11
6 Diare Tanpa Dehidrasi 9
7 Diare Persisten Berat 3
8 Diare Persisten
9 Disentri
10 Penyakit Berat Dengan Demam
11 Malaria
12 Demam Mungkin Bukan Malaria
13 Demam Bukan Malaria
14 Campak Dengan Komplikasi Berat
15 Campak Dengan Komplikasi Mulut / Mata
16 Campak
17 Demam Berdarah Dengue
18 Mungkin DBD 5
19 Demam Mungkin Bukan DBD
20 Mastoiditis
21 Infeksi Telinga Akut 3
22 Infeksi Telinga Kronis
23 Tidak Ada Infeksi Telinga
24 Sangat Kurus 1
25 Kurus 10
26 Normal 42
27 Anemia Berat
28 Anemia / BGM
29 Tidak ada Anemia / Tidak BGM 62
30 Masalah Keluhan Lain 8 11
31 Jumlah Rujukan
KLASIFIKASI UMUR 2 BULAN - 5 TAHUN (MTBM)
1 Penyakit Sangat Berat / Inf. Bakteri Berat
2 Infeksi Bakteri Lokal
3 Mungkin Bukan Infeksi
4 Diare Dehidrasi Berat
5 Diare Dehidrasi Ringan / Sedang
6 Diare Tanpa Dehidrasi 5
7 Ikterus Berat
8 Ikterus
9 Tidak ada IKterus
10 BB Rendah Mnrt Umur dan Masalah Pemberian ASI
11 BB Tidak Rendah dan Tidak ada Masalah Pemberian ASI
12 Lain - Lain 10
13 Rujukan
Ka.Puskesmas Kel. Bukit Duri Petugas Survelens
drg. Sondang Marlina L. gaol aji yoga

nip : 196308041990032004
drg. Sondang Marlina L. gaol aji yoga

nip : 196308041990032004
JAKARTA SELATAN
FORMULIR LAPORAN KESEHATAN ANAK BALITA DAN PRASEKOLAH
BULAN / TAHU : November 2018
JUMLAH SASARAN BERAT LAHIR JML BBLR JUMLAH CAKUPAN MTBM JUMLAH CAKUPAN MTBS JUMLAH CAKUPAN DDTK JUMLAH KEMATIAN
JML BAYI
JML BBLR DG
NO NAMA PUSKESMAS PUNYA BUKU
KIA MTBM
KUNJ BAYI KUNJ BAYI DI KUNJ BAYI
L P L P L P KN KN DI MTBM KN DI MTBM KN BAYI SAKIT DI MTBS DIRUJUK KONTAK 1 DDTK DDTK DI ASFIKSIA BBLR TN ISPA DIARE
DIRUJUK MTBS
DDTK 4KALI/TH RUJUK
1 pkm.kel.bukit duri 567 562 1129 0 5 0 113 58 0 33
2 posyandu 984 943 1927 20
3 paud
TOTAL 1551 1505 3056 0 0 0 0 0 0 5 0 113 58 0 53 0 0 0 0 0 0 0
Mengetahui Jakarta, 03 Desember 2018

drg. Sondang Marlina L. gaol Roslina Sembiring

nip : 196308041990032004 NIP : 196808201990032008
jakarta selatan

bulan : September LEMBAR 1
tahun : 2019
Fasilitas Pelayanan Kesehatan
Penderita diare < 5 th Penderita
0 -<6 BLN ≥6 bln - < 1 thn 1 - 4 Tahun 5 - 9 thn 10- 14 thn 15- 19 thn > 20 tahun Jumlah Jumlah Pemakaian
JUMLAH Diberi diare> 5
NO DESA P M P M P M P M P M P M P M P M Zinc Zinc
PENDUDUK Orali ≥6
th Diberi Orali ≥6
0-<6 1-5 RL 0-<6 1-5 RL
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 t bln
bln-
thn Oralit RL t bln
bln-<1
thn
<1 th th
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 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 43 44 45 46 47
1 Bukit Duri 32679 - - 1 1 3 4 4 3 3 2 1 1 11 21 23 32 85 - 42 - - 400 - 485 - 42 - -



NIP : 19620410199102001
jakarta selatan

bulan : September LEMBAR 2
tahun : 2019
Kader Total Penderita
Jumlah Fasyankes dan
NO JUMLAH 0 - <1 Thn 1-4 Thn ≤ 5 Thn 5 - 9 thn 10- 14 thn 15- 19 thn > 20 tahun Jumlah
DESA Pemakaian Oralit Kader
PENDUDUK
L P L P L P L P L P L P L P L P L P L P
1 2 3 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
Bukit
1 32679 - - - - - - - - - - - - - - - - - - - -
Duri


NIP : 19620410199102001

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Puskesmas P317

01 PENYAKIT INFEKSI PADA USUS

0101 A00 Kolera - - - - -

0102 0301-A09 Diare (termasuk tersangka Kolera) - - - - - - - - 1 1 - - 3 4 - - 4 3 - - 3 2 - - 1 1 - - 4 6 - - 1 2 - - 4 7 - - 2 4 - - - 2 - - 23 32 - - 55

0103 A09 Disentri - - - - -

0104 A02 Infeksi Penyakit usus yang lain - - - - -

0201 A16.2 TB PARU - 2 1 2 2 1 2 1 2 1 3 1 3 8 5 17

Kasus Baru BTA (+) 1 1 2 1 3 - - 4

Kasus TB.Paru yang Datang Berobat - - - - - - - - - - - - - - - - - - - - - - - - 1 - 2 2 3 1 1 4 - - - 3 1 2 2 6 - 1 1 1 1 - 1 - 6 4 7 16 33

0202 A18 TB Selain Paru (Extra Pulmoner) 1 1 - - - 1

0301 A30.0,A30.1 Kusta I/T (MB) - - - - -

0302 A30.2,A30.1 Kusta B/L (PL) - - - - -

0303 A36 Difteria - - - - -

0304 A37 Batuk Rejan - - - - -

0305 A34,A35 Tetanus - - - - -

0306 A20 Pes - - - - -

0401 A80 Poliomvelitis akut - - - - -

0402 B05 Campak - - - - -

0403 B19 Radang hati menular - - - - -

0404 A82 Rabies / Lyssa - - - - -

0405 A91 DHF (Demam Berdarah Dengue) - - - - -

0406 B01 Cacar Air - - - - -

RIKETSIASIS DAN PENYAKIT KARENA

0501 B53 Malaria dengan pemeriksaan Lab - - - - -

0502 B50 Malaria tropika (P.Falsiparum) - - - - -

Malaria tanpa pemeriksaan Lab (Malaria

0504 A22 Anthrax - - - - -

0601 A54 Infeksi Gonokok - - - - -

0602 A56 Non Gonokok - - - - -

0603 A57,A64 Penyakit kelamin lainnya - - - - -

PENYAKIT INFEKSI KARENA PARASIT

0701 A66 Franbusia - - - - -

0702 B74 Filariasis - - - - -

0703 B76,B79 Penyakit Kecacingan - - - - -

0704 B86 Scables - - - - -

0801 F20,F39 Gangguan Psikotik - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4 - 1 1 3 1 - - 2 - - - 1 - - - - - 1 1 10 1 13

Kode Puskesmas : Bulan : 0 9

0802 F40,F48 Gangguan Neurotik - - - - -

0803 F70,F79 Retardasi mental - - - - -

0804 F80,F89 Gangguan kesehatan jiwa bermula pada

09 PENYAKIT SUSUNAN SYARAF

0901 G40 Epilepsi - - - - - - - - - - - - - - - - - - - - - - - 1 1 - - - - - - - - - - 3 - - - - - - - - - - - - 1 - - 4 5

G00,G37 Penyakit dan kelainan susunan syaraf

10 PENYAKIT MATA DAN ADNEKSA

1001 H40 Glaukoma - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - 1 - - 1

1002 H25, H26 Katarak - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6 9 - 1 4 5 - 1 1 2 - - 11 16 - 2 29

1003 H52 Kelainan reflaksi - - - - - - - - - - - - - - - - - 1 - - 1 - - - - - - - - 1 - - 1 - - - 2 - - 1 1 - - 1 - - - - 5 2 - 2 9

H10, H13 Konjunctivitis - - - - - - - - 1 - - - 2 - - - 2 1 - - - 1 - - 1 - - - 3 2 - - 1 2 - - 2 2 - - - 2 - - 2 - - - 14 10 - - 24

1004 H16 Kelainan Kornea - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - - 1 - - 1

1005 H00,H49 Penyakit mata lain-lain - - - - - - - - - - - - 2 1 - - - - - - - - - - - - - - 3 2 - 1 - - 1 - 1 1 1 - - - - - - 1 - - 6 5 2 1 14

PENYAKIT PADA TELINGGA DAN

1102 H70 Infeksi mastoid (Mastoiditis) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - - 1 - 1

13 PENYAKIT SALURAN PERNAFASAN

1301 J03 Tonsilitis - - - - - - - - - - - - - - - - - - - - - 1 - - - 1 - - 2 1 - - - - - - 1 1 - - - - - - 1 1 - - 4 5 - - 9

Infeksi akut lain pada saluran pernafasan

Penyakit lain pada saluran pernapasan

14 PENYAKIT LAIN PADA SALURAN

1401 J18 Pneumonia - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - - - - - - - 2 - - - - - - - - - - 1 2 - 3

1402 J21 Bronkhitis - - - - - - - - 1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - 1

1403 J45 Asma - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 1 2 1 1 - 2 1 1 - - - - - 4 2 3 1 10

Penyakit lain dari saluran pernafasan

15 PENYAKIT RONGGA MULUT

1501 K02 Karies gigi - - - - - - - - - - - - 1 - - - - 2 - 1 - - - - - 2 - - 1 8 - - 2 - - - - 1 - - - - - - - 1 - - 4 14 - 1 19