KODE PUSKESMAS : 91050801 LB 1

PUSKESMAS : MASNI Halaman :1

KECAMATAN : MASNI Lembar 1 : Untuk Ka Sie P2M Dinkes Kab./Kota
PUSKESMAS PEMBANTU YANG: - ADA Lembar 2 : Untuk Koordinator SP2TP Dinkes Kab./Kota
- LAPOR Lembar 3 : Untuk Koordinator SP2TP Puskesmas
KABUPATEN/KODYA : MANOKWARI (Arsip)
PROPINSI : PAPUA BARAT
Wilayah Pelaporan : Semua Wilayah BULAN : September
Tempat Pemeriksaan : Semua Lokasi Pemeriksaan LAPORAN BULANAN DATA KESAKITAN TAHUN : 2016

JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

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 L P

4009 Myalgia, Athralgia, Keju kemen 2 1 1 2 3 3 6

A016 Tuberkulosis Klinis (suspect) 1 1 1

A08.1 Acute gastroenteropathy due to 1 1 1 2 1 3

A15.3 Tuberculosis of lung, confirme 1 1 1 1 2

A16.0 Tuberculosis of lung, bacterio 1 1

A70 Chlamydia psittaci infection 1 1 2 2

B00 Herpes Simplex 1 1 1

B01 Varicella 1 1 1

B26 Parotitis 1 1 1

B36.0 Pityriasis versicolor 1 1 1

B51 Malaria Tertiana (P. Vivax) 1 1 1 1 2 3

B51.0 Plasmodium vivax malaria with 1 1 2 2

B51.9 Plasmodium vivax malaria witho 1 1 1

B80 Enterobiasis 1 1 1

D29.1 Benign neoplasm of prostate 1 1 1

D50.9 Iron deficiency anaemia, unspe 1 1 2 2

D53 Anemia lain 1 1 1

D62 Acute posthaemorrhagic anaemia 1 1 1

E10.9 Insulin-dependent diabetes mel 1 1 1 1 2

E11.9 Non-insulin-dependent diabetes 3 1 4 4

E79.0 Hyperuricaemia without signs o 1 1 1 1 1 2 3 5

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

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 L P

F43.1 Post-traumatic stress disorder 2 2 2

F51.9 Nonorganic sleep disorder, uns 1 1 1 1 2

G44 Syndrome Nyeri kepala 1 1 1

G44.0 Cluster headache syndrome 1 1 1 3 3

G44.4 Drug-induced headache, not els 1 1 1

G47.0 Disorders of initiating and ma 1 1 1 1 2

H10.0 Mucopurulent conjunctivitis 1 1 1

H10.3 Acute conjunctivitis, unspecif 1 1 1

H10.9 Conjunctivitis, unspecified 2 2 2

H46 Optic neuritis 1 1 1

H58 Peny. Mata lain-lain 1 1 1

H66.9 Otitis media, unspecified 1 1 1 1 2

I10 Essential (primary) hypertensi 1 1 1 1 2 3

I15 Hipertensi sekunder 1 1 1 2 1 3

I15.9 Secondary hypertension, unspec 1 2 1 2 2 4

I84.9 Unspecified haemorrhoids witho 1 1 1

J00 Acute nasopharyngitis [common 3 3 19 12 12 4 2 1 1 2 12 17 6 4 1 1 2 2 2 60 46 106

J02 Pharingitis 1 1 1

J02.9 Acute pharyngitis, unspecified 2 1 1 4 4

J06 Infeksi akut lain pd sal perna 1 1 1 1 2 2 4

J06.9 Acute upper respiratory infect 4 2 1 1 1 1 1 1 1 1 1 1 8 8 16

J22 Unspecified acute lower respir 1 1 1 1 2

J39.9 Disease of upper respiratory t 1 1 1 1 2

K00 Gangguan pertumbuhan gigi dan 1 2 2 1 1 3 3 1 7

K01 Impacted 1 1 1

K02 Carries Gigi 1 1 1 1 2 8 2 4 9 3 16

K04 Peny pulpa & Jaringan Periapik 1 2 1 2 3

K05 Peny gusi & jaringan periodent 1 1 1

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

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 L P

K05.6 Periodontal disease, unspecifi 1 1 1

K12 Stomatitis termasuk pd bibir d 1 1 1

K12.1 Other forms of stomatitis 1 1 1

K29 Gastritis 3 1 1 1 1 5 2 7

K29.7 Gastritis, unspecified 1 1 1 1 2 2 4

K30 Dyspepsia 1 1 1

K35.9 Acute appendicitis, unspecifie 1 1 1

K59.1 Functional diarrhoea 1 1 1 1 2 2 4

K92.9 Disease of digestive system, u 1 1 1

L01 Impetigo 1 1 2 2

L02 Abses, furuncle, carbuncle 1 1 1

L02.9 Cutaneous abscess, furuncle an 1 1 1

L20 Atopic dermatitis 1 1 1

L21 Seborrhoic dermatitis 1 1 1

L23.9 Allergic contact dermatitis, u 1 1 1

L24 Dermatitis Kontak iritan 1 1 1

L24.9 Irritant contact dermatitis, u 1 1 1

L27.9 Dermatitis due to unspecified 1 1 3 1 2 4 6

L30 Dermatitis lain 1 1 1 2 1 3

L30.9 Dermatitis, unspecified 1 1 1

L98.9 Disorder of skin and subcutane 1 1 2 2

M13.9 Arthritis, unspecified 1 2 1 1 2 3 5

M79 Myalgia 3 1 1 1 4 5

N34.3 Urethral syndrome, unspecified 1 1 1

N94 Dysmenorrahea 1 1 1

R05 Cough 1 1 6 5 4 2 1 4 7 3 1 1 1 1 1 23 16 39

R10.4 Other and unspecified abdomina 1 1 1

R11 Nausea and vomiting 3 1 1 1 1 1 5 3 8

 JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

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 L P

R12 Heartburn 2 2 2 1 1 4 4 8

R13 Dysphagia 1 1 1 1 2

R50 Demam 1 1 1 1 3 1 3 5 8

R51 Headache 1 1 2 6 2 4 1 1 1 7 12 19

R52.9 Pain, unspecified 2 2 2

R53 Malaise and fatigue 2 2 2

T00 Luka lecet 1 1 1

T00.9 Multiple superficial injuries, 1 1 1

T01 Luka lecet terbuka 1 1 1

T01.9 Multiple open wounds, unspecif 1 1 1

T95 Kontrol Luka 1 1 1

Z300 Konseling KB 2 2 2

Z304 KB Suntik 2 8 2 8 10

Z307 KB Implant 1 1 1

Z341 Supervisi kehamilan normal K1 1 10 1 11 1 12

Z342 Supervisi K2 4 3 7 3 11 14

Z343 Supervisi K3 1 24 1 24 25

0 0 0 0 0 0 0 0 7 5 0 0 41 28 0 0 24 21 0 1 9 4 0 0 5 7 0 5 43 88 0 45 23 31 0 0 9 4 0 0 20 13 0 0 11 2 0 0 192 203 0 51 0 1 447

MASNI, 05-01-2017

MENGETAHUI PELAPORAN

KEPALA PUSKESMAS PELAKSANA PROGRAM

AMOS SAYORI,AMK IRMA HASIR

19680603 198603 1 025 19811217 201004 2 002