LB 1 Rita - 2016

LA
MENU UTAMA
PUSK : TIBAN BARU
BULAN : JANUARI
0-7 hr 8-28 hr 1 bulan < 1th 1 - 4 tahun
KODE JENIS PENYAKIT BARU LAMA BARU LAMA BARU LAMA BARU LAMA
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
PENYAKIT INFEKSI DAN PARASIT TERTENTU
AO1.0 Demam tifoid 2 1 3 1
AO5 Keracunan makanan karena bakteri lain
AO9.1 Diare dan gastroenteritis 1 1 6 3 3 5 4 5 1 6
A16 Tuberculosis paru klinis (suspek)
A16.0 Tuberkulosis paru BTA negatif
A18.0 Tuberkulosis pada tulang dan sendi
A19 TB Milier
A35 Tetanus lainnya
A54 Infeksi Gonokok
A64 Penyakit menular seksual tidak terspesifikasi
A88.1 Vertigo epidemic
A90 Demam dengue (dengue klasik) 1 1 1 2
A91 Demam berdarah dengue
A92.0 Penyakit virus Chikungunya
I. B. INFEKSI VIRUS YANG MENGENAI KULIT DAN MUKOSA LESI MEMBRAN
B01 Varicella 1 2 1 1 3 2 3
B02 Herpes zoster
B03 Cacar air
B05 Campak 4 1 1 1 1
B07 Verucca
B08.8 Penyakit kaki tangan dan mulut
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
B26 Mumps (parotitis)
B26.8 Mumps (gondongan, beguk) disertai komplikasi lain
B30 Viral Conjunctivitis
MIKOSIS
B35.0 Tinea barbae dan tinea capitis
B35.1 Tinea Unguium
B35.2 Tinea manuum
B35.3 Tinea pedis
B35.4 Tinea corporis 1
B35.6 Tinea cruris
B36.0 Pitriasis Versicolor 1
B37 Candidal stomatitis 2
B37.0 Stomatitis yang disebabkan oleh candida/oral trush 1
B37.3 Candidiasis pada vulva dan vagina
PENYAKIT YANG DISEBABKAN PROTOZOA
B50 Malaria P Falcifarum (tropika)
B51 Malaria P Vivax (tertiana)
B52 Malaria Plasmodium malariae
B53.0 Malaria Plasmodium ovale
B54 Malaria yang tak diketahui (malaria klinis)
HELMINTHIASES, PEDICULOS, INFEKSI LAIN
B74 Filariasis
B76 Penyakit cacing tambang
B77 Askariasis
B79 Trikuriasis
B85 Pedikulosis dan ptiriasis
B86 Scabies
B90.9 Sindrom Obstruksipasca TB
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
II.NEOPLASMA
C00-C14 Neoplasma bibir, Mulut dan Tenggorokan
C40-C41 Neoplasma Tulang dan kartilago artikular
C50 Neoplasma mamae (payudara)
C51-58 Neoplasma organ reproduksi wanita
C60-C63 Neoplasama organ Reproduksi pria
C69-C72 Neoplasma Mata, Otak dan CNS sistem
C73-C75 Neoplasma Thyroid & kelenjar endokrin
D17.9 Lipoma 1
D37-D48 Neoplasma yang tak terklasifikasi
D05 Karsinoma In situ payudara
III KELAINAN DARAH
D50 Anemia Defisiensi Besi/THALASEMIA 1
D53 Anemia Nutrisi lainnya
IV PENYAKIT ENDOKRIN GIZI DAN Metai
E00 Gangguan Tirod
E04.9 Struma
E05 (Hipertiroidisme)
E11 Non InsulinDependent Diabetes melitus
E40 Kwarshiorkor
E41 Marasmus nutrisi
E44 Hipotensi
E66 Obesitas
E79 Asam Urat tanpa Gejala aetritis dan thopus
E86 Deplesi Volume (dehidrasi)
V GANGGUAN JIWA DAN PRILAKU
F05 Gangguan Hiperkinetik da kebiasaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Gangguan mental dan perilaku akibat zat multiple &
F19
psikoaktif lainnya
F20 Skizofrenia
F43 Gangguan Stress pasca Trauma
F45.9 Psikosomatis
VI PENYAKIT SUSUNAN SARAF
G00 Meningitis Bakterialis
G40 Epilepsi
G43 Migrain
G44 Sindrom-sindrom sakit kapala lainnya
G44.2 Tension Headache
G47.0 Insomnia
G51.0 Bell palsi
G56.0 Sindrom Carpal Tunnel
G81 Hemiplegia
G91 Hydrocephalus
VII PENYAKIT MATA DAN ADNEKSIA
H00.0 Hordeolum 1
H00.1 Chalazion
H01.0 Blefaritis
H02 Gangguan lain kelopak mata
H10 Konjungtivitis 2
H11.0 Pterigium
H16 Keratitis
H25 Katarak Senilis
H40 Glaukoma
H49 Strabismus
H52 Gangguan Refraksi dan akomodasi
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
H53.1 Asthenopia
H54 Buta dan Rabun
VIII PENYAKIT TELINGA DAN PROSESUS MASTOID
H61 Kelainan-kelainan lain telinga luar
H61.2 Serumen impack
H61.8 Fistula/kista Preaurikel
H66 Otitis Media Supuratif
H72 Perforasi membran timpani
H90 Gangguan daya dengar
H93.9 Kelainan pada telinga
IX PENYAKIT SISTEM SIRKULASI
l10 Essential Hypertension
l11 Hipertensi Heart disease
l15 Secondary Hypertension
l20 Angina Pectoris
l50 Gagal jantung
l51.7 Kardio megali
l51.9 Decomp cordis
l64 Stroke, tidak terspsifikasi sbg perdarahan/infark
183.9 Varises
l84 Haemorrhoid
l84.9 Lymphadenitis
l95 Hipotensi
X PENYAKIT SISTEM PERNAFASAN
J00 Nasofaringitis akut
J02 Faringitis akut 1 2 2 4 1 1 2 1 3
J03 Tonsilitis Akut 1 3 1 3 3 2 1 4 6
J06 Infeksi saluran nafas atas akut ytt 1 1 5 4 4 7 23 20 11 17 54 37 21 28
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
J06.0 Laringofaringitis akut
J11.0 Influenza, virus tak teridentifikasi
J18 Pneumonia ytt 1
J20 Bronkitis Akut &Bronkiolitis akut
J30 Rhinitis Alergika
J30.0 Penyakit Hidung dan Sinus Hidung lainnya
J30.4 Rhinitis alergi tidak spesifik
J31.0 Rhinitis kronik
J32 Sinusitis Kronik
J35.0 Tonsilitis kronik
J37.0 Laringitis Kronik
J45 Asma 1
XI PENYAKIT SISTEM PENCERNAAN
PENYAKIT GIGI DAN MULUT
K00 Gangguan perkenbangan & Erupsi gigi
K01.1 Gigi impaksi
K02.0 Karies terbatas pada enamel
K02.1 Karies dentin
K03 Penyakit jaringan keras gigi lainnya
K03.6 Deposit (akresion) pada gigi
K04 Pulpitis
K04.1 Nekrosis pulpa
K04.6 Periapikal abses dengan sinus
K04.7 Periapikal abses tanpa sinus
K05.1 Ginggivitis
K05.2 Periodonitis akut
K05.3 Perioditis kronik
K05.4 Periodontosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
K05.5 Penyakit-penyakit periodontal lain
K07 Anomali dentofasial (termasuk malokklusi)
K08.0 Kelainan lain pada gigi dan struktur-struktur pendukung
K08 Gangguan gigi dan jaringan penunjang lainnya

K09 Kista rongga mulut dan penyakit pada rahang
K11 Penyakit kelenjar liur
K11.4 Fistula
K11.6 Mucocele
K12 Stomatitis dan lesi-lesi terkait
K12.0 Stomatitis apthosa
K13 Penyakit bibir, mukosa mulut lainnya &lidah
PENYAKIT PADA ESOFAGUS, LAMBUNG, DUODENUM
K25 Tukak lambung
K26 Ulkus duodenum
K29 Gastritis dan duodenitis 1 1
K29.5 Gastritis kronis yang tidak ditentukan 1 1
K30 Dyspepsia
K35 Appencitis akut
K37 Appedisitis tidak spesifik
K40 Hermia inguinal
K41 Hernia lainnya
K52.0 Gastroenteritis akut
K92.1 Melena
K92.9 Penyakit sistem pencernaan, tidak terspesifikasi
XIII PENYAKIT KULIT DAN JARINGAN SUB KUTAN
L01 Impetigo 1 1 5 1 1 1 1 2
L02 Abses furunkel dan karbunkel kutan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
L03 Paronychia
L08 Pioderma
L08.0 Pustular rush
L20 Atopic Dermatitis
L21 Allergic Contact Dermatitis 6 3 1 1
L24 Instant Contact Dermatitis 2 1 2 3 2 4 1 1 2 2 6
L27.2 Dermatitis yang disebabkan oleh makanan
L29 Pruritus
L30 Dermatitis lainnya
L30.0 Dermatitis numular
L30.3 Dermatitis infeksi yang disebabkan oleh eksim
L30.9 Eczema
L40 Psoriasis
L50 Urtikaria
L63 Alopecia areata
L70.0 Acne Vulgaris
L74.0 Miliaria Rubra
L91.0 Keloid
L98 Gangguan lain kulit &jaringan subkutan ytt
L98.0 Ulcer
XIV PENYAKIT SISTEM MUSKULOSKELETAL & JARINGAN IKAT
M06.9 Artritis rematoid, tidak terspesifikasi
M10 Gout
M25.5 Arthralgia
M54.3 Ischialgia
M54.5 Low Back Pain
M67.4 Ganglion
M79.1 Mialgia
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
M79.2 Neuralgia dan Neuritis tidak terspesifikasi
XV PENYAKIT SISTEM KEMIH DAN KELAMIN
N02 Hematuria berulang dan persisten
N18 Gagal ginjal kronik
N20 Nephrolithiasis
N20.9 Urolithiasis
N21.1 Uretrolithiasis
N22 Batu ginjal tidak spesifik
N23 Colic renal
N24 Radang kandung kemih (cystitis)
N28.8 Ureteritis
N30 Sistitis
N36.8 Colic Urethral
N40 Hiperplasia Prostat
N43 Hidrokel dan spermatokel
N44 Penyakit alat kelamin lakilainnya
N47 Prepusium berlebih, plemosis & parapimosis
N60 Gangguan pada payudara
N61 Mastitis
N70 Salpingitis dan Oophoritis
N72 Radang serviks
N73 Radang Panggul Perempuan Lainnya
N75.0 Kista dan abses kelenjar bartholini
N80 Endometriosis
N81 Prolaps alat kelamin perempuan
N82 Gangguan sistem kemih kelamin lainnya
N83 Gangguan bukan radang pada Indung telur
N89 Fluor albus (Vaginalis)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N91.2 Amenorrhea
N91.3 Gangguan haid lainnya
N92.0 Hyper menorrhagia
N92.1 Spotting Intermenstural NEC (irregular)
N92.3 Spotting Intermenstural NEC (regular)
N94.6 Dysmenorhea
XVI KEHAMILAN, PERSALIAN &NIFAS
O02.0 Blighten ovum
O03 Abortus spontan
14 Pre eklamsi
O15 Eklamsia
O16 Hipertensi maternal ytt
O21 Muntah yang berlebihan dlm kehamilan
O22 Emesis Gravidarum
O24 Diabetes Melitus dlm kehamilan
O25 Malnutrisi dalam kehamilan
O30 Kehamilan multipel
O31 Perawatan ibu yang berkaitan dgn janin dan ketuban
O36.9 Hamil gemeli
O42 Ketuban pecah dini
O44 Plasenta previa
O45 Solusio plasenta
O46 Perdarahan antepartum
O48 Kehamilan lewat waktu
O60 PersalinanPrematur
O63 Partus lama
O64 Persalinan macet
O65 CPD (kesulitan persalinan)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
O68 Persalinan dgn penyulit gawat janin
O72 perdarahan pasca persalinan
O80 Persalinan tunggal spontan
O84 Persalinan multiple
Penyulit yang lebih banyak berhubungan dengan masa
O85
nifas dan kondisi obstetrik lainnya
O91 Mastitis Non purulen Terkait dengan kelahiran anak
XVII KONDISI TERTENTU PADA MASA PERINATAL

P10-P15 Trauma lahir
P20-P29 Kelainan pada pernafasan dan jantung
P35-39 Infeksi spesifik masa perinatal
P50-P61 Perdarahan & Kelainan darah fetus &BBL
P75-P78 Gangguan pencernaan fetus & BBL
P80 Hipotermia BBL
P90 Kejang pada BBL
R04.0 Mimisan
R10 Abdominal & pelvic pain
R11 Nausea &vomitus
R13 Sulit menelan (dysphagia)
R14 Flatulece
R15 Fecal incontinence
R25 Tremor tidak terspesifikasi
R31 Kencing darahtidak terspesifikasi
R30 Sakit yang menyertai kegiatan berkemih (kencing)
R33 Retensio urin
R50 Demam tanpa diketahui penyebab 1 1 1 1 1 1 1 2 1
R50.9 Demam tidak terspesifikasi
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
R51 Sakit kepala (pusing)
R52 Nyeri tidak terklasifikasi di tempat lain
R53 Malaise (tidak enak badan) & fatigue (kelelahan)
R56.0 Kejang demam
R60 Edema tidak terklasifikasi ditempat lain
XIX LUKA DAN KERACUNAN
S00-S09 Cedera permukaan pada kepala
S10-S19 Luka pada leher
S20-S29 Cedera permukaan dada
S23 Dislokasi terkilir pada sendi &ligamen dada
S30-S39 Luka pd abdomen, lower back lumbar spine dan pelvis
S40-S49 Cedera permukaan pada pundak dan lengan atas

S50-S59 Cedera permukaan pada lengan bawah
S60-S69 Cedera otot & tendon setingkat pergelangan &tangan
S70-S79 Luka pada pinggul dan paha
S80 Cedera permukaan pada tungkai
S90-S99 Cedera permukaan pada pergelangan kaki dan tangan
T15 Benda asing pada mata luar

T16 Benda asing di telinga
T36-T50 Keracunan obat, mendikamentosa dan substansi biologi
T51-T65 Efek toksik non medicine

X40 Keracunan tak sengaja oleh terpapar analgesik
non piod, antipiretik, anti rematik
X48 Keracunan tak disengaja oleh terpapar pestisida
XX MORBIDITY AND MORTALITY
X08 Terpapar api dan asap
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
X16 Kontak dengan perangkat pemanas, radiator,pipa
X23 Kontak dengan lipan/ kaki seribu
V1-V99 TRANSPORT DENGAN ACCIDENT
W08 Jatuh melibatkan furnitur lain
W25 Kontak dengan gelas tajam
W26 Kontak dengan pisau, pedang atau belati
W54 Digigit atau ditabrak anjing 1
W55 Digigit binatang lainnnya
W56 Kontak dengan hewan laut
W60 Kontak dengan duri, onak tumbuhan dan daun tajam
W57 Digigit atau disenggat serangga
Lakalalin Kecelakaan Lalu Lintas 1
XX1 FAKTOR YANG MEMPENGARUHI KESEHATAN UNTUK PEMERIKSAAN & PENELITIAN
Z00 Sehat 1 1 2 1 1 1
Z30 Manajemen kontrasepsi
Z32 Pemeriksaan dan test kehamilan
Z34 Pengawasan kehamilan normal
Z39 Perawatan dan pemeriksaan pasca melahirkan
Orang mendatangi layanan kesehatan untuk konseling dan

Z71
nasehat medis lain yang tidak terklasifikasi
12
15
24
43
39
30
37
68
50
46
49
TOTAL
3
6
Mengetahui.
KEPALA PUSKESMAS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TIBAN BARU
dr.NUR'AINI
NIP.19760102 200604 2 028
LAPORAN BULANAN DATA KESAKITAN
5 - 9 tahun 10 - 14 tahun 15 - 19 tahun 20 - 44 tahun 45 - 54 tahun 55 - 59 tahun 60 - 69 tahun

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
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
1 1 2 2
1 1 5 1 2 2 3 1 2 1
1 2 2 4 1 1 1
2 1
1
1 2 1 1 2 1 2 1 1
1 1 1
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
3
3 2
1 2
1
1
2 1
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
1 5
1 2 1
4 2 1 6 3 9 5 3 1 1 3
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
1 1 2
3 3 1
1 4 13 2 10 4
1
1 1
1
1
1 1 1 4 1
1
1
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
1 1 1 1 3 2 1 1 1 5 5 1 2
2 32 34 1 17 16 9
1 2 1
1 2 1 1 1
2 1 6 5 1
1 2 1 1 1
5 7 1 2 1 2 1 2 7 13 2 2 4 2 1 2 1
2 3 1 2 1 1 1 1 6 1 2 1 2
28 26 25 24 12 12 6 7 2 5 6 6 26 27 21 25 7 4 13 16 1 2 2 3 1 5
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
1 1
2 2 2 2 1 1 1
1 1 1 1
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
2 2 2 8 2 2 3 5 5 1 1 1 2 1 1
2 2 1 3 2 1 18 8 7 6 2 3 4
3
3
3
3 1 2 1
2
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
5 1 1 9 10 1 2
3 7 1 1 1 3 2 3 1 2 2 2 1 1 1
1 1 1 2 1 1 1 1 1 1
3
1 1 1 5 4 4 1 3
1 1 3 1 2 1
1 4 5 1 1 2 2 2
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
2 2 1 3
1 2
2 1
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
3
1
1 1 2 1
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
1 3 1 1 1 1
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
1 2 2 2 2 2 2 1 1
1
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
2 1 1 1
1
1 1 1
1 47 2
1 2
3 1
103
116
43
64
51
41
33
36
21
17
14
35
52
32
68
58
77
25
35
61
42
17
18
24
11
9
7
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
NIP.
LB. 1
TAHUN : 2016
hun > 70 tahun JUMLAH

LAMA BARU LAMA BARU LAMA
P L P L P L P L P
46 47 48 49 50 51 52 53 54
4 2 2 5 13
0 0 0 0 0
11 7 11 25 54
6 3 1 2 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 2 2 4 8
0 1 0 0 1
0 0 0 0 0
0
7 8 6 4 25
0 0 0 0 0
0 0 0 0 0
2 2 5 2 11
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
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 3
0 2 3 0 5
2 0 0 1 3
0 0 0 2 2
0 0 1 0 1
3 0 1 0 4
0 2 0 0 2
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 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0
0 0 0 0 0
0 0 0 0 0
5 0 1 0 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 1 2 5
0 0 0 0 0
0 0 0 0 0
0
0 1 0 1 2
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 2 1 12 2 16 17 47
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 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 3 1 4
3 3 1 0 7
0 0 0 0 0
1 1 1 0 0 7 30 37
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
1 0 0 2 3
0 0 0 0 0
0 0 1 0 1
1 0 0 0 1
0 0 7 3 10
0 0 1 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 1 1
0 0 0 0 0
0 1 0 0 1
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 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 4 4 1 7 8 15 23
9 13 6 1 0 9 59 68
0 0 0 0 0
0 0 0 0 0
2 1 1 0 4
1 2 3 2 0 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
7 0 1 7 15
0 0 0 0 0
0 0 0 0 0
0
3 0 2 1 6
18 33 8 13 72
13 8 13 14 48
159 139 114 133 545
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 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 0 0 0 0
0 0 0 0 0
0 2 0 0 2
0 0 0 0 0
0 0 0 0 0
2 6 4 0 12
0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 3 0 0 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 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
6 17 12 5 40
3 33 23 2 61
0 0 3 0 3
0 0 3 0 3
0 0 3 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
10 3 6 1 20
0 0 2 0 2
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 14 15 10 40
11 17 16 13 57
0 0 0 0 0
0 0 0 1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 3 1 4 4 12
0 0 0 0 0
0 0 0 0 0
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 3
1 12 1 1 7 21
0 0 0 0 0
0 0 0 0 0
4 0 2 3 9
0 0 0 0 0
7 1 4 6 18
P L P L P L P L P
46 47 48 49 50 51 52 53 54
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 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 5 0 2 8
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 0 0 0
0 0 0 0 0
0 0 0 1 1
0 0 0 0 0
0 0 0 3 3
0 0 0 3 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 3 3
0 0 0 1 1
0 0 0 0 0
0 0 0 0 0
1 1 0 3 5
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 7 5 2 18
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
1 5 4 5 15
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 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 1
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
2 3 0 0 5
1 0 0 0 1
0 0 0 1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 2 0 1 4
0
3 2 0 2 7
48 0 2 0 50
2 0 0 1 3
3 0 0 1 4
0 0 0 0 0
0 0 0 0 0
480
354
339
426
1599
20
18
10
10
4
Batam,05 Januari 2016

PENANGGUNG JAWAB
P L P L P L P L P
46 47 48 49 50 51 52 53 54
RITA ANRAINI, AMK

NIP.19851007 201001 2 006
LA
MENU UTAMA
PUSK : TIBAN BARU
BULAN : Februari 2016
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
AO1.0 Demam tifoid 1
AO9.1 Diare dan gastroenteritis 2 4 3
A19 TB Milier
A35 Tetanus lainnya
A54 Infeksi Gonokok
A90 Demam dengue (dengue klasik)
B01 Varicella 1 1 1
B02 Herpes zoster
B03 Cacar air
B05 Campak 2 2 1 2 2
B07 Verucca
B08.8 Penyakit kaki tangan dan mulut 1 1 2 1
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
MIKOSIS
B35.1 Tinea Unguium
B35.2 Tinea manuum
B35.3 Tinea pedis
B35.4 Tinea corporis
B35.6 Tinea cruris
B36.0 Pitriasis Versicolor
B37 Candidal stomatitis
B37.0 Stomatitis yang disebabkan oleh candida/oral trush 1
B74 Filariasis
B77 Askariasis 1
B79 Trikuriasis
B86 Scabies
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
II.NEOPLASMA
D17.9 Lipoma
III KELAINAN DARAH
D50 Anemia Defisiensi Besi
E00 Gangguan Tirod
E04.9 Struma
E40 Kwarshiorkor
E44 Hipotensi
E66 Obesitas
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
F19
psikoaktif lainnya
F20 Skizofrenia
F45.9 Psikosomatis
G40 Epilepsi
G43 Migrain
G47.0 Insomnia
G51.0 Bell palsi
G81 Hemiplegia
G91 Hydrocephalus
H00.0 Hordeolum
H00.1 Chalazion
H01.0 Blefaritis
H10 Konjungtivitis 2 1
H11.0 Pterigium
H16 Keratitis
H25 Katarak Senilis
H40 Glaukoma
H49 Strabismus
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
H53.1 Asthenopia
H54 Buta dan Rabun
l20 Angina Pectoris
l50 Gagal jantung
l51.7 Kardio megali
l51.9 Decomp cordis
183.9 Varises
l84 Haemorrhoid
l84.9 Lymphadenitis
l95 Hipotensi
J00 Nasofaringitis akut 1 2 1 5
J02 Faringitis akut 3 1 7 124 2 7
J03 Tonsilitis Akut
J06 Infeksi saluran nafas atas akut ytt 1 3 9 24 31 60 39 17 22 18
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
J11.0 Influenza, virus tak teridentifikasi 3 1
J18 Pneumonia ytt 1 1
J45 Asma
K01.1 Gigi impaksi 5 5
K02.1 Karies dentin
K04 Pulpitis
K05.1 Ginggivitis
K05.4 Periodontosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

K11.4 Fistula
K11.6 Mucocele
K12 Stomatitis dan lesi-lesi terkait 1 4 4
K25 Tukak lambung
K26 Ulkus duodenum
K29 Gastritis dan duodenitis
K29.5 Gastritis kronis yang tidak ditentukan
K30 Dyspepsia
K35 Appencitis akut
K40 Hermia inguinal
K41 Hernia lainnya
K92.1 Melena
L01 Impetigo 1
L02 Abses furunkel dan karbunkel kutan 1 3 2
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
L03 Paronychia
L08 Pioderma
L08.0 Pustular rush
L21 Allergic Contact Dermatitis 1 2 1 6 2 1
L24 Instant Contact Dermatitis
L29 Pruritus
L30.9 Eczema
L40 Psoriasis
L50 Urtikaria
L63 Alopecia areata
L70.0 Acne Vulgaris
L91.0 Keloid
L98.0 Ulcer
M10 Gout
M25.5 Arthralgia
M54.3 Ischialgia
M54.5 Low Back Pain
M67.4 Ganglion
M79.1 Mialgia
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N20 Nephrolithiasis
N20.9 Urolithiasis
N23 Colic renal
N28.8 Ureteritis
N30 Sistitis
N61 Mastitis
N72 Radang serviks
N80 Endometriosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N91.2 Amenorrhea
N94.6 Dysmenorhea
O02.0 Blighten ovum
O03 Abortus spontan
14 Pre eklamsi
O15 Eklamsia
O36.9 Hamil gemeli
O44 Plasenta previa
O63 Partus lama
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
O85

P80 Hipotermia BBL
P90 Kejang pada BBL
R04.0 Mimisan
R11 Nausea &vomitus
R14 Flatulece
R33 Retensio urin
R50 Demam tanpa diketahui penyebab
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
R56.0 Kejang demam
S00-S09 Cedera permukaan pada kepala 2



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
W54 Digigit atau ditabrak anjing
Lakalalin Kecelakaan Lalu Lintas
Z00 Sehat 2 1 1 2 1

Z71
162
21
34
34
61
71
36
36
TOTAL
2
3
Mengetahui.
KEPALA PUSKESMAS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TIBAN BARU
dr.NUR'AINI
NIP.19760102 200604 2 028

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
2 1 1
4 2 4 1 1 1 3 2 1 1 2
3 1 1 2 2 2 5 1 2
1
2 3 2 2 2
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
1 1 2 3
2 1 1 4 1 1 1
3 4 1
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
3 2
2 1 3
36 5 2 5 12 16 1 2 3 4 5 1 1
1 3 1 2 1
1
1 1 1 5
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
1 2
4 10 1 2 6 1 5
3 1 1 1 5 8 2 2 9 1 2 3 2 2
3
1 2 2 1
1 1 3 4 2 3 3 3 2 2 1
1 1 3
1 2 1 2 1
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
3 1 2 2 2 3 5
2 1 1
2 1 4 9 2 1 1 1 1
8 12 17 5 4 11 18 20
2 3
1
4 3 2 1
3 4 6 3 5
9 1 1 7 3 4 2 7 3 5 12 1 1
1 1 1 4 2 1 2 4 5 1 1 3 4 2
34 44 25 26 3 8 31 20 12 8 14 36 15 36 45 21 23 15 1 2 3 2 8 1 1
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
1 2 1 15 23 2
3 12
2 2 1 1 2 3 2 1 3 3 2
2 3 7 2
3 1 3 1
1 1 9 2 1 3 7 12 4 9
2 2 5 1 3
1 3
2 1 2 1
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
1 3 1 1 14 2 1 3 13 2 1 3 5
5 13 1 12 2 5 6 3 2 1 1
2 1 3 2 2
1 1
4 1 3 1 1 1 1 1
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
4 8 5 1 2 1
1 3
1 2 5
1 2
5 6 2 1 2 8 1
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
2 3 1
3
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
3 3 1
2
7 2
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
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
1 1 1
1
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
1 1 2 1
1 46
104
210
116
67
70
32
60
60
41
57
44
25
30
43
60
48
55
71
56
65
15
32
37
22
23
23
7
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
NIP.
LB. 1
TAHUN : 2016

P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 1 4 0 5
0 0 0 0 0
8 6 8 9 31
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
5 10 3 1 19
0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
0
4 6 1 3 14
0 0 0 0 0
0 0 0 0 0
4 4 1 0 9
0 0 0 0 0
3 2 0 0 5
P L P L P L P L P
46 47 48 49 50 51 52 53 54
1 1 2 3 7
0 0 0 0 0
0 0 0 0 0
0
2 0 6 3 11
0 0 0 0 0
1 7 0 0 8
0 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 0 0 0 0
0 0 0 0 0
0
0 0 0 0 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 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0
0 0 0 0 0
0 0 0 0 0
3 0 0 2 5
0 0 0 0 0
0 0 0 0 0
0 0 0 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 5 6
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 8 8 52 26 94
0 0 0 0 0
0 0 0 0 0
2 3 1 2 8
0 1 0 0 1
0 1 6 1 8
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 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 1 3
2 10 11 6 29
0 0 0 0 0
5 4 3 15 25 47
0 0 0 3 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 3 3 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
11 7 2 8 28
0 0 0 0 0
0 0 0 0 0
0 0 1 4 5
0 0 0 0 0
0 0 0 0 0
0 0 3 4 7
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
8 7 1 2 18
0 0 0 0 0
0 0 3 1 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
1 8 12 0 3 23
6 3 6 21 49 28 104
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 2 3 5
0 0 0 0 0
0 0 0 0 0
0 0 0 1 1
4 2 4 0 10
0 0 0 0 0
0 0 0 0 0
0
11 19 0 0 30
27 152 6 15 200
4 10 11 7 32
139 155 178 186 658
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
24 4 4 16 48
1 1 0 0 2
0 0 0 0 0
0 0 3 12 15
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
7 3 6 6 22
0
0
0 0 5 9 14
0 0 8 10 18
0 0 0 0 0
4 26 18 1 49
0 0 0 0 0
0 0 0 0 0
0 8 4 1 13
0 0 0 0 0
0 0 0 0 0
0 1 3 0 4
0 1 5 0 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 4 0 0 10
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
7 33 7 3 50
0 0 0 0 0
19 7 16 9 51
0 0 5 5 10
0 0 0 0 0
0 0 0 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 0 3
8 5 2 4 19
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
16 10 4 4 34
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 3 0 0 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 0
0 0 0 0 0
0
0 1 2 5 8
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 2 0 3
0 0 0 0 0
8 7 2 8 25
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 5 1 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 3 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 7 7
0 0 0 2 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 9 9
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
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 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 1 1 3
0 0 0 0 0
0 0 0 0 0
0 0 0 1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
3 1 0 1 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
4 3 0 0 7
0 0 46 1 47
0 0 0 0 0
0 0 4 0 4
0 0 0 0 0
0 0 0 0 0
377
572
529
474
1952
7
Batam, 03 Maret 2016

PENANGGUNG JAWAB
P L P L P L P L P
46 47 48 49 50 51 52 53 54
RITA ANRAINI, AMK

NIP.19851007 201001 2 006
LA
MENU UTAMA
PUSK : TIBAN BARU
BULAN : AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
AO1.0 Demam tifoid 1 1 1

A19 TB Milier
A35 Tetanus lainnya
A54 Infeksi Gonokok
Penyakit menular seksual tidak
A64
terspesifikasi
A91 Demam berdarah dengue 2 2
B01 Varicella 1 1 2 1 2
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
B02 Herpes zoster
B03 Cacar air
B05 Campak
B07 Verucca
Mumps (gondongan, beguk) disertai
B26.8
komplikasi lain
MIKOSIS
B35.1 Tinea Unguium
B35.2 Tinea manuum
B35.3 Tinea pedis
B35.6 Tinea cruris
Stomatitis yang disebabkan oleh
B37.0 1
candida/oral trush
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

B74 Filariasis
B77 Askariasis
B79 Trikuriasis
B86 Scabies
II.NEOPLASMA


1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
D17.9 Lipoma
III KELAINAN DARAH
E00 Gangguan Tirod
E04.9 Struma
E40 Kwarshiorkor
E44 Hipotensi
E66 Obesitas
Asam Urat tanpa Gejala aetritis dan
E79
thopus
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Gangguan mental dan perilaku akibat zat
F19
multiple & psikoaktif lainnya
F20 Skizofrenia
F45.9 Psikosomatis
G40 Epilepsi
G43 Migrain
G47.0 Insomnia
G51.0 Bell palsi
G81 Hemiplegia
G91 Hydrocephalus
H00.0 Hordeolum
H00.1 Chalazion
H01.0 Blefaritis
H10 Konjungtivitis 5 1 1 1
H11.0 Pterigium
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
H16 Keratitis
H25 Katarak Senilis
H40 Glaukoma
H49 Strabismus
H53.1 Asthenopia
H54 Buta dan Rabun
H66 Otitis Media Supuratif 2
l20 Angina Pectoris
l50 Gagal jantung
l51.7 Kardio megali
l51.9 Decomp cordis
1 2
Stroke, tidak terspsifikasi sbg 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
l64
perdarahan/infark
183.9 Varises
l84 Haemorrhoid
l84.9 Lymphadenitis
l95 Hipotensi
J00 Nasofaringitis akut 3 7
J02 Faringitis akut 14 8 8 14
J03 Tonsilitis Akut
J06 Infeksi saluran nafas atas akut ytt 12 6 24 15 14 18 14 3
J18 Pneumonia ytt

J45 Asma
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
K00 Gangguan perkenbangan & Erupsi gigi 2
K01.1 Gigi impaksi
K02.0 Karies terbatas pada enamel 5 1
K02.1 Karies dentin 1 3 2
K04 Pulpitis 1
K04.1 Nekrosis pulpa 1 1
K04.7 Periapikal abses tanpa sinus 1 2 3 1
K05.1 Ginggivitis
K05.2 Periodonitis akut 3
K05.4 Periodontosis
Anomali dentofasial (termasuk
K07
malokklusi)
Kelainan lain pada gigi dan struktur-
K08.0
struktur pendukung
Gangguan gigi dan jaringan penunjang
K08
lainnya
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Kista rongga mulut dan penyakit pada
K09
rahang
K11.4 Fistula
K11.6 Mucocele
K12.0 Stomatitis apthosa 3 5
Penyakit bibir, mukosa mulut lainnya
K13 1 2
&lidah
K25 Tukak lambung
K26 Ulkus duodenum
K30 Dyspepsia
K35 Appencitis akut
K40 Hermia inguinal
K41 Hernia lainnya
K92.1 Melena
Penyakit sistem pencernaan, tidak
K92.9
terspesifikasi
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
L01 Impetigo 1
L02 Abses furunkel dan karbunkel kutan 2 2 1
L03 Paronychia
L08 Pioderma
L08.0 Pustular rush
L21 Allergic Contact Dermatitis 4 4 2
L24 Instant Contact Dermatitis 2 4
Dermatitis yang disebabkan oleh
L27.2
makanan
L29 Pruritus
Dermatitis infeksi yang disebabkan oleh
L30.3
eksim
L30.9 Eczema
L40 Psoriasis
L50 Urtikaria
L63 Alopecia areata
L70.0 Acne Vulgaris
L91.0 Keloid
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Gangguan lain kulit &jaringan subkutan
L98
ytt
L98.0 Ulcer
M10 Gout
M25.5 Arthralgia
M54.3 Ischialgia
M54.5 Low Back Pain
M67.4 Ganglion
M79.1 Mialgia

N20 Nephrolithiasis
N20.9 Urolithiasis
N23 Colic renal
N28.8 Ureteritis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N30 Sistitis
Prepusium berlebih, plemosis &
N47
parapimosis
N61 Mastitis
N72 Radang serviks
N80 Endometriosis
Gangguan bukan radang pada Indung

N83
telur
N91.2 Amenorrhea
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

N94.6 Dysmenorhea
O02.0 Blighten ovum
O03 Abortus spontan
14 Pre eklamsi
O15 Eklamsia

Perawatan ibu yang berkaitan dgn janin
O31
dan ketuban
O36.9 Hamil gemeli
O44 Plasenta previa
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
O63 Partus lama
Penyulit yang lebih banyak berhubungan
O85 dengan masa nifas dan kondisi obstetrik
lainnya
Mastitis Non purulen Terkait dengan
O91
kelahiran anak

P80 Hipotermia BBL
P90 Kejang pada BBL
R04.0 Mimisan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
R11 Nausea &vomitus
R14 Flatulece
Sakit yang menyertai kegiatan berkemih
R30
(kencing)
R33 Retensio urin
Malaise (tidak enak badan) & fatigue
R53
(kelelahan)
R56.0 Kejang demam

S00-S09 Cedera permukaan pada kepala 2
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Dislokasi terkilir pada sendi &ligamen
S23
dada
Luka pd abdomen, lower back lumbar
S30-S39
spine dan pelvis
Cedera permukaan pada pundak dan
S40-S49
lengan atas
Cedera otot & tendon setingkat

S60-S69
pergelangan &tangan
S80 Cedera permukaan pada tungkai 2
Cedera permukaan pada pergelangan
S90-S99
kaki dan tangan
Keracunan obat, mendikamentosa dan
T36-T50
substansi biologi
Keracunan tak sengaja oleh terpapar
X40
analgesik
Keracunan tak disengaja oleh terpapar
X48
pestisida
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Kontak dengan perangkat pemanas,
X16
radiator,pipa
W25 Kontak dengan gelas tajam 1

Kontak dengan duri, onak tumbuhan dan
W60
daun tajam
Lakalalin Kecelakaan Lalu Lintas 1 3 1
Z00 Sehat 2 1 2
Perawatan dan pemeriksaan pasca
Z39
melahirkan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Orang mendatangi layanan kesehatan
Z71 untuk konseling dan nasehat medis lain
yang tidak terklasifikasi
30
15
27
17
68
65
21
20
TOTAL
2
Mengetahui.
KEPALA PUSKESMAS
TIBAN BARU
dr.NUR'AINI
NIP.19760102 200604 2 028

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
9 3 2 5 4 2 5 4 1
3 1 1 2
1 1 1
1 2 1 3 1 3
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
1 1 2
2 4
4 5 2 3 2
2 1 2 3
1 1 1 2 1 1
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
1
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
3 2
5 2 2 4 6 6 6 1 1 1 7 1 1 1 6
9 9 7
2 2 4 4 1 2 1 1
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
3 1 1 5 5 2 3 1 1
1 1 1 2 1 3 1 1 2 4
1
2 3 5 3 1 1 2 1 1 4 3
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
2 1 1
2 2 4 1
12 15 8 4 1 4 16 9 3 2 8 7 1 2 1
1 1
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
1
1 3
7 8 6
5 8 6 2 5 4 1 1 1 2 4 1 4 1
17 18 3 3 1 1 2 2 2 9 1 2 4 8
6 1 1 4 3 1 7 2
12 12 17 19 22 25 1 38 16 7 10 22 33 41 1 8 2 6 4 4 4 1 2 2 3 1
1 2 2 1 2 2
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
1 1 4 1 1 1 2 2 1 1
2
5 3 1 3 6 1
1 3 3 5 5 1 4 9 2 4 1
1 5 2 1 1 1 2 1 1 4 1 2 1 1 1 1 1
1 1 2 1 5 4 1 1 2
2 2 1 2 2 2 2 3 6 3 2 1 2
1 1 3 6 5 1 4 5 5 1 1 2 2
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
3 4 2
2 1 1
1 1 16 2 1 3 4 2 1 1 2 4 3
1 2 5 2 1 2
1
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
1
19 2 1 1 4 1 1 6 2 3
4 13 3 3 4 20 8 7
3 2 1 4 4 2
1
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
7 7 2 4 1 13 1 2 2 3
4 5 2 1 2 1 1 6 1
1 1
2 5 6 1 2
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
2
1
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
2
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
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
2 2 3 1 1
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
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
1 2 2 4
1 1
4 2
15 2
1
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
165
164
98
63
38
50
55
51
17
55
41
59
37
68
59
62
57
73
41
25
17
18
26
13
9
NIP.
LB. 1
TAHUN : 2016
ahun > 70 tahun JUMLAH

P L P L P L P L P
46 47 48 49 50 51 52 53 54
2 1 1 1 5
0 0 0 0 0
30 16 0 0 46
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 3 0 0 7
0 0 0 0 0
4 3 0 0 7
0 0 0 0 0
0
5 10 2 1 18
P L P L P L P L P
46 47 48 49 50 51 52 53 54
1 3 0 0 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 0
2 0 0 4 6
0 0 0 0 0
0
0 0 0 0 0
9 5 0 2 16
0 0 0 0 0
4 4 0 0 8
0 0 0 0 0
3 2 2 0 7
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
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 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 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
3 2 0 0 5
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
1 0 0 0 1
3 13 10 21 9 53
0 0 0 0 0
0 0 0 0 0
16 9 0 0 25
0 0 0 0 0
5 2 3 7 17
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 11 10 1 22
0 0 0 0 0
3 8 3 3 17
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
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
13 9 6 6 34
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 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 0 4
4 4 0 1 9
0 0 0 0 0
1 0 0 2 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
15 1 11 5 17 24 44 40 125
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 2 0 2
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 1 0 1
0 0 0 0 0
3 0 0 1 4
0 0 0 0 0
0 13 8 0 21
0
19 24 6 6 55
50 62 2 3 117
17 4 1 3 25
2 5 118 122 73 113 426
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 3 2 2 10
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0
0
3 4 5 5 17
0 2 0 0 2
13 7 0 5 25
6 5 30 3 44
0 0 0 0 0
0 0 0 0 0
6 8 9 5 28
2 2 3 5 8 8 24
0 0 0 0 0
12 7 9 9 37
0 0 0 0 0
7 8 13 12 40
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
8 9 0 0 17
5 2 0 0 7
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
8 6 5 22 41
0 0 0 0 0
2 4 5 2 13
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
P L P L P L P L P
46 47 48 49 50 51 52 53 54
1 1 0 0 2
31 10 1 3 45
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
38 4 0 30 72
14 4 0 4 22
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 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 1
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
2 4 12 26 5 5 48
7 6 3 7 23
0 0 0 0 0
0 0 0 0 0
0 1 1 0 2
0 0 0 0 0
6 10 0 0 16
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 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 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 2 0 0 2
0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 2 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 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 6 0 0 9
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 2
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 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 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 0 0
0 0 0 0 0
0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
1 0 4 5 10
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 0 0 3 7
0
2 9 0 0 11
0 0 0 0 0
0 15 0 2 17
0 0 0 0 0
0 0 0 1 1
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 1 1
550
525
286
337
20
11
1698
9

PENANGGUNG JAWAB
RITA ANRAINI, AMK

NIP.19851007 201001 2 006
LA
MENU UTAMA
PUSK : TIBAN BARU
BULAN : AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
AO1.0 Demam tifoid 3 3
A19 TB Milier
A35 Tetanus lainnya
A54 Infeksi Gonokok
B01 Varicella 3 1
B02 Herpes zoster
B03 Cacar air
B05 Campak
B07 Verucca
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
MIKOSIS
B35.1 Tinea Unguium
B35.2 Tinea manuum
B35.3 Tinea pedis
B35.6 Tinea cruris
B37.0 Stomatitis yang disebabkan oleh candida/oral trush
B74 Filariasis
B77 Askariasis
B79 Trikuriasis
B86 Scabies
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
II.NEOPLASMA
D17.9 Lipoma
III KELAINAN DARAH
E00 Gangguan Tirod
E04.9 Struma
E40 Kwarshiorkor
E44 Hipotensi
E66 Obesitas
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
F19
psikoaktif lainnya
F20 Skizofrenia
F45.9 Psikosomatis
G40 Epilepsi
G43 Migrain
G47.0 Insomnia
G51.0 Bell palsi
G81 Hemiplegia
G91 Hydrocephalus
H00.0 Hordeolum
H00.1 Chalazion
H01.0 Blefaritis
H10 Konjungtivitis
H11.0 Pterigium
H16 Keratitis
H25 Katarak Senilis
H40 Glaukoma
H49 Strabismus
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
H53.1 Asthenopia
H54 Buta dan Rabun
l20 Angina Pectoris
l50 Gagal jantung
l51.7 Kardio megali
l51.9 Decomp cordis
183.9 Varises
l84 Haemorrhoid
l84.9 Lymphadenitis
l95 Hipotensi
J02 Faringitis akut 5 3 1 2
J03 Tonsilitis Akut
J06 Infeksi saluran nafas atas akut ytt 1 5 11 22 11 30 36 12 19 12
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
J18 Pneumonia ytt
J45 Asma
K01.1 Gigi impaksi
K02.1 Karies dentin
K04 Pulpitis
K05.1 Ginggivitis
K05.4 Periodontosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

K11.4 Fistula
K11.6 Mucocele
K25 Tukak lambung
K26 Ulkus duodenum
K30 Dyspepsia
K35 Appencitis akut
K40 Hermia inguinal
K41 Hernia lainnya
K92.1 Melena
L01 Impetigo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
L03 Paronychia
L08 Pioderma
L08.0 Pustular rush
L21 Allergic Contact Dermatitis 1 2 1 1
L27.2 Dermatitis yang disebabkan oleh makanan 3 1 2
L29 Pruritus
L30.9 Eczema
L40 Psoriasis
L50 Urtikaria 1 2 4 2
L63 Alopecia areata
L70.0 Acne Vulgaris
L91.0 Keloid
L98.0 Ulcer
M10 Gout
M25.5 Arthralgia
M54.3 Ischialgia
M54.5 Low Back Pain
M67.4 Ganglion
M79.1 Mialgia
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N20 Nephrolithiasis
N20.9 Urolithiasis
N23 Colic renal
N28.8 Ureteritis
N30 Sistitis
N61 Mastitis
N72 Radang serviks
N80 Endometriosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N91.2 Amenorrhea
N94.6 Dysmenorhea
O02.0 Blighten ovum
O03 Abortus spontan
14 Pre eklamsi
O15 Eklamsia
O36.9 Hamil gemeli
O44 Plasenta previa
O63 Partus lama
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
O85

P80 Hipotermia BBL
P90 Kejang pada BBL
R04.0 Mimisan
R11 Nausea &vomitus
R14 Flatulece
R33 Retensio urin
R50 Demam tanpa diketahui penyebab 3 2 2 1
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
R56.0 Kejang demam
S00-S09 Cedera permukaan pada kepala 1 2

S80 Cedera permukaan pada tungkai 1 1


1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Lakalalin Kecelakaan Lalu Lintas 1 2
Z00 Sehat 1 1 1

Z71
13
22
11
30
60
32
27
20
TOTAL
1
0
Mengetahui.
KEPALA PUSKESMAS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TIBAN BARU
dr.NUR'AINI
NIP.19760102 200604 2 028

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
4 1 1 4 1 1 1 1
1 2 1
2 2 2 1
1 2 3 1 1 1
1
1
1 1
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
2 1 1
1 2
1 1 1 2
2 1 1 1
3 3 1 1 2 1
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
6 2 5 2 1 1 8 3 3 4 8 1 2 6
2 3 1 2 1
1 2 3 2 3
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
2 1 2 4 1 1
1 2 3
2
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
10 5 19 13 6 3 8 9 3 1 11 9 4 5 1
1 1 2
2 1 1 1
5 6 8 2 13 1 11 2 3 15
5 2 2 1 6 2 2
13 3 36 14 25 14 18 19 23 26 25 23 12 16 19 11 10 12 26 21 11 10 9 6 5 1 2
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
1 2 3 1 1 1 1
1 2 1 3 1 1 2 1
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
2 1 1 1
11 2 3 2 2 1 1 2 5 6 4 12
11 2 3 5 8 4 14 23 2 1 1 2 5 3
2 1 2
1 1
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
3 2 3 5 2 1 1 1 1
1 3 2 1 1 1
1 1 1 2 1 1
3 2 1 2 5 3 2 1 1 1 1
5 3 2 11 2 2 1 3 2 1 2 2
2 1 6
2 1 2 2 1 1 3 1 1
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
3
2
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
1
2
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
2 5 3 2 2 1 1
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
2 3 1 2 1 1 3 1
1
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
1 1 1 1
43 2 2 1
3
5 2
112
27
21
58
19
58
30
45
25
43
51
39
33
87
80
75
48
40
55
49
36
28
33
36
13
10
11
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
NIP.
LB. 1
TAHUN : 2016

P L P L P L P L P
46 47 48 49 50 51 52 53 54
3 10 7 0 20
0 0 0 0 0
4 3 2 0 9
0 4 3 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
0 0 0 0 0
5 4 0 0 9
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
3 1 1 0 5
1 0 0 0 1
0 2 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
1 3 0 0 4
2 1 0 0 3
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
1 2 2 0 5
0 0 0 0 0
2 1 1 1 5
6 2 1 7 8
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0
0 0 0 0 0
0 0 0 0 0
0 0 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 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
7 1 9 12 5 32 20 69
0 0 0 0 0
0 0 0 0 0
4 4 1 0 9
0 0 0 0 0
1 4 6 0 11
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
5 6 0 0 11
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 0 0 0 6
0 0 0 0 0
0 0 0 0 0
0 2 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 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 3 3 26 17 39 33 115
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 2 0 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 2 1 5
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
26 25 20 6 77
5 2 10 3 20
6 8 10 155 131 165 142 593
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 3 4 1 10
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 2 2 2 12
0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 2 0 0 5
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
18 9 8 16 51
26 10 18 30 84
1 4 0 0 5
0 0 0 0 0
0 0 0 0 0
2 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
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
10 7 5 2 24
0 0 0 0 0
5 3 4 3 15
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 3 7 3 16
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
9 6 4 3 22
5 12 7 7 15 41
0 0 0 0 0
0 0 0 0 0
1 0 0 8 9
0 0 0 0 0
3 3 5 3 14
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 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 3
2 0 0 0 2
P L P L P L P L P
46 47 48 49 50 51 52 53 54
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
2 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 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 5 9 4 24
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
8 4 1 1 14
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
3 2 0 0 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 1 0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
3 1 0 0 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 0
0 0 0 0 0
1 2 0 0 3
0
2 1 0 0 3
3 43 0 2 48
0 3 0 0 3
0 5 0 2 7
0 0 0 0 0
0 1 0 0 1
405
367
368
308
1448
21
17
15

PENANGGUNG JAWAB
P L P L P L P L P
46 47 48 49 50 51 52 53 54
RITA ANRAINI, AMK

NIP.19851007 201001 2 006
LA
MENU UTAMA
PUSK : TIBAN BARU
BULAN : AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
AO1.0 Demam tifoid
AO9.1 Diare dan gastroenteritis
A19 TB Milier
A35 Tetanus lainnya
A54 Infeksi Gonokok
B01 Varicella
B02 Herpes zoster
B03 Cacar air
B05 Campak
B07 Verucca
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
MIKOSIS
B35.1 Tinea Unguium
B35.2 Tinea manuum
B35.3 Tinea pedis
B35.6 Tinea cruris
B74 Filariasis
B77 Askariasis
B79 Trikuriasis
B86 Scabies
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
II.NEOPLASMA
D17.9 Lipoma
III KELAINAN DARAH
E00 Gangguan Tirod
E04.9 Struma
E40 Kwarshiorkor
E44 Hipotensi
E66 Obesitas
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
F19
psikoaktif lainnya
F20 Skizofrenia
F45.9 Psikosomatis
G40 Epilepsi
G43 Migrain
G47.0 Insomnia
G51.0 Bell palsi
G81 Hemiplegia
G91 Hydrocephalus
H00.0 Hordeolum
H00.1 Chalazion
H01.0 Blefaritis
H10 Konjungtivitis
H11.0 Pterigium
H16 Keratitis
H25 Katarak Senilis
H40 Glaukoma
H49 Strabismus
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
H53.1 Asthenopia
H54 Buta dan Rabun
l20 Angina Pectoris
l50 Gagal jantung
l51.7 Kardio megali
l51.9 Decomp cordis
183.9 Varises
l84 Haemorrhoid
l84.9 Lymphadenitis
l95 Hipotensi
J02 Faringitis akut
J03 Tonsilitis Akut
J06 Infeksi saluran nafas atas akut ytt
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
J18 Pneumonia ytt
J45 Asma
K01.1 Gigi impaksi
K02.1 Karies dentin
K04 Pulpitis
K05.1 Ginggivitis
K05.4 Periodontosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

K11.4 Fistula
K11.6 Mucocele
K25 Tukak lambung
K26 Ulkus duodenum
K30 Dyspepsia
K35 Appencitis akut
K40 Hermia inguinal
K41 Hernia lainnya
K92.1 Melena
L01 Impetigo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
L03 Paronychia
L08 Pioderma
L08.0 Pustular rush
L21 Allergic Contact Dermatitis
L29 Pruritus
L30.9 Eczema
L40 Psoriasis
L50 Urtikaria
L63 Alopecia areata
L70.0 Acne Vulgaris
L91.0 Keloid
L98.0 Ulcer
M10 Gout
M25.5 Arthralgia
M54.3 Ischialgia
M54.5 Low Back Pain
M67.4 Ganglion
M79.1 Mialgia
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N20 Nephrolithiasis
N20.9 Urolithiasis
N23 Colic renal
N28.8 Ureteritis
N30 Sistitis
N61 Mastitis
N72 Radang serviks
N80 Endometriosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N91.2 Amenorrhea
N94.6 Dysmenorhea
O02.0 Blighten ovum
O03 Abortus spontan
14 Pre eklamsi
O15 Eklamsia
O36.9 Hamil gemeli
O44 Plasenta previa
O63 Partus lama
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
O85

P80 Hipotermia BBL
P90 Kejang pada BBL
R04.0 Mimisan
R11 Nausea &vomitus
R14 Flatulece
R33 Retensio urin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
R56.0 Kejang demam



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Z00 Sehat

Z71
TOTAL
0
0
Mengetahui.
KEPALA PUSKESMAS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TIBAN BARU
dr.NUR'AINI
NIP.19760102 200604 2 028

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
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
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
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
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
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
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
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
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
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
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
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
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
0
0
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
NIP.
LB. 1
TAHUN : 2016

P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0

PENANGGUNG JAWAB
P L P L P L P L P
46 47 48 49 50 51 52 53 54
RITA ANRAINI, AMK

NIP.19851007 201001 2 006
LA
MENU UTAMA
PUSK : TIBAN BARU
BULAN : AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
AO1.0 Demam tifoid
A19 TB Milier
A35 Tetanus lainnya
A54 Infeksi Gonokok
B01 Varicella
B02 Herpes zoster
B03 Cacar air
B05 Campak
B07 Verucca
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
MIKOSIS
B35.1 Tinea Unguium
B35.2 Tinea manuum
B35.3 Tinea pedis
B35.6 Tinea cruris
B74 Filariasis
B77 Askariasis
B79 Trikuriasis
B86 Scabies
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
II.NEOPLASMA
D17.9 Lipoma
III KELAINAN DARAH
E00 Gangguan Tirod
E04.9 Struma
E40 Kwarshiorkor
E44 Hipotensi
E66 Obesitas
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
F19
psikoaktif lainnya
F20 Skizofrenia
F45.9 Psikosomatis
G40 Epilepsi
G43 Migrain
G47.0 Insomnia
G51.0 Bell palsi
G81 Hemiplegia
G91 Hydrocephalus
H00.0 Hordeolum
H00.1 Chalazion
H01.0 Blefaritis
H10 Konjungtivitis
H11.0 Pterigium
H16 Keratitis
H25 Katarak Senilis
H40 Glaukoma
H49 Strabismus
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
H53.1 Asthenopia
H54 Buta dan Rabun
l20 Angina Pectoris
l50 Gagal jantung
l51.7 Kardio megali
l51.9 Decomp cordis
183.9 Varises
l84 Haemorrhoid
l84.9 Lymphadenitis
l95 Hipotensi
J02 Faringitis akut
J03 Tonsilitis Akut
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
J18 Pneumonia ytt
J45 Asma
K01.1 Gigi impaksi
K02.1 Karies dentin
K04 Pulpitis
K05.1 Ginggivitis
K05.4 Periodontosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

K11.4 Fistula
K11.6 Mucocele
K25 Tukak lambung
K26 Ulkus duodenum
K30 Dyspepsia
K35 Appencitis akut
K40 Hermia inguinal
K41 Hernia lainnya
K92.1 Melena
L01 Impetigo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
L03 Paronychia
L08 Pioderma
L08.0 Pustular rush
L29 Pruritus
L30.9 Eczema
L40 Psoriasis
L50 Urtikaria
L63 Alopecia areata
L70.0 Acne Vulgaris
L91.0 Keloid
L98.0 Ulcer
M10 Gout
M25.5 Arthralgia
M54.3 Ischialgia
M54.5 Low Back Pain
M67.4 Ganglion
M79.1 Mialgia
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N20 Nephrolithiasis
N20.9 Urolithiasis
N23 Colic renal
N28.8 Ureteritis
N30 Sistitis
N61 Mastitis
N72 Radang serviks
N80 Endometriosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N91.2 Amenorrhea
N94.6 Dysmenorhea
O02.0 Blighten ovum
O03 Abortus spontan
14 Pre eklamsi
O15 Eklamsia
O36.9 Hamil gemeli
O44 Plasenta previa
O63 Partus lama
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
O85

P80 Hipotermia BBL
P90 Kejang pada BBL
R04.0 Mimisan
R11 Nausea &vomitus
R14 Flatulece
R33 Retensio urin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
R56.0 Kejang demam



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Z00 Sehat

Z71
TOTAL
0
0
Mengetahui.
KEPALA PUSKESMAS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TIBAN BARU
dr.NUR'AINI
NIP.19760102 200604 2 028

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
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
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
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
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
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
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
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
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
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
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
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
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
0
0
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
NIP.
LB. 1
TAHUN : 2016

P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0

PENANGGUNG JAWAB
P L P L P L P L P
46 47 48 49 50 51 52 53 54
RITA ANRAINI, AMK

NIP.19851007 201001 2 006
MENU UTAMA
PUSK : TIBAN BARU
BULAN : AGUSTUS
0-7 hr 8
KODE JENIS PENYAKIT BARU LAMA BARU
L P L P L
1 2 3 4 5 6 7
AO1.0 Demam tifoid
A19 TB Milier
A35 Tetanus lainnya
A54 Infeksi Gonokok
B01 Varicella
B02 Herpes zoster
B03 Cacar air
B05 Campak
B07 Verucca
MIKOSIS
B35.1 Tinea Unguium
B35.2 Tinea manuum
B35.3 Tinea pedis
B35.6 Tinea cruris
0-7 hr 8
L P L P L
1 2 3 4 5 6 7
B74 Filariasis
B77 Askariasis
B79 Trikuriasis
B86 Scabies
II.NEOPLASMA
D17.9 Lipoma
III KELAINAN DARAH
E00 Gangguan Tirod
E04.9 Struma
E40 Kwarshiorkor
E44 Hipotensi
E66 Obesitas
0-7 hr 8
L P L P L
1 2 3 4 5 6 7
F19
psikoaktif lainnya
F20 Skizofrenia
F45.9 Psikosomatis
G40 Epilepsi
G43 Migrain
G47.0 Insomnia
G51.0 Bell palsi
G81 Hemiplegia
G91 Hydrocephalus
H00.0 Hordeolum
H00.1 Chalazion
H01.0 Blefaritis
H10 Konjungtivitis
H11.0 Pterigium
H16 Keratitis
H25 Katarak Senilis
H40 Glaukoma
H49 Strabismus
H53.1 Asthenopia
H54 Buta dan Rabun
0-7 hr 8
L P L P L
1 2 3 4 5 6 7
l20 Angina Pectoris
l50 Gagal jantung
l51.7 Kardio megali
l51.9 Decomp cordis
183.9 Varises
l84 Haemorrhoid
l84.9 Lymphadenitis
l95 Hipotensi
J02 Faringitis akut
J03 Tonsilitis Akut
J18 Pneumonia ytt
J45 Asma
K01.1 Gigi impaksi
K02.1 Karies dentin
0-7 hr 8
L P L P L
1 2 3 4 5 6 7
K04 Pulpitis
K05.1 Ginggivitis
K05.4 Periodontosis

K11.4 Fistula
K11.6 Mucocele
K25 Tukak lambung
K26 Ulkus duodenum
K30 Dyspepsia
K35 Appencitis akut
K40 Hermia inguinal
K41 Hernia lainnya
K92.1 Melena
L01 Impetigo
L03 Paronychia
L08 Pioderma
L08.0 Pustular rush
0-7 hr 8
L P L P L
1 2 3 4 5 6 7
L29 Pruritus
L30.9 Eczema
L40 Psoriasis
L50 Urtikaria
L63 Alopecia areata
L70.0 Acne Vulgaris
L91.0 Keloid
L98.0 Ulcer
M10 Gout
M25.5 Arthralgia
M54.3 Ischialgia
M54.5 Low Back Pain
M67.4 Ganglion
M79.1 Mialgia
N20 Nephrolithiasis
N20.9 Urolithiasis
N23 Colic renal
N28.8 Ureteritis
N30 Sistitis
0-7 hr 8
L P L P L
1 2 3 4 5 6 7
N61 Mastitis
N72 Radang serviks
N80 Endometriosis
N91.2 Amenorrhea
N94.6 Dysmenorhea
O02.0 Blighten ovum
O03 Abortus spontan
14 Pre eklamsi
O15 Eklamsia
O36.9 Hamil gemeli
O44 Plasenta previa
0-7 hr 8
L P L P L
1 2 3 4 5 6 7
O63 Partus lama
O85

P80 Hipotermia BBL
P90 Kejang pada BBL
R04.0 Mimisan
R11 Nausea &vomitus
R14 Flatulece
R33 Retensio urin
R56.0 Kejang demam
0-7 hr 8
L P L P L
1 2 3 4 5 6 7



Z00 Sehat
0-7 hr 8
L P L P L
1 2 3 4 5 6 7
Z71
TOTAL
0
Mengetahui.
KEPALA PUSKESMAS
TIBAN BARU
dr.NUR'AINI
NIP.19760102 200604 2 028
LAPORAN BULANAN DA
8-28 hr 1 bulan < 1th 1 - 4 tahun 5 - 9 tahun 10 -

BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU
P L P L P L P L P L P L P L P L
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
0
0
AN DATA KESAKITAN
10 - 14 tahun 15 - 19 tahun 20 - 44 tahun 45 - 54 tahun 55 -

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
0
0
LB. 1
TAHUN : 2016
55 - 59 tahun 60 - 69 tahun > 70 tahun JUMLAH

BARU LAMA BARU LAMA BARU LAMA BARU LAMA
P L P L P L P L P L P L P L P
40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
0 0 0 0
0
0
PENANGGUNG JAWAB
RITA ANRAINI, AMK

NIP.19851007 201001 2 006
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
LA
MENU UTAMA
PUSK : TIBAN BARU
BULAN : AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
AO1.0 Demam tifoid
A19 TB Milier
A35 Tetanus lainnya
A54 Infeksi Gonokok
B01 Varicella
B02 Herpes zoster
B03 Cacar air
B05 Campak
B07 Verucca
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
MIKOSIS
B35.1 Tinea Unguium
B35.2 Tinea manuum
B35.3 Tinea pedis
B35.6 Tinea cruris
B74 Filariasis
B77 Askariasis
B79 Trikuriasis
B86 Scabies
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
II.NEOPLASMA
D17.9 Lipoma
III KELAINAN DARAH
E00 Gangguan Tirod
E04.9 Struma
E40 Kwarshiorkor
E44 Hipotensi
E66 Obesitas
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
F19
psikoaktif lainnya
F20 Skizofrenia
F45.9 Psikosomatis
G40 Epilepsi
G43 Migrain
G47.0 Insomnia
G51.0 Bell palsi
G81 Hemiplegia
G91 Hydrocephalus
H00.0 Hordeolum
H00.1 Chalazion
H01.0 Blefaritis
H10 Konjungtivitis
H11.0 Pterigium
H16 Keratitis
H25 Katarak Senilis
H40 Glaukoma
H49 Strabismus
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
H53.1 Asthenopia
H54 Buta dan Rabun
l20 Angina Pectoris
l50 Gagal jantung
l51.7 Kardio megali
l51.9 Decomp cordis
183.9 Varises
l84 Haemorrhoid
l84.9 Lymphadenitis
l95 Hipotensi
J02 Faringitis akut
J03 Tonsilitis Akut
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
J18 Pneumonia ytt
J45 Asma
K01.1 Gigi impaksi
K02.1 Karies dentin
K04 Pulpitis
K05.1 Ginggivitis
K05.4 Periodontosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

K11.4 Fistula
K11.6 Mucocele
K25 Tukak lambung
K26 Ulkus duodenum
K30 Dyspepsia
K35 Appencitis akut
K40 Hermia inguinal
K41 Hernia lainnya
K92.1 Melena
L01 Impetigo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
L03 Paronychia
L08 Pioderma
L08.0 Pustular rush
L29 Pruritus
L30.9 Eczema
L40 Psoriasis
L50 Urtikaria
L63 Alopecia areata
L70.0 Acne Vulgaris
L91.0 Keloid
L98.0 Ulcer
M10 Gout
M25.5 Arthralgia
M54.3 Ischialgia
M54.5 Low Back Pain
M67.4 Ganglion
M79.1 Mialgia
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N20 Nephrolithiasis
N20.9 Urolithiasis
N23 Colic renal
N28.8 Ureteritis
N30 Sistitis
N61 Mastitis
N72 Radang serviks
N80 Endometriosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N91.2 Amenorrhea
N94.6 Dysmenorhea
O02.0 Blighten ovum
O03 Abortus spontan
14 Pre eklamsi
O15 Eklamsia
O36.9 Hamil gemeli
O44 Plasenta previa
O63 Partus lama
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
O85

P80 Hipotermia BBL
P90 Kejang pada BBL
R04.0 Mimisan
R11 Nausea &vomitus
R14 Flatulece
R33 Retensio urin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
R56.0 Kejang demam



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Z00 Sehat

Z71
TOTAL
0
0
Mengetahui.
KEPALA PUSKESMAS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TIBAN BARU
dr.NUR'AINI
NIP.19760102 200604 2 028

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
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
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
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
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
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
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
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
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
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
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
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
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
0
0
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
NIP.
LB. 1
TAHUN : 2016

P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0

PENANGGUNG JAWAB
P L P L P L P L P
46 47 48 49 50 51 52 53 54
RITA ANRAINI, AMK

NIP.19851007 201001 2 006
LA
MENU UTAMA
PUSK : TIBAN BARU
BULAN : AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
AO1.0 Demam tifoid
A19 TB Milier
A35 Tetanus lainnya
A54 Infeksi Gonokok
B01 Varicella
B02 Herpes zoster
B03 Cacar air
B05 Campak
B07 Verucca
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
MIKOSIS
B35.1 Tinea Unguium
B35.2 Tinea manuum
B35.3 Tinea pedis
B35.6 Tinea cruris
B74 Filariasis
B77 Askariasis
B79 Trikuriasis
B86 Scabies
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
II.NEOPLASMA
D17.9 Lipoma
III KELAINAN DARAH
E00 Gangguan Tirod
E04.9 Struma
E40 Kwarshiorkor
E44 Hipotensi
E66 Obesitas
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
F19
psikoaktif lainnya
F20 Skizofrenia
F45.9 Psikosomatis
G40 Epilepsi
G43 Migrain
G47.0 Insomnia
G51.0 Bell palsi
G81 Hemiplegia
G91 Hydrocephalus
H00.0 Hordeolum
H00.1 Chalazion
H01.0 Blefaritis
H10 Konjungtivitis
H11.0 Pterigium
H16 Keratitis
H25 Katarak Senilis
H40 Glaukoma
H49 Strabismus
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
H53.1 Asthenopia
H54 Buta dan Rabun
l20 Angina Pectoris
l50 Gagal jantung
l51.7 Kardio megali
l51.9 Decomp cordis
183.9 Varises
l84 Haemorrhoid
l84.9 Lymphadenitis
l95 Hipotensi
J02 Faringitis akut
J03 Tonsilitis Akut
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
J18 Pneumonia ytt
J45 Asma
K01.1 Gigi impaksi
K02.1 Karies dentin
K04 Pulpitis
K05.1 Ginggivitis
K05.4 Periodontosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

K11.4 Fistula
K11.6 Mucocele
K25 Tukak lambung
K26 Ulkus duodenum
K30 Dyspepsia
K35 Appencitis akut
K40 Hermia inguinal
K41 Hernia lainnya
K92.1 Melena
L01 Impetigo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
L03 Paronychia
L08 Pioderma
L08.0 Pustular rush
L29 Pruritus
L30.9 Eczema
L40 Psoriasis
L50 Urtikaria
L63 Alopecia areata
L70.0 Acne Vulgaris
L91.0 Keloid
L98.0 Ulcer
M10 Gout
M25.5 Arthralgia
M54.3 Ischialgia
M54.5 Low Back Pain
M67.4 Ganglion
M79.1 Mialgia
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N20 Nephrolithiasis
N20.9 Urolithiasis
N23 Colic renal
N28.8 Ureteritis
N30 Sistitis
N61 Mastitis
N72 Radang serviks
N80 Endometriosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N91.2 Amenorrhea
N94.6 Dysmenorhea
O02.0 Blighten ovum
O03 Abortus spontan
14 Pre eklamsi
O15 Eklamsia
O36.9 Hamil gemeli
O44 Plasenta previa
O63 Partus lama
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
O85

P80 Hipotermia BBL
P90 Kejang pada BBL
R04.0 Mimisan
R11 Nausea &vomitus
R14 Flatulece
R33 Retensio urin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
R56.0 Kejang demam



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Z00 Sehat

Z71
TOTAL
0
0
Mengetahui.
KEPALA PUSKESMAS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TIBAN BARU
dr.NUR'AINI
NIP.19760102 200604 2 028

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
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
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
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
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
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
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
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
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
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
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
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
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
0
0
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
NIP.
LB. 1
TAHUN : 2016

P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0

PENANGGUNG JAWAB
P L P L P L P L P
46 47 48 49 50 51 52 53 54
RITA ANRAINI, AMK

NIP.19851007 201001 2 006
LA
MENU UTAMA
PUSK : TIBAN BARU
BULAN : AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
AO1.0 Demam tifoid
A19 TB Milier
A35 Tetanus lainnya
A54 Infeksi Gonokok
B01 Varicella
B02 Herpes zoster
B03 Cacar air
B05 Campak
B07 Verucca
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
MIKOSIS
B35.1 Tinea Unguium
B35.2 Tinea manuum
B35.3 Tinea pedis
B35.6 Tinea cruris
B74 Filariasis
B77 Askariasis
B79 Trikuriasis
B86 Scabies
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
II.NEOPLASMA
D17.9 Lipoma
III KELAINAN DARAH
E00 Gangguan Tirod
E04.9 Struma
E40 Kwarshiorkor
E44 Hipotensi
E66 Obesitas
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
F19
psikoaktif lainnya
F20 Skizofrenia
F45.9 Psikosomatis
G40 Epilepsi
G43 Migrain
G47.0 Insomnia
G51.0 Bell palsi
G81 Hemiplegia
G91 Hydrocephalus
H00.0 Hordeolum
H00.1 Chalazion
H01.0 Blefaritis
H10 Konjungtivitis
H11.0 Pterigium
H16 Keratitis
H25 Katarak Senilis
H40 Glaukoma
H49 Strabismus
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
H53.1 Asthenopia
H54 Buta dan Rabun
l20 Angina Pectoris
l50 Gagal jantung
l51.7 Kardio megali
l51.9 Decomp cordis
183.9 Varises
l84 Haemorrhoid
l84.9 Lymphadenitis
l95 Hipotensi
J02 Faringitis akut
J03 Tonsilitis Akut
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
J18 Pneumonia ytt
J45 Asma
K01.1 Gigi impaksi
K02.1 Karies dentin
K04 Pulpitis
K05.1 Ginggivitis
K05.4 Periodontosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

K11.4 Fistula
K11.6 Mucocele
K25 Tukak lambung
K26 Ulkus duodenum
K30 Dyspepsia
K35 Appencitis akut
K40 Hermia inguinal
K41 Hernia lainnya
K92.1 Melena
L01 Impetigo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
L03 Paronychia
L08 Pioderma
L08.0 Pustular rush
L29 Pruritus
L30.9 Eczema
L40 Psoriasis
L50 Urtikaria
L63 Alopecia areata
L70.0 Acne Vulgaris
L91.0 Keloid
L98.0 Ulcer
M10 Gout
M25.5 Arthralgia
M54.3 Ischialgia
M54.5 Low Back Pain
M67.4 Ganglion
M79.1 Mialgia
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N20 Nephrolithiasis
N20.9 Urolithiasis
N23 Colic renal
N28.8 Ureteritis
N30 Sistitis
N61 Mastitis
N72 Radang serviks
N80 Endometriosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N91.2 Amenorrhea
N94.6 Dysmenorhea
O02.0 Blighten ovum
O03 Abortus spontan
14 Pre eklamsi
O15 Eklamsia
O36.9 Hamil gemeli
O44 Plasenta previa
O63 Partus lama
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
O85

P80 Hipotermia BBL
P90 Kejang pada BBL
R04.0 Mimisan
R11 Nausea &vomitus
R14 Flatulece
R33 Retensio urin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
R56.0 Kejang demam



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Z00 Sehat

Z71
TOTAL
0
0
Mengetahui.
KEPALA PUSKESMAS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TIBAN BARU
dr.NUR'AINI
NIP.19760102 200604 2 028

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
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
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
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
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
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
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
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
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
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
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
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
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
0
0
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
NIP.
LB. 1
TAHUN : 2016

P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0

PENANGGUNG JAWAB
P L P L P L P L P
46 47 48 49 50 51 52 53 54
RITA ANRAINI, AMK

NIP.19851007 201001 2 006
LA
MENU UTAMA
PUSK : TIBAN BARU
BULAN : AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
AO1.0 Demam tifoid
A19 TB Milier
A35 Tetanus lainnya
A54 Infeksi Gonokok
B01 Varicella
B02 Herpes zoster
B03 Cacar air
B05 Campak
B07 Verucca
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
MIKOSIS
B35.1 Tinea Unguium
B35.2 Tinea manuum
B35.3 Tinea pedis
B35.6 Tinea cruris
B74 Filariasis
B77 Askariasis
B79 Trikuriasis
B86 Scabies
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
II.NEOPLASMA
D17.9 Lipoma
III KELAINAN DARAH
E00 Gangguan Tirod
E04.9 Struma
E40 Kwarshiorkor
E44 Hipotensi
E66 Obesitas
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
F19
psikoaktif lainnya
F20 Skizofrenia
F45.9 Psikosomatis
G40 Epilepsi
G43 Migrain
G47.0 Insomnia
G51.0 Bell palsi
G81 Hemiplegia
G91 Hydrocephalus
H00.0 Hordeolum
H00.1 Chalazion
H01.0 Blefaritis
H10 Konjungtivitis
H11.0 Pterigium
H16 Keratitis
H25 Katarak Senilis
H40 Glaukoma
H49 Strabismus
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
H53.1 Asthenopia
H54 Buta dan Rabun
l20 Angina Pectoris
l50 Gagal jantung
l51.7 Kardio megali
l51.9 Decomp cordis
183.9 Varises
l84 Haemorrhoid
l84.9 Lymphadenitis
l95 Hipotensi
J02 Faringitis akut
J03 Tonsilitis Akut
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
J18 Pneumonia ytt
J45 Asma
K01.1 Gigi impaksi
K02.1 Karies dentin
K04 Pulpitis
K05.1 Ginggivitis
K05.4 Periodontosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

K11.4 Fistula
K11.6 Mucocele
K25 Tukak lambung
K26 Ulkus duodenum
K30 Dyspepsia
K35 Appencitis akut
K40 Hermia inguinal
K41 Hernia lainnya
K92.1 Melena
L01 Impetigo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
L03 Paronychia
L08 Pioderma
L08.0 Pustular rush
L29 Pruritus
L30.9 Eczema
L40 Psoriasis
L50 Urtikaria
L63 Alopecia areata
L70.0 Acne Vulgaris
L91.0 Keloid
L98.0 Ulcer
M10 Gout
M25.5 Arthralgia
M54.3 Ischialgia
M54.5 Low Back Pain
M67.4 Ganglion
M79.1 Mialgia
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N20 Nephrolithiasis
N20.9 Urolithiasis
N23 Colic renal
N28.8 Ureteritis
N30 Sistitis
N61 Mastitis
N72 Radang serviks
N80 Endometriosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N91.2 Amenorrhea
N94.6 Dysmenorhea
O02.0 Blighten ovum
O03 Abortus spontan
14 Pre eklamsi
O15 Eklamsia
O36.9 Hamil gemeli
O44 Plasenta previa
O63 Partus lama
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
O85

P80 Hipotermia BBL
P90 Kejang pada BBL
R04.0 Mimisan
R11 Nausea &vomitus
R14 Flatulece
R33 Retensio urin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
R56.0 Kejang demam



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Z00 Sehat

Z71
TOTAL
0
0
Mengetahui.
KEPALA PUSKESMAS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TIBAN BARU
dr.NUR'AINI
NIP.19760102 200604 2 028

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
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
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
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
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
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
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
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
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
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
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
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
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
0
0
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
NIP.
LB. 1
TAHUN : 2016

P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 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 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0

PENANGGUNG JAWAB
P L P L P L P L P
46 47 48 49 50 51 52 53 54
RITA ANRAINI, AMK

NIP.19851007 201001 2 006
LA
MENU UTAMA
PUSK : TIBAN BARU
BULAN : AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
AO1.0 Demam tifoid
A19 TB Milier
A35 Tetanus lainnya
A54 Infeksi Gonokok
B01 Varicella
B02 Herpes zoster
B03 Cacar air
B05 Campak
B07 Verucca
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
MIKOSIS
B35.1 Tinea Unguium
B35.2 Tinea manuum
B35.3 Tinea pedis
B35.6 Tinea cruris
B74 Filariasis
B77 Askariasis
B79 Trikuriasis
B86 Scabies
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
II.NEOPLASMA
D17.9 Lipoma
III KELAINAN DARAH
E00 Gangguan Tirod
E04.9 Struma
E40 Kwarshiorkor
E44 Hipotensi
E66 Obesitas
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
F19
psikoaktif lainnya
F20 Skizofrenia
F45.9 Psikosomatis
G40 Epilepsi
G43 Migrain
G47.0 Insomnia
G51.0 Bell palsi
G81 Hemiplegia
G91 Hydrocephalus
H00.0 Hordeolum
H00.1 Chalazion
H01.0 Blefaritis
H10 Konjungtivitis
H11.0 Pterigium
H16 Keratitis
H25 Katarak Senilis
H40 Glaukoma
H49 Strabismus
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
H53.1 Asthenopia
H54 Buta dan Rabun
l20 Angina Pectoris
l50 Gagal jantung
l51.7 Kardio megali
l51.9 Decomp cordis
183.9 Varises
l84 Haemorrhoid
l84.9 Lymphadenitis
l95 Hipotensi
J02 Faringitis akut
J03 Tonsilitis Akut
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
J18 Pneumonia ytt
J45 Asma
K01.1 Gigi impaksi
K02.1 Karies dentin
K04 Pulpitis
K05.1 Ginggivitis
K05.4 Periodontosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

K11.4 Fistula
K11.6 Mucocele
K25 Tukak lambung
K26 Ulkus duodenum
K30 Dyspepsia
K35 Appencitis akut
K40 Hermia inguinal
K41 Hernia lainnya
K92.1 Melena
L01 Impetigo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
L03 Paronychia
L08 Pioderma
L08.0 Pustular rush
L29 Pruritus
L30.9 Eczema
L40 Psoriasis
L50 Urtikaria
L63 Alopecia areata
L70.0 Acne Vulgaris
L91.0 Keloid
L98.0 Ulcer
M10 Gout
M25.5 Arthralgia
M54.3 Ischialgia
M54.5 Low Back Pain
M67.4 Ganglion
M79.1 Mialgia
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N20 Nephrolithiasis
N20.9 Urolithiasis
N23 Colic renal
N28.8 Ureteritis
N30 Sistitis
N61 Mastitis
N72 Radang serviks
N80 Endometriosis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N91.2 Amenorrhea
N94.6 Dysmenorhea
O02.0 Blighten ovum
O03 Abortus spontan
14 Pre eklamsi
O15 Eklamsia
O36.9 Hamil gemeli
O44 Plasenta previa
O63 Partus lama
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
O85

P80 Hipotermia BBL
P90 Kejang pada BBL
R04.0 Mimisan
R11 Nausea &vomitus
R14 Flatulece
R33 Retensio urin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
R56.0 Kejang demam



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Z00 Sehat

Z71
TOTAL
0
0
Mengetahui.
KEPALA PUSKESMAS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TIBAN BARU
dr.NUR'AINI
NIP.19760102 200604 2 028

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
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
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
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
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
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
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
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
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
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
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
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
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
0
0
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
NIP.
LB. 1
TAHUN : 2016

P L P L P L P L P
46 47 48 49 50 51 52 53 54
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
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P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
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0 0 0 0 0
0
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P L P L P L P L P
46 47 48 49 50 51 52 53 54
0
0 0 0 0 0
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0
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P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
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0
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P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
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P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 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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P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
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0 0 0 0 0
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0
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P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
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0 0 0 0 0
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0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 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 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 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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P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 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 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 0 0 0
0 0 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 0 0 0 0
P L P L P L P L P
46 47 48 49 50 51 52 53 54
0 0 0 0 0
0 0 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
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0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0

PENANGGUNG JAWAB
P L P L P L P L P
46 47 48 49 50 51 52 53 54
RITA ANRAINI, AMK

NIP.19851007 201001 2 006

LB 1 Rita - 2016

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LA

K08.0 Kelainan lain pada gigi dan struktur-struktur pendukung

K08 Gangguan gigi dan jaringan penunjang lainnya

O91 Mastitis Non purulen Terkait dengan kelahiran anak

XVII KONDISI TERTENTU PADA MASA PERINATAL

S30-S39 Luka pd abdomen, lower back lumbar spine dan pelvis

S40-S49 Cedera permukaan pada pundak dan lengan atas

S90-S99 Cedera permukaan pada pergelangan kaki dan tangan

T15 Benda asing pada mata luar

T36-T50 Keracunan obat, mendikamentosa dan substansi biologi

T51-T65 Efek toksik non medicine

Orang mendatangi layanan kesehatan untuk konseling dan

5 - 9 tahun 10 - 14 tahun 15 - 19 tahun 20 - 44 tahun 45 - 54 tahun 55 - 59 tahun 60 - 69 tahun

hun > 70 tahun JUMLAH

Batam,05 Januari 2016

RITA ANRAINI, AMK

K08.0 Kelainan lain pada gigi dan struktur-struktur pendukung

K08 Gangguan gigi dan jaringan penunjang lainnya

O91 Mastitis Non purulen Terkait dengan kelahiran anak

XVII KONDISI TERTENTU PADA MASA PERINATAL

S30-S39 Luka pd abdomen, lower back lumbar spine dan pelvis

S40-S49 Cedera permukaan pada pundak dan lengan atas

S90-S99 Cedera permukaan pada pergelangan kaki dan tangan

T15 Benda asing pada mata luar

T36-T50 Keracunan obat, mendikamentosa dan substansi biologi

T51-T65 Efek toksik non medicine

Orang mendatangi layanan kesehatan untuk konseling dan

5 - 9 tahun 10 - 14 tahun 15 - 19 tahun 20 - 44 tahun 45 - 54 tahun 55 - 59 tahun 60 - 69 tahun

hun > 70 tahun JUMLAH

Batam, 03 Maret 2016

RITA ANRAINI, AMK

AO5 Keracunan makanan karena bakteri lain

AO9.1 Diare dan gastroenteritis 1 9 1

B54 Malaria yang tak diketahui (malaria klinis)

HELMINTHIASES, PEDICULOS, INFEKSI LAIN

C00-C14 Neoplasma bibir, Mulut dan Tenggorokan

C40-C41 Neoplasma Tulang dan kartilago artikular

C50 Neoplasma mamae (payudara)

C69-C72 Neoplasma Mata, Otak dan CNS sistem

E11 Non InsulinDependent Diabetes melitus

J30.0 Penyakit Hidung dan Sinus Hidung lainnya

J30.4 Rhinitis alergi tidak spesifik

M79.2 Neuralgia dan Neuritis tidak terspesifikasi

XV PENYAKIT SISTEM KEMIH DAN KELAMIN

N82 Gangguan sistem kemih kelamin lainnya

Gangguan bukan radang pada Indung

N92.3 Spotting Intermenstural NEC (regular)

O21 Muntah yang berlebihan dlm kehamilan

O22 Emesis Gravidarum

P20-P29 Kelainan pada pernafasan dan jantung

P35-39 Infeksi spesifik masa perinatal

P50-P61 Perdarahan & Kelainan darah fetus &BBL

P75-P78 Gangguan pencernaan fetus & BBL

R60 Edema tidak terklasifikasi ditempat lain

XIX LUKA DAN KERACUNAN

Cedera otot & tendon setingkat

W26 Kontak dengan pisau, pedang atau belati

W54 Digigit atau ditabrak anjing

5 - 9 tahun 10 - 14 tahun 15 - 19 tahun 20 - 44 tahun 45 - 54 tahun 55 - 59 tahun 60 - 69 tahun

ahun > 70 tahun JUMLAH

Batam,05 Januari 2016

RITA ANRAINI, AMK

K08.0 Kelainan lain pada gigi dan struktur-struktur pendukung