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PUSKESMAS: CONDONG

KODE PUSK : P3521110201

KABUPATEN: PROBOLINGGO

JUMLAH
KODE TO
PUSKESMAS
BULAN TAHUN KODE DX NAMA PENYAKIT Lk
TAL
B
1 2 3 4 5 6 7

P3521110201 6 2015 A00 Kolera 0 0

P3521110201 6 2015 A01 Demam Typhoid dan Paratyphoid 2 0

P3521110201 6 2015 A01.T Suspek Typhoid 6 2

P3521110201 6 2015 A02 Infeksi Salmonella Yang Lain 0 0

P3521110201 6 2015 A03 Disentri / Shigellosis 9 2

P3521110201 6 2015 A04 Infekasi Usus Dari Bakteri Yang Lain 0 0

P3521110201 6 2015 A05 Keracunan Makanan 0 0

P3521110201 6 2015 A06 Amubiasis 0 0

P3521110201 6 2015 A07 Penyakit Saluran Cerna Krn Protozoa Lain 0 0

P3521110201 6 2015 A08 Infeksi Penyakit Usus Yg Lain 0 0

P3521110201 6 2015 A09 Diare Dan Gastroenteritis Yg Kurang Jelas Batasannya 60 21

P3521110201 6 2015 A15 TB Paru, Bta (+) 1 0

P3521110201 6 2015 A16 TB Paru,Bta (-) 2 0

P3521110201 6 2015 A16.T Suspek TBC 2 2

P3521110201 6 2015 A17.0+ Tuberkulosis Selaput Otak Dan Susunan Saraf Pusat 0 0

P3521110201 6 2015 A18 TBC Extrapulmoner 0 0

P3521110201 6 2015 A18.0 Tuberkulosis Tulang Dan Sendi 0 0

P3521110201 6 2015 A18.1 Tuberkulosis Saluran Kencing Dan Alat Kelamin 0 0

P3521110201 6 2015 A18.2 Tuberkulosis Kelenjar Lymphe 0 0

P3521110201 6 2015 A18.3 Tuberkulosis Usus, Selaput Perut dan Kelenjar Mesentrium 0 0

P3521110201 6 2015 A19 Tuberkulosis Miliar 0 0

P3521110201 6 2015 A22 Antraks 0 0

P3521110201 6 2015 A23 Bruselosis 0 0

P3521110201 6 2015 A25 PES 0 0


P3521110201 6 2015 A30 Kusta I/T (PB) 0 0

P3521110201 6 2015 A30A Kusta B/L (MB) 8 0

P3521110201 6 2015 A33 Tetanus Neonatorum 0 0

P3521110201 6 2015 A35 Tetanus 0 0

P3521110201 6 2015 A36 Difteria 0 0

P3521110201 6 2015 A37 Batuk Rejan 0 0


Radang Tenggorok ( Karena ) Streptokok Skarlatina dan Erisipelos
P3521110201 6 2015 A39 Infeksi Meningokok 0 0

P3521110201 6 2015 A41 Septikemia Lainnya 0 0

P3521110201 6 2015 A50 Siphilis Bawaan 0 0

P3521110201 6 2015 A51 Penyakit Spirochaeta Karena Siphilis 0 0

P3521110201 6 2015 A53 Siphilis 0 0

P3521110201 6 2015 A54 Infeksi Gonokokkus 0 0

P3521110201 6 2015 A55 Infeksi Non Gonokokkus 0 0

P3521110201 6 2015 A56 Penyakit Kelamin Lainnya 0 0

P3521110201 6 2015 A58 Inguinal Granuloma 0 0

P3521110201 6 2015 A60 Infeksi Genital Oleh Virus Herpes Simplex 0 0

P3521110201 6 2015 A64 Penyakit Menular Sex Tdk Spesifik 0 0

P3521110201 6 2015 A69 Infeksi Spirochaeta Lainnya 0 0

P3521110201 6 2015 A71 Trachoma 0 0

P3521110201 6 2015 A74 Filariasis 0 0

P3521110201 6 2015 A79 Penyakit Riketsia Lain 0 0

P3521110201 6 2015 A80 Poliomyelitis Acut 0 0

P3521110201 6 2015 A82 Rabies / Lyssa 0 0

P3521110201 6 2015 A85.2 Radang Otak ( Karena Virus Serangga ) 0 0

P3521110201 6 2015 A86 Enchepalitis Oleh Virus 0 0

P3521110201 6 2015 A87 Meningitis Oleh Virus 0 0

P3521110201 6 2015 A90 Demam Dengue / Suspect 0 0

P3521110201 6 2015 A91 D.H.F (D.B.D) 0 0

P3521110201 6 2015 A92.0 Demam Chikungunya 0 0

P3521110201 6 2015 A95 Demam Kuning 0 0

P3521110201 6 2015 B00 Herpes Simplex 0 0

P3521110201 6 2015 B01 Cacar Air 0 0

P3521110201 6 2015 B02 Herpes Zoster 1 0

P3521110201 6 2015 B05 Campak 0 0


P3521110201 6 2015 B06 Rubela 0 0

P3521110201 6 2015 B15 Hepatitis Akut A 0 0

P3521110201 6 2015 B16 Hepatitis Akut B 0 0

P3521110201 6 2015 B17 Hepatitis Akut oleh Virus Yang Lainnya 0 0

P3521110201 6 2015 B18 Hepatitis Kronik 0 0

P3521110201 6 2015 B24 HIV / AIDS 0 0

P3521110201 6 2015 B26 Gondong 0 0

P3521110201 6 2015 B30 Konjungtivitis Karena Virus 0 0

P3521110201 6 2015 B33 Penyakit Karena Virus Lain 0 0

P3521110201 6 2015 B36 Penyakit Kulit Karena Jamur 2 0

P3521110201 6 2015 B37 Kandidiasis 0 0

P3521110201 6 2015 B50 Malaria Tropika (P.Falsifarum) 0 0

P3521110201 6 2015 B51 Malaria Oleh P. Vivax 0 0

P3521110201 6 2015 B52 Malarai Oleh P.Malariae 0 0

P3521110201 6 2015 B53 Malaria Dengan Pemeriksaan Lab 0 0

P3521110201 6 2015 B53.0 malaria Ovale 0 0

P3521110201 6 2015 B53.M Malaria Mix 0 0

P3521110201 6 2015 B54 Malaria Klinis (Tanpa Pemrk LAB) 0 0

P3521110201 6 2015 B55 Leishmaniasis 0 0

P3521110201 6 2015 B56 Tripanosomiasis 0 0

P3521110201 6 2015 B60 Penyakit Tular Serangga lain 0 0

P3521110201 6 2015 B65 Shistoshomiasis 0 0

P3521110201 6 2015 B67 Ekinokokosia 0 0

P3521110201 6 2015 B68 Taeniasis 0 0

P3521110201 6 2015 B74 Filariasis 0 0

P3521110201 6 2015 B76 Ankilostomiasis Dan Nekatoriasis 0 0

P3521110201 6 2015 B81 Peny. Kecacingan 1 0

P3521110201 6 2015 B86 Scabies 3 0

P3521110201 6 2015 B90 Akibat Kemudian Tuberkulosis 1 0

P3521110201 6 2015 B91 Akibat Kemudian Poliomyelitis 0 0

P3521110201 6 2015 B92 Akibat Kemudian Kusta 0 0

P3521110201 6 2015 B94.0 Akibat Kemudian Trachoma 0 0

P3521110201 6 2015 B94.1 Akibat Kemudian Radang Otak Karena Virus 0 0

P3521110201 6 2015 B94.9 Akibat Kemudian Penyakit 0 0


P3521110201 6 2015 C06 Neoplasma Ganas Rongga Mulut 0 0

P3521110201 6 2015 C13 Neoplasma Ganas Kerongkongan 0 0

P3521110201 6 2015 C16 neoplasma Ganas Lambung 0 0

P3521110201 6 2015 C17 Neoplasma Ganas Usus Halus Termasuk Usus Dua Belas Jari 0 0

P3521110201 6 2015 C18 Neoplasma Ganas Usus Besar 0 0

P3521110201 6 2015 C19 Neoplasma Ganas Usus Lurus dan Hubungan Usus Dengan Sigmoid 0 0

P3521110201 6 2015 C22 Neoplasma Ganas Hati Primer 0 0

P3521110201 6 2015 C25 Neoplasma Ganas Kelenjar Ludah Perut 0 0


Neoplasma Ganas Lain Pada Alat Pencernaan Dan Selaput Perut
P3521110201 6 2015 C26 ( Peritonium) 0 0

P3521110201 6 2015 C33 Neoplasma Ganas Batang Tenggorok 0 0

P3521110201 6 2015 C34 Cabang Tenggorok dan Paru-paru 0 0

P3521110201 6 2015 C34.0 Neoplasma Ganas Pangkal Tenggorok 0 0


Neoplasma Ganas Lain Pada Susunan Pernafasan Dan Organ Rongga
P3521110201 6 2015 C39 Dada 0 0

P3521110201 6 2015 C41 Neoplasma Ganas Tulang dan Tulang Rawan 0 0

P3521110201 6 2015 C43 Neoplasma Ganas Kulit 0 0

P3521110201 6 2015 C44 Neoplasma Ganas Lain Pada Kulit 0 0


Neoplasma Ganas Lain Yang Berhubungan Dg Kulit Dan Jaringan
P3521110201 6 2015 C49 Lunak 0 0

P3521110201 6 2015 C50 Neoplasma Ganas Payudara 0 0

P3521110201 6 2015 C53 Neoplasma Ganas Leher Rahim/ Kanker Servik 0 0

P3521110201 6 2015 C56 Neoplasma Ganas Indung Telur/ Kanker Ovarium 0 0

P3521110201 6 2015 C57 Neoplasma Ganas Lain Pada Alat Kewanitaan 0 0

P3521110201 6 2015 C61 Neoplasma Ganas Prostat 0 0

P3521110201 6 2015 C62 Neoplasma Ganas Buah Pelir 0 0

P3521110201 6 2015 C67 Neoplasma Ganas Kandung Kencing 0 0

P3521110201 6 2015 C68 Neoplasma Ganas Lain Ginjal Dan Alat Kencing Lain 0 0

P3521110201 6 2015 C71 Neoplasma Ganas Otak 0 0

P3521110201 6 2015 C72 Neoplasma Ganas Pd Syaraf Spinal,Syaraf Kranial,dan SSP 0 0

P3521110201 6 2015 C81 Penyakit Hodgkin 0 0

P3521110201 6 2015 C95 Leukemia 0 0


Neoplama Ganas Lain Pada Kelenjar Getah Bening & Jaringan Pembuat
P3521110201 6 2015 C96 Darah 0 0

P3521110201 6 2015 D01 Karsinoma Insitu Alat Pencernaan 0 0

P3521110201 6 2015 D02 Karsinoma Insitu Susunan Pernafasan 0 0

P3521110201 6 2015 D04 karsinoma Insitu Kulit 0 0

P3521110201 6 2015 D05 Karsinoma Insitu Payudara 0 0


P3521110201 6 2015 D09 Karsinoma Insitu Lain & Tanpa Penjelasan 0 0

P3521110201 6 2015 D23 Neoplasma Jinak Kulit 0 0

P3521110201 6 2015 D24 Neoplasma Jinak Payudara 3 0

P3521110201 6 2015 D26 Neoplasma Jinak Rahim 0 0

P3521110201 6 2015 D27 Neoplasma Jinak Indung Telur 0 0

P3521110201 6 2015 D30 Neoplasma Jinak Ginjal Dan Alat Kencing Lain 0 0

P3521110201 6 2015 D33 Neoplasma Jinak Otak Dan SSP 0 0

P3521110201 6 2015 D35 Neoplasma Jinak Kelenjar Endokrin 0 0

P3521110201 6 2015 D36 Neoplasma Jinak Lain 0 0


Neoplasma Dg Gejala Tak Pasti Pada Susunan Pernafasan Dan Alat
P3521110201 6 2015 D38 Dlm Rongga Dada 0 0

P3521110201 6 2015 D53 Anemi Kekurangan Nutrisi 0 0

P3521110201 6 2015 D64 Anemi Yang Lain 1 0

P3521110201 6 2015 E01 Penyakit Gondok Kekurangan Yodium 0 0

P3521110201 6 2015 E07 Penyakit Kelenjar Gondok Lain 0 0

P3521110201 6 2015 E10 DM (IDDM) 0 0

P3521110201 6 2015 E11 DM (NIDDM) 0 0

P3521110201 6 2015 E13 Penyakit Kencing Manis 29 0

P3521110201 6 2015 E34 Penyakit Endrokrin Dan Penyakit Metabolik Kekebalan Lain 0 0

P3521110201 6 2015 E40 Kwashiorkor 0 0

P3521110201 6 2015 E41 Marasmus Gizi 0 0

P3521110201 6 2015 E42 Marasmus Kwashiorkor 0 0

P3521110201 6 2015 E44 Kekurangan Energi Protein Berat-Ringan 0 0

P3521110201 6 2015 E46 Kekurangan Energi Protein lain 0 0

P3521110201 6 2015 E50 Kekurangan Vitamin A 0 0

P3521110201 6 2015 E56 Kekurangan Vitamin Lain 0 0

P3521110201 6 2015 E66 Kegemukan 0 0

P3521110201 6 2015 E78 Gangguan Metabolisme Liqit 0 0

P3521110201 6 2015 F03 Dementia Tdk Spesifik 0 0


Gangguan Kepribadian Dan Tingkah Laku Akibat Penyakit,Kerusakan
P3521110201 6 2015 F07 Dan Tdk Berfungsinya Otak 0 0

P3521110201 6 2015 F07.0 Gangguan Kepribadian Organik 0 0

P3521110201 6 2015 F10 Gangguan Mental Dan Tingkah Laku Akibat Alkohol 0 0
Gangguan Mental Dan Tingkah Laku Akibat Obat ( Tanpa
P3521110201 6 2015 F19 Ketergantungan) 0 0
Gangguan Mental Dan Tingkah Laku Akibat Ketergantungan Obat /
P3521110201 6 2015 F19.2 Syndrom Ketergantungan 0 0

P3521110201 6 2015 F20 Schisofrenik 9 0


P3521110201 6 2015 F23 Psikosa Lain 0 0

P3521110201 6 2015 F25 Schisoafektif 0 0

P3521110201 6 2015 F28 Gangguan Psikotik Non Organik 0 0

P3521110201 6 2015 F31 Ganggguan Afektif Bipolar 0 0

P3521110201 6 2015 F32 Episode Depresif 0 0

P3521110201 6 2015 F48 Gangguan Neurotik 0 0

P3521110201 6 2015 F50 Gangguan Gizi Disebabkan Faktor Mental 0 0

P3521110201 6 2015 F54 Gangguan Psikis Yang Berhubungan Dengan Penyakit Lain 0 0

P3521110201 6 2015 F65 Deviasi Sexual 0 0

P3521110201 6 2015 F79 Retardasi Mental 0 0

P3521110201 6 2015 F80 Gangguan Perkembangan Bicara Dan Bahasa 0 0

P3521110201 6 2015 F82 Gangguan Perkembangan Fungsi Motorik 0 0

P3521110201 6 2015 F84 Kelainan Sindroma Khusus ( Pada Anak ) 0 0

P3521110201 6 2015 F93 Psikosa Pada Anak 0 0

P3521110201 6 2015 F98 Ganguan Kesh.Jiwa Bermula Pd Bayi 0 0

P3521110201 6 2015 F99 Penyakit Jiwa Lainnya 1 0

P3521110201 6 2015 G00 Meningitis Disebabkan Oleh Bakteri 0 0

P3521110201 6 2015 G04 Enchepalitis,Myelitis Dan Enchepalomyelitis 0 0

P3521110201 6 2015 G20 Penyakit Parkinson 0 0

P3521110201 6 2015 G32 Paralisis Agitans 0 0

P3521110201 6 2015 G35 Sklerosis Multipel 0 0

P3521110201 6 2015 G40 Epilepsi 1 0

P3521110201 6 2015 G41 Status Epilepsi 0 0

P3521110201 6 2015 G43 Migren 0 0

P3521110201 6 2015 G44 Sindrom Nyeri Kepala Yang Lain 0 0

P3521110201 6 2015 G47 Gangguan Tidur 0 0

P3521110201 6 2015 G51 Gangguan Syaraf Wajah 1 1

P3521110201 6 2015 G64 Gangguan Susunan Syaraf Perifer Lainnya 0 0

P3521110201 6 2015 G80 Serebral Palsy 0 0

P3521110201 6 2015 G81 Hemiplegi 0 0

P3521110201 6 2015 G82 Paraplegi dan Tetraplegi 0 0

P3521110201 6 2015 G83 Sindrom Paralitik lainnya 0 0

P3521110201 6 2015 G90 Penyakit Susunan Syaraf Turunan Dan Terdapat Pada Keluarga 0 0

P3521110201 6 2015 G99 Penyakit & Kel.Susunan Syaraf Lain 0 0


P3521110201 6 2015 H00 Hordeolum Dan Kalasion 0 0

P3521110201 6 2015 H01 Radang Mata Yang Lain 2 1

P3521110201 6 2015 H04 Gangguan Kelenjar Air Mata 1 0

P3521110201 6 2015 H10 Konjungtivitis 28 8

P3521110201 6 2015 H11 Kelainan Konjungtiva Yang Lain 0 0

P3521110201 6 2015 H11.P PTYRIGIUM 0 0

P3521110201 6 2015 H11.X XEROPHTALMIA 0 0

P3521110201 6 2015 H16 Keratitis 0 0

P3521110201 6 2015 H17 Kelainan Kornea 0 0

P3521110201 6 2015 H21.0 Hiphema 0 0

P3521110201 6 2015 H25 Katarak Senilis 0 0

P3521110201 6 2015 H26 Katarak Yang Lain 2 2

P3521110201 6 2015 H27 Kelainan Lensa Yang Lain 0 0

P3521110201 6 2015 H35 Kelainan Retina Yang Lain 0 0

P3521110201 6 2015 H40 Glaukoma 0 0

P3521110201 6 2015 H49 Strabisbus Paralitik 0 0

P3521110201 6 2015 H50 Juling Dan kelainan mata 0 0

P3521110201 6 2015 H52 Kelainan Refraksi dan Akomodasi 0 0

P3521110201 6 2015 H54 Kebuataan Dan Penglihatan Kurang 0 0

P3521110201 6 2015 H55 Nystagmus dan Gerakan Mata Yang Tidak Normal 0 0

P3521110201 6 2015 H57 Penyakit Mata Lainnya 4 2

P3521110201 6 2015 H57.C CORPUS ALIENUM 0 0

P3521110201 6 2015 H57.T TRAUMA MATA 0 0

P3521110201 6 2015 H60 Infeksi Telinga Luar 1 0

P3521110201 6 2015 H66 Infeksi Telinga Tengah 6 1

P3521110201 6 2015 H70 Infeksi Mastoid (Mastoiditis) 5 2

P3521110201 6 2015 H72 Perforasi Gendang Telinga 0 0

P3521110201 6 2015 H81 Gangguan Fungsi Vestibulum 0 0

P3521110201 6 2015 H90 Tuli Konduktif Dan Sensorik 0 0

P3521110201 6 2015 H93 Penyakit Telinga Lainnya 3 1

P3521110201 6 2015 I00 Demam Rematik Akut 0 0

P3521110201 6 2015 I09 Penyakit Jantung Rematik Menahun 0 0

P3521110201 6 2015 I10 Penyakit Darah Tinggi Primer 70 15

P3521110201 6 2015 I11 Penyakit Jantung Hipertensi 0 0


P3521110201 6 2015 I15 Penyakit Tekanan Darah Tinggi Sekunder 0 0

P3521110201 6 2015 I20 Angina Pektoris 0 0

P3521110201 6 2015 I21 Infark Miokardium Akut 0 0

P3521110201 6 2015 I25 Penyakit Jantung Iskemik Kronik 0 0

P3521110201 6 2015 I26 Embolisme Paru - Paru 0 0

P3521110201 6 2015 I28 Penyakit Pada Peredaran Darah Paru 0 0

P3521110201 6 2015 I49 Kelainan Irama Jantung 0 0

P3521110201 6 2015 I50 Gagal Jantung 0 0

P3521110201 6 2015 I52 Penyakit Jantung Lain 0 0

P3521110201 6 2015 I60 Perdaraan Subarachnoid 0 0

P3521110201 6 2015 I61 Perdaraan Intracerebral 0 0

P3521110201 6 2015 I63 Infark Otak 0 0

P3521110201 6 2015 I64 Stroke 1 1

P3521110201 6 2015 I66 Arteriosklerosis Otak 0 0

P3521110201 6 2015 I67 Penyakit Cerebrovaskuler Lainnya 0 0

P3521110201 6 2015 I68 Gangguan Cerebrovaskuler Yang Berhubungan Dg Penyakit Lain 0 0

P3521110201 6 2015 I70 Atherosklerosis 0 0

P3521110201 6 2015 I74 Emboli Dan Thrombosis Arteri 0 0

P3521110201 6 2015 I77 Penyakit Lain Pada Arteri dan Arteriol 0 0

P3521110201 6 2015 I79 Gangguan Arteri,Arteriol dan Kapiler Berhubungan Dg Penyakit Lain 0 0

P3521110201 6 2015 I80 Flebitis; Trombophlebitis 0 0

P3521110201 6 2015 I81 Trombosis Vena Portal 0 0

P3521110201 6 2015 I83 Varises Tungkai 0 0

P3521110201 6 2015 I84 Wasir 0 0

P3521110201 6 2015 I87 Penyakit Lain Dari Susunan Peredaran Darah 0 0

P3521110201 6 2015 J00 Common Cold 154 47

P3521110201 6 2015 J01 Sinusitis 1 0

P3521110201 6 2015 J02 Pharingitis 4 2

P3521110201 6 2015 J03 Tonsilitis 2 0

P3521110201 6 2015 J04 Laringitis dan Trakeitis akut 0 0

P3521110201 6 2015 J06 Infeksi Akut Sal Pernafasan Atas 0 0

P3521110201 6 2015 J10 Influensa 0 0

P3521110201 6 2015 J10S Suspect Flu Burung 0 0

P3521110201 6 2015 J11 Influensa 0 0


P3521110201 6 2015 J16 Pneumonia Akibat Infeksi Organisme 0 0

P3521110201 6 2015 J20 Bronkhitis Akut 0 0

P3521110201 6 2015 J21 Bronkiolitis Akut 0 0

P3521110201 6 2015 J22 Infeksi Akut Sal Pernafasan Bawah 0 0

P3521110201 6 2015 J30 Rhinitis Vasomotor Dan Alergi 0 0

P3521110201 6 2015 J31 Rhinitis, Nasofaringitis Dan Faringitis Menahun 0 0

P3521110201 6 2015 J33 Sekat Hidung Bengkak Dan Polip Hidung 0 0

P3521110201 6 2015 J35 Penyakit Tonsil Dan Adenoid Menahun 0 0

P3521110201 6 2015 J37 Laringitis Dan Laringotrakeitis Kronik 0 0

P3521110201 6 2015 J39 Peny.Lain Pd Sal.Pernafasan Atas 0 0

P3521110201 6 2015 J40 Bronchitis Tanpa Keterangan Akut Atau Kronik 0 0

P3521110201 6 2015 J43 Emphisema 0 0

P3521110201 6 2015 J44 Penyakit Paru Obstruktif Menahun Lain 1 0

P3521110201 6 2015 J45 Asma 15 9

P3521110201 6 2015 J46 Status Asmatikus 0 0

P3521110201 6 2015 J47 Bronkiektasis 0 0

P3521110201 6 2015 J80 SARS 0 0

P3521110201 6 2015 J81 Odem Paru 0 0

P3521110201 6 2015 J90 Efusi Pleura 0 0

P3521110201 6 2015 J93 Pneumothorak 0 0

P3521110201 6 2015 J98 Peny.Lain Dr Sal.Pernafasan 0 0

P3521110201 6 2015 K00.1 Kelebihan Gigi 11 3

P3521110201 6 2015 K00.4 Enamel Hipoplasia 0 0

P3521110201 6 2015 K01.1 Gigi Impaksi 0 0

P3521110201 6 2015 K02 Karies Gigi 15 2

P3521110201 6 2015 K03.3 Dental Granuloma 0 0

P3521110201 6 2015 K03.6 Calculus, Plak 1 0

P3521110201 6 2015 K03.8 Dentin Sensitif 0 0

P3521110201 6 2015 K04.0 Pulpitis 26 6

P3521110201 6 2015 K04.1 Nekrosis Pulpa 0 0

P3521110201 6 2015 K04.2 Degenerasi Pulpa 1 0

P3521110201 6 2015 K04.3 Kelainan Pd Pulpa 1 0

P3521110201 6 2015 K04.4 Periodontitis Apikalis Akut 2 0

P3521110201 6 2015 K04.5 Periodontitis Apikalis Kronis 0 0


P3521110201 6 2015 K04.6 Abses Periapikal Melibatkan Sinus 0 0

P3521110201 6 2015 K04.7 Abses Periapikal Tdk Mlbtkan Sinus 0 0

P3521110201 6 2015 K04.8 Kista Radikuler 0 0

P3521110201 6 2015 K04.9 Peny.Pulpa & Jar.Periapikal 0 0

P3521110201 6 2015 K05 Gingivitis & Peny.Periodental 10 4

P3521110201 6 2015 K05.0 Gingivitis Akut 0 0

P3521110201 6 2015 K05.1 Gingivitis Kronis 0 0

P3521110201 6 2015 K05.2 Periodontitis Akut 0 0

P3521110201 6 2015 K05.3 Periodontitis Kronis 0 0

P3521110201 6 2015 K06 Kelaianan lain dari Ginggiva & Edentulous alveolar ridge 0 0

P3521110201 6 2015 K06.1 Enlargment Gingiva 0 0

P3521110201 6 2015 K06.2 Lesi Pd Gingiva & Edentulous Ridge K/ Trauma 0 0

P3521110201 6 2015 K06.8 Peny Tdk Spesifik Pd Gingiva & Edentulous Ridge 0 0

P3521110201 6 2015 K07 Peny.Rongga Mulut,Kel.Ludah,Rahang 0 0

P3521110201 6 2015 K07.4 Maloklusi 0 0

P3521110201 6 2015 K10 Kelainan Mulut Akibat Gigitan 0 0

P3521110201 6 2015 K11 Kelaianan Pada Kelenjar Ludah 0 0

P3521110201 6 2015 K12 Stomatitis Dan Luka Pada Lidah 2 2

P3521110201 6 2015 K13 Peny Bibir Dan Mukosa Mulut 0 0

P3521110201 6 2015 K13.0 Peny Pd Bibir 0 0

P3521110201 6 2015 K13.1 Bentukan Gigitan Gigi Pd Pipi&Lidah 0 0

P3521110201 6 2015 K13.2 Leukoplakia 0 0

P3521110201 6 2015 K14 Kelainan Pada Lidah 0 0

P3521110201 6 2015 K14.0 Keradangan Daerah Faring 0 0

P3521110201 6 2015 K20 Oesophagisis 0 0

P3521110201 6 2015 K25 Ulkus Peptik 0 0

P3521110201 6 2015 K29 Gastritis Dan Duodenitis 20 6

P3521110201 6 2015 K30 Gangguan Faal Lain Pada Alat Pencernaan 0 0

P3521110201 6 2015 K35 Appendicitis Akut 1 0

P3521110201 6 2015 K36 Appendisitis (Kronik,Kambuhan) Lainnya 0 0

P3521110201 6 2015 K40 Hernia Inguinalis 0 0

P3521110201 6 2015 K42 Hernia Umbilikalis 0 0

P3521110201 6 2015 K45 Hernia Perut Lainnya 0 0

P3521110201 6 2015 K46 Hernia Perut Yang Tidak Spesifik 0 0


P3521110201 6 2015 K52 Gastroenteritis Dan Colitis Lainnya Yang Bukan Karena Infeksi 0 0

P3521110201 6 2015 K56 Ileus Paralytic Dan Obstruksi Usus Bukan Hernia 0 0

P3521110201 6 2015 K57 Diverticulum Usus 0 0

P3521110201 6 2015 K60 Fissure Dan Fistula Pada Area Anal Dan Rectum 0 0

P3521110201 6 2015 K62 Kelainan Anus Dan Rectum Lainnya 0 0

P3521110201 6 2015 K63 Kelainan Dari Usus Lainnya 0 0

P3521110201 6 2015 K65 Peritonitis 0 0

P3521110201 6 2015 K74 Chirrhosis Hepatic 0 0

P3521110201 6 2015 K76 Kelainan Liver Lainnya 0 0

P3521110201 6 2015 K80 Cholelithiasis 0 0

P3521110201 6 2015 K83 Gangguan Saluran Empedu Yang Lainnya 0 0

P3521110201 6 2015 K90 Malabsorsi Usus 0 0

P3521110201 6 2015 K92.0 Haematemesis 0 0

P3521110201 6 2015 K92.1 Maelena 0 0

P3521110201 6 2015 L01 Impetigo 0 0

P3521110201 6 2015 L02 Furunkel,Karbunkel 0 0

P3521110201 6 2015 L03 Sellulitis 0 0

P3521110201 6 2015 L04 Limphadenitis Akut 0 0

P3521110201 6 2015 L08 Infeksi Kulit & Jaringan Di Bawah Kulit 6 0

P3521110201 6 2015 L20 Dermatitis Atopik,Eksim,Neurodermatitis 0 0

P3521110201 6 2015 L21 Dermatitis Seboroik 0 0

P3521110201 6 2015 L22 Diaper's Rash 0 0

P3521110201 6 2015 L23 Penyakit Kulit Alergi 41 17

P3521110201 6 2015 L24 Penyakit Kulit Infeksi 10 4

P3521110201 6 2015 L25 Dermatitis Kontak Tdk Spesifik 0 0

P3521110201 6 2015 L29 Pruritus 0 0

P3521110201 6 2015 L30 Dermatitis Lainnya 2 1

P3521110201 6 2015 L30.F Frambusia 0 0

P3521110201 6 2015 L40 Psoriasis 0 0

P3521110201 6 2015 L50 Urticaria 0 0

P3521110201 6 2015 L55 Sunburn 0 0

P3521110201 6 2015 L63 Alopesia 0 0

P3521110201 6 2015 L70 Jerawat 0 0

P3521110201 6 2015 L74 Keringat Buntet,Miliaria 0 0


P3521110201 6 2015 L80 Vitiligo 0 0

P3521110201 6 2015 L89 Decubitus 0 0

P3521110201 6 2015 L91.0 Keloid Scar 0 0

P3521110201 6 2015 L93 SLE 0 0

P3521110201 6 2015 L94 Gangguan Jaringan Lunak Lainnya 0 0

P3521110201 6 2015 L99 Gangguan Kulit Dan Jaringan Lunak Akibat Penyakit Lain 0 0

P3521110201 6 2015 M06 Rematik Arthritis Lain 0 0

P3521110201 6 2015 M10 GOUT 0 0

P3521110201 6 2015 M13 Peny.Pd Sistem Otot & Jar.Pengikat 101 35

P3521110201 6 2015 M25.0 Perdarahan Dalam Sendi 0 0

P3521110201 6 2015 M32 Sistemik Lupus Erythematosus 0 0


Gangguan Sistemik Jaringan Pengikat Yg Berhubungan Dg Penyakit
P3521110201 6 2015 M36 Lain 0 0

P3521110201 6 2015 M40.0 Kyphosis 0 0

P3521110201 6 2015 M41 Skoliosis 0 0

P3521110201 6 2015 M43 Rematik Termasuk Tulang Belakang 0 0

P3521110201 6 2015 M51 Ankilos Tulang Belakang 0 0

P3521110201 6 2015 M53 Penyakit Tulang Belakang Lain 0 0

P3521110201 6 2015 M62 Gangguan Pada Jaringan Otot Yang Lainnya 0 0

P3521110201 6 2015 M67 Gangguan Tendon Dan Synovial Yang Lainnya 0 0

P3521110201 6 2015 M80 Osteoporosis 0 0

P3521110201 6 2015 M86 Osteomyelitis 0 0

P3521110201 6 2015 N04 Syndroma Nephrotic 0 0

P3521110201 6 2015 N17 Gagal Ginjal Akut 0 0

P3521110201 6 2015 N18 Gagal Ginjal Kronik 0 0

P3521110201 6 2015 N20 Batu Ginjal Maupun Pada Ureter 0 0

P3521110201 6 2015 N23 Kolik Ginjal Tdk Spesifik 0 0

P3521110201 6 2015 N28 Neprhitis, Sindroma Nefrotik Dan Nefrosis 0 0

P3521110201 6 2015 N29 Batu Saluran kencing 0 0

P3521110201 6 2015 N30 Radang Kandung Kencing 1 1

P3521110201 6 2015 N34 Radang Dan Sindrom Urethritis 0 0

P3521110201 6 2015 N39 Penyakit Pd Sistem Saluran Kencing 0 0

P3521110201 6 2015 N40 Prostat Hiperplasi 0 0

P3521110201 6 2015 N43 Hidrokel Dan Spermatokel 0 0

P3521110201 6 2015 N46 Kemandulan Laki-Laki 0 0


P3521110201 6 2015 N47 Pimosis Dan Parapimosis 0 0

P3521110201 6 2015 N50 Penyakit Alat Kelamin Laki-Laki Lain 0 0

P3521110201 6 2015 N61 Mastitis 0 0

P3521110201 6 2015 N64 Penyakit Payudara Lainnya 0 0

P3521110201 6 2015 N71 Penyakit Peradangan Pada Rahim,Kec Leher Rahim 0 0

P3521110201 6 2015 N73 Peradangan Panggul Pada Wanita 0 0

P3521110201 6 2015 N74 Radang Panggul Pd Wanita Yg Berhubungan Penyakit Lain 0 0

P3521110201 6 2015 N76 Penyakit Peradangan Vagina Dan Vulva 0 0

P3521110201 6 2015 N81 Prolap Uteri 0 0

P3521110201 6 2015 N91 Gangguan Haid (Kurang) 1 0

P3521110201 6 2015 N92 Gangguan Haid (Banyak) 8 0

P3521110201 6 2015 N93 Perdarahan Abnormal Rahim Dan Vagina 0 0

P3521110201 6 2015 N94 Nyeri Haid (Dismenorrhoe) 8 0

P3521110201 6 2015 N95 Gangguan Menopause dan Perimenopause 0 0

P3521110201 6 2015 N97 Kemandulan Pada Wanita 0 0

P3521110201 6 2015 O02 Bentuk Kehamilan Lain 0 0

P3521110201 6 2015 O03 Keguguran Spontan. 0 0

P3521110201 6 2015 O03.I Abortus Inkompletus 1 0

P3521110201 6 2015 O04 Pengguguran Atas Indikasi Sah 0 0

P3521110201 6 2015 O05 Pengguguran Atas Indikasi Tidak Sah 0 0

P3521110201 6 2015 O06 Abortus Imminens 0 0

P3521110201 6 2015 O11 Pre Eklampsia 0 0

P3521110201 6 2015 O15 Keracunan Kehamilan (Eklampsia) 0 0

P3521110201 6 2015 O16 Hipertensi Tdk Spesifik Pada Kehamilan 0 0

P3521110201 6 2015 O20 APB / HPP / Pendarahan Pd Kehamilan Muda 0 0

P3521110201 6 2015 O21 Hyperemesis 0 0

P3521110201 6 2015 O23 Infeksi Alat Kencing Pada Kehamilan 0 0

P3521110201 6 2015 O24 DM Pada Kehamilan 0 0

P3521110201 6 2015 O25 KEP Pada Kehamilan 0 0

P3521110201 6 2015 O26 Penyulit Kehamilan 0 0

P3521110201 6 2015 O30 Kehamilan Ganda 0 0

P3521110201 6 2015 O42 KPD 0 0

P3521110201 6 2015 O44 Plasenta Letak Rendah 0 0

P3521110201 6 2015 O47 His Palsu 0 0


P3521110201 6 2015 O60 Partus Prematur 0 0

P3521110201 6 2015 O61 Kegagalan Induksi 0 0

P3521110201 6 2015 O63 Partus Lama 1 0

P3521110201 6 2015 O65 CPD 0 0

P3521110201 6 2015 O68 Fetal Distress 0 0

P3521110201 6 2015 O70 Robekan Perineum 0 0

P3521110201 6 2015 O72 Perdarahan Setelah Melahirkan 0 0

P3521110201 6 2015 O73 Ret Placenta 0 0

P3521110201 6 2015 O80 Persalinan Normal 6 0

P3521110201 6 2015 O84 Partus Gemeli 0 0

P3521110201 6 2015 O85 Sepsis Pada Nifas 0 0

P3521110201 6 2015 O90 Penyulit Dalam Nifas 0 0

P3521110201 6 2015 O91 Infeksi Payudara Pada Ibu Menyusui 0 0

P3521110201 6 2015 O95 Kematian Ibu 0 0

P3521110201 6 2015 O96 Kematian Ibu ( > 42 Hari Dan < 1th Setelah Melahirkan ) 0 0

P3521110201 6 2015 O98 Infeksi Dan Penyakit Parasit Pd Kehamilan,Persalinan Dan Nifas 0 0

P3521110201 6 2015 O99 Penyakit Lainnya Yg Berhubungan Dg Kehamilan,Persalinan Dan Nifas 0 0

P3521110201 6 2015 P01 Komplikasi Bayi Baru Lahir Oleh Karena Masa Kehamilan 0 0

P3521110201 6 2015 P01.B Neoatus BBLR 0 0

P3521110201 6 2015 P05 Pertumbuhan Janin Yang Lambat Dan Kurang Gizi 0 0

P3521110201 6 2015 P07 Gangguan Pertumbuhan Yang Berhubungan Dengan Pemberian Asi 0 0

P3521110201 6 2015 P12 Trauma Kepala Saat Lahir 0 0

P3521110201 6 2015 P13 Trauma Tulang Saat Lahir 0 0

P3521110201 6 2015 P15 Trauma Lahir 0 0

P3521110201 6 2015 P21 Asfiksia (Setelah Lahir) 0 0

P3521110201 6 2015 P21.B Neonatus asphyxia Berat 0 0

P3521110201 6 2015 P21.S Neonatus asphyxia Sedang 0 0

P3521110201 6 2015 P22 Kegagalan Nafas Bayi Baru Lahir 0 0

P3521110201 6 2015 P24 Gejala Aspirasi Pada Neonatus 0 0

P3521110201 6 2015 P55 Kelainan Darah Pada Janin Dan Bayi Baru Lahir 0 0

P3521110201 6 2015 P57 Kernicterus 0 0

P3521110201 6 2015 P80 Hypothermia 0 0

P3521110201 6 2015 Q05 Spina Bifida 0 0

P3521110201 6 2015 Q07 Kecacatan Systim Syaraf Congenital Yang Lainnya 0 0


P3521110201 6 2015 Q20 Kecacatan Bawaan Dari Ruang Jantung Maupun Salurannya 0 0

P3521110201 6 2015 Q37 Bibir Sumbing Dan Palatum Sumbing 0 0

P3521110201 6 2015 Q45 Cacat Bawaan Lain Pada Susunan Pencernaan. 0 0

P3521110201 6 2015 Q53 Buah Pelir Tidak Turun. 0 0

P3521110201 6 2015 Q65 Pergeseran Sendi Bawaan Dari Pangkal Paha. 0 0

P3521110201 6 2015 Q68 Kelainan Bawaan Lain Dari Susunan Otot Rangka. 0 0

P3521110201 6 2015 R04 Batuk Darah 0 0

P3521110201 6 2015 R07 Nyeri Tenggorokan Dan Dada 0 0

P3521110201 6 2015 R09 Gejala-Gejala Yang Berhubungan Dengan Jantung Dan Pernafasan 0 0

P3521110201 6 2015 R10 Nyeri Pinggang Dan Perut 0 0

P3521110201 6 2015 R11 Mual Dan Muntah 33 10

P3521110201 6 2015 R12 Dada Panas 0 0

P3521110201 6 2015 R13 Tidak Ada Nafsu Makan 9 4

P3521110201 6 2015 R17 Penyakit Jaundice Tdk Spesifik 0 0

P3521110201 6 2015 R18 Ascites 0 0

P3521110201 6 2015 R19 Gejala Gejala Yang Berhubungan Dengan Saluran Pencernaan 0 0

P3521110201 6 2015 R21 Ruam Dan Infeksi Kulit Tdk Spesifik 0 0


Gejala Gejala Yang Berhubungan Dengan Susunan Syaraf Dan Otot
P3521110201 6 2015 R29 Rangka 0 0

P3521110201 6 2015 R30 Perasaan Nyeri Saat Kencing 0 0

P3521110201 6 2015 R31 Hematuri 0 0

P3521110201 6 2015 R33 Retensi Urin 0 0

P3521110201 6 2015 R36 Nanah Dari Urethra 0 0

P3521110201 6 2015 R39 Gejala-Gejala Yang Berhubungan Dengan Saluran Kencing 0 0

P3521110201 6 2015 R40 Keadaan Somnolen, Stupor Maupun Coma 0 0

P3521110201 6 2015 R41 Gangguan Kesadaran Lainnya 0 0

P3521110201 6 2015 R50 Demam Yang Tidak Diketahui Sebabnya 14 8

P3521110201 6 2015 R51 Nyeri Kepala 32 15

P3521110201 6 2015 R53 Badan Capek Dan Pegal-pegal 38 11

P3521110201 6 2015 R55 Pingsan 0 0

P3521110201 6 2015 R56 Kejang 0 0

P3521110201 6 2015 R57 Syok 0 0

P3521110201 6 2015 R63.0 Anoreksia 0 0

P3521110201 6 2015 R63.4 Penurunan Berat Badan Abnormal 0 0

P3521110201 6 2015 R64 Kakeksia 0 0


P3521110201 6 2015 R69 Penyakit Lainnya 19 6

P3521110201 6 2015 R75 HIV Dengan Lab Positif 0 0

P3521110201 6 2015 S02 Fraktur Tulang Tenggorokan Dan Muka 0 0

P3521110201 6 2015 S04 Cedera Pada Sumsum Saraf Lainnya 0 0

P3521110201 6 2015 S05 Luka Terbuka Pada Mata, Telinga 0 0

P3521110201 6 2015 S06 Gegar Otak. 0 0

P3521110201 6 2015 S09 Cedera Lain Pada Isi Tengkorak. 0 0

P3521110201 6 2015 S12 Fraktur Tulang Leher dan Togok. 0 0

P3521110201 6 2015 S27 Cedera Dalam Dada, Perut Dan Panggul 0 0

P3521110201 6 2015 S40 Luka Terbuka Pada Anggota Gerak Atas 0 0

P3521110201 6 2015 S42 Fraktur Tulang Lengan Atas,Pengupil Dan Hasta 0 0

P3521110201 6 2015 S50 Luka Terbuka Pada Anggota Gerak Bawah 1 1

P3521110201 6 2015 S55 Cedera Pada Pembuluh Darah. 0 0

P3521110201 6 2015 S72 Fraktur Tulang Paha. 0 0

P3521110201 6 2015 S79 Fraktur Bagian Lain Tulang Paha 0 0

P3521110201 6 2015 S82 Fraktur Tulang Kering, Betis & Mata Kaki 0 0

P3521110201 6 2015 S89 Fraktur Lain Pada Anggota Gerak. 0 0

P3521110201 6 2015 T03 Pergeseran, Terkilir Pada Sendi Dan Otot Sekitarnya. 0 0

P3521110201 6 2015 T06 Luka Terbuka Lain Dan Yang Tanpa Keterangan 0 0

P3521110201 6 2015 T07 Fraktur Ganda. 0 0

P3521110201 6 2015 T17 Akibat Benda Asing Yang Masuk Melalui Lubang Jalan Pernafasan 0 0

P3521110201 6 2015 T20 Luka Bakar Pada Muka, Kepala Dan Leher 0 0

P3521110201 6 2015 T21 Luka Bakar Pada Togok. 0 0

P3521110201 6 2015 T23 Luka Bakar Pada Pergelangan Tangan Dan Tangan 0 0

P3521110201 6 2015 T25 Luka Bakar Pada Anggota Gerak Bawah 0 0

P3521110201 6 2015 T26 Luka Bakar Terbatas Pada Mata Dan Alat Pengeringnya 0 0

P3521110201 6 2015 T28 Luka Bakar Pada Organ Dalam. 0 0

P3521110201 6 2015 T31 Luka Bakar Ganda Dan Yang Tanpa Keterangan 0 0

P3521110201 6 2015 T36 Keracunan Oleh Obat Dan Preparatnya 0 0

P3521110201 6 2015 T50 Keracunan ( Karena ) Kecelakaan Oleh Obat Dan Preraratnya 0 0

P3521110201 6 2015 T52 Keracunan ( Karena ) Kecelakaan Oleh Bahan Padat Dan Cair Lainnya 0 0

P3521110201 6 2015 T57 Keracunan Bahan Kimia 0 0

P3521110201 6 2015 T59 Keracunan ( Karena ) Kecelakaan Oleh Gas Dan Uap 0 0
Keracunan ( Karena ) Kecelakaan Oleh Bahan Makanan Dan Tumbuhan
P3521110201 6 2015 T62 Beracun 0 0
Akibat Kemudian Dari Cedera Pada Susunan Otot Rangka Dan Jaringan
P3521110201 6 2015 T98 Ikat. 0 0

P3521110201 6 2015 V01 Kecelakaan Kendaraan Jalan Kaki. 0 0

P3521110201 6 2015 V20 Kecelakaan Kendaraan Bermotor Dalam Lalu Lintas 0 0

P3521110201 6 2015 V81 Kecelakaan Kereta Api. 0 0

P3521110201 6 2015 V88 Kecelakaan Kendaraan Bermotor Diluar Lalu Lintas 0 0

P3521110201 6 2015 V90 Kecelakaan Angkutan Air. 0 0

P3521110201 6 2015 V95 Kecelakaan Angkutan Udara Dan Ruang Angkasa 0 0

P3521110201 6 2015 V99 Kecelakaan Angkutan Lain. 0 0

P3521110201 6 2015 W03 Jatuh Karena Kecelakaan 0 0

P3521110201 6 2015 W20 Kecelakaan Karena Peluru Senjata Api 0 0

P3521110201 6 2015 W23 Kecelakaan Karena Mesin Alat Pemotong Dan Alat Pemasuk 0 0

P3521110201 6 2015 W49 Kecelakaan Lain Dan Tanpa Keterangan 0 0

P3521110201 6 2015 W49.K KECELAKAAN & RUDA PAKSA 10 5

P3521110201 6 2015 W53 Gigitan Tikus 0 0

P3521110201 6 2015 W54 Gigitan Anjing 0 0

P3521110201 6 2015 W55 Gigitan Binatang Lain 0 0

P3521110201 6 2015 W74 Tenggelam Karena Kecelakaan 0 0

P3521110201 6 2015 W85 Kecelakaan Krn Terkena Aliran Listrik 0 0

P3521110201 6 2015 X09 Kecelakaan Karena Kebakaran Dan Api 0 0

P3521110201 6 2015 X39 Kecelakaan Karena Faktor Alam Dan Lingkungan 0 0

P3521110201 6 2015 Y40 Oleh Karena Antibiotika 0 0

P3521110201 6 2015 Y45 Oleh Karena Analgetika, Antipiretika Maupun Anti Inflamtory 0 0

Jumlah 875 260


JUMLAH 0-7 HR 8-28 HR 29 - < 1 TH
Lk Pr Lk Pr Lk Pr Lk Pr
L B L B L B L B L B L B L B L
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 0 1 0 0 0 0 0 0 0 0 0 0 0 0

0 2 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

3 4 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 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 22 13 0 0 0 0 0 0 0 0 0 0 1 1

0 0 1 0 0 0 0 0 0 0 0 0 0 0 0

1 0 1 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 1 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 3 0 0 0 0 0 0 0 0 0 0 0 0 0

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 1 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 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 5 19 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 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 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 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 1 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 1 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 1 0 0 0 0 0 0 0 0 0 0 0 0

2 11 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

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LAPORAN LB 1 PUSKESMAS

1-4 TH 5 - < 6 TH 6 - 9 TH 10 - 11 TH
Lk Pr Lk Pr Lk Pr Lk Pr
B L B L B L B L B L B L B L B
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8 8 12 8 16 8 11 7 19 8 22 2 5 0 7
1 PUSKESMAS

BULAN :

TAHUN :

10 - 11 TH 12 - 14 TH 15 - 17 TH 18 - 19 TH 20 - 24 TH
Pr Lk Pr Lk Pr Lk Pr Lk
L B L B L B L B L B L B L B L
38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

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0 5 2 11 4 17 3 14 8 6 1 7 3 17 1
20 - 24 TH 25 - 34 TH 35 - 44 TH 45 - 54 TH 55 - 59 TH
Pr Lk Pr Lk Pr Lk Pr Lk
B L B L B L B L B L B L B L B
53 54 55 56 57 58 59 60 61 62 63 64 65 66 67

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26 11 23 12 55 30 40 16 49 27 40 15 49 38 21
55 - 59 TH 60 - 64 TH 65 - 69 TH >= 70 TH
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L B L B L B L B L B L B L B L
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